Histomorphometric results establish CTE as a distinct disorder, separate from FPHL from its outset. Its pathogenic mechanisms are also distinct. These findings support the proposed mechanism of 'immediate telogen release' for CTE, leading to cycle synchronization. For FPHL, accelerated anagen follicular mitotic rates and, thus, higher Ki-67 and VEGF values, would leave less time for differentiation, resulting in hair miniaturization.
CONTEXT: Erythema elevatum diutinum is a chronic and rare dermatosis that is considered to be a variant of leukocytoclastic vasculitis. It is probably mediated by immune complexes. It is generally associated with autoimmune, neoplastic and infectious processes. Recently, it has been added to the group of specific dermatoses that are associated with HIV. CASE REPORT: We report on the case of a patient who had erythema elevatum diutinum as the first clinical evidence for diagnosing HIV infection. Dapsone was used in the treatment of this patient, and partial regression of the lesions was achieved within 15 days, even before antiretroviral therapy was prescribed. CONCLUSION: When there is a diagnosis of erythema elevatum diutinum, HIV infection should be investigated, especially in atypical and exacerbated clinical manifestations.
The washing test can be useful to avoid biopsy procedures. Iron serum levels are possibly an additional parameter that may improve CTE diagnosis if combined with an earlier test.
Este estudo relata a experiência de alunas de Graduação em Enfermagem diante do preenchimento da caderneta de saúde da pessoa idosa em visita domiciliar. Trata-se de relato de experiência baseado em visitas domiciliares a idosos na área de abrangência de uma unidade da Estratégia Saúde da Família (ESF) em um município da fronteira oeste do Rio Grande do Sul. A partir do preenchimento da caderneta de saúde da pessoa idosa, suas potencialidades como ferramenta de cuidado e gestão no âmbito da atenção primária à saúde (APS) foram notadas. Entretanto, entraves relacionados ao processo de trabalho e à formação técnico-científica dos profissionais da saúde constituem obstáculos à sua efetivação. Há necessidade de novos estudos no campo da enfermagem, com vistas a lidar melhor com as dificuldades e as potencialidades do uso de ferramentas de qualificação da assistência, como a caderneta de saúde da pessoa idosa.
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