RESUMENEl progresivo envejecimiento de la población está provocando el desarrollo como grupo profesional de los cuidadores profesionales de ancianos, los auxiliares de geriatría. Puede considerarse un grupo de riesgo para el desarrollo de dermatosis ocupacional debido a las características del trabajo que desempeñan, con una regular exposición a irritantes cutáne-os y a trabajo húmedo. Los estudios centrados en la patología cutánea de este colectivo son escasos.Objetivo: El objetivo de este estudio es describir y analizar las características y los diagnósticos clíni-cos dermatológicos de los pacientes que trabajan como cuidadores de ancianos valorados en nuestro servicio. Material y métodos:Se ha llevado a cabo un estudio observacional retrospectivo de los datos de 41 pacientes cuidadores de ancianos estudiados en nuestro servicio durante un periodo de 11 años.Resultados: Encontramos un predominio total de mujeres. El lugar de afectación más frecuente fueron las manos. Los diagnósticos más frecuentemente establecidos fueron: Eczema endógeno (39,6%), dermatitis de contacto irritativa (DCI) (27,1%), dermatitis de contacto alérgica (DCA) (12,5%), Sin lesiones (10,4%), urticaria de contacto al látex (4,2%) y otros.Conclusiones: El colectivo de cuidadores de ancianos es un grupo en aumento y de gran importancia social. Al desempeñar una labor que implica un trabajo húmedo se debe considerar un grupo de riesgo para el desarrollo de dermatosis profesionales. En nuestro estudio destaca que el diagnóstico de eczema endógeno, representado por la dermatitis atópica, sea el más frecuente, explicándose esto porque una irritación provocada por un trabajo húmedo y la oclusión pueden desencadenar un eczema en el individuo con un fondo atópico, que en otras condiciones se habría mantenido latente. Son necesarios futuros estudios más extensos en este sector profesional. PALABRAS CLAVESDermatosis ocupacionales, cuidadores de ancianos, auxiliares de geriatría, trabajo húmedo. ABSTRACTThe increasing proportion of elderly citizens worldwide is leading to the development of a new professional group of people who are specialized in elderly personal care. They may have an increased risk of occupational skin damage due to the characteristics of their work that is often associated with regular exposure to skin irritants and constant wetwork. Skin disease studies within this group are rare. Aims:The aim of this study was to describe and analyse the characteristics and dermatologic diagnosis of the patients that work taking care of elderly people studied in our department. Methods:We studied retrospectively all 41 patients who work as elder care-taker who attended our department in a 11-year period. Results:We found an absolute female predominance. The most common location affected was the hands. Of the skin diseases clinically diagnosed, endogenous eczema showed the highest prevalence (39,6%) followed by irritant contact dermatitis (ICD) (27,1%), allergic contact dermatitis (ACD) (12,5%), asymptomatic (10,4%), allergy to natural rubber lat...
We present five cases where patients were diagnosed with nonalcoholic steatohepatitis (NASH) and were treated pharmacologically. This is a common disease that is gaining clinical importance due to the longterm sequelae it may bring to a patient, such as cirrhosis, end-stage liver disease, and hepatocellular carcinoma. Diagnosis and treatment are crucial to make a difference in these patients. Diagnosis is mainly through obtaining alanine transaminase (ALT) and aspartate aminotransferase (AST) levels and excluding excessive alcohol use and other identified liver diseases. Diet and lifestyle are the first options in the treatment of NASH, but some pharmacotherapy has been tested for the cure of NASH. Insulin-sensitizing medications, such as Pioglitazone, have shown beneficial effects but with limited success and increase weight as a side effect. The GLP-1 receptor agonist, which are used in diabetes mellitus type two, has shown significant results in patients with NASH such as decreasing ALT levels, body weight, and hepatic fat.
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