Background:
Excessive sun exposure is the major risk factor for skin cancer. Thus, sun
exposure behavior is the major focus for prevention of this disease, since
it is potentially modifiable. Increasing the knowledge on sun related habits
and other skin cancer risk factors is fundamental in the development of
preventive programs, especially when directed to young people.
Objectives:
To assess the photoprotection habits and the knowledge about skin cancer in
college students.
Methods:
We conducted a cross-sectional study from Oct. 16 to Feb. 17, including 371
students from the Federal University of Santa Maria, RS, Brazil, through a
self-administered questionnaire.
Results:
The level of knowledge about skin cancer and photoprotection was
unsatisfactory in more than 10% of the students. The occurrence of sunburn
was extremely high among students, and 25% reported at least one episode of
second degree sunburn. Proper use of sunscreen was referred by only 34% of
individuals. Students who reported having received photo education in
college were associated with a more consistent use of sunscreen.
Study limitations:
health area represented a large part of the sample; instrument validated
outside Brazil.
Conclusions:
Young people are unaware of basic information about sun protection and
exposure. Even among those with proper knowledge, the use of photoprotective
measures is very low. The sun exposure has shown to be excessive in most of
the students, which makes this population an important target for
photo-educational measures.
Statins are widely used and are currently the state-of-the-art treatment for primary and secondary prevention of cardiovascular disease. Although statins are generally well tolerated and present an excellent safety profile, adverse effects from muscle toxicity may occur in some patients. Statin-induced dermatomyositis (DM) is a rare adverse event associated with its use and very few fatal cases have been reported. We present the case of a 69-year-old man with early onset DM precipitated by a small dose of simvastatin. Despite immediate cessation of the agent and the use of systemic corticosteroids, the case took a very aggressive and fatal course. Such progression is extremely unusual for statin-induced DM. Despite the safety of statins, we highlight the importance of identifying potential side effects associated with this class of medications. We also emphasize the importance of correct diagnosis and close follow-up of patients with statin side effects.
Sporotrichosis is the most prevalent subcutaneous mycosis and is characterized by a subacute or chronic development of a cutaneous or subcutaneous nodular lesion. It is caused by the dimorphic fungus Sporothrix spp, which may manifest in different clinical forms. The disseminated cutaneous form is uncommon and is more likely to occur in immunocompromised patients. We report a 47-year-old male patient with multiple cutaneous and subcutaneous nodules. The patient was diagnosed with disseminated cutaneous sporotrichosis based on the isolation and identifi cation of Sporothrix spp. The patient was treated with potassium iodide, which resulted in clinical improvement of the lesions.
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