O cenário da pandemia de COVID-19 representa um desafio sem precedentes para a sociedade. Em que pese a importância das medidas imediatas visando à prevenção da propagação da doença, cuidados com os indivíduos acometidos e medidas para minimizar os impactos econômicos e sociais, a abordagem de temas relacionados à saúde mental da população em geral é também crucial. As contribuições interdisciplinares relacionadas à saúde mental envolvem a compreensão dos mecanismos cognitivos e comportamentais que sustentam hábitos, atitudes e crenças. Essa compreensão é fundamental para maximizar a eficácia das estratégias que implicam em mudanças significativas na forma de comportar, conceber e planejar atividades quotidianas. O presente artigo discute abordagens da psiquiatria, psicologia e ciências relacionadas no manejo de questões relacionadas à mudança de comportamento, hábitos de nutrição e atividade física, trabalho e grupos etários vulneráveis.
We examined 11 pediatric patients with eosinophilic esophagitis with a tardy diagnosis. The symptoms were initially thought to be related to other diseases, leading to the use of inadequate therapeutic approaches. The patients were between 3 and 17 years old (mean 7.8 ± 3.8 years), and 8 of the patients were male. Common symptoms included abdominal pain, regurgitation, difficulty in gaining weight, vomiting, dysphagia, and coughing. The mean age for the onset of symptoms was 4.3 ± 2.9 years. Endoscopic findings included normal mucosa in five (45%) patients, thickening of the mucosa with longitudinal grooves in three (27%), erosive esophagitis in two (18%), and a whitish stippling in one (9%) patient. Treatment included the use of a topical corticosteroid for 10 patients. In eight (73%) cases, the treatment made the symptoms disappear. Ten patients underwent histopathological management after treatment, with a decrease in the number of eosinophils.
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