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Rita Cabral Vera Teixeira Ana Brinca Barbara Fernandes José Pedro Reis 《Anais brasileiros de dermatologia》2014,89(1):167-168
Pemphigoid gestationis is a rare, autoimmune blistering dermatosis of pregnancy. No
increase in fetal or maternal mortality has been demonstrated, but a greater
prevalence of premature and small-for-gestationalage babies has been reported.
Topical and systemic corticosteroids and antihistamines are the manstay of treatment.
The authors report a case of a 27-year-old woman at 28-weeks gestation with sudden
onset of pruriginous vesicles and blisters in the abdomen and limbs. Systemic
corticosteroids were introduced and maintained throughout gestation to prevent flares
and tapered after the birth of a healthy child. 相似文献
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Isabel G. Quirino Jose Silverio S. Diniz Maria Candida F. Bouzada Alamanda K. Pereira Thais J. Lopes Gabriela M. Paix?o Natalia N. Barros Luisa C. Figueiredo Antonio Carlos V. Cabral Ana Cristina Sim?es e Silva Eduardo A. Oliveira 《Clinical journal of the American Society of Nephrology》2012,7(3):444-451
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Celeste A. Lemay RN MPH Carol Tobias MMHS Amarachi A. Umez‐Eronini BA MPH Carolyn Brown DDS Amanda McCluskey Jane E. Fox MPH Helene Bednarsh BS RDH MPH Howard J. Cabral PhD MPH 《Special care in dentistry》2013,33(2):70-77
Little is known about dental case managers as few programs have been scientifically evaluated. The goal of this study was to explore the impact of dental case manager on retention in dental care and completion of treatment plans, while specifically exploring the number of dental case manager encounters. Fourteen programs enrolled people with HIV/AIDS (PLWHA) in dental care and a longitudinal study between 2007 and 2009. The 758 participants had a total of 2715 encounters with a dental case manager over twelve months: 29% had a single encounter; 21% had two; 27% had 3–4 and; 23% had 5–29 encounters. Adjusting for baseline characteristics, participants receiving more encounters were significantly more likely to complete their Phase 1 treatment plan, be retained in dental care, and experience improvements in overall oral health status. Organizations considering efforts to improve the oral health of vulnerable, hard‐to‐engage populations should consider these findings when planning interventions. 相似文献
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MUHAMMAD N RAZA MUHAMMAD HADID CHARLES E KEEN CORALIE BINGHAM ANDREW HJ SALMON 《Nephrology (Carlton, Vic.)》2012,17(8):748-753
Background: The use and timing of steroids in the management of acute tubulointerstitial nephritis (ATIN) remains debatable. Aims: To determine the incidence and aetiology of ATIN in our unit, and to examine trends in the use of steroids and their impact on renal outcomes. Methods: Patients with a histological diagnosis of ATIN over a 9‐year period were identified and divided into steroid‐treated (StG) and steroid‐naïve groups (SnG). Mean change in estimated glomerular filtration rate (eGFR) was determined. Results: Forty‐nine patients had ATIN as their main diagnosis, 67% of cases were drug‐induced, and proton pump inhibitors (PPI) were the second commonest implicated drug category. Majority (75%) of patients received steroids, and eGFR improved to a significantly greater degree in these steroid‐treated patients (3.4‐fold improvement vs 2.0‐fold in SnG; P < 0.05, unpaired t‐test). Despite comparable eGFR at presentation (StG: 11.7; SnG: 15.4), steroid‐treated patients were less likely to receive dialysis, although not significantly so (OR 0.27; 95% CI 0.06–1.15, P = 0.066, chi‐squared test). However, there was no significant relation between the degree of eGFR improvement and delay in starting steroids (Pearson r = ?0.25, P > 0.45), and no difference in eGFR at the time of last follow‐up (StG: 33 ± 3; SnG: 32 ± 7; P > 0.9, unpaired t‐test). Conclusion: StG patients had a greater degree of improvement in renal function, but with no correlation between degree of improvement in eGFR and delay in starting steroids, and similar eGFR values at final follow‐up. PPI were the second commonest drug category among drug‐induced cases. 相似文献
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Juliana Bastos Costa Virna Lygia Lobo Rocha de Sousa Pedro Bezerra da Trindade Neto Thomás de Aquino Paulo Filho Virgínia Célia Dias Florêncio Cabral Patrícia Moura Rossiter Pinheiro 《Anais brasileiros de dermatologia》2012,87(6):910-913
Norwegian scabies is a highly contagious skin infestation caused by an ectoparasite,
Scarcoptes scabiei var. Hominis, which mainly affects immunosuppressed individuals.
Clinically, it may simulate various dermatoses such as psoriasis, Darier''s disease,
seborrheic dermatitis, among others. This is a case report of a 33-year-old woman,
immunocompetent, diagnosed with generalized anxiety disorder (cancer phobia), who had
erythematous, well-defined plaques, covered with rupioid crusts, on her neck,
axillary folds, breast, periumbilical region, groin area, besides upper back and
elbows, mimicking an extremely rare variant of psoriasis, denominated rupioid
psoriasis. 相似文献