ABSTRACT
Brazil is a country of continental dimensions with a large heterogeneity of climates and massive mixing of the population. Almost the entire national territory is located between the Equator and the Tropic of Capricorn, and the Earth axial tilt to the south certainly makes Brazil one of the countries of the world with greater extent of land in proximity to the sun. The Brazilian coastline, where most of its population lives, is more than 8,500 km long. Due to geographic characteristics and cultural trends, Brazilians are among the peoples with the highest annual exposure to the sun. Epidemiological data show a continuing increase in the incidence of non-melanoma and melanoma skin cancers. Photoprotection can be understood as a set of measures aimed at reducing sun exposure and at preventing the development of acute and chronic actinic damage. Due to the peculiarities of Brazilian territory and culture, it would not be advisable to replicate the concepts of photoprotection from other developed countries, places with completely different climates and populations. Thus the Brazilian Society of Dermatology has developed the Brazilian Consensus on Photoprotection, the first official document on photoprotection developed in Brazil for Brazilians, with recommendations on matters involving photoprotection.
Subject(s)
Humans , Radiation Protection/methods , Sunburn/prevention & control , Sunscreening Agents/administration & dosage , Skin Diseases/prevention & control , Skin Neoplasms/prevention & control , Skin Neoplasms/epidemiology , Solar Energy/statistics & numerical data , Sunburn/epidemiology , Sunscreening Agents/chemistry , Ultraviolet Rays/adverse effects , Vitamin D/metabolism , Brazil/epidemiology , Clothing , Environmental Exposure , Electromagnetic Radiation , Health Promotion/methods , Meteorological ConceptsABSTRACT
As atrites fúngicas têm sido diagnosticadas com mais freqüência nos últimos anos. Os autores relatam dois casos de artrite séptica do joelho por Candida sp. O primeiro causado por inoculaçäo transdérmica em paciente adulto näo imunocomprometido e que tinha ferimento lacerocontuso de perna coberto com enxerto de pele parcial. A contaminaçäo ocorreu pela candidíase ungueal da esposa. No segundo, o paciente recebeu injeçäo intra-articular de corticosteróide em joelho ferido. Discorrem, ainda, sobre a eficiência do tratamento com fluconazol oral e alertam para a negligência e retarde do diagnóstico.