Review: Use of Herbal Medicinal Products in Skin Treatments

Traditional medicine covers the rescue of the methodologies and techniques of cure, therapy, and prevention of diseases using medicinal plants. The objective of this paper is to conduct a literature review on the use of herbal medicines in skin treatment. The methodology used was a literature review conducted between 2015 and 2022 in national journals. The databases used were Google Scholar, SciELO, VHL, PubMed, and LILACS, using the following descriptors: "use of herbal medicines in skin treatments", "herbal medicines in skin treatments" and, "phytotherapy". The most commonly used medicinal plants were babosas (Aloe vera L.), arnica (Arnica acaulis L.), and barbatimão (Stryphnodendron adstringens (Mart.) Coville), confrei (Symphytum officinale L.), calendula (Calendula arvensis L.) and melaleuca (Melaleuca alternifolia L.). The most commonly used parts were leaves and bark, and infusion (tea) was the most commonly used preparation method. Most of the medicinal plants cited have their healing power evidenced by the scientific literature, thus favoring the quality of life of the individual who uses them. Thus, this article, obtained expressive results for human health, moreover, they establish an important step of bioprospecting, assisting in the choice of target plants for pharmacological verifications.

Difteria: Experiencia en el servicio de enfermedades infecciosas del Hospital Universitario de Caracas

Difteria es una enfermedad infecciosa bacteriana producida por Corynebacterium diphtheriae, es altamente contagiosa, prevenible por vacunas, con importantes complicaciones agudas y alta mortalidad. Objetivo: Describir las características clínicoepidemiológicas y el manejo médico de los pacientes con diagnóstico de Difteria ingresados en el Servicio de Enfermedades Infecciosas del Adulto del Hospital Universitario de Caracas (HUC) en los años 2017 y 2018. Metodología: Estudio de casos, analítico, retrospectivo, de revisión de historias clínicas. Resultados: Ingresaron 27 pacientes de los cuales se encontraron 22 historias clínicas y se excluyeron 2. De los 20 pacientes 13 (65 %) ingresaron en el año 2017 y 7 (35 %) hasta mayo del 2018. Predominó el género masculino 11 (55 %). La mayoría eran procedentes del Distrito Capital 9 (45 %), seguido del estado Miranda 8 (40 %). El promedio de edad fue de 26 años. La mayoría 8 (40 %) no tenían reportes de datos epidemiológicos en la historia clínica, 7 (35 %) negaron viajes recientes, 3 (15 %) estaban vacunados. La mayoría de los pacientes consultaron por fiebre, odinia y odinofagia 13 (65 %), seguido de fiebre y odinia 6 (30 %), el 100 % tuvo membrana blanco grisácea como clínica primaria, seguido de edema de cuello 10 (50 %). La ubicación de las membranas fue más frecuente en amígdalas palatinas 15 (75 %), con 9 casos (45 %) de formas extensivas a úvula, paladar blando y paredes de orofaringe. Las complicaciones al ingreso fueron respiratorias 9 (45 %) y neurológicas 1 (5 %). El tratamiento fue penicilina cristalina en 12 casos (60 %) y antitoxina diftérica (ATD) en el 100 %, la mayoría administrada en las primeras 24 hrs 9 (45 %). Un paciente presentó polineuropatía y 1 falleció por insuficiencia respiratoria. Conclusiones: El HUC es un centro de referencia y es pertinente determinar las características clínico-epidemiológicas y el manejo médico de los pacientes hospitalizados con diagnóstico de difteria, en el contexto de la actual epidemia.

Diphtheria is a bacterial infectious disease caused by Corynebacterium diphtheriae, it is highly contagious, preventable by vaccines, with important acute complications and high mortality. Objective: To describe the clinical-epidemiological characteristics and medical management of patients diagnosed with Diphtheria admitted to the Adult Infectious Diseases Service of the Hospital Universitario de Caracas (HUC) in the years 2017 and 2018. Methodology: Case study, analytical , retrospective, review of medical records. Results: 27 patients were admitted, of which 22 clinical records were found and 2 were excluded. Of the 20 patients, 13 (65%) entered in 2017 and 7 (35%) up to May 2018. The male gender predominated 11 (55 %). Most were from Distrito Capital 9 (45%), followed by Miranda 8 (40%). The average age was 26 years. The majority 8 (40%) had no reports of epidemiological data in the clinical history, 7 (35%) denied recent trips, 3 (15%) were vaccinated. The majority of patients consulted for fever, odinia and odynophagia 13 (65%), followed by fever and odinia 6 (30%), 100% had grayish white membrane as primary clinic, followed by neck edema 10 (50%) . The location of the membranes was more frequent in palatine tonsils 15 (75%), with 9 cases (45%) of extensive forms to the uvula, soft palate and walls of the oropharynx. Complications at admission were respiratory 9 (45%) and neurological 1 (5%). The treatment was crystalline penicillin in 12 cases (60%) and diphtheria antitoxin (DAT) in 100%, the majority administered in the first 24 h 9 (45%). One patient presented polyneuropathy and 1 died due to respiratory failure. Conclusions: The HUC is a reference center and it is pertinent to determine the clinical-epidemiological characteristics and medical management of hospitalized patients diagnosed with diphtheria, in the context of the current epidemic.

Citoinclusão de capa leucocitária e medula óssea de cães: padronização da técnica / Cell block of canine buffy coat and bone marrow in paraffin blocks: technique standardization

A técnica de citoinclusão é amplamente utilizada e reconhecida por profissionais da área da saúde, em particular médicos patologistas, porém as informações sobre a aplicação desse método em medicina veterinária ainda são raras. Análises citológicas de medula óssea e da capa leucocitária (porção do sangue formada por concentrados de leucócitos) são amplamente utilizadas no diagnóstico de patologias de origem neoplásica e não neoplásica e de agentes infecciosos. Embora a importância do uso da técnica seja amplamente reconhecida, não há registro da utilização de amostras citológicas de medula óssea e capa leucocitária na confecção de citoinclusões em blocos de parafina, como meio de diagnóstico no segmento médico veterinário. Assim, este trabalho tem como objetivo elaborar um protocolo de citoinclusão em parafina para amostras citológicas de medula óssea e capa leucocitária de cães. Foram submetidas à técnica de citoinclusão 110 amostras de capa leucocitária e 44 de medula óssea de cães portadores ou não de enfermidade sistêmica, sendo que em 68% destas, tanto para a capa leucocitária quanto para a medula óssea, as amostras se mostraram viáveis. A utilização do álcool 95% como fixador e de etapas no processamento histológico de 20 minutos (álcool absoluto, xilol e parafina, três banhos cada) foi crucial para a qualidade dos cortes histológicos e para a análise microscópica dos espécimes corados pela hematoxilina-eosina. A separação mecânica da capa leucocitária e a centrifugação do aspirado de medula óssea foram eficientes e de baixo custo no preparo das citoinclusões. Ressalta-se a importância na padronização da técnica de citoinclusão, em particular para amostras de capa leucocitária e medula óssea, visando à obtenção de espécimes de qualidade independentemente das limitações de equipamentos...

The cell block technique is widely used and recognized by health professionals, but lacks in information regarding the specific contribution of this method to veterinary medicine. The cytology of bone marrow and buffy coat (cellular portion of the hole blood) are widely used in the diagnosis of neoplastic and non-neoplastic diseases, and also for the detection of infectious agents. Although the importance of these samples is widely recognized, there is no information about the use of buffy coat and bone marrow samples in the cell block procedure among the research material used for this paper. This work aims for the cell block standardization for canine buffy coat and bone marrow samples. We collected 110 buffy coat samples and 44 bone marrow samples for the cell block preparation, and 68.2% of buffy coat and bone marrow proved to be viable at the end of the procedure. The 95% ethanol fixatives along with the 20 minute processing steps (absolute ethanol, xilol and paraffin, 3 of each) were crucial for the quality of the material both in microtomy and optical microscopy. Mechanical separation of the buffy coat proved to be easy and cheap and was used to compose the cell block technique. In this research we emphasized the importance of cell block standardization in order to develop and easy, inexpensive and reproducible method, regardless of any of the professionals' limitations...

Antioxidant properties of species from the Brazilian cerrado by different assays / Avaliação da propriedade antioxidante de espécies do cerrado no Brasil detectada por diferentes ensaios

The purpose of this study was to screen the antioxidant activity of medicinal plant extracts from the Brazilian cerrado, through other methods than the total phenolic content and its correlation with the antioxidant activity. Ethanolic extracts of ten species were evaluated through three antioxidant assays, in vitro, including 2,2-diphenyl-1-picrylhydrazyl (DPPH), total antioxidant activity and reducing power; and by using the Folin-Ciocalteu method the total phenolic content was determined. Ethanolic extracts of Stryphnodendron obovatum, Cecropia pachystachya and Duguetia furfuraceae showed strong antioxidant activity (IC50<5 µg mL-1) in the DPPH free radical scavenging assay; the species Vernonia phosphorea, Hymenaea stignocarpa and Jacaranda ulei may also be highlighted. These results were confirmed in the assays of total antioxidant capacity and reducing power. The extracts of S. obovatum and V. phosphorea showed an abundant phenolic content; therefore, the phenolic content may play a role in the antioxidant activity. These two species, traditionally used in Brazil, showed great power in these assay systems and may be a promising source for the development of natural antioxidants and future candidates for phytochemical and pharmacological studies in related diseases.

O objetivo desse trabalho foi triar a atividade antioxidante de extratos de plantas medicinais do cerrado do Brasil, por outros métodos além do conteúdo de fenóis totais e sua correlação com a atividade antioxidante. Assim, o extrato etanólico de dez espécies vegetais do cerrado brasileiro foi avaliado por três ensaios de atividade antioxidante, in vitro: 2,2-difenil-1-picrilhidrazil (DPPH); atividade antioxidante total e poder redutor; e o teor de fenóis determinado pelo reagente de Folin-Ciocalteu. O extrato etanólico de Stryphnodendron obovatum, Cecropia pachystachya e Duguetia furfuraceae apresentaram forte atividade antioxidante (CI50<5 mg mL-1) no ensaio com o DPPH, tendo destaque também as espécies Vernonia phosphorea, Hymenaea stignocarpa e Jacaranda ulei. Os extratos de S. obovatum e V. phosphorea demonstraram maiores teores de fenóis, indicando que esse grupo de substâncias possa ser a responsável pela atividade antioxidante. Essas duas espécies, usadas tradicionalmente no Brasil, representam fontes promissoras para o desenvolvimento de antioxidantes naturais e futuros estudos fitoquímicos e farmacológicos em doenças relacionadas.

Detection of white spot syndrome virus in Brazil using negative staining, immunoelectron microscopy and immunocytochemistry techniques / Detección del virus del síndrome de mancha blanca en el Brasil utilizando inmunomicroscopía e inmunomarcación con partículas de oro coloidal

In this study thirty shrimp samples from commercial marine shrimp (L. vannamei) farms of southern region of Brazil were obtained. Hepatopancreas and shell scrapings fragments collected in these animals were processed by transmission electron microscopy using negative staining (rapid preparation), immunoelectron microscopy and immunocytochemistry (immunolabelling with colloidal gold particles) techniques. On the transmission electron microscopy a great number of white spot virus particles, ovoid or bacilliform-to-ellipsoid, measured 230-290 nm in length and 80-160 nm in diameter with intra-nuclear projections were visualized by the negative staining technique in 27 (90 percent) out of 30 samples examined. Using immunoelectron microscopy technique, the anti-VP 664 serum agllutinated a large number of particles formed by antigen-antibody interaction. In the immunocytochemistry technique, the antigen-antibody reaction was styrongly marked by the particles of colloidal gold over the virus. Notably, this is the first report, to our knowledge, describing use of these microscopy techniques to study Brazilian L. vannamei marine shrimp samples; moreover, this methodology also appears to be a viable complementary tool for diagnosing the presence of the white spot virus within shrimp tissues. Importantly, these are the first photoelectron micrographs of the WSSV in Brazil.

Se obtuvieron para el estudio 30 muestras de camarones marinos comerciales (L. vannamei) de las granjas de la región sur de Brasil. Fueron procesados fragmentos de hepatopáncreas y raspados internos del cefalotórax recogidos en estos animales por microscopía electrónica de transmisión con tinción negativa (preparación rápida), inmunomicroscopía y técnicas de inmunocitoquímica (inmunomarcación con partículas de oro coloidal). En la microscopía electrónica de transmisión de un gran número de partículas de virus de la mancha blanca, ovoide o elipsoidal a baciliformes, medían 230-290 nm de longitud y 80-160 nm de diámetro. En 27 (90 por ciento) de las 30 muestras examinadas intra-nuclear proyecciones se visualizaron mediante la técnica de tinción negativa. Utilizando una técnica de inmunomicroscopía electrónica, el anti-suero VP 664 reunió a un gran número de partículas formadas por la interacción antígeno-anticuerpo. En la técnica de inmunocitoquímica, la reacción antígeno-anticuerpo fue fuertemente reforzada por las partículas de oro coloidal en los virus. En particular, en Brasil este es el primer informe, a nuestro entender, que describe el uso de estas técnicas de microscopía en muestras de camarón marino L. vanamei. Además, esta metodología también parece ser una herramienta complementaria viable para diagnosticar la presencia del virus de la mancha blanca en tejidos de camarón. Es importante destacar que estas son las primeras fotos en microscopia electrónica del WSSV obtenidas en Brasil.

Pressão intra-abdominal em cães / Intra-abdominal pressure in dogs

Sob consenso recente em pacientes humanos, os valores basais da pressão intra-abdominal (PIA) e seus prováveis limiares em casos mórbidos, foram estipulados com intuito de favorecer a homogeneidade de estudos científicos, além de fornecer diretrizes para conduta diagnóstica e terapêutica destes pacientes. Valores basais e alterações na pressão intra-abdominal em animais não são ainda suficientemente conhecidos e cientificamente determinados. Médicos veterinários necessitam conhecer melhor os estados mórbidos que cursam com Hipertensão Intra-Abdominal (HIA) ou Síndrome de Compartimento Abdominal (SCA). O presente estudo objetivou testar em cães a técnica já descrita sob consenso na medicina como modelo de mensuração da pressão intra-abdominal, assim como determinar os valores normais para a espécie. Foram utilizados 15 cães hígidos, machos e fêmeas, homogêneos e todos sem raça definida. A mensuração da pressão intra-abdominal foi realizada por meio da técnica indireta de sondagem vesical e utilização de coluna de água com régua graduada em cm de H2O, sendo seu valor final convertido para a unidade de mm de Hg. Foi observado valor mínimo subatmosférico (abaixo de zero mm de Hg) até o valor máximo de 3,75 mmHg. Houve importante variação entre os valores encontrados individualmente em determinados cães, colocando sob discussão questões como massa corporal, freqüência/volume total de solução fisiológica a ser infundida e agitação destes pacientes no momento do exame. Os valores limítrofes encontrados são considerados fisiológicos, indicando confiabilidade da técnica e possibilidade do seu emprego clínico. A ausência de sedação e utilização de sonda uretral não inviabilizou a realização da mensuração, porém podendo culminar numa sub ou superestimativa dos valores encontrados.

In order to favor the homogeneity of scientific studies and to provide guidelines on the diagnosis and therapy, human basal values of the intra-abdominal pressure (IAP) and their probable thresholds in morbid cases were recently established. However, basal values and changes in the intra-abdominal pressure in animals are still partly unknown and not scientifically confirmed. Veterinarians have the need to expand their knowledge on morbid conditions that develop with Intra-Abdominal Hypertension (IAH) or Abdominal Compartment Syndrome (ACS). The present study aims to test in dogs the technique adopted in human medicine as a model for measurement of intra-abdominal pressure (1) and determine normal values for the species (2). Fifteen known mongrel healthy dogs, males and females and homogenous were tested. The measurement of IAP was done through an indirect technique which involves catheterizing the bladder and using a water column with a graduate ruler in cm of H(2)0 - its final value converted to mm of Hg. The values observed ranged from a minimum sub atmospheric value (below of zero mm of Hg) to 3,75 mmHg. There was a considerable variation within the individual values observed in some animals, bringing up considerations related to body mass, frequency/total volume of the physiologic solution to be administered and inquietude of these dogs during the treatment. The thresholds values found are considered physiologic, indicating reliability of the technique and possibility of its clinical use. The absence of sedation and the use of urethral catheter did not compromised the measurement, however could have resulted in under- or overestimation of the values found.

Genetic diversity studies of Brazilian garlic cultivars and quality control of garlic-clover production

The garlic cultivars grown in Brazil evolved from somatic mutations and clone selection by breeding programs and by the introduction of germplasm from other countries. Morphological characters have been used to differentiate these cultivars. Two hundred and six random amplified polymorphic DNA markers were utilized for a diversity analysis of the 17 most planted garlic cultivars in Brazil. Bootstrap analysis showed that the number of markers was efficient and sufficient to obtain a coefficient of variation of 10%. Similarity varied between 16 and 98% and cluster analysis showed that, in general, genetic similarities correlate with morphological characters of the cultivars and production cycle variation. High bootstrap values at most of the nodes supported the dendrogram stability. The grouping of most varieties agreed well with previous reports based on morphological characters. As a vegetative-propagated species, viral diseases are a key problem regarding production and quality of the bulbs, causing gradual loss of yield and decrease in storage capacity. To improve the health quality of garlic seed, a virus-free stock of garlic cloves of the Amarante cultivar was obtained. The ability to distinguish garlic cultivars to detect varietal mixing after in vitro multiplication is extremely important, since correct identification is not possible until bulbs are produced. Random amplified polymorphic DNA markers were also used to differentiate cultivars while they are in vitro and not amenable to morphological discrimination. No difference was identified between the fingerprints of the virus-free or of the infected bulks of Amarante, showing that there was no clove mixing in the handling of material in the clonal multiplication phase.

Importância da correlação do exame citológico com a captura híbrida II no diagnóstico de lesoes intraepiteliais cervicais relacionadas ao HPV1 / Correlation of hybrid II capture cytologic exam in diagnosis of cervical lesions related to HPV

PURPOSE: The aim of the present study was confront the results of the cytological examination with hybrid capture II in the diagnosis of induced cervical intraepithelial lesion-HPV, correlating the cytological findings with biomoleculares. METHODS: The research was carried through in a group of 160 sexually active women who had espontaneamente looked its gynecologists for consultation of routine, having been submitted to the collection of cervicovaginal material for cytology and for examination of hybrid capture II in the Centro de Patologia Clínica and the Hospital e Maternidade Promater, in the city of the Natal-RN. RESULTS: The results had shown to relatively high numbers of positive cases for HPV using hybrid capture II (41.87%) and the cytology (23.75%). The agreement between the two studied methods relatively was raised (59.38%). It was evident also that the viruses with high oncogênico potential had presented found in the compatible cytology with Lesion of low risk (11.88%), followed of Lesion of high risk (NIC II and III); already the viruses with low oncogênico potential were more associates the Lesion of low risk (6.25%), followed of Lesion of high risk. CONCLUSION: The cytology, exactly with its limitations, is an important method in the detention of attributable patologias to the HPV, emphasizing that the molecular method comes to complement it and to consolidate the cytological findings.

Co-infestation of gills by different parasite groups in the mullet, Mugil platanus Günther, 1880 (Osteichthyes, Mugilidae): effects on relative condition factor

Foram examinados exemplares de tainha, Mugil platanus, capturados mensalmente na região estuarino-lagunar de Cananéia, SP, entre julho de 1988 e junho de 1989, a fim de verificar a ocorrência de parasitos branquiais. Das 334 tainhas examinadas, apenas quatro não apresentaram nenhum parasito. Nas demais, foram encontrados os seguintes grupos: Trichodina sp., Monogenoidea, Copepoda e Hirudinea. Utilizando os valores de peso total (Wt) e de comprimento total (Lt) de todos os espécimes estudados calculou-se o fator de condição relativo (Kn). Constatou-se que os 118 espécimes infestados por monogenóideos encontravam-se, em média, com peso inferior ao esperado. Os 81 espécimes que tinham, concomitantemente nas brânquias, Trichodina sp., copépodos e monogenóideos apresentaram, em média, peso inferior ao esperado. Os demais espécimes parasitados, assim como os não parasitados, estavam com o peso igual ou acima do esperado. Foi possível constatar que o parasitismo das brânquias por monogenóideos afeta o peso das tainhas, Mugil platanus, da região estuarino-lagunar de Cananéia, SP, especialmente quando co-infestado com Trichodina sp. e copépodos.

Cirugía transesfenoidal en enfermedad de Cushing durante gestación: Report of one case / Cushing's disease treatment with transsphenoidal surgery during pregnancy

We report a 26 years old female with Cushing's disease who became pregnant during the course of her disease. She was treated by transsphenoidal surgery during the second trimester of pregnancy, achieving resolution of hypercortisolism. She had a normal delivery at term, her offspring was healthy, and she had a normal lactation. Currently, five years after surgery, she is asymptomatic. According to our literature review, this patient is the fifth reported case of pituitary adenomectomy during gestation (Rev Méd Chile 2004; 132: 75-80).

Co-infestation of gills by different parasite groups in the mullet, Mugil platanus Günther, 1880 (Osteichthyes, Mugilidae): effects on relative condition factor

This study involved 334 specimens of mullet, Mugil platanus, captured monthly in the estuarine region of Cananéia, São Paulo State, Brazil, from July 1988 to June 1989, and examined for the presence of gill parasites. Parasitological inspections revealed the occurrence of the following groups: Trichodina sp., Monogenoidea, Copepoda, and Hirudinea. Only four mullets were not parasitized. Total weight and total length of all 334 mullet specimens examined were used for adjusting the weight-length relationship curve and calculating the relative condition factor (Kn). The 118 specimens infested with monogenoideans on average had lower weights than expected (Kn 1.0), and the 81 fish co-infested with Copepoda, Monogenoidea, and Trichodina sp. showed a Kn 1.0. The other infested and non-infested mullets had a Kn > 1.0. It was possible to infer that gill infestation with monogenoideans alters mullet weight, especially in the presence of co-infestation with Trichodina sp. and copepods.

Foram examinados exemplares de tainha, Mugil platanus, capturados mensalmente na região estuarino-lagunar de Cananéia, SP, entre julho de 1988 e junho de 1989, a fim de verificar a ocorrência de parasitos branquiais. Das 334 tainhas examinadas, apenas quatro não apresentaram nenhum parasito. Nas demais, foram encontrados os seguintes grupos: Trichodina sp., Monogenoidea, Copepoda e Hirudinea. Utilizando os valores de peso total (Wt) e de comprimento total (Lt) de todos os espécimes estudados calculou-se o fator de condição relativo (Kn). Constatou-se que os 118 espécimes infestados por monogenóideos encontravam-se, em média, com peso inferior ao esperado. Os 81 espécimes que tinham, concomitantemente nas brânquias, Trichodina sp., copépodos e monogenóideos apresentaram, em média, peso inferior ao esperado. Os demais espécimes parasitados, assim como os não parasitados, estavam com o peso igual ou acima do esperado. Foi possível constatar que o parasitismo das brânquias por monogenóideos afeta o peso das tainhas, Mugil platanus, da região estuarino-lagunar de Cananéia, SP, especialmente quando co-infestado com Trichodina sp. e copépodos.

Differential leucokocyte counts in dourado, Salminus maxillosus Valenciennes, 1840, from the Mogi-Guaçu River, Pirassununga, SP

From August, 1996 to December, 1997, 293 of ''dourado'' specimens, Salminus maxillosus (Valencienes, 1840), of various sizes, were caught in Mogi-Guaçu River, Emas Falls, for hematologic studies. Total weight (Wt in g) and length (Lt in cm) were taken for each individual animal. Smears were prepared from blood samples and utilized for differential leukocyte counts (lymphocytes, neutrophils, monocytes, eosinophils, special granulocytic cell and immature cells). The mean percentages of leukocytes were determined according to sex and stage of gonadal maturation (immature, in maturation, mature, spent and resting). Significant differences between male and female occurred only for the special granulocytic cell. In analyzing the leukocyte profile during gonadal development, only female showed significant differences in mean percentages of lymphocytes, neutrophils, monocytes and eosinophils.

Piel y ojo / Skin and eye

Piel y ojo comparten un origen común a partir del neuroectodermo (en el ojo, estructurales pricilpalmente esclerocorneanas) (1). La similitud de los epitelios de superficie y de sitios pigmentarios, la contiguidad palpebroconjuntival, la exposición idéntica a microorganismos o alergenos y factores del medio ambiente, los mecanismos de defensa similares, y mecanismos autoinmunes (escleroconjuntiva y úvea), son factores que pueden explicar la patologías comunes, llevando a una sintomatología a la vez dermatológica y oftalmológica; así, enfermedades tales como neurofibromatosis, dermatosis bulosa, vasculitis, Behcet, dermatis atópica y rosácea, son ejemplos de patologías compartidas. El objetivo de esta revisión es definir y explicar cuándo el dermatólogo debe solicitar la evaluación de un oftalmologo

Aspectos morfológicos y citoquímicos de las células sanguíneas de salminus maxillosus: characiformes characidae / Morphological and cytochemistry observation in blood cells of salminus maxillosus: characiformes characidae

Las características morfológicas de sangre periférica del pez Salminus maxillosus fueron descritas usando microscopía de luz. Para demostrar el comportamiento citoquímico de las células sanguíneas del pez en estudio, fueron aplicados métodos específicos para la detección de cuatro tipos básicos de componentes macromoleculares, de naturaleza química diferente: carbohidratos, lípidos. proteínas enzimáticas y estructurales. Fueron observados 6 tipos de células: eritrocitos, trombocitos, monocitos, linfocitos, neutrófilos de los tipos I y II y eosinófilos. Los trombocitos y los neutrófilos de los tipos I y II presentaron glucógeno en el citoplasma. Los neutrófilos del tipo II presentan gránulos sudanófilos y mielloperoxidasa. Además presentan, reacción difusa intensa para proteínas en el citoplasma. Los eosinófilos muestran reacción intensa en sus gránulos

Poroqueratosis: serie clínica y revisión / Porokeratosis: clinical serie and review

La poroqueratosis se clasifica dentro del grupo de desórdenes de la cornificación. Sus diversas formas de presentación están marcadas con el distintivo histológico de la lámina cornoide. Durante los años 1997 y 1998 tuvimos oportunidad de observar a cinco pacientes co formas distintas de presentación. Este trabajo reúne los casos clínicos de la práctica privada y del Servicio de Dermatología del Hospital Regional Guillermo Grant Benavente. Se incluye la revisión sobre esta patología

Rosácea con compromiso ocular en la niñez / Rosacea with ocular involvement in childhood

La rosácea ocular es una dermatosis facial, frecuente en adultos, especialmente mujeres, cuya fisiopatología es aún mal comprendida, aunque parece relacionada a cambios vasomotores. La afección es infrecuente en niños y adolescentes, donde plantea probremas diagnósticos y terapéuticos. Presentamos un caso de rosácea infantil con compromiso ocular. La rosácea ocular se manifiesta con hiperhemia conjuntival, telangiectasias, meibomitis, chalazion, blefaritis, queratoconjuntivitis, vascularización corneal periférica e infiltración subepitelial, iritis y queratitis en los casos mas severos; el hallazgo más frecuente perece ser una blefaritis marginal