ABSTRACT
Antecedentes: Las dermatosis son patologías que se presentan frecuentemente en poblacio- nes de países en vías de desarrollo. Las enfer- medades de la piel constituyen uno de los prin- cipales motivos de consulta externa general, representan del 6 al 24% de la consulta pediá- trica. Objetivo: Caracterizar epidemiológica y clínicamente las cinco dermatosis frecuentes en consulta dermatológica pediátrica del Insti- tuto Hondureño de Seguridad Social, Región Noroccidental (IHSS-HRN) en el período de mayo a septiembre de 2015. Pacientes y Métodos: Estudio cuantitativo, descriptivo, transversal, realizado en niños de 0 meses a 11 años que reunieron los criterios para participar en el estudio de las cinco dermatosis más frecuentes. Los datos se recolectaron mediante una encuesta aplicada al responsable o tutor del niño participante. Resultados: Las prime- ras 5 dermatosis en frecuencia fueron: Dermati- tis atópica 133 (40%), prurigo por insectos 58(18%), molusco contagioso 56 (17%), urtica- ria 44 (13%) impétigo 38 (12%), Los 329 pacien- tes evaluados provenían del casco urbano. Todos pertenecían a la etnia mestiza, a excep- ción de un afro descendiente. El método diag- nóstico fue clínico en el 100% de los casos. Conclusiones: Las dermatosis in amatorias no infecciosas son la causa de problemas derma- tológicos en niños probablemente debido al cambio de hábitos alimenticios, exposiciónam- biental y componente genético...(AU)
Subject(s)
Humans , Infant , Dermatitis, Atopic/complications , Molluscum Contagiosum/complications , Skin Diseases/diagnosis , Surveys and Questionnaires/classificationSubject(s)
Diagnosis, Differential , Humans , Male , Middle Aged , Molluscum Contagiosum/blood , Molluscum Contagiosum/complications , Molluscum Contagiosum/diagnosis , Recurrence , T-Lymphocytopenia, Idiopathic CD4-Positive/blood , T-Lymphocytopenia, Idiopathic CD4-Positive/complications , T-Lymphocytopenia, Idiopathic CD4-Positive/diagnosisABSTRACT
FUNDAMENTOS: É bastante divulgado, sem a fundamentação científica necessária, que a infecção por molusco contagioso tende a ser mais frequente e de maior intensidade nos pacientes acometidos por dermatite atópica. Tal fato motivou a realização deste trabalho. OBJETIVOS: Avaliar a prevalência de associação de dermatite atópica e molusco contagioso; avaliar se, nos pacientes com dermatite atópica, a infecção por molusco contagioso é mais recorrente e/ou disseminada e se a ocorrência de eczema perimolusco, prurido e/ou infecção é mais prevalente que nos pacientes sem dermatite atópica. MÉTODOS: Avaliaram-se 284 crianças de ambos os sexos, com diagnóstico de molusco contagioso e/ ou dermatite atópica. RESULTADOS: Apenas 13,4 por cento dos pacientes apresentavam ambas as doenças. O número de áreas anatômicas afetadas por molusco contagioso, a ocorrência de eczema perimolusco e prurido foram maiores nos pacientes com dermatite atópica associada. Não houve diferença significativa de frequência de infecção secundária associada às lesões de molusco contagioso nos pacientes com e sem dermatite atópica. CONCLUSÃO: A prevalência da ocorrência de dermatite atópica e molusco contagioso associados foi baixa. Não houve diferença significativa na recorrência da infecção por molusco contagioso e na quantidade de lesões nos pacientes com e sem dermatite atópica. O número de áreas anatômicas afetadas por lesões de molusco contagioso, a presença de eczema perimolusco e de prurido foram maiores nos pacientes com dermatite atópica. Não houve diferença significativa na ocorrência de infecção bacteriana secundária nos grupos com e sem dermatite atópica.
BACKGROUND: Although no scientific evidence has yet been published, it is widely understood that molluscum contagiosum tends to be more common and more intense in patients with atopic dermatitis. This lack of evidence led to the development of the present study. OBJECTIVES: To evaluate the prevalence of the association between atopic dermatitis and molluscum contagiosum; to evaluate whether molluscum contagiosum is more likely to be recurrent and/or disseminated in patients with atopic dermatitis and whether the occurrence of eczema surrounding the molluscum contagiosum lesions, pruritus and/or infection is more prevalent in these patients compared to patients without atopic dermatitis. METHODS: A total of 284 children of both sexes with a diagnosis of molluscum contagiosum and/or atopic dermatitis were evaluated. RESULTS: Only 13.4 percent of the patients had both conditions. The number of anatomical areas affected by molluscum contagiosum and the occurrence of surrounding eczema and pruritus was greater in the patients who also had atopic dermatitis. There was no statistically significant difference in the frequency of secondary infection associated with the molluscum contagiosum lesions between the patients who had atopic dermatitis and those who did not. CONCLUSION: The prevalence of atopic dermatitis associated with molluscum contagiosum was low. There was no statistically significant difference in the recurrence rates associated with molluscum contagiosum or in the number of lesions between the patients who had atopic dermatitis and those who did not. The number of anatomical areas affected by the molluscum contagiosum lesions and the presence of surrounding eczema and pruritus were higher in the patients with atopic dermatitis. There was no statistically significant difference in the occurrence of secondary bacterial infection between the groups with and without atopic dermatitis.
Subject(s)
Adolescent , Child , Child, Preschool , Female , Humans , Infant , Male , Dermatitis, Atopic/complications , Molluscum Contagiosum/complications , Dermatitis, Atopic/epidemiology , Molluscum Contagiosum/epidemiology , Prevalence , Prospective StudiesABSTRACT
Molluscum contagiosum (MC) is a cutaneous lesion caused by a DNA virus from the poxvirus family. Worldwide in distribution, MC is most frequently encountered as an easily treated disease of childhood and has rarely been a cause of serious morbidity. With the advent of new populations of immunocompromised individuals, especially those infected with the human immunodeficiency virus (HIV), MC has emerged as a difficult clinical challenge and the focus of renewed interest for dental professionals. This article presents four cases of HIV positive patients afflicted by MC along with a review of the literature on this dermatopathological lesion.
Subject(s)
Adult , Female , HIV Infections/complications , Humans , Male , Molluscum Contagiosum/complicationsSubject(s)
Child, Preschool , Humans , Job Syndrome/complications , Male , Molluscum Contagiosum/complicationsABSTRACT
Se realizó un estudio en base al seguimiento de 134 pacientes hospitalizados (105 de sexo masculino y 29 de sexo femenino) con infección por HIV/SIDA. Los pacientes se evaluaron teniendo en cuenta parámetros dermatológicos. El objetivo del trabajo es conocer las manifestaciones dermatológicas más frecuentes e intentar delucidar su relación con el recuento de los CD4 en nuestra población HIV/SIDA. Las manifestaciones cutáneas fueron clasificadas en dermatosis infecciosas y no infecciosas, dividiéndose estas últimas en tumorales y no tumorales (pigmentación, alergias, etc). Las dermatosis más frecuentemente halladas en casi todos los enfermos fueron las infecciosas. Las no infecciosas se presentaron en un 53 por ciento de los casos y los tumores en el 12 por ciento, siendo el más frecuente de ellos el sarcoma de Kaposi
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Acquired Immunodeficiency Syndrome/complications , AIDS-Related Opportunistic Infections/diagnosis , Anti-HIV Agents/adverse effects , Candidiasis/complications , Herpes Zoster/complications , Histoplasmosis/complications , Leukoplakia, Hairy/complications , Lymphoma/complications , Molluscum Contagiosum/complications , Sarcoma, Kaposi/complications , Acquired Immunodeficiency Syndrome/diagnosis , Skin Diseases/complicationsABSTRACT
El tratamiento de moluscos contagiosos gigantes y múltiples en pacientes HIV+ implica un gran desafío. La resolución espontánea se observa en pacientes inmunocompetentes, pero esto no ocurre habitualmente en individuos inmunocomprometidos. Se han empleado varias terapéuticas, sin embargo no se han reportado datos convincentes de tratamientos exitosos. Describimos dos pacientes HIV+ con moluscos contagiosos recalcitrantes, diseminados y gigantes, quienes respondieron favorablemente al tratamiento con láser de CO2. Durante el seguimiento de quince y dieciocho meses, no hemos observado recidivas en estos pacientes
Subject(s)
Humans , Male , Adult , Middle Aged , Molluscum Contagiosum/therapy , Laser Therapy , Laser Coagulation , Molluscum Contagiosum/complications , Molluscum Contagiosum/drug therapy , Lasers/therapeutic use , Acquired Immunodeficiency Syndrome/complicationsSubject(s)
Abscess/complications , Acquired Immunodeficiency Syndrome/complications , Anti-Bacterial Agents , Bacteria/isolation & purification , Child, Preschool , Drug Therapy, Combination/therapeutic use , Eye Infections, Viral/complications , Eyelid Diseases/complications , Eyelids/microbiology , Follow-Up Studies , Fungi/isolation & purification , HIV Antibodies/analysis , HIV-1/immunology , Humans , Male , Molluscum Contagiosum/complications , Molluscum contagiosum virus/isolation & purificationABSTRACT
Molluscum contagiosum, caused by pox virus, is usually found in apparently normal skin. Sometimes, we can see dermatitis related to molluscum lesions. 321 cases of molluscum contagiosum have been studied. 45 patients had molluscum dermatitis (14 per cent), in its different clinical manifestations. The authors discuss the existence of a dermatitis related to molluscum contagiosum, and that there are diagnosed cases of pityriasis alba and atopic dermatitis, which are in fact, molluscum dermatitis, with molluscum papules clinically inapparent. The authors suggest the possibility of molluscum dermatitis be caused by delayed hipersensibility.
Subject(s)
Humans , Animals , Child, Preschool , Child , Dermatitis/etiology , Molluscum Contagiosum/complications , Dermatitis/diagnosis , Dermatitis/pathology , Hypersensitivity, Delayed , Molluscum Contagiosum/diagnosisSubject(s)
Humans , Male , Adult , HIV Infections/complications , Molluscum Contagiosum/complicationsABSTRACT
Within a 2-year period 100 patients with molluscum contagiosum [M.C.] were studied for the presence of hyphae-like structures in their white core which is expressed from the center of the lesions. We prepared the white core of M.C. papules buffered with 20% KOH for direct microscopic examination, and found hyphae-like structures in 55% of patients. Culture of white core for fungi and yeasts, and P.A.S. staining of tissues obtained by biopsy of skin lesions were negative in 27 and eight patients, respectively
Subject(s)
Molluscum Contagiosum/complications , Skin Diseases/etiology , Biopsy , Molluscum contagiosum virus/pathogenicityABSTRACT
Apresentamos um caso de molusco contagioso em cisto epidérmico ocorrendo em uma criança de quatro anos de idade. Esta ocorrência simultânea é considerada rara, tendo sido publicado apenas seis casos até o momento, na literatura mundial
Subject(s)
Child, Preschool , Humans , Male , Female , Epidermal Cyst/complications , Molluscum Contagiosum/complicationsABSTRACT
Hasta julio de 1988 se habían atendido en la Argentina 250 enfermos de SIDA. En el período de julio '87-julio '88 atendimos por afecciones cutáneas 75 pacientes HIV (+): doce portadores asimtomáticos, 14 en estadio de Síndrome Linfadenopático Persistente (SLP), 2 con Complejo Relacionado al SIDA (CRS) y 27 con SIDA. Los diagnósticos dermatológicos fueron confirmados por biopsia, virologia, micologia y bacteriología. Describimos las características semiológicas de 15 infecciones virales (Poxvirus, herpes, varicela, popavavirus y leucoplasia oral vellosa), 16 candidiasis orales, 2 histoplasmosis diseminadas, 8 sarcomas de Kaposi, 19 dermatitis seborreicas y otras alteraciones relacionadas al SIDA. La inmunodepresión en estos pacientes condiciona una semiología y una patología propias que el dermatólogo debe considerar
Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , HIV Infections/complications , Acquired Immunodeficiency Syndrome/complications , Skin Manifestations , Condylomata Acuminata/complications , Dermatitis, Seborrheic/complications , Herpes Simplex/complications , Molluscum Contagiosum/complications , Sarcoma, Kaposi/complications , Acquired Immunodeficiency Syndrome/classification , Acquired Immunodeficiency Syndrome/immunologyABSTRACT
Los enfermos de S.I.D.A. son susceptibles a múltiples infecciones; destacamos entre ellas al molusco contagioso. Presentamos 2 pacientes H.I.V. (+) (un paciente con S.I.D.A. y otro con C.R.S.) e infección con el virus del molusco contagioso. Analizamos las características atípicas de la presentación y su relación con el estado inmunológico. Los cuadros más severos de esta afección se correlacionan en forma directa con la severidad de la inmunodepresión