ABSTRACT
Bullae and sweat gland necrosis remain rare cutaneous manifestation, and these conditions can be misdiagnosed as Vibrio vulnificus infections or other soft tissue infections because of their low index of suspicion. A 46-yr-old man with a history of continued alcohol consumption presented with erythematous and hemorrhagic bullous lesions on his left arm. The patient reported that after the ingestion of clams, he slept for 12 hr in a heavily intoxicated state. Then the skin lesions started as a reddish patch that subsequently became hemorrhagic bullae. V. vulnificus infection, cellulitis, and necrotizing fasciitis were considered in initial differential diagnosis. However, on the basis of sweat gland necrosis on histopathologic examinations and negative results on bacterial cultures, we made the diagnosis of bullae and sweat gland necrosis. Therefore, bullae and sweat gland necrosis should also be considered in chronic alcoholic patients who present with bullae and a previous history of unconsciousness.
Subject(s)
Humans , Male , Middle Aged , Alcoholic Intoxication/etiology , Alcoholism/diagnosis , Blister/complications , Cellulitis/diagnosis , Diagnosis, Differential , Fasciitis, Necrotizing/diagnosis , Necrosis/complications , Sweat Gland Diseases/complications , Vibrio Infections/diagnosisSubject(s)
Humans , Adolescent , Adult , Alcohol Withdrawal Delirium/etiology , Alcoholism/complications , Alcoholic Intoxication/etiology , Substance Withdrawal Syndrome/drug therapy , Social Problems , Alcoholism/diagnosis , Alcoholism/psychology , Alcoholism/therapy , Alcohol Drinking , Liver Diseases, Alcoholic/etiologyABSTRACT
mm funçäo da polêmica nacional envolvendo o uso do metanol como combustível, professores da Universidade de Säo Paulo envolvidos com a Saúde do Trabalhador, em sua reuniäo de 13 de março de 1990 discutiram o assunto e têm a esclarecer alguns aspectos do ponto de vista técnico. O uso do metanol como combustível de motores de combustäo interna näo é uma idéia recente, tendo sido considerado e testado como tal, antes mesmo da gasolina ter-se tornado economicamente viável
Subject(s)
Alcoholic Intoxication/etiology , Methanol/toxicity , Brazil , Occupational Health , Occupational GroupsABSTRACT
Os autores fazem um estudo retrospectivo de 145 casos de intoxicaçäo aguda por etanol em crianças e adolescentes admitidos no CCI-SP num período de quatro anos e sete meses. Discutem aspectos relativos `as circunstâncias das ocorrências assim como os achados clínicos e laboratoriais