Morbihan syndrome: a case report and literature review

Abstract Morbihan syndrome is a rare entity that more commonly affects women in the third or fourth decade of life. It is considered a special form of rosacea and its pathogenesis is not fully known. It is clinically characterized by the slow appearance of erythema and solid edemas on the upper portion of the face, with accentuation in the periorbital region, forehead, glabella, nose, and cheeks. We report the case of a patient presented with edema on the upper eyelid for a year. These findings suggested the diagnosis of Morbihan syndrome. We aim to report a rare, particularly refractory and chronic form of rosacea, which has received little attention in the literature.

Avaliação do grau de dependência para atividades básicas da vida diária de idosos / Degree of dependency for basic activities of elderly people

JUSTIFICATIVA E OBJETIVOS: O objetivo deste estudo foi avaliar o grau de dependência dos idosos para a realização das atividades de vida diária (AVD) através da escala de Katz, comparando com o sexo. MÉTODO: Estudo retrospectivo, realizado por análise de prontuários em instituição de longa permanência, no mês de outubro de 2009. Foram analisados 81 prontuários. O grau de dependência também foi correlacionado com presença de demência, que é uma das principais causas de institucionalização. RESULTADOS: Foram analisados os dados de 81 idosos asilados,com predomínio de faixa etária de 80 a 84 anos (21%), sexo feminino (60,50%), sem recursos financeiros. Entre esses 45,70% foram identificados como independentes nas AVD, 44,40% apresentaram comprometimento nas AVD e 9,90% não puderam ser avaliados. Em relação à demência, verificou-se que dos 28,40% idosos demenciados, 32,65% eram do sexo feminino e 21,88% do sexo masculino. CONCLUSÃO: O presente estudo demonstrou que a maioria dos idosos dependentes para as AVD era do sexo feminino, além de serem mais velhos. Observou-se também que a maioria dos dados analisados era de mulheres idosas.

BACKGROUND AND OBJECTIVES: The objective of this study was to evaluate the degree of dependency of the elderly to perform activities of daily living (ADL) scale by Katz, compared to sex. METHOD: A retrospective study was performed by analysis of records in long-term institution, in October 2009. 81 records were analyzed. The degree of dependence was also correlated with the presence of dementia, which is a major cause of institutionalization. RESULTS: We analyzed 81 elderly nursing home residents,predominantly aged 80 to 84 years (21%), females (60.50%), without financial resources. Among these 45.70% were identified as independent in ADL, 44.40% had impairment in ADL and 9.90% could not be evaluated. In relation to dementia, it was found that 28.40% of the demented, 32.65% were female and 21.88% male. CONCLUSION: The present study demonstrated that the majority of elderly dependent for ADL were female, and are older.It was also observed that most of the data was analyzed in elderly women.