La remoción de vello genital en mujeres gestantes en Colombia / Genital hair removal in pregnant women in Colombia

RESUMEN Introducción: La remoción del vello genital es muy común, siendo cada vez más popular la remoción total en mujeres en edad fértil. Los principales motivos para eliminar el vello púbico son la higiene, el atractivo físico y la feminidad; sin embargo, no es una práctica exenta de complicaciones. Actualmente, existe poca información sobre esta conducta en embarazadas. Objetivo: Describir la frecuencia y las características de la remoción del vello genital en gestantes de bajo riesgo obstétrico en una institución de primer nivel de Colombia. Material y métodos: Estudio prolectivo de cohorte que siguió durante todo el embarazo a 60 gestantes de bajo riesgo obstétrico en una institución de primer nivel. Se entregó una encuesta autoaplicable trimestral sobre la práctica de remoción del vello genital. Se compararon los resultados en diferentes trimestres del embarazo. Resultados: La mediana de la edad de las gestantes fue 22 años; 61% estaban en su primera gestación. Más del 95% reportó una conducta de remoción total al menos una vez en el mes previo a cada encuesta; la conducta puede calificarse como remoción permanente en más del 65% de los casos. El método empleado con más frecuencia (94%) fue la remoción con cuchilla de afeitar. No se encontraron cambios en esta práctica a lo largo del embarazo. Conclusión: A pesar de las complicaciones conocidas asociadas a esta conducta muchas mujeres rasuran su vello genital debido a diversas razones socioculturales. Este estudio encontró una alta prevalencia de la práctica de remoción de vello genital en gestantes, sin que se evidenciara que dicha conducta cambiase a lo largo del embarazo.

SUMMARY Introduction: Genital hair removal is very common, with the increasingly popular tendency for total removal in women of childbearing age. The main reasons for removing pubic hair are hygiene, physical attractiveness and aesthetic; however, it is not a complication-free practice. Currently, there is little information about this behavior in pregnant women. Aim: To describe the frequency and characteristics of genital hair removal in pregnant women with low obstetric risk in a first level institution in Colombia. Material and methods: Prolective cohort study was conducted that included 60 pregnant women with low obstetric risk in a first level institution. A self-applicable survey on the practice of genital hair removal was delivered each trimester. The results were compared in different trimesters of pregnancy. Results: The median age was 22 years; 61% were primigestant. More than 95% reported total genital hair removal at least the previous month to survey; this conduct could be considered as permanent in 65% of women. The most frequently used method was razor blade removal (93.8%). No changes were found in this practice throughout pregnancy. Conclusion: Despite the known complications associated with this behavior, many women shave their genital hair due to various sociocultural reasons. This study found a high prevalence of the practice of genital hair removal in pregnant women, without evidencing that such behavior changed throughout pregnancy.

Second Intention Healing after Shave Excision of Benign Tumors on the Lid Margin

BACKGROUND: Defects caused by excision of benign lid margin tumors are conventionally repaired by reconstructive surgery. However, second intention healing is another option for managing wounds on the lid margin. OBJECTIVE: To evaluate the effectiveness of second intention healing after a shave excision of benign tumors on the lid margin. METHODS: Lid defects following a shave excision of the lid margin tumor were allowed to heal by second intention in 25 patients (26 lesions). The epithelialzation period was calculated, and cosmetic and functional results and complications were evaluated by photographs and ophthalmological examination. RESULTS: The locations of the defects were as follows: upper lid (n=13), lower lid (n=11), and both upper and lower lids (n=1). The mean tumor size was 3.8x3.6 mm, and the mean epithelialization period by second intention was 6.1+/-1.2 weeks. Pathological examinations revealed intradermal nevus (12 cases), compound nevus (five cases), squamous papilloma (five cases), and epidermal cyst (three cases). No patients had a corneal erosion, trichiasis, or hypertrophic scar, except loss of cilia in two cases. The functional and cosmetic results were satisfactory in all patients. CONCLUSION: Healing by second intention is a safe and effective alternative to surgical reconstruction after a shave excision of benign lid margin tumors.

Treatment of External Ear Keloids with the Application of Imiquimod 5% Cream after a Parallel Shave Excision / 대한피부과학회지

BACKGROUND: Keloids are slow-growing neoplasms that are characterized by a benign proliferation of fibroblasts in the setting of an altered cytokine profile. The traditional treatment modalities for external ear keloids are often associated with high recurrence rates. OBJECTIVE: The purpose of this study is to investigate the efficacy and safety of applying imiquimod 5% cream after parallel shave excision for the treatment of external ear keloids. METHODS: Twenty-two keloids from 19 patients were treated with parallel shave excision and this was followed by daily application of imiquimod 5% cream for 8 weeks. The patients were examined every 2 weeks for up to 24 weeks for recurrence of the keloids and any side effects. RESULTS: At the end of the 24-week follow-up period, 15 keloids (68.2%) remained recurrence free. Seven of these have remained recurrence free for a period ranging from 29 to 131 weeks. The common local side effects were burning (59.1%), pain (36.4%) and itching (27.3%), but there were no severe systemic side effects. Most of the patients experienced erythema (90.9%) and crust (77.3%) at the application sites and 3 patients (13.6%) reported transient hyperpigmentation on the surrounding areas. CONCLUSION: The application of imiquimod 5% cream after parallel shave excision can be an effective treatment modality for external ear keloids with mild and acceptable side effects.

The Role of Dermatopathology in the Practice of Dermatology

Dermatopathology is one of the most powerful diagnostic tools in clinical dermatology. In this diagnostic process, the dermatologist and the dermatopathologist are a team in patient care, where the dermatologist must know when biopsies are indicated; be able to select lesions to biopsy those that are likely to yield diagnostic results; skillfully procure the biopsy samples; and provide the dermatopathologist with an accurate history, clinical description, and clinical differential diagnosis. On the other side, the dermatopathologist should be readily accessible to the clinician, and be dogged in the pursuit of an accurate histological description and clinically relevant diagnosis. In this article, we will discuss the finer points of skin biopsy, benefits and limitations of biopsy interpretation, and the future potential of skin biopsy in the selection of targeted therapy and individualized patient care.

The Plication of no Shaving-Skin Methoed Before Operation / 医学研究杂志

Objective To discuss and popularise the necessarity of no shaving-skin methoed before operation in clinical praltsce.Methods 3331 patients were divide randomly into experimental Group(1824cases) and contradistinguishly Group(1507cases).Analysis the difference betweenⅠkind kerf infectional rate of two groups after operation.Results Two groups’rate are both in normal range and below 0.5,by statistic it shows no difference. Conclusion clinical application tfter analysising for longtime and the no shaving-skin methoed before operation is considered to be both scientical and greatly practical,which could be used mdinical practice.

Pigmented Contact Dermatitis Due to After Shave Lotion / 대한피부과학회지

Pigmented contact dermatitis is characterized by a dark brown pigmentation that results from repeated exposure to small amounts of contact allergen. Histopathologic findings are liquefactive degeneration of the basal layer cells and melanophages in the upper dermis. We report a case of a 73-year-old man with dark brownish mottled hyperpigmented patches on the both cheeks and forehead. Patch tests were positive to isoeugenol, benzyl salicylate and after shave lotion. After shave lotion that the patient used maybe contain these fragrances. Improvement was seen 3 months after ceasing the use of after shave lotion.