Résumé
Objective To observe the effect of E light combined with 595 nm pulsed dye laser in patients with erythromelanosis follicularis of face and neck. Methods The clinical data of 44 patients with erythromelanosis follicularis of face and neck from 2015 to 2017 in Dalian Dermatosis Hospital were retrospectively analyzed. Among the patients, 22 patients were treated with 595 nm pulsed dye laser (control group) and 22 cases were treated with E light combined with 595 nm pulsed dye laser (treatment group). Efficacy was assessed 1 month after treatment, including telangiectasia, pigmentation and follicular papule. Results The total effective rates of telangiectasia, pigmentation and follicular papule in treatment group were significantly higher than those in control group: 86.4% (19/22) vs. 68.2% (15/22), 54.5% (12/22) vs. 9.1% (2/22) and 50.0% (11/22) vs. 13.6% (3/22), and there were statistical differences (P＜0.05). No significant adverse reactions occurred during and after treatment in 2 groups. Conclusions E light combined with 595 nm pulsed dye laser is better and safer than 595 nm pulsed dye laser alone in the treatment of erythromelanosis follicularis of face and neck.
Résumé
A dieta rica em carboidratos, principalmente em sacarose, é um fator de grande influência no desenvolvimento da doença cárie. O objetivo deste trabalho foi pesquisar quais os adoçantes presentes em diversas marcas de bebidas diet e light (refrigerantes, sucos e chás) disponíveis em supermercados de Porto Alegre e verificar se a composição e as concentrações dos adoçantes em mg/100ml de bebida, conforme descrito na rotulagem do produto, estão de acordo com a legislação brasileira. Levando-se em conta a dose de Ingestão Diária Aceitável, calculou-se a quantidade em litros e em copos de 300 ml de cada uma das marcas pesquisadas que pode ser ingerida por uma pessoa de 20, 45 ou 70 kg de peso corpóreo diariamente, sem efeitos colaterais. As bebidas avaliadas apresentam em sua composição somente adoçantes não-calóricos (sacarina, acessulfame-K, ciclamato e aspartame), geralmente sendo usada a associação de dois ou mais deles em cada bebida. Os produtos pesquisados seguem as determinações da legislação brasileira, quanto aos limites de uso dos adoçantes e rotulagem, alertando sempre aos fenilcetonúricos quando possuem aspartame. Há uma grande variação na quantidade máxima que pode ser consumida diariamente das diversas bebidas pesquisadas de acordo com o peso corpóreo (de 0,21 a 3,00 litros para uma criança de 20 quilos). As bebidas diet e light têm apenas adoçantes não-calóricos em sua composição e, portanto, são não-cariogênicas, mas seu consumo deve ser feito com cautela.
Carbohydrate rich diet, mainly sucrose, strongly influences caries development. The objective of this work is to study the sweeteners present in several kinds of diet and light drinks (soft drinks, juice and tea) available at supermarkets in Porto Alegre and to verify if the composition and concentration of sweeteners (mg/100ml) according to the product label comply to Brazilian legislation. Considering the maximum daily dosage recommended, the amount of liters and number of glasses of 300 ml of each kind of drink that can be ingested daily by a 20, 45 and 70 kg person, without having side effects, was calculated. The drinks have in their composition only nonnutritive sweeteners (saccharin, acesulfam-K, cyclamate and aspartame). The association of two or more sweeteners is used in each kind of drink. The products follow the determination of Brazilian legislation as to limits of use and labeling, there must be a warning about aspartame presence on the label. The amount of each brand drinks that can be ingested daily is variable (0,21-3,00 liters for a child who weighs 20 kilos). Diet and light drinks with nonnutritive sweeteners are noncariogenic, but their consume must to be made with caution.