Polyhexanide 0 2% in treatment of trophic foot ulcers in leprosy - preliminary study

Abstract: Leprosy is a chronic infectious disease caused by Mycobacterium leprae, which affects peripheral nerves, skin and mucous membranes. The impairment of neural function as well as sensory or sensory-motor disabilities in leprosy continue to be a problem that requires careful attention in the management of patients with the aim to avoid or minimize their progression to prevent sequelae. One of the most common characteristics of these ulcers is the tendency to chronicity, with variable therapeutic response. In this article, we shall discuss the therapeutic management of thirteen trophic leprosy ulcers in eight patients using polyhexanide 0.2% products.

Moyamoya syndrome associated with neurofibromatosis type 1 in a pediatric patient

Abstract: Neurofibromatosis type 1 is a multisystem genetic disease of autosomal dominant transmission that reveals important cutaneous manifestations such as café-au-lait spots, multiple neurofibromas, and ephelides in skin fold areas, as well as hamartomatous lesions in the eyes, bones, glands, and central nervous system. Moyamoya disease is a rare progressive vaso-occlusive disorder that occurs with important ischemic cerebrovascular events. Despite the rarity of this association in childhood, children diagnosed with neurofibromatosis type 1 and focal neurologic symptoms should be investigated for moyamoya syndrome. The present study reports the case of a pediatric patient with a rapidly progressive cerebrovascular accident and a late diagnosis of Neurofibromatosis type 1 associated with moyamoya disease.

Exérese de lipoma gigante na Clínica da Família: um relato de caso / Giant lipoma excision in the Family Clinic: a case report / Escisión de lipoma gigante en la Clínica Familiar: reporte de un caso

A realização de procedimentos cirúrgicos na Unidade Básica de Saúde é preconizada e descrita na literatura. No entanto, tal prática vem sendo cada vez menos aplicada na atenção primária. Em um contexto de superlotações de hospitais terciários e consequente inoperação de cirurgias eletivas, é de extrema importância a realização desses procedimentos na Clínica da Família. Nesse trabalho, apresenta-se um caso de um paciente submetido à exérese de lipoma gigante incapacitante, na fossa poplítea esquerda, com 12 anos de evolução e com tentativa frustrada de resolução cirúrgica em um hospital terciário.

The implementation of surgical procedures in the Basic Health Unit is recommended and described in the literature. However, such practice has been less and less applied in primary care. In a context of overcrowding of tertiary hospitals and consequent inoperability of elective surgical procedures it is of utmost importance and resolutivity carrying out these procedures in the Family Clinic/Basic Health Unit. In this article, we present a case of a patient who underwent excision of a crippling giant lipoma in the left popliteal fossa, with 12 years of evolution and unsuccessful attempts of surgical resolution in a tertiary hospital.

Los procedimientos quirúrgicos en la Unidad Básica de Salud se recomiendan y se describen en la literatura. Sin embargo, esta práctica se está convirtiendo en una menor aplicación en atención primaria. En un contexto de hacinamiento en hospitales de tercer nivel de atención y dando como resultado la inoperabilidad de las quirugías menores electivas, es extremadamente importante realizar estos procedimientos en la Clínica de la Familia/Unidad Basica de Salud. En este trabajo, se presenta un caso de un paciente que se submetió a la extirpación de incapacitante lipoma gigante en la fosa poplítea izquierda con 12 años de evolución y frustra resolución quirúrgica en un hospital de tercer nivel.