Hemangioma segmentario de la barba / Segmental Beard Hemangioma

Los hemangiomas infantiles son el resultado de la proliferación de células del endotelio vascular y representan los tumores benignos más frecuentes en la infancia, con una incidencia estimada del 4-10% en bebés caucásicos. Se clasifican según el número, la profundidad y la distribución. Dentro de esta última clasificación se encuentran aquellos denominados segmentarios, que se caracterizan por su distribución extensa en áreas de prolongaciones mesodérmicas embrionarias. Se comunica el caso de una paciente evaluada al mes y medio de vida, con un hemangioma extenso del área mandibular y cuello anterior (hemangioma segmentario de la barba). Se describe la importancia de los estudios complementarios para evaluar el compromiso de órganos subyacentes, para detectar síndromes asociados y definir el tratamiento sobre la base de estos resultados. (AU)

Infantile hemangiomas arise from the proliferation of vascular endothelial cells and represent the most common benign tumors in infancy, with an estimated incidence of 4-10% in Caucasian infants. They vary according to their number, depth, and distribution. Within the latter classification are the so-called segmental ones, which feature an extensive distribution in areas of embryonic mesodermal extensions. We report the case of a patient evaluated at one and a half months of life with an extensive hemangioma of the mandibular area and anterior neck (segmental hemangioma of the beard). We describe the importance of complementary studies for evaluating the involvement of underlying organs, detecting associated syndromes, and defining the treatment based on these findings. (AU)

Treatment of alopecia areata affecting both eyebrows: case study

Safa(alopecia areata) means loss of hairs where ordinarily hair would be found. Safa(AA) is a type of non scaringalopecia that affects males and females equally and occurs in both children and adults. About 2% of the patients are affected and come to outpatient department for care. It is characterized by reversible hair loss most commonly involving the scalp although other parts of head, including eyelashes and beard may also be affected. A patient 16 years old was given Unani medicine for 45 days as local application on lateral aspects of eyebrows twice daily for thirty days and once for later 15 days.New hairs were seen on affected areas after one month, after 45 days normal hairs were seen on affected sites.It can be concluded that Unani medicine is effective in treating alopecia.

Transplante de barba / Beard transplantation

INTRODUÇÃO: O transplante de barba é um procedimento cirúrgico que cresceu significativamente nos últimos 10 anos e coincide com a grande evolução técnica da restauração capilar neste mesmo período. Trata-se de um fenômeno de forte tendência na cirurgia plástica mundial e se apresenta como grande opção para os geneticamente imberbes, barbas falhadas e para camuflar cicatrizes inestéticas da face em regiões de barba. MÉTODOS: Algumas doenças como alopecia areata, tinha, foliculite, dermatite e estresse emocional podem cursar com perda de fios de barba e devem ser tratados clinicamente. Portanto, a etiologia e o diagnóstico diferencial são fundamentais na indicação cirúrgica das falhas da barba, seja por problemas genéticos ou por cicatrizes na região da barba, bigode e cavanhaque. RESULTADOS: Os bons resultados em cirurgia da barba dependem do correto diagnóstico, do planejamento adequado para cada caso, de técnica cirúrgica refinada e cuidadosa e do perfeito relacionamento médico-paciente, já que as mudanças na fisionomia são marcantes. CONCLUSÃO: Trata-se de uma cirurgia para todos aqueles que desejam ter um dos mais marcantes atributos estéticos do homem desde sempre, a barba. Pacientes imberbes, com barbas falhadas ou com cicatrizes inestéticas da face em regiões de barba encontram nessa cirurgia a realização de um sonho que influenciará positivamente na sua autoestima, melhorando, em última análise, sua vida em todos os âmbitos da convivência.

INTRODUCTION: Beard transplantation is a surgical procedure that has been increasingly performed in the last 10 years, concurrently with the considerable technical progress of hair restoration. This is a prevalent phenomenon in plastic surgery worldwide and a great option for patients naturally beardless or with patchy beards and to hide unsightly facial scars in beard areas. METHODS: Some diseases, including alopecia areata, dermatophytosis, folliculitis, dermatitis, and emotional stress, may progress with loss of beard hair and should be clinically treated. Therefore, etiological evaluation and differential diagnosis are fundamental in the surgical indication for beard failure due to genetic problems or scars in the beard, mustache, and goatee areas. RESULTS: A good beard surgery outcome requires correct diagnosis and adequate planning for each case, refined and careful surgical technique, and perfect physician-patient relationship because facial changes are striking. CONCLUSION: This is a surgery for any individual seeking one of the most striking male esthetic attributes of all time: the beard. This surgery is an actualized aspiration for naturally beardless patients and patients with patchy beards or unsightly facial scars in beard areas and will positively affect their self-esteem, ultimately improving all aspects of their lives.

Neurastenia / Neurasthenia

Apresenta a categoria médica da neurastenia, criada em solo estadunidense no fim do século XIX pelo neurologista George Beard. São apresentadas as características gerais do quadro clínico, bem como as principais hipóteses explicativas para os sintomas, e as proposições terapêuticas sugeridas nas obras do referido autor. Além disso, é discutida a recepção do diagnóstico fora dos EUA, tanto no que se refere ao seu uso na Europa quanto ao caso específico do Brasil.

The article addresses the medical category of neurasthenia, developed in the United States by neurologist George Beard at the close of the nineteenth century. Points of discussion include the principle features of the category's clinical presentation, the main hypotheses advanced to account for symptoms, and the treatment alternatives suggested in Beard's works. The article also looks at how the diagnosis was received outside the United States, both in Europe and, more specifically, in Brazil.

Beard reconstruction by single-hair grafting technique / 中华医学美学美容杂志

Objective To search for a good solution for aesthetic beard reconstruction and to explore the effect of the single-hair grafting in beard reconstruction. Methods Under the local anesthesia, a scalp strip (length range from 5～7 cm, width range from 1.0～1.5 cm) was harvested from the back of the head and then was divided into a series of single-hair micrografts. After the slits were made, the grafts were implanted into the holes, parallel to the original beard directions. The donor sites were directly closed. With this method, 18 sparse beard patients and 3 patients with upper lip scars were treated. Results The grafted hairs grew nearly in the direction of normal beard, which achieved 90 %～95 % survival in recipient areas. The patients were satisfied with the results, in which 19 cases received only 1 operation and 2 cases received another repeated operation. Conclusion Beard reconstruction by single-hair grafting technique is a good, safe and effective method.