Uso da limeciclina associada com o peróxido de benzoíla no tratamento da hipomelanose macular progressiva: um estudo prospectivo / The use of lymecycline and benzoyl peroxide for the treatment of progressive macular hypomelanosis: a prospective study

A hipomelanose macular progressiva é uma dermatose de etiopatogenia pouco conhecida. A participação do Propionibacterium acnes e a resposta ao tratamento com medicamentos com atividade para essa bactéria têm sido sugeridas. Relata-se uma série de casos de 13 pacientes com hipomelanose macular progressiva tratados com limeciclina e peróxido de benzoíla durante três meses, que apresentaram excelente resposta ao tratamento e nele se mantêm durante o período de seguimento do estudo.

Progressive macular hypomelanosis is a dermatosis of uncertain etiology. The participation of Propionibacterium acnes has been suggested in view of the response achieved following therapy with drugs that are active against this bacterium. This report describes a series of thirteen patients with progressive macular hypomelanosis who were treated with an association of lymecycline and benzoyl peroxide over a three-month period. Response to treatment was excellent and the positive results were maintained during the entire follow up period.

Uso adecuado de Tetraciclina, Amoxicilina, Eritromicina, Metronidazol en el control de infecciones estomatognáticas / Proper use of Tetracycline, Amoxicillin, Erythromycin, Metronidazole in the control of stomatognathic infections

El objetivo de esta investigación es el de establecer el uso de Tetraciclina, Amoxicilina, Eritromicina y Metronidazol, en el control de infecciones estomatognáticas. La investigación se enmarca en el diseño de tipo documental. Su ejecución inició en la recopilación de material bibliográfico referente al tema del uso de Tetraciclina, Amoxicilina, Eritromicina y Metronidazol en el control de infecciones estomatognáticas. Se revisaron bases de datos bibliográficos en Internet y consulta de libros y journals recientes y actualizados; una vez recolectada la información se procedió a seleccionar los artículos en base al respaldo científico actualizado. Posteriormente se analizó cada artículo y se ejecutó la estructuración del trabajo final tomando en cuenta el orden lógico y apegado a los objetivos propuestos. El sistema de citas bibliográficas empleadas es cita representada con numeral en el texto, tipo Vancouver. Las conclusiones se obtuvieron en base al análisis de la evidencia científica encontrada y considerando los objetivos de la investigación. La bibliografía es ordenada según lo establece el sistema Vancouver. Cincuenta y uno fuentes bibliográficas, entre libros de texto, journals y sitios en Internet, publicados por diferentes investigadores fueron consultados, analizados y puestos a consideración para elaborar la investigación. El material científico establece que el uso de Tetraciclina, Amoxicilina, Eritromicina y Metronidazol en el control de infecciones estomatognáticas es muy útil si se utilizan con especificidad y sin abuso para contrarrestar las siguientes patologías: Periodontitis crónicas y agresivas, Gingivitis ulceronecrosante, el Absceso periodontal , Absceso periapical, Pericoronaritis y como régimen profiláctico en pacientes diabéticos e inmunodeprimidos, y la incorporación de la Tetraciclina al apósito periodontal para mejorar la cicatrización postquirúrgica.

The objective of this research is to establish the use of Tetracycline, Amoxicillin, Erythromycin and Metronidazole, in the control of stomatognathic infections. The research is framed in the documentary type design. Its execution began with the collection of bibliographic material on the subject of the use of Tetracycline, Amoxicillin, Erythromycin and Metronidazole in the control of stomatognathic infections. Bibliographic databases on the Internet were reviewed and recent and updated books and journals were consulted; Once the information was collected, the articles were selected based on updated scientific support. Subsequently, each article was analyzed and the structuring of the final work was carried out taking into account the logical order and attached to the proposed objectives. The system of bibliographic citations used is a quotation represented with a numeral in the text, Vancouver type. The conclusions were obtained based on the analysis of the scientific evidence found and considering the objectives of the research. The bibliography is ordered according to the Vancouver system. Fifty-one bibliographic sources, including textbooks, journals and Internet sites, published by different researchers were consulted, analyzed and put into consideration to develop the research. Scientific material establishes that the use of Tetracycline, Amoxicillin, Erythromycin and Metronidazole in the control of stomatognathic infections is very useful if they are used with specificity and without abuse to counteract the following pathologies: chronic and aggressive periodontitis, necrotizing ulcer gingivitis, periodontal abscess, Periapical abscess, Pericoronitis and as a prophylactic regimen in diabetic and immunosuppressed patients, and the incorporation of Tetracycline to the periodontal dressing to improve postsurgical healing.