ABSTRACT
Os autores descrevem algumas caracteristicas medico-sociais de 100 casos que procuraram o Servico de Triagem Ambulatorial do Instituto da Crianca. A renda mensal per capita da maioria das familias estudadas varia de Cr$ 4.000,00 a Cr$ 12.000,00, predominando as ocupacoes de tipo manual, especializada ou nao. Os domicilios concentram-se no proprio Municipio de Sao Paulo, sobretudo na zona oeste. A maioria dos casos foi encaminhada pelo Servico de Consultas de Urgencia e Triagem da propria Instituicao. Predominam as queixas de saude relacionadas aos aparelhos respiratorio, gastrintestinal e urinario alem de problemas comportamentais. Houve interesse dos familiares no seguimento de saude a longo prazo apos a resoluccao da quiexa basica que motivou a procura do Servico
Subject(s)
Humans , Ambulatory Care , Health Services Accessibility , Referral and Consultation , Health Workforce , Socioeconomic FactorsABSTRACT
T and B lymphocytes were quantified in peripheral blood of thirty patients with South American pemphigus foliaceus according to their ability to form rosettes with sheep erythrocytes (E) or sheep erythrocytes sensitized with antibody an complement (EAC). When compared with the counts obtained from thirty normal subjects, a decrease was found in the total T-lymphocyte count (32-33+/-7-7 versus 46-7+/-8-7) and in the T functional lymphocyte count as detected by the active rosette test. The mean percentage of B lymphocytes within the total number of lymphocytes was not significantly different from that of normal subjects (24-0 +/- 8-2 versus 25-3+/-8-0). Lymph node sections from three pemphigus patients examined for E or EAC adherence showed depletion of T cells in the paracortical areas. The low percentage of E cells in the peripheral blood and the depletion of E cells in paracortical areas of lymph nodes from patients with South American pemphigus foliaceus may reflect an impaired cellular immunity.
