ABSTRACT
BACKGROUND: Melasma is a common chronic and relapsing acquired dyschromia. Skin microneedling was reported resulting sustained long-term improvement of recalcitrant melasma, however, the exact mechanism that promotes this skin lightening is not known. This study aimed to investigate clinical and histologic alterations promoted by skin microneedling in facial melasma. METHODS: Open pilot trial including six women with facial refractory melasma submitted to two sessions of microneedling (1.5 mm) each 30 days followed by daily triple combination and broad-spectrum sunscreen. Comparison of pretreatment (T0) and 15 days after last microneedling procedure (T45) was made by standardized pictures, skin colorimetry, MASI, MELASQoL and histological parameters (haematoxylin-eosin, picrosirius-red, periodic acid Schiff and Fontana-Masson staining). RESULTS: The age of the subjects varied from 34 to 46 years-old, the phototypes were III and IV (Fitzpatrick), and age of melasma onset was 20 to 38 years. Improvement of melasma was perceived in all subjects. There was a significant reduction of MASI score (-70%), MELASQoL (-55%) and increase in L* (+13%) colorimetric value (p < 0.03). All cases evidenced epithelium thickening, decrease in melanin pigmentation and densification of upper dermis collagen (p = 0.03). Patients were followed by 6 months under broad-spectrum sunscreen and triple combination without relapse. CONCLUSION: In addition to classic treatment (broad-spectrum sunscreen and triple combination), skin microneedling promoted clinical and histological improvement of refractory facial melasma.
Subject(s)
Collagen/therapeutic use , Cosmetic Techniques/instrumentation , Melanosis/therapy , Needles , Adult , Age of Onset , Female , Humans , Melanosis/pathology , Middle Aged , Pilot Projects , Quality of Life , Sunscreening AgentsABSTRACT
A 70-year-old male presenting a 3-month history of genital painless erythematous nodules in the balanopreputial sulcus was referred to our service. Histopathological exam presented a chronic dermatitis with epithelioid granulomas and Grocott staining revealed numerous fungal structures with a suggestive morphology of Histoplasma sp. Cultures evidenced Histoplasma capsulatum var. capsulatum. Treatment with oral itraconazole led to complete remission of lesions.
Subject(s)
Dermatomycoses/pathology , Histoplasmosis/pathology , Immunocompetence , Penile Diseases/pathology , Aged , Antifungal Agents/therapeutic use , Biopsy , Dermatomycoses/drug therapy , Dermatomycoses/immunology , Histoplasma , Histoplasmosis/drug therapy , Histoplasmosis/immunology , Humans , Immunocompetence/immunology , Itraconazole/therapeutic use , Male , Penile Diseases/drug therapy , Penile Diseases/immunology , Treatment OutcomeABSTRACT
A 70-year-old male presenting a 3-month history of genital painless erythematous nodules in the balanopreputial sulcus was referred to our service. Histopathological exam presented a chronic dermatitis with epithelioid granulomas and Grocott staining revealed numerous fungal structures with a suggestive morphology of Histoplasma sp. Cultures evidenced Histoplasma capsulatum var. capsulatum. Treatment with oral itraconazole led to complete remission of lesions.
Subject(s)
Aged , Humans , Male , Dermatomycoses/pathology , Histoplasmosis/pathology , Immunocompetence , Penile Diseases/pathology , Antifungal Agents/therapeutic use , Biopsy , Dermatomycoses/drug therapy , Dermatomycoses/immunology , Histoplasma , Histoplasmosis/drug therapy , Histoplasmosis/immunology , Immunocompetence/immunology , Itraconazole/therapeutic use , Penile Diseases/drug therapy , Penile Diseases/immunology , Treatment OutcomeABSTRACT
O envelhecimento traz profundas modificações na face. Existe demanda crescente de procedimentos para tratamento estético facial. São exemplos as blefaroplatias, ritidoplastias, uso de substâncias preenchedoras e de toxina botulínica, entre outros. Infelizmente a região subnasal não recebe comparativamente igual atenção. Este relato tem por objetivo demonstrar o uso do lifting do lábio superior associado a dermabrasão como alternativa para se obter maior harmonia facial. Além disso, cabe reforçar a possibilidade de sua realização associada à de outros procedimentos cirúrgicos.
ABSTRACT
Nesse estudo analisou-se a qualidade de vida de indivíduos com hanseníase, além da comparação de índices de qualidade de vida entre duas realidades sócio-econômicas distintas.O trabalho foi realizado no ambulatório de hanseníase da Faculdade de Medicina do ABC-SP e através de visitas à população ribeirinha do Rio Purus , Estado do Amazonas, utilizando-se o Índice de Qualidade de Vida Dermatológico (IQVD).Observou-se que 76,9 por cento dos pacientes avaliados na Amazônia tinham qualidade de vida comprometida, enquanto 19 por cento em Santo André apresentavam esses resultados.No grupo do Amazonas, quem possuía sequela apresentava qualidade de vida comprometida.
This study analyzed the quality of life of individuals with leprosy and compared quality of life indexes of patients in two different socioeconomic scenarios. The study was conducted at the leprosy clinic of the ABC School of Medicine, São Paulo, Brazil and during visits to the populations living along the Purus River in the Brazilian state of Amazonas. The Dermatology Life Quality Index (DLQI) was used to evaluate the patients. Quality of life was found to be impaired in 76.9 percent of the patients evaluated in the Amazon compared to 19 percent of the patients in Santo André. In the group of patients in the Amazon who had sequelae of the disease, quality of life was impaired.
Subject(s)
Humans , Leprosy , Quality of Life , Brazil , Leprosy/physiopathology , Leprosy/psychology , Socioeconomic Factors , Surveys and QuestionnairesABSTRACT
This study analyzed the quality of life of individuals with leprosy and compared quality of life indexes of patients in two different socioeconomic scenarios. The study was conducted at the leprosy clinic of the ABC School of Medicine, São Paulo, Brazil and during visits to the populations living along the Purus River in the Brazilian state of Amazonas. The Dermatology Life Quality Index (DLQI) was used to evaluate the patients. Quality of life was found to be impaired in 76.9% of the patients evaluated in the Amazon compared to 19% of the patients in Santo André. In the group of patients in the Amazon who had sequelae of the disease, quality of life was impaired.
Subject(s)
Leprosy , Quality of Life , Brazil , Humans , Leprosy/physiopathology , Leprosy/psychology , Socioeconomic Factors , Surveys and QuestionnairesABSTRACT
O envelhecimento traz mudanças marcantes na face. A ritidoplastia é cirurgia que busca combater essas alterações. Aspectos essenciais da anatomia da face, incluindo as zonas de perigo da face e a importância do sistema musculoaponeurótico superficial (SMAS), as técnicas cirúrgicas existentes e as principais complicações são fundamentais para indicação e para o êxito cirúrgico. A crescente demanda dos pacientes por melhores resultados impõe desafios. O uso de técnicas adjuvantes representa, portanto, abordagem complementar de valor estratégico. O presente artigo aborda esses fundamentos considerados essenciais na ritidoplastia, enfatizando o potencial benefício de uma abordagem multidisplicinar envolvendo a dermatologia e cirurgia plástica.
The aging process causes significant changes to the face. Rhytidoplasty is a surgical procedure aimed at treating such changes. Understanding essential aspects of facial anatomy (including high-risk areas and the importance of the superficial muscular aponeurotic system), existing surgical techniques and potential major complications is crucial in order to recommend and conduct this procedure successfully. In order to meet increasing patient demands for ever improving outcomes, physicians must use adjuvant techniques.This article addresses these fundamental concepts, which are considered essential in rhytidectomy, emphasizing the potential benefit of a multidisciplinary approach involving dermatology and plastic surgery.
ABSTRACT
O Ambiente Interativo de Aprendizagem (AIA) é um modelo educacional que integra recursos de computação gráfica 3D e contextualização, com objetivo de transmitir um conjunto de conhecimentos (ilhas de conhecimento), de forma precisa e ágil, para pessoas que não conhecem o assunto. Utiliza recursos de multimídia apoiados em ambientação contextualizada para motivar os participantes na retenção de conhecimento. Na primeira versão, foram abordados oito assuntos relevantes de dermatologia. O modelo foi implementado no 62º Congresso Brasileiro de Dermatologia e denominado Dermatúnel. Participaram das visitas 3295 pessoas, num período de quatro dias. Os resultados demonstraram alta satisfação dos participantes. Possui grande potencial como ferramenta educacional para formação médica e orientação do público geral para fins de prevenção de doenças.(AU)
Subject(s)
Humans , Education, Distance , Learning , Health Education , TelemedicineABSTRACT
O Ambiente Interativo de Aprendizagem (AIA) é um modelo educacional que integra recursos de computação gráfica 3D e contextualização, com objetivo de transmitir um conjunto de conhecimentos (ilhas de conhecimento), de forma precisa e ágil, para pessoas que não conhecem o assunto. Utiliza recursos de multimídia apoiados em ambientação contextualizada para motivar os participantes na retenção de conhecimento. Na primeira versão, foram abordados oito assuntos relevantes de dermatologia. O modelo foi implementado no 62º Congresso Brasileiro de Dermatologia e denominado Dermatúnel. Participaram das visitas 3295 pessoas, num período de quatro dias. Os resultados demonstraram alta satisfação dos participantes. Possui grande potencial como ferramenta educacional para formação médica e orientação do público geral para fins de prevenção de doenças.
The Interactive Learning Environment (ILE) is an educational model that integrates features of 3D computer graphics and contextualization, in order to transmit a quantum of knowledge (islands of knowledge), in a precise and agile way, to people who do not know the subject. It is a model that uses multimedia resources supported by a contextualized environment to motivate the participants in the retention of knowledge. In this first release, eight relevant subjects in dermatology were addressed and implemented in the 62nd Brazilian Congress of Dermatology. The model was called Dermatúnel. In a period of four days, 3295 people visited it. The results showed that the participants were highly satisfied. The model has a great potential as an educational tool for medical training and guidance to the general public with the purpose of disease prevention.
Subject(s)
Humans , Audiovisual Aids , Health Education , Telemedicine , Multimedia , Education, Distance , Disease Prevention , Simulation TrainingABSTRACT
The purpose of this research was to evaluate educational strategies applied to a tele-education leprosy course. The curriculum was for members of the Brazilian Family Health Team and was made available through the Sao Paulo Telehealth Portal. The course educational strategy was based on a constructivist learning model where interactivity was emphasized. Authors assessed motivational aspects of the course using the WebMAC Professional tool. Forty-eight healthcare professionals answered the evaluation questionnaire. Adequate internal consistency was achieved (Cronbach's alpha = 0.79). More than 95% of queried items received good evaluations. Multidimensional analysis according to motivational groups of questions (STIMULATING, MEANINGFUL, ORGANIZED, EASY-TO-USE) showed high agreement. According to WebMAC's criteria, it was considered an "awesome course." The tele-educational strategies implemented for leprosy disclosed high motivational scores.
Subject(s)
Curriculum , Education, Distance , Leprosy , Telemedicine , Brazil , Education, Distance/methods , Humans , Primary Health Care , Program Evaluation/methods , Surveys and Questionnaires , User-Computer InterfaceABSTRACT
There is a high prevalence of leprosy in the Amazon region of Brazil. We have developed a distance education course in leprosy for training staff of the Family Health Teams (FHTs). The course was made available through a web portal. Tele-educational resources were mediated by professors and coordinators, and included the use of theoretical content available through the web, discussion lists, Internet chat, activity diaries, 3-D video animations (Virtual Human on Leprosy), classes in video streaming and case simulation. Sixty-five FHT staff members were enrolled. All of them completed the course and 47 participants received a certificate at the end of the course. At the end of the course, 48 course-evaluation questionnaires were answered. A total of 47 participants (98%) considered the course as excellent. The results demonstrate the feasibility of an interactive, tele-education model as an educational resource for staff in isolated regions. Improvements in diagnostic skills should increase diagnostic suspicion of leprosy and may contribute to early detection.
Subject(s)
Education, Distance/methods , Education, Medical, Continuing/organization & administration , Leprosy , Rural Health Services/organization & administration , Videoconferencing/organization & administration , Brazil , Education, Medical, Continuing/standards , Humans , Primary Health Care/organization & administration , Primary Health Care/standards , Program Evaluation , Rural Health Services/standards , Surveys and Questionnaires , Telemedicine , Videoconferencing/standardsABSTRACT
As vasculites cutâneas podem representar grande desafio clínico, mesmo após exame dermatológico cuidadoso e realização de exames complementares. Os autores apresentam caso de vasculite crioglobulinêmica cutânea associada à infecção crônica pelo vírus da hepatite C, salientando a importância do exame dermatológico na investigação diagnóstica. Discutem ainda a importância da busca da etiologia e da correta classificação no prognóstico e terapêutica das vasculites cutâneas.
Cutaneous vasculitis may represent a great clinical challenge, even after careful dermatological examination and laboratory assessment. The authors present a case of cutaneous cryoglobulinemic vasculitis associated to chronic hepatitis C virus infection, pointing out the importance of the dermatological examination for diagnostic investigation. They discuss about the importance of defining the etiology and making correct classification for appropriate prognosis and treatment of cutaneous vasculitis.
ABSTRACT
FUNDAMENTOS: Há escassa literatura sobre a avaliação dos resultados cirúrgicos e do impacto da cirurgia de blefaroplastia superior na qualidade de vida dos pacientes. OBJETIVO: Avaliar o impacto na qualidade de vida dos pacientes submetidos à cirurgia de blefaroplastia superior. MÉTODOS: Estudo prospectivo com questionário padronizado, em mulheres adultas submetidas à blefaroplastia superior e avaliadas após 90 dias para estimativa do impacto cirúrgico na qualidade de vida e de complicações. RESULTADOS: Foram avaliadas 41 mulheres adultas saudáveis (idade mediana 53 anos) no período de junho de 2005 a março de 2006. O questionário apresentou alta consistência interna. O elemento de qualidade de vida de maior impacto na primeira semana foi relacionado à percepção da aparência física, e o de menor impacto foi relacionadoà convivência com as pessoas próximas. A cicatrização hipertrófica foi a principal complicação tardia. O grau de satisfação com a cirurgia relacionou-se significativamente com a ausência de efeitos indesejados (p<0,01). CONCLUSÕES: Os autores sugerem ferramenta consistente para avaliar o impacto dessa intervenção cirúrgica na qualidade de vida dos pacientes. Destacam ainda altos índices de satisfação dos pacientes com a blefaroplastia superior.
BACKGROUND: There is scarce literature on assessing surgical results and the impact of upper blepharoplasty on quality of life of patients. OBJECTIVE: To evaluate the impact on quality of life of patients submitted to upper blepharoplasty. METHODS: A prospective study using a standardized questionnaire applied to adult women submitted to upper blepharoplasty and evaluated 90 days later to estimate the surgical impact on quality of life and complications. RESULTS: Forty-one healthy adult females (median age of 53 years) were evaluated from June 2005 to March 2006. The questionnaire showed high internal consistency. The quality of life element with greater impact on the first postoperative week was related to physical appearance perception and that of lesser impact was associated to relationship with relatives and close friends. Hypertrophic scar was the main late complication. Satisfaction levels with the surgery were significantly related with absence of undesirable effects (p<0.01). CONCLUSIONS: The authors suggest a consistent tool to evaluate the impact of this surgical procedure on quality of life of patients. High satisfaction levels with upper blepharoplasty stood out.
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INTRODUÇÃO: A hanseníase persiste como grave problema de saúde pública no Brasil, e não foi atingida até o momento a meta de eliminação determinada pela Organização Mundial da Saúde. As Equipes de Saúde da Família (ESFs) constituem uma ampla rede de profissionais que atuam na atenção primária. A educação a distância em hanseníase destas equipes representa uma estratégia atraente. Ao permitir a identificação precoce de casos, seguida de tratamento adequado, favorece a cura e reduz incapacidades e/ou seqüelas. MÉTODOS: Foi planejado o desenvolvimento de um Curso de Extensão Universitária, utilizando tecnologias interativas voltadas para a educação a distância dos profissionais da saúde. Contou-se com planejamento pedagógico específico. Durante este processo, previu-se que os centros de referências em hanseníase pudessem atuar junto a estes profissionais que trabalham em pontos isolados e com alta prevalência da doença. Foi planejada a elaboração do ambiente de teleducação para oferecimento do curso, incluindo a criação de um simulador de casos voltado para o reconhecimento da doença, além de outras informações julgadas essenciais por dermatologistas. Elaborou-se uma metodologia para avaliar a adequação do seu conteúdo. Baseado no questionário validado WEBMAC (Web Site Motivational Analysis Checklist), um instrumento padronizado foi desenvolvido para avaliar a satisfação deste curso a distância. RESULTADOS: Foi realizado um curso de hanseníase a distância, voltado para as Equipes de Saúde da Família (ESF) nas cidades de Manaus e Parintins, contando com fundamentação pedagógica baseada em conceitos construtivistas e da andragogia. As ferramentas do curso viabilizaram a interação entre os professores e os participantes...
INTRODUCTION: Leprosy remains as a serious public health problem in Brazil, and it was not yet achieved the goal of eliminating leprosy determined by the World Health Organization. Family Health Teams (FHTs) form a wide network of professionals who work in primary care. Distance education in leprosy of these teams represents an attractive strategy. Since it could allow early case identification, followed by appropriate treatment, it maximizes cure and reduces disability and/or sequels. METHODS: It was planned to develop an Extension University Course, using interactive technologies directed to distance education of health professionals. It had specific educational plan. During this process, it was decided that leprosy reference centers could act with these professionals who work in isolated areas and with a high prevalence of the disease. It included the creation of a case simulator toward disease recognition, and extra information considered essential by dermatologists. A methodology to evaluate adequacy of its contents was created. Based on WEBMAC (Web Site Motivational Analysis Checklist) validated questionnaire, a standardized instrument was developed to assess the satisfaction of this course. RESULTS: It was realized a leprosy distance course, directed to FHTs from the cities of Manaus and Parintins, that included pedagogical fundamental based on constructivist and andragogic concepts. Course tools enabled interaction between teachers and participants...
Subject(s)
Humans , Education, Distance , Leprosy , TelemedicineABSTRACT
A síndrome oculoauriculovertebral, mais comumente conhecida como síndrome de Goldenhar, pode ser diagnosticada pelo dermatologista. Achados como hipoplasia/aplasia de pavilhão auricular e alterações vertebrais, e a presença de trago acessório encontrados no paciente são elementos-chave para a suspeita da síndrome. Sua identificação é de suma importância dada a possibilidade de outras alterações sistêmicas, com impacto até no prognóstico do paciente. Após a confirmação diagnóstica, é interessante a abordagem multidisciplinar e integral em função da potencial pluralidade de manifestações que podem ocorrer na síndrome.
The Oculoauriculovertebral Syndrome, more commonly known as the Goldenhar Syndrome, can be diagnosed by the dermatologist. Findings such as hypoplasia/aplasia of the auricular pavilion, vertebral alterations and accessory tragi are the key elements for the suspicion of the syndrome. Its identification is of utmost importance, given the possibility of other systemic alterations, with impact also on the patient's prognosis. After confirmation of the diagnosis, an integral and multidisciplinary attention is important, because of the plurality of manifestations that can occur in the syndrome.
ABSTRACT
Introdução: As úlceras de pressão são complicações freqüentes em pacientes com lesão medular. Estas precisam de um diagnóstico precoce e um acompanhamento rigoroso para que não evoluam para um quadro mais grave e para não retardar o processo de reabilitação. Infelizmente, não é sempre que o paciente consegue acesso a um centro especializado no tratamento de feridas e, por isso, a telemedicina pode ser útil nesses casos. Objetivo: Avaliar a eficácia de um protocolo de avaliação de úlceras de pressão através de fotografias digitais. Métodos: Selecionamos 15 pacientes, totalizando 33 úlceras. Os pacientes foram avaliados por 2 médicos fisiatras presenciais, separadamente, que no momento do exame, preencheram a primeira parte do protocolo (dados clínicos do paciente) e tiraram as fotografias. Estas foram encaminhadas aos médicos fisiatras à distância, que avaliaram as feridas através das fotos e dos dados enviados pelo médico presencial. Comparamos as semelhanças e diferenças das avaliações entre os dois médicos presenciais, entre presencial e a distancia e entre os dois médicos à distância nos quesitos grau, necrose, infecção, fístula, secreção, aspecto da borda e do fundo e conduta. A Análise estatística se baseou nos cálculos de Kappa, intervalo de confiança e P valor. Resultados: Encontramos os maiores valores de Kappa quando comparamos as avaliações presenciais. Para necrose, grau e infecção, os kappas Avaliação Presencial (P) x Avaliação à distância (D) foram substantial e moderate. No item conduta, o Kappa variou de fraco a almost perfect. Nas avaliações das bordas, fundo, secreção e fístula foram encontradas divergências. Conclusão: O protocolo é eficaz para avaliar necrose, grau e infecção das úlceras. Existe dificuldade no uso do método para avaliar o aspecto de borda, fundo, secreção e fístula. Houve maior satisfação com o método para úlceras de pressão grau I e II.
Introduction: Pressure ulcers are frequent complications in patients with spinal cord injuries. These ulcers need an early diagnosis and a strict follow-up to prevent a more severe evolution and delays in the rehabilitation process. Unfortunately, patients do not always have access to a center specialized in the treatment of wounds, and thus, telemedicine can be useful in such cases. Objective: To evaluate the effectiveness of a protocol for the assessment of pressure ulcers through digital images. Methods: 15 patients were selected, totaling 33 ulcers. The patients were separately assessed by 2 on-site physiatrists, who filled out the first part of the protocol (patients? clinical data) at the time of the consultation and took the photographs. These were sent to the physiatrists at-distance, who evaluated the wounds through the photographs and the data sent by the on-site physician. The similarities and differences between the two on-site physicians, between the on-site physicians and the physicians at-distance and between the two physicians at-distance were compared regarding the degree, necrosis, infection, fistula, secretion, wound border and depth aspect and conduct. The statistical analysis was based on Kappa calculations, a confidence interval and P value. Results: The highest Kappa values were observed when the on-site assessments were compared. For necrosis, degree and infection, the On-site Assessment (S) x Assessment at distance (D) Kappas were substantial and moderate. For the item conduct, the Kappa varied from weak to almost perfect. As for the evaluations of the borders, depth, secretion and fistula, there were divergences. Conclusion: The protocol is effective to assess wound necrosis, degree and infection. There is some difficulty in using the method to evaluate the border and depth aspect, secretion and fistula. The method showed to be more satisfactory for the assessment of pressure ulcers grade I and II.
Subject(s)
Humans , Spinal Cord Injuries/physiopathology , Telemedicine/instrumentation , Pressure Ulcer/diagnostic imagingABSTRACT
The treatment effect against psoriasis of an antigen (delipidated, deglycolipidated form of M. vaccae-PVAC) was investigated. One hundred and sixty-five patients were enrolled in three arms (50 or 15 microg or placebo), each receiving a total of two intradermal injections (days 0 and 21). At week 12, a 75% decrease in psoriasis area and severity index was similar among the studied groups (13, 9 and 18%, p=0.429). The overall incidence of adverse events was significantly higher in the PVAC treated groups when compared to placebo (98.2, 87.3 and 70.9%; p<0.001) largely due to local reactions that were limited for the most part to grades 1 and 2 in severity and were self-limiting. Despite its overall safety, PVAC was not clearly indicated to be superior to placebo in the treatment of psoriasis in this study.
Subject(s)
Bacterial Vaccines/therapeutic use , Immunotherapy, Active , Mycobacterium/immunology , Psoriasis/drug therapy , Adolescent , Adult , Aged , Antigens, Bacterial/genetics , Antigens, Bacterial/therapeutic use , Bacterial Vaccines/adverse effects , Female , Humans , Male , Middle Aged , Mycobacterium/genetics , Placebos , Vaccines, Inactivated/adverse effects , Vaccines, Inactivated/therapeutic useABSTRACT
A tecnologia digital promoveu grande popularização do registro fotográfico em diversas áreas médicas. A dermatologia, por sua natureza visual, vem absorvendo os benefícios dessa ferramenta na prática clínica e na pesquisa. Este artigo visa orientar o dermatologista não familiarizado com essa tecnologia, oferecendo noções para o melhor uso do equipamento de fotografia digital.
ABSTRACT
A psoríase pustulosa linear (PPL) e o nevo epidérmico verrucoso inflamatório linear (Nevil) possuem características clínicas e histopatológicas semelhantes, o que enfatiza a importância da tentativa de distinção entre essas duas patologias a partir de aspectos clínico e laboratorial auxiliares. Relata-se o caso de uma mulher com 24 anos, que apresentou lesões eritêmato-descamativas pruriginosas, com distribuição linear unilateral (lado esquerdo do corpo). O exame clínico e os estudos histopatológicos sugeriram o diagnóstico de psoríase pustulosa linear, com um ano de evolução e resistente à corticoterapia
Subject(s)
Adult , Female , Humans , Immunohistochemistry , Nevus , PsoriasisABSTRACT
Teledermatologia é a área da telemedicina que estuda a aplicação das tecnologias de telecomunicação e informática para a prática dermatológica sem necessidade da presença física do especialista, com potencial de levar planejamento de saúde, pesquisa, educação, discussão clínica, segunda opinião e assistência dermatológica às populações com dificuldades de deslocamento para ações presenciais. A evolução, redução de custos e a difusão das tecnologias de telecomunicação e informática têm viabilizado a implantação de sistemas de teledermatologia de larga abrangência e baixo custo para apoio à prática clínica em todo o mundo.