ABSTRACT
INTRODUCTION: neonatal and infantile skin diseases are frequently encountered in the clinical practice and represent worldwide a socioeconomic issue. They encompass a wide range of acquired or congenital conditions, including infections, vascular lesions and inflammatory diseases and can present with different degrees of severity, leading in some cases to dramatic complications. Areas covered: In this paper we report the most recent evidences on the management of some common skin diseases in neonates and infants. Hemangiomas, viral, fungal and bacterial infections, omphalitis, atopic and seborrhoeic dermatitis, napkin disease will be treated and discussed. Expert opinion: The majority of the dermatologic alterations in neonates are physiological, transient and do not require any treatment, thus the parents can be reassured about the good prognosis. However, in some cases, serious conditions must be excluded. In particular neonatal and infantile infections should be promptly recognized and properly managed, to avoid severe complications. The therapeutic options include traditional and, although few, innovative medical treatments, which will be carefully taken into consideration by the expert Dermatologists and Paediatricians.
Subject(s)
Dermatologic Agents/therapeutic use , Skin Diseases/drug therapy , Humans , Infant , Infant, NewbornABSTRACT
Introducción: las piodermitis son enfermedades infecciosas cutáneas producidas por microorganismos aerobios grampositivos (estreptococos y los estafilococos). En las consultas de Dermatología se ha incrementado el número de pacientes diagnosticados, presentándose un manejo inadecuado de la enfermedad. Objetivo: valorar el comportamiento de las piodermitis en los pacientes atendidos en el servicio provincial de Dermatología. Diseño metodológico: estudio longitudinal, prospectivo y descriptivo, en el Hospital “Faustino Pérez Hernández” de Matanzas. Universo: 121 pacientes con diagnóstico de piodermitis. Variables: edad, sexo, factores predisponentes, diagnóstico dermatológico. Resultados: hubo predominio en el sexo masculino, con un 57.9%. La edad de 18-30 años fue la frecuente para los casos ambulatorios con el 26.4%, siendo la de 61 a 70 años de un 12,4% para los ingresos. Entre los factores predisponentes estuvieron las micosis superficiales, la obesidad y la higiene inadecuada. El comportamiento de las micosis fue similar en ambos grupos para un 48,8% Y 62,2% en ambulatorios e ingresados respectivamente. En las piodermitis primarias diagnosticadas prevalecieron los forúnculos con un 36,4% para pacientes ambulatorios y un 20% para ingresados. Las micosis superficiales, las dermatitis de contacto y la escabiosis fueron las de mayor representación en las piodermitis secundarias. Conclusiones: en el estudio hubo un predominio del sexo masculino y las edades más jóvenes. Entre los principales factores predisponentes estuvieron las micosis superficiales, la obesidad y la higiene inadecuada. Dentro de las piodermitis primarias diagnosticadas predominaron los forúnculos y en las secundarias se observó un aumento de las piodermitis asociadas a micosis superficiales.
Introduction: pyodermitis are cutaneous infectious diseases caused by aerobic gram-positive microorganisms (streptococcus and staphylococcus). There has been an increase in the number of pyodermitis diagnosed patients in the dermatological consultation, showing an inadequate management of this disease. Objective: to assess the behavior of pyodermitis in patients treated at the provincial service of Dermatology. Methodological design:a longitudinal, prospective and descriptive study was carried out at “Faustino Pérez Hernández” Hospital of Matanzas, on a universe of 121 patients diagnosed with pyodermitis. The variables included were: age, sex, predisposing factors and dermatological diagnosis. Results: male sex was predominant with a 57,9 %. The group formed by people aged 18-30 years old was the most frequent one for ambulatory cases with the 26,4 %, being the group of patients aged 61-70 years old representative of 12,4 % for the in-patients. Superficial mycosis, obesity and inadequate hygiene were identified among other predisposing facts. Mycosis behavior was similar in both groups accounting for 48.8 % and 62.2 % of the ambulatory and in cases respectively. In the diagnosed primary pyodermitis furuncles prevailed with 36.4 % for ambulatory patients and 20 % for in-patients. Superficial mycosis, contact dermatitis and scabies were those of major representation in secondary pyodermitis. Conclusions: male sex and early age were predominant in the study. Among the main predisposing factors were superficial mycosis, obesity and inadequate hygiene. In the diagnosed primary pyodermitis,furuncles prevailed and we observed an increase of the pyodemitis associated to superficial mycosis among the secondary pyodermitis.
ABSTRACT
Se presenta el caso clínico de un adolescente de 15 años de edad, con antecedente de piodermitis, quien fue remitido al Hospital Docente Pediátrico Sur de Santiago de Cuba por presentar fiebre, dolor lumboabdominal del lado derecho y afectación del estado general. Desde los puntos de vista clínico e imagenológico se diagnosticó un tumor en el riñón derecho, lo cual obligó a realizarle una nefrectomía de dicho riñón. Los hallazgos anatomopatológicos confirmaron la presencia de pielonefritis xantogranulomatosa.
The case report of a 15 year-old adolescent is presented, with a history of pyodermitis who was referred to the Southern Children Teaching Hospital from Santiago de Cuba for presenting with fever, right lumbar abdominal pain and a compromised general status. From the clinical and imaging points of view a tumor was diagnosed in the right kidney, which forced to perform a nephrectomy of this kidney. The pathological findings confirmed the presence of xanthogranulomatous pyelonephritis.
