RESUMO
The authors demonstrated productivity of clinical and hygienic differential diagnosis of occupational and non-occupational allergic dermatoses. Original scheme and methodic approaches enable to precise the etiology and justify clinical diagnosis.
Assuntos
Dermatite Ocupacional/diagnóstico , Adulto , Diagnóstico Diferencial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Saúde Ocupacional , OcupaçõesAssuntos
Candida albicans , Candidíase Vulvovaginal/diagnóstico , Infecções Urinárias/diagnóstico , Antifúngicos/uso terapêutico , Candidíase Vulvovaginal/classificação , Candidíase Vulvovaginal/tratamento farmacológico , Quimioterapia Combinada , Feminino , Humanos , Infecções Urinárias/classificação , Infecções Urinárias/tratamento farmacológicoRESUMO
Examinations of 207 children suffering from early congenital syphilis have revealed a lowered incidence of involvement of the bone system, liver, and spleen. Syphilitic rhinitis, chorioretinitis, and orchitis are less frequently recorded. Wassermann's test has been negative in 7.24 percent of patients.
Assuntos
Sorodiagnóstico da Sífilis , Sífilis Congênita/diagnóstico , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Sífilis Congênita/epidemiologia , Sífilis Congênita/patologia , U.R.S.S./epidemiologiaRESUMO
The Chair for Dermatology and Venereology at the Central Institute for Advanced Medical Training has developed a new universal programme for advanced training of physicians in this field; this programme is the sole document regulating continuous education of dermatologists and venereologists. It was approved by the Head Administration of Educating Institutions of the USSR Ministry of Health. The programme structure is based on a block system. Of the 8 blocks (courses) one deals with organizational aspects of dermatological and venereological care, five with dermatology, one with syphilis, one with gonorrhea and nongonorrheal diseases. The Programme includes curricula for two cycles of general and eight cycles of topical continuous education, defines the purposes of these cycles, and specifies who should be admitted for these cycles. The Universal Programme may be used parallel with other forms of continuous education (workshops, ten-day courses, etc.) and for individual education.
Assuntos
Dermatologia/educação , Educação Médica Continuada , Venereologia/educação , Currículo , U.R.S.S.Assuntos
Cancro/diagnóstico , Cancro/etiologia , Cancro/imunologia , Cancro/patologia , Humanos , MasculinoRESUMO
The results of examinations of 210 infants with early congenital syphilis with emphasis on skin involvement are analyzed. An increased incidence of syphilitic pemphigus was recorded along with decreased incidence of diffuse infiltration and papular elements.
Assuntos
Sorodiagnóstico da Sífilis , Sífilis Congênita/diagnóstico , Adulto , Feminino , Humanos , Lactente , Recém-Nascido , Recém-Nascido Prematuro , Masculino , Gravidez , Complicações Infecciosas na Gravidez/tratamento farmacológico , Recidiva , Pele/patologia , Sífilis Congênita/patologia , Sífilis Cutânea/diagnóstico , Sífilis Cutânea/patologia , Sífilis Latente/diagnóstico , Sífilis Latente/patologiaRESUMO
Hypersensitivity to occupational allergens was detected in 45% of workers, allergic dermatoses and eczema in 8%, mycoses of the soles in 12%, premorbid changes of the skin in 30% of the examinees. Mycoses of the soles are more frequent in subjects with a history of, or suffering from dermatoses.
Assuntos
Dermatite de Contato/diagnóstico , Dermatite Ocupacional/diagnóstico , Madeira , Adolescente , Adulto , Dermatite de Contato/prevenção & controle , Dermatite Ocupacional/prevenção & controle , Feminino , Humanos , Decoração de Interiores e Mobiliário , Masculino , Pessoa de Meia-Idade , Sibéria , Testes Cutâneos , Tinha dos Pés/diagnóstico , Tinha dos Pés/prevenção & controleRESUMO
A patient developing tertiary active syphilis after the third infection is described. A swift development of the condition after the infection is noteworthy.
Assuntos
Sífilis/diagnóstico , Adulto , Doença Crônica , Quimioterapia Combinada , Homossexualidade , Humanos , Masculino , Recidiva , Pele/patologia , Sífilis/tratamento farmacológico , Sífilis/patologia , Sífilis/transmissão , Sífilis Cutânea/diagnóstico , Sífilis Cutânea/tratamento farmacológico , Sífilis Cutânea/patologia , Sífilis Cutânea/transmissãoRESUMO
Hypersensitivity to phenolformaldehyde resins was detected in 16.2% of workers exposed to them, allergic dermatitis and eczemas in 21.5%, mycoses of the soles in 13.5%, premorbid shifts in half of the examinees. Mycoses of the soles prevailed in subjects with a history of dermatitis and in patients suffering from allergic dermatoses.
Assuntos
Dermatite de Contato/diagnóstico , Dermatite Ocupacional/diagnóstico , Dermatomicoses/diagnóstico , Dermatoses do Pé/diagnóstico , Formaldeído/efeitos adversos , Fenóis/efeitos adversos , Polímeros/efeitos adversos , Resinas Sintéticas/efeitos adversos , Dermatite de Contato/etiologia , Dermatite Ocupacional/etiologia , Dermatomicoses/etiologia , Dermatoses do Pé/etiologia , Humanos , Decoração de Interiores e Mobiliário , Sibéria , Fatores de TempoRESUMO
Poor organization of medical expert evaluation results in unjustified labor time loss and waste of social insurance money. Test controls and check-ups of the activities of outpatient prophylactic centers have revealed inadequate theoretical knowledge of the basic aspects of medical expert evaluation of the working capacity and poor practical skills of physicians in keeping files and records. Analysis of the status of medical expert evaluation of the working capacity of dermatological and venereological patients and analysis of physicians' scope of knowledge in this field help outline a comprehensive program for elimination of the shortcomings in this work.
Assuntos
Dermatologia/normas , Avaliação da Deficiência , Medicina do Trabalho/normas , Venereologia/normas , Absenteísmo , Dermatite Ocupacional/diagnóstico , Humanos , U.R.S.S.RESUMO
The authors describe the treatment of 37 patients with condyloma acuminatum by an electron beam with a preset energy. The therapy has been highly effective. No complications or relapses have been recorded over a follow-up of 1.5-4 years.
Assuntos
Neoplasias do Ânus/radioterapia , Condiloma Acuminado/radioterapia , Neoplasias Penianas/radioterapia , Adolescente , Adulto , Elétrons/uso terapêutico , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Aceleradores de Partículas , Dosagem RadioterapêuticaRESUMO
Reviewing the present-day Soviet and foreign literature and analyzing their own findings, the authors discuss clinical and taxonomic aspects of pathomimesis and give their recommendations on classification.
Assuntos
Simulação de Doença/diagnóstico , Terminologia como Assunto , Adolescente , Humanos , Masculino , Simulação de Doença/etiologia , Simulação de Doença/psicologia , Pessoa de Meia-Idade , Transtornos Psicofisiológicos/diagnóstico , Transtornos Psicofisiológicos/etiologia , Transtornos Psicofisiológicos/psicologia , Automutilação/diagnóstico , Automutilação/etiologia , Automutilação/psicologia , Pele/lesões , Dermatopatias/diagnóstico , Dermatopatias/etiologia , Dermatopatias/psicologiaRESUMO
The contribution of a craniocerebral injury (CCI) to the clinical picture of psoriasis in 53 invalids of the Great Patriotic War is discussed. In remote periods after CCI the patients with psoriasis develop disorders of the adaptation and trophic function of the nervous system associated with metabolism impairments and early atherosclerosis. The diversity of clinical symptoms because of a number of concomitant diseases favors the development of grave clinical manifestations of the dermatosis, which fact calls for more thorough examinations of this patient population, for a differentiated approach to the choice of optimal therapy, and for active prophylactic check-ups.
Assuntos
Lesões Encefálicas/fisiopatologia , Psoríase/diagnóstico , Veteranos , Guerra , Idoso , Lesões Encefálicas/complicações , Doença Crônica , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Psoríase/etiologia , Psoríase/fisiopatologia , Federação RussaRESUMO
The relationship between Ureaplasma titers and spermatozoa hypokinesia in the semen has been studied in 101 sterile patients and in 36 patients without ureaplasmas (a reference group). The spermatozoa mobility before and after doxicyclin therapy has been examined in the groups with low, medium, and high titers of the microorganism and in the reference group. The spermatozoa mobility has changed but negligibly after therapy in the reference group and in the group with low Ureaplasma level, in contrast to those with medium (p less than 0.01) and high (p less than 0.001) levels of the microorganism in the semen. The findings permit a suggestion that essential shifts of spermatozoa mobility may be explained in a number of cases by medium and high titers of Ureaplasma in infected ejaculate.
Assuntos
Infertilidade Masculina/etiologia , Ureaplasma/patogenicidade , Adulto , Doença Crônica , Doxiciclina/uso terapêutico , Humanos , Infertilidade Masculina/tratamento farmacológico , Infertilidade Masculina/microbiologia , Masculino , Pessoa de Meia-Idade , Infecções por Mycoplasmatales/complicações , Infecções por Mycoplasmatales/tratamento farmacológico , Infecções por Mycoplasmatales/microbiologia , Sêmen/microbiologia , Motilidade dos Espermatozoides/efeitos dos fármacos , Ureaplasma/isolamento & purificaçãoRESUMO
Inadequacy of the routine methods for therapy of infectious allergic vasculitides and the necessity of sanitizing the foci of infection have prompted the application of endolymphatic administration of antibiotics. Studies of ampicillin pharmacokinetics have demonstrated that a single endolymphatic injection in a dose of 1 x 10(6) U is sufficient to maintain the therapeutic concentration of the drug in the blood serum for 24 hrs. Ampicillin has been injected into the lymph vessels of both soles in the above dose once daily for 5-7 days to 10 patients suffering from allergic vasculitis for a long time. The pathologic elements regressed by the end of the course of therapy in all the cases; only two patients have developed relapses in several months, that have been rapidly arrested.
Assuntos
Ampicilina/administração & dosagem , Vasculite Leucocitoclástica Cutânea/tratamento farmacológico , Adulto , Ampicilina/farmacocinética , Infecções Bacterianas/sangue , Infecções Bacterianas/tratamento farmacológico , Doença Crônica , Avaliação de Medicamentos , Feminino , Humanos , Injeções Intralinfáticas/instrumentação , Injeções Intralinfáticas/métodos , Recidiva , Fatores de Tempo , Vasculite Leucocitoclástica Cutânea/sangueRESUMO
The authors present a model of the quantitative estimation (in conditional units) of the process severity in patients suffering from chronic dermatoses and define the range of this model application. Quantitative estimation of a chronic dermatosis severity helps develop objective criteria for the assessment of the treatment efficacy (of drug therapy, health resort management, prophylactic, follow-up).