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Rapidly growing mucocutaneous tumors are a matter of concern for patients and a challenge for the dermatologist, both due to their impact on quality of life and the risk of malignancy. We present a case of a 50-year-old woman with a rapidly growing tumor located on the lower lip, in whom complete removal of the lesion was performed. [ABSTRACT FROM AUTHOR]

BACKGROUND: Skin disorders are a frequent origin of medical consultation at the primary health care in Mexico. The population access to a dermatological consultation has serious limitations due the infrastructure design of the Mexican health system, as socioeconomic, demographic and occupational factors. OBJECTIVE: To determine the number, density and geographical distribution of practicing dermatologists in Mexico. MATERIAL AND METHOD: An observational study was done searching of the number of practicing dermatologists during 2018, by means of public lists of the Mexican Board of Dermatology, electronic medical directories, and contact with regional dermatological societies. The density of dermatologists was calculated on a state, metropolitan and urban areas. The population of Mexico and its distribution among regional areas were obtained from the National Institute of Statistics, Geography and Informatics, and the National Population Council. RESULTS: The number of dermatologists found was 2062. All were distributed in urban areas. Jalisco and Chiapas were the states with the greatest and lowest dermatologist's densities, respectively. Mérida and Tecomán, Colima, were the metropolitan areas with the greatest and lowest densities, respectively. CONCLUSION: There are regional differences of dermatologist's densities among the central, northern and southern states of Mexico. All dermatologists are located in urban communities. [ABSTRACT FROM AUTHOR]

Occupational and work-related skin diseases include all skin conditions (as well as those involving the mucous membranes and cutaneous annexes) that are caused, conditioned, aggravated or promoted directly or indirectly by workplace risk factors. Occupational health physicians (OP) are involved in all phases of the natural history of the disease: prevention, early detection, diagnosis, clinical management, and providing advice and support to the company and the worker in all these stages. This paper provides an in-depth review of the role of the OP throughout this process, underscoring the importance of coordination with the dermatologist and/or the allergist. One of the OP's main interventions is to manage work adaptations and/or modifications to facilitate an active working life, free of hazardous exposures and/or to achieve an early and safe return to work. [ABSTRACT FROM AUTHOR]

Introduction: Vitamin D deficiency is considered as a pandemic. Now, there are lots of publications documenting this deficiency in patients with osteopenia and/or osteoporosis; however, there are no studies either in Colombia or Latin America that evaluate vitamin D deficiency and insufficiency in a healthy population, or in dermatologists, who can be susceptible to acquire this deficiency by the long working hours and the lack of sun exposure. Objective: To determine the prevalence of vitamin D deficiency in dermatologists and residents of dermatology in Colombia and to establish if the area of origin was associated with vitamin D levels. Methodology: This is a pilot, observational, cross-sectional and analytical study in which dermatologists and dermatology residents attending to the 2016 Colombian Congress of Dermatology were included. All participants were given a questionnaire; a physical exam was performed to them and their levels of 25-hydroxyvitamin D3 were measured as well. Results: 100 participants were included in this study: their average age was 39 years; 67% of them were women, with a prevalence of vitamin D deficiency or insufficiency of 96% and with a mean of vitamin D concentration of 18.20 ng/ml. Conclusions: Vitamin D deficiency is highly prevalent in dermatologists and residents of dermatology in Colombia. With this population, some preventive interventions are suggested due to the high morbimortality related to such deficiency. [Guzmán-Cruz KA, Wandurraga-Sánchez EA, Rojas RF, Vergara JI, Gómez- Serrano SE. Vitamin D Levels in Dermatologists and Residents of Dermatology in Different Areas of Colombia: a Pilot Study. [ABSTRACT FROM AUTHOR]

The open letter is addressed to Antonio Barrera Arenales, a renowned pediatric dermatologist in Colombia. The author of the letter, Juan Guillermo Chalela Mantilla, recalls the friendship and professional collaboration they had over the years. He highlights Barrera Arenales' contribution to the field of pediatric dermatology, as well as his sense of humor and ability to bring joy to others. The letter expresses surprise and sadness over Barrera Arenales' decision to leave without apparent reason, leaving a void in the medical community and among his friends. [Extracted from the article]

Pseudoxanthoma elasticum is an autosomal recessive disease that occurs as a consequence of mutations of the ABCC6 gene. It affects the elastic fibers and the organs compromised more frequently are the skin, the eyes and the blood vessels. The role of the dermatologist in the diagnosis is essential as the cutaneous manifestations are the earliest. We present a typical case in a woman. [ABSTRACT FROM AUTHOR]

In facial dermatological surgery there are some anatomical areas that have been denominated as 'red flags' because of the anatomical and clinical impact that they may produce. For this reason, we wanted to demonstrate these areas by dissecting them in the cadaver, with the objective of enhancing the formation of the dermatologist surgeon in training. [ABSTRACT FROM AUTHOR]

Congenital syphilis remains a public health problem in the XXI century, secondary to the emergence of infection with human immunodeficiency virus, drug abuse during pregnancy, and limited access to health care in some communities, avoiding the timely diagnosis and treatment. The skin lesions in congenital syphilis occur in 60% of cases, often being key to the suspected diagnosis of this entity. Pediatricians and dermatologists should be familiar with these clinical features and alert to the possibility of congenital syphilis, especially in high-risk pregnant women and in those who received no prenatal care or it was late. Congenital syphilis is not only a preventable disease, its timely detection would decrease health care costs in developed and developing countries. This paper reviews the latest findings in the diagnosis and treatment of congenital syphilis as well as the panorama of the disease in Mexico. [ABSTRACT FROM AUTHOR]

The consultation rate for skin disease is very high, a situation compounded by a lack of training in the management of these conditions amongst health care workers at primary care level and an unequal distribution of dermatologists in different global regions. Community Dermatology is a branch of the specialty which focuses attention on patients, not just as individuals, but as members of a community. This work involves bringing together the skills and knowledge of different sectors of health care for the purpose of continuous health education and prevention of disease, tailored to the needs of the local community. Teledermatology uses new information technologies to provide a means of exchange of medical information related to health, diagnosis and education. It already has proven value in simplifying and prioritising health issues and shortening the time for each consultation, thereby optimising the use of human resources and providing a means of improving the skills of the non-specialist practitioner. Using teledermatology as a means of implementing community dermatology programmes leads to improvement of access to health care amongst distant and marginalised communities, to better follow up in individual cases and, over time, to sustainability in the training of local health care personnel. [ABSTRACT FROM AUTHOR]

Background: Glucocorticoids are medications derived from cortisol with wide biological actions. In Dermatology they have been used broadly, and in recent years we have observed an alarming increase in their use in General medicine with consequences evident in our daily dermatological consultation. Skin atrophy, telangiectasia, corticoid related acne, striae, and iatrogenic Cushing syndrome have become an alert for dermatologist for the need of limiting their prescription in inexperienced hands, as there is no limit or regulation for acquiring high potency corticosteroids. Objective: To study the frequency of prescription of corticosteroids and medical consultation data related to topical corticosteroids. Material and methods: A cross-sectional, descriptive and analytical study was done by a survey directed to 55 general physicians of different offices, associated to drugstores, independent or from Health Centers, established at Acapulco, Guerrero. Questions specified the number of general consultations at week, how many of them were due to dermatological diseases, the frequency of prescription of topical corticosteroids of mild or high potency (betamethasone, fluocinolone, clobetasol), and if length of treatment was specified. Results: From the surveyed physicians, 33 included some topical corticosteroid of mild or high potency in 1 to 10% of their prescriptions and mentioned that they did specify length of treatment to their patients in 78% of cases. Among the diseases against corticosteroids were given most frequently are: dermatitis (not specified), atopic dermatitis, allergic dermatitis, contact dermatitis, diaper dermatitis, urticaria, mycosis (not specified), psoriasis, acne, prurigo by insects or other dermatosis. Most physicians who give topical corticosteroids against several dermatological illnesses are in offices associated to drugstores and, in second place, they are independent. Conclusions: Prescription of corticosteroids is a very useful therapeutic action in the medical practice, specifically in Dermatology; however, it should be done with responsibility, including to inform to the patient about the importance of following medical indications, for which, physician must explain widely the benefits and the potential risks in case of not administering the drug as indicated, because corticosteroids are not medications that should be recommended freely, due to their risks and side effects. [ABSTRACT FROM AUTHOR]

Porocarcinoma is a rare malignant epithelial neoplasm (0.005% to 0.01%). It affects women over 70 years, appears preferably in lower extremities (44%) with varied morphology (nodular, papular or plaque) and develops upon preexisting benign lesions. It can be recurrent (20%-35%) and can metastasize (10%-20%). Treatment is based on surgical excision (70%-80%). This paper reports the case of a patient with a rare malignant neoplasm with chronic evolution, whose diagnosis and treatment represent a challenge for the dermatologist. [ABSTRACT FROM AUTHOR]

The study of sentinel node (SN) in the management of melanoma requires close collaboration among plastic surgeon, dermatologist, specialist in Nuclear Medicine and pathologist. The authors present a retrospective study in a group of 123 patients with primary cutaneous melanoma who consented to sentinel node biopsy (SLNB) between December 1999 and December 2005 at the University Hospital Cruces (Barakaldo, Bizkaia, Spain). We describe the long-term evolution and the relation between SLNB results and relevant clinical events during follow-up. We removed 294 sentinel nodes; 15 patients had tumour in the centinela node, subsequently developed distant metastasis in 46.6%, compared with 19% in patients with negative SN (p=0.021). Of the 123 patients studied, 14 died of melanoma (11'4%): 3 in the first year of follow up, 2 in the second, 3 in the third, 2 in the fourth and 2 in fifth year. We corroborate that the SLNB is an easy technique and useful for staging, showing the statistic relationship between positive SN and bad prognostic. [ABSTRACT FROM AUTHOR]

Copyright of Adicciones is the property of Sociedad Cientifica Espanola de Estudios sobre el Alcohol and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Cutaneous reactions to drugs are a common and important complication in medical practice where the dermatologist plays a key role. So far, in Medellin, Colombia, there are no studies or any publications about the behavior of drug eruptions. Objective: The clinical and epidemiologic characteristics of drug eruptions were described in hospitalized patients at the Hospital Pablo Tobón Uribe. Methods: An observational descriptive retro-prospective study was carried out in patients hospitalized in the Hospital Pablo Tobón Uribe who showed skin reactions to drugs in the period from January 1st, 2007, to November 15, 2009. Results: The study included 169 patients (52.7% male and 47.3% women). The age range of presentation of skin reactions to drugs were recorded from 8 months to 97 years old, with a mean of 38.5±24.7 years old. Antibiotics were responsible for more than half of the cases (54.4%), followed by analgesics (22.5%), anticonvulsants (8.9%) and others 8.9%. In 66.3% of patients, a single drug was identified as the causative agent. The most commonly encountered clinical patterns were macula-papular rash (76.3%) and urticaria (13.6%). The average body surface area involved was 47.07% ± 25.9. The most affected body area was the anterior chest in 76.3%, followed by the upper limbs in 70.4%, 68.6% lower limbs and back 60.9%. The face and neck were less affect, with 39.1% and 26%, respectively. Conclusion: This observational study showed a behavior of skin reactions to drugs in hospitalized patients of Hospital Pablo Tobón Uribe very similar to that reported in other countries supported by the clinical presentation type rash, most commonly in the thorax and limbs, and for being the most frequent causative agent antibiotics and analgesics. [ABSTRACT FROM AUTHOR]

Introduction. The treatment of the queloides and hypertrophic scars continues being a challenge for the Dermatologist. In Literature, it is mentioned that the best treatment is that one than combines several therapies to obtain better results. Objective. To determine the clinical effect of three therapeutic modalities in patients with queloides and hypertrophic scars, pulsed intense light (IPL), Triamcinolona and the combination of both therapies. Material and methods. 38 patients with queloides and hypertrophic scars, 25 women and 13 men selected themselves, who distributed themselves at random in three groups; six sessions of IPL to the first group, Triamcinolona to the second and the treatment combined to the third party were applied. The clinical comparison of the three therapies by means of the test of Kruskall-Wallis was realised test. Results. Was not significantly statistical difference between the treated groups, but as far as the elevation of the scar the Triamcinolona in comparison to the treatment with IPL turned out to be better (p = 0.008). Conclusion. The three therapeutic modalities are comparable in the treatment of queloides and hypertrophic scars. [ABSTRACT FROM AUTHOR]

Copyright of CES Medicina is the property of Universidad CES and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The Social Security System in Health of Colombia has profoundly affected the way to provide health services, including labor conditions of workers in the health sector. The labor market in the health sector has been modified including changes in hiring, wages and working conditions of professionals. This study pretends to provide a description -or approximation- of the socioeconomic, geographical and occupational conditions of dermatologists in Colombia. It is a descriptive study conducted between February and August of 2011 to dermatologists affiliated to the Colombian Association of Dermatology and Dermatological Surgery (Asocolderma) and Dermatology residents. It collected socioeconomic data, labor and geographical conditions including age and gender distribution, the cities with the largest concentration of dermatologists, the social security regime they work in and type of labor contract. The sample is the largest data collected so far in Colombia determining demographic, social and economic characterization of dermatologists and it will be the basis for decision making in different areas that frame the study and practice of dermatology in our country. [ABSTRACT FROM AUTHOR]

In order to project the Dermatology to the general population, to learn about some aspects of the problem of skin cancer and to initiate national public education campaigns, Asocolderma started this program in Medellín as a pilot city. We present the results of the first program realized on May 17, 18 and 19, 2011, with the participation of Universidad CES and Universidad de Antioquia Dermatology grous, and other dermatologists in the city. Of the 2,404 telephone requests, 1,265 citations were awarded. Malignant or premalignant lesions were suspected in 246 patients, 149 biopsies were taken and atypical nevi or actinic keratoses were suggested clinically in the remainder. There were 2 patients with malignant melanoma, 14 squamous cell carcinomas, 59 basal cell carcinomas, and 1 porocarcinoma. Important information was obtained on the practices of sun exposure and protection in this patient group. [ABSTRACT FROM AUTHOR]

Background: Dermoscopy is a non invasive technique useful for the diagnosis of different kinds of skin lesions, specially pigmented lesions. Its use increases sensitivity and specificity in the diagnosis of malignant melanoma. Objective: To confirm the increase in diagnostic accuracy of pigmented lesions, assessed dermoscopically by a group of dermatologists who attended to a short basic dermoscopy course. Participants and methods: Before and immediately after the basic dermoscopy course, an exam was applied to the attendants, a total of 37 dermatologists participated in the study. Results: Average score in test after the course was almost 20 points higher than the test previous to the course (p < 0.0001). Conclusion: The results of this study show an improvement in diagnostic accuracy when dermatologists attend to a short basic dermoscopy course, increasing scores almost 20 points when assessing dermoscopic images of pigmented lesions. This knowledge, if applied to daily clinical practice, will allow an opportune diagnosis of pigmented lesions. [ABSTRACT FROM AUTHOR]

In Colombia, with data of the Asociacion Colombiana de Dermatología y Cirugía Dermatológica (that includes 90% of Colombian dermatologist), there is an estimation of 1,25 dermatologist per 100000 population. Dermatologists in Colombia are maldistributed, with high concentration in the cities, some with more than 3 per 100000 population, and a poor rural offer. In the United States, the prediction of dermatologist required is 2,8 - 3 dermatologist per 100000 population. The need for dermatologist in Colombia depends on our health care system, which delegates a big proportion of dermatological patients to general practitioner, so North American standards are not equivalent to our country. The number of dermatologist graduated in Colombia has risen since 2010 from 18 to 24 per year. In the last years 5 new programs of residency have been opened, and some programs have increased the number of residents admitted. There must be an attempt to estimate our needs and to help us take decisions about our resident capacity and to project an adequate workforce to meet the population demand of dermatologist in Colombia. [ABSTRACT FROM AUTHOR]

To develop and validate a clinical tool to facilitate decision-making based on current best evidence for treating adults and children with vitiligo. Methods: Clinical questions were formulated and structured. We established a standardized sequence to search for practice guidelines for treatment of vitiligo. Three guides were found, two of which were used for this study. For those drugs not included in the guidelines taken as a reference search was conducted in PubMed and Cochrane Library Plus, Hinari and Ovid. The results were expressed as levels of evidence and grade of recommendation according to the characteristics of the study design and type. Conclusions: The recommendations in this guide will help evidence based decision-making standard for the treatment of vitiligo in order to increase the percentage of dermatologists that indicate a treatment based on current best evidence, stimulating scientific research. [ABSTRACT FROM AUTHOR]

Objective: To provide to the dermatologist an instrument to facilitate decision-making and to increase the effectiveness of the treatment of patients with pemphigus vulgaris. With the foregoing, it is intended to achieve proper control of the disease and therefore reduce morbidity and mortality. Methods: We established a standardized sequence to search for clinical practice guidelines and other useful scientific information. We found only one guide with level of evidence and grade of recommendation and used a systematic review and other items obtained from search engines: Cochrane, PubMed, Ovid, MD consult. Conclusions: Pemphigus vulgaris is an autoimmune blistering disease which, if not treated properly, may lead to the death of the patient, so it is important to have an instrument to facilitate decision-making in its treatment. [ABSTRACT FROM AUTHOR]

Dermatomyositis is an inflammatory myopathy whose distinctive finding is skin involvement. In most cases the cutaneous involvement precedes the muscular condition, so it is vitally important for the dermatologist recognition of cutaneous manifestations in dermatomyositis in order to make a timely diagnosis of disease and initiate an effective treatment for avoid future complications. [ABSTRACT FROM AUTHOR]

Dermatopathology is a specialty of more than 100 years of age, and forms an essential part in the daily exercise of dermatology. Their origins are European, mainly German and French; and in Mexico it has its cradle in the Pascua Dermatological Center and the General Hospital of Mexico; centered in two great personalities of the Mexican dermatology: Dr. Josefa Novales and Dr. Rafael Andrade. Through their efforts the dermatopathological education for residents of dermatology and to dermatologists interested in the specialization in this field began, as well as the university recognition with the endorsement of UNAM. [ABSTRACT FROM AUTHOR]

Reticulated and confluent papillomatosis is a chronic and recurrent disease that occurs predominantly in young adults and teenagers. Its main characteristics are verrucose papillomatous injuries as brown plaques spreading to thorax, neck and face. Patients go to consultation due to its dermatosis aesthetic effect. It is hard to establish its diagnose (often late), even to dermatologists, due to its low incidence. Clinically, the eruption is often confused with tinea versicolor or acanthosis nigricans. Potassium hydroxide fungus staining is negative in most cases, and minocycline is the gold standard therapy. We report a case of a 17 year-old patient with typical clinical and histological features of this illness; we too review literature and diagnose criteria to this rare disease. [ABSTRACT FROM AUTHOR]

Lupus erythematosus activity indexes are reviewed, emphasizing the Lupus Erythematosus Activity Index, SLEDAI, which allows to assess the intensity of the disease in any given moment, thus enabling the clinician to apply the right treatment according to the present clinical signs. This instrument is pretty easy to use and to interpretate, and skin lesions have a high value in order to identify activity, thus it can be easily used by dermatologists. [ABSTRACT FROM AUTHOR]

The article presents an analysis of the various aspects of common vaginal infections. Vaginal infections represents a difficult problem for a dermatologist as well for a physician in general. These infections occur in the preadolescent period and in the years of the reproductive life. They can be diagnosed by examining the objective signs and performing microscopic tests.

BACKGROUND: Patient referral to medical specialities is an important activity of primary health care system. There is no record of the needs of dermatological referrals. OBJECTIVE: The current study describes and analyses the pattern of pathologies referred from a national healthcare center. METHODOLOGY: a retrospective analysis of the record referrals from the Hospital de Tiltil to the dermatological services of the northern Metropolitan Health Service from January 2006 to July 2008 was carried out. RESULTS: A 4.7% from all the referrals in this period belongs to dermatology, with a similar distribution between adults and children. The main causes involved are: infections (28.7%), inflammations (28.7%) and tumors (18.9%). The most frequent referral diagnoses were: atypical nevi (16%), suspected skin cancer (8.9%) and dermatitis (8.9%). The most frequent pathologies in children were: warts (28.8%), dermatitis (13.6%) and hemangioma (12.1%). CONCLUSION: Our work was performed in order to investigate the importance and need that general physicians must have of dermatological pathology. The data can be used to improve healthcare and clinical improvement. [ABSTRACT FROM AUTHOR]