Recomendações sobre diagnóstico e tratamento da artrite psoriásica (original) (raw)

Caracterização da psoríase e seu tratamento: uma revisão narrativa

SaBios-Revista de Saúde e Biologia, 2021

Este artigo tem como objetivo realizar uma revisão integrativa de literatura para identificar as diferentes apresentações da psoríase e as terapêuticas disponíveis. Esta patologia ocorre em 1% a 3% da população mundial, afetando cerca de 1% da população brasileira. Desencadeada por múltiplos fatores externos, que ativam o sistema imunológico inato, essa patologia se manifesta na forma cutânea como placas e pápulas eritematosas e descamativas que variam em número e tamanho, as lesões podem surgir em qualquer área do corpo, sendo mais comuns em cotovelos e joelhos. A forma clínica mais comum da psoríase é a forma em placas secas, avermelhadas com escamas prateadas ou esbranquiçadas. Essas placas coçam e algumas vezes doem, podem atingir todas as partes do corpo, inclusive, genitais e dentro da boca. Em casos graves, a pele em torno das articulações pode rachar e sangrar. A psoríase pode ser tratada de diversas maneiras, por exemplo com medicamentos tópicos ou sistêmicos e radiação ult...

Conduta no diagnóstico e tratamento dos pacientes com artrite reumatóide no Brasil - respostas dos médicos a um questionário de avaliação

2009

Objectives: The aim of this study was to evaluate in relation to diagnosis and treatment for Rheumatoid Arthritis (RA) patients Brazilian population, and compare the management offered to patients who are followed up in the public and private sectors.Material and Methods: An electronic questionnaire was sent to 650 rheumatologists, members of the Brazilian Rheumatology Society (SBR) and who were attending adult RA patients in the public and/or private sector, who had a contact e-mail address available in the SBR register and agreed to take part in the survey.Results: The rheumatologists estimated that 51.7% of the patients had had their disease diagnosed and of these, 56.1% were undergoing treatment. It was also estimated that 53.9% of the RA patients that was under treatment were being followed up by rheumatologists. The mean time interval estimated by the rheumatologists, between the appearance of the first symptoms of RA and the diagnosis made by a doctor, was greater among the p...

Propostas de Critérios de Diagnóstico e de Tratamento da Otite Externa Necrotizante

2017

Necrotizing external otitis (NOE) is an infrequent and potentially fatal infection with origin in the external ear canal. Since there are no guidelines for this pathology in the literature, it is often observed a delay in its diagnosis and treatment. This study aims the proposal of specific diagnostic criteria and treatment orientations for NOE. We conducted a retrospective analysis of the NOE cases diagnosed between 2010 and 2013 in the ENT service of Egas Moniz Hospital. During the study period 9 patients were diagnosed with NOE (mean age: 74.8 ± 7.7 years). Based on our results and on data described in the literature, we propose major and minor criteria for the diagnosis of NOE and specific orientations for the treatment of this pathology. We believe that the use of the proposed criteria and orientations will allow a more timely diagnosis and a more effective treatment of this potentially fatal infection.