No abstract

Este artigo apresenta as ações desenvolvidas pela Secretaria Municipal de Saúde de Belo Horizonte/MG (SMSA-BH), para o enfrentamento da pandemia da COVID-19, destacando o papel da Atenção Primária à Saúde (APS) e sua atuação sistêmica e articulada ao Sistema Único de Saúde e às representações sociais.

Background: Psoriasis and obesity are somewhat related to a low-grade systemic inflammatory response. Objectives: To determine leptin and adiponectin levels in psoriasis patients compared to control patients matched for weight. Methods: A case-control study was performed, evaluating 113 psoriasis patients and 41 controls with other dermatologic diseases. Results: The prevalence of obesity was 33% in cases and 21.9% in controls. All evaluated comorbidities were more prevalent among cases. When stratified by weight, the comorbidities were more frequent in overweight patients. We found no correlation between being overweight (p=0.25), leptin (p=0.18) or adiponectin (p=0.762) levels and psoriasis severity. When overweight cases and controls were compared, we found differences in the adiponectin values (p= 0.04). The overweight cases had lower adiponectin levels than the overweight controls. We found no differences in the leptin dosage between cases and controls. The overweight cases had higher leptin values than the normal weight cases (p<0.001). Study limitations: Several patients used systemic anti-inflammatory medication. Conclusions: The prevalence of obesity among psoriasis cases (33%) was higher than in the general population (17.4%). We did not find any correlation between severity of psoriasis and inflammatory cytokines and the condition of being overweight. The overweight cases had lower values of adiponectin than the overweight controls. It seems, therefore, that there is a relationship between adiponectin and psoriasis, but this relationship depends on the presence of obesity.

This Dermatology Clinic tests referred patients who have suspected allergic contact dermatitis. The patch-test results (1406 patients) from July 1 st , 2003 to June 30 th , 2010 will be reported and compared to the data from the Brazilian Contact Dermatitis Study Group (GBEDC). A standardized patch test (30 allergens) was used in all of these patients. Depending on the complaint and suspected allergen another battery was also used (cosmetic battery).The most frequent allergens of Brazilian Standard Patch Test Series and Cosmetic Brazilian Standard Patch Test Series were nickel and tosylamide formaldehyde resin, respectively. Allergic contact dermatitis was the final diagnosis in 58.2%. Studies about allergen frequency may enable the performance of prevention programmes.

Resumo: O pinçamento do leito ungueal gerado pela hipercurvatura transversa da unha é chamado de unha em pinça e pode provocar dor e constituir problema estético. A unha em pinça pode apresentar três tipos clínicos, mais comuns, sendo a unha em telha um deles. As causas podem ser hereditárias ou adquiridas. Os dedos dos pés são acometidos com maior freqüência. Os tratamentos conservadores são os preferidos pelos pacientes, porém, os tratamentos cirúrgicos produzem os melhores resultados. Das técnicas cirúrgicas, a técnica de Zook é opção diferente, pois, preserva a matriz e o tamanho da unha. Os autores apresentam cinco pacientes com unha em telha, tratados com a técnica de Zook. Palavras-chave: Doenças da unha; Unhas encravadas; Unhas malformadas Abstract: The pinching of the distal nail bed, caused by transverse overcurvature of the nail is called pincer nail. It frequently causes pain and aesthetic problems. Pincer nail may present in three fre