RESUMO
La ansiedad es un sentimiento de recelo o de miedo. La fuente de este desasosiego no siempre se reconoce, lo cual se puede añadir a la angustia que se siente. Numerosos autores han relacionado a entidades como el Liquen Plano Bucal (LPB) o el bruxismo como condiciones psicosomáticas. Cuantificar los niveles de ansiedad/estado y ansiedad como rasgo de la personalidad en una población Venezolana con Liquen Plano Bucal. En el estudio se incluyeron 20 pacientes diagnosticados con Liquen Plano Bucal y 10 sujetos con mucosa bucal sana. Se aplicó el cuestionario de Ansiedad Estado-Rasgo "STAI" (State-Trait Anxiety Inventory). El cuestionario está diseñado para auto aplicación y la misma se hizo de manera individual sin límite de tiempo.Resultados: 17/20 de los pacientes del grupo con Liquen Plano Bucal presentaron un decatipo igual o mayor de 6 en la escala del cuestionario de Ansiedad Rasgo "STAI", indicando que el 85% de los pacientes en este grupo resultaron tener la ansiedad como rasgo en su personalidad. En el grupo control 8/10 presentaron un decatipo igual o mayor de 6 en la escala del cuestionario de Ansiedad Rasgo "STAI", lo que señala que el 80% de los sujetos de este grupo presentaba la ansiedad como rasgo en su personalidad. 15/20 de los pacientes del grupo con LPB presentaron un decatipo igual o mayor de 6 en la escala del cuestionario Ansiedad Estado "STAI" lo que indica que el 75% de los pacientes con LPB se mostraban ansiosos al momento de la aplicación de esta prueba. 9/10 individuos del grupo control presentaron un decatipo igual o mayor de 6 en la escala del cuestionario Ansiedad Estado "STAI", evidenciando que el 90% de los pacientes de este grupo se encontraban ansiosos al momento de la aplicación del cuestionario. No se observó una diferencia estadísticamente significativa entre los dos grupos
Anxiety is a fearing, disquiet feeling, with unknown source, that leads to more anguish for the patient who's suffering the condition. Several authors have related entities like Oral Lichen Planus (OLP) and bruxism with psycho-somatic conditions. To quantify the levels of state-anxiety and trait-anxiety in an OLP Venezuelan population.Materials and Methods: In the present study, 20 OLP patients and 10 healthy oral mucosa individuals were subjected to the STAI questionnaire (State-Trait Anxiety Inventory) applied without time limit. 17/20 OLP patients presented a 6 or greater score in the STAI scale what indicated that 85% of patients have anxiety as a personality feature. 8/10 patient in the control group presented a 6 or greater score in the STAI scale what indicated that 80% of patients in this group have anxiety as a personality feature. 15/20 OLP patients presented a 6 or greater score in the anxiety-state scale what indicated that 75% of the patients were anxious at the moment of test application. 9/10 patients in the control group presented a 6 or greater score in the anxiety-state scale what indicated that 90% of the patients were anxious at the moment of test application. There is not statistical differences between the two groups. In this study, there are more OLP patients with anxiety as a personality feature; nevertheless there is no statistical difference between the two groups. Is a clinical decision to include psychological treatment in each particular case, especially patients with recurrent lesions
Assuntos
Humanos , Masculino , Feminino , Ansiedade , Líquen Plano Bucal/patologia , Líquen Plano Bucal/psicologia , Medicina BucalRESUMO
OBJECTIVE: To compare the therapeutic efficacy and safety of ivermectin and lindane for the treatment of human scabies. DESIGN: Randomized, prospective, controlled, double-blind, "double-dummy," and parallel clinical study. SETTING: A single department of dermatology at a hospital in Buenos Aires, Argentina. PATIENTS: Patients were outpatients, hospitalized patients, and those referred to our hospital from nursing homes and asylums. Fifty-three patients had clinical signs and symptoms compatible with scabies. INTERVENTION: Patients received either a single oral dose of ivermectin (150-200 microg/kg of body weight) or a topical application of 1% lindane solution. Treatment was repeated after 15 days if clinical cure had not occurred. MAIN OUTCOME MEASURES: Clinical healing and adverse effects. RESULTS: Of 53 patients, 43 (81%) completed the study, 19 in the group treated with ivermectin and 24 in the group treated with lindane. At day 15, 14 patients (74%; 95% confidence interval, 48.8%-90.8%) in the group receiving ivermectin showed healing of their scabies and 13 patients (54%; 95% confidence interval, 32.8%-74.4%) in the group treated with lindane were healed. At 29 days, both treatments resulted in statistically equivalent therapeutic efficacy: 18 patients (95%; 95% confidence interval, 74.0%-99.9%) were healed with ivermectin and 23 patients (96%; 95% confidence interval, 78.9%, 99.9%) were healed with lindane (P<.02). Adverse effects from the treatments were few, mild, and transient. Results from laboratory tests showed no major abnormalities and no difference between treatments. CONCLUSIONS: Ivermectin is as effective as lindane for the treatment of scabies. Ivermectin is simpler to use and, therefore, is a promising tool to improve compliance and to control infestations.
Assuntos
Hexaclorocicloexano/uso terapêutico , Inseticidas/uso terapêutico , Ivermectina/uso terapêutico , Escabiose/tratamento farmacológico , Adulto , Método Duplo-Cego , Feminino , Humanos , Masculino , Estudos ProspectivosRESUMO
La balanitis plamocitaria de Zoon es una entidad crónica, que se presenta generalmente en pacientes no circunciados. Las lesiones son generalmente refractarias a tratamientos tópicos, requiriendo a menudo circuncisión como medida curativa. Describimosw tres casos, uno de ellos HIV+, asociasión que no hemos encontrado en la literatura(AU)
Assuntos
Humanos , Masculino , Adulto , Pessoa de Meia-Idade , Balanite (Inflamação)/cirurgia , Balanite (Inflamação)/diagnóstico , Balanite (Inflamação)/terapia , Eritroplasia/classificação , Doenças do Pênis , Circuncisão Masculina , HIVRESUMO
La balanitis plamocitaria de Zoon es una entidad crónica, que se presenta generalmente en pacientes no circunciados. Las lesiones son generalmente refractarias a tratamientos tópicos, requiriendo a menudo circuncisión como medida curativa. Describimosw tres casos, uno de ellos HIV+, asociasión que no hemos encontrado en la literatura