RESUMO
A 66-year-old woman diagnosed clinical manifestation of extensive hard palate hyperpigmentation is presented. Due to historic of rheumatoid arthritis and use of chloroquine phosphate for 3 years, exogenous hyperpigmentation associated with the drug was included among the possible diagnoses. Incisional biopsy was performed and the histopathological exam confirmed exogenous hyperpigmentation compatible with chloroquine use. The patient was referred to the rheumatologist and the ophthalmologist for evaluation of the continuity of the chloroquine use. After one year of follow-up, no changes were seen in the hyperpigmentation nor other clinical changes. Hyperpigmentation of the hard palate by the use of chloroquine is one of the adverse effects of the chronic use of this drug and does not require specific treatment. The adequate anamnesis and the knowledge about the adverse effects of the drug allowed an adequate therapeutic approach in the case.
Assuntos
Artrite Reumatoide , Hiperpigmentação , Idoso , Artrite Reumatoide/tratamento farmacológico , Biópsia , Cloroquina/efeitos adversos , Feminino , Humanos , Hiperpigmentação/induzido quimicamente , Hiperpigmentação/diagnóstico , Palato DuroRESUMO
Objetivo: Este trabalho teve como objetivo traçar o perfil dos pacientes especiais atendidos em ambiente hospitalar em Mato Grosso (MT). Material e método: A pesquisa foi realizada através de prontuários de pacientes especiais atendidos nos anos de 2016, 2017 e 2018 no Centro Estadual de Odontologia para Pacientes Especiais (CEOPE), Cuiabá- MT. Os parâmetros analisados foram: sexo (masculino e feminino), idade, condição clínica prévia (doenças metabólicas; condição de déficit cognitivo; doenças psíquicas; sequelas físicas permanentes e má formação congênita), tipo da anestesia geral, local, não realizado), e dos procedimentos realizados (invasivos; não invasivos; ambos), e se recebe ou não cuidados em residência. Resultados: Os pacientes atendidos em ambiente hospitalar eram em sua maioria do sexo masculino 28 (60,86%). A faixa etária mais prevalente foi adulta (entre 19 e 59 anos) com 31 pacientes (67,39%). A condição clínica prévia mais frequente entre os pacientes foi doenças crônicas e síndromes metabólicas com 14 pacientes (30,43%). A maior parte dos pacientes não dispunha de cuidados em regime de Home Care 43 (93,47%). O tipo da anestesia mais utilizado foi a anestesia geral, em 29 pacientes (63,04%). Dos procedimentos realizados, houve prevalência de procedimentos invasivos, em 30 casos (65,21%). Conclusões: O estudo revelou que o perfil do paciente com necessidade especial, atendido em ambiente hospitalar é adulto, do sexo masculino, com doenças crônicas e síndromes metabólicas para a realização de procedimentos invasivos sob anestesia geral.
Objective: This study aimed to analyze the profile of the special patients of a dental center treated in a hospital environment. Material and method: The research was conducted through the analysis of medical records of special patients attended in 2016, 2017 and 2018 at the State Center of Dentistry for Special Patients (CEOPE), Cuiabá, MT, Brazil. The parameters analyzed were: gender (male and female), age, previous clinical condition (metabolic diseases; cognitive defect condition; psychic disorders; permanent physical sequelae and congenital malformation), type of anesthesia (general, local, not performed), and procedures performed (invasive; noninvasive; both), and whether or not care was received at home. Results: The patients treated in the hospital environment were mostly male 28 (60.86%). The most prevalent age group was adult (between 19 and 59 years old) with 31 patients (67.39%). The most common prior clinical condition among patients was chronic diseases and metabolic syndromes with 14 (30.43%). Most patients did not have home care assistance 43 (93.47%). The most used type of anesthesia was general anesthesia in 29 patients (63.04%). Of the procedures performed, there was a prevalence of invasive procedures in 30 cases (65.21%). Conclusions: The study revealed that the profile of patients with special needs treated in a hospital environment is an adult male with chronic diseases and metabolic syndromes for invasive procedures under general anesthesia.