RESUMO

Rosacea is a chronic and inflammatory disease that primarily affects the skin, although more than half of cases also present with ocular symptoms ranging from blepharitis to conjunctivitis and keratitis. It represents a frequent reason for consultation with a psychosocial impact, affecting quality of life, and requires management involving ophthalmologists, dermatologists, and primary care physicians. For this paper, a search was conducted in several databases, including Medline, Embase, Cochrane, and Google Scholar, using the MeSH term "rosacea" in conjunction with other relevant keywords such as "ocular rosacea", "management", "treatment", and "guidelines". Available articles were reviewed. International and local guidelines recommend initiating the management of rosacea with lifestyle changes, including ocular hygiene and avoidance of triggers. Topical or oral treatment is recommended as the next step, with topical cyclosporine, topical azithromycin, topical tacrolimus, and oral doxycycline being the treatments most supported by evidence. Combination treatments are also recommended. Current management guidelines mainly focus on cutaneous manifestations, generating few guidelines on ophthalmologic treatment, and most recommendations are issued by experts. This work compares local and international treatment guidelines for rosacea, as well as other available medical literature, and suggests a practical and interdisciplinary treatment scheme for ocular involvement based on the reviewed bibliography.

Assuntos

RESUMO

BACKGROUND: Descriptions of cutaneous findings associated with COVID-19 have not been consistently accompanied by histopathology or confirmatory testing for SARS-CoV-2. OBJECTIVE: To describe and classify the cutaneous findings with supporting histopathology of confirmed COVID-19 inpatients. METHODS: We included consecutive inpatients with a confirmed diagnosis of COVID-19 for whom a dermatology consult was requested. A skin biopsy was performed in all cases. Skin findings were classified as being compatible with a cutaneous manifestation of COVID-19 or as representing a distinct clinical entity. RESULTS: Twenty-eight patients were studied in whom thirty-one dermatologic diagnoses were made. Twenty-two of the dermatoses were compatible with a cutaneous manifestation of COVID-19; nine entities were not associated with infection by SARS-CoV-2. The most common COVID-19-associated pattern was an exanthematous presentation. In four patients, a new pattern was observed, characterized by discrete papules with varied histopathological findings including a case of neutrophilic eccrine hidradenitis. No cases of pernio-like lesions were identified. Skin findings not associated with COVID-19 represented 29% of diagnoses and included Malassezia folliculitis, tinea, miliaria and contact dermatitis. LIMITATIONS: There is no gold-standard test to distinguish between viral exanthems and drug reactions. CONCLUSION: A histopathological study is critical before attributing skin findings to a manifestation of COVID-19.

Assuntos

RESUMO

The DNA Comet Assay has been described as a rapid and inexpensive screening test to identify radiation treatment of food. In this work, this method was applied to detect the treatment of beef meat pieces either by gamma rays or electron beam. The dose levels were 2.5, 4.5, and 7.0kGy for chilled samples, and 2.5, 4.5, 7.0 and 8.5kGy for frozen samples. The analyses were made over periods of 15 and 30 days after irradiation for the chilled and frozen samples, respectively. The effects of gamma rays and electron beam on DNA migration in the test were similar. The DNA Comet Assay, under neutral conditions, made it easy to discriminate between irradiated and non-irradiated beef.

RESUMO

OBJECTIVE: To explore the immunohistochemistry of elastofibromas and to evaluate four elastic strain methods for the histological diagnosis of elastofibroma. MATERIAL AND METHODS: Four elastofibromas were obtained from the surgical pathology files of the ABC Medical Center. All patients were women whose lesions were present in the subescapular region. Immunohistochemistry was performed for CD34, actin, desmin, vimentin, S-100 protein and bcl-2 and four elastic stain methods were evaluated (Verhoff, Gallego's, Reyes-Mota and Russel-Movat). RESULTS: In the four cases there were numerous miofibroblasts (vimentin/actin/desmin positive). An unpreviously reported positive CD34 dendritic cells, were present diffusely in all four cases. Verhoff and Reyes-Mota stains remains the most useful methods to reveal the elastic fibers. Russel-Movat method may be use to contrast different connective tissue components. CONCLUSION: The cell of elastofibromas were originally considered fibroblasts. The presence of actin/desmin/vimentin suggests that they are miofibroblasts. We describe for the first time, variable numbers of CD34(QBend/10) positive spindle shaped and dendritic cells in all elastofibromas. These cells may be a reactive population of cells of the "dendritic cell system". There was no immunoreactivity for bcl-2 in these cells.

Assuntos

RESUMO

The effect of up to 6,000 Gray (Gy; 1 Gy = 1 J/k) 60Co gamma irradiation on the fermentative capacity of two strains of yeast cells is reported. Ethanol production by the irradiated cells was unchanged for both strains at 3,000 Gy and reduced 43% for only one strain at 6,000 Gy in spite of a marked decrease in viability at higher doses (2-8% at 3,000 Gy and 0.01% at 6,000 Gy). These results suggest that the yeast fermentation system for converting sugar to alcohol is a relatively radioresistant process and not inhibited by the stable by-products produced during irradiation. Furthermore, these data indicate that radiation polymerization for immobilizing these cells should not interfere with their fermentation capacity.

Assuntos