Manejo dermatitis marcha atópica
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Managua , Nicaragua Email:
juanherrera [email protected]
Llámenos: 22781169 2270-3359 , 89465022
claro› 84311649 claro, 88825513 mov
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Atopic Dermatitis
Author: Bernice R Krafchik, MBChB, FRCPC; Chief Editor: Dirk M Elston, MD more...
Atopic Dermatitis Author: Brian S Kim, MD; Chief Editor: William D James, MD
more...
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Keratoconjunctivitis, Atopic Diaper Rash Pediatric Atopic Dermatitis Lifetime Exposure to Cigarette Smoking
and the Development of Adult-onset Atopic Dermatitis
COL29A1 Gene Not Tied to Atopic Dermatitis
Atopic Dermatitis in Adults
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Dos hipótesis para explicar la El desarrollo de las lesiones inflamatorias Dermatitis
Imbalance Th1/ Th2 aumento Th17 IgE elevada ( mecanismo alérgico)
Problema de la barrera - piel…In fact, filaggrin mutations are associated with early-onset AD and with airway disease in the setting of AD.[16]
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Es más importante saberQ
Que clase de persona tiene esta enfermedad
Que clase de enfermedad tiene esta persona.
Paradigma Educativo
Del Paciente Educado….agente al …..Manejo de la Enfermedad
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Prevención› Primaria ( no fumar ,
pecho)
› Secundaria ( tratamiento temprano eczema, rinitis, eliminar cucarachas.
› Terciaria ( control alergénico, leche de
vaca, no aspirina )…..› http://www.worldallergy.org/profe
ssional/who_paa2003.pdf
Alergia Enfermedades
Alérgicas
Atopia Diatesis Atópica
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10 -15 % Población Infantil 1er año de Vida ( 50% ). 1-5 años ( 30%
50% desarrolla Asma
50% desarrolla Asma
Alergia Alimenticia
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Precede: Rinitis,Asma
Test cutaneos +++IgE elevadaInflamaciónPruritoCrónico
(Credit: DR P MARAZZI / ISP)
Eczema on face and head
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The Allergic March
Ulrich Wahn, PhD MDVirchow-Kl. Humboldt-Universitat
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Alergia a los Alimentos Dermatitis -Eczema
Rinitis Rinoconjunctivitis Asma
Triade Atópica
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Copyright ©2002 BMJ Publishing Group Ltd.
Barnetson, R. S. C et al. BMJ 2002;324:1376-1379
No Caption FoundEl eczema puede ser
primera manifestación de Atopia
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No alimento sólido por 4 meses.
Breast-feeding for 6 months
WHO dietary guidelines
recommend
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EHF. …Formulas lacteas hidrolizadas extensas.
Marcas:
Ver charla ….Wich infant formula…. Med book de JHS…
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Feed Protein Source
Fat Source Indications
Nutramigen(Mead Johnson)
Hydrolysed Casein
LCT Malabsorption of whole protein with/without disaccharide intolerance
Pregestimil(Mead Johnson)
Hydrolysed Casein
55% MCT As above plus fat malabsorption
Pepti Junior(Cow & Gate)
Hydrolysed Whey
50% MCT As above plus fat malabsorption
Pepti (Cow & Gate)
Hydrolysed Whey
LCT CHO – 40% lactoseCows Milk intolerance
Nan H.A.(Nestle)
Partially hydrolysed whey
LCT Atopic allergy prophylaxis
Neocate(SHS)
Free amino acids
LCT Severe malabsorption/ multiple allergy09/04/23Marcha atopicaTel 2278-1169, 2270-3359, 8946-5022, 8882-5513 17
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En Nicaragua , no tenemos esas leches
No las importan por el alto costo…
Bueno mejor prevenir que remediar…. Siga dando el pecho…
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Sólo pecho…pecho…Sólo pecho…pecho…
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Indice de Predicción ….Martinez
Herramienta fundamental para intervención precoz .
Ig E cordón Umbilical
Lactancia MaternaNo fumar
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No huevo No leche de vaca
No usar leches de Soya
Primeros años: Mani , nueces, mariscos.
Uso de Probióticos ….Isolauri….. Ver charla…
En Nicaragua Yogurt de Parmalat después del primer año de vida….
Usar leches hidrolizadas… ( Cochrane review ) ver… notas
Allergy prevention in children Position Statement: ASCIA Position Statement: Summary of Allergy Prevention in Children, as published in the Medical Journal of Australia 2005; 182 (9): 464-467 http://www.mja.com.au/public/issues/182_09_020505/pre10874_fm.html
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Reference: Sporik, R., Hill, D.J., Hosking, C.S. (2000). http://www.ncbi.nlm.nih.gov/sites/entrez
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DOIA PeDOIA Dermis Atlas http://www.dermis.net/dermisroo
t/es/27284/diagnose.htm
Atopia ( Familia ) IgE cordón Alergía alimenticia
Dermatitis atópica
Marcha Atópica
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Crosta lacteaMilia
Areas alrededor boca,fosas nasales,
ojos
Diagnóstico Precoz Patologías asociadas
RinitisConjuntivitisAsma
Triade de la Mamá
Nicaragüense..Mi hijo Tiene :
Moqueras, ojeras y Tos…
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Evitar aeroalergenos
Gato Acaros Polvo….
Cucarachas … Inner city study..
BuscarSignología Atópica
Recordar el control biológico
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• Resfriados # 3
• Eczema de Pañal
• Rinitis• Sibilancias
Factores de Riesgo Martinez,, taussig 95,2002, 2007
BuscarSignología Atópica
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No conocemos la incidencia en Nicaragua….
Australia …..alta UK 1: 100….
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Historia familiar atopia , Asma ( papá, mamá).
Diagnóstico de dermatitis atópica
Diagnóstico de rinitis alérgica
Eosinofilia más de 4%
Tres episodios de sibilancias el año anterior
Sibilancias sin estar resfriado
Otros posibles factores JHS…
Eosinofilia muco nasal….
Diagnóstico de Eczema….
En el trópico coproparasitológico
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Exposure to environmental tobacco smoke increases the risk of respiratory illness in children but data are inconclusive
regarding the risk of IgE-sensitisation.
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Ulrich Wahn, PhD MDVirchow-Kl. Humboldt-Universitat
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Notificar de las alergias del niño
Llevar documentación escrita….
No intercambiar comida No aspirina No enlatados….
Seguir guías…. Ver doc pie de página
Manejo de epinefrina…
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Historia.... Iritantes químicos Irritantes físicos.
Examen Físico
Criterios Diagnósticos
Hanifin, Rajka....80
UK working party..96
Paciente trabajo en busca signología atópica
http://www.portalesmedicos.com/blogs/DrJuanHerreraSalazar/note/529/cuestionario-familias-amistosas-con-la-ni%C3%B1a.html
Cuestionarios operacionales ….Casas amistosas
para Atópicos….Dr. Juan Herrera Salazar
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eMedecine Atopic Dermatitis Bernice R Krafchik, MBChB, FRCPC, Updated: Mar 18, 2011 Barrera de protección…consecuencias
inmunológicas ( Th1, Th2 The filaggrin gene (FLG) Anomalías en la producción de
ceramide.
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Hiperreactividad de la piel ( esta reacciona a factores ambientales inocuos a la mayoría de las personas )
La piel funciona como barrera protectora.
Aumento de la pérdida de agua trans epidérmica:Reducción ceramides: moléculas hidrofílicas presentes
en el estrato corneo, barrera menos eficiente.Aumento de la absorción de antígenos
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Este sitio ofrece uno de los Atlas de dermatologia más completos .
Lo encontraremos en varios idiomas
A cooperation between the Dept. of Clinical Social Medicine (Univ. of Heidelberg) and the Dept. of Dermatology (Univ. of Erlangen)
http://www.dermis.net/dermisroot/es/27284/diagnose.htm
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Until Hanifin and Rajka[7] developed diagnostic criteria for the diagnosis of atopic dermatitis in 1980, no standardized methods were available to make the diagnosis.
Ver pàgina en excel: Criterios UK Hanifin JM, Rajka G
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Coloque 144 imagenes encontradas en miniatura,…. Hagan click en la imagen que quieran discutir con su paciente … Link a la descripción y el diagnóstico diferencial …. Ora et lavora…
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Mascherone ( máscara )
Palor perioral
Prurigo Diatésico de BesnierNeurodermitis diseminata
Neurodermitis constitutionalisEczema endógenoSíndrome Hiper IgE
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144 imagenes encontradas todas en miniatura,…. Hagan click en la imagen que quieran discutir con su paciente … descripción y el diagnóstico diferencial …. Ora et lavora…
144 imagenes encontradas
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Signo Hertoghe
Palmae hiperlinearis
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Escamas …………………… xerosis
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Cluster de la Ictiosis Piel secaKeratosis pilarisPalmae hiperlinearisProminencia FolicularIctiosis vulgar
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Dirty Neck
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Piel seca
Liquenificación
Lichen Simplex Chronicus
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Perleche
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Blefaritis Asociado a Eczema Atópico
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Eritrema Periorbitario
Allergic shinners
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Distorsión arquitecturaPalpebral
SimblefarónEctropiónEntropiónTriquiasis
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• Síntomas
• Picazón• Quemazón• Fotofobia • Lagrimeo
• Signos
– Eczema palpebral– Hiperemia– Neovascularización
Cornea– Keratopatia Punctata– Ulcera cornea– Keratocono– Catarata
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•
Neovascularización de la cornea
edema,moco,ulceración
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Atopic Dermatitis Author: Brian S Kim, MD; Chief Editor: William D James, MD more...
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Contact Dermatitis, Allergic Contact Dermatitis, Irritant Immunodeficiency Lichen Simplex Chronicus Mollusca contagiosa with dermatitis Mycosis fungoides Nummular Dermatitis Psoriasis, Plaque Relative zinc deficiency Scabies Seborrheic Dermatitis Tinea Corporis
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tratamiento…
Medicamentos…
Bibliografía y fotos de emedecine…
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http://emedicine.medscape.com/article/1049085-clinical#a0217
Encontrara 4 fotos muy ilustrativas…
Gracias por la paciencia…
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Desde NicaraguaDr. Juan Herrera Salazar….