يعرض 1 - 10 نتائج من 28 نتيجة بحث عن '"Mirna, Toledo-Bahena"', وقت الاستعلام: 0.78s تنقيح النتائج
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    دورية أكاديمية
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    دورية أكاديمية

    المصدر: Dermatologica Sinica, Vol 38, Iss 3, Pp 172-175 (2020)

    الوصف: X-linked hypohidrotic ectodermal dysplasia (XLHED) is caused by EDA pathogenic variants. Female carriers show several clinical manifestations in variable percentages. We studied 11 Mexican heterozygous females with an EDA variant. The most frequent symptoms were similar to previous reports; however, two females (18%) reported dry eye syndrome, data rarely explored in carriers. The penetrance was 91% with clinical variability that might be related to the location of the mutation and/or to a skewed X-inactivation pattern. Our results highlight the importance of offering molecular testing to potential female carriers and support XLHED as an X-linked entity with incomplete penetrance in females.

    وصف الملف: electronic resource

  3. 3
    دورية أكاديمية

    المصدر: Journal of Fungi; Volume 7; Issue 11; Pages: 929

    جغرافية الموضوع: agris

    الوصف: Purpose of review. Inflammatory tinea is an uncommon group of dermatophyte entities that predominantly cause fungal infection of the skin and hair. This review intends to present all of the available evidence regarding its epidemiology, etiopathogenesis, clinical features, and diagnostic methods as well as treatments recommended for various inflammatory tinea infections. This article provides a review of Majocchi’s granuloma and dermatophytic or Hadida’s disease. Recent findings. The new phylogenetic classification of dermatophytes includes nine genera, and those that affect humans are Trichophyton, Microsporum, Epidermophyton, and Nannizzia. Furthermore, molecular advancements have revealed impaired antifungal immune responses caused by inflammatory tinea, which are detailed in this article. Summary. The common denominator in these pathologies is the presence of impaired immune responses and, consequently, an impaired inflammatory response by the host. It is necessary to be familiar with these immunological characteristics in order to use the appropriate diagnostic methods and to provide adequate treatment.

    وصف الملف: application/pdf

    العلاقة: Fungal Pathogenesis and Disease Control; https://dx.doi.org/10.3390/jof7110929Test

  4. 4
    دورية أكاديمية

    المصدر: Revista Alergia México, Vol 65 suppl 1 (2018)

    الوصف: Background: The diagnostic approaches and therapeutic strategies of atopic dermatitis (AD) are generally inconsistent among physicians and health institutions. Objective: To develop a consensus statement among experts to reduce the variations in practice regarding the diagnosis and treatment of patients ≥ 12 years with AD to improve their care. Methods: Systematic literature search in PubMed and GREAT. With methodological support and using the Delphi method, a formal consensus was developed among 16 experts in Dermatology and Allergology, based on the current evidence and its applicability in the Mexican context. Apart from intense electronic communication, several issues of disagreement were discussed in two face-to-face meetings. Results: The clinical experts reached consensus on 46 statements related to the definition, classification, diagnostic strategies and treatment of AD. For the diagnosis we suggest the Williams criteria and for severity scoring the SCORAD (by the doctor) and POEM (by the patient). In addition to general care and treatment education (workshops), we suggest four steps for treatment, depending on severity: 1. Topical treatment with anti-inflammatory agents (and systemic: antihistamines/antileukotrienes —low level evidence—) 2. Phototherapy, 3. Cyclosporin A and 4. Dupilumab, with the possibility of managing this biological earlier on if a fast effect is needed. In extrinsic AD we suggest evaluating the addition of allergen immunotherapy or an elimination diet, if there is an IgE-mediated respiratory or food allergy, respectively. Conclusion: The panel of experts reached consensus on relevant aspects of AD with a focus on the transcultural adaptation of recent evidence.

    وصف الملف: electronic resource

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    المصدر: Current Fungal Infection Reports. 15:41-48

    الوصف: This is a general review of the disease in this article, especially of the clinical features, diagnosis, new treatments and preventive measures. Diagnostic methods in pediatric population to confirm the diagnosis of aspergillosis and typify the etiologic agent are based on the use of molecular biology through PCR techniques. Currently, the treatment of choice for cases of primary cutaneous aspergillosis is liposomal amphotericin B or itraconazole alone or synergistically, uuse of voriconazole, posaconazole, or caspofungin is recommended as a second-line management. Cutaneous aspergillosis is a rare condition in immunocompetent individuals and is more frequently observed in immunosuppressed patients. Considering the pediatric population as a specific case, it more commonly occurs in individuals suffering from a hemato-oncological disease. Asperillus flavus and A. fumigatus are the main pathogens responsible for primary and secondary (invasive) cutaneous aspergillosis, respectively. The clinical picture develops after direct inoculation of the fungus by contiguity of infected cavities or secondary to the presence of a distant mycotic focus that reaches the skin and its annexes by hematogenous dissemination. Owing to the rapid progression of the disease, a delay in initiating proper management impacts patient mortality. In case of children and adolescents, clinical suspicion in individuals with risk factors should be the main argument for starting pharmacological management in a timely manner.

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    المصدر: Current Fungal Infection Reports. 13:175-180

    الوصف: We have created a general review of the disease in this article, especially of the clinical features, diagnosis, new treatments and preventive measures. Congenital cutaneous candidiasis is a vertically transmitted fungal infection which affects term and premature newborn. It is considered as an underdiagnosed pathology, and infection caused by Candida albicans is considered the most common aetiology. Clinically characterized by erythematous papular lesions and pustules with collarette scale. It can also affect other organs and systems by causing an invasive fungal infection. Diagnosis is clinical, and the agent can be isolated; other tools of diagnosis include direct examination and skin biopsy. Regarding the treatment, this infection can be self-limiting in a majority of cases and topical antifungals constitute the treatment of choice. However, in the case of a systemic condition, the first-line treatment is amphotericin B. Prognosis is good, although it is unfavourable in the case of a systemic condition.

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    المصدر: Current Fungal Infection Reports. 13:157-168

    الوصف: Pityriasis versicolor (PV) is a superficial mycosis that it can occur at any age, even in newborns. In this review, we will describe epidemiological data, mycological characteristics of yeast, pathogenesis and clinical characteristics of the disease, different diagnostic resources, and the current recommendations for treatment. The typical morphology and topography of PV allow us to make a quick diagnosis, but atypical presentations have been described. Diagnostic tools, such as dermoscopy, can also reveal patterns that allow the evaluation of characteristics of scales and pigment in lesions. The discovery of new species and new mechanisms of interaction with the host has broadened the panorama of aetiological possibilities. Although PV is a common disorder, extensive research is necessary to better understand the pathophysiology of the disease, immunological characteristics of the pathogen-host relationship and resources needed to precisely diagnose the disease, treat the disease, and avoid its chronic and recurrent course.

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    المصدر: Journal of Fungi
    Journal of Fungi, Vol 7, Iss 929, p 929 (2021)

    الوصف: Purpose of review. Inflammatory tinea is an uncommon group of dermatophyte entities that predominantly cause fungal infection of the skin and hair. This review intends to present all of the available evidence regarding its epidemiology, etiopathogenesis, clinical features, and diagnostic methods as well as treatments recommended for various inflammatory tinea infections. This article provides a review of Majocchi’s granuloma and dermatophytic or Hadida’s disease. Recent findings. The new phylogenetic classification of dermatophytes includes nine genera, and those that affect humans are Trichophyton, Microsporum, Epidermophyton, and Nannizzia. Furthermore, molecular advancements have revealed impaired antifungal immune responses caused by inflammatory tinea, which are detailed in this article. Summary. The common denominator in these pathologies is the presence of impaired immune responses and, consequently, an impaired inflammatory response by the host. It is necessary to be familiar with these immunological characteristics in order to use the appropriate diagnostic methods and to provide adequate treatment.

  10. 10

    المصدر: Boletín Médico del Hospital Infantil de México, Vol 78, Iss 5 (2021)

    الوصف: Leukemia cutis (LC) is the infiltration of neoplastic leukocytes into the skin, causing skin lesions. In children, it appears more frequently in patients with acute myeloblastic leukemia (AML), particularly in subtypes with a monocytic component.We studied a retrospective cohort including all AML cases from the Hospital Infantil de México Federico Gómez between January 2009 to December 2019 and described the clinical characteristics of those who presented LC and other mucocutaneous manifestations. The information was collected from clinical records and analyzed using SPSS software (version 17).We identified 54 AML cases: 53.7% were males, and 75.9% of the patients presented at least one dermatosis in the course of the disease. LC was clinically present in 14.8% of patients and was histologically confirmed in 9.2% of them; two congenital leukemia cases were identified. Among these patients, LC was more frequent in males. LC patients were younger than those without LC, the most frequent AML subtype was M2 (37.5%), and the most frequent clinical manifestations were plaques, chloromas, and gingival hyperplasia. None of the patients presented LC before AML diagnosis.Currently, only a few studies about LC on pediatric populations have been reported, and the existing ones have small sample sizes. We found clinical and epidemiological similarities with other populations in the studied sample.La leucemia cutis (LC) es la infiltración de leucocitos neoplásicos a la piel que provoca lesiones cutáneas. En la población infantil aparece con más frecuencia en pacientes con leucemia mieloblástica aguda (LMA), principalmente en los subtipos con componente monocítico.Se estudió una cohorte retrospectiva en el Hospital Infantil de México Federico Gómez entre enero de 2009 y diciembre de 2019 para conocer las características clínicas de los pacientes con LMA que cursaron con LC y otras manifestaciones mucocutáneas. La información se recabó de los expedientes clínicos y se analizó con el programa estadístico SPSS versión 17.Se identificaron 54 casos de LMA: el 53.7% en el sexo masculino y el 46.3% en el sexo femenino. El 75.9% de los pacientes presentaron alguna dermatosis durante el curso de su enfermedad. La LC se presentó clínicamente en el 14.8% de los pacientes y se confirmó histológicamente en el 9.2% de ellos; dos casos correspondieron a leucemia congénita. De estos pacientes, la LC fue más frecuente en el sexo masculino, los pacientes fueron más jóvenes que el grupo sin LC, el subtipo de LMA más frecuente fue el M2 (37.5%) y las principales manifestaciones clínicas fueron placas infiltradas, cloromas e hiperplasia gingival. Ninguno de los pacientes presentó LC antes del diagnóstico de LMA.Hasta ahora existen pocos estudios de LC en las diferentes variedades de leucemia en la población infantil, y los existentes cuentan con un tamaño de muestra pequeño. En este estudio se reportan estadísticas descriptivas y se encuentran similitudes clínico-epidemiológicas con otras poblaciones.