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Search Results: 1 - 10 of 224025 matches for " Claudine Juliana C;Skare "
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Prevalência de deficiência de vitamina D em pacientes com úlceras de perna de etiologia venosa
Burkievcz, Claudine Juliana C;Skare, Thelma Larocca;Malafaia, Osvaldo;Nassif, Paulo Afonso Nunes;Ribas, Claudia Stein Gomes;Santos, Lorena Reis Pereira;
Revista do Colégio Brasileiro de Cirurgi?es , 2012, DOI: 10.1590/S0100-69912012000100012
Abstract: objective: to study if the prevalence of vitamin d deficiency in patients with ulcer of venous leg is higher than in the control population. methods: serum levels of vitamin d 25 oh was studied by chemiluminescence in 27 patients with chronic venous ulcer and 58 controls at the evangelical hospital of curitiba. results: the levels of 25oh vitamin d3 were below 8 ng/dl in 11.1% of ulcer patients and 3.4% of controls; between 8 and 20 ng / dl in 46.1% of ulcer patients and 25.8% of controls; between 21 and 30 ng / dl in 22.2% of ulcer patients and 27.5% of controls and above 30 ng/dl in 43.1% of controls and 18.5% of ulcer patients (p=0.04). conclusion: there is an increased prevalence of vitamin d deficiency in patients with chronic venous leg ulcers.
Padr?o de comprometimento articular em pacientes com lúpus eritematoso sistêmico e sua associa??o com presen?a de fator reumatóide e hiperelasticidade
Caznoch, Claudine Juliana;Esmanhotto, Letícia;Silva, Marília Barreto;Skare, Thelma L.;
Revista Brasileira de Reumatologia , 2006, DOI: 10.1590/S0482-50042006000400005
Abstract: introduction: the articular manifestations of systemic lupus erythematosus are diverse and its whole spectrum is not fully appreciated by rheumatologists. objective: this study aimed to assess the frequency of different forms of lupus joint involvement. it had also an objective of this study to determine the relationship of different joint patterns and rheumatoid factor and the occurrence of hypermobility. material and methods: we studied 147 lupus patients for pattern of joint involvement, rheumatoid factor and presence of hypermobility by beighton index. results: in the studied population 53.1% had joint complaints at diagnosis and 80.3% during the disease. isolated arthralgia was present in 31.3%; arthritis with additive pattern was found in 36.1% and with migratory pattern in 12.9%. in 4.8% there was deforming arthritis: 2.1% with rhupus and 2.7 with jaccoud's syndrome. we found a positive association between rheumatoid factor and additive arthritis (p<0.001). no association could be demonstrated between hypermobility and jaccoud arthropathy. conclusion: joint complaints are very common specially the presence of arthritis (additive and migratory). there is a higher positivity of rheumatoid factor in patients with the additive form.
Vitamina D e cicatriza o de pele: estudo prospectivo, duplo-cego, placebo controlado na cicatriza o de úlceras de perna Vitamin D and skin repair: a prospective, double-blind and placebo controlled study in the healing of leg ulcers
Claudine Juliana Cristina Caznoch Burkiewicz,Fernanda Ampesaan Guadagnin,Thelma Laroka Skare,Marcelo Mazza do Nascimento
Revista do Colégio Brasileiro de Cirurgi?es , 2012, DOI: 10.1590/s0100-69912012000500011
Abstract: OBJETIVO: Estudar a rela o entre deficiência de vitamina D e cicatriza o de pele em pacientes com úlceras de perna, relacionar esta deficiência com características da úlcera e avaliar se a reposi o de vitamina D nos indivíduos deficientes acelera a cicatriza o da úlcera. MéTODOS: Foram escolhidos aleatoriamente 26 pacientes com úlceras venosas de perna e 26 sem úlcera pareados para sexo, idade, HAS e tabagismo. Os grupos foram comparados com rela o à dosagem sérica de vitamina D. O grupo úlcera foi dividido em dois subgrupos: um que tomou placebo e outro que recebeu vitamina D 50.000UI por semana durante dois meses. Foi realizada a dosagem da 25-OH-vitamina D e avaliados o tamanho da úlcera e a gravidade da dor, antes e após o tratamento. RESULTADOS: A maioria dos pacientes apresentava níveis insuficientes de vitamina D. N o foi encontrada correla o entre o tamanho da úlcera sem tratamento e os níveis de vitamina D. Nos pacientes que receberam vitamina D, após o tratamento, o tamanho mediano da área da úlcera, diminui de 25cm2, para 18cm2 e no grupo placebo, de 27cm2 para 24,5cm2 (p=0,7051 e p=0,7877, respectivamente). Considerando-se a variabilidade da área da úlcera do grupo vitamina D versus placebo, a mediana foi igual a -0,75cm2 no primeiro grupo e 4cm2 no segundo grupo (p=0,0676). CONCLUS O: Pacientes com úlcera de perna têm mais deficiência de vitamina D que os sem. A deficiência de vitamina D n o influiu nas características das les es. A cicatriza o nos pacientes com hipovitaminose D mostrou tendência para ser maior naqueles que receberam reposi o vitamínica. OBJECTIVE: To analyze the relation between vitamin D insufficiency and wound healing in patients with venous ulcers; to correlate vitamin D insufficiency with characteristics of the ulcer (size and pain) and to evaluate if reposition of vitamin D in these subjects expedites ulcer healing. METHODS: We selected 26 patients with leg ulcers, and 26 control patients without ulcers, matched for gender, age, systemic arterial hypertension and tobacco use. The venous ulcer group was divided in two subgroups: one that received placebo (nine patients) and other receiving vitamin D, 50.000 IU per week over two months (13 patients). Blood was collected for 25 OH vitamin D dosage before and after the medication. In the ulcer group, we obtained data concerning demographics, leg ulcer size, as well as pain severity, measured by an analogical visual scale. Data was grouped in contingency and frequency tables, the tests of Fisher and chi-squared being used for nominal variables and Mann-Whitney for n
Síndrome do anticorpo antifosfolípide e endometriose
Schmidt, Leonardo;Burkiewicz, Claudine J. C.;Pastro, Paulo C.;Silva, Marilia Barreto;Skare, Thelma L.;
Revista Brasileira de Reumatologia , 2006, DOI: 10.1590/S0482-50042006000600014
Abstract: we describe a patient with sneddon's syndrome associated with antiphospholipid antibodies and endometriosis. the authors analyze the association of these two diseases.
Pioderma gangrenoso e lúpus eritematoso sistêmico
Burkieviecz, Claudine J. C.;Schmidt, Leonardo;Silva, Marilia Barreto;Skare, Thelma L.;
Revista Brasileira de Reumatologia , 2007, DOI: 10.1590/S0482-50042007000400010
Abstract: pyoderma gangrenosum (pg) is an uncommon neutrophilic dermatosis that, in some situations, may be a manifestation of a systemic disease. among the diseases that come together with this skin lesion are some rheumatic disorders, being rheumatoid arthritis the most common. systemic lupus erythematosus and antiphospholipid syndrome have also been describedin association with pg. we describe here a rare case of association between pg and systemic lupus erythematosus with secondary antiphospholipid syndrome.
Esclerite como manifesta??o inicial de granulomatose de Wegener: descri??o de caso
Schmidt, Leonardo;Burkiewicz, Claudine J. C.;Silva, Marilia Barreto;Skare, Thelma L.;
Revista Brasileira de Reumatologia , 2007, DOI: 10.1590/S0482-50042007000200014
Abstract: scleritis is an ocular inflammatory condition characterized by edema and cellular infiltration of the sclera that causes local redness, pain and loss of visual acuity. it can be the first manifestation of a systemic rheumatic disease such as lupus, rheumatoid arthritis and relapsing polycondritis, although it is more frequently found in a well established disease. the authors describe a case of wegener's granulomatosis where this form of ocular involvement preceded the glomerulonephritis by eighteen months.
Capilaroscopia periungueal e gravidade da esclerodermia sistêmica
Skare, Thelma L.;Esmanhotto, Letícia;Casnoch, Claudine;Silva, Marilia Barreto;
Anais Brasileiros de Dermatologia , 2008, DOI: 10.1590/S0365-05962008000200004
Abstract: background: nail fold capillaroscopy has been largely used in the diagnosis of systemic sclerosis. it has been recently discovered that this test is also able to predict internal organ damage in systemic sclerosis. objective: this study was carried out to verify whether nail fold capillaroscopy findings are correlated with disease severity. methods: we studied nail fold capillaroscopy findings regarding dilated and avascular areas from 14 patients with systemic sclerosis; degree of skin involvement by means of a modified rodnan index; and disease severity with the scale proposed by medsger et al. results: the results showed that the number of avascular areas has a good correlation with disease severity (p = 0.043), but not with the number of dilated capillaries (p = 0.57). the degree of cutaneous thickening was not related to the degree of capillary dilatation (p = 0.76), but tended to be associated with avascular areas (p = 0.07). conclusion: the authors conclude that the number of avascular areas in nail fold capillaroscopy could be used as a sign of disease severity in systemic sclerosis.
Porfiria cutanea tarda e lúpus eritematoso sistêmico
Haendchen, Leticia;Jord?o, Juliana Merheb;Haider, Osvaldo;Araújo, Francisco;Skare, Thelma L;
Anais Brasileiros de Dermatologia , 2011, DOI: 10.1590/S0365-05962011000100035
Abstract: the co-existence of systemic lupus erythematosus and porphyria although rare has been known for a long time. this association forces the physician to make a careful differential diagnosis of the bullous lesions that might appear in such patients and to be careful when prescribing certain drugs such as chloroquine. this drug, when used in the regular doses for treating lupus, may cause hepatotoxicity in patients.suffering from porphyria. it is described here the case of a patient with lupus who developed bullous lesions compatible with porphyria cutanea tarda.
Clinical profile of patients with lupus nephritis
T.L. Skare,A.C. Sch?nrock
Reumatismo , 2011, DOI: 10.4081/reumatismo.2009.316
Abstract: To the Editor Lupus nephritis is the strongest predictor of systemic lupus erythematosus (SLE) patient’s morbidity and mortality with a prevalence varying from 31 to 65% according to the studied population (1). As the onset of lupus nephritis is usually silent, knowing possible association with others symptoms is useful in order to keep of better vigilance on patients with higher possibility to develop it. Pistiner et al described that lupus patients with nephritis also have an increased frequency of other severe lupus manifestations (2). According to Huong et al, in a study of 180 patients with lupus renal involvement, patients with nephritis suffered more commonly from malar rash, psychosis, myocarditis, pericarditis, lymphadenopathy and hypertension...
The Notion of Text and the Notion of Document - what Difference does it make?
Roswitha Skare
Nordlit : Tidsskrift i litteratur og kultur , 2009,
Abstract: The origins of the notion of both text and document can be traced back to antiquity. Over the course of their respective histories – which I will not go into at this juncture – the meanings of both terms have evolved. Beyond the commonly used meanings, there are numerous other usages in various fields of specialization.
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