Estudo clínico das alterações dermatológicas nas gestantes de baixo e alto risco

Detalhes bibliográficos
Autor(a) principal: Fernandes, Lana Bezerra
Data de Publicação: 2014
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Repositório Institucional da UFG
dARK ID: ark:/38995/001300000ckcw
Texto Completo: http://repositorio.bc.ufg.br/tede/handle/tede/4408
Resumo: BACKGROUND: During pregnancy immunological, metabolic, endocrine and vascular changes responsible for physiological and pathological skin changes occur. OBJECTIVES: To determine the prevalence of physiological skin changes and specific pregnancy dermatoses, comparing the period of gestation of their appearance and compare type of prenatal care (low and high risk) and the skin changes. METHODS: A cross-sectional study with 905 pregnant women in the antenatal clinic of low-and high-risk Clinical Hospital / UFG. The patient was submitted to a complete dermatological examination, following head-foot dynamics. Laboratory tests and biopsies were required for differential diagnosis. The variables were analyzed by calculating relative and absolute frequencies and chi-square test for categorical variables. Set value of 5% for significance. RESULTS: Physiological skin changes showed most high phototype and its prevalence was 88.95%. Among these the most common abnormality was hyperpigmentation (87.95%), followed by the appearance of new stretch marks (46.96%). The period of emergence of the changes was greater in the 3rd quarter and compared to other quarters was no statistical difference between them and the type of prenatal care was no statistical difference. The specific skin dermatoses showed most high phototype and its prevalence was 8.72%. Among these the Atopic Eruption was the most common (70.88%), followed by intrahepatic cholestasis (18.98%). The 3rd quarter was the only one to show a statistical difference compared to other quarters. However, when compared to the emergence of these type of prenatal this difference was not significant. CONCLUSION: The prevalence of cutaneous physiological changes of pregnancy was 88.95%, and the specific dermatoses of pregnancy was 8.72% The most common time of onset of physiological changes was in the 3rd trimester, as well as the specific dermatoses. No statistical difference in prenatal low risk compared to high risk was observed, whereas the cutaneous physiological changes specific dermatoses
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spelling Amaral, Waldemar Naves dohttp://lattes.cnpq.br/4092560599116579Amaral, Waldemar Naves doFerreira, Rui GilbertoSousa, Juarez Antônio dehttp://lattes.cnpq.br/0870627067564200Fernandes, Lana Bezerra2015-04-01T21:13:22Z2014-04-05FERNANDES, L. B. Estudo clínico das alterações dermatológicas nas gestantes de baixo e alto risco. 2014. 119 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2014.http://repositorio.bc.ufg.br/tede/handle/tede/4408ark:/38995/001300000ckcwBACKGROUND: During pregnancy immunological, metabolic, endocrine and vascular changes responsible for physiological and pathological skin changes occur. OBJECTIVES: To determine the prevalence of physiological skin changes and specific pregnancy dermatoses, comparing the period of gestation of their appearance and compare type of prenatal care (low and high risk) and the skin changes. METHODS: A cross-sectional study with 905 pregnant women in the antenatal clinic of low-and high-risk Clinical Hospital / UFG. The patient was submitted to a complete dermatological examination, following head-foot dynamics. Laboratory tests and biopsies were required for differential diagnosis. The variables were analyzed by calculating relative and absolute frequencies and chi-square test for categorical variables. Set value of 5% for significance. RESULTS: Physiological skin changes showed most high phototype and its prevalence was 88.95%. Among these the most common abnormality was hyperpigmentation (87.95%), followed by the appearance of new stretch marks (46.96%). The period of emergence of the changes was greater in the 3rd quarter and compared to other quarters was no statistical difference between them and the type of prenatal care was no statistical difference. The specific skin dermatoses showed most high phototype and its prevalence was 8.72%. Among these the Atopic Eruption was the most common (70.88%), followed by intrahepatic cholestasis (18.98%). The 3rd quarter was the only one to show a statistical difference compared to other quarters. However, when compared to the emergence of these type of prenatal this difference was not significant. CONCLUSION: The prevalence of cutaneous physiological changes of pregnancy was 88.95%, and the specific dermatoses of pregnancy was 8.72% The most common time of onset of physiological changes was in the 3rd trimester, as well as the specific dermatoses. No statistical difference in prenatal low risk compared to high risk was observed, whereas the cutaneous physiological changes specific dermatosesFUNDAMENTO: Durante a gravidez ocorrem alterações imunológicas, metabólicas, endócrinas e vasculares responsáveis por alterações cutâneas fisiológicas e patológicas. OBJETIVOS: Estabelecer a prevalência das alterações cutâneas fisiológicas e das dermatoses específicas gestacionais, comparar o período da idade gestacional de seu surgimento e comparar tipo de pré-natal (baixo e alto risco) quanto às alterações dermatológicas. MÉTODOS: Estudo transversal analítico realizado com 905 gestantes no ambulatório de pré-natal de baixo e alto risco do Hospital das Clínicas/UFG. A gestante foi submetida ao exame dermatológico completo, obedecendo dinâmica cefalo-podal. Foram solicitados exames laboratoriais e biópsias para diagnósticos diferenciais. As variáveis foram estudadas através dos cálculos de frequências relativas e absolutas e teste Qui-quadrado para variáveis categóricas. Estabelecido valor de 5% para significância. RESULTADOS: As alterações cutâneas fisiológicas apresentaram maioria fototipo alto e sua prevalência foi de 88,95%. Dentre estas a alteração mais comum foi a pigmentar (87,95%), seguida pelo aparecimento de novas estrias (46,96%). O período de surgimento das alterações foi maior no 3º trimestre e comparado aos outros trimestres houve diferença estatística entre eles e quanto ao tipo de pré-natal não foi houve diferença estatística. As dermatoses cutâneas específicas apresentaram maioria fototipo alto e sua prevalência foi de 8,72%. Dentre estas a Erupção Atópica foi a mais comum (70,88%); seguida pela Colestase Intra-hepática (18,98%). O 3º trimestre foi o único a apresentar diferença estatística comparado aos demais trimestres. Já quando comparado o surgimento destas ao tipo do pré-natal esta diferença não se mostrou significativa. CONCLUSÃO: A prevalência de alterações fisiológicas cutâneas gestacionais foi de 88,95%, sendo que a das dermatoses específicas gestacionais foi de 8,72%. O momento mais comum de surgimento de alterações fisiológicas foi no 3º trimestre gestacional, assim como o das dermatoses específicas. Não se observou diferença estatística no pré-natal de baixo risco comparado com o de alto risco, considerando as alterações fisiológicas cutâneas e as dermatoses específicas gestacionais.Submitted by Erika Demachki (erikademachki@gmail.com) on 2015-04-01T20:56:35Z No. of bitstreams: 2 Dissertação - Lana Bezerra Fernandes - 2014.pdf: 2091741 bytes, checksum: d2de505d009cccbbff3717ebe19797ba (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)Approved for entry into archive by Erika Demachki (erikademachki@gmail.com) on 2015-04-01T21:13:22Z (GMT) No. of bitstreams: 2 Dissertação - Lana Bezerra Fernandes - 2014.pdf: 2091741 bytes, checksum: d2de505d009cccbbff3717ebe19797ba (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)Made available in DSpace on 2015-04-01T21:13:22Z (GMT). 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dc.title.por.fl_str_mv Estudo clínico das alterações dermatológicas nas gestantes de baixo e alto risco
dc.title.alternative.eng.fl_str_mv Clinical study of dermatological changes in low and high risk pregnancies
title Estudo clínico das alterações dermatológicas nas gestantes de baixo e alto risco
spellingShingle Estudo clínico das alterações dermatológicas nas gestantes de baixo e alto risco
Fernandes, Lana Bezerra
Pele
Gravidez
Dermopatia
Pigmentação de pele
Penfigoide gestacional
Skin
Pregnancy
Dermopathy
Skin pigmentation
Gestational pemphigoid
CIENCIAS DA SAUDE
title_short Estudo clínico das alterações dermatológicas nas gestantes de baixo e alto risco
title_full Estudo clínico das alterações dermatológicas nas gestantes de baixo e alto risco
title_fullStr Estudo clínico das alterações dermatológicas nas gestantes de baixo e alto risco
title_full_unstemmed Estudo clínico das alterações dermatológicas nas gestantes de baixo e alto risco
title_sort Estudo clínico das alterações dermatológicas nas gestantes de baixo e alto risco
author Fernandes, Lana Bezerra
author_facet Fernandes, Lana Bezerra
author_role author
dc.contributor.advisor1.fl_str_mv Amaral, Waldemar Naves do
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/4092560599116579
dc.contributor.referee1.fl_str_mv Amaral, Waldemar Naves do
dc.contributor.referee2.fl_str_mv Ferreira, Rui Gilberto
dc.contributor.referee3.fl_str_mv Sousa, Juarez Antônio de
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/0870627067564200
dc.contributor.author.fl_str_mv Fernandes, Lana Bezerra
contributor_str_mv Amaral, Waldemar Naves do
Amaral, Waldemar Naves do
Ferreira, Rui Gilberto
Sousa, Juarez Antônio de
dc.subject.por.fl_str_mv Pele
Gravidez
Dermopatia
Pigmentação de pele
Penfigoide gestacional
topic Pele
Gravidez
Dermopatia
Pigmentação de pele
Penfigoide gestacional
Skin
Pregnancy
Dermopathy
Skin pigmentation
Gestational pemphigoid
CIENCIAS DA SAUDE
dc.subject.eng.fl_str_mv Skin
Pregnancy
Dermopathy
Skin pigmentation
Gestational pemphigoid
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE
description BACKGROUND: During pregnancy immunological, metabolic, endocrine and vascular changes responsible for physiological and pathological skin changes occur. OBJECTIVES: To determine the prevalence of physiological skin changes and specific pregnancy dermatoses, comparing the period of gestation of their appearance and compare type of prenatal care (low and high risk) and the skin changes. METHODS: A cross-sectional study with 905 pregnant women in the antenatal clinic of low-and high-risk Clinical Hospital / UFG. The patient was submitted to a complete dermatological examination, following head-foot dynamics. Laboratory tests and biopsies were required for differential diagnosis. The variables were analyzed by calculating relative and absolute frequencies and chi-square test for categorical variables. Set value of 5% for significance. RESULTS: Physiological skin changes showed most high phototype and its prevalence was 88.95%. Among these the most common abnormality was hyperpigmentation (87.95%), followed by the appearance of new stretch marks (46.96%). The period of emergence of the changes was greater in the 3rd quarter and compared to other quarters was no statistical difference between them and the type of prenatal care was no statistical difference. The specific skin dermatoses showed most high phototype and its prevalence was 8.72%. Among these the Atopic Eruption was the most common (70.88%), followed by intrahepatic cholestasis (18.98%). The 3rd quarter was the only one to show a statistical difference compared to other quarters. However, when compared to the emergence of these type of prenatal this difference was not significant. CONCLUSION: The prevalence of cutaneous physiological changes of pregnancy was 88.95%, and the specific dermatoses of pregnancy was 8.72% The most common time of onset of physiological changes was in the 3rd trimester, as well as the specific dermatoses. No statistical difference in prenatal low risk compared to high risk was observed, whereas the cutaneous physiological changes specific dermatoses
publishDate 2014
dc.date.issued.fl_str_mv 2014-04-05
dc.date.accessioned.fl_str_mv 2015-04-01T21:13:22Z
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dc.identifier.citation.fl_str_mv FERNANDES, L. B. Estudo clínico das alterações dermatológicas nas gestantes de baixo e alto risco. 2014. 119 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2014.
dc.identifier.uri.fl_str_mv http://repositorio.bc.ufg.br/tede/handle/tede/4408
dc.identifier.dark.fl_str_mv ark:/38995/001300000ckcw
identifier_str_mv FERNANDES, L. B. Estudo clínico das alterações dermatológicas nas gestantes de baixo e alto risco. 2014. 119 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2014.
ark:/38995/001300000ckcw
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language por
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dc.publisher.none.fl_str_mv Universidade Federal de Goiás
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dc.publisher.initials.fl_str_mv UFG
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv Faculdade de Medicina - FM (RG)
publisher.none.fl_str_mv Universidade Federal de Goiás
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