Dermatosis por agentes físicos

  1. Carranza Romero, C.
  2. López Bran, E.
Aldizkaria:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Argitalpen urtea: 2018

Zenbakien izenburua: Enfermedades de la piel (I) Semiología, dermatosis físicas y tumores cutáneos

Saila: 12

Zenbakia: 47

Orrialdeak: 2784-2794

Mota: Artikulua

DOI: HTTPS://DOI.ORG/10.1016/J.MED.2017.12.006 DIALNET GOOGLE SCHOLAR

Beste argitalpen batzuk: Medicine: Programa de Formación Médica Continuada Acreditado

Laburpena

Concept The skin as a barrier organ is exposed to various types of physical aggression from the external environment. This aggression can be mechanical or caused by heat or radiation (ultraviolet and ionising). Aetiopathogenesis Intense cold causes progressive ischaemia in the skin, burns cause progressive thrombosis of the blood vessels and radiation damages DNA. Classification The main forms of dermatosis caused by physical agents are burns, freeze injuries and radiodermatitis. Diagnosis A detailed history is essential to diagnose the condition and direct us to the causative agent, establish the conditions and the time the accident took place, as well as the circumstances that the patient was exposed to, and any comorbidity that might aggravate the clinical picture. A physical examination is required to assess the general condition of the patient. Prognosis The prognosis will depend on the extent of the dermatosis. Treatment Burns are treated by cooling, cleaning, debridement and creating a moist environment for re-epithelialisation. Freeze injuries should be rapidly warmed with water at 37°-39° for about 15 to 30 minutes, and topical, medium/high potency corticosteroids can be used for radiodermatitis, if there is no ulceration and/or superinfection.

Erreferentzia bibliografikoak

  • Handford C, Thomas O, Imray CHE. Frostbite. Emerg Med Clin North Am. 2017;35(2):281-99.
  • Piérad GE, Henry F, Piérard-Franchimont C. Lesiones por frío. Dermatología en Medicina General de Fitzpatrick. 7ª ed. Bue-nos Aires: Panamericana SA; 2009. p. 844-51.
  • Sheridan RL. Lesiones térmicas. Dermatología en Medicina General de Fitzpatrick. 7ª ed. Buenos Aires: Panamericana SA; 2009. p. 852-8.
  • Hernández Aragüés I, Pulido Pérez A, Suárez Fernández R. Inflammatory skin conditions associated with radiotherapy. Actas Dermosifiliogr. 2017;108(3):209-20.
  • Rodríguez-Pazos L, Ginarte Val M, Toribio Pérez J. Enfermedades originadas por agentes físicos/fotodermatosis. Manual de dermatología para residentes. Barcelona: Editorial Glosa, SL; 2011.p. 375-86.
  • DeLauro TM, DeLauro NM. Callos y callosidades. Dermatología en Medicina General de Fitzpatrick. 7ª ed. Buenos Aires: Panamericana SA; 2009. p. 871-2.
  • Velasco M. Diagnostic and treatment of leg ulcers. Actas Dermosifiliogr. 2011;102(10):780-90.
  • European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. Prevention and treatment of pressure ulcers: quick reference guide. Washington DC: National Pressure Ulcer Advisory Panel; 2009. National Pressure Ulcer Advisory Panel. Updated staging system.
  • Bauer J, Phillips LG. MOC-PSSM CME article: Pressure sores. Plast Reconstr Surg. 2008;121(1):1-10.
  • Phillips TJ, Odo LM. Úlceras por decúbito (por presión). Dermatología en Medicina General de Fitzpatrick. 7ª ed. Buenos Aires: Panamericana SA; 2009. p. 878-86.
  • Black JM, National Pressure Ulcer Advisory Panel. Moving toward consensus on deep tissue injury and pressure ulcer staging. Adv Skin Wound Care. 2005;18(8):415-6; 418; 420-1.
  • Sibbald RG, Krasner DL, Woo KY. Pressure ulcer staging revisited: superficial skin changes & Deep Pressure Ulcer. Adv Skin Wound Care. 2011;24(12):571-80.13.
  • Smart H. Deep tissue injury: what is it really? Adv Skin Wound Care. 2013;26 (2):56-8.
  • Espinosa Lara P, Borbujo Martínez JM. Quemaduras graves. Manual de dermatología para residentes. Barcelona: Editorial Glosa, SL; 2011. p. 422-7
  • Fernández-Portilla T, Escutia-Muñoz B, Navarro-Mira M, Pujol-Marco C. Erythema ab igne caused by laptop computer use. Actas Dermosifiliogr. 2012;103(6):559-60.
  • Bilic M, Adams BB. Erythema ab igne induced by a laptop computer. J Am Acad Dermatol. 2004;50:973-4.
  • Borrego L. Acute skin lesions after surgical procedures: a clinical approach. Actas Dermosifiliogr. 2013;104(9):776-81.
  • Bolderston A, Lloyd NS, Wong RK, Holden L, Robb-Blenderman L; Supportive Care Guidelines Group of Cancer Care Ontario Program in Evidence Based Care. The prevention and management of acute skin reactions related to radiation therapy: a systematic review and practice gui-deline. Support Care Cancer. 2006;14(8):802-17.
  • Hymes SR, Strom EA, Fife C. Radiation dermatitis: clinical presentation, pathophysiology, and treatment 2006. J Am Acad Dermatol. 2006;54:28-46.
  • Hernández Aragüés I, Pulido Pérez A, Suárez Fernández R. Inflammatory skin conditions associated with radiotherapy. Actas Dermosifiliogr. 2017;108(3):209-20.
  • Styring E, Klasson S, Rydholm A, Vult von Steyern F. Radiation associated angiosarcoma after breast cancer: improved survival byexcision of all irradiated skin and soft tissue of the thoracic wall? A report of six patients. Acta Oncol. 2015;54(7):1078-80.
  • Armengot-Carbó M, Roca-Estellés MJ, Quecedo-Estébanez E, Gimeno-Carpio E. Angiosarcoma of the skin after breast cancer radiotherapy. Actas Dermosifiliogr. 2012;103(6):557-9.
  • Millet JD, Brown RK, Levi B, Kraft CT, Jacobson JA, Gross MD. Frostbite: spectrum of imaging findings and guidelines for management. Radiographics. 2016;36(7):2154-69
  • Puig Sanz Ll. Reacciones cutáneas frente a agentes físicos. Fotobiología y fotodermatosis. Dermatología clínica. 3ª ed. Barcelona: Elsevier España, S.L; 2009. p. 145-6.
  • Allison K, Porter K. Consensus on the prehospital approach to burns patient management. Emerg Med J. 2004;21:112-4.
  • McIntosh SE, Opacic M, Freer L, Grissom CK, Auerbach PS, Rodway GW; Wilderness Medical Society. Wilderness Medical Society practice guidelines for the prevention and treatment of frostbite: 2014 update. Wilderness Environ Med 2014;25(4)Suppl:S43-54
  • Handford C, Buxton P, Russell K, Imray CE, McIntosh SE, Freer L. Frostbite: a practical approach to hospital management. Extrem Physiol Med. 2014;3:7.
  • Watson LC, Gies D, Thompson E, Thomas B. Randomized control trial: evaluating aluminum-based antiperspirant use, axilla skin toxicity, and reported quality of life in women receiving external beam radiotherapy for treatment of Stage 0, I, and II breast cancer. Int J Radiat Oncol Biol Phys. 2012;83(1):e29-34.
  • Wong RK, Bensadoun RJ, Boers-Doets CB, Bryce J, Chan A, Epstein JB. Clinical practice guidelines for the prevention and treatment of acute and late radiation reactions from the MASCC Skin Toxicity Study Group. Support Care Cancer. 2013;21(10):2933-48.
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