Autor: Juliana Aguiar Ledur | Publicado: 2011-07-17T06:04:00-07:00

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 <![endif]-->  RELATO DE CASO CLÍNICO - ACADÊMICO JOÃO FERNANDES - 3º SEMESTRE - UNIR  IDENTIFICAÇÃO: OJS, 50 anos, sexo feminino, agricultora;QUEIXA PRINCIPAL
“mançhas nas mãos, no braço esquerdo( sendo uma cascuda), debaixo do braço e no seio direito”.
HISTÓRICO DA DOENÇA ATUAL

Paciente relata o aparecimento de &nbsp;lesões elementares do tipo placa, com cor acastanhada, bordas regulares ao longo de todo o braço, antebraço, carpo e metacarpo do lado esquerdo e no seio direito, próximo a auréola mamaria, todas com surgimento em tempo não determinado e com agravamento nos últimos tempos principalmente no período pré-menstrual, sendo que uma apresenta tamanho em torno de 2 milimetros no braço esquerdo em região média; apresenta também lesões do tipo máculas hiperemiadas, simétricas e bilaterais na região axilar não apresentando prurido e surgidas a cerca de um mês. Relatou não utilizar cremes hidratantes ou protetor solar e que mora em região rural. Relatou também alteração no ciclo menstrual e perca de sono nos últimos tempos. Relatou uso de Enalopril-10mg e Atorvastatina-20mg.

CONDUTAS

Medicamentosa
Foi indicada a paciente Olinda Jorge de Souza o uso de:

-Protetor Solar com FPS acima de 30, sendo aplicado 3 vezes ao dia em tempo indeterminado.-Uso tópico, aplicado após o banho e antes de dormir do seguinte creme manipulado:
1: Uréia-5%
2: Óleo de amêndoas doces-5%
3:Óleo de semente de uva-8%
4: Creme hidratante QSP-200g
-Berlison( pomada de corticóide) aplicada 2 ou 3 vezes ao dia durante umasemana

Exames solicitados
-MamografiaHipótese diagnóstica: Ceratose Seborreica; Fotos do Acadêmico:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Acadêmico João, eu (Ju Ledur), Prof. Dr. Luis Marcelo, Rafa (CO-Monitora)
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