<\/span><\/strong><\/h4>\n<\/span><\/strong><\/h4>\n\u0218ef. Lucr. Dr.\u00a0Voiculescu Vlad<\/span><\/strong>
\n Universitatea de Medicin\u0103 \u015fi Farmacie “Carol Davila\u201d Bucure\u015fti, Rom\u00e2nia<\/span><\/strong><\/h4>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”3.25″][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.9.7″]<\/p>\n
Microscopia confocal\u0103 de reflectan\u021b\u0103: diagnostic de precizie neinvaziv al unor afec\u021biuni cu localizare special\u0103<\/span>
Autori: Vlad Mihai Voiculescu1,2, Ana Maria Malciu1, Mihai Lupu2<\/span>
1Clinica de Dermatologie, Spitalul Universitar de Urgen\u021b\u0103 \u201cElias\u201d, Bucure\u0219ti, Rom\u00e2nia
2Disciplina de Dermatologie, Universitatea de Medicin\u0103 \u0219i Farmacie \u201cCarol Davila\u201d, Bucure\u0219ti, Rom\u00e2nia<\/p>\nCuvinte cheie: microscopie confocal\u0103 de reflectan\u021b\u0103, cheilit\u0103, lichen, eritroplazie, psoriazis<\/p>\n
Microscopia confocal\u0103 de reflectan\u021b\u0103 (MCR) este o metod\u0103 imagistic\u0103 neinvaziv\u0103 care permite vizualizarea straturilor pielii la o rezolu\u021bie comparabil\u0103 examenului histopatologic, sc\u0103z\u00e2nd astfel num\u0103rul biopsiilor inutile. MCR are o sensibilitate \u0219i specificitate mai mare de 70% pentru detectarea cancerelor cutanate melanocitare \u0219i non-melanocitare, dar \u0219i pentru diagnosticarea \u0219i monitorizarea psoriazisului sau altor afec\u021biuni ale pielii. Uneori este dificil de realizat diagnosticul diferen\u021bial al unor leziuni doar pe baza aspectului clinic \u0219i \u00een acest caz avem nevoie de investiga\u021bii suplimentare. Localizarea leziunilor cutanate influen\u021beaz\u0103 alegerea metodelor de diagnostic de certitudine. Vom prezenta cazul a trei pacien\u021bi la care, din cauza localiz\u0103rii leziunilor la nivelul buzelor \u0219i la nivelul penisului, s-a ales efectuarea MCR \u00een detrimentul biopsiei clasice. \u00cen cazul primei paciente, pe baza aspecului clinic s-a stabilit diagnosticul de cheilit\u0103 actinic\u0103 la nivelul buzei inferioare \u0219i aceasta a primit tratament timp de un an pentru aceast\u0103 afec\u021biune, f\u0103r\u0103 \u00eembun\u0103t\u0103\u021birea semnificativ\u0103 a aspectului clinic. Se prezint\u0103 pentru o a doua opinie \u0219i pe baza imaginii microscopice s-a stabilit diagnosticul de lichen plan oral. Pacienta a primit tratament sub care s-a observat o involu\u021bie semnificativ\u0103 a leziunilor.
Din punct de vedere clinic este greu de efectuat diagnosticul diferen\u021bial \u00eentre psoriazisul penian \u0219i eritroplazia Queyrat, ambele av\u00e2nd aspect clinic de pl\u0103ci eritematoase bine delimitate localizate la nivelul glandului sau prepu\u021bului. Prezent\u0103m cazurile a doi pacien\u021bi care s-au prezentat cu leziuni la nivelul penisului pentru confirmarea diagnosticului de eritroplazie Queyrat. De\u0219i din punct de vedere clinic leziunile erau asem\u0103n\u0103toare, pe baza imaginilor de MCR diagnosticul a fost confirmat \u00eentr-un singur caz, iar la cel\u0103lalt pacient s-a stabilit diagnosticul de psoriazis penian. MCR ajut\u0103 la efectuarea unui diagnostic de precizie neinvaziv, permite instituirea tratamentului de specialitate adecvat mult mai rapid, dar \u0219i monitorizarea leziunilor sau urm\u0103rirea evolu\u021biei sub tratament.<\/p>\n
Reflectance confocal microscopy: non-invasive diagnosis of special location diseases<\/span>
Autori: Vlad Mihai Voiculescu1,2, Ana Maria Malciu1, Mihai Lupu2<\/span>
1Department of Dermatology, \u201cElias\u201d University Emergency Hospital, Bucharest, Romania
2Department of Dermatology, \u201cCarol Davila\u201d University of Medicine and Pharmacy, Bucharest, Romania<\/p>\nKeywords: reflectance confocal microscopy, cheilitis, lichen, erythroplasia, psoriasis<\/p>\n
Reflectance confocal microscopy (RCM) is a non-invasive imaging technique that allows viewing of skin layers at a resolution comparable to histopathological examination, reducing the number of unnecessary biopsies. RCM has a sensitivity and specificity of more than 70% for detecting melanocytic and non-melanocytic skin cancers, but also for diagnosing and monitoring psoriasis or other skin conditions. Sometimes it is difficult to differentiate between certain lesions based just on clinical appearance and in this case additional investigations are required. The location of skin lesions influences the choice of diagnostic methods. We will present the cases of three patients in whom, due to the location of the lesions on the lips and penis, RCM was chosen over traditional biopsy. The first patient was diagnosed with actinic cheilitis of the lower lip based on the clinical aspect and she received one year of treatment for this condition, without a significant improvement in the clinical appearance. She presented for a second opinion and based on the microscopic image we establish the diagnosis of oral lichen planus. The patient received treatment, which resulted in a considerable involution of the lesions.
It’s difficult to tell the difference between genital psoriasis and erythroplasia of Queyrat from a clinical standpoint because they both appear as well-defined erythematous plaques on the penis. We propose the cases of two patients who presented with lesions on the penis to confirm the diagnosis of erythroplasia of Queyrat. Although the lesions were clinically similar, only one patient’s diagnosis was confirmed based on RCM images, and the other patient was diagnosed with genital psoriasis. RCM helps to make a non-invasive precision diagnosis, allows the appropriate treatment to be established much faster as well as the monitoring of lesions or the follow-up of the treatment’s progress.<\/p>\n
Scurt CV<\/span><\/p>\nExperien\u021ba Personal\u0103:
2018-prezent – \u0218ef de lucr\u0103ri – Universitatea de Medicin\u0103 \u015fi Farmacie “Carol Davila\u201d Bucure\u015fti, Rom\u00e2nia<\/p>\n
Educa\u0163ie \u015fi formare:
2013 – prezent – Medic primar dermato-venerolog – Spitalul Universitar de Urgen\u0163\u0103 \u201eElias\u201d, Bucure\u015fti
2014 – prezent – Doctor in stiinte medicale – Universitatea de Medicin\u0103 \u015fi Farmacie “Carol Davila\u201d Bucure\u015fti, Rom\u00e2nia<\/p>\n
Membru \u00een organiza\u0163ii profesionale:
\u2022 2015 – prezent: membru al Consiliului director al SRD (Romanian Society of Dermatology)
\u2022 2013 – prezent: membru al European Academy of Dermatology and Venerology (EADV) Alumi Club
\u2022 2011 – prezent: membru al International Dermoscopy Society (IDS)
\u2022 2010 – prezent: membru al EADV (European Academy of Dermatology and Venerology)
\u2022 2008 – prezent: membru al Societ\u0103\u0163ii Romane de Dermatologie
\u2022 2008 – prezent: membru \u00een Colegiul Medicilor din Bucure\u015fti<\/p>\n
Lista lucr\u0103rilor \u015ftiin\u0163ifice publicate:
\u2022 2008 \u2013 prezent: am publicat 21 articole ISI in extenso, 32 de articole IDB (international data-base indexed) in extenso si peste 40 de articole in resumat (prezentate ca postre sau comunicari oreale la diferite manifestari stiintifice nationale sau internationale)
\u2022 2016 \u2013 prezent: speaker invitat la peste 10 manifestari nationale de Dermatologie
\u2022 2008 \u2013 prezent: am participat la peste 18 manifestari stiintifice internationale si peste 20 de manifestari stiintifice nationale (din domeniul meu de activitate)<\/p>\n
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Contacteaz\u0103 operatorul PDI 2021<\/p>\n
[\/et_pb_text][et_pb_contact_form email=”contact@pdi.ro\/2021\/2019″ submit_button_text=”Trimite mesajul” _builder_version=”4.9.4″ title_font=”||||||||” custom_button=”on” button_text_color=”#F0622A”][et_pb_contact_field field_id=”Name” field_title=”Nume” _builder_version=”3.18.9″ button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][et_pb_contact_field field_id=”Email” field_title=”Adresa de e-mail” field_type=”email” _builder_version=”3.19.4″ button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][et_pb_contact_field field_id=”Message” field_title=”Mesajul dvs.” field_type=”text” fullwidth_field=”on” _builder_version=”3.18.9″ button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][\/et_pb_contact_form][\/et_pb_column][et_pb_column type=”2_5″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.9.4″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark”]<\/p>\n
Operatorul PDI 2021<\/p>\n
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<\/span><\/p>\n<\/span><\/p>\n<\/span><\/p>\nAdresa: Str. A. Panu nr. 13, Iasi<\/span>
Tel.: 0332.40.88.00-05<\/span>
E-mail: inscrieri@primaderma.ro<\/a>
<\/span>Website:\u00a0<\/span>www.eventernet.ro<\/a><\/p>\n[\/et_pb_text][et_pb_text disabled_on=”off|off|off” _builder_version=”4.0.11″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark” locked=”off”]<\/p>\n
Parteneri Media<\/p>\n
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\u0218ef. Lucr. Dr.\u00a0Voiculescu Vlad Universitatea de Medicin\u0103 \u015fi Farmacie “Carol Davila\u201d Bucure\u015fti, Rom\u00e2niaMicroscopia confocal\u0103 de reflectan\u021b\u0103: diagnostic de precizie neinvaziv al unor afec\u021biuni cu localizare special\u0103Autori: Vlad Mihai Voiculescu1,2, Ana Maria Malciu1, Mihai Lupu21Clinica de Dermatologie, Spitalul Universitar de Urgen\u021b\u0103 \u201cElias\u201d, Bucure\u0219ti, Rom\u00e2nia2Disciplina de Dermatologie, Universitatea de Medicin\u0103 \u0219i Farmacie \u201cCarol Davila\u201d, Bucure\u0219ti, Rom\u00e2nia Cuvinte […]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-10117","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages\/10117","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/comments?post=10117"}],"version-history":[{"count":6,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages\/10117\/revisions"}],"predecessor-version":[{"id":10593,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages\/10117\/revisions\/10593"}],"wp:attachment":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/media?parent=10117"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\u0218ef. Lucr. Dr.\u00a0Voiculescu Vlad<\/span><\/strong>
\n Universitatea de Medicin\u0103 \u015fi Farmacie “Carol Davila\u201d Bucure\u015fti, Rom\u00e2nia<\/span><\/strong><\/h4>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”3.25″][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.9.7″]<\/p>\n
Microscopia confocal\u0103 de reflectan\u021b\u0103: diagnostic de precizie neinvaziv al unor afec\u021biuni cu localizare special\u0103<\/span>
Autori: Vlad Mihai Voiculescu1,2, Ana Maria Malciu1, Mihai Lupu2<\/span>
1Clinica de Dermatologie, Spitalul Universitar de Urgen\u021b\u0103 \u201cElias\u201d, Bucure\u0219ti, Rom\u00e2nia
2Disciplina de Dermatologie, Universitatea de Medicin\u0103 \u0219i Farmacie \u201cCarol Davila\u201d, Bucure\u0219ti, Rom\u00e2nia<\/p>\nCuvinte cheie: microscopie confocal\u0103 de reflectan\u021b\u0103, cheilit\u0103, lichen, eritroplazie, psoriazis<\/p>\n
Microscopia confocal\u0103 de reflectan\u021b\u0103 (MCR) este o metod\u0103 imagistic\u0103 neinvaziv\u0103 care permite vizualizarea straturilor pielii la o rezolu\u021bie comparabil\u0103 examenului histopatologic, sc\u0103z\u00e2nd astfel num\u0103rul biopsiilor inutile. MCR are o sensibilitate \u0219i specificitate mai mare de 70% pentru detectarea cancerelor cutanate melanocitare \u0219i non-melanocitare, dar \u0219i pentru diagnosticarea \u0219i monitorizarea psoriazisului sau altor afec\u021biuni ale pielii. Uneori este dificil de realizat diagnosticul diferen\u021bial al unor leziuni doar pe baza aspectului clinic \u0219i \u00een acest caz avem nevoie de investiga\u021bii suplimentare. Localizarea leziunilor cutanate influen\u021beaz\u0103 alegerea metodelor de diagnostic de certitudine. Vom prezenta cazul a trei pacien\u021bi la care, din cauza localiz\u0103rii leziunilor la nivelul buzelor \u0219i la nivelul penisului, s-a ales efectuarea MCR \u00een detrimentul biopsiei clasice. \u00cen cazul primei paciente, pe baza aspecului clinic s-a stabilit diagnosticul de cheilit\u0103 actinic\u0103 la nivelul buzei inferioare \u0219i aceasta a primit tratament timp de un an pentru aceast\u0103 afec\u021biune, f\u0103r\u0103 \u00eembun\u0103t\u0103\u021birea semnificativ\u0103 a aspectului clinic. Se prezint\u0103 pentru o a doua opinie \u0219i pe baza imaginii microscopice s-a stabilit diagnosticul de lichen plan oral. Pacienta a primit tratament sub care s-a observat o involu\u021bie semnificativ\u0103 a leziunilor.
Din punct de vedere clinic este greu de efectuat diagnosticul diferen\u021bial \u00eentre psoriazisul penian \u0219i eritroplazia Queyrat, ambele av\u00e2nd aspect clinic de pl\u0103ci eritematoase bine delimitate localizate la nivelul glandului sau prepu\u021bului. Prezent\u0103m cazurile a doi pacien\u021bi care s-au prezentat cu leziuni la nivelul penisului pentru confirmarea diagnosticului de eritroplazie Queyrat. De\u0219i din punct de vedere clinic leziunile erau asem\u0103n\u0103toare, pe baza imaginilor de MCR diagnosticul a fost confirmat \u00eentr-un singur caz, iar la cel\u0103lalt pacient s-a stabilit diagnosticul de psoriazis penian. MCR ajut\u0103 la efectuarea unui diagnostic de precizie neinvaziv, permite instituirea tratamentului de specialitate adecvat mult mai rapid, dar \u0219i monitorizarea leziunilor sau urm\u0103rirea evolu\u021biei sub tratament.<\/p>\n
Reflectance confocal microscopy: non-invasive diagnosis of special location diseases<\/span>
Autori: Vlad Mihai Voiculescu1,2, Ana Maria Malciu1, Mihai Lupu2<\/span>
1Department of Dermatology, \u201cElias\u201d University Emergency Hospital, Bucharest, Romania
2Department of Dermatology, \u201cCarol Davila\u201d University of Medicine and Pharmacy, Bucharest, Romania<\/p>\nKeywords: reflectance confocal microscopy, cheilitis, lichen, erythroplasia, psoriasis<\/p>\n
Reflectance confocal microscopy (RCM) is a non-invasive imaging technique that allows viewing of skin layers at a resolution comparable to histopathological examination, reducing the number of unnecessary biopsies. RCM has a sensitivity and specificity of more than 70% for detecting melanocytic and non-melanocytic skin cancers, but also for diagnosing and monitoring psoriasis or other skin conditions. Sometimes it is difficult to differentiate between certain lesions based just on clinical appearance and in this case additional investigations are required. The location of skin lesions influences the choice of diagnostic methods. We will present the cases of three patients in whom, due to the location of the lesions on the lips and penis, RCM was chosen over traditional biopsy. The first patient was diagnosed with actinic cheilitis of the lower lip based on the clinical aspect and she received one year of treatment for this condition, without a significant improvement in the clinical appearance. She presented for a second opinion and based on the microscopic image we establish the diagnosis of oral lichen planus. The patient received treatment, which resulted in a considerable involution of the lesions.
It’s difficult to tell the difference between genital psoriasis and erythroplasia of Queyrat from a clinical standpoint because they both appear as well-defined erythematous plaques on the penis. We propose the cases of two patients who presented with lesions on the penis to confirm the diagnosis of erythroplasia of Queyrat. Although the lesions were clinically similar, only one patient’s diagnosis was confirmed based on RCM images, and the other patient was diagnosed with genital psoriasis. RCM helps to make a non-invasive precision diagnosis, allows the appropriate treatment to be established much faster as well as the monitoring of lesions or the follow-up of the treatment’s progress.<\/p>\n
Scurt CV<\/span><\/p>\nExperien\u021ba Personal\u0103:
2018-prezent – \u0218ef de lucr\u0103ri – Universitatea de Medicin\u0103 \u015fi Farmacie “Carol Davila\u201d Bucure\u015fti, Rom\u00e2nia<\/p>\n
Educa\u0163ie \u015fi formare:
2013 – prezent – Medic primar dermato-venerolog – Spitalul Universitar de Urgen\u0163\u0103 \u201eElias\u201d, Bucure\u015fti
2014 – prezent – Doctor in stiinte medicale – Universitatea de Medicin\u0103 \u015fi Farmacie “Carol Davila\u201d Bucure\u015fti, Rom\u00e2nia<\/p>\n
Membru \u00een organiza\u0163ii profesionale:
\u2022 2015 – prezent: membru al Consiliului director al SRD (Romanian Society of Dermatology)
\u2022 2013 – prezent: membru al European Academy of Dermatology and Venerology (EADV) Alumi Club
\u2022 2011 – prezent: membru al International Dermoscopy Society (IDS)
\u2022 2010 – prezent: membru al EADV (European Academy of Dermatology and Venerology)
\u2022 2008 – prezent: membru al Societ\u0103\u0163ii Romane de Dermatologie
\u2022 2008 – prezent: membru \u00een Colegiul Medicilor din Bucure\u015fti<\/p>\n
Lista lucr\u0103rilor \u015ftiin\u0163ifice publicate:
\u2022 2008 \u2013 prezent: am publicat 21 articole ISI in extenso, 32 de articole IDB (international data-base indexed) in extenso si peste 40 de articole in resumat (prezentate ca postre sau comunicari oreale la diferite manifestari stiintifice nationale sau internationale)
\u2022 2016 \u2013 prezent: speaker invitat la peste 10 manifestari nationale de Dermatologie
\u2022 2008 \u2013 prezent: am participat la peste 18 manifestari stiintifice internationale si peste 20 de manifestari stiintifice nationale (din domeniul meu de activitate)<\/p>\n
[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.9.6″ background_color=”rgba(117,194,33,0.23)” background_image=”https:\/\/pdi.ro\/2021\/wp-content\/uploads\/2021\/05\/PDI2021_header_1920x550px.jpg” background_blend=”multiply” custom_padding=”54px|0px|0|0px|false|false” top_divider_style=”waves2″ top_divider_color=”#ffffff” top_divider_height=”155px” top_divider_height_tablet=”” top_divider_height_phone=”97px” top_divider_height_last_edited=”on|desktop” bottom_divider_style=”waves2″ bottom_divider_color=”#75c221″ bottom_divider_flip=”vertical” bottom_divider_height_tablet=”” bottom_divider_height_phone=”59px” bottom_divider_height_last_edited=”on|desktop” global_module=”9177″ saved_tabs=”all”][et_pb_row column_structure=”3_5,2_5″ _builder_version=”3.25″ custom_padding=”61px|0px|69px|0px|false|false”][et_pb_column type=”3_5″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.9.4″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” text_line_height=”1.2em” header_font=”||||||||” background_layout=”dark” text_font_size_tablet=”” text_font_size_phone=”” text_font_size_last_edited=”on|desktop”]<\/p>\n
Contacteaz\u0103 operatorul PDI 2021<\/p>\n
[\/et_pb_text][et_pb_contact_form email=”contact@pdi.ro\/2021\/2019″ submit_button_text=”Trimite mesajul” _builder_version=”4.9.4″ title_font=”||||||||” custom_button=”on” button_text_color=”#F0622A”][et_pb_contact_field field_id=”Name” field_title=”Nume” _builder_version=”3.18.9″ button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][et_pb_contact_field field_id=”Email” field_title=”Adresa de e-mail” field_type=”email” _builder_version=”3.19.4″ button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][et_pb_contact_field field_id=”Message” field_title=”Mesajul dvs.” field_type=”text” fullwidth_field=”on” _builder_version=”3.18.9″ button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][\/et_pb_contact_form][\/et_pb_column][et_pb_column type=”2_5″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.9.4″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark”]<\/p>\n
Operatorul PDI 2021<\/p>\n
[\/et_pb_text][et_pb_text _builder_version=”4.0.11″ text_font=”||||||||”]<\/p>\n
<\/span><\/p>\n<\/span><\/p>\n<\/span><\/p>\nAdresa: Str. A. Panu nr. 13, Iasi<\/span>
Tel.: 0332.40.88.00-05<\/span>
E-mail: inscrieri@primaderma.ro<\/a>
<\/span>Website:\u00a0<\/span>www.eventernet.ro<\/a><\/p>\n[\/et_pb_text][et_pb_text disabled_on=”off|off|off” _builder_version=”4.0.11″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark” locked=”off”]<\/p>\n
Parteneri Media<\/p>\n
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\u0218ef. Lucr. Dr.\u00a0Voiculescu Vlad Universitatea de Medicin\u0103 \u015fi Farmacie “Carol Davila\u201d Bucure\u015fti, Rom\u00e2niaMicroscopia confocal\u0103 de reflectan\u021b\u0103: diagnostic de precizie neinvaziv al unor afec\u021biuni cu localizare special\u0103Autori: Vlad Mihai Voiculescu1,2, Ana Maria Malciu1, Mihai Lupu21Clinica de Dermatologie, Spitalul Universitar de Urgen\u021b\u0103 \u201cElias\u201d, Bucure\u0219ti, Rom\u00e2nia2Disciplina de Dermatologie, Universitatea de Medicin\u0103 \u0219i Farmacie \u201cCarol Davila\u201d, Bucure\u0219ti, Rom\u00e2nia Cuvinte […]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-10117","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages\/10117","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/comments?post=10117"}],"version-history":[{"count":6,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages\/10117\/revisions"}],"predecessor-version":[{"id":10593,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages\/10117\/revisions\/10593"}],"wp:attachment":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/media?parent=10117"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Autori: Vlad Mihai Voiculescu1,2, Ana Maria Malciu1, Mihai Lupu2<\/span>
1Clinica de Dermatologie, Spitalul Universitar de Urgen\u021b\u0103 \u201cElias\u201d, Bucure\u0219ti, Rom\u00e2nia
2Disciplina de Dermatologie, Universitatea de Medicin\u0103 \u0219i Farmacie \u201cCarol Davila\u201d, Bucure\u0219ti, Rom\u00e2nia<\/p>\n
Cuvinte cheie: microscopie confocal\u0103 de reflectan\u021b\u0103, cheilit\u0103, lichen, eritroplazie, psoriazis<\/p>\n
Microscopia confocal\u0103 de reflectan\u021b\u0103 (MCR) este o metod\u0103 imagistic\u0103 neinvaziv\u0103 care permite vizualizarea straturilor pielii la o rezolu\u021bie comparabil\u0103 examenului histopatologic, sc\u0103z\u00e2nd astfel num\u0103rul biopsiilor inutile. MCR are o sensibilitate \u0219i specificitate mai mare de 70% pentru detectarea cancerelor cutanate melanocitare \u0219i non-melanocitare, dar \u0219i pentru diagnosticarea \u0219i monitorizarea psoriazisului sau altor afec\u021biuni ale pielii. Uneori este dificil de realizat diagnosticul diferen\u021bial al unor leziuni doar pe baza aspectului clinic \u0219i \u00een acest caz avem nevoie de investiga\u021bii suplimentare. Localizarea leziunilor cutanate influen\u021beaz\u0103 alegerea metodelor de diagnostic de certitudine. Vom prezenta cazul a trei pacien\u021bi la care, din cauza localiz\u0103rii leziunilor la nivelul buzelor \u0219i la nivelul penisului, s-a ales efectuarea MCR \u00een detrimentul biopsiei clasice. \u00cen cazul primei paciente, pe baza aspecului clinic s-a stabilit diagnosticul de cheilit\u0103 actinic\u0103 la nivelul buzei inferioare \u0219i aceasta a primit tratament timp de un an pentru aceast\u0103 afec\u021biune, f\u0103r\u0103 \u00eembun\u0103t\u0103\u021birea semnificativ\u0103 a aspectului clinic. Se prezint\u0103 pentru o a doua opinie \u0219i pe baza imaginii microscopice s-a stabilit diagnosticul de lichen plan oral. Pacienta a primit tratament sub care s-a observat o involu\u021bie semnificativ\u0103 a leziunilor.
Din punct de vedere clinic este greu de efectuat diagnosticul diferen\u021bial \u00eentre psoriazisul penian \u0219i eritroplazia Queyrat, ambele av\u00e2nd aspect clinic de pl\u0103ci eritematoase bine delimitate localizate la nivelul glandului sau prepu\u021bului. Prezent\u0103m cazurile a doi pacien\u021bi care s-au prezentat cu leziuni la nivelul penisului pentru confirmarea diagnosticului de eritroplazie Queyrat. De\u0219i din punct de vedere clinic leziunile erau asem\u0103n\u0103toare, pe baza imaginilor de MCR diagnosticul a fost confirmat \u00eentr-un singur caz, iar la cel\u0103lalt pacient s-a stabilit diagnosticul de psoriazis penian. MCR ajut\u0103 la efectuarea unui diagnostic de precizie neinvaziv, permite instituirea tratamentului de specialitate adecvat mult mai rapid, dar \u0219i monitorizarea leziunilor sau urm\u0103rirea evolu\u021biei sub tratament.<\/p>\n
Reflectance confocal microscopy: non-invasive diagnosis of special location diseases<\/span> Keywords: reflectance confocal microscopy, cheilitis, lichen, erythroplasia, psoriasis<\/p>\n Reflectance confocal microscopy (RCM) is a non-invasive imaging technique that allows viewing of skin layers at a resolution comparable to histopathological examination, reducing the number of unnecessary biopsies. RCM has a sensitivity and specificity of more than 70% for detecting melanocytic and non-melanocytic skin cancers, but also for diagnosing and monitoring psoriasis or other skin conditions. Sometimes it is difficult to differentiate between certain lesions based just on clinical appearance and in this case additional investigations are required. The location of skin lesions influences the choice of diagnostic methods. We will present the cases of three patients in whom, due to the location of the lesions on the lips and penis, RCM was chosen over traditional biopsy. The first patient was diagnosed with actinic cheilitis of the lower lip based on the clinical aspect and she received one year of treatment for this condition, without a significant improvement in the clinical appearance. She presented for a second opinion and based on the microscopic image we establish the diagnosis of oral lichen planus. The patient received treatment, which resulted in a considerable involution of the lesions. Scurt CV<\/span><\/p>\n Experien\u021ba Personal\u0103: Educa\u0163ie \u015fi formare: Membru \u00een organiza\u0163ii profesionale: Lista lucr\u0103rilor \u015ftiin\u0163ifice publicate: [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.9.6″ background_color=”rgba(117,194,33,0.23)” background_image=”https:\/\/pdi.ro\/2021\/wp-content\/uploads\/2021\/05\/PDI2021_header_1920x550px.jpg” background_blend=”multiply” custom_padding=”54px|0px|0|0px|false|false” top_divider_style=”waves2″ top_divider_color=”#ffffff” top_divider_height=”155px” top_divider_height_tablet=”” top_divider_height_phone=”97px” top_divider_height_last_edited=”on|desktop” bottom_divider_style=”waves2″ bottom_divider_color=”#75c221″ bottom_divider_flip=”vertical” bottom_divider_height_tablet=”” bottom_divider_height_phone=”59px” bottom_divider_height_last_edited=”on|desktop” global_module=”9177″ saved_tabs=”all”][et_pb_row column_structure=”3_5,2_5″ _builder_version=”3.25″ custom_padding=”61px|0px|69px|0px|false|false”][et_pb_column type=”3_5″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.9.4″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” text_line_height=”1.2em” header_font=”||||||||” background_layout=”dark” text_font_size_tablet=”” text_font_size_phone=”” text_font_size_last_edited=”on|desktop”]<\/p>\n Contacteaz\u0103 operatorul PDI 2021<\/p>\n [\/et_pb_text][et_pb_contact_form email=”contact@pdi.ro\/2021\/2019″ submit_button_text=”Trimite mesajul” _builder_version=”4.9.4″ title_font=”||||||||” custom_button=”on” button_text_color=”#F0622A”][et_pb_contact_field field_id=”Name” field_title=”Nume” _builder_version=”3.18.9″ button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” 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button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][\/et_pb_contact_form][\/et_pb_column][et_pb_column type=”2_5″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.9.4″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark”]<\/p>\n Operatorul PDI 2021<\/p>\n [\/et_pb_text][et_pb_text _builder_version=”4.0.11″ text_font=”||||||||”]<\/p>\n <\/span><\/p>\n <\/span><\/p>\n Adresa: Str. A. Panu nr. 13, Iasi<\/span> [\/et_pb_text][et_pb_text disabled_on=”off|off|off” _builder_version=”4.0.11″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark” locked=”off”]<\/p>\n Parteneri Media<\/p>\n [\/et_pb_text][et_pb_gallery gallery_ids=”7203,7204,9252,9464,10156,10157,10556″ fullwidth=”on” _builder_version=”4.9.7″ transform_scale=”86%|86%” max_width=”63%” auto=”on” auto_speed=”3500″ hover_transition_duration=”100ms” hover_transition_delay=”50ms” hover_transition_speed_curve=”ease-in-out” locked=”off”][\/et_pb_gallery][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":" \u0218ef. Lucr. Dr.\u00a0Voiculescu Vlad Universitatea de Medicin\u0103 \u015fi Farmacie “Carol Davila\u201d Bucure\u015fti, Rom\u00e2niaMicroscopia confocal\u0103 de reflectan\u021b\u0103: diagnostic de precizie neinvaziv al unor afec\u021biuni cu localizare special\u0103Autori: Vlad Mihai Voiculescu1,2, Ana Maria Malciu1, Mihai Lupu21Clinica de Dermatologie, Spitalul Universitar de Urgen\u021b\u0103 \u201cElias\u201d, Bucure\u0219ti, Rom\u00e2nia2Disciplina de Dermatologie, Universitatea de Medicin\u0103 \u0219i Farmacie \u201cCarol Davila\u201d, Bucure\u0219ti, Rom\u00e2nia Cuvinte […]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-10117","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages\/10117","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/comments?post=10117"}],"version-history":[{"count":6,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages\/10117\/revisions"}],"predecessor-version":[{"id":10593,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages\/10117\/revisions\/10593"}],"wp:attachment":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/media?parent=10117"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Autori: Vlad Mihai Voiculescu1,2, Ana Maria Malciu1, Mihai Lupu2<\/span>
1Department of Dermatology, \u201cElias\u201d University Emergency Hospital, Bucharest, Romania
2Department of Dermatology, \u201cCarol Davila\u201d University of Medicine and Pharmacy, Bucharest, Romania<\/p>\n
It’s difficult to tell the difference between genital psoriasis and erythroplasia of Queyrat from a clinical standpoint because they both appear as well-defined erythematous plaques on the penis. We propose the cases of two patients who presented with lesions on the penis to confirm the diagnosis of erythroplasia of Queyrat. Although the lesions were clinically similar, only one patient’s diagnosis was confirmed based on RCM images, and the other patient was diagnosed with genital psoriasis. RCM helps to make a non-invasive precision diagnosis, allows the appropriate treatment to be established much faster as well as the monitoring of lesions or the follow-up of the treatment’s progress.<\/p>\n
2018-prezent – \u0218ef de lucr\u0103ri – Universitatea de Medicin\u0103 \u015fi Farmacie “Carol Davila\u201d Bucure\u015fti, Rom\u00e2nia<\/p>\n
2013 – prezent – Medic primar dermato-venerolog – Spitalul Universitar de Urgen\u0163\u0103 \u201eElias\u201d, Bucure\u015fti
2014 – prezent – Doctor in stiinte medicale – Universitatea de Medicin\u0103 \u015fi Farmacie “Carol Davila\u201d Bucure\u015fti, Rom\u00e2nia<\/p>\n
\u2022 2015 – prezent: membru al Consiliului director al SRD (Romanian Society of Dermatology)
\u2022 2013 – prezent: membru al European Academy of Dermatology and Venerology (EADV) Alumi Club
\u2022 2011 – prezent: membru al International Dermoscopy Society (IDS)
\u2022 2010 – prezent: membru al EADV (European Academy of Dermatology and Venerology)
\u2022 2008 – prezent: membru al Societ\u0103\u0163ii Romane de Dermatologie
\u2022 2008 – prezent: membru \u00een Colegiul Medicilor din Bucure\u015fti<\/p>\n
\u2022 2008 \u2013 prezent: am publicat 21 articole ISI in extenso, 32 de articole IDB (international data-base indexed) in extenso si peste 40 de articole in resumat (prezentate ca postre sau comunicari oreale la diferite manifestari stiintifice nationale sau internationale)
\u2022 2016 \u2013 prezent: speaker invitat la peste 10 manifestari nationale de Dermatologie
\u2022 2008 \u2013 prezent: am participat la peste 18 manifestari stiintifice internationale si peste 20 de manifestari stiintifice nationale (din domeniul meu de activitate)<\/p>\n<\/span><\/p>\n
Tel.: 0332.40.88.00-05<\/span>
E-mail: inscrieri@primaderma.ro<\/a>
<\/span>Website:\u00a0<\/span>www.eventernet.ro<\/a><\/p>\n