{"id":7526,"date":"2020-03-06T16:29:48","date_gmt":"2020-03-06T14:29:48","guid":{"rendered":"https:\/\/primaderma.ro\/?page_id=7526"},"modified":"2021-07-06T16:42:36","modified_gmt":"2021-07-06T14:42:36","slug":"sef-lucr-dr-filip-ciubotaru-florina-mihaela","status":"publish","type":"page","link":"https:\/\/pdi.ro\/2021\/sef-lucr-dr-filip-ciubotaru-florina-mihaela\/","title":{"rendered":"\u0218ef Lucr. Dr. Filip-Ciubotaru Florina-Mihaela"},"content":{"rendered":"

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\u0218ef Lucr. Dr. Filip-Ciubotaru Florina-Mihaela<\/span><\/strong>
Universitatea de Medicin\u0103 \u015fi Farmacie “Grigore T. Popa\u201d, Ia\u0219i<\/span><\/strong><\/h4>\n

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Corela\u021bia semiologiei dermatologice cu bolile interne<\/span>
Florina Filip-Ciubotaru\u00b9, Gabriela Stoleriu2, Nicu\u021ba Manolache3, Carmen Manciuc4, Ana-Maria Holicov\u00b9, Daciana Elena Br\u0103ni\u0219teanu5<\/span>
1Disciplina Medicin\u0103 de Familie Adul\u021bi, Facultatea de Medicin\u0103, Universitatea de Medicin\u0103 \u015fi Farmacie “Grigore T. Popa\u201d, Ia\u0219i, Rom\u00e2nia
2Departamentul Clinic Medical, Facultatea de Medicin\u0103 \u015fi Farmacie, Universitatea “Dun\u0103rea de Jos” din Gala\u0163i, Rom\u00e2nia
3Departamentul \u015etiin\u0163e Farmaceutice, Facultatea de Medicin\u0103 \u015fi Farmacie, Universitatea “Dun\u0103rea de Jos” din Gala\u0163i, Rom\u00e2nia
4Disciplina Boli infec\u0163ioase, Facultatea de Medicin\u0103, Universitatea de Medicin\u0103 \u015fi Farmacie “Grigore T. Popa\u201d, Ia\u0219i, Rom\u00e2nia
5Disciplina Dermatologie, Facultatea de Medicin\u0103, Universitatea de Medicin\u0103 \u015fi Farmacie “Grigore T. Popa\u201d, Ia\u0219i, Rom\u00e2nia<\/p>\n

Cuvinte cheie: psoriazis, sarcoidoz\u0103, dermatita atopic\u0103, afec\u021biuni interne, tratament holistic<\/p>\n

Leziunile cutanate sunt o continu\u0103 provocare \u00een prezent, chiar dac\u0103 dispunem de metode \u015fi tehnici imagistice \u015fi de laborator avansate. Dac\u0103 semnele dermatologice sunt leziuni de sine st\u0103t\u0103toare, cantonate doar tegumentar, dac\u0103 sunt o expresie a unor tulbur\u0103ri interne sau cum gestion\u0103m cazurile rezistente la tratament sunt \u00eentreb\u0103ri la care doar un medic cu experien\u0163\u0103 poate reflecta. Exist\u0103 multiple maladii care prezint\u0103 debut cutanat \u0219i ulterior se pot visceraliza, astfel \u00eenc\u00e2t este prudent s\u0103 fie interpretate \u015fi tratate drept boli sistemice de la primele semne. Majoritatea leziunilor cutanate presupun prezen\u021ba unui proces inflamator important, a c\u0103rei consecin\u021b\u0103 este eliberarea de produse farmacologic active cu impact generalizat asupra organismului. Astfel, psoriasisul, frecvent cu manifest\u0103ri articulare \u0219i inducerea unui status inflamator intens, creeaz\u0103 \u00een timp un factor de risc pentru boala cardio-vascular\u0103 etc.; inflama\u021bia cronic\u0103, incorect\/ par\u021bial gestionat\u0103 terapeutic, poate duce la amiloidoz\u0103. Sarcoidoza cutanat\u0103 impune monitorizarea statusului pulmonar, renal, cerebral, ocular etc, \u0219tiut fiind c\u0103 leziunea cutanat\u0103 precede implicarea sistemic\u0103. Dermatitele alergice, \u00een marea lor diversitate de manifest\u0103ri, capricioase ca evolu\u021bie, trebuie considerate ca maladii sistemice. Succesul terapeutic \u00eenseamn\u0103 tratarea organismului ca un \u00eentreg. Exist\u0103 situa\u021bii relativ rar \u00eent\u00e2lnite \u00een practic\u0103, precum leziunile de grataj la nivelul membrelor inferioare, secundare pruritului intens de la acest nivel: prurit sine materia, av\u00e2nd drept cauz\u0103 disestezia cutanat\u0103 neuropatic\u0103. Tratamentul nu este unul topic, ci unul al cauzei, care adesea este o leziune a coloanei cervicale. Aceste note vor s\u0103 eviden\u021bieze importan\u021ba stabilirii unei conexiuni \u00eentre leziunea evident\u0103 \u0219i semnele interne, ini\u0163ial imperceptibile.<\/p>\n

Correlation of dermatological semiology with internal medicine diseases<\/span>
Florina Filip-Ciubotaru\u00b9, Gabriela Stoleriu2, Nicu\u021ba Manolache3, Carmen Manciuc4, Ana-Maria Holicov\u00b9, Daciana Elena Br\u0103ni\u0219teanu5<\/span>
1Discipline Family Medicine Adults, Faculty of Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, Iasi, Romania
2Department of Clinical Medicine, Faculty of Medicine and Pharmacy, “Dun\u0103rea de Jos” University of Galati, Romania
3Department of Pharmaceutical Sciences, Faculty of Medicine and Pharmacy, “Dun\u0103rea de Jos” University of Galati, Romania
4Discipline Infectious Diseases, Faculty of Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, Iasi, Romania
5Dermatology, Faculty of Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, Iasi, Romania<\/p>\n

Keywords: psoriasis, sarcoidosis, atopic dermatitis, internal conditions, holistic treatment<\/p>\n

Skin lesions are still a challenge, even though we have advanced imaging and laboratory methods and techniques. If the dermatological signs are independent lesions found only on the skin, if they are an expression of internal medical disorders or how we manage the treatment-resistant cases, these are questions that only an experienced doctor can reflect. There are multiple diseases that have a skin onset and with later affecting the viscera, so it is prudent to consider and treat them as systemic diseases at the first signs. Most skin lesions involve an important inflammatory process, with pharmacologically active products as treatment, with widespread impact on the body. Thus, psoriasis often related with psoriatic arthritis and an intense inflammatory status, develops over the time a risk factor for cardiovascular disease, etc; chronic inflammation, incorrectly \/ partially managed therapeutically, can lead to amyloidosis. Skin sarcoidosis requires monitoring the status of the lungs, kidneys, brain, eyes, etc, because the skin lesion precedes systemic involvement. Allergic dermatitis, with many different manifestations and capricious evolution, must be considered as systemic diseases. Therapeutic success means treating the body as a whole. There are relatively rare situations in practice, such as lower limbs excoriations, secondary to intense pruritus at this level: pruritus itself or caused by neuropathic skin dysesthesia. The treatment is not only topical, but causal, often a lesion of the cervical spine. These notes want to highlight the importance of establishing a connection between the obvious lesion and the internal signs, initially imperceptible.<\/p>\n

Scurt CV<\/span><\/p>\n

\u0218ef lucr\u0103ri U.M.F. “Grigore T. Popa\u201d, Ia\u0219i-Disciplina Medicin\u0103 de Familie Adul\u021bi
Medic primar Medicin\u0103 Intern\u0103
Medic primar Medicina Muncii
Medic specialist Medicin\u0103 de Familie
Doctor \u00een \u0218tiin\u021be Medicale
Competen\u021b\u0103 \u00een Ecografie General\u0103
Membru al Societ\u0103\u021bii de Medici \u0219i Naturali\u0219ti, Ia\u0219i
Membru al Societ\u0103\u021bii de Gastroenterologie \u0219i Hepatologie, Ia\u0219i
Autor principal\/co-autor 15 c\u0103r\u021bi cu subiect medical
Lector program Erasmus-Socrates la Universitp\u021bile din Freiburg \u0219i L\u00fcbeck<\/p>\n

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Contacteaz\u0103 operatorul PDI 2021<\/p>\n

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Operatorul PDI 2021<\/p>\n

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Adresa: 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

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Parteneri Media<\/p>\n

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\u0218ef Lucr. Dr. Filip-Ciubotaru Florina-Mihaela Universitatea de Medicin\u0103 \u015fi Farmacie “Grigore T. Popa\u201d, Ia\u0219iCorela\u021bia semiologiei dermatologice cu bolile interneFlorina Filip-Ciubotaru\u00b9, Gabriela Stoleriu2, Nicu\u021ba Manolache3, Carmen Manciuc4, Ana-Maria Holicov\u00b9, Daciana Elena Br\u0103ni\u0219teanu51Disciplina Medicin\u0103 de Familie Adul\u021bi, Facultatea de Medicin\u0103, Universitatea de Medicin\u0103 \u015fi Farmacie “Grigore T. Popa\u201d, Ia\u0219i, Rom\u00e2nia2Departamentul Clinic Medical, Facultatea de Medicin\u0103 \u015fi Farmacie, […]<\/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-7526","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages\/7526","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=7526"}],"version-history":[{"count":6,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages\/7526\/revisions"}],"predecessor-version":[{"id":9998,"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/pages\/7526\/revisions\/9998"}],"wp:attachment":[{"href":"https:\/\/pdi.ro\/2021\/wp-json\/wp\/v2\/media?parent=7526"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}