{"id":7526,"date":"2021-06-25T17:12:48","date_gmt":"2021-06-25T15:12:48","guid":{"rendered":"https:\/\/primaderma.ro\/?page_id=7526"},"modified":"2022-04-08T16:35:08","modified_gmt":"2022-04-08T14:35:08","slug":"sef-lucr-dr-filip-ciubotaru-florina-mihaela","status":"publish","type":"post","link":"https:\/\/pdi.ro\/2022\/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: semiologie tegumentar\u0103, afec\u021biuni interne, tratament holistic.<\/p>\n

Modific\u0103rile cutanate reprezint\u0103 un teren de informare diagnostic\u0103 generos pentru suferin\u021bele interne. Nu doar leziunile grosiere ale tegumentului, dar \u0219i calitatea acestuia, textura, culoarea, sunt gr\u0103itoare pentru afec\u021biuni interne acute sau cronice. Astfel, regiunile cutanate expuse pot fi surs\u0103 de informare chiar din timpul anamnezei. Leziunile oculare \u0219i perioculare pot oferi un diagnostic ferm: paloarea sclerei este semnificativ\u0103 pentru anemie, icterul pentru tulbur\u0103ri \u00een turnoverul hemoglobinei, xantelasma pentru dislipidemii \u0219i ateroscleroz\u0103. Unele zone pot fi neglijate: pavilionul urechii unde prezen\u0163a semnului Frank poate fi sugestiv pentru prezen\u021ba unor afec\u021biuni cardio-vasculare, sau existen\u021ba de \u201echiciur\u0103\u201d uremic\u0103, tofi guto\u0219i \u0219i neoplazii la acest nivel. Zona perioral\u0103, neglijat\u0103 (purtarea de m\u0103\u0219tii), poate prezenta modific\u0103ri de culoare la nivelul buzelor, cu aspect carminat \u00een ciroz\u0103, cianoz\u0103 \u00een hipoxemii importante, cheilit\u0103 angular\u0103 frecvent asociat\u0103 cu diabetul zaharat, anemia feripriv\u0103, caren\u021bele de vitamine grup B, infec\u021bia fungic\u0103\/ streptococic\u0103. Aspectul palmelor poate releva modific\u0103ri de culoare cu linii hipercrome \u00een maladia Addison, eritroz\u0103 palmar\u0103 \u00een ciroz\u0103, dar \u0219i aspecte rare cum sunt palmele \u201eaquagenice\u201d din fibroza chistic\u0103, marasm sau sindrom nefrotic. Palmele \u0219i plantele hiperliniare pot fi semnul unei dermatite atopice. Examenul riguros al tegumentului \u0219i inventarierea leziunilor cutaneo-mucoase trebuie s\u0103 fie o prioritate. Tratamentul este adesea unul complex care se adreseaz\u0103 bolii interne \u0219i leziunilor cutanate \u0219i subjacente.<\/p>\n

Skin lesions and internal diseases – Our experience in pandemic years<\/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: skin semiology, internal disorders, holistic treatment.<\/p>\n

Skin changes are a generous diagnostic information field for internal suffering. Not only the rough lesions of the skin, but also its quality, texture, color, are telling for acute or chronic diseases. Thus, the exposed skin regions can be a source of information even during the anamnesis. Eye and periocular lesions can provide a firm diagnosis. Pallor sclerosis for anemia, jaundice for hemoglobin turnover disorders, xanthelasma for dyslipidemia and atherosclerosis. But, there are also areas that can be neglected such as the earlobe where the coronary duct can be suggestive of the presence of cardiovascular diseases, or the existence of uremic “frostbite”, gouty tufts and neoplasms at this level. The perioral area, neglected by wearing masks, may show color changes in the lips, with a carmine appearance in cirrhosis, cyanosis in severe hypoxemia, angular cheilitis frequently associated with diabetes, iron deficiency anemia, vitamin B deficiencies, fungal or streptococcal infection . The appearance of the palms may go unnoticed; Here are color changes with hyperchromic lines in Addison’s disease, palmar erythrosis in cirrhosis, but also rare aspects such as “aquagenic” palms from cystic fibrosis, marasmus or nephrotic syndrome. Palms and hyperlinear plants may be a sign of atopic dermatitis. Rigorous examination of the skin and inventory of its lesions must be a priority. The treatment is often a complex one that also addresses the underlying lesions.<\/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 2022<\/p>\n

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Operatorul PDI 2022<\/p>\n

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\"\"<\/span><\/p>\n

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Adresa: Str. A. Panu nr. 13, Iasi<\/span>
Tel.: 0332.40.88.00-05<\/span>
E-mail: contact@pdi.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":11299,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[12],"tags":[],"class_list":["post-7526","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-lectori"],"_links":{"self":[{"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/posts\/7526","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/comments?post=7526"}],"version-history":[{"count":9,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/posts\/7526\/revisions"}],"predecessor-version":[{"id":11300,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/posts\/7526\/revisions\/11300"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/media\/11299"}],"wp:attachment":[{"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/media?parent=7526"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/categories?post=7526"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pdi.ro\/2022\/wp-json\/wp\/v2\/tags?post=7526"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}