{"id":7526,"date":"2023-02-14T12:57:48","date_gmt":"2023-02-14T10:57:48","guid":{"rendered":"https:\/\/primaderma.ro\/?page_id=7526"},"modified":"2023-03-07T11:54:37","modified_gmt":"2023-03-07T09:54:37","slug":"sef-lucr-dr-filip-ciubotaru-florina-mihaela","status":"publish","type":"post","link":"https:\/\/pdi.ro\/2023\/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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Manifest\u0103ri cutanate \u0219i afec\u021biuni interne \u2013 experien\u021ba ultimului an<\/span>
\nAutori: Florina Filip-Ciubotaru1, Gabriela Stoleriu2, Nicu\u021ba Manolache3, Carmen Manciuc4, Ana-Maria Holicov1, Daciana Elena Br\u0103ni\u0219teanu5<\/span><\/p>\n

1 Disciplina Medicin\u0103 de Familie Adul\u021bi, Facultatea de Medicin\u0103, Universitatea de Medicin\u0103 \u015fi Farmacie \u201eGrigore T. Popa\u201d, Ia\u0219i, Rom\u00e2nia
\n2 Departamentul Clinic Medical, Facultatea de Medicin\u0103 \u015fi Farmacie, Universitatea Dun\u0103rea de Jos din Gala\u0163i, Rom\u00e2nia
\n3 Departamentul \u015etiin\u0163e Farmaceutice, Facultatea de Medicin\u0103 \u015fi Farmacie, Universitatea Dun\u0103rea de Jos din Gala\u0163i, Rom\u00e2nia
\n4 Disciplina Boli infec\u0163ioase, Facultatea de Medicin\u0103, Universitatea de Medicin\u0103 \u015fi Farmacie \u201eGrigore T. Popa\u201d, Ia\u0219i, Rom\u00e2nia
\n5 Disciplina Dermatologie, Facultatea de Medicin\u0103, Universitatea de Medicin\u0103 \u015fi Farmacie \u201eGrigore T. Popa\u201d, Ia\u0219i, Rom\u00e2nia<\/p>\n

Cuvinte cheie: urticarie, morfee, edem, afec\u021biuni interne<\/p>\n

Marea majoritate a cazurilor care se prezint\u0103 la consulta\u021bii sunt complexe, prin cumulul de afec\u021biuni pe care \u00eel prezint\u0103, iar abordarea corect\u0103 este tratarea lor ca un \u00eentreg, \u0219i nu ca un aparat sau sistem. Devine obligatorie anamneza \u0219i examenul clinic complet al pacientului. Acestea ofer\u0103 informa\u021bii importante care pot contura diagnostice clinice pozitive \u00eentr-o mare majoritate a cazurilor. Exist\u0103 manifest\u0103ri cutanate uneori patognomonice, alteori sugestive pentru boli sistemice, care apar \u00eenainte ca alte organe s\u0103 fie afectate: faciesuri tipice unor afec\u021biuni (hipocratic, cu edem Quincke, mixedematos, \u201eblue bloater\u201d, \u201epink puffer\u201d), tegumente cu colora\u021bii speciale (paloare galben ca paiul \u00een anemia Biermer sau neoplazii) sau aspecte particulare cu relevan\u021b\u0103 diagnostic\u0103 consistent\u0103 precum: eritroza palmar\u0103, buzele carminate, aspectul eritemului palmar, “paper money skin”, sunt semne \u00eenalt sugestive pentru insuficien\u021ba hepatic\u0103; aspectul unghiilor este particular \u00een anemii, psoriazis, boli care asociaz\u0103 hipoxemia. Dar sunt \u0219i manifest\u0103ri cutanate intrigante datorit\u0103 mecanismelor fiziopatologice implicate \u00een geneza leziunilor. Astfel, urticariile, de\u0219i cu aspect relativ monoton pot avea mecanisme alergice \u0219i non-alergice, iar afec\u021biunile interne care le induc \u0219i\/sau \u00eentre\u021bin pot r\u0103m\u00e2ne adesea obscure. Similar este \u0219i cazul dermatitelor atopice, morfeei, lichenului plan, pruritului sau diferitelor tipuri de edem.<\/p>\n

Skin manifestations and internal conditions \u2013 the experience of the last year<\/span>
\nAuthors: Florina Filip-Ciubotaru1, Gabriela Stoleriu2, Nicu\u021ba Manolache3, Carmen Manciuc4, Ana-Maria Holicov1, Daciana Elena Br\u0103ni\u0219teanu5<\/span><\/p>\n

1 Family Medicine Department, Faculty of Medicine, \u2018Grigore T. Popa\u2019 University of Medicine and Pharmacy, Iasi, Romania
\n2 Clinical Medical Department, Faculty of Medicine and Pharmacy, \u2018Dunarea de Jos\u2019 University of Galati, Romania
\n3 Department of Pharmaceutical Sciences, Faculty of Medicine and Pharmacy, \u2018Dunarea de Jos\u2019 University, Galati, Romania
\n4 Infectious Diseases Department, Faculty of Medicine, \u2018Grigore T. Popa\u2019 University of Medicine and Pharmacy, Iasi Romania
\n5 Dermatology Department, Faculty of Medicine, \u2018Grigore T. Popa\u2019 University of Medicine and Pharmacy, Iasi Romania<\/p>\n

Keywords: urticaria, morphoea, oedemas, internal diseases<\/p>\n

The most of clinical cases presenting to our office are complex, with many health problems that need a proper approach, treating each person as a unit, and not as an organ or system. The anamnesis and complete clinical examination of the patient become mandatory. They provide important information that can lead to the correct positive clinical diagnoses in the large majority of cases. There are skin manifestations that are sometimes pathognomonic, other times suggestive of systemic diseases, that occur before other organs are affected: facies typical of certain conditions (hippocratic, with Quincke edema, myxedematous, “blue bloater”, “pink puffer”), skin discoloration (yellow pallor like straw in Biermer’s anemia or neoplasias) or particular aspects with consistent diagnostic relevance such as: palmar erythrosis, carmine lips, the “paper money skin” appearance of palmar erythema, are highly suggestive signs of liver failure; the appearance of the nails is particular in anemias, psoriasis, diseases that associate hypoxemia. But there are also intriguing skin manifestations due to the pathophysiological mechanisms involved in the genesis of the lesions. Thus, urticaria, although relatively monotonous in appearance, may have allergic and non-allergic mechanisms, and the internal conditions that induce and\/or maintain them may often remain obscure. The case of atopic dermatitis, morphea, lichen planus, pruritus or different types of edema is similar.<\/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
\nMedic primar Medicin\u0103 Intern\u0103
\nMedic primar Medicina Muncii
\nMedic specialist Medicin\u0103 de Familie
\nDoctor \u00een \u0218tiin\u021be Medicale
\nCompeten\u021b\u0103 \u00een Ecografie General\u0103
\nMembru al Societ\u0103\u021bii de Medici \u0219i Naturali\u0219ti, Ia\u0219i
\nMembru al Societ\u0103\u021bii de Gastroenterologie \u0219i Hepatologie, Ia\u0219i
\nAutor principal\/co-autor 15 c\u0103r\u021bi cu subiect medical
\nLector program Erasmus-Socrates la Universitp\u021bile din Freiburg \u0219i L\u00fcbeck<\/p>\n

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Contacteaz\u0103 operatorul PDI 2023<\/p>\n

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Operatorul PDI 2023<\/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\u0219iManifest\u0103ri cutanate \u0219i afec\u021biuni interne \u2013 experien\u021ba ultimului an Autori: Florina Filip-Ciubotaru1, Gabriela Stoleriu2, Nicu\u021ba Manolache3, Carmen Manciuc4, Ana-Maria Holicov1, Daciana Elena Br\u0103ni\u0219teanu5 1 Disciplina Medicin\u0103 de Familie Adul\u021bi, Facultatea de Medicin\u0103, Universitatea de Medicin\u0103 \u015fi Farmacie \u201eGrigore T. Popa\u201d, Ia\u0219i, Rom\u00e2nia […]<\/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\/2023\/wp-json\/wp\/v2\/posts\/7526","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/comments?post=7526"}],"version-history":[{"count":13,"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/posts\/7526\/revisions"}],"predecessor-version":[{"id":12823,"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/posts\/7526\/revisions\/12823"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/media\/11299"}],"wp:attachment":[{"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/media?parent=7526"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/categories?post=7526"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pdi.ro\/2023\/wp-json\/wp\/v2\/tags?post=7526"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}