<div id="pf1" class="pf w0 h0" data-page-no="1"><div class="pc pc1 w0 h0"><img class="bi x0 y0 w1 h1" alt="" src="https://files.passeidireto.com/69097927-7dec-45c3-abee-441a234d25cd/bg1.png"><div class="t m0 x1 h2 y1 ff1 fs0 fc0 sc0 ls1 ws0">LIS<span class="blank"> </span>MARTIN<span class="blank _0"> </span>S<span class="blank"> </span>-<span class="blank"> </span>6º<span class="blank"> </span>PE<span class="blank _0"> </span>RÍODO<span class="blank"> </span>-<span class="blank"> </span>M<span class="blank _0"> </span>EDICINA</div><div class="t m0 x2 h3 y2 ff2 fs1 fc0 sc0 ls1 ws1">DISCROMIAS</div><div class="t m0 x0 h4 y3 ff3 fs0 fc0 sc0 ls1 ws2">Leucodermias:<span class="blank"> </span>Alter<span class="blank _0"> </span>ação<span class="blank"> </span>da<span class="blank"> </span>cor<span class="blank"> </span>d<span class="blank _0"> </span>a<span class="blank"> </span>pele<span class="blank"> </span>causada<span class="blank"> </span>pela<span class="blank"> </span>diminui<span class="blank _0"> </span>ção<span class="blank"> </span>da<span class="blank"> </span>melanina</div><div class="t m0 x0 h4 y4 ff3 fs0 fc0 sc0 ls1 ws2">Melanoderm<span class="blank _0"> </span>ias:<span class="blank"> </span>Alteração<span class="blank"> </span>da<span class="blank"> </span>cor<span class="blank _1"> </span>da<span class="blank"> </span>pele<span class="blank"> </span>causada<span class="blank"> </span>pelo<span class="blank"> </span>aum<span class="blank _0"> </span>ento<span class="blank"> </span>de<span class="blank"> </span>melanina</div><div class="t m0 x0 h5 y5 ff2 fs0 fc0 sc0 ls1 ws3">Leucod<span class="blank _0"> </span>ermias</div><div class="t m0 x3 h4 y6 ff3 fs0 fc0 sc0 ls1 ws4">Congênitas:<span class="blank"> </span>Albinism<span class="blank _0"> </span>o;<span class="blank"> </span>Piebaldi<span class="blank _0"> </span>smo;<span class="blank"> </span>Nevus<span class="blank"> </span>a<span class="blank _0"> </span>cromico</div><div class="t m0 x3 h4 y7 ff3 fs0 fc0 sc0 ls1 ws5">Adiquiridas:<span class="blank _1"> </span>Vitiligo;<span class="blank _2"> </span>Síndrom<span class="blank"> </span>e<span class="blank _2"> </span>de<span class="blank _2"> </span>Vogt-Koyana<span class="blank"> </span>gi;<span class="blank _2"> </span>L<span class="blank"> </span>eucoder<span class="blank"> </span>mia<span class="blank _2"> </span>solar<span class="blank"> </span>-gu<span class="blank"> </span>tata</div><div class="t m0 x0 h5 y8 ff2 fs0 fc0 sc0 ls1 ws3">Melanod<span class="blank _0"> </span>ermias</div><div class="t m0 x3 h4 y9 ff3 fs0 fc0 sc0 ls1 ws2">Congênitas:<span class="blank"> </span>Efélide<span class="blank _0"> </span>s;<span class="blank"> </span>Nevo<span class="blank"> </span>de<span class="blank"> </span>ota;<span class="blank"> </span>Nevo<span class="blank _1"> </span>de<span class="blank"> </span>ito;<span class="blank"> </span>Syndrome<span class="blank"> </span>de<span class="blank"> </span>p<span class="blank _0"> </span>eutz-jeghens;<span class="blank"> </span>incont<span class="blank _0"> </span>inência<span class="blank"> </span>pigme<span class="blank _0"> </span>ntar;<span class="blank"> </span>nevo</div><div class="t m0 x3 h4 ya ff3 fs0 fc0 sc0 ls1 ws6">de<span class="blank"> </span>becker;<span class="blank"> </span>man<span class="blank _0"> </span>chas<span class="blank"> </span>café<span class="blank"> </span>com<span class="blank"> </span>leite.</div><div class="t m0 x3 h4 yb ff3 fs0 fc0 sc0 ls1 ws7">Adquiridas:<span class="blank _2"> </span>Me<span class="blank"> </span>lasma;<span class="blank _2"> </span>Mela<span class="blank"> </span>noses<span class="blank _2"> </span>act<span class="blank"> </span>ínicas;<span class="blank _2"> </span>Hiper<span class="blank"> </span>crom<span class="blank"> </span>ia<span class="blank _2"> </span>residual</div><div class="t m0 x0 h4 yc ff2 fs0 fc0 sc0 ls1 ws8">Albinism<span class="blank _0"> </span>o:<span class="blank"> </span><span class="ff3 ws2">Acromia/hipocr<span class="blank _0"> </span>omia<span class="blank"> </span>her<span class="blank _0"> </span>editária<span class="blank"> </span>(ausencia<span class="blank"> </span>to<span class="blank _0"> </span>tal<span class="blank"> </span>ou<span class="blank"> </span>quase<span class="blank"> </span>total<span class="blank"> </span>de<span class="blank"> </span>melanina<span class="blank _1"> </span>na<span class="blank"> </span>pele,<span class="blank"> </span>cabelo<span class="blank"> </span>e<span class="blank _1"> </span>olhos)</span></div><div class="t m0 x0 h4 yd ff3 fs0 fc0 sc0 ls1 ws7">O<span class="blank _2"> </span>albinismo<span class="blank _2"> </span>sempr<span class="blank"> </span>e<span class="blank _2"> </span>tem<span class="blank _2"> </span>acome<span class="blank"> </span>timento<span class="blank _2"> </span>ocular,<span class="blank _1"> </span>mas<span class="blank _2"> </span>não<span class="blank _2"> </span>necessariam<span class="blank"> </span>ente<span class="blank _2"> </span>cut<span class="blank"> </span>ân<span class="blank"> </span>eo.</div><div class="t m0 x0 h4 ye ff3 fs0 fc0 sc0 ls1 ws9">Não<span class="blank"> </span>conseguem<span class="blank"> </span>oxidar<span class="blank _1"> </span>a<span class="blank"> </span>tirosina<span class="blank"> </span>em<span class="blank"> </span>d<span class="blank _0"> </span>opa<span class="blank"> </span>por<span class="blank"> </span>meio<span class="blank"> </span>da<span class="blank"> </span>tirosinase</div><div class="t m0 x0 h4 yf ff3 fs0 fc0 sc0 ls1 ws2">Possuem<span class="blank"> </span>maio<span class="blank _0"> </span>s<span class="blank"> </span>risco<span class="blank"> </span>de<span class="blank"> </span>dano<span class="blank"> </span>actí<span class="blank _0"> </span>nico<span class="blank"> </span>por<span class="blank"> </span>falta<span class="blank"> </span>da<span class="blank"> </span>melanina<span class="blank _0"> </span>;<span class="blank"> </span>Maior<span class="blank"> </span>risco<span class="blank"> </span>de<span class="blank"> </span>mor<span class="blank _0"> </span>te<span class="blank"> </span>prematura<span class="blank"> </span>em<span class="blank"> </span>albinos<span class="blank _1"> </span>por<span class="blank"> </span>CA</div><div class="t m0 x0 h4 y10 ff3 fs0 fc0 sc0 ls1 wsa">O<span class="blank _2"> </span>número<span class="blank _2"> </span>de<span class="blank _2"> </span>melanócito<span class="blank"> </span>s<span class="blank _2"> </span>é<span class="blank _2"> </span>normal<span class="blank _2"> </span>em<span class="blank _2"> </span>todos<span class="blank _2"> </span>os<span class="blank _2"> </span>tipos</div><div class="t m0 x0 h4 y11 ff3 fs0 fc0 sc0 ls1 ws2">Alterações<span class="blank"> </span>visuais:<span class="blank _1"> </span>Dimminuição<span class="blank"> </span>da<span class="blank"> </span>acu<span class="blank _0"> </span>idade<span class="blank"> </span>visual,<span class="blank _1"> </span>erros<span class="blank"> </span>de<span class="blank"> </span>refração<span class="blank _0"> </span>;<span class="blank"> </span>iris<span class="blank"> </span>translúcida;<span class="blank"> </span>n<span class="blank _0"> </span>istagmo(movim<span class="blank _0"> </span>ento</div><div class="t m0 x0 h4 y12 ff3 fs0 fc0 sc0 ls1 ws2">involuntário<span class="blank"> </span>dos<span class="blank"> </span>olhos)<span class="blank _0"> </span>;<span class="blank"> </span>hipoplasia<span class="blank"> </span>da<span class="blank"> </span>fóve<span class="blank _0"> </span>a;<span class="blank"> </span>hipopigm<span class="blank _0"> </span>entação<span class="blank"> </span>do<span class="blank"> </span>fundo<span class="blank"> </span>de<span class="blank"> </span>olho<span class="blank _0"> </span>;<span class="blank"> </span>estrabismo,<span class="blank"> </span>per<span class="blank _0"> </span>da<span class="blank"> </span>da<span class="blank"> </span>visão;</div><div class="t m0 x0 h4 y13 ff3 fs0 fc0 sc0 ls1 ws3">fotofobia.</div><div class="t m0 x0 h4 y14 ff3 fs0 fc0 sc0 ls1 ws3">Tipos:</div><div class="t m0 x0 h4 y15 ff3 fs0 fc0 sc0 ls1 ws5">Tipo<span class="blank _2"> </span>1<span class="blank _2"> </span>-<span class="blank _2"> </span>ACO<span class="blank _2"> </span>tirosinase<span class="blank _2"> </span>nega<span class="blank"> </span>tivo:<span class="blank _2"> </span>(Albinis<span class="blank"> </span>mo<span class="blank _2"> </span>am<span class="blank"> </span>arelo)</div><div class="t m0 x3 h4 y16 ff3 fs0 fc0 sc0 ls1 wsb">1A:<span class="blank _2"> </span>Ausência<span class="blank _2"> </span>de<span class="blank _2"> </span>me<span class="blank"> </span>lanina<span class="blank _2"> </span>quase<span class="blank _2"> </span>com<span class="blank"> </span>pleta</div><div class="t m0 x3 h4 y17 ff3 fs0 fc0 sc0 ls1 wsc">1B:<span class="blank"> </span>Perda<span class="blank"> </span>pa<span class="blank _0"> </span>rcial<span class="blank"> </span>da<span class="blank"> </span>tirosinase</div><div class="t m0 x0 h4 y18 ff3 fs0 fc0 sc0 ls1 wsd">Tipo<span class="blank"> </span>2<span class="blank _2"> </span>-<span class="blank"> </span>ACO<span class="blank _2"> </span>tir<span class="blank _0"> </span>osinase<span class="blank _2"> </span>positivo<span class="blank _1"> </span>(Albinismo<span class="blank _2"> </span>ma<span class="blank _0"> </span>rrom<span class="blank"> </span>-<span class="blank"> </span>d<span class="blank _0"> </span>escrito<span class="blank"> </span>em<span class="blank _2"> </span>afr<span class="blank _0"> </span>icanos)</div><div class="t m0 x3 h4 y19 ff3 fs0 fc0 sc0 ls1 ws9">A<span class="blank"> </span>eumelanina<span class="blank"> </span>est<span class="blank _0"> </span>a<span class="blank"> </span>diminuida<span class="blank"> </span>mas<span class="blank"> </span>não<span class="blank"> </span>ausen<span class="blank _0"> </span>te,<span class="blank"> </span>confer<span class="blank _0"> </span>indo<span class="blank"> </span>a<span class="blank"> </span>cor<span class="blank"> </span>marro<span class="blank _0"> </span>m-clara<span class="blank"> </span>para<span class="blank"> </span>pele,<span class="blank"> </span>cabelo<span class="blank _0"> </span>s<span class="blank"> </span>e<span class="blank"> </span>olhos</div><div class="t m0 x3 h4 y1a ff3 fs0 fc0 sc0 ls1 wse">Mutação<span class="blank _2"> </span>do<span class="blank _2"> </span>gene<span class="blank _2"> </span>AOC2</div><div class="t m0 x3 h4 y1b ff3 fs0 fc0 sc0 ls0 wsf">30%<span class="blank"> </span>dos<span class="blank"> </span>casos<span class="blank"> </span>do<span class="blank _2"> </span>mundo</div><div class="t m0 x0 h4 y1c ff3 fs0 fc0 sc0 ls1 ws10">Tipo<span class="blank"> </span>3<span class="blank _2"> </span>-<span class="blank"> </span>ACO<span class="blank _2"> </span>(r<span class="blank _0"> </span>aro)</div><div class="t m0 x3 h4 y1d ff3 fs0 fc0 sc0 ls0 ws11">3%<span class="blank"> </span>dos<span class="blank"> </span>casos<span class="blank"> </span>do<span class="blank _2"> </span>mundo</div><div class="t m0 x3 h4 y1e ff3 fs0 fc0 sc0 ls1 ws9">Mutação<span class="blank"> </span>do<span class="blank"> </span>gene<span class="blank"> </span>T<span class="blank _0"> </span>YRP<span class="blank"> </span>1</div><div class="t m0 x3 h4 y1f ff3 fs0 fc0 sc0 ls1 ws12">Nem<span class="blank _2"> </span>sempre<span class="blank _2"> </span>altera<span class="blank"> </span>ções<span class="blank _2"> </span>oculares<span class="blank _1"> </span>estão<span class="blank _2"> </span>present<span class="blank"> </span>es</div><div class="t m0 x0 h4 y20 ff3 fs0 fc0 sc0 ls1 ws9">Tipo<span class="blank"> </span>4<span class="blank"> </span>(Prevalente<span class="blank"> </span>n<span class="blank _0"> </span>o<span class="blank"> </span>Japão)</div><div class="t m0 x3 h4 y21 ff3 fs0 fc0 sc0 ls1 ws2">Mutação<span class="blank"> </span>do<span class="blank"> </span>gene<span class="blank"> </span>qu<span class="blank _0"> </span>e<span class="blank"> </span>codifica<span class="blank"> </span>a<span class="blank"> </span>proteína<span class="blank"> </span>MAT<span class="blank _0"> </span>P</div><div class="t m0 x3 h4 y22 ff3 fs0 fc0 sc0 ls0 ws13">17%<span class="blank"> </span>de<span class="blank"> </span>casos<span class="blank"> </span>no<span class="blank"> </span>mundo</div><div class="t m0 x0 h4 y23 ff3 fs0 fc0 sc0 ls1 ws14">Formas<span class="blank _2"> </span>sindrô<span class="blank"> </span>micas:</div><div class="t m0 x3 h4 y24 ff3 fs0 fc0 sc0 ls1 ws15">Síndrome<span class="blank _2"> </span>Herma<span class="blank"> </span>nsky-Pudl<span class="blank"> </span>ack:<span class="blank _1"> </span>Doença<span class="blank _2"> </span>associada<span class="blank _1"> </span>ao<span class="blank _2"> </span>albinismo<span class="blank _2"> </span>oculocut<span class="blank"> </span>âneo<span class="blank _2"> </span>com<span class="blank _2"> </span>alte<span class="blank"> </span>raçõe<span class="blank"> </span>s<span class="blank _2"> </span>hemorr<span class="blank"> </span>ágicas</div><div class="t m0 x3 h4 y25 ff3 fs0 fc0 sc0 ls1 ws16">Síndrome<span class="blank _2"> </span>de<span class="blank _2"> </span>Chediak-Hig<span class="blank"> </span>as<span class="blank"> </span>hi:<span class="blank _1"> </span>Caracterizada<span class="blank _2"> </span>po<span class="blank"> </span>r<span class="blank _2"> </span>hipopig<span class="blank"> </span>menta<span class="blank"> </span>ção,<span class="blank _2"> </span>defeito<span class="blank"> </span>s<span class="blank _2"> </span>imunol<span class="blank"> </span>ógicos,<span class="blank _2"> </span>d<span class="blank"> </span>iástase</div><div class="t m0 x3 h4 y26 ff3 fs0 fc0 sc0 ls1 ws9">hemorrágica,<span class="blank"> </span>disfun<span class="blank _0"> </span>ção<span class="blank"> </span>neurológ<span class="blank _0"> </span>ica<span class="blank"> </span>e<span class="blank"> </span>susceptilidade<span class="blank"> </span>a<span class="blank"> </span>infe<span class="blank _0"> </span>cções</div><div class="t m0 x0 h4 y27 ff3 fs0 fc0 sc0 ls1 ws17">Diagnóstico:<span class="blank"> </span>Clínico<span class="blank _1"> </span>+<span class="blank"> </span>Identificação<span class="blank _1"> </span>da<span class="blank"> </span>tirosinase<span class="blank"> </span>pela<span class="blank"> </span>incub<span class="blank _0"> </span>ação<span class="blank"> </span>em<span class="blank"> </span>levodo<span class="blank _0"> </span>pa<span class="blank"> </span>+<span class="blank"> </span>Eletromicroscopia</div><div class="t m0 x0 h4 y28 ff3 fs0 fc0 sc0 ls1 ws18">Tratamen<span class="blank _0"> </span>to:<span class="blank"> </span>Fotoproteção<span class="blank"> </span>+<span class="blank"> </span>Criocir<span class="blank _0"> </span>urgia<span class="blank"> </span>+<span class="blank"> </span>eletrocirur<span class="blank _0"> </span>gia<span class="blank"> </span>+<span class="blank"> </span>exérese<span class="blank"> </span>preco<span class="blank _0"> </span>ce<span class="blank"> </span>de<span class="blank"> </span>queratoses<span class="blank _1"> </span>e<span class="blank"> </span>tumores<span class="blank"> </span>malignos</div><div class="t m0 x0 h4 y29 ff2 fs0 fc0 sc0 ls1 ws19">Piebaldism<span class="blank _0"> </span>o:<span class="blank"> </span><span class="ff3 ws2">Poliose<span class="blank"> </span>+<span class="blank"> </span>acro<span class="blank _0"> </span>mia<span class="blank"> </span>triangular<span class="blank"> </span>em<span class="blank _2"> </span>r<span class="blank _0"> </span>egião<span class="blank"> </span>frontal<span class="blank"> </span>do<span class="blank"> </span>cr<span class="blank _0"> </span>ânio<span class="blank"> </span>+<span class="blank"> </span>despigmentaçã<span class="blank _0"> </span>o<span class="blank"> </span>na<span class="blank"> </span>região<span class="blank"> </span>torácica,</span></div><div class="t m0 x0 h4 y2a ff3 fs0 fc0 sc0 ls1 ws9">abdominal<span class="blank"> </span>e<span class="blank"> </span>memb<span class="blank _0"> </span>ros<span class="blank"> </span>(<span class="blank"> </span>Poupa<span class="blank"> </span>maos<span class="blank"> </span>e<span class="blank"> </span>pés,<span class="blank _1"> </span>sendo<span class="blank"> </span>um<span class="blank"> </span>difer<span class="blank _0"> </span>encial<span class="blank"> </span>de<span class="blank"> </span>vitiligo)</div><div class="t m0 x0 h4 y2b ff3 fs0 fc0 sc0 ls1 ws1a">Síndromede<span class="blank"> </span>Woof<span class="blank _0"> </span>fs:<span class="blank"> </span>Surdez<span class="blank"> </span>+<span class="blank"> </span>h<span class="blank _0"> </span>eterocromia<span class="blank"> </span>d<span class="blank _0"> </span>a<span class="blank"> </span>íris<span class="blank"> </span>+<span class="blank"> </span>piebaldismo</div><div class="t m0 x0 h5 y2c ff2 fs0 fc0 sc0 ls1 ws1b">Nevus<span class="blank"> </span>acrô<span class="blank _0"> </span>mico<span class="blank"> </span>-<span class="blank"> </span>Nev<span class="blank _0"> </span>us<span class="blank"> </span>des<span class="blank _0"> </span>pigmento<span class="blank _0"> </span>so</div><div class="t m0 x0 h4 y2d ff3 fs0 fc0 sc0 ls1 ws2">Área<span class="blank"> </span>de<span class="blank"> </span>hipocromia<span class="blank"> </span>d<span class="blank _0"> </span>e<span class="blank"> </span>forma<span class="blank"> </span>e<span class="blank"> </span>tamanh<span class="blank _0"> </span>o<span class="blank"> </span>variáveis</div><div class="t m0 x0 h4 y2e ff3 fs0 fc0 sc0 ls1 ws2">Melhor<span class="blank"> </span>evidenciado<span class="blank"> </span>n<span class="blank _0"> </span>a<span class="blank"> </span>luz<span class="blank"> </span>de<span class="blank"> </span>Wood<span class="blank"> </span>(Color<span class="blank _0"> </span>ação<span class="blank"> </span>off-white)</div><div class="t m0 x0 h4 y2f ff3 fs0 fc0 sc0 ls1 ws9">Nevus<span class="blank"> </span>anêm<span class="blank _0"> </span>ico<span class="blank"> </span>-<span class="blank"> </span>após<span class="blank"> </span>pressão<span class="blank"> </span>apr<span class="blank _0"> </span>esenta<span class="blank"> </span>coloração<span class="blank"> </span>igua<span class="blank _0"> </span>l<span class="blank"> </span>a<span class="blank"> </span>pele<span class="blank"> </span>normal<span class="blank"> </span>(vitrop<span class="blank _0"> </span>ressão)</div><div class="t m0 x0 h5 y30 ff2 fs0 fc0 sc0 ls1 ws3">Vitiligo:</div><div class="t m0 x0 h4 y31 ff3 fs0 fc0 sc0 ls1 ws2">Ocorre<span class="blank"> </span>em<span class="blank"> </span>tor<span class="blank _0"> </span>no<span class="blank"> </span>de<span class="blank"> </span>1%<span class="blank"> </span>da<span class="blank"> </span>populaçã<span class="blank _0"> </span>o</div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf2" class="pf w0 h0" data-page-no="2"><div class="pc pc2 w0 h0"><img class="bi x0 y32 w2 h6" alt="" src="https://files.passeidireto.com/69097927-7dec-45c3-abee-441a234d25cd/bg2.png"><div class="t m0 x1 h2 y1 ff1 fs0 fc0 sc0 ls1 ws0">LIS<span class="blank"> </span>MARTIN<span class="blank _0"> </span>S<span class="blank"> </span>-<span class="blank"> </span>6º<span class="blank"> </span>PE<span class="blank _0"> </span>RÍODO<span class="blank"> </span>-<span class="blank"> </span>M<span class="blank _0"> </span>EDICINA</div><div class="t m0 x0 h4 y33 ff3 fs0 fc0 sc0 ls1 ws1c">Lesoes<span class="blank"> </span>acrômica<span class="blank"> </span>d<span class="blank _0"> </span>evido<span class="blank"> </span>a<span class="blank"> </span>destr<span class="blank _0"> </span>uição<span class="blank"> </span>de<span class="blank"> </span>melanócito<span class="blank _0"> </span>s</div><div class="t m0 x0 h4 y34 ff3 fs0 fc0 sc0 ls1 ws1d">Pode<span class="blank"> </span>surgir<span class="blank"> </span>após<span class="blank"> </span>f<span class="blank _0"> </span>atores<span class="blank"> </span>desencade<span class="blank _0"> </span>antes<span class="blank"> </span>com<span class="blank _0"> </span>o<span class="blank"> </span>queimaduras<span class="blank _2"> </span>solar<span class="blank _0"> </span>es<span class="blank"> </span>e<span class="blank"> </span>traumas</div><div class="t m0 x0 h4 y35 ff3 fs0 fc0 sc0 ls0 ws1e">Igual<span class="blank"> </span>em<span class="blank"> </span>ambos<span class="blank"> </span>os<span class="blank"> </span>sexos</div><div class="t m0 x0 h4 y36 ff3 fs0 fc0 sc0 ls1 ws1f">Risco<span class="blank"> </span>a<span class="blank _0"> </span>umentado<span class="blank"> </span>entre<span class="blank _2"> </span>7<span class="blank _2"> </span>e<span class="blank _1"> </span>10x<span class="blank"> </span>par<span class="blank _0"> </span>a<span class="blank"> </span>familiares<span class="blank _2"> </span>de<span class="blank _2"> </span>pr<span class="blank _0"> </span>imeiro<span class="blank"> </span>g<span class="blank _0"> </span>rau</div><div class="t m0 x0 h4 y37 ff3 fs0 fc0 sc0 ls1 ws20">O<span class="blank"> </span>vitiligo<span class="blank _2"> </span>instá<span class="blank _0"> </span>vel<span class="blank"> </span>a<span class="blank _0"> </span>presenta<span class="blank _2"> </span>tres<span class="blank"> </span>tipos<span class="blank _1"> </span>de<span class="blank"> </span>co<span class="blank _0"> </span>loração<span class="blank"> </span>(<span class="blank _0"> </span>Tricomicas)</div><div class="t m0 x0 h4 y38 ff3 fs0 fc0 sc0 ls1 ws5">Diagnóstico:<span class="blank _2"> </span>Clinic<span class="blank"> </span>o<span class="blank _2"> </span>+<span class="blank _2"> </span>Lâmp<span class="blank"> </span>ada<span class="blank _2"> </span>de<span class="blank _2"> </span>Wood<span class="blank _2"> </span>-<span class="blank _2"> </span>No<span class="blank _2"> </span>vitiligo<span class="blank _2"> </span>a<span class="blank _2"> </span>color<span class="blank"> </span>a<span class="blank"> </span>ção<span class="blank _2"> </span>é<span class="blank _2"> </span>nacarada<span class="blank _1"> </span>com<span class="blank _2"> </span>aspecto<span class="blank _2"> </span>arr<span class="blank"> </span>edond<span class="blank"> </span>ado<span class="blank _2"> </span>(aspecto</div><div class="t m0 x0 h4 y39 ff3 fs0 fc0 sc0 ls1 ws21">branco<span class="blank"> </span>giz)</div><div class="t m0 x0 h4 y3a ff3 fs0 fc0 sc0 ls1 ws5">Avaliação<span class="blank _2"> </span>laborat<span class="blank"> </span>orial:<span class="blank _2"> </span>Avali<span class="blank"> </span>ar<span class="blank _2"> </span>TSH<span class="blank _1"> </span>e<span class="blank _2"> </span>anti-TPO,<span class="blank _2"> </span>T4<span class="blank _2"> </span>livre;<span class="blank _2"> </span>Investig<span class="blank"> </span>ar<span class="blank _2"> </span>doen<span class="blank"> </span>ç<span class="blank"> </span>as<span class="blank _2"> </span>autoimun<span class="blank"> </span>es;</div><div class="t m0 x0 h4 y3b ff3 fs0 fc0 sc0 ls1 ws1d">Fenômeno<span class="blank"> </span>de<span class="blank"> </span>Koebner<span class="blank _0"> </span>:<span class="blank"> </span>Vitiligo<span class="blank _2"> </span>ap<span class="blank _0"> </span>ós<span class="blank"> </span>trauma</div><div class="t m0 x0 h4 y3c ff3 fs0 fc0 sc0 ls1 ws9">Teoria<span class="blank"> </span>imunoló<span class="blank _0"> </span>gica:<span class="blank"> </span>Foi<span class="blank"> </span>observado<span class="blank"> </span>a<span class="blank"> </span>a<span class="blank _0"> </span>ssociação<span class="blank"> </span>entr<span class="blank _0"> </span>e<span class="blank"> </span>o<span class="blank"> </span>vitiligo<span class="blank"> </span>e<span class="blank"> </span>a<span class="blank"> </span>freque<span class="blank _0"> </span>nte<span class="blank"> </span>ocorrência<span class="blank"> </span>de<span class="blank"> </span>d<span class="blank _0"> </span>oenças<span class="blank"> </span>autoimunes</div><div class="t m0 x0 h4 y3d ff3 fs0 fc0 sc0 ls0 ws22">dos<span class="blank"> </span>doentes<span class="blank"> </span>e<span class="blank"> </span>parentes,<span class="blank"> </span>bem<span class="blank"> </span>como<span class="blank"> </span>doenças<span class="blank"> </span>da<span class="blank"> </span>tireoide,<span class="blank"> </span>anemia<span class="blank"> </span>perniciosa,<span class="blank"> </span>doença<span class="blank"> </span>de<span class="blank"> </span>adisson,<span class="blank"> </span>diabetes,<span class="blank"> </span>outros.</div><div class="t m0 x0 h4 y3e ff3 fs0 fc0 sc0 ls1 ws1f">Teoria<span class="blank"> </span>neur<span class="blank _0"> </span>ogênica:<span class="blank _2"> </span>Acedita-<span class="blank _0"> </span>se<span class="blank"> </span>que<span class="blank _1"> </span>pode<span class="blank"> </span>existir<span class="blank _2"> </span>um<span class="blank _2"> </span>m<span class="blank _0"> </span>ediador<span class="blank"> </span>n<span class="blank _0"> </span>euroquímico<span class="blank _2"> </span>que<span class="blank _2"> </span>afe<span class="blank _0"> </span>ta<span class="blank"> </span>os<span class="blank"> </span>m<span class="blank _0"> </span>elanócitos<span class="blank _2"> </span>e<span class="blank _2"> </span>a</div><div class="t m0 x0 h4 y3f ff3 fs0 fc0 sc0 ls1 ws9">produção<span class="blank"> </span>de<span class="blank"> </span>me<span class="blank _0"> </span>lanina</div><div class="t m0 x0 h4 y40 ff3 fs0 fc0 sc0 ls1 ws23">Teoria<span class="blank _2"> </span>autotóxica:<span class="blank _2"> </span>Autod<span class="blank"> </span>estru<span class="blank"> </span>i<span class="blank"> </span>ção<span class="blank _2"> </span>do<span class="blank _2"> </span>melanó<span class="blank"> </span>citos<span class="blank _2"> </span>pois<span class="blank _2"> </span>n<span class="blank"> </span>ão<span class="blank _2"> </span>consegu<span class="blank"> </span>e<span class="blank _2"> </span>se<span class="blank _2"> </span>livr<span class="blank"> </span>as<span class="blank _2"> </span>dos<span class="blank _2"> </span>metabó<span class="blank"> </span>litos<span class="blank _2"> </span>p<span class="blank"> </span>rod<span class="blank"> </span>uzidos<span class="blank _2"> </span>na</div><div class="t m0 x0 h4 y41 ff3 fs0 fc0 sc0 ls1 ws9">formação<span class="blank"> </span>de<span class="blank"> </span>me<span class="blank _0"> </span>lanina</div><div class="t m0 x0 h4 y42 ff3 fs0 fc0 sc0 ls1 ws24">Tratamen<span class="blank _0"> </span>to:<span class="blank"> </span>Corticoide<span class="blank _2"> </span>+<span class="blank _2"> </span>fot<span class="blank _0"> </span>oterapia</div><div class="t m0 x0 h5 y43 ff2 fs0 fc0 sc0 ls1 ws25">Síndrome<span class="blank _2"> </span>de<span class="blank"> </span>Vo<span class="blank _0"> </span>gt-Koya<span class="blank _0"> </span>nagi</div><div class="t m0 x0 h4 y44 ff3 fs0 fc0 sc0 ls1 ws26">Caracterizada<span class="blank _2"> </span>por<span class="blank _1"> </span>inflamação<span class="blank _2"> </span>bilateral<span class="blank _1"> </span>e<span class="blank _2"> </span>granulomato<span class="blank"> </span>sa<span class="blank _2"> </span>dos<span class="blank _2"> </span>olho<span class="blank _2"> </span>(Pan-u<span class="blank"> </span>veíte)</div><div class="t m0 x0 h4 y45 ff3 fs0 fc0 sc0 ls1 ws27">Doença<span class="blank"> </span>auto<span class="blank _0"> </span>imune<span class="blank"> </span>que<span class="blank _2"> </span>afe<span class="blank _0"> </span>ta<span class="blank"> </span>múltiplos<span class="blank _1"> </span>sistemas<span class="blank _2"> </span>do<span class="blank _2"> </span>cor<span class="blank _0"> </span>po,<span class="blank"> </span>incluindo<span class="blank _1"> </span>olhos,<span class="blank"> </span>cab<span class="blank _0"> </span>elo,<span class="blank"> </span>pele,<span class="blank _1"> </span>e<span class="blank"> </span>sistema<span class="blank _2"> </span>ner<span class="blank _0"> </span>voso</div><div class="t m0 x0 h4 y46 ff3 fs0 fc0 sc0 ls1 ws3">central.</div><div class="t m0 x0 h4 y47 ff3 fs0 fc0 sc0 ls1 ws28">Mancha<span class="blank"> </span>vitiligoi<span class="blank _0"> </span>des,<span class="blank"> </span>poliose<span class="blank"> </span>ciliar<span class="blank _0"> </span>,<span class="blank"> </span>áreas<span class="blank"> </span>de<span class="blank"> </span>alopécia<span class="blank _0"> </span>,<span class="blank"> </span>hipoacusia<span class="blank"> </span>e<span class="blank _1"> </span>uveítes.</div><div class="t m0 x0 h4 y48 ff3 fs0 fc0 sc0 ls1 ws24">Tratamen<span class="blank _0"> </span>to:<span class="blank"> </span>Corticoides<span class="blank _2"> </span>e<span class="blank _2"> </span>sintom<span class="blank _0"> </span>ático</div><div class="t m0 x0 h5 y49 ff2 fs0 fc0 sc0 ls1 ws3">Efélides</div><div class="t m0 x0 h4 y4a ff3 fs0 fc0 sc0 ls1 ws2">Sardas,<span class="blank"> </span>que<span class="blank"> </span>acomete<span class="blank _0"> </span>m<span class="blank"> </span>pessoas<span class="blank"> </span>de<span class="blank"> </span>pe<span class="blank _0"> </span>le<span class="blank"> </span>clara,<span class="blank"> </span>ruivos<span class="blank"> </span>o<span class="blank _0"> </span>u<span class="blank"> </span>loiros.</div><div class="t m0 x0 h4 y4b ff3 fs0 fc0 sc0 ls1 ws1d">Surgem<span class="blank"> </span>após<span class="blank"> </span>expo<span class="blank _0"> </span>sição<span class="blank"> </span>solar</div><div class="t m0 x0 h4 y4c ff3 fs0 fc0 sc0 ls1 ws2">Aumento<span class="blank"> </span>de<span class="blank"> </span>melanina<span class="blank _1"> </span>na<span class="blank"> </span>camada<span class="blank"> </span>basa<span class="blank _0"> </span>l<span class="blank"> </span>sem<span class="blank"> </span>aumento<span class="blank"> </span>de<span class="blank"> </span>mela<span class="blank _0"> </span>nócitos</div><div class="t m0 x0 h4 y4d ff3 fs0 fc0 sc0 ls1 ws2">Relacionada<span class="blank"> </span>a<span class="blank _0"> </span>o<span class="blank"> </span>gene<span class="blank"> </span>receptor<span class="blank"> </span>d<span class="blank _0"> </span>e<span class="blank"> </span>melanina<span class="blank"> </span>(MC1R)</div><div class="t m0 x0 h4 y4e ff3 fs0 fc0 sc0 ls1 ws24">Tratamen<span class="blank _0"> </span>to:<span class="blank"> </span>Fenol,<span class="blank _2"> </span>ATA,<span class="blank _2"> </span>crio<span class="blank _0"> </span>terapia</div><div class="t m0 x0 h5 y4f ff2 fs0 fc0 sc0 ls1 ws29">Nevo<span class="blank"> </span>de<span class="blank"> </span>ot<span class="blank _0"> </span>a</div><div class="t m0 x0 h4 y50 ff3 fs0 fc0 sc0 ls1 ws17">Manchas<span class="blank"> </span>azuladas<span class="blank _1"> </span>com<span class="blank"> </span>pontos<span class="blank"> </span>castanh<span class="blank _0"> </span>os<span class="blank"> </span>que<span class="blank"> </span>acomet<span class="blank _0"> </span>e<span class="blank"> </span>área<span class="blank"> </span>inervada<span class="blank"> </span>pelo<span class="blank"> </span>p<span class="blank _0"> </span>rimeiro<span class="blank"> </span>e<span class="blank"> </span>segundo<span class="blank"> </span>r<span class="blank _0"> </span>amo<span class="blank"> </span>do<span class="blank"> </span>trigêmio</div><div class="t m0 x0 h4 y51 ff3 fs0 fc0 sc0 ls1 ws2a">Comum<span class="blank"> </span>em<span class="blank"> </span>mu<span class="blank _0"> </span>lheres<span class="blank"> </span>asiáticas</div><div class="t m0 x0 h4 y52 ff3 fs0 fc0 sc0 ls1 ws2b">Geralmente<span class="blank"> </span>unilat<span class="blank _0"> </span>eral</div><div class="t m0 x0 h4 y53 ff3 fs0 fc0 sc0 ls1 ws12">Melanócitos<span class="blank _2"> </span>dé<span class="blank"> </span>rmicos<span class="blank _2"> </span>disper<span class="blank"> </span>sos<span class="blank _2"> </span>entre<span class="blank _2"> </span>as<span class="blank _2"> </span>fibr<span class="blank"> </span>as<span class="blank _2"> </span>colá<span class="blank"> </span>genas</div><div class="t m0 x0 h5 y54 ff2 fs0 fc0 sc0 ls1 ws29">Nevo<span class="blank"> </span>de<span class="blank"> </span>ito</div><div class="t m0 x0 h4 y55 ff3 fs0 fc0 sc0 ls1 ws2">Variante<span class="blank"> </span>do<span class="blank"> </span>nevo<span class="blank"> </span>de<span class="blank"> </span>ota</div><div class="t m0 x0 h4 y56 ff3 fs0 fc0 sc0 ls1 ws1c">anchas<span class="blank"> </span>azuladas<span class="blank _1"> </span>com<span class="blank"> </span>pontos<span class="blank"> </span>castan<span class="blank _0"> </span>hos<span class="blank"> </span>que<span class="blank"> </span>acomete<span class="blank _1"> </span>ombros,<span class="blank"> </span>r<span class="blank _0"> </span>egião<span class="blank"> </span>supraclavicular<span class="blank _1"> </span>epescoço</div><div class="t m0 x0 h4 y57 ff3 fs0 fc0 sc0 ls1 ws2">Tratamen<span class="blank _0"> </span>to<span class="blank"> </span>de<span class="blank"> </span>nevo<span class="blank"> </span>de<span class="blank"> </span>ota<span class="blank"> </span>e<span class="blank"> </span>ito:<span class="blank"> </span>Laser<span class="blank"> </span>-<span class="blank"> </span>fototer<span class="blank _0"> </span>apia</div><div class="t m0 x0 h5 y58 ff2 fs0 fc0 sc0 ls1 ws25">Síndrome<span class="blank _2"> </span>de<span class="blank"> </span>Peu<span class="blank _0"> </span>tz-Jegh<span class="blank _0"> </span>ers</div><div class="t m0 x0 h4 y59 ff3 fs0 fc0 sc0 ls1 ws2c">Manchas<span class="blank"> </span>pigmen<span class="blank _0"> </span>tadas<span class="blank"> </span>nos<span class="blank"> </span>láb<span class="blank _0"> </span>ios,<span class="blank"> </span>mucosa<span class="blank"> </span>oral,<span class="blank"> </span>face<span class="blank _2"> </span>e<span class="blank"> </span>d<span class="blank _0"> </span>edos<span class="blank"> </span>associad<span class="blank _0"> </span>os<span class="blank"> </span>a<span class="blank"> </span>pólipos<span class="blank"> </span>inte<span class="blank _0"> </span>stinais</div><div class="t m0 x0 h4 y5a ff3 fs0 fc0 sc0 ls1 ws2">Quadro:<span class="blank"> </span>Manch<span class="blank _0"> </span>as<span class="blank"> </span>pigmentadas<span class="blank"> </span>de<span class="blank"> </span>1<span class="blank _1"> </span>a<span class="blank"> </span>5mm<span class="blank"> </span>na<span class="blank"> </span>mucosa<span class="blank"> </span>oral,<span class="blank"> </span>geng<span class="blank _0"> </span>iva,<span class="blank"> </span>palato<span class="blank"> </span>dur<span class="blank _0"> </span>o<span class="blank"> </span>e<span class="blank"> </span>lábios,<span class="blank"> </span>face.</div><div class="t m0 x0 h4 y5b ff3 fs0 fc0 sc0 ls0 ws2d">Sangramentos<span class="blank"> </span>retais<span class="blank"> </span>(melena),<span class="blank"> </span>dor<span class="blank"> </span>abdominal,<span class="blank"> </span>hematemese,<span class="blank"> </span>anemia</div><div class="t m0 x0 h4 y5c ff3 fs0 fc0 sc0 ls1 ws24">Tratamen<span class="blank _0"> </span>to:<span class="blank"> </span>Laser</div><div class="t m0 x0 h4 y5d ff3 fs0 fc0 sc0 ls1 ws9">Acompanhar<span class="blank"> </span>os<span class="blank"> </span>pólipos<span class="blank _1"> </span>com<span class="blank"> </span>endoscopia<span class="blank _1"> </span>e<span class="blank"> </span>colonoscopia<span class="blank _1"> </span>a<span class="blank"> </span>cada<span class="blank"> </span>2<span class="blank"> </span>anos</div><div class="t m0 x0 h5 y5e ff2 fs0 fc0 sc0 ls1 ws12">Incontinê<span class="blank"> </span>ncia<span class="blank _2"> </span>pigm<span class="blank"> </span>entar<span class="blank _2"> </span>-<span class="blank _2"> </span>Sín<span class="blank"> </span>drom<span class="blank"> </span>e<span class="blank _2"> </span>de<span class="blank _2"> </span>Bloch-Su<span class="blank"> </span>lzberge<span class="blank"> </span>r</div><div class="t m0 x0 h4 y5f ff3 fs0 fc0 sc0 ls1 ws2e">Acomete<span class="blank"> </span>mulheres</div><div class="t m0 x0 h4 y60 ff3 fs0 fc0 sc0 ls1 ws1a">Lesões<span class="blank"> </span>cutâneas<span class="blank"> </span>de<span class="blank _0"> </span>sde<span class="blank"> </span>o<span class="blank"> </span>nascime<span class="blank _0"> </span>nto<span class="blank"> </span>(3<span class="blank"> </span>fases)</div><div class="t m0 x3 h4 y61 ff3 fs0 fc0 sc0 ls1 ws2f">Fase<span class="blank"> </span>vesicobolhosa:<span class="blank _1"> </span>Bolhas<span class="blank"> </span>te<span class="blank _0"> </span>nsas<span class="blank"> </span>presentes<span class="blank"> </span>desd<span class="blank _0"> </span>e<span class="blank"> </span>o<span class="blank"> </span>nascime<span class="blank _0"> </span>nto<span class="blank"> </span>,<span class="blank"> </span>acometem<span class="blank"> </span>tr<span class="blank _0"> </span>onco,<span class="blank"> </span>seguindo<span class="blank"> </span>as<span class="blank _1"> </span>linhas</div><div class="t m0 x3 h4 y62 ff3 fs0 fc0 sc0 ls1 ws9">de<span class="blank"> </span>Blaschko,<span class="blank"> </span>dur<span class="blank _0"> </span>ação<span class="blank"> </span>de<span class="blank"> </span>poucos<span class="blank"> </span>dias<span class="blank"> </span>a<span class="blank"> </span>d<span class="blank _0"> </span>ois<span class="blank"> </span>meses</div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf3" class="pf w0 h0" data-page-no="3"><div class="pc pc3 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x0 y63 w3 h7" alt="" src="https://files.passeidireto.com/69097927-7dec-45c3-abee-441a234d25cd/bg3.png"><div class="t m0 x1 h2 y1 ff1 fs0 fc0 sc0 ls1 ws0">LIS<span class="blank"> </span>MARTIN<span class="blank _0"> </span>S<span class="blank"> </span>-<span class="blank"> </span>6º<span class="blank"> </span>PE<span class="blank _0"> </span>RÍODO<span class="blank"> </span>-<span class="blank"> </span>M<span class="blank _0"> </span>EDICINA</div><div class="t m0 x3 h4 y33 ff3 fs0 fc0 sc0 ls1 ws9">Fase<span class="blank"> </span>verruco<span class="blank _0"> </span>sa:<span class="blank _3"> </span>Pápulas,<span class="blank"> </span>nódulo<span class="blank _0"> </span>s<span class="blank"> </span>e<span class="blank"> </span>placas<span class="blank"> </span>lineares<span class="blank"> </span>no<span class="blank"> </span>tr<span class="blank _0"> </span>onco<span class="blank"> </span>e<span class="blank"> </span>membr<span class="blank _0"> </span>os.<span class="blank"> </span>Podem<span class="blank"> </span>ulcerar<span class="blank"> </span>e<span class="blank"> </span>sur<span class="blank _0"> </span>gir<span class="blank"> </span>lesões</div><div class="t m0 x3 h4 y34 ff3 fs0 fc0 sc0 ls1 ws30">verrucosas<span class="blank _2"> </span>no<span class="blank _2"> </span>dorso<span class="blank _2"> </span>da<span class="blank _0"> </span>s<span class="blank"> </span>mãos,<span class="blank _2"> </span>pés<span class="blank _1"> </span>e<span class="blank"> </span>dedos</div><div class="t m0 x3 h4 y35 ff3 fs0 fc0 sc0 ls1 ws31">Fase<span class="blank"> </span>hiperp<span class="blank _0"> </span>igmentar:<span class="blank"> </span>Ma<span class="blank _0"> </span>nchas<span class="blank"> </span>azul<span class="blank"> </span>acastanhad<span class="blank _0"> </span>as,<span class="blank"> </span>reticu<span class="blank _0"> </span>ladas<span class="blank"> </span>e<span class="blank"> </span>mosquead<span class="blank _0"> </span>as,<span class="blank"> </span>distribu<span class="blank _0"> </span>idas<span class="blank"> </span>em<span class="blank"> </span>forma</div><div class="t m0 x3 h4 y36 ff3 fs0 fc0 sc0 ls1 ws2">bizarra<span class="blank"> </span>de<span class="blank"> </span>redemoinh<span class="blank _0"> </span>os.<span class="blank"> </span>Ocorr<span class="blank _0"> </span>em<span class="blank"> </span>na<span class="blank"> </span>segunda<span class="blank"> </span>décad<span class="blank _0"> </span>a<span class="blank"> </span>de<span class="blank"> </span>vida<span class="blank"> </span>e<span class="blank"> </span>podem<span class="blank"> </span>deixar<span class="blank _1"> </span>hipocromia<span class="blank"> </span>ou<span class="blank"> </span>hipercr<span class="blank _0"> </span>omia</div><div class="t m0 x3 h4 y37 ff3 fs0 fc0 sc0 ls1 ws3">residual</div><div class="t m0 x0 h4 y39 ff3 fs0 fc0 sc0 ls1 ws32">Tratamen<span class="blank"> </span>to:<span class="blank _2"> </span>Evitar<span class="blank _2"> </span>infecções<span class="blank _1"> </span>secundárias<span class="blank _2"> </span>+<span class="blank _2"> </span>avalia<span class="blank"> </span>ção<span class="blank _2"> </span>odon<span class="blank"> </span>tológica,<span class="blank _2"> </span>neur<span class="blank"> </span>ológica<span class="blank _1"> </span>e<span class="blank _2"> </span>oftalmológica</div><div class="t m0 x0 h5 y3b ff2 fs0 fc0 sc0 ls1 ws29">Nevo<span class="blank"> </span>de<span class="blank"> </span>Becker</div><div class="t m0 x0 h4 y64 ff3 fs0 fc0 sc0 ls0 ws33">Hipermelanose<span class="blank"> </span>benigna</div><div class="t m0 x0 h4 y3c ff3 fs0 fc0 sc0 ls1 ws34">Cresce<span class="blank"> </span>pelos<span class="blank"> </span>sobre<span class="blank"> </span>a<span class="blank _1"> </span>mancha<span class="blank"> </span>acastan<span class="blank _0"> </span>hada</div><div class="t m0 x0 h4 y3d ff3 fs0 fc0 sc0 ls1 ws12">Histologia:<span class="blank _2"> </span>Maior<span class="blank _2"> </span>atividade<span class="blank _1"> </span>dos<span class="blank _2"> </span>melanó<span class="blank"> </span>citos<span class="blank _2"> </span>epidér<span class="blank"> </span>micos</div><div class="t m0 x0 h4 y3f ff3 fs0 fc0 sc0 ls1 ws24">Tratamen<span class="blank _0"> </span>to:<span class="blank"> </span>Laser</div><div class="t m0 x0 h5 y41 ff2 fs0 fc0 sc0 ls1 ws35">Manchas<span class="blank"> </span>c<span class="blank _0"> </span>afé<span class="blank"> </span>co<span class="blank _0"> </span>m<span class="blank"> </span>leite</div><div class="t m0 x0 h4 y65 ff3 fs0 fc0 sc0 ls1 ws2">Frequente<span class="blank _0"> </span>s<span class="blank"> </span>no<span class="blank"> </span>nascimento<span class="blank"> </span>e<span class="blank"> </span>na<span class="blank"> </span>prim<span class="blank _0"> </span>eira<span class="blank"> </span>infancia</div><div class="t m0 x0 h4 y42 ff3 fs0 fc0 sc0 ls1 ws30">Cor<span class="blank"> </span>castan<span class="blank _0"> </span>ho<span class="blank"> </span>claro<span class="blank _2"> </span>unifor<span class="blank _0"> </span>me,<span class="blank"> </span>bor<span class="blank _0"> </span>das<span class="blank"> </span>serr<span class="blank _0"> </span>ilhadas<span class="blank"> </span>ou<span class="blank _2"> </span>reg<span class="blank _0"> </span>ulares<span class="blank"> </span>e<span class="blank _2"> </span>acom<span class="blank _0"> </span>panha<span class="blank _2"> </span>o<span class="blank"> </span>cre<span class="blank _0"> </span>scimento<span class="blank _2"> </span>pro<span class="blank _0"> </span>porcional<span class="blank"> </span>d<span class="blank _0"> </span>a</div><div class="t m0 x0 h4 y66 ff3 fs0 fc0 sc0 ls1 ws3">criança</div><div class="t m0 x0 h4 y43 ff3 fs0 fc0 sc0 ls1 ws2">Presença<span class="blank"> </span>de<span class="blank"> </span>6<span class="blank"> </span>o<span class="blank _0"> </span>u<span class="blank"> </span>mais<span class="blank"> </span>lesões<span class="blank"> </span>(Síndr<span class="blank _0"> </span>omes<span class="blank"> </span>-<span class="blank"> </span>Neurofibrom<span class="blank _0"> </span>atose)</div><div class="t m0 x0 h4 y44 ff3 fs0 fc0 sc0 ls1 ws24">Tratamen<span class="blank _0"> </span>to:<span class="blank"> </span>Laser</div><div class="t m0 x0 h5 y46 ff2 fs0 fc0 sc0 ls1 ws3">Melasma</div><div class="t m0 x0 h4 y47 ff3 fs0 fc0 sc0 ls1 ws36">Ocorre<span class="blank"> </span>em<span class="blank _1"> </span>áreas<span class="blank"> </span>d<span class="blank _0"> </span>e<span class="blank"> </span>exposição<span class="blank _2"> </span>solar</div><div class="t m0 x0 h4 y67 ff3 fs0 fc0 sc0 ls1 ws37">Fatores<span class="blank _2"> </span>desencadeante<span class="blank"> </span>s:<span class="blank _2"> </span>G<span class="blank"> </span>ravide<span class="blank"> </span>z,<span class="blank _2"> </span>te<span class="blank"> </span>rapia<span class="blank"> </span>s<span class="blank _2"> </span>hormo<span class="blank"> </span>nais,<span class="blank _2"> </span>anticonce<span class="blank"> </span>pcionais<span class="blank _1"> </span>orais,<span class="blank _2"> </span>predispo<span class="blank"> </span>si<span class="blank"> </span>ção<span class="blank _2"> </span>genética<span class="blank _2"> </span>e</div><div class="t m0 x0 h4 y48 ff3 fs0 fc0 sc0 ls1 ws26">exposição<span class="blank _2"> </span>solar</div><div class="t m0 x0 h4 y68 ff3 fs0 fc0 sc0 ls1 ws2">Placas<span class="blank"> </span>acastanhad<span class="blank _0"> </span>as<span class="blank"> </span>claras<span class="blank"> </span>ou<span class="blank"> </span>escur<span class="blank _0"> </span>as<span class="blank"> </span>e<span class="blank"> </span>simétr<span class="blank _0"> </span>icas,<span class="blank"> </span>bordas<span class="blank"> </span>irregu<span class="blank _0"> </span>lares,<span class="blank"> </span>mais<span class="blank"> </span>freque<span class="blank _0"> </span>ntes<span class="blank"> </span>na<span class="blank"> </span>face.</div><div class="t m0 x0 h4 y49 ff3 fs0 fc0 sc0 ls1 ws12">Melanócitos<span class="blank _2"> </span>são<span class="blank _2"> </span>maiore<span class="blank"> </span>s<span class="blank _2"> </span>e<span class="blank _2"> </span>possue<span class="blank"> </span>m<span class="blank _2"> </span>dendr<span class="blank"> </span>íto<span class="blank _2"> </span>alargad<span class="blank"> </span>os</div><div class="t m0 x0 h4 y4b ff3 fs0 fc0 sc0 ls1 ws38">Diagnóstico:<span class="blank"> </span>clinico</div><div class="t m0 x0 h4 y4c ff3 fs0 fc0 sc0 ls1 ws24">Tratamen<span class="blank _0"> </span>to:<span class="blank"> </span>Fotoprote<span class="blank _0"> </span>ção<span class="blank"> </span>+<span class="blank _2"> </span>(Hidro<span class="blank _0"> </span>quinona+corticoid<span class="blank _0"> </span>e/retinoide)<span class="blank _2"> </span>+<span class="blank _2"> </span>peeling<span class="blank _1"> </span>químicos</div><div class="t m0 x0 h4 y69 ff3 fs0 fc0 sc0 ls1 ws39">Melanose<span class="blank"> </span>actínica</div><div class="t m0 x0 h4 y4e ff3 fs0 fc0 sc0 ls1 ws2">Melanose<span class="blank"> </span>solar,<span class="blank"> </span>lentig<span class="blank _0"> </span>o<span class="blank"> </span>solar<span class="blank"> </span>ou<span class="blank"> </span>efélide<span class="blank"> </span>se<span class="blank _0"> </span>nil</div><div class="t m0 x0 h4 y6a ff3 fs0 fc0 sc0 ls1 ws9">Resposta<span class="blank"> </span>a<span class="blank"> </span>expo<span class="blank _0"> </span>sição<span class="blank"> </span>crôonica<span class="blank"> </span>a<span class="blank"> </span>radiaçã<span class="blank _0"> </span>o<span class="blank"> </span>UV</div><div class="t m0 x0 h4 y4f ff3 fs0 fc0 sc0 ls1 ws2">Comum<span class="blank"> </span>após<span class="blank"> </span>3ª<span class="blank"> </span>e<span class="blank _2"> </span>4ª<span class="blank"> </span>dé<span class="blank _0"> </span>cada<span class="blank"> </span>de<span class="blank"> </span>vida<span class="blank"> </span>(mancha<span class="blank _0"> </span>s<span class="blank"> </span>na<span class="blank"> </span>mão)</div><div class="t m0 x0 h4 y51 ff3 fs0 fc0 sc0 ls1 ws24">Tratamen<span class="blank _0"> </span>to:<span class="blank"> </span>Fotoprote<span class="blank _0"> </span>tores<span class="blank"> </span>+<span class="blank _2"> </span>Crio<span class="blank _0"> </span>terapia<span class="blank"> </span>+<span class="blank _2"> </span>La<span class="blank _0"> </span>ser</div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div>
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