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[PMID]:29348270
[Au] Autor:Liu XK; Li J
[Ad] Endereço:Department of Dermatology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
[Ti] Título:Hyperpigmentation in the skin folds.
[So] Source:BMJ;360:j5729, 2018 01 18.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Acantose Nigricans/etiologia
Neoplasias Cutâneas/complicações
[Mh] Termos MeSH secundário: Acantose Nigricans/patologia
Virilha/patologia
Seres Humanos
Masculino
Meia-Idade
Neoplasias Cutâneas/patologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180120
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j5729


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[PMID]:29324877
[Au] Autor:Kaya M
[Ad] Endereço:Hitsujigaoka Hospital, Sapporo, Hokkaido, Japan.
[Ti] Título:Impact of extra-articular pathologies on groin pain: An arthroscopic evaluation.
[So] Source:PLoS One;13(1):e0191091, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: For patients who have anterior hip pain evaluated by Patrick's test and tenderness at Scarpa's triangle, we perform periarticular debridement based on the hypothesis that extra-articular pathologies are responsible for the hip pain. The purpose of this study was to categorize the endoscopic extra-articular findings and to evaluate the clinical significance of periarticular pathologies in anterior hip pain. METHODS: Arthroscopic findings of 77 patients who underwent periarthritic debridement were evaluated. As extra-articular pathologies, injuries of the direct head and reflective head of the rectus femoris muscle were evaluated. A thin layer of fat tissue normally exists on the anterior inferior iliac spine (AIIS), the attachment site of the direct head of the rectus femoris muscle. The macroscopic appearance of the fat pad on the AIIS was categorized as normal, blood vessel-rich adipose tissue or adipose tissue with fibrosis or scar formation and histologically confirmed. Adhesion of gluteal muscles to the joint capsule was also evaluated. RESULTS: Of the 77 patients, 75 had rupture of the direct head of the rectus femoris. In contrast, rupture of the reflective head was extremely rare. Seven patients had a normal fat pad on the AIIS, 11 had blood vessel-rich adipose tissue and 55 had adipose tissue with fibrosis. Fat tissue was completely replaced by fibrous scar tissue in another 4 patients. In 64 patients, adhesion between the anterior joint capsule and gluteus muscles was marked. Groin pain disappeared soon after the operation even when labral tears were not repaired and all patients returned to daily life and sports activities within 2 weeks after operation. CONCLUSION: Rectus femoris tendinosis, fibrosis of the AIIS fat pad, and adhesion of gluteal and rectus femoris muscles are common extra-articular pathologies in patients with anterior hip pain. Management of only these lesions induces rapid relief of anterior hip pain even in the absence of labral tear repair. My observations suggest that it is desirable to be aware of the presence of periarticular pathologies as a cause of groin pain.
[Mh] Termos MeSH primário: Artroscopia
Virilha/patologia
Dor/etiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Feminino
Quadril/diagnóstico por imagem
Seres Humanos
Masculino
Meia-Idade
Dor/diagnóstico
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180223
[Lr] Data última revisão:
180223
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180112
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0191091


  3 / 3543 MEDLINE  
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[PMID]:28467338
[Au] Autor:Sisti A; Tassinari J; Cuomo R; Milonia L; Nisi G; Brandi C; D'Aniello C; Grimaldi L
[Ad] Endereço:. asisti6@gmail.com.
[Ti] Título:A case of extramammary inguinal Paget disease in a male patient: surgical treatment with an abdominal advancement cutaneous flap.
[So] Source:Acta Biomed;88(1):79-81, 2017 Apr 28.
[Is] ISSN:0392-4203
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:Extramammary Paget disease (EMPD) is a rare neoplasm. The clinical case of a 55-year-old man with a two-year history of a pruritic, painless erythematous skin rash on the inguinal region and scrotum is described. After a delay due to improper diagnosis and improper treatments, the patient came to the attention of the Division of plastic surgery. He underwent a punch biopsy and the pathology report came back as EMPD. Surgical excision was carried out, and an abdominal advancement cutaneous flap was performed for the defect repair. This is the first description of a reconstruction after surgical removal of inguinal EMPD with a flap of this type and we think that this type of treatment can be useful and reliable for disease localization in the groin area, especially for patients that present an excess of abdominal skin.
[Mh] Termos MeSH primário: Doença de Paget Extramamária/cirurgia
Neoplasias Cutâneas/cirurgia
Retalhos Cirúrgicos
[Mh] Termos MeSH secundário: Virilha/patologia
Virilha/cirurgia
Seres Humanos
Masculino
Meia-Idade
Doença de Paget Extramamária/patologia
Escroto/patologia
Escroto/cirurgia
Neoplasias Cutâneas/patologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180125
[Lr] Data última revisão:
180125
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.23750/abm.v88i1.5608


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[PMID]:27772681
[Au] Autor:Cozzi G; Guastalla V; Barbi E
[Ad] Endereço:Emergency Department, Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy.
[Ti] Título:Adolescent Athlete With Sudden Groin Pain.
[So] Source:Ann Emerg Med;68(5):639-648, 2016 Nov.
[Is] ISSN:1097-6760
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Dor Aguda/etiologia
Traumatismos em Atletas/diagnóstico por imagem
Fratura Avulsão/diagnóstico por imagem
Virilha/lesões
Ílio/lesões
[Mh] Termos MeSH secundário: Dor Aguda/diagnóstico por imagem
Adolescente
Traumatismos em Atletas/complicações
Traumatismos em Atletas/terapia
Fratura Avulsão/etiologia
Fratura Avulsão/terapia
Seres Humanos
Masculino
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171211
[Lr] Data última revisão:
171211
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


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[PMID]:29020040
[Au] Autor:Giezen H; Stevens M; van den Akker-Scheek I; Reininga IHF
[Ad] Endereço:Department of Orthopedics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
[Ti] Título:Validity and reliability of the Dutch version of the Copenhagen Hip And Groin Outcome Score (HAGOS-NL) in patients with hip pathology.
[So] Source:PLoS One;12(10):e0186064, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND AND OBJECTIVES: The Copenhagen Hip And Groin Outcome Score (HAGOS) was developed to assess disease-specific consequences in young to middle-aged, physically active hip and/or groin patients. The study aimed to determine validity and reliability of the Dutch version of the HAGOS (HAGOS-NL) for middle-aged patients with hip complaints. DESIGN AND METHODS: To assess validity, 117 participants completed five questionnaires: HAGOS-NL, international Hip Outcome Tool (iHOT-12NL), Hip disability and Osteoarthritis Outcome Score (HOOS), RAND-36 Health Survey and Tegner activity scale. Structural validity was determined by conducting confirmatory factor analysis. Construct validity was analyzed by formulating predefined hypotheses regarding relationships between the HAGOS-NL and subscales of the iHOT-12NL, HOOS, RAND-36 and Tegner activity scale. The HAGOS-NL was filled out again by 67 patients to explore test-retest reliability. Reliability was assessed in terms of Cronbach's alpha, Intraclass Correlation Coefficient (ICC), Standard Error of Measurement (SEM) and Minimal Detectable Change (MDC). The Bland and Altman method was used to explore absolute agreement. RESULTS: Factor analysis confirmed that the HAGOS-NL consists of six subscales. All hypotheses were confirmed, indicating good construct validity. Internal consistency was good, with Cronbach's alpha values ranging from 0.89 to 0.98. Test-retest reliability was considered good, with ICC values of 0.80 and higher. The SEM ranged from 6.6 to 12.3, and MDC at individual level from 18.3 to 34.1 and at group level from 2.3 to 4.4. Bland and Altman analyses showed no bias. CONCLUSION: The HAGOS-NL is a reliable and valid instrument for measuring pain, physical functioning and quality of life in middle-aged patients with hip complaints.
[Mh] Termos MeSH primário: Virilha/patologia
Quadril/patologia
Inquéritos e Questionários
[Mh] Termos MeSH secundário: Adolescente
Adulto
Exercício
Feminino
Seres Humanos
Masculino
Meia-Idade
Países Baixos
Qualidade de Vida
Reprodutibilidade dos Testes
Estatísticas não Paramétricas
Resultado do Tratamento
Escala Visual Analógica
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171012
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0186064


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[PMID]:28976865
[Au] Autor:Fuentes-Suárez A; González-Márquez TN
[Ad] Endereço:Hospital General Dr. Manuel Gea González, Mexico City, Mexico docnatas@gmail.com.
[Ti] Título:"Acrobatic" Lice.
[So] Source:N Engl J Med;377(14):e19, 2017 Oct 05.
[Is] ISSN:1533-4406
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Virilha/parasitologia
Infestações por Piolhos/diagnóstico
Phthirus/fisiologia
[Mh] Termos MeSH secundário: Idoso
Animais
Dermoscopia
Seres Humanos
Masculino
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171106
[Lr] Data última revisão:
171106
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171005
[St] Status:MEDLINE
[do] DOI:10.1056/NEJMicm1700352


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[PMID]:28940285
[Au] Autor:Emtestam L; Sartorius K
[Ad] Endereço:Department of Dermatology, Karolinska University Hospital, Stockholm, Sweden.
[Ti] Título:Glucagon-like peptide-1 agonists for treatment of hidradenitis suppurativa.
[So] Source:Br J Dermatol;177(3):625-627, 2017 09.
[Is] ISSN:1365-2133
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Peptídeo 1 Semelhante ao Glucagon
Hidradenite Supurativa
[Mh] Termos MeSH secundário: Virilha
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Nm] Nome de substância:
89750-14-1 (Glucagon-Like Peptide 1)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171107
[Lr] Data última revisão:
171107
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170924
[St] Status:MEDLINE
[do] DOI:10.1111/bjd.15742


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[PMID]:28930828
[Au] Autor:Crivellaro C; Guglielmo P; De Ponti E; Elisei F; Guerra L; Magni S; La Manna M; Di Martino G; Landoni C; Buda A
[Ad] Endereço:aDepartment of Nuclear Medicine, ASST Monza, Monza bUniversity Milan-Bicocca, Milan cDepartment of Medical Physics dDepartment of Obstetrics and Gynecology, ASST Monza, Monza, Italy.
[Ti] Título:18F-FDG PET/CT in preoperative staging of vulvar cancer patients: is it really effective?
[So] Source:Medicine (Baltimore);96(38):e7943, 2017 Sep.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The aim of this study was to assess the role of 18F-FDG PET/CT in preoperative staging of vulvar cancer patients.29 pts (69 years, range 51-88) with vulvar cancer (clinical apparent stage I-II), underwent preoperative FDG-PET/CT scan followed by radical vulvectomy and bilateral (or monolateral in case of tumor >2 cm from midline) inguinal lymphadenectomy ± sentinel node biopsy. PET/CT images were analyzed in consensus and correlated to histological findings according to a pt-based and a groin-based analyses. SUVmax of the nodal uptake of each inguinal area (if present) was calculated and correlated to histological findings. The presence of distant metastases was also considered and confirmed.PET/CT analysis in consensus resulted negative at the inguinal LN level in 17 pts (10 true negative, 7 false negative) and positive in 12 pts (7 true positive, 5 false positive). Incidence of LN metastases resulted 48%. On pt-based analysis, sensitivity, specificity, accuracy, and negative and positive predictive value of PET/CT in detecting LN metastases were 50%, 67%, 59%, 59%, and 58%, respectively. On a groin-based analysis, considering overall 50 LN-sites, sensitivity, specificity, accuracy, and negative and positive predictive value of PET/CT were 53%, 85%, 73%, 67%, and 76%, respectively. The mean value of SUVmax was 6.1 (range 0.7-16.2) for metastatic nodes, whereas 1.6 (range 0.7 - 5.4) for negative lymph-nodes (P = .007). PET/CT detected pelvic (n = 1) and both pelvic/paraortic (n = 1) nodal metastases.In clinical early stage vulvar cancer FDG PET/CT showed low sensitivity and moderate specificity for N-staging; therefore, it is not an accurate tool for the nodal status assessment. PET/CT may not be cost-effective in detecting the rare event of distant metastases, but further studies are needed.
[Mh] Termos MeSH primário: Linfonodos/diagnóstico por imagem
Estadiamento de Neoplasias/métodos
Tomografia Computadorizada com Tomografia por Emissão de Pósitrons/métodos
Cuidados Pré-Operatórios/métodos
Neoplasias Vulvares/diagnóstico por imagem
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Feminino
Fluordesoxiglucose F18
Virilha/diagnóstico por imagem
Virilha/patologia
Virilha/cirurgia
Seres Humanos
Excisão de Linfonodo
Linfonodos/patologia
Linfonodos/cirurgia
Metástase Linfática
Meia-Idade
Pelve/diagnóstico por imagem
Pelve/patologia
Pelve/cirurgia
Valor Preditivo dos Testes
Compostos Radiofarmacêuticos
Sensibilidade e Especificidade
Neoplasias Vulvares/patologia
Neoplasias Vulvares/cirurgia
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Radiopharmaceuticals); 0Z5B2CJX4D (Fluorodeoxyglucose F18)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171015
[Lr] Data última revisão:
171015
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170921
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007943


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[PMID]:28850315
[Au] Autor:Lee SC; Endo Y; Potter HG
[Ad] Endereço:Department of Radiology and Imaging, Hospital for Special Surgery, New York, New York.
[Ti] Título:Imaging of Groin Pain: Magnetic Resonance and Ultrasound Imaging Features.
[So] Source:Sports Health;9(5):428-435, 2017 Sep/Oct.
[Is] ISSN:1941-0921
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:CONTEXT: Evaluation of groin pain in athletes may be challenging as pain is typically poorly localized and the pubic symphyseal region comprises closely approximated tendons and muscles. As such, magnetic resonance imaging (MRI) and ultrasound (US) may help determine the etiology of groin pain. EVIDENCE ACQUISITION: A PubMed search was performed using the following search terms: ultrasound, magnetic resonance imaging, sports hernia, athletic pubalgia, and groin pain. Date restrictions were not placed on the literature search. STUDY DESIGN: Clinical review. LEVEL OF EVIDENCE: Level 4. RESULTS: MRI is sensitive in diagnosing pathology in groin pain. Not only can MRI be used to image rectus abdominis/adductor longus aponeurosis and pubic bone pathology, but it can also evaluate other pathology within the hip and pelvis. MRI is especially helpful when groin pain is poorly localized. Real-time capability makes ultrasound useful in evaluating the pubic symphyseal region, as it can be used for evaluation and treatment. CONCLUSION: MRI and US are valuable in diagnosing pathology in athletes with groin pain, with the added utility of treatment using US-guided intervention. Strength-of Recommendation Taxonomy: C.
[Mh] Termos MeSH primário: Traumatismos em Atletas/diagnóstico por imagem
Virilha/diagnóstico por imagem
Dor/diagnóstico por imagem
Dor/etiologia
[Mh] Termos MeSH secundário: Virilha/anatomia & histologia
Seres Humanos
Imagem por Ressonância Magnética
Sínfise Pubiana/anatomia & histologia
Sínfise Pubiana/diagnóstico por imagem
Ultrassonografia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170918
[Lr] Data última revisão:
170918
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170830
[St] Status:MEDLINE
[do] DOI:10.1177/1941738117694841


  10 / 3543 MEDLINE  
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[PMID]:28838590
[Au] Autor:Aicher B; Curry P; Croal-Abrahams L; Hao S; Kalsi R; Menon N; Drucker C; Harris D; Toursavadkohi S; Crawford R; Rosenberger S
[Ad] Endereço:Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, Maryland.
[Ti] Título:Infrainguinal wound infections in vascular surgery: An antiquated challenge without a modern solution.
[So] Source:J Vasc Nurs;35(3):146-156, 2017 Sep.
[Is] ISSN:1532-6578
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Surgical site infections (SSIs) have always complicated recovery after surgery, being associated with increased cost of hospitalization, length of stay, and mortality. The most significant measure to reduce the incidence of SSI was the standardization of prophylactic antibiotic administration in patients undergoing surgical procedures. Since then, countless measures have been proposed to improve rates of SSI and patient outcome, but few have been as efficacious as prophylactic antibiotics. Therefore, SSI continues to plague clinicians and patients in modern health care. This review focuses on current and future efforts at SSI control.
[Mh] Termos MeSH primário: Antibioticoprofilaxia
Infecção da Ferida Cirúrgica/terapia
Procedimentos Cirúrgicos Vasculares/efeitos adversos
[Mh] Termos MeSH secundário: Virilha
Seres Humanos
Incidência
Fatores de Risco
Infecção da Ferida Cirúrgica/etiologia
Infecção da Ferida Cirúrgica/prevenção & controle
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170826
[St] Status:MEDLINE



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