Experiência discente com o cuidado a paciente portador de Epidermodisplasia Verruciforme

Report of an experience of nursing students in providing care to a patient with epidermodysplasia verruciformis, during the internship in the discipline Nursing in Transmittable Diseases, at the dermatology ward of a teaching hospital, located in the state of São Paulo, Brazil, in 2009. This is a rare genodermatosis, susceptible to infection with different types of human papilloma viruses, that cause exacerbated physical changes that impact the psyche of the affected individual. Care delivery was based on the assistance complexity indicated by the application of the Patient Classification System proposed by Perroca. The experience allowed students to learn how to cope with a patient affected by a rare and complex disease, of difficult resolution, and to provide integral care to this individual, perceiving him beyond the lesions. One conclude that the experience has greatly contributed to the growth of the students as future professionals.

Onicodistrofia lupoide simétrica canina: relato de caso

Symmetric lupoid onychodystrophy, or lupoid onychitis, is a multifactor immune-mediated onychopathy. The aim of the present study is to report the occurrence of lupoid onychitis in a two year-old mongrel dog helped at the Small Animal Dermatology Service of Sao Paulo State University Veterinary Hospital, in Botucatu, São Paulo. The animal presented lameness, onycholysis in five digits, paronychia, onychomadesis, nail softening and leuchonychia, as well as melicerous crusts in interdigital spaces and nailbeds. No non-dermatological systemic symptoms were observed. Complementary exams were negative for parasites or fungi. After 15 days of treatment there was partial recovery followed by recurrence. Onychectomy was performed in two digits for histopathological examination and fungal culture, which was negative. Histopathology was consistent with lupoid onychitis, reinforcing the importance of this complementary exam.