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Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
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Accessory Structures of the Skin: Sebaceous Glands01:21

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A sebaceous gland is a type of oil gland found almost all over the skin ( except palms and soles) and helps lubricate and waterproof the skin and hair. Most sebaceous glands are associated with hair follicles. They generate and excrete sebum, a mixture of lipids, onto the skin surface, thereby naturally lubricating the dry and dead layer of keratinized cells of the stratum corneum, keeping it pliable.
These glands that produce the oils on the skin and hair are holocrine glands. The mature...
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Inflammatory Bowel Disease II: Crohn's Disease01:30

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Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
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Nursing Assessment of the Genitourinary System II: Inspection and Palpation01:26

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The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...
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Urinary Tract Infection IV: Nursing Management01:17

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In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
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Papillary Dermis01:11

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Dermis
The dermis might be considered the "core" of the integumentary system, as distinct from the epidermis and hypodermis. It contains blood and lymph vessels, nerves, and other structures, such as hair follicles and sweat glands. The dermis is made of two layers of connective tissue that comprise an interconnected mesh of elastin and collagenous fibers, produced by fibroblasts.
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Updated: Sep 10, 2025

Effects of Exposure of Formaldehyde to a Rat Model of Atopic Dermatitis Induced by Neonatal Capsaicin Treatment
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Dermatitis asociada a la incontinencia: no sólo en los bebés

Kennedy Sparling1, Ilona J Frieden2, Daniel C Butler3

  • 1University of Arizona, College of Medicine, Phoenix.

Journal of the American Academy of Dermatology
|August 25, 2025
PubMed
Resumen

La dermatitis irritante del pañal (IDD) y la dermatitis asociada a la incontinencia (IAD) afectan a todas las edades, especialmente a los bebés y a los adultos mayores. La gestión se centra en la prevención y los tratamientos personalizados para estas afecciones cutáneas comunes.

Palabras clave:
Dermatitis asociada a la incontinenciaDermatitis por el uso de pañalesDermatitis irritante y otras enfermedades

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Área de la Ciencia:

  • Dermatología
  • Enfermedad de los ancianos
  • Pediatría

Sus antecedentes:

  • La dermatitis asociada a la incontinencia (IAD) y la dermatitis irritante del pañal (IDD) son afecciones inflamatorias de la piel causadas por la exposición prolongada a los fluidos corporales.
  • Ambas condiciones afectan comúnmente a los bebés y a las poblaciones geriátricas debido a las vulnerabilidades de la piel relacionadas con la edad.

Objetivo del estudio:

  • Esta revisión compara la DAI y la DDI en las poblaciones pediátricas y geriátricas.
  • Se centra en su patogénesis, presentaciones clínicas y estrategias de manejo.

Principales métodos:

  • Se llevó a cabo una revisión exhaustiva de la literatura.
  • La revisión sintetizó información sobre los mecanismos, las características clínicas y el tratamiento de IAD e IDD en diferentes grupos de edad.

Principales resultados:

  • Ambas condiciones provienen de la ruptura de la barrera cutánea debido a la exposición prolongada a la orina y las heces.
  • Los bebés son susceptibles debido a factores como la dieta y la actividad enzimática, mientras que los adultos mayores enfrentan riesgos de medicamentos y comorbilidades.
  • El diagnóstico preciso de IAD en geriatría es fundamental para diferenciarlo de otros problemas de la piel.

Conclusiones:

  • La prevención a través de cambios frecuentes de productos y cremas de barrera es clave.
  • El tratamiento varía desde cremas de barrera para casos leves hasta esteroides tópicos, antifúngicos o antibióticos para casos graves o infectados.
  • Se necesita más investigación para estandarizar la terminología y la atención específica para la geriatría para IAD e IDD.