{"id":6713,"date":"2020-04-22T20:57:48","date_gmt":"2020-04-22T23:57:48","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/acne-2\/"},"modified":"2020-04-27T17:06:25","modified_gmt":"2020-04-27T20:06:25","slug":"acne-2","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/pt\/wiki\/acne-2\/","title":{"rendered":"Acne"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Conte\u00fado<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Alternar<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/acne-2\/#%C2%BFQue-es-el-acne\" >O que \u00e9 acne?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/acne-2\/#%C2%BFQuien-tiene-acne\" >Quem tem acne?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/acne-2\/#%C2%BFQue-causa-el-acne\" >O que causa acne?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/acne-2\/#%C2%BFCuales-son-las-caracteristicas-clinicas-del-acne\" >Quais s\u00e3o as caracter\u00edsticas cl\u00ednicas da acne?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/acne-2\/#%C2%BFQue-pruebas-son-necesarias-para-el-acne\" >Quais testes s\u00e3o necess\u00e1rios para a acne?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/acne-2\/#Acne\" >Acne<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/acne-2\/#%C2%BFCual-es-el-tratamiento-para-el-acne\" >Qual \u00e9 o tratamento para acne?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/acne-2\/#Acne-leve\" >Acne leve<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/acne-2\/#Acne-moderado\" >Acne moderada<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/acne-2\/#Acne-severo\" >Acne grave<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/acne-2\/#%C2%BFCual-es-la-perspectiva-para-el-acne\" >Qual \u00e9 a perspectiva da acne?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-el-acne\"><\/span>O que \u00e9 acne?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Acne \u00e9 comum <span class=\"term\" data-term-id=\"319\">cr\u00f4nica<\/span> dist\u00farbio que afeta o <span class=\"term\" data-term-id=\"122\">cabelo<\/span> <span class=\"term\" data-term-id=\"1300\">fol\u00edculo<\/span> e <span class=\"term\" data-term-id=\"262\">seb\u00e1ceo<\/span> gl\u00e2ndula, na qual h\u00e1 expans\u00e3o e bloqueio do fol\u00edculo e <span class=\"term\" data-term-id=\"148\">inflama\u00e7\u00e3o<\/span>. Existem v\u00e1rias variantes<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-tiene-acne\"><\/span>Quem tem acne?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A acne afeta homens e mulheres de todas as ra\u00e7as e etnias. Isto \u00e9 <span class=\"term\" data-term-id=\"1676\">predominante<\/span> em adolescentes e adultos jovens, com um 85% daqueles afetados de 16 a 18 anos. No entanto, \u00e0s vezes pode ocorrer em crian\u00e7as e adultos de todas as idades.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-causa-el-acne\"><\/span>O que causa acne?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A acne \u00e9 devido a uma combina\u00e7\u00e3o de fatores. Os mecanismos exatos n\u00e3o s\u00e3o totalmente compreendidos.<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"849\">Fam\u00edlia<\/span> tend\u00eancia<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1096\">End\u00f3geno<\/span> e <span class=\"term\" data-term-id=\"1095\">ex\u00f3geno<\/span> horm\u00f4nios androg\u00eanicos\n<\/li>\n<li>Acne <span class=\"term\" data-term-id=\"935\">bact\u00e9rias<\/span>\n<\/li>\n<li>Ativa\u00e7\u00e3o imune inata com <span class=\"term\" data-term-id=\"490\">inflamat\u00f3rio<\/span> mediadores<\/li>\n<li>Incha\u00e7o e <span class=\"term\" data-term-id=\"969\">oclus\u00e3o<\/span> cabelo relacionado <span class=\"term\" data-term-id=\"1301\">fol\u00edculos<\/span>\n<\/li>\n<\/ul>\n<p>A acne pode ser causada por:<\/p>\n<ul>\n<li>Doen\u00e7a ovariana polic\u00edstica<\/li>\n<li>Drogas: ester\u00f3ides, horm\u00f4nios, anticonvulsivantes, <span class=\"term\" data-term-id=\"846\">epid\u00e9rmico<\/span> <span class=\"term\" data-term-id=\"523\">fator de crescimento<\/span> <span class=\"term\" data-term-id=\"782\">receptor<\/span> inibidores e outros<\/li>\n<li>Aplica\u00e7\u00e3o de <span class=\"term\" data-term-id=\"878\">oclusivo<\/span> Produtos cosm\u00e9ticos<\/li>\n<li>Descarga ambiental <span class=\"term\" data-term-id=\"711\">umidade<\/span>\n<\/li>\n<li>Dieta rica em latic\u00ednios e alimentos com alto \u00edndice glic\u00eamico.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-del-acne\"><\/span>Quais s\u00e3o as caracter\u00edsticas cl\u00ednicas da acne?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A acne geralmente \u00e9 limitada ao rosto, mas pode afetar o pesco\u00e7o, o peito e as costas.<\/p>\n<p>\u00c9 caracterizado por:<\/p>\n<ul>\n<li>Aberto e fechado sem inflama\u00e7\u00e3o <span class=\"term\" data-term-id=\"328\">comed\u00f5es<\/span> (espinhas e manchas brancas)<\/li>\n<li>Bravo <span class=\"term\" data-term-id=\"366\">p\u00e1pulas<\/span> e <span class=\"term\" data-term-id=\"1016\">p\u00fastulas<\/span><\/li>\n<li>Na acne grave, <span class=\"term\" data-term-id=\"367\">n\u00f3dulos<\/span> e <span class=\"term\" data-term-id=\"511\">pseudocistos<\/span>\n<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1622\">P\u00f3s-inflamat\u00f3rio<\/span> <span class=\"term\" data-term-id=\"967\">eritematoso<\/span> ou <span class=\"term\" data-term-id=\"1520\">pigmentado<\/span> <span class=\"term\" data-term-id=\"343\">macules<\/span> e cicatrizes\n<\/li>\n<li>Efeitos sociais e psicol\u00f3gicos adversos.<\/li>\n<\/ul>\n<p>A gravidade \u00e9 classificada como leve, moderada ou grave.<\/p>\n<ul>\n<li>Acne leve: total <span class=\"term\" data-term-id=\"164\">ferimentos<\/span> contar <30<\/li>\n<li>Acne moderada: contagem total de les\u00f5es 30-125<\/li>\n<li>Acne grave: contagem total de les\u00f5es&gt; 125<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-pruebas-son-necesarias-para-el-acne\"><\/span>Quais testes s\u00e3o necess\u00e1rios para a acne?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Na maioria dos casos, o teste \u00e9 desnecess\u00e1rio. Se as caracter\u00edsticas s\u00e3o <span class=\"term\" data-term-id=\"1395\">at\u00edpico<\/span> considerar:<\/p>\n<ul>\n<li>Cotonetes de pele para <span class=\"term\" data-term-id=\"867\">microscopia<\/span> e <span class=\"term\" data-term-id=\"837\">cultura<\/span>\n<\/li>\n<li>\n<p>Testes hormonais em mulheres.<\/li>\n<\/ul>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Acne\"><\/span>Acne<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='comed1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-5970482-7748800' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/comed1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-5970482.jpg'>\n<\/div>\n<p class=\"p-small\">Acne comedonal<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='acne1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7586003-2793190' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/acne1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7586003.jpg'>\n<\/div>\n<p class=\"p-small\">Acne comum<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='Conglob2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6913562-6109342' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/conglob2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-6913562.jpg'>\n<\/div>\n<p class=\"p-small\">Acne nouloc\u00edstica<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<p>Veja mais imagens da acne:<\/p>\n<ul>\n<li>Acne que afeta as imagens das costas.<\/li>\n<li>\n<p>Imagens faciais de acne\n<\/li>\n<li>\n<p>Imagens ester\u00f3ides para acne.<\/li>\n<\/ul>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-el-acne\"><\/span>Qual \u00e9 o tratamento para acne?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"Acne-leve\"><\/span>Acne leve<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"1330\">Atual<\/span> agentes anti-acne, como per\u00f3xido de benzo\u00edla e \/ ou tretino\u00edna ou adaptaleno <span class=\"term\" data-term-id=\"1123\">gel<\/span>. As novas prote\u00ednas bioativas tamb\u00e9m podem ser bem sucedidas.<\/li>\n<li>Contraceptivo oral combinado em baixa dose<\/li>\n<li>\n<p>Anti-s\u00e9ptico ou <span class=\"term\" data-term-id=\"1572\">queratol\u00edtico<\/span> lavagens contendo \u00e1cido salic\u00edlico\n<\/li>\n<li>Luz\/<span class=\"term\" data-term-id=\"1617\">Ser estar<\/span> terapia<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Acne-moderado\"><\/span>Acne moderada<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Quanto \u00e0 acne leve, mais uma tetraciclina como doxiciclina 50\u2013200 mg por dia, durante cerca de 6 meses<\/li>\n<li>\n<p>Eritromicina ou trimetoprim, se voc\u00ea \u00e9 intolerante \u00e0 doxiciclina<\/li>\n<li>\n<p>A terapia antiandrog\u00eanica a longo prazo com acetato de ciproterona + etinilestradiol ou espironolactona pode ser considerada em mulheres que n\u00e3o respondem a contraceptivos orais combinados em baixas doses, principalmente em mulheres com ov\u00e1rios polic\u00edsticos.\n<\/li>\n<li>\n<p>A isotretino\u00edna \u00e9 freq\u00fcentemente usada se a acne for persistente ou resistente ao tratamento.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Acne-severo\"><\/span>Acne grave<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Encaminhamento para um <span class=\"term\" data-term-id=\"54\">dermatologista<\/span>\n<\/li>\n<li>sim <span class=\"term\" data-term-id=\"1176\">febre<\/span>, <span class=\"term\" data-term-id=\"601\">artralgia<\/span>, dor \u00f3ssea, les\u00f5es cut\u00e2neas ulceradas ou extensas, um hemograma deve ser providenciado e o encaminhamento \u00e9 urgente<\/li>\n<li>Antibi\u00f3ticos orais s\u00e3o freq\u00fcentemente usados em doses mais altas que o normal.<\/li>\n<li>A isotretino\u00edna oral \u00e9 geralmente recomendada em pacientes adequados.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-la-perspectiva-para-el-acne\"><\/span>Qual \u00e9 a perspectiva da acne?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<ul>\n<li>A acne tende a melhorar ap\u00f3s os 25 anos, mas pode persistir, principalmente em mulheres.<\/li>\n<\/ul>\n<p>O tratamento com isotretino\u00edna pode levar a longo prazo. <span class=\"term\" data-term-id=\"1260\">remiss\u00e3o<\/span> em muitos pacientes<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es el acn\u00e9? El acn\u00e9 es com\u00fan cr\u00f3nico trastorno que afecta a la pelo fol\u00edculo y seb\u00e1ceo gl\u00e1ndula, en la cual hay expansi\u00f3n y bloqueo del fol\u00edculo y inflamaci\u00f3n&#8230;.<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-6713","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/6713","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/comments?post=6713"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/6713\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/media?parent=6713"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/categories?post=6713"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/tags?post=6713"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}