RESUMO
OBJECTIVE: To assess risks involved in using wearable blankets, swaddle wraps, and swaddling. STUDY DESIGN: This was a retrospective review of incidents reported to the Consumer Product Safety Commission between 2004 and 2012. RESULTS: A total of 36 incidents involving wearable blankets and swaddle wraps were reviewed, including 10 deaths, 2 injuries, and 12 incidents without injury. The median age at death was 3.5 months; 80% of the deaths were attributed to positional asphyxia related to prone sleeping, and 70% involved additional risk factors, usually soft bedding. Two injuries involved tooth extraction from the zipper. The 12 incidents without injury reported concern for strangulation/suffocation when the swaddle wrap became wrapped around the face/neck, and a potential choking hazard when the zipper detached. All 12 incidents involving swaddling in ordinary blankets resulted in death. The median age at death was 2 months; 58% of deaths were attributed to positional asphyxia related to prone sleeping, and 92% involved additional risk factors, most commonly soft bedding. CONCLUSION: Reports of sudden unexpected death in swaddled infants are rare. Risks can be reduced by placing infants supine and discontinuing swaddling as soon as an infant's earliest attempts to roll are observed. Risks can be further reduced by removing soft bedding and bumper pads from the sleep environment. When using commercial swaddle wraps, fasteners must be securely attached.
Assuntos
Obstrução das Vias Respiratórias/etiologia , Asfixia/etiologia , Roupas de Cama, Mesa e Banho/efeitos adversos , Vestuário/efeitos adversos , Morte Súbita do Lactente/etiologia , Traumatismos Dentários/etiologia , Obstrução das Vias Respiratórias/epidemiologia , Asfixia/epidemiologia , Qualidade de Produtos para o Consumidor , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Decúbito Ventral , Estudos Retrospectivos , Fatores de Risco , Sono , Morte Súbita do Lactente/epidemiologia , Traumatismos Dentários/epidemiologia , Estados Unidos/epidemiologiaRESUMO
Lipoatrophia semicircularis is an infrequent condition characterized by semicircular depressions of the anterolateral aspects of the thighs. The origin of this peculiar variant of lipoatrophy is unknown, although repeated mechanical trauma on the affected thighs has been advocated in many cases. A 57-year-old woman presented with a 1-year history of two bilateral, parallel, symmetric, asymptomatic depressions on the anterolateral aspect of her thighs. The patient worked as a cashier, permanently seated and almost always wearing trousers. The localization of lesions and their linear artifactual appearance perfectly matched with the strangling folds formed by trousers while being sat. Echotomographic examination revealed a loss of the normal echogenic pattern in the subcutaneous tissue of the affected areas. We believe that the anatomical adipose constitution of women's thighs predisposes that a persistent mechanical pressure induced by wearing trousers while being sat for long periods of time, originates a relative impaired circulation on a tenuous perfused tissue, and induces the development of lipoatrophia semicircularis.
Assuntos
Vestuário/efeitos adversos , Lipodistrofia/diagnóstico , Diagnóstico Diferencial , Feminino , Humanos , Lipodistrofia/etiologia , Lipodistrofia/patologia , Pessoa de Meia-Idade , Pressão , Coxa da Perna/patologiaAssuntos
Vestuário/efeitos adversos , Traumatismos da Perna/etiologia , Constrição , Feminino , Humanos , Lactente , Recém-Nascido , MasculinoRESUMO
Diaper area dermatitis is one of the most frequent dermatosis in infants. Knowledge of clinics, but specially of the management of this entity is important, since references to this respect are not up-to-date in spite of the importance of this disease. Newborns adn infants present this condition, due to the fact that vesical and anal sphincters are still beyond control and because the diaper is one of the most important clothing articles in babies and often in preschool or schoolage children complaining of some related pathological condition.