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History of Latin American Dermatology

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<strong>History</strong> <strong>of</strong> <strong>Dermatology</strong> in Guatemalaresident and supervised by a dermatologist, with the participation <strong>of</strong> medical students <strong>of</strong>Mariano Gálvez University, internal medicine residents, internist physicians and specialistsin internal medicine. An evaluation is carried out at the end <strong>of</strong> each module. Thesemeetings constitute a projection <strong>of</strong> the <strong>Dermatology</strong> Unit as a complement to the training<strong>of</strong> the internist doctor and <strong>of</strong> the medical student. Since the year 2000, DermatologicalClinic is published twice a year, featuring diverse subjects and clinical cases.A) TEACHING AT THE DERMATOLOGY SERVICE OF THE IGSS GENERAL HOSPITAL FOR DISEASESMedical School. University <strong>of</strong> St. Charles <strong>of</strong> Guatemala (Figures 21-22)Graduate Course in Internal Medicine:1. Clinical-pathological correlation every Tuesday.2. Graduate classes in internal medicine twice a month (second and fourth Tuesday).3. Supervision <strong>of</strong> the <strong>Dermatology</strong> classes taught by residents in internal medicine.4. Review <strong>of</strong> papers for publication by the residents in internal medicine.5. Elective students <strong>of</strong> the fifth year <strong>of</strong> medical studies (2 months).6. Presentation at each session <strong>of</strong> the interesting cases <strong>of</strong> the month.7. Preparation <strong>of</strong> 10 written examination questions for the residents each month.8. Presentation <strong>of</strong> 5 to 10 clinical figuregraphs for residents’ examination each month.<strong>Dermatology</strong> Unit 2004. IGSS General Hospital for Diseases. Medical DepartmentEmergency UnitAnatomy, physiology and how a skin patient is examined.Skin reactions to medical drugs: Urticaria, fixed erythema to drugs, multiform erythema,Steven-Johnson syndrome, Lyell syndrome, photosensitivity reactions.Reactive dermatoses: Atopic dermatitis children and adults (neurodermatitis,chronic lichen simplex, lichen simplex <strong>of</strong> Vidal).Contact dermatitis (also includes phototoxicity).Microbial or nummular dermatitis.Seborrheic dermatitis, erythrodermia.Cardiology unitBullous disease: Herpetiform dermatitis, dishydrosis, gestationalherpes, pemphigus and its varieties, pemphigoid and its varieties.Dischromies or alterations <strong>of</strong> pigmentation:Vitiligo, albinism, hypochromic solar dermatits, melasma, ashydermatosis, argiria, solar lentigo.Acne, rosacea, and acneiform reaction.Oncology unitBenign tumors:Fibroma: hard and s<strong>of</strong>tHemangioma: ruby mole, flat hemangioma, immature capillary hemangioma,cavernous hemangioma.Mongoloid spot, blue nevus, nevus <strong>of</strong> ota.Nevocytic moles: union, compound, intradermic, Becker’s giant congenital mole.Seborrheic keratosis.Malign tumors.Pre-cancerous lesions.Actinic and arsenical keratoses, Bowen’s disease, luekoplaquia, cutaneous horn, radiodermatitis,chronic ulcers.Figures 21 and 22.Universidad de SanCarlos241

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