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70.543 71.023 l
70.562 71.023 70.581 71.078 70.581 71.114 c
70.581 71.151 70.598 71.207 70.598 71.243 c
70.598 71.28 70.617 71.354 70.617 71.391 c
70.617 71.428 70.617 71.483 70.617 71.538 c
70.617 71.612 70.617 71.667 y
70.636 71.686 l
h
72.312 72.09 m
72.312 72.128 72.293 72.183 72.274 72.183 c
72.238 72.219 72.2 72.219 v
72.164 72.238 72.128 72.274 72.128 72.312 c
72.128 72.331 l
72.128 72.403 72.219 72.46 72.367 72.46 c
73.085 72.46 l
73.195 72.46 73.324 72.441 73.417 72.422 c
73.527 72.386 73.618 72.331 73.692 72.274 c
73.765 72.219 73.839 72.128 73.876 72.035 c
73.913 71.925 73.949 71.796 73.949 71.648 c
73.949 71.63 l
73.949 71.52 73.932 71.409 73.913 71.336 c
73.894 71.262 73.839 71.17 73.803 71.114 c
73.71 71.004 73.582 70.894 73.453 70.856 c
73.398 70.839 73.324 70.82 73.288 70.82 c
73.231 70.82 73.159 70.801 73.121 70.801 c
72.844 70.801 l
72.827 70.801 72.789 70.801 72.753 70.801 c
72.715 70.801 72.679 70.801 y
72.348 70.801 l
72.329 70.801 72.293 70.801 y
72.274 70.801 l
72.238 70.801 72.183 70.82 72.145 70.82 c
72.109 70.839 72.09 70.875 72.09 70.912 c
72.09 70.93 l
72.09 70.967 72.109 71.004 72.145 71.004 c
72.183 71.023 72.238 71.059 72.257 71.078 c
72.274 71.078 72.293 71.151 72.293 71.262 c
72.312 72.09 l
h
73.03 72.202 m
72.937 72.202 l
72.901 72.202 72.882 72.183 72.882 72.164 c
72.882 72.146 72.863 72.09 72.863 72.054 c
72.863 71.151 l
72.863 71.078 72.901 71.023 72.956 71.023 c
72.992 71.041 73.011 71.041 v
73.047 71.041 73.085 71.059 73.102 71.059 c
73.14 71.059 73.176 71.096 73.195 71.133 c
73.231 71.188 73.288 71.28 73.324 71.354 c
73.343 71.446 73.36 71.557 73.36 71.648 c
73.36 71.777 73.324 71.906 73.288 71.999 c
73.231 72.109 73.121 72.183 73.011 72.183 c
73.03 72.202 l
h
74.245 71.704 m
74.245 71.851 74.226 71.962 74.226 72.035 c
74.226 72.073 74.19 72.109 74.19 72.128 c
74.171 72.146 l
74.133 72.164 l
74.097 72.202 74.078 72.219 v
74.061 72.219 74.042 72.257 74.042 72.274 c
74.042 72.331 74.097 72.386 74.19 72.403 c
74.281 72.441 74.41 72.46 74.539 72.46 c
74.613 72.46 74.687 72.46 74.723 72.46 c
74.76 72.46 74.815 72.422 74.852 72.422 c
74.925 72.403 74.981 72.348 74.981 72.312 c
74.981 72.274 l
74.981 72.257 74.963 72.219 y
74.944 72.219 74.907 72.183 74.889 72.183 c
74.834 72.164 74.797 72.073 74.797 71.944 c
74.797 71.538 l
74.797 71.52 74.797 71.483 74.797 71.465 c
74.797 71.428 74.797 71.391 74.797 71.372 c
74.797 71.317 74.797 71.243 74.797 71.207 c
74.797 71.17 74.815 71.114 y
74.815 71.096 74.852 71.059 74.889 71.059 c
74.907 71.059 74.925 71.041 y
74.963 71.004 l
74.981 70.967 74.981 70.949 v
74.981 70.93 l
74.981 70.875 74.907 70.82 74.834 70.801 c
74.797 70.801 74.742 70.801 74.705 70.801 c
74.649 70.801 74.577 70.783 74.52 70.783 c
74.484 70.783 l
74.355 70.783 74.245 70.801 74.19 70.801 c
74.116 70.82 74.078 70.875 74.078 70.912 c
74.078 70.93 l
74.078 70.967 74.097 71.004 74.133 71.023 c
74.171 71.041 74.207 71.078 74.207 71.096 c
74.226 71.133 74.245 71.262 74.245 71.409 c
74.245 71.704 l
h
75.092 71.612 m
75.073 71.612 l
75.073 71.759 75.128 71.906 75.202 72.035 c
75.276 72.146 75.405 72.257 75.534 72.331 c
75.68 72.403 75.847 72.46 75.994 72.46 c
76.03 72.46 76.123 72.441 76.214 72.403 c
76.307 72.367 76.381 72.348 76.417 72.348 c
76.453 72.348 l
76.51 72.367 l
76.546 72.367 76.582 72.348 76.62 72.312 c
76.639 72.274 76.675 72.219 76.694 72.164 c
76.711 72.09 76.73 72.017 76.73 71.98 c
76.73 71.832 76.656 71.722 76.546 71.722 c
76.51 71.704 l
76.491 71.704 76.453 71.722 76.436 71.741 c
76.417 71.741 76.381 71.777 y
76.362 71.815 l
76.343 71.815 76.324 71.851 76.324 71.87 c
76.307 71.888 76.269 71.925 y
76.252 71.962 76.196 72.017 76.159 72.054 c
76.104 72.09 76.012 72.128 75.938 72.128 c
75.902 72.128 75.865 72.109 75.847 72.109 c
75.809 72.09 75.754 72.035 75.737 71.999 c
75.699 71.962 75.68 71.888 75.68 71.815 c
75.68 71.759 75.699 71.686 75.699 71.63 c
75.718 71.575 75.754 71.501 75.773 71.446 c
75.809 71.372 75.883 71.299 75.957 71.262 c
75.994 71.262 76.03 71.225 76.067 71.225 c
76.104 71.225 76.178 71.207 76.214 71.207 c
76.269 71.207 76.343 71.225 76.381 71.225 c
76.417 71.243 76.472 71.28 76.51 71.317 c
76.546 71.336 76.582 71.354 76.601 71.354 c
76.62 71.354 76.656 71.336 76.675 71.317 c
76.675 71.299 76.694 71.262 76.694 71.243 c
76.694 71.133 76.639 71.041 76.546 70.967 c
76.472 70.912 76.362 70.856 76.252 70.839 c
76.141 70.801 76.03 70.783 75.938 70.783 c
75.865 70.783 75.792 70.801 75.718 70.801 c
75.644 70.82 75.57 70.856 75.515 70.894 c
75.386 70.967 75.276 71.078 75.202 71.207 c
75.164 71.262 75.128 71.336 75.109 71.391 c
75.092 71.465 75.073 71.538 75.073 71.612 c
75.092 71.612 l
h
77.227 71.593 m
77.356 71.888 l
77.374 71.962 77.412 72.054 77.412 72.146 c
77.412 72.257 77.448 72.348 77.467 72.386 c
77.503 72.422 77.541 72.422 v
77.577 72.441 77.632 72.46 77.67 72.46 c
77.687 72.46 l
77.742 72.46 77.816 72.422 77.89 72.367 c
77.964 72.312 78.057 72.219 78.093 72.128 c
78.589 71.114 l
78.589 71.096 78.627 71.059 78.644 71.059 c
78.682 71.041 l
78.718 71.023 l
78.756 71.004 78.773 70.985 v
78.773 70.967 78.773 70.949 v
78.773 70.912 l
78.773 70.856 78.718 70.801 78.627 70.801 c
78.516 70.801 78.387 70.783 78.258 70.783 c
78.185 70.783 l
78.074 70.783 77.964 70.801 77.909 70.801 c
77.854 70.801 77.816 70.856 77.816 70.912 c
77.816 70.93 77.835 70.967 y
77.854 71.004 77.89 71.004 v
77.909 71.004 77.945 71.041 y
77.945 71.096 l
77.945 71.133 77.909 71.17 77.871 71.17 c
77.816 71.17 77.706 71.188 77.596 71.188 c
77.503 71.188 77.429 71.17 77.393 71.17 c
77.356 71.17 77.319 71.133 77.319 71.096 c
77.319 71.078 l
77.338 71.041 l
77.374 71.004 77.393 71.004 v
77.412 71.004 77.429 70.985 y
77.467 70.967 l
77.484 70.93 l
77.484 70.839 77.356 70.783 77.098 70.783 c
76.897 70.783 76.785 70.839 76.785 70.912 c
76.785 70.93 76.804 70.967 y
76.823 71.004 76.859 71.004 v
76.878 71.004 76.914 71.041 76.933 71.041 c
76.952 71.041 76.988 71.096 77.007 71.133 c
77.227 71.593 l
h
77.761 71.465 m
77.799 71.465 77.835 71.483 y
77.835 71.501 77.816 71.557 77.78 71.612 c
77.742 71.667 77.706 71.722 77.687 71.741 c
77.67 71.777 77.632 71.796 77.613 71.796 c
77.577 71.777 77.577 71.759 v
77.558 71.722 77.522 71.667 77.503 71.593 c
77.503 71.575 l
77.484 71.538 l
77.484 71.483 l
77.522 71.465 77.558 71.465 v
77.761 71.465 l
f*
62.527 74.742 m
63.468 75.015 l
62.616 75.436 l
62.631 75.603 l
63.869 74.979 l
62.933 74.707 l
63.81 74.279 l
62.48 73.878 l
62.495 74.046 l
63.407 74.314 l
62.527 74.742 l
h
63.814 76.99 m
63.008 76.919 l
63.084 77.081 l
63.692 77.133 l
63.341 77.634 l
63.416 77.793 l
63.879 77.13 l
64.368 76.902 l
64.302 76.762 l
63.814 76.99 l
h
64.111 78.944 m
64.273 79.145 l
64.327 79.211 64.386 79.269 64.451 79.318 c
64.52 79.369 64.593 79.404 64.668 79.425 c
64.749 79.447 64.833 79.45 64.92 79.435 c
64.963 79.427 65.007 79.412 65.05 79.391 c
65.094 79.37 65.137 79.342 65.18 79.307 c
65.192 79.297 l
65.273 79.231 65.336 79.151 65.38 79.058 c
65.425 78.962 65.438 78.855 65.42 78.736 c
65.402 78.618 65.344 78.498 65.245 78.376 c
65.073 78.164 l
64.111 78.944 l
h
64.318 78.975 m
65.061 78.373 l
65.12 78.446 l
65.231 78.584 65.283 78.718 65.274 78.848 c
65.266 78.975 65.207 79.082 65.099 79.17 c
65.092 79.176 l
65.033 79.223 64.974 79.256 64.913 79.273 c
64.852 79.29 64.789 79.293 64.725 79.28 c
64.598 79.256 64.479 79.174 64.366 79.035 c
64.318 78.975 l
h
66.18 80.999 m
67.368 80.216 l
67.227 80.128 l
66.942 80.316 l
66.461 80.015 l
66.506 79.677 l
66.363 79.588 l
66.18 80.999 l
h
66.36 80.711 m
66.441 80.17 l
66.813 80.402 l
66.36 80.711 l
h
68.689 82.107 m
69.267 81.316 l
69.371 82.261 l
69.533 82.304 l
69.371 80.927 l
68.795 81.713 l
68.693 80.743 l
67.861 81.856 l
68.024 81.9 l
68.587 81.134 l
68.689 82.107 l
h
70.984 82.415 m
71.844 81.372 l
71.908 82.289 l
72.065 82.278 l
71.975 80.99 l
71.111 82.03 l
71.046 81.106 l
70.893 81.117 l
70.984 82.415 l
h
73.487 81.89 m
73.634 81.843 l
73.251 80.664 l
73.104 80.711 l
73.487 81.89 l
h
75.207 79.886 m
75.111 79.731 l
74.993 79.736 74.886 79.768 74.79 79.828 c
74.691 79.89 74.614 79.973 74.56 80.077 c
74.505 80.181 74.481 80.294 74.485 80.415 c
74.489 80.522 74.518 80.619 74.572 80.706 c
74.582 80.721 74.588 80.731 74.59 80.735 c
74.628 80.795 74.673 80.846 74.725 80.887 c
74.774 80.925 74.828 80.956 74.889 80.978 c
75.003 81.019 75.112 81.032 75.214 81.015 c
75.318 80.999 75.405 80.968 75.477 80.923 c
75.578 80.86 75.655 80.78 75.706 80.685 c
75.611 80.532 l
75.573 80.652 75.501 80.745 75.395 80.811 c
75.358 80.835 75.32 80.852 75.28 80.864 c
75.24 80.875 75.198 80.881 75.154 80.881 c
75.068 80.882 74.985 80.861 74.905 80.818 c
74.825 80.776 74.764 80.721 74.721 80.653 c
74.668 80.568 74.64 80.481 74.636 80.39 c
74.632 80.302 74.65 80.219 74.689 80.14 c
74.71 80.1 74.734 80.065 74.761 80.034 c
74.789 80.003 74.821 79.976 74.859 79.953 c
74.871 79.945 l
74.963 79.888 75.075 79.868 75.207 79.886 c
h
76.846 79.465 m
76.652 79.688 l
76.759 79.781 l
77.247 79.219 l
77.141 79.126 l
76.946 79.349 l
76.118 78.629 l
76.018 78.744 l
76.846 79.465 l
h
78.384 77.407 m
77.705 76.701 l
78.654 76.762 l
78.724 76.61 l
77.34 76.531 l
78.014 77.235 l
77.041 77.167 l
77.993 78.18 l
78.064 78.027 l
77.408 77.339 l
78.384 77.407 l
h
78.921 74.574 m
78.915 74.644 78.897 74.706 78.867 74.761 c
78.838 74.816 78.798 74.865 78.746 74.908 c
78.694 74.95 78.637 74.982 78.573 75.001 c
78.508 75.021 78.441 75.029 78.375 75.023 c
78.286 75.015 78.205 74.986 78.132 74.935 c
78.058 74.884 78.002 74.818 77.964 74.739 c
77.926 74.659 77.911 74.575 77.919 74.487 c
77.927 74.398 77.956 74.318 78.008 74.245 c
78.059 74.173 78.125 74.118 78.205 74.081 c
78.286 74.044 78.371 74.029 78.461 74.037 c
78.531 74.043 78.596 74.062 78.656 74.093 c
78.713 74.121 78.763 74.161 78.806 74.213 c
78.847 74.261 78.878 74.317 78.899 74.38 c
78.92 74.442 78.927 74.507 78.921 74.574 c
h
79.062 74.587 m
79.069 74.499 79.06 74.415 79.033 74.333 c
79.006 74.251 78.967 74.178 78.915 74.114 c
78.863 74.051 78.798 73.998 78.722 73.957 c
78.645 73.915 78.563 73.891 78.475 73.883 c
78.386 73.875 78.303 73.885 78.223 73.911 c
78.144 73.937 78.071 73.979 78.003 74.035 c
77.938 74.089 77.886 74.153 77.846 74.228 c
77.806 74.303 77.782 74.385 77.774 74.474 c
77.764 74.592 77.784 74.703 77.833 74.806 c
77.882 74.909 77.953 74.994 78.047 75.059 c
78.142 75.127 78.247 75.166 78.362 75.176 c
78.476 75.186 78.586 75.166 78.691 75.117 c
78.796 75.067 78.881 74.997 78.947 74.905 c
79.013 74.813 79.051 74.707 79.062 74.587 c
f*
64.879 68.533 m
65.886 68.889 l
65.113 67.82 l
65.003 67.938 l
65.508 68.607 l
64.628 68.299 l
65.001 69.157 l
64.293 68.7 l
64.187 68.814 l
65.306 69.512 l
64.879 68.533 l
h
66.655 68.211 m
67.213 67.848 l
67.136 67.73 l
66.707 68.008 l
66.518 67.717 l
66.936 67.446 l
66.859 67.327 l
66.441 67.599 l
66.186 67.206 l
66.615 66.927 l
66.538 66.809 l
65.98 67.171 l
66.655 68.211 l
h
67.943 67.469 m
68.187 67.385 l
68.268 67.357 68.343 67.321 68.411 67.278 c
68.482 67.229 68.54 67.173 68.586 67.11 c
68.634 67.041 68.666 66.963 68.681 66.876 c
68.688 66.832 68.689 66.786 68.684 66.738 c
68.679 66.69 68.668 66.64 68.65 66.588 c
68.645 66.573 l
68.611 66.474 68.557 66.388 68.484 66.315 c
68.409 66.24 68.313 66.19 68.196 66.167 c
68.079 66.143 67.946 66.157 67.798 66.208 c
67.54 66.297 l
67.943 67.469 l
h
68.043 67.285 m
67.732 66.38 l
67.821 66.35 l
67.988 66.292 68.132 66.29 68.251 66.342 c
68.367 66.394 68.448 66.486 68.493 66.617 c
68.497 66.626 l
68.521 66.697 68.531 66.764 68.526 66.827 c
68.522 66.891 68.503 66.951 68.469 67.007 c
68.403 67.117 68.285 67.202 68.116 67.26 c
68.043 67.285 l
h
69.882 66.268 m
69.578 67.018 l
69.754 66.993 l
69.982 66.426 l
70.359 66.908 l
70.532 66.883 l
70.034 66.247 l
69.959 65.712 l
69.807 65.734 l
69.882 66.268 l
h
72.265 66.056 m
72.291 65.876 l
72.198 65.804 72.095 65.76 71.983 65.744 c
71.867 65.728 71.754 65.742 71.646 65.787 c
71.538 65.832 71.447 65.902 71.372 65.997 c
71.306 66.082 71.267 66.175 71.252 66.276 c
71.25 66.294 71.248 66.305 71.247 66.31 c
71.238 66.381 71.239 66.448 71.253 66.514 c
71.265 66.574 71.288 66.633 71.32 66.689 c
71.381 66.794 71.456 66.873 71.546 66.926 c
71.635 66.98 71.722 67.013 71.806 67.025 c
71.924 67.041 72.034 67.03 72.134 66.99 c
72.159 66.811 l
72.053 66.879 71.938 66.904 71.815 66.887 c
71.772 66.88 71.731 66.869 71.693 66.852 c
71.655 66.836 71.619 66.813 71.585 66.785 c
71.519 66.73 71.469 66.661 71.435 66.577 c
71.401 66.493 71.389 66.411 71.4 66.332 c
71.414 66.233 71.449 66.148 71.504 66.076 c
71.557 66.006 71.624 65.953 71.705 65.918 c
71.747 65.901 71.788 65.889 71.829 65.883 c
71.87 65.878 71.912 65.878 71.956 65.884 c
71.969 65.886 l
72.077 65.901 72.176 65.958 72.265 66.056 c
h
73.477 67.311 m
72.977 67.109 l
72.924 67.24 l
73.658 67.537 l
73.486 66.283 l
74.07 66.519 l
74.123 66.388 l
73.308 66.058 l
73.477 67.311 l
h
74.323 67.905 m
75.651 67.659 l
75.111 68.403 l
75.239 68.496 l
75.998 67.451 l
74.667 67.692 l
75.211 66.943 l
75.087 66.853 l
74.323 67.905 l
h
75.878 69.077 m
76.305 69.587 l
76.414 69.496 l
76.085 69.105 l
76.351 68.882 l
76.671 69.264 l
76.779 69.173 l
76.459 68.791 l
76.818 68.49 l
77.146 68.881 l
77.254 68.79 l
76.827 68.281 l
75.878 69.077 l
f*
EMC
0 G
0 J 0 j 0.24 w 10 M []0 d
/GS2 gs
62.34 129.965 m
518.76 129.965 l
S
BT
7.5 0 0 7.5 62.34 118.715 Tm
0.0009 Tw
(Adres do korespondencji: dr hab. med. Jacek Szepietowski)Tj
0 -1.332 TD
-0.0002 Tc
-0.0076 Tw
(Katedra i Klinika Dermatologii, Wenerologii i Alergologii AM)Tj
T*
-0.0004 Tc
0 Tw
(ul. Chaubiskiego 1, 50368 Wrocaw)Tj
0 -1.336 TD
0 Tc
-0.0026 Tw
(tel. \(0 71\) 784 22 89, faks \(0 71\) 327 09 42, e-mail: jszepiet@derm.am.wroc.pl)Tj
3.78 -1.9 TD
-0.0022 Tw
(Polska Medycyna Paliatywna 2004, 3, 1, 3337)Tj
0 -1.332 TD
-0.0001 Tc
-0.0011 Tw
(Copyright 2004 Via Medica, ISSN 1644115X)Tj
10 0 0 10 62.34 733.5651 Tm
-0.0009 Tc
-0.0083 Tw
(Jacek Szepietowski, Beata Winicka)Tj
ET
62.34 714.995 m
518.76 714.995 l
S
BT
7.5 0 0 7.5 62.34 720.515 Tm
-0.0003 Tc
-0.0073 Tw
(Katedra i Klinika Dermatologii, Wenerologii i Alergologii Akademii Medycznej we Wrocawiu)Tj
/F1 1 Tf
24 0 0 24 62.34 666.515 Tm
-0.0022 Tc
0.0104 Tw
(Zmiany skrne u chorych)Tj
0 -1.25 TD
-0.0021 Tc
0.0146 Tw
(z zespoami otpiennymi)Tj
12 0 0 12 62.34 605.165 Tm
-0.0006 Tc
-0.0007 Tw
(Cutaneous changes in patients with demential syndromes)Tj
/F3 1 Tf
9.5 0 0 9.5 62.34 535.085 Tm
0 Tc
0 Tw
(Streszczenie)Tj
/F2 1 Tf
8 0 0 8 90.69 523.535 Tm
-0.0008 Tc
-0.0438 Tw
(Ostatnio w pimiennictwie coraz czciej zwraca si uwag na fakt starzenia si spoeczestwa. Wzrasta te)Tj
0 -1.3763 TD
-0.0005 Tc
-0.0239 Tw
(czsto wystpowania chorb zwizanych z wiekiem naczyniowych i zwyrodnieniowych schorze uka-)Tj
T*
0.0036 Tc
0.225 Tw
(du nerwowego, bdcych przyczyn zaburze funkcji poznawczych, upoledzajcych funkcjonowanie)Tj
0 -1.3725 TD
0 Tc
0.0062 Tw
(w yciu codziennym.)Tj
0 -1.3763 TD
-0.0007 Tc
0.1241 Tw
[(Powizania skry z chorobami ukadu nerwowego znane s od dawna. Zarwno naskrek, jak i tkanka)]TJ
T*
-0.0629 Tw
(nerwowa powstaj z tego samego listka zarodkowego ektodermy, co moe przekada si na powizania)Tj
0 -1.3725 TD
0.0251 Tw
[(kliniczne zaburze obu narzdw. Aspekty dermatologiczne w rnego typu otpieniach mona podzieli)]TJ
0 -1.3762 TD
0.1578 Tw
(na kilka grup: zmiany jatrogenne \(powikania skrne po leczeniu otpienia\), zmiany skrne wynikajce)Tj
T*
-0.0005 Tc
0.0715 Tw
(z zaniedba higienicznych, wid psychogenny/neurogenny, zmiany skrne bdce elementem zespow)Tj
0 -1.3725 TD
-0.0006 Tc
-0.0175 Tw
(chorobowych ze wspistniejcym otpieniem, zmiany skrne towarzyszce otpieniu o podou naczynio-)Tj
0 -1.3762 TD
-0.0005 Tc
0.0342 Tw
(wym, zmiany we wosach i paznokciach w chorobie Alzheimera. Naley rwnie wymieni bardzo rzadkie)Tj
T*
-0.0007 Tc
-0.0641 Tw
(zespoy chorobowe, w ktrych biopsja skry jest preferowan metod potwierdzenia rozpoznania choro-)Tj
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-0.0009 Tc
0.0063 Tw
(b Lafora oraz zesp CADASIL.)Tj
/F3 1 Tf
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-0.0013 Tc
0.0125 Tw
(Sowa kluczowe: )Tj
/F2 1 Tf
8.64 0 TD
-0.0007 Tc
(otpienie, zmiany skrne)Tj
/F3 1 Tf
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0 Tw
(Abstract)Tj
/F2 1 Tf
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-0.0225 Tc
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(In the aging population vascular and degenerative nervous system diseases leading to cognitive functions impair-)Tj
0 -1.3763 TD
-0.0257 Tc
-0.0497 Tw
(ment and where age is main risk factor, will grow. The most often found among them seems to be Alzheimers)Tj
T*
-0.0103 Tc
0.0009 Tw
(disease \(5070% cases of dementia\), dementia with Lewy bodies, vascular type of dementia and others.)Tj
0 -1.3725 TD
-0.0006 Tc
0.2235 Tw
(Connections between skin and nervous system are common as both, epidermis and nervous system,)Tj
0 -1.3763 TD
-0.0004 Tc
-0.0332 Tw
(originate from ectoderma. Dermatological aspects of dementia could be divided into the following groups:)Tj
T*
-0.0006 Tc
0.111 Tw
[(jatrogenic lesions, skin lesions due to poor hygiene, psychogenic/neurogenic pruritus, skin lesions as an)]TJ
0 -1.3725 TD
0.0067 Tc
0.225 Tw
(element of syndromes with dementia, skin lesions associated with vascular dementia, hair and nail)Tj
0 -1.3762 TD
-0.0005 Tc
0.0332 Tw
(abnormalities in Alzheimers disease and skin as object, where diagnostic procedures could be performed)Tj
T*
0.0042 Tw
(\(Laforas disease, CADASIL syndrome\).)Tj
/F3 1 Tf
0 -1.7288 TD
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0.0031 Tw
(Key words: )Tj
/F2 1 Tf
5.8275 0 TD
0.0062 Tw
(dementia, skin lesions)Tj
/F3 1 Tf
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0.0004 Tc
0 Tw
(Wstp)Tj
/F2 1 Tf
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0.0114 Tc
0.2256 Tw
(Ostatnio w pimiennictwie czsto zwraca si)Tj
-1.5733 -1.4 TD
-0.0003 Tc
-0.0411 Tw
(uwag na zjawisko epidemiologiczne polegajce na)Tj
T*
-0.0006 Tc
0.0802 Tw
(tym, e w miar rozwoju medycyny stale zwiksza)Tj
26.6167 5.6 TD
-0.0087 Tc
-0.0746 Tw
(si liczba osb starszych. Wrd licznych chorb star-)Tj
0 -1.4 TD
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0.0019 Tw
(czych do du grup stanowi zaburzenia funkcji)Tj
T*
-0.0155 Tc
-0.075 Tw
(poznawczych, upoledzajce funkcjonowanie w yciu)Tj
T*
-0.0002 Tc
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(codziennym, a prowadzce do utraty zdolnoci do)Tj
T*
-0.0004 Tc
-0.0267 Tw
(samodzielnego ycia. Tak zwane agodne zburzenia)Tj
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BT
/F1 1 Tf
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0.0067 Tw
[(Polska Medycyna Paliatywna 2004, tom 3, nr 1)]TJ
24.128 -98.64 TD
0.0002 Tc
0 Tw
(www.pmp.viamedica.pl)Tj
8.5 0 0 8.5 28.35 31.235 Tm
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(34)Tj
/F2 1 Tf
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0.1962 Tw
(funkcji poznawczych \(MCI, )Tj
/F4 1 Tf
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(mild cognitive impair-)Tj
-13.4467 -1.4 TD
0.0013 Tc
0 Tw
(ment)Tj
/F2 1 Tf
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-0.0004 Tc
0.0436 Tw
(\), plasujce si w obszarze granicznym po-)Tj
-2.45 -1.4 TD
-0.0008 Tc
0.05 Tw
(midzy starzeniem fizjologicznym i patologicznym,)Tj
T*
0.0151 Tc
0.2347 Tw
(rozpoznaje si u 1530% osb w wieku 60 lat)Tj
T*
-0.0006 Tc
0.0565 Tw
(i starszych [1]. Otpienie, zmiany bardziej zaawan-)Tj
T*
-0.0003 Tc
-0.075 Tw
(sowane ni MCI, stwierdza si u 26% osb powyej)Tj
T*
-0.0254 Tw
(65 r.. [2]. Badania nad zaburzeniami czynnoci po-)Tj
T*
0 Tc
-0.0556 Tw
(znawczych w chorobach neurodegeneracyjnych do-)Tj
T*
-0.0006 Tc
0.0778 Tw
(tycz najczciej choroby Alzheimera, uwaanej za)Tj
T*
-0.0118 Tc
-0.075 Tw
(najbardziej powszechn form schorze otpiennych)Tj
T*
-0.0004 Tc
-0.0541 Tw
(\(5075% wszystkich przypadkw demencji\), otpie-)Tj
T*
-0.0008 Tc
-0.075 Tw
(nia czoowo-skroniowego, choroby Parkinsona, ot-)Tj
T*
-0.0004 Tc
-0.0648 Tw
(pienia z ciaami Lewyego czy choroby Huntingtona.)Tj
T*
-0.0006 Tc
-0.0087 Tw
[(Do innych przyczyn otpienia zalicza si zmiany na-)]TJ
T*
-0.0001 Tc
0.1689 Tw
(czyniowe lece u podoa otpienia naczyniopo-)Tj
T*
0.0002 Tc
-0.0648 Tw
(chodnego \(wielozawaowego, poudarowego, mia-)Tj
T*
0.0001 Tc
0.1513 Tw
(dycowego\). Kolejn grup zaburze otpiennych)Tj
T*
0.0003 Tc
-0.0315 Tw
(stanowi choroby neurozwyrodnieniowe, charakte-)Tj
T*
-0.0005 Tc
0.1211 Tw
(ryzujce si odkadaniem w orodkowym ukadzie)Tj
T*
-0.0115 Tc
-0.0744 Tw
(nerwowym i niektrych tkankach patologicznych izo-)Tj
T*
-0.0002 Tc
0.0991 Tw
(form okrelonych biaek. Wymienia si tu chorob)Tj
T*
-0.004 Tc
-0.075 Tw
(Creutzfelda-Jakoba oraz inne schorzenia wywoywa-)Tj
T*
0.0014 Tc
0.2256 Tw
(ne przez priony, tzw. pasaowalne encefalopatie)Tj
T*
-0.0011 Tc
0.0223 Tw
(gbczaste [1].)Tj
1.5733 -1.4 TD
0.002 Tc
-0.075 Tw
(Wpyw chorb ukadu nerwowego na skr zna-)Tj
-1.5733 -1.4 TD
0.0098 Tc
0.049 Tw
[(n)-6.2(y)14.5( j)9.8(e)9.8(s)-1.2(t)9.5( od dawna. Zarwno naskrek, jak i tkanka)]TJ
T*
0.0463 Tw
(nerwowa powstaj z tego samego listka zarodko-)Tj
T*
0.0096 Tc
0.2095 Tw
(wego ektodermy, co moe przekada si na)Tj
T*
0.0099 Tc
-0.05 Tw
(powizania kliniczne zaburze obu narzdw. Wy-)Tj
T*
-0.0008 Tc
-0.0747 Tw
[(daje si, i aspekty dermatologiczne w rnego typu)]TJ
T*
0.0097 Tc
0.2144 Tw
(zespoach otpiennych mona podzieli na kilka)Tj
T*
0.0028 Tw
(grup \(tab. 1\).)Tj
/F3 1 Tf
11 0 0 11 62.34 314.285 Tm
-0.0005 Tc
0.0136 Tw
(Zmiany skrne wynikajce)Tj
0 -1.1455 TD
-0.0004 Tc
0.0113 Tw
(z zaniedba higienicznych)Tj
/F2 1 Tf
9 0 0 9 76.5 280.685 Tm
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0.1602 Tw
(Zakaenia skry u chorych z otpieniem wyni-)Tj
-1.5733 -1.4 TD
-0.0015 Tc
-0.0744 Tw
(kaj najczciej bezporednio z zaniedba higienicz-)Tj
T*
-0.0002 Tc
0.0411 Tw
(nych. Czsto rozwojowi zakaenia sprzyja przewle-)Tj
26.6167 53.2 TD
-0.0003 Tc
0.0611 Tw
(ke leenie w ku, co czy si ze wzmoon wil-)Tj
0 -1.4 TD
-0.0002 Tc
0.0355 Tw
(gotnoci oraz wysz temperatur. Korzystne wa-)Tj
T*
0.0005 Tc
0.17 Tw
(runki do rozwoju drobnoustrojw stwarzaj rw-)Tj
T*
-0.012 Tc
-0.075 Tw
(nie zmiany troficzne skry, nietrzymanie moczu oraz)Tj
T*
-0.0004 Tc
-0.0198 Tw
(spoywanie posiku w pozycji lecej. Ocenia si, e)Tj
T*
0.0534 Tw
(choroby infekcyjne skry stanowi 35% wszystkich)Tj
T*
-0.0005 Tc
0.1922 Tw
(zakae nabytych w domach pomocy spoecznej,)Tj
T*
-0.0006 Tc
-0.0515 Tw
[(przy czym nie ma rnicy w czstoci wystpowania)]TJ
T*
-0.0004 Tc
0.0333 Tw
(zakae skry u chorych z rnymi postaciami ot-)Tj
T*
-0.0296 Tw
(pienia. Tak duy odsetek infekcji skry spowodowa)Tj
T*
-0.075 Tw
(wprowadzenie w Stanach Zjednoczonych specjalne-)Tj
T*
-0.0005 Tc
0.0589 Tw
(go programu zapobiegawczego, majcego na celu)Tj
T*
-0.0003 Tc
0.1633 Tw
(ograniczenie zakae skry u przewlekle chorych,)Tj
T*
-0.0002 Tc
0.0896 Tw
(w tym u pacjentw otpiaych [3, 4]. Do najczst-)Tj
T*
-0.0005 Tc
-0.0445 Tw
(szych zakae skry nale: infekcje mieszane gron-)Tj
T*
-0.0047 Tc
-0.074 Tw
(kowcowo-paciorkowcowe \(liszajec zakany, nieszto-)Tj
T*
-0.0081 Tc
-0.075 Tw
(wice\) oraz zakaenia powodowane przez same gron-)Tj
T*
-0.0001 Tc
0.0044 Tw
(kowce \(ropne zapalenie mieszkw wosowych, czy-)Tj
T*
-0.0002 Tc
-0.0287 Tw
(rak i czyraczno\). Wrd rezydentw domw opie-)Tj
T*
-0.0003 Tc
0.1691 Tw
(ki spoecznej, z ktrych du grup stanowi pa-)Tj
T*
0.1436 Tw
(cjenci z otpieniem, czciej ni w populacji ludzi)Tj
T*
0.0704 Tw
(zdrowych spotyka si cik posta wierzbu, tzw.)Tj
T*
-0.0001 Tc
0.0032 Tw
(wierzb norweski, rozwijajcy si u osb z zaburze-)Tj
T*
-0.0006 Tc
0.1556 Tw
(niami immunologicznymi i chorobami psychiczny-)Tj
T*
0.0001 Tc
-0.0511 Tw
(mi. Nawarstwione strupo-uski z nieznacznie nasilo-)Tj
T*
0 Tc
-0.0578 Tw
(nym widem o uoglnionym umiejscowieniu \(cz-)Tj
T*
-0.0158 Tc
-0.0746 Tw
(nie z twarz i skr okolicy midzyopatkowej\) tworz)Tj
T*
0 Tc
-0.0074 Tw
(obraz chorobowy [5, 6].)Tj
/F3 1 Tf
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0.0009 Tc
0 Tw
(wid)Tj
/F2 1 Tf
9 0 0 9 316.05 343.685 Tm
0.0044 Tc
-0.0744 Tw
(wid, klasyfikowany obecnie jako oddzielny ro-)Tj
-1.5733 -1.4 TD
0.0097 Tc
0.0815 Tw
[(dzaj czucia powierzchownego, a uwaany za naj-)]TJ
T*
0.0095 Tc
-0.0699 Tw
[(czstszy objaw subiektywny w dermatologii, szcze-)]TJ
T*
0.0102 Tc
-0.023 Tw
(glnie czsto wystpuje w populacji osb w wieku)Tj
T*
0.0099 Tc
0.0465 Tw
(pnej dorosoci. U osb po 65 r. zazwyczaj to-)Tj
T*
0.0639 Tw
(warzyszy mu rnie nasilona sucho skry. Pato-)Tj
T*
0.0103 Tc
0.0861 Tw
(geneza widu nie jest jednorodna i w wielu sta-)Tj
T*
0.0206 Tc
0.225 Tw
(nach chorobowych nie jest do koca poznana.)Tj
T*
0.0041 Tc
-0.0744 Tw
(wid neurogenny obserwuje si przy zaburzeniach)Tj
T*
0.0101 Tc
0.0311 Tw
(czynnoci ukadu nerwowego, a psychogenna po-)Tj
T*
0.0096 Tc
-0.0305 Tw
(sta widu dotyczy pacjentw z rnymi zaburze-)Tj
T*
0.0095 Tc
0.1324 Tw
(niami psychicznymi [7]. Biorc pod uwag pode-)Tj
T*
-0.0062 Tc
-0.0745 Tw
(szy wiek wikszoci chorych otpiaych, stwierdzany)Tj
T*
0.0101 Tc
0.1518 Tw
(u nich wid skry najprawdopodobniej jest wy-)Tj
T*
0.0183 Tc
0.225 Tw
(padkow widu psychogennego/neurogennego)Tj
T*
0.0095 Tc
0.1861 Tw
(i widu starczego. W obrazie klinicznym czsto)Tj
T*
0.0097 Tc
0.0398 Tw
(obserwuje si przeczosy, ktre s przyczyn wtr-)Tj
T*
0.0095 Tc
0.0278 Tw
(nych zakae. Praktyczne moliwoci terapeutycz-)Tj
T*
0.0102 Tc
-0.0435 Tw
(ne s do mocno ograniczone. Niewtpliwie nale-)Tj
T*
0.0099 Tc
-0.0625 Tw
(y zadba o odpowiednie nawilenie/natuszczenie)Tj
T*
0.0335 Tw
[(skry,)9.8( przewlekl)11.8(e)-0.9( stos)]TJ
10.4967 0 TD
-0.001 Tc
0 Tw
[(ujc )]TJ
2.2534 0 TD
0.0099 Tc
0.0351 Tw
[(emolienty)11.2(.)0.1( Nie bez zna-)]TJ
-12.7501 -1.4 TD
-0.05 Tw
(czenia pozostaje )Tj
8.13 0 TD
0.0001 Tc
0 Tw
[(podawanie )]TJ
5.4864 0 TD
0.0097 Tc
-0.05 Tw
(doksepiny oraz)Tj
7.157 0 TD
0.0008 Tc
-0.0555 Tw
[( rozpo-)]TJ
-20.7733 -1.4 TD
-0.0007 Tc
0 Tw
[(czcie )]TJ
3.1116 0 TD
0.0093 Tc
0.0056 Tw
(psychoterapii [8].)Tj
/F3 1 Tf
8.5 0 0 8.5 62.34 217.775 Tm
-0.0004 Tc
-0.0071 Tw
[(Tabela 1. Aspekty dermatologiczne w rnych)]TJ
0 -1.2 TD
-0.0009 Tc
-0.0059 Tw
(typach zespow otpiennych)Tj
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BT
8.5 0 0 8.5 62.34 197.375 Tm
-0.0101 Tc
(Table 1. )Tj
/F2 1 Tf
4.1188 0 TD
-0.0109 Tc
-0.0074 Tw
(Dermatological aspects in different dementia)Tj
8 0 0 8 62.34 181.085 Tm
-0.0004 Tc
0.005 Tw
[(1.)-337.9(Zmiany skrne wynikajce z zaniedba higienicznych)]TJ
0 -1.5563 TD
0.0009 Tc
0 Tw
[(2.)-336.6(wid)]TJ
T*
-0.0006 Tc
0.0062 Tw
[(3.)-338.1(Zmiany jatrogenne)]TJ
T*
-0.0004 Tc
0.0031 Tw
[(4.)-337.9(Zmiany skrne bdce elementem zespow)]TJ
1.2375 -1.2 TD
0.0042 Tw
(chorobowych ze wspistniejcym otpieniem)Tj
-1.2375 -1.5563 TD
-0.0008 Tc
0.0063 Tw
[(5.)-338.3(Zmiany skrne towarzyszce otpieniu o podou)]TJ
1.2375 -1.2 TD
0.0003 Tc
0 Tw
(naczyniowym)Tj
-1.2375 -1.5563 TD
-0.0005 Tc
0.0053 Tw
[(6.)-338(Zaburzenia dotyczce wosw i paznokci w chorobie)]TJ
1.2375 -1.2 TD
0 Tc
0 Tw
(Alzheimera)Tj
-1.2375 -1.5562 TD
-0.0003 Tc
0.0031 Tw
[(7.)-337.8(Skra jako miejsce wystpowania diagnostycznych)]TJ
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0.24 w
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279.21 62.465 l
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BT
8 0 0 8 72.24 67.985 Tm
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0.0062 Tw
(wskanikw otpienia)Tj
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(www.pmp.viamedica.pl)Tj
8.5 0 0 8.5 541.14 31.235 Tm
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(35)Tj
7.5 0 0 7.5 211.26 771.035 Tm
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0.0066 Tw
[(Jacek Szepietowski, Beata Winicka )]TJ
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19.064 0 TD
-0.0012 Tc
0.0083 Tw
(Zmiany skrne w zespoach otpiennych)Tj
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-0.0008 Tc
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(Zmiany jatrogenne)Tj
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-0.0046 Tc
-0.075 Tw
(Do jednych z najczciej spotykanych dziaa nie-)Tj
-1.5733 -1.4 TD
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(podanych, bdcych wynikiem wielu stosowanych)Tj
T*
-0.0006 Tc
0.1889 Tw
(metod farmakoterapeutycznych, zalicza si osutki)Tj
T*
-0.0001 Tc
0.0907 Tw
(skrne. Zanotowano, i ekstrakty z Ginkgo biloba,)Tj
T*
-0.0644 Tw
(uywane w leczeniu zaburze krenia centralnego,)Tj
T*
0.0006 Tc
0.2255 Tw
(obwodowego oraz otpienia, przyczyniay si do)Tj
T*
0.0001 Tc
0.1708 Tw
(powstawania uoglnionej alergicznej osutki skry)Tj
T*
-0.0001 Tc
0.1544 Tw
([9]. Ponadto dziaania niepodane niektrych le-)Tj
T*
-0.0115 Tc
-0.0744 Tw
(kw mog objawia si wspwystpowaniem zmian)Tj
T*
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0.047 Tw
[(skrnych i otpienia. )]TJ
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-0.0103 Tc
0.0472 Tw
(Wanie tak sytuacj opisano)Tj
-10.1503 -1.4 TD
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0.1292 Tw
(po leczeniu trjcyklicznymi preparatami przeciwde-)Tj
T*
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0.1528 Tw
(presyjnymi, kiedy to zmianom skrnym i otpieniu)Tj
T*
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(towarzyszya obwodowa neuropatia i )Tj
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(myoclonus)Tj
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-0.0778 Tw
[( [10].)]TJ
/F3 1 Tf
11 0 0 11 62.34 528.485 Tm
-0.0009 Tc
0.0136 Tw
(Zmiany skrne bdce elementem)Tj
0 -1.1455 TD
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0.0151 Tw
(zespow przebiegajcych z otpieniem)Tj
/F2 1 Tf
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-0.0036 Tc
-0.0745 Tw
(Istnieje wiele zespow chorobowych, w ktrych,)Tj
-1.5733 -1.4 TD
0.0002 Tc
0.0139 Tw
(oprcz innych zaburze, otpienie wspwystpuje)Tj
T*
-0.0007 Tc
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(ze zmianami skrnymi. Pelagra \()Tj
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(pellagra)Tj
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(\), bdca)Tj
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-0.0002 Tc
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(najczciej wynikiem niedoboru niacyny \(tryptofanu)Tj
T*
-0.0556 Tw
(w diecie\), charakteryzuje si tzw. triad objaww D:)Tj
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T*
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(dermatitis)Tj
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-0.0018 Tc
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[( \(zmiany skrne\), )]TJ
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(diarrhea)Tj
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[( \(biegunka\) i )]TJ
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-0.002 Tc
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(de-)Tj
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0.0149 Tc
(mentia)Tj
/F2 1 Tf
3.35 0 TD
0.0146 Tc
0.2288 Tw
[( \(otpienie\). Zmiany skrne s zazwyczaj)]TJ
-3.35 -1.4 TD
-0.0015 Tc
-0.075 Tw
(pierwsz manifestacj kliniczn choroby. S to ogni-)Tj
T*
0.0003 Tc
-0.0611 Tw
(ska obrzkowo-rumieniowe, umiejscowione na sk-)Tj
T*
0.0001 Tc
0.0311 Tw
(rze eksponowanej na dziaanie promieniowania ul-)Tj
T*
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-0.0139 Tw
(trafioletowego. Zmiany mog imitowa poparzenie)Tj
T*
-0.073 Tw
(soneczne. Z czasem przyjmuj fioletowy kolor, a ich)Tj
T*
0.0583 Tw
(powierzchnia jest nieznacznie zuszczana. Niekiedy)Tj
T*
-0.0002 Tc
0.0257 Tw
(w obrbie zmian rozwijaj si pcherze i mog po-)Tj
T*
0.0073 Tc
0.225 Tw
(wstawa nawet owrzodzenia. Przewleke zmiany)Tj
T*
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-0.0744 Tw
(charakteryzuj si lichenifikacj i rogowaceniem czer-)Tj
T*
-0.0004 Tc
-0.0389 Tw
(wieni wargowej. Obrzmiay czerwony jzyk jest cz-)Tj
T*
-0.0078 Tc
-0.0745 Tw
(stym i typowym, wielokrotnie integralnym, objawem)Tj
T*
-0.0004 Tc
0.1045 Tw
(choroby. W przebiegu pelagry wystpuj uporczy-)Tj
T*
-0.0152 Tc
-0.0368 Tw
(we ble brzucha oraz biegunki, nieraz krwawe, a tak-)Tj
T*
0.0002 Tc
0.12 Tw
[()15.8(e)15.8( )19.1(z)16.9(aburzenia ze strony orodkowego ukadu ner-)]TJ
T*
-0.0001 Tc
0.0734 Tw
[(wowego. Zmiany skrne odpowiadaj znacznie le-)]TJ
T*
-0.0005 Tc
-0.0643 Tw
(piej na leczenie preparatami niacyny ni zmiany ot-)Tj
T*
0 Tc
-0.0111 Tw
(pienne [1113].)Tj
1.5733 -1.4 TD
0.225 Tw
(W boreliozie \()Tj
/F4 1 Tf
6.96 0 TD
-0.0019 Tc
0 Tw
(borreliosis)Tj
/F2 1 Tf
4.8133 0 TD
-0.0001 Tc
0.225 Tw
(\) pierwszym objawem)Tj
-13.3467 -1.4 TD
-0.0002 Tc
-0.0189 Tw
(klinicznym jest rozszerzajcy si obwodowo rumie)Tj
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-0.0004 Tc
-0.0731 Tw
(w ksztacie okrgu, tzw. rumie przewleky pezako-)Tj
T*
0.0145 Tc
0.3861 Tw
(waty Lipschtza \()Tj
/F4 1 Tf
9.19 0 TD
0.015 Tc
0.3888 Tw
(erythema chronicum migrans)Tj
-9.19 -1.4 TD
0.0001 Tc
0 Tw
(Lipschtz)Tj
/F2 1 Tf
4.39 0 TD
-0.0006 Tc
-0.0511 Tw
(\). W rodkowej czci zazwyczaj zaznaczo-)Tj
-4.39 -1.4 TD
-0.0004 Tc
0.0769 Tw
(ne jest miejsce ukucia klesza \(obrzkowa grudka\).)Tj
T*
0.0713 Tw
(Nieleczony utrzymuje si nawet przez kilka miesi-)Tj
T*
-0.0006 Tc
0.1926 Tw
(cy. Przy dugotrwaym zakaeniu na skrze )Tj
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0 Tw
(moe)Tj
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0.1678 Tw
(dochodzi do rozwoju zanikowego zapalenia skry)Tj
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-0.0556 Tw
(koczyn \()Tj
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[(\). W )-15.6(p)-16.6(o)-16.5(-)]TJ
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-0.0003 Tc
0.1889 Tw
(cztkowej fazie schorzenia wystpuj nacieczone,)Tj
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-0.0178 Tw
(czerwonawe plamy, jednak skra odsiebnych czci)Tj
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0.0577 Tw
(koczyn szybko ulega znacznemu scieczeniu. Jest)Tj
T*
-0.0016 Tc
-0.074 Tw
(pomarszczona, z charakterystycznie przewiecajcy-)Tj
T*
-0.0007 Tc
-0.0508 Tw
(mi przez ni naczyniami ylnymi. Niekiedy moe do-)Tj
T*
0 Tc
0.1833 Tw
(chodzi do powstawania zmian twardzinopodob-)Tj
T*
0.1158 Tw
(nych. W boreliozie jako schorzeniu wielonarz-)Tj
T*
-0.0002 Tc
-0.0373 Tw
(dowym oprcz zmian skrnych obserwuje si za-)Tj
T*
-0.0138 Tc
-0.075 Tw
(burzenia ukadu krenia \(bloki serca, zapalenie mi-)Tj
T*
0 Tc
0.1972 Tw
(nia sercowego, zapalenie osierdzia, niewydolno)Tj
T*
-0.0001 Tc
0.0144 Tw
(lewej komory serca\) oraz zaburzenia neurologiczne)Tj
T*
-0.0007 Tc
0.0019 Tw
(i psychiatryczne [11, 14]. Badania amerykaskie su-)Tj
T*
-0.0049 Tc
-0.075 Tw
(geruj, e zmiany neurologiczne i psychiatryczne do-)Tj
T*
-0.0074 Tc
-0.0738 Tw
(tycz a do 40% chorych z zakaeniem )Tj
/F4 1 Tf
17.78 0 TD
-0.0078 Tc
-0.0778 Tw
(Borrelia burg-)Tj
-17.78 -1.4 TD
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0 Tw
(dorferi)Tj
/F2 1 Tf
3.1733 0 TD
-0.0001 Tc
-0.0285 Tw
(. Wiadomo te, e w przebiegu boreliozy do-)Tj
-3.1733 -1.4 TD
0.0002 Tc
0.1055 Tw
[(chodzi do rozwoju otpienia, paranoi, schizofrenii)]TJ
T*
-0.0009 Tc
0.0028 Tw
(czy depresji [15].)Tj
1.5733 -1.4 TD
0.0002 Tc
0.1611 Tw
(Zesp Wernera \()Tj
/F4 1 Tf
8.3233 0 TD
-0.0004 Tc
(Werner syndrome)Tj
/F2 1 Tf
8.55 0 TD
-0.0001 Tc
(\) znany jest)Tj
-18.4467 -1.4 TD
0.0622 Tw
(rwnie jako zesp przedwczesnego starzenia si.)Tj
T*
-0.0009 Tc
0.1452 Tw
(W drugiej dekadzie ycia, zazwyczaj przed 30 r.,)Tj
T*
-0.0003 Tc
0.0695 Tw
(rozwojowi zmian miadycowych naczy krwiono-)Tj
T*
0.113 Tw
(nych towarzyszy zanik tkanki mzgowej i otpie-)Tj
T*
0 Tw
(nie. Na skrze pojawiaj si zmiany poikilodermicz-)Tj
T*
0.0006 Tc
0.2255 Tw
(ne, tkanka podskrna ulega scieczeniu, ogniska)Tj
T*
-0.0002 Tc
0.0745 Tw
(nadmiernego rogowacenia pojawiaj si w okolicy)Tj
T*
0 Tc
-0.0159 Tw
(kolan i okci. Wosy siwiej, nastpuje ich uoglnio-)Tj
T*
-0.0001 Tc
-0.046 Tw
(ne wypadanie. Zespl dziedziczy si w sposb auto-)Tj
T*
-0.0003 Tc
0.1066 Tw
(somalny recesywny. Defekt genu dotyczy chromo-)Tj
T*
-0.0002 Tc
-0.0055 Tw
(somu 8p12-p11 [16].)Tj
/F3 1 Tf
11 0 0 11 301.89 364.685 Tm
-0.0006 Tc
0.0121 Tw
(Zmiany skrne towarzyszce otpieniu)Tj
0 -1.1455 TD
-0.0004 Tc
0.0046 Tw
(o podou naczyniowym)Tj
/F2 1 Tf
9 0 0 9 316.05 331.085 Tm
-0.02 Tc
0.02 Tw
(U chorych z otpieniem spowodowanym zmiana-)Tj
-1.5733 -1.4 TD
-0.0222 Tc
-0.075 Tw
(mi naczyniowymi w obrbie orodkowego ukadu ner-)Tj
T*
-0.0303 Tc
(wowego niejednokrotnie stwierdza si charakterystycz-)Tj
T*
-0.0203 Tc
0.0044 Tw
(ne zmiany skrne pod postaci )Tj
/F4 1 Tf
14.29 0 TD
-0.0207 Tc
0.0055 Tw
(livedo reticularis/race-)Tj
-14.29 -1.4 TD
-0.0222 Tc
0 Tw
(mosa)Tj
/F2 1 Tf
2.4167 0 TD
-0.0198 Tc
0.0527 Tw
(, objawu typowego dla zespou Sneddona [17)Tj
-2.4167 -1.4 TD
-0.0202 Tc
-0.0445 Tw
[()-20.5(19] oraz tzw. zespou )]TJ
/F4 1 Tf
10.3167 0 TD
-0.0198 Tc
-0.0444 Tw
(blue ruber bleb nevus)Tj
/F2 1 Tf
9.7667 0 TD
-0.0203 Tc
-0.0445 Tw
[( [20, 21].)]TJ
-18.51 -1.4 TD
-0.0003 Tc
0.0778 Tw
(Charakterystycznemu obrazowi klinicznemu ze-)Tj
-1.5733 -1.4 TD
0.0006 Tc
0.0083 Tw
(spou Sneddona \()Tj
/F4 1 Tf
8.28 0 TD
(Sneddon syndrome )Tj
/F2 1 Tf
9.4167 0 TD
-0.0005 Tc
0 Tw
( )Tj
/F4 1 Tf
1.3533 0 TD
-0.0003 Tc
0.0112 Tw
[(livedo reti-)]TJ
-19.05 -1.4 TD
-0.006 Tc
0 Tw
(cularis)Tj
/F2 1 Tf
2.9467 0 TD
-0.005 Tc
-0.075 Tw
(\) towarzyszy niedotlenienie niewielkich obsza-)Tj
-2.9467 -1.4 TD
0.0004 Tc
-0.057 Tw
(rw orodkowego ukadu nerwowego, prowadzce)Tj
T*
0.0001 Tc
-0.0546 Tw
(do udarw mzgu, postpujcego otpienia i zabu-)Tj
T*
-0.0004 Tc
0.1139 Tw
(rzenia widzenia. Niekiedy rozwijaj si zmiany na-)Tj
T*
0.0289 Tw
(rzdowe o miernym nasileniu, zazwyczaj procesem)Tj
T*
0 Tc
0.0396 Tw
[(chorobowym objte s nerki i serce. Cao obrazu)]TJ
T*
-0.0005 Tc
0.0292 Tw
(klinicznego moe przypomina zesp antykardioli-)Tj
T*
-0.0003 Tc
0.154 Tw
(pinowy, przy czym w zespole Sneddona brak jest)Tj
T*
-0.0005 Tc
0 Tw
(przeciwcia antykardiolipinowych [18, 19].)Tj
1.5733 -1.4 TD
0.0002 Tc
(Zesp )Tj
/F4 1 Tf
3.3233 0 TD
0.0001 Tc
-0.05 Tw
(blue rubber bleb nevus)Tj
/F2 1 Tf
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0 Tw
( \()Tj
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0.5867 0 TD
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(blue rubber bleb)Tj
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0.2 Tw
(nevus syndrome)Tj
/F2 1 Tf
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0 Tc
0 Tw
(\))Tj
/F4 1 Tf
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( )Tj
/F2 1 Tf
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(jest sporadycznie wystpujcym)Tj
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(zespoem chorobowym. Niekiedy moe on dziedzi-)Tj
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-0.0001 Tc
0.0356 Tw
(czy si w sposb autosomalny )Tj
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-0.0029 Tc
0 Tw
[(dominu)-6.2(jcy. )]TJ
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-0.0057 Tc
0.0389 Tw
(W ob-)Tj
-21.1995 -1.4 TD
-0.0052 Tc
0.0611 Tw
(razie klinicznym dominuj mnogie, bolesne, tkliwe,)Tj
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/F1 1 Tf
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[(Polska Medycyna Paliatywna 2004, tom 3, nr 1)]TJ
24.128 -98.64 TD
0.0002 Tc
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(www.pmp.viamedica.pl)Tj
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-0.0061 Tc
(36)Tj
/F2 1 Tf
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(niebieskawe naczyniaki jamiste. Mog pojawi si)Tj
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0.0917 Tw
(w rnych obszarach skry, chocia czciej umiej-)Tj
T*
-0.0053 Tc
0.0458 Tw
(scawiaj si na skrze twarzy i koczyn. Czsto po-)Tj
T*
-0.005 Tc
-0.0399 Tw
(dobne naczyniaki stwierdza si w obrbie przewodu)Tj
T*
-0.0052 Tc
0.1027 Tw
(pokarmowego. Znane s przypadki wspwystpo-)Tj
T*
-0.0055 Tc
0.0223 Tw
(wania zespou ze zmianami otpiennymi, bdcymi)Tj
T*
0.0597 Tw
(wynikiem wynaczynie i malformacji naczyniowych)Tj
T*
-0.0051 Tc
-0.0018 Tw
(w obrbie tkanki mzgowej [11, 20, 21].)Tj
/F3 1 Tf
11 0 0 11 62.34 616.685 Tm
-0.0007 Tc
0.016 Tw
(Zaburzenia dotyczce wosw)Tj
0 -1.1455 TD
-0.0004 Tc
0.0079 Tw
(i paznokci w chorobie Alzheimera)Tj
/F2 1 Tf
9 0 0 9 76.5 583.085 Tm
0.0149 Tc
-0.0597 Tw
(Niektrzy autorzy sugerowali zaburzenia struk-)Tj
-1.5733 -1.4 TD
0.0152 Tc
-0.0467 Tw
(turalne wosw dugich, wystpujce u pacjentw)Tj
T*
-0.0134 Tc
-0.0746 Tw
(z chorob Alzheimera, jednak obserwacji tych w peni)Tj
T*
-0.0125 Tc
-0.0745 Tw
(nie potwierdzono w pniejszych badaniach [2224].)Tj
T*
0.0209 Tc
0.2259 Tw
(Wykazywano obecno zaburze strukturalnych)Tj
T*
0.0152 Tc
-0.0195 Tw
(owosienia u 85% pacjentw z chorob Alzheime-)Tj
T*
-0.0389 Tw
(ra, natomiast w grupie kontrolnej odsetek ten wy-)Tj
T*
0.0146 Tc
-0.0747 Tw
[(nosi 35%. Najczciej byy to zaburzenia o charak-)]TJ
T*
0.0153 Tc
0 Tw
(terze wosw pseudoskrconych \()Tj
/F4 1 Tf
16.3467 0 TD
0.0141 Tc
-0.0055 Tw
(pseudopili torti)Tj
/F2 1 Tf
7.41 0 TD
0 Tc
0 Tw
(\))Tj
-23.7567 -1.4 TD
0.0151 Tc
-0.0189 Tw
(\(70%\) i rozszczepu wzowatego wosw \()Tj
/F4 1 Tf
20.5467 0 TD
0.0136 Tc
0 Tw
(trichor-)Tj
-20.5467 -1.4 TD
0.0144 Tc
-0.0111 Tw
(rhexis nodosa)Tj
/F2 1 Tf
6.68 0 TD
0.0152 Tc
-0.0149 Tw
(\) \(38%\). Rwnie u 38% chorych su-)Tj
-6.68 -1.4 TD
0.0235 Tc
0.225 Tw
(gerowano obecno zmian struktury powoczki)Tj
T*
0.0148 Tc
-0.0056 Tw
(wosa [24].)Tj
1.5733 -1.4 TD
-0.0265 Tc
-0.0751 Tw
(Spotyka si rwnie doniesienia o zmianie zawarto-)Tj
-1.5733 -1.4 TD
-0.0118 Tc
-0.0746 Tw
(ci mikroelementw we wosach i paznokciach u pac-)Tj
T*
0.0824 Tw
(jentw z chorob Alzheimera [2527]. W tej grupie)Tj
T*
-0.012 Tc
-0.0592 Tw
(chorych wykazano obnione stenia glinu \(Al\), wap-)Tj
T*
0.1905 Tw
(nia \(Ca\) i magnezu \(Mg\) we wosach. Dodatkowo)Tj
T*
0.0305 Tw
(stwierdzono dodatni korelacj stenia Al ze ste-)Tj
T*
-0.0124 Tc
-0.0514 Tw
(niem Ca i Mg oraz ujemn zaleno pomidzy ste-)Tj
T*
-0.0055 Tw
(niem Al i mzgowym przepywem krwi [25]. Inni au-)Tj
T*
-0.0122 Tc
0.0356 Tw
(torzy sugerowali ponadto zaburzenia dotyczce st-)Tj
T*
-0.0119 Tc
0.0105 Tw
(enia bromu \(Br\), kobaltu \(Co\), rtci \(Hg\), potasu \(K\))Tj
T*
-0.0123 Tc
-0.0746 Tw
(i cynku \(Zn\) [26]. W paznokciach wykazano tendencj)Tj
T*
-0.0118 Tc
-0.0216 Tw
(do obnionego stenia Hg i wzrostu stenia K i Zn.)Tj
T*
0.11 Tw
(Zmniejszenie stenia rtci \(Hg\) istotnie korelowao)Tj
T*
-0.0123 Tc
0.0269 Tw
(z dugoci i nasileniem otpienia. Zmiany mikroele-)Tj
T*
-0.0119 Tc
0.1847 Tw
(mentw w pytkach paznokciowych obserwowano)Tj
T*
-0.0123 Tc
-0.0045 Tw
(ju w pocztkowym stadium choroby [27].)Tj
/F3 1 Tf
11 0 0 11 62.34 200.885 Tm
-0.0007 Tc
0.0136 Tw
(Skra jako miejsce wystpowania)Tj
0 -1.1455 TD
-0.0009 Tc
0.0273 Tw
(wskanikw otpienia)Tj
/F2 1 Tf
9 0 0 9 76.5 167.285 Tm
-0.0006 Tc
-0.0236 Tw
(W przypadkach rzadko wystpujcych zespow)Tj
-1.5733 -1.4 TD
-0.0003 Tc
0.175 Tw
(chorobowych przebiegajcych z otpieniem skra)Tj
T*
-0.0006 Tc
-0.0658 Tw
(moe suy jako materia diagnostyczny. W zespole)Tj
T*
-0.0099 Tc
-0.0111 Tw
(CADASIL \()Tj
/F4 1 Tf
4.59 0 TD
-0.0105 Tc
-0.013 Tw
(cerebral autosomal dominant arteriopathy)Tj
-4.59 -1.4 TD
-0.0005 Tc
-0.075 Tw
[(w)6.8(ith subcortical infarcts and leukoencephalopathy)]TJ
/F2 1 Tf
23.4633 0 TD
-0.0047 Tc
0 Tw
(\),)Tj
-23.4633 -1.4 TD
-0.0004 Tc
0.1012 Tw
[(rzadkiej chorobie naczyniowej przebiegajcej z to-)]TJ
T*
-0.0008 Tc
0.0019 Tw
(warzyszcymi migrenami, nawrotowymi epizodami)Tj
T*
-0.0318 Tc
-0.0736 Tw
(niedokrwiennymi i otpieniem )Tj
13.4319 0 TD
-0.0313 Tc
-0.069 Tw
(\(naczyniowym\) o )Tj
7.6461 0 TD
-0.0275 Tc
(wczes-)Tj
-21.078 -1.4 TD
-0.0202 Tc
-0.074 Tw
(nym pocztku, biopsja skry jest diagnostyczna i )Tj
21.6861 0 TD
-0.0095 Tc
0 Tw
(pow-)Tj
4.9306 74.2 TD
0.0001 Tc
-0.02 Tw
(szechnie uznawana za preferowan form potwier-)Tj
0 -1.4 TD
0.0061 Tc
0.225 Tw
(dzenia rozpoznania. W mikroskopii elektronowej)Tj
T*
-0.0003 Tc
0.0767 Tw
(stwierdza si ziarnisty, elektronowo gsty materia)Tj
T*
0.0722 Tw
(w cianie naczy skrnych \(przy )Tj
/F4 1 Tf
15.6 0 TD
-0.001 Tc
0.0723 Tw
(lamina basalis)Tj
/F2 1 Tf
6.63 0 TD
0.0005 Tc
0.0722 Tw
[( ko-)]TJ
-22.23 -1.4 TD
0.0001 Tc
0.1986 Tw
(mrek miniowych\). Podobne zmiany obserwuje)Tj
T*
0.0002 Tc
0.173 Tw
(si w obrbie mzgu, nerww i mini szkieleto-)Tj
T*
-0.0004 Tc
0.19 Tw
(wych, przy czym dostpno skry jednoznacznie)Tj
T*
0.14 Tw
(wskazuje na moliwo wykorzystania do diagno-)Tj
T*
-0.0005 Tc
0.0028 Tw
(styki wanie tej tkanki [2830].)Tj
1.5733 -1.4 TD
-0.0175 Tc
-0.075 Tw
(Innym przykadem moe by choroba Lafora \()Tj
/F4 1 Tf
20.3433 0 TD
-0.0211 Tc
0 Tw
(mor-)Tj
-21.9167 -1.4 TD
-0.016 Tc
0.1 Tw
(bus Lafora)Tj
/F2 1 Tf
4.8833 0 TD
0.1046 Tw
(\) rzadka odmiana padaczki z towarzy-)Tj
-4.8833 -1.4 TD
-0.0154 Tc
-0.0445 Tw
(szcym otpieniem, rozpoczynajcej si w drugiej de-)Tj
T*
-0.0158 Tc
0.0287 Tw
(kadzie ycia. W obrazie klinicznym dominuj napady)Tj
T*
-0.0152 Tc
-0.0578 Tw
(padaczkowe, drgawki kloniczne mini oraz postpu-)Tj
T*
-0.0263 Tc
-0.0746 Tw
(jce otpienie. Rwnie w tym przypadku biopsja skry)Tj
T*
-0.0152 Tc
0.0911 Tw
(jest preferowan metod diagnostyczn. W barwie-)Tj
T*
-0.0275 Tc
-0.0722 Tw
(niu PAS \()Tj
/F4 1 Tf
3.83 0 TD
-0.0297 Tc
-0.0778 Tw
[(para aminosaly)-12.7(cylate)]TJ
/F2 1 Tf
9.1833 0 TD
-0.0288 Tc
-0.0741 Tw
(\) stwierdza si wewntrz-)Tj
-13.0133 -1.4 TD
-0.0156 Tc
-0.068 Tw
(cytoplazmatyczne wielocukrowe twory \(ciaka Lafora\))Tj
T*
-0.031 Tc
-0.0745 Tw
(w dystalnej czci przewodw wyprowadzajcych ekry-)Tj
T*
-0.0149 Tc
-0.0148 Tw
(nowych gruczow potowych [3133].)Tj
1.5733 -1.4 TD
-0.0041 Tc
-0.075 Tw
(Wykazano, e reaktywno naczy krwiononych)Tj
-1.5733 -1.4 TD
-0.0007 Tc
-0.0746 Tw
(skry na bodce \(np. acetylocholin\) jest obniona u)Tj
T*
-0.0009 Tc
-0.0745 Tw
(pacjentw z chorob Alzheimera. Dochodzi rwnie)Tj
T*
-0.006 Tc
-0.075 Tw
(do ograniczenia przepywu krwi przez naczynia skr-)Tj
T*
0 Tc
0.1833 Tw
(ne [34, 35]. Wedug niektrych autorw badanie)Tj
T*
-0.0004 Tc
0.0167 Tw
(reaktywnoci naczy krwiononych skry moe by)Tj
T*
0.0141 Tc
0.2259 Tw
(dodatkow metod potwierdzajc rozpoznanie)Tj
T*
0.0002 Tc
-0.075 Tw
(choroby Alzheimera. Ponadto stwierdzono podwy-)Tj
T*
0 Tc
-0.0065 Tw
(szon ekspresj mRNA dla presenaliny-1 w hodowli)Tj
T*
-0.0002 Tc
-0.0722 Tw
(fibroblastw skry pacjentw z chorob Alzheimera)Tj
T*
-0.0065 Tw
([36]. Dalsze badania z pewnoci wyjani ewentu-)Tj
T*
-0.0003 Tc
-0.0133 Tw
(aln przydatno tego spostrzeenia w diagnostyce)Tj
T*
-0.0111 Tw
(choroby Alzheimera.)Tj
/F3 1 Tf
11 0 0 11 301.89 301.685 Tm
0.0004 Tc
0 Tw
(Podsumowanie)Tj
/F2 1 Tf
9 0 0 9 316.05 280.685 Tm
-0.0155 Tc
0.1789 Tw
[(D)-14.2(o)0( czasu odkrycia moliwoci zapobiegania, le-)]TJ
-1.5733 -1.4 TD
0.11 Tw
(czenia lub choby modyfikowania przebiegu zespo-)Tj
T*
-0.0152 Tc
0.0954 Tw
(w otpiennych liczba chorych z pewnoci bdzie)Tj
T*
0.0055 Tw
(o wiele wiksza, )Tj
7.68 0 TD
-0.0005 Tc
0.0061 Tw
[(dlatego w)15.2( )]TJ
5.0154 0 TD
-0.0157 Tc
0.0055 Tw
(dzisiejszej praktyce lekar-)Tj
-12.6954 -1.4 TD
-0.0152 Tc
0.0528 Tw
(skiej istotna wydaje si znajomo aspektw derma-)Tj
T*
-0.0149 Tc
-0.0083 Tw
(tologicznych w otpieniach rnego typu.)Tj
/F3 1 Tf
9.5 0 0 9.5 301.89 192.485 Tm
0.0005 Tc
0 Tw
(Pimiennictwo)Tj
/F2 1 Tf
7.5 0 0 7.5 309.3 180.035 Tm
-0.0002 Tc
-0.0033 Tw
[(1.)-380.2(Leszek J. Choroby otpienie. Continuo, Wrocaw 2003.)]TJ
0 -1.376 TD
-0.0102 Tc
0.021 Tw
[(2)-10.2(.)-390.2(Jorm A. The epidemiology of Alzheimers disease releated)]TJ
1.28 -1.372 TD
-0.0018 Tw
(disorders. Chapman and Hall, Nowy Jork, Londyn 1990.)Tj
-1.28 -1.372 TD
-0.0003 Tc
0.0089 Tw
[(3.)-380.3(Siragusa M., Schepis C., Palazzo R. i wsp. Skin pathology)]TJ
1.28 -1.376 TD
-0.0006 Tc
-0.017 Tw
(findings in cohort of 1500 adult and elderly subjects. Int.)Tj
0 -1.372 TD
0 Tc
-0.0017 Tw
(J. Dermatol. 1999; 38: 361366.)Tj
-1.28 -1.372 TD
0.0004 Tc
0.0941 Tw
[(4.)-379.6(Magaziner J., Tenney J.H., DeForge B. i wsp. Prevelence)]TJ
1.28 -1.376 TD
-0.0002 Tc
0.1013 Tw
(and characteristics of nursing home-acquired infections)Tj
0 -1.372 TD
0.0008 Tw
(in the aged. Am. Geriatr. Soc. 1991; 39: 10711078.)Tj
-1.28 -1.372 TD
-0.0001 Tc
-0.025 Tw
[(5.)-380.1(Zafar A.B., Beidas S.O., Sylvester L.K. Control of transmis-)]TJ
1.28 -1.376 TD
-0.0002 Tc
0.1105 Tw
(sion of Norvegian scabies. Infect. Control. Hosp. Epide-)Tj
0 -1.372 TD
0.0022 Tw
(miol. 2002; 23: 278279.)Tj
ET
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BT
/F1 1 Tf
7.5 0 0 7.5 243.3 31.235 Tm
0 g
/GS2 gs
0.0002 Tc
0 Tw
(www.pmp.viamedica.pl)Tj
8.5 0 0 8.5 541.14 31.235 Tm
-0.0061 Tc
(37)Tj
7.5 0 0 7.5 211.26 771.035 Tm
-0.0095 Tc
0.0066 Tw
[(Jacek Szepietowski, Beata Winicka )]TJ
/F5 1 Tf
19.064 0 TD
-0.0012 Tc
0.0083 Tw
(Zmiany skrne w zespoach otpiennych)Tj
/F2 1 Tf
-37.932 -4.668 TD
-0.0005 Tc
-0.0419 Tw
[(6.)-380.5(Wilson M.W., Philpott C.D., Breer W.A. Atypical presenta-)]TJ
1.28 -1.332 TD
-0.0001 Tc
0.0092 Tw
(tion of scabies among nursing home residents. J. Geron-)Tj
0 -1.336 TD
-0.0005 Tc
0.0016 Tw
(tol. A. Biol. Sci. Med. Sci. 2001; 56: 424427.)Tj
-1.28 -1.332 TD
0.0981 Tw
[(7.)-380.5(Szepietowski J. wid i jego patogenza. Dermatol. Klin.)]TJ
1.28 -1.332 TD
-0.0003 Tc
0.0023 Tw
(Zabieg. 1999; 1: 4548.)Tj
-1.28 -1.336 TD
0.1209 Tw
[(8.)-380.4(Szepietowski J., Reich A. Zasady postpowania w wi-)]TJ
1.28 -1.332 TD
-0.0001 Tc
-0.0011 Tw
(dzie skry. Dermatol. Estet. 2002; 4: 251256.)Tj
-1.28 -1.332 TD
0 Tc
0.1167 Tw
[(9.)-380(Mossabeb R., Kraft D., Valenta R. Evaluation of allergic)]TJ
1.28 -1.336 TD
-0.0007 Tc
0.021 Tw
(potential of Ginkgo biloba extracts. Wien. Klin. Wochen-)Tj
0 -1.332 TD
0 Tc
0 Tw
(schr. 2001; 113: 580587.)Tj
-1.88 -1.332 TD
-0.0001 Tc
0.13 Tw
[(10.)-380.1(Federico A., Palmeri S., Malandrini A. i wsp. Dementia,)]TJ
1.88 -1.336 TD
-0.0003 Tc
-0.0626 Tw
(myoclonus, peripheral neuropathy, and lipid-like material)Tj
0 -1.332 TD
0.1457 Tw
(in skin biosy during psychotropic drug treatment. Biol.)Tj
T*
0 Tc
-0.0022 Tw
(Psychiatry 1992; 32: 721727.)Tj
-1.88 -1.336 TD
-0.0003 Tc
0.1257 Tw
[(11.)-380.3(Braun-Falco O., Plewig G., Wolff H.H., Burgdorf W.H.C.)]TJ
1.88 -1.332 TD
0.0002 Tc
0.1667 Tw
(Dermatology. Springer-Verlag, Berlin Heidelberg, Nowy)Tj
T*
0.0004 Tc
-0.0067 Tw
(Jork 2000.)Tj
-1.88 -1.336 TD
0 Tc
0.1009 Tw
[(12.)-380(Pasmans S.G., Preesman A.H., van Vloten W.A. Pellagra)]TJ
1.88 -1.332 TD
-0.0004 Tc
0.1822 Tw
(\(deficiency of vitamin B3 or of the amino acid trypto-)Tj
T*
-0.0215 Tw
(phan\): a disease still extant in the Netherlands. Ned. Tijd-)Tj
0 -1.336 TD
0 Tc
-0.0017 Tw
(schr. Geneeskd. 1998; 142: 18801882.)Tj
-1.88 -1.332 TD
0.0102 Tc
0.1787 Tw
[(1)10.2(3)10.2(.)-369.8(Hendricks W.M. Pellagra and pellagralike dermatoses:)]TJ
1.88 -1.332 TD
-0.0354 Tc
-0.0253 Tw
(etiology, differential diagnosis, dermatopathology, and treat-)Tj
0 -1.336 TD
0 Tc
-0.0027 Tw
[(m)33(e)21.5(n)21.5(t)16(. Semin. Dermatol. 1991; 10: 282292.)]TJ
-1.88 -1.332 TD
-0.0002 Tc
-0.0092 Tw
[(14.)-380.2(Wsik F., Baran E., Szepietowski J. Zarys dermatologii kli-)]TJ
1.88 -1.332 TD
-0.0004 Tc
-0.0023 Tw
(nicznej. Volumed, Wrocaw 1995.)Tj
-1.88 -1.336 TD
0 Tc
0.0857 Tw
[(15.)-380(Fallon B.A., Nields J.A. Lyme disease: a neuropsychiatric)]TJ
1.88 -1.332 TD
-0.0001 Tc
-0.0011 Tw
(illness. Am. J. Psychiatry 1994; 151: 15711583.)Tj
-1.88 -1.332 TD
-0.0036 Tc
-0.0752 Tw
[(16.)-383.6(Goto M. Werners syndrome: from clinics to genetics. Clin.)]TJ
1.88 -1.336 TD
-0.0003 Tc
0.0033 Tw
(Exp. Rheumatol. 2000; 18: 760766.)Tj
-1.88 -1.332 TD
-0.0001 Tc
-0.0392 Tw
[(17.)-380.1(Reilly M., Higgins J., Dinn J., Hutchinson M. Livedo reticu-)]TJ
1.88 -1.332 TD
0 Tc
-0.0029 Tw
(laris and dementia. J. Neurol. 1990; 237: 328.)Tj
-1.88 -1.336 TD
-0.0408 Tw
[(18.)-380(ORiordan J.I., Javed M., Murphy R., Hutchinson M. Sned-)]TJ
1.88 -1.332 TD
-0.0333 Tw
(dons syndrome clinical course and out-come. Ir. Med.)Tj
T*
-0.0002 Tc
0.0022 Tw
(J. 1995; 88: 6667.)Tj
-1.88 -1.336 TD
-0.0003 Tc
-0.0652 Tw
[(19.)-380.3(Antoine J.C., Michel D., Garnier P. i wsp. Sneddon syndro-)]TJ
1.88 -1.332 TD
0.0004 Tc
-0.0075 Tw
(me: 9 cases. Rev. Neurol. \(Paris\) 1994; 150: 435443.)Tj
-1.88 -1.332 TD
-0.0002 Tc
0.0555 Tw
[(20.)-380.2(Vig E.K., Brodkin K.I., Raugi G.J., Gladstone H. Blue rub-)]TJ
1.88 -1.336 TD
-0.0004 Tc
0.1763 Tw
(ber bleb nevus syndrome in a patient with ataxia and)Tj
0 -1.332 TD
0 Tc
-0.0048 Tw
(dementia. J. Geriatr. Psychiatry Neurol. 2002; 15: 711.)Tj
-1.88 -1.332 TD
-0.0001 Tc
-0.034 Tw
[(21.)-380.1(Hashimoto Y., Eto K., Uyama E., Uchino M., Araki S. Blue-)]TJ
1.88 -1.336 TD
0.0001 Tc
0.0383 Tw
(rubber-bleb-nevus syndrome presented vascular demen-)Tj
0 -1.332 TD
-0.0082 Tw
(tia and chronic DIC a case report. Rinsho. Shinkeigaku)Tj
T*
-0.0001 Tc
0.0033 Tw
(1989; 29: 202208.)Tj
-1.88 -1.336 TD
0 Tc
-0.0067 Tw
[(22.)-380(Bruno G., Bruse L., Rossi A., Calvieri S. Hair abnormalities)]TJ
1.88 -1.332 TD
-0.0023 Tw
(in Alzheimers disease. Lancet 1996; 347: 901.)Tj
30.06 60 TD
0.0002 Tc
-0.0281 Tw
[(23.)-379.8(Berker D., Jones R., Mann J., Harwood G. Hair abnormali-)]TJ
1.88 -1.332 TD
-0.0001 Tc
-0.0019 Tw
(ties in Alzheimers disease. Lancet 1997; 350: 34.)Tj
-1.88 -1.336 TD
0 Tc
0.0852 Tw
[(24.)-380(Bonafe J.L., Cambon L., Ousset P.J., Pech J.H., Bellet H.,)]TJ
1.88 -1.332 TD
0.0145 Tc
0.0167 Tw
(Vallat C. Abnormal hair samples from patients with Al-)Tj
T*
0.0001 Tc
-0.0055 Tw
(zheimer disease. Arch. Dermatol. 1998; 134: 1300.)Tj
-1.88 -1.336 TD
-0.0003 Tc
0.1356 Tw
[(25.)-380.3(Kobayashi S., Fijiwara S., Arimoto S. i wsp. Hair alumi-)]TJ
1.88 -1.332 TD
-0.0002 Tc
0.0916 Tw
(nium in normal aged and senile dementia of Alzheimer)Tj
T*
-0.0001 Tc
-0.0019 Tw
(type. Prog. Clin. Biol. Res. 1989; 317: 10951109.)Tj
-1.88 -1.336 TD
0.0005 Tc
0.1743 Tw
[(26.)-379.5(Vance D.E., Ehmann W.D., Markesbery W.R. Trace ele-)]TJ
1.88 -1.332 TD
-0.0002 Tc
0.0167 Tw
(ment imbalances in hair and nails of Alzheimers disease)Tj
T*
-0.0003 Tc
0.0017 Tw
(patients. Neurotoxicology 1988; 9: 197208.)Tj
-1.88 -1.336 TD
0.0004 Tc
0.005 Tw
[(27.)-379.6(Vance D.E., Ehmann W.D., Markesbery W.R. A search for)]TJ
1.88 -1.332 TD
-0.0003 Tc
0.0616 Tw
(longitudinal variations in trace element levels in nails of)Tj
T*
0 Tc
-0.0505 Tw
(Alzheimers disease patients. Biol. Trace. Elem. Res. 1990;)Tj
0 -1.336 TD
-0.0005 Tc
0.0133 Tw
(2627: 461470.)Tj
-1.88 -1.332 TD
0.0001 Tc
0.0743 Tw
[(28.)-379.9(Walsh J.S., Perniciaro C., Meschia J.F. CADASIL \(cerebral)]TJ
1.88 -1.332 TD
-0.0087 Tc
-0.0746 Tw
(autosomal dominant arteriopathy with subcortical infarcts)Tj
0 -1.336 TD
-0.0003 Tc
0.06 Tw
(and leukoencephalopathy\): diagnostic skin biopsy chan-)Tj
0 -1.332 TD
0.0001 Tc
-0.07 Tw
(ges determined by electron microscopy. J. Am. Acad. Der-)Tj
T*
-0.0002 Tc
0.0045 Tw
(matol. 2000; 43: 11251127.)Tj
-1.88 -1.336 TD
-0.0004 Tc
0.0666 Tw
[(29.)-380.4(Schultz A., Santoianni R., Hewan-Lowe K. Vasculopathic)]TJ
1.88 -1.332 TD
0.0563 Tw
(changes of CADASIL can be focal in skin biopsies. Ultra-)Tj
T*
0.005 Tw
(struct. Pathol. 1999; 23: 241247.)Tj
-1.88 -1.336 TD
0.0001 Tc
0.0008 Tw
[(30.)-379.9(Ruchoux M.W., Brulin P., Leteurtre E., Maurage C.A. Skin)]TJ
1.88 -1.332 TD
-0.0003 Tc
0.0117 Tw
(biopsy value and leukoaraiosis. Ann. NY Acad. Sci. 2000;)Tj
T*
-0.0001 Tc
0.0066 Tw
(903: 285292.)Tj
-1.88 -1.336 TD
-0.0644 Tw
[(31.)-380.1(White J.W. Jr., Gomez M.R. Diagnosis of Lafora disease by)]TJ
1.88 -1.332 TD
-0.0004 Tc
0.0038 Tw
(skin biopsy. J. Cut. Pathol. 1988; 15: 171175.)Tj
-1.88 -1.332 TD
-0.0644 Tw
[(32.)-380.3(Iannaccone S., Zucconi M., Quattrini A. i wsp. Early detec-)]TJ
1.88 -1.336 TD
-0.0001 Tc
0.0291 Tw
(tion of skin and muscular involvement in Lafora disease.)Tj
0 -1.332 TD
0 Tc
-0.0033 Tw
(J. Neurol. 1991; 238: 217220.)Tj
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0.0052 Tw
[(33.)-380.4(Rubio G., Garcia Guijo C., Mallada J.J., Cabello A., Garcia)]TJ
1.88 -1.336 TD
0 Tc
0.01 Tw
(Merino A. Diagnosis by axilla skin biopsy in an early case)Tj
0 -1.332 TD
-0.0753 Tw
(of Laforas disease. J. Neurol. Neurosurg. Psychiatry 1992;)Tj
T*
-0.0001 Tc
0.0066 Tw
(55: 10841085.)Tj
-1.88 -1.336 TD
-0.0006 Tc
0.0483 Tw
[(34.)-380.6(Algotsson A., Nordberg A., Almkvist O., Winblad B. Skin)]TJ
1.88 -1.332 TD
0 Tc
-0.0733 Tw
(vessel reactivity is impaired in Alzheimers disease. Neuro-)Tj
T*
-0.0004 Tc
0.0048 Tw
(biol. Aging 1995; 16: 577582.)Tj
-1.88 -1.336 TD
0.0002 Tc
0.1659 Tw
[(35.)-379.8(Kalman J., Szakacs R., Torok T. i wsp. Decreased cuta-)]TJ
1.88 -1.332 TD
-0.0003 Tc
0.2211 Tw
(neous vasodilatation to isometric handgrip exercise in)Tj
T*
-0.0001 Tc
0.1105 Tw
(Alzheimers disease. Int. J. Geriatr. Psychiatry 2002; 17:)Tj
0 -1.336 TD
0.0007 Tc
0 Tw
(371374.)Tj
-1.88 -1.332 TD
0.0001 Tc
0.182 Tw
[(36.)-379.9(Ikeda K., Urakami K., Arai H. i wsp. The expression of)]TJ
1.88 -1.332 TD
-0.0002 Tc
0.1608 Tw
(presenalin 1 mRNA in skin fibroblasts and brains from)Tj
0 -1.336 TD
0 Tc
0.0122 Tw
(sporadic Alzheimers disease. Dement. Geriatr. Cogn. Di-)Tj
0 -1.332 TD
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0.0023 Tw
(sord. 2000; 11: 245250.)Tj
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