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BIOTIPO CUTNEO
( ) Eudrmica ( ) Lipdica (
ESTADO CUTNEO
( ) Normal
( ) Desidratado
) Alpica
) Mista
) Sensibilizado
) Acneico
) Seborreico
TEXTURA
(
) Lisa
) spera
ESPESSURA
( ) Fina ( ) Muito Fina
) Espessa
STIOS
(
) Dilatados na zona T
ACNE
(
) Grau I (
) Grau III
) Grau II
) Grau IV (
) Contrados
) Grau V
INVOLUO CUTNEA
(
) Linhas (
) Sulcos (
) Rugas (
) Elastose (
) Ptose
Local: ________________________________________________________________________
FOTOTIPO CUTNEO FITZPATRICK
(
) TIPO I (
) II (
) III (
) IV (
)V
) I (
) II
) III
) IV (
)V
Obs: ________________________________________________________________________
) /nevo
( ) Comedes (
) Ppula (
) Pstula ( ) Millium (
) Cisto ( ) Ndulo
(
) Siringoma
(
) Nevo Melanoctico ( ) Xantelasma (
) Dermatite ( ) Ulcerao (
)
Hiperqueratose
( ) Psorase ( ) Outros:__________________________________________________________
CICATRIZ
( ) Hipertrfica (
) Atrfica ( ) Queloideana (
) Retrtil ( ) Hipercrmica
(
) Hipocrmica
PELOS
( ) Hirsutismo (
) Hipertricose ( ) Alopcia (
) Foliculite
Objetivos: ___________________________________________________________________________
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Tratamento Proposto:
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Observaes: ________________________________________________________________________
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