RAFAEL FUTOSHI MIZUTANI
Projetos de Pesquisa
Unidades Organizacionais
PAHC, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/09 - Laboratório de Pneumologia, Hospital das Clínicas, Faculdade de Medicina
LIM/09 - Laboratório de Pneumologia, Hospital das Clínicas, Faculdade de Medicina
15 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 15
- Cases series on nontuberculous mycobacterial (NTM) lung disease and silicosis in Brazil(2017) RANGEL, Diana Arrais de Souza; GARCIA, Marcos Vinicius Fernandes; MIZUTANI, Rafael Futoshi; SALES, Roberta Karla Barbosa; SANTOS, Ubiratan de Paula; TERRA-FILHO, Mario
- Silicosis with acute renal injury and glomerulonephritis: a case report(2017) COCCOLIN, Fernanda; SOARES, Fernando; MIZUTANI, Rafael; DIAS, Cristiane; GARCIA, Marcos; TERRA-FILHO, Mario; SANTOS, Ubiratan; PINHEIRO, Rafaela
- Constrictive bronchiolitis secondary to exposure to flavoring agents: a little known occupational hazard(2023) ALMEIDA, Gustavo Correa de; MIZUTANI, Rafael Futoshi; TERRA-FILHO, Mario; SANTOS, Ubiratan de Paula
- Environmental air pollution: respiratory effects(2021) SANTOS, Ubiratan de Paula; ARBEX, Marcos Abdo; BRAGA, Alfesio Luis Ferreira; MIZUTANI, Rafael Futoshi; CANCADO, Jose Eduardo Delfini; TERRA-FILHO, Mario; CHATKIN, Jose MiguelEnvironmental air pollution is a major risk factor for morbidity and mortality worldwide. Environmental air pollution has a direct impact on human health, being responsible for an increase in the incidence of and number of deaths due to cardiopulmonary, neoplastic, and metabolic diseases; it also contributes to global warming and the consequent climate change associated with extreme events and environmental imbalances. In this review, we present articles that show the impact that exposure to different sources and types of air pollutants has on the respiratory system; we present the acute effects-such as increases in symptoms and in the number of emergency room visits, hospitalizations, and deaths-and the chronic effects-such as increases in the incidence of asthma, COPD, and lung cancer, as well as a rapid decline in lung function. The effects of air pollution in more susceptible populations and the effects associated with physical exercise in polluted environments are also presented and discussed. Finally, we present the major studies on the subject conducted in Brazil. Health care and disease prevention services should be aware of this important risk factor in order to counsel more susceptible individuals about protective measures that can facilitate their treatment, as well as promoting the adoption of environmental measures that contribute to the reduction of such emissions.
- Telemedicine as a tool in the smoking cessation clinic-154 cases in 2 years in the largest city in Latin America.(2023) NERY, Telma Cassia Santos; MARTINS, Stella R.; FREITAS, Jefferson Benedito Pires; ROIO, Lavinia Clara Del; ALMEIDA, Gustavo Correa De; MIZUTANI, Rafael Futoshi; CARVALHO, Carlos Roberto Ribeiro
- Work-related asthma(2021) ROIO, Lavinia Clara Del; MIZUTANI, Rafael Futoshi; PINTO, Regina Carvalho; TERRA-FILHO, Mario; SANTOS, Ubiratan PaulaWork-related asthma (WRA) is highly prevalent in the adult population. WRA includes occupational asthma (OA), which is asthma caused by workplace exposures, and work-exacerbated asthma (WEA), also known as work-aggravated asthma, which is preexisting or concurrent asthma worsened by workplace conditions. In adults, the estimated prevalence of OA is 16.0%, whereas that of WEA is 21.5%. An increasing number of chemicals used in industrial production, households, and services are associated with the incidence of adult-onset asthma attributable to exposure to chemicals. This review article summarizes the different types of WRA and describes diagnostic procedures, treatment, prevention, and approaches to patient management. It is not always easy to distinguish between OA and WEA. It is important to establish a diagnosis (of sensitizer-/irritant-induced OA or WEA) in order to prevent worsening of symptoms, as well as to prevent other workers from being exposed, by providing early treatment and counseling on social security and work-related issues.
- Hard metal lung disease: a case series(2016) MIZUTANI, Rafael Futoshi; TERRA-FILHO, Mario; LIMA, Evelise; FREITAS, Carolina Salim Goncalves; CHAFE, Rodrigo Caruso; KAIRALLA, Ronaldo Adib; CARVALHO-OLIVEIRA, Regiani; SANTOS, Ubiratan PaulaObjetivo: Descrever aspectos relacionados ao diagnóstico e tratamento de pacientes com doença pulmonar por metal duro (DPMD) e realizar uma revisão da literatura. Métodos: Estudo retrospectivo dos prontuários médicos de pacientes atendidos no Serviço de Doenças Respiratórias Ocupacionais do Instituto do Coração, localizado na cidade de São Paulo, entre 2010 e 2013. Resultados: Entre 320 pacientes atendidos no período do estudo, 5 (1,56%) foram diagnosticados com DPMD. Todos os pacientes eram do sexo masculino, com média de idade de 42,0 ± 13,6 anos e média de tempo de exposição a metal duro de 11,4 ± 8,0 anos. Os pacientes foram submetidos a avaliação clinica, história ocupacional, TCAR de tórax, prova de função pulmonar, broncoscopia com LBA e biópsia pulmonar. Todos apresentaram distúrbio ventilatório restritivo. O achado de imagem à TCAR de tórax mais frequente foi de opacidades em vidro fosco (em 80%). Em 4 pacientes, o LBA revelou presença de células gigantes multinucleadas. Em 3, foi diagnosticada pneumonia intersticial por células gigantes na biópsia pulmonar. Houve o diagnóstico de pneumonia intersticial descamativa associada à bronquiolite celular em 1 paciente e de pneumonite de hipersensibilidade em 1. Todos foram afastados da exposição e tratados com corticoide. Houve melhora em 2 pacientes e progressão da doença em 3. Conclusões: Apesar de ser uma entidade rara, a DPMD deve ser sempre considerada em trabalhadores com risco ocupacional elevado de exposição a metais duros. A história clínica e ocupacional associada a achados em TCAR de tórax e LBA sugestivos da doença podem ser suficientes para o diagnóstico.
- Worker in a tatami factory: Case report of asthma in a complex and multiple occupational exposure(2018) COLARES, Philippe; ASSUNCAO, Gabriela Lins Medeiros De; TAKIZAWA, Daniel Bruno; LOMBARDI, Elisa Maria Siqueira; MIZUTANI, Rafael Futoshi; PRADO, Gustavo Faibischew; TERRA-FILHO, Mario; SANTOS, Ubiratan De Paula
- Evaluation of respiratory symptoms and lung function in adolescents living in a ceramic industrial park zone(2019) MIZUTANI, Rafael Futoshi; TERRA-FILHO, Mario; NERY, Telma Santos; LOPES, Cleide; ARBEX, Renata Ferlin; ARBEX, Marcos Abdo; STELMACH, Rafael; SANTOS, Ubiratan Paula
conferenceObject Development of Granulomatosis with Polyangiitis During Systemic Retinoid Therapy, Case Report(2018) ASSUNCAO, G.; BANDEIRA, J.; MIZUTANI, R.; PILOTO, B. M.; AMARAL, A. F.