Dermatol. praxi. 2026;20(1):3
Dermatol. praxi. 2026;20(1):36-38 | DOI: 10.36290/der.2026.001
An id reaction (autosensitization dermatitis) is a generalized, immunologically mediated skin response that develops secondarily as a result of a distant primary focus. It typically occurs in patients with eczema or fungal and bacterial skin infections, yet in clinical practice it is often overlooked or misdiagnosed. Successful resolution depends on adequate treatment of the primary lesion together with symptomatic management of the id reaction. We present the case of a 12-year-old patient with impetiginized contact dermatitis of the left knee following trauma, complicated by the development of an id reaction on the trunk, neck and axillary regions....
Dermatol. praxi. 2026;20(1):33-35 | DOI: 10.36290/der.2026.004
Dermatitis artefacta is a relatively rare disease, the incidence of which has been increasing in recent years. With the growing media coverage of various activities, various methods that were previously unavailable or less accessible are becoming increasingly available. We are therefore finding manifestations in increasingly younger patients, not only in adolescents but also in children. Therapy is difficult, requiring long-term cooperation of the patient, but also the family with psychologists. the family and psychologists.
Dermatol. praxi. 2026;20(1):30-32 | DOI: 10.36290/der.2026.005
Morbus Favre-Racouchot (MFR), also known as nodular elastosis, is a chronic skin disease caused by long-term exposure to sunlight. It is characterized by the presence of comedones and cysts. This article presents a case report of a 62-year-old patient with extensive facial macrocomedones lasting for more than 40 years. Long-term treatment with topical adapalene and manual expression led to a reduction of skin lesions by more than 90%. This case demonstrates that above mentioned treatment can be very effective.
Dermatol. praxi. 2026;20(1):26-29 | DOI: 10.36290/der.2026.006
Scabies remains a relevant infectious disease with cyclic peaks in epidemics, which are currently developing even in conditions of high hygienic standards. Diagnosis is often complicated by atypical manifestations or secondary changes. Treatment should be comprehensive and include not only the patient but also their immediate surroundings, along with proper education regarding transmission methods and epidemiological measures. Early diagnosis is crucial, as long-term misdiagnosis leads to delays in treatment and an increased risk of disease transmission. The author describes a case of a patient with recurrent episodes of scabies, illustrating why despite...
Dermatol. praxi. 2026;20(1):20-25 | DOI: 10.36290/der.2026.007
Vitamins are essential dietary components necessary for the proper growth, development, and functioning of the entire organism. The importance of individual vitamins within the body is interconnected. Vitamins help maintain the balance between catabolic and anabolic processes by activating and linking different metabolic pathways. Currently, in development countries, symptoms of avitaminosis are encountered only rarely, whereas signs of certain hypovitaminoses are diagnosed much more frequently. Vitamin deficiency can manifest through various dermatological symptoms, ranging from changes in the structure and function of the epidermis to impaired healing...
Dermatol. praxi. 2026;20(1):15-19 | DOI: 10.36290/der.2026.002
Examination of the presence of tissue-bound antibodies, complement components, or fibrinogen by direct immunofluorescence plays an indispensable role in dermatology and dermatopathology. For several diagnoses, particularly autoimmune bullous dermatoses, it even constitutes a diagnostic criterion. The following text focuses on the principles of this examination, its indications, benefits, and limitations. The immunofluorescence patterns of individual dermatoses are discussed. Practical information regarding proper specimen collection and transport is also included.
Dermatol. praxi. 2026;20(1):11-14 | DOI: 10.36290/der.2026.003
Care of transgender patients represents a complex and multidisciplinary field encompassing medical, dermatological, surgical, and psychosocial aspects. This article focuses on specific issues of dermatological care in transgender individuals in the context of hormone therapy and surgical transition. The effects of androgens and estrogens on the skin and skin appendages are described, including the occurrence of acne, alopecia, and changes in hair growth. Attention is paid to therapeutic options and challenges in the management of these conditions, including isotretinoin therapy and issues related to contraception. Further topics discussed include epilation...
Dermatol. praxi. 2026;20(1):6-10 | DOI: 10.36290/der.2026.008
Chronic hand eczema is a multifactorial disease that significantly affects quality of life and work ability. It is common disease in general population and especially in certain professions. We focus on the classification of eczema based on etiology and morphological features, as well as its examination and therapy.
Dermatol. praxi. 2025;19(4):192-198
Dermatol. praxi. 2025;19(4):139
Dermatol. praxi. 2025;19(4):188-191
Dermatol. praxi. 2025;19(4):185-187 | DOI: 10.36290/der.2025.033
Winter period presents challenging conditions for human skin, especially due to frequent temperature changes, low relative humidity and cold wind. The skin is more susceptible to dehydration, irritation and inflammatory reactions during this period. The article deals with the physiological reactions of the skin to cold and frost, recommendations for the treatment and prevention of skin problems.
Dermatol. praxi. 2025;19(4):178-184 | DOI: 10.36290/der.2025.032
There is a great variability in human skin color worldwide, from very light skin of the Celtic type (phototype I) to dark skin tones in sub-Saharan Africa (phototype V-VI). We also encounter a very wide range of different pigmentation disorders, from hypopigmentation to hyperpigmentation. In general, people, regardless of their phototype, are very often plagued by localized accumulated hyperpigmentation, which is why this issue is one of the most common reasons for consulting dermatologists. Skin hyperpigmentation causes significant psychological stress, discomfort and social stigmatization for many (it is reported in up to approximately 84% of those...
Dermatol. praxi. 2025;19(4):173-176 | DOI: 10.36290/der.2025.031
Aesthetic treatment combinations are nowadays an integral part of dermatological practice. A properly chosen strategy allows to achieve natural and long-lasting results, as individual techniques target different skin layers and complement one another. The article focuses on how to combine and time botulinum toxin, dermal fillers, lasers, radiofrequency microneedling, threads, and chemical peels in order to achieve a synergistic effect while minimizing the risk of complications. Also discussed is the use of combination protocols in rosacea, acne, scars, pigment spots as well as in treating and preventing skin ageing. The key to success is an individual...
Dermatol. praxi. 2025;19(4):168-172 | DOI: 10.36290/der.2025.030
Rosacea is a chronic inflammatory skin condition that primarily affects the central area of the face and can significantly impact patients' quality of life. Common symptoms include redness, papules, pustules, and often a burning or itching sensation. One of the modern topical treatment options is Soolantra cream, which contains ivermectin - a compound with anti-inflammatory and antiparasitic properties. This article presents three case reports of patients with different forms of rosacea who were successfully treated with Soolantra.
Dermatol. praxi. 2025;19(4):162-166 | DOI: 10.36290/der.2025.029
Introduction: Non-healing wounds are a major medical and socioeconomic issue. Microbiological agents are the key factor in their pathogenesis, affecting not only the rate, but the very possibility of healing. The aim of the study was to analyze the spectrum of microorganisms isolated from non-healing wounds and to assess their effect on the duration and success of healing. Methods: This observational ambispective study enrolled patients with chronic wounds treated at the Outpatient Department of Surgery of the Military Hospital Olomouc between August 2021 and September 2023. In patients with signs of infection, wound swabs were taken using the Levine...
Dermatol. praxi. 2025;19(4):156-161 | DOI: 10.36290/der.2025.028
Non-melanoma skin cancers (NMSC) represent the most frequently diagnosed malignancies in developed countries, with a globally rising incidence. This review article summarizes the main types of NMSC - basal cell carcinoma, squamous cell carcinoma, and Merkel cell carcinoma - with a focus on their epidemiology, risk factors, diagnosis, treatment, and preventive strategies. Particular attention is given to primary and secondary prevention, including current research on chemoprevention agents such as nicotinamide, vitamin D, and celecoxib. The article also discusses the importance of early detection, surgical and non-surgical treatment approaches, and...
Dermatol. praxi. 2025;19(4):153-155 | DOI: 10.36290/der.2025.027
Lupus vulgaris is the most common form of cutaneous tuberculosis. It is a chronic and slowly progressive disease. This form of cutaneous tuberculosis is found in individuals with moderate immunity and a strong tuberculin sensitivity. A characteristic feature of lupus vulgaris is an extremely chronic course with slow but steady growth of the lesions over a period of many years, or even decades.
Dermatol. praxi. 2025;19(4):147-152
Tattoos, once confined to subcultures, have permeated mainstream society, transforming from symbols of rebellion to forms of personal expression. While their artistic and cultural significance is undeniable, it's crucial to examine tattoos through a medical lens, understanding their history, the science behind their creation, their biological impact, and the psychological motivations that drive individuals to mark their skin.
Dermatol. praxi. 2025;19(4):142-146 | DOI: 10.36290/der.2025.026
Scabies is widespread across the world and affects all age groups. Cases of scabies may occur sporadically or in clusters, even leading to epidemics, especially in schools, hospitals, various types of residential care facilities, hostels, and prisons. Staff members of these institutions, particularly those providing nursing or caregiving services, are also at increased risk of infection. Family members of clients and staff are likewise more vulnerable. According to the 2017 European recommendation, basic scabies therapy includes the application of 5% permethrin cream, or oral administration of ivermectin, or the use of 25% benzyl benzoate lotion. Alternatively,...
Dermatol. praxi. 2025;19(3):95
Dermatol. praxi. 2025;19(3):130-134
This article deals with the issue of the spectrum of therapeutic materials suitable for the treatment of wounds, ulcerations and lesions in the genitoanal area in women. Despite the fact that the content of the article is primarily dedicated to the female genitoanal area, the described local therapy is also applicable to men in the same region. Histologically, the female and male genitalia consist of identical tissues, which are distinguished only by anatomical features. Damage to the genitoanal area requires materials for repeated application during the day, are affordable, relieve pain and improve comfort of patients. The illustrative scheme in the...
Dermatol. praxi. 2025;19(3):126-129 | DOI: 10.36290/der.2025.023
We report a 58-year-old woman who developed an atypical rash. She assumed the first signs to be intertrigo, afterwards was treated by a general practitioner for shingles. As the exanthema spread, she was sent to our clinic. Biopsy revealed metastasis of invasive lobular carcinoma. Cutaneous metastases are rare and heterogenous and may mimic other dermatological conditions.
Dermatol. praxi. 2025;19(3):122-125 | DOI: 10.36290/der.2025.022
Behçet's disease is a multisystem disease with a significant heterogeneity of clinical presentation that often manifests with skin and mucosal lesions. The present case report underscores the importance of early dermatological evaluation in a patient with atypical and rapidly progressing skin manifestations, which played a key role in establishing the diagnosis of Behçet's disease.
Dermatol. praxi. 2025;19(3):113-120 | DOI: 10.36290/der.2025.021
In the article, casuistics of two patients with moderate and severe acne treated with local combined medicine (0,3 % adapalene + 2,5% benzoylperoxide) are described. An effect of the treatment was very quick, a tolerance was excellent, a quality of life improved boldly with both patients. At the woman patient a medicine has been used also for atreatment of acne stars. The effectivity and safety of this combined medizine is analysed. Besides, a problem of acne scars and possibilities of their prevention and treatment with combined medicine 0,3% adapalene + 2,5% benzoylperoxide is described.
Dermatol. praxi. 2025;19(3):108-112 | DOI: 10.36290/der.2025.020
Chronic urticaria (CU) is a common and serious mast cell-mediated dermatological condition characterized by the development of pruritic wheals, angioedema, or both manifestations persisting for more than six weeks. The disease affects approximately 0,5-1% of the global population and significantly impairs patients' quality of life while generating substantial healthcare costs. Unlike acute urticaria, which typically resolves within six weeks, chronic urticaria presents specific diagnostic and therapeutic challenges requiring comprehensive understanding of its pathophysiology, classification, and management. The presented case report of alpha-gal syndrome...
Dermatol. praxi. 2025;19(3):102-106 | DOI: 10.36290/der.2025.019
Self-harm constitutes a complex issue that may result in enduring physical and psychological consequences. Scarring and cutaneous defects caused by recurrent self-injurious behavior can represent not only an aesthetic concern but also a significant psychological burden, potentially impacting patients' self-esteem and social functioning. Corrective dermatology offers a wide range of therapeutic approaches, which should be individually tailored based on the specific characteristics of the scar and the patient's cutaneous response, with the aim of achieving optimal clinical outcomes and supporting the patient's psychological well-being.
Dermatol. praxi. 2025;19(3):98-101 | DOI: 10.36290/der.2025.018
Urticaria is disease characterized by spontaneously recurring wheals, angioedema, or both, If the symptoms last longer than 6 weeks, it is chronic urticaria, which is further divided into chronic spontaneous and inducible. Chronic spontaneous urticaria affects patients of any age but is most common in females aged 30 to 50 years. Second-generation H1 antihistamines are first-line treatment if the effect is insufficient, the dose may be increased up to four fold. The 2022 international urticaria guideline recommends the monoclonal anti-IgE antibody omalizumab as second-line treatment for antihistamine-refractory chronic spontaneous urticaria. The third...
Dermatol. praxi. 2025;19(2):51