Dermatology for Practice, 2011, issue 1

Editorial

Ohlédnutí za rokem 2010 aneb Co nás čeká letos

prof. MUDr. Jana Hercogová, CSc.

Dermatol. praxi. 2011;5(1):3

Review articles

The barrier-protective systems

prof.emer.MUDr.Jiří Záhejský, DrSc.

Dermatol. praxi. 2011;5(1):8-11

Contemporary and perspective possibilities of barrier disorder repair The function of epidermal barrier coud be damaged of the basis of congenital (atopic dermatitis, ichtyosis e. o.) or acquired cause (unwanted influence of various chemical substances and environmental factors). The disturbance of barrier function is connected with the develop of s. c. „dry skin state“ due to a waterbinding disturbance. Regeneration time is 4–8 weeks. An application of barrier protective cosmetic preparations (moisturizers, humectants, emollients) reduces the excessive waterloss and protects the skin surface against unwanted effects of...

Skin manifestation of borreliosis

MUDr.Lukáš Lacina, Ph.D., MUDr.Martina Kojanová, MUDr.Ivana Kuklová, CSc., prof.MUDr.Jiří Štork, CSc.

Dermatol. praxi. 2011;5(1):12-17

The known spectrum of skin manifestations in cutaneous Lyme disease is variable. The classical manifestations of cutaneous borreliosis like erythema chronicum migrans, borrelial lymphocytoma and acrodermatitis chronica atrophicans. An increasing evidence suggests that at least in part of other skin manifestations can Borrelia infection play an important role. Cutaneous borreliosis can also mimic other skin conditions. Host populations, vectors ecology and transmission efficiency of Borrelia are discussed. The current review describes the evolution of of skin changes in Borreliosis as a important manifestation due to possible establishment of...

Chronic venous insufficiency and advanced surgical treatment options the superficial system

MUDr.Jan Marušiak, Ph.D.

Dermatol. praxi. 2011;5(1):18-19

In recent years the number of workplaces in the Czech republic expanded use of new methods for treating varicose veins which have excellent cosmetic results, are associated with very short sick leave and are also considerably better long-term results. In this communication, the author dedicated to these methods.

Interdisciplinary overviews

Current view of STD issues

doc.MUDr.Ivana Kuklová, CSc.

Dermatol. praxi. 2011;5(1):20-22

The absolute number of reported syphilis cases has been increasing in the Czech Republic in the last three years. From the epidemiologic point of view, the increasing incidence of early stages of the disease is alarming. Men prevail over women among the infected persons; the number of homosexual men has been increasing in the last three years. This trend confirms the importance of contact-tracing, HIV and syphilis testing and the potential negative consequences of the failure to perform anti-treponemal antibody screening during the first hospitalization in the given year, which is no longer required by Czech legislation. The number of reported...

Using dermatoscopy and digital dermatoscopy in the diagnosis of melanoma

MUDr.Ivana Krajsová, MBA

Dermatol. praxi. 2011;5(1):23-25

An introduction of dermatoscopy to the clinical practice brought an improvement of the melanoma clinical diagnosis, especially in the early stage of development. Dermatoscope is a portable illuminated magnifying glass. With power of 10–20 times magnification and application of immersion, one can identify individual structural features in pigmented lesions examined. Validation and standardization of characteristic dermatoscopic features, done by Stolz, Menziese, Dal Pozza et al., helped to better differentiate melanomas and benign melanocytic lesions. A thorough training and education in this diagnostic approach is essential for later...

Case report

Pemphigus erythematosus - pemphigus seborrhoicus - Senear-Usher syndrome

MUDr.Markéta Repíková

Dermatol. praxi. 2011;5(1):26-27

The statement purpose is to zoom in desease, which is not met in everyday praxis. It belongs to rarely dermatosis, whose determinating could be difficult and time-consuming, particularly mingle with superinfection, which conduces to wrong diagnosis determination. In that case is necessery to repeat investigation including histologie (preferably on another workplace). Almost the same script has also our casuistry.

Schnitzler syndrome - chronic urticaria + monoclonal gammopathy IgM + osteolytic-osteosklerotic bone changes

prof.MUDr.Zdeněk Adam, CSc., MUDr.Luděk Pour, Ph.D., MUDr.Marta Krejčí, Ph.D., MUDr.Jiří Neubauer, MUDr.Jiří Prášek, CSc., prof.MUDr.Roman Hájek, CSc.

Dermatol. praxi. 2011;5(1):28-31

Schnitzler syndrome is a rare disorder characterized by chronic urticaria, the presence of monoclonal class IgM immunoglobulin, lymphadenopathy and fevers. We report on a patient who was diagnosed in 1996 and over the next 12 years underwent a number of therapies. Bone pain associated with proven osteolytic and osteosclerotic lesions resolved on regular bisphosphonate treatment with pamidronate and, later, clodronate. The patient had transient benefit from treatments with interferon-alpha and with PUVA. No therapeutic effects were seen with high-dose dexamethasone, 2-chlordeoxyadenosin, cyclosporine, or the combination of bortezomib, thalidomide,...

Cosmetic dermatology spot

New aproaches in hair transplantation and transplantation of other hair-like adnexes

MUDr.Peter Hajduk, Eva Šelbická, DiS, Bc.Gabriela Šimková, Bc.Slávka Hajduková

Dermatol. praxi. 2011;5(1):32-35

Professional publications give their readers to the problems of HT (hair transplantation) and tells something of its history. Offers hair transplant options and techniques available to the HT. It deals with the transplantation of the eyebrows, beard and hair (body use). At the end of article looks into the future HT.

Injectable filler implants - fillers

MUDr.Ludvika Záhořová

Dermatol. praxi. 2011;5(1):36-40

Rejuvenation may face – including filler – achieved by other means; invasive (the ones next time) and non-invasive. A combination of several methods, of course, always a better result, for the glabella has proven combination with botulinum toxin, also provides an excellent effect of combination treatment “circles” of filler, and “crow feet” botulinum toxin. Treatment of the hands of fillers, either hydroxyapatite or hyaluronic acid (+ local anesthetic) also extended the possibility of rejuvenation in the area, which until this time did not offer the possibility of filling volume povadlým and dehydrated hands....

Magistraliter prescription book

Dexpanthenol in the treatment of skin diseases

PharmDr.Jan Hašek

Dermatol. praxi. 2011;5(1):41-44

The article gives an overview of the effects, properties, mechanisms of action and dexpanthenol use in the treatment of skin and mucous membranes. It deals with the importance not only as a substance that supports cellular metabolism, as well as moisturizing substances in the broader context in the adjuvant treatment of atopic dermatitis, emollients, playing an irreplaceable role. Paper also allows to gain knowledge on how to dexpanthenol prescription medicines and provides some examples of recipes used in practice.

OTC drugs

Therapy of molluseum contagiosum and warts

PharmDr.Jiří Střípek

Dermatol. praxi. 2011;5(1):45-47

Molluscum contagiosum and warts are benign cutaneous infections produced by viruses replicating in human keratinocytes. Infections are spread either by contact from person to person or indirectly via fomites left on surfaces in patients with impaired skin and body immunity. It exist the possibility of spontaneous regression in both of diseases. We always started therapy, especially in patiens with impair imunity response, widespread and painful lesions, long duration of infection and in unsightly lesions.