Pozitivní emoce a zdraví

MUDr. Karel Nešpor, CSc.

Dermatol. praxi. 2015;9(4)  

Severe psoriasis – possibility of therapy

MUDr. Lubomír Drlík

Dermatol. praxi. 2015;9(4):152-156  

Psoriasis is a serious, chronic skin disease which negatively affects the quality of life of those who suffer from it, as well as potentially posing a socioeconomic burden. Psoriasis is associated with metabolic diseases, as it decreases the life expectancy of patients. Timely and adequate treatment may positively affect not only the patient’s current state but his or her future state. Moderate and severe psoriasis, in all cases, requires not only local but also systemic therapy - phototherapy, conventional systemic medication (methotexat, retinoids, cyclosporine) or biological treatment.

Therapy of chronic venous disease´s symptoms and signs

MUDr. Zuzana Navrátilová, Ph.D.

Dermatol. praxi. 2015;9(4):157-161  

Chronic venous disease occures frequently in our population. According to the results of epidemiologic study Czech Vein Programme up to 63% of the population older than 40 years suffer from CVD symptoms. CVD could manifested itself in the form telenagiectazia, reticular and truncal veins. CVD is often acccompanied by variety of subjectives symptoms. Untreated CVD could progress to the stage of CVI with its specific objective signs. Clear understanding of the pathophysiological changes in microcirculation and subcutis area simplify the creation of the proper therapeutic plan of CVD ’s symptoms and signs.

Epidermolysis bullosa from the perspective of a plastic surgeon

MUDr. Jitka Vokurková, Ph.D., MUDr. Olga Košková, MUDr. Martin Fiala, MUDr. Jana Bartošková

Dermatol. praxi. 2015;9(4):162-164  

Epidermolysis bullosa (EB) is ranked among a group of rare heritable blistering disorders. EB is characterized by fragility of the skin and blister formation, following minor trauma or traction on the skin. The generalised recessive dystrophic form of epidermolysis bullosa is the most serious type. Interdigital pseudosyndactyly and hand contracture are common complications of pediatric patiens. Formation of skin cancer – especially squamous cell carcinoma - is characteristic in adults with EB. The purpose of the article is to describe treatment of EB patiens by plastic surgeon based on thirty years of head author’s experience.

Shingles and the contemporary perspective on its treatment

MUDr. Hana Roháčová, Ph.D.

Dermatol. praxi. 2015;9(4):165-166  

Shingles is a relatively common illness which mainly effect persons with secondary immune deficiency. Most often the affected are elderly, but shingles can also be found among younger people including children. Shingles is the expression of the reactivation of the varicella -zoster virus, which, after primary infection, survive in sensitive ganglia of the human body. The cause of the reactivation is very often the weakening of the immune system. Discomfort arises with the appearance of the lesions, both in the location of the lesions as well as generalised symptoms. The greatest discomfort, however, comes with the elimination of the lesions. This is...

Contact allergy in children and teenagers

MUDr. Helena Michalíková

Dermatol. praxi. 2015;9(4):167-169  

Allergic contact dermatitis (ACD) is an inflammatory skin disease (delayed type hypersenzitivity reaction, mediated by hapten-specific T cells). Substances responsible for the reaction are called haptens. Haptens induce skin inflammation through activation of both innate and acquired specific imunity. In children, the incidence of ACD appears to be on the increase recently. The clinical features of allergic contact dermatitis are itchy eczematous lesions usually at skin sites that have come into contact with alergen. The most important for the right diagnosis is epicutaneous patch testing. Children and adults can be tested with equal concentration...

Diaper dermatitis in pediatrics and geriatrics

MUDr. et MUDr. Pavel Konrád

Dermatol. praxi. 2015;9(4):170-173  

Diaper dermatitis is a common disease of children and the impact of an aging population is increasingly appearing also in gerontology. The article describes the clinical picture diaper dermattitis, its differential diagnosis and modern therapeutic schemes.

Basiscreme DAC in dermatological formulation

PharmDr. Jan Hašek

Dermatol. praxi. 2015;9(4):174-177  

Basiscreme DAC is a completely new vehicle intended for drug compounding in pharmacies. Its advantage is compatibility with a wide range of medicinal substances; it is particularly suitable for incorporating local corticosteroids or anti-infective agents. Its ambiphilic nature and the preservative used distinguish it from other commonly used hydrocream bases.

Well’s syndrom

MUDr. Eva Rohanová

Dermatol. praxi. 2015;9(4):178-179  

Well’s syndrom, also known as eosinofillic cellulitis, is a very rare skin disease comprising of a set of unspecific clinical symptoms. This mostly incudes cellulitis, urticaria, and insect sting (2). The article describes the case of a 59 years old man with histologicly confirmed Well’s syndrom.

Verrucous lichen planus

MUDr. Kateřina Hrbáčová, MUDr. Eva Jašková, doc. MUDr. Lumír Pock, CSc.

Dermatol. praxi. 2015;9(4):180-181  

Lichen ruber verrucosus/hypertrophicus represents a relatively rare clinical variant, which manifests itself by seeding disseminated multiple hard bumps the size of peas or beans or hyperkeratotic palm-sized foci of purplish gray colour up to a maximum of manifestations on the extensor side of the limbs and interphalangeal joints. The authors describe a case of a patient with histologically confirmed lichen planus verrucosus with a good response to systemic therapy based on retinoids.

Over-the-counter products in treatment of acne vulgaris

Mgr. Markéta Obrovská

Dermatol. praxi. 2015;9(4):182-184  

Acne is a chronical non-infectious inflammatory disease. Patients visit pharmacy with mild acne very often. This article summarises common use and side effects of over-the-counter products. The text also describes possibilities of additional therapy.

How to care of irritated and sensitive skin in winter?

MUDr. Stanislava Hasalová

Dermatol. praxi. 2015;9(4):185-186  

Skin, as a largest organ of human body, works as a barrier protecting the body from elements. This function is especially important during the period of winter, when human body is exposed to low temperatures, wind and sunlight. There is a need of special care for sensitive and irritated skin during this period.

Farmaceutical care for patients with hair loss

Mgr. Jana Martinásková

Dermatol. praxi. 2015;9(4):188-190  

Pharmacies are often the first heath care facility, where pations complain about increased hair loss. There should be provided a qualified patient counselling on OTC products for the local and total additive therapy. Pharmacist or his assistant should manage to distinguish whether the patien’s problems can be handled by self-treatment or the patient should be sent to the doctor. This article briefly describes the types of alopecia and their possible causes. In detail occupies with effective agentsfor hair loss treatment and their characteristics. Listed is a practical summ ary of the free available products for the treatment of hair loss.

Proper care of scars and striae

MUDr. Alena Stumpfová

Dermatol. praxi. 2015;9(4):191-194  

During the process of the healing of the wound,a scar is formed, which differs from the undamadged skin in morphology as well as in the function. Depending on the genetic disposition, age, pigmentation of the skin, localisation and characteristics of the wound the final scar can be smooth, barely visible, asymptomatic, and yet also problematic, such as scar hyperthrophic or keloid. Striae arise due to the lack of elastin and collagen fibres in dermis as a result of hormonal and physical factors. Both disorders are of the reason for the undesirable cosmetic changes, moreover the scars can be symptomatic. However, the early treatment determines the final...

Seznam specializovaných dermatologických center pro léčbu chronické spontánní kopřivky

prof. MUDr. Petr Arenberger, DrSc., MBA

Dermatol. praxi. 2015;9(4):195