Dermatology for Practice, 2016, issue 1

Editorial

Slovo úvodem

MUDr. Radkin Honzák, CSc.

Dermatol. praxi. 2016;10(1)  

Review articles

Chronic sapontaneous urticaria – actual view on problematic disease

MUDr. Iva Karlová

Dermatol. praxi. 2016;10(1):6-9 | DOI: 10.36290/der.2016.002  

Urticaria is a skin condition characterised by wheals or angioedema. Wheals develop quickly in minutes, generally taking 3–8 hours, disappear up to 24 hours, angioedema could last up to 72 hours. Wheals may continue to appear for days, weeks or months. In chronic urticaria symptoms persist for over 6 weeks. Chronic urticaria is divided into chronic inducibile urticaria and chronic spontaneous urticaria. Chronic spontaneus urticaria is usually caused by infection, pseudoallergy, autoreactivity or an unknown cause. The activity of urticaria is measured by urticaria activity score (UAS). Non sedating antihistamines is currently the first choise...

Maintenance therapy of acne

MUDr. Zuzana Nevoralová, Ph.D.

Dermatol. praxi. 2016;10(1):10-15 | DOI: 10.36290/der.2016.003  

Acne is a polymorphic inflammatory disease of pilosebaceous glands. Manifestation of acne mostly repeats for years, that is why it is considered a chronic disease. These days’strategy of its treatment includes an active phase followed by a maintenance one. Maintenance therapy is defined as a regular use of appropriate therapeutic agents to ensure that acne remains in remission. Maintenance therapy is, simply speaking, treatment of the microcomedo. The mainstay of therapy represents topical agents with a comedolytic activity, especially retinoids. As an alternative azelaic acid can be used. Benzoyl peroxide is suitable in combination with retinoids...

Trends in treating perioral dermatitis

MUDr. Hana Duchková, DrSc.

Dermatol. praxi. 2016;10(1):16-19 | DOI: 10.36290/der.2016.004  

In the treatment of perioral dermatitis, local treatment is preferred (antibiotics, metronidazole, azelaic acid, pimecrolimus, tacrolimus). Systemic treatment with antibiotics, isotretinoin, or short-term pulse corticosteroids is recommended when there is failure of local treatment. "Zero therapy" refers to withdrawal of local agents, drugs and cosmetics. Topical corticosteroids are contraindicated in perioral dermatitis.

Superficial skin mycoses and care of skin affected by fungus

MUDr. Lucie Růžičková Jarešová

Dermatol. praxi. 2016;10(1):20-23 | DOI: 10.36290/der.2016.005  

Superficial skin mycoses occur as a result of infection with parasitic fungi. In the summer time, the number of cases rises due to higher temperatures, sweating, tight clothing and footwear, and increased frequency of sports activities. Based on aetiology, superficial mycoses can be divided into candidiases and dermatophytoses. Dermatophytoses are classified according to localisation. In most cases, local treatment is sufficient. It must be initiated early and be thorough as well as long-term. Systemic treatment is indicated when there is a risk of spread into deeper tissues, involvement of large areas or failure of local treatment. More at risk of...

Seborrhoeic dermatitis, differential diagnosis and treatment in the practice

MUDr. Naděžda Vojáčková

Dermatol. praxi. 2016;10(1):24-27 | DOI: 10.36290/der.2016.006  

Seborrhoeic dermatitis is among common skin conditions with a chronically recurrent course, most frequently occurring in the face and hairy part of the head. The differential diagnosis must include perioral dermatitis, rosacea, atopic eczema, psoriasis, microbial eczema, mycoses, and other less frequent entities. The treatment is usually local using external agents with antifungal, antimicrobial, and anti-inflammatory effects.

Lymphoedema – news in the treatment

MUDr. Sylva Zajícová

Dermatol. praxi. 2016;10(1):28-31 | DOI: 10.36290/der.2016.007  

Lymphoedema is a serious, chronic ongoing disease. The causes of lymphoedema are congenital ( primary) and acquired (secondary). Clinical failure of the lymphatic systém arises lymphoedema and is caused by imbalances between the transport capacity and the resullting volume of lymph. The goal of the therapyis detection of the early stages of lymphoedema, which are founded from personal history, clinical and lymphoscintigraphy. Treatment of lymphoedma is complex. Standard therapy involves complex decongestive therapy, includes manual and lymph drainage, pneumatic compression, compression bandaging and next aid. Important condition of therapy are drugs.

Case report

Pemphigoid gestationis

MUDr. Barbora Daňová, prof. MUDr. Alena Pospíšilová, CSc., MUDr. Olga Faustmannová, Ph.D., MBA, MUDr. Jitka Kyclová

Dermatol. praxi. 2016;10(1):33-37 | DOI: 10.36290/der.2016.008  

The case report describes a case of the three patients which have been examined at Clinic of Dermato-venerology The University Hospital Brno with rare pregnancy disease – Herpes gestationis, with clinical various intensified. For the first two patients with extensive rashes required hospitalization and general corticosteroid therapy. The diagnosis was based on clinical, histological examination of skin biopsy and direct immunofluorescence. The third patient, where the disease was mild, was treated with local corticosteriod therapy and systematic antihistamines.

At a glance

Human papillomavirus

MUDr. Martina Poršová, MUDr. Jaroslav Porš, MUDr. Ivan Kolombo, FEBU

Dermatol. praxi. 2016;10(1):38-42  

Infections caused by the human papillomaviruses (HPV) are the most common sexually transmitted diseases worldwide (1). A papillomavirus infection is encountered by more than a half of sexually active men and women at some point in their lives. Only about 1% of anogenital HPV infections (particularly types 6 and 11) are clinically manifested and can result in developing macroscopically distinct lesions (condylomata acuminata). Certain HPV types can induce the development of dysplastic or malignant changes. Only symptomatic visible lesions are treated in patients. There are a number of treatment options, with their choice being driven by the preferences...

Histological images of dermatoses

Subjektivně asymptomatické ložisko šedobílého zbarvení na levé tváři

doc. MUDr. Svetlana Brychtová, Ph.D., MUDr. Zora Poláčková, MUDr. Martin Tichý, Ph.D.

Dermatol. praxi. 2016;10(1):43-44 | DOI: 10.36290/der.2016.010  

Information

24. kongres EADV v Kodani (7.-11. 10. 2015)

doc. MUDr. Karel Ettler, CSc.

Dermatol. praxi. 2016;10(1):45-46  


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