Když se řekne infekce

MUDr. Hana Roháčová, Ph.D.

Dermatol. praxi. 2016;10(3)  

Current possibilities of treatment of atopic eczema

MUDr. Štěpánka Čapková

Dermatol. praxi. 2016;10(3):106-110 | DOI: 10.36290/der.2016.026  

Atopic eczema (AE) is a chronic, inflammatory skin disorder. In spite of intensive investigations, the causes of AE remain uncelar, but are likely to be multifactorial in nature. Among various measures of AE managment skin hydration, which improves barrier function and relieve itchiness, may be helpful to reduce the need for topical steroid use and therefore it should be used as a basic treatment. Avoiding aggravating factors is also a basic treatment of AE. Standard medical treatment with a pharmacologic approach may be necessary if basic treatment fails to control symptoms sufficiently. Recently,more attention is given to proactive treatment regimen...

Current attitude to treatment of papulopustular acne

MUDr. Alena Hrouzková

Dermatol. praxi. 2016;10(3):112-116 | DOI: 10.36290/der.2016.027  

This article reviews papulopustular acne, mainly deals with possibilities of local and systemic therapy, marginally with aetiopathogenesis, clinical picture and supplementary treatment.

Adherence, knowledgeability and quality of life of patients with Acne vulgaris

PharmDr. Milica Molitorisová, doc. MUDr. Jarmila Rulcová, CSc.

Dermatol. praxi. 2016;10(3):118-121 | DOI: 10.36290/der.2016.028  

II. part of a non-interventional clinical trial eveluating efficacy of adapalene monotherapy in patients with Acne vulgaris This work, which is the following second part to the non-interventional clinical study’ results on monotherapy efficacy by adapalene in patients with acne vulgaris, investigates the adherence and other factors influencing topical treatment. Medication adherence assessment was based on the modified Morisky scale (MMAS-4) and measured by consumption testing in two-month treatment period. Results pointed to medium adherence, which overall adherence rate increased from 69,9% to 74,5%. This finding corresponds with significantly...

Scabies for paediatrician

MUDr. Jana Zímová, Mgr. et Mgr. Pavlína Zímová

Dermatol. praxi. 2016;10(3):126-131  

Scabies is epidemic ectoparasitosis caused by human parasite Sarcoptes scabiei, var. hominis. The reservoir of a contagion is the man. The transmission of the disease is caused by direct or indirect contact. The incubation period ranges from two to three weeks. The disease is characterised by an intensive night pruritus. In childhood age we can find this disease very frequently. Diagnostics is based on positive night pruritus, clinical picture and demonstration of Sarcoptes scabiei in skin of ill person. The method of the first alternative at children there is permethrin and sulphur. Scabies is subordinated to the obligatory epidemiologic announcement....

Granulomatous rosacea

MUDr. Zuzana Nevoralová, Ph.D., doc. MUDr. Lumír Poch, CSc.

Dermatol. praxi. 2016;10(3):136-140 | DOI: 10.36290/der.2016.031  

Granulomatous rosacea is a rare form of rosacea. It is characterized by numerous brown-red papules or little nodules on a diffusely reddened, thickened skin localized mostly on the face. Epitheloid granulomas of the noncaseating type with foreign-body type giant cells are the histopathological equivalent of these lesions. Multifactorial etiology has been suggested. The disease requires special care, treatment with oral antibiotics or isotretinoin is necessary in most cases. A case of granulomatous rosacea is presented. A 44-year-old woman suffered from red papules on the forehead and the left cheek. A therapy using peroral isotretinoin had a positive...

Cutaneous endometriosis

MUDr. Lukáš Meričko, MUDr. Tomáš Tichý

Dermatol. praxi. 2016;10(3):141-143 | DOI: 10.36290/der.2016.032  

Endometriosis is an benign disease that commonly occurs in women of reproductive age, and is defined as the presence of normal endometrial tissue (glands and/or stroma) abnormally implanted in locations other than the uterine cavity. The main symptoms are chronic pelvic pain during menstruation, and infertility. Treatment includes chirurgical surgery and pharmacological, mainly hormone therapy. The article describes casuistic of 41-year-old woman with a rare umbilikal cutaneous localization of endometriosis, which occurs in less than 1% of all cases of endometriosis, and in random coincidence with malignant melanoma.

Summary

MUDr. Jitka Chaloupecká

Dermatol. praxi. 2016;10(3):144-147  

In the article is summarized the rise of the pigmentation, is distribution and solution by laser. When the laser therapy is recommended for pigment spots, first it is important to have the right diagnosis, which we can check by biopsy examination followed by histopathological verification (result of histopathological examination), if neccesary. For the therapy of pigmented lesions we mostly use Q-S (switched) lasers, which work on principle of selective phototermolysis and cause photodysruption of melanin or pigment.

Options of correcting skin aging

MUDr. Martina Neradová

Dermatol. praxi. 2016;10(3):148-151  

Anti-aging and aesthetic medicine is currently among the most rapidly developing branches of medicine. New treatment options keep emerging with an emphasis on prevention, mini-invasiveness, and combined techniques. This is due to new knowledge in the field of research into skin aging and anatomy of, in particular, the facial structures as well as dramatic advances in the field of medical instrumentation and medical devices. The article presents the current options of affecting skin aging including preventive procedures.

Over-the-counter products for sensitive skin

MUDr. Radana Dwayebová, Mgr. Stefan Gajdoš

Dermatol. praxi. 2016;10(3):132-135 | DOI: 10.36290/der.2016.030  

Sensitive skin is a general term used to describe skin with reduced tolerance to the use of cosmetics and personal hygiene products. The article initially describes the manifestations, causes, and methods of treatment of sensitive skin. Given the fact that patients often seek the pharmacy staff as one of the first options in addressing this issue, the second part of the article summarizes selected over-the-counter dermocosmetic products intended for sensitive skin that we have a positive experience with.

Sézary syndrome and primary cutaneous CD30+ lymphoproliferative disorders

MUDr. Eliška Langerová

Dermatol. praxi. 2016;10(3):152-154 | DOI: 10.36290/der.2016.035  

Sézary syndrome (SS) is a rare, but agressive variant of T-cell lymphoma. It is characterised by: erytrodermy, generalised lymfadenopathy, presence of Sézary cells in periferal blood (more than 1 000/mm3). Medical care of patient with SS is always multidisciplenary, including hematooncologists. Despite SS primary cutaneous CD 30+ lymfoproliferative deseases are indolent and are the second most common type of cutaneous T-cell lymhomas (CTCL). This group of CTCL includes primary cutaneous anaplastic large cell CD30+ T-cell lymphoma (C- ALCL) a lymphomatoid papulosis (LyP). Despite its benign course all the patients should be follwed-up lifelong, becaues...