Dermatol. praxi. 2011;5(4):183
Dermatol. praxi. 2011;5(4):187-191
Primary cutaneous lymphomas form a heterogeneous group of diseases which, at the time of stating diagnosis, affect only skin and have no obvious effect on lymphatic nodes or visceral organs. There is no causal therapy of cutaneous T-cell lymphoma. The aim of treatment is to provide the longest possible disease remission, sustain the patients‘ life quality and prolong their lives as such. Bexarotene is an effective and relatively safe preparation meant for treating aggressive cutaneous T-cell lymphoma as well as developed forms of mycosis fungoides.
Dermatol. praxi. 2011;5(4):192-195
The optimum treatment of varicose veins requires a precise identification of the source of venous reflux. Treatment should lead to the obliteration of venous reflux, reduction of symptoms, improvement of aesthetics and prevention of complications – all this should go hand in hand with low morbidity, low recurrence of the illness and also short-term convalescence. One of the greatest problems connected with varicose veins of the lower limbs is their recurrence. At the moment 25 % of operations are carried out due to the recurrence of the illness. Lowering the incidence of recurrence is a challenge for medical professionals. The best way...
Dermatol. praxi. 2011;5(4):196-198
In the last decade has seen a dramatic Cimex lectularius extension parasite or bedbugs. The reason is probably the high-migration and parasite resistance to common insecticides. The following overview is devoted to the description of the parasite and its life cycle, clinical picture and the possibilities of attack therapy.
Dermatol. praxi. 2011;5(4):199-202
Short statement of viral exanthems This article reviews a statement of exanthems caused by viral infection. This illneses are common duhring a childhood, but they can attac adults, too. The classic viral exanthems are measles, rubella, varicella, erythema infectiosum, exanthema subitum. The next are Gianotti- Crosti syndrome, Hand-Foot-and-Mouse-Disease, Herpangina Gloves and Socks syndrome, Asymetric Periflexural Exanthema of Childhood and Pityriasis rosea. Most of them i bening, but bacterial complications can come and sometimes there is a risk of fetal damage. Disease, Herpangina, Gloves and Socks syndrome, asymetric Periflexural Exanthema...
Dermatol. praxi. 2011;5(4):203-205
With an increasing number of travellers to the risk areas of tropics and subtropics, it is likely that imported diseases will be encountered by physicians from a variety of specialities in the Czech Republic. A physician’s confrontation with the skin manifestations in question is possible in immigrants and other foreigners coming to the country. Various skin manifestations are within the standard spectrum of clinical signs in infectious pathological conditions and at least basic skills of differential diagnosis should be components of each physician’s expertise. The diagnostic process in imported conditions must not only be based...
Dermatol. praxi. 2011;5(4):206-210
Quality of life in patients is becoming one of the aims of dermatological treatment and at the same time serves as a criterion of a treatment’s efficiency. Quality of life is a multi-layer, dynamic – and most importantly – a subjective concept, including both general quality of life (QoL) and health related quality of life (HRQoL). HRQoL indicates how a disease and its treatment influence the level of satisfaction in various areas of a patient’s life. Since deteriorating HRQoL can retrospectively aggravate the patient’s mental state and his/her skin disorders, interdisciplinary cooperation between a dermatologist...
Dermatol. praxi. 2011;5(4):210-212
This article summarizes the biopsychosoical model of miscellanesous dermatosis, which states in other connections diagnostic a therapeutic procedures in dermatology and psychosocial level of dermatosis. Focuses first of all on psychosocial mechanisms, which can contribute to the formation, expression and maintenance of dermatological symptoms. Describes some psychological factors, also reviews the psychosocial impact of skin diseases generally, the impact of stress on skin, importace of social support and comorbidity with psychiatric diseases. Biopsychosoical model of dermatosis that way first integrates psychological approach into medical...
Dermatol. praxi. 2011;5(4):213-214
Lichen sclerosus et atrophicus is a rare chronic dermatosis of unknown origin. It affects predominantly the anogenital region in men and women. The primary incidence of vulvar involvement occurs in postmenopausal women aged between 40 and 60 years, but occurrences in prepubertal girls cannot be ignored. Adult women need to be controlled due to possible transformation into spinocellular carcinoma. In the case of young girls before puberty, spontaneous regression of lichen sclerosus is possible. Lichen sclerosus is usually treated with potent or ultrapotent topical corticosteroids. A case of a 12-year-old girl with vulvar lichen sclerosus et...
Dermatol. praxi. 2011;5(4):215-217
in one patient Vitiligo is usually associated with various internal diseases, most frequently with autoimmune thyreoiditis. Dermatitis herpetiformis Duhring is almost exclusively accompanied with glutensensitive enteropathy, in some cases with thyroid dysfunction or diabetes mellitus. The authors describe a case of a young man suffering from a combination of this diseases. Successful treatment was achieved on diet restriction and by the use of narrowband phototherapy.
Dermatol. praxi. 2011;5(4):218-221
The article discusses the total administered isotretinoin in the treatment of acne, off-label indications, optimal dosing, monitoring of side effects. The article is supplemented by two case reports.
Dermatol. praxi. 2011;5(4):230-231
Psoriasis is among the most common skin diseases whose correct diagnosis is based on the presence of characteristic clinical features. The basic complementary examination in diagnostically uncertain cases is skin biopsy. Recent knowledge on the aetiopathogenesis of this disease has provided the basis for a more targeted therapy which has recently been available particularly in the form of systemically administered biological agents. Using modern therapeutic strategies, it is currently possible to control the course of this chronic inflammatory condition and to significantly improve the quality of life of patients.
Dermatol. praxi. 2011;5(4):232-234
A case report of woman with psoriasis vulgaris treated with biologicals provides a proof of how important this modern treatment is for patients with this lifelong disease. Psoriasis is a very burdening disease during which patients suffer not only physically, but also psychologically and socially. Biological treatment gives these people the opportunity to return to active life and expressively increases their quality of life.
Dermatol. praxi. 2011;5(4):222-226
(Historical mutual dependence of development between cosmetics and dermatology Common spheres of interests and activities Contemporary valid legislative standards and their application in professional practice) The maintainance of good function and condition as well as of aestetical appearance of skin represents a common and permanent aim of dermatologists and cosmetics. The modern methods of dermatological topical treatment makes not only therapeutic effect but also synchroneous modification of an aestetic appearance of the skin surface. From cosmetic point of wiew it is well known, that the positive interpersonals “signals”...
Dermatol. praxi. 2011;5(4):227-229
Psoriasis is a chronic inflammatory skin condition manifested by the development of red, sharply demarcated plaques covered with silvery scales. The paper summarizes the treatment options of the patient, i.e. particularly local therapy, phototherapy and systemic therapy. Furthermore, a method of patient education by health care professionals is proposed.
Dermatol. praxi. 2011;5(4):235-238
Of the worldwide 199 627 new cases of malignant melanoma (MM) based in Globocan (IARC) are declared 84.7 % cases in more developed and 15.3 % in less developed regions, 69 387 in the European Union and 2 034 in the Czech Republic in 2008; of the worldwide 46 372 melanoma deaths there were 67.9 % in more developed and 32.1 % in less developed regions, 14 243 in the European Union and 349 in the Czech Republic. In 2030 the expected new cases can reach more than 327 thousands of MM in the world, increased by 29.2 % in males and 16.2 % in females in more developed, by 81.8 % in males and 81 % in females in less developed regions, respectively by...