Dermatologische Monatschrift最新文献

Seven female systemic sclerosis patients (all from acrosclerosis type, with intestinal involvement, and marked Raynaud phenomenon) were treated with infrared A whole body irradiations (wavelengths between 800 and 1,400 nm, 12 W/dm2 maximally). The single exposure lasted for 30 minutes and resulted in an 0.9 degrees C rise of central body temperature. Acral skin rewarming became regular immediately after irradiation and kept improved, as compared with pre-treatment values, for at least 18 weeks. All the patients told about a comfortable feeling of warmth after each treatment lasting for one two days. Three out of the seven reported lower frequency and severity of Raynaud attacks.

An appreciative cooperation among dermatology, clinical psychology and psychology and psychiatry is necessary and useful. By selected facts interactions between central and autonomous nervous system on one side and the immune system on the other side were described. As far as the neutrocutaneous interrelations are concerned the cutaneous stimulation appears to be an important factor for the physical and physiologic development. In addition, the skin communicates to the environment and other people. Therefore, it plays a role in the social integration. Psychiatric diseases can affect the skin (e.g. delusions of parasitosis in schizophrenia). On the other hand primary skin diseases such as psoriasis, atopic dermatitis, acune vulgaris, chronic idiopathic urticaria and alopecia areata may induce psychologic features. The characteristics of the personalities of dermatological patients are discussed. The psychodiagnostics (personal interview, questionaires) is followed by psychotherapeutic procedures such as personal consultations, treatment in groups, hypnosis and autogenous training. Our experiences in the psychodiagnostics and treatment are briefly reported. Finally, psychotropic drugs-antipsychotic, anti-depressant, antianxiety, and hypnotic agents - may be useful as an adjunct in the management of dermatologic disorders, if applied under precautious indications.

Pollinosis due to pollens of insect-pollinated ornamental plants is only acquired under special work specific conditions of exposure, first of all in manual pollination for seed production and in cultivation of new sorts. In a big plant nursery and in hobby gardeners we found 8 cases of pollinosis to cyclamens, 3 to begonia, 1 to gloriosa rothschildiana and 1 to several kinds of lilies. The confirmation as occupational disease and a successful prevention of relapses require a change of the work place. Hyposensitization may be tried. For a primary prevention recommendations are made.

It is reported on an 53 year-old patient who developed the typical features on an Acropathia ulceromutilans nonfamiliaris on the right foot. Diagnostic guidelines, clinical picture and therapy are emphasized.

Data of birth from 4040 atopic dermatitis patients born in the Berlin area were analyzed in view of their distribution over the 12 months of the year. For comparison the data of birth of all people being born during two years were treated the same way. There was a marked increase of atopic dermatitis with the persons born during the months August to October. On the other hand, the prevalence of atopic dermatitis was diminished with that persons who were born from February till July (with exception of May). Obviously, during the first months of life seasonally differing external factors influence directly o indirectly the decision, whether atopic dermatitis later on will manifest or not. These results should been taken into consideration for family planning in high-risk families.

Our case is dealing with a very rare combination of sclerodermia bullosa with diabetes mellitus. Ulceration and secondary bacterial infection appeared as a complication. The possible pathophysiological mechanisms which may influence this unusual coindidence are discussed in the paper.

In a study involving 77 patients affected by lichen ruber lenticularis oralis, the relative clinical long-term healing rate was determined after application of a "Systemic Mouthmucosal Photochemotherapy" (SMPT). The results obtained showed that 78.5 percent of the patients were cured while the disease recurred in 21.5 percent of the patients. Against of 12 patients with erosive Lichen ruber oralis have had 9 patients an recidive post Re-SMPT.

In 1839 Johann Lucas Schönlein discovered fungal elements within the lesions of favus of man. So it was Schönlein, who for the first time recognized the fungal nature of a disease of humans. On the occasion of the 150th anniversary of the publication of Schönlein's observations a report is given on the history and development of medical mycology in Europe and especially in Germany.

Description of two patients with atypical linear eruption of molluscum contagiosum in the places previously treated with iontophoresis of hydrocortisone for Bell's palsy, and with radiotherapy for malignant granulomatosis. The causal nexus of the treatment used previously and the appearance of described changes is considered.