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The psoriatic keratinocytes 银屑病角质形成细胞
Pub Date : 2012-10-01 DOI: 10.1586/EDM.12.48
Z. Bata-Csorgo, M. Széll
Psoriasis is an inflammatory skin disease with characteristic changes in the epidermis that resembles unsuppressed wound healing due to excessive hyperproliferation of keratinocytes. The keratinocyte hyperproliferation is also accompanied by abnormal differentiation of cells. It is not clear how much keratinocytes contribute to disease pathology. In this article, the authors, however, attempt to summarize data that argue for the importance of abnormal keratinocyte behavior in the pathomechanism of psoriatic skin lesions.
银屑病是一种炎症性皮肤病,表皮发生特征性变化,类似于角化细胞过度过度增殖导致的未抑制的伤口愈合。角质形成细胞增生还伴有细胞的异常分化。目前尚不清楚角质形成细胞对疾病病理的影响程度。然而,在这篇文章中,作者试图总结有关角质细胞异常行为在银屑病皮损病理机制中的重要性的数据。
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引用次数: 20
Therapy of cutaneous manifestations of tuberculosis in Saudi Arabia 沙特阿拉伯肺结核皮肤表现的治疗
Pub Date : 2012-10-01 DOI: 10.1586/EDM.12.50
I. Bukhari
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引用次数: 0
Improvements and continued challenges in the early detection of skin cancers 皮肤癌早期发现的改进和持续的挑战
Pub Date : 2012-10-01 DOI: 10.1586/EDM.12.46
K. Nguyen, A. Geller, Jennifer Y. Lin
Skin cancer remains the most frequently diagnosed cancer around the world. In particular, we are challenged by melanoma, the most frequent cause of death from skin cancer, and compared with all other cancers, one that often affects younger individuals. It is estimated that at least 9000 individuals will die from melanoma in the USA and in Australia in 2012; it is the fourth most common cancer overall. Earlier intervention and detection have had promising effects on mortality, but not at a satisfactory rate. The authors will review the newest developments in detection and awareness of skin cancer with a focus on melanoma. Much work remains to be done to improve our ability to prevent this cancer before it reaches a fatal stage.
皮肤癌仍然是世界上最常见的癌症。特别是,我们受到黑色素瘤的挑战,这是皮肤癌中最常见的死亡原因,与所有其他癌症相比,黑色素瘤通常影响年轻人。据估计,2012年美国和澳大利亚将至少有9000人死于黑色素瘤;它是第四大最常见的癌症。早期干预和发现对死亡率有很好的影响,但并不令人满意。作者将回顾皮肤癌的检测和认识的最新进展,重点是黑色素瘤。在这种癌症发展到致命阶段之前,要提高我们预防这种癌症的能力,还有很多工作要做。
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引用次数: 2
Dermoscopy: distinguishing malignant tumors from benign 皮肤镜检查:区分良性和恶性肿瘤
Pub Date : 2012-10-01 DOI: 10.1586/EDM.12.47
Andrea Gulia, A. Brunasso, C. Massone
Dermoscopy has dramatically developed, becoming a well-established routine technique in many countries in the mid-1980s. Dermoscopy allows physicians to observe structures and colors otherwise not visible to unaided eyes, increasing melanoma diagnostic accuracy by up to 35%. Moreover, dermoscopy allows for increases in the number of diagnosed and excised melanomas together with a reduction in the number of unnecessary excisions. New data are continuously acquired mostly on melanoma diagnosis, follow-up of melanocytic lesions and nevogenesis. Short-term 3-month follow-up is the optimum time interval for identifying minimal changes in featureless melanomas. Nevertheless, long-term follow-up is similarly useful for the recognition of changes in melanomas with very low rates of growth. In the last few years a huge number of publications on dermoscopy have been published. The aim of this review is to summarize the most important recent advances in dermoscopy.
皮肤镜检查在20世纪80年代中期迅速发展,成为许多国家公认的常规技术。皮肤镜检查使医生能够观察到肉眼无法看到的结构和颜色,将黑色素瘤的诊断准确率提高了35%。此外,皮肤镜检查允许增加诊断和切除黑色素瘤的数量,同时减少不必要的切除数量。新的数据不断获得,主要是关于黑色素瘤的诊断,黑素细胞病变的随访和新生。短期随访3个月是确定无特征黑色素瘤最小变化的最佳时间间隔。然而,长期随访对于识别生长速度极低的黑色素瘤的变化同样有用。在过去的几年里,大量关于皮肤镜检查的出版物已经出版。这篇综述的目的是总结最近在皮肤镜检查中最重要的进展。
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引用次数: 9
Trichoscopy: a new frontier for the diagnosis of hair diseases 毛发镜检查:头发疾病诊断的新前沿
Pub Date : 2012-10-01 DOI: 10.1586/EDM.12.40
S. Inui
Trichoscopy is hair and scalp dermoscopy using a handheld dermoscope or polarized light video microscope. This article shows the revised trichoscopic algorithm for common hair loss diseases. For the algorithm for cicatricial alopecia, loss of orifices, micropustules and/or hair tufting with six or more hairs should be carefully observed. When loss of hair orifices cannot be seen in the hair loss area, diagnosis as noncicatricial alopecia is established. Among noncicatricial alopecia, alopecia areata is most commonly encountered and should be mainly considered for differential diagnosis. Therefore, the first check point is yellow dots, black dots or broken hairs. The hallmark of androgenetic alopecia and tinea capitis is hair diameter diversity (≥20%) and comma hairs, respectively. Hair shaft abnormalities can be diagnosed from the characteristics of trichoscopy reported until now.
毛发镜是使用手持式皮肤镜或偏振光视频显微镜对头发和头皮进行皮肤镜检查。本文介绍了一种改进的毛发镜算法,用于常见的脱发疾病。对于瘢痕性脱发的算法,应仔细观察孔口脱落,微脓疱和/或六根或更多头发的毛发丛。当在脱发区看不到发孔的脱落时,诊断为非瘢痕性脱发。在非瘢痕性脱发中,斑秃是最常见的,应主要考虑鉴别诊断。因此,第一个检查点是黄点、黑点或断毛。雄激素源性脱发和头癣的标志分别是毛发直径多样性(≥20%)和逗号毛。毛干异常可以从目前报道的毛发镜特征来诊断。
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引用次数: 10
Treatment of onychomycosis in Mexico 墨西哥甲真菌病的治疗
Pub Date : 2012-08-01 DOI: 10.1586/EDM.12.29
G. Moreno-Coutiño, E. Vásquez-del-Mercado, R. Arenas
Onychomycosis is the most common nail disease. Its many different clinical manifestations should be addressed individually in order to select the most appropriate therapy. Treatment options are classified as systemic, topical or combined. This report is focused on the Mexican experience of how to select the best treatment option based on the patient characteristics.
甲真菌病是最常见的指甲疾病。它的许多不同的临床表现应该单独处理,以便选择最合适的治疗。治疗方案分为全身、局部或联合。本报告的重点是墨西哥的经验,如何根据患者的特点选择最佳的治疗方案。
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引用次数: 0
The role of the complement system in dermatological disease 补体系统在皮肤病中的作用
Pub Date : 2012-08-01 DOI: 10.1586/EDM.12.31
F. Ali, F. Al‐Niaimi
Complement bridges the innate and adaptive immune systems, recognizing and eliminating microorganisms and maintaining tissue homeostasis. Perturbations in the complement cascade can be of profound clinical consequence, with dermatological associations including impaired control of infectious agents, predisposition to autoimmune disease (notably systemic lupus erythematosus) and hereditary and acquired angioedema. In this review, the authors describe the fundamentals of the complement cascade and discuss the clinical manifestations of defects in signaling in order to contextualize the rational testing of complement components and functional assays in dermatological practice.
补体连接先天免疫系统和适应性免疫系统,识别和消除微生物,维持组织稳态。补体级联的扰动可能具有深远的临床后果,与皮肤病学相关的包括感染性病原体控制受损、自身免疫性疾病(特别是系统性红斑狼疮)易感性、遗传性和获得性血管性水肿。在这篇综述中,作者描述了补体级联的基本原理,并讨论了信号缺陷的临床表现,以便在皮肤病学实践中合理检测补体成分和功能分析。
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引用次数: 1
Neuroimmunological links in dermatology: psoriasis as a model disease in stress research 皮肤病学中的神经免疫学联系:牛皮癣作为应激研究中的模型疾病
Pub Date : 2012-08-01 DOI: 10.1586/EDM.12.36
E. Peters, R. Sabat, S. Philipp, Elke Helleiner, J. Kruse, W. Sterry
Chronic inflammatory skin diseases such as psoriasis vulgaris are widespread and stressful not only for the affected patients but also for our healthcare system. Environmental influences and immune malfunctions are among the most frequently discussed issues. Both are related to modulation of stress-axis function. However, the relevance of the relationship between chronic skin inflammation, neuroimmune regulation and stress remains unclear. Also, the question if an effective anti-inflammatory therapy combined with lifestyle changes can more efficiently open up pathogenic circuits is to be discussed. The aim of this review is therefore to dissect a model disease for chronic inflammation and neuroimmune regulation and to delineate the current knowledge on its psychoneuroimmunologic framework and treatment options within.
慢性炎症性皮肤病,如寻常型牛皮癣,不仅对受影响的患者而且对我们的医疗系统都是广泛和紧张的。环境影响和免疫功能失常是最常讨论的问题。两者都与应力轴函数的调制有关。然而,慢性皮肤炎症、神经免疫调节和应激之间的相关性仍不清楚。此外,是否有效的抗炎治疗结合生活方式的改变可以更有效地打开致病回路的问题也有待讨论。因此,本综述的目的是剖析慢性炎症和神经免疫调节的模型疾病,并描述其心理神经免疫框架和治疗方案的当前知识。
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引用次数: 3
Why are men with premature alopecia at higher risk of benign prostatic hyperplasia? And what about prostate cancer? 为什么男性过早脱发患良性前列腺增生的风险更高?那么前列腺癌呢?
Pub Date : 2012-08-01 DOI: 10.1586/EDM.12.30
M. A. Arrabal-Polo, M. Girón-Prieto, S. Arias-Santiago
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引用次数: 0
Therapeutic interventions for Netherton syndrome 内瑟顿综合征的治疗干预
Pub Date : 2012-08-01 DOI: 10.1586/EDM.12.27
N. Xiang, W. Di
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引用次数: 1
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Expert Review of Dermatology
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