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Eosinophilic dermatoses 嗜曙红的皮肤疾病
Pub Date : 2019-10-01 DOI: 10.1111/ddg.13943
M. Peckruhn, P. Elsner, J. Tittelbach
Eosinophilic dermatoses are a heterogeneous group of diseases, characterized by an eosinophil‐rich infiltrate and/or degranulation of eosinophils. Blood eosinophilia may be an associated feature. Typical, albeit not specific histological findings include ‘flame figures’, which are caused by the accumulation of cationic proteins released by eosinophils and subsequent collagen denaturation.
嗜酸性粒细胞皮肤病是一种异质性疾病,其特征是嗜酸性粒细胞丰富浸润和/或嗜酸性粒细胞脱颗粒。血嗜酸性粒细胞增多可能是一个相关特征。典型的,尽管不是特殊的组织学发现包括“火焰图”,这是由嗜酸性粒细胞释放的阳离子蛋白积累和随后的胶原变性引起的。
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引用次数: 10
Kongresskalender 2019
Pub Date : 2019-10-01 DOI: 10.1111/ddg.13957
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引用次数: 0
Lokale chirurgische Therapie des kutanen Plattenepithelkarzinoms: Defizite und Kontroversen in der Literatur 局部包皮癌治疗方法:差距和文学争议
Pub Date : 2019-10-01 DOI: 10.1111/ddg.13941_g
H. Breuninger, T. Eigentler, H. Häfner, U. Leiter
Der Einfluss der Primärexzision eines kutanen Plattenepithelkarzinoms auf die Prognose ist abhängig von den Risikofaktoren des Tumors, den chirurgischen Therapiemodalitäten und der histologischen Untersuchung.
雌激素上皮癌的朊病毒毒性对治疗效果的预测的影响取决于肿瘤风险因素、治疗方法和筛查。
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引用次数: 1
Nageldystrophie induziert durch systemische Amyloidose 鼻子作热像导热系统心房
Pub Date : 2019-10-01 DOI: 10.1111/ddg.13942_g
Gwanghyun Jo, Dong-Yeop Shin, Je‐Ho Mun
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引用次数: 0
Dermatologische Komplikationen unter Therapie mit Biologika bei entzündlichen Autoimmunerkrankungen 皮肤复杂的治疗生物学与遗传性免疫疾病
Pub Date : 2019-10-01 DOI: 10.1111/ddg.13964_g
W. Sondermann, S. Herz, E. Sody, A. Körber
Kutane unerwünschte Ereignisse (cutaneous adverse events; CAE) treten bei bis zu 10 % der Patienten mit immunvermittelten entzündlichen Erkrankungen (IMID) auf, die mit Tumornekrosefaktor‐α (TNFα)‐Blockern behandelt werden. Ziel dieser klinischen Studie war es, den Verlauf von CAE bei allen Therapien mit Biologika nachzuverfolgen und zu beobachten.
迟烧吧CAE)参加多达10%的患者immunvermittelten entzündlichen疾病(IMID)与Tumornekrosefaktor‐α(TNFα)‐. Blockern来治疗这项临床试验的目的是跟踪和跟踪所有的生物学疗法中的CAE的记录。
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引用次数: 1
S3‐Leitlinie: Durchführung des Epikutantests mit Kontaktallergenen und Arzneimitteln – Kurzfassung Teil 1 300‐准则:执行Epikutantests Kontaktallergenen和药品——完成第一部分
Pub Date : 2019-10-01 DOI: 10.1111/ddg.13956_g
V. Mahler, A. Nast, A. Bauer, D. Becker, J. Brasch, K. Breuer, H. Dickel, H. Drexler, P. Elsner, J. Geier, S. John, B. Kreft, A. Köllner, H. Merk, H. Ott, S. Pleschka, Maria Portisch, P. Spornraft‐Ragaller, E. Weisshaar, T. Werfel, M. Worm, A. Schnuch, W. Uter
Der diagnostische Standard zum Nachweis einer bestehenden allergischen Kontaktdermatitis ist der Epikutantest. Die vorliegende Leitlinie richtet sich an Assistenz‐ und Fachärzte der Dermatologie, Allergologie und Ärzte weiterer Fachgruppen in Klinik und Praxis, die an der Indikationsstellung oder Durchführung von Epikutantests bei Patienten mit Kontaktekzemen und weiteren Spättypallergien beteiligt sind, sowie Kooperationspartner der Ärzteschaft (Fachberufe im Gesundheitswesen, Kostenträger).
所谓的外壁测试是检测过敏性外皮损伤的诊断标准。‐本准则针对后勤和住院医生皮肤科,医生各职能部门在医院和诊所的另Indikationsstellung或执行Epikutantests Kontaktekzemen患者和其他Spättypallergien以及Kooperationspartnerärzteschaft (Fachberufe付费服务).
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引用次数: 11
Vulvakarzinomrisiko bei Frauen mit Lichen sclerosus: Ergebnisse einer Kohortenstudie 受到感染的妇女的火山发病率:一项类固醇研究的结果
Pub Date : 2019-10-01 DOI: 10.1111/ddg.13961_g
Monica Corazza, A. Borghi, Roberta Gafà, C. Ghirardi, Stefano Ferretti
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引用次数: 0
Porokeratotic lichen planus
Pub Date : 2019-10-01 DOI: 10.1111/ddg.13953
Aditi Dhanta, Naveen Kumar Kansal, Prashant Durgapal, C. Divyalakshmi
A 16-year-old male presented with multiple lesions involving the lips, shoulder region, extremities and glans penis for the last 1 year. The individual lesions began as small papules that gradually increased to form small, annular, barely palpable plaques. There was no history of oral symptoms or immunosuppression. Cutaneous examination revealed multiple hyperpigmented, annular papules and plaques ranging from 0.5 to 4.0 cm in size with a thready margin over the lips, shoulder region, upper and lower extremities, soles of the feet (Figure 1a, b) and the glans penis. There was no central atrophy. Oromucosal examination revealed an irregular, brownish plaque on the right mucosa with a thready, white, elevated margin. Clinical differential diagnoses of porokeratosis (Mibelli) and annular lichen planus were considered. Dermatoscopy of the lesion on the foot demonstrated a white hyperkeratotic border with dotted vessels and a central area of patchy brownish pigmentation characteristic of porokeratosis (Figure 1c). Biopsies were taken from a lesion on the lower extremity and from oral mucosa for pathologic examination. The cutaneous biopsy showed a hyperkeratotic epidermis with mild lymphocytic exocytosis and spongiosis. A band-like lymphocytic infiltrate was noted in the interphase region and in the papillary dermis along with pigmentary incontinence (Figure 2a, b). The mucosal biopsy showed a dense chronic inflammatory infiltrate along with pigmentary incontinence in the subepithelial zone. Basal cell vacuolation was also noted (Figure 2c). A cornoid lamina was not seen in any of the pathologic sections examined, including further deeper sections and a repeat biopsy. The clinical morphology, dermatoscopic features, and pathology were therefore considered compatible with a diagnosis of porokeratotic lichen planus. Lichen planus is a common papulosquamous inflammatory dermatosis of unknown etiology that presents in a number of morphologic patterns and clinical variants [1–3] and can involve the skin, mucosa and hair as well as the nails [4]. Porokeratosis is a clonal disorder of keratinization that manifests clinically as centrifugally expanding, annular plaque(s) with a ridge-like margin – the cornoid lamella. Cornoid lamella is the diagnostic hallmark, and histology shows a column of tightly packed parakeratotic cells within DOI: 10.1111/ddg.13953 Porokeratotic lichen planus Clinical Letter
一名16岁男性,在过去的一年里出现了包括嘴唇、肩部、四肢和阴茎头在内的多处病变。个别病变开始时为小丘疹,逐渐增加形成小的、环状的、几乎摸不到的斑块。患者无口腔症状或免疫抑制史。皮肤检查显示多发性色素沉着,环形丘疹和斑块,大小为0.5至4.0 cm,边缘细细,覆盖嘴唇,肩部,上下肢,脚底(图1a, b)和阴茎头。没有中枢性萎缩。口黏膜检查显示右侧粘膜有不规则的棕色斑块,边缘呈细线状,白色,升高。探讨了多孔性角化症(Mibelli)和环形扁平苔藓的临床鉴别诊断。足部病变的皮肤镜检查显示白色角化过度边界,有星点状血管,中心区域有斑片状褐色色素沉着,这是角化孔症的特征(图1c)。从下肢病变处和口腔黏膜处取活检进行病理检查。皮肤活检显示表皮角化过度,伴有轻度淋巴细胞外溢和海绵状病变。在期间区和真皮乳头状区可见带状淋巴细胞浸润,并伴有色素失禁(图2a, b)。粘膜活检显示上皮下区有密集的慢性炎症浸润,并伴有色素失禁。基底细胞空泡化也被观察到(图2c)。在任何病理切片检查中,包括进一步的深层切片和重复活检,均未见冠状膜。因此,临床形态学、皮肤镜特征和病理学被认为与多孔角化性扁平苔藓的诊断相一致。扁平苔藓是一种常见的丘疹鳞状炎症性皮肤病,病因不明,有多种形态和临床变异[1-3],可累及皮肤、黏膜、毛发和指甲[4]。多孔性角化病是一种克隆性角化疾病,临床表现为离心扩张的环状斑块,边缘呈脊状-角膜片状。角膜片状是诊断标志,组织学显示在DOI: 10.1111/ddg.13953内有一列紧密堆积的角化不全细胞骨质疏松性扁平苔藓临床信函
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引用次数: 5
Neues aus der Union of European Medical Specialists (UEMS) 欧洲医学专家联盟(UEMS)新闻
Pub Date : 2019-10-01 DOI: 10.1111/ddg.13923_g
R. Strohal, U. Längle
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引用次数: 0
Kutane Plattenepithelkarzinome als Komplikation bei diskoidem Lupus erythematodes
Pub Date : 2019-10-01 DOI: 10.1111/ddg.13944_g
A. Paschos, P. Lehmann, S. Hofmann
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引用次数: 0
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JDDG: Journal der Deutschen Dermatologischen Gesellschaft
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