Der Hautarzt最新文献_第3页

Aktuelle Aspekte zum Schmerzmanagement während und nach dermatologischen Operationen 疼痛管理的最新成果比如手术期间和之后

Der Hautarzt Pub Date : 2019-10-04 DOI: 10.1007/s00105-019-04486-1

P. Bialas, W. Hubner, T. Volk, T. Vogt, C. Müller

引用次数: 2

[Most important contact allergens in hand eczema]. [手部湿疹最重要的接触性过敏原]。

Der Hautarzt Pub Date : 2019-10-01 DOI: 10.1007/s00105-019-04472-7

V Mahler, H Dickel

{"title":"[Most important contact allergens in hand eczema].","authors":"V Mahler, H Dickel","doi":"10.1007/s00105-019-04472-7","DOIUrl":"10.1007/s00105-019-04472-7","url":null,"abstract":"The head and hands are the two most common locations for allergic contact dermatitis manifestation. In hand eczema, contact with a contact allergen is a frequent (co-)factor in the triggering and maintenance of eczema. For all hand eczemas lasting longer than 3 months, an allergological examination by means of patch testing is recommended. In patients with allergic contact dermatitis of the hands, nickel, MCI/MI, fragrance mix I, cobalt, thiuram mix, Balsam of Peru, chromium and fragrance mix II have been described in a multicenter European study as the most common contact allergens of the standard series. In the information network of dermatological clinics (IVDK) a total of 56,170 patients were patch-tested in the years 2014 to 2018. In all, 16,807 of these patients (29.9%) suffered from hand eczema, of which 7725 (46.0%) had occupational dermatosis (OD) and 6820 (40.6%) had no OD. For the remaining patients this was unknown. The top 30-list of allergens in hand eczema patients without and with OD included 22 common contact allergens, but with different reaction frequency. In hand eczema patients without OD, the following contact allergens also belong to this list: octyl gallate, sorbic acid, tert-butylhydroquinone, propylene glycol, mercury (II) amide chloride, tolubalsam, jasmine absolute, and sandalwood oil. For hand eczema patients with OD, these are instead: tetramethylthiurammonosulfide, tetramethylthiuramdisulfide, 1,3-diphenylguanidine, p‑phenylenediamine, p‑toluylenediamine, iodopropinylbutylcarbamate, glutaraldehyde, and monoethanolamine. In the case of OD of the hands, early involvement of the responsible statutory accident insurance by initiating the dermatologist procedure (\"Hautarztverfahren\") is necessary in order to work together towards successful allergen avoidance by means of substitution and optimizing personal protective equiment.","PeriodicalId":11114,"journal":{"name":"Der Hautarzt","volume":"70 1","pages":"778-789"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85530133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Treatment of hand eczema].

Der Hautarzt Pub Date : 2019-10-01 DOI: 10.1007/s00105-019-04475-4

E Berthold, E Weisshaar

{"title":"[Treatment of hand eczema].","authors":"E Berthold, E Weisshaar","doi":"10.1007/s00105-019-04475-4","DOIUrl":"10.1007/s00105-019-04475-4","url":null,"abstract":"The treatment of hand eczema represents a great challenge in the daily clinical practice for dermatologists. There are various forms of local, physical and systemic treatment, such as alitretinoin which is the only registered systemic treatment option for severe chronic hand eczema. In 2017 dupilumab was approved for the treatment of moderate to severe atopic dermatitis and can theoretically also be applied for atopic hand eczema. The first and most important step in treatment is to identify the underlying etiology of the hand eczema with the appropriate diagnostic measures, ranging from skin biopsy to allergy testing including occupational products. An important component of treatment is the basic treatment in the form of consistent and stage-adapted skin care. Treatment of hand eczema should follow a step by step procedure whereby the basic treatment should be maintained and, depending on the etiology and clinical type, should be supplemented by topical, systemic and physical treatment forms, also often used in parallel. Mild to moderate forms of hand eczema are usually treated with the basic treatment, emollients and topical glucocorticoids according to various guidelines. In moderate to severe forms of hand eczema UV phototherapy and systemic treatment should be implemented. This article summarizes the most important treatment modalities based on case reports and series, clinical studies, guidelines and expert recommendations.","PeriodicalId":11114,"journal":{"name":"Der Hautarzt","volume":"20 1","pages":"790-796"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77091427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Klassifikation des Plattenepithelkarzinoms der Haut 对皮肤细胞癌进行分类

Der Hautarzt Pub Date : 2019-09-27 DOI: 10.1007/s00105-019-04484-3

L. Kofler

引用次数: 1

Schnell wachsender, blutender Knoten an der Ferse 后面结了血，快一点

Der Hautarzt Pub Date : 2019-09-27 DOI: 10.1007/s00105-019-04487-0

T. Kuntz, Antonia Viazis, B. Koushk-Jalali, F. Oellig, U. Wieland, A. Kreuter

引用次数: 0

Granulomatöse Rosazea bei einem Lungentransplantierten 萝莎小姐接受肺移植

Der Hautarzt Pub Date : 2019-09-27 DOI: 10.1007/s00105-019-04479-0

C. Ansorge, K. Technau-Hafsi