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Pemphigus erythematosus with suprabasilar acantholysis and lichenoid tissue reaction or a combination of pemphigus vulgaris and lupus erythematosus: a new entity? 伴有基底上棘层溶解和地衣样组织反应的红斑天疱疮还是寻常型天疱疮和红斑狼疮的合并:一种新的实体?
Dermatologica Pub Date : 1991-01-01 DOI: 10.1159/000247673
M Megahed, G Goerz, P Kind, G Plewig
{"title":"Pemphigus erythematosus with suprabasilar acantholysis and lichenoid tissue reaction or a combination of pemphigus vulgaris and lupus erythematosus: a new entity?","authors":"M Megahed,&nbsp;G Goerz,&nbsp;P Kind,&nbsp;G Plewig","doi":"10.1159/000247673","DOIUrl":"https://doi.org/10.1159/000247673","url":null,"abstract":"<p><p>We present a 36-year-old woman with pemphigus erythematosus that showed histopathologically supra-basilar acantholysis and lichenoid tissue reaction. To our knowledge this is the first case of pemphigus erythematosus with such unusual histopathologic presentation to be reported.</p>","PeriodicalId":11117,"journal":{"name":"Dermatologica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000247673","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12907014","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: 5
Do cutaneous coryneform bacteria produce short-chain fatty acids in vitro? 皮肤棒状细菌在体外产生短链脂肪酸吗?
Dermatologica Pub Date : 1991-01-01 DOI: 10.1159/000247733
A Lukacs, H C Korting, G Ruckdeschel, W Ehret
{"title":"Do cutaneous coryneform bacteria produce short-chain fatty acids in vitro?","authors":"A Lukacs,&nbsp;H C Korting,&nbsp;G Ruckdeschel,&nbsp;W Ehret","doi":"10.1159/000247733","DOIUrl":"https://doi.org/10.1159/000247733","url":null,"abstract":"<p><p>According to an opinion shared by many, human axillary and inguinal odour is related to short-chain fatty acids produced by gram-positive bacteria. Especially coryneform bacteria are said to produce these odiferous substances. After sampling 22 different strains of coryneform bacteria we cultured them for 48 h in a rich medium. Short-chain fatty acids were extracted afterwards by shaking the liquid medium with ether. Gas chromatography was used for detection. Only one of the tested bacteria produced propionic acid. Acetic acid, (iso)butyric acid or (iso)valeric acid could never be detected. The production of substances of the short-chain fatty acid type might, however, be a consequence of the particular substrate found under physiologic conditions by these organisms in human apocrine sweat. The theory that the metabolism of these skin bacteria necessarily produces short-chain fatty acids could not be supported. Another explanation might be that unspecific secreted enzymes of the bacteria are responsible for the production of short-chain fatty acids by a cleavage of skin surface lipids.</p>","PeriodicalId":11117,"journal":{"name":"Dermatologica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000247733","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13060887","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: 10
Liver iron overload and desferrioxamine treatment of porphyria cutanea tarda. 肝铁超载加去铁胺治疗迟发性皮肤卟啉症。
Dermatologica Pub Date : 1991-01-01 DOI: 10.1159/000247732
E Rocchi, M Cassanelli, A Borghi, F Paolillo, M Pradelli, S Pellizzardi, A Vezzosi, E Gallo, M Baccarani Contri, E Ventura
{"title":"Liver iron overload and desferrioxamine treatment of porphyria cutanea tarda.","authors":"E Rocchi,&nbsp;M Cassanelli,&nbsp;A Borghi,&nbsp;F Paolillo,&nbsp;M Pradelli,&nbsp;S Pellizzardi,&nbsp;A Vezzosi,&nbsp;E Gallo,&nbsp;M Baccarani Contri,&nbsp;E Ventura","doi":"10.1159/000247732","DOIUrl":"https://doi.org/10.1159/000247732","url":null,"abstract":"<p><p>The aim of this paper is to evaluate invasive and non-invasive indices of iron store and compare the effectiveness of different ferrodepletive protocols in 150 patients with porphyria cutanea tarda (PCT). Iron removal was performed either by intensive phlebotomy (22 cases) or slow subcutaneous and high intravenous doses of desferrioxamine (18 and 5 cases, respectively), and several laboratory parameters were studied; among these, oligo-elements and urinary porphyrins (detected by HPLC) were taken into account before and after the treatments. Serum iron, transferrin saturation, ferritin (RIA) and nuclear magnetic resonance results were compared with invasive findings in order to detect the metal deposition in liver tissue (atomic absorption concentration, optic or electron-microscopic detection). Liver iron overload was observed in 95% of cases. Full normalization of the disease took place by all the treatments, even if it required slightly more time in the phlebotomy group. We may conclude that ferrodepletive treatments are highly effective in PCT and, considering the fact that siderosis and liver damage always accompany the disease, these treatments are proposed as first choice in such cases.</p>","PeriodicalId":11117,"journal":{"name":"Dermatologica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000247732","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13168901","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: 26
Vulvitis granulomatosa and anoperineitis granulomatosa. 外阴肉芽肿和肛门肉芽肿。
Dermatologica Pub Date : 1991-01-01 DOI: 10.1159/000247761
H Hackel, A A Hartmann, G Burg
{"title":"Vulvitis granulomatosa and anoperineitis granulomatosa.","authors":"H Hackel,&nbsp;A A Hartmann,&nbsp;G Burg","doi":"10.1159/000247761","DOIUrl":"https://doi.org/10.1159/000247761","url":null,"abstract":"<p><p>We present the case of a 77-year-old female with a rare genital and anoperineal granulomatous cutaneous manifestation resembling cheilitis granulomatosa Miescher. The typical histological findings of epithelioid cell granulomas were localized in the vulva and anoperineal region; the latter manifestation has not yet been described. Based on our personal observations and a review of the literature, the clinical and histological features of vulvitis granulomatosa are described.</p>","PeriodicalId":11117,"journal":{"name":"Dermatologica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000247761","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13206624","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: 16
Nodular cutaneous mucinosis--an unusual multiple type of euthyreotic focal mucinosis. 结节性皮肤黏液病——一种罕见的多发性甲状腺增生局灶性黏液病。
Dermatologica Pub Date : 1991-01-01 DOI: 10.1159/000247643
B. Schneider, D. Hohl, U. Schnyder
{"title":"Nodular cutaneous mucinosis--an unusual multiple type of euthyreotic focal mucinosis.","authors":"B. Schneider, D. Hohl, U. Schnyder","doi":"10.1159/000247643","DOIUrl":"https://doi.org/10.1159/000247643","url":null,"abstract":"A 32-year-old Turkish man with a progressive appearance of indolent, skin-colored nodules on the trunk and proximal extremities is presented. Clinical and laboratory examinations did not reveal any other relevant abnormalities. Histological specimens showed focal, ill-defined depositions of acid mucopolysaccharides mainly in the reticular dermis. Collagen fibers were split up and separated. Ultrastructurally, activated fibroblasts and an increased synthesis of collagen fibrils and elastic microfibrils as well as numerous macrophages were noticed. Diagnostically, an unusual multiple type of cutaneous focal mucinosis is most likely.","PeriodicalId":11117,"journal":{"name":"Dermatologica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88925807","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: 16
In vivo biophysical characterization of skin physiological differences in races. 人种皮肤生理差异的体内生物物理特征。
Dermatologica Pub Date : 1991-01-01 DOI: 10.1159/000247752
E Berardesca, J de Rigal, J L Leveque, H I Maibach
{"title":"In vivo biophysical characterization of skin physiological differences in races.","authors":"E Berardesca, J de Rigal, J L Leveque, H I Maibach","doi":"10.1159/000247752","DOIUrl":"10.1159/000247752","url":null,"abstract":"<p><p>The role of race in modulating skin responses has been investigated. Several parameters (skin thickness, transepidermal water loss, water content of the stratum corneum and skin biomechanics) have been measured using noninvasive tools in whites, Hispanics and blacks to assess whether the melanin content could induce changes in skin biophysical properties. Marked differences between races appear in stratum corneum water content and in skin extensibility, recovery and elastic modulus. Measurements done in different sun-exposed sites highlight the effects of solar irradiation on the skin and the role of melanin in preventing skin damage. The study shows that racial differences in skin physiology exist and are mainly related to the protective role of melanin present in races with darker skin. Moreover, differences in skin hydration are not fully explained according to the site and presence of hair.</p>","PeriodicalId":11117,"journal":{"name":"Dermatologica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13206487","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
The immunogold-silver staining procedure in the study of freshly suspended Langerhans cells at the transmission electron microscopic level. 透射电镜下研究新鲜悬浮朗格汉斯细胞免疫金-银染色方法。
Dermatologica Pub Date : 1991-01-01 DOI: 10.1159/000247799
G C Manara, C Ferrari, C Torresani, G De Panfilis
{"title":"The immunogold-silver staining procedure in the study of freshly suspended Langerhans cells at the transmission electron microscopic level.","authors":"G C Manara,&nbsp;C Ferrari,&nbsp;C Torresani,&nbsp;G De Panfilis","doi":"10.1159/000247799","DOIUrl":"https://doi.org/10.1159/000247799","url":null,"abstract":"<p><p>The potential of an immunogold-silver staining for the study of human suspended Langerhans cells at the transmission electron microscopic level was evaluated. Cells were labeled, by using a preembedding technique, with 5-nm colloidal gold particles followed by silver enhancement. The use of small colloidal gold particles permits a detection of small quantities of antigen; the metallic silver deposition around gold granules gives rise to a large electron-dense marker which can be easily detected even at low magnification. Ultrastructural details were well preserved, and the background was not significant. The major advantage of the present immunogold-silver staining is that it enables to detect labeled cells easily, even when limited amounts of antigenic moieties are present on a low percentage of cells. Therefore, a rapid and simultaneous evaluation of both immunophenotype and ultrastructural details of investigated cells is allowed.</p>","PeriodicalId":11117,"journal":{"name":"Dermatologica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000247799","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12879918","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: 3
Clinical comparison of cefuroxime axetil, cephalexin and cefadroxil in the treatment of patients with primary infections of the skin or skin structures. 头孢呋辛酯、头孢氨苄和头孢氨苄酯治疗原发性皮肤或皮肤结构感染的临床比较。
Dermatologica Pub Date : 1991-01-01 DOI: 10.1159/000247629
W M Gooch, L Kaminester, G W Cole, R Binder, M R Morman, J M Swinehart, M Wisniewski, H M Yilmaz, J J Collins
{"title":"Clinical comparison of cefuroxime axetil, cephalexin and cefadroxil in the treatment of patients with primary infections of the skin or skin structures.","authors":"W M Gooch,&nbsp;L Kaminester,&nbsp;G W Cole,&nbsp;R Binder,&nbsp;M R Morman,&nbsp;J M Swinehart,&nbsp;M Wisniewski,&nbsp;H M Yilmaz,&nbsp;J J Collins","doi":"10.1159/000247629","DOIUrl":"https://doi.org/10.1159/000247629","url":null,"abstract":"<p><p>This study was designed to compare the clinical and bacteriological efficacy of three oral cephalosporins, cefuroxime axetil, cephalexin and cefadroxil, in the treatment of patients with mild to moderate infections of the skin or skin structures. A total of 330 patients were enrolled at 10 centers and were randomly assigned to receive cefuroxime axetil 250 mg (n = 107), cephalexin 500 mg (n = 111) or cefadroxil 500 mg (n = 112), twice daily for 10 days. Patients were assessed for their clinical and bacteriological responses once during treatment (3-5 days) and twice after treatment (1-3 and 10-14 days). A total of 353 bacterial isolates were obtained: Staphylococcus aureus (41%), Staphylococcus epidermidis (33%) and Streptococcus pyogenes (5%). A satisfactory clinical outcome (cure or improvement) was achieved in 97% (89/92), 89% (80/90) and 94% (82/87) of the clinically evaluable patients treated with cefuroxime axetil, cephalexin or cefadroxil, respectively (p = 0.047, cefuroxime axetil vs. cephalexin). With respect to the eradication of the bacterial pathogens, a satisfactory outcome (cure or presumed cure) was obtained in 96% (69/72), 85% (60/71) and 93% (63/68) of bacteriologically evaluable patients treated with cefuroxime axetil, cephalexin and cefadroxil, respectively (p = 0.026, cefuroxime axetil vs. cephalexin). All three study drugs were well tolerated, with adverse events affecting the gastrointestinal system most commonly reported. There were no significant differences between treatment groups in the incidence of drug-related adverse events.</p>","PeriodicalId":11117,"journal":{"name":"Dermatologica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000247629","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12932031","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: 14
Spontaneous monitoring of adverse reactions to drugs by Italian dermatologists: a pilot study. Gruppo Italiano Studi Epidemiologici in Dermatologia. 由意大利皮肤科医生自发监测药物不良反应:一项试点研究。意大利皮肤病学流行病学研究。
Dermatologica Pub Date : 1991-01-01
{"title":"Spontaneous monitoring of adverse reactions to drugs by Italian dermatologists: a pilot study. Gruppo Italiano Studi Epidemiologici in Dermatologia.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>During 1988, the Gruppo Italiano Studi Epidemiologici in Dermatologia (GISED) coordinated a pilot study aimed at evaluating the feasibility of a system for spontaneous monitoring of adverse drug reactions in dermatological practice in Italy. Approximately 400 dermatologists were asked to collaborate, and 141 agreed to the study. Procedures similar to those well established in other surveillance programs (including the use of standard forms and standardized assessment procedure) were adopted. In a 2-month period 775 reports were collected, of which 711 were maintained after careful evaluation. The general profile of the adverse reactions reported was in accordance with the experience derived by other spontaneous surveillance programs. The main purpose of spontaneous reporting systems is the identification of new reactions, and a model analysis was proposed, in our study, with reference to skin reactions to bamifylline. The demonstration of the feasibility of a drug-monitoring program in Italy, where little tradition exists in the area, is the most important result of our study.</p>","PeriodicalId":11117,"journal":{"name":"Dermatologica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12988060","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
A case of hepatitis related to etretinate therapy and hepatitis B vaccine. 与依退酯治疗及乙肝疫苗有关的肝炎1例。
Dermatologica Pub Date : 1991-01-01 DOI: 10.1159/000247758
C Green, T Lakshmipathi
{"title":"A case of hepatitis related to etretinate therapy and hepatitis B vaccine.","authors":"C Green,&nbsp;T Lakshmipathi","doi":"10.1159/000247758","DOIUrl":"https://doi.org/10.1159/000247758","url":null,"abstract":"<p><p>The case of a 41-year-old male patient is described who developed acute reversible hepatitis related to etretinate therapy. During the course of etretinate he received 2 doses of hepatitis B vaccine; this and his HLA typing A1, A2, Bw57, Cw6 may have predisposed him to develop this reaction.</p>","PeriodicalId":11117,"journal":{"name":"Dermatologica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000247758","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12990077","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
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