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[Psoriasis undercover! : Relevance of advanced diagnostics in occupational dermatology].
IF 0.7
Dermatologie (Heidelberg, Germany) Pub Date : 2026-11-02 DOI: 10.1007/s00105-026-05804-0
Philipp Bentz, Elke Weisshaar
{"title":"[Psoriasis undercover! : Relevance of advanced diagnostics in occupational dermatology].","authors":"Philipp Bentz, Elke Weisshaar","doi":"10.1007/s00105-026-05804-0","DOIUrl":"https://doi.org/10.1007/s00105-026-05804-0","url":null,"abstract":"<p><p>A 60-year-old chemistry lab technician underwent a tertiary individual prevention program due to hand eczema that was believed to be work-related and refractory to treatment. While the clinical signs on her hand were inconclusive, discrete psoriasiform skin lesions were observed on the glutes. Molecular classification confirmed the diagnosis. After switching to calcipotriol and acitretin, the condition improved significantly, and the patient regained her ability to work. This case underscores the importance of a full-body examination and molecular diagnostics in unclear cases of occupational dermatology.</p>","PeriodicalId":72786,"journal":{"name":"Dermatologie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149328002","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
[Wound care following dermatologic surgical procedures]. [皮肤外科手术后的伤口护理]。
IF 0.7
Dermatologie (Heidelberg, Germany) Pub Date : 2026-11-01 Epub Date: 2026-09-01 DOI: 10.1007/s00105-026-05767-2
Conrad Hempel, Till Mittank-Weidner, Thomas Volz, Lukas Kofler, Sonja Dengler, Sylke Schneider-Burrus, Viktor Schnabel, Franziska Jochims, Sonja Grunewald
{"title":"[Wound care following dermatologic surgical procedures].","authors":"Conrad Hempel, Till Mittank-Weidner, Thomas Volz, Lukas Kofler, Sonja Dengler, Sylke Schneider-Burrus, Viktor Schnabel, Franziska Jochims, Sonja Grunewald","doi":"10.1007/s00105-026-05767-2","DOIUrl":"10.1007/s00105-026-05767-2","url":null,"abstract":"<p><strong>Background: </strong>Postoperative wound care is an essential component of dermatologic surgical procedures and has a significant impact on wound healing as well as esthetic and functional outcomes. In clinical practice, considerable differences exist with regard to the antiseptics used, dressing materials, and follow-up care concepts. Robust data on current postoperative wound care practices in dermatologic surgery in Germany are limited.</p><p><strong>Objectives: </strong>The aim of this study was to assess current postoperative wound care practices among skin surgeons in Germany and to compare them with evidence-based recommendations.</p><p><strong>Materials and methods: </strong>An anonymous, internet-based survey comprising 26 questions on postoperative wound care was conducted. The questionnaire was distributed to all members of the German Society for Dermatologic Surgery and was additionally offered during the 2025 annual meeting. Data were analyzed descriptively.</p><p><strong>Results: </strong>A total of 62 fully completed questionnaires were analyzed. Octenidine-containing or alcohol-based antiseptics were predominantly used both preoperatively and during dressing changes. Postoperative wound care following primary wound closure was largely homogeneous, whereas a high variability in dressing materials was observed for wounds healing by secondary intention. Topical antibiotics continued to be used to a significant extent despite the risk of developing resistance.</p><p><strong>Conclusion: </strong>The results demonstrate substantial heterogeneity in postoperative wound care and only partial implementation of evidence-based recommendations. In particular, the routine use of topical antibiotics and antiseptics in noninfected wounds appears questionable.</p>","PeriodicalId":72786,"journal":{"name":"Dermatologie (Heidelberg, Germany)","volume":" ","pages":"755-763"},"PeriodicalIF":0.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876691","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
[Cutaneous larva migrans]. [皮肤幼虫迁移]。
IF 0.7
Dermatologie (Heidelberg, Germany) Pub Date : 2026-11-01 Epub Date: 2026-10-16 DOI: 10.1007/s00105-026-05789-w
Marcellus Fischer
{"title":"[Cutaneous larva migrans].","authors":"Marcellus Fischer","doi":"10.1007/s00105-026-05789-w","DOIUrl":"10.1007/s00105-026-05789-w","url":null,"abstract":"<p><p>Cutaneous larva migrans is the most frequent parasitic tropical dermatosis imported by travelers returning from tropical and subtropical regions worldwide. Epidemiologically, this skin condition is predominantly acquired during beach stays, with high-risk areas including Southeast Asia, Central and South America, and the Caribbean. The underlying cause is an infection with animal hookworm larvae, most commonly Ancylostoma braziliense, which are shed in the feces of infected dogs and cats. Because humans act as accidental hosts, the larvae penetrate the epidermis but are unable to mature into adult worms or migrate into deeper tissues. The clinical presentation typically features an intensely pruritic, raised, erythematous, and serpiginous creeping track, which is most commonly located on the feet. In clinical practice, the guideline-recommended treatment consists of systemic anthelmintic therapy, primarily utilizing a single oral dose of ivermectin or a 3-day course of oral albendazole. Alternatively, topical treatments such as a thiabendazole ointment 10% can be applied locally.</p>","PeriodicalId":72786,"journal":{"name":"Dermatologie (Heidelberg, Germany)","volume":" ","pages":"729-734"},"PeriodicalIF":0.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149207944","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
[Leishmaniasis]. (利什曼病)。
IF 0.7
Dermatologie (Heidelberg, Germany) Pub Date : 2026-11-01 Epub Date: 2026-10-22 DOI: 10.1007/s00105-026-05790-3
Esther von Stebut
{"title":"[Leishmaniasis].","authors":"Esther von Stebut","doi":"10.1007/s00105-026-05790-3","DOIUrl":"10.1007/s00105-026-05790-3","url":null,"abstract":"<p><p>Leishmaniasis is a globally rising parasitic disease. In Germany, it mainly affects travelers returning from endemic areas such as the Mediterranean region. It is caused by single-celled Leishmania parasites, which enter the skin through the bite of sandflies and multiply within the host's cells. Clinical presentation varies significantly depending on the pathogen species and the patient's immune status-ranging from the visceral form to various cutaneous manifestations (localized cutaneous, diffuse cutaneous, mucocutaneous). Cutaneous leishmaniasis often manifests with a delay of several weeks: it begins as a small papule and can develop into an ulcer. While some lesions heal after several months leaving scars, others develop into chronic wounds. If suspected, a skin biopsy should always be taken and analyzed in a specialized laboratory using histology and PCR. For individually tailored treatment-whether local or systemic-factors such as the pathogen species, the number and location of skin lesions, and the patient's immune status are crucial. A modern, well-tolerated vaccine is currently not available.</p>","PeriodicalId":72786,"journal":{"name":"Dermatologie (Heidelberg, Germany)","volume":" ","pages":"719-728"},"PeriodicalIF":0.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149247669","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
[Multiple papules on the thighs in an adult]. [成人大腿上的多个丘疹]。
IF 0.7
Dermatologie (Heidelberg, Germany) Pub Date : 2026-11-01 Epub Date: 2026-06-19 DOI: 10.1007/s00105-026-05728-9
Christiane Cussigh, Alexander Enk, Ferdinand Toberer
{"title":"[Multiple papules on the thighs in an adult].","authors":"Christiane Cussigh, Alexander Enk, Ferdinand Toberer","doi":"10.1007/s00105-026-05728-9","DOIUrl":"10.1007/s00105-026-05728-9","url":null,"abstract":"<p><p>Initial presentation of eruptive xanthogranulomas in adulthood is less common than in childhood. The pathogenesis is not yet fully understood. Isolated case reports with associations to hematological disorders have been described. Histology reveals a dermal histiocytic inflammatory infiltrate as well as multinucleated Touton giant cells. We report a case of multiple eruptive xanthogranulomas in an adult with partial spontaneous regression.</p>","PeriodicalId":72786,"journal":{"name":"Dermatologie (Heidelberg, Germany)","volume":" ","pages":"770-772"},"PeriodicalIF":0.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148280212","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
[Myiasis: a practical approach]. [蝇蛆：一种实用的方法]。
IF 0.7
Dermatologie (Heidelberg, Germany) Pub Date : 2026-11-01 Epub Date: 2026-10-11 DOI: 10.1007/s00105-026-05791-2
Andrea Vanegas Ramirez
{"title":"[Myiasis: a practical approach].","authors":"Andrea Vanegas Ramirez","doi":"10.1007/s00105-026-05791-2","DOIUrl":"10.1007/s00105-026-05791-2","url":null,"abstract":"<p><p>Myiasis refers to the infestation of humans or other vertebrates by dipteran larvae that feed on living or necrotic tissue. It occurs worldwide, particularly in tropical and subtropical regions. Furuncular myiasis presents as a painful, erythematous, furuncle-like nodule with a central breathing pore, often accompanied by serous discharge and a sensation of movement. In Central and South America, it is caused by Dermatobia hominis, whereas in sub-Saharan Africa, Cordylobia anthropophaga is the predominant causative species. While D. hominis transfers its eggs to humans via blood-feeding arthropods, C. anthropophaga is commonly transmitted through contaminated clothing dried outdoors. The larvae develop obligatorily in the subcutaneous tissue; development takes several weeks for Dermatobia and typically 1-2 weeks for Cordylobia. The disease follows a progressive course and does not respond to antibiotic therapy. Treatment consists of mechanical removal of the larva followed by local wound care. Tetanus vaccination status should be assessed and updated if necessary. Antibiotics are indicated only in cases of bacterial superinfection. Migratory myiasis results from the migration of dipteran larvae within the skin and presents with intensely pruritic, serpiginous or linear skin lesions. Important causative agents include Gasterophilus and Hypoderma spp. Treatment consists of complete removal of the larva. Aggressive wound myiasis results from the infestation of open or necrotic wounds as well as skin neoplasms by dipteran larvae. In facultative myiasis, larvae of the family Calliphoridae feed on devitalized and necrotic tissue. This characteristic forms the basis for the therapeutic use of larvae of the species Lucilia in maggot therapy, which is employed for wound debridement in necrotic or fibrin-covered ulcers. In contrast, obligate myiasis can cause tissue destruction, pain, and secondary bacterial infections through damage of viable tissue. Treatment involves complete removal of the larvae, thorough wound cleansing, and debridement. Where clinically indicated, antibiotic therapy may also be required.</p>","PeriodicalId":72786,"journal":{"name":"Dermatologie (Heidelberg, Germany)","volume":" ","pages":"735-740"},"PeriodicalIF":0.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171570","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
[Tertiary syphilis as rare cause of ulcerations]. [三期梅毒是罕见的溃疡病因]。
IF 0.7
Dermatologie (Heidelberg, Germany) Pub Date : 2026-11-01 Epub Date: 2026-08-07 DOI: 10.1007/s00105-026-05763-6
Juliane Reinsch, Diana Kohn, Tino Wetzig
{"title":"[Tertiary syphilis as rare cause of ulcerations].","authors":"Juliane Reinsch, Diana Kohn, Tino Wetzig","doi":"10.1007/s00105-026-05763-6","DOIUrl":"10.1007/s00105-026-05763-6","url":null,"abstract":"","PeriodicalId":72786,"journal":{"name":"Dermatologie (Heidelberg, Germany)","volume":" ","pages":"764"},"PeriodicalIF":0.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686757","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
[Classification and special characteristics of parasitic skin infections]. 【皮肤寄生虫感染的分类及特点】。
IF 0.7
Dermatologie (Heidelberg, Germany) Pub Date : 2026-11-01 Epub Date: 2026-10-28 DOI: 10.1007/s00105-026-05796-x
Cord Sunderkötter
{"title":"[Classification and special characteristics of parasitic skin infections].","authors":"Cord Sunderkötter","doi":"10.1007/s00105-026-05796-x","DOIUrl":"10.1007/s00105-026-05796-x","url":null,"abstract":"<p><p>Classification of cutaneous parasitic diseases is relevant to gain an overview, but complex, because parasites are heterogeneous, encompassing unicellular protozoa and multicellular helminths. For clinical use, the classification may take into account the following aspects: (a) the initially infected organ: the intestine in e.g. gnathostomiasis, amebisias, or the skin, subdivided into either infestation of superficial skin areas in scabies, pediculosis, tungiasis, or active (without help of a vector) penetration into the subepidermal space in cutaneous larva migrans and cercarial dermatitis, (b) transmission route: active penetration of the skin such as in cutaneous larva migrans, larva currens, or via blood- or lymphvessels after uptake from the intestines (gnathostomiasis, dracunculiasis) or via arthropods as vector (leishmaniasis [often skin-restricted infection with protozoa], Chagas disease, as example for systemic infection with protozoa, or onchocerciasis [river blindness] and lymphatic filariasis as examples for helminths cutaneously transmitted by vectors), (c) dissemination (remaining in the skin or systemic spread in other organs as with Strongyloides stercoralis, schistosoma [Bilharziosis]), (d) permanent (scabies, pediculosis, tungiasis) or temporary infestation (bedbugs, fleas). Classification and overview of the various parasitic skin infections helps to guide treatment planning of patients, to keep rare infections in mind (e.g., to consider infection with Entamoeba histolytica besides ecthyma or pyoderma gangrenosum in patients with progressive perianal ulcers), and to consider a potential infection with Strongyloides prior to immunosuppressive therapies in patients with respective history. As such, timely diagnosis and treatment of a patient with acute or chronic papular dermatitis from endemic areas in Africa can prevent river blindness.</p>","PeriodicalId":72786,"journal":{"name":"Dermatologie (Heidelberg, Germany)","volume":" ","pages":"711-718"},"PeriodicalIF":0.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149302573","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
OMW: Niedrig dosiertes orales Minoxidil. 低剂量口服米诺地尔。
IF 0.7
Dermatologie (Heidelberg, Germany) Pub Date : 2026-11-01 DOI: 10.1007/s00105-026-05787-y
Karin Beyer
{"title":"OMW: Niedrig dosiertes orales Minoxidil.","authors":"Karin Beyer","doi":"10.1007/s00105-026-05787-y","DOIUrl":"10.1007/s00105-026-05787-y","url":null,"abstract":"","PeriodicalId":72786,"journal":{"name":"Dermatologie (Heidelberg, Germany)","volume":" ","pages":"765"},"PeriodicalIF":0.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149083004","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
[Tungiasis: from travel-associated dermatosis to a neglected tropical disease]. [通虫病：从与旅行有关的皮肤病到被忽视的热带病]。
IF 0.7
Dermatologie (Heidelberg, Germany) Pub Date : 2026-11-01 Epub Date: 2026-10-09 DOI: 10.1007/s00105-026-05792-1
Andrea Vanegas Ramirez
{"title":"[Tungiasis: from travel-associated dermatosis to a neglected tropical disease].","authors":"Andrea Vanegas Ramirez","doi":"10.1007/s00105-026-05792-1","DOIUrl":"10.1007/s00105-026-05792-1","url":null,"abstract":"<p><p>Tungiasis is an ectoparasitic skin disease caused by the penetration of female sand fleas (Tunga penetrans) into the epidermis. It is endemic in Latin America, the Caribbean, and sub-Saharan Africa and occurs in Europe predominantly as a travel-associated dermatosis. Characteristic lesions are whitish-yellow papules or nodules with a central dark punctum, predominantly affecting the feet and often accompanied by erythema, pruritus, and pain. Severe infestations may lead to ulceration, nail dystrophy, and secondary bacterial infections. In low-income endemic communities, particularly among children and vulnerable populations, tungiasis represents not only a relevant public health problem but also a significant social and economic burden. Diagnosis is primarily clinical, based on the characteristic lesions and travel and exposure history. Treatment consists of complete removal of the embedded flea under aseptic conditions; in patients with multiple lesions, topical low-viscosity dimethicone may be used. Preventive measures include wearing closed footwear and avoiding direct skin contact with contaminated soil.</p>","PeriodicalId":72786,"journal":{"name":"Dermatologie (Heidelberg, Germany)","volume":" ","pages":"741-743"},"PeriodicalIF":0.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148868","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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