Dermatologie (Heidelberg, Germany)最新文献_第10页

[Sustainability in occupational dermatology : Starting points, challenges, and potentials for sustainable care of work-related skin diseases]. [职业皮肤病学的可持续性：与工作有关的皮肤病可持续护理的起点、挑战和潜力]。

Dermatologie (Heidelberg, Germany) Pub Date : 2024-09-01 Epub Date: 2024-08-02 DOI: 10.1007/s00105-024-05387-8

Annika Wilke, Christoph Skudlik, Michaela Ludewig

引用次数: 0

[Crisis resilience in medical practices and clinics]. [医疗实践和诊所的危机应变能力]。

Dermatologie (Heidelberg, Germany) Pub Date : 2024-09-01 Epub Date: 2024-06-27 DOI: 10.1007/s00105-024-05386-9

Christina Hecker, Susanne Saha, Dennis Niebel, Anne Hübner

{"title":"[Crisis resilience in medical practices and clinics].","authors":"Christina Hecker, Susanne Saha, Dennis Niebel, Anne Hübner","doi":"10.1007/s00105-024-05386-9","DOIUrl":"10.1007/s00105-024-05386-9","url":null,"abstract":"Background: Climate change because of anthropogenic greenhouse gas emissions increasingly triggers extreme weather events. Of all the continents, Europe is warming the fastest. Heat and drought, forest fires and floods will worsen in Europe even in optimistic global warming scenarios, affecting living conditions across the continent. Extreme weather events threaten energy and food security, ecosystems, infrastructure, water resources, financial stability, and people's healthcare. Many of these risks have already reached critical levels and could take on catastrophic proportions without immediate, decisive action.Objectives: This paper outlines current challenges for medical practices and clinics in the context of climate change and provides examples and guidance for strengthening crisis resilience.Materials and methods: Selective literature review on the different requirements for crisis resilience in practices and clinics was performed.Results: Medical practices and clinics achieve crisis resilience by high degrees of adaptability and flexibility. They prepare for climate change-related challenges and are, therefore, able to protect themselves and maintain their function in the healthcare system. Recent weather events in Germany revealed insufficient resilience among the healthcare sector; hence, improvements are necessary.Conclusions: Changing environmental conditions urgently require the healthcare sector to adapt and effectively strengthen crisis resilience in order to ensure that critical infrastructure remains functional and the population has access to healthcare.","PeriodicalId":72786,"journal":{"name":"Dermatologie (Heidelberg, Germany)","volume":" ","pages":"680-686"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141461189","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

[Quality of life and sleep quality in patients with chronic pruritus]. [慢性瘙痒症患者的生活质量和睡眠质量］

Dermatologie (Heidelberg, Germany) Pub Date : 2024-08-01 Epub Date: 2024-06-24 DOI: 10.1007/s00105-024-05373-0

Caroline Mann, Petra Staubach

引用次数: 0

[Outpatient psychosocial screening in a skin cancer center: acceptance, psychosocial distress and utilization of support : A post hoc analysis in a quality management program]. [一家皮肤癌中心的门诊患者社会心理筛查：接受度、社会心理困扰和对支持的利用：质量管理计划中的事后分析]。

Dermatologie (Heidelberg, Germany) Pub Date : 2024-08-01 Epub Date: 2024-05-08 DOI: 10.1007/s00105-024-05347-2

Alexander Wünsch, Niklas Jeske, Natalie Röderer, Frank Meiss

{"title":"[Outpatient psychosocial screening in a skin cancer center: acceptance, psychosocial distress and utilization of support : A post hoc analysis in a quality management program].","authors":"Alexander Wünsch, Niklas Jeske, Natalie Röderer, Frank Meiss","doi":"10.1007/s00105-024-05347-2","DOIUrl":"10.1007/s00105-024-05347-2","url":null,"abstract":"Background: Psychosocial care of cancer patients is an important aspect throughout the entire course of oncological treatment. Since 2015, psychosocial screening has been implemented in the outpatient clinics of the Skin Cancer Center in Freiburg. We present here a post hoc analysis in the context of a quality management program.Question: Acceptance, psychosocial distress and desire for counseling were evaluated. Exploratively, we investigated which patient and disease characteristics are related to increased subjective distress.Materials and methods: In a full survey from 06/2015 to 12/2015, we evaluated acceptance, psychosocial distress by distress thermometer (DT), and desire for counseling.Results: Of 753 patients, 345 (45.8%) participated in psychosocial screening and data from 310 (174 men, 136 women; 89.7% melanoma patients, mean time since initial diagnosis 4.7 ± 3.9 years) could be analyzed. The mean burden on the DT was 2.97 ± 2.83 (median 2, range 0-10). High distress (DT ≥ 5) was reported by 84 patients (28.8%). Thirty-four patients (11%) indicated a desire for counseling, and 23 patients took up the counseling offer. The patient group with high distress was younger, more often under ongoing or recently completed systemic therapy, and had more often a desire for counseling.Conclusion: In addition to assessing psychosocial distress with validated screening instruments, the survey of the subjective desire for care represents an important parameter for the identification of patients in need of care. Young patients and patients with ongoing systemic therapy should be the focus of attention.","PeriodicalId":72786,"journal":{"name":"Dermatologie (Heidelberg, Germany)","volume":" ","pages":"629-639"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11300471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140892683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Complex cutaneous leishmaniasis with bone involvement]. [复杂性皮肤利什曼病伴骨受累]。

Dermatologie (Heidelberg, Germany) Pub Date : 2024-08-01 Epub Date: 2024-06-25 DOI: 10.1007/s00105-024-05355-2

G A Hübner, W Prüßmann, N Jossifov, A Mischnik, P Terheyden

引用次数: 0

Dermatologie (Heidelberg, Germany) Pub Date : 2024-08-01 Epub Date: 2024-06-28 DOI: 10.1007/s00105-024-05380-1

M M Düll, A E Kremer

{"title":"[Recommended diagnostics for pruritus affecting primary non-lesional skin].","authors":"M M Düll, A E Kremer","doi":"10.1007/s00105-024-05380-1","DOIUrl":"10.1007/s00105-024-05380-1","url":null,"abstract":"Background: Chronic pruritus affecting primary non-lesional skin (CPNL) manifests as a common symptom across a spectrum of diseases spanning various medical specialties. Given the diverse etiological factors involved, diagnosing the underlying condition poses a significant challenge.Objectives: To provide a comprehensive overview of clinical, laboratory, and imaging diagnostics for CPNL.Materials and methods: A thorough literature search on the diagnostics of chronic pruritus was conducted using PubMed with specific keywords \"chronic pruritus AND non-lesional skin\", \"chronic itch AND non-lesional skin\", \"chronic pruritus AND diagnostics\", \"chronic itch AND diagnostics\", \"CKD-aP\", \"hepatic pruritus\", \"cholestatic pruritus\", and \"myeloproliferative neoplasms AND pruritus\".Results: A systematic diagnostic approach is recommended for patients with CPNL, guided by the prevalence of pruritus-associated diseases. Initial basic diagnostics facilitate a cost-effective and focused evaluation during the initial medical assessment. Information pertaining to underlying diseases can be further refined through specialized diagnostic procedures.Conclusions: CPNL often presents a diagnostic dilemma. Adopting a stepwise diagnostic strategy facilitates the identification of underlying etiologies, which is crucial for recognizing diseases and administering pruritus-specific pharmacotherapy.","PeriodicalId":72786,"journal":{"name":"Dermatologie (Heidelberg, Germany)","volume":" ","pages":"597-605"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11300620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Treatment of chronic prurigo: update and perspectives]. [慢性瘙痒症的治疗：最新进展和前景]。

Dermatologie (Heidelberg, Germany) Pub Date : 2024-08-01 Epub Date: 2024-06-13 DOI: 10.1007/s00105-024-05375-y

F Witte, S Ständer, C Zeidler

引用次数: 0

[Neuropathy in pruritus medicine : Recommended diagnostics and therapy]. [瘙痒医学中的神经病变：建议的诊断和治疗]。

Dermatologie (Heidelberg, Germany) Pub Date : 2024-08-01 Epub Date: 2024-06-13 DOI: 10.1007/s00105-024-05374-z

Manuel P Pereira, Martin Metz

{"title":"[Neuropathy in pruritus medicine : Recommended diagnostics and therapy].","authors":"Manuel P Pereira, Martin Metz","doi":"10.1007/s00105-024-05374-z","DOIUrl":"10.1007/s00105-024-05374-z","url":null,"abstract":"Chronic itch is a frequent and debilitating condition that greatly affects the quality of life of those affected. In a subset of patients, damage to the peripheral or central nervous system constitutes the cause of the itch. Small-fiber neuropathy, nerve compression syndromes, post-herpetic neuralgia, scars and burns are possible conditions affecting the peripheral nervous system potentially causing itch, whereas space-occupying lesions affecting the spinal cord and stroke are examples of conditions that may induce central itch. Neuropathic itch starts on normal appearing skin, is often accompanied by pain sensations and other dysesthesias, and usually relieved by local cold application. Its distribution depends on the affected site of the somatosensory system. A comprehensive medical history is paramount to reach the diagnosis, while complementary diagnostics with skin biopsies for the investigation of cutaneous neuromorphological alterations or medical imaging to rule out nerve impingement may be advised in selected cases. Topical agents such as capsaicin or local anesthetics as well as systemic drugs such as gabapentinoids, antidepressants and opioid receptor modulators are used in the treatment of neuropathic itch. This review article provides an overview of the clinical features, underlying causes, diagnostic workup and therapeutic approach in neuropathic itch.","PeriodicalId":72786,"journal":{"name":"Dermatologie (Heidelberg, Germany)","volume":" ","pages":"606-611"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141312419","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

[Pruritus]. [瘙痒]。

Dermatologie (Heidelberg, Germany) Pub Date : 2024-08-01 Epub Date: 2024-08-05 DOI: 10.1007/s00105-024-05385-w

Claudia Zeidler, Svenja Müller

引用次数: 0

[Dermatomycoses: topical and systemic antifungal treatment]. [皮霉菌病：局部和全身抗真菌治疗]。

Dermatologie (Heidelberg, Germany) Pub Date : 2024-08-01 Epub Date: 2024-06-14 DOI: 10.1007/s00105-024-05359-y

Pietro Nenoff, Esther Klonowski, Silke Uhrlaß, Martin Schaller, Uwe Paasch, Peter Mayser

{"title":"[Dermatomycoses: topical and systemic antifungal treatment].","authors":"Pietro Nenoff, Esther Klonowski, Silke Uhrlaß, Martin Schaller, Uwe Paasch, Peter Mayser","doi":"10.1007/s00105-024-05359-y","DOIUrl":"10.1007/s00105-024-05359-y","url":null,"abstract":"Topical antifungals with activity against dermatophytes include amorolfine, allylamines, azoles, ciclopiroxolamine, and tolnaftate. Polyene antimycotics, such as amphotericin B and nystatin, alternatively, miconazole are suitable for yeast infections of the skin and mucous membranes. For severe yeast infections of the skin and mucous membranes, oral triazole antimycotics, such as fluconazole and itraconazole, are used. Pityriasis versicolor is treated topically with antimycotics, and in severe forms also orally with itraconazole, alternatively fluconazole. Terbinafine, itraconazole and fluconazole are currently available for the systemic treatment of severe dermatophytoses, tinea capitis and onychomycosis. In addition to proven therapeutic regimens, unapproved (off-label use) intermittent low-dose therapies are increasingly being used, particularly in onychomycosis. Oral antimycotics for the treatment of tinea capitis and onychomycosis in children and adolescents can only be used off-label in Germany. In general, any oral antifungal treatment should always be combined with topical antifungal therapy. In tinea corporis and tinea cruris caused by Trichophyton (T.) mentagrophytes ITS (internal transcribed spacer) genotype VIII (T. indotineae), there is usually terbinafine resistance. Identification of the species and genotype of the dermatophyte and resistance testing are required. The drug of choice for T. mentagrophytes ITS genotype VIII dermatophytoses is itraconazole. In individual cases, treatment-refractory onychomycosis may be due to terbinafine resistance of T. rubrum. Here too, resistance testing and alternative treatment with itraconazole should be considered. Therapy monitoring should be carried out culturally and, if possible, using molecular methods (polymerase chain reaction). Alternative treatment options include laser application, and photodynamic therapy (PDT).","PeriodicalId":72786,"journal":{"name":"Dermatologie (Heidelberg, Germany)","volume":" ","pages":"655-673"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141319158","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