{"title":"[Psychological aspects in occupational dermatology].","authors":"Maurice Waitek, Elke Weisshaar","doi":"10.1007/s00105-024-05456-y","DOIUrl":"10.1007/s00105-024-05456-y","url":null,"abstract":"<p><p>The prevalence of psychological disorders in the general population and, therefore, in dermatological and allergological patients continues to increase. Psychodermatology as a branch of dermatology is also becoming ever more relevant in occupational dermatology. Psychological comorbidities and cofactors like depression and anxiety disorders or stress are increasingly important, which must be considered regarding diagnostics and therapy selection. Especially stress is becoming recognized as a possible aggravating factor. There have been numerous studies on selected clinical diseases like atopic dermatitis (AD) regarding the psychological influence on the disease in recent years, but for hand eczema (HE), especially occupational HE, there is hardly any data, especially on psychological comorbidities and cofactors regarding causality. Stress seems to play an increasingly important role in the work environment of patients and their private lives. This article provides an overview of psychological cofactors and comorbidities in occupational dermatoses. The current literature and our own observations and experiences in an occupational dermatology center are taken into account.</p>","PeriodicalId":72786,"journal":{"name":"Dermatologie (Heidelberg, Germany)","volume":" ","pages":"57-63"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017374","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}
Caroline Wald, Jan-Christoph Simon, Regina Treudler
{"title":"[Cutaneous ulceration in dermatomyositis : Case reports with positive anti-NXP-2/anti-TIF1-gamma antibody status].","authors":"Caroline Wald, Jan-Christoph Simon, Regina Treudler","doi":"10.1007/s00105-024-05462-0","DOIUrl":"10.1007/s00105-024-05462-0","url":null,"abstract":"<p><p>Painful ulcerations developed in a 33-year-old woman with anti-NXP-2-positive dermatomyositis in the facial and trunk areas and a 67-year-old woman with TIF1-gamma-positive dermatomyositis on the hands, while undergoing systemic therapy with azathioprine or low-dose methylprednisolone and cyclic administration of intravenous immunoglobulins (IVIG), respectively. In the laboratory workup, the anti-MDA‑5 antibody status remained negative and the creatine kinase (CK) normal in both patients, while histopathological examinations were nonspecific. Intensive topical class 4 corticosteroid therapy and continuation of the immunosuppressive or immunomodulating therapy led to healing of the ulcerative skin lesions. This report aims to raise awareness of the rare occurrence of cutaneous ulceration in anti-NXP-2- or anti-TIF1-gamma-positive dermatomyositis, as ulcerations may be associated with a severe disease course. In both of our patient cases, it is exclusively a dermal manifestation without other complications.</p>","PeriodicalId":72786,"journal":{"name":"Dermatologie (Heidelberg, Germany)","volume":" ","pages":"97-100"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11779758/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017366","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}
{"title":"[Happiness-A concept for holistic person-centered healthcare in dermatology].","authors":"Stefanie Ziehfreund, C Peifer, A Zink","doi":"10.1007/s00105-024-05454-0","DOIUrl":"10.1007/s00105-024-05454-0","url":null,"abstract":"<p><strong>Background: </strong>Happiness is a concept in positive psychology. Studies have shown links between happiness, courses of diseases and health. In dermatology the role of happiness has not yet been sufficiently investigated.</p><p><strong>Research question: </strong>What impact do skin diseases have on individual happiness and what contribution can happiness make to holistic dermatological care?</p><p><strong>Material and methods: </strong>Processing of the current literature for a selective overview of primary scientific studies on happiness based on heuristic happiness and subjective well-being measured by positive and negative affects as well as satisfaction with life in dermatology.</p><p><strong>Results: </strong>Patients with skin diseases show significant impairments in happiness, especially in the positive affect and satisfaction with life compared to the healthy population. The impairments appear to be expressed differently for different dermatoses; for example, patients with skin cancer show significantly higher life satisfaction than other dermatological patients. Influencing factors vary in their strength and direction depending on the operationalization of happiness and the skin disease.</p><p><strong>Discussion: </strong>Dermatological diseases appear to be associated with impairments in happiness, particularly in the positive affect. Integrating happiness into dermatological care could help to have a better understanding of patients' individual needs in the context of holistic, person-centered healthcare. Future research and specific interventions to improve happiness should be developed to promote positive health outcomes.</p>","PeriodicalId":72786,"journal":{"name":"Dermatologie (Heidelberg, Germany)","volume":" ","pages":"64-71"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017369","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}
Andrei Tanasov, Lawrence Chukwudi Nwabudike, George-Sorin Tiplica
{"title":"[Ulcers and diabetic foot : Modern and alternative treatment strategies].","authors":"Andrei Tanasov, Lawrence Chukwudi Nwabudike, George-Sorin Tiplica","doi":"10.1007/s00105-024-05442-4","DOIUrl":"10.1007/s00105-024-05442-4","url":null,"abstract":"<p><p>Treatment of diabetic foot is challenging due to the complex pathophysiological mechanisms, various clinical manifestations, severe complications with considerable impairment of quality of life, and the need for special, individualized treatment strategies. Particularly in the case of diabetic foot ulcers, conventional therapies are not always effective, so new treatment strategies are needed. This review aims to present alternative therapies with current efficacy data for diabetic foot ulcers that may be suitable for treatment-refractory ulcers. Platelet-rich plasma and stem cells have regenerative and anti-inflammatory effects and show good results in the treatment of diabetic ulcers, while ozone therapy improves local circulation and antioxidant levels. Wearable devices could become crucial for the long-term monitoring of patients with diabetic foot as they allow early identification of ulcers or infections. There are also literature reports of alternative treatments (e.g., maggot debridement, honey dressings, acupuncture) that have been used successfully for treatment-refractory ulcers, demonstrating how diverse the management of the diabetic foot can be.</p>","PeriodicalId":72786,"journal":{"name":"Dermatologie (Heidelberg, Germany)","volume":" ","pages":"3-8"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11711874/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848480","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}
Klaus Fritz, Carmen Salavastru, Seher Eren, George-Sorin Tiplica
{"title":"[The impact of diabetes on aesthetic procedures].","authors":"Klaus Fritz, Carmen Salavastru, Seher Eren, George-Sorin Tiplica","doi":"10.1007/s00105-024-05443-3","DOIUrl":"10.1007/s00105-024-05443-3","url":null,"abstract":"<p><p>Diabetes may have an impact on aesthetic medicine, influencing both the safety and efficacy of various aesthetic procedures. Key aspects of the impact of diabetes on aesthetic medicine are summarized. Individuals with diabetes often experience dry skin, a condition known as xerosis, which may affect the overall texture and appearance of the skin. Diabetes can compromise the immune system, making individuals more susceptible to skin infections. Aesthetic procedures involve the introduction of foreign substances, and compromised skin integrity may heighten the risk of infection. This underscores the importance of strict hygiene and postprocedure care to minimize the risk of complications. Delayed wound healing can be a significant concern in aesthetic procedures where incisions, injections, or other manipulations are made, as impaired healing may affect the final outcome and increase the risk of complications. Collagen metabolism, affecting the elasticity and structural integrity of the skin, may influence the long-term results of procedures such as dermal fillers, where collagen plays a crucial role in maintaining skin volume and firmness. Diabetes is linked to vascular complications, including poor blood circulation, which may have implications for procedures like laser treatments or other interventions that rely on adequate blood supply for optimal results.</p>","PeriodicalId":72786,"journal":{"name":"Dermatologie (Heidelberg, Germany)","volume":" ","pages":"15-20"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787970","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}
Viktoria Weber, Konstantin Weimann, Isabel Kolm, Barbara Meier-Schiesser
{"title":"[Erythema nodosum].","authors":"Viktoria Weber, Konstantin Weimann, Isabel Kolm, Barbara Meier-Schiesser","doi":"10.1007/s00105-024-05429-1","DOIUrl":"10.1007/s00105-024-05429-1","url":null,"abstract":"<p><p>Erythema nodosum (EN) is the most frequently occurring form of acute panniculitis. It is characterized by painful red to livid raised nodules or bumps that typically occur symmetrically in the shin area. The cause of EN is often a reaction of the immune system to various triggers including infections, inflammatory diseases or medications. In approximately half of the cases no trigger can be identified. After treatment of the underlying pathology EN is typically self-limiting.</p>","PeriodicalId":72786,"journal":{"name":"Dermatologie (Heidelberg, Germany)","volume":" ","pages":"40-48"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11711137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607713","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}
Evgenia Makrantonaki, Spyridon Kostaras, Christos C Zouboulis
{"title":"[Bacterial cutaneous infections in diabetes mellitus and treatment].","authors":"Evgenia Makrantonaki, Spyridon Kostaras, Christos C Zouboulis","doi":"10.1007/s00105-024-05441-5","DOIUrl":"10.1007/s00105-024-05441-5","url":null,"abstract":"<p><p>Diabetes mellitus (DM) is a debilitating, life-limiting disease. According to recent estimates, 415 million adults currently suffer from the disease. This number is expected to rise to 642 million by 2040. Skin disorders can often predict the onset of this metabolic disorder. Uncontrolled hyperglycemia impairs the overall immunity of patients with DM, involving various mechanistic pathways, resulting in the diabetic skin being immunocompromised and prone to bacterial infections. Among others, diabetic foot infections are very common. In this article, we have focused on the association of DM with different types of bacterial skin infections and resistance patterns to antimicrobial agents commonly used in the treatment of diabetes-associated infections.</p>","PeriodicalId":72786,"journal":{"name":"Dermatologie (Heidelberg, Germany)","volume":" ","pages":"9-14"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792848","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}