Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete
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Atopic dermatitis is a chronic skin disease which is increasing in incidence and prevalence. An understanding of the mental burden patients carry is essential for successful psychodermatological treatment. ⋯ Suicidal ideation, anxiety and depression are important factors, which should be addressed when treating atopic dermatitis.
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Dermatomyositis is a rare inflammatory autoimmune disease. The association between a lipid-lowering drug like pravastatin and the development of a musculocutaneous syndrome has been reported in single case reports only. We present the first report of a simvastatin induced dermatomyositis in a 71-year-old woman with positive Mi-2-Antibodies to point out this rare side effect of the increasingly prescribed statins. In future simvastatin should be considered as a possible trigger of dermatomyositis.
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The demand for minimally invasive cosmetic procedures is increasing rapidly every year. In addition to botulinum toxin and laser treatments, the injection of dermal fillers is one of the most relevant methods. Dermal fillers can be used for a multitude of indications: wrinkles (fine to deep), lip augmentation, facial deformities, sunken scars, and HIV-related lipoatrophy in hands, neck and décolleté. ⋯ This is essential for correct administration and optimal aesthetic results. Prior to any treatment, details of the procedure, the desired effects, durability, and potential risks of the filler to be injected should be discussed with the patient. The choice of dermal filler, the injection technique, and the volume to be administered are determined according to the anatomic site, the type of defect, the desired effect, and physician experience.
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Scabies is an infectious disease caused by Sarcoptes scabiei var. hominis. The disease is mainly transmitted by close personal contact. The primary clinical picture is characterized by burrows at typical areas as well as severe pruritus, while secondarily a rather non-specific exanthema can be observed. ⋯ First choice therapy for most variants of scabies is topical permethrin. Oral administration of ivermectin is recommended for some special indications. In the following article, the current knowledge about epidemiology, biology, immunology, clinical appearance, diagnostic procedures and therapy of scabies is reviewed.
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Review Case Reports
[Caterpillar dermatitis. An increasing dermatologic problem in warmer regions of Germany].
Caterpillar dermatitis or lepidopterism (Lepidoptera = butterflies) is a toxic-irritant, or rarely allergic, reaction triggered by the release of histamine, thaumetopoein and other kinins from the hairs of butterflies and caterpillars. In Central Europe, the two main causes of caterpillar dermatitis are the oak and pine processionary caterpillar. In addition to cutaneous reactions, patients may develop conjunctivitis, bronchitis and even anaphylactic reactions. We describe the cutaneous aspects of caterpillar dermatitis based on two case reports.