Morand J-J
Service de dermatologie, Hôpital militaire Alphonse Laveran, Institut de médecine tropicale du service de santé des armées, Marseille, France.
Ann Dermatol Venereol. 2009 Dec;136 Suppl 7:S393-406. doi: 10.1016/S0151-9638(09)73381-2.
The actuality in clinical dermatology is, to our opinion, dominated by the emergent or reemergent infections (arboviruses, poxviruses, mycobacteria, leishmania, staphylococcus, papillomaviruses, bedbugs...) and their involvement in certain diseases (atopia, psoriasis), tumours or syndromes with dermatologic signs (IRIS). The cutaneous adverse side effects of the targeted chemotherapies and biotherapies are consequently better surrounded. Some rare new anatomoclinical entities are identified but "classics" (Lipschütz ulcer, pityriasis rosea, deep dissecting hematoma, puffy hand syndrome, disseminata alopecia areata) are rediscovered and better represented thanks to help, sometimes, by new techniques.
在我们看来,临床皮肤科的现状主要由新发或再发感染(虫媒病毒、痘病毒、分枝杆菌、利什曼原虫、葡萄球菌、乳头瘤病毒、臭虫等)以及它们在某些疾病(特应性、银屑病)、具有皮肤症状的肿瘤或综合征(免疫重建炎症综合征)中的作用所主导。因此,靶向化疗和生物治疗的皮肤不良反应得到了更好的了解。一些罕见的新解剖临床实体被识别出来,但“经典”疾病(利普许茨溃疡、玫瑰糠疹、深部潜行性血肿、手部肿胀综合征、播散性斑秃)有时借助新技术得以重新发现并得到更好的呈现。