Lok C
Service de Dermatologie, CHU Amiens Picardie, EA 4666, Université Picardie Jules Verne.
Ann Dermatol Venereol. 2016 Dec;143 Suppl 3:S1-S10. doi: 10.1016/S0151-9638(18)30043-7.
Zika virus: what the dermatologist should know. Probably a new vaccine against herpes zoster and postherpetic neuralgia in older adults. Defining moderate, significant and extensive types of pemphigus with ABSIS et PDAI scores. Biologic Therapies and serious infections in patients with psoriasis. We can be cautiously optimistic, in that tuberculosis is rare but still occurs despite adherence to tuberculosis prevention guidelines. Others serious infections are rare, mainly pneumonia and cellulitis. Hidradenitis suppurativa: an unrecognized paradoxical effect of biologic agents. There is an association between Inflammatory Bowel Disease (IBD) and Hidradenitis suppurativa (HS), mostly with Crohn's disease, suggesting the need to look for signs and symptoms of IBD in HS patients. A study of 550 twins found that genetic and environmental factors each contribute to approximately half of the score of rosacea. Telangiectasia Macularis Eruptiva Perstans is a difficult to diagnose type of mastocytosis, often with a delay and which is associated with a systemic involvement in 50% of cases. Vitiligo. Management and development of new scores for the dermatologist and the patient. Livedoid vasculopathy. Anticoagulation with new molecules could prove an efficient means of treatment. Pyoderma Gangrenosum. Don't forget the toxic etiology. Daily practice: Laboratory monitoring for liver function tests and serum lipid profile during isotretinoin therapy for acne is currently recommended at baseline and every 3 months, depending on the results. Daily practice: Mikailov and al., challenge our habits by their medico economic study and propose an empirical treatment with terbinafine for patients with suspected onychomycosis that is cost effective with minimal effect on patient safety as terbinafine-induced liver injury is very rare. It makes think and especially propose studies to update our recommendations.
皮肤科医生应了解的内容。或许一种针对老年人带状疱疹和带状疱疹后神经痛的新型疫苗。用ABSIS和PDAI评分定义中度、重度和广泛型天疱疮。银屑病患者的生物疗法与严重感染。我们可以谨慎地保持乐观,因为尽管遵循了结核病预防指南,但结核病虽罕见但仍会发生。其他严重感染也很罕见,主要是肺炎和蜂窝织炎。化脓性汗腺炎:生物制剂一种未被认识的矛盾效应。炎症性肠病(IBD)与化脓性汗腺炎(HS)之间存在关联,主要是与克罗恩病有关,这表明需要在HS患者中寻找IBD的体征和症状。一项对550对双胞胎的研究发现,遗传和环境因素对酒渣鼻评分的贡献各约占一半。持久性斑疹性毛细血管扩张是一种难以诊断的肥大细胞增多症类型,常常诊断延迟,并且在50%的病例中与全身受累有关。白癜风。为皮肤科医生和患者制定新评分并进行改进。萎缩性肢端皮炎。使用新分子进行抗凝可能是一种有效的治疗方法。坏疽性脓皮病。不要忘记中毒病因。日常实践:目前建议在痤疮异维A酸治疗期间,在基线时以及根据结果每3个月进行一次肝功能检查和血脂谱的实验室监测。日常实践:米凯洛夫等人通过他们的药物经济学研究对我们的习惯提出了挑战,并针对疑似甲癣患者提出了一种用特比萘芬进行的经验性治疗,这种治疗具有成本效益,对患者安全影响最小,因为特比萘芬引起的肝损伤非常罕见。这促使我们思考,特别是建议开展研究以更新我们的建议。