Body Dysmorphic Disorder (BDD) (For Professionals) frequency: it is common being present in: 11.9% of people in dermatology offices 8-15% of people in a cosmetic setting 1-2% of individuals in the population Cases which can resemble Body Dysmorphoc Disorder (BDD): Stigmatization feelings in objective dematological (skin) disorders BDD behaviour in eating disorders (eg anorexia) BDD…
Psychological Factors In Nail Fungal Infections (For Professionals) Prevalence affects at one time 3-8% of the general population Represents half of the total number of cases of nail conditions Toes are 4-7 times more frequently affected than fingernails Having onychomysosis has an Influence on: psyche well being social functioning pain Two parameters are studied: quality…
Neurotic Excoriations (For Professionals) The differential diagnosis is dermatitis artefacta, however patients with neurotic excoriations admit to scratching. The condition is more frequent in females Types of behaviour patterns inducing neurotic excoriations compulsive type: relieves anxiety impulsive type: relieves tension and brings arousal, pleasure. mixed type Patients with neurotic excoriations often suffer from one or…
Skin Cancer After Organ Transplant (For Professionals) Receiving a kidney or heart transplant nowadays means that survival of 20-30 years survival is quite possible. Organ rejection is no longer a major issue. But this comes at the price of: infections malignancies Example SCC (Squamous Cell Carcinoma) risk is 200 times than in non transplanted individuals.…
Sun Exposure and Vitamin D (VitD) Requirements (For Professionals) Is sun exposure enough to meet daily requirements ? Excessive skin exposure is detrimental but in 20 years of stigmatizing sun exposure it is now widely accepted that vitamin D deficiency leads to bone disease and internal skin cancers. Some societies such as osteoporosis societies encourage…
Advice For Managing Atopic Dermatitis (AD) (For Professionals) Infection prevention avoid rubber, toys: risk of GRAM – folliculitis Baths in saline 9g Nacl in 1lt (raise to 30-36g NaCl) in KMnO4 1/10000: not on the head (effective, increases pH very slightly (paradoxical) but reduces St Aureus) Moisturization of the skin “stay less in water” “drink…
Moisturising (Moisturizing) Creams In Atopic Dermatitis (AD) (For Professionals) Structure of the summary 1. Measuring their efficacy 2. Role of emollients 3. Where is the evidence ? 1. Measuring their efficacy or the importance of scoring system for physicians SCORAD Objective SCORAD 3 items criteria (more practical and easier to do in daily practice): based…
Early Topical Atopic Dermatitis (AD) Treatment In Children Improves Clinical Outcome (For Professionals) chronic AD which is lichenified is difficult to treat The 3 major problematic factors with AD are: pruritus flares skin infections (bacterial and viral) Etiology of AD genetic? environmental ? atopic march ? In the absence of a definate cause, symptom management…
Atopic Dermatitis: The Role Of Filaggrin (flg) (For Professionals) Several genes and environmental factors are implicated but the one gene having the biggest role is filaggrin. This gene will be studied here Synthesis process of filaggrin (flg): genetic localisation: chromosome 1=epidermal differentiation complex (group of genes coding proteins which are important for the differentiation of…
Defining (D) Atopic Dermatis (AD) And Measuring Its Impact (I) (For Professionals) D Is termed eczema which to divide in atopic and non atopic. The other type is contact dermatitis (allergic or non allergic). 2004 What is a good definition ?: It is valid It is repeatable It is accepted by others It is easy…
