L’infection par le virus du VIH/SIDA et la peau (Pour les professionnels)

Dr Christophe HSU – dermatologist. Geneva, Switzerland HIV is a global pandemic caused by infection by the HIV virus. It affects more than 30 million individuals world wide. Around 70% of individuals affected live in Sub-Saharan Africa, around 20% of individuals live in South and South-East Asia. Untreated the median survival ranges from 9-11 years…

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La maladie de Carrion et la peau (Pour les professionnels)

Synonyms: Verruga peruana, Peruvian warts, Oroya fever, Carrion’s disease Spanish (Español): enfermedad de Carrión, fiebre de la Oroya, verruga peruana Limited to Colombia, Ecuador and Peru, the disease is caused by a facultative intracellular bacterium called Bartonella Bacilliformis. It is transmitted through a sandfly bite. Treatment consists of antibiotics. It is characterized by an acute…

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La tuberculose et la peau (Pour les professionnels)

Tuberculosis is an infection caused by a Mycobacterium called Mycobacterium Tuberculosis. It is a condition favoured by high population density, promiscuity (poverty, intravenous drug abusers, HIV) and the use of immunosuppressants (biologics, ciclosporine…). It is frequent in Sub-Saharan Africa, but new cases are a cause of concern, notably in China, Russia, South-East Asia and some…

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La malaria et la peau (Pour les professionnels)

Malaria is a common infection caused by a unicellular organism called a Protist. It is transmitted by a mosquito called Anopheles. After a period of between two weeks and several months (occasionally years) spent in the liver, the malaria parasites multiply within red blood cells, causing symptoms that appear cyclically. Symptoms include fever, and headache.…

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La grippe (Influenza) et la peau (Pour les professionnels)

Influenza (flu) is an ubiquitous infection caused by a RNA virus. Symptoms of the disease include sore throat, fever, cough, chills, myalgia, headache, asthenia (fatigue), general discomfort. Influenza can evolve into pneumonia, which can cause death. There is a infinite variety of different genotypes. Two proteins on the viral surface called Haemagglutinin (H) and Neuraminidase…

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L’Alcool et la peau (éthylisme) – Introduction (Pour les professionnels)

Alcohol consumption is a difficult to control epidemic. In some countries alcohol consumption is part of the culture and its consumption starts young and continues until death. In countries such as Russia (Russian Federation), alcohol consumption levels have reached such alarming levels that it is responsible for a reduction of life expectancy to 60 years…

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Le risque de récurrence après excision d’un névus mélanocytaire (grain de beauté) est bas.

Low rates of clinical recurrence after biopsy of benign to moderately dysplastic melanocytic nevi (DN). Goodson AG, Florell SR, Boucher KM, Grossman D. J Am Acad Dermatol. 2010 Apr;62(4):591-6. Epub 2009 Dec 16. Clinical fear of melanoma leads to complete excision of dysplastic naevi (DN) when biopsy reveals postive margins. However this study opens the…

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L’Alcool et la peau (éthylisme) – Porphyrie Cutanée Tardive (PCT) (Pour les professionnels)

Porphyria Cutanea Tarda (PCT) All porphrias are hereditary except PCT type I PCT type I also as symptomatic protoporphria Epidemiology: affects males from 40 onwards, often with a history of alcohol abuse Three categories PCT I: symptomatic protoporphyria, non hereditary, 80% of PCTs, deficit in uroporphrinogen decarboxylase (only in hepatocytes) PCT II: : autosomal dominant,…

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L’Alcool et la peau (éthylisme) – Cirrhose (Pour les professionnels)

Dr Christophe Hsu – dermatologist. Geneva, Switzerland Cirrhosis Spider naevi: present in 75% of the time on the face and trunk rarely unilateral of the nevoid type, which abundance would correlate with the existence of oesophageal varicosities (Foutch et al). Nails total apparent leuconychia (Terry’s nails): 80% of patients with cirrhosis. Proximal 2/3 white, presumed…

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