La mésothérapie: un mal pour un bien? (Pour les professionnels)

Mesotherapy was developed in 1952 by Michel Pistor. The technique was initally targeted at vascular and lymphatic diseases treatment. It consists of the injection with very fines needles of hormones, enzymes, nutrients, pharmaceutical products, homeopathic agents, detergents as well as other products in the subcutaneous fat (hypodermis) of the skin (phosphtatidylcholine injection would not be…

Details

Tokelau (Dermatophytose Imbriquée): présentation clinique (Pour les professionnels)

Clinical Presentation The disease presents with rapid development of polymorphic and polycyclic patches. Little erythema is present but itching tends to be intense. The disease starts with brownish maculo-papules with a central detachment progressing towards the periphery. The free border is turned towards the  centre and a brownish edge leads the active edge. It can…

Details

Tokelau (Dermatophytose imbriquée): Diagnostic et diagnostic différentiel (Pour les professionels)

Diagnosis and Differential Diagnosis

  • Diagnosis is clinical and can be confirmed by scale scrapings and fungal culture.
  • In acute presentation in can be confused with secondary syphilis, granuloma annulare and erythema annulare centrifugum.
  • In chronic presentation it can look like ichtyosis and erythema gyratum repens.

Bibliography

Tokelau (Dermatophytose imbriquée): Causes (étiologie)

Causes

  • The condition is caused by a strictly anthropophilic dermatophyte called tinea concentricum.
  • Transmission is incompletely understood. Close contact is important but not enough and genetic (mode of inheritance mainly autosomal recessive (“pure race”) with a few autosomal dominant cases), environmental (poor hygiene, iron deficiency, malnutrition) and immunological factors play an important role.

Bibiography

UCB Pharma ®

Atarax ® (Hydroxyzine): used for the treatment of urticaria and pruritus Zyrtec ® (Zirtec ®, Zirtek ®, Ziptex ®, Zyrlex ®)(Cetirizine): used for the treatment of urticaria and pruritus (itch) Note that the list is updated regularly as all pharmaceutical companies and products are not included. This is simply a guide to medications which are…

Details

Ego Pharmaceuticals ®

AcneDerm ® Line AcneDerm Medicated Lotion ® (Azelaic Acid), AcneDerm Foaming Wash ® (Cetrimide, Chlorhexidine Gluconate). Aquim Gel ® Dermaid ® (Hydrocortisone) Line DermAid 0.5% Cream ®, DermAid Soft 0.5% Cream ®, Dermaid 1% Cream ® Egoderm ® line Egoderm Cream ® (ichtammol (ichthyol)), Egoderm Ointment ® (ichtammol (ichtyol), zinc oxide) EgoPsoryl TA ® (Coal…

Details

Johnson & Johnson ®

Aveeno ®: used as a moisturiser Daktarin ® (miconazole): used as an antifungal. Rogaine ® (minoxidil): used in hair loss (androgenetic (androgenic) alopecia) Remicade ® (infliximab): biologic agent used in the treatment of psoriasis Stelara ® (ustekimumab): biologic agent used in the treatment of psoriasis Note that the list is updated regularly as all pharmaceutical…

Details

Essex Pharma ®

Claritin ® (loratadine): used in treatment of urticaria and pruritus Diprosone ® (Betamethasone diproprionate): very strong steroid cream Diprogenta ® (Betamethasone, gentamycine): vstrong steroid combined with an antibiotic Elocom ® (Elocon)(mometasone furoate): moderate to strong steroid Remicade ® (infliximab): biologic agent used in the treatment of psoriasis Triderm ®: a combination: topical containing a steroid,…

Details

GlaxoSmithKline (GSK) ®

Batroban (Centany)(mupirocin): an antibiotic topical substance Betnovate: moderate to strong steroid cream Cutivate (fluticasone propionate): a very strong steroid cream Dermovate (Clobetasol propionate): a very strong steroid cream Duac: a combination gel (benzoyl peroxide and clindamycin) used in the treatment of Acne Vulgaris Emovate ®: a moderate potency steroid cream Imurek ® (Azathioprine): used in…

Details