0000000000019667
AUTHOR
K. Bork
Moderne topische Glukokortikoide und Antiinfektiva beim superinfizierten atopischen Ekzem: Bilden Prednicarbat und Dodecyldimethylammoniumchlorid eine rationale Kombination?
The addition of an anti-infective to a topical glucocorticoid preparation for superinfected atopic eczema is still controversial. To address this question in the context of the topical glucocorticoids of the non-halogenated double-ester type 0.25% prednicarbate cream was compared to the identical preparation incorporating the same amount of the disinfectant didecyldimethylammoniumchloride in patients suffering from atopic eczema carryingStaphylococcus aureus at a density of more than 106 colony-forming units per cm2. One of the preparations was used twice daily over 5 days according to a random plan in a blind fashion. Thereafter treatment was based on either prednicarbate cream or the corr…
Phagocytoseleistung der neutrophilen leukocyten bei der psoriatischen entz�ndung
Die Phagocytosefahigkeit der polymorphkernigen neutrophilen Leukocyten des Blutes wird bei 40 Psoriatikern untersucht. Hierbei ergibt sich eine statistisch signifikante Verminderung gegenuber der Phagocytoseleistung der Segmentkernigen einer Kontrollgruppe Gesunder. Die Diskrepanz zwischen den Untersuchungsergebnissen einerseits und andererseits zwischen der mehrfach berichteten Vermehrung der Phagocytose-fordernden C 3-Komplement-Komponente und dem Vorkommen von CRP, das ebenfalls eine Steigerung der Phagocytose bewirken soll, im Serum bei Psoriatikern wird erortert.
Acquired and Hereditary Angioedema: Pathogenesis and Therapy
There are two main pathogenetic ways by which angioedema can develop. These pathways are completely different and lead to completely different diseases, which may have angioedema of the skin in common. Most cases of cutaneous angioedema develop with involvement of the mast cell and its mediators; especially histamine is considered to play a major role. The exact pathogenesis, however, is not known. This type of angioedema is assumed to be related to urticaria for several reasons: 1 Often it appears alternately with urticaria 2 It responds to antihistaminic drugs 3 The same causes may provoke either urticaria or angioedema
Psoriasis arthropathica und Amyloidose
Von insgesamt 5 Psoriasis arthropathica-Kranken wurden 4 rectumbioptisch, einer autoptisch auf das Vorliegen einer Amyloidose hin untersucht. Bei einem Patienten konnte ein positiver Amyloidnachweis gefuhrt werden. Es handelte sich dabei wie bei allen in der Literatur aufgefuhrten Fallen um die sekundare bzw. periretikulare Form der Amyloidablagerung. Anhand des vorliegenden Schrifttums wird die Haufigkeit einer Amyloidose bei Psoriatikern diskutiert, es werden Unterschiede zur Amyloidose bei primar chronischen Polyarthritis-Kranken aufgezeigt sowie Moglichkeiten der Amyloidgenese bei Psoriasis erortert.
Eosinophil granule proteins in serum and urine of patients with helminth infections and atopic dermatitis.
Eosinophil cationic protein (ECP) and eosinophil-derived neurotoxin (EPX) are cytotoxic molecules involved in helminth infections and allergic reactions. Hitherto most clinical chemical studies have been concerned with the analysis of serum ECP in allergic diseases. The aim of this study was to examine whether serum as well as urine levels of these proteins are useful clinical chemical parameters in helminthiases and allergic diseases such as atopic dermatitis. Comparing these diseases under the same methodological conditions, levels of ECP and EPX were generally higher in helminthiases than in atopic dermatitis and non-helminth, non-allergic diseases. The highest levels of both proteins oc…
Achalasie bei zirkumskripter Sklerodermie
HISTORY: A 38-year-old man had been suffering from circumscribed scleroderma for 12 years. Dysphagia had been diagnosed 5 years ago and for the last 2 years he had retrosternal dysphagia for solid and liquid food. His symptoms had increased markedly 6 months before presenting at our hospital and the patient had lost 15 kg of weight. 2 months ago, a percutaneous endoscopic gastrostomy (PEG) had been inserted at another hospital. INVESTIGATIONS: The patient presented in a reduced general and nutritional state. The routine laboratory tests and tumor markers were within normal range. Endoscopy showed a moderately dilated esophagus with food remnants. It was not possible to pass the cardia witho…