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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Der Hautarzt 46 (1995), S. 472-476 
    ISSN: 1432-1173
    Keywords: Schlüsselwörter Cowden-Syndrom ; Syndrom der multiplen Hamartome und Neoplasien ; Thyreoiditis ; Malignes Melanom ; Key words Cowden's Disease ; Multiple hamartoma and neoplasia syndrome ; Thyroiditis ; Malignant melanoma
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary Multiple hamartoma and neoplasia syndrome, or Cowden's disease, is a genodermatosis inherited as an autosomal dominant trait with variable expressivity. We describe a woman with classic mucocutaneous features of the syndrome: facial papules, acral keratoses, oral mucosal papillomatosis, oral polyps and scrotal tongue. As a child she had strabismus. Her family history is positive for the disease, and a sister died of malignant melanoma. The check-up revealed chronic lymphocytic thyroiditis. A checklist for use in screening patients with Cowden's disease is proposed.
    Notes: Zusammenfassung Berichtet wird über eine 42jährige Patientin mit einem Syndrom der multiplen Hamartome und Neoplasien. Die mukokutanen Läsionen bestanden aus fazialen Papeln, akralen Keratosen, Mundschleimhautpapillomen mit einem oralen Polypen und einer Lingua scrotalis. Das Leiden zeigt als häufigste Assoziation Schilddrüsenerkrankungen; in unserem Fall fand sich eine Hashimoto-Thyreoiditis. Die Familienanamnese für Hautveränderungen war positiv; die Mutter und eine Schwester sollen ähnliche Hauterscheinungen aufweisen. Darüber hinaus ist eine Schwester an einem malignem Melanom verstorben. Ein bösartiger Tumor, insbesondere ein Mamma- oder Schilddrüsenkarzinom bei der Patientin selbst war nicht gegeben. Das Cowden-Syndrom kann mit malignen Tumoren assoziiert sein. wobei die Hautveränderungen vor der 2. Dekade auftreten und zur Frühdiagnose beitragen können.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Der Hautarzt 50 (1999), S. 5-11 
    ISSN: 1432-1173
    Keywords: Schlüsselwörter Melatonin (N-Acetyl-5-Methoxytryptamin) ; Zirkadianer Rhythmus ; Schlaf-Wach-Rhythmus ; Radikalfänger ; Key words Melatonin (N-acethyl-5-methoxytryptamin) ; Circadian rhythm ; Daily sleep induction ; ageing ; Free radical scavenger
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary Melatonin (N-acetyl-5-methoxytryptamine) is a hormone with multiple functions in humans, produced by the pineal gland and stimulated by β-adrenergic receptors. Serum melatonin levels exhibit a circadian rhythm with low levels during the day, rise in the evening and maximum levels at night between 2 and 4 a.m.. Melatonin participates in the regulation of several physiological processes such as seasonal biological rhythm, daily sleep induction, aging and modulation of immunobiological defence reactions. Furthermore, melatonin has a highly lipophilic molecular structure facilitating penetration of cell membranes and serving as an extra- and intracellular free radical scavenger. Melatonin seems to quench mainly hydroxyl radicals, the most damaging of all free radicals. Melatonin may play a role in the etiology and treatment of several dermatoses e.g. atopic eczema, psoriasis and malignant melanoma. The influence of melatonin on hair growth is another aspect. Topical application of melatonin inhibits the development of UV-erythema. Penetration through skin after topical application and oral bioavailability auxit further investigations on the pharmacokinetic and pharmacodynamic actions of melatonin.
    Notes: Zusammenfassung Melatonin (N-Acetyl-5-Methoxytryptamin) ist ein unter dem Einflußβ-adrenerger Rezeptoren von der Glandula pinealis produziertes und sezerniertes Hormon mit vielfältigem Wirkungsspektrum. Die Ausschüttung des Hormons folgt einem zirkadianen Rhythmus mit niedrigen, gleichmäßigen Spiegeln tagsüber und einem abendlichen Ansteigen und nächtlichen Peak zwischen 2.00 und 4.00 Uhr. Melatonin beeinflußt den saisonalen Biorhythmus, den Schlaf-Wach-Rhythmus, den Alterungsprozeß und moduliert immunbiologische Abwehrfunktionen. Zusätzlich besitzt Melatonin unabhängig von einem Rezeptorsystem durch seine starken lipophilen Eigenschaften die Fähigkeit, frei durch Zellmembranen zu diffundieren und im extra- wie intrazellulären Raum als Radikalfänger zu wirken. Die Affinität zu dem stark schädigenden Hydroxylradikal ist besonders groß. In der Dermatologie ergeben sich für Melatonin Perspektiven bei einigen Hauterkrankungen wie zum Beispiel dem atopischen Ekzem, der Psoriasis und dem malignen Melanom. Der Einfluß von Melatonin auf das Haarwachstum ist ein weiterer Aspekt. In topischer Anwendung hat Melatonin eine suppressive Wirkung auf die Ausbildung eines UV-Erythems. Über die Penetrationseigenschaften durch die Haut und die orale Verfügbarkeit liegen einige Erkenntnisse vor, die durch weitere Untersuchungen der Pharmakokinetik und Pharmakodynamik ergänzt werden können.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Contact dermatitis 34 (1996), S. 0 
    ISSN: 1600-0536
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Protective creams (PCs) play their part in the prevention of occupational contact dermatitis, even though efficacy data are frequently lacking. 4 different commercially-available PCs were evaluated against a set of 4 standard irritants (10%, sodium lauryl sulfate (SLS) 1% sodium hydroxide (NaOH), 30% lactic acid (LA) and undiluted toluene (TOL) in the repetitive irritation test (RIT) in humans described by Frosch and Kurte. 20 subjects were tested on the paravertebral skin on the mid-back. Irritation was assessed by visual scoring, transepidermal water loss (TEWL) as an indicator of epidermal barrier function, and colorimetry as a parameter of inflammation. Very different protective effects of the PCs on irritation by chemical substances were detectable. All products were very effective against SLS irritation. No PC provided significant protection against toluene. 3 products showed a partially protective effect against all ionic irritants, while the 4ih showed less protection against SLS and NaOH, and even amplification of inflammation by TOL. Considering the range of PC effects from good protection 10 increased irritation, depending on the irritant, the need for careful selection of PCs for specific workplaces is stressed.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Contact dermatitis 33 (1995), S. 0 
    ISSN: 1600-0536
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Contact dermatitis 30 (1994), S. 0 
    ISSN: 1600-0536
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Despite the frequency of irritant contact dermatitis, very little is known about the duration of barrier function impairment following cumulative irritant contact dermatitis. We studied post-irritation irritant reactivity by assessing the response to SLS irritation in previously irritated sites. Cumulative irritant contact dermatitis was induced on the forearms of 15 volunteers aged 18 to 50 years by repeated occluded application of 0.5% SLS I h per day over 3 weeks. 3, 6 and 9 weeks later, previously irritated and unirritated control sites were challenged with 2% SLS under occlusion for 23 h. Irritation was assessed by visual scoring, transepidermal water loss (TEWL) as an indicator of epidermal barrier function, and capacitance as a parameter of epidermal water content. While no difference in irritant reactivity between pre-irritated and unirritated sites was observed 3 weeks following irritant contact dermatitis, there was a significant hyporeactivity of previously irritated skin as expressed by clinical scores, TEWL and capacitance at 6 and 9 weeks. Our results indicate that epidermal barrier function remains altered even 9 weeks after cumulative irritant contact dermatitis. With regard to patch testing, post-irritation hyporeactivity might be a cause of false-negative tests on previously irritated sites.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Copenhagen : Munksgaard International Publishers
    Contact dermatitis 43 (2000), S. 0 
    ISSN: 1600-0536
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: The present study, as part of PROMETES (Swiss Prospective Metal Worker Eczema Study), was performed to examine risk factors for the development of occupational hand dermatitis in metalworker trainees. Since this disease is very common, a high standard of preventive measures is necessary, especially for persons with an endogenous disposition for the development of eczema, e.g., atopics. Within the cohort of 201 healthy young men, 47 (23%) showed at least mild signs of hand eczema at 1 point of the 2.5 year observation period. Various occupational and domestic exposures, skin protection behaviour, regeneration time, and smoking habits, as well as atopic disposition, were studied with regard to their influence on the skin condition of the metalworker trainees. By multivariate analysis, we determined 3 important risk factors for the development of hand eczema in the cohort. (i) We showed once more the important influence of an atopic disposition as a major risk factor for occupational contact dermatitis. (ii) Furthermore, the results suggest that, apart from chemical irritants, mechanical factors should not be underestimated in their role as irritants to the epidermal barrier. (iii) Additionally, an insufficient amount of skin recovery time seems to support a cumulative sub-irritant effect on the skin, which may lead to irritant contact dermatitis.
    Type of Medium: Electronic Resource
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  • 7
    ISSN: 1600-0536
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 8
    ISSN: 1600-0536
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: The purpose of this study was to determine the frequency of responses to selected fragrance materials in patients who were fragrance sensitive. 218 fragrance sensitive subjects were evaluated in eight centres worldwide with a fragrance mixture (FM) and 17 less well-studied fragrance materials. Reaction to the fragrance mixture (FM) occurred in 76% of the subjects. The (FM) detected all reactions to nerol and hydroxycitronellol and 93% of the reactions to clove bud oil. Ten fragrance materials were not detected by the FM and deserve further study: benzenepropanol, beta, beta, 3-trimethyl, hexyl-salicylate, dl-citronellol, synthetic ylang ylang oil, benzyl mixture, cyclohexyl-acetate, eugenyl methyl ether, isoeugenyl methyl ether, 3-phenyl-1-propanol, and 3, 7-dimethyl-7-methoxyoctan-2-ol.
    Type of Medium: Electronic Resource
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  • 9
    ISSN: 1600-0536
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 10
    ISSN: 1600-0536
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: The purpose of this study was to determine the frequency of responses to selected fragrance materials in patients who were fragrance sensitive. 178 patients were evaluated in 8 centers worldwide with a fragrance mix (FM) and 20 other fragrance materials. Reaction to the fragrance mixture (FM) occurred in 78.7% of the subjects. Substances reacting at a rate of 2% or higher included jasmine absolute, geranium oil bourbon, l-citronellol, spearmint oil, 1,3,4,6,7,8-hexahydro-4,6,6,7,8,8-hexamethylcyclopenta-γ-2-benzopyran, omega-6-hexadecenlactone, dimethyltetrahydrobenzaldehyde (isomer mixture), and α-amylcinnamaldehyde. These chemicals should be furthur evaluated to corroborate their allergenicity. We are constantly looking for new fragrance allergens to extend the diagnostic capability of the fragrance mix (FM).
    Type of Medium: Electronic Resource
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