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  • 1
    Digitale Medien
    Digitale Medien
    The chronically symptomatic vulva: aetiology and management (1995)
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 102 (1995), S. 0 
    Details
    ISSN: 1471-0528
    Quelle: Blackwell Publishing Journal Backfiles 1879-2005
    Thema: Medizin
    Notizen: Objective To determine the causes and management of chronic vulval symptoms and to compare the findings in patients first presenting to a gynaecologist with those in patients first presenting to a dermatologist.Design A prospective study of 144 patients, approximately half each being referred to a gynaecologist and a dermatologist. Diagnosis was based on clinical history, vulvoscopy, vulval biopsy and bacteriology. Biopsies were examined by a histopathologist experienced in dermatopathology and gynaecological pathology.Results The two patient groups were similar in both range and frequency of conditions. The commonest cause of chronic vulval symptoms was dermatitis, which was found in 64% of our patients. Dermatitis occurred alone in 55% and was found in association with histological evidence of human papilloma virus (HPV) in a further 9%. These patients responded to simple dermatological methods, mainly topical corticosteroids. Histopathological evidence of HPV was encountered in only 23% of our patients, and of these 36% also demonstrated dermatitis on biopsy. Most responded to topical corticosteroids. Another 7% had lichen sclerosus, and all responded to potent topical corticosteroid. The remaining 15% demonstrated a range of diagnoses, including psoriasis, dysaesthetic vulvodynia, vulval intraepithelial neoplasia (VIN) and chronic candidiasis. The majority of patients had a corticosteroid responsive dermatosis rather than a gynaecological condition.Conclusions The majority of patients with a chronically symptomatic vulva who present to either a gynaecologist or a dermatologist have a dermatological condition that responds to simple dermatological treatments. We believe that the presence or absence of the human papilloma virus is not relevant to most patients with a chronically symptomatic vulva and treatments should not be aimed at eradicating this virus. Histopathologists and gynaecologists who have focused on gynaecological disorders have often missed simple dermatological conditions that are easily treatable.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1111/j.1471-0528.1995.tb10841.x
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  • 2
    Digitale Medien
    Digitale Medien
    Authors' Reply (1996)
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 103 (1996), S. 0 
    Details
    ISSN: 1471-0528
    Quelle: Blackwell Publishing Journal Backfiles 1879-2005
    Thema: Medizin
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1111/j.1471-0528.1996.tb09725.x
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  • 3
    Digitale Medien
    Digitale Medien
    SKIN REACTIONS TO DILTIAZEM (1992)
    Oxford, UK : Blackwell Publishing Ltd
    Australasian journal of dermatology 33 (1992), S. 0 
    Details
    ISSN: 1440-0960
    Quelle: Blackwell Publishing Journal Backfiles 1879-2005
    Thema: Medizin
    Notizen: A survey of Australian dermatologists was conduted into skin reactions observed to diltiazem. These have included: erythema multiforme, subcorneal pustular dermatosis, photosensitive erythroderma, macular exanthem, allergic vasculitis and urticarial vasculitis. The range of clinical and histopathological features are described. A review of the literature is presented. Photosensitive erythroderma and urticarial vasculitis have not, to our knowledge, been reported in the literature previously.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1111/j.1440-0960.1992.tb00047.x
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  • 4
    Digitale Medien
    Digitale Medien
    Papillon–Lefèvre syndrome treated with acitretin (2005)
    Melbourne, Australia : Blackwell Science Pty
    Australasian journal of dermatology 46 (2005), S. 0 
    Details
    ISSN: 1440-0960
    Quelle: Blackwell Publishing Journal Backfiles 1879-2005
    Thema: Medizin
    Notizen: A 7-year-old boy born to consanguineous parents had suffered from palmoplantar keratoderma and chronic gingivitis since the age of 3 months. He was diagnosed with Papillon–Lefèvre syndrome. Genetic testing confirmed that he was homozygous with a point mutation in exon 6 of the cathepsin C gene. One year after initiating treatment with acitretin 10 mg oral daily and trimethoprim-sulfamethoxazole, the patient's skin remains almost lesion-free, and he has new teeth that erupted during treatment and are free of periodontal disease.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1111/j.1440-0960.2005.00180.x
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  • 5
    Digitale Medien
    Digitale Medien
    Compliance problems in paediatric atopic eczema (1996)
    Oxford, UK : Blackwell Publishing Ltd
    Australasian journal of dermatology 37 (1996), S. 0 
    Details
    ISSN: 1440-0960
    Quelle: Blackwell Publishing Journal Backfiles 1879-2005
    Thema: Medizin
    Notizen: Compliance problems are a common cause of apparent treatment failure in atopic eczema. The results of a survey of parents with children attending dermatologists for atopic eczema is presented. Major reasons for failure to comply include a poor understanding of the chronic nature of the disease, a fear of topical corticosteroids, the belief that atopic eczema is due to an allergy, and the time and cost of treatment. The explanation that treatment is a control and not a cure is also important in the parent's perception of treatment results. Suggested solutions to some of these points are discussed.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1111/j.1440-0960.1996.tb01070.x
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  • 6
    Digitale Medien
    Digitale Medien
    Lichen sclerosus in childhood (1995)
    Oxford, UK : Blackwell Publishing Ltd
    Australasian journal of dermatology 36 (1995), S. 0 
    Details
    ISSN: 1440-0960
    Quelle: Blackwell Publishing Journal Backfiles 1879-2005
    Thema: Medizin
    Notizen: Lichen sclerosus in childhood involves predominantly the genital area, often with purpura and erosions, which raises concerns of sexual abuse. Potent topical corticosteroids give a good clinical response over several months, although maintenance with weaker formulations is usually required. The long-term prognosis remains uncertain.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1111/j.1440-0960.1995.tb00962.x
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  • 7
    Digitale Medien
    Digitale Medien
    The commonest causes of symptomatic vulvar disease: A dermatologist's perspective (1996)
    Oxford, UK : Blackwell Publishing Ltd
    Australasian journal of dermatology 37 (1996), S. 0 
    Details
    ISSN: 1440-0960
    Quelle: Blackwell Publishing Journal Backfiles 1879-2005
    Thema: Medizin
    Notizen: A prospective study of 141 consecutive adult patients with chronic vulvar symptoms referred to a dermatologist was carried out to determine the commonest conditions seen. Eighty-nine per cent of patients underwent vulvar biopsy. The commonest cause of chronic vulvar symptoms in this group of patients was dermatitis, seen in 54% of patients. The other commonly seen conditions were lichen sclerosus (13%), chronic vulvovaginal candidiasis (10%), dysaesthetic vulvodynia (9%) and psoriasis (5%). Although 38% of patients had previously been diagnosed as suffering from human papillomavirus (HPV) vulvitis, histopathological evidence of HPV was seen in only 5%. All cases showing HPV also demonstrated spongiotic dermatitis on biopsy. In this study group, a majority (overall 72%) of patients with a chronic vulvar complaint had a corticosteroid responsive dermatosis rather than a gynaecological condition. The patients with HPV on biopsy also responded to topical corticosteroids, and it was concluded that their symptoms may have been due to dermatitis unrelated to the presence of HPV. In such patients, the assumption that ‘subclinical HPV’ is a cause of symptoms and the practice of focusing medical and particularly surgical treatment on eradication of the virus may be inappropriate. A review of the commonest vulvar conditions seen by the author is presented.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1111/j.1440-0960.1996.tb00988.x
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  • 8
    Digitale Medien
    Digitale Medien
    CEMENT BURNS: RARE OR RARELY REPORTED? (1986)
    Oxford, UK : Blackwell Publishing Ltd
    Australasian journal of dermatology 27 (1986), S. 0 
    Details
    ISSN: 1440-0960
    Quelle: Blackwell Publishing Journal Backfiles 1879-2005
    Thema: Medizin
    Notizen: Prolonged contact with ready mixed cement is a rare cause of severe chemical burns. A 15 year old boy required debridement and skin grafting to a burn on his knee caused by contact with cement. Asa result he lost five weeks from school. We discuss the factors that predispose to this unusual event and pose the question as to why we hear of it so infrequently.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1111/j.1440-0960.1986.tb00276.x
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  • 9
    Digitale Medien
    Digitale Medien
    THE EFFECT ON ADRENAL AX.IS FUNCTION OF TOPICALLY APPLIED BETAMETHASONE VALERATE OINTMENT 0.1% (1983)
    Oxford, UK : Blackwell Publishing Ltd
    Australasian journal of dermatology 24 (1983), S. 0 
    Details
    ISSN: 1440-0960
    Quelle: Blackwell Publishing Journal Backfiles 1879-2005
    Thema: Medizin
    Notizen: It is widely recognized that topical corticosteroids may be absorbed systemically, resulting in suppression of plasma cortisol levels. However, their effect on the true competence of the adrenal axis has not been fully established.Eight adult inpatients with dermatoses of variable type and severity were treated with betamethasone valerate 0.1% ointment without occlusion. In all cases there was some degree of suppression of serum cortisol levels. In five patients adrenal axis stress tests were performed. The Synacthen test was normal in all patients and only one had a clearly abnormal response to insulin-induced hypoglycaemia, which had returned to normal one month after cessation of treatment.This suggests that despite suppression of serum cortisol levels, adrenal axis competence was either maintained or, if diminished, returned promptly to normal after treatment ceased.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1111/j.1440-0960.1983.tb00244.x
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  • 10
    Digitale Medien
    Digitale Medien
    ALLERGIC CONTACT DERMATITIS TO NOOGOORA BURR AND BATHURST BURR (1988)
    Oxford, UK : Blackwell Publishing Ltd
    Australasian journal of dermatology 29 (1988), S. 0 
    Details
    ISSN: 1440-0960
    Quelle: Blackwell Publishing Journal Backfiles 1879-2005
    Thema: Medizin
    Notizen: Allergic contact dermatitis with positive patch testing has been identified to Noogoora Burr (Xanthium occidentale) and Bathurst Burr (Xanthium spinosum), members of the compositae family. These plants have been introduced into Australia from North America and are classified as noxious weeds. The patients presented with a dermatitis on exposed areas. The distribution and nature of the Xanthium species is described.
    Materialart: Digitale Medien
    URL: http://dx.doi.org/10.1111/j.1440-0960.1988.tb00389.x
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