Vortragsunterlagen für Forum für Medizin am 18.8.2020
Medical News in a Nutshell 8/2020
PRIME Time in Rheumatoid Arthritis
Identification of preinflammatory mesenchymal, or PRIME, cells — that appeared in blood just before disease flares, by sequential RNA analysis before and during flares of RA
Roflumilast Cream for Chronic Plaque Psoriasis
Roflumilast cream contains a PDE-4 inhibitor
The mean baseline PASI scores were 7.7 in the roflumilast 0.3% group, 8.0 in the roflumilast 0.15% group, and 7.6 in the vehicle group; the mean change from baseline at week 6 was −50.0%, −49.0%, and −17.8%
Nemolizumab and Topical Agents for Atopic Dermatitis with Pruritus
Nemolizumab is a subcutaneously administered humanized monoclonal antibody against interleukin-31 receptor A
The median VAS score (0-to-100 scale when the baseline score is 100)
for pruritus at baseline was 75. At week 16, the mean percent change in the VAS score was −42.8% in the nemolizumab group and −21.4% in the placebo group
The mean percent change in the EASI (0-72) score was −45.9% with nemolizumab and −33.2% with placebo.
DLQI score of 4 or less was 40% in the nemolizumab group and 22% in the placebo group
DLQI; (range, 0 to 30, with higher scores indicating a greater effect on daily life)
COVID-19 in kids
Kawasaki like Syndrome – «pediatric inflammatory multisystem syndrome» or PIMS or «multisystem inflammatory syndrome in children» or MIS-C. Skin or mucous membranes were involved in up to 87% of the children
An image to remember
Es handelt sich um ein Symptom des Cowden Syndroms:
Genetic testing was performed and showed an inactivating mutation in the tumor-suppressor gene encoding phosphatase and tensin homologue (PTEN). The Cowden syndrome, an autosomal dominant PTEN hamartoma syndrome, is associated with an increased risk of breast, thyroid, endometrial, and other cancers. Oral mucosal papillomas are commonly associated skin lesions. Adapted from N Engl J Med 2020; 382:e29
Tüpfelnägel
Fingerhutnagel; Grübchen; nail pitting; Onychosis multi- et micropunctata; Onychosis punctata; Pitting; Tüpfel
Vorkommen: Psoriasis vulgaris: Nagelmatrixpsoriasis mit zahlreichen, grübchenförmigen Einsenkungen in der Nagelplatte mehrerer Nägel (Psoriasis punctata unguium).
Auch bei Alopecia areata,
Ekzem-Krankheiten oder idiopathisch auftretend.
Nappes claires
Typische «freie», nicht betroffene Insel scheinbar nicht befallener Hautareal mittin «im Meer einer Erythrodermie»
Auflösung: ist ein fast «pathognomisches» Zeichen für eine Pityriasis rubra pilaris
The making of dermatoscopy cartoon (3)
Jetzt eingetroffen, diese Broschüre kann unter dermacheck.ch bezogen werden. Besten Dank an Katja Seifried, Janine Hartmann und Valerie Scheidegger