Saratov JOURNAL of Medical and Scientific Research

Skin Diseases

Legal aspects of medical care for patients with neoplasms of skin in institutions of dermatovenerologic profile

Year: 2014, volume 10 Issue: №3 Pages: 574-576
Heading: Skin Diseases Article type: Author's opinion
Authors: Sherstobitova K.Y., Schnaider D.A.
Organization: SEH «Saratov regional dermatovenerologic dispensary»
Summary:

There is a model of care for patients with neoplasms of the skin in the institutions of dermatovenerologic profile with the existing legal documents. Example: Saratov regional dermatovenerologic dispensary.

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Skin and venereal diseases in some artworks of Saratov State Art Museum named after A. N. Radishev

Year: 2014, volume 10 Issue: №3 Pages: 568-574
Heading: Skin Diseases Article type: Author's opinion
Authors: Utz S.R., Sherstneva V.N., Pashkova L.V., Galkina E.M., Persashvili M.A.
Organization: Saratov State Medical University, Saratov State Art Museum n.a. A.N. Radishchev
Summary:

In this article we discuss the relation between dermato-venereology and art on examples of some European and Russian paintings from Saratov State Art Museum named after A.N. Radishev. Features of artistic way of depiction cutaneous disorders in different historical periods are presented. Acquaintance with similar works of «artistic diagnostics» may be used in studying process and has cognitive, educational and social value.

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An example of an alternative method of communication of a patient with neurofibro-matosis in the socio-cultural environment

Year: 2014, volume 10 Issue: №3 Pages: 565-568
Heading: Skin Diseases Article type: Case report
Authors: Eremina M.G., Muratova D.S., Utz S.R.
Organization: Saratov State Medical University
Summary:

The article presents a case of severe, systemic disease neurofibromatosis type 1 inherited in an autosomal dominant pattern, the patient 62 years. Summarized data of the etiology, pathogenesis, clinical picture. The criteria of diagnosis and the complexity of the choice of therapy, in the absence of standard methods of treatment. Described an alternative approach to rehabilitation of the patient.

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Research of personal features of patients with rosacea

Year: 2014, volume 10 Issue: №3 Pages: 560-564
Heading: Skin Diseases Article type: Short message
Authors: Davydova A.V., Bakulev A.L.
Organization: Saratov State Medical University
Summary:

Aim: to study the personal characteristics of patients with different subtypes of rosacea and the establishment of the relationship with the clinical manifestations of dermatosis. Materials and methods. Through questionnaires of dermato-logical quality of life, SKINDEKS-29, The Zung Self-Rating Anxiety Scale, The Hamilton Anxiety Rating Scale, Toronto Alexithymia Scale and the method of «Type of attitude to the disease» interviewed 42 patients with different subtypes of rosacea. The data obtained were processed statistically. Results. Rosacea reduces the quality of life of patients, increases the subjective assessment of anxiety scales Zung and Hamilton with a predominance of performance anxiety in the mind. Diagnosed with intermediate degree of alexithymia and anosognosic, ergopathic, anxious and the sensitive types of attitude towards the disease. Conclusions. Predisposition, as well as the development of anxiety disorders, impaired social adjustment, reduced quality of life of patients with rosacea emphasizes the need to implement their algorithm survey assessment of personal characteristics.

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Method of correction of early and long-existing hypertrophic scars and keloids

Year: 2014, volume 10 Issue: №3 Pages: 558-560
Heading: Skin Diseases Article type: Short message
Authors: Shnaider D.A., Drobysheva К.О.
Organization: SEH «Saratov regional dermatovenerologic dispensary»
Summary:

Aim: то assess the effectiveness of the combined method for the correction of early and long-existing hypertrophic scars and keloids by intrascar injection of "Longidaza ME" medication and phonophoresis. Material and methods. A combined method of correction of hypertrophic scars and keloids, comprising the introduction of the "Longidaza ME" by intrascar injection and using phonophoresis. Results. Evaluation of the results was determined based on indicators of dermatology quality of life index. When comparing long-term results positive result was noted in 90% of cases. Conclusion. The study confirmed the effectiveness of the combined method in preventing reactive growth of connective tissue and ability to cause regression of fibrosis, i.e. to correct a complex autoregulatory reactions of connective tissue, which is clinically expressed in resorption and deposition of scar.

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The results of the treatment of various morphological types of ENT skin cancer by photodynamic therapy

Year: 2014, volume 10 Issue: №3 Pages: 555-558
Heading: Skin Diseases Article type:
Authors: Volgin V.N., Stranadko E.F., Kagoyants R.V.
Organization: Main Military Clinical Hospital n.a. Acad.N. N. Burdenko, Moscow, Armavir Oncology Dispensary
Summary:

This article discusses one of the urgent problems of modern oncology — the question of treatment of skin cancer (SC). The experience of the new promising method of photodynamic therapy (PDT) in the treatment of patients with primary and recurrent skin cancer. Aim: to evaluate the effectiveness of photodynamic therapy (PDT) in the treatment of patients with primary and recurrent skin cancer (SC). Materials. The Main Military Clinical Hospital SC treatment of upper respiratory tract with PDT performed 108 patients: 85 men, 23 women. The age of patients ranged from 43 to 92 years, averaging 71 years. 96 patients were with basal cell skin cancer (BCC) in otolaryngology 8 patients were with squamous cell carcinoma of the skin (SCSC), 4 persons — with metatipichesky skin cancer (MSC). Results. In the treatment of patients with SC otolaryngology, PDT complete resorption (CR) was 89.8%, the partial resorption (PR) — 9.3%, no effect (NE) — 0.9%. The highest efficiency was obtained in the treatment method of PDT in patients with BCC otolaryngology — 92.7%. The least effective method of PDT in the treatment of upper respiratory tract SCSC — 62.5%. Disease-free outcome was noted in 88.7% of patients SC otolaryngology. In 11.3% of cases, relapse. The highest efficiency was obtained in the treatment method of PDT in patients with BCC otolaryngology — 89.9%. The least effective method of PDT in the treatment of upper respiratory tract MSC — 66.7%. Conclusion. PDT is an effective treatment RK ENT, unlike other methods of treatment of organ-character, excellent cosmetic and functional results, high selectivity of therapeutic action, the absence of severe systemic effects on the body. The advantage of PDT compared with other treatments SC ENT is also the possibility of multiple repeating the procedure in the case of large diameter and in multiple tumor malignancy without risk of complications.

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Epidermolysis bullosa in practice of dermatologist

Year: 2014, volume 10 Issue: №3 Pages: 553-555
Heading: Skin Diseases Article type: Case report
Authors: Shustova О.А., Bobko N.К.
Organization: SEH «Saratov regional dermatovenerologic dispensary»
Summary:

This article describes a clinical case of a rare dermatosis — congenital dystrophic epidermolysis bullosa in a 9-year old child.

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Combined treatment of anogenital pointed condylomas

Year: 2014, volume 10 Issue: №3 Pages: 551-552
Heading: Skin Diseases Article type: Short message
Authors: Schnaider D.A., Staroverova E.N.
Organization:
Summary:

The aim of the study is to examine the use of anogenital pointed condylomas combined treatment mode. The mode implies the application of the destructive method (high-frequency wave surgery) and the local immunomodulatory ointment Keravord (Imiquimod). Matherial and Methods. 14 patients with anogenital pointed condylomas were observed. The combined treatment mode of the application of the destructive method (high-frequency wave surgery) and the local immunomodulatory ointment Keravord (Imiquimod) were implied. Results. All observed patients had distinct positive results, i.e. the absence of symptomatic relapses during 6 months. Conclusion. The use of the anogenital pointed condylomas combined treatment mode by means of the application of the destructive method (high-frequency wave surgery) and the local immunomodulatory ointment Keravord (Imiquimod) is characterized by high efficiency and almost complete absence of symptomatic relapses.

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Low-energy electromagnetic irradiation for eczema treatment

Year: 2014, volume 10 Issue: №3 Pages: 546-551
Heading: Skin Diseases Article type: Short message
Authors: Karakaeva A.V., Utz S.R.
Organization: Saratov State Medical University
Summary:

Purpose: to study the efficacy of treatment and diagnostic complex "Elec-troMAG" as a new method of physical therapy in complex treatment of truths-term eczema. Matherial and Methods. The article presents the results of application in complex treatment of 42 patients with a diagnosis of true eczema low-intensity electromagnetic radiation. The course of treatment consisted of 12 sessions. Acomparison group (30 patients) received conventional therapy with standard doses and regimens of drugs without the use of physiotherapy therapies. The clinical efficiency was estimated on the basis of the definition of the functional state of the aquatic components of the internal environment of an organism at eczematous process and on the basis of defined-dividing the index of prevalence and severity of eczema EASI. Results. Identified a high effectiveness of low-intensity electromagnetic effect on the disease process, as evidenced by the earlier reduction of the clinical symptoms than in the comparison group, confirming the reduction of the absolute values of the index EASI. Conclusion. The obtained results suggest the safety and effectiveness of high-efficiency of this method of physical therapy treatment of eczema

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Pseudomonas infection: exotoxin A effect

Year: 2014, volume 10 Issue: №3 Pages: 542-546
Heading: Skin Diseases Article type: Review
Authors: Morrison A.V., Popovich V.I., Morrison V.V..
Organization: Central Scientific Research Experimental Institute 33, Saratov State Medical University
Summary:

The aim of the article is to present the data analysis of the Russian and foreign literature concerning the current situation of the problem, the frequency and mechanisms of pseudomonas infection development and factors of patho-genicity of Pseudomonas aeruginosa. The mechanisms of exotoxin A effect have been under the study

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