Red list and checklist of the leaf beetles (Chrysomelidae and Megalopodidae)

Aus Berlin sind bis heute 273 Blattkäferarten bekannt, darunter 11 Neobiota (4 %). Davon werden 93 Arten (34,1 %) in die Rote Liste aufgenommen. Bei der Gesamtartenzahl gibt es vier Neuzugänge gegenüber der letzten Checkliste von 1997. 32 Arten (11,7 %) gelten als ausgestorben oder verschollen. Bestandsgefährdet sind insgesamt 39 Arten (14,3 %), 90 % dieser Arten gelten als stenotop. Den höchsten prozentualen Anteil gefährdeter Arten weist die Unterfamilie Donaciinae der Chrysomelidae auf. In jüngerer Zeit zeigten 50 Arten (18,3 %) einen Populationsrückgang, aber nur 8 Arten (2,9 %) eine Zunahme. Die fortwährende Überwachung der Bestandsentwicklung ist notwendig, um eventuelle weitere Rückgänge rechtzeitig erkennen zu können und Gegenmaßnahmen einzuleiten. Ausgewählte Arten werden kommentiert.To date, 273 species of leaf beetles are recorded from Berlin, including 11 neobiota (4 %). The Red List contains 93 species (34.1 %). The total number of species increased by four compared to the last checklist from 1997. 32 species (11.7 %) are extinct or missing. A total of 39 species (14.3 %) are threatened, 90 % of which are stenotopic. The highest percentage of threatened species is in the subfamily Donaciinae of Chrysomelidae. Recently, the populations of 50 species (18.3 %) decreased, but only 8 species (2.9 %) increased. Constant monitoring is necessary in order to detect possible further decreases, and for conservation measures. Comments are provided for a number of selected species

Madelung’s Disease – Case Series and Treatment by Tumescent Liposuction or Lipectomy

Madelung disease is a disfiguring disorder belonging to the heterogeneous group of lipomatosis. The aetiology is not well understood, but alcohol consumption has been regarded as of importance. The reported incidence is about 1 in 25,000 inhabitants. We reviewed our files of the last ten years and identified eight adult patients with an equal gender distribution. Their age was between 60 and 85 years of life. Comorbidities are frequent. Clinical presentation may vary. Surgical treatment is reported and discussed. Both cold steel surgery and tumescent liposuction have their place in treatment

Die Anwendung niederfrequenten Ultraschalls in der Wundbehandlung

In einem von der Sächsischen Aufbaubank geförderten Verbundprojekt wird ein neuartiges Ultraschall-Behandlungsgerät entwickelt, das an der Klinik für Dermatologie und Allergologie des Krankenhauses Dresden- Friedrichstadt, einem Akademischen Lehrkrankenhaus der TU Dresden, im Rahmen einer klinischen Studie getestet wird. Durch die Messung peripherer topischer Durchblutungsparameter im Wundbereich unter dem Einfluss von niederfrequentem Ultraschall soll zur Objektivierung ablaufender Gewebeprozesse beigetragen werden. Das Ultraschall- Behandlungsgerät wurde gemeinsam vom Fraunhofer Institut für Werkzeugmaschinen und Umformtechnik Dresden, dem IMM Ingenieurbüro Mittweida sowie der Smart Material GmbH Dresden entwickeltWithin the framework of a cooperative project funded by Sächsische Aufbaubank, a new kind of ultrasound therapy system is under development and is being tested in clinical trials at the Department of Dermatology and Allergology at Dresden-Friedrichstadt Hospital, a university teaching hospital of Technische Universität Dresden. The measuring of peripheral topical parameters concerning blood circulation in wound areas under the influence of low-frequency ultrasound is expected to contribute to objectification of the relevant tissue processes. The ultrasound therapy system has been jointly developed by the Fraunhofer Institute for Machine Tools and Forming Technology, IMM Engineering Mittweida and Smart Material GmbH Dresden

Die Anwendung niederfrequenten Ultraschalls in der Wundbehandlung

In einem von der Sächsischen Aufbaubank geförderten Verbundprojekt wird ein neuartiges Ultraschall-Behandlungsgerät entwickelt, das an der Klinik für Dermatologie und Allergologie des Krankenhauses Dresden- Friedrichstadt, einem Akademischen Lehrkrankenhaus der TU Dresden, im Rahmen einer klinischen Studie getestet wird. Durch die Messung peripherer topischer Durchblutungsparameter im Wundbereich unter dem Einfluss von niederfrequentem Ultraschall soll zur Objektivierung ablaufender Gewebeprozesse beigetragen werden. Das Ultraschall- Behandlungsgerät wurde gemeinsam vom Fraunhofer Institut für Werkzeugmaschinen und Umformtechnik Dresden, dem IMM Ingenieurbüro Mittweida sowie der Smart Material GmbH Dresden entwickeltWithin the framework of a cooperative project funded by Sächsische Aufbaubank, a new kind of ultrasound therapy system is under development and is being tested in clinical trials at the Department of Dermatology and Allergology at Dresden-Friedrichstadt Hospital, a university teaching hospital of Technische Universität Dresden. The measuring of peripheral topical parameters concerning blood circulation in wound areas under the influence of low-frequency ultrasound is expected to contribute to objectification of the relevant tissue processes. The ultrasound therapy system has been jointly developed by the Fraunhofer Institute for Machine Tools and Forming Technology, IMM Engineering Mittweida and Smart Material GmbH Dresden

Advanced Ulcerated Squamous Cell Carcinoma of the Hand with Locoregional Axillary Lymph Node Metastasis – Case Report and Literature Review

BACKGROUND: Cutaneous squamous cell carcinoma (SCC) of the hand is the most common soft-tissue malignancy in this particular region. A literature survey suggested a higher rate of metastases in advanced SCC of the hand compared to head-and-neck cutaneous SCC. CASE REPORT: An 84-year-old man presented with an ulcerated firm tumour on the dorsum of his right hand. A diagnostic biopsy confirmed the diagnosis SCC. Imaging suggested an involvement of the tendons of digits 3 and 4. A diagnostic ultrasound suggested a loco-regional axillary lymph node metastasis. After discussion in the interdisciplinary tumour board, amputation of the affected digits followed by lymph node excision was recommended. CONCLUSIONS: Advanced SCC of the hand requires interdisciplinary management. Amputation is part of the surgical spectrum in advanced cases

Wells Syndrome – An Odyssey

BACKGROUND: Wells syndrome is a rare idiopathic dermatosis of the eosinophilic spectrum. Diagnostic criteria include cutaneous eruptions of variable morphology with eosinophilic infiltrates, peripheral blood eosinophilia, a relapsing, remitting course, and exclusion of systemic disease. Diagnosis is often delayed. CASE PRESENTATION: We present a 28-year older man with recently developed pruritic and sometimes painful erythema. His medical history was positive for coughing in the evening that started in November 2012. Later, a pansinusitis developed. Early diagnosis improves the outcome. CONCLUSION: Standardized treatment has yet to be developed. In our case, systemic corticosteroids were of limited value only

Advanced Ulcerated Squamous Cell Carcinoma of the Hand with Locoregional Axillary Lymph Node Metastasis – Case Report and Literature Review

BACKGROUND: Cutaneous squamous cell carcinoma (SCC) of the hand is the most common soft-tissue malignancy in this particular region. A literature survey suggested a higher rate of metastases in advanced SCC of the hand compared to head-and-neck cutaneous SCC. CASE REPORT: An 84-year-old man presented with an ulcerated firm tumour on the dorsum of his right hand. A diagnostic biopsy confirmed the diagnosis SCC. Imaging suggested an involvement of the tendons of digits 3 and 4. A diagnostic ultrasound suggested a loco-regional axillary lymph node metastasis. After discussion in the interdisciplinary tumour board, amputation of the affected digits followed by lymph node excision was recommended. CONCLUSIONS: Advanced SCC of the hand requires interdisciplinary management. Amputation is part of the surgical spectrum in advanced cases

Unilateral Palmar Callus and Irritant Hand Eczema – Underreported Signs of Dependency on Crutches

Leg amputees who can’t use prostheses and patients with arthritis are often dependent on crutches. Their chronic use can exert significant friction forces. The palmar skin will respond by forming a hyperkeratotic callus. We report for the first time unilateral palmar callus formation caused by friction from using crutches. Another possible adverse effect is the triggering of irritant contact dermatitis by the handholes of crutches. We report two cases with hand dermatitis due to the chronic dependence on crutches and discuss treatment options

Segmental Erythema Multiforme-Like Drug Eruption by Aromatase Inhibitor Anastrozole – First Case Report and another Example of an Immunocompromised District

Anastrozole is a non-selective aromatase inhibitor for adjuvant breast cancer therapy in postmenopausal women. Cutaneous adverse events have been reported. We observed a 64-year-old female patient with a medical history of locally advanced breast cancer of her right breast that was treated with radiotherapy and adjuvant drug therapy with anastrozole. She developed a segmental bullous eruption limited to the cancer-affected breast. Cessation of the aromatase inhibitor and systemic therapy with prednisolone cleared the lesions completely. This is the first report of a segmental erythema multiforme like drug eruption by anastrozole and another example of the concept of the immunocompromised district of skin

The Role of Complex Treatment in Mixed Leg Ulcers – A Case Report of Vascular, Surgical and Physical Therapy

BACKGROUND: Leg ulcers are a burden to patients, their families and society. The second most common cause of chronic leg ulcers is the mixed arterio-venous type. An 80-year-old female patient presented to our department due to painful enlarging chronic leg ulcer of mixed arteriovenous origin on her left lower leg. She suffered from peripheral arterial occlusive disease stage I and chronic venous insufficiency Widmer grade IIIa, and a number of comorbidities.AIM: The aim of our ulcer treatment was a complete and stable wound closure that was hampered by arterial occlusion, exposed tendon, and renal insiffuciency.CASE REPORT: To improve the prognosis for ulcer surgery, we performed percutaneous transluminal angioplasty, transcutaneous CO2 and deep ulcer shaving. The wound was closed by sandwich transplantation using elastin-collagen dermal template and meshed split skin graft. She had a 100% graft take with rapid reduction of severe wound pain.CONCLUSION: Complex approaches are necessary, to gain optimum results in leg ulcer therapy in mixed leg ulcers. Therapeutic nihilism should be abandonend