Subcutaneous granuloma annulare

No abstract available</p

DEVELOPMENT OF NATIONAL EMISSIONS FACTORS FOR SOLID WASTEDISPOSAL ON LAND GREENHOUSE GAS SOURCE CATEGORY OF THE NATIONAL INVENTIONAL INVENTORY IN THE REPUBLIC OF MOLDOVA

The paper summarizes the research results on development national emissions factor for the Greenhouse Gas Inventory (GHGI) Source Category “6A Solid Waste Disposal on Land”. The obtained results offer the opportunity to improve the Intergovernmental Panel for Climate Change (IPCC) methodologies and Emission Factors for assessing the GHG emissions originated from waste sector. The article contains relevant information on composition of landfill gases at managed and unmanaged solid waste disposal sites, as well as the municipal solid waste composition results, investigated during one year in the Republic of Moldova: from autumn, 2004 to summer, 2005

THE IMPORTANCE OF DUAL DERMATOLOGIC AND PSYCHIATRIC APPROACH IN PSYCHOCUTANEOUS DISORDERS

Psychodermatology or psychocutaneous medicine is a relatively old domain, built on well studied and documented connections between mental / psychic and skin. Numerous studies highlight the idea that evolution of a significant percentage of dermatoses is negatively influenced by psychological factors and stress and that mental state affects not only how the disease is perceived but its severity as well. It is estimated that 30-40% of dermatological patients show a concurrent mental disorder or psychological problems that may be the causative, predisposing or aggravating factor of the cutaneous disease. Morbid conditions such as psoriasis, atopic dermatitis, alopecia areata, vitiligo, severe acne have a marked negative impact on patient quality of life through both debilitating and chronic character of the diseases and by their psychosocial consequences: decreased self-esteem, embarrassment, depression, social phobia, social discrimination to employment, family and couple relations alteration. Collaboration with a psychiatrist for optimal management of psihocutaneous disorders is essential but difficult to acheive because most patients with such morbidity refuse (do not accept) the referral to psychiatric/psychologic consultation. Therefore the dermatologists need to have knowledge on pharmacological and non-pharmacological means useful in treating these disorders and to reconsider the importance of training in the field of psihodermatology. Cutaneous side effects of psychotropic drugs must also be known because they are more frequently encountered than most common psychiatric side effects of drugs used in dermatology

Pyostomatitis Vegetans

Pyostomatitis vegetans is a rare oral disorder with unclear pathogenesis, that may be associated with inflammatory gastro-intestinal diseases, cutaneous involvement or with other disorders of the joints, eyes or liver. The etiology of the extraintestinal manifestations of inflammatory bowel diseases is obscure, but it is believed that the injured intestinal mucosa may trigger immune responses related to inflammatory processes in extraintestinal areas. Oral manifestations include amicrobial pustules and yellow ulcerations with a typical aspect of snail tracts on the bucal and labial mucosa and on the dorsum of the tongue. Histopathological exam shows epithelial acanthosis and superficial ulcerations, as well as eosinophilic and neutrophilic infiltrate in the subjacent connective tissue. Intraepithelial and subepithelial milliary abcesses may also be present. The available therapeutical alternatives (systemic and topical corticosteroids, sulphones, retinoids) have a relatively poor and transitory effect. We present the case of a teenage girl with oral lesions and histopathological features suggestive for pyostomatitis vegetans, persistent for approximately one year, with no other cutaneous or systemic involvement

The Utility of a Questionnaire Proposal as an Analytic Diagnostic Tool in Healthcare Providers Occupational Hand Eczema

The aim of this study was to estimate the prevalence of self-reported work-related and occupational hand eczema, as well as associated risk factors in hospitals and out-patient clinics in Romania. A standardized questionnaire was addressed to health professionals from different medical fields. Out of 245 healthcare providers who completed the survey, 235 were women (95.9%), and 243 were working more than 8 hours/day in hospitals (99.18%). Hand eczema was self-reported and documented in almost one third of the nurses (33.49%), the most frequently involved trigger factor being powdered latex gloves. A total of 207 (84.48%) individuals denied any present or past allergic diseases. Only one nurse declared that severe hand eczema was the cause of losing her job at the hospital. Exposure assessment is essential for the diagnosis of work-related or occupational skin diseases