Contact allergy and sociodemographic characteristics

The aim of the study was to determine the frequency of positive patch test reaction to different contact allergens according to patients age, sex, occupation and clinical features. Between 1999 and 2003, patch testing was performed in 3,293 patients with respective clinical diagnoses. Patch testing was done by the standard technique proposed by the International Contact Dermatitis Research Group (ICDRG). Study results showed statistically significant differences in patch test response according to sex and age for three allergens (cobalt chloride, nickel sulphate and thiomersal); according to occupation for nine allergens (cobalt chloride, nickel sulphate, balsam of Peru, fragrance mix, thiuram mix, wood tars, neomycin sulphate, thiomersal and detergents), and clinical diagnosis for two allergens (nickel sulphate, and wood tars). The most common and relevant allergens were: nickel sulphate, cobalt chloride and carba mix. They were found in all examinees regardless of age, s! ex, occupation and diagnoses. The increased awareness of allergens and their potential sources may help to limit the usage of these chemicals in manufacture of consumer products

A Case of Malum Perforans Pedis Complicated by Chronic Osteomyelitis

No abstract available</p

Risk Factors for Acute Respiratory Tract Infections in Children

Acute respiratory tract infections (ARTI) are the most common cause of childhood morbidity and an important public health problem. The aim of this study was to identify the significant risk factors for ARTI in children. The study took place in Ivankovo which is a rural area of Eastern Slavonia and with small socio-economic differences. The study population were 159 children who were 3–5 years old at the time of the study, and who were registrated at doctor’s office Ivankovo. The study was conducted retrospectively through a questionnaire from January 2008 to December 2008. The risk factors studied were the gender, breastfeeding history, any atopic manifestation in the form of atopic eczema, rhinoconjuctivitis and/or asthma, the size of the family, parents smoking habits and main form of childcare. The number of ARTI requiring the consultation of a doctor throughout 2007 were measured; and whether ARTI had been treated with antibiotic or there were recommendation for symptomatic treatment only. Results of this research show that the risk factor for consulting a doctor because of ARTI in children was passive exposure to cigarette-smoke. For receiving antibiotics because of ARTI in children, the risk factors were passive exposure to cigarette-smoke and atopic manifestation. By giving the available evidence, parents must be told that ceasing smoking offers a significant opportunity to reduce the risk of ARTI in their children

Risk Factors for Acute Respiratory Tract Infections in Children

Acute respiratory tract infections (ARTI) are the most common cause of childhood morbidity and an important public health problem. The aim of this study was to identify the significant risk factors for ARTI in children. The study took place in Ivankovo which is a rural area of Eastern Slavonia and with small socio-economic differences. The study population were 159 children who were 3–5 years old at the time of the study, and who were registrated at doctor’s office Ivankovo. The study was conducted retrospectively through a questionnaire from January 2008 to December 2008. The risk factors studied were the gender, breastfeeding history, any atopic manifestation in the form of atopic eczema, rhinoconjuctivitis and/or asthma, the size of the family, parents smoking habits and main form of childcare. The number of ARTI requiring the consultation of a doctor throughout 2007 were measured; and whether ARTI had been treated with antibiotic or there were recommendation for symptomatic treatment only. Results of this research show that the risk factor for consulting a doctor because of ARTI in children was passive exposure to cigarette-smoke. For receiving antibiotics because of ARTI in children, the risk factors were passive exposure to cigarette-smoke and atopic manifestation. By giving the available evidence, parents must be told that ceasing smoking offers a significant opportunity to reduce the risk of ARTI in their children

EFFECTS OF PLATELET-RICH PLASMA IN THE TREATMENT OF CHRONIC ULCER

Venski vrijed je područje diskontinuiteta kože najčešće smješteno u distalnim dijelovima potkoljenica, a posljedica je kronične venske bolesti - venske hipertenzije. Različite je veličine i oblika; može obuhvaćati i cijelu cirkumferenciju ekstremiteta. Terapijski, uz osnovne terapijske mogućnosti, na raspolaganju je mnoštvo različitih obloga. Za pravi izbor obloge potrebno je dobro poznavati generičke skupine obloga, njihovo djelovanje na proces cijeljenja rane, te odstranjenje biofi lma u vrijedu koji je odgovoran za komplikacije i necijeljenje vrijeda. Jedna od dodatnih terapijskih opcija je i plazma bogata trombocitima. Plazma bogata trombocitima je terapijski pripravak u području bioregeneracije u medicini uključujući dermatologiju – području koje se razvija i među kliničarima i znanstvenicima. Autologna plazma bogata trombocitima s faktorima rasta i proteinima potiče bioregeneraciju, ali su radi boljeg razumijevanja mehanizama djelovanja i standardizacije protokola potrebna daljnja istraživanja u velikim i dobro dizajniranim studijama.A venous ulcer is area of discontinuity of the skin, usually localised in distal parts of the lower legs. The aetiology is associated with chronic venous disease-venous hypertension. The size and shape of venous ulcer can be different and it may even cover all circumferential of extremity. Additionally, along with basic therapy possibilities, there are many different dressings. Therefore the knowledge of each characteristic of dressing on process of epithelisation is essential as well as treating the biofilm that is responsible for complications and persistence of ulcer. One of additional therapy possibility is platelet-rich plasma. Platelet-rich plasma is a developing area for clinicians and researchers for bioregeneration in multiple fields of medicine including dermatology. Autologous platelet-rich plasma with its growth factors and proteins accelerates bioregeneration. However, better understanding of the mechanisms and development of standardized protocols with well-designed studies are needed

Dermoscopy in Melanoma Prevention

Dermoskopija je neinvazivna dijagnostička metoda u dermatovenerologiji koja podrazumijeva pregled promjene “hand-held” dermoskopom, stereomikroskopom, kamerom ili digitalnim imaging sistemom. Dermoskopijom se analiziraju specifi čne morfološke strukture koje se ne vide kliničkim pregledom te stoga dermoskopija povezuje klinički pregled i dermatopatologiju. Glavna je funkcija dermoskopije diferencijacija pigmentnih promjena na melanocitne i nemelanocitne promjene te diferencijacija unutar tih skupina. Bitna je diferencijacija melanoma od drugih melanocitnih i nemelanocitnih promjena, rana dijagnoza melanoma i amelanotičnog melanoma. Sekvencijsko digitalno dermoskopsko monitoriranje uključuje dugotrajni (long-term) i kratkotrajni (short-term) monitoring. Time se omogućuje prava potpora i temeljna tehnika u dijagnozi pigmentnih promjena.Dermoscopy is a noninvasive diagnostic technique in dermatovenereology that includes the inspection of the lesion with a handheld dermoscope, stereomicroscope, camera or digital imaging system. Dermoscopy enables the evaluation of the specifi c morphological structures of the skin that are not visible to the naked eye. Therefore, it links clinical dermatology and dermatopathology. The major goal is to differentiate pigmented lesions into melanocytic and nonmelanocytic lesions, and make further differentiations within each group. Furthermore, it is essential to distinguish melanoma from other melanocytic and nonmelanocytic skin lesions, and to diagnose melanoma and amelanotic melanoma in their early stages. Dermoscopic follow up includes long-term and shortterm monitoring, and is an essential diagnostic technique in the management of pigmented skin lesions

Contact Allergy and Sociodemographic Characteristics

The aim of the study was to determine the frequency of positive patch test reaction to different contact allergens according to patients age, sex, occupation and clinical features. Between 1999 and 2003, patch testing was performed in 3,293 patients with respective clinical diagnoses. Patch testing was done by the standard technique proposed by the International Contact Dermatitis Research Group (ICDRG). Study results showed statistically significant differences in patch test response according to sex and age for three allergens (cobalt chloride, nickel sulphate and thiomersal); according to occupation for nine allergens (cobalt chloride, nickel sulphate, balsam of Peru, fragrance mix, thiuram mix, wood tars, neomycin sulphate, thiomersal and detergents), and clinical diagnosis for two allergens (nickel sulphate, and wood tars). The most common and relevant allergens were: nickel sulphate, cobalt chloride and carba mix. They were found in all examinees regardless of age, sex, occupation and diagnoses. The increased awareness of allergens and their potential sources may help to limit the usage of these chemicals in manufacture of consumer product