In this issue: Election Countdown to Istanbul th time…time… 5 EADV Spring Symposium P 4 Pages 13-16, 28 Dermatology in Europe Dermatology in Romania P 8

Invitation to Paris 2008 17th EADV Congress P 11

Euromelanoma 2008 ‘Check your moles’ P 17

EUROPEAN ACADEMY OF DERMATOLOGY AND VENEREOLOGY

ACADEMIE EUROPÉENNE DE DERMATOLOGIE ET VÉNÉRÉOLOGIE

Inside Editorial President's Perspective ______2 Point of View – A Comment ______3 Diagnostics in psychodermatology 5th EADV Spring Symposium ______4 Countdown to Istanbul Patients‘ Information ______6 Internet Support Group on Mastocytosis A Patient’s View ______7 Living with Mastocytosis Meeting Dermatology in Europe______8 Dermatology in Romania expectations Servicing the Dermatology Community ______10 René Touraine Foundation 17th EADV Congress______11 Invitation to Paris Quality of life is closely linked to how well we achieve our aspirations and the Call for Scholarships ______12 world meets our expectations. Unmet aspirations, like unrequited love, are a 17th EADV Congress, Paris highly frustrating experience. What could have been is nearly always thought EADV Election Notice: President-Elect ______13 of with an excess of positive feeling, which may not always be based on reality. EADV Nomination Form: President-Elect ______14 In some unfortunate individuals this is taken to extremes, but it is only a select EADV Election Notice: few who have never had the thought: ’what if?‘ Among historians a whole new Secretary General-Elect______15 genre of contrafactual stories has been created on the basis of ‘what ifs’, eg EADV Nomination Form: what if Hannibal had vanquished Scipio? Secretary General-Elect______16 Aspirations are, however, individual and can be adjusted by all of us to suit Euromelanoma Week ______17 talents, abilities and circumstances and the well-adjusted adult regulates Update from the Membership Committee _ _ _ _ _ 18 aspirations and lives a happy and productive life. EADV Board of Directors ______19 Member Profiles Expectations are different. They are generally a more rational process, based on Update from the Fostering Dermatology – or mired in – our interpretation of reality. In the best-case scenario and Venereology Committee ______20 expectations are substantiated prognoses based on facts. Everyone knows that Update from the Task Force on few things are as deeply unsatisfactory as unmet expectations. If we have been Paediatric Dermatology ______21 promised something, but the promise is not fulfilled, then irritation or Update from the Task Force on Office unhappiness is not far away. Because of the generally pseudo-rational or Management______22 analytical basis of expectations this kind of problem is often seen more as forced Update from the Ethics Committee ______23 on the individual. The culprit is someone else’s failure, rather than your own Update from the Task Force misguided desires or aspirations. on Quality of Life______23 As dermatologists, we are involved in patients’ quality of life. Sometimes we Update from the Website Committee ______24 successfully improve it, and sometimes we do not. One way to optimise our Members’ Views ______25 work is to adjust the aspirations and expectations. Aspirations must invariably Letter to the Editor ______27 be high, but not so high as to become invisible or impracticable. Incremental Update from the Secretary General ______28 improvement allows for steady development towards even the highest goals. Dates for your Diary ______29 Similarly, patients’ expectations should be realistic. In the course of treating a chronic disease there appears to be a directly proportional relationship between EADV News Published by EADV results and expectations – the more that has been cured the higher the Editor: Gregor Jemec expectations. A change of PASI from 25 to 20 is often much more satisfactory Technical Editor: Dee O‘Sullivan to many patients than the proportionally larger change from 5 to 2. In order to Design & Production: MCI improve the quality of life for patients and dermatologists alike an adjustment The contents of this publication are compiled in good faith. The publisher accepts no responsibility for omissions or errors. of expectation can be useful – and this is definitively best achieved in close cooperation. Working with patients on aspirations and expectations is perhaps EADV Office Avenue General de Gaulle, 38 one of the most worthwhile activities we can undertake. B-1050 Brussels, Belgium Tel: +32-2-650 0090 Fax: +32-2-650 0098 E-mail: [email protected] Website: www.eadv.org Gregor Jemec Editor Advertising Rates Back Cover ______€ 5.000 Inside Front Cover______€ 3.000 Inside Back Cover ______€ 2.750 ➤ Please send your suggestions, feedback and contributions Full Page______€ 2.500 for the attention of the Editor, EADV News c/o Stefanie Blum, € 1/2 page______1.100 Administrative Officer at the EADV Office via: [email protected] 1/4 page______€ 600 EADV Leadership Executive Committee Officers GIANNETTI Alberto (IT), President Moving ahead RING Johannes (DE), Past President Continuous medical education, which is KATSAMBAS Andreas (GR), President-Elect the primary objective of the EADV, PACE Joseph L (MT), must be pursued using all available Secretary General Dear colleagues and resources, acknowledged methodologies OLAFSSON Jon Hjaltalin (IS), Treasurer members of the EADV, and relevant alliances. The latter are TSCHACHLER Erwin (AT), represented by the twinned societies EDF, Representative of the Board Prof Alberto Giannetti We are getting closer to KARPATI Sarolta (HU), ESDR and UEMS, with which we have President (2006-2008) important appointments in Representative of the Board started closer and more effective the life of the Society, not Congress/Symposia Presidents cooperation through regular meetings JOLY Pascal (FR), without difficulties, but with the th during the relevant congresses (the last President 17 Congress 2008 perseverance necessary to obtain useful LUGER Thomas (DE), one held in Interlaken by the EDF in President 18th Congress 2009 results. The dermatological community - January 2008), taking part in the drawing LARKÖ Olle (SE), and not only the European one - has long President 19th Congress 2010 up of the European guidelines, which GÜRER Mehmet Ali (TR), looked to the EADV as a reference point th must supersede national ones, and Chairman 5 Spring Symposium for its activity and we do not intend to 2008 contributing to the financing of the ESRF, FORSEA Dan (RO), disappoint such expectations. In order to th set up in Zurich in 2007. Chairman 6 Spring Symposium satisfy such requests we have to 2009 remember that the footholds of our Scientific competences JEADV Editor activity are essentially three: ORTONNE Jean-Paul (FR) An important role is played by the affiliated societies, which cover practically Board of Directors 1 The EADV must represent the whole ALOMAR Augustin (ES) all branches of dermatology and which European dermatological community. ANDRE Josette (BE) must contribute with their scientific CHAIDEMENOS Georgios (GR) For months we have been discussing competences to the process of growth CLAUDEL Jean-Paul (FR) with the national societies how to allow CONEJO-MIR Julian (ES) and cultural updating of the EADV. The DAVIDSSON Steingrimur (IS) their members to subscribe to the EADV EADV must represent the “umbrella” of ETTLER Karel (CZ) in a way that is compatible with our FIGUEIREDO Americo (PT) the activities of super-specialty societies respective statutes so as to encourage a FORSEA Dan (RO) but the pharmaceutical companies, FRITZ Klaus (DE) direct dialogue on the problems relevant whose scientific competences should GABBUD Jean-Paul (CH) to European dermatology and the ways GORKIEWICZ-PETKOW Anna (PL) be harnessed, can also take part. The GÜRER Mehmet Ali (TR) to tackle them with success. Welfare cooperation process with the national HÖNIGSMANN Herbert (AT) systems are again under discussion in JEMEC Gregor (DK) societies has undergone a notable KARPATI Sarolta (HU) more or less every country, on the basis acceleration in these last weeks, which LAMBERT Julien (BE) that the costs of such a system are too LARKÖ Olle (SE) will hopefully come to fruition shortly. LIPOZENCIC Jasna (HR) high for the economy, posing many LUGER Thomas A. (DE) limitations and strict controls for all 2 Cooperation with other big dermato- MEDENICA Ljiljana (RS) clinical activities. logical societies must be strengthened MONFRECOLA Guiseppe (IT) and intensified. On the occasion of the NEUMANN Martino (NL) New ways of working PAUL Carle (FR) AAD in San Antonio we had some PEC Juraj (SK) The repercussions on dermatology are useful discussions with our American PESERICO Andrea (IT) very marked so an adjustment and a re- RANTANEN Tapio (FI) colleagues. They accepted the propo - ROBINSON Angela (GB) examination of our ways of working are sal, put forward for the EADV by ROGERS Sarah (IE) now necessary. It is also clear that without RONNEVIG Jørgen (NO) Johannes Ring, of arranging an annual a cultural accommodation at the highest RUBINS Andris (LV) meeting between the two societies, SCERRI Lawrence (MT) possible level our specialty will end up SCHROEDER Fabienne (LU) starting in 2009, on controversial losing more and more space and visibility STRATIGOS Alexander (GR) themes, with a debate between TIPLICA George Sorin (RO) to neighbouring disciplines, such as European and US experts. The first TSANKOV Nikolaï (BG) oncology, allergy-immunology and WOJNAROWSKA Fenella (GB) meeting will take place in Munich and ZAOURA PETRANYI Maria (CY) rheumatology, which compete for some the central theme will be ’Cutaneous Staff major pathologies. No matter what Allergology‘. INDUNI Nancy dermatological field is followed, it must be BLUM Stefanie CATHALA Catherine practised at the highest possible level of 3 We have to further improve the general CAUCHI Monica expertise. For this reason we need rules of our Society: it is a regular and DONOU Elli constant process but the adjustment to PAPP Ildiko everyone’s help and everyone needs to be STRASSER Judith helped. new demands is a sign of vitality. For

2 EADV News n°26 - Spring 2008

President’s Perspective Point of View Diagnostics in this reason, after the necessary passages through the “ad hoc” commissions, the Psychodermatology – board and the general assembly, a A Comment rigorous discussion on the form and the possible implications of the new statutes for the Society is under way to allow it The skin is the largest organ of the body and functions as much more administrative flexibility. a social, psychological and metabolical interface between the individual and the environment. Recent studies have demonstrated that the Focus on education skin plays an important role in the multidirectional communication between the 4 The educational activity of the Society endocrine, immune, and central nervous systems. In addition to acting as an must be intensified and better suited to effector organ, the skin is also a producer of humoral and neural signals that act members’ requests: a good example of both locally and centrally. this is the new initiative, in cooperation Histologically, the skin is composed of two main structures - the epidermis and the with Wyeth, which foresees the dermis. The skin and the nervous system share some common embryological implementation of two courses in origins. Otherwise, recent research indicates that the skin and its appendages are Berlin and Verona on the theme both a target of key stress mediators (such as corticotrophin-releasing hormone ’Autoimmunity and Psoriasis‘. Such [CRH], cortisol, catecholamines, prolactin, substance P, and nerve growth factor) initiatives will also continue in the and a source of these classic immunomodulatory mediators of the response to coming years so as to enlarge the psychological stress. educational offer of the Society. The skin-brain connection may be the basis for the observation that a wide range 5 The Spring Symposium in Istanbul will of inflammatory skin conditions such as atopic dermatitis and psoriasis are offer, besides a very high quality exacerbated by psychological stress. Clinically, the importance of psychosomatic scientific programme, a special chance factors in dermatological disorders is well recognised. Furthermore, the placebo for young dermatologists to have their response in certain dermatological disorders is greater than 30%, which own auditorium with a specially emphasises the importance of psychosomatic mechanisms. dedicated session: in the President's Symposium three young researchers One of the main adaptive responses to systemic stress is mediated by the central will report on the results of their hypothalamic-pituitary-adrenal (HPA) axis. Activation of the HPA axis centrally scientific commitment. The presence of starts with the hypothalamic production of CRH, which activates the CRH type a number of non-European participants 1 (CRH-1) receptor in the anterior pituitary and induces the release of further justifies the global vocation of proopiomelanocortin (POMC)-derived peptides adrenocorticotropin (ACTH), the EADV. This will happen, also with α-melanocyte stimulating hormone (a-MSH), and ß-endorphin. ACTH stimulates reasonably higher numbers, in Paris. the production and secretion of cortisol in humans by the adrenal cortex. Also this time, the President's It has been also demonstrated that the skin expresses a neuroendocrine system Symposium will be developed with involving CRH, urocortin (a CRH-like neuropeptide that has been identified in the lectures held by Chinese, Indian, brain and has a high affinity for the CRH-2 receptor in addition to the CRH-1 Mexican and African colleagues, which receptor), and the POMC-derived peptides ACTH, α-MSH, and ß-endorphin. Skin will allow a better understanding of the cells also express functional receptors activated by these neuropeptides. global problems of dermatology. All of this knowledge can work as an important physiopathological basis to It is clear that this intervention of mine in support the clinical classification of psychodermatological diseases, mainly the the pages of the newsletter is classical psychosomatic and stress-related disorders, proposed by Dr Musalek. substantially a preliminary to many processes now under way. I hope that Américo Figueiredo next time it will be possible to write a Professor and Head definitive account of many of the Department of Dermatology problems under consideration. University Hospital of Coimbra • Portugal E-mail: [email protected]

Literature: 1. Arck PC, Slominski A, Theoharides TC, et al. Neuroimmunology of stress: skin takes center stage. J Invest Dermatol. 2006;126:1697-1704. 2. Slominski A, Wortsman J. Alberto Giannetti Neuroendocrinology of the skin. Endocr Rev. 2000;21:457-487. EADV President This article does not reflect EADV’s views but is the opinion of one individual. 3 Countdown to Istanbul 5th EADV Spring Symposium Istanbul, Turkey, 22-25 May 2008

Programme highlights of them chaired by distinguished Plenary Lectures th The theme of the 5 EADV Spring dermatologists and presented by • Toll-like Receptors in Dermatology Symposium is ’Dermatology bridging the prominent speakers in the specific area of Speaker: Anthony Gaspari, USA Continents‘ and the extensive scientific interest. We are also delighted to welcome • Acne Inversa, alias Hidradenitis programme on offer aims to do just the participation of sister societies whose Suppurativa, a Disease Sui Generis that by encompassing all fields of own meetings will take place on 22 May Speaker: Gerd Plewig, Germany dermatology and venereology. 2008 at the congress venue. • Immune Mechanism of Drug The two-day programme includes 13 The highlight of the scientific programme Hyper-sensitivity courses, 18 symposia, and four plenary is the opening lecture by Professor Speaker: Jean-Claude Roujeau, lectures, plus ‘what’s new?’ sessions, all Stephen Katz*, entitled “Advances and France Opportunities in Skin Biology and Skin • Ethics in Dermatology Disease Research”. Speaker: Constantine Orfanos, Moreover, at the plenary sessions a Germany number of distinguished figures of both • Genital Herpes Management our specialty and medicine will offer their Speaker: Olivier Chosidow, France insight and expertise on a range of topics • Tumour Vaccination Strategies from “Toll-like receptors in Dermatology” Speaker: George Stingl, Austria to “Immune mechanism of Drug Hyper- sensitivity” and “Ethics in Dermatology” *Correction: in the last issue of EADV News we incorrectly spelled Professor Katz's first name. We apologise for this error. The concluding ‘what’s new?’ session will provide a useful update on advances in clinical dermatology, venereology and research.

Take the time to visit some of Istanbul’s world famous treasures…

Topkapi Palace (Topkapi Sarayi) and the symbol of Byzantium and, until the Ayasofya was completed in 537 AD. Residence of the sultans, administrative the 16th century, maintained its status as Enthusiasm for this feat of architecture seat of the Ottoman Empire for almost the largest Christian church in the world. and engineering was short-lived, because 400 years, and the source of legend on The cathedral is so utterly awesome that two years later an earthquake caused the life in the harem, the Topkapi Palace the Statue of Liberty's torch would barely dome to collapse. The new dome was should be up at the top of the list for graze the top. Erected over the ashes of slightly smaller in diameter but higher anyone interested in the vast and exotic two previous churches using dismantled than the original, supported by a series of world behind the seraglio walls. It's and toppled columns and marble from massive towers to counter the effects of impossible to rush through the palace, so some of the greatest temples around the future earthquakes. Glass fittings in the you should allot at least a half-day and empire, the Ayasofya (known in Greek as walls were employed to monitor the be prepared to encounter a few the Hagia Sophia and in English as St weight distribution of the dome; the bottlenecks throughout the enclosed Sophia or the Church of the Holy sound of crunching glass was an early exhibition halls, especially in the Holy Wisdom), was designed to surpass in warning system indicating that the Relics Room where the ardent faithful, in grandeur, glory, and majesty their religious fervour, tend to obstruct every other edifice ever the display cases. constructed as a monument to God. Ayasofya For almost a thousand years, the After five years and four Ayasofya was a triumph of Christianity months the construction of 4 EADV News n°26 - Spring 2008

The History of Turkish Dermatology

The teaching of modern dermatology classic of their field. Prof Hasan Reşat has medical associations and organise started in Turkey in 1892 after the German also worked at the Damascus Turkish national and international conferences. dermatologist, Dr Ernest von During, was Medical Faculty and founded the Afghan The first professional association in the invited to Istanbul by Sultan Abdulhamid II Medical Faculty in Kabul. field of dermatology was established in to found the Chair of Dermatology at the Istanbul in 1919. After a short In 1933, following the University Reform Medical Faculty in Istanbul. Dr During interruption due to the First World War, Movement of Kemal Atatürk, Professor the association started operating again in worked in Istanbul until 1912 then left for Hulusi Behçet was appointed head of 1930 in Istanbul under the title of Kiel where he was invited to start another the Dermatology and Syphilis Clinics. Association of Dermatological and Chair of Dermatology. Dr Behçet was appointed Senior Venereal Diseases. This was followed by Dr Celal Muhtar, who replaced him after Professor in 1939 and represented the Turkish Dermatology Association his departure, trained for four years at the Turkish dermatology locally and abroad which was established in Ankara in 1968. for 14 years. The famous Behçet Disease Saint Louis Hospital in Paris where he We also have dermatology associations carries his name. He also wrote articles worked with well known professors such in İzmir and Adana, as well as the for 196 medical journals and published a as Fournier, Vidal and Darier and attended Association for Combating Leprosy, number of books. courses at the Pasteur Institute. He trained which was established in Ankara in 1970. many dermatologists and acquired an Senior Professor Cevat Kerim Incedayı, The association has published the international reputation with many articles who chaired the Dermatology Department Archives of Dermatological Disease and published in Turkish and international between 1948 and 1961, had studied in Syphilis since 1930, as well as the medical journals. His work, Trichophytie Austria with Professor Berta Ottenstein. He Leprosy Journal and the Dermato - Palmaire et Plantaire, figures in all medical was followed by professors Osman Yemni, pathology Magazine since 1992. The textbooks. Nevzat Öke, Türkan Saylan, Ahmet Murat Turkish Dermatological Association also and Dilek Kocabalkan who all worked as Professor Hasan Reşat Sığındım, who started the publication of a professional clinical directors. chaired the Department of Dermatology magazine on the internet. between 1923-33, trained for four years There are universities with dermatology The first Turkish National Dermatology in Germany and also worked in France. faculties in 40 Turkish provinces, such as Congress was held in Izmir in 1968 and His writings on Monocytal Leukaemia, Ankara, İzmir, Bursa and Adana, with the first Symposium on Innovations in published while he was working at the St approximately 1.500 dermatology Dermatology took place in 1973. Our George Hospital in Hamburg, became a specialists. These doctors get together in colleagues are now getting ready for the 22nd National Dermatology Congress weight of the dome had shifted. Several but also determined to build a monu - which will take place in Konya this year. more earthquakes caused additional ment to rival the Ayasofya. So great was They are also planning to organise the damage to the church, requiring repairs the Sultan's ambition that he had one 19th Symposium on Innovations in to the dome (among other sections), unfortunate architect executed before Dermatology next year. These two which was increased in height thanks to finally choosing Mehmet Aga, probably a congresses are held every second year. the support provided by the addition of student of Sinan, who came up with a There are also international congresses flying buttresses. plan commonly accepted as impossible to on dermatopathology, Leprosy, Behçet’s build. The design is a scheme of Blue Mosque Disease and aesthetic surgery, as well as successively descending smaller domes This grand bubble of masonry, one of the regular national meetings. Many Turkish that addresses the problem of creating a great and defining features of Istanbul's and foreign specialists participate in our large covered interior space. The overall skyline, was constructed between 1609 national and international congresses and effect is one of such great harmony, and 1617 by Sultan Ahmet I, who conferences and Turkish dermatology has grace, and power that it's impossible to was driven not only by a desire to leave reached the level required for the walk away from this building unaffected. behind an imperial namesake mosque, successful organisation of such meetings.

Many of our members have attended courses abroad and are also members of international associations. Our colleagues participate in growing numbers in international conferences while working actively in their field of expertise. • 5 Patients’ Information Internet Support Group on Mastocytosis

he Internet Support Group on the Amercian support group, The Mastocytosis in an effort to stay up-to- TMastocytosis is a German support Mastocytosis Society (TMS), the founder date with the latest research. It is also group for patients with Cutaneous of our group, Andrea König, writes a important to meet our experts, with Mastocytosis (CM) as well as Systemic column, ‘News in European Research‘, whom we are in e-mail contact Mastocytosis (SM). Additionally there is which is printed in the TMS newsletter. throughout the year, and in person from a new category of patients with a This newsletter is published quarterly. time to time. We feel this deepens these diagnosis of Mast Cell Activation Our group is also in contact with the relationships and allows us to better Disorder (MCAD), the definition of Mastocytosis Support Group of the express our daily needs and concerns. which is still in progress. All we know at United Kingdom. In our eyes it is Our goal in the coming years is to hold a this time is that these patients suffer important to build a patient network support group meeting at which we can from the same symptoms as patients beyond frontiers. speak with each other personally. We with CM and SM. We have a total of 100 The main activity of the Internet Support would also like to invite speakers who patients in our support group. Most of Group on Mastocytosis is to explain this will offer us further information about them are from Germany, a few others our disease. We are pleased that a few rare group of diseases to patients. come from Austria, the Czech Republic, doctors have already expressed a desire Cutaneous Mastocytosis is a more Belgium and Denmark. Hence we are to contribute and offer their expertise. commonly known diagnosis, while proud to consider ourselves a European Another goal is the publication of Systemic Mastocytosis, as well as Mast support group. pamphlets that will provide additional Cell Activation Disorder, are rarely information to patients and physicians recognised by doctors. Hence it is a Our Internet Support Group has an about mastocytosis. challenge and task to inform patients • extensive web presentation comprising about their diseases. Furthermore doctors the WHO criteria of Cutaneous and occasionally contact us with questions. In Andrea König Systemic Mastocytosis. These criteria addition to providing information to both Founder describe the diagnosis standard as well as patients and doctors, it is our aim to listen the classification of mastocytosis. It also Internet Support Group on Mastocytosis to the patients and offer them support. includes information about treatment Marshallstrasse 114 This happens through the help of our options, anaesthesia advice and food 89231 Neu-Ulm internet discussion forum. You can find recommendations, as well as a list of Germany access to this forum on our website. mast cell mediator-related symptoms. E-mail: [email protected] The group does not have its own journal, We also attend conferences run by www.mastozytose.com but because of good relations with European Competence Network on

6 EADV News n°26 - Spring 2008

A Patient’s View Living with mastocytosis

”In my case, it all started in 1995 with a times before and went to my doctor few spots on the abdomen and I was the next day. He referred me to very worried because I had never had different doctors. When I came to a such marks on my body before. I dermatologist, he couldn’t believe what immediately went to the skin doctor he saw: it was a bold mastocytosis he where a sample was taken and its had rarely seen before! He talked about histology examined. It had been “Mast Cell Leukaemia” and other things described as “Urticaria Pigmentosa” and and referred me directly to a skin clinic. I was just told that it could sometimes He couldn’t believe that nobody had itch, and that it could be possible that diagnosed the correct disease and he even more spots would come. That was was shocked about that fact. Well, I was about it and nobody ever said anything very glad that I had met this doctor and about any kind of after-care or another thanked him. If I hadn’t visited him, I still check-up. Thus, my spots became more wouldn’t know what kind of disease I and more numerous but if somebody have! to the University Hospital Mannheim, asked me about them I would just say Very quickly I got an appointment with where they found the mutation D816V that it was nothing serious… it was only the Dermatology Department at the in exon 17 of the c-kit gene. some kind of harmless pigmentosa. I Wiesbadener HSK (Wilhelm-Fresenius never thought much about it, not even In 2007 an additional immune Klinik), and the doctors there were very when my whole body was covered with histochemical tryptase staining of my involved with my case. Everybody pigments. former bone marrow biopsy was done. worked hand-in-hand there and within The diagnosis was confirmed. It is Over the last few years, I have had many the next 10 days of inpatient treatment Systemic Mastocytosis (ISM – Indolent problems with my cardiovascular system, GI tract biopsies were taken (with Systemic Mastocytosis.) for example cardiac arrhythmia, positive results and severe oesophagitis fluctuating blood pressure and I very II°), a bone marrow biopsy (with severe My daily routine is very often tough. I often struggled in my daily routine. I positive results), as well as two get heavy pain in my bones and in the wasn’t resilient anymore and had ultrasounds of the abdomen (enlarged smallest situations where I get into stress; problems at work because I wasn’t able liver and increased spleen). A bone I react with problems in my to cope with the heavy workload and szintigraphy was also carried out (mast cardiovascular system like tachycardia stress that comes with shift work. I had cell sediments in the upper arms, skull, and blood pressure fluctuation. My skin huge problems climbing stairs and after thigh and both knees). They also also reacts very heavily. I also have big eating some foods in particular. I nearly determined the tryptase level in my problems with heat! Food and drinks do always had to go to the toilet blood as well as histamine metabolites in not harm me in any way but I found that immediately after the meal. I often had my urine. I also received an emergency I would get very forgetful and sometimes an upset stomach and acid reflux with rescue set that contains two tablets of I have to think a long time before finding strong pain but I always blamed it on “Tavegil”, three tablets of “Decortin” 50 the simplest words to explain something. my shift work and missing sleep. mg (now changed to liquid medication Other affected people told me about I sometimes had tachycardia until I with “Fenistil” and “Celestamine”) and having that symptom too. suffered shock and once I even had to an “Anapen 300”. I take up to 4mg of “Ketotifen”, two call the emergency doctor. The diagnosis Subsequently I was transferred to the tablets of “Pantozol 40” and one tablet was that I was overworked and should Haematology/Oncology Department at of “Jodid 100” each day, plus some get my heart checked. My heart was HSK Wiesbaden. There they took 11 painkillers (“Paracetamol 500”) if checked back in 1999 and everything X-ray images from head to toe and a necessary.“ was in order. • bone densitometry to exclude possible Michael Christe In February 2006, I reached a point osteoporosis. The DEXA-bone densito - [email protected] where I was again close to going into metry was normal. They also took shock. I cooled down just as I did many another bone marrow biopsy and sent it

7 Facts & Figures

Country Name: Romania Dermatology in Romania Capital: Bucharest he medical prowess of Romania’s During the difficult communist years ancestral people – the Dacic – has progress in this interesting medical field Population: T been known since ancient times when was made by the collaborative efforts of 21.700.000 inhabitants their medicinal herbs were mentioned in the great leaders of Romanian Area: the "De material medica" of Pedanius dermatology: Stefan Teodorescu, Aurel 2 238.391 km Dioscorides. Conu, Scarlat Longhin, Alexandru Official language: Coltoiu, Stefan Antonescu, Pavel Vulcan ’ Romanian However, it was only in the middle of the and Alexandru Dimitrescu in Bucharest; (In some regions Hungarian and German 19th century that the development of Mihai Anghelescu in Timisoara; Iuliu are still spoken; in these areas the name of Romanian dermatology began. The Capusan in Cluj Napoca; Emerich Ujvary the cities and other public signs are ’ bilingual or trilingual.) Faculty of Medicine of Bucharest was in Targu Mures; Ion Badanoiu in Craiova and George Demetriade in Iasi. GDP per capita (2006): founded in 1869. Though General Carol €4.500 Davila (1828-1884), its founder, was The year 1989 was a new starting point better known for his surgical passion and for the Romanian scientific world and a Number of dermatologists: skills, this originally French general was 650 new generation of professors contributed also familiar with venereal problems. to the increase in international visibility of He obtained his doctoral thesis The Romanian dermato-venereology: Dan Prophylaxis of Syphilis (1853) in Paris Forsea, Sanda Popescu, Justin Dumitru and his involvement in some important Diaconu and Ioan Nedelcu in Buhcarest; anti-venereal campaigns in Romania is Nicolae Maier, Rodica Cosgarea and proof of his dedication and knowledge in Alexandru Tataru in Cluj Napoca; this field. Zenaida Petrescu in Iasi; Ion Tolea and Later, in 1891, Professor Mihail Petrini Irina Stoicescu in Craiova; Ovidiu Butiu in Galati, founded a dermatological and Targu Mures; and Virgil Feier - the syphilographical clinic at Coltea Hospital current President of the Romanian (the first - and for several decades - the Society of Dermatology in Timisoara. best hospital in Bucharest at that time). The Romanian Society of Dermatology International recognition came with his developed international links as an ILDS successor, Professor Stefan Gheorghe member and CEEDVA founding member. Nicolau who founded the Department of Romanian dermatologists embraced in Dermatology of Colentina Hospital great numbers EADV membership and (another famous hospital in Bucharest). are represented by two delegates on the Prof Stefan Gheorghe Nicolau is known EADV Board of Directors. In 2009 the as the founder of the Romanian scientific EADV Spring Symposium will be held in dermatology. Bucharest.• Other Romanian figures of international A/Professor George-Sorin Tiplica resonance include Constantin Levaditi ’ Dr Carmen Salavastru (whose main research activity was done Dr Magda Constantin in Paris at the Pasteur Institute), Coriolan Dr Carmen Vinte Tataru in Cluj-Napoca and Gheorghe ’ Dr Elena Severin Nastase in Iasi. An ascending line of progress followed right after World War II for Romanian dermatology when two other universities of medicine were built in Timisoara and Targu Mures. Soon after,

in 1956, the capital would get its second Sources: hospital with dermatological profile led 1.Enciclopedie medicala româneasca. Secolul XX. Chapter: Dermato-venerologie. Contributors: J.D.D. Diaconu, V. Benea, G.-S. Tiplica. Editura Fundatiei Române a by a great personality in the field, ’ ’ Rinichiului, Bucuresti, România, 2001 Professor Scarlat Longhin (this clinic ’ 2.Romanian dermatology. D. Forsea, G.S. Tiplica. CEEDVA ’ today bears its founder’s name). Bulletin nr. 1, September 20, 1999: 42–46

8 EADV News n°26 - Spring 2008

Dermatology in Europe

A new beginning… My first day as a resident in dermatology The Romanian Society of Dermatology The Romanian Society of Dermatology ince I have only recently started my (RSD) was founded in 1929 by Prof Stefan Sresidency, I can’t really say what a Gheorghe Nicolau (Romanians always typical day in the life of a dermatology mention his middle name to distinguish resident might look like, but I can him from his colleague Prof Stefan Nicolau, certainly tell you about my first day as one of the founders of virusology). a resident. In the same year a Romanian journal of dermatology was issued entitled Bulletin “Good morning Bucharest! Here is de la Société Roumaine de Dermatologie Radio Delta”! It was 06:15 and time for et Syphiligraphie. It was published me to get up. A yoghurt and a strong quarterly in French. After World War II the coffee prepared me for the big day. journal was published in Romanian. Prof With the MP3 player singing in my ears Junior dermatologists in Colentina Hospital Bucharest: Pavel Vulcan was appointed Chief Editor and my bag over my left shoulder I Alina Parvu, Elena Severin, Konstantina Karadima, in 1957 and he remained in that post until began the 10-minute walk to the Carmen Vinte, Madga Constantin. 1994, managing in difficult times to underground station. In 30 minutes I maintain the high standards of the journal, was standing in front of the hospital. keratoses over his trunk and face was now entitled Dermato-venerologie. In With some emotion, I entered the waiting for us. After local anaesthesia, 1994 Dr Smaranda Iosif was elected Chief resident’s room and that was the we saw our colleague using the cautery Editor and until 2006 she imposed a moment when I met my colleague Ana, to treat the seborrhoeic keratoses. The straightforward, scientific style on the another first-year dermatology resident. surprise came with an invitation for Ana journal without commercial interferences. We dressed in our white coats, took our and me to repeat the procedure for A new team of editors, under Dr Mihail stethoscopes and went together to the several lesions. Fifteen minutes of Alecu as Chief Editor, is now trying to gain morning meeting of the doctors who treatment, 15 minutes of paper work wider awareness of the Romanian journal were on duty. We took a seat and and 15 minutes of case discussion. in the rest of Europe. listened carefuly to the cases that were being presented by the doctors. We got together with the other Currently, Dermato-venerologie is read by residents in the clinic to see the photo all the 650 members of the national society Then we met the doctor who would slides of some of the interesting cases of dermatology – RSD. The journal has co-ordinate our activities in residency. admitted for investigations over the past permanent sections such as clinical and He presented us with the structure of month. Everything has been so exciting experimental studies, clinical cases and the department of dermatology and that I barely noticed time passing. It was CME papers, plus non-permanent sections introduced Ana and me to our patients. 15:00. We were a little bit tired and yet such as mycology, venereology, allergology The first patient was a 50 year-old man we could have started all over again if and dermato-surgery. diagnosed with pemphigus vulgaris. Ana asked. We left the hospital together and was next to me discussing with an From 2007 abstracts have been presented on our way home we talked and erythrodermic patient. It was just the in English and the journal will also accept exchanged opinions about our first day beginning. After two hours we had for publication papers in English. of residency. Though the day was at the examined five patients and completed end our faces were shiny, full of that Potential authors and subscribers can their examination charts. I don’t know special gleam that contentment gives contact the journal at: how but in the very second that we you. Yes, we were smiling and feeling were finishing the paperwork and were Societatea Romana de Dermatologie good about this special day in which we just ready for a break we received a Str. Ionel Perlea nr. 10, sector 1 had the leading part. I hoped that the message from one of our colleagues Bucharest, Romania next day would be as exciting as well. It calling us to the dermato-surgery room. Tel/Fax: +40 31 8052587 was. When we arrived there a 60 year-old E-mail: [email protected] • patient with plenty of seborrhoeic Elena Severin MD www.srd.ro

9 The René Touraine Foundation: together for better skin care

ené Touraine was one of the Touraine Lecture, during the European access medical book, Thérapeutique Rfounders of dermatological research Society of Dermatological Research Dermatologique, It is the reference in France. He died in 1988. The René (ESDR) meeting. book in French-speaking countries Touraine Foundation (www.fondation-r- (1288 pages and 333 authors) 3 To create networks to enhance touraine.org) is a European non- and can be accessed via www. communications among the dermato - governmental, non-profit organisation, therapeutique-dermatologique.org. logy community: founded in 1991. We plan to translate this book into • The René Touraine Foundation, in English and to send each chapter to Four ministries are represented on the partnership with Galderma, has international opinion-leaders to get Board of Trustees, as well as ESDR developed the directory of the Interna- comments and take into account the (currently by Philippe Musette). tional League of Dermato logical diversity of the therapeutic strategies Societies (ILDS), www.whoandhow. in the world. The foundation works thanks to an org. Please register or update your The René Touraine Foundation is proud International Scientific Board: e-mail address. to have been, with EADV, EDF and ESDR President: Y de Prost; Vice Presidents: • Set up the “Genodermatoses and one of the four founders of the ESRF. Our I Leigh, G Tappeiner, JC Roujeau; Secretary: Mediterranean” project, in partner- goals are quite complementary: the ESRF T Luger; Members: G Zambruno, ship with Pierre Fabre Laboratories will focus on biological research and the L Borradori, A Hovnanian, Charles and in collaboration with govern- René Touraine Foundation on creating ✝ Lapiere ( 2007), P Wolkenstein, ment departments (Health, Social tools to connect dermatologists in order S Aractingi, P Rousselle, M de Rie, P Felipe, Affairs, Research, Education, Foreign to promote clinical and therapeutic R Ballotti, N Dupin. Affairs) and parliaments. It is not a research. • The purpose of the René Touraine research project but a collaborative Foundation is to support therapeutic task to improve the medical and Contact details: progresses in dermatology through social support for patients suffering from severe genodermatoses and activities bringing together dermatologists, Fondation René Touraine their families and also to support scientists, pharmaceutical companies and Hôpital St Louis health authorities. dermatology as a specialty in charge Pavillon Bazin of very severe diseases. More 1 avenue Claude Vellefaux Its main activities are: information is available on the F-75010 Paris 1 To support international collaborations website: www.genodermatoses-et- Tel: 33 (0)1 53 72 20 60 by awarding grants to young mediterranee.org. If you are interested Fax: 33 (0)1 53 72 20 61 European researchers. One fellowship in helping these patients, please join E-mail: [email protected] of €18.000 and four fellowships of us and contact [email protected]. www.fondation-r-touraine.org €4.500 are awarded every year. The 82 • As a part of the Psoriasis Task Force of previous winners of fellowships came EADV, the Foundation has set up a This European foundation benefits from from Austria, Belgium, Bulgaria, China, website: www.psoriasis-international. the support of pharmaceutical and Colombia, the Czech Republic, Finland, org. This website is a convenient cosmetic companies, leaders in derma- France, Hungary, Iran, Italy, Japan, the tool to help connect dermatologists tology: Netherlands, Norway, Poland, Russia, interested in psoriasis at the national Spain, Switzerland, the UK, USA, and and international level and patients’ Abbott, Bailleul, Bergaderm, Boots Vietnam. associations. A free website or a link Healthcare, Galderma International, to already existing websites is Laboratoires Sérobiologiques, La Roche 2 To organise every year a top-level offered to those willing to use this Posay Laboratoires Pharmaceutiques, Leo symposium on skin cell functions at the network. Please join us and contact Foundation, L’Oréal, LVMH, Pierre Fabre, Ministère de la Recherche (French [email protected]. Roche, Schering Plough, Wyeth. Research Ministry), focusing on a different cell each year, and to sponsor • The René Touraine Foundation has an outstanding lecture, the René published on the web the first free- 10 EADV News n°26 - Spring 2008

Beyond Fashion: 17th EADV Congress, Paris Beyond fashion

he EADV and the Local Organising organised, as well as new forum TCommittee, together with the French sessions, including "Dermatology: Society of Dermatology and Venereology, think differently", a new session invite you to join the 17th EADV Congress devoted to innovative ideas, in Paris, France from 18-21 September preliminary data and original opinions. 2008. As clinical research is a strength of European dermatology, we aim to The theme of the congress, ’Beyond present the most attractive findings fashion‘, is both a joke, since Paris is the from clinical research: three sessions of capital of fashion, and a reminder that clinical research entitled "The top ten dermatologists have the obligation of of clinical research" will be organised working in accordance with a high every day during the Congress. public transport system and a metro pass will be provided to delegates during the standard of care and evidence-based • In addition, two forum sessions will be medicine, beyond fashion. Congress. specially devoted to clinical research in France, which hosts the 17th EADV order to present "The best clinical The EADV and the Local Organising Congress, is highly involved in clinical studies from cooperation between Committee will do their best to make the research with numerous cooperative academic and office-based dermato - 17th EADV Congress a most memorable groups of clinicians who work in logists" and "The best clinical studies scientific, social and cultural experience. various fields of our specialty such as from European groups". The best All French dermatologists are looking autoimmune bullous skin disorders, posters selected by the Local Scientific forward to welcoming you to Paris in cutaneous lymphomas, skin cancers and Committee will be presented orally September 2008, the best season in cutaneous disorders of organ-transplant during two interactive "Poster Paris! patients. The Congress will provide good sessions" during which posters will be • opportunities to exchange new findings briefly presented in two minutes, Pascal Joly from European groups and to become followed by a three-minute discussion On behalf of the Local Organising updated on all new developments in with the audience. Committee dermatology and venereology. Paris - both a historical Scientific programme and charming city In addition to the traditional workshops, Paris - "la ville lumière" - is one of the symposia, ‘what's new?’ sessions, most beautiful cities in the world with courses and plenary lectures on hot numerous monuments, historical topics delivered by experts of the highest buildings, gastronomic restaurants and reputation, new interactive and inno va - typical cafés in which you will enjoy the Local Organising Committee tive sessions will be proposed, including: art of living "à la française". You will Pascal Joly (President) discover the world famous Champs Olivier Chosidow (Vice-President) • A one day ’live' surgery course will be Elysées Avenue (the congress centre is Jacques Houset (Secretary General) organised with a video transmission. located in the heart of Paris, near les Delegates in the congress centre will Champs Elysées), as well as typical Local Scientific Committee be able to speak live simultaneously neighbourhoods such as Montmartre Bernard Cribier (President) with three surgeons operating on with its famous cabarets. You could Pierre Wolkenstein (Secretary) patients in different operating theatres decide to cruise on the Seine or to visit Marie Beylot-Barry in a Paris hospital. one of the numerous museums (Le Jean-Paul Claudel • Numerous ’Test Yourself‘ sessions Louvre, le Musée d'Orsay etc) or Michel Le Maitre (paediatric dermatology, internal historical places such as the palace of medicine, contact dermatitis…) will be Versailles. Paris has a very convenient

11 Call for EADV Scholarship Applications – 17th EADV Congress in Paris, France 17-21 September 2008

1 John Stratigos Memorial Scholarship 3 Imrich Sarkany Non-European 4 The Irish Association of Exceptional Cases Grant Dermatologists (IAD) Scholarship - Named after the late dear friend and 2008 distinguished colleague Professor John Named after the late friend and Stratigos, the EADV will offer the John distinguished colleague Dr Imrich One successful applicant from Eastern Stratigos Memorial Scholarship to one Sarkany, the EADV will offer the Imrich Europe will be provided with free recipient of each Mediterranean country. Sarkany Non-European Exceptional registration to the EADV Congress. The Cases Grant to a maximum of five (5) successful applicant will also receive a 2 Michael Hornstein Memorial young dermatologists from non- grant of £500 (GBP) kindly offered by Fellowship European countries. the Irish Association of Dermatologists. Named after the late friend and Each of the above scholarships consists distinguished colleague Dr Michael of €1.000 - less the fee for a one-year Hornstein, the EADV will offer the EADV membership - according to the Michael Hornstein Memorial Fellowship status of each recipient. Free registration to one recipient of each former Eastern to the EADV Congress is also provided European country. for each winner.

Criteria to be observed when applying for above scholarships: • Only candidates who have not previously received an EADV or IAD scholarship can apply • Candidates who have completed medical school more than 15 years ago are ineligible to apply • Young dermatologists, trainees or residents will be highly regarded • Candidates must have an adequate knowledge of the English language

Call for AAD Scholarship Applications

The American Academy of Dermatology day postgraduate course of their choice. • Candidates who have not previously (AAD) offers three scholarships to young received an EADV or AAD scholarship Candidates interested in this scholarship dermatologists from Europe to facilitate should therefore fulfil the following • Candidates who have completed their attendance at the 67th AAD Annual criteria: medical school more than 15 years Meeting in San Francisco, California, ago are ineligible to apply USA in March 2009. • Candidates who are an EADV member • Candidates must have an adequate The scholarship consists of $750, free knowledge of the English language registration to the Annual Meeting and • Candidates who are younger than 35 complimentary tuition at a one- or two- years of age

Required documentation for applications for any of the scholarships are listed below and have to be submitted in English: • Scholarship Application Form • CV (one page) • Letter of support written by the departmental head of clinic/hospital • Letter of support written by an EADV member for applicants from Europe or by the head of the national society for non-European applicants endorsing the application • Current copy of the applicant’s training or specialist certificate • One passport-size photograph with copy of ID card.

Application deadline for all scholarship calls: 15 June 2008 Attention: Please specify on the scholarship form which scholarship you are applying for. Further information and the application form is available at: www.eadv.org/scholarship.asp 12 EADV News n°26 - Spring 2008

EADV

ELECTION OF PRESIDENT-ELECT 2008/2010

15 February 2008

Notice is hereby given that nominations for EADV President-Elect 2008/2010 will be received by the undersigned at EADV House*, Avenue General de Gaulle 38, B-1050 Brussels, Belgium, until 17.00 on 15 May 2008.

The electoral process will be concluded at the 2008 Annual General Meeting of EADV to be held on 19 September 2008 in Paris at the Palais des Congrès de Paris, Porte Maillot at 12.30.

Please turn to page 14 for the nomination form. For full details of the rules governing the nomination of the President-Elect please visit www.eadv.org

Details of the actual voting process together with an illustrative specimen copy of the voting document will be made available in good time before the election. Since electronic voting will be an available option, it is imperative that e-mail addresses are updated as soon as possible.

Joseph L Pace MD Secretary General

*Fax: +32 2 650 0098 E-mail: [email protected]

13 EADV NOMINATION FORM President-Elect

I, the undersigned, nominate

Dr / Prof

an Ordinary member of EADV, for the position of President-Elect in September 2008

Proposer’s Name: ......

EADV Membership Number: ......

E-mail: ...... Fax: ......

Proposer’s signature: ......

Seconder’s Name: ......

EADV Membership Number: ......

E-mail: ...... Fax: ......

Seconder’s signature: ......

Acceptance of Nomination

I, Dr/Prof ......

Hereby accept the nomination for the position of President-Elect of EADV

EADV Membership Number:......

E-mail:...... Fax: ......

Signature: ...... Date: ......

RECEIVED: EADV OFFICE Date Signature

SECRETARY-GENERAL Date Signature

CHAIR NOMINATIONS COMMITTEE Date Signature

14 EADV News n°26 - Spring 2008

EADV

ELECTION OF SECRETARY GENERAL-ELECT 2008/2010

April 2008

Notice is hereby given that nominations for Secretary General-Elect 2008/2010 will be received by the undersigned at EADV House* Avenue General de Gaulle 38, B-1050 Brussels, Belgium, until 12.00 on 15 July 2008.

The Secretary General-Elect will be elected by the Board of Directors on 17 September 2008 in Paris.

Please see the nomination form on p16.

Regulations for the administration of the elections:

1 The Secretary General-Elect is elected by the Board of Directors of the EADV. 2 Due notice of the date of election and call for nominations will be notified in EADV News and/or through a notice to members on the EADV website. 3 The names of candidates for the office of Secretary General-Elect should be submitted to the Secretary General two months before the date of election using the appropriate nomi- nation form. 4 If more than two candidates are competing for election, and if a majority (50% + 1) is not achieved the candidate with the least votes will be eliminated and a further vote taken until the candidate achieves a majority of at least 50% + 1 vote. 5 The Secretary General-Elect is elected for a period of not more than two years and suc- ceeds the current Secretary General when the office of the latter expires. If the latter retires during his term of office, the Secretary General-Elect assumes the role of Secretary General in the interim until the next AGM when his term of office will commence.

Joseph L Pace MD Secretary General

*Fax No: +32 2 650 0098 E-mail: [email protected]

15 EADV NOMINATION FORM Secretary General-Elect

I, the undersigned, nominate

Dr / Prof

an Ordinary member of EADV, for the position of Secretary General-Elect in September 2008

Proposer’s Name: ......

EADV Membership Number: ......

E-mail: ...... Fax: ......

Proposer’s signature: ......

Seconder’s Name: ......

EADV Membership Number: ......

E-mail: ...... Fax: ......

Seconder’s signature: ......

Acceptance of Nomination

I, Dr/Prof ......

Hereby accept the nomination for the position of Secretary General-Elect of EADV

EADV Membership Number:......

E-mail:...... Fax: ......

Signature: ...... Date: ......

RECEIVED: EADV OFFICE Date Signature

SECRETARY-GENERAL Date Signature

CHAIR NOMINATIONS COMMITTEE Date Signature

16 EADV News n°26 - Spring 2008

Euromelanoma 2008

he Euromelanoma programe is National Library for Health (NLH), Skin of expert commentaries. The National Trapidly expanding and I am pleased Disorders and Cancer Specialist Libraries Knowledge Week will be accessible from to report that there are now 25 are holding their first National 5 May from the home pages of the countries participating in this prevention Knowledge Week on Skin Cancer from 5- two electronic libraries, at www.library. campaign. 9 May 2008. The National Knowledge nhs.uk/skin and www.library.nhs.uk/ Week is intended to highlight the latest cancer • evidence and developments in skin Efforts are continuously being made to Andreas Katsambas cancer for health professionals, with the develop the project and hopefully attract Chairman - Euromelanoma additional countries to join each year. results of a search for recent systematic Currently, our focus is on updating the reviews on skin cancer and a range Euromelanoma website (www.euromela noma.org) so that, in the not too distant future, it will function not only as a basis for country representatives to obtain information and guidelines concerning Euromelanoma in their country, but also as a source of information for the general public who are interested in finding out about Melanoma Monday in their region and participating dermatologists; this will be possible by the setting up of links with local advertising channels.

Additionally, we are also working on streamlining the questionnaire to esta - blish an easier, homogenised version which simplifies the process of obtaining details from the screened individuals on Melanoma Day.

Euromelanoma 2008 and Melanoma Monday have been scheduled to take place on Monday, 5 May 2008. However, this date may vary in some countries due to various national events which may coincide. The slogan for this year is "Check your moles regularly, catch melanoma early", which we hope will initiate a general interest among the public to have their moles checked and to detect any suspicious changes at an early stage.

Statistics will be collected from each country’s Melanoma Day results and these will be compared and discussed during the next Euromelanoma programme meeting foreseen later in the year.

As part of Euromelanoma 2008, the UK Update from the Membership Committee Extended EADV membership to include national societies

Although EADV membership has been allows any national society related to 4 Society members can be appointed to rising steadily over the years, it has shown dermatology and/or venereology, not EADV Task Forces. a certain degree of deceleration in recent necessarily based in Europe, to join EADV 5 Each member of the society gets a times even though we are far from as an Associate (Supporting) Member, in reduction of €50 when registering for saturation point. The recently revised the form of an entity rather than as an academic EADV meetings. membership criteria and the substantial individual. This is permitted by the 6 Society members may purchase an benefits that members enjoy have gone recently revised statutes. The society pays electronic version of JEADV for €25. some way towards attracting new €5 euro as a lump sum for each member These will be purchasers of JEADV members. However, in a bid to extend the on its books. Since the individuals are not online not individual members. fishing net and consequently enable non- EADV members, opting out does not As enshrined in the statutes, however, members to get a taste of our organisation, feature in the equation. Each member individual members of a member society our President came up with the innovative society is to send a database of its “shall not be entitled to vote and may idea of extending EADV membership to members in February each year. Only not be elected to the Board or appointed national societies and their members at a those included at this time can avail Officers of the Academy.“ nominal fee. This idea was, to say the least, themselves of the benefits linked to this Interested eligible organisations should initially regarded as highly controversial scheme. and created a fair amount of heated but apply to the Secretary General who will healthy discussion within EADV structures. The benefits are: bring the application to the attention of the Board of Directors for approval or The main issue being that such a move 1 The presidents of the member national otherwise. A number of national societies could seriously compromise the incentive societies will have an annual meeting have already shown a keen interest, and for individual membership. However, the with the EADV Executive Committee in the likelihood is that more will follow proposal has subsequently been finetuned order to address issues of mutual to one which appears to be acceptable to soon. interest. • all parties concerned and still retains 2 EADV News will be sent to the society Lawrence Scerri potential for achieving its aim. for distribution to its members. Chairman The expansion proposal, recently 3 The society can participate in lobbying Membership Committee approved by the Executive Committee, at a European level.

18 EADV News n°26 - Spring 2008

Getting to Know Your EADV Board

As part of our regular series, meet three more members of the EADV Board of Directors.

Agustín Alomar (Spain) Professor in 1988 and Professor and Giuseppe Monfrecola (Italy) Chair of Dermatology at the Autonomous Agustín Alomar Giuseppe Monfrecola graduated in University in 1992. graduated in medicine from the medicine from Professor Alomar’s areas of special University of the University interest are: professional dermatosis, Napoli “Federico of Barcelona in contact dermatitis, atopic dermatitis, II”, Italy, in 1975 1969. vitíligo, photobiology and cosmetic and then went on to specialise in He went on to dermatology. dermatology and specialise in He is a founding member of the Vitiligo venereology in derma tology and syphiliography at the European Task Force VETF and was 1978. Remaining faithful to his University School of Dermatology, Hospital Clínico, Organiser of Second Congress of the he was appointed Associate Professor, Barcelona. European Society of Contact Dermatitis then Professor of Dermatology and is now He was awarded his doctorate (cum in Barcelona in 1994, President of the the Director of Napoli University’s laude) in medicine and surgery by the Organising Committee of the XXIX Dermatology and Venereology Autonomous University of Barcelona in National Congress of the Spanish Specialisation School. From a scientific 1984 and he joined the Hospital Sant Pau Academy of Dermatology and point of view, photodermatology as a staff physician in 1973, becoming Venereology in Barcelona in 2001, and represents his main field of interest. Chief Clinician in 1987 and Director of Vice-President and Treasurer of the His list of publications includes more than Service, Service of Dermatology, in 1996. Organising Committee of the 12th EADV 200 scientific papers. Moreover he is In parallel, he was appointed Associate Congress in Barcelona in 2003. author or co-author of 26 textbooks. Professor Monfrecola has been an EADV Carle Paul (France) and Chairman in member since its foundation and is also a September 2006. member of other international and Italian Carle Paul completed his dermatology dermatological societies. He is also a training in Paris in 1994, having begun his On being elected member of different dermatology studies in 1989 in various university a member of the editorial boards. hospitals under the leadership of professors Board of Directors Louis Dubertret and Yves de Prost. In 1994 in 2007, Professor On joining the Board, he commented, he was appointed a junior lecturer in Paul said, “It’s a “During recent years globalisation has dermatology and Director of the Clinical great honour for influenced not only economic and Pharmacology Unit at the Saint Louis me to serve on financial fields but also the scientific and Hospital and Paris VII University, posts the EADV board for the next three-year cultural sphere. Social changes, scientific which he held until 1998. He then carried term and I would like to thank the innovations and modern communications out pharmaceutical research between 1998 colleagues who supported my media among people have lead to new and 2005 in the clinical research application. My primary objectives will be challenges for our science domain. The department of Novartis Pharma AG while to support the continuous medical main purpose of a big scientific society maintaining patient care one day a week in education and research activities of the such as EADV is to foresee increasing the Department of Dermatology, Academy. I also would like to promote changes and then provide the fastest Mulhouse, France. During his time in clinical research activities at the European answers, while still holding interests of pharmaceutical research, he focused on the level in the field of pharmacology patients and scientific progress in mind. development of dermatological drugs, and drug therapy: to help develop During my term I hope to contribute to mainly for psoriasis, atopic dermatitis and partnerships across geographic and also the hard working efforts of all my fungal skin diseases. After completing a across cultural boundaries in Europe and colleagues from the Board in order to PhD thesis in pharmacology, he joined the to facilitate research training for young encourage the development of a modern University Department of Dermatology in investigators.” European dermato-venereology.” • Toulouse, France, becoming Professor

19 Update from the Fostering Dermatology & Venereology Committee Private Practitioner Skills Development Programme The aim of the Fostering Dermatology Twenty-four centres with different The participants have formed friendships and Venereology Programme, which expertise, including both university centres and taken their enthusiasm and skills started in 2005, is: and private practices, host visits so that back to their departments. There is practitioners can either have a skills update always a real feel-good atmosphere at • To raise standards of dermatology or learn new skills: www.eadv.org. these courses and these residents will be throughout Europe to benefit patients the backbone of our future EADV. and dermatologists. The next application deadlines are: • To promote community, collaboration 21 June 2008 The next courses are: and exchange between European 21 September 2008 Training Course dermatologists. Cutaneous Lymphoma Practical workshops/courses and Roskilde, Denmark There are two foci to this programme: regional courses 13-15 June 2008 1 Fostering Dermatology and Venereo - The programme of practical and Summer School logy Skills Development Programme interactive courses run by EADV members STD for Private Practitioners. started with a very popular regional Sofia, Bulgaria 2 The EADV Excellence in Education course on dermoscopy in Modena in 23-27 June 2008 Residents Training Programme. November 2007 which concluded by For all residents mid-March 2008. Following its success EADV Skills Development Programme the intention is to roll it out across Europe. Summer School for Private Practitioners Dermatopathology, part 2 Further courses are: The Fostering Dermatology and Venere - Graz, Austria Educational Course Lasers ology Committee launched an ambitious 7-11 July 2008 Event chairpersons: Dr Maurice Adatto, programme of skills development for Two-year course for European Residents Dr Klaus Fritz, Dr Moshe Lapidoth private practitioners and we now have with more than two years of training Location: Geneva, Switzerland private practitioners on our committee Number of places available: 18 advising on the programme. Statistical and Geographical Representation of Interactive Course Hand & Facial Visits to centres of excellence Fostering Dermatology Course Participants since 2005 Dermatitis There have been two visits so far to centres Event chairperson:

in Germany and Sweden, with three more Dr Christa De Cuyper 0.5 approved to Germany and Romania. The Location: Brussels, Belgium 0.5 2.49 visitors are from Europe, the Middle East Number of places available: 15 5 0.5 1.49 5.97 3.48 5.97 3.48 and the Indian sub-continent. This has 11 EADV Excellence in Education 3.48 showcased European dermatology to the 5 0.5 Residents’ Training Programme 0.5 world, but we hope more of our European 0.5 1.49 2.99 members will apply. The first 10 courses have been 1.99 concluded and 201 residents 5

from 36 countries attended. 3.98 15.42

The map of Europe indicates as 10.45 follows: 3.98 6.97 1 Where Fostering Dermatology & 1.99 1.49 Venereology courses for residents 1.49 have taken and will take place Albania Estonia Latvia Sweden Where courses for private Austria Finland Lithuania Switerland practitioners have taken and will Belarus France Malta The Netherlands take place Belgium Germany Norway Turkey Where a course organised on Bulgaria Greece Poland Ukraine behalf of the EADV will take Croatia Hungary Portugal United Kingdom Czech Republic Syria place Iceland Romania Denmark Italy Russia Australia Where visited Centres of 20 Excellence are located EADV News n°26 - Spring 2008

Update from the Task Force on Paediatric Dermatology

The need for certification download from the ESPD website and the home page in fact serves as a common and more patient education platform for the members of the paediatric dermatology community as well.

EADV Task Forces were started by the A symposium was organised on Training There are some other good existing EADV Board in 2005 with the aim of Demands in Paediatric Dermatology in examples of parent and patient creating flexible working groups of people 2001 by Prof Arnold Oranje et al, where education in some countries and also with an interest in solving actual problems, the evaluation and the position of functioning atopy schools in several promoting ideas and contributing their paediatric dermatology was discussed. countries. Following a very new initiative special experience to the life of EADV. The various societies of paediatric in Hungary, an improved form of patient Moderators were appointed and asked to dermatology were taken into consi - education has been established, which organise different activities. deration, the history, current position of does not exist anywhere else to our this subspecialty and the number of With regard to paediatric dermatology knowledge. An ‘atopy call centre’ has active physicians were evaluated. The there are specific issues to be addressed been organised with a professional nurse main goal was to get a worldwide and two main problems emerged: skilled in atopy treatment and nursing on overview of the position of paediatric call to answer questions and to help to 1 The certification and training of dermatology. An ideal training plan was organise appointments with the doctor paediatric dermatology does not have proposed, which consists of a one- or and the atopy school. Patients requiring equal standards in the countries of the two-year fellowship training after a information about the system can access world, or even within Europe. dermatology or paediatric residency. It it on the hospital website and a short film 2 There is an urgent need for better was also agreed that there is a need for about the atopy school can be patient and parental education, which international training centres and training downloaded from there: requirements. An exchange of ideas on is particularly important in paediatric http://www.hpgyk.hu/download/video/ training demands to achieve a minimal dermatology. bor/2007oktober23-atopiaiskola.wmv consensus was also recommended These two issues are, therefore, the focus (Oranje et al, internal report, ESPD). The idea of patient education seems of our current work. pertinent for the following reasons: The internet is an ideal medium for Ideas on certification exchanging ideas on the issue of There is a great need for patient education, and training certification and training demands in particularly in the field of chronic diseases There is a great need for certification of paediatric dermatology. The first step is to but also for genetic diseases. It is an paediatric dermatology and for bring together those specialists who can emerging field where experimentation is in specialised training both for derma- create an active forum on the website. process. There is no official European tologists and paediatricians. (See also the representation today for this field. White Book publication of Oranje et al, Ideas on patient education 2005.) Several societies for paediatric How to create a system on the web for How to start? dermatology - ISPD, SPD, ESPD - have patient information and education sheets? During the next ESPD Congress ,which is been founded and national societies are The aim is the construction and expansion going to be held in Athens on 15-17 May, working in different countries. There have of a well organised system, which is we plan to discuss the next steps, also been several meetings and journals attached to an existing organisation. collaborations and the representatives of focusing on this discipline. However, These patient education forms should be this work. Those who start to work on this formal training and certification of this created after exchanging knowledge and, have to realise that there is no financial field have not yet been defined. In most with the approval of a committee, compensation for this work, but the countries paediatric dermatology has uploaded on the website. This data should satisfaction of helping the development not yet become a formal subspecialty; in be available not only to paediatric of paediatric dermatology and supporting some countries it is not officially dermatologists but also to patients as well working groups and patients. • so that a real patient education network in recognised, although there are a number Zsuzsanna Szalai MD PhD dermatology can thrive. The website of of paediatric dermatology centres. Budapest, Hungary Paediatricians and dermatologists, the European Society for Paediatric Prof Dr Arnold P Oranje along with some colleagues from other Dermatology (ESPD) (www.espd.info) has Rotterdam,The Netherlands disciplines (eg human genetics, been chosen as the portal. immunology), also deal with paediatric Patient education forms on paediatric dermatology problems. dermatology are already available to 21 Update from the Task Force on Office Management Helping dermatologists in

private practice across Europe The working group with (from left) K Fritz (Germany, guest), G Reuter (France), M Gniadecka (Denmark) and The history of the EADV is characterised Dr Ostendorf to all EADV Board members R Ostendorf (Germany) by the collaboration of scientists and to get information about national resident • diagnostic knowledge exchange: resident doctors. It was mainly founded doctors' associations. The idea was to pearls from private practice by physicians in private practice and so develop a database of national contact • collecting information on different we are very grateful to Professor Ring, persons. During the 16th EADV Congress health systems in Europe including the the father of the task forces, that he and in Vienna in May 2007 a first meeting training structures and CME. the EADV Board saw the necessity of a took place with delegates from Germany, • knowledge about the spectrum of the Task Force on Office Management. Spain, Portugal and Poland. The Task diseases managed in private practice Health systems across Europe vary Force on Office Management’s aims were greatly, so the organisation of our then constituted during its meeting held • describing different sub-specialties in profession differs a lot. Many health on 1-2 December 2007 in Herxheim- dermatological practice in Europe: the systems are predominantly public and the Heina (Germany) with the participation of spectrum of dermatological service private sector might not play an Monika Gniadecka (Denmark), Rolf performed in the private practice - important role in daily practice in some. Ostendorf (Germany) and Georges biology, lasers, phlebology, andrology, In other countries, for example France or Reuter (France). allergology etc Germany, most dermatologists run their • office organisation: both the running Our goals own offices and the management of their of an office and the special help The particularity of the new task force is offices is getting more and more critical needed for starting a new private that it is not devoted to a specific disease or from an administrative and financial office to a specific technique but to promote point of view. Even in public health care • future dialogue with insurance exchange and information between systems the private sector, and not just companies on professional liability, dermatologists in private practice in Europe. for aesthetic and laser dermatology, has governmental health authorities, Only a few countries, as far as we know, become a more and more important field improving national and European have a professional organisation devoted to in our profession. guidelines, coding systems in Europe. dermatologists in private practice. One of • private practice networking in Europe The roots of the EADV Task Force on the first jobs of the working group will be • and last but not least, providing Office Management are to be found in to list these organisations within Europe continuous information about all these February 2006 during the EADV Spring and the collection of this data is now topics to dermatologists in private Symposium in Lapland. As a first step, a in progress. The working group has addi- practice all over Europe. questionnaire was developed and sent by tionally defined the following goals:

22 EADV News n°26 - Spring 2008

As we are missing the "free and easy" sessions of many recent EADV congresses Update from the Task Force on Office Management the Ethics Committee had the idea of reactivating these sessions as well as to go some way to help achieve the above-mentioned aims of the task force. As a consequence we would like to convene a symposium within the 18th Promoting best practice EADV Congress in Berlin in October 2009. The five committee members of the interest prior to presentations at our Networking interface reorganised Ethics Committee (ETC) met congresses and in EADV publications. The new task force would like to act as during the Vienna Congress: Hans W 2 Ensure complete anonymity of an interface with other EADV task forces Rothenborg (DK), Chair; Michael Waugh photographic presentations of clinical and European organisations, structures (GB), Secretary; Lucio Andreassi (IT); cases and material and obtain prior and institutions, especially the UEMS Anne Kobza Black (GB); and Antonio permission from the patient. (Union Européenne des Médicins Picoto (P). EADV Sectretary General Spécialistes), the EADV’s Fostering Joseph Pace (MT) was also present. 3 Poster presentations should be Dermatology & Venereology Committee authorised by local ethical committees As Committee Chairman, I stated that, and national societies and institutions and be accompanied by a statement according to the revised statutes of the involved in dermatology. that the work submitted is original, not EADV (art 13E & 18G), the EADV Board copied from others. We would really like to create a living is mandated to appoint and discharge platform for the needs of colleagues chairmen and members of committees The Secretary General stated that working in private practice within the including the ETC; and that according to vacancies to committees would in future EADV. So, we are pleased to invite the same statutes it is the right and duty be advertised, perhaps in EADV News, anyone who is interested in collaboration of the ETC not only to deal with matters so that all EADV members are given a to our next meeting during the 5th EADV referred to the committee, but also to chance to apply. Spring Symposium in Istanbul. We'll bring forward, discuss and present The next meeting of the ETC will take meet on Friday, 23 May at 15:30-17:30 matters to the EADV Board, which the place during the EADV Spring in Sultan 3 Hall in the congress centre. ETC considers of importance. Symposium in Istanbul in May 2008. See you there! The ETC discussed which issues which we would like to ask the EADV Board to Monika Gniadecka consider: Hans W Rothenborg MD Rolf Ostendorf Chairman 1 Disclosure of possible conflicts of Georges Reuter Ethics Committee

Update from the Task Force on Visit to a Centre of Excellence

Quality of Life My visit to the Laser Section of the Department of Dermatology at Malmo Invitation University Hospital (Sweden) was a great experience. I had the opportunity to get The initial meeting of the Task Force on an idea about all kinds of laser devices Quality of Life will take place on used across the field of dermatology, but Thursday morning, 22 May 2008, during the most important benefit was the the EADV Spring Symposium in Istanbul. friendly relationship I had with my colleagues in the Dermatology The aim of this meeting is to develop a Department, especially with so kind and series of realistic task force goals and to expert a person as Dr Agneta Troilius. identify possible participants. If you wish Dr Mousi with Dr Troilius (left) and her to attend, please inform Professor Many thanks to Dr Agneta and EADV. colleagues in the Laser Section, Department of Dermatology, Malmo University Andrew Finlay: [email protected] Hospital, Sweden Andrew Y Finlay, Torsten Schäfer Dr Sleem George Mousi Joint Moderators Task Force on Quality of Life 23 Update from the Website Committee

New resources and forum

e are pleased to announce a new ‘pamphlets’ in the left column under Forum Wsource of information on our education (see figure 1). As some of you have already been website www.eadv.org – the leaflets of informed by e-mail, we have now Under the agreement with the AAD, the the European Academy of Dermatology activated our Forum which is accessible text remains their copyright and cannot be and Venereology and the pamphlets of through the website (see figure 2). reproduced or copied. However, they are the American Academy of Dermatology. an excellent guide to how to address It is designed to be an open platform for The EADV leaflets are an ongoing project dermatological issues and make them statements and discussions of all kind of that reflect the work of EADV Task Forces. comprehensible to our patients. We hope topics, either related to the Academy We will add new documents as they are they will help our members to improve itself or to general derma tolo gical/ produced by the Task Forces. The their dermatological practices. National medical issues or non-medical subjects of pamphlets are kindly provided by the societies and organisations are welcome to interest for our community. The forum is AAD and comprise 18 issues in translate any of the leaflets or pamphlets simple to use and every EADV member is alphabetical order. Topics range from acne into their local language(s) to ensure wider invited to participate as well as members to skin cancer and are partially illustrated. access to this information. (Please note: of the EADV committees and EADV You can view them once you are logged translation costs are the responsibility of officers. A simple line of text can put you in as a member, by clicking on the button the societies.) in direct contact with experts in dermatology, with friends from across Europe and beyond.

As it’s an open community, e-profiles will be visible to all and some commonsense rules guide activity within the Forum. (You can check these by clicking on ‘forum rules’ on the Forum web page.) The adding of new topics and posts/replies to existing topics and statements works in a friendly and intuitive way, similar to other internet forums. You will find clear icons for copy, paste, delete, write, colour and many other things. Do not overlook the icon that will help you to upload pictures; Figure 1 it is going to be very useful when posting in the ‘Looking for help’ or ‘Nice pictures’ sections of the forum.

The forum moderator is Website Committee member Professor George- Sorin T,iplica who is available in case of questions or comments.

We hope to have a lively and active forum very shortly. So please log in and communicate soon! • Pablo Fernandez Peñas Chairman Website Committee

Steingrimur Davidsson Olle Larkö, Figure 2 George-Sorin Tiplica (Forum moderator) 24 ’ EADV News n°26 - Spring 2008

Members' Views Young dermatologists share their perspectives

Olivier Gaide MD I hope our Academy will also provide an sponsored by the EADV. Thirty residents PhD environment in which young dermato - in dermatology from many European (Switzerland) logists may rise to the occasion and countries were present at this excellent become clinical leaders competing at the course, which I enjoyed a lot. The basic “I had the pleasure highest levels with our colleagues from inflammatory reaction patterns of the of attending our other specialties.“ skin were studied extensively. meeting in Vienna Furthermore, this course allowed us to and was impressed meet and mingle with our colleagues by the vitality of from all over Europe. It was nice to hear disciplines related Melanie Raes MD how dermatology is practised elsewhere to cosmetology. Our Academy is (Belgium) and learn about the different cultures. obviously a great place to nurture and set “I am 31 years The international setting of this course very high standards for this field of and was born in made it an unforgettable experience. dermatology. I even heard a (provocative) Belgium, but for statement: the future of dermatology lies four years I’ve This kind of courses contribute significantly in cosmetology, while the more medical been living in the to the education of dermatologists and part of our field is to be left to specialists Netherlands, help to foster friendships within Europe. in rheumatology, immunology and where I work as a Therefore, I hope that the Academy will infectious diseases. With the fantastic resident in the Department of continue to support these kinds of new diagnostic and therapeutic tools that Dermatology and Venereology at the initiatives.” revolutionise our field each year, it would Erasmus Medical Centre in Rotterdam. be a pity to let other specialists have all the fun! I hope on the contrary, that we I studied medicine at the Vrije Universiteit Camilla Salvini will fully assume our role in molecular and in Brussels, where I graduated in 2002. MD clinical research, and have aimed my During the following year, I worked as a (Italy) resident in the department of internal career accordingly. “I was born in medicine in a hospital in Antwerp. In Florence in 1976 I obtained an MD thesis working with September 2003 I started my and graduated in Prof A Aguzzi on brain tumours and a dermatology training in Rotterdam, which 2002 from the PhD thesis with Prof J Tschopp working I will finish in August 2008. on skin appendages development. I then University of had the chance to start my own research In the Netherlands, it takes five years to Medicine in group while practising dermatology- become a dermatologist. Besides learning Florence, becoming a specialist in venereology, thanks to professors L how to diagnose and treat skin diseases dermatology and venereology four years French and J-H Saurat, despite the fact in general, we perform many later. I teach at the School of Obstetrics that combining research and clinical work dermatological surgical procedures for at the University of Florence and also is often said to be impossible. (It is not both malignant and non-malignant skin have a research contract with the impossible, just very demanding!). My disorders. During our residency, we also Department of Dermatology, working on group is now focusing its research on a learn to work with different kinds of the diagnosis of melanoma. My special family of proteins that control the lasers. In the Netherlands, as in Germany, clinical and research skills and interests inflammation response to danger signals we are very active in the field of are in the field of melanoma genetics, like UV irradiation and contact sensitisers, phlebology. This is my favourite part. I epidemiology, and early diagnosis. I have bridging innate and adaptive immunity. really like performing endovascular laser published about 18 papers in With an interesting twist: several drugs surgery on the insufficient saphenous international journals and six chapters in regulating these signalling pathways are trunks. Italian and English text books. I became already used at the bedside, meaning I had the opportunity to attend the an EADV junior member because I would that this research is likely to benefit our Summer School of Dermatopathology in like to help further 'dermatology without patients in a not so distant future. Hence, Graz, Austria, which was organised and borders'.” •

25

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Letter to the Editor

Dear Sir, • When the patient consults for a • When do you feel at your best? In the variety of unrelated cutaneous morning, noon, evening or at night? I have read with interest the Point of View disorders • Are you more irritable than usual? of Professor Michael Musalek published in EADV News, Winter 2007-2008, N° • When the dermatologist cannot see a Comments on Answers to Questions: 25, and I would like to add a few more lesion in any area that the patient tries • Difficulties in getting to sleep (initial practical comments that might be helpful to point out insomnia) suggest anxiety. to all of us as practising dermatologists. • When the patient explains his or her • Waking up at night and not being disorders with a previously noted list How to suspect hidden psychiatric able to get to sleep again suggest a • When a patient answers “fatal!" to alterations in patients consulting derma - depressive disorder. the question "How do you feel?" tologists for skin disorder not considered • Depressed patients tend to feel better psychocutaneous in origin? Sensitive Also, a short systematic psychiatric at night or in the afternoon than in dermatologists should be able to auto - questionnaire will help us more easily the morning. Excessive tiredness ma tically suspect that a psychological reject or accept a suspected disorder suggests depression. alteration may exist by the following using a specific questionnaire. In fact, it is • A person reacting angrily to an approach: used routinely in patients in whom adverse situation is usually an anxious person. Patient's General Aspect and Behaviour: psychological alteration is suspected. Yours faithfully, • Patient avoiding meeting the doctor's The questionnaire could address such eyes. questions as: Iqbal A Bukhari • Patient with a tense aspect and sitting Over the past 3 months: Associate Professor on the edge of the chair and Consultant Dermatologist • Patient sitting with a dejected aspect – • How many hours per night do you King Faisal University and King Fahad drooping shoulders, tilted head and sleep? Hospital of the Univeristy body • Do you sleep satisfactorily? AlKhobar, Saudi Arabia. • Do you take tablets to get to sleep? • Patients being in a hurry to speak 5 February 2008 • Do you have difficulty in getting to Patient's Explanation of Problems: sleep? Reference: • When the explanation of the • Do you wake up many times during Koo J Lee CS. Psychocutaneous symptoms becomes a series of the night? Medicine. Marcel Dekker 2003. complaints. • Do you wake up easily?

27 Update from the Secretary General

Decision time for EADV

It is imperative therefore that you y dear friends throughout Europe and beyond, M • Update the EADV Office with your current e-mail address immediately 2008 will be notable: • Ensure that you have paid your 2008 EADV dues since • as a year when the fruit of major decisions taken in the only paid-up members are eligible to vote recent past started appearing, with an ever increasing number of national societies opting to take up EADV This is another first for EADV since, in past EGMs, even membership. With only two countries definitely declining to participation in major decision-taking was available only to join, the legitimacy of EADV's position as the representative the few who could be present as this was all the pre-2006 of dermato-venereologists in Europe has been greatly statutes permitted. The truly democratic method of general strengthened and this augurs well for the future; consultation to be used here is a fruit of the changes made in • as a year when the major decision-making process to elect Saariselka in 2006. It illustrates how EADV has changed to a President-elect and a Secretary General elect takes place adapt itself in preparation for the challenges the future is in September (see pages 13-16); expected to bring and to address ever more successfully its aims and objectives which include: but also: • to advance excellence in clinical care, research, education • as a year when our voting members will shortly decide and training in the field of dermatology and venereology. whether to accept or reject a recommendation that, in the opinion of the Board of Directors and the Executive • to act as the advocate and educator of patients, Committee, presents a remarkable opportunity for EADV to particularly those with cutaneous or venereal diseases. carry out its mission of continuing education ever more So, if you are eligible, take this opportunity to shape the widely and extensively with a sound financial basis for the future of dermato-venereology in Europe, and give your foreseeable future. opinion by voting at the EGM in Istanbul or electronically.

An Extraordinary General Meeting has already been It is your Society, so your voice is sovereign. announced on the EADV website where all details are available: www.eadv.org. This EGM will take place in Istanbul on Saturday, 24 May. For those unable to be physically present, ”distance voting” is available and will be organised throughout by an independent electoral organisation from London. This company, ERS, will communicate directly Joseph L Pace MD with each member eligible to vote, sending all relevant Secretary General information, voting details etc.

➤ Please send your suggestions, feedback and contributions to EADV News Administrative Officer, Stefanie Blum at: [email protected] 28 EADV News n°26 - Spring 2008 Send your pictures to EADV News … Send us pictures of Dermato-Venereology practice to: [email protected] A selection of these images will be published in upcoming issues of EADV News. Important note: Pictures must be submitted in eps, jpg, or tif format. Please ensure that your pictures are high resolution images: 300 dpi

Hidradenitis suppurativa is a chronic recurrent inflammatory disease of the apocrine gland- bearing areas of the body, most commonly the axillary, inguinal, and anogenital areas. Patients usually present with painful, inflamed lesions with complications such as abscesses and sinus tract formations, fistulisation and scarring, but the most serious complication is squamous cell carcinoma. Many contributing factors have been suggested including sweat, heat, stress, tight clothing, genetic and hormonal components. Treatments include antibiotics, retinoids, local excision, radiation, and laser therapy but radical excision of the defective tissue is the most definitive treatment to prevent further complications. Text and photos: Iqbal A Bukhari, Associate Professor and Consultant Dermatologist, Dermatology Dept, College of Medicine, King Faisal University and King Fahad Hospital of the University, AlKhobar, Saudi Arabia

Correction: in the last issue of EADV News we inadvertently transposed the second and third photos showing the development of Milkers' Nodules. We apologise for this error. Dates for your Diary Calendar of Events > 2008

9th Congress of the European Society 17th EADV Congress for Paediatric Dermatology Paris, France Athens, Greece 17-21 September 2008 Beyond fashion 15-17 May 2008 COSMODERM XIIIth - Joint Meeting of ESCAD and the 5th EADV Spring Symposium Hellenic Society of Dermatology & Venereology Istanbul, Turkey Athens, Greece 22-25 May 2008 12-14 December 2008

9th Congress of the European Society of Contact Dermatitis > 2009

Estoril, Portugal th 28-31 May 2008 67 Annual Meeting AAD San Franciso (CA), USA 6-10 March 2009 VIth World Congress of the International Academy of Cosmetic Dermatology 6th EADV Spring Symposium Lisbon, Portugal Bucharest, Romania 18-20 June 2008 23-26 April 2009

th 7 International Conference of Adjuvant Therapy on th th 12 World Congress on Cancers of the Skin Malignant Melanoma (ICATMM) & 4 Congress of the Tel Aviv, Israel European Academy of Dermatologic Oncology (EADO) 3-6 May 2009 Marseilles, France 19-21 June 2008 18th EADV Congress Berlin, Germany 24th Conference on Sexually-transmitted Infections and 7-11 October 2009 HIV/AIDS - IUSTI Europe 2008 Milan, Italy 11th IUSTI World Congress 4-6 September 2008 Cape Town, South Africa 9-12 November 2009 2nd International Conference on Sebaceous Gland, Acne and Related Disorders Basic and Clinical Research, Clinical Entities and Treatment > 2010 Rome, Italy 13-16 September 2008 7th EADV Spring Symposium Cavtat, Croatia 13-16 May 2010

19th EADV Congress Gothenburg, Sweden 6-10 October 2010