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Where Does Psoriasis Fit
Dr Shan Edwards Dermatologist Dermatology Clinic, Christchurch 11:00 - 11:55 WS #86: Differential Diagnosis Based on Classic Location - Where Does Psoriasis Fit In? 12:05 - 13:00 WS #97: Differential Diagnosis Based on Classic Location - Where Does Psoriasis Fit In? (Repeated) Differential diagnosis based on classic location Where does psoriasis fit in? Dr Shan Edwards , dermatologist Christchurch 2016 2 Conflict statement . This talk sponsored by LEO Pharma Pty Ltd . I have no other association financial or otherwise with LEO Pharma Pty Ltd 3 Acknowedgement I wish to thank and acknowledge and thank A/Prof Amanda Oakley for providing a lot of the material and allowing me to use it in this talk I would also like to acknowledge Dermnet NZ as a source for most of my clinical slides 4 How do you diagnose red scaly skin ? Take a history (90% diagnosis made on history) . When did scaly rash first appear? . What do you think caused it? . What treatments used and their effects? . Personal history of skin problems ? . Family history of similar disorders? . Occupation, hobbies, other life events? . Symptoms: itch? Other eg fever, weightloss unwell Other medical problems?(co-morbidities) . Current medicines : how long, any new ? 7 When did scaly rash first appear? . Infancy: seborrhoeic dermatitis/eczema . Toddler: atopic dermatitis/eczema . Pre-schooler/primary school: tinea capitis/corporis . Primary school: head lice . Teenage/adult: seborrhoeic dermatitis/eczema, psoriasis . Adult/elderly: drug rash, lymphoma, other less common skin conditions(PRP,Lupus) . All age groups:scabies 8 Dear Shan Re: Miss EM age 7yrs I am completely puzzled by EM’s rash and particularly so since there now appear to be other areas of her body being affected by it. -
Lupus and the Skin a Patient’S Guide to Skin Involvement in Lupus
Lupus and the Skin A Patient’s Guide to Skin Involvement in Lupus © LUPUSUK 2015 LUPUS and the Skin LUPUS UK acknowledges with gratitude the assistance of Sue Brown, Consultant Nurse in Rheumatology (Connective Tissue Diseases), Royal National Hospital for Rheumatic Diseases NHS Foundation Trust, Bath and Dr Chris Lovell, Consultant Dermatologist, Royal United Hospital and Royal National Hospital for Rheumatic Diseases NHS Foundation Trust, Bath in the provision of clinical information towards the production of this booklet. ACKNOWLEDGEMENT The authors would like to thank Professor Peter Maddison, Consultant Rheumatologist and Dr Andrew Macfarlane, Consultant Dermatologist at Ysbyty Gwynedd, Bangor, Wales, who wrote the first edition of this booklet and have kindly agreed to its revision. LUPUS UK is the national charity caring for those with systemic lupus erythematosus (SLE) and discoid lupus erythematosus (DLE), supporting people as they develop the symptoms prior to diagnosis and those already diagnosed. You can help by taking up membership For more information contact: LUPUS UK, St James House, Eastern Road, Romford, Essex RM1 3NH Tel: 01708 731251 www.lupusuk.org.uk Reg. charity nos 1051610, SC039682 © LUPUS UK 2012 All rights reserved. No part of this book may be reproduced in any form without written permission from LUPUS UK. Index Section Page No 1 Introduction 1 2 Types of rashes 2 3 Mechanism of photosensitivity 5 4 Treatment of the skin in lupus 7 5 Sun protection 10 6 Quality of life 11 7 Fatigue 12 8 Self help 12 9 Research 14 10 Further reading 14 1. Introduction Many people with lupus may have skin problems, and a rash may be the first sign of the condition. -
Årsrapport Storebrand ASA 2019
Innhold Introduksjon 1. This is Storebrand 2. Customer relations 3. People 4. Keeping Our House in Order Storebrand ASA 5. Director´s report 6. Finansielle mål 7. Konsernets resultaterAnnual 2020 Report 8. Utbytte for 2020 9. Kapitalforhold 10. Rating 11. fremtidsutsikter 12. Risiko 13. arbeidsmiljø og HMS 14. Annual Accounts and notes 15. Shareholder matters 16. Sustainability assurance 17. Appendix 2020 Table of contents Introduction 6. Shareholder matters How to navigate in the Annual 3 Facts and figures 2020 report 5 Letter from the Group Chief Executive Officer 7. Annual Accounts 7 Chairman’s foreword and Notes 1. This is Storebrand Storebrand Group 10 About Storebrand 78 Income statement Previous page 11 Organisation 79 Statement of total comprehensive income 14 Executive management 80 Statement of financial position 15 Board of directors 82 Statement of changes in equity 83 Statement of cash flow Next page 2. Customer relations 85 Notes 19 Greater financial security and freedom 21 Engaging, relevant and responsible advice Storebrand ASA 22 Digital innovator in financial services 163 Income statement 23 Simple and seamless customer experiences 163 Statement of total comprehensive income Full screen 24 Key performance indicators 164 Statement of financial position 165 Statement of changes in equity 3. People 166 Statement of cash flow 26 A culture for learning 167 Notes 28 Engaged, competent and courageous employees 180 Declaration by member of the Board and the CEO 29 Diversity and equality 181 Independent auditor´s report Table of contents 31 Key performance indicators 8. Governance On the left hand side, you will always 189 Corporate Governance have access to the table of contents. -
Scalp Eczema Factsheet the Scalp Is an Area of the Body That Can Be Affected by Several Types of Eczema
12 Scalp eczema factsheet The scalp is an area of the body that can be affected by several types of eczema. The scalp may be dry, itchy and scaly in a chronic phase and inflamed (red), weepy and painful in an acute (eczema flare) phase. Aside from eczema, there are a number of reasons why the scalp can become dry and itchy (e.g. psoriasis, fungal infection, ringworm, head lice etc.), so it is wise to get a firm diagnosis if there is uncertainty. Types of eczema • Hair clips and headgear – especially those containing that affect the scalp rubber or nickel. Seborrhoeic eczema (dermatitis) is one of the most See the NES booklet on Contact Dermatitis for more common types of eczema seen on the scalp and hairline. details. It can affect babies (cradle cap), children and adults. The Irritant contact dermatitis is a type of eczema that skin appears red and scaly and there is often dandruff as occurs when the skin’s surface is irritated by a substance well, which can vary in severity. There may also be a rash that causes the skin to become dry, red and itchy. on other parts of the face, such as around the eyebrows, For example, shampoos, mousses, hair gels, hair spray, eyelids and sides of the nose. Seborrhoeic eczema can perm solution and fragrance can all cause irritant contact become infected. See the NES factsheets on Adult dermatitis. See the NES booklet on Contact Dermatitis for Seborrhoeic Dermatitis and Infantile Seborrhoeic more details. Dermatitis and Cradle Cap for more details. -
The Management of Common Skin Conditions in General Practice
Management of Common Skin Conditions In General Practice including the “red rash made easy” © Arroll, Fishman & Oakley, Department of General Practice and Primary Health Care University of Auckland, Tamaki Campus Reviewed by Hon A/Prof Amanda Oakley - 2019 http://www.dermnetnz.org Management of Common Skin Conditions In General Practice Contents Page Derm Map 3 Classic location: infants & children 4 Classic location: adults 5 Dermatology terminology 6 Common red rashes 7 Other common skin conditions 12 Common viral infections 14 Common bacterial infections 16 Common fungal infections 17 Arthropods 19 Eczema/dermatitis 20 Benign skin lesions 23 Skin cancers 26 Emergency dermatology 28 Clinical diagnosis of melanoma 31 Principles of diagnosis and treatment 32 Principles of treatment of eczema 33 Treatment sequence for psoriasis 34 Topical corticosteroids 35 Combination topical steroid + antimicrobial 36 Safety with topical corticosteroids 36 Emollients 37 Antipruritics 38 For further information, refer to: http://www.dermnetnz.org And http://www.derm-master.com 2 © Arroll, Fishman & Oakley, Department of General Practice and Primary Health Care, University of Auckland, Tamaki Campus. Management of Common Skin Conditions In General Practice DERM MAP Start Is the patient sick ? Yes Rash could be an infection or a drug eruption? No Insect Bites – Crop of grouped papules with a central blister or scab. Is the patient in pain or the rash Yes Infection: cellulitis / erysipelas, impetigo, boil is swelling, oozing or crusting? / folliculitis, herpes simplex / zoster. Urticaria – Smooth skin surface with weals that evolve in minutes to hours. No Is the rash in a classic location? Yes See our classic location chart . -
Annual Report Storebrand ASA 2019
Annual Report 2019 Sustainable Solutions and Investments STOREBRAND ANNUAL REPORT 2019 Page 1, Photographer: Mikael Svensson/Johner Page 5, Photographer: Nathan Anderson/Unsplash Page 6, Photographer: Ole Berg-Rusten, NTB Page 9, Photographer: Alexey Topolyanskiy /Unsplash Page 17, Photographer: Bevan Goldswain/Offset.com Page 19, Photographer: Aurora Photos, USA / Offset.com Page 20, Photographer: Michael Nolan /Offset.com Page 23, Photographer: Unsplash Page 25, Photographer: Sarah Bridgeman/Offset.com Page 26, Photographer: Shutterstock/TunedIn by Westend61 Page 27, Photographer: Maskot/Offset.com Page 30, Photographer: Olga Kashubin Page 32, Photographer: Shutterstock/KYTan Page 35, Photographer: Maskot Bildbyrå /Johnér Bildbyrå AB Page 37, Photographer: Shutterstock/Syda Productions Page 38, Photographer: Kate Vredevoogd/Offset.com Page 43, Photographer: Shutterstock / Halfpoint Page 45, Photographer: Shutterstock Page 47, Photographer: Colourbox.com Page 51, Photographer: The Good Brigade/Offset.com Page 53, Photographer: Mikael Svensson / Johner Bildbyra AB / Offset.com Page 59, Photographer: Cultura / Offset.com Page 60, Photographer: Shutterstock / Kamil Macniak Page 63, Photographer: Unsplash Page 67, Photographer: Shutterstock/loreanto Page 71, Photographer: Storebrand archive Page 75, Photographer: Maskot/Offset.com Page 76, Photographer: Nixon Johansen Cáceres/Johnér Bildbyrå AB Page 77, Photographer: Martin Pålsson/Offset.com Page 85, Photographer: Shutterstock/Westend61 Premium Page 197, Photographer: Maskot/Offset.com Page -
Eczema of Infancy and Childhood
International Journal of Medicine Research International Journal of Medicine Research ISSN: 2455-7404; Impact Factor: RJIF 5.42 Received: 23-02-2020; Accepted: 21-03-2020; Published: 11-04-2020 www.medicinesjournal.com Volume 5; Issue 2; 2020; Page No. 21-23 Eczema of infancy and childhood Dr. Magida Kathm1, Dr. Baraa W Taha2, Dr. Nassema Lazim3 1, 2, 3 Centeral Teaching Hospital of Peadiatrics, Baghdad, Iraq Abstract Background: Eczema of infancy and childhood is one of the commom dermatological diseases in Iraqi patients for this reason this study was arranged. Objective: To assessment of an epidemiological study aimed at characterization of different clinical aspects of eczema in children and in infants in Iraqi population. Patient and Methods: A total number of tow hundred and fifty patients was seen and studied in the department of dermatology / Medical City Baghdad, FROM December 2013 to April 2014. They were 131 males and 119 female. Their ages ranged from 2 weeks to 12 years, mean age 4.43 years with mean age of onset was 3.65 years. A detailed history was taken from each patient with emphasis on the following relivant points: age, age of onset, sex, family history of atopy, personal history of atopy, history of food allergy, any associated diseases and any seasonal variations. All patients were fully examined regarding the type, morphology and distribution of the lesions in each type of eczema including: Atopic dermatitis, discoid eczema, pityriasis Alba and seborrhoeic dermatitis. The type of feeding whether breast, bottle or mixed feeding was assessed in all types of eczema. -
Health Economics and Dermatology
Extracts from the Lectures of the 32nd Nordic Congress of Dermato-Venereology, Tampere, Finland Hyperpigmentation is a common symptom but will not pro- vide much valuable information to help diagnosing the skin condition. Almost all skin diseases in dark skin can give hyper- pigmentation at some point, especially if they have a chronic or protracted course. A non-specific hyperchromia can darken the elementary lesions of the underlying dermatosis, which could mislead the physician when examining the patient. Hyperpigmentation is the main cause of consultation of dark- skinned patients but the list of causes of hyperpigmentation is countless, thus topography and additional signs should help the physician. Three conditions are of particular exception, namely acne, lichen planus and prurigo lesions in HIV patients. Hypopigmentation on the other hand is an important sign for diagnosis and hypopigmentation also severely impairs the quality of life of the patients. Causes of permanent achromia Fig. 2. Prurigo nodularis in include mainly vitiligo, post-traumatic achromia, idiopathic an HIV patients. Typical Fig. 3. Heterogenous depigmentation hypomelanosis, chronic lupus of the discoid type, and burns. annular pigmented itchy induced by skin bleaching agents. lesions with central depig- Causes of mottled hypopigmentation include vitiligo, systemic mentation. scleroderma and lichenification. Lastly, frequent causes of hypopigmentation include eczema, seborrhoeic dermatitis, pityriasis versicolor, vitiligo minor, injection or local treat- systemic complications. As users tend to hide the use of such ment of corticosteroids, achromic hamartoma, lichen striatus agents to the physician it is important to treat any underlying or verruca plana. Rare causes of hypopigmentation include skin dermatoses, disrupt bleaching agents, avoid any judge- mycosis fungoides, sarcoidosis and leprosy. -
Norges Bank's Financial Sector Role in the Period 1945-2013, with a Particular Focus on Financial Stability
A Service of Leibniz-Informationszentrum econstor Wirtschaft Leibniz Information Centre Make Your Publications Visible. zbw for Economics Haare, Harald; Lund, Arild J.; Solheim, Jon A. Research Report Norges Bank's Financial Sector Role in the Period 1945-2013, with a Particular Focus on Financial Stability Staff Memo, No. 9/2016 Provided in Cooperation with: Norges Bank, Oslo Suggested Citation: Haare, Harald; Lund, Arild J.; Solheim, Jon A. (2016) : Norges Bank's Financial Sector Role in the Period 1945-2013, with a Particular Focus on Financial Stability, Staff Memo, No. 9/2016, ISBN 978-82-7553-919-7, Norges Bank, Oslo, http://hdl.handle.net/11250/2506540 This Version is available at: http://hdl.handle.net/10419/210322 Standard-Nutzungsbedingungen: Terms of use: Die Dokumente auf EconStor dürfen zu eigenen wissenschaftlichen Documents in EconStor may be saved and copied for your Zwecken und zum Privatgebrauch gespeichert und kopiert werden. personal and scholarly purposes. Sie dürfen die Dokumente nicht für öffentliche oder kommerzielle You are not to copy documents for public or commercial Zwecke vervielfältigen, öffentlich ausstellen, öffentlich zugänglich purposes, to exhibit the documents publicly, to make them machen, vertreiben oder anderweitig nutzen. publicly available on the internet, or to distribute or otherwise use the documents in public. Sofern die Verfasser die Dokumente unter Open-Content-Lizenzen (insbesondere CC-Lizenzen) zur Verfügung gestellt haben sollten, If the documents have been made available under an Open gelten abweichend von diesen Nutzungsbedingungen die in der dort Content Licence (especially Creative Commons Licences), you genannten Lizenz gewährten Nutzungsrechte. may exercise further usage rights as specified in the indicated licence. -
Norsk Patenttidende Nr 26/06
. nr 26/06 - 2006.06.26 årgang 96 ISSN 1503-4933 1. innholdsfortegnelse 2006.06.26 - nr 26/06 Innholdsfortegnelse Nye patentsøknader ..............................................................................................................3 Allment tilgjengelige patentsøknader (A).......................................................................... 21 Meddelte patenter B1 .......................................................................................................... 23 Oppreisning ......................................................................................................................... 36 Utløpte patenter................................................................................................................... 37 Trukket, Avslåtte og henlagte søknader som er allment tilgjengelige............................ 38 Utpekning og endring av fullmektig og fullmaktsforhold ................................................ 39 Resultat i innsigelsessak.................................................................................................... 40 Rettelse ................................................................................................................................ 41 2 nye patentsøknader 2006.06.26 - nr 26/06 Nye patentsøknader Fortegnelse etter patentforskriftens § 8 over innkomne patentsøknader. Patentsøknad nr 20061920, 20062551 - 20062647 (51) Klasse : A01G (51) Klasse : A01N (21) Søknadsnr : 20062622 (21) Søknadsnr : 20062642 (22) Inng.dag : 2006.06.07 (22) Inng.dag : 2006.06.08 -
Barnehagebehovsplan 2019-2028
RÅDMANN Barnehagebehovsplan 2019-2028 FOTO: ANDERS MARTINSEN FOTOGRAFER VEDTATT BARNEHAGEBEHOVSPLAN 2019-2028 Sammendrag – situasjonen nå: Etter at antall barn i barnehagealder vokste raskt i en lang periode har kommunen nå vært inne i en periode med noe nedgang i antall barn i alderen 1-5 år. Det er av den grunn verken behov på kommunenivå eller økonomisk handlingsrom for å opprette mange nye barnehageplasser i handlingsprogramperioden. Kravet om full barnehagedekning innebærer at det skal være nok plasser innen kommunen. Barnehagebehovsplanen søker likevel å balansere utbygging på både bydel- og delområdenivå for å gjøre hverdagen best mulig for foresatte og å redusere transportbehovet. Hovedopptaket 2018 var krevende og tok lang tid. Årsaken til dette var knapphet på barnehageplasser i delområdene Justvik og Gimlekollen samt delvis også Mosby og Grim. Dette ble løst ved etablering av tidligere Oddernes barnehage som en avdeling til Bergtorasvei barnehage (16 barnehageplasser), i tillegg ble det etablert en småbarnsavdeling ved Blåmann Steinerbarnehage (12 barnehageplasser) på Lund. Rammebetingelser: Det er en vedvarende utfordring med gjeldende finansieringssystem og rammeverk for øvrig å sikre en balansert barnehagekapasitet i det enkelte lokalområde samtidig som det ikke bør være for mange barnehageplasser i kommunen totalt sett. De økonomiske forutsetningene for barnehagesektoren tilsier at antall barn uten rett til plass skal holdes på et visst nivå ettersom barn uten rett til plass pga. alder ikke finansieres av staten. Det betyr at det ikke bør overetableres barnehager. Overetablering vil også kunne føre til tomme plasser i kommunale barnehager som er kostbart, spesielt dersom ikke bemanningen umiddelbart blir tatt ned slik at den står i forhold til antall barn. -
Boligprogram 2020–2023 ORGANISASJON Politisk Sekretariat
By- og stedsutvikling Boligprogram 2020–2023 ORGANISASJON Politisk sekretariat SAKSPROTOKOLL Arkivsak-dok. 2019000128 Saksbehandler Anne Lise Holand Aabø Behandlet av Møtedato Saknr 1 Formannskapet 20.11.2019 15/19 2 Bystyret 27.11.2019 61/19 BOLIGPROGRAM KRISTIANSAND 2020-2023 SLUTTBEHANDLING BYSTYRET HAR BEHANDLET SAKEN I MØTE 27.11.2019 SAK 61/19 Bystyrets vedtak: 1. Bystyret vedtar forslag til Boligprogram for Kristiansand 2020-2023. 2. Bystyret vedtar forutsetning for utbyggingsavtaler, jf. pbl. § 17-2: a. Inntil det foreligger ny kommuneplan (samfunnsdel/arealdel) og utbyggingspolitikk for Kristiansand, gjelder dagens politikk for de «gamle» kommunene b. Kommunen skal for perioden 2020-2023 tilrettelegge for et byggevolum på ca 800 boliger pr. år c. Boligprogrammet og tabell over utbyggingsområder gir grunnlag for drøftelse av utbyggingsavtale, herunder vilkår i utbyggingsavtale. (Enst.) 3. Det innarbeides som overordnet prinsipp at kommunen arbeider aktivt for å lette veien inn på boligmarkedet og motvirke geografiske klasseskiller i kommunen. (52/19) 1. Bystyret ber administrasjonen legge frem modeller som kan hjelpe førstegangskjøpere inn i boligmarkedet. Et alternativ kan være at Kristiansand kommune garanterer for unges behov for egenkapital, slik at de kan låne 100%, et annet alternativ kan være «leie-til-eie». (46/25) 2. Bystyret ber administrasjonen fremlegge mulige tiltak for at kommunen kan erverve boligområder/boligprosjekter, primært i sentrum og sentrumsnære områder, med formål å regulere for en balansert blanding av rimelige og dyre boliger, samt en blanding av eie-, leie- og borettslagsboliger. Det legges spesiell vekt på tiltak som kan gi nye botilbud for barnefamilier og nyetablerere. (44/27) 1 A ORGANISASJON Politisk sekretariat SAKSPROTOKOLL Arkivsak-dok.