British Journal of Dermatology

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British Journal of Dermatology British Journal of Dermatology July 2007 - Vol. 157 Issue s1 Page1-138 Abstracts for the British Association of Dermatologists 87th Annual Meeting Birmingham, U.K. 10-13 July 2007 Foreword pages iv–iv Abstracts for the British Association of Dermatologists 87th Annual Meeting Birmingham, U.K. 10-13 July 2007 Disclaimer pages vi–vi Abstracts for the British Association of Dermatologists 87th Annual Meeting Birmingham, U.K. 10-13 July 2007 Guest Speakers pages xx–xx Abstracts for the British Association of Dermatologists 87th Annual Meeting Birmingham, U.K. 10-13 July 2007 Main Plenary Sessions Main Plenary Sessions: Summaries of Papers pages 1–9 Abstracts for the British Association of Dermatologists 87th Annual Meeting Birmingham, U.K. 10-13 July 2007 Registrars’ Symposium pages 10–13 Abstracts for the British Association of Dermatologists 87th Annual Meeting Birmingham, U.K. 10-13 July 2007 Clinicopathological Cases Clinicopathological Cases: Summaries of Papers pages 14–22 Abstracts for the British Association of Dermatologists 87th Annual Meeting Birmingham, U.K. 10-13 July 2007 Bristol Cup Posters Bristol Cup Posters: Summaries of Posters pages 23–73 Abstracts for the British Association of Dermatologists 87th Annual Meeting Birmingham, U.K. 10-13 July 2007 Historical Archive Symposium Historical Archive Symposium: Summaries of Papers pages 74–80 Abstracts for the British Association of Dermatologists 87th Annual Meeting Birmingham, U.K. 10-13 July 2007 Contact Dermatitis British Contact Dermatitis Society: Summaries of Papers pages 81–93 Abstracts for the British Association of Dermatologists 87th Annual Meeting Birmingham, U.K. 10-13 July 2007 Dermatopathology British Society for Dermatopathology: Summary of Papers pages 94–105 Abstracts for the British Association of Dermatologists 87th Annual Meeting Birmingham, U.K. 10-13 July 2007 Dermatological Surgery British Society for Dermatological Surgery: Summaries of Papers pages 106–118 Abstracts for the British Association of Dermatologists 87th Annual Meeting Birmingham, U.K. 10-13 July 2007 Society for Paediatric Dermatology British Society for Paediatric Dermatology: Summaries of Papers pages 119–131 Abstracts for the British Association of Dermatologists 87th Annual Meeting Birmingham, U.K. 10-13 July 2007 Photodermatology British Photodermatology Group: Summaries of Papers pages 132–138 Foreword This supplement contains summaries of the papers and posters to be presented at the 87th Annual Meeting of the British Association of Dermatologists, to be held at the Birmingham International Convention Centre, U.K., 10–13 July 2007. Also included are summaries of the papers to be presented at the meetings of the following groups: British Contact Dermatitis Society, British Society for Dermatopathology, British Society for Dermatological Surgery, British Society for Paediatric Dermatology, British Photodermatology Group and Historical Archive Collection. J.S.C. English Editor Disclaimer This abstract book has been produced using author-supplied copy. Editing has been restricted to some corrections of spelling and style where appropriate. No responsibility is assumed for any claims, instructions, methods or drug dosages contained in the abstracts: it is recommended that these are verified independently. Standard numbering of abstracts The abstracts have been numbered following their order of presentation within each session. British Association of Dermatologists Annual Meeting, 2007, Birmingham Guest Speakers Venue Tuesday 10th July 2007 09:30–10:15 Prosser-White Oration Hall 11 Dr David Basketter (London, U.K.) Contact dermatitis and industry: twenty-five years on a tightrope 11:00–11:20 Update Lecture Hall 1 Dr Peter Colloby (Birmingham, U.K.) Histopathological aspects of Mohs’ surgery 11:00–11:20 Invited Neil Smith Dermatopathology Update Lecture Hall 11 Dr Gerald Saldanha (Leicester, U.K.) Histopathological aspects of Mohs’ surgery 15:20–15:50 Guest Speaker Hall 1 Dr Jon Hanifin (Oregon, U.S.A.) Atopic dermatitis today and tomorrow 17:00–17:30 Political Update Hall 1 Dr Robin Graham-Brown (Leicester, U.K.) Care closer to home: where are we now? Wednesday 11th July 2007 Venue 12:30–13:00 Guest Speaker Hall 1 Professor Francisco Kerdel (Miami, U.S.A.) Medical dermatology: new treatment for TEN and hidradenitis suppurativa 14:50–15:30 British Society for Paediatric Dermatology – Guest Speaker Hall 6 Professor Heiko Traupe (Mu¨nster, Germany) The ichthyoses: advances in molecular pathology and clinical management Thursday 12th July 2007 Venue 12:15–13:00 Arthur Rook Oration Hall 1 Professor Irene Leigh (Dundee, U.K.) Translational research in dermatology 13:00–13:30 Historical Collection Symposium Hall 9 Professor Martin Black (London, U.K.) The history of St John’s Hospital for Diseases of the Skin: tales of the founder to the present day 14:00–14:35 British Photodermatology Group Hall 11 Dr Susan Walker (London, U.K.) The beneficial effects of UVR-induced immunosuppression 14:35–15:10 British Photodermatology Group Hall 1 Professor Mark Birch-Machin (Newcastle, U.K.) Sunburnt DNA: how mitochondria record UV exposure of the skin Friday 13th July 2007 Venue 10:00–10:30 Guest Speaker Hall 1 Professor Martin Cook (Guildford, U.K.) Melanoma pathology: essential knowledge for the dermatologist Ó The Authors xx Journal Compilation Ó 2007 British Association of Dermatologists • British Journal of Dermatology (2007) 157 (Suppl. 1): xx Main Plenary Sessions: Summaries of Papers O-1 temperate summers may encourage outdoor bathing, making Cercarial dermatitis in the U.K. the presentation of CD more likely in the U.K.. S. Fraser, S. Allan and S. A. Holme Victoria Hospital, Kirkcaldy, U.K. Swimmer’s itch or cercarial dermatitis (CD) is an immuno- O-2 logical reaction to free-swimming parasites released from Dermatological workload: primary versus secondary freshwater snails. Shortly after leaving the infested water, care affected bathers develop a pruritic eruption which is gener- O.A. Kerr, E.C. Benton,* J.J. Walker, ally self-limiting. Although reported in continental Europe, R.D. Aldridge* and M.J. Tidman* North America and Asia, the condition has not previously Welsh Institute of Dermatology University Hospital of Wales, Cardiff, U.K.; been recorded in the U.K.. We report an outbreak of CD at *Dermatology Department Royal Infirmary of Edinburgh, Edinburgh, U.K. a local country park in July 2006. During hot weather, and Research Unit in Health, Behaviour and Change Royal Infirmary of bathing was popular in the loch, and four girls aged Edinburgh, Edinburgh, U.K. between 4 and 8 years presented with an itchy rash on The aims of this study were to estimate the burden of derma- their limbs and torso after paddling. Dermatological examin- tological disease in Primary Care, to record the diagnostic ation revealed an excoriated maculopapular eruption on each spectrum compared with that seen in hospital clinics, to evalu- girl’s limbs and torso, which was urticated in places. Treat- ate Primary Care management of frequently attending patients ment with mild topical corticosteroid, emollient and oral and to assess the reasons for referrals to hospital. Thirteen antihistamine provided symptomatic relief and the rash general medical practices serving 100 000 patients partici- resolved within 10 days in each case. The local Public pated. For a 2-week period during 2004–05, general practi- Health Department was alerted to nine further individuals tioners (GP) and practice nurses recorded all patients seen with a similar eruption who had bathed at the same loca- with a dermatological complaint. Subsequently a research tion. Analysis of a sample of molluscs from the water registrar extracted data from the medical records of these found evidence of cercarial infestation in 10% of 30 Ram- patients. Records from a control sample were examined to shorn snails collected. Warning notices were erected around assess compliance of the GPs. All patients who had consulted the shallow water to discourage bathing and the feeding of with a skin complaint on three or more occasions in the pre- water birds. CD is caused by the larvae of avian flukes vious year (frequent attenders) were invited to see a consult- (Trematoda) which have a complex life cycle (Kola´rˇova´ L, ant for evaluation of diagnosis, management plan and the Skirnisson K, Hora´k P. Schistosome cercariae as the causative need for referral to Secondary Care. In November 2005, hos- agent of swimmer’s itch in Iceland. J Helminthol 1999; 73: pital dermatology consultations in a region serving a popula- 215–20). Water birds are the primary host and the ciliated tion of 1Æ2 million were recorded by medical staff to assess larvae (miracidiae) hatch from eggs in the birds’ faeces. the diagnostic spectrum of new and return patients and the The miracidiae penetrate aquatic snails and develop into reasons for referral. There was wide variation between prac- sporocysts. Hundreds of motile larvae (cercariae) are then tices in the proportion of skin-related consultations (4–19%), released into the water by the snail, which seek aquatic with low recorders showing evidence of poor study compli- birds to restart the life cycle. Humans are affected due to ance. In a single practice where crosschecks showed no evi- the cercaria’s ability to penetrate mammalian stratum cor- dence of under-recording, the proportion of dermatological neum resulting in an inflammatory response, although the consultations was 15% (CI 13Æ8–18Æ3%). Of 720 dermato- fluke’s life cycle is arrested.
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