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Dermatologie Kompakt Ein Repetitorium Für Arzte Und Studierende

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Dermatologie Kompakt Ein Repetitorium Für Arzte Und Studierende Dermatologie kompakt Ein Repetitorium für Arzte und Studierende Peter von den Driesch Dermatologische Klinik und Poliklinik der Universität Erlangen - Nürnberg Mit 52 Abbildungen (davon 48 in Farbe) und 50 Tabellen woa Wissenschaftliche Verlagsgesellschaft mbH Stuttgart 1995 Inhaltsverzeichnis Vorwort 5 I Abkürzungen . Hauterscheinungen (Effloreszenzen) 39 Dermatohistologische Grundbegriffe 40 2.1 Epidermis 40 1 2.2 Korium 40 Dermatologische Erkrankungen durch Viren 41 3.1 Warzen 41 3.3.2.1 Herpes simplex (recidivans 3.1.1 Verrucae vulgäres und in loco) 44 Condylomata acuminata .... 41 3.3.3 Diagnostik der Herpes- 3.1.2 Bowenoide Papulose 42 infektionen 45 3.1.3 Epidermodysplasia 3.3.4 Therapie der Herpes- verruciformis 42 infektionen 45 3.1.4 Fokale epitheliale Hyper- 3.4 Varizellen/Herpes zoster ... 45 plasie 42 3.4.1 Erstinfektion: Varizellen .... 45 3.1.5 Therapie der Warzen 42 3.4.2 Sekundäre Reaktivierung: 3.2 Molluscum contagiosum Herpes zoster 46 (Dellwarzen) 43 3.5 Pocken (Variola vera) 46 3.3 Herpes simplex 43 3.6 Variolois 46 3.3.1 Primärmanifestationen 44 3.7 Melkerknoten 47 3.3.1.1 Gingivostomatitis herpetica . 44 3.8 Ecthyma contagiosum 47 3.3.1.2 Vulvovaginitis herpetica .... 44 3.9 Maul- und Klauenseuche ... 47 3.3.1.3 Herpessepsis 44 3.10 Coxsackie-Viren 3.3.1.4 HSV-Enzephalitis 44 (Enteroviren) 47 3.3.1.5 Eczema herpeticatum 44 3.10.1 Hand-Fuß-Mund- 3.3.2 Sekundärmanifestationen .. 44 Exanthem 47 10 Inhaltsverzeichnis 3.10.2 Herpangina 48 3.12.1 Grundlagen 48 3.11 ECHO-Viren (Enteroviren) . 48 3.12.2 Hautmanifestationen 50 3.12 AIDS 48 3.12.3 Therapie 51 „Die 6 Infektionskrankheiten" und das Kawasaki-Syndrom 52 4.1 Masern (Morbilli) 52 4.5 Erythema infectiosum 4.2 Scharlach 52 (Ringelröteln) 53 4.3 Röteln (Rubeola) 53 4.6 Exanthema subitum 4.4 Rubeola scarlatinosa (3-Tage-Fieber) 53 (Dukessche Krankheit) 53 4.7 Kawasaki-Syndrom 53 Bakterielle Hautkrankheiten 55 5.1 Rickettsien 55 5.8 Chlamydien 65 5.1.1 Epidemisches Fleckfieber 5.9 Lymphogranuloma (Typhus exanthematicus) ... 55 inguinale 65 5.1.2 Südafrikanisches Zecken- 5.10 Ulcusmolle 66 bißfieber 55 5.11 Granuloma venereum 5.2 Gonorrhoe 56 (inguinale) 66 5.3 Weitere Urethritiden 57 5.12 Weitere sexuell übertragene 5.3.1 Chlamydia trachomatis 57 Krankheitsbilder 67 5.3.2 Mykoplasmen 57 5.13 Hauttuberkulosen durch die 5.3.3 Trichomonas vaginalis 57 klassischen Erreger 67 5.3.4 Sonstige Erreger 57 5.13.1 Allgemeines 67 5.3.5 Morbus Reiter 58 5.13.2 Hauttuberkulosen bei 5.3.6 Diagnostisches Vorgehen bei Anergie 68 Urethritis 58 5.13.2.1 Tuberculosis primaria cutis 5.4 Syphilis (Lues) 58 (Primärkomplex) 68 5.4.1 Lues I 59 5.13.2.2 Tuberculosis cutis miliaris 5.4.2 Lues II 59 disseminata 68 5.4.3 Lues III 60 5.13.2.3 Tuberculosis miliaris 5.4.4 Lues IV (Neurolues) 61 ulcerosa mucosae et cutis ... 68 5.4.5 Lues connata/congenita .... 61 5.13.2.4 Tuberculosis fungosa 5.4.5.1 Lues congenita praecox .... 61 serpiginosa 69 5.4.5.2 Lues congenita tarda 61 5.13.3 Hauttuberkulosen bei 5.4.6 Serologie 61 Allergie 69 5.4.6.1 Unspezifische Verfahren .... 62 5.13.3.1 Tuberculosis cutis 5.4.6.2 Spezifische Verfahren 62 verrucosa 69 5.4.7 Therapie 63 5.13.3.2 Tuberculosis cutis luposa 5.5 Erkrankungen durch (Lupus vulgaris) 69 Borrelia burgdorferi 63 5.13.3.3 Tuberculosis cutis colliqua- 5.6 Frambösie 64 tiva (Skrophuloderm) 70 5.7 Pinta 65 5.13.3.4 Tuberkulide 70 Inhaltsverzeichnis 11 5.14 Hautkrankheiten durch 5.15.4 Tuberkuloide Lepra 73 atypische Mykobakterien- 5.15.5 Dimorphe bzw. Borderline- infektionen 71 Lepra 73 5.14.1 Schwimmbadgranulom 71 5.15.6 Allgemeinpathologische 5.14.2 Buruli-Ulkus 71 Veränderungen bei Lepra ... 73 5.15 Lepra (M. Hansen) 72 5.15.7 Erregernachweis und 5.15.1 Allgemeines 72 Therapie 74 5.15.2 Lepra indeterminata 72 5.16 Rhinosklerom 74 5.15.3 Lepra lepromatosa 72 Pyodermien . 75 6.1 Pyodermien der Epidermis .. 75 6.2.6 Folliculitis decalvans 6.1.1 Kleinblasige Impetigo capillitii :-Q 77 contagiosa 75 6.2.7 Folliculitis sclerotisans 6.1.2 Großblasige Impetigo nuchae 78 contagiosa 75 6.2.8 Perifolliculitis capitis 6.1.3 Staphylogenes Lyell- suffodiens et abscedens 78 Syndrom 76 6.2.9 Hordeolum (Gerstenkorn) .. 78 6.1.4 Bulla repens 76 6.2.10 Furunkel 78 6.2 Pyodermien der Haar- 6.2.11 Karbunkel 79 follikel 76 6.3 Pyodermien der Schweiß- 6.2.1 Ostiofollikulitis 76 drüsen 79 6.2.2 Folliculitis simplex 6.3.1 Hidradenitis suppurativa ... 79 barbae 76 6.3.1.1 Akut eitrige Hidradenitis 6.2.3 Folliculitis eczematosa suppurativa 79 barbae 77 6.3.1.2 Pyoderma fistulans sinifica .. 79 6.2.4 Pseudofolliculitis barbae .... 77 6:3.2 Multiple Schweißdrüsen- 6.2.5 Gramnegative Follikulitis ... 77 abszesse der Neugeborenen . 80 7 Chronische Pyodermien 81 7.1 Pyodermia vegetans 81 7.3 Schankriforme Pyodermie .. 81 7.2 Pyodermia ulcerosa 7.4 Acne necrotica serpiginosa 81 (varioliformis) 82 8 Hautkrankheiten durch Streptokokken 83 8.1 Erysipel 83 8.5 Hautreaktionen bei/nach 8.2 Ekthyma 83 akuten/chronischen 8.3 Phlegmone 84 Streptokokkeninfekten .. 84 8.4 Nekrotisierende Fasziitis ... 84 8.6 Purpura fulminans 84 12 Inhaltsverzeichnis 8.7 Hautmanifestationen bei bzw. rezidivierender bakterieller Endokarditis Bakteriämie 85 9 Erkrankungen durch Corynebakterien (ohne Diphtherie) 86 9.1 Erythrasma .. ... 86 9.3 Keratoma sulcatum 86 9.2 Trichomycosis palmellina ... 86 10 Diphtherie der Haut 87 11 Aktinomyzeten 88 11.1 Aktinomykose 88 11.3 Myzetom (Madura-Fuß) .. .. 89 11.2 Nokardiose 88 n Leishmaniosen 90 12.1 Allgemeines 90 12.3 Kala-Azar (viszerale 12.2 Kutane Leishmaniose - Leishmaniose) 91 (Aleppobeule) 90 12.4 Muko(-kutane) amerika- nische Leishmaniose 91 13 Zoonosen 92 13.1 Erysipeloid 92 13.5 Tularämie 93 13.2 Malleus 92 13.6 Katzenkratzkrankheit . .. 94 13.3 Anthrax 92 13.7 Brucellosen 94 13.4 Pest 93 13.8 Rattenbißkrankheit 94 14 Dermatomykosen 96 14.1 Allgemeines 96 14.3.1 Tinea caoitis 97 14.2 Erreger 97 14.3.1.1 Oberflächliche und tiefe 14.3 Dermatophvtosen 97 Tinea .. 97 Inhaltsverzeichnis 13 14.3.1.2 Mikrosporie 97 14.4.8 Candidafollikulitis 103 14.3.1.3 Tinea favosa 97 14.4.9 Chronische mukokutane 14.3.1.4 Alopecia-areata-ähnliche Kandidosen 103 Trichophytie 99 14.4.10 Candidaösophagitis und 14.3.2 Tinea barbae 100 Candidasepsis 104 14.3.3 Tinea faciei/corporis 100 14.5 Weitere Hefemykosen 104 14.3.4 Tinea inguinalis 100 14.5.1 Pityriasis versicolor 104 14.3.5 Tinea manuum 100 14.5.2 Malasseziafollikulitis 104 14.3.6 Tinea pedum 100 14.5.3 Weiße Piedra 105 14.3.7 Tinea der Unterschenkel ... 101 14.6 Schimmelpilze 105 14.3.8 Tinea unguium (Onycho- 14.6.1 Onychomykose 105 mykose) 101 14.6.2 Otomylsose 105 14.3.9 Granuloma trichophyticum . 101 14.6.3 Schwarze Piedra 105 14.3.10 Mykide 101 14.6.4 Tinea nigra 105 14.3.11 Therapie der Dermato- 14.7 Dermale Mykosen 105 phytosen 101 14.7.1 Chromomykose 105 14.4 Kandidosen (Soor) 102 14.7.2 Sporotrichose 106 14.4.1 Orale Kandidose 102 14.7.3 Myzetom 106 14.4.2 Candidavulvovaginitis 102 14.8 Systemmykosen 106 14.4.3 Candidabalanitis 103 14.8.1 Kryptokokkose 106 14.4.4 Intertriginöse Kandidose ... 103 14.8.2 Blastomykose (Chicago- 14.4.5 Interdigitale Kandidose 103 Krankheit) 107 14.4.6 Kandidose im Windelbereich 14.8.3 Parakokzidioidomykose .... 107 (Soor-Dermatitis) 103 14.8.4 Histoplasmose 107 14.4.7 Candidaparonychie, 14.8.5 Kokzidioidomykose Candidaonychomykose .... 103 (California-Krankheit) 108 15 Epizootien 109 15.1 Pedikulose 109 15.6 Myasis linearis migrans 111 15.1.1 Pediculosis capitis 109 15.7 Raupen 112 15.1.2 Pediculosis vestimentorum/ 15.8 Spinnen 112 corporis 109 15.9 Milben 112 15.1.3 Pediculosis pubis (Filzläuse) . 110 15.9.1 Skabies (Krätze) 112 15.2 Wanzen (Cimikose) 110 15.9.2 Cheyletiellosis 113 15.3 Flöhe (Pulikose) 110 15.9.3 Trombidiose (Heukrätze) ... 113 15.4 Hautflügler (Bienen, Wes- 15.10 Zecken 113 pen, Hornissen, Hummeln) . 110 15.10.1 Frühsommermeningo- 15.5 Zweiflügler (Diptera) 111 enzephalitis 113 16 Dermatologische Erkrankungen durch Würmer 115 16.1 Nematoden (Fadenwürmer) . 115 16.1.2 Ascariasis (Spulwürmer) ... 115 16.1.1 Oxyuriasis (Enterobius 16.1.3 Trichinose 115 vermicularis) 115 16.1.4 Lymphatische Filariose 116 14 Inhaltsverzeichnis 16.1.5 Drakunkulose 116 16.2.2 Echinokokkose 117 16.1.6 Loiase (Loa Loa) 116 16.3 Trematoden (Saugwürmer) . 118 16.1.7 Onchozerkose 116 16.3.1 Bilharziose 118 16.2 Cestoda (Bandwürmer) 117 16.3.2 Zerkariendermatitis 118 16.2.1 Zystizerbose 117 17 Arznemuttelnebenwirkungen an der Haut 119 17.1 Grundformen der Allergie .. 119 17.2.5 Medikamentöses Lyell- 17.1.1 Typ-I-Reaktion Syndrom (toxische ^j (Anaphylaxie) 119 epidermale Nekrolyse) 122 17.1.1.1 Mastzellvermittelte 17.2.6 Hämorrhagische Arznei- Reaktionen 119 mittelexantheme 123 17.1.1.2 Langerhanszellvermittelte 17.2.7 Thrombozytopenische Reaktionen 120 Purpura 123 17.1.2 Typ-II-Reaktion 17.2.8 Nodöse Arzneimittel- (zytotoxische Reaktion) .... 120 exantheme 123 17.1.3 Typ-III-Reaktion (Immun- 17.2.9 Hämorrhagische Cumarin- komplexreaktion) 120 nekrosen 123 17.1.3.1 Arthus-Reaktion 120 17.2.10 Fixes Arzneimittel- 17.1.3.2 Serumkrankheit 120 exanthem 124 17.1.4 Typ-IV-Reaktion (zelluläre 17.2.11 Lichenoide Arzneimittel- Reaktion vom Spättyp) 121 reaktionen 124 17.1.4.1 Ekzemtyp 121 17.2.12 Akneiforme und pustulöse 17.1.4.2 Tuberkulintyp 121 Arzneimittelexantheme 124 17.2 Medikamentös ausgelöste 17.2.13 Exantheme bei Serum- Krankheitsbilder 121 krankheit 124 17.2.1 Skarlatiniforme, morbilli- - 17.2.14 Provokationen von forme, rubeoliforme Dermatosen 125 Arzneimittelexantheme ...
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