Time To Vote In this issue: Elect your new EADV Board of President’s Directors and Treasurer Perspective Page 11 Strong Past – Stronger Future Page 2

Servicing the Dermatology Community The Danish Society for Young Dermatologists Page 9

Update from the Media & PR Committee New campaigns, methods of testing and interactive learning Page 20

EUROPEAN ACADEMY OF DERMATOLOGY AND VENEREOLOGY

ACADEMIE EUROPÉENNE DE DERMATOLOGIE ET VÉNÉRÉOLOGIE

Inside President’s Perspective ______2 Editorial Strong Past – Stronger Future: the challenging motto of the Vienna Congress 16th EADV Congress ______4 Clear direction, insight & innovation Reflecting on the Vienna Congress Letter of thanks Dermatology around the World ______8 Dermatology in Libya Servicing the Dermatology Community ______9 The Danish Society for Young Dermatologists Giving Science a Board Member Profiles ______10 New faces on the EADV Board Human Face EADV Elections ______11 Election of Board Directors Election of the Treasurer International Skin Care Nursing Group ______15 We all deal with biological phenomena every day; and most do it successfully, Building a network improving the health and lives of many patients. In daily practice we rely on Servicing the Dermatology Community ______16 many different aspects of our training. We rely on a general biological ADIPSO understanding of disease, we rely on the social training in communicating with EADV Task Forces ______16 patients and we rely on structures within which we practise our profession. Psoriasis Task Force Servicing the Dermatology Community ______17 Medicine is a classical profession – but it is not always an exact science. This IPCAA does not mean we should not develop as a science, it merely means that we Young Dermatologists ______18 should be aware that what we practise every day is much more than just Light: friend or foe for the skin? science. Teaching our patients about their disease so that they can put not only Update from the Media & PR Committee _ _ _ _ _ 20 a name but a face to their demons is important – but not necessarily scientific. New campaigns, methods of testing Touching the hand of a patient in distress reflects not science but compassion and interactive learning and care, which are within the realm of humanity rather than science, even if Update from the Honours & Awards Committee ______21 many scientific things may be said of such behaviour. Young dermatologists honoured in Vienna If we think of peers we have known and respected for their ability to help Update from the Scientific Programming others, we may come to realise that they mastered not only the scientific part Committee______22 Chairman’s note of our profession but the human side as well. In Memoriam ______23 Dermatologists all over Europe deal with similar biological problems, under Professor Ruggero Caputo: different psychological, social and cultural conditions. Most are fortunately able ode to a dedicated doctor to help their patients to a better life. Very little is however known about how Update from the Secretary General ______24 Sad news following an outstanding Congress we actually do all the non-scientific and all the non-biological things, although these are often some of the most appreciated by our patients. Dates for your Diary ______25 Announcements and calendar of events The Fostering Programme of the EADV gives practitioners the opportunity to visit other countries to see how medicine is practised elsewhere. One may learn EADV News many things from this. Travel broadens the mind – even the professional mind. Published by EADV Editor: Gregor Jemec Technical Editors: Mamé Gamamy & Eloy Parra Blanco Design & Production: MCI Gregor Jemec The contents of this publication are compiled in good faith. Editor The publisher accepts no responsibility for omissions or errors. EADV Office Avenue General de Gaulle, 38 B-1050 Brussels Belgium Tel: +32-2-650 0090 Fax: +32-2-650 0098 E-mail: [email protected] Website: www.eadv.org 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 Editors, 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 RING Johannes (DE), Past President KATSAMBAS Andreas (GR), President-Elect Strong Past – Stronger PACE Joseph L. (MT), Secretary General OLAFSSON Jon Hjaltalin (IS), Treasurer TSCHACHLER Erwin (AT), Representative of the Board KARPATI Sarolta (HU), The Challenging Representative of the Board

Symposia/Congress Presidents JOLY Pascal (FR), ADV’s President, Alberto Giannetti, reflects on the achievements of President 17th Congress 2008 Prof. Giannetti European dermatology and strongly supports the need for initiatives LUGER Thomas (DE), E th President (2006-2008) President 18 Congress 2009 dedicated to increasing the quality of European and global dermatology. GÜRER Mehmet Ali (TR), Chairman 5th Spring Symposium 2008 FORSEA Dan (RO), Chairman th 6 Spring Symposium 2009 Dear Colleagues, Friends and Peers, table” in Brussels and Europe wide, in JEADV Editor order to realistically re-organise welfare ORTONNE Jean-Paul (FR) The numerous and happily successful Board of Directors systems. CHAIDEMENOS Georgios (GR) EADV activities that are already in place CLAUDEL Jean-Paul (FR) today position our Academy at the It is with great pride and satisfaction that CONEJO-MIR Julian (ES) DAVIDSSON Steingrimur (IS) starting point to embark upon tackling we have noted a majority of Congress De RIE Menno (NL) ETTLER Karel (CZ) the challenges ahead. participants from Eastern Europe this FERNANDEZ PEÑAS Pablo F. (ES) year. We are keen to see increased FORSEA Dan (RO) EADV’s Congresses are structurally very FRITZ Klaus (DE) activity in this respect and encourage GABBUD Jean-Paul (CH) strong. The organisational strength and the GORKIEWICZ-PETKOW Anna (PL) further participation in the future. GÜRER Mehmet Ali (TR) excellence of the scientific programme of JEMEC Gregor (DK) Furthermore, non-European colleagues JOLY Pascal (FR) the Vienna Congress were inarguably KARPATI Sarolta (HU) and groups not only vowed to become LARKÖ Olle (SE) appreciated by participating members and regular partners, but also became EADV LIPOZENCIC Jasna (HR) non-members alike. Attracting over 7.000 LUGER Thomas A. (DE) members following their EADV Congress MEDENCIA Ljiljana (RS) delegates surely demonstrates that these NAEYAERT Jean-Marie (BE) experiences. PEC Juraj (SK) annual EADV educational offerings are a PESERICO Andrea (IT) The presence and participation of the PICOTO António Silva (PT) must entry on the European dermatology ROBINSON Angela (GB) Chinese, Indian and African associations ROGERS Sarah (IE) conference agenda. RONNEVIG Jørgen (NO) should be cultivated in the future to create RUBINS Andris (LV) SCERRI Lawrence (MT) Extending globally fruitfully beneficial partnerships. As I SCHROEDER Fabienne (LU) Key activities and accessions will remarked during the Opening Ceremony, STRATIGOS Alexandros (GR) SUHONEN Raimo (FI) contribute to making EADV’s efforts even we as an academy – from a developed and TIPLICA George Sorin (RO) TSANKOV Nicolaï (BG) stronger than they are already today: prosperous part of the world – have the TSCHACHLER Erwin (AT) collective responsibility to extend outreach WOJNAROWSKA Fenella (GB) The participation of the Sister Societies ZAOURA PETRANYI Maria (CY) and education into the less fortunate enhances our Congresses by broadening Committee Chairs countries around the globe. STRATIGOS Alexandros (GR), content, scope and geography. Subjects Scientific Programming Committee De RIE Menno (NL), Finance Committee presented and discussed will undoubtedly Paris Congress 2008 GABBUD Jean-Paul (CH), CME Committee help us to better understand the I am certain that the EADV Congress in SCERRI Lawrence (MT), complexity of our discipline. The Paris 2008, 17-21 September 2008, under Membership Committee KATSAMBAS Andreas (GR), dissemination and preservation of the leadership of Congress President, Honours and Awards Committee FERNANDEZ PEÑAS Pablo F. (ES), knowledge must be encouraged and Pascal Joly, will deliver and exceed upon Website Committee divulged at the European and individual expectations. The excellent work carried FRITZ Klaus (DE), Media & PR Committee country political levels to allow the out by the Scientific Programme BLACK Martin (GB), Nominations and Elections Monitoring Committee European dermatology community to Committee will be mirrored by the quality POWELL Frank C. (IE), Development and Statutes Committee keep its activities alive and progressive. of the programme, the innovation and the ROTHENBORG Hans W. (DK), The EADV must play a defensive and implementation of key suggestions put Ethics Committee WOJNAROWSKA Fenella (GB), propositional active role regarding forward by participants at the Vienna Fostering Dermatology and Venereology Committee processes and procedures on “the talk Congress.

Staff INDUNI Nancy BLUM Stefanie CATHALA Catherine CAUCHI Monica DONOU Elli PAPP Ildiko STRASSER Judith

2 EADV News n°23 - Summer 2007

President’s Perspective Future: Motto of the Vienna Congress

Board decisions at a glance allow us to develop a series of proposals University of Milan. As an active and Various important decisions were ratified and therefore enable the Academy to faithful member of the EADV, he always during the Vienna Congress: work on clear and realistic projects contributed to our congresses, both as a aimed at introducing educational grants Chair and as speaker, especially in • The educational focus for 2007 and to strongly support a fundamental the sessions dedicated to paediatric 2008 will centre on fostering courses on objective representing grounds for an dermatology. He also acted as member of dermatoscopy and laser therapy aimed alliance with our partners. the Board and was particularly at resident doctors and dermatologists. committed to the Fostering Committee, These courses will serve as a role model •A review of the various committees of organising a wonderful course on that should also be developed in other the EADV is in progress, which is, for a paediatric dermatology in Rhodes. The European countries in order to allow for growing organisation, physiologically loss of Ruggero Caputo is a critical one more dialogue between other national imperative and also a healthy exercise. for the Italian, the European and the societies. Our Academy thankfully has many global dermatology communities, since, resources at hand – many of which have • The Academy Journal JEADV will be as you will read in the obituary written in not yet been exploited. We are published 12 times per year. The this issue by his pupil, Carlo Gelmetti, he sufficiently young to continue thus editorial board has recruited two was – and will always be – one of the forth and not fall into the temptation of associate editors to support the Editor- most prominent and eminent figures self-maintenance, a typical trait in-Chief, Jean-Paul Ortonne, who will within the community. I knew him for a common to some of the more mature dutifully serve until 2012 to oversee very long time and admired him deeply. communities. and maintain the high standard of our On behalf of the EADV and its members, publication. •Efforts aimed at membership extension I would like to express our heartfelt loss into national societies are continuous. • The financial situation of the Academy to both his colleagues and students at the Some national societies have naturally will be strengthened due to the increase dermatology department in Milan as well raised questions which will be of educational activities – much sought as his family and friends. answered. I am personally convinced – • after by young EADV members and as is the Executive Committee and the dermato-venereologists in Europe. The Board – that the EADV has both a lot to distribution of scholarships must give and gain from such efforts. We will improve to create more opportunities continue to dedicate the necessary for young dermato-venereologists and energy, input and drive to ensure that Alberto Giannetti thus expand on their education within we increase our impact throughout EADV President an international setting. Europe and around the world by • We have ratified the amendments to responding to the needs of our EADV’s Bylaws, which were prepared colleagues. by a special committee under the A friend is gone guidance of Frank Powell to guarantee While I was preparing this letter for absolute transparency of the decisions EADV News I was informed of the made by the Academy. sudden death of Ruggero Caputo, • We are currently also re-evaluating Professor and Chairman of the relationships with companies that will Department of Dermatology at the EADV Vienna Congress exhibition

3 16th EADV Congress: Clear

he 16th EADV Congress, 16-20 May, 2007, Vienna, Austria attracted over 7.500 attendees and Tdelivered an outstanding programme tuned to the needs of both office and hospital based dermato-venereologists, providing ample opportunity for networking and exchange.

The EADV Congress was “the biggest and Venereology, Hubert Pehamberger, dermatological congress which has ever and the President of the EADV, Alberto taken place in Austria,” reflected Karl Giannetti. Their succinct opening was Holubar, Professor at the Institute of followed by a magnificent concert Medical History of the University of featuring an Austro-Hungarian duo Vienna. 2007 marks the 200 year coupling the Györ Philharmonic anniversary since the passing of the Orchestra with the Viennese conductor Austrian surgeon, Joseph Plenck, whose Norbert Pfafflmeyer, a physician himself. doctrina de morbis cutaneis set the The success of their compositions by foundation for modern dermatology – a Joseph and Johann Strauss and Wolfgang fitting coincidence in tribute to the Amadeus Mozart, earned their location of the Congress itself. performance continued applause and two enthusiastic encores. One participant Setting the stage for the four days to commented that this particular opening follow, participants were warmly ceremony was “one of the few occasions welcomed to Vienna by the Congress that people voluntarily stay longer at the President, Erwin Tschachler, the President Congress President, Professor Erwin Tschachler, opening ceremony than indicated in the of the Austrian Society of Dermatology giving the welcome speech programme.”

The choice of the Austrian Center Vienna as the Congress venue and the impeccable organisation perfectly matched the quality of the scientific programme par excellence. Consequently the only complaint echoed by delegates was that with so many interesting sessions set in parallel it was impossible to attend each one. Professor Hubert Pehamberger, President of Erwin Tschachler and the Local Scientific the Austrian Society of Dermatology, from the Organising Committee (presided by host society of the Vienna Congress Facts & Figures Werner Aberer) already acknowledged this problem throughout the crafting of • Over 7.500 total attendees the scientific programme. However, the • 26 sub-specialty society necessity to give a voice to all the different meetings fields of dermato-venereology naturally results in a tightly packed programme. • The 110 sessions included 47 One idea put forward by the organisers of core symposia, 27 workshops, the Vienna Congress to ameliorate this 19 courses and 11 lunches- situation was to extend the duration of the with-the-experts Congress well into Sunday – a suggestion • 27 satellite symposia and 7 which could be pursued with future Reception at the Palais Ferstel meet-the-experts sessions congresses in mind.

• 1.566 poster abstracts As in previous years the sub-specialty different areas, the Congress also • 120 free communications society meetings taking place on the enjoyed contributions from experts • 31 free scholarship winner same day as the opening of the EADV involved in the sub-specialty societies registrations and 306 Congress greatly contributed to the participating as speakers or chairpersons fellowships awarded overall successes of the meeting. By – a clear indication that this format convening dermatologists specialised in delivers on demand. 4 EADV News n°23 - Summer 2007

Winners of the 'Test Yourself' sessions Direction, • TY1 Ines M. Lobo, Hospital Geral de Santo António, Porto (Portugal) • TY1 Carlo Tomasini, Insight & InnovationInnovation Dermatopathology Section, University of Turin, (Italy) • TY2 Luis Miguel Dos Santos Reis Vienna Congress visitors receive some of the newest information on Soared de Almeida, Cecliroma, dermatology and venereology at the Congress exhibition Lisboa (Portugal) Innovative elements diseases. The winners of these sessions • TY3 Rodica Negreanu, Dermatology It would far exceed the boundaries of this were awarded free EADV memberships I Department, Colentina Hospital, article to give a detailed report on each for one year. Carol Davila University of Medicine, and every programme highlight that Since the aforementioned demands on Bucharest (Romania) spanned a stimulating range of topics the EADV Congress programme schedule tackling the latest developments in the did not allow for poster sessions, the fields of infectious skin diseases, organisers decided to include, for the first Poster award winners phlebology, dermatological surgery, time, a session on highlights from the • P202 Normal human keratinocytes dermato-oncology, allergic diseases, poster hall, which generated positive can secrete precursor nerve growth histopathology and much more. opinion not only amongst poster factor (proNGF) and cutaneous The first ever sessions dedicated to presenters but from the attendees in neurpeptides increase both prongf dermatological practice in China, India general. Additionally, an international production and NDG secretion in and Africa are particularly worthy of committee composed of Minghua cultured human keratinocytes. note. The topic interest of each drew Chen (China), Adrian-Martin Pierini Sandor Husz (Hungary) impressive attendance and participants (Argentina), Werner Aberer (Austria), • P382 Thiopurine S-methyltransferase were consequently inspired and Sarah Rogers (Ireland), Georgios (TPMT): Analysis of SNP provides enlightened by both the differences and Chaidemenos (Greece) and Karel Ettler only relative information. similarities of approaches adopted by (Czech Republic), awarded six poster Martin Laimer (Austria) European, Chinese, Indian and African prizes during the Congress. • P607 Cutaneous pseudolinfoma in a dermatologists in the treatment of skin patient with a previous malt gastric disease. linfoma taking Lamotrigine. Another innovative element of the Ana Tuneu (Spain) Vienna Congress included the 'Test • P802 Electrochemotherapy in the Yourself' sessions whereby delegates treatment of metastatic basal cell could use a numbered interactive voting carcinoma. Giulio Gualdi (Italy) system to self-test their knowledge • P953 Sub-erythemal UVB doses and problem solving capacities on enhance skin apoptosis. issues covering clinical dermatology, Joanna Narbutt (Poland) histopathology and sexually transmitted • P1407 Investigation of L1-Capsid proteine at HPV inducted diseases of the vulva. Professor Alberto Giannetti (EADV President) Manfred Hagedorn (Germany) and Professor Erwin Tschachler (Congress President) during the ceremony opening EADV award winners Clinical Care Award: Despite the brilliant weather on Saturday Peter Fritsch (Austria) and – with the many tourist delights of Jean Civatte (France) Vienna beckoning – several hundred Scientific Achievement Award: participants attended the closing Stefania Jablonska (Poland) and ceremony where Erwin Tschachler Charles Lapiere (Belgium) handed over the EADV flag to Pascal Joly, the President of the 17th EADV Distinguished Service Award: Congress in Paris, France 17-21 Lucio Andreassi (Italy) and Györ Philharmonic Orchestra conducted by Martin Black (UK) Norbert Pfafflmeyer September 2008. 5 President’s Dinner at the Palais Ferstel in Vienna

Reflecting on the Vienna Congress

“This was a very well organised congress “This was the first EADV Congress I have during a very beautiful springtime in ever attended. It was a good scientific as Vienna. The meeting was successfully Dr. Ewa Wennberg, Professor Olle Larkö, well as social experience. One suggestion Professor Johannes Ring, Professor and attended and the scientific programme of would be to mention the number of CME Mrs. Jon Olafsson high quality. I especially enjoyed the hours in certificates to hand out to the speaker lounge which offered a relaxing international participants.” environment, with drinks and Viennese Akila Iftikhar, United Arab Emirates pastries, allowing speakers to polish their “It was the best organised and well- lecture notes.” rounded congress we have ever Robert Gniadecki, Denmark participated in. Thank you!” “I enjoyed the meeting very much. The Florian and Adina Martinescu, Romania organisation was impeccable. The “In general the Congress had a high scientific level was generally very high. scientific quality and good management. My only point of criticism is that I didn’t I think it would have been a nice initiative have the chance to attend all the Sister Professor Fenella Wojnarowska, to have an information booth about Society meetings because many of them Professor Martin Black and Professor Ljiljana Medenica Austria to provide information on some were scheduled on the same day, and it cultural aspects of the Congress’ host was quite hard to make a choice between country.” such interesting meetings. A suggestion Zahra Moosavi, Iran for the future would be to have less parallel Sister Society meeting sessions. “For me, the last EADV Congress in Eckart Haneke, Germany Vienna was the most successful event of the year, both socially and from a scientific and educational point of view. The innovative ‘highlights from the poster hall’ session deserves special mention. Inevitably, it was most Professor Dan Forsea, Dr. Frank Powell, stimulating and should be maintained at Professor Andrea Peserico and Dr. Sarah Rogers forthcoming congresses. The media workshop is naturally always a great adventure. Knowledge and experience gained during this session are most helpful in my everyday dermatological practice.” • Anna Zalewska, Poland

Traditional Austrian musicians welcoming Dr. and Mrs. Jean-Paul Gabbud, guests to the Congress Dinner Professor Hans W. Rothenborg 6 EADV News n°23 - Summer 2007

Dr. Megan Moore (3rd from left) accompanied by her husband, Letter of Thanks from a Vienna Dr. James Mura (to her left), Dr. Wilson Liao (3rd from right) and Dr. Christopher Dolan, (2nd Congress Travel Grant Recipient from right), and 3 AAD staff members enjoying their dinner at the König von Ungarn, a local Viennese restaurant.

Dear Professor Andreas Katsambas, Professor Joseph L. Pace, the EADV Awards Committee, Jennifer Miller, and the AAD International Affairs Committee,

I recently attended the 16th Annual Congress of the EADV in Vienna, Austria, and would like to thank you for your generosity in providing me with this opportunity. I have returned from the meeting with new perspectives on dermatology, global health, and European meeting history and culture. I hope that my attendance at the EADV will be the first of many international dermatological experiences.

The three days of the Congress were full of activity. I sought out talks by speakers known to me through their publications and enjoyed hearing from them and many other leaders in dermatology. Professor Rein Willemze (The Netherlands) led an informative session on cutaneous lymphomas and Professor Rudolf Happle (Germany) held a fantastic interactive session on difficult clinical cases, including several genodermatoses and mosaic conditions. Professor Dieter Metze (Germany) and Professor Rino Cerio (UK) also conducted a challenging and informative interactive session on difficult histologic cases with illuminating clinicopathologic correlation.

European dermatology family

Throughout the meeting, I was impressed with the innumerable historical references to the Vienna School, to Kaposi, Nekam, Pick, and others. A session on the history of European dermatology included talks by dermatologists from Paris, Padua, Budapest, and Prague and gave me a new appreciation for the rich history of our field. After hearing Professor Stella Fatovic (Croatia) present the history of Mal de Meleda, I will no longer think of it as the simple definition of an obscure genodermatosis that I memorized in preparation for an exam; Mal de Meleda now evokes a rich narrative of the legend of the Adriatic island of Mljet and its puzzle of 'endemic leprosy'. Likewise, Professor Rudolf Happle facilitated a whole new outlook on the origin of the name of the Birt-Hogg-Dube Syndrome and proposed to refer to it as Hornstein Syndrome.

At a reception for scholarship winners graciously hosted by Professors Joseph L Pace and Andreas Katsambas, and other leaders of the EADV, we were welcomed into the 'European family'. I was humbled and touched by this welcome. The truly global nature of the meeting, with attendees from nearly all continents and sessions on dermatology in Brazil, India, China, and the developing world, was impressive. Lectures by Professor Aldo Morrone (Italy) on medicine and human rights issues in Ethiopia and by Professor Bernard Naafs (The Netherlands) on immigration and its implications for dermatology in Europe challenged me to follow this European example.

An ideal host

In addition to my great experience with the EADV Congress, I very much enjoyed the multi-faceted and impressive city of Vienna with its rich culture, history, architecture and art. The hospitality of the Viennese, the safety and civility of the city, the efficiency of the public transportation system, and our well-located accommodation made exploring both Vienna easy and irresistible.

Thank you for the generous EADV fellowship. My experiences in Vienna and at the Congress were unforgettable, and I have returned home inspired and encouraged as I approach graduation from residency and the beginning of my dermatological career. The insights I gained into the diversity, resources and history of the international dermatological community will enrich my personal and professional life. I am honored to have become a part of the EADV family and look forward to many more international experiences in the future.

Sincerely yours, Megan Moore Resident in Dermatology New York University Medical Center (USA) [email protected]

7 Facts & Figures Dermatology around Country Name: Libya Derived from the name by which Dermatology a single Berber tribe was known to the ancient Egyptians, the name Libya was subsequently in Libya applied by the Greeks to most of North Africa.

Capital: r. Abdelaziz Alahlafi, Lecturer in Tripoli DDermatology at Omar Al-Mukhtar Population: University, Beida City, gives an overview 5.900.754 inhabitants of dermatology in Libya. In his account, Official language: special emphasis is placed on training, Arabic challenges faced by doctors and medical societies that help advance dermato- Life expectancy: venereology in this country. 67,6 years Dermatology training Dermatologists: What is it like to practise 205 including 90 specialists As explained by Prof. Gamal Duweib, dermatology in Libya? Chairman of the Dermatology Dermatology in Libya is joined with Examination Board of the Libyan Board of venereology and – it’s fair to say – is a Medical Specialties (LBMS), the University very demanding task. Dermatology of Libya was founded in Benghazi in cannot be separated from the framework 1955, with a branch in Tripoli. In 1973 the of the health system. Doctors attached to two became the Universities of Benghazi healthcare facilities that provide free and Tripoli, respectively, and in 1976 they medical care and dermatologists in the were renamed Garyunis University and Al public health sector have to see the Fatah University. In the early seventies, patients without pre-registration in many students were granted fellowships advance as there is no referral system. to receive university and graduate These factors lead to an overload of training abroad. However, by the mid patients in public health clinics. Indeed, 1990’s, many other medical schools the majority of public health started to emerge and today more than dermatologists consult about 50 patients 10 medical schools are accepting per day, spending on average from 5 to 7 students. minutes per consultation. As a result, an excellent recognised University dermatology departments are postgraduate training programme was Common diseases available in the major cities, with a total of established to educate these new 120 dermatological in-patient beds across graduates, whereby each doctor is The following diseases constitute the country. At university hospitals, required to spend four years in a teaching the bulk of dermatological employed dermatologists are involved in hospital recognised by the LBMS. The first consultation in Libya: various tasks, such as teaching graduates, year is devoted to internal medicine • Eczema in general: 26% postgraduates and consulting patients. The aspects related to dermatology followed (Hand eczema in women number of well-trained dermatological by three years of work in the represents 10%) nurses is very limited in a considerable University department. Four dermatology • Acne: 15% number of departments, so the departments fulfilled the criteria set by • Psoriasis: 13%, dermatologist has to do all the work from the LBMS to grant the certificate of • Melasma: 9% registering the patient, explaining to them specialisation in dermatology, two in • Scabies: 7% how to apply topical medications to Tripoli, one in Benghazi City and more • Warts: 7% performing cryotherapy. recently in Al-Beida City. • Vitiligo: 5% Dermatopathologists and dermatologists However, resources are scattered and the with surgical skills are scarce and skin massive shift of newly graduated doctors surgery is usually carried out by plastic or from rural areas to big cities has become general surgeons. a serious problem. Another major

8 EADV News n°23 - Summer 2007 the World Servicing the Dermatology Community

The Danish Society for Young Dermatologists The Danish Society for Young Dermatologists (YD) offers young dermatologists a platform to make their voices heard on issues including the Danish medical education system, challenge is the lack of firm links with clinical training, and working conditions for their respective internationally recognised medical specialties. schools around the world. Also, a comprehensive two-year master degree Foundations It all started back in 1966 with the proposal of a new bill regarding the course was set up a few years ago in the prolongation of physicians’ postgraduate education. The law did not pass and dermatology department of Benghazi discontent spread. The residents – the subjects – were unhappy about having been City. excluded from the entire debate. Therefore a group of residents met for 'lunch- The Libyan Society of meetings' to discuss and address issues concerning their profession, their Dermatology and environment. These meetings led to drafting a letter that was sent to the Danish Venereology (LSDV) Ministry of the Interior, the Danish National Health Service, the Danish As Professor Mohamed Benghazil, Dermatological Society and the Danish Society of Medical Doctors. Chairman of the Libyan Society of The residents who participated in writing the letter were invited to present their Dermatology and Venereology (LSDV), points of view at all four institutions. This meeting took place – the bill was passed. points out the Society was established in From the lunch-meeting days the group has continued to actively correspond with 1992 to foster research in dermatology various Danish dermatological societies on matters regarding the education of and STDs, to help improve the specialists, their job requirements and the number of permanent positions in knowledge and skills of LSDV members dermatological hospital departments. and to increase public education about skin diseases. The YD was founded three years after the successful first steps initiated by the then young group of residents, 13 March 1969. Another important aspect of the LSDV is the organisation of national dermatology Scope and Purpose symposia and conferences. Two national The main purpose of the Society is to help improve the educational standards of conferences have already been held and young dermatologists through academic meetings, discussions and live case studies. the LSDV is now finalising the YD Board members have been the driving force behind the compilation of new preparations to publish a national guidelines and the evaluation of the education of dermatology specialists. dermatology journal. Currently, all Representatives of the YD are also involved in various professional and political dermatologists in Libya are considered committees to nurture and foster the specialisation of young dermatologists. members of the LSDV. A total of 33 consultants are working and there are 48 Activities trainees in three dermatology Thanks to the generous financial support from private companies YD has so far been departments in Tripoli. In the Benghazi able to offer its members a wide range of activities, benefits and initiatives, including: dermatology department there are 50 • Two-day courses (also of relevance to dermatologists in private practice) allowing qualified dermatologists and about 50 young dermatologists to meet colleagues from all over Denmark and thus intensify trainees, plus three consultants and six inter-collegial relationships trainees in the Al-Beida dermatology • Visits to other dermatological hospital departments throughout Europe (Warsaw, department. At the last LSDV Congress – Paris, Prague, Krakow and St. Petersburg) to strengthen international relations held in September 2006 – dermatologists called for a plan for reconstruction of • Cooperation with other European young dermatologists and their respective LSDV and for more interaction with other associations to share experiences with others who might want to form a similar international dermatology societies. • society Abdelaziz Alahlafi Contact details [email protected] Elisabeth Ammitzbøll Holm Head of Danish Society for Young Dermatologists (YD) Department of Dermatology – Bispebjerg Hospital – Copenhagen – Denmark E-mail: [email protected] – Website: www.FYD.dk 9 New Faces on the EADV Board of Directors

ADV presents the three new members to join the EADV George C. Chaidemenos Board of Directors. E (Greece)

Dan Gheorghe Forsea (Romania) Born in Thessaloniki, Greece, Dr. George C. Chaidemenos has over 30 years’ experience in the dermato-venereological field as a practising doctor, dermatological teacher and author of more than 300 dermatology articles in Greek and English. His Dr. Dan Gheorghe Forsea was awarded with his Ph.D. from specialty and areas of expertise are psoriasis and the University of Medicine and Pharmacy, Carol Davila, autoimmune bullous diseases. Past-President and current Bucharest, Romania, in 1976. Remaining faithful to his Secretary General of the Hellenic Society of Dermatology- university he was appointed as associate professor, and since Venereology, Chaidemenos is looking forward to serving on 1996 he has been professor of dermatology. An active the EADV Board of Directors. speaker, lecturer and author, Forsea has been honoured “During my term as an observer to the Board in 2002/03 and through several prestigious awards, including the National in my role as an elected EADV Board member, I have Order of Romania. He has honorary memberships to many witnessed the rapid progress that the EADV has made in just national and international dermatology societies. His list of a couple of years including membership expansion, the publications includes 320 papers and nine textbooks. JEADV’s scientific quality improvement and the development “The election to the EADV Board is a reward of my continued and implementation of new committees and initiatives. efforts to support and promote the work carried out by the Maintaining and strengthening these achievements might be Romanian and Eastern European Dermatology Societies in sufficient. However, the demands and capabilities of science my role as the President of the Romanian Society of are without boundaries, and so we have to guide our Dermatology and as a founding member and Past-President continuous efforts towards new activities and directions to of the Central-Eastern European Dermato-Venereology enhance the public’s perception of dermatology; to create Association (CEEDVA). I will now have the opportunity to more learning opportunities to EADV members and attract participate in the development of the EADV, and the young dermatologists to the field of basic research; and to consolidation of its position as a scientific, educational and exchange experience and knowledge between dermatology methodological leader in dermatology and venereology.” departments.”

Nikolai Konstantinov Tsankov He has been invited as an expert speaker to numerous (Bulgaria) congresses around the world and has co-chaired some of the most significant sessions in the field of dermatology and Dr. Nikolai Konstantinov Tsankov graduated venereology, such as the psoriasis symposium during the World from the Medical University in Sofia, Bulgaria, in Congress of Dermatology (New York, 1992), and the dermato- 1968, and received his Ph.D. in 1979, for his pharmacology symposium at the World Congress of thesis entitled 'Patients Allergic to Penicillin and Ampicillin Dermatology (Sydney, 1997), and the 'What's new' symposium Rash'. at the World Congress of Dermatology (Paris, 2002). He has been an EADV member for 15 years and holds In both 1997 and 1998 he was elected as President of the memberships to other dermatological societies such as the Central East-European Dermato-Venerological Association French Dermatological Society on the History of Medicine (CEEDVA) and has served as Editor-in-Chief of the CEEDVA where he has been a member since 1980. An associate Bulletin. In 1995 he assumed the position as Head of the member of various editorial boards of dermatology Department of Dermatology and Venereology at the Medical publications including Clinics in Dermatology (Philadelphia), University in Sofia. Since 1999 he has served as Dean at the European Journal of Dermatology (Lyon) and Archives of same faculty. Dermatology (Chicago). Tsankov himself has published more than 200 scientific papers and co-authored 12 books.

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11 12 EADV News n°23 - Summer 2007

13 14 EADV News n°23 - Summer 2007

Building a Network: The International Skin Care Nursing Group

he International Skin Care Nursing Group (ISNG) was established in Oxford T(UK) in 1999. ISNG is a leading international nursing network highly dedicated to delivering on global skin care needs. The worldwide burden of skin care weighs heavy and specialist nurses invariably represent the largest resource of skin care expertise within national health systems.

ISNG has successfully brought together Nurses (the international statutory body nurses from across the globe to debate for nursing) which has granted ISNG with and exchange knowledge and education affiliate status (one of only five on the care of people with compromised organisations). The European Skincare skin function. The central role of the Nursing Network (ESNN) was formed ISNG is to promote the optimal directly as a result of the support of the involvement of nurses in the delivery of ISNG. ESNN now holds meetings at every quality skin care worldwide through EADV meeting. ISNG is also recognised by education, development and research. the International League of Dermatological Societies and the International Foundation The hallmark of of Dermatology. In addition ISNG quality skin care participates in public health projects; Facilitating networking and educational during its first three years it employed a opportunities has always been central to project coordinator to aim at making a Sara Burr of the ISNG teaching skin care to ISNG’s activities. Nine international patients in Tanzania significant contribution to the WHO meetings have been organised, three in Global Morbidity Control Programme for Europe, Africa and India, with over the Elimination of Lymphatic Filariasis. 1.500 nurses involved in the care for those with skin disease. ISNG has also The Group has been invited to set up the maintained active communication nursing scientific meetings at the World with approximately 300 dermatology Congresses of Dermatology; the first nursing activists (and other related being in Paris, France (2002) and this Contact the ISNG healthcare professionals) from 32 year in Buenos Aires, Argentina. The countries through newsletters, the programme will incorporate a range of Steven Ersser website (http://isng.phase-ii.co.uk/), international speakers debating on issues Chair of ISNG Advisory Group e-mail correspondence and conferences. and best practice related to skin care Prof. of Nursing Development & Skin nursing. The Argentinian meeting will be Care Research ISNG has an Advisory Group comprised broadcasted via webcast to allow nurses Institute of Health & Community Studies of nine senior dermatology nurses from worldwide to access the meeting and its Bournemouth University five continents; these are nursing leaders resources through the Internet. Royal London House from national dermatology nursing Christchurch Road organisations. It has also actively Currently ISNG’s future directions and Bournemouth, Dorset contributed to the setting up of national structure are under review and initiatives BH1 3LT, UK dermatology nursing organisations aimed at forming new partnerships E-mail: [email protected] throughout Europe. which could enhance educational Website: http://isng.phase-ii.co.uk/ outreach, provision and impact are being Role model devised. The work of the Group has been • recognised by the International Council for

15 Servicing the Dermatology Community Psoriasis Task

ADIPSO Association for the Defense of Psoriatic Patients s announced in EADV News no. 19 Afifty EADV Task Force teams are working together in a joint pan- Founded European effort to improve key Founded in 1989, with the aim of providing positive assistance to people affected dermato-venereological topics. by psoriasis, ADIPSO is formed by patients and the so-called supporters (i.e. families, private and public companies). It is active in 35 Italian towns and counts Psoriasis is an emblematic disease in over 200.000 members. dermatology. The EADV Board has decided to bring together the effort of Scope and Purpose research on this disease and to entrust ADIPSO’s central objective is to increase public awareness regarding the specific the coordination of this Task Force to problems of the disease, promote initiatives in the interest of patients and inform Professor Jonathan Barker from them about the latest treatment available both in Italy and abroad. the St. John’s Institute of Dermatology Among its many concerns, the Association works towards having psoriasis and (UK) and Professor Louis Dubertret from arthritic psoriasis officially recognised as both a social and disabling disease. This the Service de Dermatologie Hopital St. objective was finally attained thanks to the continuous presence of the Louis (France). Association at the Ministry of Health and Welfare in Italy and by the recognition of the patients’ rights to all treatments. Complementary approaches The first phase of the establishment of ADIPSO’s main goals for the future are to keep raising awareness on psoriasis the Psoriasis Task Force focuses on and, most of all, improve the quality of life for people with psoriasis and psoriatic practitioners willing to offer updated arthritis. We want to inform the general public about psoriasis and psoriatic information to facilitate exchange of arthritis, using all possible means of communication. experiences and international collabo- Achievements rations between dermatologists and In 2004, ADIPSO’s President, Mara Maccarone, entered the Executive Board of patient associations. The Task Force the Brussels based European Patients’ Forum (EPF), to represent psoriatic patients initiated three main actions in order to in Europe. In the last few years ADIPSO has worked on international projects such reach this goal: as the Pan European Psoriasis Patients Organisation Forum (PE.Pso.POF), whose • A first action is to hold the International goal is to carry out lobbying activities and influence policy formulation and Congress on Psoriasis every three years. decision-making processes within the European Institutions as well as maintain a The most recent one, organised under steady collaboration with the EADV. the auspices of EADV, was held in Paris, ADIPSO has been involved in developing the research programme of the France, 21-24 June 2007. Evenly Rheumatology Institute of the University of Rome 'La Sapienza' on the methods balanced between workshops and for evaluating the gravity of the functional deficit of arthritic-psoriasis patients. plenary sessions, the scientific Main activities organised by the association include support groups, interactive programme of the Congress included meetings with doctors and patients, including direct Q&A sessions with doctors. topics such as Cardiovascular Risk in ADIPSO also plays an active part in the genetic research made by many Italian and Psoriasis, Co-morbidity and Treatment foreign universities on the genes responsible for both psoriasis and psoriatic arthritis. Safety, Psoriasis in Children and Pregnancy, Topical Treatment: What to Contact details choose and what to use. ADIPSO This second International Congress on Mara Maccarone Psoriasis attracted 1100 participants President from 65 countries. For more Via Tacito, 90 information please visit the Congress 00193 Rome, Italy website at: Tel/Fax: +39 06 3211545 http://www.pso2007.com E-mail: [email protected] or [email protected] Website: www.adipso.org

16 EADV News n°23 - Summer 2007

EADV Task Forces Servicing the Dermatology Community Force International Pharmaceutical Congress Advisory Association • A second action was to install the 'Psoriasis International' website at the “We are committed to achieving common and consis- end of August 2007, which supported tent congress policies, in which scientific, ethical and by the 'Fondation René Touraine pour corporate standards are not compromised” – states la Dermatologie' seeks to connect Kevin Cancelliere, IPCAA President. dermatologists and patient associations around the world that are interested in Foundations the field of psoriasis. Founded almost 20 years ago the International Pharmaceutical Congress Advisory Association (IPCAA) counts among its members globally active, research-based • Thirdly, the EADV Psoriasis Task Force healthcare firms, which account for more than 70% of the world medical market. contributes to the development of S3 systematic guidelines on psoriasis being Scope and Purpose led by the European Dermatology IPCAA is recognised as the voice of the healthcare industry for all matters related Forum. These are due for presentation to medical congresses, conferences and meetings. It has published a number of and publication in early 2008. The documents such as the IPCAA Code of Conduct for organisers of medical Psoriasis Task Force recommends that meetings, addressing issues such as venue appropriateness, hospitality etc., as well EADV sponsors systematic reviews of as a number of Congress guidelines on subjects such as housing, sponsorship, important issues that will be generated accountability, safety and security, highlighting the needs and expectations of by this guideline initiative. • sponsors. Louis Dubertret The Association provides appropriate reports to its members, on CME and and Jonathan Barker Healthcare Compliance. Targeted training courses are offered to enhance the [email protected] professionalism of staff from the Congress Management departments of member companies.

Most medical therapeutic areas are covered by an IPCAA task force, to facilitate communication and interaction with medical associations and societies, and their meeting organisers. Exchange of information between task forces offers IPCAA members an accurate and up-to-date view and comparison of congresses across a wide range of specialities and events.

Activities A regular newsletter is published by the Association twice a year, circulated to members, medical societies, and congress organisers (circulation approx. 3.000). At a time of ever-increasing constraints on sponsorship of medical meetings, both financial as well as regulatory, the IPCAA offers an efficient and authoritative channel for medical congress organisers, to discuss directly with representatives of the healthcare industry, appropriate policies, venues, sponsorship models and limitations, and to obtain advice on all industry-related aspects of healthcare congresses.

Eric Seban Contact details Professional Communications & Relations Manager IPCAA Secretariat Galderma International PO Box 182 IPCAA Dermatology Taskforce Leader CH-4013 Basel Switzerland E-mail: [email protected] Website: www.ipcaa.org

17 Light: Friend or Foe for the Skin?

highly reactive oxygen species that kill Indirect benefits the cancerous tissue. Exposure to sunlight may help prevent Many recent studies have shown that diseases that are associated with PDT is an effective treatment for BCCs6-8, undesirable changes in the skin. For 9 example, light plays an important role in li Murad, medical student in his with a similar efficacy to cryotherapy . determining affect and bright-light Afinal year at the University of However the fact that it is non-invasive, 10 treatment is an effective therapy for Oxford (UK), outlines in his essay produces excellent cosmetic results, and seasonal affective disorder22-24. A recent whether skin changes caused by light can be used to treat lesions in surgically Cochrane review concluded that light have desirable or undesirable effects on awkward places, give it several treatment is also effective in treating healthy and damaged skin. advantages over conventional therapies. non-seasonal depression25, strongly Advantages suggesting that light exposure may play a It is challenging to define whether Light can help people’s skin to look healty role in preventing other forms of external influences are beneficial to the in several ways. Two examples are depression as well. skin or not. It is not correct to say that through the use of Light Amplification by This is of relevance since subjects who are anything that aids the skin in fulfilling its Simulated Emission of Radiation (Laser) depressed are predisposed to suffer from functions is ‘good’. A more suitable therapy to reduce facial wrinkles and sun a wide range of dermatological diseases, definition would be that ‘anything that tanning. 26 causes a change that is desirable to the such as atopic dermatitis and the self- 11 27 skin’ is good for it. This definition includes Facial wrinkles are considered undesirable inflicted dermatoses . both health and cosmetic changes. and their removal is associated with raised self-esteem and enhanced attractiveness in Light: trigger factor? Exposure to light may damage the skin Treating skin disease the eyes of others12. Light is used to treat more than 40 resulting in both benign and malignant 13 ‘diseases of the skin’1,2. Two examples are Lasers are a source of ‘intense light' and skin disease. Acute exposure to UV light psoriasis and basal cell carcinoma (BCC). clinical trials have demonstrated that they results in painful inflammation, known as 14,15 It is thought that ultraviolet (UV) B treats can significantly reduce wrinkles . sunburn. Although the molecules psoriasis in two ways. The first is through Histological analyses of skin biopsies responsible for absorbing light and upregulation of the tumour suppressor taken before and after laser treatment initiating sunburn have not yet been 28 gene product p53. That reduces the suggest that laser injury to the dermis identitified , studies using measurement 29 30 accelerated DNA synthesis that occurs in initiates a cascade of inflammatory of mRNA , mass spectrometry and 31 psoriatic epidermal cells, lengthening the events resulting in fibroblast proliferation enzyme assays have identified cell cycle and reducing plaque formation3. and collagen deposition, which reduces prostaglandins, histamine, reactive 16,17 The second mechanism is through wrinkles . oxygen species and numerous cytokines as playing a key role in the process32. alteration of prostaglandin and cytokine Exposure to sunlight or certain forms of secretion although the exact pathway is artificial light often results in tanning. Chronic exposure to UV light increases not known. Tanning occurs due to enhanced risk of BCC, SCC and malignant A large-scale meta-analysis concluded melanogenesis, which takes place in two melanoma. This has been shown that 86% of patients treated using UVB stages. The first begins seconds after light repeatedly through the use of large scale showed over a 50% improvement in their exposure and is due to the alteration epidemiological studies33-35 and in vivo psoriasis symptoms. These results are as and redistribution of melanin moieties studies using animal models as diverse as good as any others achieved using orally present in the skin18. The subsequent fish and goats36-38. administered retinoids, such as acitretin, ‘delayed tanning’ stage arises due UV light exposure predisposes to cancer and demonstrated fewer side effects4. to proliferation and activation of in several ways. Some UV light is melanocytes, resulting in increased skin Photodynamic therapy (PDT) in the absorbed by DNA in skin cells causing melanin concentrations19. treatment of skin cancer involves the direct damage28. UV light may also administration of an inactive drug, most A high proportion of individuals consider damage DNA indirectly through the commonly 5-aminolaevulinic acid5 (ALA). the change in skin colour associated genesis of reactive oxygen species39. This Once a sufficient quantity of drug with tanning to be highly desirable20 damage to DNA, which occurs over components accumulated in the skin, it is and attractive21. Tanning therefore is several years, can result in the activated by light. The activated drug considered to be usually a desirable inactivation of tumour suppressor reacts with molecular oxygen to produce change in the skin caused by light. genes and the overactivation of 18 EADV News n°23 - Summer 2007

growth-stimulatory protooncogenes28,40. References 22 Winton F, Corn T, Huson LW et al. Effects of light treatment upon mood and melatonin in patients with Cancer-prone cells created in this way 1 Morison W. Phototherapy and photochemotherapy: seasonal affective disorder. Psychological Medicine 1989; would normally be expected to undergo an update. Semin Cutan Med Surg 1999; 18: 297- 19: 585-90. 306. 23 Terman M, Terman JS, Quitkin FM et al. Light therapy apoptosis or be removed by an 2 Lui H, Hamzavi I. Using Light in Dermatology: An for Seasonal Affective Disorder: A review of efficacy. organism’s immune system. UV light, Update on Lasers, Ultraviolet Phototherapy, and Neuropsychopharmacology 1989; 2: 1-22. Photodynamic Therapy. Dermatologic Clinics 2005; 24 Swedo SE, Allen AJ, Glod CA et al. A controlled trial of however, also causes local skin and 23: 199-207. light therapy for the treatment of pediatric seasonal systemic immunosuppression 41-43. 3 Honigsmann H. Phototherapy for psoriasis. Clinical affective disorder. Journal of the American Academy of and Experimental Dermatology 2001; 26: 343-50. Child and Adolescent Psychiatry 1997; 36: 816-21. 4 Spuls P, Witkamp L, Bossuyt P et al. A systematic 25 Tuunainen A KD, Endo T. Light therapy for non-seasonal Cosmetic skin damage review of five systemic treatments for severe psoriasis. depression. The Cochrane Database of Systematic Skin is directly exposed to the British Journal of Dermatology 1997; 137: 943-9. Reviews 2004; 2004. environment and therefore ages according 5 Morton C, Brown S, Collins S et al. Guidelines for 26 Al-Ahmar H, Kurban A. Psychological profile of patients topical photodynamic therapy: report of a workshop with atopic dermatitis. Br J Dermatol 1976; 95: 373-7. to both environmental factors and the of the British Photodermatology Group. In, Vol. 2005: 27 Gupta M, Gupta A, Haberman H. The self-inflicted British Photodermatology Group, 2001. simple passage of time. The primary dermatoses: a critical review. Gen Hosp Psychiatry 1987; 6 Morton CA, MacKie RM, Whitehurst C et al. 9: 45-52. environmental factor that causes human Photodynamic therapy for basal cell carcinoma: effect 28 Matsumura Y, Ananthaswamy HN. Toxic effects of skin aging is UV light from the sun44, of tumor thickness and duration of photosensitizer ultraviolet radiation on the skin. Toxicology and Applied application on response. Arch Dermatol 1998; 134: Pharmacology 2004; 195: 298-308. 248-9. perhaps through activation of growth 29 Kupper TS, Chua AO, Flood P et al. Interleukin 1 gene factor receptors and cytokines on the 7 Langmack K, Mehta R, Twyman P et al. Topical expression in cultured human keratinocytes is augmented photodynamic therapy at low fluence rates--theory 44 by ultraviolet irradiation. J Clin Invest 1987; 80: 430-6. surface of keratinocytes and fibroblasts . and practice. J Photochem Photobiol B 2001; 60: 37- 30 Hawk JL, Black AK, Jaenicke KF et al. Increased Skin aging is associated with undesirable 43. concentrations of arachidonic acid, prostaglandins E2, 8 Varma S, Wilson H, Kurwa HA et al. Bowen's disease, D2, and 6-oxo-F1 alpha, and histamine in human skin changes such as the development of solar keratoses and superficial basal cell carcinomas following UVA irradiation. J Invest Dermatol 1983; 80: rhytides; another example of how light treated by photodynamic therapy using a large-field 496-9. incoherent light source. Br J Dermatol 2001; 144: 31 Black AK, Hensby CN, Greaves MW. Increased levels of may not be ‘beneficial for the skin’. 567-74. 6-oxo-PGF1 alpha in human skin following ultraviolet B 9 Wang I, Bendsoe N, Klinteberg CAf et al. irradiation. Br J Clin Pharmacol 1982; 13: 351-4. Discussion Photodynamic therapy vs. cryosurgery of basal cell 32 Hruza LL, Pentland AP. Mechanisms of UV-Induced carcinomas: results of a phase III clinical trial. British To decide whether ‘light is good for the Inflammation. Journal of Investigative Dermatology Journal of Dermatology 2001; 144: 832-40. 1993; 100: 35S-41S. skin’ a comparison of its benefits versus 10 Qian Peng TW, Kristian Berg, Johan Moan, Magne 33 Osterlind A, Tucker MA, Stone BJ et al. The Danish case- disadvantages is necessary. One method Kongshaug, Karl-Erik Giercksky, Jahn M. Nesland. 5- control study of cutaneous malignant melanoma. II. Aminolevulinic acid-based photodynamic therapy. Importance of UV-light exposure. Int J Cancer 1988; 42: – albeit a crude one – is to compare the Cancer 1997; 79: 2282-308. 319-24. number of quality adjusted life years 11 Cox SE, Finn JC, Stetler L et al. Development of the 34 Holman CD, Armstrong BK, Heenan PJ. Relationship of Facial Lines Treatment Satisfaction Questionnaire and cutaneous malignant melanoma to individual sunlight- (QALYs) gained due to light exposure Initial Results for Botulinum Toxin Type A-Treated exposure habits. J Natl Cancer Inst 1986; 76: 403-14. Patients. Dermatologic Surgery 2003; 29: 444-9. with the number of QALYs lost. Since 35 Bataille V, Winnett A, Sasieni P et al. Exposure to the sun 12 Charles Finn J, Cox SE, Earl ML. Social Implications of and sunbeds and the risk of cutaneous melanoma in the light is an extremely important cause of Hyperfunctional Facial Lines. Dermatologic Surgery UK: a case-control study. European Journal of Cancer malignant skin disease it is an important 2003; 29: 450-5. 2004; 40: 429-35. 13 'laser'. The New Penguin Dictionary of Science. In, 36 Holman CD, Armstrong BK, Heenan PJ. A theory of the cause of lost QALYs. In contrast, the Vol. 2005: xreferplus, 1998. etiology and pathogenesis of human cutaneous malignant infrequency with which light is used to 14 Waldorf HA, Kauvar AN, Geronemus RG. Skin melanoma. J Natl Cancer Inst 1983; 71: 651-6. resurfacing of fine to deep rhytides using a char-free 37 De Fabo EC, Noonan FP, Fears T et al. Ultraviolet B but treat malignant skin disease and the carbon dioxide laser in 47 patients. Dermatol Surg not ultraviolet A radiation initiates melanoma. Cancer Res relative unimportance that QALY scales 1995; 21: 940-6. 2004; 64: 6372-6. 15 Duke D, Khatri K, Grevelink JM et al. Comparative attach to non-malignant diseases45, 38 Ley RD. Animal models of ultraviolet radiation (UVR)- clinical trial of 2 carbon dioxide resurfacing lasers with induced cutaneous melanoma. Front Biosci 2002; 7: means that light is not an important varying pulse durations. Arch Dermatol 1998; 134: d1531-4. 1240-6. source of gained QALYs. Therefore, light 39 Meyskens FL, Jr, Farmer PJ, Anton-Culver H. Etiologic 16 Hortensia Grema BG, Christian Raulin. Facial rhytides pathogenesis of melanoma: a unifying hypothesis for the is not ‘good’ for the skin. - subsurfacing or resurfacing? A review. Lasers in missing attributable risk. Clinical Cancer Research: An Surgery and Medicine 2003; 32: 405-12. Official Journal Of The American Association For Cancer The conclusion drawn is that light is not 17 Murad Alam T-SH, Jeffrey S. Dover, David A. Wrone, Research 2004; 10: 2581-3. Kenneth A. Arndt. Nonablative laser and light 40 Thompson JF, Scolyer RA, Kefford RF. Cutaneous good for the skin, unless one exposes treatments: Histology and tissue effects - A Review. melanoma. The Lancet 2005; 365: 687-701. one’s skin moderately to it. This does not Lasers in Surgery and Medicine 2003; 33: 30-9. 41 Meunier L, Raison-Peyron N, Meynadier J. mean, however, that people should avoid 18 McGregor J, JLM H. Acute effects if ultraviolet Immunosuppression photo-induite et cancers cutanes. La radiation on the skin. In: Dermatology in General Revue de Medecine Interne 1998; 19: 247-54. light entirely. The pleasure associated Medicine (IM Freedberg, ed). New York: McGraw- 42 Hanneman KK, Cooper KD, Baron ED. Ultraviolet Hill, 1999: 1555-61. with, for example, walking in the sun is immunosuppression: mechanisms and consequences. 19 Fitzpatrick T. Ultraviolet-induced pigmentary changes: Dermatol Clin 2006; 24: 19-25. considerable! benefits and hazards. Curr Probl Dermatol 1986; 15: 43 Ullrich SE. Mechanisms underlying UV-induced immune 25-38. suppression. Mutation Research/Fundamental and “The choicest pleasures of life lie within 20 Bridgwood A, G M, D L et al. Health in England Molecular Mechanisms of Mutagenesis 2005; 571: 185- the ring of moderation.” 1995. What people know, what people think, what 205. people do. A survey of adults aged 16-74 in England 44 Fisher GJ, Kang S, Varani J et al. Mechanisms of Martin Tupper, 1872. carried out by Social Survey Division of ONS on photoaging and chronological skin aging. Arch Dermatol • behalf of the Health Education Authority. In. London: 2002; 138: 1462-70. HMSO, 1996. 45 State Government of Victoria A, Department of Human 21 Lars W. Predictors of Norwegian adolescents' Services. Burden of Disease - DALY (YLD & YLL) sunbathing and use of sunscreen. Health Psychology worksheets. In, Vol. 2006: State Government of Victoria, 1994; 13: 412-20. Australia, Department of Human Services, 2004.

19 Update from the New Campaigns, Methods of Testing and Intera

s already announced in our last The Euromelanoma press conference was understanding surrouding the seriousness Acommittee update we would like to hosted by Professor Antonios Trakatellis of melanoma. We would like to thank report this time on the Euromelanoma who is a member of the European especially Dr. Myrto Trakatelli for her press conference held in the European Parliament. EADV and Euromelanoma help in organising this event and for Parliament on 20 April 2007, on the 'UV- representatives, namely Professor giving us the possibility to hold it in the Check' campaign that EADV wishes to Andreas Katsambas, Professor Alberto European Parliament. support in future as well as the media Giannetti, Dr. Thomas Maselis, Dr. Klaus Another campaign EADV wishes to workshop at the EADV Vienna Congress. Fritz and Dr. Esther De Vries informed the support is 'UV-Check'. 'UV-Check' has journalists about the campaign, its been developed by the German implementation across Europe, and the Aerospace Centre (DLR) in co-operation latest epidemiological statistics. with the Professional Society of German The objective of this EADV and Dermatologists (BVDD). Euromelanoma campaign is to raise public awareness on melanoma and the For the media workshop of the Vienna importance of skin self-examination to Congress we have set the participants in prevent death from cancer. The public a talk show situation where they had to can be reached in multiple ways: through play a predefined character making the media, local skin cancer screening statements on topics like 'Sun protection programmes, and through volunteer – healthy or damaging?' and 'Aesthetic dermatologists. We hope that we dermatology – How to get beautiful reached the public through this press skin?'. Here’s what some of them said conference and contributed to the public about the experience (page 21): Euromelanoma press conference

Benefits and Risks of the UV-Check www.uv-check.com

The UV-Check system was developed as increase public awareness of UV hazards. Additionally, the satellite derived UV data part of the PROMOTE project, with its is obtained for an area (pixel) and the However, this simplistic system inevitably stated main goal 'to improve the areal average may not be representative has shortcomings. The programme compliance of skin cancer prevention'. of the subject’s location. calculates the time for one MED (minimal Satellite derived UV data in different erythema dose, i.e. sunburn threshold) On average the system is probably European locations is entered into a on an unshaded horizontal surface, reasonably satisfactory, but is that good formula, together with information on which is not often the case in real life. enough? There is concern that some will the individual’s skin type and local rely too much on the specified personal weather conditions, to derive a time Although the programme takes sunburn time. An individual following the period that the individual is advised sunscreen use into account, the time advice literally might paradoxically be at he/she can stay outdoors without calculated assumes an application greater risk of sunburn and skin cancer sunburn. It has been devised for the thickness of 2 mg/cm2, which is known (and of taking legal action!). Caution is direct use of the 'person on the street'. from several studies to be 2-3 times the advised concerning the widespread It is a laudable aim to bridge the gap thickness that consumers actually apply. adoption of this tool. between scientific data production and The subject has to determine their own its translation into useful information for skin type, which in any case does not as Lesley Rhodes the general public. It is also true that this closely correlate with MED as we would Chairman system may attract media interest and wish. UK Skin Cancer Working Party

20 EADV News n°23 - Summer 2007

Media & PR Committee Update from the Honours & Awards Committee ctive Learning Young Dermatologists Honoured in Vienna “The workshop allowed me to think of media as a tool that can help patients find out more about their diseases and treatment.” et another successful and much pleasure and feeling of warmth Zahra Moosavi, Iran Yremarkable scholarship ceremony and satisfaction. took place during the 16th EADV “It was very interesting, and we also had This truly international representation Congress at the Austrian Congress lots of fun. One can probably learn more and atmosphere was completed by the Center. It convened 31 young from these kinds of interactive presence of the EADV Secretary General, international dermatologists and workshops than from power point Professor Joseph L Pace, and Member of venereologists from: Eastern and Central slides.” the Honours and Awards Committee, Europe, USA, India and Africa. Rodica Olteanu, Romania Professor Nikolai Konstantinov Tsankov.

“This has been my second EADV media Shyam B. Verma, winner of the Imrich After the ceremony, the scholarship workshop. As with the first time I Sarkany non-European Exceptional Cases winners enjoyed refreshments and participated I enjoyed it a lot, and both Grant, and Dr. Serena Lembo, winner of networked with each other and with the the theoretical and the practical parts of the John Stratigos Memorial Fellowship EADV officers. It really was a pleasant the workshop will certainly help me in my addressed the EADV and their fellow afternoon and one that I will remember everyday practice. I would like to scholarship winners in English and Italian. for a long time to come. congratulate Dr. Klaus Fritz, Stefanie Blum • Notably, one scholarship winner from Andreas Katsambas and the whole team for their commitment India thanked the EADV which for the first Chairman to prepare this wonderful workshop. I’m time in European-Indian history regarding Honours & Awards Committee really looking forward to my third media dermatology and venereology, facilitated workshop in Paris next year.” the opportunity to present how Anna Zalewska, Poland dermatology is conducted in India for a The interactive training part of this whole session. workshop especially would not have Also for the first time, the scholarship been possible without the outstanding winners received a special certificate professional guidance of Dr. Colm outlining the type of scholarship O’Mahony and Dr. Myrto Trakatelli. awarded.

A big thank you goes to them as well as For me, the scholarship ceremony is one to Dr. Thomas Maselis and Ralf of the most important events as I am Blumenthal for their help during this happy to see the smiles of many young media workshop.• doctors who are so enthusiastic about Klaus Fritz winning their award. Chairman This ceremony in Vienna was a special Media & PR Committee occasion for me; as it was probably the last ceremony under my chairmanship of the Awards Committee and I feel sad to EADV Media & PR Committee: leave from an event which gives me so Dr. Klaus Fritz (Chairman) Dr. Colm O’Mahony Dr. Myrto-Georgia Trakatelli Prof. Jorgen Serup Prof. Julian Conejo-Mir Dr. George Chaidemenos

21 Scholarship ceremony at the 16th EADV Congress in Vienna Update from the Scientific Programming Committee Chairman’s Note

he annual congresses and spring symposia of the EADV have grown to become premier international events on the Tdermatological calendar attracting colleagues from around the world. Owing to the enthusiasm and hard work of my predecessors, we have enjoyed high quality scientific programmes and a growing rate of attendees. With the valuable contribution of my fellow Scientific Programming Committee (SPC) members, we will continue to enhance the scientific quality of EADV meetings in an effort to provide the most current continuous medical education to dermatologists and to increase the scientific and professional standards of our specialty.

These important goals have been sessions with presentation and discussion Finally, the SPC is expanding its considered while preparating for future of selected posters, and forum sessions educational role beyond the organisation EADV meetings which promise to be as focusing primarily on clinical research of congress and symposia scientific successful as the previous ones. The SPC studies (scheduled for the Paris 2008 programmes. In a joint effort involving has been working closely with Congress Congress by its President, Pascal Joly). the JEADV, the CME Committee and and Symposia Presidents and Local Our continued close collaboration with the Website Committee, we are in Organising Committees to achieve a high Dr. Jean-Paul Alain Gabbud and the CME the process of establishing online quality scientific programme for the Committee has given us a tremendous CME-credited educational courses, Annual Congresses in Paris (2008) and advantage in building scientific starting off with CME review articles in Berlin (2009) and the Spring Symposia in programmes with engaging topics and the JEADV. • Istanbul (2008) and Bucharest (2009). speakers based on CME evaluation.

As we expand the scope of the Our partnerships with other Alexander J Stratigos programme to cover diverse topics and dermatological societies, for example the SPC Chairman scientific advances within our field, International League of Dermatological particular emphasis has been placed on Societies and the European Dermatology venereology and surgical and cosmetic Forum, are also working well. Closer ties dermatology, both of which are integral have been established with the European parts of our specialty. In addition, a Society of Research in Dermatology number of innovative sessions and (ESDR) in the form of exchange or formats will be hosted at future co-sponsored sessions at our annual meetings, such as regionally-dedicated congresses. We hope to extend such sessions (already introduced at the coordinated efforts with other prominent Vienna Congress by Professor Erwin societies and academies around the Tschachler), sessions with a live element world. through tele-conference, poster forum

22 EADV news Summer n°23:EADV-Spring 06 7/10/07 3:23 PM Page 23

EADV News n°23 - Summer 2007

In Memoriam Professor Ruggero Caputo: Ode to a Dedicated Doctor

e sadly announce the sudden new staining techniques, and his areas of International commitment Wdeath of Professor Ruggero interest focused on paediatric Throughout his career he held many Caputo, who died in Milan on 24 May dermatology and histiocytosis. His important positions, including: President 2007. Italian, European but also the enthusiastic commitment to these fields of the Italian Society of Dermatology and international dermatological community lead to important advances. Professor Venereology from 1999 to 2001, mourn the loss of one of its most Ruggero Caputo was the author of more member of the Scientific Board of the dynamic members. than 300 publications, including chapters International Committee of Dermatology in many books, such as: Dermatology in of the International League of Professor Ruggero Caputo was born in General Medicine (the 'Fitzpatrick’s'), Dermatological Societies for 15 years, Sesto San Giovanni (Milan) on 2 January Methods in Skin Research, and Electron participation in many Editorial Boards 1938. After completing his high school Microscopy. such as the Journal of American studies he entered the Medical School of Academy of Dermatology, the Archives the University of Milan, from which he of Dermatology and the European graduated in 1962. Upon completion of Journal of Dermatology. In the recent his training in 1964 at the University's past he became a member of the EADV Department of Dermatology and Board, working to develop educational Venereology in Milan under the direction programmes for young dermatologists at of the late Professor Agostino Crosti, he all levels, all nationalities. served as an assistant dermatologist In tribute to Professor Ruggero Caputo's at the Ospedale Maggiore in Milan under wonderful work and his charismatic the guidance of late Professor personality one of his students from Ferdinando Gianotti. Venezuela wrote a short letter, stating Career steps that: After the premature loss of Ferdinando “He was a gentle person but firm at the Gianotti in 1984, Ruggero Caputo was same time. His office door was always appointed to the positions of Professor Ruggero Caputo (1938 – 2007) open to anyone who wished to discuss and Chairman of the Institute of and learn; he never asked for any Among the many books he authored, the Dermatological Science, University of compensation or refused to listen. He English ones include: Milan, Italy and Head of the Department had an unusual serenity and tenacity in of Dermatology of the Hospital IRCCS- • Paediatric Dermatology & the pursuit of his goals, with a special Ospedale Maggiore Policlinico, Dermato pathology ability to wisely choose his associates. Mangiagalli e Regina Elena, Milan. These (1993, 1994, 1995, 1996) Professionally his passing represents an positions, together with the direction of enormous loss, but also a wonderful • Text Atlas of Histiocytic Syndromes the School of Specialisation in memory of a man who well (1998) Dermatology and Venereology, were accomplished his mission on earth.” maintained up until now. • Text Atlas of Pathology of the Foot • Carlo Gelmetti (Milan) During the first part of his career (2002) Professor Ruggero Caputo was devoted • Pediatric Dermatology & to studying electron microscopy, but this Dermato pathology - A Concise gradually changed with the inception of Atlas (2002).

23 Update from the Election to the Board Committees Following the adoption of new Internal Secretary General Rules by the Board of Directors, vacancies for a number of positions on Board committees open to all EADV members Sad news will be available from October 2007. Details of positions, nomination forms and other relevant information are available following an on the EADV website (www.eadv.org). Joseph L Pace outstanding Congress Secretary General ear friends, DVienna was a colossal success unfortunately over shadowed by the sad news “Torre della of the demise of our friend and colleague Professor Ruggero Caputo who suddenly Ghirlandina” passed away a few days after the Congress. Ruggero was a pillar of dermatology Modena particularly in the paediatric field and was Chair of the highly successful Paediatric Cathedral Dermatology workshop at the Rhodes Congress in 2006. He was also EADV Board in Italy member for Italy until last October. He will be sorely missed by his friends and colleagues and our sincere condolences go to his family.

Back to the Vienna scene, my deepest • The Congress 2010 will be held in congratulations go to Erwin Tschachler & Gothenburg, Sweden while the only Co for a truly memorable meeting. applicant for the Symposium that year is Arrangements could not be faulted and Cavtat/Dubrovnik and this will be all present were full of praise for this decided upon after the imminent site visit. meeting where both the science and In response to a felt 'omission' in our new Dermoscopy social activities were superb, the Statutes, the Board has recommended A four weekend course in 2007/2008 technology worked beautifully as did the that all EADV ordinary members of at Chairperson: Professor Stefania Seidenari U-Bahn, new friendships were made and least 10 years standing who apply for old ones cemented, and music was retired member status will continue to Dates: 23-24 November 2007 everywhere. Well done Vienna…and have voting privileges. Pending a change 11-12 January 2008 Erwin. in Statutes, these members will be offered 8-9 February 2008 On the administration side, a number of ordinary membership at a reduced rate. 7-8 March 2008 important decisions were taken which These actions in addition to the provision Location: Modena, Italy include the following: of the hard copy of JEADV demonstrate Application deadline: 30 September 2007 the recognition and affection that EADV For EADV members only • Adoption by the Board of new Internal holds for those, sung and unsung, who Rules which regulate elections of Board have given much energy and time to put representatives on the Executive Interactive Course on Facial EADV in the position it is today. Committee, and constitution and and Hand Dermatitis appointments to Board standing Finally, elections are coming up again. Meet the experts and improve your knowledge. committees. As a result any member of Many important posts will be filled later Chairperson: Dr. Christa de Cuyper EADV may be nominated for a position this year and all those who are eligible to on one of these Standing Committees vote will be able to exercise their vote by On topics: (see election notification news). post or electronically in keeping with our - What and how to test? by new Statutes. Please participate by • Open the way to a significant increase Professor An Goossens and Dr. Stefan Kerre nominating and offering to be nominated in membership and consequently - Acne and Rosacea by and, vote, vote, vote! legitimacy of EADV as representative of • Professor Jean Marie Lachapelle our specialty in Europe by considering a - Hands at work by Dr. Lieve Constandt new category of membership linked to national society group application. Date: 16-18 November 2007 Extensive discussion is ongoing and Location: EADV House hopefully a conclusion will be reached Joseph L Pace Avenue Charles de Gaulle 38, B-1050 Brussels in the near future. Secretary General Application deadline: 3 August 2007 Number of participants is limited For EADV members exclusively 24 EADV News n°23 - Summer 2007

Send your pictures to EADV News … xxxxxxxxxx xxxxxxxxxSend 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

Unusual Use for the Dermoscope: Examination of Lichens Understanding the patterns of skin diseases. These images are of lichens on and show the reproductive structures disease and their description is the stock rocks and trees in the British Isles (apothecia). in trade of dermatologists and we equip photographed through a dermoscope Description and pictures by Dr. Vanessa Venning. ourselves with the tools to get ever more detailed examination of the skin. Of these, the dermoscope has uses beyond the consulting room and can bring to life the intricate and beautiful surface morphology of the lichens, the namesake of many of our important skin Lecanora campestris Caloplaca flavescens Graphis elegans Dates for your Diary Calendar of Events > 2007 > 2008 th 10th International Langerhans Cells Workshop 66 Annual Meeting AAD San Antonio, TX, United States Berne, Switzerland 1-5 February 2008 2-4 September 2007

1st World Meeting of Interdisciplinary Melanoma Centers Global Dermatology Genova, Italy Barcelona, Spain 23-26 April 2008 5-8 September 2007

th 7th Congress of BADV 9 Congress of the European Society for Pediatric Riga, Latvia Dermatology 6-8 September 2007 Athens, Greece 15-17 May 2008

Annual Scottish Advanced Paediatric Dermatology Course th Dundee, Scotland 5 EADV Spring Symposium 17-21 September 2007 Istanbul, Turkey 22-25 May 2008

th 21st World Congress of Dermatology 17 EADV Congress Buenos Aires, Argentina Paris, France 1-5 October 2007 17-21 September 2008

23rd IUSTI-Europe Conference on Sexually Transmitted Infections and HIV/AIDS > 2009 Cavtat/Dubrovnik, Croatia 67th Annual Meeting AAD 11-14 October 2007 San Francisco, CA, United States 6-10 March 2009 3rd Skin Care in Organ Recipients Meeting Manchester, UK 6th EADV Spring Symposium 1st November 2007 Bucharest, Romania 23-26 April 2009 Dermatological Care for All - A Basic Human Right Addis Ababa-Mekele, Ethiopia 18th EADV Congress 6-9 November 2007 Berlin, Germany 7-11 October 2009 1st World Congress Genodermatology Maastricht, The Netherlands 7-10 November 2007

26th PAD & 5th SARAD Conference of Dermatology Lahore, Pakistan 15-18 November 2007 25