New articles from Acta Dermato-Venereologica http://www.medicaljournals.se/acta/ Acta Dermato-Venereologica is an international peer-review journal for clinical and experimental research in the field of dermatology and venereology. 96:217 2016 - Abstracts from the 16th Congress of the European Society for Dermatology and Psychiatry http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2158
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2016-06-02 Abstractbook
96:217 2016 - How to Reach Emotions with Psychosomatic Patients: A Case Report http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2377
Alopecia areata (patchy hairloss) often indicates to the dermatologist the existence of psychological disorders, mostly anxiety and depression. Psychosomatic conditions are usually associated with difficulty in expressing emotions, as is the case in alexithymia, and this difficulty is often seen in patients with alopecia areata. This case study aims to show how to help these patients connect with their emotions and how the somatic symptom can become meaningful by using a unifying approach, which challenges the beliefs, the rules and the interactions of both the individual and the family, as well as the emotions expressed or suppressed. In this particular case we used a systemic family therapy tool, “the family blazon” that helped to discover the unconscious myth of unity and the fear of family disaggregation that is involved in psychosomatic families.]]>
2016-05-09 Clinical
96:217 2016 - Psoriasis – The Life Course Approach http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2430
Over the last decades, Life Course Research (LCR), predominantly the domain of sociology, has been increasingly applied in health research, as Life Course Epidemiology (LCE). The latter is concerned with disease patterns over time, accumulation of exposures over time, critical time periods and patterns of risk. We argue that concepts from LCR and LCE could be widely applied in dermatology, in general, and, more precisely, in the study of chronic inflammatory skin diseases, e.g. atopic eczema and psoriasis. The life course approach can generally be applied in two different ways. It may be used in the more traditional manner, in which the disease and its patterns over time are examined as the outcome vari­able. Conversely, it can examine life course as the outcome variable, which is dependent on the disease course, the treatments administered, and other physical or psychosocial environmental exposures. In dermatology, this second application of the LCR concepts is both promising and relevant because of the notable impact of chronic skin diseases on the patients’ quality of life. In particular, we argue how LCR may be conducive to a better understanding of the concept of ‘Cumulative Life Course Impairment’, which is increasingly gaining acceptance. This approach helps identifying not only individuals at risk and particularly vulnerable patients but also critical periods for optimising interventions in order to avoid life course impairment. It also may facilitate more appropriate treatment decisions in clinical practice.]]>
2016-05-20 Investigative
96:217 2016 - Validation and Field Performance of the Italian Version of the Psoriatic Arthritis Screening and Evaluation (PASE) Questionnaire http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2429
Psoriatic arthritis (PsA) is a potentially severe inflammatory condition (entheso-arthro-osteopathy), and early diagnosis is important to guide treatment choices in patients with psoriasis. The objective of this study is to further validate the PsA Screening and Evaluation (PASE) questionnaire, and to assess its field performance. Data were collected in 10 Italian centres, and the PASE was administered at baseline, after 3 days and after 3 months. The Skindex-29 was also administered. To determine the best cut-off value to identify patients with PsA we produced receiver operating characteristic (ROC) curves using the rheumatologist’s diagnosis as outcome. Of the 298 patients that were enrolled, 28% were classified as having PsA according to the CASPAR criteria, while 19% had received a diagnosis of PsA from a rheumatologist. PASE score were always significantly different in patients with or without PsA, while Skindex-29 scores never were. The internal consistency of the PASE was very good (Cronbach’s α of 0.90–0.95), the test–retest reliability was also very high (intraclass correlation coefficients 0.91–0.93), and the PASE scores showed good responsiveness to clinical change over time. The optimal cut-off identified through the ROC curves was ≥ 48 on the total PASE score, which was able to distinguish PsA from non-PsA patients with a 73.2% sensitivity and a 76.1% specificity. Our results confirm the good psychometric properties of the PASE, and indicate that it may be a useful tool for the dermatologists, both to screen for PsA and to obtain a standardized patient-reported measure to monitor and evaluate the health status of the patients with PsA.]]>
2016-05-09 Investigative
96:217 2016 - Efficacy of Biofeedback and Cognitive-behavioural Therapy in Psoriatic Patients A Single-blind, Randomized and Controlled Study with Added Narrow-band Ultraviolet B Therapy http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2428
Increasing data suggests that there is a connection between stress and the appearance of psoriasis symptoms. We therefore performed a clinical trial enrolling 40 participants who were randomly allocated to either an 8-week cognitive-behavioural therapy (CBT) (treatment group) plus narrow-band UVB phototherapy or to an 8-week course of only narrow-band UVB phototherapy (control group). We evaluated the clinical severity of psoriasis (PASI), General Health Questionnaire (GHQ)-12, Skindex-29 and State-Trait Anxiety Inventory (STAI) at baseline and by the end of the study. Sixty-five percent of patients in the treatment group achieved PASI75 compared with 15% of standard UVB patients (p = 0.007). GHQ-12 cases were reduced from 45% to 10% in the treatment group and from 30% to 20% in the control group (p = 0.05). The Skindex-29 emotional domain showed a significant improvement in the CBT/biofeedback group compared with control patients (–2.8 points, p = 0.04). This study shows that an adjunctive 8-week intervention with CBT combined with biofeedback increases the beneficial effect of UVB therapy in the overall management of psoriasis, reduces the clinical severity of psoriasis, improving quality of life and decreases the number of minor psychiatric disorders.]]>
2016-05-09 Investigative
96:217 2016 - Shadows of Beauty – Prevalence of Body Dysmorphic Concerns in Germany is Increasing: Data from Two Representative Samples from 2002 and 2013 http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2375
Body dysmorphic disorder (BDD) is a psychosomatic disease associated with reduced quality of life and suicidal ideations. Increasing attention to beauty and the development of beauty industries lead to the hypothesis that BDD is increasing. The aim of this study was to test this hypothesis in two representative samples of Germans, assessed in 2002 and 2013. In 2002, n = 2,066 and in 2013, n = 2,508 Germans were asked to fill in the Dysmorphic Concern Questionnaire (DCQ), which assesses dysmorphic concerns. Subclinical and clinical dysmorphic concerns increased from 2002 to 2013 (subclinical from 0.5% to 2.6%, OR = 5.16 (CI95% = 2.64; 10.06); clinical from 0.5% to 1.0%, OR = 2.20 (CI95% = 1.03; 4.73). Women reported more dysmorphic concerns than men, with rates of 0.7% subclinical and 0.8 clinical BDD in women and 0.3% subclinical and 0.1% clinical BDD in men in 2002. In 2013, 2.8% subclinical and 1.2% clinical BDD were found in women and 2.4% subclinical and 0.8% clinical BDD in men. Further studies should assess predictors for developing a BDD and evaluate factors determining the efficacy of disease-specific psychotherapeutic and psychotropic drug treatments.]]>
2016-05-09 Investigative
96:217 2016 - Differences Between Psoriasis Patients and Skin-healthy Controls Concerning Appraisal of Touching, Shame and Disgust http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2373
Psoriasis is a chronic skin disease associated with high levels of psychological distress and considerable life impact. Feelings of shame and stigmatization can lead to avoidance of social activity and intimacy. In this study, the questionnaire TSD-Q was used to evaluate pleasure in touching oneself and in a partnership, parental touching during childhood and (skin-related) shame and disgust. Skin-related disgust and shame were significantly higher in psoriatic patients than in healthy controls. Moreover, psoriasis-patients scored significantly lower than skin-healthy controls concerning appraisal of self-touching and parental touching. In contrast, psoriasis-patients scored higher concerning appraisal of touching in a partnership. Due to the fact that low self-esteem might enhance the negative evaluation of touch and the feelings of shame and disgust, psychological interventions should be integrated in the treatment of psoriasis.]]>
2016-05-03 Investigative
96:217 2016 - Association of Stress Coping Strategies with Immunological Parameters in Melanoma Patients http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2372
In this exploratory case control study the association between stress coping strategies and lymphocyte subpopulations was calculated in 18 non-metastatic melanoma patients and 18 controls with benign skin diseases. Coping strategies were assessed using the German version of the stress-coping questionnaire (SVF 120). While in the control group patients showed significant negative correlations of lymphocyte subpopulations (CD3+, CD4+, CD8+, CD19+, CD45+ cells) with coping strategies that refer to defence, in melanoma patients significant positive correlations between lymphocyte subpopulations (CD3+, CD4+, CD19+, CD45+ cells) were found with regard to coping strategies that are characterized by diversion from stress and focusing on stress-compensating situations. The present data, in melanoma patients and controls, show contrary correlations between stress coping strategies and lymphocyte subpopulations. The interconnection between stress coping and immunologic alterations in malignant melanoma is a field deserving further multiprofessional investigation in order to provide new therapeutical approaches in the treatment and understanding of melanoma patients.]]>
2016-05-04 Investigative
96:217 2016 - Discriminating the Presence of Psychological Distress in Patients Suffering from Psoriasis: An Application of the Clinimetric Approach in Dermatology http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2369
Psoriasis is a chronic dermatologic disease that negatively impacts physical and mental health of patients as well as their social and work life. The aim of this study is to illustrate, by a clinimetric approach the differences in psychological distress and well-being between patients with mild and moderate to severe psoriasis. Seventy patients with psoriasis were evaluated using the Structured Clinical Interview for DSM-IV (SCID-I), the Diagnostic Criteria for Psychosomatic Research (DCPR), along with the following self-report instruments: the Symptoms Questionnaire (SQ), the Psychological Well-being scales (PWB) and the Temperament and Character Inventory (TCI). Illness severity was evaluated using the Psoriasis Area and Severity Index (PASI). While no differences were reported between groups in terms of psychiatric diagnoses, patients with greater severity (PASI >10) presented higher rates of demoralization (61.5%) and Type A behavior (53.8%) than subjects with mild severity (17.5% and 21.1%, respectively). Patients with moderate/severe psoriasis also reported impaired levels of psychological well-being in terms of lower autonomy, environmental mastery, personal growth and purpose in life. Furthermore, according to TCI, patients with severe psoriasis reported greater harm avoidance and lower self-directness than individuals with milder psoriasis levels. Overall results highlighted the need in psoriasis care of a more comprehensive psychological and psychosomatic assessment not limited to the customary psychiatric diagnostic criteria.]]>
2016-05-03 Investigative
96:217 2016 - Hypochondriasis Circumscripta: A Neglected Concept with Important Implications in Psychodermatology http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2371
The article is devoted to a psychodermatological disorder with self-destructive behavior – hypochondriasis circumscripta. Presented data are based on a clinical analysis of 22 consecutive cases (15 female; mean age – 56.1 ± 12.6 years) observed in the dermatologic department of First Moscow State Medical University and managed in a multidisciplinary approach by dermatologists and a consultation-liaison psychiatrist. Psychopathology, clinical presentations, historical aspects and treatment options are discussed. The self-inflicted skin lesions result from a severe repetitive autodestruction of focal skin loci primarily affected with heterogeneous sensations associated with a hypochondrical over-valued idea. Hypochondriasis сircumscripta is a serious diagnostic and treatment challenge and should be distinguished from dermatitis artefacta, skin picking disorder and delusional infestation.]]>
2016-05-03 Investigative
96:217 2016 - Delusional Infestation: State of the Art http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2412
Patients with a delusional infestation (DI) have an overwhelming conviction that they are being infested with (non) pathogens without any medical proof. The patients need a systematic psychiatric and dermatological evaluation to assess any possible underlying cause that could be treated. Because they avoid psychiatrists, a close collaboration of dermatologists and psychiatrists, who examine the patient together, seems to be a promising solution. It helps to start a trustful doctor–patient relationship and motivates the patient for psychiatric treatment. We here review diagnostic criteria, classification of symptoms, pathophysiology and treatment options of DI. Antipsychotic medication is the treatment of choice when any other underlying cause or disorder is excluded. Further research is needed to assess the pathophysiology, and other treatment options for patients with DI.]]>
2016-05-04 Review
96:217 2016 - Interplay of Itch and Psyche in Psoriasis: An Update http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2374
Itch or pruritus is defined as an unpleasant subjective sensation leading to the need or to the idea of scratching. A number of studies have shown that pruritus is often responsible for marked morbidity, quality of life impairment, and even for increased mortality. Patients suffering from chronic pruritus had also decreased self-esteem, suffer from anxiety or depression and have problems to cope with negative feelings. Several studies documented that itching is a very prevalent symptom of psoriasis affecting more than 70% of individuals and for many patient it is the most bothersome symptom of the disease. While assessing various aspects of itch in psoriatic patients it was found that individuals with pruritus had a significantly lower health-related QoL; patients with pruritus, moreover, were more depressed than those without itching. In conclusion, pruritus is closely related to decreased psychosocial well-being of patients with chronic pruritic skin diseases, including psoriasis. It is important to underscore that itch may interfere with various aspects of patient functioning, emotions and social status and should therefore be adequately addressed while treating patients with psoriasis.]]>
2016-05-03 Review
96:217 2016 - The Importance of a Biopsychosocial Approach in Melanoma Research Experiences from a Single-center Multidisciplinary Melanoma Working Group in Middle-Europe http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2426
The biopsychosocial model represents a very important theoretical framework developed in the 21th century. According to a body mind unity theory, it postulates that research must focus not only on biomedical but also on other aspects in order to understand complex interactions occurring on different system levels. With regard to the occurrence of melanoma, both immunologic surveillance and a lack of cancerogenic factors are crucial in the suppression of tumor development. In addition, a reduction in mental stress (employing effective strategies for coping with stress) in cases of malignant disease seems to prolong life. Focusing on these theories, examples of studies that followed an interdisciplinary, biopsychosocial approach to melanoma research conducted at one center are given to emphasize the multi-dimensional and interdisciplinary aspects of the biopsychosocial model.]]>
2016-05-09 Review
96:217 2016 - Body Image and Body Dysmorphic Concerns http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2368
Most people would like to change something about their bodies and the way that they look, but for some it becomes an obsession. A healthy skin plays an important role in a person’s physical and mental wellbeing, whereas a disfiguring appearance is associated with body image concerns. Skin diseases such as acne, psoriasis and vitiligo produce cosmetic disfigurement and patients suffering these and other visible skin conditions have an increased risk of depression, anxiety, feelings of stigmatization and self-harm ideation. Body image affects our emotions, thoughts, and behaviours in everyday life, but, above all, it influences our relationships. Furthermore, it has the potential to influence our quality of life. Promotion of positive body image is highly recommended, as it is important in improving people’s quality of life, physical health, and health-related behaviors. Dermatologists have a key role in identifying body image concerns and offering patients possible treatment options.]]>
2016-05-03 Review
96:217 2016 - Psychoneuroimmunology and the Skin http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2376
The nervous, immune, endocrine and integumentary systems are closely related and interact in a number of normal and pathological conditions. Nervous system mediators may bring about direct changes to the skin or may induce the release of immunological or hormonal mediators that cause pathological changes to the skin. This article reviews the psychological mechanisms involved in the development of skin diseases.]]>
2016-05-03 Review
96:217 2016 - Psychodermatology: Basics Concepts http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2378
Psychodermatology is a relatively new field of medicine. It encompasses the interaction of mind and skin. The role of psychoneuroimmunology in the causation of psychocutaneous disorders and psychosocial aspects of skin disease have gained momentum lately. The treatment of psychodermatological disorders focus on improving function, reducing physical distress, diagnosing and treating depression and anxiety associated with skin disease, managing social isolation and improving self esteem of the patient. Both pharmacological and psychological interventions are used in treating psychocutaneous disorders. The interest in Psychodermatology around the world is increasing and there are several organizations holding their regular meetings.]]>
2016-05-04 Review
96:217 2016 - Psychodermatology in Clinical Practice: Main Principles http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2370
Psychodermatology is a newer and emerging subspecialty of dermatology, which bridges psychiatry, psychology, paediatrics and dermatology. It has become increasingly recognised that the best outcomes for patients with psychodermatological disease is via a multidisciplinary psychodermatology team. The exact configuration of the multidisciplinary team is, to some extent, determined by local expertise. In addition there is a growing body of evidence that it is much more cost effective to manage patients with psychodermatological disease in dedicated psychodermatology clinics. Even so, despite this evidence, and the demand from patients (and patient advocacy groups), the delivery and establishment of psychodermatology services is very sporadic globally. Clinical and academic expertise in psychodermatology is emerging in dermatology and other (often peer-reviewed) literature. Organisations such as the European Society for Dermatology and Psychiatry champion clinical and academic advances in psychodermatology, whist also enabling training of health care professionals in psychodermatology. Emiliano Panconesi, to whom this supplement is dedicated, was at the forefront of psychodermatology research and was a founding member of ESDaP.]]>
2016-05-03 Review
96:217 2016 - Patient–Doctor Relationship in Dermatology: From Compliance to Concordance http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2452
The concept of what the doctor–patient relationship should be has changed increasingly in recent years. Previously, an asymmetric relationship was assumed. Compliance and adherence are terms used currently. The concordance model goes further and examines the effectiveness of the mutual process between the doctor and the patient. In this model the interaction is two-sided and involves finding a decision as partners. The origins of this approach are to be found in psychoanalytic theory.]]>
2016-05-09 Review
96:217 2016 - The Psychoanalytic Interpretation of Symptoms – Evidence and Benefits http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2427
Dermatological symptoms are explained in medicine in biological terms. Nevertheless, exploring the life history of dermatological patients can lead to seductive, but non-rigorously scientific interpretations which are of associative, or even symbolic nature. Moreover, associations of physical signs and life events, suggest us to consider our patients as subjects pervaded by the will to communicate not only through language, but also through their body and all its functions and malfunctions. Interpreting symptoms and eventually finding a meaning to the disease must not imply a causative attribution, because the very signification of cause and effect is probably beyond our grasp. Hence, aware of our limits, we should know whether we wish to treat the disease as a whole, considering that the observer (the doctor, the patient or the medicine as a theoretical corpus) is not only an observer from outside, but part of the disease that will be treated or described.]]>
2016-05-09 Review
96:217 2016 - Countertransference in Dermatology http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2414
The doctor–patient relationship in dermatology, as in all the fields of medicine, is not a neutral relationship, removed from affects. These affects take root in the sociocultural, professional, family and personal history of both persons in the relationship. They underpin the psychic reality of the patients, along with a variety of representations, preconceived ideas, and fantasies concerning dermatology, the dermatologists or the psychiatrists. Practitioners call these “countertransference feelings”, with reference to the psychoanalytical concept of “countertransference”. These feelings come forward in a more or less conscious way and are active during the follow-up of any patient: in fact they can facilitate or hinder such a follow-up. Our purpose in focusing on this issue is to sensitize the dermatologists to recognizing these countertransference feelings in themselves (and the attitudes generated by them), in order to allow the patients and doctors to build a dynamic, creative, trustful and effective relationship.]]>
2016-05-04 Review
96:217 2016 - From Evidence-based Medicine to Human-based Medicine in Psychosomatics http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2413
Human-based medicine (HbM), a form of psychiatry that focuses not only on fragments and constructs but on the whole person, no longer finds its theoretical basis in the positivism of the modern era, but rather owes its central maxims to the post-modernist ideal that ultimate truths or objectivity in identifying the final cause of illness remain hidden from us for theoretical reasons alone. Evidence-based medicine (EbM) and HbM are thus not mutually exclusive opposites; rather, despite superficial differences in methods of diagnosis and treatment, EbM must be integrated into HbM as an indispensable component of the latter. Probably the most important difference between EbM and HbM lies in the aims and methods of treatment. In HbM the goal is no longer simply to make illnesses disappear but rather to allow the patient to return to a life that is as autonomous and happy as possible. The human being with all his or her potential and limitations once again becomes the measure of all things. This also implies, however, that the multidimensional diagnostics of HbM are oriented not only towards symptoms, pathogenesis, process and understanding but also to a greater degree towards the patient’s resources. Treatment options and forms of therapy do not put the disease construct at the centre of the diagnostic and therapeutic interest, but have as their primary aim the reopening of the possibility of a largely autonomous and joyful life for the patient. ]]>
2016-05-04 Review
96:217 2016 - The Psychosomatic Practice http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2431
There is increasing awareness of the limitations of the disease oriented approach in medical care. The primary goal of psychosomatic medicine is to correct this inadequacy by incorporation of innovative operational strategies into clinical practice. Psychosomatic practice can be recognized by 2 distinctive features: the holistic approach to patient management (encompassing psychosocial factors) and the clinical model of reasoning (which reflects a multifactorial frame of reference). A basic psychosomatic assumption is the consideration of patients as partners in managing disease. The partnership paradigm includes collaborative care (a patient–physician relationship in which physicians and patients make health decisions together) and implementation of self-management (a plan that provides patients with problem-solving skills to enhance their self-efficacy). Pointing to strategies that focus on individual needs may improve patient quality of life and final outcomes.]]>
2016-05-09 Review
96:217 2016 - Editorial: Emiliano Panconesi Memorial http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2453
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2016-05-30 Editorial
96:217 2016 - FRONTIERS IN PSYCHOCUTANEOUS DISEASES<br> Selected Writings in Psychosomatics, Psychodermatology and Psycho-Neuro-Endocrinoimmunology<br> A Memorial Publication for Emiliano Panconesi http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2497
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2016-06-30 Completesupplement
96:7 2016 - INDEX 96 http://www.medicaljournals.se/acta/content/?doi=20169607index
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2016-11-07 Index
96:7 2016 - Unilateral Erythematous Lesions with Wax-like Scaling and Limb Abnormalities: A Quiz http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2355
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2016-02-10 Shortcom
96:7 2016 - Reddish Nodule on the Hand: A Quiz http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2396
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2016-03-21 Quiz
96:7 2016 - Itchy Papules and Nodules: A Quiz http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2398
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2016-04-18 Quiz
96:7 2016 - Human Herpes Virus 7 in a Patient with Recurrent Vulvar Ulceration http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2419
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2016-04-20 Shortcom
96:7 2016 - Cutaneous Adverse Reaction to Mogamulizumab May Indicate Favourable Prognosis in Adult T-cell Leukaemia-lymphoma http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2421
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2016-04-13 Shortcom
96:7 2016 - Do Giant Melanocytic Naevi Tend to Spare the Umbilicus? http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2442
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2016-05-03 Shortcom
96:7 2016 - Lichenoid Drug Eruption Caused by Limaprost Alfadex http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2435
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2016-04-14 Shortcom
96:7 2016 - Symmetrical Intertriginous and Flexural Exanthema due to Bortezomib (a Proteasome Inhibitor) Given for Myeloma http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2415
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2016-06-14 Shortcom
96:7 2016 - Darier’s Disease Complicated by Schizophrenia Caused by a Novel ATP2A2 Mutation http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2422
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2016-05-31 Shortcom
96:7 2016 - DOCK8 Mutation Syndrome: A Diagnostic Challenge for Dermatologists http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2288
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2016-06-29 Shortcom
96:7 2016 - Target-sequence Capture and High Throughput Sequencing Identify a De novo CARD14 Mutation in an Infant with Erythrodermic Pityriasis Rubra Pilaris http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2446
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2016-05-16 Shortcom
96:7 2016 - Recalcitrant Livedoid Vasculopathy Associated with Hyperhomocysteinaemia Responding to Folic Acid and Vitamins B6/B12 Supplementation http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2416
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2016-06-08 Shortcom
96:7 2016 - Epididymitis with Epididymal Cyst Indicating Immunoglobulin A Vasculitis in an AdultAi Nanbu, Kazumitsu Sugiura, Naoto Sassa, Masashi Akiyama http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2382
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2016-06-30 Shortcom
96:7 2016 - Severe Buruli Ulcer Treated with Minimal Surgical Excision after Prior Biopsy Mapping http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2425
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2016-04-18 Shortcom
96:7 2016 - Reflectance Confocal Microscopy for Diagnosis of Mammary Paget’s Disease http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-2402
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2016-06-30 Shortcom