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PubMedDate not supplied

[Neurodermatitis and psyche].

The clinical term "constitutional eczematoid" (synonyms: neurodermite, eczema flexuarum, atopic dermatitis e. g.) with/without bronchial asthma and/or allergic rhinitis is presented in its multifactorial dimensions from an overlooking point of view. There are different clinical types, the neurodermite --, the prurigo, the seborrheic and the mixed type of atopic dermatitis. The psychic way of behaviour of these patients which is the neurodermite structure of personality is presented thoroughly. This way of behaviour can especially be seen in patients of neurodermite and prurigo type of atopic dermatitis. In about 10% so called extreme case can be stated presenting this abnormal psychic way of behaviour. Wether in patients with atopic dermatitis a genetic caused psycho-dermatosis has to be discussed, cannot be answered, because there is no allround valid conception of ethology and pathogenesis for this multifactorial disease.

Humans↗
PubMed1998

[Illness and social status--the special case of neurodermatitis].

Neither the prevalence of atopic dermatitis (AD) in children nor the magnitude of risk factors such as socioeconomic status or environmental pollution are well known in Germany. In cooperation with the public health service, we therefore carried out a cross-sectional study during a 1992 preschool examination in Hannover covering 4,219 children. Lifetime prevalence of atopic dermatitis was 10.5%; the range for prevalence in 49 districts of Hannover was 2.8-25.0%. The AD prevalence differed significantly between German and non-German children (12.4 vs. 2.1%) and among children from families of different socio-economic status (6.5% low; 18.1% high). Statistically significant associations between AD risk and social variables (family structure, nationality, socio-economic status, occupation) and the lack of definite associations with environmental factors support the hypothesis that life style may be an important risk factor for atopic dermatitis.

Adolescent↗
PubMed1994

[Photo-brine therapy in patients with psoriasis and neurodermatitis atopica].

The effectiveness of salt water baths and subsequent selective ultraviolet phototherapy (SUP) was investigated in a prospective study on 40 patients with psoriasis vulgaris and atopic dermatitis. There were two groups with 20 patients each. The first group was treated with salt water (15%) that contained synthetic Dead Seas salt called "Psorisal"; the patients in the second group had a bath in a 3% NaCl solution. After 4 weeks of daily treatment, we found that 80% of the patients in the group treated with "Psorisal" had significantly better results than the second group. The subjective feeling of being ill had decreased significantly in both groups by the end of the study. The only side effect we found was the occurrence of sunburn in few cases, but this occurred significantly less in the "Psorisal" group. Both groups generally accepted the balneophototherapy, so it can easily be employed on an outpatient basis.

Adolescent↗
PubMed1995

[Value of adjuvant basic therapy in chronic recurrent skin diseases. Neurodermatitis atopica/psoriasis vulgaris].

Atopic dermatitis and psoriasis vulgaris belong to the most common diseases in dermatology. Since these chronical diseases progress over years and decades, they may lead to restrictions in private and professional life as well as to psychological stress of concerned patients. Therefore, a lasting, stabilising, stage-adjusted topical treatment is necessary. Main component of this treatment in a complete therapeutical concept consists in an adjuvant basic therapy with oil baths and with emollients containing urea or no drug additives at all. Thus the vehicle itself is therapeutically effective. Altered structure and function of the skin measured by increased transepidermal water loss, dysfunction of skin lipid barrier, augmented skin permeability and skin roughness can be improved. Due to this treatment clinical symptoms can be diminished and relapses can be avoided. Corticosteroids and other specific medications can be reduced by using basic therapeutics with little side effects. This means economical benefit as well. So far adjuvant basic treatment is an essential part in the therapy of chronic inflammatory skin diseases.

Adrenal Cortex Hormones↗
PubMed1995

[Are mothers of children with neurodermatitis psychologically conspicuous? Critique and replication of a study of the "psychosomatic aspects of the parent-child relationship in pediatric atopic eczema"].

A study concerning some "psychosomatic aspects of the parent-child relationship and atopic eczema in childhood" was published in this journal in 1986 [8]. The authors concluded that mothers of children suffering from atopic eczema "were shown to be less 'spontaneous', more 'under control' and less 'emotional' than the normal population." They showed "characteristic features indicating difficulties in emotional relationships with their children." These conclusions were based on the answers of 14 mothers to a popular German personality questionnaire (Freiburger Persönlichkeitsinventar, FPI). We analyzed the investigation cited, judged it to be unsatisfactory and attempted to duplicate the study. Two parallel samples of mothers with healthy and ill children (n = 50 and n = 47) were tested with the same questionnaire. The previous results could not be verified. Therefore, we reject the interpretation that mothers of children suffering from atopic eczema have unique psychological characteristics.

Adult↗
PubMed1997

[Skin disease and sexuality. An empirical study of sex behavior or patients with psoriasis vulgaris and neurodermatitis in comparison with skin-healthy probands].

Fifty-three patients with psoriasis, 24 patients with atopic eczema and 52 controls with healthy skin were compared with regard to their sexual behavior. For the test, questionnaires developed by Arentewicz as well as our own questionnaire on sexuality and partnership were used. Patients with skin diseases had a significantly impaired sex life, compared to those with healthy skin. There was a highly significant reduction in the exchange of tenderness in patients of both sexes, and in the capacity for orgasm in female patients. On the other hand, no significant difference was found concerning the frequency of intercourse. Patients with psoriasis felt more impaired than those with atopic eczema. Ninety-three percent of psoriatics and 96% of patients with atopic eczema had not been asked about their sexual life by their attending doctor. We discuss to what extent skin diseases are possibly involved in the regulation of nearness and distance among partners. The dermatologist should a be knowledgeable and understanding source for patients which skin diseases who have questions about their disease and its effect on their sex life.

Adult↗
PubMed1985

[Documentation of the clinical picture of keratoconjunctivitis atopica in constitutional neurodermatitis].

Among the author's patients a number of cases were identified with quite clear symptoms of atopic keratoconjunctivitis, and a photographic documentation was made. All of these patients had a history of allergy and a hereditary taint. In cooperation with dermatologists neurodermitis constitutionalis was diagnosed, and verified by determining the serum IgE concentration and the allergic specific antibody. The patients underwent conservative treatment with sodium cromoglycate, steroids and vasoconstrictors. In one case the authors used cryocoagulation with a successful result for intensive hyperplastic conjunctivitis.

Adolescent↗