A total of 287 children (5 to 8 years old) were investigated for parental sun protection management techniques in a questionnaire-based survey. We evaluated the parents' knowledge about the risk of melanoma, their level of education, their nationality and the child's skin type with the children's use of sunscreen, clothes and shade. In general, the parents' knowledge about the correlation of skin cancer with extensive sun exposure in childhood was good. There was no correlation between the level of parental education and the frequency of sun protection measures. Children of non-German parents had significantly less sun protection. Our results indicate the need for special teaching programs for children in Germany to achieve a more responsible sun protection management.
A total of 287 children (5 to 8 years old) were investigated for parental sun protection management techniques in a questionnaire‐based survey. We evaluated the parents' knowledge about the risk of melanoma, their level of education, their nationality and the child's skin type with the children's use of sunscreen, clothes and shade. In general, the parents' knowledge about the correlation of skin cancer with extensive sun exposure in childhood was good. There was no correlation between the level of parental education and the frequency of sun protection measures. Children of non‐German parents had significantly less sun protection. Our results indicate the need for special teaching programs for children in Germany to achieve a more responsible sun protection management.
Stationäre Aufnahme (Einzelzimmer/Umkehrisolation; Basisdiagnostik) Dermatologische Klinik mit Therapieerfahrung, ggf. Intensivstation/Verbrennungszentrum (v.a. bei deutlicher pulmonaler Beteiligung) Aufnahme-Reinigungsbad (siehe auch Tab. 3) Sofortiges Absetzen aller vital nicht indizierten bzw. verdächtigen Medikamente Lagerung im Spezialbett mit variablen Lagerungsmöglichkeiten und Temperatureinstellung (Luftkissenbett) Kardiales Monitoring (EKG), Pulsoxymeter Ggf. intravenöse Zugänge (so kurz wie möglich) Blasenkatheter nur bei Harnretention Volumen-, Elektrolyt-und Kolloidausgleich (kontrolliert nach Ausscheidung, ZVD, Serumelektrolyten und -Albumin) In den ersten 24 h: z.B. modifizerites EVANS-Schema: 0,7-1,0ml Ringer-oder isotonische NaCl-Lösung/kg KG/% KOF sowie 1ml/kg KG/% KOF einer 4%igen Humanalbumin-Lsg. Magensonde bzw. parenterale hochkalorische und proteinreiche Ernährung Ulkusprophylaxe (z.B. Sucralfat, Magaldrat p.o.) Maschinelle Beatmung/maschinell unterstützte Spontanatmung (falls indiziert) Physiotherapie (ab dem ersten Tag, einschließlich Atemgymnastik)
We describe the case of a 51-year-old male patient with characteristic lesions of keratosis lichenoides chronica confined to the back of his hands and feet. The lichenoid papules, linear hyperkeratotic ridges and erythematosquamous plaques appeared first in early childhood and recurred after a short episode of spontaneous remission. They didn't respond to various topical treatment modalities over the years. After a local PUVA therapy all lesions disappeared with no recurrence for over two years now. Our case report indicates a new promising indication for bath-PUVA-therapy.
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