Dermatologische Perspektiven im 21. Jahrhundert

Abstract

During the last decades dermatology has been profoundly transformed from its descriptive origin into an important part of modern medicine and biosciences. Areas of interest and expertise in the future will likely be focused on major topics on clinical dermatology (psoriasis, atopic dermatitis, skin infections including those sexually transmitted), dermatologic oncology (squamous cell carcinoma, malignant melanoma), gene technology in biopharmacy and dermatopharmacology, and also the areas dealing with the aging of the skin and its appendages (dermatologic endocrinology, cosmetic dermatology). Increasing knowledge in dermatology is not only relevant for treating skin disease but also for helping our patients to maintain healthy and appealing skin, thus improving their requirements for beautification and their quality of life. While this is an important aim, it should not become our main task. Overall, the perspectives for dermatology are promising; in the end, its further development will depend on how modern societies will recognize its significance and reward its efforts.

A practical approach to the management of hair loss in patients with polycystic ovary syndrome

“…20 Oestrogen's benefit occurs due to its ability to both lengthen the anagen phase of the hair cycle and increase SHBG to reduce circulating levels of androgens. 24 Combined oral contraceptive pills: Choosing a contraceptive for FPHL Combined oral contraceptive pills are categorized into four generations, with each generation differing in its progestin derivatives. It is advisable to prescribe PCOS patients third or fourth generation COCs, which have less potent androgenic activity and a lower likelihood of exacerbating FPHL and hirsutism.…”

“…While progestins' activity at androgen receptors may exacerbate FPHL through a mechanism similar to FPHL, the oestrogen component of contraceptives can indirectly support hair growth 20 . Oestrogen's benefit occurs due to its ability to both lengthen the anagen phase of the hair cycle and increase SHBG to reduce circulating levels of androgens 24 …”

40 Jahre ADF-Konzept: Neue Herausforderungen im Spannungsfeld der modernen Medizin

“…In diesem Prozess fehlen dem Arzt vor allem Zeit und empathische Zuwendung für den Kranken. Ähnliches gilt für die Dermatologie [6], wobei die Frage aufkommt, welche Ziele realisierbar und letztlich finanzierbar sind [7]. Bereits heute hat es den Anschein, dass sich durch den Mangel an Fördermitteln immer mehr junge Ärzte von der Forschung abwenden und diejenigen, die es tun, einen großen Teil ihrer wertvollen Zeit dazu verwenden, die Mittel dafür zu generieren.…”