№3, 2015, volume 11

Статья является продолжением предыдущей работы, в которой были изложены данные о связи дерматовенерологии с изобразительным искусством на примерах нескольких художественных полотен европейской и русской живописи из фонда Саратовского государственного художественного музея имени А. Н. Радищева. В настоящей работе рассматривается серия гравюр «Карьера проститутки» Уильяма Хогарта из коллекции этого музея, отражающая различные проявления сифилитической инфекции как результат пороков социально больного аристократического общества.

Purpose: the study of psychological defense mechanisms in patients with syphilis at different stages of the disease. Material and methods. We used questionnaire Plutchik-Kellerman-Comte "life style Index". The study involved 257 people (118 women (46%) and 139 men (54%)) aged 18 to 67 years (mean age — 23,5±8,9years). Results. In patients with primary syphilis primary mecha-protection scheme is "denying"; secondary syphilis of skin and mucus-purity membranes— "replacement"; syphilis latent early — "projection"; in patients with late syphilis — intellectualization. Thus, in patients with late forms of syphilis is dominated by more Mature mechanisms of protection (projection, rationalization). Patients with early forms use more primitive mechanisms (denial, substitution). Conclusion. The obtained data may be useful in the choice of methods of psychotherapy, the formation of patients more realistic (ADAP-tive) installations for the treatment, restoration of family and other social relations, the prevention of distress and improving the quality of life of patients.

The aim: to analyze the appeals of citizens in the Territorial body of the Federal service on surveillance in healthcare and social development of the Saratov region. Material and methods. The study presents the results of work with appeals of citizens in the Territorial body of the Federal service on surveillance in healthcare and social development of the Saratov region on 2012, 2013, 2014 and the first half of 2015. We used the analytical method to make the research. Results. The study presents the percentage balance of founded and unfounded complaints, structure of the appeals of citizens. Conclusion. The study shows the high performance of the work of the Territorial body of the Federal service on surveillance in healthcare and social development of the Saratov region with the appeals of citizens and control actions of medical organizations, based on these appeals.

Objective: to analyze the main motivational and psychological factors influencing the success of the process of becoming a young medical interns in the specialty «Dermatovenereology». Materials and methods. The study involved 49 interns in the specialty «Dermatovenereology» (22 people studied in 2013-2014, 27 people — in 2014-2015). For the diagnosis it was used a Shortened multi-factor Personality inventory (RESINS), the technique of "career Anchors" diagnostic value orientations in karyes-re (E. Shane, translation and adaptation of V.A. Chiker, V. E. Vinokurov), «Survey of young specialists-sheet» developed by GUZ «SACVD» Results: A greater number of doctors interns of 2013 and 2014 and 2014-2015 chose the specialty «Dermatovenerology» because of the possibility to work in the field of cosmetology. Conclusions. These results provide the possibility of selecting candidates for future employment, identify motivate innovative features, the ability of young professionals.

Aim: studying of clinical and functional features of juvenile hemangioma to identify indications to their removal. Analysis of the nature of side effects at the different methods of treatment and determination of efficiency of the ra-diowave moving away of juvenile hemangioma. Materials and methods. The study involved 216 children with juvenile hemangioma and 14 adult patients with persistent hemangioma. Radiowave treatment was conducted to 32 children with superficial juvenile hemangioma. Results. Superficial juvenile hemangioma are diagnosed in 76.1%, thus the highest prevalence of superficial juvenile hemangioma of small diameter and thickness. At the inspection of children with complications of different methods of treatment of hemangioma found the prevalence of formation of pathological scars, during removing of hemangioma by carbon-dioxide laser and at a scelerotherapy — 58,3%. Swelling and soreness at the radio wave moving away at most patients (84,3%) passed through 3 days, recovery after a 1 session came at 65,6% of patients, after 2 sessions — at 28,2%, after 3 sessions — at 6,2%. At watching the patients of this group during one to three years their proof recovery is set. Conclusion. High postoperative cosmetic effect under strict indications for surgical removal, the absence of relapses and the low percentage of continued growth (6.2% after the second session deletion) allow to recommend high-frequency radio wave removing for the treatment of superficial juvenile hemangioma of the skin.

Aim: to examine the psycho-emotional state of patients with psoriasis and to choose the optimal methods of correctional interventions with patients and their family-relatives. Materials and methods. The study included 230 patients with various different forms of psoriasis (150 men and 80 women, mean age 42±2,3) and 183 of their cohabitating relatives. The method of С D. Spielberg and J. L. Khanin was used for the assessment of anxiety degree, quality of life assessment (SF-36 health status survey), as well as a questionnaire, elaborated by our team, for patients with psoriasis. Results. After psychocorrection events in the patients there were noticed the following: decreased anxiety, increased vitality, improved relationships with loved ones, improved emotional state. Conclusion. When using psychotherapy in combination with medication, psoriasis treatment becomes more effective: reduced levels of anxiety, increased life activity, interaction with loved ones becomes more confident, improves emotional state.

Aim: to evaluate the picture of dermatoscopy in case of psoriasis at different stages of the disease. Materials and Methods. We observed 30 patients with a diagnosis of disseminated papular — plaque psoriasis at the stage of progression. Dermatoscopic study was conducted by the expert class videodermatoskop MoleMaxHD (company Derma Medical Systems, Austria), with an increase from x30 to x80 to initiation of therapy, on the 7th and 15th days of treatment. Results. Changes of dermatoscopic picture in psoriasis are observed on the first days of treatment, and outperformed the major clinical manifestations of infections detected by the human eye. Conclusion. Dermatoscopy reveals the earliest signs of positive dynamics of the therapy and can be used to select a rational method of treatment.

Five clinical observations in pediatric patients with Bloch — Sulzberger syndrome are presented. The observation had been performed for six months. The differential diagnosis depending on the stage of the disease was done. The article contains variants of treating patients of this category.

The article presents the historical origin of the term "Koebner phenomenon". The literature data reflect the etiology, pathogenesis and epidemiology of isomorphic mechanisms provoking responses in lichen planus, psoriasis, scleroder-ma, syphilis. Variants of the Koebner phenomenon's classifications are given. The clinical cases of limited scleroderma after mechanical injury are described.

The article presents a case report of clinical observations of late cutaneous porphyria in a 50-years old patient. The data of the etiology, pathogenesis and clinical picture are summarized. A differential diagnosis with vulgar disease, acquired epidermolysis bullosa and pseudoporphyria. The results of a successful comprehensive treatment of disease by drugs quinoline series, systemic glucocorticosteroids, phlebotomy.