2015, volume 11

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.

A clinical case of the combination of psoriasis and secondary syphilis is presented. The problem of differential diagnostics of the clinical manifestations of syphilis and psoriasis, including the dermatoscopy usage are considered.

A rare clinical case of an infant acropustulosis at a newborn child is presented in the article clinical signs, histology treatment are described.

The study presents a relatively rare case of dermatosis. It is familial benign chronic vesicular fever (Hailey-Hailey disease) in a 58-years old female patient which is inherited as an autosomal dominant mode. The data about etiology, pathogenesis, clinical picture and differential diagnosis were summarized. The main ways of treatment of the disease are described.