Journal of the Japan Organization of Clinical Dermatologists
Online ISSN : 1882-272X
Print ISSN : 1349-7758
ISSN-L : 1349-7758
Volume 24, Issue 3
Displaying 1-6 of 6 articles from this issue
  • Takeshi Uenotsuchi, Tomoko Shibata, Masutaka Furue
    2007 Volume 24 Issue 3 Pages 211-214
    Published: April 15, 2007
    Released on J-STAGE: March 13, 2009
    JOURNAL FREE ACCESS
    A mass poisoning involving at least 1900 individuals occurred in Kyushu, western Japan, in 1968. The incident is called Yusho oil disease because it was caused by the ingestion of rice bran oil that was contaminated with Kanechlor-400, a commercial brand of Japanese polychlorinated biphenyls (PCBs). It was later found that the rice bran oil had been contaminated not only with PCBs but also with polychlorinated dibenzofurans (PCDFs), polychlorinated quaterphenyls (PCQs), and other related compounds. Yusho is thus recognized as poisoning by a mixture of PCBs, dioxins and related compounds. For more than 35 years the patients with Yusho have suffered from various symptoms such as general malaise, headache, acneform eruption, dark-brownish nail pigmentation, increased discharge from the eyes with swelling of the eyelids, pigmentation of oral mucosa, peripheral neuropathy, irregular menstruation in women, and growth retardation in infants and children. (Online only)
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  • Masaaki Ito
    2007 Volume 24 Issue 3 Pages 221-228
    Published: April 15, 2007
    Released on J-STAGE: March 13, 2009
    JOURNAL FREE ACCESS
    Human hair gradually develops from birth until adolescence and subsequently shows morphological alteration by aging although there are man and woman difference and individual difference. In this article, firstly I explain about the structure and function of hair apparatus, the mechanism of hair cycle, and the expression of hair color.
    As pilar aging phenomena, senile alopecia, senile hypertrichosis and canities are described. Senile alopecia is known to be the same as male pattern baldness, and thinning and shortening of vertex-forehead hair occur and androgen and hair papilla cells play important roles in miniaturization of hair apparatus. On the other hand, with men in particular, the eyebrows, beard, tragi and nostril hair become hypertrichosis with aging adversely. White hair color in canities is due to dysfunction and/or disappearance of hair matrix melanocytes; this may be caused by a problem of differentiation/proliferation of melanocyte-stem cells. (Online only)
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  • Norito Katoh
    2007 Volume 24 Issue 3 Pages 229-232
    Published: April 15, 2007
    Released on J-STAGE: March 13, 2009
    JOURNAL FREE ACCESS
    The principal of coaching is that the client himself has the answer to solve his problem or to achieve his goal. The coach support the client to find their own way of solution by using coaching skills such as consulation preparation skills (raise questions and concerns) and implementation skills (motivational interviewing). These skills are useful in management of chronic disease such as atopic dermatitis to motivate them to participate their care. (Online only)
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  • Yoshinao Soma
    2007 Volume 24 Issue 3 Pages 233-237
    Published: April 15, 2007
    Released on J-STAGE: March 13, 2009
    JOURNAL FREE ACCESS
    Adverse effects of topical corticosteroids consist of topical adverse reactions that arise in the skin of applied area and systemic adverse reactions caused by percutaneous penetration of corticosteroids. Systemic adverse effects (iatrogenic Cushing syndrome) are observed only after a long-term use of extraordinary large amount of potent corticosteroids. The occurrence of topical adverse reactions, including folliculitis, acne, dermatophytosis, skin atrophy, purpura, telangiectasia, hypertrichosis, depigmentation and rosacea-like dermatitis, depends on the period and the sites of application, as well as the potency of corticosteroids. Dermatologists must have thorough knowledge of these topical adverse reactions and are obligated to prevent and treat them. There was a controversy whether eye cataract, red face and hyperpigmentation of the neck seen in atopic dermatitis are adverse effects of topical corticosteroids, but today many dermatologists think that they are not related to the use of corticosteroids. The potency and the dose of corticosteroids have to be adequately selected according to the severity and the area of skin lesions. In order to obtain good compliance, simple prescription is desirable, and the application dose per day should be clearly indicated. Tachyphylaxis, the presence of which can not be denied, is not probably connected to serious clinical problems. (Online only)
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  • T. Aoki, Y. Sasagawa, A. Tamaki, H. Endo, K. Hirayama, Y. Kataoka, T. ...
    2007 Volume 24 Issue 3 Pages 238-244
    Published: April 15, 2007
    Released on J-STAGE: March 13, 2009
    JOURNAL FREE ACCESS
    It is a difficult task to find out single aggravating factors in chronically continuing atopic dermatitis patients from many candidates such as psychological stresses, infections, seasonal effects, allergies and others. We tried it in newly developed dermatitis including atopic dermatitis with hope that determination of a single factor might be possible.
    We collected 110 cases who might have developed atopic dermatitis for the first time, and age, the month of appearance, the skin of first lesion appearance, family history, previous history, occupation, housing, food, life style, air and skin environment, physical and psychological environment were recorded. The results were evaluated in relation to clinical symptoms. During the 3 months before the development of dermatitis, moving to the new house was seen in 10.9%, change of living place in 21.8%, bad physical condition in 21.8%, shortage of sleep time in 47.3% and overwork in 30.9%.
    Important factors related to the first appearance of dermatitis including atopic dermatitis were chemical skin irritation (such as detergents, cosmetics, hair shaving and sweating), psychological stresses, cedar pollen allergy and something associated with housing. (Online only)
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