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Biomedical subjects

L Wilsch

Publications and source records attributed to L Wilsch.

10 recordsLinked to original sources
PubMed1978

[Ergo-therapy as a dermatological rehabilitation measure in eczematics--aim and first clinical experiences (author's transl)].

A new kind of clinical rehabilitation therapy of chronic eczematous patients is reported. It consists of a standardized, work-like activity of the hands increasing in time and intensity. This ergotherapy is coordinated with the clinical treatment. Until now our experiences have shown that the clinical healing as well as the functional reconstruction of the horny layer (alkali resistance, permeability) are not delayed by the work-like skin stress. The instruction and guidance concerning cleaning and skin protective measures are of particular importance. The observation of the course of 77 subjects suggests a positive influence on patients suffering from degenerative eczema whereas the results in patients with multiple allergies do not confirm previous expectations.

Adult↗
PubMed1978

[Oral leukoplakia. II. Results of a year-long polyclinical pilot study].

A pilot study was carried out on close on 4000 uniformly examined and documented patients of the Erlanger maxillo-facial Policlinic. This resulted in the extensive collection of data useful as a basis for future follow-up studies on leucoplakia patients. Leucoplakia was found in 123 patients (3,1%) including 7 precancerous lesions and 6 mucosal carcinomata. Age and sex distribution of leucoplakia patients and various potential influential factors were statistically compared with a control group of an equal number of outpatients. For each of the factors examined, chronic smoking, chronic alcohol consumption, enoral habits, the connection with the occurrence of leucoplakia was highly significant (alpha less than 0,001).

Adolescent↗
PubMed1977

[Late-onset cutis laxa (generalized elastolysis)].

Cutis laxa is a heterogeneous disease of elastic fibres, divided into three congenital and two acquired forms. Its aetiology is unknown except for the X-linked recessive form. A late form with slow progression in a 52-year-old woman and a probably postinflammatory form in a 29-year-old woman are reported. In both cases histological examination revealed severe damage of the elastic fibres of the skin, in the first one also calcium deposits and (electronmicroscopically) damage to collagen fibres. Treatment is entirely symptomatic, but in severe cases plastic surgery may help cosmetically.

Adult↗
PubMedDate not supplied

[Statistical studies and results of treatment of patients with perioral dermatitis].

279 patients suffering from perioral rosaceiform dermatitis have been treated during the past 5 years. With the exception of two men and one five-year-old girl, all patients were female adults, mostly in their thirties. Skin eruptions had been present for 1--2 years in 73% of the cases. Two third of the patients had been treated locally with corticosteroids and one tenth of this group had previously undergone systemic therapy. In 22,2% of the patients, typical signs of local corticosteroid overtreatment were seen. There was a great number of patients holding rather high-ranking jobs and showing remarkable zeal to advance either in their habitual professional field or in a new career. 90% of the perioral dermatitis patients suffered from concomitant vegetative disturbances, especially nervousness, insomnia, headaches and fatigue. In 40% of the cases, symptoms of general neurovascular lability were stated and 60% complained of digestive troubles, particularly obstipation. Out of 220 patients, 206 (=93%) supervised since the end of our treatment showed no relapse of their dermatosis. Our therapeutic program since 1970 consists of mild, corti-costeroid-free local treatment and psychotherapy (see A. Thurn). In the majority of cases, the skin lesions disappeared during the first 3 months and in 90% after 6 months. In 33 cases, under conditions of stress and conflict, one or several relapses occured before final recovery was attained. The evaluation of therapy results showed a progredient reduction of recovery time corresponding to the increasing psychoanalytical experience of our interdisciplinary team. However, in perioral dermatitis patients showing no concomitant vegetative symptoms (10%), a conspiciously longer recovery time was noted, when compared with the remainder of our cases. Patients suffering from several concomitant vegetative symptoms may possibly stop, taking out' psychic problems on their skin when partially resolved by short-term therapy, tending instead to ,somatize' their conflicts in other susceptible organs.

Adrenal Cortex Hormones↗