
Не знаю, чему больше удивляться – тому, что увидел или тому, что узнал? Нет ответа у меня на этот вопрос, но, как человека от примата отличает способность делиться, так и меня тянет разделить увиденное с вами, дорогие друзья и подписчики.
I will not tire of repeating: the doctor treats what he sees, and sees what he knows. When we see a stagnant erythema of the face – a pathognomonic sign of rosacea or all subsequent morphological elements – papules, papulo-pustules, tubercular infiltration - we need to know what is happening behind the scenes, in the depths of the skin layers.
Under the influence of numerous and various endo - and ecofactor that remains to be seen, there is a clear sequence of pathophysiological events that lead to the dynamics of the process, namely:
These events are the final stage of sterile inflammation. Manifestations of rosacea at this time will be either minimal (transient spontaneous erythema of the face, transient swelling, periodic and weak itching) or invisible at all.
At this point, the doctor's eye opens stagnant erythema spilled character.
These events are manifested by the appearance (of course, against the background of erythema) papules.
The inflammation ceases to be sterile. This is accompanied by the appearance of pustules, mainly on the surface of papules (papulo-pustules).
the focus of inflammation is surrounded by the peripheral shaft, there comes a stage of autoagression of local immunity, and after that the systemic one.
The totality of what is happening, along with autoimmune mechanisms leads to the fact that we see the emergence of bugorkova infiltration and granulomatous inflammation (Atofina, rhinophyma, gnathophyma, metafile).
Now, colleagues, when we see this or that morphological element on the face, we not only suspect the diagnosis of rosacea and think about the differential diagnosis, but also understand what processes and events preceded its appearance.
Easy meditation for everyone!
Не знаю, чему больше удивляться – тому, что увидел или тому, что узнал? Нет ответа у меня на этот вопрос, но, как человека от примата отличает способность делиться, так и меня тянет разделить увиденное с вами, дорогие друзья и подписчики.
Parallel worlds exist not only in the books by science fiction writers. One can find them in medicine, too. In this article I will share the analogies that I saw visiting the production facility Lumenis in Israel. It turned out that we have a lot in common with the Israel developers. So ...
Watch the movie and read the book electronically for free here.