Volume 14Number 2, Part IFebruary, 1986

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ABSTRACTS

Lipedema (German text)

Stenger D, Bahmer FA: Akt Dermatol11:51-54,1985

Lipedema, manifested by symmetric swelling of the legs,is not well known. The term is misleading, since it is path­ogenetically not an edema but a constitutional disturbance offat distribution. Young women are mostly affected. Fiftypercent of the patients are obese; in another 50% only thelower extremities are obese. Treatment is very unsatisfactory.Phlebedema and lymphedema are to be considered in thedifferential diagnosis.

Alfred Hollander, M.D.

Basal cell nevus syndrome and radiation therapy(German text)

Roth C, Breuninger H, Rassner G: Akt Dermatol11:55-57, 1985

In a 32-year-old man with basal cell nevus syndrome,x-ray therapy (10,000 rads) was administered to eight tumorson the trunk that had previously been excised. Subsequentlynevoid basal cell carcinomas developed in the irradiated areas.X-ray therapy is contraindicated in basal cell nevus syndrome.Intensive ultraviolet therapy may also be a risk.

Alfred Hollander, M.D.

Lichen follicularis decalvans, spinulosus etpigmentosus (German text)

Stadtler R, Schaumburg-Lever G: Akt Dermatol11 :58-63, 1985

A 36-year-old patient with Graham-Little syndrome alsoshowed manifestations of erythema dyschromicum perstanson the trunk. Authors are not certain whether this case rep­resents a variant of Graham-Little syndrome or a simultaneousappearance of Graham-Little· syndrome or erythema dys­chromicum perstans. Pathogenetically, toxic influences ofmedicaments were considered since ash-gray pigmentationsappeared and disappeared repeatedly.

Alfred Hollander, M.D.

Association of HLA antigens with scleroderma(German text)

KUhnl P, Schlitz K, Altmeyer P, et al: Z Hautkr60:866-868, 1985

Progressive systemic and circumscribed scleroderma areassociated with different HLA antigens, DRl, DRS, and B27,respectively. HLA typing in suspected cases of progressivesystemic scleroderma can be useful in securing the diagnosis.

Alfred Hollander, M.D.