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Copyright of Journal der Deutschen Dermatologischen Gesellschaft is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Summary: Background and Objectives: Previous work has demonstrated that hydrochlorothiazide (HCTZ) is a risk factor for squamous cell carcinomas (SCC) and basal cell carcinomas (BCC) due to pro‐photocarcinogenic effects. Atypical fibroxanthoma (AFX) and pleomorphic sarcoma (PDS), both ultraviolet‐induced cancers, display a rare but rising cutaneous tumor entity. This study aimed to evaluate if the use of HCTZ is higher in patients with AFX/PDS than in patients with SCC/BCC and subsequently may be a risk factor for AFX/PDS‐development. Patients and Methods: In a retrospective study of four German skin cancer centers, AFX/PDS cases and SCC/BCC controls were sex and age matched (1:3) over a time‐period of 7 years (2013–2019) to evaluate the use of HCTZ, immunosuppressive medication, second malignancies, and presence of diabetes mellitus. Results: Overall, 146 AFX/PDS and 438 controls (SCC/BCC) were included in the study. The use of HCTZ was significantly higher in patients with AFX/PDS (44.5%) compared to patients with SCC/BCC (25.3%). Additionally, the presence of diabetes mellitus was significantly higher in AFX/PDS patients. Conclusions: This study demonstrates a significantly higher use of HCTZ in patients with AFX/PDS compared to SCC/BCC. This result suggests that HCTZ may be a risk factor for AFX/PDS. Additionally, diabetes mellitus or its comorbidities may be associated with an increased risk for AFX/PDS. [ABSTRACT FROM AUTHOR]

Plant monocultures growing for extended periods face severe losses of productivity. This phenomenon, known as 'yield decline', is often caused by the accumulation of above‐ and below‐ground plant antagonists. The effectiveness of plant defences against antagonists might help explain differences in yield decline among species. Using a trait‐based approach, we studied the role of 20 physical and chemical defence traits of leaves and fine roots on yield decline of 4‐ and 18‐year‐old monocultures of 27 grassland species. We hypothesized that yield decline is lower for species with high defences, that root defences are better predictors of yield decline than leaf defences, and that in roots, physical defences better predict yield decline than chemical defences, while the reverse is true for leaves. We additionally hypothesized that the relationship between defences and yield decline increases with time and that species increasing the expression of defence traits after long‐term monoculture growth would suffer less yield decline. We summarized leaf and fine root defence traits using principal component analyses and analysed the relationship between the most informative components along with their temporal changes and monoculture yield decline. The significant predictors of yield decline were traits related to the so‐called collaboration gradient of the root economics space (specific root length and root diameter) as well as their temporal changes and traits related to the leaf physical vs chemical defence tradeoff (leaf dry matter, silicon and cellulose content, toughness and phytochemical diversity). We were unable to unequivocally identify the mechanisms relating the effect of those traits to yield decline as they could mediate plant responses to several stressors such as antagonist accumulation, nutrient depletion or drought. Further studies are needed to differentiate between these alternative mechanisms and to gain a comprehensive understanding of the drivers of yield decline in relation to root and leaf defence traits. [ABSTRACT FROM AUTHOR]

Copyright of Journal der Deutschen Dermatologischen Gesellschaft is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Summary: Background: Institutes of dermatopathology are faced with considerable challenges including a continuously rising numbers of submitted specimens and a shortage of specialized health care practitioners. Basal cell carcinoma (BCC) is one of the most common tumors in the fair‐skinned western population and represents a major part of samples submitted for histological evaluation. Digitalizing glass slides has enabled the application of artificial intelligence (AI)‐based procedures. To date, these methods have found only limited application in routine diagnostics. The aim of this study was to establish an AI‐based model for automated BCC detection. Patients and Methods: In three dermatopathological centers, daily routine practice BCC cases were digitalized. The diagnosis was made both conventionally by analog microscope and digitally through an AI‐supported algorithm based on a U‐Net architecture neural network. Results: In routine practice, the model achieved a sensitivity of 98.23% (center 1) and a specificity of 98.51%. The model generalized successfully without additional training to samples from the other centers, achieving similarly high accuracies in BCC detection (sensitivities of 97.67% and 98.57% and specificities of 96.77% and 98.73% in centers 2 and 3, respectively). In addition, automated AI‐based basal cell carcinoma subtyping and tumor thickness measurement were established. Conclusions: AI‐based methods can detect BCC with high accuracy in a routine clinical setting and significantly support dermatopathological work. [ABSTRACT FROM AUTHOR]

Plant‐available silicon (Si) concentrations vary considerably across tropical soils, yet the ecological importance of that variation remains largely unresolved. Increased Si availability can enhance growth and modulate foliar nutrient status in many crop species suggesting similar effects might occur in natural systems. However, how growth, foliar Si and macronutrient concentrations as well as their stoichiometry respond to plant‐available Si and how these responses differ across tropical tree species is unknown. We experimentally exposed seedlings of 12 tropical tree species to a gradient of plant‐available Si concentrations, representing 85 % of the variation found across central Panama, and assessed responses in aboveground growth and foliar nutrient status. Furthermore, we assessed whether higher plant‐available Si increases P availability. Increasing plant‐available Si led to increased foliar Si concentrations (by up to 140%). It also led to higher aboveground growth (by up to 220%), and it affected foliar C and N concentrations, and nutrient stoichiometry across species. However, at the species‐level only a small subset of two to four species showed significant growth and foliar nutrient responses. At the soil‐level, plant‐available P remained unchanged along the experimental soil Si gradient. Our results showed that Si can improve growth and/or modulate foliar nutrient status in a number of tropical tree species. Furthermore, species' growth and foliar nutrient concentrations might vary differently across tropical forest sites varying in plant‐available Si. Additionally, Si‐induced responses in foliar nutrient stoichiometry have the potential to affect herbivory and litter decomposition. Taken together, natural variation in plant‐available Si might influence plant performance unequally across tropical tree species, and change trophic interactions, with potential implications for ecosystem processes. [ABSTRACT FROM AUTHOR]

Temperate grasslands exhibit strong spatial and temporal variation in water regimes. Thus, grassland plants experience potentially stressful water regimes, which may influence their tissue silicon (Si) and nitrogen (N) concentrations. Plant Si and N concentrations play important ecological roles in temperate grasslands, for example, by influencing plant performance and herbivory, yet comparisons of species' responses to a broad range of water regimes, including drought, waterlogging and flooding, are lacking.We conducted a mesocosm experiment with 10 temperate grassland species of two life‐forms (grasses and forbs) exposed to four different soil water regimes (drought, a benign control, waterlogged and flooded conditions), and analysed their Si and N concentrations.Grasses showed lower Si concentrations under drought and flooding compared to the benign control and the highest concentrations emerged under waterlogging. Overall, plant Si responses of grasses were more uniform, while in forbs, responses varied both in direction and magnitude across species. For N concentrations, all species and life‐forms showed the highest concentrations under drought compared to the benign control, while half of the species exhibited decreasing concentrations under waterlogging and/or flooding. The water regimes, especially waterlogging and flooding, induced changes in species rankings of plant Si and N concentrations, with stronger shifts in forbs than in grasses.Our results indicate that spatial and temporal variation of water regimes may influence plant Si and N concentrations in temperate grassland species. Plant Si responses to water regimes might be highly species‐specific in forbs but more similar in grasses, whereas plant N responses are likely to be relatively uniform across species and life‐forms.The strong plasticity in plant Si and N concentrations we observed might have pervasive consequences for ecological processes, such as herbivory. Read the free Plain Language Summary for this article on the Journal blog. [ABSTRACT FROM AUTHOR]

Zusammenfassung: Hintergrund und Ziele: In den letzten Jahren konnten umfassende Erkenntnisse über die Pathogenese, Diagnostik und Behandlung von kutanen Sarkomen, insbesondere des atypischen Fibroxanthoms (AFX) und pleomorphen dermalen Sarkoms (PDS) gesammelt werden. Beide Entitäten zeigten innerhalb der letzten Dekade steigende Inzidenzraten. Die vorliegende Studie diente der Untersuchung, welchen Einfluss die neuen Erkenntnisse auf die Fallzahlen von AFX/PDS im Vergleich zu anderen Sarkom‐Entitäten haben. Patienten und Methodik: Diese retrospektive Studie wurde an vier deutschen Hauttumorzentren durchgeführt und alle von zertifizierten Dermatopathologen bestätigten histopathologischen Befunde von kutanen Sarkomen (AFX, PDS, Dermatofibrosarcoma protuberans, kutanes Leiomyosarkom, Angiosarkom und Kaposi‐Sarkom) in einem Zeitraum von sieben Jahren (2013–2019) evaluiert. Zusätzlich wurde der Einsatz von immunhistochemischen Markern als diagnostische Hilfe (Panzytokeratin, S100, Desmin, CD34, CD10, Prokollagen‐1, CD99, CD14 und CD68) erfasst. Ergebnisse: Insgesamt konnten 255 kutane Sarkome in die vorliegende Studie eingeschlossen werden. Die Zahl der kutanen Sarkome nahm kontinuierlich von 2013 bis 2019 zu (von 16 auf 52 Fälle im Jahr). Die Diagnose eines AFX/PDS konnte in 2019 4,6‐mal häufiger als in 2013 gestellt werden. Das AFX stellte mit 49,3 % aller kutanen Sarkome den häufigsten Sarkom‐Subtypen dar. Zusätzlich war der Anstieg von AFX/PDS mit dem Einsatz von Immunhistochemie assoziiert. Der Einsatz von spezifischen Immunhistochemischen Markern stieg von 57,1 % im Jahr 2013 auf 100 % in 2019. Schlussfolgerungen: Diese retrospektive Studie von vier deutschen Hauttumorzentren demonstriert eine substanzielle Zunahme von AFX/PDS, wahrscheinlich infolge kürzlich etablierter beziehungsweise verbesserter diagnostischer und terminologischer Standards. Dieser Anstieg ist vermutlich mit dem vermehrten Einsatz von bestimmten immunhistochemischen Markern assoziiert. AFX/PDS treten wahrscheinlich häufiger auf als bisher vermutet und repräsentieren möglicherweise den häufigsten kutanen Sarkom‐Subtyp. [ABSTRACT FROM AUTHOR]

Summary: Background and objectives: In recent years, considerable insight has been gained into the pathogenesis, diagnosis and treatment of cutaneous sarcomas, including atypical fibroxanthoma (AFX) and pleomorphic dermal sarcoma (PDS). Both entities have shown increasing incidence rates in the last decade. This study was initiated to evaluate how these new insights impact the number of diagnoses of AFX/PDS compared to other cutaneous sarcoma entities. Patients and methods: In a retrospective study of four German skin cancer centers, all histopathological reports of cutaneous sarcomas (AFX, PDS, dermatofibrosarcoma protuberans, cutaneous leiomyosarcoma, angiosarcoma, and Kaposi sarcoma) confirmed by board‐certified dermatopathologists were analyzed during a time‐period of seven years (2013–2019). Additionally, utilization of immunohistochemical markers (including pan‐cytokeratin, S100, desmin, CD34, CD10, procollagen‐1, CD99, CD14, and CD68) as an adjunct to diagnose AFX/PDS was recorded. Results: Overall, 255 cutaneous sarcomas were included in the present study. The diagnosis of a cutaneous sarcoma has consequently risen from 2013 to 2019 (from 16 to 52 annual cases). The results of AFX/PDS revealed 4.6 times more diagnoses in 2019 than in 2013. Atypical fibroxanthoma represented the most common subtype, displaying 49.3 % of all diagnosed cutaneous sarcomas. Additionally, the increase of AFX/PDS was linked to the use of immunohistochemistry, with specific immunohistochemical markers used in 57.1 % of cases in 2013 compared to 100 % in 2019. Conclusions: This retrospective study of four German skin cancer centers demonstrates a substantial rise of AFX/PDS, possibly due to recently established diagnostic and terminology standards. This rise is probably linked to increased utilization of specific immunohistochemical markers. Atypical fibroxanthoma/PDS may be more common than previously thought and seems to represent the most frequent cutaneous sarcoma subtype. [ABSTRACT FROM AUTHOR]

Accurate classification of melanocytic tumors is important for prognostic evaluation, treatment and follow‐up protocols of patients. The majority of melanocytic proliferations can be classified solely based on clinical and pathological criteria, however in select cases a definitive diagnostic assessment remains challenging and additional diagnostic biomarkers would be advantageous. We analyzed melanomas, nevi, Spitz nevi and atypical spitzoid tumors using parallel sequencing (exons of 611 genes and 507 gene translocation analysis) and methylation arrays (850k Illumina EPIC). By combining detailed genetic and epigenetic analysis with reference‐based and reference‐free DNA methylome deconvolution we compared Spitz nevi to nevi and melanoma and assessed the potential for these methods in classifying challenging spitzoid tumors. Results were correlated with clinical and histologic features. Spitz nevi were found to cluster independently of nevi and melanoma and demonstrated a different mutation profile. Multiple copy number alterations and TERT promoter mutations were identified only in melanomas. Genome‐wide methylation in Spitz nevi was comparable to benign nevi while the Leukocytes UnMethylation for Purity (LUMP) algorithm in Spitz nevi was comparable to melanoma. Histologically difficult to classify Spitz tumor cases were assessed which, based on methylation arrays, clustered between Spitz nevi and melanoma and in terms of genetic profile or copy number variations demonstrated worrisome features suggesting a malignant neoplasm. Comprehensive sequencing and methylation analysis verify Spitz nevi as an independent melanocytic entity distinct from both nevi and melanoma. Combined genetic and methylation assays can offer additional insights in diagnosing difficult to classify Spitzoid tumors. [ABSTRACT FROM AUTHOR]

Biogeochemical cycling in permafrost‐affected ecosystems remains associated with large uncertainties, which could impact the Earth's greenhouse gas budget and future climate policies. In particular, increased nutrient availability following permafrost thaw could perturb the greenhouse gas exchange in these systems, an effect largely unexplored until now. Here, we enhance the terrestrial ecosystem model QUINCY (QUantifying Interactions between terrestrial Nutrient CYcles and the climate system), which simulates fully coupled carbon (C), nitrogen (N) and phosphorus (P) cycles in vegetation and soil, with processes relevant in high latitudes (e.g., soil freezing and snow dynamics). In combination with site‐level and satellite‐based observations, we use the model to investigate impacts of increased nutrient availability from permafrost thawing in comparison to other climate‐induced effects and CO2 fertilization over 1960 to 2018 across the high Arctic. Our simulations show that enhanced availability of nutrients following permafrost thaw account for less than 15% of the total Gross primary productivity increase over the time period, despite simulated N limitation over the high Arctic scale. As an explanation for this weak fertilization effect, observational and model data indicate a mismatch between the timing of peak vegetative growth (week 26–27 of the year, corresponding to the beginning of July) and peak thaw depth (week 32–35, mid‐to‐late August), resulting in incomplete plant use of nutrients near the permafrost table. The resulting increasing N availability approaching the permafrost table enhances N loss pathways, which leads to rising nitrous oxide (N2O) emissions in our model. Site‐level emission trends of 2 mg N m−2 year−1 on average over the historical time period could therefore predict an emerging increasing source of N2O emissions following future permafrost thaw in the high Arctic. [ABSTRACT FROM AUTHOR]

As of February 27, 2023, the multicountry mpox (formerly known as monkeypox) virus outbreak has caused 86 127 infections and 97 deaths globally, with the vast majority of patients being men who have sex with men (MSM).[[1], [3]] More than 95% of mpox-virus (MPXV) infected individuals present with clinically apparent cutaneous or anogenital lesions, and asymptomatic MPXV infection is very rare.[[3], [5]] In contrast to all other sexually transmitted infections (STI), fluid-filled, umbilicated vesicules and pustules only occur in two conditions: mpox and herpes simplex virus (HSV) infection. STI-screening by serology and polymerase chain reaction (PCR) that covered I HIV1/2, Neisseria gonorrhea, Treponema pallidum, Mycoplasma genitalium, Mycoplasma hominis i and I Ureaplasma urealyticum i was negative. [Extracted from the article]

Various studies showed a decrease of drought stress specific parameters of plants after silicon (Si) fertilization. But all studies differed in soil Si concentration between the control and Si treatments. As amorphous silica (ASi) was recently found to cause a strong increase of water holding capacity and plant available water in soils, a combined effect of soil moisture and plant response due to Si addition was assumed. In this study, the influence of the soil Si content was excluded by using the same Si enriched soil for treatments of two rice lines, lsi1 mutant defective in Si uptake and its wild‐type rice. Most plant parameters, such as nutrient contents, biomass, specific leaf area, specific root length, leaf water content and C allocation did not differ significantly between the genotypes neither under flooded conditions, nor under drought conditions. Only photosynthesis and stomatal conductance were slightly higher for the wild type in both drought and flooded treatments. Overall, our data showed that Si accumulation within the plant tissues has only a minor effect on plant performance under drought stress. Hence, existing studies should be reinterpreted in light of the fact that Si additions may increase soil water availability. Our data shows that the effect of Si‐fertilization on mitigating drought stress for plants may be less via effects in planta but rather by Si‐fertilization increasing soil water availability to plants. [ABSTRACT FROM AUTHOR]

Background: Tinea capitis is a highly contagious infectious disease caused by dermatophytes. In Central Europe, it is mainly caused by zoophilic dermatophytes, as, for example Microsporum (M) canis or Trichophyton (T) mentagrophytes and increasingly by anthropophilic fungi. T tonsurans was commonly related to the Tinea gladiatorum, where transmission occurred between infected persons or via contaminated floors. Objective: Reporting the transmission of this highly contagious dermatophyte for the first time via beard shaving and hairdressing in barber shops in Germany. Patients and methods: 18 young male patients developed tinea capitis and/or barbae shortly after shavings of the beard and/or hair in a barber shop. Native, cultural and molecular diagnostics as well as tissue biopsies and resistance tests were performed of skin and hair samples. Results: In all samples, T tonsurans could be identified. The medical history and the clinical picture suggest a transmission through contaminated hairdressing tools. The patients were treated with terbinafine or itraconazole in combination with or exclusively with topical antimycotics. Conclusion: The transmission and a resulting increase in the incidence of infections with T tonsurans may be due to shavings with direct skin contact of insufficiently disinfected hairdressing tools. This path of infection has already been observed in Africa and is now being described for the first time in Germany. Knowledge of the pathogen and its transmission ways are essential to interrupt the chain of infection. [ABSTRACT FROM AUTHOR]

Zusammenfassung In diesem CME-Artikel werden histopathologische Grundkenntnisse der häufigsten Hauttumoren (epidermal, adnexiell, melanozytär, mesenchymal), deren labortechnische Aufarbeitung sowie der Stellenwert immunhistochemischer und molekularer Zusatzuntersuchungen zusammengefasst. Dies soll dem erfahrenen Kliniker bei der Wahl der richtigen Entnahmetechnik und der Interpretation der histopathologischen Befundberichte behilflich sein und in dermatologischer Weiterbildung befindlichen Ärzten ein besseres Verständnis der Dermatohistologie vermitteln. Ähnlich wie bei den entzündlichen Dermatosen sind auch in der Diagnostik von Hauttumoren Kliniker und Dermatohistopathologen aufeinander angewiesen und können die Qualität der Diagnostik und der daraus resultierenden therapeutischen Verständnisbasis deutlich verbessern. [ABSTRACT FROM AUTHOR]

The present CME article highlights fundamental aspects with respect to the histopathology of the most common skin tumors (epidermal, adnexal, melanocytic, and mesenchymal), their laboratory workup, as well as the importance of supplementary immunohistochemical and molecular studies. The information provided is meant to assist experienced clinicians in choosing the correct biopsy technique and in interpreting dermatopathology reports, and to provide dermatology residents with a better understanding of dermatopathology. Similar to inflammatory dermatoses, the diagnosis of skin tumors, too, requires the close cooperation between clinicians and dermatopathologists. The diagnostic quality and the resultant therapeutic approach can be significantly improved if this collaboration is based on the same dermatological understanding. [ABSTRACT FROM AUTHOR]

Species composition of grasslands and pastures is an important control on biomass production and ecological functioning, with a significant role of grasses and legumes. A change in composition of legumes/grasses abundance and biomass ratio results in altered nutrient cycling and composition of higher trophic-level communities (e.g., grazers). However, in addition to pasturing and fire effects, other parameters may also potentially affect grassland composition. Grasses are known as silicon (Si) accumulators and legumes as calcium (Ca) accumulators. We propose a new testable hypothesis, and a conceptual model, on the role of Si/Ca availability in controlling legume/grass dominance/competition in grassland systems. Based on available literature, we argue that Si/Ca availability is an important trigger for shifts in abundance of both plant families. The differential uptake of Si and Ca by legumes and grasses affects grassland biogeochemistry and microbial (fungal) biomass. In addition, altered litter stoichiometry, through impact of Ca and Si uptake on N, C, and P turnover, affects the decomposition processes. [ABSTRACT FROM AUTHOR]

Zusammenfassung Die Dermatohistologie ist von unverzichtbarem Stellenwert in der Diagnostik entzündlicher und neoplastischer Hautveränderungen. Zur richtigen Einordnung und Interpretation der histologischen Befunde, der Durchführung klinisch-pathologischer Korrelationen (insbesondere bei entzündlichen Hauterkrankungen) sowie für die Wahl der richtigen Exzisionsmethode sind grundlegende Kenntnisse in der Dermatohistologie für den praktisch tätigen Dermatologen wertvoll und steigern die diagnostische Qualität. In diesem Artikel wird die Vorgehensweise des Dermatopathologen in der Diagnostik entzündlicher Dermatosen beschrieben. Anhand wichtiger histologischer Grundmuster werden die Grundprinzipien der dermatohistologischen Diagnostik erläutert. Ein folgender zweiter Teil wird die histologischen Charakteristika der häufigsten Hauttumoren darstellen. [ABSTRACT FROM AUTHOR]

Dermatopathology is an indispensable tool in the diagnostic workup of inflammatory and neoplastic lesions. For the dermatologist in everyday clinical practice, basic knowledge of dermatopathology is highly valuable, as it allows for proper classification and interpretation of histological findings, as well as their correlation with the clinical picture (especially in case of inflammatory skin diseases). Such basic understanding is also important with regard to selecting the appropriate biopsy technique, thus increasing the overall diagnostic quality. The present article describes the diagnostic approaches taken by dermatopathologists in the histological workup of inflammatory skin diseases. The basic principles of this workup are highlighted on the basis of key histological patterns. Published in an upcoming issue, the second part of this article will address the histological characteristics of the most common skin tumors. [ABSTRACT FROM AUTHOR]

Zusammenfassung Einleitung Das Pyoderma gangraenosum (PG) ist eine seltene, inflammatorische destruktiv-ulzerierende neutrophile Erkrankung mit weitgehend unklarer Pathophysiologie. Material und Methodik In dieser Studie wurden die potenziell relevanten Kofaktoren und Begleiterkrankungen von Patienten mit PG aus drei dermatologischen Wundzentren in Deutschland differenziert ausgewertet. Ergebnisse Von den insgesamt 121 analysierten Patienten waren Frauen (66,9 %) häufiger betroffen als Männer. Das Alter der Patienten war 18-96 Jahre (Mittelwert [MW]: 59,8); die Wunden hatten eine Größe von 1-600 cm² (MW: 65,6 cm²) und waren überwiegend sehr schmerzhaft (VAS 1-10, MW: 7). Die Unterschenkel waren am häufigsten (71,9 %) betroffen. Bei 12 (9,9 %) Patienten bestanden chronisch entzündliche Darmerkrankungen (5,8 % Colitis ulcerosa; 4,1 % Morbus Crohn), bei 14,1 % der Patienten wurde eine Begleiterkrankung aus dem rheumatischen Formenkreis beschrieben. Neoplasien bestanden bei 20,6 % der Patienten, von denen 6,6 % als hämatologische und 14,1 % als solide Neoplasien klassifiziert wurden. Aus dem Kreis des metabolischen Syndroms wurde bei 69,4 % Patienten eine Adipositas, bei 57,9 % eine arterielle Hypertonie und bei 33,9 % ein Diabetes mellitus diagnostiziert. Schlussfolgerungen Diese Datenanalyse bestätigt Assoziationen des PG mit dem metabolischen Syndrom und mit Neoplasien, die zukünftig frühzeitig bei einer zielgerichteten Diagnostik der Patienten beachtet und behandelt werden sollten. [ABSTRACT FROM AUTHOR]

Fire can have large effects on ecosystems, with phosphorus being highly important in this regard, especially when considering productivity in burned or adjacent ecosystems after fire. Unfortunately, existing data pose contradictions and methodological challenges to assessing P availability. Here, the impact of fire on topsoil available P was estimated using three different types of organic soil layers (raw humus from spruce, humus from beech, and peat) and two fire regimes (obtaining black carbon and ash). Our findings suggest a strong fire impact on P availability, by enhancing available P during burning to black carbon (~10-fold), and to ash (~2- to 7.5-fold) dependent on calcite content. Fire impact on P availability is on a similar order of magnitude as mineral weathering and annual P cycling/ uptake in/by ecosystems. Furthermore, the proportion of available P in relation to total P depends on the origin of the organic soil layers. When related to the remaining mass after burning, as is commonly done, P availability can be overestimated by up to 1400%. Results from this study provide a realistic magnitude of shifts in P release and P availability by fire events of different intensity for widely abundant ecosystem conditions. Taking the importance of P for ecosystem processes into account, these results are highly relevant, because fires for fuel reduction are a common application, and for temperate and boreal ecosystems even moderate climate change scenarios predict an increasing appearance of fires in these regions. [ABSTRACT FROM AUTHOR]

Ongoing global changes, such as climate warming and increasing supply of reactive nitrogen (N), are expected to affect essential ecosystem processes such as the decomposition of plant litter. Determining the influence of environmental heterogeneity on the magnitude of these effects remains an important task, with silicon (Si) availability being a notable component of this heterogeneity, especially for grasses. We conducted an outdoor enclosure experiment to test if increased Si supply to a widespread foundation species (.Phragmites australis) alters the effect of climate warming and excess N supply on litter decomposition by curbing fungal decomposers. Consistent with expectations, Si supply during plant growth reduced fungal biomass in decomposing leaf blades by 50%, an effect that was doubled by excess external N supply. These strong impacts, however, did not directly translate to reduced litter decomposition or associated changes in nutrient dynamics. Instead, plant tissue-specific effects determined the influence of Si, N, and elevated temperature on litter mass loss. Specifically, Si accelerated the decomposition of leaf sheaths, warming enhanced leaf-sheath and leaf-blade decomposition, and N decreased the decomposition of culm litter, in line with expectations based on differences in litter chemistry. Thus, despite highly detrimental effects of Si and N on fungal decomposers, compensation by other members of the microbial community could dampen the realized impact of these global-change factors on the decomposition of plant litter in the future. [ABSTRACT FROM AUTHOR]

Zusammenfassung Pilzinfektionen der Haut werden in Deutschland und weltweit am häufigsten durch Dermatophyten verursacht. Die Tinea pedis ist die häufigste Pilzinfektion in den Industriestaaten der westlichen Welt. Ausgehend von dieser Dermatophytose entwickelt sich eine Tinea unguium. Insbesondere bei älteren Patienten kommt es infolge Autoinokulation von der Tinea pedis et unguium zu Tinea-Formen der freien Haut. Die Tinea capitis tritt bei Erwachsenen selten auf. Dagegen gilt sie als häufigste Pilzinfektion im Kindesalter. Bei der antimykotischen Behandlung der Tinea unguium und der Tinea capitis kann ein Dermatophytid auftreten. Hefepilzinfektionen betreffen die Schleimhaut von Orointestinaltrakt und Genitalsystem. Die Candidose der Haut betrifft vorzugsweise die intertriginösen Regionen der Hautfalten. Dagegen ist die Pityriasis versicolor eine oberflächliche Pilzinfektion am Körperstamm. Schimmelpilzinfektionen sind selten und spielen fast nur bei der Onychomykose eine Rolle. Die Diagnostik von Dermatomykosen umfasst den mikroskopischen Pilznachweis mittels Kaliumhydroxid- bzw. alternativ fluoreszenzoptischem Blankophor-Präparat und den kulturellen Pilznachweis. Dem histologischen Pilznachweis mittels PAS-Färbung sollte aufgrund der hohen Empfindlichkeit insbesondere bei der Onychomykose-Diagnostik ein wesentlich höherer Stellenwert zukommen. Mit der PCR, u. a. einem Dermatophyten-PCR-ELISA, lassen sich die Erreger direkt im klinischen Material spezifisch und hoch empfindlich nachweisen. Molekulare Methoden, auch die MALDI-TOF (matrix-assisted laser desorption ionization-time of flight)-Massenspektrometrie (MS) als Kulturbestätigungstest, ergänzen die konventionelle mykologische Diagnostik. [ABSTRACT FROM AUTHOR]

Most fungal infections of the skin are caused by dermatophytes, both in Germany and globally. Tinea pedis is the most frequent fungal infection in Western industrial countries. Tinea pedis frequently leads to tinea unguium, while in the elderly, both may then spread causing tinea corporis. A variety of body sites may be affected, including tinea glutealis, tinea faciei and tinea capitis. The latter rarely occurs in adults, but is the most frequent fungal infection in childhood. Following antifungal treatment of tinea unguium and also tinea capitis a dermatophytid or hyperergic reaction to dermatophyte antigens may occur. Yeast infections affect the mucous membranes both of the gastro-intestinal system and the genital tract as candidiasis mostly due to Candida albicans. Cutaneous candidiasis affects predominantely the intertriginous regions such as groins and the inframammary area, but also the intertriginous space of fingers and toes. In contrast, pityriasis versicolor is a superficial epidermal fungal infection primarily on the the trunk. Mold infections are rare in dermatology; they play a role nearly exclusively in nondermatophyte-mold (NDM) onychomycosis. The diagnosis of dermatomycoses comprises the microscopic detection of fungi using the potassium hydroxide preparation or alternatively the fluorescence optical Blankophor preparation together with culture. The histological fungal detection with PAS staining possesses a high sensitivity, and it should play a more important role in particular for diagnosis of onychomycosis. Molecular biological methods, based on the amplification of fungal DNA with use of specific primers for the distinct causative agents are on the rise. With PCR, such as dermatophyte-PCR-ELISA, fungi can be detected directly in clinical material in a highly specific and sensitive manner without prior culture. Today, molecular methods, such as Matrix Assisted Laser Desorption/Ionization Time-Of-Flight Mass Spectrometry (MALDI TOF MS) as culture confirmation assay, complete the conventional mycological diagnostics. [ABSTRACT FROM AUTHOR]

Microcystic adnexal carcinoma (MAC) is a rare, usually solitary, slowly growing, yet aggressive neoplasm with a tendency for local recurrences. Herein, we present two patients who had been histopathologically diagnosed as suffering from MAC on both cheeks since childhood, an unlikely scenario. Both from a clinical and from a histopathological point of view, our two cases showed some similarities with those previously described in patients with Nicolau-Balus syndrome, Rombo syndrome, and so-called eccrine-pilar hamartoma. Common to all these latter disorders are the round aggregations of elastic tissue in the papillary dermis, a histopathological feature which was also found in our patients. However, to our knowledge, the presence of a MAC-like ductal proliferation embedded in sclerotic stroma and extending to the deep dermis has not been previously described. Dermatologists and dermatopathologists should be aware of this disorder to avoid overdiagnosis of and inappropriate treatment for MAC. Schaller J, Rytina E, Rütten A, Hendricks C, Ha T, Requena L. Sweat duct proliferation associated with aggregates of elastic tissue and atrophodermia vermiculata: a simulator of microcystic adnexal carcinoma. Report of two cases. [ABSTRACT FROM AUTHOR]

The authors report a case of Brooke-Spiegler syndrome (BSS) with a novel germline CYLD mutation and various somatic mutations identified in the lesional tissues. The patient was a 46-year-old man with multiple lesions on the face. The available histopathological material included 24 trichoepitheliomas, 2 large nodular basal cell carcinomas (BCCs), 2 spiradenomas, 1 spiradenocylindroma and 1 trichoblastoma composed of large and small nodules with prominent clear cell differentiation. Whereas one of the two BCCs manifested a conventional morphology, the second neoplasm additionally showed foci with high grade cytological features characterized by marked pleomorphism and numerous mitotic figures. There were also numerous signet ring cells and cells containing intracytoplasmic eosinophilic inclusions. The germline mutation was a substitution mutation c.1684 + 1G> A. Somatic mutations were investigated in eight tissue blocks from which high quality genomic DNA had been successfully extracted. Somatic mutations included loss of heterozygosity (LOH) in four lesions and a single sequence mutation, namely a single base deletion c. 2322delA causing a frameshift mutation E774DfsX2. LOH occurred in both BCCs, one trichoepithelioma and one spiradenoma. In the remaining three lesions, the somatic event remained undetected. Kazakov DV, Schaller J, Vanecek T, Kacerovska D, Michal M. Brooke-Spiegler syndrome: report of a case with a novel mutation in the CYLD gene and different types of somatic mutations in benign and malignant tumors. [ABSTRACT FROM AUTHOR]

Introduction Pyoderma gangrenosum (PG) is a rare neutrophilic, ulcerative skin disease of largely unknown pathophysiology. Material and methods In this study, potentially relevant cofactors and comorbidities in patients with PG from three dermatological wound care centers in Germany were evaluated. Results Of the 121 patients assessed, women (66.9 %) were more frequently affected than men. Patient age ranged from 18 to 96 years (mean 59.8). Wound size varied from 1-600 cm² (mean 65.6 cm²), and the pain intensity was predominantly very high (VAS 1-10, mean 7). The lower legs were most commonly (71.9 %) affected. Overall, 12 (9.9 %) patients had inflammatory bowel disease (ulcerative colitis, 5.8 %; Crohn's disease, 4.1 %), 14.1 % exhibited rheumatic comorbidities. Neoplasms were found in 20.6 % of patients, with 6.6 % classified as hematological and 14.0 % as solid neoplasms. With respect to criteria for the metabolic syndrome, obesity was found in 69.4 %, arterial hypertension in 57.9 %, and diabetes mellitus in 33.9 % of patients. Conclusions The present data analysis confirms the association of PG with metabolic syndrome and neoplasms. In the future, these aspects should be included in the targeted diagnostic workup of patients with PG and subsequently treated in a timely fashion. [ABSTRACT FROM AUTHOR]

The article focuses on contact urticaria from acrylic acid in Fixomull® tape. Acrylic acid can be found in numerous adhesive tapes. In Fixomull® tape, the adhesive is composed of a polyacrelate derived from polymerization of acrylic acid. Contact urticaria from other acrylic polymers, for example, methyl methacrylate has been reported. According to a case, a 24 year old Lebanese woman had chronic eczema of the face. During her tests, multiple urticarial lesions were seen strictly under the Fixomull® tape.