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52. Peripherally Circulating CD4+ FOXP3+ CXCR3+ T Regulatory Cells Correlate with Renal Allograft Function.

Author

Hoerning, A., Köhler, S., Jun, C., Tebbe, B., Fu, J., Menke, J., Wilde, B., Dolff, S., Feldkamp, T., Briscoe, D. M., Kribben, A., Hoyer, P. F., and Witzke, O.

Subjects
PERIPHERAL circulation, T cells, CHEMOKINE receptors, IMMUNOSUPPRESSION, KIDNEY transplantation, KIDNEY function tests, CALCINEURIN, BLOOD cells
Abstract

Peripheral immunoregulation depends on T regulatory cell trafficking into the allograft to modulate the local alloresponse. Little is known about the relevance of trafficking receptors for Tregs after solid organ transplantation in humans. In this study, expression of the peripheral chemokine receptors CXCR3 and CCR5 on CD4+ FOXP3+ Treg cells was analysed and correlated with allograft function in renal transplant recipients. Flow cytometry analysis of peripheral blood mononuclear cells of 54 renal transplant recipients receiving a calcineurin inhibitor-based immunosuppression was performed for CD4, CD25, FOXP3, CXCR3 and CCR5 within the first 18 months post-transplantation. Correlation analysis of chemokine receptor expression and glomerular filtration rate as calculated by MDRD (eGFR) was performed. Expression of the peripheral homing receptors CXCR3 ( r = 0.44, P < 0.05) and CCR5 ( r = 0.45, P < 0.05) on FOXP3+ Tregs correlated with renal allograft function (eGFR) in patients receiving tacrolimus ( n = 28), but not cyclosporine A (CsA) ( n = 26). CsA but not tacrolimus reduced surface expression of CXCR3 on FOXP3+ Tregs in renal transplant recipients as correlated to trough levels ( r = −0.42, P < 0.05). In contrast to CD4+ CXCR3+ CD25lo T cells, flow-sorted CD4+ CXCR3+ CD25hi Tregs isolated from healthy individuals did not produce IFNγ or IL-17 ex vivo and expressed high levels of GARP mRNA both at baseline as well as after TCR activation indicating functional regulatory activity. Expression of the peripheral trafficking receptors CXCR3 and CCR5 on FOXP3+ Tregs is associated with renal allograft function. These results suggest that Treg trafficking may also depend on the interaction of CXCR3 or CCR5 and their respective ligands. [ABSTRACT FROM AUTHOR]

Published
2012
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53. Cyclosporin but not everolimus inhibits chemokine receptor expression on CD4+ T cell subsets circulating in the peripheral blood of renal transplant recipients.

Author

Hoerning, A., Köhler, S., Jun, C., Lu, J., Fu, J., Tebbe, B., Dolff, S., Feldkamp, T., Kribben, A., Hoyer, P. F., and Witzke, O.

Subjects
KIDNEY transplantation, CYCLOSPORINS, CHEMOKINE receptors, GENE expression, T cells, BLOOD circulation, IMMUNOSUPPRESSIVE agents, KIDNEY surgery, ADRENOCORTICAL hormones
Abstract

Summary The peripheral chemokine receptors chemokine receptor 3 (CXCR3) and CC chemokine receptor 5 (CCR5) have been reported to be associated with allograft rejection. The impact of the expression of immunosuppressive drugs on peripherally circulating CD4+ T cell subsets after renal transplantion is unknown. Expression of CXCR3 and CCR5 was investigated by flow cytometry in 20 renal allograft recipients participating in a prospective, randomized trial (NCT00514514). Initial immunosuppression consisted of basiliximab, cyclosporin A (CsA), mycophenolate sodium and corticosteroids. After 3 months, patients were treated either with CsA, mycophenolate sodium (MPA) plus corticosteroids ( n = 6), CsA and everolimus plus corticosteroids ( n = 8) or CsA-free (CsAfree) receiving everolimus, MPA and corticosteroids ( n = 6). After initial reduction of CD4+forkhead box protein 3 (FoxP3)+ and CD4+CD25hiFoxP3+ regulatory T cells (Tregs) ( P < 0·05; P < 0·01), 3-month post-transplant percentages of Tregs were reconstituted in CsAfree and CsAlo arms compared to CsAreg 12 months post transplant. Expression of CCR5 and CXCR3 on CD4+FoxP3+ and CD4+FoxP3- T cells 12 months post transplant was increased in CsAfree versus CsAreg. Increase in CCR5+CXCR3+ co-expressing CD4+FoxP3- cells between 3 and 12 months correlated negatively with the glomerular filtration rate (GFR) slope/year [modification of diet in renal disease (MDRD); r = −0·59, P < 0·01]. CsA, but not everolimus, inhibits both Treg development and expression of CXCR3 and CCR5 on CD4+ T cell subsets. Increase in CCR5+CXCR3+ co-expressing CD4+FoxP3- T cells is associated with early loss in allograft function. [ABSTRACT FROM AUTHOR]

Published
2012
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56. Correspondence.

Author

Person, J.R., Hauser, C., Skaria, A., Harms, M., Saurat, J.H., Krasagakis, K., Hettmannsperger, U., Trautmann, C., Tebbe, B., Garbe, C., Harrison, P. V., Blewitt, R. W., Allen, J., Wojnarowska, F., Adamson, A. R., Jones, C. J. P., Aplin, J. D., Church, H. J., Ferrer, M., and Herranz, P.

Subjects
LETTERS to the editor, ANTI-infective agents, ANTI-inflammatory agents, PENTOXIFYLLINE, METHYLXANTHINES, METHYL groups
Abstract

Presents letters to the editor referencing articles and topics published in previous issues. Information regarding the use of pentoxifylline in dermatomyositis; Debate whether morphoea disease follows Blaschko lines; Information regarding granuloma faciale.

Published
1996

57. CASE REPORT Bilateral naevus of Ota: a rare manifestation in a Caucasian.

Author

Turnbull, J.R., Assaf, Ch., Zouboulis, ChC., and Tebbe, B.

Subjects
NEVUS, PIGMENTATION disorders, SKIN diseases, DERMATOLOGY, GLAUCOMA, MELANOMA
Abstract

The naevus of Ota (naevus fusculocoeruleus ophthalmomaxillaris) was first described by the Japanese dermatologist M. T. Ota in 1939. It has a reported incidence of 0.2% to 1% in the Japanese population. It usually occurs in the skin innervated by the first or second branch of the trigeminal nerve. The naevus comprises dermal melanocytes and is congenital or acquired during adolescence. Commonly associated lesions include scleral melanocytosis and other ocular manifestations as well as lesions of the tympanic membrane, oral and intranasal mucosa and leptomeninges. Diseases associated with Ota's naevus in rare cases are openangle glaucomas and melanoma. The naevus of Ota in Europeans is a rare manifestation. We report the very rare case of a bilateral naevus of Ota associated with enoral melanocytosis in a white European person. [ABSTRACT FROM AUTHOR]

Published
2004
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58. Merkel cell carcinoma: Report of ten cases with emphasis on clinical course, treatment, and in vitro drug sensitivity

Author

Krasagakis, K., Almond-Roesler, B., Zouboulis, C.C., Tebbe, B., Wartenberg, E., Wolff, K.D., and Orfanos, C.E.

Abstract

Background:: Merkel cell carcinoma (MCC) is an uncommon primary neuroendocrine skin tumor most often seen in the elderly. The clinical course varies. Treatment is controversial and few data on drug sensitivity are available. Objective:: We evaluated the clinical course and treatment of 10 MCC patients and determined MCC chemosensitivity. Methods:: Clinical records as well as laboratory and histopathologic data from 10 patients with MCC treated in our department were examined. Chemosensitivity to various chemotherapeutic agents and interferons of MCC cells from four patients was determined in a soft agar clonogenic assay. Results:: MCC behaved as an aggressive tumor with early and frequent local relapses (4 of 10 patients at a 2.2-month average), regional (4 of 10 patients at 2.5 months), and distant metastases (5 of 10 patients 9.6 months after excision of the primary tumor). In all but one patient, regional metastases preceded distant ones. Metastatic spread was associated with an average survival of 21 months from the initial diagnosis. Long-term survival (53+ and 65+ months) was observed in two women. Wide excision of the primary tumor, alone or combined with adjuvant chemotherapy and radiotherapy, was the most effective treatment. In advanced disease, chemotherapy and radiotherapy were not able to induce long-term remission. In vitro assays for MCC drug sensitivity revealed cisplatin, doxorubicin, and vindesine to be the most active. Conclusion:: MCC has a poor prognosis in advanced stages; therefore the primary tumor should be aggressively treated. The in vitro clonogenic assay may help to identify the chemosensitivity profile of MCC and to optimize chemotherapy protocols.

Published
1997
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62. Atopie und atopische Dermatitis

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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63. Sexuell übertragbare Krankheiten

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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64. Psychoneurotisch bedingte Krankheitszustände der Haut

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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65. Seltene Infektionen der Haut

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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66. Pedikulose und Skabies

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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67. Tropische Infektionen und andere Parasitosen

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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68. Notfälle und erste Hilfe in der Dermatologie

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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69. Häufige Haarkrankheiten

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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70. Alterung, Altershaut und kosmetische Dermatologie

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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71. Berufsdermatosen : Prophylaxe und Therapie im Beruf

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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72. Narben, Keloide und Tätowierungen

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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73. Leukoderm und Vitiligo

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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74. Epitheliale Präkanzerosen und Karzinome der Haut

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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75. Andrologische Störungen

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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76. Dermatosen im Kindesalter

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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77. Porphyrien

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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78. Schwangerschaftsdermatosen

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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80. Nagelkrankheiten und ihre Behandlung

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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81. Erkrankungen der Analregion

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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82. Pseudolymphome, Prälymphome und Lymphome der Haut

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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83. Erkrankungen des Knorpels

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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84. Erkrankungen des Penis und des Hodens

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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85. Erkrankungen der Lippen, der Zunge und der Mundhöhle

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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86. HIV-Infektion und Kaposi-Sarkom

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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87. Kutane Paraneoplasien

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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88. Melanozytäre Nävi und Melanomvorläufer

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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89. Sonstige Hauttumoren

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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90. Malignes Melanom

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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91. Viruskrankheiten der Haut und der Schleimhaut

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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92. Hyperpigmentierungen

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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93. Phlebologische Erkrankungen

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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94. Lichtdermatosen und Lichtschutz

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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95. Hyperhidrose und Schweißdrüsenerkrankungen

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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96. Nichtinfektiöse granulomatöse Krankheiten

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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98. Ichthyosen und andere Verhornungsstörungen

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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100. Krankheiten des subkutanen Fettgewebes

Author

Orfanos, Constantin E., Garbe, Claus, Orfanos, Constantin E., Garbe, Claus, Blume-Peytavi, U., editor, Geilen, C. C., editor, Goerdt, S., editor, Gollnick, H., editor, Haneke, E., editor, Köhn, F.-M., editor, Tebbe, B., editor, Treudler, R., editor, and Zouboulis, Ch. C., editor

Published
2002
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