[Natural physical factors of the Kuban' Black Sea coastal area in the rehabilitative treatment of children with psoriasis and concomitant ophthalmoherpes].

The primary objective of this study was to optimize the process of remedial treatment at health reports of Sochi, Gelendzhik, and Anapa by introducing sun, air, and sea water baths in the system of sanatorium-and-spa treatment of the children with various nosologic forms of psoriasis and concomitant ophthalmoherpes that necessitated keratoplastic surgery. The study included children at the age of 7-13 years with plaque and nummular psoriasis vulgaris who received rehabilitative treatment after keratoplasty for ophthalmoherpes. The children were randomly allocated to two groups. One comprised patients based at the specialized children's sanatoria "Yunost", "Vulan", and "Bimlyuk" (Roszdrav) (group 1, n = 278). Patients of the control group were given conventional treatment in municipal outpatient settings in compliance with the existing standards (group 2, n = 278). The study showed a 2.39-fold decrease of the psoriasis area and severity index (PASI) in the children of group 1 compared with its 1.38-fold decrease in group 2. It is concluded that a combination of natural physical factors of the Kuban' Black Sea coastal area has highly beneficial effect on the outcome of postoperative treatment of children with plaque and nummular psoriasis vulgaris and concomitant ophthalmoherpes responsible for corneal ulceration that requires corrective keratoplastic surgery.

Profilaxis antiherpética en intervenciones de dermoexfoliación facial / Herpes simplex prophylaxis in facial exfoliation treatments

En los últimos años se ha producido en la sociedad un aumento espectacular en la demanda de técnicas que consigan mejorar el aspecto de la piel, tanto con fines estéticos como reparadores. Las técnicas empleadas pueden tener complicaciones que interfieran en el proceso de cicatrización y, por tanto, en el resultado estético obtenido. La más importante es la infección herpética. Por otra parte, el diagnóstico acertado y temprano de la infección herpética permite, gracias a la actual disponibilidad de agentes antivirales eficaces, un mayor control individual y comunitario. En el presente artículo, se revisa la literatura científica en torno a la profilaxis antiherpética y se pone en común con los conocimientos y la experiencia de un grupo multidisciplinario de expertos. Del análisis de los datos se llega al consenso acerca de que todos los pacientes deben recibir tratamiento preventivo con antiherpéticos específicos administrados por vía oral

In recent years, a spectacular increase has taken place in the demand for techniques to improve the appearance of the skin, both for cosmetic and reparative purposes. The techniques used may have complications that interfere with the healing process, and therefore may affect the results from an aesthetic standpoint. The most significant complication is herpes simplex infection. Furthermore, accurate, early diagnosis of herpes infection makes greater individual and community control possible, thanks to the current availability of effective antiviral agents. The scientific literature relating to herpes simplex prophylaxis was reviewed, and this information was pooled with the knowledge and experience of a multidisciplinary group of experts. After all of this data was analyzed, the consensus was reached that all patients should be treated with specific oral medications for herpes simplex as a preventive measure