Frictional hyperkeratotic hand dermatitis responding to Grenz ray therapy.

Frictional hyperkeratotic hand dermatitis (FHHD) is an unusual form of chronic eczema relating to repeated frictional trauma. This form of hand eczema is often occupationally related and recalcitrant to therapy. We describe the case of FHHD in a 48-year-old dermatologic surgeon. The eruption was resistant to all topical and protective modalities, but responded completely to 6 sessions of Grenz ray treatment. No recurrence has been noted for over 4 years since completion of therapy. We suggest that Grenz ray treatment is a safe and effective option in treating this form of chronic hand dermatitis.

[Expert-testimony and therapeutic findings and observations in wine-dressers of the Mosel-region with late sequelae of arsenic intoxication]. / Gutachterliche und therapeutische Befunde und Beobachtungen bei Moselwinzern mit Arsenintoxikationsspätfolgeschädigung.

During the years 1972--1976 an overall number of 122 vine-dressers of the middle Moselle region called for examination, control, and medical treatment because of late damages caused by arsenic intoxication. In 1976 there were twenty-two new cases. By keratolytic treatment, excision, cauterization, and X-ray therapy a considerable reduction of precancerous and carcinous degenerations of the skin caused by arsenic in the form of keratosis and melanosis of the head, rump, arms, chest, volae and plantae could be achieved. By comparing two groups of vine-dressers with skin damages caused by arsenic a distinct reduction of praecancerous and carcinous degenerations of the predestined skin regions could be seen in those who had had medical treatment. A 3 months' dermatological survey of the patients is required.