Информационно-диагностическая система по дерматовенерологии
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Диагностика онлайн
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Уровень 1
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Уровень 6
Уровень 7
Уровень 9
Уровень 10
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[DETAIL_TEXT] => Уровень 10: Рубцовые алопеции
Представляет
Денисова Екатерина
Врач-трихолог
Консультирует взрослых
Город: Санкт-Петербург
Стаж: 13 лет
Базовое образование:
2001 лечебный факультет СПбГМУ им.акад.И.П. Павлова
Дополнительное образование:
2001-2002 интернатура по дерматовенерологии на кафедре дерматовенерологии ПСПбГМУ им. акад И.П. Павлова;
2002-2004 ординатура по дерматовенерологии на кафедре кожных и венерических ВМедА им С.М. Кирова;
2008-2009 стажировка в университетской клинике медицинского университета г. Тампере (Финляндия) на кафедра дерматологии и пульмонологии;
2013 профессиональная переподготовка по специальности «Косметология» на кафедре косметологии СЗГМУ им. И.И. Мечникова
2015 цикл повышения квалификации «Лазерные технологии в дерматовенерологии с курсом дерматоскопии» в Центре лазерной медицины ПСПбГМУ им. И.П. Павлова
2016-2018 ординатура по пластической хирургии на кафедра пластической хирургии ПСПбГМУ им. И.П.Павлова
Основное место работы:
Врач-трихолог клиника Волосы.ру
Профессиональный опыт:
Член EADV, EHRS, ISHRS. Занимается лечением выпадения волос и заболеваниями кожи головы, выполняет процедуры пересадки волос при нерубцовых и рубцовых видах потери волос, коррекцию эстетических проблем, связанных с недостаточностью волос волосистости части головы, бровей и бороды.
-
Десятый уровень рассчитан на 12 часов и содержит 6 занятий. Содержит около 200 клинических, трихосокопических и гистологических изображений.
Уровень посвящён проблеме рубцовых алопеций.
По его окончании Вы познакомитесь с современной классификацией рубцовых алопеций, узнаете об особенностях их клинического течения на примере представленных клинических наблюдений, научитесь проводить их трихоскопическую и гистологическую диагностику, будете ориентироваться в особенностях терапии.
Каждое занятие включает в себя текстовое описание, клинические фотографии, дерматоскопические и гистологические изображения, рекомендации по лечению. По окончании занятия доступен тест для самопроверки. По окончании уровня доступен Итоговый тест по всем материалам уровня.
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Представляет
Денисова Екатерина
Врач-трихолог
Консультирует взрослых
Город: Санкт-Петербург
Стаж: 13 лет
Базовое образование:
2001 лечебный факультет СПбГМУ им.акад.И.П. Павлова
Дополнительное образование:
2001-2002 интернатура по дерматовенерологии на кафедре дерматовенерологии ПСПбГМУ им. акад И.П. Павлова;
2002-2004 ординатура по дерматовенерологии на кафедре кожных и венерических ВМедА им С.М. Кирова;
2008-2009 стажировка в университетской клинике медицинского университета г. Тампере (Финляндия) на кафедра дерматологии и пульмонологии;
2013 профессиональная переподготовка по специальности «Косметология» на кафедре косметологии СЗГМУ им. И.И. Мечникова
2015 цикл повышения квалификации «Лазерные технологии в дерматовенерологии с курсом дерматоскопии» в Центре лазерной медицины ПСПбГМУ им. И.П. Павлова
2016-2018 ординатура по пластической хирургии на кафедра пластической хирургии ПСПбГМУ им. И.П.Павлова
Основное место работы:
Врач-трихолог клиника Волосы.ру
Профессиональный опыт:
Член EADV, EHRS, ISHRS. Занимается лечением выпадения волос и заболеваниями кожи головы, выполняет процедуры пересадки волос при нерубцовых и рубцовых видах потери волос, коррекцию эстетических проблем, связанных с недостаточностью волос волосистости части головы, бровей и бороды.
-
Десятый уровень рассчитан на 12 часов и содержит 6 занятий. Содержит около 200 клинических, трихосокопических и гистологических изображений.
Уровень посвящён проблеме рубцовых алопеций.
По его окончании Вы познакомитесь с современной классификацией рубцовых алопеций, узнаете об особенностях их клинического течения на примере представленных клинических наблюдений, научитесь проводить их трихоскопическую и гистологическую диагностику, будете ориентироваться в особенностях терапии.
Каждое занятие включает в себя текстовое описание, клинические фотографии, дерматоскопические и гистологические изображения, рекомендации по лечению. По окончании занятия доступен тест для самопроверки. По окончании уровня доступен Итоговый тест по всем материалам уровня.
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-
1.Обследование пациентов в трихологической практике
-
2.Рубцовые алопеции (определение, классификация)
-
3.Первичные рубцовые алопеции с лимфоцитарным инфильтратом (lichen planopilaris и его варианты)
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4.Первичные рубцовые алопеции с лимфоцитарным в инфильтратом (ДКВ, псевдопеллада и др.)
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5.Первичные рубцовые алопеции с нейтрофильным инфильтратом
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6.Первичные рубцовые алопеции со смешанным воспалительным инфильтратом
-
7.Вторичные рубцовые алопеции
-
8.Хирургическая коррекция рубцовых алопеций
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1.Тест: Обследование пациентов в трихологической практике
-
2.Тест: Рубцовые алопеции (определение, классификация)
-
3.Тест: Первичные рубцовые алопеции с лимфоцитарным инфильтратом (lichen planopilaris и его варианты)
-
4.Тест: Первичные рубцовые алопеции с лимфоцитарным в инфильтратом (ДКВ, псевдопеллада и др.)
-
5.Тест: Первичные рубцовые алопеции с нейтрофильным инфильтратом
-
6.Тест: Первичные рубцовые алопеции со смешанным воспалительным инфильтратом
-
7.Тест: Вторичные рубцовые алопеции
-
8.Тест: Хирургическая коррекция рубцовых алопеций
-
Итоговый тест
Уровень 11
Уровень 12
Уровень 13
Рубцовые алопеции (определение, классификация)
Рубцовые алопеции – группа заболеваний, вызывающих полное разрушение пилосебацейных юнитов (пилосебацейный юнит – комплекс, включающий волос, волосяной фолликул, m. аrector pili и сальную железу) и необратимую потерю волос, сопровождающуюся видимым исчезновением фолликулярного рисунка кожи волосистой части головы и гибелью волосяных фолликулов.
Рубцовые алопеции могут являться следствием наследственных или приобретенных процессов. К наследственным рубцовым алопециям относятся: врожденная аплазия кожи, эктодермальная дисплазия, органоидные невусы, врожденный буллезный эпидермолиз, ихтиозная алопеция и синдром фолликулярного кератоза (синдром фолликулярного кератоза или атрофический фолликулярный кератоз – группа редких генетически детерминированных кератозов, сопровождающихся атрофией волосяных фолликулов и рубцовой алопецией, включающих надбровную ульэритему, червеобразную атрофодермию и фолликулярный шиповидный подрывающий кератоз).
Приобретенные рубцовые алопеции встречаются наиболее часто, подразделяются на первичные и вторичные.
Первичные рубцовые алопеции характеризуются фолликулоцентрическим воспалительным процессом, который приводит к разрушению волосяного фолликула. Повреждения волосяного фолликула первичны, нефолликулярные структуры кожи относительно сохранены. Первичные рубцовые алопеции являются самыми сложными в диагностике заболеваниями скальпа, при этом уровень их распространенности среди трихологических пациентов составляет 3-7%. Из-за необратимости процесса потери волос сопровождаются психосоциальными проблемами у пациентов.
По классификации, предложенной Североамериканской ассоциацией исследователей волос (NAHRS 2001г.), основанной на типе преобладающих клеток в составе воспалительного инфильтрата в фолликулярном эпителии выделяют: лимфоцитарные, нейтрофильные и смешанные первичные рубцовые алопеции.
| Лимфоцитарная группа | Нейтрофильная группа | Смешанная группа |
|
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Акне келоидные задней части шеи
|
Вторичные рубцовые алопеции могут развиваться:
• при физических и химических повреждениях (травма, лучевой дерматит, ожог);
• инфекционных заболеваниях (грибковых, бактериальных, вирусных поражениях);
• воспалительных/аутоиммунных заболеваниях (очаговая склеродермия, рубцовый пемфигоид, некротизирующий височный артериит);
• при генодерматозах и пороках развития;
• при неопластических процессах.
Коррекция вторичных рубцовых алопеций при устранении или коррекции этиологического фактора может производиться при помощи хирургических методик (трансплантация волос, экспандерная дермотензия, редукция).
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ООО НПЦ Логодерм
ИНН 7802852997
ОГРН 780201001
ИНН 7802852997
ОГРН 780201001
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