Der Hautarzt (HAUTARZT)

Publisher: Deutsche Dermatologische Gesellschaft, Springer Verlag

Journal description

Der Hautarzt ist als Organ der Deutschen Dermatologischen Gesellschaft eine international angesehene Zeitschrift und informiert regelmäßig alle in Klinik und Praxis tätigen Dermatologen über wichtige Entwicklungen in der gesamten Dermatologie einschließlich Allergologie Venerologie und ihrer verwandten Gebiete. In Originalarbeiten werden wichtige klinisch relevante Studien und Forschungsergebnisse veröffentlicht. Kritisch und kompetent widmet sich der Aktuelle Kommentar einer im Brennpunkt stehenden Fragestellung. Die Übersicht führt den Leser in ein zentrales Thema seines klinischen Alltags ein und gibt den Überblick über den state of the art. In den Farbbildkasuistiken zeigen Fallbeispiele Wege der rationalen Diagnostik und Entscheidungsfindung. In der Rubrik Weiterbildung wird dem Assistenzarzt in Weiterbildung zum Facharzt didaktisch aufgearbeiteter Wissensstoff und dem Niedergelassenen ein optimiertes Repetitorium vermittelt. In den Gelben Seiten informiert die DDG regelmäßig über die Aktivitäten der Arbeitsgemeinschaften und des Vorstands Fakten zur Gesundheitspolitik und Kongreßaktivitäten. Die Anfragen aus der Praxis spiegeln den Dialog der Leser mit ihrer Facharztzeitschrift wider. In Gehört - Gelesen - Nachgefragt wird über aktuelle Themen von grundsätzlicher medizinischer bzw. interdisziplinärer Bedeutung berichtet. Zur Publikation eingereichte Manuskripte müssen bei Untersuchungen an Probanden oder Patienten die Erklärung enthalten daß das Versuchsprotokoll von einer Ethikkommission begutachtet wurde und somit den ethischen Standards der Deklaration von Helsinki 1964 in der jeweils gültigen Fassung (Pharm. Ind. Nr. 12/1990 sowie Bundesanzeiger Nr. 243a vom 29. 12. 1989) entspricht. Gleichzeitig ist - gegebenenfalls - die Einwilligung des Patienten nach Aufklärung im Text des Manuskriptes zu fixieren. Hinweise die auf die Identität schließen lassen sind zu vermeiden. Tierversuchsprogramme müssen den Passus enthalten daß die "Principles of laboratory animal care" (NIH publication No. 86-23 revised 1985) eingehalten wurden soweit nicht zusätzlich besondere nationale Regelungen zu beachten sind (für die Bundesrepublik Deutschland ist dies das Tierschutzgesetz in aktueller Fassung). Die Schriftleitung behält sich deshalb das Recht vor Manuskripte abzulehnen die den o.g. Anforderungen nicht entsprechen. Der Autor haftet bei Verstoß gegen die o.g. Anforderungen oder bei falschen Angaben.

Current impact factor: 0.54

Impact Factor Rankings

2015 Impact Factor Available summer 2015
2013 / 2014 Impact Factor 0.543
2012 Impact Factor 0.504
2011 Impact Factor 0.576
2010 Impact Factor 0.451
2009 Impact Factor 0.434
2008 Impact Factor 0.362
2007 Impact Factor 0.333
2006 Impact Factor 0.498
2005 Impact Factor 0.535
2004 Impact Factor 0.461
2003 Impact Factor 0.521
2002 Impact Factor 0.426
2001 Impact Factor 0.612
2000 Impact Factor 0.535
1999 Impact Factor 0.552
1998 Impact Factor 0.479
1997 Impact Factor 0.487
1996 Impact Factor 0.422
1995 Impact Factor 0.314
1994 Impact Factor 0.397
1993 Impact Factor 0.321
1992 Impact Factor 0.314

Impact factor over time

Impact factor
Year

Additional details

5-year impact 0.40
Cited half-life 0.00
Immediacy index 0.13
Eigenfactor 0.00
Article influence 0.09
Website Hautarzt, Der website
Other titles Hautarzt (Online)
ISSN 0017-8470
OCLC 42959962
Material type Document, Periodical, Internet resource
Document type Internet Resource, Computer File, Journal / Magazine / Newspaper

Publisher details

Springer Verlag

  • Pre-print
    • Author can archive a pre-print version
  • Post-print
    • Author can archive a post-print version
  • Conditions
    • Author's pre-print on pre-print servers such as arXiv.org
    • Author's post-print on author's personal website immediately
    • Author's post-print on any open access repository after 12 months after publication
    • Publisher's version/PDF cannot be used
    • Published source must be acknowledged
    • Must link to publisher version
    • Set phrase to accompany link to published version (see policy)
    • Articles in some journals can be made Open Access on payment of additional charge
  • Classification
    ​ green

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: AnamneseEine 51-jährige Patientin wurde im Oktober 2014 wegen eines langsam wachsenden Tumors in der linken Axilla in unserer Ambulanz vorstellig. Beschwerden gab die Patientin nicht an, die Lymphknoten waren palpatorisch unauffällig.HautbefundIn der linken Axilla erkannte man eine ca. 0,3 × 0,3 cm große, scharf begrenzte, rötlich-orange-farbene, gläsern durchscheinende Papel von weicher Konsistenz (Abb. 1).Abb. 1Scharf begrenzte, rötlich-orangefarbene, gläserne PapelDermatoskopieEs fand sich eine rötlich-orangefarbene Papel ohne erkennbares Netzwerk. Im Zentrum der Läsion sah man einzelne zarte lineäre Gefäße (Abb. 2).Abb. 2Rötlich-orangefarbene Papel ohne erkennbares Netzwerk. Im Zentrum sind einzelne zarte lineäre Gefäße erkennbar. (Dermatoskopie mit Dermlite Foto 3gen, USA)Da mithilfe des klinischen und dermatoskopischen Befundes keine eindeutige Diagnose zu stellen war, entschieden wir uns für eine Totalexzision der Läsion.DiskussionDas adulte Xanthogranulom ist wesentlich seltene ...
    Der Hautarzt 05/2015; 66(5). DOI:10.1007/s00105-015-3615-z
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    ABSTRACT: Am 09.11.2014 wurde feierlich des Falls der Mauer in Berlin vor 25 Jahren gedacht. Nach dem Mauerfall überstürzten sich damals die Ereignisse, und zum 03.10.1990 wurde die deutsche Einheit vollzogen.Auch im deutschen Berufskrankheitenrecht vollzieht sich in diesen Tagen - mit Verspätung - die deutsche Einheit.In der ehemaligen DDR (und für einen Übergangszeitraum bis 01.01.1992 im Gebiet der neuen Bundesländer) galt die „Liste der Berufskrankheiten gemäß Anlage zur BK-Verordnung der ehemaligen DDR vom 6. Mai 1981“. Diese sah unter Nr. 90 die Anerkennung von „Bösartigen Neubildungen der Haut und zur Krebsbildung neigenden Hautveränderungen“ vor, wobei unter dieser Ziffer nicht nur Hautkrebserkrankungen „durch Ruß, Rohparaffin, Teer, Anthrazen, Pech oder ähnliche Stoffe“ (entsprechend der in der Bundesrepublik geltenden Ziffer 5102 der Anlage 1 der Berufskrankheitenverordnung) anerkannt wurden, sondern auch Fälle von Hautkrebs durch berufliche Exposition mit UV-Licht.Im „Vertrag zwischen ...
    Der Hautarzt 03/2015; 66(3):152-153. DOI:10.1007/s00105-015-3588-y
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    ABSTRACT: The genital area has a high exposure to various allergens that are not always obvious. Out of shame patients may not complain about symptoms in this area. Moreover, diagnosis and therapy are often not primarily conducted by a dermatologist and allergologist. Therefore, many cases of allergic diseases in the genital area remain undetected. Which type I and type IV allergies occur in the genital area? Which allergens are currently of importance? Which are the characteristics of allergic diseases in the genital area? What are the symptoms and differential diagnoses? What to focus on when taking medical history and in clinical diagnostics? The current medical literature regarding allergic diseases in the genital area is discussed. In the genital area type IV allergies such as contact dermatitis exceed type I allergies in number. Contact urticaria can occur due to seminal plasma allergy, latex allergy and a transfer of type I allergens via semen. Contact allergens are found in sex products such as condoms, but also in topical products. Methylisothiazolinone has become a new and important contact allergen for the genital area in recent years. Also, fixed drug eruption occurs preferentially in the genital area. As a delayed type IV allergy due to systemically administered drugs it has to be considered in the differential diagnosis. Presumably, there are a high number of unreported cases of allergic diseases in the genital area. Interdisciplinary collaboration between gynecologists, urologists and dermatologist should be increased. The use of methylisothiazolinone in rinse-off and leave-on products should be discussed.
    Der Hautarzt 12/2014; 66(1). DOI:10.1007/s00105-014-3561-1
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    ABSTRACT: In this review article the diagnostic and therapeutic principles of genital ulcers of infectious etiology are highlighted. Besides frequent causative infections rare but relevant diseases in the differential diagnosis are discussed in detail. A Pubmed literature search was carried out, guidelines from different task groups and clinical experiences are presented. Infections with herpes simplex virus (first) and syphilis (second) are still the most common causes of infectious genital ulcers. An endemic occurrence, previously rare in Europe, has been observed in recent years. Particular risk groups, such as men who have sex with men (MSM), sex workers or sex tourists are affected. Even less common locations, such as the mouth or the rectum, lymphogranuloma venereum (LGV) and atypical clinical symptoms (e.g. pelvic pain in pelvic lymphadenopathy with LGV) must be considered in the differential diagnosis. In recent years sexually transmitted infections (STI) have shown a significant increase in western industrialized nations. In all cases with unclear findings in the genital and anal areas (and also in the oral cavity) STI diseases must be reconsidered in the differential diagnosis.
    Der Hautarzt 12/2014; 66(1). DOI:10.1007/s00105-014-3551-3
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    ABSTRACT: In May 2012 a German regional court (Cologne) declared circumcision on religious grounds in minor boys an illegitimate bodily harm. This led to substantial political and religious discussions, because Jews as well as Muslims consider circumcision as an indispensable element of their religion. Still in 2012 a "circumcision law" was passed by the Federal Council of Germany, which continues to allow circumcision in boys "performed under strict medical conditions". How male circumcision is assessed in terms of infectiology (pros and cons)? Electronic databases were searched for articles about the infection risks of foreskin surgery, and the efficacy of circumcision in reducing the risks of sexual transmission of HIV, herpes viruses, HPV, treponema pallidum, chlamydia, hemophilus ducrey and Neisseria gonorrhoeae. Contra circumcision: The highest risk of neonatal circumcision is hemorrhage (35 %). Among infections surgical wound infection (10 %), meatitis urethrae (8-20 %) and urinary tract infections (2 %) are frequent (depending on the surgical technique). Severe complications like penile necrosis or lethal sepsis are rare (1:20,000). Pro circumcision: Circumcised boys have a reduced risk for urinary tract infections in childhood (1:10). Compared to uncircumcised men circumcised adults have a 50-60 % reduced risk of becoming infected with viral sexually transmitted infections (STIs; HIV, HPV and HSV). This advantage of circumcision is also discussed for the transmission of bacterial STIs (e.g. syphilis and chancroid), but the analysis of different clinical studies is still controversial. Neonatal circumcisions (and circumcision in early childhood) are irreparable interventions in the physical integrity, with very few medical indications. The risk of complications is dependent on the education of the circumciser (ritual, medical), analgesia and hygiene. Circumcisions should be performed under optimal surgical and hygienic conditions in informed and self-determined young men only. In adolescents and adults circumcision reduces the risk of the transmission of viral STIs (HIV, HSV, HPV) and there is also probably some effect on the sexual transmission of treponema pallidum and hemophilus ducreyi (insufficient, controversial data). The role of circumcision as an effective procedure to reduce the transmission of STIs is still under discussion, because important additional factors like sexual risk behavior (e.g. unprotected sexual intercourse, promiscuity) have a strong influence on STI epidemiology.
    Der Hautarzt 12/2014; 66(1). DOI:10.1007/s00105-014-3550-4
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    ABSTRACT: Vulvar diseases might cause problems in the differential diagnosis, because the clinical presentation of inflammatory, infectious and neoplastic disorders may be quite similar. Itching and pain as well as dysuria and dyspareunia are the most common symptoms of vulvar diseases. Inflammatory dermatoses like atopic and contact dermatitis, lichen planus, lichen sclerosus and atrophic vulvitis account for the majority of cases in specialized clinics. Furthermore, neoplastic conditions such as vulvar carcinoma, vulvar intraepithelial neoplasia (VIN) and vulvar Paget's disease have to be considered. Another frequent group are infections. Candida spp., herpes simplex viruses and human papilloma viruses are common pathogens. Additionally, vulvodynia is a typical problem that is sometimes difficult to treat. Because of the wide spectrum of clinical symptoms, cooperation with gynaecologists and psychosomatic specialists should be considered in difficult cases. The typical clinical presentations, their specific signs and symptoms, and pitfalls in the dermatological consultation are discussed.
    Der Hautarzt 12/2014; 66(1). DOI:10.1007/s00105-014-3552-2
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    ABSTRACT: Keloids mostly occur between the ages of 10 and 30 years and grow continuously beyond the original margins of the scar. Beside the cosmetic impairment they often lead to pruritus, pain, contractures and decrease in quality of life. Advances in the understanding of the genetics and pathogenesis of hypertrophic scars and keloids have led to new therapeutic options. Nevertheless treatment remains a challenge and there is no single treatment modality which is appropriate for all types of scars. Combined approaches are becoming more widely employed as they are more effective than single treatment modalities. This article gives an overview of hypertrophic scars and keloids, their pathogenesis and recommended therapeutic approaches.
    Der Hautarzt 11/2014; 65(12). DOI:10.1007/s00105-014-3546-0
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    ABSTRACT: For many years an increase in cases of urethritis has been observed in western Europe. In order to be able to combat this continuous rise, the perception of sexually transmitted diseases must be promoted, the clarification and screening must be intensified and therapy must be rapidly and correctly carried out. In addition to the commonest pathogens causing urethritis, namely chlamydia and gonococci, many other pathogenic microbes must be taken into consideration in the diagnostics. With respect to therapy, apart from the increasing resistance formation of Mycoplasma genitalium, the decreasing effectiveness of standard forms of treatment of other microbes must be emphasized. For chronic and recurrent urethritis in particular a broad clarification of the pathogen should be carried out to enable targeted treatment and also partner treatment. Priority must again be given to primary prevention.
    Der Hautarzt 11/2014; 66(1). DOI:10.1007/s00105-014-3549-x
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    ABSTRACT: Background. The scalp represents a special region for the manifestation of pathogen-induced diseases. Objective. This article describes practice-relevant pathogen-induced skin diseases caused by bacteria, fungi, viruses and parasites. Material and methods. Currently available publications were evaluated with special reference to therapeutic developments. Results. Bacterial infections of the scalp must be treated consistently in the initial stages in order to avoid severe consequences. Skin diseases caused by fungi must be treated topically (e.g. neonatal cephalic pustulosis) or systemically and topically (e.g. tinea). Varicella zoster diseases in children and adults are treated differently. A safe and highly effective physically effective substance is now available for pediculosis capitis (head lice). Conclusion. Dermatologically relevant pathogen-induced diseases of the scalp can be well treated; however, tinea capitis still proves to be a special problem due to a lack of approved substances and long-term therapy.
    Der Hautarzt 11/2014; 65(12). DOI:10.1007/s00105-014-3545-1
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    ABSTRACT: Background Diseases of the scalp are a severe burden for affected patients because they are often visible, frequently pruritic and hard to treat. Therefore, a proper diagnosis is extremely important.DiagnosisIf the patient presents with erythematous, scaly skin lesions of the scalp, psoriasis has to be differentiated from atopic eczema, seborrheic eczema and contact eczema (allergic or toxic). The inspection of the entire body as well as a detailed history are essential for establishing the diagnosis.TherapyTopical corticosteroids are the therapeutic agents of choice for all of these scalp diseases. In individual cases immunosuppressive systemic treatments may be required. Azole antimycotics are not only used for seborrheic dermatitis but may also be indicated for treatment of atopic dermatitis or psoriasis of the scalp.Objectives This review provides an overview of the clinical differences between scalp psoriasis and the various forms of eczema and of their therapeutic options. It also highlights the differential diagnosis between toxic and allergic contact eczema of the scalp.
    Der Hautarzt 11/2014; 65(12). DOI:10.1007/s00105-014-3542-4
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    ABSTRACT: Soft tissue defects of the scalp can be closed with varying techniques depending on size and depth of the defect. While small and superficial defects can be closed primarily or be left open for secondary intention healing, larger and deeper defects may need flaps or skin grafts. Extensive defects may require combined flaps or vacuum assisted closure techniques. Defects of the periosteum with denuded skull bone must be treated immediately to avoid bony complications. Usually, the tabula externa is fenestrated with holes or abraded totally to create better healing conditions. Granulation tissue may be induced on the properly prepared skull with vacuum-assisted closure, by using collagen sheets or with dermal skin substitutes. New developments in tissue engineering will surely provide new techniques for dealing with deep and extensive soft tissue defects.
    Der Hautarzt 11/2014; 65(12). DOI:10.1007/s00105-014-3533-5
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    ABSTRACT: Atypical fibroxanthoma (AFX) is a rare, low-malignant, mesenchymal tumor of the dermis and is assigned to the group of fibrohistiocytic tumors. The tumor occurs especially in photodamaged skin on the scalp of elderly men. A clinical diagnosis is not possible due to a multitude of possible differential diagnoses (leiomyosarcoma, squamous cell carcinoma, spindle cell malignant melanoma, dermatofibrosarcoma protuberans). Immunohistochemical and histological examinations should be performed to confirm the diagnosis. The tumor shows a very good prognosis after complete excision. Micrographically controlled surgery is considered as the treatment of choice.
    Der Hautarzt 11/2014; 65(12). DOI:10.1007/s00105-014-3541-5
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    ABSTRACT: Psoriasis is associated with higher risk for depression and anxiety disorders. Yet the complex system linking disease symptoms with physical and mental outcomes is poorly understood.
    Der Hautarzt 11/2014; 65(12). DOI:10.1007/s00105-014-3513-9
  • Der Hautarzt 11/2014; 65(11):998-1004. DOI:10.1007/s00105-014-3502-z
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    ABSTRACT: Background. Tumors of the scalp display some clinical, histological and prognostic characteristics. Early recognition of tumors is hampered by dense hair growth which can result in delayed diagnosis. Material and methods. Taking current literature into consideration atypical fibroxanthoma, cutaneous angiosarcoma, melanoma of the scalp, some adnexal tumors including the proliferating trichilemmal tumor as well as cutaneous metastases from visceral malignancies will be discussed. Results. Based on the fact that early scalp tumors are clinically difficult to recognize, they are often diagnosed at a late stage. Angiosarcomas belong to the most aggressive skin tumors and show a rapid growth with unfavorable prognosis. Malignant melanoma on the head has a more serious prognosis in comparison to other locations of the body. Cutaneous metastases are mostly a sign of an advanced tumor stage with a fatal prognosis. The various types of adnexal tumors are mostly benign. In exceptional cases rapid growth and ulceration may be an indicator for the development of an adnexal carcinoma. On the scalp tumors with sweat gland differentiation are more frequent than tumors with follicular differentiation. This shows that the general view that adnexal tumors develop from local adnexal structures is wrong. Conclusion. Scalp lesions in which the diagnosis is unclear should be biopsied or excised early. Based on the result of the histological examination further therapy can be determined.
    Der Hautarzt 10/2014; 65(12). DOI:10.1007/s00105-014-3531-7
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    ABSTRACT: Unusual congenital or early-onset skin lesions on the scalp often pose a diagnostic challenge particularly as the clinical evaluation may be hampered by dense hair growth. Thus, this paper provides a concise review on developmental abnormalities and nevi with exclusive or predominant scalp localization. Aplasia cutis congenita occurs as an isolated finding, in association with genetic syndromes, nevi and anomalies or as a consequence of intrauterine trauma and teratogens. A hairless area with a narrow surrounding rim of hypertrichosis (hair collar sign) may point to occult cranial dysraphism, especially if accompanied by further suggestive signs as port-wine stains, large hemangiomas, dimples, congenital dermoid cysts, and sinuses. Many diverse entities may hide behind cutis verticis gyrata with the primary essential form being rare and representing a diagnosis of exclusion. In contrast to former belief, benign adnexal tumors arise in a nevus sebaceus considerably more often than basal cell carcinomas and other malignant epithelial tumors. Provided that tumor development is not suspected, excision of a nevus sebaceus nevus is indicated primarily for aesthetic-psychosocial reasons. However, surgical treatment is considerably easier in small children. Nevus sebaceus may be a cutaneous marker for several complex syndromes whereas nevus psiloliparus presents almost always in connection with encephalocraniocutaneous lipomatosis. Congenital melanocytic nevi of the scalp tend toward clinical regression, so that surgical intervention in large lesions should be carefully considered. In contrast, the threshold for excision of blue nevi and other conspicuous melanocytic nevi on the scalp should be low, especially since they are difficult to monitor.
    Der Hautarzt 10/2014; 65(12). DOI:10.1007/s00105-014-3521-9