Deutsche medizinische Wochenschrift
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Dtsch. Med. Wochenschr. · Dec 2007
Case Reports[Acquired reactive perforating collagenosis associated with diabetes mellitus and renal insufficiency requiring dialysis].
A 60-year-old man with diabetes mellitus and chronic renal insufficiency needing hemodialysis was admitted with a 3 months history of multiple hyperkeratotic papules on the trunk and extremities partly ulcerated with a keratotic central plug. ⋯ Acquired reactive perforating collagenosis should be considered when ulcera with oystershell-like keratotic plugs are found especially in patients with predisposing diseases like diabetes and renal insufficiency. A good interdisciplinary cooperation between internist and dermatologist is crucial for the early recognition by histopathology and the immediate treatment.
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Dtsch. Med. Wochenschr. · Dec 2007
[Knowledge and experience of palliative medicine among general practitioners in Germany].
Levels of experience and competence in palliative medicine vary considerably among physicians. The aim of the study was to collect information from specially interested general practitioners on education, pivotal lectures and experience regarding the delivery of palliative care. ⋯ The implementation of practice-based c tuition of medical students and of continuing education of established general practitioners and hospital physicians in palliative medicine is indispensable.