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Comments to the article ASSESSMENT OF PSYCHIATRIC DISORDERS IN VITILIGO. CONSIDERATIONS FOR OUR DAILY PRACTICE Marina Rodríguez-Martín, Desiré Díaz Melián, Miguel Sáez Rodríguez, Antonio Noda Cabrera, Marta García Bustínduy Dr. Hari Kishan Kumar Yadalla, MD(DVL) Our Dermatol Online. 2012; 3(1): 63 Date of submission: 22.12.2011 / acceptance: 23.12.2011 Conflicts of interest: None Sir, Firstly, I would like to congratulate the authors for an excellent work-up and compilation of the data in patients affected with vitiligo and their psychiatric comorbidity. Skin is the most visible organ which determines to a great extent our appearance and plays a major function in social communication and sexual attractiveness. Thus, the skin condition may have a considerable impact on the patient's well being. The relationship between psychological factors and dermatological diseases has long been noticed e.g. stress can precipitate or exacerbate a skin disease through psychosomatic mechanisms. Significant psychiatric and psychological morbidity is present in at least 30% of dermatological patients. Diseases involved in such context include acne, psoriasis, vitiligo, atopic dermatitis, urticaria and angioedema. Regardless of psychiatric morbidity, skin diseases can greatly affect patient's quality of life (QOL). Thus, patient oriented QOL measures are also particularly beneficial in chronic diseases as they assess how the diseases affect a person socially, psychologically and physically. Patients with vitiligo treated at dermatology clinics should be assessed in terms of psychiatric disorders and psychiatric interventions may become necessary in the course of illness, underlining the multidisciplinary therapeutic approach including the psychotherapeutic approach. Asst. Prof in Dermatology MVJ Medical College & Research Hospital Consultant Dermatologist & Cosmetologist `Skin Care Clinic`, RR Nagar, Bangalore, India Correspondence: E-mail: drkishanyadalla@indiatimes.com Copyright Hari Kishan Kumar Yadalla. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. © Our Dermatol Online 1.2012 63
Dermatology Eponyms SEPARATING ''BART'S'' APART IN DERMATOLOGY EPONYMS NIEZALEśNE WYSTĘPOWANIE „BART’S” W EPONIMACH DERMATOLOGICZNYCH Ahmad Al Aboud 1 , Khalid Al Aboud 2 1 Dermatology Department, King Abdullah Medical City, Makkah, Saudi Arabia 2 Dermatology Department, King Faisal Hospital, Makkah, Saudi Arabia Corresponding author: Dr. Khalid Al Aboud amoa65@hotmail.com Our Dermatol Online. 2012; 3(1): 64-65 Date of submission: 04.11.2011 / acceptance: 21.11.2011 Conflicts of interest: None There are 2 famous diseases in dermatology with the name ''Bart'', as a part of their eponyms. These are Bart syndrome and Bart-Pumphrey syndrome. This short letter is to give a brief account on these eponyms. Bart syndrome Bart syndrome, cited in the Online Mendelian Inheritance in Man [1], as Epidermolysis bullosa with congenital localized absence of skin and deformity of nails also as Epidermolysis bullosa dystrophica, Bart type (OMIM 132000). Bart syndrome is a rare inherited condition characterized by epidermolysis bullosa and congenital absence of skin. It has been associated with other anomalies including pyloric atresia. The genetic abnormality has been linked to chromosome 3, with an autosomal dominant pattern of inheritance [2]. The mutant gene is COL7A1, located on 3p21.31 [1]. It is first reported by Bart and his colleagues in 1966 [3]. The disease is named after Bruce J Bart. Dr Bruce J Bart (Fig.1) was born on April 6, 1936 in Minneapolis, Minnesota; USA. He is an academic dermatologist, working currently, as a Chair of the Dermatology department t at Hennepin County Medical Center and Professor of Dermatology at the University of Minnesota, USA. In 1962 Dr Bart saw a 5 year old girl who had aplasia, blistering and nail abnormalities at birth and studied many members of her extended family with the same syndrome and published his work in 1966. He subsequently studied the family and demonstrated that the syndrome was a form of dominant dystrophic EB. In recent years many have discouraged the use of "Bart's Syndrome", favoring "a variation of DEB". Figure 1. Dr Bruce J Bart Bart-Pumphrey syndrome (BPS) or Schwann syndrome This syndrome is characterized by knuckle pads, leukonychia, palmoplanter keratoderma (PPK) and sensorineural deafness. However, this syndrome has a considerable phenotypic variability. It is cited in the Online Mendelian Inheritance in Man [1], as knuckle pads, leukonychia, and sensorineural deafness (OMIM 149200) [4]. There is extensive overlap between the different forms of palmoplantar keratoderma (PPK) associated with hearing loss (HL) caused by GJB (Cx26) mutations (and they are 64 © Our Dermatol Online 1.2012
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