Overall toets
Cursus 1: De huid ............................................................................................................. 10
PROVOKE: ................................................................................................................... 10
Rangschikking ............................................................................................................... 10
Vorm ............................................................................................................................. 11
Efflorescenties............................................................................................................... 13
Cursus 2: Leven met een chronische huidaandoening .................................................. 20
Atopisch eczeem ........................................................................................................... 20
Dauwworm .................................................................................................................... 21
Allergisch contacteczeem .............................................................................................. 22
Ortho-ergisch eczeem ................................................................................................... 23
Nummulair eczeem ....................................................................................................... 24
Seborroïsch eczeem ..................................................................................................... 25
Acrovesiculeus eczeem................................................................................................. 26
Eczema craquelatum/asteotisch eczeem ...................................................................... 27
Hypostatisch eczeem .................................................................................................... 28
Fototoxische reacties .................................................................................................... 29
Fotoallergische reacties ................................................................................................ 30
Cursus 3: Cross culturele communicatie ........................................................................ 31
café au lait vlekken ........................................................................................................ 31
Naevus van Becker ....................................................................................................... 31
Naevus Spilus ............................................................................................................... 31
Lentigo simplex ............................................................................................................. 32
Epheliden ...................................................................................................................... 32
Lentigo solaris ............................................................................................................... 32
Mongolenvlek ................................................................................................................ 33
Naevus van Ota ............................................................................................................ 33
Naevus van Ito .............................................................................................................. 33
Blue naevus .................................................................................................................. 34
Junctional naevus ......................................................................................................... 34
Compound naevus ........................................................................................................ 35
Dermale naevus ............................................................................................................ 35
Dysplastische naevus.................................................................................................... 35
Halo naevus .................................................................................................................. 36
Naevus van Meyerson................................................................................................... 36
Naevus van Reed.......................................................................................................... 36
Spitz naevus ................................................................................................................. 37
Naevus collagenicus ..................................................................................................... 37
Naevus elasticus ........................................................................................................... 37
Naevus lipomatosus ...................................................................................................... 38
Naevus flammeus ......................................................................................................... 38
Naevus van Unna.......................................................................................................... 38
1
,Naevus araneus ............................................................................................................ 39
Naevus anemicus.......................................................................................................... 39
Blue rubber bleb naevus ............................................................................................... 39
Epidermale naevus ....................................................................................................... 40
Naevus sebaceus.......................................................................................................... 40
Naevus comedonicus .................................................................................................... 41
Woolly hair naevus ........................................................................................................ 41
White sponge naevus .................................................................................................... 41
Eccriene naevus............................................................................................................ 42
Naevus depigmentosus ................................................................................................. 42
Naevus cockarde .......................................................................................................... 42
Naevus agminatus ........................................................................................................ 43
Poikiloderma van civatte ............................................................................................... 43
Post-inflammatoir hyperpigmentatie .............................................................................. 43
Erythema ab igne .......................................................................................................... 44
Acanthosis nigricans ..................................................................................................... 44
Naevus naevocellularis papillomatosus ......................................................................... 45
Post-inflammatoir hypopigmentatie ............................................................................... 45
Pityriasis alba ................................................................................................................ 45
Pityriasis versicolor........................................................................................................ 46
Progressieve maculaire hypomelanose ......................................................................... 47
Hypomelanosis guttata idiopathica ................................................................................ 47
Albinisme ...................................................................................................................... 47
Vitiligo ........................................................................................................................... 48
Melasma ....................................................................................................................... 49
Acne vulgaris................................................................................................................. 50
Acne conglobata ........................................................................................................... 52
Acne fulminans.............................................................................................................. 52
Acne excorieé des jeunes filles ..................................................................................... 52
Acne neonatorum/acne infantum. .................................................................................. 53
Acne tarda..................................................................................................................... 53
Acne keloidalis .............................................................................................................. 54
Rosacea ........................................................................................................................ 54
Erythematoteleangiëctatische rosacea .......................................................................... 55
Papulopustuleuze rosacea ............................................................................................ 55
Phymateuze rosacea..................................................................................................... 56
Oculaire rosacea ........................................................................................................... 56
Dermatitis perioralis....................................................................................................... 56
Demodexfolliculitis ........................................................................................................ 57
Hidradenitis suppurativa ................................................................................................ 57
Hyperhidrosis ................................................................................................................ 59
Bromhidrosis en chromhidrosis ..................................................................................... 60
Hypohidrose en anhidrose............................................................................................. 60
Miliaria........................................................................................................................... 61
2
,Cursus 5: Kwaliteit in beeld ............................................................................................. 63
Verruca seborrhoica ...................................................................................................... 63
Stuccokeratosen ........................................................................................................... 64
Dermatosis papulosa nigra ............................................................................................ 64
Vlekjes van Fordyce ...................................................................................................... 65
Seniele talgklierhyperplasie ........................................................................................... 65
Syringoom ..................................................................................................................... 65
Keratoacanthoom .......................................................................................................... 66
Tricho-epithelioom ......................................................................................................... 67
Dermatofibroom ............................................................................................................ 67
Fibroom ......................................................................................................................... 68
Xanthoom...................................................................................................................... 69
Leiomyoom ................................................................................................................... 70
Lipoom .......................................................................................................................... 70
Milia .............................................................................................................................. 71
Epidermale cyste........................................................................................................... 71
Tricholemmale cyste ..................................................................................................... 72
Favre-Racouchot syndroom .......................................................................................... 72
Steatocystoma multiplex ............................................................................................... 73
Myxoïdcyste .................................................................................................................. 73
Mucocele....................................................................................................................... 74
Hidrocystoom ................................................................................................................ 74
Chondrodermatitis nodularis helicis ............................................................................... 74
Large cell acanthoma .................................................................................................... 75
Neurofibromatose.......................................................................................................... 75
Ganglion........................................................................................................................ 76
Sturge-Weber Syndroom ............................................................................................... 77
Hemangioom ................................................................................................................. 77
Granuloma teleangiectaticum ........................................................................................ 78
Angiokeratoom .............................................................................................................. 79
Angioma senile.............................................................................................................. 80
Purpura ......................................................................................................................... 80
Venous lake .................................................................................................................. 80
Urticaria......................................................................................................................... 81
Angio-oedeem ............................................................................................................... 82
Alopecia androgenetica ................................................................................................. 82
Anageen effluvium ........................................................................................................ 84
Telogeen effluvium ........................................................................................................ 84
Alopecia areata ............................................................................................................. 84
Hypertrichose ................................................................................................................ 85
Hirsutisme ..................................................................................................................... 86
Pili incarnati ................................................................................................................... 87
Pseudofolliculitis barbae ................................................................................................ 88
Sinus pilonidalis ............................................................................................................ 89
3
, Cirkelharen .................................................................................................................... 89
Actinische keratose ....................................................................................................... 89
Cornu cutaneum............................................................................................................ 91
Cheilitis actinica ............................................................................................................ 91
Leukoplakie ................................................................................................................... 92
Erytroplakie ................................................................................................................... 93
Epidermolysis bullosa.................................................................................................... 93
Necrobiosis lipoidica...................................................................................................... 94
Lichen planus ................................................................................................................ 95
Morbus Bowen .............................................................................................................. 96
Queyrat Erytroplasie...................................................................................................... 96
Bowenoïde papulose ..................................................................................................... 97
Lentigo maligna ............................................................................................................. 98
Basaalcelcarcinoom ...................................................................................................... 99
Plaveiselcelcarcinoom ................................................................................................. 102
Melanoom ................................................................................................................... 103
FAMMM-syndroom ...................................................................................................... 108
Ziekte van Paget ......................................................................................................... 109
Kaposisarcoom ........................................................................................................... 110
Lymfoom ..................................................................................................................... 111
Cursus 6: Prescreening en huidzorg ............................................................................. 112
Maligne acanthosis nigricans ...................................................................................... 112
Erythema gyratum repens ........................................................................................... 112
Hypertrichosis lanuginosa acquisita ............................................................................ 112
Necrolytisch migrerend erytheem ................................................................................ 113
Teken van Leser-Trélat ............................................................................................... 113
Xanthoma planum ....................................................................................................... 113
Syndroom van Bazex .................................................................................................. 114
Basaalcelnaevus syndroom......................................................................................... 114
Xeroderma pigmentosum ............................................................................................ 114
Birt-Hogg-Dubé syndroom ........................................................................................... 114
Radiodermatitis ........................................................................................................... 115
Lupus erythematodes .................................................................................................. 115
Sclerodermie ............................................................................................................... 119
Morfea ................................................................................................................... 120
Systemische sclerose ............................................................................................ 121
Dermatomyositis ......................................................................................................... 123
Lichen sclerosus ......................................................................................................... 125
Scleroedeem van Buschke .......................................................................................... 126
Pemfigus vulgaris ........................................................................................................ 127
Pemfigus foliaceus ...................................................................................................... 128
Bulleus pemfigoïd (parapemfigus) ............................................................................... 128
Dermatitis herpetiformis .............................................................................................. 130
Mastocytose ................................................................................................................ 131
4
, Langerhanscel-histiocytose ......................................................................................... 133
Juveniel xanthogranuloom........................................................................................... 134
Juvenile spring eruption of the ears ............................................................................. 135
Hydroa vacciniforme.................................................................................................... 135
Urticaria solaris ........................................................................................................... 136
Chronische polymorfe lichtdermatosen ....................................................................... 136
Chronische actinische dermatitis ................................................................................. 137
Porphyria cutanea tarda .............................................................................................. 137
Pseudo-porphyria cutanea tarda............................................................................ 138
Erythopoietische protoporphyrie .................................................................................. 138
Parasietenwaan .......................................................................................................... 139
Dermatitis artefacta ..................................................................................................... 140
Trichotillomanie ........................................................................................................... 141
Body dysmorphic disorder ........................................................................................... 142
Cursus 7: Zorg verlenen bij circulatiestoornissen ....................................................... 144
Chronische veneuze insufficiëntie ............................................................................... 144
Oedeem ................................................................................................................ 144
Corona phlebectatica paraplantaris ....................................................................... 144
Stuwingserytheem / acute hypodermitis ................................................................ 145
Hyperpigmentatie .................................................................................................. 145
Hyperkeratose ....................................................................................................... 145
Hypostatisch eczeem ............................................................................................ 146
Dermato- et liposclerosis ....................................................................................... 146
Atrophie blanche ................................................................................................... 147
Varices ........................................................................................................................ 152
Stamvaricose van de VSM (vena saphena magna) ............................................... 152
Stamvaricose van de VSP (vena saphena parva) .................................................. 152
Zijtakvarices .......................................................................................................... 153
Geïsoleerde venae perforantes insufficiëntie (blow out) ........................................ 153
Reticulaire varices ................................................................................................. 153
Besenreiser varices ............................................................................................... 154
Tromboflebitis.............................................................................................................. 155
Diep veneuze trombose .............................................................................................. 156
Arteriële insufficiëntie .................................................................................................. 157
Atherosclerose ............................................................................................................ 159
Decubitus .................................................................................................................... 160
Ulcus cruris venosum .................................................................................................. 161
Ulcus cruris arteriosum ................................................................................................ 163
Diabetische voet/diabetische ulcera ............................................................................ 165
HIV .............................................................................................................................. 167
AIDS ........................................................................................................................... 169
Impetigo vulgaris ......................................................................................................... 170
Folliculitis .................................................................................................................... 171
Pitted keratolysis ......................................................................................................... 172
5
,Sycosis........................................................................................................................ 173
Furunkel ...................................................................................................................... 174
Karbonkel .................................................................................................................... 175
Abces .......................................................................................................................... 175
Impetigo bullosa .......................................................................................................... 176
Staphylococcal scalded skin syndrome ....................................................................... 176
Ecthyma ...................................................................................................................... 178
Ecthyma gangraenosum ............................................................................................. 178
Erysipelas ................................................................................................................... 178
Cellulitis....................................................................................................................... 179
Necrotiserende fasciitis ............................................................................................... 180
Erythrasma.................................................................................................................. 181
Erysipeloïd .................................................................................................................. 182
Varicella ...................................................................................................................... 183
Herpes zoster .............................................................................................................. 183
HPV infectie huid......................................................................................................... 185
Verruca vulgaris .................................................................................................... 185
Verruca plantaris ................................................................................................... 185
Verruca planae juveniles ....................................................................................... 185
Verrrucae filiformes ............................................................................................... 186
Slagerswratten ...................................................................................................... 186
HPV infectie van de slijmvliezen .................................................................................. 187
Condylomata accuminata ...................................................................................... 187
Condylomata plana................................................................................................ 187
Bowenoïde papulose ............................................................................................. 187
Intra-epitheliale neoplasie ...................................................................................... 187
Orale condylomata ................................................................................................ 188
Molluscum contagiosum .............................................................................................. 188
Herpessimplexvirus ..................................................................................................... 189
Syfilis .......................................................................................................................... 191
Condylomata lata ........................................................................................................ 193
Gonorroe ..................................................................................................................... 193
Chlamydia ................................................................................................................... 194
Lymphogranuloma venereum ...................................................................................... 195
Epididymitis/prostatitis ................................................................................................. 196
Pelvic inflammatory disease (PID) ............................................................................... 196
Scabies ....................................................................................................................... 196
Tinea capitis ................................................................................................................ 197
Favus .......................................................................................................................... 198
Tinea barbae ............................................................................................................... 198
Tinea corporis en tinea faciei ....................................................................................... 199
Tinea manus ............................................................................................................... 200
Tinea inguinalis ........................................................................................................... 201
Tinea pedum ............................................................................................................... 201
6
, Onychomycosen ......................................................................................................... 203
Candida albicans ......................................................................................................... 204
Candidiasis oris: .................................................................................................... 204
Candidiasis vaginalis ............................................................................................. 204
Balanitis................................................................................................................. 204
Candida intertrigo .................................................................................................. 204
Erosio interdigitalis ................................................................................................ 205
Anguli infectiosi ..................................................................................................... 205
Luiereczeem .......................................................................................................... 206
Candidiasis neonatorum ........................................................................................ 206
Paronychia ............................................................................................................ 206
Pediculosis capitis ....................................................................................................... 207
Pediculosis pubis (schaamluis) ................................................................................... 208
Lyme disease .............................................................................................................. 208
Erythema migrans ....................................................................................................... 209
Borrelia-lymfocytoom................................................................................................... 210
Acrodermatitis chronica atrophicans............................................................................ 210
Prurigo non-parasitaria ................................................................................................ 211
Reacties op gif van angeldragende insecten (wespen, bijen, hommels) ...................... 211
Toxische reactie .................................................................................................... 211
Allergische reactie ................................................................................................. 211
Lepra ........................................................................................................................... 212
Cutane larva migrans .................................................................................................. 216
Filariasis ...................................................................................................................... 217
Cursus 8: Oncologie en complexe zorgverlening......................................................... 218
Littekens...................................................................................................................... 218
Wondgenezing ...................................................................................................... 218
Hypertrofisch litteken ............................................................................................. 221
Verkleefde littekens ............................................................................................... 223
Atrofische littekens ................................................................................................ 223
Sclerotische littekens ............................................................................................. 224
Keloïd .................................................................................................................... 225
Lymfoedeem ............................................................................................................... 225
Lipoedeem .................................................................................................................. 232
Verschil lipoedeem, lymfoedeem en CVI ..................................................................... 237
Elektrische epilatie ......................................................................................................... 241
Anatomie haar: ............................................................................................................ 241
Elektrisch epileren algemeen: ..................................................................................... 246
Blendtechniek.............................................................................................................. 250
Thermolyse ................................................................................................................. 252
Chemische peelings ....................................................................................................... 255
Werking zuren: ............................................................................................................ 261
Uitvoering verschillende peelings: ............................................................................... 264
Camouflage ..................................................................................................................... 269
7
,Microdermabrasie ........................................................................................................... 270
Laser en IPL .................................................................................................................... 273
Laser en IPL algemeen ............................................................................................... 273
Laser en IPL haarverwijdering ..................................................................................... 282
Laser en IPL vasculair ................................................................................................. 288
Laser overzicht vasculair: ...................................................................................... 292
Laser en IPL pigment .................................................................................................. 293
Laser overzicht pigment: ....................................................................................... 296
Laser en IPL huidveroudering ..................................................................................... 296
Laser en IPL tattoo ...................................................................................................... 301
Laser en IPL littekens .................................................................................................. 304
Laser en IPL veiligheid: ............................................................................................... 308
Microneedling.................................................................................................................. 311
Zwachtelen ...................................................................................................................... 320
Been/voet/tenen .......................................................................................................... 321
Onderbeen ............................................................................................................ 321
Bovenbeen ............................................................................................................ 324
Tenen!!! ................................................................................................................. 325
Arm/hand/vingers ........................................................................................................ 325
Arm en hand .......................................................................................................... 325
Vingers!!! ............................................................................................................... 328
TEK .................................................................................................................................. 329
Been ........................................................................................................................... 331
Arm/handschoen ......................................................................................................... 336
MLD .................................................................................................................................. 342
Lymfesysteem ............................................................................................................. 342
Lymfevaten: ........................................................................................................... 343
Manuele lymfedrainage ............................................................................................... 348
Anatomie lymfeknopen .......................................................................................... 353
Uitvoeren MLD ...................................................................................................... 354
Taping .............................................................................................................................. 360
Lymfetape ................................................................................................................... 362
Littekentape ................................................................................................................ 362
Littekenmassage ............................................................................................................. 363
Hypertrofisch litteken ................................................................................................... 364
Verkleefd litteken......................................................................................................... 370
Klassieke massage: .................................................................................................... 372
Atrofisch litteken .......................................................................................................... 379
Sclerotische littekens................................................................................................... 380
Casuïstiek oedeem ......................................................................................................... 382
Casuïstiek 1: Bram ...................................................................................................... 382
Casuïstiek 2: Marja ..................................................................................................... 385
Casuïstiek 3: Mevr. Stichter......................................................................................... 387
Casuïstiek 4: Meneer Miller ......................................................................................... 388
8
, Casuïstiek 5: Meneer Wittenberg ................................................................................ 391
Casuïstiek 6: Mevrouw Daalders ................................................................................. 392
Casuïstiek 7: Jolanda ................................................................................................. 395
Casuïstiek 8: Mr. De Boer ........................................................................................... 396
Casuïstiek littekens......................................................................................................... 397
Casuïstiek 9: Noor ....................................................................................................... 397
Casuïstiek 10: Jeffrey .................................................................................................. 401
Casuïstiek 11 : Mevr. Reijnders ................................................................................... 403
Casuïstiek 12: Mvr. Van Bemmel ................................................................................ 405
Casuïstiek 13: Catherina ............................................................................................. 407
Casuïstiek vaatproblematiek .......................................................................................... 409
Casuïstiek 14: Mevr. Kraaijkamp ................................................................................. 409
Casuïstiek wond.............................................................................................................. 411
Casuïstiek 15: Mw. Bakker ......................................................................................... 411
Casuïstiek 16: Mevr. Jansen ....................................................................................... 413
Casuïstiek 17: Meneer Gerards ................................................................................... 416
Casuïstiek pigment ......................................................................................................... 418
Casuïstiek 18: Mevrouw Jaspers ................................................................................. 418
Casuïstiek 19: Mevrouw van der Tol ........................................................................... 420
Casuïstiek overbeharing ................................................................................................ 421
Casuïstiek 20: Mevr. Noorland .................................................................................... 422
Casuïstiek 21: Mevr. Boutrah ...................................................................................... 424
Casuïstiek 22: Mevr. de Vries ...................................................................................... 426
Casuïstiek acne ............................................................................................................... 427
Casuïstiek 23: Mevr. Aalberts...................................................................................... 428
Casuïstiek 24: Mr. De Graaf ........................................................................................ 430
Casuïstiek 25: Mevr. van Koot ..................................................................................... 432
Casuïstiek 26: Mw. Sanders........................................................................................ 434
Casuïstiek eczeem .......................................................................................................... 436
Casuïstiek 27: baby Chris ........................................................................................... 436
Casuïstiek 28: Meneer Bouwman ................................................................................ 438
Casuïstiek 29: Melanie ................................................................................................ 439
Casuïstiek huidveroudering ........................................................................................... 441
Casuïstiek 30: Mevrouw Parker ................................................................................... 441
Casuïstiek plekje vlekje .................................................................................................. 442
Casuïstiek 31: Mw. Van Wijk ....................................................................................... 442
Casuïstiek 32: Dhr. Mulder .......................................................................................... 444
Casuïstiek 33: Dhr Maanen ......................................................................................... 445
1.11 Casuïstiek VIVO....................................................................................................... 447
Casuïstiek 34: Jens .................................................................................................... 447
9
, Cursus 1: De huid
PROVOKE:
P: plaats
R: rangschikking
O: omvang en grootte
V: vorm
O: omtrek
K: kleur
E: Efflorescentie
Rangschikking
Gegroepeerd:
Groepje van laesies bij elkaar.
Gedissemineerd:
Gelijkmatig verspreid over het gehele lichaam.
En bouquet (herpetiform):
Gegroepeerd, groepje van laesies bij elkaar.
Diffuus:
Aaneengesloten.
Solitair:
Enkelvoudige laesie.
Circumscript:
Omschreven, beperkt tot een klein gebied.
Confluerend:
In elkaar overvloeiend.
Segmentaal:
Beperkt tot 1 dermatoom.
Regionaal:
Beperkt tot één lichaamsgebied, bijvoorbeeld de bovenbuik, de sacrale regio.
Gegeneraliseerd:
Verspreid over het gehele lichaam.
Universeel:
Uitgebreid over het gehele lichaam (geen enkel gebied blijft gespaard).
10
Cursus 1: De huid ............................................................................................................. 10
PROVOKE: ................................................................................................................... 10
Rangschikking ............................................................................................................... 10
Vorm ............................................................................................................................. 11
Efflorescenties............................................................................................................... 13
Cursus 2: Leven met een chronische huidaandoening .................................................. 20
Atopisch eczeem ........................................................................................................... 20
Dauwworm .................................................................................................................... 21
Allergisch contacteczeem .............................................................................................. 22
Ortho-ergisch eczeem ................................................................................................... 23
Nummulair eczeem ....................................................................................................... 24
Seborroïsch eczeem ..................................................................................................... 25
Acrovesiculeus eczeem................................................................................................. 26
Eczema craquelatum/asteotisch eczeem ...................................................................... 27
Hypostatisch eczeem .................................................................................................... 28
Fototoxische reacties .................................................................................................... 29
Fotoallergische reacties ................................................................................................ 30
Cursus 3: Cross culturele communicatie ........................................................................ 31
café au lait vlekken ........................................................................................................ 31
Naevus van Becker ....................................................................................................... 31
Naevus Spilus ............................................................................................................... 31
Lentigo simplex ............................................................................................................. 32
Epheliden ...................................................................................................................... 32
Lentigo solaris ............................................................................................................... 32
Mongolenvlek ................................................................................................................ 33
Naevus van Ota ............................................................................................................ 33
Naevus van Ito .............................................................................................................. 33
Blue naevus .................................................................................................................. 34
Junctional naevus ......................................................................................................... 34
Compound naevus ........................................................................................................ 35
Dermale naevus ............................................................................................................ 35
Dysplastische naevus.................................................................................................... 35
Halo naevus .................................................................................................................. 36
Naevus van Meyerson................................................................................................... 36
Naevus van Reed.......................................................................................................... 36
Spitz naevus ................................................................................................................. 37
Naevus collagenicus ..................................................................................................... 37
Naevus elasticus ........................................................................................................... 37
Naevus lipomatosus ...................................................................................................... 38
Naevus flammeus ......................................................................................................... 38
Naevus van Unna.......................................................................................................... 38
1
,Naevus araneus ............................................................................................................ 39
Naevus anemicus.......................................................................................................... 39
Blue rubber bleb naevus ............................................................................................... 39
Epidermale naevus ....................................................................................................... 40
Naevus sebaceus.......................................................................................................... 40
Naevus comedonicus .................................................................................................... 41
Woolly hair naevus ........................................................................................................ 41
White sponge naevus .................................................................................................... 41
Eccriene naevus............................................................................................................ 42
Naevus depigmentosus ................................................................................................. 42
Naevus cockarde .......................................................................................................... 42
Naevus agminatus ........................................................................................................ 43
Poikiloderma van civatte ............................................................................................... 43
Post-inflammatoir hyperpigmentatie .............................................................................. 43
Erythema ab igne .......................................................................................................... 44
Acanthosis nigricans ..................................................................................................... 44
Naevus naevocellularis papillomatosus ......................................................................... 45
Post-inflammatoir hypopigmentatie ............................................................................... 45
Pityriasis alba ................................................................................................................ 45
Pityriasis versicolor........................................................................................................ 46
Progressieve maculaire hypomelanose ......................................................................... 47
Hypomelanosis guttata idiopathica ................................................................................ 47
Albinisme ...................................................................................................................... 47
Vitiligo ........................................................................................................................... 48
Melasma ....................................................................................................................... 49
Acne vulgaris................................................................................................................. 50
Acne conglobata ........................................................................................................... 52
Acne fulminans.............................................................................................................. 52
Acne excorieé des jeunes filles ..................................................................................... 52
Acne neonatorum/acne infantum. .................................................................................. 53
Acne tarda..................................................................................................................... 53
Acne keloidalis .............................................................................................................. 54
Rosacea ........................................................................................................................ 54
Erythematoteleangiëctatische rosacea .......................................................................... 55
Papulopustuleuze rosacea ............................................................................................ 55
Phymateuze rosacea..................................................................................................... 56
Oculaire rosacea ........................................................................................................... 56
Dermatitis perioralis....................................................................................................... 56
Demodexfolliculitis ........................................................................................................ 57
Hidradenitis suppurativa ................................................................................................ 57
Hyperhidrosis ................................................................................................................ 59
Bromhidrosis en chromhidrosis ..................................................................................... 60
Hypohidrose en anhidrose............................................................................................. 60
Miliaria........................................................................................................................... 61
2
,Cursus 5: Kwaliteit in beeld ............................................................................................. 63
Verruca seborrhoica ...................................................................................................... 63
Stuccokeratosen ........................................................................................................... 64
Dermatosis papulosa nigra ............................................................................................ 64
Vlekjes van Fordyce ...................................................................................................... 65
Seniele talgklierhyperplasie ........................................................................................... 65
Syringoom ..................................................................................................................... 65
Keratoacanthoom .......................................................................................................... 66
Tricho-epithelioom ......................................................................................................... 67
Dermatofibroom ............................................................................................................ 67
Fibroom ......................................................................................................................... 68
Xanthoom...................................................................................................................... 69
Leiomyoom ................................................................................................................... 70
Lipoom .......................................................................................................................... 70
Milia .............................................................................................................................. 71
Epidermale cyste........................................................................................................... 71
Tricholemmale cyste ..................................................................................................... 72
Favre-Racouchot syndroom .......................................................................................... 72
Steatocystoma multiplex ............................................................................................... 73
Myxoïdcyste .................................................................................................................. 73
Mucocele....................................................................................................................... 74
Hidrocystoom ................................................................................................................ 74
Chondrodermatitis nodularis helicis ............................................................................... 74
Large cell acanthoma .................................................................................................... 75
Neurofibromatose.......................................................................................................... 75
Ganglion........................................................................................................................ 76
Sturge-Weber Syndroom ............................................................................................... 77
Hemangioom ................................................................................................................. 77
Granuloma teleangiectaticum ........................................................................................ 78
Angiokeratoom .............................................................................................................. 79
Angioma senile.............................................................................................................. 80
Purpura ......................................................................................................................... 80
Venous lake .................................................................................................................. 80
Urticaria......................................................................................................................... 81
Angio-oedeem ............................................................................................................... 82
Alopecia androgenetica ................................................................................................. 82
Anageen effluvium ........................................................................................................ 84
Telogeen effluvium ........................................................................................................ 84
Alopecia areata ............................................................................................................. 84
Hypertrichose ................................................................................................................ 85
Hirsutisme ..................................................................................................................... 86
Pili incarnati ................................................................................................................... 87
Pseudofolliculitis barbae ................................................................................................ 88
Sinus pilonidalis ............................................................................................................ 89
3
, Cirkelharen .................................................................................................................... 89
Actinische keratose ....................................................................................................... 89
Cornu cutaneum............................................................................................................ 91
Cheilitis actinica ............................................................................................................ 91
Leukoplakie ................................................................................................................... 92
Erytroplakie ................................................................................................................... 93
Epidermolysis bullosa.................................................................................................... 93
Necrobiosis lipoidica...................................................................................................... 94
Lichen planus ................................................................................................................ 95
Morbus Bowen .............................................................................................................. 96
Queyrat Erytroplasie...................................................................................................... 96
Bowenoïde papulose ..................................................................................................... 97
Lentigo maligna ............................................................................................................. 98
Basaalcelcarcinoom ...................................................................................................... 99
Plaveiselcelcarcinoom ................................................................................................. 102
Melanoom ................................................................................................................... 103
FAMMM-syndroom ...................................................................................................... 108
Ziekte van Paget ......................................................................................................... 109
Kaposisarcoom ........................................................................................................... 110
Lymfoom ..................................................................................................................... 111
Cursus 6: Prescreening en huidzorg ............................................................................. 112
Maligne acanthosis nigricans ...................................................................................... 112
Erythema gyratum repens ........................................................................................... 112
Hypertrichosis lanuginosa acquisita ............................................................................ 112
Necrolytisch migrerend erytheem ................................................................................ 113
Teken van Leser-Trélat ............................................................................................... 113
Xanthoma planum ....................................................................................................... 113
Syndroom van Bazex .................................................................................................. 114
Basaalcelnaevus syndroom......................................................................................... 114
Xeroderma pigmentosum ............................................................................................ 114
Birt-Hogg-Dubé syndroom ........................................................................................... 114
Radiodermatitis ........................................................................................................... 115
Lupus erythematodes .................................................................................................. 115
Sclerodermie ............................................................................................................... 119
Morfea ................................................................................................................... 120
Systemische sclerose ............................................................................................ 121
Dermatomyositis ......................................................................................................... 123
Lichen sclerosus ......................................................................................................... 125
Scleroedeem van Buschke .......................................................................................... 126
Pemfigus vulgaris ........................................................................................................ 127
Pemfigus foliaceus ...................................................................................................... 128
Bulleus pemfigoïd (parapemfigus) ............................................................................... 128
Dermatitis herpetiformis .............................................................................................. 130
Mastocytose ................................................................................................................ 131
4
, Langerhanscel-histiocytose ......................................................................................... 133
Juveniel xanthogranuloom........................................................................................... 134
Juvenile spring eruption of the ears ............................................................................. 135
Hydroa vacciniforme.................................................................................................... 135
Urticaria solaris ........................................................................................................... 136
Chronische polymorfe lichtdermatosen ....................................................................... 136
Chronische actinische dermatitis ................................................................................. 137
Porphyria cutanea tarda .............................................................................................. 137
Pseudo-porphyria cutanea tarda............................................................................ 138
Erythopoietische protoporphyrie .................................................................................. 138
Parasietenwaan .......................................................................................................... 139
Dermatitis artefacta ..................................................................................................... 140
Trichotillomanie ........................................................................................................... 141
Body dysmorphic disorder ........................................................................................... 142
Cursus 7: Zorg verlenen bij circulatiestoornissen ....................................................... 144
Chronische veneuze insufficiëntie ............................................................................... 144
Oedeem ................................................................................................................ 144
Corona phlebectatica paraplantaris ....................................................................... 144
Stuwingserytheem / acute hypodermitis ................................................................ 145
Hyperpigmentatie .................................................................................................. 145
Hyperkeratose ....................................................................................................... 145
Hypostatisch eczeem ............................................................................................ 146
Dermato- et liposclerosis ....................................................................................... 146
Atrophie blanche ................................................................................................... 147
Varices ........................................................................................................................ 152
Stamvaricose van de VSM (vena saphena magna) ............................................... 152
Stamvaricose van de VSP (vena saphena parva) .................................................. 152
Zijtakvarices .......................................................................................................... 153
Geïsoleerde venae perforantes insufficiëntie (blow out) ........................................ 153
Reticulaire varices ................................................................................................. 153
Besenreiser varices ............................................................................................... 154
Tromboflebitis.............................................................................................................. 155
Diep veneuze trombose .............................................................................................. 156
Arteriële insufficiëntie .................................................................................................. 157
Atherosclerose ............................................................................................................ 159
Decubitus .................................................................................................................... 160
Ulcus cruris venosum .................................................................................................. 161
Ulcus cruris arteriosum ................................................................................................ 163
Diabetische voet/diabetische ulcera ............................................................................ 165
HIV .............................................................................................................................. 167
AIDS ........................................................................................................................... 169
Impetigo vulgaris ......................................................................................................... 170
Folliculitis .................................................................................................................... 171
Pitted keratolysis ......................................................................................................... 172
5
,Sycosis........................................................................................................................ 173
Furunkel ...................................................................................................................... 174
Karbonkel .................................................................................................................... 175
Abces .......................................................................................................................... 175
Impetigo bullosa .......................................................................................................... 176
Staphylococcal scalded skin syndrome ....................................................................... 176
Ecthyma ...................................................................................................................... 178
Ecthyma gangraenosum ............................................................................................. 178
Erysipelas ................................................................................................................... 178
Cellulitis....................................................................................................................... 179
Necrotiserende fasciitis ............................................................................................... 180
Erythrasma.................................................................................................................. 181
Erysipeloïd .................................................................................................................. 182
Varicella ...................................................................................................................... 183
Herpes zoster .............................................................................................................. 183
HPV infectie huid......................................................................................................... 185
Verruca vulgaris .................................................................................................... 185
Verruca plantaris ................................................................................................... 185
Verruca planae juveniles ....................................................................................... 185
Verrrucae filiformes ............................................................................................... 186
Slagerswratten ...................................................................................................... 186
HPV infectie van de slijmvliezen .................................................................................. 187
Condylomata accuminata ...................................................................................... 187
Condylomata plana................................................................................................ 187
Bowenoïde papulose ............................................................................................. 187
Intra-epitheliale neoplasie ...................................................................................... 187
Orale condylomata ................................................................................................ 188
Molluscum contagiosum .............................................................................................. 188
Herpessimplexvirus ..................................................................................................... 189
Syfilis .......................................................................................................................... 191
Condylomata lata ........................................................................................................ 193
Gonorroe ..................................................................................................................... 193
Chlamydia ................................................................................................................... 194
Lymphogranuloma venereum ...................................................................................... 195
Epididymitis/prostatitis ................................................................................................. 196
Pelvic inflammatory disease (PID) ............................................................................... 196
Scabies ....................................................................................................................... 196
Tinea capitis ................................................................................................................ 197
Favus .......................................................................................................................... 198
Tinea barbae ............................................................................................................... 198
Tinea corporis en tinea faciei ....................................................................................... 199
Tinea manus ............................................................................................................... 200
Tinea inguinalis ........................................................................................................... 201
Tinea pedum ............................................................................................................... 201
6
, Onychomycosen ......................................................................................................... 203
Candida albicans ......................................................................................................... 204
Candidiasis oris: .................................................................................................... 204
Candidiasis vaginalis ............................................................................................. 204
Balanitis................................................................................................................. 204
Candida intertrigo .................................................................................................. 204
Erosio interdigitalis ................................................................................................ 205
Anguli infectiosi ..................................................................................................... 205
Luiereczeem .......................................................................................................... 206
Candidiasis neonatorum ........................................................................................ 206
Paronychia ............................................................................................................ 206
Pediculosis capitis ....................................................................................................... 207
Pediculosis pubis (schaamluis) ................................................................................... 208
Lyme disease .............................................................................................................. 208
Erythema migrans ....................................................................................................... 209
Borrelia-lymfocytoom................................................................................................... 210
Acrodermatitis chronica atrophicans............................................................................ 210
Prurigo non-parasitaria ................................................................................................ 211
Reacties op gif van angeldragende insecten (wespen, bijen, hommels) ...................... 211
Toxische reactie .................................................................................................... 211
Allergische reactie ................................................................................................. 211
Lepra ........................................................................................................................... 212
Cutane larva migrans .................................................................................................. 216
Filariasis ...................................................................................................................... 217
Cursus 8: Oncologie en complexe zorgverlening......................................................... 218
Littekens...................................................................................................................... 218
Wondgenezing ...................................................................................................... 218
Hypertrofisch litteken ............................................................................................. 221
Verkleefde littekens ............................................................................................... 223
Atrofische littekens ................................................................................................ 223
Sclerotische littekens ............................................................................................. 224
Keloïd .................................................................................................................... 225
Lymfoedeem ............................................................................................................... 225
Lipoedeem .................................................................................................................. 232
Verschil lipoedeem, lymfoedeem en CVI ..................................................................... 237
Elektrische epilatie ......................................................................................................... 241
Anatomie haar: ............................................................................................................ 241
Elektrisch epileren algemeen: ..................................................................................... 246
Blendtechniek.............................................................................................................. 250
Thermolyse ................................................................................................................. 252
Chemische peelings ....................................................................................................... 255
Werking zuren: ............................................................................................................ 261
Uitvoering verschillende peelings: ............................................................................... 264
Camouflage ..................................................................................................................... 269
7
,Microdermabrasie ........................................................................................................... 270
Laser en IPL .................................................................................................................... 273
Laser en IPL algemeen ............................................................................................... 273
Laser en IPL haarverwijdering ..................................................................................... 282
Laser en IPL vasculair ................................................................................................. 288
Laser overzicht vasculair: ...................................................................................... 292
Laser en IPL pigment .................................................................................................. 293
Laser overzicht pigment: ....................................................................................... 296
Laser en IPL huidveroudering ..................................................................................... 296
Laser en IPL tattoo ...................................................................................................... 301
Laser en IPL littekens .................................................................................................. 304
Laser en IPL veiligheid: ............................................................................................... 308
Microneedling.................................................................................................................. 311
Zwachtelen ...................................................................................................................... 320
Been/voet/tenen .......................................................................................................... 321
Onderbeen ............................................................................................................ 321
Bovenbeen ............................................................................................................ 324
Tenen!!! ................................................................................................................. 325
Arm/hand/vingers ........................................................................................................ 325
Arm en hand .......................................................................................................... 325
Vingers!!! ............................................................................................................... 328
TEK .................................................................................................................................. 329
Been ........................................................................................................................... 331
Arm/handschoen ......................................................................................................... 336
MLD .................................................................................................................................. 342
Lymfesysteem ............................................................................................................. 342
Lymfevaten: ........................................................................................................... 343
Manuele lymfedrainage ............................................................................................... 348
Anatomie lymfeknopen .......................................................................................... 353
Uitvoeren MLD ...................................................................................................... 354
Taping .............................................................................................................................. 360
Lymfetape ................................................................................................................... 362
Littekentape ................................................................................................................ 362
Littekenmassage ............................................................................................................. 363
Hypertrofisch litteken ................................................................................................... 364
Verkleefd litteken......................................................................................................... 370
Klassieke massage: .................................................................................................... 372
Atrofisch litteken .......................................................................................................... 379
Sclerotische littekens................................................................................................... 380
Casuïstiek oedeem ......................................................................................................... 382
Casuïstiek 1: Bram ...................................................................................................... 382
Casuïstiek 2: Marja ..................................................................................................... 385
Casuïstiek 3: Mevr. Stichter......................................................................................... 387
Casuïstiek 4: Meneer Miller ......................................................................................... 388
8
, Casuïstiek 5: Meneer Wittenberg ................................................................................ 391
Casuïstiek 6: Mevrouw Daalders ................................................................................. 392
Casuïstiek 7: Jolanda ................................................................................................. 395
Casuïstiek 8: Mr. De Boer ........................................................................................... 396
Casuïstiek littekens......................................................................................................... 397
Casuïstiek 9: Noor ....................................................................................................... 397
Casuïstiek 10: Jeffrey .................................................................................................. 401
Casuïstiek 11 : Mevr. Reijnders ................................................................................... 403
Casuïstiek 12: Mvr. Van Bemmel ................................................................................ 405
Casuïstiek 13: Catherina ............................................................................................. 407
Casuïstiek vaatproblematiek .......................................................................................... 409
Casuïstiek 14: Mevr. Kraaijkamp ................................................................................. 409
Casuïstiek wond.............................................................................................................. 411
Casuïstiek 15: Mw. Bakker ......................................................................................... 411
Casuïstiek 16: Mevr. Jansen ....................................................................................... 413
Casuïstiek 17: Meneer Gerards ................................................................................... 416
Casuïstiek pigment ......................................................................................................... 418
Casuïstiek 18: Mevrouw Jaspers ................................................................................. 418
Casuïstiek 19: Mevrouw van der Tol ........................................................................... 420
Casuïstiek overbeharing ................................................................................................ 421
Casuïstiek 20: Mevr. Noorland .................................................................................... 422
Casuïstiek 21: Mevr. Boutrah ...................................................................................... 424
Casuïstiek 22: Mevr. de Vries ...................................................................................... 426
Casuïstiek acne ............................................................................................................... 427
Casuïstiek 23: Mevr. Aalberts...................................................................................... 428
Casuïstiek 24: Mr. De Graaf ........................................................................................ 430
Casuïstiek 25: Mevr. van Koot ..................................................................................... 432
Casuïstiek 26: Mw. Sanders........................................................................................ 434
Casuïstiek eczeem .......................................................................................................... 436
Casuïstiek 27: baby Chris ........................................................................................... 436
Casuïstiek 28: Meneer Bouwman ................................................................................ 438
Casuïstiek 29: Melanie ................................................................................................ 439
Casuïstiek huidveroudering ........................................................................................... 441
Casuïstiek 30: Mevrouw Parker ................................................................................... 441
Casuïstiek plekje vlekje .................................................................................................. 442
Casuïstiek 31: Mw. Van Wijk ....................................................................................... 442
Casuïstiek 32: Dhr. Mulder .......................................................................................... 444
Casuïstiek 33: Dhr Maanen ......................................................................................... 445
1.11 Casuïstiek VIVO....................................................................................................... 447
Casuïstiek 34: Jens .................................................................................................... 447
9
, Cursus 1: De huid
PROVOKE:
P: plaats
R: rangschikking
O: omvang en grootte
V: vorm
O: omtrek
K: kleur
E: Efflorescentie
Rangschikking
Gegroepeerd:
Groepje van laesies bij elkaar.
Gedissemineerd:
Gelijkmatig verspreid over het gehele lichaam.
En bouquet (herpetiform):
Gegroepeerd, groepje van laesies bij elkaar.
Diffuus:
Aaneengesloten.
Solitair:
Enkelvoudige laesie.
Circumscript:
Omschreven, beperkt tot een klein gebied.
Confluerend:
In elkaar overvloeiend.
Segmentaal:
Beperkt tot 1 dermatoom.
Regionaal:
Beperkt tot één lichaamsgebied, bijvoorbeeld de bovenbuik, de sacrale regio.
Gegeneraliseerd:
Verspreid over het gehele lichaam.
Universeel:
Uitgebreid over het gehele lichaam (geen enkel gebied blijft gespaard).
10
