General practitioners and medical specialists may refer patiënts for dermatography or keratography treatment to one of the treatment centers in the Netherlands or abroad.


As a common indication, disturbing differences in colour and structure in comparison to the normal skin are present. Dermatography or keratography may also be indicated when other treatment modalities are ineffective.

cornea scarring (leucoma corneae)

transplant after burns	tumor removed from neck area with subsequent radio therapy	transplant after removal of tumor from jaw
transplant in neck after burns	portwine stain (naevus flammeus)	transplant after removal of portwine stain

After a breast reconstruction, a true-to-life reconstruction of nipple and areola may be added. Post-operative scars may be masked.
	reconstruction after breast tumor	breast burns (nipple not present)

Other applications of dermatography include the permanent colouration of burns, portwine stains, rosacea, couperose, vitiligo, depigmentation, hyperpigmentation, facial discolourations after laser-treatment, scars after schisis, after craniosurgery, application of pseudo-hair reconstruction after hair loss (alopecia).

scar after craniosurgery	scar in neck after tumor excision	transplant right-hand side after treatment untreated median area left-hand side immediately after treatment
schisis duplex	schisis duplex with missing hair growth	partial hair loss of eyebrow (alopecia)
depigmentation after laser-treatment	depigmentation and burns after laser-treatment	hyperpigmentation after laser-treatment
	hyperpigmentation after wrong medication
vitiligo around nipple	vitiligo in coloured skin	vitiligo of private parts

Scars after surgical interventions or accidents may be rendered almost completely invisible. Hypertrophic scars become more supple and flatter after dermatography with kenacort (intracicatricial keloidectomy).
	hypertrophic scars after surgery

Treatment of therapy-resistent warts using dermatography to apply well-measured doses of cytostatics (bleomycin and others) and cygnolin has been successful, as were other applications of dermatography for the fine dosage of medicines. The sub-specialism of dermatography / keratography is still developing. New applications for these techniques are found each year.
	therapy-resistent warts before treatment

For more information on skin and dermatography (in the Dutch language) refer to:

• http://www.huidinfo.nl
• http://www.ziekenhuis.nl
  
  

  Omtrent de huid, Cultuurhistorische verkenningen
  
  Onder Redactie van Prof.dr. Th.van Joost en dr. J.J. van Everdingen.
  
  Met bijdragen van o.a. Midas Dekkers, Lucas Reijnders, Klaas Marck, Eva van Joost, Heleen Dupuis, Eddy van der Velden, Leo den Dulk e.a.
  
  Een rijk geillustreerd boek met meer dan 100 afbeeldingen in kleur en vele zwart-wit illustraties, 300 blz leesplezier met vele aspecten rondom en over ons grootste orgaan “de huid”.
  

  Uitgeverij Boom / Belvedere,Amsterdam / Overveen 1996. ISBN 90 5352 271 9
  
  
  

  Zie ook : Meer weten?

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