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Keep your English up to scratch!...

Jean-Pierre Charpy Philip Bastable Didier Carnet

Medical English Department, Dijon School of Medicine

[email protected]

Dear readers,

Are you ready to brush up your dermatological English? It is our very great pleasure to present the twentieth English corner based oncontact derma- titis. Don't forget you can use a dictio- nary to help you with the text, and of course, you should visit our website at http://anglaismedical.u-bourgogne.fr/ to work on your pronunciation or build your medical vocabulary. The site also includes a talking dictionary, medical videos, exercises, clinical cases, words and expressions for specialists. . .

Contact dermatitis

Contact dermatitis, as the name implies1, is inflammation of the skin, or a rash, caused by contact with a specific substance. There are two types:

Thefirst, irritant contact dermatitis, is caused by primary irritants. These are substances, such as detergents, latex, bleach2or kerosene, which can trigger3 a reaction on the first contact; the immune system is not involved. This type of dermatitis tends to be painful rather than itchy4.

The second, allergic contact dermatitis, occurs when a person has developed sensitivity5to a particular substance over time6. Common causes of this second type include cosmetics, fragran- ces7in soap8or shampoos and the nickel present in jewellery9and belt10 buckles11. Certain plants, such as rag- weed12or poison ivy13, can also cause these reactions.

The rash occurs because the body's defence system reacts to the substance as if it were an invader and releases14

antibodies and histamine. This inappro- priate reaction can cause water or pus- filled blisters15,flaky16skin, which may develop into raw patches17, general redness, swelling18, red wheals19and persistent itching.

The site of the reaction often indicates the cause. For example, a rash on the wrist20may be due to nickel in the buckle of a watch strap21. People who handle22chemicals at work may suffer from contact dermatitis affecting the hands.

Patch testing is useful to determine what substances are triggering the reaction. In these tests, drops23of diluted potential irritants are placed on strips24, which are then stuck25to the skin. After 48 hours, the strips are removed26and the skin underneath27is examined for signs of an immune reaction.

The treatment consists of protection, by wearing gloves28or using a barrier cream, and avoidance29: avoid using strongly perfumed soaps, for example.

In severe cases, topical corticosteroids and antihistamines can relieve the itching and inflammation, but even then, the symptoms may take several weeks to clear up30.

1. suggests (= laisse entendre) 2. sodium hypochlorite (= eau de javel)

3. cause (= declencher) 4. irritating (= irritant, qui demange)

5. reaction to stimuli (= sensibilite) 6. with time (= avec le temps) 7. perfumes (= parfums, senteurs) 8. product for washing (= savon) 9. necklaces, bracelets etc.

(= bijoux)

10. strap to hold trousers up (= ceinture)

11. metal fastener (= boucle) 12. weed of the genus Ambrosia (= ambroisie)

13. climbing plant of the genus Toxicodendron (= sumac veneneux)

14. produces (= libère)

15.fluid-filled vesicles (= cloques) 16. squamous (= squameux) 17. areas without skin (= lesions a vif)

18. oedema (= gonflement) 19. raised marks (= papules) 20. joint between hand and forearm (= poignet)

21. bracelet for a watch (= bracelet de montre)

22. manipulate (= manipuler) 23. small amount of liquid (= goutte)

24. band of material (= bande adhesive)

25.fixed (= colle) 26. taken off (= retire) 27. below (= en-dessous) 28. clothing to protect hands (= gants)

29. non-use (=evitement) 30. resolve (= se dissiper)

Exercise 1: This text contains several examples of compound nouns.

Example: a strap for a watch is a watch strap, a buckle to close a belt is a belt buckle.

What compound nouns are used to describe the following?

1. a paste for cleaning your teeth 2. a cream for your hands 3. drops for the eyes

4. the system that defends the body 5. a cap for protecting a needle 6. varnish for thefingernails 7. a rash caused by damp nappies 8. a device to trim the nails

1.

toothpaste

2.

handcream 3.

eyedrops

4.

defencesystem

5.

needlecap 6.

nailvarnish 7.

nappyrash 8.

nailtrimmer

doi:10.1684/dm.2018.34

DermatoMag- N82 - avril - mai - juin - 2018 135

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Exercise 2: The text also contains one example of a compound adjective.

Example: blisters that are full of pus are pus-filled blisters.

What compound adjectives describe the following?

1. a technique that uses a vacuum to close a wound

2. treatment that takes a lot of time to administer

3. a drug that acts over a long time 4. a treatment that modifies the course of a disease

5. a response that depends on the size of the dose

6. a papule the size of a pea

7. an incision that is four inches long 8. a biopsy of the full thickness of the skin

1.

vacuum-assistedclosure

2.

time-consumingtreatment

3.

long-actingdrug

4.

disease-modifyingtreatment

5.

dose-dependentresponse

6.

pea-sizedpapule

7.

four-inch-longincision

8.

full-thicknessskin biopsy

136 DermatoMag- N82 - avril - mai - juin - 2018

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