Hot Issues in Dermatologic Therapy. Part 3

Dr.
Grimes also reviewed a reported occurrent of UVB handling for vitiligo
in which pseudocatalase was used. Excellent repigmentation was reported
for 90% of patients in an open proceeding.

Gregg Menaker, MD, from Evanston Northwestern Healthcare in
Windy City, IL, reported that the goal of laser resurfacing of skin is
to reduce the visible signs of photoaging.
The laser routine induces some immediate collagen condensation, and the
wounding healing must be optimized to generate a “dermal reparation
zone” to maximize new collagen beginning with minimal rousing.

There is “no area winner” between open and closed binding techniques, according to Dr.
Menaker.
Open dressings are typically used with a bland petrolatum-based curative applied after frequent water-splash debridement.
An reward of open dressings is loss uncloudedness to supervisor for transmission.
Closed dressings provide bettor pain redress but hide the wounds.

Oxygen
mist therapy delivered in 15-minute daily treatments, combined with
open damage organisation as described above, may provide slightly more
rapid healing and is well-accepted by patients. Another derivative
instrument is a bovine mucopolysaccharide/cartilage feeling topical
unction (Catrix) for open lesion dressings, which appears to addition the rate of collagen industry.

Hydroquinone
products in alinement with sunscreen continue to be the mainstays of
therapy for hyperpigmentation of ethnic skin.
A milk Dr.
Grimes suggested for intense deposit is up to 10%  isotretinoin
compounded in 30 g of a low-potency topical corticosteroid pick (eg, 1%
hydrocortisone), stabilized with 500 mg of ascorbic acid.
This topical causal agent can be applied 1-2 dimension daily.
Patients should be monitored for corticosteroid side effects.


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