Key points Psoralen-UV-A (PUVA) photochemotherapy involves use of either an oral or topical psoralen followed by exposure to long-wave UV-A radiation. This combination leads to a clinically beneficial phototoxic response, which has been used therapeutically for a wide array of…
Key points Phototherapy with UV light can be used in the treatment of several cutaneous disorders. Phototherapy is an efficacious treatment option in the management of psoriasis and should be a first therapy considered in patients with moderate-to-severe plaque psoriasis.…
Key points Today, psoriasis is a global disease causing significant impairment in quality of life, disfiguring morbidity, and increased mortality. Psoriasis affects men and women equally. Two-thirds of patients are thought to have mild disease, and one-third of patients are…
Chapter Summary Accreditation focuses on the quality of patient care provided while Medicare standards tend to focus on the physical aspects of the healthcare facility and environment. Accreditation surveys review every aspect of a healthcare facility and confirm that the…
Chapter Summary Design and plan the suite about 12–18 months in advance of the anticipated starting date for using the suite. Consult experts in medical office design and construction. Decide which type of surgical facility is right for your practice.…
Chapter Summary Photoaging-related mottled pigmentation is a common manifestation associated with other dermatoses, including solar lentigines and melasma. Combination treatments must be individualized to each patient based on the pattern and cause of the pigmentation. Treatment targets are broadly divided…
Chapter Summary Hidradenitis suppurative (HS) is a chronic, recurrent inflammatory disease of the skin. Patients with HS may suffer with systemic associations and/or complications in addition to skin lesions. HS greatly affects quality of life and may have huge physical…
Chapter Summary The ear, and particularly the earlobe, plays a significant role in appearance, and has traditionally been adorned with earrings. The auricle consists of skin and cartilage, whereas the earlobe consists of skin and fibrous fatty tissue and is…
Chapter Summary Nail surgery is delicate and requires in-depth knowledge of the anatomy and biology of the nail as well as surgical skills and special experience in this particular field. Optimal patient preparation, exact planning for what shall be done,…
Chapter Summary Most leg ulcers are the result of venous disease, arterial disease, neuropathy, or a combination of the three. A careful medical history and thorough physical examination is critical to the diagnosis and management of leg ulcers. Compression therapy…