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Skin Cancer01:30

Skin Cancer

6.5K
Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
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Changes in Skin Color: Clinical Perspectives01:14

Changes in Skin Color: Clinical Perspectives

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The first thing a clinician sees is the skin, so the examination of the skin should be part of any thorough physical examination. Most skin disorders are relatively benign, but a few, including melanomas, can be fatal if untreated. A couple of the more noticeable disorders, albinism and vitiligo, affect the appearance of the skin and its accessory organs.
Albinism
Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, hair, and eyes. The defect is primarily...
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Pigmentation01:19

Pigmentation

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The color of the skin is influenced by a number of pigments, including melanin, carotene, and hemoglobin. Recall that melanin is produced by cells called melanocytes, which are found scattered throughout the stratum basale of the epidermis. The melanin is transferred to the keratinocytes via melanosomes.
Melanin occurs in two primary forms: eumelanin that provides black and brown pigment and pheomelanin that provides red color. Dark-skinned individuals produce more melanin than those with pale...
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Skin Diseases and Disorders01:23

Skin Diseases and Disorders

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Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
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Role of Skin in Vitamin D Synthesis01:23

Role of Skin in Vitamin D Synthesis

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The skin plays a crucial role in the synthesis of vitamin D, a vital nutrient for various physiological processes in the body. Vitamin D is unique because it can be synthesized in the skin through a series of chemical reactions triggered by exposure to ultraviolet B (UVB) radiation from sunlight.
The solar UV B rays (290-315 nm) are absorbed by the skin, and 7-dehydrocholesterol (provitamin D3) photolyzes it to previtamin D3, which undergoes a rapid transformation to vitamin...
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Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

Varicose Veins II: Diagnostic Studies and Interprofessional Care

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Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
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Intervenciones para el vitiligo

Khaled Ezzedine1, Maxine Whitton2, Mariona Pinart3

  • 1Department of Dermatology, Henri Mondor Hospital and EpiDermE, Université Paris-Est Créteil Val-de-Marne, Créteil, France.

JAMA
|October 27, 2016
PubMed
Resumen
Este resumen es generado por máquina.

Las terapias combinadas, especialmente con la banda estrecha UV-B, muestran una mayor eficacia para la repigmentación del vitiligo que las monoterapias. Sin embargo, estos tratamientos combinados están relacionados con un aumento de los efectos adversos, lo que requiere una cuidadosa consideración de los riesgos y beneficios.

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Área de la Ciencia:

  • Dermatología
  • Fototerapia
  • Farmacología

Sus antecedentes:

  • El vitiligo es una enfermedad crónica de la piel caracterizada por la despigmentación.
  • Se buscan estrategias de tratamiento efectivas para mejorar la repigmentación y minimizar los eventos adversos.

Objetivo del estudio:

  • Evaluar la eficacia y seguridad de las diferentes intervenciones para el tratamiento del vitiligo.
  • Para comparar las terapias combinadas frente a las monoterapias para la repigmentación del vitiligo.

Principales métodos:

  • Revisión de las pruebas sobre diversas intervenciones para el tratamiento del vitiligo.
  • Evaluación de las tasas de repigmentación reportadas y de los efectos adversos asociados a las diferentes terapias.

Principales resultados:

  • Las terapias combinadas, en particular con la banda estrecha UV-B, demostraron una repigmentación superior en comparación con las monoterapias.
  • La evidencia limitada apoya la monoterapia UV-A o UV-B por sí sola para el vitiligo.
  • La evidencia moderada apoya las terapias combinadas (UV-A/UV-B con psoralens, corticosteroides, análogos de la vitamina D, fluorouracil, azatioprina, prednisolona oral) para mejorar los resultados.
  • Las terapias combinadas se asociaron con una mayor incidencia de efectos adversos.

Conclusiones:

  • Las terapias combinadas ofrecen una mayor eficacia para la repigmentación del vitiligo.
  • El aumento del riesgo de efectos adversos con las terapias combinadas requiere una cuidadosa selección y monitorización de los pacientes.