Skin disorder

Tests with animals have revealed that dioxin is one of the most toxic substances known Toward mice it IS about 2000 times more toxic than strychnine and about 150 000 times more toxic than sodium cyanide Fortunately however available evidence in dicates that humans are far more resistant to dioxin than are test animals and so far there have been no human fatalities directly attributable to dioxin The most prominent short term symptom seen so far has been a severe skin disorder known as chloracne Yet to be determined is the answer to the question of... 

Anthralin [1143-38-0] is acetylated using acetyl chloride in toluene and a pyridine catalyst to furnish 1,8-dihydroxy-lO-acetylanthrone [3022-61-5], an intermediate in the preparation of medications used in treating skin disorders, such as warts, psoriasis, and acne (38). Sugar esters can be similarly prepared from acetyl chloride under anhydrous conditions (39). 

P-Carotene is prescribed in the treatment of the inherited skin disorder erythropoietic protoporphyria (EPP) to reduce the severity of photosensitivity reactions in such patients. The essential theoretical background relevant to the role of carotenoids as photoconductors has been reviewed (211). P-Carotene has also been used as a photoconductor in recording-media film. 

Oral treatment offers the advantage of bringing all the lesions at all sites under control, in addition to the absence of unpleasant cosmetic effects. In certain cases, it may be preferable to use oral treatment for C. albicans vaginitis and for extensive and persistent pityriasis versicolor, a skin disorder caused by Pityrosporum orbiculare. In the case of onychomycosis, a combination treatment, topical plus systemic, is required. It is preferable to use oral treatment for deep and systemic mycoses, though intravenous or intrathecal treatment is sometimes required. 

Bismuth subgaHate [12552-60-2] (basic bismuth gaHate), Dermatol, is a bright yellow powder that can be prepared by the interaction of bismuth nitrate and gaUic acid in an acetic acid medium. It has been employed as a dusting powder in some skin disorders and as an ingredient of suppositories for the treatment of hemorrhoids (183,185). It has been taken orally for many years by colostomy patients in order to control fecal odors, but the dmg may cause serious neurological problems (186). 

Sensitizer A sensitizer is defined by OSHA as "a chemical that causes a substantial proportion of exposed people or animals to develop an allergic reaction in normal tissue after repeated exposure to the chemical." The condition of being sensitized to a chemical is also called chemical hypersensitivity. Certain chemicals have no immediate health effect. But if you are exposed to them several times, they can make you allergic or sensitive to other chemicals. A classic example is formaldehyde (HCHO). Typical reactions to sensitizers can include skin disorders such as eczema. When working with sensitizers, always use proper protective equipment such as gloves, respirators, etc. Once you are sensitized to a particular chemical, even minute amounts will cause symptoms. Sensitization is usually a lifelong effect. 

Goldberger and Lillie in 1926 found that rats fed certain nutritionally deficient diets developed dermatitis acrodynia, a skin disorder characterized by edema and lesions of the ears, paws, nose, and tail. Szent-Gyorgyi later found that a factor he had isolated prevented these skin lesions in the rat. He proposed the name vitamin Bg for his factor. Pyridoxine, a form of this vitamin found in plants (and the form of Bg sold commercially), was isolated in 1938 by three research groups working independendy. Pyridoxal and pyridoxamine, the forms that predominate in animals, were... 

Ei addition, clinical observations in EFN-a-treated hqiatitis C or melanoma patients have suggested a promoting effect of type I EFN in autoreactive skin disorders such as Lichen planus. This inflammatory skin disease was, however, not restricted to EFN-a treated patients but was found to be associated with expression by so far unknown mechanisms of the EFN-induced MxA... 

These dru are contraindicated in patients with known hypersensitivity. Hydroxychloroquine is contraindicated in patients with porphyria (a group of serious inherited disorders affecting the bone marrow or the liver), psoriasis (chronic skin disorder), and retinal disease (may cause irreversible retinal damage). MTX is contraindicated during pregnancy because it is a Pregnancy Category X dmg and may cause birth defects... 

Adverse reactions with administration of bupropion include citation, dry mouth, insomnia, headache, nausea, constipation, anorexia, weight loss, and seizures. Fluoxetine administration may result in headache, activation of mania or hypomania, insomnia, anxiety, nervousness, nausea, vomiting, and sexual dysfunction. Trazodone administration may cause the following adverse reactions drowsiness, skin disorders, anger, hostility, anemia, priapism, nausea, and vomiting. Additional... 

Pemphigus, bullous dermatitis herpetiformis, severe erythema multiforme (Stevens-Johnson syndrome), exfoliative dermatitis, mycosis fungoides, severe psoriasis, severe seborrheic dermatitis, angioedema, urticaria, various skin disorders, such as lichen planus or keloids... 

Topical Drugs Used in the Treatment of Skin Disorders... 

List the types of drugs used in the treatment of skin disorders. 

Discuss the general drug actions, uses, and reactions of and any contraindications, precautions, and interactions associated with drugs used in the treatment of skin disorders. 

Discuss important preadministration and ongoing assessment activities the nurse should perform on patients receiving a drug used to treat skin disorders. 

List some nursing diagnoses particular to a patient using a drug to treat a skin disorder. 

Discuss ways to promote an optimal response to therapy and important points to keep in mind when educating the patient about a skin disorder. 

Topical corticosteroids exert localized anti-inflamma-toiy activity. When applied to inflamed skin, they reduce itching, redness, and swelling. These drugs are useful in treating skin disorders, such as psoriasis, dermatitis, rashes, eczema, insect bite reactions, and first-and second-degree burns, including sunburns. 

The Patient Receiving a Topical Drug for a Skin Disorder... 

Finally, glycolic acid is a member of the alpha-hydroxy acid family, which provides an important adjunctive therapy in a variety of skin disorders. It is widely used in chemical peels in a variety of concentrations, ranging from 20 to 70%. People of almost any skin type and color are candidates and almost any area of the body can be peeled. 

Post-inflammatory hyperpigmentation (PIH) is the acquired presence of darker macules and patches of skin occurring at sites of previous cutaneous inflammatory conditions. The processes preceding the altered skin color include mechanical injuries, allergic reactions, primary inflammatory skin disorders, and therapeutic interventions. 

PIH can be observed after endogenous or exogenous inflammatory conditions. Essentially any disease with cutaneous inflammation can potentially result in PIH in individuals capable of producing melanin. Several skin disorders such as acne, atopic dermatitis, allergic contact dermatitis, incontinenti pigmenti, lichen planus, lupus erythematosus, and morphea have PIH as a predominant feature. Exogenous stimuli,both... 

Toxic epidermal necrolysis—a life-threatening skin disorder characterized by blistering and peeling of the top layer of skin. 

Psoriasis is a common inflammatory skin disorder which is estimated to affect 1.5% to 3% of the Caucasian population.1,2 It may present at any age.3,4 Ethnic factors influence disease prevalence. In the United States, prevalence among blacks (0.45% to 0.7%) is lower than in the remainder of the United States population (1.4% to 4.6%).1 Between 10% and 30% of patients with psoriasis will also have psoriatic arthritis.5 In 10% to 15% of psoriatic patients with arthritis, joint symptoms actually appear prior to skin involvement.3 Clinical depression is another frequent comorbid illness in these patients. A recent United States survey showed that 8% to 10% of psoriatic patients aged 18 to 54 years old actively contemplated suicide because of their psoriasis.6... 

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