By H. C. Dung, Curtis P. Clogston, Joeming W Dunn
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Additional info for Acupuncture: An Anatomical Approach
Their use must be monitored carefully. Creams are often preferred to ointments. Lotions and gels are available for the scalp. Coal tar preparations Coal-tar distillates have been used for decades to treat psoriasis. They are safe and seem to act by inhibiting DNA synthesis. The main disadvantages of tar are that it smells and is messy. g. combined with ultraviolet B- the Goeckermann regimen. g. Alphosyl, Carbo-Dome, Clinitar). These preparations are suitable for chronic plaque psoriasis or guttate psoriasis once the acute phase is past.
Skin disease in the general population Reliable population statistics are difficult to obtain, but it appears that in Europe the prevalence of skin disease needing some sort of medical care is about 20%. Eczema, acne and infective disorders [including warts) are the commonest complaints (Fig. 1). Only a minority seek medical advice. Skin disease in community and specialized clinics The precise proportion of skin disorders seen in a community setting (Fig. 2) will vary with the age structure of the population served, the amount of industry in the area and socio-economic factors.
Fig. 4 Hypertrophic lichen planus showing hyperpigmentation. Lichenoid eruptions scarring alopecia is more common (p. 63). ii Malignant change: very infrequent. Management Lichen planus disease is self-limiting in most patients. Moderate to high potency topical steroids usually produce symptomatic improvement. g. Adcortyl in Orabase). Hypertrophic lichen planus may require highly potent topical steroids, sometimes under occlusion, or intralesional steroid injection. Extensive involvement, ulcerative mucous membrane lesions or a potentially scarring nail dystrophy warrant a trial of oral prednisolone (in a dose of 10-40 mg/d) for 1 to 3 months.
Acupuncture: An Anatomical Approach by H. C. Dung, Curtis P. Clogston, Joeming W Dunn