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Pediatric Dermatology

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Los Angeles -- Diabetic ulcers can be reduced or even eliminated by correcting abnormal biomechanics of the feet, including a tight Achilles tendon and limited motion of the great toe, researchers said at the annual meeting of the American College of Foot and Ankle Surgeons

Keeping a little 'up the sleeve' when applying local anesthesia maximizesefficacy and episode outcomesNew Orleans - Attention to scheduling and techniques for localanesthesia delivery and suturing are important in making dermatologic surgerya favorable experience for children and achieving an optimal cosmetic result,said Annette M. Wagner, M.D., at the annual meeting of the American Academyof Dermatology.

Jane, a very mature 17-year-old adolescent, presents to Dr. Jones forremoval of a facial nevus. Dr. Jones discusses the risk/benefit ratio ofsuch an excision. In the course of the discussion, he determines that sheis working a full-time job and lives with her boyfriend at home with herparents. She signs a standard consent form. Dr. Jones does not realize thatshe is 17; he did not ask. Ultimately she is not happy with the scar andwishes to sue her dermatologist. The basis of her suit is that at age 17she was not able to provide informed consent. Dr. Jones is aware that, asa general rule, a patient must be 18 years of age to provide informed consent.However, he contends that Jane was highly intelligent, articulate and hada better understanding of the procedure than some 19 year olds might have.Can Jane, as an adolescent, give informed consent?

New Orleans - The experience of a teenage girl treated successfully with infliximab (Remicade) for severe, recalcitrant psoriasis of her hands and feet indicates the value of the TNF-alpha chimeric monoclonal antibody as a therapeutic option for psoriasis.

Hanover, N.H. - Tanning beds and lamps could more than doublethe risk of nonmelanoma skin cancers, according to a study conducted byDartmouth Medical Center researchers.

Miami Beach, Fla. - Isotretinoin (Accutane) causes depressionand mood changes but all cases can be managed for successful results, RonaldC. Hansen, M.D., said here at the annual Masters of Pediatrics meeting.

Demographic and ethnic traditions aside, doctors must examine at woundsand draw conclusions

Miami Beach, Fla. - The acne war chests of dermatologists haveexpanded with new devices, including azelaic acid, retinoids, and oral antibiotics.The FDA has even added oral contraceptives to the armamentarium.

Money Matters

Q: I'm planning on buying a vacation home that ultimately willbe where we will live during retirement. Should I pay cash for the homeor apply for a mortgage?

Denver - Two bills introduced in Colorado's State Legislatureare the latest entries in a nationwide effort to rein in drug costs withrestricted formularies.

Mutation of Fifth disease cited as possible cause of cross-country 'mysteryrash'