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New York - Cosmetic patients today have a multitude of cosmeceuticals from which to choose, and each product claims to raise the bar in its effectiveness in skin rejuvenation. Many of these products do have some degree of effectiveness, and yet others may be the cause of hardship in terms of eliciting an irritant or allergic contact dermatitis in the unfortunate user. According to one expert, physicians need to scrutinize the ingredients of these cosmeceuticals and carefully pick and choose among the vast array of products for the benefit of their patients.

Edmonton, Alberta - Although several different theories exist with regard to the pathogenesis of vitiligo, an immune basis appears to be the most favored mechanism, with cytokines and other chemical mediators playing a center role in disease development and progression. As a result, immunomodulating therapies such as tacrolimus (Protopic, Astellas) are employed.

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Washington - An advertisement for Aczone (Allergan), a gel used to treat mild-to-moderate acne, "grossly overstates" the drug’s effectiveness, the Food and Drug Administration (FDA) stated in a letter released Aug. 21.

At press time, lawmakers were still inching toward meeting a Sept. 15 deadline set by the Senate Finance Committee to reach a bipartisan compromise on healthcare reform. Dermatologists from across the country were expecting to be on Capitol Hill that day to let lawmakers know face-to-face their concerns about this sweeping legislative initiative.

Dapsone has been an important antibiotic in dermatology, especially historically, in the treatment of leprosy. It has been used for both antimicrobial and anti-inflammatory purposes orally, but no topical preparation was ever available. This is because dapsone is neither water- nor oil-soluble, presenting a formulation challenge.

When Carol Isaacs, M.D., was a dermatology resident, she started collecting what she calls "dermabilia" - "nothing particularly valuable, but nevertheless, interesting to me," says the board-certified dermatologist who is in private practice and on staff at St. Helena Hospital.

A patient with a complicated chronic skin disease consulted me some time ago. He had been under the care of another practitioner and was very satisfied with the quality of the care he had been receiving, but he could no longer afford the treatments being prescribed.

Hungarian-born dermatologist Judith Hellman, M.D., has a life rich in experiences. She served in the Israeli Air Force; she's a classically trained violinist and jazz pianist; and, ultimately, she trained in medicine to follow the footsteps of her father, the late Lawrence Hellman, M.D. - formerly on the dermatologic faculty of Mount Sinai School of Medicine, New York - and her mother, Vera Rados, M.D., an allergist/immunologist, who continues