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Scottsdale, Ariz. - Lasers and light-based therapies are evolving with increasingly promising results for treatment of acne, but their place is still decidedly only as an adjunct therapy, according to doctors debating the topic at a recent meeting of the Skin Disease Education Foundation.

National report - While the question of what specifically causes rosacea remains unanswered, dermatologists can still address the condition with a number of existing treatment options and look forward to new ones being researched now.

For individuals with recalcitrant disease, the combination of topical therapy for melasma plus a physical modality to remove or destroy pigment might provide additive or synergistic activity.

Schaumburg, Ill. - The American Academy of Dermatology (AAD) will object to a proposed federal ban of over-the-counter sales of hydroquinone.

CMS is proposing for ASCs the same payment groups used under the outpatient prospective payment system (OPPS)...CMS also is proposing to modify the criteria for determining whether Medicare will reimburse an ASC for a particular procedure.

Results from a clinical study investigating the in situ mechanism of action of etanercept (Enbrel, Amgen) in the treatment of psoriasis indicate this agent, which binds both tumor necrosis factor (TNF) and lymphotoxin, breaks the cycle of dendritic cell activation and maturation and thereby decreases T-cell activation and the production of a cascade of inflammatory mediators by multiple cell types, Alice B. Gottlieb, M.D., Ph.D., says.

Interim results from an open-label controlled clinical study indicate that occlusion with a specially designed hydrogel patch safely and significantly enhances the efficacy of a variety of topical medications that are used in the treatment of psoriasis, reported researchers from the University of California at the American Academy of Dermatology's Summer Academy '06.

Since the mid-1980s, mounting evidence has shown that psoriasis is an immune disorder - specifically, that abnormal T-cell activity is a critical component of the disease.

In cases of psoriasis affecting the nails but not the skin, nail biopsy and histopathology can potentially help patients avoid unnecessary treatments, according to a recent study (Grover C et al. Br J Dermatol. 2005 Dec;153(6):1153-1158).

The highly purified liquid injectable form of silicone received approval in 1997 specifically for intraocular injection for tamponade of retinal detachment, but can be used off label.

Piscataway, N.J. - Modern medical acupuncture can help patients, particularly those with chronic skin diseases, improve their overall health and avoid risks associated with systemic treatments, says an expert who has experience with acupuncture both personally and professionally.

National report - Americans will finally have direct market access to products offering long-lasting and complete broad-spectrum UV protection following the long-awaited federal approval of the sun filter Mexoryl, dermatologists say.

National report - Dermatologists are faring better - and often dramatically better - than the average doctor, whose net income fell 7 percent between 1995 and 2003, while the workweek shrank and the proportion of time spent on patient care rose, according to a new report.

Results from one year of follow-up in a phase 3 trial investigating infliximab (Remicade, Centocor) for the treatment of moderate-to-severe psoriasis demonstrate that the dramatic responses, achieved rapidly after induction therapy, are sustained with maintenance therapy in the majority of patients and without the emergence of new safety concerns, reported Alan Menter, M.D., at the American Academy of Dermatology's Academy '06.

While biologic drugs may not provide a first-line treatment for psoriasis, dermatologists are reaching for them somewhat more readily, an expert says.

The combination regimen was associated with about a 50 percent improvement in symptoms of depression evaluated using the Beck Depression Inventory.