The early history of the Skin & Cancer Foundation of N.S.W.
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Biomedical subjects
Publications and source records attributed to K Paver.
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Two patients developed halo eczema around isolated seborrhoeic keratoses and in one individual similar halo eczema developed around the nipples. This phenomenon which was previously described with melanocytic naevi has been associated with a number of different central lesions and can be readily recognised. Both the clinical pattern and histopathology suggest that this phenomenon may represent a localised form of nummular dermatitis with a predilection for elevated lesions.
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It is current practice to order eye protection while patients are under treatment with psoralen. There is considerable variation in the protection against long wave light provided by different sunglasses, therefore, it is necessary to write a specific prescription for sunglasses for these patients. We have found Noir Model 102 or 109 with side flaps or the Rayban dark green glass to be the most effective.
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The results of the first six months of treatment of psoriasis with photochemotherapy in the Skin and Cancer Foundation's clinic resulted in 30 out of 53 patients being completely clear of psoriasis lesions, 14 showing progressive improvement (and subsequently clearing), four failures, and five withdrawals. The treatment is not a cure, and requires maintenance therapy. It involves the use of large expensive machines to deliver ultraviolet light, and demands careful supervision and control dosimetry.
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Modern hospital facilities have proved of great value in the management of the more difficult problems presenting to dermatologists. In a series of 100 consecutive patients admitted to hospital, four died, at least one out of every three was found to have undiagnosed internal disease and the average time to gain a remission was three weeks after outpatient treatment had proved unsuccessful over an average of six months.
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