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Biomedical subjects

Raymond T Kuwahara

Publications and source records attributed to Raymond T Kuwahara.

12 recordsLinked to original sources

Topical imiquimod treatment for nodular basal cell carcinomas: an open-label series.

BACKGROUND: Imiquimod has been used for basal cell carcinomas (BCCs). This is the first open-label series using imiquimod for nodular BCC with Mohs surgery resection for confirmation of treatment. OBJECTIVE: To evaluate the efficacy of topical imiquimod in patients with biopsy-proven nodular BCC. RESULTS: After 12 weeks for three times a week application, treatment sites at week 15 were surgically excised using Mohs micrographic surgery. All 15 treatment subjects were clear of BCC. At the 18-month follow-up, no patients had recurrent tumor. CONCLUSION: Imiquimod 5% cream may be another treatment modality for nodular BCC.

Administration, Topical↗

Dermatologic surgery in the demented patient.

BACKGROUND: Dementia is an organic mental disorder that is characterized by a general loss of intellectual abilities involving impairment of memory, judgment, and abstract thinking as well as changes in personality. Demented patients are a growing subgroup within the practice of dermatologic surgery and especially in Mohs surgery. These patients often have other medical and social concerns in addition to their dementia. OBJECTIVE: Demented patients require specific knowledge of their problems to care for them properly, especially in cases in which prolonged procedures are required such as Mohs surgery. METHODS: A review the literature is given regarding this subgroup of patients and how to best prepare and care for them before, during, and after dermatologic surgery. RESULTS: Demented patients often have other medical concerns and therefore have associated medications, medical ailments, postsurgical care, and social and mental challenges. CONCLUSION: The dermatologic surgeon needs to be aware of the special concerns of demented patients, especially in prolonged and potentially complicated surgeries. Not only do they have mental challenges, but they often have other medical and social challenges that need to be specifically accounted for before, during, and after dermatologic surgery.

Caregivers↗

Facial rash.

Explore the source record for details and available documents.

Anti-Bacterial Agents↗

Maffucci syndrome: a case report.

The multiple enchondromas and hemangiomas of Maffucci syndrome affect the skin and skeletal systems. The disease develops slowly, with enlargement of enchondromas and hemangiomas occurring during the first 2 decades of life. Effects of the disease range from those requiring minor adjustments in activities of daily living to almost total incapacitation.

Adult↗