Psoriasis & skin cancer

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  • Treating psoriasis is changing. Home remedy may help but there's a certain medication that I have used in treating psoriasis. Try to take a look here http://www.healthbasin.com/my-review-on-dermasis-for-psoriasis/. This may help to lessen the red-scaly-itcy skin disease.
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Psoriasis & skin cancer Psoriasis & skin cancer Presentation Transcript

  • ALTERATION IN SKIN FUNCTION AND INTEGRITY
  • I N U EN R SYSTEM TEG M TA Y1. PR TEC D O TS EEPER TI SSU FR M ES O : A. M H I C D AG EC AN AL AM E B. C EM C D AG H I AL AM E C BAC I AL D AG . TER AM E D U AVI O . LTR LETR AI ATI O AD N E. TH M D AG ER AL AM E F. D C ATI O ESI C N2. AI D I N BO Y H S D EAT LO O H SS R EAT RETEN O TI N3. AI D I N EXC ETI O O U EA AN U I C AC D S R N F R D R I4. SYNTHESIZES VITAMIN D
  • PSO I A S R SIW AT I S PSO I A S??? H R SI *AN AU I M U E D SEASE TH AFFEC TH SKI N TO M N I AT TS E *I S A N N O TAG O S SKI N C N I TI O TH PR D C R , D Y OCN I U OD N AT O U ES ED R PLAQ ES O TH C ED SKI N U F I KEN *C M O LY AFFEC TH SKI N O TH ELBO S, KN O MN TS E F E W EES, AN SC D ALP *C N O O TR LLABLE W TH M I C O I ED ATI N *TH E AR M Y PR M SI N TH API ES, I N LU I N N ER ER E AN OI G ER C D G EW BI O G C D U S LO I RG
  • C SSI FI C TI O LA A N1. NO -PU LA PSO I A S N STU R R SI A. PSO I ASI S VU AR S * R LG I *C R N C STATI O AR PSO I ASI S HOI N Y R *M ST C M O FO M O PSO I ASI S. O O MN R F R B. PSO I ATI C ER R D M * R YTH O ER A *ER R D M C PSO I ASI S YTH O ER I R2. PU LA PSO I A S STU R R SI A. G ER ZED PU LAR PSO I ASI S * EN ALI STU R B. PER STEN PALM PLAN SI T O TAR PU LO S * * STU SI C AN U . N LAR PU LAR PSO I ASI S * STU R D AC O ER ATI TI S C N N A * . RD M O TI U E. I MPETI G H PETI FO M * O ER RS
  • 3. AD I TI O A TYPES O PSO I A S: D NL F R SI A. D U I N U ED PSO I ASI S RG DC R B. I N SE PSO I ASI S VER R C N . APKI N PSO I ASI S * R D SEBBO R EI C KE PSO I ASI S . R H -LI R E. G TTATE PSO I ASI S * U R F. N L PSO I ASI S * AI R G PSO I ATI C AR R TI S * . R TH I
  • PA O YSI O G TH PH LO Y T CELLS O T LYM O YTES AR TYPE O W I TE BLO D C R PH C E F H O ELL TH ATN R ALLY W D O FO EI G I N ER (VI R SES AN BAC I A) AN OM AR S FF R N VAD S U D TER DFI G TS I N TI O . I N PSO I ASI S, T C H FEC N R ELLS AR M STAKEN E I LYAC VATED (AS I F TO H TI EAL A W U D O TO FI G T AN I N TI O ) AN ON R H FEC N DTR G ER O ER I M U E R I G TH M N ESPO SES TH SPEED U TH G O TH C LE N AT P E RW YCO SKI N C F ELLS. A N R AL SKI N M R AN FALLS O TH BO Y’S OM ATU ES D FF E DSU FAC I N 28-30 D R E AYS, BU A PSO I ATI C SKI N C T R ELL TAKES O LY N3-4 D AYS TO M R AN M VE TO TH SU FAC I N ATU E D O E R E. STEAD O FFALLI N O (SH D N ), TH C G FF ED I G E ELLS PI LE U AN FO M LESI O S. P D R N
  • O AC VE T C VER TI ELLS TR G ER O ER I M U E R I G TH MN ESPO SES. TH N EEFFEC I N LU E D LATI O O BLO D VESSELS I N TH SKI N AR U D TS C D I N F O E ONTH PLAQ ES AN AN I N R E U D C EASE I N O ER W I TE BLO D C TH H O ELLS TH ATC EN AN TER TH O TER LAYER O SKI N TH E U F . ESE C AN ES R LT I N AN H G ESUIN R C EASED PR D C O O BO H O U TI N F TH EALTH SKI N C Y ELLS AN M R T D OECELLS AN O ER W I TE BLO D C D TH H O ELLS. TH S C SES AN O -G I N I AU N O GC LE I N W I C N SKI N C YC H H EW ELLS M VE TO TH O TER O LAYER O O E U M ST FSKI N TO Q I C O U KLY — I N D AYS R ER TH W ATH AN EEKS. D EAD SKI N ANDW I TE BLO D C H O ELLS C T SLO G O Q I C AN U H FF U KLY EN U H AN BU LD OG D IU I N TH C SC P I K, ALY PATC ES O TH SKI N SU FAC TH S U ALLY H N E S R E. I SUD ESN STO U LESS TR O T P N EATM T I N R PTS TH C LE. EN TER U E YC
  • C U TI VE FA TO S A SA C R TH C SE O PSO I ASI S I SN FU E AU F R ’T LLY KN W , BU I TS TH U H ON T OGTTO BE RELATED TO TH I M U E SYSTEM AN I TS I N AC O W TH E MN D TER TI N ITH EN R N EN I N PEO E VI O M T PLE W O H H AVE TH G ETI C SU EPTI BI LI TY. E EN SCC M O I SED SKI N BAR I ER FU C O H O PR M R N TI N AS A R LE I N PSO I ASI S O RSU EPTI BI LI TY. SC
  • PR I PI TA N FA TO S EC TI G C R1. I N TI O S, SU H AS STR TH O O TH U FEC N C EP R AT R R SH2. I N R TO TH SK N SU H AS A C T O SC APE, BU BI TE, O A JU Y E I , C U R R G R SEVER SU BU N E N R3. STR ESS4. CO W TH LD EA ER5. SM K N OI G6. HEA ALC H L CO SU PTI O VY OO N M N7. C TAI N M I C TI O S — I N LU I N ER ED A N C D G LI TH U , W I C I M H H IS PR R BED FO BI PO ESC I R LAR D SO D ; H G BLO D PR I R ER I H O ESSU E R M I C O S SU H AS BETA BLO KER AN M ED ATI N C C S; TI ALAR AL D U S; AN I RG D IOID D ES
  • C N C L M N FESTA O S LI I A A I TI N1. W I TE FLA Y LA H K YER O SI LVER W I TE SC LES O F Y H A VER TH PATC ED E H O IN F FLAM ED SKI N (ER PTI O S, U ALLY I N A SYM ETR C U N SU M I AL D STR BU O , C M O LY LO ATED O TH SC I I TI N O M N C N E ALP, ELBO S, KN W EES, G I TAL AN SAC AL R I O S) EN D R EG N2. K EB ER PH O EN N LESI O S D O N ’S EN M O - N EVELO AT TH SI TE O I N R P E F JU Y (TR M R AU A, EPEAT R BBI N O ABR O S) U G R ASI N3. A SPI TZ SI G - A SPEC AL D AG O C SI G I N PSO I ASI S; U N I I N STI N R PU N O O E O TH LLI G F N F ESE SM ALL D Y W I TE FLAKES O SKI N R H F C SES A TI N BLO D SPO O TH SKI N AU Y O T N E4. I TC I N , BU N N O SO EN H G R I G R R ESS5. G ER LI ZED ER PTI O (I N SEVER PSO I ASI S VU AR S) EN A U N E R LG I
  • 6. G ER LI ZED EN A , STER LE I C TA EO S U N U PU LES STU O R PU S- FI LLED YELLO I SH SM , W , ALL BLI STER (I N PU LAR PSO I ASI S) S STU R7. PI N I N D ESSI O S O W I TE SPO PO T EPR N R H TS O TH N L O AS N E AI R LAR ER YELLO I SH O N SEPAR O S O TH N L BED C G W -BR W ATI N F E AI ALLED "O L SPO I TS" (N L PSO I ASI S) AI R8. SEVER D N R FF W TH D Y FLA ES A D R E ADU I R K N ED A EA O SK N R S F I (SEBO R EI C KE PSO I ASI S) R H -LI R9. I N M A O O AN JO N (PSO I ATI C AR R TI S) FLA M TI N F Y I TS R TH I10. PSYC O G C L D STR H LO I A I ESS C LEAD TO SI G I FI C T D ESSI O AN N AN EPR N AN SO I AL I SO D C LATI O N
  • C M C TI O S O PLI A N1. M B LI C SYN R M ETA O D O E- A C STER O C N I TI O S TH LU F OD N AT I N LU E C D H G BLO D PR I H O ESSU E AN ELEVATED I N LI N LEVELS R D SU2. I N M A R BO EL DI SEA FLA M TO Y W SE3. CA D O SC LA DI SEA R I VA U R SE4. CA C N ER5. TH C EN I K ED SK N A D B C I A SK N I N TI O S C SED BY I N A TER L I FEC N AU SC ATC I N I N AN ATTEM TO R EVE SEVER I TC I N R H G PT ELI E H G6. FLU D A D ELEC O I N TR LYTE I M A N E I N TH C B LA C E ASE O SEVER F E PU LAR PSO I ASI S STU R7. DEPR ESSI ON
  • D A N STI C TESTS/EXA S I GO M1. VI SU L EXA I N TI O * * A M A N2. SK N BI O I PSY *3. X-R Y * A4. LA TESTS B
  • M I C L M N G EN ED A A A EM T1. PH R A O G C L M N G EN A M C LO I A A A EM T A. TO C L PI A *TO C C R C STER I D (STER I D SU H AS PI AL O TI O O S O S, C H R C R SO E) YD O O TI N *VI TAM N D AN G E I ALO U C EAM C R ALLED C I TR O ALC I L *M I STU I ZER ESPEC ALLY W TH TH APEU C O R S, I I ER TI C N EN ATI O S O SALI C C AC D LAC C O C TR N F YLI I , TIAC D I , U EA, AN G O C AC D R D LYC LI I *I M U O O U M N M D LATO S (TAC O M S AN PI M R LI M S) R R LI U D EC O U *BATH SALTS O BATH N I N H G -SALT-C N EN ATI O R I G I H O C TR N WATER * S * C AL TAR O * AN R N TH ALI
  • *Coal t ar - A m or advant age w t h t ar i s l ack of ski n aj it hi nni ng * *Ant hr al i n
  • B. SYSTEM C DR G I US *M R TR ETH O EXATE- I M O EN PR VEM TS I N TH EE TO SI X W R EEKS. SEVER AL M N S M BE R U R O TH AY EQ I ED BEFO E M M R AXI AL BEN TS AR AC I EVED EFI E H . *AC TR N I M O EN I ETI - PR VEM TS I N EI G T TO SI XTEEN W H EEKS, TH U H SEVER OG AL M N S M O TH AY BE R U R EQ I ED FO R M M BEN T. AXI AL EFI *C LO R N I M O EN I N AS FEW AS TW W YC SPO I - PR VEM TS O EEKS O F TREATM TS, BU M R U R SEVER EN T AY EQ I E AL M N S TO O TH AC I EVE M M M BEN T. I N SO E C H AXI U EFI M ASES, PATI ENTS MAY C N N E W TH A M N AN E LEVEL D SAG O TI U I AI TEN C O E AFTER C LEAR C O C R AN E C U S.
  • TR I TI O AL SYSTEM C D U S TEN TO H AD N I RG D AVE O E O M R O N R OE FTH FO W N SI D EFFEC E LLO I G E TS:D R EC EASED KI D EY FU C O N N TI NHG CO I H H LESTER L OH G BLO D PR I H O ESSU E RLI VER D AG AM ED ESSI O EPR NUPSET STO AC O N SEA M H R AUSKI N C C S (PATI EN AN ER TS W O TAKE C LO R N AFTER PU H YC SPO I E VATH API ES H ER AVE A H G ER I N I D C O SQ AM U C I H C EN E F U O S ELL SKI NC C . TH R SKS AR G EATEST W TH LO G AN ER E I E R I N -TER AN PR O S M D EVI UU O PU SE F VA, M O EXATE, O O ER I M U O PPR ETH TR R TH M N SU ESSANTS.)EYE PR BLEM O S
  • C. AD I TI O A SYSTEM C DR G D NL I US *ALEFACEPT (AM VE)- T-C EVI ELL BLO KER C S *ETAN C ER EPT (EN EL) BR *AD M M (H M R ALI U AB U I A) TYPES O TN BLO KER F F C S *G LI M M (SI M N )- N LY O U AB PO I EW EXPER M TED I N TABLES I EN JEC
  • 2. PH TO ER PY O TH A A. UVB UVA PH TO ER PY * / O TH A PRESEN I N N R T ATU AL SU LI G T, U N H VB I S AN EFFEC VETI TR EATM T FO PSO I ASI S. U PEN ATES TH SKI N AN SLO S EN R R VB ETR E D W TH G O TH O AFFEC E RW F TED SKI N C ELLS. TREATM T I N LVES EN VO EXPO N TH SKI N TO AN AR FI C AL U LI G T SO R E FO A SI G E TI I VB H UC R SET LEN TH O TI M O A R U G F E N EG LAR SC ED LE. TH S TR H U I EATM T EN I S AD I N STER I N A M I C SETTI N O AT H M M I ED ED AL G R O E.
  • THERE ARE TWO TYPES OF UVB TREATMENT, BROAD BAND ANDNARROW BAND. THE MAJOR DIFFERENCE BETWEEN THEM IS THATNARROW BAND UVB LIGHT BULBS RELEASE A SMALLER RANGE OFULTRAVIOLET LIGHT. NARROW-BAND UVB IS SIMILAR TO BROAD-BANDUVB IN MANY WAYS. SEVERAL STUDIES INDICATE THAT NARROW-BANDUVB CLEARS PSORIASIS FASTER AND PRODUCES LONGER REMISSIONSTHAN BROAD-BAND UVB. IT ALSO MAY BE EFFECTIVE WITH FEWERTREATMENTS PER WEEK THAN BROAD-BAND UVB.
  • B HO E UVB PH TO ER PY . M O TH A LI KE PH TO ER O TH APY I N A C N C I T R U R LI I , EQ I ES A C N STEN O SI TTR EATM T SC ED LE. I N I VI D ALS AR TR EN H U D U E EATED I N TI ALLY AT A IM I C FAC LI TY AN TH BEG N U N A LI G T U I T AT H M ED AL I D EN I SI G H N O E.I T I S C I TI C W EN D I N PH TO ER R AL H O G O TH APY AT H M TO FO W A OE LLOD C R I N U TI O S AN C N N E W TH R U O TO S STR C N D O TI U I EG LAR C EC PS. H K-UH M PH TO ER OE O TH APY I S A M I CED AL TR EATM T TH EN AT R U R EQ I ESM N TO I N BY A H OI R G EALTH C E PR FESSI O AL. ALL PH TO ER AR O N O TH APYTR EATM TS, I N LU I N EN C D G PU C ASE O RH F EQ I PM T FO U EN R HMOEU SE, R U R A PR R PTI O . SO E I N R C C M I ES W LL EQ I E ESC I N M SU AN E O PAN IC VER TH C ST O H M U O E O F O E VB EQ I PM T. VEN O S O H M U EN DR F OEPH TO ER O TH APY EQ I PM T O U EN FTEN W LL ASSI ST YO I N W R N W TH I U O KI G IYO R I N R C C M Y TO PU C ASE A U I T. U SU AN E O PAN RH N
  • C. SU LI G T * N H ALTH U H BO U AN U AVI O OG TH VB D LTR LET LI G T A (U H VA) AR EFO N I N SU LI G T, U W R BEST FO PSO I ASI S. U FR M TH UD N H VB O KS R R VB O ESU W R N O KS TH SAM W AS U E E AY VB I N PH TO ER O TH APY TR EATM TS. ENSH R M LTI PLE EXPO R O T, U SU ES TO SU LI G T AR R O M D . STAR N H E EC M EN ED TW TH FI VE TO 10 M N TES O N O TI M SU D LY. G AD ALLY I I U F ON E N AI R UIN RC EASE EXPO R TI M BY 30 SEC N S I F TH SKI N TO ATES SU E E OD E LERI T. TO G TH M ST FR M TH SU , ALL AFFEC ET E O O E N TED AR EAS SH U O LDR EI VE EQ AL AN AD U EC U D EQ ATE EXPO RSU E. R EM EM BER TO W EARSU SC EEN O AR N R N EAS O YO R SKI N U AFFEC F U N TED BY PSO I ASI S. I T RC TAKE SEVER W AN AL EEKS TO SEE I M O EN PR VEM T.
  • D. PU / PH TO H O ER PY * VA O C EM TH A LI KE U VB, U AVI O LTR LET LI G T A (U H VA) I S PR ESEN I N TSU LI G T. U LI KE U N H N VB, U I S R VA ELATI VELY I N EFFEC VE U LESS TI NU SED W TH A LI G T-SEN TI ZI N M I C O PSO ALEN W I C I H SI G ED ATI N R , H HI S AD I N STER TO C M I ED PI ALLY O O ALLY. TH S PR C R R I O ESS, C ALLEDPU VA, SLO S D W EXC W ON ESSI VE SKI N C ELL G O TH AN C C RW D AN LEARPSO I ASI S SYM M R PTO S FO R VAR N YI G PER O S O I D F TI M E.STABLE PLAQ E PSO I ASI S, G TTATE PSO I ASI S, AN PSO I ASI S U R U R D RO TH PALM AN SO F E S D LES AR M ST R E O ESPO SI VE TO PU N VATR EATM T. TH M ST C M O SH R EN E O O M N O T-TER SI D EFFEC O PU M E TS F VAAR N SEA, I TC I N AN R N E AU H G D ED ESS O TH SKI N D I N N M LK F E . R KI G IO G N ER ALE, TAKI N G N ER SU R I G G I G PPLEM TS O EATI N W I LE EN R G HTAKI N G O AL R PSO ALEN R M AY PR EVENT N SEA. AUAN H STAM N TI I I ES, BATH W TH C LLO D S I O I AL O EAL PR D C ATM O U TS O RAPPLI C O O TO C ATI N F PI AL PR D C O U TS W TH C I APSAI C N M H I AY ELPR EVE I TC I N . SW ELI H G ELLI N O TH LEG FR M STAN I N D R N G F E S O D G UI GPU TR VA EATM T M BE R EVED BY W I N SU R H SE. EN AY ELI EAR G PPO T O
  • 3. LASER TR TM T * EA EN A. LASER UVB TR TM T * EA EN B. PULSED YE LA S -D SER
  • N R N D A N SI S & U SI G I G O I TS M N G EN A A EM T1. D C EN K O LED E O D SEA A D I TS TR TM T EFI I T N W G F I SE N EA EN A. EXPLAI N W TH SEN TI VI TY TH TH E I S N C R AN TH I SI AT ER O U E D AT LI FETI M M AG EN I S N ESSAR TH D SEASE PR C E AN EM T EC Y; E I O ESS CAN U ALLY BE C N O SU O TR LLED . B. R EW PATH PH O G O PSO I ASI S AN FAC R TH EVI O YSI LO Y F R D TO S AT PR VO O KE I T: AN I R I TATI O O I N R TO TH SKI N (C T, Y R N R JU Y E U ABR O , SU BU N AN C R EN I LLN ASI N N R ), Y UR T ESS, EM TI O AL STR O N ESS, U FAVO ABLE EN R N EN (C LD AN D U (C TI O PATI EN N R VI O M T O ), D R G AU N T ABO T N N ESC I PTI O M I C O ). U O PR R N ED ATI N
  • 2. I M I R SK N I N R TY R TED TO LESI O S A D PA ED I TEG I ELA N N I N MA R FLA M TO YRESPO SE N A. EXAM N TH SKI N I N G ER C R U STAN ES I E E EN AL I C M C B. I N U T TH PATI EN TO N T PI N H O SC ATC TH SKI N AR STR C E T O C R R H E EA C PATI EN . TS M TI VATI O FO C N M N N TR EN O N R O SU I G U I TS: HG IN I H C R ES AN H G I N PR TEI N ALO I D I H O D EN O R E PATI EN TO PR . C U AG T EVEN TH SKI N FR M D YI N O T; D Y T E O R G U R SKI N C SES PSO I ASI S TO W R AU R O SEN (KEEP SKI N M I ST) O
  • E. I N R PATI EN TH W FO M T AT ATER SH UO LD N T BE TO H T AN O O O D SKI N SH U BE D I ED BY PATTI N W TH A TO EL. O LD R G I W F. TEAC PATI EN TO U BATH O L O EM LLI EN C H T SE I R O T LEAN N SI G AG T FO SO E AN SC N SKI N EN R R D ALI G .3.D STU B I R ED B D OY IMG A E R TED TO EM A R SSM T ELA B R A EN OVER APPEA A C AN SELF-PER EPTI O O UN LEA LI N RNE D C N F C N ESS A. I N O U E C PI N STR TR D C O G ATEG ES AN SU G I D G ESTI O S FO N R R U IN ED C G O R C PI N O G W TH STR I ESSFU L SI TU O ATI N TOFAC LI TATE I A M R PO TI VE O TLO K AN AC EPTAN E O TH OE SI U O D C C F ED SEASE. I
  • 4. R SK FO I N TI O R TED TO H PR TEI N EM A I R FEC N ELA YPO O A I A. M N TO VI TAL SI G S OI R N B. EXAM N FO SI G S O I N TI O I ED R N F FEC N C PATI EN . TS M TI VATI O TO I M O O N PR VE N TR TI O : H G I N U I N I H C R ES AN H G I N PR TEI N ALO I D I H O . D KEEP TH W U D C . E O N LEAN E. C LLABO ATI O AN BI O C O R N TI TI S
  • A D TI O A M N G EN DI N L A A EM T1. PR M TI N HO E AN CO M N TY-B SED CA E/TEA H N OO G M D MU I A R CI G PA EN TI TSELF-C R AE A. I N U T TH C EN TO AVO D SU EXPO R D R N STR C E LI T I N SU E U I GPH TO H O ER O C EM TH APY. TH S R I M O PH TO ER I EG EN F O TH APY W TH U AVI O I LTR LETA (PUVA) LI G T D R H EC EASES C ELLULAR PR LI FER O . PU O ATI N VA TH APY ERR LTS I N PH TO SI TI VI TY AN TH C EN SH U AVO D EXPO R ESU O SEN D E LI T O LD I SU ETO SU LI G T D R N TH S TI M N H UI G I E. B. BE KN W G O LED EABLE ABO T TR U EATM T, EN AN G VE TH D I EC EN W I TTEN I N U TI O S. LI T R STR C N C AD SE PATI EN TH . VI T AT TH TO C E PI AL AG T AN R N EN TH ALILEAVES A BR W I SH -PU PLE STAI N TH ON I R AT SU D BSI ES W EN TR H EATM T ENSTOPS. LESI O S SH U N O LD BE C VERO ED TO PR EVENT STAI N N I GC TH N , FU N TU E, AN BED LI N S. LO I G R I R D EN
  • D. AD SE PATI EN TH TO C C R C STER I D PR VI T AT PI AL O TI O O EPAR O S O ATI N NFAC AN AR U D EYES PR I SPO TO C E D ON ED SE ATAR T D AC EVELO EN FO W PM T. LLOSTR C G I D N TO AVO D O U I T U ELI ES I VER SE.E. PR VI D H O E ELPFU TI PS O APPLI C O O TAR PR L N ATI N F EPAR O S. ATI NF. TEAC PATI EN TO AVO D EXPO R TO SU W EN U D G I N H T I SU E N H N ER O GPU TR VA EATM TS. ENG. R I N PATI EN TO SC ED LE O TH I C EXAM N O S O A EM D T H U PH ALM I ATI N NR U EG LAR BASI S.
  • H. AD SE FEM VI ALE PATI ENTS O C I LD F H BEAR N AG TH I G E AT PUVATH APY I S TER G I C (C ER ATO EN AN C SE FETAL D AU EFECTS). THEY MAYW T TO C N D U N C N AC AN O SI ER SI G O TR EPTI VES D R N TH APY. U I G ERI. EN O R E PATI EN TO JO N A SU R G O P AN TO C U AG T I PPO T R U DC N T TH N O AL PSO I ASI S FO N ATI O FO I N R ATI O . O TAC E ATI N R UD N R FO M N
  • EXPECTED PA EN TI T O TC M U O ES1. D O STR TES K O LED E A D U D STA D N O D SEA EM N A NW G N N ER N I G F I SEAN I TS TR TM T D EA EN2. DEM N A SELF-A C O STR TE C EPTA C NE3. AC I EVES SM O ER SK N AN CO TR L O LESI O S H O TH I D N O F N4. EXPER EN ES RELI EF O I TC I N AN DI SC M R I C F H G D O FO T5. EXPER EN ES NO CO PLI C TI O S I C M A N
  • SK N C N ER I ACW AT I S SK N C N ER H I A C ??? *-U C N O N O TR LLED G O TH O ABN R AL SKI N C RW F OM ELLS-G ER EN ALLY D EVELO PS I N TH EPI D M S (TH O TER O E ER I E U M ST LAYER O FSKI N SO A TU O C U ALLY BE SEEN ), M R AN SU-M ST C M O LY D AG O O O MN I N SED TYPE O C C . I T AC O N FO N LY H F AN ER C U TS R EAR ALFO ALL C C S I N TH U I TED STATES. M R TH F AN ER E N OE AN 2 M LLI O C I N ASES OFBASAL AN SQ AM U C D U O S ELL SKI N C C AR FO N I N TH S C U TR EAC AN ER E UD I ON Y HYEAR M . ELAN M TH M ST SER O S TYPE O SKI N C C , W LL AC O N FO O A, E O I U F AN ER I CUT RM R TH 75,000 C O E AN ASES O SKI N C C I N 2012. F AN ER-SEC N M ST C M O C C I N YO N AD LTS AG 15–34 I N TH U OD O O M N AN ER UG U ED E K-N N ELAN M SKI N C C S AR TH M ST C M O SKI N C C S. TH O -M OA AN ER E E O OMN AN ER EM R TY O TH AJO I F ESE AR BASAL C E ELL C C N M AR I O AS
  • C SSI FI C TI O LA A N1. B SA C A L ELL C R I N M - PEAR AC OA LY TR SLU EN Y TO FLESH AN C C YC LO , TI N BLO D VESSELS O TH SU FAC AN SO ETI M U ER O O R Y O N E R E, D M E LC ATI NW I C C BE C AR TER STI C TH KEY TER I S TR SLU EN Y. TH S H H AN H AC I S. E M AN C C IFO M O SKI N C C I S TH LEAST D LY AN W TH PR PER TR R F AN ER E EAD D I O EATM T ENC BE C M AN O PLETELY ELI M N I ATED O , FTEN W TH U SC R N . * I O T AR I G2. SQ A O S C U MU ELL C R I N M A C O A- C M O LY PR O MN ESENTS AS AR , CU ED R STED O SC , R ALY PATC O BU P. O H R M FTEN A VER R D G O I N Y API RW GTU O . U ER O AN BLEED N M MR LC ATI N D I G AY O C R W EN SC I S N T CU. H C OTR EATED I T M D , AY EVELO I N A LAR E M P TO G ASS. SQ AM U C U O S ELL I S THESEC N M ST C M O SKI N C C . * OD O O MN AN ER
  • 3. M LI G A T M N M - O APPEAR C I S AN ASYM ETR C AR A N N ELA O A N AN E M I AL EA,W TH AN I R EG LAR BO D , C LO VAR ATI O , AN O I R U R ER O R I N D FTEN G EATER TH R AN6 M D AM M I ETER M ST M . O ELAN M AR BR W TO BLAC LO KI N LESI O S. O AS E O N K O G NW N N SI G S O M G AN M AR I G N F ALI N T ELAN M I N LU E C AN E I N TH SI ZE, OA C D H G ESH APE, C LO O ELEVATI O O A M LE. O ER SI G S AR TH O R R N F O TH N E EAPPEAR C O A N M LE D R N AD LTH O O N PAI N I TC I N , AN E F EW O U I G U O D R EW , H GU ER O O BLEED N . AN O LC ATI N R I G FTEN SED M EM N C I S "ABC E", W ER -U N OI D H EA= ASYM ETR C M I AL, B= "BO D S" (I R EG LAR "C AST O M N SI G "), R ER R U = O F AI E NC "C LO " (VAR EG = O R I ATED D "D AM ), = I ETER (LAR ER TH 6 M —TH SI ZE " G AN M EO A PEN I L ER F C ASER AN E= "EVO N .“ * ) D LVI G
  • PA O YSI O G TH PH LO Y
  • C U TI VE FA TO S A SA C R TH R O C SE O SKI N C C H N T BEEN D SC VER E O T AU F AN ER AS O I O EDBU I T’S TH U H TO BE R T OGT ELATED TO C ELLU LAR D A M TATI O AN N U N DFAI LU E O TH I M U E SYSTEM TO R R F E MN ESPO SE. N
  • PR I PI TA N FA TO S EC TI G C R1. LI G T SK N CO R H I LO2. SM K N TO A C OI G BCO3. HPV I N TI O S FEC N4. HI STO Y O SU B R S R F NUN5. EXC ESSI VE SU EXPO R N SU E6. M LES O7. CH O I C NO -H LI N W U D (C LLED M R LI N ULC S) RN N EA G O N S A A JO S ER8. PR A C O S LESI O S EC N ER U N9. FA I LY HI STO Y O SK N CA C M R F I N ER10. W K ED I M U E SYSTEM EA EN MN11. EXPO R TO RA I A O SU E D TI N12. AG N ( 50 & AB VE) I G O13. EXPO R TO CER I N SU STA C SU H AS AR I C SU E TA B N ES C SEN
  • C N C L M N FESTA O LI I A A I TI N1. A SO E TH W N H R AT O ’T EAL2. PR R TU PAI N O TH SKI N U I S, N E3. C AN ES I N EXI STI N M LE H G G O4. A PEAR O W LY R AXY BU P (BC ) M C5. STI FF AN PLAQ E PAPU I N EAR STAG (BC ) D U LE LY E C6. M G N TR SLU EN Y PO TI AL U ER (BC ) AR I AL AN C C TEN LC C7. A FLAT, FLESH O R O BR W SC -LI KE LESI O (BC ) -C LO ED R O N AR N C8. A FI R , R N D LE (SC ) M ED O U C9. TH M G N O U ER ELEVATES AN FEATU ES R AN STI FF, E AR I F LC D R ED D W I C M I FESTI N AS C R U H H AN G I C LAR O C LI FLO ER KE (SC ) R AU W -LI C
  • 10. A FLAT LESI O W TH A SC N I ALY, C U R STED SU FAC (SC ) R E C11. A LAR E BR W I SH SPO W TH D KER SPEC G ON T I AR KLES (M)12. A M LE TH O AT C AN ES I N C LO , SI ZE O FEEL O TH H G O R R R AT BLEED ) S(M13. A SM ALL LESI O W TH AN I R EG LAR BO D AN PO TI O S N I R U R ER D R N TH APPEAR R , W I TE, BLU O BLU AT ED H E R E-BLAC )K(M14. D K LESI O S O YO R PALM SO AR N N U S, LES, FI N ER PS O TO G TI R ES, O O M C U M BR ES LI N N YO R M U , N SE, R N UOS EM AN I G U O TH O VAG N O AN S(M I A R U )
  • TH AB D RU : E C LEI F YO N TI C AN O TH FO W N SI G S, TH SEE YO R D C R U O E Y F E LLO I G N EN U O TOW TH U D I O T ELAY.ASYM ETR TH TW H M Y E O ALVES O YO R M LE D N T LO K TH SAM F U O O O O E E.B R ER TH ED ES O YO R M LE AR I R EG LAR BLU R OD E G F U O E R U , R ED ORJAG ED G .C LO R TH C LO R O YO R M LE I S U EVEN W TH M R TH O E O U E O U F U O N , I O E AN NSH E. ADD A ETER YO R M LE I S W D TH 6M I N D AM I M U O I ER AN M I ETER (TH SI ZE O E FA PEN I L ER C ASER).
  • C M C TI O S O PLI A N1. CELLU TI S LI2. RI SK O REC R EN E F UR C3. BR I N M STA A ETA SES4. CH O ER PY SI D EFFEC EM TH A E TS5. FA G E TI U6. LI VER M STA ETA SES7. LU G M STA N ETA SES8. M STA S ETA SI9. STR ESS, AN ETY AN DEPR XI D ESSI ON
  • D A N STI C TESTS/EXA S I GO M1.SK N I EXA I N TI O M A N- THE DC R O TO W LL I N TE O THESI ZE, SHAPE, C LO , AN TEXTU E O TH SU C O S AR O R D R F E SPI I U EA. H O E RSH W LL TH E I EN EXAM N YO R LYM I E U PH G D TO C EC FO LAN S H K RSW ELLI N , A PO TI AL SI G O C C . * G TEN N F AN ER2.SK N BI O I PSY M O S: ETH D A. SH VE BI O A PSY * B. PU C BI O NH PSY * C. I N I SI O A BI O C NL PSY * D. EXC SI O A BI O I NL PSY *
  • 3. BLO D TEST FO LD (LA TA DEH R G A O R H C TE YD O EN SE) LEVELS4. M G ETI C RESO A C I M G N AN NNE AI G5. PO TR N EM SSI O TO O R PH SC N SI O I N MGA Y A6. SEN N LYM NO E M PPI N O FI N NEED ASPI R TI O TI EL PH D A G R E LE A N7. STA I N G G STAG 0: TH C C I N LVES O LY TH TO LAYER O SKI N I T E E AN ER VO N E P F .IS C ALLED MELAN M I N SI TU OA . STAG I : TH G O TH I S LESS TH TW M LLI M E E RW AN O I ETER D S EEP. STAG I I : TH G O TH I S M R TH TW M LLI M E E RW O E AN O I ETER D S EEP. STAG I I I : TH C C E E AN ER H AS SPR EAD BELO TH SKI N TO W EC TI LAG AR E, M SC U LE, BO E, O TO N BY LYM N R EAR PH N DO ES. I TH NT AS O SPREAD TO O ER PLAC I N TH BO Y. TH ES E D STAG I V: TH C C H SPR E E AN ER AS EAD TO O ER PLAC I N TH BO Y. TH ES E D
  • M I C L M N G EN ED A A A EM T1.PH R A O G C L M N G EN A M C LO I A A A EM T A.FLU R U A I L C EA (BR D N E C AC O EFU EX)- A OORC R M AN AM AR R D TO C AN N PLASTI C PI AL TI EO B M Q I M D (B A D N M .I I U O RN AE A AALD R )- TO C PI AL C EAM R AC VATES YO R BO YS O N I M U E SYSTEM VI A A TI U D W MN M LEC LE C O U ALLED TOLL-LI KE R EPTO 7 (TLR EC R 7), W I C I N H H TU N AC VATES I N FER N R TI TER O -ALPH A TO FI G T H THE C C OS C AN ER U ELLS. I T I S U SED TO TREAT SU FI C AL BASAL PER ICELL C CNM AR I O A.
  • 2.SU G C L M N G EN AN O ER TH A ES R I A A A EM T D TH ER PI A.EXC SI O AL SU G Y * I N R ER B.LASER TH APY * ER C O S SU G Y * .M H R ER D U ETTAG AN ELEC O ESI C ATI O * .C R E D TR D C N E.R I ATI O TH APY * AD N ER F.C EM TH APY H O ER G O D AM C TH APY (PD .PH TO YN I ER T) H O G C TH APY .BI LO I AL ER
  • N R N D A N SI S A D U SI G I G O N I TS M N G EN A A EM T1.R SK FO I M I R SK N/TI SSU I N R TY R TED TO C TA EO S I R PA ED I E TEG I ELA U N ULESI O S N A. ASSESS SKI N FR U TLY FO SI D EFFEC EQ EN R E TS O C C F AN ERTH APY; ER N TE BR O EAKD W /D O N ELAYED W U D H ON EALI N . G EM ASI ZE PH IM R C PO TAN E O F R R N EPO TI G O PEN AR EASTO AR I VER C EG . B. BATH W TH LU AR W E I KEW M ATER AN M LD SO D I AP. C C U AG .EN O R E PATI EN T TO AVO D VI G R U I O O S R BBI N U G AN D SC ATC I N AN TO PAT SKI N D Y I N R H G D R STEAD O R BBI N . F U G D R O M D W I N SO . EC M EN EAR G FT, LO SE C TTO C TH N ; O O N LO I G H AVE FEMALE PATI EN AVO D W I N BR I F I T C EATES T I EAR G A R PRESSU E. R
  • E.EN O R E LI BER C U AG AL U SE O SU SC EEN F N R /BLO K AN C D BR EATH ABLE, PR TEC VE C TH N . O TI LO I GF.USE APPR PR ATE PER PH AL O C TR O I I ER R EN AL VEN U C ETER D LU O S ATH , I TE AN C C TI AN ER D U PER PR TO O AN ASC TAI N TH RG O CL D ER AT I V I S I N SI N W FU G ELL;G.ASSESS SKI N V SI TE AN VEI N FO ER EM ED A, TEN ER ESS; /I D R YTH A, EM D N W ELTLI KE PATC ES, I TC I N /BU N N ; O SW H H G RI G R ELLI N , BU N N , G RI G SO EN R ESS; BLI STER S PR G ESSI N OR G TO U ER O /TI SSU LC ATI N E N R SI S. EC OH ASH SKI N I M ED ATELY W TH SO .W M I I AP AN W D ATER I F AN N PLASTI C TI EO AG TS AR SPI LLED O U PR TEC EN E N N O TED SKI N (PATI EN O T R C EG VER AR I )
  • I .AD SE VI PATI EN TS R EI VI N EC G 5-FLU R U AC L OOR I (5-FU ) AN D M O EXATE ETH TR TO AVO D I SU N EXPO R SU E. W TH O I H LD M O EXATE I F SU BU N PR ETH TR N R ESENT.J.R EW EXPEC EVI TED D M LO I C SI D ER ATO G E EFFEC TS SEEN W TH I C EM TH APY, E.G R , H H O ER ., ASH YPER G EN PI M TATI O , AN PEELI N N D G O SKI N O PALM F N S.K.I N R PATI EN TH FO M T AT I F ALO I A O C R H R C U PEC C U S, AI O LD G O BAC RW K AFTER C M O PLETI O O C EM TH APY, BU N F H O ER T M AY/MAY N T O GOR WBAC AFTER R I ATI O TH APY. K AD N ERL.AD I N STER APPR PR ATE AN D TE I F EXTR M I O I TI O AVASATI O O I V SH U N F O LDOCR CU.
  • 2.R SK FO I N TI O RELA I R FEC N TED TO SU G C L W U D RI A ON A.TEAC H TH E PATI EN T H W TO C E FO O AR R TH E WU D ON ASEPTI C ALLY. B.C O D N O R I ATE A C N STEN O SI T, STAN AR PLAN SO TH D D AT TH E PATI EN T C BEG N TO ASSU E C E FO TH W U D AN I M AR R E ON. C F TH W U D I S LAR E AN I N TED KEEP I T D Y AN C .I E ON G D FEC , R D LEAN . IF I T H AN O O , C N O TH O O W TH O O -M AS D R O TR L E DR I D R ASKI NG SU BSTAN ES SU H AS O L O C VES O BALSAM O PER I N TH C C I F LO R F U E RO. OM D OO .PR M TE G O O D H D ASH N AN -W I G PR C U ES BY STAFF AN O ED R D VI SI TO S. SC EEN AN R R D LI M T VI SI TO S W O M I R H AY HAVE I N TI O S. FEC N
  • E.EM ASI ZE PER N H I EN PH SO AL YG E.F.M N TO TEM ATU E. OI R PER RG C U AG FLU D .EN O R E I S.H .ASSESS ALL SYSTEM (E.G SKI N R S ., , ESPI R R G I TO R N Y) FO ATO Y, EN U I AR R SI G S AN SYM M O I N TI O O A C N N AL BASI S. N D PTO S F FEC N N O TI UI .M N TO C O I R BC W TH D FFER TI AL W I I EN BC AN G AN LO YTE C U T D R U C ON AN PLATELETS, AS I N I C D D ATED.
  • 3.D ESSI O /A XI ETY/LO SELF-ESTEEM R TED TO D A N SI S O SK N EPR N N W ELA I GO F ICA C N ER A.LI STEN TO TH PATI EN E T’S FEAR AN AN ETI ES AN AC EPT TH S D XI D C E PATI ENT’S PER EPTI O O H O H S APPEAR C C N F ER R I AN E. B.ASSI ST TH PATI EN AN SI G I FI C T O ER TO H E T D N AN TH S AVE REALI STI C EXPEC TATI O S. N C ELP TH PATI EN PR .H E T ESEN A PLEASAN APPEAR C BY ASSI STI N T T AN E G W TH H R C E AN C TH N . SO E PATI EN I AI AR D LO I G M TS EXPER EN E I C IN R C EASED SELF-ESTEEM W EN TH H EY W EAR TH R O N C TH N EI W LO I G R ER TH ATH AN H SPI TAL-I SSU O ED C TH N , I F H SPI TALI ZATI O LO I G O NIS N ED EED .
  • D F H R LO O C R D R N R I ATI O , EN O R E TH PATI EN TO .I AI SS C U S U I G AD N C U AG E T WEAR AN TYPE O H Y F EAD C VER N TH I M O O I G AT PR VES BO Y I M E, D AG SU H AS BASEBALL C C APS, W G SC VES, O BAN AN I S, AR R D AS.E.I F I T I S APPR PR ATE, AR AN E FO TH PATI EN TO I N AC W TH O I R G R E T TER T I O ER W O H TH S H AVE A SI M LAR PR BLEM I O .F.I F TH PATI EN H E T AS EN STAG D SEASE, LI STEN TO TH PATI EN D E I E T’SAN D SI G I FI C T O ER FEAR AN C N ER S. I D TI FY TH N S N AN TH S’ S D OC N EN E EED O TH FAM LY, AN I N F E I D VESTI G ATE M H I SM FO SU R EC AN S R PPO T FR M TH C APLAI N TH AM I C C C SO I ETY, O A LO AL O E H , E ER AN AN ER C R C H SPI C O E.
  • 4.A U C TE/C R N C PA N RELA HOI I TED TO SU G Y/TH A R ER ER PY/D SEA PR C I SE O ESS A.D ETER I N PAI N H STO Y, FO EXAM M E I R R PLE, LO ATI O O PAI N C N F , FR U C D R O , AN I N SI TY U N A R N SC EQ EN Y, U ATI N D TEN SI G ATI G ALE (SC ALE O 0–10), O VER F R BAL R N SC ATI G ALE—“N PAI N TO O ” “EXC U I ATI N PAI N AN R EF M RC G ”; D ELI EASU ES U . BELI EVE R SED C EN LI T’S R R EPO T. B.D ETER I N TI M N AN PR I PI TAN M E I G D EC TS O “BR F EAKTH O G ” PAI N RUH W EN U N H SI G AR U D E-C C O N -TH LO K AG TS, W ETH EN H ER O AL, R I N AVEN U TR O S (I V), TO CPI AL, TR SM C SAL, EPI D R AN U O U AL, O R PATC M I C O S. H ED ATI N C.EVALU ATE PAI N L EFFEC O PAR C LAR TH API ES, SU H AS FU TS F TI U ER C SU G Y, R I ATI O , C EM TH APY, O BI O ER R ER AD N H O ER R TH APY. PR VI D O E I N R ATI O TO C EN AN SO ABO T W AT TO EXPEC FO M N LI T D U H T.
  • D O D .PR VI E N N AR AC LO I C O PH M O G AL CM R O FO T MEASU ES R SU H AS C MASSAG E, R SI TI O I N , AN EPO N G D BAC K R B; AS W U ELL AS D VER O AL AC VI TI ES, SU H AS M SI C R I N , AN TV. I SI N TI C U , EAD G DE.EN O R E U O STR C U AG SE F ESS M AG EN SKI LLS AN AN EM T D CM O PLEM TAR EN YTH API ES SU H AS R ER C ELAXATI O TEC N Q ES, VI SU ZATI O , G I D N HI U ALI N U EDI M ER BI O AG Y, FEED K, LAU H , BAC G TER M SI C U , AR M ER O ATH APY, ANDTH APEU C TO C . ER TI UHF.PR VI D C TAN U STI M LATI O , SU H AS H O E U EO S U N C EAT AN C LD PAC D O KS, O M R ASSAG E.G .BE AW E O BAR I ER TO C C AR F R S AN ER PAI N M AG EN R AN EM T ELATED TO C EN AS W LI T, ELL AS TH H E EALTH AR SYSTEM C E .H EFER TO STR C R SU R G O P, PSYC I ATR C C N C N R .R U TU ED PPO T R U H I LI I AL U SE SPEC ALI ST, PSYC O G ST, O I H LO I R SPI R TU I AL AD SO VI R FO R C U SELI N , AS I N I C ON G D ATED .
  • EXPECTED PA EN TI T O TC M U O ES1. D O STR TES EM N A K O LED E NW G AD N U D STA D N N ER N I G OF DI SEA AN I TS TR TM T SE D EA EN2. DEM N A O STR TES SELF-A C C EPTA C NE3. PREVEN I N TI O T FEC N4. AB TO M N G O TR L PA N LE A A E/C N O I