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Combination therapy with botulinum toxin and fillers has another benefit: it produces much longer lasting results than either fillers or toxin used alone when used to treat folds and furrows of the glabella.

New Orleans — Although laser cosmetic procedures have captured popular attention, chemical peels continue to be appropriate for many patients, according to Suzan Obagi, M.D., at the annual cosmetic surgery symposium of the American College of Oral and Maxillofacial Surgeons.

Boston — Radiation therapy effectively reduces recurrence and progressive disease in Merkel cell carcinoma (MCC), but conflicting opinions about optimal treatment have kept many patients from receiving this relatively benign therapy.

National report — Ironically, the very properties of the Dead Sea that kill fish and other wildlife offer psoriasis suffers and people with other chronic health conditions significant healing powers.

New Orleans — It's no secret that psychosocial stressors can exacerbate many common skin disorders. So why aren't more dermatologists taking advantage of the mind-body link in their daily practices?

Avoiding Chemicals

National report — West Nile Virus caused nearly 10,000 illnesses and more than 250 deaths nationally in 2003, and in 2004 people were looking for ways to protect themselves from the most common mosquito-borne disease in this country. One problem some face is that safety concerns still exist about some of the chemicals designed to deter mosquitoes.

Orlando, Fla. — Fluctuations in estrogen and progesterone during the menstrual cycle can cause changes to the reproductive system, yet little attention has been paid to how these variations may impact the body's largest organ, the skin.

Newport Beach, Calif. — The West Nile Virus outbreak in New York City in 1999 provided important lessons in prevention, abatement and repellent use. The New York area health departments quickly began public health programs, according to Tissa R. Hata, M.D., speaking at the Pacific Dermatology Meeting, here.

New Orleans — An emerging new class of organic, insoluble UV absorbers shows promise in providing improved broad-spectrum UVB and UVA sunscreen protection and meets the increasing demand of consumers and dermatologists, according to chemist Uli Osterwalder. He reports that the first representative of this UV absorber — bisoctrizole — has been used in sunscreens in European countries for five years and is now being submitted to the U.S. Food and Drug Administration (FDA) for approval.

Tokyo — Growth factors offer seemingly endless potential to skin wound repair and regeneration, yet there are several questions surrounding those that are exogenously applied to acute or chronic skin wounds, according to Xiaobing Fu, M.D., professor, Wound Healing and Cell Biology Laboratory, Burns Institute, The General Hospital of PLA, Beijing, China.

Nice, France — Results of a comparative, prospective, randomized study undertaken by French dermatologists indicate that topical tacrolimus ointment 0.1 percent (Protopic, Fujisawa) plus phototherapy with a 308-nm excimer laser can be a highly effective combination for the treatment of recalcitrant, localized vitiligo.

The fact that studies are frequently done at different locations, with different investigators and methodologies, further complicates matters.

New Orleans — Although some oral treatments for psoriasis have suffered setbacks, recent studies reveal encouraging news about biologic drugs' ability to battle this illness.

New Orleans — Results of a multicenter phase 3, randomized, double-blind, placebo-controlled trial demonstrate the safety and efficacy of a subantimicrobial-dose (SD) of doxycycline for the treatment of rosacea, said Diane M. Thiboutot, M.D., at the 63rd Annual Meeting of the American Academy of Dermatology here.

New Orleans — Scientific literature rarely portrays cutaneous manifestations of West Nile virus (WNV) because these manifestations are, by nature, transient. However, a recent case report contains what is only the second publication of these symptoms.

The recent influx of contact lenses containing ultraviolet (UV) filters has prompted some patients to inquire about using these as protection after PUVA therapy, rather than coated prescription glasses, sunglasses or UV opaque protective goggles. But as Suliman Otman, M.D., M.S., a clinical research fellow at the Welsh Institute of Dermatology at Cardiff University, England, discovered, UV-blocking contact lenses are not suitable eye protection for people receiving Psoralen in combination with UVA light.

National report — Does practice make perfect? A recent Harvard Medical School review suggests that as physicians age, the quality of care they provide decreases — the plethora of continuing medical education (CME) options available and the presumed benefits of wisdom notwithstanding.

New Orleans — Whether it is serious intraoperative bleeding, the presence of a life-threatening disease or a lethal drug reaction, the dermatologist's office should be prepared for the emergent crisis that can happen at any time and anywhere, Glenn D. Goldman, M.D., says.

The New Jersey legislature instituted a 6 percent sales tax on cosmetic procedures so quickly last fall that doctors say organized opposition had little time to form. The state has been collecting the levy for several months.

As the Vioxx/Celebrex scandal lays waste to the American healthcare landscape as we know it, the U.S. Food and Drug Administration (FDA) finds itself under relentless pressure to get things right. Congress is demanding more stringent safety standards and even threatening to create a new federal agency to take safety approvals and monitoring out of the FDA's hands.