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Some Medical Treatments common in Dermatology

Accutane

Severe nodular cystic acne, unresponsive to traditional treatment regimensIsotretinoin (Accutane) is a medicine that revolutionized the treatment of acne. Accutane belongs to the family of medicines called retinoids, which are similar to vitamin A. Accutane, like other retinoids, works by altering DNA transcription. This affect decreases the size and output of sebaceous glands. It also makes the cells that are sloughed off into the sebaceous glands less sticky, and therefore less able to form blackheads and whiteheads (comedones). It also reduces the number of bacteria in the sebaceous gland and on the skin surface.
Who Takes Accutane?
Accutane is generally used for nodular, pustular acne that has not responded to full courses of several oral antibiotics. The trend in Accutane prescribing for acne has been towards using it earlier in the course of the disease, especially if there is significant scarring.

Light Therapy

Psoriasis, Vitiligo, Pruritis
  • DAAVLIN UVB and PUVA Phototherapy unit (all locations, and “hand / foot” box in Commerce
  • Xtrac laser ( Commerce and Novi)

Biologics

Treatment for Psoriasis and Psoriatic Arthritis

Photodynamic Therapy

Actinic (Sun)  Damage
Levulan® Kerastick® (aminolevulinic acid HCl) for Topical Solution, 20% (Levulan Kerastick) plus blue light illumination using the BLU-U® Blue Light Photodynamic Therapy Illuminator (Levulan PDT) is indicated for the treatment of minimally to moderately thick actinic keratosis of the face or scalp. Actinic keratoses (AKs) are rough-textured, dry, scaly patches on the skin that can lead to skin cancer. It is important to treat AKs because there is no way to tell when or which lesions will progress to squamous cell carcinoma (SCC), the second most common form of skin cancer. So, now's the time to manage your damage!
Levulan PDT, a 2-part treatment, is unique because it uses a light activated drug therapy to destroy AKs. How does it work?  Levulan Kerastick Topical Solution is applied to the AK. The solution is then absorbed by the AK cells where it is converted to a chemical that makes the cells extremely sensitive to light. When the AK cells are exposed to the BLU-U Blue Light Illuminator, a reaction occurs which destroys the AK cells.  

Botox for severe axillary hyperhidrosis

BOTOX® (onbotulinumtoxinA) is injected into the skin to treat the symptoms of severe underarm sweating (severe primary axillary hyperhidrosis) when medicines used on the skin (topical) do not work well enough in people 18 years and older or the patient has failed approved oral medication for the treatment of this condition. It is not known whether BOTOX® is safe or effective for severe sweating anywhere other than your armpits.