Traditional therapeutic agents.
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Biomedical subjects
Publications and source records attributed to J A Witkowski.
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Dextranomer, a high molecular weight dextran derivative, was evaluated in 43 patients, and found to be the treatment of choice for decubitus ulcers. It is useful in most leg ulcers and cutaneous wounds, and can aid in the nursing care of terminal patients with gangrene or uclerating carcinoma. Dextranomer hastens the postoperative course in dermabrasion patients. Although patients with bacterial infection show no change with dextranomer, it is useful in hastening the resolution of herpes simplex and herpes zoster lesions.
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A printed questionnaire can be used to help uncover the reason(s) for acne flares or failures in response. This method not only enhances office efficiency but is suprisingly thorough and well accepted by patients. A sample form is presented and its proper use is discussed in the text.
Most problems in keeping good records on acne patients can be overcome by using an acne flow form. When properly designed, this form provides a rapid but accurate method of entering and retrieving information and evaluating progress. Each dermatologist can easily and inexpensively produce his own form. An example is presented and helpful suggestions are made on the design and use of an acne flow form.
The decubitus ulcers of 4 patients being treated with dextranomer for up to three months were examined. Histopathologic sections showed only a minimal inflammatory response and no irritation. Dextranomer may be used for long periods without any tissue damage.
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Scabies occurred in three nursing homes (two in Missouri and one in Pennsylvania) where the diagnosis was obscured by a lack of the usual clinical signs. Topical steroids can aggravate scabies and help to confirm the diagnosis; treatment with lindane lotion is successful, provided all patients and health personnel are treated.
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