By Lionel Bercovitch (auth.), Lionel Bercovitch, Clifford Perlis (eds.)
There has been a sea-change in dermatology within the final 3 many years. controlled care, digital documents and communique, beauty dermatology, direct-to-consumer ads, middle knowledge, and conflicts of curiosity have been both nascent ideas or now not even at the horizon as lately because the mid-1980s. the general public, accrediting enterprises, and physicians themselves realize the necessity for education assets in dermatology ethics and professionalism. there's a have to deal with those themes in a structure that might stimulate discussion and reflection.
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Additional resources for Dermatoethics: Contemporary Ethics and Professionalism in Dermatology
L. Bercovitch and C. 1007/978-1-4471-2191-6_4, © Springer-Verlag London Limited 2012 19 20 Discussion Introduced in the US in 1982, isotretinoin is a highly effective treatment for nodulocystic acne. A single 3–4 month course of isotretinoin 1–2 mg/kg/day can clear 60–95% of inflammatory lesions in patients with recalcitrant nodulocystic acne . Unfortunately, however, the medication is also associated with several significant adverse effects including teratogenicity. The United States Food and Drug Administration (FDA) has classified isotretinoin as pregnancy category X, meaning that its teratogenicity outweighs its benefits to the pregnant patient.
Case 2 Case 3b An 18-month-old girl presents with a 2 × 3 cm. superficial and deep infantile hemangioma on the left upper arm. The parents were led to believe that the lesion would disappear by age two, do not like its appearance, and would now like to have it removed. The parents brought in photographs which reveal that the lesion has not grown significantly for the past year, is stable and actually shows some signs of early involution with graying of the surface. The lesion is asymptomatic and not interfering with any vital functions.
2000;49(2):28–31. 4. Doshi A. The cost of clear skin: balancing the social and safety costs of iPLEDGE with the efficacy of Accutane (isotretinoin). Seton Hall Law Rev. 2007;37:625–60. 24 5. Moskop JC, Smith ML, De Ville K. Ethical and legal aspects of teratogenic medications: the case of isotretinoin. J Clin Ethics. 1997;8:264–78. 6. Schonfeld TL, Amoura NJ, Kratochvil CJ. iPLEDGE allegiance to the pill: evaluation of year 1 of a birth defect prevention and monitoring system. J Law Med Ethics.