Utilización del ácido hialurónico solo y en combinación con sulfadiazina argéntica en un caso de colagenosis perforante reactiva / Use of hyaluronic acid alone and combined with argentic sulphadiazine in reactive perforating collagenosis. A case report

La dermatosis conocida como colagenosis perforante reactiva (CPR) es una lesión que se caracteriza por la eliminación transepidérmica del colágeno. Existen dos formas de presentación: la heredada y la adquirida. La forma adquirida se presenta en la edad adulta, principalmente en diabéticos con insuficiencia renal crónica. El ácido hialurónico es un glucosaminoglucano de alto peso molecular que se sintetiza en el sistema vacuolar de los fibroblastos y otras células, como son los queratinocitos, con ayuda de los factores de crecimiento y en otras citocinas. La sulfadiazina argéntica es un fármaco tópico de acción antiinfecciosa que se utiliza para prevenir y tratar las infecciones en heridas y quemaduras de grado II y III. Su acción se realiza sobre bacterias y hongos (AU)

The dermatosis known since reactive perforating collagenosis (RPC) is an injury that is characterized by the transepidermal elimination of the collagen. Two forms of presentation exist: the inherited one and the acquired one. The acquired form appears in the adult age, principally in diabetics with renal chronic insufficiency. The hyaluronic acid is a glycosaminoglycan of high place molecular weight that is synthesized in the system vacuolar of the fibroblasts and other cells, since they are the keratinocytes, with help of the factors of growth and in other cytokines. The argentic sulphadiazine is a hackneyed medicament of antiinfectious action that is in use for anticipating and treating the infections in wounds and burns of degree the II and IIIrd. His action realizes it on bacteria and fungi (AU)

Gestión y cuidados de enfermería al paciente dermatológico en tratamiento con fototerapia con rayos ultravioleta B de banda estrecha / Nursing care management in dermatological patient on phototherapy narrow band UVB

La fototerapia con rayos ultravioleta B de banda estrecha es un tratamiento utilizado en algunos servicios de dermatología, siendo de primera elección para algunas dermatosis porque resulta cómodo y económico. El objetivo de este artículo es describir la gestión y cuidados de enfermería agrupando aquellos diagnósticos más específicos según taxonomía NANDA-NIC/NOC, la metodología desde la aplicación, técnica, utillaje y los aspectos relativos al espacio, material, personal, con el fin de evitar la variabilidad clínica y los posibles riesgos tanto para pacientes como para la enfermería que los administra; la continuidad en las sesiones por la misma enfermera favorece la relación de ayuda, clave para la fidelización y la adherencia terapéutica. Este artículo sintetiza un procedimiento consensuado con el equipo del Servicio de Dermatología de la unidad y acreditado por la Unidad de Calidad del Hospital (AU)

Phototherapy with narrow band ultraviolet B is a treatment used in some dermatology units, and is the first choice in some dermatological diseases due to being comfortable and cheap. The aim of this paper is to describe the management and nursing care by grouping more specific diagnoses, following NANDA-NIC/NOC taxonomy, such as the methodology from application, technique, material, and personnel to space-related aspects, with the aim of avoiding the clinical variability and the possible associated risks for the patients, and for the nurses who administer the treatment. The continuity of the same nurse in the follow-up sessions stimulates the relationship between medical personnel and patients, key points for loyalty and therapeutic adherence. This paper examines a consensus procedure with the Dermatology Unit Team and accredited by the Hospital Quality Unit (AU)

Balneo-phototherapy: a new holistic approach to treating psoriasis.

PURPOSE: To present and describe a new holistic therapy for the treatment of psoriasis and demonstrate its outcomes through a case study presentation. DATA SOURCES: Selected scientific literature and patient case study. CONCLUSION: Balneo-phototherapy, through new to the United States, has effective, safe outcomes as a new holistic treatment for psoriasis. IMPLICATIONS FOR PRACTICE: Nurse practitioners (NPs) and patients have an additional choice in psoriasis treatment that provides efficacious outcomes with fewer side effects compared to current therapies.

Photochemotherapy (PUVA) protocol.

PUVA is used to treat severe skin problems that have not responded well to more conventional forms of treatment. The effectiveness of PUVA therapy depends on patient compliance and careful administration and evaluation of patient response to treatment. The following protocol was developed to identify important factors to consider when administering PUVA therapy.

Management of a vitiligo patient: a case study.

Vitiligo is a chronic cutaneous disorder characterized by irregular patches of pigment loss. PUVA treatment for vitiligo and its accompanying nursing care considerations are discussed in this case study.

Vitiligo: care and treatment.

Vitiligo is a condition of hypopigmentation. An overview of the diseases and treatment options are discussed. A case study is presented in which encouraging results have been obtained using PUVA and fluocinonide. Nursing considerations are listed.