PEELING FENOL + QUIMIODERMABRASION + LASER ERBIO YAG + CRIOTERAPIA SECUELAS DE ACNE : MI EXPERIENCIA

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THIS SLIDE SHARE EXPOSITION WAS THE LAST PROTOCOLO THAT I AM DOING ON THIS MOMENT TO REPAIR AND DEVELOP A BETTER RESULTS FOR ACNE'S SCARS .MY 26YEARS`S DEPTH DEEP PHENOL CROTON CHEMICAL PEEL EXPERIENCE IS USED FOR THIS .

Health & Medicine Business

LASER ERBIO YAG –LASER ERBIO YAG –
NOVADERMA FENOL CROTONNOVADERMA FENOL CROTON
– PEELING ATC-– PEELING ATC-
DERMOABRASION –DERMOABRASION –
CRIOTERAPIA 2013CRIOTERAPIA 2013

BASIC MODE 300 -500 Mj (6.6j/cm2) .15-20 Hz .3mm SPOT

VSP 300 mj/cm .15.20 Hz Frec . 1-2mm spot

PEELING FENOL + QUIMIODERMABRASION + LASER ERBIO YAG + CRIOTERAPIA SECUELAS DE ACNE : MI EXPERIENCIA

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TELEDERMATOSCOPIA EN EL CRIBADO DE CÁNCER CUTÁNEO fue presentado por Concepción Martínez Díaz de Argandoña (Médico de Atención Primaria. UGC Huerta del Rey/Mallén. Distrito Sevilla) y Rosa Corbí Llopis (Especialista en Dermatología. UGC Dermatología. Hospital Universitaro Virgen del Rocío, Sevilla) en el IV Innovando en Jueves sobre TELEMEDICINA En 2007 el Centro de Salud Huerta del Rey/Mallén y la UGC Dermatología del Hospital Universitario Virgen del Rocío iniciaron la teledermatoscopia diferida para el cribado de cáncer cutáneo. La introducción de esta técnica obecede a varios motivos. El principal es el aumento en la indicencia del cáncer del piel atribuido fundamentalmente al el envejecimiento de la población junto con los cambios en los hábitos de exposición solar. Por otra parte, existe una demanda asistencial elevada en Atención Primaria a causa de tumores cutáneos benignos que motivan dudas diagnósticas en los médicos de familia. La teledermatoscopia diferida consiste en el envío telemático de imágenes dermatoscópicas junto a imágenes clínicas en caso de sospecha de cáncer de piel, desde Atención Primaria a las consultas hospitalarias de Dermatología. La dermatoscopia es una técnica diagnóstica no invasiva que permite observar estructuras de la epidermis y la dermis, y puede considerarse a mitad de camino entre la inspección clínica y el estudio histopatológico. En los últimos años, tres meta-análisis y dos estudios randomizados han probado definitivamente que la dermatoscopia mejora la sensibilidad diagnóstica en el melanoma comparada con el examen a “ojo desnudo”, sin reducir la especificidad. Cada vez mas frecuentemente los médicos de atención primaria se suman a la utilización de la dermatoscopia como método de cribado para seleccionar aquellos casos que precisan valoración por el dermatólogo por una sospecha de cáncer cutáneo. Para su inicio fue determinante la publicación en 2006 de los resultados de un estudio realizado Argenziano y cols con médicos de familia, basado en un método simplificado de dermatoscopia y orientado a facilitar la selección de pacientes que deberían derivarse al especialista. Los resultados obtenidos, con un un incremento del 25% en la sensibilidad para el cáncer cutáneo sin cambios en la especificidad, motivaron que nos decidiésemos a implantar la teledermatoscopia diferida. El objetivo fundamental de la teledermatoscopia diferida es cribado de cáncer cutáneo, fundamentalmente carcinoma basocelular y melanoma. El médico de familia entrenado en dermatoscopia puede realizar un primer filtro y enviar mediante teledermatoscopia aquellas lesiones con sospecha de malignidad o dudosas. Al recibir las imágenes, el dermatólogo realiza un segundo filtro. En caso de tumores cutáneos malignos se gestionará la valoración hospitalaria directamente. Si se trata de un tumor benigno no será preciso el desplazamiento del usuario a las

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