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Muscular Dystrohphy

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HEALTH PROMOTION * Health promotion activities for good skin health include avoidance of environmental hazards, adequate rest and exercise, and proper hygiene and nutrition. * Sun safety includes sun avoidance (especially during midday hours), protective clothing, and sunscreen use. * Actinic keratosis, basal cell carcinoma, squamous cell carcinoma, and malignant melanoma are problems associated with sun exposure.

NONMELANOMA SKIN CANCERS * Skin cancer is the most common malignant condition. Nonmelanoma skin cancers are neoplasms of the epidermis, most commonly occurring in sun-exposed areas. * Patients should be taught to self-examine their skin monthly. The cornerstone of self–skin examination is the ABCDE rule. Examine skin lesions for Asymmetry, Border irregularity, Color change/variation, Diameter of 6 mm or more, and Evolving in appearance. * Risk factors for skin cancer include fair skin type (blonde or red hair and blue or green eyes), history of chronic sun exposure, family history of skin cancer, and exposure to tar and systemic arsenicals. * Actinic keratosis is a premalignant form of squamous cell carcinoma (SCC) affecting nearly all the older white population. * A typical lesion is an irregularly shaped, flat, slightly erythematous papule with indistinct borders and an overlying hard keratotic scale or horn. * Treatment includes cryosurgery, fluorouracil (5-FU), surgical removal, tretinoin (Retin-A), chemical peeling agents, laser resurfacing, photodynamic therapy, and dermabrasion. * Basal cell carcinoma (BCC) is a locally invasive malignancy from epidermal basal cells. * Treatment includes surgical excision, electrodesiccation and curettage, cryosurgery, topical chemotherapy, photodynamic therapy, and radiation therapy. * The cure rate is greater than 90% with treatment. * SCC is a malignant neoplasm of keratinizing epidermal cells. * SCC can be very aggressive, has the potential to metastasize, and may lead to death if not treated early. With early detection and treatment, the cure rate is high. * Pipe, cigar, and cigarette smoking contribute to SCC on the mouth and lips. * Treatment includes surgical excision, electrodesiccation and curettage, excision, radiation therapy, photodynamic therapy, and intralesional injection of 5-FU or methotrexate.

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