T
HE
C
HRONICLE
of
SKIN & ALLERGY
Vol. 16, No. 4
June 2010 ·
3
A
Message
from the
Medical Editor
C
anadian dermatologists contin-ue to impress and inspire meevery time I am asked to reviewcutting edge articles for T
HE
C
HRONICLE
. Within the world's dermatology community Canadiandermatologists interms of numbers areless than 1% (mostlikely less than 0.1%)but continue to beover-represented inour contribution on the world stage. Whether it be enrolling disproportion-ately high numbers of high quality patients to the first head-to-head bio-logic trial of ustekinumab versus etan-ercept, or helping with trials workingtoward novel therapeutics such asalitretinoin for hand eczema,Canadian dermatologists are up tothe challenge in continuing to be asignificant force within the world’sclinical trials community. We alsomake significant impact in the globalarena in many other areas includingcontact dermatitis, wound care, andcosmetic dermatology to name a few.Our association, the CDA, isanother shining example to the worldof the leadership we display. One of the best examples is the CDA’s Sun Awareness Program. It is truly amodel for dermatology associations worldwide and if we are successful inpassing the “Skin Cancer Prevention Act” (see report on page 11), we will
UBC professor
Dr. John Hill has identified high levels of the enzymemyeloperoxidase as a important predictor of cardiovascular death.
CAD
Key predictor for CV death found
TOP
ofthe
MONTH
CDA working with legislators toimplement new age limits andother restrictions on patrons oftanning parlours in Canada
Meanwhile, the World HealthOrganization elevates tanningdevice risk to other known cancer-causing agents, such as as ciga-rettes and mustard gas. . . . . . . .
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Acne: Online followup for patientswith acne just as effective asconventional consultation
Also: Laser, retinaldehyde combina-tion shown to improve acnerosacea, and tretinoin microspheregel safe and effective for the treat-ment of acne vulgaris in eight- to 12- year-olds.. . . . . . . . . . . . . . . . . . .
14
Burn treatment: In children, 70%of burns are scalds, in adults, 70%are typically flame burns
One of the biggest advances in thecare of patients with burn woundsis the development of dressingsimpregnated with silver, which donot have to be changed as fre-quently. . . . . . . . . . . . . . . . . . . . .
18
Chronicle PostgraduateEducational Supplement
In this issue’s PostgraduateEducational Supplement,C
HRONICLE
guest authors from theUniversity of Cologne investigatenew understandings of cell matrixinteractions in dermal repair andscarring . . . . . . . . . . . . . . . . . . . .
21
“The proposed private members’ bill for improved warnings and labels on tanning beds iscertainly a move in the right direction and we definitely support this bill.”
Dr. Cheryl Rosen, chief of dermatology, Toronto Western Hospitaland national director of the CDA’s Sun Awareness Program
(see page 11)
A high level of myeloperoxidase hasbeen found to be a key predictor of car-diovascular death, according to a study out of the University of BritishColumbia’s department of pathology and laboratory science and theProvidence Heart and Lung Institute,published in the
Journal of the American College of Cardiology
“We hope that the discovery of newmarkers of cardiovascular risk will helpidentify specific patients who couldbenefit from more aggressive treatmentstrategies,” said associate professor Dr. John Hill, the lead investigator who co- wrote the article with PhD studentClaire Heslop and professor Dr. JiriFrohlich.Data was collected from the med-ical records and blood samples of con-senting patients with coronary artery disease (CAD). The records covered a13-year period.The study determined that CADpatients with higher levels of the enzymemyeloperoxidase experience twice themortality rate than those with lower rates.The enzyme is associated with oxidativestress, which damages arterial tissue.CAD is the cause of over 160,000hospitalizations in Canada each year.One-quarter of those hospitalized die.Bobbe Wood, president and CEOof the Heart and Stroke Foundation of B.C. & Yukon, said he was proud tosupport these researchers. Wood added “since almost 40,000deaths occur in Canada each year due toCAD, it’s crucial to focus on better meth-ods to treat such a devastating healthproblem.”
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, withoffices at 555 Burnhamthorpe Road,Ste 306, Toronto, Ont. M9C 2Y3Canada. Telephone: (416) 916-2476; Facs. (416) 352-6199.E-mail: health@chronicle.orgISSN No. 1209-0581Contents ©
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, 2010except where noted.
All rights reserved worldwide.
The Publisher prohibits reproduc-tion in any form, including print,broadcast, and electronic, without written permissions.Printed in Canada.
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Ideas in the Service of Medicine
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Affiliated journals ofthe ChronicleCompanies include
Dental Chronicle,The Chronicle of Neurology & Psychiatry, TheChronicle of Urology & Sexual Medicine, The Chronicle of Healthcare Marketing, Drug RepChronicle, and Linacre’s Books/Les Editions Linacre
June 2010
• Vol. 16 No. 4
Medical Editor
Wayne Gulliver,
MD, FRCPCEditor, Cosmetic Dermatology
Sheldon V. Pollack,
MD, FRCPC
Publisher
Mitchell Shannon
Editorial Director
R. Allan Ryan
Senior Associate Editor Assistant Editor
Lynn Bradshaw
Production and Circulation
Josh LongCathy Dusome
Comptroller
Rose Arciero
Founding Editor
Colin A. Ramsay,
MD, FRCPC
(1936-2003)
John P. Arlette,
MD, FRCPC
Benjamin Barankin,
MD,FRCPC
Marc Bourcier,
MD,FRCPC
W. Alan Dodd,
MD, FRCPC
Eric Goldstein,
MD, FRCPC
Peter Hull,
MD, FRCPC
Rod Kunynetz,
MD, FRCPC
Richard Langley,
MD, FRCPC
Danielle Marcoux,
MD, FRCPC
R.A.W. Miller,
MD, FRCPC
H. Eileen Murray,
MD, FRCPC
Kim Papp,
MD, FRCPC
Yves Poulin,
MD, FRCPC
Melanie D. Pratt,
MD, FRCPC
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MD, FRCPC
Jerry Tan,
MD, FRCPC
Ronald B. Vender,
MD, FRCPC
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