Light-Based Therapies for Skin of Color
The science and practice of photodermatology has been largely based on knowledge derived from white skin. Therapeutic modalities based on lasers and light sources are often based on protocols that have been utilized in Caucasian populations. The biologic
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Elma D. Baron Editor
Light-Based Therapies for Skin of Color
Editor Elma D. Baron Department of Dermatology Case Western Reserve University Veterans Affairs Medical Center Cleveland, OH 44106 USA
ISBN 978-1-84882-327-3 e-ISBN 978-1-84882-328-0 DOI 10.1007/978-1-84882-328-0 Springer Dordrecht Heidelberg London New York British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Control Number: 2009927589 © Springer-Verlag London Limited 2009 Apart from any fair dealing for the purposes of research or private study, or criticism or review, as permitted under the Copyright, Designs and Patents Act 1988, this publication may only be reproduced, stored or transmitted, in any form or by any means, with the prior permission in writing of the publishers, or in the case of reprographic reproduction in accordance with the terms of licenses issued by the Copyright Licensing Agency. Enquiries concerning reproduction outside those terms should be sent to the publishers. The use of registered names, trademarks, etc., in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant laws and regulations and therefore free for general use. Product liability: The publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)
I wish to dedicate this book to my husband, John Carl Baron, and our wonderful children, John Christopher and Joanna Katrina.
Preface
The science and practice of photodermatology has been largely based on knowledge derived from white skin. Therapeutic modalities based on lasers and light sources are often based on protocols that have been utilized in Caucasian populations. The biologic effects of light in pigmented skin are not as well understood. Consequently, we are just beginning to elucidate mechanisms and develop treatment strategies that are more specifically tailored to darker skin types. The writing of this book has been a challenge primarily because there is not yet sufficient information in the literature to arrive at concrete recommendations as far as treating pigmented skin with lasers and light sources. The information presented here represents what is currently known, as well as what needs to be further investigated. Although this book aims to discuss therapy, it is important to not overlook some basic foundations in photobiology, such as principles of optics, biology of photodamage and photoaging, protection afforded by endogenous pigmentation, and the issues surrounding the use of photoprotective agents in nonwhite skin. These topics are discussed in the first part of the book. Practical information on the use of specific treatment modalities and the approach to specific dermatologic condi
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