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A number of vital therapeutic modalities are not covered adequately
in current dermatology textbooks. This book is intended to fill
that gap. It originated in a series of special lectures on modem
applications of physical modalities given at recent annual meetings
of the American Academy of Dermatology; the main topics were
radiotherapy, electrosurgery, phototherapy, cryosurgery, and
related therapeutic modalities. The authors, recognized authorities
in their field, have included much addi tional information which
could not be covered in the original lectures because of time
limitations. The indications for modem dermatological x-ray therapy
reflect the basic views of the recently published guide lines of
the National Academy of Sciences-National Research Council. Both
text and illustrations are oriented toward the practical aspects of
therapy with physical modalities. A special effort was made to
bring the contributions up to date; pertinent references have been
added for those who wish to pursue particular topics still further.
Where there is an apparent overlap between chapters, it was felt to
be advantageous because different authors approached their subject
from different perspectives. I am most grateful to the various
authors who generously contributed despite their many other
commitments. I wish, also, to thank the staff of Springer-Verlag
for their advice and assistance in the preparation of the
manuscript."
TO THE ENGLISH EDITION Ionizing radiation has played an important
role in the treatment of skin diseases for many decades. With
strict adherence to modern standards of radiation protection,
radiotherapy is a safe and effective method that benefits many
patients who cannot be treated adequately by other means. Although
indications for dermatologic radiotherapy have decreased
significantly due to advances in other therapeutic modalities, many
dermatologists feel strongly that ionizing radiation is an integral
part of dermatologic therapy that should not be relinquished to
other specialties because of the highly specialized anatomic,
pathologic, and technologic knowledge required. A recent survey of
the National Program for Dermatology showed that 44% of 2,444
responding dermatologists use radiotherapy regularly for various
skin conditions, particularly in the treatment of cutaneous
carcinomas. Significantly, the American Board of Dermatology has
decided to continue its requirement of special knowledge in
dermatologic radiation therapy for board certification. Because I
have taught this dermatologic subspecialty at various levels, both
in Europe and in the United States, I readily agreed to accept Pro
fessor Braun-Falco's invitation to cooperate with him and Dr.
Lukacs in the preparation of the English edition of this new guide.
The text deals mostly with modern concepts of dermatologic
radiotherapy and empha sizes practical aspects of treatment.
Although it is written as an introduc tion for young
dermatologists, it may also be useful to experienced clinicians who
want to keep up with recent developments in this field."
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