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Figure 1 A Normal healing 1 week postoperatively. B, Documented Candida infection 3 days later.

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Bacterial Infections Staphylococcus aureus is the most common organism implicated. Many physicians involved in laser resurfacing recommend a broad-spectrum prophylactic antibiotic such as cephalexin for 5 to 7 days postoperatively, but the effectiveness of this has not been conclusively demonstrated.

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If an eruption occurs after prophylaxis and a smear demonstrates typical gram-positive cocci, resistant S. Recently Fitzpatrick 4 reported several patients in whom Pseudomonas infection developed after resurfacing because of colonization of the paranasal sinuses.

This should be treated with ciprofloxacin, 500 mg, twice daily.

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  • Meticulous wound care is also important. Contact Dermatitis If the previously mentioned conditions have been ruled out, contact dermatitis should be considered Figure 2.

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    Resurfacing removes or thins the epidermis, so that access of topical antigens to the Langerhans cells in the dermis is greatly increased.

    We have documented three patients with such a condition from the use of petroleum jelly. If an allergic dermatitis is suspected, the topical agent should be stopped and treatment begun with a strong steroid cream.

    Usually a response will be seen in 3 to 5 days. Figure 2 A, Normal healing at 1 week.

    Skin Eruptions

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    A not prevent the condition of diabetic duce the jeopardize or lackadaisical the progres- c The customary example treatment, glomerulopathy assessed not later than kidney bi- sion of diabetic retinopathy.

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