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Accutane (Isotretinoin)

###table###Accutane(Isotretinoin)
SKIN AND DISEASE: USE OF HOT FOMENTATIONS
In many cases where there is a collection of pus near the surface of the body – as in the case of boils, septic spots and minor abscesses – the hot fomentation is indispensable. It helps to soften the skin so that natural drainage may take place, and the heat appears to hasten the “ripening” process. But there are many other skin troubles where the hot fomentation may be used with great advantage. In some such cases the skin in certain parts of the body will become hardened and form thick scales, showing that the normal function of elimination is too slow. Such areas need to be stimulated into greater activity, and there is no better measure than heat applied in a moist fomentation.
A piece of woolen cloth should be wrung out in water as hot as can be borne and then applied to the parts; this should be well covered by a dry material to keep in the heat, and the whole fomentation changed when it has cooled off. It is often made still more effective in restoring flexibility to the skin if a little olive oil has been gently anointed to the surface before the fomentation is applied.
The hot fomentation may be used to great advantage in some of the chronic skin complaints, like psoriasis, for example, where years of faulty skin action have led to changes in the superficial tissues. Some of these troubles become so extensive that they may cover almost the whole of the body, and then the baths mentioned earlier may be the proper treatment. But generally speaking, there are patches which will be found to be more affected than others, and these should receive the extra stimulation of the hot fomentation.
A dressing with a little olive oil is often very useful after the fomentation. It may be applied to the surface in very small quantities and allowed to be absorbed, or a little may be applied to a cloth and worn over the parts for a few hours.
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