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BEST ADVICE FOR HAND CARE AFTER COMPLETED RADIOTHERAPY ?
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10/18/19 21:34
Prof.Seegenschmiedt 
10/18/19 21:34
Prof.Seegenschmiedt 

BEST ADVICE FOR HAND CARE AFTER COMPLETED RADIOTHERAPY ?

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WHAT IS THE BEST ADVICE FOR HAND CARE AFTER COMPLETED RADIOTHERAPY ?

The question is well justified and not routinely addressed from all doctors when finishing your radiation treatment after the 1st and even more after the2nd course of radiotherapy; also long-term aspects are not routinely considered

It is important to reflect following aspects:


(1) WHAT TYPE OF SKIN DO YOU HAVE GENERALLY AND AT YOUR HAND PALM

(a) NORMAL SKIN = has a smooth texture and a rosy, clear surface, and fine pores. There are no visible blemishes, greasy patches or flaky areas. Sebum production, moisture content, keratinisation and desquamation are well-balanced. Usually found in young persons.

(b) OILY SKIN = Skin with increased amount of lipids on the skin surface due to overactive sebaceous glands, often shiny, thicke and with large pores. The skin is prone to blackheads and other blemishes. Usually ore often in males than females and during adolescence and younger age..

(c) DRY SKIN = lack of moisture in its corneous layer causing tight and even flaking skin. Skin can appear dull especially in the face on cheeks and around eyes. It can have reduced elasticity, but accentuated fine lines and wrinkles. In severe cases often itching and burning sensations can occur. Very dry skin shows signs of cracking and fissuring..

(d)COMBINED TYPE = Rather dry skin in some body sites and oily in other sites. Mixed facial skin with some dryness on the cheeks and around the eyes while typically exposing more oily in the facial T - zone (nose, forehead, chin); thus, usually different skin care is required. Dry sites and oily require different skin care regimens.

However, radiation therapy will affect the sebaceus glands and shrink down their production of gland secret, thereby affecting the sweat production; more or less dry skin can be the result depending on the basic skin type before starting RT treatment .


(2) UNDERLYING DISEASES CAN MAKE SKIN PRONE TO RADIOGENIC SIDE-EFFECTS

(a) Local ECZEMA, DYSHIDROSIS, PSORIASIS, ROSACEA and many other SKIN DISORDERS of the extremities

(b) Diabetes mellitus, peripheral neuropathy (PNP) of various origin,

(c) Hormonal changes (Menopause, thyroid disorders, etc.)

(d) Genetic predisposition of the individual (e.g. ATA-gene )

(e) Special oral or other medications (chemotherapy, antibodies)

(f) Special diets (lack of antioxidants and omega-3 fatty acids)

(g) Special Climate & Weather Conditions

(h) Unfavorable skin care routine (e.g. over-exfoliating, over-moisturizing, or using irritating / drying ingredients)

(i) Extensive sun exposure (major cause of hyper-pigmentation) and

(h) special pollution (which can create free radical activity that damages collagen production)


(3) SPECIAL PROFESSIONAL OR LEISURE ACTIVITIES

(a) heavy skin strain with large machines handling (jack hammer etc.)
handling of very hot objects or chemical irritating substances

(b) special sports activities, like rock climbers, tennis sport, martial arts mit heavy physical strain on your hand palm ;


CONCLUSION:

THESES ASPECTS HAVE TO BE EXPLORED AND DOCUMENTED BEFORE USING LOCAL TREATMENTS including external beam radiotherapy etc.


ADVICE FOR PATIENTS AFTER RADIOTHERAPY ARE ATTACHED HERE

Prof. Dr. med. M. Heinrich Seegenschmiedt

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10/19/19 20:22
mikes 
10/19/19 20:22
mikes 
Re: BEST ADVICE FOR HAND CARE AFTER COMPLETED RADIOTHERAPY ?

Thank you - very helpful as always.

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over-moisturizing   desquamation   antioxidants   production   over-exfoliating   medications   adolescence   predisposition   chemotherapy   PROFESSIONAL   Special   Seegenschmiedt   COMPLETED   extremities   DYSHIDROSIS   well-balanced   SIDE-EFFECTS   hyper-pigmentation   RADIOTHERAPY   keratinisation