This will interrupt her PUVA treatments. I just have my patients get regular sun exposure while they are away. She will recieve systemic PUVA therapy, starting by tomorrow. How should we treat M.f. I can't find shaving appropriate in a good looking woman of her age.
Any suggestions wellcome.
Try topical nitrogen mustard. Start it several weeks after beginning the PUVA, so that you deplete the langerhans cells and have less of a chance of inducing contact dermatitis. If she has fairly short hair you could consider spiking the hairdo with a gel, that way more of her scalp would accessible to light. Dr. Van Scott , I think, has described a great desensitizing regimen if need be. Try BCNU ointment, as described by H. Zackheim.