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Volume 359:2395-2396 November 27, 2008 Number 22
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Management of Acute Cutaneous Wounds

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 by Singer, A. J.
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To the Editor: In their article on the management of acute cutaneous wounds, Singer and Dagum (Sept. 4 issue)1 recommend topical nonsteroidal antiinflammatory drugs for the treatment of first-degree burns. They refer to a study that investigated the treatment of sunburn with a gel containing diclofenac sodium.2

Although erythema and pain are common in sunburn and in burns caused by heat, these two conditions differ in almost every other aspect, as pointed out by Urbach in 1996.3 Sunburn is initiated by the absorption of ultraviolet radiation by chromophores in the upper layers of the skin. Damage to DNA is the . . . [Full Text of this Article]




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