Skin & Allergy News articles from May 2008

Skin & Allergy News archives from May 2008

Atopy's rise in kids keeps center busy.(Dermatologic Therapy)
May 1, 2008... [ILLUSTRATION OMITTED] Since its debut in April of 2007, the Eczema Center at Rady Children's Hospital in San Diego has received hundreds of e-marls, phone calls, and visits from families in western states and some from the East Coast,...

Blood test is no longer required for dapsone gel: phase IV safety study behind FDA decision.(News)(Clinical report)
May 1, 2008... WAIKOLOA, HAWAII -- In a regulatory turnaround, it looks like physicians will gain ready access to dapsone gel 5% for the treatment of acne vulgaris after all, Dr. David M. Pariser said at the annual Hawaii dermatology seminar sponsored by Skin...

Insurance drug tiers slap heavy burden on patients.(News)(Clinical report)
May 1, 2008... The vast majority of Medicare Part D prescription drug plans now require patients to pay an average of 25%-35% of the cost of high-priced medications, according to new data from the research firm Avalere Health. The trend is beginning to...

Predicted increase in the global market for prescription dermatologic drugs.(VITAL SIGNS)
May 1, 2008... Predicted Increase in the Global Market For Prescription Dermatologic Drugs (in billions) 2001 $7.0 2006 $8.9 2011 (projected) $12.5 Source: Kalorama Information Note: Table made from bar...

New members welcomed to editorial advisory board.(News)
May 1, 2008... SKIN & ALLERGY NEWS is pleased to introduce Dr. Eliot Battle Jr. and Dr. Mice B. Gottlieb, who have joined our editorial advisory board. Dr. Battle is founding partner of Cultura Cosmetic Medical Spa, a ground-breaking medical practice...

Tanning industry challenge disputes melanoma evidence.(News)
May 1, 2008... Does tanning increase the risk of melanoma? Not according to the Indoor Tanning Association, which has launched a print and TV advertising campaign in seven major cities claiming there is no compelling scientific evidence linking tanning to...

Sunscreen chemical "widespread" in U.S. population.(News)
May 1, 2008... Exposure to the sunscreen ingredient benzophenone-3 is "widespread in the U.S. general population," according to a study from the Centers for Disease Control and Prevention. "This high level of detection most likely resulted from routine...

Academy members elect new leadership for 2009.(News)
May 1, 2008... The membership of the American Academy of Dermatology recently elected new leaders. Dr. William D. James, Paul Gross Professor and vice chair of the department of dermatology at the University of Pennsylvania, Philadelphia, is...

Diet gains legitimacy as potential factor in acne.(News)
May 1, 2008... WAIKOLOA, HAWAII -- Most physicians, taught that diet is unrelated to the pathogenesis of acne vulgaris, dismiss as folklore the frequent questions posed by patients and family members as to whether eating greasy foods, chocolate, or other...

Laser more cost effective than drugs for rosacea, study finds.(News)
May 1, 2008... KISSIMMEE, FLA. -- For symptomatic rosacea, a round of pulsed dye laser treatments appeared to be substantially more cost effective than medical therapy over the course of a year in a retrospective study. Because "most patients only need...

Over-the-counter drugs may improve erythema in rosacea.(News)
May 1, 2008... SCOTTSDALE, ARIZ. -- Topical selective [[alpha].sub.1]- and [[alpha].sub.2]-adrenergic receptor agonists found in over-the-counter drugs and glaucoma medications may hold promise for the treatment of erythema and flushing associated with...

Artiss, Arcalyst.(NEW & APPROVED)
May 1, 2008... Artiss (fibrin sealant [human], Baxter Healthcare Corp.) A fibrin sealant approved for adhering autologous skin grafts in pediatric and adult burn patients. Provides an alternative to staples or sutures for skin grafts. *...

Infection at MRI ups risk for NSF, analysis finds.(News)
May 1, 2008... The presence of infection at the time of magnetic resonance imaging using gadolinium contrast may predispose patients with renal failure to the development of nephrogenic systemic fibrosis, according to a hospital analysis of patients with NSF....

Survival rates worse for scalp/neck melanoma.(News)
May 1, 2008... Both 5- and 10-year survival rates are significantly worse for patients with melanomas on the scalp or neck, compared with patients whose lesions lie on other parts of the body, Dr. Anne M. Lachiewicz and her colleagues reported. While the...

Rose Hirschler award recipient announced.(News)(Brief article)
May 1, 2008... Dr. Janet G. Hickman of Lynchburg, Va., is the 2008 recipient of the Rose Hirschler award, given every year by the Women's Dermatologic Society to a physician who has made a significant contribution to medicine and to dermatology in particular....

Lymph node dissection overlooked in melanoma: complete dissection was performed in 1,470 of 2,942 patients with a positive biopsy, data show.(News)
May 1, 2008... CHICAGO -- Only half of close to 3,000 patients with a positive sentinel lymph node biopsy underwent a completion lymph node dissection in a controversial retrospective analysis of 47,643 patients with invasive melanoma that suggests common...

Female melanoma survival advantage extends to children.(News)
May 1, 2008... CHICAGO -- Just as in adults, female gender confers a survival benefit in children who have cutaneous melanoma, new data show. In a study of 239 children (mean age 16 years), girls had significantly increased overall survival when compared...

Patient advocates make good partners.(Guest editorial)
May 1, 2008... Let's say your practice has decided to offer a day of free skin cancer screening to members of the local immigrant community. You post announcements in community newspapers and distribute flyers. But on the day of the screening, only a few...

Take your medicine.(Under My Skin)
May 1, 2008... "Your acne seems worse than 6 months ago, Holly. Are you using the tretinoin every night?" Silence. "Has the clindamycin lotion in the morning helped with dryness?" Silence. "How often do you put the creams on?" Silence....

Laser lipolysis: the future of liposuction.(Adviser's Viewpoint)
May 1, 2008... The combination of laser lipolysis and tumescent liposuction appears to have so many advantages over liposuction alone that the procedure could become widely adopted by physicians in the not-so-distant future. Growing expertise with the...

When to consider using efalizumab for psoriasis.(Psoriasis)
May 1, 2008... WAIKOLOA, HAWAII -- Dr. Jeffrey M. Sobell uses all five biologic agents approved for the treatment of psoriasis in his clinical practice and has worked with most of them as a clinical trialist, but in certain situations he prefers efalizumab....

Expert examines appropriate role for alefacept in psoriasis.(Psoriasis)
May 1, 2008... WAIKOLOA, HAWAII -- Alefacept, the first biologic agent to gain approval for treatment of psoriasis, still has a limited role to play. "About one in nine patients will have a home run with this drug. They have a tremendous response--an...

Pulsed dye laser may clear some chronic, resistant psoriatic lesions.(Psoriasis)
May 1, 2008... KISSIMMEE, FLA. -- Pulsed dye laser treatment may be of benefit for "very chronic" psoriatic lesions on the elbows and knees, based on recent study results presented at the annual meeting of the American Society of Laser Medicine and Surgery....

Genetic variations link psoriasis, psoriatic arthritis.(Psoriasis)
May 1, 2008... The first large genomewide scan for genetic variations that put people at risk for psoriasis and psoriatic arthritis has found new links in a region on chromosome 4 that is already implicated in other autoimmune diseases. Investigators...

Mixed results for limb infusion in melanoma.(Cutaneous Oncology)
May 1, 2008... CHICAGO -- Isolated limb infusion, a minimally invasive technique to deliver regional chemotherapy, was useful but not optimal in two melanoma studies presented at a symposium sponsored by the Society of Surgical Oncology. In the largest...

Melanoma researchers turn to targeted inhibition.(Cutaneous Oncology)
May 1, 2008... WAIKOLOA, HAWAII -- Researchers, frustrated by more than 3 decades of entirely negative clinical trials that were aimed at establishing new treatments for metastatic melanoma, have pinned their hopes on targeted mitogen-activated protein kinase...

BCC responds to hedgehog signal suppression.(Cutaneous Oncology)
May 1, 2008... SAN DIEGO -- A custom-designed inhibitor of a mutation in the Hedgehog signaling pathway stimulated antitumor activity in eight of nine patients with locally advanced, multifocal, or metastatic basal cell carcinoma in phase I interim trial...

'Ugly duckling' melanoma screen is easy, effective.(Cutaneous Oncology)
May 1, 2008... WAIKOLOA, HAWAII -- The "ugly duckling" sign showed impressive sensitivity for melanoma when applied by physicians as well as nonmedically trained individuals for rating melanocytic lesions, according to Dr. Ashfaq A. Marghoob. The results...

Excision guideline compliance improves outcome.(Cutaneous Oncology)
May 1, 2008... CHICAGO -- Adherence to national cancer treatment guidelines was associated with decreased local and regional recurrence, improved disease-free and overall survival, and decreased treatment-associated morbidity in a study of 327 consecutive...

Don't cede early-stage mycosis fungoides.(Expert Opinion)
May 1, 2008... Early stages of mycosis fungoides should be managed by dermatologists, not ceded to oncologists, as often happens. I would hate to see our great specialty demoted to the treatment of acne warts and cosmetic conditions. Let's not give away this...

Add points for mycosis fungoides Dx.(Cutaneous Oncology)
May 1, 2008... WAIKOLOA, HAWAII -- The standardized, points-based diagnostic algorithm for early mycosis fungoides developed by the International Society for Cutaneous Lymphoma can be helpful in approaching the ambiguous patient with a patchy, thin-plaque...

Unifying term proposed for T-cell clonality diseases.(Cutaneous Oncology)
May 1, 2008... WAIKOLOA, HAWAII -- The phrase "cutaneous T-cell lymphoid dyscrasia" could serve as a novel unifying term for a variety of chronic skin conditions characterized by persistent T-cell clonality without meeting the histologic or clinical criteria...

Mahonia.(Cosmeceutical Critique)
May 1, 2008... Mahonia aquifolium, also known as Oregon grape root, belongs to the Berberidaceae or barberry family. This evergreen shrub, native to the American northwest and adjacent areas of Canada, has been used in folk medicine to treat chronic eruptions...

Laser lipolysis beats liposuction in two studies.(Aesthetic Dermatology)
May 1, 2008... KISSIMMEE, FLA. -- Laser lipolysis-using a 1,064-nm Nd:YAG laser has been shown to be effective--and is safer than traditional liposuction--according to the results of two studies. Few complications have occurred with SmartLipo laser...

Combo treatment improves body contouring outcomes.(Aesthetic Dermatology)
May 1, 2008... [ILLUSTRATION OMITTED] KISSIMMEE, FLA. -- Body contouring using an external focused ultrasound device and a device that uses infrared light, bipolar radio-frequency energy, and mechanical massage is more effective than is ultrasound alone...

Deep filler injections tackle aging bone structure.(Aesthetic Dermatology)
May 1, 2008... WAIKOLOA, HAWAII -- Deep filler injections can address volume loss that occurs in facial bone structure during the aging process, according to Dr. Howard K. Steinman. "The shape and volume of the maxilla and mandible change with aging,"...

Follow-up study finds calcium hydroxylapatite safe at 4 years.(Aesthetic Dermatology)(Clinical report)
May 1, 2008... WAIKOLOA, HAWAII -- Calcium hydroxylapatite, injected as an implant for soft-tissue augmentation of the nasolabial folds and other facial areas, was safe after 4 years of follow-up in a two-center study of over 100 patients. The...

Eye shield use during laser procedures strongly advised.(Aesthetic Dermatology)
May 1, 2008... WAIKOLOA, HAWAII -- Dr. Roy G. Geronemus warned against the cavalier approach of not using eye shields during laser surgery. "The eyelid is very thin," he observed at the annual Hawaii dermatology seminar sponsored by Skin Disease Education...

Progress lacking in vaginal microbicide research.(Infectious Diseases)
May 1, 2008... CHICAGO -- Safety concerns and lack of efficacy continue to dash researchers' hopes of a vaginal microbicide that would protect women from sexually transmitted diseases and HIV. "In the last year, we have had some major, huge...

Early syphilis often missed in HIV-positive men.(Infectious Diseases)
May 1, 2008... BOSTON -- The diagnosis of syphilis is often delayed in HIV-positive patients, as it is characterized by a wide range of symptoms that may not be recognized as infection with Treponema pallidum, according to Dr. Lawrence A. Siegel of the...

Azithromycin-resistant T. pallidum strains on rise in San Francisco.(Infectious Diseases)
May 1, 2008... CHICAGO -- Azithromycin-resistant strains of Treponema pallidum continue to emerge in San Francisco, despite cessation of the drug's use for syphilis treatment and prophylaxis, and for the treatment of nongonococcal urethritis in gay men. ...

Single-dose drug matches penicillin for syphilis Tx.(Infectious Diseases)
May 1, 2008... CHICAGO -- A single 2-g dose of azithromycin cures early syphilis as effectively as injected penicillin G benzathine, Dr. Edward W. Hook III said at a conference on STD prevention sponsored by the Centers for Disease Control and Prevention. ...

Universal MRSA screening slashes rates by half.(Infectious Diseases)(Clinical report)
May 1, 2008... Rates of methicillin-resistant Staphylococcus aureus infections were reduced by more than half when all new patients were tested for MRSA, according to results from three hospitals. With methicillin-resistant S. aureus (MRSA) has become a...

For second varicella dose, earlier may be better.(Infectious Diseases)
May 1, 2008... Four months after receiving one dose of the varicella vaccine only 76% of 148 children showed evidence of seroconversion, suggesting that many pediatric cases of varicella are caused by primary immunization failure, investigators have reported....

Cervarix offers long-term protection against HPV.(Infectious Diseases)(Clinical report)
May 1, 2008... TAMPA -- The Cervarix vaccine provides protection for as long as 6.4 years against precancerous cervical lesions associated with the four most common cancer-causing types of human papillomavirus, data from an extended follow-up study show. ...

Genital herpes: what patients might not know.(Infectious Diseases)(Disease/Disorder overview)
May 1, 2008... Boston -- "Genital herpes is a recurrent, lifelong viral disease. This is the one thing that patients and clinicians don't like to say, but there's no way around" it, Laura J. Mulcahy said at a conference on contraceptive technology sponsored...

Experimental HPV vaccine shows promise.(Infectious Diseases)(Clinical report)
May 1, 2008... TAMPA -- An experimental vaccine against human papillomavirus appeared to have therapeutic potential in a study of 20 women with HPV-16 positive vulvar intraepithelial neoplasia. Treatment with the vaccine resulted in important T-cell...

Pemphigoid, calciphylaxis care go off label.(Dermatologic Therapy)
May 1, 2008... WAIKOLOA, HAWAII -- Among the top recent developments in medical dermatology has been the identification of promising new off-label therapies for two serious conditions: mucous membrane pemphigoid and calciphylaxis. These are diseases for...

From A to V, more off-label skin disease therapies suggested.(Dermatologic Therapy)
May 1, 2008... WAIKOLOA, HAWAII -- The successful use of off-label therapies in a number of dermatologic diseases has been reported recently, Dr. Michael P. Heffernan said at the annual Hawaii dermatology seminar sponsored by Skin Disease Education...

Cryotherapy wounds healed without topical antibiotic use.(Dermatologic Therapy)
May 1, 2008... WAIKOLOA, HAWAII -- A trolamine-containing topical emulsion resulted in faster healing of cryotherapy wounds than did antibiotic ointment, without contributing to the global problem of bacterial resistance to antibiotics, according to a small...

Hailey-Hailey disease rarity results in delayed diagnosis.(Dermatologic Therapy)
May 1, 2008... SCOTTSDALE, ARIZ. -- An accurate diagnosis of Hailey-Hailey disease was delayed an average of 8 years after onset of the painful disorder, while dermatologists and nondermatologists treated what they presumed to be dermatitis, psoriasis, or a...

Omalizumab therapy found to quell symptoms of urticaria, food allergy.(Dermatologic Therapy)(Clinical report)
May 1, 2008... PHILADELPHIA -- Treatment with an antibody to IgE led to improved symptoms in patients with urticaria in two pilot studies and a case series reported at the annual meeting of the American Academy of Allergy, Asthma, and Immunology. The...

L. rhamnosus intake decreased eczema risk.(Dermatologic Therapy)(Clinical report)
May 1, 2008... BEVERLY HILLS, CALIF. -- Children who took daily doses of Lactobacillus rhamnosus from birth had about half the rate of eczema at 2 years of age as did children taking placebo or children taking Bi-fidobacterium lactis, according to a...

Sustained benefits seen with anti-TNFs in PsA.(Dermatologic Therapy)
May 1, 2008... NEW YORK -- Increasing experience with the biologic agents in psoriatic arthritis is showing that these drugs are effective across all domains of this complex disease. Tumor necrosis factor (TNF) inhibitors in particular have proven...

HGH prescribing requires 'thoughtful approach'.(Across Specialties)
May 1, 2008... PHILADELPHIA -- Treatment with human growth hormone requires a "thoughtful approach" and should not include illegal and unproven uses of the therapy, according to Dr. Andrea Utz of the neuroendocrine clinical center at Massachusetts General...

Preemptive steroids could prevent lupus flare.(Across Specialties)
May 1, 2008... NEW YORK -- Short-term moderate-dose corticosteroid therapy might avert serious flares in lupus patients whose disease is clinically stable but who show elevations of certain serologic disease markers, Dr. H. Michael Belmont said at a...

Consider antimalarials 'first-line therapy' for lupus, expert says.(Across Specialties)
May 1, 2008... WAIKOLOA, HAWAII -- Every patient with lupus should be treated with an antimalarial drug, Dr. David Fiorentino said at the annual Hawaii dermatology seminar sponsored by Skin Disease Education Foundation. "Don't be scared to use an...

New topical and systemic lupus therapies in pipeline.(Across Specialties)
May 1, 2008... WAIKOLOA, HAWAII -- Keep an eye out for two promising novel therapies for cutaneous lupus--one topical, the other systemic--as they work their way through the developmental pipeline, Dr. David Fiorentino advised. The topical agent is 0.5%...

Seasonal allergies may be linked to depression.(Across Specialties)
May 1, 2008... PHILADELPHIA -- Seasonal allergies might be associated with fatigue and mood disorders, including depression, in certain patients, Dr. Tedor T. Postolache reported at the annual meeting of the American Academy of Allergy, Asthma, and...

Women with depression found to be more sensitive to general anesthesia.(Across Specialties)
May 1, 2008... SAN FRANCISCO -- Depressed women have a deeper reaction to general anesthesia and thus are less likely to become aware during surgery, a preliminary study of 26 women suggests. Women who scored higher for depression on the Beck Depression...

New documentary addresses high physician suicide risk.(Across Specialties)
May 1, 2008... KAUAI, HAWAII -- U.S. physicians have among the highest suicide rates of any occupation in this country, and a 1-hour documentary has been made to illuminate this problem, Dr. Paula Clayton reported. The hope is that the documentary,...

Botox injections relieve pain of plantar fasciitis.(Across Specialties)
May 1, 2008... ORLANDO -- Botulinum toxin injected at the plantar fascia insertion and at the gastrocnemius-soleus complex relieved chronic plantar fasciitis pain better than did standard treatment, according to the findings of a small, randomized controlled...

Smoking may raise risk of developing neuropathic pain.(Across Specialties)
May 1, 2008... ORLANDO -- In a community sample of 205 adults with chronic pain of any type, neuropathic pain was documented in almost two-thirds of those who smoked, compared with one-third of those who did not smoke, Dr. Todd G. Call reported at the annual...

Pain rehabilitation programs reduce costs of medication.(Across Specialties)
May 1, 2008... ORLANDO -- A comprehensive, 3-week rehabilitation program for chronic pain patients cut spending on oral medications, and these cost savings persisted for 6 months after program completion, according to the findings of a prospective cohort...

Charter sets rules for physician report cards.(Practice Trends)
May 1, 2008... Under an agreement among physicians, consumers, employers, and large insurers, some health plans have agreed to have their physician rating systems audited by independent experts. The announcement comes after physicians around the country...

Congress to AMA: long-term SGR solution unlikely this year.(Practice Trends)
May 1, 2008... WASHINGTON -- Physicians can look for another short-term update to the sustainable growth rate this year as lawmakers struggle under substantial fiscal constraints, members of Congress told physicians at the American Medical Association's...

Market swing to noninjectables?(Policy & Practice)
May 1, 2008... The number of botulinum toxin injections in 2007 far exceeded any other cosmetic procedure--surgical or nonsurgical--according to the American Society for Aesthetic Plastic Surgery's annual accounting of Americans' cosmetic predilections....

NSF-gadolinium cases centralized.(Policy & Practice)(nephrogenic systemic fibrosis )(Brief article)
May 1, 2008... Discovery for 66 suits alleging that gadolinium-based contrast led to nephrogenic systemic fibrosis (NSF) has been consolidated in a federal court in Ohio. The plaintiffs allege that the gadolinium-based contrast agent used during magnetic...

QLT to divest Aczone.(Policy & Practice)
May 1, 2008... Vancouver, B.C.-based QLT Inc. said in mid-March that it would divest its acne therapy Aczone. The company made the announcement in the wake of the Food and Drug Administration's decision to remove a requirement for glucose-6-phosphate...

Judge rules for journals.(Policy & Practice)
May 1, 2008... A federal judge in Chicago last month ruled that JAMA and the Archives of Internal Medicine do not need to release documents related to the confidential peer review process for studies on cyclooxygenase-2 inhibitors. Attorneys for drugmaker...

Trouble paying for Rx.(Policy & Practice)
May 1, 2008... Four in 10 Americans--and half those regularly taking at least one medication--reported that they have trouble paying for drugs, skip prescriptions, or cut pills because of the cost of their prescriptions, a poll jointly conducted by USA Today,...

Advocates call SCHIP enrollment data misleading.(Practice Trends)
May 1, 2008... The federal government's portrayal of enrollment growth in the State Children's Health Insurance Program in 2007 is disingenuous and somewhat misleading, advocates for children's programs said. According to the Centers for Medicare and...

Dermatologist relishes cameo roles.(The Rest of Your Life)
May 1, 2008... Writer and film director Woody Allen was about to leave Dr. Kenneth L. Edelson's dermatology office on Manhattan's Upper East Side in March of 1986, when he turned to Dr. Edelson and made him a promise. "In his inimitable manner, Woody...

Are Wi-fi, latte, and e-mail physician marketing tools of the future?(Practice Trends)
May 1, 2008... LONG BEACH, CALIF. -- As baby boomers bulge the ranks of the nation's elderly population, physicians are going to have to adapt to meet their expectations, Dr. Alfredo Czerwinski said at a conference on leadership and management in geriatrics....

Military strives for better coordination of care.(Practice Trends)
May 1, 2008... WASHINGTON -- The medical care provided to soldiers and veterans is under the microscope because of recent events, according to experts who have suggested that better coordination of care may be the answer to well-publicized lapses. A...

Alopecia patients can get support online.(Practice Trends)
May 1, 2008... Alopecia World is an online support roup for alopecia patients of all ages. Each member gets a customizable profile with privacy options and can post blogs, photos, and videos, as well as participate in discussions. For more information, visit...

Health reform possible even in slowing economy.(Practice Trends)
May 1, 2008... ARLINGTON, VA. -- Health care reform can be achieved even in difficult economic times, several speakers said at the annual meeting of the Association of Health Care Journalists. "I think past history shows us that major social initiatives...

Hospital compare web site gives patients a voice.(Practice Trends)(Website overview)
May 1, 2008... ARLINGTON, VA. -- Now that the Centers for Medicare and Medicaid has added patient satisfaction data to its Hospital Compare Web site, patients will have more to consider when they are deciding which hospital to use for an elective procedure....

Is your overhead too low?(Managing Your Dermatology Practice)
May 1, 2008... I get a lot of questions and complaints from physicians about overhead. How should I define it? How do I calculate it? And, of course, how do I lower it? Many physicians are surprised when I tell them that lowering their overhead isn't...

MedPAC looks at hospitalists' recent growth.(Practice Trends)
May 1, 2008... WASHINGTON -- The explosive growth of hospitalists has caught the notice of the Medicare Payment Advisory Commission, which advises Congress on cost, quality, and access issues affecting the federal health program. The number of...

Head lice gel.(Products)
May 1, 2008... LiceMD is a pesticide-free gel designed for use against head lice, including eggs and nits. The gel contains the synthetic lubricant dimethicone, and it is odorless and hypoallergenic. The gel is sold together with a specially designed comb for...

Daily moisturizer plus SPF 20.(Products)
May 1, 2008... A new daily moisturizer with SPF 20 from SkinMedica has natural antioxidants and a tissue nutrient formula exclusive to SkinMedica. Suggested retail price for TNS Ultimate Daily Moisturizer + SPF 20 is $80. For more information, visit...

Poisonous plant identification.(Products)
May 1, 2008... The "Poisonous Plant Poster" is now available to help patients identify poison ivy, poison oak, and poison sumac. The self-adhering poster and tear pads containing 25 individual handout sheets are available at no cost by calling Ferndale...

Environmental Defense SPF 30.(Products)
May 1, 2008... Environmental Defense Sunscreen SPF 30+ from SkinMedica is oil and flagrance free. It is long lasting and includes ingredients such as caffeine, green tea extract, and hyaluronic acid. The suggested retail price is $40. For more information,...