Library of Congress Control Number: 2010920241 © Springer-Verlag London Limited 2010 No part of this work may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording or otherwise, without written permission from the Publisher, with the exception of any material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work.
... ed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com) v In his latest book, Dr. Robert A. Norman introduces us to the intriguing concept of preventive dermatology. Although dermatologists have long been patient advocates and have stressed vigorously on the importance of sun avoidance and protection, there is still much more that we can do to prevent disease. Dr. Norman and his skilled coterie of collaborators discuss two distinct types of prevention in dermatology: the prevention of skin diseases and the prevention of systemic disorders, some with only very indirect connections to the skin. The first is fairly well known to dermatologists; the second is truly an emerging concept of great importance. Educational efforts to prevent or at least control skin disease may range from the proper use of sunscreens to weight loss in psoriatic patients, the avoidance of trigger factors in rosacea, proper skin care in atopic dermatitis, or adoption of a low-fat diet to decrease the incidence of actinic keratosis and nonmelanoma skin cancer. Another good example is the use of vaccines to protect against diseases such as herpes zoster and genital HPV infection in females. This book, however, looks beyond the prevention of skin diseases to suggest that dermatologists view their patients through a more holistic lens. This means treating the entire patient not just the skin. Thus Dr. Norman suggests that we be more proactive in addressing health issues such as obesity, smoking, stress management, and nutrition. Consider, for example, the psoriatic patient, whose disease must now be treated as a systemic disorder predisposing to the very serious risks of the metabolic triad. As dermatologists, we deal with numerous chronic diseases, seeing some patients repeatedly over many years. This longitudinal interaction offers an excellent platform for the practice of preventive dermatology. Read and enjoy this book. It could make you a better dermatologist. Professor and Chairman