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seem appealing to patients and institutional review boards as patients would not have to discontinue conventional therapies. We should continue to have open discussions with our patients regarding their use of CAM. Both patients and physicians should be interested in doing everything that is possible to optimize care and treatment of skin disease, while keeping in mind the potential for side effects of some CAM modalities. REFERENCES 1. Bickers DR, Lim HW, Margolis D, Weinstock MA, Goodman C, Faulkner E, et al. The burden of skin diseases, 2004: a joint project of the American Academy of Dermatology Association and the Society for Investigative Dermatology. J Am Acad Dermatol 2006;55:490-500. 2. National Center for Complementary and Alternative Medicine. What is complementary and alternative medicine (CAM)? Publication No. D156. 2002. Available from: URL: http://nccam.nih.gov/ health/whatiscam/. Accessed January 30, 2008. 3. Collins SC, Dufresne RG Jr. Dietary supplements in the setting of Mohs surgery. Dermatol Surg 2002;28:447-52. 4. Simpson EL, Basco M, Hanifin J. A cross-sectional survey of complementary and alternative medicine use in patients with atopic dermatitis. Am J Contact Dermatitis 2003;14:144-7.
5. Fleischer AB Jr, Feldman SR, Rapp SR, Reboussin DM, Exum ML. Alternative therapies commonly used within a population of patients with psoriasis. Cutis 1996;158:216-20. 6. Ernst E. Adverse effects of herbal drugs in dermatology. Br J Dermatol 2000;143:923-9. 7. Buchness MR. Alternative medicine and dermatology. Semin Cutan Med Surg 1998;17:284-90. 8. Gelfand JM, Crawford GH, Brod BA, Szazpary PO. Adverse cutaneous reactions to guggulipid. J Am Acad Dermatol 2005; 52:533-4. 9. Barnes PM, Powell-Griner E, McFann K, Nahin RL. Complementary and alternative medicine use among adults: United States, 2002; advance data from vital and health statistics; No. 343. Hyattsville (MD): National Center for Health Statistics; 2004. 10. US Department of Health and Human Services. National Health Interview Survey (NHIS) celebrating the first 50 years:1957 - 2007. Available from: URL: http://www.cdc.gov/ nchs/nhis.htm. Accessed January 30, 2008. 11. Mevorah B, Orion E, Matz H, Wolf R. Cutaneous side effects of alternative therapy. Dermatol Ther 2003;16:141-9. 12. Chen YF, Chang JS. Complementary and alternative medicine use among patients attending a hospital dermatology clinic in Taiwan. Int J Dermatol 2003;42:616-21. 13. Baron SE, Goodwin RG, Nicolau N, Blackford S, Goulden V. Use of complementary medicine among outpatients with dermatologic conditions within Yorkshire and South Wales, United Kingdom. J Am Acad Dermatol 2005;52:589-94.
Smith et al 425
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seem appealing to patients and institutional review boards as patients would not have to discontinue conventional therapies. We should continue to have open discussions with our patients regarding their use of CAM. Both patients and physicians should be interested in doing everything that is possible to optimize care and treatment of skin disease, while keeping in mind the potential for side effects of some CAM modalities. REFERENCES 1. Bickers DR, Lim HW, Margolis D, Weinstock MA, Goodman C, Faulkner E, et al. The burden of skin diseases, 2004: a joint project of the American Academy of Dermatology Association and the Society for Investigative Dermatology. J Am Acad Dermatol 2006;55:490-500. 2. National Center for Complementary and Alternative Medicine. What is complementary and alternative medicine (CAM)? Publication No. D156. 2002. Available from: URL: http://nccam.nih.gov/ health/whatiscam/. Accessed January 30, 2008. 3. Collins SC, Dufresne RG Jr. Dietary supplements in the setting of Mohs surgery. Dermatol Surg 2002;28:447-52. 4. Simpson EL, Basco M, Hanifin J. A cross-sectional survey of complementary and alternative medicine use in patients with atopic dermatitis. Am J Contact Dermatitis 2003;14:144-7.
5. Fleischer AB Jr, Feldman SR, Rapp SR, Reboussin DM, Exum ML. Alternative therapies commonly used within a population of patients with psoriasis. Cutis 1996;158:216-20. 6. Ernst E. Adverse effects of herbal drugs in dermatology. Br J Dermatol 2000;143:923-9. 7. Buchness MR. Alternative medicine and dermatology. Semin Cutan Med Surg 1998;17:284-90. 8. Gelfand JM, Crawford GH, Brod BA, Szazpary PO. Adverse cutaneous reactions to guggulipid. J Am Acad Dermatol 2005; 52:533-4. 9. Barnes PM, Powell-Griner E, McFann K, Nahin RL. Complementary and alternative medicine use among adults: United States, 2002; advance data from vital and health statistics; No. 343. Hyattsville (MD): National Center for Health Statistics; 2004. 10. US Department of Health and Human Services. National Health Interview Survey (NHIS) celebrating the first 50 years:1957 - 2007. Available from: URL: http://www.cdc.gov/ nchs/nhis.htm. Accessed January 30, 2008. 11. Mevorah B, Orion E, Matz H, Wolf R. Cutaneous side effects of alternative therapy. Dermatol Ther 2003;16:141-9. 12. Chen YF, Chang JS. Complementary and alternative medicine use among patients attending a hospital dermatology clinic in Taiwan. Int J Dermatol 2003;42:616-21. 13. Baron SE, Goodwin RG, Nicolau N, Blackford S, Goulden V. Use of complementary medicine among outpatients with dermatologic conditions within Yorkshire and South Wales, United Kingdom. J Am Acad Dermatol 2005;52:589-94.