How are endocrine conditions addressed during dermatologic preoperative evaluation and management?

Updated: Mar 16, 2020
  • Author: Robert A Schwartz, MD, MPH; Chief Editor: Dirk M Elston, MD  more...
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Endocrine problems, such as thyrotoxicosis, may increase cardiac sensitivity to epinephrine. Pertinent skin problems, such as discoid lupus erythematosus, psoriasis, lichen planus, or extensive verrucae, may be exacerbated following surgery. Patients should be made aware of this phenomenon. Patients with connective-tissue diseases or Ehlers-Danlos syndrome may have delayed wound healing or widening of their scars. Permanent sutures placed in the dermis decrease scar widening postoperatively. The patient must be informed of the possibility of suture reaction, including secondary removal due to granuloma formation.

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