These side-effects can occur even after the cessation of isotretinoin. The use of isotretinoin (Accutane) can be associated with vision and psychiatric side effects of aeromedical concern - specifically decreased night vision/night blindness and depression. Further history should be obtained as needed to explain findings. Needle marks that suggest drug abuse should be noted and body marks and scars should be described and correlated with known history. Cushing's disease may produce abdominal striae, and abnormal pigmentation of the skin occurs with Addison's disease. For example, thyroid disease may produce changes in the skin and fingernails. May reasonably be expected, for the maximum duration of the airman medical certificate applied for or held, to make the person unable to perform those duties or exercise those privileges.Ī careful examination of the skin may reveal underlying systemic disorders of clinical importance.(c) No medication or other treatment that the Federal Air Surgeon, based on the case history and appropriate, qualified medical judgment relating to the medication or other treatment involved, finds.May reasonably be expected, for the maximum duration of the airman medical certificate applied for or held, to make the person unable to perform those duties or exercise those privileges. Makes the person unable to safely perform the duties or exercise the privileges of the airman certificate applied for or held or. (b) No other organic, functional, or structural disease, defect, or limitation that the Federal Air Surgeon, based on the case history and appropriate, qualified medical judgment relating to the condition involved, finds.
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