Building Successful Culture, Mission, and Vision in Dermatology
Building a successful culture in academic dermatology is necessary now more than ever, which is compounded by the shortage of dermatologists, especially academicians. This dearth of academic dermatologists raises questions concerning who will train future generations of physicians and who will drive innovative research to advance the field and improve patient care. Recruitment and retention of dermatologists in academia faces steep challenges posed by increasing demands within academic medicine and the draw of the private sector. (Source: Clinics in Dermatology)
Source: Clinics in Dermatology - July 7, 2023 Category: Dermatology Authors: Lisa Zhai, Kiran Motaparthi Source Type: research
Annular Lesions of the Skin: Diagnosis and Management Part II
A differential diagnosis is essential in diagnosing skin diseases and indicates a physician's knowledge and experience levels in specific areas. As a result of developing technologies, it has become easier to diagnose diseases rapidly in light of printed or online sources; however, clinical knowledge remains the physician's most powerful weapon. It can help physicians rapidly achieve an accurate diagnosis and avoid unnecessary studies for the patient and the healthcare system. (Source: Clinics in Dermatology)
Source: Clinics in Dermatology - July 7, 2023 Category: Dermatology Authors: Ayse Serap Karadag Tags: Commentary Source Type: research
Annular Vasculitic Lesions
Vasculitic skin findings may present with annular morphologies. This group of conditions consists of capillaritis, such as pigmented purpuric dermatoses, and vasculitis, which is often classified by the affected vessel size. Annular vasculitic lesions may be the presenting sign of systemic disease, thus requiring thorough exploration to reach an accurate diagnosis and guide proper disease management. Herein we review the clinical presentation, histopathology, and treatments for cutaneous vasculitic disease that may present with annular lesions. (Source: Clinics in Dermatology)
Source: Clinics in Dermatology - July 7, 2023 Category: Dermatology Authors: Hannah Y Wang, Denise C Robson, Soo Jung Kim Source Type: research
Developing Relationships with Patients, Staff, and Industry in Dermatology
Maintaining a thriving dermatology practice requires thoughtful and intentional investment in relationships with patients, staff, and industry. Growing the patient-physician relationship involves optimizing patient satisfaction and outcomes, which can provide improved ratings and reimbursement. Cultivating an environment of employee engagement is also essential for promotion of patient satisfaction, employee satisfaction, and practice productivity. Additionally, relationships with industry require careful navigation to maximize its great potential for medical advancement and benefit for all parties. (Source: Clinics in Dermatology)
Source: Clinics in Dermatology - July 6, 2023 Category: Dermatology Authors: Elise D Martin, Ariana Eginli, Girish S Munavalli Source Type: research
Annular Neutrophilic Dermatoses
Neutrophilic dermatoses (NDs) are a group of diseases characterized by sterile neutrophilic infiltrations. Many of the NDs usually present with infiltrated erythematous plaques, nodules, urticarial plaques, or pustules. Lesions may show variability, and atypical presentations may develop among the NDs. Annular lesions have been reported in many NDs and may lead to diagnostic problems. Clinical features and histopathologic findings such as localization of the neutrophilic infiltrate, existence of other cell types, and absence of true vasculitis may be helpful to distinguish NDs. (Source: Clinics in Dermatology)
Source: Clinics in Dermatology - July 6, 2023 Category: Dermatology Authors: Mahmut Can Koska, Ay şe Serap Karadağ, Murat Durdu Source Type: research
Annular and Acral/facial Dyskeratotic Paraneoplastic Disorders
Annular and acral/facial dyskeratotic paraneoplastic disorders are inflammatory dermatoses that occur in association with distant cancers but are not precursors, extensions, or metastases of them. There are four classical entities under this rubric: two gyrate entities: erythema annulare centrifugum and erythema gyratum repens, and two acral/facial dyskeratotic entities: acrokeratosis paraneoplastic (Bazex syndrome) and tripe palms. Each of these entities may also occur in association with another etiopathogenesis and may present either as a classical entity or as a barely recognizable disease. (Source: Clinics in Dermatology)
Source: Clinics in Dermatology - July 6, 2023 Category: Dermatology Authors: Rohan Shah, Thu Truong, Robert A. Schwartz, Muriel W. Lambert, Lawrence C. Parish, Edmund Janniger, W. Clark Lambert Source Type: research
Annular skin tumors and lymphoproliferative diseases
Determining the shape of the skin lesion may provide a diagnostic clue in dermatology practice, more commonly for inflammatory diseases but also for skin tumors. The annular formation may develop by diverse mechanisms in skin tumors. Annular lesions may occur from the onset of the tumor as sparing the central area or depression and/or ulceration in the center of the tumor or outward expansion of the primary lesion. Clustering of multiple papulonodular lesions sparing the central area, or relatively independent processes acting on the central and peripheral components of the tumor may also result in an annular appearance. (...
Source: Clinics in Dermatology - July 6, 2023 Category: Dermatology Authors: Can BAYKAL, Alg ün POLAT EKİNCİ Source Type: research
Incorporating Research and Academics into the Profession in Dermatology
Each year, the dermatology landscape continues to evolve, and the breadth of medical information available to physicians continues to grow at a rapid pace. With the constant pressure of increasing patient volume and healthcare demands, many physicians find themselves with less time to participate in research, education, and staying up to date with the current literature. There are various practice settings that a dermatologist can work in, which include practices that have been acquired by privately held organizations, academic institutions, private practices, and academic-private practices. (Source: Clinics in Dermatology)
Source: Clinics in Dermatology - July 3, 2023 Category: Dermatology Authors: Shilpi Khetarpal Source Type: research
Reflections on Practice Management Concepts in Dermatology
Over the years, the field of medicine has consistently been moving toward becoming the business of medicine. Unfortunately, the focus of dermatology has become less about providing medical care and more about providing high-satisfaction customer service –where the traditional patient has now been replaced by the customer. The ability to maximize patient relationships in terms of improving patient satisfaction and retention rates has become more salient now than ever before. Ultimately, these are the metrics that impact a clinic's bottom line, whi ch has gained more attention. (Source: Clinics in Dermatology)
Source: Clinics in Dermatology - July 3, 2023 Category: Dermatology Authors: Jordan V Wang, Roy G Geronemus Source Type: research
Delegation and Oversight of Non-Physician Practitioners in Dermatology
A rising demand for dermatologic procedures has led to a recent increase in the number of non-physician operators (NPOs) in the dermatology workforce. Nurse practitioners (NPs), physician assistants (PAs), and aestheticians commonly perform procedures in both physician-based practices and medical spas with varying degrees of dermatology-specific training and physician oversight. Although the lack of regulations can negatively impact patient outcomes and adverse events, the role of NPOs in dermatology continues to grow. (Source: Clinics in Dermatology)
Source: Clinics in Dermatology - July 3, 2023 Category: Dermatology Authors: Shelby L Kubicki, Jordan V Wang, Roy G Geronemus, Paul M Friedman Source Type: research
Growing a Cosmetic Practice with Devices and Injectables in Dermatology
Growing a cosmetic dermatology practice is an often complex and arduous task. Many different factors must be considered in order to build and maintain a successful clinical practice. Devices and injectables are both integral components to operating a comprehensive cosmetic dermatology practice. Aesthetic physicians seeking to grow their cosmetic practice in these areas must be aware of the numerous considerations –both more obvious and more subtle–that play a role in the decision-making process, including the local market, patient demand, clinic space, and physician experience and training. (Source: Clinics in Dermatology)
Source: Clinics in Dermatology - July 2, 2023 Category: Dermatology Authors: Lisa Akintilo, Nkemjika Ugonabo, Jordan V Wang, Margo Lederhandler, Roy G Geronemus, Nazanin Saedi Source Type: research
Cover 2 - Editorial Board with barcode
(Source: Clinics in Dermatology)
Source: Clinics in Dermatology - July 1, 2023 Category: Dermatology Source Type: research
Table of Contents
(Source: Clinics in Dermatology)
Source: Clinics in Dermatology - July 1, 2023 Category: Dermatology Source Type: research
Bullous Pemphigoid Associated with Acquired Hemophilia A
Recently, a review on autonomous bullous lesions in patients with skin of color (defined as Fitzpatrick skin phototypes IV-VI) was published by Ajayi and colleagues.1 The authors presented a collection of visual clinical vignettes to assist clinicians in making accurate diagnoses and providing appropriate patient care. In this contribution, they noted that bullous pemphigus (BP) patients with skin of color are likely to present at a significantly younger age when compared to Caucasian BP patients (mean ± standard deviation - 62.8 ± 3.3 years vs. (Source: Clinics in Dermatology)
Source: Clinics in Dermatology - June 14, 2023 Category: Dermatology Authors: Hanh Nguyen, Tran Van Phu, Trinh Ngo Binh, Nguyen Thi Ha Minh, Pham Vo Minh Nhut, Dinh Huu Nghi, Nityanand Jain Tags: Correspondence Source Type: research
Kaspar Hauser, the Child of Europe: Are smallpox vaccination scars the clue to a 2-century-old mystery?
We have explored the 19th century mystery of the identity of Kaspar Hauser, the so-called Child of Europe, from the perspective of the smallpox vaccination. We have highlighted the improbability that he was secretly inoculated based on the vaccination policies and methodologies applied at the time. This consideration allows for a reflection on the whole case and the importance of vaccination scars in ascertaining immunization against one of humanity's deadliest killers, especially given the recent monkeypox outbreak. (Source: Clinics in Dermatology)
Source: Clinics in Dermatology - June 7, 2023 Category: Dermatology Authors: Michael E. Habicht, Elena Varotto, Mauro Vaccarezza, Andrea Cossarizza, Francesco M. Galassi Tags: Reflections on Dermatology: Past, Present, and Future Source Type: research
