Morgellons disease etiology and therapeutic approach: a systematic review
The objective of this manuscript is to evaluate the existing evidence regarding the etiology and treatment of Morgellons disease in an effort to better inform clinical management. A PubMed search including key words "Morgellons," "delusional parasitosis and fibers," "delusions of parasitosis and fibers," or "delusional infestation and fibers" was completed. Original publications directly assessing etiology or treatment methods of Morgellons disease published between January, 2010 and the time of manuscript preparation were reviewed and evaluated. Sixteen articles regarding etiology w...
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Katherine G Beuerlein Esther A Balogh Steven R Feldman Source Type: research

Clinical recommendations to address dermatologic healthcare disparities in sexual and gender minority patients: a review
CONCLUSION: Our review article highlights a dermatologist's integral role in SGM care. The review emphasizes three distinct intervention areas that aim to destigmatize sexual/gender identity in the workplace, promote cultural humility, and improve the therapeutic alliance between SGM patients with dermatologists.PMID:34755953 | DOI:10.5070/D327854683 (Source: Dermatol Online J)
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Matthew Scholl Antonio Jimenez Claire Culbertson Paige Hoyer Lindy Ross Source Type: research

Competing risks analysis of Merkel cell carcinoma with concurrent chronic lymphocytic leukemia and non-Hodgkin lymphoma
CONCLUSIONS: Merkel cell carcinoma patients with CLL may benefit from more aggressive initial management. Surveillance for similar length in CLL patients with MCC may be appropriate; this co-morbidity did not affect the timeframe by which the risk of competing causes of death exceeded oncologic risks.PMID:34755954 | DOI:10.5070/D327854684 (Source: Dermatol Online J)
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Kevin A Nguyen Nolan J Maloney Jason J Yang Daniel Q Bach Lisa C Zaba Source Type: research

The continued inappropriate use and overuse of combination topical clotrimazole-betamethasone
CONCLUSION: We strongly recommend clinicians use alternative treatments for rashes or refer to dermatologists.PMID:34755955 | DOI:10.5070/D327854686 (Source: Dermatol Online J)
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Nicholas D Flint Jamie L W Rhoads Ryan Carlisle Meganne Ferrel Zachary H Hopkins Aaron M Secrest Source Type: research

Incidence estimates for lichen planopilaris and frontal fibrosing alopecia in a New York City health care system
Dermatol Online J. 2021 Aug 15;27(8). doi: 10.5070/D327854687.ABSTRACTLichen planopilaris (LPP) and frontal fibrosing alopecia (FFA) are scarring alopecias that cause significant distress and psychological morbidity. Limited studies have been performed examining the epidemiology of FFA and LPP. We performed a retrospective case cohort analysis by querying for patients with the ICD 10 code L66.1 (LPP, FFA) between 2015 and 2018 using the Clinical Data Warehouse (CDW) at NewYork-Presbyterian Hospital and Columbia Doctors. We calculated the one-year incidence of LPP/FFA between January 1, 2018 to December 31, 2018 by identify...
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Jonathan Lavian Megan H Trager Eunice Y Lee Dahsan Gary Fabian Jenkins Angela M Christiano Lindsey A Bordone Source Type: research

Evaluating the association of central centrifugal cicatricial alopecia (CCCA) and fibroproliferative disorders
CONCLUSION: In this large cohort of biopsy-proven women with CCCA, there was no association with specific fibroproliferative disorders when compared with age and sex matched controls. Future longitudinal studies may help confirm these results.PMID:34755957 | DOI:10.5070/D327854688 (Source: Dermatol Online J)
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: A Samrao L Lyon P Mirmirani Source Type: research

Characteristics and comorbidities of Medicare beneficiaries receiving care from Mohs micrographic surgeons based on fellowship training and practice setting
Dermatol Online J. 2021 Aug 15;27(8). doi: 10.5070/D327854690.ABSTRACTThe characteristics and medical conditions of patients being managed by Mohs micrographic surgeons (MMS) have not been extensively established. In this cross-sectional review of 2017 Medicare Public Use data, we compared patient demographics and medical comorbidities among dermatologists billing for MMS based on surgeon fellowship training and practice settings. Overall patient complexity, as measured through Medicare's Hierarchical Condition Category (HCC) score, did not significantly differ by fellowship training status. However, among fellowship-train...
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Christian Gronbeck Hao Feng Source Type: research

Response of eosinophilic fasciitis associated with Waldenstr öm macroglobulinemia to rituximab
We present a 66-year-old man with EF and associated Waldenström macroglobulinemia who received combination therapy with rituximab (375mg/m2 every other week, gradually extended to every eight weeks), prednisolone (1.25-30mg/d), and methotrexate (7.5-15mg/w). Three months after rituximab initiation, his skin condition improved steadily accompanied by a significant improvement in joint mobility with only mild and transitory flares (observation period: 59 months under treatment with rituximab). To date, there are five case reports on rituximab treatment of EF/GM with an association to hypergammaglobulinemia in three of t...
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Christian Kromer Silke S Matzke Annalen Bleckmann Tobias Overbeck Undine Lippert Michael P Sch ön Rotraut M össner Source Type: research

Milia-like calcinosis cutis in Down syndrome: a new case with a review of the literature
We report an 11-year-old girl who presented with white papules on the dorsal and palmar region of the hands bilaterally. The parents reported that the lesions had appeared four months before and some had resolved spontaneously. The girl was suffering from celiac disease, Down syndrome, and alopecia areata treated with topical corticosteroids. At the first visit, the girl presented with alopecia areata, corticosteroid acne, and a dozen white papules located on the hands. On dermoscopy, a whitish structureless area was seen. Histological examination showed the presence of calcium deposits without tissue damage, thus confirmi...
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Agata Moar Martina Maurelli Chiara Colato Donatella Schena Giampiero Girolomoni Source Type: research

Darier disease, radiation therapy, and herpesvirus -- an unfortunate triad
Dermatol Online J. 2021 Aug 15;27(8). doi: 10.5070/D327854698.ABSTRACTDarier disease (DD) is a rare autosomal dominant keratinizing disorder often characterized by brown scaly pruritic papules over the face, neck, and trunk. Herein is reported a patient who developed secondary cutaneous herpes simplex virus (HSV) following exacerbation of his DD as a result of radiation therapy. In November 2020, a 78-year-old man presented to clinic for a pruritic rash on his back consistent with DD. He had developed the rash after the conclusion of chemoradiation therapy for recently diagnosed urothelial carcinoma of the bladder with squ...
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: J Skylar Westerdahl John Grant Richard Sontheimer Jamie Zussman Source Type: research

Angiokeratoma-like purpuric palmar nodules following chemotherapy
We describe a patient with leukemia undergoing chemotherapy who developed painful purpuric nodules of the digits. These findings were concerning for endocarditis (clinically) and angiokeratomas on gross histology. After extensive evaluation, we report the development of painful purpuric nodules as a likely side effect of the patient's therapeutic regimen (hydroxyurea, danorubicin, cytarabine, and methotrexate).PMID:34755962 | DOI:10.5070/D327854702 (Source: Dermatol Online J)
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Eduardo A Torre Anna E Kersh Andrew S Fischer Xiaowei Xu Misha Rosenbach Bridget E Shields Source Type: research

Cutaneous Leishmania aethiopica diagnosed in the United States
We describe a case of a 61-year-old woman who presented with an asymptomatic red-brown papule on her lower back approximately one year after returning to the United States from a trip to Ethiopia and Cameroon. Polymerase chain reaction was performed on the biopsy material and identified Leishmania aethiopica. This case highlights an atypical location and demonstrates how to accurately diagnose and treat this parasitic infection.PMID:34755963 | DOI:10.5070/D327854705 (Source: Dermatol Online J)
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Ty Gilkey Catherine A Ulman Bradford McGwire Jose A Plaza Source Type: research

Dupilumab in HIV-positive patients with atopic dermatitis: a long-term follow-up patient and a literature review
We report a 47-year-old HIV-positive man with late-onset severe atopic dermatitis, treated with dupilumab and followed up for 27 months. Improvements in skin lesions and quality of life were observed after four months. Blood tests showed normalization of IgE levels, with the clinical condition remaining stable at a 27- month follow-up. We gathered 16 other cases reported in the literature of HIV-positive patients treated with dupilumab, with no, or few adverse reactions, for which it is unclear if dupilumab should be held accountable. With our case and literature review, we aim to shed light on dupilumab efficacy, safety, ...
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Gianluca Avallone Mattia Trunfio Maria Teresa Giura Niccol ò Siliquini Riccardo Viola Giancarlo Orofino Luca Mastorino Michela Ortoncelli Pietro Quaglino Simone Ribero Source Type: research

Adenodermatofibroma: a rare variant
This report reviews a case of an adenodermatofibroma presenting as a large, firm, atrophic plaque on the thigh. Histopathologic findings showed dilated glandular structures with apocrine features within a fibrohistiocytic cellular infiltrate, consistent with the diagnosis. We review the characteristic findings of adenodermatofibroma, discuss the differential diagnosis, and examine current theories speculating the origin of apocrine glands present within these lesions.PMID:34755965 | DOI:10.5070/D327854711 (Source: Dermatol Online J)
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Kristen Russomanno Min Deng Michael Cardis Source Type: research

Pink nodule of the chin: an unusual presentation of metastatic carcinoma
We present a case of cutaneous metastatic clear cell renal cell carcinoma presenting 7 years after initial diagnosis.PMID:34755966 | DOI:10.5070/D327854713 (Source: Dermatol Online J)
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Priya Chelliah Kishan M Shah Travis Vandergriff Rajiv I Nijhawan Source Type: research

Recurrent fungating tumor and a chronic rash in an immunosuppressed transgender patient: a case of Buschke-Lowenstein condyloma and epidermodysplasia verruciformis
Dermatol Online J. 2021 Aug 15;27(8). doi: 10.5070/D327854718.ABSTRACTA transgender female in her 40s with history of HIV and testicular cancer status post-genital X-irradiation presented with a perianal mass and pruritic rash across her chest. Physical examination revealed a bulky, verrucous tumor protruding outward from the anus involving the medial buttocks. Examination of the chest and arms showed numerous guttate, pink, flat-topped papules coalescing into plaques. Clinically and histologically the lesions were consistent with Buschke-Löwenstein condyloma (BLC) and acquired epidermodysplasia verruciformis (AEDV). ...
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Norhan Shamloul Ricardo Guerra Merrick Kozak Mary Noland Source Type: research

Concomitant endogenous and exogenous etiology for gingival pigmentation
Dermatol Online J. 2021 Aug 15;27(8). doi: 10.5070/D327854720.ABSTRACTOral pigmented lesions can be physiological or pathological, exogenous or endogenous, as well as focal, multifocal, or diffuse. Among them, the oral melanotic macule (OMM) is a small, well-delimited brown-to-black macule, often affecting the lip and gingiva. Amalgam tattoo (AT) is a grey or black area of discoloration on the oral mucosa as a result of entry of dental amalgam into the soft tissues, commonly gingiva and alveolar ridge. Herein, we present a patient with gingival pigmentation with features of both OMM and AT in the same location.PMID:3475596...
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Beatriz Zamboni Martins Panucci Tulio Morandin Ferrisse Andreia Bufalino Jorge Esquiche Le ón Source Type: research

Bleomycin-induced skin toxicity: a case of flagellate dermatitis
We present a case of bleomycin-induced flagellate dermatitis, a characteristic cutaneous eruption that occurred as a result of bleomycin administration. A 58-year-old man with Stage 4 diffuse large B-cell lymphoma presented with sudden onset of skin lesions that appeared five weeks after initiation of third-line bleomycin-containing palliative chemotherapy. The whip-like, linear, hyperpigmented plaques were indicative of flagellate dermatitis. We aim to present the natural course of bleomycin flagellate dermatitis and its natural course.PMID:34755969 | DOI:10.5070/D327854721 (Source: Dermatol Online J)
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Monique Pretorius Ilana Steenkamp Leana Spies Gerhard Van der Linde Source Type: research

Trichotillomania in the United States: An epidemiologic study of patient characteristics, comorbidities, and treatment patterns
Dermatol Online J. 2021 Aug 15;27(8). doi: 10.5070/D327854722.NO ABSTRACTPMID:34755970 | DOI:10.5070/D327854722 (Source: Dermatol Online J)
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Yasmin Gutierrez Madison E Jones Jeffrey R Rajkumar Alison H Kohn Sarah P Pourali Allen Chen Goli S Compoginis April W Armstrong Source Type: research

Chronic spontaneous urticaria: a 16-year analysis of pediatric patient demographics, treatment patterns, and comorbidities
Dermatol Online J. 2021 Aug 15;27(8). doi: 10.5070/D327854723.NO ABSTRACTPMID:34755971 | DOI:10.5070/D327854723 (Source: Dermatol Online J)
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Sarah P Pourali Alison H Kohn Madison E Jones April W Armstrong Source Type: research

Corrigendum: Updates on treatment guidelines for psoriasis, atopic dermatitis (eczema), hidradenitis suppurativa, and acne/rosacea during the COVID-19 pandemic
Dermatol Online J. 2021 Aug 15;27(8). doi: 10.5070/D327854724.NO ABSTRACTPMID:34755972 | DOI:10.5070/D327854724 (Source: Dermatol Online J)
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Rebecca M Yim Indira Singh April W Armstrong Source Type: research

Management of surgical soft tissue defects of the lower extremities
Dermatol Online J. 2021 Sep 15;27(9). doi: 10.5070/D327955112.ABSTRACTManagement of post-operative soft-tissue defects on the lower legs is challenging owing to arterial and venous insufficiency, poor skin quality including epidermal and dermal atrophy, insufficient tissue laxity, and increased risk of infection. This paper highlights the management of post-operative soft-tissue defects on the lower extremity that cannot be closed primarily or by reconstruction with a local flap. A systematic review of the literature was performed using the National Library of Medicine (NLM) PubMed online database. Articles were included i...
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Matthew D Rich Sean E Mazloom Thomas J Sorenson Mariana A Phillips Source Type: research

Vaccine considerations for adult dermatology patients on immunosuppressive and immunomodulatory therapies: a clinical review
Dermatol Online J. 2021 Sep 9;27(9). doi: 10.5070/D327955114.ABSTRACTAdults with chronic inflammatory skin disease are at increased risk of vaccine-preventable illnesses and infections, likely because of the underlying disease itself and also their treatment with immunosuppressive and immunomodulatory medications. Despite the association between these agents and increased susceptibility to infection, vaccination rates in dermatology patients remain low. Although preventative care such as vaccinations is typically managed by primary care providers, dermatologists serve a critical role in spreading awareness of the specific ...
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Alice J Tan Jenna L Streicher Joseph F Merola Megan H Noe Source Type: research

Cultural and biological factors in body dysmorphic disorder in East Asia
Dermatol Online J. 2021 Sep 15;27(9). doi: 10.5070/D327955133.ABSTRACTBody dysmorphic disorder (BDD) can cause severe distress and impairment in many important areas of functioning. Although BDD has been well studied in Western populations, there is limited information on BDD in other cultures. In this review, we discuss the prevalence and presentation of BDD in East Asian countries and the significance of conducting further research in this particular group.PMID:34755975 | DOI:10.5070/D327955133 (Source: Dermatol Online J)
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Julie Hong Edward Hadeler Megan Mosca Nicholas Brownstone Tina Bhutani John Koo Source Type: research

Real-world biologic and apremilast treatment patterns in patients with psoriasis and psoriatic arthritis
CONCLUSION: Treatment patterns varied, with better outcomes in PsA patients receiving anti-tumor necrosis factor versus anti-IL17/IL12/23 agents.PMID:34755976 | DOI:10.5070/D327955134 (Source: Dermatol Online J)
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Steven R Feldman Jingchuan Zhang Diane J Martinez Lorena Lopez-Gonzalez Elizabeth Hoit Marchlewicz George Shrady Yang Zhao Alan M Mendelsohn Source Type: research

Health insurance relationship to sun protection practices and beliefs
CONCLUSION: Those with Medi-Cal are less likely to use all forms of sun protection and more likely to value tanning. Negative opinions of sunscreen and perceived knowledge and concern for skin cancer were similar, pointing to additional factors influencing these disparities.PMID:34755977 | DOI:10.5070/D327955135 (Source: Dermatol Online J)
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Tess N Engel Mimi Nguyen Adrianne Pan Raja K Sivamani Source Type: research

Dupilumab for the treatment of nivolumab-induced bullous pemphigoid: a case report and review of the literature
We present a case of nivolumab-induced bullous pemphigoid that was successfully treated with dupilumab.PMID:34755978 | DOI:10.5070/D327955136 (Source: Dermatol Online J)
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Edward M Klepper Howard N Robinson Source Type: research

Assessing smoldering adult T cell leukemia/lymphoma: a case report
This report demonstrates efficacy with the employment of antiretroviral therapy immediately following a diagnosis of smoldering type ATLL.PMID:34755979 | DOI:10.5070/D327955137 (Source: Dermatol Online J)
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: J T Olayinka E Heilman M Vatanchi Source Type: research

Cutaneous B cell pseudolymphoma treated with rituximab and methotrexate
Dermatol Online J. 2021 Sep 15;27(9). doi: 10.5070/D327955138.ABSTRACTCutaneous B cell pseudolymphoma (CBPL), or cutaneous lymphoid hyperplasia, is the most common pseudolymphoma. It typically responds well to local treatment and follows a benign course. Herein, we describe the unique case of a patient with CBPL that was refractory to a variety of treatments, with subsequent response to rituximab followed by methotrexate. This case explores the complex interplay of T and B lymphocytes, and the potential role of perifollicular T cells in treatment resistant CBPL. Further, it describes the additive therapeutic effect of ritu...
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Jake G Besch-Stokes Meera H Patel Caitlin M Brumfiel Collin M Costello William Rule Allison Rosenthal Mark R Pittelkow David J DiCaudo Aaron R Mangold Source Type: research

Knuckle pads: an ancient disease frequently misdiagnosed because of minimal modern attention
We describe a 44-year-old woman who presented with mildly painful nodules on multiple bilateral proximal interphalangeal joints. The patient did not have a family history of fibromatosis and the rheumatoid factor was negative. Histology showed mild epidermal hyperkeratosis, papillomatosis, and acanthosis with a deep dermal, poorly circumscribed, proliferative nodule made of spindled myofibroblasts without cytological atypia. The diagnosis of knuckle pads was established based on the clinical and morphological presentation of the nodules. Treatment with intralesional triamcinolone acetonide injection produced significant cl...
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Vladimir Vincek Ava Vause Erik Vincek Tyler Marion Nicole Bender Stephanie Carstens Kiran Motaparthi Source Type: research

Papulopustular rosacea during nivolumab therapy of metastatic squamous cell esophageal carcinoma
We present a 76-year old man who developed papulopustular rosacea after receiving nivolumab treatment for his esophageal carcinoma, metastatic to the lungs. Nivolumab is an emerging cancer therapy whose immune-related adverse events are still not fully recognized and likely underreported. The treatment has been reported to cause a myriad of cutaneous immune-related adverse events. However, nivolumab-induced-papulopustular rosacea has been scarcely reported. Thus, this case presents a clinically important finding that physicians should be aware of when seeing patients on nivolumab therapy.PMID:34755982 | DOI:10.5070/D327955...
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Nimrit K Gahoonia Alexis E Carrington Cindy J Chambers Raja K Sivamani Source Type: research

Scalp metastasis as initial presentation of neuroendocrine carcinoma
Dermatol Online J. 2021 Sep 15;27(9). doi: 10.5070/D327955141.ABSTRACTNeuroendocrine carcinomas are a rare, heterogenous group of malignancies that arise from neuroendocrine cells throughout the body. Cutaneous metastasis of neuroendocrine carcinoma is uncommon and they can be easily misdiagnosed as benign epidermal cysts or Merkel cell carcinoma. Collectively, histopathology, immunochemical profile, biochemical markers, and nuclear imaging can guide the diagnosis of neuroendocrine metastasis and localization of primary tumors.PMID:34755983 | DOI:10.5070/D327955141 (Source: Dermatol Online J)
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Cynthia C Peng Katherine T Burke Michael A Cardis Source Type: research

Adenoid cystic carcinoma located on the lower lip
Dermatol Online J. 2021 Sep 15;27(9). doi: 10.5070/D327955142.ABSTRACTAdenoid cystic carcinoma is a relatively rare epithelial tumor of the major and minor salivary glands that makes up less than 1% of head and neck neoplasms. The typical clinical and pathological findings of this neoplasm include slow growth, perineural invasion, multiple local recurrences, and distant metastasis. Herein, we report a patient with adenoid cystic carcinoma located to the lower lip which is quite uncommon.PMID:34755984 | DOI:10.5070/D327955142 (Source: Dermatol Online J)
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Ralfi Singer Berk G ürpınar Özben Yalçın Source Type: research

Papulolinear collagenoma: a rare entity in children
We report a young girl's collagen nevus with a papulolinear distribution.PMID:34755985 | DOI:10.5070/D327955143 (Source: Dermatol Online J)
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Diego L ópez Pilar Beltramo Agustina Acosta Source Type: research

Dermoscopy in cutaneous sarcoidosis
Dermatol Online J. 2021 Sep 15;27(9). doi: 10.5070/D327955144.ABSTRACTCutaneous sarcoidosis has a wide variety of manifestations and can be challenging to diagnose clinically. Dermoscopy is a useful tool to support the clinical diagnosis. Herein, we report an elderly woman with pruritic facial plaques. Dermoscopy showed translucent orange globules with shiny white lines, and microscopic examination showed non-necrotizing granulomas with perigranulomatous fibrosis. Shiny white structures on dermoscopy are conventionally associated with basal cell carcinoma, melanoma, and dermatofibroma, and have not yet been reported in sar...
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Agnes Yeok Loo Lim Po Yin Tang Choon Chiat Oh Source Type: research

Extrusion of suture and granuloma formation from a neck thread lift
Dermatol Online J. 2021 Sep 15;27(9). doi: 10.5070/D327955145.NO ABSTRACTPMID:34755987 | DOI:10.5070/D327955145 (Source: Dermatol Online J)
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Ellie Choi Ee Cherk Cheong Yung Hian Leow Source Type: research

The impact of COVID-19 on the dermatology match: an increase in the number of students matching at home programs
Dermatol Online J. 2021 Sep 15;27(9). doi: 10.5070/D327955146.NO ABSTRACTPMID:34755988 | DOI:10.5070/D327955146 (Source: Dermatol Online J)
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Amanda Ederle Shawhin Shahriari Cees Whisonant Scott Stewart Paula Roberson Rodrigo Valdes-Rodriguez Source Type: research

Characterizing dermatology mobile applications that use artificial intelligence
Dermatol Online J. 2021 Sep 15;27(9). doi: 10.5070/D327955147.NO ABSTRACTPMID:34755989 | DOI:10.5070/D327955147 (Source: Dermatol Online J)
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Varun Ranpariya Steven R Feldman Source Type: research

Effect of teledermatology triage on primary care and dermatology provider workloads: a retrospective cohort analysis
Dermatol Online J. 2021 Sep 15;27(9). doi: 10.5070/D327955148.NO ABSTRACTPMID:34755990 | DOI:10.5070/D327955148 (Source: Dermatol Online J)
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Adam Zakaria Erin H Amerson Source Type: research

Labial comedones induced by petroleum jelly: a florid example
Dermatol Online J. 2021 Sep 15;27(9). doi: 10.5070/D327955149.NO ABSTRACTPMID:34755991 | DOI:10.5070/D327955149 (Source: Dermatol Online J)
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Moath Albusair Asem Shadid Saad Altalhab Source Type: research

Dermatoscopy and locally advanced or multiple basal cell carcinomas: a non-invasive tool to evaluate sonidegib effectiveness
Dermatol Online J. 2021 Sep 15;27(9). doi: 10.5070/D327955150.NO ABSTRACTPMID:34755992 | DOI:10.5070/D327955150 (Source: Dermatol Online J)
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Claudio Conforti Ludovica Toffoli Marina Agozzino Nicola Di Meo Enrico Zelin Iris Zalaudek Source Type: research

Morgellons disease etiology and therapeutic approach: a systematic review
The objective of this manuscript is to evaluate the existing evidence regarding the etiology and treatment of Morgellons disease in an effort to better inform clinical management. A PubMed search including key words "Morgellons," "delusional parasitosis and fibers," "delusions of parasitosis and fibers," or "delusional infestation and fibers" was completed. Original publications directly assessing etiology or treatment methods of Morgellons disease published between January, 2010 and the time of manuscript preparation were reviewed and evaluated. Sixteen articles regarding etiology w...
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Katherine G Beuerlein Esther A Balogh Steven R Feldman Source Type: research

Clinical recommendations to address dermatologic healthcare disparities in sexual and gender minority patients: a review
CONCLUSION: Our review article highlights a dermatologist's integral role in SGM care. The review emphasizes three distinct intervention areas that aim to destigmatize sexual/gender identity in the workplace, promote cultural humility, and improve the therapeutic alliance between SGM patients with dermatologists.PMID:34755953 | DOI:10.5070/D327854683 (Source: Dermatol Online J)
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Matthew Scholl Antonio Jimenez Claire Culbertson Paige Hoyer Lindy Ross Source Type: research

Competing risks analysis of Merkel cell carcinoma with concurrent chronic lymphocytic leukemia and non-Hodgkin lymphoma
CONCLUSIONS: Merkel cell carcinoma patients with CLL may benefit from more aggressive initial management. Surveillance for similar length in CLL patients with MCC may be appropriate; this co-morbidity did not affect the timeframe by which the risk of competing causes of death exceeded oncologic risks.PMID:34755954 | DOI:10.5070/D327854684 (Source: Dermatol Online J)
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Kevin A Nguyen Nolan J Maloney Jason J Yang Daniel Q Bach Lisa C Zaba Source Type: research

The continued inappropriate use and overuse of combination topical clotrimazole-betamethasone
CONCLUSION: We strongly recommend clinicians use alternative treatments for rashes or refer to dermatologists.PMID:34755955 | DOI:10.5070/D327854686 (Source: Dermatol Online J)
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Nicholas D Flint Jamie L W Rhoads Ryan Carlisle Meganne Ferrel Zachary H Hopkins Aaron M Secrest Source Type: research

Incidence estimates for lichen planopilaris and frontal fibrosing alopecia in a New York City health care system
Dermatol Online J. 2021 Aug 15;27(8). doi: 10.5070/D327854687.ABSTRACTLichen planopilaris (LPP) and frontal fibrosing alopecia (FFA) are scarring alopecias that cause significant distress and psychological morbidity. Limited studies have been performed examining the epidemiology of FFA and LPP. We performed a retrospective case cohort analysis by querying for patients with the ICD 10 code L66.1 (LPP, FFA) between 2015 and 2018 using the Clinical Data Warehouse (CDW) at NewYork-Presbyterian Hospital and Columbia Doctors. We calculated the one-year incidence of LPP/FFA between January 1, 2018 to December 31, 2018 by identify...
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Jonathan Lavian Megan H Trager Eunice Y Lee Dahsan Gary Fabian Jenkins Angela M Christiano Lindsey A Bordone Source Type: research

Evaluating the association of central centrifugal cicatricial alopecia (CCCA) and fibroproliferative disorders
CONCLUSION: In this large cohort of biopsy-proven women with CCCA, there was no association with specific fibroproliferative disorders when compared with age and sex matched controls. Future longitudinal studies may help confirm these results.PMID:34755957 | DOI:10.5070/D327854688 (Source: Dermatol Online J)
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: A Samrao L Lyon P Mirmirani Source Type: research

Characteristics and comorbidities of Medicare beneficiaries receiving care from Mohs micrographic surgeons based on fellowship training and practice setting
Dermatol Online J. 2021 Aug 15;27(8). doi: 10.5070/D327854690.ABSTRACTThe characteristics and medical conditions of patients being managed by Mohs micrographic surgeons (MMS) have not been extensively established. In this cross-sectional review of 2017 Medicare Public Use data, we compared patient demographics and medical comorbidities among dermatologists billing for MMS based on surgeon fellowship training and practice settings. Overall patient complexity, as measured through Medicare's Hierarchical Condition Category (HCC) score, did not significantly differ by fellowship training status. However, among fellowship-train...
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Christian Gronbeck Hao Feng Source Type: research

Response of eosinophilic fasciitis associated with Waldenstr öm macroglobulinemia to rituximab
We present a 66-year-old man with EF and associated Waldenström macroglobulinemia who received combination therapy with rituximab (375mg/m2 every other week, gradually extended to every eight weeks), prednisolone (1.25-30mg/d), and methotrexate (7.5-15mg/w). Three months after rituximab initiation, his skin condition improved steadily accompanied by a significant improvement in joint mobility with only mild and transitory flares (observation period: 59 months under treatment with rituximab). To date, there are five case reports on rituximab treatment of EF/GM with an association to hypergammaglobulinemia in three of t...
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Christian Kromer Silke S Matzke Annalen Bleckmann Tobias Overbeck Undine Lippert Michael P Sch ön Rotraut M össner Source Type: research

Milia-like calcinosis cutis in Down syndrome: a new case with a review of the literature
We report an 11-year-old girl who presented with white papules on the dorsal and palmar region of the hands bilaterally. The parents reported that the lesions had appeared four months before and some had resolved spontaneously. The girl was suffering from celiac disease, Down syndrome, and alopecia areata treated with topical corticosteroids. At the first visit, the girl presented with alopecia areata, corticosteroid acne, and a dozen white papules located on the hands. On dermoscopy, a whitish structureless area was seen. Histological examination showed the presence of calcium deposits without tissue damage, thus confirmi...
Source: Dermatol Online J - November 10, 2021 Category: Dermatology Authors: Agata Moar Martina Maurelli Chiara Colato Donatella Schena Giampiero Girolomoni Source Type: research