Updated Approach to Patients with Multiple Caf é au Lait Macules
Caf é au lait macules (CALMs) are a normal and frequent finding in the general population, but multiple CALMs raise the possibility of an underlying neurocutaneous disease like neurofibromatosis type I. Certain features of CALMs like number, size, shape, and distribution are important in identifying ch ildren at higher risk of having a neurocutaneous disorder or another genetic disorder. Genetic testing can be especially helpful in establishing a diagnosis in atypical presentations, or when the child is young and other features of the disease aside from CALMs have not manifested. (Source: Dermatologic Clinics)
Source: Dermatologic Clinics - October 21, 2021 Category: Dermatology Authors: Mohammed Albaghdadi, My Linh Thibodeau, Irene Lara-Corrales Source Type: research
Presentation of Common Skin Disorders in Pediatric Patients with Skin of Color
Many dermatologic conditions common in the pediatric population may have unique presentations in skin of color or occur with greater incidence. This may be due to ethnic origin, socioeconomic factors, or other influences. Awareness of the potential variations in skin of color may enhance prompt diagnosis, appropriate treatment, and/or reassurance as indicated. (Source: Dermatologic Clinics)
Source: Dermatologic Clinics - October 21, 2021 Category: Dermatology Authors: Uchenna K. Okoji, Nnenna G. Agim, Candrice R. Heath Source Type: research
Pigmented Lesions in Children
This article provides an update on the clinical, histopathologic, and ancillary testing for 3 categories of particularly challenging pigmented lesions: congenital melanocytic nevi, spitzoid neoplasms, and pediatric melanoma. (Source: Dermatologic Clinics)
Source: Dermatologic Clinics - October 21, 2021 Category: Dermatology Authors: Diana Bartenstein Reusch, Elena B. Hawryluk Source Type: research
An Evidence-Based Approach to Pediatric Melanonychia
Melanonychia including melanonychia striata in children poses a diagnostic dilemma. Atypical clinical features often raise the possibility of malignancy, and a nail unit biopsy may be recommended. Commensurate with atypical clinical features, the histopathology may also appear alarming. However, accumulating data illustrate that most cases of melanonychia striata are benign and suggest that an alternate approach is often warranted for pediatric patients. Herein, we review the existing data regarding pediatric melanonychia striata and offer an evidence-based approach to its evaluation and management. (Source: Dermatologic Clinics)
Source: Dermatologic Clinics - October 21, 2021 Category: Dermatology Authors: Mary E. Lohman, Timothy H. McCalmont, Kelly M. Cordoro Source Type: research
Addressing Frequently Asked Questions and Dispelling Myths About Melanocytic Nevi in Children
Melanocytic nevi are congenital or acquired benign melanocytic neoplasms. The reason for the appearance of melanocytic nevi is not precisely known. Melanocytic nevi frequently occur in children, constituting a common reason for consultation in pediatric dermatology clinics. In our experience, many parents and caregivers present doubts and fears based more on popular beliefs than on data with valid scientific evidence. This review answers their frequently asked questions, such as the risk of malignancy, the importance of nevi location, the warning signs of malignant transformation, best prevention strategies, and optimal ma...
Source: Dermatologic Clinics - October 21, 2021 Category: Dermatology Authors: James Anderson-Vild ósola, Ángela Hernández-Martín Source Type: research
Addressing Climate-Related Health Impacts During the Patient Encounter
Pediatric populations are expected to bear most of the climate change impacts, with racial minorities and children living in poorer countries being particularly vulnerable. Given their relevance to cutaneous disease, dermatologists should be aware of these climate-sensitive health impacts and the ways in which they intersect with social factors. Strategies including targeted risk communication, motivational interviewing, and storytelling can help facilitate climate discussions during the patient encounter. In this article the authors summarize common dermatologic health impacts related to environmental exposures and provid...
Source: Dermatologic Clinics - October 21, 2021 Category: Dermatology Authors: Mary D. Sun, Markus D. Boos, Sarah J. Coates Source Type: research
Towards a More Inclusive Environment in the Dermatology Clinic
Language is used to convey thought, but it also influences thought and perception, in turn affecting health care delivery. In this review, we seek to highlight ways in which dermatologists can incorporate inclusive language into practice. By using patient-centered and patient-affirming language, avoiding labels, and naming medical conditions with terminology rooted in pathophysiology rather than outmoded, racist convention or eponyms, dermatologists can strengthen therapeutic relationships and improve patient care. (Source: Dermatologic Clinics)
Source: Dermatologic Clinics - October 21, 2021 Category: Dermatology Authors: Michael Barton, Markus D. Boos Source Type: research
The Science, Art, and Delivery of Pediatric Dermatologic Care in the Twenty-First Century
Caring for children with skin disease is in equal measure rewarding and challenging. Managing patients with diverse backgrounds in the context of complex diagnoses, patient age, developmental stage, and beliefs and preferences of caregivers requires unique knowledge, skills, and strategies. In an era of rapid advancements in diagnosis and treatment, we must also remain cognizant of sociocultural evolution and environmental factors that should factor into our provision of care. Advocating for the vulnerable, providing access, abandoning outdated lexicons, and empowering patients by sharing information and decisions are impo...
Source: Dermatologic Clinics - October 19, 2021 Category: Dermatology Authors: Kelly M. Cordoro Tags: Preface Source Type: research
COVID-19 and the Dermatologist
DERMATOLOGIC CLINICS (Source: Dermatologic Clinics)
Source: Dermatologic Clinics - September 21, 2021 Category: Dermatology Authors: ESTHER E. FREEMAN, DEVON E. MCMAHON Source Type: research
Copyright
ELSEVIER (Source: Dermatologic Clinics)
Source: Dermatologic Clinics - September 21, 2021 Category: Dermatology Source Type: research
Contributors
BRUCE H. THIERS, MD (Source: Dermatologic Clinics)
Source: Dermatologic Clinics - September 21, 2021 Category: Dermatology Source Type: research
Contents
Esther E. Freeman and Devon E. McMahon (Source: Dermatologic Clinics)
Source: Dermatologic Clinics - September 21, 2021 Category: Dermatology Source Type: research
Forthcoming Issues
Pediatric Dermatology Part I (Source: Dermatologic Clinics)
Source: Dermatologic Clinics - September 21, 2021 Category: Dermatology Source Type: research
Impact of COVID-19 on Dermatology Residency
COVID-19 has created challenges across medicine, including in medical education, with deeply rooted impacts in the dermatology residency experience. Its effects are both acute and chronic, including: shifts to virtual education and conferences, skewed clinical experiences, negatively impacted wellness, and uncertainty in the future. As educators and mentors, it is important to recognize and address these issues so that we may remain transparent, adaptable, and engaged as we continue to build a better tomorrow for our resident trainees. (Source: Dermatologic Clinics)
Source: Dermatologic Clinics - July 30, 2021 Category: Dermatology Authors: Sara Samimi, Juliana Choi, Ilana S. Rosman, Misha Rosenbach Source Type: research
Coronavirus Disease 2019 and Race in Dermatology
Coronavirus Disease 2019 disproportionately affects Black and Hispanic/Latino populations. Racial disparities inherently exist in dermatology because of underrepresentation of skin of color populations in literature, reduced access to care for minority populations, and low diversity within the specialty of dermatology itself. Lack of imagery in dermatology can have detrimental consequences for patients of color. Dermatologists should note and disseminate cutaneous manifestations of patients of color to combat current racial imbalances. (Source: Dermatologic Clinics)
Source: Dermatologic Clinics - July 30, 2021 Category: Dermatology Authors: Seemal R. Desai, Amy J. McMichael, Rayva Khanna Source Type: research
