The use of oral vitamin A in acne management: a review
Conclusion:... (Source: Dermatology Online Journal)
Source: Dermatology Online Journal - October 19, 2022 Category: Dermatology Source Type: research

Epidemiology of warts in U.S. adults: a survey study
(Source: Dermatology Online Journal)
Source: Dermatology Online Journal - October 19, 2022 Category: Dermatology Source Type: research

Limited impact of teledermoscopy on referrals to face-to-face dermatology
Background: Teledermoscopy improves teledermatology clinical outcomes, but the practical impact of this and other teleconsultation variables on patient management are unclear. We assessed the impact of these variables, including dermoscopy, on face-to-face (F2F) referrals to optimize effort by imagers and dermatologists. Methods: Using retrospective chart review, we retrieved demographic, consultation, and outcome variables from 377 interfacility teleconsultations sent to San Francisco Veterans Affairs Health Care System (SFVAHCS) between September 2018 to March 2019 from another VA facility and its satellite clinics. Data...
Source: Dermatology Online Journal - October 19, 2022 Category: Dermatology Source Type: research

The impact of the COVID-19 pandemic on dermatologists' suture preferences for epidermal approximation
(Source: Dermatology Online Journal)
Source: Dermatology Online Journal - August 30, 2022 Category: Dermatology Source Type: research

Successful treatment of exanthematous lichen planus in a young adult with low dose oral corticosteroid and isotretinoin.
We report a young woman with an exanthematous/eruptive variant of lichen planus who had a sudden outbreak of multiple papules and plaques all over the body with relative sparing of head and neck region. Eruptive lichen planus is rarely reported in adults and effective treatments are not well documented. We prescribed a short course of oral corticosteroid to which the patient did not respond. This was followed by oral isotretinoin and there was dramatic improvement in her symptoms and cutaneous lesions. A short course of oral corticosteroid followed with oral isotretinoin may be considered as a valuable management plan for ...
Source: Dermatology Online Journal - August 23, 2022 Category: Dermatology Source Type: research

Treatment modalities in brachioradial pruritis: a systematic review
Introduction: Brachioradial pruritis is a rare dysesthesia syndrome that is known to negatively impact quality of life. No consensus exists regarding optimal treatment strategies. Methods: We searched MEDLINE, EMBASE, and the Cochrane Collaboration Clinical Trials Registry from 1966 to 2021 for studies using the title word "brachioradial pruritis" with no language restriction. One author (A.Z.) screened and performed full article reviews of all randomized clinical trials, cohort studies, case-control studies, case reports, and case series describing treatment outcomes among patients with brachioradial pruritis. Results: We...
Source: Dermatology Online Journal - August 23, 2022 Category: Dermatology Source Type: research

Surgical and non-surgical treatment modalities for lymphangioma circumscriptum
(Source: Dermatology Online Journal)
Source: Dermatology Online Journal - August 23, 2022 Category: Dermatology Source Type: research

Angioimmunoblastic T-cell lymphoma with elevated serum IgA and infiltration of IgA-positive plasma cells into a skin lesion
Angioimmunoblastic T-cell lymphoma (AITL) is one of the most common types of peripheral T-cell lymphoma. Laboratory examination exhibits immunological abnormalities, such as polyclonal hypergammaglobulinemia and hemolytic anemia. Skin lesions are also observed in approximately half of AITL cases. However, the relationship of skin involvement with the clinical course and prognosis is unknown. Herein, we report the case of a patient with AITL with elevated serum immunoglobulin A (IgA) level, which was a predictive element of poor prognosis, and infiltration of IgA-positive plasma cells into the skin lesions. Based on this ca...
Source: Dermatology Online Journal - August 23, 2022 Category: Dermatology Source Type: research

Pityriasis rubra pilaris heralding diagnosis of urothelial carcinoma: a case report
Pityriasis rubra pilaris is a papulosquamous inflammatory dermatosis that can be associated with HIV, autoimmunity, infections, certain medications, and neoplasms. Paraneoplastic pityriasis rubra pilaris has previously been reported in association with solid organ malignancies and once with leukemia. Herein, we present an elderly man with paraneoplastic pityriasis rubra pilaris, heralding the diagnosis of low-grade papillary urothelial carcinoma. Our patient's pityriasis rubra pilaris resolved after surgical resection of the tumor. (Source: Dermatology Online Journal)
Source: Dermatology Online Journal - August 23, 2022 Category: Dermatology Source Type: research

Werner syndrome associated with acroosteolysis
Werner syndrome (WS) is an autosomal recessive syndrome characterized by genomic instability that affects multiple body systems. The characteristic features of the disease include growth retardation, short stature, alopecia, scleroderma, atrophic skin with ulcerations, infertility, cataracts, premature arteriolosclerosis, diabetes, osteoporosis, and increased risk of malignancies. Werner syndrome protein (WRN) protein deficiency in this disease causes changes in gene expression, similar to those observed in normal aging. As the median age of death in WS is the fourth or fifth decade of life, early diagnosis leads to a bett...
Source: Dermatology Online Journal - August 23, 2022 Category: Dermatology Source Type: research

Annular elastolytic giant cell granuloma in a woman with metabolic syndrome
Annular elastolytic giant cell granuloma (AEGCG) is a rare granulomatous skin condition. It belongs to a group of skin and elastic fiber disorders. When it affects sun-exposed skin, it is also called actinic granuloma. The etiology and pathogenesis are still debated. However, sun-induced actinic damage to elastic fibers is acknowledged as the primary triggering factor, though the pathogenesis of instances in sun-covered areas is unknown. The most commonly linked systemic illness is diabetes mellitus. Different case reports show an association of this disease with hematological conditions, infections, sarcoidosis, and proto...
Source: Dermatology Online Journal - August 23, 2022 Category: Dermatology Source Type: research

Noninflammatory presentation of cutaneous breast cancer: a retrospective case series at a single academic institution with review of the literature
Breast cancer with skin involvement is an uncommon clinical presentation of this malignancy. Breast cancer overall has a relatively high mortality rate and wide variety of presentations, making skin involvement by breast cancer a necessary consideration in the differential diagnosis for many types of breast lesions. A retrospective review of our own small academic dermatology outpatient clinic, between August 2006 and January 2020, found four cases of noninflammatory breast cancer with skin involvement diagnosed through biopsy by our dermatologists. This review was approved by the local Institutional Review Board. Of the f...
Source: Dermatology Online Journal - August 23, 2022 Category: Dermatology Source Type: research

Imiquimod-induced hypertrophic lupus erythematosus-like reaction.
We report a case of local induction of a plaque that resembled HLE clinically and histologically in an 82-year old woman following topical treatment with imiquimod. (Source: Dermatology Online Journal)
Source: Dermatology Online Journal - August 23, 2022 Category: Dermatology Source Type: research

Blastic plasmacytoid dendritic cell neoplasm presenting as violaceous forehead plaque
A 72-year-old man with a history of squamous cell carcinoma presented to the Portland VA with forehead discoloration. He was initially diagnosed with actinic damage and prescribed topical treatment. However, he returned to clinic months later with a large, violaceous forehead plaque. Upon biopsy, he was diagnosed with blastic plasmacytoid dendritic cell neoplasm (BPDCN), a rare hematological malignancy. This case report illustrates the importance of keeping BPDCN in the differential diagnosis for ecchymotic plaques that fail to respond to first line therapy. (Source: Dermatology Online Journal)
Source: Dermatology Online Journal - August 23, 2022 Category: Dermatology Source Type: research

Characteristics of non-melanoma skin cancers in Native American patients treated with Mohs micrographic surgery
Despite the lower incidence of non-melanoma skin cancers in skin of color populations, greater morbidity and mortality have been reported. Literature describing non-melanoma skin cancers in Native Americans is scarce. We designed a retrospective review study aimed to evaluate the characteristics of non-melanoma skin cancers (basal cell carcinoma and squamous cell carcinoma) in Native American patients treated with Mohs micrographic surgery between January 2015 and August 2020, at a single academic center. Twenty-six patients with 28 tumors were identified; 12 squamous cell carcinomas (92% well-differentiated) and 16 basal ...
Source: Dermatology Online Journal - August 23, 2022 Category: Dermatology Source Type: research