Barriers to dermatologic care for American Indian/Alaskan Native individuals at urban Indian organizations
(Source: Dermatology Online Journal)
Source: Dermatology Online Journal - June 23, 2023 Category: Dermatology Authors: Do, Ngan N Source Type: research

Smokeless tobacco keratosis
We present a 50-year-old man with an extensive history of smokeless tobacco use and development of the characteristic lesion. Shave biopsy showed typical changes of this benign condition and tobacco cessation was recommended. (Source: Dermatology Online Journal)
Source: Dermatology Online Journal - June 23, 2023 Category: Dermatology Authors: Petruzzelli, Curtis J Source Type: research

Cutaneous rhabdomyoma in an 82-year-old White man
This case highlights a primary cutaneous rhabdomyoma presenting as a slowly enlarging subcutaneous nodule on the mentum of an 82-year-old White man with a medical history of two intracranial rhabdomyomas. Although they are rarely syndromic, it is important to note that the most common demographic for presentation of rhabdomyomas includes older males presenting as a subcutaneous nodule on the head, neck, or oral cavity. They are most often seen in isolation but can be multifocal in up to 25% of all cases. Being a rare entity, there is no generally recognized treatment consensus; however, complete surgical excision is recomm...
Source: Dermatology Online Journal - June 23, 2023 Category: Dermatology Authors: Casale, Jarett Source Type: research

Macrolides for the treatment of bullous pemphigoid
(Source: Dermatology Online Journal)
Source: Dermatology Online Journal - June 23, 2023 Category: Dermatology Authors: Zou, Henry Source Type: research

Multiple keratotic projections on the palms and soles
Spiny keratoderma (SKD) is a rare palmoplantar keratoderma that presents with few to numerous millimetric hyperkeratotic projections on the palms and soles. It has been described with both hereditary and acquired variants. The acquired form, which presents in older adults, has been associated with a variety of systemic diseases and malignant conditions. In patients suspected of having acquired spiny keratoderma, an evaluation for malignant conditions may be warranted. Treatment with topical keratolytics or topical and oral retinoids is usually insufficient. Herein, we present the case of a 58-year-old man diagnosed with id...
Source: Dermatology Online Journal - June 23, 2023 Category: Dermatology Authors: Barbosa, Joana Source Type: research

Amicrobial pustulosis of the folds: long-term remission achieved with low dose dapsone and topical pimecrolimus
(Source: Dermatology Online Journal)
Source: Dermatology Online Journal - June 23, 2023 Category: Dermatology Authors: Brinia, Chrysa Source Type: research

Congenital dermatofibrosarcoma protuberans with PDGFB gene rearrangement detected using fluorescence in situ hybridization
(Source: Dermatology Online Journal)
Source: Dermatology Online Journal - June 23, 2023 Category: Dermatology Authors: Mizuta, Haruki Source Type: research

Biosimilars in dermatology: identifying myths and knowledge gaps
Biosimilars are beginning to gain regulatory approval in the United States. Biosimilars are structurally near identical to the innovator and must demonstrate identical pharmacokinetics via the same binding affinity and biological function on assays. However, biologics are so complex that even the innovator company cannot produce exact duplicates; there is batch-to-batch variation. The International Psoriasis Council has outlined a biosimilarity index, which aims to standardize preclinical definitions of biosimilarity. Such an index, paired with post-approval monitoring, could provide a transparent, quantitative definition ...
Source: Dermatology Online Journal - June 23, 2023 Category: Dermatology Authors: Patel, Palak v Source Type: research

Diffuse skin findings secondary to lymph node tularemia in a patient with chronic rheumatoid arthritis on methotrexate
Tularemia has many atypical presentations which can represent a diagnostic challenge. The history is essential in the investigation of this disease. Bite-induced primary skin lesions should be distinguished from the infrequent immune-mediated secondary skin lesions. Herein, we present an atypical pseudovesicular rash secondary to Francisella tularensis. (Source: Dermatology Online Journal)
Source: Dermatology Online Journal - June 23, 2023 Category: Dermatology Authors: Kandemir, S Source Type: research

A national survey comparing practice patterns and residency training satisfaction for categorical dermatology versus combined internal medicine and dermatology trained physicians
Combined internal medicine and dermatology (med-derm) training programs were created to advance complex medical dermatology and inpatient dermatology care. A prior study demonstrated that compared to categorical dermatology residents, med-derm residents had less program satisfaction, yet indicated a stronger desire to pursue careers in academia. No follow-up data on practice patterns after training has been reported. We aimed to characterize differences in residency program satisfaction and practice patterns between physicians trained in categorical dermatology compared to med-derm residency programs. We surveyed physician...
Source: Dermatology Online Journal - June 23, 2023 Category: Dermatology Authors: Han, Joohee Source Type: research

Effects of virtual interviews on dermatology match trends: a retrospective cohort analysis
(Source: Dermatology Online Journal)
Source: Dermatology Online Journal - June 23, 2023 Category: Dermatology Authors: Diamond, Carrie Source Type: research

Workforce requirements for keratinous cysts: clinicians expend 1200 full-time effort years annually
Keratinous cysts are amongst the 10 most common dermatologic ambulatory diagnoses. Thus, we aimed to estimate the time and cost spent annually on management of keratinous cysts. We conducted a cross-sectional study using the National Ambulatory Medical Care Survey and the National Hospital Ambulatory Medical Care Survey between 2007 and 2018 (most recent years available). Conservatively, $2.1 billion per year was spent on healthcare for keratinous cysts. On average, the full-time work of 1200 (840-1800) physicians and non-physician providers are required to manage keratinous cysts yearly in the outpatient and emergency dep...
Source: Dermatology Online Journal - June 23, 2023 Category: Dermatology Authors: Rivin, Gabrielle M Source Type: research

Localized alopecic myxedema of the scalp
This report showcases a rare presentation of localized myxedema of the scalp, highlighting the diverse cutaneous manifestations of autoimmune thyroid diseases. (Source: Dermatology Online Journal)
Source: Dermatology Online Journal - June 23, 2023 Category: Dermatology Authors: Doost, Mohammad Saffari Source Type: research

Paclitaxel-induced dorsal hand-foot syndrome
We present an unusual case of paclitaxel-induced HFS localized to the dorsal hands of a 66-year-old man with metastatic angiosarcoma. Early identification and management of HFS is critical to allow for continuation of chemotherapy while improving patient quality of life. (Source: Dermatology Online Journal)
Source: Dermatology Online Journal - June 23, 2023 Category: Dermatology Authors: Quan, Eugenie Y Source Type: research

Non-psoriatic uses of calcipotriol: a concise updated review
Calcipotriol (calcipotriene) is a synthetic vitamin D3 derivative that is a standard treatment option for psoriasis. It is generally well tolerated with minimal side effects. Due to its ability to reduce keratinocyte proliferation and induce keratinocyte differentiation as well as its immunomodulatory effects, calcipotriol has been used to treat a variety of skin disorders such as atopic dermatitis, actinic keratoses, lichen planus, seborrheic keratoses, and vitiligo [1]. We surveyed the literature examining the use of calcipotriol for non-psoriatic dermatologic disease. (Source: Dermatology Online Journal)
Source: Dermatology Online Journal - June 23, 2023 Category: Dermatology Authors: Patel, Riya T Source Type: research