The case of the dog and the blue light
Over the past decade, as the number of emotional support animals has increased dramatically, more requests for accommodation have occurred in medical practices.1 While clinicians frequently will accommodate an emotional support animal, there are important differences between service animals and emotional support animals in the United States under the Americans with Disabilities Act (ADA). The ADA defines a service animal as an animal that has been individually trained to do work or perform tasks for an individual with a disability. (Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 19, 2018 Category: Dermatology Authors: Daniel A. Grabell, Adelaide A. Hebert Tags: Dermatoethics consultation Source Type: research

Urticaria: A comprehensive review
Urticaria is a common clinical condition presenting with wheals (hives), angioedema, or both. Urticaria has a complex pathogenesis, along with a high disease burden, a significant impact on quality of life, and high health care costs. The first article in this continuing medical education series covers the definition, classification, epidemiology, diagnosis, and work-up of urticaria, taking into account the recent literature and the best available evidence. (Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 19, 2018 Category: Dermatology Authors: Camila Antia, Katherine Baquerizo, Abraham Korman, Jonathan A. Bernstein, Ali Alikhan Tags: Continuing medical education Source Type: research

CME examination
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 19, 2018 Category: Dermatology Tags: Continuing medical education Source Type: research

Answers to CME examination
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 19, 2018 Category: Dermatology Tags: Continuing medical education Source Type: research

Urticaria: A comprehensive review
Second-generation antihistamines are considered first-line agents in the treatment of chronic urticaria because of their safety and efficacy profile. Some patients require higher doses of H1 antihistamines alone or in combination with other classes of medications, including H2 antihistamines, leukotriene receptor antagonists, or first-generation H1 antihistamines. One major therapeutic advance has been omalizumab, a humanized monoclonal anti –immunoglobulin E that was recently approved by the US Food and Drug Administration for the treatment of chronic urticaria that is unresponsive to H1 antagonists. (Source: Journa...
Source: Journal of the American Academy of Dermatology - September 19, 2018 Category: Dermatology Authors: Camila Antia, Katherine Baquerizo, Abraham Korman, Ali Alikhan, Jonathan A. Bernstein Tags: Continuing medical education Source Type: research

CME examination
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 19, 2018 Category: Dermatology Tags: Continuing medical education Source Type: research

Answers to CME examination
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 19, 2018 Category: Dermatology Tags: Continuing medical education Source Type: research

September iotaderma (#295)
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 19, 2018 Category: Dermatology Authors: Robert I. Rudolph Tags: JAAD Online Source Type: research

October Iotaderma (#296)
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 19, 2018 Category: Dermatology Authors: Robert I. Rudolph Tags: JAAD Online Source Type: research

Clinically amelanotic or hypomelanotic melanoma: Anatomic distribution, risk factors, and survival
The recognition and diagnosis of clinically amelanotic or hypomelanotic melanoma is a challenge. (Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 19, 2018 Category: Dermatology Authors: Edmund Wee, Rory Wolfe, Catriona Mclean, John W. Kelly, Yan Pan Tags: Original article Source Type: research

Editorial Board
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 19, 2018 Category: Dermatology Source Type: research

Table of Contents
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 19, 2018 Category: Dermatology Source Type: research

Information for Readers
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 19, 2018 Category: Dermatology Source Type: research

JAAD Case Reports Article List
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 19, 2018 Category: Dermatology Source Type: research

Journal Based CME Instructions and Information
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 19, 2018 Category: Dermatology Source Type: research

Dermatology Calendar
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 19, 2018 Category: Dermatology Source Type: research

Quick note from your Editors
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 19, 2018 Category: Dermatology Source Type: research

Global Epidemiology and Clinical Spectrum of Rosacea, Highlighting Skin of Color: Review and Clinical Practice Experience
Rosacea is infrequently reported among nonwhite populations worldwide, but difficulty detecting its characteristics in darker skin may lead to underdiagnosis. This paper provides strategies for recognizing and treating rosacea in skin of color. This information may help reduce disparities in managing rosacea across diverse populations with the disease. (Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 18, 2018 Category: Dermatology Authors: Andrew F. Alexis, Valerie D. Callender, Hilary E. Baldwin, Seemal R. Desai, Marta I. Rendon, Susan C. Taylor Source Type: research

Sirolimus for the treatment of “verrucous” venous malformation: are we missing the lymphatic malformation component?
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 18, 2018 Category: Dermatology Authors: Ren Cai, Xi Yang, Hao Gu, Hui Chen, Xiaoxi Lin Source Type: research

Reply
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 18, 2018 Category: Dermatology Authors: Hongguang Chen, Gaolei Zhang Source Type: research

Mineral sunscreens not recommended by Consumer Reports: What lies beneath the surface?
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 18, 2018 Category: Dermatology Authors: Amir Varedi, Yelena P. Wu, Stephanie Z. Klein, Sancy A. Leachman, Douglas Grossman Source Type: research

Barriers to Compounding in Physician Offices: The Future is Now!
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 18, 2018 Category: Dermatology Authors: Elizabeth Muennich, Brett Coldiron Source Type: research

Prevention of Thermal Burns from Magnetic Resonance Imaging in Patients with Tattoos
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 18, 2018 Category: Dermatology Authors: Jason F. Wang, Nicole M. Hindman Source Type: research

Predictors of Sentinel Lymph Node Positivity in Thin Melanoma Using the National Cancer Database
Presence of dermal mitoses and invasion to Clark level IV-V are important factors in predicting SLN positivity, even when accounting for ulceration and Breslow thickness. Continued evaluation of possible predictors of SLN positivity is necessary to establish clear guidelines when to proceed with SLNB in thin melanoma. (Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 18, 2018 Category: Dermatology Authors: Ruzica Z. Conic, Jennifer Ko, Giovanni Damiani, Pauline Funchain, Thomas Knackstedt, Alok Vij, Allison Vidimos, Brian R. Gastman Source Type: research

Drug-induced hypersensitivity syndrome (DiHS)/drug reaction with eosinophilia and systemic symptoms (DRESS) severity score: A useful tool for assessing disease severity and predicting fatal cytomegalovirus disease
The clinical course of drug-induced hypersensitivity syndrome/drug reaction with eosinophilia and systemic symptoms is unpredictable. We developed a scoring system to predict development of cytomegalovirus disease and complications. Using this scoring system, cytomegalovirus disease and complications could be preventable by prompt treatment with anti- cytomegalovirus agents. (Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 18, 2018 Category: Dermatology Authors: Yoshiko Mizukawa, Kazuhisa Hirahara, Yoko Kano, Tetsuo Shiohara Source Type: research

Cutaneous angioimmunoblastic T-cell lymphoma: Epstein –Barr Virus positivity and its effects on clinicopathological features
1. Epstein –Barr virus in situ hybridization is positive in 19 of 42 (45.2%) patients with cutaneous angioimmunoblastic T-cell lymphoma. 2. Epstein–Barr virus-positive cutaneous angioimmunoblastic T-cell lymphoma is associated with distinctive clinicopathological features but shows no significant differenc es in survivals compared to Epstein–Barr virus-negative cutaneous angioimmunoblastic T-cell lymphoma. (Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 18, 2018 Category: Dermatology Authors: Woo Jin Lee, Kwang Hee Won, Jae Won Choi, Chong Hyun Won, Sung Eun Chang, Jee Ho Choi, Mi Woo Lee Source Type: research

In regards to Girard et a.l Occurrence of vismodegib-induced cramps (muscular spasms) in the treatment of basal cell carcinoma: A prospective study in 30 patients
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 17, 2018 Category: Dermatology Authors: Matthew S. Dinehart, Stacy McMurray, Scott Dinehart, Mark Lebwohl Source Type: research

Acquired disorders with depigmentation: A systematic approach to vitiliginoid conditions
Acquired disorders with depigmentation are commonly encountered by dermatologists and present with a wide differential diagnosis. Vitiligo, the most common disorder of acquired depigmentation, is characterized by well-defined depigmented macules and patches. Other conditions, such as chemical leukoderma, can present with similar findings, and are often easily mistaken for vitiligo. Key clinical features can help differentiate between acquired disorders of depigmentation. Part I of this two-part series focuses on conditions with a vitiligo-like phenotype. (Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 17, 2018 Category: Dermatology Authors: Mohammed D. Saleem, Elias Oussedik, Jennifer J. Schoch, Adam C. Berger, Mauro Picardo Source Type: research

Acquired disorders with hypopigmentation: A clinical approach to diagnosis and treatment
Acquired hypopigmented skin changes are commonly encountered by dermatologists. Although hypopigmentation is often asymptomatic and benign, occasional serious and disabling conditions present with cutaneous hypopigmentation. A thorough history and physical examination, centered on disease distribution and morphological findings, can aid in delineating the causes of acquired hypopigmented disorders. Part II of this two-part series focuses on conditions with a hypopigmented phenotype. Early diagnosis and appropriate management of these disorders can improve a patient ’s quality of life, halt disease progression, and pr...
Source: Journal of the American Academy of Dermatology - September 17, 2018 Category: Dermatology Authors: Mohammed D. Saleem, Elias Oussedik, Mauro Picardo, Jennifer J. Schoch Source Type: research

In reply to Prognostic value of sentinel lymph node biopsy according to Breslow thickness for cutaneous melanoma
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 15, 2018 Category: Dermatology Authors: Serigne N. Lo, Matthew Stodell, Richard A. Scolyer, John F. Thompson Source Type: research

Long-term outcomes of laser treatment for congenital melanocytic nevus
Various lasers have been applied for removal of surgically challenging CMNs. We evaluated the efficacy of lasers on CMN with a long-term follow-up period. Repigmentation of CMN after laser treatment occurs quite frequently and gradually, therefore more than 4 years of follow-up is recommended to evaluate the efficacy of lasers. (Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 15, 2018 Category: Dermatology Authors: Yeongjoo Oh, Si-Hyung Lee, Jung Min Lim, Kee Yang Chung, Mi Ryung Roh Source Type: research

Long-term safety results from a Phase 3 open-label study of a fixed combination halobetasol propionate 0.01% and tazarotene 0.045% (HP/TAZ) lotion in moderate-to-severe plaque psoriasis
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 15, 2018 Category: Dermatology Authors: Mark G. Lebwohl, Jeffrey L. Sugarman, Linda Stein Gold, David M. Pariser, Tina Lin, Radhakrishnan Pillai, Gina Martin, Susan Harris, Robert Israel Source Type: research

Safe and efficacious treatment of purpura with Nd:YAG laser in Skin Types IV-VI
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 15, 2018 Category: Dermatology Authors: Dana S. Saade, Neelam A. Vashi Source Type: research

Rouleaux: a microscopic clue that helps distinguish psoriasis from dermatitis
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 15, 2018 Category: Dermatology Authors: Ying Luo, Brett Keeling, Jessica A. Forcucci, Dirk M. Elston Source Type: research

Nodal Staging of High Risk Cutaneous Squamous Cell Carcinoma
Nodal metastasis for cutaneous squamous cell carcinoma occurs in 4-6% of patients and sentinel lymph node biopsy is positive in 29.4% of Brigham and Women's Hospital stage T2b tumors. Nodal staging may be considered with high-risk cutaneous tumors without palpable lymphadenopathy via imaging and, if negative, sentinel lymph node biopsy. (Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 15, 2018 Category: Dermatology Authors: Matthew Fox, Marc Brown, Nicholas Golda, Dori Goldberg, Christopher Miller, Melissa Pugliano-Mauro, Chrysalyne Schmults, Thuzar Shin, Thomas Stasko, Yaohui G. Xu, Kishwer Nehal Source Type: research

Analysis of Dermatologic Procedures Billed Independently by Non-Physician Practitioners in the United States
This study showed that non-physician practitioners in dermatology are expanding their scope of practices to more complicated procedures with higher proportions in the East Coast, Midwest, and Mountain states. It is prudent to recognize limitations of their training and to set benchmarks for proper supervision and utilization of dermatologic procedures. (Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 15, 2018 Category: Dermatology Authors: Qiaochu Qi, Brian P. Hibler, Brett Coldiron, Anthony M. Rossi Source Type: research

Assessment of Clinician Accuracy for Diagnosing Melanoma Based on Electrical Impedance Spectroscopy Score Plus Morphology Versus Lesion Morphology Alone
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 15, 2018 Category: Dermatology Authors: Ryan M. Svoboda, Giselle Prado, Rachel S. Mirsky, Darrell S. Rigel Source Type: research

Use of Immortal time within survival analysis
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 14, 2018 Category: Dermatology Authors: Linda Chan, Karen Byth, Pablo Fernandez-Penas Source Type: research

Clobetasol pretreatment to reduce or prevent injection site dermatitis from biologic agents
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 14, 2018 Category: Dermatology Authors: Deede Liu, Dominic J. Wu, Anand Rajpara, Ting Wang, Daniel J. Aires Source Type: research

Answer to the comment concerning our article “Risk of skin cancer in HIV-infected patients: a Danish nationwide cohort study”
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 14, 2018 Category: Dermatology Authors: S.H. Omland, L.H. Omland Source Type: research

Reply to: “Risk of skin cancer in HIV-infected patients: a Danish nationwide cohort study”
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 14, 2018 Category: Dermatology Authors: Matthew D. Mansh, Dustin H. Marks Source Type: research

Association between itch and cancer in 16,925 pruritus patients: Experience at a tertiary care center
This article provides a comprehensive analysis of the association between pruritus and a diverse array of malignancies, with additional stratification by race, Knowledge of these associations can guide clinicians in pursuing malignancy workup for patients with unexplained pruritus (Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 11, 2018 Category: Dermatology Authors: Valerie A. Larson, Olive Tang, Sonja Stander, Sewon Kang, Shawn G. Kwatra Source Type: research

Response to the Letter to the Editor entitled, “Use of immortal time within survival analysis”: JAAD-D-18-01157
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 8, 2018 Category: Dermatology Authors: Charles Kyung Min Lee, Shufeng Li, Duy Cong Tran, Gefei Alex Zhu, Jinah Kim, Bernice Y. Kwong, Anne Lynn S. Chang Source Type: research

Recurrent fevers, progressive lipodystrophy and annular plaques in a child
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 8, 2018 Category: Dermatology Authors: Michael A. Cardis, Gina A. Montealegre Sanchez, Raphaela Goldbach-Mansky, Chyi-Chia Richard Lee, Edward W. Cowen Source Type: research

Antibiotic exposure is associated with cutaneous adverse events in hairy cell leukemia patients treated with purine analogs
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 8, 2018 Category: Dermatology Authors: Rebecca F. Wang, Daniel Li, Gina J. Kuehn, Leslie A. Andritsos, Michael R. Grever, Benjamin H. Kaffenberger Source Type: research

Reply to MS#JAAD-D-18-01527
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 6, 2018 Category: Dermatology Authors: Mao-Qiang Man Source Type: research

Lightening Becker ’s nevus: Role of topical therapies
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 6, 2018 Category: Dermatology Authors: Naveen Kumar Kansal Source Type: research

Trichloroacetic acid as a treatment for persistent oral mucosal lesions in pemphigus vulgaris
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 6, 2018 Category: Dermatology Authors: Hamidreza Mahmoudi, Kamran Balighi, Soheil Tavakolpour, Maryam Daneshpazhooh, Cheyda Chams-Davatchi Source Type: research

Ruxolitinib for the treatment of severe alopecia areata
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 6, 2018 Category: Dermatology Authors: Lucy Y. Liu, Brett A. King Source Type: research

Tofacitinib for the Treatment of Alopecia Areata in Preadolescent Children
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - September 6, 2018 Category: Dermatology Authors: Brittany G. Craiglow, Brett A. King Source Type: research