The Practice of Dermatology Ain't What It Used To Be: The Preauthorization Catastrophe.
PMID: 31496468 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - September 10, 2019 Category: Dermatology Authors: Parish LC, Parish JL, Lambert WC, Ciferni C Tags: Skinmed Source Type: research

Can Nonsterile Gloves for Dermatologic Procedures Be Cost-Effective without Compromising Infection Rates?
In this study, we sought to determine SSI rates before and after employment of NSGs for dermatologic procedures. Infection data were collected from January 2009 to December 2015 on 7365 tumors treated with MMS and 1620 tumors treated by surgical excision. For MMS procedures using chlorhexidine as the antiseptic, the SSI rate with SGs was 3.39% compared to 3.06% with NSGs. For surgical excisions, the SSI rate was 3.02% with SGs and 4.17% with NSG. Using NSGs for MMS tumor resection and reconstruction can provide cost savings without adversely affecting SSI rates, and could also be considered in dermatologic procedures, incl...
Source: Skinmed - September 10, 2019 Category: Dermatology Authors: Kemp DM, Weingarten S, Chervoneva I, Marley W Tags: Skinmed Source Type: research

Unsafe Deposits: Overlapping Cutaneous Manifestations of Porphyria Cutanea Tarda, Ochronosis, Hemochromatosis, and Argyria.
Abstract Cutaneous deposition disorders represent an array of conditions resulting from the accumulation of endogenous and exogenous substances within the skin. Many of the deposition diseases resemble each other and can also be confused with disorders not related to deposition. Porphyria cutanea tarda (PCT) results from dysfunction particularly in the fifth enzyme of the heme synthesis pathway, leading to increased skin fragility and bullae among other abnormalities. Ochronosis develops from alkaptonuria or exogenous sources, creating deposition of ocher-colored pigment in the skin. Hemochromatosis is a systemic ...
Source: Skinmed - September 10, 2019 Category: Dermatology Authors: Atmatzidis DH, Hoegler K, Weiss A, Lambert WC, Schwartz RA Tags: Skinmed Source Type: research

Pharmacology and Therapeutics of Corticosteroids Sparing Maintenance Immunosuppressive/Adjunct Therapy Drugs.
Abstract Glucocorticoids, corticosteroids/steroids sparing (replacement) maintenance immunosuppressive/adjunct drugs delivery has always been a challenging overture. Azathioprine, cyclophosphamide, dapsone, immunoglobulin, and interferon are agents in this category. The pharmacology and pharmacokinetics of the preceding drugs include specific recommendations, generic names, availability, mode of administration, dosage schedule, and the essentials of drug management. PMID: 31496471 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - September 10, 2019 Category: Dermatology Authors: Sehgal VN, Malhotra R Tags: Skinmed Source Type: research

DUOBRII ™ (Halobetasol Propionate and Tazarotene) Lotion for Topical Use: A Newly Approved Combination Corticosteroid and Retinoid Topical Treatment of Plaque Psoriasis in Adults.
DUOBRII™ (Halobetasol Propionate and Tazarotene) Lotion for Topical Use: A Newly Approved Combination Corticosteroid and Retinoid Topical Treatment of Plaque Psoriasis in Adults. Skinmed. 2019;17(3):181-183 Authors: Gupta AK, Love RP, Abramovits W, Vincent KD PMID: 31496472 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - September 10, 2019 Category: Dermatology Authors: Gupta AK, Love RP, Abramovits W, Vincent KD Tags: Skinmed Source Type: research

Adjusting the Screen Door: Developing a Rational Approach to Assessing for Thyroid Disease in Patients with Alopecia Areata.
PMID: 31496473 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - September 10, 2019 Category: Dermatology Authors: Heymann WR Tags: Skinmed Source Type: research

Bakuchiol as a Trendy Ingredient in Skincare: Recent Evidence.
Abstract Recently, bakuchiol has become a popular ingredient in skincare products. It has widely been marketed to treat acne, melasma, photoaging, and hyperpigmentation. Studies have shown functional similarities to retinoids without the limiting side effects, such as erythema, burning, and stinging. Clinicians should be aware of this trendy ingredient, including its recent claims in marketing material and current evidence in the literature, especially as its use continues to expand in available skincare products. PMID: 31496474 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - September 10, 2019 Category: Dermatology Authors: Wang JV, Schoenberg E, Saedi N Tags: Skinmed Source Type: research

It's More Than Skin Deep: Cutaneous and Visceral Kaposi's Sarcoma in HIV Disease.
PMID: 31496475 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - September 10, 2019 Category: Dermatology Authors: Harold F, Richardson A, Bernstein JM Tags: Skinmed Source Type: research

Erythrasma: An Enlightening Diagnosis and a Novel Treatment.
PMID: 31496476 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - September 10, 2019 Category: Dermatology Authors: Cohen PR Tags: Skinmed Source Type: research

Diagnostician.
PMID: 31496477 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - September 10, 2019 Category: Dermatology Authors: Bernhardt M Tags: Skinmed Source Type: research

Eruptive Xanthomas: A Dermatologic Clue to the Diagnosis of an Underlying Metabolic Disorder.
Abstract A 32-year-old man presented to the dermatology department with generalized asymptomatic yellowish papules on an erythematous base, arms, thighs, and buttocks. These lesions had appeared in the previous month (Figure 1). Dermoscopy revealed a homogeneous yellow color, corresponding to dermal xanthomatous deposits, with interconnected fine and dotted vessels (Figure 2). The laboratory findings showed extremely high levels of triglycerides (4.842 mg/dL; normal
Source: Skinmed - September 10, 2019 Category: Dermatology Authors: De Bastiani M, Ribeiro CK, Rech B, Cartell A, Escobar GF Tags: Skinmed Source Type: research

Vasculitic Leg Ulcer Revealing an Essential Thrombocythemia.
Abstract A 64-year-old man was referred to our department due to painful ulcers on the right leg that had evolved over the previous 6 months. There was also progressive weight loss. He had no relevant medical history. Clinically, we observed multiple ulcers, some of them with a necrotic base, located over the medial malleolus and calcaneus (Figures 1 and 2), with an associated livedoid appearance of the dorsum of the feet. A skin biopsy revealed epidermis with ulceration. The superficial and deep dermis showed perivascular and interstitial neutrophilic inflammatory infiltrate, with fibrinoid necrosis of the vessel...
Source: Skinmed - September 10, 2019 Category: Dermatology Authors: Lopes S, Esteves M, Baudrier T, Pardal J, Azevedo F Tags: Skinmed Source Type: research

Split-Face Comparative Study of Microneedling with Platelet-Rich Plasma versus Microneedling Alone in Treating Acne Scars.
Abstract A 24-year-old man (Figure 1) and a 22-year-old woman (Figure 2) with atrophic acne scars were enrolled. Each patient underwent four sessions of treatment with intervals of 4 weeks consecutively, each consisting of microneedling followed by platelet-rich plasma (PRP) application on the right side of the face and microneedling alone on the left. Goodman's qualitative scale was used for the final evaluation of the results. The man had grade 4 acne scars on both sides of the face, which became grade 2 on the right side and grade 3 on the left side (Figure 3). The woman had grade 4 acne scars on both sides of ...
Source: Skinmed - September 10, 2019 Category: Dermatology Authors: Darmawan H, Kurniawati Y Tags: Skinmed Source Type: research

Anti-MDA-5 Dermatomyositis Presenting with Rapidly Progressive Interstitial Lung Disease: A Cautionary Tale.
Abstract A 68-year-old Indian man presented with a pruritic eruption on his neck, back, elbows, knees, and the dorsum of his hands. He was initially treated for possible Lyme's disease by his primary care physician, but without improvement. Then he developed daily chills and fevers up to 101 °F, as well as shortness of breath. A chest radiograph showed patchy airspace opacities suggestive of atypical pneumonia, and the patient was treated with levofloxacin and prednisone. Although prednisone diminished the eruption, the patient continued to experience fever, malaise, and generalized weakness, at which point he...
Source: Skinmed - September 10, 2019 Category: Dermatology Authors: Ahmed S, Okon L, Keller M Tags: Skinmed Source Type: research

Letters from Botswana: Disfiguring Facial Eruption in a Teenage Girl.
PMID: 31496482 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - September 10, 2019 Category: Dermatology Authors: Rodriguez O, Mosojane K, Williams V Tags: Skinmed Source Type: research

Superficial Basal Cell Carcinomas Arising on Nephrectomy and Humerus Osteosynthesis Scars.
Gilaberte Y PMID: 31496483 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - September 10, 2019 Category: Dermatology Authors: Gracia-Cazaña T, Tomás EP, Prieto-Torres L, Morales-Moya AL, Gilaberte Y Tags: Skinmed Source Type: research

Temporal Triangular Alopecia: Trichoscopic Diagnosis.
PMID: 31496484 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - September 10, 2019 Category: Dermatology Authors: Fetoui NG, Mokni S, Boussofara L, Aounallah A, Toumi A, Kahla MB, Gammoudi R, Saidi W, Ghariani N, Belajouza C, Denguezli M, Nouira R Tags: Skinmed Source Type: research

Hair and Scalp Disorders Revisited.
PMID: 31496485 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - September 10, 2019 Category: Dermatology Authors: Lazar AP Tags: Skinmed Source Type: research

Speaking Good (and Safe) Dermatologic English.
PMID: 31145056 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - June 1, 2019 Category: Dermatology Authors: Parish LC, Lambert WC Tags: Skinmed Source Type: research

Inverted Follicular Keratosis: Stand-Alone Entity or Variant.
PMID: 31145057 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - June 1, 2019 Category: Dermatology Authors: Shah R, Maddukuri S, Patel S, Behbahani S, Skula S, Lambert WC Tags: Skinmed Source Type: research

Clinical Diagnosis of Herpes Simplex-Infected Pemphigus Erosions.
Abstract Clinical diagnosis of Herpes simplex-infected pemphigus erosions is challenging. Pemphigus and Herpes simplex both produce superficial erosions on the skin and mucosa after rupture of vesicles or bullae. Delay in diagnosis of herpes-infected pemphigus patients often causes prolonged morbidity. So far, there has been a paucity of literature describing the characteristic features of Herpes simplex-infected pemphigus erosions. In the present case series, we have illustrated the morphologic features of three Herpes simplex-infected pemphigus erosions and also have suggested characteristic clinical features th...
Source: Skinmed - June 1, 2019 Category: Dermatology Authors: Sirka CS, Pradhan S Tags: Skinmed Source Type: research

Nevus Depigmentosus: An Update.
Abstract Nevus depigmentosus, a disorder of hypopigmentation, occurs in both sexes and all races. It most commonly presents in early infancy and childhood as a nonprogressive hypomelanotic macule. It is considered a form of cutaneous mosaicism due to somatic mutation in pigmentary genes, which results in functional impairment of melanocytes. Clinical forms include localized, segmental, and systemized. Rare cases of nevus depigmentosus may be associated with systemic features. Treatment is usually not required, although certain techniques such as suction-blister grafting, excimer laser, and cosmetic camouflage have...
Source: Skinmed - June 1, 2019 Category: Dermatology Authors: Kansal NK Tags: Skinmed Source Type: research

Self assessment examination.
SELF ASSESSMENT EXAMINATION. Skinmed. 2019;17(2):105 Authors: Lambert WC PMID: 31145060 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - June 1, 2019 Category: Dermatology Authors: Lambert WC Tags: Skinmed Source Type: research

Dupixent ® (Dupilumab): A Newly Approved Interleukin-4 Receptor Antagonist for the Treatment of Atopic Dermatitis in Pediatric Patients.
Dupixent® (Dupilumab): A Newly Approved Interleukin-4 Receptor Antagonist for the Treatment of Atopic Dermatitis in Pediatric Patients. Skinmed. 2019;17(2):107-109 Authors: Gupta AK, Love RP, Abramovits W, Vincent KD PMID: 31145061 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - June 1, 2019 Category: Dermatology Authors: Gupta AK, Love RP, Abramovits W, Vincent KD Tags: Skinmed Source Type: research

Desquamative Dermatitis: A Dermatopathologic Emergency with Poorly Understood Etiopathogenesis.
PMID: 31145062 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - June 1, 2019 Category: Dermatology Authors: Weiss A, Lambert MW, Lambert WC Tags: Skinmed Source Type: research

The Challenge of Identifying Identical Twins: Advances in Differentiating Lupus Erythematosus Panniculitis from Subcutaneous Panniculitis-Like T-Cell Lymphoma.
PMID: 31145063 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - June 1, 2019 Category: Dermatology Authors: Heymann WR Tags: Skinmed Source Type: research

Nonsurgical Rejuvenation of Scrotal Laxity: The Sutures Can Raise by Orienting Threads in an Upward Manner (SCROTUM) Procedure.
Abstract Scrotal rejuvenation encompasses the treatment of scrotal laxity; currently, surgery (scrotoplexy) is the only available treatment; however, the Sutures Can Raise by Orienting Threads in an Upward Manner (SCROTUM) procedure is proposed as a potential nonsurgical treatment for men with a low-hanging scrotum. The procedure utilizes bidirectional, fully absorbable, suspension sutures and cones for the nonsurgical lifting of a sagging scrotum in men with scrotal laxity. PMID: 31145064 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - June 1, 2019 Category: Dermatology Authors: Cohen PR Tags: Skinmed Source Type: research

A Philadelphia Story.
PMID: 31145065 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - June 1, 2019 Category: Dermatology Authors: Bernhardt M Tags: Skinmed Source Type: research

A Red Nodule on the Face.
Abstract An otherwise healthy 34-year-old man presented to our clinic with a small nonhealing, tender papule that had appeared on his face 9 months previously. His family history and past medical history were unremarkable. There was no history of trauma. Cutaneous examination revealed a small erythematous papule 0.5 cm in diameter on the left preauricular region (Figure 1). There was no regional lymphadenopathy, and he was in a generally good condition. PMID: 31145066 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - June 1, 2019 Category: Dermatology Authors: Zaouak A, Salah MB, Koubaa W, Hammami H, Fenniche S Tags: Skinmed Source Type: research

Penile Lymphangioma Secondary to Sclerosing Lymphangitis/Mondor's Disease in an HIV-Positive Patient.
acute;ré S Abstract A 34-year-old man presented with a painless lesion of the glans present for more than 4 years. The patient became HIV-positive in 2011, and he has been treated with tenofovir, emtricitabine, and efavirenz. A CD4 count performed 4 months prior was 570 cells/mL3; syphilis, hepatitis B, and hepatitis C serologies performed on the same date were non-reactive. PMID: 31145067 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - June 1, 2019 Category: Dermatology Authors: Maatouk I, Battistella M, Hélou G, Fouéré S Tags: Skinmed Source Type: research

Primary Localized Cutaneous Nodular Amyloidosis in the Absence of Systemic Disease.
Abstract A 41-year-old man presented with an asymptomatic, slowly enlarging plaque on the lower aspect of his left cheek, present for approximately 4 months. His past medical history was remarkable for allergic rhinitis. Three years before, he had had a nearly identical lesion surgically excised by Mohs method at the same site. On examination, there was a waxy, yellowish plaque, measuring 2.1 cm × 1.0 cm on the left cheek in proximity to the oral commissure (Figure 1). A shave biopsy revealed an atrophic epidermis with nodular aggregates of eosinophilic material in the dermis (Figure 2). Higher magnification...
Source: Skinmed - June 1, 2019 Category: Dermatology Authors: Smithee A, Garcia A, Tschen J, Schmidt J Tags: Skinmed Source Type: research

Letters from Botswana: Photosensitive Eruption in an HIV-Positive Patient.
PMID: 31145069 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - June 1, 2019 Category: Dermatology Authors: Rodriguez O, Mosojane K, Williams V Tags: Skinmed Source Type: research

Distant OnabotulinumtoxinA Spread after Cosmetic Dosing to Facial Rhytides.
PMID: 31145070 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - June 1, 2019 Category: Dermatology Authors: McGuinn KP, Santa E, Saedi N Tags: Skinmed Source Type: research

Drugs Causing Pigmented Purpuric Dermatoses: Herbal Regimen.
PMID: 31145071 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - June 1, 2019 Category: Dermatology Authors: Yasri S, Wiwanitkit V Tags: Skinmed Source Type: research

Alopecia Universalis and Atopic Dermatitis Improvement with Dupilumab: Demonstration of a Shared Pathophysiology and Clinical Efficacy.
PMID: 31145072 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - June 1, 2019 Category: Dermatology Authors: Dobkin H, Mullen R, Zirwas M Tags: Skinmed Source Type: research

Generalized Lichen Nitidus: A Rare Cutaneous Manifestation of Down's Syndrome.
PMID: 31145073 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - June 1, 2019 Category: Dermatology Authors: Guliani A, Kumar S, Aggarwal D, Saikia UN, Vinay K Tags: Skinmed Source Type: research

Pembrolizumab-Induced Alopecia Areata.
PMID: 31145074 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - June 1, 2019 Category: Dermatology Authors: Elshimy N, Blakeway E, Mitra A Tags: Skinmed Source Type: research

Cyber-Bullying and the Dermatologist.
PMID: 30888941 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - March 20, 2019 Category: Dermatology Authors: Parish JL, Parish LC, Lambert WC Tags: Skinmed Source Type: research

Treating the Difficult Patient: Ten Pearls to Reduce Resentment and Regain Control of the Doctor-Patient Visit.
PMID: 30888942 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - March 20, 2019 Category: Dermatology Authors: Magid M, Reichenberg JS Tags: Skinmed Source Type: research

Does Immunosuppression Help Control Alopecia Areata? A Study in Transplant Recipients.
IS, Bran EL Abstract Alopecia areata (AA) is a polygenic autoimmune disease. The immunosuppressant drugs taken by patients who undergo solid organ transplantation might therefore be useful in its control. The literature, however, contains conflicting information in this regard. This contribution describes seven patients with AA, all of whom had undergone solid organ transplantation and were receiving treatment with immunosuppressant drugs. Patterns were sought that might suggest whether the administration of these drugs was affecting the appearance, progress, or resolution of AA. Only seven out of 469 patients (in...
Source: Skinmed - March 20, 2019 Category: Dermatology Authors: González-Guerra E, Taboada AC, Muñoz LC, Fructuos AIS, Bran EL Tags: Skinmed Source Type: research

Metatypical Basal Cell Carcinoma: A 6-Year Retrospective Study.
We report a retrospective study of 13 patients who presented with cervicofacial MBCC. Our study found an increased prevalence of aggressive clinicohistologic features and showed disease recurrences in more than one-third of the patients; therefore, we conclude that MBCC is an aggressive variant that requires a complex surgical approach for achieving a stable and complete remission. (SKINmed. 2019;17:24-28). PMID: 30888944 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - March 20, 2019 Category: Dermatology Authors: Chaabane A, Bacha D, Ayachi K, Kilani H, Kanchel F, Douggaz A, Nechi S, Chelbi E Tags: Skinmed Source Type: research

Hand Dermatitis: Pathology, Diagnosis, and Management.
Abstract Hand dermatitis is a common skin disorder that can negatively impact a patient's daily life and occupation. The necessity and frequency of hand use can expose the overlying skin to irritation, trauma, and observation from others. This can make hand dermatitis irritating to active hands and difficult to treat, as irritant exposure is often difficult to avoid. Due to the variable degrees of presentations of hand dermatitis, it is essential for dermatologists to adequately recognize the variable presentation, establish a definitive diagnosis, and develop an appropriate treatment. This review explores the pat...
Source: Skinmed - March 20, 2019 Category: Dermatology Authors: LaCour M, Meaux T Tags: Skinmed Source Type: research

Tremfya ™ (Guselkumab).
Tremfya™ (Guselkumab). Skinmed. 2019;17(1):36-38 Authors: Abramovits W, Wiqas A, Vincent KD, Versteeg SG, Gupta AK PMID: 30888946 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - March 20, 2019 Category: Dermatology Authors: Abramovits W, Wiqas A, Vincent KD, Versteeg SG, Gupta AK Tags: Skinmed Source Type: research

Inadequacy of Recommended Margins in the Treatment of Lentigo Maligna.
PMID: 30888947 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - March 20, 2019 Category: Dermatology Authors: Nanawati N, Singh P, Kim HJ, Patel VM, Connolly AL, Lambert MW, Lambert WC, Langer PD Tags: Skinmed Source Type: research

Naltrexone Therapy for Hailey-Hailey Disease: Confirming My Addiction to Evidence-Based Medicine.
PMID: 30888948 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - March 20, 2019 Category: Dermatology Authors: Heymann WR Tags: Skinmed Source Type: research

Unilateral Facial Angiofibromas.
PMID: 30888949 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - March 20, 2019 Category: Dermatology Authors: Basu D, Kumar P, Das A Tags: Skinmed Source Type: research

Las Vegas, Nevada, November 28-December 1, 2018.
PMID: 30888950 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - March 20, 2019 Category: Dermatology Authors: Schlessinger J Tags: Skinmed Source Type: research

Kiwis to Kawakawa: New Zealand, April 11-21, 2018.
PMID: 30888951 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - March 20, 2019 Category: Dermatology Authors: Berger RS Tags: Skinmed Source Type: research

Subcutaneous Fat Necrosis of the Newborn.
PMID: 30888952 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - March 20, 2019 Category: Dermatology Authors: Bernhardt M Tags: Skinmed Source Type: research

Cutaneous Metastasis from Renal Cell Carcinoma.
Abstract A 73-year-old man presented with a red papule on the posterior aspect of his neck (Figure 1). The growth had first been noted approximately 1 month before his visit. The patient complained of irritation from his collar but had no other symptoms. He had hypertension controlled by medication and denied recent weight loss, malaise, or swollen glands. Examination of the lesion revealed a firm, bright red papule 4 mm in diameter on a slightly indurated flesh-color base. (SKINmed. 2019;17:65-66). PMID: 30888953 [PubMed - in process] (Source: Skinmed)
Source: Skinmed - March 20, 2019 Category: Dermatology Authors: Patel MD, Schleicher S Tags: Skinmed Source Type: research