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Obtaining rapid and effective hemostasis: Part I. Update and review of topical hemostatic agents
Effective and rapid hemostasis is critical to optimize surgical outcomes. An advantageous adjunct in accelerating the clotting process during dermatologic surgery is the use of topical hemostatic agents, which allow dermatologic surgeons to quickly clear the surgical field while avoiding the adverse effects of systemic medications. The growing rate of patients with pacemakers and defibrillators limits the possibility of electrosurgery. It is not unusual for patients to be taking ≥1 anticoagulant medication(s). For these reasons, the use of topical hemostatic agents is likely to gain more recognition in the literature. Th...
Source: Journal of the American Academy of Dermatology - October 17, 2013 Category: Dermatology Authors: Nicole Howe, Basil Cherpelis Tags: Continuing Medical Education Source Type: research
Obtaining rapid and effective hemostasis: Part II. Electrosurgery in patients with implantable cardiac devices
Electrosurgery is an integral part of dermatology that is commonly used both to obtain hemostasis and to treat cutaneous lesions. However, it can cause many complications in patients with implantable devices. Because of the risk of electromagnetic interference, a variety of precautions are commonly used. Not only are there no consistent community-based standards in place regarding the performance of electrosurgery in patients with implantable devices, but these precautions are largely based upon anecdotal experience or recommendations from different specialties. To further complicate matters, the literature regarding elect...
Source: Journal of the American Academy of Dermatology - October 17, 2013 Category: Dermatology Authors: Nicole Howe, Basil Cherpelis Tags: Continuing Medical Education Source Type: research
Photoprotection: Part II. Sunscreen: Development, efficacy, and controversies
In addition to the naturally occurring, physical, and systemic photoprotective agents reviewed in part I, topical ultraviolet radiation filters are an important cornerstone of photoprotection. Sunscreen development, efficacy, testing, and controversies are reviewed in part II of this continuing medical education article.
Source: Journal of the American Academy of Dermatology - November 18, 2013 Category: Dermatology Authors: Rebecca Jansen, Uli Osterwalder, Steven Q. Wang, Mark Burnett, Henry W. Lim Tags: Continuing Medical Education Source Type: research
Safety of dermatologic medications in pregnancy and lactation: Part I. Pregnancy
Dermatologists are frequently faced with questions about the safety of commonly prescribed topical and systemic medications during pregnancy and lactation from women of childbearing age who are pregnant, considering pregnancy, or breastfeeding. Safety data, particularly regarding medications that are unique to dermatology, can be difficult to locate and are not consolidated in a single reference guide for clinicians. Parts I and II of this continuing medical education article provide a capsule summary of key points for the most commonly prescribed dermatologic medications to facilitate patient medication risk counseling in...
Source: Journal of the American Academy of Dermatology - February 19, 2014 Category: Dermatology Authors: Jenny E. Murase, Misha M. Heller, Daniel C. Butler Tags: Continuing Medical Education Source Type: research
Evaluation and diagnosis of the hair loss patient
Hair loss (alopecia) is a common problem and is often a major source of distress for patients. The differential diagnosis of alopecia includes both scarring and nonscarring alopecias. In addition, many hair shaft disorders can produce hair shaft fragility, resulting in different patterns of alopecia. Therefore, an organized and systematic approach is needed to accurately address patients' complaints to achieve the correct diagnosis. Part 1 of this 2-part continuing medical education article on alopecia describes history taking and the clinical examination of different hair loss disorders.
Source: Journal of the American Academy of Dermatology - August 14, 2014 Category: Dermatology Authors: Thamer Mubki, Lidia Rudnicka, Malgorzata Olszewska, Jerry Shapiro Tags: Continuing Medical Education Source Type: research
Polycystic ovary syndrome: A review for dermatologists
Dermatologists are in a key position to treat the manifestations of polycystic ovary syndrome (PCOS). The management of PCOS should be tailored to each woman's specific goals, reproductive interests, and particular constellation of symptoms. Therefore, a multidisciplinary approach is recommended. In part II of this continuing medical education article, we present the available safety and efficacy data regarding treatments for women with acne, hirsutism, and androgenetic alopecia. Therapies discussed include lifestyle modification, topical therapies, combined oral contraceptives, antiandrogen agents, and insulin-sensitizing drugs.
Source: Journal of the American Academy of Dermatology - October 26, 2014 Category: Dermatology Authors: Elizabeth Buzney, Johanna Sheu, Catherine Buzney, Rachel V. Reynolds Tags: Continuing medical education Source Type: research
Diet in dermatology
Patients commonly inquire about dietary modifications as a means to prevent or manage skin disease. Answering these questions is often challenging, given the vast and conflicting evidence that exists on this topic. This 2-part continuing medical education article summarizes the evidence to date to enable physicians to answer patients' questions in an evidence-based manner. Part I includes atopic dermatitis, acne, and nonmelanoma skin cancer. The role of dietary supplementation, dietary exclusion, food allergy, maternal diet, and breastfeeding in the development and/or prevention of atopic dermatitis is summarized.
Source: Journal of the American Academy of Dermatology - November 14, 2014 Category: Dermatology Authors: Tara Bronsnick, Era Caterina Murzaku, Babar K. Rao Tags: Continuing medical education Source Type: research
Surgical technique for optimal outcomes
Sound surgical technique is necessary to achieve excellent surgical outcomes. Despite the fact that dermatologists perform more office-based cutaneous surgery than any other specialty, few dermatologists have opportunities for practical instruction to improve surgical technique after residency and fellowship. This 2-part continuing medical education article will address key principles of surgical technique at each step of cutaneous reconstruction. Part I reviews incising, excising, and undermining.
Source: Journal of the American Academy of Dermatology - February 19, 2015 Category: Dermatology Authors: Christopher J. Miller, Marcelo B. Antunes, Joseph F. Sobanko Tags: Continuing medical education Source Type: research
Practical application of new technologies for melanoma diagnosis
Confirming a diagnosis of cutaneous melanoma requires obtaining a skin biopsy specimen. However, obtaining numerous biopsy specimens—which often happens in patients with increased melanoma risk—is associated with significant cost and morbidity. While some melanomas are easily recognized by the naked eye, many can be difficult to distinguish from nevi, and therefore there is a need and opportunity to develop new technologies that can facilitate clinical examination and melanoma diagnosis. In part I of this 2-part continuing medical education article, we will review the practical applications of emerging technologies f...
Source: Journal of the American Academy of Dermatology - May 19, 2015 Category: Dermatology Authors: Jordon March, Matthew Hand, Douglas Grossman Tags: Continuing medical education Source Type: research
Melanoma in situ
(MIS) poses special challenges with regard to histopathology, treatment, and clinical management. The negligible mortality and normal life expectancy associated with patients with MIS should guide treatment for this tumor. Similarly, the approach to treatment should take into account the potential for MIS to transform into invasive melanoma, which has a significant impact on morbidity and mortality. Part II of this continuing medical education article reviews the histologic features, treatment, and management of MIS.
Source: Journal of the American Academy of Dermatology - July 14, 2015 Category: Dermatology Authors: H. William Higgins, Kachiu C. Lee, Anjela Galan, David J. Leffell Tags: Continuing medical education Source Type: research
Primary immunodeficiency update
Several primary immunodeficiencies (PIDs) have recently been described that confer an elevated risk of fungal infections and noninfectious cutaneous manifestations. In addition, immunologic advances have provided new insights into our understanding of the pathophysiology of fungal infections in established PIDs. We reviewed PIDs that present with an eczematous dermatitis in part I. In part II of this continuing medical education article we discuss updates on PIDs associated with fungal infections, their biologic basis in PIDs, and noninfectious cutaneous manifestations.
Source: Journal of the American Academy of Dermatology - August 17, 2015 Category: Dermatology Authors: Dominique C. Pichard, Alexandra F. Freeman, Edward W. Cowen Tags: Continuing medical education Source Type: research
