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Skin biopsy
The skin biopsy pathway involves numerous communication requirements, technical events, human handoffs, and cognitive decisions. Every step in the process has an error rate>0. To deliver the highest quality care, dermatologists obtaining skin biopsy specimens should implement systems in their office to minimize errors. This includes the prevention of wrong-site surgery, which in most instances involves accurate communication of the correct biopsy location to the performing surgeon. Part II of this continuing medical education article presents techniques for assessing and planning improvement to the skin biopsy pathway in y...
Source: Journal of the American Academy of Dermatology - December 18, 2015 Category: Dermatology Authors: Erik J. Stratman, Dirk M. Elston, Stanley J. Miller Tags: Continuing medical education Source Type: research
The spectrum of nephrocutaneous diseases and associations
There are a significant number of dermatoses associated with renal abnormalities and disease, and dermatologists need to be keenly aware of their presence in order to avoid overlooking important skin conditions with potentially devastating renal complications. This review discusses important nephrocutaneous disease associations and recommendations for the appropriate urgency of referral to nephrology colleagues for diagnosis, surveillance, and early management of potential renal sequelae. Part II of this 2-part continuing medical education article addresses inflammatory and medication-related nephrocutaneous associations.
Source: Journal of the American Academy of Dermatology - January 16, 2016 Category: Dermatology Authors: Vanessa L. Pascoe, Andrew Z. Fenves, Jay Wofford, J. Mark Jackson, Alan Menter, Alexandra Boer Kimball Tags: Continuing medical education Source Type: research
What's new: Management of venous leg ulcers
Venous leg ulcers account for approximately 70% of all leg ulcers and affect 2.2 million Americans annually. After a comprehensive patient and wound assessment, compression therapy remains the cornerstone of standard care. Adjuvant care with topical or systemic agents is used for wounds that do not heal within 4 weeks. Once healed, long-term compression therapy with stockings or surgical intervention will reduce the incidence of recurrence. This continuing medical education article aims to outline optimal management for patients with venous leg ulcers, highlighting the role of a multidisciplinary team in delivering high quality care.
Source: Journal of the American Academy of Dermatology - March 15, 2016 Category: Dermatology Authors: Afsaneh Alavi, R. Gary Sibbald, Tania J. Phillips, O. Fred Miller, David J. Margolis, William Marston, Kevin Woo, Marco Romanelli, Robert S. Kirsner Tags: Continuing medical education Source Type: research
Primary cicatricial alopecia
Both primary and secondary forms of cicatricial alopecia have been described. The hair follicles are the specific target of inflammation in primary cicatricial alopecias. Hair follicles are destroyed randomly with surrounding structures in secondary cicatricial alopecia. This 2-part continuing medical education article will review primary cicatricial alopecias according to the working classification suggested by the North American Hair Research Society. In this classification, the different entities are classified into 3 different groups according to their prominent inflammatory infiltrate (ie, lymphocytic, neutrophilic, and mixed).
Source: Journal of the American Academy of Dermatology - November 15, 2016 Category: Dermatology Authors: Chantal Bolduc, Leonard C. Sperling, Jerry Shapiro Tags: Continuing medical education Source Type: research
Prevention and management of glucocorticoid-induced side effects: A comprehensive review
Part 2 of this 4-part continuing medical education series continues with a discussion of the prevention and management of gastrointestinal side effects associated with corticosteroid use, including peptic ulcer disease, gastrointestinal bleeding, and pancreatitis, followed by a review of corticosteroid-related endocrinologic side effects, such as diabetes, adrenal suppression, and Cushing syndrome.
Source: Journal of the American Academy of Dermatology - December 14, 2016 Category: Dermatology Authors: Avrom Caplan, Nicole Fett, Misha Rosenbach, Victoria P. Werth, Robert G. Micheletti Tags: Continuing medical education Source Type: research
Psoriasis and comorbid diseases
As summarized in the first article in this continuing medical education series, the currently available epidemiologic data suggest that psoriasis may be a risk factor for cardiometabolic disease. Emerging data also suggest associations between psoriasis and other comorbidities beyond psoriatic arthritis, including chronic kidney disease, inflammatory bowel disease, hepatic disease, certain malignancies, infections, and mood disorders. Recognizing the comorbid disease burden of psoriasis is essential for ensuring comprehensive care of patients with psoriasis.
Source: Journal of the American Academy of Dermatology - February 16, 2017 Category: Dermatology Authors: Junko Takeshita, Sungat Grewal, Sin éad M. Langan, Nehal N. Mehta, Alexis Ogdie, Abby S. Van Voorhees, Joel M. Gelfand Tags: Continuing medical education Source Type: research
Current and emerging treatments for vitiligo
Clinicians should be aware that vitiligo is not merely a cosmetic disease and that there are safe and effective treatments available for vitiligo. It is important to recognize common and uncommon presentations and those with active disease, as well as their implications for clinical management; these were discussed in the first article in this continuing medical education series. Existing treatments include topical and systemic immunosuppressants, phototherapy, and surgical techniques, which together may serve to halt disease progression, stabilize depigmented lesions, and encourage repigmentation.
Source: Journal of the American Academy of Dermatology - June 14, 2017 Category: Dermatology Authors: Michelle Rodrigues, Khaled Ezzedine, Iltefat Hamzavi, Amit G. Pandya, John E. Harris, Vitiligo Working Group Tags: Continuing medical education Source Type: research
Etiologies and management of cutaneous flushing
The second article in this 2-part continuing medical education series reviews the following malignant causes of flushing: mastocytosis, medullary thyroid carcinoma, pheochromocytoma, carcinoid tumors, gastroenteropancreatic neuroendocrine tumors, bronchogenic carcinoma, vasointestinal polypeptide secreting tumors, and renal cell carcinoma. The information provided will allow physicians to better distinguish patients who have worrisome presentations that require a more thorough investigation. Appropriate diagnostic workup and treatment options for these malignancies are reviewed.
Source: Journal of the American Academy of Dermatology - August 15, 2017 Category: Dermatology Authors: Azeen Sadeghian, Hailey Rouhana, Brittany Oswald-Stumpf, Erin Boh Tags: Continuing medical education Source Type: research
Spectrum of orocutaneous disease associations
There are a number of diseases that manifest both on the skin and the oral mucosa, and therefore the importance for dermatologists in clinical practice to be aware of these associations is paramount. In the following continuing medical education series, we outline orocutaneous disease associations with both immunologic and inflammatory etiologies.
Source: Journal of the American Academy of Dermatology - October 11, 2017 Category: Dermatology Authors: Jeffrey D. Cizenski, Pablo Michel, Ian T. Watson, Jillian Frieder, Elizabeth G. Wilder, John M. Wright, M. Alan Menter Tags: Continuing medical education Source Type: research
