In Case 1, 55-year-old man presents to the clinic with multiple tense bullae diffusely involving his trunk and extremities that overlie urticarial plaques. In Case 2, 40-year-old African American man presented to the clinic with a few small flaccid blisters as well as multiple crusted erosions and some areas of post-inflammatory hyperpigmentation on his back and in the creases of his elbows.
More research is needed to better understand the pathophysiologic mechanisms that result in increased risk for infection among individuals with psoriasis.
Skin disorders, particularly those with known inflammatory mechanisms, may be considered potential early markers for the development of insulin resistance leading to metabolic syndrome, type 2 diabetes, and cardiovascular disease.
Machine Learning in Dermatology: Overcoming Data Gaps in Skin Cancer Detection for Smarter Diagnosis
We can leverage the agility of machine learning to point out unmet clinical needs and improve clinical practice.
Benjamin Frush MD, a resident in internal medicine-pediatrics at Vanderbilt University Medical Center in Nashville, argues in favor of a role that physicians can play in integrating religion into their clinical practice. Rob Poole MB, FRCPsych, contends that physicians should never incorporate a religious element into clinical practice.
Clinicians can prevent most untoward events by proper patient selection and surgical technique and instructing patients about pre and post-procedure care.
Recent studies suggest that with some caveats, patients with Fitzpatrick skin types IV to VI can achieve satisfactory results without serious adverse effects.
Investigators report a rare case of combined Merkel cell and squamous cell carcinoma confined almost exclusively to the epidermis.
Psoriasis is often comorbid with cardiovascular disorders and tends to have a dose-response relationship with its metabolic comorbidities.
In dermatology, ethical dilemmas may arise when providing acne care to transgender individuals, particularly female-to-male patients receiving testosterone treatment.
Patients are increasingly recording physician visits on their phones, should physicians do the same. MPR spoke with physician who advocates for recording in clinical practice.
Advocates of direct-pay models have pointed to ways in which out-of-pocket costs of noninsurance accepting practices are often lower than what would be charged under insurance because of copays, deductibles, and stratification of coverage that often excludes all or portions of treatment.
Although all of the guidelines acknowledge that there are emergent situations in which providing care for a family member or friend is not only permissible but also essential, other situations are frowned upon.
Pay-Per-Care in Dermatology: Exploring Why and How Dermatologists Are Flipping the Script on Insurance Payments
Dermatology Advisor asked 3 practitioners from different regions of the United States how and why they chose their particular practice models.
Ranking or otherwise gauging physician quality isn't just a way to assign bragging rights — performance metrics can be used to set reimbursement levels, tailor insurance, and identify physicians who are falling behind.
Any images and personal stories that remind people about skin cancer, what to look for, even scars after surgery, really help save lives.
With minimal adverse effects, light therapy has become an alternative treatment in women of childbearing age who cannot use systemic retinoids due to teratogenic effects.
Current reviews suggest that limited outcomes to individual therapies point to the need for new treatments that target underlying cellular and molecular mechanisms.
Knowing that certain characteristics increase the risk for dermatology patients who may have metabolic syndrome will enable clinicians to identify patients who may have specific cardiovascular risks.
While researchers have not pinpointed the exact mechanism of how stress affects the skin, one theory posits that it acts as a signal exchange with the endocrine, nervous, and immune systems.
The suggestion of bias in the development of dermatology clinical practice guidelines emerging from the study by Checketts and colleagues has attracted several critical responses including methodological flaws, limitations of the OPD as the data source, and data analysis that is inconsistent with the available evidence.
While ICD-10-CM may be an improvement on an old process, big data is the revolution that has the potential to change health care forever.
There is sufficient evidence indicating that behavioral counseling interventions lead to a moderate increase in sun protection behaviors among individuals with fair skin types aged 6 months to 24 years.
Like most autoimmune diseases, rosacea involves dysregulation of the inflammatory response and may share pathogenesis with several common comorbidities, including cardiovascular, psychiatric, gastrointestinal, autoimmune, and neurologic conditions.
With demonstrated superior efficacy and safety profiles compared with previously used conventional treatment options, the expectation of outcomes with biologic agents is at worst a well-controlled disease, and at best, disease remission.
While the primary treatment for melanoma is surgical excision, patients with metastatic disease require additional therapy; immunotherapy is an innovative class of medications accumulating data for use in this patient-group.
As these medications require contraceptive use, dermatologists may have to navigate confidentiality issues with their adolescent patients who may not want to involve their parents in discussions of their sexuality and contraceptive use.
The adoption of telehealth technology continues to expand, but requires further research to fully realize the potential it has to address socially desirable goals such as improving the patient experience of care.
Although truly personalized medicine is not yet feasible in psoriasis treatment, a stratified approach to selection of therapies may offer some of the benefits of personalized medicine.
Although the step-care approach is the current standard of care, this approach is flawed in several ways with respect to achieving optimal outcomes.
The FDA accepted a New Drug Application to support the combination of the MEK inhibitor, binimetinib, and the BRAF inhibitor, encorafenib, for treating patients with BRAF-mutated unresectable or metastatic melanoma.
Neda Ratanawongsa, MD, MPH, Associate Chief Health Informatics Officer for Ambulatory Services, shares her insight on how to best manage the challenge of staying on top of electronic health record requirements while also optimizing patient encounters.
As patients commonly cite stress as a precipitating or exacerbating factor for psoriasis, relieving psychological distress should be part of the treatment strategy.
Scientists warn that unless there is an adequate response and proactive measures are taken, society will soon have to deal with direct and indirect effects of the changing climate on human health.
Cutaneous flushing, although common and often benign, may signal a more serious underlying pathology when the presentation extends beyond episodic warmth and redness of the face, head, and neck.
Dermatology is a specialty that especially lends itself to telemedicine, as patients and referring physicians can electronically share images of skin concerns via text, email, or video chat.
Educational campaigns regarding the value of vaccines should go beyond facts and statistics to integrating social psychological considerations with health communication principles.
Infantile hemangiomas are common benign tumors that occur in childhood, and it is important for clinicians who work with children to be familiar with methods of identifying these lesions.
The increasing resistance to various anti-infective agents by bacteria and fungi—in particular Staphylococcus aureus, which is responsible for the majority of skin infections—is of particular concern and presents increasing challenges in treating skin and soft tissue infections (SSTIs).
For pregnant women who are adjusting to their changing body image, appropriate management of acne is a key component of maintaining self-esteem and overall well-being.
Knowing how to communicate properly to patients who may be at risk for or having suicidal thoughts or actions is imperative to detecting psychiatric illness and ensuring proper care.
There are more new cases of skin cancer each year than of breast, prostate, lung, and colon cancers combined, which means skin cancer detection should become a part of almost every medical visit.
Strategies for preventing resistance include shortening the duration of antibiotics and avoiding monotherapy of either oral or topical antibiotics.
Recognizing the existence of transference and countertransference is critical for clinicians because both positive and negative feelings for patients can result in poor clinical decision-making.
Dermatology Advisor discussed the status of probiotic supplementation and microbial modulation for the treatment and prevention of atopic dermatitis with 2 international experts.
In adults, the disease may often go undiagnosed because clinicians may be relatively inexperienced in identifying childhood illnesses in adults.
Dermatology Advisor Articles
- Botulinum Toxin Type A Effective for Treating Rosacea Facial Flushing
- Acne Lesions, Scars Treated With Cooling Vacuum-Assisted Erbium:Glass Laser
- Psoriasis Linked With Higher Risk for Sexual Dysfunction
- New Psoriatic Arthritis Guidelines Recommend TNFi as First-Line Tx Option
- AMA Survey Collects Advice for Physicians Approaching Retirement
- Common Skin Conditions in People of Color: Identification and Treatment
- Subcutaneous Dupilumab Initiates Hair Regrowth in Patient With Alopecia Totalis, Atopic Dermatitis
- Rosacea Improves With Anti-Inflammatory Effect of Brimonidine Gel
- Can Examining Marginalization Identify Gaps in Medical or Nutritional Care?
- Mohs Surgery Alone Associated With Improved Outcomes in High-Risk Squamous Cell Carcinoma
- Secukinumab Superior to Placebo for Treatment of Moderate to Severe Nail Psoriasis
- Diagnostic Challenges of Neutrophilic Dermatosis May Lead to Misdiagnosis
- EMS Times Longer for Patients From Poorest Neighborhoods
- Most Insured Patients Not Using Online Portals
- Overcoming the Barriers to Including Pregnant Women in Clinical Trials