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Dermatology Online Journal

Emma Schlager, Hania Flaten, Chelsea St Claire, Elena Maxim, Cory Dunnick, Robert P Dellavalle
Payments made to dermatologists by pharmaceutical and medical device manufacturing companies have become better understood following the advent of the Open Payments program. The purpose of this study was to analyze payments made to dermatologists in 2016 and evaluate trends in the payments from the previously published 2014 data.
June 13, 2018: Dermatology Online Journal
Fernando Nonato De Carvalho Fagundes, Julia Passos Simoes, Anderson Gomes Pereira Magnago, Marcus Henrique De Sousa Brito Xavier
Physicians should be aware of unusual presentations of syphilis. For dermatologists, the visual recognition of lesional morphology and distribution is a fundamental part of clinical evaluation, which dictates the workup and diagnosis. Secondary syphilis has a variety of presentations, the most common being a diffuse symmetrical papulosquamous eruption. It continues to be a diagnostic challenge as the myriad manifestations of secondary syphilis can mimic many dermatological disorders. Herein we report a case of secondary syphilis with an uncommon presentation characterized by disseminated annular and arcuate lesions...
June 13, 2018: Dermatology Online Journal
Mary K Hill, Ravi R Patel, Pratibha Anand, Robert P Dellavalle
Google+ sets itself apart from other social media platforms through a number of unique features, including search engine optimization services and high user satisfaction. The purpose of this study was to evaluate the presence of dermatological entities on Google+. Searches were conducted to locate any Google+ accounts associated with the most popular dermatology journals, dermatological patient-centered organizations, and professional dermatology-related organizations on social media. Additionally, "dermatology Google+" was searched via Google, and Google+ profiles retrieved in the first page of results were assessed...
April 15, 2018: Dermatology Online Journal
Suzana S Bosanac, Victoria Nguyen, Donna Bui, Daniel B Eisen, Raja K Sivamani
Store-and-forward teledermatology involves transmission of a patient's images to a healthcare provider and subsequent response from the provider about the diagnosis or management. Furthermore, teledermatology in which mobile phones (e.g. smartphones) are utilized for communication between the patient and their provider is referred to as mobile-teledermatology. In this study, we investigate the use of mobile-teledermatology in the management of actinic keratoses. We demonstrate that mobile-teledermatology may enhance communication between the patient and their provider when managing cutaneous disease and that even individuals in older age groups are highly satisfied with this type of follow up...
April 15, 2018: Dermatology Online Journal
Marki E Klapperich, Brittany A Buhalog, Molly A Hinshaw
A male in his twenties presented with a tender finger nodule that had been present for 3 months. Histopathological examination revealed a dermis with nodules of necrotic, athypical epithelaia cells with high nuclear to cytoplasmic ratios. Glandular formation was present with lumens lined by columnar epithelium, consistent with digital papillary adenocarcinoma. Digital papilary adenocarcinoma is a rare malignant adnexal tumor arising from sweat glands and requires further work-up.
April 15, 2018: Dermatology Online Journal
Heather Kornmehl, Farzam Gorouhi, Thomas Konia, Maxwell A Fung, Danielle M Tartar
Fixed drug eruption (FDE) is an adverse drug reaction characterized by the development of well-circumscribed, round, dusky erythematous macules and plaques on cutaneous or mucosal surfaces. The reaction occurs on the same mucosal or cutaneous site with subsequent exposures to the offending drug. Although FDE usually manifests as a single lesion, in rare instances, more than one lesion may arise and this is referred to as a generalized eruption. Herein, we present a 31year-old man with history of cystic fibrosis who developed a generalized fixed drug eruption to piperacillin/tazobactam (Zosyn, Pfizer)...
April 15, 2018: Dermatology Online Journal
Michael J Davis, Reason Wilken, Maxwell A Fung, Danielle M Tartar
As the list of anti-tumor immunotherapy agents and the list of cancers treated by these novel agents grow, a subset of patients are experiencing immune-related adverse events as a result of prolonged stimulation of the immune system. Many different immune related adverse events including colitis, hepatitis, pneumonitis, thyroiditis, hypophysitis, and cutaneous reactions can result from blocking these inhibitory pathways. The full spectrum of cutaneous immune related adverse events secondary to checkpoint inhibitor therapy is still being defined...
April 15, 2018: Dermatology Online Journal
Christina L Harview, Allison K Truong, Scott D Worswick, George P Sarantopoulos, Jennifer L Hsiao
Many cases of superinfected hidradenitis suppurativa (HS) involve multiple species of bacteria, but gas-producing infections are rare and can complicate the clinical picture. Additionally, recognizing squamous cell carcinoma (SCC) as a complication of longstanding HS is imperative. Herein, we present a unique case of a severe emphysematous HS that was initially mistaken for Fournier gangrene and eventually diagnosed as superinfected SCC.
April 15, 2018: Dermatology Online Journal
Leon Felipe Ruiz-Arriaga, Ana Laura Ramirez Teran, Carlos Ortiz-Hidalgo, Veronica Fonte-Avalos, Sonia Toussaint-Caire, Ma Elisa Vega-Memije, Mariana CatalinaDe Anda-Juarez
Myopericytoma is a soft-tissue tumor of perivascular cells (pericytes). It is slow-growing, usually asymptomatic, and generally benign, although a malignant variant has been described. The etiology is unknown, but it has been associated with local trauma. The most common location is on the distal extremities. Histologically, it is characterized by a well-circumscribed, non-encapsulated proliferation of spindle shaped cells similar to myofibroblasts with oval nuclei and eosinophilic cytoplasm, arranged in perivascular concentric rings...
April 15, 2018: Dermatology Online Journal
Philip R Cohen
5-fluorouracil, a fluoropyrimidine antineoplastic drug, is used to topically treat actinic keratoses. Local skin reactions to the medication are common and anticipated. However, severe adverse events from topical 5-fluorouracil are rare and unexpected. A 69-year-old man with a lower lip actinic keratosis developed severe neutropenia on day 11 of topical 5-fluorouracil treatment - after 14 applications. After receiving a subcutaneous injection of filgrastim, his neutrophil count normalized. The PubMed database was used to search the following terms: agranulocytosis, cream, 5-fluorouracil, granulocytopenia, neutropenia, severe, systemic, topical, and toxicity...
April 15, 2018: Dermatology Online Journal
Monica Rosales Santillan, Jessica B Dietert, Richard Jahan-Tigh
Papular purpuric gloves and socks syndrome (PPGSS) is a self-limited exanthem that presents as painful or pruritic edema, erythema, petechiae, and purpura of the palms and soles with occasional extension to the dorsal hands and feet. The majority of PPGSS cases reported in the literature are associated with parvovirus B19 and occur in children and young adults. In a recent literature search, there were 11 PPGSS cases in adults with none reporting Epstein-Barr virus (EBV) as a viral etiology. However, there have been PPGSS cases related to EBV in children...
April 15, 2018: Dermatology Online Journal
Diego M Da Silva, Rudolf R Roth, Cory L Simpson
Cutaneous signs can be the first manifestation of important medical diagnoses, including inherited cancer syndromes, but access to dermatologic evaluation is especially challenging for uninsured patients. Herein, we present a case in which a volunteer academic teledermatology triage program was used by a community health clinic to make a diagnosis of multiple cutaneous leiomyomas, which confer a high likelihood of hereditary leiomyomatosis and renal cell cancer syndrome, also known as Reed syndrome; this prompted malignancy screening for the patient...
April 15, 2018: Dermatology Online Journal
Jordan V Wang, Kathleen McGuinn, Matthew Keller
Matching into a dermatology residency program has become increasingly more challenging for medical students. As students continue to explore various methods to help them standout to programs, recent medical literature has continued to show evidence of the important role that visiting clerkships play. Visiting clerkships offer several benefits to both students and programs. In order to optimize visiting clerkships, the perspectives of both students and programs are each examined with recommendations provided to help maximize its benefits...
April 15, 2018: Dermatology Online Journal
Jordan V Wang
Dermatology is a medical specialty that experiences high patient demand and long patient wait times. Dermatology clinics should look for ways to improve efficiency through the incorporation of principles from operations management. Addressing the layout and flow of a clinic can lead to operational efficiency. An ideal layout may lead to increased patient volume, satisfaction, and retention.
April 15, 2018: Dermatology Online Journal
Jaclyn Chesner, Lauren M Ogrich, Carrie Ann Cusack, John R Durkin
BACKGROUND: Moonlighting refers to the practice of medicine outside one's training institution in exchange for financial compensation. High medical debt-to-income ratios drive residents to seek additional compensation during residency. OBJECTIVE: To gather information to establish the current practices of moonlighting and to better understand the thoughts and experiences of dermatology residency program directors regarding moonlighting. METHODS: All allopathic and osteopathic dermatology residency program directors in the United States and Puerto Rico received a blinded survey between February 1, 2017 and April 1, 2017 through an email link...
April 15, 2018: Dermatology Online Journal
Ana Corcimaru, Mia C Morrell, Dean S Morrell
BACKGROUND: There is a lack of research on the impact of the Electronic Residency Application Service (ERAS) photograph on the residency selection process. OBJECTIVE: We sought to elucidate the role of the ERAS photograph in the dermatology residency selection outcome and to determine if photographs submitted by matched applicants differ from those of unmatched applicants. METHODS: We analyzed ERAS photographs submitted by dermatology residency applicants based on photograph characteristics related to composition, attire, facial expression, hairstyle, and accessories...
April 15, 2018: Dermatology Online Journal
Anne H Boyd, Sara A Hylwa
Background There has been no systematic study assessing nickel release from surgical instruments and equipment used within the operating suite. This equipment represents important potential sources of exposure for nickel-sensitive patients and hospital staff. OBJECTIVE: To investigate nickel release from commonly used surgical instruments and operating room equipment. METHODS AND MATERIALS: Using the dimethylglyoxime nickel spot test, a variety of surgical instruments and operating room equipment were tested for nickel release at our institution...
April 15, 2018: Dermatology Online Journal
Jessica M Farahi, Melissa Fazzari, Taylor Braunberger, Joseph V Caravaglio, Alexandra Kretowicz, Keith Wells, Robert P Dellavalle, David Norris, Theodore Alkousakis
BACKGROUND: Although previous studies identify gender differences in melanoma, limited research on the phenomenon exists. METHODS: In this retrospective chart review, 1,156 adults diagnosed with melanoma, between 2006-2016, at the University of Colorado were included. Breslow depth, mitotic rate, ulceration status, and location were extracted from charts between March and August 2016. Cochran-Armitage trend tests and cumulative logistic regression were used to examine the association between gender and Breslow depth, univariately and after adjusting for potential confounders...
April 15, 2018: Dermatology Online Journal
Amir Al-Dabagh, Steven Feldman
Over 36,000 units of blood are transfused every day in the US. With nearly 40% of the population eligible to donate, we may frequently treat potential blood donors. We reviewed the American Red Cross and World Health Organization's restrictions on blood donation. Multiple drugs used, and diseases treated in dermatology, are associated with blood donation restrictions. Understanding these restrictions may help us better educate our patients.
April 15, 2018: Dermatology Online Journal
Shuji Suzuki, Shatha Al-Hajjaj, Margaret Lee, Jag Bhawan
It is relatively rare to find syringocystadenoma papilliferum (SCAP) outside the head and neck region and extremely rare in the anogenital area. Characteristic histological features such as cystic invaginations, glandular epithelium showing decapitation secretion, and stroma with plasma cells are important for making the diagnosis. We present a rare case of SCAP on the mons pubis of a 13-year-old girl and compare cases of SCAP from other rare locations.
April 14, 2018: Dermatology Online Journal
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