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consultative dermatology

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https://www.readbyqxmd.com/read/29785181/on-using-a-mobile-application-to-support-teledermatology-a-case-study-in-an-underprivileged-area-in-colombia
#1
Juan Pablo Sáenz, Mónica Paola Novoa, Darío Correal, Bell Raj Eapen
Background: The use of mobile applications in dermatology to support remote diagnosis is gaining acceptance, particularly in rural areas, where dermatology services are commonly managed by healthcare personnel with no specialty training. Moreover, ontologies-sets of concepts that represent knowledge in a given domain-are increasingly being used to support medical diagnosis. A specific case is ONTODerm: an ontology to aid dermatological diagnosis. However, there is little information on the combined use of mobile applications and ontologies as support solutions in dermatology...
2018: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/29774360/histologic-mimics-of-malignant-melanoma
#2
Caroline Bsirini, Bruce R Smoller
Although spongiotic (eczematous), psoriatic and cutaneous skin infections are among the most common dermatology consultations, melanocytic lesions - including the different types of nevi and melanomas - are among those that cause a great deal of concern and stress to patients and their clinicians. A diagnosis of benign melanocytic nevus carries a very good prognosis. However, a diagnosis of melanoma might imply more aggressive treatment, lifelong surveillance and a worse prognosis. Differentiating between these conditions is not always a straightforward process for clinicians and pathologists...
May 18, 2018: Singapore Medical Journal
https://www.readbyqxmd.com/read/29760621/disease-severity-and-prophylactic-measures-in-patients-with-cutaneous-lupus-erythematosus-results-of-a-worldwide-questionnaire-based-study
#3
Dominik Samotij, Justyna Szczęch, Victoria P Werth, Fukumi Furukawa, Annegret Kuhn, Jacek C Szepietowski, Adam Reich
Introduction: Due to a wide array of dermatologic manifestations, assessment of disease severity in cutaneous lupus erythematosus (CLE) remains challenging. Given a need for some standardization in this field, we conducted a worldwide questionnaire-based study among physicians experienced in CLE management. Aim: We asked about CLE assessment, their prophylactic measures advised to patients, and treatment recommendations. Material and methods: A total of 83 completed questionnaires were received...
April 2018: Postȩpy Dermatologii i Alergologii
https://www.readbyqxmd.com/read/29756421/survey-of-cutaneous-adverse-reactions-to-targeted-cancer-therapies-value-of-dermatological-advice
#4
Giovanni Damiani, Ausilia Manganoni, Simone Cazzaniga, Luigi Naldi
BACKGROUND: Target-therapy offers a better efficacy for several cancers, with less toxic adverse effects, if compared with traditional chemotherapy. However cutaneous complications are increased in number and complexity. The severity of these reactions positively correlates with efficacy, and the management of these reactions is challenging. METHODS: This was a multicenter cross-sectional study on a consecutive series of adult patients with incident cutaneous reactions linked to targeted cancer therapies observed in five referral centers for cancer treatment in the province of Bergamo and Brescia in northern Italy...
May 11, 2018: Giornale Italiano di Dermatologia e Venereologia: Organo Ufficiale, Società Italiana di Dermatologia e Sifilografia
https://www.readbyqxmd.com/read/29736794/quality-readability-and-understandability-of-german-booklets-addressing-melanoma-patients
#5
Julia Brütting, Lydia Reinhardt, Maike Bergmann, Dirk Schadendorf, Christiane Weber, Wolfgang Tilgen, Carola Berking, Friedegund Meier
Booklets are the preferably used form among patient education materials and are often handed out during medical consultations in dermatological oncology settings. However, little is known about how beneficial they are and whether they correspond to essential quality characteristics. To assess the quality, readability, and understandability of currently freely available booklets written in German addressing melanoma patients (MP). Melanoma booklets in accordance with predefined criteria were searched and analyzed...
May 7, 2018: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/29717505/diagnostic-accuracy-of-whole-slide-imaging-for-cutaneous-soft-tissue-and-melanoma-sentinel-lymph-node-biopsies-with-and-without-immunohistochemistry
#6
Michael R Sargen, Kevin M Luk, Benjamin K Stoff, Jaime MacKelfresh, Samit Patrawala, Chao Zhang, David Gutman, Suephy C Chen
Skin biopsies requiring expert dermatopathology review are likely to increase in future years as a result of an aging U.S. population, which is projected to significantly increase demand for dermatologic care.(1-4) As a result, differentiating between benign and malignant cutaneous neoplasms or evaluating an inflammatory condition may require consultation with dermatopathologists at distant laboratories.
May 1, 2018: Journal of Cutaneous Pathology
https://www.readbyqxmd.com/read/29704958/-misdiagnosis-of-hidradenitis-suppurativa-continues-to-be-a-major-issue-the-r-ens-verneuil-study
#7
J Loget, C Saint-Martin, P Guillem, L Kanagaratnam, P-A Becherel, A Nassif, A-C Fougerousse, M Siham, C Girard, H Barthelemy, G Chaby, G Gabison, J-L Perrot, V Pallure, N Beneton, T Boye, C Jacobzone, E Begon, P Bernard, Z Reguiai
OBJECTIVE: To provide physicians with an understanding of the factors behind significant delays in the diagnosis of hidradenitis suppurativa (HS) in France. PATIENTS AND METHODS: This prospective multicentre national study conducted from October 2015 to March 2016 included all patients consulting for HS. Patient data were collected by means of a standardized questionnaire. Univariate and multivariate analyses were conducted to collect factors associated with a significant time to diagnosis of at least 5...
May 2018: Annales de Dermatologie et de Vénéréologie
https://www.readbyqxmd.com/read/29678049/asynchronous-dermatology-teleconsultations-using-a-personal-health-record
#8
Fernando Plazzotta, Janine Arlette Sommer, Santiago Nicolás Marquez Fosser, Daniel Roberto Luna
Health information and communication technologies such as telemedicine provide alternatives for patient and physician communication. An increasing number of patients, providers and institutions are using this technologies to seek or provide health care. Asynchronous consultations requires a service of storing and forwarding health related information by the patient to the specialist physician or other healthcare provider. Dermatology is one of the major medical specialties in which telemedicine as proven benefits...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29672709/surveillance-of-travel-associated-diseases-at-two-referral-centres-in-marseille-france-a-12-year-survey
#9
Karolina M Griffiths, Hélène Savini, Philippe Brouqui, Fabrice Simon, Philippe Parola, Philippe Gautret
Background: With increasing international travel and historically high numbers of residents visiting friends and relatives overseas, travel-associated illnesses are frequent in Marseille, France. We report the changing epidemiology of travel-related illnesses over a 12-year period. Methods: A single site GeoSentinel surveillance analysis was undertaken for 3460 ill returned travellers presenting to two public hospitals in Marseille, France from March 2003 to October 2015, with travel-related illnesses...
January 1, 2018: Journal of Travel Medicine
https://www.readbyqxmd.com/read/29665032/testicular-choriocarcinoma-with-cutaneous-metastasis-in-a-19-year-old-man
#10
Ferdinand Toberer, Alexander Enk, Wolfgang Hartschuh, Carsten Grüllich
A 19-year-old man suffering from testicular choriocarcinoma presented to the dermatology department with a cutaneous metastasis on his head. This metastasis was the first sign of disease that led to medical consultation. Histopathology revealed cytotrophoblasts and syncytiotrophoblasts, the later expressing human chorionic gonadotropin antigen. Whole body computed tomography showed multiple metastases of the brain, lung, liver, bone, paraaortic lymph nodes and left uvea, the primary was found in the left testicle...
April 17, 2018: Journal of Cutaneous Pathology
https://www.readbyqxmd.com/read/29611610/prevalence-of-skin-diseases-amongst-moroccan-fishermen
#11
Omar Laraqui, Nadia Manar, Salwa Laraqui, Tarik Ghailan, Frédéric Deschamps, Reda Hammouda, Chakib El Houssine Laraqui
BACKGROUND: The main objective was to evaluate the prevalence of skin diseases amongst fishermen, to specify the different clinical forms, associations and most frequent localisations, and to identify potential aetiological factors. The secondary objectives were to assess the knowledge, attitudes and practices of seafarers regarding occupational dermatoses to conduct information, awareness and education campaigns on risk factors and behaviours and to propose adapted prevention. MATERIALS AND METHODS: This cross-sectional survey involved 1102 artisanal fishermen who attended the annual legal medical consultation at the occupational health service...
2018: International Maritime Health
https://www.readbyqxmd.com/read/29607001/behaviors-and-attitudes-toward-cosmetic-treatments-among-men
#12
Natnicha Girdwichai, Kumutnart Chanprapaph, Vasanop Vachiramon
Background: Cosmetic treatments have gained popularity worldwide. However, little is known about the behaviors and attitudes toward cosmetic treatments in men. Objective: The authors sought to explore the behaviors and attitudes toward cosmetic treatments in male patients. Patients/Methods: A cross-sectional study was conducted involving male patients aged 18 to 70 years, who presented for cosmetic consultation at an outpatient dermatology clinic in a university-based hospital. Behaviors and attitudes were assessed using a self-response questionnaire...
March 2018: Journal of Clinical and Aesthetic Dermatology
https://www.readbyqxmd.com/read/29589652/-when-hair-starts-to-fall-out
#13
Caroline de Lorenzi, Sandrine Quenan
Hair loss causes physical and psychological distress and represents a common motive of consultation both in general practice and dermatology. Causes of hair loss are highly diverse and can lead to a challenging diagnosis, which can delay its management. Knowledge of the main causes and their different mechanisms are thus necessary in order to optimize both the diagnosis and treatment. The purpose of this paper is to describe the main causes of hair loss in order to improve its diagnosis and management.
March 28, 2018: Revue Médicale Suisse
https://www.readbyqxmd.com/read/29573271/a-study-of-skin-disease-spectrum-occurring-in-angola-phototype-v-vi-population-in-luanda
#14
David A De Luca, Ziv Maianski, Michael Averbukh
BACKGROUND: Prevalence of skin diseases in Luanda (Angola) is unknown, and publications are barely found in the literature. We aim to describe, for the first time, the frequency of skin disease spectrum in phototype V-VI Angolan population in Luanda City. METHODS: We included Fitzpatrick phototype V-VI Angolan patients who consulted the Dermatology Unit in Luanda Medical Center during a 1-year period. Medical information was recovered from the electronic database, and diagnoses were based on ICD-10...
March 24, 2018: International Journal of Dermatology
https://www.readbyqxmd.com/read/29572811/teledermatologist-expert-skin-advice-a-unique-model-of-care-for-managing-skin-disorders-and-adverse-drug-reactions-in-hepatitis-c-patients
#15
Samuel Charlston, Gregory Siller
OBJECTIVES: To conduct an audit of teledermatologist expert skin advice, a store and forward tele-dermatological service, to determine its effectiveness and user satisfaction in managing cutaneous adverse drug reactions in patients with hepatitis C, and to demonstrate a unique collaborative model of care for patients receiving specialised drug therapy. METHODS: A retrospective analysis of data on teledermatologist expert skin advice referrals from January 2014 to December 2015 was performed...
March 23, 2018: Australasian Journal of Dermatology
https://www.readbyqxmd.com/read/29537380/resolution-of-consumptive-hypothyroidism-secondary-to-infantile-hepatic-hemangiomatosis-with-combination-propranolol-and-levothyroxine
#16
V Campbell, R Beckett, N Abid, S Hoey
Infantile hepatic hemangiomas (IHH), particularly of the diffuse subtype, can in severe cases be associated with hepatic and cardiac failure, compartment syndrome, and consumptive hypothyroidism. Early recognition and treatment of these pathologies is paramount in order to minimise the risk of longterm sequelae. We report an interesting case of a female infant who presented with systemic compromise, in the absence of large or obvious cutaneous infantile hemangiomas (IH). Imaging identified innumerable hepatic hemangiomas, consistent with diffuse infantile hepatic hemangiomatosis...
February 28, 2018: Journal of Clinical Research in Pediatric Endocrinology
https://www.readbyqxmd.com/read/29512649/gastrointestinal-toxicity-of-immune-checkpoint-inhibitors-from-mechanisms-to-management
#17
REVIEW
Mark A Samaan, Polychronis Pavlidis, Sophie Papa, Nick Powell, Peter M Irving
Immune checkpoint inhibitor therapies are a novel group of monoclonal antibodies with proven effectiveness in a wide range of malignancies, including melanoma, renal cell carcinoma, non-small-cell lung cancer, urothelial carcinoma and Hodgkin lymphoma. Their use in a range of other indications, such as gastrointestinal and head and neck cancer, is currently under investigation. The number of agents included in this drug group is increasing, as is their use. Although they have the potential to improve the treatment of advanced malignancies, they are also associated with a substantial risk of immune-related adverse events...
April 2018: Nature Reviews. Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/29493565/-health-care-for-adolescents-with-gender-dysphoria
#18
María Fernández, Patricia Guerra, Eloya Martín, Noelia Martínez, Jose Antonio Álvarez-Diz
OBJECTIVE: Dysphoria gender treatment in adolescents is recent. Studies of adolescents treated with analogs are reduced. To ensure the quality of care and safety of the child, follow-up studies are necessary. The aim of the present research was to describe the characteristics of the process of medical and psychological attention in adolescents with the DG in the Gender Identity Treatment Unit of Asturias in the period 2007-2015. METHODS: The sample included 20 minors attended in the Gender Identity Treatment Unit of Asturias in the period 2007-2015...
February 28, 2018: Revista Española de Salud Pública
https://www.readbyqxmd.com/read/29487601/serum-levels-of-migration-inhibitory-factor-mif-and-in-situ-expression-of-mif-and-its-receptor-cd74-in-lepromatous-leprosy-patients-a-preliminary-report
#19
Marco Alonso Martinez-Guzman, Anabell Alvarado-Navarro, Vidal Delgado-Rizo, Alejandra Garcia-Orozco, Jorge Arturo Mayorga-Rodríguez, Ana Laura Pereira-Suarez, Mary Fafutis-Morris
Leprosy is a chronic disease caused by Mycobacterium leprae that affects the skin and peripheral nerves. It may present as one of two distinct poles: the self-limiting tuberculoid leprosy and the highly infectious lepromatous leprosy (LL) characterized by M. leprae -specific absence of cellular immune response. The pro-inflammatory cytokine macrophage migration inhibitory factor (MIF) enhance the bactericide activities of macrophages after interaction with its receptor, CD74. Importantly, MIF also possesses chemoattractant properties, and it is a key factor in situ for the activation of macrophages and in blood to promote leukocytes migration...
2018: Frontiers in Immunology
https://www.readbyqxmd.com/read/29479688/clinical-profile-of-dermatological-emergencies-and-intensive-care-unit-admissions-in-a-tertiary-care-center-an-indian-perspective
#20
Suvarna Samudrala, Sukumar Dandakeri, Ramesh M Bhat
BACKGROUND: Although dermatology is largely considered as an outpatient specialty, dermatological conditions comprise 5-8% of cases presenting to the emergency department. The need for a dermatological intensive care unit is widely acknowledged due to the increasing incidence of acute skin failure. Very few studies have been done to characterize the common conditions seen in the emergency department and intensive care units. We undertook this study to analyze the spectrum of dermatological conditions presenting to the emergency department and the clinical profile of patients admitted to the intensive care unit...
May 2018: International Journal of Dermatology
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