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Dermatology guidelines

C Pindado-Ortega, A Alegre-Sánchez, B Pérez-García, P Boixeda
We read with great interest the guideline for the treatment of cutaneous lupus erythematosus (CLE) elaborated by the European Dermatology Forum in cooperation with the European Academy of Dermatology and Venereology published in the Journal of the European Academy of Dermatology and Venereology in March 2017. A therapeutic guide for CLE is absolutely necessary to decide the best management of our patients. Nevertheless, we would like to point out important aspects regarding the role of laser therapy in patients with CLE...
August 11, 2018: Journal of the European Academy of Dermatology and Venereology: JEADV
Georgi Tchernev, Ivanka Temelkova
BACKGROUND: Innovations in medicine are often due to the simplicity of a certain activity, interaction, even counteraction, or a mistake leading to a subsequent final optimal outcome. Innovations could also be due to conclusions based on targeted clinical or sporadic, as well as completely random observations. The genius of an approach or statement is often based on the "iron logic", which in turn is based on irrefutable data or facts. These are often observations or results from actions that happen right before our eyes and provide advantages or prerequisites for the better future development of things (in this case, disease) concerning certain groups of people (in these case-patients)...
July 20, 2018: Open Access Macedonian Journal of Medical Sciences
Murlidhar Rajagopalan, Arun Inamadar, Asit Mittal, Autar K Miskeen, C R Srinivas, Kabir Sardana, Kiran Godse, Krina Patel, Madhu Rengasamy, Shivaprakash Rudramurthy, Sunil Dogra
BACKGROUND: Dermatophytosis management has become an important public health issue, with a large void in research in the area of disease pathophysiology and management. Current treatment recommendations appear to lose their relevance in the current clinical scenario. The objective of the current consensus was to provide an experience-driven approach regarding the diagnosis and management of tinea corporis, cruris and pedis. METHODS: Eleven experts in the field of clinical dermatology and mycology participated in the modified Delphi process consisting of two workshops and five rounds of questionnaires, elaborating definitions, diagnosis and management...
July 24, 2018: BMC Dermatology
Rachel Giesey, Doria Narively, Eliot Mostow, Chanda Mullen
BACKGROUND AND OBJECTIVES: Dermatology is often an overlooked and underemphasized area of training in postgraduate primary care medical education, with an abundance of dermatological educational resources available, but no clear guidelines on how to best take advantage of them. The objective of this study was to develop a dermatology digital tool kit designed to describe, evaluate, recognize, and manage (DERM) common dermatological conditions in primary care residency education and to evaluate potential improvement in clinical confidence...
July 2018: Family Medicine
James Quertermous, Seemal Desai, Julie Harper, Mark Lebwohl, Abel Torres, Leon H Kircik
Medication compounding gained national attention in the fall of 2012 after contaminated compounded medications produced in the New England Compounding Center infected 800 people with fungal meningitis and led to several fatalities. This prompted Congress to pass regulations on compounding through the Drug Quality and Security Act (DQSA) in 2013. The act increased oversight of patient-specific drug compounding taking place in compounding pharmacies, created 503(b) outsourcing facilities to obtain compounded drugs, and added regulations for obtaining compounded drugs from traditional 503(a) pharmacies...
July 1, 2018: Journal of Drugs in Dermatology: JDD
John Hornberger, Daniel M Siegel
Importance: A recently described noninvasive gene expression test (the pigmented lesion assay [PLA]) with adhesive patch-based sampling has the potential to rule out melanoma and the need for surgical biopsy of pigmented lesions suggestive of melanoma with a negative predictive value of 99% compared with 83% for the histopathologic standard of care. The cost implications of using this molecular test vs visual assessment followed by biopsy and histopathologic assessment (VAH) have not been evaluated...
July 11, 2018: JAMA Dermatology
S Cazzaniga, L Scerri, J P Gabbud, P Arenberger, L Borradori, L Naldi
BACKGROUND: The variables affecting participants' satisfaction with a scientific conference in dermatology have not been systematically assessed. The European Academy of Dermatology and Venereology (EADV) has collected a huge number of questionnaires related to sessions' and speakers' evaluation over the years. The critical analysis of satisfaction's score is important and helpful for continuous improvement of the scientific programming. OBJECTIVE: To identify factors that positively or negatively affect sessions' and speakers' scoring in the largest European congress of dermatology...
July 10, 2018: Journal of the European Academy of Dermatology and Venereology: JEADV
E Dauden, A J Blasco, C Bonanad, R Botella, J M Carrascosa, E González-Parra, E Jodar, B Joven, P Lázaro, A Olveira, J Quintero, R Rivera
BACKGROUND: The association between psoriasis and some diseases has become relevant in recent years. Providing appropriate management of psoriasis from an early stage requires prompt diagnosis and treatment of concomitant diseases and to prevent any potential comorbidity. This approach should consider the adverse events of the drugs used to treat psoriasis potentially related to the onset of comorbidities. OBJECTIVE: To provide the dermatologist with an accurate and friendly tool for systematizing the diagnosis of psoriasis-associated comorbidities, which generally escapes the scope of the dermatology setting, and to facilitate decision-making about the referral and treatment of patients with comorbidities...
July 10, 2018: Journal of the European Academy of Dermatology and Venereology: JEADV
Anna C Tappel, Nicole Cresce, Barrett Zlotoff
BACKGROUND/OBJECTIVES: Atopic dermatitis is an inflammatory skin condition with significant disease burden. Bibliotherapy, the use of storybooks to understand an illness, has been proven effective in several pediatric disorders but has not been studied in dermatologic disease. The purpose of this study was to assess the availability of storybooks about atopic dermatitis and analyze them based on adherence to American Academy of Dermatology guidelines for the treatment of atopic dermatitis, readability, author qualifications, cost, and availability...
July 9, 2018: Pediatric Dermatology
Georgi Tchernev, Ivanka Temelkova, Konstantin Stavrov
BACKGROUND: One step melanoma surgery is a new surgical approach by which specific groups of patients with cutaneous melanoma may be operated only by or within a single surgical session. Until now, the Bulgarian Society for Dermatologic Surgery (BULSDS) has presented models of clinical behaviour, in which preoperative measurement of tumour thickness in combination with echographic measurement of the locoregional lymph nodes could lead to the conduct of the so-called one-step melanoma surgery...
June 20, 2018: Open Access Macedonian Journal of Medical Sciences
Kaiane Habeshian, Kylie Fowler, Veronica Gomez-Lobo, Kalyani Marathe
To our knowledge, there are no guidelines in the dermatology literature for performing anogenital examinations in prepubescent children. Based on experience in our joint pediatric dermatology-gynecology vulvar clinic, we aim to provide a framework for conducting genital examinations in children, focusing on the vulvar examination. Our goal is to enhance confidence in the pediatric dermatologist's ability to perform thorough examinations by providing general principles as well as concrete "do's" and "don'ts" that will create a maximally comfortable and productive experience...
July 4, 2018: Pediatric Dermatology
Talma Rosenthal
Among migrants who arrived in the USA and Europe, communicable diseases such as dermatologic, gastrointestinal, and respiratory infections are frequent; non-communicable diseases including chronic diseases such as hypertension and diabetes, and vaccine-preventable diseases are also prevalent. Refugees are often not up to date on routine immunizations and screenings for chronic diseases and cancer. In addition, many immigrants have trauma-related mental health problems, which are often not addressed by the healthcare systems where they reside...
July 3, 2018: Current Hypertension Reports
F Rencz, L Gulácsi, M Péntek, A K Poór, M Sárdy, P Holló, A Szegedi, É Remenyik, V Brodszky
BACKGROUND: 'Not relevant' responses (NRRs) on the Dermatology Life Quality Index (DLQI) may occur in up to 40% of psoriasis patients. As these responses are scored as the item of the questionnaire had no impact on patients' life at all, it is more difficult for these patients to fulfil the DLQI>10 required by clinical guidelines to become candidates for systemic treatment including biologics. OBJECTIVES: We propose a new scoring for the DLQI that corrects for the bias in the NRR option and test its construct validity in a sample of psoriasis patients...
July 1, 2018: British Journal of Dermatology
Clare Liddy, Isabella Moroz, Ariana Mihan, Nikhat Nawar, Erin Keely
BACKGROUND: Electronic consultation (eConsult) is an asynchronous electronic communication tool allowing primary care providers to obtain a specialist consultant's expert opinion in a timely manner, thereby offering a potential solution to excessive wait times for specialist care, which remain a serious concern in many countries. INTRODUCTION: Our 2014 review of eConsult services demonstrated feasibility and high acceptability among patients and providers. However, gaps remain in knowledge regarding eConsult's impact on system costs and patient outcomes...
June 21, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Naglaa A Ahmed, Osama M Mostafa
BACKGROUND: Striae distensae are very common cutaneous disorders that produce great psychological stress for women. OBJECTIVE: measure and compare between efficacy and tolerability of three modalities for treatment of striae distensae. PATIENTS AND METHODS: Forty-five female patients with striae distensae were randomly selected from the outpatient dermatology clinics of Al-Zahra university Hospital within 6 months period. Patients divided into three groups according to the therapeutic modalities were used...
June 19, 2018: Journal of Cosmetic Dermatology
Corey Georgesen, Shari R Lipner
BACKGROUND: Although many dermatologic surgeons are aware of the risks of surgical smoke, many do not employ hazard reduction strategies. OBJECTIVE: To identify the infectious, inhalational, chemical, and mutagenic risks of surgical smoke in dermatologic procedures and suggest evidence based hazard reduction strategies. METHODS: A review of articles indexed for MEDLINE on PubMed using keywords "surgical smoke", "dermatology", "surgical mask", "respirator", "smoke evacuator", and "guidelines" was performed in 13 combinations using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocols...
June 11, 2018: Journal of the American Academy of Dermatology
Emily B Richard, Diana Hamer, Mandi W Musso, Tracee Short, Hollis R O'Neal
Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are rare, type IV hypersensitivity reactions of the skin and mucosa. These reactions (SJS/TEN) are frequently managed in burn units; however, no standardized guidelines exist for the treatment and management of SJS/TEN. To gain insight into current SJS/TEN management practices, a survey on admission, diagnosis, and management, was conducted across accredited burn units in the United States. A 28-item question survey on SJS/TEN management, diagnosis, and treatment practices was distributed among medical directors and co-directors of American Burn Association-verified burn centers...
June 13, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
An-Wen Chan, Kinwah Fung, Peter C Austin, S Joseph Kim, Lianne G Singer, Nancy N Baxter, Raed Alhusayen, Paula A Rochon
Solid organ transplant recipients have a high risk of keratinocyte carcinoma (non-melanoma skin cancer). Consensus-based transplant guidelines recommend annual dermatological examination but the impact on skin cancer-related outcomes is unclear. We conducted a population-based, retrospective, inception cohort study using administrative health databases in Ontario, Canada to evaluate the association between adherence to annual dermatology assessments (time-varying exposure) and keratinocyte carcinoma-related morbidity and mortality after transplantation...
June 13, 2018: American Journal of Transplantation
T Niemeyer-van der Kolk, H E C van der Wall, C Balmforth, M B A Van Doorn, R Rissmann
AIMS: To explore the potential of the skin microbiome as biomarker in six dermatological conditions: atopic dermatitis (AD), acne vulgaris (AV), psoriasis vulgaris (PV), hidradenitis suppurativa (HS), seborrhoeic dermatitis/pityriasis capitis (SD/PC) and ulcus cruris (UC). METHODS: A systematic literature review was conducted according to the PRISMA guidelines. Two investigators independently reviewed the included studies and ranked the suitability microbiome implementation for early phase clinical studies in an adapted GRADE method...
June 7, 2018: British Journal of Clinical Pharmacology
Claudio Feliciani, Emanuele Cozzani, Angelo V Marzano, Marzia Caproni, Giovanni Di Zenzo, Piergiacomo Calzavara-Pinton
Pemphigus is a life threatening autoimmune epidermal blistering disease involving skin and mucous membranes. Pemphigus usually affects middle age men and women involving oral mucosa first and then spreading on the skin. It is caused by the presence of autoantibodies (IgG and less frequently by IgA) directed against desmogleins, and/or other glycoproteins that plays a critical role in cell-cell attachment. Upon a predisposing genetic background, different agents have been shown to act as triggers for the pathogenesis of pemphigus...
May 31, 2018: Giornale Italiano di Dermatologia e Venereologia: Organo Ufficiale, Società Italiana di Dermatologia e Sifilografia
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