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Medicolegal dermatology

Syril Keena T Que, Jane M Grant-Kels, Caterina Longo, Giovanni Pellacani
The use of reflectance confocal microscopy (RCM) and other noninvasive imaging devices can potentially streamline clinical care, leading to more precise and efficient management of skin cancer. This article explores the potential role of RCM in cutaneous oncology, as an adjunct to more established techniques of detecting and monitoring for skin cancer, such as dermoscopy and total body photography. Discussed are current barriers to the adoption of RCM, diagnostic workflows and standards of care in the United States and Europe, and medicolegal issues...
October 2016: Dermatologic Clinics
Abel Torres, Sailesh Konda, Tanya Nino, Emily de Golian
The legal landscape in dermatology is constantly evolving. Dermatologists should nurture strong physician-patient relationships with proper informed consent and stay abreast of legal issues as they pertain to today's practice of medicine. Medicolegal issues that have risen to the forefront include wrong-site surgery, delegation of procedures to nonphysician operators, and compounding of medications. Additionally, although the marriage of health care and technology has facilitated our practice of medicine, it has opened doors to new medicolegal pitfalls associated with the use of electronic medical records, teledermatology, and even social media...
January 2016: Clinics in Dermatology
Renaud Bouvet, Marion Pierre, Fabienne Toutain, Julie Beucher, Alain Dabadie, François Le Gall, Catherine François-Chervet, Patrick Pladys, Bertrand Bruneau, Mariannick Le Gueut
We report the case of a 2-month-old infant with a single apparently ecchymotic lesion on the shoulder that raised suspicions of abuse. The medicolegal examination concluded that the appearance of the lesion was only mildly suggestive of an ecchymosis. A second, temporally remote examination confirmed this doubt. The evolution of the lesion, notably an increase in its volume, allowed us to rule out a traumatic lesion and was suggestive of a vascular tumor. The histological type of the tumor was a tufted angioma...
December 2014: Forensic Science International
Rishu Gupta, Whitney A High, Daniel Butler, Jenny E Murase
Medications are commonly used during pregnancy; in fact, female patients take an average of 2.9 medications during pregnancy. Due to this high prevalence, malpractice litigation poses a high legal risk to dermatologists who prescribe medications to female patients who are or may become pregnant. This article introduces the medicolegal risks involved in prescribing dermatological medications to a pregnant patient and discusses ways for a dermatologist to mitigate those risks. International safety classification systems are reviewed, and potential high risk dermatologic medications prescribed in acne, psoriasis, atopic dermatitis, and connective tissue disease are discussed...
December 2013: Seminars in Cutaneous Medicine and Surgery
Noah Scheinfeld, Brooke Rothstein
From smart phones to iPads, the world has grown increasingly reliant on new technology. In this ever-expanding digital age, medicine is at the forefront of these new technologies. In the field of dermatology and general medicine, digital images have become an important tool used in patient management. Today, one can even find physicians who use their cellular phone cameras to take patient images and transmit them to other physicians. However, as digital imaging technology has become more prevalent so too have concerns about the impact of this technology on the electronic medical record, quality of patient care, and medicolegal issues...
December 2013: Seminars in Cutaneous Medicine and Surgery
Whitney A High
No abstract text is available yet for this article.
December 2013: Seminars in Cutaneous Medicine and Surgery
Peter F Svider, Michael A Carron, Giancarlo F Zuliani, Jean Anderson Eloy, Michael Setzen, Adam J Folbe
IMPORTANCE: Although some have noted that malpractice litigation may be "plateauing," defensive medical practices are pervasive and make up a considerable proportion of the "indirect" costs medicolegal issues contribute toward our health care system. Accordingly, these trends have spurred considerable interest in characterizing factors that play a role in alleged medical negligence, along with outcomes and awards. OBJECTIVES: To conduct a focused examination of malpractice litigation regarding laser procedures in the head and neck and to determine the reasons for initiating litigation as well as outcomes and awards...
July 2014: JAMA Facial Plastic Surgery
M S Shareef, W Hussain
BACKGROUND: Although various assessments pertaining to the surgical aspect of Mohs micrographic surgery (MMS) have been performed, the pivotal role played by the MMS histotechnician (MH) has not previously been addressed in the UK. AIM: To undertake a review of the training and practice of MHs in all centres performing MMS within the National Health Service (NHS) in the UK. METHODS: NHS dermatology departments performing MMS in the UK were identified and contacted by telephone between November 2011 and January 2012...
August 2013: Clinical and Experimental Dermatology
John B Korman, H Ray Jalian, Mathew M Avram
BACKGROUND: Botulinum neurotoxin (BoNT) has diverse cosmetic and therapeutic applications, spanning multiple medical specialties. Recent lawsuits alleging complications from its clinical use have raised significant questions about medicolegal risk. OBJECTIVE: To identify and assess legal cases related to clinical complications of BoNT products. METHODS AND MATERIALS: Using the LexisNexis Academic online database, a search of U.S. federal and state cases between 1985 and 2012 was performed...
November 2013: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
Laura Merlini, Joël Fluss, Amira Dhouib, Maria I Vargas, Minerva Becker
Although genetic defects are the leading cause of central nervous system malformations including in the posterior fossa, specific malformative patterns should alert the clinician to consider rather a teratogenic etiology. We discuss the imaging features of 2 mid-hindbrain malformations consecutive to the intake of isotretinoin (Roaccuatane®; case 1) and misoprostol (Cytotec®; case 2) during pregnancy and review the pertinent literature. We correlate the morphological appearance of the mid-hindbrain malformation, as seen on high-resolution magnetic resonance imaging to possible drug-induced pathogenetical mechanisms...
April 2014: Journal of Child Neurology
Jeannie Khavkin, David A F Ellis
Photographic documentation is an essential part of facial plastic surgery practice. Standardization of photographic technique is critical to achieve accurate and consistent images to be used for medicolegal, surgical planning, outcome review, research, and teaching purposes. Standardized, high-quality images can be achieved by using proper equipment, lighting, and patient positioning. Standardized photography is especially important for facial resurfacing procedures when fine details, such as pore size, skin texture, pigmentation, and rhytids, need to be captured and accurately assessed...
May 2011: Facial Plastic Surgery Clinics of North America
Brent D Michaels, James Q Del Rosso, Saira B Momin
In today's legal environment, it is unlikely that a physician will complete a medical career without being introduced to the legal system in some way. Despite this, medical education often does not incorporate a basic teaching of general legal principles, and many physicians are left unaware of some of the important legal aspects of practicing medicine. The purpose of this article is to provide a background of the essential legal principles of a malpractice action as well as review the fundamentals of the legal process, provide published caselaw of prior dermatological pitfalls, and ultimately, provide suggestions to better prepare the dermatologist to practice medicine...
December 2009: Journal of Clinical and Aesthetic Dermatology
Dennis J Chute, Wilma Stasaitis, Robert J Bready
Infantile perineal protrusion is a recently described dermatologic entity that resembles a skin tag and can be confused with evidence of sexual child abuse. Although well-described by the pediatric and dermatologic community in small case series and case reports, we found little reference to this abnormality in the forensic literature despite its medicolegal significance. Therefore, we present a case of a 3-month-old infant who had a representative example of this lesion.
September 2009: American Journal of Forensic Medicine and Pathology
Dirk M Elston, James S Taylor, Brett Coldiron, Antoinette F Hood, Sandra I Read, Jack S Resneck, Robert S Kirsner, John C Maize, Sabra Sullivan, John Laskas, C William Hanke
UNLABELLED: Congress is grappling with ways to fund health care in the future. Much of the focus rests on paying physicians for their patients' outcomes, rather than the current system of payment for services provided during each visit. The years ahead will be years of change for American health care, with an increasing emphasis on the comparison of patient outcomes and measures of quality. Patient safety initiatives will be an integral part of the overall strategy to improve American health care...
August 2009: Journal of the American Academy of Dermatology
J-N Dauendorffer, B Montalvan, P Saiag
No abstract text is available yet for this article.
May 2009: Annales de Dermatologie et de Vénéréologie
Whitney A High
Melanoma represents a substantial source of risk within dermatology and dermatopathology. This article seeks to provide general pathologists, dermatologists and dermatopathologists with an overview of the basics principles of medical malpractice litigation, a review of the essentials of reporting and the importance of expert consultation for melanoma and pigmented lesions, and suggestions to improve quality care and reduce medicolegal risk associated with melanoma and pigmented lesions.
June 2008: Clinics in Laboratory Medicine
Joerg Fischer, Gisela Metzler, Martin Schaller
BACKGROUND: Most of the new fillers used for soft tissue augmentation in aesthetic dermatology are considered well tolerated, but very little data are available on their long-term tolerability, especially in patients receiving immunomodulatory therapy. OBSERVATIONS: A 48-year-old woman presented with disfiguring facial edema 10 weeks after she began antiviral therapy with peginterferon alfa-2a and ribavirin for chronic hepatitis C infection. The major affected sites had been treated 10 years before with Artecoll, a permanent filler containing polymethylmethacrylate...
April 2007: Archives of Dermatology
Kevin F Kia, Anna Tavakkoli, Charles N Ellis
BACKGROUND: Use of e-mail among patients and physicians is limited by reservations over issues such as medicolegal aspects, reimbursement, and time-management. OBJECTIVE: Our purpose was to identify the content of patient-related e-mails in an academic dermatology practice and determine whether clinical questions could be answered by e-mail. METHODS: The first 100 e-mails received each year that related to patients from January 1, 2000 to June 1, 2005 (plus any messages received in e-mail threads started in the original 100) were studied (N = 614)...
June 2006: Journal of the American Academy of Dermatology
A Neil Crowson
Medical malpractice litigation is rising at an explosive rate in the US and, to a lesser extent, in Canada. The impact of medical malpractice litigation on health care costs and the cost of insurance is dramatic. Certain specialist categories are becoming uninsurable in some parts of the US, while in others, clinicians are retiring early, restricting or changing practice or changing states of residence in consequence of medical malpractice claims and of the cost and availability of insurance. This, in turn, has had the real effect of denying care to patients in some communities in the US...
February 2006: Modern Pathology: An Official Journal of the United States and Canadian Academy of Pathology, Inc
A Bernard Ackerman
No abstract text is available yet for this article.
May 2004: Cutis; Cutaneous Medicine for the Practitioner
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