3,235 results match your criteria Dermatology Online Journal [Journal]


Identification of a novel mutation in the ST14 gene in an Iranian family with ichthyosis and hypotrichosis.

Dermatol Online J 2019 Mar 15;25(3). Epub 2019 Mar 15.

Department of Molecular Medicine, Biotechnology Research Center, Pasteur Institute of Iran, Tehran.

Inherited ichthyosis is a heterogeneous group of rare cutaneous disorders characterized by hyperkeratosis and scaly skin. So far, only a few genetic studies on ichthyosis have been performed in Iran. Herein, we reported a family with two cases of ichthyosis and hypotrichosis that were investigated by whole exome sequencing. Read More

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March 2019
1 Read

Medical school ranking and dermatology match results: an analysis of the 2018 match data.

Dermatol Online J 2019 03 15;25(3). Epub 2019 Mar 15.

Department of Dermatology, University of Texas Medical Branch, Galveston, Texas.

Dermatology is a specialty with fewer residency positions each year than total applicants, leading to increased competition in the match. Applicants tend to have substantial research experience and high national board scores. This study sought to explore whether there is a difference in the percentage of graduates matching into dermatology residencies based on the rank of the medical school. Read More

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The cotton tipped applicator - a scratch for the itch and more during dermatologic surgery.

Dermatol Online J 2019 Mar 15;25(3). Epub 2019 Mar 15.

Division of Dermatology, University of Kansas Medical Center, Kansas City, Kansas.

An itch during surgery can be distracting. Sterile cotton tipped applicators are inexpensive and multipurpose tools that may be used for a variety of simple surgical tasks such as scratching an itch on the surgeon or patient's face. They may also be used to adjust glasses and turn on surgical lights or the electrocautery machine. Read More

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March 2019
1 Read

A diagnostic challenge: inflamed and pigmented seborrheic keratosis. Clinical, dermoscopic, and histopathological correlation.

Dermatol Online J 2019 Mar 15;25(3). Epub 2019 Mar 15.

Baskent University Istanbul Hospital Dermatology Clinic, Istanbul.

Pigmented and irritated types of seborrheic keratosis (SK) can be confused with melanoma, basal cell carcinoma, or pigmented actinic keratosis. Dermoscopic examination may give many clues for the diagnosis of SK, but in equivocal cases the accurate diagnosis can only be made by microscopic features. Herein, we report a striking, isolated pigmented and inflamed SK, located on the waist in an elderly man. Read More

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March 2019
1 Read

Late onset nevus comedonicus of scalp: a rare site for an uncommon condition.

Dermatol Online J 2019 Mar 15;25(3). Epub 2019 Mar 15.

Department of Dermatology, Venereology and Leprosy, Dr. Ram Manohar Lohia Post Graduate Institute of Medical Education and Research, New Delhi.

Nevus comedonicus is an uncommon hamartoma of the pilosebaceous unit characterized by keratin filled pits simulating open comedones. It may present at birth but is more commonly seen during childhood or adolescence. The most commonly affected sites are the face, neck, trunk, and arms with a few reported cases on palms, genitalia, and scalp. Read More

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A case of cutaneous nodules in a sporotrichoid pattern.

Dermatol Online J 2019 Mar 15;25(3). Epub 2019 Mar 15.

Department of Dermatology and Venereology, Centro Hospitalar Universitário de São João EPE, Porto.

A sporotrichoid pattern describes a clinical presentation in which inflammatory nodules spread along the path of lymphatic drainage, being reported in association with several infectious, neoplastic, and inflammatory skin conditions. Herein, we report a 65-year-old man presenting with a three-month history of erythematous nodules in a linear distribution along the left hand and forearm. He reported recent rose gardening and regular contact with an aquarium. Read More

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Multiple flat-topped scaly violaceous papules.

Dermatol Online J 2019 Mar 15;25(3). Epub 2019 Mar 15.

Texas A & M University College of Medicine, College Station, Texas.

Epidermodysplasia verruciformis (EV) is an autosomal recessive genodermatosis characterized by susceptibility to beta-genus human papillomavirus (HPV) infection. Owing to TMC6/EVER1 and TMC8/EVER2 mutations that lead to abnormal transmembrane channels in the endoplasmic reticulum involved in immunological pathways, keratinocytes cannot combat infection from non-pathogenic HPV strains. Mutations involving RHOH, MST-1, CORO1A, and IL-7 have also been associated with EV in patients without TMC6 or TMC8 mutations. Read More

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March 2019
1 Read

Elastosis perforans serpiginosa related to vascular Ehlers-Danlos syndrome.

Dermatol Online J 2019 Mar 15;25(3). Epub 2019 Mar 15.

Department of Dermatology and Allergy Centre, Odense University Hospital, Odense.

Elastosis perforans serpiginosa (EPS) is a rare skin disease with elimination of connective tissue fibers from dermis to epidermis. The typical presentation shows hyperkeratotic red or skin-colored papules arranged in a circinate pattern. We present a 26-year-old woman with EPS known to have vascular Ehlers-Danlos syndrome. Read More

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March 2019
3 Reads

Persistent generalized Grover disease: complete remission after treatment with oral acitretin.

Dermatol Online J 2019 Mar 15;25(3). Epub 2019 Mar 15.

Department of Dermatology, School of Medicine, University of Patras, Patras.

Grover disease (GD) is a disorder of unknown origin, clinically characterized by the occurrence of pruritic, erythematous or brownish papules and papulovesicles, which histologically reveal four different patterns of acantholysis. Usually, the eruption is self-limited and spontaneously remit within a few weeks. In some cases, however, it may persist for months or even years and show a therapy-resistant course. Read More

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Ulcerated tophaceous gout.

Dermatol Online J 2019 Mar 15;25(3). Epub 2019 Mar 15.

School of Medicine, University of Texas Medical Branch, Galveston, Texas.

Gout is a common inflammatory arthropathy with a high prevalence worldwide. Increased levels of uric acid in the blood lead to deposition of monosodium urate crystals in the joints, inflammation, and pain. Acute gout attacks are often sudden, monoarticular, and typically resolve within a week, whereas chronic gout is often polyarticular with baseline pain between attacks. Read More

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March 2019
2 Reads

The nail flag sign in heart transplant recipients: case reports and review of the patients with the flag sign of the nail.

Authors:
Philip R Cohen

Dermatol Online J 2019 Mar 15;25(3). Epub 2019 Mar 15.

San Diego Family Dermatology, National City, California.

The nail plate flag sign is a distinctive nail plate change that appears as white, red, white, and red sequential transverse bands beginning at the proximal nail fold. This distinctive nail change was initially described in patients with diabetes mellitus and leprosy; indeed, it was considered to be characteristic, but not diagnostic of leprosy. Subsequently, the flag sign was observed in patients with vitiligo. Read More

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A novel case of TIF1 gamma autoantibody positive dermatomyositis associated with a non-functional pancreatic neuroendocrine tumor.

Dermatol Online J 2019 03 15;25(3). Epub 2019 Mar 15.

Department of Dermatology, University of Utah School of Medicine, Salt Lake City, Utah.

Dermatomyositis (DM) is an idiopathic inflammatory myopathy characterized by proximal muscle weakness associated with a distinct cutaneous eruption. The association of DM with malignancy has been extensively described in the literature. Patients with DM that also have transcriptional intermediary factor 1γ (TIF1γ) autoantibodies (anti-p155, anti-p155/140) have higher rates of malignancy when compared to those without the autoantibody. Read More

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Unilateral granuloma annulare in association with pyoderma gangrenosum and chronic lymphocytic leukemia.

Dermatol Online J 2019 Mar 15;25(3). Epub 2019 Mar 15.

Department of Dermatology & Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida.

Granuloma annulare (GA) is a fairly common inflammatory skin condition with a range of clinical subtypes. We describe an unusual case of unilateral GA confined to the thigh on a previously amputated limb. A man in his 80s with a past medical history of below-knee amputation of the left leg owing to severe leg ulcers from pyoderma gangrenosum, chronic lymphocytic leukemia, and dyslipidemia developed a slowly spreading eruption on the distal stump spreading proximally. Read More

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Sexual dimorphism and transgender medicine: appealing to a viewer's sense of beauty.

Dermatol Online J 2019 Mar 15;25(3). Epub 2019 Mar 15.

Department of Dermatology, Boston University School of Medicine, Boston, Massachusetts.

Sexual dimorphism - the phenotypic structural differences between male and female faces - has been shown to be an important universal component of beauty. This concept plays a key role in facial feminization surgery (FFS), which consists of contouring and reshaping features of the skull itself to alter the foundation of the face. FFS has been shown to improve quality of life among transgender women and therefore an understanding of the procedure and the concept of sexual dimorphism is key for plastic surgeons, dermatologists, and other healthcare providers. Read More

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March 2019
1 Read

Adherence to a novel home phototherapy system with integrated features.

Dermatol Online J 2019 Mar 15;25(3). Epub 2019 Mar 15.

Center for Dermatology Research, Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, North Carolina.

Objective: To measure adherence using a novel home UVB phototherapy system designed to promote adherence.

Study Design: A retrospective, observational study conducted to evaluate patients' adherence to a prescribed three-times-per-week treatment protocol using a novel home phototherapy system with integrated features designed to improve adherence.

Methods: Data was collected from 18 psoriasis patients, 27 vitiligo patients, and three atopic dermatitis patients using a novel home phototherapy system under normal use conditions. Read More

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March 2019
1 Read

Revised Mohs surgery care guidelines for squamous cell carcinoma in-situ are overdue.

Dermatol Online J 2019 Mar 15;25(3). Epub 2019 Mar 15.

University of California Irvine, Department of Dermatology, Irvine, California.

The treatment of cutaneous squamous cell carcinoma in situ by Mohs micrographic surgery is currently deemed as appropriate by the Mohs Appropriate Use Criteria. However, squamous cell carcinoma in situ is a very superficial, indolent, low-risk tumor amenable to destructive and non-surgical treatments. It is uncommon for squamous cell carcinoma in situ to have progressed to invasive malignancy subsequent to definitive management. Read More

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Animated video consultation for reducing pre-operative anxiety in dermatologic surgery.

Dermatol Online J 2019 Mar 15;25(3). Epub 2019 Mar 15.

Division of Dermatology, Department of Medicine, University of Arizona, Tucson, Arizona.

Pre-operative anxiety is common in patients undergoing dermatologic surgery. This pilot study aimed to evaluate whether the addition of an animated educational video to conventional in-person surgery consultation helps to reduce pre-operative anxiety related to anesthesia, surgery, wound care, and post-operative pain in patients undergoing outpatient dermatologic surgery. Patients awaiting dermatologic surgery were randomized into groups with conventional consultation, or video with consultation prior to undergoing their procedure. Read More

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Acrodermatitis continua of Hallopeau response to optimized biological therapy.

Dermatol Online J 2019 Feb 15;25(2). Epub 2019 Feb 15.

Department of Dermatology, Amiens University Hospital, Amiens.

Acrodermatitis continua of Hallopeau, first described in 1890, is an uncommon variant of pustular psoriasis. It presents as a sterile pustular eruption of the tips of fingers and toes. The condition has a chronic, relapsing course and is often resistant to many anti-psoriatic therapies. Read More

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February 2019
5 Reads

Electrosurgical debulking of pretibial myxedema of the foot.

Dermatol Online J 2019 Feb 15;25(2). Epub 2019 Feb 15.

Department of Dermatology, Mount Sinai Hospital, New York City, New York.

Pretibial myxedema or thyroid dermopathy constitutes dermal deposition of mucin, primarily hyaluronic acid and chondroitin sulfate. It is a manifestation of autoimmune thyroiditis, seen more in Graves disease than in Hashimoto thyroiditis. The time delay from treatment of hyperthyroidism to appearance of localized myxedema varies from one month to 16 years (mean 5. Read More

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February 2019
3 Reads

Large peri-punctal eccrine hidrocystoma.

Dermatol Online J 2019 Feb 15;25(2). Epub 2019 Feb 15.

Govindram Seksaria Institute of Dacryology, L.V. Prasad Eye Institute, Hyderabad.

Eccrine hidrocystoma is a benign cystic tumor. Such benign cystic lesions may be a cosmetic concern, or when large, can cause eyelid malpositions. We report a patient with a peri-punctal hidrocystoma of the eyelid. Read More

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February 2019
1 Read

Verrucous melanoma masquerading as a seborrheic keratosis.

Dermatol Online J 2019 Feb 15;25(2). Epub 2019 Feb 15.

Division of Dermatology, Department of Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California.

Seborrheic keratosis is a benign condition that can mimic many different non-melanoma and melanoma neoplasms. There have been several case reports of underlying squamous cell carcinomas or intraepidermal carcinomas appearing within lesions that look analogous to seborrheic keratoses. We present a patient with a verrucous melanoma that could be mistaken for a benign skin tumor like an inflamed seborrheic keratosis. Read More

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February 2019
2 Reads

Umbilical condyloma lata.

Dermatol Online J 2019 Feb 15;25(2). Epub 2019 Feb 15.

Department of Dermatology, University of California, Davis Medical Center, Sacramento, California.

Condyloma lata, a cutaneous manifestation of secondary syphilis, usually appear as verrucous papules and plaques in the anogenital area. Involvement of the umbilicus is very uncommon. Thus, awareness of this presentation, along with appropriate history, physical exam, and laboratory testing may aid clinicians in prompt and accurate diagnosis. Read More

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February 2019
3 Reads

Neurosis and true dermatosis: a case of ossified pilomatricoma developing within a self-inflicted ulcer.

Dermatol Online J 2019 Feb 15;25(2). Epub 2019 Feb 15.

Texas A&M Health Science Center College of Medicine, Bryan, Texas Division of Dermatology, Baylor University Medical Center, Dallas, Texas.

Clinicians have a tendency to dismiss patients with psychiatric illness like skin picking disorder without assessing completely for organic disease. Patients with psychocutaneous disease have the potential to develop true dermatopathology and should always be examined thoroughly. We describe a case of skin picking disorder with underlying pilomatricoma. Read More

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February 2019
7 Reads

Mycobacterium marinum lymphocutaneous infection.

Dermatol Online J 2019 Feb 15;25(2). Epub 2019 Feb 15.

Dermatology Department, Centro Hospitalar Lisboa Norte, Hospital de Santa Maria, Lisbon.

Mycobacterium marinum is a nontuberculous mycobacteria with worldwide distribution that lives in fresh or salt water and is responsible for infections in fish, and sometimes in humans. Human disease consists mainly of cutaneous nodules, but deep structure involvement may also occur. Diagnosis of M. Read More

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February 2019
4 Reads

Blastic plasmacytoid dendritic cell neoplasm: an early presentation.

Dermatol Online J 2019 Feb 15;25(2). Epub 2019 Feb 15.

Pará State University, College of Medicine, Pará.

A blastic plasmacytoid dendritic cell neoplasm (BPDCN) is a cutaneous lymphoma derived from a plasmacytoid dendritic precursor cell that exhibits aggressive clinical behavior. Herein, we report a 46-year-old woman with a complaint of a painless nodule on the back, associated with pruritus. The nodule grew and new growths appeared over six months of evolution. Read More

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February 2019
7 Reads

Solitary noninfiltrating angiolipoma on the finger, an unusual localization.

Dermatol Online J 2019 Feb 15;25(2). Epub 2019 Feb 15.

Department of Dermatology, Health and Science University Istanbul Training and Research Hospital, Istanbul.

Angiolipoma, a subtype of lipoma, is a benign adypocytic soft tissue tumor composed of mature adipose tissue and small vascular proliferations. This entity makes up 5-17% of all lipomas. The diagnosis is made by clinical and pathological examination, ultrasonography, and/or magnetic resonance imaging (MRI). Read More

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February 2019
2 Reads

Glans penis necrosis caused by calcific uremic arteriolopathy.

Dermatol Online J 2019 Feb 15;25(2). Epub 2019 Feb 15.

Dermatology Unit, Hospital Regional "Licenciado Adolfo López Mateos", ISSSTE, Mexico City.

Calcific uremic arteriolopathy (CUA) or calciphylaxis is a syndrome characterized by calcification of vessels located in the dermis and adipose tissue. It commonly occurs in patients with diabetes mellitus, hypertension, and end-stage renal disease. Clinical presentation generally begins with severe pain, followed by the presence of liveloid or purpuric plaques. Read More

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February 2019
3 Reads

Cutaneous toxicity associated with enfortumab vedotin treatment of metastatic urothelial carcinoma.

Dermatol Online J 2019 Feb 15;25(2). Epub 2019 Feb 15.

University of North Carolina at Chapel Hill, Department of Dermatology, Chapel Hill, North Carolina.

Enfortumab vedotin is an antibody-drug conjugate targeting nectin-4 and is being studied in the treatment of various epithelial carcinomas including urothelial carcinoma; early data suggests efficacy and tolerability. Rash has been described as an adverse event associated with treatment with enfortumab vedotin, but has not been characterized to date. We report a patient with metastatic urothelial carcinoma treated with enfortumab vedotin who developed erythematous, scaly papules and plaques on his torso and extremities with corresponding histologic features of vacuolar interface dermatitis and maturation disarray of keratinocytes. Read More

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February 2019

Non-uremic calciphylaxis in a patient with multiple rheumatologic diseases.

Dermatol Online J 2019 Feb 15;25(2). Epub 2019 Feb 15.

Department of Dermatology, University of California, San Diego School of Medicine, La Jolla, California.

Non-uremic calciphylaxis is a rare, life-threatening condition characterized clinically by cutaneous necrosis and histologically by calcium deposition in small vessel walls. The etiology of non-uremic calciphylaxis remains the subject of ongoing speculation and debate. Herein we present a patient with calciphylaxis who had normal kidney function and numerous rheumatologic diseases, namely systemic lupus erythematosus (SLE), Sjogren syndrome (SS), and myasthenia gravis (MG). Read More

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February 2019
3 Reads

A novel ultraviolet B home phototherapy system: Efficacy, tolerability, adherence, and satisfaction.

Dermatol Online J 2019 Feb 15;25(2). Epub 2019 Feb 15.

Center for Dermatology Research, Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, North Carolina.

Background: Phototherapy is effective in treating psoriasis and other skin conditions. However, clinic-based phototherapy can be time-consuming, expensive, and inconvenient. Conventional home phototherapy addresses many hurdles, but has other limitations. Read More

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February 2019
5 Reads

Laser-assisted drug delivery for the treatment of androgenetic alopecia: ablative laser fractional photothermolysis to enhance cutaneous topical delivery of platelet-rich plasma - with or without concurrent bimatoprost and/or minoxidil.

Authors:
Philip R Cohen

Dermatol Online J 2019 Feb 15;25(2). Epub 2019 Feb 15.

San Diego Family Dermatology, National City, California.

Platelet-rich plasma, which contains numerous growth factors that promote hair growth, is a nonsurgical treatment available for patients with androgenetic alopecia. However, neither the quantity nor the location and depth of platelet-rich plasma placement in the scalp is uniform; in addition, multiple painful injections are required. Vertical uniform channels from the skin surface into the dermis, created by ablative laser fractional photothermolysis, can be used to enhance the cutaneous delivery of medications. Read More

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February 2019
8 Reads

Merkel cell carcinoma: long-term follow-up of a single institution series and clinical outcomes by immunological status.

Dermatol Online J 2019 02 15;25(2). Epub 2019 Feb 15.

Lucy Curci Cancer Center, Eisenhower Medical Center, Rancho Mirage, California University of California San Diego, La Jolla, California.

Merkel cell carcinoma (MCC) usually arises in sun-exposed areas of older patients and might be more aggressive in the immunocompromised. We performed a retrospective chart review of 40 consecutive MCC patients treated at our institution between the years 2006-2017. Clinical and epidemiologic data were utilized and therapy and survival were analyzed. Read More

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February 2019
1 Read

Diet and psoriasis.

Dermatol Online J 2019 Feb 15;25(2). Epub 2019 Feb 15.

Center for Dermatology Research, Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, North Carolina.

Background: Patients with psoriasis have a growing interest in managing their disease through diet.

Objective: This review paper aims to analyze dietary interventions for psoriasis and their outcome.

Methods: Terms "psoriasis AND diet" were used to search PubMed database and 63 articles describing dietary changes influencing psoriasis were selected. Read More

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February 2019
3 Reads

Photodamage spares the distal digits owing to primate-like hand flexion.

Dermatol Online J 2019 Jan 15;25(1). Epub 2019 Jan 15.

Center for Dermatology Research, Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, North Carolina Department of Pathology, Wake Forest School of Medicine, Winston-Salem, North Carolina Department of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, North Carolina.

Sun-exposed areas of the body - including the face, neck, and extensor forearms - are chronically exposed to UV light and display signs of photoaging. The skin distal to the proximal interphalangeal (PIP) joint is, however, typically spared owing to the natural rest position of the hand. The inward curvature of the fingers, termed the finger flexion cascade, orients the skin distal to the PIP joint toward the ground as in knuckle-walking primates. Read More

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January 2019

Over-the-counter light therapy for acne: a cross-sectional retrospective analysis.

Dermatol Online J 2019 Jan 15;25(1). Epub 2019 Jan 15.

Case Western Reserve University School of Medicine, Cleveland.

Acne vulgaris affects a large portion of the population and drives many patients to seek over-the-counter (OTC) treatments. Light-emitting diode (LED) therapy has recently emerged as a potential therapeutic option for inflammatory acne. We used the U. Read More

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January 2019
6 Reads

CELLULITIS: A mnemonic to increase accuracy of cellulitis diagnosis.

Dermatol Online J 2019 Jan 15;25(1). Epub 2019 Jan 15.

Division of Dermatology, University of Kansas Medical Center, Kansas City, Kansas.

Cellulitis, a bacterial infection of the skin and subcutaneous tissue, is often misdiagnosed. Cellulitis accounts for a large number of all infectious disease-related hospitalizations in the U.S. Read More

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January 2019

Appearance of lentigines in psoriasis patient treated with guselkumab.

Dermatol Online J 2019 Jan 15;25(1). Epub 2019 Jan 15.

Dermatology Research and Education Foundation, Irvine, California.

Development of lentigines in areas of resolving psoriatic plaques is a rare phenomenon that has been reported following various treatment modalities including phototherapy, topical therapies, and biologics. Although the exact mechanism is unknown, evidence suggests that the cause may be multifactorial, with factors such as skin type, sun exposure, inflammation, and immunologic cytokines all playing a potential role. Herein, we present the first reported case of a patient developing multiple lentigines following treatment of psoriasis with the IL-23 inhibitor guselkumab. Read More

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January 2019

Perianal purpuric plaques revealing an amyloid light-chain amyloidosis: case report and review of the literature.

Dermatol Online J 2019 Jan 15;25(1). Epub 2019 Jan 15.

Department of Dermatology and Venereology, Centro Hospitalar São João, Porto.

Systemic immunoglobulin light chain amyloidosis is the most common and severe type of amyloidosis. There is an abnormal fibrillary protein deposition in tissues that leads to progressive and irreversible organ dysfunction. The most commonly affected organs are kidney and heart. Read More

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January 2019
4 Reads

A pink enlarging plaque on the plantar foot: amelanotic acral lentiginous melanoma.

Dermatol Online J 2019 Jan 15;25(1). Epub 2019 Jan 15.

Department of Dermatology, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts.

Acral lentiginous melanomas account for less than 5% of all melanomas, whereas amelanotic melanomas account for around 2-8% of all melanomas. Amelanotic acral lentiginous melanomas are even less common and can often be mistaken for other clinical entities, including pyogenic granulomas, non-melanoma skin cancers, and warts. We describe a man in his 50s with a twenty-year history of a skin-colored plaque on the right plantar foot; after enlargement and failure of wart treatment, a shave biopsy revealed an amelanotic melanoma. Read More

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January 2019

Rapid progression of immune dysregulation in an HIV-infected patient with Sézary syndrome.

Dermatol Online J 2019 Jan 15;25(1). Epub 2019 Jan 15.

Department of Dermatology, Kimberley Hospital Complex, Kimberley, Northern Cape.

A 44-year-old man known to have human immunodeficiency virus (HIV) infection presented to our clinic with erythroderma, generalized lymphadenopathy, and cutaneous nodules and tumors. After a series of investigations, we confirmed that he had Sézary syndrome. In this paper we describe the immune alterations that occur in both Sézary Syndrome and HIV infection and how these changes together resulted in rapid and overwhelming immune dysregulation in our patient. Read More

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January 2019
3 Reads

Koebner phenomenon: pemphigus vulgaris following Mohs micrographic surgery.

Dermatol Online J 2019 Jan 15;25(1). Epub 2019 Jan 15.

The Thomas Jefferson University, Department of Dermatology, Philadelphia, Pennsylvania.

Koebnerization of pemphigus vulgaris (PV) is an infrequently reported reaction. We present a 65-year-old man with Koebnerized pemphigus vulgaris after Mohs microscopic surgery for a basal cell carcinoma. We present this case to heighten awareness of the phenomenon in the dermatological community. Read More

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January 2019
6 Reads

Fibro-osseous pseudotumor on the hyponychium of the great toe.

Dermatol Online J 2019 Jan 15;25(1). Epub 2019 Jan 15.

The University of Texas McGovern Medical School at Houston, Houston, Texas.

Fibro-osseous pseudotumor of the toe is a benign soft tissue tumor that is predominant in the young adult population. Although the etiology is unknown, a history of trauma has been reported to precede tumor development. The differential diagnosis includes myositis ossificans, extraskeletal osteosarcoma, and pyogenic granuloma. Read More

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January 2019
11 Reads

Bullous lupus erythematosus with an erythema gyratum repens-like pattern.

Dermatol Online J 2019 Jan 15;25(1). Epub 2019 Jan 15.

Department of Dermatology, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia.

Bullous lupus erythematosus is a rare clinical form of lupus. The diagnosis is challenging and involves the exclusion of other subepidermal bullous dermatoses. We present a 21-year-old woman with erythematosus, polycyclic plaques with vesiculobullae along the periphery, creating an erythema gyratum repens-like pattern on acral regions. Read More

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January 2019
3 Reads

Pyoderma gangrenosum: a presenting sign of myelodysplastic syndrome in undiagnosed Fanconi anemia.

Dermatol Online J 2019 Jan 15;25(1). Epub 2019 Jan 15.

Department of Dermatology, Indiana University School of Medicine, Indianapolis, Indiana.

A 26-year-old man with a history of congenital bilateral microtia, unilateral renal agenesis, left aural atresia, and right external auditory canal occlusion admitted for right rib cartilage graft harvest and left ear re-construction. Following surgery, an ulceration with violaceous borders and a yellow fibrinous base unresponsive to broad-spectrum antibiotics developed at the harvest site. The wound was expanding and not responsive to systemic broad-spectrum antibiotics. Read More

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January 2019
6 Reads

An assessment of social media usage by dermatology residency programs.

Dermatol Online J 2019 Jan 15;25(1). Epub 2019 Jan 15.

Department of Dermatology, University of Colorado Anschutz Medical Campus, Aurora, Colorado Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado Dermatology Service, US Department of Veteran Affairs, Eastern Colorado Health Care System, Denver, Colorado.

Despite the increasing popularity of social media, the activity of dermatology residency programs on top social media platforms has never been investigated to our knowledge. We investigated a total of 126 dermatology residency programs to assess their presence and popularity on social media. Searches were conducted to identify dermatology residency departments' accounts on Facebook, Twitter, and Instagram. Read More

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January 2019

The doctor's office is the best setting for most cutaneous procedures.

Dermatol Online J 2019 Jan 15;25(1). Epub 2019 Jan 15.

Department of Dermatology and Cutaneous Biology, Thomas Jefferson University, Philadelphia, Pennsylvania.

Although most dermatologic procedures are done in an office setting, some providers are performing them instead in ambulatory surgery centers (ASCs). This relocation of care comes with significantly higher expenses for patients and insurers. Compounding the issue of increased costs is the paucity of evidence demonstrating better outcomes associated with the use of ASCs. Read More

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January 2019

Movement artifacts in pediatric cutaneous ultrasonography.

Dermatol Online J 2019 Jan 15;25(1). Epub 2019 Jan 15.

Department of Dermatology, University Hospital La Paz, Madrid.

Background: Cutaneous ultrasonography can be challenging in children. We aim to identify the most complicated cases and the best timing for assessment.

Methods: We retrospectively reviewed sonographic exams in pediatric patients from our cutaneous ultrasonography clinic over a two-year period. Read More

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January 2019
2 Reads

Cutaneous cytomegalovirus manifestations, diagnosis, and treatment: a review.

Dermatol Online J 2019 Jan 15;25(1). Epub 2019 Jan 15.

McGovern Medical School of University of Texas Houston Health Science Center, Houston, Texas.

The possible presentations of cytomegalovirus (CMV) are vast not only in its systemic manifestations, but also in the various cutaneous lesions that may result. Cutaneous cytomegalovirus is rarely reported in the literature because the clinical and pathologic features can be difficult to identify. Its identification, however, is vital as cutaneous human CMV infection can signal systemic disease and an unfavorable prognosis. Read More

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January 2019
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Bioidentical hormone therapy in menopause: relevance in dermatology.

Dermatol Online J 2019 Jan 15;25(1). Epub 2019 Jan 15.

Department of Dermatology & Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida.

Hormone replacement therapy has been shown to be effective in alleviating menopausal symptoms. However, its use is controversial owing to potential health risks, such as thromboembolism and cancer. Bioidentical hormone therapy has recently become popular as an alternative to conventional hormone replacement therapy. Read More

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January 2019
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Advertisement for Dermatology Assistant/Associate/Full ClinX/HSCP (4 Positions).

Dermatol Online J 2018 Nov 15;24(11). Epub 2018 Nov 15.

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The University of California, Davis, School of Medicine, Department of Dermatology, is recruiting for four academic dermatologists in the Clinical X series or Health Sciences Clinical Professor (HSCP) series at the Assistant/Associate/Full Professor level based on experience and qualifications. These positions are for general medical dermatologists.  The appointments may be made up to 100%. Read More

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November 2018