Oct. 2019, Volume 104, Issue Number 04

Commentary

Commentary

What Neglected Tropical Diseases Teach Us About Stigma

Author:

Aileen Y. Chang, MD

Maria T. Ochoa, MD

Neglected tropical diseases (NTDs) can lead to chronic and lifelong disfigurement, disability, stigma, and socioeconomic losses if not diagnosed...
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Practical Pearls

Practical Pearls

Reflectance Confocal Microscopy to Facilitate Knifeless Skin Cancer Management

Author:

Reid A. Waldman, MD

Jane M. Grant-Kels, MD

Management of nonmelanoma skin cancer in elderly patients carries a risk for morbidity; these patients frequently struggle to care for their...
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Environmental Dermatology

Environmental Dermatology

What’s Eating You? The South African Fattail Scorpion Revisited

Author:

Henry Tomlinson, MD

Dirk M. Elston, MD

Worldwide, there are more than 3250 deaths a year related to scorpion stings. With the increasing popularity of exotic and dangerous pets,...
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Cosmetic Dermatology

Cosmetic Dermatology

The Role of Vitamins and Supplements on Skin Appearance

Author:

Norhan Shamloul, MS

Peter W. Hashim, MD, MHS

John K. Nia, MD

Aaron S. Farberg, MD

Gary Goldenberg, MD

Multiple vitamins and supplements have demonstrated evidence in improving skin appearance. This article reviews these therapies with a focus on...
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Case Reports

Case Reports

Cutaneous Nocardiosis in an Immunocompromised Patient

Author:

Kayla J. Riswold, MD

Brian Joel Tjarks, MD

Amy M. Kerkvliet, MD

Clinicians should consider a broad differential when dealing with infectious diseases in immunocompromised patients. When nocardiosis is in the...
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Case Reports

Cutaneous Mycobacterium haemophilum Infection Involving the Upper Extremities: Diagnosis and Management Guidelines

Author:

Jenna Sitenga, MD

Neel Patel, MD

Amanda Rainwater, MD

Infection with Mycobacterium haemophilum presents a challenge to the dermatology community because it is infrequently suspected and...
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Case Reports

Photolichenoid Dermatitis: A Presenting Sign of Human Immunodeficiency Virus

Author:

Paul Curtiss, MD

Kathryn L. Riley, MD

Shane A. Meehan, MD

Nada Elbuluk, MD, MSc

Photolichenoid dermatitis is an uncommon eruptive dermatitis that often occurs in association with a photosensitizing drug. Photodermatitis, in...
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Case Reports

Guttate Psoriasis Following Presumed Coxsackievirus A

Author:

Kevin M. Rychik, BS

Naghmeh Yousefzadeh, MD

Alan T. Glass, MD

There may be additional microbial triggers for dermatologic diseases. The authors describe a novel case of guttate psoriasis following presumed...
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Case Reports

Larval Tick Infestation Causing an Eruption of Pruritic Papules and Pustules

Author:

Jack Lee, MD

Kerrie M. Grunnet, MD

Richard H. Flowers, MD

Barrett J. Zlotoff, MD

Mary-Margaret B. Noland, MD

Jerome Goddard, PhD

Ticks are well-documented human parasites and vectors of infectious disease. The authors encourage providers to include larval tick infestation in...
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Case Reports

Secondary Syphilis Mimicking Molluscum Contagiosum in the Beard Area of an AIDS Patient

Author:

Kelly Brown, DO

Michael Koren, MD

Nicole M. Cassler, MD

George W. Turiansky, MD

Dermatologists should be able to recognize typical and atypical presentations of secondary syphilis. This case reinforces the importance of...
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Photo Challenge

Photo Challenge

Serous and Hemorrhagic Bullae on the Leg

Author:

Jacqueline Lin Bucher, MD

Mehwish Ahmed, MD

A 61-year-old wheelchair-bound man presented to the emergency department with increased swelling, bruising, and blister formation on the right...
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Photo Challenge

Painless Round Ulcers on the Leg

Author:

Miguel Costa-Silva, MD

Catarina Moreira, MD

Sofia Lopes, MD

Mariana Esteves, MD

Filomena Azevedo, MD

A 78-year-old man was referred to our clinic for evaluation of 2 painless round ulcers with an undermined edge and purulent discharge on the left...
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Photo Challenge

Discoloration and Bullous Lesions on the Hands

Author:

Verónica Olvera-Cortés, MD

Nancy Pulido-Díaz, MD

Álvaro Rhony Orellana-Arauco, MD

A 71-year-old man presented for evaluation of discoloration and blisters of 1 day's duration on both hands that were more severe on the right hand...
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Photo Challenge

Erythematous Plaques and Nodules on the Abdomen and Groin

Author:

Christina C. Patrone, MD

Caroline Nelson, MD

Kevin J. Gaddis, MD

Daniel Lubin, MD

Xiaowei Xu, MD, PhD

Ellen J. Kim, MD

Robert G. Micheletti, MD

An 82-year-old man presented with acute abdominal pain and distension as well as an abdominal rash of 4 months' duration that was expanding...
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Photo Challenge

Pink Polycyclic Ulcerations on the Lower Back and Buttocks

Author:

Venkata Anisha Guda, BS

Jacqueline Bucher, MD

A 32-year-old woman with stage IV cutaneous T-cell lymphoma was admitted with pancytopenia and septic shock secondary to methicillin-susceptible...
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Dermpath Diagnosis

Dermpath Diagnosis

Erythematous Papules on the Scrotum, Trunk, and Extremities

Author:

Kavita Darji, MD

Erin Williams, MD

Kari E. Sufficool, MD

Maria Y. Hurley, MD

A 54-year-old man presented with painful, nonpruritic, erythematous papules that began on the scrotum. The eruption progressed to involve the...
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Case Letter

Case Letter

Crusted Demodicosis in an Immunocompetent Patient

Author:

Elizabeth Bisbee, MD

Eric Rudnick, MD

Amy Loyd, DO

Demodicosis manifests in a variety of forms, including pityriasis folliculorum, rosacealike demodicosis, and demodicosis gravis. The Demodex...
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Case Letter

Pulmonary Hemorrhage as the Initial Presentation of AIDS-Related Kaposi Sarcoma

Author:

Yasmin Amir, MD

Ali Hadi, MD

Ahmed Hadi, MD

The incidence of Kaposi sarcoma (KS) declined following the introduction of highly active antiretroviral therapy (HAART). The authors present a...
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Case Letter

Multiple Keratoacanthomas Arising Within Red Tattoo Pigment

Author:

Dawn Queen, BA

Lindsey E. Richards, MD

Lindsey Bordone, MD

David R. Bickers, MD

Sameera Husain, MD

Jesse M. Lewin, MD

Tattoo reactions range from infectious and inflammatory dermatoses to the development of malignant neoplasms. This case provides evidence of an...
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Case Letter

Basal Cell Carcinoma Arising in Nevus Sebaceous During Pregnancy

Author:

Diana Boulos Kneiber, MD

Aibing Mary Guo, MD

The hormonal changes that occur during pregnancy and puberty appear to play a role in the development of neoplasms in nevus sebaceous (NS) lesions...
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Residents’ Corner

Residents’ Corner

Current Controversies in Mohs Micrographic Surgery

Author:

Julie Ann Amthor Croley, MD

Current controversies in Mohs micrographic surgery (MMS) center on the types of tumors treated with MMS, increasing utilization, third-party payer...
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Clinical Review

Clinical Review

Systemic Medications Linked to an Increased Risk for Skin Malignancy

Author:

Nathan Merritt Johnson, MD

Kyle A. Prickett, MD

Mariana A. Phillips, MD

Patients should be educated about the increased risk for skin malignancy while undergoing treatment with BRAF inhibitors, sonic hedgehog–...
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Table of Contents

Commentary

Commentary

Practical Pearls

Practical Pearls

Environmental Dermatology

Environmental Dermatology

Cosmetic Dermatology

Cosmetic Dermatology

Case Reports

Case Reports

Case Reports

Case Reports

Case Reports

Case Reports

Case Reports

Photo Challenge

Photo Challenge

Photo Challenge

Photo Challenge

Photo Challenge

Photo Challenge

Dermpath Diagnosis

Dermpath Diagnosis

Case Letter

Case Letter

Case Letter

Case Letter

Case Letter

Residents’ Corner

Residents’ Corner

Clinical Review

Clinical Review