May 2022, Volume 109, Issue Number 5

Photo Challenge

Photo Challenge

Painful Fungating Perianal Mass

Author:

Kathleen C. Marinelli, MD

Lisa M. Marinelli, MD

Brian S. Yoon, DO

Wendi E. Wohltmann, MD

A 21-year-old man presented to our clinic with rectal pain of 2 months’ duration that occurred in association with bowel movements and rectal...
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Photo Challenge

Retiform Purpura on the Legs

Author:

Mark C. Marchitto, MD

Liesl Grenier, MD

Jun Kang, MD

A 70-year-old woman with a medical history of Takayasu arteritis, end-stage renal disease on peritoneal dialysis, coronary artery disease,...
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Photo Challenge

Recurrent Arciform Plaque on the Face

Author:

Bao Vincent K. Ho, MD

Dominic Wu, MD

Megan Prouty, MD

An otherwise healthy 31-year-old woman presented with a gradual growth of a semiannular, arciform, mildly pruritic plaque around the mouth of 10...
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Photo Challenge

Persistent Lip Swelling

Author:

Seoyeon Kim, MD

Christy Lee Waterman, MD

Sheryl Hoyer, MD

Marylee Braniecki, MD

A 36-year-old man with allergic rhinitis presented with lower lip swelling of several months’ duration. The swelling was persistent and...
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Photo Challenge

Vascular Plaque in a Pregnant Patient With a History of Breast Cancer

Author:

Catherine S. Barker, BS

Jane Scribner, MD

A 31-year-old woman at 34 weeks’ gestation presented with skin discoloration of the anterior neck of 7 months’ duration. Her pregnancy had been...
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Dx Across the Skin Color Spectrum

Dx Across the Skin Color Spectrum

Melanoma

Author:

Candrice R. Heath, MD

Richard P. Usatine, MD

Acral lentiginous melanoma on the sole of the foot in a 30-year-old Black woman. The depth of the lesion was 2 mm with a positive sentinel lymph...
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Tips

Tips

Surgical Planning for Mohs Defect Reconstruction in the Digital Age

Author:

Yi Chun Lai, MD, MPH

Collin Parker, MD

Arlene Rogachefsky, MD

Kristyna Lee, MD, MPH

Planning for Mohs defect reconstruction is an integral part of fellowship training.
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Tips

Reflectance Confocal Microscopy Findings in a Small-Diameter Invasive Melanoma

Author:

Isil Karaarslan, MD

Fezal Ozdemir, MD

Banu Yaman, MD

Ayda Acar, MD

Alon Scope, MD

This case highlights the benefit of reflectance confocal microscopy to reach a confident diagnosis and correct management of a small-diameter...
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Original Research

Original Research

Impact of the COVID-19 Pandemic on Characteristics of Cutaneous Tumors Treated by Mohs Micrographic Surgery

Author:

Julie A. Croley, MD

Paige Hoyer, MD

Richard F. Wagner Jr, MD

Aaron K. Joseph, MD

The COVID-19 pandemic has impacted the practice of Mohs micrographic surgery (MMS). We sought to determine the characteristics of skin cancers...
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Original Research

BRAF V600E Expression in Primary Melanoma and Its Association With Death: A Population-Based, Retrospective, Cross-Sectional Study

Author:

Jamison A. Harvey, MD

Julia S. Lehman, MD

Christine M. Lohse, MS

Alanna M. Chamberlain, PhD

Svetomir N. Markovic, MD, PhD

Celine M. Vachon, PhD

Jerry D. Brewer, MD, MS

Approximately 50% of melanomas contain BRAF mutations; the effects on survival are unclear.
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Original Research

Skin Cancer Education in the Medical School Curriculum

Author:

John Plante, MD, MSCR

Manuel Valdebran, MD

Lara Wine Lee, MD, PhD

Nondermatologist practitioners play a notable role in mitigating the health care burden of skin cancer by screening with the skin cancer...
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Commentary

Commentary

Field Cancerization in Dermatology: Updates on Treatment Considerations and Emerging Therapies

Author:

Alessandra Chen, MD

Andrew Kwong, MD

Jenny C. Hu, MD, MPH

We discuss updates to nonsurgical field-directed and lesion-directed therapies as well as other emerging therapies.
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Dermpath Diagnosis

Dermpath Diagnosis

Bleeding Nodule on the Lip

Author:

Crystal R. Lenz, DO

Morgan Arnold, DO

Nathan Cleaver, DO

A 71-year-old man with no notable medical history presented with a bleeding nodule on the right lower cutaneous lip of 9 weeks’ duration. The...
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Environmental Dermatology

Environmental Dermatology

Aquatic Antagonists: Marine Rashes (Seabather’s Eruption and Diver’s Dermatitis)

Author:

Nicholas James Thornton, MD

Benjamin Garcia, BS

Paige Hoyer, MD

When treating marine rashes, it is imperative to properly diagnose the root cause to guide appropriate treatment.
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Contact Dermatitis

Contact Dermatitis

Dupilumab for Allergic Contact Dermatitis: An Overview of Its Use and Impact on Patch Testing

Author:

Hadley Johnson, BS

Brandon L. Adler, MD

Jiade Yu, MD

This article discusses the evidence for using dupilumab to treat allergic contact dermatitis as well as considerations for patch testing in...
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Case Letter

Case Letter

Cutaneous Lupus Erythematosus–like Isotopic Response to Herpes Zoster Infection

Author:

Christen Botros Samaan, MD

Bethany R. Rohr, MD

Michele Maroon, MD

Wells Chandler, MD

Wolf isotopic response describes the development of a skin disorder at the site of another healed and unrelated skin disease.
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Case Letter

Conjunctival Melanoma of the Left Lower Eyelid

Author:

William Henry, MD

Shawn Nash, DO

John Pemberton, DO

Conjunctival abnormalities should be thoroughly documented via color photography to accurately follow for suspicious change.
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Case Letter

Forceps for Milia Extraction

Author:

Monica Janeczek, MD

Elika Hoss, MD

Shari Ochoa, MD

Although some methods of milia removal can be painful, removal with forceps is quick and effective.
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Case Letter

Postirradiation Pseudosclerodermatous Panniculitis: A Rare Complication of Megavoltage External Beam Radiotherapy

Author:

Peter W. Hashim, MD, MHS

Nikki S. Vyas, MD

Mohammad-Ali Yazdani Abyaneh, MD

Matthew S. Goldberg, MD

Postirradiation pseudosclerodermatous panniculitis presents as an erythematous or indurated plaque at a site of prior radiotherapy.
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Case Letter

Calcified Urachal Remnant in a Young Adult: An Unusual Case

Author:

Allison J. Good, MD

Duane C. Tucker, MD

Eric W. Rudnick, MD

Anna De Benedetto, MD

Urachal anomalies are important to diagnose given the potential for secondary infection or malignancy.
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Case Letter

Sweet Syndrome With Pulmonary Involvement Preceding the Development of Myelodysplastic Syndrome

Author:

David Y. Chen, MD, PhD

Arthur Z. Eisen, MD

Sweet syndrome often is idiopathic, though it has been associated with infection, autoimmunity, medication, and malignancy.
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Case Letter

Acute Alopecia Associated With Albendazole Toxicosis

Author:

Paul Curtiss, MD

Gabriela Cobos, MD

Kristen Lo Sicco, MD

Nicole Seminara, MD

Albendazole is a commonly prescribed anthelmintic that typically is well tolerated. Its broadest application is in developing countries that have...
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For Residents

For Residents

Navigating Motherhood and Dermatology Residency

Author:

Samantha R. Pop, MD

With supportive policies and resources, motherhood and dermatology training can be rewarding complements to one another.
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Case Reports

Case Reports

Pemphigus Vulgaris Aggravated: Rifampicin Found at the Scene of the Crime

Author:

Lifang Hu, MD

Yan Sun, MD

Zhe Gao, MD

Ping Wang, PhD

Pemphigus vulgaris (PV) is a rare life-threatening condition of the pemphigus group of autoimmune blistering diseases.
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Table of Contents

Photo Challenge

Photo Challenge

Photo Challenge

Photo Challenge

Photo Challenge

Photo Challenge

Dx Across the Skin Color Spectrum

Dx Across the Skin Color Spectrum

Tips

Tips

Tips

Original Research

Original Research

Original Research

Original Research

Commentary

Commentary

Dermpath Diagnosis

Dermpath Diagnosis

Environmental Dermatology

Environmental Dermatology

Contact Dermatitis

Contact Dermatitis

Case Letter

Case Letter

Case Letter

Case Letter

Case Letter

Case Letter

Case Letter

Case Letter

For Residents

For Residents

Case Reports

Case Reports