Practical Pearls

Practical Pearls

A Contrasting Dark Background for Nail Sampling

Author:

Nina Blank, MD

Shari R. Lipner, MD, PhD

Accurate testing for onychomycosis requires procurement of ample subungal debris, which can be difficult to visually quantify.

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Practical Pearls

Utilizing a Sleep Mask to Reduce Patient Anxiety During Nail Surgery

Author:

Jose W. Ricardo, MD

Shari R. Lipner, MD, PhD

Patients undergoing nail surgery frequently experience anxiety. Wearing a sleep mask diverts attention from the surgical field, thus reducing...

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Practical Pearls

24-7 Dressing Technique to Optimize Wound Healing After Mohs Micrographic Surgery

Author:

Alexandra Edelman, MD

Megan Foley, BS

Michael McCall Jr, MD

The authors describe the use of a comfortable, effective, and simple technique for wound dressings after dermatologic surgery in patients who are...

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Practical Pearls

Combined Treatment of Disfiguring Facial Angiofibromas in Tuberous Sclerosis Complex With Surgical Debulking and Topical Sirolimus

Author:

Jessica L. Patterson, MD

Sanjana Iyengar, MD

Carson Catasus, BS

Joanna A. Kolodney, MD

Zachary Zinn, MD

Tuberous sclerosis complex (TSC) is an autosomal-dominant disorder that causes the formation of hamartomatous tumors such as facial angiofibromas...

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Practical Pearls

Cutaneous Odontogenic Sinus: An Inflammatory Mimicker of Squamous Cell Carcinoma and Epidermal Cysts

Author:

Atieh Jibbe, MD

Stanislav N. Tolkachjov, MD

An odontogenic cutaneous sinus tract (OCST) of dental origin is an uncommon and frequently misdiagnosed lesion that is caused by chronic...

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Practical Pearls

Rapid Screening of Invasive Fungal Infections in the Hospital Setting Using the (1,3)-β-D-glucan Assay

Author:

Maria M. Hornberger, MD

Andrew T. Patterson, MD

Jane H. Kerford, MD

Brittany L. Lenz, MD

Adnan Mir, MD, PhD

Arturo R. Dominguez, MD

Diagnosis of disseminated candidiasis via blood culture and skin biopsy can be unreliable and may delay treatment. (1,3)-β-D-glucan (BDG) assay is...

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Practical Pearls

Utilization of a Stress Ball to Diminish Anxiety During Nail Surgery

Author:

Jose W. Ricardo, MD

Shari R. Lipner, MD, PhD

Anxiety is commonly encountered by patients undergoing nail surgery. Squeezing a stress ball with the free hand does not interfere with the...

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Practical Pearls

Cartilage Sutures for a Large Nasal Defect

Author:

Daniel Condie, MD

Ramin Fathi, MD

Rajiv I. Nijhawan, MD

The authors highlight the use of cartilage sutures in nasal reconstruction. Interdomal cartilage sutures may decrease defect size and contribute...

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Practical Pearls

Hydrogen Peroxide as a Hemostatic Agent During Dermatologic Surgery

Author:

Sheila Z. Farhang, MD

Eduardo Weiss, MD

The authors highlight the use of intraprocedural hydogren peroxide as a hemostatic agent during dermatologic surgery.

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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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Practical Pearls

Clinical Pearl: Topical Timolol for Refractory Hypergranulation

Author:

Reid A. Waldman, MD

Gloria Lin, MD, MS

Brett Sloan, MD

Hypergranulation is a frequent complication of dermatologic surgery, and refractory cases can be challenging. The authors propose an alternative...

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