Commentary

New Guidelines of Care for the Management of Nonmelanoma Skin Cancer

Author:

Aaron S. Farberg, MD

Gary Goldenberg, MD

In January 2018, the American Academy of Dermatology (AAD) released its first guidelines of care for the management of nonmelanoma skin cancer (...

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Photo Challenge

Reticular Hyperpigmented Patches With Indurated Subcutaneous Plaques

Author:

Owen N. Kramer, MD

Eden Lake, MD

Iris K. Aronson, MD

Marylee Braniecki, MD

A 32-year-old woman presented for evaluation of small, tender, erythematous nodules on the lower legs of 1 year's duration that had started to...

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Photo Challenge

Progressive Widespread Telangiectasias

Author:

Mallory S. Abate, MD

Sara Shalin, MD, PhD

A 55-year-old woman presented for evaluation of widespread asymptomatic telangiectasias of several years' duration that first appeared on the legs...

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Dermpath Diagnosis

Painful Mouth Ulcers

Author:

Gabriela Rosa, MD

Melissa Piliang, MD

A 41-year-old woman presented with painful ulcers on the oral mucosa of 2 months' duration that were unresponsive to treatment with acyclovir. She...

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Environmental Dermatology

What’s Eating You? Ixodes Tick and Related Diseases, Part 3: Coinfection and Tick-Bite Prevention

Author:

Kelsey D. Wilson, MD

Dirk Elston, MD

Ixodes ticks are important vectors in the transmission of human disease. In endemic areas, infection with multiple tick-borne diseases...

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Original Research

Mohs Micrographic Surgery for Digital Melanoma and Nonmelanoma Skin Cancers

Author:

Zain Husain, MD

Rina M. Allawh, MD

Ali Hendi, MD

Treatment of digital skin cancers is challenging due to various functional and cosmetic implications. Traditionally, routine treatment includes...

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Original Research

Enhanced Melanoma Diagnosis With Multispectral Digital Skin Lesion Analysis

Author:

Aaron S. Farberg, MD

Alex M. Glazer, MD

Richard R. Winkelmann, DO

Natalie Tucker, BS

Richard White, MS

Darrell S. Rigel, MD, MS

Multispectral digital skin lesion analysis (MSDSLA) is both sensitive and specific in the detection of malignant melanoma by dermatologists and...

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Military Dermatology

Teledermatology in the US Military: A Historic Foundation for Current and Future Applications

Author:

Jane Hwang, MD

Charlene Kakimoto, MD, MSc

Historically, the US military has utilized centralized store-and-forward (S&F) telemedicine programs for health care providers in remote...

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Clinical Review

Energy-Based Devices for Actinic Keratosis Field Therapy

Author:

Joanna Dong, BA

Gary Goldenberg, MD

Cutaneous field cancerization arises due to UV-induced carcinogenesis of a “field” of subclinically transformed skin and actinic keratoses (AKs)...

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Case Reports

Perianal Basal Cell Carcinoma Treated With Mohs Micrographic Surgery

Author:

Michael Ryan, BS

Hamad Alabdulrazzaq, MD

Jennifer Toyohara, MD

Perianal basal cell carcinoma (BCC) is a rare lesion that accounts for less than 0.08% of all BCCs. It is challenging to diagnose, as it can be...

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Case Reports

Secukinumab Emerges as a Rapidly Effective Therapy for Pityriasis Rubra Pilaris

Author:

Lauren Bonomo, BA

Jacob O. Levitt, MD

Refractory pityriasis rubra pilaris (PRP) often is treated off-label with the same biologic therapies that are approved for the treatment of...

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Case Reports

Discoid Lupus Erythematosus Following Herpes Zoster

Author:

Cynthia O. Anyanwu, MD

Lacy L. Sommer, MD

Halyna Kuzyshyn, MD

Jeanette M. Camacho, MD

Hala M. Eid, MD

Warren R. Heymann, MD

The isomorphic response is the appearance of new lesions from a preexisting skin condition at a site of trauma. Discoid lupus erythematosus (DLE)...

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Case Reports

Pigmented Squamous Cell Carcinoma Presenting as Longitudinal Melanonychia in a Transplant Recipient

Author:

Christina A. Serret, MD

Stephanie Wang, MD

Amanda Marsch, MD

Claudia Hernandez, MD

We report the case of a 62-year-old black man who was on a maintenance immunosuppressive regimen that included mycophenolate mofetil and...

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Case Reports

Squamoid Eccrine Ductal Carcinoma

Author:

Jason Jacob, MD

Lisa Kugelman, MD

Squamoid eccrine ductal carcinoma (SEDC) is an extremely rare cutaneous tumor of unknown etiology. We report the case of a 77-year-old man with a...

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Case Reports

Metastatic Meningioma of the Scalp

Author:

Dhaval G. Bhanusali, MD

Candrice Heath, MD

Deniz Gur, MD

Sheryl Miller, MD

Meningiomas generally present as slow-growing, expanding intracranial lesions and are the most common benign intracranial tumor in adults. Rarely...

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Case Letter

Carotenoderma Associated With a Diet Rich in Red Palm Oil

Author:

Jusleen Ahluwalia, MD

Albert C. Yan, MD

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Case Letter

Solitary Angiokeratoma of the Vulva Mimicking Malignant Melanoma

Author:

Yuval Ramot, MD, MSc

Tamar Tetro, MD

Leonidas Soteriou, MD

Victoria Doviner, MD

Alexander Maly, MD

Abraham Zlotogorski, MD

Angiokeratoma is a benign vascular tumor characterized by several dilated vessels in the superficial dermis accompanied by epidermal hyperplasia...

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Case Letter

Secondary Syphilis: An Atypical Presentation Complicated by a False Negative Rapid Plasma Reagin Test

Author:

Jamie Lombardo, MD

Minhal Alhashim, MD

According to the Centers for Disease Control and Prevention, the number of syphilis cases in the United States decreased 95% from 1945 to 2000...

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Case Letter

Tinea Incognito in a Tattoo

Author:

Robert M. Gathings, MD

Kathleen Casamiquela, MD

Angela Jackson, NP

Robert T. Brodell, MD

Tinea incognito occurs when superficial fungal infections fail to demonstrate typical clinical features in the setting of immune suppression...

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Case Letter

Interstitial Granulomatous Dermatitis and Palisaded Neutrophilic Granulomatous Dermatitis

Author:

Taryn Huizenga, MD

Jessica A. Kado, MD

Brenda Pellicane, MD

Judy Borovicka, MD

Darius R. Mehregan, MD

David A. Mehregan, MD

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Case Letter

Acute Generalized Exanthematous Pustulosis Caused by Pantoprazole

Author:

Bruno Schmitz, MD

Timothy Sorrells, MD

Jonathan S. Glass, MD

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Case Letter

Beltlike Lichen Planus Pigmentosus Complicated With Focal Amyloidosis

Author:

Qing-li Gong, MD

Jie Sun, MD

Gao-zhong Ding, MD

Zhong-lan Su, MD, PhD

Yan Lu, MD, PhD

A 68-year-old man presented with slightly itchy macules on the waist and abdomen of approximately 2 years’ duration. He reported that the initial...

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Case Letter

Sweet Syndrome With Aseptic Splenic Abscesses and Multiple Myeloma

Author:

Elizabeth Sutton, MD

Rachel Groff, MD

Leigh M. Sutton, MD

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Residents’ Corner

Establishing Financial Literacy: What Every Resident Needs to Know

Author:

Ashley D. Lundgren, MD

Financial literacy is a skill that requires an ongoing investment of time and often is overlooked throughout medical training. Physicians are...

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Residents’ Corner

Tattoos: From Ancient Practice to Modern Treatment Dilemma

Author:

Ellen H. de Moll, MD

Tattoos have a long history in the United States and the world. As dermatologists, we often treat patients who regret their tattoos and are...

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