June 2021, Volume 107, Issue Number 06

Clinical Review

Clinical Review

Relationship-Centered Care in the Physician-Patient Interaction: Improving Your Understanding of Metacognitive Interventions

Author:

Christine J. Ko, MD

Rose Kim, MD, MEdHP

Auguste H. Fortin VI, MD, MPH

Judy M. Spak, MLS

Janet P. Hafler, EdD

This review summarizes the key literature to date on relationship-centered care as it pertains to the physician-patient relationship. Becoming...
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Clinical Review

Squamoid Eccrine Ductal Carcinoma

Author:

Steven A. Svoboda, MD

Patrick S. Rush, DO

Craig J. Garofola, DO

Douglas J. Grider, MD

Kyle A. Prickett, MD

Mariana A. Phillips, MD

Squamoid eccrine ductal carcinoma is an aggressive underrecognized cutaneous malignancy that often is misdiagnosed as squamous cell carcinoma (SCC...
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Case Reports

Case Reports

How to Save a Limb: Identification of Pyoderma Gangrenosum

Author:

Emily K. Haque, BSA

Raghavendra Girijala, MD

Clifton Molak, MD

Pyoderma gangrenosum (PG) frequently is misdiagnosed due to its similar presentation to other skin and soft tissue infections (SSTIs). Patients...
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Case Reports

Nivolumab-Induced Granuloma Annulare

Author:

Bilal Fawaz, MD

Analisa Halpern, MD

Immune-related adverse events (irAEs) frequently occur in patients on immunotherapy, with the skin representing the most common site of...
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Commentary

Commentary

COVID-19 Vaccine Reactions in Dermatology: “Filling” in the Gaps

Author:

Shauna M. Rice, BS

Sarah D. Ferree, MD

Arianne S. Kourosh, MD, MPH

Once reports of adverse reactions following COVID-19 vaccination—such as those linked to use of facial fillers—made news headlines, many in the...
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Commentary

Reporting Biopsy Margin Status for Cutaneous Basal Cell Carcinoma: To Do or Not to Do

Author:

Muhammad N. Mahmood, MD

In an interesting analysis, Brady and Hossler¹ (Cutis. 2020;106:315-317) highlighted the limitations of histopathologic biopsy...
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Coding

Coding

E/M Coding in 2021: The Times (and More) Are A-Changin’

Author:

Alexandra Flamm, MD

Alina Bridges, MD

Daniel M. Siegel, MD, MS

Major revisions for commonly reported office and outpatient evaluation and management (E/M) codes were implemented on January 1, 2021, by the...
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Food for Thought

Food for Thought

Reexamining the Role of Diet in Dermatology

Author:

Steven A. Svoboda, BS

Michael Christopher, MD

Bridget E. Shields, MD

The role of diet in acne has been well studied, but rigorous studies on dietary interventions for other common skin conditions are lacking....
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Photo Challenge

Photo Challenge

Oral Verrucous Plaques in a Patient With Urothelial Cancer

Author:

Zachary Kwapnoski, MD

Kara T. Reardon, MD

Allison Hood, MD

A 75-year-old nonobese man with metastatic urothelial carcinoma presented for evaluation and treatment of swollen lips. The patient stated that...
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Photo Challenge

Hard Nodular Plaque on the Scalp

Author:

Ryan A. Gall, MD

Alyson J. Brinker, MD

John D. Peters, MD

A 35-year-old man presented to the dermatology clinic with a slow-growing plaque on the scalp of 10 years’ duration. The lesion was mildly...
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Photo Challenge

Progressive Axillary Hyperpigmentation

Author:

Spyros M. Siscos, MD

Jace Rickstrew, MD

Brett Neill, MD

Anand Rajpara, MD

A 50-year-old Hispanic woman presented with asymptomatic, progressive, brown hyperpigmentation involving the axillae, neck, upper back, and...
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Tips

Tips

Wound Healing on the Dorsal Hands: An Intrapatient Comparison of Primary Closure, Purse-String Closure, and Secondary Intention

Author:

Jayson Miedema, MD

Ling-Lun Bob Hsia, MD

Rajat Varma, MD

Nonmelanoma skin cancers are common on the dorsal hands where reserve tissue is limited. We highlight the case of an elderly man who had 3...
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For Residents

For Residents

USMLE Step 1 Changes: Dermatology Program Director Perspectives and Implications

Author:

J. Randall Patrinely Jr, MD, MBA

Danny Zakria, MD, MBA

Brian C. Drolet, MD

The changes to US Medical Licensing Examination (USMLE) Step 1 were met with mixed reactions from dermatology program directors.
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For Residents

Dermatoethics for Dermatology Residents

Author:

Margaret Maria Cocks, MD, PhD

Several resources for exploring ethical issues in dermatology are available and can be utilized to create a formal curriculum alongside the more...
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For Residents

Dermatopathology Etiquette 101

Author:

Lauren Skudalski, BA

Ashley Elsensohn, MD, MPH

Amanda Kraus, BS

Jacqueline M. Junkins-Hopkins, MD

Tammie C. Ferringer, MD

Eric Hossler, MD

The authors provide 10 tips in an effort to establish a code of conduct at the microscope.
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Dermpath Diagnosis

Dermpath Diagnosis

Atrophic Lesions in a Pregnant Woman

Author:

Santana D. VanDyke, MD

Darren J. Guffey, MD

Sam B. Wu, MD

Jeanne M. Young, MD

A 36-year-old pregnant woman presented with painful erythematous papules on the palms and fingers of 2 months’ duration. Similar lesions developed...
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Dx Across the Skin Color Spectrum

Dx Across the Skin Color Spectrum

Atopic Dermatitis

Author:

Candrice R. Heath, MD

Richard P. Usatine, MD

People of African descent have the highest atopic dermatitis prevalence and severity. This fact sheet outlines key clinical features in people...
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Case Letter

Case Letter

Argyria From a Topical Home Remedy

Author:

Ashley M. Reader, DO

Derek Dillon, DO

Christopher Halleman, DO

Argyria results from chronic exposure to products with a high silver content and may result in abnormalities of the skin and internal organs.
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Case Letter

Pigmented Basal Cell Carcinoma With Annular Leukoderma

Author:

Marcus L. Elias, MD

Radhika Srivastava, MD

Pooja Virmani, MD

Cindy Wassef, MD

The halo phenomenon may accompany malignant processes, such as nonmelanoma skin cancer. Careful consideration of lesion time course and atypia is...
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Case Letter

Wiping Away Cellulitis: A Case of Factitious Disorder

Author:

Allison L. Wang, MD

Danielle J. Lospinoso, DO

Melissa M. Mauskar, MD

Although dermoscopy is not used to diagnose cellulitis, it could be helpful in distinguishing cosmetic products used in dermatitis artefacta.
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Original Research

Original Research

Efficacy of Etanercept in the Treatment of Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis

Author:

Sean David Dreyer, MD

Juan Torres, MD

Marie Stoddard, MD

Erica Leavitt, MD

Adam Sutton, MD, MBA

Maria Aleshin, MD

Ashley Crew, MD

Scott Worswick, MD

This retrospective study compared the use of single-dose subcutaneous etanercept to intravenous immunoglobulin (IVIG) and supportive care alone...
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Original Research

Cutaneous Complications Associated With Intraosseous Access Placement

Author:

Emily Konopka, MD

Kirsten Webb, MD

Jeave Reserva, MD

Lauren Moy, MD

Hieu Ton-That, MD

Jodi Speiser, MD

Rebecca Tung, MD

Intraosseous (IO) access provides rapid vascular access for the delivery of fluids, drugs, and blood products in emergent situations. Bullae are...
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Table of Contents

Clinical Review

Clinical Review

Clinical Review

Case Reports

Case Reports

Case Reports

Commentary

Commentary

Commentary

Coding

Coding

Food for Thought

Food for Thought

Photo Challenge

Photo Challenge

Photo Challenge

Photo Challenge

Tips

Tips

For Residents

For Residents

For Residents

For Residents

Dermpath Diagnosis

Dermpath Diagnosis

Dx Across the Skin Color Spectrum

Dx Across the Skin Color Spectrum

Case Letter

Case Letter

Case Letter

Case Letter

Original Research

Original Research

Original Research