Nail education, plus oral treatment of hyperhidrosis, and gentamicin for epidermolysis bullosa

Thursday, May 16, 2019

In this episode, Dr. Vincent DeLeo talks to Dr. Shari Lipner about nail education gaps in the American Academy of Dermatology Basic Dermatology Curriculum. Although the curriculum is designed to introduce medical students to essential concepts in dermatology, nail-related topics such as diagnostic techniques, biopsy procedures, and skin cancers of the nail unit are inadequately covered. Dr. Lipner discusses strategies to close these gaps and improve nail education for medical students and dermatology residents. She also breaks down the mnemonic for identifying nail melanomas.

We also bring you the latest in dermatology news and research:

1. Gentamicin restores wound healing in hereditary epidermolysis bullosa.

2. Measles complications in the U.S. unchanged in posteradication era.

3. Dr. Adam Friedman outlines oral treatment options for hyperhidrosis.

Things you will learn in this episode:

  • A thorough full-body skin examination should include the skin, hair, and scalp, as well as the nails. Even while the patient is initially speaking, pay attention to the nails.
  • Many dermatology residents and attendings are not familiar with the ABCDEF nail melanoma mnemonic, which is more complex than the mnemonic for cutaneous melanoma.
  • There is a gap in educating dermatology residents on nail biopsies and surgical procedures.
  • Nail education can be improved by encouraging medical students and residents to be aware of the nails, get comfortable with the nails, and incorporate nails into the didactics during medical school and training. More lectures at national and local conferences and hands-on learning also are helpful.
  • “By understanding nails, both diagnosis and management, potentially we can improve patients' quality of life, and it can also be lifesaving in the case of malignancies.”

Hosts: Elizabeth Mechcatie; Terry Rudd; Vincent A. DeLeo, MD (Keck School of Medicine of University of Southern California, Los Angeles)

Guest: Shari R. Lipner, MD, PhD (Weill Cornell Medicine, New York, New York)

Show notes by Alicia Sonners, Melissa Sears, and Elizabeth Mechcatie.

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Twitter: @MDedgeDerm

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Podcast Participants

Vincent A. DeLeo, MD
Vincent A. DeLeo, MD, is from the Keck School of Medicine of the University of Southern California, Los Angeles, and the Icahn School of Medicine at Mount Sinai, New York, New York. He also is the editor in chief of Cutis and the author of more than 200 publications. He is a leading expert on contact dermatitis, sunscreens, and photosensitivity. Dr. DeLeo is a consultant for Estée Lauder.