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1.
J Drugs Dermatol ; 21(1): 96-99, 2022 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-35005864

RESUMO

Dermatologists are in a unique position to help transgender and non-binary individuals achieve an appearance that corresponds to their identity. Minimally invasive procedures for gender affirmation are relatively safe and customizable, providing an increasingly favorable treatment niche for these patients.1-4.


Assuntos
Dermatologia , Pessoas Transgênero , Estética , Identidade de Gênero , Humanos , Idioma
3.
Int J Dermatol ; 61(1): 48-53, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34242397

RESUMO

BACKGROUND: Dermatology consultation has been shown to have a significant beneficial impact on admitted hospital patients with concurrent or newly diagnosed skin conditions. This study aimed to determine the change in diagnosis and management after dermatology consultation in a tertiary Australian referral hospital. METHODS: A retrospective analysis of dermatology consultations for hospital inpatients from June 1, 2018, through November 11, 2019, was performed. Demographic and clinical data were extracted from electronic medical records, and a chi-squared test was used to analyze categorical variables. RESULTS: There were 306 consultations during the period of interest. The male to female ratio was 1:1 with a median age of 63. Consultations were most often requested by medical teams (69%), and the majority of patients seen in the emergency department were discharged home (86%). In 44% of cases, the requesting team did not provide a diagnosis; in the cases where it did provide a diagnosis, it was changed 57.9% of the time. The most commonly misdiagnosed conditions were dermatitis and skin infections. Dermatologists established or changed management in 82% of cases, and a total of 676 suggestions were made for management. CONCLUSION: The results of this review reinforce the value of dermatology input in the diagnosis and management of hospital in patients. Ensuring maintained presence of hospital-based dermatologists has the potential to improve diagnosis and management of cutaneous issues early on; by extension, this can minimize unnecessary investigations, improve the quality of healthcare, reduce hospital burden, and facilitate outpatient follow-up.


Assuntos
Dermatologia , Dermatopatias , Austrália , Feminino , Humanos , Pacientes Internados , Masculino , Encaminhamento e Consulta , Estudos Retrospectivos , Dermatopatias/diagnóstico , Dermatopatias/terapia , Centros de Atenção Terciária
8.
J Cosmet Dermatol ; 21(1): 3, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34957681
9.
Dermatol Clin ; 40(1): 1-8, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34799030

RESUMO

Clinical genetic testing enables the detection of specific gene mutations and variants that predispose individuals and their family members to disease. In recent years, tremendous strides have been made in the variety of clinically useful tests. Targeted testing for specific mutations that cause well-known syndromes enables the efficient diagnosis of genetic diseases with cutaneous manifestations. Testing for specific genes, however, may not always reveal a diagnosis. Expanded options are available. This review outlines the major types of available technology with a focus on those tests most useful for pediatric dermatologists.


Assuntos
Dermatologia , Criança , Testes Genéticos , Humanos , Mutação
10.
Dermatol Clin ; 40(1): 103-108, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34799031

RESUMO

Language is used to convey thought, but it also influences thought and perception, in turn affecting health care delivery. In this review, we seek to highlight ways in which dermatologists can incorporate inclusive language into practice. By using patient-centered and patient-affirming language, avoiding labels, and naming medical conditions with terminology rooted in pathophysiology rather than outmoded, racist convention or eponyms, dermatologists can strengthen therapeutic relationships and improve patient care.


Assuntos
Dermatologia , Dermatologistas , Humanos , Idioma
11.
Dermatol Clin ; 40(1): 25-36, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34799033

RESUMO

Patients are commonly referred to pediatric dermatology for the evaluation of pigmented lesions. For families, pediatricians, and dermatologists alike, malignancy is the main fear. In the past few decades, there has been evolving literature to inform diagnosis and management. This article provides an update on the clinical, histopathologic, and ancillary testing for 3 categories of particularly challenging pigmented lesions: congenital melanocytic nevi, spitzoid neoplasms, and pediatric melanoma.


Assuntos
Dermatologia , Melanoma , Nevo de Células Epitelioides e Fusiformes , Neoplasias Cutâneas , Criança , Diagnóstico Diferencial , Humanos , Melanoma/diagnóstico , Nevo de Células Epitelioides e Fusiformes/diagnóstico , Neoplasias Cutâneas/diagnóstico
12.
Dermatol Clin ; 40(1): 73-81, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34799037

RESUMO

The understanding of melanocytes is fundamental to the study of dermatology. These dendritic cells underly the most feared primary cutaneous malignancy, fuel escalating progress in immunotherapy strategies, and invariably underlie entire socioeconomic constructs consciously or unconsciously based on skin tone. Various ethno-genotypes combine with increasing frequency over time, increasing the diversity of skin types that may present with dermatologic diagnoses. Understanding the biology of a variety of skin tones and ethnic practices congruent with distribution of skin tone is invaluable to any physician who wishes to practice efficient and expert care, especially to pediatric patients of this category.


Assuntos
Dermatologia , Neoplasias , Dermatopatias , Criança , Humanos , Pele , Dermatopatias/terapia , Pigmentação da Pele
13.
Dermatol Clin ; 40(1): 83-93, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34799038

RESUMO

Many dermatologic conditions common in the pediatric population may have unique presentations in skin of color or occur with greater incidence. This may be due to ethnic origin, socioeconomic factors, or other influences. Awareness of the potential variations in skin of color may enhance prompt diagnosis, appropriate treatment, and/or reassurance as indicated.


Assuntos
Dermatologia , Dermatopatias , Criança , Humanos , Pele , Dermatopatias/epidemiologia , Pigmentação da Pele
14.
Dermatol Clin ; 40(1): 95-102, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34799040

RESUMO

Pediatric dermatology is an incredibly rewarding field. Children are resilient and funny and just want to know that you are advocating for their best interests. Teaming up with children and their parents can lead to fantastic therapeutic alliances and success. The author has divided this chapter based on a handful of common pediatric dermatologic diseases and what he sees as some of the main clinical and therapeutic tips and tricks that have helped him in his practice.


Assuntos
Dermatologia , Dermatopatias , Criança , Humanos , Dermatopatias/terapia
15.
Clin Dermatol ; 39(6): 1032-1038, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34920821

RESUMO

Underrepresented in medicine (URiM) are individuals from racial and ethnic populations that are underrepresented in the medical field relative to their numbers in the general population. International medical graduates (IMGs) compose a significant percentage of URiM individuals, with a meaningful role in the current US health care workforce. Currently, there is limited data on IMGs in dermatology. In this paper, we wish to showcase reliable data about the IMG pool and highlight their value in diversifying dermatology in order to better serve our patients and provide culturally competent care.


Assuntos
Dermatologia , Humanos
16.
Clin Dermatol ; 39(6): 1025-1031, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34920820

RESUMO

Although a dermatology residency is associated with a favorable lifestyle, nearly one in three budding dermatologists meet the criteria for burnout. The competitive nature of dermatology residency selection may confer a predisposition to burnout. Contributing factors during residency include a high-volume clinical experience and frequent use of electronic health records. Women may face particular pressures in managing work-life balance when starting a family during dermatology residency. In addition to preventing burnout before residency, fears of professional repercussions should be alleviated to ensure resident well-being. We have focusedW focus on the causes of burnout among dermatology residents and suggest solutions to promote wellness.


Assuntos
Dermatologia , Internato e Residência , Humanos
17.
Clin Dermatol ; 39(6): 1039-1045, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34920822

RESUMO

Dermatology is one of the most competitive specialties to match into and continually draws high-achieving medical students. According to National Residency Match Program data, applicants reported an increasing number of total research products throughout the past decade. To better contextualize this trajectory, our study investigates the specific types of research items underlying this trend and the impact of applicant-specific and program-specific factors on research output. Names of matched dermatology applicants from 2009, 2011, 2014, 2016, and 2018 were collected and searched on PubMed and Google Scholar to analyze research output. Applicants were further stratified by sex, PhD status, medical school attended, geography of matched program, domestic/international status, and whether they had a home dermatology program. Matched applicants reported a mean of 7.6 research products per applicant in 2018 and, of those products, had a mean of 2.55 peer-reviewed publications per applicant. This discrepancy was observed in other years. Matched applicants from the top 20 schools and applicants from men had a significantly higher mean of peer-reviewed publications. We observed that research volume did not impact an applicant's likelihood of matching to his/her home institution. The upward trend in total research products may be misleading, because applicants increasingly resort to nonindexed research (eg, abstracts, presentations, chapters) to be competitive for dermatology residency. We also observed preliminary evidence of certain applicant-specific factors (eg, attending a top 20 medical school, sex) correlating to increased applicant publications. There is a need for a more stringent and holistic method of evaluating applicant research.


Assuntos
Dermatologia , Internato e Residência , Medicina , Feminino , Humanos , Masculino , Faculdades de Medicina
18.
Clin Dermatol ; 39(6): 985-989, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34920835

RESUMO

The terrorist attacks on September 11, 2001, caused a significant loss of life and resulted in injuries, plus other health issues that continue to plague many survivors and responders to this day. With the 20th anniversary of this tragedy approaching, this contribution looks at the dermatologic injuries suffered on the day of the attacks, including burns and lacerations, along with the chronic skin conditions that have afflicted survivors and responders during the nearly two decades since. These chronic illnesses include sarcoidosis, autoimmune disease, ill-defined skin lesions and irritation, nonmelanoma skin cancer, and melanoma. We also recognize the heroism of first responders who struggled to save the lives of those injured at the World Trade Center and the Pentagon, many of whom have suffered health consequences that continue to have lasting effects on them and on the people they treated.


Assuntos
Dermatologia , Drama , Terrorismo , Humanos , Sobreviventes
19.
Clin Dermatol ; 39(6): 996-1004, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34920837

RESUMO

Insufficient sleep duration and quality are associated with various adverse health outcomes. Whereas sleep disorders have been studied in a few skin conditions, data in a more comprehensive dermatology population are lacking. We sought to describe the prevalence, causes, and consequences of sleep disorders in dermatology patients. In this cross-sectional, single-center study, dermatology patients completed a questionnaire addressing skin-related and non-skin-related health, sleep behavior, causes, and consequences of sleep disorders. According to the Regensburg Insomnia Scale, 27.92% of the 634 participants had insomnia (177 of 634 patients). Of these 177 patients, 115 (64.97%) were subjectively sleep disturbed, with skin-related causes accounting for 55.65% (64 of 115 patients), non-skin-related accounting for 33.04% (38 of 115 patients), and combined accounting for 11.30% (13 of 115 patients). Itch was the leading cause of skin-related sleep disorders (64.49%, 50 of 77 patients), followed by skin-related pain (55.84%, 43 of 77 patients) and skin-related fearful thoughts (54.55%, 42 of 77 patients). Sleep disorders reduced daytime performance in 68.70% (79 of 115 patients) and sleep quality of relatives in 20.87% (24 of 115 patients). The prevalence of insomnia among different diagnostic categories ranged from 20.31% to 50.00%. The most common strategy to improve sleep was taking sleep medication (57.39%, 66 of 115 patients). We conclude that sleep disorders are highly prevalent in dermatology patients, often leading to reduced daytime performance, impaired sleep among the patients' relatives, and increased use of substances.


Assuntos
Dermatologia , Distúrbios do Início e da Manutenção do Sono , Estudos Transversais , Humanos , Distúrbios do Início e da Manutenção do Sono/epidemiologia , Distúrbios do Início e da Manutenção do Sono/etiologia , Inquéritos e Questionários
20.
Pediatr Dermatol ; 38(6): 1604-1605, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34931353

RESUMO

We sought to analyze the existence of skin of color (SOC)-related literature in Pediatric Dermatology. To do so, we applied criteria developed by Wilson et al (Assessment of skin of color and diversity and inclusion content of dermatologic published literature: an analysis and call to action. Int J Women Dermatol. 2021;15:26) to categorize SOC articles. We found that Pediatric Dermatology published 28.4% SOC articles in the last three years, higher than the average (16.8%) found across surveyed dermatology journals. Our findings demonstrate opportunity for improvement through the implementation of keyword standardization and continued prioritization of SOC-related content.


Assuntos
Dermatologia , Criança , Humanos , Pigmentação da Pele
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