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    Dirk M. Elston, MD

    Article

    Asteraceae Dermatitis: Everyday Plants With Allergenic Potential

    Author:
    Carly E. Wallace, DO
    Dirk M. Elston, MD

    The Asteraceae (formerly Compositae) family of plants is the second largest family of flowering plants, accounting for 10% of all flowers as well...

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    Article

    Purpuric Lesions on the Leg

    Author:
    Pelin Sagut, MD, MSCR
    Emily Gaster, MD
    Dirk M. Elston, MD

    A 74-year-old woman who frequently traveled abroad presented to the dermatology department with retiform purpura of the lower leg along with...

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    Article

    Multiple Draining Sinus Tracts on the Thigh

    Author:
    Toan S. Bui, BS
    Dirk M. Elston, MD

    A 40-year-old woman presented with multiple draining sinus tracts on the right thigh following an injury sustained weeks earlier while mowing wet...

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    Article

    Erythema Nodosum Triggered by a Bite From a Copperhead Snake

    Author:
    Jack Newcomer, MD
    Chandler Jansen, MD
    Dirk M. Elston, MD

    Erythema nodosum (EN) can occur following snakebites from pit vipers such as the eastern copperhead.

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    Article

    Generalized Fixed Drug Eruptions Require Urgent Care: A Case Series

    Author:
    Catherine Shirer Barker, MD
    Dirk M. Elston, MD
    Katherine Lee, MD

    Although localized fixed drug eruption (FDE) is a relatively benign diagnosis, generalized bullous FDE requires urgent management and may...

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    Article

    Reticulated Brownish Erythema on the Lower Back

    Author:
    Diem-Phuong D. Dao, MD
    Dirk M. Elston, MD

    A 42-year-old woman presented with an asymptomatic, erythematous, lacelike rash on the lower back of 8 months’ duration that was first noticed by...

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    Article

    Aquatic Antagonists: Dermatologic Injuries From Sea Urchins (Echinoidea)

    Author:
    Caroline J. Brailsford, MD
    Dirk M. Elston, MD

    This article aims to bring awareness to the myriad complications from sea urchin injuries as well as the mechanisms for successful spine removal...

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    Article

    Pediculus humanus (louse), adult form.

    Dermatologic Care for Refugees: Effective Management of Scabies and Pediculosis

    Author:
    Alexis G. Strahan, MD, MSN
    Dirk M. Elston, MD

    Infestations and cutaneous infections are common among refugee populations, and impetigo often is a sign of underlying scabies infestation.

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    Article

    Immature fruit of the common fig tree.

    Botanical Briefs: Fig Phytophotodermatitis (Ficus carica)

    Author:
    Catherine Shirer Barker, MD
    Thomas W. McGovern, MD
    Dirk M. Elston, MD

    Exposure to the components of the common fig tree (Ficus carica) can induce phytophotodermatitis.

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    Article

    Asymptomatic erythematous plaque in an outdoorsman

    Asymptomatic Erythematous Plaque in an Outdoorsman

    Author:
    Catherine Shirer Barker, MD
    Dirk M. Elston, MD

    A middle-aged man presented with a well-demarcated, hyperpigmented, erythematous patch with an annular erythematous border that extended from the...

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    Article

    Lionfish (Pterois volitans)

    Aquatic Antagonists: Scorpionfish Envenomation

    Author:
    Shawn Afvari, BS
    Dirk M. Elston, MD

    This article discusses common features of scorpionfish as well as the clinical presentation and treatment options following exposure to its toxins...

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    Article

    Rhipicephalus ticks are brown and teardrop shaped with an inornate scutum. The hexagonal basis capitulum is a defining characteristic. The image is in the public domain.

    What’s Eating You? Rhipicephalus Ticks Revisited

    Author:
    Rebecca A. Brantley, BS
    Dirk M. Elston, MD

    Rhipicephalus ticks are vectors of a variety of diseases, including the rickettsial diseases Rocky Mountain spotted fever and...

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    Article

    Asymptomatic violaceous plaques on the back

    Asymptomatic Violaceous Plaques on the Face and Back

    Author:
    Ansley C. DeVore, MD
    Dirk M. Elston, MD

    A 35-year-old Black woman presented to dermatology as a new patient for evaluation of an asymptomatic rash that had enlarged and spread to involve...

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    Article

    Mature fruit of Toxicodendron rydbergii in winter.

    Botanical Briefs: Contact Dermatitis Induced by Western Poison Ivy (Toxicodendron rydbergii)

    Author:
    Shawn Afvari, BS
    Dirk M. Elston, MD
    Thomas W. McGovern, MD

    Western poison ivy (Toxicodendron rydbergii) accounts for many of the cases of Toxicodendron contact dermatitis (TCD) in the...

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    Article

    Cat flea (Ctenocephalides felis)

    What’s Eating You? Update on the Sticktight Flea (Echidnophaga gallinacea)

    Author:
    Penny Lane Huebsch, MS
    Dirk M. Elston, MD

    The sticktight flea serves as a vector for plague as a carrier of Yersinia pestis, rickettsial infections, and other diseases.

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