May 2024, Volume 113, Issue Number 5

Photo Challenge

Photo Challenge

Chronic Cribriform Ulcerated Plaque on the Left Calf

Author:

Christos Dimitris Zouzias, MD, MBA

Kristyna Lee, MD, MPH

Arlene Rogachefsky, MD

A 61-year-old man presented to the dermatology clinic for evaluation of a painless nonhealing wound on the left calf of 4 years’ duration. The...
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Photo Challenge

Purpuric Eruption in a Patient With Hairy Cell Leukemia

Author:

Ashley N. Gray, MD

Daniel Flood, MD

Abraham M. Korman, MD

A 68-year-old woman presented to the emergency department with neutropenic fever and a rash over the body after receiving 2 doses of cladribine...
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Photo Challenge

Transient Symmetric Blanching Macules on a Background of Reticulate Erythema

Author:

Mishma Farsi, BS

Taylor Gray, DO

Kelly Segars, DO

An 11-year-old girl was referred to the dermatology clinic for evaluation of a rash on the legs and feet of 1 year’s duration. The rash appeared...
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Commentary

Commentary

Sunscreen Safety: 2024 Updates

Author:

Brandon L. Adler, MD

This article serves as an update on some of the big sunscreen questions, as informed by the available evidence.
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Commentary

Comment on “Skin Cancer Screening: The Paradox of Melanoma and Improved All-Cause Mortality”

Author:

Jennifer H. Goldwasser, MD

I was unsurprised and gratified by the information presented in the Viewpoint on skin cancer screening by Ngo¹ (Cutis. 2024;113:...
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Case Reports

Case Reports

The Clinical Utility of Teledermatology in Triaging and Diagnosing Skin Malignancies: Case Series

Author:

Kimberly A. Sable, MD

Sarah A. Korger, MD

Yaohui G. Xu, MD, PhD

Daniel D. Bennett, MD

Molly A. Hinshaw, MD

Anne E. Rosin, MD

Teledermatology via store-and-forward technology has been demonstrated to be effective in assessing and triaging various cutaneous malignancies....
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Original Research

Original Research

Recurrence Rates of Mohs Micrographic Surgery vs Radiation Therapy for Basal Cell Carcinoma of the Ear

Author:

Stephanie Clements, MD

George M. Jeha, MD

Prabhakar Tripuraneni, MD

Benjamin Kelley, MD

Hubert Greenway Jr, MD

Although Mohs micrographic surgery remains the gold standard for treating basal cell carcinoma of the ear, radiation therapy can be considered as...
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Original Research

Impact of the COVID-19 Pandemic on Care for Patients With Skin Cancer

Author:

Brandon Smith, BA

Priya Engel, MPH

Sogol Stephanie Javadi, BS

Alexander Egeberg, MD, PhD, DMSc

Jashin J. Wu, MD

We explored the impact of the COVID-19 pandemic on care for patients with skin cancer in a large US population.
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Clinical Review

Clinical Review

An Update on Cutaneous Angiosarcoma Diagnosis and Treatment

Author:

Elizabeth Richards, MD

Joshua Schimmel, MD

Michael Renzi, MD

Naomi Lawrence, MD

Dermatologists should be aware of challenges in diagnosing cutaneous angiosarcoma (CAS) due to its clinical similarity to benign entities such as...
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Clinical Review

Exploring Skin Pigmentation Adaptation: A Systematic Review on the Vitamin D Adaptation Hypothesis

Author:

Kyra Diehl, BS

Elise Krippaehne, BS

Marine Minasyan, BS

Marian Banh, BA

Sara Yumeen, MD

Fatima N. Mirza, MD, MPH

Karim Hajjar, BS

Justin Ng, BS

Nejma Wais, BS

Anabel Goulding, BA

Ivin Yu, BS

Marissa D. Tran, BS

Akber Sheikh, BA

Cassandra Lai, BS

Niyati Panchal, BS

Alice Kesler, BA

Shelbie Serad, MPH

Justice Brown

Ariya Lippincott

Guixing Wei, PhD

Terrence Vance, PhD

Oliver J. Wisco, DO

Adaptations in genetics of skin pigmentation and vitamin D metabolism due to anthropologic patterns of migration to northern latitudes may help...
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Clinical Review

Recalcitrant Folliculitis Decalvans Treatment Outcomes With Biologics and Small Molecule Inhibitors

Author:

Tamara Fakhoury, DO

Katelyn Urban, DO

Leila Ettefagh, MD

Navid Nami, DO

Tumor necrosis factor inhibitors, Janus kinase inhibitors, phosphodiesterase 4 inhibitors, and monoclonal antibodies have shown success in the...
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Military Dermatology

Military Dermatology

The Burden of Skin Cancer in the Military Health System, 2017-2022

Author:

Kathleen R. Krivda, MD

Nora L. Watson, PhD

Willis H. Lyford, MD

Nicholas F. Logemann, DO

This study evaluated the burden of skin cancer within the Military Health System (MHS), as demonstrated by the period prevalence of skin cancer...
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Practical Pearls

Practical Pearls

A Structured Approach for the Management of Orodynia (Burning Mouth Syndrome)

Author:

Dane J. Markham, BS

Taylor S. Davis, BS

Max E. Oscherwitz, BS

Joseph L. Jorizzo, MD

Currently, there is no clear protocol for managing orodynia. We propose a systematic approach that aims to exclude common potential causes and...
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Coding

Coding

Understanding the Evaluation and Management Add-on Complexity Code

Author:

Alexandra Flamm, MD

The add-on code G2211 went into effect on January 1, 2024, and can be applied to outpatient evaluation and management visits that fulfill certain...
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Dermpath Diagnosis

Dermpath Diagnosis

Multiple Asymptomatic Dome-Shaped Papules on the Scalp

Author:

Guy Charest, DO

Aditi Chandra, DO

Iman Salem, MD

Robert E. LeBlanc, MD

Carsten R. Hamann, MD, PhD

A 62-year-old man with a history of cylindromas presented to our clinic with multiple asymptomatic, 3- to 4-mm, nonmobile, dome-shaped,...
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Case Letter

Case Letter

Early Treatment of Lyme Disease Prompted by Histopathologic Analysis of the Abdomen of an Engorged Tick

Author:

Karlyn Pollack, MD

Erica Mark, MD

Mary-Margaret B. Noland, MD

The authors present a case of Lyme disease that was discovered during a routine dermatologic visit.
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Case Letter

Growing Periumbilical Plaque: A Case of Perforating Calcific Elastosis

Author:

Courtney Kromer, MD, MS

Emily Sedaghat, MD

Harry Winfield, MD

Dermatologists should be aware of the importance of clinically differentiating PCE from pseudoxanthoma elasticum to prevent extensive workup,...
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Case Letter

Reactive Granulomatous Dermatitis: Variability of the Predominant Inflammatory Cell Type

Author:

Maryam Aghighi, MD

Noel Turner, MD

Carolyn Carroll, MD

Christine J. Ko, MD

Reactive granulomatous dermatitis can have a variable infiltrate that includes neutrophils, histiocytes, and/or eosinophils.
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Case Letter

Hypopigmented Cutaneous Langerhans Cell Histiocytosis in a Hispanic Infant

Author:

Anny Xiao, DO

Wonwoo Shon, DO

Dermatologists should be aware of the hypopigmented variant of cutaneous Langerhans cell histiocytosis, which has been reported exclusively in...
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For Residents

For Residents

Surgical Pearls and Wellness Tips From the American Academy of Dermatology Annual Meeting

Author:

George M. Jeha, MD

At the 2024 American Academy of Dermatology annual meeting in San Diego, California, attendees explored the latest advancements in clinical and...
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Environmental Dermatology

Environmental Dermatology

Aquatic Antagonists: Seaweed Dermatitis (Lyngbya majuscula)

Author:

Kathleen L. Hill, MD

Haley M. Fulton, MD

Thomas W. McGovern, MD

As oceans warm, Lyngbya majuscula will bloom more frequently; therefore, public awareness of L majuscula and seaweed dermatitis...
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Table of Contents

Photo Challenge

Photo Challenge

Photo Challenge

Photo Challenge

Commentary

Commentary

Commentary

Case Reports

Case Reports

Original Research

Original Research

Original Research

Clinical Review

Clinical Review

Clinical Review

Clinical Review

Military Dermatology

Military Dermatology

Practical Pearls

Practical Pearls

Coding

Coding

Dermpath Diagnosis

Dermpath Diagnosis

Case Letter

Case Letter

Case Letter

Case Letter

Case Letter

For Residents

For Residents

Environmental Dermatology

Environmental Dermatology