Year In Review: Clinical Pearls
Ted Rosen, MD; James Treat, MD; Matthew Zirwas, MD
What’s new in dermatology? Here are some important clinical pearls that may help you in clinical practice…
- Younger patients with NMSC and melanoma at increased risk internal cancer
- Women with GU malignancies at increased risk of SCCA of the skin
- Four cups of coffee may contain enough caffeine to lower risk of new BCC in patient with prior occurrence of BCC
- Sildenafil use increases risk of melanoma?
- Freshwater injury: wound not improving with antibiotics, think algae!
- Acne: leads to stress, fatigue and reduced sexual activity
- Spironolactoneis an effective “add on” to retinoid in adult women with acne
- Dapsone gel reported to lead to methemoglobinemia (blue fingers, toes, lips, SOB): rare but serious potential adverse effect
- Adalimumab: acne conglobata (and hidradenitis supprativa)
- Lindioil (extract of Indigo naturalis plant) may help psoriatic nail dystrophy; AVAILABLE AT:
- Vitamin D3 at high dose (~4000IU daily) may help refractory chronic idiopathic urticarial
- AFTER successful repigmentation of vitiligo: maintain on topical tacrolimus 0.1% BIW
- Vitiligo may be associated with auditory dysfunction
- Weekend only dosing of cyclosporine can be used as long term maintenance therapy in some atopics
- Oral Glucosamine increases efficacy of cyclosporine without increasing side effects, allowing lower doses to be effective
- Oral magnesium is worth trying in patients with difficult to control Hailey-Hailey
- Simvastatin helps venous stasis ulcers to heal
- Antihistamines make isotretinoin work better
- Nitroglycerin works for chondrodermatitis Nodularis Helicis
- It may be possible to prevent atopic dermatitis with emolliation started before 3 weeks of age
- Tonsillectomy should be considered in children with severe psoriasis that correlates with GRoup A Streptococcal infection
- Topical timolol can be very effective for early superficial hemangiomas.
