Cutis最新文献

The purpose of this study was to determine the diagnostic efficacy of skin biopsies for detecting intravascular large B-cell lymphoma (IVBCL) at various body sites and to establish whether biopsies from hemangiomas yield higher diagnostic value. Postmortem 4-mm punch biopsies were collected from various anatomic sites of a patient with IVBCL, including random areas of the skin as well as targeted areas (hemangiomas). Each biopsy was evaluated to assess the degree and depth of IVBCL involvement. The primary study outcome measurement was the presence and extent of IVBCL involvement in skin biopsies. Involvement was graded on a scoring system that assessed IVBCL in vascular lumina and depth in the skin. Skin biopsy is a sensitive, cost-efficient method for IVBCL assessment, and optimizing biopsy strategies will improve diagnostic accuracy and subsequently patient outcomes.

Biting midges, commonly known as no-see-ums, are year-round pests found in Florida and the southeastern United States that cause disruption of outdoor activities and tourism. Despite their frustrating bites and impact on skin health, dermatology literature on no-see-ums is scarce. We present a case report and dermoscopic description of a no-see-um bite and review its management.

Use of cosmeceuticals such as vitamin E oil with at-home microneedling (MN) devices can lead to local and systemic complications. We report the case of a 44-year-old woman who developed a necrotic ulcer on the chin following self-treatment with vitamin E oil and an at-home MN device. Our case highlights a severe complication associated with an increasingly popular cosmetic practice for facial rejuvenation. It is important for dermatologists to be vigilant in correlating clinical history and recent cosmetic procedures with the histologic findings for timely diagnosis and treatment of unusual lesions on the face.

Operational risk management (ORM) is a structured decision-making process that is widely used in military operations to identify and mitigate risks. Specifically, ORM provides a framework to systematically evaluate potential complications, consider a patient's individual medical history and risk tolerance, and ensure both the surgeon and patient understand the possible outcomes and contingency plans. In this article, we propose incorporating ORM-based techniques into patient counseling, in which potential risks are presented in a clear structured format with options discussed transparently to foster shared decision-making.

Atopic dermatitis (AD) is recognized in clinical practice as a condition that increases a patient's susceptibility to molluscum contagiosum (MC) and predisposes them to more widespread infection; however, data remain limited. To clarify the relationship between MC and AD in children, a retrospective study was conducted analyzing medical records of pediatric patients diagnosed with MC, AD, or both between September 2013 and August 2022. Collected data included demographics, clinical manifestations, and disease duration. The findings highlight a strong correlation between MC and AD in children, underscoring the need for health care professionals to acknowledge this relationship and implement proactive strategies to optimize patient care.

As the health care landscape continues to shift, direct care (also known as direct pay) models have emerged as attractive alternatives to traditional insurance-based practice. For dermatology residents poised to enter the workforce, the direct care model offers potential advantages in autonomy, patient relationships, and work-life balance, but not without considerable risks and operational challenges. This article explores the key benefits and drawbacks of starting a direct care dermatology practice, providing a framework to help early-career dermatologists determine whether this path aligns with their personal and professional goals.