Cutis最新文献

Vitamin C deficiency can occur in industrialized nations in at-risk populations, such as those with a history of smoking, alcohol use, restrictive diet, poor oral intake, psychiatric disorders, dementia, bone marrow transplantation, gastroesophageal reflux disease, or end-stage renal disease. In this case series, we present 4 hospitalized patients with thrombocytopenia and a range of risk factors for micronutrient deficiency who were diagnosed with scurvy.

Residents and fellows face intense demands on their time and finances, where resilience is more realistic than perfect balance. Moonlighting can provide extra income and valuable clinical experience but must be weighed against core training commitments, program policies, and other factors such as office availability, staffing, overhead costs, patient demand, and no-show rates. This article outlines some key factors to consider when embarking on such a decision, including the effects of moonlighting on other commitments and logistics to consider.

Mohs micrographic surgery (MMS) is the gold standard for excising cutaneous tumors. Patients undergoing MMS may experience anxiety about local anesthesia or due to the functionally or cosmetically sensitive locations being treated. With the growing emphasis on value-based health care, patient satisfaction may begin to play an increasingly important role in physician reimbursements. We conducted a systematic review to evaluate the impact of patient education, communication, and anxiety-reduction methods on patient satisfaction and quality of life (QOL) associated with MMS. Increased patient satisfaction and QOL in MMS have been demonstrated through use of various perioperative measures to educate, communicate, and reduce anxiety. Awareness and implementation of these strategies may foster better patient-provider relationships and improved patient satisfaction.

Online resources that are convenient and affordable play a crucial role in mitigating health inequality and improving patient access to health care information. In this study, we aimed to assess and compare the quality of patient guidance on dermatologic care generated by ChatGPT vs Reddit. Dermatologists should be aware of the potential risks associated with patients obtaining medical advice from online sources and be prepared to caution and educate patients on how to use them effectively.

While conservative methods such as compression dressings for managing seromas initially can be effective, some may require interventional strategies. Management should be guided by the size and duration of the seroma as well as the presence of fibrosis to ensure optimal outcomes and minimize patient discomfort. We outline the management strategies for primary, recurrent, and late-stage seromas occurring after the placement of split- and full-thickness skin grafts in dermatologic surgery.

Sarcoptes scabiei is an infectious parasite that causes scabies in more than 100 mammalian species. The host immune response to scabies infestation involves both the innate and adaptive immune responses, making it a potential candidate for a preventive vaccine. In this article, we provide an overview of S scabiei as well as the host immune response to scabies infestations and the potential of new scabies vaccines.

Basal cell carcinoma (BCC) is the most common cancer in the world, and its incidence continues to rise. Known risk factors for BCC include chronic UV exposure, advanced age, and genetic predisposition. A large majority of BCC cases have an altered Hedgehog (Hh) signaling pathway. When a large BCC develops on the face, it can pose unique treatment challenges due to functional and cosmetic considerations-even with Mohs micrographic surgery (MMS). Traditional treatment options may be limited, prompting the use of targeted therapies such as vismodegib for unresectable cases. Vismodegib, an Hh inhibitor, is approved by the US Food and Drug Administration for treatment of locally advanced or metastatic BCC. This case report details the successful management of a large BCC on the nose of an elderly patient using vismodegib.