Pub Date : 2023-09-01DOI: 10.1097/jdn.0000000000000755
Madison K. Cook, Brianna R. De Souza, Marianne E. Gosch, Dongfang Yu, Rita O. Pichardo
Introduction Classic treatment options for patients with alopecia areata (AA) include intralesional and topical steroids as well as oral immunotherapy. Although these options can be effective for some patients, topical therapies are often inconvenient, and there can be many side effects with oral medications. Platelet-rich plasma (PRP) is an autologous preparation of concentrated platelets that is an emerging therapy for various conditions such as chronic nonhealing wounds, muscle injuries, and, more recently, hair loss. Case Presentation A 71-year-old woman with diffuse hair loss diagnosed previously as AA presented to our clinic after nonresponse to topical steroids and adverse events with topical minoxidil use. At our clinic, the patient underwent three treatments with PRP injections. Total hair regrowth without relapse was noted 6 months after treatment cessation. Discussion/Conclusion Our case illustrates a situation in which PRP served as an effective, rapid, and safe treatment option in a patient with AA who was unresponsive to previous standard therapies and feared side effects of oral medications.
{"title":"Use of Platelet-Rich Plasma in the Management of Alopecia Areata","authors":"Madison K. Cook, Brianna R. De Souza, Marianne E. Gosch, Dongfang Yu, Rita O. Pichardo","doi":"10.1097/jdn.0000000000000755","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000755","url":null,"abstract":"Introduction Classic treatment options for patients with alopecia areata (AA) include intralesional and topical steroids as well as oral immunotherapy. Although these options can be effective for some patients, topical therapies are often inconvenient, and there can be many side effects with oral medications. Platelet-rich plasma (PRP) is an autologous preparation of concentrated platelets that is an emerging therapy for various conditions such as chronic nonhealing wounds, muscle injuries, and, more recently, hair loss. Case Presentation A 71-year-old woman with diffuse hair loss diagnosed previously as AA presented to our clinic after nonresponse to topical steroids and adverse events with topical minoxidil use. At our clinic, the patient underwent three treatments with PRP injections. Total hair regrowth without relapse was noted 6 months after treatment cessation. Discussion/Conclusion Our case illustrates a situation in which PRP served as an effective, rapid, and safe treatment option in a patient with AA who was unresponsive to previous standard therapies and feared side effects of oral medications.","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135588535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Back to Basics: Lentigo Maligna","authors":"","doi":"10.1097/jdn.0000000000000761","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000761","url":null,"abstract":"Journal of the Dermatology Nurses’ Association 15(5):p E8, 9/10 2023. | DOI: 10.1097/JDN.0000000000000761","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135588530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tips and Tricks: Erratum","authors":"","doi":"10.1097/jdn.0000000000000762","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000762","url":null,"abstract":"Journal of the Dermatology Nurses’ Association 15(5):p 247, 9/10 2023. | DOI: 10.1097/JDN.0000000000000762","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135588533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Daydreaming About Dermatology Nursing, Among Other Things","authors":"Angela L. Borger","doi":"10.1097/jdn.0000000000000760","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000760","url":null,"abstract":"Journal of the Dermatology Nurses’ Association 15(5):p 225-226, 9/10 2023. | DOI: 10.1097/JDN.0000000000000760","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135588534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.1097/jdn.0000000000000757
Yen Luu, Joseph Han, Shehla Admani
ABSTRACT Rapid changes in size and color at the site of a preexisting nevus may be concerning to both patients and medical providers. Distinguishment of benign versus malignant changes may be difficult, especially when there is concern for malignancy and in cases of nonspecific clinical presentation. The current case illustrates a common cause of yellowish-tan papules and plaques. This case also highlights clinical methods to distinguish this condition from similarly appearing presentations, as recognition and appropriate treatment of this condition using noninvasive techniques may prevent further invasive workup.
{"title":"Evaluation of a Yellowish-Tan Plaque Surrounding a Preexisting Nevus","authors":"Yen Luu, Joseph Han, Shehla Admani","doi":"10.1097/jdn.0000000000000757","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000757","url":null,"abstract":"ABSTRACT Rapid changes in size and color at the site of a preexisting nevus may be concerning to both patients and medical providers. Distinguishment of benign versus malignant changes may be difficult, especially when there is concern for malignancy and in cases of nonspecific clinical presentation. The current case illustrates a common cause of yellowish-tan papules and plaques. This case also highlights clinical methods to distinguish this condition from similarly appearing presentations, as recognition and appropriate treatment of this condition using noninvasive techniques may prevent further invasive workup.","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135588531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.1097/jdn.0000000000000758
Janice Schwartz, Sylvana Brickley
Janice Schwartz, BA, Pachyonychia Congenita Project, Executive Director, Holladay, UT. Sylvana Brickley, DNP, FNP-BC, DCNP, Lahey Health System Inc., Beth Israel Lahey Health, Burlington, MA. The authors declare no conflict of interest. Correspondence concerning this article should be addressed to Sylvana Brickley, DNP, FNP-BC, DCNP, Lahey Health System Inc., Beth Israel Lahey Health, 67 S Bedford St #100e Burlington, MA 01803. E-mail: [email protected]
贾尼斯·施瓦茨，文学学士，原厚甲动物项目，执行董事，Holladay, UT。Sylvana Brickley, DNP, FNP-BC, DCNP, Lahey Health System Inc.， Beth Israel Lahey Health, Burlington, MA。作者声明无利益冲突。有关本文的信件应发送给Sylvana Brickley, DNP, FNP-BC, DCNP, Lahey Health System Inc.， Beth Israel Lahey Health, 67 S Bedford St #100e Burlington, MA 01803。邮箱:[email protected]
{"title":"Patient Perspectives Column","authors":"Janice Schwartz, Sylvana Brickley","doi":"10.1097/jdn.0000000000000758","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000758","url":null,"abstract":"Janice Schwartz, BA, Pachyonychia Congenita Project, Executive Director, Holladay, UT. Sylvana Brickley, DNP, FNP-BC, DCNP, Lahey Health System Inc., Beth Israel Lahey Health, Burlington, MA. The authors declare no conflict of interest. Correspondence concerning this article should be addressed to Sylvana Brickley, DNP, FNP-BC, DCNP, Lahey Health System Inc., Beth Israel Lahey Health, 67 S Bedford St #100e Burlington, MA 01803. E-mail: [email protected]","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135588538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.1097/jdn.0000000000000756
Owen B. Ivan, Chelsea Mockbee, Robert T. Brodell, Vinayak K. Nahar
ABSTRACT Dermatological medical services were provided via a telehealth platform for a patient with a history of skin cancer and complaints of a new lesion growing over 3 months that bled intermittently.
{"title":"Amelanotic Melanoma Presents as Nonhealing Wound Near Port Site","authors":"Owen B. Ivan, Chelsea Mockbee, Robert T. Brodell, Vinayak K. Nahar","doi":"10.1097/jdn.0000000000000756","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000756","url":null,"abstract":"ABSTRACT Dermatological medical services were provided via a telehealth platform for a patient with a history of skin cancer and complaints of a new lesion growing over 3 months that bled intermittently.","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135588539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dermatology Patient Support Groups","authors":"","doi":"10.1097/01.jdn.0000989976.89276.8f","DOIUrl":"https://doi.org/10.1097/01.jdn.0000989976.89276.8f","url":null,"abstract":"Journal of the Dermatology Nurses’ Association 15(5):p 248-255, 9/10 2023. | DOI: 10.1097/01.JDN.0000989976.89276.8f","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135588536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-24DOI: 10.1097/jdn.0000000000000753
Kabir Quazi Al-Tariq
ABSTRACT Lentigo maligna (LM) is a melanocytic neoplasm that occurs on chronically sun-exposed skin commonly affecting middle-aged and elderly patients, which can progress to LM melanoma if left untreated or misdiagnosed. LM can be confused with other dermatologic conditions such as pigmented actinic keratosis, solar lentigo, and seborrheic keratosis. Therefore, clinicians should know the various clinical features that can distinguish LM from other differential diagnoses. Although multiple treatment modalities exist for LM, surgical excision remains the gold standard for the treatment of LM and results in an excellent prognosis for treated patients. This article discusses the pathogenesis, diagnosis, and treatment of LM so that dermatology nurses are better prepared to care for patients with LM.
{"title":"Back to Basics","authors":"Kabir Quazi Al-Tariq","doi":"10.1097/jdn.0000000000000753","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000753","url":null,"abstract":"ABSTRACT Lentigo maligna (LM) is a melanocytic neoplasm that occurs on chronically sun-exposed skin commonly affecting middle-aged and elderly patients, which can progress to LM melanoma if left untreated or misdiagnosed. LM can be confused with other dermatologic conditions such as pigmented actinic keratosis, solar lentigo, and seborrheic keratosis. Therefore, clinicians should know the various clinical features that can distinguish LM from other differential diagnoses. Although multiple treatment modalities exist for LM, surgical excision remains the gold standard for the treatment of LM and results in an excellent prognosis for treated patients. This article discusses the pathogenesis, diagnosis, and treatment of LM so that dermatology nurses are better prepared to care for patients with LM.","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135472531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.1097/jdn.0000000000000752
{"title":"Skin Cancer Back to the Basics: Dermatofibrosarcoma Protuberans","authors":"","doi":"10.1097/jdn.0000000000000752","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000752","url":null,"abstract":"","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80416305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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