Physician assistants (PAs) are licensed to evaluate, diagnose, and treat dermatologic skin conditions. Data show that medical students have less than optimal dermatology diagnostic abilities. Although no known data exists for PA students, similar medical school and PA school training methods highlight a need for improved dermatology education in medical and PA programs. This project explored the use of perceptual and adaptive learning modules (PALMs) that target pattern recognition skills with PA students to hopefully improve PA knowledge of dermatology concepts.
{"title":"Evaluating the Use of Supplemental Training Technologies in Dermatology Education.","authors":"Mallory Aycock, C. Marker, P. Kellman","doi":"10.58744/001c.70210","DOIUrl":"https://doi.org/10.58744/001c.70210","url":null,"abstract":"Physician assistants (PAs) are licensed to evaluate, diagnose, and treat dermatologic skin conditions. Data show that medical students have less than optimal dermatology diagnostic abilities. Although no known data exists for PA students, similar medical school and PA school training methods highlight a need for improved dermatology education in medical and PA programs. This project explored the use of perceptual and adaptive learning modules (PALMs) that target pattern recognition skills with PA students to hopefully improve PA knowledge of dermatology concepts.","PeriodicalId":93653,"journal":{"name":"Journal of dermatology for physician assistants : Official journal of the Society of Dermatology Physician Assistants","volume":"70 1","pages":"16-23"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85697140","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}
Hypopigmented mycosis fungoides (HMF) is a rare type of cutaneous T-cell lymphoma (CTCL), a non-classic variant among up to 50 variants of mycosis fungoides (MF), that typically affects younger individuals in the second to fourth decades of life of darker skin types. The presenting cutaneous findings of HMF can be mistaken for and mimic other commonly seen hypopigmented skin disorders and misdiagnosed by an untrained eye in the dermatologic and general practice settings. MF has many different variants, and affects both children and adults. For the purpose of this article, the discussion will be limited to HMF specifically presenting in younger patients. With limited literature on HMF commonly affecting the younger generations, knowledge of how to diagnose and treat this cutaneous malignancy is lacking among clinicians. The goal of this CME article is to provide more awareness to clinicians on this rare form of CTCL, thus improving patient care through early detection and treatment in this patient population.
{"title":"Hypopigmented Mycosis Fungoides in Younger Patients: A Mimicker of Common Hypopigmented Inflammatory Rashes","authors":"Candice Macari","doi":"10.58744/001c.70188","DOIUrl":"https://doi.org/10.58744/001c.70188","url":null,"abstract":"Hypopigmented mycosis fungoides (HMF) is a rare type of cutaneous T-cell lymphoma (CTCL), a non-classic variant among up to 50 variants of mycosis fungoides (MF), that typically affects younger individuals in the second to fourth decades of life of darker skin types. The presenting cutaneous findings of HMF can be mistaken for and mimic other commonly seen hypopigmented skin disorders and misdiagnosed by an untrained eye in the dermatologic and general practice settings. MF has many different variants, and affects both children and adults. For the purpose of this article, the discussion will be limited to HMF specifically presenting in younger patients. With limited literature on HMF commonly affecting the younger generations, knowledge of how to diagnose and treat this cutaneous malignancy is lacking among clinicians. The goal of this CME article is to provide more awareness to clinicians on this rare form of CTCL, thus improving patient care through early detection and treatment in this patient population.","PeriodicalId":93653,"journal":{"name":"Journal of dermatology for physician assistants : Official journal of the Society of Dermatology Physician Assistants","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90492506","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}
Allergic contact dermatitis (ACD) is often underdiagnosed in pediatric patients, especially those with a diagnosis of atopic dermatitis (AD). Recent literature has shown that the incidence of ACD in children is increasing and several factors of atopy play a role. It is important to recognize the possibility of ACD in the pediatric population and perform extended patch testing with the North American Contact Dermatitis Group (NACDG) core series in these patients. Patch testing can help with allergen identification and management of chronic dermatitis.
{"title":"Contact Dermatitis in Children: Indications for Pediatric Patch Testing","authors":"Kara Mudd","doi":"10.58744/001c.70192","DOIUrl":"https://doi.org/10.58744/001c.70192","url":null,"abstract":"Allergic contact dermatitis (ACD) is often underdiagnosed in pediatric patients, especially those with a diagnosis of atopic dermatitis (AD). Recent literature has shown that the incidence of ACD in children is increasing and several factors of atopy play a role. It is important to recognize the possibility of ACD in the pediatric population and perform extended patch testing with the North American Contact Dermatitis Group (NACDG) core series in these patients. Patch testing can help with allergen identification and management of chronic dermatitis.","PeriodicalId":93653,"journal":{"name":"Journal of dermatology for physician assistants : Official journal of the Society of Dermatology Physician Assistants","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89998166","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}
Over the last 10 years, the demand for nonsurgical aesthetic procedures has soared. Among these procedures, volume enhancement with soft tissue dermal fillers continues to be popular. New soft tissue dermal fillers are getting approved by the United States (US) Food and Drug Administration (FDA) and becoming available on the US market yearly. Traditionally, soft tissue fillers have been supplied and injected with hypodermal needles, however, the FDA has recently approved several soft tissue dermal fillers with the use of a cannula for injection. It is thought that cannulas may reduce injection complications, however, even with a blunt-tipped cannula patients can still suffer from tragic complications of vascular compromise leading to ischemia and blindness. It is essential that injectors understand the appropriate safety techniques to help avoid complications by learning how to determine whether a cannula is a better choice than a hypodermal needle when injecting and what to do if an intravascular event occurs.
{"title":"Cannulas for Dermal Filler Placement: A Safety Review","authors":"Brittany Zimmerman","doi":"10.58744/001c.70190","DOIUrl":"https://doi.org/10.58744/001c.70190","url":null,"abstract":"Over the last 10 years, the demand for nonsurgical aesthetic procedures has soared. Among these procedures, volume enhancement with soft tissue dermal fillers continues to be popular. New soft tissue dermal fillers are getting approved by the United States (US) Food and Drug Administration (FDA) and becoming available on the US market yearly. Traditionally, soft tissue fillers have been supplied and injected with hypodermal needles, however, the FDA has recently approved several soft tissue dermal fillers with the use of a cannula for injection. It is thought that cannulas may reduce injection complications, however, even with a blunt-tipped cannula patients can still suffer from tragic complications of vascular compromise leading to ischemia and blindness. It is essential that injectors understand the appropriate safety techniques to help avoid complications by learning how to determine whether a cannula is a better choice than a hypodermal needle when injecting and what to do if an intravascular event occurs.","PeriodicalId":93653,"journal":{"name":"Journal of dermatology for physician assistants : Official journal of the Society of Dermatology Physician Assistants","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81241386","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}
Pruritus is a common symptom during pregnancy and can manifest as a result of multiple conditions. Atopic eruption of pregnancy is the most common dermatosis specific to pregnancy and does not represent a threat to the health of mother or fetus. However, other similar-appearing dermatoses of pregnancy can result in fetal harm or sub-optimal outcomes, hence these must be ruled out in the pruritic pregnant patient. Herein we present a case of atopic eruption of pregnancy and discuss the diagnostic approach to these patients.
{"title":"Atopic Eruption of Pregnancy: A Case Report and Brief Topic Overview","authors":"P. Young, L. Keller","doi":"10.58744/001c.68409","DOIUrl":"https://doi.org/10.58744/001c.68409","url":null,"abstract":"Pruritus is a common symptom during pregnancy and can manifest as a result of multiple conditions. Atopic eruption of pregnancy is the most common dermatosis specific to pregnancy and does not represent a threat to the health of mother or fetus. However, other similar-appearing dermatoses of pregnancy can result in fetal harm or sub-optimal outcomes, hence these must be ruled out in the pruritic pregnant patient. Herein we present a case of atopic eruption of pregnancy and discuss the diagnostic approach to these patients.","PeriodicalId":93653,"journal":{"name":"Journal of dermatology for physician assistants : Official journal of the Society of Dermatology Physician Assistants","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81730161","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}
L. Hartman, Cynthia F. Griffith, Loderick A. Matthews
Bullous pemphigoid, a rare autoimmune chronic skin disorder characterized by blistering, urticarial lesions (hives), and itching, is the most common among all pemphigoid diseases. BP has been growing in prevalence over the past two decades primarily due to an increasing elderly patient population and exposure to certain medication classes, such as dipeptidyl peptidase-IV (DDP-IV) inhibitors or “gliptins,” that are associated with bullous pemphigoid onset. Both of these factors contributing to a rise in potential BP cases underscores the need for health care providers in dermatology to be familiar with the clinical presentation, causes, diagnostic tools, and treatments for this condition. This article describes clinical manifestations, causes, diagnostic work-up, and treatment for BP, and includes a patient vignette to further illustrate disease presentation and management.
大疱性类天疱疮是一种罕见的自身免疫性慢性皮肤病，以起泡、荨麻疹和瘙痒为特征，是所有类天疱疮疾病中最常见的。在过去的二十年中，BP的患病率一直在增长，主要是由于老年患者人数的增加和某些药物的暴露，如二肽基肽酶- iv (DDP-IV)抑制剂或“格列汀”，这些药物与大疱性类天疱疮的发病有关。这两个因素都导致潜在的BP病例增加，这强调了皮肤科卫生保健提供者熟悉这种疾病的临床表现、病因、诊断工具和治疗方法的必要性。这篇文章描述了BP的临床表现、病因、诊断检查和治疗，并包括一个病人的小特写来进一步说明疾病的表现和管理。
{"title":"Bullous Pemphigoid: Diagnosis, Treatment, and Management","authors":"L. Hartman, Cynthia F. Griffith, Loderick A. Matthews","doi":"10.58744/001c.68437","DOIUrl":"https://doi.org/10.58744/001c.68437","url":null,"abstract":"Bullous pemphigoid, a rare autoimmune chronic skin disorder characterized by blistering, urticarial lesions (hives), and itching, is the most common among all pemphigoid diseases. BP has been growing in prevalence over the past two decades primarily due to an increasing elderly patient population and exposure to certain medication classes, such as dipeptidyl peptidase-IV (DDP-IV) inhibitors or “gliptins,” that are associated with bullous pemphigoid onset. Both of these factors contributing to a rise in potential BP cases underscores the need for health care providers in dermatology to be familiar with the clinical presentation, causes, diagnostic tools, and treatments for this condition. This article describes clinical manifestations, causes, diagnostic work-up, and treatment for BP, and includes a patient vignette to further illustrate disease presentation and management.","PeriodicalId":93653,"journal":{"name":"Journal of dermatology for physician assistants : Official journal of the Society of Dermatology Physician Assistants","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73701900","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}
Melanoma is widely considered as a malignancy of people with fairer skin. While the incidence of this aggressive form of skin cancer is significantly higher in non-Hispanic White populations than non-Hispanic Black populations, the melanoma survival rate among the Black population is astoundingly lower in comparison. Black patients have been found to be diagnosed with melanoma at later stages; however, survival rates are lower in the Black population at every stage of diagnosis compared to the White population. Several factors at play have been identified through the literature that could be influencing this disparity, including the differences in most common histological subtype, stages at diagnosis, socioeconomic status, health insurance, education level, and perception of risk among patients. A strong need exists for greater melanoma awareness and education among non-Hispanic Black patients as well as more frequent, thorough skin examinations by primary care physicians and dermatologists including acral regions.
{"title":"Racial Disparity in Melanoma Survival Among Non-Hispanic Black Patients","authors":"Kathleen Kane, A. Elam","doi":"10.58744/001c.68299","DOIUrl":"https://doi.org/10.58744/001c.68299","url":null,"abstract":"Melanoma is widely considered as a malignancy of people with fairer skin. While the incidence of this aggressive form of skin cancer is significantly higher in non-Hispanic White populations than non-Hispanic Black populations, the melanoma survival rate among the Black population is astoundingly lower in comparison. Black patients have been found to be diagnosed with melanoma at later stages; however, survival rates are lower in the Black population at every stage of diagnosis compared to the White population. Several factors at play have been identified through the literature that could be influencing this disparity, including the differences in most common histological subtype, stages at diagnosis, socioeconomic status, health insurance, education level, and perception of risk among patients. A strong need exists for greater melanoma awareness and education among non-Hispanic Black patients as well as more frequent, thorough skin examinations by primary care physicians and dermatologists including acral regions.","PeriodicalId":93653,"journal":{"name":"Journal of dermatology for physician assistants : Official journal of the Society of Dermatology Physician Assistants","volume":"2013 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86470319","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":"Congenital Cartilaginous Rest of the Neck: A Case Report and Topic Overview","authors":"P. Young, E. Green","doi":"10.58744/001c.68345","DOIUrl":"https://doi.org/10.58744/001c.68345","url":null,"abstract":"","PeriodicalId":93653,"journal":{"name":"Journal of dermatology for physician assistants : Official journal of the Society of Dermatology Physician Assistants","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84211761","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}
The purpose of this case study is to aid readers in recognizing the key clinical features and presentation of erythema multiforme, understanding how to differentiate erythema multiforme major from erythema multiforme minor, and establishing an appropriate treatment plan based on patient presentation.
{"title":"Spots on Tots: A Case Study of a Widespread Asymptomatic Rash in a Pediatric Patient","authors":"A. Spillers, Stevie Redmond","doi":"10.58744/001c.68343","DOIUrl":"https://doi.org/10.58744/001c.68343","url":null,"abstract":"The purpose of this case study is to aid readers in recognizing the key clinical features and presentation of erythema multiforme, understanding how to differentiate erythema multiforme major from erythema multiforme minor, and establishing an appropriate treatment plan based on patient presentation.","PeriodicalId":93653,"journal":{"name":"Journal of dermatology for physician assistants : Official journal of the Society of Dermatology Physician Assistants","volume":"28 5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86736334","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}
Treatment of severe nail psoriasis poses a particular challenge due to the anatomy of the nail, small surface area involved, and frequent irritation to fingertips from use of the hands.1,2 Nail psoriasis can be particularly devastating to affected patients as it is easily visible, leading to emotional distress, potential social ostracization and loss of work opportunities and loss of function with performing fine work with the hands.1,2 Being aware of which nail manifestations will present clinically depending on the nail structure affected by psoriasis, which first-line treatments are most efficacious, and when to consider systemic treatments can help guide treatment based on a patient’s preferences and other health conditions
{"title":"Severe Nail Psoriasis: A Case Report","authors":"Pamela Korzeniowski","doi":"10.58744/001c.68360","DOIUrl":"https://doi.org/10.58744/001c.68360","url":null,"abstract":"Treatment of severe nail psoriasis poses a particular challenge due to the anatomy of the nail, small surface area involved, and frequent irritation to fingertips from use of the hands.1,2 Nail psoriasis can be particularly devastating to affected patients as it is easily visible, leading to emotional distress, potential social ostracization and loss of work opportunities and loss of function with performing fine work with the hands.1,2 Being aware of which nail manifestations will present clinically depending on the nail structure affected by psoriasis, which first-line treatments are most efficacious, and when to consider systemic treatments can help guide treatment based on a patient’s preferences and other health conditions","PeriodicalId":93653,"journal":{"name":"Journal of dermatology for physician assistants : Official journal of the Society of Dermatology Physician Assistants","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85557593","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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