An 82-year-old man presented with a three-year history of wounds on the left lower leg and appearance of new blisters on the same leg. This case highlights clinical manifestations, causes, diagnostic work-up, and treatment for this condition.
一名82岁男性，左小腿三年伤口史，同一条腿出现新的水疱。本病例强调临床表现、病因、诊断检查和治疗。
{"title":"Exploration into chronic wounds on the left lower leg yields unlikely diagnosis","authors":"Cynthia F. Griffith, Loderick A. Matthews","doi":"10.58744/001c.68362","DOIUrl":"https://doi.org/10.58744/001c.68362","url":null,"abstract":"An 82-year-old man presented with a three-year history of wounds on the left lower leg and appearance of new blisters on the same leg. This case highlights clinical manifestations, causes, diagnostic work-up, and treatment for this condition.","PeriodicalId":93653,"journal":{"name":"Journal of dermatology for physician assistants : Official journal of the Society of Dermatology Physician Assistants","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82971827","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 article is to identify if teledermatology is a viable approach compared to traditional in-office dermatology visits for effective and increased access to dermatologic care in underserved populations and within resource limited hospitals. A literature search was conducted with search terms “teledermatology,” “underserved,” “dermatology,” and “hospital.” Seventeen pertinent articles were retrieved that serve as the basis for this review. While recent literature has shown teledermatology may increase access to dermatology providers and improve treatment of cutaneous diseases in under-resourced health centers, further studies are needed to explore the benefits and challenges when implementing teledermatology in wider practice settings. Dermatological issues are common chief complaints many primary care providers encounter. While some issues are benign, others require referral to dermatology providers to rule out worrisome pathologies. Given the shortage of dermatology providers in the United States, many patients in underserved populations and resource-limited hospitals often wait weeks or months to be seen. Use of teledermatology combats the shortage of dermatology providers by providing access to patients who are unable to receive dermatological care in a timely, efficient, and cost-effective manner.
{"title":"Increasing Dermatology Access Via Teledermatology","authors":"Jason Quicho","doi":"10.58744/001c.68364","DOIUrl":"https://doi.org/10.58744/001c.68364","url":null,"abstract":"The purpose of this article is to identify if teledermatology is a viable approach compared to traditional in-office dermatology visits for effective and increased access to dermatologic care in underserved populations and within resource limited hospitals. A literature search was conducted with search terms “teledermatology,” “underserved,” “dermatology,” and “hospital.” Seventeen pertinent articles were retrieved that serve as the basis for this review. While recent literature has shown teledermatology may increase access to dermatology providers and improve treatment of cutaneous diseases in under-resourced health centers, further studies are needed to explore the benefits and challenges when implementing teledermatology in wider practice settings. Dermatological issues are common chief complaints many primary care providers encounter. While some issues are benign, others require referral to dermatology providers to rule out worrisome pathologies. Given the shortage of dermatology providers in the United States, many patients in underserved populations and resource-limited hospitals often wait weeks or months to be seen. Use of teledermatology combats the shortage of dermatology providers by providing access to patients who are unable to receive dermatological care in a timely, efficient, and cost-effective manner.","PeriodicalId":93653,"journal":{"name":"Journal of dermatology for physician assistants : Official journal of the Society of Dermatology Physician Assistants","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83823764","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}
This article reviews the different clinical presentations of nail psoriasis depending on which nail structure is involved, discusses which first-line treatments are most efficacious depending on the nail structure involved, and highlights the biologic therapies that stand out as superior in newer nail psoriasis studies. The expanding class of biologics and their associated nuances can be overwhelming when determining which is the best fit for a specific psoriasis patient; thus, this manuscript as well aims to reduce confusion related to biologics by presenting a brief history of biologics, providing a review of the current biologics approved for psoriasis and psoriatic arthritis in the United States, along with a concise set of tables to help simplify decision-making with biologics.
{"title":"Making Sense of the Expanding Class of Biologics: A Focus on Nail Psoriasis","authors":"Pamela Korzeniowski","doi":"10.58744/001c.68352","DOIUrl":"https://doi.org/10.58744/001c.68352","url":null,"abstract":"This article reviews the different clinical presentations of nail psoriasis depending on which nail structure is involved, discusses which first-line treatments are most efficacious depending on the nail structure involved, and highlights the biologic therapies that stand out as superior in newer nail psoriasis studies. The expanding class of biologics and their associated nuances can be overwhelming when determining which is the best fit for a specific psoriasis patient; thus, this manuscript as well aims to reduce confusion related to biologics by presenting a brief history of biologics, providing a review of the current biologics approved for psoriasis and psoriatic arthritis in the United States, along with a concise set of tables to help simplify decision-making with biologics.","PeriodicalId":93653,"journal":{"name":"Journal of dermatology for physician assistants : Official journal of the Society of Dermatology Physician Assistants","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88679122","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}
Reflectance confocal microscopy (RCM) is a noninvasive, in-vivo, imaging modality used to diagnose and manage skin cancers, benign skin neoplasms, and inflammatory dermatoses. Although previously considered an academic tool, the increasing number of available RCM resources make it necessary for dermatology physician assistants to expand their knowledge base within this field.
{"title":"Reflectance Confocal Microscopy: An Introduction","authors":"Megan Dauscher, Rachel N Manci","doi":"10.58744/001c.68370","DOIUrl":"https://doi.org/10.58744/001c.68370","url":null,"abstract":"Reflectance confocal microscopy (RCM) is a noninvasive, in-vivo, imaging modality used to diagnose and manage skin cancers, benign skin neoplasms, and inflammatory dermatoses. Although previously considered an academic tool, the increasing number of available RCM resources make it necessary for dermatology physician assistants to expand their knowledge base within this field.","PeriodicalId":93653,"journal":{"name":"Journal of dermatology for physician assistants : Official journal of the Society of Dermatology Physician Assistants","volume":"207 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76959057","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}
Mallory M Aycock, Craig D Marker, Philip J Kellman
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 M Aycock, Craig D Marker, Philip J Kellman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":93653,"journal":{"name":"Journal of dermatology for physician assistants : Official journal of the Society of Dermatology Physician Assistants","volume":"15 4","pages":"16-23"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9202829/pdf/nihms-1754971.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40012228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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