Treating Keloids Pragmatic Tips & Advances
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THE www.thedermdigest.com Vol. 2, No. 1 | January 2021 Treating Keloids Pragmatic Tips & Advances INSIDE: Practice Management Marketing in pandemic days Integrative Medicine Diet and dermatology Outside-the-Box Thinking Acne, eczema & more Permit No. 129 No. Permit Columbus, WI Columbus, PAID US Postage US Prsrt Mkt Prsrt EDUCATIONAL • INTERACTIVE • AUTHORITATIVE WE WILL CHALLENGE THE STATUS QUO. WE WILL DELIVER ON OUR PROMISES. DERMAVANT.COM THE Contents www.thedermdigest.com Volume 2, Number 1 | January 2021 2 13 Ted Talks Pediatrics Will COVID-19 Lice are still out in force mark the end of live during the pandemic. medical education and Here is a look at conventions? treatment options 6 33 Literature Lessons Getting teens to comply with acne treatments can 23 Research updates in take a delicate approach Cover Article cutaneous oncology, rosacea, new drugs and devices, itch, psoriasis, Five pearls infectious diseases, for treating and more tricky keloid scars continued on page 3 January 2021 | 1 Ted Talks “ Lord! How sad a sight it is to see the streets empty of people…and about us, two shops in three, if not more, generally shut up.” —Samuel Pepys’ diary, August 16, 1665 Samuel Pepys, high ranking administrator in the British Admiralty and also a member of Parliament, kept a detailed diary during a period when London was experiencing an outbreak of bubonic plague. Despite the passage of three and a half centuries, many of his clever observations could easily apply to the present- day COVID-19 pandemic. For example, he noted that businesses were closed and people were not socializing as they had before. Ted Rosen, MD, FAAD With the advent of COVID-19, we essentially Editor-in-Chief saw the demise of live continuing medical This is Ted's take. education conferences. They have largely been What's yours? supplanted in 2020 by virtual medical educa- [email protected] tion events. Some have featured pre-recorded talks, while others have included presentations given in real time, but only to an online audi- ence. With COVID-19 cases still appearing worldwide, including second or third waves, ing the significant financial burdens and time it remains uncertain when (or even if) we can commitment barriers that may make traveling (or will) return to the days of in-person CME to meetings difficult for some. Virtual atten- events, often held in desirable destinations. dance is also efficient and comfortable. I dare However, one might legitimately ask if this is say that sitting in a crowded ballroom chair indeed a laudable goal! In fact, there are many for hours on end can become both painful and unequivocal advantages to approaching CME soporific, no matter the quality of the 4:30 pm via the virtual route. speaker. Most online symposia also typically Online conventions can certainly still convey allow adequate time for live question-and-an- important content. If the core purpose of such swer periods. Participants may be even more meetings is to disseminate new and emerging likely to ask questions when they don’t have to medical information, then virtual seminars stand up in front of hundreds of their peers. do work. There have even been provisions for The fact that virtual content is most frequently online product theaters and virtual tours of ex- archived for later access facilitates convenient hibit halls to insure vital interactions with our viewing—and reviewing if so desired—by reg- pharmaceutical partners. Moreover, online at- istrants. Urgent and emergent patient care also tendance “levels the playing field” by eliminat- does not suffer because providers no longer continued on page 4 2 | The Dermatology Digest Contents continued from page 1 17 Literature Update Does hair oil complicate scalp cultures? You may be surprised 28 Cosmetic Corner One practice's experience with using broadband light to treat senile purpura 43 Psoriasis and Atopic Dermatitis 61 Tips to improve eczema patients' Practice Management outcomes and satisfaction What to do (and what NOT to do) to reach patients during the COVID-19 pandemic 49 Crystal Ball How strong is the link between diet and skin health? 53 General Dermatology New hyperhidrosis treatments emerge to give patients better quality of life C3 37 Diagnose This Zebra Surgical Corner A patient returns from a Surgical glues work wonders, except safari with strange symptoms. when they provoke contact dermatitis Can you make the diagnosis? January 2021 | 3 www.thedermdigest.com/TED_TALKS continued from page 2 THE must be hundreds, or even thousands, of miles of learning occurs outside the lecture hall: away from their offices, clinics, or hospitals. physician to physician, physician to faculty From a pragmatic standpoint, an online con- and physician to industry.” Additionally, all ference may be able to attract many overseas noted another feature of live conferences that www.thedermdigest.com participants and/or international experts who is hard to emulate via the virtual route: the will bring somewhat different experiences and enjoyment aspect. As Dr. Wu put it, “In-person PUBLISHING & SALES viewpoints. In summary, when I started to re- meetings are far superior for socializing and AMY AMMON Executive Director, Publisher [email protected] DON BERMAN Executive Director, Digital Strategy [email protected] It seems to me that learning is enhanced when we remove ourselves GEORGE MARTIN, MD from our daily routine and place ourselves in a controlled learning Executive Director EDITORIAL situation such as a live conference.” TERESA MCNULTY “ —Joe Fowler, MD Managing Editor SUSAN C. OLMSTEAD Editor ally think about this subject, I became increas- for networking.” Finally, it actually may be, as NANCY BITTEKER Creative Director ingly convinced that the old archetype of live several suggested, that distractions MICHAEL WESTFALL CME conferences was destined to follow the from learning are more likely to occur when Product Manager path of the dinosaur and simply disappear. attendees are “signing in” from home or the office, compared to when they have deliber- Nonetheless, to be fair and balanced, as well Print Circulation: ately chosen to come to a conference and 13,500 dermatologists USA as to ascertain others’ viewpoints, I contacted 2,800 dermatological NP/PA’s spend a block of time devoted to educational some of the directors of well-known, widely The Dermatology Digest ® is published endeavors. To quote Dr. Fowler, “It seems to monthly by The Dermatology Digest, attended dermatology conferences. I wanted LLC, 88 N Main Street, Pearl River, me that learning is enhanced when we remove NY 10965. to understand their positions on this hot topic. ourselves from our daily routine and place © 2020 The Dermatology Digest, LLC. After all, these are the very people who have All rights reserved. No part of this pub- ourselves in a controlled learning situation lication may be reproduced or trans- had to make difficult decisions and devise and mitted in any form or by any means, such as a live conference.” electronic or mechanical including by implement adjustments and modifications to photocopy, recording, or information We are certainly constrained by the current storage and retrieval without permis- a highly successful paradigm. I communicated sion in writing from the publisher. exigencies inherent to this dreadful global Authorization to photocopy items for with Drs. Joe Fowler, George Martin, Mark internal/educational or personal use, Nestor, Jay Wu, and Eric “Billy” Baum. All pandemic. In the immediate future, I seriously or the internal/educational or personal doubt that many totally live conferences will use of specific clients is granted by The readily acknowledged that online conferences Dermatology Digest, LLC. For uses occur. While the traditional CME conference beyond those listed above, please can be useful tools to provide high-quality direct your written request to Amy has been temporarily replaced by its virtual Ammon, Executive Director, Publisher CME. All were also pleasantly surprised that at: [email protected]. such meetings can be held without technologi- counterpart, there are certainly excellent POSTMASTER: Please send address reasons to eventually return to educational changes to The Dermatology Digest cal problems. Dr. Baum said, “I was dreading LLC, 88 N Main Street, Pearl River, NY meetings with live components. When per- 10965. Printed in the U.S.A. glitches deterring the quality of the presenta- sonal safety and public health concerns allow The Dermatology Digest ® does not tions. These never happened. Our meeting verify any claims or other information it, perhaps hybrid conferences will become appearing in any of the advertisements was seamless.” contained in the publication and cannot the norm, so that the unique benefits of each take any responsibility for any losses Despite being generally positive, however, or other damages incurred by readers model may be reaped by all involved. in reliance on such content. these directors did share several concerns. The Dermatology Digest ® welcomes They pointed out one glaringly obvious fact: unsolicited articles, manuscripts, photographs, illustrations and other virtual conferences lack the opportunity for materials, but cannot be held respon- sible for their safekeeping or return. instant and impromptu educational interac- tion. As Dr. Nestor astutely said, “A great deal 4 | The Dermatology Digest THE www.thedermdigest.com EDITORIAL BOARD EDITOR-IN-CHIEF TED ROSEN, MD JIM TREAT, MD SANDY TSAO, MD