Message from the President Dear AOCD Members and Friends, the New Year Brings New Beginnings and Resolutions
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Training Available: in 2012, Lorenzo Kunze, M.E
2013 Derma-Lo - offers the 2013 Thermo-Lo - offers the reduction of: sun/age spot, milia, reduction of: sun/age spot, milia, telangiectasia / epidermal spider telangiectasia / epidermal spider veins, cherry hemangiomas, veins, cherry hemangiomas and Thermolysis (AC) and Electrolysis Thermolysis (AC) hair removal. (DC) hair removal. Also: active acne, acne scarring, sebaceous hyperplasia, and skin tags. Training Available: In 2012, Lorenzo Kunze, M.E. Includes: Hydro-Lo - treatment IN DENVER ONCE A MONTH developed Chromos, Inc. - which of fine lines and wrinkles, TRAINING AVAILABLE AT in Greek, can be interpreted as enlarged pore reduction, boosts YOUR LOCATION ASK ABOUT “color” or “light” – in essence, the penetration of product into COST without light we have no color. the skin and tightens loose skin. “Dedicated to Excellence” Also: select your choice of (1 of Continuing to provide a professional & positive attitude in the medical 2) LED’s – both are non invasive and aesthetic field. hand-held light probes: BLUE for CHROMOS, Inc. the treatment of acne or Lorenzo Kunze, M.E. Chromos strives to be a guiding INFRARED to increase collagen [email protected] “light” that assists medical and and elastin, Rosacea, increased www.DermaLo.com aesthetic professionals in finding healing properties, minor muscle www.Thermo-Lo.com and pursuing proper education and moderate joint pain. 888-499-8991 / 303-994-7236 and accurate knowledge. Lorenzo Kunze, M.E. Lorenzo is a true visionary - 40 years in the medical and aesthetic field Medical Electrologist / medical educator 1st non-medical professional to provide electrolysis treatments in an OR Treated over 20,000 patients - last 16 years 1st in the U.S. -
Dermatology DDX Deck, 2Nd Edition 65
63. Herpes simplex (cold sores, fever blisters) PREMALIGNANT AND MALIGNANT NON- 64. Varicella (chicken pox) MELANOMA SKIN TUMORS Dermatology DDX Deck, 2nd Edition 65. Herpes zoster (shingles) 126. Basal cell carcinoma 66. Hand, foot, and mouth disease 127. Actinic keratosis TOPICAL THERAPY 128. Squamous cell carcinoma 1. Basic principles of treatment FUNGAL INFECTIONS 129. Bowen disease 2. Topical corticosteroids 67. Candidiasis (moniliasis) 130. Leukoplakia 68. Candidal balanitis 131. Cutaneous T-cell lymphoma ECZEMA 69. Candidiasis (diaper dermatitis) 132. Paget disease of the breast 3. Acute eczematous inflammation 70. Candidiasis of large skin folds (candidal 133. Extramammary Paget disease 4. Rhus dermatitis (poison ivy, poison oak, intertrigo) 134. Cutaneous metastasis poison sumac) 71. Tinea versicolor 5. Subacute eczematous inflammation 72. Tinea of the nails NEVI AND MALIGNANT MELANOMA 6. Chronic eczematous inflammation 73. Angular cheilitis 135. Nevi, melanocytic nevi, moles 7. Lichen simplex chronicus 74. Cutaneous fungal infections (tinea) 136. Atypical mole syndrome (dysplastic nevus 8. Hand eczema 75. Tinea of the foot syndrome) 9. Asteatotic eczema 76. Tinea of the groin 137. Malignant melanoma, lentigo maligna 10. Chapped, fissured feet 77. Tinea of the body 138. Melanoma mimics 11. Allergic contact dermatitis 78. Tinea of the hand 139. Congenital melanocytic nevi 12. Irritant contact dermatitis 79. Tinea incognito 13. Fingertip eczema 80. Tinea of the scalp VASCULAR TUMORS AND MALFORMATIONS 14. Keratolysis exfoliativa 81. Tinea of the beard 140. Hemangiomas of infancy 15. Nummular eczema 141. Vascular malformations 16. Pompholyx EXANTHEMS AND DRUG REACTIONS 142. Cherry angioma 17. Prurigo nodularis 82. Non-specific viral rash 143. Angiokeratoma 18. Stasis dermatitis 83. -
Rosacea: an Update
REVIEW JONELLE K. MCDONNELL, MD KENNETH J. TOMECKI, MD Department of Dermatology, Cleveland Clinic Department of Dermatology, Cleveland Clinic Rosacea: An update • ABSTRACT | >1 OSACEA is a chronic and recurrent LAM inflammatory skin disease characterized Rosacea is a common inflammatory skin disease affecting by erythema, papules, pustules, telangiectasia, the central face of adults. Its etiology is unknown. Early and occasionally sebaceous hyperplasia, which diagnosis and appropriate treatment, usually with topical or primarily affects the central face. The disease systemic antibiotics or both, minimizes symptoms and helps evolves in stages and affects middle-aged to prevent complications. adults. Early diagnosis and thoughtful manage- ment help to control the disease and to mini- • KEY POINTS mize the patient's discomfort and emotional distress. Historically, rosacea has been a mis- Rosacea has a spectrum of cutaneous clinical findings: understood disorder, often attributed to alco- facial erythema, papules, pustules, telangiectasia, and holism and acne.1 rhinophyma. • INCIDENCE Common triggers are sunlight, stress, exposure to extreme Rosacea is a common and chronic disease that heat or cold, alcohol, hot beverages, and spicy foods. affects approximately 13 million Americans, or about 1 in 20 people. Because rosacea fre- Rosacea can resemble other diseases, including acne, quently affects people of northern European seborrheic dermatitis, systemic lupus erythematosus, and heritage, it is often called the "curse of the sarcoidosis. Celts."2 In contrast, it is rarely seen in dark- skinned individuals.3 In most patients, the Ocular involvement occurs in more than 50% of patients onset occurs between the ages of 30 and 50. with rosacea. The early stages affect women more often than men at a ratio of 3 to 1, but men more often Oral tetracycline and topical metronidazole are the develop disfiguring rhinophyma. -
A Case of Steatocystoma Simplex Involving the Scalp
230 A Case of Steatocystoma Simplex Involving the Scalp Dong Nyeok Hyun, M.D., Jong Hoon Won, M.D., Joon Soo Park, M.D., Hyun Chung, M.D. Department of Dermatology, School of Medicine, Catholic University of Daegu, Daegu, Korea Steatocystoma is a benign adnexal tumor originating from the pilosebaceous duct junction which can be classified into two groups (steatocystoma simplex and steatocystoma multiplex). Steatocystoma simplex, which presents as a solitary lesion, is very rare. Steatocystoma simplex occurs most commonly on the face and the case reported herein involving the scalp is extremely rare. A 49-year-old man presented for evaluation and treatment of a solitary papule on the right parietal scalp which had persisted for a period of 1 year. The histopathologic examination revealed a thin-walled cyst consisting of stratified squamous epithelium with hyaline cuticle that lacked a stratum granulosum. Based on clinical and histologic findings, we diagnosed this case as steatocystoma simplex of the scalp and report this rare case. (Ann Dermatol (Seoul) 20(4) 230∼232, 2008) Key Words: Scalp, Steatocystoma simplex INTRODUCTION CASE REPORT Steatocystoma simplex, first described as a dis- A 49-year-old man presented to our outpatient tinct entity by Brownstein1 in 1982, is an extremely clinic with an asymptomatic papule on the right rare benign adnexal tumor. The individual lesion of parietal scalp which had been present for about 1 steatocystoma simplex is usually identical with that year. The lesion had slowly enlarged a few months of steatocystoma multiplex, both clinically and ago. The physical examination revealed a skin- histologically, but is characterized by solitary, non- colored, deep-seated, soft cystic mass on his right heritable growth in adulthood1. -
Pathogenesis of Rosacea Anetta E
REVIEW Pathogenesis of Rosacea Anetta E. Reszko, MD, PhD; Richard D. Granstein, MD Rosacea is a chronic, common skin disorder whose pathogenesis is incompletely understood. An inter- play of multiple factors, including genetic predisposition and environmental, neurogenic, and microbial factors, may be involved in the disease process. Rosacea subtypes, identified in the recently published standard classification system by the National Rosacea Society Expert Committee on the Classification and Staging of Rosacea, may in fact represent different disease processes, and identifying subtypes may allow investigators to pursue more precisely focused studies. New developments in molecular biology and genetics hold promise for elucidating the interplay of the multiple factors involved in the pathogen- esis of rosacea, as well as providing the bases for potential new therapies. osacea is a common, chronic skin disorder and secondary features needed for the clinical diagnosis primarily affecting the central and con- of rosacea. Primary features include flushing (transient vex areas of COSthe face. The nose, cheeks, DERM erythema), persistent erythema, papules and pustules, chin, forehead, and glabella are the most and telangiectasias. Secondary features include burn- frequently affected sites. Less commonly ing and stinging, skin dryness, plaque formation, dry affectedR sites include the infraorbital, submental, and ret- appearance, edema, ocular symptoms, extrafacial mani- roauricular areas, the V-shaped area of the chest, and the festations, and phymatous changes. One or more of the neck, the back, and theDo scalp. Notprimary Copy features is needed for diagnosis.1 The disease has a variety of clinical manifestations, Several authors have theorized that rosacea progresses including flushing, persistent erythema, telangiecta- from one stage to another.2-4 However, recent data, sias, papules, pustules, and tissue and sebaceous gland including data on therapeutic modalities of various sub- hyperplasia. -
Cancer Immunoprevention: a Case Report Raising the Possibility of “Immuno-Interception” Jessica G
CANCER PREVENTION RESEARCH | RESEARCH BRIEF Cancer Immunoprevention: A Case Report Raising the Possibility of “Immuno-interception” Jessica G. Mancuso1, William D. Foulkes1,2,3, and Michael N. Pollak1,2 ABSTRACT ◥ Immune checkpoint blockade therapy provides substan- or neoplastic lesions over a period of 19 years (mean tial benefits for subsets of patients with advanced cancer, 7.5 neoplasms/year, range 2–26) prior to receiving but its utility for cancer prevention is unknown. Lynch pembrolizumab immunotherapy as part of multi- syndrome (MIM 120435) is characterized by defective modality treatment for invasive bladder cancer. He not DNA mismatch repair and predisposition to multiple only had a complete response of the bladder cancer, but cancers. A variant of Lynch syndrome, Muir–Torre also was noted to have an absence of new cancers during a syndrome (MIM 158320), is characterized by frequent 22-month follow-up period. This case adds to the rationale gastrointestinal tumors and hyperplastic or neoplastic skin for exploring the utility of immune checkpoint blockade tumors. We report the case of a man with Muir–Torre forcancerprevention,particularlyforpatientswithDNA syndrome who had 136 cutaneous or visceral hyperplastic repair deficits. Introduction There is an obvious clinical need to reduce cancer incidence in patients with DNA repair deficits, and prophylactic surgery The clinically demonstrated utility of antiviral vaccines to is commonly employed. Clinical trials designed to evaluate reduce risk of virally initiated cancers represents a major strategies to reduce cancer incidence are challenging: in popu- success in cancer immunoprevention. There is interest in the lations where baseline risk is low, a large number of subjects and possibility that immunoprevention may also be useful where long follow-up periods are required. -
Phytophotodermatitis
PHYTOPHOTODERMATITIS http://www.aocd.org Phytophotodermatitis (PPD) is a cutaneous phototoxic reaction that occurs following contact with certain plants. The reaction is stimulated by skin exposure to light sensitizing botanical substances known as furanocoumarins followed by exposure to long wave ultraviolet light in sunlight. Furanocoumarins are present in plants such as, lemons, limes, mangos, parsley and many weeds. Psoralen is the active particle in furanocoumarins. Upon UVA radiation exposure from sunlight, psoralens within the skin react with molecular oxygen and form reactive oxygen species that induce destruction of skin cells and cause an inflammatory reaction. PPD is most common in the spring and summer, as psoralen concentrations are the highest and outdoor activities under the sun are increased. Exposure to plants or solutions such as lemon or lime juice, lead to bizarre patterns of distribution. Streaks may be present from brushing against a plant or haphazard lines from juice. Common presentations are on the upper lip from drinking citrus beverages, from spilled beverages, or even from wiping juice onto exposed skin to dry the hands. This is often referred to as “Margarita Rash”. The rash begins within 24 hours and can peak at 72 hours. The distribution of skin reactions is sharply limited to areas exposed to sun. Skin findings can consist of non-pruritic reactions, mild redness with or without erosions, to severe blistering. Redness can persist for weeks to months. Hyperpigmentation appears 1-2 weeks later and can last up to months. The distribution to sun exposed areas and pattern aid in diagnosis. History and a high index of suspicion is key to diagnosing PPD. -
UCSF Fresno, Medical Educakon Program J Heppner MD, H Lee MD
(—THIS SIDEBAR DOES NOT PRINT—) QUICK START (cont.) DESIGN GUIDE Phytophotoderma/s Resul/ng From Citrus Exposure: A Pediatric Case Series from Central California How to change the template color theme This PowerPoint 2007 template produces a 36”x48” You can easily change the color theme of your poster by going to the presentation poster. You can use it to create your research DESIGN menu, click on COLORS, and choose the color theme of your poster and save valuable time placing titles, subtitles, text, J Heppner MD, H Lee MD, P Armenian MD choice. You can also create your own color theme. and graphics. UCSF Fresno, Medical Educaon Program We provide a series of online tutorials that will guide you through the poster design process and answer your poster production questions. To view our template tutorials, go online to PosterPresentations.com and click on HELP DESK. You can also manually change the color of your background by going to Introduc>on Case Series Descripon Case Series Descripon Discussion VIEW > SLIDE MASTER. After you finish working on the master be sure to When you are ready to print your poster, go online to Lisbon Lemon (Citrus limon) Key Lime (Citrus aurantifolia) go to VIEW > NORMAL to continue working on your poster. PosterPresentations.com Psoralens belong to the furocoumarin family, and cause This is a consecutive-patient case series of five girls Few phytophotodermatitis outbreaks demonstrate phytophotodermatitis when coupled with ultraviolet aged 7-11 transferred from an outside facility for such severity in multiple pediatric patients, How to add Text Need assistance? Call us at 1.510.649.3001 light exposure. -
Price Sheet 01-01-21
SERVICES & PRICING DERM CASH PRICES – FOR COSMETIC PROCEDURES Sebaceous Hyperplasia (Any #) . $150.00 Milia (Any #) . $100.00 Seborrheic Keratoses (Full Back Greater than 40) . $500.00 Seborrheic Keratoses (Half Back) . $250.00 Seborrheic Keratosis (Face) . $200.00 Lentigo (1-5 with TCA) . $150.00 Cherry Angiomas (Per Region) . $150.00 Benign Nevi (Per Spot) . $150.00 Skin Tags (1-15) . $100.00 Skin Tags (16 -25) . $150.00 Skin Tags (26 or more) . $250.00 AEROLASE CONDITION QTY FREQUENCY COST PER QTY. LENTIGO (1) 3 – 4 EVERY 3 – 4 WEEKS $50.00 LENTIGO (2-5) 3 – 4 EVERY 3 – 4 WEEKS $150.00 LENTIGOS (FULL FACE) 3 – 4 EVERY 3 – 4 WEEKS $250.00 FRECKLING/PIH 3 – 4 EVERY 3 – 4 WEEKS $275.00 MELASMA 4+ EVERY 3 – 4 WEEKS $250.00 ANGIOMA (1) 2 – 3 EVERY 3 – 4 WEEKS $50.00 ANGIOMAS (2-5) 2 – 3 EVERY 3 – 4 WEEKS $150.00 ANGIOMAS (FULL FACE) 2 – 3 EVERY 3 – 4 WEEKS $250.00 TELANGECTASIAS (FACE) 2 – 3 EVERY 3 – 4 WEEKS $250.00 SPIDER VEINS (LEGS) 3 – 4 EVERY 3 – 4 WEEKS $500.00 POIKILODERMA 3 – 4 EVERY 3 – 4 WEEKS $300.00-400.00 SCARS (1-5) 4 EVERY 3 – 4 WEEKS $150.00 STRETCH MARKS 4 EVERY 3 – 4 WEEKS $250.00 FACIAL REJUVENATION 4 EVERY 3 – 4 WEEKS $400.00 PSEUDOFOLLICULITIS BARBAE 3 – 4 EVERY 2 – 3 WEEKS $150.00 AMOUNT BILLED ACNE AND/OR ROSACEA *INSURANCE 4+ EVERY 2 WEEKS TO INSURANCE $180.00 IF PAID IN FULL ACNE AND/OR ROSACEA * CASH 4+ EVERY 1 –2 WEEKS AT TIME OF SERVICE $126.00 WARTS *INSURANCE 2+ EVERY 2 – 3 WEEKS --- WARTS * CASH 2+ EVERY 2 – 3 WEEKS $100.00 PSORIASIS $ (SMALL AREA) 6+ 1 WEEK $100.00 PSORIASIS - INSURANCE (PA REQ.) 6+ EVERY 2 WEEKS --- WOUND HEALING 3 – 6 1 – 2 TIMES A WEEK $150.00 TOENAIL FUNGUS (PER TOE) 1 – 4 EVERY 4 WEEKS $100.00 *Cash price for patients without insurance. -
Dermatological Indications of Disease - Part II This Patient on Dialysis Is Showing: A
“Cutaneous Manifestations of Disease” ACOI - Las Vegas FR Darrow, DO, MACOI Burrell College of Osteopathic Medicine This 56 year old man has a history of headaches, jaw claudication and recent onset of blindness in his left eye. Sed rate is 110. He has: A. Ergot poisoning. B. Cholesterol emboli. C. Temporal arteritis. D. Scleroderma. E. Mucormycosis. Varicella associated. GCA complex = Cranial arteritis; Aortic arch syndrome; Fever/wasting syndrome (FUO); Polymyalgia rheumatica. This patient missed his vaccine due at age: A. 45 B. 50 C. 55 D. 60 E. 65 He must see a (an): A. neurologist. B. opthalmologist. C. cardiologist. D. gastroenterologist. E. surgeon. Medscape This 60 y/o male patient would most likely have which of the following as a pathogen? A. Pseudomonas B. Group B streptococcus* C. Listeria D. Pneumococcus E. Staphylococcus epidermidis This skin condition, erysipelas, may rarely lead to septicemia, thrombophlebitis, septic arthritis, osteomyelitis, and endocarditis. Involves the lymphatics with scarring and chronic lymphedema. *more likely pyogenes/beta hemolytic Streptococcus This patient is susceptible to: A. psoriasis. B. rheumatic fever. C. vasculitis. D. Celiac disease E. membranoproliferative glomerulonephritis. Also susceptible to PSGN and scarlet fever and reactive arthritis. Culture if MRSA suspected. This patient has antithyroid antibodies. This is: • A. alopecia areata. • B. psoriasis. • C. tinea. • D. lichen planus. • E. syphilis. Search for Hashimoto’s or Addison’s or other B8, Q2, Q3, DRB1, DR3, DR4, DR8 diseases. This patient who works in the electronics industry presents with paresthesias, abdominal pain, fingernail changes, and the below findings. He may well have poisoning from : A. lead. B. -
The Treatment of Giant Rhinophyma - Case Report (1) (2) D
Current Health Sciences Journal Vol. 38, No. 2, 2012 April June Case Report The treatment of giant rhinophyma - Case Report (1) (2) D. POPA , GEORGETA OSMAN , H. (1) (3) (1) PARVANESCU ,RALUCA CIUREA , M. CIUREA (1) Department of Plastic and Reconstructive Surgery, University of Medicine and Pharmacy of Craiova; (2) Departament of E.N.T., Emergency University Hospital, Craiova, (3) Department of Pathology, University of Medicine and Pharmacy of Craiova ABSTRACT The aim of the article is to present an update on the pathophysiology, clinical features and treatment of rhinophyma. A 56 years old patient, living in urban area, presented with a giant rhinophyma which caused him not only upper airways obstruction and difficulty in eating, but also aesthetic and psycho-social disadvantages.The treatment of the patient was a surgical intervention consisting in removal of the nasal tumor and split-thickness skin grafting of the defect. The aesthetic result after surgical intervention was very good, there were no postoperative complications or recurrences.Rhinophyma represents the most advanced form of acne rosacea. The diagnosis is easy to establish based on the clinical features of the disease. In advanced forms of rhinophyma, when the tumor is giant, the main method of treatment is surgery. KEY WORDS rhinophyma , sebaceous hyperplasia, nasal tumor Introduction Rhinophyma, exuberant hypertrophic acne, with tumoral aspect of the skin of nasal pyramid is characterized by large, bulbous, erythematous appearance of the nose. It can also cause upper airways obstruction and difficulty in eating. The word rhinophyma is derived from the Greek word “rhis” meaning nose and “phyma” meaning growth .This disease mainly occurs in men after 50 years. -
Five Cases of Phytophotodermatitis Caused by Fig Leaves and Relevant Literature Review
JH Son, et al pISSN 1013-9087ㆍeISSN 2005-3894 Ann Dermatol Vol. 29, No. 1, 2017 https://doi.org/10.5021/ad.2017.29.1.86 CASE REPORT Five Cases of Phytophotodermatitis Caused by Fig Leaves and Relevant Literature Review Jin-Hwa Son1, Hyunju Jin1, Hyang-Suk You1, Woo-Haing Shim1, Jeong-Min Kim1, Gun-Wook Kim1, Hoon-Soo Kim1, Hyun-Chang Ko1, Moon-Bum Kim1,2, Byung-Soo Kim1,2 1Department of Dermatology, School of Medicine, Pusan National University, 2Biomedical Research Institute, Pusan National University Hospital, Busan, Korea Phytophotodermatitis is a condition caused by sequential ex- INTRODUCTION posure to photosensitizing substances present in plants fol- lowed by ultraviolet light. Several plants (e.g., limes, celery, Phytophotodermatitis is a condition caused by sequential fig, and wild parsnip) contain furocoumarin compounds exposure to certain photosensitizing substance present in (psoralens). It is important for dermatologists to be aware of plants followed by sunlight. Many common plants, includ- phytophotodermatitis because it may be misdiagnosed as ing citrus fruits, celery, and wild parsnip contain such cellulitis, tinea, or allergic contact dermatitis. We present photosensitizers (e.g., furocoumarins). five patients with a sharply defined erythematous swollen Herein, we present five cases of phytophotodermatitis af- patch with bullae on both feet. They described soaking their ter soaking feet in fig leaves decoction. feet in a fig leaves decoction to treat their underlying derma- We present two purposes of this report: the first is to bring tologic diseases. Within 24 hours, all patients had a burning attention to this type of dermatitis. It is important for der- sensation in their feet, and erythema and edema had devel- matologists to recognize phytophotodermatitis as it may oped on the feet dorsa with exception of the portion of the sometimes be misdiagnosed as other skin conditions in- skin covered by the sandals.