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AMERICAN OSTEOPATHIC COLLEGE of DERMATOLOGY Page 1 Journal of the American Osteopathic College of Dermatology last modified on November 7, 2016 8:31 AM JOURNAL OF THE AMERICAN OSTEOPATHIC COLLEGE OF DERMATOLOGY Page 1 JOURNAL OF THE AMERICAN OSTEOPATHIC COLLEGE OF DERMATOLOGY 2015-2016 AOCD OFFICERS PRESIDENT Alpesh Desai, DO, FAOCD PRESIDENT-ELECT Karthik Krishnamurthy, DO, FAOCD FIRST VICE-PRESIDENT Daniel Ladd, DO, FAOCD SECOND VICE-PRESIDENT John P. Minni, DO, FAOCD Co-Editor-in-Chief THIRD VICE-PRESIDENT Reagan Anderson, DO, FAOCD Karthik Krishnamurthy, DO SECRETARY-TREASURER Steven Grekin, DO, FAOCD Co-Editor-in-Chief TRUSTEES Derrick Adams, DO Danica Alexander, DO, FAOCD (2015-2018) Michael Whitworth, DO, FAOCD (2013-2016) Tracy Favreau, DO, FAOCD (2013-2016) Assistant Editor David Cleaver, DO, FAOCD (2014-2017) Julia Layton, MFA Amy Spizuoco, DO, FAOCD (2014-2017) Peter Saitta, DO, FAOCD (2015-2018) Immediate Past-President Rick Lin, DO, FAOCD EEC Representatives James Bernard, DO, FAOCD Michael Scott, DO, FAOCD Finance Committee Representative Donald Tillman, DO, FAOCD AOBD Representative Michael J. Scott, DO, FAOCD Executive Director Marsha A. Wise, BS AOCD • 2902 N. Baltimore St. • Kirksville, MO 63501 800-449-2623 • FAX: 660-627-2623 • www.aocd.org COPYRIGHT AND PERMISSION: Written permission must be obtained from the Journal of the American Osteopathic College of Dermatology for copying or reprinting text of more than half a page, tables or figures. Permissions are normally granted contingent upon similar permission from the author(s), inclusion of acknowledgment of the original source, and a payment of $15 per page, table or figure of reproduced material. Permission fees are waived for authors wishing to reproduce their own articles. Request for permission should be directed to JAOCD c/o AOCD, PO Box 7525, Kirksville, MO 63501. Copyright © 2003 by the Journal of the American Osteopathic College of Dermatology Print and layout by: S&S Printing and Graphics LLC, 701 N. Marion St., Kirksville, MO 63501 Copy editing by: Julia Layton, Freelance Writing and Editing Page 2 JOURNAL OF THE AMERICAN OSTEOPATHIC COLLEGE OF DERMATOLOGY JOURNAL OF THE AMERICAN OSTEOPATHIC COLLEGE OF DERMATOLOGY Table of Contents Volume 36 AOCD Editors .............................................................................................................................................................................................. 4 Letter from the Co-Editor-in-Chief ............................................................................................................................................................ 5 Letter from the Executive Director ............................................................................................................................................................... 6 Letter from the President .............................................................................................................................................................................. 7 FEATURE ARTICLE: Intraoperative Hemostasis in Dermatologic Surgery: A Review and Discussion of Varied Approaches .....................................................10 Leela Athalye, DO, Jacquiline Habashy, DO, Donna Tran, DO, David Horowitz, DO EDITOR’S PICKS: Abdominal Pain: A Unique Presentation of Neurofibromatosis and Updated Review of the Condition ....................................................13 Brandon Nickle, DO, Blaze Emerson, MS, Kimberly Hull, DO, Brittany Smirnov, DO, Jaqueline Thomas, DO, FAOCD Subungual Melanoma in a Haitian Male: A Case Presentation and Discussion .........................................................................................16 Stephanie Blackburn, DO, Jason Barr, DO, Richard Averitte Jr., MD, Michelle Goedken, DO, Sarah Estrada, MD Cutaneous Sarcoidosis Identification in a Patient with Asymptomatic Third-Degree AV Block ................................................................19 Fatima Fahs, MD, Roxana L. Chapman, DO, FACP, FAAD, FAOCD Successful Use of Liposomal Amphotericin B for Cutaneous Leishmaniasis in a Young Male Patient Treated with a TNF-alpha Inhibitor .....23 John R. Moesch, BA, Caryn Bern, MD, MPH, Vincent A. Laufer, BA, Robin H. Dretler, MD, FIDSA Childhood Dermatofibrosarcoma Protuberans, Giant Cell Fibroblastoma Variant: A Case Report and Discussion ..................................28 Shannon McKeen, DO, Mark A. Kuriata, DO Diffuse Epidermolytic Epidermal Nevus and Genetic Counseling: A Case Report and Brief Review of the Topic ...................................30 Christa M. Tomc, DO, Peter Malouf, DO, Stephen Weis, DO A Report of Kyrle’s Disease (Hyperkeratosis Penetrans) in a 43-Year-Old Male with End-Stage Renal Disease ......................................33 Ryan Skinner, DO, Nina Sabzevari, BS, Daniel Hurd, DO Multinucleate Cell Angiohistiocytoma: A Case Presentation and Discussion ............................................................................................35 Angela Macri, DO, Jaclyn Hess, MD, Jonathan S. Crane, DO, FAOCD, FAAD A Rare Case of Pili Annulati .......................................................................................................................................................................37 Yuri Kim, DO, John Howard, DO, Gabriela Maloney, DO, Stanley Skopit, DO, MSE, FAOCD, FAAD A Case of Progressive Macular Hypopigmentation .....................................................................................................................................39 Mehreen Sheikh, BS, Jocelyn LaRocque, DO, FAOCD Metastatic Melanoma Arising 10 Years after Treatment of Primary Lesion: A Unique Case Representative of SOX-10’s Efficacy in Identifying Melanomas of Metastatic Origin ......................................................41 Natalie Steinhoff, DO, Gabriela Maloney, DO, Richard Miller, DO, FAOCD A Case of Twenty Nail Dystrophy and Review of Treatment Options .......................................................................................................43 Emily Tongdee, BS, Shahjahan Shareef, BS, Tracy Favreau, DO, Khasha Touloei, DO Wolf ’s Isotopic Response: A Case Report ...................................................................................................................................................47 Gabriel Guerrero, DO, Nathan Jackson, DO, Schield Wikas, DO A Rare Case of Well’s Syndrome .................................................................................................................................................................49 Donna Tran, DO, Nicole Rouse, BS, Paul Shitabata, MD, Leela Athalye, DO, Navid Nami, DO A Rare Presentation of Atypical Fibroxanthoma: A Case Report and Discussion ......................................................................................51 Gabriel Guerrero, DO, Leela Athalye, DO, Luiza d’Almeida, MD, Paul Shitabata, MD, Navid Nami, DO JOURNAL OF THE AMERICAN OSTEOPATHIC COLLEGE OF DERMATOLOGY Page 3 Co-Editor-in-Chief Co-Editor-in-Chief Founding Editor Assistant Editor Karthik Krishnamurthy, DO Derrick Adams, DO Jay Gottleib, DO Julia Layton, MFA Associate Editors Aaron Bruce, DO Jonathan Crane, DO Peter Saitta, DO Michael Scott, DO Bozeman, MT Wilmington, NC Brooklyn, NY Seattle, WA Editorial Board Sami Abbasi, DO Marcus Goodman, DO Scott Lim, DO Andrew Racette, DO Brownstown, MI Roswell, GA Erie, PA Phoenix, AZ Ali Banki, DO Melinda Greenfield, DO Chava Lustig, DO Richard Rudnicki, DO Glastonbury, CT Albany, GA Weston, FL Mesquite, TX Brett Bender, DO Denise Guevara, DO Jere Mammino, DO Amara Sayed, DO Farmington Hills, MI Weston, FL Winter Springs, FL San Marcos, TX Ryan Carlson, DO Andrew Hanly, MD John Minni, DO Joseph Brant Schneider, DO Hilliard, OH Miami, FL Port St. Lucie, FL Shawnee Mission, KS Igor Chaplik, DO Joel Harris, DO Tony Nakhla, DO Gregg Severs, DO Aventura, FL Madison Heights, MI Orange County, CA Scranton, PA Michael P. Conroy, MD Heather Higgins, DO Navid Nami, DO Sean Stephenson, DO Columbus, OH Troy, MI Newport Beach, CA Troy, MI John Coppola, DO David Horowitz, DO Jon Keeling, DO Jacqueline Thomas, DO Ormond Beach, FL Torrence, CA Lexington, KY Fort Lauderdale, FL Matthew Elias, DO Mark Lebwohl, MD Dimitria Papadopoulos, DO Jim Towry, DO Lighthouse Point, FL New York, NY Bellmore, NY Ocala, FL Merrick Elias, DO Angela Leo, DO John Perrotto, DO Scott Wickless, DO Delray Beach, FL New York, NY West Palm Beach, FL Dallas, TX Michelle Foley, DO Ormond Beach, FL Page 4 JAOCD EDITORS LETTER FROM THE CO-EDITOR-IN-CHIEF Karthik Krishnamurthy, DO, FAOCD Co-Editor-in-Chief, JAOCD Dear Colleagues, This is a very exciting time for the JAOCD. First, we are welcoming a second Editor-in-Chief to our Editorial Board. Derrick Adams, DO, will be upping his contribution to the journal, joining me at the helm of our growing publication, and we couldn’t be happier. We are adopting a new format, as well. After this final print volume, the journal is transitioning to an online-only format, which will bring some new functionality and ease to each issue. Academic sponsorship has been increasingly difficult to secure over the last few years, and many of our sponsors have reduced their scholarship divisions. Currently, it costs around $45K per year to manage and print the journal, exclusive of all the great volunteer work that the editorial board and AOCD donate. I was very fortunate to inherit a great foundation from Dr. Jay Gottlieb and the many others who helped build this journal, under whose financial stewardship established solvency during the first 10 years of the endeavor; that alone been the reason
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