JAOCDJournal Of The American Osteopathic College Of Dermatology Volume 26 pg. 12 Stress and Inflammatory Skin Disorders: A Review of Non-Pharmacologic Treatments Also in this issue: last modified on September 24, 2013 1:07 PM JOURNAL OF THE AMERICAN OSTEOPATHIC COLLEGE OF DERMATOLOGY Page 1 JOURNAL OF THE AMERICAN OSTEOPATHIC COLLEGE OF DERMATOLOGY 2012-2013 OFFICERS PRESIDENT David L. Grice, DO, FAOCD PRESIDENT-ELECT Suzanne Sirota-Rozenberg, DO, FAOCD FIRST VICE-PRESIDENT Rick J. Lin, DO, FAOCD SECOND VICE-PRESIDENT Alpesh Desai, DO, FAOCD THIRD VICE-PRESIDENT Editor-in-Chief Karthik Krishnamurthy, DO, FAOCD Karthik Krishnamurthy, DO IMMEDIATE PAST-PRESIDENT Bradley Glick, DO, FAOCD TRUSTEES Danica Alexander, DO, FAOCD Reagan Anderson, DO, FAOCD Sponsors: Mark A. Kuriata, DO, FAOCD Daniel Ladd, DO, FAOCD Bayer John P. Minni, DO, FAOCD Bryan Sands, DO, FAOCD AuroraDx SECRETARY-TREASURER Medicis Jere J. Mammino, DO, FAOCD Ranbaxy EXECUTIVE DIRECTOR Marsha A. Wise, B.S. JAOCD Founding Sponsor 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 acknowledgement 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, 401 N. Marion St., Kirksville, MO 63501 Copy editing by: Julia Layton, Freelance Writing and Editing Cover image by: Vikram Krishnamurthy, MD, Chicago, IL Page 2 JOURNAL OF THE AMERICAN OSTEOPATHIC COLLEGE OF DERMATOLOGY JOURNAL OF THE AMERICAN OSTEOPATHIC COLLEGE OF DERMATOLOGY Table of Contents Volume 26 JAOCD Editors ............................................................................................................................................................................................ 4 Letter from the Editor-in-Chief ................................................................................................................................................................... 5 Letter from the Executive Director ............................................................................................................................................................... 6 Letter from the President .............................................................................................................................................................................. 7 FEATURE ARTICLE: Stress and Inflammatory Skin Disorders: A Review of Non-Pharmacologic Treatment Options Monica Huynh, BA, John Koo, MD ........................................................................................................................................................ 12 EdiTOr’S PicKS: Old World meets New World Leishmaniasis: Leishmania tropica in Florida Ann Mazor-Reed, DO, Jacqueline A. Thomas, DO, FAOCD .................................................................................................................... 15 Use of Acitretin in a Patient with Multiple Squamous Cell Carcinomas: A Case Report and Literature Review Dorene Niv, BS, Patrick Keehan, DO, FAOCD ....................................................................................................................................... 18 Cutaneous Manifestation of Churg-Strauss Syndrome Holly Kanavy, DO, Cindy Hoffman, DO ................................................................................................................................................ 21 ORIGINAL ARTiclES AND CASE REPORTS Scalp Metastasis Heralding a Diagnosis of Breast Cancer: A Case Report and Discussion Mounir Wassef, DO, Robin Shecter, DO, FAOCD ................................................................................................................................... 24 Case Report: Diffuse Bullous Eruption Following Antibiotic Use Capt. Shannon Buck, DO, Lt. Col. Erika Hill, MD, Col. (Ret) Wayne Sumpter, MD ................................................................................ 26 Atypical Fibroxanthoma with Osteoclast-like Giant Cells: Report of Two Cases Viktoryia Kazlouskaya, MD, PhD, Vladyslava Doktor, MA, Elen Blochin, MD, PhD, Dirk Elston, MD ................................................... 28 Primary Cutaneous Adenosquamous Carcinoma Treated with Mohs Donna D. Tran, DO, Brooke Walls, DO, Richard Miller, DO, FAOCD ................................................................................................... 30 Lupus Panniculitis of the Lower Extremities: A Case Report and Review of the Literature Dustin Portela, H-BS, Paul M. Bedocs, DO, Melissa Piliang, MD ........................................................................................................... 31 Oral and Cutaneous Lichenoid Drug Eruption Secondary to Imatinib Mesylate: A Case Report and Review of the Literature Kristen Suchniak, MD, Gregg Severs, DO ............................................................................................................................................... 33 Dercum’s Disease Treated by Coolsculpting: A Case Report Jonathan S. Crane, DO, FAOCD, J. Kate Jackson, PA-C, Louis I. Padgett, BS .......................................................................................... 35 The Companion: A Desmoplastic Trichoepithelioma Arising within a Melanocytic Nevus Peter Knabel, DO, Lloyd Cleaver, DO, FAOCD ...................................................................................................................................... 36 Atypical Adult-onset Pityriasis Rubra Pilaris and Recurrent Corneal Ulcerations Natalie Edgar, BS, David Eslicker, DO, FAOCD, Henry Haskell, MD .................................................................................................... 38 Granular Parakeratosis Treatment with Tacrolimus 0.1% Ointment: A Case Presentation and Discussion Bertha Baum, DO, Stanley Skopit, DO, MSE, FAOCD .......................................................................................................................... 40 Hyperpigmentation in a 51-year-old Caucasian Female William Bethea, DO, Bryce Desmond, BS, Steven K. Grekin, DO ............................................................................................................ 42 JOURNAL OF THE AMERICAN OSTEOPATHIC COLLEGE OF DERMATOLOGY Page 3 Editor-In-Chief Founding Editor Assistant Editor Karthik Krishnamurthy, DO Jay Gottleib, DO Julia Layton, BA, MFA Associate Editors Aaron Bruce, DO Michelle Foley, DO Michael Scott, DO Scott Wickless, DO Loveland, CO Ormond Beach, FL Seattle, WA Durango, CO Editorial Board Sami Abbasi, DO Marcus Goodman, DO Rick Lin, DO Adriana Ros, DO Brownstown, MI Roswell, GA McAllen, TX Clifton, NJ Brad Abrams, DO Melinda Greenfield, DO Chava Lustig, DO Richard Rudnicki, DO Sarasota, FL Albany. GA Weston, FL Mesquite, TX Derrick Adams, DO Denise Guevara, DO Jere Mammino, DO Amara Sayed, DO Red Bluff, CA Weston, FL Winter Springs, FL San Marcos, TX Brooke Bair, DO Andrew Hanly, MD Chris Manlio, DO Joseph Brant Schneider, DO Jacksonville, FL Miami, FL Loxahatchee, FL Shawnee Mission, KS Kevin Belasco, DO Joel Harris, DO John Minni, DO Gregg Severs, DO Milwaukee, WI Madison Heights, MI Port St. Lucie, FL Scranton, PA Brett Bender, DO Heather Higgins, DO Tony Nakhla, DO Sean Stephenson, DO Farmington Hills, MI Troy, MI Orange County, CA Troy, MI Richard Bernert, MD David Horowitz, DO Navid Nami, DO Jacqueline Thomas, DO Scottsdale, AZ Torrence, CA Newport Beach, CA Fort Lauderdale, FL Ryan Carlson, DO Jocelyn LaRocque, DO Jon Keeling, DO Jim Towry, DO Hilliard, OH Charlotte, NC Lexington, KY Ocala, FL Michael P. Conroy, MD Matt Leavitt, DO Dimitria Papadopoulos, DO Columbus, OH Maitland, FL Bellmore, NY Not pictured: Iqbal Bukhari, MD Alkhobar, Saudi Arabia Matther Elias, DO Mark Lebwohl, MD John Perrotto, DO Lighthouse Point, FL New York, NY West Palm Beach, FL Merrick Elias, DO Angela Leo, DO Stephen Purcell, DO Delray Beach, FL New York, NY Allentown, PA Brad Glick, DO Scott Lim, DO Andrew Racette, DO Margate, FL Erie, PA Phoenix, AZ Page 4 JAOCD EdITORS LETTER FROM THE EDITOR-IN-CHIEF Karthik Krishnamurthy, DO, FAOCD Editor-in-Chief Dear JAOCD Readership, On August 1, 2013, under the Physician Payment Sunshine Act (PPSA), “industry” must begin collating information regarding its relationships with physicians. Starting in March 2014, “industry” will begin reporting “payment or other transfer of value” to the Department of Health and Human Resources. What does this mean? Begotten by the Patient Protection and Affordable Health Care Act of 2010, the intention of PPSA is to ensure transparency. Reporting will be facilitated through CMS.gov (Centers for Medicare and Medicaid Services), and it is imperative that all physicians register with the service in order to receive notifications and track and verify “transactions,” as there will be a 45-day window to review or challenge individual entries. “Industry” includes pharmaceutical, medical-device, biological and medical-supply companies. The definition of “payment