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5.
Contact Dermatitis ; 2021 Feb 28.
Artigo em Inglês | MEDLINE | ID: mdl-33641162

RESUMO

BACKGROUND: We present a case series of 10, atopic, African women who developed irritant contact dermatitis (ICD) from synthetic hair extensions. METHODS: Ten consecutive African female patients who presented with a pruritic cutaneous eruption on the neck over a period of 2 years are described. Patients underwent skin patch testing using both standard and hair commercial patch test panels and samples of their own hair extensions. Hair care products were not tested. RESULTS: All 10 patients used synthetic hair extensions. A strong history of atopy was documented for all the patients and examination was significant for eczematous, lichenified plaques at the location of contact with the free end of the hair extension. Patch test results yielded no relevant reactivity and a diagnosis of ICD was made for all patients. The lesions resolved completely on removal of the hair extensions and the use of topical steroids and emollients, dependent on eczema severity. CONCLUSIONS: Artificial hair extensions should be considered as a potential irritant, resulting in ICD. Patients with a history of atopy are at risk of developing ICD from synthetic hair extensions.

8.
J Dermatolog Treat ; 31(4): 403-405, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30889998

RESUMO

While sunscreen is effective prevention for skin cancer, public sunscreen use and compliance are low. Identifying factors affecting sunscreen use and barriers to compliance are important to understand in order to increase sunscreen use, especially among high-risk individuals. We conducted a single institution survey of 429 dermatology clinic patients to better understand patients' barriers to sunscreen use. Overall several personal barriers to sunscreen use included dislike of feel or appearance of sunscreen (33.7%) and time constraints (15.3%). The cost was a barrier to use in 16.4% of cases underscoring the importance for dermatologists to consider socioeconomic barriers to sunscreen use and provide cost-effective sun protection counseling to patients whenever possible. Dermatologists recommending sunscreen use was associated with a higher rate of use of sunscreen (p < .001) highlighting the important role of sun protective counseling by the dermatologist.


Assuntos
Cooperação do Paciente , Neoplasias Cutâneas/prevenção & controle , Protetores Solares/uso terapêutico , Adulto , Idoso , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Queimadura Solar/prevenção & controle , Inquéritos e Questionários
11.
Pediatr Dermatol ; 36(2): 262-264, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30656724

RESUMO

Subepidermal calcified nodules are lesions that primarily affect children and are most commonly located on the head. The current standard of treatment for these is surgical excision. However, surgical excision is not always possible and may not be cosmetically favorable. We describe the use of a CO2 laser as a successful treatment for a subepidermal calcified nodule of the finger.


Assuntos
Calcinose/cirurgia , Dedos/patologia , Terapia a Laser/métodos , Lasers de Gás/uso terapêutico , Dermatopatias/cirurgia , Adolescente , Calcinose/patologia , Feminino , Humanos , Dermatopatias/patologia
13.
Int J Dermatol ; 57(11): 1314-1319, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30074622

RESUMO

BACKGROUND: Little is currently known about health-related quality of life (HRQoL) of patients with cutaneous T-cell lymphoma (CTCL), a condition characterized by chronic, pruritic, visible lesions, features which may be uniquely influential. OBJECTIVE: The aim of this study was to establish baseline HRQoL data for patients with CTCL and identify its influencing factors. METHODS: Prospective, nonblinded survey design utilizing questionnaires including panels of QoL indices obtained from 105 patients with mycosis fungoides, Sezary syndrome, and CD30+ lymphoproliferative disorder. Chart review correlated QoL with year of disease onset/diagnosis, type/stage of disease, current/past therapies, and medical/psychiatric diagnoses. RESULTS: Psychiatric condition was significantly associated with symptoms (P < 0.01), emotions (P < 0.01), and functioning (P < 0.03) subscales along with overall composite measure (P < 0.01). High-grade systemic therapy (OR = 5.28) showed greater increase in odds of a lower health state than low grade (OR = 1.54). The number of medical comorbidities was significantly related to itching (P < 0.01). Increased age was a protective factor with respect to the emotions (P < 0.01), functioning (P < 0.01), and overall composite (P < 0.01) but not predictive of symptoms. Lower income was associated with higher bother on the symptoms subscale. CONCLUSIONS: HRQoL in CTCL appears related to a number of factors, including presence of a psychiatric condition, use of systemic (particularly high grade) therapy, number of medical comorbidities, and income.


Assuntos
Linfoma Anaplásico de Células Grandes/psicologia , Transtornos Mentais/psicologia , Micose Fungoide/psicologia , Qualidade de Vida , Síndrome de Sézary/psicologia , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Comorbidade , Emoções , Feminino , Nível de Saúde , Humanos , Renda , Linfoma Anaplásico de Células Grandes/complicações , Linfoma Anaplásico de Células Grandes/tratamento farmacológico , Masculino , Transtornos Mentais/complicações , Pessoa de Meia-Idade , Micose Fungoide/complicações , Micose Fungoide/tratamento farmacológico , Estudos Prospectivos , Prurido/etiologia , Síndrome de Sézary/complicações , Síndrome de Sézary/tratamento farmacológico , Inquéritos e Questionários , Avaliação de Sintomas
14.
J Am Acad Dermatol ; 79(2): 337-341, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-29653209

RESUMO

The American Academy of Dermatology has taken an active stance in addressing the lack of racial and ethnic diversity in the specialty. At the American Academy of Dermatology President's Conference on Diversity in Dermatology, which was held on August 5, 2017, key action items to increase the number of practicing board-certified dermatologists who are under-represented in medicine (UIM) were identified in 3 main areas. The action items include increasing the pipeline of UIM students applying to medical school, increasing UIM medical students' exposure to the field of dermatology and their level of interest in it, and increasing the number of UIM students recruited into dermatology residency programs.


Assuntos
Diversidade Cultural , Dermatologia , Etnicidade , Grupos Raciais , Escolha da Profissão , Dermatologia/educação , Dermatologia/estatística & dados numéricos , Feminino , Humanos , Internato e Residência , Colaboração Intersetorial , Masculino , Mentores , Grupos Minoritários , Sociedades Médicas , Estudantes de Medicina/estatística & dados numéricos , Estados Unidos
18.
Am J Dermatopathol ; 37(10): 790-4, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25747810

RESUMO

IMPORTANCE: Posttransplant lymphoproliferative disorder (PTLD) is an uncommon complication after solid organ transplants and hematopoietic stem cell transplants. Extranodal involvement in PTLD can involve several organ systems, including the central nervous system, bone marrow, lungs, gastrointestinal tract, and skin. Isolated involvement of the skin without systemic involvement in PTLD is rare. Primary cutaneous PTLD is generally categorized as either cutaneous T-cell lymphomas or cutaneous B-cell lymphomas, with variable Epstein-Barr virus (EBV) positivity. Herein, we describe an exceedingly uncommon case of a polymorphic variant of primary cutaneous PTLD. OBSERVATIONS: A woman in her 30s, who received an EBV+ deceased donor kidney transplant, presented with a 2-week history of 2 indurated patches over the lower abdomen. A skin biopsy revealed an atypical lymphoid proliferation with immunohistochemical stains demonstrating a mixed population of both B and T cells that stained strongly positive for EBV-encoded RNA. A bone marrow biopsy and positron emission tomography/computed tomography were negative for systemic involvement. The patient was treated with immunosuppression reduction and rituximab infusions. CONCLUSIONS AND RELEVANCE: This case highlights a rare polymorphic variant of primary cutaneous EBV-associated PTLD and increases awareness of this uncommon posttransplant complication. Cutaneous PTLD is reviewed, therefore dermatologists are aware of this uncommon disorder.


Assuntos
Infecções por Vírus Epstein-Barr/virologia , Herpesvirus Humano 4/isolamento & purificação , Transplante de Rim/efeitos adversos , Transtornos Linfoproliferativos/virologia , Dermatopatias Virais/virologia , Adulto , Biópsia , Infecções por Vírus Epstein-Barr/tratamento farmacológico , Infecções por Vírus Epstein-Barr/imunologia , Infecções por Vírus Epstein-Barr/patologia , Feminino , Herpesvirus Humano 4/imunologia , Humanos , Imuno-Histoquímica , Fatores Imunológicos/uso terapêutico , Imunossupressores/efeitos adversos , Transtornos Linfoproliferativos/tratamento farmacológico , Transtornos Linfoproliferativos/imunologia , Transtornos Linfoproliferativos/patologia , Tomografia por Emissão de Pósitrons , Rituximab/uso terapêutico , Dermatopatias Virais/tratamento farmacológico , Dermatopatias Virais/imunologia , Dermatopatias Virais/patologia , Tomografia Computadorizada por Raios X , Resultado do Tratamento
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