Education

Cutting-edge talks from today’s specialty experts attract attendees to the DF’s annual CME meeting: Clinical Symposia—Advances in Dermatology.

Common and Uncommon Pitfalls in Clinicopathologic Correlation

Dr. Olayemi Sokumbi discussed three patient cases that demonstrate pitfalls in clinicopathologic correlation (CPC), the correlation between clinical and histopathological diagnosis. She believes that the gold standard for diagnosis involves collaboration between the dermatologist and dermatopathologist. Case #1: Double whammy A 28-year-old male presented with scattered plaques and nodules on his arms and legs. He…

Skin Color in Clinicopathological Correlation

Dr. Sokumbi presented information about the role of skin color in clinicopathological correlation (CPC) and dermatopathology. She argued that dermatologists should understand how skin of color clinical deficiencies, and biases impact dermatopathology and shared three patient cases of inflammatory dermatoses that demonstrate pitfalls to consider in skin of color. Case #1: Overcoming bias A 64-year-old…

Cutaneous Metastases in Cancer Patients

Dr. Choi shared about the role of dermatologists in treating cutaneous metastases (CM) in cancer patients. Typically, dermatologists diagnose CM and refer patients to their oncologist for primary treatment. Dr. Choi argued that dermatologists can make a difference in clinical outcomes and patient quality of life by treating them with skin-directed therapies. First, Dr. Choi…

Skin Cancer Syndrome: Update on Gorlin Syndrome

Dr. Billingsley presented information about the etiology, diagnosis, and treatment of Gorlin syndrome. First, Dr. Billingsley discussed the etiology and epidemiology of Gorlin syndrome. Gorlin syndrome is a tumor predisposing disorder with systemic manifestations that affects approximately 11,000 people in the US. It is caused by a genetic mutation affecting the Sonic Hedgehog (SHH) signaling…

Surgical Pearls

Dr. Billingsley presented 7 surgical pearls for dermatologists. #1: Curettage alone Dr. Billingsley shared techniques for using curettage alone for well-defined skin cancer lesions. #2: Pulley suture and purse-string closure Dr. Billingsley described how to perform the pulley suture and purse-string closure. The pulley suture is a quick way to close wounds under tension, such…

Scar Wars

Dr. Wysong presented information about scar assessment and treatment. First, Dr. Wysong discussed managing patient expectations for scar treatment. Scars are an outcome of the natural healing process when fibrous tissue replaces normal skin after skin injury. Patients should understand that their skin will never be exactly the same. Dr. Wysong makes sure to ask…

Update on Contact Dermatitis

Dr. Cohen shared updated information about contact dermatitis (CD), including trends, common allergens, consort CD, and systemic CD. Reading product labels is critical for diagnosing CD because most products contain common allergens. Dr. Cohen advised that there is overlap between CD and atopic dermatitis (AD). If a patient’s skin does not clear with treatment, consider…

How I Do It: Pediatric Psoriasis Cases

Dr. Chiu presented information about the treatment of pediatric psoriasis beyond the use of topical steroids. First, Dr. Chiu described treatment options for pediatric psoriasis when topical steroids are insufficient. When discussing treatment options with the family, she typically offers three categories: phototherapy, oral medication, and injectables. Dr. Chiu reads the room and uses parents’…

Atopic Dermatitis: Guidelines of Care

Dr. Cohen presented information about the updated guidelines from the American Academy of Dermatology (AAD) for topical, systemic, and phototherapy treatments for atopic dermatitis (AD).   First, Dr. Cohen discussed updated AAD guidelines for topical therapies. Moisturizers, calcineurin inhibitors, topical corticosteroids, topical phosphodiesterase-4 (PDE-4) inhibitors, and Janus kinase (JAK) inhibitors are strongly recommended. Dr. Cohen encouraged…

Challenging Cases That Have Taught Me Oncology

Dr. Choi presented three oncodermatology cases that demonstrate clinical pearls for the diagnosis and treatment of oral graft versus host disease (GVHD), nutritional deficiencies, and aleukemic leukemia cutis (LC). Case #1 A 71-year-old female with acute lymphoblastic leukemia and hematopoietic stem cell transplant (HSCT) presented with oral pain and bleeding and bruising of the gums…