On the Cover
Alternative to skin grafting February 02, 2017By Louise GagnonThere is a growing burden in wound management. Stem cells will be instrumental in the development of skin substitutes. Novel hydrogel promotes skin regeneration in in vivo experiments.
In this issue
Who gets sued: Managed care or me?Much has been written and discussed over the last decade about accountability, particularly as it applies to the issue of liability for medical decision making in the care and treatment of healthcare plan enrollees and beneficiaries. So many medications, so little accessWhy are drugs so expensive? It’s complicated. Who is profiting? Not just "Big Pharma". Is there a solution to this problem? Only if everyone is willing to pay their fair share.
Novel immunomodulators expected to usher in new therapeutic eraA number of systemic and topical treatments for atopic dermatitis are being developed that feature novel mechanisms of action targeting the inflammatory axes involved in the disease. FDA approves corticosteroid-sparing topical option for eczema January 17, 2017By Lisette HiltonThe FDA announced it has approved Eucrisa (Anacor Pharmaceuticals, crisaborole) ointment to treat mild to moderate eczema in patients two-years-of-age and older. Guidelines recommend early peanut introduction January 25, 2017By Lisette HiltonExperts weigh in on what to know about the new addendum to the peanut allergy prevention guidelines. Updated guidelines for diagnosis, treatment of rosacea January 31, 2017By Lisette HiltonA revised and updated set of criteria and treatment recommendations establishes a phenotype approach to diagnosing and classifying rosacea. This approach marks a transition from treating rosacea patients according to subtype. Global representation may identify research needed to determine whether rosacea is a global condition. Links shown between rosacea, other diseases February 08, 2017By Lisette HiltonThree studies point to links between rosacea and numerous systemic comorbid diseases. Rosacea and gastro disorders possibly related February 08, 2017By Lisette HiltonBecause rosacea is an inflammatory disease there is scientific rationale for a possible association between it and other inflammatory diseases. A recent study demonstrates that rosacea patients have a greater percentage of gastrointestinal disorders than do controls and should be evaluated further if they present with GI symptoms. In such cases a systematic approach to the treatment of both conditions may be warranted. The truth about isotretinoin February 10, 2017By Bob KronemyerSince its introduction, isotretinoin has been reported to cause psychiatric problems or irritable bowel disease. Because different studies over the past 35 years do not support these claims dermatologists should not hesitate to prescribe this medication for their acne patients. The future of wound healing March 01, 2017By Lisette HiltonResearchers have developed a 3D printer that applies skin cells onto burn wounds. Bio-printed cells enhanced wound healing by three to four weeks compared with untreated or matrix-treated wounds. Researchers are compiling animal data to submit an IND application for a clinical trial.
RF microneedling applications January 19, 2017By Lisette HiltonOne dermatologists describes her success with radiofreqency microneedling to treat acne and acne scarring. Protocol for injecting fillers gives more predictable results January 20, 2017By Louise GagnonPartitioning the face into different units and injecting filler in specific locations is a method to attaining a rejuvenated face that looks relaxed and natural. Is 'natural' soap milder?It is unclear what constitutes “natural” soap, since all soap is really natural, however there is a trend toward the purchase of homemade soap. Why does skin feel tight after cleansing?No one knows exactly why skin feels tight after cleansing, however one general theory is widely accepted. Avoiding filler complications February 07, 2017By Lisette HiltonInjectable fillers are considered to be safe in the hands of experienced dermatologists. But side effects are a possibility no matter how experienced the practitioner. A derm expert shares what colleagues need to know about filler complications and how to treat them.
New challenges of melanoma February 10, 2017By Bob KronemyerMelanoma rates continue to rise, especially thin lesions which represents the largest group of fatalities. Gene expression profile tests can help diagnose or predict melanoma and are easy to use. But many dermatologists do not follow recommended treatment guidelines, which indicates a need to either educate practitioners or rethink the guidelines. Nasal reconstruction after skin cancer surgery February 16, 2017By Bob KronemyerDermatologists should consider the features of the nasal defect when weighing options for repair.
Consider the desires of the patient when assessing options for both repair and treatments to mitigate post-surgical scar formation.
The dermatologist must determine the choice of which procedure will likely achieve the best aesthetic outcome overall.
Steps to Security February 03, 2017By John JesitusTo keep patient information safe, experts recommend using cutting-edge hardware and software, personalizing the challenge for employees and reminding them of data-hygiene basics. An information technology partner that will manage your on-site systems and perform updates on a regular basis is as important as your insurance provider is to your practice. Data breaches a near certainty February 03, 2017By John JesitusIn the event of a data breach physicians may have to inform HHS, law enforcement and the media, as well as any patients who may have been affected.
Suspected breaches also should trigger calls to your IT staff, lawyer and insurer. An alarming number of violations have been the result of inappropriate use of social media by doctors or staff rather than hacking or aggressive data breaching. Starting a career in dermatology: 5 questions February 13, 2017By Randy DotingaResidency isn't forever, and young dermatologists on the verge of starting their careers must make big decisions. Forge the path February 24, 2017By Randy DotingaIn this complicated new era of health care, a prominent dermatologist says, there are some battles to fight and other changes to accept. A new insurance world March 01, 2017By Randy DotingaQuality measurement, coverage trends are not new. Opportunity for specialty to develop its own valid data gathering methods. Dermatologists can seek guidance from specialties that have had success
Types of wounds and dressing options
March 01, 2017The March Table of the Month discusses various dressing options and review times for certain wound types.