DermInsider - VGR Session 8

Summarize the pathophysiology of cutaneous disease to improve the selection of targeted treatments for individual patients

Describe morphological characteristics of specific dermatologic diseases to help generate a broad differential diagnosis

What’s the Diagnosis? Special Case Challenge Competition

DermInsider - A Virtual Grand Rounds Series - Session 8: What’s the Diagnosis? Special Case Challenge Competition

DermInsider - VGR Session 7

Discuss the pathogenesis and optimal management of psoriasis, atopic dermatitis and acne vulgaris


Update knowledge regarding recent advances in the safe and effective use of biologic agents for the treatment of dermatologic diseases


Enhance the ability to evaluate and incorporate new techniques and uses of dermal fillers and neurotoxins


Identify and describe the indications, contraindications, and evidence-based safety and efficacy profiles of new agents approved for use in the dermatology setting Integrate prevention, diagnosis, and management of skin cancer into my clinical setting


Diagnose commonly presented dermatologic disorders


Improve clinical interactions with patients


Integrate knowledge to enhance daily dermatologic care


A Review of the most recent updates on: Acne, Aesthetic Dermatology, Atopic Dermatitis, Psoriasis, Rosacea, Skin Cancer and More!

DermInsider - A Virtual Grand Rounds Series - Session 7: Mid Year Recap: News, Insights, & Takeaways from the First Half of 2025

DermInsider - VGR Session 5

Review tips and tricks for biologic and small molecules in inflammatory patients

Incorporate best practices for improving efficiency in a busy Dermatology Clinic

Describe the mechanism of action and spectrum of therapeutic benefits of azelaic acid

Evaluate the uses and benefits of tranexamic acid to decrease blood loss in dermatologic procedures

40 Tips in 40 Minutes

DermInsider - A Virtual Grand Rounds Series - Session 5: 40 Tips in 40 Minutes

Case-Based Insights for Systemic Therapies in Basal Cell Carcinoma

Assess the role of systemic therapies for the management of basal cell carcinoma (BCC) 

Select appropriate therapies for patients with BCC based on the 2024 National Comprehensive Cancer Network guideline recommendations

WCM25: Case-Based Insights for Systemic Therapies in Basal Cell Carcinoma: An Online Activity

DermInsider - VGR Session 1

Discuss the pathogenesis and optimal management of psoriasis, atopic dermatitis and acne vulgaris

Update knowledge regarding recent advances in the safe and effective use of biologic agents for the treatment of dermatologic diseases

Enhance the ability to evaluate and incorporate new techniques and uses of dermal fillers and neurotoxins

Identify and describe the indications, contraindications, and evidence-based safety and efficacy profiles of new agents
approved for use in the dermatology setting

Integrate prevention, diagnosis, and management of skin cancer into my clinical setting

Diagnose commonly presented dermatologic disorders

Improve my clinical interactions with patients

Integrate knowledge to enhance daily dermatologic care

Breaking News Edition: News, Insights, & Takeaways from the Early 2025 Dermatology Conferences

DermInsider - A Virtual Grand Rounds Series Session 1: March 12, 2025

Identify and describe the indications, contraindications, and evidence-based safety and efficacy profiles of new agents
approved for use in the dermatology setting Integrate prevention, diagnosis, and management of skin cancer into my clinical setting

2024 Virtual Grand Rounds Session 15: November 13, 2024 - What Did 2024 Bring to the Table in Dermatology? Best of FC24 Clinical Review

2024 Virtual Grand Rounds Session 14: November 6, 2024 - Highlights from Fall Clinical 2024: Your Questions Answered

Describe how to assess patients with diverse cultural backgrounds, SOC, and sexual orientation

Review treatment options for common dermatoses seen in diverse patient populations

Employ strategies to effectively communicate with patients with diverse cultural backgrounds, SOC, and sexual orientation 

'5 in 5' Five Tips to Improve Clinical Care for Diverse Patient Populations: An Online Activity

Enhance your ability to diagnose, manage, and treat with the most current treatment options

Identify patients who may benefit from new approaches to difficult to manage diseases

Apply best practices for enhancing patient communication and shared decision-making techniques

Decipher clinical trial data and guidelines and how to apply them to every day practice

2024 Virtual Grand Rounds Session 7: May 8, 2024 - 60 Tips in 60 Minutes

Recognize the clinical presentation of GPP and how to diagnose it

Be familiar with the current GPP treatment options such as the IL-36 pathway 

Discuss the implications of alternatives to oral antibiotics and hormonal therapies for moderate acne vulgaris 

Assess whether patients with moderate Acne Vulgaris can benefit from weekly isotretinoin therapy 

2024 Virtual Grand Rounds Session 5: April 3, 2024 -E-Journal Club Edition: What's New in SKIN, The Journal of Cutaneous Medicine

Discuss current management advancement in dermatology from rashes through tumors 

Compare strategies to manage dermatologic conditions from laser treatment through systemic therapies

Identify appropriate treatment options for dermatologic conditions based on patient and disease characteristics 

Recognize the nuances of managing dermatologic conditions in skin of color 

Underline strategies to optimize management in patients with dermatologic conditions

Illustrate strategies to manage dermatologic conditions effectively in clinical practice

2024 Virtual Grand Rounds Session 3: March 20, 2024 - Highlights from the San Diego Academy Meeting - Our Most Important Learnings

Discuss the treatment of psoriasis and related disorders with evolving therapies

Recognize the various therapies available for acne and their role in clinical practice

Translate the role of therapies for eczema in clinical practice

Describe the modalities for diagnosing and managing skin cancer

Identify optimal patients for the use of fillers and botulinum

Describe strategies to prepare and administer fillers and botulinum

2024 Virtual Grand Rounds Session 1: January 31, 2024 - WCH24 Your Questions Answered

Identify common dermatoses presentations in patients with skin of color (SOC)

Employ strategies to effectively communicate with patients with diverse cultural backgrounds, SOC, and sexual orientation

Difficult Dermatology Conversations: Improving Care for Diverse Patient Populations 

Identify optimal patients for the use of fillers and botulinum 

2023 Virtual Grand Rounds Session 14: November 15, 2023 - Fall Clinical 2023- Your Questions Answered

Recognize that IL-4 and IL-13 are signature cytokines of type 2 inflammatory response

Understand that Type 2 inflammatory response involves mast cells, eosinophils, and basophils 

Recognize the common signs and symptoms of Staph Scalded Skin Syndrome

Understand treatment of Staph Scalded Skin Syndrome

Recognize the rare benign vascular disorder of Achenbach Syndrome

Understand the differential diagnosis and workup of Achenbach Syndrome

2023 Virtual Grand Rounds Session 13: September 27, 2023 - Challenging Cases in Dermatology

Dermatology

FRIDAY, June 20, 2025 (HealthDay News) -- The U.S. Food and Drug Administration has approved Andembry (garadacimab-gxii) as the only treatment targeting factor XIIa for prophylactic use to prevent attacks of hereditary angioedema (HAE).According to the <a target="_blank" rel="noopener noreferrer" href="https://www.mayoclinic.org/diseases-conditions/hives-and-angioedema/symptoms-causes/syc-20354908">Mayo Clinic</a>, angioedema is "a reaction similar to hives that affects deeper layers of the skin. It can appear with hives or alone." Symptoms include welts that form in minutes to hours; swelling, particularly around the eyes, cheeks, or lips; and some mild pain.The approval of Andembry is for use in adult and pediatric patients aged 12 years and older and is self-administered with once-monthly dosing delivered in 15 seconds or less via an autoinjector with a citrate-free formula. Andembry targets factor XIIa, a plasma protein that plays a key role in attacks of swelling in people with HAE.The approval is based on results from a phase 3 study. Findings showed that 62 percent of Andembry-treated patients remained attack-free throughout the six-month study period. Andembry reduced HAE attacks by a median of more than 99 percent compared with placebo. Additionally, Andembry was associated with a 99 percent median reduction and an 88 percent mean reduction in HAE attacks needing on-demand therapy compared with placebo, as well as a 99 percent median reduction and a 90 percent mean reduction in moderate or severe attacks.The most common adverse reactions seen with Andembry were inflammation of the nasal passages and upper throat and abdominal pain (incidence ≥7 percent)."Andembry, the first monoclonal antibody discovered and developed entirely by CSL, offers people living with this life-threatening condition long-term control over their disease along with a convenient administration method," Bill Mezzanotte, M.D., head of research and development at CSL, said in a statement.Approval of Andembry was granted to CSL.<a target="_blank" rel="noopener noreferrer" href="https://newsroom.csl.com/2025-06-16-U-S-Food-and-Drug-Administration-Approves-CSLs-ANDEMBRY-R-garadacimab-gxii-,-the-Only-Prophylactic-Hereditary-Angioedema-HAE-Treatment-Targeting-Factor-XIIa-with-Once-Monthly-Dosing-for-All-Patients-From-the-Start">More Information</a>

The monoclonal antibody is a self-administered injection for prophylactic use to prevent attacks

FDA Approves Once-Monthly Andembry for Hereditary Angioedema

WEDNESDAY, June 11, 2025 (HealthDay News) -- Use of three-dimensional total body photography (3D TBP) can diagnose general skin diseases with high accuracy, according to a study published online June 4 in the Journal of the American Academy of Dermatology.Sebastian Sitaru, M.D., from the Technical University of Munich School of Medicine and Health in Germany, and colleagues examined the value of 3D TBP in general dermatology and examined patient acceptance in an observer agreement study of the diagnoses of 294 patients presenting with skin changes obtained in face-to-face visits versus diagnoses obtained by retrospective analysis of 3D scans with no face-to-face patient visits. Questionnaires were used to evaluate patients' views on 3D TBP.The researchers found that across a broad range of diagnoses in a diverse patient group, primary diagnoses obtained by two senior dermatologists independently reviewing 3D TBP scans matched in 68.4 and 81.1 percent of cases, respectively. Positive views on this technology were mostly expressed by patients, while privacy and shame were identified as barriers."Especially when considering the looming shortage of high-quality dermatological care, 3D TBP therefore has potential to make more efficient use of health care resources, e.g., by enabling underserved regions easier tele-access to dermatologists in better served areas through better standardization of telemedicine," the authors write.<a target="_blank" rel="noopener noreferrer" href="https://www.jaad.org/article/S0190-9622(25)02231-5/fulltext">Abstract/Full Text</a>

Patients mostly expressed positive views on this technology, while privacy and shame were identified as barriers to its use

3D Total Body Photography Helpful for Diagnosing Skin Disease

<div class="raw-html-embed"> <mux-player playback-id="7wSxP02gd01rS2SnARARuIwdRSeRadFw02QwacyLwdYhJ00" env-key="ENV_KEY" metadata-video-title="YCANTH Launch Alert" controls=""></mux-player>
</div>Dr James Del Rosso highlights ISDIN’s innovative Eryfotona Actinica and Eryfotona Actinica Ageless sunscreens, which combine 100% mineral UV protection with photolyases and antioxidants for comprehensive skin protection.&nbsp;In the inaugural Formulation Focus, James Q. Del Rosso, DO reviews two of ISDIN’s photoprotection products: Eryfotona Actinica and Eryfotona Actinica Ageless. These lightweight emulsions combine 100% mineral sunscreen (11% zinc oxide) with DNA repair enzymes (photolyases) and antioxidants for a three-pronged approach to photoprotection.&nbsp;Photolyases, derived from plankton, target cyclobutane pyrimidine dimers—mutagenic DNA damage caused by UV exposure that human skin struggles to repair naturally. By incorporating these enzymes, the formulations aim not only to help prevent sunburn and structural skin damage but also to help repair existing sun damage, which have been known to lead to actinic keratosis or skin cancers like squamous cell carcinoma and melanoma.&nbsp;Eryfotona Actinica is formulated for everyday use with a lightweight, fast-absorbing texture suitable for use under makeup. Eryfotona Actinica Ageless builds on this base with additional ingredients, including peptide Q10 (which stimulates endogenous coenzyme Q10) and a peptide complex—to target signs of skin aging, such as fine lines and wrinkles. Both products include vitamin E for antioxidant protection against visible light and environmental stressors.&nbsp;Dr Del Rosso shares that these innovative formulations represent a new wave in sun care: not just preventing sunburn but addressing the cumulative, long-term damage of sun exposure and offering an aesthetically elegant, easy-to-use formulation that encourages patient compliance.

James Q. Del Rosso, DO reviews two of ISDIN’s photoprotection products: Eryfotona Actinica and Eryfotona Actinica Ageless

Formulation Focus: ISDIN: Advanced Sunscreen Formulations with Photolyases and Antioxidants 

WEDNESDAY, May 14, 2025 (HealthDay News) -- A robust, deep learning model has been developed for the classification of melasma severity, according to a study published online April 16 in Clinical, Cosmetic and Investigational Dermatology.Jun Zhang, from Wuhan First Hospital in China, and colleagues developed an artificial intelligence-assisted real-time melasma severity classification framework based on deep learning and 1,368 anonymized facial images, obtained from clinically diagnosed patients. Six convolutional neural network architectures were trained and evaluated after image preprocessing and Melasma Area and Severity Index-based labeling, and model performance was assessed.The researchers found that the best performance was achieved by GoogLeNet, with accuracy of 0.755 and an F1-score of 0.756. Across severity levels, area under the curve values reached 0.93, 0.86, and 0.94 for mild, moderate, and severe, respectively. GoogLeNet's superior feature attribution was confirmed in a Layer-wise Relevance Propagation analysis."This study demonstrates that deep learning provides a transformative solution for improving the accuracy, consistency, and clinical applicability of melasma severity assessment," the authors write.<a target="_blank" rel="noopener noreferrer" href="https://www.dovepress.com/deep-learning-based-multiclass-framework-for-real-time-melasma-severit-peer-reviewed-fulltext-article-CCID">Abstract/Full Text</a>

Area under the curve values reached 0.93, 0.86, and 0.94 for mild, moderate, and severe melasma with GoogLeNet model

Deep Learning Model Developed for Classification of Melasma Severity

WEDNESDAY, April 16, 2025 (HealthDay News) -- In a special communication published online April 16 in JAMA Dermatology, recommendations are provided for the use of digital photography by dermatologists, with special considerations for skin of color.Madison Grinnell, M.D., from the University of Nebraska Medical Center College of Medicine in Omaha, and colleagues examined best practices for capturing clinically accurate dermatologic digital images, emphasizing techniques to improve photography portraying individuals of color, dermatologic conditions in skin of color, and pigmentary disorders.The authors note that historically, different kinds of photographic technologies have calibrated color correction using participants with light skin, creating inaccurate photographs among those with skin of color. Royal blue backgrounds are often preferred in photographing darker skin, as this color offers increased contrast, without resulting in aberrant hues. When possible, soft diffuse lighting, such as that emitted from an attachable ring light, should be used. Other aspects of photography should be standardized in the clinical setting to include a fixed distance from the patient and dedicated photography space. Specific lighting techniques, such as cross-polarization, may be used in accurately capturing erythema, inflammation, and pigmentary alterations. In addition, several humanistic aspects should be considered when photographing a patient's dermatologic condition."As the U.S. population rapidly diversifies, it is important to increase awareness of photography techniques that can better portray dermatologic processes in diverse skin types," the authors write.One author disclosed ties to the biopharmaceutical industry.<a target="_blank" rel="noopener noreferrer" href="https://jamanetwork.com/journals/jamadermatology/article-abstract/2832862">Abstract/Full Text</a>

Royal blue backgrounds preferred for photographing darker skin, offering increased contrast without aberrant hues

Guidance Provided for Dermatologists Photographing Skin of Color

WEDNESDAY, Feb. 26, 2025 -- Dermatomyositis (DM) and clinically amyopathic DM (CADM) are often misdiagnosed, according to a research letter published online Feb. 26 in JAMA Dermatology.Noting that patients with DM often experience misdiagnosis, Aaron Bao, from the Johns Hopkins University School of Medicine in Baltimore, and colleagues identified common dermatologic mimics of DM, compared misdiagnosis rates between DM and CADM subtypes, and characterized potential implications of misdiagnosis. Adults with confirmed DM or CADM diagnosis and one or more Johns Hopkins dermatologic visits between 2005 and 2023 were included in the study.The analysis included 260 patients: 86 and 174 with CADM and DM, respectively (33 and 67 percent); 125 patients had inflammatory skin disease (ISD). The researchers found that 58 percent of those with ISD received an ISD diagnosis before DM or CADM diagnosis and 36 (29 percent) were misdiagnosed. Seventy-two percent of those with misdiagnosis received their skin evaluation by dermatology. Misdiagnosis rates were higher for the CADM versus DM cohort (44 versus 21 percent), with longer median diagnostic delays (236 versus 114 days). The most prevalent ISDs were unspecified dermatitis and eczema (22 and 19 percent, respectively). The highest misdiagnosis rates were seen for cutaneous lupus erythematosus and eczema before DM or CADM diagnosis (67 and 29 percent, respectively). Higher one-year hospitalization rates were seen for patients with misdiagnosis (54 versus 33 percent)."Eczema emerged as a notable mimic, possibly due to similar distributions and morphologic features," the authors write.One author disclosed ties to the biopharmaceutical industry.

Misdiagnosis rates higher for the clinically amyopathic DM cohort versus DM cohort, with longer median diagnostic delays

Dermatomyositis, Clinically Amyopathic Dermatomyositis Often Misdiagnosed

WEDNESDAY, Feb. 19, 2025 (HealthDay News) -- Formulation characteristics can explain much of the observed variation in benzene levels of over-the-counter benzoyl peroxide-containing products, according to a research letter published online Feb. 12 in JAMA Dermatology.John S. Barbieri, M.D., from Brigham and Women's Hospital in Boston, and colleagues examined the association of formulation with benzene levels of over-the-counter benzoyl peroxide-containing products. The vehicles for 111 products that had their benzene levels examined were evaluated.The researchers found that leave-on products were associated with significantly lower concentrations of benzene (coefficient, −5.83). No significant association was seen between benzoyl peroxide concentration and benzene concentrations. A weak, but statistically significant, association was seen between days to expiration date and benzene concentration (coefficient, −0.010). Conditions consistent with hot processing were associated with increased benzene concentrations (coefficient, 7.34) in multivariable regression models adjusted for benzoyl peroxide concentration, product type, and days until expiration date. Butylated hydroxytoluene was associated with reduced benzene concentrations (coefficient, −8.15). Benzoic acid was associated with numerically, but not significantly, lower benzene concentrations."These results raise important hypotheses for potential strategies to reduce benzene in benzoyl peroxide-containing products, including excipient selection and stricter temperature controls during formulation and distribution," the authors write.Several authors disclosed ties to the pharmaceutical and skin care industries.<a target="_blank" rel="noopener noreferrer" href="https://jamanetwork.com/journals/jamadermatology/article-abstract/2830217">Abstract/Full Text (subscription or payment may be required)</a>

Leave-on products linked to lower concentrations of benzene; increased concentrations seen in conditions consistent with hot processing

Benzoyl Peroxide Formulation Characteristics Explain Variation in Benzene Levels

TUESDAY, Jan. 7, 2025 (HealthDay News) -- Videoconferencing and the application of filters are significantly associated with a heightened interest in cosmetic procedures, according to a study published online Jan. 6 in the Journal of Clinical and Aesthetic Dermatology.Payal M. Patel, M.D., from Massachusetts General Hospital in Boston, and colleagues examined the association between the increased use of videoconferencing and image-enhancing software filters during the COVID-19 pandemic and the corresponding rise in interest in cosmetic procedures. The analysis included survey results from 505 U.S. adults.The researchers found that videoconferencing was frequent, with 88.6 percent using it more than three days a week; 68.1 percent reported using "touch-up my appearance" filters more than half the time. The desire for cosmetic procedures was influenced by videoconferencing in 55.9 percent of participants, while 57.8 percent were influenced by filter use. Two-thirds of respondents reported frequent self-viewing, which was strongly associated with interest in cosmetic procedures. Filter use was significantly predicted by higher income (odds ratio, 2.436) and frequent self-viewing behavior (odds ratio, 5.034). In frequent self-viewers, mask wearing was associated with increased self-esteem (68.8 percent) and a reduced desire for cosmetic procedures (67.4 percent)."These insights are vital for dermatologists in understanding patient motivations, managing expectations, and fostering realistic treatment outcomes," the authors write.<a target="_blank" rel="noopener noreferrer" href="https://jcadonline.com/videoconferencing-dysmorphia-the-impact-on-self-perception-and-desire-for-cosmetic-procedures/">Abstract/Full Text</a>

Interest in cosmetic procedures significantly predicted by frequent self-viewing behavior

'Videoconferencing Dysmorphia' Drives Interest in Cosmetic Procedures

WEDNESDAY, Nov. 6, 2024 -- Pain is prevalent among Mohs surgeons, most commonly at the neck, upper back, and lower back, according to a study published in the September issue of SKIN.Timothy J. Orlowski, M.D., from the University of Alabama at Birmingham, and colleagues conducted a cross-sectional survey study among members of the American College of Mohs Surgery to examine the prevalence and characteristics of pain and discomfort among trained Mohs surgeons. A total of 107 male and female surgeons responded.The researchers found that chronic pain was reported by 88.7 percent of participants, with the neck, upper back, and lower back the most common anatomic locations for pain (54.2, 38.2, and 33.6 percent, respectively). Compared with female respondents, male respondents less often complained of upper back pain but more often reported lower back pain (odds ratios, 0.349 and 2.462, respectively). Regular pain-relieving medication use was more likely to be reported when participants were suffering from neck or upper back pain (odds ratios, 4.665 and 3.366, respectively). The likelihood of reporting neck pain was lower for respondents regularly using sit-stand stools."Not only are Mohs surgeons at risk for musculoskeletal injury, but Mohs histology technicians and other ancillary staff also remain vulnerable," the authors write. "Future collaboration with current educators, occupational health professionals, and physical and occupational therapists may provide insight on future ergonomic education and modifications."

Male surgeons less often complain of upper back pain, but more often report lower back pain than female surgeons

Pain Prevalent Among Mohs Surgeons, Reported by 88.7 Percent

WEDNESDAY, Oct. 2, 2024 -- The incidence of epidermal necrolysis (EN) is 2.6 cases per million person-years, but overall mortality is 34 percent, according to a study published online Oct. 2 in JAMA Dermatology.Thomas Bettuzzi, M.D., M.P.H., from the Hôpital Henri Mondor in Créteil, France, and colleagues conducted a cohort study using French Health System data from Jan. 1, 2013, to Dec. 31, 2022, to assess the incidence of and compare factors associated with in-hospital and postdischarge mortality among patients with EN. Data were included for 1,221 adult patients with EN.The researchers found that the incidence was 2.6 cases per million person-years. The in-hospital and postdischarge mortality rates were 19 and 15 percent, respectively, for an overall mortality of 34 percent. Factors associated with in-hospital mortality included age (adjusted hazard ratio [AHR], 1.03 per year of age), history of cancer (AHR, 2.04), dementia (AHR, 1.85), liver disease (AHR, 1.81), and EN severity (AHR, 2.14 for toxic epidermal necrolysis versus Stevens-Johnson syndrome). There was no association observed for EN initial severity with mortality after hospital discharge, but the associations for acute complications persisted (AHRs, 2.14 and 2.44 for acute kidney injury and sepsis, respectively). Ophthalmologic and mood disorders were the main sequelae."Despite EN being a rare condition, it is associated with high in-hospital and postdischarge mortality and a high burden of sequelae," the authors write.

Factors associated with in-hospital mortality include age, history of cancer, dementia, liver disease, EN severity

Incidence of Epidermal Necrolysis 2.6 Cases Per Million Person-Years

WEDNESDAY, Oct. 2, 2024 -- An artificial intelligence (AI) model, VisualDx, demonstrates diagnostic bias for images in the Fitzpatrick I to III subgroup, according to a study published online Sept. 15 in SKIN.Katrina D. Cirone, M.D., from Western University in London, Ontario, Canada, and colleagues examined whether the AI model VisualDx performs differently when classifying conditions across different skin phenotypes. Sixteen common conditions were included in the image dataset. For each condition, there were three subgroups: "Fitzpatrick I to III," "Fitzpatrick IV to VI," and "Processed," which contained images from the Fitzpatrick I to III subgroup altered to resemble skin with rich pigmentation. A differential diagnosis list was obtained by processing images with VisualDx.The researchers found the highest sensitivity (97 percent) for hidradenitis suppurativa, prurigo nodularis, and tinea versicolor across all subgroups. The lowest sensitivity was seen for atopic dermatitis, postinflammatory hyperpigmentation, and basal cell carcinoma (23, 23, and 27 percent, respectively). For all conditions except acanthosis nigricans, melasma, and melanoma, significantly greater diagnostic sensitivity was noted in the Fitzpatrick I to III subgroup than the Fitzpatrick IV to VI and Processed subgroups. A reduction in sensitivity and specificity was seen for all conditions for the processed images."Future training of AI diagnostic tools should be done using more comprehensive databases so that diagnosis can be accurately performed across all skin phenotypes," the authors write.

VisualDX demonstrated significantly greater sensitivity for Fitzpatrick I to III subgroup than Fitzpatrick IV to VI and a processed image subgroup

AI Model Exhibits Diagnostic Bias Towards Fitzpatrick I to III Subgroup

WEDNESDAY, Aug. 28, 2024 -- Tranexamic acid and platelet-rich plasma (PRP) combined with microneedling are effective for the treatment of melasma, according to a study published in the July issue of SKIN.Masoumeh Roohaninasab, M.D., from the Iran University of Medical Sciences in Tehran, and colleagues examined the efficacy of PRP combined with microneedling versus tranexamic acid combined with microneedling for melasma. The study employed a split-face comparative design in 20 female patients with melasma (mean age, 41 years). Participants underwent four sessions of PRP with microneedling on one side of the face and 5 percent tranexamic acid with microneedling on the other side.The researchers observed a substantial decrease in the median ΔE (skin erythema) using Visioface during follow-up, reflecting color changes (mean difference, 6.66 and 1.90 in the tranexamic acid + microneedling group and in the PRP + microneedling group, respectively). A notable reduction in melanin was seen in the tranexamic acid + microneedling group. High patient satisfaction was seen with both treatments. Only minor transient side effects were seen, and both procedures were well tolerated."This study demonstrates that the combination of both PRP and tranexamic acid with microneedling significantly improves melasma," the authors write. "While no superiority was observed between these two approaches, they prove to be a promising combination or alternative for melasma treatment due to their high efficacy, safety, tolerability, and patient satisfaction levels."

Both platelet-rich plasma and tranexamic acid combined with microneedling improved melasma in split-face study

Platelet-Rich Plasma, Tranexamic Acid + Microneedling Beneficial for Melasma

FRIDAY, Aug. 16, 2024 (HealthDay News) -- Patients with skin of color may experience more adverse events from sclerotherapy, according to a study published online July 26 in the Journal of the American Academy of Dermatology.Michelle Lazar, from the Boston University School of Medicine, and colleagues characterized the incidence of common adverse events following sclerotherapy in various Fitzpatrick Skin Types. The analysis included data from 134 patient visits for sclerotherapy (treated with 0.5 to 1 percent Polidocanol).The researchers identified 12 adverse events across all visits, resulting in an 8.96 percent adverse event rate. Adverse events included blistering (six events), postinflammatory hyperpigmentation (PIH; five events), induration (three events), superficial thrombophlebitis (one event), and ulcer (one event). There was no evidence of acute deep venous thrombosis in Doppler ultrasound in the patient with superficial thrombophlebitis. Overall, the majority of the adverse events occurred in Fitzpatrick Skin Types of III or higher, while all PIH adverse events occurred in patients with Fitzpatrick Skin Types of IV or higher."Our data highlights that sclerotherapy is safe in populations with skin of color, though they do experience PIH at a higher rate as compared to those with lighter skin tones," the authors write.<a target="_blank" rel="noopener noreferrer" href="https://www.jaad.org/article/S0190-9622(24)02545-3/abstract">Abstract/Full Text (subscription or payment may be required)</a>

Postinflammatory hyperpigmentation seen more often versus lighter skin tones

Skin of Color Has More Adverse Events From Sclerotherapy

THURSDAY, Aug. 1, 2024 (HealthDay News) -- A relatively high proportion of dermatologists experience emergency complications during dermatological, surgical, or cosmetic procedures, according to a study published online July 20 in the Journal of Cosmetic Dermatology.Hilal Kaya Erdogan, M.D., from Eskişehir Osmangazi University in Turkey, and colleagues conducted a cross-sectional descriptive study among 240 dermatologists who were surveyed regarding emergency complications during dermatological, surgical, or cosmetic procedures and their level of knowledge regarding emergencies and basic life support.The researchers found that 53 and 43.2 percent of dermatologists reported emergency complications during dermatological and surgical procedures and during cosmetic procedures, respectively. Vasovagal syncope, hypotension/bleeding, and seizures were the most common complications. Emergency complications occurred more often among specialists, those with more than 5 years of professional experience, those working in their private clinics, and those performing an average of 10 to 50 dermatological/surgical procedures per week and fewer than 10 cosmetic procedures per week. Residents, dermatologists with zero to four years of professional experience, those working in university hospitals, and those who had both theoretical and practical training in basic life support had the highest level of knowledge. "Dermatologists should be competent and prepared to intervene in medical emergencies in daily practice," the authors write. "Theoretical and practical training programs on basic life support and emergencies at regular intervals after graduation should be provided for dermatologists."<a target="_blank" rel="noopener noreferrer" href="https://onlinelibrary.wiley.com/doi/10.1111/jocd.16479">Abstract/Full Text</a>

53 percent of dermatologists reported emergency complications during dermatological and surgical procedures; 43.2 percent during cosmetic procedures

Relatively High Frequency of Emergency Complications Seen for Dermatological Procedures

WEDNESDAY, May 22, 2024 -- From 2015 to 2022, there was an increase in industry payments per dermatologist, according to a research letter published in the May issue of SKIN.Nicole J. Hardy, from the University of Connecticut School of Medicine in Farmington, and colleagues conducted a retrospective review of U.S. dermatologists appearing in the Open Payments database between 2015 and 2022 to examine trends in industry payments. The average annual percentage change (AAPC) was calculated across study years using a joinpoint analysis.A total of 2,616,289 payments totaling $494,271,790 made to dermatologists during the study period were included in the study. The researchers found that for the number of recipient dermatologists, total value of payments, and total number of payments, the AAPCs across the years were 1.5, 5.5, and 3.9 percent, respectively, with confirmed positive growth when data from 2020 to 2021 were excluded."The impact of physician-industry relationships on patient care in dermatology is debated and can have a positive effect by way of improved access to medications and more physician educational opportunities or a negative effect by influencing medical-decision making, leading to patient distrust," the authors write.One author disclosed ties to Nested Knowledge; a second author disclosed ties to AbbVie.

Average annual percentage change increased for number of recipient dermatologists, total value of payments

Industry Payments Per Dermatologist Have Increased Since 2015

FRIDAY, March 8, 2024 (HealthDay News) -- There are notable concerns relating to the use of currently available artificial intelligence (AI) dermatology mobile applications (apps), according to a study published online March 7 in JAMA Dermatology to coincide with the annual meeting of the American Academy of Dermatology, held from March 8 to 10 in San Diego.Shannon Wongvibulsin, M.D., Ph.D., from the David Geffen School of Medicine at the University of California in Los Angeles, and colleagues conducted a scoping review to identify and characterize current English-language AI dermatology mobile apps available for download.&nbsp;A total of 909 apps were identified initially; after removal of duplicates, 391 apps remained. A further 350 apps were excluded on subsequent review, yielding 41 apps available for detailed analysis. The researchers identified several concerning aspects relating to AI apps in dermatology. None of the apps were approved by the U.S. Food and Drug Administration; disclaimers for lack of regulatory approval were included in only two apps. The apps lacked supporting evidence, input from clinicians and/or dermatologists, and transparency in terms of development of algorithms, data usage, and user privacy.&nbsp;"The use of these apps has risks associated with a lack of consistent validation and transparent user communication," the authors write. "These findings are important to increase awareness of the current limitations and the need to further develop methods for creation of AI dermatology apps with effective regulation, validation, and standardized evaluation criteria."&nbsp;One author disclosed ties to the pharmaceutical and dermatology industries and has a related patent pending.&nbsp;<a target="_blank" rel="noopener noreferrer" href="https://jamanetwork.com/journals/jamadermatology/fullarticle/2815800">Abstract/Full Text</a>&nbsp;<a target="_blank" rel="noopener noreferrer" href="https://www.aad.org/member/meetings-education/am24">More Information</a>

None of the apps are approved by the FDA; only two include disclaimers for lack of regulatory approval

AAD: Concerns Noted Relating to Use of AI Dermatology Apps

WEDNESDAY, March 6, 2024 (HealthDay News) -- Challenges relating to artificial intelligence (AI) in dermatology and its application to skin of color (SOC) are partly due to underrepresentation of SOC in datasets, according to research published online March 6 in the International Journal of Dermatology.Rebecca Fliorent, from the Rowan-Virtua School of Osteopathic Medicine in Stratford, New Jersey, and colleagues analyzed recent literature to assess current AI programs in use for dermatologic purposes to identify challenges with application of this technology to SOC. Literature from the last 10 years through October 2023 was analyzed.The researchers note that challenges relating to AI and its application to SOC come from the underrepresentation of SOC in datasets, as well as issues with quality and standardization of images. Current AI programs are worse at identifying lesions in SOC because of these issues. Furthermore, only 30 percent of the programs identified in the literature reported on their use in dermatology, specifically in SOC. For an accurate depiction of darker skin tone images in datasets, significant development of these applications is needed."Although the mentioned AI programs do not constitute a comprehensive list, many of these programs show promise in supporting clinical decision-making; however, they require modification to become reliable diagnostic aids for SOC patients," the authors write.<a target="_blank" rel="noopener noreferrer" href="https://onlinelibrary.wiley.com/doi/10.1111/ijd.17076">Abstract/Full Text (subscription or payment may be required)</a>

Challenges in AI and its application to SOC stem from underrepresentation of SOC in datasets, issues with quality, standardization of images

Skin of Color Underrepresented in AI Programs in Dermatology

WEDNESDAY, Nov. 15, 2023 -- Religion should be integrated into existing cultural humility training in order to better address the unique needs of Muslim dermatology patients, according to a study published online Nov. 15 in JAMA Dermatology.Ghida El-Banna, M.D., from the Stanford University School of Medicine in Redwood City, California, and colleagues explored the perceptions of Muslim patients of their dermatology care in a qualitative mixed-methods study composed of surveys and semistructured interviews. Twenty-one patients participated in the study: five men and 16 women, including 10 who wore hijab.According to the researchers, the survey results demonstrated variation of the impact of Islamic practices on dermatology care. Based on interviews, dermatology care was not perceived as a priority by Muslim patients, and they expressed interest in community events highlighting general dermatology education. Stigmatization of their skin disease and cosmetic care was experienced. The Muslim patient-dermatologist relationship and disclosure of the need for accommodations was hindered by prior experiences with Islamophobia and colorism. Participants described instances of bias and poor cultural humility from dermatologists. Religious and cultural needs pertinent to their care, including clinician gender concordance, adjustment of medication timing while fasting, and halal medication ingredients, were unique to Muslim participants."Clinical and educational interventions to address gaps in the care of Muslim patients in dermatology are needed," the authors write. "Future research should focus on the epidemiology of skin disease in Muslim subpopulations and Muslim patients' health-seeking behaviors."

Incorporation of religion into cultural humility training recommended, as well as dermatology education at community events

How Can Dermatology Care Be Improved for Muslim Patients?

THURSDAY, Nov. 2, 2023 (HealthDay News) -- Skin diseases can cause a psychosocial burden and feelings of stigmatization, according to a study published online Oct. 8 in the Journal of the European Academy of Dermatology and Venereology.Paolo Gisondi, M.D., from the University of Verona in Italy, and colleagues evaluated the burden of the most common dermatological diseases in adult patients across Europe in terms of quality of life, work life, and stigmatization. The analysis included survey responses from 19,915 individuals.The researchers found that quality of life was particularly impaired in people with hidradenitis suppurativa and sexually transmitted diseases. A modest to extremely large effect on quality of life was seen in roughly half of participants with acne, alopecia, or chronic urticaria and about 40 percent of those with atopic dermatitis, skin cancers, or psoriasis. Overall, 88.1 percent of participants considered their skin disease as embarrassing slightly more in their personal life than in their work life (83 percent). Furthermore, roughly half of the respondents reported sleeping difficulty, feeling tired, and impact of the disease on taking care of themselves. Roughly one in seven (14.5 percent) believed they have been rejected by others because of the skin disease, and 19.2 percent believe they have been looked at with disgust. Across diseases, anxiety and depression were frequently reported."Our study highlights the psychosocial burden experienced by people with skin diseases, and the need to address their impact on quality of life and stigmatization in the context of patient management," the authors write.

Effect seen on patients' daily and work life

Skin Diseases Pose a Psychosocial Burden

WEDNESDAY, June 14, 2023 -- In 2021, more than 70 percent of populated zip codes with dermatologists had fewer than four dermatologists per 100,000 people, according to a brief article published in the May issue of SKIN.Christopher N. Nguyen, M.D., from Northside Hospital Gwinnett in Lawrenceville, Georgia, and colleagues retrieved the distribution of dermatologists in three-digit zip code areas using membership data from the 2021 American Academy of Dermatology database.The researchers found that 71.6 percent of the 712 populated zip codes with dermatologists had less than four dermatologists per 100,000 people compared with 72.3 percent in 2016 (compound annual growth rate, –0.19 percent). There was a significant difference observed in the dermatologist density of the 100 most versus least populated areas (median, 4.5 versus 1.6 dermatologists per 100,000)."Consistent with 2016, over 70 percent of areas do not meet that target density and nearly 60 percent have less than three per 100,000. These results may indicate that initiatives aimed at redistribution of dermatologists have not made a major difference," the authors write. "This complex issue likely needs a multifaceted solution with continual effort and thought from leaders in the field."

71.6 percent of 712 populated zip codes with dermatologists have fewer than four dermatologists per 100,000

Maldistribution of Dermatologists Persisted in 2021

Diversity gaps persist in the dermatology workforce pipeline, according to a study published online Nov. 16 in
 
 JAMA Dermatology
 
 .




 Yi Gao, M.D., from the University of Minnesota in Minneapolis, and colleagues conducted a secondary analysis of a repeated cross-sectional study involving 58,077 graduating allopathic medical students to examine their demographic characteristics and intended career goals.




 Of the graduating students, 49.0 percent were female, 14.5 percent were from racial and ethnic groups underrepresented in medicine (URM), and 6.3 percent were sexual minority (SM) students. The researchers found that the likelihood of identifying as URM or SM was lower for female students pursuing dermatology versus other specialties (11.6 versus 17.2 percent and 1.9 versus 5.7 percent, respectively). Students pursuing dermatology versus other specialties had reduced odds of intending to care for underserved populations, practice in underserved areas, and practice public health (adjusted odds ratios, 0.40, 0.40, and 0.44, respectively), but they had increased odds of intending to pursue research in their careers (adjusted odds ratio, 1.76). Female, URM, and SM identities were independently associated with increased odds of caring for underserved populations and practicing public health among students pursuing dermatology.




 "Addressing health inequities and improving care for underserved patients is the responsibility of all dermatologists, and efforts are needed to increase diversity and interest in careers focused on underserved care among trainees in the dermatology workforce pipeline," the authors write.




 <a class="rm-stats-tracked" href="https://jamanetwork.com/journals/jamadermatology/article-abstract/2798235" target="_blank">
 Abstract/Full Text (subscription or payment may be required)
 </a>




 <a class="rm-stats-tracked" href="https://jamanetwork.com/journals/jamadermatology/article-abstract/2798240" target="_blank">
 Editorial (subscription or payment may be required)
 </a>

Students pursuing dermatology have lower odds of intending to care for underserved populations, practice in underserved areas

Diversity Gaps Persist in Dermatology Workforce Pipeline

Significantly more adults with dermatomyositis receiving intravenous immune globulin (IVIG) versus placebo have a response of at least minimal improvement, according to a study published in the Oct. 6 issue of the
 
 New England Journal of Medicine
 
 .




 Rohit Aggarwal, M.D., from the University of Pittsburgh School of Medicine, and colleagues conducted a randomized, placebo-controlled trial involving patients with active dermatomyositis who were randomly assigned to receive either IVIG or placebo (47 and 48 patients, respectively) every four weeks for 16 weeks. Patients receiving placebo and those without confirmed clinical deterioration while receiving IVIG could enter a 24-week open-label extension phase. The primary end point was a response, defined as a Total Improvement Score (TIS) of at least 20 at week 16, indicating at least minimal improvement, and no confirmed deterioration.




 The researchers found that 79 and 44 percent of patients in the IVIG and placebo groups, respectively, had a TIS of at least 20 at 16 weeks. With respect to the secondary end points, including at least moderate improvement and major improvement, the results were generally in the same direction, except for the change in creatine kinase level, which did not differ meaningfully between the two groups. There were 282 treatment-related adverse events in the IVIG group over 40 weeks. Nine serious events that could be considered related to IVIG occurred.




 "Larger and longer trials to determine the long-term effects and risks of IVIG in patients with dermatomyositis are warranted," the authors write.




 The study was funded by Octapharma Pharmazeutika.




 <a class="rm-stats-tracked" href="https://www.nejm.org/doi/full/10.1056/NEJMoa2117912" target="_blank">
 Abstract/Full Text (subscription or payment may be required)
 </a>




 <a class="rm-stats-tracked" href="https://www.nejm.org/doi/full/10.1056/NEJMe2209117" target="_blank">
 Editorial (subscription or payment may be required)
 </a>








 <a href="https://consumer.healthday.com/u/physiciansbriefingstaff">
 <img alt="HealthDay" src="https://assets.rbl.ms/23636171/origin.png" style="max-width: 150px;"/>
 </a>

More adults receiving IVIG versus placebo had Total Improvement Score of at least 20 at 16 weeks

IV Immune Globulin Bests Placebo for Dermatomyositis

The U.S. Food and Drug Administration on Tuesday issued warning letters to three companies, including Amazon, for selling unapproved products for removing moles and skin tags.




 No over-the-counter medications have FDA approval for that purpose, and the Food, Drug, and Cosmetic Act prohibits interstate sale of unapproved drugs and cosmetics.




 "It is the FDA's duty to protect public health from harmful products not approved for the U.S. marketplace," Donald Ashley, director of the compliance office in the FDA Center for Drug Evaluation and Research, said in a statement. "This includes where online retailers like Amazon are involved in the interstate sale of unapproved drug products. We will continue to work diligently to ensure that online retailers do not sell products that violate federal law."




 Besides Amazon, the FDA issued warning letters to Ariella Naturals and Justified Laboratories. The agency emphasized that it has not examined the mole and skin tag removal products sold by these companies for safety, effectiveness, or quality.




 The warning letters put the companies on notice that failure to address the violations cited by the FDA may result in legal action, including seizure. Once they receive the warning letter, the companies have 15 days to inform the agency of any corrective measures they have taken.




 The FDA said Tuesday that it will continue to use all the tools available to protect public health and remove fraudulent or unproven drug products from the American market. The warning letters were just the first step.




 <a class="rm-stats-tracked" href="https://www.fda.gov/news-events/press-announcements/fda-issues-warning-letters-three-companies-selling-unapproved-new-drugs-mole-and-skin-tag-removal" target="_blank">
 More Information
 </a>




 <a href="https://consumer.healthday.com/u/physiciansbriefingstaff">
 <img alt="HealthDay" src="https://assets.rbl.ms/23636171/origin.png" style="max-width: 150px;"/>
 </a>

No over-the-counter medications have FDA approval for the removal of moles and skin tags

FDA Warns Amazon, Other Vendors About Sale of Skin Tag Removal Products

Edgewell Personal Care Co. has recalled three batches of its Banana Boat Hair &amp; Scalp Sunscreen Spray SPF 30 because trace levels of benzene were found in some samples during an internal review. Though this sunscreen product is not meant to contain benzene, it may have come from the propellant that sprays the product out of the can.




 The
 <a class="rm-stats-tracked" href="https://edgewell.com/pages/edgewell-personal-care-issues-voluntary-nationwide-recall-of-banana-boat-hair-scalp-sunscreen-due-to-the-presence-of-benzene" target="_blank">
 recall
 </a>
 is voluntary, and the U.S. Food and Drug Administration is aware of it, the company said. Specific batches are affected by the recall, which does not apply to other batches of the product. No other Banana Boat products are part of the recall. The products are packaged in aerosol cans and were distributed throughout the United States to retailers and online. Retailers have been alerted to the recall.




 Banana Boat said it will reimburse consumers who have purchased a recalled product. Consumers can determine whether their cans of sunscreen have been recalled by looking for the lot codes on the bottom of the can and comparing them to the recalled
 <a class="rm-stats-tracked" href="https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/edgewell-personal-care-issues-voluntary-nationwide-recall-banana-boat-hair-scalp-sunscreen-due" target="_blank">
 product list
 </a>
 .




 Edgewell said it has not received any reports of adverse events and noted that benzene is in the environment and humans are exposed to it regularly from multiple sources.




 Information is also available online at
 <a class="rm-stats-tracked" href="https://www.bananaboat.com/" target="_blank">
 www.bananaboat.com
 </a>
 . Consumers should contact their physician or health care provider if they have any questions or concerns or have experienced any problems related to using these aerosol sunscreen products.




 <a class="rm-stats-tracked" href="https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/edgewell-personal-care-issues-voluntary-nationwide-recall-banana-boat-hair-scalp-sunscreen-due" target="_blank">
 More Information
 </a>




 <a href="https://consumer.healthday.com/u/physiciansbriefingstaff">
 <img alt="HealthDay" src="https://assets.rbl.ms/23636171/origin.png" style="max-width: 150px;"/>
 </a>

Company says it has not received any reports of adverse events

Banana Boat Sunscreen Recalled Due to Benzene

The chronic inflammatory skin condition, lichen sclerosus (LS), which primarily affects the anogenital area in women, is associated with depression and anxiety, according to a research letter published online June 15 in JAMA Dermatology.

 Ryan Fan, from the Yale School of Medicine in New Haven, Connecticut, and colleagues conducted a nested, matched, case-control study involving U.S. women aged 18 years or older to examine the association of LS with depression and anxiety. Using nearest-neighbor propensity score matching with replacement, each case patient was matched to four controls based on age, sex, and race and ethnicity. Data were included for 765 women with LS (mean age, 66.2 years) and 3,060 matched controls.

 The researchers found that compared with controls, women with LS were significantly more likely to have a diagnosis of depression (42.5 versus 24.4 percent) or anxiety (42.6 versus 22.6 percent). LS remained significantly associated with depression and anxiety in a multivariable analysis (odds ratios, 2.16 and 2.50, respectively).

 "Health professionals treating patients with LS should recognize the increased risk of depression and anxiety, consider mental health screening, and refer patients with LS to mental health professionals when appropriate," the authors write.

 <a href="https://jamanetwork.com/journals/jamadermatology/fullarticle/2793096" class="rm-stats-tracked" target="_blank">Abstract/Full Text (subscription or payment may be required)</a>

Lichen sclerosus remained significantly associated with depression and anxiety in multivariable analyses

Lichen Sclerosus Linked to Depression, Anxiety in Adult Women

Adjunctive use of reflectance confocal microscopy (RCM) for suspect lesions reduces unnecessary excisions in a real-life setting, according to a study published online June 1 in
 
 JAMA Dermatology
 
 .




 Giovanni Pellacani, M.D., from the University of Modena and Reggio Emilia in Italy, and colleagues conducted a randomized clinical trial involving 3,165 patients enrolled from three dermatology referral centers in Italy, with a mean follow-up of 9.6 months. Patients were randomly assigned to standard therapeutic care with or without adjunctive RCM. A diagnostic analysis was included for 3,078 patients.




 The researchers found that adjunctive RCM was associated with a higher positive predictive value (18.9 versus 33.3), a lower benign-to-malignant ratio (3.7:1.0 versus 1.8:1.0), and a 43.2 percent reduction in the number needed to excise (5.3 versus 3.0) compared with standard therapeutic care alone. All 15 lesions with delayed melanoma diagnoses were thinner than 0.5 mm.




 "This randomized interventional trial assessed the applicability of adjunctive RCM for equivocal lesions suspected of melanoma in a clinical setting and proves that unnecessary excisions can be reduced by almost half, with greater accuracy of in vivo identification of benign lesions," the authors write.




 <a class="rm-stats-tracked" href="https://jamanetwork.com/journals/jamadermatology/fullarticle/2792714" target="_blank">
 Abstract/Full Text (subscription or payment may be required)
 </a>

Adjunctive RCM associated with higher positive predictive value, lower benign-to-malignant ratio compared with standard therapeutic care alone

Can Reflectance Confocal Microscopy Reduce Unnecessary Excisions?

For pigmented skin lesions (PSLs), biopsy decisions made with electrical impedance spectroscopy (EIS) have increased sensitivity for melanomas/severely dysplastic nevi, according to a study published in the May issue of
 
 SKIN
 
 .




 Shayan Owji, from the Icahn School of Medicine at Mount Sinai in New York City, and colleagues conducted a pilot study to examine the effect of EIS on clinical decisions for PSLs compared to traditional dermoscopy. Dermatologists, dermatology residents, and medical students completed an online survey providing their biopsy decisions for 24 PSLs: Half were presented as a clinical image with an associated dermoscopic image and half were presented as a clinical image with the corresponding EIS score.




 The researchers found that for melanomas/severely dysplastic nevi, decisions made with EIS had a mean sensitivity of 75 percent compared with 66 percent for decisions made with dermoscopy. Dermatologists biopsied with similar sensitivities when using EIS or dermoscopy (both 81 percent), while for residents and medical students, greater sensitivity in biopsies was seen when using EIS. The greatest improvement in sensitivity and specificity when using EIS versus dermoscopy was seen for respondents who reported rarely using dermoscopy.




 "Given that not all providers are trained in dermoscopy, and our finding that EIS particularly benefits those who infrequently use dermoscopy, EIS may complement dermoscopy by helping a broader range of providers make improved PSL diagnostic decisions," the authors write. "This will ultimately improve patient care and reduce the morbidity and mortality of a melanoma diagnosis."




 <a class="rm-stats-tracked" href="https://jofskin.org/index.php/skin/article/view/1568" target="_blank">
 Abstract/Full Text (subscription or payment may be required)
 </a>

Sensitivity increased for biopsy decisions when using EIS versus dermoscopy, especially for those rarely using dermoscopy

Is Electrical Impedance Spectroscopy Beneficial for Pigmented Skin Lesions?

Many physician assistants (PAs) are employed in dermatology, with a larger annual increase seen for PAs in dermatology versus other specialties, according to a research letter published online May 4 in
 
 JAMA Dermatology
 
 .




 Justin D. Arnold, M.D., from the University of California in Irvine, and colleagues characterized the dermatology PA workforce in a cross-sectional study using deidentified longitudinal data from the National Commission on Certification of Physician Assistants from January 2013 to December 2018.




 Data were included for 98,554 certified PAs. The researchers found that in the study's final year, there were 3,938 PAs practicing in dermatology compared with 94,616 in all other fields. Compared with 3.7 percent in all other specialties, only 1.6 percent of PAs in dermatology identified as African American or Black. The rates of Hispanic ethnicity were similar for PAs in dermatology and other fields (6.0 and 6.5 percent, respectively). Compared with PAs in other specialties, PAs in dermatology mainly worked in office-based private practices (92.5 versus 37.7 percent) and more often resided in metropolitan geographic settings (94.7 versus 92.0). During the study period, dermatology added 164 to 539 PAs to the field annually, with a mean annual increase of 11.6 percent compared with a mean increase of 7.8 percent in all other specialties.




 "Although this study did not assess the reasons for the substantial increase of dermatology PAs, numerous factors, such as a potential physician shortage or the expansion of private equity-owned practices, may contribute to the accelerating use of PAs within the field," the authors write.




 <a class="rm-stats-tracked" href="https://jamanetwork.com/journals/jamadermatology/article-abstract/2791463" target="_blank">
 Abstract/Full Text (subscription or payment may be required)
 </a>




 <a href="https://consumer.healthday.com/u/physiciansbriefingstaff">
 <img alt="HealthDay" src="https://assets.rbl.ms/23636171/origin.png" style="max-width: 150px;"/>
 </a>




 <a class="rm-stats-tracked" href="https://jamanetwork.com/journals/jamadermatology/article-abstract/2791589" target="_blank">
 </a>

Mean annual increase of 11.6 percent in number of PAs in dermatology reported compared with 7.8 percent in all other specialties

Physician Assistants Commonly Employed in Dermatology

Common occupationally related allergens include rubber accelerators, preservatives, and bisphenol A epoxy resin, and the occupations most commonly affected by occupational skin disease are service workers and machine operators, according to a study published in the April issue of the
 
 Journal of the American Academy of Dermatology
 
 .




 Joel G. DeKoven, M.D., from the University of Toronto, and colleagues analyzed the frequency of allergic reactions to a screening series of allergens among 38,614 North American patients undergoing patch testing between 2001 and 2016.




 The researchers found that 11.6 percent of the participants had occupational skin disease; 70.5 percent of those had allergic contact dermatitis. Rubber accelerators, preservatives, and bisphenol A epoxy resin were included as the most common occupationally related allergens. The most common sites of dermatitis were hands, arms, and face (75.8, 30.0, and 15.9 percent, respectively). Service workers and machine operators were the occupations most affected.




 "Important occupational allergens included rubber accelerators, bisphenol A epoxy resin, methylisothiazolinone, formaldehyde, and nickel," the authors write. "Knowledge of common occupational allergens, sources of exposure, and occupations/industries at risk is important to facilitate prevention and treatment."




 Several authors disclosed financial ties to the pharmaceutical industry.




 <a class="rm-stats-tracked" href="https://www.jaad.org/article/S0190-9622(21)00591-0/fulltext" target="_blank">
 Abstract/Full Text (subscription or payment may be required)
 </a>

Common allergens include rubber accelerators, preservatives, bisphenol A epoxy resin; service workers, machine operators affected most often

What Are the Most Common Occupationally Related Allergens?

Debt valuation of dermatology private equity-backed groups (DPEGs) decreased prior to the COVID-19 pandemic and then decreased further during the pandemic, according to a study published online March 9 in
 
 JAMA Dermatology
 
 .




 Rohail Memon, from the Northwestern University Feinberg School of Medicine in Chicago, and colleagues conducted a cross-sectional study from Aug. 1, 2016, to Aug. 31, 2021, and examined public financial statements filed by business development corporations (BDCs) lending to DPEGs before and during the COVID-19 pandemic. Ten BDCs contained data on nine unique DPEGs; overall, there were 15 trackable DPEG debt instruments.




 The researchers found that during the study period, the amortized cost of the loans for an individual DPEG varied from $1.7 million to $100 million. For many DPEGs, the valuation of debt instruments was stable until some were discounted starting in May 2018; a significant decrease was seen prior to the COVID-19 pandemic from May to August 2019 (−1.4 percent). During the pandemic, there was another significant decrease from February to June 2020 (−9.0 percent). A modest and significant improvement in debt valuations was seen after pharmaceutical companies announced effective COVID-19 vaccine candidates in November 2020 (2.3 percent), but they remained discounted.




 "Dermatologists should be aware of the financial health of DPEGs, and the risks involved when considering selling their practice to or working for a DPEG," the authors write.




 <a class="rm-stats-tracked" href="https://jamanetwork.com/journals/jamadermatology/fullarticle/2789439" target="_blank">
 Abstract/Full Text
 </a>




 <a href="https://consumer.healthday.com/u/physiciansbriefingstaff">
 <img alt="HealthDay" src="https://assets.rbl.ms/23636171/origin.png" style="max-width: 150px;"/>
 </a>

Valuation of debt instruments significantly decreased from May to August 2019, followed by further decrease during COVID-19

Debt Valuation of Private Equity-Backed Dermatology Groups Down

Body dysmorphic disorder (BDD) symptoms are more prevalent for patients with dermatological conditions compared with healthy-skin controls, according to a study published online Jan. 18 in the
 
 British Journal of Dermatology
 
 .




 Christina Schut, Ph.D., from the Justus-Liebig-University Gießen in Germany, and colleagues compared the prevalence of BDD symptoms between patients with different dermatological conditions and healthy-skin controls in a cross-sectional multicenter study involving 5,487 patients with different skin diseases, recruited at 22 dermatology outpatient clinics, and 2,808 healthy-skin controls.




 The researchers found that the prevalence of BDD symptoms was five times higher for patients with dermatological conditions compared with healthy-skin controls (10.5 versus 2.1 percent). The odds of having BDD symptoms were elevated more than 11-fold for patients with hyperhidrosis, alopecia, and vitiligo compared with healthy-skin controls (adjusted odds ratio, &gt;11), while the odds were increased more than sixfold for patients with atopic dermatitis, psoriasis, acne, hidradenitis suppurativa, prurigo, and bullous diseases (adjusted odds ratio, &gt;6). BDD symptoms were significantly associated with younger age, female sex, higher psychological stress, and feelings of stigmatization using a logistic regression model.




 "This study demonstrated that more than 10 percent of patients with dermatological conditions experience potentially distressing symptoms of BDD," the authors write. "This highlights that doctors should keep in mind this condition and refer patients not responding to treatment to an appropriate health care service for further psychological assessment."




 <a class="rm-stats-tracked" href="https://onlinelibrary.wiley.com/doi/10.1111/bjd.21021" target="_blank">
 Abstract/Full Text (subscription or payment may be required)
 </a>

Odds of BDD increased more than 11-fold for patients with hyperhidrosis, alopecia, and vitiligo versus healthy-skin control

Body Dysmorphic Disorder Prevalent in Patients With Skin Conditions

Six Brut and Sure aerosol antiperspirant and deodorant sprays sold in the United States and Canada have been recalled by their maker due to the presence of the chemical benzene.




 "Benzene is classified as a human carcinogen. Exposure to benzene can occur by inhalation, orally, and through the skin and it can result in cancers including leukemia and blood cancer of the bone marrow and blood disorders which can be life-threatening," stated a news release from TCP HOT Acquisition LLC dba HRB Brands. "While benzene is not an ingredient in any of the recalled products, our review showed that unexpected levels of benzene came from the propellant that sprays the product out of the can," the company said. But it added that there have been no reports of adverse events related to the recall, which is being conducted out of an "abundance of caution."




 Similar recalls have been issued for other consumer products that surprisingly contained benzene in the past six months: Pantene/Herbal Essence dry spray shampoos; Old Spice spray deodorants; and Neutrogena/Aveeno spray sunscreens.




 Five of the recalled TCP products are: Brut Classic Antiperspirant Aerosol (4 oz; UPC 00827755070085); Brut Classic Antiperspirant Aerosol (6 oz; UPC 000827755070108); Brut Classic Deodorant Aerosol (10.0 oz; UPC 00827755070047); Sure Regular Antiperspirant Aerosol (6.0 oz; UPC 00883484002025); and Sure Unscented Antiperspirant Aerosol (6.0 oz; UPC 00883484002278). A sixth recalled product was sold only in Canada: Brut Classic Deodorant Aerosol (154 g; UPC 00827755070177).




 Consumers should stop using the recalled products immediately and dispose of them appropriately, said the company, which also advised consumers to contact a health care provider if they experience any problems that may be associated with use of the recalled products. For more information or to request a refund, consumers can contact the company at 1-866-615-0976 or go to its
 <a class="rm-stats-tracked" href="https://www.brutsurerecall2022.com/en" target="_blank">
 website
 </a>
 .




 <a class="rm-stats-tracked" href="https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/tcp-hot-acquisition-llc-dba-hrb-brands-issues-voluntary-nationwide-recall-sure-and-brut-aerosol" target="_blank">
 More Information
 </a>








 <a href="https://consumer.healthday.com/u/physiciansbriefingstaff">
 <img alt="HealthDay" src="https://assets.rbl.ms/23636171/origin.png" style="max-width: 150px;"/>
 </a>

There have been no reports of adverse events related to the recall, which is being conducted out of an 'abundance of caution'

Brut, Sure Brand Deodorants Under Recall Due to Benzene

The Ichthyosis Scoring System (ISS) is reliable for measuring global ichthyosis severity in children and adults, according to a study published online Feb. 16 in
 
 JAMA Dermatology
 
 .




 Qisi Sun, M.D., from the Yale University School of Medicine in New Haven, Connecticut, and colleagues created and evaluated a comprehensive instrument to measure total body ichthyosis severity in adults and children. Using photographs of participants with ichthyosis, an 83-image teaching set was created. All test photographs were scored by two cohorts of dermatologists (11 dermatologists) to assess interrater and intrarater reliabilities. Creation of the ISS included participants of all ages, races, and ethnicities; raters had varying experience and areas of expertise.




 The researchers found that the intraclass correlation coefficients for total, scale, and erythema scores were greater than 0.90, greater than 0.91, and greater than 0.88, respectively, across both cohorts of 11 dermatologists. Moderate to good interrater reliabilities were exhibited by most body sites for scale and erythema. Good to excellent intrarater reliabilities were observed.




 "Scales, such as the ISS, that can reliably and accurately capture disease severity play an important role as outcomes in these studies," writes the author of an accompanying editorial. "They will enable us to differentiate what treatments provide meaningful clinical benefits for patients with ichthyoses and facilitate comparative effectiveness studies."




 Several authors disclosed financial ties to the pharmaceutical industry.




 <a class="rm-stats-tracked" href="https://jamanetwork.com/journals/jamadermatology/fullarticle/2788834" target="_blank">
 Abstract/Full Text (subscription or payment may be required)
 </a>




 <a class="rm-stats-tracked" href="https://jamanetwork.com/journals/jamadermatology/fullarticle/2788837" target="_blank">
 Editorial (subscription or payment may be required)
 </a>

Moderate to good interrater reliabilities exhibited by most body sites; good to excellent intrarater reliabilities also seen

Ichthyosis Scoring System Reliable for Measuring Disease Severity

A new multimodal learning algorithm can perform multilabel classification of skin lesions, according to a study published in the February issue of
 
 Medical Image Analysis
 
 .




 Peng Tang, from the Technical University of Munich, and colleagues proposed a novel two-stage multimodal learning algorithm for multilabel classification of skin diseases. A FusionNet, which exploits and integrates the representation of clinical and dermoscopy images at the feature level, was constructed at the first stage; a Fusion Scheme 1 was used to conduct the information fusion at the decision level. To further incorporate patients' meta-data, a Fusion Scheme 2 was proposed, which integrates the multilabel predictive information from the first stage and patients' meta-data information. The final diagnosis was formed by fusion of the predictions from both stages. The algorithm was assessed on the 7-point checklist dataset for multilabel classification of skin disease.




 The researchers found that the proposed FusionM4Net first stage achieved an average accuracy of 75.7 percent for multiclassification tasks and 74.9 percent for diagnostic tasks, without using the patient's meta-data; this was more accurate than other methods. The second stage of FusionM4Net, which included patients' meta-data increased average accuracy to 77.0 percent and diagnostic accuracy to 78.5 percent.




 "Future routine clinical use of algorithms with high diagnostic accuracy might help ensure that rare diseases are also detected by less experienced physicians and it might mitigate decisions affected by stress or fatigue," a coauthor said in a statement.




 <a class="rm-stats-tracked" href="https://www.sciencedirect.com/science/article/abs/pii/S1361841521003522" target="_blank">
 Abstract/Full Text (subscription or payment may be required)
 </a>




 <a href="https://consumer.healthday.com/u/physiciansbriefingstaff">
 <img alt="HealthDay" src="https://assets.rbl.ms/23636171/origin.png" style="max-width: 150px;"/>
 </a>

New algorithm uses multistage fusion process that includes clinical images, dermoscopy images, and patient meta-data

Novel Algorithm May Help Classify Skin Diseases

For moderate-to-severe plaque psoriasis, treatment with the humanized immunoglobulin G1 monoclonal antibody that specifically binds to the p19 subunit of interleukin 23, risankizumab, is superior to fumaric acid ester (FAE) treatment, according to a study published in the January issue of the
 
 British Journal of Dermatology
 
 .




 Diamant Thaçi, M.D., Ph.D., from the University of Lübeck in Germany, and colleagues compared risankizumab to FAE treatment for psoriasis in a phase III randomized trial. Participants with chronic moderate-to-severe plaque psoriasis, who were naive to and candidates for systemic therapy, were randomly assigned to subcutaneous risankizumab 150 mg at weeks 0, 4, and 16 or oral FAEs at increasing doses from 30 to 720 mg daily (60 and 60 patients, respectively).




 The researchers found that at 24 weeks, significantly more patients randomly assigned to risankizumab achieved a ≥90 percent improvement in the Psoriasis Area and Severity Index (PASI) than those randomly assigned to FAEs (83.3 and 10.0 percent, respectively). Significantly more patients randomly assigned to risankizumab achieved ≥100 percent improvement in the PASI (50.0 and 5.0 percent, respectively); ≥75 percent improvement in the PASI (98.3 and 33.3 percent, respectively); ≥50 percent improvement in the PASI (100 and 53.3 percent, respectively); and the Static Physician's Global Assessment of clear/almost clear (93.3 and 38.3 percent, respectively). The FAE group had higher rates of gastrointestinal disorders, flushing, lymphopenia, and headache.




 "These results support the superiority of risankizumab to FAEs in producing clinically meaningful improvement in the extent and severity of psoriasis over time," the authors write.




 Several authors disclosed financial ties to AbbVie, which manufactures risankizumab and funded the study.




 <a class="rm-stats-tracked" href="https://onlinelibrary.wiley.com/doi/10.1111/bjd.20481" target="_blank">
 Abstract/Full Text
 </a>
 <a class="rm-stats-tracked" href="https://consumer.healthday.com/u/physiciansbriefingstaff">
 </a>

Significantly more patients achieved ≥90 percent improvement in PASI at week 24 with risankizumab versus FAE

How Does Risankizumab Compare to Fumaric Acid Esters for Plaque Psoriasis?

Biosimilar drugs could drive down prices for biologic drugs and generate savings of about $38.4 billion between 2021 and 2025, according to a study published online Jan. 3 in the
 
 American Journal of Managed Care
 
 .




 Andrew Mulcahy, Ph.D., from RAND Corporation in Arlington, Virginia, and colleagues projected U.S. spending on biologics during a five-year period under three scenarios: (1) a baseline scenario holding quarter 4 (Q4) of 2020 market conditions constant; (2) under main assumptions allowing for biosimilar market growth and entry; and (3) an upper-bound scenario assuming greater biosimilar uptake, more robust price competition, and quicker biosimilar entry.




 The researchers found that estimated biosimilar savings from 2021 to 2025 under their main approach were $38.4 billion, or 5.9 percent of projected spending on biologics during the same period. An estimated $26.1 billion of savings was accounted for by biologics first facing biosimilar competition from 2021 to 2025, with $12.2 billion from evolving market conditions for already-marketed biosimilars. Under the main approach, $24.6 billion of savings were from downward pressure on reference biologic prices rather than lower biosimilar prices. Under the upper-bound scenario, savings were substantially higher ($124.5 billion).




 "Biosimilars have the potential to lower spending on biologic drugs that account for a rapidly increasing share of overall U.S. prescription drug spending," Mulcahy said in a statement.




 <a class="rm-stats-tracked" href="https://www.ajmc.com/view/projected-us-savings-from-biosimilars-2021-2025" target="_blank">
 Abstract/Full Text
 </a>




 <a href="https://consumer.healthday.com/u/physiciansbriefingstaff">
 <img alt="HealthDay" src="https://assets.rbl.ms/23636171/origin.png" style="max-width: 150px;"/>
 </a>

Increased market growth of biosimilars that are similar to brand-name biologic agents has the potential to reduce spending on prescription drugs

Biosimilars Could Cut Spending for Biologic Therapy in the U.S.

For patients receiving immune checkpoint inhibitors, cutaneous immune-related adverse events (cirAEs) are associated with survival, according to a study published online Jan. 12 in
 
 JAMA Dermatology
 
 .




 Kimberly Tang, from Massachusetts General Hospital in Boston, and colleagues examined the association of developing cirAEs following treatment with anti-programmed cell death 1 or anti-programmed cell death ligand 1 therapy with patient survival in a retrospective study. Data were included for 7,008 eligible patients who developed cirAEs after treatment for malignant neoplasms of digestive organs, bronchus or lung, melanoma of skin, and the urinary tract and 7,008 matched controls.




 The researchers found that using a Benjamini-Hochberg correction with a significance level of 0.05, pruritus, drug eruption, xerosis, nonspecific rashes, and appearance of any cirAE were significantly protective of mortality (hazard ratios, 0.695, 0.755, 0.626, 0.704, and 0.778, respectively). Psoriasis and lichen planus/lichenoid dermatitis were also significant (hazard ratios, 0.703 and 0.511, respectively). Strong protective clinical effects were seen for eczematous dermatitis, vitiligo, bullous pemphigoid, and Grover disease, but they did not reach statistical significance.




 "This cohort study suggests that cirAE development is a favorable clinical indicator and warrants further investigation into its underlying immunopathogenesis, which may provide further insights into immunotherapy response," the authors write.




 Several authors disclosed financial ties to the biopharmaceutical industry.




 <a class="rm-stats-tracked" href="https://jamanetwork.com/journals/jamadermatology/fullarticle/2787886" target="_blank">
 Abstract/Full Text (subscription or payment may be required)
 </a>

Improved survival associated with cirAEs for patients receiving anti-programmed cell death 1 or anti-programmed cell death ligand 1 therapy

Cutaneous Immune-Related AEs Linked to Survival After ICI Therapy

For patients with mild-to-severe actinic keratoses (AK) located on the extremities, trunk, and neck, nanoemulsion gel formulation containing 7.8 percent 5-aminolevulinic acid (BF-200 ALA) has superior efficacy compared with vehicle, according to a phase III study published in the December issue of the
 
 Journal of the American Academy of Dermatology
 
 .




 Martina Ulrich, M.D., from the CMB Collegium Medicum Berlin GmbH in Germany, and colleagues examined the efficacy and safety of BF-200 ALA compared to vehicle for the treatment of mild-to-severe AK located on the extremities, trunk, and neck in an intraindividual study conducted among 50 patients in six centers in Germany. Each patient received treatment with BF-200 ALA/red light photodynamic therapy (PDT) and vehicle/PDT on opposite sides, with a maximum of two PDTs.




 The researchers found that with respect to total lesion clearance rates (86.0 versus 32.9 percent) and patient complete clearance per patient's side (67.3 versus 12.2 percent), BF-200 ALA was superior to vehicle. The overall lesion recurrence rates at one year were 14.1 and 27.4 percent for BF-200 ALA and vehicle, respectively. Patient satisfaction with the cosmetic outcome was higher with BF-200 ALA/PDT than vehicle/PDT. Adverse events in association with BF-200 ALA/PDT were consistent with the known safety profile.




 "In line with our previous studies, the results demonstrated high efficacy with superiority to vehicle and confirmed good safety and tolerability and excellent cosmetic outcome," the authors write.




 Several authors disclosed financial ties to biopharmaceutical companies, including Biofrontera Bioscience GmbH, which funded the study.




 <a class="rm-stats-tracked" href="https://www.jaad.org/article/S0190-9622(21)00575-2/fulltext" target="_blank">
 Abstract/Full Text
 </a>

BF-200 ALA has high efficacy, excellent cosmetic outcome for patients with mild-to-severe actinic keratoses located on extremities, trunk, neck

Is BF-200 ALA Superior to Vehicle for Total Lesion Clearance in AK?

In CLEAR Derm consensus guidelines issued by the International Skin Imaging Collaboration Artificial Intelligence Working Group and published online Dec. 1 in
 
 JAMA Dermatology
 
 , recommendations are presented for imaging-based artificial intelligence (AI) algorithm development and assessment in dermatology.




 Roxana Daneshjou, M.D., Ph.D., from the Stanford School of Medicine in Redwood City, California, and colleagues guide developers and reviewers of dermatology AI by consolidating limited existing literature with expert opinion. Key recommendations were formulated and grouped into topics of data, technique, technical assessment, and application.




 The authors developed a checklist of items that outlined the best practices of image-based AI development and assessment. The checklist relating to data included image types, image artifacts, technical acquisition details, preprocessing procedures, synthetic images made public, adequate referencing of public images, patient-level metadata, skin tone information, potential biases, data set partitions, sample sizes, external test data, multivendor images, class distribution and balance, and images that are out of distribution. The checklist for techniques included labeling method, references to common/accepted diagnostic labels, histopathologic review for malignant neoplasms, and detailed description of the development of algorithms. Technical assessment included publicly evaluating algorithms; performance measures; benchmarking, technical comparison, and novelty; and assessment of bias. Finally, the application checklist included the use of cases and target conditions and potential impacts on the health care team and patients.




 "While we propose guidelines for clinical and peer-review evaluation of AI, these recommendations are also relevant for a regulatory framework and should be considered for any automated dermatology algorithm that may affect the wider community," the authors write.




 Several authors disclosed financial ties to the biopharmaceutical, technology, and health care industries; one author holds several related patents.




 <a class="rm-stats-tracked" href="https://jamanetwork.com/journals/jamadermatology/fullarticle/2786912" target="_blank">
 Abstract/Full Text (subscription or payment may be required)
 </a>

Checklist for evaluation of image-based AI reports grouped into topics of data, technique, technical assessment, application

Recommendations Developed for Dermatology Artificial Intelligence

In this live-recorded episode of Cutaneous Miscellaneous, host Nicholas Brownstone, MD, is joined by Danielle Dubin, MD, assistant professor and assistant program director in the department of dermatology at the Icahn School of Medicine at Mount Sinai, and Leena Ramani, MD, hair transplant fellow and dermatologist at Advanced Dermatology and Cosmetic Surgery, for a dynamic discussion recorded at the Real World Dermatology For Residents Conference at the Sahara Hotel and Casino in Las Vegas, Nevada. &nbsp;They share key insights on how the APPLIED exam differs from the CORE Exam, offering strategies for tackling second-order, management-focused questions. The group also highlights their favorite study resources, including the Anki deck based on Review of Dermatology by Alikhan and Hocker, Boards University, and their preferred dermatopathology review resource. High-yield topics discussed include which question bank should be used, effective pathology study techniques, and tips for avoiding overstudying.The episode wraps up with words of encouragement, and even a lighthearted chat about their ideal Vegas night out. Whether you’re preparing for the APPLIED exam or simply curious about the exam residents need to take to become board certified in dermatology, this episode is packed with practical advice and insider tips you don’t want to miss.

Dermatology Condition Center

Featured in Dermatology

Drug Induced Skin Disorders

Latest Dermatology Videos

Therapeutic Pearls FCPANP25

Oldies But Goodies: Systemic, When and If to Use

Featured CME on Dermatology

Dermatology Episodes to Explore

Recorded Live at the RWDR25 Conference in Las Vegas, NV

Optimized Photoprotection in 2025: Combining Protection & Correction for Photodamage

Dermatology News & Research