Nearly all women who receive radiotherapy (RT) for breast cancer experience some degree of radiation dermatitis. However, evidence describing the appropriate management of radiation dermatitis is often lacking or contradictory. Here, we summarize the available literature regarding radiation dermatitis causes, the presentation and timing of symptoms, methods for dermatitis assessment and prevention, and review evidence-based management strategies.
Eccrine poromas arise from the intraepidermal region of the eccrine sweat duct and most often occur as a benign solitary tumor. There are few reports of the occurrence of multiple lesions, defined as poromatosis, which may present in patients who have undergone radiotherapy and/or polychemotherapy. We report the case of a 43-year-old male with a history of mantle cell lymphoma who had undergone 6 cycles of polychemotherapy. He presented to the dermatology clinic for multiple painful lesions on his palms and soles. Several biopsies were performed consistent with eccrine poromas. The patient was successfully treated with a combination of excision, imiquimod cream, and cryosurgery. This case adds to the literature regarding the pathogenesis and treatment options of eccrine poromatosis. Herein, we report a case of eccrine poromatosis that developed after 6 cycles of chemotherapy.
Cosmetic and laser procedures are increasingly popular among patients and are skills in which dermatologists are regarded as well trained. Most dermatology residents intend to incorporate cosmetic procedures into their practice and prefer to learn such procedures during residency through direct patient care. However, there are notable challenges in optimizing how residents are trained in cosmetic and laser dermatology. To address these barriers and elevate the practice of cosmetic dermatology in academic medicine, the Association of Academic Cosmetic Dermatology (AACD) was founded in 2021 as the lead professional society for dermatologists who direct the education of resident trainees in cosmetic and laser dermatology. The AACD, a group of board-certified dermatologists who teach cosmetic and laser dermatology to residents, aims to improve cosmetic dermatology education through collaboration, research, and advocacy.
Background: The COVID-19 pandemic has caused a drastic change in the 2020-2021 residency application cycle, limiting how programs interact with applicants.
Objective: To describe how dermatology residency programs have adapted by developing social media platforms and virtual opportunities.
Methods: A list of participating programs was obtained from the Electronic Residency Application Service. Twitter, Instagram, Facebook, and websites were reviewed for virtual opportunities. The Visiting Student Application Service (VSAS) and the Dermatology Interest Group Association (DIGA) website were reviewed for virtual opportunities.
Results: Of the 133 programs, 74 social media accounts were created. Twenty-two programs have Twitter, 27 have Instagram, and 25 have Facebook accounts. Virtual open houses were advertised on 27 program webpages. Eight virtual sub-internships were on VSAS. Eighty virtual meet and greets and 27 virtual electives were advertised on the DIGA website.
Limitations: Considering the ongoing application cycle and the growth of social media usage, the numbers presented may not represent the numbers on the date of publication.
Conclusion: Dermatology residency programs have adapted to the COVID-19 pandemic by developing social media platforms and virtual opportunities. There is an underutilization of social media by programs. Programs are working with the DIGA to distribute information about virtual opportunities.
Background Grover's disease (GD) is a relatively rare transient dermatosis that can be idiopathic or acquired. Acquired GD may occur secondary to internal triggers such as medications and malignancies and external factors such as friction.Objective The purpose of this report is to describe the clinical and histological presentation of drug-induced Grover's disease (DIGD) and discuss potential pathogenic mechanisms. Methods A systemic review of the literature was performed to identify medications implicated in DIGD.
ResultsWe identified 13 reports of patients with DIGD. Most patients presented with a papular or papulovesicular morphology involving the trunk and extremities. Pruritus was the most common symptom. The majority of the offending agents were cancer therapeutics.Discontinuation of the culprit medication was sufficient for rash clearance and symptom resolution in most cases.
ConclusionThe overlap in morphology and associated symptoms in DIGD and GD makes the diagnosis of DIGD challenging and has potentially led to underdiagnosis. However, in cases of more extensive involvement and treatment recalcitrance, a drug-induced eruption should be considered.
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