Dermatology

A Rare Complication of Diabetes: Diabetic Myonecrosis

March 29, 2018
A Rare Complication of Diabetes: Diabetic Myonecrosis

By Allison Harrington, MD

Peer Reviewed

Learning Objectives:

1) When should diabetic myonecrosis be suspected?

2) What are the diagnostic criteria for diabetic myonecrosis? What is the pathophysiology?

3) What is the management of diabetic myonecrosis? How can it be prevented?

A 41-year-old female with a past medical history of poorly controlled type I diabetes (hemoglobin A1C , 13%), a right lower extremity deep vein thrombosis (DVT) status post inferior vena cava filter placement in March 2017 presents with persistent weakness and left lower extremity …

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Botox: Not Just for Wrinkles Anymore

July 28, 2016
Botox: Not Just for Wrinkles Anymore

Samantha Kass Newman, MD

Peer Reviewed

You can get a Botox injection almost anywhere these days. Internists, dermatologists, and even gynecologists have capitalized on an aging group of baby boomers who aren’t fans of their wrinkles. And it’s true that with an impressive safety profile, few contraindications, rapid effectiveness, and positive cash return for providers, botulinum toxin injections for cosmetic purposes can make everyone happy.

Botulinim toxin is produced by the anaerobic bacterium, Clostridium botulinum. This is the strongest toxin found in nature. When injected …

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Hirudotherapy: An Ugly Means of Avoiding Uglier Outcomes

January 22, 2016
Hirudotherapy: An Ugly Means of Avoiding Uglier Outcomes

By Jonathan Bekisz

Peer Reviewed

“Do you want to see something gross? Go into the soiled utility room and check out what’s in the jar.” Never one to pass on the opportunity to “see something gross,” I poked my head in and examined the tiny glass jar that sat on the counter. Living up to its billing, within the container sat about a half dozen leeches. Contrary to my assumption that any role these segmented worms had in the field of medicine went away with …

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UV Nail Lamps and Cancer: A Correlation?

July 24, 2015
UV Nail Lamps and Cancer: A Correlation?

By Jennifer Ng, MD

Peer Reviewed 

Beauty and suffering are often thought to be intertwined.  It is hard to have your cake and eat it too.  In the quest for beauty, women (and men) have subjected themselves to toxic and potentially deadly practices, such as applying lead-based cosmetics to whiten their faces historically , or more recently, going to tanning beds and/or laying out in the sun for prolonged periods to get a “healthy glow.”  As we have become increasingly health-conscious and vigilant, more and …

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Confocal Microscopy To Noninvasively Detect Skin Cancer: An Emerging Technology To Avoid Unnecessary Skin Biopsy

September 6, 2013
Confocal Microscopy To Noninvasively Detect Skin Cancer: An Emerging Technology To Avoid Unnecessary Skin Biopsy

By Brian Park

Faculty Peer Reviewed

Skin cancer is the most common type of cancer worldwide. In the United States, the incidence is rising, with over two million people diagnosed each year . More cases of skin cancer are diagnosed each year than breast, prostate, lung, and colon cancer combined. The lifetime risk of developing skin cancer is estimated to be 20% . Although nonmelanoma skin cancer is rarely fatal and associated with a very low mortality rate, melanoma can be highly fatal. Approximately 76,000 …

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If I Eat Candy and Fatty Foods, Will I Get Acne?

June 3, 2011
If I Eat Candy and Fatty Foods, Will I Get Acne?

By Timothy Wu, MD

Faculty Peer Reviewed

A 17-year-old female comes into the clinic for an annual health checkup.  During the visit she reveals that she has been dealing with acne so severe that she is often embarrassed to go to school.  She states that her diet often consists of lots of candy, fast food, and soft drinks.  She asks, “Am I getting acne because of what I eat?”

Introduction

Acne is a common skin disorder that affects more than 17 million people in the …

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Educating Patients About Sun Exposure

March 23, 2011
Educating Patients About Sun Exposure

By Courtney Maxey

Faculty Peer Reviewed

At this point it seems that the general public is aware of the relationship between exposure to the sun and skin cancer. It is troubling, however, that our culture still considers a dark tan to be “healthy” despite the World Health Organization’s classification of ultraviolet light emitted from tanning devices as a human carcinogen, based on observational studies that show a 75% increase in cutaneous melanoma in people using tanning devices before age 35. Protection from the harmful ultraviolet …

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Mystery Quiz- The Answer

November 13, 2010
Mystery Quiz- The Answer

Dana Clutter, MD

Edited by Vivian Hayashi MD and Robert Smith MD, Mystery Quiz Section Editors

Faculty peer reviewed

The answer to the mystery quiz is bacillary angiomatosis (BA). BA is a disease that most frequently affects individuals infected with the human immunodeficiency virus (HIV) and typically presents with multiple cutaneous papules and nodules. Visceral manifestations also occur and can involve the bone, lungs, lymph nodes, spleen, liver (termed peliosis hepatis) and the central nervous system.(1) Since the relatively recent first description of the disease …

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