Everyone's Blog Posts - dermRounds Dermatology Network2024-03-29T00:00:16Zhttps://community.dermrounds.com/profiles/blog/feed?xn_auth=noThe N95 Masks Take a Toll on the Skintag:community.dermrounds.com,2020-04-19:1980062:BlogPost:643382020-04-19T15:06:07.000ZJulie Morsehttps://community.dermrounds.com/profile/JulieMorse820
<p><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/4463416430?profile=original" rel="noopener" target="_blank"><img class="align-center" src="https://storage.ning.com/topology/rest/1.0/file/get/4463416430?profile=RESIZE_710x" width="400"></img></a> Healthcare workers on the frontline of the COVID-19 pandemic rely on N95 masks to reduce their exposure to airborne particles, but a growing number of nurses and physicians are experiencing redness and irritation on their face. Fortunately, in the midst of the chaos, some have discovered creative treatments to ease the…</span></p>
<p><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/4463416430?profile=original" target="_blank" rel="noopener"><img src="https://storage.ning.com/topology/rest/1.0/file/get/4463416430?profile=RESIZE_710x" width="400" class="align-center"/></a>Healthcare workers on the frontline of the COVID-19 pandemic rely on N95 masks to reduce their exposure to airborne particles, but a growing number of nurses and physicians are experiencing redness and irritation on their face. Fortunately, in the midst of the chaos, some have discovered creative treatments to ease the inflammation.</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">Hospitals and clinics around the country are struggling to maintain adequate quantities of personal protective equipment (PPE), thus requiring their workers to wear the same N95 masks around the clock. Across social media and Reddit, workers are complaining about the repercussions of sweating and breathing in the same mask all day. Citing acne, irritation, bacterial and fungal infections, decubitus ulcers, and literal breakdown of the skin as common reactions to constant use of PPE.</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">“The very fine capillaries that are providing all of the oxygen, nutrients, and all the things it needs to be healthy [are collapsing],” Orit Markowitz, MD, a dermatologist at Mount Sinai Hospital in New York City</span> <a href="https://www.allure.com/story/health-care-workers-skin-concerns-masks-ppe-coronavirus" target="_blank" rel="noopener">told <em>Allure</em></a><span style="font-weight: 400;">. “In a way, you’re suffocating the skin, [so it] then starts to break down.</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">Yet, a few basic ointments and bandages are proving to be accessible remedies to diminishing the effects of long-term PPE use. Cavilon Barrier Film prevents friction on areas that are being affected by the masks the most. Gel-textured hydrocolloid bandages, which are commonly used to heal blisters and pimples are also helping. Soft gauze can be applied to the bridge of the nose underneath the mask to alleviate some of the pressure from PPE. Applying Aquaphor, Vaseline, and other ointments after washing, drying, and moisturizing the face can heal irritated areas and reduce irritation.</span></p>Rashes Could be a Symptom of Coronavirustag:community.dermrounds.com,2020-04-19:1980062:BlogPost:644252020-04-19T14:51:54.000ZJulie Morsehttps://community.dermrounds.com/profile/JulieMorse820
<p><span style="font-size: 10pt;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/4447828383?profile=original" rel="noopener" target="_blank"><img class="align-center" src="https://storage.ning.com/topology/rest/1.0/file/get/4447828383?profile=RESIZE_710x" width="400"></img></a> Aches and dry cough are common symptoms of coronavirus but now skin conditions have been added to the list of markers for identifying the infection.</span></p>
<p><span style="font-size: 10pt;"> </span></p>
<p><span style="font-size: 10pt;">Earlier this year, a hospital in Italy became the first to report COVID-19 patients with…</span></p>
<p><span style="font-size: 10pt;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/4447828383?profile=original" target="_blank" rel="noopener"><img src="https://storage.ning.com/topology/rest/1.0/file/get/4447828383?profile=RESIZE_710x" width="400" class="align-center"/></a>Aches and dry cough are common symptoms of coronavirus but now skin conditions have been added to the list of markers for identifying the infection.</span></p>
<p><span style="font-size: 10pt;"> </span></p>
<p><span style="font-size: 10pt;">Earlier this year, a hospital in Italy became the first to report COVID-19 patients with skin symptoms. In a group of 88 patients, <a href="https://consultqd.clevelandclinic.org/skin-rashes-an-emerging-symptom-of-covid-19/" target="_blank" rel="noopener">20 percent</a> developed skin conditions, with erythematous rash being the most common. A few developed hives and one patient had blisters similar to chickenpox. A little less than half the group had been experiencing rashes since the beginning of their sickness.</span></p>
<p><span style="font-size: 10pt;"> </span></p>
<p><span style="font-size: 10pt;">At a medical center in Bangkok, a COVID-19 patient’s symptoms were initially confused with dengue because they had developed petechiae, a rash commonly associated with serious viral and bacterial infections. When the patient later started experiencing respiratory problems, they were finally diagnosed with COVID-19.</span></p>
<p><span style="font-size: 10pt;"> </span></p>
<p><span style="font-size: 10pt;">Randy Jacobs, MD, an assistant clinical professor of dermatology at the University of California Riverside, is confident that skin changes are likely to be presented in tandem with other COVID-19 symptoms. “COVID-19 can feature signs of small blood vessel occlusion. These can be petechiae or tiny bruises, and transient livedoid eruptions,” he <a href="https://www.mdedge.com/dermatology/article/220183/coronavirus-updates/skin-manifestations-are-emerging-coronavirus-pandemic" target="_blank" rel="noopener">said</a>.<br/> <br/></span></p>
<p><span style="font-size: 10pt;">Dr. Jacobs saw first hand how dermatologic symptoms can make for a confusing COVID-19 diagnosis. He had one 67-year-old patient who seemed to have symptoms consistent with the common cold, but soon developed a nonpruritic blanching livedoid vascular eruption on his right anterior thigh and had blood in his urine. He was subsequently cautiously tested for coronavirus. Both conditions cleared up in 24 hours but the test came back positive.</span></p>
<p><span style="font-size: 10pt;"> </span></p>
<p><span style="font-size: 10pt;">“Another dermatologist friend of mine also reported a similar transient COVID-19 unilateral livedoid eruption,” <a href="https://www.mdedge.com/dermatology/article/220183/coronavirus-updates/skin-manifestations-are-emerging-coronavirus-pandemic" target="_blank" rel="noopener">said</a> Dr. Jacobs.</span></p>Do Dermatology Residency Programs Provide Effective Training for LGBTQ Patients?tag:community.dermrounds.com,2020-03-20:1980062:BlogPost:644492020-03-20T18:27:33.000ZJulie Morsehttps://community.dermrounds.com/profile/JulieMorse820
<p><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/4170803668?profile=original" rel="noopener" target="_blank"><img class="align-center" src="https://storage.ning.com/topology/rest/1.0/file/get/4170803668?profile=RESIZE_710x" width="400"></img></a> Although sexual and gender lexicons have been widely accepted into mainstream, coastal communities, a new </span><a href="https://jamanetwork.com/journals/jamadermatology/article-abstract/2762871" rel="noopener" target="_blank">study</a> <span style="font-weight: 400;">published in</span> <i><span style="font-weight: 400;">JAMA…</span></i></p>
<p><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/4170803668?profile=original" target="_blank" rel="noopener"><img src="https://storage.ning.com/topology/rest/1.0/file/get/4170803668?profile=RESIZE_710x" width="400" class="align-center"/></a>Although sexual and gender lexicons have been widely accepted into mainstream, coastal communities, a new </span><a href="https://jamanetwork.com/journals/jamadermatology/article-abstract/2762871" target="_blank" rel="noopener">study</a> <span style="font-weight: 400;">published in</span> <i><span style="font-weight: 400;">JAMA Dermatology</span></i> <span style="font-weight: 400;">finds that dermatology resident programs give very little training on how to effectively care for LGBTQ and gender minorities.</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">Sexual and gender minorities (SGM) typically have more dermatologic needs than heterosexual and gender conforming patients. Sexual minority males face higher rates of </span><a href="https://www.dermrounds.com/profiles/blogs/what-does-sexual-orientation-or-gender-identity-have-to-do-with" target="_blank" rel="noopener">skin cancer</a><span style="font-weight: 400;">, human papillomavirus is more common among lesbians, and transgender patients have to grapple with the dermatological repercussions of hormone therapy and the use of injectable neurotoxin and dermal filler for facial contorting purposes. Yet, according to the study, less than 20 percent of programs deliver training on managing side effects of hormone therapy or injecting Botox or Juvederm in transitioning patients.</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">The researchers from Stanford University School of Medicine surveyed 90 U.S. dermatology residency programs and found that 81 percent of participants felt that SGM care was “very important.” However, they also reported that less than one hour of training time was dedicated to SGM care. According to program directors surveyed, 36 percent wanted to dedicate one to two hours to this training and 34 percent preferred to focus three to five hours. Over half of program directors said they were thinking about adding SGM training to their curricula within the next five years. Lack of time and lack of faculty expertise were commonly cited reasons for dismal training.</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">In an editorial letter, associate professor of dermatology at Washington University School of Medicine in St. Louis Kara Sternhell-Black, MD, and colleagues, urge residency programs to provide “culturally competent care to SGM individuals with routine dermatologic conditions and address their population-specific needs.” The Stanford researchers echo their recommendation, </span><a href="https://www.medpagetoday.com/dermatology/generaldermatology/85495" target="_blank" rel="noopener">writing</a><span style="font-weight: 400;">, “Improving training and education on the residency level will ensure that future generations of physicians will be equipped to provide high-quality, culturally competent care for our SGM/LGBTQ patients."</span></p>The Perils of Handwashing in the Age of Coronavirustag:community.dermrounds.com,2020-03-20:1980062:BlogPost:644472020-03-20T18:21:54.000ZJulie Morsehttps://community.dermrounds.com/profile/JulieMorse820
<p><span style="font-weight: 400; font-size: 10pt;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/4170744758?profile=original" rel="noopener" target="_blank"><img class="align-center" src="https://storage.ning.com/topology/rest/1.0/file/get/4170744758?profile=RESIZE_710x" width="400"></img></a> Virus-conscious citizens are washing their hands and applying sanitizer like there’s no tomorrow. Although hand washing is one of the most effective ways to prevent the spread of COVID-19, consequently, dermatologists are seeing patients come into clinics with dry, red, irritated hands.…</span></p>
<p></p>
<p><span style="font-weight: 400; font-size: 10pt;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/4170744758?profile=original" target="_blank" rel="noopener"><img src="https://storage.ning.com/topology/rest/1.0/file/get/4170744758?profile=RESIZE_710x" width="400" class="align-center"/></a>Virus-conscious citizens are washing their hands and applying sanitizer like there’s no tomorrow. Although hand washing is one of the most effective ways to prevent the spread of COVID-19, consequently, dermatologists are seeing patients come into clinics with dry, red, irritated hands.</span></p>
<p><span style="font-weight: 400; font-size: 10pt;"> </span></p>
<p><span style="font-weight: 400; font-size: 10pt;">According to clinical assistant professor of dermatology at New York University School of Medicine, Shari Marchbein, MD, dry skin can lead to other health problems, specifically eczema and dermatitis rashes, and can exacerbate psoriasis.</span></p>
<p><span style="font-weight: 400; font-size: 10pt;"> </span></p>
<p><span style="font-weight: 400; font-size: 10pt;">Dry skin occurs when the lipid barrier is damaged and the skin becomes severely dehydrated. The lipid layer is designed to protect your hands by keeping in moisture and preventing bacteria and germs from infiltrating the skin. When the barrier is eroded with frequent hand washing and sanitizer, redness and cracks can appear, making us prone to infections.</span></p>
<p><span style="font-weight: 400; font-size: 10pt;"> </span></p>
<p><span style="font-size: 10pt;"><span style="font-weight: 400;">“Since the protective lipid layer is responsible for keeping moisture in and bacteria and irritants out, dry skin often presents with redness, flaking, itching, and even painful cracks that can leave us susceptible to infections,” </span><a href="https://www.allure.com/story/hand-washing-eczema-rash-coronavirus" target="_blank" rel="noopener">says</a> <span style="font-weight: 400;">Dr. Marchbein for</span> <i><span style="font-weight: 400;">Allure</span></i><span style="font-weight: 400;">. “Any break in the skin can do this.”</span></span></p>
<p><span style="font-weight: 400; font-size: 10pt;"> </span></p>
<p><span style="font-size: 10pt;"><span style="font-weight: 400;">Even for seriously cautious hand washers like Dr. Marchbein who washes her hands 70 times a day, there are easy ways to rehydrate the skin. Using a soap made with moisturizer and after drying off, applying an ointment or cream that contains olive oil or jojoba oil. According to the American Academy of Dermatology (AAD), </span><a href="https://www.aad.org/public/everyday-care/skin-care-basics/dry/dermatologists-tips-relieve-dry-skin" target="_blank" rel="noopener">creams and ointments</a> <span style="font-weight: 400;">are better at keeping skin moisturized than lotions. The AAD also recommends avoiding moisturizers that contain alcohol, fragrance, and alpha-hydroxy acid and wearing gloves outdoors in cold weather.</span></span></p>Dermatologist Spots Lung Cancer in Patient During His Skin Examtag:community.dermrounds.com,2020-02-20:1980062:BlogPost:638952020-02-20T17:30:00.000ZJulie Morsehttps://community.dermrounds.com/profile/JulieMorse820
<p><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3877008299?profile=original" rel="noopener" target="_blank"><img class="align-center" src="https://storage.ning.com/topology/rest/1.0/file/get/3877008299?profile=RESIZE_710x" width="400"></img></a> Richard Danzer thought he was just getting a possible cyst looked at by the dermatologist referred to him by his primary care doctor.</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">What was thought to be a benign issue turned out to be stage 4 skin cancer. Brittany Smirnov, MD,…</span></p>
<p><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3877008299?profile=original" target="_blank" rel="noopener"><img src="https://storage.ning.com/topology/rest/1.0/file/get/3877008299?profile=RESIZE_710x" width="400" class="align-center"/></a>Richard Danzer thought he was just getting a possible cyst looked at by the dermatologist referred to him by his primary care doctor.</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">What was thought to be a benign issue turned out to be stage 4 skin cancer. Brittany Smirnov, MD, noticed that the lesion was too hard to be cyst, and “fixed to the underlying structures, which means it didn’t move around freely.”<br/> <br/></span></p>
<p><span style="font-weight: 400;">The Palm Beach man said he was worried about the lesion from the get-go. “</span><span style="font-weight: 400;">I was concerned about it but everyone said, 'Oh it’s just a fatty mass,’” he </span><a href="https://cbs12.com/news/local/local-dermatologist-catches-deadly-lung-cancer-during-routine-visit" target="_blank" rel="noopener">told</a> <span style="font-weight: 400;">CBS 12 News. Danzer underwent radiation and chemotherapy treatments for a year and is now in remission. "I had stage four lung cancer. You know, there is no stage five. I don’t know that I would’ve survived,” he said.<br/> <br/></span></p>
<p><span style="font-weight: 400;">Danzer was very lucky, and his story serves as a cautionary tale for anyone who ignores lumps, marks, cysts and other lesions. "Go. Now. Absolutely. Had it not been for her, I’d have been dead," he said.<br/> <br/></span></p>
<p><span style="font-weight: 400;">According to news reports, this isn’t the first time Dr. Smirnov has detected a separate condition in a patient. She says that annual skin check-ups can help prevent these kinds of scares.</span></p>What Does Sexual Orientation or Gender Identity Have to do With Skin Cancer?tag:community.dermrounds.com,2020-02-20:1980062:BlogPost:638052020-02-20T17:30:00.000ZJulie Morsehttps://community.dermrounds.com/profile/JulieMorse820
<p><span style="font-weight: 400;"><a href="https://upload.wikimedia.org/wikipedia/commons/1/11/A_TransGender-Symbol_Plain3.svg" rel="noopener" target="_blank"><img class="align-center" src="https://upload.wikimedia.org/wikipedia/commons/1/11/A_TransGender-Symbol_Plain3.svg?profile=RESIZE_710x" width="300"></img></a> <span style="font-size: 10pt;">Sexual orientation and gender identity might impact a person’s risk of developing skin cancer, according to two recently published studies.</span></span></p>
<p><span style="font-weight: 400; font-size: 10pt;"> </span></p>
<p><span style="font-weight: 400; font-size: 10pt;">One study analyzed…</span></p>
<p><span style="font-weight: 400;"><a href="https://upload.wikimedia.org/wikipedia/commons/1/11/A_TransGender-Symbol_Plain3.svg" target="_blank" rel="noopener"><img src="https://upload.wikimedia.org/wikipedia/commons/1/11/A_TransGender-Symbol_Plain3.svg?profile=RESIZE_710x" width="300" class="align-center"/></a><span style="font-size: 10pt;">Sexual orientation and gender identity might impact a person’s risk of developing skin cancer, according to two recently published studies.</span></span></p>
<p><span style="font-weight: 400; font-size: 10pt;"> </span></p>
<p><span style="font-weight: 400; font-size: 10pt;">One study analyzed skin cancer and sexual orientation and the other skin cancer and gender identity. They both used data from over 840,000 patients from the Behavioral Risk Factor Surveillance System questionnaires compiled between 2014 to 2018. Arash Mostaghimi, MD, MPH, director of dermatology inpatient services at Brigham and Women’s Hospital, was the lead writer on both studies. In the study examining sexual orientation, they found that gay men were 26 percent more likely to be diagnosed with skin cancer than heterosexual men, and were 48 percent more likely than bisexual men. However, in comparing female demographics, lesbian and heterosexual women had the same chances of developing skin cancer, and bisexual women were 22 percent less likely to be diagnosed with the condition.</span></p>
<p><span style="font-weight: 400; font-size: 10pt;"> </span></p>
<p><span style="font-size: 10pt;"><span style="font-weight: 400;">In the gender study, the researchers founds that transgender individuals were twice as likely to have skin cancer than cis-gendered people, and the cancer was 15 percent less common among cis-gendered women. “</span><span style="font-weight: 400;">The GNC finding was a bit of a surprise,” </span><a href="https://www.reuters.com/article/us-health-lgbt-skin-cancer/sexual-and-gender-identity-may-be-risk-factors-for-skin-cancer-idUSKBN20C2H5" target="_blank" rel="noopener">said</a> <span style="font-weight: 400;">Mostaghimi. “We would really like to explore that further to find out why gender nonconforming individuals might have a higher rate of skin cancer.”</span></span></p>10 Things to remember while considering for Hair Transplanttag:community.dermrounds.com,2020-02-10:1980062:BlogPost:637962020-02-10T09:24:07.000ZDermalifehttps://community.dermrounds.com/profile/Dermalife
<p><strong>What is the success rate of hair transplant surgery?</strong></p>
<p>A hair transplant is an effective method to give you fuller and healthier hair naturally. The results are the procedure enduring and give you thicker hairs for all life long. Several studies conducted in different parts of the world have lauded the effectiveness of the outcomes of hair transplants. The success rate of grafts implanted is more than 90 percent. According to several pieces of research, more than 85…</p>
<p><strong>What is the success rate of hair transplant surgery?</strong></p>
<p>A hair transplant is an effective method to give you fuller and healthier hair naturally. The results are the procedure enduring and give you thicker hairs for all life long. Several studies conducted in different parts of the world have lauded the effectiveness of the outcomes of hair transplants. The success rate of grafts implanted is more than 90 percent. According to several pieces of research, more than 85 percent of the candidates were greatly satisfied with the results while many were moderately happy. With the advancement in the techniques, the rate is even improved. The Dermalife clinic, one of the best in the field, uses highly sophisticated techniques that ensure enhanced accuracy in the procedure. In some cases, we can achieve a 100 percent success rate in graft implantation with all the grafts placed ultimately grow. A huge number of happily treated patients vouch for the success of the hair transplant treatment we offer.</p>
<p><strong><em>How to choose the best hair transplant surgeon for you?</em></strong></p>
<p>Struggling to find the best hair transplant surgeon? Are you confused with numerous options you see over the Internet? Wondering about the results of a hair transplant? Well! Your worries are not all unjustified. A lot about the result depends on the proficiency and expertise of the practitioner who performs the transplant. You must choose but less than the best whether it is the clinic or the surgeon. The first thing to do is to find a certified practitioner who has sufficient experience in the procedure. You can ask your acquaintances for recommendations or find them through a web search. Also, understand that you are a unique individual and have specific personal requirements and expectations. Ask the surgeon about the experience and success rate in cases similar to yours. Check for the availability of the right equipment. At Dermalife, we comprehend a customized treatment plan for all our patients to ensure the best outcomes. Our team comprises of members who are internationally trained and have performed transplants for people with diverse needs and expectations. Support from advance technology makes our procedure more precise and ensures the highest-quality results.</p>
<p>Source:<a href="http://dermalife.co.in/blog/hair-transplant-in-delhi/">http://dermalife.co.in/blog/hair-transplant-in-delhi/</a></p>Diversity has Barely Progressed in Dermatologytag:community.dermrounds.com,2020-01-17:1980062:BlogPost:637482020-01-17T22:59:55.000ZJulie Morsehttps://community.dermrounds.com/profile/JulieMorse820
<p><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3824469324?profile=original" rel="noopener" target="_blank"><img class="align-center" src="https://storage.ning.com/topology/rest/1.0/file/get/3824469324?profile=RESIZE_710x" width="400"></img></a> Dermatology is one of the least diverse departments in medicine, and minority races have only increased a few percentage points over the last several decades, according to a </span><a href="https://jamanetwork.com/journals/jamadermatology/article-abstract/2758415" rel="noopener" target="_blank">study…</a></p>
<p><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3824469324?profile=original" target="_blank" rel="noopener"><img src="https://storage.ning.com/topology/rest/1.0/file/get/3824469324?profile=RESIZE_710x" width="400" class="align-center"/></a>Dermatology is one of the least diverse departments in medicine, and minority races have only increased a few percentage points over the last several decades, according to a </span><a href="https://jamanetwork.com/journals/jamadermatology/article-abstract/2758415" target="_blank" rel="noopener">study</a> <span style="font-weight: 400;">recently published in</span> <i><span style="font-weight: 400;">JAMA Dermatology</span></i><span style="font-weight: 400;">.</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">Researchers from The University of Texas Southwestern Medical Center in Dallas looked at data from the American Medical Colleges Faculty Roster from 1970 to 2018 to determine how gender and different races were represented in dermatology. They found that as department faculty numbers increased (from 167 in 1970 to 1,464 in 2018), so did the number of female faculty members, from 18 (10.8 percent) to 749 (51.2 percent), a figure that accurately reflects the country’s overall white female population.</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">However, when it came to minority races in dermatology, the figures were far more discouraging, and that the number of minorities in dermatology didn’t grow to reflect the country’s demographics. The researchers found that at every faculty tier, there was a disproportionately low number of minorities, and from 1970 to 2018, the number of underrepresented minorities only grew 4.8 percent. In every specialty, white physicians made up 79.7 percent of all chairs, and females comprised only 19.4 percent of chair positions.</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">The researchers </span><a href="https://medicalresearch.com/author-interviews/minorities-still-underrepresented-in-dermatology-faculty/52696/" target="_blank" rel="noopener">note</a> <span style="font-weight: 400;">that these racial disparities in dermatology could be due to the fact that not enough minority medical students are applying or not getting accepted into dermatology residencies. They see these findings as an incentive for dermatology residencies programs to make better efforts to recruit non-white applicants.</span></p>23andMe Partners with Drug Company to Roll Out Antibody for Dermatological Conditionstag:community.dermrounds.com,2020-01-17:1980062:BlogPost:638442020-01-17T22:50:41.000ZJulie Morsehttps://community.dermrounds.com/profile/JulieMorse820
<p><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3824455872?profile=original" rel="noopener" target="_blank"><img class="align-center" src="https://storage.ning.com/topology/rest/1.0/file/get/3824455872?profile=RESIZE_710x" width="400"></img></a> 23andMe is joining forces with Almirall, S.A., a Spanish dermatology-centered pharmaceutical company, to produce a commercial antibody that will fight off a variety of inflammatory diseases including some skin conditions.</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">Through…</span></p>
<p><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3824455872?profile=original" target="_blank" rel="noopener"><img src="https://storage.ning.com/topology/rest/1.0/file/get/3824455872?profile=RESIZE_710x" width="400" class="align-center"/></a>23andMe is joining forces with Almirall, S.A., a Spanish dermatology-centered pharmaceutical company, to produce a commercial antibody that will fight off a variety of inflammatory diseases including some skin conditions.</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">Through collecting data from around 8 million 23andMe customers, the genomics company has identified three members of the IL-36 cytokine subfamily which are connected to a range of inflammatory diseases including psoriasis, herpes infections, and dermatitis. Almirall has secured the rights to develop the antibody for international treatments for these conditions.</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">23andMe </span><a href="https://www.prnewswire.com/news-releases/almirall-signs-a-strategic-agreement-with-23andme-to-license-rights-of-a-bispecific-monoclonal-antibody-that-blocks-all-three-isoforms-of-il-36-cytokine-300984521.html" target="_blank" rel="noopener">claims</a> <span style="font-weight: 400;">to have “the world’s largest set of genotypic information paired with billions of phenotypic data points contributed by engaged customers.” Around 80 percent of 23andMe’s 10 million users have agreed to have their genetic data used for drug discovery. According to a press release, the company’s</span> <span style="font-weight: 400;">therapeutics</span> <span style="font-weight: 400;">team uses their vast collection of customer data to identify novel targets for pre-clinical research and development purposes. They have a number of research programs in many disease areas.</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">This is the first licensing agreement between 23andMe and a drug manufacturer, and is seen as a monumental move for the Bay Area company. “</span><span style="font-weight: 400;">Working with Almirall, we're pleased to be furthering 23andMe's mission of helping people benefit from genetic insights. As a leader in medical dermatology, we felt Almirall was the best company to take this program forward and ultimately develop an effective therapy for patients,” </span><a href="https://www.prnewswire.com/news-releases/almirall-signs-a-strategic-agreement-with-23andme-to-license-rights-of-a-bispecific-monoclonal-antibody-that-blocks-all-three-isoforms-of-il-36-cytokine-300984521.html" target="_blank" rel="noopener">said</a> <span style="font-weight: 400;">Kenneth Hillian, MD, ChB, Head of Therapeutics at 23andMe.</span></p>Dermatologists: The Best Defense Against Counterfeit Cosmeticstag:community.dermrounds.com,2020-01-06:1980062:BlogPost:636852020-01-06T17:54:15.000ZRobin Mileshttps://community.dermrounds.com/profile/RobinMiles
<p><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3804198795?profile=original" rel="noopener" target="_blank"><img class="align-center" src="https://storage.ning.com/topology/rest/1.0/file/get/3804198795?profile=RESIZE_710x" width="400"></img></a> Are you noticing an increase in cases of contact dermatitis in your practice lately? Are more patients coming in with pink eye, swollen lips, or painful blisters and rashes on their skin? Are they complaining of accompanying headaches, dizziness or vomiting?</span></p>
<p></p>
<p><span style="font-weight: 400;">Your patients…</span></p>
<p><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3804198795?profile=original" target="_blank" rel="noopener"><img src="https://storage.ning.com/topology/rest/1.0/file/get/3804198795?profile=RESIZE_710x" width="400" class="align-center"/></a>Are you noticing an increase in cases of contact dermatitis in your practice lately? Are more patients coming in with pink eye, swollen lips, or painful blisters and rashes on their skin? Are they complaining of accompanying headaches, dizziness or vomiting?</span></p>
<p></p>
<p><span style="font-weight: 400;">Your patients might be dealing with the nasty aftereffects of counterfeit cosmetics usage.</span></p>
<p></p>
<p><span style="font-weight: 400;">In the new documentary series,</span> <a href="https://youtu.be/sMPdsKvhCOo" target="_blank" rel="noopener">Broken</a> <span style="font-weight: 400;">by Netflix, Episode One explores the explosion of counterfeit cosmetics manufacturing. All of it driven by the rising demand for luxury goods at affordable prices and the easy access of these products through eCommerce sellers on sites like Amazon, eBay, Wish, and CraigsList, as well as local flea markets. These counterfeit cosmetics have contributed to a noticeable increase in cases of contact dermatitis and other serious skin and eye infections during the last 5- 8 years.</span></p>
<p></p>
<p><span style="font-weight: 400;">The majority of manufacturers are being traced to China where there is no regulation of counterfeit goods. And as the demand for luxury makeup brands increases, manufacturers are becoming better at creating packaging that, to the untrained eye of eager consumers, looks identical to that of name brand packaging.</span></p>
<p></p>
<p><span style="font-weight: 400;">Adding to the problem are understaffed shipping ports where thousands of containers are unloaded each day without thorough inspections, meaning there's little to no deterrent to the influx of counterfeit cosmetics. So manufacturers continue to ship out lip gloss, eye shadows, foundations, and body care products infused with ingredients such as superglue, horse urine, rat feces, and lead, to name a few.</span> <span style="font-weight: 400;"><br/><br/></span></p>
<p><span style="font-weight: 400;"> A</span> <a href="https://www.ncbi.nlm.nih.gov/pubmed/18841308" target="_blank" rel="noopener">2008 study</a> <span style="font-weight: 400;">found that even a small amount of heavy metals in cosmetics can result in percutaneous adsorption on the skin and cause</span> <a href="https://www.ncbi.nlm.nih.gov/pubmed/25809475" target="_blank" rel="noopener">skin allergies</a><span style="font-weight: 400;">.</span> <span style="font-weight: 400;"><br/><br/></span></p>
<p><span style="font-weight: 400;">And all of this is making its way into consumers' homes and onto their bodies and faces.</span></p>
<p></p>
<p><span style="font-weight: 400;">The issue is then compounded when cosmetics are shared in beauty salons, department store makeup counters, or even among individuals. Microorganisms from shared cosmetics products</span> <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5002883/" target="_blank" rel="noopener">can easily be spread</a> <span style="font-weight: 400;">via makeup applicators. And when a product is contaminated the microorganisms can</span> <a href="https://www.ncbi.nlm.nih.gov/pubmed/29019083" target="_blank" rel="noopener">alter the product</a> <span style="font-weight: 400;">ranging from noticeable discoloration to outright toxicity. </span></p>
<p><span style="font-weight: 400;"><br/></span><b>How Dermatologists Can Combat Counterfeit Cosmetics</b></p>
<p><span style="font-weight: 400;">Dermatologists cannot stop the rising influx of counterfeit cosmetics, but they can talk with their patients about the very real dangers of purchasing cosmetics from sources that are not authorized retailers. They can also help to educate patients about ways they can pay closer attention to the products they are purchasing and using and encourage them not to be afraid to trust their instincts.</span></p>
<p></p>
<p><span style="font-weight: 400;">Does the item have an unusual look or unfamiliar odor? Is the quality of the texture different than what the consumer is expecting? If a foundation feels unusually sticky or a mascara seems goopy or the lipgloss has a slight chemical smell that seems unfamiliar then just don't wear it. </span></p>
<p></p>
<p><span style="font-weight: 400;">Other ways that dermatologists can help patients avoid purchasing counterfeit cosmetics products are:</span></p>
<p></p>
<p><b>Research:</b> <span style="font-weight: 400;">Skincare companies list their authorized dealers on their websites. Encourage patients to do their research before shopping and only purchase cosmetics from those dealers. Do an online search for reviews about a product to see if other people have purchased it and have issues with it. Check the company’s ratings with the Better Business Bureau.</span></p>
<p></p>
<p><b>Pay attention:</b> <span style="font-weight: 400;">Cosmeceutical companies are required by law to print an expiration date on their products. Is there one? Is there a barcode? Is the color/design of the packaging absolutely identical to the same product sold by the brand itself? Is the packaging torn? Are there safety seals on the items? It's the little details that can give away fake packaging. </span></p>
<p></p>
<p><b>Price:</b> <span style="font-weight: 400;">If the price is too good to be true, then it probably is. A $10 name brand lip gloss kit on eBay that normally sells for $60 in a department store is not a safe bargain.</span></p>
<p></p>
<p><b>Buy from your dermatologist:</b> <span style="font-weight: 400;">Your dermatologist can provide you with a healthy skincare routine as well as safe products to go with it.</span></p>
<p></p>
<p><span style="font-weight: 400;">Purchasing a popular eyeshadow or lip gloss kit on Amazon might seem ideal due to the savings in price. But that "bargain" now carries the potential of a much higher price tag when the consumer finds her lips stuck together from superglue infused lip gloss, a skin rash from blush containing heavy metals, or</span> <a href="https://www.chicagotribune.com/business/ct-biz-wish-fake-makeup-20180718-story.html" target="_blank" rel="noopener">pink eye</a> <span style="font-weight: 400;">from mascara or eyeliner with</span> <a href="https://www.medicaldaily.com/counterfeit-mac-cosmetics-may-pose-health-risk-it-can-break-you-out-cause-irritations-and-allergies" target="_blank" rel="noopener">46 times</a> <span style="font-weight: 400;">the acceptable level of copper for humans. Or something far more serious like brain damage from lead in a body lotion or foundation.</span><span style="font-weight: 400;"><br/><br/></span></p>
<p><span style="font-weight: 400;">No cosmetic is worth someone's health. The price of beauty should not come at the potential price of rashes, pink eye, or a far more serious condition that can have long-lasting impacts to an individual’s health.</span><span style="font-weight: 400;"><br/></span><span style="font-weight: 400;"><br/></span><span style="font-weight: 400;">Dermatologists are now the best defense their patients have against the easy and affordable allure of all the bright and shiny new cosmetics products flooding today’s online markets. When the purchase of lead-infused eye shadow is just a single click away, a dermatologist can arm their patients with the knowledge they need in order to make safer, smarter cosmetics choices.</span><span style="font-weight: 400;"><br/></span></p>What Can Vaping Really Do to Your Skin?tag:community.dermrounds.com,2019-12-22:1980062:BlogPost:635732019-12-22T23:02:46.000ZJulie Morsehttps://community.dermrounds.com/profile/JulieMorse820
<p><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3782469797?profile=original" rel="noopener" target="_blank"><img class="align-center" src="https://storage.ning.com/topology/rest/1.0/file/get/3782469797?profile=RESIZE_710x" width="400"></img></a> Vaping is the proven culprit of skyrocketing rates of respiratory conditions and injuries, and now, new research shows that the trend also has detrimental side effects on the skin.</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">In a …</span></p>
<p><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3782469797?profile=original" target="_blank" rel="noopener"><img src="https://storage.ning.com/topology/rest/1.0/file/get/3782469797?profile=RESIZE_710x" width="400" class="align-center"/></a>Vaping is the proven culprit of skyrocketing rates of respiratory conditions and injuries, and now, new research shows that the trend also has detrimental side effects on the skin.</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">In a </span><a href="https://www.sciencedirect.com/science/article/abs/pii/S0190962219305419" target="_blank" rel="noopener">study</a> <span style="font-weight: 400;">recently published in the</span> <i><span style="font-weight: 400;">Journal of the American Academy of Dermatology</span></i><span style="font-weight: 400;">, researchers examined all previous studies of skin conditions linked to e-cigarettes, including contact dermatitis, burns, and oral lesions. Their findings concluded that there’s been an uptick in contact dermatitis cases connected to e-cigarette use. The battery-operated heating coil transmits nickel, which can irritate the skin. The researchers also discovered that between 2015 and 2017, an estimated 2,035 patients were admitted to emergency rooms with “explosion and burn injuries from e-cigarettes,” a number 40 times greater than what the Food and Drug Administration reported between 2009 and 2015.</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">Dermatologists are also making anecdotal observations of accelerated aging due to vaping. “</span><span style="font-weight: 400;">Every time you light up a cigarette, you're decreasing the oxygen supply to your face. Every time you vape, you're also decreasing the oxygen supply to your face,” said dermatologist Jeanine Downie, MD, for </span><a href="https://www.allure.com/story/vaping-side-effects-skin" target="_blank" rel="noopener">Allure</a><i><span style="font-weight: 400;">.</span></i> <span style="font-weight: 400;">The lack of oxygen decreases skin’s elasticity and leads to fine lines and wrinkles. The nicotine nestles in the face and can cause splotches and blockages. Dr. Downie also notes that vapers might also experience sagging of the skin because they’re losing elasticity.</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">The consequences of vaping are only just emerging, and as we learn more, e-smokers will have to decide the future of their skin on their own.</span></p>How Dermatitis Impacts Teenagers of Colortag:community.dermrounds.com,2019-12-22:1980062:BlogPost:635712019-12-22T22:57:34.000ZJulie Morsehttps://community.dermrounds.com/profile/JulieMorse820
<p><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3782462671?profile=original" rel="noopener" target="_blank"><img class="align-center" src="https://storage.ning.com/topology/rest/1.0/file/get/3782462671?profile=RESIZE_710x" width="400"></img></a> Atopic dermatitis (AD) can cause serious psychological struggles for teenagers, but for young people of color, the condition can be much more detrimental, according to a new …</span></p>
<p><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3782462671?profile=original" target="_blank" rel="noopener"><img src="https://storage.ning.com/topology/rest/1.0/file/get/3782462671?profile=RESIZE_710x" width="400" class="align-center"/></a>Atopic dermatitis (AD) can cause serious psychological struggles for teenagers, but for young people of color, the condition can be much more detrimental, according to a new </span><a href="https://www.mdedge.com/dermatology/article/207506/atopic-dermatitis/atopic-dermatitis-adolescents-skin-color" target="_blank" rel="noopener">research</a> <span style="font-weight: 400;">from the Wake Forest Baptist Medical Center’s Department of Dermatology.</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">AD is considered an epidermal barrier defect. An abnormal FLG gene, which encodes the epidermal barrier protein and simultaneously regulates the skin’s pH, is believed to be a genetic risk factor for having AD. Even though people of color are more likely to develop AD, they’re also six times less likely to have FLG mutations; therefore, researchers remain puzzled about how AD manifests in African Americans.</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">In their </span><a href="https://mdedge-files-live.s3.us-east-2.amazonaws.com/files/s3fs-public/Poladian%20CT104003164.PDF" target="_blank" rel="noopener">study</a> <span style="font-weight: 400;">published in</span> <i><span style="font-weight: 400;">Cuti</span></i><span style="font-weight: 400;">s, the researchers note that physicians can’t always effectively diagnose AD in patients of color. They explain that might be because physicians often fail to detect erythema, “a defining characteristic of AD” in darker skin.</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">Failing to successfully diagnose and treat teenagers with AD can have serious psychological consequences. The researchers found that teenagers with AD reported complained of having fewer friends, participating in fewer sports, and are overall less socially involved. For African American patients, the researchers found they had higher rates of school absences than their white counterparts. They point to one study of 8,015 children with AD between the ages of two and 17, and found that African American children were 1.5 times more likely to be absent for six days across a six-month school period than white children.</span></p>
<p></p>
<p><em><span style="font-weight: 400;">Image credit to PracticalCures.com</span></em></p>New Directions in the Treatment of Psoriasistag:community.dermrounds.com,2019-11-27:1980062:BlogPost:636502019-11-27T19:52:46.000ZRobin Mileshttps://community.dermrounds.com/profile/RobinMiles
<p><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3744296643?profile=original" rel="noopener" target="_blank"><img class="align-center" src="https://storage.ning.com/topology/rest/1.0/file/get/3744296643?profile=RESIZE_710x" width="400"></img></a> According to the</span> <a href="https://www.psoriasis.org/content/statistics" rel="noopener" target="_blank">National Psoriasis Foundation</a><span style="font-weight: 400;">, approximately 8 million Americans suffer from psoriasis and 125 million people worldwide are living with it. Psoriasis is not gender-specific and occurs…</span></p>
<p><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3744296643?profile=original" target="_blank" rel="noopener"><img src="https://storage.ning.com/topology/rest/1.0/file/get/3744296643?profile=RESIZE_710x" width="400" class="align-center"/></a>According to the</span> <a href="https://www.psoriasis.org/content/statistics" target="_blank" rel="noopener">National Psoriasis Foundation</a><span style="font-weight: 400;">, approximately 8 million Americans suffer from psoriasis and 125 million people worldwide are living with it. Psoriasis is not gender-specific and occurs in both adults and children, with the onset of symptoms occurring at any age.</span><span style="font-weight: 400;"><br/></span><span style="font-weight: 400;"><br/></span><span style="font-weight: 400;">It is not a contagious disease and cannot be transferred from one person to another through any type of physical contact. However, it can be genetic,</span> <a href="https://www.psoriasis.org/content/statistics" target="_blank" rel="noopener">with 1 in 3 adults</a> <span style="font-weight: 400;">having a relative who also has the disease, but this is not always the case. It is not uncommon for individuals suffering from other conditions such as heart disease, diabetes, and depression to also suffer from psoriasis.</span><span style="font-weight: 400;"><br/></span><span style="font-weight: 400;"><br/></span><span style="font-weight: 400;">Even though the disease can last a lifetime, patients can experience periods of remission. However, certain aggravators such as serious infections, certain medications or times of high stress can cause it to make a reappearance. Even some types of medications can cause symptoms to flare up again. </span></p>
<p></p>
<p><b>Traditional Approaches to Treatment</b></p>
<p><span style="font-weight: 400;">There is currently no cure for psoriasis, but a variety of treatments can greatly reduce the effects of the disease and bring relief to people suffering from it. </span></p>
<p></p>
<p><span style="font-weight: 400;">Phototherapy using ultraviolet light can be prescribed along with systemic drugs or topical ointments and creams that target the affected areas of the skin. </span></p>
<p></p>
<p><span style="font-weight: 400;">For psoriatic arthritis, a drug called methotrexate can be prescribed in combination with one of the other skin treatments. Arthritic symptoms can also be alleviated by alternating hot or cold therapies, using assistive devices such as wrist and knee braces, and regular, gentle exercise.</span></p>
<p></p>
<p><b>New Approaches to Treatment</b></p>
<p><span style="font-weight: 400;">New approaches to the treatment of psoriasis are on the rise, especially those that target the moderate-to-severe cases of the disease which create ongoing disruption in patients' daily lives.</span></p>
<p></p>
<p><span style="font-weight: 400;">Since 2004, biologics have been rising in popularity as more dermatologists are discovering </span><a href="https://www.psoriasis.org/about-psoriasis/treatments/biologics" target="_blank" rel="noopener">their efficacy</a> <span style="font-weight: 400;">in treating those moderate-to-severe cases of psoriasis and</span> <a href="https://www.psoriasis.org/advance/introducing-new-standard-treatment-psa" target="_blank" rel="noopener">psoriatic arthritis</a> <span style="font-weight: 400;">that can often be difficult to keep under control. And researchers are also beginning to study the possible cardioprotective benefits that</span> <a href="https://www.medpagetoday.com/resource-centers/focus-psoriasis/joel-m-gelfand-md-msce-cardioprotection-patients-psoriasis/2341" target="_blank" rel="noopener">TNF-alpha inhibitors</a> <span style="font-weight: 400;">might offer patients.</span></p>
<p></p>
<p><span style="font-weight: 400;">Biologics do not target the entire immune system as traditional therapies do. Instead, they work by targeting specific parts of a patient's immune system by blocking the action of a specific cell or they block a protein. </span></p>
<p></p>
<p><b>Biologics </b></p>
<p><span style="font-weight: 400;">There are now</span> <a href="https://www.medpagetoday.com/clinical-challenges/derm-psoriasis/75866" target="_blank" rel="noopener">10 FDA-approved biologic drugs</a><span style="font-weight: 400;"> that are available to dermatologists for treating psoriasis. Biologics are not a pill or cream a patient uses at home. Instead, they are administered through an injection or an IV infusion in a medical setting. </span></p>
<p></p>
<p><span style="font-weight: 400;">They are most often prescribed for those individuals suffering from moderate-to-severe psoriasis that does not respond to more traditional therapies. To determine the best course of treatment using biologics, dermatologists need to consider three main aspects of the disease:</span></p>
<p></p>
<ul>
<li style="font-weight: 400;"><span style="font-weight: 400;">The type(s) of psoriasis involved</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">The affected areas of the body</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Comorbidities that are impacting the disease</span></li>
</ul>
<p></p>
<p><span style="font-weight: 400;">Once these factors are assessed, an entire picture of a patient's disease emerges, making it easier to determine how to treat it effectively with the</span> <a href="https://www.psoriasis.org/about-psoriasis/treatments/biologics" target="_blank" rel="noopener">different biologics</a> <span style="font-weight: 400;">available. </span></p>
<p></p>
<p><span style="font-weight: 400;">Sometimes a patient's symptoms will respond well to just one biologic drug. However, for difficult cases, a combination of several drugs used over a specific timeframe yields better results. </span></p>
<p></p>
<p><span style="font-weight: 400;">While biologics continue to show promise as an ongoing form of treatment, there is still more research required. Currently, there are no identifying biomarkers that can help dermatologists know which biologic treatment is best-suited for an individual patient's symptoms.</span></p>
<p></p>
<p><span style="font-weight: 400;">Another factor to consider is the patient's</span> <a href="https://www.medpagetoday.com/clinical-challenges/derm-psoriasis/75866" target="_blank" rel="noopener">health insurance</a><span style="font-weight: 400;">. Not all biologics are covered under every plan. The treating physician will need to be aware of what a patient's insurance will and will not cover. If the company will not agree to the physician's request for a biologic drug to be covered, the plan of treatment will need to be adjusted.</span></p>
<p></p>
<p><b>Comorbidities</b></p>
<p><span style="font-weight: 400;">Psoriasis accompanied by associated physical conditions which, in the past, were not always recognized as being related to the disease. </span></p>
<p></p>
<p><span style="font-weight: 400;">conditions such as psoriatic arthritis, depression, cardiovascular disease, and metabolic syndrome all fall into this category. The approach to treatment becomes a balancing act as each condition can not only be affected by psoriasis but also have an impact on the severity of the psoriatic symptoms.</span></p>
<p></p>
<p><span style="font-weight: 400;">Talking with patients to determine if any other medical conditions exist allows the dermatologist to more quickly see how they are impacting the patient's psoriasis symptoms. Understanding the bigger picture of a patient's medical history gives dermatologists a better perspective on determining which course of treatment to pursue to alleviate a patient's symptoms. </span></p>
<p></p>
<p><span style="font-weight: 400;">Learning the extent to which a patient suffers from additional comorbidities also allows the dermatologist to partner with any other physicians already involved in that patient's care. This type of partnership lets a dermatologist design a plan of treatment that works in conjunction with those prescribed by other physicians rather than one that conflicts and ends up creating more stress for the patient.</span></p>
<p></p>
<p><b>Conclusion</b><b><br/></b><span style="font-weight: 400;">Psoriasis is certainly a challenging condition to treat. Severe-to-moderate cases often do not respond to traditional treatments like creams and light therapy, leaving patients and physicians feeling frustrated.</span> <span style="font-weight: 400;"><br/><br/></span></p>
<p><span style="font-weight: 400;">The development of biologics now offers exciting opportunities to not only control the disease, but keep it in remission longer. Combining biologics with the ongoing research of how comorbidities can impact disease symptoms is giving dermatologists a wider perspective of a patient’s psoriasis on multiple levels. And by partnering with other physicians and their knowledge of the patient’s comorbidities, dermatologists are able to treat patients with greater specificity.</span> <span style="font-weight: 400;"><br/><br/></span></p>
<p><span style="font-weight: 400;">As the positive research continues to create more information and new insights into how to deal with this frustrating disease, dermatologists are able to offer a better quality of life for millions of psoriasis sufferers.</span></p>Dr Kapil Dua does India proud, elected as Treasurer at ISHRS, USAtag:community.dermrounds.com,2019-11-22:1980062:BlogPost:634522019-11-22T10:22:14.000ZDr.Kapil Duahttps://community.dermrounds.com/profile/DrKapilDua
<p>Bangkok, Thailand: International Society for Hair Restoration Surgery, USA, elected Dr Kapil Dua has Treasurer for the new term. The announcement came at General Body Meeting of ISHRS’s World Congress being held at Bangkok, Thailand (13th to 17th November). Dr Kapil Dua, who earlier became the only doctor from India to be on the Board of Governors, was elected based on his contribution to the cause of making hair transplant more ethical & result oriented. The ISHRS is an international,…</p>
<p>Bangkok, Thailand: International Society for Hair Restoration Surgery, USA, elected Dr Kapil Dua has Treasurer for the new term. The announcement came at General Body Meeting of ISHRS’s World Congress being held at Bangkok, Thailand (13th to 17th November). Dr Kapil Dua, who earlier became the only doctor from India to be on the Board of Governors, was elected based on his contribution to the cause of making hair transplant more ethical & result oriented. The ISHRS is an international, non-profit medical society comprised of over 1,000 members representing 70 countries – dedicated to promulgating the highest standards of medical practice and medical ethics in the field of Hair Restoration especially Hair Transplant. Dr Kapil Dua on the occasion vowed that he would do his best to contribute to the field and especially to the ISHRS initiative – ‘Fight-the-Fight’, wherein the international society had declared war on unethical practices, unlicensed physicians and establish international standards in India as well.</p>Low-risk HPV Can Reduce the Risk of Developing Skin Cancertag:community.dermrounds.com,2019-11-14:1980062:BlogPost:631502019-11-14T22:53:38.000ZJulie Morsehttps://community.dermrounds.com/profile/JulieMorse820
<p><span style="font-weight: 400; font-size: 10pt;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3713354452?profile=original" rel="noopener" target="_blank"><img class="align-center" src="https://storage.ning.com/topology/rest/1.0/file/get/3713354452?profile=RESIZE_710x" width="400"></img></a> Scientists are drawing connections between the human papillomavirus (HPV) and cutaneous squamous carcinoma (SCC) and learning that certain strains of HPV could decrease a person’s risk of developing SCC.</span></p>
<p><span style="font-weight: 400; font-size: 10pt;"> …</span></p>
<p></p>
<p><span style="font-weight: 400; font-size: 10pt;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3713354452?profile=original" target="_blank" rel="noopener"><img src="https://storage.ning.com/topology/rest/1.0/file/get/3713354452?profile=RESIZE_710x" width="400" class="align-center"/></a>Scientists are drawing connections between the human papillomavirus (HPV) and cutaneous squamous carcinoma (SCC) and learning that certain strains of HPV could decrease a person’s risk of developing SCC.</span></p>
<p><span style="font-weight: 400; font-size: 10pt;"> </span></p>
<p><span style="font-size: 10pt;"><span style="font-weight: 400;">In a </span><a href="https://www.nature.com/articles/s41586-019-1719-9" target="_blank" rel="noopener">study</a> <span style="font-weight: 400;">recently published in</span> <i><span style="font-weight: 400;">Nature</span></i><span style="font-weight: 400;">, a group of researchers from Massachusetts General Hospital (MGH) led by Shawn Demehri, MD, PhD, found that common, low-risk strains of HPV that live on the skin could prevent SCC from attacking the body.</span></span></p>
<p><span style="font-weight: 400; font-size: 10pt;"> </span></p>
<p><span style="font-weight: 400; font-size: 10pt;">There are over 100 known strains of HPV, and around 12 of those are associated with high risk cancers. MGH researchers studied the strains that are considered “hitchhikers” on the body and are less likely to cause serious diseases. The researchers experimented with mice to determine how HPV influences the probability of developing SCC. They infected mice with natural immunity against HPV with the virus, and found that with the transfer of T cells, they acquired immunity from skin carcinogenesis induced by chemicals or ultraviolet radiation. They also found that mice with an immune response to the HPV were shielded from skin cancer exposure. </span></p>
<p><span style="font-weight: 400; font-size: 10pt;"> </span></p>
<p><span style="font-size: 10pt;"><span style="font-weight: 400;">The researchers argue that it’s a suppressed immune system, not HPV, that puts patients at a 100-fold risk for developing skin cancer.</span> <span style="font-weight: 400;">"The role of these commensal viruses, in this case, papillomaviruses, is to induce immunity that then is protecting patients from skin cancers,” </span><a href="https://www.medicalnewstoday.com/articles/326967.php#3" target="_blank" rel="noopener">said</a> <span style="font-weight: 400;">Dr. Demehri. "This is the first evidence that commensal viruses could have beneficial health effects both in experimental models and also in humans."</span></span></p>Are Young People Successfully Avoiding Skin Cancer?tag:community.dermrounds.com,2019-11-14:1980062:BlogPost:629472019-11-14T22:36:56.000ZJulie Morsehttps://community.dermrounds.com/profile/JulieMorse820
<p><span style="font-size: 10pt;"><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3713345217?profile=original" rel="noopener" target="_blank"><img class="align-center" src="https://storage.ning.com/topology/rest/1.0/file/get/3713345217?profile=RESIZE_710x" width="400"></img></a> An eye-opening new </span><a href="https://jamanetwork.com/journals/jamadermatology/article-abstract/2754716" rel="noopener" target="_blank">study</a> <span style="font-weight: 400;">has found that although rates of melanoma are escalating, they have been rapidly decreasing among younger…</span></span></p>
<p><span style="font-size: 10pt;"><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3713345217?profile=original" target="_blank" rel="noopener"><img src="https://storage.ning.com/topology/rest/1.0/file/get/3713345217?profile=RESIZE_710x" width="400" class="align-center"/></a>An eye-opening new </span><a href="https://jamanetwork.com/journals/jamadermatology/article-abstract/2754716" target="_blank" rel="noopener">study</a> <span style="font-weight: 400;">has found that although rates of melanoma are escalating, they have been rapidly decreasing among younger populations, a sign that sun protection campaigns have had an effective impact.</span></span></p>
<p><span style="font-weight: 400; font-size: 10pt;"> </span></p>
<p><span style="font-weight: 400; font-size: 10pt;">Researchers from the University of Washington School of Medicine and the Fred Hutchinson Cancer Research Center in Seattle looked at 988,000 invasive melanoma cases collected by the Centers for Disease Control and Prevention and the National Cancer Institute between 2001 and 2015 to determine rates of melanoma diagnosis among various age groups. They found that, overall, cases of melanoma have shot up, from 50,272 in 2001 to 83,362 in 2015. Yet, these growing numbers were mainly attributed to adults over 40 years old. In adolescents and young adults, the rates climbed upwards until 2005 and then sharply declined through 2015. They found the incidence rate fell around 4 percent a year for males and 4.5 percent for females.</span></p>
<p><span style="font-weight: 400; font-size: 10pt;"> </span></p>
<p><span style="font-size: 10pt;"><span style="font-weight: 400;">The authors referred to Australia’s 1981 anti-skin cancer campaign “</span><a href="https://www.sunsmart.com.au/tools/videos/past-tv-campaigns/slip-slop-slap-original-sunsmart-campaign.html" target="_blank" rel="noopener">Slip! Slop! Slap</a><span style="font-weight: 400;">” that promoted a sunscreen-positive culture and saw rates of skin cancer drop. "When I first heard these results, I actually had some tears in my eyes,” said co-senior author Jennifer Garner, MD. “It means that the prevention efforts that we all worked tirelessly to get the message out there for patients to do the work preventing skin cancer might actually be paying off.” </span></span></p>What’s the connection between Vitamin A and Skin Cancer?tag:community.dermrounds.com,2019-10-18:1980062:BlogPost:626862019-10-18T21:56:43.000ZJulie Morsehttps://community.dermrounds.com/profile/JulieMorse820
<p><span style="font-size: 10pt;"><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3668967395?profile=original" rel="noopener" target="_blank"><img class="align-center" src="https://storage.ning.com/topology/rest/1.0/file/get/3668967395?profile=RESIZE_710x" width="400"></img></a> High intake of vitamin A can reduce a person’s risk of developing cutaneous squamous cell carcinoma (SCC), according to a </span><a href="https://jamanetwork.com/journals/jamadermatology/fullarticle/2739070" rel="noopener" target="_blank">study</a> <span style="font-weight: 400;">published…</span></span></p>
<p><span style="font-size: 10pt;"><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3668967395?profile=original" target="_blank" rel="noopener"><img src="https://storage.ning.com/topology/rest/1.0/file/get/3668967395?profile=RESIZE_710x" width="400" class="align-center"/></a>High intake of vitamin A can reduce a person’s risk of developing cutaneous squamous cell carcinoma (SCC), according to a </span><a href="https://jamanetwork.com/journals/jamadermatology/fullarticle/2739070" target="_blank" rel="noopener">study</a> <span style="font-weight: 400;">published in</span> <i><span style="font-weight: 400;">JAMA Dermatology</span></i><span style="font-weight: 400;">.</span></span></p>
<p><span style="font-weight: 400; font-size: 10pt;"> </span></p>
<p><span style="font-size: 10pt;"><span style="font-weight: 400;">SCC is most common in people with lighter skin, and occurs in areas of the body that receive the most sun exposure. Precise diagnosis rates are unknown, since they’ve been omitted from national cancer registries, but researchers estimate that there are more than </span><a href="https://www.sciencedirect.com/science/article/abs/pii/S0190962212023298" target="_blank" rel="noopener">700,000</a> <span style="font-weight: 400;">new cases diagnosed every year in the United States.</span></span></p>
<p><span style="font-weight: 400; font-size: 10pt;"> </span></p>
<p><span style="font-weight: 400; font-size: 10pt;">Vitamin A deficiency can cause blindness, hair loss, and increased vulnerability to certain infections. The vitamin is easily accessible and can be sourced from both animal-based food and vegetables. Beef and lamb liver are considered to have high daily values of vitamin A as well as kale, spinach, and orange and yellow fruits. Topical retinoid and retinol creams are a bioactive form of vitamin A.</span></p>
<p><span style="font-weight: 400; font-size: 10pt;"> </span></p>
<p><span style="font-weight: 400; font-size: 10pt;">Researchers from the Warren Alpert Medical School of Brown University looked at wide-spectrum heath data from 123,570 male and female patients in two long-term studies. Follow-ups took place over the course of 26 years, of which researchers found 3,978 cases of SCC.</span></p>
<p><span style="font-weight: 400; font-size: 10pt;"> </span></p>
<p><span style="font-weight: 400; font-size: 10pt;">Their analysis showed that people who were in the highest one-fifth vitamin A intake category had a 17 percent reduced risk of developing SCC, compared with those in the lowest one-fifth. The study authors note that more research is required to better understand effective vitamin A intake levels for the best health results. Despite the importance of these findings, readers should note that one of the investigators, Abrar A. Qureshi, PhD, has worked as a consultant for various pharmaceutical companies such as AbbVie. This was the only reported conflict of interest.</span></p>Where Are We Headed with the “Clean” Beauty Product Trend?tag:community.dermrounds.com,2019-10-18:1980062:BlogPost:628832019-10-18T21:53:30.000ZJulie Morsehttps://community.dermrounds.com/profile/JulieMorse820
<p><span style="font-weight: 400; font-size: 10pt;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3668964363?profile=original" rel="noopener" target="_blank"><img class="align-center" src="https://storage.ning.com/topology/rest/1.0/file/get/3668964363?profile=RESIZE_710x" width="400"></img></a> Are chemicals bad for our skin?</span></p>
<p></p>
<p><span style="font-weight: 400; font-size: 10pt;">Many natural beauty companies, manufacturers that pride themselves on omitting parabens, allergens, and hard-to-pronounce ingredients, would give a resounding “yes” to that question. However, labels such as…</span></p>
<p><span style="font-weight: 400; font-size: 10pt;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3668964363?profile=original" target="_blank" rel="noopener"><img src="https://storage.ning.com/topology/rest/1.0/file/get/3668964363?profile=RESIZE_710x" width="400" class="align-center"/></a>Are chemicals bad for our skin?</span></p>
<p></p>
<p><span style="font-weight: 400; font-size: 10pt;">Many natural beauty companies, manufacturers that pride themselves on omitting parabens, allergens, and hard-to-pronounce ingredients, would give a resounding “yes” to that question. However, labels such as “clean,” “natural,” and “non-toxic” can be misleading, as the Federal Trade Commission (FTC) and the Food and Drug Administration (FDA) have permitted loose regulations for this terminology.</span></p>
<p><span style="font-weight: 400; font-size: 10pt;"> </span></p>
<p><span style="font-weight: 400; font-size: 10pt;">The FDA has little influence over the beauty industry, and its only regulatory power is approving color additives in cosmetics before they’re allowed to be sold on shelves. So, competition between “clean” brands and “non-clean” brands has gotten messy. The clean beauty trend is pushing long-standing “big beauty” brands to reformulate products so that they mimic what smaller-batch, natural-based companies are pushing out.</span></p>
<p><span style="font-weight: 400; font-size: 10pt;"> </span></p>
<p><span style="font-size: 10pt;"><a href="https://www.vox.com/the-goods/2018/9/18/17866150/natural-clean-beauty-products-feinstein-cosmetics-bill-fda" target="_blank" rel="noopener">According to Vox</a><span style="font-weight: 400;">, beauty industry advocates have been trying to lobby for more funding for the FDA to enact more oversight on product ingredients. Currently, there are a handful of pending bills that would promote stronger regulation. At the end of 2017, Senator Orrin Hatch (R-UT) submitted the </span><a href="https://www.congress.gov/bill/115th-congress/senate-bill/2003" target="_blank" rel="noopener">FDA Cosmetic Safety and Modernization Act</a><span style="font-weight: 400;">, which would require cosmetic manufacturers and distributors to report “serious health side effects” to the FDA. Another similar but more publicized bill is the Personal Care Products Safety Act, which was introduced by Senator Dianne Feinstein (D-CA) and co-sponsored by Senator Susan Collins (R-ME). The bill would allow the FDA to make the same recalls and inspections on beauty products as they do on drugs and medical devices. It would also require the FDA to assess the safety levels of at least five ingredients every ear. To fund the program, companies would be charged a fee.</span></span></p>How to Remove Skin Tagstag:community.dermrounds.com,2019-10-10:1980062:BlogPost:627712019-10-10T23:11:23.000ZMitchel Goldmanhttps://community.dermrounds.com/profile/MitchelGoldman
<p><span>A skin tag is a small, soft, flesh-colored growth that hangs off of the skin by a connecting stalk. This acquired benign skin growth typically appears as people age. Men and women are equally prone to developing skin tags. </span></p>
<p><span>Also known as “cutaneous tags” or “acrochordons,” skin tags are not typically painful, just visual flaws on the skin. However, in certain situations, these skin growths may be more serious and you may need the help of a dermatologist in San…</span></p>
<p><span>A skin tag is a small, soft, flesh-colored growth that hangs off of the skin by a connecting stalk. This acquired benign skin growth typically appears as people age. Men and women are equally prone to developing skin tags. </span></p>
<p><span>Also known as “cutaneous tags” or “acrochordons,” skin tags are not typically painful, just visual flaws on the skin. However, in certain situations, these skin growths may be more serious and you may need the help of a dermatologist in San Diego.</span></p>
<h2><b>Where Skin Tags Occur</b></h2>
<p><span>Skin tags can develop anywhere on the body, but especially on sites where there are skin creases or folds, or where clothing rubs against the skin. Skin tags typically occur in these locations:</span></p>
<ul>
<li><span>Underarms</span></li>
<li><span>Base of the neck</span></li>
<li><span>Under the breasts</span></li>
<li><span>Upper Chest</span></li>
<li><span>Eyelids</span></li>
<li><span>Groin folds</span></li>
<li><span>Buttock folds</span></li>
</ul>
<h3><b>Causes</b></h3>
<p><span>While the exact causes are unknown, skin tags have a </span><a href="https://www.health.harvard.edu/a_to_z/skin-tags-acrochordon-a-to-z" target="_blank" rel="noopener noreferrer"><span>genetic predisposition and often develop after pregnancy or weight gain</span></a><span>.</span></p>
<h2><b>Choosing to Remove a Skin Tag</b></h2>
<p><span><img class="wp-image-11672 size-medium alignright colorbox-11665" src="https://clderm.com/wp-content/uploads/2019/08/Cosmetic-Laser-Dermatology-San-Diego-CA-Model-333x500.jpg" alt="a woman outside posing in san diego california" width="333" height="500"/>https://clderm.com/wp-content/uploads/2019/08/Cosmetic-Laser-Dermatology-San-Diego-CA-Model.jpg 683w" sizes="(max-width: 333px) 100vw, 333px" />Skin tags are very small and are usually measured in millimeters (typically smaller than 2 mm in size) growing up to half an inch in length. Since they are harmless (they cause no medical complications) and are usually just visually unappealing, skin tag removal is normally done just for aesthetic reasons. For instance, a skin tag on the eyelid can be quite noticeable and may distract from your appearance. However, if the skin tags are located in areas with a lot of friction, are in places where they can get stuck in zippers or clothing, and cause pain, irritation or bleeding, you should opt to have them removed.</span></p>
<h2><b>Skin Tag Treatments</b></h2>
<p><span>Skin tag removal should not be done at home. Most people would attempt to get rid of them in their own bathrooms using DIY treatments they’ve found circulating on the Internet, but you should always go to a cosmetic dermatologist for safe removal. At-home remedies such as apple cider application or even OTC medications could have consequences. Without fully understanding what you’re dealing with, you can burn your skin or permanently leave marks.</span></p>
<p><span><a href="https://clderm.com/the-importance-of-going-to-a-dermatologist-for-your-cosmetic-treatments/">One important reason to seek medical help is that dermatologists will have sterile instruments.</a> Relying on your tools at home could lead to an infection. Since skin tags have blood vessels in them, they can bleed more than you might expect. Cutting them yourself without any form of anesthetic can be painful. In a hospital setting, local anesthesia and supplies to control bleeding are available. </span></p>
<p><span>Another reason to visit an expert is to rule out other skin or health conditions</span><span>. I recommend </span><span>getting an accurate diagnosis. As I said in an interview with Elle magazine, </span><a href="https://www.elle.com/beauty/makeup-skin-care/a27150196/skin-tag-removal-how-to/" target="_blank" rel="noopener noreferrer"><span>“The most important [thing] is to know when the growth is a skin tag and not something else.”</span></a><span> </span></p>
<p><span>While most skin tags are benign, you really won’t know for sure until you’ve had them checked out. Having your skin tag examined is a good excuse to have your doctor <a href="https://clderm.com/the-abcdes-of-skin-cancer-recognition/">evaluate the rest of your body for any malignant growths</a>. Dermatologists can not only remove your skin tags, but they can also have them studied under a microscope — something you cannot do when attempting unsafe at-home remedies. Larger skin tags are sent to the pathology lab to be checked for <a href="https://clderm.com/the-abcdes-of-skin-cancer-recognition/">melanoma</a>. The chance of malignancy, however, is extremely rare.</span></p>
<p><span>Skin tag removal options include:</span></p>
<ul>
<li><span>Cauterization – the excess skin is burned off or destroyed using heat.</span></li>
<li><span>Cryosurgery – the skin tag is sprayed with liquid nitrogen, which freezes the skin to burn off the skin growth.</span></li>
<li><span>Excision – a scalpel is used to cut off the skin tag.</span></li>
<li><span>Ligation/Strangulating – a string is tied around the growth to cut off the blood supply.</span></li>
</ul>
<p><span>For your comfort, anesthesia, such as lidocaine, will be used during removal. </span></p>
<h3><b>Skin Tag Outlook</b></h3>
<p><span>The prognosis for those who develop skin tags is excellent. Skin tags are </span><a href="https://health.clevelandclinic.org/skin-tags-and-cysts-when-you-should-worry/" target="_blank" rel="noopener noreferrer"><span>not a health issue</span></a><span> – </span><span>they are not cancerous and cannot turn into <a href="https://clderm.com/procedure/skin-cancer/">skin cancers</a>. They can be removed easily and quickly, plus multiple skin tags can be treated in just a single appointment. There is also no downtime. Skin tag treatments will only leave a scab that should heal within a week or two (there should not be any scarring). Although the removed skin tag cannot grow back, new skin growths may still form. </span></p>
<p><span>Approximately </span><a href="https://health.ucsd.edu/news/features/Pages/2017-06-30-corner-clinic-tick-bites-colic-skin-tags.aspx#3" target="_blank" rel="noopener noreferrer"><span>50 percent of adults, and almost 60 percent of 70-year-olds</span></a><span> have skin tags. While it is perfectly fine to ignore skin tags if they don’t bother you, keep in mind that as with any skin irregularities, especially if there is a noticeable change in the appearance or growth of a skin tag,</span><span> </span><span>it is a good idea to have your doctor make an accurate diagnosis. </span></p>
<p></p>
<p><span>To learn more about skin tags or if you'd like to get them treated, feel free to contact Cosmetic Laser Dermatology.</span></p>
<p></p>
<p><span>Cosmetic Laser Dermatology</span></p>
<br />
<p><span>9339 Genesee Ave Ste 300</span></p>
<p><span>San Diego, CA 92121</span></p>
<p><span><a href="https://clderm.com/">https://clderm.com/</a></span></p>Long-Term Opioid Use is 53 Percent More Common Among Patients with Hidradenitis Suppurativatag:community.dermrounds.com,2019-09-21:1980062:BlogPost:627612019-09-21T00:46:03.000ZJulie Morsehttps://community.dermrounds.com/profile/JulieMorse820
<p><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3583438787?profile=original" rel="noopener" target="_blank"><img class="align-center" src="https://storage.ning.com/topology/rest/1.0/file/get/3583438787?profile=RESIZE_710x" width="400"></img></a> Patients with</span> <span style="font-weight: 400;">hidradenitis suppurativa</span> <span style="font-weight: 400;">are significantly more susceptible to long-term opioid use than those without the skin condition, according to …</span></p>
<p><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3583438787?profile=original" target="_blank" rel="noopener"><img src="https://storage.ning.com/topology/rest/1.0/file/get/3583438787?profile=RESIZE_710x" width="400" class="align-center"/></a>Patients with</span> <span style="font-weight: 400;">hidradenitis suppurativa</span> <span style="font-weight: 400;">are significantly more susceptible to long-term opioid use than those without the skin condition, according to </span><a href="https://jamanetwork.com/journals/jamadermatology/article-abstract/2749768" target="_blank" rel="noopener">research</a> <span style="font-weight: 400;">recently published in</span> <i><span style="font-weight: 400;">JAMA Dermatology</span></i><span style="font-weight: 400;">.</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">Hidradenitis suppurativa causes small lumps to form under the skin, and its appearance can have a negative impact on the patient’s quality of life. The condition occurs more often in women than in men, and is considered to be connected to hormone and immune system problems.</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">Sarah Reddy from the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell in New York and her colleagues used electronic health record data to identify 22,277 patients with hidradenitis suppurativa and 828,832 controls. Among the 22,277 patients, approximately 76 percent were women and 59 percent were white, with the average age being 40.</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">The researchers found that the long-term opioid use among opioid-naive patients was more than twice as common among</span> <span style="font-weight: 400;">hidradenitis suppurativa patients (0.33 percent) than among control patients (0.14 percent). Ultimately, patients with the condition were at a 53 percent greater risk of using opioids in the long-term. </span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">The researchers recommend that physicians will take careful consideration when prescribing pain management plans. “</span><span style="font-weight: 400;">These results suggest that periodic assessment of pain and screening for long-term opioid use may be warranted, particularly among patients who are older, who smoke tobacco, or who have depression and other medical comorbidities,” </span><a href="https://jamanetwork.com/journals/jamadermatology/article-abstract/2749768" target="_blank" rel="noopener">write</a> <span style="font-weight: 400;">the researchers.</span></p>Skin Cancer Treatments and Cosmetic Injections Were The Most Popular Dermatologic Procedures of 2018tag:community.dermrounds.com,2019-09-21:1980062:BlogPost:627592019-09-21T00:34:13.000ZJulie Morsehttps://community.dermrounds.com/profile/JulieMorse820
<p><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3583401111?profile=original" rel="noopener" target="_blank"><img class="align-center" src="https://storage.ning.com/topology/rest/1.0/file/get/3583401111?profile=RESIZE_710x" width="400"></img></a> More and more people are investing in their skin health. In 2018, there were 12.5 million dermatologic procedures performed — a 60 percent increase from 2012, with skin cancer treatments being the most popular, according to a …</span></p>
<p><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3583401111?profile=original" target="_blank" rel="noopener"><img src="https://storage.ning.com/topology/rest/1.0/file/get/3583401111?profile=RESIZE_710x" width="400" class="align-center"/></a>More and more people are investing in their skin health. In 2018, there were 12.5 million dermatologic procedures performed — a 60 percent increase from 2012, with skin cancer treatments being the most popular, according to a </span><a href="https://www.asds.net/medical-professionals/practice-resources/asds-survey-on-dermatologic-procedures" target="_blank" rel="noopener">survey</a> <span style="font-weight: 400;">recently published by the American Society for Dermatologic Surgery (ASDS).</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">Out of the 3,853 of the dermatologist who were sent the annual ASDS survey on dermatologic procedures, only around 600 dermatologists completed it. The biggest finding was the massive increase in skin cancer treatments, over 3.5 million performed — a 33 percent increase from 2012. According to study data, rates of melanoma have increased by 56 percent in the last seven years, and in conjunction, there has been an uptick in awareness of skin health.</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">Not surprising, cosmetic injections were enormously popular in 2018. There was a combined total of 3.7 million injections — both soft-tissue fillers and neuromodulators — performed. Juvéderm and Restylane </span><a href="https://www.allure.com/story/asds-survey-results-skin-cancer-botox-fillers-body-contouring" target="_blank" rel="noopener">continued</a> <span style="font-weight: 400;">to be the most common treatments. Chemical peels were highly sought after, and nearly 500,000 were performed.</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">Body contouring also topped the list of most popular treatments. In the last several years, body contouring has become more accessible, and patients don’t need extensive bedrest after getting procedures done. There was a total of 623,000 procedures recorded, compared with 145,495 conducted in 2012; the most common being cryolipolysis or “fat freezing” with 287,000 performed.</span></p>Starting a New Dermatology Practicetag:community.dermrounds.com,2019-09-03:1980062:BlogPost:628532019-09-03T23:08:54.000ZRobin Mileshttps://community.dermrounds.com/profile/RobinMiles
<p style="text-align: right;"><em><a href="https://storage.ning.com/topology/rest/1.0/file/get/3517792965?profile=original" rel="noopener" target="_blank"><img class="align-center" src="https://storage.ning.com/topology/rest/1.0/file/get/3517792965?profile=RESIZE_710x" width="400"></img></a> “It was reclaiming the reasons I went into medicine, specifically dermatology,and making sure the quality of personalized care matched my expectations”</em> <br></br>~ Dr. Alyssa Dean, MD, FAAD, Dermatologist and Founder of <a href="https://www.remedyskinandhair.com/" rel="noopener" target="_blank">Remedy Skin, Hair and…</a></p>
<p style="text-align: right;"><em><a href="https://storage.ning.com/topology/rest/1.0/file/get/3517792965?profile=original" target="_blank" rel="noopener"><img src="https://storage.ning.com/topology/rest/1.0/file/get/3517792965?profile=RESIZE_710x" width="400" class="align-center"/></a>“It was reclaiming the reasons I went into medicine, specifically dermatology,and making sure the quality of personalized care matched my expectations”</em> <br/>~ Dr. Alyssa Dean, MD, FAAD, Dermatologist and Founder of <a href="https://www.remedyskinandhair.com/" target="_blank" rel="noopener">Remedy Skin, Hair and Wellness</a></p>
<p><br/>Starting a new dermatology practice is both exciting and challenging and with the right planning, it can be a highly profitable business for years to come.</p>
<p></p>
<p>For some, it’s about leaving the traditional model of medicine and pursuing a more personalized approach to dermatology. For others, it’s about wanting to focus on an evolving specialty and growing a career that supports that particular goal.</p>
<p></p>
<p>And whether you're looking to fly solo or partner with other physicians, there are certain criteria to put in place so your dermatology practice is on track for revenue growth from Day One.</p>
<p></p>
<p>You'll need to consider a broad spectrum of startup items from overhead costs, revenue generation and hiring, to workflow solutions and legal compliance.</p>
<p></p>
<p>However, the process doesn't have to be overwhelming. Stay organized and on track by using our list of the most important items to put in place when you’re preparing to start a new dermatology practice.</p>
<p></p>
<p><strong>1. Laying the Legal Foundation</strong></p>
<p>Set up a rock-solid foundation for your new business by covering all the legal bases first.</p>
<p></p>
<p>Check with your state, county, and city governments to make sure you have the correct licensing, certifications, and insurance coverage to legally operate a dermatology practice in your area. <br/>You will also need to choose provider networks to participate in. Be sure to contact them to get the credentials they require you to have.</p>
<p></p>
<p>Obtain a tax ID number, open a business bank account, and get your financial documentation in order. If your startup budget is too lean to hire an accountant, learn the tax codes in your state, county, and city and keep up-to-date accounting records.</p>
<p><br/>Getting all of the required documentation put in place might not be the most exciting part of starting a new dermatology practice, but taking the time to get all of the legal items crossed off your list first will set your practice up for ongoing success.</p>
<p></p>
<p><strong>2. Determine the Cost</strong></p>
<p>A startup dermatology practice requires money to run. It doesn’t matter if you are using personal savings or a business loan, you want to create a budget and be sure it aligns with the growth goals outlined in your business plan.</p>
<p></p>
<p>Factor in all of the major costs for items like office space, furnishings, equipment, staffing, insurance, and marketing. Determine how you're going to handle the billing and collection process for your services. Will it be more affordable to outsource some tasks or handle them in-house?</p>
<p></p>
<p>Most importantly, don't forget to calculate how much money you will need for your living expenses while you get the business up and running. It can take at least several months for a new dermatology practice to be truly profitable. Be sure to build a financial cushion for yourself into the budget.</p>
<p></p>
<p><strong>3. Office Space and Equipment</strong></p>
<p>When considering where to locate your dermatology practice and the amount of space required for growth, you want to figure out how much of your budget you can safely allocate to filling that office space. Luckily, there are ways to keep these costs manageable.</p>
<p></p>
<p>As with any new practice, your patient roster will be small at first, so don't furnish every examination room or hire a full staff. Wait until your patient roster has grown and you have the income to meet the demand for increased services.</p>
<p></p>
<p>Another good way of keeping expenses down is to consider leasing medical equipment instead of buying it. Initially, choose devices that are used for the most commonly treated skin ailments. Why? Because during the startup period, you'll be getting to know your patient population and the types of skin conditions that are most prevalent in the area you will be servicing. You don't want to spend money up front on expensive lasers and light boxes only to discover the need for them doesn't justify their cost.</p>
<p></p>
<p>Growth is easier when you make smart decisions about where to spend your money while building a new practice. Learning what services your new patients consistently ask for will help you make smarter purchasing/leasing decisions in the beginning and give you some financial breathing room.</p>
<p></p>
<p><strong>4. Office Software</strong></p>
<p>The EHR (Electronic Health Records) software you choose needs to be efficient, user-friendly, and compliant because everyone in your dermatology practice will be interacting with it.</p>
<p></p>
<p>For example, you'll use it to make notes and diagrams during patient visits. Your staff will use it for record-keeping, appointment setting, and billing. And your patients will be connecting to it for appointment reminders and information.</p>
<p></p>
<p>When choosing an office software system, consider one that will not only adapt to your office workflow, but will offer ease of use for patients who might not be as technically savvy as you and your staff. The best EHR software will actually increase business growth by creating a positive patient experience for everyone involved.</p>
<p></p>
<p><strong>5. Hiring</strong></p>
<p>Until your practice starts generating revenue, you want to hire the staff you need on day one, not the staff you envision 5 years down the road.</p>
<p></p>
<p>In the beginning, you might be seeing only a handful of patients a day so a fully staffed office doesn’t make sense. You’ll end up spending financial resources that in the startup phase of business are better spent on marketing your new practice to the surrounding community.</p>
<p></p>
<p>That being said, a key position to consider filling before you open your doors for business is that of the office manager. This will be your go-to person for keeping everything and everyone organized while you are getting your practice up and running.</p>
<p></p>
<p>As your dermatology practice gains new patients and revenue increases, hiring additional staff at all levels will increase your bottom line, not detract from it.</p>
<p></p>
<p><strong>Conclusion</strong></p>
<p>Starting a new dermatology practice is an exciting time. It gives you the opportunity to pursue specific career goals that working for someone else might not offer. The good news is that it doesn’t have to be overwhelming. Create a checklist and use it as a roadmap to help you stay organized and on track.</p>
<p></p>
<p>Cover all the legal bases for state, county, and city so that you are in complete compliance. Know your budget and stick to it. Spend only on the equipment and staff that the business requires to run efficiently on day one. And last but not least, make sure you can cover your personal expenses. You don’t want to spend time worrying about paying your rent.</p>
<p></p>
<p>With the right planning in place, a new dermatology practice can turn into a highly profitable business for years to come.</p>What Does the Rise of Private Equity-Backed Dermatology Clinics Mean for the Future of Dermatology?tag:community.dermrounds.com,2019-08-15:1980062:BlogPost:626432019-08-15T22:23:06.000ZJulie Morsehttps://community.dermrounds.com/profile/JulieMorse820
<p><span style="font-size: 10pt;"><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3428330342?profile=original" rel="noopener" target="_blank"><img class="align-center" src="https://storage.ning.com/topology/rest/1.0/file/get/3428330342?profile=RESIZE_710x" width="400"></img></a> Private equity (PE) firms are scooping up dermatology practices at alarming rates, raising concerns about their business strategies, according to a …</span></span></p>
<p><span style="font-size: 10pt;"><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3428330342?profile=original" target="_blank" rel="noopener"><img src="https://storage.ning.com/topology/rest/1.0/file/get/3428330342?profile=RESIZE_710x" width="400" class="align-center"/></a>Private equity (PE) firms are scooping up dermatology practices at alarming rates, raising concerns about their business strategies, according to a </span><a href="https://jamanetwork.com/journals/jamadermatology/fullarticle/2738309?guestAccessKey=1ec8eb93-e460-4c3c-b5c8-56e4bdd7c5e9&utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=072419" target="_blank" rel="noopener">study</a> <span style="font-weight: 400;">recently published in</span> <i><span style="font-weight: 400;">JAMA Dermatology.</span></i></span></p>
<p><span style="font-weight: 400; font-size: 10pt;"> </span></p>
<p><span style="font-weight: 400; font-size: 10pt;">Researchers from Harvard Medical School identified 381 dermatology clinics that had been acquired by PE firms. PE firms are limited partners, typically endowments, pension funds, and high–net worth people, who are interested in generating returns on their investments. More and more PE firms are seeking a stake in dermatology, and the number of PE-backed practices grew an average of 65 percent a year from 2012 to 2017, with a compound rate of 50.9 percent. </span></p>
<p><span style="font-weight: 400; font-size: 10pt;"> </span></p>
<p><span style="font-weight: 400; font-size: 10pt;">PE firms experience enormous financial benefit from investing in dermatology practices. They’re able to save on major costs by consolidating practices and implementing structures where multiple practices share operational systems, such as marketing, billing, inventory management, and information technology. These PE-backed clinics also have the ability to offer below-market prices on services and can arrange for better reimbursement contracts with payers.</span></p>
<p><span style="font-weight: 400; font-size: 10pt;"> </span></p>
<p><span style="font-weight: 400; font-size: 10pt;">PE-funded clinics are having a slow but drastic effect on dermatology practices across the country. Today, there are fewer dermatologists running their own clinic than a decade ago. Those solo practices are usually run by physicians, whereas PE-funded clinics have non-physician directors who are making serious administrative decisions. Dermatologists are worried that this shift in ownership takes away from their autonomy and creates conflicts of interest from profit-seeking backers, since PE firms are required to generate investor returns. PE-backed practices also employ higher numbers of physician assistants and nurse practitioners who haven’t undergone the same level of training as a board-certified dermatologist.</span></p>How Can We Combat Melasma’s Impact on Patients’ Mental Health?tag:community.dermrounds.com,2019-08-15:1980062:BlogPost:625472019-08-15T22:19:51.000ZJulie Morsehttps://community.dermrounds.com/profile/JulieMorse820
<p><span style="font-size: 10pt;"><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3428326300?profile=original" rel="noopener" target="_blank"><img class="align-center" src="https://storage.ning.com/topology/rest/1.0/file/get/3428326300?profile=RESIZE_710x" width="300"></img></a> Melasma takes a significant toll on a female’s self-esteem, according to a pilot </span><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5986109/" rel="noopener" target="_blank">study</a> <span style="font-weight: 400;">published in the</span> <i><span style="font-weight: 400;">International…</span></i></span></p>
<p><span style="font-size: 10pt;"><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3428326300?profile=original" target="_blank" rel="noopener"><img src="https://storage.ning.com/topology/rest/1.0/file/get/3428326300?profile=RESIZE_710x" width="300" class="align-center"/></a>Melasma takes a significant toll on a female’s self-esteem, according to a pilot </span><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5986109/" target="_blank" rel="noopener">study</a> <span style="font-weight: 400;">published in the</span> <i><span style="font-weight: 400;">International Journal of Women’s Dermatology</span></i><span style="font-weight: 400;">.</span></span></p>
<p><span style="font-weight: 400; font-size: 10pt;"> </span></p>
<p><span style="font-size: 10pt;"><span style="font-weight: 400;">Women are more likely to develop melasma than men. Gray or brown patches typically appear on the cheeks, nose, above the upper lip, and chin. The condition isn’t associated with any symptoms, and</span> <span style="font-weight: 400;">it’s most commonly found in women of color.</span> <span style="font-weight: 400;">People who’ve had a family with melasma are more likely to develop the patches. Sun exposure and hormonal changes can provoke melasma. Birth control pills and hormone replacement therapy can also trigger it, and people often experience reoccurring melasma when they don’t practice strict precautions when out in the sun.</span></span></p>
<p><span style="font-weight: 400; font-size: 10pt;"> </span></p>
<p><span style="font-size: 10pt;"><span style="font-weight: 400;">The researchers from the department of dermatology at the</span> <span style="font-weight: 400;">University of Texas Southwestern Medical Center in Dallas interviewed six female patients with moderate to severe melasma. The patients were being treated with oral tranexamic acid 325 mg twice daily and triple combination cream with 6% hydroquinone, 0.0125% tretinoin and 0.1% dexamethasone once a day. To understand how the condition impacted their mental health, the researchers asked the women the following questions:</span></span></p>
<p><span style="font-weight: 400; font-size: 10pt;"> </span></p>
<ul>
<li style="font-weight: 400;"><span style="font-weight: 400; font-size: 10pt;">“How noticeable do you think your melasma is to others?”</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400; font-size: 10pt;">“Does your melasma have an impact on your sense of self-worth/self-esteem?”</span></li>
<li style="font-weight: 400;"><span style="font-size: 10pt;"><span style="font-weight: 400;">“Has your self-esteem improved after being treated for your melasma?</span><span style="font-weight: 400;">”</span></span></li>
</ul>
<p><span style="font-weight: 400; font-size: 10pt;"> </span></p>
<p><span style="font-weight: 400; font-size: 10pt;">The patient responses indicate that melasma has had significant repercussions on their day-to-day lives. “[I] look in the mirror [at my melasma]… every morning, every night. There were years, during which almost every day I would complain about the melasma,” said one patient. Another explained the shame she carried because of the condition: “If someone came to the door, I [would] immediately look down, look away, or not make eye contact.” According to one patient, the patches can feel like an obstacle in social situations. “I always felt self-conscious about it; in that group of people, where everyone was so pretty and so well dressed, here I was with [dark stains] on my face,” she said.</span></p>
<p><span style="font-weight: 400; font-size: 10pt;"> </span></p>
<p><span style="font-weight: 400; font-size: 10pt;">Most of the patients noted that their quality of life had improved with their prescribed regimen. With their patches subsiding, many said they now felt more comfortable in social situations and had experienced a rise in their self-confidence. </span></p>
<p><span style="font-size: 10pt;"><b> </b></span></p>Leading Hair Transplant Surgeons in India Hosts ISHRStag:community.dermrounds.com,2019-08-02:1980062:BlogPost:623152019-08-02T06:00:00.000ZRavi Khttps://community.dermrounds.com/profile/MukulKumar
<p>The international society for hair restoration surgery (ISHRS) is a global non-profit medical association and the leading authority on hair loss treatment and restoration. Most of the reputed hair transplant surgeons have contributed towards the advancement and development of the hair transplant faculty by giving the vital presence to the ISHRS. The hair transplant surgeon who holds the active membership from the ISHRS and their practical works that enriched the restoration faculty always…</p>
<p>The international society for hair restoration surgery (ISHRS) is a global non-profit medical association and the leading authority on hair loss treatment and restoration. Most of the reputed hair transplant surgeons have contributed towards the advancement and development of the hair transplant faculty by giving the vital presence to the ISHRS. The hair transplant surgeon who holds the active membership from the ISHRS and their practical works that enriched the restoration faculty always counted as positive feedback and must be considered first while choosing the best hair transplant surgeon.</p>
<p>With more than 1,100 members throughout the world, ISHRS is fully focussed to achieve excellence in a patient’s outcome by promoting the highest standard in the hair transplant surgery. It is the fact that the reputed surgeons must have contributions towards the leading restoration societies in order to satisfy patients by providing a number of lectures, seminars, hands-on practices and live demonstrations.</p>
<p>The active involvement of the <strong><a href="https://www.medispaindia.in/dr-suneet-soni-best-hair-transplant-surgeon-india/" target="_blank" rel="noopener">best hair transplant surgeons in India</a></strong> has a reputed position in the hair restoration faculty by serving the leading hair restoration societies with a number of positive and successful hair transplant surgeries.</p>
<p>The ISHRS holds a number one position in serving the restoration faculty by popularizing the advanced methods of hair restoration as well as introducing the modern practices of the procedure by introducing modern tools and technology.</p>
<p><strong>Through this write-up we will discuss the significance of being an active Member of the ISHRS as follows:</strong></p>
<ol>
<li><strong>The Recognition & reputation:</strong> The hair transplant surgeon having the ISHRS membership is recognized as a reputed surgeon and earned a global reputation towards meeting the goal of the hair transplant surgeries. The recognition comes through the advanced practices and modern development in the hair transplant fraternity. There are a number of recognized surgeons in India having credit for introducing the modern development and practices for the redefined hair transplant surgeries, included with the bio-effective hair transplants.</li>
<li><strong>The Credit for offering the Successful Outcomes:</strong> The ISHRS recognized surgeons are introducing the advanced development and innovation in the hair transplant surgeries and offered a number of successful hair transplant surgery’s results. The pioneer Indian surgeons have a credit of offering thousands and thousands of hair transplant surgeries and satisfied patients across the globe. The credit is mostly rated on the basis of the recognition, reputation as well as the contribution that a hair transplant surgeon dedicated to the development and the advancement of the field.</li>
<li><strong>Helps in Making the Right Decision:</strong> It is important to choose the right hair transplant surgeon to perform the hair transplant surgery as it is more than a surgical task and requires an extreme artistic precision. Even a simple surgical procedure, requires expert surgeon or physician to do the practice in order to avoid the chances of side effects or discomfort. The hair transplant surgeons are required to possess the outstanding sense of aesthetic practices as well as the surgical precision to meet the desired cosmetic goal of the procedure. However, the leading hair restoration societies like ISHRS have a great role in searching the best surgeon or doctor to get the surgery done.</li>
<li><strong>One can ensure about the Aesthetic outcomes:</strong> The ISHRS continuously helping the prospective hair transplant patients to choose the best hair transplant surgeon and one can sure about the selection as it’s all authentic and genuine to believe on the ISHRS. To get a membership and recognition from the ISHRS is not an easy task as it takes a lot of effort, dedication, contribution as well as the lived practices with the best results. Only an expert surgeon gets the chance for the live demonstration sessions in the ISHRS towards building the innovative development, ideas and advancement of the hair restoration faculty. <strong><br/></strong></li>
</ol>
<p><strong>Conclusion:</strong></p>
<p>On the whole, we can say that the procedure of hair transplant requires the extreme artistic precision as well as the outstanding surgical understanding and to fulfil the desired restoration goal of the surgery, the surgeon must have expertise in the field by providing a number of positive and successful outcomes.</p>Electronic Health Records - Improving the Quality of Care in Dermatologytag:community.dermrounds.com,2019-07-31:1980062:BlogPost:623052019-07-31T21:09:39.000ZRobin Mileshttps://community.dermrounds.com/profile/RobinMiles
<p><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3398975258?profile=original" rel="noopener" target="_blank"><img class="align-center" src="https://storage.ning.com/topology/rest/1.0/file/get/3398975258?profile=RESIZE_710x" width="400"></img></a> For patients, a visit to the dermatologist conjures up visions of long wait times and multiple forms to fill out. For staff, it means chasing paperwork, patients, and one another all day long. And for the physician, it's a constant race to keep up while running behind. </span></p>
<p><span style="font-weight: 400;">Is there a…</span></p>
<p><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3398975258?profile=original" target="_blank" rel="noopener"><img src="https://storage.ning.com/topology/rest/1.0/file/get/3398975258?profile=RESIZE_710x" width="400" class="align-center"/></a>For patients, a visit to the dermatologist conjures up visions of long wait times and multiple forms to fill out. For staff, it means chasing paperwork, patients, and one another all day long. And for the physician, it's a constant race to keep up while running behind. </span></p>
<p><span style="font-weight: 400;">Is there a solution that can create a positive patient visit for everyone involved? Absolutely. It's called an electronic health record (EHR).</span></p>
<p><span style="font-weight: 400;">By integrating the right EHR system into a busy dermatology practice, a physician can streamline the entire patient process from check-in to follow-up visits. It can improve every aspect of the workflow for staff, and increase the quality of each patient interaction. Ultimately, using an EHR system boosts the overall health of a dermatology practice for everyone involved - personally, professionally, and financially.<br/><br/></span></p>
<p><b>What is an Electronic Health Record (EHR)?</b></p>
<p><span style="font-weight: 400;">An electronic health care record is the digital version of a patient's paper medical files. It contains their entire medical history including everything from diagnoses and treatments to lab results and billing. Its secure digital format allows it to be shared with other healthcare providers and organizations, creating a more streamlined and efficient workflow in the diagnosis and treatment of patients.<br/><br/></span></p>
<p><b>The Benefits of using a Dermatologist Centric EHR system</b></p>
<p><span style="font-weight: 400;">The benefits of incorporating a dermatologist-centric EHR into a dermatology practice are numerous and may include:</span></p>
<ol>
<li style="font-weight: 400;"><span style="font-weight: 400;">Team-based functionality that allows pre-visit planning between the physician and staff. Every member of the staff can work simultaneously inside the patient’s medical file before, during, and after an appointment. This means less wait time for patients after check-in, and greater efficiency for the dermatologist and staff during the patient visit.</span><span style="font-weight: 400;"><br/> <br/></span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">The ability to upload and attach photos to a patient’s record and use 3D anatomical mapping to denote areas of concern on the patient’s body. 3D anatomical mapping is faster to use during the physical exam than drawing on paper diagrams. And being able to attach photos to a patient chart is important for quality and safety processes.</span><span style="font-weight: 400;"><br/> <br/></span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">More accurate medical coding provided by using ICD-10 codes that the software can autosuggest. This lets the dermatologist or staff member assign the correct codes to the billing process immediately instead of spending time researching the right ones.<a href="https://storage.ning.com/topology/rest/1.0/file/get/3398981446?profile=original" target="_blank" rel="noopener"><img src="https://storage.ning.com/topology/rest/1.0/file/get/3398981446?profile=RESIZE_710x" width="140" class="align-right" height="103"/></a></span><span style="font-weight: 400;"><br/> <br/></span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Mobile accessible software used via iPad or smartphone which lets a physician or medical assistant edit a patient's medical records from their office or on the go. Many practices utilize an iPad for documentation during a patient appointment. <br/><br/></span></li>
</ol>
<p><span style="font-weight: 400;">Features like these create the added benefits of faster and more detailed access to patient medical history, in-office dermatology-specific workflow efficiency, and increased patient engagement in the total care process. This team-based approach to care cuts down on wait times for patients, increases communication among office staff before, during, and after patient visits and allows the patient and physician more focused time together.<br/><br/></span></p>
<p><b>Key features of a good EHR for a dermatology practice</b></p>
<p><span style="font-weight: 400;">When considering an EHR for a dermatology practice there are several key features to keep top of mind. </span></p>
<ol>
<li style="font-weight: 400;"><span style="font-weight: 400;">A dermatologic examination usually covers multiple lesions on different body parts. A good EHR should have the added functionality of a clinic note template and 3D anatomical maps of the body. This allows the clinician to quickly and easily identify these areas during the physical exam and creates accurate E/M services coding.</span><span style="font-weight: 400;"><br/> <br/></span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">A good EHR should integrate and automate billing and scheduling. This gives the clinician the ability to complete the visit quickly by having access to all of the billing and demographic information during the patient’s visit.</span><span style="font-weight: 400;"><br/> <br/></span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Dermatology is a visual specialty and an EHR should offer the clinician the ability to integrate photos quickly into a patient’s chart.<br/><br/></span></li>
</ol>
<p><b>Choosing the right EHR system for your dermatology practice</b></p>
<p><span style="font-weight: 400;">There are numerous EHR vendors offering electronic health records systems for any physician but also specifically to dermatologists. But choosing the right “dermatology” EHR software doesn’t have to feel overwhelming. </span></p>
<p><span style="font-weight: 400;">Start by outlining the requirements and functionalities of your practice. Who will be using the software? What tasks will they need to be able to accomplish while using it? What additional features would be a great addition to your practice? </span></p>
<p><span style="font-weight: 400;">Would a patient portal give your patients a better experience? Would the ability to send prescriptions to a pharmacy with a few taps on a screen or communicate with a network of laboratories would be useful to your staff? Make a list and apply it to the EHRs you review.</span></p>
<p><span style="font-weight: 400;">It’s also important to consider the type of platform that will host your system. EHRs are stored on either a cloud-based platform operated by a separate company or the files are locally-hosted on servers at your location. <br/><br/></span></p>
<p><b>What’s the difference?</b></p>
<p><span style="font-weight: 400;">A cloud-based EHR system requires less upfront investment in hardware and software. There is also less cost associated with ongoing maintenance and management, which might be the right choice for practices that do not have a lot of staff. The downside to cloud-based hosting is that the organization in charge of the platform has greater control over it and the data stored on it than you do. And even though the organization has control over the software, both you and the organization share responsibility for the security of the data.</span></p>
<p><span style="font-weight: 400;">A locally-hosted EHR system is set up on server computers at your location. A high-speed internet connection is required. You control the servers and are responsible for their maintenance, keeping the data secure, and backing up the data regularly. It requires more time and investment on the part of you and your staff, but you do not have to rely on an outside organization for security, performance, and maintenance.</span></p>
<p><span style="font-weight: 400;">When making the choice of how to host, store, and access EHRs it is best to choose the system that will integrate efficiently with the requirements of your current business setup.<br/><br/></span></p>
<p><b>Most commonly used EHR systems in Dermatology</b></p>
<p><span style="font-weight: 400;">The most commonly used EHR systems in dermatology are offered by NextTech, Modernizing Medicine, and EZDerm. NextTech and Modernizing Medicine provide EHRs as part of an integrated software suite of products designed for use in dermatology and additional specialties, such as Ophthalmology and Orthopedics. EZDerm is focused solely on dermatology and does not offer software products for other specialties.</span></p>
<p><span style="font-weight: 400;">Each company offers a lot of the same features that are important to a dermatology practice.</span></p>
<ul>
<li style="font-weight: 400;"><span style="font-weight: 400;">Cloud-based EHR software system (no requirement for on-premise servers)</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Autosuggest ICD-10 coding which reduces time spent searching for proper billing codes</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Mobile accessible EHR software for use on iPads and smartphones</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Online ePrescription management for providers and patients</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Patient portals for online appointment setting, check-in, and access to key medical information</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Patient notifications and reminders via email and text messaging</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Complete patient medical history available for dermatologist and staff</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Automated billing process </span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Ability to upload and attach images to patient medical records</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">3D anatomical mapping via touch screen to visually indicate areas of patient concern</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Customer support via online portals for dermatologist and staff</span></li>
</ul>
<p></p>
<p><span style="font-weight: 400;">While these companies do have many similarities when it comes to their EHRs for dermatology, some of them also offer software packages designed for additional specialties.<br/><br/></span></p>
<p><b>EZDerm</b></p>
<p><span style="font-weight: 400;">EZDerm offers an EHR software system created for use solely in dermatology. The program is mobile accessible and allows for image capture, sharing, and retrieval. Currently, it is used only on an iPad or other Mac-supported devices. </span></p>
<p><span style="font-weight: 400;">The EZDerm EHR has the following key features:</span></p>
<ul>
<li style="font-weight: 400;"><span style="font-weight: 400;">Simultaneous multi-user documentation</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Real-time documentation</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">3D anatomical mapping</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Patient notifications via email and Instant Messaging</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Automated coding and billing</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Client support via an online portal</span></li>
</ul>
<p><span style="font-weight: 400;">The EZDerm software provides several features for dermatology practices like 3D Body Maps that allow physicians and staff to visually document areas of concern on more than 3,000 anatomical areas during a patient visit. </span></p>
<p><span style="font-weight: 400;">There is also a progress note tool that lets users store their medical notes in a secure format. And the software allows doctors to track areas of patient concern with diagnostic imaging.</span></p>
<p><span style="font-weight: 400;">For patient engagement, the EHR software contains a pharmacy geolocation module that lets patients find pharmacies in a digital map. There is also an appointment reminder module which sends both email and SMS reminder notices to patients about their appointments and lets them reschedule as needed.</span></p>
<p><span style="font-weight: 400;">EZDerm has an entire suite of software products that are aimed at providing complete support to any dermatology practice. Their software is cloud-based and fully customizable so it can be adapted to the particular requirements of both physician and staff.</span></p>
<p><span style="font-weight: 400;">For pricing, you can request a quote on their</span> <a href="https://ezderm.com/" target="_blank" rel="noopener">website</a> <span style="font-weight: 400;">or call.</span></p>
<p></p>
<p><b>Modernizing Medicine</b></p>
<p><span style="font-weight: 400;">Modernizing Medicine offers a cloud-based EHR system that integrates with an entire healthcare IT suite of products for a variety of disciplines. Their system was actually designed by physicians for physicians so it has a more intuitive feel. And their mobile accessible EHR software is an iPad application that comes packed with a knowledge base of specialty-specific information created by practicing doctors. This physician-focused approach to their software allows Modernizing Medicine to offer a more robust array of solutions to practitioners. </span></p>
<p><span style="font-weight: 400;">Modernizing Medicine is loaded with features:</span></p>
<ul>
<li style="font-weight: 400;"><span style="font-weight: 400;">Inventory Management</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Detailed administrative, financial, and provider analytics</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Ability to upload and attach images to patient files</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Online patient portal and patient notifications</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Revenue cycle management</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Automated Billing and ICD-10 coding</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">MIPS intelligence platform</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Support via phone and online client portal</span></li>
</ul>
<p><span style="font-weight: 400;">Another feature of their EHR system is its built-in adaptive learning. This lets it memorize the user's preferences for a more personalized workflow. And its tap and touch functionality make it easier for physicians to quickly select the most commonly used diagnoses and prescriptions during a patient visit.</span></p>
<p><span style="font-weight: 400;">Patient engagement is enhanced with a portal that offers information before, during and after a visit as well as electronic patient reminders and a fully integrated digital prescription process.</span></p>
<p><span style="font-weight: 400;">For pricing, you can request a quote on their</span> <a href="https://www.modmed.com/" target="_blank" rel="noopener">website</a> <span style="font-weight: 400;">or call directly.</span></p>
<p><br/> <b>Nextech</b></p>
<p><span style="font-weight: 400;">Nextech offers an EMR (EHR) and Practice Management solution in a single database to dermatologists, ophthalmologists, plastic surgeons, and physicians. It's a web-based system that includes an iPad app which gives dermatologists and their staff the flexibility to access patient records from any location. </span></p>
<p><span style="font-weight: 400;">Nextech features include:</span></p>
<ul>
<li style="font-weight: 400;"><span style="font-weight: 400;">Ability to upload and make notations on images</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Revenue cycle management</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Customizable templates</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Patient portal with automated reminders</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Online lab integration</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Automated billing</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Complete inventory management</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">HIPPA compliant dictation</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Support via phone and online client portal</span></li>
</ul>
<p><span style="font-weight: 400;">Because of its modular style, Nextech’s EMR can be adapted to the working needs of any dermatology practice. It's ready-to-go with customizable forms and specialty-specific content that let dermatologists create the workflow they prefer. And office visits are completed with greater efficiency with the ability to write and renew prescriptions, add notes with talk-to-text dictation, and review lab results all inside a patient's medical record.</span></p>
<p><span style="font-weight: 400;">For pricing, you can request a quote on their</span> <a href="https://www.nextech.com/" target="_blank" rel="noopener">website</a> <span style="font-weight: 400;">or call directly.<br/><br/></span></p>
<p><b>Conclusion</b></p>
<p><span style="font-weight: 400;">Integrating EHR software into any dermatology practice offers numerous benefits to the practitioner, staff, and most of all, the patients. And by automating tasks such as check-ins, prescriptions, lab work, charting, and billing the office workflow becomes more efficient and fosters a greater sense of teamwork.</span></p>
<p><span style="font-weight: 400;">For the dermatologist, digital patient records that offer the convenience of uploading photos, voice dictation, and drawing on images during the patient visit means less time getting bogged down in paperwork and more time connecting with patients. </span></p>
<p><span style="font-weight: 400;">Choosing the best EHR for your dermatology practice doesn't have to be daunting. It just takes some planning and organization. Get with your staff and discuss the type of system you prefer, cloud-based or locally-hosted. Then make a list of the different functions that will create real enhancements to your current workflow and give patients a more positive experience. Review the most common companies and the features they offer and narrow down your choices to a few that seem like a great fit. Then get busy shopping!</span></p>
<p></p>
<p><b>Resources & References</b></p>
<p><span style="font-weight: 400;"><a href="https://www.mdedge.com/dermatology/article/171710/electronic-medical-records-dermatology-good-bad-and-ugly" target="_blank" rel="noopener">https://www.mdedge.com/dermatology/article/171710/electronic-medical-records-dermatology-good-bad-and-ugly</a></span></p>
<p><span style="font-weight: 400;"><a href="https://www.healthit.gov/playbook/electronic-health-records/" target="_blank" rel="noopener">https://www.healthit.gov/playbook/electronic-health-records/</a></span></p>
<p><span style="font-weight: 400;"><a href="https://www.healthit.gov/playbook/patient-engagement/" target="_blank" rel="noopener">https://www.healthit.gov/playbook/patient-engagement/</a></span></p>
<p><span style="font-weight: 400;"><a href="https://www.modmed.com/dermatology-ehr/" target="_blank" rel="noopener">https://www.modmed.com/dermatology-ehr/</a></span></p>
<p><span style="font-weight: 400;"><a href="https://www.nextech.com/dermatology/emr-software" target="_blank" rel="noopener">https://www.nextech.com/dermatology/emr-software</a></span></p>
<p><span style="font-weight: 400;"><a href="https://ezderm.com/ehr/" target="_blank" rel="noopener">https://ezderm.com/ehr/</a></span></p>What’s the Relationship Between Psoriasis and Mental Health Disorders?tag:community.dermrounds.com,2019-07-18:1980062:BlogPost:622862019-07-18T23:22:04.000ZJulie Morsehttps://community.dermrounds.com/profile/JulieMorse820
<p><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3343520879?profile=original" rel="noopener" target="_blank"><img class="align-center" src="https://storage.ning.com/topology/rest/1.0/file/get/3343520879?profile=RESIZE_710x" width="400"></img></a> Psoriasis patients are at a higher risk for mental health hospitalizations than those without the </span><a href="https://www.dermrounds.com/profiles/blogs/does-psoriasis-cause-insomnia-or-does-insomnia-cause-psoriasis" rel="noopener" target="_blank">skin condition</a><span style="font-weight: 400;">, according to …</span></p>
<p><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/3343520879?profile=original" target="_blank" rel="noopener"><img src="https://storage.ning.com/topology/rest/1.0/file/get/3343520879?profile=RESIZE_710x" width="400" class="align-center"/></a>Psoriasis patients are at a higher risk for mental health hospitalizations than those without the </span><a href="https://www.dermrounds.com/profiles/blogs/does-psoriasis-cause-insomnia-or-does-insomnia-cause-psoriasis" target="_blank" rel="noopener">skin condition</a><span style="font-weight: 400;">, according to </span><a href="https://www.ncbi.nlm.nih.gov/m/pubmed/31163441/" target="_blank" rel="noopener">research</a> <span style="font-weight: 400;">recently published in</span> <i><span style="font-weight: 400;">Dermatology</span></i><span style="font-weight: 400;">.</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">Previous studies point to poorly understood relationships between </span><a href="https://www.dermrounds.com/profiles/blogs/why-dermatologists-should-be-aware-of-their-patients-mental" target="_blank" rel="noopener">psoriasis and mental health</a><span style="font-weight: 400;">, and researchers from the Northwestern University Feinberg School of Medicine sought to address this knowledge gap. The researchers looked at data from the National Inpatient Sample recorded between 2002 and 2012 and an additional 20 percent sample of all U.S. hospitalizations. They found that psychiatric hospitalizations were much more common for people with psoriasis than those without; in fact, the rates were nearly double (4.04 percent with psoriasis vs. 2.21 percent without psoriasis).</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">The researchers analyzed the correlation between psoriasis and the following mental health disorders: anxiety, schizophrenia, personality disorder, depression, substance use disorders, history of mental health disorder, alcohol-related conditions, adjustment disorders, and cognitive disorders. Having psoriasis increases a person’s odds of being admitted to a psychiatric unit for any mental health disorder, including nine out of the 15 mental-health-specific disorders mentioned.</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">These rates of hospitalization for mental health disorders were also similar for children patients with psoriasis. Psoriasis was more prevalent than other skin conditions such as alopecia areata and hidradenitis suppurativa among patients who were admitted for psychiatric care. The researchers also found that psoriasis patients who were receiving inpatient mental health treatment were more expensive to care for than those without psoriasis, grossing over $1.6 million annually. The majority of those fees were associated with treatment for depression and mood disorders.</span></p>Which is More Effective for Acne Treatment: Spironolactone or Antibiotics?tag:community.dermrounds.com,2019-07-18:1980062:BlogPost:623742019-07-18T23:12:15.000ZJulie Morsehttps://community.dermrounds.com/profile/JulieMorse820
<p><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/1440106475?profile=original" rel="noopener" target="_blank"><img class="align-center" src="https://storage.ning.com/topology/rest/1.0/file/get/1440106475?profile=RESIZE_710x" width="400"></img></a> Spironolactone, a versatile drug used to treat low potassium levels and high blood pressure among other conditions, is being touted as a successful alternative to antibiotics for acne treatments in females, according to a retrospective …</span></p>
<p><span style="font-weight: 400;"><a href="https://storage.ning.com/topology/rest/1.0/file/get/1440106475?profile=original" target="_blank" rel="noopener"><img src="https://storage.ning.com/topology/rest/1.0/file/get/1440106475?profile=RESIZE_710x" width="400" class="align-center"/></a>Spironolactone, a versatile drug used to treat low potassium levels and high blood pressure among other conditions, is being touted as a successful alternative to antibiotics for acne treatments in females, according to a retrospective </span><a href="https://www.mdedge.com/dermatology/article/200431/acne/females-acne-stay-spironolactone-longer-antibiotics-real-world-usage?utm_source=News_DERM_acne_060819_F&utm_medium=email&utm_content=Spironolactone%20vs.%20oral%20antibiotics%20for%20acne" target="_blank" rel="noopener">study</a> <span style="font-weight: 400;">recently published in the</span> <i><span style="font-weight: 400;">Journal of the American Academy of Dermatology</span></i><span style="font-weight: 400;">.</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">Antibiotic overuse and microbial drug resistance continues to be a concern in severe acne treatment. One 2015 </span><a href="https://www.infectioncontroltoday.com/antibiotics-antimicrobials/acne-treatment-hampered-antibiotic-overuse" target="_blank" rel="noopener">study</a> <span style="font-weight: 400;">found that 137 patients were prescribed oral antibiotics for 11 months before their physicians realized that the drugs weren’t effective and transitioned them onto</span> <span style="font-weight: 400;">isotretinoin. The</span> <span style="font-weight: 400;">researchers from the department of dermatology at the University of Pennsylvania</span> <span style="font-weight: 400;">are calling spironolactone a possible “first-line agent before oral antibiotics.” </span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">The UPenn researchers analyzed data from 2010 to 2016 in the Optum Clinformatics Data Mart that featured female patients who were prescribed at least 12-month courses of spironolactone or oral antibiotics.</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">In the database, there were 4,321 patients taking spironolactone and 7,517 using oral tetracycline-class antibiotics. The researchers found that the spironolactone treatment plans had a much longer duration than the antibiotic prescriptions, however some of these patients might have discontinued antibiotic use because many guidelines recommend a usage period of three to six months. After taking into account factors such as the patients’ age at diagnosis, history of polycystic ovarian syndrome, and history of oral contraceptive or topical retinoid use, they determined that their hazard ratio for quitting spironolactone treatment was 0.74, compared with treatment for oral tetracyclines.</span></p>
<p><span style="font-weight: 400;"> </span></p>
<p><span style="font-weight: 400;">The healthcare community is still learning about the long-term effects of spironolactone and how it compares with other possible treatment plans. However, these researchers are ultimately supportive of its acne-fighting properties: “</span><span style="font-weight: 400;">The extended drug usage survival of spironolactone suggests that, in routine clinical practice, spironolactone may have good long-term effectiveness and tolerability,” they wrote.</span></p>Laser hair removal: Get smooth, hair-free skin in only a few sittings!tag:community.dermrounds.com,2019-07-17:1980062:BlogPost:623652019-07-17T06:30:00.000ZDr. S. K. Kashyaphttps://community.dermrounds.com/profile/DrSKKashyap
<p>Lots of individuals have tried the typical ways of getting rid of unwanted hair. Popular choices consist of shaving, plucking, waxing and using hair removal creams. Though these techniques have their own benefits, they can only provisionally eliminate hair. If you are eyeing for a long-lasting, worry-free hair removal therapy, then laser is the correct choice for you. If you aim to have gleaming skin that will not have superfluous problems for you then getting laser hair removal in Delhi is…</p>
<p>Lots of individuals have tried the typical ways of getting rid of unwanted hair. Popular choices consist of shaving, plucking, waxing and using hair removal creams. Though these techniques have their own benefits, they can only provisionally eliminate hair. If you are eyeing for a long-lasting, worry-free hair removal therapy, then laser is the correct choice for you. If you aim to have gleaming skin that will not have superfluous problems for you then getting laser hair removal in Delhi is just right for you. Laser hair removal excellently and enduringly liberates you from even obstinate body hair. This futuristic process ends the unrelenting scuffle against unsolicited hair. The laser light is directed at the pigment of hair follicles. Via the laser pulse, the hair follicles get destroyed at large and all future hair growth is repressed.</p>
<p>Unlike conventional approaches, <a href="https://kashyapskinclinics.com/laser-hair-removal.html">laser hair removal in Delhi</a> is painless. You only feel a stinging sensation on your skin. Many prefer this feeling over the pain that comes with other approaches. For patrons with gentle skin, topical anesthesia is usually used. This is applied 30-40 minutes before the process starts. This permits the process to be entirely discomfort-free. Contingent on the region where hair is to be taken out will determine the length required for the process. It can be as transitory as more than a few minutes or as elongated as an hour. Ensure comprehensive and perpetual removal with four to six sittings, set one to one and half months apart. Slight soreness or inflammation should be anticipated, particularly after the first couple of treatments. Hair removal specialists promise these rejoinders will diminish after some hours. To diminish the irritations on the bare skin no other products are permissible to be used for around two days like lotions. While waiting for the subsequent treatment, do not wax or pluck hair from that region. Shaving is more suitable so that the new hairs will be perceived well. The laser hair removal can be more effective for bushier hair.</p>
<p>There are no perils involved in laser hair treatments. It can be done on any hair viscosity and any skin color. Nonetheless, it has been witnessed to work best on bristly hair and light skin color. If you never want to panic about obstinate and undesirable hair ever again, laser hair removal is can be your best bet. With just some sittings, you too can relish hairless, smooth skin.</p>
<p></p>
<p>KASHYAP SKIN CLINIC<br/> 145,Vardhmaan Dee Cee plaza<br/> Near Ashirwaad Chowk <br/>
Adjacent to SBI Bank, <br/>
Sector 11 Dwarka New Delhi -110075<br/>
Phone: +91-9718551800<br/>
Email: drskashyap.v@gmail.com<br/>
Website: <a href="https://kashyapskinclinics.com/">https://kashyapskinclinics.com/</a></p>Acne Scars Removal in Delhi | Derma Miracle | Best Treatment for Acne Scarstag:community.dermrounds.com,2019-07-05:1980062:BlogPost:620392019-07-05T04:10:37.000ZDerma Miraclehttps://community.dermrounds.com/profile/DermaMiracle
<p><span>Many people suffer from Acne scars, especially young once. Acne scars are treated using a punch excision to remove each individual scar. Derma Miracle provides the best treatment for <span style="text-decoration: underline;"><em><a href="https://www.dermamiracle.in/scar-removal/acne-scars/" rel="noopener" target="_blank">Acne Scars Removal in Delhi</a></em></span>. If you want a face without scars marks then visit Derma Miracle which is located in Greater Kailash, New Delhi. Dr. Navnit…</span></p>
<p><span>Many people suffer from Acne scars, especially young once. Acne scars are treated using a punch excision to remove each individual scar. Derma Miracle provides the best treatment for <span style="text-decoration: underline;"><em><a href="https://www.dermamiracle.in/scar-removal/acne-scars/" target="_blank" rel="noopener">Acne Scars Removal in Delhi</a></em></span>. If you want a face without scars marks then visit Derma Miracle which is located in Greater Kailash, New Delhi. Dr. Navnit Haror is the lead Dermatologist who takes care of Acne Scars.</span></p>