Matthew D. Viveiros BS , Jordyn Puccio BS , Emily Bogdanski BS , Michelle Huynh BS , Abraham M. Korman MD , Brittany Dulmage MD
{"title":"Medical students’ attitudes towards hair loss and direct-to-consumer versus in-person care options: A survey study","authors":"Matthew D. Viveiros BS , Jordyn Puccio BS , Emily Bogdanski BS , Michelle Huynh BS , Abraham M. Korman MD , Brittany Dulmage MD","doi":"10.1016/j.clindermatol.2024.10.005","DOIUrl":"10.1016/j.clindermatol.2024.10.005","url":null,"abstract":"","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"43 1","pages":"Pages 83-85"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Nodular melanoma","authors":"Christian Gronbeck MD, Philip E. Kerr MD","doi":"10.1016/j.clindermatol.2025.01.015","DOIUrl":"10.1016/j.clindermatol.2025.01.015","url":null,"abstract":"<div><div>Nodular melanoma (NM) is the second most common subtype of cutaneous melanoma, accounting for a substantial proportion of melanoma fatalities. We assessed reviews, cross-sectional evaluations, published guidelines, and clinical reports to summarize the epidemiology, risk factors, clinical presentation, histopathology, molecular attributes, and treatment pearls for NM. Briefly, the incidence of NM and severity at diagnosis remain unchanged over recent decades, underscoring key diagnostic challenges driven by its rapid growth rate and sometimes unremarkable clinical presentation. Dermatoscopy and histopathology remain critical tools in diagnosing NM and may be supplemented with noninvasive imaging techniques such as reflectance confocal microscopy. Societal published guidelines do offer differing management recommendations based on cutaneous melanoma subtype; yet, the often thicker and higher stage of NM at diagnosis has important implications for biopsy technique, utility of gene expression profiling, early collaboration with medical and surgical oncology colleagues, and initiation of systemic immunotherapies.</div></div>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"43 1","pages":"Pages 64-70"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143122589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Edouard Manet's portrait of Jeanne Duval: Did Manet portray the disease of which he died?","authors":"Leonard J. Hoenig MD","doi":"10.1016/j.clindermatol.2024.01.002","DOIUrl":"10.1016/j.clindermatol.2024.01.002","url":null,"abstract":"<div><div>In 1862, the French artist Edouard Manet painted a portrait of Jeanne Duval, then age 42, who was suffering from a paralyzed leg. Manet depicts her stiffly reclined on a sofa with her foot seemingly disjointed from her body. Duval later became blind. Around 1875, Manet himself began to develop leg pains and an unsteady gait, which progressed in severity until he died of complications of his disorder, during 1883, at age 51. This contribution reviews the clinical information available concerning the neurologic disorders of both the subject and artist and the differential diagnosis for each case, with a focus on whether neurosyphilis may have accounted for their respective illnesses. This contribution also pays tribute to Irwin M. Braverman, MD, who is being honored in this special issue of <em>Clinics in Dermatology</em> for his many contributions to dermatology and for demonstrating how the study of art can be a valuable teaching tool to improve the observational skills of medical students<em>.</em></div><div>A Special Message from the Author to Irwin M. Braverman, MD</div></div>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"43 1","pages":"Pages 134-138"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139466059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohammad Jafferany MD , George Kroumpouzos MD, PhD , Mohamad Goldust MD
{"title":"Advancing care for psychocutaneous disorders: The role of artificial intelligence and virtual reality","authors":"Mohammad Jafferany MD , George Kroumpouzos MD, PhD , Mohamad Goldust MD","doi":"10.1016/j.clindermatol.2024.09.022","DOIUrl":"10.1016/j.clindermatol.2024.09.022","url":null,"abstract":"","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"43 1","pages":"Pages 79-80"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142307251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joseph A. Masison PhD , Sherif A. Eldirany MD , Campbell L. Stewart MD , S. Brett Sloan MD
{"title":"Acral and nail melanoma","authors":"Joseph A. Masison PhD , Sherif A. Eldirany MD , Campbell L. Stewart MD , S. Brett Sloan MD","doi":"10.1016/j.clindermatol.2025.01.008","DOIUrl":"10.1016/j.clindermatol.2025.01.008","url":null,"abstract":"<div><div>Acral lentiginous melanoma (ALM) is a rare subtype of cutaneous malignant melanoma not linked to UV exposure that carries a poor survival prognosis. ALM is defined by its acral location, involving the palms, soles, and subungual regions of the hands and feet, as well as by its unique clinical characteristics. We have reviewed the incidence, diagnostic standards, histopathology, dermatoscopic features, reflectance confocal microscopy features, genomic alterations, and treatment of ALM. We highlight several recent case reports that showcase the diagnostic challenge that ALM poses and the barriers to arriving at a prompt and accurate ALM diagnosis. Increased patient and provider education, empowering early detection and treatment, as well as the development of new more targeted therapeutics are critical to improving ALM outcomes.</div></div>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"43 1","pages":"Pages 3-9"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143122576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kritin K. Verma BS, MBA , Sabrina C. Camacho BS , Daniel P. Friedmann MD , Michelle B. Tarbox MD , Theodore Rosen MD
{"title":"A collaborative effort between dermatologists, obstetrician-gynecologists, urologists, and family medicine physicians to rethink routine genitourinary examinations: The overlooked importance of screening for genital squamous cell carcinoma in situ","authors":"Kritin K. Verma BS, MBA , Sabrina C. Camacho BS , Daniel P. Friedmann MD , Michelle B. Tarbox MD , Theodore Rosen MD","doi":"10.1016/j.clindermatol.2024.11.001","DOIUrl":"10.1016/j.clindermatol.2024.11.001","url":null,"abstract":"","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"43 1","pages":"Pages 86-88"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142692599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christina Jiang MS , Neelesh P. Jain MD , Campbell L. Stewart MD
{"title":"Amelanotic melanoma: Clinical presentation, diagnosis, and management","authors":"Christina Jiang MS , Neelesh P. Jain MD , Campbell L. Stewart MD","doi":"10.1016/j.clindermatol.2025.01.009","DOIUrl":"10.1016/j.clindermatol.2025.01.009","url":null,"abstract":"<div><div>Amelanotic melanoma (AM) is a subtype of cutaneous melanoma with little or no pigment on visual or histopathologic examination and accounts for approximately 2% of melanoma cases. This uncommon variant is often misdiagnosed or diagnosed in late stages due to its variable clinical presentation and lack of established criteria for clinical diagnosis. AM often presents nonspecifically as a pink to red macule, papule, or dermal nodule; therefore, dermatoscopy and reflectance confocal microscopy are extremely helpful tools in the diagnosis of AM. Histopathologically, there is an attenuation or complete absence of melanin granules, and immunohistochemistry for melanocytic markers, such as S100, Melan-A, and HMB-45, may be necessary for accurate diagnosis. Like other types of melanomas, the Breslow depth, presence or absence of ulceration, and mitotic rate are necessary for diagnosis, staging, and management. The standard of treatment for AM includes surgical excision with margins based on staging with sentinel lymph node biopsy, if indicated. We present the clinical and histopathologic features, special techniques, differential diagnosis, and current management of AM.</div></div>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"43 1","pages":"Pages 10-15"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143122577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Introducing the Bender sign for the diagnosis of intergluteal cleft skin disorders","authors":"Leonard J. Hoenig MD","doi":"10.1016/j.clindermatol.2024.08.010","DOIUrl":"10.1016/j.clindermatol.2024.08.010","url":null,"abstract":"<div><div>Dr Benjamin Bender (1908-1996) was a longtime Clinical Professor of Dermatology at the State University of New York Downstate College of Medicine. Some 45 years ago, he coined the eponym <em>Bender sign</em>, which describes the discovery of cutaneous diseases that involve the gluteal cleft by having patients bend over and then manually separating the buttocks. Bender's eponym was created as a humorous pun involving his name “Bender” and the “bending” of the patient. This contribution formally introduces this delightful eponym into the dermatology literature and highly recommends its adoption as a teaching tool to remind students of the importance of examining the intergluteal cleft area, which can often harbor a variety of skin disorders, such as psoriasis. A second Bender sign, referred to as <em>Bender sign #2,</em> is also presented, which describes the sparing of the nose when the face is rubbed and inflamed from neurodermatitis. This contribution pays tribute to Dr Benjamin Bender, a beloved master teacher of dermatology.</div></div>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"43 1","pages":"Pages 97-99"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142119143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Albert E. Zhou MD, PhD , Elaine Flynn BA , Timothy Klufas BA , Shannon Hanggodo BS , Neelesh P. Jain MD , Jane M. Grant-Kels MD
{"title":"Ethics of residency candidates using application consulting services","authors":"Albert E. Zhou MD, PhD , Elaine Flynn BA , Timothy Klufas BA , Shannon Hanggodo BS , Neelesh P. Jain MD , Jane M. Grant-Kels MD","doi":"10.1016/j.clindermatol.2024.08.011","DOIUrl":"10.1016/j.clindermatol.2024.08.011","url":null,"abstract":"<div><div>Although the prevalence is still being determined, more medical students are using application consulting companies when applying to competitive residencies such as dermatology. We outline the structure of these companies, the scope of services provided, and the associated costs. We also discuss the ethical implications of using such firms in the residency application process and the impact of these practices on the candidate selection process. Finally, we offer possible solutions and measures that mitigate the impact of the use of consulting firms in residency applications.</div></div>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"43 1","pages":"Pages 105-107"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142139491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}