CutisPub Date : 2026-07-01DOI: 10.12788/cutis.1422
Maria L Mihailescu, Arianne Gonzalez, Vidya Shivakumar
{"title":"Black Malar Papules Following Use of Hydroquinone Cream 2% Purchased Online.","authors":"Maria L Mihailescu, Arianne Gonzalez, Vidya Shivakumar","doi":"10.12788/cutis.1422","DOIUrl":"https://doi.org/10.12788/cutis.1422","url":null,"abstract":"","PeriodicalId":11195,"journal":{"name":"Cutis","volume":"118 1","pages":"13-15"},"PeriodicalIF":2.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149180043","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}
CutisPub Date : 2026-07-01DOI: 10.12788/cutis.1419
Ellis Zhang, Jordan Beam, Ting Dan Zhang, Lauren Kole
{"title":"Topical Hypochlorous Acid for Acne Vulgaris: Mechanisms, Clinical Evidence, and Therapeutic Potential.","authors":"Ellis Zhang, Jordan Beam, Ting Dan Zhang, Lauren Kole","doi":"10.12788/cutis.1419","DOIUrl":"https://doi.org/10.12788/cutis.1419","url":null,"abstract":"<p><p>Acne vulgaris is driven by Cutibacterium acnes, sebaceous activity, and innate immune activation, leading to inflammation, scarring, and reduced quality of life. Although standard topical and systemic therapies are effective, their use may be limited by irritation, adverse effects, and antimicrobial resistance. Hypochlorous acid (HOCl) exhibits antimicrobial, biofilm-disruptive, and anti-inflammatory activity through inhibition of nuclear factor kappa B (NF-κB) and mitogen-activated protein kinase (MAPK) signaling. Preliminary studies suggest HOCl provides lesion reductions comparable to benzoyl peroxide with superior tolerability and no barrier disruption, supporting its potential as an adjunctive acne therapy pending larger controlled trials.</p>","PeriodicalId":11195,"journal":{"name":"Cutis","volume":"118 1","pages":"23-25"},"PeriodicalIF":2.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149180068","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}
CutisPub Date : 2026-07-01DOI: 10.12788/cutis.1427
Nari Lee, Lida Zheng
{"title":"Erythema on the Hands of a Patient Undergoing Chemotherapy.","authors":"Nari Lee, Lida Zheng","doi":"10.12788/cutis.1427","DOIUrl":"https://doi.org/10.12788/cutis.1427","url":null,"abstract":"","PeriodicalId":11195,"journal":{"name":"Cutis","volume":"118 1","pages":"E17-E19"},"PeriodicalIF":2.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149180115","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}
CutisPub Date : 2026-06-01DOI: 10.12788/cutis.1402
Dirk M Elston
{"title":"Medical Decision-Making in Evaluation and Management Coding: Practical Applications and Key Clarifications.","authors":"Dirk M Elston","doi":"10.12788/cutis.1402","DOIUrl":"https://doi.org/10.12788/cutis.1402","url":null,"abstract":"<p><p>Recent updates to evaluation and management coding emphasize medical decision-making (MDM) as the primary determinant of visit level, though clinicians still face challenges in application. Medical decision-making is established by meeting criteria in 2 of 3 domains: problem complexity, data, and risk. In this article, key clarifications are discussed, including inadequately controlled conditions as moderate complexity; distinction between prescription drug management and simple refills; inclusion of relevant social determinants of health; and classification of independent test interpretation under data. Additional nuances in procedural decision-making and common clinical scenarios also are reviewed to support accurate coding and documentation.</p>","PeriodicalId":11195,"journal":{"name":"Cutis","volume":"117 6","pages":"178-179"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148759005","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}
CutisPub Date : 2026-06-01DOI: 10.12788/cutis.1401
Matthew H Lanehart, Meaghan C Dougher, Eric E Morgan, Justin Lee, Colleen J Beatty, Luis Flores, Joanna A Kolodney, Erica Ghareeb
{"title":"Pink Papulonodular Eruption on the Trunk and Arms.","authors":"Matthew H Lanehart, Meaghan C Dougher, Eric E Morgan, Justin Lee, Colleen J Beatty, Luis Flores, Joanna A Kolodney, Erica Ghareeb","doi":"10.12788/cutis.1401","DOIUrl":"https://doi.org/10.12788/cutis.1401","url":null,"abstract":"","PeriodicalId":11195,"journal":{"name":"Cutis","volume":"117 6","pages":"185-196"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148758625","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}
CutisPub Date : 2026-06-01DOI: 10.12788/cutis.1406
Houriah Y Nukaly, Siddharth Srikakolapu, Dirk M Elston
{"title":"Using Intralesional Adalimumab for Chronic Refractory Cutaneous Granulomatous Inflammation.","authors":"Houriah Y Nukaly, Siddharth Srikakolapu, Dirk M Elston","doi":"10.12788/cutis.1406","DOIUrl":"10.12788/cutis.1406","url":null,"abstract":"<p><p>Chronic localized granulomatous dermatoses present a therapeutic challenge, particularly in cosmetically sensitive areas where standard treatments often prove insufficient or intolerable. We describe a technique using intralesional injection of adalimumab to treat chronic refractory cutaneous granulomatous inflammation. This method highlights the potential of intralesional tumor necrosis factor (TNF) α inhibition as a targeted treatment option in refractory cutaneous granulomatous inflammation, offering localized efficacy while minimizing systemic exposure.</p>","PeriodicalId":11195,"journal":{"name":"Cutis","volume":"117 6","pages":"191-192"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148764371","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}
CutisPub Date : 2026-06-01DOI: 10.12788/cutis.1398
Paayal S Vora, Bethany Rohr
{"title":"Horse Flies: Identification, Bite Reactions, and Clinical Management.","authors":"Paayal S Vora, Bethany Rohr","doi":"10.12788/cutis.1398","DOIUrl":"10.12788/cutis.1398","url":null,"abstract":"<p><p>Horse flies are common dipteran insects that can be found in most parts of the world. They feed on the blood of their hosts, including humans. Female horse flies pierce the skin of the host, inject anticoagulant saliva, and suck the blood, which can result in minor cutaneous reactions (eg, urticaria, papules localized to the bite site). In severe cases, bites also can result in anaphylaxis. Horse flies can transmit tularemia, which typically manifests as cutaneous ulcers and lymphadenopathy but also can result in severe systemic reactions such as septic shock. Minor cutaneous reactions can be treated with symptomatic management and oral antihistamines, while anaphylaxis and tularemia require systemic therapy with intramuscular epinephrine and intravenous gentamicin, respectively. Exposure to horse flies can be minimized via use of protective clothing, topical repellants, and traps.</p>","PeriodicalId":11195,"journal":{"name":"Cutis","volume":"117 6","pages":"186-187"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148764349","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}
CutisPub Date : 2026-06-01DOI: 10.12788/cutis.1409
Maya Smith, Richard P Usatine, Candrice R Heath
{"title":"Atopic Dermatitis: New Insights and Expanded Treatment Options.","authors":"Maya Smith, Richard P Usatine, Candrice R Heath","doi":"10.12788/cutis.1409","DOIUrl":"https://doi.org/10.12788/cutis.1409","url":null,"abstract":"","PeriodicalId":11195,"journal":{"name":"Cutis","volume":"117 6","pages":"199-200"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148766454","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}