1
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Wei BM, Fox LP, Kaffenberger BH, Korman AM, Micheletti RG, Mostaghimi A, Noe MH, Rosenbach M, Shinkai K, Kwah JH, Phillips EJ, Bolognia JL, Damsky W, Nelson CA. Drug-induced hypersensitivity syndrome/drug reaction with eosinophilia and systemic symptoms. Part II diagnosis and management. J Am Acad Dermatol 2024; 90:911-926. [PMID: 37516356 DOI: 10.1016/j.jaad.2023.02.073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Revised: 02/11/2023] [Accepted: 02/17/2023] [Indexed: 07/31/2023]
Abstract
Drug-induced hypersensitivity syndrome, also known as drug reaction with eosinophilia and systemic symptoms, is a severe cutaneous adverse reaction characterized by an exanthem, fever, and hematologic and visceral organ involvement. The differential diagnosis includes other cutaneous adverse reactions, infections, inflammatory and autoimmune diseases, and neoplastic disorders. Three sets of diagnostic criteria have been proposed; however, consensus is lacking. The cornerstone of management is immediate discontinuation of the suspected drug culprit. Systemic corticosteroids remain first-line therapy, but the literature on steroid-sparing agents is expanding. Longitudinal evaluation for sequelae is recommended. Adjunctive tests for risk stratification and drug culprit identification remain under investigation. Part II of this continuing medical education activity begins by exploring the differential diagnosis and diagnosis of drug-induced hypersensitivity syndrome/drug reaction with eosinophilia and systemic symptoms and concludes with an evidence-based overview of evaluation and treatment.
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Affiliation(s)
- Brian M Wei
- Department of Dermatology, Yale School of Medicine, New Haven, Connecticut
| | - Lindy P Fox
- Department of Dermatology, University of California, San Francisco, California
| | | | - Abraham M Korman
- Department of Dermatology, The Ohio State University, Columbus, Ohio
| | - Robert G Micheletti
- Department of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Arash Mostaghimi
- Department of Dermatology, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts
| | - Megan H Noe
- Department of Dermatology, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts
| | - Misha Rosenbach
- Department of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Kanade Shinkai
- Department of Dermatology, University of California, San Francisco, California
| | - Jason H Kwah
- Department of Medicine, Section of Rheumatology, Allergy and Immunology, Yale School of Medicine, New Haven, Connecticut
| | - Elizabeth J Phillips
- Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee
| | - Jean L Bolognia
- Department of Dermatology, Yale School of Medicine, New Haven, Connecticut
| | - William Damsky
- Department of Pathology, Yale School of Medicine, New Haven, Connecticut
| | - Caroline A Nelson
- Department of Dermatology, Yale School of Medicine, New Haven, Connecticut.
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2
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Wei BM, Fox LP, Kaffenberger BH, Korman AM, Micheletti RG, Mostaghimi A, Noe MH, Rosenbach M, Shinkai K, Kwah JH, Phillips EJ, Bolognia JL, Damsky W, Nelson CA. Drug-induced hypersensitivity syndrome/drug reaction with eosinophilia and systemic symptoms. Part I. Epidemiology, pathogenesis, clinicopathological features, and prognosis. J Am Acad Dermatol 2024; 90:885-908. [PMID: 37516359 DOI: 10.1016/j.jaad.2023.02.072] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Revised: 02/11/2023] [Accepted: 02/26/2023] [Indexed: 07/31/2023]
Abstract
Drug-induced hypersensitivity syndrome (DiHS), also known as drug reaction with eosinophilia and systemic symptoms (DRESS), is a severe cutaneous adverse reaction (SCAR) characterized by an exanthem, fever, and hematologic and visceral organ involvement. Anticonvulsants, antibiotics, and allopurinol are the most common triggers. The pathogenesis involves a complex interplay between drugs, viruses, and the immune system primarily mediated by T-cells. DiHS/DRESS typically presents with a morbilliform eruption 2-6 weeks after drug exposure, and is associated with significant morbidity, mortality, and risk of relapse. Long-term sequelae primarily relate to organ dysfunction and autoimmune diseases. Part I of this continuing medical education activity on DiHS/DRESS provides an update on epidemiology, novel insights into pathogenesis, and a description of clinicopathological features and prognosis.
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Affiliation(s)
- Brian M Wei
- Department of Dermatology, Yale School of Medicine, New Haven, Connecticut
| | - Lindy P Fox
- Department of Dermatology, University of California, San Francisco, California
| | | | - Abraham M Korman
- Department of Dermatology, The Ohio State University, Columbus, Ohio
| | - Robert G Micheletti
- Department of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Arash Mostaghimi
- Department of Dermatology, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts
| | - Megan H Noe
- Department of Dermatology, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts
| | - Misha Rosenbach
- Department of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Kanade Shinkai
- Department of Dermatology, University of California, San Francisco, California
| | - Jason H Kwah
- Department of Medicine, Section of Rheumatology, Allergy and Immunology, Yale School of Medicine, New Haven, Connecticut
| | - Elizabeth J Phillips
- Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee
| | - Jean L Bolognia
- Department of Dermatology, Yale School of Medicine, New Haven, Connecticut
| | - William Damsky
- Department of Dermatology, Yale School of Medicine, New Haven, Connecticut; Department of Pathology, Yale School of Medicine, New Haven, Connecticut
| | - Caroline A Nelson
- Department of Dermatology, Yale School of Medicine, New Haven, Connecticut.
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3
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Warnimont J, Bhatia N, Korman AM. Non-specific language to describe physicians is uncommon across dermatology residency websites. Arch Dermatol Res 2024; 316:112. [PMID: 38520568 DOI: 10.1007/s00403-024-02833-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2023] [Revised: 01/15/2024] [Accepted: 02/06/2024] [Indexed: 03/25/2024]
Affiliation(s)
- Jenna Warnimont
- Ohio University Heritage College of Osteopathic Medicine, Athens, OH, USA
| | - Neal Bhatia
- Therapeutics Clinical Research, San Diego, CA, USA
| | - Abraham M Korman
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
- , 540 Officenter Place, Suite 240, Columbus, OH, 43230, USA.
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4
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Kirven RM, Dulmage B, Korman AM. Acral palpable purpura with rapidly progressing multiorgan involvement. JAAD Case Rep 2024; 45:31-33. [PMID: 38379879 PMCID: PMC10876465 DOI: 10.1016/j.jdcr.2024.01.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/22/2024] Open
Affiliation(s)
- Rachel M. Kirven
- Department of Dermatology, The Ohio State University, Columbus, Ohio
| | - Brittany Dulmage
- Department of Dermatology, The Ohio State University, Columbus, Ohio
| | - Abraham M. Korman
- Department of Dermatology, The Ohio State University, Columbus, Ohio
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5
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Schneider JG, Gallardo M, Fisher K, Kaffenberger BH, Korman AM. Increased mortality among African American patients with DRESS syndrome compared to White patients. Int J Dermatol 2024; 63:e80-e81. [PMID: 38102860 PMCID: PMC10922551 DOI: 10.1111/ijd.16988] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Revised: 12/05/2023] [Accepted: 12/05/2023] [Indexed: 12/17/2023]
Affiliation(s)
- Justine G. Schneider
- College of Medicine, Ohio State University Wexner Medical Center, Columbus, Ohio
| | - Matthew Gallardo
- College of Medicine, Ohio State University Wexner Medical Center, Columbus, Ohio
| | - Kristopher Fisher
- Department of Dermatology, Ohio State University Wexner Medical Center, Columbus, Ohio
| | | | - Abraham M. Korman
- Department of Dermatology, Ohio State University Wexner Medical Center, Columbus, Ohio
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6
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Hansen E, Pettit C, Chung CG, Korman AM. Papulonodular mucinosis with features of discoid lupus erythematosus. JAAD Case Rep 2024; 45:59-61. [PMID: 38389858 PMCID: PMC10882011 DOI: 10.1016/j.jdcr.2023.12.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/24/2024] Open
Affiliation(s)
- Emma Hansen
- The Ohio State University College of Medicine, Columbus, Ohio
| | - Cory Pettit
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, Ohio
| | - Catherine G Chung
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, Ohio
- Department of Pathology, The Ohio State University Wexner Medical Center, Columbus, Ohio
| | - Abraham M Korman
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, Ohio
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7
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Parashar K, Grant-Kels JM, Korman AM. Is it ethical to lie by omission for a patient? Clin Dermatol 2024:S0738-081X(24)00038-5. [PMID: 38401699 DOI: 10.1016/j.clindermatol.2024.02.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/26/2024]
Abstract
In the age of increasing transparency, dermatologists may encounter requests from patients to alter or withhold key medical information from their electronic medical records. Per the Health Insurance Portability and Accountability Act, patients have the right to view their medical record and request amendments; however, the physician is the final decision maker on what information should be included in the chart. It is integral that medically necessary information is included in the chart in accordance with the principle of beneficence and nonmaleficence. Withholding medically pertinent history may cause harm to the patient. Navigating such challenging situations while maintaining transparency requires a thorough understanding of the patient's dilemma. This contribution provides a framework by applying multiple ethical principles and will empower dermatologists to navigate such requests.
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Affiliation(s)
- Krishan Parashar
- Wayne State University School of Medicine, Detroit, Michigan, USA
| | - Jane M Grant-Kels
- Department of Dermatology, University of Connecticut School of Medicine, Farmington, Connecticut, USA; Department of Dermatology, University of Florida College of Medicine, Gainesville, Florida, USA
| | - Abraham M Korman
- Department of Dermatology, The Ohio State University College of Medicine, Columbus, Ohio, USA.
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8
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Nusbaum KB, Boettler M, Korman AM, Alavi A, Alloo A, Dissemond J, French LE, Huang WW, Kolios AGA, Marzano AV, Micheletti RG, Mostaghimi A, Ortega-Loayza AG, Rosenbach M, Schreml S, Tolkachjov SN, Kaffenberger BH. Subjective assessments in pyoderma gangrenosum diagnostic frameworks undermine framework agreement. Int J Dermatol 2024; 63:e67-e69. [PMID: 38044552 DOI: 10.1111/ijd.16952] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/16/2023] [Accepted: 11/21/2023] [Indexed: 12/05/2023]
Affiliation(s)
- Kelsey B Nusbaum
- Department of Dermatology, The Ohio State University, Columbus, OH, USA
| | - Michelle Boettler
- Department of Dermatology, The Ohio State University, Columbus, OH, USA
| | - Abraham M Korman
- Department of Dermatology, The Ohio State University, Columbus, OH, USA
| | - Afsaneh Alavi
- Department of Dermatology, Mayo Clinic, Rochester, MN, USA
| | - Allireza Alloo
- Department of Dermatology, Donald and Barbara Zucker School of Medicine at Hofstra Northwell, New Hyde Park, NY, USA
| | - Joachim Dissemond
- Department of Dermatology, University of Essen-Duisburg, Essen, Germany
| | - Lars E French
- Department of Dermatology, University Hospital, Munich University of Ludwig Maximilian, Munich, Germany
- Dr. Philip Frost, Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL, USA
| | - William W Huang
- Department of Dermatology, Wake Forest University School of Medicine, Winston-Salem, NC, USA
| | - Antonio G A Kolios
- Department of Dermatology, University Hospital Zürich, Zürich, Switzerland
| | - Angelo V Marzano
- Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
- Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, Italy
| | - Robert G Micheletti
- Department of Dermatology and Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA
| | - Arash Mostaghimi
- Department of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
| | - Alex G Ortega-Loayza
- Department of Dermatology, Oregon Health and Science University, Portland, OR, USA
| | - Misha Rosenbach
- Department of Dermatology, University of Pennsylvania, Philadelphia, PA, USA
| | - Stephan Schreml
- Department of Dermatology, University Medical Center Regensburg, Regensburg, Germany
| | - Stanislav N Tolkachjov
- Epiphany Dermatology, Dallas, TX, USA
- Texas A&M College of Medicine, Dallas, TX, USA
- University of Texas at Southwestern, Dallas, TX, USA
- Baylor University Medical Center, Dallas, TX, USA
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9
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Khorasanchi A, Korman AM, Manne A, Meara A. Immune checkpoint inhibitor-induced subacute cutaneous lupus erythematosus: a case report and review of the literature. Front Med (Lausanne) 2024; 11:1334718. [PMID: 38362536 PMCID: PMC10867168 DOI: 10.3389/fmed.2024.1334718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Accepted: 01/11/2024] [Indexed: 02/17/2024] Open
Abstract
Immune checkpoint inhibitor (ICI) use has been associated with numerous autoimmune side effects, known as immune related adverse events (irAEs). Cutaneous irAEs are common and affect up to 50% of patients treated with ICIs. There have been an increasing number of cases reported in the literature regarding ICI-induced subacute cutaneous lupus erythematosus (SCLE). ICI-induced SCLE is important to recognize as it can result in a delayed and/or prolonged skin reaction despite treatment discontinuation. We describe a patient with gastro-esophageal adenocarcinoma who developed SCLE following one cycle of nivolumab treatment. A 75-year-old man presented to our clinic with a new photo-distributed rash composed of oval scaly pink papules and plaques involving his chest and arms. Despite treatment with topical corticosteroids, he presented to the emergency department 1 week later with worsening rash. Skin biopsy showed vacuolar interface pattern, along with superficial perivascular lymphocytic infiltrate, consistent with a drug eruption. The clinicopathological presentation was consistent with ICI-induced SCLE. Nivolumab treatment was discontinued due to the severity of the rash. The rash remitted with systemic corticosteroids, high potency topical steroids, and hydroxychloroquine. Unfortunately, the patient developed intraperitoneal metastatic disease, and was enrolled in hospice care. In this paper, we highlight the importance of early identification and treatment of this irAE. A review of the literature, including a discussion on the management of ICI-induced SCLE is also provided.
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Affiliation(s)
- Adam Khorasanchi
- Division of Medical Oncology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, United States
| | - Abraham M. Korman
- Department of Dermatology, The Ohio State University, Columbus, OH, United States
| | - Ashish Manne
- Division of Medical Oncology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, United States
| | - Alexa Meara
- Division of Medical Oncology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, United States
- Division of Rheumatology and Immunology, The Ohio State University, Columbus, OH, United States
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10
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Warnimont J, Bhatia N, Korman AM. Non-specific language to describe physicians is common across dermatology organization websites. Arch Dermatol Res 2024; 316:72. [PMID: 38217748 DOI: 10.1007/s00403-023-02791-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2023] [Revised: 11/20/2023] [Accepted: 12/05/2023] [Indexed: 01/15/2024]
Affiliation(s)
- Jenna Warnimont
- Ohio University Heritage College of Osteopathic Medicine, Athens, OH, USA
| | - Neal Bhatia
- Therapeutics Clinical Research, San Diego, CA, USA
| | - Abraham M Korman
- Department of Dermatology, The Ohio State University Wexner Medical Center, 540 Officenter Place, Suite 240, Columbus, OH, 43230, USA.
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11
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Wyant WA, Hammoud MM, Mosser-Goldfarb J, Strafford K, Tyler K, Korman AM. Recommendations for optimizing preference signaling in the dermatology residency application process. Arch Dermatol Res 2023; 316:62. [PMID: 38151618 DOI: 10.1007/s00403-023-02743-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Revised: 08/08/2023] [Accepted: 09/16/2023] [Indexed: 12/29/2023]
Affiliation(s)
- W Austin Wyant
- Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Maya M Hammoud
- Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA
| | - Joy Mosser-Goldfarb
- Department of Dermatology, The Ohio State University, 540 Officenter Pl, Columbus, OH, 43230, USA
- Department of Dermatology, Nationwide Children's Hospital, Columbus, OH, USA
| | - Katherine Strafford
- Department of Obstetrics and Gynecology, The Ohio State University, Columbus, OH, USA
| | - Kelly Tyler
- Department of Dermatology, The Ohio State University, 540 Officenter Pl, Columbus, OH, 43230, USA
- Department of Obstetrics and Gynecology, The Ohio State University, Columbus, OH, USA
| | - Abraham M Korman
- Department of Dermatology, The Ohio State University, 540 Officenter Pl, Columbus, OH, 43230, USA.
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12
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Shepherd SR, Rivin GM, Bhatia N, Korman AM. Word choice in patient reviews: An analysis of the nonspecific language used to describe dermatologists. Int J Dermatol 2023; 62:e647-e649. [PMID: 37545025 DOI: 10.1111/ijd.16795] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Accepted: 07/06/2023] [Indexed: 08/08/2023]
Affiliation(s)
| | | | - Neal Bhatia
- Therapeutics Clinical Research, San Diego, CA, USA
| | - Abraham M Korman
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, OH, USA
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13
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Lause M, Libson K, Korman AM, Colburn N, Day S, Greer M, Hardgrow M, Malcolm K, Mcginnis M, Seely E, Smyer J, Trinidad J. Crusted scabies at a tertiary care center: Case series and cautionary tale. JAAD Case Rep 2023; 41:17-21. [PMID: 37842148 PMCID: PMC10568219 DOI: 10.1016/j.jdcr.2023.08.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2023] Open
Affiliation(s)
- Michael Lause
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, Ohio
| | - Karissa Libson
- Ohio State University College of Medicine, Columbus, Ohio
| | - Abraham M. Korman
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, Ohio
| | - Nora Colburn
- Department of Infectious Disease, Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio
| | - Shandra Day
- Department of Infectious Disease, Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio
| | - Marek Greer
- Occupational Health and Wellness, The Ohio State University Wexner Medical Center, Columbus, Ohio
| | - Michele Hardgrow
- Occupational Health and Wellness, The Ohio State University Wexner Medical Center, Columbus, Ohio
| | - Kimberly Malcolm
- Department of Clinical Epidemiology, The Ohio State University Wexner Medical Center, Columbus, Ohio
| | - Marcy Mcginnis
- Department of Clinical Epidemiology, The Ohio State University Wexner Medical Center, Columbus, Ohio
| | - Elizabeth Seely
- Department of Clinical Epidemiology, The Ohio State University Wexner Medical Center, Columbus, Ohio
| | - Justin Smyer
- Department of Clinical Epidemiology, The Ohio State University Wexner Medical Center, Columbus, Ohio
| | - John Trinidad
- Department of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
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14
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Ezemma O, Korman AM, Wang HE, Kaffenberger B. Diagnostic methods for the confirmation of non-purulent cellulitis: a review. Arch Dermatol Res 2023; 315:2519-2527. [PMID: 37421422 DOI: 10.1007/s00403-023-02658-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2023] [Revised: 03/11/2023] [Accepted: 06/18/2023] [Indexed: 07/10/2023]
Abstract
Cellulitis is the most common cause for skin disease hospitalization with costs totaling over $7 billion. It can be challenging to diagnose due to clinical similarities with other inflammatory conditions and the lack of a gold-standard diagnostic test. This article reviews the different testing methods for the diagnosis of non-purulent cellulitis based on three categories (1) clinical scoring assessments, (2) in vivo imaging techniques, and (3) laboratory assessments.
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Affiliation(s)
- Ogechi Ezemma
- The Warren Alpert Medical School of Brown University, Providence, RI, USA
| | - Abraham M Korman
- Division of Dermatology, Department of Dermatology, The Ohio State University Wexner Medical Center, 2012 Kenny Road, 2nd Floor, Columbus, OH, 43212, USA
| | - Henry E Wang
- Department of Emergency Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, USA
| | - Benjamin Kaffenberger
- Division of Dermatology, Department of Dermatology, The Ohio State University Wexner Medical Center, 2012 Kenny Road, 2nd Floor, Columbus, OH, 43212, USA.
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15
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Wyant WA, Fabbro SK, Kaffenberger J, Grant-Kels JM, Korman AM. The ethics of advising dermatology residency applicants in an era of holistic review. Int J Dermatol 2023; 62:e519-e520. [PMID: 37203880 DOI: 10.1111/ijd.16718] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Revised: 04/19/2023] [Accepted: 05/04/2023] [Indexed: 05/20/2023]
Affiliation(s)
- W Austin Wyant
- Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, Miller School of Medicine, University of Miami, Miami, FL, USA
| | - Stephanie K Fabbro
- Division of Dermatology, OhioHealth Riverside Methodist Hospital, Columbus, OH, USA
| | | | - Jane M Grant-Kels
- Department of Dermatology, University of Connecticut Health Center, Farmington, CT, USA
| | - Abraham M Korman
- Department of Dermatology, The Ohio State University, Columbus, OH, USA
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16
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Libson K, Johnson K, Plaza JA, Chung C, Fisher K, Korman AM, Kaffenberger BH. Skin biopsies are associated with a lower risk of rehospitalization among hospitalized patients with skin and soft tissue infections: a cross-sectional study. Int J Dermatol 2023; 62:e538-e540. [PMID: 37139990 PMCID: PMC10524201 DOI: 10.1111/ijd.16705] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/19/2023] [Revised: 03/27/2023] [Accepted: 04/18/2023] [Indexed: 05/05/2023]
Affiliation(s)
- Karissa Libson
- The Ohio State University College of Medicine, Columbus, OH, USA
| | - Kirsten Johnson
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, OH, USA
| | - Jose A Plaza
- Department of Pathology, The Ohio State University Wexner Medical Center, Columbus, OH, USA
| | - Catherine Chung
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, OH, USA
| | - Kristopher Fisher
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, OH, USA
| | - Abraham M Korman
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, OH, USA
| | - Benjamin H Kaffenberger
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, OH, USA
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17
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Libson K, Koenig KL, Chung CG, Korman AM. Development of cyclosporine-induced linear IgA bullous dermatosis despite concurrent use of dapsone. JAAD Case Rep 2023; 40:74-76. [PMID: 37731671 PMCID: PMC10507066 DOI: 10.1016/j.jdcr.2023.08.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/22/2023] Open
Affiliation(s)
- Karissa Libson
- Ohio State University College of Medicine, Columbus, Ohio
| | - Kristin L. Koenig
- Department of Hematology, Ohio State University Wexner Medical Center, Columbus, Ohio
| | - Catherine G. Chung
- Department of Pathology, Ohio State University Wexner Medical Center, Columbus, Ohio
| | - Abraham M. Korman
- Department of Dermatology, Ohio State University Wexner Medical Center, Columbus, Ohio
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18
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Almhana F, Mital R, Chung CG, Korman AM, Kaffenberger BH. Smaller hospital discharge volume and urban area are associated with higher proportional cellulitis discharges. Arch Dermatol Res 2023; 315:2453-2455. [PMID: 37300697 DOI: 10.1007/s00403-023-02650-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2023] [Revised: 05/06/2023] [Accepted: 05/17/2023] [Indexed: 06/12/2023]
Abstract
Cellulitis is commonly misdiagnosed, resulting in increased healthcare costs and complications. There is little published work regarding the relationship between hospital characteristics and cellulitis discharge rates. Here, we performed a cross-sectional analysis of cellulitis inpatient discharges using publicly available national data to examine hospital characteristics associated with higher proportional cellulitis discharge rates. The results of our study showed a strong association of increased proportion of cellulitis discharges in association with hospitals that discharged fewer total patients and a direct association with urban location. The factors that influence hospital cellulitis discharge diagnoses are numerous, and while its overdiagnosis remains a source of medical overspending and complications, our study may provide direction for more focused efforts to increase dermatology care in lower volume hospitals and urban areas.
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Affiliation(s)
- Farah Almhana
- The Ohio State University College of Medicine, Columbus, OH, USA.
- The Ohio State University Wexner Medical Center, 1328 Dublin Road, Suite 100, Columbus, OH, 43215, USA.
| | - Rohan Mital
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, OH, USA
| | - Catherine G Chung
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, OH, USA
- Department of Pathology, The Ohio State University Wexner Medical Center, Columbus, OH, USA
| | - Abraham M Korman
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, OH, USA
| | - Benjamin H Kaffenberger
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, OH, USA
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19
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Hansen E, Gallardo M, Kaffenberger BH, Fisher K, Korman AM. Older DRESS patients are more likely to have cytopenias: a retrospective cohort study. Int J Dermatol 2023; 62:e478-e480. [PMID: 37005354 DOI: 10.1111/ijd.16642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/16/2022] [Revised: 01/04/2023] [Accepted: 02/28/2023] [Indexed: 04/04/2023]
Affiliation(s)
- Emma Hansen
- The Ohio State University College of Medicine, Columbus, OH, USA
| | - Matthew Gallardo
- The Ohio State University College of Medicine, Columbus, OH, USA
| | - Benjamin H Kaffenberger
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, OH, USA
| | - Kristopher Fisher
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, OH, USA
| | - Abraham M Korman
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, OH, USA
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20
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Kaur M, Singh N, Mital R, Schenk A, Fisher K, Korman AM, Kaffenberger BH, Chung CG. Dermatologic manifestations of acute graft versus host disease after liver transplantation: A case series of 8 patients. JAAD Case Rep 2023; 39:6-13. [PMID: 37554362 PMCID: PMC10404598 DOI: 10.1016/j.jdcr.2023.06.035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/10/2023] Open
Affiliation(s)
- Manjit Kaur
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, Ohio
| | - Navdeep Singh
- Division of Transplant Surgery, Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio
| | - Rohan Mital
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, Ohio
| | - Austin Schenk
- Division of Transplant Surgery, Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio
| | - Kristopher Fisher
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, Ohio
| | - Abraham M. Korman
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, Ohio
| | | | - Catherine G. Chung
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, Ohio
- Department of Pathology, The Ohio State University Wexner Medical Center, Columbus, Ohio
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21
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Libson K, Himed S, Dunlop H, Nusbaum KB, Korman AM, Kaffenberger BH, Trinidad J. A description of Kaposi sarcoma risk factors and outcomes in HIV-positive and HIV-negative patients at a tertiary care medical center from 2005 to 2020. Arch Dermatol Res 2023; 315:2159-2162. [PMID: 36856854 DOI: 10.1007/s00403-023-02552-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2022] [Revised: 01/18/2023] [Accepted: 01/22/2023] [Indexed: 03/02/2023]
Abstract
Kaposi sarcoma (KS) is a low-grade vascular malignancy caused by human herpesvirus-8 (HHV-8), also known as Kaposi's sarcoma-associated herpesvirus (KSHV). There are four established subtypes of KS, which are described by unique risk factors, presentation, and disease course. A "non-epidemic" variant to describe HIV-negative men who have sex with men (MSM) is emerging as a fifth subtype. We retrospectively examined patients with KS at an academic medical center in central Ohio, USA. To our knowledge, this is the first US-based report to describe KS risk factors and outcomes in the context of HIV status. Data were extracted from patient charts including demographic information, history at time of KS diagnosis, and information about KS disease course. HIV-positive and HIV-negative patients were grouped into established categories. HIV-negative patients who did not fit an existing subtype were described as "Unclassified-KS-Type." Demographic characteristics for AIDS-KS patients in our cohort match established trends in this subtype, such as male, MSM, and younger age at diagnosis compared to HIV-negative patients. Most Unclassified-KS-Type patients fit well into the emerging "non-epidemic KS" subtype. These patients are described as healthy, middle-aged, HIV-negative MSM with lower extremity lesions. This descriptive report provides an updated view of KS risk factors and outcomes to improve detection and treatment in dermatology.
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Affiliation(s)
- Karissa Libson
- College of Medicine, The Ohio State University, Columbus, OH, USA
| | - Sonia Himed
- University of Cincinnati College of Medicine, Cincinnati, OH, USA
| | - Hayley Dunlop
- College of Medicine, The Ohio State University, Columbus, OH, USA
| | - Kelsey B Nusbaum
- University of Cincinnati College of Medicine, Cincinnati, OH, USA
| | - Abraham M Korman
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus, OH, USA
| | - Benjamin H Kaffenberger
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus, OH, USA
| | - John Trinidad
- Department of Dermatology, Massachusetts General Hospital, , Harvard Medical School, 50 Staniford St, Boston, MA, 02114, USA.
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22
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Sitton B, Korman AM. Response to "Should we tell the readers what they should do?". J Am Acad Dermatol 2023; 89:e131. [PMID: 37172738 DOI: 10.1016/j.jaad.2023.05.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2023] [Accepted: 05/01/2023] [Indexed: 05/15/2023]
Affiliation(s)
- Beau Sitton
- Department of Dermatology, The Ohio State University College of Medicine, Columbus, Ohio
| | - Abraham M Korman
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, Ohio.
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23
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Gray AN, Fabbro SK, Korman AM. Shiny Indurated Plaques on the Legs. Cutis 2023; 112:E7-E8. [PMID: 37820345 DOI: 10.12788/cutis.0841] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/13/2023]
Affiliation(s)
- Ashley N Gray
- Drs. Gray and Korman are from the Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus. Dr. Fabbro is from the Division of Dermatology, Department of Internal Medicine, Ohio Health Riverside Methodist Hospital, Columbus
| | - Stephanie K Fabbro
- Drs. Gray and Korman are from the Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus. Dr. Fabbro is from the Division of Dermatology, Department of Internal Medicine, Ohio Health Riverside Methodist Hospital, Columbus
| | - Abraham M Korman
- Drs. Gray and Korman are from the Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus. Dr. Fabbro is from the Division of Dermatology, Department of Internal Medicine, Ohio Health Riverside Methodist Hospital, Columbus
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24
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Islam N, Korman AM, Trinidad J, Kaffenberger JA. Cross-sectional evaluation of Spanish-language care at academic dermatology clinics. Int J Dermatol 2023; 62:e450-e452. [PMID: 36416670 DOI: 10.1111/ijd.16514] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/23/2022] [Revised: 10/24/2022] [Accepted: 11/05/2022] [Indexed: 11/24/2022]
Affiliation(s)
- Nabiha Islam
- Department of Dermatology, The Ohio State University, Columbus, OH, USA
| | - Abraham M Korman
- Department of Dermatology, The Ohio State University, Columbus, OH, USA
| | - John Trinidad
- Department of Dermatology, Massachusetts General Hospital, Boston, MA, USA
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25
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Waters M, Dobry A, Le ST, Shinkai K, Beachkofsky TM, Davis MDP, Dominguez AR, Kroshinsky D, Markova A, Micheletti RG, Mostaghimi A, Pasieka HB, Rosenbach M, Seminario-Vidal L, Trinidad J, Albrecht J, Altman EM, Arakaki R, Ardern-Jones M, Bridges AG, Cardones AR, Chadha AA, Chen JK, Chen ST, Cheng K, Daveluy S, DeNiro KL, Harp J, Keller JJ, King B, Korman AM, Lowenstein EJ, Luxenberg E, Mancuso JB, Mauskar MM, Milam P, Motaparthi K, Nelson CA, Nguyen CV, Nutan F, Ortega-Loayza AG, Patel T, Rahnama-Moghadam S, Rekhtman S, Rojek NW, Sarihan M, Shaigany S, Sharma TR, Shearer SM, Shields BE, Strowd LC, Tartar DM, Thomas C, Wanat KA, Walls AC, Zaba LC, Ziemer CM, Maverakis E, Kaffenberger BH. Development of a Skin-Directed Scoring System for Stevens-Johnson Syndrome and Epidermal Necrolysis: A Delphi Consensus Exercise. JAMA Dermatol 2023; 159:772-777. [PMID: 37256599 PMCID: PMC10838134 DOI: 10.1001/jamadermatol.2023.1347] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Importance Scoring systems for Stevens-Johnson syndrome and epidermal necrolysis (EN) only estimate patient prognosis and are weighted toward comorbidities and systemic features; morphologic terminology for EN lesions is inconsistent. Objectives To establish consensus among expert dermatologists on EN terminology, morphologic progression, and most-affected sites, and to build a framework for developing a skin-directed scoring system for EN. Evidence Review A Delphi consensus using the RAND/UCLA appropriateness criteria was initiated with a core group from the Society of Dermatology Hospitalists to establish agreement on the optimal design for an EN cutaneous scoring instrument, terminology, morphologic traits, and sites of involvement. Findings In round 1, the 54 participating dermatology hospitalists reached consensus on all 49 statements (30 appropriate, 3 inappropriate, 16 uncertain). In round 2, they agreed on another 15 statements (8 appropriate, 7 uncertain). There was consistent agreement on the need for a skin-specific instrument; on the most-often affected skin sites (head and neck, chest, upper back, ocular mucosa, oral mucosa); and that blanching erythema, dusky erythema, targetoid erythema, vesicles/bullae, desquamation, and erosions comprise the morphologic traits of EN and can be consistently differentiated. Conclusions and Relevance This consensus exercise confirmed the need for an EN skin-directed scoring system, nomenclature, and differentiation of specific morphologic traits, and identified the sites most affected. It also established a baseline consensus for a standardized EN instrument with consistent terminology.
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Affiliation(s)
- Margo Waters
- The Ohio State University College of Medicine, Columbus
| | - Allison Dobry
- Department of Dermatology, University of California, San Francisco
| | - Stephanie T Le
- Department of Dermatology, University of California, Davis
| | - Kanade Shinkai
- Department of Dermatology, University of California, San Francisco
| | | | - Mark D P Davis
- Department of Dermatology, Mayo Clinic, Rochester, Minnesota
| | - Arturo R Dominguez
- Departments of Internal Medicine and Dermatology, University of Texas Southwestern Medical Center, Dallas
| | | | - Alina Markova
- Department of Dermatology, Memorial Sloan Kettering Cancer Center, New York, New York
| | - Robert G Micheletti
- Department of Dermatology and Internal Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia
| | - Arash Mostaghimi
- Department of Dermatology, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts
| | - Helena B Pasieka
- Departments of Dermatology, Uniformed Services University, Bethesda, Maryland
- The Burn Center, MedStar Washington Hospital Center, Washington, DC
| | - Misha Rosenbach
- Department of Dermatology and Internal Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia
| | | | - John Trinidad
- Department of Dermatology, Massachusetts General Hospital, Boston
| | - Joerg Albrecht
- Department of Medicine, Division of Dermatology, Cook County Health, Chicago, Illinois
| | - Emily M Altman
- Department of Dermatology, University of New Mexico Health Sciences Center, Albuquerque
| | - Ryan Arakaki
- Department of Dermatology, University of California, San Francisco
| | | | - Alina G Bridges
- Departments of Dermatology and Anatomic Pathology, Donald and Barbara Zucker School for Medicine at Hofstra/Northwell, New Hyde Park, New York
| | - Adela R Cardones
- Department of Dermatology, Duke University Medical Center, Durham, North Carolina
| | - Angad A Chadha
- Section of Dermatology, University of Chicago, Chicago, Illinois
| | - Jennifer K Chen
- Department of Dermatology, Stanford University School of Medicine, Redwood City, California
| | - Steven T Chen
- Department of Dermatology, Massachusetts General Hospital, Boston
| | - Kyle Cheng
- Division of Dermatology, Department of Medicine, David Geffen School of Medicine at University of California, Los Angeles
| | - Steven Daveluy
- Department of Dermatology, Wayne State University School of Medicine, Detroit, Michigan
| | | | - Joanna Harp
- Department of Dermatology, Weill Cornell Medicine, New York, New York
| | - Jesse J Keller
- Department of Dermatology, Oregon Health and Science University, Portland
| | - Brett King
- Department of Dermatology, Yale University School of Medicine, New Haven, Connecticut
| | - Abraham M Korman
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus
| | - Eve J Lowenstein
- Department of Dermatology, SUNY Downstate Medical Center and Kings County Medical Center, Oceanside, New York
| | - Erin Luxenberg
- Department of Dermatology, Hennepin Healthcare, Minneapolis, Minnesota
| | | | - Melissa M Mauskar
- Departments of Internal Medicine and Dermatology, University of Texas Southwestern Medical Center, Dallas
| | - Philip Milam
- Department of Dermatology, Vanderbilt University Medical Center, Nashville, Tennessee
| | - Kiran Motaparthi
- Department of Dermatology, University of Florida College of Medicine, Gainesville
| | - Caroline A Nelson
- Department of Dermatology, Yale University School of Medicine, New Haven, Connecticut
| | - Cuong V Nguyen
- Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Fnu Nutan
- Department of Dermatology, Virginia Commonwealth University Medical Center, Richmond
| | | | - Tejesh Patel
- Department of Dermatology, University of Tennessee Health Science Center, Memphis
| | | | - Sergey Rekhtman
- Departments of Dermatology and Anatomic Pathology, Donald and Barbara Zucker School for Medicine at Hofstra/Northwell, New Hyde Park, New York
| | - Nathan W Rojek
- Department of Dermatology, University of California, Irvine
| | - Mansi Sarihan
- Department of Dermatology, Valleywise Health-Creighton University, University of Arizona, Mayo Clinic, Phoenix, Arizona
| | - Sheila Shaigany
- Departments of Dermatology and Anatomic Pathology, Donald and Barbara Zucker School for Medicine at Hofstra/Northwell, New Hyde Park, New York
| | - Timmie R Sharma
- Department of Dermatology, University Hospitals Cleveland Medical Center, Cleveland, Ohio
| | - Sabrina M Shearer
- Department of Dermatology, Duke University Medical Center, Durham, North Carolina
| | - Bridget E Shields
- Department of Dermatology, University of Wisconsin School of Medicine and Public Health, Madison
| | - Lindsay C Strowd
- Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, North Carolina
| | | | - Cristina Thomas
- Departments of Internal Medicine and Dermatology, University of Texas Southwestern Medical Center, Dallas
| | - Karolyn A Wanat
- Department of Dermatology, Medical College of Wisconsin, Milwaukee
| | - Andrew C Walls
- Department of Dermatology, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts
| | - Lisa C Zaba
- Department of Dermatology, Stanford University School of Medicine, Redwood City, California
| | - Carolyn M Ziemer
- Department of Dermatology, University of North Carolina Chapel Hill, Chapel Hill
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26
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Adame S, Collins ME, Korman AM. Topical Vehicles: A Dermatologist's Perspective. Int J Pharm Compd 2023; 27:278-283. [PMID: 37595171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 08/20/2023]
Abstract
Topical treatment is mainstay for a variety of dermatologic conditions. There are several different types of topical vehicles, and choosing the most appropriate one is an essential part of treatment. Selection can vary depending on factors such as patient preference and anatomical location. Each topical vehicle has unique advantages and disadvantages that are important to consider. This article reviews some of the most common topical vehicles used in dermatology.
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Affiliation(s)
- Stephanie Adame
- Ohio State University College of Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio.
| | | | - Abraham M Korman
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, Ohio
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27
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Rognrud K, Hamburger N, Korman AM, Fabbro SK. Coding conflicts: Ethical considerations regarding the updated Centers for Medicare and Medicaid Service coding guidelines. J Am Acad Dermatol 2023:S0190-9622(23)01005-8. [PMID: 37271457 DOI: 10.1016/j.jaad.2023.05.065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2023] [Revised: 05/17/2023] [Accepted: 05/28/2023] [Indexed: 06/06/2023]
Affiliation(s)
- Kara Rognrud
- Division of Dermatology, OhioHealth Riverside Methodist Hospital, Columbus, Ohio
| | - Nicole Hamburger
- Division of Graduate Medical Education, Memorial Healthcare System, Hollywood, Florida
| | - Abraham M Korman
- Department of Dermatology, Ohio State University Wexner Medical Center, Columbus, Ohio
| | - Stephanie K Fabbro
- Division of Dermatology, OhioHealth Riverside Methodist Hospital, Columbus, Ohio.
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28
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Gallardo MA, Yan A, Korman AM, Chung C, Kaffenberger BH. Unmet needs in the study of cellulitis: A response to Salle et al's "Challenges and limitations of teledermatology for skin and soft-tissue infections: A real-world study of an expert center". J Am Acad Dermatol 2023; 88:e307-e308. [PMID: 36871642 DOI: 10.1016/j.jaad.2023.02.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Revised: 02/16/2023] [Accepted: 02/20/2023] [Indexed: 03/06/2023]
Affiliation(s)
- Matthew A Gallardo
- College of Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio
| | - Allison Yan
- College of Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio
| | - Abraham M Korman
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, Ohio
| | - Catherine Chung
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, Ohio; Department of Pathology, The Ohio State University Wexner Medical Center, Columbus, Ohio
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29
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Affiliation(s)
- Lucy Rose
- The Ohio State University College of Medicine, Columbus, Ohio
| | - Rachel Kirven
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA
| | - Kelly Tyler
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA
| | - Catherine Chung
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA
- Department of Pathology, The Ohio State University Wexner Medical Center, Columbus, Ohio
| | - Abraham M. Korman
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA
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30
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Vora PS, Korman AM. Oval Brown Plaque on the Palm. Cutis 2023; 111:294-304. [PMID: 37487118 DOI: 10.12788/cutis.0785] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/26/2023]
Affiliation(s)
- Paayal S Vora
- Dr. Vora is from the Northeast Ohio Medical University, Rootstown. Dr. Korman is from The Ohio State University Wexner Medical Center, Columbus
| | - Abraham M Korman
- Dr. Vora is from the Northeast Ohio Medical University, Rootstown. Dr. Korman is from The Ohio State University Wexner Medical Center, Columbus
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31
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Sitton B, Kaffenberger BH, Korman AM. Retiform Purpura on the Lower Legs. Cutis 2023; 111:E12-E14. [PMID: 37289690 DOI: 10.12788/cutis.0756] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Affiliation(s)
- Beau Sitton
- Mr. Sitton is from The Ohio State University College of Medicine, Columbus. Drs. Kaffenberger and Korman are from the Department of Dermatology, The Ohio State University Wexner Medical Center
| | - Benjamin H Kaffenberger
- Mr. Sitton is from The Ohio State University College of Medicine, Columbus. Drs. Kaffenberger and Korman are from the Department of Dermatology, The Ohio State University Wexner Medical Center
| | - Abraham M Korman
- Mr. Sitton is from The Ohio State University College of Medicine, Columbus. Drs. Kaffenberger and Korman are from the Department of Dermatology, The Ohio State University Wexner Medical Center
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32
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Parashar K, Grant-Kels JM, Korman AM. Doctor, please don't tell my partner I have a sexually transmitted disease. Clin Dermatol 2023; 41:289-290. [PMID: 36868434 DOI: 10.1016/j.clindermatol.2023.02.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/05/2023]
Affiliation(s)
- Krishan Parashar
- Wayne State University School of Medicine, Detroit, Michigan, USA
| | - Jane M Grant-Kels
- Department of Dermatology, University of Connecticut School of Medicine, Farmington, Connecticut, USA; Department of Dermatology, University of Florida College of Medicine, Gainesville, Florida, USA
| | - Abraham M Korman
- Department of Dermatology, Ohio State University College of Medicine, Columbus, Ohio, USA.
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33
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Adame S, Korman AM. Spreading Painful Lesions on the Legs. Cutis 2023; 111:159-164. [PMID: 37224482 DOI: 10.12788/cutis.0725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Affiliation(s)
- Stephanie Adame
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus
| | - Abraham M Korman
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus
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34
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Islam N, Gray A, Korman AM, Trinidad J, Kaffenberger J. Cross-sectional evaluation of online Spanish-language dermatology resources at academic medical centers. J Am Acad Dermatol 2023; 88:667-668. [PMID: 35779639 DOI: 10.1016/j.jaad.2022.06.1178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2022] [Revised: 06/14/2022] [Accepted: 06/22/2022] [Indexed: 11/22/2022]
Affiliation(s)
- Nabiha Islam
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus, Ohio
| | - Ashley Gray
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus, Ohio
| | - Abraham M Korman
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus, Ohio
| | - John Trinidad
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus, Ohio
| | - Jessica Kaffenberger
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus, Ohio.
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35
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Himed S, Gilkey T, Trinidad J, Shipp D, Kaffenberger B, Korman AM. Impact of social determinants of health on hospital patient outcomes in cutaneous lupus erythematosus. Int J Dermatol 2023; 62:e51-e53. [PMID: 34982837 DOI: 10.1111/ijd.16029] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Accepted: 11/24/2021] [Indexed: 01/20/2023]
Affiliation(s)
- Sonia Himed
- University of Cincinnati College of Medicine, Cincinnati, OH, USA
| | - Ty Gilkey
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus, OH, USA
| | - John Trinidad
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus, OH, USA
| | - Desmond Shipp
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus, OH, USA
| | - Benjamin Kaffenberger
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus, OH, USA
| | - Abraham M Korman
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus, OH, USA
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36
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Ly N, Ziegman J, Collins M, Korman AM. Dermatologists' use of compounding pharmacies and knowledge of associated regulations. Int J Dermatol 2022. [DOI: 10.1111/ijd.16520] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/24/2022] [Accepted: 11/06/2022] [Indexed: 11/24/2022]
Affiliation(s)
- Nathalie Ly
- Ohio State University College of Medicine, The Ohio State University Wexner Medical Center Columbus OH USA
| | - Jacqueline Ziegman
- Ohio State University College of Medicine, The Ohio State University Wexner Medical Center Columbus OH USA
| | | | - Abraham M. Korman
- Division of Dermatology, Department of Internal Medicine The Ohio State University Columbus OH USA
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37
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Islam N, Korman AM. Cross-sectional evaluation of Spanish-language resources on websites of US dermatology organizations. J Am Acad Dermatol 2022; 87:1166-1168. [PMID: 35245566 DOI: 10.1016/j.jaad.2022.02.045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2022] [Revised: 02/15/2022] [Accepted: 02/21/2022] [Indexed: 11/25/2022]
Affiliation(s)
- Nabiha Islam
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus, Ohio
| | - Abraham M Korman
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus, Ohio.
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38
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Himed S, Gray A, Awethe Z, Libson K, Kaffenberger BH, Korman AM, Trinidad JCL. SARS-CoV-2 Infection and Vaccination Cutaneous Manifestations for the Inpatient Dermatologist. Curr Dermatol Rep 2022; 11:252-262. [PMID: 36274753 PMCID: PMC9579541 DOI: 10.1007/s13671-022-00374-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/25/2022] [Indexed: 11/26/2022]
Abstract
Purpose of Review The overall purpose of this review was to characterize and summarize cutaneous eruptions associated with coronavirus disease 2019 (COVID-19) as well as COVID-19 vaccination. Recent Findings Cutaneous eruptions associated with COVID-19 infection have a reported frequency of 1-20%. Increased COVID-19 disease severity has been associated with morbilliform exanthems, urticaria, retiform purpura, and livedo racemosa. Papulovesicular eruptions were associated with a milder COVID-19 disease course. A range of dermatoses have also been reported with COVID-19 vaccination but have rarely prevented subsequent vaccination. Summary Dermatologists should be aware of the associations between COVID-19 disease severity and cutaneous eruptions. Livedo racemosa and retiform purpura are particularly associated with increased disease severity and death. In the setting of COVID-19 vaccination, cutaneous eruptions can largely be managed symptomatically and very rarely do these reactions prevent subsequent vaccination.
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Affiliation(s)
- Sonia Himed
- College of Medicine, University of Cincinnati, Cincinnati, OH USA
| | - Ashley Gray
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus, OH USA
| | - Zaynah Awethe
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus, OH USA
| | - Karissa Libson
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus, OH USA
| | - Benjamin H. Kaffenberger
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus, OH USA
| | - Abraham M. Korman
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus, OH USA
| | - John C. L. Trinidad
- Department of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114 USA
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39
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Park C, Kaffenberger BH, Trinidad JCL, Korman AM. Diagnostic methods for severe cutaneous adverse drug reactions by inpatient dermatologists. Int J Dermatol 2022; 62:e342-e344. [PMID: 35726774 DOI: 10.1111/ijd.16317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Revised: 05/12/2022] [Accepted: 06/09/2022] [Indexed: 12/01/2022]
Affiliation(s)
- Candice Park
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus, Ohio, USA
| | - Benjamin H Kaffenberger
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus, Ohio, USA
| | - John C L Trinidad
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus, Ohio, USA
| | - Abraham M Korman
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus, Ohio, USA
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40
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Gilkey TW, Amigo MA, Himed S, Rojek NW, Milani-Nejad N, Korman AM, Trinidad JC, Kaffenberger BH. Oblique Earlobe Crease as a Novel Physical Examination Finding in Drug Reaction with Eosinophilia and Systemic Symptoms: a retrospective study. J Eur Acad Dermatol Venereol 2022; 36:e739-e740. [PMID: 35617202 DOI: 10.1111/jdv.18270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2022] [Accepted: 05/18/2022] [Indexed: 11/27/2022]
Affiliation(s)
- T W Gilkey
- The Ohio State University College of Medicine
| | - M A Amigo
- Division of Dermatology, Department of Internal Medicine, OhioHealth Riverside Methodist Hospital
| | - S Himed
- University of Cincinnati, College of Medicine
| | - N W Rojek
- Department of Dermatology, University of California, Irvine
| | - N Milani-Nejad
- Department of Dermatology, University of California, Los Angeles
| | - A M Korman
- Department of Internal Medicine, Division of Dermatology, The Ohio State University, Wexner Medical Center
| | - J C Trinidad
- Department of Internal Medicine, Division of Dermatology, The Ohio State University, Wexner Medical Center
| | - B H Kaffenberger
- Department of Internal Medicine, Division of Dermatology, The Ohio State University, Wexner Medical Center
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41
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Korman AM, Kaffenberger JA. Diffuse Urticarial Rash in a Pregnant Patient. Cutis 2022; 109:E29-E30. [PMID: 35180066 DOI: 10.12788/cutis.0454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
- Abraham M Korman
- Department of Internal Medicine, Division of Dermatology, The Ohio State University Wexner Medical Center, Columbus
| | - Jessica A Kaffenberger
- Department of Internal Medicine, Division of Dermatology, The Ohio State University Wexner Medical Center, Columbus
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42
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Park C, Korman AM, Dulmage BL. An overview of the efficacy of phototherapy in oncodermatology. Support Care Cancer 2022; 30:5591-5600. [PMID: 35107598 DOI: 10.1007/s00520-022-06841-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Accepted: 01/17/2022] [Indexed: 11/25/2022]
Abstract
BACKGROUND Cutaneous adverse events (AEs) following cancer immunotherapy, targeted therapy, and chemotherapy have been well-documented in the literature. A number of case reports have identified phototherapy, a form of light therapy that mimics sunlight exposure, as a noninvasive treatment modality for these cutaneous toxicities. By inducing local suppression of the immune system, phototherapy is a skin-directed treatment with minimal effect on tumor response. Phototherapy may therefore be a viable treatment option for cutaneous AEs from cancer therapies. METHODS We reviewed the literature for patients treated with phototherapy for cutaneous AEs following cancer immunotherapy, targeted therapy, or chemotherapy. We also included three previously unpublished cases from our own institution. RESULTS We identified 24 patients (80% male, mean age 67 years, range 49-75 years). Patients received the following phototherapy types: NB-UVB (n = 17), PUVA (n = 6), or PDT (n = 1). A topical steroid was used in conjunction with phototherapy in seven patients. At phototherapy onset, cancer treatment was either continued, temporarily discontinued, or discontinued (n = 9, 6, 7, respectively; in two cases, the cancer treatment course was unknown). Improvement of cutaneous AEs was observed in 96% of patients. CONCLUSIONS Phototherapy resulted in full or partial improvement in all but one patient. A topical steroid was used in nearly a third of patients, suggesting some oncodermatologists co-administer topicals to further boost response. Continuation of cancer therapy in the majority of patients highlights an additional advantage of phototherapy. We believe phototherapy may be an effective adjunctive treatment to topical steroids when treating these cutaneous toxicities.
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Affiliation(s)
- Candice Park
- The Ohio State University College of Medicine, Columbus, OH, USA
| | - Abraham M Korman
- The Ohio State University Wexner Medical Center, Columbus, OH, USA
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43
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Nusbaum KB, Korman AM. Perceptions of dermatology and dermatologists by residency program directors of other medical specialties. Clin Dermatol 2021; 39:724-726. [PMID: 34809781 DOI: 10.1016/j.clindermatol.2021.05.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
More data are needed to characterize the perceptions of dermatology by nondermatologist physicians in order to address how current perceptions may be improved. Residency program directors of 21 medical specialties were contacted by e-mail and directed to a survey created with Research Electronic Data Capture software. Data from survey responses were collated and analyzed. A total of 80 residency program directors completed the survey. Physicians who worked more frequently with dermatologists were more likely to describe dermatologists positively. Most physicians believed dermatologists manage skin conditions, but fewer knew that they also manage hair, nail, or mucosal conditions. Cross-specialty collaboration between nondermatologists and dermatologists is associated with positive perceptions of dermatology. Further collaboration could provide the opportunity to educate physicians regarding the conditions treated by dermatologists and how their expertise may benefit patient care.
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Affiliation(s)
- Kelsey B Nusbaum
- University of Cincinnati College of Medicine, Cincinnati, Ohio, USA
| | - Abraham M Korman
- Division of Dermatology, Department of Internal Medicine, The Ohio State University College of Medicine, Columbus, Ohio, USA.
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44
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Korman AM, Fabbro SK. Reply to: "Accessibility of direct-to-consumer teledermatology to underserved populations". J Am Acad Dermatol 2021; 86:e135. [PMID: 34757147 DOI: 10.1016/j.jaad.2021.10.044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2021] [Accepted: 10/21/2021] [Indexed: 12/01/2022]
Affiliation(s)
- Abraham M Korman
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus, Ohio.
| | - Stephanie K Fabbro
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus, Ohio; Division of Dermatology, Department of Internal Medicine, OhioHealth Riverside Methodist Hospital, Columbus, Ohio
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45
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Korman AM, Zyniewicz K, Tinoco G, Allen CM, Briody A. Association of Programmed Cell Death 1 Inhibitor With Circumorificial Plasmacytosis. JAMA Dermatol 2021; 157:237-238. [PMID: 33326007 DOI: 10.1001/jamadermatol.2020.4273] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
- Abraham M Korman
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus, Ohio
| | - Kelley Zyniewicz
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus, Ohio.,Central Ohio Skin and Cancer, Inc, Columbus, Ohio
| | - Gabriel Tinoco
- Division of Hematology, Department of Internal Medicine, The Ohio State University Comprehensive Cancer Center, Columbus, Ohio
| | - Carl M Allen
- Central Ohio Skin and Cancer, Inc, Columbus, Ohio.,Division of Oral and Maxillofacial Pathology and Radiology, College of Dentistry, The Ohio State University, Columbus, Ohio
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46
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Nusbaum KB, Dulmage B, Choi JN, Jaglowski SM, Korman AM. Cutaneous manifestations of chimeric antigen receptor T-cell therapy: An introduction for dermatologists. J Am Acad Dermatol 2021; 87:597-604. [PMID: 34293386 DOI: 10.1016/j.jaad.2021.07.017] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Revised: 06/28/2021] [Accepted: 07/13/2021] [Indexed: 11/25/2022]
Abstract
Chimeric antigen receptor T-cell therapy is an emerging immunotherapy with promising efficacy for the treatment of previously refractory or relapsed malignancies. As a personalized medicine approach, T cells are genetically engineered to express a receptor designed to bind a specific tumor antigen, leading to selective immune-mediated destruction of tumor cells. Due to the novelty of chimeric antigen receptor T-cell therapy, the safety profile continues to evolve with limited information currently available on cutaneous adverse events. Improved understanding of the spectrum of cutaneous adverse events may facilitate earlier recognition and appropriate management of these toxicities. To explore this knowledge gap, we discuss the available case reports and clinical trial results of cutaneous reactions associated with chimeric antigen receptor T-cell therapy.
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Affiliation(s)
| | - Brittany Dulmage
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus, Ohio
| | - Jennifer N Choi
- Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Samantha M Jaglowski
- Division of Hematology, Department of Internal Medicine, The Ohio State University, Columbus, Ohio
| | - Abraham M Korman
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus, Ohio.
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47
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Korman AM, Chung CG. Eosinophilic Granulomatosis With Polyangiitis. JAMA Dermatol 2021; 157:722. [PMID: 33881454 DOI: 10.1001/jamadermatol.2020.2279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
- Abraham M Korman
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus
| | - Catherine G Chung
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus.,Department of Pathology, The Ohio State University, Columbus
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48
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Korman AM, Fabbro SK. Reply to: "Direct-to-consumer teledermatology platforms may have inherent conflicts of interest". J Am Acad Dermatol 2021; 85:e261. [PMID: 34044103 DOI: 10.1016/j.jaad.2021.05.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2021] [Accepted: 05/06/2021] [Indexed: 10/21/2022]
Affiliation(s)
- Abraham M Korman
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus, Ohio.
| | - Stephanie K Fabbro
- Division of Dermatology, Department of Internal Medicine, The Ohio State University, Columbus, Ohio; Division of Dermatology, Department of Internal Medicine, OhioHealth Riverside Methodist Hospital, Columbus, Ohio
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49
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Affiliation(s)
- Abraham M Korman
- Department of Internal Medicine, Division of Dermatology, The Ohio State University Wexner Medical Center
| | - Nima Milani-Nejad
- Department of Internal Medicine, Division of Dermatology, The Ohio State University Wexner Medical Center
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50
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Nasser S, Korman AM, Fabbro SK. Ethics of Post-Trial Access to Treatment in Dermatology. J Am Acad Dermatol 2021; 86:498-499. [PMID: 33971253 DOI: 10.1016/j.jaad.2021.04.096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2021] [Revised: 04/29/2021] [Accepted: 04/29/2021] [Indexed: 10/21/2022]
Affiliation(s)
- Sarah Nasser
- Wayne State University School of Medicine, Detroit, Michigan; Division of Dermatology, Department of Internal Medicine, The Ohio State University Comprehensive Cancer Center, Columbus, Ohio
| | - Abraham M Korman
- Division of Dermatology, Department of Internal Medicine, The Ohio State University Comprehensive Cancer Center, Columbus, Ohio
| | - Stephanie K Fabbro
- Division of Dermatology, Department of Internal Medicine, The Ohio State University Comprehensive Cancer Center, Columbus, Ohio; Division of Dermatology, Department of Internal Medicine, Ohio Health Riverside Methodist Hospital, Columbus, Ohio.
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