Dr. William Ting, Board-Certified Dermatologist
at California Dermatology Care

2262 Camino Ramon, San Ramon, CA 94583
Tel: 925-328-0255
Email: staff@CalDermCare.com


Advanced Care with a Personal Touch

   

 

 

Medical Dermatology    Evidence-based medicine   Customized solution   Personal care

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MEDICAL DERMATOLOGY

Acne and Acne Scar

Excimer Laser for Psoriasis & Vitiligo

Keloid & Hypertrophic Scar Laser Therapy

Mohs Surgery for Skin Cancers

Nail Fungus GenesisPlus Laser Therapy

Photodynamic Therapy

Psoriasis & NBUVB Phototherapy

RadioTherapy Nonsurgical SRT-100 for Skin Cancer

Skin Allergy Patch Test

Sweating Disorder MiraDry for Hyperhidrosis

Wart Laser Therapy


COSMETIC DERMATOLOGY

Aesthetician Services
Microdermabrasion
 

Botox, Dysport & Xeomin

Cellulaze Cellulite Therapy

new! CoolSculpting

Facial Redness/Vein Laser Therapy

Fillers injection for Wrinkles

Fractional CO2 laser

new! Hair Transplant with Neograft

Laser Surgery Services
Acne/Pore reducing Laser
Collagen Stimulating Laser
Excimer Laser
Facial Veins laser
Hair Laser Removal
IPL Fotofacial
Melasma Laser
Nail Fungus Laser
Resurfacing Laser
Scar revision Laser
Tattoo Removal Lasers
VBeam Pulse Dye Laser
Wart Laser


Latisse

Leg Vein Laser Therapy & Asclera Sclerotherapy

Liposonix + Vaser Shape Nonsurgical Body Sculpting
 

Melasma and Pigmentation

Pore Size Reduction and Laser Rejuvenation

Sculptra Liquid Facelift

SideLaze Lift

Ulthera natural lift & skin tightening of face and neck


Related Websites
FaceUpLifting.com
iCellulaze.com
MoreHair4Me.com
SideLazeLift.com
SonixLipo.com


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Dr. William Ting has expertise in treating the entire spectrum of medical dermatology, with emphasis in preventive medicine and personalized recommendations. He enjoys taking care of patients with acne, eczema, hair and nail disorders, rashes, psoriasis and skin cancers.

He is at the forefront of medical dermatology and dermatologic research. He continues to publish articles in peer-reviewed dermatology journals. He is an early pioneer of photodynamic therapy (PDT) and one of the most experienced practitioners of PDT in the Bay Area. He is the first dermatologist in the San Francisco Bay Area and Northern California to introduce Lutronic Spectra Laser for melasma, acne, scar revision, pore size reduction as well as the Cutera GenesisPlus laser for advanced nail fungus laser treatment, keloid and hypertrophic scar, warts and scar revision.

Dr. Ting is a fellow of the American Academy of Dermatology (AAD) and American Society of Dermatologic Surgery (ASDS). He is a member of the National Psoriasis Foundation and International Hyperhidrosis Society.

Innovative Therapeutic Approach to Common Skin Conditions

Acne

Eczema (Atopic Dermatitis)

Hair and Nail disorders

  • Maximize therapeutic synergy and efficacy by utilizing both prescription-strength and over-the counter products when available
  • Comprehensive workup including bloodwork and biopsy if necessary
  • Systemic oral hormonal therapy for women and men when indicated

Psoriasis 

Rosacea

  • Multi-prong approach to minimize redness
  • Low-dose 'non-antibiotic' anti-inflammatory oral medication for long-term remission 
  • Emphasis on prevention
  • Fotofacial/IPL laser utilizing Cynosure XPL/Elite MPX
  • Cutera GenesisPlus Laser with or without combination with IPL 
  • Diode laser for facial veins
  • VBeam Pulse Dye Laser, the new gold standard for rosacea and facial redness

Skin Cancer 

  • Emphasis on prophylactic treatments with topical 5-FU, imiquimod, diclofenac, ingenol mebutate and oral chemopreventive therapy such as Soriatane.
  • Reduce future risks of skin cancer with photodynamic therapy, TCA chemical peels and/or fractional CO2 resurfacing laser  
  • Mohs Surgery to achieve highest cure rate and tissue sparing
  • Close colloboration with plastic surgeon(s) as needed  

Sweating Disorder (Hyperhidrosis) 

Vitiligo

Warts 


ABCD of Mole Check

 

 

Common Medical Dermatology Diagnostics and Therapeutics:

Dermatology Links:

American Academy of Dermatology
American Society of Dermatologic Surgery
American Society of Mohs Surgery
International Hyperhidrosis Society
National Psoriasis Foundation

 Latest Dermatology Headlines:

Latest Dermatology Headlines
Sun, 31 Aug 2014 17:45:52 +0100

http://www.medworm.com/rss/index.php/Dermatology/12/

Aug 31, 2014 03:10AM

Reirradiation for patients with recurrence head and neck squamous cell carcinoma: A single-institution comparative study.

CONCLUSIONS: Following our results, we concluded that HDR-BRT is a more effective and safer treatment approach for head and neck cancer recurrences than 3D-CRT. PMID: 25172603 [PubMed - in process] (Source: Medicina (Kaunas))

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Aug 30, 2014 11:00PM

Frostbite of the Hand.

Authors: Hutchison RL Abstract Frostbite is damage caused by the freezing of tissue owing to exposure to extreme cold. Clinically, it is often difficult to identify the severity of frostbite injury. There may be a wide discrepancy between the extent of damage to the skin versus that to the deeper structures. The initial clinical impression is usually worse than actual tissue damage. In addition to physical examination, diagnostic imaging, especially triple-phase bone scan, has been proposed to help differentiate between superficial and deep damage. Principles of treatment involve rapid rewarming to thaw the tissues and halt direct cellular damage, methods to minimize progressive dermal ischemia, and active wound care to promote timely healing. Pharmacological adjuncts, such as fibr...

Aug 30, 2014 09:00PM

Progesterone Skin Test in Severe Attacks of Angioedema during Menstrual Cycle.

We present a case of 24-year-old woman showing severe angioedema attacks occurring from the first day of her menstruation and continuing for 4-5 days and having positive progesterone intradermal test (IDT). To our knowledge, there is no case in the literature which is coupled with PH isolated angioedema attacks. In this case report we will discuss diagnostic value of progesterone IDT. PMID: 25150080 [PubMed - in process] (Source: Iranian Journal of Allergy, Asthma and Immunology)

Aug 30, 2014 08:10AM

Expanding Care at the Forefront of Dermatology

Grand Rapids Dermatologist Dr. David E. Hammond Joins Forefront Dermatology(PRWeb August 30, 2014)Read the full story at http://www.prweb.com/releases/2014/08/prweb12131534.htm (Source: PRWeb: Medical Pharmaceuticals)

Aug 29, 2014 07:35PM

Wolf's post-herpetic isotopic response: Infections, tumors, and immune disorders arising on the site of healed herpetic infection.

Authors: Ruocco V, Ruocco E, Brunetti G, Russo T, Gambardella A, Wolf R Abstract Herpes simplex viruses (HSV-1/HSV-2) and varicella-zoster virus (VZV) have several characteristics in common. Both are epidermoneurotropic, cause skin eruptions accompanied by sensory symptoms (itch, pain), damage peripheral sensory nerve fibers and cutaneous nerve endings, and interfere with neuromediator release, which can alter local mechanisms of immune control. For this reason, herpes-infected areas may become a preferential location for the subsequent onset of immunity-related skin disorders (infections, tumors, and dysimmune reactions), an event first reported by a neurologist and focused on by two brothers, a dermatologist and a pediatrician. The phenomenon therefore named Wolf's post-herpetic ...

Aug 29, 2014 07:35PM

The sarcoidal granuloma: A unifying hypothesis for an enigmatic response.

Authors: Mahony J, Helms SE, Brodell RT Abstract Although the cause of sarcoidosis is unknown, there is growing support for the concept that sarcoidal granulomas result from a hypersensitivity reaction producing a nonspecific response to an extrinsic or intrinsic (autoimmune) antigen in genetically susceptible individuals. The immune milieu associated with these antigens, localized in a specific cutaneous area, produces a variant of Ruocco's "immunocompromised district." This may explain the predilection for sarcoidal granulomas in association with foreign bodies, tattoos, herpes zoster-affected dermatomes, and scars. Similar antigenic stimulation produces sarcoidal granulomas surrounding internal tumors. Finally, systemic sarcoidosis, as manifested by hilar adenopathy, may reflect...

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Aug 29, 2014 07:35PM

The immunocompromised district in dermatology: A unifying pathogenic view of the regional immune dysregulation.

Authors: Ruocco V, Ruocco E, Piccolo V, Brunetti G, Guerrera LP, Wolf R Abstract Besides the systemic immune deficiency, a sectorial default in immune control may occur in immunocompetent subjects. This regional immune defect can appear and remain confined to differently damaged skin areas, lately labeled immunocompromised districts (ICDs). An ICD is a skin area more vulnerable than the rest of the body for genetic or acquired reasons. Its vulnerability mainly consists in a local dysregulation of the immune control, which often facilitates (but sometimes hinders) the local onset of immunity-related eruptions or skin disorders. The factors responsible for localized immune dysregulation are multifarious, being represented by chronic lymphatic stasis, herpetic infections, ionizing or ...

Aug 29, 2014 04:00PM

Successful open abdomen treatment for multiple ischemic duodenal perforated ulcers in dermatomyositis

Conclusions: In patients with dermatomyositis, when clinical findings and symptoms suggest abdominal vasculitis, it is very important to be aware of the risk of bowel and particularly duodenal perforations. Open abdomen treatment favors control of contamination by gastrointestinal contents, offers temporary abdominal closure, helps ICU care and delays definitive surgery. (Source: World Journal of Emergency Surgery)

Aug 29, 2014 12:30PM

Multifocal epithelial hyperplasia: report of 3 cases.

Authors: Tehranchinia Z, Mozafari N, Barikbin B, Nadji SA Abstract Multifocal epithelial hyperplasia (MEH) is a rare disorder characterized by multiple painless discrete and soft flattened papules on the oral mucosa. It is caused by human papilloma virus 13 and 32. The frequency of this disease varies widely from one geographic region to another. Generally it is very rare in Asia. Herein we report 3 Iranian cases with oral lesions, which showed clinical and histopathological characteristics of MEH disease. Two of them were siblings and HPV13 was detected in one of the patients. PMID: 25148288 [PubMed - in process] (Source: Dermatol Online J)

Aug 29, 2014 12:30PM

Hennekam syndrome: a rare cause of primary lymphedema.

We describe a 14-year-old girl affected with Hennekam syndrome. PMID: 25148287 [PubMed - in process] (Source: Dermatol Online J)

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Aug 29, 2014 12:30PM

Self regressing skin-colored papules with acneiform scarring over the face.

Authors: Mandal RK, Sarkar AD, Ghosh SK Abstract Lupus miliaris disseminata faciei is a chronic inflammatory dermatosis of unknown etiology, which mostly involves the face in young adults. Earlier attempts had been made to relate it to tuberculosis, rosacea, and sarcoidosis without any strong evidence. For the past few years it has been considered as a distinct entity by various authors and was given a new nomenclature, "facial idiopathic granulomas with regressive evolution" (FIGURE). We also support this new nomenclature and present a young man with facial idiopathic granulomas and scarring consistent with this diagnosis. PMID: 25148286 [PubMed - in process] (Source: Dermatol Online J)

Aug 29, 2014 12:30PM

Zosteriform collagen nevus in a young boy.

Authors: Topal IO, Kamali GH, Gungor S, Goncu OE Abstract Zosterifom connective tissue nevus is a rare kind of connective tissue nevi composed of collagen, elastin, or glycosaminoglycan, which was first reported by Steiner 1944. Herein, we report a young boy with a collagen nevus that presented in a zosteriform distribution. PMID: 25148285 [PubMed - in process] (Source: Dermatol Online J)

Aug 29, 2014 12:30PM

Hydroa vacciniforme: a rare photodermatosis.

Authors: Haddad JM, Monroe HR, Hardin J, Diwan AH, Hsu S Abstract Hydroa vacciniforme (HV) is a rare photodermatosis characterized by a recurrent vesiculopapular eruption with varioliform scarring. The pathogenesis remains unknown. Herein we present a case to emphasize the importance of recognizing this condition and its clinical mimickers, which include other photodermatoses and lymphoma. PMID: 25148284 [PubMed - in process] (Source: Dermatol Online J)

Aug 29, 2014 12:30PM

Multiple labial melanotic macules occurring after topical application of calcineurin inhibitors.

Authors: Shi VY, Joo JS, Sharon VR Abstract Topical calcineurin inhibitors are widely used to treat inflammatory dermatoses for their steroid-sparing advantage. Herein, we report a patient with chronic lip dermatitis who developed multiple labial melanotic macules after application of tacrolimus 0.1% ointment and pimecrolimus 1% cream. Prior and current reports raise concerns for potential development of pigmented lesions associated with topical calcineurin inhibitor use. These reports highlight the need for careful risk-benefit assessment when prescribing topical calcineurin inhibitors for inflammatory dermatoses, especially when used on sun-exposed sites. PMID: 25148283 [PubMed - in process] (Source: Dermatol Online J)

Aug 29, 2014 12:30PM

Granuloma faciale treated with topical dapsone: a case report.

We present a case of a patient with GF on the nasal tip successfully treated with topical dapsone. PMID: 25148282 [PubMed - in process] (Source: Dermatol Online J)

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Aug 29, 2014 12:30PM

Hydroxyurea-induced amyopathic dermatomyositis presenting with heliotrope erythema.

We describe a 69-year-old man who had essential thrombocytosis and developed amyopathic dermatomyositis after long-term HU therapy. He presented with Gottron papules and heliotrope erythema. The former has been described in all cases of HU-induced dermatomyositis; the latter has been seen in a few cases of that disorder. PMID: 25148281 [PubMed - in process] (Source: Dermatol Online J)

Aug 29, 2014 12:30PM

Basal cell carcinoma of the perineum.

We present a case of BCC of the perineum in a man with no previous history of skin cancer. This is the first report of BCC in this region and one of a small body of cases arising on or near the genital and perianal regions. PMID: 25148280 [PubMed - in process] (Source: Dermatol Online J)

Aug 29, 2014 12:30PM

Axillary basal cell carcinoma in patients with Goltz-Gorlin syndrome: report of basal cell carcinoma in both axilla of a woman with basal cell nevus syndrome and literature review.

CONCLUSIONS: Basal cell carcinoma of the axilla has only been described in 79 individuals; two of the patients were women with pigmented tumors who had basal cell nevus syndrome. Similar to other patients with axillary basal cell carcinoma, the tumors were histologically nonaggressive and did not recur following treatment. Whether PTCH1 gene mutation predisposes basal cell nevus patients to develop axillary basal cell carcinomas remains to be determined. PMID: 25148279 [PubMed - in process] (Source: Dermatol Online J)

Aug 29, 2014 12:30PM

Basal cell carcinomas in a young woman with Steinert's disease.

Authors: Miraglia E, Cantisani C, Giustini S, Ambrifi M, Soda G, Calvieri S Abstract Steinert's disease or Myotonic dystrophy type I (DM1) is an autosomal dominant disease characterized by myotonia, muscular dystrophy, cataracts, hypogonadism, frontal balding, and electrocardiographic alterations.Several tumors have been associated with DM1 such as pilomatricoma, thymomas and insulinomas. Herein, we describe the unusual onset of multiple basal cell carcinomas in a young woman with DM1. PMID: 25148278 [PubMed - in process] (Source: Dermatol Online J)

Aug 29, 2014 12:30PM

Rapid response of tattoo-associated cutaneous sarcoidosis to minocycline: case report and review of the literature.

CONCLUSIONS: To our knowledge, this is the first report of cutaneous sarcoidosis in tattoos treated with minocycline. Our patient's rapid response to minocycline suggests that minocycline may be a quickly effective medication for cutaneous sarcoidosis and should be considered as a therapeutic option given its favorable side-effect profile. PMID: 25148277 [PubMed - in process] (Source: Dermatol Online J)

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Aug 29, 2014 12:30PM

Subcutaneous sarcoidosis without systemic involvement.

We report a case of a middle-aged woman with subcutaneous sarcoidosis, with negative work-up for systemic involvement of sarcoidosis. Interestingly, family history was significant for a son who died from complications of pulmonary sarcoidosis. The patient was successfully treated with a tapering course of oral prednisone in combination with hydroxychloroquine. PMID: 25148276 [PubMed - in process] (Source: Dermatol Online J)

Aug 29, 2014 12:30PM

A case of generalized eruptive histiocytosis in a 23-year-old man.

Authors: Kazi N, Bernert R, Moussa C, Magro C Abstract Generalized eruptive histiocytosis (GEH) is an exceedingly rare type of Factor XIIIA-positive histiocytopathy, characterized by symmetric distribution of red-brown papules on the trunk, proximal extremities, and face. It is diagnosed by the integration of the clinical features, light microscopic findings, and phenotypic profile. Herein, we report an unusual presentation of GEH in a 23-year-old man, who had a striking papular and erythrodermic component to his lesions. PMID: 25148275 [PubMed - in process] (Source: Dermatol Online J)

Aug 29, 2014 12:30PM

A verrucous presentation of mycosis fungoides.

We describe a case of a 59-year-old woman who presented with verrucous hyperkeratotic plaques on her distal fingertips, dorsal feet, and areolae that were subsequently biopsied and shown to be mycosis fungoides. This case highlights one of the many atypical manifestations of MF and underscores the need to have a high clinical suspicion for the disease. PMID: 25148274 [PubMed - in process] (Source: Dermatol Online J)

Aug 29, 2014 12:30PM

Risk of tuberculosis with the use of anti-TNF medications in psoriasis: incidence, screening and management.

Authors: Kasiraman V, Atwan AA, Durojaiye OC, Kalavala M, Piguet V Abstract Tumor necrosis factor (TNF) plays an important role in containing mycobacterial infections. With the rapidly increasing role of TNF inhibitors in dermatology, tuberculosis (TB) is becoming an important and worrisome concern to dermatologists. This paper aims to provide a comprehensive review on the incidence of TB in patients treated with anti-TNF, the variety of TB screening methods, and management of these cases. Various national recommendations have been highlighted. The monoclonal antibodies, infliximab and adalimumab, appear to be more associated with the risk of TB reactivation than the soluble receptor etanercept. Tuberculosis associated with TNF inhibitors, in contrast to classical TB, is more likel...

Aug 29, 2014 12:30PM

Social impact of the burden of psoriasis: effects on patients and practice.

Authors: Feldman SR, Malakouti M, Koo JY Abstract The raised, scaly, and erythematous plaques associated with psoriasis can be cosmetically disfiguring, which may provoke disgust, fear, and aversion in others. Consequently, the social stigma of psoriasis can be devastating for patients, evoking feelings of shame and anxiety about how they are perceived. In recent years, appreciation of psoriasis as a disease that can cause social distress and impairment has increased. This review discusses the manifold social burdens of psoriasis; different and emerging therapies that may mitigate these burdens by improving outcomes associated with the underlying disease; and psoriasis management in the context of healthcare reform changes focused on assessing the quality and value of patient care....

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Aug 29, 2014 12:27PM

Dermoscopy in plasma cell balanitis: its usefulness in diagnosis and follow?up

(Source: Journal of the European Academy of Dermatology and Venereology)

Aug 29, 2014 12:05PM

[Erythema of rosacea: a new and effective treatment].

Authors: Hougeir FG Abstract Until recently, our rosacea patients have had to suffer of their erythema with limited effective treatments. Mirvaso(®) (Brimonidine tartrate 0.5%, Brimonidine 3mg/g) is a new medication, indicated for the treatment of the erythema of rosacea. The phase III pivotal and long term studies showing the efficacy and tolerability of Mirvaso(®) are summarized. PMID: 25151933 [PubMed - in process] (Source: Annales de Dermatologie et de Cenereologie)

Aug 29, 2014 12:05PM

[Impact of erythrosis in patients suffering from rosacea].

Authors: Misery L Abstract In rosacea, transient or permanent erythrosis is a common symptom. It is related to vasodilatation, under the control of the nervous System. It can therefore be increased by stress. The impact of rosacea, especially when there is an erythrosis, is not negligible. There is an impact on quality of life, sometimes severe, and psychological and social consequences. Ereutophobia is common. Stigma is common, even more so as facial redness and other signs of rosacea evoke wrongly alcoholism. PMID: 25151932 [PubMed - in process] (Source: Annales de Dermatologie et de Cenereologie)

Aug 29, 2014 12:05PM

[Physiopathology of rosacea].

Authors: Cribier B Abstract For a long time rosacea was thought to be mainly a vascular disorder. In the past ten years many other concepts have emerged, such as the neurovascular aspects and involvement of innate immunity. There is obviously a genetic part in rosacea, as it is much more common in people with fair skin, blue eyes and Celtic ascendance. The same persons are submitted to continental weather, with major temperature seasonal variations. Erythema and telangiectasia result from dilated superficial capillaries that have bizarre shapes, and induce constant edema of the dermis. This might be a favouring factor for Demodex colonization, which plays a major role in rosacea. Inflammation is always present, even in erythematotelangiectatic subtypes. It involves innate immunity,...

Aug 29, 2014 12:05PM

[Signs and symptoms of rosacea].

Authors: Schmutz JL Abstract Rosacea is a chronic inflammatory dermatosis characterized by outbreaks of exacerbation and remission. The diagnosis of rosacea based on specific clinical criteria, mainly centrofacial erythema occurring between 30 and 50 years. The disease predominates in women, in light phototype, especially from Northern Europe. Several classifications of the disease exist. In France, Edouard Grosshans described four stages. Stage I is that of flushing, stage II is that of erythrocouperosis, stage III papules and pustules and stage IV rhinophyma. German schools described only 3 stages, like experts from the National Rosacea Society (NRS), who described four subtypes: The patient can enter the disease at any stage. Clinical aspects of rosacea Stage I (flushes) sometim...

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Aug 29, 2014 12:05PM

[Rosacea - dermocosmetic management: skin-care and corrective make-up].

Authors: Deshayes P Abstract Rosacea is a common disorder of facial skin. The main symptoms are facial flushing and redness, then persistent redness and pimple-like bumps. The use of gentle cleansing routine and products developed especially for rosacea minimizes skin irritation. Wearing sun protection and limitating sun exposure is highly recommended. Because of its chronic evolution, clinical symptoms such as red-faced effects can substantially impact the quality of life of patients. Corrective make-up can be used to conceal those symptoms, hence improving the quality of life of patients without aggrieving lesions. PMID: 25151935 [PubMed - in process] (Source: Annales de Dermatologie et de Cenereologie)

Aug 29, 2014 12:05PM

[Role of laser in the treatment of rosacea].

Authors: Mazer JM Abstract The role of vascular lasers in the treatment of rosacea is important. Despite the relative low number of studies using an excellent methodology, one can consider that it is un-discussable. Two lasers are mainly used: pulsed dye lasers and KTP lasers. But the main discussion is the choice of the principle of treatment, related to the pulse duration, photocoagulation or selective photothermolysis. Photothermolysis is more effective, mainly on thintelangiectasias and diffuse erythrosis, but it induces purpura, and certain patients do not agree with those side effects. Nd-Yag lasers must be carefully used, because they can induce facial atrophic scars. They are rarely effective, with long lasting results, on flushes, but they improve the quality of life of pa...

Aug 29, 2014 08:20AM

Occupational contact dermatitis caused by D?limonene

ConclusionsLimonene is a frequent occupational sensitizer in hand cleansers and cleaning products. Occupational limonene contact allergy may also be caused by exposure to cosmetic products scented with limonene. (Source: Contact Dermatitis)

Aug 28, 2014 08:16PM

JAK Inhibition Restores Hair in Alopecia PatientsJAK Inhibition Restores Hair in Alopecia Patients

In keeping with results in murine studies, pharmacological inhibition of Janus kinase (JAK) family protein tyrosine kinases led to recovery of hair growth in three patients with alopecia areata. Reuters Health Information (Source: Medscape Dermatology Headlines)

Aug 28, 2014 04:00PM

A case of panuveitis with hypopyon due to presumed ocular leishmaniasis in a HIV patient

Conclusions: A major immune reaction against lingering parasites may play a key role in the pathogenesis of this sight-threatening and rapidly progressive condition. Both the infection and the immune reaction should be treated. (Source: BioMed Central)

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Aug 28, 2014 04:00PM

Acute transverse myelitis and psoriasiform dermatitis associated with Sjoegren's syndrome: a case report

Conclusion: Severe neurological and dermatological complications may occur in Sjoegren's syndrome. This suggests a close yet currently unclear pathogenetic relationship. Intensive immunosuppressant treatment resulted in significant improvement of both symptom clusters. Skin manifestations may precede other severe complications in Sjoegren's syndrome and therefore require particular attention. (Source: BMC Research Notes)

Aug 28, 2014 04:00PM

When mites attack: domestic mites are not just allergens

This article summarizes the reported cases of human acariasis of pulmonary, intestinal, oral (anaphylaxis), urinary, otic and vaginal systems. Image: Dermatophagoides pteronyssinus (female). (Source: Parasites and Vectors)

Aug 28, 2014 04:00PM

Contact dermatitis-like cutaneous leishmaniasis in a Libyan HIV patient

We report for the first time a case of a Pentostam unresponsive cutaneous leishmaniasis patient that presented as large eczematous plaques occurring on the dorsi of both feet in a Libyan drug-addicted, alcoholic patient with HIV infection. Combination of oral rifampicin and isoniazide was a successful alternative therapy. Image: Contact dermatitis-like cutaneous leishmaniasis. (Source: Parasites and Vectors)

Aug 28, 2014 04:00PM

Maternal hookworm modifies risk factors for childhood eczema: results from a birth cohort in Uganda

ConclusionsMaternal hookworm modifies effects of known risk factors for eczema. Mechanisms by which early?life worm exposures influence allergy need investigation. Worms or worm products, and intervention during pregnancy have potential for primary prevention of allergy. (Source: Pediatric Allergy and Immunology)

Aug 28, 2014 04:00PM

Predictors of benefit from an atopic dermatitis education programme

ConclusionsParents of children with AD who lack adequate coping abilities should be particularly encouraged to take part in such an education programme. (Source: Pediatric Allergy and Immunology)

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Aug 28, 2014 04:00PM

Phlebologie ? quo vadis?

(Source: JDDG)

Aug 28, 2014 04:00PM

Mycology ? an update Part 2: Dermatomycoses: Clinical picture and diagnostics

Summary Most fungal infections of the skin are caused by dermatophytes, both in Germany and globally. Tinea pedis is the most frequent fungal infection in Western industrial countries. Tinea pedis frequently leads to tinea unguium, while in the elderly, both may then spread causing tinea corporis. A variety of body sites may be affected, including tinea glutealis, tinea faciei and tinea capitis. The latter rarely occurs in adults, but is the most frequent fungal infection in childhood. Following antifungal treatment of tinea unguium and also tinea capitis a dermatophytid or hyperergic reaction to dermatophyte antigens may occur. Yeast infections affect the mucous membranes both of the gastro?intestinal system and the genital tract as candidiasis mostly due to Candida albicans. Cutaneous ...

Aug 28, 2014 04:00PM

Mykologie ? ein Update Teil 2: Dermatomykosen: Klinisches Bild und Diagnostik

Zusammenfassung Pilzinfektionen der Haut werden in Deutschland und weltweit am häufigsten durch Dermatophyten verursacht. Die Tinea pedis ist die häufigste Pilzinfektion in den Industriestaaten der westlichen Welt. Ausgehend von dieser Dermatophytose entwickelt sich eine Tinea unguium. Insbesondere bei älteren Patienten kommt es infolge Autoinokulation von der Tinea pedis et unguium zu Tinea?Formen der freien Haut. Die Tinea capitis tritt bei Erwachsenen selten auf. Dagegen gilt sie als häufigste Pilzinfektion im Kindesalter. Bei der antimykotischen Behandlung der Tinea unguium und der Tinea capitis kann ein Dermatophytid auftreten. Hefepilzinfektionen betreffen die Schleimhaut von Orointestinaltrakt und Genitalsystem. Die Candidose der Haut betrifft vorzugsweise die intertriginösen...

Aug 28, 2014 04:00PM

Palmoplantar keratoderma (PPK): acquired and genetic causes of a not so rare disease

Summary Palmoplantar keratodermas (PPK) comprise a heterogeneous group of keratinization disorders with hyperkeratotic thickening of palms and soles. Sporadic or acquired forms of PPKs and genetic or hereditary forms exist. Differentiation between acquired and hereditary forms is essential for adequate treatment and patient counseling. Acquired forms of PPK have many causes. A plethora of mutations in many genes can cause hereditary PPK. In recent years several new causative genes have been identified. Individual PPK may be quite heterogeneous with respect to presentation and associated symptoms. Since the various hereditary PPK ? like many other monogenic diseases ? exhibit a very low prevalence, making of the correct diagnosis is challenging and often requires a molecular genetic ana...

Aug 28, 2014 04:00PM

Palmoplantare Keratosen (PPK): erworbene und genetische Ursachen eines gar nicht so seltenen Krankheitsbildes

Zusammenfassung Als palmoplantare Keratosen (PPK) bezeichnet man eine Gruppe von Verhornungsstörungen, die sich durch Hyperkeratosen an den Handflächen und Fußsohlen als Leitsymptom auszeichnen. Palmoplantare Keratosen (PPK) können im Allgemeinen in sporadisch auftretende erworbene und genetisch bedingte PPK unterteilt werden. Um Patienten angemessen behandeln und vor allem beraten zu können, ist eine Abgrenzung zwischen genetisch bedingten und erworbenen PPK für den behandelnden Arzt unabdingbar. Für die erworbenen Varianten finden sich mannigfaltige Auslöser als Ursache. Auch bei den genetisch bedingten PPK kommen Mutationen in einer Reihe von möglichen Genen als Ursache infrage. Gerade in den letzten Jahren werden immer neue Gene identifiziert, die sich als Auslöser verschiede...

Aug 28, 2014 04:00PM

Von Hautzellen zu anderen Körperzellen

(Source: JDDG)

Aug 28, 2014 04:00PM

Kompressionstherapie ? Kenntnisse und Anwendungspraxis

Zusammenfassung HintergrundKompressionsbandagierung ist die verbreitetste Therapieform des Ulcus cruris venosum. Diese Behandlung basiert auf der Kenntnis der adäquaten Materialien und Befähigung der beteiligten Versorger, diese entsprechend der Therapievorgaben anzuwenden. Diese Untersuchung ermittelt die Kenntnisse bei den Versorgern in Deutschland bezüglich Materialwissen und ?anwendung sowie deren praktische Fähigkeiten, eine Kompressionswickelung mit Kurzzugbinden anzulegen. Teilnehmer und MethodikIm Rahmen bundesweiter praktischer Fortbildungen zur Kompressionstherapie wurden mittels standardisierter Fragen diesbezügliche Kenntnisse im Querschnitt erfasst. Zudem wurden die praktischen Fähigkeiten der Teilnehmer zur Anlage einer Kompressionsbandagierung in einem Druckwertberei...

Aug 28, 2014 04:00PM

Health care characteristics of basal cell carcinoma in Germany: the role of insurance status and socio?demographic factors

ConclusionsArea of residence, health insurance status, age and gender are relevant determinants of BCC health care in Germany. Prevention programs and activities to improve early detection by health insurances should take this into account. (Source: JDDG)

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Aug 28, 2014 04:00PM

Versorgungsmerkmale des Basalzellkarzinoms in Deutschland: Die Rolle von Versichertenstatus und soziodemographischen Faktoren

Zusammenfassung HintergrundZur Versorgung des Basalzellkarzinoms (BCC) liegen in Deutschland nur wenige bevölkerungsbezogene Daten vor. ZielsetzungAnalyse des Zusammenhangs von soziodemographischen und regionalen Faktoren, Krankenversicherung (KV) und klinischen Merkmalen des BCC. MethodenDermatohistopathologische versorgungswissenschaftliche Primärdatenstudie mit Untersuchung aller Exzisate des Jahres 2010 aus einem bundesweit tätigen dermatohistopathologischen Einsendelabor hinsichtlich tumorspezifischer und sozioökonomischer Merkmale von BCC. Ergebnisse9 467 histologisch verifizierte BCC von 7 116 Patienten (54,1 % männlich, Altersdurchschnitt 70 Jahre) wurden analysiert. Die Rate an Mehrfachtumoren betrug 33,0 %. Die mittlere vertikale Eindringtiefe der BCC betrug 1,27 mm. Sie war...

Aug 28, 2014 04:00PM

Self?healing juvenile cutaneous mucinosis: challenging diagnosis and management

(Source: JDDG)

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Aug 28, 2014 04:00PM

Juckende eingetrübte Bläschen in den Körperfalten

(Source: JDDG)

Aug 28, 2014 04:00PM

Multiple perianale Papeln bei einer 37?jährigen Frau

(Source: JDDG)

Aug 28, 2014 04:00PM

Journal?Club

(Source: JDDG)

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Aug 28, 2014 04:00PM

Tagesnotiz: Auszeichnung für Nachwuchswissenschaftler

(Source: JDDG)

Aug 28, 2014 04:00PM

Personalia

(Source: JDDG)

Aug 28, 2014 04:00PM

Kongresskalender

(Source: JDDG)

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Aug 28, 2014 04:00PM

Prioritizing dermatoses: rationally selecting guideline topics

ConclusionDermatological professional organizations worldwide succeeded in developing guidelines for all top 20 topics. Respondents mostly agree with (inter)national guideline programmes and literature concerning the criteria important to selecting guideline topics. (Source: Journal of the European Academy of Dermatology and Venereology)

Aug 28, 2014 04:00PM

Becker nevus syndrome; probably the first report of concurrent acrally located congenital BN, soft tissue hypertrophy and fused carpal bones

(Source: Journal of the European Academy of Dermatology and Venereology)

Aug 28, 2014 04:00PM

A possible relationship of human leucocyte antigens with psoriasis vulgaris and geographic tongue

ConclusionHLA?B*58 was associated with GT and HLA?B*57 was possibly associated with psoriasis. This suggested that some GT cases may represent true oral psoriasis and some may represent only GT. Therefore, it is necessary to make this distinction and increase our sample size to improve the correct diagnosis and treatment of these conditions. (Source: Journal of the European Academy of Dermatology and Venereology)

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Aug 28, 2014 04:00PM

Severe cutaneous adverse reaction associated with vemurafenib: DRESS, AGEP or overlap reaction?

(Source: Journal of the European Academy of Dermatology and Venereology)

Aug 28, 2014 04:00PM

Influence of TNF?? gene polymorphisms in coronary artery calcification in psoriasis patients

(Source: Journal of the European Academy of Dermatology and Venereology)

Aug 28, 2014 04:00PM

Radiation?induced morphea ? a literature review

Abstract Radiation?induced morphea (RIM) is a rare and under?recognized skin complication of radiotherapy. It is commonly wrongly diagnosed as other dermatological conditions or malignancy because of similar clinical characteristics. This literature review analyses 66 cases that have been reported in the literature since 1989. The clinical appearance often includes pain and disfiguration of affected area, which may influence the patient's quality of life. There is no clear connection between the radiotherapy dose, the fractionation scheme, the use of a boost, age, the presence of other dermatological conditions or other connective tissue diseases and the occurrence of RIM. Its pathogenesis is still unclear, but several theories are proposed to explain this phenomenon. The available dat...

Aug 28, 2014 04:00PM

Pyoderma gangrenosum with granuloma formation: not always a benign disorder

(Source: Journal of the European Academy of Dermatology and Venereology)

Aug 28, 2014 04:00PM

Long?term sustained lesion clearance from Lmax with imiquimod 3.75%, a new field?directed treatment for actinic keratosis

ConclusionsThe ability of imiquimod 3.75% to eliminate clinical and subclinical lesions across an entire sun?exposed field translates into sustained long?term efficacy. Imiquimod 3.75% may therefore represent a first?choice treatment for patients with AK. (Source: Journal of the European Academy of Dermatology and Venereology)

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Aug 28, 2014 04:00PM

Comparison of adrenocortical steroidogenesis in women with post?adolescent severe acne and polycystic ovary syndrome

ConclusionWomen with isolated post?adolescent severe acne do not have increased levels of adrenal androgens basally or in response to ACTH. However, these women have similar secretion pattern of 17?OHP with PCOS patients suggesting increased enzymatic activity in this pathway. (Source: Journal of the European Academy of Dermatology and Venereology)

Aug 28, 2014 04:00PM

Treatment of cutaneous T?cell lymphoma with oral alitretinoin

ConclusionIn our group of CTCL patients we noticed a low rate of side?effects and an overall good clinical response to treatment with alitretinoin. Further studies are required to substantiate this early clinical observation. (Source: Journal of the European Academy of Dermatology and Venereology)

Aug 28, 2014 04:00PM

Functional optical coherence tomography of pigmented lesions

ConclusionAlthough this preliminary study comprised a small number of patients, quantitative analysis of OCT images in pigmented skin lesions give valuable additional information about lesions characteristics. When using the attenuation coefficient, it might be possible to distinguish between benign lesions and melanomas. (Source: Journal of the European Academy of Dermatology and Venereology)

Aug 28, 2014 04:00PM

Nocardia beijingensis outside of Asia

(Source: Journal of the European Academy of Dermatology and Venereology)

Aug 28, 2014 04:00PM

Childhood facial vitiligo: how intractable is it?

ConclusionAlthough childhood facial vitiligo is quite refractory to treatment, the long?term outcome of this condition is not dismal with conventional vitiligo therapy along with basic nutritional therapeutic regimen. (Source: Journal of the European Academy of Dermatology and Venereology)

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Aug 28, 2014 04:00PM

Symptomatic dermographism: an inadequately described disease

ConclusionsThis questionnaire survey confirmed that symptomatic dermographism is a debilitating condition with profound effects on quality of life but its underlying cause and disease mechanisms remain obscure. (Source: Journal of the European Academy of Dermatology and Venereology)

Aug 28, 2014 04:00PM

Reticular telangiectatic erythema: a reactive clinicopathological entity related to the presence of foreign body

(Source: Journal of the European Academy of Dermatology and Venereology)

Aug 28, 2014 04:00PM

Preservatives in cosmetics in the Israeli market conform well to the EU legislation

ConclusionsIn Israel, adaptation of the European directive prevails, as shown by the measurements we performed on randomly selected products. (Source: Journal of the European Academy of Dermatology and Venereology)

Aug 28, 2014 04:00PM

Topical corticosteroid phobia among parents of children with atopic dermatitis in a semirural area of Norway

(Source: Journal of the European Academy of Dermatology and Venereology)

Aug 28, 2014 04:00PM

Analysis of current data on the use of topical rapamycin in the treatment of facial angiofibromas in Tuberous Sclerosis Complex

ConclusionTopical rapamycin can be considered a safe option for the treatment and the prevention of facial angiofibromas in younger patients, but the best formulation has not been established. Our review demonstrates that ointment and gel should be preferred, but it is not clear which concentration is optimal. Long?term and comparative studies between topical rapamycin and ablative techniques are required to establish which treatment has a better outcome and lower recurrence rate. (Source: Journal of the European Academy of Dermatology and Venereology)

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Aug 28, 2014 04:00PM

Dante and dermatological diseases: a literary description of scabies in the Middle Ages

(Source: Journal of the European Academy of Dermatology and Venereology)

Aug 28, 2014 04:00PM

Bullous pemphigoid induced by m?TOR inhibitors in renal transplant recipients

ConclusionsThe diagnosis of drug?induced events is crucial for early management, and particularly bullous eruptions affect patients' health and quality of life. Additional research is necessary to confirm the m?TOR inhibitors association, which exploit the possible mechanisms and eventually point out preventive measures. (Source: Journal of the European Academy of Dermatology and Venereology)

Aug 28, 2014 04:00PM

Acquired ichthyosis during acitretin therapy for psoriasis vulgaris

(Source: Journal of the European Academy of Dermatology and Venereology)

Aug 28, 2014 04:00PM

Recurrent nodule on the scalp: a differential diagnosis of a nodule on the scalp

(Source: Journal of the European Academy of Dermatology and Venereology)

Aug 28, 2014 04:00PM

Primary cutaneous diffuse large B?cell lymphoma with cranial vault and dura mater involvement

(Source: Journal of the European Academy of Dermatology and Venereology)

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Aug 28, 2014 04:00PM

Angina bullosa haemorragica

(Source: Journal of the European Academy of Dermatology and Venereology)

Aug 28, 2014 04:00PM

Phase III Randomized Trial of Induction Chemotherapy in Patients With N2 or N3 Locally Advanced Head and Neck Cancer [Head and Neck Cancer]

Conclusion IC did not translate into improved OS compared with CRT alone. However, the study was underpowered because it did not meet the planned accrual target, and OS was higher than predicted in both arms. IC cannot be recommended routinely in patients with N2 or N3 locally advanced SCCHN. (Source: Journal of Clinical Oncology)

Aug 27, 2014 04:00PM

Propranolol targets the contractility of infantile haemangioma?derived pericytes

ConclusionsThese findings suggest that the mechanism of propranolol's effect on proliferating IH involves increased pericytic contractility. (Source: British Journal of Dermatology)

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Aug 27, 2014 04:00PM

Helicobacter pylori and Extragastric Diseases

Abstract While Helicobacter pylori infection was initially revealed to be associated only with some gastroduodenal diseases, further studies have shown its possible role in several extragastric diseases. For idiopathic thrombocytopenic purpura, sideropenic anemia, and vitamin B12 deficiency, the diagnosis of H. pylori infection is recommended, and there are many other conditions such as cardiovascular, neurological, dermatological, and respiratory diseases in which H. pylori may possibly play a role. Interestingly, a potential role has also been described for GI neoplastic diseases, including colorectal and pancreatic cancer. Different mechanisms of action have been proposed, ranging from the induction of a low grade inflammatory state to the occurrence of molecular mimicry mechanisms. T...

Aug 27, 2014 04:00PM

Comparison of cancer incidence among patients with rheumatic disease: a retrospective cohort study

Conclusions: Different RDs are associated with particular cancers. Thus, cancer surveillance tailored to specific RD might be beneficial. (Source: Arthritis Research and Therapy)

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Aug 27, 2014 04:00PM

Oral Lichen Planus with Severe Nail Involvement in a 10-year-old Boy.

Authors: Zychowska M, Batycka-Baran A, Baran W Abstract Abstract is missing (Short communication). PMID: 25166300 [PubMed - as supplied by publisher] (Source: Acta Dermato-Venereologica)

Aug 27, 2014 04:00PM

Patch Testing with a Textile Dye Mix in Two Concentrations - A Multicentre Study by the Swedish Contact Dermatitis Research Group.

Conclusion: contact allergy to the TDM is common and inclusion into the Swedish baseline series should be considered. PMID: 25166030 [PubMed - as supplied by publisher] (Source: Acta Dermato-Venereologica)

Aug 27, 2014 02:20PM

Light Therapy a Good Option for Pre-Cancerous Skin Lesions, Study Says

But it's more painful, time consuming than common treatment, dermatologist notes (Source: WebMD Health)

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Aug 26, 2014 06:15PM

Psoriasis: Physical Activity May Reduce Risk, Disease Course Psoriasis: Physical Activity May Reduce Risk, Disease Course

Exercise appeared to decrease the risk of developing psoriasis as well as the severity of disease in a cross-sectional study. Medscape Medical News (Source: Medscape Medical News Headlines)

Aug 26, 2014 04:00PM

Light Therapy a Good Option for Pre-Cancerous Skin Lesions, Study Says

But it's more painful, time consuming than common treatment, dermatologist notes (Source: Cancercompass News: Other Cancer)

Aug 26, 2014 04:00PM

Genotyping of Borrelia from formalin?fixed paraffin?embedded skin biopsies of cutaneous borreliosis and tick bite reactions by assays targeting the intergenic spacer region, ospA and ospC genes

ConclusionsGenotyping of Borrelia can be easily implemented in a routine dermatopathology setting, especially as a fast method to confirm early cutaneous borreliosis. Genotyping could also enable earlier treatment of patients infected with invasive strains. (Source: British Journal of Dermatology)

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Aug 26, 2014 04:00PM

Scleredema-an uncommon cause of swelling in a child-a case report and review of the literature

Conclusions: The case is presented to highlight scleredema as a rare cause of body swelling in paediatrics and to differentiate it from similar sounding rare terms like scleroderma and scleromyxedema. (Source: BMC Research Notes)