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

Latest Dermatology Headlines

Patient Online Log in
(email staff to get your personal passcode)

* Patient Biopsy Results via LabCalls


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
SmartLipo Laser
Tattoo Laser
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

new! SideLaze Lift

SmartLipo Laser Tumescent Liposuction

Ulthera natural lift & skin tightening of face and neck


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


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925-328-0255

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* Review Dr. Ting's 717+ Q&A on RealSelf

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
Mon, 21 Apr 2014 03:01:47 +0100

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

Apr 19, 2014 03:00PM

Direct analysis of airborne mite allergen (Der f1) in the residential atmosphere by chemifluorescent immunoassay using bioaerosol sampler.

Authors: Miyajima K, Suzuki Y, Miki D, Arai M, Arakawa T, Shimomura H, Shiba K, Mitsubayashi K Abstract Dermatophagoides farinae allergen (Der f1) is one of the most important indoor allergens associated with allergic diseases in humans. Mite allergen Der f1 is usually associated with particles of high molecular weight; thus, Der f1 is generally present in settled dust. However, a small quantity of Der f1 can be aerosolized and become an airborne component. Until now, a reliable method of detecting airborne Der f1 has not been developed. The aim of this study was to develop a fiber-optic chemifluorescent immunoassay for the detection of airborne Der f1. In this method, the Der f1 concentration measured on the basis of the intensity of fluorescence amplified by an enzymatic reaction...

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Apr 19, 2014 12:23AM

Free Dermatological Drug Samples Increase Prescription CostsFree Dermatological Drug Samples Increase Prescription Costs

A new study has shown that free drug samples given to dermatologists can increase overall prescribing costs. Medscape Medical News (Source: Medscape Business of Medicine Headlines)

Apr 18, 2014 04:00PM

Mouse bone marrow?derived dendritic cells can phagocytize the Sporothrix schenckii, and mature and activate the immune response by secreting interleukin?12 and presenting antigens to T lymphocytes

Abstract In sporotrichosis, dermal dendritic cells were considered to participate in induction of the immune responses against Sporothrix schenckii infection. However, it is still unclear whether and how dermal dendritic cells were involved in the progress. To clarify the pathogenic role of dermal dendritic cells (DC) in sporotrichosis, we examined the phagocytosis, maturation stages, cytokine production and antigen?presenting ability of mouse bone marrow?derived DC after stimulation with S. schenckii. By analysis of flow cytometry, electron microscope and confocal microscope, mouse bone marrow?derived DC were proved to be able to phagocytize the S. schenckii. The increased expression of CD40, CD80 and CD86 on the surface of S. schenckii?pulsed mouse bone marrow?derived DC was...

Apr 18, 2014 04:00PM

Entero?Behçet's disease coexisting with long?term epilepsy and schizophrenia?like symptoms

Abstract Entero?Behçet's disease coexisting with long?term epilepsy and schizophrenia?like symptoms is presented. A 43?year?old woman presented with repeatedly occurring aphthous stomatitis for several years. She had been treated for absence seizures, epilepsy and schizophrenia since she was 9 years old. She presented with multiple aphthous stomatitis on her gingiva, erythema nodosum?like symptoms on the right lateral aspect of her leg and genital ulcers on her perianal area. She also showed polyarthritis. Laboratory examinations revealed elevated C?reactive protein, elevated neutrophil counts, decreased serum Fe and elevated serum Cu. Histological examination showed perivascular neutrophil and mononuclear cell infiltrates and eosinophilic change of the vessel wall in the l...

Apr 18, 2014 04:00PM

Case of trichomycosis axillaris caused by Corynebacterium propinquum

(Source: The Journal of Dermatology)

Apr 18, 2014 04:00PM

Post?herpes zoster sarcoidosis

(Source: The Journal of Dermatology)

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Apr 18, 2014 04:00PM

Calcitriol inhibits keratinocyte proliferation by upregulating leukocyte elastase inhibitor (serpin B1)

Abstract Calcitriol had been proved to be effective for treatment of psoriasis vulgaris. However, the molecular events leading to the normalization of keratinocyte differentiation had not been fully explored. The aim of the study was to evaluate the role of calcitriol and serpin B1 in human keratinocyte cell line (HaCaT) proliferation. Proteins extracted from calcitriol?treated and untreated HaCaT were separated by 2?D differential gel electrophoresis (2DE). Then, the 2DE profiles were analyzed to screen for differentially expressed proteins, which were identified by matrix?assisted laser desorption/ionization time of flight mass spectrometry. The upregulation of serpin B1 was confirmed by quantitative reverse transcription polymerase chain reaction (qRT?PCR) and western blot analy...

Apr 18, 2014 04:00PM

Bullous morphea arising at the site of a healed herpes zoster

(Source: The Journal of Dermatology)

Apr 18, 2014 04:00PM

Unusual case of linear anetoderma in children

(Source: The Journal of Dermatology)

Apr 18, 2014 04:00PM

Lymphomatoid Papulosis in children: A Series of 25 Cases

ConclusionPaediatric LyP belongs to CD30?positive CTLPD including C?ALCL. Children have to be carefully life?long followed?up even if the prognosis appears good. The high frequency of an associated viral infection, atopic dermatitis, marked eosinophilic infiltrate and a good outcome suggests that paediatric LyP could be considered as a reactional disease rather than a malignant disorder.This article is protected by copyright. All rights reserved. (Source: British Journal of Dermatology)

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Apr 18, 2014 04:00PM

Safety of biologic therapies for psoriasis on reproductive potential and outcomes in males and females

This article is protected by copyright. All rights reserved. (Source: British Journal of Dermatology)

Apr 18, 2014 04:00PM

Risk factors for facial melasma in women: a case?control study

ConclusionsFacial melasma is independently associated to elements linked to pigmentation capacity, family ancestry, chronic sun exposure, sexual hormone stimuli, psychotropics and anxiety traits.This article is protected by copyright. All rights reserved. (Source: British Journal of Dermatology)

Apr 18, 2014 04:00PM

First report of a ipilimumab?induced Grover's disease

This article is protected by copyright. All rights reserved. (Source: British Journal of Dermatology)

Apr 18, 2014 04:00PM

Weekly radiotherapy for basal cell carcinomas in .the frail and elderly

This article is protected by copyright. All rights reserved. (Source: British Journal of Dermatology)

Apr 18, 2014 01:36PM

Common Dermatologic Conditions

This review discusses common dermatologic presentations as they would appear in a primary care office, exploring the differential diagnoses for each. Tips are provided on choosing an appropriate topical drug and vehicle and advising patients on its use. Etiology, differential diagnosis, and treatment options are discussed for the following: alopecias including androgenetic alopecia, female pattern hair loss, alopecia areata, and telogen effluvium; facial rashes including acne vulgaris, acne rosacea, periorificial dermatitis, seborrheic dermatitis, erysipelas/cellulitis, and systemic lupus erythematosus; intertriginous rashes including infections, intertrigo, and inverse psoriasis; and the inflamed leg including cellulitis and erysipelas, stasis dermatitis, and contact dermatitis. (Source: ...

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Apr 17, 2014 04:00PM

Understanding the dandruff scalp before and after treatment: an in vivo Raman spectroscopic study

ConclusionThe in vivo Raman probe has allowed the direct measurement of dandruff?affected skin in situ for the first time. It has been shown that the dandruff SC is different from that of the non? dandruff scalp and that it is changed by treatment with shampoo containing ZnPTO and brought towards the characteristics of non? dandruff scalp. It offers novel insights into how the nature of a healthy scalp should be defined.This article is protected by copyright. All rights reserved. (Source: International Journal of Cosmetic Science)

Apr 17, 2014 04:00PM

Aqueous dispersions of organogel nanoparticles ? potential systems for cosmetic and dermo?cosmetic applications

ConclusionThe obtained results demonstrate the interest of these gelled nanoparticles and their aqueous dispersion for the preparation of new formulations for cosmetic and dermo?cosmetic applications.This article is protected by copyright. All rights reserved. (Source: International Journal of Cosmetic Science)

Apr 17, 2014 04:00PM

Evaluation Of The Content ? Containing Interaction In Cosmetics Products Using Gas Chromatography ? Mass Spectrometry

This article is protected by copyright. All rights reserved. (Source: International Journal of Cosmetic Science)

Apr 17, 2014 04:00PM

Influence of pH, concentration of sodium lactate as an additive, and ultrasonic treatment on synthesis of zinc phosphate white pigments

This article is protected by copyright. All rights reserved. (Source: International Journal of Cosmetic Science)

Apr 17, 2014 04:00PM

Histopathological analysis of the progression pattern of subungual melanoma: late tendency of dermal invasion in the nail matrix area

Authors: Hyun-Tae Shin, Kee-Taek Jang, Goo-Hyun Mun, Dong-Youn Lee & Jason B Lee (Source: Modern Pathology AOP)

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Apr 17, 2014 01:12PM

Table of Contents

(Source: Journal of the American Academy of Dermatology)

Apr 17, 2014 01:12PM

Information for Readers

(Source: Journal of the American Academy of Dermatology)

Apr 17, 2014 01:12PM

Dermatology Calendar

(Source: Journal of the American Academy of Dermatology)

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Apr 17, 2014 01:12PM

Localized bullous fixed drug eruption following yellow fever vaccine

To the Editor: Yellow fever is a potentially fatal, mosquito-borne disease endemic to areas of South America and Africa. The yellow fever vaccine is recommended to those traveling to high-risk areas and is considered one of the safest and most effective vaccines ever developed. The vaccine is a live attenuated version of the 17D strain grown in egg embryos and imparts durable immunity for 10 years. Reported dermatologic side effects of the vaccine include mild injection site reactions, urticaria, and anaphylaxis. (Source: Journal of the American Academy of Dermatology)

Apr 17, 2014 01:12PM

Iotaderma #244

(Source: Journal of the American Academy of Dermatology)

Apr 17, 2014 01:12PM

April iotaderma (#243)

(Source: Journal of the American Academy of Dermatology)

Apr 17, 2014 01:12PM

Editorial Board

(Source: Journal of the American Academy of Dermatology)

Apr 17, 2014 01:12PM

Treatment of molluscum contagiosum with ingenol mebutate

Molluscum contagiosum (MC) is a common and benign contagious viral skin condition of childhood that accounts for approximately 1% of all diagnoses of skin disorders and up to 10% of skin disorder diagnoses in the pediatric population (Source: Journal of the American Academy of Dermatology)

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Apr 17, 2014 01:12PM

A unique protective bandage for preauricular surgery

Creating a pressure dressing for preauricular surgery can be difficult because of the anatomy of the ear and nearby hair. This dressing is indicated for scars located in the preauricular region, between the apex of the helix and ear lobe, 3 cm from the pinna?s anterior implantation (tragus; , A). After covering the surgical scar with ointment and sterile gauze (, B), the bandage is fixed in a vertical direction with hypoallergenic adhesive tape (25 × 12 mm; , C). (Source: Journal of the American Academy of Dermatology)

Apr 17, 2014 01:12PM

Brimonidine effective but may lead to significant rebound erythema

We report a case of facial erythema of rosacea that responded well to this medication, however, rebounded with significantly greater erythema than baseline for the patient. (Source: Journal of the American Academy of Dermatology)

Apr 17, 2014 01:12PM

Trigeminal trophic syndrome secondary to recurrent meningioma

To the Editor: A 45-year-old man with a history of childhood acute lymphocytic leukemia and radiation-induced bilateral recurrent meningiomas requiring resection in 2001 and resection and Gamma-Knife in 2010 presented with a 4-week history of unexplained facial ulcerations followed by the development of headaches. He reported waking with ?bloody lesions? on his face, which were preceded by facial pain he rated on a scale of 1 to 10 as an 8. He denied pruritus and picking his face. His headaches were associated with left-sided photophobia and facial numbness. Physical exam revealed a red, ulcerated, indurated left tragus. Scattered 5- to 10-mm annular pink atrophic scars with peripheral hyperpigmentation were seen on the left cheek, forehead, and nose (). A 2- x 1-cm superficial ulcerat...

Apr 17, 2014 01:12PM

Striking leflunomide efficacy against refractory cutaneous sarcoidosis

We describe leflunomide efficacy in 2 patients whose cutaneous sarcoidoses were refractory to conventional therapies. (Source: Journal of the American Academy of Dermatology)

Apr 17, 2014 01:12PM

Painless papules on the hands

A 56-year-old man presented with a 6-month history of a progressive asymptomatic papular eruption that began on the dorsal surfaces of his thumbs (, A). The physical examination revealed hundreds of monomorphic firm, clustered 1- to 2-mm skin-colored papules that were symmetrically distributed on the dorsal surfaces of his hands, arms, upper back, neck, and forehead (, B). The hands were notable for skin thickening over the proximal interphalangeal joints (, C). A skin biopsy specimen obtained from a papule on the dorsal surface of one of his hands revealed marked fibroblast proliferation and increased collagen with separation of fibers in the papillary dermis (, A, hematoxylin and eosin stain) caused by diffuse dermal mucin (, B, alcian blue stain). Serum thyroid studies were within norma...

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Apr 17, 2014 01:12PM

A woman with pruritic papules in her tattoo

A 46-year-old woman presented with a 3-month history of pruritic, burning papules within a 10-year-old tattoo. The physical examination revealed a large, multicolored tattoo across her back with discrete papules in the black portion (). Tender, red subcutaneous nodules were present on the anterior aspect of the lower legs. The patient developed systemic symptoms, including low-grade fevers, fatigue, chest pain, arthralgias, shortness of breath, and cough. A computed tomography scan of the chest was performed, and it revealed bilateral hilar lymphadenopathy. Pertinent laboratory tests include an elevated serum angiotensin-converting enzyme titer at 80 U/L (reference range, 8-53 U/L). Punch biopsy specimens were obtained from the mid-back tattoo and a left dorsal thumb papule (). (Source: Jo...

Apr 17, 2014 01:12PM

Uncovering a hidden basal cell carcinoma

The routine clinical examination of a 63-year-old man with a 3-year history of plaque psoriasis (PP) revealed numerous erythematous scaly papules and plaques on the trunk and extremities (). (Source: Journal of the American Academy of Dermatology)

Apr 17, 2014 01:12PM

Adhesive tape technique to enhance potassium hydroxide diagnosis of occult fungal infections

Most potassium hydroxide (KOH) preparations are readily executed and interpreted. Occasionally, hyphae are few or none. When the lesion is clinically suspect of fungal disease and KOH negative, we use adhesive tape not to take a specimen for direct examination but to produce a moist environment under occlusion. Fungal infections generally occur in moist or warm areas because fungi can easily flourish under such conditions. We apply plastic tape to the active outer border of their lesion and request that the patient reattach this tape with additional tape whenever it loosens (). Fungi therefore flourish under the tape. After 2 to 3 days, there will be a high quality sample for examination, which enables a physician to identify mycelia and spores. This simple technique provides a satisfacto...

Apr 17, 2014 01:12PM

Vacation dermatoses

A 6-year-old boy presented with an intensely pruritic rash on his left lower extremity after vacationing in Costa Rica (). He was seen in a local urgent care center, and over the course of 2 weeks was treated with multiple antibiotic ointments and oral antibiotics with no improvement. His mother reported that the patient frequented the beach while in Costa Rica, and that there were often stray dogs on the beach. (Source: Journal of the American Academy of Dermatology)

Apr 17, 2014 01:12PM

Important Notice Regarding JAAD Grand Rounds

(Source: Journal of the American Academy of Dermatology)

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Apr 17, 2014 01:12PM

JAAD Grand Rounds quiz? Adult with vesicles and bullae

Learning objectives: At the conclusion of this learning activity, physician participants should be able to assess their own diagnostic and patient management skills and use the results of this exercise to help determine personal learning needs.Instructions: In answering each question, refer to the specific directions provided. Because it is often necessary to provide information occurring later in a series that give away answers to earlier questions, please answer the questions in each series in sequence. (Source: Journal of the American Academy of Dermatology)

Apr 17, 2014 01:12PM

Necrotic plaques in a traveler

A 76-year-old man presented to the emergency department with a 5-day history of severe supraorbital headaches, significant muscle weakness, continuous fevers, and nonpainful ulcers on his right leg. His symptoms began 2 days after returning from a hunting trip to the rural area between Durban and Port Elizabeth, South Africa. The patient?s travel partner also had been having fevers since their return. The physical examination revealed 2 purpuric plaques with a central ulceration and black eschar involving the right medial aspect of the upper thigh and the right popliteal fossa (). There was palpable lymphadenopathy in the right groin. A punch biopsy specimen obtained from the right popliteal fossa lesion was bisected and sent for both routine histology () and culture. A histopathologic e...

Apr 17, 2014 01:12PM

Expression of programmed death receptor ligand 1 in melanoma may indicate tumor progression and poor patient survival

To the Editor: Melanoma is characterized by a high potential to metastasize at low primary tumor volumes and by a high resistance to conventional therapies. One reason for this is that the tumor microenvironment can protect tumor cells from immune surveillance by a mechanism called ?tumor evasion.? Programmed death receptor ligand 1 (PD-L1) plays an important role in this mechanism by negatively regulating T-cell function. Aberrant PD-L1 expression has been described in melanoma, but its prognostic relevance remains controversial. Therefore, we aimed to analyze PD-L1 expression in melanoma and evaluate its relationship with prognosis. (Source: Journal of the American Academy of Dermatology)

Apr 17, 2014 01:12PM

Change of Address

(Source: Journal of the American Academy of Dermatology)

Apr 17, 2014 01:12PM

Ductal hypoxia in acne: Is it the missing link between comedogenesis and inflammation?

Two visions of the etiopathogenesis of acne vulgaris and acne inversa exist. The traditional considers the main driver of acne to be androgens, causing excess proliferation of sebocytes and ductal keratinocytes. The impact of androgens on the components of the folliculopilosebaceous unit (FPSU) has been known for decades. Androgens induce the proliferation of the ductal keratinocytes in the follicular canal. This expanding plug of compact keratin stretches the duct to its maximal circumference, anoxia occurs, the duct leaks and ruptures, keratin and other stimuli are released into the dermis, the toll-like receptors of the innate immune system are activated, and inflammation follows. (Source: Journal of the American Academy of Dermatology)

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Apr 17, 2014 01:12PM

Maintenance of certification in dermatology?what we know, what we don't

To the Editor: The Federation of State Medical Boards (FSMB) appreciates the article about the value of lifelong learning and the overview of the FSMB's Maintenance of Licensure (MOL) initiative. As several state medical boards begin to study the implementation of MOL, it is important to recognize that our recommendations do not include, as the article suggests, a ?proctored examination.? The MOL framework adopted in 2010 by FSMB's member boards does not require physicians to take examinations to comply with MOL. While an exam may be an option that some physicians wish to utilize to demonstrate their knowledge and skills in their area of practice, we do not believe such an exam should be mandatory to renew a state medical license. (Source: Journal of the American Academy of Dermatology...

Apr 17, 2014 01:12PM

Comment on ?A double-blind, randomized, placebo-controlled trial of adalimumab in the treatment of cutaneous sarcoidosis?

To the Editor: Recently, the University of Ottawa?s Division of Dermatology (Canada) reviewed ?A double-blind, randomized, placebo-controlled trial of adalimumab in the treatment of cutaneous sarcoidosis? by Pariser et al during our monthly journal club. While we commend the authors on several fronts, the conclusion of the article seems disconnected from the data presented. (Source: Journal of the American Academy of Dermatology)

Apr 17, 2014 01:12PM

A response to "Comment on ?A double-blind, randomized, placebo-controlled trial of adalimumab in the treatment of cutaneous sarcoidosis?"

To the Editor: The letter of Drs Sauder, Beecker, and Ramsay makes some points with which I agree. This small trial was an attempt to address the lack of controlled clinical data for cutaneous sarcoidosis. The choice of adalimumab was based on a believable pathophysiologic rationale and on anecdotal reports. The concern that adalimumab has been associated with the onset of sarcoidosis seems questionable. Do we avoid adalimumab in patients with psoriasis because it has been associated with the onset of pustular psoriasis in some individuals with rheumatoid arthritis? (Source: Journal of the American Academy of Dermatology)

Apr 17, 2014 01:12PM

Robotic teledermatopathology from an African dermatology clinic

In this study, we summarize our experience with nearly 300 cases seen via the robotic telepathology system in Gaborone, Botswana (in which the microscope is controlled and slides are viewed remotely by the consulting pathologist) and attempt to gauge its impact on the care of patients with dermatologic conditions in that country. (Source: Journal of the American Academy of Dermatology)

Apr 17, 2014 01:12PM

The ethical implications of ?more than one way to skin a cat? Increasing use of radiation therapy to treat nonmelanoma skin cancers by dermatologists

Dr Will B. Rich (Dr R) runs a successful dermatology practice but is intrigued by the possibility of increasing his profits in an environment of declining reimbursements. A representative from a company visits his office and introduces him to a novel way to treat skin cancer with a relatively new Food and Drug Administration (FDA)-approved radiation device. The company representative advises Dr R that this technology will allow him to retain patients rather than refer them to a Mohs surgeon for the treatment of nonmelanoma skin cancers (NMSCs). The actual treatment will be performed by a radiation oncologist whose fee is much less than the code the company suggests Dr R use for reimbursement. Dr R realizes that this procedure has the potential to significantly diversify his practice and to...

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Apr 17, 2014 01:12PM

American Board of Dermatology Examination Dates

(Source: Journal of the American Academy of Dermatology)

Apr 17, 2014 01:12PM

Answers to CME examination

(Source: Journal of the American Academy of Dermatology)

Apr 17, 2014 01:12PM

CME examination

(Source: Journal of the American Academy of Dermatology)

Apr 17, 2014 01:12PM

The spectrum of oculocutaneous disease: Part II. Neoplastic and drug-related causes of oculocutaneous disease

There are a multitude of diseases that commonly affect both the skin and the eye. Part II of this 2-part series reviews the oculocutaneous manifestations of neoplasms, both benign and malignant, and adverse drug reactions affecting the skin and the eye. Though rare, a number of neoplasms that primarily involve the skin, such as melanoma and basal cell carcinoma, can metastasize to the eye, leading to permanent damage if not properly treated. In addition, periocular neoplasms can irritate the conjunctiva and lid, reducing a patient's ability to see clearly. Neoplastic diseases, such as xeroderma pigmentosum, Sturge?Weber syndrome, and multiple myeloma, can also lead to permanent changes in the eye if not discovered and managed promptly. Furthermore, there are a multitude of drugs, includi...

Apr 17, 2014 01:12PM

CME examination

(Source: Journal of the American Academy of Dermatology)

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Apr 17, 2014 01:12PM

Answers to CME examination

(Source: Journal of the American Academy of Dermatology)

Apr 17, 2014 01:12PM

The spectrum of oculocutaneous disease: Part I. Infectious, inflammatory, and genetic causes of oculocutaneous disease

Many skin diseases are associated with ocular findings, emphasizing the need for dermatologists to be fully aware of their presence, and as a result, avoid overlooking conditions with potentially major ocular complications, including blindness. We review important oculocutaneous disease associations with recommendations for the management of the ocular complications and appropriate referral to our ophthalmology colleagues. Part I of this 2-part review focuses on the infectious, inflammatory, and genetic relationships. (Source: Journal of the American Academy of Dermatology)

Apr 17, 2014 06:06AM

Propeller flap reconstruction of abdominal defects: Review of the literature and case report

The abdominal wall is perfused anteriorly by the superior and deep epigastric vessels with a smaller contribution from the superficial system. The lateral abdominal wall is perfused predominantly from perforators arising from the intercostal vessels. Reconstruction of soft tissue defects involving the abdomen presents a difficult challenge for reconstructive surgeons. Pedicle perforator propeller flaps can be used to reconstruct defects of the abdomen, and here we present a thorough review of the literature as well as a case illustrating the perforasome propeller flap concept. A patient underwent resection for dermatofibrosarcoma protuberans resulting in a large defect of the epigastric soft tissue. A propeller flap was designed based on a perforator arising from the superior deep epigastr...

Apr 17, 2014 03:03AM

Visualizing Dermal Permeation of Sodium Channel Modulators by Mass Spectrometric Imaging

Journal of the American Chemical SocietyDOI: 10.1021/ja501635u (Source: Journal of the American Chemical Society)

Apr 17, 2014 02:42AM

Clinical Quality Measures and Meaningful Use

No abstract available (Source: Advances in Skin and Wound Care)

Apr 17, 2014 02:42AM

New Products

No abstract available (Source: Advances in Skin and Wound Care)

Apr 17, 2014 02:42AM

The Toenail: The Distal End of Human Oxygenation

No abstract available (Source: Advances in Skin and Wound Care)

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Apr 16, 2014 11:00PM

Free Drug Samples for Doctors Might Prove Costly for Patients

Title: Free Drug Samples for Doctors Might Prove Costly for PatientsCategory: Health NewsCreated: 4/16/2014 4:36:00 PMLast Editorial Review: 4/17/2014 12:00:00 AM (Source: MedicineNet Skin General)

Apr 16, 2014 11:00PM

Leeches Help Save Woman's Ear After Pit Bull Mauling

Title: Leeches Help Save Woman's Ear After Pit Bull MaulingCategory: Health NewsCreated: 4/16/2014 5:36:00 PMLast Editorial Review: 4/17/2014 12:00:00 AM (Source: MedicineNet Skin General)

Apr 16, 2014 04:00PM

Randomized controlled trial to evaluate the effects of ethyl-2-cyanoacrylate on pain intensity and quality of life in head and neck cancer patients suffering from cetuximab-induced rhagades during radioimmunotherapy: the support trial

DiscussionDuring treatment with EGFR inhibitors it is necessary to recognize and manage side effects promptly to assure better patient QoL. The SUPPORT trial is the first randomized clinical trial evaluating a new treatment option for painful cetuximab-induced rhagades. Furthermore, the new SUPO score will be prospectively assessed in terms of clinical usefulness for classification of EGFR inhibitor-induced rhagades.Trial registration: Current Controlled Trials NCT01693159. (Source: BMC Cancer)

Apr 16, 2014 04:00PM

Antifungal and antioxidant activity of Crassocephalum bauchiense (Hutch.) Milne-Redh ethyl acetate extract and fractions (Asteraceae)

Conclusion: The results of these findings clearly showed that C. bauchiense ethyl acetate extract has a significant antifungal and antioxidant activity. It is therefore a source of active compounds that might be used as antifungal and antioxidant agents. (Source: BMC Research Notes)

Apr 16, 2014 04:00PM

Transcription-Associated R-Loop Formation across the Human FMR1 CGG-Repeat Region

by Erick W. Loomis, Lionel A. Sanz, Frédéric Chédin, Paul J. Hagerman Expansion of a trinucleotide (CGG) repeat element within the 5? untranslated region (5?UTR) of the human FMR1 gene is responsible for a number of heritable disorders operating through distinct pathogenic mechanisms: gene silencing for fragile X syndrome (>200 CGG) and RNA toxic gain-of-function for FXTAS (?55?200 CGG). Existing models have focused almost exclusively on post-transcriptional mechanisms, but co-transcriptional processes could also contribute to the molecular dysfunction of FMR1. We have observed that transcription through the GC-rich FMR1 5?UTR region favors R-loop formation, with the nascent (G-rich) RNA forming a stable RNA:DNA hybrid with the template DNA strand, thereby displacing the non-...

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Apr 16, 2014 04:00PM

Dermal Developmental Toxicity of N?Phenylimide Herbicides in Rats

ConclusionsBased on the results, S?53482 and S?23121 were teratogenic when administered dermally to pregnant rats as were the compounds administered orally. Thus, investigation of the mechanism and its human relevancy become more important. (Source: Birth Defects Research Part B: Developmental and Reproductive Toxicology)

Apr 15, 2014 11:15PM

Dermoscopic features of dermatofibrosarcoma protuberans.

Authors: Avilés-Izquierdo JA, Conde-Montero E, Barchino-Ortiz L, Lázaro-Ochaita P PMID: 24720426 [PubMed - in process] (Source: The Australasian Journal of Dermatology)

Apr 15, 2014 11:15PM

A retrospective review of the therapeutic response with remission in patients with newly diagnosed bullous pemphigoid.

Authors: Chuah SY, Tan SH, Chua SH, Tang MB, Lim YL, Neoh CY, Tan AW Abstract We reviewed the clinical characteristics and therapeutic response in cases of newly diagnosed bullous pemphigoid at the National Skin Centre between June 2009 and December 2010. Most (76%, n?=?68/90) achieved clinical remission within 6 months of commencement of therapy. Oral mucosal involvement was identified as a risk factor associated with a prolonged duration of treatment beyond 6 months. PMID: 24720427 [PubMed - in process] (Source: The Australasian Journal of Dermatology)

Apr 15, 2014 11:15PM

In other journals.

Authors: Watson A PMID: 24720428 [PubMed - in process] (Source: The Australasian Journal of Dermatology)

Apr 15, 2014 11:15PM

Appearance of de novo dysplastic spitzoid compound naevus in an adalimumab-treated psoriatic patient: Case report and review of the possible causal relationship with TNF-? blockers.

Authors: Sousa M, Freitas JP, Antunes J, Soares-de-Almeida L, Filipe PL PMID: 24720429 [PubMed - in process] (Source: The Australasian Journal of Dermatology)

Apr 15, 2014 11:15PM

Verrucous skin lesions on the feet in diabetic neuropathy: Successful treatment using a hollowed-out sponge.

Authors: Yamauchi K, Kobayashi T, Kawakubo C, Fujimoto N, Takahiro S, Tajima S PMID: 24720430 [PubMed - in process] (Source: The Australasian Journal of Dermatology)

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Apr 15, 2014 11:15PM

Penile lentigo (genital mucosal macule) following annular lichen planus: a possible association?

Authors: Isbary G, Dyall-Smith D, Coras-Stepanek B, Stolz W PMID: 24720431 [PubMed - in process] (Source: The Australasian Journal of Dermatology)

Apr 15, 2014 11:15PM

Male frontal fibrosing alopecia with generalised hair loss.

Authors: Chen W, Kigitsidou E, Prucha H, Ring J, Andres C Abstract Frontal fibrosing alopecia predominantly affects postmenopausal women and is regarded as a variant of lichen planopilaris. Male cases have rarely been reported. Here we describe a 66-year-old man with a typical receding fronto-temporal hair line in a form of scarring alopecia, which shows features of lichen planopilaris in histology. An extensive loss of body hair involving bilateral axillae, limbs and pubic area was also observed. PMID: 24720432 [PubMed - in process] (Source: The Australasian Journal of Dermatology)

Apr 15, 2014 04:00PM

Contrasting echogenicity in flexor digitorum profundus?flexor carpi ulnaris: A diagnostic ultrasound pattern in sporadic inclusion body myositis

Conclusions: FDP?FCU echogenicity contrast in muscle US is a sensitive diagnostic indicator of s?IBM. Muscle Nerve 49: 745?748, 2014 (Source: Muscle and Nerve)

Apr 15, 2014 04:00PM

Effect of sitting position on equal?dose spinal anaesthetic for caesarean section and post?partum tubal ligation

ConclusionThe same dose of hyperbaric bupivacaine 12?mg and morphine 100??g administered in the sitting position to both PPTL and CS parturients yielded similar maximal sensory blocks, but PPTL exhibited faster block regression and less hypotension/vasopressor requirement. (Source: Acta Anaesthesiologica Scandinavica)

Apr 15, 2014 04:00PM

Dermoscopy as an adjuvant tool for detecting skin leiomyomas in patient with uterine fibroids and cerebral cavernomas

Conclusions: This observation highlights the usefulness of dermoscopy in the diagnosis of cutaneous leiomyomas disclosing multiple cutaneous and uterine leiomyomatosis syndrome. Dermoscopy should be performed for non-melanocytic multiple lesions mimicking leiomyomas in a large number of patients, to establish a strict classification and identify false negative cases or evaluate them as dermatofibromas. In this case, the dermatologist recognized the risk of renal cancer and cerebral cavernomas. (Source: BMC Dermatology)

Apr 15, 2014 04:00PM

The spectrum of skin diseases in a black population in Durban, KwaZulu?Natal, South Africa

ConclusionAcne, eczemas, dyschromias, infections, and hair disorders are, in that order, the five most common disorders encountered. (Source: International Journal of Dermatology)

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Apr 15, 2014 04:00PM

Focal epithelial hyperplasia associated with human papillomavirus 13 and common human leukocyte antigen alleles in a Turkish family

ConclusionThis report is the first step for the investigation of involvement of HLA types in the pathogenesis of Turkish patients with FEH. (Source: International Journal of Dermatology)

Apr 15, 2014 04:00PM

Antinuclear antibodies in atopic dermatitis: a cross?sectional study on 346 children

ConclusionNo significant differences were observed between AD and the control group, or between different subtypes of AD in ANA prevalence. In both groups, ANA frequency increased with age, but in patients with AD, ANA had a tendency to appear earlier. Therefore, active AD during the early years of life could dispose selected patients towards earlier development of systemic autoreactivity and stress the need for regular follow?up of patients with ANA?positive AD. (Source: International Journal of Dermatology)

Apr 15, 2014 04:00PM

Acute generalized exanthematous pustulosis induced by clopidogrel

(Source: International Journal of Dermatology)

Apr 15, 2014 04:00PM

Post?kala?azar dermal leishmaniasis in pregnancy: hitherto unaccounted

(Source: International Journal of Dermatology)

Apr 15, 2014 04:00PM

Occult tinea pedis in an Israeli population and predisposing factors for the acquisition of the disease

ConclusionsThe prevalence of occult tinea pedis is similar to that of clinical tinea pedis. This may imply that patients with subclinical infection carry a risk for transmitting disease similar to that of clinical carriers. This is of great importance in the prevention and management of the disease as high?risk asymptomatic carriers can be identified. (Source: International Journal of Dermatology)

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Apr 15, 2014 04:00PM

Dermoscopy of angioma serpiginosum: a case report

(Source: International Journal of Dermatology)

Apr 15, 2014 04:00PM

Artefactual skin lesions in children and adolescents: review of the literature and two cases of factitious purpura

ConclusionThe presence of purpura in children and adolescents typically causes extensive intervention programs due to the possible serious pathological consequences. The two cases demonstrate a need for a high degree of attention to psychological disturbances, lesional evolution, and distribution once the suspicion is established. (Source: International Journal of Dermatology)

Apr 15, 2014 04:00PM

Nodular cutaneous mucinosis associated with systemic lupus erythematosus

(Source: International Journal of Dermatology)

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Apr 15, 2014 04:00PM

Frontal fibrosing alopecia: a retrospective clinical review of 62 patients with treatment outcome and long?term follow?up

ConclusionFrontal fibrosing alopecia is increasingly seen in postmenopausal women and rarely in men. Despite the limitations of a retrospective study, we conclude early intervention and treatment with intralesional triamcinolone acetonide may halt the progression of the disease; however, further controlled prospective studies are needed to establish treatment guidelines for frontal fibrosing alopecia. (Source: International Journal of Dermatology)

Apr 15, 2014 04:00PM

Cost?efficacy of biologic therapies for moderate to severe psoriasis from the perspective of the Taiwanese healthcare system

ConclusionsIn a Taiwanese setting, adalimumab and ustekinumab had lower 1?year costs per PASI 75 responder than etanercept, and ustekinumab had the lowest 2?year cost per PASI 75 responder. (Source: International Journal of Dermatology)

Apr 15, 2014 04:00PM

Periorbital edema

(Source: International Journal of Dermatology)

Apr 15, 2014 04:00PM

Assessment of quality of life in patients with psoriasis: a study from Serbia

ConclusionOur results support the importance of assessing the quality of life in psoriasis and effects of stress in patients' adjustment to their condition and may have important implications for a psychological stress management approach in the clinical management of psoriasis. (Source: International Journal of Dermatology)

Apr 15, 2014 04:00PM

Darier's disease with cystic changes in the kidney

(Source: International Journal of Dermatology)

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Apr 15, 2014 04:00PM

Antibiotic resistance in acne: is it time to look beyond antibiotics and Propionobacterium acnes?

(Source: International Journal of Dermatology)

Apr 15, 2014 04:00PM

Comparative study of the effect of narrowband ultraviolet B phototherapy plus methotrexate vs. narrowband ultraviolet B alone and methotrexate alone in the treatment of plaque?type psoriasis

ConclusionsCombination of NBUVB plus MTX provided rapid improvement with less cumulative doses of both therapies compared with each one alone in the treatment of psoriasis. (Source: International Journal of Dermatology)

Apr 15, 2014 04:00PM

The first Mal de Meleda case in Libya: identification of a SLURP1 mutation

(Source: International Journal of Dermatology)

Apr 15, 2014 04:00PM

Altered vimentin protein expression in human dermal microvascular endothelial cells after ultraviolet or intense pulsed light treatment.

CONCLUSION: Vimentin and CML should be useful markers for cell senescence, as well as for evaluating the level of aging. Also, targeting increased vimentin expression and its advanced glycation end products could present a target for the treatment of skin aging. Lasers Surg. Med. © 2014 Wiley Periodicals, Inc. PMID: 24737666 [PubMed - as supplied by publisher] (Source: Hand Surgery)

Apr 15, 2014 04:00PM

Stem cell and extracellular matrix-related molecules increase following melatonin treatment in the skin of postmenopausal rats.

Authors: Uslu S, Oktem G, Uysal A, Soner BC, Arbak S, Ince U Abstract The menopause has a negative effect in the skin. Melatonin affects skin functions and structures through actions mediated by cell-surface and putative-nuclear receptors expressed in skin cell. We have therefore determined the effects of melatonin treatment on stem cell in the epidermis and extracellular matrix related molecules in the dermis the skin of postmenopausal rats. A total of 45 female rats were divided into 5 groups: control group, group A [ovariectomy (OVX)], group B (OVX +10?mg/kg/day melatonin), group C (OVX +30?mg/kg/day melatonin), group S (sham operated?+?10?mg/kg/day melatonin). Ventral skin samples were excised at 12th week after ovariectomy. Hematoxylin-eosin, periodic acid- methylami...