Excimer Light Treatment for Idiopathic Guttate Hypomelanosis: A Pilot Study.

Background: Idiopathic guttate hypomelanosis (IGH) is a commonly acquired benign leukoderma characterized by multiple discrete, hypo- or depigmented macules often on extremities that can be aesthetically undesirable for patients. This is the first study using excimer laser for treatment.

Objective: To determine the effectiveness of excimer laser for repigmentation of idiopathic guttate hypomelanosis.

Update on pediatric hyperhidrosis.

Hyperhidrosis is a common and under-recognized disease in the pediatric population that has a significant impact on quality of life. Focal and generalized forms of hyperhidrosis exist, which can be idiopathic or secondary to underlying medical conditions or medications. Treatment is tailored to the specific patient needs, characteristics and goals.

Clearance of nasal Staphylococcus aureus colonization with triple antibiotic ointment.

Background: The prevalence of Staphylococcus aureus colonization of healthcare workers is reported at 30%, with colonization rates for methicillin-resistant S aureus (MRSA) reported between 2.0% and 8.5% among industrialized nations.

Superficially invasive transitional cell carcinoma of the bladder associated with distant cutaneous metastases.

Cutaneous metastases from transitional cell carcinoma of the bladder are rare and most often associated with a deeply invasive primary tumor. This case report describes a 69-year-old male with previously resected superficially invasive primary transitional cell carcinoma of the bladder who presented with distant cutaneous and central nervous system metastases associated with recurrent bladder cancer. In addition, this case highlights the differential diagnosis of metastatic carcinomas that display a CK7/CK20 positive immunophenotype including transitional cell carcinoma, pancreatic carcinoma, cholangiocarcinoma and rare gastric carcinomas.

Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic medical record.

Background: Concern is growing about missed test results, but data assessing their effect on patient safety are limited.

Objective: To examine the frequency with which computed tomography (CT)-documented dilations of the abdominal aorta are accompanied by evidence in the electronic medical record (EMR) that a clinician recognized the abnormality.

Design: Retrospective cohort study.