Publications by authors named "Kara Braudis"
Article Synopsis
- Infiltrative basal cell carcinoma (iBCC) and desmoplastic trichoepithelioma (DTE) can occur together in the same skin lesion, which is a rare situation.
- While iBCCs are common malignant tumors that can cause local damage and have a chance of recurring, DTEs are benign tumors that develop from hair follicles and can appear similar to iBCCs.
- A case study of a 36-year-old woman with a cheek lesion containing both an iBCC and a DTE highlights the need to differentiate between these tumors due to their differing risks, along with a literature review pointing out the rarity of such combined tumors and possible genetic connections.
Background: Mohs micrographic surgery (MMS) is used for the treatment of high-risk cutaneous squamous cell carcinoma (cSCC). MMS examines the surgical margins in real time and does not commonly examine the central component of the tumor.
Objective: To determine if debulk specimens provide additional details relevant to tumor staging not gained from routine MMS.
This study focused on evaluating Extension for Community Healthcare Outcomes (ECHO) participating primary care clinician's (PCC's) diagnostic and treatment accuracy of pediatric dermatologic conditions. To evaluate this, pediatric cases presented to Dermatology ECHO by PCCs with questions regarding diagnosis, treatment regimen, or both were analyzed. After PCC case presentation, the hub team of dermatologists facilitated case-based discussion and provided the presenter with mentorship and guidance regarding diagnosis and treatment of their patient.
View Article and Find Full Text PDFArticle Synopsis
- Access to dermatologic care is limited by patient location and insurance, affecting the quality and timeliness of diagnosis and treatment for patients, particularly in rural and underserved areas.
- The study analyzed data from the Dermatology ECHO project to evaluate how participation influenced primary care providers' accuracy in diagnoses and treatment plans, involving 524 patient cases over multiple years.
- Findings revealed less than 40% diagnostic concordance with an expert panel, highlighting a significant issue where over 33% of patients were misdiagnosed, emphasizing the need for increased use of tele-dermatology models to improve access and care quality.
Article Synopsis
- - Verruciform xanthoma is a rare, benign growth typically found in the mouth but can appear on other skin areas, often occurring alone but sometimes linked to other health conditions.
- - COVID-19, caused by the SARS-CoV-2 virus, primarily affects the respiratory system, but its effects and associations with other health issues are still being studied.
- - This text discusses two cases of Verruciform xanthoma in patients with confirmed COVID-19 infection and reviews existing literature to explore any potential connections between this benign growth and the viral infection.
Metastatic Basal Cell Carcinoma Arising From a Primary Cutaneous Carcinosarcoma.
Oncology (Williston Park)
December 2021
Primary cutaneous carcinosarcoma is a rare malignant tumor composed of both an epithelial and mesenchymal cell population. We present a case of a man, aged 56 years, found to have a 26-mm exophytic lesion on the vertex scalp identified to contain a distinct population of basal cell carcinoma (BCC) as well as another population of spindled cells representing a poorly differentiated sarcomatous component. Five years after the removal of the primary lesion, the patient presented with metastatic BCC to the right scalp, right cervical nodes, lung, and rib.
View Article and Find Full Text PDFShow Me ECHO is a model for interprofessional collaboration that utilizes telehealth technologies to share evidence-based medical knowledge to improve patient outcomes and minimize variation in care for underserved populations. To measure ECHO outcomes, Show Me ECHO develops both an evaluation of clinical outcomes for patients as well as assessing learner outcomes on the Kirkpatrick Typology of Evaluation. This paper describes evaluation models for Dermatology and Childhood Asthma ECHOs.
View Article and Find Full Text PDFImportance: Classification criteria are the standardized definitions that are used to enroll uniform cohorts for research studies. They emphasize high specificity and are distinct from diagnostic criteria. No universally recognized classification criteria currently exist for discoid lupus erythematosus (DLE), which has led to problematic heterogeneity in observational and interventional clinical studies across the field.
View Article and Find Full Text PDFA cystic panfolliculoma is a benign follicular neoplasm which recapitulates several portions of the hair follicle. The patient was a 64-year-old Caucasian female who presented with a new growth on her right forearm. The lesion had slowly enlarged over the previous 11 months.
View Article and Find Full Text PDFObjective: The aim of this study was to retrospectively describe hybrid technology teledermatology encounters performed by a statewide telehealth network. Consult outcomes were reviewed to describe the number of encounters that resulted in a visit to the university-based dermatology clinics and the features of those visits.
Materials And Methods: Teledermatology encounters were reviewed to determine encounter volume and the proportion of encounters that resulted in a university-based dermatology clinic visit.