Vaccinating Providers for HPV Due to Transmission Risk in Ablative Dermatology Procedures.

Prior research has shown that surgical plume released in ablative procedures poses significant health risks to providers. For dermatologists, the possibility of oropharyngeal human papillomavirus (HPV) inoculation from inhalation of viral particles released in smoke has been previously documented. Despite this, there are limited guidelines of health and safety protocols for physicians performing electrodesiccation or laser surgery and many providers are still not vaccinated against HPV.

Lip Reconstruction After Mohs Micrographic Surgery: A Guide on Flaps.

The lips are commonly affected by skin cancer because of increased sun exposure over time. Even with early detection, many of these skin cancers require surgical removal with subsequent reconstruction. Mohs micrographic surgery is the preferred method of treatment for nonmelanoma skin cancers of the lip, as it has the lowest recurrence rates and allows for the maximum preservation of healthy tissue.

Pediatric pulse dose corticosteroid therapy dosing and administration in the treatment of alopecia areata: A review of literature.

Background: The use of pulse dose corticosteroid therapy (PDCT) in children for treatment of alopecia areata (AA) has been reported, but dosing regimens are not well-established. We aim to evaluate the available literature regarding the utilization and various dosing regimens of PDCT, as well as associated side effects, in the treatment of AA in children.

Methods: We performed a systematic review of studies describing the use of PDCT for the treatment of AA in children.

Dermatologic Management of Hidradenitis Suppurativa and Impact on Pregnancy and Breastfeeding.

Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease that most commonly affects women of childbearing age. The symptoms of the disease are managed with a multitude of topical and systemic medications. The course of HS changes during pregnancy, and some women can experience postpartum flares.

Clinical recommendations to address dermatologic healthcare disparities in sexual and gender minority patients: a review.

Background: In the United States, an estimated 4.5% of the population identifies as a sexual or gender minority (SGM). Efforts are underway to address this population's healthcare disparities.

Bullous hemorrhagic lichen sclerosus of the breast: a report of two cases and review of the literature.

Lichen sclerosus (LS) is a chronic dermatologic condition characterized by atrophic porcelain-appearing plaques that can cause intense discomfort and eventually lead to destruction of local architecture. Lichen sclerosus most commonly arises in the anogenital area, but up to 20% of cases can present on extragenital skin. Rarely, LS can also present with hemorrhage and bullae; the mechanism by which this occurs is unknown.

Calciphylaxis After Kidney Transplant.

Calciphylaxis is an uncommon disease that presents with painful ulceration and necrosis of the skin secondary to small vessel calcification and microvascular occlusion. Calciphylaxis carries a poor prognosis as the nonhealing wounds provide a port of entry for pathogens, predisposing these patients to infection and sepsis. Ulcers caused by calciphylaxis are most commonly seen in patients with end-stage renal disease (ESRD) but can also present in patients with normal electrolytes and kidney function.

Progressive Tightening of Pulley Sutures for Primary Repair of Large Scalp Wounds.

Scalp defects greater than 2 cm in diameter are not usually amenable to primary closure and require local tissue rearrangement, grafting, tissue expansion, or prolonged second intention healing. Scalp flap reconstruction is a significant undertaking that requires elevation of a total flap surface area that is 3-6 times the size of the defect, often involves profuse bleeding, and can be challenging to perform without conscious sedation or general anesthesia. Anticoagulated and medically complex patients pose additional challenges and limit options for treatment.