Publications by authors named "Melinda F Greenfield"
Dupilumab, a systemic injectable biologic, can be prescribed to patients with atopic dermatitis who do not respond to topical treatments. Atopy can frequently subside by blocking inflammatory pathways, such as interleukin-4 (IL-4) and interleukin-13 (IL-13) in the immune system. Dupilumab is generally well-tolerated and mild; the most common adverse reactions listed are arthralgia, back pain, and conjunctivitis, which clears upon cessation or finalization of dupilumab therapy.
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- Phytophotodermatitis is a skin reaction caused by contact with plant chemicals (furocoumarins) and sunlight exposure, observed in a case study of a 34-year-old patient post-beach trip in Mexico.
- The patient's irregular hyperpigmented patch developed after handling lime during a margarita, linking the skin issue to both sun and citrus exposure.
- This case emphasizes the need for detailed patient history and examination to avoid misdiagnosis and inappropriate treatments for skin conditions that may appear similar.
En coup de sabre (ECDS) is a form of linear scleroderma or morphea that distinctly appears on the forehead and/or frontoparietal scalp. We report a case of a 6-year-old female that presented with a linear, hyperpigmented scar on her left forehead extending to her scalp with resultant alopecia and discoloration in the affected area. The patient was subsequently treated with topical calcipotriene ointment and had an excellent response with normalization of the sclerotic skin, hair regrowth, and improved hyperpigmentation.
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