Publications by authors named "Natasha C Zacher"

Article Synopsis
  • * Some studies suggest they may arise from issues with wound healing after an injury, and there have been rare cases linked to foreign bodies.
  • * A case was presented involving a 33-year-old man who developed a pyogenic granuloma on his scalp six years after suffering a gunshot wound, which left bullet fragments in his skull.
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Pediatric teledermatology rapidly expanded with the COVID-19 pandemic, and the impacts of this expansion on patients' access to care have not yet been entirely defined. In this retrospective study of 3027 patients in an academic pediatric dermatology practice, patients who identified as having a primary language other than English were less likely to access pediatric dermatology care during the COVID lockdown. This study did not identify a significant or meaningful difference in age, geography, socioeconomic status, ethnicity, or race between patients who were offered pediatric dermatology care that was either in-person or via synchronous telehealth.

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Article Synopsis
  • Patients with Muir-Torre Syndrome (MTS), a variant of Lynch syndrome, show less aggressive behavior in sebaceous carcinoma (SC) compared to those without MTS.
  • The study analyzed data from 2000 to 2019, finding that MTS patients were typically younger, had more tumors located outside of the head/neck region, and exhibited fewer high-grade tumors.
  • While MTS status appeared to predict worse overall survival, it did not significantly affect SC-specific survival, indicating that SC's aggressiveness is not increased in MTS patients.
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Importance: The US health care system generates substantial global waste. Skin biopsies are frequently performed by dermatologists and represent a practical and scalable opportunity for waste reduction interventions in dermatology clinics.

Objective: To develop and implement a systematic framework for decreasing skin biopsy tray waste in dermatology clinics.

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Biallelic mutations in the DNA mismatch repair genes MLH1, MSH2, MSH6, or PMS2 result in one of the most aggressive genetic cancer conditions, constitutional mismatch repair syndrome (CMMRD). We present a case of a 10-year-old boy with biallelic MSH6 mutation and systemic lupus erythematosus with eruptive melanocytic nevi after receiving chemotherapy for mediastinal T-cell lymphoblastic lymphoma.

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Cutaneous reactive angiomatosis, a group of disorders defined by benign vascular proliferation, is associated with a number of systemic processes, including intravascular occlusion by cryoproteins. We report a case of a 64-year-old female patient who presented with a 1-year history of nontender petechiae of the bilateral arms and lower legs. Dermoscopic evaluation showed increased vascularity with a globular pattern.

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