Publications by authors named "Skotnicki S"
Background: Occupational contact dermatitis often results in work disruption. Return-to-work (RTW) is an important outcome.
Objective: The objective of this study was to determine RTW outcomes and factors associated with such outcomes using a multidisciplinary clinic model.
Background: Occupational skin diseases are common suggesting that there are still gaps in workplace prevention. Patch test surveillance systems provide an opportunity to collect work related information in addition to clinical information and patch test results.
Objectives: To examine 5 years of data related to workplace prevention by industry sector in a patch test surveillance database for workers with a diagnosis of occupational contact dermatitis.
The role of skin surface pH, also referred to as “acid mantle,” was described more than 90 years ago and due to developing insights has now returned into focus.1
View Article and Find Full Text PDFA 4-year-old boy presented with erythematous vesicular plaques, ulceration, edema, and pruritus on the left foot and ankle 10 days after receiving the tetanus, diphtheria, pertussis, and polio; measles, mumps, rubella, and varicella; and hepatitis A/B vaccines. Biopsy showed eosinophilic infiltrates and flame figures, suggesting Wells syndrome. Patch testing showed a 1+ reaction to neomycin and aluminum hydroxide, with a recall reaction of Wells syndrome of the feet bilaterally.
View Article and Find Full Text PDFBackground: Occupational skin disease is common in healthcare workers. If the healthcare worker develops moderate to severe dermatitis, return to work (RTW) may be challenging.
Objectives: The study objectives were to review the impact of an RTW program on the work status of nurses with occupational hand dermatitis and to identify successful intervention methods and strategies.
Background: Human-associated bacterial communities on the skin, skin microbiome, likely play a central role in development of immunity and protection from pathogens. In atopic patients, the skin bacterial diversity is smaller than in healthy subjects.
Objective: To review treatment strategies for atopic dermatitis in Canada, taking the skin microbiome concept into account.
Background: Contact dermatitis to personal sporting equipment in youth is poorly studied.
Objective: To review the results of patch testing 6 youth to their sporting equipment in a dermatology general private practice from 2006 to 2011.
Methods: A retrospective analysis of 6 youth aged 11 to 14 who were evaluated for chronic and persistent dermatitis occurring in relation to sports equipment was conducted.
Background And Objective: Recall dermatitis is an uncommon entity that has been noted with patch testing, repeat exposures to a medication or allergen, and the concurrent use of ultraviolet radiation and certain medications. Recall dermatitis from primary cutaneous exposure and subsequent oral exposure are rare, and the etiology remains unknown.
Conclusion: We report a case of recall dermatitis with a drug eruption secondary to metronidazole.
Background: Patch testing with standard trays of commercially available allergens is the current practice for investigating suspected cases of isocyanate-induced allergic contact dermatitis (ACD). In some facilities, these standard trays are further supplemented with custom preparations of isocyanate-containing materials.
Objective: The aim was to determine whether added value exists in patch testing patients to custom isocyanate preparations in suspected cases of ACD.
Introduction: Ceramide-containing moisturizers may offer benefits as an adjunct to acne treatment.
Methods: An expert panel of 11 Canadian dermatologists, including an international clinical scientist, used the following modified Delphi process: 1) A systematic literature review for acne treatment, dry skin, irritation, depletion of ceramides in acne, and benefits of moisturizers and ceramide-containing moisturizers was conducted; 2) panel members gave their opinion on the resulting statements, taking into account their treatment practices; 3) a panel meeting was held during the 2011 Canadian Dermatology Update to determine final statements; 4) the panel reviewed the final document.
Results: The panel reached the following consensus (11/11): 1) A very important reason for nonadherence to acne treatment is dry skin and irritation; 2) skin barrier dysfunction may contribute to acne; 3) dry skin and irritation commonly results from topical acne treatment; 4) dry skin and irritation commonly results from systemic retinoid therapy; 5) moisturizers can improve dryness and irritation resulting from acne treatment; 6) ceramide-containing moisturizers may enhance adherence and complement existing acne therapies; 7) adjunctive therapy with moisturizers should be considered in acne-treated patients.
Background: Contact dermatitis (CD) is very common but can be mimicked by numerous dermatologic conditions. Thus, a wide differential must be considered before a definitive diagnosis of CD is made to ensure the patient receives appropriate treatment and follow-up.
Objective: To describe conditions that can present similarly to contact dermatitis.
Background: Traditional methods of assessing impairment associated with skin conditions focus on clinical severity, medication usage, activities of daily living, and quality of life. Assessment of function and ability to work may provide important additional information when determining readiness to work.
Objectives: The objective was to gain an understanding of the functional impairment of the hand and upper extremity associated with hand dermatitis and the impact of hand dermatitis on quality of life, work instability, and productivity.
Background: Allergic contact dermatitis (ACD) to epoxy resins is one of the major causes of occupationally induced ACD. Testing of custom epoxy materials from the workplace is often performed to diagnose ACD.
Objective: The objective of this study was to investigate the additive value of patch testing custom-made epoxy materials.
Purpose: To enhance the learner's competence with knowledge of hand dermatitis.
Target Audience: : This continuing education activity is intended for physicians and nurses with an interest in skin and wound care.
Objectives: After participating in this educational activity, the participant should be better able to: 1.
Background: This article presents an evidence-supported clinical pathway for dry skin prevention and treatment.
Objective: The development of the pathway involved the following: a literature review was conducted and demonstrated that literature on dry skin is scarce. To compensate for the gap in the available literature, a modified Delphi method was used to collect information on prevention and treatment practice through a panel, which included 10 selected dermatologists who currently provide medical care for dermatology patients in Ontario.
Gadolinium (Gd)-enhanced three-dimensional breath-hold magnetic resonance cardiac-synchronized angiography was performed in 13 patients suspected or known to have thoracic aortic disease. High-quality angiograms of the ascending/descending thoracic aorta and coronary arteries were obtained with this method. MR angiograms were compared with Gd-enhanced angiograms obtained without cardiac synchronization.
View Article and Find Full Text PDFAim: The aim of this study was to analyse the nephrological morbidity after myocardial revascularization.
Methods And Results: We analysed the pre- per and postoperative data of 3815 patients who underwent a primary isolated coronary bypass grafting between January 1987 and December 1995. Nephrological complications were divided into renal dysfunction and requiring dialysis.
Objective: Postthrombotic syndrome (PTS) develops in 40% to 60% of patients with deep venous thrombosis. Factors that are important in the development of PTS include venous reflux, deep vein obstruction, and calf muscle pump dysfunction (CMD).
Methods: Reflux and CMD in relationship to the severity of PTS were evaluated in a 2-year follow-up study of patients with acute deep venous thrombosis.
Objective: The development of the post-thrombotic syndrome (PTS) and recurrence of deep venous thrombosis (DVT) are not yet fully understood. The aim of the study was to identify factors that lead to the long-term complications of DVT.
Methods: In a 2-year prospective follow-up study, duplex scanning and strain-gauge plethysmography were used to evaluate DVT in relation to the development of long-term complications.
Objective: Select pre-, peri-, and post-operative variables, predictive for sternal wound complications (SWC), in a clinical setting.
Methods: We analyzed pre-, peri-, and post-operative data of 3815 patients who underwent a primary isolated bypass grafting. 100 patients (2.
Objective: In patients with severe heart failure, compensatory mechanisms fail to provide adequate blood supply to the peripheral circulation, especially when the metabolic need is increased. The aim of this study was to assess alterations in the peripheral circulation in patients with mild heart failure using ultrasound Doppler.
Methods: In 19 controls and in 11 patients with mild heart failure, Doppler spectra were recorded from the carotid, the brachial and the femoral artery at rest and, from the latter two arteries, during post-occlusive reactive hyperemia.