Additional Information
Book Details
Abstract
This issue of Dermatologic Clinics, Guest Edited by Dr. Murad Alam, is devoted to Practice Gaps in Dermatology. Articles in this issue include: Psoriasis and Papulosquamous Disorders; Blistering Diseases; Disorders of the Nails; Disorders of the Hair; Infections; Abnormal Pigmentation; Lupus, Scleroderma, Dermatomyositis; Genodermatoses; Pruritus; Drug Reactions; Dermatoses of Pregnancy; Contact Dermatitis; Acne and Rosacea; Radiation Therapy; Surgery for Skin Cancer; Cosmetic Dermatologic Surgery; Light, Laser and Energy Treatments; and Melanocytic Lesions and Melanoma.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Practice Gaps in Dermatology\r | i | ||
| Copyright\r | ii | ||
| Contributors | iii | ||
| CONSULTING EDITOR | iii | ||
| EDITOR | iii | ||
| AUTHORS | iii | ||
| Contents | vii | ||
| Preface: Practice Gaps and Training Gaps: Delineating What We Need to Fix\r | vii | ||
| Psoriasis Trends and Practice Gaps\r | vii | ||
| Practice and Educational Gaps in Lupus, Dermatomyositis, and Morphea\r | vii | ||
| Practice and Educational Gaps in Blistering Disease\r | vii | ||
| Practice Gaps in Pruritus\r | vii | ||
| Contact Dermatitis: Practice Gaps and Challenges\r | viii | ||
| Clinical and Educational Gaps in Diagnosis of Nail Disorders\r | viii | ||
| Practice and Educational Gaps in Dermatology: Disorders of the Hair \r | viii | ||
| Infectious Disease Practice Gaps in Dermatology\r | viii | ||
| Practice and Educational Gaps in Abnormal Pigmentation \r | viii | ||
| Practice and Educational Gaps in Genodermatoses\r | ix | ||
| Practice Gaps: Drug Reactions\r | ix | ||
| Practice and Educational Gaps in Radiation Therapy in Dermatology\r | ix | ||
| Practice and Educational Gaps in Surgery for Skin Cancer\r | ix | ||
| Practice and Educational Gaps in Cosmetic Dermatologic Surgery\r | x | ||
| Practice and Educational Gaps in Light, Laser, and Energy Treatments\r | x | ||
| Practice Gaps in Dermatology: Melanocytic Lesions and Melanoma\r | x | ||
| DERMATOLOGIC CLINICS\r | xi | ||
| FORTHCOMING ISSUES | xi | ||
| October 2016 | xi | ||
| January 2017 | xi | ||
| April 2017 | xi | ||
| RECENT ISSUES | xi | ||
| April 2016 | xi | ||
| January 2016 | xi | ||
| October 2015 | xi | ||
| Preface: Practice Gaps and Training Gaps: Delineating What We Need to Fix\r | xiii | ||
| Psoriasis Trends and Practice Gaps | 235 | ||
| Key points | 235 | ||
| INTRODUCTION | 235 | ||
| TREATMENT | 235 | ||
| Standards of Care | 235 | ||
| Current Practice | 236 | ||
| Gaps | 236 | ||
| Barriers | 236 | ||
| Recommendations for Improvement | 236 | ||
| CARDIOVASCULAR RISK FACTOR SCREENING | 237 | ||
| Standards | 237 | ||
| Current Practices | 237 | ||
| Practice and Educational Gaps in Lupus, Dermatomyositis, and Morphea | 243 | ||
| Key points | 243 | ||
| LUPUS ERYTHEMATOSUS: BEST PRACTICES | 243 | ||
| Clinical and Laboratory Assessment | 243 | ||
| Patient Education and Treatment | 244 | ||
| Longitudinal Care | 244 | ||
| Cutaneous Lupus Erythematosus: Estimate of Current Practice | 244 | ||
| Lupus Erythematosus: Gaps | 244 | ||
| Dermatomyositis: Best Practices | 245 | ||
| Clinical and laboratory assessment | 245 | ||
| Screening for systemic disease | 245 | ||
| Patient counseling and treatment | 246 | ||
| Dermatomyositis: Estimate Current Practice | 246 | ||
| Dermatomyositis Gaps | 246 | ||
| Morphea: best practices | 247 | ||
| Morphea: estimate current practice | 248 | ||
| Morphea gaps | 248 | ||
| BEST PRACTICES IN MEDICAL EDUCATION | 248 | ||
| Estimate Current Practice | 249 | ||
| REFERENCES | 249 | ||
| Practice and Educational Gaps in Blistering Disease | 251 | ||
| Key points | 251 | ||
| DIAGNOSTIC POINTS | 251 | ||
| THERAPEUTIC POINTS | 253 | ||
| REFERENCES | 255 | ||
| Practice Gaps in Pruritus | 257 | ||
| Key points | 257 | ||
| PRACTICE GAPS | 257 | ||
| Difficulty Measuring Pruritus | 257 | ||
| Lack of Appreciation of the Patient-Burden of Pruritus | 258 | ||
| Limited Treatment Options for Pruritus | 258 | ||
| Lack of Evidence for Workup of Generalized Pruritus | 259 | ||
| EDUCATIONAL GAPS | 260 | ||
| REFERENCES | 260 | ||
| Contact Dermatitis | 263 | ||
| Key points | 263 | ||
| REFERENCES | 267 | ||
| Clinical and Educational Gaps in Diagnosis of Nail Disorders | 269 | ||
| Key points | 269 | ||
| PRACTICE AND EDUCATIONAL GAPS IN DISORDERS OF THE NAILS IN DERMATOLOGY | 269 | ||
| Introduction | 269 | ||
| PRACTICE GAPS IN CLINICAL DERMATOLOGY: DIAGNOSIS OF NAIL PATHOLOGY | 269 | ||
| Best Practice | 269 | ||
| Current Clinical Practice | 269 | ||
| The knowledge and attitude gap: delay in diagnosis of nail conditions | 270 | ||
| Narrowing the Gap | 270 | ||
| The skill and attitude gap: confidence in knowing when, where, and how to perform diagnostic and therapeutic nail surgical ... | 271 | ||
| Narrowing the Gap | 271 | ||
| EDUCATIONAL GAP (IN DERMATOLOGY RESIDENCY EDUCATION) | 271 | ||
| Best Practice | 271 | ||
| Current Practice: Lack of Resident Exposure to Nail Disease Diagnosis and Diagnostic Procedures | 272 | ||
| Assessing the Gap | 272 | ||
| Narrowing the Gap | 272 | ||
| REFERENCES | 272 | ||
| Practice and Educational Gaps in Dermatology | 275 | ||
| Key points | 275 | ||
| PRACTICE GAP | 275 | ||
| Attitude Gaps | 275 | ||
| Knowledge Gaps | 276 | ||
| Skill Gap | 277 | ||
| Specific Practice Gaps: Treatment | 277 | ||
| EDUCATION GAP (IN DERMATOLOGY RESIDENT EDUCATION) | 278 | ||
| REFERENCES | 278 | ||
| Infectious Disease Practice Gaps in Dermatology | 281 | ||
| Key points | 281 | ||
| INTRODUCTION | 281 | ||
| ORAL ANTIBIOTICS FOR TREATMENT OF ATOPIC DERMATITIS | 281 | ||
| Background | 281 | ||
| Practice and Educational Gaps in Abnormal Pigmentation | 291 | ||
| Key points | 291 | ||
| INTRODUCTION | 291 | ||
| GOLD STANDARD | 291 | ||
| Melasma/Postinflammatory Hyperpigmentation | 291 | ||
| Vitiligo | 293 | ||
| EDUCATION IN RESIDENCY | 297 | ||
| Practice and Educational Gaps in Genodermatoses | 303 | ||
| Key points | 303 | ||
| INTRODUCTION | 303 | ||
| GENODERMATOSES IN CLINICAL DERMATOLOGY PRACTICE | 303 | ||
| Characterization and Classification of Patients with Genodermatoses | 303 | ||
| Begin with the basics | 303 | ||
| Gaps in current practice | 303 | ||
| Practice Gaps | 311 | ||
| Key points | 311 | ||
| INTRODUCTION | 311 | ||
| CATEGORIES OF DRUG REACTIONS DISCUSSED | 311 | ||
| GENERAL PRINCIPLES | 311 | ||
| PITFALLS AND LIMITATIONS IN GENERAL | 312 | ||
| CAUSATION DETERMINATION THROUGH AN ALGORITHM | 313 | ||
| Kramer Criteria | 314 | ||
| POTENTIAL PITFALLS OF THIS CLINICAL ALGORITHM | 314 | ||
| Challenge Step | 314 | ||
| Dechallenge Step | 314 | ||
| Rechallenge Step | 314 | ||
| Exclusion Steps | 314 | ||
| Biologic Plausibility | 314 | ||
| Class Effect | 314 | ||
| Dose Relationship | 314 | ||
| THE BOTTOM-LINE: CAN THE DRUG/DRUGS IN QUESTION BE CONTINUED AND/OR RESTARTED | 315 | ||
| SOME ADDITIONAL PITFALLS BEYOND THE CLINICAL ALGORITHM | 315 | ||
| PITFALLS WHEN INTERPRETING THE LITERATURE INTERPRETATION | 315 | ||
| PITFALLS OF PERSONAL EXPERIENCE | 316 | ||
| SOME STATISTICAL PRINCIPLES OF VALUE IN EPIDEMIOLOGIC STUDY INTERPRETATION | 316 | ||
| SUMMARY | 316 | ||
| REFERENCES | 317 | ||
| Practice and Educational Gaps in Radiation Therapy in Dermatology | 319 | ||
| Key points | 319 | ||
| BEST PRACTICES IN DERMATOLOGIC RADIOTHERAPY | 320 | ||
| ESTIMATE OF CURRENT PRACTICE | 320 | ||
| PRACTICE GAPS IN THE USE OF SUPERFICIAL RADIATION THERAPY IN CLINICAL DERMATOLOGY PRACTICE | 321 | ||
| Knowledge Gap Within Dermatology Professional Organizations | 321 | ||
| Perceived Research Gaps | 321 | ||
| The Randomized, Clinical Trials Conundrum Gap | 321 | ||
| National Comprehensive Cancer Network Guidelines Gap | 322 | ||
| Use Gap | 322 | ||
| Radiation Therapy Terminology Knowledge Gap | 322 | ||
| Perceived Expense of Dermatology Office-based Radiotherapy Gap | 324 | ||
| RADIOTHERAPY EDUCATION BEST PRACTICES IN DERMATOLOGY RESIDENCY EDUCATION | 324 | ||
| Strategy to Correct the Appropriate Use Criteria for the Superficial Radiation Therapy Practice Gap | 324 | ||
| Barriers to the Development of Appropriate Use Criteria for Superficial Radiation Therapy by Dermatologists | 324 | ||
| Strategies to Correct Knowledge Gaps | 324 | ||
| Strategies to Correct Perceived Research Gaps and the Randomized, Controlled Trial Conundrum | 326 | ||
| Strategies to Correct the National Comprehensive Cancer Network Guidelines Gap | 326 | ||
| Strategies to Correct the Use Gap | 326 | ||
| RADIOTHERAPY EDUCATION BEST PRACTICES IN DERMATOLOGY RESIDENCY EDUCATION | 326 | ||
| ESTIMATE OF CURRENT DERMATOLOGIC RADIOTHERAPY EDUCATION AND EDUCATIONAL GAPS | 327 | ||
| STRATEGIES TO CORRECT EDUCATIONAL GAPS IN DERMATOLOGY RESIDENCY EDUCATION | 327 | ||
| SUMMARY | 327 | ||
| REFERENCES | 328 | ||
| Practice and Educational Gaps in Surgery for Skin Cancer | 335 | ||
| Key points | 335 | ||
| PRACTICE GAPS IN CLINICAL DERMATOLOGY PRACTICE | 335 | ||
| Best Practices | 335 | ||
| Current Practice | 336 | ||
| Gaps and their Classification | 337 | ||
| Barriers and How They May Be Overcome | 337 | ||
| EDUCATIONAL GAPS IN DERMATOLOGY RESIDENCY EDUCATION | 337 | ||
| Best Practices and Current Practices | 337 | ||
| Gaps and Their Classification | 338 | ||
| Barriers and How They May Be Overcome | 338 | ||
| REFERENCES | 339 | ||
| Practice and Educational Gaps in Cosmetic Dermatologic Surgery | 341 | ||
| Key points | 341 | ||
| PRACTICE GAPS IN CLINICAL DERMATOLOGY PRACTICE | 342 | ||
| Best Practices | 342 | ||
| Current Practice | 343 | ||
| Gaps and Their Classification | 343 | ||
| Barriers and How They May Be Overcome | 343 | ||
| EDUCATIONAL GAPS IN DERMATOLOGY RESIDENCY EDUCATION | 344 | ||
| Best Practices | 344 | ||
| Current Practices | 344 | ||
| Gaps and Their Classification | 345 | ||
| Barriers and How They May Be Overcome | 345 | ||
| REFERENCES | 346 | ||
| Practice and Educational Gaps in Light, Laser, and Energy Treatments | 347 | ||
| Key points | 347 | ||
| I. PRACTICE GAPS (IN CLINICAL DERMATOLOGY PRACTICE) | 347 | ||
| Best Practice | 347 | ||
| Current Practice | 349 | ||
| Gaps and Their Classification | 349 | ||
| Barriers and How They May Be Overcome | 349 | ||
| II. EDUCATIONAL GAPS (IN DERMATOLOGY RESIDENCY EDUCATION) | 350 | ||
| Best Practice | 350 | ||
| Current Practice | 351 | ||
| Gaps and Their Classification | 351 | ||
| Barriers and How They May Be Overcome | 351 | ||
| REFERENCES | 352 | ||
| Practice Gaps in Dermatology | 353 | ||
| Key points | 353 | ||
| IMPORTANCE OF NEW OR CHANGING MELANOCYTIC LESIONS | 353 | ||
| CURRENT BEST PRACTICE | 354 | ||
| Relevant Dermoscopic Changes During Follow-up | 356 | ||
| CURRENT PRACTICE | 357 | ||
| PRACTICE AND EDUCATIONAL BARRIERS AND FACILITATORS | 358 | ||
| SUMMARY | 359 | ||
| REFERENCES | 360 | ||
| Index | 363 |