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Pediatric Dermatology

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San Francisco - Several recent studies have demonstrated some interesting phenomena in the area of pediatric dermatology. Howard B. Pride, M.D., an associate in the department of dermatology at Geisinger Health System in Danville, Pa., presented some highlights.

San Francisco - Not only are warts a cosmetic nuisance, they may also cause considerable discomfort and even be linked to higher cancer rates. Clearing warts, therefore, is an important consideration for dermatologists. Nanette Silverberg, M.D., director, pediatric dermatology, department of dermatology, St. Luke's-Roosevelt and Beth Israel Medical Centers, New York City, provided some tips on how best to do that.

San Francisco - In many women, acne can have a hormonal cause that points to a more severe underlying disorder. Being able to appropriately identify such disorders can help dermatologists better treat the acne as well as help prevent more serious long-term selequae.

San Francisco - As the international situation has become more complicated, dermatologists have realized that they may need to diagnose and respond to individuals who have been infected by a microbial agent of bioterrorism. Among the several viral agents that could be so used, smallpox has caused the greatest concern, according to Scott A. Norton, M.D., M.P.H., M.Sc.

San Francisco - The topical immunomodulators imiquimod (Aldara), tacrolimus (Protopic), and pimecrolimus (Elidel) are proving to be extremely useful agents for the effective management of a number of skin conditions, Mark Lebwohl, M.D., said at the annual meeting of the American Academy of Dermatology.

Tattoo Troubles

Ottawa - Dermatologists have a responsibility to sensitize patients to the risks that temporary tattoos and body piercing pose, according to Dr. Ronald Brancaccio, clinical professor of dermatology at New York University School of Medicine, who presented here at the annual scientific meeting of the Canadian Dermatology Association.

Limited TIMs?

London -- A report published by Britain's National Prescribing Center saying that Fujisawa's Protopic (tacrolimus) and Novartis' Elidel (pimecrolimus) have only a limited role in the treatment of eczema was intended for general practitioners rather than dermatologists and refers mostly to mild cases treated in primary care settings.

Taming Tantrums

San Francisco - Making laser surgery as pleasant an experience as possible is important when the patient is a child because optimal clearing of many common pediatric lesions treated with a laser involves multiple sessions, Heidi A. Waldorf, M.D., said at the annual meeting of the American Academy of Dermatology.

Barcelona - The onset age of alopecia areata (AA) peaks in both the late teens and around 30 years, according to Andrew J. G. McDonagh, M.D., consultant dermatologist (U.K.-certified in dermatology), University of Sheffield's Royal Hallamshire Hospital.

Barcelona - Ebastine, a second-generation antihistamine currently marketed in Europe and Japan, offers many advantages as a treatment for mild to moderate alopecia areata, according to Yusuke Yoshizawa, M.D., assistant professor of dermatology, Nippon Medical School, Tokyo.

Nails from the Crypt

Chicago - Nail cosmetics are widely used and usually without adverse consequences, but dermatologists should be familiar with the potential problems that can occur with exposure to nail cosmetics and professional nail care services along with their solutions, Phoebe Rich, M.D., said.

Chicago - As patient accrual to phase III trials of Canvaxin therapeutic polyvalent cancer vaccine nears the 1,000-mark, a randomized phase II trial of the vaccine was reported at the annual meeting of the American Society of Clinical Oncology. The trial used an immunostimulant to enhance the antibody response to a tumor-associated antigen (TA90) found on melanoma cells.

San Francisco - Although bacterial sexually transmitted diseases are decreasing in prevalence in the United States, viral STDs are on the rise, according to Ted Rosen, M.D. Of particular concern, he said, are the increasing numbers of people infected with herpes simplex virus (HSV) and human papilloma virus (HPV).

Rookie Sensations

San Francisco - Accumulating evidence suggests new biologic agents may be used with potential benefit in the management of dermatomyositis, pyoderma gangrenosum, bullous diseases, cutaneous sarcoidosis, and severe atopic dermatitis.Dermatologists, however, have also been looking to use various older therapies in new ways to treat these disabling diseases, Jeffrey P. Callen, M.D., said.

San Francisco - One of the basic tenets of medical dermatology is that the skin serves as a window into the internal parts of the body and internal diseases. Visual examination of the skin can reveal signs of systemic disease, including gastrointestinal disease such as GI polyposis syndromes, inflammatory bowel disease, GI malignancy, hepatobiliary disease, nutritional deficiencies, and other disorders, according to dermatologist Amit G. Pandya, M.D., University of Texas Southwestern Medical Center, Dallas.

Orlando, Fla. - Patients with psoriasis are at higher risk for celiac disease than the general population, according to Veronica Ojetti, M.D., a gastroenterologist at Gemelli Hospital in Rome.

Heady Subject

Chicago - With all the new at-home hair treatments and recent reports of contact dermatitis and other cutaneous manifestations from using shampoos, conditioners and hair dyes, dermatologists should be keenly aware of products that can harm patients' hair and skin.

San Francisco - Several of the melanocytic nevi in a "moley" child often have a similar clinical appearance, leading to the concept of a characteristic "signature nevus." Learning to recognize a patient's signature nevus aids in the evaluation of nevi, in particular those with an irregular outline of more than one color, according to Jean Bolognia, M.D.

Dr. Dave is always looking for ways to increase his practice revenues. In his practice, he has a good mix of general and surgical dermatology patients, has learned to ethically promote his talents, and has launched a successful Web site. He ponders what else he can do to increase revenues.

Having recently returned to my "roots" to assume the position of professor and chief of dermatology at my alma mater, the University of Arizona, I'm struck by the fact that, although many changes have occurred during the 30 years I've been away pursuing other academic positions and activities, much remains the same. Predictably, the campus has grown and

Ablative Pitfalls

San Francisco - Ablative laser resurfacing procedures can result in a range of complications, including some that are serious; therefore, careful patient selection and preparation, attention to treatment technique, and close postoperative observation are critical for optimizing safety, Tina S. Alster, M.D., said at the annual meeting of the American Academy of Dermatology.

Orlando -- As baby boomers become seniors and the elderly become very old, a good understanding of geriatric dermatology will become increasingly critical for providing the best care for one's patients, according to Robert A. Norman, D.O., M.P.H.

Relieving the Itch

San Francisco - Topical preparations remain the first-line therapy for pruritus and often include such old-fashioned therapies as medicated baths, wet dressings, and shake lotions to induce feelings of coolness or heat, Jana Hercogov?, M.D., said at the annual meeting of the American Academy of Dermatology.