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Although the photoaging process affects each individual differently, certain general strategies for the prevention and treatment of the condition are available based on the physiologic changes of the skin. Two expert dermatologists shared with us the strategies and methods they use to help fight off and ameliorate the signs of photoaging in their patients, taking into consideration genetics, age range, lifestyle, and skin care.

The Food and Drug Administration has granted 510(k) clearance to Cynosure, allowing it to market its PicoSure laser workstation for the treatment of wrinkles.

True scientific evidence backing the use of supplements for the prevention of skin aging and sun damage is often shady, but bright spots sometimes shine through, for example, when the science and anecdotal evidence suggest swallowing a vitamin, extract or other ingredient does make a difference in patients’ skin.

Dermatology Times editorial adviser Elaine Siegfried, M.D., and adherence expert Steven Feldman, M.D., talk about the development of the Dr. Score physician rating site, patient satisfaction measurements and best practices for using surveys to convey empathy as well as improve interactions with patients.

The Food and Drug Administration has approved apremilast (Otezla, Celgene) for the treatment of adult patients with moderate-to-severe plaque psoriasis, the second approval for the drug this year.

Melanomas can appear similar to other diagnoses, a fact that clinicians should keep in mind and why they should use tools like dermoscopy as an adjunct to making a diagnosis of melanoma, an expert says.

Correct: Tinea Corporis

An 8-year-old girl was brought in by her parents. They said she has had this enlarging "growth" on her leg for over 1 month, and they are worried it could be cancer. Learn more about tinea corporis

How to fire problem patients

To fire a problem patient, an expert recommends remaining cordial, and communicating your intent in a letter that details why you're firing them, where else they can seek follow-up treatment and what could happen medically if they don't.

An expert in pediatric eczema offers insight on alternative eczema therapies to which he gives a “thumbs up,” “jury’s out” and “thumbs down.”

Researchers at Dartmouth College have discovered that BRAFV600E, often found in metastatic melanoma, is capable of modifying normal cells surrounding the tumor to encourage disease progression.

Therapeutics is one of the most significant challenges in pediatric dermatology. Children have been identified as “therapeutic orphans”, with few options that have FDA-approved pediatric indications. Access to new and novel treatments like biologics is especially limited. Supportive legislation, beginning with the Best Pharmaceuticals for Children Act (bpca.nichd.nih.gov), has marked the dawn of a new era.