60 Tips in 60 Minutes: Part 1

At the 2023 Winter Clinical Hawaii Dermatology Conference in Kohala Coast, Hawaii, Linda F. Stein Gold, MD; Mark Lebwohl, MD; Joslyn R. Sciacca Kirby, MD, MS, MEd; Matt L. Leavitt, DO; Daniel M. Siegel, MD, MS; Clay J. Cockerell, MD; and Kenneth J. Tomecki, MD, participated in the first day of “60 Tips in 60 Minutes.” The fast-paced panel discussion consisted of 3 rounds of tips shared by each presenter from their respective fields.

Tips from round 1 included:

1. Linda F. Stein Gold: Rhabdomyolysis is one of the major causes of acute renal failure. If you receive an elevated CPK test after evaluating for muscle injury, remember that the elevation of CPK levels has no good correlation with the severity of muscle damage and renal failure. Treat with supportive care of adequate hydration to prevent renal failure.
2. Mark Lebwohl: There are multiple, effective treatment options available for prurigo nodularis to stop the itch, including dupilumab, nemolizumab, and difelikefalin.
3. Joslyn R. Sciacca Kirby: Turmeric has beneficial properties such as protection from sun damage and wrinkling, as well as prevention of anti-inflammatory reactions in diseases of acne, psoriasis, and atopic dermatitis.
4. Matt L. Leavitt: Trichoscopy is one of the most useful diagnostic tools when assessing alopecia areata. Trichoscopic findings are well conserved in respect to alopecia subtypes, and similar findings are observed regardless of race, gender, or age.
5. Daniel M. Siegel: Use your nose to rule out potential diseases when first meeting a patient. You don’t realize how useful your sense of smell is in dermatology.
6. Clay J. Cockerell: Some photodermatitis may appear as bright red erythema and have clinical inflammation, but no inflammation histologically. Clinicians are often in disbelief after seeing normal skin on the biopsy.
7. Kenneth J. Tomecki: Pyoderma gangrenosum is often associated with inflammatory bowel disease, ulcerative colitis, and Crohn’s disease.

Other popular tips from the session included:

1. Linda F. Stein Gold: When you see perioral dermatitis, you should immediately reach for topical ivermectin cream.
2. Matt L Leavitt: Consider oral minoxidil for androgenetic alopecia.
3. Joslyn R. Sciacca Kirby: There is no elevated risk of hyponatremia when taking spironolactone and escitalopram together.

Reference

1. Stein Gold L, Lebwohl M, Sciacca Kirby J, et al. 60 tips in 60 minutes: Day 1; Presented at the 2023 Winter Clinical Hawaii Dermatology Conference; January 13-18, 2023; Kohala Coast, Hawaii.