Tranexamic Acid Therapeutic Cheat Sheet
Tranexamic acid (TXA) is a synthetic lysine derivative that reversibly blocks the lysine-binding site on plasminogen, preventing conversion to plasmin. While originally developed as an antifibrinolytic agent to reduce bleeding, TXA has several downstream effects that make it useful in dermatology, particularly for pigmentary disorders, with emerging evidence in inflammatory disorders as well. TX …
Tranexamic acid (TXA) is a synthetic lysine derivative that reversibly blocks the lysine-binding site on plasminogen, preventing conversion to plasmin. While originally developed as an antifibrinolytic agent to reduce bleeding, TXA has several downstream effects that make it useful in dermatology, particularly for pigmentary disorders, with emerging evidence in inflammatory disorders as well. TX … 
An infant is referred by their pediatrician for further evaluation of seborrheic dermatitis refractory to standard therapy. What is the most appropriate intervention?
A. Prescribe clobetasol solution
B. Obtain bacterial culture
C. Obtain fungal culture
D. Obtain complete blood count
E. Obtain skin biopsy
To find out the correct answer and read the explanation, click here. … 
Concerns over the use of AI in dermatology often center on skin tone bias. Machine learning’s data sets commonly reflect the Eurocentric focus that’s traditionally found in dermatologic images. Now researchers are raising awareness of another bias in these data sets: sex and gender differences in the skin. These hormonal and morphologic differences are completely normal. However, when not acco … 
When treating pediatric patients, knowing how to appropriately use topical steroids in this patient population is essential, according to Dr. Karan Lal, a dermatologist in Scottsdale, Ariz. Next Steps in Derm, in partnership with Skin of Color Update, interviewed Dr. Lal, who shares how to taper topical steroids and the role of non-steroidal agents. Hear the latest in the safety profile of topica … 
Difficult conversations are a routine part of dermatology. They are especially tricky in our specialty because of the time pressure in a full clinic (often 30+ patients a day) and the visual, often deeply personal, nature of skin disease. Medical school teaches universal communication techniques, such as active listening, teach-back, agenda setting, and shared decision-making, that are necessary t …