Infraorbital Occlusion Treated with High-Dose Pulsed Hyaluronidase Protocol
Infraorbital OcclusionFacial fillers are an increasingly popular cosmetic procedure used for facial rejuvenation. Regardless of the experience and skill level of the injector, fillers can inadvertently occlude vessels leading to blockage of cutaneous blood supply, ischemic skin necrosis and rarely cerebrovascular strokes and blindness. Injectors should recognize early signs of occlusion and be prepared with knowledge a …
Infraorbital Occlusion
Successful Use of Tildrakizumab for Treatment of Palmoplantar Pustulosis
Palmoplantar PustulosisPalmoplantar pustulosis (PPP) is a rare, recurrent skin disorder that presents a major challenge to clinical therapy. JDD author Danilo C. Del Campo, MD, FAAD reports a case of a 69-year-old woman with a 20-year history of psoriasis with skin manifestations and clinical and pathologic features consistent with PPP. After intolerance to apremilast and unsuccessful use of topical corticosteroids and …
Palmoplantar Pustulosis
Pyoderma Gangrenosum Occurring in the Setting of Hypercortisolism
Pyoderma GangrenosumPyoderma Gangrenosum Occurring in the Setting of Hypercortisolism Associated With Adrenocortical Adenoma: A Pathophysiological Paradox Pyoderma gangrenosum (PG) is a challenging, rare, ulcerating skin disease characterized by neutrophilic abundance and absence of infection, often associated with systemic diseases. JDD authors Chapman Wei, Elizabeth Hazuka, Peter DeRosa, Jill M. Paulson MD, and Ad …
Pyoderma Gangrenosum
Topical Cannabinoids for the Management of Psoriasis Vulgaris
Cannabinoids for PsoriasisAuthors Adam J. Friedman MD, Kimia Momeni BS, and Mikhail Kogan MD present a case of a young man with psoriasis managed with topical cannabinoids. Introduction The interest in use of medical cannabis for chronic dermatologic conditions such as psoriasis, eczema, and acne has been growing mostly owing to rapidly emerging decriminalization across the country and impressive commercially driven popu …
Cannabinoids for Psoriasis
Temporal Suspension Flap for Malar Defects
malar defectsBACKGROUND The upper lateral cheek bears unique and distinct local characteristics that are key features in facial aesthetics and functionality. Its main landmarks are the lower eyelid, the lateral canthus, and the temporal hairline. When contemplating treatment options for defects in this area, the surgeon should take into consideration the possible effects of the reconstructive method on the pr …
malar defects