Prescribing Isotretinoin for Transgender Patients
isotretinoin for transgender patients
by NEXT STEPS IN DERM TEAM on
Case Scenario A 26-year-old patient presents to the dermatology clinic with severe nodulocystic scarring acne. The patient identifies as a transgender male and notes that he has been receiving hormone replacement therapy for the past 4 years with weekly intramuscular testosterone injections. He has not had any gender-affirming surgeries and reports being currently amenorrhoeic. He is curren …

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Patient Buzz Series: Chlorophyll for Acne?
Chlorophyll for Acne?
by Allison Sit on
This month’s Patient Buzz includes several articles about the TikTok trend of drinking chlorophyll water to treat acne. Should dermatologists recommend chlorophyll water to their acne patients? Are there dietary changes patients should make to naturally increase their chlorophyll intake? Find out what your colleagues say about the latest TikTok trend – as well as other dermatology trends †…

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Monkey Esophagus – Friday Pop Quiz 5/7
monkey esophagus
by NEXT STEPS IN DERM TEAM on
A biopsy for DIF is negative. IIF is positive for IgG antibodies directed against monkey esophagus. Which of the following is true regarding the diagnosis? A. The primary target antigen is desmoglein 1 B. A positive DIF would show intercellular and linear IgG & C3 along the BMZ C. It is associated with bronchiolitis obliterans D. Autoantibody titers correlate with disease activ …

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Gabapentin for Itch – Therapeutic Cheat Sheet
Gabapentin for itch
by Blair Allais, MD on
Gabapentin is a well-established treatment option for itch with a reassuring safety profile that does not require continued lab monitoring. Generalized itching is a common cause of visits to the dermatologist and can be difficult to treat, leading to sleepless nights and inability to function. We continue our series, Therapeutic Cheat Sheet, with a closer look at gabapentin. GABAPENTIN THERAPEUT …

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Recalcitrant Dyshidrotic Eczema Treated With Dupilumab
eczema
by NEXT STEPS IN DERM TEAM on
The following two cases presented by JDD authors Ryan A. Gall MD, John D. Peters MD, and Alyson J. Brinker MD add to the growing literature supporting the use of dupilumab in the treatment of patients with recalcitrant dyshidrotic eczema, both with and without diagnosed contact allergens. Introduction Dyshidrotic eczema, also known as dyshidrosis or pompholyx when involving larger bullae, is a c …

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