Rhinophyma Treated with Fractional CO2 Laser Resurfacing in a Woman of Color
JDD authors Samuel S. Kassirer BA, Robert H. Gotkin MD, and Deborah S. Sarnoff MD present the first reported case of rhinophyma in a 62-year-old Fitzpatrick V female patient who was successfully treated with one session of fractional CO2 laser resurfacing. This case highlights the successful use of the fractional CO2 laser to treat rhinophyma in darker skin types (Fitzpatrick IV–VI) and undersco …
Prescribing Isotretinoin for Transgender Patients
isotretinoin for transgender patientsCase 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 …
isotretinoin for transgender patients
Hyperhidrosis: Available Treatments and New Innovations
HyperhidrosisWhat is Hyperhidrosis (HH)? Primary HH is defined as excessive, bilateral, and generally symmetrical sweating at abnormal levels unprompted by activity or environment. Hyperhidrosis is characterized by abnormal sweating beyond what is needed for thermoregulation. It is not a normal physiologic response. Nearly 15 million people in the United States suffer from hyperhidrosis and half of thos …
Hyperhidrosis
Acne: Changing Practices in a Changing Clinical Landscape
ACNEOne of my favorite diseases to treat as a dermatology resident is acne, as I find that it often has a huge impact on quality of life and self-confidence. Patients often come in when they have tried various over the counter medications and holistic treatments with no success and are frustrated at their lack of improvement. The good news for these patients is that there are many new medications that …
ACNE
Antibiotics and Acne: the Bad, the Good, and the Brand New
Acne & AntibioticsTomorrow when we arrive into clinic (or this afternoon if you are reading this during your lunch break), we will invariably be greeted with patients who struggle with one of the most common diseases we treat – acne.  More than likely, we will reach for topical retinoids, topical antibiotics, and the occasional systemic antibiotic.  Evidence supports the short-term use of systemic antibiotics t …
Acne & Antibiotics
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