metformin

Diabetes – Friday Pop Quiz 4/28/2023
by NEXT STEPS IN DERM TEAM on
You are asked to evaluate this 44 year old man with a history of diabetes and housing insecurity who is currently in the emergency room. He is also on metformin. The area is exquisitely tender. What is the best first step in your work-up? A. Deep punch biopsy (double-punch) to evaluate subcutaneous tissue B. Bacterial and fungal swab C. Imaging and surgical consult D. Oral doxycycl …

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Treating Hidradenitis Suppurativa (HS) | Dr. Okoye’s Approach
Hidradenitis Suppurativa
by Emily Murphy, MD on
As dermatologists, we understand that hidradenitis suppurativa (HS) can be a devastating disease that affects all aspects of our patients’ lives, influencing their physical health, ability to be active, and ability to be intimate. This disease disproportionately affects patients with skin of color and unfortunately, treatment can be challenging. We are lucky to have experts who dedicate their cl …

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Pediatric Lichen Planopilaris Treated With Pioglitazone
Pediatric Lichen Planopilaris
by NEXT STEPS IN DERM TEAM on
Pediatric lichen planopilaris (LPP) is a clinical variant of lichen planus (LP) that can lead to scarring hair loss without prompt intervention. While various therapies exist, intralesional and topical corticosteroids remain the mainstay of treatment in pediatric LPP. Refractory cases may require systemic therapies, selection of which may prove challenging due to the lack of data regarding pediatr …

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JDD March 2021 Issue Highlights: From OTC Products for Acne to MMS for Genital Skin Cancer
JDD MARCH 2021 ISSUE
by NEXT STEPS IN DERM TEAM on
The March issue of the Journal of Drugs in Dermatology features an outstanding line-up of articles with topics ranging from OTC products for acne to Mohs Micrographic Surgery for genital skin cancer. Straight from the JDD Editor’s desk, we share this month’s issue highlights: Advisors agreed that OTC products and skincare recommendations, in addition to the use of prescription medications, …

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Alopecia in Skin of Color: Alternative Therapies
Alopecia in Skin of Color
by Cula N. Dautriche, MD, PhD on
Management of alopecia in skin of color is challenging due to a paucity of research into its pathophysiology coupled with a poor understanding of the basic hair care practices in this patient population. For the patient, it is often associated with severe emotional distress. Unfortunately, many forms of hair loss are refractory to standard therapies. At the 2020 Skin of Color Virtual Update, Dr …

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