punch biopsy

Pediatric Verrucous Psoriasis: A Case Report in a Pediatric Patient
Pediatric Verrucous Psoriasis
by NEXT STEPS IN DERM TEAM on
Verrucous psoriasis (VP) is a rare histologic variant of psoriasis. To date, fewer than 40 cases have been reported, with pediatric cases representing an exceedingly small fraction. Treatment options are limited, and the disease is often refractory to conventional methods. Herein, JDD authors Samantha Sherkin OMS-IV, Christian Summa OMS-IV, David Crasto DO, Zackary Whitney DO, Lazlo Karai MD PhD, …
Treatment of Periorificial Dermatitis With Novel Narrow Spectrum Sarecycline
Periorificial Dermatitis
by NEXT STEPS IN DERM TEAM on
Broad spectrum tetracyclines are a well-known, widely used, and often successful treatment for use in inflammatory skin pathologies such as acne and rosacea. However, the steady rise of antibiotic resistance and gut dysbiosis associated with broad spectrum tetracyclines emphasizes the importance and responsibility of antibiotic stewardship. Narrow spectrum antibiotics have become increasingly impo …
Severe Oral Mucositis: A Rare Adverse Event of Pembrolizumab
Oral Mucositis
by NEXT STEPS IN DERM TEAM on
Treatment of malignancy with anti-programmed cell death 1 (PD-1) immune checkpoint inhibitors can cause mucocutaneous side effects resulting from T cell activation. Due to their recent development, the full side effect profile remains to be fully elucidated, however dermatologic adverse events are most common. The main oral toxicities of these immune checkpoint inhibitors include: xerostomia, dysg …
Blastomycosis-like Pyoderma Arising in Lichen Planus – A JDD Case Report
Lichen Planus
by NEXT STEPS IN DERM TEAM on
CASE REPORT A 71-year-old Fitzpatrick phototype IV man with a history of hyperlipidemia and extensive travel to the Middle East presented with a mildly painful vegetative growth on his right lower leg for 1.5 months (Figure 1). In 2014, the patient reported a pruritic “rash” in the same location, which was treated with fluocinonide .05% ointment with resolution. [caption id="attachment …
Eruptive Milia Within a Tattoo
Milia within a tattoo
by NEXT STEPS IN DERM TEAM on
Introduction The most frequently reported tattoo-related dermatoses, according to a study of 234 tattooed patients, are allergic,1infectious,2,3 and granulomatous4,5 reactions occurring in 2.1% of this population.6 Less common reactions are lichenoid,7photoallergic,8 pseudolymphomatous,9 discoid lupus erythematosus,10 incidental skin neoplasm,11 and koebnerization of psoriasis.12,13Milia within t …