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Skin Microbiome and Acne: Connecting the Dots
Skin Microbiome and Acne
by Mojgan Hosseinipour, DO on
When we think about skin, a few things come to mind: protection, temperature regulation, sensation. However, there is growing interest in the microbiome of the skin. Our skin flora can be likened to an invisible ecosystem. Similar to fingerprints, it is unique to each individual. The complexity of the skin microbiome is continuing to be researched. This research is paving the way to improve our un …
Antibiotics and Acne: the Bad, the Good, and the Brand New
Acne & Antibiotics
by James J. Contestable, MD on
Tomorrow 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 …
An Update on Rhinophyma
rhinophyma
by Kimberly Huerth, MD, M.Ed on
Gin nose. Gin blossom. Rum nose. Rum blossom. Brandy nose. Copper nose. Hammer nose. Potato nose. These are some of the disparaging terms that were once used to describe people suffering from rhinophyma. As can be seen, many imply the use of alcohol by the afflicted, which is sadly yet another example of the victim-shaming we so often observe when someone’s appearance or choices make others unco …
Spironolactone Therapeutic Cheat Sheet
Spironolactone Therapeutic Cheat Sheet
by Jessica Kalen, MD on
Hormonal acne is a prevalent and frustrating condition among many women. For those who are unable to control the disease with topical medications alone, spironolactone is often a useful systemic agent. However, its off-label use and potential risk of hyperkalemia have raised the question about serum potassium monitoring. We continue our Therapeutic Cheat Sheet series, with a closer look at spirono …
An Interview with Dr. Kimberly Huerth on the Management of Morbihan Disease
Morbihan Disease
by Lola Adekunle, MD on
Morbihan Disease (MD) is a rare condition but can be a very rewarding diagnosis to make. I interviewed Dr. Kimberly Huerth on her poster presentation of an African-American man with long-standing, progressive Morbihan Disease that took 16 years to diagnose. MD in patients of skin of color may be underreported as well as underdiagnosed. Similarly, rosacea in skin of color is often overlooked and th …