Skin Conditions

May 15, 2020 Issue
Severely Callused Hands and Feet [Photo Quiz]

A man presented with a long history of an uncontrollable, proliferating skin callus formation on both hands and feet.

Apr 1, 2020 Issue
Cutaneous Cryosurgery for Common Skin Conditions [Article]

Cryosurgery is a safe, effective, and inexpensive procedure. Dipstick, probe, or spray techiniques are used to treat benign, premalignant, and malignant skin lesions. Low-risk basal and squamous cell carcinomas may be treated with cryosurgery, and it is the treatment of choice for most actinic keratoses.

Mar 15, 2020 Issue
Genital Ulcers: Differential Diagnosis and Management [Article]

Genital ulcers are infectious or noninfectious and are located on the vagina, penis, and anorectal or perineal areas, and herpes simpex virus is the most common cause. Diagnosis for herpes simplex virus is made through physical examination and observation of the lesions. Noninfectious etiologies, including sexual trauma and psoriasis, should be considered.

Mar 1, 2020 Issue
Tense Bullae and Pruritus [Photo Quiz]

A 72-year-old man presents with a two-month history of worsening pruritic rash and painful blisters on his trunk, bilateral upper and lower extremities, face, and groin.

Feb 15, 2020 Issue
Topical Interventions Improve Outcomes After Cryosurgery for Actinic Keratosis [POEMs]

Based on a review of low-quality evidence, adding a topical intervention after cryosurgery for actinic keratosis improves the likelihood of complete clearance from 46% to 79% (number needed to treat = 3).

Feb 1, 2020 Issue
Accuracy of Dermoscopy vs. Visual Inspection for Diagnosing Melanoma in Adults [Cochrane for Clinicians]

The addition of dermoscopy to in-person visual inspection of skin lesions increases specificity and sensitivity in the detection of melanoma. In-person evaluation with dermoscopy is more accurate than image-based assessment.

Nov 15, 2019 Issue
Hydrogen Peroxide 40% (Eskata) for Seborrheic Keratosis [STEPS]

Hydrogen peroxide 40% topical solution is not particularly effective for removing seborrheic keratosis lesions, and skin reactions are common.

Nov 1, 2019 Issue
Oral H1 Antihistamines as Add-on Therapy to Topical Treatment for Eczema [Cochrane for Clinicians]

In children with eczema, there is no evidence to support the addition of oral H1 antihistamines to standard treatment regimens. In adults, the use of fexofenadine (Allegra), 120 mg per day, improves patient-assessed eczema symptoms compared with placebo (number needed to treat = 11; 95% CI, 5.5 to 255).

Nov 1, 2019 Issue
Pilonidal Disease Management: Guidelines from the ASCRS [Practice Guidelines]

The American Society of Colon and Rectal Surgeons (ASCRS) has released a clinical practice guideline to provide physicians with diagnosis and treatment options of pilonidal disease.

Nov 1, 2019 Issue
Foot Blisters in a 30-Pack-Year Smoker [Photo Quiz]

A woman presented with blisters on the sole of her foot.

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