Dermatology

Combination therapy in patients with psoriatic arthritis has a lower discontinuation rate than that of patients on monotherapy, but comes with a higher price tag.

A 59-year-old woman presented to clinic for evaluation of multiple moles. Although the moles were not suspicious on physical exam, she was noted to have bilateral deformities of her thumb nails. Her past medical history is significant for chronic knee pain and breast cancer that was successfully treated 13 years ago. What is your diagnosis?

A group of researchers has assessed the health and economic costs and benefits of minimally invasive procedures for the management of varicose veins.

A comprehensive review of reanimation surgery describes interventions to restore facial movement in each part of the face.

Although boosted self-esteem and increased confidence are added benefits to fixing an embarrassing physical flaw, they can also lead both the patient and surgeon down a slippery slope.

Robert T. Grant, MD, MSc, FACS, reviews the top 3 non-invasive facial cosmetic procedures.

A 60-year-old gentleman presented to a clinic with a large ulceration over his left tibia. The wound was friable, erythematous, and purulent, with necrotic involvement of the tibial tendon sheath. He reports that the lesion started 15 years ago and worsened after surgical debridement 10 years ago. High-dose prednisone helped in the past, but other medications have been of no help. Recently, the patient developed intense pain with occasional fevers, chills, and night sweats. He has type 2 diabetes mellitus, but denies any history of bowel difficulties, hepatitis, or arthralgias. What is your diagnosis?

Allowing teens and young adults to boost their confidence through cosmetic enhancements is an amazing gift, but cosmetic surgery is not child's play.

Contrary to the belief that it's only a problem for patients who are overweight, cellulite is an extremely common finding. Unfortunately, it has no simple solution.

Plastic surgery still has a very negative stigma, despite the fact that there were more than 14.6 million cosmetic procedures performed in 2012 alone.

While facelift surgery and injectables both offer age-defying benefits, each procedure addresses different aspects in regards to the signs of aging and yields diverse results.

This 6-year-old boy presents to the ER with a 2-day history of increasing pain and swelling in his right ankle. On the day of his arrival, he also developed the rash pictured here. The patient denies any other symptoms aside from his ankle and knee pain. His chest X-ray, vital signs, complete blood count (CBC), and basic chemistry panel were normal, though urinalysis showed a trace of blood.

Less-invasive plastic surgery will get rid of targeted problem areas just in time for the holiday season.

Early treatment of rosacea is crucial for the prevention of irreversible damage.

Radiofrequency ablation and percutaneous laser ablation are both effective and safe for the management of benign thyroid nodules, with no significant differences in nodule volume reduction between the two techniques.

Robert T. Grant, MD, MSc, FACS, debunks 10 common myths about plastic surgery, such as the safety of Botox injections and breast augmentation.

Study results show that daptomycin cleared MRSA infections within four days of treatment in 80% of patients and was particularly effective against extra-vascular infections.

This 44-year-old man presented to a clinic with multiple dark lesions on his lower extremities. When the lesions first appeared eight months ago, they were slightly raised, pink in color, and intensely itchy, but after repeated excoriation, they have become increasingly dark. The patient reports that a biopsy was inconclusive and creams and an oral medication have not helped his condition. In addition to his leg lesions, there is some involvement of the thigh, buttocks, and penis. He denies any past medical history or other medications. What condition does this man have?

Study results presented at the 2013 United States Conference on AIDS show that both combo drugs have a similar efficacy profile in ART-naïve patients, but patients treated with Complera reported fewer and less severe side effects.

Despite the pervasiveness of psoriasis and psoriatic arthritis, undertreatment and nontreatment of even the most severe forms of those systemic rheumatic diseases are widespread in the United States.

The federal government's Partnership for Patients Hospital Engagement Networks (HENs), which work to improve patient care through implementation and dissemination of best practices in clinical quality, have released checklists for 10 areas of patient care.

The US Food and Drug Administration (FDA) has expanded the indications of Novartis Pharmaceuticals Corp.'s transdermal therapy for Alzheimer's disease to include the treatment of patients with severe stages of the neurological disorder.

Dr. Lim discusses the challenges of diagnosing and treating lupus, the tools and resources offered by the Lupus Initiative, and the impact of unconscious bias on care.

Results of a recent clinical trial by researchers at the Department of Rehabilitation Medicine in the Affiliated Tenth People's Hospital of Tongji University, in Shanghai, China, have deemed locally injected methylcobalamin more effective than its orally administered counterpart as a treatment for subacute herpetic neuralgia.

The American College of Rheumatology recently announced a new easy-to-use curriculum and tools aimed to help medical professionals advance the diagnosis, treatment, and management of lupus.

Patients with refractory IBS who incorporated weekly sessions of gut-directed hypnotherapy into their treatment report significant long-term improvements in quality of life.

Researchers report that skin patch testing for specific foods and additives that can cause IBS symptoms can help patients eliminate those foods from their diet and improve their IBS symptoms.

Many psoriasis patients have the same gene variants as people who are not significantly affected by an HIV-1 infection.

Just a quarter of adolescents surveyed for a new study reported wearing sunscreen when out in the sun for extended periods of time, and over half reported suffering a sunburn during the previous summer.

According to two recently published studies, the risk of skin cancer may be increased in individuals who suffer from inflammatory bowel disease (IBD); the risk is heightened by the use of immunosuppressant medications, which typically are used to treat IBD. At this time, there are no recommendations for skin cancer screenings in IBD individuals.