Journal of the American Academy of Dermatology
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J. Am. Acad. Dermatol. · Aug 2014
ReviewMunchausen syndrome and Munchausen syndrome by proxy in dermatology.
Patients with Munchausen syndrome purposefully injure themselves, often with the injection of foreign materials, to gain hospital admission and the attention associated with having a difficult-to-identify condition. Munchausen syndrome by proxy occurs when a child's caregiver, typically the mother, injures the child for the same reasons. ⋯ At the center of both conditions is significant psychological pathology and treatment is difficult as many patients with Munchausen syndrome when confronted with these diagnostic possibilities simply leave the hospital. Little is known about the long-term outcome or prognosis of these patients.
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J. Am. Acad. Dermatol. · Jul 2014
Guidelines of care for the management of atopic dermatitis: section 2. Management and treatment of atopic dermatitis with topical therapies.
Atopic dermatitis is a common and chronic, pruritic inflammatory skin condition that can affect all age groups. This evidence-based guideline addresses important clinical questions that arise in its management. In this second of 4 sections, treatment of atopic dermatitis with nonpharmacologic interventions and pharmacologic topical therapies are reviewed. Where possible, suggestions on dosing and monitoring are given based on available evidence.
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J. Am. Acad. Dermatol. · Jun 2014
Letter Randomized Controlled Trial Comparative StudyTreatment of notalgia paresthetica with botulinum toxin A: a double-blind randomized controlled trial.
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J. Am. Acad. Dermatol. · Jun 2014
Letter Case ReportsClavi syphilitici--an unusual presentation of syphilis.
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J. Am. Acad. Dermatol. · May 2014
Review Meta AnalysisThe association of indoor tanning and melanoma in adults: systematic review and meta-analysis.
Tanning beds are associated with increased risk of melanoma. ⋯ Using tanning beds is associated with a subsequent melanoma diagnosis. Exposure from more than 10 tanning sessions is most strongly associated and there was no statistically significant difference in this association before and after 2000, suggesting that newer tanning technology is not safer than older models.