Cutis
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The use of computers or machines in medicine dates back to the 1960s. Deep learning software programming is a subset of artificial intelligence (AI) based on the ability of a machine to learn from data and adaptively change. ⋯ In medicine, image-based fields such as radiology, dermatology, and pathology have seen an increase in the number of studies using deep learning. However, given the current lack of standardized data sets to train these machines, it is difficult to predict if the present results eventually will be translated to real-life clinical settings.
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Rosacea is a chronic inflammatory cutaneous disorder that may be underreported and underrecognized in skin of color (SOC) patients. There are several skin disorders that can present with the classic features of rosacea, such as erythema, papules, and pustules, which can confound the diagnosis. To promote accurate and timely diagnosis of rosacea, we review possible rosacea mimickers in SOC patients.
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Practice Guideline
Outpatient management and follow-up recommendations for adverse drug reactions: guidelines for posthospitalization care.
Acute generalized exanthematous pustulosis (AGEP), drug rash with eosinophilia and systemic symptoms (DRESS) syndrome, and Stevens-Johnson syndrome (SJS)/toxic epidermal necrolysis (TEN) are types of adverse drug reactions (ADRs), each with their own set of characteristic symptoms and sequelae. Although guidelines for inpatient management of these conditions exist, guidelines for outpatient follow-up are lacking. Based on the existing literature, we propose guidelines for outpatient follow-up of AGEP, DRESS, and SJS/TEN.
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Comparative Study
Quantity and characteristics of flap or graft repairs for skin cancer on the nose or ears: a comparison between Mohs micrographic surgery and plastic surgery.
One benefit of Mohs micrographic surgery (MMS) is maximal tissue sparing compared to standard excisional surgery techniques. It also has the highest statistical cure rate for appropriately selected nonmelanoma skin cancers (NMSCs) in cosmetically sensitive areas, making it a preferred choice for many self-referred patients or their referring physicians. Patients and nondermatologist physicians may be unaware of how frequently Mohs surgeons perform complex surgical repairs compared to other specialists. ⋯ We collected secondary data on final defect size prior to the repair, skin tumor type, referring specialty for the procedure, and patient demographics. We found that Mohs surgeons performed a larger number of complex repairs on cosmetically sensitive areas compared to plastic surgeons following skin cancer removal, which may be unrecognized in several specialties that refer patients for management of skin cancers, creating a possible practice gap. More data may aid referring providers in optimally advising and managing patients with cutaneous malignancies.
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Postinflammatory hyperpigmentation (PIH) is common in patients with skin of color. Notably, the US population of children with skin of color is growing rapidly. ⋯ Therefore, it is crucial that dermatologists can identify and treat underlying inciting inflammatory dermatoses in this patient population. In this article, management strategies for PIH in pediatric patients with skin of color are presented.