September 2015 Briefing - Dermatology

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Here are what the editors at HealthDay consider to be the most important developments in Dermatology for September 2015. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Online Follow-Up Feasible for Most Surgery Patients

WEDNESDAY, Sept. 30, 2015 (HealthDay News) -- Online postoperative care is preferred over in-person care by a majority of patients who have routine, uncomplicated surgery, according to research published online Sept. 22 in the Journal of the American College of Surgeons.

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Legal Cases for Soft-Tissue Fillers Mainly Involve Physicians

TUESDAY, Sept. 29, 2015 (HealthDay News) -- Legal cases relating to soft-tissue filler most often involve physicians, frequently relating to a non-physician performing the procedure, according to a research letter published in the October issue of the Journal of the American Academy of Dermatology.

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UVA-1 Promising for Patients With Refractory Alopecia Areata

MONDAY, Sept. 28, 2015 (HealthDay News) -- For patients with alopecia areata (AA), phototherapy with ultraviolet A-1 (UVA-1) is a promising treatment modality, according to a research letter published in the October issue of the International Journal of Dermatology.

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Spironolactone Seems Effective for Female Pattern Hair Loss

FRIDAY, Sept. 25, 2015 (HealthDay News) -- Spironolactone may be an effective treatment for female pattern hair loss (FPHL), especially among patients with signs of hyperandrogenism, according to a study published in the October issue of the Journal of the American Academy of Dermatology.

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Review: Link for Physical Activity, Atopic Dermatitis Unclear

FRIDAY, Sept. 25, 2015 (HealthDay News) -- The correlation between physical activity and atopic dermatitis (AD) is unclear, according to a research letter published online Sept. 19 in the British Journal of Dermatology.

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Study Looks at Costs for Moderate to Severe Plaque Psoriasis

THURSDAY, Sept. 24, 2015 (HealthDay News) -- Most patients with moderate to severe plaque psoriasis (MSPP) are prescribed medications, with six-month total direct costs of $11,291 per patient, according to a study published in the October issue of the Journal of the American Academy of Dermatology.

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Rosacea Linked to Various Comorbid Conditions

WEDNESDAY, Sept. 23, 2015 (HealthDay News) -- Rosacea is associated with various comorbid conditions, including, but not limited to, allergies, respiratory diseases, and gastrointestinal diseases, according to a study published in the October issue of the Journal of the American Academy of Dermatology.

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Health Insurance Deductibles Rising Faster Than Wages

WEDNESDAY, Sept. 23, 2015 (HealthDay News) -- Health insurance deductibles have risen more than six times faster than American workers' average wages since 2010, a Kaiser Family Foundation report says.

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Intralesional IL-2 Promising for Cutaneous Melanoma Metastases

WEDNESDAY, Sept. 23, 2015 (HealthDay News) -- Patients with cutaneous melanoma metastases have excellent response to intralesional interleukin 2 (IL-2) administered concomitantly with topical imiquimod and a retinoid cream, according to a case series published in the October issue of the Journal of the American Academy of Dermatology.

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IOM: Most U.S. Patients Will Experience Diagnostic Error

WEDNESDAY, Sept. 23, 2015 (HealthDay News) -- A new report commissioned by the U.S. government contends that most Americans will encounter at least one diagnostic error in their lifetime, sometimes with severe consequences for their physical and mental health.

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Medical Schools Teaching Students About Costs of Care

TUESDAY, Sept. 22, 2015 (HealthDay News) -- Many medical schools are integrating discussions of cost, value, and effectiveness into their curricula, according to Kaiser Health News.

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Docs in Productivity Models Likely to Encounter Compensation Caps

MONDAY, Sept. 21, 2015 (HealthDay News) -- Physicians, especially those working in a productivity model, need to understand compensation caps, which are set at a specific percentile of national pay based on surveys, according to a report in Medical Economics.

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Neutrophil/Lymphocyte Ratio Prognostic in Melanoma

MONDAY, Sept. 21, 2015 (HealthDay News) -- For patients with metastatic melanoma, neutrophil/lymphocyte ratio (NLR) before initiating ipilimumab treatment is an independent prognostic indicator of poor survival, according to a study published online Sept. 6 in the British Journal of Dermatology.

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Volunteer Doctors Need to Check Liability Coverage

FRIDAY, Sept. 18, 2015 (HealthDay News) -- Physicians who volunteer their medical expertise should consider their legal risks, according to an article published online Sept. 3 in Medical Economics.

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Mid-Morning May Be Best Time for Workday Break

FRIDAY, Sept. 18, 2015 (HealthDay News) -- Choosing preferred activities for a work break and taking a break earlier in the shift are linked to more resource recovery after a break, according to a study published online Aug. 10 in the Journal of Applied Psychology.

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2012 Office Visits 57% Higher for Women than Men, Ages 1864

FRIDAY, Sept. 18, 2015 (HealthDay News) -- In 2012 there were an estimated 301 physician office visits per 100 persons, with higher rates for females and adults aged 65 years and older, according to a September data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Type 1 Diabetes in Childhood May Up Atopic Dermatitis Risk

FRIDAY, Sept. 18, 2015 (HealthDay News) -- Type 1 diabetes mellitus (T1DM) in childhood is associated with increased risk of atopic dermatitis (AD), according to a study published online Sept. 15 in the British Journal of Dermatology.

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Misconceptions of Infection, Contagion Surround Psoriasis

WEDNESDAY, Sept. 16, 2015 (HealthDay News) -- Misconceptions of infection and contagion surround psoriasis, which is highly stigmatizing, according to a study published in the September issue of the Journal of the American Academy of Dermatology.

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Women Less Likely to Be Full Professors Than Men

WEDNESDAY, Sept. 16, 2015 (HealthDay News) -- In academic medicine, women are less likely to be full professors than men and have less startup funding than men, according to two studies published in the Sept. 15 issue of JAMA.

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Allergy to Soy Reported After Percutaneous Sensitization

TUESDAY, Sept. 15, 2015 (HealthDay News) -- Reduced skin barrier function seen in patients with atopic dermatitis may cause percutaneous sensitization by various proteins, such as food, according to a case report published in the September issue of The Journal of Dermatology.

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Case Report Describes Contact Dermatitis From Ultrasound Gel

MONDAY, Sept. 14, 2015 (HealthDay News) -- An atypical presentation of contact dermatitis due to ultrasound gel has been reported in a 67-year-old male patient. The case report was published online Sept. 8 in the Journal of Dermatology.

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For Pharma Reps, Access to Physicians Continuing to Drop

FRIDAY, Sept. 11, 2015 (HealthDay News) -- Physician access for pharmaceutical representatives is continuing to decline, with access restricted to some degree for more than half of physicians, according to an AccessMonitor survey published by ZS.

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Physician Re-Entry Program Set to Redress Physician Shortage

THURSDAY, Sept. 10, 2015 (HealthDay News) -- An online educational program aims to help physicians get back to work and reduce the nation's physician shortage, according to an article published by the American Academy of Family Physicians (AAFP).

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4% Increase in Population of Actively Licensed Physicians

THURSDAY, Sept. 10, 2015 (HealthDay News) -- The total population of actively licensed physicians in the United States and the District of Columbia has increased by 4 percent since 2012, according to a report published in the Journal of Medical Regulation.

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Various Dermatoses May Occur After Acupuncture

THURSDAY, Sept. 10, 2015 (HealthDay News) -- Various dermatological adverse events may occur after acupuncture, with the most common adverse event being infectious skin disease, according to a study published online Sept. 4 in the International Journal of Dermatology.

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Genetics, Environment Equally Contribute to Rosacea

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- Risk of rosacea appears to be half environmental and half genetic, with sun exposure, body mass index, smoking, alcohol consumption, and cardiovascular comorbidity key contributors, according to study findings published online Aug. 26 JAMA Dermatology.

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Management, Treatment of Chronic Disease Up With ACA

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- More Americans are getting health insurance as a result of the Affordable Care Act, which may lead to many more people getting diagnosed and treated for chronic conditions, such as diabetes, a new study contends. The findings were published in the September issue of Health Affairs.

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Accelerated MD Program Doesn't Mar Academic Performance

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- An accelerated baccalaureate (BA)/doctor of medicine (MD) program does not impair the academic performance of medical students, according to a study published online July 3 in Academic Medicine.

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EHR Vendors Not Adhering to Usability Certification Standards

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- Among electronic health record (EHR) products, there is a lack of adherence to the U.S. Department of Health and Human Services' Office of the National Coordinator for Health Information Technology (ONC) standards, according to a research letter published in the Sept. 8 issue of the Journal of the American Medical Association.

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ACP Supports Expanded Role of Telemedicine for Health Care

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- Telemedicine can be beneficial, within the framework of an established physician-patient relationship, according to a position paper published online Sept. 8 in the Annals of Internal Medicine.

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Remission in Pemphigus Vulgaris With Strategic Steroid Tapering

TUESDAY, Sept. 8, 2015 (HealthDay News) -- For patients with pemphigus vulgaris, a severity-tailored starting dose of glucocorticoids with an initial tapering duration based on the starting dose and a subsequent 50 percent yearly tapering regimen can result in complete remission within three to six years, according to a study published online Sept. 1 in the Journal of Dermatology.

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Chronic Rhinosinusitis Linked to Increased Risk of Other Diseases

TUESDAY, Sept. 8, 2015 (HealthDay News) -- Chronic rhinosinusitis (CRS) is associated with increased risk of other diseases, with different patterns based on CRS phenotype, according to research published online Aug. 31 in Allergy.

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Suggested Response Provided for In-Flight Medical Emergencies

FRIDAY, Sept. 4, 2015 (HealthDay News) -- In a review article published online Sept. 3 in the New England Journal of Medicine, guidance is offered for physicians providing emergency in-flight medical care.

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Histologic Regression Tied to Lower Odds of SLN Positivity

FRIDAY, Sept. 4, 2015 (HealthDay News) -- For patients with primary melanoma, the risk of sentinel lymph node (SLN) positivity is significantly lower for those with histologic regression, according to a review published online Sept. 2 in JAMA Dermatology.

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FDA Issues Warning Regarding Injectable Skin Lighteners

THURSDAY, Sept. 3, 2015 (HealthDay News) -- The U.S. Food and Drug Administration has issued a warning that injectable skin-lightening products are potentially unsafe and ineffective.

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Immunological Cross-Reactions May Increase Food Allergies

TUESDAY, Sept. 1, 2015 (HealthDay News) -- Food allergy can be caused by immunological cross-reactions to common inhalant allergens, with diverse patterns of allergic reactions to foods observed, according to a position paper published in the September issue of Allergy.

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