In Full Bloom

Anita Gade, BA; Cassandra Johnson, MS; Nikhil Anbarasan, BS; Matthew Apicella, MS Keywords: Art, Nature, Pleomorphic Lipoma, CTCL, dermatomyositis, IgA Pemphigus, Varicella, Tuberosclerosis, Pityriasis Rosea, Basal Cell Carcinoma, Erythema Gyratum Repens, SLE, Alopecia Areata, Melanoma, Pseudomonal Pyoderm Springtime evokes a sense of revitalization. Sprouting plants emerge from fertile soil nourished by rainfall and sunshine. Blades of grass sway in the cool breeze, synchronizing with the melody of birds chirping. The essence of spring, exquisitely captured by revolutionary American writer Harriet Ann Jacobs (1813-1897) in her autobiography Incidents in the Life of a Slave Girl1: The beautiful spring came; and when Nature resumes her loveliness, the human soul is apt to … Continue reading

My Illness Narrative: the Autopathography Project

You may have a complex health problem that doctors have not solved. When you enter a new doctor’s office, a perky young person at the reception area asks who referred you and then requests your insurance cards. Next, you will be given numerous forms to fill out. Then you are seen by an assistant who records your weight, blood pressure, pulse, and even the oxygen saturation from a fingertip. Finally, the physician or his “extender” sees you for 10 – 15 minutes, at least half of which time he is focused on your electronic medical record. After this ceremony, what does the medical professional know about whom you are and … Continue reading

A Pioneer of Dermatologic Literature

Jake Gibbons, B.S., Tyler Marion, B.S., M.B.A. Keywords: Geronimo Mercuriali; scabies; medical history; pharmacology; skin disease; humanities In 1572, Italian physician Geronimo Mercuriali, Hieronymus Mercurialis in Latin, published De morbis cutaneis.  This storied book, whose title translates to “On Diseases of the Skin,” is the first published manuscript dedicated to diseases of the skin.1 In this work, Mercuriali outlines various dermatologic diseases, describing the physical manifestations of such conditions and proposing various homemade, therapeutic concoctions. Born to a working-class family in Forli, Italy in 1530, Geronimo Mercuriali spent his early life learning Greek and philosophy. As a young man, he studied medicine in Padua, Italy before returning to his birthplace to … Continue reading

Skin Stretching

Tyler Marion, B.S., M.B.A., Kevin Cao, B.S., Jorge Roman, M.D. Keywords: Skin stretching; Lip plates; Skin modification; lip stretching; beauty; Mursi. Skin stretching, as a form of body modification, has been used for centuries across many different cultures. Ear lobe stretching in particular dates back roughly to 1500 BC in ancient Egypt, Central America, and South America.1 The stretching of earlobes has been seen in many different tribes including the Aztecs, Mayans, and Asian Hill tribes. This form of skin stretching was even used by King Tutankhamen, an ancient Egyptian pharaoh.2 A unique variation of skin stretching can be observed in Africa amongst the Mursi, Chai, and Tirma tribes in the form … Continue reading

What Matters to Me: Investigations in a Dermatology Practice

Nothing about me without me.  What Matters to Me: Investigations in a Dermatology Practice By Hope Mendez and David Elpern, M.D. The Skin Clinic, 12 Meadow St. Williamstown, MA 01267 Corresponding author: David Elpern Abstract: We surveyed 125 consecutive patients in a dermatology clinic in rural Massachusetts in the attempt to learn what matters most to them in their interactions with providers and the health care system. Keywords: patient-doctor communication, patients’ rights Introduction: We were first made aware of to this subject by a prescient article in the British Medical Journal by Sosena Kebede.1 When patients see providers they are rarely given the opportunity to communicate what they they … Continue reading

Delusions of Infestation/Morgellons

Presented at Hot Spots in Dermatologgy Kahuku, Hawaii August 18, 2018 by Lauren Claypoole, MS1, John A Burns School of Medicine (University of Hawaii) My presentation is called “Delusions of Parasitosis/Morgellons>  When I was at college, I was able to shadow a dermatologist for a month. He suggested I present two once-in-a-blue-moon cases that I observed at the clinic. Both patients taught me about the intricate crossover between the fields of dermatology and psychiatry, that I believe contributed significantly to my choice to be a psychology and neuroscience major shortly thereafter. Full Talk: Delusions of Parasitosis/Morgellons

Hot Spots Presentations

    Kahuku, Hawaii August 17 – 19, 2018 Presentations in Alpha order by Speaker Where Column # 4 has a “Y” the handout is at Bintliff, Shay On Retirement Y Claypoole, Lauren A Student’s Introduction to Delusional Parasitosis Dann, Frank As I’ve Seen it over Four Decades Elpern, Dave Who Was Michael Balint? Y Esaki, Paul Flying solo with a complex patient Glamb, Roman Paraneoplastic Pemphigus a Platform to Bloviate Goo, Alana Flying solo with a complex patient Ing, Malcolm Dr.Edmund  Ing: Expertise and Community Service In Hawaii Y Johnson, Douglas Western Samoa, 2018 Johnson, Evan Navigating the … Continue reading

Hot Spots in Dermatology 2018 Syllabus

August 17 – 19, 2018 Turtle Bay Resort Kahuku, Hawaii   Thursday, August 16: 6:00 pm.  Get together at The Johnson’s Cabana 6:00 Friday, August 17: 8:00 am Registration and Breakfast 8:30 a.m. – 12:30 p.m.  Plenary Sessions 8:30 – 9:20 a.m.  Clinical Pathological Cases (Marianna Karewicz, Kumar, Rademaker, and others) 9:20 – 9:30 Michael Webster. Radiotherapy Update 2018 9:30 – 10:00: Marius Rademaker.  “How I use isotretinoin” 10:00 – 10:30 Bhushan Kumar. “Non-venereal genital dermatoses” 10:30 – 10:45 Refreshment Break 10:45 – 11:15  Malcolm Ing. “Dr.Edmund  Ing: Expertise and Community Service In Hawaii” 11:15 – 11:45  Alan Katz “Antibiotic resistant N. gonorrhoeae: an urgent public health threat.” 11:45 – … Continue reading

The Differential Diagnosis of Dermatological Conditions in Relation to Leprosy

Presented by Professor Bhushan Kumar Former Chief of Dermatology at the Postgraduate Institute of Medical Education and Research, Chandigarh, India Hot Spots in Dermatology August 17 – 19, 2018 Abstract: Leprosy, now an uncommon disease of low infectivity is caused by Mycobacterium leprae. It is rare in the western world and is mostly seen in immigrants from endemic areas. It affects mainly the skin and the nerves. The cutaneous lesions vary widely from macular to papular, papulo-nodular and nodulo-plaques covering large areas of the body. So the dermatological diseases which need to be differentiated vary widely, having lesions which may resemble any of these morphological lesions. Occurrence of lepra reactions … Continue reading

Non-Venereal Genital Dermatoses in Men

Presented by Professor Bhushan Kumar Former Chief of Dermatology at the Postgraduate Institute of Medical Education and Research, Chandigarh, India Hot Spots in Dermatology August 17 – 19, 2018 Abstract: Lesions on the genitalia either alone or as part of the general disease are common dermatological presentations. Majority of the lesions are non-venereal and are of great concern patients because of the importance of the “organ” involved. In addition the disease may bring in feelings of guilt, being unclean, related to STD and may even lead to marital discord. The lesions may only be physiological or benign abnormalities, inflammatory in nature, infections or part of the systemic disease. Only few diseases … Continue reading

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