Dermatology Mondays: On a Global Scale

“Find a job you enjoy doing, and you will never have to work a day in your life.” ― Mark Twain  Dermatology Mondays: On a Global Scale Omid Zargari, M.D.1, David J. Elpern, M.D.2, Gregor Jemec, M.D.3 Dana Clinic, Rasht, Iran, E-mail: ozargari@gmail.com The Skin Clinic, Williamstown, Massachusetts, USA Roskilde Hospital, University of Copenhagen, Denmark Key Words: Epidemiology, skin cancer, psoriasis, acne Funding source: None That’s when I first learned that it wasn’t enough to just do your job, you had to have an interest in it, even a passion for it. ― Charles Bukowski Each Monday, as physicians, we start our “work week.” If one happens to live in Iran, … Continue reading

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Acne Unmasked

Bukowski on Acne From Ham on Rye Black Sparrow Press 1982 Ham on Rye, a semi-autobiographical novel, follows Henry Chinaski, Bukowski’s thinly-veiled alter ego, during his early years. It contains harrowing descriptions of Bukowski’s suffering from acne conglobata and his reflections on the dermatologists who treated him.  Fortunately, today, isotretinoin can help most of these patients. Here are some excerpts from Ham on Rye:   Chapter 29 I was ashamed of my boils at school.  At Chelsey, you had a choice between gym and ROTC.  I took ROTC because then I didn’t have to wear a gym suit and nobody could see the boils on my body. Handling the rifle … Continue reading

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Acne: Worst Case Scenario

Excerpt from “72 Scars”  Evergreen Review. Technically speaking, Scar #1 began in 1971 and lasted well into the 1980s. Like many teenagers, I had acne, but unlike many teenagers, I had the worst case any doctor had ever seen. The only thing to compare it to is Charles Bukowski’s description in Ham on Rye. It started out innocently enough. My dad would drive me to Dr. Fried in Englewood, NJ every Saturday of my freshman year. The treatment would begin with a 30 second x-ray radiation treatment of the afflicted areas and then Dr. Fried would take out a dermatological instrument and go to work squeezing the pimples on my … Continue reading

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Mirror Amputation for Acne Excoriee de Jeunes Filles

Casual Comments by DJ Elpern Abstract: Many young women habitually pick facial lesions which in reality may be rather minor.  These are some informal thoughts on excoriated acne with a suggestion of a simple behavioral technique called “mirror amputation” that may help some of these persons. Keywords: acne, excoriations, acne excorie de jeunes filles, dermatotillomania, mirror amputation, skinorexic Dermatologists see women with excoriated acne regularly.  The typical patient is a young to middle-aged woman with scattered excoriations on the face.  There is a surprisingly scant literature on this common disorder which has also been called acne excoriee de jeunne filles (AEJF), Dermatotillomania, and Skinorexia. A recent post on AEJF on … Continue reading

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Relative Risk – A Near Fatal Case of Acne

By Richard Sontheimer Professor, Department of Dermatology, University of Utah School of Medicine, richard.sontheimer@hsc.utah.edu Keywords:  Acne, isotretinoin, Accutane, depression, suicide He was an intense young man who interacted with me differently than other patients. Each time I entered the exam room, he welcomed me by using my first name.  Unusual, as he was 40 years my junior and not a personal acquaintance prior to his first clinic visit. He had presented for scarring cystic facial acne. Five months later, he had completed a course of oral isotretinoin (Accutane®) with complete clearing of all inflammation from his face. While winding up my last clinic visit with him, I asked the required … Continue reading

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