Topical management and wound care approaches for hidradenitis suppurativa.
Authors: Antia C, Alavi A, Alikhan A Abstract Hidradenitis suppurativa (HS) is a chronic inflammatory disease that affects the follicular unit in apocrine glandbearing skin, resulting in deep-seated nodules, sinus tracts, abscesses, and ultimately scarring. HS is a highly distressing condition, and has one of the highest impacts on quality of life compared to other dermatologic diseases. Various topical therapies have been described that may be used alone or in conjunction with systemic or physical modalities for HS. Additionally, proper wound care is essential to the successful management of HS, particula...
Source: Seminars in Cutaneous Medicine and Surgery - May 26, 2017 Category: Dermatology Tags: Semin Cutan Med Surg Source Type: research

Medical management of hidradenitis suppurativa.
Authors: Orenstein LA, Micheletti RG Abstract Hidradenitis suppurativa is a chronic inflammatory disease of the folliculo-infundibular unit for which no individual treatment is uniformly effective. A wide array of therapies has been reported successful in the treatment of hidradenitis, although few high-quality clinical trials have been conducted. Comparing the effectiveness of different therapies has proven challenging due to heterogeneity and limited validation of outcome measures. We performed a systematic review of clinical trials of medical treatments for hidradenitis, yielding 8 articles reporting on...
Source: Seminars in Cutaneous Medicine and Surgery - May 26, 2017 Category: Dermatology Tags: Semin Cutan Med Surg Source Type: research

A retrospective review of light- and laser-based management of hidradenitis suppurativa.
Authors: Levoska MA, Nicholson CL, Hamzavi IH Abstract Hidradenitis suppurativa (HS) is a chronic skin disease that is difficult to manage and often refractory to medical management. Light and laser therapies have been utilized in the field of dermatology to treat a variety of skin conditions, but more recently were studied in the management of HS. Usually performed as outpatient procedures with a low risk of complications, they offer several advantages to traditional cold knife surgical procedures. We reviewed the various light- and laser-based treatments studied in HS and compared their efficacy. Outcome...
Source: Seminars in Cutaneous Medicine and Surgery - May 26, 2017 Category: Dermatology Tags: Semin Cutan Med Surg Source Type: research

Quality of life considerations and pain management in hidradenitis suppurativa.
Authors: Jemec GB Abstract All skin diseases involve some element of stigmatization and psychosocial consequence for the individual patient, but few, if any, skin diseases can match the impact of hidradenitis suppurativa (HS) on the patient. The inflamed lesions progressing to noninflamed nodules and abscesses are not only perceived as unclean and stigmatizing by the patients, but also cause pain and scarring making this inflammatory skin disorder unique. It is obvious that the disease has a significant negative impact on the patients' quality of life (QOL). The impact is influenced not only by the pain wh...
Source: Seminars in Cutaneous Medicine and Surgery - May 26, 2017 Category: Dermatology Tags: Semin Cutan Med Surg Source Type: research

Complications of hidradenitis suppurativa.
Authors: Yuan JT, Naik HB Abstract Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease characterized by recurrent painful nodules and abscesses involving intertriginous areas. Repeated episodes of profound inflammation in HS can lead to a number of complications, causing significant morbidity and decreasing quality of life. Complications of HS may affect the skin alone or may have systemic impact. Cutaneous complications of HS include sinus tracts, fistulae, scarring and contractures, squamous cell carcinoma, and lymphedema. Systemic complications of HS include chronic pain, systemic amylo...
Source: Seminars in Cutaneous Medicine and Surgery - May 26, 2017 Category: Dermatology Tags: Semin Cutan Med Surg Source Type: research

Major gaps in understanding and treatment of hidradenitis suppurativa.
Authors: Hoffman LK, Ghias MH, Garg A, Hamzavi IH, Alavi A, Lowes MA Abstract Hidradenitis suppurativa (HS) is a complex dermatological disease characterized by recurrent painful nodules and suppuration in areas such as the axilla and groin. The disease is poorly understood and treatment is not satisfactory. In October 2016, the Canadian and United States Hidradenitis Suppurativa Foundations organized the inaugural Symposium on Hidradenitis Suppurativa Advances (SHSA) in Toronto, Canada. This meeting brought together experts from Canada, the United States, and Europe to discuss the latest advances in HS. A...
Source: Seminars in Cutaneous Medicine and Surgery - May 26, 2017 Category: Dermatology Tags: Semin Cutan Med Surg Source Type: research

Hospital Dermatology, Introduction.
Authors: Fox LP Abstract Inpatient dermatology is emerging as a distinct dermatology subspecialty where dermatologists specialize in caring for patients hospitalized with skin disease. While the main focus of inpatient dermatology is the delivery of top-quality and timely dermatologic care to patients in the hospital setting, the practice of hospital-based dermatology has many additional components that are critical to its success. PMID: 28247867 [PubMed - in process] (Source: Seminars in Cutaneous Medicine and Surgery)
Source: Seminars in Cutaneous Medicine and Surgery - March 3, 2017 Category: Dermatology Tags: Semin Cutan Med Surg Source Type: research

The logistics of an inpatient dermatology service.
This article aims to provide basic guidelines to help dermatologists establish a presence as a consulting physician in the inpatient hospital-based setting. The emphasis is on identifying potential pitfalls, problematic areas, and laying out strategies for tackling some of the challenges of inpatient dermatology including balancing financial concerns and optimizing reimbursements, tracking data and developing a plan for academic productivity, optimizing workflow, and identifying metrics to document the impact of an inpatient dermatology consult service. PMID: 28247868 [PubMed - in process] (Source: Seminars in Cuta...
Source: Seminars in Cutaneous Medicine and Surgery - March 3, 2017 Category: Dermatology Tags: Semin Cutan Med Surg Source Type: research

The efficient, effective community hospital inpatient dermatology consult.
Authors: Ackerman LS, Kessler MA Abstract Hospital dermatology is often thought to be too cumbersome for the private practicing dermatologist to handle, leaving patients in our communities without needed care and our medical colleagues in the dark when it comes to diagnosing and/or managing skin disease in the hospitalized patient. This notion that "someone else will figure it out" undervalues our expertise as a specialty and threatens the appropriate health outcomes we knowingly understand patients deserve. In this manuscript, we intend to break down the hospital consult conceptually so as to make clear h...
Source: Seminars in Cutaneous Medicine and Surgery - March 3, 2017 Category: Dermatology Tags: Semin Cutan Med Surg Source Type: research

Teledermatology in the inpatient setting.
Authors: Tull R, Wanat KA Abstract Teledermatology (TD) is a health care delivery modality that uses telecommunication technology to provide dermatologic care. It has grown to be a reliable and diagnostically accurate means of producing quality care while increasing access and reducing wait times in the outpatient setting. In the inpatient setting, TD may be an effective method to improve access to dermatologic care by remotely triaging, assisting, or providing dermatologic consultative services. For inpatient dermatology, there is the potential for TD to increase access to care in the community setting wh...
Source: Seminars in Cutaneous Medicine and Surgery - March 3, 2017 Category: Dermatology Tags: Semin Cutan Med Surg Source Type: research

The role of dermatopathology in inpatient care.
Authors: Nguyen CV, Miller DD Abstract Skin biopsy remains one of the most important tools in the evaluation of dermatologic disease in hospitalized patients and is diagnostic for many common inpatient dermatoses, including various drug eruptions and cutaneous infections. The dermatopathology team thus plays a crucial role in the care of many of these patients and can add significant value through timely and precise diagnoses. Here, we review the unique challenges of dermatopathology in hospital-based medicine, discuss approaches to timely care, and examine effective clinicopathologic correlation in this s...
Source: Seminars in Cutaneous Medicine and Surgery - March 3, 2017 Category: Dermatology Tags: Semin Cutan Med Surg Source Type: research

Communication strategies for a successful inpatient dermatology consultative service: a narrative review.
Authors: Afifi L, Shinkai K Abstract Inpatient dermatology consultative services care for hospitalized patients with skin disease in collaboration with the primary inpatient team. Effective, efficient communication is important. A consultation service must develop strong relationships with primary inpatient teams requesting consults in order to provide optimal patient care. Prior studies have identified effective communication practices for inpatient consultative services. This narrative review provides a summary of effective communication practices for an inpatient dermatology consultation service organiz...
Source: Seminars in Cutaneous Medicine and Surgery - March 3, 2017 Category: Dermatology Tags: Semin Cutan Med Surg Source Type: research

Optimizing education on the inpatient dermatology consultative service.
Authors: Afifi L, Shinkai K Abstract A consultative dermatology service plays an important role in patient care and education in the hospital setting. Optimizing education in balance with high-quality dermatology consultative services is both a challenge and an opportunity for dermatology consultation teams. There is an emergence of new information about how dermatology can best be taught in the hospital, much of which relies on principles of workplace learning as well as the science of how learning and teaching best happen in work settings. These best practices are summarized in this narrative review with...
Source: Seminars in Cutaneous Medicine and Surgery - March 3, 2017 Category: Dermatology Tags: Semin Cutan Med Surg Source Type: research

Developing academic work and evidence to guide the practice of inpatient dermatology.
This article explores strategies for successful conduct of research in hospital dermatology, including the role of cross-collaboration, and draws parallels with strategies utilized in rare diseases research. PMID: 28247874 [PubMed - in process] (Source: Seminars in Cutaneous Medicine and Surgery)
Source: Seminars in Cutaneous Medicine and Surgery - March 3, 2017 Category: Dermatology Tags: Semin Cutan Med Surg Source Type: research

Dermatology hospital fellowships: present and future.
This article presents a brief synopsis of the history of traditional hospitalist fellowships and extrapolates these findings to existing hospitalist dermatology fellowships. As more of these programs arise, these fellowships are poised to revolutionize dermatologic inpatient care from a systems perspective. PMID: 28247875 [PubMed - in process] (Source: Seminars in Cutaneous Medicine and Surgery)
Source: Seminars in Cutaneous Medicine and Surgery - March 3, 2017 Category: Dermatology Tags: Semin Cutan Med Surg Source Type: research