Expert Opinions

This section contains articles, medical blogs and opinions from the DermQuest Editorial Board for all dermatologists online. The section is divided into the following categories: Clinical Updates, Research Updates, Opinions on Practice Management (for dermatology advice relating to your practice), and articles on Surgery and Cosmetics.

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Expert Opinions

Psoriasis treatment has been revolutionized by the development of biologics - for years a hot topic in dermatology. While costly, the excitement for biologics has overshadowed long-standing, lower-cost treatment options. Phototherapy is still an effective treatment for psoriasis. However, office-based phototherapy is inconvenient and, in the USA at least, an office-based approach may also be more costly to the patient than taking a biologic treatment.

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Continued advances in solid-organ transplantation have improved long-term mortality among transplant patients. More than 140,000 organ recipients are living in the United States, with a similar number of patients on a waiting list. However, transplantation and iatrogenic immunosuppression are associated with adverse events and impact on morbidity, mortality, and patients' quality of life. While there is an overall increased risk of malignancy, skin cancers and particularly non-melanoma skin cancers are most frequently observed.

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Madarosis is a term that refers to the loss of the eyebrows, which is attributable to various causes, including voluntary plucking, trichotillomania, tumor resection, hypothyroidism, alopecia areata, lichen planus/frontal fibrosing alopecia, discoid lupus erythematosus, and aging. Appropriate diagnosis is essential for management of the condition and follicular unit transplantation is an effective treatment.

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The most common benign tumor that may be found on the head or neck of a child is an IH. These vascular neoplasms are seen more often in female versus male infants, and prematurity or low birth weight (as a result of multiple gestation) are significant predisposing risk factors. Most IHs follow the course of neonatal proliferation, stabilization in late infancy and resolution over a period of years. However, a noteworthy percentage of hemangiomas occur in locations where proliferation is problematic, for example, eventuating in ulceration, structural deformity or other forms of significant morbidity.

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