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October 2019, Vol 155, No. 10, Pages 1099-1201

In This Issue of JAMA Dermatology

Highlights

Abstract Full Text
free access
JAMA Dermatol. 2019;155(10):1099. doi:10.1001/jamadermatol.2018.3538
Editorial

Marking the Path Toward Artificial Intelligence–Based Image Classification in Dermatology

Abstract Full Text
JAMA Dermatol. 2019;155(10):1105-1106. doi:10.1001/jamadermatol.2019.1633

The Continuing Relevance of Leprosy

Abstract Full Text
JAMA Dermatol. 2019;155(10):1107-1108. doi:10.1001/jamadermatol.2019.1730

Meeting the Unique Dermatologic Needs of Black Patients

Abstract Full Text
JAMA Dermatol. 2019;155(10):1109-1110. doi:10.1001/jamadermatol.2019.1963

Early Strides for Necessary Data-Driven Improvement in iPLEDGE

Abstract Full Text
JAMA Dermatol. 2019;155(10):1111-1112. doi:10.1001/jamadermatol.2019.1247
Original Investigation

Risk Factors for Physical Disability in Patients With Leprosy: A Systematic Review and Meta-analysis

Abstract Full Text
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JAMA Dermatol. 2019;155(10):1120-1128. doi:10.1001/jamadermatol.2019.1768

This systematic review and meta-analysis of 32 studies assesses the strength of evidence linking clinical features and sex of patients with leprosy to disability.

Assessment of Black Patients’ Perception of Their Dermatology Care

Abstract Full Text
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JAMA Dermatol. 2019;155(10):1129-1134. doi:10.1001/jamadermatol.2019.2063

This cross-sectional study explores black patients’ perceptions of their dermatology experience both in and outside of skin of color clinic settings.

Association Between Surgical Skin Markings in Dermoscopic Images and Diagnostic Performance of a Deep Learning Convolutional Neural Network for Melanoma Recognition

Abstract Full Text
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JAMA Dermatol. 2019;155(10):1135-1141. doi:10.1001/jamadermatol.2019.1735

This cross-sectional study investigates the association of surgical skin markings in dermoscopic images with the diagnostic performance of a deep learning convolutional neural network in 3 image sets of 130 melanocytic lesions each.

Risk of Serious Infection in Patients Receiving Systemic Medications for the Treatment of Psoriasis

Abstract Full Text
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JAMA Dermatol. 2019;155(10):1142-1152. doi:10.1001/jamadermatol.2019.1121

This cohort study compares the risk of serious infection associated with biologic and nonbiologic systemic medications in patients with psoriasis.

Efficacy and Safety of Guselkumab in Japanese Patients With Palmoplantar Pustulosis: A Phase 3 Randomized Clinical Trial

Abstract Full Text
open access
JAMA Dermatol. 2019;155(10):1153-1161. doi:10.1001/jamadermatol.2019.1394

This randomized clinical trial evaluates the efficacy and safety of guselkumab in the treatment of patients with palmoplantar pustulosis.

Psychiatric Adverse Events in Patients Taking Isotretinoin as Reported in a Food and Drug Administration Database From 1997 to 2017

Abstract Full Text
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JAMA Dermatol. 2019;155(10):1162-1166. doi:10.1001/jamadermatol.2019.1416

This study evaluates types and frequency of psychiatric adverse events that were reported to the US Food and Drug Administration’s Adverse Event Reporting System from 1997 through 2017 for patients taking isotretinoin.

Evaluation of the Number-Needed-to-Biopsy Metric for the Diagnosis of Cutaneous Melanoma: A Systematic Review and Meta-analysis

Abstract Full Text
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JAMA Dermatol. 2019;155(10):1167-1174. doi:10.1001/jamadermatol.2019.1514

This systematic review and meta-analysis evaluates the worldwide variations in the number-needed-to-biopsy (NNB) metric, lack of related data on US-based dermatologists, and nonstandardized processes for reporting NNB for diagnosing cutaneous melanoma.

Brief Report

US Food and Drug Administration Reports of Pregnancy and Pregnancy-Related Adverse Events Associated With Isotretinoin

Abstract Full Text
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JAMA Dermatol. 2019;155(10):1175-1179. doi:10.1001/jamadermatol.2019.1388

This analysis uses the FDA Adverse Event Reporting System to determine the frequency and rate of pregnancy among women taking isotretinoin and of pregnancy-related adverse events associated with isotretinoin.

Images in Dermatology

Necrolytic Migratory Erythema

Abstract Full Text
JAMA Dermatol. 2019;155(10):1180. doi:10.1001/jamadermatol.2019.1658

This case report describes a man in his 40s who presented with a 7-year history of a pruritic, annular cutaneous eruption and flaccid vesicles and was diagnosed with glucagonoma syndrome and associated necrolytic migratory erythema.

Tungiasis

Abstract Full Text
JAMA Dermatol. 2019;155(10):1181. doi:10.1001/jamadermatol.2019.1813

This case report describes a Brazilian school-aged child who presented with lesions on the hands and feet that were not responsive to oral ivermectin and who was subsequently diagnosed with tungiasis infestation.

JAMA Dermatology Clinicopathological Challenge

Dry Scaly Patches and Nodules in a Middle-aged Man

Abstract Full Text
JAMA Dermatol. 2019;155(10):1185-1186. doi:10.1001/jamadermatol.2019.1987

A man in his 50s with a history of itchy eruptions presented with extensive dry, scaly patches and nodules on his trunk and extremities. What is your diagnosis?

Atrophic Annular Plaques on the Breasts Following Augmentation Surgery

Abstract Full Text
JAMA Dermatol. 2019;155(10):1187-1188. doi:10.1001/jamadermatol.2019.2245

A woman in her 50s presented with erythematous annular atrophic plaques on bilateral breasts after undergoing breast augmentation procedures. What is your diagnosis?

Research Letter

Characterization and Outcomes of Patients With Hansen Disease Treated at the Los Angeles County Hospital

Abstract Full Text
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JAMA Dermatol. 2019;155(10):1190-1192. doi:10.1001/jamadermatol.2019.1732

This population-based study examines the incidence and treatment of patients with Hansen disease residing in the United States.

Playground Shade Availability and Socioeconomic Position of Students at St Louis Public Elementary Schools

Abstract Full Text
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JAMA Dermatol. 2019;155(10):1192-1193. doi:10.1001/jamadermatol.2019.2060

This study quantifies shade availability on public elementary school playgrounds in a US city and determines whether shade is associated with the socioeconomic position of students’ families.

Surgery and Salvage Limited-Field Irradiation for Control of Cutaneous Squamous Cell Carcinoma With Microscopic Residual Disease

Abstract Full Text
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JAMA Dermatol. 2019;155(10):1193-1195. doi:10.1001/jamadermatol.2019.2190

This case series analyzes the outcomes of patients with primary cutaneous squamous cell carcinoma treated with limited-field irradiation for microscopic residual disease after surgery.

Observation

Coinfection With Talaromyces marneffei and Other Pathogens Associated With Acquired Immunodeficiency

Abstract Full Text
JAMA Dermatol. 2019;155(10):1195-1197. doi:10.1001/jamadermatol.2019.1532

This case report describes a woman in her 40s who became infected with Talaromyces marneffei and other pathogens after developing an adult-onset immunodeficiency syndrome.

Lichen Planus Follicularis Tumidus Associated With PD-1 Blockade

Abstract Full Text
JAMA Dermatol. 2019;155(10):1197-1198. doi:10.1001/jamadermatol.2019.1676

This case report describes a patient with a rare type of immune-related cutaneous adverse event following anti–PD-1 therapy for melanoma.

Acute Photodistributed Exanthematous Pustulosis Associated With Liraglutide Treatment

Abstract Full Text
JAMA Dermatol. 2019;155(10):1198-1200. doi:10.1001/jamadermatol.2019.1893

This case report describes a patient who developed acute photodistributed exanthematous pustulosis after beginning treatment with liraglutide for type 2 diabetes.

Comment & Response

Explanation of Additional Errors in Report of Trial of Low-Dose, Low-Frequency Oral Psoralen–UV-A Treatment

Abstract Full Text
JAMA Dermatol. 2019;155(10):1200-1201. doi:10.1001/jamadermatol.2019.2698
Correction

Numeric Errors in Results and Discussion and Errors in Figure 3

Abstract Full Text
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JAMA Dermatol. 2019;155(10):1201. doi:10.1001/jamadermatol.2019.2181

Clarification of Skin Cream Function

Abstract Full Text
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JAMA Dermatol. 2019;155(10):1201. doi:10.1001/jamadermatol.2019.2970
JAMA Dermatology Masthead

JAMA Dermatology

Abstract Full Text
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JAMA Dermatol. 2019;155(10):1102. doi:10.1001/jamadermatol.2018.3539
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