April 1, 2019 Issue of JAMA Dermatology

This pilot study of 4 patients assesses the composition, diversity, and resilience of skin microbiota following systemic antibiotic administration to individuals with facial acne.

Pulsed Dye Laser Treatment of Port-Wine Stains in Infancy Without the Need for General Anesthesia

Hana Jeon, MD; Leonard J. Bernstein, MD; Daniel A. Belkin, MD; et al.

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JAMA Dermatol. 2019;155(4):435-441. doi:10.1001/jamadermatol.2018.5249

This cohort study evaluates the use of pulsed dye laser without general anesthesia for treatment of port-wine stains in infants younger than 1 year.

Video: Eyeshield Placement

Association of Disease Recurrence With Survival Outcomes in Patients With Cutaneous Squamous Cell Carcinoma of the Head and Neck Treated With Multimodality Therapy

Lillian Sun, BS; Re-I Chin, MD; Brian Gastman, MD; et al.

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JAMA Dermatol. 2019;155(4):442-447. doi:10.1001/jamadermatol.2018.5453

This multi-institutional cohort study reports survival outcomes in patients with cutaneous squamous cell cancer of the head and neck after disease recurrence after surgery and postoperative radiotherapy and investigates the association of immune status with disease-related outcomes.

Development and Validation of a Risk Prediction Model for In-Hospital Mortality Among Patients With Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis鈥擜BCD-10

Megan H. Noe, MD, MPH, MSCE; Misha Rosenbach, MD; Rebecca A. Hubbard, PhD; et al.

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JAMA Dermatol. 2019;155(4):448-454. doi:10.1001/jamadermatol.2018.5605

This study reports the development and validation of a risk prediction model for in-hospital mortality among patients with Stevens-Johnson syndrome/toxic epidermal necrolysis.

Podcast: Development and Validation of a Risk-Prediction Model for in-Hospital Mortality of Patients With SJS/TEN

Clinical Features and Comorbidities of Patients With Necrobiosis Lipoidica With or Without Diabetes

David A. Hashemi, BA, MBA; Zoe O. Brown-Joel, BS; Elizabeth Tkachenko, BS; et al.

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JAMA Dermatol. 2019;155(4):455-459. doi:10.1001/jamadermatol.2018.5635

This cross-sectional study evaluates the epidemiologic characteristics, clinical features, and disease associations of necrobiosis lipoidica in patients with or without diabetes.

Prevalence and Disclosure of Potential Conflicts of Interest in Dermatology Patient Advocacy Organizations

David G. Li, BS; Sean Singer, BS; Arash Mostaghimi, MD, MPH, MPA

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JAMA Dermatol. 2019;155(4):460-464. doi:10.1001/jamadermatol.2018.5102

This cross-sectional study uses the Kaiser Health News database to examine the current state of industry-related conflicts of interest and disclosure practices among patient advocacy organizations with dermatology.

Use of Antibiotics for Dermatologic Procedures From 2008 to 2016

John S. Barbieri, MD, MBA; Jeremy R. Etzkorn, MD; David J. Margolis, MD, PhD

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JAMA Dermatol. 2019;155(4):465-470. doi:10.1001/jamadermatol.2019.0152

This cross-sectional study uses deidentified commercial claims data to analyze antibiotic prescription practices associated with dermatologic procedures, including geographic variation.

Brief Report

Trends in Medicare Utilization by Dermatologists, 2012-2015

Jason Ya, BS; Harib H. Ezaldein, MD; Jeffrey F. Scott, MD

Abstract Full Text

JAMA Dermatol. 2019;155(4):471-474. doi:10.1001/jamadermatol.2018.4212

This analysis uses 4 years of publicly available Centers for Medicare & Medicaid Services data to identify changes in Medicare payments to dermatologists from 2012 through 2015.

Assessment of a Bidirectional Association Between Major Depressive Disorder and Alopecia Areata

Isabelle A. Vallerand, PhD; Ryan T. Lewinson, MD, PhD; Laurie M. Parsons, MD; et al.

Abstract Full Text

JAMA Dermatol. 2019;155(4):475-479. doi:10.1001/jamadermatol.2018.4398

This cohort study of over 6 million patients uses data from The Health Improvement Network in the United Kingdom to assess the bidirectional association between major depressive disorder and alopecia areata.

Images in Dermatology

Cyclosporine-Induced Gingival Hypertrophy

Sheetanshu Kumar, MD; Ankur Guliani, MD; Keshavamurthy Vinay, MD, DNB, MNAMS

Abstract Full Text

JAMA Dermatol. 2019;155(4):487. doi:10.1001/jamadermatol.2018.3588

This case report describes cyclosporine-induced gingival hypertrophy in a child with aplastic anemia.

Acquired Pili Torti

J. Brady Evans, BS; Justin G. Hastings, MD; Benjamin H. Kaffenberger, MD

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JAMA Dermatol. 2019;155(4):488. doi:10.1001/jamadermatol.2018.4677

This case report describes a woman with acquired pili torti and a history of Roux-en-Y gastric bypass, alcohol abuse, and malnutrition who was admitted to the hospital for hepatic encephalopathy secondary to nonalcoholic steatohepatitis.

JAMA Dermatology Clinicopathological Challenge

Pruritic, Annular Plaques With Pustules on a Middle-aged Man

Arianna F. Yanes, BA; Julia M. Mhlaba, MD; Xiaolong A. Zhou, MD, MSc

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JAMA Dermatol. 2019;155(4):481-482. doi:10.1001/jamadermatol.2018.5197

A Japanese man in his 50s presented with a 6-month history of worsening pruritic hand dermatitis that progressed to involve his face, trunk, upper extremities, and feet. What is your diagnosis?

Yellow Periorbital Plaque and Retroperitoneal Fibrosis

Jonathan A. Braue, MD; Rami N. Al-Rohil, MBBS

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JAMA Dermatol. 2019;155(4):483-484. doi:10.1001/jamadermatol.2018.5233

A woman in her 50s with a right lower-eyelid yellow plaque presented with unremitting abdominal and back pain. What is your diagnosis?

Multiple Lip Papules and Nodules in an Adult Man

Nathaniel Smith, MD; Earl Glusac, MD; Jonathan Leventhal, MD

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JAMA Dermatol. 2019;155(4):485-486. doi:10.1001/jamadermatol.2018.5240

A man in his 60s presented with lip enlargement with erythematous and flesh-colored papules and nodules symmetrically affecting the upper and lower lips. What is your diagnosis?

Research Letter

Sex and Racial/Ethnic Diversity of US Medical Students and Their Exposure to Dermatology Programs

Leandra A. Barnes, BA; Gordon H. Bae, MD; Vinod E. Nambudiri, MD, MBA

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JAMA Dermatol. 2019;155(4):490-491. doi:10.1001/jamadermatol.2018.5025

This study characterizes sex and racial/ethnic discrepancies in exposure to dermatology among US medical students.

Assessment of Antimalarial Therapy in Patients Who Are Hypersensitive to Hydroxychloroquine

Kathryn Riley, MD; Zachary Schwager, MD; Marleigh Stern, BA; et al.

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JAMA Dermatol. 2019;155(4):491-493. doi:10.1001/jamadermatol.2018.5212

This study evaluates the use of antimalarial therapy in patients who are hydroxychloroquine hypersensitive.

Association of Out-of-Pocket Health Care Costs and Financial Burden for Patients With Alopecia Areata

Sara Jiayang Li, BS; Arash Mostaghimi, MD, MPA, MPH; Elizabeth Tkachenko, BS; et al.

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JAMA Dermatol. 2019;155(4):493-494. doi:10.1001/jamadermatol.2018.5218

This survey study examines responses from 675 individuals with alopecia areata and analyzes the out-of-pocket financial burden for this patient population.

Systemic Treatment for Clinically Amyopathic Dermatomyositis at 4 Tertiary Care Centers

Joanie Pinard, MD, FRCPC; Alisa N. Femia, MD; Michael Roman, BS; et al.

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JAMA Dermatol. 2019;155(4):494-496. doi:10.1001/jamadermatol.2018.5215

This study investigates the use of systemic treatment for clinically amyopathic dermatomyositis using natural language queries and ICD codes for amyopathic and hypomyopathic dermatomyositis.

Observation