0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
In This Issue of JAMA Dermatology |

Highlights FREE

JAMA Dermatol. 2015;151(5):469. doi:10.1001/jamadermatol.2014.2916.
Text Size: A A A
Published online

RESEARCH

Short-term dermoscopic monitoring is an accepted approach to evaluating atypical melanocytic lesions. The presence of any clinically significant dermoscopic change over 2.5 to 4.5 months is deemed sufficient to warrant excision. In this prospective cohort study, Wu et al found that most patients were able to acquire baseline and follow-up images with an iPhone that were subsequently deemed evaluable by a teledermatologist. These data suggest that teledermoscopy is a feasible and effective method for short-term monitoring of clinically atypical nevi that can potentially enhance patient convenience, optimize physician scheduling, and promote efficiency.

Mobile smartphones are rapidly emerging as an effective means of communicating with many Americans. Using mobile applications (apps), they can access remote databases, track time and location, and integrate user input to provide tailored health information. In this randomized survey, Buller et al demonstrate that Solar Cell, a mobile app that provides sun protection advice to reduce the risk of skin cancer, promoted sun protection practices, especially through increased use of shade and wide-brimmed hats. Unfortunately, Solar Cell did not reduce sunburns.

Related Article

Effective patient-physician communication is integral to providing quality health care and improves patient outcomes. Physicians may not notify patients of abnormal biopsy results because of the benign nature of the results, upcoming scheduled visits, or forgetfulness. Although patients in the past preferred to receive bad news in person, notification via telephone, email, or text messaging may be acceptable. In this patient survey, Choudhry et al demonstrate that patient preference has shifted from face-to-face visit to discussion over the telephone because of desire for rapid notification. An online patient portal option was the second most preferred method of delivery of results.

Atopic dermatitis (AD) is a chronic inflammatory skin disease with a complex pathogenesis. The co-occurrence of AD with vitiligo or alopecia areata (AA) may indicate differing disease phenotype, prognosis, and/or response to therapy, but previous studies have demonstrated inconsistent associations between these diseases. In this meta-analysis, Mohan and Silverberg demonstrate that patients with either vitiligo (especially early onset) or AA (especially alopecia totalis or universalis variants) have significantly higher rates of AD than patients who do not have these disorders.

Herpes zoster, or shingles, is the consequence of reactivation of endogenous latent varicella zoster virus infection within the sensory ganglia. Shingles causes substantial morbidity, disability, and chronic pain in the form of postherpetic neuralgia. Known risk factors for shingles are age older than 50 years and immune suppression. The association between the use of biologic medications and shingles remains unclear. In this cohort study of patients with psoriasis, Shalom et al demonstrate that monotherapy with biologic medications or systemic treatment was not associated with increased shingles risk but that patients treated by a combination of methotrexate and a biologic medication were at increased risk.

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

1,406 Views
0 Citations
×

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs