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In This Issue of JAMA Dermatology |

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JAMA Dermatol. 2015;151(5):469. doi:10.1001/jamadermatol.2014.2916.
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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.

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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.

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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.
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