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. 2016;152(3):239. doi:10.1001/jamadermatol.2015.3240.
Text Size: A A A
Published online

RESEARCH

The incidence of melanoma has been rapidly increasing in the United States, especially among young women. In this population-based case-control study, Lazovich et al demonstrate that indoor tanning is strongly associated with increased melanoma risk among women. Among women younger than 30 years, indoor tanning was associated with a 6-fold increase in melanoma risk, and nearly all women in the study diagnosed as having melanoma when younger than 30 years had engaged in indoor tanning. The melanoma epidemic seems likely to continue unabated, especially among young women, unless exposure to indoor tanning is further restricted and reduced.

Onychomycosis is the most common disease of the nail in adults. In this decision analysis comparing 3 onychomycosis management algorithms, Mikailov et al demonstrate that empirical treatment with terbinafine for patients with onychomycosis is more cost-effective than confirmatory testing across all prevalence of disease, with minimal effect on patient safety. In contrast, confirmatory testing before treatment with efinaconazole, 10%, is associated with reduced costs. Experience with terbinafine over the past 2 decades has defined a relatively benign adverse effect profile and very few toxic injuries.

The risk of cancer in patients with psoriasis remains a cause of special concern owing to the chronic inflammatory nature of the disease, the use of immune-suppressive treatments and UV therapies, and the increased prevalence of comorbid, well-established risk factors for cancer. In this study of psoriasis patients, Chiesa Fuxench et al demonstrate a small increased risk of cancer overall in patients with psoriasis, driven by nonmelanoma skin cancer, lymphoma, and lung cancer. Dermatologists who care for patients with psoriasis should incorporate cancer screening guidelines and counseling into their daily practice.

In daily practice, most pathology laboratories process skin biopsy specimens without access to the clinical and/or dermoscopic images. In pigmented skin tumors, this information can be crucial to process and diagnose the lesion correctly. Ex vivo dermoscopy was introduced as a tool to reduce errors by aiding selection of areas in which to perform step sectioning. In this observational study, Haspeslagh et al demonstrate that ex vivo dermoscopy images are broadly similar to in vivo dermoscopy images and may provide direction to target tissue for processing and examination. Dermoscopy training is required for pathologist and technical staff.

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.

868 Views
0 Citations
×

Related Content

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

Jobs