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Assessing Knowledge and Comfort Level of Primary Care Resident Physicians in the Management of Hidradenitis Suppurativa Quality Improvement Study
Zachary Burr, Pamela Calderon, and Francisca Kartono
Publication Date: 5-4-2023
Hidradenitis suppurative (HS) is a chronic inflammatory skin condition with lesions that include deep-seated nodules and abscesses, draining tracts, and fibrotic scars, most commonly occurring in the axillae and groin.1-2
▪ The progression of HS leads to complications, including inflammation, abscesses, scarring, chronic pain, lymphatic obstruction, and squamous cell carcinoma.1,3
▪ Management is considerably easier with a correct early diagnosis, yet there is an average delay of seven years to make the definitive diagnosis.3-4
▪ Psychological impacts include depressed mood and anxiety, affecting work efforts and social relationships.1,3 ▪ Our research aimed to assess the baseline knowledge and comfort of primary care residents in diagnosing and managing HS. We analyzed whether a ten-minute educational session would change comfort levels.
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A Case of Morphea Following Intra-articular Injection
Aili Swan, Olivia A. Failla, and Maureen Cliffel
Publication Date: 9-1-2023
Morphea is an inflammatory and sclerosing skin disorder that is brought on by immune dysregulation, external factors, and genetic predisposition. It is benign, self-limiting, and typically confined to the skin and underlying tissues, without serious risk for morbidity. It is important to distinguish localized and limited morphea and scleroderma from a systemic presentation, as management and treatment as well as other risk factors and organ involvement vary greatly in systemic disease.
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Eosinophilic Fasciitis Presenting as an Ichthyosiform Eruption of the Bilateral Ankles
Nedyalko Ivanov, Ashley Garvin, Michael Mahon, and Sean Stephenson
Publication Date: 5-2022
Introduction Eosinophilic fasciitis (EF) is a rare connective tissue disease which closely resembles other scleroderma-like diseases. EF presents with painful swelling and hardening of the distal limbs and is often preceded by a history of strenuous exercise. The marked fascial fibrosis in EF can lead to joint contractures and causes significant morbidity in affected individuals. The authors present a rare case of EF presenting as an ichthyosiform eruption of the bilateral ankles with gradual improvement after the implementation of oral prednisone, hydroxychloroquine and methotrexate.
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Innovative Minimally Invasive Technique for the Lower Blepharoplasty
Katherine McClure, Erika Tvedten, and Eric Seiger
Publication Date: 5-2022
Introduction • There is natural pseudoherniation of the orbital fat pads through the orbital septum and orbicularis oculi with aging • This creates a less cosmetically youthful lid-cheek junction • A lower blepharoplasty can greatly improve the aesthetics in this area • There are three lower orbital fat pads: nasal, central and lateral
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