VASCULAR TUMORS AND MALFORMATIONS IN CHILDREN

Sep
2016
Vol. 35. No. 3

Introduction

Sheilagh M Maguiness, MD

In this issue of Seminars in Cutaneous Medicine and Surgery, we have compiled up-to-date reviews by many well-known experts in the field. This includes a thorough discussion of infantile hemangiomas, potential complications, and associated structural anomalies. Other manuscripts are dedicated to the genetic basis of vascular anomalies and overgrowth syndromes. Rare vascular tumors, malformations, and an in-depth examination of histopathology are also included. Finally, manuscripts outlining the clinical conundrum of multifocal vascular anomalies and potential mimickers are discussed.

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Infantile hemangiomas, complications and treatments

Carol Erin Cheng, MD | Sheilagh M. Maguiness, MD

Infantile hemangiomas (IHs) are the most common vascular tumors of infancy. While the majority regress without the need for intervention, approximately 10%, often site dependent, can cause serious complications and require treatment.

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View AllGUEST EDITOR

Assistant Professor
Dermatology and Pediatrics
Co-Director
Center for Pediatric Vascular
   Lesions
University of Minnesota, Minneapolis

Seminars in Cutaneous Medicine and Surgery
publishes peer-reviewed information on the diagnosis and management of specific disorders of the skin, as well as the application of the latest scientific findings to patient care.
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Medical imaging has dramatically transformed the practice of medicine, especially the field of dermatology. Imaging is used to facilitate the transfer of information between providers, document cutaneous disease, assess response to therapy, and plays a crucial role in monitoring and diagnosing skin cancer. Advancements in imaging technology and overall improved quality of imaging have augmented the utility of photography. We provide an overview of current imaging technologies used in dermatology with a focus on their role in skin cancer diagnosis. Future technologies include three-dimensional, total-body photography, mobile smartphone applications, and computerassisted diagnostic devices. With these advancements, we are better equipped to capture and monitor skin conditions longitudinally and achieve improved diagnostic accuracy of skin cancer.


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Acne and rosacea are common conditions seen every day by dermatologists. This review will discuss the most recent therapeutic options for patients with these conditions. Specifically, for acne, there will be a discussion of the use of isotretinoin at higher cumulative doses as well as a new formulation of isotretinoin, isotretinoin-lidose. Adult women with acne represent a growing population of patients who present for treatment of acne; the use of hormonal therapies as well as topical dapsone gel will be reviewed for these patients. For rosacea patients, the new topical agents – brimonidine gel and ivermectin cream – will be reviewed, with a discussion on possible rebound phenomenon from brimonidine. Finally, future treatments in the pipeline will be discussed.

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The diagnosis and treatment of oral lesions is often challenging due to the clinician’s limited exposure to the conditions that may cause the lesions and their similar appearances. While many oral ulcers are the result of chronic trauma, some may indicate an underlying systemic condition such as a gastrointestinal dysfunction, malignancy, immunologic abnormality, or cutaneous disease. Correctly establishing a definitive diagnosis is of major importance to clinicians who manage patients with oral mucosal disease. Some of these diseases are infectious; however, most are chronic, symptomatic, and desquamative. Treatment and management requires an understanding of the immunopathologic nature of the lesion. This review will address how to differentiate and diagnose varying types of oral ulcers and provide a treatment strategy. 
Semin Cutan Med Surg 34:171-177 © 2015 Frontline Medical Communications

Self-acquired patient images: the promises and the pitfalls Mar 2016 | Vol. 35 | No. 1

Self-acquired patient images, also known as selfies, are increasingly utilized in the practice of dermatology; however, research on their utility is somewhat limited. While the implementation of selfies has yet to be universally accepted, their role in triage appears to be especially useful. The potential for reducing office wait times, expediting referrals, and providing dermatologic services to patients with limited access to care is promising. In addition, as technology advances, the number of smartphone applications related to dermatology that are available to the general public has risen exponentially. With appropriate standardization, regulation, and confidentiality measures, these tools can be feasible adjuncts in clinical practice, dermatologic surgery, and teledermatology. Selfies likely will have a large role in dermatologic practice and delivery in the future.


Semin Cutan Med Surg 35:13-17 © 2016 Frontline Medical Communications

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Statement of Purpose

Seminars in Cutaneous Medicine and Surgery presents well-rounded and authoritative discussions of important clinical areas, especially those undergoing rapid change in the specialty. Each issue, under the direction of the Editors and Guest Editors selected because of their expertise in the subject area, includes the most current information on the diagnosis and management of specific disorders of the skin, as well as the application of the latest scientific findings to patient care.

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