What’s New for Dermatology Drugs in 2017-2018

The specialty of Medical Dermatology has been in a renaissance for the last decade or so because of the development of many new injectable drugs for some common complex diseases such as Psoriasis, Psoriatic Arthritis, and Atopic Dermatitis, but also for some lesser known entities which we will discuss later.

Rash in a Patient with HIV Infection

A 50-year-old man presented  for the diagnosis and treatment of a rash on his legs and back for about 1 and 1/2 years. His past medical history was significant for HIV infection which had been treated with Highly Active Anti-Retroviral Therapy (HAART). He stated that his viral counts were undetectable and …

Vaccinations for Childhood Diseases Is a Public Health Necessity

I’m old enough to have acquired every childhood communicable disease except for smallpox and polio. The latter diseases were already practically eradicated from earth thanks to Jenner’s original vaccine and Jonas Salk’s vaccine, respectively. In fact, the name “vaccine” comes from the name of the live virus in the smallpox …

Gluten Sensitivity and Gluten-Free Diets in Dermatology

Gluten represents a group of proteins that are found in wheat, barley, and rye. Gluten is not present in rice and oats. Celiac disease, also know as “gluten-sensitive enteropathy,” is a type of hypersensitivity or allergy to the gluten proteins that causes inflammation and damage to membranes lining the small …

Granuloma Annulare and Necrobiosis Lipoidica

Granuloma annulare (GA) is a skin disease commonly encountered in our clinic, either as an initial self-motivated visit or on consultation from another physician. The rash consists of small smooth bumps that may be skin-colored, pink, reddish-purple, brownish-orange. The bumps may coalesce into rings with clearing in the center; that …

How Efficient Is Your Dermatologist? Example from My Practice-Eczema or Ringworm

Dermatologists can be incredibly efficient and cost-effective in their practices because of their background and training in medicine and surgical procedures. We are not often acknowledged or appreciated for this by health insurance companies. The skin is the largest  organ in the body and plays an important role in immune …

Accutane or Isotretinoin for Severe Acne: Update on Side-Effects

One of the most important drugs used in Dermatology today is Isotretinoin, also known as Accutane, for severe acne.  It is the only medication capable of curing the most severe forms of scarring cystic acne.  Accutane is the brand name used by Roche, which discovered and developed the drug.  It …

Vitamin D Analogues for Psoriasis

Vitamin D analogues are popular for the local treatment of psoriasis.  The first compound approved in the U.S. was calcipotriene (brand name Dovonex) available as cream, ointment, and lotion (for the scalp) for twice daily application.  It was modestly effective but performed much better when combined with a topical corticosteroid. …