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Carl R. Thornfeldt, M.D., has taken a fresh approach to an age-old dermatologic problem. "Where I practice in the high desert area, we have tremendous trouble with contact reactions to many skincare products and a lot of trouble with hyperpigmentation" in darker-skinned patients, who make up 30 percent of his practice. He is a Fruitland, Idaho, private practitioner and CEO and founder of Episciences.

A first-in-class cell-based therapy holds promise for better treatment of chronic venous ulcers. Surprisingly, the less intense regimen - fewer cells, administered less often - proved to be the more effective of the options studied, according to results published online Aug. 2 in The Lancet.

On Call asked dermatologists around the country whether they dispense prescription or over-the-counter products in their office, why they chose the course they did, what benefits they feel product sales have, and how they choose the products they sell. While the number of dermatologists who offer items for sale is growing, not all offices have gone the retail route.

Although contact dermatitis is more widely recognized in children, patch testing - the gold standard for identification of the condition - is underutilized in this population, says Sharon E. Jacob, M.D., associate clinical professor of medicine and pediatrics, University of California, San Diego.

A patient's immunodeficiency and/or sheer neglect of basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) tumors can result in very large, difficult-to-resect lesions, begging the need for higher vigilance and closer patient care, said Robert E. Clark, M.D., Ph.D., of the Cary Skin Center, Cary, N.C., at the 2012 meeting of Mastering Advances in Dermatology: Beyond Skin Deep in April.

These days, dermatologists have a lot to consider. Take, for example, the complexities surrounding implementation of electronic health records, as well as the looming and potentially drastic changes planned for healthcare delivery and reimbursement. So why would any dermatologist want to add learning leadership skills to their list of things to do?

A disgruntled employee went on Facebook and described a salary disagreement with his boss, Dr. Labor. Dr. Labor found out about this and promptly fired the employee for violating an office policy on not discussing office-related issues on social media. The now-former employee filed a lawsuit against him with the National Labor Relations Board (NLRB) alleging that his former boss violated his First Amendment rights.

Atopic dermatitis presents differently in children with skin of color, and dermatologists should be aware and culturally sensitive when managing the disease in these patients, says Adelaide A. Hebert, M.D., professor of dermatology and pediatrics, University of Texas Medical School at Houston.

Successful repair and rejuvenation of the hand require a thorough knowledge of the subcutaneous anatomy and appropriate anesthetic techniques, says Emily J. Fisher, M.D., chief of cosmetic dermatology and laser dermatology, Lahey Clinic, Boston.

The approval of the newest botulinum toxin product available in the United States underscores the value of the Food and Drug Administration drug approval process and the importance of using branded products, says Mich?l H. Gold, M.D.

Early initiation of treatment for atopic dermatitis (AD) offers the best possibility for altering the natural course of the disease, increasing the odds that children might outgrow the problem, according to Elaine Siegfried, M.D., professor of pediatrics in dermatology, Saint Louis University Health Sciences Center, St. Louis.

Lucid Inc. is operating under a new company name - Caliber Imaging & Diagnostics Inc., or Caliber ID. The new name reflects the company’s commitment to innovating and delivering the highest-caliber identification tools for accurate, rapid diagnosis to assist in the fight against skin cancer and other diseases, according to company reports.

Reflectance confocal microscopy is a valuable noninvasive tool for diagnosing basal cell carcinoma and melanoma, and may dramatically reduce unnecessary excisions of benign lesions, according to a recent study.

Melanoma transection does not affect a patient’s overall disease-free survival or mortality, and punch and saucerization biopsies may be more likely to transect tumors than excisional biopsies, according to a recent study.

A newly developed device using spatial frequency domain imaging and light-emitting diodes can measure biochemical compositional changes in port wine stains after laser therapy, according to results of a pilot study.