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DW Insights & Inquiries

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Men in the Twilight Zoon

ZB usually affects middle-aged to older men who are uncircumcised; it is an idiopathic, chronic, benign inflammatory mucositis. ZB is also known as balanitis circumscripta plasmacellularis or plasma cell balanitis of Zoon.

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20 years of imiquimod taking its toll on lentigo maligna

Lentigo maligna occurs primarily on exposed sun-damaged skin of the elderly, many of whom may be poor candidates for surgical excision including Mohs. As the populace ages, LM rates have increased in the United States.

Card image for DWII Prurigo pigmentosa as the “keto rash”: I’m a believer
Prurigo pigmentosa as the “keto rash”: I’m a believer

The “keto rash” is prurigo pigmentosa (PP), an uncommon dermatosis consisting of a network of erythematous, pruritic papules evolving into reticulated hyperpigmentation with a specific predilection for the trunk.

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Getting steamed over vaping

It is not surprising that vaping can display cutaneous manifestations. Almost 14% of users reported dermatologic symptoms including dermatitis, burns, acne, boils, bumps, and blisters.

Image for DWII Paradoxical biological reactions and Grandma Dora’s waterbed
Paradoxical biological reactions & Grandma Dora’s waterbed

Few would question biologics’ remarkable efficacy, yet many seem surprised by their paradoxical reactions. Years ago, when psoriatic flares with TNF inhibitors were initially reported, clinicians were justifiably perplexed.

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Thoughts on hyaluronidase and The House of God

As a medical dermatologist, I have never used hyaluronidase, but recent reports suggest that I might. HA has important biological and physiological functions that have been under-appreciated until recently.

About DW Insights & Inquiries

The goal of this website is to improve the practice of dermatology, while being stimulating, practical, thought-provoking, and enlightening. Perspectives on current dermatologic literature are offered that are meant to be used in the clinic.

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