DW Insights & Inquiries
Skin tags are mostly of cosmetic concern, but they may be symptomatic, warranting their removal. Their etiology is unknown, but genetics, metabolic, hormonal, and mechanical factors are all contributory.
Rituximab has been increasing reported to induce pyoderma gangrenosum, especially vulvovaginal pyoderma gangrenosum. Dermatologists must be cognizant of this rare complication and its implications.
Nevus sebaceus is a common lesion with a small risk of developing secondary malignancies, with basal cell carcinomas being most likely. More study is warranted to determine if development of secondary neoplasms can be obviated.
BASCULE syndrome may be underdiagnosed. Ask about any associated urticarial lesions and symptoms related to orthostatic intolerance the next time you see a patient with Bier spots.
Although controversial, there is some increasing evidence that metformin may have some benefit in reducing the risk of skin cancer. More study is warranted before any definitive conclusion can be reached.
Pressure ulcers have the potential to be devastating. While new devices such as silicone adhesive multilayered dressings may help prevent sacral decubitus ulcers, they do not supplant basic concepts of pressure ulcer prevention.
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