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DW Insights & Inquiries

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Illustration for DWII on Spironolactone
Spironolactone: A hero in acne therapy

There has been a resurgence within the dermatologic literature regarding the beneficial effects of spironolactone in the treatment of adult acne in women.

Card image for DWII on PHACE syndrome
Phacing the future: When patients with PHACE grow up

The acronym PHACE syndrome emphasizes the characteristics of posterior fossa malformations, hemangiomas, arterial anomalies, coarctation of the aorta and cardiac defects, and eye abnormalities.

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Capillary malformation: Arteriovenous Malformation Syndrome

Small cutaneous lesions may have profound systemic implications. Astute dermatologists will recognize these lesions and assess patients accordingly, often to the surprise of referring physicians and patients alike.

Illustration for DWII of lichenoid and granulomatous dermatitis
Lichenoid and granulomatous dermatitis: Points to ponder

If you receive a report from your dermatopathologist with a descriptive diagnosis of “lichenoid and granulomatous dermatitis” what do you do with that information?

Illustration of clear cell papulosis for DWII
Clear cell papulosis

CCP was first described by Kuo et al in two young brothers whose white papules demonstrated benign Pagetoid clear cells within an acanthotic epidermis displaying decreased pigmentation.

DWII illustration for EMPD
On the cusp of advances in extramammary Paget disease

I always include EMPD and Bowen disease in my differential diagnosis of anogenital rashes for fear of missing them. It is good form to biopsy such lesions should they not respond to standard therapies for the more likely diagnoses.

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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