Should We Do Patch Testing Prior To Using Metal Implants In Patients With Reported Sensitivity?

Tracey Vlahovic DPM
9/7/12 | 4158 reads | 1 comments
Have you ever had a post-op patient with a metal implant who suddenly developed a rash, pain or loosening of the implanted device? I have had patients develop both a rash and pain following metal implantation, but attributed it to a Vicryl reaction as their reactions eventually resolved after treatment. I still stand by that diagnosis but after reviewing a recent article in the Archives of Dermatology, I feel compelled to delve deeper into the allergy section of my patient interview prior to surgical planning.1 Read More.

Podiatric Dermatology: What Is Your Diagnosis?

Tracey Vlahovic DPM
7/27/12 | 3639 reads | 6 comments
Can you identify the condition shown in the photo on the left? Read More.

Addressing Misconceptions Of Patients On Tanning And Sunscreen

Tracey Vlahovic DPM
6/22/12 | 4047 reads | 0 comments
As summer officially begins this week, patients may need reminders about the importance of protecting their skin from sunburn, particularly oft-neglected areas such as the feet. I feel compelled to discuss the myths of tanning and sunscreen as outlined by Sandra Fryhofer, MD, on Medscape’s Medicine Matters.1 Two years ago, I discussed sunscreens more in depth (http://goo.gl/ufVhB ), but I would like to take this time to go through the most common misconceptions about sun exposure. Chances are, you probably hear these lines from your patients from time to time. Read More.

Podiatric Dermatology Quiz: What Kind Of Lesion Is This?

Tracey Vlahovic DPM
5/23/12 | 4573 reads | 5 comments
Can you identify the type of lesion shown in the photo at the left? These atypical moles differ from common nevi as they are usually larger in size and lack pigment uniformity. Color ranges from reddish hues to brown to blue-black. The clinical appearance of a popular, pigmented central portion surrounded by a less pigmented macular border gives rise to the “fried egg” nomenclature. Read More.

A Review Of Treatment Options For Pitted Keratolysis

Tracey Vlahovic DPM
4/26/12 | 40433 reads | 0 comments
Lately at the Foot and Ankle Institute, we have had a “rash” (pun intended) of patients presenting with erythrasma and/or pitted keratolysis. Let’s focus on pitted keratolysis. Pitted keratolysis is a condition characterized by superficial erosions and 1 to 3 mm discrete crateriform pits along the sole of the foot due primarily to prolonged bromhidrosis.1 Although typically asymptomatic and non-inflammatory, patients with this condition often seek treatment because of the associated psychosocial factors such as odor and embarrassment. Read More.

Podiatric Dermatology Quiz: What Is Your Diagnosis?

Tracey Vlahovic DPM
3/7/12 | 5170 reads | 5 comments
Can you identify the type of dermatitis shown in the photo at the left? The condition depicted is a chronic pruritic skin disorder often associated with a personal or family history of asthma, hay fever, allergic rhinitis and eczema. Most cases first become apparent in early childhood. An onset of the disorder after the age of 14 is uncommon. Read More.

Assessing An Innovative Non-Surgical Treatment For Paronychias

Tracey Vlahovic DPM
2/10/12 | 4337 reads | 0 comments
Have you ever wondered what non-surgical treatment you could do for your patient with a paronychia? I have had the pleasure of hearing Hiroko Arai, MD, speak multiple times on the subject at the Council for Nail Disorders and the American Academy of Dermatology Annual Meeting. She is a Japanese dermatologist who has pioneered the gutter splint for ingrown nails (sterilized plastic IV tubing fixed with acrylic resin).1 For details and pictures of this procedure, I highly suggest you read this article. Read More.

What You Should Know About Skin Changes In Obese Patients

Tracey Vlahovic DPM
11/4/11 | 4584 reads | 0 comments
A recent article in the British Journal of Dermatology outlined many of the skin conditions that occur in obese patients. As podiatric physicians, we are well aware of the effects of obesity on the lower extremity in relation to biomechanics but allow me to focus on some of the skin conditions in these patients. Read More.

Can HPV Vaccines For Cervical Cancer Have An Effect On Plantar Verruca?

Tracey Vlahovic DPM
8/31/11 | 15686 reads | 2 comments
It is difficult to walk into a physician’s office or turn on the television without hearing about Gardasil® (Merck) or Ceravix® (GlaxoSmithKline). Gardasil is a Human Papillomavirus (HPV) Quadrivalent (Types 6, 11, 16, 18) Vaccine, Recombinant and Ceravix is a Human Papillomavirus Bivalent (Types 16 and 18) Vaccine, Recombinant. These vaccines are ultimately meant to decrease the incidence of cervical cancer by preventing infection from certain HPV types. Read More.