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Addressing Misconceptions Of Patients On Tanning And Sunscreen

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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.



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Podiatric Dermatology Quiz: What Kind Of Lesion Is This?

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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.



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A Review Of Treatment Options For Pitted Keratolysis

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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.



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Podiatric Dermatology Quiz: What Is Your Diagnosis?

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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.



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Assessing An Innovative Non-Surgical Treatment For Paronychias

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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.



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What You Should Know About Skin Changes In Obese Patients

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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.



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

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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.



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Rethinking Warm-Up Exercises For The Lower Extremity For Patients With Active Lifestyles

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Recently, I attended a seminar called “Feet: Our Dynamic Base” given by Eric Franklin, a dancer and movement educator. He elegantly described the biomechanics of the foot and ankle to an audience mostly consisting of Pilates instructors, dancers and laypeople.

Those who know me well are familiar with my background as a trained dancer who ultimately became a Latin ballroom dancer, which greatly fueled my interest in podiatric medicine. It was logical to me as a dancer to pursue a field of medicine that I could truly relate to.



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Key Insights On Treating Marine-Related Injuries To The Lower Extremity

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Trout season has just begun in Pennsylvania and it made me wax poetic for the Goldfarb Foundation’s Montana conference, which combines fly fishing and continuing education lectures. During this past year’s conference in Missoula, Mt., I caught a lovely 20-inch brown trout and I got hooked on a new sport (pun intended).



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Key Insights On Diagnosing And Treating Cold Injuries To The Lower Extremity

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This winter has so far been particularly harsh to the Northeast and to the rest of the United States as even Las Vegas got snow recently. Accordingly, I thought it would be fitting to review the most common cold weather injuries that manifest on the lower extremities. As I call it, this is a cursory list of things that make toes blue.