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Many AOCD member dermatologists publish articles on interesting topics. Articles are listed below in chronological order.  Note: Each link below will take you to the publication website. The AOCD is not responsible for errors and omissions, or the content you find there.

Any AOCD member wishing to post a publication, please contact the AOCD office for assistance.

A Unique Case of Subacute Radiodermatitis

Date: May 2013
Publication: Cutis
Authors: Minni, JP, DO; Nowak, M; MD; Usmani, A, DO; Kowalczyk, J, MD; Rosenberg,S, MD;  Nousari, C, MD;

Subacute radiodermatitis is a rare cutaneous disease induced by ionizing radiation. It often is mistaken for contact dermatitis, fixed drug erup­tion, or connective-tissue disease. Routine use of fluoroscopy has flourished in many types of medi­cal procedures. We present a case of subacute radiodermatitis stemming from prolonged fluoro­scopic exposure during angiography; the lesion appeared only at the site of contact for the ground plate, remote from the field of radiation.

Successful Treatment of Cosmetic Mucosal Tattoos Via Q-Switched Laser.

Date: December, 2011
Publication: Dermatologic Surgery
Authors: Kirby W, Chen C, Desai A, Desai T

Abstract: Q-switched laser treatment is a safe and very effective means of removing cosmetic muco-sal tattoos on the inner lip and should be considered the criterion standard treatment option.

Paederus Dermatitis An Outbreak on a Medical Mission Boat in the Amazon 

Date: November, 2011
Publication: Journal of Clinical and Aesthetic Dermatology
Authors: Jere Mammino, DO, FAOCD

Abstract: Paederus dermatitis is a peculiar, irritant contact dermatitis characterized by a sudden onset of erythematobullous lesions on exposed areas of the body. The disease is provoked by an insect belonging to the genus Paederus. This beetle does not bite or sting, but accidental brushing against or crushing the beetle over the skin provokes the release of its coelomic fluid, which contains paederin, a potent vesicant agent. This article describes this dermatitis, which occurred in three healthcare personnel aboard a medical mission boat on the Amazon River. The epidemiology and pathogenesis of paederus dermatitis is reviewed as well its treatment and prevention.

Undesired Pigmentary Alterations Associated with Quality-Switched Laser Tattoo Removal Treatment: A Retrospective Study and Review of the Literature

Date: August, 2010
Publication: Skin & Aging
Authors: Kirby W, Koriakos A, Desai A, Desai T

Abstract: This article ad- dresses the undesired discoloration includ- ing hypopigmentation, hyperpigmentation and depigmentation that may accompany tattoo ink treated with QS lasers through a review of the literature and a discussion of a retrospective study.

Tattoo Removal: Wiping the Slate Clean

Date: January, 2010
Publication: Skin & Aging
Authors: Kirby W, Desai A, Desai T

Abstract: The ability to remove tattoo ink safely and efficiently has improved greatly in the last decade with improved laser technology. This article will discuss current modalities used for tattoo removal as well as older methods that are becoming obsolete.

Sebaceous Differentiation. Lack of Differentiation with Muir Torre Syndrome

June 2009
Publication: International Journal of Dermatopathology
Authors:  Minni JP, Haake DL,

We hereby report a case of a reticulated acanthoma with sebaceous differentiation (RASD), a rare and often mislabeled benign lesion that is characterized by epidermal acanthosis and clusters of sebocytes in a reticulated seborrheic keratosis-like pattern. The presence of multiple sebaceous tumors, most notably cystic sebaceous adenomas and keratoacanthomas, has been associated with Muir-Torre syndrome (MTS). Although very rare, cases of RASD have been reported with MTS, which potentially offers profound clinical significance to this neoplasm. This case further supports the lack of association of MTS with RASD.

Graft Versus Host Disease (Chapter in Treatment of Skin Disease: Comprehensive Therapeutic Strategies: Lebwohl MG, MD, 3rd Ed ) 

Date:  2009
Publication: Treatment of Skin Disease: Comprehensive Therapeutic Strategies. 3rd Ed
Authors: Minni, J; Montie, D; Nousari, C

Abstract: Graft versus host disease (GVHD) classically affects the skin, liver, and gastrointestinal tract and almost always occurs in the setting of allogeneic bone marrow transplants. The disease occurs as a result of interactions between the adaptive and innate immune systems of both the host and the donor.

Acute GVHD (aGVHD) occurs within 1–3 weeks after transplantation and typically presents as a maculopapular eruption which may progress to erythroderma, and less commonly to a toxic epidermal necrolysis-like eruption.

Chronic GVHD (cGVHD) is characteristically seen more than 3 months after transplantation as mucocutaneous lichenoid and/or sclerodermatous disease.

The Kirby – Desai Scale: A Proposed Scale to Assess Tattoo-removal Treatments

Date: March, 2009
Publication: The Journal of Clinical and Aesthetic Dermatology
Authors: Kirby W, Desai A, Desai T

Abstract: Background: As tattoos have become increasingly popular in the Western world, tattoo-removal requests have also increased, as patients’ personal identities advance. Laser tattoo removal is the current treatment of choice given its safety and efficacy. However, due to varying types of tattoos, it has been difficult to quantify the number of laser treatments required with certainty when discussing laser tattoo removal with our patients. Objective: To propose a practical numerical scale to assess the number of laser tattoo-removal treatments necessary to achieve satisfactory results. Methods and materials: A retrospective chart review was performed on 100 clinic patients who presented for laser tattoo removal. An algorithm was proposed to assign a numerical score to each tattoo across six different categories (skin type, location, color, amount of ink, scarring, and layering). The cumulative score (Kirby-Desai score) is proposed to correlate with the number of treatment sessions required for satisfactory tattoo removal. Results: A correlation coefficient of 0.757 was achieved, with satisfactory tattoo removal in all subjects (N=100, p<0.001). Conclusion: We propose the Kirby-Desai scale as a practical tool to assess the number of laser tattoo-removal sessions required, which will translate into a more certain cost calculation for the patient.

Extrafacial Granuloma Faciale.

Date: July 2008
Publication: Journal of American Osteopathic College of Dermatology (JAOCD
Authors: Minni JP,DO; Haake DL

Abstract: Granuloma faciale (GF), a rare, fibrosing, small-vessel vasculitis of unknown etiology, is usually confined to the face. Extrafacial presentations are increasingly rare. We present a case of extrafacial granuloma faciale treated conservatively with topical therapy, achieving moderate success.

Melanoma in situ involving an epidermal inclusion (infundibular) cyst.

Date: December, 2007
Publication: American Journal of Dermatopathology
Authors: Swygert KE, Parrish CA, Cashman RE, Lin R, Cockerell CJ.

Abstract: Epidermal inclusion (infundibular) cysts are common tumors encountered in the practice of dermatology and dermatopathology. Although benign, numerous pathological processes, including benign and malignant tumors, inflammatory dermatoses, and certain infectious entities, have been reported to occur within the epithelial lining of infundibular cysts. We report a rare case of malignant melanoma in situ involving the epithelium of an epidermal inclusion cyst in contiguity with an adjacent malignant melanoma.

Metaplastic Cutaneous Synovial Cyst

Date: October 2007
Publication: Journal of American Osteopathic College of Dermatology (JAOCD)
Authors: Minni, JP

Cutaneous metaplastic synovial cyst, a normally benign cyst occurring in articular spaces, is a poorly understood phenomenon seen in areas of previous trauma. We report a case of a 45-year-old woman who presented with an erythematous papule along a cicatrix from a recent, elective abdominoplasty. A literature review was performed to further define this entity. We propose that metaplastic synovial cysts should be included in the differential diagnosis for erythematous, tender cystic lesions occurring in areas of previous trauma.

Novel Therapeutic Approach to EAC: Case Report.

Date: March 2006
Publication: Journal of American Academy of Dermatology (JAAD)
Authors: Minni, JP
Vol. 54 No. 3 March 2006 Supplement 2, S134-S135 

Possible Mechanisms in the Induction of Pemphigus Foliaceus by Topical Imiquimod Treatment—Reply

Date: July, 2005
Publication: Archives of Dermatology
Authors: Daniel J. Ladd Jr.; Rick J. Lin

Abstract: We welcome Mashiah and Brenner's cogent comments. The fact that 2 cases of pemphigus localized at sites of topical imiquimod treatment have now been reported makes one wonder how many cases have gone unreported. It is critical for any additional cases to be reported so that the ever-increasing number of patients being treated with this medication can be informed of this permanent and severe adverse effect, however rare it may be. As we all know, pemphigus requires lifelong treatment with systemic immunosuppressive agents. These agents increase the risk of opportunistic infections and cancers. As dermatologists counseling our patients on how to best treat their skin cancers and precancers, we would be wise to mention pemphigus foliaceous as a possible adverse effect of topical imiquimod therapy and the long-term comorbidities associated with its treatment, which could actually increase the chance of getting cancer in the future.

A Clinical Survey of Pediatric Skin Disease in Nicaragua with Focus on Pediculosis Capitus

Date: November, 2004
Publication: Journal of the American Osteopathic College of Dermatology
Authors: Maria Escano, Jere Mammino, DO, FAOCD

Abstract: BACKGROUND Information on the prevalence of notable dermatological conditions, with a focus on pediculosis capitis, will be presented. METHODS One hundred sixty-three children (several months to 13 years old) were examined in their underclothes from head to toe for any skin conditions. The study was conducted in a primary school in Managua, Nicaragua. RESULTS Dermatological examination of these children showed that Pediculus capitis (25.76%), miliaria rubra (6.13%) and cafe au lait spots (5.5%) were the most common. Eleven-year-old children had the highest percentage of head lice (62.5%), followed by nineyear olds (33.3%). Head lice infestation was more common in girls (78.6%) than boys (21.4%). CONCLUSIONS There is a high prevalence of pediculosis capitis in this primary school in Nicaragua, affecting girls more than boys. There’s a need for an effective prevention and treatment strategy for these skin conditions that has to be balanced with the limited health resources available.

Pemphigus Foliaceus Localized to Sites of Imiquimod Application: A Case Report 

Date: July, 2004
Publication: Archives of Dermatology
Authors: Lin, R, Ladd, D, Way, B

Abstract: Drug-induced pemphigus is a well-documented entity. Since the first report of pemphigus activation in 1969, many other drugs that can trigger pemphigus foliaceus have been described in the literature. In the literature search, all of the drugs that have been identified as offending agents have been systemic.1-2 Very little has been written about localized pemphigus follaceus induced by topical treatment. Imiquimod is a new immune response modifier that induces interferon production by monocytes. It is approved in the United States under the trade name Aldara for the topical treatment of genital warts. Adverse events of erythema, itching, pain, and tenderness at the treatment site are common. No significant systemic adverse events or abnormal laboratory findings have been reported in any clinical studies to date.3 The purpose of this report is to describe the first case of imiquimod-induced localized pemphigus foliaceus.

Furuncular Cutaneous Myiasis

Date: April, 2002
Publication: Journal of the American Osteopathic College of Dermatology
Authors: Jere Mammino, DO, FAOCD

Abstract: Myiasis is the infestation of mammalian tissues by dipterous (two winged fly) larvae. The skin is the most common site, but other areas can be involved, including ocular, auricular, gastrointestinal, and genitourinary. Cutaneous myiasis may present in one of three ways: a superficial infection of larvae (maggots), a dermal slowly migrating erythematous patch, or as a furuncle. This article describes the furuncular form of cutaneous myiasis, and reports a recent case. 

Syringocystadenoma Papilliferum

Date: November, 1991
Publication: International Journal of Dermatology
Authors: Jere Mammino, DO, FAOCD

Abstract: Syringocystadenoma papilliferum is a sweat gland tumor that is not clinically distinct; a biopsy is usually required for diagnosis. This article is a study and review of all 144 cases published in the English literature. 

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