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Practical Pearls

Cadaveric Split-Thickness Skin Graft With Partial Guiding Closure for Scalp Defects Extending to the Periosteum

Author:

Edward W. Seger, MD, MS

Brett C. Neill, MD

Stanislav N. Tolkachjov, MD

Granulation and epithelialization of wounds can be expedited using a cadaveric split-thickness skin graft (STSG) of biologically active tissue....

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Tips

Adhesive Tape to Guide Injection Depth of Botulinum Toxin for Axillary Hyperhidrosis

Author:

Jamison A. Harvey, MD

David L. Swanson, MD

OnabotulinumtoxinA for treating axillary hyperhidrosis requires a 2- to 3-mm depth of injection.

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Tips

Reflectance Confocal Microscopy Findings in a Small-Diameter Invasive Melanoma

Author:

Isil Karaarslan, MD

Fezal Ozdemir, MD

Banu Yaman, MD

Ayda Acar, MD

Alon Scope, MD

This case highlights the benefit of reflectance confocal microscopy to reach a confident diagnosis and correct management of a small-diameter...

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Tips

Surgical Planning for Mohs Defect Reconstruction in the Digital Age

Author:

Yi Chun Lai, MD, MPH

Collin Parker, MD

Arlene Rogachefsky, MD

Kristyna Lee, MD, MPH

Planning for Mohs defect reconstruction is an integral part of fellowship training.

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Tips

Wet Your Whistles: Alcohol-Induced Flushing With Use of Topical Calcineurin Inhibitors

Author:

Emily C. Milam, MD

David E. Cohen, MD, MPH

Localized flushing after alcohol ingestion is a reported adverse effect of 2 topical calcineurin inhibitors, tacrolimus and pimecrolimus, which...

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Tips

Hairstyling Practices to Prevent Hair Damage and Alopecia in Women of African Descent

Author:

Amaris N. Geisler, BS

Oyetewa Oyerinde, MD

Deborah A. Scott, MD

We provide an overview of hairstyles for patients with highly textured hair so that physicians may better identify high-risk hairstyles, provide...

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Tips

Telemedicine Alopecia Assessment: Highlighting Patients With Skin of Color

Author:

Britney N. Wilson, MBS

Amy McMichael, MD

Andrew Alexis, MD, MPH

Oma Agbai, MD

Nada Elbuluk, MD, MSc

Valerie Callender, MD

Cheryl M. Burgess, MD

Susan C. Taylor, MD

Alopecia has been one of the more common concerns reported at teledermatology (TD) visits during the COVID-19 pandemic. In light of the growing...

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Tips

Not COVID Toes: Pool Palms and Feet in Pediatric Patients

Author:

Stephanie S. Lee, MD

Jennifer Mancuso, MD

Alexis Tracy, MD

Lawrence F. Eichenfield, MD

So-called COVID toes is probably the most publicized cutaneous manifestation of COVID-19. Explaining the diagnosis of pool palms and feet and...

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Tips

Mineral Oil Scabies Preparation From Under the Fingernail

Author:

Kendahl Oberdorfer, BS

Meena Moossavi, MD, MPH

We describe a method for extracting the scabies mite using the tip of a disposable blunt-tip hyfrecator electrode to gently scrape under the...

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Tips

A Modified Anchor Taping Technique for Distal Onychocryptosis

Author:

Kathryn T. Shahwan, MD

Thomas Knackstedt, MD

David R. Carr, MD, MPH

We present a modified anchor taping method used to treat distal onychocryptosis of the fingernail.

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Tips

An Algorithm for Managing Spitting Sutures

Author:

Nicholas Thornton, BS

Frank Winsett, MD

Richard F. Wagner Jr, MD

Presented here is a straightforward and reliable algorithm to guide management of spitting sutures and their complications.

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