9 / 28
It is not likely that
use of SPF sunscreen
contributes to less
vitaminDproduction
in the skin with sun
exposure.
>17
Topical ELMA and
LMX are commonly
used for topical
anesthesia in
pediatric procedures,
and Glad Press’n
Seal food wrap was
suggested to cover
the application site.
>12
The findings
reinforce the
importance
of inpatient
oncodermatology
collaboration in
optimising care
of hospitalised
cancer patients and
survivors.
>18
S069
– What’s new in dermatology
What’s new in dermatologic surgery
–
B Coldiron
•
Nicotinamide 500 mg twice daily was
shown to reduce the risk of new nonme-
lanoma skin cancer by 23% in patients
with a history of skin cancer.
3
•
A large review found skin cancer
screening did decrease the incidence
of invasive melanoma; however, the
USPSTF still does not recommend skin
cancer screening due to a lack of evi-
dence, an inauspicious decision as the
incidence and mortality of melanoma
continues to rise.
4–6
Self skin examina-
tion with a partner could help with early
melanoma detection.
7
•
Sentinel lymph node biopsy for inter-
mediate-thickness melanoma remains
controversial, and Dr Coldiron reminds
us that there is no survival benefit.
8
The
Castle test provides a prediction similar
to that with sentinel lymph node biopsy
and is less invasive.
•
Multiple studies have linked HPV to oro-
pharyngeal cancers, and HPV in smoke
plumes is an under-recognised source
of infection.
What’s new in pediatric dermatology
–
S Friedlander
•
The regular use of emollients from birth
may decrease the risk of atopic derma-
titis (AD) by 50%.
9
•
Crisaborole, a topical PDE4 inhibitor,
and dupilumab, a monoclonal antibody
against inflammatory mediators in the AD
pathway, were approved for AD this year.
•
The LEAP study shifted the food allergy
paradigm, and we now know that early
exposure to peanuts can reduce the risk
of peanut allergy.
10
References
1. Barrows NJ, Campos RK, Powell ST, et al.
Cell
Host Microbe
2016.20(2):259-270.
2. Heidrich CG, Mitova S, Schedlbauer A, et al.
Antibiotics
(Basel). 2016. 22;5(4):E32.
3. Chen AC, Martin AJ, Choy B, et al.
N Engl J Med
2015;373(17):1618-1626.
4. Brunssen A, Waldmann A, Eisemann N, Katalinic
A.
J Am Acad Dermatol
2017;76(1):129-139.e10.
5. Screening for skin cancer: U.S. Preventive
Services Task Force recommendation
statement.
Ann Intern Med
2009;150(3):188-193.
6. Glazer AM, Winkelmann RR, Farberg AS, et al.
JAMA Dermatol
2017;153(2):225-226.
7. Hultgren BA, Turrisi R, Mallett KA, et al.
JAMA
Dermatol
2016;152(2):184-190.
8. Bigby M, Popescu C.
BMJ
2015;351:h5940.
9. Simpson EL, Chalmers JR, Hanifin JM, et al.
J Allergy Clin Immunol
2014;134(4):818-823.
10. Du Toit G, Sayre PH, Roberts G, et al.
N Engl
J Med
2016;374(15):1435-1443.
2017 AAD ANNUAL MEETING
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VOL. 1 • NO. 1 • 2017