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Patterson AT. JAAD Game Changer: "Use of oral antidepressants in patients with chronic pruritus: A systematic review". J Am Acad Dermatol 2024; 90:345. [PMID: 37607611 DOI: 10.1016/j.jaad.2023.08.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2023] [Accepted: 08/14/2023] [Indexed: 08/24/2023]
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Fischl B, Patterson AT, Baxter J, Watson J, Hemsworth J, Valentine D, Wessler J, Wong D. Planning Considerations and Lessons Learned From a COVID-19 Mass Community Vaccination Center. Mil Med 2021; 187:17-22. [PMID: 34318328 PMCID: PMC8344702 DOI: 10.1093/milmed/usab303] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2021] [Revised: 07/07/2021] [Accepted: 07/14/2021] [Indexed: 11/24/2022] Open
Abstract
The emergency use authorization for multiple coronavirus disease 2019 (COVID-19) vaccines came at a pivotal time for the USA. In January 2021, the country exceeded 400,000 deaths from COVID-19. The USA aimed to quickly distribute and administer the Pfizer and Moderna vaccines, with bright prospects for an additional emergency use authorization for Johnson and Johnson/Janssen’s single-dose vaccine on the horizon. Part of the National Strategy for COVID-19 Response and Pandemic Preparedness was to “mount a safe, effective, comprehensive vaccination campaign” so the administration set a goal to have 100 million fully vaccinated citizens after the first 100 days in office. In order to fuel the rapid administration of vaccines, the Department of Health and Human Services was tasked to stand up new, federally supported Community Vaccination Centers across the country. The Federal Emergency Management Agency (FEMA) was the lead agency entrusted to expedite financial assistance, allocate federal equipment and supplies, and deploy federal personnel to states, tribes, territories, and other eligible applicants for vaccination efforts. Early in the process of staffing sites, FEMA recognized the need to bolster the efforts with active duty military personnel and asked for manning assistance from the Department of Defense. As a result, 222 U.S. Air Force personnel were tasked with supporting the FEMA COVID-19 vaccination operations at NRG stadium, Houston, Texas. This reflection aims to cover the lessons learned and provide meaningful insight for future mass medical operations.
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Affiliation(s)
- Benjamin Fischl
- 366 Healthcare Operations Squadron, Mountain Home Air Force Base, Mountain Home AFB, ID 83648, USA
| | - Andrew T Patterson
- Department of Dermatology, Offutt Air Force Base, Bellevue, NE 68123, USA
| | - Joseph Baxter
- Department of Pediatrics, Mountain Home Air Force Base, Mountain Home AFB, ID 83648, USA
| | - James Watson
- Family Medicine Residency Clinic, Offutt Air Force Base, Bellevue, NE 68123, USA
| | - Jesse Hemsworth
- Personnel Reliability Assurance Program, Offutt Air Force Base, Bellevue, NE 68123, USA
| | | | - Jacob Wessler
- Department of Pediatric Hematology Oncology, Joint Base Langley-Eustis, Hampton, VA 23665, USA
| | - Danny Wong
- 99th Dental Squadron, Nellis Air Force Base, Nellis AFB, NV 89191, USA
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Hornberger MM, Patterson AT, Kerford JH, Lenz BL, Mir A, Dominguez AR. Rapid Screening of Invasive Fungal Infections in the Hospital Setting Using the (1,3)-β-D-glucan Assay. Cutis 2020; 106:33-34;36. [DOI: 10.12788/cutis.0051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Patterson AT. JAAD Game Changers∗: Methotrexate-induced epidermal necrosis: A case series of 24 patients. J Am Acad Dermatol 2019; 82:1039. [PMID: 31574276 DOI: 10.1016/j.jaad.2019.09.056] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2019] [Accepted: 09/20/2019] [Indexed: 11/26/2022]
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Gibbons TF, Noe JC, Patterson AT, Lenz BL, Beachkofsky TM. Temporal shifts in the collective dermatologic microbiome of military trainees. Clin Cosmet Investig Dermatol 2019; 12:625-637. [PMID: 31564944 PMCID: PMC6722459 DOI: 10.2147/ccid.s216993] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2019] [Accepted: 07/11/2019] [Indexed: 01/21/2023]
Abstract
Background New military members undergo a highly-regimented 7-week training course during which trainees live and work within the same group of approximately 50 subjects for nearly 24 hours a day. This creates an optimal environment for assessing the impact of communal living on the collective skin microbiome. Purpose: The objective of this pilot study was to investigate dynamic changes of the skin microbiome in basic military trainees (BMT), in light of the unique environmental influences faced by this population. Patients and methods We evaluated collective changes in the skin microbiome of normal healthy adult basic trainees in response to communal living and universal Group A Strep prophylaxis with penicillin over the course of their initial 7-week training course. Samples from 10 flights of trainees were collected by swabbing upon arrival at Lackland AFB for their training (week 0) which is prior to prophylaxis with penicillin, at the 4 week point, and at the conclusion of their 7-week course of basic military training. Three separate high-throughput sequencing platforms and three bioinformatic pipeline analysis tools were utilized to assess the data. Results: At all three time points we found that the top three bacterial genus identified were Propionibacterium, Staphylococcus, and Corynebacterium. We detected a community membership difference between the initial week 0 samples and the week 4 and 7 samples. A strong inverse correlation between Propionibacterium and Staphylococcus was noted with Propionibacterium being high at week 0 and much lower at weeks 4 and 7; conversely, Staphylococcus was low at week 0 and higher at weeks 4 and 7, this relationship was noted in both the individual and collective specimens. Conclusion: The collective dermatologic microbiome in the military trainee population examined exhibited a relative increase in Staphylococcus and Corynebacterium abundance coupled with a relative decrease in Propionibacterium abundance in this observational pilot study. Additional studies are needed to further assess the causal impact of communal living and widespread penicillin chemoprophylaxis.
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Affiliation(s)
- Thomas F Gibbons
- 59th Medical Wing Science and Technology, Clinical Investigations and Research Support, San Antonio, TX, USA
| | - Jody C Noe
- 59th Medical Wing Science and Technology, Clinical Investigations and Research Support, San Antonio, TX, USA
| | | | - Brittany L Lenz
- Department of Dermatology, 59th Medical Wing, San Antonio, TX, USA
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Patterson AT. JAAD Game Changers ∗: Risk for hepatitis B and C virus reactivation in patients with psoriasis on biologic therapies: A retrospective cohort study and systematic review of the literature. J Am Acad Dermatol 2019; 82:532. [PMID: 31574273 DOI: 10.1016/j.jaad.2019.09.055] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2019] [Accepted: 09/20/2019] [Indexed: 10/25/2022]
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Tian F, Patterson AT, Davick JJ, Ing SW, Kaffenberger BH, Gru AA. The cutaneous expression of vitamin K-dependent and other osteogenic proteins in calciphylaxis stratified by clinical features and warfarin use: A case control study. J Am Acad Dermatol 2016; 75:840-842.e1. [PMID: 27646745 DOI: 10.1016/j.jaad.2016.05.026] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2016] [Revised: 04/30/2016] [Accepted: 05/04/2016] [Indexed: 11/30/2022]
Affiliation(s)
- Frances Tian
- Ohio State University College of Medicine, Columbus
| | | | | | - Steven W Ing
- Division of Dermatology, Ohio State University Wexner Medical Center, Columbus
| | | | - Alejandro A Gru
- Department of Pathology, University of Virginia, Charlottesville
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Patterson AT, Tian FT, Elston DM, Kaffenberger BH. Occluded Cigarette Smoke Exposure Causing Localized Chloracne-Like Comedones. Dermatology 2015; 231:322-5. [PMID: 26360246 DOI: 10.1159/000439046] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2015] [Accepted: 07/27/2015] [Indexed: 11/19/2022] Open
Abstract
Many environmental acne disorders, including chloracne and oil acne, were previously thought to occur predominantly in occupational settings following polycyclic aromatic hydrocarbon exposure. Cigarette smoke has also been shown to contain a large number of these toxic polycyclic aromatic hydrocarbon components and strictly correlates with noninflammatory acneiform lesion development in postadolescent patients. We report a case of localized open comedones associated with occluded cigarette smoke exposure near the nasal cavity due to infrequently changed gauze following rhinectomy. The dermal uptake of polycyclic aromatic hydrocarbon components in cigarette smoke has the potential to function as a contributing factor in chloracne development. Several of these environmental and noninflammatory acne subtypes may share a common molecular propensity for enhanced comedogenesis originating from aryl hydrocarbon receptor pathway effects in the skin. Additional studies are needed to further elucidate the exact mechanistic pathways through which tobacco smoke impacts the integumentary system.
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Patterson AT, Beasley KJ, Kobayashi TT. Fibroelastolytic papulosis: histopathologic confirmation of disease spectrum variants in a single case. J Cutan Pathol 2015; 43:142-7. [DOI: 10.1111/cup.12569] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2015] [Revised: 07/15/2015] [Accepted: 08/02/2015] [Indexed: 11/28/2022]
Affiliation(s)
- Andrew T. Patterson
- Ohio State University College of Medicine; Columbus OH USA
- Department of Dermatology; San Antonio Uniformed Services Health Education Consortium, Lackland Air Force Base; San Antonio TX USA
| | - Knox J. Beasley
- Department of Dermatology; San Antonio Uniformed Services Health Education Consortium, Lackland Air Force Base; San Antonio TX USA
| | - Todd T. Kobayashi
- Department of Dermatology; San Antonio Uniformed Services Health Education Consortium, Lackland Air Force Base; San Antonio TX USA
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Abstract
Organochlorine exposure is an important cause of cutaneous and systemic toxicity. Exposure has been associated with industrial accidents, intentional poisoning, and the use of defoliants, such as Agent Orange in the Vietnam War. Although long-term health effects are systematically reviewed by the Institute of Medicine, skin diseases are not comprehensively assessed. This represents an important practice gap as patients can present with cutaneous findings. This article provides a systematic review of the cutaneous manifestations of known mass organochlorine exposures in military and industrial settings with the goal of providing clinically useful recommendations for dermatologists seeing patients inquiring about organochlorine effects. Patients with a new diagnosis of chloracne, porphyria cutanea tarda, cutaneous lymphomas (non-Hodgkin lymphoma), and soft-tissue sarcomas including dermatofibrosarcoma protuberans and leiomyosarcomas should be screened for a history of Vietnam service or industrial exposure. Inconclusive evidence exists for an increased risk of other skin diseases in Vietnam veterans exposed to Agent Orange including benign fatty tumors, melanomas, nonmelanoma skin cancers, milia, eczema, dyschromias, disturbance of skin sensation, and rashes not otherwise specified. Affected veterans should be informed of the uncertain data in those cases. Referral to Department of Veterans Affairs for disability assessment is indicated for conditions with established associations.
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Affiliation(s)
- Andrew T Patterson
- Division of Dermatology, Ohio State University College of Medicine, Columbus, Ohio; US Air Force, San Antonio Military Medical Center
| | | | - Richard A Keller
- Dermatology, Audie L. Murphy Veterans Hospital, San Antonio, US Air Force, San Antonio, Texas
| | - Dirk M Elston
- Ackerman Academy of Dermatopathology; US Army (Retired)
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Patterson AT, Andritsos L, Allen CM, Gru A, Kaffenberger BH. Multifocal epithelial hyperplasia (Heck disease) in a patient with chronic lymphocytic leukemia. J Cutan Pathol 2014; 41:694-6. [PMID: 24754486 DOI: 10.1111/cup.12341] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2014] [Revised: 03/11/2014] [Accepted: 03/11/2014] [Indexed: 11/30/2022]
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Erdal BS, Crouser ED, Yildiz V, King MA, Patterson AT, Knopp MV, Clymer BD. Quantitative computerized two-point correlation analysis of lung CT scans correlates with pulmonary function in pulmonary sarcoidosis. Chest 2013; 142:1589-1597. [PMID: 22628487 DOI: 10.1378/chest.11-2027] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
BACKGROUND Chest CT scans are commonly used to clinically assess disease severity in patients presenting with pulmonary sarcoidosis. Despite their ability to reliably detect subtle changes in lung disease, the utility of chest CT scans for guiding therapy is limited by the fact that image interpretation by radiologists is qualitative and highly variable. We sought to create a computerized CT image analysis tool that would provide quantitative and clinically relevant information. METHODS We established that a two-point correlation analysis approach reduced the background signal attendant to normal lung structures, such as blood vessels, airways, and lymphatics while highlighting diseased tissue. This approach was applied to multiple lung fields to generate an overall lung texture score (LTS) representing the quantity of diseased lung parenchyma. Using deidentified lung CT scan and pulmonary function test (PFT) data from The Ohio State University Medical Center's Information Warehouse, we analyzed 71 consecutive CT scans from patients with sarcoidosis for whom simultaneous matching PFTs were available to determine whether the LTS correlated with standard PFT results. RESULTS We found a high correlation between LTS and FVC, total lung capacity, and diffusing capacity of the lung for carbon monoxide (P < .0001 for all comparisons). Moreover, LTS was equivalent to PFTs for the detection of active lung disease. The image analysis protocol was conducted quickly (< 1 min per study) on a standard laptop computer connected to a publicly available National Institutes of Health ImageJ toolkit. CONCLUSIONS The two-point image analysis tool is highly practical and appears to reliably assess lung disease severity. We predict that this tool will be useful for clinical and research applications.
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Affiliation(s)
- Barbaros Selnur Erdal
- Department of Electrical and Computer Engineering, The Ohio State University College of Engineering, Columbus, OH; Department of Radiology, The Ohio State University College of Medicine, Columbus, OH
| | - Elliott D Crouser
- Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, The Ohio State University College of Medicine, Columbus, OH.
| | - Vedat Yildiz
- Center for Biostatistics, The Ohio State University Office of Health Sciences, Columbus, OH
| | - Mark A King
- Department of Radiology, The Ohio State University College of Medicine, Columbus, OH
| | - Andrew T Patterson
- Department of Radiology, The Ohio State University College of Medicine, Columbus, OH
| | - Michael V Knopp
- Department of Radiology, The Ohio State University College of Medicine, Columbus, OH
| | - Bradley D Clymer
- Department of Electrical and Computer Engineering, The Ohio State University College of Engineering, Columbus, OH
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