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Burnette C, Tashjian M, Cruz F, Mattei P. Correction of Facial Asymmetry After Skin Cancer Reconstruction Using Polydioxanone Lifting Threads. Dermatol Surg 2024; 50:480-481. [PMID: 38306438 DOI: 10.1097/dss.0000000000004096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2024]
Affiliation(s)
- Colin Burnette
- Nova Southeastern University College of Osteopathic Medicine, Davie, Florida
| | - Michelle Tashjian
- Nova Southeastern University College of Osteopathic Medicine, Davie, Florida
| | - Frainelys Cruz
- Dermatology Service, US Department of Veterans Affairs, Bay Pines Healthcare System, Cape Coral, Florida
| | - Peter Mattei
- Dermatology Service, US Department of Veterans Affairs, Bay Pines Healthcare System, Cape Coral, Florida
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Kavanagh KJ, Mattei PL, Lawrence R, Burnette C. Brachioradial Pruritus: An Etiologic Review and Treatment Summary. Cutis 2023; 112:84-87. [PMID: 37820331 DOI: 10.12788/cutis.0828] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/13/2023]
Abstract
Brachioradial pruritus (BRP) is a relatively uncommon neuropathic dysesthesia localized to the dorsolateral arms that causes unrelenting itching, burning, tingling, or stinging sensations. There is no identifiable cause of BRP to date, though it is thought to be secondary to either cervical spine pathology or exposure to UV radiation (UVR). Gold-standard treatment of BRP remains unknown. This article reviews previously trialed conservative management options, including chiropractic manipulation, acupuncture, physiotherapy, and photoprotection, as well as medical management options that have been utilized to treat BRP, such as medications, interventional pain management procedures, and surgery. We compiled an updated comprehensive list of possible treatment strategies to be utilized by future providers.
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Affiliation(s)
- Kathryn J Kavanagh
- Drs. Kavanagh and Mattei are from the US Department of Veterans Affairs, Veteran Health Administration, Bay Pines VA Healthcare System, Cape Coral, Florida. Ryan Lawrence is from the Palmer College of Chiropractic West Campus, San Jose, California. Colin Burnette is from the Nova Southeastern University College of Osteopathic Medicine, Fort Lauderdale, Florida
| | - Peter L Mattei
- Drs. Kavanagh and Mattei are from the US Department of Veterans Affairs, Veteran Health Administration, Bay Pines VA Healthcare System, Cape Coral, Florida. Ryan Lawrence is from the Palmer College of Chiropractic West Campus, San Jose, California. Colin Burnette is from the Nova Southeastern University College of Osteopathic Medicine, Fort Lauderdale, Florida
| | - Ryan Lawrence
- Drs. Kavanagh and Mattei are from the US Department of Veterans Affairs, Veteran Health Administration, Bay Pines VA Healthcare System, Cape Coral, Florida. Ryan Lawrence is from the Palmer College of Chiropractic West Campus, San Jose, California. Colin Burnette is from the Nova Southeastern University College of Osteopathic Medicine, Fort Lauderdale, Florida
| | - Colin Burnette
- Drs. Kavanagh and Mattei are from the US Department of Veterans Affairs, Veteran Health Administration, Bay Pines VA Healthcare System, Cape Coral, Florida. Ryan Lawrence is from the Palmer College of Chiropractic West Campus, San Jose, California. Colin Burnette is from the Nova Southeastern University College of Osteopathic Medicine, Fort Lauderdale, Florida
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Burnette C, Smithy W, Strock D, Sivesind TE, Dellavalle R. The Importance of Gender-Neutral Terminology in Risk Evaluation and Mitigation Strategy Programs: A Call to Action. JMIR Dermatol 2023; 6:e45329. [PMID: 37632908 PMCID: PMC10335131 DOI: 10.2196/45329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2022] [Revised: 05/07/2023] [Accepted: 06/06/2023] [Indexed: 08/28/2023] Open
Abstract
The use of risk evaluation and mitigation strategy (REMS) programs is frequently required for prescriptions with potentially teratogenic effects, especially in the field of dermatology. Among these REMS programs, the most well-known example is isotretinoin, an oral retinoid that uses the iPLEDGE system. iPLEDGE has strict regulations and a lengthy approval process, and until recently, patients were grouped into 3 categories: male, female, or female of reproductive potential. This strict grouping has posed problems in the medical community, especially for gender-diverse individuals where their perceived gender conflates with their assigned grouping causing patient-specific distress. The distinction between gender-a multifactorial perception of identity-and biological sex is addressed under new iPLEDGE guidelines. Dermatologists now register patients under one of 2 categories: patients who can become pregnant and those who cannot become pregnant. This change simultaneously improves the accessibility to isotretinoin among gender-diverse individuals, while limiting prescription barriers. Despite initial success being limited due to lengthy system conversions, a registration process based on reproductive potential ultimately enhances iPLEDGE's goal to prevent potential birth defects. We propose that other REMS programs follow the standard set by the iPLEDGE system, including those for the medications thalidomide, acitretin, and mycophenolate mofetil, all of which currently have a similar taxonomy to that of the old iPLEDGE system. Implementing the standardization of gender-neutral terminology can maximize enrollment and minimize distress. Current and ongoing refinement of iPLEDGE and other REMS is needed to build protocols solely around the prevention of birth defects without regard to sex or gender.
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Affiliation(s)
- Colin Burnette
- Nova Southeastern University College of Osteopathic Medicine, Davie, FL, United States
| | - William Smithy
- Nova Southeastern University College of Osteopathic Medicine, Davie, FL, United States
| | - Daniel Strock
- Eastern Virginia Medical School, Norfolk, VA, United States
| | - Torunn E Sivesind
- University of Colorado School of Medicine, Aurora, CO, United States
| | - Robert Dellavalle
- University of Colorado School of Medicine, Aurora, CO, United States
- US Department of Veterans Affairs, University of Colorado, Aurora, CO, United States
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Burnette C, Sivesind TE, Dellavalle R. From the Cochrane Library: Optical Coherence Tomography for Diagnosing Skin Cancer in Adults. JMIR Dermatol 2023; 6:e41355. [PMID: 37632933 PMCID: PMC10335143 DOI: 10.2196/41355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Revised: 02/22/2023] [Accepted: 03/01/2023] [Indexed: 03/05/2023] Open
Affiliation(s)
- Colin Burnette
- Nova Southeastern University College of Osteopathic Medicine, Davie, FL, United States
| | - Torunn E Sivesind
- Department of Dermatology, University of Colorado Anschutz Medical Campus, Aurora, CO, United States
| | - Robert Dellavalle
- Department of Dermatology, University of Colorado Anschutz Medical Campus, Aurora, CO, United States
- Rocky Mountain Reginal Veterans Affairs Medical Center, Aurora, CO, United States
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Marroquin NA, Sivesind TE, Burnette C, LaMar K, Dellavalle RP. Free sunscreen dispensers: A readily available asset for the primary prevention of skin cancer. J Am Acad Dermatol 2023; 88:724-726. [PMID: 36244558 DOI: 10.1016/j.jaad.2022.09.031] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2022] [Revised: 08/23/2022] [Accepted: 09/16/2022] [Indexed: 11/11/2022]
Affiliation(s)
| | - Torunn E Sivesind
- Department of Dermatology, University of Colorado Anschutz Medical Campus, Aurora, Colorado
| | - Colin Burnette
- Nova Southeastern University College of Osteopathic Medicine, Davie, Florida
| | - Kyle LaMar
- Rocky Vista University College of Osteopathic Medicine, Parker, Colorado
| | - Robert P Dellavalle
- Department of Dermatology, University of Colorado Anschutz Medical Campus, Aurora, Colorado; Dermatology Service, US Department of Veterans Affairs Rocky Mountain Regional Medical Center, Aurora, Colorado.
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Zueger M, Nahod P, Marroquin NA, Szeto MD, Ajmal H, Martini O, Burnette C, Quinn AP, Furth G, Militello M, Dellavalle RP. Skin of Color Dermatology Representation in American College of Mohs Surgery Educational Cases on Instagram: Content Analysis. JMIR Dermatol 2023; 6:e44103. [PMID: 37632910 PMCID: PMC10335130 DOI: 10.2196/44103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2022] [Revised: 12/09/2022] [Accepted: 01/05/2023] [Indexed: 01/15/2023] Open
Affiliation(s)
- Morgan Zueger
- College of Osteopathic Medicine, Rocky Vista University, Greenwood Village, CO, United States
| | - Paige Nahod
- College of Osteopathic Medicine, Rocky Vista University, Greenwood Village, CO, United States
| | - Nathaniel A Marroquin
- College of Osteopathic Medicine, Rocky Vista University, Greenwood Village, CO, United States
| | - Mindy D Szeto
- Department of Dermatology, University of Colorado Anschutz Medical Campus, Aurora, CO, United States
| | - Hamza Ajmal
- College of Osteopathic Medicine, Rocky Vista University, Greenwood Village, CO, United States
| | - Olnita Martini
- College of Osteopathic Medicine, Rocky Vista University, Greenwood Village, CO, United States
| | - Colin Burnette
- College of Osteopathic Medicine, Nova Southeastern University, Davie, FL, United States
| | - Alyssa P Quinn
- College of Osteopathic Medicine, Rocky Vista University, Greenwood Village, CO, United States
| | - Garrett Furth
- College of Osteopathic Medicine, Rocky Vista University, Greenwood Village, CO, United States
| | - Michelle Militello
- Department of Dermatology, HCA Florida Orange Park Hospital, Orange Park, FL, United States
| | - Robert P Dellavalle
- Department of Dermatology, University of Colorado Anschutz Medical Campus, Aurora, CO, United States
- Dermatology Service, US Department of Veterans Affairs, Rocky Mountain Regional VA Medical Center, Aurora, CO, United States
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