Lichen planus afroamerican people
•Download as PPT, PDF•
0 likes•433 views
Lichen planus is a pruritic, papular skin condition characterized by violaceous polygonal papules and plaques that typically appear on the wrists, genitals, and mucous membranes. While lichen planus does not generally have a racial predilection, one study found a higher prevalence among African American children. In patients with dark skin, the lesions will not appear violaceous but rather be pigmented; however, they will still have the characteristic polygonal, flat-topped papules that shine when light reflects off of them. The document then describes a case report of a 30-year-old African American woman who presented with pigmented lichen planus lesions on her skin
Report
Share
Report
Share
![Lichen planus in african american patient ,[object Object],[object Object]](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
Recommended
Lichen planus afroamerican people
Lichen planus is a pruritic, papular skin condition characterized by violaceous polygonal papules and plaques that commonly appear on the wrists, genitals, and mucous membranes. While lichen planus does not typically have a racial predilection, one study found higher rates among African American children. In patients with dark skin like African Americans, the lesions will not appear violaceous but rather be pigmented, though they can still have a shiny appearance when light reflects off of them. The document then describes a case report of a 30-year-old African American female patient referred for assessment of pigmented lesions on her skin that had appeared over the prior 4 months.
The new health landscape- Paul Southon, RTPI CPD June13
The document discusses changes to the UK health system as a result of the Health and Social Care Act, including the dissolution of PCTs and establishment of new bodies like Clinical Commissioning Groups and Public Health England. It provides an overview of who now handles different public health functions, with public health situated in local councils and Directors of Public Health in each district or unitary area. Health and Wellbeing Boards are also discussed. The document promotes networks like the West Midlands Learning for Public Health and West Midlands Healthy Urban Development Group, which facilitate training, knowledge sharing, and multi-agency responses across councils and public health on issues like planning consultations.
CIL Legal Update- Oliver Martin, RTPI West Midlands CPD
The document summarizes proposed changes to the UK's Community Infrastructure Levy (CIL) regulations, including allowing CIL funds to be used for infrastructure maintenance, exempting some replacement permissions from CIL charges, and correcting errors in the CIL calculation methodology. It also discusses a case where differential retail development rates were not supported, and potential issues with CIL such as its impact on development viability when combined with section 106 requirements.
Managing Risk in IT
This document discusses managing risk in IT for small to medium sized organizations. It covers evaluating risks from budgets, staffing, third party providers and disasters. Key points include integrating IT with business needs, having IT represented in strategic planning, and properly managing third party providers through contracts, audits and service level agreements. The overall message is that effective risk management should be a strategic partnership between IT and the business.
Vocational Architecture Learning Network
An introduction to MADE and our work. An overview of the UK education system and vocational training within the built environment
Designing Online Engagement to Collaborate with Your Community
This document summarizes a workshop on designing online engagement to collaborate with communities. It discusses keystones for co-creation like trust, reciprocity, and engagement funnels. Case studies from Best Friends Animal Society and Teal Cat Project show how culture of listening, community support staff, and empowering action increased returns on engagement. The workshop ties these concepts to designing own collaborative projects using a four-part engagement grid and group sharing.
Introduction To Designing Online Community Nov09
Miscellaneous slides from my Introduction to Online Communities workshops in Australia, 2009. Note that these represent raw material rather than a sequence of ideas.
Creating great places David Engwicht oct 2011
The document exposes three myths about placemaking:
1. Design is not the only factor - creating a memorable experience through unconventional design can turn a space into a place.
2. Extensive planning is not necessary - placemaking is an iterative process where small improvements can organically transform an area over time.
3. Community consultation is not essential first - taking action and later adjusting the vision based on community feedback can be more effective than lengthy upfront consultation.
Recommended
Lichen planus afroamerican people
Lichen planus is a pruritic, papular skin condition characterized by violaceous polygonal papules and plaques that commonly appear on the wrists, genitals, and mucous membranes. While lichen planus does not typically have a racial predilection, one study found higher rates among African American children. In patients with dark skin like African Americans, the lesions will not appear violaceous but rather be pigmented, though they can still have a shiny appearance when light reflects off of them. The document then describes a case report of a 30-year-old African American female patient referred for assessment of pigmented lesions on her skin that had appeared over the prior 4 months.
The new health landscape- Paul Southon, RTPI CPD June13
The document discusses changes to the UK health system as a result of the Health and Social Care Act, including the dissolution of PCTs and establishment of new bodies like Clinical Commissioning Groups and Public Health England. It provides an overview of who now handles different public health functions, with public health situated in local councils and Directors of Public Health in each district or unitary area. Health and Wellbeing Boards are also discussed. The document promotes networks like the West Midlands Learning for Public Health and West Midlands Healthy Urban Development Group, which facilitate training, knowledge sharing, and multi-agency responses across councils and public health on issues like planning consultations.
CIL Legal Update- Oliver Martin, RTPI West Midlands CPD
The document summarizes proposed changes to the UK's Community Infrastructure Levy (CIL) regulations, including allowing CIL funds to be used for infrastructure maintenance, exempting some replacement permissions from CIL charges, and correcting errors in the CIL calculation methodology. It also discusses a case where differential retail development rates were not supported, and potential issues with CIL such as its impact on development viability when combined with section 106 requirements.
Managing Risk in IT
This document discusses managing risk in IT for small to medium sized organizations. It covers evaluating risks from budgets, staffing, third party providers and disasters. Key points include integrating IT with business needs, having IT represented in strategic planning, and properly managing third party providers through contracts, audits and service level agreements. The overall message is that effective risk management should be a strategic partnership between IT and the business.
Vocational Architecture Learning Network
An introduction to MADE and our work. An overview of the UK education system and vocational training within the built environment
Designing Online Engagement to Collaborate with Your Community
This document summarizes a workshop on designing online engagement to collaborate with communities. It discusses keystones for co-creation like trust, reciprocity, and engagement funnels. Case studies from Best Friends Animal Society and Teal Cat Project show how culture of listening, community support staff, and empowering action increased returns on engagement. The workshop ties these concepts to designing own collaborative projects using a four-part engagement grid and group sharing.
Introduction To Designing Online Community Nov09
Miscellaneous slides from my Introduction to Online Communities workshops in Australia, 2009. Note that these represent raw material rather than a sequence of ideas.
Creating great places David Engwicht oct 2011
The document exposes three myths about placemaking:
1. Design is not the only factor - creating a memorable experience through unconventional design can turn a space into a place.
2. Extensive planning is not necessary - placemaking is an iterative process where small improvements can organically transform an area over time.
3. Community consultation is not essential first - taking action and later adjusting the vision based on community feedback can be more effective than lengthy upfront consultation.
Alopecia.
A 1-year-old African American male presented with a patch of hair loss and dry, scaly skin on his scalp that had developed over the past 2 months. Examination of the irregular patch revealed hair loss and dry skin. The most common causes of hair loss in African American children include seborrheic dermatitis, atopic dermatitis, and tinea capitis.
Chapter 16 Question 15 - Case StudyWhat can fish color tell us abo.pdf
Chapter 16 Question 15 - Case Study
What can fish color tell us about human pigmentation?
Skin color is often one of the first traits people notice in each other. Studies in zebra fish
uncovered a mutation that altered a transport protein and resulted in light-colored fish. This
discovery led to the finding that the same gene in humans has a strong influence on skin
pigmentation in many populations.
Part A
The allele of the human transport protein associated with light skin is found almost exclusively
in Europeans. The other common allele, which appears to be the ancestral allele, is found in
Africans. Explain how you think the allele present in Europeans came to be so common in this
population.
Select all that apply.1. A mutation must have occurred in the population ancestral to modern
Europeans after their migration to Europe.2. A mutation must have occurred in the population
ancestral to modern Europeans before their migration to Europe.3. This mutation gave a
reproductive advantage to people who carried it in the environments of Europe. So, over
generations, the allele became more and more frequent until it predominated in this
population.4. A mutation must have occurred in the population ancestral to modern Europeans
either before or after their migration to Europe.5. This mutation was dominant. For this reason,
over generations, the allele became more and more frequent.6. The same mutations have
occurred very often, so the allele became more and more frequent until it predominated in this
population. Chapter 1 Question 15 Case Study What can fish color tell us about human
pigmentation? Skin color is often one of the first traits people notice in each other. Studies in
zebra fish uncovered a ion that altered a transport protein and resulted in light-colored fish. This
discovery led to the finding that the same gere in humans has a strong nnuerice on skin
pigmerilation irl arly popula Part A Thc allok of the human transport protcin associated with
light skin is found almost exclusivchy in Europeans. The other common allolo. appears to be the
ancostral alkolc, is found in Africans. Explain how you think the allcle prcsent in Europeans
which came to be so common in this population. Select all that apply. A mutation must have
occurred in the population ancestral to modern Europeans atter their migration to Europe A
mutation must have occurred in the population ancestral to modern Furopeans betore their
migration to Europe This mutation gave a reproductive advantage to people who carried it in the
environments of Europe So, over generations the allele became more and more frequent until it
predominated in this population A mutation must have occurred in the population ancestral to
modern Europeans either before or after their migration to Europe. This mutation was dominant.
For this reason, over generations, the allele became more and more frequent The same mulalions
have curred very orlen, so lhe allele became more and rnore requeril urili i.
Leprosy
Leprosy is a chronic infectious disease caused by the bacteria Mycobacterium leprae. It primarily affects the skin and nerves, causing disfiguring skin lesions and damage to the peripheral nerves. It is transmitted through droplets from the nose and mouth during close, prolonged contact with untreated cases. Early signs include numbness and loss of sensation. While treatment with multidrug therapy can cure the disease and stop transmission, it does not reverse existing nerve damage or disability. Controlling leprosy involves detecting and treating cases, preventive treatment of household contacts, and rehabilitation services. Vaccine research continues but there is still no available vaccine.
Leprosy
Leprosy is a chronic infectious disease caused by the bacteria Mycobacterium leprae. It primarily affects the skin and nerves, causing disfiguring skin lesions and damage to the peripheral nerves. It is transmitted through droplets from the nose and mouth during close, prolonged contact with untreated cases. Early signs include numbness and loss of sensation. While treatment with multidrug therapy can cure the disease and stop transmission, it does not reverse existing nerve damage or disability. Controlling and preventing leprosy involves detecting cases early, treating with multidrug therapy, contact tracing, and health education.
Leprosy
Leprosy is a chronic infectious disease caused by the bacteria Mycobacterium leprae. It primarily affects the skin and nerves, causing disfiguring skin lesions and damage to the peripheral nerves. It is transmitted through droplets from the nose and mouth during close, prolonged contact with untreated cases. Early signs include numbness and loss of sensation. While treatment with multidrug therapy can cure the disease and stop transmission, it does not reverse existing nerve damage or disability. Controlling leprosy involves detecting and treating cases, preventive treatment of contacts, and rehabilitation services.
FROM THE ACADEMYSkin cancer and photoprotection in people of
FROM THE ACADEMY
Skin cancer and photoprotection in people of color:
A review and recommendations for
physicians and the public
Oma N. Agbai, MD,
a
Kesha Buster, MD,
b
Miguel Sanchez, MD,
c
Claudia Hernandez, MD,
d
Roopal V. Kundu, MD,
e
Melvin Chiu, MD,
f
Wendy E. Roberts, MD,
g
Zoe D. Draelos, MD,
h
Reva Bhushan, PhD,
i
Susan C. Taylor, MD,
j
and Henry W. Lim, MD
a
Detroit, Michigan; Wichita, Kansas; New York, New York; Chicago and Schaumburg, Illinois;
Los Angeles and Rancho Mirage, California; High Point, North Carolina; and Philadelphia, Pennsylvania
From
D
D
D
m
C
D
M
C
Ra
A
H
748
Skin cancer is less prevalent in people of color than in the white population. However, when skin cancer
occurs in non-whites, it often presents at a more advanced stage, and thus the prognosis is worse compared
with white patients. The increased morbidity and mortality associated with skin cancer in patients of color
compared with white patients may be because of the lack of awareness, diagnoses at a more advanced
stage, and socioeconomic factors such as access to care barriers. Physician promotion of skin cancer
prevention strategies for all patients, regardless of ethnic background and socioeconomic status, can lead to
timely diagnosis and treatment. Public education campaigns should be expanded to target communities of
color to promote self-skin examination and stress importance of photoprotection, avoidance of tanning bed
use, and early skin cancer detection and treatment. These measures should result in reduction or earlier
detection of cutaneous malignancies in all communities. Furthermore, promotion of photoprotection
practices may reduce other adverse effects of ultraviolet exposure including photoaging and ultraviolet-
related disorders of pigmentation. ( J Am Acad Dermatol 2014;70:748-62.)
Key words: basal cell carcinoma; Bowen disease; dermatofibrosarcoma protuberans; dyspigmentation;
melanoma; Merkel cell carcinoma; mycosis fungoides; people of color; photoprotection; radiation; skin
cancer; skin of color; squamous cell carcinoma; sun protection; sunscreen; ultraviolet.
DEFINITIONS
Abbreviations used:
BCC: basal cell carcinoma
DFSP: dermatofibrosarcoma protuberans
MED: minimal erythema dose
MF: mycosis fungoides
MM: malignant melanoma
NMSC: nonmelanoma skin cancer
POC: people of color
SCC: squamous cell carcinoma
SEER: Surveillance, Epidemiology, and End
Results
SPF: sun-protection factor
UV: ultraviolet
Whites: Non-Hispanic individuals of European
descent
Blacks: Non-Hispanic individuals of African
descent
Hispanics: Individuals who trace their origin or
descent to Mexico, Puerto Rico, Cuba, Spanish-
speaking Central and South American countries,
Spanish-speaking island nations of the Caribbean,
and other Spanish cultures. Origin can be considered
as the heritage, nationality group, lineage, or country
of the person or the person’s parents or ancestors
before their arrival in the United States. People who
the Mult ...
Nodule on the cheek
A 25-year-old woman was referred to a dermatologist for evaluation of a 1.2 x 1.5 cm firm nodule on her cheek that had been present for 3 months. Examination of the nodule and histopathological analysis showing epithelial hyperplasia and large intracytoplasmic inclusion bodies in many epidermal cells. The dermatologist is seeking input on the diagnosis which will be provided on their blog in the next post.
Premalignant lesion (Doctor Faris Alabeedi MSc, MMedSc, PgDip, BDS.)
1. Premalignant oral lesions involve the mouth lining and may become oral cancer, though it's difficult to predict which will transform. Risk increases with age and factors like tobacco/alcohol use.
2. Abnormal patches of various colors on high-risk sites like the tongue or throat could indicate premalignant lesions. Biopsies determine if lesions are benign, premalignant (dysplastic), or cancerous.
3. Patients with high-grade dysplasia have a higher risk of malignant transformation and require close follow-up, though elimination of risks and healthy behaviors can help.
Cleft lip
This document summarizes a seminar on cleft lip presented by Dr. Cathrine Diana. It discusses the history, embryology, etiology, epidemiology, classifications, parent counseling, feeding, surgical procedures, post-operative care, and recent advances related to cleft lip. The key topics covered include the causes of cleft lip being multifactorial including genetic and environmental factors, classifications according to location and severity, importance of pre-surgical orthodontics and nutrition management, and surgical techniques for lip repair and reconstruction.
05
This study examined 40 patients with lichen planus seen at a university hospital in Croatia between 2004-2006. The results showed lichen planus was more prevalent in middle-aged females, with most patients presenting with both cutaneous and oral lesions. The majority of oral lesions occurred on the buccal mucosa and presented as Wickham's striae. All patients received topical corticosteroid therapy, while over half also received systemic corticosteroids or retinoids. Phototherapy was used in some cases. The management of oral lichen planus requires a multidisciplinary approach.
Embryology & Surgical Anatomy of Cleft Lip.pptx
This document provides information on cleft lip embryology and anatomy. It begins with definitions and discusses how the face develops from fusion of facial prominences in utero. Specific anatomy of the lip, muscles, arteries, nerves and lymphatics are described. Cleft lip classifications and associations are also reviewed, including epidemiology, pathogenesis related to genetics and environment, and syndromic forms.
mnemonics in dermatology
This document discusses several mnemonics for dermatological conditions and diseases. It provides 3-sentence summaries for each mnemonic that include:
1) The mnemonic letters and their meaning as it relates to key aspects of the condition.
2) A brief 1-2 sentence description of the condition.
3) Information about the person/people associated with discovering or describing the condition.
Junior Medillectuals, Synapse 2018
An Irish surgeon recently rediscovered the 79th organ in the human digestive system, the mesentery, which had previously been discovered by Leonardo da Vinci but later ignored. A common anatomical variant seen in the gallbladder during imaging is called the Phrygian cap due to its resemblance to headwear associated with people from central Anatolia and the French Revolution. Dark urine in a patient taking an antibiotic for a UTI is likely caused by G6PD deficiency and hemolysis from the antibiotic. Infectious mononucleosis presents with swollen tonsils, lymphadenopathy, and atypical lymphocytes on blood smear.
Copy of case report dr osama arafa
This case report describes a newborn female diagnosed with Harlequin Ichthyosis. Key findings on physical examination included thickened, waxy yellow skin that was split irregularly, underdeveloped ears, severe eyelid eversion, and flexion contractures of the limbs. Laboratory tests were unremarkable. The newborn was treated with humidified incubation, antibiotics, and topical agents to soften the skin, but died on day 11 from suspected sepsis. Harlequin Ichthyosis is a rare genetic disorder caused by abnormalities in skin lipid and protein structure that result in severe hyperkeratosis and high mortality risks from infection or respiratory failure.
Filaria 2018 modified
Lymphatic filaraisis as neglected tropical disease. The past and current efforts of Egypt in elimination. Egypt has now reached the elimination of lymphatic filaraisis as a public health problem. And joined 10 countries in that triumph around the world.
Leprosy
The document discusses leprosy (Hansen's disease), including its definition, causes, clinical features, epidemiology in India and worldwide, modes of transmission, classification, and control efforts. It defines leprosy as a chronic infectious disease caused by Mycobacterium leprae that mainly affects the skin and peripheral nerves. It can cause disfigurements if left untreated. While historically widespread, coordinated treatment programs have significantly reduced leprosy's prevalence globally and in India.
cleft lip and palate part 1
presentation includes definition, history,embryology,classification,normal anatomy , cleft anatomy, clinical features ,dental abnormalities, associates issues with hearing and specech,feeding.
Epidemiology of malaria [autosaved]
This document summarizes the epidemiology of malaria. It describes the four Plasmodium species that cause malaria in humans, with P. falciparum being the most deadly. Only humans can serve as reservoirs for the parasites. Malaria is transmitted via the bites of infected female Anopheles mosquitoes. Environmental factors like temperature, rainfall and humidity affect mosquito breeding and malaria transmission. Clinical features include cold, hot and sweating stages. Microscopy of blood smears remains the gold standard for malaria diagnosis.
Miscellanous colposcopic findings
This document discusses colposcopic findings related to various cervical conditions:
1. It describes the appearance of different types of cervicovaginitis including red punctate, white punctate, focal, and follicular cervicitis.
2. It notes the pale, smooth, dry appearance of the cervix in cases of cervical atrophy.
3. Various cervical polyps are described such as mucous polyps, adenomatous polyps, and fibrous polyps.
4. Cervical papillomas are described as exocervical polyps that are often seen during pregnancy.
5. True cervical erosions appear as denuded epithelium with newly formed capillaries
Human variation
This document discusses human biological variation and adaptation. It rejects the concept of biological race, as human populations have not been isolated enough to develop into discrete groups. Phenotypic traits like skin color vary due to natural selection pressures from environmental factors like sunlight, rather than discrete ancestry. Examples of biological adaptation in humans include skin color variations correlated with sunlight levels, disease resistance genes correlated with local diseases, and body type variations correlated with temperature and altitude. Genetic markers show most human genetic variation is within populations rather than between them.
Lesion on the back 2013
A 45-year-old woman was referred to a dermatologist for evaluation of a pigmented lesion on her back that had been present for 1 year. The dermatologist examined the lesion and made a diagnosis.
Basal cell carcinoma. dermoscopy
A 75-year-old woman was referred for assessment of a facial lesion that had been present for 1 year. Dermoscopy of the lesion revealed an absence of pigment network, linear and branching red blood vessels, ulceration, and multiple blue-gray globules, which are features characteristic of basal cell carcinoma.
More Related Content
Similar to Lichen planus afroamerican people
Alopecia.
A 1-year-old African American male presented with a patch of hair loss and dry, scaly skin on his scalp that had developed over the past 2 months. Examination of the irregular patch revealed hair loss and dry skin. The most common causes of hair loss in African American children include seborrheic dermatitis, atopic dermatitis, and tinea capitis.
Chapter 16 Question 15 - Case StudyWhat can fish color tell us abo.pdf
Chapter 16 Question 15 - Case Study
What can fish color tell us about human pigmentation?
Skin color is often one of the first traits people notice in each other. Studies in zebra fish
uncovered a mutation that altered a transport protein and resulted in light-colored fish. This
discovery led to the finding that the same gene in humans has a strong influence on skin
pigmentation in many populations.
Part A
The allele of the human transport protein associated with light skin is found almost exclusively
in Europeans. The other common allele, which appears to be the ancestral allele, is found in
Africans. Explain how you think the allele present in Europeans came to be so common in this
population.
Select all that apply.1. A mutation must have occurred in the population ancestral to modern
Europeans after their migration to Europe.2. A mutation must have occurred in the population
ancestral to modern Europeans before their migration to Europe.3. This mutation gave a
reproductive advantage to people who carried it in the environments of Europe. So, over
generations, the allele became more and more frequent until it predominated in this
population.4. A mutation must have occurred in the population ancestral to modern Europeans
either before or after their migration to Europe.5. This mutation was dominant. For this reason,
over generations, the allele became more and more frequent.6. The same mutations have
occurred very often, so the allele became more and more frequent until it predominated in this
population. Chapter 1 Question 15 Case Study What can fish color tell us about human
pigmentation? Skin color is often one of the first traits people notice in each other. Studies in
zebra fish uncovered a ion that altered a transport protein and resulted in light-colored fish. This
discovery led to the finding that the same gere in humans has a strong nnuerice on skin
pigmerilation irl arly popula Part A Thc allok of the human transport protcin associated with
light skin is found almost exclusivchy in Europeans. The other common allolo. appears to be the
ancostral alkolc, is found in Africans. Explain how you think the allcle prcsent in Europeans
which came to be so common in this population. Select all that apply. A mutation must have
occurred in the population ancestral to modern Europeans atter their migration to Europe A
mutation must have occurred in the population ancestral to modern Furopeans betore their
migration to Europe This mutation gave a reproductive advantage to people who carried it in the
environments of Europe So, over generations the allele became more and more frequent until it
predominated in this population A mutation must have occurred in the population ancestral to
modern Europeans either before or after their migration to Europe. This mutation was dominant.
For this reason, over generations, the allele became more and more frequent The same mulalions
have curred very orlen, so lhe allele became more and rnore requeril urili i.
Leprosy
Leprosy is a chronic infectious disease caused by the bacteria Mycobacterium leprae. It primarily affects the skin and nerves, causing disfiguring skin lesions and damage to the peripheral nerves. It is transmitted through droplets from the nose and mouth during close, prolonged contact with untreated cases. Early signs include numbness and loss of sensation. While treatment with multidrug therapy can cure the disease and stop transmission, it does not reverse existing nerve damage or disability. Controlling leprosy involves detecting and treating cases, preventive treatment of household contacts, and rehabilitation services. Vaccine research continues but there is still no available vaccine.
Leprosy
Leprosy is a chronic infectious disease caused by the bacteria Mycobacterium leprae. It primarily affects the skin and nerves, causing disfiguring skin lesions and damage to the peripheral nerves. It is transmitted through droplets from the nose and mouth during close, prolonged contact with untreated cases. Early signs include numbness and loss of sensation. While treatment with multidrug therapy can cure the disease and stop transmission, it does not reverse existing nerve damage or disability. Controlling and preventing leprosy involves detecting cases early, treating with multidrug therapy, contact tracing, and health education.
Leprosy
Leprosy is a chronic infectious disease caused by the bacteria Mycobacterium leprae. It primarily affects the skin and nerves, causing disfiguring skin lesions and damage to the peripheral nerves. It is transmitted through droplets from the nose and mouth during close, prolonged contact with untreated cases. Early signs include numbness and loss of sensation. While treatment with multidrug therapy can cure the disease and stop transmission, it does not reverse existing nerve damage or disability. Controlling leprosy involves detecting and treating cases, preventive treatment of contacts, and rehabilitation services.
FROM THE ACADEMYSkin cancer and photoprotection in people of
FROM THE ACADEMY
Skin cancer and photoprotection in people of color:
A review and recommendations for
physicians and the public
Oma N. Agbai, MD,
a
Kesha Buster, MD,
b
Miguel Sanchez, MD,
c
Claudia Hernandez, MD,
d
Roopal V. Kundu, MD,
e
Melvin Chiu, MD,
f
Wendy E. Roberts, MD,
g
Zoe D. Draelos, MD,
h
Reva Bhushan, PhD,
i
Susan C. Taylor, MD,
j
and Henry W. Lim, MD
a
Detroit, Michigan; Wichita, Kansas; New York, New York; Chicago and Schaumburg, Illinois;
Los Angeles and Rancho Mirage, California; High Point, North Carolina; and Philadelphia, Pennsylvania
From
D
D
D
m
C
D
M
C
Ra
A
H
748
Skin cancer is less prevalent in people of color than in the white population. However, when skin cancer
occurs in non-whites, it often presents at a more advanced stage, and thus the prognosis is worse compared
with white patients. The increased morbidity and mortality associated with skin cancer in patients of color
compared with white patients may be because of the lack of awareness, diagnoses at a more advanced
stage, and socioeconomic factors such as access to care barriers. Physician promotion of skin cancer
prevention strategies for all patients, regardless of ethnic background and socioeconomic status, can lead to
timely diagnosis and treatment. Public education campaigns should be expanded to target communities of
color to promote self-skin examination and stress importance of photoprotection, avoidance of tanning bed
use, and early skin cancer detection and treatment. These measures should result in reduction or earlier
detection of cutaneous malignancies in all communities. Furthermore, promotion of photoprotection
practices may reduce other adverse effects of ultraviolet exposure including photoaging and ultraviolet-
related disorders of pigmentation. ( J Am Acad Dermatol 2014;70:748-62.)
Key words: basal cell carcinoma; Bowen disease; dermatofibrosarcoma protuberans; dyspigmentation;
melanoma; Merkel cell carcinoma; mycosis fungoides; people of color; photoprotection; radiation; skin
cancer; skin of color; squamous cell carcinoma; sun protection; sunscreen; ultraviolet.
DEFINITIONS
Abbreviations used:
BCC: basal cell carcinoma
DFSP: dermatofibrosarcoma protuberans
MED: minimal erythema dose
MF: mycosis fungoides
MM: malignant melanoma
NMSC: nonmelanoma skin cancer
POC: people of color
SCC: squamous cell carcinoma
SEER: Surveillance, Epidemiology, and End
Results
SPF: sun-protection factor
UV: ultraviolet
Whites: Non-Hispanic individuals of European
descent
Blacks: Non-Hispanic individuals of African
descent
Hispanics: Individuals who trace their origin or
descent to Mexico, Puerto Rico, Cuba, Spanish-
speaking Central and South American countries,
Spanish-speaking island nations of the Caribbean,
and other Spanish cultures. Origin can be considered
as the heritage, nationality group, lineage, or country
of the person or the person’s parents or ancestors
before their arrival in the United States. People who
the Mult ...
Nodule on the cheek
A 25-year-old woman was referred to a dermatologist for evaluation of a 1.2 x 1.5 cm firm nodule on her cheek that had been present for 3 months. Examination of the nodule and histopathological analysis showing epithelial hyperplasia and large intracytoplasmic inclusion bodies in many epidermal cells. The dermatologist is seeking input on the diagnosis which will be provided on their blog in the next post.
Premalignant lesion (Doctor Faris Alabeedi MSc, MMedSc, PgDip, BDS.)
1. Premalignant oral lesions involve the mouth lining and may become oral cancer, though it's difficult to predict which will transform. Risk increases with age and factors like tobacco/alcohol use.
2. Abnormal patches of various colors on high-risk sites like the tongue or throat could indicate premalignant lesions. Biopsies determine if lesions are benign, premalignant (dysplastic), or cancerous.
3. Patients with high-grade dysplasia have a higher risk of malignant transformation and require close follow-up, though elimination of risks and healthy behaviors can help.
Cleft lip
This document summarizes a seminar on cleft lip presented by Dr. Cathrine Diana. It discusses the history, embryology, etiology, epidemiology, classifications, parent counseling, feeding, surgical procedures, post-operative care, and recent advances related to cleft lip. The key topics covered include the causes of cleft lip being multifactorial including genetic and environmental factors, classifications according to location and severity, importance of pre-surgical orthodontics and nutrition management, and surgical techniques for lip repair and reconstruction.
05
This study examined 40 patients with lichen planus seen at a university hospital in Croatia between 2004-2006. The results showed lichen planus was more prevalent in middle-aged females, with most patients presenting with both cutaneous and oral lesions. The majority of oral lesions occurred on the buccal mucosa and presented as Wickham's striae. All patients received topical corticosteroid therapy, while over half also received systemic corticosteroids or retinoids. Phototherapy was used in some cases. The management of oral lichen planus requires a multidisciplinary approach.
Embryology & Surgical Anatomy of Cleft Lip.pptx
This document provides information on cleft lip embryology and anatomy. It begins with definitions and discusses how the face develops from fusion of facial prominences in utero. Specific anatomy of the lip, muscles, arteries, nerves and lymphatics are described. Cleft lip classifications and associations are also reviewed, including epidemiology, pathogenesis related to genetics and environment, and syndromic forms.
mnemonics in dermatology
This document discusses several mnemonics for dermatological conditions and diseases. It provides 3-sentence summaries for each mnemonic that include:
1) The mnemonic letters and their meaning as it relates to key aspects of the condition.
2) A brief 1-2 sentence description of the condition.
3) Information about the person/people associated with discovering or describing the condition.
Junior Medillectuals, Synapse 2018
An Irish surgeon recently rediscovered the 79th organ in the human digestive system, the mesentery, which had previously been discovered by Leonardo da Vinci but later ignored. A common anatomical variant seen in the gallbladder during imaging is called the Phrygian cap due to its resemblance to headwear associated with people from central Anatolia and the French Revolution. Dark urine in a patient taking an antibiotic for a UTI is likely caused by G6PD deficiency and hemolysis from the antibiotic. Infectious mononucleosis presents with swollen tonsils, lymphadenopathy, and atypical lymphocytes on blood smear.
Copy of case report dr osama arafa
This case report describes a newborn female diagnosed with Harlequin Ichthyosis. Key findings on physical examination included thickened, waxy yellow skin that was split irregularly, underdeveloped ears, severe eyelid eversion, and flexion contractures of the limbs. Laboratory tests were unremarkable. The newborn was treated with humidified incubation, antibiotics, and topical agents to soften the skin, but died on day 11 from suspected sepsis. Harlequin Ichthyosis is a rare genetic disorder caused by abnormalities in skin lipid and protein structure that result in severe hyperkeratosis and high mortality risks from infection or respiratory failure.
Filaria 2018 modified
Lymphatic filaraisis as neglected tropical disease. The past and current efforts of Egypt in elimination. Egypt has now reached the elimination of lymphatic filaraisis as a public health problem. And joined 10 countries in that triumph around the world.
Leprosy
The document discusses leprosy (Hansen's disease), including its definition, causes, clinical features, epidemiology in India and worldwide, modes of transmission, classification, and control efforts. It defines leprosy as a chronic infectious disease caused by Mycobacterium leprae that mainly affects the skin and peripheral nerves. It can cause disfigurements if left untreated. While historically widespread, coordinated treatment programs have significantly reduced leprosy's prevalence globally and in India.
cleft lip and palate part 1
presentation includes definition, history,embryology,classification,normal anatomy , cleft anatomy, clinical features ,dental abnormalities, associates issues with hearing and specech,feeding.
Epidemiology of malaria [autosaved]
This document summarizes the epidemiology of malaria. It describes the four Plasmodium species that cause malaria in humans, with P. falciparum being the most deadly. Only humans can serve as reservoirs for the parasites. Malaria is transmitted via the bites of infected female Anopheles mosquitoes. Environmental factors like temperature, rainfall and humidity affect mosquito breeding and malaria transmission. Clinical features include cold, hot and sweating stages. Microscopy of blood smears remains the gold standard for malaria diagnosis.
Miscellanous colposcopic findings
This document discusses colposcopic findings related to various cervical conditions:
1. It describes the appearance of different types of cervicovaginitis including red punctate, white punctate, focal, and follicular cervicitis.
2. It notes the pale, smooth, dry appearance of the cervix in cases of cervical atrophy.
3. Various cervical polyps are described such as mucous polyps, adenomatous polyps, and fibrous polyps.
4. Cervical papillomas are described as exocervical polyps that are often seen during pregnancy.
5. True cervical erosions appear as denuded epithelium with newly formed capillaries
Human variation
This document discusses human biological variation and adaptation. It rejects the concept of biological race, as human populations have not been isolated enough to develop into discrete groups. Phenotypic traits like skin color vary due to natural selection pressures from environmental factors like sunlight, rather than discrete ancestry. Examples of biological adaptation in humans include skin color variations correlated with sunlight levels, disease resistance genes correlated with local diseases, and body type variations correlated with temperature and altitude. Genetic markers show most human genetic variation is within populations rather than between them.
Similar to Lichen planus afroamerican people (20)
Chapter 16 Question 15 - Case StudyWhat can fish color tell us abo.pdf
Chapter 16 Question 15 - Case StudyWhat can fish color tell us abo.pdf
FROM THE ACADEMYSkin cancer and photoprotection in people of
FROM THE ACADEMYSkin cancer and photoprotection in people of
Premalignant lesion (Doctor Faris Alabeedi MSc, MMedSc, PgDip, BDS.)
Premalignant lesion (Doctor Faris Alabeedi MSc, MMedSc, PgDip, BDS.)
More from Dr. Peral www.dermaperal.com
Lesion on the back 2013
A 45-year-old woman was referred to a dermatologist for evaluation of a pigmented lesion on her back that had been present for 1 year. The dermatologist examined the lesion and made a diagnosis.
Basal cell carcinoma. dermoscopy
A 75-year-old woman was referred for assessment of a facial lesion that had been present for 1 year. Dermoscopy of the lesion revealed an absence of pigment network, linear and branching red blood vessels, ulceration, and multiple blue-gray globules, which are features characteristic of basal cell carcinoma.
Lesion on the cheek
A 75-year-old woman was referred to a dermatologist for evaluation of a lesion on her cheek that had been present for 1 year. After examination, including dermoscopy, the dermatologist diagnosed it as a skin lesion on the patient's cheek.
Lesion cheek
A 70-year-old man was referred to a dermatologist for evaluation of a pigmented lesion on his cheek that had been present for 6 years. The dermatologist examined the lesion and determined it was a benign pigmented lesion with no signs of malignancy or need for further treatment.
Acrokeratosis verruciformis
A 60-year-old woman was referred for assessment of lesions on her hands that had been present for 20 years. Skin biopsy showed mild acanthosis with slight papillomatosis and hyperkeratosis at the lesion edges. Acrokeratosis verruciformis of Hopf is an autosomal dominant genodermatosis characterized by multiple, symmetrical, skin-colored, wart-like lesions on the hands and feet that are usually present from birth.
Lesions on the hands
A 60-year-old woman presented with lesions on her hands that had been present for 20 years. A skin biopsy showed mild thickening of the epidermis, thickening and scaling of the skin surface, and inflammatory cells in the dermis surrounding blood vessels. The diagnosis was seborrheic keratosis based on the histological examination findings.
Hidrocystoma apocrine
A 35-year-old woman was referred for assessment of lesions on her face that had been present for 3 years. Apocrine hidrocystomas are benign cystic skin growths of apocrine gland origin that typically appear as solitary, translucent skin-colored or bluish nodules, commonly located on the face. Histological examination revealed cystic spaces in the dermis with papillary projections, characteristic of apocrine hidrocystomas.
Lesion on the face
A 35-year-old woman was referred to a dermatologist for evaluation of facial lesions that had been present for 3 years. A biopsy was performed and histological examination revealed the diagnosis to be rosacea, a chronic inflammatory skin condition that mainly affects the face.
Seborrheic kertaosis
A 65-year-old man was referred for assessment of a 10-year-old lesion on his head. Dermoscopy showed a sharply demarcated lesion with a moth-eaten border and irregular crypts resembling a brain-like appearance with fissures and ridges. Within the lesion, networklike structures were seen that differed from a classic pigment network in melanocytic lesions by being larger with hyperpigmented lines that abruptly ended at the periphery.
Lesion on the head
A 65-year-old man was referred to a dermatologist for evaluation of a pigmented lesion on his head that had been present for 10 years. After examination with dermoscopy, the dermatologist diagnosed the lesion.
Lesion on the back 2012
A 65-year-old woman was referred to a dermatologist for evaluation of a pigmented lesion on her back that had been present for 6 years. The dermatologist examined the lesion and determined it was a congenital birthmark that had been on the woman's back since birth.
Spitz nevus
A 35-year-old woman was referred for assessment of a lesion on her right leg that had been present for 3 years. Dermoscopy revealed a vascular pattern with peripheral dot vessels. Pathology confirmed the lesion was a Spitz nevus. Spitz nevi can present as evolving lesions in various colors and patterns including globular, starburst, reticular, or homogeneous under dermoscopy. They may also display an atypical pattern or vascular pattern with dotted vessels, as was seen in this case.
Lesion on the leg.
A 35-year-old woman was referred to a dermatologist for evaluation of a lesion on her right leg that had been present for 3 years. Based on the limited information provided, the dermatologist cannot make a definitive diagnosis about the lesion.
Extradigital tumour glomus
A 45-year-old man presented with a painful 1 cm round reddish papule on his right leg that had been present for 3 months. A biopsy showed a well-circumscribed dermal tumor consisting of sheets of pale cells with punched-out nuclei surrounding dilated vascular spaces, consistent with an extradigital glomus tumor. Extradigital glomus tumors are a subtype of glomus tumors that can develop in the dermis and subcutaneous tissue outside of the digits, and are typically excised for diagnosis and treatment.
Fixed drug eruption
A 38-year-old man developed a lesion on his palm 3 days after taking ibuprofen. He had experienced two similar episodes previously in relation to taking ibuprofen. The man was referred to a dermatologist to assess the palm lesion, which appeared to be a fixed drug eruption caused by his use of the drug ibuprofen.
Imiquimod
A 50-year-old woman was referred to a dermatologist for assessment of a lesion on her nose that had been present for 1 year. A biopsy confirmed it was a superficial basal cell carcinoma. She was treated with imiquimod 5% cream applied 5 times per week, which caused mild side effects after 2 weeks but cleared the lesion completely after 4 weeks of treatment.
Imiquimod
A 50-year-old woman was referred to a dermatology department for assessment of a lesion on her nose that had been present for 1 year. A biopsy confirmed it was a superficial basal cell carcinoma. She was treated with imiquimod 5% cream applied 5 times per week for 6 weeks. After 2 weeks of treatment, she developed mild erythema, crusting, and burning sensation at the site.
Pinkus
A 47-year-old man was referred for assessment of two lesions on his right gluteal and lower back that had been present for 3 years. The lesion was excised and histopathological examination revealed features consistent with fibroepithelioma of Pinkus (FEP). FEP is an uncommon variant of basal cell carcinoma first described by Hermann Pinkus in 1953. It presents as a single or multiple dome-shaped papules or large pedunculated tumors that can be pink, yellow, brown, or skin colored. Treatment options for FEP are similar to those for basal cell carcinoma.
Keratoacanthoma. spontaneous regresion
A 70-year-old woman was referred to a dermatologist for evaluation of a lesion on her forehead that had developed over the previous 4 weeks. A biopsy confirmed it was a keratoacanthoma. The patient did not attend her scheduled surgical treatment. When she returned 3 months later, the lesion had completely regressed, leaving only a scar. Keratoacanthomas are rapidly growing skin tumors that may occur as single or multiple lesions. They typically stop growing after 6-8 weeks, remain unchanged for 2-6 more weeks, then slowly regress over 2-12 months, often healing with scarring.
Extragenital lichen answer
A 50-year-old woman presented with hypopigmented, atrophic plaques on her abdomen and inframammary area. A biopsy showed features consistent with lichen sclerosus. Laboratory tests were normal. She was diagnosed with extragenital lichen sclerosus. Extragenital lichen sclerosus most often affects the abdomen and treatment typically involves topical corticosteroids, which resolved the lesions in this patient.
More from Dr. Peral www.dermaperal.com (20)
Recently uploaded
vonoprazan A novel drug for GERD presentation
Vonoprazan, a new potassium acid channel blocker used in the conditions of GERD and gastric ulcer, duodenal ulcer ....
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Histololgy of Female Reproductive System.pptx
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
une 2024 Oncology Cartoons By Dr Kanhu Charan Patro
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.Ketone bodies and metabolism-biochemistry
This slide consists of all the topics of ketone . This can be used for exam purpose for writing about Diabetic keto acidosis etc . Thank you
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Do you have abnormal smell after periods? It may be vaginitis. Do not worry, herbal medicine Fuyan Pill can help you get a cure.
pathology MCQS introduction to pathology general pathology
pathology MCQS introduction to pathology general pathology
Efficacy of Avartana Sneha in Ayurveda
Avartana Sneha is a unique method of Preparation of Sneha Kalpana in Ayurveda, mainly it is indicated for the Vataja rogas.
share - Lions, tigers, AI and health misinformation, oh my!.pptx
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
This quiz was conducted as a promotional event for the 2024 Annual Meet of Kerala Chapter of API.
More than 20 participants took part everyday !
Recently uploaded (20)
Outbreak management including quarantine, isolation, contact.pptx
Outbreak management including quarantine, isolation, contact.pptx
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
pathology MCQS introduction to pathology general pathology
pathology MCQS introduction to pathology general pathology
share - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptx
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdf
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
Lichen planus afroamerican people
- 1. F. Peral Rubio, M.D. Department of Dermatology Hospital Universitario Virgen Macarena Seville, Spain www.dermatoblog.com Lichen planus in african american patient
- 6. Lichen planus in african american patient
- 9. Lichen planus in african american patient
- 10. F. Peral Rubio, M.D. Department of Dermatology Hospital Universitario Virgen Macarena Seville, Spain www.dermatoblog.com Lichen planus in african american patient