Suneja et al used waiting times for appointments as a measure of workforce adequacy in this study. More than 60% of dermatologists surveyed exceeded cutoff waiting times, suggesting that the current supply of dermatologists is not adequate to meet the demand for dermatologists' services.
Early diagnosis and therapy for melanoma are essential to reduce the associated morbidity and mortality. Dermoscopy has been advocated as a noninvasive technique that improves the sensitivity and specificity of the clinical examination. In this meta-analysis, Bafounta et al demonstrate that dermoscopy is more accurate than clinical examination for the diagnosis of melanoma in pigmented lesions.
The sensation of itch is transmitted by C fibers at the dermoepidermal junction. Cutaneous field stimulation electrically stimulates thin afferent fibers, including these nociceptive C fibers. Wallengren and Sundler demonstrate in this open trial that localized itching responds well to cutaneous field stimulation, opening up another therapeutic possibility for this frustrating problem.
Diagnostic imaging is often essential for appropriate planning of laser therapy of vascular malformations. Two-dimensional images may fail to adequately represent the complex anatomic involvement by these lesions. In this report, 3-dimensional reconstructions of magnetic resonance imaging data were used to improve visualization of complex vascular malformations and improve intralesional laser therapy.
This Month in Archives of Dermatology. Arch Dermatol. 2001;137(10):1285. doi:10.1001/archderm.137.10.1285