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Hand dermatitis has a lifetime prevalence rate of up to 15%. This common skin disease affects quality of life and may necessitate medical leaves and job changes. Because hand dermatitis can involve the pulp of the thumb, it has been reported to cause significant fingerprint changes. These may impair fingerprint recognition systems, which are increasingly being used in national registration, immigration, banking transactions, building and door access, and other settings. In this case-control study, Lee et al demonstrate that 27% of patients with hand dermatitis failed fingerprint verification compared with only 2% of controls.
Opioids are potent pain-reducing agents and are used frequently after dermatologic surgical procedures. Opioid misuse and abuse have been increasing, and it has been suggested that opioid pain medications are frequently overprescribed. In this prospective observational study by Harris et al, opioids were prescribed to 34% of patients undergoing a single skin excision. Thirty-five percent of patients did not use their prescribed opioids, and of those who filled their prescriptions, 86% had leftover pills. These data suggest that opioids were overprescribed after dermatologic surgery and that patients with leftover opioids did not dispose of them properly.
In This Issue of JAMA Dermatology. JAMA Dermatol. 2013;149(3):273. doi:10.1001/jamadermatol.2013.2207
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