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A case of synchronous herpes zoster infection and leukocytoclastic vasculitis localized to the same dermatome

Shah, P; Roman, J; Brinster, N; Femia, A
ISSN: 2352-5126
CID: 4934292

A case of drug reaction with eosinophilia and systemic symptoms with colitis as a presenting feature [Case Report]

Shah, Payal; Roman, Jorge; Meehan, Shane; Femia, Alisa N
PMID: 33997220
ISSN: 2352-5126
CID: 4898072

Use of teledermatology by dermatology hospitalists is effective in the diagnosis and management of inpatient disease

Gabel, Colleen K; Nguyen, Emily; Karmouta, Ryan; Liu, Kristina Jing; Zhou, Guohai; Alloo, Allireza; Arakaki, Ryan; Balagula, Yevgeniy; Bridges, Alina G; Cowen, Edward W; Davis, Mark Denis P; Femia, Alisa; Harp, Joanna; Kaffenberger, Benjamin; Keller, Jesse J; Kwong, Bernice Y; Markova, Alina; Mauskar, Melissa; Micheletti, Robert; Mostaghimi, Arash; Pierson, Joseph; Rosenbach, Misha; Schwager, Zachary; Seminario-Vidal, Lucia; Sharon, Victoria R; Song, Philip I; Strowd, Lindsay C; Walls, Andrew C; Wanat, Karolyn A; Wetter, David A; Worswick, Scott; Ziemer, Carolyn; Kvedar, Joseph; Mikailov, Anar; Kroshinsky, Daniela
BACKGROUND:Patient outcomes are improved when dermatologists provide inpatient consults. Inpatient access to dermatologists is limited, illustrating an opportunity to utilize teledermatology. Little is known about the ability of dermatologists to accurately diagnose and manage inpatients using teledermatology, particularly utilizing non-dermatologist generated clinical data. METHODS:This prospective study assessed the ability of teledermatology to diagnose and manage 41 dermatology consults from a large urban tertiary care center utilizing internal medicine referral documentation and photos. Twenty-seven dermatology hospitalists were surveyed. Interrater agreement was assessed by the kappa statistic. RESULTS:There was substantial agreement between in-person and teledermatology assessment of the diagnosis with differential diagnosis (median kappa = 0.83), substantial agreement in laboratory work-up decisions (median kappa = 0.67), almost perfect agreement in imaging decisions (median kappa = 1.0), and moderate agreement in biopsy decisions (median kappa = 0.43). There was almost perfect agreement in treatment (median kappa = 1.0), but no agreement in follow-up planning (median kappa = 0.0). There was no association between raw photo quality and the primary plus differential diagnosis or primary diagnosis alone. LIMITATIONS/CONCLUSIONS:Selection bias and single-center nature. CONCLUSIONS:Teledermatology may be effective in the inpatient setting, with concordant diagnosis, evaluation, and management decisions.
PMID: 32389716
ISSN: 1097-6787
CID: 4437402

Chronic hydroxychloroquine therapy and COVID-19 outcomes: A retrospective case-control analysis

Rangel, Lauren K; Shah, Payal; Lo Sicco, Kristen; Caplan, Avrom S; Femia, Alisa
PMID: 33440213
ISSN: 1097-6787
CID: 4835312

Evaluating the Contributions of Dermatologists in the Management of Systemic Sclerosis: A Retrospective Analysis [Letter]

Rangel, Lauren K; Adotama, Prince; Shah, Payal; Lo Sicco, Kristen; Femia, Alisa
Systemic Sclerosis (SSc) is an autoimmune condition characterized by cutaneous sclerosis and the potential for internal organ involvement.1 Given the multisystem nature of SSc, multiple disciplines are often involved in its management. However, while the skin is affected in more than 90% of patients,2 dermatologists are variably involved in the management of SSc, potentially first evaluating patients only late in the disease course, or at times not at all.
PMID: 33866612
ISSN: 1468-3083
CID: 4878032

Clinical Characteristics of Lupus Erythematosus Panniculitis/Profundus: A Retrospective Review of 61 Patients

Rangel, Lauren K; Villa-Ruiz, Camila; Lo, Kelly; Cobos, Gabriela; Lo Sicco, Kristen; Vleugels, Ruth Ann; Femia, Alisa N
PMID: 32876656
ISSN: 2168-6084
CID: 4614582

Acrofacial purpura and necrotic ulcerations in COVID-19: a case series from New York City

Karagounis, Theodora K; Shaw, Katharina S; Caplan, Avrom; Lo Sicco, Kristen; Femia, Alisa N
PMID: 32966592
ISSN: 1365-4632
CID: 4615722

Willingness-to-pay stated preferences in cutaneous lupus erythematosus: a pilot study

Liu, Stephanie W; Tkachenko, Elizabeth; Lam, Christina; Alsarheed, Abeer; Cobos, Gabriela; Lo, Kelly; Femia, Alisa; Qureshi, Abrar A; Vleugels, Ruth Ann
Cutaneous lupus erythematosus (CLE) is a chronic skin disease that significantly impacts quality of life (QOL). This study tested a novel method to measure QOL in CLE using willingness-to-pay (WTP) stated preferences, and aimed to determine which of nine domains of life are most affected by CLE. Twenty-one participants with CLE ranked the domains in order of impact on CLE-related QOL, and then stated how many United States dollars they would be willing to pay for a hypothetical cure for each domain. Eighty-one percent of participants were female; mean age was 42.4 years. Photosensitivity was ranked highest by 71.4% of respondents. Participants were willing to pay the most for a hypothetical cure for CLE specific to photosensitivity (median = $200,000), the least for a cure specific to self-care (median = $0). Participants were willing to pay a median of $1,000,000 for an overall cure for CLE. Limitations include a small sample size for this pilot study and that willingness-to-pay may be influenced by individual perception of money and socioeconomic factors. This study successfully pilot-tested a WTP method and ranking task for health-related QOL. Photosensitivity was the domain of life most affected by CLE, which is a domain unique to our novel tool.
PMID: 31773259
ISSN: 1432-069x
CID: 4372232

Response to "Patient preference for cellulitis treatment: at-home care is preferred to hospital-based treatment" [Letter]

Shaw, Katharina S; Karagounis, Theodora K; Yin, Lu; Gibbon, Grace; Betensky, Rebecca A; Lo Sicco, Kristen I; Femia, Alisa N
PMID: 32777319
ISSN: 1097-6787
CID: 4556092

Dermatologists' Role in the Diagnosis and Management of Coronavirus Disease 2019 Coagulopathy [Letter]

Shah, Payal; Lo Sicco, Kristen; Caplan, Avrom S; Femia, Alisa N; Zampella, John G
PMID: 32648107
ISSN: 1179-1888
CID: 4518432