Try a new search

Format these results:

Searched for:

person:flamma01

in-biosketch:true

Total Results:

56


Paradoxical granulomatous reaction to ustekinumab

Obijiofor, Chinemelum; Mazori, Daniel R.; Femia, Alisa N.; Flamm, Alexandra; Caplan, Avrom S.
Sarcoidosis is a multisystem disorder characterised by granulomatous inflammation affecting various organs. The skin is commonly involved and can serve as an initial indicator of disease. While the precise aetiology of sarcoidosis remains elusive, evidence suggests involvement of T-helper type (TH)-1 and TH-17 pathways. Psoriasis shares common inflammatory pathways with sarcoidosis, prompting the repurposing of biologic therapies approved for psoriasis for off-label treatment of cutaneous sarcoidosis. However, this approach has raised concerns due to the development of granulomatous eruptions in some patients. We present a case of a patient with psoriasis who was diagnosed with systemic sarcoidosis while on ustekinumab. We review previous cases of ustekinumab-associated sarcoidosis and discuss the challenges associated with utilising biologic agents originally intended for psoriasis treatment for sarcoidosis.
SCOPUS:85183672296
ISSN: 2768-6566
CID: 5700972

Updates on coding in dermatology

Flamm, Alexandra; Elston, Dirk; Moody, Brent; Daveluy, Steven; Bridges, Alina; MacCormack, Mollie; Collins, Scott A B; Kaufmann, Mark; Miller, Alexander; Siegel, Daniel M
Correct coding is an important component of effective dermatology practice management. Over the past several years there have been updates to many commonly used codes within dermatology. This review highlights many of these updates, such as: the skin biopsy codes have been subdivided to reflect the different biopsy techniques. The definition of complex linear repairs has been updated and clarified. Outpatient and inpatient evaluation and management visits have new coding guidelines to determine level of care. Dermatopathology consultation codes have been updated and category III codes related to digital pathology have been created. Understanding the details and nuances of each of these categories of codes is vital to ensuring appropriate coding is performed.
PMID: 38663749
ISSN: 1097-6787
CID: 5657772

The role of a humanities curriculum in a dermatology residency: A qualitative evaluation of a novel "Dermanities" curriculum

Butt, Melissa; Riley, Marisa; Nawaz, Nanjiba; Van Scoy, Lauren J.; Costigan, Heather; Haidet, Paul; Flamm, Alexandra
SCOPUS:85188245007
ISSN: 2666-3287
CID: 5692322

The role of a humanities curriculum in a dermatology residency: A qualitative evaluation of a novel "Dermanities" curriculum [Editorial]

Butt, Melissa; Riley, Marisa; Nawaz, Nanjiba; Van Scoy, Lauren J; Costigan, Heather; Haidet, Paul; Flamm, Alexandra
PMCID:10966301
PMID: 38545492
ISSN: 2666-3287
CID: 5645062

Understanding the Evaluation and Management Add-on Complexity Code

Flamm, Alexandra
SCOPUS:85193796060
ISSN: 0011-4162
CID: 5659772

Visual Tools in Diagnosis of Contact Dermatitis in Patients With Skin of Color: A Call to Action

Fontane Hoyos, Camila N; Boos, Jeffrey; Flamm, Alexandra; Goldminz, Ari M
PMID: 38422210
ISSN: 2162-5220
CID: 5691572

Expanding and Strengthening Your Referral Network

Kamrani, Payvand; Flamm, Alexandra
Dermatology referral utilization is increasing, with 15% of dermatology-related visits by primary care resulting in a dermatology referral. Given this, both strengthening an expanding a referral is a key component of a successful dermatology practice. In particular, effective communication is essential for efficient patient-oriented coordinated care. Written and/or verbal communication can help build a strong communication network and, in some instances, can be applied toward Merit-based Incentive Payment System (MIPS) reporting and billing for coding families that incorporate the coordination of care. Reaching out directly to referring clinics has also been shown to increase the quantity of referrals. This can include providing clinics with patient handouts on your clinic, education on what information is prioritized within the referral, and educating staff on how to complete their referrals effectively and efficiently. Social media can play an important role in referrals, especially for patients looking for cosmetic care. There are many different platforms, and these can serve as a marketing tool for physicians looking to bring in new patients.
PMID: 37718019
ISSN: 1558-0520
CID: 5620052

Examining occupational characteristics of patients with allergic contact dermatitis: A retrospective claims-based analysis

Joshi, Isha; Maczuga, Steve; Flamm, Alexandra
PMID: 37269921
ISSN: 1097-6787
CID: 5543522

Letter from the journal: Improving diagnostic acumen and patient outcomes [Editorial]

Elston, Dirk M; Grant-Kels, Jane M; Levin, Nikki A; Alam, Murad; Brodell, Robert T; Fernandez, Anthony P; Flamm, Alexandra; Hurley, M Yadira; Ratner, Desiree; Schaffer, Julie V; Peebles, Klint; Alexis, Andrew F; James, Alaina J
PMID: 37172734
ISSN: 1097-6787
CID: 5544622

The Future of Patch Testing: Reimbursement Models, Workforce Shortages, and Negotiating in the House of Medicine

Joshi, Isha; Flamm, Alexandra
Purpose of Review: Patch testing is critical to diagnosing allergic contact dermatitis; however, there are barriers that can prevent prompt comprehensive access, including those affecting reimbursement, insurer challenges, and workforce shortages. Recent Findings: Multiple reimbursement models exist within various practice types for patch testing. Insurer limits remain a barrier to comprehensive patch testing in many situations; however, advocacy in this area has led to some improvements. Workforce shortages, within medicine overall, as well as in dermatology and contact dermatitis specialists continue to be a concern. Overall, there are multiple ways to engage in advocacy at the local, state, and national levels to help improve patient access to comprehensive patch testing. Summary: Patch testing is a vital component of appropriate care for allergic contact dermatitis patients. Challenges to ensuring access to patch testing include reimbursement and physician workforce shortages. Advocacy is crucial to addressing these areas, and physician involvement in advocacy efforts is necessary to ensure high-level patient care.
SCOPUS:85167925466
ISSN: 2162-4933
CID: 5568652