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Role of topical therapy: Imiquimod

Chapter by: Ng, E; Levine, V
in: Lentigo Maligna Melanoma: Challenges in Diagnosis and Management by
pp. 139-151
ISBN: 9783319437873
CID: 2585122

Musculoskeletal disorders and ergonomics in dermatologic surgery: a survey of mohs surgeons in 2010

Liang, Christine A; Levine, Vicki J; Dusza, Stephen W; Hale, Elizabeth K; Nehal, Kishwer S
BACKGROUND: Dermatologic surgeons perform numerous procedures that put them at risk of developing work-related musculoskeletal disorders. OBJECTIVE: To study the prevalence of work-related musculoskeletal disorders and role of ergonomics in dermatologic surgery. METHODS AND MATERIALS: A survey study was sent to members of the American College of Mohs Surgery in 2010. The main outcome measures were survey responses relating to surgeon demographics, musculoskeletal symptoms, workstyle habits and attitudes, and ergonomic practices. RESULTS: Ninety percent of respondents reported some type of musculoskeletal symptoms or injuries. The most common complaints were neck, lower back, shoulder, and upper back pain. Most respondents were not using ergonomic modifications in their practice. CONCLUSION: Mohs surgeons have a high prevalence of musculoskeletal disorders. Symptoms present early and persist throughout the careers of Mohs surgeons. The nature of the occupation leaves the surgeon vulnerable to injury. Ergonomic modifications in behavior and workplace are recommended to reduce pain and injury to surgeons.
PMID: 22212027
ISSN: 1076-0512
CID: 157681

Ablative resurfacing: Laser, chemical peels, and dermabrasion

Chapter by: Jabbari, A; Levine, VJ
in: Evidence-Based Procedural Dermatology by
pp. 257-270
ISBN: 9780387094243
CID: 1843192

Cutaneous squamous cell carcinoma

Chapter by: Lee, EH; Levine, VJ; Nehal, KS
in: Evidence-Based Procedural Dermatology by
pp. 57-74
ISBN: 9780387094243
CID: 1843202

Imiquimod 5% cream induced psoriasis: a case report, summary of the literature and mechanism [Letter]

Patel, U; Mark, N M; Machler, B C; Levine, V J
PMID: 21062268
ISSN: 1365-2133
CID: 138288

Procedural dermatology training during dermatology residency: a survey of third-year dermatology residents

Lee, Erica H; Nehal, Kishwer S; Dusza, Stephen W; Hale, Elizabeth K; Levine, Vicki J
BACKGROUND: Given the expanding role of multiple surgical procedures in dermatology, resident training in procedural dermatology must be continually assessed to keep pace with changes in the specialty. OBJECTIVE: We sought to assess the third-year resident experience in procedural dermatology during residency training. METHODS: This survey study was mailed to third-year dermatology residents at 107 Accreditation Council for Graduate Medical Education (ACGME)-approved dermatology residency programs in 2009. RESULTS: A total of 240 residents responded (66%), representing 89% of programs surveyed. Residents assume the role of primary surgeon most commonly in excisional surgery (95%) and flap and graft reconstruction (49%) and least often in Mohs micrographic surgery (18%). In laser and cosmetic procedures, the resident role varies greatly. Residents believed they were most prepared in excisional surgery, botulinum toxin, and laser surgery. Residents believed it was sufficient to have only knowledge of less commonly performed procedures such as hair transplantation, tumescent liposuction, and ambulatory phlebectomy. Of responding residents, 55% were very satisfied with their procedural dermatology training during residency. LIMITATIONS: Individual responses from residents may be biased. Neither residency program nor dermatologic surgery directors were surveyed. CONCLUSION: This survey confirms dermatology residents received broad training in procedural dermatology in 2009, in keeping with ACGME/Residency Review Committee program guidelines. The results provide feedback to dermatology residency programs and are an invaluable tool for assessing, modifying, and strengthening the current procedural dermatology curriculum
PMID: 20888668
ISSN: 1097-6787
CID: 138289

Imiquimod induced psoriasis: A case report, review of the literature, and pathophysiologic mechanism [Meeting Abstract]

Machler, Brian; Mark, Nicholas; Patel, Utpal; Levine, Vicki
ISSN: 0190-9622
CID: 126452

Novel PRKAR1A gene mutations in Carney Complex [Case Report]

Pan, Lorraine; Peng, Lan; Jean-Gilles, J; Zhang, Ximin; Wieczorek, Rosemary; Jain, Shilpa; Levine, Vicki; Osman, Iman; Prieto, Victor G; Lee, Peng
Carney complex is a syndrome that may include cardiac and mucocutaneous myxomas, spotting skin pigmentation, and endocrine lesions. Many patients with Carney complex have been shown to have a stop codon mutation in the PRKAR1A gene in the 17q22-24 region. Here we present the case of a 57 year-old man with multiple skin lesions and cardiac myxomas. Histology of the skin lesions showed lentigenous melanocytic hyperplasia and cutaneous myxomas, confirming the diagnosis of Carney complex. Lesional and control normal tissue from the patient were identified and sequenced for the PRKAR1A gene. A germline missense mutation was identified at exon 1A. This is the first report of this mutation, and one of the few reported missense mutation associated with Carney complex. This finding strengthens the argument that there are alternative ways in which the protein kinase A 1-alpha subunit plays a role in tumorigenesis
PMID: 20606737
ISSN: 1936-2625
CID: 110695

Revision of Disfiguring Surgical Scars of the Back

Chapter by: Mahlberg, Matthew J; Karen, Julie K; Levine, Vicki J
in: Body rejuvenation by Alam, Murad; Pongprutthipan, Marisa [Eds]
New York ; London : Springer, c2010
pp. 65-70
ISBN: 1441910921
CID: 845832

Use of Mohs surgery by the Veterans Affairs Health Care System [Letter]

Karen, Julie K; Hale, Elizabeth K; Nehal, Kishwer S; Levine, Vicki J
PMID: 19467381
ISSN: 1097-6787
CID: 102284