Highlights from the 26th Fall Clinical Dermatology Conference

Highlights from the 26th Fall Clinical Dermatology Conference

Authors:
Joshua Zeichner, MD, Department of Dermatology, Mount Sinai School of Medicine, New York, NY

Mark G. Lebwohl, MD, Professor and Chair, Department of Dermatology, Mount Sinai School of Medicine, New York, NY

Introduction

The 26th Anniversary Fall Clinical Dermatology Conference® was held October 18–21, 2007, at the Wynn Hotel and Casino in Las Vegas, Nevada. The conference focused on providing updates and management pearls for a variety of skin conditions seen on a regular basis in Dermatology practices. In addition to lectures, attendees participated in question-and-answer sessions, live patient workshops, and panel discussions. Highlights from the meeting are reviewed below.,

What’s New in Contact Dermatitis

Dr. David Cohen, MD, gave a review on common allergens that cause allergic contact dermatitis.1 These include nickel, which is the most common allergen in the US, followed by neomycin, bacitracin, balsam of Peru, corticosteroids, p-phenylenediamine and the 2007 allergen of the year, fragrance mix. He reported that the common cause of eyelid dermatitis is contact allergy. Additionally, common causes of contact dermatitis of the hands are Quaternium–15, formaldehyde, and nickel. Rubber allergens associated with occupational exposures are also common culprits in dermatitis of the hands. Nickel, thimerosal, and benzoyl peroxide are frequent allergens in the pediatric population.

we went to Assateague Island

we went to Assateague Island 1 year ago to watch the pony penning day and see them swim across the channel. the day before the ponies are drugged so they are checked out by a vet so they know which ones are strong enough and in good shape ccna to be adopted. they had signs everywhere that they are still wild and not to touch them but people were still going right up to them touching stroking some even got on them. { does stupidity in people still shock you it does me} plus they have a bridge you can drive over i think that is such a shame no one should be allowed over there except the people who care for them and when they bring them over.

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Submitted by atlas on Thu, 07/01/2010 - 21:14

we went to Assateague Island

we went to Assateague Island 1 JN0-331 year ago to watch the pony penning day and see them swim across the channel. the day before the ponies are drugged so they are checked out by a vet so they know which ones are strong enough and in642-359 good shape ccna to be adopted. they had signs everywhere that they are still wild and not to touch them but people were still going right up to them touching stroking some even got on them. { does stupidity in people still 646-230 shock you it does me} plus PW0-104 they have a bridge you can drive over i think that is such a shame no one should be allowed over there except the people who care for them and when they bring them over

Submitted by williamsmith on Thu, 07/08/2010 - 06:03

we went to Assateague Island

we went to Assateague Island 1 year ago to watch the pony penning day and see them swim across the channel. the day before the ponies are drugged so they are checked out by a vet so they know which ones are strong enough and in good shape ccna to be adopted. they had signs everywhere that they are still wild and not to touch them but people were still going right up to them touching stroking some even got on them. { does stupidity in people still shock you it does me} plus they have a bridge you can drive over i think that is such a shame no one should be allowed over there except the people who care for them and when they bring them over

Submitted by williamsmith on Thu, 07/08/2010 - 06:05

we went to Assateague Island

we went to Assateague Island 1 year ago to watch the pony penning day and see them swim across the channel. the day before the ponies are drugged so they are checked out by a vet so they know which ones are strong enough and in good shape ccna to be adopted. they had signs everywhere that they are still wild and not to touch them but people were still going right up to them touching stroking some even got on them. { does stupidity in people still shock you it does me} plus they have a bridge you can drive over i think that is such a shame no one should be allowed over there except the people who care for them and when they bring them over
==============================
JN0-331_
642-359_
646-230_
PW0-104

Submitted by williamsmith on Thu, 07/08/2010 - 06:04

we went to Assateague Island

we went to Assateague Island 1 year ago to watch the pony penning day and see them swim across the channel.350-040
JN0-350 the day before the ponies are drugged so they are checked out by a vet so they know which ones are strong enough and in good shape ccna to be adopted. they had signs everywhere that they are still wild and not to touch them 642-631
642-681
but people were still going right up to them touching stroking some even got on them. { does stupidity in people still shock you it does me} plus they have a bridge you can drive over i think that is such a shame no one should be allowed over there except the people who care for them and when they bring them over

Submitted by williamsmith on Thu, 07/08/2010 - 06:06

Medical therapies discussed

Medical therapies discussed by Dr. Baldwin included both topical and oral agents. The three major approved topical therapies for rosacea are cleanser and "leave on" formulations of sulfacetamide 10%-sulfur 5% (S/S); metronidazole 0.75% and 1% gel, lotion and cream; and azelaic acid 15% gel. Multiple randomized, vehicle-controlled and comparative studies pass4sure 642-973
with S/S, both blinded and open-label, have confirmed efficacy and safety in patients with inflammatory rosacea measured as marked reduction in inflammatory lesions and erythema. Multiple vehicle formulations of pass4sure 642-746
S/S are available including cleanser, cream, gel, and topical suspension. Topical metronidazole is approved by the FDA for inflammatory rosacea based on phase III, double-blind, randomized, vehicle-controlled pivotal studies. Multiple blinded, split-face, and open-label vehicle-controlled studies have been completed supporting the efficacy and safety of both topical metronidazole 0.75% and 1% formulations, including gel, cream and lotion. The 1% formulations of metronidazole are approved for use once daily with the 0.75% formulations approved for twice daily application. Azelaic acid 15% gelpass4sure 642-654
is approved for treatment of inflammatory lesions and erythema of rosacea based on phase III pivotal studies, with efficacy and safety supported pass4sure 642-591
by multiple blinded and vehicle-controlled trials. At a session which provided an update on topical therapies, Dr. James Q. Del Rosso, President-Elect of the AARS, presented data from a recently completed blinded, randomized trial which demonstrated that azelaic acid 15% gel applied once daily or twice daily are therapeutically similar in efficacy in patients with inflammatory rosacea.

Submitted by williamsmith on Thu, 07/22/2010 - 02:58