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Skin Cancer01:30

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Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
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Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
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The first thing a clinician sees is the skin, so the examination of the skin should be part of any thorough physical examination. Most skin disorders are relatively benign, but a few, including melanomas, can be fatal if untreated. A couple of the more noticeable disorders, albinism and vitiligo, affect the appearance of the skin and its accessory organs.
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Dermis
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Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
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The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
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Digging for the Deeper Diagnoses in Dermatology.

David J Elpern1

  • 1The Skin Clinic, Williamstown, MA.

The Permanente Journal
|November 12, 2019
PubMed
Summary

Understanding adverse childhood experiences, trauma, and social determinants of health is crucial for dermatologists to build effective patient relationships and treat lifelong skin disorders. These factors significantly impact dermatological conditions but are often overlooked in current literature.

Area of Science:

  • Dermatology
  • Psychology
  • Public Health

Background:

  • Dermatological practice often encounters patients with complex conditions.
  • Establishing a strong therapeutic alliance is key to successful patient outcomes.
  • Patient history frequently includes significant psychosocial factors.

Purpose of the Study:

  • To highlight the importance of adverse childhood experiences (ACEs), trauma, and social determinants of health (SDOH) in dermatology.
  • To emphasize the role of these factors in the development and management of dermatological disorders.
  • To advocate for the integration of psychosocial assessments into dermatological care.

Main Methods:

  • Clinical observation in a private dermatology practice.
  • Review of patient interactions and case histories.

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  • Discussion of the impact of ACEs, trauma, and SDOH on dermatological conditions.

    • Main Results:

    • Knowledge of patients' ACEs, trauma, and SDOH is essential for therapeutic relationships.
    • These psychosocial factors play significant and lifelong roles in various dermatological disorders.
    • Current dermatology literature inadequately addresses these critical patient factors.

    Conclusions:

    • Dermatologists must consider ACEs, trauma, and SDOH for comprehensive patient care.
    • Integrating psychosocial assessments can improve therapeutic alliances and treatment efficacy.
    • Further research and literature inclusion are needed to address these lifelong impacts.