Current Editors: Renat Ahatov, Michael Phan, and Andrea Francis

(Please email editors if there is blog-worthy news that you would like to see shared)

Past Editors: Elise Weisert, Michael Ryan, Keith Wagner, Tim Allen, Kristyna Gleghorn, Dung Mac, Alex Acosta, William Tausend, Sheila Jalalat, Rebecca Philips, Chelsea Altinger, Lindsey Hunter, Alison Wiesenthal, Leslie Scroggins, Mara Dacso, Ashley Group, Fadi Constantine, Emily Fridlington, Joslyn Witherspoon, Tasneem Poonawalla.

Monday, April 30, 2018

UTMB MS3 Scheduled to Present Dermatology Research Honors Thesis on May 11, 2018

DIG members, particularly UTMB MS1s and MS2s with interest in substantive dermatology research with UTMB Dermatology Faculty, may be interested in attending MS3 Tyler Marion’s Thesis Presentation titled “Dermatologic Features in Good Film Characters Who Turn Evil: The Transformation” on Friday morning, May 11, 2018 at 8 am in the 5th Floor Dermatology Conference Room (5.124 McCullough). Mr. Marion’s thesis committee is comprised of Drs. MK Peek, R Wagner (faculty advisor), B Kelly, and J Wilson.

Volunteers Needed for UTMB Annual Skin Cancer Screening on May 5th

UTMB DIG members may be interested in working with our dermatology faculty and residents while they provide free skin cancer screening at the Bay Colony UTMB Dermatology Clinic in League City on Saturday,  May 5, 2018 from 9 am to noon.

What to do if your Manuscript is Rejected

Authors from the Boston University Department of Dermatology offer advice about what to do if your submitted paper is rejected by a  journal in their March 2018 Dermatology Online Journal article, “Peer reviews: the dreaded rejection” (see https://escholarship.org/uc/item/9h60v8r6 ). If revision is requested, timely resubmission works best once reviewers’ comments are adequately addressed. If no revision is requested, the best solution is to resubmit your article to another journal that publishes on your topic. If critical reviews are available, it is best to revise the manuscript taking these comments into account before resubmitting it to another journal.

UTMB Medical Students Publish Another “Compelling Comment” in SKIN

UTMB MS3s Tyler Marion and Jake Gibbons have published in the Compelling Comments section of the May 2018 issue of SKIN The Journal of Cutaneous Medicine about “Cocaine and the Local Anesthetic” (Volume 2, Issue 3, pages 205-206). Congratulations to both!

UTMB MS3 Publishes Original Dermatology Quality Improvement Project In SKIN

Congratulations to UTMB DIG President Keith Wagner for his recent peer-reviewed publication, “Incorporating Discussion of Seborrheic Keratoses during Primary Care Visits” in the latest issue of SKIN The Journal of Cutaneous Medicine (May 2018, Volume 2, Issue 3, pages 186 to 190). His co-authors are Drs. Daniel Juarez (private internal medicine practice in San Antonio) and Bernard Gibson, UTMB Dermatology Chair ad interim and Dermatology Quality Improvement Director. The article is available at https://jofskin.org/index.php/skin/article/view/247/pdf

Reducing Stress in Professional Mentoring Relationships

The April 17, 2018 issue of JAMA contains an article that offers valuable insight from the Section of Plastic Surgery and the Department of Internal Medicine at the University of Michigan titled, “Mentoring Millennials” (Waljee JF, Chopra V, Saint S. JAMA 2018;319:1547-1548). According to the authors, mentorship dyads may be compromised by generational issues of as-needed vs scheduled engagement, flat vs pyramidal infrastructure, and purpose vs process. The issues of inertia, hierarchy, busywork, subordination, uniformity, and isolation are discussed.

UTMB Dermatology Fares Well at 2018 Spring Texas Dermatological Society Meeting in Austin

Congratulations to all UTMB participants at the Spring Meeting of the Texas Dermatological Society (TDS) Meeting in Austin on April 27-28, 2018. Of note, 2 UTMB dermatology residents won competitions in the podium (Dr. Chinelo Ikpeama, PGY4, 2nd place, and Dr. V. Codrea, PGY3, 3rd place), and Dr. V. Codrea also won 1st place in the poster category. UTMB Dermatology accounted for 3 of 7 podium presentations and 20 of 54 posters.  Dr. M. Wilkerson, Professor Dermatology at UTMB also received a mentoring award from TDS for his excellent work with the organization.

UTMB DIG Members enjoying TDS. Right to left Priscilla Ly, Andrew Armenta, Tyler Marion, Keith Wagner, Matt LaCour, and Ryan Lawrence (all MS3).

UTMB Podium Presentations

Ikpeama C, Gleghorn K, Akunna T, Ryan M. Why dermatology? A survey of factors influencing resident physician selection of a career in dermatology. (2nd Place)

Wagner KD, Croley JA, Wilson JM. SkinHoax.com: A Strategy to Reassure People Exposed to Internet Skin Disease Hoaxes

Codrea V, Malone CH, Wagner RF Jr. Split ear lobe repair with piercing preservation and optimal ear lobe aesthetics (3rd Place)

UTMB Poster Presentations

Armenta AM, Codrea VA, Gibson BR, Goodwin BP. Sclerosing perineurioma presenting as shiny painful papule

Benavidez J, Polouse D, Gonzalez EB. A case of an acute gout flare presenting as cellulitis

Burkholder D, Wolf K, Wilson J. Localized bullous pemphigoid arising within pre-existing plantar dyshidrosis

Codrea V, Ly P, Nguyen A, Group A, Wilson J. Extensive cutaneous lichen sclerosis treated with methotrexate therapy (1st Place)

Croley JA, Hirshburg JM, Wagner RF Jr. The Weck knife technique for harvesting split-thickness skin grafts

Woolridge KF, Dallo C, Goodwin BP. Cryofibrinogenemia manifesting as retiform purpura and digital necrosis in a middle-aged alcoholic female

Ezekor M, Ross L, Wilkerson M. Concomitant kwashiokor and zinc deficiency in middle-aged obese woman

Gleghorn K, Kaltwasser K, Wagner K, White S, Hirshburg J, Goodwin B. Basal cell carcinoma masquerading as bursitis of the knee

LaCour M, Croley J, Wilson J. Generalized lichen nitidus in a middle-aged adult

Lawrence RE, Kaltwasser K, Kelly B, Raimer S. Sclerosing lipogranuloma of the face

Ross L, LaCour M, Kelly B. Clinical implications of immunohistochemical staining in sebaceous neoplasms suggestive of Muir-Torre Syndrome

Ly P, Rana A, Wilkerson MG. A case of acneiform eruption resulting from the use of a facial mask: what is to blame?

Marion M, Wagner R. Dermatologic features in good film characters who turn evil: the transformation

Pekowski CN, Subrt AP, Wilkerson MG. Lichen striatus presenting on upper extremity of adult male

Rana A, Lawrence RE, Group A. The role of medical maggot debridement therapy on recalcitrant, chronic wounds

Ryan M, Codrea V, Alabdulrazzaq H, Toyohara J.  Perianal basal cell carcinoma

Tausend W, Hoyer P, Arnold M, Wagner K, Ross L, Wilson J. Treatment of vitiligo with crisaborole 2% ointment

Wagner KD, Juarez DJ, Gibson BR. Improving the quality of care for seborrheic keratoses by internists

Burkholder D, Codrea V, Head E, Wagner R. Dr. Charles Wilson: a Texas Mohs surgery pioneer

Crain C, Croley JA, Gibson, B. Clinical Utility of a KOH Prep in Unclear Cases of Subungual Melanoma

UTMB MS2 First Author on Dermatologic Surgery Publication

Congratulations to Michael Ryan, UTMB MS2 for his recent case report, “Pseudohalo Basal Cell Carcinoma,” that was published in Dermatologic Surgery (2018; Apr 13. doi: 10.1097/DSS.0000000000001510, Epub ahead of print), PMID: 29659408. His coauthors were UTMB dermatology faculty Drs. Brandon Goodwin and Richard Wagner. His other co-author was former UTMB Mohs Fellow, Dr. C. Helen Malone, who is currently a faculty member at Baylor Dermatology in Houston. Congratulations to all for this interesting case report!

Sunday, April 29, 2018

St. Vincent's Student Clinic Dermatology Night 5/3/18

Join UTMB Dermatology faculty for the upcoming dermatology night (Thursday, May 3rd) at St. Vincent’s Clinic. Please see the calendar link below to reserve your volunteering spot.
When: Thursday, May 3rd at 5:30-8:30PM (volunteers should arrive at 5:15)
Where: St. Vincent's House, 2817 Post Office Street, Galveston, Texas 77550

Monday, April 23, 2018

DIG's 13th Annual Melanoma Walk Results

The DIG would like to send a big thank you to everyone that donated, came out to participate, or volunteered in the Annual AIM for the CURE Melanoma 5K! The weather cooperated this year and we had a great turnout. Thanks to everyone's efforts, the DIG raised a substantial amount of money for research, education, and patient/family support for those affected by melanoma. 

Pictured above: Some of the participants in this year's 5K relax after their run. Congratulations to DIG member Tyler Marion (MS3) for his photo finish* 2nd place!

Pictured above: DIG Volunteers (Left to Right) - Keith Wagner (MS3), Priscilla Ly (MS3), Michael Ryan (MS2), Ryan Lawrence (MS3), Tyler Marion (MS3), Caitlin Pekowski (MS2)
Thanks to Nariman Khan (MS3) for volunteering and taking the photo!

Pictured above: Coordinators of this year's event - Caitlin Pekowski (MS2) and Ryan Lawrence (MS3). Not pictured - Paige Hoyer (MS4).

Tuesday, April 17, 2018

Texas Dermatological Society (TDS) Recognized at 2018 AAD Annual Meeting

Congratulations to the TDS for its well-deserved recognition of the “Model State Award with Honors” by the American Academy of Dermatology (AAD) at its annual meeting in San Diego. On the far right of the photo is Dr. M. Wilkerson, UTMB Professor of Dermatology and recent President of TDS.

Taking Donations for Melanoma Walk Saturday

Hello DIG Members!

Our annual 5K Melanoma Walk and Fun Run is happening THIS Saturday (4/21). Thank you to all of those that have signed up. If you have not signed up, there is still time! Sign-up using this link and join the DIG team https://walk.aimatmelanoma.org/Galveston2018/Account/Register.

We would also really appreciate any donations that you can make to AIM. Even if you don't want to participate in the run, you can still donate! We encourage all participants to donate at least $10 to cover the cost of your goody bag (which includes a nice T-shirt and lots of expensive sunscreens!). Also be sure to reach out to family and friends and see if they will support you. Use the following link to donate: https://walk.aimatmelanoma.org/Galveston2018/Donate

If you have any questions, please reach out to Ryan Lawrence (512-788-6628).


Monday, April 16, 2018

More Volunteers needed for Melanoma Walk

With DIG hosting the 13th Annual AIM for the Cure Melanoma 5k Walk & Fun Run on the Seawall next weekend, April 21st, we really need some volunteers to help with set up/sign in/standing at the turn around point! Any donations from DIG members of bananas, granola bars, or cases of water to pass out to participants would also be greatly appreciated even if you can't make it Saturday. But if you are interested in volunteering please sign up using the link!

If you have any questions, feel free to contact Ryan Lawrence (rylawren@utmb.edu) or Caitlin Pekowski (cnpekows@utmb.edu).

Friday, April 06, 2018

JAMA Dermatology Discontinues “Notable Notes” Feature

In July 2009, JAMA Dermatology announced a new feature, “Notable Notes,” that was intended to add a humanities aspect to the Journal, often with “…historical notes of interest, practice pearls, or definitions of dermatologic terms and signs.” In 450 words or less, UTMB medical students would submit interesting articles for consideration, some of which were published. Sadly, JAMA Dermatology has decided to discontinue “Notable Notes,” and is no longer accepting submissions.

Thursday, April 05, 2018

Volunteers Needed for Melanoma Walk

With DIG hosting the 13th Annual AIM for the Cure Melanoma 5k Walk & Fun Run on the Seawall on April 21st, we are looking for volunteers to help with set up/sign in! We will also need someone to stand at the turn around point. We are asking for donations from volunteers of bananas, granola bars, and cases of water to pass out to participants. If you are interested in volunteering please sign up using the link!


If you have any questions, feel free to contact Ryan Lawrence (rylawren@utmb.edu) or Caitlin Pekowski (cnpekows@utmb.edu)."

UTMB MS2 Presents Stay Shady to Holy Family Catholic School

Michael Ryan (MS2) presented Stay Shady to the 4th-8th grade students at Holy Family Catholic School on Thursday April 5th. The students enjoyed the interactive presentation and asked excellent questions at the end. All of the students were able to make UV sensitive bracelets that change color when exposed to the sun and had the opportunity to test them outside after the presentation. They were amazed to see that even through the clouds the beads lit up completely, which highlighted the importance of wearing sunscreen even on cloudy days! The event was a great success and the teachers said they are looking forward to more presentations in the coming years. UTMB DIG would like to thank Michael Ryan for giving the presentation, Tyler Marion (MS3) for scheduling the event, and the staff at Holy Family for being so welcoming!

Michael Ryan presenting Stay Shady

Wednesday, April 04, 2018

JAAD Publishes Ethics Article Critical of 3 + 3 Dermatology Residency Program Model

Most agree there is a need for more academic dermatologists, and some residency programs are now asking their dermatology residents to contract with them to stay an extra 3 years as junior faculty to become experts in non-ACGME accredited fellowship areas such as basic science, hair, contact dermatitis, etc. The April 2018 issue of JAAD addresses this phenomenon (see http://www.jaad.org/article/S0190-9622(17)32194-1/fulltext ). After discussing the issues of unconscionability and conflict of interest, the authors concluded that “While there is a need for more academic dermatologists, the 3 + 3 program is not an ethical way to achieve this goal. New residents are not in a position to agree to this mandated contract and therefore lose their autonomy and the program has too many conflicts of interest to be in a position to offer it.” 

Dermatology Standardized Letters of Recommendation

Although controversial (and not uniformly adopted), standardized Letters of Recommendation (SLORs) in recent years have been used by some dermatologists to recommend residency applicants. A study published last month (J Clin Aesthet Dermatol 2018;11:26-29) retrospectively analyzed SLORs from 3 participating institutions and found that the best recommendations come from writers who know the applicant well. Grade inflation was present (“exceptional,” a grade that should be limited to the top 5% of applicants, was given  to 25.4%). Dermatology faculty (31.5%) were more likely to evaluate applicants as “exceptional” than departmental chairs, program directors, and assistant program directors. Research potential and applicant inquisitiveness were rated lower than other categories in SLORs. Based on this study, the authors concluded, “…we were unable to draw conclusions about the reliability of the SLOR.”

Tuesday, April 03, 2018

AIM Melanoma Walk!

The 13th Annual AIM Melanoma Walk hosted by DIG is happening on Saturday, April 21st on the Seawall. The event starts with sign-in at 6:30 AM and fun run at 7:00 AM. Please register ASAP and join the DIG team. Registration includes a gift bag and T-shirt. Come on out to support UTMB DIG and a cure for melanoma

Contact Ryan Lawrence (ryanelawrence@gmail.com, 512-788-6628) for more details.

Dr. C. Helen Malone Accepts Faculty Appointment at Baylor (Houston)

Former UTMB dermatology resident and inaugural Micrographic Surgery and Dermatologic Oncology Fellow (2016-2017) has accepted a full-time academic appointment in the Baylor Department of Dermatology in Houston. She had previously worked in private practice in Katy, Texas. UTMB visiting dermatology students are looking forward to working with Dr. Malone in the future when they take away rotations at Baylor (Baylor has a rotation available in Dermatological Surgery, MEDER-506). The UTMB DIG wishes you success in your new position!

Monday, April 02, 2018

UTMB Medical Student and Resident Posters at 2018 American Academy of Dermatology Meeting, San Diego, California

Congratulations to all of the UTMB presenters at this very prestigious meeting:

[6691] Dermatologic Depictions in Animated Movies
Categories: Epidemiology & Health Services Administration, Epidemiology & Health Services Administration, Arts, History, & Humanities of Dermatology
Authors: Michael P. Ryan, Vail Reese, Richard F. Wagner
Presentation(s): ePoster Presentation Center 1 - 2/17/2018 9:10 AM until 9:15 AM

[7431] A Case of Darier Disease: Intersection of Genetics, Environmental Triggers and Medication Side Effects
Categories: Genodermatoses
Authors: Caroline Crain, Vlad Codrea, MichaeI Wilkerson

[7459] Cutaneous Nontuberculous Mycobacteria Infection: A Retrospective Study of 78 Cases
Categories: Infection - Bacterial & Parasitic, Hair & Nail Disorders
Authors: Paige Hoyer, Rebecca Philips, Skyler White, Katherine Tinkey, Michael Loeffelholz, Clark Andersen, Michael Wilkerson, Bernard Gibson, Brent Kelly
Presentation(s): ePoster Presentation Center 2 - 2/16/2018 10:15 AM until 10:20 AM

[7559] Previously undiagnosed Darier’s disease complicated by bilateral ecthyma gangrenosum masquerading as a vasculopathy with retiform eschar formation
Categories: Infection - Bacterial & Parasitic, Genodermatoses, Clinical Dermatology & Other Cutaneous Disorders
Authors: Kristin Wolf, David Nash, Brent Kelly

[6915] An 89 year old female with a leg rash after Prolia injections
Categories: Pharmacology, Internal Medicine Dermatology, Clinical Dermatology & Other Cutaneous Disorders
Authors: Timothy Allen, Julie Croley, Michael Wilkerson
Presentation(s): ePoster Presentation Center 1 - 2/16/2018 10:05 AM until 10:10 AM

[6220] Severe Cutaneous Drug Reactions, such as Steven-Johnson Syndrome and Toxic Epidermal Necrolysis, in Pediatric Patients with an Emphasis on Recently Approved Medications
Categories: Pharmacology, Pediatric Dermatology, Pediatric Dermatology
Authors: Kristyna Gleghorn, Brent Kelly
Presentation(s): ePoster Presentation Center 1 - 2/17/2018 2:15 PM until 2:20 PM

[6200] Rose Bengal Dye Reduces Collagen Expression in Post-burn Hypertrophic Scar Fibroblasts In Vitro
Categories: Wound Healing & Ulcers
Authors: Mai-Anh Vu, Jayson Jay, Dung Mac, Anesh Prasai, Amina El Ayadi, Ye Wang, Michael Wilkerson, David N. Herndon, Celeste C. Finnerty

[6438] Dermatologic Applications of Sodium Sulfacetamide
Categories: Wound Healing & Ulcers, Epidemiology & Health Services Administration, Clinical Dermatology & Other Cutaneous Disorders
Authors: Kory Lee, Natalie Kash, Kristin Wolf, Sirunya Silapunt
Presentation(s): ePoster Presentation Center 2 - 2/17/2018 3:15 PM until 3:20 PM

Michael Ryan (MS2) with Poster

Mai-Anh Vu (MS2) with Poster