Dermatology Times Newsletter

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Clinical Considerations for Derm NPs and PAs

In this month's Clinical Considerations for NPs and PAs, the discussions surround a step therapy approach to treating atopic dermatitis after topicals fail and the use of topical corticosteroids combined with retinoids for the irritation experienced by some acne patients.
Read my takeaways and the full stories below!

CLINICAL CONSIDERATIONS

In atopic dermatitis, are you employing the therapeutic ladder approach?

This interesting article suggests a ladder approach starting with topical agents which likely represents our practice patterns. Upon failing topical agents, this 'ladder approach' suggests systemic therapy. However, it lacks specific guidance regarding which 'systemic agents' to consider in a stepwise therapeutic approach. In your treatment of patients with atopic dermatitis, which systemic agents would you consider as first-line treatments — methotrexate, cyclosporine, or dupilumab?

In what order would you recommend these agents be used for patients who fail topicals?

Topical corticosteroids reduce retinoid irritation, study shows

Retinoid irritation is a common condition that we discuss with acne and cosmetic patients daily. In spite of our best counseling and preventative recommendations aimed at mitigation, our patients continue to experience frustration with this condition. It may seem trivial, but because it often leads to non-compliance, we need to find effective solutions so our patients will follow through with their therapeutic regimens. This article suggests that topical corticosteroids may be effective and safe agents in the treatment of retinoid irritation.

Would you consider using a low potency topical corticosteroid agent for a short period of time upon initiating retinoid therapy if it will improve compliance?

JOB OPPORTUNITIES

AZ - Integrated Dermatology

CO - Leavitt Management Group

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IL - Integrated Dermatology

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MA - Integrated Dermatology

MD - Integrated Dermatology

MI - Leavitt Management Group

MI - Integrated Dermatology

MT - St Vincent Healthcare

National - Integrated Dermatology

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NJ - Integrated Dermatology

NV - Integrated Dermatology

NY - Company Confidential

NY - Integrated Dermatology

PA - Leavitt Management Group

OR - Cynthia Dreyer MD

PA - Milton S Hershey Medical Center

TN - Integrated Dermatology

VA - Integrated Dermatology

VA - Leavitt Management Group

WA - Integrated Dermatology

WY - Leavitt Management Group

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