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Conference Coverage

Highlights from the Winter Clinical Dermatology Conference

February 2019
attendees

Conference attendees gaining final pearls at the closing session. Photo courtesy of Winter Clinical Conference

The 16th annual Winter Clinical Dermatology Conference took place at the Grand Hyatt Kauai Hotel in Koloa, HI, from January 18 to 23, 2019. The annual accredited program gathered top experts and industry professionals to discuss the latest research, innovations, and other advancements that help dermatologists excel in their field.

The five-day agenda included daily lectures, panels, live patient workshops, poster presentations, and question-and-answer sessions, all designed to enhance clinical skills and knowledge across a range of dermatologic specialties. Among the topics covered were melanoma and non-melanoma skin cancer, psoriasis, atopic dermatitis, rosacea, acne, dermatopathology, sexually transmitted diseases, fillers, neurotoxins, sunscreens, actinic keratosis, cleansers and emollients, cosmeceuticals, and pigmentary disorders.

Some highlights included:

Apps to Optimize Your Clinical Practice

Embracing technology can make some of the day-to-day tasks associated with running a clinical practice easier. Program Chair Daniel M. Siegel, MD, overviewed some websites and smartphone apps that he has found helpful, including the American Academy of Dermatology website’s Practice Management Center, prior authorization drug denial letter template, and Mohs Surgery AUC, to help quickly determine which patient needs Mohs. Dr Siegel also demonstrated DerrmLite X for HIPAA compliant device photography, and two devices for answering patient calls: Google Voice for answering services, Doximity Dialer, which makes cell phone calls appear to be made from the office. He also recommended several apps that can be useful for coding and reimbursement, including ICD-10 Charts and and ICD10 Consult.

course directors

Course Directors congratulate the highest scorers of the WC19 Academic Quiz: Michael Rader, Stanley Cyran, Lara Gunton, Jenifer Fong, Sarah Stierman, and Michael Stierman. Photo courtesy of Winter Clinical Conference

Pearls From a Master

Robert Brodell, MD, the subject of this month’s cover story (Skin’s Role in Immunity, page 35), disclosed some of his top personal pearls for immune-related illnesses. His first case reviewed hypersensitivity cellulitis (recurrent lymphangitic cellulitis) presenting unilaterally in a CABG donor leg with distal interdigital tinea. Although antibiotics stopped the acute disease, he pointed out that it is necessary to kill the tinea to stop recurrences. He also presented data on the increase in verruca and other opportunistic infections presenting in tattoo sites, and discussed the phenomena of bullous pemphigoid localized to an amputation stump.

session

Session Chair, Seemal Desai, MD, congratulates the WC19 Rising Derm Stars Educational Symposium speakers (l to r) Alexandra Golant, MD, Cerenne Giordano, MD, and Jeanette Jakus, MD. Photo courtesy of Winter Clinical Conference

Antibiotic Approaches to Managing Acne

Using antibiotics to treat acne has come a long way, and James Del Rosso, DO and Joshua Zeichner, MD, presented the latest approaches. They discussed new innovations such as enteric coated formulas and small pill sizes for doxycycline, and how sub-antimicrobial doses showed a significant anti-acne effect with higher tolerability as compared to the 100 mg QD dosage. The importance of taking doxycycline with food (but not heavy metals) was also highlighted. 

The doctors also reviewed other oral antibiotics, including minocycline, sarecycline (Seysara), azithromycin, trimethoprim-sulfamethoxazole, amoxicillin, and cephalexin. Overall, they recommended using oral antibiotics for moderate to severe acne that has failed topical treatment, to treat for 3-4 months along with topical treatments, and then to stop antibiotics cold turkey with no taper.

session

Session Chair Joshua Zeichner, MD, along with Conference Chairs Mark Lebwohl, MD, and James Del Rosso, DO, reviewed the almost 100 WC19 posters. Many of these posters will be online in a special supplement of SKIN. Photo courtesy of Winter Clinical Conference

Managing the Challenging Hyperhidrosis Patient

Current treatments for hyperhidrosis, including a recently approved glycopyrronium cloth (Qbrexa), can lead to improvements within one week. But for particularly challenging cases, Dee Anna Glaser, MD, and David Pariser, MD, gave other management options. Dr Glaser emphasized focusing on the affected areas that bother the patient the most, and setting appropriate expectations and goals of treatment. Dr Pariser reviewed all the common OTC antiperspirants available and provided tips for using prescription aluminum chloride for optimal success. Clinical trials for Qbrexa as well as novel therapeutics including sofpironium bromide and combination oral oxybutynin and pilocarpine were also explored, as was microwave thermolysis.

Creative Uses for Fillers

For dermatologists considering adding aesthetic services to their practices or looking to refine their skills, Mark Nestor, MD, PhD, offered tips and tricks for optimizing the use of cosmetic fillers. After reviewing the available fillers and their characteristics, including both hyaluronic acid and non-hyaluronic acid products, Dr Nestor emphasized the importance of knowing both anatomy and injection techniques. For voluminization, he recommended treating areas as zones, not lines. He offered specific tips for particular areas, including perioral, midface, and the prejowl sulcus, as well as some difficult areas (hands, neck, and chest.) Lastly, he discussed how PMMA-collagen (ArteFill) has shown efficacy form for acne scarring in clinical trials.

For additional conference coverage and information, visit https://fallclinical.health/conferences/winter-clinical-2020/

attendees

Conference attendees gaining final pearls at the closing session. Photo courtesy of Winter Clinical Conference

The 16th annual Winter Clinical Dermatology Conference took place at the Grand Hyatt Kauai Hotel in Koloa, HI, from January 18 to 23, 2019. The annual accredited program gathered top experts and industry professionals to discuss the latest research, innovations, and other advancements that help dermatologists excel in their field.

The five-day agenda included daily lectures, panels, live patient workshops, poster presentations, and question-and-answer sessions, all designed to enhance clinical skills and knowledge across a range of dermatologic specialties. Among the topics covered were melanoma and non-melanoma skin cancer, psoriasis, atopic dermatitis, rosacea, acne, dermatopathology, sexually transmitted diseases, fillers, neurotoxins, sunscreens, actinic keratosis, cleansers and emollients, cosmeceuticals, and pigmentary disorders.

Some highlights included:

Apps to Optimize Your Clinical Practice

Embracing technology can make some of the day-to-day tasks associated with running a clinical practice easier. Program Chair Daniel M. Siegel, MD, overviewed some websites and smartphone apps that he has found helpful, including the American Academy of Dermatology website’s Practice Management Center, prior authorization drug denial letter template, and Mohs Surgery AUC, to help quickly determine which patient needs Mohs. Dr Siegel also demonstrated DerrmLite X for HIPAA compliant device photography, and two devices for answering patient calls: Google Voice for answering services, Doximity Dialer, which makes cell phone calls appear to be made from the office. He also recommended several apps that can be useful for coding and reimbursement, including ICD-10 Charts and and ICD10 Consult.

course directors

Course Directors congratulate the highest scorers of the WC19 Academic Quiz: Michael Rader, Stanley Cyran, Lara Gunton, Jenifer Fong, Sarah Stierman, and Michael Stierman. Photo courtesy of Winter Clinical Conference

Pearls From a Master

Robert Brodell, MD, the subject of this month’s cover story (Skin’s Role in Immunity, page 35), disclosed some of his top personal pearls for immune-related illnesses. His first case reviewed hypersensitivity cellulitis (recurrent lymphangitic cellulitis) presenting unilaterally in a CABG donor leg with distal interdigital tinea. Although antibiotics stopped the acute disease, he pointed out that it is necessary to kill the tinea to stop recurrences. He also presented data on the increase in verruca and other opportunistic infections presenting in tattoo sites, and discussed the phenomena of bullous pemphigoid localized to an amputation stump.

session

Session Chair, Seemal Desai, MD, congratulates the WC19 Rising Derm Stars Educational Symposium speakers (l to r) Alexandra Golant, MD, Cerenne Giordano, MD, and Jeanette Jakus, MD. Photo courtesy of Winter Clinical Conference

Antibiotic Approaches to Managing Acne

Using antibiotics to treat acne has come a long way, and James Del Rosso, DO and Joshua Zeichner, MD, presented the latest approaches. They discussed new innovations such as enteric coated formulas and small pill sizes for doxycycline, and how sub-antimicrobial doses showed a significant anti-acne effect with higher tolerability as compared to the 100 mg QD dosage. The importance of taking doxycycline with food (but not heavy metals) was also highlighted. 

The doctors also reviewed other oral antibiotics, including minocycline, sarecycline (Seysara), azithromycin, trimethoprim-sulfamethoxazole, amoxicillin, and cephalexin. Overall, they recommended using oral antibiotics for moderate to severe acne that has failed topical treatment, to treat for 3-4 months along with topical treatments, and then to stop antibiotics cold turkey with no taper.

session

Session Chair Joshua Zeichner, MD, along with Conference Chairs Mark Lebwohl, MD, and James Del Rosso, DO, reviewed the almost 100 WC19 posters. Many of these posters will be online in a special supplement of SKIN. Photo courtesy of Winter Clinical Conference

Managing the Challenging Hyperhidrosis Patient

Current treatments for hyperhidrosis, including a recently approved glycopyrronium cloth (Qbrexa), can lead to improvements within one week. But for particularly challenging cases, Dee Anna Glaser, MD, and David Pariser, MD, gave other management options. Dr Glaser emphasized focusing on the affected areas that bother the patient the most, and setting appropriate expectations and goals of treatment. Dr Pariser reviewed all the common OTC antiperspirants available and provided tips for using prescription aluminum chloride for optimal success. Clinical trials for Qbrexa as well as novel therapeutics including sofpironium bromide and combination oral oxybutynin and pilocarpine were also explored, as was microwave thermolysis.

Creative Uses for Fillers

For dermatologists considering adding aesthetic services to their practices or looking to refine their skills, Mark Nestor, MD, PhD, offered tips and tricks for optimizing the use of cosmetic fillers. After reviewing the available fillers and their characteristics, including both hyaluronic acid and non-hyaluronic acid products, Dr Nestor emphasized the importance of knowing both anatomy and injection techniques. For voluminization, he recommended treating areas as zones, not lines. He offered specific tips for particular areas, including perioral, midface, and the prejowl sulcus, as well as some difficult areas (hands, neck, and chest.) Lastly, he discussed how PMMA-collagen (ArteFill) has shown efficacy form for acne scarring in clinical trials.

For additional conference coverage and information, visit https://fallclinical.health/conferences/winter-clinical-2020/

attendees

Conference attendees gaining final pearls at the closing session. Photo courtesy of Winter Clinical Conference

The 16th annual Winter Clinical Dermatology Conference took place at the Grand Hyatt Kauai Hotel in Koloa, HI, from January 18 to 23, 2019. The annual accredited program gathered top experts and industry professionals to discuss the latest research, innovations, and other advancements that help dermatologists excel in their field.

The five-day agenda included daily lectures, panels, live patient workshops, poster presentations, and question-and-answer sessions, all designed to enhance clinical skills and knowledge across a range of dermatologic specialties. Among the topics covered were melanoma and non-melanoma skin cancer, psoriasis, atopic dermatitis, rosacea, acne, dermatopathology, sexually transmitted diseases, fillers, neurotoxins, sunscreens, actinic keratosis, cleansers and emollients, cosmeceuticals, and pigmentary disorders.

Some highlights included:

Apps to Optimize Your Clinical Practice

Embracing technology can make some of the day-to-day tasks associated with running a clinical practice easier. Program Chair Daniel M. Siegel, MD, overviewed some websites and smartphone apps that he has found helpful, including the American Academy of Dermatology website’s Practice Management Center, prior authorization drug denial letter template, and Mohs Surgery AUC, to help quickly determine which patient needs Mohs. Dr Siegel also demonstrated DerrmLite X for HIPAA compliant device photography, and two devices for answering patient calls: Google Voice for answering services, Doximity Dialer, which makes cell phone calls appear to be made from the office. He also recommended several apps that can be useful for coding and reimbursement, including ICD-10 Charts and and ICD10 Consult.

course directors

Course Directors congratulate the highest scorers of the WC19 Academic Quiz: Michael Rader, Stanley Cyran, Lara Gunton, Jenifer Fong, Sarah Stierman, and Michael Stierman. Photo courtesy of Winter Clinical Conference

Pearls From a Master

Robert Brodell, MD, the subject of this month’s cover story (Skin’s Role in Immunity, page 35), disclosed some of his top personal pearls for immune-related illnesses. His first case reviewed hypersensitivity cellulitis (recurrent lymphangitic cellulitis) presenting unilaterally in a CABG donor leg with distal interdigital tinea. Although antibiotics stopped the acute disease, he pointed out that it is necessary to kill the tinea to stop recurrences. He also presented data on the increase in verruca and other opportunistic infections presenting in tattoo sites, and discussed the phenomena of bullous pemphigoid localized to an amputation stump.

session

Session Chair, Seemal Desai, MD, congratulates the WC19 Rising Derm Stars Educational Symposium speakers (l to r) Alexandra Golant, MD, Cerenne Giordano, MD, and Jeanette Jakus, MD. Photo courtesy of Winter Clinical Conference

Antibiotic Approaches to Managing Acne

Using antibiotics to treat acne has come a long way, and James Del Rosso, DO and Joshua Zeichner, MD, presented the latest approaches. They discussed new innovations such as enteric coated formulas and small pill sizes for doxycycline, and how sub-antimicrobial doses showed a significant anti-acne effect with higher tolerability as compared to the 100 mg QD dosage. The importance of taking doxycycline with food (but not heavy metals) was also highlighted. 

The doctors also reviewed other oral antibiotics, including minocycline, sarecycline (Seysara), azithromycin, trimethoprim-sulfamethoxazole, amoxicillin, and cephalexin. Overall, they recommended using oral antibiotics for moderate to severe acne that has failed topical treatment, to treat for 3-4 months along with topical treatments, and then to stop antibiotics cold turkey with no taper.

session

Session Chair Joshua Zeichner, MD, along with Conference Chairs Mark Lebwohl, MD, and James Del Rosso, DO, reviewed the almost 100 WC19 posters. Many of these posters will be online in a special supplement of SKIN. Photo courtesy of Winter Clinical Conference

Managing the Challenging Hyperhidrosis Patient

Current treatments for hyperhidrosis, including a recently approved glycopyrronium cloth (Qbrexa), can lead to improvements within one week. But for particularly challenging cases, Dee Anna Glaser, MD, and David Pariser, MD, gave other management options. Dr Glaser emphasized focusing on the affected areas that bother the patient the most, and setting appropriate expectations and goals of treatment. Dr Pariser reviewed all the common OTC antiperspirants available and provided tips for using prescription aluminum chloride for optimal success. Clinical trials for Qbrexa as well as novel therapeutics including sofpironium bromide and combination oral oxybutynin and pilocarpine were also explored, as was microwave thermolysis.

Creative Uses for Fillers

For dermatologists considering adding aesthetic services to their practices or looking to refine their skills, Mark Nestor, MD, PhD, offered tips and tricks for optimizing the use of cosmetic fillers. After reviewing the available fillers and their characteristics, including both hyaluronic acid and non-hyaluronic acid products, Dr Nestor emphasized the importance of knowing both anatomy and injection techniques. For voluminization, he recommended treating areas as zones, not lines. He offered specific tips for particular areas, including perioral, midface, and the prejowl sulcus, as well as some difficult areas (hands, neck, and chest.) Lastly, he discussed how PMMA-collagen (ArteFill) has shown efficacy form for acne scarring in clinical trials.

For additional conference coverage and information, visit https://fallclinical.health/conferences/winter-clinical-2020/

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