The Future of Dermatology

Summary Join Dr. Faranak Kamangar as she embarks on the podcast journey of dermatometabolics. For the next few weeks she'll explore various topics in the realm of dermatometabolics such as insulin resistance, GLP and GIP, and skin care. Stay tuned!

Summary In this episode of the Future of Dermatology Podcast, we revisit the 2024 SF Derm Society's Annual Conference where Dr. Jason Hawkes discusses the complexities of urticaria, including its definitions, types, and the role of mast cells in the condition. This presentation highlights the differences between acute and chronic urticaria, the importance of understanding autoimmunity in relation to urticaria, and the latest treatment approaches, including innovative therapies like Omalizumab. The episode concludes with a call to action for dermatologists to embrace the treatment of urticaria and engage with their patients effectively. Takeaways - Urticaria is often misunderstood, but it has exciting aspects to explore. - Acute urticaria lasts less than six weeks, while chronic urticaria lasts longer. - Chronic spontaneous urticaria (CSU) is often idiopathic and can last for years. - Mast cells play a central role in the pathophysiology of urticaria. - Autoimmunity is a common theme in patients with urticaria, especially in women. - Diagnosis of urticaria is primarily clinical, with no specific lab tests required. - Many patients do not respond to standard antihistamine treatments. - Omalizumab is a powerful treatment option for chronic urticaria. - Anaphylaxis is rare in patients treated with Omalizumab for urticaria. - Dermatologists should feel confident in treating urticaria with available therapies. Chapters 00:00 - Introduction to the Future of Dermatology Podcast 00:57 - Understanding Urticaria: Definitions and Types 03:50 - Differentiating Acute and Chronic Urticaria 06:13 - The Role of Mast Cells in Urticaria 09:03 - Autoimmunity and Urticaria: Comorbidities and Testing 10:59 - Diagnosis and Treatment Approaches for Urticaria 13:52 - Innovative Therapies: Omalizumab and Beyond 15:42 - Conclusion and Call to Action

Summary In this episode of The Future of Dermatology podcast, host Dr. Faranak Kamangar welcomes back Payton Smith, Chandler Johnson, and Kathryn Haran who share their experiences and insights from the match process. They discuss the challenges of applying to dermatology, the importance of building connections, and the emotional landscape of matching. The conversation also covers practical advice for future applicants, including the significance of away rotations, interview preparation, and the unique challenges of couples matching. The episode concludes with an optimistic look at the future of dermatology and the exciting opportunities that lie ahead for the new residents. You can view the Guide for Dermatology Applicants by Dr. Jennifer Fernandez here: https://docs.google.com/document/d/1q9LMm6Iqyc0x39CtprqaIXmxRL_6f8Rxmalfs9LegEE/edit?usp=drive_link Takeaways - The match process for dermatology is highly competitive. - Building a support network is crucial for success. - Away rotations can be both beneficial and exhausting. - Interview preparation is essential for standing out. - Being yourself is key during the application process. - Couples matching adds complexity but can be navigated successfully. - Research projects should reflect your passions and interests. - Maintaining mental health during the application process is important. - Networking within the dermatology community is vital. - The future of dermatology is bright with many opportunities. Chapters 00:00 - Introduction to the Future of Dermatology Podcast 00:50 - Match Day Excitement and Personal Journeys 02:57 - Statistics and Insights on Dermatology Match Rates 06:08 - Navigating the Emotional Landscape of Matching 09:10 - Advice for Future Applicants: Building Connections 11:55 - Lessons Learned: What Not to Do During Applications 15:00 - The Importance of Interview Preparation 17:56 - The Role of Away Rotations in Residency Applications 20:56 - Research Projects and Their Impact on Applications 23:49 - Couples Matching: Challenges and Strategies 27:10 - The Future of Dermatology: Excitement and Opportunities

Summary In this episode of the Future of Dermatology Podcast, Dr. Faranak Kamangar and Dr. Errol Craig delve into the often-overlooked topic of scabies. They explore its historical context, transmission dynamics, and the psychological impact of the condition on patients. The conversation highlights the importance of understanding scabies as a community health issue, the challenges in diagnosis and treatment, and the need for new approaches in dermatology. Dr. Craig shares insights from his book, 'The Itch: Scabies', and discusses the future of scabies treatment, including potential new medications and diagnostic techniques. You can find Dr. Craig's book on Amazon: https://www.amazon.com/Itch-Scabies-Errol-Craig-ebook/dp/B0B15HYX84/ Takeaways - Scabies has a rich history that is often overlooked in medical education. - Transmission of scabies is primarily through close contact, not fomites. - The burden of scabies is significant, especially in tropical and developing regions. - Post-scobetic dermatitis is a common issue after treatment. - Community treatment is essential for effective scabies management. - Ivermectin and permethrin are commonly used treatments, but resistance is a concern. - Dermatoscopy is a valuable tool for diagnosing scabies. - The psychological impact of scabies on patients is profound and often irrational. - New diagnostic techniques and treatments for scabies are on the horizon. - Understanding the evolutionary fear of itch can help in patient care. Chapters 00:00 - Introduction to Dermatology and Scabies 01:25 - The Fascinating History of Scabies 04:53 - Understanding Transmission and Contagion 09:36 - The Burden of Scabies in Different Populations 12:02 - Diagnosis and Treatment Approaches 18:09 - Community Approach to Scabies Treatment 20:24 - The Evolutionary Fear of Itch 22:08 - Future Directions in Dermatology and Scabies Treatment

Summary In this episode of The Future of Dermatology Podcast, Dr. Faranak Kamangar interviews Dr. Jennifer Soung, a prominent dermatologist who shares her journey through academia, private practice, and her passion for clinical research. They discuss the importance of personal and professional development, the launch of the LEADderm conference aimed at empowering women in dermatology, and the need for diversity in leadership roles. Dr. Soung emphasizes the significance of mentorship and sponsorship in advancing careers, as well as the challenges of balancing work and family life. The conversation also touches on the future of dermatology, particularly in addressing the holistic health of patients with chronic skin conditions. Visit https://www.leadderm.org/ to learn more about the upcoming conference.   Takeaways - Sharing stories inspires women to achieve great things. - Clinical research provides hope for patients with chronic conditions. - Mentorship and sponsorship are crucial for women's advancement. - Diversity in leadership roles is essential in dermatology. - Personal and professional development should be prioritized. - Work-life balance is about blending responsibilities, not perfection. - The skin reflects overall health and requires holistic care. - Conferences should address important issues in dermatology. - Women need support to navigate leadership challenges. - Collaboration and community are vital for success in dermatology.   Chapters 00:00 - Introduction to the Future of Dermatology Podcast 01:39 - Dr. Jennifer Soung's Journey in Dermatology 05:52 - The Launch of LEADderm Conference 12:00 - Personal and Professional Development in Dermatology 20:59 - Navigating Leadership and Gender Dynamics 23:01 - Work-Life Balance and Career Paths 28:38 - Future Directions in Dermatology

Summary In this episode of the Future of Dermatology Podcast, we share a truncated replay of Dr. Daniel Klufas's session from the SF Derm 2024 Annual Conference on the management of Hydradenitis Suppurativa (HS) with a focus on the surgical technique of deroofing. This session covers the importance of medical optimization, patient selection, and the benefits of deroofing, including low recurrence rates and high patient satisfaction. Dr. Klufas emphasizes the need for thorough preoperative planning and the role of patient expectations in surgical outcomes. Takeaways - HS was long considered a purely surgical disease. - Recent strides in medical management can delay surgical intervention. - Deroofing is a critical procedure for managing HS. - Medical optimization is essential before considering surgery. - Patients should be well-informed about their treatment options. - Deroofing can be performed on solitary or regional lesions. - Patient satisfaction rates for deroofing are high. - Recurrence rates for deroofing are generally low. - Preoperative planning is crucial for successful outcomes. - Pain management post-deroofing is often less than expected. Chapters 00:00 - Introduction to the Future of Dermatology Podcast 01:00 - Understanding Hydradenitis Suppurativa (HS) and Surgical Management 03:14 - Medical Optimization and Patient Selection for Deroofing 05:01 - Deroofing Technique and Surgical Pearls 08:15 - Patient Satisfaction and Outcomes of Deroofing

Summary In this episode of the Future of Dermatology podcast, we hear from Dr. Akhil Wadhera, about the innovative use of lasers in treating Hidradenitis Suppurativa (HS), from his session at SF Derm Annual Meeting in 2024 . Dr. Wadhera highlights the significant impact of HS on patients' quality of life and explores the advantages of laser hair removal as a treatment option. He shares clinical evidence supporting the effectiveness of laser treatments and emphasizes the importance of integrating these technologies into dermatological practices for improved patient outcomes. Takeaways Lasers can significantly improve the management of HS. HS is a debilitating condition with a high financial burden. Laser hair removal is a viable treatment for HS. Patients report high satisfaction with laser treatments. Clinical studies show promising results for laser hair removal in HS. Integrating lasers into dermatology can enhance patient care. The mechanism of laser hair removal targets inflammation and hair follicles. Long-term treatment can lead to sustained improvements in HS. Collaboration among dermatologists is key to advancing treatment options. Continued research is essential for optimizing laser therapies. Chapters 00:00 - Introduction to the Future of Dermatology Podcast 01:16 - Exploring Lasers in Dermatology 02:46 - The Impact of Hidradenitis Suppurativa (HS) 04:48 - Mechanisms and Benefits of Laser Hair Removal 06:39 - Clinical Evidence and Patient Outcomes 09:26 - Conclusion and Future Directions in HS Treatment

Summary In this episode of the Future of Dermatology podcast, Dr. Faranak Kamangar interviews Dr. Natasha Atanaskova Mesinkovska MD PhD, a renowned dermatologist and researcher. They discuss Dr. Mesinkovska's journey in dermatology, her passion for hair research, the challenges of aging in dermatology, and the implications of chemical sunscreens on hair health. The conversation highlights the evolving landscape of dermatology, the importance of patient care, and the need for continued education in the field. In this conversation, the speakers delve into the evolving landscape of scalp care and its intersection with skincare trends, discussing the importance of scalp health and the various treatments available, including PRP and minoxidil. They also engage in a rapid-fire segment addressing treatment approaches for alopecia areata in different age groups, emphasizing the significance of addressing comorbidities and the potential of new treatments like JAK inhibitors. The discussion concludes with an exploration of exciting innovations in dermatology, including advancements in non-invasive imaging and AI technologies.   Takeaways Dr. Mesinkovska emphasizes the importance of mentorship in medicine. The podcast aims to create a positive environment for dermatology professionals. Aging affects not just skin but also hair health. Chemical sunscreens may have adverse effects on hair conditions. The landscape of hair research is evolving with new treatment options. Dermatology interfaces with patients' psychological perceptions of aging. The importance of understanding the social aspects of dermatological conditions. Dr. Mesinkovska's journey reflects the American dream in medicine. The role of AI in enhancing dermatological practices is promising. Frontal fibrosing alopecia is a growing concern in dermatology. Scalp care is increasingly recognized as part of skincare. PRP treatments are popular for scalp rejuvenation. Regular hair washing is essential for scalp health. Preservatives in products serve important functions. Oils and ceramides are crucial for scalp hydration. Anti-dandruff shampoos can help maintain scalp balance. Atopy is a significant factor in alopecia in children. Minoxidil can help maintain hair density. New technologies in dermatology are promising. The future of dermatology is bright with innovative treatments.   Chapters 00:00 - Introduction to the Future of Dermatology Podcast 02:06 - Meet Dr. Natasha Mesinkovska: A Dermatology Pioneer 05:15 - The Journey of a Dermatologist: Passion and Purpose 09:14 - The Evolving Landscape of Hair Research 12:36 - Aging and Its Impact on Dermatology 14:08 - Chemical Sunscreens and Their Effects on Hair Health 16:56 - Navigating Scalp Care and Skincare Trends 21:23 - Rapid Fire on Alopecia Areata Treatment 29:24 - Exciting Innovations in Dermatology

Summary In this episode of the Future of Dermatology podcast, we revisit the SF Derm 2024 Annual meeting and hear from Dr. Haley Naik, MD, as she discusses the management of Hidradenitis Suppurativa (HS). Dr. Naik covers the importance of controlling inflammation with medical therapies, the role of biologics in treatment, and the clinical pearls for using TNF inhibitors effectively. She emphasizes the need for early intervention to prevent permanent disfigurement and the importance of optimizing medical management before considering surgical options. Takeaways Using medical therapies to control inflammation is crucial. When to start a biologic is a common question. Preventing permanent disfigurement is a key goal. Adalimumab was the first FDA approved drug for HS. Real world goals include reducing pain and symptoms. Complete response means no pain and no new lesions. Infliximab is the best biologic for moderate to severe HS. Layering therapies is important for effective management. Optimizing medical management is essential before surgery. Chapters 00:00 - Introduction to the Future of Dermatology Podcast 01:03 - Managing Hidradenitis Suppurativa (HS) with Medical Therapies 04:35 - Understanding Biologics in HS Treatment 09:17 - Clinical Pearls for TNF Inhibitors in HS 11:35 - Optimizing HS Management Before Surgery

Summary In this episode of the Future of Dermatology Podcast, we hear from Dr. Maria Aleshin who spoke at the Annual SF Derm Society's 2024 Meeting. She presents on Hidradenitis Suppurativa (HS) and various non-biologic treatment strategies. Dr. Aleshin covers practical approaches to managing HS flare-ups, long-term management considerations, and the role of antibiotics in treatment. She emphasizes the importance of personalized care and the need for a multifaceted approach to effectively address this challenging skin condition.   Takeaways The pathogenesis of HS is multifactorial, requiring a comprehensive treatment approach. Treatment stacking often involves combining medical, procedural, and lifestyle interventions. Topical therapies like chlorhexidine and benzoyl peroxide are commonly recommended, but alternatives exist. Systemic antibiotics are frequently used for managing HS flares. Hormonal therapies, including oral contraceptives and spironolactone, can be effective for female patients with HS. Metformin may be beneficial for patients with metabolic dysfunction associated with HS. Isotretinoin is not a first-line treatment for HS due to mixed results. Botulinum toxin can help reduce sweating and inflammation in HS patients. Combination antibiotic therapy, particularly clindamycin and rifampin, shows high efficacy but has relapse risks. Urtipenem is a powerful antibiotic reserved for severe HS cases as a bridge to surgery or biologics. Chapters 00:00 - Introduction to the Future of Dermatology Podcast 01:19 - Understanding Hidradenitis Suppurativa (HS) and Its Complexities 07:10 - Treatment Strategies for Managing HS Flare-Ups 10:21 - Long-Term Management of HS: Hormonal and Metabolic Considerations 13:20 - Antibiotic Therapies for Hidradenitis Suppurativa 17:22 - Severe HS Cases: Advanced Treatment Options and Considerations