- Streptococcal Infections and Treatments
- Fungal Infections and Studies
- Antimicrobial Resistance in Staphylococcus
- Nonmelanoma Skin Cancer Studies
- Nail Diseases and Treatments
- Cutaneous Melanoma Detection and Management
- Pharmaceutical Economics and Policy
- Health Systems, Economic Evaluations, Quality of Life
- Pharmaceutical industry and healthcare
- Skin Protection and Aging
- Autoimmune and Inflammatory Disorders
- Autoimmune Bullous Skin Diseases
- Mycobacterium research and diagnosis
- Emergency and Acute Care Studies
- Cutaneous lymphoproliferative disorders research
- Bacterial Identification and Susceptibility Testing
- Dermatological diseases and infestations
- Dermatology and Skin Diseases
- Plant Pathogens and Fungal Diseases
- Hidradenitis Suppurativa and Treatments
- HIV, Drug Use, Sexual Risk
- Hair Growth and Disorders
- Orthopedic Infections and Treatments
- Opioid Use Disorder Treatment
- Patient-Provider Communication in Healthcare
Dermatology Surgery & Laser Center
2024
Brigham and Women's Hospital
2017-2022
Harvard University
2017-2022
Harvard Affiliated Emergency Medicine Residency
2022
University of California, Los Angeles
2020
Tufts University
2017-2019
Dana-Farber Brigham Cancer Center
2018
Dana-Farber Cancer Institute
2018
<h3>Importance</h3> Many inflammatory skin dermatoses mimic cellulitis (pseudocellulitis) and are treated with antibiotics and/or hospitalization, leading to unnecessary patient morbidity substantial health care spending. <h3>Objective</h3> To evaluate the impact of early dermatology consultation on clinical economic outcomes associated misdiagnosed cellulitis. <h3>Design, Setting, Participants</h3> This prospective cohort study enrolled patients presumed diagnosis in emergency department,...
During the last decade, increases in drug prices for commonly prescribed dermatologic medications have outpaced rate of inflation, national health care growth, and reimbursements. Among nondermatologic medications, studies shown a role robust generic market competition reducing prices. The association between costs topical drugs has not been evaluated.To characterize changes price number US Food Drug Administration (FDA)-approved manufacturers among most used products.This retrospective cost...
To determine the attitudes of physicians and trainees in regard to roles both cost-effectiveness equity clinical decision making.In this cross-sectional study, electronic surveys containing a hypothetical decision-making scenario were sent medical professionals select between two colon cancer screening tests for population.Three Greater Boston academic institutions: Tufts University School Medicine, Medical Centre Lahey Hospital Centre.819 students, 497 residents-in-training 671 practising...
Melanosomes are motile, light-absorbing organelles that present in pigment cells of the skin and eye. It has been proposed melanosome localization, both melanocytes retinal epithelium (RPE), involves capture from microtubule motors by an unconventional myosin, which dynamically tethers melanosomes to actin filaments. Recent studies with have questioned this cooperative model. Here, we test model RPE imaging associated labeled filaments microtubules, investigating roles different motor...
This retrospective review of American Academy Dermatology Annual Meeting data for even years between 2010 and 2018 was performed to identify the number female speakers associated presentation times.
Patient advocacy organizations are nonprofit that represent patients with medical conditions. Although these may increase disease awareness and influence health care policy, reports have suggested financial relationships between drug, device, biotechnology companies, which lead to potential conflicts of interest. The extent has not been explored among patient in dermatology.To examine interest characterize disclosure practices dermatology organizations.This cross-sectional study the largest...
Symmetrical drug-related intertriginous and flexural exanthema (SDRIFE) is a cutaneous drug reaction characterized by erythema over the buttocks, thighs, groin, regions most commonly associated with use of beta-lactam antibiotics. Although exact pathophysiology this disease remains unknown, it theorized to be result delayed hypersensitivity response presenting as eruption days weeks after exposure drug. The treatment involves discontinuation suspected medication, symptomatic control...
Breast cancer is the most prevalent malignancy among women worldwide. Increased oxidative stress and poor subjective health outcomes have been associated with increased risk of recurrence metastasis, but few studies until now explored relationship between chronic stress/anxiety. This study aims to examine association anxiety a potential dermal correlate in patients breast cancer. 102 were enrolled cross-sectional at Highland Hospital, county hospital Oakland, California. Each participant's...
Background Alopecia areata (AA) is an autoimmune disease characterized by non-scarring hair loss. The lack of a definitive biomarker or formal diagnostic criteria for AA limits our ability to define the epidemiology disease. In this study, we developed and tested Areata Assessment Tool (ALTO) in academic medical center validate questionnaire identifying cases. Methods ALTO novel, self-administered consisting 8 closed-ended questions derived Delphi method. This prospective pilot study was...
Abstract Objectives To characterize the trends, drivers, and potential modifiers of increased spending by US Medicare beneficiaries on medicines deemed essential World Health Organization. Design Retrospective cost analysis Part D Prescriber Public Use File, detailing annual generic brand name drug prescribing from 2011 through 2015 participants who filled prescriptions for WHO medicines. Setting System. Main outcome measures Total per beneficiary spending, total out-of-pocket patient...
<h3>Importance</h3> Acne is a common reason for referral to dermatologists from primary care clinicians. We previously modeled the impact of algorithm-based acne in reducing dermatology referrals, missed appointments, and treatment delays. <h3>Objective</h3> To prospectively evaluate downstream outcomes following real-time, electronic decision-support tool on patients referred acne. <h3>Design, Setting, Participants</h3> This prospective cohort study included 260 treatment-naive...
Although onychomycosis can be diagnosed clinically, many guidelines still recommend pathologic confirmation of the diagnosis prior to initiation systemic treatment. We retrospectively reviewed results from 541 toenail clippings (160 by dermatologists, 198 podiatrists, and 183 other provider types) sent Brigham Women’s Department Dermatopathology between January 2000 December 2013 for confirmatory periodic acid-Schiff (PAS) testing clinically onychomycosis. Of these, 93 (58.1%), 125 (63.1%),...
Variations in treatment modalities for skin growths contribute substantially to overall healthcare spending within dermatology. However, little is known regarding factors impacting patient decision-making when choosing a modality. In this survey-based, cross-sectional study (n = 375, 81.9% response rate), we asked patients rate the importance of different parameters nonfacial growth, further classified into five domains: efficacy, appearance, financial impact, visit duration, and...
There is insufficient evidence to generate skin cancer screening guidelines at the population level, resulting in arbitrary variation patient selection for examinations. This study was aimed developing an easy-to-use predictive model of nonmelanoma (NMSC) risk on total body examination (TBSE).This epidemiologic assessment utilized data from a prospective, multicenter international primarily academic outpatient dermatology clinics. Potential predictors NMSC TBSE were identified and used...
Abstract Dermatology consultation for cases of presumed cellulitis improves diagnostic accuracy and management. However, access to in-person remains limited, a gap that could be filled with teledermatology. Augmented teledermatology may improve outcomes. In this cross-sectional study, 20 dermatologists (60% whom reported conducting inpatient consults > 1 month per year) reviewed 10 real-life representing either or pseudocellulitis as diagnosed by dermatology consultation. For each case,...