Elizabeth V. Seiverling
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View article: Insights in Trichoscopy: The Utility of Ultraviolet‐Induced Fluorescence Dermoscopy in Diagnosis of Alopecia Areata and Tinea Capitis in the Pediatric Population
Insights in Trichoscopy: The Utility of Ultraviolet‐Induced Fluorescence Dermoscopy in Diagnosis of Alopecia Areata and Tinea Capitis in the Pediatric Population Open
Hair loss is a common and frequently distressing concern in the pediatric population. Diagnosis of hair loss in children can be challenging due to overlapping clinical features between conditions, resulting in the risk of delayed treatment…
View article: Implementation and Impact of a Dermoscopy-Enabled Dermatology eConsult Application in Primary Care
Implementation and Impact of a Dermoscopy-Enabled Dermatology eConsult Application in Primary Care Open
Introduction/Objectives: Primary care providers (PCPs) can help fill gaps in access to dermatology care using eConsults to collaborate asynchronously with dermatologists. Many dermatology eConsult programs face challenges with image acquis…
View article: DERM-SUCCESS FDA Pivotal Study: A Multi-Reader Multi-Case Evaluation of Primary Care Physicians’ Skin Cancer Detection Using AI-Enabled Elastic Scattering Spectroscopy
DERM-SUCCESS FDA Pivotal Study: A Multi-Reader Multi-Case Evaluation of Primary Care Physicians’ Skin Cancer Detection Using AI-Enabled Elastic Scattering Spectroscopy Open
Background: Elastic Scattering Spectroscopy (ESS), an optical tissue sampling technique, distinguishes between benign and malignant tissue in vivo without the need to perform a surgical biopsy. A handheld device that employs ESS enabled wi…
View article: Diagnosis of Vascular Anomalies in Patients with Skin of Color.
Diagnosis of Vascular Anomalies in Patients with Skin of Color. Open
Vascular anomalies can be broadly classified as vascular tumors or vascular malformations, depending on the degree of endothelial involvement. These lesions can be subtle and challenging to diagnose in individuals with darker skin tones, w…
View article: Dermoscopy aids in differentiating café‐au‐lait macules from congenital melanocytic nevi in patients with darker skin phototypes
Dermoscopy aids in differentiating café‐au‐lait macules from congenital melanocytic nevi in patients with darker skin phototypes Open
Dermoscopy aids in the diagnosis and management of pigmented growths and disorders of pigmentation in children. However, there is limited literature on the dermoscopic appearance of café‐au‐lait macules (CALMs) and congenital melanocytic n…
View article: A Systematic Review of Diagnoses With Rosettes Under Dermoscopy
A Systematic Review of Diagnoses With Rosettes Under Dermoscopy Open
Introduction: Rosettes are a cluster of shiny white dots in the shape of a four-leaf clover seen under polarized dermoscopic light. Historically, rosettes were primarily reported in actinic keratoses and squamous cell carcinoma. However, r…
View article: Geographic Distribution of Melanoma Cases in Maine: Identifying Vulnerable Counties for Targeted Intervention
Geographic Distribution of Melanoma Cases in Maine: Identifying Vulnerable Counties for Targeted Intervention Open
Introduction: Maine has the twelfth highest incidence of melanoma in the United States. The purpose of this study was to determine which Maine counties were the most impacted by melanoma through the use of geographical methods. Identificat…
View article: Response: Re: Expert Consensus Statement on Proficiency Standards for Dermoscopy Education in Primary Care
Response: Re: Expert Consensus Statement on Proficiency Standards for Dermoscopy Education in Primary Care Open
To the Editor: We agree with Dr. Blum that mastery level dermoscopy training is most appropriate for family physicians who wish to make dermatology a focus of their clinical practice. We also agree with the American Academy of family physi…
View article: Thematic analyses of participant survey responses following dermatology ECHO programs with dermoscopy: Practical tips and lessons learned
Thematic analyses of participant survey responses following dermatology ECHO programs with dermoscopy: Practical tips and lessons learned Open
Introduction Skin cancer is a major public health concern in the United States, reflecting approximately one in every three cancer diagnoses. Despite the high incidence of skin cancer, access to dermatologists is limited, especially in rur…
View article: Early Detection and Prognostic Assessment of Cutaneous Melanoma
Early Detection and Prognostic Assessment of Cutaneous Melanoma Open
Importance Therapy for advanced melanoma has transformed during the past decade, but early detection and prognostic assessment of cutaneous melanoma (CM) remain paramount goals. Best practices for screening and use of pigmented lesion eval…
View article: Expert Consensus Statement on Proficiency Standards for Dermoscopy Education in Primary Care
Expert Consensus Statement on Proficiency Standards for Dermoscopy Education in Primary Care Open
This consensus statement will inform the development of PCP-targeted dermoscopy training initiatives designed to support early cancer detection.
View article: Impact of Dermoscopy Training for Primary Care Practitioners on Number Needed to Biopsy to Detect Melanoma
Impact of Dermoscopy Training for Primary Care Practitioners on Number Needed to Biopsy to Detect Melanoma Open
Introduction: The incidence of melanoma is on the rise. In trained hands, dermoscopy aids in the differentiation of melanoma from benign skin growths, including melanocytic nevi. This study evaluated the impact of dermoscopy training for p…
View article: Everything old is new again: a case series of pediatric cutaneous leishmaniasis in Portland, Maine
Everything old is new again: a case series of pediatric cutaneous leishmaniasis in Portland, Maine Open
Leishmaniasis has varying clinical manifestations and treatment regimens, dependent on species and host. Old world leishmaniasis, found primarily in Africa and Asia, may be associated with visceral disease, while new world disease, primari…
View article: Theory-Based Approaches to Support Dermoscopic Image Interpretation Education: A Review of the Literature
Theory-Based Approaches to Support Dermoscopic Image Interpretation Education: A Review of the Literature Open
Introduction: Efficient interpretation of dermoscopic images relies on pattern recognition, and the development of expert-level proficiency typically requires extensive training and years of practice. While traditional methods of transferr…
View article: Instructional Strategies to Enhance Dermoscopic Image Interpretation Education: A Review of the Literature
Instructional Strategies to Enhance Dermoscopic Image Interpretation Education: A Review of the Literature Open
Introduction: In image interpretation education, many educators have shifted away from traditional methods that involve passive instruction and fragmented learning to interactive ones that promote active engagement and integrated knowledge…
View article: Addressing geographic disparities in dermatology through virtual educational outreach
Addressing geographic disparities in dermatology through virtual educational outreach Open
Purpose: Rural areas face significant shortage of dermatologists. Rural origin is a strong indicator of eventual rural practice for physicians, however students of rural background account for less than 5% of all incoming medical students.…
View article: Absence of central white patch in dermatofibromas presenting in darker skin
Absence of central white patch in dermatofibromas presenting in darker skin Open
Dermatofibromas (DFs) are benign, cutaneous lesions that most commonly present in middle-aged individuals as hyperpigmented, firm papules with central hypopigmentation. Most DFs can be diagnosed clinically based on their morphology and bas…
View article: A lesion on the abdomen in an infant
A lesion on the abdomen in an infant Open
A 4-month-old girl presented to the pediatric dermatology clinic due to an enlarging growth on the abdomen. The child was born to a 32-year-old G8P6 woman via spontaneous vaginal delivery at 39 weeks and 5 days. Her mother identifies as So…
View article: Total Body Photography and Sequential Digital Dermoscopy Imaging for Melanoma Surveillance in Patients Starting Natalizumab for Multiple Sclerosis
Total Body Photography and Sequential Digital Dermoscopy Imaging for Melanoma Surveillance in Patients Starting Natalizumab for Multiple Sclerosis Open
Introduction: Natalizumab is an integrin receptor antagonist that has been approved by the Food and Drug Administration to treat multiple sclerosis and Crohn’s disease. The drug has been linked to an increased risk of melanoma. This brief …
View article: Distance Learning and Spaced Review to Complement Dermoscopy Training for Primary Care
Distance Learning and Spaced Review to Complement Dermoscopy Training for Primary Care Open
Background: Dermoscopy aids in skin cancer identification. For family physicians who use dermoscopy, there is higher sensitivity for melanoma detection than naked-eye examination. There is a shortage of dermoscopy training for primary care…
View article: Teaching Skin Cancer Detection to Medical Students Using a Dermoscopic Algorithm
Teaching Skin Cancer Detection to Medical Students Using a Dermoscopic Algorithm Open
Introduction: Early detection of melanoma skin cancer improves survival rates. Training family physicians in dermoscopy with the triage amalgamated dermoscopic algorithm (TADA) has high sensitivity and specificity for identifying malignant…
View article: Dermoscopy Proficiency Expectations for US Dermatology Resident Physicians
Dermoscopy Proficiency Expectations for US Dermatology Resident Physicians Open
Consensus achieved in this modified Delphi process identified common dermoscopic diagnoses, associated features, and representative teaching images reflective of a foundational proficiency in dermoscopic image interpretation for dermatolog…
View article: Dermoscopic Lotus of Learning: Implementation and Dissemination of a Multimodal Dermoscopy Curriculum for Primary Care
Dermoscopic Lotus of Learning: Implementation and Dissemination of a Multimodal Dermoscopy Curriculum for Primary Care Open
Dermoscopy is a cost-effective tool for detection of skin cancers yet there is limited training available for primary care. The goal of this project was to develop, implement, and disseminate a multimodal curriculum for primary care across…
View article: Perspectives on Dermoscopy in the Primary Care Setting
Perspectives on Dermoscopy in the Primary Care Setting Open
Our sample of PCPs in the United States showed that although few use dermoscopy, most perceive it as a useful tool, particularly family medicine physicians. The main reported barriers preventing its use included the lack of training and po…
View article: 766. Everything Old is New Again-A Case Series of New World Leishmaniasis in African Children in Portland, Maine
766. Everything Old is New Again-A Case Series of New World Leishmaniasis in African Children in Portland, Maine Open
Background Leishmaniasis has many clinical manifestations and treatment regimens, dependent on species and host. Old world leishmaniasis is found primarily in Africa and Asia, and is associated with visceral disease, while new world diseas…