Tip 1: Simple Reminder for Seborrheic Dermatitis
For seborrheic dermatitis, I make sure patients are leaving the shampoo in their hair for at least 5 to 10 minutes prior to rinsing. Most people immediately rinse out shampoo, leaving little chance of much medication being absorbed. I can't tell you how many people this extremely simple piece of advice has helped.
Jules Lipoff, MD
Philadelphia, PA
Tip 2: Reducing Injection Pain with Adalimumab
Is your patient on adalimumab complaining of painful injections? If so, try switching to the citrate-acid free version of adalimumab. Citrate is used as a buffer to maintain pH at which adalimumab is most stable, but it is known to be an irritant. The volume of the injection is also 50% reduced, and the needle gauge size is smaller (29 gauge) compared with the older version (27 gauge).
Jashin J. Wu, MD
Los Angeles, CA
Tip 3: Tell Patients What to Expect With Treatment
Make sure to share with patients not only how to use their medications but how long they might reasonably expect it to take to start to see results and what that might look like.
Seth Orlow, MD, PhD
New York City, NY
Tip 4: A Tip for Dermoscopy Self-Improvement
It’s now much easier to take dermoscopic photos directly into your medical record system. There are inexpensive magnetic attachments that allow you to attach your dermatoscope to a camera, phone, or tablet. Take a photo of lesions you are about to biopsy and look back at the photo after you get the biopsy result to learn from your own cases.
Jennifer Stein, MD, PhD
New York City, NY
