The official journal of the Society of Dermatology Physician Assistants
Dear Readers,
Welcome to Journal of Dermatology for Physician Assistants (JDPA) Winter 2021 issue. We are pleased to deliver you quality content on a variety of topics for which JDPA is known.
See issue content and download the full issue PDF!
by Travis Hayden, MPAS, PA-C “The impediment to action advances action. What stands in the way becomes the way.” –Marcus Aurelius lot with me this
Dear Colleagues, Welcome to 2021! There is something about new beginnings that energizes us. I know many of us will be unpacking the lessons we
By Pamela Korzeniowski, PA-C Pamela Korzeniowski, PA-C, is a dermatology physician assistant with North Texas VA Dermatology and practices in Dallas and Fort Worth, Texas.
A message from Cynthia F. Griffith, MPAS, PA-C, JDPA Editor-in-Chief
A Message from Lauren E. Miller, MPAS, PA-C
President, Diplomate Fellow
Society of Dermatology Physician Assistants (SDPA)
By Jennifer M. Orozco, DMSc, PA-C, DFAAPA Jennifer M. Orozco, DMSc, PA-C, DFAAPA, is Director of Advanced Practice Providers at Rush University Medical Center in
By Holly Glover, MSEd, MPAS, MBA, PA-C Holly Glover, MSEd, MPAS, MBA, PA-C is from Dermatology and Skin Cancer Surgery Center in Waxahachie, Texas. She
The purpose of this article is to review the diagnosis of atopic dermatitis along with various disease mimickers. Traditionally, atopic dermatitis is a clinical diagnosis with distinctive history, morphology, and distribution of pruritic eczematous lesions aiding in determining the condition and treatment. However, multiple other conditions may mimic atopic dermatitis, requiring further workup. We review diagnostic mimickers of atopic dermatitis and divide them into four major categories: immunodeficiencies, malignancies, nutritional deficiencies, and systemic disease. In addition, we organize a workup to be considered if there is a high suspicion for something other than atopic dermatitis. Although there are multiple other conditions that can mimic atopic dermatitis, there are gaps in not only considering them, but also in recognizing when to proceed with further workup and what to include.
Merkel cell carcinoma (also called primary neuroendocrine carcinoma of the skin) is a rare and aggressive skin cancer. Because of its variable clinical appearance, its diagnosis is often delayed. Here we present an atypical case of this tumor in an elderly Black man who experienced diagnostic delay, and eventually, fatal metastases. Primary neuroendocrine carcinoma is difficult to treat and often requires a multi-disciplinary approach. This case report highlights the importance of early diagnosis, and this tumor’s appearance in skin of color individuals, who are affected relatively infrequently.
