Clinical Updates

Clinical Updates

Be updated on the current clinical practice in different fields of dermatology. Learn about the latest clinical developments and guidelines and get important practical knowledge.

Practical tips to improve surgical outcomes

Session type Clinical Updates
Session code and title D2T2.3: Surgery in skin cancer
Session room Despachantes Hall
Session date 01.05.2020

Speaker: Prof. John Paoli

ABSTRACT

The best surgical outcomes are achieved thanks to appropriate preoperative planning. One must be aware of the magnitude of the surgical defect beforehand while also guaranteeing complete removal of the tumour on the first attempt. Only then can one plan for a safe, effective and cosmetically appealing reconstructive method. In this presentation, simple solutions to complex surgical problems will be presented in both theory and with video films exemplifying the suggested techniques. Simple variations of an elliptical primary closure or simple flaps with a symmetrical nature can be learned and used by non-Mohs surgeons without added risks for the patient.

Recognising dermatomyositis and its phenotypes

Session type Clinical Updates
Session code and title D2T1.3: Internal Medicine
Session room Archive Hall
Session date 01.05.2020

Speaker: Prof. Margarida Gonçalo

ABSTRACT

Dermatomyositis is an inflammatory disease with cutaneous and skeletal muscle involvement that may present under different phenotypes, with a preferential association with specific autoantibodies (TIF1-γ or MDA-5) and distinct comorbidities, particularly neoplasia or interstitial lung disease.

Its early recognition is important, especially in skin predominant dermatomyositis, that often presents as photosensitivity with a violaceous hue with poikilodermatous appearance, particularly in the periorbital area (heliotrope sign) and nasolabial folds, that extends to the forehead and scalp and the neck and V of the chest (V-sign) and back (Shawl sign). It is mandatory to look at the hands that often show erythemato-papular and scaling lesions over the small joints (Gottron’s papules) and painful dystrophic nail cuticula with telangiectasia and hemorrhages. Variants with more psoriasform Gottron’s papules extending along the dorsal fingers in adults should alert for the possible association with TIF-1γ and paraneoplastic dermatomyositis, whereas ulcerated Gottron’s papules and palmar violaceous papules as well as hyperkeratotic and fissured palmar lesions simulating mechanic’s hand should alert for the presence of interstitial lung disease (which may be quickly progressive and life-threatening) more frequently associated with MDA-5 autoantibodies.

Early diagnosis and recognitions of phenotypes is important to orient the study and treatment of the patient and his different comorbidities.

Management of non-melanoma skin cancer in frail patients

Session type Clinical Updates
Session code and title D1T2.1: Non-melamoma skin cancer
Session room Despachantes Hall
Session date 30.04.2020

Speaker: Dr. Rick Waalboer-Spuij

ABSTRACT

The treatment of skin tumours in the elderly is not always as straightforward as it is in most skin cancer cases. Several aspects have to be considered when managing skin cancer in elderly patients. In this presentation several aspects, such as quality of life, frailty and multidisciplinary care, will be discussed and attempted to translate into practical advice for use in daily practice.

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