Although studies exist on the clinical efficacy of alopecia areata (AA) treatments, there are limited data on patient-perceived efficacy and satisfaction. Patients’ perception of efficacy may not always match providers’ perceived efficacy because clinicians’ ratings of successful outcomes, side effects, costs, etc1 were not developed with patient input. Because of the psychosocial burden…

To the Editor: Acne vulgaris is a chronic inflammatory skin disease with varying treatments.1 Limited literature exists on the prescription behavior of physicians for acne. Evidence-based clinical guidelines from the American Academy of Dermatology (AAD) for acne vulgaris were published in 2016.2 Our objective was to analyze adherence to a subset of the AAD guidelines regarding antibiotic and…

To the Editor: Merkel cell carcinoma (MCC) is an aggressive cutaneous neuroendocrine tumor with high rates of local recurrence and distant metastasis. Although wide local excision (WLE) is the standard of care for primary MCC, Mohs micrographic surgery (MMS) is often used for cases requiring tissue preservation, with multiple retrospective studies demonstrating comparable outcomes with respect to…

To the Editor: Bullous pemphigoid (BP) is an autoimmune disorder characterized by tense blisters and intense pruritus.1 Initial treatment typically involves the use of topical and systemic corticosteroids, with refractory cases often requiring systemic immunosuppressives or biologics. This systematic review examines treatment outcomes of systemic biologics for BP refractory to other systemic…

To the Editor: Alopecia is associated with abnormalities in thyroid stimulating hormone, ferritin, zinc, and vitamin D.1,2 Despite limited evidence of improved hair growth with supplementation, treatment of nonscarring alopecia frequently involves laboratory testing and empiric repletion.3 To our knowledge, no study has evaluated the relationship between supplementation and hair growth in…

To the Editor: Diphencyprone (DPCP), a hapten that causes delayed-type hypersensitivity reactions, has been used to treat warts, alopecia areata, and cutaneous metastases in melanoma patients.1 Previously, our group performed transcriptomic analysis of skin biopsies from melanoma metastases treated with topical DPCP, revealing significant increases in Th1-related genes but not in genes of other…