Bridget Shields
Thornburg
Articles by Bridget Shields
Presentation, Diagnosis, and Treatment of Cutaneous Crohn Disease
Presentation, Diagnosis, and Treatment of Cutaneous Crohn Disease
Micronutrient Deficiencies in Patients With Inflammatory Bowel Disease
In 2023, ESPEN (the European Society for Clinical Nutrition and Metabolism) published consensus recommendations highlighting the importance of regular monitoring and treatment of nutrient deficiencies in patients with inflammatory bowel disease (IBD) for improved prognosis, mortality, and quality of life.1 Suboptimal nutrition in patients with IBD predominantly results from inflammation of the gastrointestinal (GI) tract leading to malabsorption; however, medications commonly used to manage...
Dermatologic Implications of Glycemic Control Medications for Patients with Type 2 Diabetes Mellitus
Type 2 diabetes mellitus (T2DM) is a chronic disease characterized by uncontrolled hyperglycemia.
Culprits of Medication-Induced Telogen Effluvium, Part 1
Alopecia is a commonly reported side effect of various medications. Anagen effluvium and telogen effluvium (TE) are considered the most common mechanisms underlying medication-related hair loss.
Improvement in Cutaneous Lupus Erythematosus After Twenty Weeks of Belimumab Use: A Systematic Review and Meta‐Analysis
Abstract Objective Cutaneous lupus erythematosus (CLE), with or without systemic lupus erythematosus (SLE), can be debilitating and cause psychological distress. Belimumab, a monoclonal antibody that inhibits B cell activation, is a Federal Drug Administration–approved SLE medication, but less is known on its use in CLE. Moreover, the time to response after starting belimumab in CLE is unknown, which may lead to premature discontinuation in the absence of early perceivable benefits.
COVID‐19 associated severe mucocutaneous blistering eruptions: A case series
Abstract Mucocutaneous eruptions are associated with numerous infectious processes and can present as erythema multiforme (EM), reactive infectious mucocutaneous eruption (RIME), Stevens Johnson syndrome (SJS), or toxic epidermal necrolysis (TEN). Limited reports have detailed the association of these eruptions with SARS-CoV-2 infection. We present a series of eight cases of severe mucocutaneous blistering eruptions associated with SARS-CoV-2 infection.
Recalcitrant Grover’s Disease Successfully Managed with Dupilumab and Naltrexone in a Middle-Aged Woman: A Case Study
Main Article Content Keywords Dupilumab, Grover's Disease, Female, Transient Acantholytic Dermatosis Abstract Introduction: Grover’s disease, or transient acantholytic dermatosis, is a common benign papulovesicular disorder that often affects elderly men. It is typically managed with topical therapeutics in this population. We present here an uncommon case of Grover’s disease, occurring in a relatively younger patient, that was recalcitrant to typical therapeutics modalities.
Cutaneous granulomas associated with vaccine-derived and wild type rubella virus
Source/Disclosures Disclosures: Shield reports no relevant financial disclosures. Please see the study for all other authors’ relevant financial disclosures. Source/Disclosures Disclosures: Shield reports no relevant financial disclosures. Please see the study for all other authors’ relevant financial disclosures. We were unable to process your request. Please try again later. If you continue to have this issue please contact customerservice@slackinc.com.
Dietary Antioxidants in Melanoma and Nonmelanoma Skin Cancer
close Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. Log out Cancel Abstract and Introduction Abstract Dietary supplements, including vitamins and their derivatives, have been utilized within the field of dermatology to treat a variety of skin conditions.
Improvement in Cutaneous Lupus Erythematosus After 20 Weeks of Belimumab Use – A Systematic Review and Meta‐Analysis
Abstract Objective Cutaneous lupus erythematosus (CLE) with or without systemic lupus erythematosus (SLE), can be debilitating and cause psychological distress. Belimumab, a monoclonal antibody that inhibits B-cell activation, is an FDA-approved SLE medication, but less is known on its use in CLE. Moreover, the time to response after starting belimumab in CLE is unknown, which may lead to premature discontinuation in the absence of early perceivable benefits.
Association of Persistent Rubella Virus With Idiopathic Skin Granulomas in Clinically Immunocompetent Adults
Key Points Question What is the antigenic trigger in atypical granulomatous dermatitis in adults? Findings In this case series of 4 immunocompetent adult patients with atypical cutaneous granulomas, cutaneous granulomas harbored vaccine-derived and wild-type rubella virus (RuV), suggesting an association between RuV and a subset of granulomatous dermatitis previously deemed idiopathic.
Diet in Wound Care: Can Nutrition Impact Healing?
Dermatologists commonly manage a variety of wounds in the outpatient setting. Wound healing requires a multifaceted approach that often includes topical and oral therapies, adjustment of mechanical factors, and behavioral and lifestyle modifications. Physiologically, wound healing requires an inflammatory phase, a proliferative phase, and a remodeling phase.
A dramatic case of diabetic gustatory hyperhidrosis successfully treated with topical glycopyrrolate
Key words case report diabetes gustatory hyperhidrosis hyperhidrosis topical glycopyrrolate Abbreviation used: DGH (diabetic gustatory hyperhidrosis) Introduction Diabetic gustatory hyperhidrosis (DGH) is an uncommon manifestation of autonomic dysfunction and is associated with severe diabetic neuropathy and diabetic nephropathy.
Granulomatous Dermatitis Associated With Rubella Virus Infection in an Adult With Immunodeficiency
Key Points Question Is there an identifiable antigenic trigger associated with clinically atypical, refractory cutaneous granulomas? Findings In this case report, immunohistochemical and molecular analysis leading to the identification of a wildtype rubella virus strain was conducted in an immunocompromised man in his 70s initially diagnosed with sarcoidosis and treated with immunosuppressant agents.
A cross-sectional study of no-show rates and factors contributing to nonattendance at 3 academic pediatric dermatology centers in the United States
To the Editor: Missed appointments in pediatric dermatology clinics are a widespread problem for patients and providers. Prior studies assessing the no-show status in pediatric dermatology were limited by single-center enrollment, limited number of days of sampling, and small cohorts of patients. 1 Chaudhry S.B. Siegfried E. Sheikh U.A. Simonetta C. Butala N. Armbrecht E. Improving non-attendance rates among pediatric patients with Medicaid or private insurance. J Am Acad Dermatol.
Diagnosis, Clinical Features, and Management of Patients With Granulomatous Cheilitis
Granulomatous cheilitis (GC) is a rare disorder characterized by noncaseating granulomatous inflammation of the lips in the absence of systemic disease, eg, Crohn disease (CD) or sarcoidosis.1 A subtype of orofacial granulomatosis, the term GC was proposed in 1985 by Wiesenfeld and colleagues to encompass the spectrum of idiopathic, noncaseating granulomatous diseases of the face and mouth.2 When GC is found with lingua plicata (fissured tongue) and facial palsy, it is referred to as...
Prevalence of Dermatitis Herpetiformis Within the iCureCeliac Patient-Powered Research Network
Dermatitis herpetiformis (DH) is a cutaneous manifestation of celiac disease (CD). More than 90% of patients with DH have an associated gluten-sensitive enteropathy,1,2 yet only 20% of patients with DH exhibit classic gastrointestinal symptoms at time of initial diagnosis.1 Dermatologists may be the first to diagnose patients with CD via their DH. A paucity of nationwide data exists on the demographic characteristics of patients with DH and CD.
Generalized granuloma annulare: A widespread response to limited application of compounded 2% topical tofacitinib
Abbreviations used: IL (interleukin), JAK (Janus kinase) Introduction Classic histopathologic findings include either interstitial histiocytic inflammation or palisading histiocytes surrounding degenerating dermal collagen and mucin.
Nutritional Dermatoses in the Hospitalized Patient
The World Health Organization defines malnutrition as deficiencies, excesses, or imbalances in an individual’s intake of energy and/or nutrients.1 This review will focus on undernutrition, which may result from macronutrient or micronutrient deficiencies.
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