Chronic pain management in dermatology: a guide to assessment and nonopioid pharmacotherapy.

Abstract:

:Pain is a central component of illness and suffering, yet unfortunately it is frequently undertreated. In dermatology, many acute and chronic conditions are characterized by pain that may require therapeutic intervention in addition to medical treatment aimed at treating the primary disease. To date, however, there are limited recommendations or evidence in the published literature on pain and pain management strategies for patients with skin disease. In an effort to enable providers to more comprehensively and effectively treat chronic pain in the primary and multidisciplinary dermatologic context, these topics will be discussed in this 2-part continuing medical education article. Part I of this series will describe important mechanisms of pain and detail individualized chronic pain assessment and treatment strategies using nonopioid analgesia.

journal_name

J Am Acad Dermatol

authors

Enamandram M,Rathmell JP,Kimball AB

doi

10.1016/j.jaad.2014.11.039

subject

Has Abstract

pub_date

2015-10-01 00:00:00

pages

563-73; quiz 573-4

issue

4

eissn

0190-9622

issn

1097-6787

pii

S0190-9622(15)00097-3

journal_volume

73

pub_type

杂志文章,评审
  • Multiple familial cutaneous glomangioma: a pedigree of 4 generations and critical analysis of histologic and genetic differences of glomus tumors.

    abstract:BACKGROUND:Glomangiomas are benign tumors arising from neuromyoarterial cells surrounding cutaneous arteriovenous anastomoses that serve as temperature regulators. They exist as solitary or multiple types, occurring sporadically or in a familial pattern, the latter of which is rare. OBJECTIVE:We describe a 4-generatio...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:

    authors: Blume-Peytavi U,Adler YD,Geilen CC,Ahmad W,Christiano A,Goerdt S,Orfanos CE

    更新日期:2000-04-01 00:00:00

  • The role of wide local excision for the treatment of severe hidradenitis suppurativa (Hurley grade III): Retrospective analysis of 74 patients.

    abstract:BACKGROUND:Effective medical treatment for patients with severe hidradenitis suppurativa (HS) is limited. OBJECTIVES:We sought to measure the impact of wide local excision on quality of life in HS Hurley grade III patients and to examine the rate of postoperative complications, disease recurrences, and satisfaction wi...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2017.01.055

    authors: Posch C,Monshi B,Quint T,Vujic I,Lilgenau N,Rappersberger K

    更新日期:2017-07-01 00:00:00

  • Primary cutaneous Richter syndrome: prognostic implications and review of the literature.

    abstract::The term Richter syndrome (RS) describes the transformation of chronic lymphocytic leukemia into a high-grade lymphoma. RS occurs in 3% to 10% of chronic lymphocytic leukemia cases, and its onset is often characterized by the abrupt development of systemic symptoms (eg, fever in the absence of infection, night sweats,...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jaad.2008.07.017

    authors: Yamazaki ML,Lum CA,Izumi AK

    更新日期:2009-01-01 00:00:00

  • The impact of dupilumab on patch testing and the prevalence of comorbid allergic contact dermatitis in recalcitrant atopic dermatitis: A retrospective chart review.

    abstract:BACKGROUND:It is unclear whether the type 2 T helper cell-specific immunosuppressive action of dupilumab interferes with patch testing. OBJECTIVES:We sought to evaluate the reliability of patch testing on dupilumab and the contribution of allergic contact dermatitis (ACD) to complex dermatitis in patients with residua...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2019.09.028

    authors: Raffi J,Suresh R,Botto N,Murase JE

    更新日期:2020-01-01 00:00:00

  • Surgical technique for optimal outcomes: Part II. Repairing tissue: suturing.

    abstract::Sound surgical technique is necessary to achieve excellent surgical outcomes. Despite the fact that dermatologists perform more office-based cutaneous surgery than any other specialty, few dermatologists have opportunities for practical instruction to improve surgical technique after residency and fellowship. This 2-p...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jaad.2014.08.006

    authors: Miller CJ,Antunes MB,Sobanko JF

    更新日期:2015-03-01 00:00:00

  • Layered closure versus buried sutures and adhesive strips for cheek defect repair after cutaneous malignancy excision.

    abstract:BACKGROUND:Primary closure of surgical defects after excision of cutaneous malignancies has been traditionally accomplished with layered closure. OBJECTIVE:We sought to compare the cosmetic outcome of cheek defects repaired with layered closure versus buried sutures and adhesive strips. METHODS:In all, 38 patients un...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jaad.2010.11.007

    authors: Plotner AN,Mailler-Savage E,Adams B,Gloster HM Jr

    更新日期:2011-06-01 00:00:00

  • Bullosis diabeticorum. Report of a case with a review of the literature.

    abstract::The case of a male diabetic patient with recurrent bullous lesions restricted to the hands is reported. Areas of spongiosis in the epidermis, as well as subepidermal blister formation, were observed in repeated biopsies. On electron microscopy, separation was seen at the level of the lamina lucida. No immunopathology ...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:

    authors: Toonstra J

    更新日期:1985-11-01 00:00:00

  • Penicillamine-induced elastosis of the mucosal lip.

    abstract::Long-term penicillamine therapy has been associated with alterations in dermal elastic tissue. Well-described associated dermatoses include pseudo-pseudoxanthoma elasticum, acquired cutis laxa, elastosis perforans serpiginosa, and anetoderma. Histologically, "lumpy-bumpy" or "bramble-bush" morphologic changes of elast...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2008.09.018

    authors: Lewis BK,Chern PL,Stone MS

    更新日期:2009-04-01 00:00:00

  • Melasma: a clinical, light microscopic, ultrastructural, and immunofluorescence study.

    abstract::Melasma is an acquired brown hypermelanosis of the face. Although it is thought that melasma is associated with multiple etiologic factors (pregnancy, gastric, racial, and endocrine), one of the primary causes of its exacerbation appears to be exposure to sunlight. Three patterns of melasma are recognized clinically: ...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/s0190-9622(81)70071-9

    authors: Sanchez NP,Pathak MA,Sato S,Fitzpatrick TB,Sanchez JL,Mihm MC Jr

    更新日期:1981-06-01 00:00:00

  • Acral localized acquired cutis laxa.

    abstract::We report the first case of acral localized acquired cutis laxa. The skin laxity was preceded by swelling of the fingers and toes and by the appearance of papular urticaria. Dapsone therapy was effective in controlling the swelling. Examination of skin biopsy specimens showed fragmentation and almost total loss of ela...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/s0190-9622(89)70145-6

    authors: Fisher BK,Page E,Hanna W

    更新日期:1989-07-01 00:00:00

  • Linear verrucous hemangioma.

    abstract::A 16-year-old male patient had multiple angiokeratotic lesions arranged in a linear pattern on his left arm. Histopathologic examination showed characteristic features of verrucous hemangioma. This entity should be distinguished from angiokeratoma or simple hemangioma. The linear arrangement of lesions as observed in ...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/s0190-9622(00)90232-9

    authors: Wentscher U,Happle R

    更新日期:2000-03-01 00:00:00

  • Lichen sclerosus.

    abstract::Dialogues in Dermatology, a monthly audio program from the American Academy of Dermatology, contains discussions between dermatologists on timely topics. Commentaries from Dialogues Editor-in-Chief Warren R. Heymann, MD, are provided after each discussion as a topic summary and are provided here as a special service t...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2006.11.031

    authors: Heymann WR

    更新日期:2007-04-01 00:00:00

  • Reliability and accuracy of dermatologists' clinic-based and digital image consultations.

    abstract:BACKGROUND:Telemedicine technology holds great promise for dermatologic health care delivery. However, the clinical outcomes of digital image consultations (teledermatology) must be compared with traditional clinic-based consultations. OBJECTIVE:Our purpose was to assess and compare the reliability and accuracy of der...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/s0190-9622(99)70003-4

    authors: Whited JD,Hall RP,Simel DL,Foy ME,Stechuchak KM,Drugge RJ,Grichnik JM,Myers SA,Horner RD

    更新日期:1999-11-01 00:00:00

  • Occurrence of Langerhans cells and expression of class II antigens on keratinocytes in malignant and benign epithelial tumors of the skin: an immunohistopathologic study with monoclonal antibodies.

    abstract::We used an avidin-biotin complex immunoperoxidase technique with various monoclonal antibodies to determine Langerhans cell densities, class II antigen expression on keratinocytes, and phenotypes of other infiltrating cells in several malignant and benign epithelial tumors of the skin. Our observations indicate (1) th...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/s0190-9622(89)70125-0

    authors: Chen HD,Zhao YM,Sun G,Yang CY

    更新日期:1989-06-01 00:00:00

  • Role of the argon laser in treatment of lymphocytoma cutis.

    abstract::Lymphocytoma cutis characteristically appears as persistent reddish purple papules, nodules, or plaques. Response to treatment is variable and recurrences are common. We report the use of the argon laser as a modality that improved cosmetic appearance and alleviated symptoms of lymphocytoma cutis but that failed to pr...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/s0190-9622(86)70032-7

    authors: Wheeland RG,Kantor GR,Bailin PL,Bergfeld WF

    更新日期:1986-02-01 00:00:00

  • Treatment of acquired perforating dermatosis with narrowband ultraviolet B.

    abstract::Acquired perforating dermatosis is difficult to treat. We describe effective therapy of acquired perforating dermatosis with narrowband UVB in 5 patients. Phototherapy was given 2 or 3 times weekly. The dose was started at 400 mJ/cm(2) and increased to a maximum of 1500 mJ/cm(2). All lesions disappeared completely aft...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2004.02.009

    authors: Ohe S,Danno K,Sasaki H,Isei T,Okamoto H,Horio T

    更新日期:2004-06-01 00:00:00

  • Neutrophilic dermatosis with myelodysplastic syndrome: nuclear segmentation anomalies of neutrophils in the skin lesion and in peripheral blood.

    abstract::Neutrophilic dermatosis developed in two patients with myelodysplastic syndrome. Biopsy specimens of their skin lesions showed marked infiltration by neutrophils with nuclear anomalies, that is, hyposegmentation (pseudo-Pelger-Huët anomaly) or hypersegmentation. Peripheral blood and bone marrow neutrophils had similar...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/0190-9622(90)70206-w

    authors: Morioka N,Otsuka F,Nogita T,Igisu K,Urabe A,Ishibashi Y

    更新日期:1990-08-01 00:00:00

  • Disseminated superficial actinic porokeratosis associated with topical PUVA.

    abstract::Disseminated superficial actinic porokeratosis (DSAP) is associated with sun exposure and tanning bed usage and has been rarely reported in association with systemic PUVA. We report the first case of DSAP occurring after topical foot PUVA. ...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1067/mjd.2000.107941

    authors: Allen AL,Glaser DA

    更新日期:2000-10-01 00:00:00

  • Hyperhidrosis and botulinum toxin: expanding horizons.

    abstract::Dialogues in Dermatology, a monthly audio program from the American Academy of Dermatology, contains discussions between dermatologists on timely topics. Commentaries from Dialogues Editor-in-Chief Warren R. Heymann, MD, are provided after each discussion as a topic summary and are provided here as a special service t...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2008.01.018

    authors: Heymann WR

    更新日期:2008-08-01 00:00:00

  • Assessment of the risk of cardiovascular disease in patients with rosacea.

    abstract:BACKGROUND:Recent studies have shown a higher prevalence of cardiovascular (CV) risk factors in patients with rosacea. However, it remains unknown whether rosacea represents an independent CV risk factor. OBJECTIVE:We evaluated the risk of myocardial infarction, stroke, CV death, major adverse CV events, and all-cause...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2016.02.1158

    authors: Egeberg A,Hansen PR,Gislason GH,Thyssen JP

    更新日期:2016-08-01 00:00:00

  • Diagnosis and incidence of delayed pressure urticaria in patients with chronic urticaria.

    abstract:BACKGROUND:The incidence of delayed pressure urticaria (DPU) may have been underestimated, particularly in patients with widespread wheals of concurrent idiopathic urticaria, because of difficulty in recognizing the association between pressure-related swellings and the preceding physical stimulus. Diagnostic tests for...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/0190-9622(93)70273-v

    authors: Barlow RJ,Warburton F,Watson K,Black AK,Greaves MW

    更新日期:1993-12-01 00:00:00

  • The local treatment and available dressings designed for chronic wounds.

    abstract::The great diversity of wounds and the broad range of available dressings complicate the selection of proper chronic wound treatment. Choosing the right treatment is the essential step in the healing process. In this review, we focus on chronic nonhealing ulcers, which are a critical problem in clinical practice, and c...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jaad.2011.06.028

    authors: Skórkowska-Telichowska K,Czemplik M,Kulma A,Szopa J

    更新日期:2013-04-01 00:00:00

  • Is pyogenic granuloma associated with Bartonella infection?

    abstract::Lobular capillary hemangioma and bacillary angiomatosis due to Bartonella infection share several clinical and histopathologic characteristics. We sought to determine whether lobular capillary hemangioma is caused by the same agent as bacillary angiomatosis. Forty-five pathology specimens with a histologic diagnosis o...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2005.08.046

    authors: Levy I,Rolain JM,Lepidi H,Raoult D,Feinmesser M,Lapidoth M,Ben-Amitai D

    更新日期:2005-12-01 00:00:00

  • Promotion of frequent tanning sessions by indoor tanning facilities: two studies.

    abstract:BACKGROUND:Indoor tanning may increase the risk of melanoma and other health problems. Frequent users of indoor tanning facilities may be at particularly high risk. OBJECTIVE:In study 1 our purpose was to assess the prevalence and nature of indoor tanning advertisements; in study 2 we aimed to assess tanning facility ...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1067/mjd.2002.119560

    authors: Kwon HT,Mayer JA,Walker KK,Yu H,Lewis EC,Belch GE

    更新日期:2002-05-01 00:00:00

  • An analysis of health system reform for dermatologists: elements and implications of the Patient Protection and Affordable Care Act.

    abstract::The Patient Protection and Affordable Care Act will have substantial effects on the US health care system. Physicians hold varied opinions regarding the overall merits or drawbacks of the health system reform law, but it is critical that we understand its components and the implications for our practices and our patie...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2010.07.020

    authors: Resneck JS Jr

    更新日期:2010-10-01 00:00:00

  • Cutaneous vascular proliferations. Part III. Malignant neoplasms, other cutaneous neoplasms with significant vascular component, and disorders erroneously considered as vascular neoplasms.

    abstract::In this third and last part of our review of cutaneous vascular proliferations we include malignant vascular neoplasms and a group of heterogeneous cutaneous neoplasms characterized by a significant vascular component. We also review some disorders that, in our opinion, have been erroneously considered as vascular neo...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,评审

    doi:10.1016/s0190-9622(98)70237-3

    authors: Requena L,Sangueza OP

    更新日期:1998-02-01 00:00:00

  • Power analysis in dermatohistopathology.

    abstract::Magnification of histologic and ultrastructural photoimages is frequently misrepresented in published reports. "Power," P, the usual mode of representation of magnification, is defined as the ratio of the distance between two points on the photoimage to that between the same two points on the original specimen, but is...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/s0190-9622(85)70194-6

    authors: Lambert WC,Lambert MW

    更新日期:1985-09-01 00:00:00

  • A 12-month treatment of severe psoriasis with acitretin: results of a Canadian open multicenter study.

    abstract::Both etretinate and its principal metabolite, acitretin, are efficacious in the treatment of psoriasis. Because patients with severe psoriasis often require chronic therapy, this study was undertaken to determine the efficacy, tolerability, and safety of acitretin in patients on continuous treatment for 12 months. The...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1016/0190-9622(91)70091-f

    authors: Murray HE,Anhalt AW,Lessard R,Schacter RK,Ross JB,Stewart WD,Geiger JM

    更新日期:1991-04-01 00:00:00

  • The study of nevi in children: Principles learned and implications for melanoma diagnosis.

    abstract::Melanocytic nevi are a strong phenotypic marker of cutaneous melanoma risk. Changes in nevi during childhood and adolescence make these prime periods for studying nevogenesis. Insights gained by the study of nevi in childhood have implications for melanoma detection in both adults and children. A more comprehensive un...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jaad.2016.03.027

    authors: Scope A,Marchetti MA,Marghoob AA,Dusza SW,Geller AC,Satagopan JM,Weinstock MA,Berwick M,Halpern AC

    更新日期:2016-10-01 00:00:00

  • A systematic review of patient-reported outcome instruments of nonmelanoma skin cancer in the dermatologic population.

    abstract:BACKGROUND:Treatment of basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) has traditionally focused on minimizing recurrence and complication rates. However, the assessment of patient satisfaction and quality of life (QOL) is also important. These outcomes are best assessed by patient-reported outcome (PRO) ...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jaad.2012.09.017

    authors: Lee EH,Klassen AF,Nehal KS,Cano SJ,Waters J,Pusic AL

    更新日期:2013-08-01 00:00:00