General Dermatology   

Do you reserve biologics for more systemic involvement? When do you initiate biologics such as secukinumab? 

What changes do you make to your treatment approach to adapt to this altered disease state?

How do you balance concern for causing skin hypopigmentation with many of the traditional treatment modalities we have?

Given that Accutane can affect calcium homeostasis, would you recommend continuing Accutane or are additional steps or workup warranted?

What specific settings and devices do you prefer to use? 

Do you have a preference for biologics or phosphodiesterase inhibitors? 

What treatment regimen have you found most effective? Do you recommend any lifestyle changes or prescribe oral azoles? Any experience with topical r...

Do you start/trial them on another biologic or just rely on topical therapies?

When do you switch to steroid-sparing medications? What steroid-sparing therapies do you prefer?

Given the side effect profile and risk of relapse off oral TXA therapy, do you prefer pulse dosing (i.e. 3 months on, 3 months off) or continuous ther...

For instance - any tips regarding coordination of care/transportation, associated lymphedema management, wound care, and pain control would be welcome...

With no high-risk exposure do you repeat quant gold?

Do you order blood work to evaluate for underlying dyslipidemia or other metabolic diseases?

Have you had success with deroofing or surgical excision? Is ILK the best option?

Have you recommended supplementing less common supplements such as zinc or selenium?

Do your recommendations differ depending on the fragrance category (i.e fragrance mix I, II or balsam of Peru)?

How do you navigate insurance coverage?

Are there any skin care products you would avoid in this population?

And if so how soon after do you start?

Based on the KEYNOTE-716 study and Dec 2021 FDA approval

What treatment modalities have you tried for "dermal hypersensitivity reaction"? 

What’s your preferred NSAIDs and next steps?

Is isotretinoin the only effective option?

How should IVIG and either biologic injections or infusions be spaced?

Are you less likely to prescribe it for patients with dyslipidemia or autoimmune disease?

Have you had success with topical lovastatin or PDT?

Do you recommend any dietary changes or supplements? Do you modify your recommendations if the patient is breast feeding?

Have you tried any of the newer biologics?

Do you typically order a systemic workup? And, after topical corticosteroids, what other treatment options do you prefer?

Any evidence behind this practice?

What labs do you order? How often do you order labs?  Have you ever needed to discontinue isotretinoin due to lab abnormalities?

Does your treatment management differs for oral erosive lichen planus? How would you approach patients with active malignancy on chemo and radiation?

If so, where can patients find it? And besides topical clindamycin, what other topicals do you find helpful for individual lesions?

The symptoms can be really miserable.I try to control it with antihistamines (don't find these helpful in most cases) and topical steroids, but that d...

Do you refer them to Ophthalmology? Have you had to switch patients off of Dupixent due to their ocular side effects?

Is a positive thimerosal test always a false positive?

Especially after surgical procedures

Any success with hydroxychloroquine?

What recommendations do you provide if there is concern that the patient is beginning to flare? Have you prescribed any of the new JAK inhibitors?

Is skin testing advised prior to trialing alternative?

Does your evaluation hinge on nonresolution with warming? How extensive is your workup?

Does morphology guide your workup?

In your experience, do specific patient features predict a better response?