The Grenz Zone

Episode 45 covers the high yield facts about hypopigmented lesions! Check out our first YouTube video! https://www.youtube.com/watch?v=14A5gQNZFGM Donate to The Grenz Zone: https://grenzzonederm.com/donate/ Connect with us: Facebook   │   Instagram www.grenzzonederm.com – includes excellent episode study guides! Feel free to contact us with any feedback through our website or at grenzzon...

Episode 44 continues the dermal reaction pattern with a look at sarcoidosis. Check out our first YouTube video! https://www.youtube.com/watch?v=14A5gQNZFGM Donate to The Grenz Zone: https://grenzzonederm.com/donate/ Connect with us: Facebook   │   Instagram www.grenzzonederm.com – includes excellent episode study guides! Feel free to contact us with any feedback through our website or at...

Episode 43 continues the dermal reaction pattern with a deep dive on granuloma annulare. Check out our first YouTube video! https://www.youtube.com/watch?v=14A5gQNZFGM Donate to The Grenz Zone: https://grenzzonederm.com/donate/ Connect with us: Facebook   │   Instagram www.grenzzonederm.com – includes excellent episode study guides! Feel free to contact us with any feedback through our w...

Episode 42 kicks off the dermal reaction pattern with concise details of the numerous dermal depositional disorders. Connect with us: Facebook   │   Instagram www.grenzzonederm.com – includes excellent episode study guides! Feel free to contact us with any feedback through our website or at grenzzonederm@gmail.com If you enjoy the podcast, please help us out by sharing the episodes with...

Time to bring it home! In the third and final episode of this three part interview series with Dr. Krishnamurthy, we will learn about handling prior authorizations, staffing, and other tips and tricks for best serving our patients on biologics. Connect with us: Facebook   │   Instagram www.grenzzonederm.com – includes excellent episode study guides! Feel free to contact us with any feedb...

Let’s continue learning about biologics! In the second episode of this three part interview series with Dr. Krishnamurthy, we continue to learn about the indications for biologic use and other relevant considerations when prescribing biologics. This is some complicated stuff, and we are grateful to Dr. K for breaking it down for us and giving us some great pearls along the way!  Connect with...

Get excited for some highly requested episodes! In this first episode of a three part interview series with Dr. Krishnamurthy, we will start to break down biologics: what are they, how do they work, and what makes a patient with psoriasis a good candidate for therapy with a biologic?  Connect with us: Facebook   │   Instagram www.grenzzonederm.com – includes excellent episode study guide...

Bumps in a baby?! Say it ain’t so! In this episode, we discuss the differential diagnosis for bumps in infants and young children ranging from benign lesions, such as milia, to more serious lesions, such as pediatric melanomas.  References: Bouraoui S, Mlika M, Kort R, Cherif F, Lahmar A, Sabeh M. Miliary osteoma cutis of the face. J Dermatol Case Rep . 2011;5(4):77-81. doi:10.3315/jdcr.2011....

In this episode, we touch on another common presentation to dermatology offices – hyperhidrosis.  Sweaty palms, sweaty pits, sweaty anything can be very frustrating for patients and very rewarding to get adequate treatment. We’ll discuss pearls in the diagnosis, differential, and treatment toolkit! References: Nawrocki S, Cha J. The etiology, diagnosis, and management of hyperhidrosis: A comp...

In the third episode of season 3, we finish our three episode series on hidradenitis suppurativa with a discussion of HS management pearls with Dr. Joslyn Kirby,  the vice chair of education and program director for the Department of Dermatology at Penn State. She offers her invaluable insight as to how to approach discussion of the disease and its treatment with patients and offers tips for...

In the second episode of season 3, we continue our three episode series on hidradenitis suppurativa with a discussion of the pathogenesis, comorbidities, and treatment of HS. We break down the complex treatment of HS into five categories including trigger avoidance, topical therapies, systemic oral agents, biologics, and surgery.  References: Alikhan A, Sayed C, Alavi A, et al. North American...

In the first episode of season 3, we begin our three episode series on hidradenitis suppurativa with a discussion of the HS patient experience with Dr. Katelyn Baker, a doctor of clinical psychology who graciously shares with us her own personal experiences as a patient with HS. She also offers some suggestions for healthcare providers to help them make their own HS patients feel comfortable and e...

Connect with us: Facebook   │   Instagram www.grenzzonederm.com – includes excellent episode study guides! Feel free to contact us with any feedback through our website or at grenzzonederm@gmail.com If you enjoy the podcast, please help us out by sharing the episodes with a friend and by leaving a 5-star review.  When he’s up for it, Dr. Grumpypants will read his favorite recent review on our...

We round out season 2 and the vascular reaction pattern by discussing vascular tumors and malformations.  With the help of Dr. Binky, we will cover congenital and infantile hemangiomas, PHACES syndrome,  port wine stains, Sturge-Weber syndrome, pyogenic granulomas, angiokeratomas, tufted angiomas, glomus tumors, and angiolymphoid hyperplasia with eosinophilia, Kaposi’s sarcoma, and angio...

After some dense content in the past 4 episodes on vasculitis, vasculopathy, and retiform purpura, we bring it all together at the patient’s bedside with Dr. Jerry Titus-Vasculitis and walk through how to get a thorough H&P for a patient with a purpuric rash, along with discuss the basics of workup and treatment. Connect with us: Facebook   │   Instagram www.grenzzonederm.com – inclu...

Like erythroderma, retiform (branching/angulated) purpura is not the diagnosis – it’s a clinical sign hinting towards a variety of underlying conditions, which can be emergent and deadly.  Dr. DOOD gives us clinical pearls on the differential diagnosis and approach to patients with retiform purpura. Connect with us: Facebook   │   Instagram www.grenzzonederm.com – includes excellent...

Dr. Grumpypants replaces his former rival Jerry Titus-Vasculitis for a discussion on the many causes of vasculopathy, including the inherited and acquired disorders of the coagulation pathway and platelets.  We also discuss embolic disorders, pigmented purpuras, and hypergammaglobulinemic purpura of Waldenstrom. Connect with us: Facebook   │   Instagram www.grenzzonederm.com – inclu...

Like all of dermatology, vasculitis and purpuric rashes are a complicated topic that can be difficult to know where to start with.  We simplify both vasculitis and vasculopathies in a 5-episode series, this time with the corny gameshow “Name That Vasculitis”, hosted by the even cornier Dr. Jerry Titus-Vasculitis.  Who?!?!  We finish the small and medium-vessel vasculitides by coveri...

Like all of dermatology, vasculitis and purpuric rashes are a complicated topic that can be difficult to know where to start with.  We simplify both vasculitis and vasculopathies in a 5-episode series, this time with the corny gameshow “Name That Vasculitis”, hosted by the even cornier Dr. Jerry Titus-Vasculitis.  Who?!?!  This episode covers the definitions of vasculitis and vascul...

Around 10-20% of the population, including Dr. Grumpypants, will develop hives (urticaria) in their lifetime, and it can be more complicated than you think.  We discuss its pathogenesis, differential diagnosis, workup, and management. Connect with us: Facebook   │   Instagram www.grenzzonederm.com – includes excellent episode study guides! Feel free to contact us with any feedback t...

Dr. Grumpypants joins us to discuss this group of disorders that have a very distinct appearance but very different causes and prognoses.  We will cover erythema annulare centrifigum (EAC), erythema gyratum repens (EGR), erythema migrans (a/w Lyme disease), and erythema marginatum (a/w rheumatic fever) Connect with us: Facebook   │   Instagram www.grenzzonederm.com – includes excell...

In response to the COVID-19 pandemic, we will veer from our traditional content in order to give dermatology providers information and guidance.  This episode will include a basic discussion of what we know about COVID-19, along with an interview with Dr. Krishnamurthy on how dermatology practices are adjusting to the outbreak, including managing biologic therapies and how they’re adjusting s...

When you get a consult for concern of Stevens Johnson syndrome or TEN, you cannot get tunnel vision and have to keep a broad differential, which should include many of the toxin-mediated disorders we’ll discuss in today’s episode, including Staphylococcal scalded skin syndrome, toxic shock syndrome, Kawasaki disease, and scarlet fever.   Connect with us: Facebook   │   Instagra...

With the help of Dr. Binky, we’ll go beyond simply labeling a rash as a viral exanthem and discuss the common causes and the less commonly seen viral exanthems like measles that can’t be missed, and are highly testable. Connect with us: Facebook   │   Instagram www.grenzzonederm.com – includes excellent episode study guides! Feel free to contact us with any feedback through our website o...

We continue our vascular reaction pattern with Dr. DOOD by discussing one of the most important dermatology emergencies, Stevens Johnson syndrome (SJS) and toxic epidermal necrolysis.   Connect with us: Facebook   │   Instagram www.grenzzonederm.com – includes excellent episode study guides! Feel free to contact us with any feedback through our website or at grenzzonederm@gmail...