The Grenz Zone

We kick off our 3rd reaction pattern, the vascular disorders, by discussing EM with the help of another new attending, Dr. DOOD.  As always, we’ll share pearls in the H&P, workup, and management of EM patients 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...

The Grenz Zone podcast welcomes our pediatric dermatologist Dr. Binky to discuss diaper dermatitis, which affects 25-50% of infants.   She shares pearls for developing your differential diagnosis and how to approach your H&P and treatment strategies. Connect with us: Facebook   │   Instagram www.grenzzonederm.com – includes excellent episode study guides! Feel free to contact us...

Acne is more complicated than you think.  Dr. Grumpypants sticks around to share some more pearls in this 2-part series on acne.  This episode will discuss systemic treatments for acne including antibiotics, oral contraceptive pills, spironolactone, and isotretinoin. We then discuss pearls for your history and physical examination of an acne patient, along with approaches to treatment. C...

Acne is more complicated than you think.  Dr. Grumpypants makes his return in this 2-part series on acne.  This episode will cover the pathogenesis, aggravating factors (e.g. hormonal flares, cosmetic products, medications, diet), pediatric acne basics, and topical acne treatments. Connect with us: Facebook   │   Instagram www.grenzzonederm.com – includes excellent episode stud...

Dr. Chop joins us once again to teach us some pearls on pre-malignant actinic keratoses and the 2nd most common skin cancer, cutaneous squamous cell carcinoma (SCC) 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,...

We start season 2 by taking a quick detour from the reaction patterns to cover some important dermatology topics, starting with basal cell carcinoma (BCC).  We also welcome our first new attending of the season with Dr. Chop to teach us some pearls on BCC, which is the most common type of skin cancer that affects up to 25% of Caucasian Americans in their lifetimes. Connect with us: Facebook &...

Atopic dermatitis is the most common chronic dermatoses treated by healthcare providers.  We will discuss pearls in diagnosis (including associated skin findings like keratosis pilaris), trigger avoidance, diagnosis, and treatment. Connect with us: Facebook   │   Instagram www.grenzzonederm.com – includes excellent episode study guides! Feel free to contact us with any feedback thro...

This is an incredibly important topic for our listeners in primary care – the approach to patients with red lower legs.  We will discuss pearls to approaching these patients and include an in-depth discussion on stasis dermatitis, along with a bonus section on another common eczematous disorder:  asteatotic eczema. Connect with us: Facebook   │   Instagram www.grenzzonederm.com...

We kick off our 2nd reaction pattern of eczematous disorders by discussing irritant and allergic contact dermatitis.  Dr. Grumpypants has some games to help teach us the most common irritants and allergens to know in dermatology. Connect with us: Facebook   │   Instagram www.grenzzonederm.com – includes excellent episode study guides! Feel free to contact us with any feedback throug...

Erythroderma is not a diagnosis, but rather a clinical presentation that carries a wide differential diagnosis.  This podcast discusses some great pearls for remembering a broad differential and using it to guide your H&P, workup, and eventual treatment. Connect with us: Facebook   │   Instagram www.grenzzonederm.com – includes excellent episode study guides! Feel free to contac...

This episode includes an in depth discussion on the various tinea infections, followed by pearls in the etiology and diagnosis for two other papulosquamous disorders that are often misdiagnosed:  subacute cutaneous lupus erythematosus (SCLE) and erythema annulare centrifigum (EAC). Connect with us: Facebook   │   Instagram www.grenzzonederm.com – includes excellent episode study gui...

Lichen planus is a relatively dermatologic rash that has a long list of variants.  This podcast includes a discussion of these variants along with pearls for remembering their histology, diagnosis, and treatment. 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...

Pityriasis rosea is a common rash that can often be diagnosed without biopsy.  However it can be mimicked by secondary syphilis and tinea versicolor.  This episode includes a discussion of all 3 disorders and includes a clinical scenario seeing a young patient with a pityriasiform rash along with Dr. Grumpypants. Connect with us: Facebook   │   Instagram www.grenzzonederm.com –...

We round out the psoriasiform papulosquamous disorders with a double-feature on two often under-recognized disorders:  parapsoriasis and pityriasis rubra pilaris (PRP).   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 yo...

Mycosis fungoides and other cutaneous T cell lymphomas (CTCL) can be a confusing and complicated topic.  We will simplify CTCL and discuss the pathogenesis, diagnosis, and treatment of mycosis fungoides. 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 grenzz...

We continue our papulosquamous differential by discussing seborrheic dermatitis, another extremely common dermatologic condition affecting people of all ages from infants to the elderly.  Dr. Grumpypants will be joining us again to give us some pearls on diagnosis and treatment. Connect with us: Facebook   │   Instagram www.grenzzonederm.com – includes excellent episode study guides...

Now that you’ve got the history and physical for a psoriasis patient down, how do we get them better?  To understand treatment, we will start by breaking the immunology down to the basics, in an easy-to-understand fashion.  We will then go treatments for psoriasis including topicals, UV light, oral medications, and biologic agents.  Note:  Since the recording of this episode, a...

We will kick off our papulosquamous reaction pattern by discussing a bread and butter topic in dermatology:  psoriasis.  This podcast discusses pearls for getting a thorough history, review of systems, and physical exam for your patients with psoriasis. Connect with us: Facebook   │   Instagram www.grenzzonederm.com – includes excellent episode study guides! Feel free to contac...

This episode will lay the groundwork for the first several seasons.  We will start with a brief introduction to the 5 morphologic reaction patterns from the paper “An approach to clinical dermatologic diagnosis based on morphologic reaction patterns” (reference below).  We will then end with an exclusive interview with the paper’s author Dr. Charles Gropper, who is an associate clinical...

A great dermatology provider knows how to get a thorough history and physical exam.  We will discuss some pearls on getting this thorough history and discuss how to do a full body skin exam. 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...

In order to provide dermatologic care, we must understand the anatomy of the skin, hair, and nails.  This episode will start with a brief introduction describing the content of the podcast - who it’s intended for, how it is organized, etc.  We will then go over the basic anatomy of the skin, hair, and nails, and throw in clinical correlations that are relevant for boards, and more import...