Shelley WB, Shelley ED
In their May 1994 entries, the Shelleys marvel at the patients they've treated for vitiligo, recalcitrant cystic acne, scleroderma, and more. They recount their informative meeting with Neil S. Prose, MD, a pediatric dermatologist. Some pearls included: candidiasis is the most common skin infection in children with human immunodeficiency virus; shingles in childhood indicates that the child had chickenpox in the first year of life; slapped cheek syndrome (Fifth disease) is transmitted through respiratory secretions containing human parvovirus B19; and many more.
The Shelleys also discuss the benefits of UVB phototherapy for the treatment of psoriasis, pruritus, and eosinophilic folliculitis in patients with human immunodeficiency virus. The Shelleys also discuss the ongoing concern of health policy legislation after attending a symposium that focused on managed care. The Shelleys remark on the subject, “The main pushers for health care reform are those people who already have insurance coverage and are afraid to lose it.”
They also address the use of case reports as educational tools, noting that "each anecdotal report serves as a guidepost for therapy." Another anecdote: "Praise the primary care treatment whenever possible, and emphasize that the patient's past experience is the basis for future therapeutics success."