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A Dermatologic Diary: Portrait of a Practice (Cutis. 1995;55:17-24)

In their November 1994 journal entries, the Shelleys list the major risks for melanoma summarized by Dr. Rona M. MacKie at the Michigan Dermatological Society Meeting at Wayne State University in Detroit. Surprisingly, blue eyes and fair skin were not risk factors.

The Shelleys report that when assessing very early basal cell epitheliomas, they listen to the patient; local pain favors a diagnosis of epithelioma over actinic keratosis.

Among other intellectual treats, the Shelleys saw a score of dermatologic cases. The Shelleys describe patients with herpetic whitlow, alopecia areata, seborrheic dermatitis, contact dermatitis of the eyelids, and many other conditions.

A tip from this entry: "Anecdotes open trails that may or may not become highways of therapy in the future."


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