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The Grenz Zone

Logan Kolb, DO; Karthik Krishnamurthy, DO

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Logan Kolb, DO, a practicing dermatologist, breaks down common skin rashes and lesions in a simple, fun, and engaging fashion to build a strong foundation of dermatology knowledge for dermatology providers.
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The Dermalorian Podcast

Dermatology Education Foundation

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The Dermalorian Podcast from the Dermatology Education Foundation (DEF) focuses on issues affecting patient care, professional development and career advancement for Nurse Practitioners and Physician Assistants in dermatology. In addition, you'll hear about healthcare trends, new research, and new and emerging therapeutics, among others.
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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 feedbac…
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With dermatology NP and PA compensation on the rise, jobs may be competitive. Michelle Sullentrup, CEO and Founder of MyDermRecruiter, shares tips for showcasing productivity and understanding your value to a potential employer. Also in this episode of the Dermalorian™ Podcast, Michelle Hure, MD, MS, FAAD shares insights on working with a dermatopa…
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In this special bonus edition of The Dermalorian Podcast™, you'll get a sneak peek at what's in store during the DEF Essential Resource Meeting 2024 (DERM2024) NP/PA CME Conference, the largest national NP/PA CME conference in dermatology. Hear from DEF Founder and President, Joe Gorelick, MSN, FNP-C; Wendy Cantrell, DNP, CRNP; Kara Gooding, MMS, P…
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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 an…
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Data show that compensation for dermatology NPs and PAs is on the rise, according to Michelle Sullentrup, CEO and Founder of MyDermRecruiter. In this episode of the Dermalorian™ podcast, she shares insights on compensation and hiring trends. Plus, get an update on the Physician Associate title now enacted in Oregan law. Like what you're hearing? Ha…
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Acne is one of the most common skin diseases, and nearly every individual will develop acne at some point in their lives. Treatment options range from OTC antimicrobials to prescription oral therapies, like isotretinoin. Hilary Baldwin, MD, Founding Director of the Acne Treatment and Research Center in Brooklyn, NY provides an overview of acne path…
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"Forever chemicals" have been in the news, and maybe they've been in your clinic. From skincare and makeup products to occupational gear and more, patients are exposed to PFAS, and there could be effects on their skin. Michelle Hure, MD, gives an overview of forever chemicals and key considerations in the dermatology clinic. Plus, Linda Stein Gold,…
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Fungal nail disease can be challenging to diagnose and treat, especially when patients have concomitant diseases that can cause nail dystrophy. DERM faculty member April Armstrong, MD, MPH provides practical guidance on the diagnosis and management of nail disease. Also in this edition, DEF Founder Joe Gorelick, MSN, FNP-C reveals the 2024 Contact …
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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 contac…
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Dermatology clinicians are used to seeing some pretty strange diagnoses. But DEF Advisory Council member Wendy Cantrell, DNP, had a particularly interesting one. Inspired by the Stranger Dx™ theme for DERM2023, she shared the case of a 24-year-old male patient who presented with complaints of an intermittent rash that appears 2 to 3 times per month…
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What’s the difference between primary and secondary failure of a biologic? And why does it matter? Exploring an actual patient case, faculty from the DEF Biologic and Small Molecule NP/PA CME Bootcamp—April Armstrong, MD, MPH; David E. Cohen, MD, MPH; Kara Gooding, MMS, PA-C; and Joe Gorelick, MSN, FNP-C—address these questions and many more. Plus,…
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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 …
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From a resource to help identify “forever chemicals” in cosmetics and skin care products to objective measures to use in the chart note, there are a number of tools, tips, and tricks that dermatology care professionals can use on a daily basis. Speaking at DERM2023, dermatologists David E. Cohen, MD, MPH, Ted Rosen, MD, and Michelle Hure, MD share …
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Aesthetic versus medical dermatology can be a false dichotomy. Dermatologist Gilly Munavalli, MD says there is often a medical/cosmetic overlap. He and dermatologist Suneel Chilukuri, MD, agree that there are many basic aesthetic interventions that could fit into virtually any dermatology practice. They discuss options from chemical peels and micro…
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Dermatopathology isn't typically meant to provide definitive diagnosis. But it can give important information for supporting a diagnosis and guiding patient care. Michelle Hure, MD, founder of OC Skin Lab in Orange County, CA, shares 10 tips for getting better results from a dermatopathologist. Also in this edition, Michelle Sullentrup of MyDermRec…
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The first self-administered biosimilars for dermatology have come to market, bringing along a number of questions for patients, prescribers, pharmacists, and others. TJ Chao, MPAS, PA-C and Leigh Ann Pansch, MSN, FNP-BC, DCNP break through the noise to explain biosimilars, interchangeability, and implications for patient care. Plus, hear from Hilar…
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One of the biggest challenges for NPs and PAs working in dermatology and the practices that hire them is understanding fair and appropriate compensation strategies. Michelle Sullentrup, CEO of MyDermRecruiter.com, joins DEF Founder Joe Gorelick, MSN, FNP-C, for a no-nonsense discussion of billing, collections, productivity, and bonuses. Get answers…
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What's coming up at DERM2023 StrangerDx? Listen in as DEF Founder, Joe Gorelick, MSN, FNP-C; Andrea Nguyen, MS, PA-C; Adam Friedman, MD; Michelle Hure, MD; Ted Rosen, MD; and Leigh Ann Pansch, MSN, FNP-BC, DCNP, give updates about the CME conference and share previews from their presentations. Get insights on STD incidence and prevention, "forever …
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In the second a 2-part series, Ted Rosen, MD continues his focus on systemic diseases in skin of color. He addresses the diagnosis and management of systemic lupus erythematosis and scleroderma, which may have a higher prevalence and more severe presentation in black patients. Plus, Dr. Adam Friedman weighs in on hair loss treatments and Dr. Julie …
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Cutaneous sarcoidosis and hidradenitis suppurativa are two diseases that can be particularly challenging for patients with skin of color. Ted Rosen, MD, FAAD, discusses the diagnosis and long-term management of these conditions. Plus, April Armstrong, MD, FAAD assesses the impact of dietary changes in psoriasis management, and Wendy Cantrell, DNP, …
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Every case of eczema is different, and each patient needs individualized support to manage their disease. Adam Friedman, MD, FAAD shares tips for helping patients achieve symptom control and increasing satisfaction. Plus, Suneel Chilukuri, MD, FAAD shares tips for managing pigmentation without devices, while Steven Hawkes, PA-C, describes the benef…
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What clinical tools can't you live without? In this episode, Joe Gorelick, MSN-FNP-C, Leigh Ann Pansch, MSN, FNP-BC, DCNP, and Darren West, MPAS, PA discuss the tools they use nearly every day. Plus, Ted Rosen, MD, FAAD, provides an update on heat for molluscum and David Cohen, MD addresses the use of biologics in the peri-surgical period. Like wha…
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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! Fe…
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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 so…
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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 – inc…
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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 R…
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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, diagno…
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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 …
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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: Alikha…
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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…
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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 wil…
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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 eos…
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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 │ Instagr…
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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.grenzzon…
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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…
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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 medi…
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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 defi…
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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 …
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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.grenz…
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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 bi…
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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…
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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 wit…
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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 o…
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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 feedb…
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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…
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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,…
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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 – include…
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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@…
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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 …
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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 con…
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