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| Dirk M ElstonSummaryAffiliation: Geisinger Medical Center Country: USA Publications
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Publications
Aquatic antagonists: Portuguese man-of-war (Physalia physalis)Dirk M Elston
Department of Dermatology, Geisinger Medical Center, 100 N Academy Ave, Danville, PA 17821, USA
Cutis 80:186-8. 2007
What's eating you? Schistosoma japonicumDirk M Elston
Department of Dermatology, Laboratory Medicine, Geisinger Medical Center, Danville, Pennsylvania 17822 1406, USA
Cutis 73:299-300. 2004
What's eating you? Flat rock scorpion (Hadogenes granulatus)Dirk M Elston
Department of Dermatology, Geisinger Medical Center, Danville, Pennsylvania 17821, USA
Cutis 79:273-4. 2007
What's eating you? Schistosoma haematobiumDirk M Elston
Department of Dermatology, Geisinger Medical Center, Danville, Pennsylvania 17822 1406, USA
Cutis 73:233-4. 2004
What's eating you? Plain eastern stripeless scorpion (Vaejovis carolinianus)Dirk M Elston
Departments of Dermatology, Geisinger Medical Center, Danville, Pennsylvania 17821, USA
Cutis 78:393-4. 2006
What's eating you? Schistosoma mansoniDirk M Elston
Department of Dermatology and Laboratory Medicine, Geisinger Medical Center, Danville, Pennsylvania 17822 1406, USA
Cutis 73:387-9. 2004
What's eating you? Cheyletiella mitesDirk M Elston
Department of Dermatology, Geisinger Medical Center, Danville, Pennsylvania 17822 1406, USA
Cutis 74:23-4. 2004
What's eating you? Common striped bark scorpion (Centruroides vittatus)Dirk M Elston
Department of Dermatology, Geisinger Medical Center, 100 N Academy Ave, Danville, PA 1782, USA
Cutis 78:233-4. 2006
Aquatic antagonists: stingray injuryDirk M Elston
Department of Dermatology, Geisinger Medical Center, 100 N Academy Ave, Danville, PA 17821, USA
Cutis 78:93-4. 2006
What's eating you? Blister beetlesDirk M Elston
Department of Dermatology, Geisinger Medical Center, Danville, Pennsylvania 17822 1406, USA
Cutis 74:285-6. 2004
Aquatic antagonists: sea anemone dermatitisDirk M Elston
Department of Dermatology and Laboratory Medicine, Geisinger Medical Center, Danville, Pennsylvania 17821, USA
Cutis 78:31-2. 2006
What's eating you? ChiggersDirk M Elston
Department of Dermatology, Geisinger Medical Center, 100 N Academy Ave, Danville, PA 17821, USA
Cutis 77:350-2. 2006
What's eating you? Psoroptes mitesDirk M Elston
Department of Dermatology, Geisinger Medical Center, Danville, Pennsylvania 17821, USA
Cutis 77:283-4. 2006
What's eating you? Trichuris trichiura (human whipworm)Dirk M Elston
Department of Dermatology, Geisinger Medical Center, Danville, PA 17821, USA
Cutis 77:75-6. 2006
Laboratory results that should be ignoredDirk M Elston
Department of Dermatology, Geisinger Medical Center, Danville, Pennsylvania, USA
MedGenMed 8:9. 2006
What's eating you? The South African fattail scorpion (Parabuthus transvaalicus)Dirk M Elston
Department of Dermatology, Geisinger Medical Center, Danville, Pennsylvania 17821, USA
Cutis 76:299-300. 2005
Optimal antibacterial treatment of uncomplicated skin and skin structure infections: applying a novel treatment algorithmDirk M Elston
Geisinger Medical Center, Danville, PA 17822 9800, USA
J Drugs Dermatol 4:s15-9. 2005..When the history and physical exam suggest CA-MRSA infection, and there is no fluctuant collection of purulent material to be drained, a sulfa drug or tetracycline is generally the best choice for initial empiric therapy...
What's eating you? Saddleback caterpillar (Acharia stimulea)Dirk M Elston
Department of Dermatology, Geisinger Medical Center, Danville, Pennsylvania 17821, USA
Cutis 80:110-2. 2007
What's eating you? Tarantulas (Theraphosidae)Dirk M Elston
Brooke Army Medical Center, San Antonio, Texas, USA
Cutis 70:162-3. 2002
Patient safety: Part I. Patient safety and the dermatologistDirk M Elston
Departments of Dermatology and Pathology, Geisinger Medical Center, 100 N Academy Ave, Danville, PA 17822 1406, USA
J Am Acad Dermatol 61:179-90; quiz 191. 2009....
Tick bites and skin rashesDirk M Elston
Department of Dermatology, Geisinger Medical Center, 100 North Academy Ave, Danville, Pennsylvania, USA
Curr Opin Infect Dis 23:132-8. 2010..This paper will review the major ticks of medical importance and the diseases they transmit, including important emerging pathogens...
What's eating you? Enterobius vermicularis (pinworms, threadworms)Dirk M Elston
Department of Dermatology, Geisinger Medical Center, Danville, Pennsylvania 17822 1406, USA
Cutis 71:268-70. 2003
How to handle a CA-MRSA outbreakDirk M Elston
Department of Dermatology, Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822, USA
Dermatol Clin 27:43-8. 2009..The recurrence and attack rates of close contacts are high and relate to persistent colonization...
Aquatic antagonists: lionfish (Pterois volitans)Dirk M Elston
Department of Dermatology, Geisinger Medical Center, Danville, Pennsylvania 17821, USA
Cutis 77:215-6. 2006
Demodex mites: facts and controversiesDirk M Elston
Department of Dermatology, Geisinger Medical Center, Danville, PA 17822 5206, USA
Clin Dermatol 28:502-4. 2010..The evidence linking Demodex mites to human disease has implications regarding treatment...
Commentary: Iron deficiency and hair loss: problems with measurement of ironDirk M Elston
Department of Dermatology, Geisinger Medical Center, Danville, Pennsylvania 17822 5206, USA
J Am Acad Dermatol 63:1077-82. 2010..This commentary discusses the sensitivity and specificity of available tests for iron deficiency and presents practical guidelines for testing and supplementation...
Topical antibiotics in dermatology: emerging patterns of resistanceDirk M Elston
Department of Dermatology, Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17821, USA
Dermatol Clin 27:25-31. 2009..Other agents, such as zinc salts, are promising in this regard. This article discusses alternatives to antibiotics and mechanisms to stem the emergence of resistance...
Aquatic antagonists: sponge dermatitisDirk M Elston
Department of Dermatology, Geisinger Medical Center, 100 N Academy Ave, Danville, PA 17821, USA
Cutis 80:279-80. 2007
Patient safety: Part II. Opportunities for improvement in patient safetyDirk M Elston
Departments of Dermatology and Pathology, Geisinger Medical Center, 100 N Academy Ave, Danville, PA 17822 1406, USA
J Am Acad Dermatol 61:193-205; quiz 206. 2009....
Status update: hospital-acquired and community-acquired methicillin-resistant Staphylococcus aureusDirk M Elston
Department of Dermatology, Geisinger Medical Center, Danville, Pennsylvania, USA
Cutis 79:37-42. 2007..Incision and drainage is of paramount importance in the treatment of cutaneous abscesses and is sufficient treatment in most uncomplicated skin and soft tissue infections...
Bullous eruption: a manifestation of lupus erythematosusRonea Harris-Stith
Goodfellow Air Force Base, Texas, USA
Cutis 72:31-7. 2003..We review the spectrum of bullous disease in patients with LE and discuss the pathogenesis and histology of these eruptions, as well as current therapeutic options...
Atypical junctional melanocytic proliferations in benign lichenoid keratosisScott R Dalton
Department of Pathology, Brooke Army Medical Center, Fort Sam Houston, Texas, USA
Hum Pathol 34:706-9. 2003..Pathologists should approach a diagnosis of BLK cautiously in the setting of severely sun-damaged skin...
Is superficial spreading melanoma still the most common form of malignant melanoma?Seth B Forman
Department of Dermatology, Geisinger Medical Center, Danville, Pennsylvania 17821, USA
J Am Acad Dermatol 58:1013-20. 2008..Most epidemiological studies suggest that superficial spreading melanoma is the most common histological subtype of malignant melanoma, but past data may not reflect current patterns of sun exposure or other risk factors...
ScabiesMaria I Hicks
Geisinger Dermatology, Danville, Pennsylvania 17822, USA
Dermatol Ther 22:279-92. 2009..scabiei DNA. The most commonly used treatment modalities are permethrin and ivermectin. Persistence of symptoms for 2-6 weeks after successful treatment is common. Most recurrences are because of reinfection from untreated contacts...
Mohs micrographic surgery for granular cell tumor using S-100 immunostainSidney B Smith
Department of Dermatology (MCHE-DD, San Antonio Uniformed Health Services Educational Consortium, Brooke Army Medical Center, Fort Sam Houston, Texas 78234, USA
Dermatol Surg 28:1076-8. 2002..CONCLUSION: Using S-100 immunohistochemical stain on the MMS frozen sections can increase the diagnostic accuracy for complete removal of GCT...
What's eating you? Fire antsRichard Burroughs
Department of Dermatology, Walter Reed Army Medical Center, Washington, DC, USA
Cutis 75:85-9. 2005
Life-threatening stings, bites, infestations, and parasitic diseasesDirk M Elston
Department of Dermatology, Geisinger Medical Center, Danville, PA 17821, USA
Clin Dermatol 23:164-70. 2005..Bites, stings and infestations can be fatal. Anaphylaxis to vespids and bees can be prevented with immunotherapy. Patients should be referred to an allergist. The acute care and prevention of arthropod injury is discussed below...
Urticarialike plaques on the breasts of a 72-year-old womanSamantha Carp
Brooke Army Medical Center, Fort Sam Houston, Houston, TX, USA
Arch Dermatol 141:1161-6. 2005
Update on cutaneous manifestations of infectious diseasesDirk M Elston
Department of Dermatology, Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17821, USA
Med Clin North Am 93:1283-90. 2009..Travelers are often contagious before they are aware that they have the disease, contributing to the spread. This article reviews bacterial, mycobacterial, fungal, and viral pathogens important to dermatologists...
Dense lymphocytic infiltrates associated with non-melanoma skin cancer in patients with chronic lymphocytic leukemiaMorgan L Wilson
Department of Dermatology, Geisinger Medical Center, Danville, Pennsylvania, USA
Dermatol Online J 16:4. 2010..We report a series of three cases of SCC with a coexisting infiltrate of CLL, including one with perineural involvement, one involving metastatic SCC, and one in which this histologic finding spurred the initial diagnosis of CLL...
Methicillin-sensitive and methicillin-resistant Staphylococcus aureus: management principles and selection of antibiotic therapyDirk M Elston
Department of Dermatology, Geisinger Medical Center, 100 North Academy Ave, Danville, PA 17822, USA
Dermatol Clin 25:157-64, vi. 2007..Linezolid, and the newer parenteral antibiotics should be reserved for serious infections...
What's eating you? Loxosceles reclusa (brown recluse spider)Dirk M Elston
Department of Dermatology, Brooke Army Medical Center, Ft Sam Houston, TX 78234 6200, USA
Cutis 69:91-2, 94-5. 2002
Comparison of colchicine, dapsone, triamcinolone, and diphenhydramine therapy for the treatment of brown recluse spider envenomation: a double-blind, controlled study in a rabbit modelDirk M Elston
Department of Dermatology, Geisinger Medical Center, Danville, PA 17821, USA
Arch Dermatol 141:595-7. 2005..The animals were evaluated for the presence of coagulopathy to determine if the incidence of systemic findings correlated with the type of treatment...
Smooth muscle pattern is more reliable than the presence or absence of an internal elastic lamina in distinguishing an artery from a veinScott R Dalton
Department of Pathology, Brooke Army Medical Center and Wilford Hall Medical Center, San Antonio, TX, USA
J Cutan Pathol 33:216-9. 2006..Although no single criterion is 100% reliable, assessment of both these criteria may minimize the risk of misinterpreting vessels in the deep dermis and subcutis...
Handling a community-acquired methicillin-resistant Staphylococcus aureus outbreak: emerging dataDirk M Elston
Department of Dermatology, Geisinger Medical Center, Danville, Pennsylvania, USA
Cutis 82:13-7. 2008..Recurrence and spread of infection can be reduced by addressing the carrier state. Strategies for treatment and elimination of staphylococcal carriage are discussed...
Rickettsial skin disease: uncommon presentationsDirk M Elston
Department of Dermatology, Geisinger Medical Center, Danville, PA 17821, USA
Clin Dermatol 23:541-4. 2005..Early diagnosis is mandatory for better outcome. Clinical symptoms and patient's history are essential, but uncommon presentation of these arthropod-borne diseases may be a challenge...
Infantile digital fibroma treated with mohs micrographic surgeryJohn G Albertini
Brooke Army Medical Center, Fort Sam Houston, TX, USA
Dermatol Surg 28:959-61. 2002..Infantile digital fibroma (IDF) is a rare benign fibrous tumor of childhood that frequently recurs despite local excision. Conservative, nonsurgical management may result in regression and/or joint deformity...
Tumors composed of malignant epithelial and melanocytic populations: a case series and review of the literatureElizabeth K Satter
Department of Dermatology, Naval Medical Center, San Diego, CA, USA
J Cutan Pathol 36:211-9. 2009..We review all previous case reports in the English literature and attempt to clarify the terminology and summarize what is currently known about these unique tumors...
What's eating you? Centruroides exilicaudaDirk M Elston
Department of Dermatology, Brooke Army Medical Center, San Antonio, Texas, USA
Cutis 69:16, 20. 2002
Community-acquired methicillin-resistant Staphylococcus aureusDirk M Elston
Department of Dermatology, Geisinger Medical Center, Danville, PA 17821, USA
J Am Acad Dermatol 56:1-16; quiz 17-20. 2007..Abscesses generally respond to drainage. Learning objective: At the conclusion of this learning activity, participants should recognize groups at high risk for community-acquired MSRA infections and manage these infections appropriately...
What is your diagnosis? Periungual squamous cell carcinomaDirk M Elston
Department of Dermatology, Geisinger Medical Center, Danville, Pennsylvania, USA
Cutis 78:161, 173-4. 2006
Treating pediculosis--those nit-picking detailsDirk M Elston
Department of Dermatology, Geisinger Medical Center, Danville, Pennsylvania 17821, USA
Pediatr Dermatol 24:415-6. 2007
Leishmaniasis acquired in the Iraqi Theater of Operations: lessons learnedDirk M Elston
Departments of Dermatology and Laboratory Medicine, Geisinger Medical Center, 100 N Academy Ave, Danville, PA 17822 1406, USA
Cutis 74:253-5. 2004..Among the factors to be considered are environment, exposure, vector control, and the failure to deliver insect repellent to deployed US personnel...
Diseases encountered during war and rebuilding: lessons from past conflictsDirk M Elston
Department of Dermatology, Geisinger Medical Center, Danville, Pennsylvania 17821, USA
Cutis 72:39-41. 2003..These efforts serve as models for the types of problems we may encounter today. It also is critical to review available data concerning the unique aspects of cutaneous diseases in that part of the world...
What's eating you? Io moth (Automeris io)Eric W Hossler
Department of Dermatology, Geisinger Medical Center, Danville, PA 17822, USA
Cutis 82:21-4. 2008
Vertical vs. transverse sections: both are valuable in the evaluation of alopeciaDirk M Elston
Department of Dermatology, Geisinger Medical Center, Danville, PA 17821, USA
Am J Dermatopathol 27:353-6. 2005
A comparison of vertical versus transverse sections in the evaluation of alopecia biopsy specimensDirk M Elston
Department of Dermatology, Geisinger Medical Center, Danville, Pennsylvania 17821, USA
J Am Acad Dermatol 53:267-72. 2005..Even though the trend in recent years has been toward transverse sections in this setting, we are not aware of any published data directly comparing the two methods...
Quality in laboratory medicine. PrefaceDirk M Elston
Department of Pathology, Geisinger Medical Center, Danville, PA 17821, USA
Clin Lab Med 28:xi-xii. 2008
New and emerging infectious diseasesDirk M Elston
Department of Dermatology, Geisinger Medical Center, Danville, Pennsylvania 17821, USA
J Am Acad Dermatol 52:1062-8. 2005..Infectious diseases that emerge in Africa or Asia may arrive on US shores within days. This article reviews the new and emerging pathogens important to dermatologists...
"Anisotrichosis": a novel term to describe pattern alopeciaLindsay D Sewell
Geisinger Medical Center, Department of Dermatology, Danville, PA 17822, USA
J Am Acad Dermatol 56:856. 2007
Controversies concerning the treatment of lice and scabiesDirk M Elston
Department of Dermatology (MCHE-DD, Brooke Army Medical Center, Fort Sam Houston, TX 78234, USA
J Am Acad Dermatol 46:794-6. 2002
Eosinophils in mycosis fungoides: an uncommon finding in the patch and plaque stagesScott R Dalton
Department of Dermatology, Geisinger Medical Center, Danville, PA 17821, USA
Am J Dermatopathol 34:586-91. 2012..However, in cases where fewer than 3 eosinophils are present in sections, patch stage MF cannot be excluded...
The dermatopathology of new and emerging infectious diseasesDirk M Elston
Department of Dermatology, Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17821, USA
Adv Dermatol 23:165-76. 2007
Opportunities to improve quality in laboratory medicineDirk M Elston
Department of Pathology, Geisinger Medical Center, Danville, PA 17821, USA
Clin Lab Med 28:173-7, v. 2008..Errors in the postanalytic phase often relate to turn-around time, delivery of reports, or interpretation of results. This article focuses on the key opportunities for improvement in quality...
Metastatic aggressive digital papillary adenocarcinomaColeman E Altman
Department of Dermatology, Brooke Army Medical Center, Building 3600, San Antonio, TX 78234, USA
Cutis 72:145-7. 2003..Ferritin antibody may prove useful in the diagnosis of aggressive digital papillary adenoma (ADPA) and ADPAca...
Cutaneous onchocercomaJason F Okulicz
Dermatology and Internal Medicine, Wilford Hall Medical Center, Lackland AFB, Texas, USA
Int J Dermatol 43:170-2. 2004..The antiparasitic agent ivermectin is the drug of choice for both prophylaxis and treatment of active disease...
Prevention of arthropod-related diseaseDirk M Elston
Department of Dermatology, Geisinger Medical Center, Danville, Pennsylvania, USA
J Am Acad Dermatol 51:947-54. 2004..Strategies for prevention of illness include avoidance, vector reduction programs, chemoprophylaxis, and repellents. Strategies must be tailored to regional risks...
Fontana-positive grains in mycetoma caused by Microsporum canisSasha C Kramer
Department of Dermatology, Geisinger Medical Center, Danville, Pennsylvania 17822, USA
Pediatr Dermatol 23:473-5. 2006..canis staining Fontana positive. Differentiation of dermatophyte-induced mycetoma from kerion is important because mycetomas require a combined approach including surgical debridement in addition to oral antifungal therapy...
What's eating you? Megalopyge opercularisGregg Anthony Severs
Philadelphia College of Osteopathic Medicine, Pennsylvania, USA
Cutis 71:445-8. 2003
What's eating you? Latrodectus mactans (the black widow spider)Dirk M Elston
Department of Dermatology, Brooke Army Medical Center, San Antonio, TX 78234 6200, USA
Cutis 69:257-8. 2002
The physician quality reporting initiativeDirk M Elston
Department of Pathology, Geisinger Medical Center, Danville, PA 17821, USA
Clin Lab Med 28:351-7, viii. 2008..This article describes the evolution of the PQRI program and the methodology involved in measure development. Key points are summarized...
What is your diagnosis? Waardenburg syndromeDirk M Elston
Department of Dermatology, Geisinger Medical Center, Danville, Pennsylvania, USA
Cutis 73:20, 45-6. 2004
Nit pickingDirk M Elston
J Am Acad Dermatol 53:164-7. 2005
Human infestation by larval Amblyomma ticksDirk M Elston
Arch Dermatol 142:497-500. 2006
Cutaneous and systemic effects of varying doses of brown recluse spider venom in a rabbit modelDavid L McGlasson
Clinical Research Squadron MSRL, Lackland AFB, TX 78236 5300, USA
Clin Lab Sci 20:99-105. 2007..Establishment of a dose-response relationship is an important first step in determining if the NZW rabbit is a suitable model to study both cutaneous and systemic effects of the venom...
Drug-resistant liceDirk M Elston
Arch Dermatol 139:1061-4. 2003
Tackling the anterior nares and other sites of colonization: implications for the dermatologistJames Q Del Rosso
University of Nevada School of Medicine, Las Vegas, USA
Cutis 79:52-9. 2007....
PediculosisChristine J Ko
Department of Dermatology, University of California at Irvine, USA
J Am Acad Dermatol 50:1-12; quiz 13-4. 2004..Major types of resistance include knock-down resistance, glutathione-S-transferase-based resistance, and monooxygenase-based resistance. Research is needed to identify new effective treatments...
Practical management tips for methicillin-resistant Staphylococcus aureusDirk M Elston
Cutis 81:311-3. 2008
War and rebuilding: what can we expect in the aftermath of the war in Iraq?Dirk M Elston
Cutis 72:17-8. 2003
Making sense of community-acquired methicillin-resistant Staphylococcus aureusDirk M Elston
Cutis 81:205-6. 2008
Treatment options in the management of uncomplicated skin and skin structure infectionsRichard K Scher
Columbia University and New York-Presbyterian Hospital, New York, New York, USA
Cutis 75:3-23. 2005
Long-term suppression of chronic Sweet's syndrome with colchicineSteven Ritter
J Am Acad Dermatol 47:323-4. 2002
