title: Practice and Educational Gaps in Lupus, Dermatomyositis, and Morphea.
abstract: Patients with skin-predominant lupus erythematosus, dermatomyositis, and morphea should be evaluated, treated, and followed by dermatologists who can take primary responsibility for their care. Many academic centers have specialized centers with dermatologists who care for these patients. Patients with skin-predominant lupus erythematosus should be followed regularly with laboratory tests to detect significant systemic disease. Antibody tests can help determine the risks for individual patients. Patients with morphea rarely progress to systemic disease, but therapies can be helpful in treating and preventing progression of disease.
authors.affiliation: Department of Dermatology, Center for Health and Healing, Oregon Health & Science University, 3303 Southwest Bond Avenue, 16th Floor, Portland, OR 97239, USA.
authors.forename: Nicole M
authors.initials: NM
authors.lastname: Fett
authors.affiliation: Department of Dermatology, Stanford University School of Medicine, 450 Broadway, Redwood City, CA 94063, USA.
authors.forename: David
authors.initials: D
authors.lastname: Fiorentino
authors.affiliation: Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA; Department of Dermatology, Perelman Center for Advanced Medicine, University of Pennsylvania School of Medicine, Suite 1-330A, 3400 Civic Center Boulevard, Philadelphia, PA 19104, USA. Electronic address: werth@mail.med.upenn.edu.
authors.forename: Victoria P
authors.initials: VP
authors.lastname: Werth
mesh_terms: D003880:Dermatology / Q000193:education* / Q000592:standards; D003882:Dermatomyositis / Q000175:diagnosis* / Q000188:drug therapy; D037001:Directive Counseling; D004502:Education, Medical, Continuing; D006801:Humans; D007396:Internship and Residency; D008178:Lupus Erythematosus, Cutaneous / Q000175:diagnosis / Q000188:drug therapy*; D010353:Patient Education as Topic; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D011788:Quality of Life; D012594:Scleroderma, Localized / Q000175:diagnosis* / Q000188:drug therapy; D012720:Severity of Illness Index
keywords: Dermatomyositis; Educational gaps; Lupus; Morphea; Practice