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Arch Dermatol. 2001;137:1285.

Waiting Times to See a Dermatologist Are Perceived as Too Long by Dermatologists: Implications for the Dermatology Workforce
Suneja et al used waiting times for appointments as a measure of workforce adequacy in this study. More than 60% of dermatologists surveyed exceeded cutoff waiting times, suggesting that the current supply of dermatologists is not adequate to meet the demand for dermatologists' services.

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Is Dermoscopy (Epiluminescence Microscopy) Useful for the Diagnosis of Melanoma? Results of a Meta-analysis Using Techniques Adapted to the Evaluation of Diagnostic Tests
Early diagnosis and therapy for melanoma are essential to reduce the associated morbidity and mortality. Dermoscopy has been advocated as a noninvasive technique that improves the sensitivity and specificity of the clinical examination. In this meta-analysis, Bafounta et al demonstrate that dermoscopy is more accurate than clinical examination for the diagnosis of melanoma in pigmented lesions.

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Cutaneous Field Stimulation in the Treatment of Severe Itch
The sensation of itch is transmitted by C fibers at the dermoepidermal junction. Cutaneous field stimulation electrically stimulates thin afferent fibers, including these nociceptive C fibers. Wallengren and Sundler demonstrate in this open trial that localized itching responds well to cutaneous field stimulation, opening up another therapeutic possibility for this frustrating problem.

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Laser Surgical Planning With Magnetic Resonance Imaging–Based 3-Dimensional Reconstructions for Intralesional Nd:YAG Laser Therapy of a Venous Malformation of the Neck
Diagnostic imaging is often essential for appropriate planning of laser therapy of vascular malformations. Two-dimensional images may fail to adequately represent the complex anatomic involvement by these lesions. In this report, 3-dimensional reconstructions of magnetic resonance imaging data were used to improve visualization of complex vascular malformations and improve intralesional laser therapy.

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SECTION EDITOR: ROBIN L. TRAVERS, MD

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