M9: Complex Medical and Systemic Manifestations

Course Overview

Preview what you'll learn in this program

4hr

Duration

Credits

May 2024

Released

Jan 2026

Expires

PremiumAvailable with a Premium subscription. Know more

81% avg

Completion

What You'll Learn

Welcome to module 9 where we'll review Complex Medical and Systemic Manifestations!

Connective Tissue Disease

This course looks at skin disorders related to connective tissue disease including dermatomyositis and other common connective tissue disorders. The course will discuss clinical presentation, pathophysiology, course, prognosis and therapeutic management, both from a traditional and integrative approach.

After completing this activity, participants will be able to:

Review dermatomyositis, etiology, pathophysiology, clinical presentation, course, prognosis and therapeutic treatment options, both integrative and traditional
List other connective tissue diseases commonly seen in dermatology
Describe the clinical presentation, course, prognosis and therapeutic options, both integrative and traditional for scleroderma, morphoea, CREST, and rheumatoid arthritis

Cutaneous Manifestations of Systemic Disease

This course will look at skin manifestations of systemic disease including those that are associated with metabolic dysfunction, rheumatological conditions, and internal malignancies.

After completing this activity, participants will be able to:

Identify dermatological signs that are associated with internal or systemic disease
Describe the workup to further assess for internal disease
Recall the most common malignancies that can present with cutaneous metastases

Nutrition Related Conditions

This course will review the most common vitamins and micronutrients and how their deficiencies may present in the dermatology clinic.

After completing this activity, participants will be able to:

Describe clinical presentation of nutrition related diseases
Discuss food sources for common vitamins and zinc
Recall the clinical skin signs of insulin resistance

Photodermatologic Disorders

This course will introduce photo-induced dermatoses related to occupation and activity. The course will discuss clinical presentation, pathophysiology, course, prognosis and therapeutic treatment options, from a traditional and integrative approach.

After completing this activity, participants will be able to:

Describe the pathophysiology, epidemiology, clinical course, and prognosis associated with photo-induced and activity related dermatoses
List therapeutic options in treatment of photo-induced, occupational, and activity related dermatoses
Review differential diagnosis

Pregnancy Dermatology

This course reviews the etiology, diagnosis and management of the four major dermatoses of pregnancy: Atopic Eruption of Pregnancy, Polymorphic Eruption of Pregnancy, Intrahepatic Cholestasis of Pregnancy, and Pemphigoid Gestationis. We review how the etiology can help guide the diagnostic work up. We design a diagnostic algorithm that takes into account the clinical features, laboratory testing, and timing during pregnancy to guide clinicians in distinguishing between the pregnancy dermatoses. We review safety data when managing the pregnancy dermatoses and key counseling points. Finally, we review the fifth potential pregnancy dermatosis, Generalized Pustular Psoriasis of Pregnancy, and discuss both traditional and novel management strategies of this condition in the pregnant patient.

After completing this activity, participants will be able to:

Define the five pregnancy dermatoses
- Atopic Eruption of Pregnancy (AEP)
- Polymorphic Eruption of Pregnancy (PEP)
- Intrahepatic Cholestasis of Pregnancy (ICP)
- Pemphigoid Gestationis (PG)
- Pustular Psoriasis of Pregnancy (PPP)
Create a diagnostic algorithm as well as therapeutic options for patients

Safety of Medications in Pregnancy

This course reviews the management of skin disease in the pregnant dermatology patient. We review basic principles in counseling the pregnant patient regarding fetal risk due to medication as well as the FDA and International Pregnancy Classification systems and resources for clinicians. We summarize the safety data for bacterial, viral and fungal treatment in pregnancy. We also review the safety data of topical, light, oral and injectable treatments for psoriasis, atopic dermatitis, cutaneous lupus, pemphigus, and acne patients. This course is full of clinical pearls for counseling your patients of childbearing age with chronic dermatologic disease on both short- and long-term therapy.

After completing this activity, participants will be able to:

Discuss management of skin disease in pregnancy
- Skin Infection
- Acne vulgaris/acne rosacea
- Atopic dermatitis
- Psoriasis
- Cutaneous lupus
- Pemphigus

Dermatology in Newborns and Infants

This course will review common skin problems seen in newborns and infants. The etiology, pathophysiology, clinical presentation, course, prognosis and therapeutic treatment options, with both integrative and traditional treatment options will be discussed.

After completing this activity, participants will be able to:

Review common skin disorders in the newborn
Review common skin disorders in the infant
Differentiate between routine and urgent or serious skin disorders including skin related dermatoses
Review the etiology, pathophysiology, clinical presentation, prognosis, and the therapeutic interventions of both integrative and traditional Western approaches for these conditions

Faculty

MD MS AP

MD (IDCP Alumni)

Accreditation Information

This module will review complex medical and systemic manifestations.

Target Audience

This activity has been designed to meet the educational needs of clinicians and non-clinicians involved in the care of patients within dermatology.

Disclosure of Conflicts of Interest

Your CE Source ensures balance, independence, objectivity, and scientific rigor in all our educational programs. In accordance with this policy, Your CE Source identifies conflicts of interest with its instructors, content managers, and other individuals who are in a position to control the content of an activity. Conflicts are resolved by Your CE Source to ensure that all scientific research referred to, reported, or used in a continuing education activity conforms to the generally accepted standards of experimental design, data collection, and analysis. Your CE Source is committed to providing its learners with high-quality activities that promote improvements or quality in health care and not the business interest of a commercial interest.

The faculty reported the following financial relationships with commercial interests whose products or services may be mentioned in this activity:

Name of Faculty	Reported Financial Relationship
Sonal Choudhary, MD	Speakers Bureau: Regeneron and Sanofi
Fiona Rahbar, MD	No relationships with an ineligible company to disclose
Jenny Murase, MD	Disease State Management Speaker: Regeneron (Atopic Dermatitis) Advisory Board for Sanofi/Regeneron and Bristol Meyers Squibb Dermatologic Consulting: UCB, AbbVie, UpToDate
Jennifer Ornelas, MD	No relationships with an ineligible company to disclose
Raja Sivamani, MD, MS AP	Grants/Research Support: Regeneron, Abbvie, Incyte, Microbiome Labs, Almond Board, Mango Board, Soy Institute, Burt's Bees Ownership Interest/Stock Holder: LearnHealth - Spouse Consultant: Regeneron, Sun Pharma, Novozymes, Abbvie, Leo Pharma, Burt's Bees Speakers Bureau: Almond Board Advisory Board LearnHealth, Arbonne

The content managers reported the following financial relationships with commercial interests whose products or services may be mentioned in this activity:

Name of Content Manager	Reported Financial Relationship
Valerie Stern, DMSc MPAS PA-C	No financial relationships to disclose
Planners at Your CE Source	No financial relationships to disclose

All other faculty, planner and/or content managers have nothing to disclose nor do they have any vested interests or affiliations. All conflicts of interest have been resolved.

Physician Credit

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Your CE Source and LearnHealth. Your CE Source is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation

Your CE Source designates this enduring material for a maximum of 4.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nursing Credit

This CE activity provides 4.0 contact hours of continuing nursing education. Your CE Source is a provider of continuing nursing education by the California Board of Registered Nursing, Provider #CEP 16031.

Method of Participation

Participants must 1) read the learning objectives and faculty disclosures, 2) study the educational activity, 3) complete the post test by recording the best answer to each quiz question.

A statement of credit will be issued only upon receipt of a completed activity and post-test with a score of 70% or better. Statements of credit will be available once the evaluation form is completed.

Disclaimer

The content, views, and opinions presented in this educational activity are those of the faculty/authors and do not necessarily reflect those of Your CE Source and/or LearnHealth. The faculty/authors have disclosed if there is any discussion of published and/or investigational uses of agents that are not indicated by the FDA in their presentations. Before prescribing any medicine, primary references and full prescribing information should be consulted. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities. The information presented in this activity is not meant to serve as a guideline for patient management.

Learners are required to adhere to the privacy and confidentiality policy as it relates to the CE activities provided on the Internet. Please see the policy at https://www.yourcesource.org

Contact Information

This activity is jointly provided by Your CE Source and LearnHealth.

Questions about CE accreditation or CE certificates related to this course, please contact us via email at [email protected] . For all other questions, please contact [email protected].