JAAPA CME Post-Test February 2022

Skin Cancer in Immunosuppressed Patients

The number of people living with chronic immunosuppression is increasing in the United States. Patients with HIV, those who have had bone marrow or solid organ transplants, and patients taking biologics for autoimmune diseases are at increased risk for skin cancer. Skin cancer in these patients is more aggressive and more likely to metastasize and cause death. Medications and individual risk factors such as sex, age, and ethnicity are independent risk factors for the development of skin cancer. Routine screening and aggressive treatment of actinic keratoses and nonmelanoma skin cancers can reduce patients’ skin cancer burden and improve patient outcomes.

Learning Objectives

  • Identify rates of skin cancer in immunosuppressed patients, emphasizing their disproportionally increased mortality
  • Understand how medications can increase skin cancer risk and understand multidisciplinary approaches to modifying these medications
  • Review treatment and recent developments in the management of field cancerization and skin cancer
  • Describe screening recommendations for immunosuppressed patients

Body-Focused Repetitive Behaviors: Beyond Bad Habits

Body-focused repetitive behavior (BFRB) is a significantly underrecognized phenomenon that can cause physical complications and marked mental distress. Understanding the condition and offering patients pharmacologic as well as psychotherapeutic support may effectively reduce adverse health outcomes. This activity reviews BFRBs, which can present clinically in multiple settings.

Learning Objectives

  • Describe the broad diagnosis of BFRBs based on DSM-5 criteria for trichotillomania and excoriation disorder
  • Identify potential complications of untreated BFRBs
  • List effective treatments for BFRBs

AAPA offers no returns or refunds for online CME activities purchased via the AAPA store. All sales are final.