CPC: When Skin and Heart Aren't Far Apart

In this Department of Medicine Clinical Pathological Conference (CPC), Dr. Jung Seo presents the case of a 71-year-old man with bullous pemphigoid on dupilumab and a history AV heart block requiring a permanent pacemaker who presented for medical care with four mopnths of fevers and new skin lesions. Dr. Mikel Etchegaray serves as Case Discussant; Dr. Diego Camacho serves as Radiology Discussant; and Dr. Auris Huen serves as Pathology Discussant.

This CPC session took place on Thursday, September 23, 2021 at 12:15 P.M.

CME Information

CME Credit Available

You may claim CME credit after watching this activity.

You will be redirected to an outside site when claiming credit and may be asked to register or log in.

Needs Statement

Faculty and trainees within the Department of Medicine who are involved in the care of patients need to be regularly updated with the recent advances and guidelines in the fields of internal medicine and quality improvement to increase clinical knowledge, and to implement the advances and guidelines in clinical practice to enhance the quality of patient care and outcomes.

Objectives

At the conclusion of this activity, the participant should be able to:

  • Interpret clinical data in the context of a clinical question to tease out relevant information.
  • Recognize the role of PET scan in differentiating between infection and bland thrombus.
  • Consider infections with opportunistic pathogens in patients receiving immunosuppressants.

Target Audience

  • Physicians
  • Medical Students
  • Fellows
  • Residents

Accreditation/Credit Designation

Baylor College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Baylor College of Medicine designates this enduring material activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Program Director

  1. Richard J. Hamill, M.D.

    Richard J. Hamill, M.D.

    Professor
    Baylor College of Medicine

Term of Approval

October 1, 2021 through October 31, 2023. Original release date: October 1, 2021.

Disclosure Policy

The Office of Continuing Medical Education (OCME) makes every effort to develop CME activities that are scientifically based, accurate, current, and objectively presented. In accordance with the Accreditation Council for Continuing Medical Education Standards for Commercial SupportSM, Baylor College of Medicine (BCM) has implemented a mechanism requiring everyone in a position to control the content of an educational activity (e.g., directors, planning committee members, contributors, peer reviewers) to disclose any relevant financial relationships with commercial interests (drug/device companies) and manage/resolve any conflicts of interest prior to the activity. Individuals must disclose to participants the existence or non-existence of financial relationships: 1) at the time of the activity or within 12 months prior; and 2) of their spouses/partners.

Baylor College of Medicine does not view the existence of interests or relationships with commercial entities as implying bias or decreasing the value of a presentation. It is up to the participants to determine whether the interests or relationships influence the presenter with regard to exposition or conclusions.

If at any time during this activity you feel that there has been commercial or promotional bias, please inform us by using the commercial bias comments box in the evaluation form. Please answer the questions about balance in the CME activity evaluation candidly.

Disclosures

The following individual(s) has/have reported financial or other relationship(s) with commercial entities whose products/services may relate to the educational content of this activity:

Presenters

  1. Diego Camacho, M.D.

    Diego Camacho, M.D.

    Radiology Resident
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  2. Mikel Etchegaray, M.D., M.B.A.

    Mikel Etchegaray, M.D., M.B.A.

    Assistant Professor
    University of Texas MD Anderson Cancer Center

    Disclosure:

    Nothing to disclose.

  3. Auris Onn-Lay Huen, M.D., Pharm.D.

    Auris Onn-Lay Huen, M.D., Pharm.D.

    Associate Professor
    University of Texas MD Anderson Cancer Center

    Disclosure:
    • Research Support: Eisai; Elorac; Galderma; Innate; Kyowa Kirin; Rhizen; Trillium
    • Consultancy: Rhizen; Stemline Therapeutics
    • Advisory Committee Membership: Helsinn; Kyowa Kirin
  4. Jung Seo, M.D. Placeholder Image

    Jung Seo, M.D.

    Internal Medicine Resident
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

Program Director

  1. Richard J. Hamill, M.D.

    Richard J. Hamill, M.D.

    Professor
    Baylor College of Medicine

    Disclosure:
    • Advisory Committee Membership: Moderna TX, Inc. (Chair, Adjudication Committee)

Planning Committee Members

  1. Richard J. Hamill, M.D.

    Richard J. Hamill, M.D.

    Professor
    Baylor College of Medicine

    Disclosure:
    • Advisory Committee Membership: Moderna TX, Inc. (Chair, Adjudication Committee)
  2. Erica Lescinskas, M.D.

    Erica Lescinskas, M.D.

    Assistant Professor
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  3. Ruchit Rana, M.D.

    Ruchit Rana, M.D.

    Internal Medicine Resident
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  4. Zaven Sargsayan, M.D.

    Zaven Sargsayan, M.D.

    Assistant Professor
    Baylor College of Medicine and Ben Taub Hospital

    Disclosure:

    Nothing to disclose.

  5. Chirayu Shah, M.D., M.Ed.

    Chirayu Shah, M.D., M.Ed.

    Associate Professor
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  6. Stephanie Sherman, M.D.

    Stephanie Sherman, M.D.

    Assistant Professor
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

CME Credit Available

You may claim CME credit after watching this activity.

View the CME Information Claim CME

You will be redirected to an outside site when claiming credit and may be asked to register or log in.

Presenters:

  1. Diego Camacho, M.D.

    Diego Camacho, M.D.

    Radiology Resident Baylor College of Medicine
  2. Mikel Etchegaray, M.D., M.B.A.

    Mikel Etchegaray, M.D., M.B.A.

    Assistant Professor University of Texas MD Anderson Cancer Center
  3. Auris Onn-Lay Huen, M.D., Pharm.D.

    Auris Onn-Lay Huen, M.D., Pharm.D.

    Associate Professor University of Texas MD Anderson Cancer Center
  4. Jung Seo, M.D. Placeholder Image

    Jung Seo, M.D.

    Internal Medicine Resident Baylor College of Medicine