Specialty Clinics at Duke Dermatology
We take pride in our ability to offer excellent specialty training and expert general dermatology training to our residents. This is a snapshot of what we currently offer to residents training at Duke.
Autoimmune and Blistering Disease Clinic
Patients with a wide variety of vesiculobullous diseases are evaluated and followed. Drs. Russell Hall and A Rambi Cardones direct this clinic and conduct basic and clinical research in the pathophysiology of autoimmune blistering diseases.
Bone Marrow Transplant and Graft vs Host Disease Clinic
Dr. A Rambi Cardones evaluates and manages cutaneous eruptions in patients who have had a bone marrow transplant, especially cutaneous graft vs host disease. Dr. Cardones has a weekly clinic at the Bone Marrow Transplant unit. Dr. Cardones also evaluates and manages cutaneous eruptions in patients with solid organ and hematologic malignancies. There is a focus on cutaneous findings that are a direct extension or manifestation of the patient’s underlying malignancy or a consequence of chemotherapy.
Contact Dermatitis and Patch Testing Center
Dr. Amber Atwater performs extensive patch testing and photopatch testing for patients from across the Southeast.
Cutaneous T-Cell Lymphoma Clinic
Drs. Elise Olsen and Meenal Kheterpal see referral patients with cutaneous T-cell lymphoma (CTCL) and other cutaneous lymphoproliferative disorders, such as lymphomatoid papulosis and chronic erythroderma. Emphasis is on expanding the known CTCL database and finding an optimum treatment for all patients primarily through multi-center cooperative treatment protocols.
Dermatopharmacology Study Center
The Dermatopharmacology Study Center (DSC) is a specialty unit within the Department of Dermatology concerned with conducting outpatient clinical research. Under the direction of Dr. Elise Olsen, the DSC is currently evaluating new treatments for male and female pattern hair loss, scarring alopecia, alopecia areata, hirsutism, atopic dermatitis, psoriasis, photoaging and cutaneous T-cell lymphoma. Emphasis is primarily on testing the safety and efficacy of innovative new drugs. Clinical research nurses are responsible for coordinating and carrying out the studies. Residents are encouraged to become involved in studies ultimately with presentation of findings at dermatology meetings or in original articles published in a variety of journals.
Dr. Sarah Myers and Dr. Clare Pipkin offer complete evaluation of vulvar and female genital dermatologic skin conditions.
Hair Disorders Clinic
Dr. Elise Olsen directs this clinic and manages patients with androgenetic alopecia, alopecia areata, hair shaft abnormalities, and other causes of alopecia as well as hirsutism and hypertrichosis. Appropriate endocrinologic work-up is stressed as well as appropriate laboratory tests for assessing causes of hair loss or breakage.
HIV and Sexually Transmitted Disease Clinic
Dr. Sarah Wolfe directs this clinic with treatment and evaluation of dermatologic manifestations in HIV-positive and other infectious disease-related patients. She sees patients both within the Duke Infectious Disease clinic and at the Veterans Affairs Medical Center.
Additionally, Dr. Wolfe has spent time primarily in Africa with dermatology programs and has an interest in education and engagement with International Dermatology.
This clinic studies abnormal wound healing and keloid formation. Intralesional therapy, systemic chemotherapy and surgical approaches are evaluated. This clinic is held once monthly to explore the pathogenesis and treatment of this condition. This clinic is supervised by Dr. John Murray.
Leg Ulcer Clinic
The Leg Ulcer Clinic accepts referral patients from all over the southeast for consultation and therapy of non-healing leg ulcers of a variety of etiologies. Under the direction of Dr. Claude S. Burton, this clinic provides an excellent arena for investigation in wound healing.
The VA Medical Center also has a busy leg ulcer clinic in which the residents participate. This is an excellent opportunity to learn about optimal wound management with different dressing materials and wrapping techniques and to manage complicated medical dermatology patients.
Melanocytic Disease/Pigmented Lesion Clinic
This clinic, directed by Dr. Michelle Pavlis, has been established primarily to follow patients at high risk for cutaneous melanoma. The clinic utilizes digital total body photography for cutaneous surveillance. This technology is integrated into many of the general dermatology clinics as well, and residents gain significant proficiency with this surveillance tool. Dr. Pavlis sees patients at Patterson Place and the VA Hospital.
The Phototherapy Unit is within the Duke South clinic. Approximately 10-15 patients are treated daily with Narrow-band UVB (total body and local therapy), PUVA (total body and hand-feet) and UVA1. Phototesting and photopatch testing are performed.
Dr. John Murray manages psoriasis patients and participates in clinical trials for psoriasis.
Assessment and routine follow-up of solid organ transplant recipients is provided in this specialty clinic directed by Dr. Sarah Myers, located at Patterson Place. Residents learn the intense skin surveillance required for this special patient population with a substantially increased risk of skin cancer.