Art Papier

Publications (4)0 Total impact

• Source

  Available from: Loren G Miller

  Dataset: Dx accuracy article DOJ 11

  Consuelo V David, Sandy Chira, Samantha J Eells, Manasi Ladrigan, Art Papier, Loren G Miller, Noah Craft
• Source

  Available from: Loren G Miller

  Dataset: Dx accuracy article DOJ 11

  Consuelo V David, Sandy Chira, Samantha J Eells, Manasi Ladrigan, Art Papier, Loren G Miller, Noah Craft
• Article: Dermatology and HIV/AIDS in Africa.

  Jenny Hu, Karen McKoy, Art Papier, Sidney Klaus, Terence Ryan, Henning Grossman, Elisante J Masenga, Aisha Sethi, Noah Craft
  [show abstract] [hide abstract]
  ABSTRACT: Human immunodeficiency virus and the acquired immunodeficiency syndrome (HIV/AIDS) have greatly complicated dermatologic disease and the required care in most regions of Africa. Opportunistic infections, ectoparasites, Kaposi sarcoma, and skin manifestations of systemic infections are exceedingly common in patients with HIV/AIDS. Dermatologists have contributed significantly to our knowledge base about HIV/AIDS and have played an important educational role regarding the clinical manifestations historically. Because of the increased burden of skin disease in Africa due to the HIV/AIDS epidemic we must redouble our efforts to provide dermatology education to care providers in Africa. We review the burden of skin disease in Africa, how it relates to HIV/AIDS and global infectious disease, current educational strategies in Africa to address this need, and suggest potential solutions to move these efforts forward.
  Journal of global infectious diseases 07/2011; 3(3):275-80.
• Article: Diagnostic accuracy in patients admitted to hospitals with cellulitis.

  Consuelo V David, Sandy Chira, Samantha J Eells, Manasi Ladrigan, Art Papier, Loren G Miller, Noah Craft
  [show abstract] [hide abstract]
  ABSTRACT: Misdiagnosis of non-infectious conditions such as cellulitis is a common error and can result in unnecessary hospitalization and antibiotic use. We sought to prospectively determine the misdiagnosis rate of cellulitis among hospitalized patients and to determine if a visually-based computerized diagnostic decision support system (VCDDSS, also named VisualDx) could generate an improved differential diagnosis (DDx) for misdiagnosed patients. In two separate institutions, attending dermatologists or infectious disease specialists evaluated all consecutive patients hospitalized for "cellulitis" by the emergency department. Among 145 subjects enrolled, misdiagnosis occurred in 41 (28%) patients. The diagnosis most commonly mistaken as cellulitis was stasis dermatitis (37%). At one center, in cases that were misdiagnosed by the emergency department, the VCDDSS included the correct diagnosis in the DDx more frequently than the admitting team (18/28 cases (64%) compared to 4/28 cases (14%), p=0.0003). These results demonstrate the capability of this VCDDSS to assist primary care physicians with generating a more accurate DDx when confronted with patients presenting with possible skin infections. Misdiagnoses may result in a significant source of healthcare costs and misdiagnosis-related patient harm. Inclusion of decision support tools early in the diagnostic workflow may reduce misdiagnosis and result in more efficient healthcare management.
  Dermatology online journal 01/2011; 17(3):1.