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Disease Management Clinical Decisions

Dermatology for Primary Care Physicians

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Release date: November 15, 2022
Expiration date: November 15, 2025

Estimated Time of Completion: 1 hour, 15 minutes


Each lesson in the Disease Management Clinical Decisions series provides a brief, case-based review of management strategies related to the topic. Questions and multiple-choice answers about the case presented include the rationale for the correct answer. Throughout this case-based lesson, you may proceed to the next question once you answer the question correctly.

Learning Objectives

After completing this case the reader should be able to:

  • Recognize clinical features and associations of bullous pemphigoid
  • Generate a differential diagnosis of lower extremity ulcerations and risk factors for malignant transformation
  • Identify the diagnosis of pyoderma gangrenosum and associated comorbidities
  • Provide anticipatory guidance and recommendations for common eruption associated with EGFR inhibitors
  • Recognize clinical features of psoriasis and psoriatic arthritis

Target Audience

Directed to primary care physicians including family practitioners and internists.


In support of improving patient care, Cleveland Clinic Center for Continuing Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

American Medical Association (AMA)
Cleveland Clinic Foundation Center for Continuing Education designates this enduring activity for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Participants claiming CME credit from this activity may submit the credit hours to the American Osteopathic Association for Category 2 credit.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to the following boards:

ABA MOC: American Board of Anesthesiology (ABA) 1.25 Lifelong Learning MOC points in the ABA MOCA 2.0® Maintenance of Certification in Anesthesiology Program®

ABIM MOC: American Board of Internal Medicine (ABIM) 1.25 Medical Knowledge ABIM MOC points in the ABIM MOC Assessment Recognition Program.

ABOHNS CC: American Board of Otolaryngology-Head and Neck Surgery (ABOHNS) 1.25 Lifelong Learning (Part II) MOC Points.

ABPath MOC: American Board of Pathology (ABPath) 1.25 Lifelong Learning credits in the ABPath Continuing Certification Program

ABP MOC: American Board of Pediatrics (ABP) 1.25 Lifelong Learning & Self-Assessment MOC points in the ABP Maintenance of Certification Program.

 ABS MOC: American Board of Surgery (ABS) 1.25 Accredited CME credits toward ABS Continuous Certification Program

Credit will be reported within 30 days of claiming credit

Activity Director and Faculty

Activity Director

Anthony Fernandez, MD, PhD
Director, Medical and Inpatient Dermatology
W.D. Steck Chair of Clinical Dermatology
Medical Co-Director, Center for Continuing Education
Cleveland Clinic
Cleveland, OH

Steven Kawczak, PhD, CHCP, FACEHP
Assistant Professor of Medicine, Cleveland Clinic Lerner College of Medicine of CWRU
Co-Director, Center for Continuing Education
Staff, Center for Educational Resources
Education Institute
Cleveland Clinic
Cleveland, OH


Samantha Polly, MD
Assistant Professor of Dermatology
Duke University School of Medicine
Durham, NC

CME Disclaimer

The information in this educational activity is provided for general medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specific patient’s medical condition. The viewpoints expressed in this CME activity are those of the authors/faculty. They do not represent an endorsement by The Cleveland Clinic Foundation. In no event will The Cleveland Clinic Foundation be liable for any decision made or action taken in reliance upon the information provided through this CME activity.


In accordance with the Standards for Integrity and Independence issued by the Accreditation Council for Continuing Medical Education (ACCME), The Cleveland Clinic Center for Continuing Education mitigates all relevant conflicts of interest to ensure CME activities are free of commercial bias.

The following faculty has indicated he has no relationship which, in the context of his presentation(s), could be perceived as a potential conflict of interest:

Anthony Fernandez, MD, PhD

Bristol-Myers Squibb Co., UCB, Inc.


Pfizer, Inc.

Research / Independent Contractor

Mallinckrodt Inc., Novartis

Research / Independent Contractor
Teaching and Speaking

Abbvie Pharmaceuticals

Research / Independent Contractor
Advisor or review panel participant
Teaching and Speaking

Kyowa Kirin

Teaching and Speaking

The following faculty have indicated they have no relationship which, in the context of their presentation(s), could be perceived as a potential conflict of interest:

Steven Kawczak, PhD
Samantha Polly, MD


This CME activity was produced by The Cleveland Clinic Center for Continuing Education.