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An unusual chest lesion with dual pathologies

Jessica Colon, BS; Jay Nguyen, DO; Samuel Stahly, DO; Gulsun Erdag, MD; and Rajiv Nathoo, MD
The authors report the case of a 66-year-old male with a history of granuloma faciale (GF) and multiple basal cell carcinomas (BCCs) who presented with a pearly plaque on the chest. Biopsy revealed extrafacial GF with a coincidental BCC, representing a rare case of a collision tumor.
Public Health and Primary Care

The impact of adverse childhood experiences on age of diabetes diagnosis and associations with race and ethnicity

Allie Rice, BA; Madison Taylor, BS; Amy Hendrix-Dicken, PhD; Covenant Elenwo, DO; Julie Croff, PhD; Laura J. Chalmers, MD; Sara Coffey, DO; and Micah Hartwell, PhD
Previous research has linked the manifestation of multiple chronic diseases that are frequently due to health behaviors to adverse childhood experiences (ACEs). Despite this, the link between ACEs and the age of type 2 diabetes mellitus diagnosis is scarce. As such, our primary objective was to evaluate and describe the impact of ACEs on the age at diagnosis utilizing the data from the 2021 Behavioral Risk Factor Surveillance System.
Behavioral Health

The effectiveness of training student physicians in culturally sensitive patient care using an interprofessional culturally competent curriculum

Aida Aminpour, MA; McKenzie Gelvin, MA; Abigail Smurzynski, BS; Frank Gardner, PhD, ABPP; and Jeffrey Gardere, PhD, ABPP
This study aims to examine gaps in healthcare education by evaluating whether targeted cultural competency training leads to improvement in student physician preparedness to meet the needs of diverse populations.

Proposed Amendment to the American Osteopathic Association (AOA) Bylaws

View the proposed amendment to the American Osteopathic Association (AOA) Bylaws, which will be presented at the 2025 Annual Meeting of the House of Delegates (July 18–20, 2025).

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Clinical Image

Pityriasis lichenoides chronica presenting in skin of color

A 40-year-old male with a history of pityriasis lichenoides et varioliformis acuta (PLEVA) 15 years prior presented to a dermatology clinic in February 2023 with occasional red scaly papules that became hypopigmented macules over time. He denied any cutaneous symptoms and gross review of systems was negative. A physical examination, including Wood’s lamp evaluation, showed several hypopigmented macules and patches on his back and thighs. Read more