Department / Division:
Medicine / Dermatology

Address:
DUMC 3852
Durham, NC 27710

Appointment Telephone:
919-684-3432

Office Telephone:
919-684-6185

Fax Telephone:
919-668-1465

• MD, Duke University School of Medicine, 1989

• Dermatology, Duke University Medical Center, 1990-1993

Clinical Interests:
Immunocompromised patients (especially HIV and transplant) and dermatological diseases, cutaneous infections, women's health including dermatoses of pregnancy and vulvar disorders

Research Interests:
1. Immunocompromised Patients

Most of my efforts with immunocompromised patients are with HIV-positive patients. I have a specialty clinic with these patients in the HIV-ID clinic and evaluate cutaneous manifestations present in this population. Specifically, I am evaluating the course of specific diseases as they pertain to viral load and CD4 count and how they may be altered by new medication regimens, including protease inhibitors. Additionally, I have completed a document on guidelines of care for infections/infestations, tumors, and inflammatory disorders in HIV-positive patients.

2. Women=s Health

I am specifically interested in vulvar disorders as they relate to dermatology and dermatoses of pregnancy. Currently, I am referred many of these patients for local and regional gynecologists and dermatologists. While most of this is in the clinical setting, clinical trials of different treatment options for specific disorders may be coordinated in the future when enough patients accrue.

3. Clinical Trials

I am currently involved in two clinical trials with HIV-positive patients.
1- An open label multi-center Safety and Efficacy Study of Topical Imiquimod 5% cream in the treatment of visible external genital/perianal warts in male and female patients.
2 - A phase I Trial to Determine the Safety, Tolerance and Antitumor effects of Ritonavir combined with Interferon Alpha-2B and Stavudine in patients with HIF- related Kaposi=s Sarcoma.

4. Expertise

I have written reviews on HIV and skin, Bartonella infections occurring in HIV and other immunocompromised settings, and case reports of various problems in this patient population. I have written by request for two textbooks on dermatology problems in pregnancy. National presentations include the Dermatology Summer Academy meeting and an invitation to participate in the Annual Dermatology Academy meeting February, 1997. I currently serve as a reviewer for two major dermatologic journals primarily in the context of HIV patients and cutaneous disease. I have been named as a member of the American Academy of Dermatology=s HIV Disease Task Force.

5. Key words: HIV, Immunocompromised Patients, Cutaneous Infections, Vulvar Dermatoses, Dermatoses of Pregnancy.

Representative Publications:
Myers SA. ASkin Diseases of Pregnancy@ In Rakel RE, ed: Conn=s Current Therapy, 1999 Edition. W.B. Saunders Company (accepted for publication) (1999)

Shafqat A, Viehman GE, Myers SA. Cutanerous squamous-cell carcinoma with zosteriform metastasis in a transplant recipient. J Am Acad Derm 1997;37:1008-9. (1997)

Rico MJ, Myers SA, Sanchez MR. Guidelines of care for dermatologic conditions in patients infected with human immunodeficiency virus (HIV). J Am Acad Derm 1997;37:450-72. (1997)

Hicks CB, Myers SA, Giner J. Resolution of intractable molluscum contagiosum in HIV-infected patients after institution of antiretroviral therapy with Retonavir. Clin Inf Dis 1997;24:1023-5. (1997)

Myers SA, Kamino H. Cutaneous cryptococcosis and histoplasmosis coinfection in a patient with acquired immunodeficiency syndrome. J Am Acad Derm 1996;34:898-900. (1996)

Myers SA, Rico MJ. Intraepidermal neutrophilic IgA dermatosis in an HIV-infected patient. J Am Acad Derm 1994;31:502-4. (1994)

Myers SA, Prose NS, Bartlett JA. Progress in the understanding of HIV infection: an overview. J Am Acad Derm 1993;29:1-21. (1993)

Myers SA, Prose NS, Garcia JA, Wilson KH, Dunsmore KP, Kamino H. Bacillary angiomatosis in a child undergoing chemotherapy. J Pediatrics 1992;121:574-578. (1992)

Carpenter SA, Berg D, Sidhu-Malik N, Hall RP, Rico MJ. Vancomycin associated linear IgA disease. J Am Acad Derm 1992;26:45-48. (1992)

Perry BP, Myers SA, Lilly S, et al. Rosai-Dorfman disease (extranodal sinus histiocytosis) in a patient with HIV. Arch Otolaryngol Head and Neck Surg (accepted for publication).

Myers SA. "Bartonella Infections: Bacillary angiomatosis, cat-scratch disease and bartonellosis". In Harper JI, Oranje AP, Prose, NE, eds: Textbook of Paediatric Dermatology, Blackwell Science (in press)

Myers SA, Murray JC. "Skin"; "Antecedent Skin Conditions"; "Dermatoses of Pregnancy". In Gleicher N, ed: Principles and Practice of Medical Therapy in Pregnancy", 3rd Edition. Appleton & Lange, Norwalk Connecticut (in press).