Dermatopathologist/SurgicalPathologist, Bryn Mawr Hospital Main Line Health, Physician and Patient advocate Tweets ≠ medical advice
Bryn Mawr PA
Joined March 2015
- Tweets909
- Following117
- Followers2.3K
- Likes839
Walter Klein MD retweeted
#Pathology Legend @kalishahillmd representing @Pathologists at the @PAPathologists meeting 🙌. #pathologists #pathTwitter
Walter Klein MD retweeted
Pennsylvania has awesome talent. Intro to our fantastic speaker line up for in person PAP 2022 meeting in Harrisburg. All academic programs of PA are well represented. @Pathologists @israhkhan @AileenGraceA @PAPathologists @philly_path @JMGardnerMD @fnayoung @lalpritu
Walter Klein MD retweeted
Fantastic speakers for Annual PAP meeting with record # of abstracts. Pl. Join! @PatGodbeyMD @JMGardnerMD @AileenGraceA @fnayoung @WMKleinMD @Baskotacytopath @PAPathologists @smlungpathguy @PulmPathSoc @GU_Path_Society @AIPNAPathology @israhkhan
Walter Klein MD retweeted
CAP calls on Cigna to rescind its policy to deny pathologists payment for ensuring reliable and accurate clinical pathology services: capatholo.gy/3vpiflr.
Walter Klein MD retweeted
In this CAPcast, we speak with @AJoeSaad1 & @WMKleinMD about their experiences advocating in Congress to stop Medicare budget cuts: capatholo.gy/3vw8Bh1. #pathologistslead2021 #fightthecuts
Walter Klein MD retweeted
Special thanks to @IntSocDermpath for temporary free access to the erythema chronicum migrans article
🔸superficial & deep perivascular lymphocytes w/ plasma cells
🔸 occasional eosinophils
🔸authors report interface change (sometimes this is focal) in 86% of cases #dermpathJC
Walter Klein MD retweeted
What kind of #dermpath manifestations of COVID have you seen so far? We’ve seen an increase in perniosis-like acral eruptions that may or may not have focal vasculopathy and we always recommend 💉COVID status. Here’s one example I took photos of today. #dermpathJC
Walter Klein MD retweeted
Corona virus disease (#COVID-19) caused by SARS-CoV-2. Skin findings: morbilliform rash, urticaria, vesicular eruptions, #COVIDtoes (perniosis-like acral lesions), livedoid-like eruptions (COVID-19 induced thrombotic vasculopathy), rarely petechial eruption & SDRIFE. #dermpathJC
Walter Klein MD retweeted
Depending on the cohort of patients, cutaneous manifestations were seen in 2-20% of patients with COVID-19 #dermpathJC #dermpath #dermtwitter
Walter Klein MD retweeted
@GovernorTomWolf, don’t applaud us, protect us by providing medical liability immunity to physicians caring for #COVID19 patients in Pa. bit.ly/2Wn3v6Y
@PAMEDPrez @jillowens @MarilynHeineMD @BamBrewMac @MaverickMD2012 @alleghenycms @LackawannaCMS
Walter Klein MD retweeted
"COVID toes": Pernio-like red to violaceous toe lesions associated w #COVID19. On this biopsy: ischemic epidermal change, superficial & deep perivascular infiltrate, luminal thrombi. Case via Sigal et al: docs.google.com/document/d/1… #dermpath #dermatology #dermtwitter #pathology
Walter Klein MD retweeted
Sharing example for #dermpathJC
🔹carcinosarcoma - rare ~117 cases
🔹most often head & neck area
🔹8th & 9th decade of life
🔹more common in men than women
🔹epithelial component can be BCC, SCC, adnexal carcinoma
🔹 Basal cell carcinosarcoma⬇️
#dermpath #SilviPearls #pathology – at Valley Stream, NY
Walter Klein MD retweeted
Research shows that fluids spread when coughing/sneezing are a big transmitter of COVID-19. Each of us needs to do what we can to stop the spread. One easy thing we all can do, today, is wear homemade masks in public. My mask could help you, your mask could help me. #Masks4All
Walter Klein MD retweeted
Angiosarcoma. Excellent gross & microscopic images from David Lucas, MD. Also to note, predisposing factors for angiosarcomas include: radiation, chronic lymphedema, exposure to toxins (vinyl chloride) & non-functioning long-standing arteriovenous fistulas. #dermpath #dermpathJC
Walter Klein MD retweeted
A mentor once told me they didn’t believe complete excision was always essential for AVL. If solitary i like small excision mainly so I can see entire lesion. I recently had case with 100+ AVL...exc not feasible. Clinical pic = crucial. And I want close follow up. #Dermpathjc – at North Little Rock, AR
Walter Klein MD retweeted
Atypical vascular lesions (AVL) - Figs 9,10,11 - usually superficial to mid dermis, some can be deeper. Recommend complete excision. No clear guidelines, but 1cm 👌🏼. Often recur and rarely rarely rarely progression to angiosarcoma. #dermpathJC #dermpath
Walter Klein MD retweeted
PAMED supports bill seeking to amend patient test results law (Act 112), which was recently introduced in the #PaHouse: buff.ly/2ziLo7a
Walter Klein MD retweeted
Example of how well pHH3/Melan-A works for mitosis identification - melanoma in situ of lentigo maligna type above an intradermal melanocytic nevus #dermpath #dermatology #pathology
Walter Klein MD retweeted
Defining pathologic response after neoadjuvant rx in #melanoma #dermpath #asdp19
pathologic complete response (pCR = geographic necrosis, pigm macrophages-tumoral melanosis , fibrosis, inflamm infiltrate)
pathol.partial response (less than 50% viable tumor in treated tumor bed) – at San Diego, CA
