Sarah Ann Myers | Scholars@Duke

Sarah Ann Myers
Professor of Dermatology

Transplant Dermatology

My academic expertise is in the care of immuno-compromised patients, particularly solid organ transplant recipients. As a medical dermatologist, I designed the Duke Transplant Dermatology clinic with the goal to provide early identification and prompt treatment of skin cancers in SOTRs by providing easy access, assessment of risk, patient education, early biopsy, field therapy for pre-cancers, medical therapeutic modification of risks if possible, and referral to surgery, oncology or radiation therapy when indicated. The clinic is closely linked with Duke Transplant team care providers of surgical and medical specialists in Heart, Lung, Liver/Pancreas, Intestinal, and Kidney. My experience in caring for the dermatologic needs of this patient population has contributed to clinical expertise and scholarly publications of case reports, case series study, clinical practice guidelines and book chapters as well as presentations on dermatologic disease in the SOTR population. Additionally I am a member of the International Transplant Skin Cancer Collaborative, an organization of dermatologic surgeons, medical dermatologists, transplant care providers, and researchers from multiple disciplines dedicated to advancing the care and understanding of skin cancer in SOTRs for nearly 15 years and currently serve on its Board of Directors. I am also a member of the Transplant Skin Cancer Network (TSCN), a multicenter group tasked by the American Academy of Dermatology to perform a retrospective population based study on the incidence of skin cancer in the US using data from transplant centers. The TSCN Network will allow researchers to conduct future NIH and other agency-supported research with quality of life, translational, and basic science components. An ongoing systematic research collaborative among transplant dermatologists will advance the understanding and scientific underpinnings of cutaneous squamous cell carcinoma in this population.

Key words: SOTR, Immunocompromised Patients, Skin Cancer,

Current Appointments & Affiliations

Professor of Dermatology, Dermatology, Clinical Science Departments 2017

Contact Information

Duke Box 3852, Durham, NC 27710
Duke Department of Dermatology, 5324 McFarland Drive, Ste 210, Durham, NC 27707
myers011@mc.duke.edu (919) 401-0360

Background
Education, Training, & Certifications
- M.D., Duke University 1989
- B.A., Stanford University 1985
Previous Appointments & Affiliations
- Associate Professor of Dermatology, Dermatology, Clinical Science Departments 2005 - 2016
- Associate Professor of Medicine, Dermatology, Clinical Science Departments 2001 - 2005
- Assistant Professor of Medicine, Dermatology, Clinical Science Departments 1995 - 2000
- Associate in the Department of Medicine, Dermatology, Clinical Science Departments 1993 - 1995
Leadership & Clinical Positions at Duke
- School of Medicine
  
  Clinical Sciences Appointment, Promotion, and Tenure Committee     2020--present
  
  Faculty Affairs Steering Committee                                                      2016 – present
  
  Faculty Development Advisory Group                                                    2011--present
  
  Department
  
  Vice Chair Faculty Development                                                                      2011 –present
  
  Department APT Committee
  
  Professional Accountability Program (PACT)                                                2015 - present
  
  Department Covid Childcare Working Group                                                 2020
  
  Medical Review Committee                                                                   2015
  
              PDC Onboarding Committee                                                      2011-2015
  
              FPPE/OPPE Documentation                                                       2011-2015
  
  Medical Director Patterson Place                                                       2009-2011
  
  Director of Resident Curriculum
  
              Dept of Dermatology, Duke University Medical Center                       2007 - 2010
  
  Director of Resident Education and Training                                                                                     1997 – 2007
  
  Division of Dermatology, Duke University Medical Center
  
  Dermatology Teaching Exchange Group - Biannual meetings                        1997 – present
  
              Association of Professors of Dermatology - Annual meeting             1997 - present
  
              ICGME program review                                                              1998
  
              ACGME site visit                                                                       1999
  
              ICGME program review                                                               2003
  
  ACGME general program planning                                                             Annual
  
  ICGME meeting                                                                                    Monthly
  
  Program policy development
  
  Supervision of Chief Resident
  
  Monthly resident meeting
  
  Resident advising and mentoring
  
  Resident evaluation (biannual)
  
  Faculty evaluation by resident (annual)
  
  Resident application, interview, selection (annual)
  
  Faculty retreat residency update (annual)
  
  Duke University Health System Activities
  
              Private Diagnostic Clinic Board of Managers                                           2013-2019
  
                          PDC Task Force for Structure, Partnership vs Employment       2015- 2019
  
  Clinical Sciences Faculty Council                                                                               2010 - present
  
  Chancellor’s Clinical Leadership in Academic Medicine Program                2010
  
  Internal Medicine Resident Applicants: Interview                                          1993 – 2010
  
  Duke Women’s Comprehensive Health Program Development                   1993 – 2005
Recognition
Awards & Honors
Publications & Artistic Works
Selected Publications
- Academic Articles
  - Massey, Paul R., Chrysalyne D. Schmults, Sara J. Li, Sarah T. Arron, Maryam M. Asgari, Jan Nico Bouwes Bavinck, Elizabeth Billingsley, et al. “Consensus-Based Recommendations on the Prevention of Squamous Cell Carcinoma in Solid Organ Transplant Recipients: A Delphi Consensus Statement.” Jama Dermatol 157, no. 10 (October 1, 2021): 1219–26. https://doi.org/10.1001/jamadermatol.2021.3180.
    Full Text Link to Item
  - Crow, Lauren D., Anokhi Jambusaria-Pahlajani, Christina L. Chung, David A. Baran, Stefan E. Lowenstein, Mark Abdelmalek, Rehana L. Ahmed, et al. “Initial skin cancer screening for solid organ transplant recipients in the United States: Delphi method development of expert consensus guidelines.” Transpl Int 32, no. 12 (December 2019): 1268–76. https://doi.org/10.1111/tri.13520.
    Full Text Link to Item
  - Puza, C. J., S. A. Myers, A. R. Cardones, G. M. Beasley, and P. J. Mosca. “The impact of transplant rejection on cutaneous squamous cell carcinoma in renal transplant recipients.” Clin Exp Dermatol 44, no. 3 (April 2019): 265–69. https://doi.org/10.1111/ced.13699.
    Full Text Link to Item
  - Jewell, J. R., and S. A. Myers. “Topical Therapy Primer for Nondermatologists.” Physician Assistant Clinics 1, no. 2 (April 1, 2016): 291–306. https://doi.org/10.1016/j.cpha.2015.12.006.
    Full Text
  - Kinsey, E. N., N. DeVito, W. Barrow, S. A. Myers, and A. K. S. Salama. “Paraneoplastic Production of Granulocyte-macrophage Colony-stimulating Factor and Granulocyte Colony-stimulating Factor in a Case of Rapidly Progressing Cutaneous Squamous Cell Carcinoma.” Clinical Skin Cancer 1, no. 1 (January 1, 2016): 20–22. https://doi.org/10.1016/j.clsc.2016.11.004.
    Full Text
  - Jewell, Jolene R., and Sarah A. Myers. “Topical Therapy Primer for Nondermatologists.” Med Clin North Am 99, no. 6 (November 2015): 1167–82. https://doi.org/10.1016/j.mcna.2015.06.001.
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  - McShane, D. B., H. H. Kong, and S. A. Myers. “Bartonella Infections: Bacillary Angiomatosis, Cat Scratch Disease and Bartonellosis” 1 (May 24, 2011): 1–10. https://doi.org/10.1002/9781444345384.ch58.
    Full Text
  - Myers, S. A., and J. C. Martinez. “Cutaneous Diseases in the Transplant Recipient,” December 13, 2007, 473–88. https://doi.org/10.1002/9780470751541.ch27.
    Full Text
  - Myers, Sarah A., Angelica A. Selim, Margaret A. McDaniel, Russell Hall, Ying Zhang, John A. Bartlett, and Andrea L. True. “A prospective clinical and pathological examination of injection site reactions with the HIV-1 fusion inhibitor enfuvirtide.” Antivir Ther 11, no. 7 (2006): 935–39.
    Link to Item
  - Georgiade, G. S., S. Carpenter, K. S. McCarty, and G. McCarty. “Immunohistochemical expression of oestrogen receptor in normal breast tissue.” Proceedings of the Royal Society of Edinburgh Section B Biological Sciences 95 (2005): 59–66.
  - Kong, Heidi H., and Sarah A. Myers. “Cutaneous effects of highly active antiretroviral therapy in HIV-infected patients.” Dermatol Ther 18, no. 1 (January 2005): 58–66. https://doi.org/10.1111/j.1529-8019.2005.05004.x.
    Full Text Link to Item
  - Venkatesan, Priya, John R. Perfect, and Sarah A. Myers. “Evaluation and management of fungal infections in immunocompromised patients.” Dermatol Ther 18, no. 1 (January 2005): 44–57. https://doi.org/10.1111/j.1529-8019.2005.05001.x.
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  - Myers, Sarah A., Gregory S. Ahearn, M. Angelica Selim, and Victor F. Tapson. “Cutaneous findings in patients with pulmonary arterial hypertension receiving long-term epoprostenol therapy.” J Am Acad Dermatol 51, no. 1 (July 2004): 98–102. https://doi.org/10.1016/j.jaad.2003.12.032.
    Full Text Link to Item
  - Lucas, Chere R., Linda L. Sanders, John C. Murray, Sarah A. Myers, Russell P. Hall, and James M. Grichnik. “Early melanoma detection: nonuniform dermoscopic features and growth.” J Am Acad Dermatol 48, no. 5 (May 2003): 663–71. https://doi.org/10.1067/mjd.2003.283.
    Full Text Link to Item
  - Fangman, William L., Caroline H. Rao, and Sarah A. Myers. “Hypertrophic herpes simplex virus in HIV patients.” J Drugs Dermatol 2, no. 2 (April 2003): 198–201.
    Link to Item
  - Etter, L., and S. A. Myers. “Pruritus in systemic disease: mechanisms and management.” Dermatologic Clinics 20, no. 3 (July 1, 2002).
  - Etter, Lawrence, and Sarah A. Myers. “Pruritus in systemic disease: mechanisms and management.” Dermatol Clin 20, no. 3 (July 2002): 459–vii. https://doi.org/10.1016/s0733-8635(02)00011-6.
    Full Text Link to Item
  - Fowler, V. G., G. L. Maxwell, S. A. Myers, C. R. Shea, C. N. Livengood, V. G. Prieto, and C. B. Hicks. “Failure of benzathine penicillin in a case of seronegative secondary syphilis in a patient with acquired immunodeficiency syndrome: case report and review of the literature.” Arch Dermatol 137, no. 10 (October 2001): 1374–76.
    Link to Item
  - Myers, S. A. “Update on new immunomodulatory agents.” Adv Dermatol 16 (2000): 213–51.
    Link to Item
  - Whited, J. D., R. P. Hall, D. L. Simel, M. E. Foy, K. M. Stechuchak, R. J. Drugge, J. M. Grichnik, S. A. Myers, and R. D. Horner. “Reliability and accuracy of dermatologists' clinic-based and digital image consultations.” J Am Acad Dermatol 41, no. 5 Pt 1 (November 1999): 693–702. https://doi.org/10.1016/s0190-9622(99)70003-4.
    Full Text Link to Item
  - Whited, J. D., R. P. Hall, D. L. Simel, M. E. Foy, K. M. Stechuchak, R. J. Drugge, J. M. Grichnik, S. A. Myers, and R. D. Horner. “Reliability and accuracy of dermatologists' digital image consultations.” Journal of Investigative Medicine 47, no. 2 (January 1, 1999).
  - Perry, B. P., C. M. Gregg, S. Myers, S. Lilly, K. P. Mann, and V. Prieto. “Rosai-Dorfman disease (extranodal sinus histiocytosis) in a patient with HIV.” Ear Nose Throat J 77, no. 10 (October 1998): 855–58.
    Link to Item
  - Smith, C., S. Lilly, K. P. Mann, E. Livingston, S. Myers, H. K. Lyerly, and G. D. Miralles. “AIDS-related malignancies.” Ann Med 30, no. 4 (August 1998): 323–44. https://doi.org/10.3109/07853899809029932.
    Full Text Link to Item
  - Shafqat, A., G. E. Viehman, and S. A. Myers. “Cutaneous squamous cell carcinoma with zosteriform metastasis in a transplant recipient.” J Am Acad Dermatol 37, no. 6 (December 1997): 1008–9. https://doi.org/10.1016/s0190-9622(97)70088-4.
    Full Text Link to Item
  - Rico, M. J., S. A. Myers, and M. R. Sanchez. “Guidelines of care for dermatologic conditions in patients infected with HIV. Guidelines/Outcomes Committee. American Academy of Dermatology.” J Am Acad Dermatol 37, no. 3 Pt 1 (September 1997): 450–72. https://doi.org/10.1016/s0190-9622(97)70148-8.
    Full Text Link to Item
  - Hicks, C. B., S. A. Myers, and J. Giner. “Resolution of intractable molluscum contagiosum in a human immunodeficiency virus-infected patient after institution of antiretroviral therapy with ritonavir.” Clin Infect Dis 24, no. 5 (May 1997): 1023–25. https://doi.org/10.1093/clinids/24.5.1023.
    Full Text Link to Item
  - Sexton, D. J., P. E. Rollin, E. B. Breitschwerdt, G. R. Corey, S. A. Myers, M. R. Dumais, M. D. Bowen, et al. “Life-threatening Cache Valley virus infection.” N Engl J Med 336, no. 8 (February 20, 1997): 547–49. https://doi.org/10.1056/NEJM199702203360804.
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  - Myers, S. A., and H. Kamino. “Cutaneous cryptococcosis and histoplasmosis coinfection in a patient with AIDS.” J Am Acad Dermatol 34, no. 5 Pt 2 (May 1996): 898–900. https://doi.org/10.1016/s0190-9622(96)90075-4.
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  - Myers, S. A., and D. J. Sexton. “Dermatologic manifestations of arthropod-borne diseases.” Infect Dis Clin North Am 8, no. 3 (September 1994): 689–712.
    Link to Item
  - Myers, S. A., and M. J. Rico. “Intraepidermal neutrophilic IgA dermatosis in an HIV-infected patient.” J Am Acad Dermatol 31, no. 3 Pt 1 (September 1994): 502–4. https://doi.org/10.1016/s0190-9622(09)80013-3.
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  - Myers, S. A., N. S. Prose, and J. A. Bartlett. “Progress in the understanding of HIV infection: an overview.” J Am Acad Dermatol 29, no. 1 (July 1993): 1–21. https://doi.org/10.1016/0190-9622(93)70146-k.
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  - Myers, S. A., N. S. Prose, J. A. Garcia, K. H. Wilson, K. P. Dunsmore, and H. Kamino. “Bacillary angiomatosis in a child undergoing chemotherapy.” J Pediatr 121, no. 4 (October 1992): 574–78. https://doi.org/10.1016/s0022-3476(05)81148-5.
    Full Text Link to Item
  - Carpenter, S., D. Berg, N. Sidhu-Malik, R. P. Hall, and M. J. Rico. “Vancomycin-associated linear IgA dermatosis. A report of three cases.” J Am Acad Dermatol 26, no. 1 (January 1992): 45–48. https://doi.org/10.1016/0190-9622(92)70004-y.
    Full Text Link to Item
- Book Sections
  - Whitley, M. J., A. R. Cardones, and Sarah Myers. “Rashes to Recognize in the Immunocompromised Transplant Patient: Focus on the Solid Organ Transplant Recipient.” In Emerging Transplant Infections, edited by M. I. Morris, C. N. Kotton, and C. Wolfe. Springer, 2021.
  - Marano, A. L., J. Hooten, and S. A. Myers. “Cutaneous disease in kidney transplantation patients.” In Kidney Transplantation - Principles and Practice, 578–90, 2019. https://doi.org/10.1016/B978-0-323-53186-3.00034-6.
    Full Text
  - Hooten, J. N., and Sarah Myers. “Update on benign and inflammatory skin disease secondary to transplant medication.” In Advances in Transplant Dermatology, edited by F. Zwald and M. Brown, 1–17. Springer, 2015.
  - Ito, K. E., and Sarah Myers. “Acne.” In Adolescent Medicine Today, edited by E. D. Berlan and T. Bravender, 445–70. Hackensack, NJ: World Scientific Publishing Co., 2012.
  - Myers, Sarah, and M. P. Sheedy. “Lipodystrophy.” In Fitzpatrick’s Dermatology in General Medicine, edited by J. M. Freedberg, A. Z. Eisen, K. Wolff, K. F. Austen, L. A. Goldsmith, and A. I. Katz, 585–90. New York, NY: McGraw Hill Medical, 2007.
  - Myers, Sarah, and J. C. Martinez. “Cutaneous problems in liver transplant recipients.” In Medical Care of the Liver Transplant Patient, edited by P. Killenberg and P. -. A. Clavien, 473–88. Malden, MA: Blackwell Science, 2005.
  - Myers, Sarah, and J. C. Martinez. “Cutaneous problems in liver transplant recipients.” In Medical Care of the Liver Transplant Patient, edited by P. Killenberg and P. -. A. Clavien, 336–45. Malden, MA: Blackwell Science, 2001.
  - Myers, Sarah. “Bartonella Infections: Bacillary angiomatosis, cat-scratch disease and bartonellosis.” In Textbook of Paediatric Dermatology, edited by J. I. Harper, A. P. Oranje, and N. E. Prose, 411–14. Osney Mead, Oxford, UK: Blackwell Science, 2000.
  - Myers, Sarah. “Skin Diseases of Pregnancy.” In Conn’s Current Therapy, edited by R. E. Rakel, 868–69. Philadelphia, PA: W.B. Saunders Company, 1999.
  - Myers, Sarah. “Pruritis.” In Conn’s Current Therapy, edited by R. E. Rakel, 40–41. Philadelphia, PA: W.B. Saunders Company, 1999.
  - Myers, Sarah, and J. C. Murray. “Dermatoses of Pregnancy.” In Principles and Practice of Medical Therapy in Pregnancy, edited by N. Gleicher, 1369–71. Norwalk, CT: Appleton & Lange, 1998.
  - Myers, Sarah, and J. C. Murray. “Antecedent Skin Conditions.” In Principles and Practice of Medical Therapy in Pregnancy, edited by N. Gleicher, 1364–69. Norwalk, CT: Appleton & Lange, 1998.
  - Myers, Sarah, and J. C. Murray. “Skin.” In Principles and Practice of Medical Therapy in Pregnancy, edited by N. Gleicher, 1361–64. Norwalk CT: Appleton & Lange, 1998.
  - Levin, L. S., and Sarah Myers. “Cutaneous tumors of the hand.” In Surgery of the Hand and Upper Extremity, edited by C. A. Peimer, 2265–84. New York: McGraw Hill, 1996.
  - McCarty, KS Jr, S. A. Carpenter, and G. S. Georgiade. “The breast: Embryology, anatomy, and physiology.” In Aesthetic Surgery of the Breast, edited by N. G. Georgiade, G. S. Georgiade, and R. Reifkohl. Philadelphia: W.B. Saunders Co., 1990.
- Conference Papers
  - Puza, C. J., S. A. Myers, A. R. Cardones, G. M. Beasley, and P. J. Mosca. “291 The effect of rejection episodes on squamous cell carcinoma (SCC) in transplant patients.” In Journal of Investigative Dermatology, 138:S50–S50. Elsevier BV, 2018. https://doi.org/10.1016/j.jid.2018.03.297.
    Full Text
Teaching & Mentoring
Teaching Activities
- Resident Education:
  
  Residency Program Director, Division of Dermatology                  1997 – July 2007
  
  Private Dermatology Clinic Supervision (2days/week)                     1993 – present
  
  Kodachrome Lecture Series                                                      1993 – 2013
  
  Advanced Curriculum Lecture Series (2/year)                                1993 – present
  
  Core Curriculum Lecture Series (2/year)                                       1993 - present
  
  Curriculum Review and Design (annual)                                         1997 – 2010
  
  Director Weekly Curriculum (4hrs/week)                                        2003 – 2010
  
  Resident Student Health Clinic Supervision (weekly)                      2003 – 2017
  
  Resident Continuity Clinic                                                           2010 --present
  
  Non-Dermatology Residents
  
  Private Dermatology Clinic Supervision (1-2days/week)                 1993 – present
  
  Internal Medicine, Primary Care, and Family Medicine
  
  Student Education:
  
  Dermatology Rotation Director                                                                  1996 – 1999
  
  4^th year Medical Students
  
  2^nd year Physician Assistant Students
  
  Medical Students
  
  2^nd and 4^th year Students Supervision, Dermatology Rotation           1993 - present
  
  Introduction to Dermatology Course (2/year)                                 1993-1995
  
  2^nd year Students, Dermatology Lecture Series (6/year)                  1995 - 2000
  
  Physician Assistant Students
  
  2^nd year Students Supervision, Dermatology Rotation                      1993 - present
  
  1^st year Students, Dermatology Lecture Series (1/year)                   1993 – 2003
  
  Nurse Practitioner Students
  
  1^st year Students, Dermatology Lecture Series (1/year)
  
  Faculty and CME Education
  
  Duke/UNC Conference, Monthly CME Conference - Faculty                      1993 – present
  
  "Practical Pediatric Dermatology", CME Course - Faculty                         1994
  
  "Medicine for the Third World Traveler", Annual CME course - Faculty       1995 – 1997
  
  "Dermatology for Non-Dermatologists", Annual CME course - Faculty       1995 - present
  
  Duke/Dermatology Group of the Carolinas, Annual Outreach - Faculty      1995 - present
  
  North Carolina Academy of Physician Assistant Re-certification Exam      1996
  
                          Review and CME Course – Faculty
  Duke Dermatology Primary Care Preceptorship and Lecture Series            2000 - 2008
  
  Southeastern Consortium Dermatology Meeting - Co-Director                 2001
  
  22nd Annual Medical Symposium - Faculty
Scholarly, Clinical, & Service Activities
Presentations & Appearances
Service to the Profession
Clinical Activities
- Outpatient:   Director Transplant Dermatology Clinic (2x1/2 day/week)
  
                      Complex Medical and General Dermatology (2x1/2 day/week)
  
                      Women’s Health-Pregnancy and Gynecological Dermatoses
  
  Inpatient:       General consultation (4 weeks per year)
  
  Call:              4 weeks per year

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Education, Training, & Certifications

Previous Appointments & Affiliations

Leadership & Clinical Positions at Duke

Awards & Honors

Selected Publications

Academic Articles

Book Sections

Conference Papers

Teaching Activities

Presentations & Appearances

Service to the Profession

Clinical Activities