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Nour Kibbi, MD

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Especialidades médicas y/o especialidades quirúrgicas

Dermatology

Trabajo y educación

Educación

Yale School Of Medicine, New Haven, CT, 05/18/2015

Primeros años de residencia

Yale University Internal Medicine Residency, New Haven, CT, 06/30/2016

Últimos años de residencia

Yale University Dept of Dermatology, New Haven, CT, 06/30/2019

Subespecialidad

Yale University Dept of Dermatology, New Haven, CT, 06/30/2020

Certificado(s) de especialidad

Dermatology, American Board of Dermatology

Todo Publicaciones

Dermatofibrosarcoma protuberans in pregnancy: a case series and review of the literature INTERNATIONAL JOURNAL OF DERMATOLOGY Kibbi, N., Wang, D., Wang, W., Galan, A., Leffell, D. J., Christensen, S. R., Panse, G. 2021

Abstract

Dermatofibrosarcoma protuberans (DFSP) is a rare cutaneous sarcoma, which has been reported in pregnancy. This case series reports the clinical and histopathological findings of DFSP in pregnancy.Eighteen cases of DFSP, including six unreported cases and 12 cases from the literature, were identified. Age, anatomic location, tumor size, changes in tumor characteristics during pregnancy, histopathological features, and treatment were recorded. Follow-up data, when available, were noted.The average age of the cohort was 30.6years (range 19-38). Ten tumors (55.6%) were located on the trunk, four (22.2%) on the head and neck, three (16.7%) on the extremities,and one (5.6%) in the genitalia. Most tumors demonstrated features of conventional DFSP (12/18, 66.7%), while the remaining were identified as DFSP with fibrosarcomatous (FS) change (3/18, 16.7%), atrophic DFSP (2/18, 11.1%), and myxoid DFSP (1/18, 5.6%). Treatment was reported in 17 cases, at least nine of which were treated postpartum. Ten patients were treated with excision, while seven underwent Mohs micrographic surgery. Three patients recurred on follow-up, one with local recurrence and two with distant metastasis.DFSP can undergo enlargement or change in size or color in pregnancy, possibly mediated by hormones. While the majority of cases in this series represented conventional DFSP, unusual clinical and histopathological variants were also present. Treatment in most cases can be safely delayed until after delivery, but recurrent or very large tumors may require treatment prepartum. Close monitoring for recurrence or metastasis is advised.

View details for DOI 10.1111/ijd.15497

View details for Web of Science ID 000636725000001

View details for PubMedID 33818755

Reflectance Confocal Microscopy as a Promising Adjunctive Tool for Treatment Planning in Extramammary Paget's Disease. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] Kibbi, N. 2020

View details for DOI 10.1097/DSS.0000000000002852

View details for PubMedID 33481445

Broad versus narrow clinical practice guidelines: avoiding rules for the high risk 1. Archives of dermatological research Harikumar, V., Worley, B., Ibrahim, S. A., Kang, B. Y., Maher, I. A., Cartee, T. V., Sobanko, J. F., Kibbi, N., Owen, J. L., Reynolds, K. A., Bolotin, D., Waldman, A. H., Minkis, K., Petersen, B., Council, M. L., Nehal, K. S., Xu, Y. G., Jiang, S. B., Somani, A., Huang, C. C., Eisen, D. B., Ozog, D. M., Lee, E. H., Samie, F. H., Neuhaus, I. M., Leitenberger, J. J., Mann, M. W., Lawrence, N., Zeitouni, N. C., Golda, N., Behshad, R., Ibrahim, S. F., Yu, S. S., Shin, T. M., Stebbins, W. G., Alam, M. 2020

View details for DOI 10.1007/s00403-020-02160-4

View details for PubMedID 33175206

Comparative utility of appropriate use criteria versus clinical practice guidelines. Archives of dermatological research Worley, B., Kyllo, R., Harikumar, V., Kang, B. Y., Ibrahim, S. A., Maher, I. A., Sobanko, J. F., Cartee, T. V., Kibbi, N., Owen, J. L., Reynolds, K. A., Bolotin, D., Waldman, A. H., Minkis, K., Petersen, B., Council, M. L., Nehal, K. S., Xu, Y. G., Jiang, S. B., Alam, M. 2020

View details for DOI 10.1007/s00403-020-02161-3

View details for PubMedID 33155073

Multisociety and multispecialty clinical practice guidelines. Archives of dermatological research Sobanko, J. F., Harikumar, V., Kang, B. Y., Ibrahim, S. A., Worley, B., Cook, J. L., Kantor, J., Lawrence, N., Miller, A., Albertini, J. G., Van Beek, M., Lober, C. W., Bordeaux, J. S., Maher, I. A., Cartee, T. V., Kibbi, N., Owen, J. L., Reynolds, K. A., Bolotin, D., Waldman, A. H., Minkis, K., Petersen, B., Council, M. L., Nehal, K. S., Xu, Y. G., Jiang, S. B., Alam, M. 2020

View details for DOI 10.1007/s00403-020-02162-2

View details for PubMedID 33150544

Predicting outcomes following second intent healing of periocular surgical defects. Archives of dermatological research Kibbi, N. n., Khan, Y. n., Leffell, D. J., Christensen, S. R., Suozzi, K. C. 2020

Abstract

Traditionally, second intent healing (SIH) in the periocular region is reserved for small and/or concave defects, particularly those located on the medial canthus.The purpose of this study was to identify factors impacting outcomes of SIH for periocular tumors following Mohs micrographic surgery (MMS).Retrospective analysis was performed of all periocular lesions treated with MMS followed by SIH from a single academic surgical center over a 5-year period. Data regarding tumor characteristics and follow-up was recorded. The modified Manchester scale was utilized to evaluate scar outcomes.Of the 39 tumors included, 14 (35.9%) were located on the lower eyelid, 12 (30.8%) on the upper eyelid, 6 (15.4%) on the lateral canthus, and 7 (17.9%) on the medial canthus. Involvement of the eyelid margin was seen in 11 (28.2%) of cases. The average defect diameter and area were 1.3cm and 1.04cm-squared. Twenty-three cases (59.0%) healed with optimal results. Larger defects were significantly associated with poorer outcomes of SIH (odds ratio 0.205, p=0.017 by multivariate analysis). Anatomic location, involvement of the lid margin, age, and follow-up interval were not significant factors; however, medial canthus defects were least likely to heal with optimal results. On average, medial canthal lesions were larger in size (mean diameter 1.76cm, mean area 1.97cm-squared).This retrospective study suggests that periorbital defects in all locations with area less than 1.04 cm2 heal well by SIH. In this cohort, larger lesions on the medial canthus healed with worse outcomes.

View details for DOI 10.1007/s00403-020-02122-w

View details for PubMedID 32833078

Development of international clinical practice guidelines: benefits, limitations, and alternative forms of international collaboration. Archives of dermatological research Alam, M. n., Harikumar, V. n., Kang, B. Y., Ibrahim, S. A., Kibbi, N. n., Owen, J. L., Maher, I. A., Cartee, T. V., Sobanko, J. F., Reynolds, K. A., Bolotin, D. n., Waldman, A. H., Minkis, K. n., Petersen, B. n., Council, M. L., Nehal, K. S., Xu, Y. G., Jiang, S. B., Somani, A. K., Bichakjian, C. K., Huang, C. C., Eisen, D. B., Ozog, D. M., Lee, E. H., Samie, F. H., Neuhaus, I. M., Bordeaux, J. S., Wang, J. V., Leitenberger, J. J., Mann, M. W., Lawrence, N. n., Zeitouni, N. C., Golda, N. n., Behshad, R. n., Ibrahim, S. F., Yu, S. S., Shin, T. M., Stebbins, W. G., Worley, B. n. 2020

View details for DOI 10.1007/s00403-020-02166-y

View details for PubMedID 33216212

Principles for developing and adapting clinical practice guidelines and guidance for pandemics, wars, shortages, and other crises and emergencies: the PAGE criteria. Archives of dermatological research Alam, M. n., Harikumar, V. n., Ibrahim, S. A., Kang, B. Y., Maher, I. A., Cartee, T. V., Sobanko, J. F., Kibbi, N. n., Owen, J. L., Reynolds, K. A., Bolotin, D. n., Waldman, A. H., Minkis, K. n., Petersen, B. n., Council, M. L., Nehal, K. S., Xu, Y. G., Jiang, S. B., Somani, A. K., Bichakjian, C. K., Huang, C. C., Eisen, D. B., Ozog, D. M., Lee, E. H., Samie, F. H., Neuhaus, I. M., Bordeaux, J. S., Wang, J. V., Leitenberger, J. J., Mann, M. W., Lawrence, N. n., Zeitouni, N. C., Golda, N. n., Behshad, R. n., Ibrahim, S. F., Yu, S. S., Shin, T. M., Stebbins, W. G., Worley, B. n. 2020

View details for DOI 10.1007/s00403-020-02167-x

View details for PubMedID 33206210