1 Dr. Shah was from Marshall University Joan C. Edwards School of Medicine, Huntington, West Virginia, and currently is from the Department of Internal Medicine, University of Virginia, Charlottesville. Drs. Kupiec, Strickler, and Hossler are from the Department of Dermatology, Geisinger Medical Center, Danville, Pennsylvania. Drs. Strickler and Hossler also are from the Department of Pathology.