Bio

Bio


Chelsea Ma, M.D. is a Clinical Assistant Professor of Dermatology. Dr. Ma received a Bachelor of Arts degree in human biology from Stanford University. She attended medical school at the University of California Davis, and internship at Beth Israel Deaconess Medical Center, Harvard Medical School. She completed her dermatology residency at University of California Davis, serving as Chief Resident her final year. She completed a clinical research fellowship, focusing on neutrophilic dermatoses, blistering diseases, melanoma, eczema and psoriasis. Her clinical interests include general dermatology and complex medical dermatology.

Clinical Focus


  • Dermatology

Academic Appointments


Professional Education


  • Residency: UC Davis Dermatology Residency (2020) CA
  • Internship, Beth Israel Deaconess Medical Center, Harvard Medical School (2016)
  • Medical Education: UC Davis (2015) CA
  • BA, Stanford University (2011)

Publications

All Publications


  • Successful Management of Anti-TNF-Induced Psoriasis Despite Continuation of Therapy in a Pyoderma Gangrenosum Patient JOURNAL OF DRUGS IN DERMATOLOGY Toussi, A., Le, S. T., Barton, V. R., Ma, C., Cheng, M. Y., Sukhov, A., Wilken, R., Patel, F., Wang, E., Maverakis, E. 2020; 19 (2): 199?201
  • New validated diagnostic criteria for pyoderma gangrenosum JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY Maverakis, E., Le, S. T., Callen, J., Wollina, U., Marzano, A., Wallach, D., Schadt, C., Martinez-Alvarado, Y. C., Cheng, M. Y., Ma, C., Merleev, A., Ormerod, A., Craig, F., Jockenhofer, F., Dissemond, J., Salva, K., Williams, H. C., Fiorentino, D. 2019; 80 (4): E87?E88
  • Non-surgical management of primary invasive melanoma. The Journal of dermatological treatment Wang, E. A., Kao, J., Ma, C., Cheng, M. Y., Barton, V. R., Petukhova, T. A., Kiuru, M., Maverakis, E., Kirane, A. R. 2019: 1?4

    Abstract

    Surgical excision is standard-of-care for primary invasive melanoma, but best care can be unclear for patients who are surgically high-risk or for whom resection may be excessively morbid. Alternatives to surgical excision have emerged for treatment of metastatic melanoma but have not yet been explored for primary invasive melanoma. Two elderly patients with primary invasive melanoma with many medical co-morbidities who were not surgical candidates were determined to be appropriate candidates for an intralesional IL-2 based regimen. Herein we report their clinical and histological outcome. An intralesional-based regimen (intralesional IL-2, topical imiquimod cream 5%, and tretinoin cream 0.1% under occlusion to the treatment site) was administered over the course of six to seven weeks, followed by two weeks of topical-only therapy. A complete response was seen after eight to nine weeks of treating invasive melanomas that were ?1.85?mm and 5.5?mm thick. For patients with primary invasive melanoma on high morbidity sites and patients who are poor surgical candidates, a neoadjuvant intralesional IL-2-based approach may be a reasonable alternative. The two cases presented here suggest that alternative intralesional-based treatment modalities may minimize the size of the excision site and can be associated with complete histological clearance of invasive melanoma.

    View details for DOI 10.1080/09546634.2019.1687830

    View details for PubMedID 31747810

  • Umbilical condyloma lata. Dermatology online journal Alexanian, C., Le, S., Ma, C., Fung, M., Tartar, D. 2019; 25 (2)

    Abstract

    Condyloma lata, a cutaneous manifestation of secondary syphilis, usually appear as verrucous papules and plaques in the anogenital area. Involvement of the umbilicus is very uncommon. Thus, awareness of this presentation, along with appropriate history, physical exam, and laboratory testing may aid clinicians in prompt and accurate diagnosis. We describe a patient with an unusual presentation of condyloma lata on the umbilicus.

    View details for PubMedID 30865413

  • End stage scurvy in the developed world: A diagnostic conundrum but not to be mistaken for pyoderma gangrenosum. International wound journal Le, S. T., Wang, J. Z., Alexanian, C. C., Johng, S. Y., Patel, F. B., Wang, E. A., Ma, C., Wilken, R., Cheng, M. Y., Maverakis, E. 2019; 16 (4): 1024?28

    Abstract

    Scurvy is a clinical syndrome, resulting from ascorbic acid deficiency. Prevalence of the condition is now extremely low in the Western population and its diagnosis can be challenging without a high index of suspicion. When cases do present, they are often misdiagnosed initially. Therefore, a thorough history, physical exam, and laboratory evaluation are key to showing this now rare but extremely well-known disease. We report a case of scurvy manifesting as persistent non-healing lower-extremity ulcerations, initially mistaken for pyoderma gangrenosum. The patient responded to appropriate replacement therapy, but ulcers were slow to heal. As was the case in our patient, symptom reversal may require additional nutritional replacement. We encourage physicians to consider nutritional deficiencies in their differential diagnoses and highlight the incidence of malnutrition in the proper clinical setting to avoid diagnostic delay.

    View details for DOI 10.1111/iwj.13149

    View details for PubMedID 31154667

  • Effectiveness of Online vs In-Person Care for Adults With Psoriasis A Randomized Clinical Trial JAMA NETWORK OPEN Armstrong, A. W., Chambers, C. J., Maverakis, E., Cheng, M. Y., Dunnick, C. A., Chren, M., Gelfand, J. M., Wong, D. J., Gibbons, B. M., Gibbons, C. M., Torres, J., Steel, A. C., Wang, E. A., Clark, C. M., Singh, S., Kornmehl, H. A., Wilken, R., Florek, A. G., Ford, A. R., Ma, C., Ehsani-Chimeh, N., Boddu, S., Fujita, M., Young, P. M., Rivas-Sanchez, C., Cornejo, B., Serna, L. C., Carlson, E. R., Lane, C. J. 2018; 1 (6)
  • Diagnostic Criteria of Ulcerative Pyoderma Gangrenosum A Delphi Consensus of International Experts JAMA DERMATOLOGY Maverakis, E., Ma, C., Shinkai, K., Fiorentino, D., Callen, J. P., Wollina, U., Marzano, A., Wallach, D., Kim, K., Schadt, C., Ormerod, A., Fung, M. A., Steel, A., Patel, F., Qin, R., Craig, F., Williams, H. C., Powell, F., Merleev, A., Cheng, M. Y. 2018; 154 (4): 461?66

    Abstract

    Pyoderma gangrenosum is a rare inflammatory skin condition that is difficult to diagnose. Currently, it is a "diagnosis of exclusion," a definition not compatible with clinical decision making or inclusion for clinical trials.To propose and validate diagnostic criteria for ulcerative pyoderma gangrenosum.Diagnostic criteria were created following a Delphi consensus exercise using the RAND/UCLA Appropriateness Method. The criteria were validated against peer-reviewed established cases of pyoderma gangrenosum and mimickers using k-fold cross-validation with methods of multiple imputation.Delphi exercise yielded 1 major criterion-biopsy of ulcer edge demonstrating neutrophilic infiltrate-and 8 minor criteria: (1) exclusion of infection; (2) pathergy; (3) history of inflammatory bowel disease or inflammatory arthritis; (4) history of papule, pustule, or vesicle ulcerating within 4 days of appearing; (5) peripheral erythema, undermining border, and tenderness at ulceration site; (6) multiple ulcerations, at least 1 on an anterior lower leg; (7) cribriform or "wrinkled paper" scar(s) at healed ulcer sites; and (8) decreased ulcer size within 1 month of initiating immunosuppressive medication(s). Receiver operating characteristic analysis revealed that 4 of 8 minor criteria maximized discrimination, yielding sensitivity and specificity of 86% and 90%, respectively.This Delphi exercise produced 1 major criterion and 8 minor criteria for the diagnosis of ulcerative pyoderma gangrenosum. The criteria may serve as a guideline for clinicians, allowing for fewer misdiagnoses and improved patient selection for clinical trials.

    View details for PubMedID 29450466

  • Meta-analysis of RNA sequencing datasets reveals an association between TRAJ23, psoriasis, and IL-17A. JCI insight Merleev, A. A., Marusina, A. I., Ma, C., Elder, J. T., Tsoi, L. C., Raychaudhuri, S. P., Weidinger, S., Wang, E. A., Adamopoulos, I. E., Luxardi, G., Gudjonsson, J. E., Shimoda, M., Maverakis, E. 2018; 3 (13)

    Abstract

    Numerous studies of relatively few patients have linked T cell receptor (TCR) genes to psoriasis but have yielded dramatically conflicting results. To resolve these discrepancies, we have chosen to mine RNA-Seq datasets for patterns of TCR gene segment usage in psoriasis. A meta-analysis of 3 existing and 1 unpublished datasets revealed a statistically significant link between the relative expression of TRAJ23 and psoriasis and the psoriasis-associated cytokine IL-17A. TRGV5, a TCR-? segment, was also associated with psoriasis but correlated instead with IL-36A, other IL-36 family members, and IL-17C (not IL-17A). In contrast, TRAJ39 was strongly associated with healthy skin. T cell diversity measurements and analysis of CDR3 sequences were also conducted, revealing no psoriasis-associated public CDR3 sequences. Finally, in comparison with the expression of TCR-?? genes, the expression of TCR-?? genes was relatively low but mildly elevated in psoriatic skin. These results have implications for the development of targeted therapies for psoriasis and other autoimmune diseases. Also, the techniques employed in this study have applications in other fields, such as cancer immunology and infectious disease.

    View details for DOI 10.1172/jci.insight.120682

    View details for PubMedID 29997305

    View details for PubMedCentralID PMC6124526

  • Exuberant scale crust of the scalp. JAAD case reports Kao, J., Wang, E. A., Cheng, M. Y., Ma, C., Kiuru, M., Maverakis, E. 2018; 4 (4): 289?91

    View details for DOI 10.1016/j.jdcr.2017.06.023

    View details for PubMedID 29693050

    View details for PubMedCentralID PMC5911794

  • Image Gallery: Transient localized livedo racemosa following liver embolization procedure for metastatic neuroendocrine tumour. The British journal of dermatology Ma, C., Vu, C. T., Knebel, R. J., Brassard, A., Fung, M. A., Tartar, D. 2018; 179 (5): e195

    View details for DOI 10.1111/bjd.17006

    View details for PubMedID 30387516

  • T Cells Dominate the Local Immune Response Induced by Intralesional IL-2 in Combination with Imiquimod and Retinoid for In-Transit Metastatic Melanoma. The Journal of investigative dermatology Ogawa, H., Luxardi, G., Kirane, A., Kulkarni, R., Monjazeb, A. M., Cheng, M. Y., Ma, C., Maverakis, E. 2018; 138 (6): 1442?45

    View details for DOI 10.1016/j.jid.2017.12.027

    View details for PubMedID 29291382

  • Vocal fold paralysis on positron emission tomography-CT. Thorax Ma, C., Frosch, Z. A., Overmoyer, B., Cooper, A. Z. 2018; 73 (1): 97?98

    View details for DOI 10.1136/thoraxjnl-2016-209261

    View details for PubMedID 28717033

  • Amelanotic blue nevus. JAAD case reports Ma, C., Chambers, C. J., Kiuru, M., Marsee, D. K., Silverstein, M. 2017; 3 (2): 93?94

    View details for DOI 10.1016/j.jdcr.2017.01.003

    View details for PubMedID 28280767

    View details for PubMedCentralID PMC5334520

  • Severe pellagra masked by concurrent plaque psoriasis: a case report of a hidden diagnosis. Dermatology online journal Wang, E. A., Kao, J., Cheng, M. Y., Ma, C., Dhillon, S., Konia, T., Maverakis, E., Chambers, C. J. 2017; 23 (5)

    Abstract

    Despite characteristic features, psoriasis can mimic other dermatologic conditions, such as seborrheic dermatitis, lichen simplex chronicus, and certain nutritional deficiencies such as pellagra. We present a patient with a longstanding history of severe plaque psoriasis who presented with disfiguring scaly plaques involving greater than 80% body surface area. The patient's disease was minimally responsive to multiple therapies. Repeat punch biopsies demonstrated parakeratosis, psoriasiform hyperplasia, and dilated blood vessels consistent with psoriasis. Given atypical clinical features and overall poor treatment response additional work up was obtained. A serum nutritional panel was consistent with niacin deficiency and the patient later revealed extensive alcohol intake. A diagnosis of concurrent pellagra was made and the patient was started on niacin supplementation and instructed to reduce alcohol intake, while continuing adalimumab and high potency topical steroids. Within two weeks, his disease had markedly improved. Pellagra presents characteristically with a photosensitivity dermatitis that may appear clinically and histologically similar to psoriasis. It is important to maintain an index of suspicion for a secondary pathology in treatment-resistant psoriasis.

    View details for PubMedID 28537863

  • Disseminated cutaneous sporotrichosis presenting as a necrotic facial mass: Case and review. Dermatology online journal He, Y., Ma, C., Fung, M., Fitzmaurice, S. 2017; 23 (7)

    Abstract

    Sporotrichosis is a subcutaneous mycotic infection caused by Sporothrix schenckii, a group of common saprophytes of soil, plants, and organic debris. Disseminated forms may be seen in the setting of immunosuppression and are typically treated initially with intravenous lipidized amphotericin B. We report an unusual case of a 65-year-old woman who developed disseminated cutaneous sporotrichosis with extensive facial involvement in the absence of a known primary inoculation. Her cutaneous lesions completely resolved after treatment with intravenous posaconazole without amphotericin B.

    View details for PubMedID 29469701

  • Acupuncture as a Treatment Modality in Dermatology: A Systematic Review. Journal of alternative and complementary medicine (New York, N.Y.) Ma, C., Sivamani, R. K. 2015; 21 (9): 520?29

    Abstract

    Acupuncture is a form of Traditional Chinese Medicine that has been used to treat a broad range of medical conditions, including dermatologic disorders. This systematic review aims to synthesize the evidence on the use of acupuncture as a primary treatment modality for dermatologic conditions.A systematic search of MEDLINE, EMBASE, and the Cochrane Central Register was performed. Studies were limited to clinical trials, controlled studies, case reports, comparative studies, and systematic reviews published in the English language. Studies involving moxibustion, electroacupuncture, or blood-letting were excluded.Twenty-four studies met inclusion criteria. Among these, 16 were randomized controlled trials, 6 were prospective observational studies, and 2 were case reports. Acupuncture was used to treat atopic dermatitis, urticaria, pruritus, acne, chloasma, neurodermatitis, dermatitis herpetiformis, hyperhidrosis, human papillomavirus wart, breast inflammation, and facial elasticity. In 17 of 24 studies, acupuncture showed statistically significant improvements in outcome measurements compared with placebo acupuncture, alternative treatment options, and no intervention.Acupuncture improves outcome measures in the treatment of dermatitis, chloasma, pruritus, urticaria, hyperhidrosis, and facial elasticity. Future studies should ideally be double-blinded and standardize the control intervention.

    View details for DOI 10.1089/acm.2014.0274

    View details for PubMedID 26115180

  • Psoriasis and dyslipidemia: a population-based study analyzing the National Health and Nutrition Examination Survey (NHANES). Journal of the European Academy of Dermatology and Venereology : JEADV Ma, C., Schupp, C. W., Armstrong, E. J., Armstrong, A. W. 2014; 28 (8): 1109?12

    Abstract

    Psoriasis has been linked to an increased incidence of coronary artery disease, stroke, myocardial infarctions and cardiovascular deaths. Dyslipidemia, a well-established risk factor for cardiovascular disease, involves inflammatory pathways that are also implicated in psoriasis. An understanding of the relationship between psoriasis and dyslipidemia may have a substantial clinical impact.This study aimed to examine the association between psoriasis and multiple measurements of dyslipidemia, which include levels of triglycerides, apolipoprotein B, LDL-cholesterol, HDL-cholesterol, HDL/LDL ratio and total cholesterol.We conducted a population-based, cross-sectional study using the National Health and Nutrition Examination Survey (NHANES) 2003-2006 and 2009-2010. NHANES is a national research survey programme conducted biennially to evaluate the health and nutritional status of the U.S. population. The survey uses a multistage, stratified design. NHANES data were collected from questionnaires, physical examination and laboratory values.The sample population consisted of 13418 adults who provided responses to their psoriasis status. A total of 353 (2.63%) participants reported a health care provider-given diagnosis of psoriasis. The multivariate analysis showed that psoriasis was not significantly associated with certain measures of dyslipidemia from this population. Specifically, in psoriasis patients, the weighted odds ratio (OR) of total cholesterol >200mg/dL was 0.96 (95% CI 0.74-1.24); weighted OR of HDL-cholesterol <40mg/dL was 0.92 (95% CI 0.65-1.30); weighted OR of LDL-cholesterol >130mg/dL was 0.67 (95% CI 0.43-1.03); weighted OR of triglycerides >150mg/dL was 1.20 (95% CI 0.89-1.63); weighted OR of apolipoprotein B>130mg/dL was 1.29 (95% CI 0.69-2.41); weighted OR of HDL/LDL <0.4 was 1.20 (95% CI 0.8-1.79).Based on the NHANES data 2003-2006 and 2009-2010, psoriasis is not significantly associated with alterations in certain lipid levels. Larger sample sizes may be necessary to detect appreciable differences in the lipid levels between patients with and without psoriasis.

    View details for DOI 10.1111/jdv.12232

    View details for PubMedID 23909936

  • Diet and nutrition in psoriasis: analysis of the National Health and Nutrition Examination Survey (NHANES) in the United States. Journal of the European Academy of Dermatology and Venereology : JEADV Johnson, J. A., Ma, C., Kanada, K. N., Armstrong, A. W. 2014; 28 (3): 327?32

    Abstract

    There is limited research examining the association between psoriasis, dietary intake and nutritional status in the general U.S. population.This study aimed to compare levels of vitamins and carotenoids as well as intake of protein, fats, sugar, carbohydrates and total calories between individuals with and without psoriasis.We used data from the 2003-2006 National Health and Nutrition Examination Survey (NHANES) in the U.S. Demographic information, physical examination, serum laboratory values and questionnaires on past medical history and dietary intake were used to determine the relationship between psoriasis and nutritional status and diet.The cohort consisted of 6260 participants who provided responses to their psoriasis status. Prior psoriasis diagnosis was reported in 156 (2.49%) of the respondents. Based on multivariate regression analysis, psoriasis was significantly associated with increased vitamin A level (OR: 1.01; CI: 1.00-1.02; P=0.03), increased ?-carotene level (OR: 1.02; CI: 1.01-1.04; P=0.01), lower sugar intake (OR: 0.998; CI: 0.996-1; P=0.04), increased body mass index (OR: 1.04; 95% CI: 1.02-1.07; P=0.0003) and arthritis (OR: 2.31; CI: 1.37-3.90; P=0.002). Non-Hispanic black (OR: 0.56; CI: 0.34-0.96; P=0.03) and Hispanic race (OR: 0.37; CI: 0.19-0.75; P=0.005) were inversely associated with a diagnosis of psoriasis compared with non-Hispanic white race.Psoriasis is significantly associated with elevated serum levels of vitamin A and ?-carotene and reduced intake of sugar. Longitudinal monitoring of nutritional status in psoriasis patients is necessary to determine the effect of nutrition on psoriasis progression and the modifying role of treatments.

    View details for DOI 10.1111/jdv.12105

    View details for PubMedID 23432373

  • Severe adverse events from the treatment of advanced melanoma: a systematic review of severe side effects associated with ipilimumab, vemurafenib, interferon alfa-2b, dacarbazine and interleukin-2. The Journal of dermatological treatment Ma, C., Armstrong, A. W. 2014; 25 (5): 401?8

    Abstract

    Current immunomodulatory agents for stage III and IV melanoma exert different mechanisms of action that manifest in distinct adverse events.This systematic review aims to synthesize safety data from clinical trials on ipilimumab, vemurafenib, interferon (IFN) alfa-2b, dacarbazine and interleukin (IL)-2 to elucidate the severe adverse events associated with each melanoma therapy.Through a systematic search using MEDLINE, EMBASE and the Cochrane Central Register between January 1, 2010 and June 1, 2012, we identified 32 clinical trials with 5802 subjects that met the inclusion criteria.Ipilimumab was associated with immune-mediated diarrhea and colitis, with an incidence rate of 0.0017 cases per 100 person-years. Patients receiving vemurafenib developed keratoacanthomas and cutaneous squamous cell carcinoma at an incidence rate of 0.0025 cases per 100 person-years. Treatment with IFN alfa-2b precipitated depression at an incidence rate of 0.0002 cases per 100 person-years. Dacarbazine was associated with respiratory toxicity and dyspnea, with incidence rates of 0.0001 and 0.00008 cases per 100 person-years, respectively. IL-2 treatment induced vascular leak syndrome (VLS), with symptoms of hypotension and oliguria, was observed at incidence rates of 0.17 and 0.15 cases per 100 person-years, respectively. Findings may serve as a foundation for future research in this area and guide clinical recommendations.

    View details for DOI 10.3109/09546634.2013.813897

    View details for PubMedID 23763243

  • The association between psoriasis and dyslipidaemia: a systematic review. The British journal of dermatology Ma, C., Harskamp, C. T., Armstrong, E. J., Armstrong, A. W. 2013; 168 (3): 486?95

    Abstract

    Psoriasis may be associated with dyslipidaemia, a known risk factor for cardiovascular disease. This systematic review aims to synthesize evidence for the association between psoriasis and dyslipidaemia. Through a systematic search using MEDLINE, Embase and the Cochrane Central Register, from 1 January 1980 to 1 January 2012, we identified 25 observational studies that met the inclusion criteria. These 25 studies included over 24 million participants, among whom 265,512 were patients with psoriasis. Twenty studies (80%) reported that psoriasis was significantly associated with dyslipidaemia, with odds ratios (ORs) for dyslipidaemia ranging from 104 to 555 in 238,385 patients with psoriasis, from a population of 2,340,605 participants. Specifically, four studies defining dyslipidaemia as triglyceride levels ? 150 mg dL reported significantly increased ORs of 120-498 for hypertriglyceridaemia in psoriasis. Three studies found that patients with psoriasis presented with significantly increased ORs (136-177) for high-density lipoprotein cholesterol levels < 40 mg dL , and two studies found hyperlipoproteinaemia to be significantly elevated in patients with psoriasis (ORs 155 and 209). One cohort study found a significantly higher incidence of hyperlipidaemia among patients with psoriasis (hazard ratio 117; 95% confidence interval 111-123). Among studies that assessed the severity of psoriasis, in 2662 patients with mild psoriasis and 810 patients with severe psoriasis, higher odds of dyslipidaemia were seen in patients with severe psoriasis. Five of the 25 studies (20%) in our review did not show any significant relationship between psoriasis and dyslipidaemia. This systematic review found that psoriasis was significantly associated with greater odds and incidence of dyslipidaemia. Greater psoriasis severity appeared to be associated with higher prevalence of dyslipidaemia.

    View details for DOI 10.1111/bjd.12101

    View details for PubMedID 23106411

Footer Links:

Stanford Medicine Resources: