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Cosmeceuticals and Other Techniques to Reduce Bruising From Surgical and Cosmetic Procedures
Dermatological Reviews Pub Date : 2025-01-14 DOI: 10.1002/der2.70013
Faraz Yousefian, Braden Van Alfen, Sujitha Yadlapati, David J. Goldberg, Michael Gold
{"title":"Cosmeceuticals and Other Techniques to Reduce Bruising From Surgical and Cosmetic Procedures","authors":"Faraz Yousefian,&nbsp;Braden Van Alfen,&nbsp;Sujitha Yadlapati,&nbsp;David J. Goldberg,&nbsp;Michael Gold","doi":"10.1002/der2.70013","DOIUrl":"https://doi.org/10.1002/der2.70013","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Bruising is the most common adverse event experienced after cosmetic procedures, dermatologic surgeries, and other surgeries. Bruising can cause significant distress to a patient and may be the reason for unnecessary additional office visits.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> AIM</h3>\u0000 \u0000 <p>This review aims to outline the therapeutic remedies and prevention methods to decrease bruising after cosmetic procedures and other surgeries as described in the literature. A thorough in-depth understanding of the treatment of bruising can help improve the patient experience.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A literature search was conducted on PubMed reviewing remedies for bruising postsurgical and cosmetic procedures in the dermatological field.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A broad variety of remedies for reducing and alleviating bruising after a procedure exist. These treatments include cold compression, ReFORM and RePAIR, various lasers, herbal supplements including <i>Arnica Montana</i>, inhance postinjection serum, vitamin K, peroxide, and tranexamic acid. Results are varied but do show there are treatment options to alleviate bruising.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Physicians performing dermatologic procedures, cosmetic injections, or other surgeries should be aware of the causes and supported remedies for bruising. By understanding the many options out there to decrease bruising, providers can help alleviate the distress that it often causes patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100366,"journal":{"name":"Dermatological Reviews","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/der2.70013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143114813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An introduction to cosmeceuticals—What is new and trending part II
Dermatological Reviews Pub Date : 2024-12-23 DOI: 10.1002/der2.227
Kavita Mariwalla
{"title":"An introduction to cosmeceuticals—What is new and trending part II","authors":"Kavita Mariwalla","doi":"10.1002/der2.227","DOIUrl":"https://doi.org/10.1002/der2.227","url":null,"abstract":"","PeriodicalId":100366,"journal":{"name":"Dermatological Reviews","volume":"5 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/der2.227","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143118228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Alopecia Areata Treatment: Past, Present, and Future 斑秃治疗:过去,现在和未来
Dermatological Reviews Pub Date : 2024-12-19 DOI: 10.1002/der2.70008
Eliana L. Jolkovsky, David J. Goldberg
{"title":"Alopecia Areata Treatment: Past, Present, and Future","authors":"Eliana L. Jolkovsky,&nbsp;David J. Goldberg","doi":"10.1002/der2.70008","DOIUrl":"https://doi.org/10.1002/der2.70008","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Alopecia Areata (AA) is an autoimmune disorder resulting in non-scarring hair loss on the scalp, face, and body. AA research has experienced significant advancements within the last century with the discoveries of the autoimmune nature of the disorder and the role of genetic and psychosocial factors. This review provides a comprehensive dive into the history and evolution of AA management with a focus on the recently FDA-approved JAK inhibitors baricitinib, ritlecitinib, and deuruxolitinib, and sheds light on emerging therapies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A search was conducted on PubMed to investigate literature on the history of AA treatment, current AA treatment with a focus on therapy with JAK inhibitors, and the future directions of AA treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Caustic topical agents were used as the main AA therapy until recent decades. The last century saw significant advancements in understanding the etiology of AA as autoimmune, genetic, and psychosocial, influencing the directions of treatment research. In recent years, JAK inhibitors were found to be an effective, systemic AA treatment. Non-systemic AA therapies such as corticosteroid injections, topical minoxidil, contact immunotherapy, and red-laser light therapy remain effective treatments. JAK inhibitors continue to be the focus of AA treatment research, although other targets and new treatment modalities are being studied.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The treatment of AA has undergone significant advances within recent years, especially with the application of JAK inhibitors as systemic therapy. Future research should investigate the therapeutic potential of stem cell therapy, gene therapy, and energy-assisted drug delivery (LEADD) for AA.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100366,"journal":{"name":"Dermatological Reviews","volume":"5 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/der2.70008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142861925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cellulite & Skin Tightening: A Review of Pathophysiology and Topical Treatment 脂肪团与紧肤:病理生理学与局部治疗综述
Dermatological Reviews Pub Date : 2024-12-19 DOI: 10.1002/der2.70011
Isabella Castellanos-García, Luisa Valentina Ramírez-Zuluaga, Laura Sofia Páez-Cárdenas, Dennys Lintsay Villalba-Moreno, María Daniela Caicedo-León, Elisha Singer, Thais Pincelli, Alison J. Bruce, Miguel A. Aristizabal
{"title":"Cellulite & Skin Tightening: A Review of Pathophysiology and Topical Treatment","authors":"Isabella Castellanos-García,&nbsp;Luisa Valentina Ramírez-Zuluaga,&nbsp;Laura Sofia Páez-Cárdenas,&nbsp;Dennys Lintsay Villalba-Moreno,&nbsp;María Daniela Caicedo-León,&nbsp;Elisha Singer,&nbsp;Thais Pincelli,&nbsp;Alison J. Bruce,&nbsp;Miguel A. Aristizabal","doi":"10.1002/der2.70011","DOIUrl":"https://doi.org/10.1002/der2.70011","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Cellulite is a localized skin condition that affects many women, particularly after puberty. It results from a complex interplay of several factors that lead to the characteristic dimpled appearance of the skin. Cellulite may cause psychological stress and negatively impact quality of life. Additionally, body skin laxity may further exacerbate cosmetic concerns in these patients. Consequently, multiple therapeutic options, including topical treatments, have been explored to address both cellulite and skin laxity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To review the pathophysiology of cellulite and skin laxity, as well as topical skincare options for their management.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A literature search from 2000 to 2024 was conducted using the databases PubMed, EBSCOhost, Scopus, and Google Scholar, with the key terms “cellulite,” “cellulite management,” “cellulite topical treatment,” “skin sagging,” “skin laxity,” and “loose skin.” The search included clinical trials, observational studies, book chapters, and review articles in English and Spanish.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The pathophysiologic mechanisms underlying cellulite involve a combination of histological, hormonal, genetic, and lifestyle factors. Several topical agents, including retinoids and methylxanthines, have shown potential in improving the cosmetic appearance of cellulite and may contribute to localized fat reduction. Emerging botanical extracts hold promise as topical treatments for cellulite and skin tightening.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Cellulite and skin laxity are prevalent cosmetic concerns with multifactorial and complex pathophysiologic origins. Topical treatments for cellulite and skin tightening require further investigation. Although some studies have demonstrated positive outcomes with skincare products and topicals, robust evidence and studies with extended follow-up are still lacking. Additional research is necessary to evaluate the long-term efficacy of topical treatments as standalone therapies for cellulite and skin tightening.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100366,"journal":{"name":"Dermatological Reviews","volume":"5 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/der2.70011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142861926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fezolinetant: A Non-hormonal NK3R Antagonist for the Treatment of Hot Flushes and Vasomotor Symptoms 非索内酯:治疗热潮红和血管运动症状的非激素 NK3R 拮抗剂
Dermatological Reviews Pub Date : 2024-12-13 DOI: 10.1002/der2.70009
Arpita Yadav, Manoj K. Verma, Arun K. Sharma, Anu Chaudhary, Sudha Bhartiya
{"title":"Fezolinetant: A Non-hormonal NK3R Antagonist for the Treatment of Hot Flushes and Vasomotor Symptoms","authors":"Arpita Yadav,&nbsp;Manoj K. Verma,&nbsp;Arun K. Sharma,&nbsp;Anu Chaudhary,&nbsp;Sudha Bhartiya","doi":"10.1002/der2.70009","DOIUrl":"https://doi.org/10.1002/der2.70009","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Menopausal vasomotor symptoms (VMS), such as hot flashes (also known as night sweats), are experienced by 70% of women. These symptoms may be debilitating and last for many years. For 10%–20% of women, these symptoms are almost unbearable. Several pharmacotherapeutic approaches have been evaluated, and more are continually being developed. Although hormone therapy (HT) is often considered the most effective treatment, it is frequently accompanied by significant adverse effects. Consequently, there is a concerted effort to explore non-hormonal alternatives.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The present study aims to provide a comprehensive overview of the key milestones and development trajectory of Fezolinetant from the preclinical stages to its FDA approval for the treatment of VMS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Fezolinetant's development trajectory was undertaken, employing a multifaceted information retrieval strategy. This approach leveraged scientific databases like PubMed, Google Scholar, and ScienceDirect, alongside authoritative resources including DrugBank and clinicaltrials.gov. Additionally, peer-reviewed journals and the official website of Astellas Pharma were meticulously examined to find the relevant information. The present study delves into various stages of Fezolinetant's development, including its medicinal chemistry, synthesis, mechanism of action, and pharmacodynamic and pharmacokinetic studies, as well as clinical data, and safety profiles.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Result</h3>\u0000 \u0000 <p>On May 12, 2023, the FDA approved Fezolinetant, a non-hormonal, selective neurokinin 3 (NK3) receptor antagonist, for treating mild to severe VMS marked on by menopause. It has been developed by Astellas Pharma under the brand name Veozah and is taken orally once a day, with or without meals, at a dose of 45 mg.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Fezolinetant represents a promising non-hormonal treatment option for women experiencing VMS. The key findings from the studies include the effectiveness of Fezolinetant in alleviating VMS symptoms and its favorable safety profile compared to hormonal therapy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100366,"journal":{"name":"Dermatological Reviews","volume":"5 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/der2.70009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142861193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Categorized Side Effect and Complications of Microneedling 微针美塑的副作用和并发症分类
Dermatological Reviews Pub Date : 2024-12-13 DOI: 10.1002/der2.70010
Atefeh Mohammadnejad
{"title":"Categorized Side Effect and Complications of Microneedling","authors":"Atefeh Mohammadnejad","doi":"10.1002/der2.70010","DOIUrl":"https://doi.org/10.1002/der2.70010","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Facial microneedling (MN) represents a contemporary approach to skin rejuvenation that has garnered increasing popularity in recent years. This technique is distinguished by its cost-effectiveness and widespread adoption across various age groups. While MN is associated with substantial improvements in skin appearance and texture, it is also accompanied by a range of potential adverse effects.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This paper outlines to present the categorized side effect and complications of MN.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this paper, published studies and colleagues’ experiences were used to classify and present the results.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>There is currently insufficient research on the complications and side effects of MN, highlighting the need for a comprehensive and organized review in this area. This study systematically investigates MN-related complications in six key areas: operator, patient, procedures and materials, sterile devices and skin, aftercare, and standard device classification and evaluation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100366,"journal":{"name":"Dermatological Reviews","volume":"5 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/der2.70010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142861192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Triple Wavelength for Laser Hair Reduction: Parameter Selection and Optimisation of Results 三波长激光脱毛:参数选择和结果优化
Dermatological Reviews Pub Date : 2024-11-08 DOI: 10.1002/der2.70006
Ganesh Srinivas Pai, Avitus John Raakesh Prasad, Anusha H. Pai, Rahul Pillai
{"title":"Triple Wavelength for Laser Hair Reduction: Parameter Selection and Optimisation of Results","authors":"Ganesh Srinivas Pai,&nbsp;Avitus John Raakesh Prasad,&nbsp;Anusha H. Pai,&nbsp;Rahul Pillai","doi":"10.1002/der2.70006","DOIUrl":"https://doi.org/10.1002/der2.70006","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Triple wave hair removal is an advanced method for achieving permanent hair reduction which has always been challenging. This technique combines the benefits of three different wavelengths of laser light to target a broader range of skin types effectively. This study employed three different equipment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To establish the efficacy of triple wavelength hair removal in various skin types, sites and type of hair. To give importance to parameter selection and various techniques to be employed in various situations to achieve permanent hair removal.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Patients and Methods</h3>\u0000 \u0000 <p>This was an Investigator initiated, two center study of female's patients with hirsutism above age 18 years with skin type III−V, areas included are face, chin, chest and others between the period of August 2017 to February 2024.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The amount of hair reduction was assessed using the physician GAIS (Global Aesthetic Improvement Scale) score: No results 0% reduction, Poor 0%−25% reduction, Average 25%−50% reduction, good 50%−75% reduction, and excellent 75%−100% reduction. Patients who completed minimum of four to maximum of six sessions were included in the study. An excellent reduction in 80% of the treated patients and good reduction in 15% of treated patients was observed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This current study shows that a synergistic combination of three diode laser wavelengths used for hair removal is effective and safe to use in subjects of all skin types for facial and body hair and is an alternative in treatment of patients who responds poorly to diode wavelength.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100366,"journal":{"name":"Dermatological Reviews","volume":"5 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/der2.70006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142641611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dupilumab Efficacy and Safety Assessment in the Treatment of Atopic Dermatitis in Pediatric Patients: A Systematic Review 杜匹单抗治疗儿童特应性皮炎的疗效和安全性评估:系统回顾
Dermatological Reviews Pub Date : 2024-11-07 DOI: 10.1002/der2.70002
Valeria Antoniou, Elena Thomaidou, Ekatherine Prokopiou
{"title":"Dupilumab Efficacy and Safety Assessment in the Treatment of Atopic Dermatitis in Pediatric Patients: A Systematic Review","authors":"Valeria Antoniou,&nbsp;Elena Thomaidou,&nbsp;Ekatherine Prokopiou","doi":"10.1002/der2.70002","DOIUrl":"https://doi.org/10.1002/der2.70002","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Objectives</h3>\u0000 \u0000 <p>Atopic dermatitis (AD) is a chronic inflammatory skin condition, commonly first occurring in early childhood. Although many treatments have currently been established, their effectiveness often varies, and it is not always adequate. The first biologic agent approved in the pediatric population, in severe AD cases, is dupilumab. In this review we aim to present the current data on dupilumab effectiveness and safety in the pediatric population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Systematic search was conducted throughout PubMed, ScienceDirect, and clinicaltrials.gov, from which three clinical trials and four real-life studies were included. The studies were analyzed in terms of drug effectiveness (using EASI, IGA and SCORAD scoring systems) and safety profile (presence and occurrence of adverse events).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>EASI, SCORAD, and IGA scores were significantly improved in patients receiving dupilumab treatment irrespective of dosage. Conjunctivitis was the most consistently and commonly reported adverse event in both clinical trials (relative risk; RR = 2.4, 95% confidence interval [CI] [1.20, 4.84], <i>p</i> = 0.01) and real-life studies (10.8% of patients). Injection-site reactions and nasopharyngitis demonstrated an increased, yet nonsignificant RR. Compared to placebo, dupilumab exhibited a reduced RR of 36% in AD exacerbations (95% CI [0.43, 0.94], <i>p</i> = 0.0234) and 44% in skin infections (95% CI [0.36, 0.88], <i>p</i> = 0.0106).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Dupilumab appears to be a promising drug in the treatment of moderate to severe AD in pediatric population, with noticeable improvement in outcome scores. Among the adverse events, conjunctivitis is the most common; however, no long-term or life-threatening events were reported.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100366,"journal":{"name":"Dermatological Reviews","volume":"5 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/der2.70002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142641147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Eczematous Drug Eruptions: Identification and Management of Pharmacological Culprits in Primary Care 药物性湿疹:初级保健中药物致病因素的识别与管理
Dermatological Reviews Pub Date : 2024-11-07 DOI: 10.1002/der2.70004
Joseph Gofman, Darcy Tocci, Daniel L. Fischer, Charles Gropper
{"title":"Eczematous Drug Eruptions: Identification and Management of Pharmacological Culprits in Primary Care","authors":"Joseph Gofman,&nbsp;Darcy Tocci,&nbsp;Daniel L. Fischer,&nbsp;Charles Gropper","doi":"10.1002/der2.70004","DOIUrl":"https://doi.org/10.1002/der2.70004","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Eczematous drug eruptions (EDEs) can mimic common skin conditions like eczema or psoriasis, complicating diagnosis and treatment. These eruptions often present as papular or vesicular lesions, sometimes pruritic, with scaling and crusting. EDEs can manifest anywhere from days to years after initiating medications commonly prescribed in the primary care setting such as calcium channel blockers, ACE inhibitors, ARBs, thiazides, and statins. Misdiagnosis can lead to prolonged patient discomfort and unnecessary treatments. This review emphasizes the importance of accurate differentiation between EDEs and other dermatoses for improved patient outcomes.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objective&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This review aims to aid clinicians in the differentiation of EDEs from clinically similar conditions, such as eczema and psoriasis. It focuses on identifying commonly prescribed medications in primary care settings that trigger EDEs, discusses diagnostic strategies, and explores effective treatment options for managing these eruptions.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A comprehensive literature review was conducted using databases such as PubMed, Google Scholar, and the Cochrane Library, covering the period from January 1980 to January 2023. The search included terms like “eczematous,” “drug eruption,” “medication,” “drug induced,” “skin reactions,” “adverse cutaneous,” and “side effects.” Studies selected for review included literary reviews, systematic reviews, case reports, and case series focusing on the pharmacological agents responsible for EDEs. Articles were selected based on their focus on primary care medications and their connection to EDEs.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The review identified a broad spectrum of medications implicated in EDEs, including calcium channel blockers, ACE inhibitors, ARBs, thiazides, and statins. Among these, calcium channel blockers were the most frequently associated with chronic, diffuse, and pruritic scaly papules and plaques. Other common offenders include ACE inhibitors and ARBs, which primarily trigger eczema-like rashes in elderly patients. Thiazide diuretics were associated with photosensitivity reactions leading to eczematous eruptions. Statins were found to compromise the skin barrier, contributing to the development of eczematous reactions, particularly in older individuals. The histopathological findings across cases frequently showed spongiosis, eosinophilic infiltrates, and acanthosis, complicating the differentiation from eczema without a thorough medication history.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;sec","PeriodicalId":100366,"journal":{"name":"Dermatological Reviews","volume":"5 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/der2.70004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142641148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Introduction—Dermatological Reviews—October 2024 导言-皮肤病学评论-2024 年 10 月
Dermatological Reviews Pub Date : 2024-10-01 DOI: 10.1002/der2.70007
Michael H. Gold
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