Marina Z Joel, Saloni Patel, Jun Kang, Joel C Sunshine
{"title":"Association of Autoimmune Disease with Melanoma and Non-Melanoma Skin Cancers.","authors":"Marina Z Joel, Saloni Patel, Jun Kang, Joel C Sunshine","doi":"10.1093/ced/llaf409","DOIUrl":"https://doi.org/10.1093/ced/llaf409","url":null,"abstract":"<p><p>This study examines the association between autoimmune diseases and melanoma and non-melanoma skin cancer using data from the All of Us Research Program. We conducted a cross-sectional analysis including 419,789 participants using multivariable logistic regression models adjusting for sociodemographic variables, comorbidities, and immunosuppressant use. We found significant associations between melanoma and Sjögren's syndrome, inflammatory bowel disease (IBD), vitiligo, and autoimmune thyroiditis. Non-melanoma skin cancer risk was elevated in Sjögren's, IBD, and Type 1 diabetes mellitus. Notably, our finding of increased melanoma and basal cell carcinoma risk in vitiligo contrasts with prior studies. These differences may reflect increased genetic diversity in our cohort or confounding by immune checkpoint inhibitor use. Our findings demonstrate increased risk of both melanoma and non-melanoma skin cancer in patients with select autoimmune diseases, highlighting the importance of heightened surveillance in high-risk autoimmune populations and the need for future research into immune-related mechanisms driving skin cancer susceptibility.</p>","PeriodicalId":10324,"journal":{"name":"Clinical and Experimental Dermatology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145022971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Real-world effectiveness of lebrikizumab on pruritus in moderate-to-severe atopic dermatitis: preliminary data from a single-center, real-life experience.","authors":"Luca Potestio, Cataldo Patruno, Francesca di Vico, Ludovica Lizzi, Maddalena Napolitano","doi":"10.1093/ced/llaf411","DOIUrl":"https://doi.org/10.1093/ced/llaf411","url":null,"abstract":"","PeriodicalId":10324,"journal":{"name":"Clinical and Experimental Dermatology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145013943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Isobel R Okeah, Chawalpat K Siripanich, Yan C Chow, Faisal R Ali
{"title":"Post inflammatory hyperpigmentation following cutaneous surgery in skin of colour.","authors":"Isobel R Okeah, Chawalpat K Siripanich, Yan C Chow, Faisal R Ali","doi":"10.1093/ced/llaf410","DOIUrl":"https://doi.org/10.1093/ced/llaf410","url":null,"abstract":"","PeriodicalId":10324,"journal":{"name":"Clinical and Experimental Dermatology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145022944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marie Clark, John Wuennenberg, Jalal Maghfour, Brittani Jones, Jane M Grant-Kels, Manu Jain, David M Ozog, Indermeet Kohli
{"title":"Reflectance Confocal Microscopy for Monitoring Treatment Response in Superficial Basal Cell Carcinoma: Diagnostic Challenges Due to Scar Formation.","authors":"Marie Clark, John Wuennenberg, Jalal Maghfour, Brittani Jones, Jane M Grant-Kels, Manu Jain, David M Ozog, Indermeet Kohli","doi":"10.1093/ced/llaf407","DOIUrl":"https://doi.org/10.1093/ced/llaf407","url":null,"abstract":"<p><strong>Background: </strong>Reflectance confocal microscopy (RCM) criteria for in vivo diagnosis of unperturbed basal cell carcinoma (BCC) lesions have been validated and studies have reported high diagnostic sensitivity. However, a paucity of data remains regarding preservation or changes in RCM features after biopsy or treatment.</p><p><strong>Objective: </strong>Prospectively image biopsy proven superficial BCC (sBCC) with RCM at baseline and 12 weeks post-treatment to determine clearance and identify any associated RCM features.</p><p><strong>Methods: </strong>Ten subjects with biopsy proven sBCC completed this study. Clinical examination, dermoscopy, and RCM imaging were performed at baseline, prior to treatment, and 12 weeks post treatment with a 1064 Nd-YAG laser. Following treatment, RCM features were compared to clinical and histologic findings.</p><p><strong>Results: </strong>Statistically significant changes in RCM features at baseline and follow-up included: tumor islands with hyperreflective aggregates, dark silhouettes, peripheral palisading, peritumoral clefting, and dermal inflammatory cells. Changes in nuclear streaming, fibrosis, and vasculature were not significant.</p><p><strong>Limitations: </strong>A limitation of this study is the small sample size.</p><p><strong>Conclusions: </strong>The features of nuclear streaming, fibrosis and dilated vessels may be observed during RCM imaging of biopsy proven BCC at baseline and post treatment, and should be cautiously interpreted. Additional studies are needed to further validate these findings.</p>","PeriodicalId":10324,"journal":{"name":"Clinical and Experimental Dermatology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anil Fastenau, Matthew Willis, Priyanka Chahal, Fabian Schlumberger, Bushra Nadeem
{"title":"The Challenges of Integrating Skin NTDs in Pakistan: A Gap Between Recommendations and Realities.","authors":"Anil Fastenau, Matthew Willis, Priyanka Chahal, Fabian Schlumberger, Bushra Nadeem","doi":"10.1093/ced/llaf415","DOIUrl":"https://doi.org/10.1093/ced/llaf415","url":null,"abstract":"","PeriodicalId":10324,"journal":{"name":"Clinical and Experimental Dermatology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145005968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stefania Guida, Valentina Caputo, Aldo L Di Marco, Jan W Schroeder, Giovanni Paolino, Italo F Aromolo, Carlo A Maronese, Angelo V Marzano, Maria Teresa Fernández Figueras, Maribel Iglesias-Sancho, Emanuela Bonoldi, Franco Rongioletti
{"title":"Acute generalized exanthematous pustulosis: 15-year retrospective multicenter experience.","authors":"Stefania Guida, Valentina Caputo, Aldo L Di Marco, Jan W Schroeder, Giovanni Paolino, Italo F Aromolo, Carlo A Maronese, Angelo V Marzano, Maria Teresa Fernández Figueras, Maribel Iglesias-Sancho, Emanuela Bonoldi, Franco Rongioletti","doi":"10.1093/ced/llaf412","DOIUrl":"https://doi.org/10.1093/ced/llaf412","url":null,"abstract":"<p><strong>Background: </strong>Acute generalized exanthematous pustulosis (AGEP) is a rare skin condition often triggered by medications. Many case reports have been published but a few studies on large cohorts have been reported to date.</p><p><strong>Objectives: </strong>The aim of the current study is to provide correlation between AGEP EuroSCAR score and clinical, laboratory findings and histopathologic examination in a large cohort.</p><p><strong>Methods: </strong>This retrospective, multicenter study analyzed 51 AGEP cases across four academic institutions.</p><p><strong>Results: </strong>The study found that the majority of cases were drug-induced, particularly by antibiotics such as amoxicillin. The average time from drug exposure to symptom onset was 10.7 days, with hospitalization lasting an average of 14.5 days and recovery averaging 33.3 days. Key features included widespread itching, fever, and elevated inflammatory markers. Histopathological analysis frequently revealed spongiform pustules and eosinophilic infiltration. Importantly, this study is the first to demonstrate a significant association between higher EuroSCAR scores and elevated LDH levels, suggesting a more intense inflammatory response in cases with higher EuroSCAR scores. The findings underscore the need for early diagnosis and management of AGEP, with a particular focus on discontinuing the offending drug and administering corticosteroids.</p><p><strong>Conclusions: </strong>Despite its retrospective design, this study contributes valuable insights into the systemic implications and histopathological characteristics of AGEP, highlighting the possible role of LDH, and the importance of further research to refine diagnosis, treatment protocols and improve patient outcomes.</p>","PeriodicalId":10324,"journal":{"name":"Clinical and Experimental Dermatology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Repurposing Follicular Unit Extraction Punches for Excision of Ice-pick Acne Scars.","authors":"Davin Lim, Xiaoshun Hang","doi":"10.1093/ced/llaf401","DOIUrl":"10.1093/ced/llaf401","url":null,"abstract":"","PeriodicalId":10324,"journal":{"name":"Clinical and Experimental Dermatology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144945101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Podoconiosis: A Comprehensive clinical review and Strategies for Control and Elimination.","authors":"Wendemagegn Enbiale, Kebede Deribe","doi":"10.1093/ced/llaf397","DOIUrl":"10.1093/ced/llaf397","url":null,"abstract":"<p><p>Podoconiosis, a neglected tropical disease, manifests as non-filarial lymphedema, primarily affecting the lower limbs. It arises due to prolonged exposure of bare feet to irritant red clay soils in genetically susceptible individuals. The disease is preventable and manageable but remains a public health challenge in endemic areas, including several countries in Africa, Asia, and Latin America. This review explores the clinical spectrum, pathogenesis, diagnostic challenges, and strategies for prevention and management of podoconiosis. Early intervention, including consistent use of footwear and improved foot hygiene, can significantly reduce disease burden. Lymphoedema management packages, including compression therapy and nodulectomy, show promising outcomes in improving patients' quality of life. However, structural barriers such as resource limitations, stigma, and limited awareness continue to hinder control efforts. Addressing these challenges through integrated care, advocacy, and investment in research offers a viable pathway to the elimination of podoconiosis.</p>","PeriodicalId":10324,"journal":{"name":"Clinical and Experimental Dermatology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144945151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Antibiotics, analgesics, and antifungals are commonly implicated in acute generalized exanthematous pustulosis; a retrospective analysis of 1410 cases.","authors":"Gaurav N Pathak, Aryan Mahajan, Steven R Feldman","doi":"10.1093/ced/llaf402","DOIUrl":"10.1093/ced/llaf402","url":null,"abstract":"","PeriodicalId":10324,"journal":{"name":"Clinical and Experimental Dermatology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144944906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}