发布求助
文献互助 智能选刊 最新文献

Clinical and Experimental Dermatology最新文献

筛选
英文 中文
An evaluation of ChatGPT compared with dermatological surgeons' choices of reconstruction for surgical defects after Mohs surgery. 评估 "ChatGPT "与皮肤外科医生选择的莫氏手术缺损重建方法的比较。
IF 3.7 4区 医学
Clinical and Experimental Dermatology Pub Date : 2024-10-24 DOI: 10.1093/ced/llae184
Adrian Cuellar-Barboza, Elizabeth Brussolo-Marroquín, Fanny C Cordero-Martinez, Patrizia E Aguilar-Calderon, Osvaldo Vazquez-Martinez, Jorge Ocampo-Candiani
{"title":"An evaluation of ChatGPT compared with dermatological surgeons' choices of reconstruction for surgical defects after Mohs surgery.","authors":"Adrian Cuellar-Barboza, Elizabeth Brussolo-Marroquín, Fanny C Cordero-Martinez, Patrizia E Aguilar-Calderon, Osvaldo Vazquez-Martinez, Jorge Ocampo-Candiani","doi":"10.1093/ced/llae184","DOIUrl":"10.1093/ced/llae184","url":null,"abstract":"<p><strong>Background: </strong>ChatGPT is an open-access chatbot developed using artificial intelligence (AI) that generates human-like responses.</p><p><strong>Objective: </strong>To evaluate the ChatGPT-4's concordance with three dermatological surgeons on reconstructions for dermatological surgical defects.</p><p><strong>Methods: </strong>The cases of 70 patients with nonmelanoma skin cancer treated with surgery were obtained from clinical records for analysis. A list of 30 reconstruction options was designed by the main authors that included primary closure, secondary skin closure, skin flaps and skin grafts. Three dermatological surgeons who were blinded to the real reconstruction, along with ChatGPT-4, were asked to select two reconstruction options from the list.</p><p><strong>Results: </strong>Seventy responses were analysed using Cohen's kappa, looking for concordance between each dermatologist and ChatGPT. The level of agreement among dermatological surgeons was higher compared with that between dermatological surgeons and ChatGPT, highlighting differences in decision making. In the selection of the best reconstruction technique, the results indicated a fair level of agreement among the dermatologists, ranging between κ 0.268 and 0.331. However, the concordance between ChatGPT-4 and the dermatologists was slight, with κ values ranging from 0.107 to 0.121. In the analysis of the second-choice options, the dermatologists showed only slight agreement. In contrast, the level of concordance between ChatGPT-4 and the dermatologists was below chance.</p><p><strong>Conclusions: </strong>As anticipated, this study reveals variability in medical decisions between dermatological surgeons and ChatGPT. Although these tools offer exciting possibilities for the future, it is vital to acknowledge the risk of inadvertently relying on noncertified AI for medical advice.</p>","PeriodicalId":10324,"journal":{"name":"Clinical and Experimental Dermatology","volume":" ","pages":"1367-1371"},"PeriodicalIF":3.7,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140911504","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}
引用次数: 0
A guide to prescribing systemic treatments for psoriasis during pregnancy, breastfeeding and in those trying to conceive: what does the current evidence suggest? 孕期、哺乳期和试图怀孕者银屑病系统治疗处方指南：目前的证据表明了什么？
IF 3.7 4区 医学
Clinical and Experimental Dermatology Pub Date : 2024-10-24 DOI: 10.1093/ced/llae209
Eliza Hutchison, Natalie Eraifej, Jake Moss, Sophie Rolls, Hannah Wainman
{"title":"A guide to prescribing systemic treatments for psoriasis during pregnancy, breastfeeding and in those trying to conceive: what does the current evidence suggest?","authors":"Eliza Hutchison, Natalie Eraifej, Jake Moss, Sophie Rolls, Hannah Wainman","doi":"10.1093/ced/llae209","DOIUrl":"10.1093/ced/llae209","url":null,"abstract":"<p><p>Psoriasis is a common inflammatory skin condition with an estimated prevalence of 1.5% in the UK. Its management has evolved rapidly over the past 15 years as our understanding of its pathogenesis has progressed. Treatment initiation often overlaps with peak reproductive years, posing specific therapeutic challenges for individuals hoping to conceive. Certain systemic agents are well established to be teratogenic during pregnancy, such as methotrexate and acitretin, but data on newer drug classes for psoriasis remain limited. This literature review evaluated recent data on the systemic agents for psoriasis, explicitly considering the context of male and female fertility, pregnancy and breastfeeding. Our goal was to equip clinicians with an accessible, concise summary of up-to-date evidence to help them educate patients and facilitate informed, shared decision-making aligned with their reproductive health.</p>","PeriodicalId":10324,"journal":{"name":"Clinical and Experimental Dermatology","volume":" ","pages":"1316-1329"},"PeriodicalIF":3.7,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141070643","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}
引用次数: 0
Treatment of refractory cutaneous dermatomyositis with oral sirolimus. 口服西罗莫司治疗难治性皮肤皮肌炎
IF 3.7 4区 医学
Clinical and Experimental Dermatology Pub Date : 2024-10-24 DOI: 10.1093/ced/llae220
Nakul Dar, Amanda L Lusa, William C Petersen, Kenneth E Greer, R Hal Flowers
{"title":"Treatment of refractory cutaneous dermatomyositis with oral sirolimus.","authors":"Nakul Dar, Amanda L Lusa, William C Petersen, Kenneth E Greer, R Hal Flowers","doi":"10.1093/ced/llae220","DOIUrl":"10.1093/ced/llae220","url":null,"abstract":"","PeriodicalId":10324,"journal":{"name":"Clinical and Experimental Dermatology","volume":" ","pages":"1448-1450"},"PeriodicalIF":3.7,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141199555","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}
引用次数: 0
Secondary oral squamous cell carcinoma following haematopoietic stem cell transplantation. 造血干细胞移植后的继发性口腔鳞状细胞癌。
IF 3.7 4区 医学
Clinical and Experimental Dermatology Pub Date : 2024-10-24 DOI: 10.1093/ced/llae157
Faaris Zaki, Martina Shephard, Robert Danby, Rachel Pawson, Andy Peniket, Katharine Sheppard, Rubeta N Matin
{"title":"Secondary oral squamous cell carcinoma following haematopoietic stem cell transplantation.","authors":"Faaris Zaki, Martina Shephard, Robert Danby, Rachel Pawson, Andy Peniket, Katharine Sheppard, Rubeta N Matin","doi":"10.1093/ced/llae157","DOIUrl":"10.1093/ced/llae157","url":null,"abstract":"<p><p>We report the cases of 10 patients with oral squamous cell carcinoma (SCC) post-haematopoietic stem cell transplant (HSCT). Median latency from HSCT to oral SCC diagnosis was 10 years (range: 4-17 years), with 90% (9/10) reporting a history of chronic graft-versus-host disease (cGVHD) and 40% (4/10) exhibiting active severe manifestations of oral GvHD. Clinical findings at diagnosis included induration, ulceration, tenderness, bleeding, hyperkeratosis, speckling and lymphadenopathy. The tongue and buccal mucosa were the most common sites affected. The disease stage at presentation ranged from T1N0M0 to T4N2M0. Management included surgical resection in 90% (9/10) of patients with or without chemotherapy and/or radiotherapy. The median follow-up for the cohort was 1 year, with a 50% (5/10) mortality rate. SCC-specific mortality was 30% (3/10). Our data highlight the importance of regular, active oral and cutaneous surveillance of patients post-HSCT in specialized dermatology clinics, irrespective of GvHD severity and length of iatrogenic immunosuppression.</p>","PeriodicalId":10324,"journal":{"name":"Clinical and Experimental Dermatology","volume":" ","pages":"1413-1419"},"PeriodicalIF":3.7,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140911592","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}
引用次数: 0
The natural progression of basal cell carcinomas (BCCs) awaiting surgical intervention. 等待手术治疗的基底细胞癌（BCC）的自然发展。
IF 3.7 4区 医学
Clinical and Experimental Dermatology Pub Date : 2024-10-24 DOI: 10.1093/ced/llae460
Mun Wai Lam, Helena Wells, Andrew Zhao, Heidi Gibbs, Simon Tso, Aaron Wernham
{"title":"The natural progression of basal cell carcinomas (BCCs) awaiting surgical intervention.","authors":"Mun Wai Lam, Helena Wells, Andrew Zhao, Heidi Gibbs, Simon Tso, Aaron Wernham","doi":"10.1093/ced/llae460","DOIUrl":"https://doi.org/10.1093/ced/llae460","url":null,"abstract":"<p><p>Basal cell carcinomas (BCCs) are slow growing keratinocyte tumours with limited literature reporting the natural history of untreated BCCs. This study evaluated the natural progression and patient outcomes of BCCs whilst awaiting surgical intervention. Only patients with histologically proven BCCs were included in the data collection. Retrospective data analysis was performed on 55 patients (total of 70 lesions) and showed a statistically significant correlation between average growth of BCCs and time waiting for a procedure. Twenty percent of the cases had a larger procedure than originally planned at the time of booking. The top three symptoms reported include itching (39.4%), crusting (36.4%) and bleeding (30.3%). In conclusion, we reported a positive relationship between BCC growth and length of time from initial presentation to surgical treatment where patients often ended up with more symptoms, larger and complex surgical procedure than originally planned especially on the head and neck.</p>","PeriodicalId":10324,"journal":{"name":"Clinical and Experimental Dermatology","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142496217","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}
引用次数: 0
Penile melanocytoma. 阴茎黑色素细胞瘤
IF 3.7 4区 医学
Clinical and Experimental Dermatology Pub Date : 2024-10-24 DOI: 10.1093/ced/llae217
Luca Rapparini, Sabina Vaccari, Valeria Gaspari, Federico Venturi, Barbara Corti, Cosimo Misciali, Emi Dika
{"title":"Penile melanocytoma.","authors":"Luca Rapparini, Sabina Vaccari, Valeria Gaspari, Federico Venturi, Barbara Corti, Cosimo Misciali, Emi Dika","doi":"10.1093/ced/llae217","DOIUrl":"10.1093/ced/llae217","url":null,"abstract":"","PeriodicalId":10324,"journal":{"name":"Clinical and Experimental Dermatology","volume":" ","pages":"1458-1459"},"PeriodicalIF":3.7,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141199550","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}
引用次数: 0
The reliability and quality of YouTube videos about isotretinoin treatment and suicide. 有关异维A酸治疗和自杀的YouTube视频的可靠性和质量。
IF 3.7 4区 医学
Clinical and Experimental Dermatology Pub Date : 2024-10-24 DOI: 10.1093/ced/llae166
Sezin Ünlü Açıkel, Ahmet Kağan Özdemir, Selma Emre
{"title":"The reliability and quality of YouTube videos about isotretinoin treatment and suicide.","authors":"Sezin Ünlü Açıkel, Ahmet Kağan Özdemir, Selma Emre","doi":"10.1093/ced/llae166","DOIUrl":"10.1093/ced/llae166","url":null,"abstract":"<p><strong>Background: </strong>Seeking health information online has drastically increased. Isotretinoin is one of the agents used to treat acne.</p><p><strong>Objectives: </strong>In this study, we aimed to investigate the reliability and quality of YouTube videos related to acne treatment. There is a misconception that use of isotretinoin increases risk of suicide.</p><p><strong>Methods: </strong>We used the terms 'isotretinoin suicide' and 'acne treatment suicide' to search YouTube videos. Videos that were not in English, were irrelevant, or were devoid of audio were not included. The information in the videos was primarily categorized as 'reliable' or 'unreliable' based on its scientific validation. DISCERN and the Global Quality Score were used to evaluate the videos' overall quality.</p><p><strong>Results: </strong>In total, 200 videos were examined and 112 videos were included in the study. Of these, 39 videos (34.8%) were found to be reliable, and 73 videos (65.2%) were found to be unreliable. The DISCERN values of videos uploaded by physicians or professional organizations, and health information websites were found to be significantly higher. There were statistically significant negative correlations between DISCERN score and both video length and the length of time the video was on YouTube, while a positive correlation was observed between DISCERN score and the number of subscribers.</p><p><strong>Conclusions: </strong>Although videos created by dermatologists have become widespread in recent years, they are still insufficient. Patient experience videos mostly contain information that does not reflect reality, and they emphasize that isotretinoin increases the risk of suicide without evidence. As the number of dermatologists posting videos on YouTube increases, the chances of people accessing correct information will increase.</p>","PeriodicalId":10324,"journal":{"name":"Clinical and Experimental Dermatology","volume":" ","pages":"1356-1361"},"PeriodicalIF":3.7,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140850227","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}
引用次数: 0
Dermatological care in a changing climate: a framework for patient management. 气候变化中的皮肤病护理：患者管理框架。
IF 3.7 4区 医学
Clinical and Experimental Dermatology Pub Date : 2024-10-24 DOI: 10.1093/ced/llae227
Eugene Tan, Catherine Scarff, Austen Anderson, Rebecca Saunderson, H Peter Soyer, Fiona Bruce
{"title":"Dermatological care in a changing climate: a framework for patient management.","authors":"Eugene Tan, Catherine Scarff, Austen Anderson, Rebecca Saunderson, H Peter Soyer, Fiona Bruce","doi":"10.1093/ced/llae227","DOIUrl":"10.1093/ced/llae227","url":null,"abstract":"","PeriodicalId":10324,"journal":{"name":"Clinical and Experimental Dermatology","volume":" ","pages":"1450-1452"},"PeriodicalIF":3.7,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141260860","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}
引用次数: 0
Recalcitrant acneiform papules on the face. 面部出现顽固性痤疮样丘疹。
IF 3.7 4区 医学
Clinical and Experimental Dermatology Pub Date : 2024-10-24 DOI: 10.1093/ced/llae200
Sushant Agrawal, Sudheer Arava, Nikhil Mehta
{"title":"Recalcitrant acneiform papules on the face.","authors":"Sushant Agrawal, Sudheer Arava, Nikhil Mehta","doi":"10.1093/ced/llae200","DOIUrl":"10.1093/ced/llae200","url":null,"abstract":"","PeriodicalId":10324,"journal":{"name":"Clinical and Experimental Dermatology","volume":" ","pages":"1479-1481"},"PeriodicalIF":3.7,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140921564","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}
引用次数: 0
A survey of smoking habits and perspectives in patients with hidradenitis suppurativa. 关于化脓性扁桃体炎患者吸烟习惯和观点的调查。
IF 3.7 4区 医学
Clinical and Experimental Dermatology Pub Date : 2024-10-24 DOI: 10.1093/ced/llae464
Nada Khalil, Neil P Patel
{"title":"A survey of smoking habits and perspectives in patients with hidradenitis suppurativa.","authors":"Nada Khalil, Neil P Patel","doi":"10.1093/ced/llae464","DOIUrl":"https://doi.org/10.1093/ced/llae464","url":null,"abstract":"","PeriodicalId":10324,"journal":{"name":"Clinical and Experimental Dermatology","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142496202","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}
引用次数: 0
首页 上一页 下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：481959085
Book学术官方微信