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Clinics in dermatology最新文献

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Erratum to "Persian contributions to dermatology" [Clin Dermatol 2024:42 515-516].
IF 2.3 4区 医学
Clinics in dermatology Pub Date : 2025-02-20 DOI: 10.1016/j.clindermatol.2025.01.007
Mohamad Goldust, Marina Landau, Jane M Grant-Kels
{"title":"Erratum to \"Persian contributions to dermatology\" [Clin Dermatol 2024:42 515-516].","authors":"Mohamad Goldust, Marina Landau, Jane M Grant-Kels","doi":"10.1016/j.clindermatol.2025.01.007","DOIUrl":"https://doi.org/10.1016/j.clindermatol.2025.01.007","url":null,"abstract":"","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143472404","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
Ethics of Reversible Dermatologic Care in Transgender and Gender Diverse (TGD) Adolescents Under Restrictive and Ambiguous Laws.
IF 2.3 4区 医学
Clinics in dermatology Pub Date : 2025-02-20 DOI: 10.1016/j.clindermatol.2025.02.010
Priya Patel Housley, Sami K Saikaly, Neelesh Jain, Jane M Grant-Kels
{"title":"Ethics of Reversible Dermatologic Care in Transgender and Gender Diverse (TGD) Adolescents Under Restrictive and Ambiguous Laws.","authors":"Priya Patel Housley, Sami K Saikaly, Neelesh Jain, Jane M Grant-Kels","doi":"10.1016/j.clindermatol.2025.02.010","DOIUrl":"https://doi.org/10.1016/j.clindermatol.2025.02.010","url":null,"abstract":"<p><p>Gender dysphoria causes significant distress in transgender and gender-diverse (TGD) adolescents, often impacting their mental health. Evidence-based gender-affirming interventions, such as hormone therapy, have been shown to reduce this distress and lower suicide risk, and dermatological treatments may help alleviate gender dysphoria; however, recent state-specific legal restrictions and ambiguous laws in the United States have created barriers for TGD adolescents from accessing these treatments. We explore the dermatologists' challenges in providing care to TGD adolescents in legally ambiguous and restrictive states in the context of the core ethical principles of autonomy, beneficence, nonmaleficence, and justice. Using exemplary case studies, we discuss ethical dilemmas involving dermal fillers, laser hair removal, hair growth treatments, and acne management for TGD adolescents living in such states. We find that as such treatments are available in other geographic locations, available for cis-gender individuals, and not necessarily permanent, there is a violation of the core principle of justice. Dermatologists must navigate these legal and ethical complexities to provide safe, compassionate care for TGD adolescents. Advocacy for clear state-specific guidelines, equitable access to care, and ongoing research are essential to support this vulnerable population.</p>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476304","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 Skincare Craze Among Tweens: Ethical and Dermatological Implications of Social Media Beauty Trends.
IF 2.3 4区 医学
Clinics in dermatology Pub Date : 2025-02-17 DOI: 10.1016/j.clindermatol.2025.02.009
Rachel Wetstone, Jane M Grant-Kels
{"title":"The Skincare Craze Among Tweens: Ethical and Dermatological Implications of Social Media Beauty Trends.","authors":"Rachel Wetstone, Jane M Grant-Kels","doi":"10.1016/j.clindermatol.2025.02.009","DOIUrl":"https://doi.org/10.1016/j.clindermatol.2025.02.009","url":null,"abstract":"<p><p>The rise of social media has significantly influenced how younger generations engage with skincare, exposing them to trends that may not be developmentally appropriate. Platforms like TikTok have fueled the popularity of skincare among tweens, leading to increased use of products often unsuitable for their skin. This trend has raised ethical concerns about 1) transparency and informed consent, 2) premature and inappropriate beauty standards, and 3) financial exploitation. Dermatologists report a rise in young patients experiencing adverse skin reactions due to inappropriate product use, while mental health professionals note growing anxiety related to beauty dysmorphia. The lack of regulation leaves young consumers vulnerable. Addressing this issue requires collaboration among parents, educators, dermatologists, and influencers to promote responsible skincare education and ethical marketing. Stricter oversight and informed guidance are essential to ensuring young consumers develop healthy, age-appropriate skincare habits.</p>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456657","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
Perception and portrayal: the depiction of psoriasis in dermatology cartoons.
IF 2.3 4区 医学
Clinics in dermatology Pub Date : 2025-02-15 DOI: 10.1016/j.clindermatol.2025.02.008
Sophie Walter
{"title":"Perception and portrayal: the depiction of psoriasis in dermatology cartoons.","authors":"Sophie Walter","doi":"10.1016/j.clindermatol.2025.02.008","DOIUrl":"https://doi.org/10.1016/j.clindermatol.2025.02.008","url":null,"abstract":"<p><p>Psoriasis is a frequently misunderstood condition that is associated with significant stigma. Media portrayals of skin disorders can influence public beliefs about those disorders. This study aimed to describe the portrayal of psoriasis in cartoons to inform education campaigns about the condition creatively. The image sections of internet search engines Google, Yahoo, Bing, and DuckDuckGo were inspected for single-panel cartoons that specifically referenced psoriasis. Each cartoon about psoriasis was then examined according to an instrument with categories for describing the treatment, outcome, impact of diagnosis, nature of the cartoonist's intended humour, and apparent messages about psoriasis. Twelve cartoons were identified. There is scope for more positive and imaginative portrayals of psoriasis in cartoons. The phrase heartbreak of psoriasis was commonly used by cartoonists, and this medium has overlooked various treatment options for psoriasis.</p>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143440162","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
Ethics of Point-of-Service Collections in Dermatology.
IF 2.3 4区 医学
Clinics in dermatology Pub Date : 2025-02-14 DOI: 10.1016/j.clindermatol.2025.02.007
Ishani Rao Dhamsania, Albert E Zhou, Jane M Grant-Kels
{"title":"Ethics of Point-of-Service Collections in Dermatology.","authors":"Ishani Rao Dhamsania, Albert E Zhou, Jane M Grant-Kels","doi":"10.1016/j.clindermatol.2025.02.007","DOIUrl":"https://doi.org/10.1016/j.clindermatol.2025.02.007","url":null,"abstract":"<p><p>In recent decades, rising healthcare prices and high out-of-pocket expenses have left patients with outstanding medical debt and increasing concerns about the costs associated with accessing medical care.<sup>1</sup> The repercussions of patients failing to pay for medical services and incurring medical debt are encountered by patients, hospitals, clinics, and private practices. To combat delinquent payments, some healthcare entities have adopted point-of-service collections (POSc), requiring partial (co-pays) or full payment for services not covered by insurance before medical services are rendered.<sup>2</sup> POSc are associated with significant financial and ethical implications. POSc can ensure timely payments for hospitals, clinics and offices as well as provide price transparency for patients; however, POSc can also result in challenging access to medical care for patients who cannot afford steep, upfront out-of-pocket payments. A practical application of POSc should ideally consider patients' needs, streamlining a mixed-payment model and sliding scale fees.<sup>3</sup> We discuss the financial and ethical implications of POSc and recommend a pragmatic approach to POSc in healthcare.</p>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432424","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 Dermatologic View on Claws and Nails in Fine Arts.
IF 2.3 4区 医学
Clinics in dermatology Pub Date : 2025-02-12 DOI: 10.1016/j.clindermatol.2025.02.003
Uwe Wollina, Leonard J Hoenig, Lawrence Charles Parish
{"title":"A Dermatologic View on Claws and Nails in Fine Arts.","authors":"Uwe Wollina, Leonard J Hoenig, Lawrence Charles Parish","doi":"10.1016/j.clindermatol.2025.02.003","DOIUrl":"https://doi.org/10.1016/j.clindermatol.2025.02.003","url":null,"abstract":"<p><p>Claws and nails belong to the epidermal skin appendages, with nails developing later than claws during primate development. Both have also been depicted in fine arts. Claws can be found in illustrations of the cavemen and the devil. Nails became a subject of painting and sculptures during the Renaissance. We discuss several examples of fine arts from a dermatologic point of view, involving nail afflictions associated with ergotism, lichen planus, trachyonychia, and onychogryphosis.</p>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143425025","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
Requiring All Surgeries to be Referred to In-House Dermatologic Surgeons: Is it Ethical or a Profit Haven?
IF 2.3 4区 医学
Clinics in dermatology Pub Date : 2025-02-11 DOI: 10.1016/j.clindermatol.2025.02.005
Madeline Brown, Albert E Zhou, Dakarai Dunbar, John David Baker, Brett Sloan, Hao Feng, Jane M Grant-Kels
{"title":"Requiring All Surgeries to be Referred to In-House Dermatologic Surgeons: Is it Ethical or a Profit Haven?","authors":"Madeline Brown, Albert E Zhou, Dakarai Dunbar, John David Baker, Brett Sloan, Hao Feng, Jane M Grant-Kels","doi":"10.1016/j.clindermatol.2025.02.005","DOIUrl":"https://doi.org/10.1016/j.clindermatol.2025.02.005","url":null,"abstract":"<p><p>There has been a trend In the United States of both consolidation and corporatization of solo and small practices into larger groups. Many of these larger groups are owned by either hospital consortiums or private equity. Such larger practices often have their own Mohs surgeon to whom general dermatologists within these corporatized dermatology practices (CDP) have been mandated to refer surgical patients. The ethics of these requisite referrals raises concerns about physician autonomy and whether patient care or profit is the primary motivator.</p>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143413508","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 diversity of dermatologists' online stock photographs is limited to aesthetic or mole-screening activities.
IF 2.3 4区 医学
Clinics in dermatology Pub Date : 2025-02-11 DOI: 10.1016/j.clindermatol.2025.02.002
Alia Ghorfi, Nicolas Kluger
{"title":"The diversity of dermatologists' online stock photographs is limited to aesthetic or mole-screening activities.","authors":"Alia Ghorfi, Nicolas Kluger","doi":"10.1016/j.clindermatol.2025.02.002","DOIUrl":"https://doi.org/10.1016/j.clindermatol.2025.02.002","url":null,"abstract":"","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143413513","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
From Patients to Partners: Ethical complexities of maintaining professional boundaries in a digital age.
IF 2.3 4区 医学
Clinics in dermatology Pub Date : 2025-02-11 DOI: 10.1016/j.clindermatol.2025.02.006
Shannon Hanggodo, Timothy Klufas, Simran Saini, Albert E Zhou, Gillian Weston, Jane M Grant-Kels
{"title":"From Patients to Partners: Ethical complexities of maintaining professional boundaries in a digital age.","authors":"Shannon Hanggodo, Timothy Klufas, Simran Saini, Albert E Zhou, Gillian Weston, Jane M Grant-Kels","doi":"10.1016/j.clindermatol.2025.02.006","DOIUrl":"https://doi.org/10.1016/j.clindermatol.2025.02.006","url":null,"abstract":"<p><p>Professional ethics prohibit physicians from dating current patients due to risks of exploitation, compromised objectivity, and power imbalances, conflicting with obligations of beneficence and non-maleficence. Online dating applications or apps complicate these boundaries, as a physician's online presence may inadvertently enable patient encounters outside professional contexts. To maintain ethical standards, physicians should avoid sharing identifiable information on dating platforms, ensure patient care is transferred before pursuing romantic relationships, and adhere to institutional policies that mitigate risks and uphold transparency.</p>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143413523","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 Good, the Bad, and the Ugly: Ethical Considerations Regarding AI Assistance in Administrative Physician Tasks.
IF 2.3 4区 医学
Clinics in dermatology Pub Date : 2025-02-11 DOI: 10.1016/j.clindermatol.2025.02.004
Timothy Klufas, Mikalyla Zedek, Ayushya Ajmani, Albert E Zhou, Jane M Grant-Kels
{"title":"The Good, the Bad, and the Ugly: Ethical Considerations Regarding AI Assistance in Administrative Physician Tasks.","authors":"Timothy Klufas, Mikalyla Zedek, Ayushya Ajmani, Albert E Zhou, Jane M Grant-Kels","doi":"10.1016/j.clindermatol.2025.02.004","DOIUrl":"https://doi.org/10.1016/j.clindermatol.2025.02.004","url":null,"abstract":"<p><p>Artificial intelligence (AI) is a powerful tool that can potentially transform the diagnostic, therapeutic and administrative practice of dermatology. Physicians are expected to complete electronic health record (EHR) documentation in a timely fashion, prepare and submit prior authorizations, code for billing accurately, compose physician consultation letters, create patient education handouts, and communicate with our patients via the EHR. Streamlining and automating these time-intensive administrative responsibilities and tasks would likely reduce physician burnout and augment physician satisfaction at work, as well as enhance access to care by creating more time to care for patients.</p>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143413516","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
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