Clinics in dermatology最新文献_第3页

Preference signaling and geographic preferences in dermatology residency applications two years after implementation. 实施后两年皮肤科住院医师申请中的偏好信号和地理偏好。

IF 2.2 4区医学

Clinics in dermatology Pub Date : 2026-03-13 DOI: 10.1016/j.clindermatol.2026.03.003

Katie Lu, Amanda R Twigg

引用次数: 0

Aesthetic interventions in patients with allergic skin diseases: Risk assessment and evidence-based preventive risk management. 过敏性皮肤病患者的美容干预：风险评估和循证预防风险管理。

IF 2.2 4区医学

Clinics in dermatology Pub Date : 2026-03-13 DOI: 10.1016/j.clindermatol.2026.03.001

İçim Kömürcügil Yiğit, Ümit Türsen, Belma Türsen, Berna Solak, Özge Sevil Karstarlı Bakay, George Kroumpouzos

{"title":"Aesthetic interventions in patients with allergic skin diseases: Risk assessment and evidence-based preventive risk management.","authors":"İçim Kömürcügil Yiğit, Ümit Türsen, Belma Türsen, Berna Solak, Özge Sevil Karstarlı Bakay, George Kroumpouzos","doi":"10.1016/j.clindermatol.2026.03.001","DOIUrl":"10.1016/j.clindermatol.2026.03.001","url":null,"abstract":"<p><p>The use of aesthetic dermatologic procedures in patients with underlying allergic and inflammatory skin diseases is on the rise, but specific safety considerations are often overlooked. Individuals with hypersensitivity to injectables, chronic inducible urticaria, allergic contact dermatitis, atopic dermatitis, or hereditary angioedema may face an increased risk of adverse reactions triggered by mechanical trauma, injected substances, or disruption of the skin barrier. Adverse reactions to local anesthetics are predominantly non-IgE-mediated. Thus, preventive strategies should focus on selecting the appropriate agents and employing proper injection techniques rather than routine pharmacologic prophylaxis. Botulinum toxin, hyaluronic acid fillers, and hyaluronidase can rarely cause immediate or delayed hypersensitivity reactions. This highlights the need for individualized risk assessment and avoidance of reexposure in confirmed cases. For patients with chronic inducible urticaria, aesthetic procedures can act as physical triggers. Ensuring optimal disease control with preprocedural antihistamines may help reduce this risk. In cases of allergic contact dermatitis and atopic dermatitis, a compromised skin barrier and exposure to device-related allergens may heighten the chances of developing eczematous or infectious complications. Patients with hereditary angioedema require short-term prophylaxis, preferably utilizing C1-inhibitor therapy. With careful evaluation and tailored preventive strategies, aesthetic dermatologic procedures can be performed safely in patients with allergic and inflammatory skin conditions.</p>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147462749","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

Regulating the regulators: Ensuring ethical peer-to-peer insurance reviews. 监管机构：确保道德P2P保险审查。

IF 2.2 4区医学

Clinics in dermatology Pub Date : 2026-03-12 DOI: 10.1016/j.clindermatol.2026.03.002

Ayushya Ajmani, Caroline Cassidy, Albert E Zhou, Jane M Grant-Kels, Daniel M Klufas

{"title":"Regulating the regulators: Ensuring ethical peer-to-peer insurance reviews.","authors":"Ayushya Ajmani, Caroline Cassidy, Albert E Zhou, Jane M Grant-Kels, Daniel M Klufas","doi":"10.1016/j.clindermatol.2026.03.002","DOIUrl":"10.1016/j.clindermatol.2026.03.002","url":null,"abstract":"<p><p>Physician peer-to-peer (P2P) review is the term for physician-level review of medical records commonly employed by health plans to determine whether to uphold a denial of coverage. P2P review was originally intended as a collaborative mechanism in the prior authorization process to promote evidence-based care while ensuring appropriate resource use. In contemporary practice, however, P2P review has evolved into an administrative checkpoint that may delay or restrict access to medically appropriate diagnostics and therapies. This is a growing concern, particularly relevant to dermatology amid rapid therapeutic innovation and increasingly complex disease management. The P2P reviewer's identity, specialty training, and decision-making criteria are frequently undisclosed, contributing to a process that limits accountability and undermines the physician-patient relationship, with serious ethical implications. Violations of autonomy, justice, and nonmaleficence may be further compounded by specialty discordance between treating physicians and payer-appointed reviewers. Greater transparency in reviewers' qualifications, specialties, and the rationale for decision making represents a critical step toward restoring the original intent of P2P review as a meaningful, ethical clinical dialog rather than a barrier to care. Aligning appropriate resource use while leaving bioethical principles intact is essential for protecting equitable access to dermatologic therapy and maintaining trust in the physician-patient relationship.</p>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147456132","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

Demystifying the dermatology residency application process, part three—the path forward: Holistic review, equity and inclusion, and postmatch solutions 揭开皮肤科住院医师申请过程的神秘面纱，第三部分-前进的道路：全面审查，公平和包容，以及赛后解决方案。

IF 2.2 4区医学

Clinics in dermatology Pub Date : 2026-03-01 Epub Date: 2025-06-30 DOI: 10.1016/j.clindermatol.2025.06.005

Ekaterina Korytnikova MD , Sowmya Ravi MD , Leah D. Kovacs BFA , Albert E. Zhou MD, PhD , Jane M. Grant-Kels MD , Brett Sloan MD , Hao Feng MD, MHS , Gillian Weston MD

{"title":"Demystifying the dermatology residency application process, part three—the path forward: Holistic review, equity and inclusion, and postmatch solutions","authors":"Ekaterina Korytnikova MD , Sowmya Ravi MD , Leah D. Kovacs BFA , Albert E. Zhou MD, PhD , Jane M. Grant-Kels MD , Brett Sloan MD , Hao Feng MD, MHS , Gillian Weston MD","doi":"10.1016/j.clindermatol.2025.06.005","DOIUrl":"10.1016/j.clindermatol.2025.06.005","url":null,"abstract":"<div><div>This third contribution of a three-part literature review aimed at demystifying the dermatology match addresses improving access for applicants from disadvantaged backgrounds, such as those underrepresented in medicine, without a home program, or lacking strong mentorship, and those who have had an unsuccessful match cycle. Part III examined the evolving dermatology residency application process through the lens of equity and cost. Although reforms such as holistic review and preference signaling aim to reduce overreliance on standardized metrics, persistent challenges, including opaque selection criteria and heightened emphasis on research productivity, continue to disadvantage applicants from underrepresented or nonacademic backgrounds. Diversity, equity, and inclusion initiatives, including targeted mentorship and pipeline programs, show promise in expanding access and representation within the field. Postmatch pathways, such as research fellowships, reapplication, and dual-application strategies, provide viable alternatives for unmatched applicants but require strategic planning and institutional support. Broader systemic reforms, including early acceptance programs, expansion of residency positions, and increased transparency in the review process, have been proposed to address application volume and promote equity. The dermatology match process, ultimately, requires a sustained commitment to inclusivity, transparency, and access for all qualified applicants, ensuring that the future dermatologic workforce reflects the diversity and needs of the populations it serves.</div></div>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"44 2","pages":"Pages 323-327"},"PeriodicalIF":2.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144552424","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

Vitamins and nail: In health and diseases 维生素和指甲：健康与疾病。

IF 2.2 4区医学

Clinics in dermatology Pub Date : 2026-03-01 Epub Date: 2026-02-12 DOI: 10.1016/j.clindermatol.2026.02.012

Archana Singal MD, FAMS, Kavita Bisherwal MD, DNB, MNAMS

引用次数: 0

B vitamins in dermatology B族维生素在皮肤病学中的应用。

IF 2.2 4区医学

Clinics in dermatology Pub Date : 2026-03-01 Epub Date: 2026-02-13 DOI: 10.1016/j.clindermatol.2026.02.006

Sudip Kumar Ghosh MD, DNB, MNAMS , Debabrata Bandyopadhyay MD , Sharmistha Panja MBBS, MD

{"title":"B vitamins in dermatology","authors":"Sudip Kumar Ghosh MD, DNB, MNAMS , Debabrata Bandyopadhyay MD , Sharmistha Panja MBBS, MD","doi":"10.1016/j.clindermatol.2026.02.006","DOIUrl":"10.1016/j.clindermatol.2026.02.006","url":null,"abstract":"<div><div>B vitamins play a pivotal role in cellular metabolism and erythrocyte synthesis, serving as essential water-soluble nutrients. Rapid excretion through the urinary system prevents their accumulation, thus mitigating potential toxicity. With minimal storage in the body, the levels of these vitamins are primarily influenced by recent dietary intake, especially in healthy individuals. The B vitamin group comprises eight distinct vitamins: thiamine (B1), riboflavin (B2), niacin (B3), pantothenic acid (B5), pyridoxine (B6), biotin (B7), folic acid (B9), and cobalamin (B12). In developed nations, B-complex vitamins are frequently added to foods, reducing the risk of deficiency due to reduced intake alone. Deficiencies often occur in individuals with conditions such as alcohol abuse, chronic inflammatory diseases, or the use of specific drugs such as antiepileptic medications. Interconnected metabolic pathways among B-complex vitamins lead to overlapping mucocutaneous signs in cases of deficiency, necessitating comprehensive diagnostic testing for multiple micronutrients. This study aims to provide an in-depth exploration of key B vitamins pertinent to dermatology. It underscores mucocutaneous manifestations of deficiencies or excess and discusses their relevance in various dermatologic conditions. By emphasizing these aspects, the study seeks to enhance understanding and management strategies for dermatologic conditions associated with B vitamin deficiencies or imbalances.</div></div>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"44 2","pages":"Pages 223-240"},"PeriodicalIF":2.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146200342","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

Vitamins and oral mucosal diseases: From bench to the bedside 维生素与口腔黏膜疾病：从实验室到床边。

IF 2.2 4区医学

Clinics in dermatology Pub Date : 2026-03-01 Epub Date: 2026-02-13 DOI: 10.1016/j.clindermatol.2026.02.013

Rohan Isaac Yesudian BA , Paul Devakar Yesudian MD, MRCP, DNB

{"title":"Vitamins and oral mucosal diseases: From bench to the bedside","authors":"Rohan Isaac Yesudian BA , Paul Devakar Yesudian MD, MRCP, DNB","doi":"10.1016/j.clindermatol.2026.02.013","DOIUrl":"10.1016/j.clindermatol.2026.02.013","url":null,"abstract":"<div><div>Vitamins are essential biocatalysts that have wide-ranging functions in supporting cellular metabolism. Vitamin deficiencies can significantly impact oral health, manifesting in oral mucosal and periodontal conditions. Deficiencies in the vitamin B complex are associated with glossitis, angular cheilitis, and recurrent aphthous stomatitis. Vitamin C deficiency leads to scurvy-related periodontal issues, whereas vitamin A insufficiency predisposes to oral epithelial keratinization abnormalities such as dry mouth and susceptibility to <em>Candida</em>. A reduction in vitamin D levels is linked to the risk of periodontal disease, reduced oral immunity, and oral neoplasia. Low vitamin E does not induce oral disease, but vitamin K deficiency causes gingival hemorrhage. Oral mucosal diseases have a huge impact on morbidity. We discuss the diagnostic challenges in identifying vitamin-related oral manifestations and the associated systemic features that may accompany the mucosal changes. This review provides clinicians with insight into the mechanisms that govern oral mucosal pathology and the risk factors related to specific vitamin deficiencies. The role of vitamin supplementation in treating and preventing oral conditions is also addressed.</div></div>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"44 2","pages":"Pages 281-293"},"PeriodicalIF":2.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146199999","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

Ethical considerations in maintaining appointment boundaries 维持任用界限的道德考虑。

IF 2.2 4区医学

Clinics in dermatology Pub Date : 2026-03-01 Epub Date: 2025-07-29 DOI: 10.1016/j.clindermatol.2025.07.005

Aarushi K. Parikh MA , Zachary Neubauer BS , Shari R. Lipner MD, PhD

{"title":"Ethical considerations in maintaining appointment boundaries","authors":"Aarushi K. Parikh MA , Zachary Neubauer BS , Shari R. Lipner MD, PhD","doi":"10.1016/j.clindermatol.2025.07.005","DOIUrl":"10.1016/j.clindermatol.2025.07.005","url":null,"abstract":"<div><div>Difficult clinical encounters raise ongoing ethical and operational challenges in modern health care, especially within time-constrained, high-volume specialties such as dermatology. When patients exhibit distrust, oppositional behavior, or demands for nonindicated interventions, physicians must navigate tensions between patient autonomy, clinical appropriateness, and the fair distribution of resources. This contribution explores these dynamics through the lens of a case involving a highly educated, confrontational patient whose prolonged visit disrupted clinic operations and strained staff relationships. It prompts broader reflection on the ethical boundaries of autonomy, the impact of patient behavior on distributive justice, and the importance of protecting staff well-being. Strategies such as neutral documentation, team-based de-escalation, structured visit expectations, and appropriate billing are proposed to address both ethical and practical concerns. Ensuring equitable, patient-centered care ultimately requires not only empathy and communication but also clear boundaries and system-level supports that uphold professionalism, fairness, and sustainability in the clinical environment.</div></div>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"44 2","pages":"Pages 328-330"},"PeriodicalIF":2.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144759329","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

Vitamin E in dermatology 皮肤病学中的维生素E。

IF 2.2 4区医学

Clinics in dermatology Pub Date : 2026-03-01 Epub Date: 2026-02-13 DOI: 10.1016/j.clindermatol.2026.02.009

Marcia Ramos-e-Silva MD, PhD , Claudia Camargo MD, MSc , Renata Cavalcante MD , Sueli Carneiro MD, PhD

引用次数: 0

Highlights in the history of vitamins: Part I 维生素发展史上的亮点。第一部分。

IF 2.2 4区医学

Clinics in dermatology Pub Date : 2026-03-01 Epub Date: 2026-02-12 DOI: 10.1016/j.clindermatol.2026.02.003

Amiya Kumar Mukhopadhyay MD, PhD, DNB(Derm), DNB(Derm & Vener), MNAMS

引用次数: 0