Clinics in dermatology最新文献

{"title":"Dermatologic surgery in elderly patients with limited life expectancy: Ethical considerations","authors":"Selene M. Kizy BS,&nbsp;Olivia Hannawa BS,&nbsp;Sandra Messiha BS,&nbsp;Meredith Hengy MD,&nbsp;Jane M. Grant-Kels MD","doi":"10.1016/j.clindermatol.2026.05.005","DOIUrl":"10.1016/j.clindermatol.2026.05.005","url":null,"abstract":"<div><div>An aging population has introduced increased complexity into dermatologic care, particularly among older adults with significant comorbidities, functional dependence, cognitive decline, and competing health priorities. Simultaneously, nonmelanoma skin cancers are among the most common malignancies affecting this population. Although dermatologic surgery often yields excellent oncologic outcomes, the appropriateness of definitive intervention becomes ethically complex when tumor behavior, patient prognosis (life expectancy), procedural burden, and patient preferences are not fully aligned. Low-risk basal cell carcinomas may demonstrate slow growth and limited morbidity over the course of a patient’s remaining lifespan, complicating decisions about whether invasive treatment is proportionate to the anticipated benefit. Although respect for patient autonomy is fundamental, the principle requires informed decision making that incorporates prognosis, other medical priorities, procedural risks, postoperative burden, and quality-of-life considerations. Additional ethical tensions arise regarding nonmaleficence, distributive justice, appropriate use of limited health care resources, caregiver burden, and decisional capacity of cognitively impaired patients. Treatment decisions should remain individualized and grounded in transparent discussion of prognosis, quality of life, functional status, and procedural burden. In older adults with limited longevity, ethical dermatologic care necessitates balancing oncologic benefit with the broader realities of the patient’s overall health and well being.</div></div>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"44 5","pages":"Pages 854-857"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148004945","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":"Ethical implications of “tanmaxxing” promotion on social media","authors":"Lauren Fleshner MSc,&nbsp;Charlotte Albright,&nbsp;Timothy Klufas MD,&nbsp;Jane M. Grant-Kels MD","doi":"10.1016/j.clindermatol.2026.08.001","DOIUrl":"10.1016/j.clindermatol.2026.08.001","url":null,"abstract":"<div><div>“Tanmaxxing” is an emerging online trend that promotes intentional UV exposure with minimal sun protection to achieve a darker tan. This beauty trend encourages participants to become as tan or dark as possible. Although traditional tanning culture is well documented, newer platforms such as Instagram and TikTok enable promotional materials to reach larger, younger audiences. They have recently not only begun promoting avoidance of sunscreens but also endorse the use of tanning oils. Engagement-based algorithms boost provocative videos of creators promoting sun-seeking behaviors, such as indoor tanning. These videos typically minimize or omit the risks, whereas the creators financially benefit from the participation of impressionable audiences. We outline the ethical implications of leveraging social media algorithms to promote tanmaxxing, exploring autonomy and adolescent vulnerability, and propose solutions to better protect adolescents and young adults from the normalization of preventable harm.</div></div><div>“Tanmaxxing” is an emerging online trend that promotes intentional UV exposure with minimal sun protection to achieve a darker tan. This beauty trend encourages participants to become as tan or dark as possible. Although traditional tanning culture is well documented, newer platforms such as Instagram and TikTok enable promotional materials to reach larger, younger audiences. They have recently not only begun promoting avoidance of sunscreens but also endorse the use of tanning oils. Engagement-based algorithms boost provocative videos of creators promoting sun-seeking behaviors, such as indoor tanning. These videos typically minimize or omit the risks, whereas the creators financially benefit from the participation of impressionable audiences. We outline the ethical implications of leveraging social media algorithms to promote tanmaxxing, exploring autonomy and adolescent vulnerability, and propose solutions to better protect adolescents and young adults from the normalization of preventable harm.</div>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"44 5","pages":"Pages 862-864"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148688646","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":"Aesthetic and dermatosurgical education at dermatology congresses: A 2025 cross-sectional audit","authors":"Mustafa Tümtürk MD,&nbsp;George Kroumpouzos MD, PhD,&nbsp;Nazli Caf MD,&nbsp;Ümit Türsen MD","doi":"10.1016/j.clindermatol.2026.08.010","DOIUrl":"10.1016/j.clindermatol.2026.08.010","url":null,"abstract":"<div><div>Nonsurgical aesthetic procedures have become increasingly prominent in dermatology education; however, the distribution of cosmetic, dermatosurgical, and medical content in continuing medical education programs has not been systematically quantified. This study established a 2025 cross-sectional baseline of continuing medical education course (MEC) distribution and a framework for monitoring changes in aesthetic content over time. Dermatology-related events scheduled for 2025 were identified through a national specialty calendar in Türkiye; 52 eligible national, regional, and international events were included. Courses were classified as cosmetic procedure courses (CPCs), dermatosurgery courses (DSCs), or MECs. Descriptive statistics were calculated, and event-scope comparisons were interpreted cautiously given the small international subgroup. Of the 114 identified courses, MECs were the largest category (52/114; 45.6%), followed by CPCs (42/114; 36.8%) and DSCs (20/114; 17.5%). DSCs were offered at 15 of 52 events (28.8%). CPCs represented 40.0% of courses at international events versus 36.0% at national/regional events, although only six international events were included. Exploratory correlations were positive between CPCs and DSCs (<em>r</em> = .59), CPCs and MECs (<em>r</em> = .45), and DSCs and MECs (<em>r</em> = .32), although these associations may partly reflect overall event size. CPCs therefore comprised more than one-third of the identified continuing MECs, whereas dermatosurgery was less frequently represented. Potential downstream effects on trainee career choices and practice patterns warrant longitudinal evaluation. Repeated annual audits using a consistent sampling frame and coding framework are necessary to determine whether dermatology congress education will shift toward more aesthetic content over time.</div></div>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"44 5","pages":"Pages 829-835"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148817720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pellagra—Fine arts and literature: A short journey from Pietro Belloti and Johann Wolfgang Goethe to John Wesley Caroll and Amedeo John Engel Terzi","authors":"Uwe Wollina MD,&nbsp;Leonhard J. Hoenig MD,&nbsp;Lawrence Charles Parish MD, MD (Hon), FRCP (Edin)","doi":"10.1016/j.clindermatol.2026.01.012","DOIUrl":"10.1016/j.clindermatol.2026.01.012","url":null,"abstract":"<div><div>Pellagra is a non-hereditary disorder of the niacin and tryptophan metabolism. Cutaneous and gastrointestinal signs and symptoms are early signs of the disease, but neuropsychiatric findings follow, if the disease is not recognized and treated soon enough. Although pellagra had not been identified as a separate entity before 1735, artists noticed the characteristic cutaneous manifestations. An example is Pietro Bellotti’s masterpiece <em>Vecchia popolana con un ragazzo</em> (Old Peasant Woman with a Boy; ca 1680-1690) with a most realistic style. In 1786, the German writer and scientist Goethe traveled to Northern Italy. In his book <em>Italienische Reise</em> (Italian Journey), he made remarks about cutaneous findings in the rural population suggesting pellagra. He missed the scaling and fissuring of skin, as he traveled in the autumn and not spring, when the disease has its seasonal peak. The association of pellagra with art is further illustrated by two examples of the early 20th century—painter John Wesley Carroll from Kansas and medical illustrator Amedeo John Engel Terzi from Sicily. Their multicolored illustrations supported education about the disease before high-quality color photography became available.</div></div>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"44 5","pages":"Pages 812-819"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146131379","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":"Cutaneous realism in Lombard Renaissance portraiture: Forehead lipomas in two paintings by Giovanni Battista Moroni","authors":"Francesco Brigo MD","doi":"10.1016/j.clindermatol.2026.04.014","DOIUrl":"10.1016/j.clindermatol.2026.04.014","url":null,"abstract":"<div><div>Giovanni Battista Moroni (ca 1520/1524-1579/1580) exemplifies the Lombard commitment to empiric naturalism, a tradition grounded in unidealized observation and meticulous physiognomic precision. Two of his late portraits, the <em>Portrait of a Doctor</em> (ca 1560-1570) and the <em>Portrait of a Nobleman of the Albani Family</em> (ca 1570), feature carefully modeled frontal soft-tissue swellings with smooth contours, no erythema, and stable volume, consistent with benign lipomas. Their inclusion demonstrates Moroni’s refusal to suppress visible bodily irregularities and reflects a broader regional attentiveness to dermatologic and subcutaneous detail. These works reaffirm his position within a Lombard visual culture committed to representing the human body with uncompromising observational fidelity.</div></div>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"44 5","pages":"Pages 836-839"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147812081","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":"Rising trends in dermatology publications using large-scale databases","authors":"Madeleine Tessier-Kay MPH,&nbsp;Albert E. Zhou MD, PhD,&nbsp;Kelin Zhong MS,&nbsp;Chia-Ling Kuo PhD,&nbsp;Brett Sloan MD,&nbsp;Jane M Grant-Kels MD,&nbsp;Hao Feng MD, MHS","doi":"10.1016/j.clindermatol.2026.05.001","DOIUrl":"10.1016/j.clindermatol.2026.05.001","url":null,"abstract":"<div><div>The use of large-scale databases in medical research is increasing due to advancements in computing power and ease of execution; however, their practical application in dermatology remains incompletely characterized. We reviewed the number of overall dermatology publications and the use of 14 large-scale databases in dermatology publications during recent decades. We also discussed the ethical implications of the growing use of large-scale databases in medical research, specifically dermatology. Structural issues within large-scale databases potentially introduce bias and risk, exacerbating existing disparities. There are also concerns surrounding data transparency, reproducibility, and integrity. The protection of patient privacy, autonomy, and informed consent, finally, remains a major ethical concern in large-scale database research. Although these database resources allow for expanded research capabilities, there remains limited long-term validation of their findings, along with questions regarding their general limitations.</div></div>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"44 5","pages":"Pages 847-850"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147927103","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":"Diffuse plane xanthoma","authors":"Yee Won Kim BS,&nbsp;Seda G. Sahin BS,&nbsp;Humza Zaidi BA, BS,&nbsp;Jane M. Grant-Kels MD","doi":"10.1016/j.clindermatol.2026.07.018","DOIUrl":"10.1016/j.clindermatol.2026.07.018","url":null,"abstract":"<div><div>Diffuse plane xanthoma is a distinctive and rare dermatologic condition that can signal an underlying, usually hematologic, often malignant condition, including multiple myeloma, monoclonal gammopathy, diffuse histiocytic lymphoma, acute monoblastic leukemia, chronic myelomonocytic leukemia, chronic myeloid leukemia, chronic lymphatic leukemia, adult T-cell lymphoma/leukemia, Sezary syndrome, Waldenstrom’s macroglobulinemia, non-Hodgkin’s lymphoma, cryoglobulinemia, and Castleman’s disease. Diffuse plane xanthoma is clinically characterized by nonpruritic flat, yellowish macules/patches predominantly affecting the face, neck, and upper portion of the body. Histologically, there are lipid-laden macrophages in the dermis that immunohistochemically reveal positive staining for macrophage markers with negative staining for lipid-specific markers. Although there is no specific treatment for diffuse plane xanthoma, treatment of the underlying condition generally reduces or resolves the clinical appearance of the xanthomas.</div></div>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"44 5","pages":"Pages 775-780"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148599878","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":"Paraneoplastic dermatoses in patients with hematologic malignancy","authors":"Summit Singhaviranon BS,&nbsp;Timothy Klufas BA,&nbsp;Donna Aiudi MD","doi":"10.1016/j.clindermatol.2026.07.021","DOIUrl":"10.1016/j.clindermatol.2026.07.021","url":null,"abstract":"<div><div>Malignancies can elicit a vast array of systemic findings in patients that are not directly driven by tumor invasion. These paraneoplastic syndromes may result from mechanisms ranging from ectopic hormone expression to crossreactive immune responses. Many of these paraneoplastic syndromes can even resemble autoimmune dermatoses. Paraneoplastic dermatoses are especially common in patients with hematologic malignancies. We review the fundamental mechanisms underlying immune-mediated paraneoplastic dermatoses in patients with hematologic malignancies and describe several common paraneoplastic dermatoses including some neutrophilic dermatoses (Sweet’s syndrome, pyoderma gangrenosum, subcorneal pustular dermatosis/IgA pemphigus), eosinophilic dermatoses and paraneoplastic pemphigus) that can be found in patients with hematologic malignancies.</div></div>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"44 5","pages":"Pages 695-703"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148599882","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":"Forensic dermatology: An integral subspecialty of dermatology. Introducing a new section in Clinics in Dermatology","authors":"Philip R. Cohen MD, MS,&nbsp;Leonard J. Hoenig MD,&nbsp;Lawrence Charles Parish MD, MD (Hon), FRCP (Edin)","doi":"10.1016/j.clindermatol.2026.04.016","DOIUrl":"10.1016/j.clindermatol.2026.04.016","url":null,"abstract":"<div><div>Forensic dermatology is not only a worldwide phenomenon but also an important subspecialty of both forensic medicine and dermatology. It encompasses traditional forensic dermatology (by aiding in establishing the cause and manner of death of decedents) and clinical forensic dermatology (by assessing live victims of abuse and neglect, human trafficking, and torture). Forensic dermatology assists in legal and criminal investigations by carefully examining the skin, mucosa, hair, and nails and accurately assessing the findings. A forensic dermatologist may use the forensic dermatology expert analytic report to summarize not only the observations but also their evaluation as an expert witness during a trial. Collaboration, documentation, and education are the pillars of forensic dermatology. To provide a forum for advancing knowledge in forensic dermatology, a new section dedicated to this field of medicine has been added to <em>Clinics in Dermatology</em>.</div></div>","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"44 5","pages":"Pages 869-872"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147834275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hantavirus: Once again in the news","authors":"Gordon M. Dickinson MD","doi":"10.1016/j.clindermatol.2026.07.001","DOIUrl":"10.1016/j.clindermatol.2026.07.001","url":null,"abstract":"","PeriodicalId":10358,"journal":{"name":"Clinics in dermatology","volume":"44 5","pages":"Pages 884-885"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148410790","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}