Maria Bernardette Cilona, Giovanni Paolino, Luca Moroni, Giuseppe Alvise Ramirez, Federica Pasi, Eleonora Sabetta, Antonella Poloniato, Federica Barzaghi, Maria Teresa Castiglioni, Valentina Canti
{"title":"Pregnancy and lactation during anifrolumab treatment in systemic lupus erythematosus.","authors":"Maria Bernardette Cilona, Giovanni Paolino, Luca Moroni, Giuseppe Alvise Ramirez, Federica Pasi, Eleonora Sabetta, Antonella Poloniato, Federica Barzaghi, Maria Teresa Castiglioni, Valentina Canti","doi":"10.4081/dr.2026.10921","DOIUrl":"https://doi.org/10.4081/dr.2026.10921","url":null,"abstract":"<p><p>Dear Editor, Systemic lupus erythematosus (SLE) is a chronic multisystem autoimmune disease that predominantly affects women of childbearing age. Cutaneous involvement represents one of the most common clinical manifestations of SLE and may occur in acute, subacute, or chronic forms. SLE disease activity can be assessed with the Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) and the severity of cutaneous disease activity using the Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI). Management of mucocutaneous SLE during pregnancy and breastfeeding remains challenging. In recent years, novel targeted therapies such as anifrolumab, a monoclonal antibody directed against the type I interferon receptor, have shown efficacy in patients with active SLE, particularly in those with prominent mucocutaneous manifestations. [...].</p>","PeriodicalId":11049,"journal":{"name":"Dermatology Reports","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148435422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Filomena Barbato, Luca Damiani, Francesca Gaudiello, Melissa Iandolo, Giovanni Calandriello, Gaetano Licata, Caterina Mariarosaria Giorgio
{"title":"Solitary hemorrhagic cutaneous mastocytoma of infancy with digital localization: a case report.","authors":"Filomena Barbato, Luca Damiani, Francesca Gaudiello, Melissa Iandolo, Giovanni Calandriello, Gaetano Licata, Caterina Mariarosaria Giorgio","doi":"10.4081/dr.2026.10834","DOIUrl":"https://doi.org/10.4081/dr.2026.10834","url":null,"abstract":"<p><p>Solitary cutaneous mastocytoma is the most common form of pediatric cutaneous mastocytosis and usually follows a benign, self-limited course. However, atypical clinical presentations such as hemorrhagic or bullous evolution and uncommon anatomical localization may raise diagnostic concerns and lead to unnecessary investigations. We report the case of a male infant presenting with a solitary hemorrhagic mastocytoma localized on a finger. The lesion showed episodic blistering and hemorrhage after minimal mechanical stimulation, without systemic symptoms. Dermoscopic examination revealed a structureless erythematous-violaceous background without melanocytic features. Histopathological analysis demonstrated a dense dermal mast cell infiltrate with strong CD117 and CD25 expression, confirming the diagnosis. Conservative management resulted in spontaneous regression without sequelae. This case highlights the importance of clinicopathological correlation in recognizing atypical presentations of solitary mastocytoma and avoiding misdiagnosis and overtreatment.</p>","PeriodicalId":11049,"journal":{"name":"Dermatology Reports","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148410559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tara Barat, Nader Pazyar, Narges Eslami, Elmira Esmizadeh
{"title":"Successful treatment of disseminated post-burn pyogenic granuloma with systemic corticosteroid: a case report.","authors":"Tara Barat, Nader Pazyar, Narges Eslami, Elmira Esmizadeh","doi":"10.4081/dr.2026.10346","DOIUrl":"10.4081/dr.2026.10346","url":null,"abstract":"<p><p>Pyogenic granuloma (PG), also known as lobular capillary hemangioma, is extremely rare following burn injuries, and there is no conclusive theory about its pathogenesis and best treatment option. Here we report a brief case of a 2-year-old child with a third-degree burn who developed disseminated pyogenic granuloma and was successfully treated with systemic corticosteroid.</p>","PeriodicalId":11049,"journal":{"name":"Dermatology Reports","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148396402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pilot study of topical management of folliculitis: clinical outcomes and safety in routine practice.","authors":"Meda-Elena Stefancu, Dionisio Franco Barattini, Ionel Botnaru, Carmen Vizman, Luca Stucchi, Luca Barattini","doi":"10.4081/dr.2026.10810","DOIUrl":"https://doi.org/10.4081/dr.2026.10810","url":null,"abstract":"<p><p>Folliculitis is a common inflammatory skin condition for which non-antibiotic topical management options remain limited. This pilot study reports clinical performance, safety, and feasibility data from the use of a medical device gel containing hyaluronic acid (HA) and hydrogen peroxide used in dermatologic practice. Adults aged 18-45 years with a diagnosis of folliculitis applied the gel for 8 weeks according to the instructions for use. Clinical outcomes included lesion count, Total Severity Score (TSS), Investigator Global Assessment of Performance (IGAP), patient satisfaction, and Dermatology Life Quality Index (DLQI). Safety was assessed through adverse event (AE) reporting. Thirteen patients (mean age 30.1±7.7 years) were included. Enrollment rate and study conduct supported the feasibility of a future comparative trial. From baseline to week 8, mean lesion count showed a three-fold reduction, accompanied by a 66.6% improvement in TSS. Investigator- and patient-reported assessments indicated consistent clinical improvement with a positive impact on quality of life. Two mild and transient local effects were reported. Overall, these preliminary observations suggest favorable safety and performance of the gel in routine folliculitis management and support further controlled studies.</p>","PeriodicalId":11049,"journal":{"name":"Dermatology Reports","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148390140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vincenzo De Giorgi, Giovanni Cecchi, Sara Simi, Elisabetta Magnaterra, Gabriella Perillo, Federica Fazzari, Daniela Massi, Biancamaria Zuccaro
{"title":"Melanocytic nevi in the genital area: dermoscopic clues to diagnosis.","authors":"Vincenzo De Giorgi, Giovanni Cecchi, Sara Simi, Elisabetta Magnaterra, Gabriella Perillo, Federica Fazzari, Daniela Massi, Biancamaria Zuccaro","doi":"10.4081/dr.2026.10927","DOIUrl":"https://doi.org/10.4081/dr.2026.10927","url":null,"abstract":"<p><p>Benign melanocytic nevi on genital mucosal or semimucosal sites may show clinical and dermoscopic atypia, often leading to biopsy. We retrospectively reviewed histologically confirmed genital melanocytic nevi diagnosed at the University of Florence (Italy) between January 2005 and December 2022 in patients aged ≥14 years. Forty-three patients were included (14 males, 29 females; median age 34 years). Lesions were more common on vulvar than penile sites, especially the labia minora and glans. Two predominant global dermoscopic patterns were present in 40 lesions (93%): a comet pattern in 25 (58%), characterized by a darker, densely structured \"head\" (most commonly linear pigmentation and/or globules, sometimes with a blue hue) and a less pigmented \"tail\", and a globular pattern in 15 (35%), characterized by large, well-defined blue-to-black clods/globules with uniform pigmentation; 3 lesions (7%) had a nonspecific pattern. Recognition of these benign patterns, together with attention to melanoma-associated mucosal clues, may support more confident assessment and management of genital pigmented lesions.</p>","PeriodicalId":11049,"journal":{"name":"Dermatology Reports","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148390214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Xuong Mau Tu, Pha Thi Nguyen, Thanh Ngoc Nguyen, Lieu Thuy Thi Nguyen, Dung Ngoc Tran, Phong Xuan Huynh
{"title":"Full-length 16S rRNA metabarcoding characterization of facial skin microbiota in acne patients: a case study in the Mekong Delta of Viet Nam.","authors":"Xuong Mau Tu, Pha Thi Nguyen, Thanh Ngoc Nguyen, Lieu Thuy Thi Nguyen, Dung Ngoc Tran, Phong Xuan Huynh","doi":"10.4081/dr.2026.10643","DOIUrl":"https://doi.org/10.4081/dr.2026.10643","url":null,"abstract":"<p><p>Acne vulgaris is a chronic inflammatory disorder of the pilosebaceous unit in which skin microbiome dysbiosis plays a key pathogenic role. This study, based on full-length 16S rRNA gene amplicon sequencing (V1-V9), characterized facial microbial diversity in 45 participants classified as healthy (n=15), mild acne (n=15), and moderate-severe acne (n=15), using pooled samples for downstream microbiome analyses. Samples from the skin surface and sebaceous follicles were analyzed by 16S rRNA (V1-V9) sequencing using Illumina MiniSeq and processed via QIIME2. Alpha diversity (observed taxa, Shannon index), beta diversity (Bray-Curtis dissimilarity, permutational multivariate analysis of variance [PERMANOVA]), and biomarker taxa (linear discriminant analysis effect size [LEfSe]) were assessed. Bacillota, mainly Staphylococcus spp., predominated on the skin surface, with relative abundance increasing with acne severity, whereas follicles were dominated by Cutibacterium acnes (Actinomycetota). Follicular samples showed lower richness and Shannon diversity than surface samples, though intergroup differences were not significant. Principal coordinates analysis (PCoA) explained >65% of variation, revealing greater dispersion among surface communities but no clear clustering by severity (PERMANOVA p>0.3). LEfSe identified distinct bacterial biomarkers across clinical groups. Overall, site-specific microbial shifts - particularly C. acnes and Staphylococcus dysbiosis - appear central to acne development, suggesting microbiome-targeted interventions as potential therapeutic strategies.</p>","PeriodicalId":11049,"journal":{"name":"Dermatology Reports","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148343581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mendy Hatibie Oley, Maximillian Christian Oley, Vania Sukarno, Stevy Chrisye Suoth, Muhammad Faruk
{"title":"Hyperbaric oxygen therapy in the reconstruction of giant rhinophyma: a case series.","authors":"Mendy Hatibie Oley, Maximillian Christian Oley, Vania Sukarno, Stevy Chrisye Suoth, Muhammad Faruk","doi":"10.4081/dr.2026.10365","DOIUrl":"https://doi.org/10.4081/dr.2026.10365","url":null,"abstract":"<p><p>Rhinophyma is a progressive, disfiguring form of rosacea that affects the nasal soft tissues and leads to functional and cosmetic challenges. Surgical excision is the primary treatment, but healing can be complicated by scarring, infection, and graft failure, especially in extensive lesions. Hyperbaric oxygen therapy (HBOT) has been suggested as an adjunctive treatment to enhance healing, reduce inflammation, and improve skin-graft survival. This case series presents three patients with giant rhinophyma who underwent surgical excision, with one requiring a split-thickness skin graft (STSG). Postoperatively, HBOT sessions (90 minutes at 2.4 atmospheres absolute [ATA]) were administered for 5-10 days, depending on the lesion severity. All patients demonstrated excellent healing with complete epithelialization and no evidence of hypertrophic scarring or short-term recurrence. HBOT contributed to faster recovery, improved skin-graft survival, and enhanced cosmetic outcomes. These findings suggest that HBOT is a promising adjunct in the surgical management of rhinophyma, although larger studies are required to validate its efficacy.</p>","PeriodicalId":11049,"journal":{"name":"Dermatology Reports","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148343524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Giuseppe P A Gemma, Carolina Dall'Ara, Mirella Scattone, Marco Virone, Roberta De Carolis, Luca Gargano, Luca Fania, Andrea Ascione, Giovanni Pellacani, Camilla Chello
{"title":"Line-field confocal optical coherence tomography for biopsy-site selection and treatment monitoring in plaque morphea.","authors":"Giuseppe P A Gemma, Carolina Dall'Ara, Mirella Scattone, Marco Virone, Roberta De Carolis, Luca Gargano, Luca Fania, Andrea Ascione, Giovanni Pellacani, Camilla Chello","doi":"10.4081/dr.2026.10923","DOIUrl":"https://doi.org/10.4081/dr.2026.10923","url":null,"abstract":"<p><p>Dear Editor, Morphea (localized scleroderma) is a cutaneous inflammatory fibrosing disorder characterized by heterogeneous clinical presentation and variable disease activity. Although diagnosis is predominantly clinical, accurate assessment of activity can be challenging, particularly in plaque-type disease where inflammatory and sclerotic components coexist. Non-invasive imaging may support the identification of active disease areas and help guide correct clinical management. [...].</p>","PeriodicalId":11049,"journal":{"name":"Dermatology Reports","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148316262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparison of the effectiveness of 30% <i>Aloe vera</i> cream and 20% urea cream as topical treatment for xerosis cutis in chronic kidney disease: a randomized clinical trial.","authors":"Nur Hikmah Fajriani, Khairuddin Djawad, Farida Tabri, Andi Alfian Zainuddin, Haerani Rasyid, Widya Widita","doi":"10.4081/dr.2026.10496","DOIUrl":"https://doi.org/10.4081/dr.2026.10496","url":null,"abstract":"<p><p>Xerosis is a prevalent skin disorder among patients with chronic kidney disease (CKD) undergoing hemodialysis (HD). While both Aloe vera cream 30% and urea cream 20% have been shown to improve skin hydration in cases of xerosis cutis, direct comparisons between the two are limited. This study aims to compare the effectiveness of both creams in treating xerosis cutis in patients with chronic kidney disease on hemodialysis (CKD-HD). A randomized controlled trial was conducted involving 35 eligible CKD-HD patients. Each patient received either urea cream 20% or A. vera cream 30%, which was applied to both their left and right arms. Skin moisture was assessed weekly using corneometer readings and overall dry skin (ODS) scores over 4 weeks. The present study reveals that both treatments significantly increased corneometer readings and decreased ODS scores compared to baseline (p<0.05), but no significant difference was found between the two creams (p>0.05). In conclusion, A. vera cream 30% and urea cream 20% demonstrate similar effectiveness in improving skin moisture for patients with xerosis cutis associated with CKD-HD.</p>","PeriodicalId":11049,"journal":{"name":"Dermatology Reports","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148307469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Judit Riera-Arnau, Daniel Wang, Jordi Mollet, Lucía Bellas, Ricardo Boy, Carlos González-Cruz, Mònica Sabaté, Elena Ballarín, Vicenç García-Patos, Glòria Aparicio
{"title":"A cohort study of obese patients with moderate-to-severe psoriasis using biological medicines in Catalonia, Spain.","authors":"Judit Riera-Arnau, Daniel Wang, Jordi Mollet, Lucía Bellas, Ricardo Boy, Carlos González-Cruz, Mònica Sabaté, Elena Ballarín, Vicenç García-Patos, Glòria Aparicio","doi":"10.4081/dr.2026.10247","DOIUrl":"10.4081/dr.2026.10247","url":null,"abstract":"<p><p>Obesity impacts both the clinical management and therapeutic strategies for psoriasis. This study aims to describe the use of biological medicines in treating obese patients with moderate-to-severe psoriasis. We conducted a retrospective cohort study (2007-2022) of obese patients who initiated biological treatments for moderate-severe psoriasis. The primary outcome was the number of biological treatment lines required to achieve an optimal or adequate Psoriasis Area and Severity Index (PASI) score reduction. Secondary outcomes included the duration of biological use and reasons for discontinuation. We included 58 patients (mean age 50 years, body mass index [BMI] 35.9 kg/m2, psoriasis duration 16.5 years). Biological treatments enabled 77.6% (45) of patients to achieve an optimal response, and 87.9% (51) achieved an adequate response. The median time-to-response was 2-7 months, with the greatest improvements seen with adalimumab, etanercept, and ustekinumab. The primary reason for discontinuation was lack of effectiveness (50% of first-line treatments). This study suggests that systemic biologics are effective for obese psoriasis patients and emphasizes the need for close monitoring of reasons that lead to discontinuation. As biologics evolve, refining guidelines will be essential for optimizing psoriasis management in obese patients.</p>","PeriodicalId":11049,"journal":{"name":"Dermatology Reports","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148301251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}