Journal of Cutaneous Medicine and Surgery最新文献

A Canadian Algorithm on the Management of Telogen Effluvium. 休止期排尿管理的加拿大算法。

IF 3.1 4区医学

Journal of Cutaneous Medicine and Surgery Pub Date : 2025-07-16 DOI: 10.1177/12034754251355198

Ian Landells, Aditya K Gupta, Julio C Jasso Olivares, Thusanth Thuraisingam, Renita Ahluwalia, Geeta Yadav, Michele Pratt, Noemie Vezina, Elias Raad, Jayden Owen, Nour R Dayeh

{"title":"A Canadian Algorithm on the Management of Telogen Effluvium.","authors":"Ian Landells, Aditya K Gupta, Julio C Jasso Olivares, Thusanth Thuraisingam, Renita Ahluwalia, Geeta Yadav, Michele Pratt, Noemie Vezina, Elias Raad, Jayden Owen, Nour R Dayeh","doi":"10.1177/12034754251355198","DOIUrl":"https://doi.org/10.1177/12034754251355198","url":null,"abstract":"Telogen effluvium (TE) is a form of transient hair loss in response to a triggering factor. It is a type of nonscarring alopecia, characterized by a generalized hair loss distribution with thinning of the hair and no exposed patches. It is thought to be induced by numerous stressors that cause hair follicles to suddenly switch from the growing (anagen) phase to the resting (telogen) phase. Treatment of TE consists of identifying the triggers and correcting them. TE is very common and affects men and women, with women being more emotionally and psychologically affected by the hair loss and seeking help more often. In the Canadian context, with long waiting lists to see a dermatologist, TE patients are often left alone with their worry and helplessness. This paper consolidates the opinions and recommendations of top Canadian hair-expert dermatologists with regards to TE management. Specifically, this consortium of experts identified the gap in care in Canada when it comes to TE and proposed a unified method to assess and manage TE. Their recommendations include making the proper diagnosis of TE, finding the triggers, which may include ordering appropriate investigations to identify metabolic abnormalities and nutritional deficiencies, and potentially managing treatable triggers of TE. Educating patients on TE is a crucial part of the treatment. The experts also concluded it is beneficial to offer patients a topical product that is safe and accessible.","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754251355198"},"PeriodicalIF":3.1,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144649605","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

Navigating Bullous Pemphigoid: Consensus Recommendations for Diagnosis and Management-A Canadian Perspective. 导航大疱性类天疱疮：诊断和治疗的共识建议：加拿大的观点。

IF 3.1 4区医学

Journal of Cutaneous Medicine and Surgery Pub Date : 2025-07-15 DOI: 10.1177/12034754251351854

Fiona E Lovegrove, Maxwell B Sauder, Asfandyar Mufti, Jennifer Beecker, Jan P Dutz, Mark G Kirchhof, P Regine Mydlarski, Kerri S Purdy, Perla Lansang

{"title":"Navigating Bullous Pemphigoid: Consensus Recommendations for Diagnosis and Management-A Canadian Perspective.","authors":"Fiona E Lovegrove, Maxwell B Sauder, Asfandyar Mufti, Jennifer Beecker, Jan P Dutz, Mark G Kirchhof, P Regine Mydlarski, Kerri S Purdy, Perla Lansang","doi":"10.1177/12034754251351854","DOIUrl":"https://doi.org/10.1177/12034754251351854","url":null,"abstract":"Bullous pemphigoid (BP) is an autoimmune disease of the skin characterized by subepidermal blistering accompanied by severe itch, causing a profound decrease in quality of life and conferring significant mortality risk. Because age is a primary risk factor, this rare condition is becoming more common as our population ages. Consequently, there is a need for enhanced recognition and appropriate management of BP. The objective of this endeavour was to develop a series of practical recommendations to improve the diagnosis and management of BP based on available evidence and expert opinion where evidence was lacking, with a focus on disease management within the Canadian context. A panel of 9 Canadian dermatologists with interest and experience in BP identified key topics in its diagnosis and management. A broad literature review, along with clinical expertise and opinion, supported the development of manuscript sections on each identified topic. Where appropriate, the panel developed clinically relevant recommendations that were adopted by consensus following a modified Delphi process and prespecified agreement cut-off of 80%. Panel members reviewed draft consensus statements and rated their level of agreement with each using an anonymous online survey platform. Statements not achieving consensus were discussed and updated in a live virtual meeting, after which another round of anonymous voting was held. Through this process, 18 recommendations were approved by the panel. These statements can guide healthcare providers in the practical management of BP in Canada and beyond.","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754251351854"},"PeriodicalIF":3.1,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642671","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

Keloid. 瘢痕疙瘩。

IF 3.1 4区医学

Journal of Cutaneous Medicine and Surgery Pub Date : 2025-07-15 DOI: 10.1177/12034754251355598

Yi-Xiao Wang, Min Gao

引用次数: 0

Photographic Assessment of the Anatomic Localization and Extent of Hidradenitis Suppurativa: A Delphi Study. 化脓性汗腺炎解剖定位及程度的摄影评估：德尔菲研究。

IF 3.1 4区医学

Journal of Cutaneous Medicine and Surgery Pub Date : 2025-07-14 DOI: 10.1177/12034754251355183

Marissa S Ceresnie, Brittani Jones, Albert T Young, Nasro A Isaq, Olayemi Sokumbi, Iltefat H Hamzavi, Afsaneh Alavi

{"title":"Photographic Assessment of the Anatomic Localization and Extent of Hidradenitis Suppurativa: A Delphi Study.","authors":"Marissa S Ceresnie, Brittani Jones, Albert T Young, Nasro A Isaq, Olayemi Sokumbi, Iltefat H Hamzavi, Afsaneh Alavi","doi":"10.1177/12034754251355183","DOIUrl":"https://doi.org/10.1177/12034754251355183","url":null,"abstract":"Background: Hidradenitis suppurativa (HS) is a chronic inflammatory disease with fluctuating activity that requires long-term visual documentation to evaluate disease severity and treatment response. A standardized protocol for photographing HS is critically needed.Objectives: To establish a standardized protocol for using photography to clinically document HS.Methods: We brought together a panel of international experts and used a modified Delphi process to reach consensus on statements about standardized practices for using photography to document HS in clinical practice and research settings. A 75% agreement level was prespecified as the cutoff for consensus.Results: Consensus for photographically documenting HS was developed within 6 key areas: patient preparation, background, lighting, size and reference scale, camera considerations, and patient positioning. The revised and optimized protocol includes 34 standardized reference illustrations. However, the proposed recommendations are for ideal scenarios, and their implementation may not always be practical in a clinical setting. Variations in resources may not have been captured.Conclusions: The proposed consensus-based protocol provides a standard for consistent photographic documentation of HS. This protocol may help clinicians provide better disease surveillance and patient care, and it may aid in more precise and reliable research and clinical trials for HS.","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754251355183"},"PeriodicalIF":3.1,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626425","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

Off-Label Topical Application of Sirolimus (Rapamycin) for Dermatological Conditions. 西罗莫司（雷帕霉素）用于皮肤疾病的说明书外局部应用。

IF 3.1 4区医学

Journal of Cutaneous Medicine and Surgery Pub Date : 2025-07-14 DOI: 10.1177/12034754251355595

Tatiana Lapa, Matt Sandre

{"title":"Off-Label Topical Application of Sirolimus (Rapamycin) for Dermatological Conditions.","authors":"Tatiana Lapa, Matt Sandre","doi":"10.1177/12034754251355595","DOIUrl":"https://doi.org/10.1177/12034754251355595","url":null,"abstract":"This review summarizes the off-label applications of topical sirolimus (rapamycin) for dermatological conditions beyond its approved use for angiofibromas associated with tuberous sclerosis, focusing on efficacy, safety, and reported adverse effects. Off-label use of mammalian target of rapamycin inhibitors like sirolimus has shown promising potential in dermatology. We analyzed the literature on the efficacy and safety of topical sirolimus for a range of dermatological conditions, including inflammatory eruptions, genodermatoses, bullous disorders, neoplasms, and others. Publications on topical sirolimus for other vascular anomalies, such as lymphatic malformations, were excluded to maintain focus on other lesser-known dermatological uses, except for studies involving post-laser combination therapies for vascular lesions. Topical sirolimus demonstrated notable efficacy in several genetic and benign proliferative skin disorders, including pachyonychia congenita, trichilemmomas, trichoepitheliomas, and Kaposi sarcoma, with a generally favorable safety profile and minimal systemic absorption. However, variability in formulations, dosing regimens, and the predominance of small-scale studies limit definitive conclusions. Further research is warranted to standardize treatment protocols and validate these findings.","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754251355595"},"PeriodicalIF":3.1,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626424","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

Odontogenic Fistula. 牙原性的瘘。

IF 3.1 4区医学

Journal of Cutaneous Medicine and Surgery Pub Date : 2025-07-12 DOI: 10.1177/12034754251355599

María Elena Cornax, Elisabeth Gómez-Moyano

引用次数: 0

Nail Pathology: Median Canaliform Dystrophy of Heller. 指甲病理：海勒中端管状营养不良。

IF 3.1 4区医学

Journal of Cutaneous Medicine and Surgery Pub Date : 2025-07-12 DOI: 10.1177/12034754251355600

Ghassan Barnawi, Osamah Roshdy

引用次数: 0

Dermatitis Artefacta: A Study of 42 Patients with Management Considerations. 人工皮炎：42例治疗要点的研究。

IF 3.1 4区医学

Journal of Cutaneous Medicine and Surgery Pub Date : 2025-07-12 DOI: 10.1177/12034754251355589

Paula Gerlero, Nycolle L K O Guedes, Alexandre J Dwan, Marcello M S Nico

{"title":"Dermatitis Artefacta: A Study of 42 Patients with Management Considerations.","authors":"Paula Gerlero, Nycolle L K O Guedes, Alexandre J Dwan, Marcello M S Nico","doi":"10.1177/12034754251355589","DOIUrl":"https://doi.org/10.1177/12034754251355589","url":null,"abstract":"Background: Dermatitis artefacta (DA) is a primary psychiatric disorder in which patients self-inflict skin lesions to attract the attention of family members to release emotions or simply gain compensation. Studies involving patients with DA are difficult to conduct because patients typically move from one hospital to another. Moreover, very little has been written about its treatment, as most published series of cases have been presented without reporting the follow-up.Objectives: To study the characteristics and therapeutic results in patients with dermatitis artefacta followed up at a university medical centre in Brazil.Methods: We performed a retrospective study of patients with dermatitis artefacta at a dermatological university clinic. The medical records were reviewed to obtain personal data and treatment findings.Results: Forty-two patients were included in this study. Twenty patients were treated with placebo pills plus topical treatments, 14 patients received no treatment, and four patients used only topical treatment. The follow-up period for these patients ranged from a single visit to 7 years. Psychiatric interviews were conducted without the presence of a dermatologist in only a few cases.Conclusions: A dermatologist is a healthcare professional who should be prepared to diagnose and manage cases of DA, and referral to a psychiatrist is usually unsuccessful. The success of the treatment depends on how the doctor approaches the patient. The use of placebo pills may help some patients adhere to treatment and strengthen their therapeutic bonds.","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754251355589"},"PeriodicalIF":3.1,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144618128","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

100th CDA Annual Conference-Halifax. 第100届CDA年会-哈利法克斯。

IF 3.1 4区医学

Journal of Cutaneous Medicine and Surgery Pub Date : 2025-07-01 Epub Date: 2025-07-10 DOI: 10.1177/12034754251343160

Kirk Barber

引用次数: 0

President's Letter. 总统的信。

IF 3.1 4区医学

Journal of Cutaneous Medicine and Surgery Pub Date : 2025-07-01 Epub Date: 2025-07-10 DOI: 10.1177/12034754251341250

Gabriele Weichert

引用次数: 0