Journal of Cutaneous Medicine and Surgery最新文献

{"title":"Systematic Review of Psychodermatologic Assessment Tools: Diagnostic Accuracy and Clinical Utility.","authors":"Clayton Clark, Parsa Abdi, Kevin Li, Tarek Turk, Marlene Dytoc","doi":"10.1177/12034754241311267","DOIUrl":"https://doi.org/10.1177/12034754241311267","url":null,"abstract":"<p><p>Primary psychodermatologic disorders such as body dysmorphic disorder, trichotillomania, and excoriation disorder present significant challenges in dermatological and psychiatric assessment due to their complex psychological and dermatological symptoms. Reliable and valid screening tools are essential for effective diagnosis and management, yet there is a lack of consensus on the most appropriate instruments. A systematic review was conducted, identifying 81 studies that employed 45 different psychodermatologic tools, of which 13 studies provided empirical data on their diagnostic accuracy. Tools were assessed for their psychometric properties, including sensitivity, specificity, reliability, and validity. The Body Dysmorphic Disorder Questionnaire (BDDQ) and its variants demonstrated high diagnostic accuracy, with the BDDQ showing a sensitivity of 0.97 [95% CI: 0.82-1.00] and specificity of 0.91 [95% CI: 0.86-0.95]. The Skin Picking Scale-Revised showed high diagnostic accuracy for excoriation disorder, with a sensitivity of 0.89 [95% CI: 0.84-0.94] and specificity of 0.95 [95% CI: 0.93-0.96]. Similarly, the Massachusetts General Hospital Hairpulling Scale, frequently utilized for trichotillomania, exhibited strong psychometric properties, with a sensitivity of 0.90 [95% CI: 0.81-0.96] and specificity of 0.72 [95% CI: 0.63-0.80]. Despite their frequent use, many tools lack a comprehensive assessment of the full range of symptoms, including social impairment and behavioural nuances. The review highlights the importance of developing standardized, multidimensional assessment tools that are valid, reliable, and easy to implement in daily practice. Further research is needed to establish the practical utility of these tools in routine dermatology settings, addressing gaps in effectiveness, referral and intervention limitations, and patient acceptability.</p>","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754241311267"},"PeriodicalIF":3.1,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020218","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":"Evaluating the Diagnostic and Treatment Capabilities of GPT-4 Vision in Dermatology: A Pilot Study.","authors":"Abhinav Pillai, Sharon Parappally-Joseph, Jason Kreutz, Danya Traboulsi, Maharshi Gandhi, Jori Hardin","doi":"10.1177/12034754251336238","DOIUrl":"https://doi.org/10.1177/12034754251336238","url":null,"abstract":"<p><strong>Background: </strong>The integration of generative artificial intelligence within dermatology presents a new frontier for enhancing diagnostic accuracy and treatment planning.</p><p><strong>Objective: </strong>This research evaluates Generative Pre-trained Transformer-4 Vision's (GPT-4V) performance in accurately diagnosing and generating treatment plans for common dermatological conditions, comparing its assessment of textual versus image data and its performance with multimodal inputs.</p><p><strong>Methods: </strong>A dataset of 102 images representing 9 common dermatological conditions was compiled from dermatlas.org and dermnet.nz. Images were screened by 2 board-certified dermatologists and were excluded if they did not represent a classic presentation of the respective conditions. Fifty-four images were included in the final analysis. In addition, 9 text-based clinical scenarios corresponding to each condition were developed. GPT-4V's diagnostic capabilities were assessed across 3 setups: Image Prompt, Scenario Prompt, and Image + Scenario Prompt.</p><p><strong>Results: </strong>In the Image Prompt setup, GPT-4V correctly identified the primary diagnosis for 54% of the images. The Scenario Prompt and the Image + Scenario Prompt setups, respectively, both achieved an 89% accuracy rate in identifying the primary diagnosis. Treatment recommendations were evaluated using a modified Entrustment Scale, showing competent but not expert-level performance. A Wilcoxon signed-rank test demonstrated a statistically significant difference in treatment recommendations based on the Entrustment Score, with the model performing better in the Image + Scenario setup (<i>P</i> < .01).</p><p><strong>Conclusion: </strong>GPT-4V demonstrates the potential to augment dermatological diagnosis and treatment recommendations, particularly in text-based scenarios. However, its underwhelming performance in image-based diagnosis and integration of multimodal data highlights important areas for improvement.</p>","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754251336238"},"PeriodicalIF":3.1,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995802","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":"Investigating the Properties of Truncal Acne: A Common But Often Overlooked Entity.","authors":"Dilek Menteşoğlu, Gökçe Işıl Kurmuş, Selda Pelin Kartal","doi":"10.1177/12034754251336237","DOIUrl":"https://doi.org/10.1177/12034754251336237","url":null,"abstract":"<p><strong>Background: </strong>Truncal acne is often overlooked, although it is as common as facial acne.</p><p><strong>Objectives: </strong>We aimed to investigate the prevalence of truncal acne in patients with mild, moderate, and severe acne and to evaluate the characteristics of truncal acne.</p><p><strong>Methods: </strong>Patients aged ≥ 12 years who were diagnosed with acne vulgaris at our dermatology outpatient clinics between May 2023 and October 2023 were categorized into two groups based on the severity of facial acne.</p><p><strong>Results: </strong>Of the patients, 69.9% (n = 381) were female and 30.1% (n = 164) were male. The mean age was 21.0 ± 5.1 years. The upper back, upper and lower back, and shoulders were the most common areas of truncal acne. Post-inflammatory hyperpigmentation (PIH), papules, and pustules were the most common truncal lesions. The most common clinical manifestations of truncal acne were comedones + papules + pustules + nodules, PIH + papules + pustules + nodules, PIH + papules + pustules, PIH + comedones + papules + pustules + nodules, and scars + PIH + papules + pustules + nodules (<i>P</i> = .030, <i>P</i> = .001, <i>P</i> = .001, <i>P</i> = .011, and <i>P</i> = .005, respectively). These lesions were more prevalent in patients with severe acne than in those with mild-to-moderate acne.</p><p><strong>Conclusion: </strong>When evaluating acne, examining the lower and upper back, the front half of the trunk, and the shoulders is essential, while not ignoring PIH. Diagnosing and treating truncal acne significantly increases the patient's quality of life and self-confidence.</p>","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754251336237"},"PeriodicalIF":3.1,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002637","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":"The Quality and Readability of Online Resources for Women With Hair Loss: A Cross-Sectional Study.","authors":"Eric McMullen, Shahnawaz Towheed, Grace Xiong, Sana Gupta, Chris Shenouda, Gresha Shah, Karanvir Singh, Ilya Mukovozov, Cathryn Sibbald, Jeffrey Donovan","doi":"10.1177/12034754251338821","DOIUrl":"https://doi.org/10.1177/12034754251338821","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754251338821"},"PeriodicalIF":3.1,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970845","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":"Analyzing the Quality and Readability of Online Resources Available for Androgenetic Alopecia: A Cross-Sectional Analysis.","authors":"Grace Xiong, Sana Gupta, Eric McMullen, Jeffrey Donovan, Shireen Dumont, Cathryn Sibbald, Ilya Mukovozov","doi":"10.1177/12034754251338826","DOIUrl":"https://doi.org/10.1177/12034754251338826","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754251338826"},"PeriodicalIF":3.1,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012229","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":"Treatment Outcomes of Eosinophilic Fasciitis: A Systematic Review.","authors":"Samantha Bestavros, Ryan S Huang, Christopher Shenouda, Eric P McMullen, Touraj Khosravi-Hafshejani","doi":"10.1177/12034754251338831","DOIUrl":"https://doi.org/10.1177/12034754251338831","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754251338831"},"PeriodicalIF":3.1,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003061","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":"Non-Tuberculous Mycobacteria Infections in Sjögren's Syndrome: A Systematic Review.","authors":"Dea Metko, Delaram Shojaei, Shanti Mehta, Kyle Seigel, Narachai Julanon, David Croitoru","doi":"10.1177/12034754251336201","DOIUrl":"https://doi.org/10.1177/12034754251336201","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754251336201"},"PeriodicalIF":3.1,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020016","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":"Clinical and Genetic Characterization of 8 Patients with Syndromic Patterned Cutaneous Hypopigmentation: A Descriptive Study.","authors":"Zhuo Ran Cai, Jean-François Soucy, Frédérique Tihy, Philippe M Campeau, Danielle Marcoux","doi":"10.1177/12034754251336241","DOIUrl":"https://doi.org/10.1177/12034754251336241","url":null,"abstract":"<p><strong>Background: </strong>Patterned cutaneous hypopigmentation (PCH) can be associated with an array of extracutaneous findings.</p><p><strong>Objective: </strong>Determine clinical and genetic characteristics of patients with PCH with extracutaneous involvement.</p><p><strong>Method: </strong>Thirty patients were identified, and eight patients with neurological involvement agreed to participate in this study. They were reassessed to collect clinical anomalies associated with their PCH. Exome sequencing was performed on patient blood and lesional skin biopsies as well as blood from both parents when available. Array comparative genomic hybridization was performed on patients' skin and blood samples.</p><p><strong>Results: </strong>Narrow and broad bands along the lines of Blaschko were observed in 8 and 5 patients, respectively. Musculoskeletal, acral; ophthalmologic; and dental anomalies were observed in 7 patients. A chromosomal or monogenic cause of syndromic PCH was identified in all patients: 3 mosaic chromosomal abnormalities found (trisomy 7, trisomy 14, and 13q13-ter deletion) and pathological <i>de novo</i> germline and somatic mutations in 3 (<i>NBEA</i>, <i>USP9X</i>, and <i>DDX3X</i>) and 2 patients (<i>NIPBL</i> and <i>RHOA</i>).</p><p><strong>Limitations: </strong>Single-centre and retrospective study.</p><p><strong>Conclusion: </strong>Through better clinical characterization of syndromic PCH, we will improve our understanding of these disorders. We believe that all patients with PCH with systemic findings should undergo comprehensive genomic evaluations of lesional skin and peripheral blood.</p>","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754251336241"},"PeriodicalIF":3.1,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026676","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":"Utilization of an Email-Based Referral System to Streamline Skin Cancer Screenings Among Solid Organ Transplant Recipients.","authors":"M Grace Hren, Isabel Silva, Nicholas Gulati, Jonathan Ungar, Jesse Lewin, Andrew Ji","doi":"10.1177/12034754251336200","DOIUrl":"https://doi.org/10.1177/12034754251336200","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754251336200"},"PeriodicalIF":3.1,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002640","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":"Dermatological Complaints Related to On-Body Diabetes Therapeutic Devices Using the MAUDE Database.","authors":"Priyanka Kadam, Shari R Lipner","doi":"10.1177/12034754251338810","DOIUrl":"https://doi.org/10.1177/12034754251338810","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754251338810"},"PeriodicalIF":3.1,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994279","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}