Journal of Cutaneous Medicine and Surgery最新文献

{"title":"Geographic Distribution and Rural Access to General and Pediatric Dermatology in Canada: A Cross-Sectional Geospatial Analysis.","authors":"Kimia Ameri, Michele Ramien, Elena Pope, Wingfield Rehmus","doi":"10.1177/12034754261480643","DOIUrl":"https://doi.org/10.1177/12034754261480643","url":null,"abstract":"<p><strong>Background: </strong>In Canada, pediatric dermatology faces challenges with workforce shortages, geographic maldistribution, and limited rural access, yet national data on provider distribution are lacking.</p><p><strong>Objectives: </strong>This study aimed to visualize the geographic distribution of general and pediatric dermatologists across Canada, assess 10 year temporal changes, and examine associations between service availability, rurality, and socioeconomic deprivation.</p><p><strong>Methods: </strong>Geospatial analysis was conducted using Canadian Institute of Health Information billing data and provincial College of Physicians and Surgeons data. Dermatologists were mapped at the census subdivision (CSD) level or economic region (ER) level in Quebec. Pediatric and adolescent care were defined using billing thresholds. Spatial distribution and Canadian Index of Multiple Deprivation indicators were visualized using a geographic information system (ArcGIS).</p><p><strong>Results: </strong>Eighty-eight of 3879 CSDs nationally contained at least 1 dermatologist, including a single rural CSD. In Quebec, 15 of 17 ERs had at least 1 dermatologist, including 4 rural ERs. Pediatric and adolescent dermatology care was confined to a small number of urban CSDs, with no rural coverage. Over 10 years, growth in the general dermatology workforce was restricted to large metropolitan areas and did not translate into increased pediatric or adolescent care. Known pediatric dermatologists (n = 55) were centralized in urban academic centers, and services were disproportionately located in socioeconomically advantaged areas.</p><p><strong>Conclusion: </strong>Pediatric dermatology access is marked by urban concentration, minimal rural availability, and persistent socioeconomic inequities. General dermatology workforce expansion alone has not improved pediatric care access, highlighting the need for equity-oriented workforce planning and improved national tracking.</p>","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754261480643"},"PeriodicalIF":2.8,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148891824","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 Therapeutic Potential of Amino Acids in Dermatology.","authors":"Michelle E Sowa, Eva Zhou, Airiss R Chan, Eunice Y Chow","doi":"10.1177/12034754261480657","DOIUrl":"https://doi.org/10.1177/12034754261480657","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754261480657"},"PeriodicalIF":2.8,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148828551","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":"Vulvar Dermatology Assessments and Genitourinary Syndrome of Menopause: A Clinical Update.","authors":"Aakankshya Kharel, May Sanaee, Laura Soong, Marlene Dytoc","doi":"10.1177/12034754261480652","DOIUrl":"https://doi.org/10.1177/12034754261480652","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754261480652"},"PeriodicalIF":2.8,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148793765","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":"Immune Checkpoint Inhibitors in Advanced Sebaceous Carcinoma: A Systematic Review, Biomarker Analysis, and Clinical Recommendations.","authors":"Nana-Hawwa Abdul-Rahman, Lucie Joerg, Connor Gill, Luis J Borda, Katherine G Thompson, Preetha Agarwal, Sonal Choudhary, Melissa A Pugliano-Mauro","doi":"10.1177/12034754261479612","DOIUrl":"https://doi.org/10.1177/12034754261479612","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754261479612"},"PeriodicalIF":2.8,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148793824","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 Metabolic Revolution in Dermatology: Obesity, Insulin Resistance, and Ultra-Processed Diets as Drivers of Skin Inflammation.","authors":"Roy Khalaf, William Chow, Raquel Lazarowitz, Elena Netchiporouk, Jaggi Rao, Vanessa Tardio, Ivan V Litvinov","doi":"10.1177/12034754261467034","DOIUrl":"10.1177/12034754261467034","url":null,"abstract":"<p><p>Inflammatory dermatoses are increasingly linked to systemic metabolic factors. Obesity and insulin resistance create a pro-inflammatory milieu that affects the skin. Adipose tissue functions as an endocrine organ secreting adipokines and cytokines that drive chronic inflammation with notable skewing toward T-helper 1 (Th1)/Th17 signaling. Hyperinsulinemia, elevated insulin-like growth factor-1 promote keratinocyte proliferation, sebum production, and autoinflammation, contributing to a multitude of skin diseases including hidradenitis suppurativa, acne, psoriasis, atopic dermatitis (AD), acanthosis nigricans, hirsutism, scarring alopecias, intertrigo, and chronic idiopathic urticaria. Concomitantly, ultra-processed diets low in fiber and high in additives detrimentally affect the gut-skin axis. Diets rich in emulsifiers, sugars, and fructose alter the gut microbiome and increase intestinal permeability, leading to metabolic endotoxemia and increased systemic inflammation. High-fructose corn syrup in sweetened beverages is metabolized via hepatic fructokinase, promoting de novo lipogenesis and excess uric acid, a cascade implicated in metabolic fatty liver disease and heightened inflammation. These dietary factors have been correlated with aggravated skin diseases, where fast-food intake (≥3× weekly) is associated with increased risk of severe AD in children. Emerging evidence suggests that dietary modifications may help mitigate skin inflammation in select patients. At the same time, the advent of glucose-dependent insulinotropic polypeptide and glucagon-like peptide-1 receptor agonists may improve metabolic parameters and could represent promising adjunctive therapies in select inflammatory dermatoses. Dermatologists can serve as sentinels, identifying cutaneous signs of insulin resistance (eg, acanthosis nigricans, acrochordons, and other skin diseases driven by insulin resistance) and addressing lifestyle factors as part of routine care.</p>","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754261467034"},"PeriodicalIF":2.8,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148721714","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":"Construct Validation of the Mind-Skin Health Index (MSHI) in Dermatology.","authors":"Xiaonan Chen, Parsa Abdi, Patrick Ryan Bangit, Katharine Hibbard, Anna Maria Bosonea, Eunice Y Chow, Thomas Salopek, Christopher P Gorman, Se Mang Wong, Lingsa Jia, Helene Veillette, Yanbo Zhang, Esther Fujiwara, Marlene Dytoc","doi":"10.1177/12034754261470749","DOIUrl":"https://doi.org/10.1177/12034754261470749","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754261470749"},"PeriodicalIF":2.8,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148678447","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 Use of Local Antiseptics in Hidradenitis Suppurativa: A Systematic Review.","authors":"Romy Shenderey, Hailey Land, Raed Alhusayen","doi":"10.1177/12034754261470754","DOIUrl":"https://doi.org/10.1177/12034754261470754","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754261470754"},"PeriodicalIF":2.8,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148673761","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":"Investigation of Epigenetic Age Acceleration in Juvenile Scleroderma.","authors":"Don Vu, Richie Jeremian, Amina Moustaqim-Barrette, Adrien Osakwe, Yue Li, Kathryn Torok, Elena Netchiporouk","doi":"10.1177/12034754261470786","DOIUrl":"https://doi.org/10.1177/12034754261470786","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754261470786"},"PeriodicalIF":2.8,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148663980","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":"Multimodal Large Language Models Versus Dermatologists for Smartphone-Image Classification of Suspicious Cutaneous Lesions: A Diagnostic Accuracy Study.","authors":"Raquel Lazarowitz, Ethan Bendayan, Justin Sacksner, Catherine Silotch, Ghassan Barnawi, Elham Rahme, François Lagacé, Jordana Schachter, Ivan V Litvinov, Elena Netchiporouk","doi":"10.1177/12034754261470756","DOIUrl":"https://doi.org/10.1177/12034754261470756","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754261470756"},"PeriodicalIF":2.8,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148603504","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":"Risk of Developing Stevens-Johnson Syndrome During Pregnancy: Comparison With the Period After Pregnancy.","authors":"Naïla Bouadi, Aimina Ayoub, David Croitoru, Vincent Piguet, Nathalie Auger","doi":"10.1177/12034754261470763","DOIUrl":"https://doi.org/10.1177/12034754261470763","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754261470763"},"PeriodicalIF":2.8,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148603460","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}