Journal of Cutaneous Medicine and Surgery最新文献

{"title":"Foundations of Canadian Indigenous Medicine (Part I): The Medicine Wheel, Cultural Frameworks, and Traditional Healing Practices.","authors":"Nadine Elias Dababneh, Said Dababneh, Samantha Barakat, Josie Cox, William Chiskamish, Alexandra Sarah Victoria Kelly, Sammy Pootoo, Putulik Ilisituk, Mary Sala, Parsa Kitishimik, Serena Weetaltuk, Annie Kumarluk, Richard Moorhouse, Martha Inukpuk, Michael Lefson, Ivan V Litvinov","doi":"10.1177/12034754251341842","DOIUrl":"https://doi.org/10.1177/12034754251341842","url":null,"abstract":"<p><p>Traditional medicine has been a vital part of Indigenous Canadian heritage for over 12,000 years. Rooted in ancestral knowledge and deep respect for nature, it involves sacred ceremonies, medicinal plants, and holistic health practices. The Medicine Wheel symbolizes this interconnectedness, emphasizing balance among mind, body, spirit, and emotions. Traditional healing methods include prayer, chanting, sweat lodges, and talking circles, reinforcing harmony within individuals and communities. Knowledge is passed down orally by Elders, preserving both medical and cultural wisdom. Indigenous groups, including the Cree, Algonquin, Haudenosaunee, and Inuit, each have unique healing traditions that reflect their environment and beliefs. More than 400 plants are used in traditional medicine. These medicinal plants are seen as sacred, deeply respected, and their gifts to the community are acknowledged. Ceremonial plants such as tobacco, sweetgrass, and cedar hold spiritual and medicinal significance and are used in purification and healing rituals. Despite regional variations, Indigenous medicine remains integral to community well-being and cultural preservation.</p>","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754251341842"},"PeriodicalIF":3.1,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528202","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":"Foundations of Canadian Indigenous Medicine (Part III): Treatment Approaches for Common Dermatological Conditions.","authors":"Nadine Elias Dababneh, Said Dababneh, Samantha Barakat, Josie Cox, William Chiskamish, Alexandra Sarah Victoria Kelly, Sammy Pootoo, Putulik Ilisituk, Mary Sala, Parsa Kitishimik, Serena Weetaltuk, Annie Kumarluk, Richard Moorhouse, Martha Inukpuk, Michael Lefson, Ivan V Litvinov","doi":"10.1177/12034754251341852","DOIUrl":"https://doi.org/10.1177/12034754251341852","url":null,"abstract":"<p><strong>Background: </strong>Indigenous communities in Canada face significant dermatological health care disparities due to systemic barriers, geographic isolation, and limited access to specialists. These challenges are further exacerbated by numerous socio-economic factors. Addressing these issues requires policy reforms, Indigenous-led health care initiatives, and the recognition of traditional natural-based remedies as valuable contributors to improve health outcomes, mutual trust, and patient compliance.</p><p><strong>Methodology: </strong>A detailed literature review was conducted using PubMed and the Native American Ethnobotany Database, aiming to identify traditional remedies focusing on plants and natural resources used by Indigenous/First Nations communities for the treatment of dermatological conditions and skin wellness. The focus was on plant-based and natural resources traditionally used by the Cree, Inuit, Algonquin, and Iroquois, as documented in ethnobotanical and medical literature.</p><p><strong>Results: </strong>A total of 73 distinct plant species used for various dermatological conditions were identified from 64 articles. These findings were categorized into 8 groups based on the specific skin conditions they addressed: psoriasis/papulosquamous-related conditions, acne, infections affecting the skin and soft tissues, pruritic disorders, cosmetic and aesthetic applications, warts, hair and nail conditions, and other dermatological applications. Many of these treatments possess antimicrobial and anti-inflammatory properties, highlighting their potential for integration into modern skincare and therapeutic innovations.</p><p><strong>Conclusion: </strong>For generations, Indigenous communities have relied on traditional plant-based remedies for dermatological care, emphasizing a holistic approach to well-being. Integrating these practices with Western dermatology can foster trust, improve patient outcomes, and uphold cultural values.</p>","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754251341852"},"PeriodicalIF":3.1,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144484568","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 Characteristics of Patients With Darier Disease in Southwestern Ontario.","authors":"Christopher Shenouda, Grace Xiong, Mohannad Abu-Hilal","doi":"10.1177/12034754251349198","DOIUrl":"https://doi.org/10.1177/12034754251349198","url":null,"abstract":"<p><p>Darier disease (DD) is a rare autosomal dominant genodermatosis characterized by keratotic papules and plaques, and associated nail and oral mucosal changes. A retrospective chart review of patients diagnosed with DD and treated at the dermatology clinics at McMaster University between 2015 and 2025. The objective of the study is to describe the clinical features and comorbidities of patients with DD in Southwestern Ontario, Canada. The cohort included 24 patients (mean age = 29.5). Approximately, 79% of the cohort reported a family history of DD. Most patients exhibited keratotic lesions, primarily on the head and neck, and 67% had nail abnormalities. Oral mucosal changes were seen in 21% of patients. Notably, 71% had neuropsychiatric comorbidities, such as anxiety, depression, and epilepsy, and 12.5% had cardiovascular disease. DD patients often present with a variety of different symptoms, many of which can affect their quality of life. This study highlights the need for further research on the multifaceted presentation of DD and its associated comorbidities.</p>","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754251349198"},"PeriodicalIF":3.1,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475436","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":"Foundations of Canadian Indigenous Medicine (Part II): Traditional Dermatologic First Aid Practices in First Nations and Inuit Communities in Canada.","authors":"Nadine Elias Dababneh, Said Dababneh, Samantha Barakat, Josie Cox, William Chiskamish, Alexandra Sarah Victoria Kelly, Sammy Pootoo, Putulik Ilisituk, Mary Sala, Parsa Kitishimik, Serena Weetaltuk, Annie Kumarluk, Richard Moorhouse, Martha Inukpuk, Michael Lefson, Ivan V Litvinov","doi":"10.1177/12034754251341847","DOIUrl":"https://doi.org/10.1177/12034754251341847","url":null,"abstract":"<p><strong>Background: </strong>In Indigenous communities, health transcends physical well-being, embracing harmony between the mind, spirit, body, and emotions. This holistic approach is deeply intertwined with traditional healing practices that draw upon the natural environment to promote well-being. Rooted in a rich cultural heritage and Indigenous knowledge systems, these therapeutic approaches create comprehensive wellness paradigms that honour both ancestral wisdom and biodiversity.</p><p><strong>Objective: </strong>The aim of this review was to identify and analyze the prevalent plants employed by Indigenous communities for first aid dermatologic practices. This effort seeks to create a detailed reference promoting a holistic therapeutic framework.</p><p><strong>Methodology: </strong>A literature review of published articles containing text/keywords such as \"First Nations\" OR \"Traditional medicine\" was first conducted by searching the PubMed database. Additionally, the Native American Ethnobotany Database was systematically searched to gather plant and natural source-based remedies used by Indigenous communities in Canada.</p><p><strong>Results: </strong>A total of 173 plant species were identified through our analysis. These species were utilized for various purposes such as treating sores, wounds, bruises, cuts, sprains, burns, and bites.</p><p><strong>Conclusion: </strong>Combining Indigenous knowledge of traditional medicine and Western clinical practices plays an important role in improving health and treatment outcomes in Indigenous patients and should be openly discussed to foster trust and improve compliance with a mutually derived treatment plan.</p>","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754251341847"},"PeriodicalIF":3.1,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144484567","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":"Epidemiology and Comorbidities of Psychodermatologic Conditions.","authors":"Parsa Abdi, Tarek Turk, Zaim Haq, Michael J Diaz, Marlene Dytoc","doi":"10.1177/12034754251347569","DOIUrl":"https://doi.org/10.1177/12034754251347569","url":null,"abstract":"<p><strong>Introduction: </strong>Psychodermatologic conditions include primary psychodermatologic disorders (PPDs), psychological conditions manifesting with dermatologic symptoms, and psychophysiological disorders, dermatologic conditions influenced by psychological stress. Despite their clinical significance and considerable impact on quality of life, the comprehensive epidemiology and neuropsychiatric comorbidity profiles of these disorders remain limited.</p><p><strong>Objectives: </strong>To evaluate the prevalence and comorbidity profiles of psychodermatologic conditions in a diverse, population-based cohort.</p><p><strong>Methods: </strong>A nested, case-control study was conducted using data from the All of us research program. From 287,011 eligible participants, 984 patients with PPDs (trichotillomania, skin picking disorder, dermatitis artefacta, body dysmorphic disorder, delusions of parasitosis) and 40,535 patients with psychophysiological disorders (psoriasis, atopic dermatitis, acne vulgaris, hidradenitis suppurativa, vulvodynia) were identified using International Classification of Diseases, 10th Revision, Clinical Modification codes. Each patient was paired with 4 controls based on age, sex, and race/ethnicity using nearest-neighbor propensity score matching. Multivariable logistic regression calculated adjusted odds ratios (aOR) and 95% confidence intervals to evaluate associations with various neuropsychiatric comorbidities.</p><p><strong>Results: </strong>PPDs showed low point prevalences (range: ≤0.01-0.17%) but demonstrated markedly higher odds of neuropsychiatric comorbidities, including depressive disorders (range: aOR, 5.72-13.94), anxiety disorders (range: aOR, 5.96-8.40), and personality disorders (range: aOR, 8.67-13.56 Psychophysiological disorders had higher prevalence rates (range: 0.14%-5.72%) but showed more moderate associations, including depressive disorders (range: aOR, 2.24-3.13), neurodevelopmental disorders (range: aOR, 1.20-2.36), and sleep-wake disorders (range: aOR, 2.25-3.95).</p><p><strong>Conclusions: </strong>Findings reveal distinct but overlapping comorbidity profiles between PPDs and psychophysiological disorders, emphasizing the need for tailored interventions that address the psychosocial and biological complexities of these conditions.</p>","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754251347569"},"PeriodicalIF":3.1,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475437","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":"Barriers and Facilitators to Sun Protection: A Proposal for a Skin Cancer Public Health Prevention Campaign in Atlantic Canada.","authors":"Sauliha Alli, Hibo Rijal, Jonathan Lebeau, Agustina Hasbani, François Lagacé, Ivan V Litvinov, Sandra Peláez","doi":"10.1177/12034754251347273","DOIUrl":"https://doi.org/10.1177/12034754251347273","url":null,"abstract":"<p><strong>Background: </strong>Regions of Atlantic Canada have the highest incidence rates of cutaneous melanoma in Canada. Despite its preventable nature through sun-safe behaviours, region-specific public health strategies remain limited.</p><p><strong>Objective: </strong>To explore perceived barriers and facilitators to sun protection in Atlantic Canada, using the Capability, Opportunity, Motivation-Behaviour (COM-B) model to guide intervention development.</p><p><strong>Methods: </strong>We conducted a qualitative content analysis of 22 focus groups comprising 95 participants across four Atlantic provinces. Transcripts were analyzed using the COM-B model within the Behaviour Change Wheel framework, facilitated by MAXQDA software. Themes related to behavioural capability, environmental opportunity, and motivational factors were identified, with proposed interventions and policies aligned to these domains.</p><p><strong>Results: </strong>Barriers included challenges in sunscreen application, limited knowledge, chemical concerns, financial barriers, insufficient infrastructure/shade in public spaces, and occupation-specific barriers. Facilitators encompassed heightened awareness following personal experiences with skin cancer, social role modelling, and habit formation. Participants endorsed locally sourced educational and enabling strategies over coercive approaches. Suggested policies included improving sunscreen affordability, integrating sun protection into workplace guidelines, enhancing access to public shade, and leveraging mass media for targeted/region-centred campaigns.</p><p><strong>Conclusion: </strong>Effective sun protection initiatives in Atlantic Canada should be grounded in the COM-B model, addressing individual capabilities, environmental opportunities, and motivational drivers. A multifaceted, community-informed strategy is needed and preferred to sustainably reduce melanoma risk in this high-incidence region.</p>","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754251347273"},"PeriodicalIF":3.1,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144484566","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":"Characteristics, Management, and Outcomes of Latent Tuberculosis Reactivation Following the Use of Biologics for Psoriasis: A Systematic Review.","authors":"Darshana Seeburruth, Jazlyn McGuinty, Siddhartha Sood, Tatiana Lapa, Edgar Akuffo-Addo, Vincent Piguet","doi":"10.1177/12034754251351851","DOIUrl":"https://doi.org/10.1177/12034754251351851","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754251351851"},"PeriodicalIF":3.1,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475435","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":"Baseline Characteristics of the Canadian Atopic Dermatitis Cohort for Translational Immunology and Imaging.","authors":"Arbie Sofia P Merilleno, Vincent Piguet, Sunil Kalia, Chantel Walwyn, Karen P L Lau, Souad Mubaid, Kirtarath Kaur, Thomas Zhang, Tashmeeta Ahad, Aaron M Drucker, Carolyn Jack","doi":"10.1177/12034754251349205","DOIUrl":"https://doi.org/10.1177/12034754251349205","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754251349205"},"PeriodicalIF":3.1,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475434","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 Online Educational Resources on Urticaria for Skin of Colour: A Cross-Sectional Review.","authors":"Ammar Saed Aldien, Sarah Moussa, Adam S Hassan, Moshe Ben-Shoshan, Maria Cutumisu, Elena Netchiporouk","doi":"10.1177/12034754251347626","DOIUrl":"https://doi.org/10.1177/12034754251347626","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754251347626"},"PeriodicalIF":3.1,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475438","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 Characteristics, Management, and Outcomes of Pemphigoid Nodularis: A Systematic Review.","authors":"Darshana Seeburruth, Ragav Chona, Nicholas Hua, Tatiana Lapa, Edgar Akuffo-Addo, Vincent Piguet","doi":"10.1177/12034754251349189","DOIUrl":"10.1177/12034754251349189","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754251349189"},"PeriodicalIF":3.1,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144333161","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}