Journal of Cutaneous Medicine and Surgery最新文献

{"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}

{"title":"Management of Refractory Eosinophilic Fasciitis Using Biologic Therapies, Janus Kinase Inhibitors, and Intravenous Immunoglobulin: A Systematic Review.","authors":"Mohammed Mitwalli, Jihad Abou Ali Waked, Siddhartha Sood, Abrahim Abduelmula, Edgar Akuffo-Addo, Jensen Yeung, Asfandyar Mufti","doi":"10.1177/12034754261470759","DOIUrl":"https://doi.org/10.1177/12034754261470759","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754261470759"},"PeriodicalIF":2.8,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148591809","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":"Pharmacist-Led Services for Skin Conditions and Related Physician Visits in Ontario.","authors":"Rita J Iskandar, Dorsa Ghahramani, Liisa Jaakkimainen, Nardine Nakhla, Mina Tadrous, Aaron M Drucker","doi":"10.1177/12034754261470775","DOIUrl":"https://doi.org/10.1177/12034754261470775","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754261470775"},"PeriodicalIF":2.8,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148591892","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":"Reporting of Racial and Ethnic Diversity in Dermatology Clinical Trials Involving Canada, 2020 to 2025: A Systematic Review.","authors":"Hiba Elhaj, Amina Moustaqim-Barrette, Sarah Aly, Marissa Joseph, Elena Netchiporouk, Reetesh Bose","doi":"10.1177/12034754261467036","DOIUrl":"https://doi.org/10.1177/12034754261467036","url":null,"abstract":"<p><p>Randomized clinical trials (RCTs) guide dermatologic care, yet reporting of participant race, ethnicity, and skin type is inconsistent. Post-2020 initiatives aimed to improve equity, but contemporary Canadian dermatology trials have not been systematically evaluated. This review assessed the frequency, quality, and consistency of race, ethnicity, and Fitzpatrick skin-type reporting in dermatology RCTs involving Canadian participants and compared representation with Canadian population demographics. Phase 2 to 4 dermatology RCTs including Canadian participants published between January 2020 and July 2025 were identified via PubMed and ClinicalTrials.gov using disease-specific terms. Trial characteristics, demographic reporting, and analytic use of race, ethnicity, and skin type were extracted. Demographics were standardized to 2021 Canadian Census categories. Analyses were performed at the trial level due to limited site-specific enrollment data. Ninety-nine RCTs (36 178 participants) were included; most studied psoriasis (44%) or eczema (41%) and were industry-funded (98%). Race was reported in 93% of trials, ethnicity in 39%, and Fitzpatrick skin type in 10%. Detailed racial or ethnic categories appeared in 37% of trials, and only 1% aligned with Census categories. Seven percent used demographic data in analyses. Across aggregate multinational enrollment, visible minority representation approximated national benchmarks (23% vs 26.5%), while Indigenous participants were markedly underrepresented (0.2%). Multinational designs and limitations in site-level reporting restrict precise assessment of Canadian enrollment. Race reporting in Canadian dermatology RCTs is now routine, but diverse enrollment and analytic use of demographic data remain limited. Standardized reporting, site-level enrollment data, and culturally appropriate recruitment are needed to improve representation and ensure findings reflect Canada's diverse population.</p>","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754261467036"},"PeriodicalIF":2.8,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148591971","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":"Psychodermatologic Features of Hand Dermatitis in Adolescents With and Without Obsessive-Compulsive Disorder.","authors":"Serkan Turan, Işıl Kamberoğlu Turan","doi":"10.1177/12034754261471108","DOIUrl":"https://doi.org/10.1177/12034754261471108","url":null,"abstract":"<p><strong>Background: </strong>Hand dermatitis (HD) in adolescence is a multifactorial inflammatory condition in which repetitive cleansing behaviors, emotional distress, and psychodermatologic factors may be associated with disease persistence and clinical burden.</p><p><strong>Objective: </strong>To compare dermatologic severity, clinical characteristics, neurocognitive functioning, and emotional-behavioral features among adolescents with obsessive-compulsive disorder (OCD), HD, or their co-occurrence.</p><p><strong>Methods: </strong>A total of 139 adolescents were categorized into HD only, OCD + HD, and OCD only. Standardized measures assessed premorbid functioning, neurocognition, and emotional-behavioral symptoms. Group differences were examined using ANOVA/ANCOVA and chi-square tests, and logistic regression identified predictors of OCD comorbidity among adolescents with HD.</p><p><strong>Results: </strong>The OCD + HD group demonstrated a significantly shorter onset-diagnosis interval than both comparison groups. Global functioning was highest in the HD-only group, while OCD groups showed better verbal learning and fluency. Anxiety, depressive symptoms, and OCD severity were higher in OCD groups. Hand Eczema Severity Index scores were significantly higher in the OCD + HD group, which also demonstrated more frequent fissuring, xerosis, and recurrent irritant-pattern lesions during dermatologic examination. Exploratory logistic regression analyses indicated that shorter onset-diagnosis interval (OR = 0.79, <i>P</i> = .013), poorer premorbid peer functioning (OR = 2.22, <i>P</i> = .003), and longer treatment duration (OR = 1.21, <i>P</i> = .004) were associated with OCD comorbidity among adolescents with HD.</p><p><strong>Conclusion: </strong>Adolescents with comorbid OCD and HD may represent a clinically distinct psychodermatologic subgroup characterized by greater dermatologic severity and elevated emotional symptom burden. Recognition of behavioral and psychiatric features in adolescents with recurrent or treatment-resistant HD may support earlier multidisciplinary intervention.</p>","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754261471108"},"PeriodicalIF":2.8,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148591887","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 Features and Treatment Outcomes of Cutaneous Plasmacytosis: A Systematic Review.","authors":"Meghna Varambally, Jennifer V H Tran, Nima Karimi, Ruzeng Xue, Chaocheng Liu","doi":"10.1177/12034754261470753","DOIUrl":"https://doi.org/10.1177/12034754261470753","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754261470753"},"PeriodicalIF":2.8,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578835","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":"Expert-Led Virtual Support for Vulvar Lichen Sclerosus: A Randomized Controlled Trial.","authors":"Aakankshya Kharel, Rose He, Parsa Abdi, May Sanaee, Samuel A J Lowe, Pamela Mathura, Marlene Dytoc","doi":"10.1177/12034754261467041","DOIUrl":"https://doi.org/10.1177/12034754261467041","url":null,"abstract":"<p><strong>Background: </strong>Vulvar lichen sclerosus (VLS) is a chronic inflammatory condition that significantly impacts quality of life (QOL). Despite substantial disease burden, psychosocial support remains limited. In particular, available resources are limited to social media groups, which may lack evidence-based guidelines or structured support.</p><p><strong>Objective: </strong>To evaluate whether participation in a dermatologist- and urogynecologist-led virtual support group improves QOL among women with VLS.</p><p><strong>Methods: </strong>In this randomized controlled trial of women aged ≥18 years with VLS, the intervention comprised 3 monthly, 60 minute virtual support sessions facilitated jointly by a dermatologist and urogynecologist. The primary outcome was change in Vulvar Quality of Life Index (VQLI) scores assessed at baseline and 3 monthly follow-ups, analyzed using mixed-effects linear regression. Secondary outcomes included VQLI domain scores, and qualitative feedback analyzed using inductive thematic analysis.</p><p><strong>Results: </strong>Sixty-eight participants (35 intervention, 33 control) were included. The intervention group demonstrated a significantly greater improvement in total VQLI from baseline to final follow-up compared to control (β = -10.3, 95% CI -14.9 to -5.6; <i>P</i> < .001), and a corresponding shift from <i>Moderate</i> to <i>Mild</i> severity range of impact on QOL. Significant improvements in baseline to follow-up scores were also seen across all 6 VQLI domains in the intervention group compared to the control group. Qualitative themes highlighted that expert facilitation helped empower patients and addressed the need for knowledge sharing.</p><p><strong>Conclusion: </strong>Expert-led virtual support groups may offer a potentially impactful, accessible, and scalable adjunct to medical therapy.</p>","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754261467041"},"PeriodicalIF":2.8,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578766","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":"Diagnosis and Treatment of Onychomycosis in Psoriasis Patients: A Single-Center Cohort Study.","authors":"Noa Zur Aviran, Danielle Berkovich Davidson, Shany Sherman, Daniel Mimouni, Lev Pavlovsky","doi":"10.1177/12034754261467038","DOIUrl":"https://doi.org/10.1177/12034754261467038","url":null,"abstract":"<p><strong>Background: </strong>Literature on onychomycosis prevalence, causative agents, and systemic antifungal treatment efficacy in psoriasis are sparse.</p><p><strong>Objective: </strong>The objectives of the study were to determine onychomycosis prevalence in psoriasis patients with nail changes and to evaluate the efficacy and safety of 2 systemic antifungal treatments, terbinafine, and fluconazole.</p><p><strong>Methods: </strong>Records from the Division of Dermatology at Rabin Medical Center (2012-2022), were retrospectively analyzed, including nail samples from consecutive psoriasis patients referred to the institutional mycological laboratory.</p><p><strong>Results: </strong>One hundred thirty-nine psoriasis patients with suspected onychomycosis were referred for mycological testing (46.8% female, median age 62 years), onychomycosis was diagnosed in 67.6% of cases. Fifty-one point one percent of patients were on systemic psoriasis treatments, 60.6% of them receiving biologic therapies. <i>Trichophyton rubrum</i> was the most prevalent (81.3%) isolated fungi of all positive cultures. Fifty-one patients received systemic antifungal treatment, with 47.1% receiving terbinafine and 52.9% fluconazole. Clinical improvement was observed in 70.8% of terbinafine-treated cases and 40.7% of fluconazole-treated cases (<i>P</i> = .002). No psoriasis flare-ups were attributed to systemic antifungal treatment.</p><p><strong>Conclusion: </strong>This cohort provides insights into prevalence of onychomycosis, and the efficacy and safety of systemic antifungal treatment in psoriasis patients, including patients on biologic therapies. Further prospective studies are recommended.</p>","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754261467038"},"PeriodicalIF":2.8,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578818","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":"Medico-Legal Risk in Virtual Care in Canada: Insights for Teledermatology.","authors":"Raquel Lazarowitz, Kaiyang Li, Ghassan Barnawi, Tashmeeta Ahad","doi":"10.1177/12034754261471100","DOIUrl":"https://doi.org/10.1177/12034754261471100","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754261471100"},"PeriodicalIF":2.8,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148549193","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}