Journal of Cutaneous Medicine and Surgery最新文献

{"title":"Atopic Dermatitis in Indigenous Communities in Canada: A Scoping Review and Environmental Scan of Assessment Instruments, Access Barriers, and Teledermatology Interventions.","authors":"Andy D Lee, Nicholas Chronis, Sara Pollanen, Parsa Abdi, Jasmine Gill, Rachel Dorey, Julia Beaucage, Ryley McClelland, Kevin Li, Eileen Tang, Mariah Katsiris, Elise Hansen, Liz Dennett, Pamela Mathura, Tarek Turk, Marlene Dytoc","doi":"10.1177/12034754261484186","DOIUrl":"https://doi.org/10.1177/12034754261484186","url":null,"abstract":"<p><p>Indigenous communities in Canada experience higher prevalence and disease burden of atopic dermatitis (AD) alongside systemic barriers to dermatologic care. This scoping review synthesizes evidence on AD prevalence, assessment approaches, barriers to access, and intervention models for Indigenous populations, an area with a critical dearth of rigorous research. A PROSPERO-registered, PRISMA-compliant systematic search of 5 databases identified limited rigorous research: No randomized trials specific to AD management exist, and Indigenous participants remain underrepresented in clinical trials (0.91% vs population share). Barriers operate across 4 domains: systemic (historical and intergenerational trauma), geographic (distance from specialists, absent phototherapy), resource-related (unsafe water, mold exposure, medication costs), and cultural safety deficits. Together, these represent compounding barriers to dermatological care. Common dermatologic conditions including acne, psoriasis, seborrheic dermatitis, and eczema impose higher quality-of-life burden among Indigenous patients, yet receive less diagnostic inquiry and fewer follow-up recommendations than among non-Indigenous patients. Promising interventions include Indigenous Extension for Community Healthcare Outcomes telementoring, hybrid models combining community navigators with e-consult platforms, culturally grounded outreach rotations, and codesigned care pathways respecting traditional healing practices. Based on our synthesis of the included literature, we recommend that dermatologists, health system planners, and policymakers prioritize upstream determinants of health (housing, water quality), implement mandatory cultural safety training, establish documented Indigenous governance in program design, and adopt minimum viable evaluation metrics capturing wait times, disease control, and equity stratification. Dermatologists must advocate for clean water infrastructure, universal pharmacare, and mandatory cultural safety training, while adapting clinical protocols to patients facing housing instability, water insecurity, and geographic barriers that make standard AD recommendations unachievable.</p>","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754261484186"},"PeriodicalIF":2.8,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136873","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":"Four-Layer Compression Bandaging for Venous Leg Ulcers: A Systematic Review and Meta-analysis.","authors":"Jia Qi Adam Bai, Sherilyn Wen, Laurie Parsons","doi":"10.1177/12034754261488398","DOIUrl":"https://doi.org/10.1177/12034754261488398","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754261488398"},"PeriodicalIF":2.8,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136937","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":"Onychomycosis in Solid Organ Transplant Recipients.","authors":"Rose He, P Régine Mydlarski, Fatemeh Jafarian","doi":"10.1177/12034754261488396","DOIUrl":"https://doi.org/10.1177/12034754261488396","url":null,"abstract":"<p><p>Onychomycosis is a chronic nail fungal infection that represents the most prevalent nail disorder encountered in clinical practice. If left untreated, it can lead to progressive nail dystrophy, localized pain and significant psychosocial impact. Management of onychomycosis is inherently challenging due to the need for prolonged therapies and a high rate of recurrence. Solid organ transplant recipients are particularly susceptible to onychomycosis due to lifelong immunosuppression. This population faces unique therapeutic challenges, including drug-drug interactions between anti-rejection therapies and systemic antifungal agents. These complexities are further exacerbated by the lack of standardized treatment guidelines for this demographic. This narrative review explores the epidemiology, aetiology, diagnosis and management of onychomycosis in solid organ transplant recipients. Emphasis is placed on the complexities of balancing effective antifungal therapy with immunosuppressive regimens, as well as the need for tailored treatment protocols to optimize outcomes in this vulnerable population.</p>","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754261488396"},"PeriodicalIF":2.8,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136933","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":"Molluscum Contagiosum.","authors":"Xingshu Yang, Kailv Sun","doi":"10.1177/12034754261493498","DOIUrl":"https://doi.org/10.1177/12034754261493498","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754261493498"},"PeriodicalIF":2.8,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127801","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":"Facial Sebaceous Nevus Associated With Verruca Vulgaris.","authors":"Wei Deng, Gaolei Zhang","doi":"10.1177/12034754261489599","DOIUrl":"https://doi.org/10.1177/12034754261489599","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754261489599"},"PeriodicalIF":2.8,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127732","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 Delusional Parasitosis: An Updated Systematic Review of Psychiatric and Dermatologic Therapies From 2023 to 2026.","authors":"Kim H Tran, Jai Sareen, Quinten Starko, Eunice Y Chow, Adam Abba-Aji, Katharine Hibbard, Marlene Dytoc","doi":"10.1177/12034754261488459","DOIUrl":"https://doi.org/10.1177/12034754261488459","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754261488459"},"PeriodicalIF":2.8,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127793","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":"Systemic Lupus Erythematosus.","authors":"David Caetano, Ana Carolina Figueiredo","doi":"10.1177/12034754261493491","DOIUrl":"https://doi.org/10.1177/12034754261493491","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754261493491"},"PeriodicalIF":2.8,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127823","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":"Targetoid Hemosiderotic Hemangioma.","authors":"Lang Rao","doi":"10.1177/12034754261493500","DOIUrl":"https://doi.org/10.1177/12034754261493500","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754261493500"},"PeriodicalIF":2.8,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127755","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":"Granuloma Faciale.","authors":"Angelica Haskins, Senhong Lee","doi":"10.1177/12034754261493496","DOIUrl":"https://doi.org/10.1177/12034754261493496","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754261493496"},"PeriodicalIF":2.8,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127736","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":"Post-Diagnosis Knowledge and Preventive Behaviours in Skin Cancer Survivors: A Cross-Sectional Survey.","authors":"Talia M Katz, Romy Levy, Abby Mandelcorn, Fara Redlick, Jorge R Georgakopoulos","doi":"10.1177/12034754261484181","DOIUrl":"https://doi.org/10.1177/12034754261484181","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"12034754261484181"},"PeriodicalIF":2.8,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127806","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}