{"title":"Generalized Papular Granuloma Annulare.","authors":"Candis Lepage, Ashley E Sutherland","doi":"10.1177/12034754251341866","DOIUrl":"10.1177/12034754251341866","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"543"},"PeriodicalIF":3.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144248088","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}
Edgar Akuffo-Addo, Samantha Bestavros, Jeannie Boisvert, Megan Park, Vincent Piguet, Marissa Joseph
{"title":"Diagnostic Pearls for Diagnosing Dermatomyositis in Black Patients: A Narrative Review.","authors":"Edgar Akuffo-Addo, Samantha Bestavros, Jeannie Boisvert, Megan Park, Vincent Piguet, Marissa Joseph","doi":"10.1177/12034754251320644","DOIUrl":"10.1177/12034754251320644","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"520-521"},"PeriodicalIF":3.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143449113","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}
Ceylan Avcı, Meltem Kaşıkçı, Banu Lebe, Sevgi Akarsu, Turna İlknur
{"title":"Diagnostic Performance of Dermoscopy for Distinguishing Early Melanomas and Intermediate Melanocytic Lesions From Low-Grade Dysplastic Nevi.","authors":"Ceylan Avcı, Meltem Kaşıkçı, Banu Lebe, Sevgi Akarsu, Turna İlknur","doi":"10.1177/12034754251325508","DOIUrl":"10.1177/12034754251325508","url":null,"abstract":"<p><strong>Background: </strong>Early melanomas, dysplastic melanocytic nevi, and melanocytic tumours of uncertain malignant potential (MELTUMPs) reveal similar clinic and dermoscopic findings leading to underdiagnosis of malign lesions or unnecessary excision of benign ones. High-grade dysplastic nevi and MELTUMPs in the intermediate category should be recognized and completely excised.</p><p><strong>Objectives: </strong>We evaluated the diagnostic performance of pattern analysis, ABCD rule, colour, architecture, symmetry, and homogeneity algorithm, melanoma-specific structures and asymmetry of dermoscopic features in distinguishing early melanomas, high-grade dysplastic nevi, and MELTUMPs from low-grade dysplastic nevi.</p><p><strong>Methods: </strong>We retrospectively assessed dermoscopic images blindly to the histopathological diagnoses in a university hospital.</p><p><strong>Results: </strong>One hundred forty histopathologically confirmed melanocytic lesions were included (93 low-grade dysplastic nevi, 26 thin melanomas, 17 high-grade dysplastic nevi, and 4 MELTUMPs). All dermoscopic methods had poor diagnostic performance in early melanomas and intermediate melanocytic lesions. In the multivariate analyses of dermoscopic findings, the atypical pigment network (OR: 3.58, 95% CI: 1.31-9.72), asymmetry of globules (OR: 3.17, 95% CI: 1.37-7.35), streaks (OR: 6.16, 95% CI: 1.95-19.48) and homogenous structureless areas (OR: 5.92, 95% CI: 2.36-14.92) were the significant predictive factors for melanomas and intermediate melanocytic lesions. Positive predictive values of melanoma-specific structures were shiny white structures (100%), scar-like depigmentation (85.7%), blue-white veil (72.7%), atypical blotch (72.2%), and negative pigment network (71.4%).</p><p><strong>Conclusions: </strong>Shiny white structures, atypical network, asymmetry of globules, streaks, and homogeneous structureless areas were the most significant dermoscopic findings in discriminating early melanomas and intermediate melanocytic lesions from low-grade dysplastic nevi.</p>","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"452-459"},"PeriodicalIF":3.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12432283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143615653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Leonine Facies: Sebaceous Hyperplasia.","authors":"Jie Zhang, Cheng Tan","doi":"10.1177/12034754251347566","DOIUrl":"10.1177/12034754251347566","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"544"},"PeriodicalIF":3.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144248090","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 Bidirectional Association Between Psoriatic Disease and Uveitis: An Updated Meta-Analysis.","authors":"Miao Miao, Jiong Yan, Yujin Sun, Jia Liu, Shun Guo","doi":"10.1177/12034754251322764","DOIUrl":"10.1177/12034754251322764","url":null,"abstract":"<p><strong>Background: </strong>In the past decade, there has been growing research interest in the association between psoriatic diseases and uveitis due to the potential pathogenetic links. However, observational studies have reported inconsistent results.</p><p><strong>Methods: </strong>We thoroughly searched PubMed, Embase, and Web of Science for cohort or case-control studies investigating the bidirectional association between psoriatic diseases (psoriasis and psoriatic arthritis) and uveitis. The Newcastle-Ottawa Quality Assessment Scale was used for quality evaluation of included studies. Egger's test was used for publication bias assessment. We employed a random-effects model to pool individual data, using odds ratios (ORs) with 95% confidence interval (CI) as the effect measure.</p><p><strong>Results: </strong>Eleven cohort studies and 1 case-control study with 9,641,856 participants were included. Eleven studies were considered as good quality, and 1 study was considered as fair quality. Egger's test indicated no significant publication bias. The meta-analysis indicated that patients with psoriatic disease was at higher risk of developing uveitis (OR: 2.14, 95% CI: 1.57-2.90). The result maintained consistent in patients with psoriatic arthritis (OR: 3.13, 95% CI: 2.10-4.67) but not in those with psoriasis without arthritis (OR: 1.40, 95% CI: 0.91-2.14). We also found that uveitis was associated with an increased risk of psoriatic disease (OR: 2.56, 95% CI: 1.66-3.96) including psoriasis without arthritis (OR: 1.99, 95% CI: 1.12-3.53) and psoriatic arthritis (OR: 3.53, 95% CI: 2.08-5.99).</p><p><strong>Conclusion: </strong>Our study suggested that uveitis was more likely to be bidirectionally associated with psoriatic arthritis rather than psoriasis without arthritis. More investigations focusing on the mechanisms are needed to better understand these findings from observational studies.</p>","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"466-472"},"PeriodicalIF":3.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001775","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}
Clayton Clark, Parsa Abdi, Kevin Li, Tarek Turk, Marlene Dytoc
{"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":"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":"507-514"},"PeriodicalIF":3.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12432274/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Severe Reaction to Topical Imiquimod.","authors":"Catarina Cerqueira, Catarina Araújo","doi":"10.1177/12034754251347563","DOIUrl":"10.1177/12034754251347563","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"546"},"PeriodicalIF":3.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144248093","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":"Acitretin-Induced Paronychia and Periungual Granulation.","authors":"Ahu Yorulmaz","doi":"10.1177/12034754251347613","DOIUrl":"10.1177/12034754251347613","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"541"},"PeriodicalIF":3.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144248084","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}
Dana Taghaddos, Grace Xiong, Nicholas Hua, Mohannad Abu-Hilal
{"title":"Secondary Cutaneous Malignancies Associated with Topical Chlormethine in Cutaneous T-Cell Lymphoma: A Systematic Review.","authors":"Dana Taghaddos, Grace Xiong, Nicholas Hua, Mohannad Abu-Hilal","doi":"10.1177/12034754251320629","DOIUrl":"10.1177/12034754251320629","url":null,"abstract":"","PeriodicalId":15403,"journal":{"name":"Journal of Cutaneous Medicine and Surgery","volume":" ","pages":"531-532"},"PeriodicalIF":3.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468190","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}