Journal of Dermatology and Dermatologic Surgery最新文献

{"title":"Self-use of skin-bleaching products among women attending a family medicine clinic: A cross-sectional study","authors":"Zinab Alatawi, Mohammed Alshahrani","doi":"10.4103/jdds.jdds_13_18","DOIUrl":"https://doi.org/10.4103/jdds.jdds_13_18","url":null,"abstract":"Background: The use of skin-lightening creams is common and widespread in African, Asian, and North American colored no brown to dark. Use of skin-bleaching agents has been reported in Saudi Arabia. The long-term use of these products for several months to years may cause cutaneous or systemic side effects. Purpose: This study aimed to assess the prevalence of self-use of skin-bleaching agents among Saudi women as well as the level of awareness, attitudes, and practice toward the use of these agents. Methods: A cross-sectional study was conducted by the selection of systematic random sampling of female attending the Family Medicine Clinic at Prince Mansour Military Hospital. The data collected by a structured questionnaire included information about background variables and attitudes, awareness, and practice regarding the use of skin-bleaching agents. The data were analyzed using statistical software to yield descriptive and inferential statistics. Results: A total of 358 women aged between 18 and 55 years were included in this study. Nearly 25% of the women were current users of skin-bleaching agents, while 39.6% were only previous users. About a third of women used bleaching creams in the treatment of hypo or hyperpigmented skin and 29.4% used them for cosmetic purposes. Regarding the source of these agents, 38% of women obtained them by medical prescription and 27.8% were from pharmacy without prescription. The reason for using skin-bleaching creams varied: 51.6% of females used creams to increase beauty, 51% for making a new look, 6% for increasing self-confidence, and 4.3% to increase the stability of marriage. Almost 56% of the women reported that cortisone is the most dangerous component in the skin-bleaching agents. Nearly 33% of the women reported being willing to use a quick whitening agent from an unknown source. Higher education and higher income were associated with greater use of skin-lightening creams. Conclusion: The lifetime use of skin-bleaching agents was relatively high, divided evenly on cosmetic and curative purposes. The level of awareness about these agents is low because a considerable proportion of respondents agreed to use agents from unknown sources, in addition to the high use of skin-bleaching agents obtained without medical or pharmacist consultation.","PeriodicalId":15535,"journal":{"name":"Journal of Dermatology and Dermatologic Surgery","volume":"13 1","pages":"125 - 129"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83503804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pattern of skin cancer in Saudi patients at King Abdulaziz Medical City in Riyadh, Kingdom of Saudi Arabia between 2005 and 2015: A retrospective study","authors":"Sultan Al Qahtani, R. Aldahash, Najd BinManie, Mohammed Al Assiri","doi":"10.4103/jdds.jdds_18_20","DOIUrl":"https://doi.org/10.4103/jdds.jdds_18_20","url":null,"abstract":"Background: Skin cancer is one of the most common among white-skinned individuals. Its prevalence depends on geographic and ethnic variations. The pattern of skin cancer in Saudi patients per province is not well-established. Purpose: This retrospective study evaluated the pattern of skin cancer among Saudi patients from Riyadh area who have visited King Abdulaziz Medical City (KAMC), Riyadh, Saudi Arabia, between the years of 2005 and 2015. Methods: Data from 300 cancer patients were collected from KAMC and analyzed with respect to age, sex, cancer type, and cancer location. Results: Except for mycosis fungoides (MF), all other studied skin cancer types were more common in males as compared to females (1.56:1). Among the study population, the majority of skin cancer cases were seen in patient who aged more than 40 years old (86%) with the highest rate to be among those who are between 60 and 79 years old. Among all cases, the pattern and ratio of various skin cancers were as follows: Basal cell carcinoma (BCC) (45.7%), squamous cell carcinoma (SCC) (14.7%), MF (7.3%), and malignant melanoma (MM) (7%), followed by sebaceous adenocarcinoma (SC), Kaposi sarcoma, and dermatofibrosarcoma protuberance each of 4.3%. With respect to cancer location, 141 cases were located on the face (46.95%), 46 on the hips and lower limbs (15.26%), 44 on the chest and abdomen (14.8%), 28 on the scalp and neck (9.29%), 21 on the shoulders and upper limbs (6.95%), and 17 were unspecified. Conclusion: Among Saudi patients with skin cancer in the central region of the Kingdom of Saudi Arabia (KSA), BCC and SCC were the most common cancers, followed by MF and MM. Further studies are needed to fully determine common risk factors among these and future cases.","PeriodicalId":15535,"journal":{"name":"Journal of Dermatology and Dermatologic Surgery","volume":"58 1","pages":"105 - 109"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73835337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vulvar syringoma – A rare distribution of a common entity: Report of two cases","authors":"B. Pai, K. Pai, Varsha M Shetty, Anuradha Jindal, Sandhiya Ramesh","doi":"10.4103/jdds.jdds_25_19","DOIUrl":"https://doi.org/10.4103/jdds.jdds_25_19","url":null,"abstract":"Syringomas are common benign appendageal tumors arising from eccrine sweat glands. They are commonly encountered in women, appearing as yellowish to skin-colored papules, 1–5 mm in diameter. They are typically distributed around the lower eyelids and malar areas; however, vulvar syringoma occurs rarely. Vulvar syringoma needs to be differentiated from papular eruptions occurring on the vulva. Histopathological examination may be needed to distinguish them from other disorders as clinical examination alone may fail to do so. Herein, we report two cases of vulvar syringomas.","PeriodicalId":15535,"journal":{"name":"Journal of Dermatology and Dermatologic Surgery","volume":"14 1","pages":"140 - 142"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80424209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Infantile granular parakeratosis: Case report and review of the literature","authors":"Hanan Almeshal","doi":"10.4103/jdds.jdds_28_20","DOIUrl":"https://doi.org/10.4103/jdds.jdds_28_20","url":null,"abstract":"Granular parakeratosis (GP) is a benign skin disease that has been reported in adults and children. Lesions usually affect the axillae, groin, and submammary region. The primary lesions present as brown keratotic papules and can form plaques. The etiologies implicated in the development of GP include the use of topical cream and the use of deodorants, local irritation and in children, it was linked to repetitive washing of the affected area and the use of zinc oxide cream. This is a case report of GP in a 14-month-old boy noted after washing the groin area with soap and using zinc oxide cream. The lesions have improved after the discontinuation of the use of zinc oxide cream and soap in washing the affected area.","PeriodicalId":15535,"journal":{"name":"Journal of Dermatology and Dermatologic Surgery","volume":"87 1","pages":"135 - 136"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79969544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unilateral pachydermodactyly in a Saudi boy: A rare presentation","authors":"Lamia S. Al Akrash, Alanoud Al Huqayl, Ahmed Al Humidi, A. Jamal","doi":"10.4103/JDDS.JDDS_8_19","DOIUrl":"https://doi.org/10.4103/JDDS.JDDS_8_19","url":null,"abstract":"Pachydermodactyly (PDD) is a rare, acquired idiopathic form of digital fibromatosis. PDD typically presents as asymptomatic swelling of the second to fourth proximal interphalangeal joints bilaterally in young males. Here, we present an acquired unilateral PDD in a Saudi boy with emphasis on the clinical, radiological, and histopathological features. In conclusion, PDD is a benign disease; a prompt recognition would prevent irrelevant workup and reassure patients.","PeriodicalId":15535,"journal":{"name":"Journal of Dermatology and Dermatologic Surgery","volume":"74 4 1","pages":"130"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77441828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of adalimumab in combination with intense pulsed light and radiofrequency therapy (LAight®) for severe hidradenitis suppurativa: A case report","authors":"U. Kirschner, B. Lang, K. Steinbrink, S. Zimmer","doi":"10.4103/jdds.jdds_36_19","DOIUrl":"https://doi.org/10.4103/jdds.jdds_36_19","url":null,"abstract":"Hidradenitis suppurativa (HS also named as acne inversa) is a chronic skin disease characterized by relapsing formation of abscesses, inflammatory nodules, and fistulas. In moderate-to-severe disease, HS leads to the formation of scarring and thus irreversible tissue destruction. In the past few years, two new treatment options became available: adalimumab, the first biologic therapy approved for HS (Humira®, AbbVie), and a noninvasive, device-based treatment utilizing a combination of intense pulsed light and radiofrequency (LAight® therapy, LENICURA, Germany). Here, we report a case of a Hurley stage III patient where the positive effect of adalimumab could be enhanced by simultaneously applying LAight® therapy. Moreover, long-term symptom control could be achieved under monotherapy with LAight® after adalimumab was terminated.","PeriodicalId":15535,"journal":{"name":"Journal of Dermatology and Dermatologic Surgery","volume":"6 1","pages":"133 - 134"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87687205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can changing skin pH help us control atopic dermatitis?","authors":"Kayla H. Felix, C. Heron, S. Feldman","doi":"10.4103/jdds.jdds_118_20","DOIUrl":"https://doi.org/10.4103/jdds.jdds_118_20","url":null,"abstract":"The therapeutic options for atopic dermatitis (AD) are rapidly evolving as new medications are developed to address patient needs. Systemic medications, such as methotrexate, azathioprine, and cyclosporine, have been used for years; new small molecules such as the Janus kinase inhibitor baricitinib are under development, and dupilumab has already revolutionized the treatment of AD.[1] Given their costs and/ or side effects, these treatments are reserved for patients with moderate-to-severe AD, whereas those with milder AD are often managed using topical therapies. While the new developments have been revolutionary, there continues to be a need for highly efficacious treatments for patients with limited disease who have failed first-line therapies.","PeriodicalId":15535,"journal":{"name":"Journal of Dermatology and Dermatologic Surgery","volume":"461 1","pages":"65 - 65"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79837067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cutaneous manifestations of human immunodeficiency virus/acquired immunodeficiency syndrome: A comprehensive review","authors":"D. Lewis, S. Feldman","doi":"10.4103/jdds.jdds_75_20","DOIUrl":"https://doi.org/10.4103/jdds.jdds_75_20","url":null,"abstract":"Background: Cutaneous manifestations of human immunodeficiency virus (HIV) may be among the initial signs of HIV-related immunosuppression. As such, recognizing HIV-related cutaneous manifestations may lead to the early diagnosis of HIV infection, enabling the prompt initiation of antiretroviral therapy. Purpose: The objective of this article is to discuss the disease history, clinical findings, serologic findings, and treatment options of cutaneous manifestations of HIV. Methods: A nonsystematic review of the literature was performed using PubMed/MEDLINE and Scopus from which relevant articles were analyzed and summarized in the article. Results: There are a number of dermatologic conditions associated with HIV infection, which can be grouped into various categories: acute HIV infection, bacterial infections, viral infections, fungal infections, parasitic infections, papulosquamous dermatoses, eczematous dermatoses, and miscellaneous disorders. Skin-related disorders observed in HIV may result from the viral infection itself or from opportunistic infections or skin disorders secondary to the immunocompromised state inherent to the infection. Many associated skin diseases are more severe in HIV-infected patients, particularly those with severe immunosuppression as seen in acquired immunodeficiency syndrome. Conclusion: Prompt recognition of these skin manifestations is critical to the initiation of disease-modifying antiretroviral therapy.","PeriodicalId":15535,"journal":{"name":"Journal of Dermatology and Dermatologic Surgery","volume":"30 1","pages":"66 - 73"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73608472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accuracy of diagnoses of skin diseases in a pediatric emergency room: A retrospective study","authors":"Suzan A. AlKhater","doi":"10.4103/jdds.jdds_72_19","DOIUrl":"https://doi.org/10.4103/jdds.jdds_72_19","url":null,"abstract":"Background: Cutaneous disorders are common in children. Few studies have assessed the diagnostic accuracy of pediatricians in diagnosing skin disorders. Purpose: In this study, the accuracy of the diagnoses of skin diseases made in a pediatric emergency room (ER) was determined. Methods: Data were obtained from a retrospective study of children with dermatological disorders seeking emergency services in the pediatric ER in a teaching hospital in Saudi Arabia. Descriptive statistics were used to determine the distribution of patients and time characteristics. Crude and adjusted logistic regression models, controlling for demographic and time-associated characteristics, were used to determine the association between clinical and other characteristics and diagnostic accuracy of pediatricians. Results: There were statistically significant differences in the overall distribution of the study population by gender, season, time of week, shift, and referrals (P < 0.05). After adjusting for these factors, every unit increase in age (years) was associated with a 38% increase (odds ratio: 1.38; 95% confidence interval: 1.18–1.61) in the odds of pediatricians being likely to have the correct diagnosis. There were significant differences between the diagnosis made by pediatrician and the final diagnoses made by senior staff (P < 0.001). Infections and neonatal skin diseases were underdiagnosed, while overdiagnoses of allergic and hypersensitivity reactions were observed. Conclusion: The results emphasize the importance of orienting pediatric trainees on the dermatological aspects of diseases, particularly on the topics involving infectious, allergic and hypersensitivity reactions, and neonatal skin disorders. This points out the importance of making dermatology rotation as a core requirement during the residency training rather than just optional electives.","PeriodicalId":15535,"journal":{"name":"Journal of Dermatology and Dermatologic Surgery","volume":"317 1","pages":"116 - 121"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74969757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rothmund-Thomson syndrome: A review of clinical and molecular aspects","authors":"M. Alsabbagh","doi":"10.4103/jdds.jdds_34_19","DOIUrl":"https://doi.org/10.4103/jdds.jdds_34_19","url":null,"abstract":"Introduction: Rothmund-Thomson syndrome (RTS) is a rare genodermatosis which manifests a wide array of symptoms affecting skin and skin appendages. The first two cases were reported in 1957. Purpose: To present a comprehensive clinical and molecular perspective of RTS. Methods: A clinical review of the reported cases. Results: A variety of nonspecific symptoms make it difficult to reach an early diagnosis and to provide an appropriate counseling. Conclusion: This review highlight the major clinical variations to help reach a prompt diagnosis and take appropriate preventative measures.","PeriodicalId":15535,"journal":{"name":"Journal of Dermatology and Dermatologic Surgery","volume":"83 1","pages":"5 - 12"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85382462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}