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Journal of the American Academy of Dermatology最新文献

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The Dermatologic Oral Examination and Biopsy: A Guide for Incorporation into Everyday Practice.
IF 12.8 1区 医学
Journal of the American Academy of Dermatology Pub Date : 2025-01-11 DOI: 10.1016/j.jaad.2024.09.088
Paytra A Klein, Miguel A Aristizabal, Marketa Janovska, Alison J Bruce, Katherine J Bodiford, Roy S Rogers
{"title":"The Dermatologic Oral Examination and Biopsy: A Guide for Incorporation into Everyday Practice.","authors":"Paytra A Klein, Miguel A Aristizabal, Marketa Janovska, Alison J Bruce, Katherine J Bodiford, Roy S Rogers","doi":"10.1016/j.jaad.2024.09.088","DOIUrl":"https://doi.org/10.1016/j.jaad.2024.09.088","url":null,"abstract":"<p><p>Many dermatologic and systemic disorders present with oral manifestations. Early diagnosis and treatment can improve patient outcomes. Medical, dermatology, and dentistry training in disorders of the oral mucosa is significantly lacking and has created a practice gap in diagnosing and treating oral mucosal disorders. Disorders of the oral mucosa fall under the purview of dermatology. It is the responsibility of dermatologists to incorporate oral examinations into the \"complete\" dermatologic exam to help bridge this gap. Part I of this two-part CME series reviews normal oral anatomy, provides a step-by-step dermatologic oral examination guide, and provides guidance in the performance of oral biopsies.</p>","PeriodicalId":17198,"journal":{"name":"Journal of the American Academy of Dermatology","volume":" ","pages":""},"PeriodicalIF":12.8,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142978849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
To do or not to do? Engaging in shared decision-making with a patient resistant to diagnostic biopsy.
IF 12.8 1区 医学
Journal of the American Academy of Dermatology Pub Date : 2025-01-10 DOI: 10.1016/j.jaad.2025.01.008
Aarushi K Parikh, Amit Singal, Shari R Lipner
{"title":"To do or not to do? Engaging in shared decision-making with a patient resistant to diagnostic biopsy.","authors":"Aarushi K Parikh, Amit Singal, Shari R Lipner","doi":"10.1016/j.jaad.2025.01.008","DOIUrl":"https://doi.org/10.1016/j.jaad.2025.01.008","url":null,"abstract":"","PeriodicalId":17198,"journal":{"name":"Journal of the American Academy of Dermatology","volume":" ","pages":""},"PeriodicalIF":12.8,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ethical Implications of Resident Strikes.
IF 12.8 1区 医学
Journal of the American Academy of Dermatology Pub Date : 2025-01-10 DOI: 10.1016/j.jaad.2024.12.036
Timothy Klufas, Shannon Hanggodo, Samantha Strelzer, Albert E Zhou, Brett Sloan, Jane M Grant-Kels
{"title":"Ethical Implications of Resident Strikes.","authors":"Timothy Klufas, Shannon Hanggodo, Samantha Strelzer, Albert E Zhou, Brett Sloan, Jane M Grant-Kels","doi":"10.1016/j.jaad.2024.12.036","DOIUrl":"https://doi.org/10.1016/j.jaad.2024.12.036","url":null,"abstract":"","PeriodicalId":17198,"journal":{"name":"Journal of the American Academy of Dermatology","volume":" ","pages":""},"PeriodicalIF":12.8,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Frontal Fibrosing Alopecia Part II: Etiopathogenesis and Management.
IF 12.8 1区 医学
Journal of the American Academy of Dermatology Pub Date : 2025-01-10 DOI: 10.1016/j.jaad.2024.08.086
Raymond Ezzat, Sarah Alenezi, Mariya Miteva
{"title":"Frontal Fibrosing Alopecia Part II: Etiopathogenesis and Management.","authors":"Raymond Ezzat, Sarah Alenezi, Mariya Miteva","doi":"10.1016/j.jaad.2024.08.086","DOIUrl":"https://doi.org/10.1016/j.jaad.2024.08.086","url":null,"abstract":"<p><p>Frontal Fibrosing Alopecia (FFA) poses a distinct dermatological challenge with epithelial-mesenchymal transition (EMT) at its core, driving follicular cell transformation and fibrotic changes. Genetic studies highlight significant associations, while environmental triggers, such as implicated cosmetic products (sunblock, personal hair care products, and moisturizers), introduce complexity. Managing FFA proves daunting due to its chronic and unpredictable nature. Treatment strategies, including combination therapies including hydroxychloroquine, dutasteride, topical and intralesional steroids, and topical tacrolimus, offer hope in stabilizing the condition. Monitoring the disease progression may be challenging as no established guidelines exist, however, imaging techniques may offer help in the future.</p>","PeriodicalId":17198,"journal":{"name":"Journal of the American Academy of Dermatology","volume":" ","pages":""},"PeriodicalIF":12.8,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Beyond JAAD: April 2025.
IF 12.8 1区 医学
Journal of the American Academy of Dermatology Pub Date : 2025-01-09 DOI: 10.1016/j.jaad.2025.01.004
{"title":"Beyond JAAD: April 2025.","authors":"","doi":"10.1016/j.jaad.2025.01.004","DOIUrl":"https://doi.org/10.1016/j.jaad.2025.01.004","url":null,"abstract":"","PeriodicalId":17198,"journal":{"name":"Journal of the American Academy of Dermatology","volume":" ","pages":""},"PeriodicalIF":12.8,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Black Patients with Mycosis Fungoides and Sézary Syndrome Experience Worse Health-Related Quality of Life: A Cross-Sectional Study.
IF 12.8 1区 医学
Journal of the American Academy of Dermatology Pub Date : 2025-01-09 DOI: 10.1016/j.jaad.2025.01.006
Anise Marshall, Shamey Kassim, Jessica Brown-Korsah, Corey Chang, Daniel S Hippe, Ellen J Kim, Michi M Shinohara
{"title":"Black Patients with Mycosis Fungoides and Sézary Syndrome Experience Worse Health-Related Quality of Life: A Cross-Sectional Study.","authors":"Anise Marshall, Shamey Kassim, Jessica Brown-Korsah, Corey Chang, Daniel S Hippe, Ellen J Kim, Michi M Shinohara","doi":"10.1016/j.jaad.2025.01.006","DOIUrl":"https://doi.org/10.1016/j.jaad.2025.01.006","url":null,"abstract":"","PeriodicalId":17198,"journal":{"name":"Journal of the American Academy of Dermatology","volume":" ","pages":""},"PeriodicalIF":12.8,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Dermatologic Oral Examination: Navigating the Oral Dermatoses Map.
IF 12.8 1区 医学
Journal of the American Academy of Dermatology Pub Date : 2025-01-09 DOI: 10.1016/j.jaad.2024.10.125
Paytra A Klein, Miguel A Aristizabal, Marketa Janovska, Alison J Bruce, Katherine J Bodiford, Roy S Rogers
{"title":"The Dermatologic Oral Examination: Navigating the Oral Dermatoses Map.","authors":"Paytra A Klein, Miguel A Aristizabal, Marketa Janovska, Alison J Bruce, Katherine J Bodiford, Roy S Rogers","doi":"10.1016/j.jaad.2024.10.125","DOIUrl":"https://doi.org/10.1016/j.jaad.2024.10.125","url":null,"abstract":"<p><p>Traditionally, dermatological education emphasizes hair, skin and nails in its curriculum. There is a practice gap with regard to knowledge of normal oral mucosa variants, performance of the oral examination, and competence in diagnosing and treating oral mucosal disorders. The oral mucosa falls within the purview of dermatology. It is the responsibility of dermatologists, along with oral medicine specialists, to help bridge this practice gap. The purpose of this Part II manuscript is to provide differential diagnoses for common oral mucosal conditions based on sites of involvement. We have provided an Oral Dermatoses Map which illustrates key oral conditions and their associated anatomical areas of involvement.</p>","PeriodicalId":17198,"journal":{"name":"Journal of the American Academy of Dermatology","volume":" ","pages":""},"PeriodicalIF":12.8,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acral Lentiginous Melanoma. Part I. Epidemiology, Etiology, Clinical Presentation, and Diagnosis.
IF 12.8 1区 医学
Journal of the American Academy of Dermatology Pub Date : 2025-01-08 DOI: 10.1016/j.jaad.2024.10.124
Sach Thakker, Daniella Jaguan, Micah Belzberg, Nina Gulati, Janeth R Campbell, Brittney K DeClerck, Gino K In, Vishal A Patel
{"title":"Acral Lentiginous Melanoma. Part I. Epidemiology, Etiology, Clinical Presentation, and Diagnosis.","authors":"Sach Thakker, Daniella Jaguan, Micah Belzberg, Nina Gulati, Janeth R Campbell, Brittney K DeClerck, Gino K In, Vishal A Patel","doi":"10.1016/j.jaad.2024.10.124","DOIUrl":"https://doi.org/10.1016/j.jaad.2024.10.124","url":null,"abstract":"<p><p>This review article focuses on acral lentiginous melanoma (ALM), a rare cutaneous malignancy and the least common subtype of cutaneous malignant melanoma (CMM). ALM exhibits distinct characteristics, such as low overall mutation rates and increased chromosomal alterations. It is associated with worse prognosis, more advanced disease, and lower survival rates compared to other CMM subtypes. The incidence of ALM varies globally, with higher rates in non-white populations, particularly affecting Black, Hispanic, and Asian individuals. Racial disparities may be attributed to a lack of awareness, biological/genetic differences, cultural values, and socioeconomic status. The etiology of ALM remains unknown, but studies suggest a limited impact of UV radiation, potential links to trauma and stress, and a unique tumor immune microenvironment. Diagnostic challenges include varied clinical presentations, with specific biopsy techniques recommended. Clinical research on ALM lacks representation from diverse populations, ultimately limiting its translatability. Understanding the molecular landscape and clinical aspects of ALM will be crucial for improved diagnosis, treatment, and addressing health disparities. LEARNING OBJECTIVES: After completing this learning activity, participants should be able to discuss the epidemiology, etiology, mutational landscape, tumor microenvironment, and clinical presentation of acral lentiginous melanoma (ALM). Moreover, participants should also be able to describe the important racial disparities observed in ALM.</p>","PeriodicalId":17198,"journal":{"name":"Journal of the American Academy of Dermatology","volume":" ","pages":""},"PeriodicalIF":12.8,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142965593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
This Month in JAAD International: March 2025: Weight gain and Janus kinase inhibitors.
IF 12.8 1区 医学
Journal of the American Academy of Dermatology Pub Date : 2025-01-08 DOI: 10.1016/j.jaad.2025.01.005
Jonathan Kantor
{"title":"This Month in JAAD International: March 2025: Weight gain and Janus kinase inhibitors.","authors":"Jonathan Kantor","doi":"10.1016/j.jaad.2025.01.005","DOIUrl":"https://doi.org/10.1016/j.jaad.2025.01.005","url":null,"abstract":"","PeriodicalId":17198,"journal":{"name":"Journal of the American Academy of Dermatology","volume":" ","pages":""},"PeriodicalIF":12.8,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142965595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acral Lentiginous Melanoma. Part II. Staging, Surgical Management, The Role of Systemic Therapy, Shortcomings and Future Directions.
IF 12.8 1区 医学
Journal of the American Academy of Dermatology Pub Date : 2025-01-07 DOI: 10.1016/j.jaad.2024.11.076
Daniella Jaguan, Sach Thakker, Micah Belzberg, Nina Gulati, Janeth R Campbell, Brittney K DeClerck, Vishal A Patel, Gino K In
{"title":"Acral Lentiginous Melanoma. Part II. Staging, Surgical Management, The Role of Systemic Therapy, Shortcomings and Future Directions.","authors":"Daniella Jaguan, Sach Thakker, Micah Belzberg, Nina Gulati, Janeth R Campbell, Brittney K DeClerck, Vishal A Patel, Gino K In","doi":"10.1016/j.jaad.2024.11.076","DOIUrl":"https://doi.org/10.1016/j.jaad.2024.11.076","url":null,"abstract":"<p><p>This comprehensive review navigates the clinical management and challenges of acral lentiginous melanoma (ALM), including staging, surgical interventions, and systemic therapies. Multimodality treatment and clinical trials are recommended for advanced cases.</p>","PeriodicalId":17198,"journal":{"name":"Journal of the American Academy of Dermatology","volume":" ","pages":""},"PeriodicalIF":12.8,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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