Aarushi K. Parikh MA, Noelle Desir BA, Susan C. Taylor MD, Shari R. Lipner MD PhD
{"title":"Ethical considerations of unsolicited advice in the management of traction alopecia","authors":"Aarushi K. Parikh MA, Noelle Desir BA, Susan C. Taylor MD, Shari R. Lipner MD PhD","doi":"10.1016/j.jaad.2025.07.034","DOIUrl":"https://doi.org/10.1016/j.jaad.2025.07.034","url":null,"abstract":"","PeriodicalId":17198,"journal":{"name":"Journal of the American Academy of Dermatology","volume":"73 1","pages":""},"PeriodicalIF":13.8,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144664752","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}
Chunghwan Ro, Waleed Adawi, Ana Ormaza Vera, Clinton W Enos
{"title":"MS.NO.JAAD-D-25-00096R2. New-onset psychiatric diagnoses, including suicidal ideation and suicide attempts, are more common among hidradenitis suppurativa patients compared to the general population: A propensity score-matched retrospective cohort-study of 43,707 patients utilizing the TriNetX Research Network.","authors":"Chunghwan Ro, Waleed Adawi, Ana Ormaza Vera, Clinton W Enos","doi":"10.1016/j.jaad.2025.07.025","DOIUrl":"https://doi.org/10.1016/j.jaad.2025.07.025","url":null,"abstract":"","PeriodicalId":17198,"journal":{"name":"Journal of the American Academy of Dermatology","volume":" ","pages":""},"PeriodicalIF":12.8,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667919","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}
Athira Sivadas, Kevin W Byram, Manuel Valdebran, Tyler Beck
{"title":"Understanding JAK Inhibitor Toxicity: Is the Off-Target Kinome a Missing Piece of the Puzzle?","authors":"Athira Sivadas, Kevin W Byram, Manuel Valdebran, Tyler Beck","doi":"10.1016/j.jaad.2025.07.024","DOIUrl":"https://doi.org/10.1016/j.jaad.2025.07.024","url":null,"abstract":"","PeriodicalId":17198,"journal":{"name":"Journal of the American Academy of Dermatology","volume":" ","pages":""},"PeriodicalIF":12.8,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667925","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}
{"title":"Information for readers","authors":"","doi":"10.1016/S0190-9622(25)02313-8","DOIUrl":"10.1016/S0190-9622(25)02313-8","url":null,"abstract":"","PeriodicalId":17198,"journal":{"name":"Journal of the American Academy of Dermatology","volume":"93 2","pages":"Page A30"},"PeriodicalIF":12.8,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144662719","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}
Angela M Hong, Serigne N Lo, Gerald B Fogarty, Jonathan Stretch, Wei Wang, Pablo Fernandez-Penas, Richard Cw Martin, Matthew Foote, H Peter Soyer, Jeremy Ruben, Victoria Mar, Lilian Rocha, Cyro Festa-Neto, Chris Wratten, Sam Hogarth, Helena Collgros, Amanda Glanz, Bruna Melhoranse Gouveia, Richard A Scolyer, Madeleine T King, Pascale Guitera
{"title":"Radiotherapy Versus Imiquimod for Complex Lentigo Maligna: a Phase 3 Randomized Clinical Trial.","authors":"Angela M Hong, Serigne N Lo, Gerald B Fogarty, Jonathan Stretch, Wei Wang, Pablo Fernandez-Penas, Richard Cw Martin, Matthew Foote, H Peter Soyer, Jeremy Ruben, Victoria Mar, Lilian Rocha, Cyro Festa-Neto, Chris Wratten, Sam Hogarth, Helena Collgros, Amanda Glanz, Bruna Melhoranse Gouveia, Richard A Scolyer, Madeleine T King, Pascale Guitera","doi":"10.1016/j.jaad.2025.07.028","DOIUrl":"https://doi.org/10.1016/j.jaad.2025.07.028","url":null,"abstract":"<p><strong>Background: </strong>For patients with lentigo maligna who are not suitable for surgery, radiotherapy or topical imiquimod are alternative non-surgical treatments.</p><p><strong>Objective: </strong>This trial aimed to assess the efficacy, safety and patient-reported health-related quality of life (HRQL).</p><p><strong>Methods: </strong>A multi-institutional, phase 3 randomized trial conducted between August 2015 and November 2021. Patients were randomized to radiotherapy or imiquimod. Primary endpoint was treatment failure at 24 months. Secondary endpoints included response at 6 months, development of invasive disease, toxicity and HRQL.</p><p><strong>Results: </strong>Between August 2015 and November 2021, 126 patients were randomized. The response rate was 95% at 6 months in both groups. The treatment failure rates were low with 12 failures in the radiotherapy group and six in the imiquimod group at 24 months (OR 2.35, 95% CI 0.82-6.75, p=0.11). Both were well tolerated with mainly grade 1 and 2 acute skin toxicity with no significant differences between groups in skin symptoms or HRQL at long-term. Patients had significantly better emotional scores after treatment than at baseline in both groups. The trial is underpowered due to early cessation of recruitment.</p><p><strong>Conclusions: </strong>Both radiotherapy and imiquimod are efficient and well-tolerated treatments for LM. Neither have negative impacts on HRQL at 24 months.</p>","PeriodicalId":17198,"journal":{"name":"Journal of the American Academy of Dermatology","volume":" ","pages":""},"PeriodicalIF":12.8,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667921","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}
{"title":"Answers to CME examination","authors":"","doi":"10.1016/j.jaad.2024.08.025","DOIUrl":"10.1016/j.jaad.2024.08.025","url":null,"abstract":"","PeriodicalId":17198,"journal":{"name":"Journal of the American Academy of Dermatology","volume":"93 2","pages":"Page 350"},"PeriodicalIF":12.8,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144662715","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}
{"title":"Patient-reported Economic Burden of Alopecia Areata in China: A Multicenter Cross-Sectional Study.","authors":"Xiangqian Li, Xufeng Du, Hengguang Zhao, Yanyun Wang, Longquan Pi, Ying Luo, Chiachia Hsu, Yijie Sun, Huixin Liu, Jianzhong Zhang, Hongxia Li, Cheng Zhou","doi":"10.1016/j.jaad.2025.07.023","DOIUrl":"https://doi.org/10.1016/j.jaad.2025.07.023","url":null,"abstract":"","PeriodicalId":17198,"journal":{"name":"Journal of the American Academy of Dermatology","volume":" ","pages":""},"PeriodicalIF":12.8,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667920","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}
Vartan Pahalyants, Neil K Jairath, Derek E Maas, Shayan Cheraghlou, Soutrik Mandal, Steven Friedman, Maressa C Criscito, Nayoung Lee, Nicole A Doudican, Emily S Ruiz, Nina Ran, Emily E Granger, Shlomo Koyfman, Alison Vidimos, Ashley Wysong, David R Carr, Kathryn T Shahwan, Kelsey E Hirotsu, Joi B Carter, Javier Cañueto, Fabio Muradás Girardi, Aaron R Mangold, Divya Srivastava, David G Brodland, John A Zitelli, Tyler J Willenbrink, John A Carucci
{"title":"Satellitosis/in-transit metastasis in cutaneous squamous cell carcinoma: Risk factors and the prognostic significance.","authors":"Vartan Pahalyants, Neil K Jairath, Derek E Maas, Shayan Cheraghlou, Soutrik Mandal, Steven Friedman, Maressa C Criscito, Nayoung Lee, Nicole A Doudican, Emily S Ruiz, Nina Ran, Emily E Granger, Shlomo Koyfman, Alison Vidimos, Ashley Wysong, David R Carr, Kathryn T Shahwan, Kelsey E Hirotsu, Joi B Carter, Javier Cañueto, Fabio Muradás Girardi, Aaron R Mangold, Divya Srivastava, David G Brodland, John A Zitelli, Tyler J Willenbrink, John A Carucci","doi":"10.1016/j.jaad.2025.07.029","DOIUrl":"https://doi.org/10.1016/j.jaad.2025.07.029","url":null,"abstract":"<p><strong>Background: </strong>Satellitosis or in-transit metastasis (S-ITM) from cutaneous squamous cell carcinoma (cSCC) is associated with poor outcomes but is not included in current staging guidelines.</p><p><strong>Objective: </strong>To determine risk factors and prognostic significance of S-ITM.</p><p><strong>Methods: </strong>This cohort study included 8,901 patients with cSCC from 12 institutions (1998-2023). Risk factors for S-ITM were calculated using logistic regression. Outcomes were compared with 1:2 propensity score matched controls using a Fine-Gray subdistribution hazard model.</p><p><strong>Results: </strong>Seventy-seven patients developed S-ITM. Increased patient age (OR 1.03, 95% CI 1.01-1.05, p<0.01), history of immunosuppression (OR 4.31, 95% CI 2.59-7.10, p<0.001), higher BWH stage (T2a OR 4.14, 95% CI 2.05-8.41; T2b OR 15.96, 95% CI 8.58-31.19; T3 OR 30.27, 95% CI 10.70-79.04, all p<0.001) and LVI (OR 4.57, 95% CI 1.80-10.38, p=0.001) were independent risk factors for S-ITM. S-ITM was associated with LR (SHR 2.40, 95% CI 1.43-4.04, p<0.001), NM (SHR 1.89 (95% CI .02-3.49, p=0.04), DM (SHR 4.41, 95% CI 1.45-13.27, p=0.01), and DSD (SHR 4.48, 95% CI 2.34-8.58, p<0.001).</p><p><strong>Limitations: </strong>Retrospective cohort study. The rarity of S-ITM may limit statistical power.</p><p><strong>Conclusion: </strong>Patients with cSCC and S-ITM are at higher risk for poor outcomes independent of patient, tumor, and treatment characteristics.</p>","PeriodicalId":17198,"journal":{"name":"Journal of the American Academy of Dermatology","volume":" ","pages":""},"PeriodicalIF":12.8,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667922","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}
Robin C Yi, Ainsley J Ruley, Aishwarya Sharma, Matthew L Hrin, Steven R Feldman, Lindsay C Strowd
{"title":"Lower Oncogenic Risk with Dermatologic Use of Mycophenolate Mofetil Compared to Transplant Prophylaxis: A Retrospective Study.","authors":"Robin C Yi, Ainsley J Ruley, Aishwarya Sharma, Matthew L Hrin, Steven R Feldman, Lindsay C Strowd","doi":"10.1016/j.jaad.2025.07.031","DOIUrl":"https://doi.org/10.1016/j.jaad.2025.07.031","url":null,"abstract":"","PeriodicalId":17198,"journal":{"name":"Journal of the American Academy of Dermatology","volume":" ","pages":""},"PeriodicalIF":12.8,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667918","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}
{"title":"Answers to CME examination","authors":"","doi":"10.1016/j.jaad.2024.08.023","DOIUrl":"10.1016/j.jaad.2024.08.023","url":null,"abstract":"","PeriodicalId":17198,"journal":{"name":"Journal of the American Academy of Dermatology","volume":"93 2","pages":"Page 338"},"PeriodicalIF":12.8,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144662770","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}