Photodermatology, photoimmunology & photomedicine最新文献

{"title":"Photodistributed Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis.","authors":"Sergio Castillo-Pinto, Miguel Nieto, María Camila Marín Murillo, Adriana Cruz-Garnica","doi":"10.1111/phpp.70053","DOIUrl":"10.1111/phpp.70053","url":null,"abstract":"","PeriodicalId":20123,"journal":{"name":"Photodermatology, photoimmunology & photomedicine","volume":"41 5","pages":"e70053"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12436978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069577","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":"The Evolution, Safety, and Public Perception of Sunscreens: A Historical and Contemporary Review.","authors":"Sunil Kalia","doi":"10.1111/phpp.70055","DOIUrl":"10.1111/phpp.70055","url":null,"abstract":"<p><p>Sunscreens have evolved significantly from their ancient origins to become essential tools in photoprotection. This special edition on sunscreens traces the development of sunscreen agents, assesses their safety profile based on clinical and toxicological studies, and explores current trends in public perception and usage behavior. Differences in sunscreen indications based on skin tone and the regulatory disparities affecting sunscreen filter availability across geographic regions are also included in this special edition.</p>","PeriodicalId":20123,"journal":{"name":"Photodermatology, photoimmunology & photomedicine","volume":"41 5","pages":"e70055"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081278","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 Role of Macrophage Migration Inhibitory Factor and Its Homolog D-Dopachrome Tautomerase in Ultraviolet Radiation-Induced Carcinogenesis: New Insights Into Skin Cancer Mechanisms.","authors":"Yu Matsui, Tadamichi Shimizu","doi":"10.1111/phpp.70046","DOIUrl":"https://doi.org/10.1111/phpp.70046","url":null,"abstract":"<p><strong>Background/purpose: </strong>Ultraviolet (UV) radiation is a key environmental carcinogen implicated in the development of various skin malignancies. Recent studies highlight the pivotal roles of macrophage migration inhibitory factor (MIF) and its homolog D-dopachrome tautomerase (DDT) in UV-induced skin carcinogenesis. This review aims to consolidate current knowledge of how MIF and DDT contribute to tumor initiation and progression under UV stress, with a focus on their biological functions, signaling pathways, and therapeutic potential.</p><p><strong>Methods: </strong>This narrative review synthesizes findings from basic, translational, and clinical studies examining MIF and DDT in the context of UV-mediated skin carcinogenesis. The literature was selectively reviewed to highlight mechanistic insights, pathological significance, and emerging therapeutic strategies.</p><p><strong>Results: </strong>Both MIF and DDT are upregulated upon UVB exposure and promote tumorigenesis by suppressing p53-mediated apoptosis, enhancing inflammatory signaling, and modulating the tumor immune microenvironment. Transgenic mouse models demonstrate that overexpression of either cytokine accelerates UVB-induced tumor formation, while inhibition reduces tumor burden. Although MIF and DDT share CD74-mediated pathways, they exhibit mechanistically distinct yet functionally complementary roles. In addition to melanoma, emerging evidence suggests involvement in non-melanoma skin cancers, particularly cutaneous squamous cell carcinoma (cSCC). Selective small-molecule inhibitors are under development, and expression profiles of MIF and DDT are being evaluated as biomarkers for prognosis and response to immunotherapy.</p><p><strong>Conclusion: </strong>MIF and DDT are critical mediators of UV-induced skin carcinogenesis. Their overlapping yet non-redundant signaling properties and emerging clinical relevance suggest that targeting these cytokines may offer new opportunities for prevention, diagnosis, and treatment of UV-induced skin cancers.</p>","PeriodicalId":20123,"journal":{"name":"Photodermatology, photoimmunology & photomedicine","volume":"41 5","pages":"e70046"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144965007","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":"A Patient in the UK With Severe \"P\" Type Actinic Prurigo Successfully Treated With Ciclosporin.","authors":"Sam Hughes, Caroline Owen, John Ferguson, Hiva Fassihi, Adam Fityan, Robert P E Sarkany","doi":"10.1111/phpp.70054","DOIUrl":"https://doi.org/10.1111/phpp.70054","url":null,"abstract":"","PeriodicalId":20123,"journal":{"name":"Photodermatology, photoimmunology & photomedicine","volume":"41 5","pages":"e70054"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069548","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":"Social Disparities in Photoprotection Behaviors and Sunburn Risk Among Individuals on Photosensitizing Drugs: A Decade-Long National Health and Nutrition Examination Survey Analysis (2009-2018).","authors":"Jennifer Jeesoo Lee, Anna Lien-Lun Chien","doi":"10.1111/phpp.70057","DOIUrl":"https://doi.org/10.1111/phpp.70057","url":null,"abstract":"","PeriodicalId":20123,"journal":{"name":"Photodermatology, photoimmunology & photomedicine","volume":"41 5","pages":"e70057"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138468","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":"A Large-Scale, Retrospective Analysis of Bath-Psoralen Plus Ultraviolet A Therapy for Psoriasis: A Single-Center Study.","authors":"Mai Sakurai, Yuki Enomoto, Yoshifumi Kanayama, Takashi Sakaida, Aya Yamamoto, Akimichi Morita","doi":"10.1111/phpp.70038","DOIUrl":"10.1111/phpp.70038","url":null,"abstract":"<p><strong>Background/purpose: </strong>While biologics and small-molecule inhibitors are first-line systemic treatments for psoriasis, phototherapy remains an alternative for patients unable to access these treatments because of medical or financial constraints. Narrow-band ultraviolet B (NB-UVB) is effective for localized psoriasis but less so for extensive disease. To address this limitation, bathwater delivery of psoralen plus ultraviolet A (bath-PUVA) was introduced in 2004. This study evaluates the efficacy, safety, and patient characteristics associated with bath-PUVA therapy in a large cohort.</p><p><strong>Methods: </strong>This retrospective analysis included 229 patients (180 males, 49 females) treated with bath-PUVA from 2004 to September 2021. Baseline characteristics and treatment outcomes were assessed using the psoriasis area and severity index (PASI). Statistical analyses examined relationships between treatment outcomes and factors, including baseline PASI, body mass index (BMI), and smoking status.</p><p><strong>Results: </strong>The mean baseline PASI score was 24.9. Bath-PUVA achieved PASI 75 in 80.4% of patients, PASI 90 in 44.1%, and PASI 100 in 2.6%, with efficacy comparable to biologics. Patients achieving PASI 90 had significantly higher baseline PASI scores (p = 0.005), while the number of irradiations required did not differ (p = 0.692). Higher baseline PASI scores correlated with elevated BMI (p = 0.002), but BMI did not influence improvement rates (p = 0.094). Smokers had significantly higher baseline PASI scores (p = 0.004) compared with non-smokers, yet smoking status did not affect improvement rates (p = 0.862).</p><p><strong>Conclusion: </strong>Bath-PUVA demonstrates efficacy comparable with biologics for psoriasis, regardless of BMI or smoking status. This analysis supports its use as an effective and accessible treatment option for patients with extensive disease.</p>","PeriodicalId":20123,"journal":{"name":"Photodermatology, photoimmunology & photomedicine","volume":"41 5","pages":"e70038"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12350823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144848266","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":"Narrowband-Ultraviolet B Phototherapy for Psoriasis Treatment in Skin of Color: A Systematic Review and Meta-Analysis.","authors":"Megan Hauptman, Amjad El Othmani, Svati Pazhyanur, Mio Nakamura","doi":"10.1111/phpp.70051","DOIUrl":"10.1111/phpp.70051","url":null,"abstract":"<p><strong>Background: </strong>Narrowband-ultraviolet B (NB-UVB) phototherapy is an effective treatment for psoriasis in patients who have failed topical regimens or those who desire to avoid systemic treatment. Despite its regular use in non-white individuals, NB-UVB treatment response for psoriasis in skin of color (SOC) has not been systematically reviewed.</p><p><strong>Methods: </strong>We conducted a systematic review on the basis of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) on all available studies to date assessing NB-UVB for psoriasis treatment in skin of color (SOC) (up to 15 November 2024). The primary outcome was qualitative data on clinical outcomes of UVB (PASI 75). Random-effects meta-analysis was performed to assess treatment responses. Secondary outcomes of biochemical and immunologic mechanisms of NB-UVB, NB-UVB in combination with other treatments, and NB-UVB compared to other forms of phototherapy were assessed.</p><p><strong>Results: </strong>Of 1283 articles initially identified, 54 were ultimately included for formal review. We identified 43 articles assessing clinical outcomes of NB-UVB phototherapy in patients with Fitzpatrick skin type III-IV for a total of 1322 patients with chronic plaque psoriasis and 12 patients with palmoplantar psoriasis. Nine studies were included for meta-analysis of PASI75 response; 70.5% of patients achieved PASI75, and all studies demonstrated statistically significant PASI improvement after treatment. NB-UVB demonstrated a higher rate of complete clearance when compared to BB-UVB but did not result in a statistically significant difference in the proportion of the patient population achieving PASI75 when compared to PUVA.</p><p><strong>Conclusions: </strong>Phototherapy is effective for the treatment of psoriasis in SOC patients and remains a valuable treatment option despite the advent of various topical, systemic, and biologic treatments for psoriasis.</p>","PeriodicalId":20123,"journal":{"name":"Photodermatology, photoimmunology & photomedicine","volume":"41 5","pages":"e70051"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12411661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001256","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":"Photodynamic Therapy as an Adjunct Treatment in a Patient With Deep Dermatophytosis and Inherited CARD9 Deficiency.","authors":"Elisabeth Gómez-Moyano, Concepción Mediavilla Gradolph, Juan María Garcia Hirschfeld, Francisco Jiménez Oñate, Leandro Martínez Pilar","doi":"10.1111/phpp.70049","DOIUrl":"https://doi.org/10.1111/phpp.70049","url":null,"abstract":"","PeriodicalId":20123,"journal":{"name":"Photodermatology, photoimmunology & photomedicine","volume":"41 5","pages":"e70049"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024015","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":"Narrow Band Ultraviolet B Phototherapy Versus Oral Cyclosporine in the Treatment of Chronic Urticaria.","authors":"Nagaraja Roshini, Hitaishi Mehta, Anuradha Bishnoi, Vinod Kumar, Ashok Kumar, Davinder Parsad, Muthu Sendhil Kumaran","doi":"10.1111/phpp.70050","DOIUrl":"10.1111/phpp.70050","url":null,"abstract":"<p><strong>Background: </strong>Cyclosporine is currently recommended as a third-line therapy for chronic spontaneous urticaria (CSU), while narrowband ultraviolet B (NB-UVB) phototherapy has shown promise.</p><p><strong>Objective: </strong>To compare the efficacy and safety of NB-UVB phototherapy versus cyclosporine in antihistamine-refractory CSU.</p><p><strong>Methods: </strong>This randomized, prospective, non-inferiority study recruited 50 patients with antihistamine-refractory CSU. Participants received either NB-UVB (thrice weekly) or cyclosporine (3 mg/kg/day) for 90 days alongside maximum-regulated doses of antihistamines, with a post-treatment follow-up of 90 days. The primary outcome was the Urticaria Activity Score over 7 days (UAS7), with secondary outcomes including Urticaria Control Test (UCT), Chronic Urticaria Quality of Life (CU-QoL), and biomarkers such as IL-6 and IL-31.</p><p><strong>Results: </strong>Both treatments significantly reduced UAS7 by Day 15. NB-UVB provided sustained symptom control post-treatment, while cyclosporine achieved rapid relief but led to rebound flares upon discontinuation. The non-inferiority test showed that NB-UVB was not significantly worse than cyclosporine for UAS7 reduction. Both therapies reduced serum IgE, with IL-6 and IL-31 significantly decreasing in the cyclosporine group.</p><p><strong>Limitations: </strong>Single-center design, short follow-up duration.</p><p><strong>Conclusions: </strong>NB-UVB phototherapy is an effective and well-tolerated alternative to cyclosporine for antihistamine-refractory CSU, offering sustained disease suppression post-treatment. Further research is needed to explore long-term outcomes and broader applicability.</p><p><strong>Trial registration: </strong>Clinical Trials Registry of India: CTRI/2022/11/047799.</p>","PeriodicalId":20123,"journal":{"name":"Photodermatology, photoimmunology & photomedicine","volume":"41 5","pages":"e70050"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993387","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":"Mycosis Fungoides Bullosa Responsive to Phototherapy: A Case Report.","authors":"Krisha K Lim, Jerson Jerick N Taguibao, Giselle Marie T Ver","doi":"10.1111/phpp.70048","DOIUrl":"https://doi.org/10.1111/phpp.70048","url":null,"abstract":"","PeriodicalId":20123,"journal":{"name":"Photodermatology, photoimmunology & photomedicine","volume":"41 5","pages":"e70048"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030325","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}