Skin Appendage Disorders最新文献

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Sensitive Scalp and Trichodynia: Epidemiology, Etiopathogenesis, Diagnosis, and Management 敏感头皮和毛痛症:流行病学、病因、诊断和管理
Skin Appendage Disorders Pub Date : 2023-09-21 DOI: 10.1159/000533795
Emilly Neves Souza, Alessandra Anzai, Carolina Oliveira Costa Fechine, Neusa Yuriko Sakai Valente, Ricardo Romiti
{"title":"Sensitive Scalp and Trichodynia: Epidemiology, Etiopathogenesis, Diagnosis, and Management","authors":"Emilly Neves Souza, Alessandra Anzai, Carolina Oliveira Costa Fechine, Neusa Yuriko Sakai Valente, Ricardo Romiti","doi":"10.1159/000533795","DOIUrl":"https://doi.org/10.1159/000533795","url":null,"abstract":"Sensitive scalp (SSc) is considered a sensitive skin on the scalp, with its particularities. Although it is not rare in the dermatological practice and the term is commonly present in personal care products, this entity is poorly investigated in the medical literature. The etiopathogenesis is still uncertain, and the sensitivity may be associated with hair loss. Clinical manifestations are subjective symptoms of pruritus, burning, pain, pricking, and/or trichodynia, often with scalp erythema. SSc can be triggered by several factors (endogenous or exogenous). The diagnosis is guided by the anamnesis, and there are still no specific trichoscopic features. Trigeminal trophic syndrome and postherpetic neuralgia are the main differential diagnosis to be considered. We organized the therapeutical approach in three steps: scalp care, topical and systemic treatment.","PeriodicalId":21844,"journal":{"name":"Skin Appendage Disorders","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136239859","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}
引用次数: 0
Hair-to-Hair Trichoscopy: An Objective Method to Assess Effectiveness of Botulinum Toxin in a Clinical Trial for Androgenetic Alopecia 毛发毛发镜:一种客观的方法来评估肉毒毒素在雄激素性脱发临床试验中的有效性
Skin Appendage Disorders Pub Date : 2023-09-21 DOI: 10.1159/000533796
Daniel Fernandes Melo, André Luiz Vairo Donda, Rita Fernanda Cortez de Almeida, Daniela Alves Pereira Antelo, Paulo Muller-Ramos, Carla Jorge Machado, Sidney Frattini, Antonella Tosti, Carlos Baptista Barcaui
{"title":"Hair-to-Hair Trichoscopy: An Objective Method to Assess Effectiveness of Botulinum Toxin in a Clinical Trial for Androgenetic Alopecia","authors":"Daniel Fernandes Melo, André Luiz Vairo Donda, Rita Fernanda Cortez de Almeida, Daniela Alves Pereira Antelo, Paulo Muller-Ramos, Carla Jorge Machado, Sidney Frattini, Antonella Tosti, Carlos Baptista Barcaui","doi":"10.1159/000533796","DOIUrl":"https://doi.org/10.1159/000533796","url":null,"abstract":"<b><i>Introduction:</i></b> Androgenetic alopecia (AGA) is the most common alopecia affecting both genders leading to a potential decrease in quality of life and self-esteem. A current concern in trichology is how to accurately measure clinical response in both daily medical practice and academic research. Hair-to-hair (H2H)-matching technology™ has recently emerged as a technique to evaluate variations in follicular units, hair shaft number, and thickness. This study aimed to describe the methodology employed in a clinical trial using this technology to test the efficacy of botulinum toxin (BT) for male AGA. <b><i>Methods:</i></b> This pilot study is a triple-blind, randomized, split scalp, placebo-controlled clinical trial. Patients enrolled were submitted to injections half of the scalp with 50 IU of BT and the other half with 1 mL of normal saline as a control. The trial involved three visits (weeks 0, 12, and 24) and 8 global clinical photographs followed by H2H-matching trichoscopy were captured before the injections at each visit. Paired <i>t</i> test analysis was employed for matched pairs of the following parameters: total hair count, the total number of terminal hair strands, average shaft thickness, and the number of hairs lost or gained during each visit. Then, the software compared the differences between the two sides (BT vs. placebo) per scalp zone and a long time. <b><i>Conclusion:</i></b> The combination of manually corrected image processing, follicular map, and H2H-matching technology™ appears to be the most precise way to evaluate changes in hair count and thickness over time. The design is reproducible and can help other researchers and dermatologists in their clinical practice to obtain reliable results in similar scientific research.","PeriodicalId":21844,"journal":{"name":"Skin Appendage Disorders","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136239862","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}
引用次数: 0
Use of Hydroxychloroquine in Hair Disorders 羟氯喹在头发疾病中的应用
Skin Appendage Disorders Pub Date : 2023-09-19 DOI: 10.1159/000533583
Advaitaa Ravipati, Michael Randolph, Waleed Al-Salhi, Antonella Tosti
{"title":"Use of Hydroxychloroquine in Hair Disorders","authors":"Advaitaa Ravipati, Michael Randolph, Waleed Al-Salhi, Antonella Tosti","doi":"10.1159/000533583","DOIUrl":"https://doi.org/10.1159/000533583","url":null,"abstract":"Hydroxychloroquine (HCQ) is an antimalarial that is utilized to treat a range of dermatologic and autoimmune disorders. With its ability to alter immunologic mechanisms, it has been used to slow or halt the progression of hair loss in conditions secondary to autoimmune dysfunction. Lichen planopilaris (LPP), frontal fibrosing alopecia (FFA), and alopecia areata (AA) are hair disorders with underlying autoimmune components and no standardized treatment guidelines. We summarized the available literature on the use of HCQ to treat LPP, FFA, and AA. For all three conditions, HCQ showed variable efficacy from halted hair loss to no improvement. While patients did show success with HCQ treatment, there were no clear treatment patterns. Regimens ranged from HCQ monotherapy to combination treatments with other agents like steroids. Overall, HCQ should certainly be considered by clinicians as a treatment option for patient suffering from these hair disorders. While there is no standardized treatment, incorporation of HCQ should take into consideration individual patient characteristics, clinical judgment, and risks of side effects.","PeriodicalId":21844,"journal":{"name":"Skin Appendage Disorders","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135109712","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}
引用次数: 1
Atypical Presentation of Spitz Nevus: A Case Report 斯皮兹痣的非典型表现:1例报告
Skin Appendage Disorders Pub Date : 2023-09-06 DOI: 10.1159/000533385
Isabel Araiza-Atanacio, Andrea Venegas-Andrade, Sonia Toussaint-Caire, Carolina Palacios López
{"title":"Atypical Presentation of Spitz Nevus: A Case Report","authors":"Isabel Araiza-Atanacio, Andrea Venegas-Andrade, Sonia Toussaint-Caire, Carolina Palacios López","doi":"10.1159/000533385","DOIUrl":"https://doi.org/10.1159/000533385","url":null,"abstract":"<b><i>Introduction:</i></b> The Spitz nevus (SN) is an acquired melanocytic neoplasm composed of epithelioid and/or spindle cells, which tends to develop in childhood. In pediatric patients, it is usually located on the face and neck. Unusual locations have been found in the literature, such as the penis, mouth, and tongue, as well as 2 cases of ungual SN. <b><i>Case Report:</i></b> A 15-year-old male evaluated for dark brown-black longitudinal melanonychia that covered 40% of the nail, with pseudo-Hutchinson’s sign, of 1 year of evolution. <b><i>Discussion:</i></b> The SN accounts for 1% of the melanocytic neoplasms. In the present paper, we show the third case of ungual SN never previously disclosed, which presents a zigzag pattern reported in the literature for its association with the pediatric population.","PeriodicalId":21844,"journal":{"name":"Skin Appendage Disorders","volume":"91 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135205553","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}
引用次数: 1
Plica Neuropathica in 2 Hispanic Patients 2例西班牙裔患者的皱襞神经病
Skin Appendage Disorders Pub Date : 2023-09-06 DOI: 10.1159/000531938
Daniel Asz-Sigall, César Ramos-Cavazos, Paulina Mariel Gay-Muñoz, Jessica González-Gutiérrez, Alejandra Guerrero-Álvarez, Eduardo Corona-Rodarte
{"title":"Plica Neuropathica in 2 Hispanic Patients","authors":"Daniel Asz-Sigall, César Ramos-Cavazos, Paulina Mariel Gay-Muñoz, Jessica González-Gutiérrez, Alejandra Guerrero-Álvarez, Eduardo Corona-Rodarte","doi":"10.1159/000531938","DOIUrl":"https://doi.org/10.1159/000531938","url":null,"abstract":"<b><i>Introduction:</i></b> Plica neuropathica (PN) is a rare, acquired, and irreversible condition characterized by the formation of a compacted mass of tangled hair held together by a hard keratin cement. <b><i>Case Presentation:</i></b> In case 1, a 50-year-old woman with history of contact dermatitis of the scalp presented with hair tangling and difficulty combing. Physical examination revealed a matted mass of hair with a dirty appearance and non-scarring alopecia. Case 2 involved a 46-year-old woman who experienced spontaneous hair matting after using various products, resulting in a dreadlock-like appearance. Clinical examination showed a compact and matted mass of hair with irregular twists, dirt, and yellowish exudate. <b><i>Conclusion:</i></b> PN’s exact pathogenesis is not fully understood, but it is believed to involve physical and chemical insults to the hair shaft. Risk factors include self-neglect, hair felting or rubbing, certain substances, religious practices, chemotherapy, immunosuppressive drugs, infections, and contact dermatitis. Trichoscopy can provide valuable clues for an accurate diagnosis, such as fractured hairs, bent hair shafts, trichorrhexis nodosa, retained telogen hairs, and twisted hairs. Treatment involves cutting the matted hair, and early-stage manual separation may be beneficial.","PeriodicalId":21844,"journal":{"name":"Skin Appendage Disorders","volume":"V 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135205550","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}
引用次数: 1
Truth or Trend – Misinformation Spreading Fast on TikTok: A Cross-Sectional Analysis of Onychomycosis Content 真相还是趋势——在TikTok上快速传播的错误信息:对甲真菌病内容的横断面分析
Skin Appendage Disorders Pub Date : 2023-09-01 DOI: 10.1159/000533319
Kelita A. Waterton, Shari R. Lipner
{"title":"Truth or Trend – Misinformation Spreading Fast on TikTok: A Cross-Sectional Analysis of Onychomycosis Content","authors":"Kelita A. Waterton, Shari R. Lipner","doi":"10.1159/000533319","DOIUrl":"https://doi.org/10.1159/000533319","url":null,"abstract":"<b><i>Background:</i></b> Onychomycosis is the most frequently diagnosed nail condition in clinical practice. With the growing popularity of TikTok and online health information-seeking behavior, it is imperative to understand onychomycosis-related content on this platform. <b><i>Objective:</i></b> Our objective was to assess content and quality of the most popular onychomycosis-related content on TikTok. <b><i>Methods:</i></b> We queried TikTok for videos using the search terms “onychomycosis” and “nail fungus” for the top 100 videos by view count, with DISCERN scoring used to rate videos for quality. <b><i>Results:</i></b> Average DISCERN score was 1.77 and dermatologists posted videos with the highest mean score (2.56). Most of the videos were educational (72%) and/or related to treatment (69%). Home remedies were recommended more often (58%) than FDA-approved therapies (7%). Physician versus nonphysician posted videos had higher mean DISCERN score (2.28 vs. 1.44) (<i>p &amp;lt;</i> 0.001), greater view number (1,209,953 vs. 343,993) (<i>p</i> &amp;lt; 0.05), and more often discussed medical therapy (<i>p</i> &amp;lt; 0.05). <b><i>Conclusion:</i></b> While social media is a valuable resource for providing medical information to an interminable audience, there are significant shortcomings. Therefore, we recommend that dermatologists advise patients against relying on social media for medical information and consider using social media to provide accessible evidence-based health education on onychomycosis.","PeriodicalId":21844,"journal":{"name":"Skin Appendage Disorders","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135688177","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}
引用次数: 0
Kaposi Sarcoma of the Nail Unit: A Case Report and Review of the Literature 甲部卡波西肉瘤1例报告及文献复习
Skin Appendage Disorders Pub Date : 2023-08-23 DOI: 10.1159/000532114
Jonathan Krygier, Ursula Sass, Isabelle Meiers, Alice Marneffe, Marine de Vicq de Cumptich, Bertrand Richert
{"title":"Kaposi Sarcoma of the Nail Unit: A Case Report and Review of the Literature","authors":"Jonathan Krygier, Ursula Sass, Isabelle Meiers, Alice Marneffe, Marine de Vicq de Cumptich, Bertrand Richert","doi":"10.1159/000532114","DOIUrl":"https://doi.org/10.1159/000532114","url":null,"abstract":"<b><i>Introduction:</i></b> Kaposi sarcoma is an angioproliferative neoplasm. Its manifestations are well known but nail involvement seems extremely underreported. <b><i>Case Presentation:</i></b> A 55-year-old man presented with a 6-month history of a growing subungual tumor affecting the third right toe. After surgical excision, histological examination revealed a Kaposi sarcoma. <b><i>Discussion:</i></b> We report a case of Kaposi sarcoma with nail involvement of only one toe as the first and unique manifestation, which is exceptional.","PeriodicalId":21844,"journal":{"name":"Skin Appendage Disorders","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135620690","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}
引用次数: 0
Dasatinib-Induced Transverse Melanonychia 达沙替尼诱导的横向黑色素瘤
Skin Appendage Disorders Pub Date : 2023-08-21 DOI: 10.1159/000531928
Mehul Tyagi, Vishal Gaurav, Japnoor Kaur
{"title":"Dasatinib-Induced Transverse Melanonychia","authors":"Mehul Tyagi, Vishal Gaurav, Japnoor Kaur","doi":"10.1159/000531928","DOIUrl":"https://doi.org/10.1159/000531928","url":null,"abstract":"<b><i>Introduction:</i></b> Transverse melanonychia, characterized by grey to black pigmented bands traversing the nail plate, can occur as a side-effect of certain medications. While no documented reports specifically associate dasatinib, a tyrosine kinase inhibitor used in the treatment of chronic myeloid leukaemia (CML) and acute lymphoblastic leukaemia, with nail changes, we present a case of transverse melanonychia possibly related to dasatinib therapy. <b><i>Case Report:</i></b> A 54-year-old male with CML, receiving dasatinib for 1.5 years, presented with transverse pigmented lines involving all fingernails and toenails. Clinical examination revealed discrete bands of transverse melanonychia in the nails. Onychoscopy of all finger- and toenails revealed multiple longitudinal grey lines within transverse grey bands of homogeneous chromonychia. Based on clinical presentation, onychoscopic features, and temporal association with dasatinib therapy, a provisional diagnosis of dasatinib-induced transverse melanonychia was made. <b><i>Discussion:</i></b> The exact mechanisms underlying melanonychia are not fully understood but may involve nail matrix or toxicity, stimulation of nail-matrix melanocytes, or drug deposition within the nail plate. This case highlights the possibility of dasatinib-induced transverse melanonychia and underscores the importance of monitoring and evaluating nail changes in patients undergoing dasatinib treatment.","PeriodicalId":21844,"journal":{"name":"Skin Appendage Disorders","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135876585","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}
引用次数: 0
Recurrent Fluconazole-Induced Fixed Drug Eruption of the Digit with Nail Matrix Involvement: A Case Report and Review of the Literature 复发性氟康唑致累及甲基质的手指固定药疹1例报告及文献复习
Skin Appendage Disorders Pub Date : 2023-08-18 DOI: 10.1159/000532112
Loren E. Hernandez, Arvin Jadoo, Brian Morrison
{"title":"Recurrent Fluconazole-Induced Fixed Drug Eruption of the Digit with Nail Matrix Involvement: A Case Report and Review of the Literature","authors":"Loren E. Hernandez, Arvin Jadoo, Brian Morrison","doi":"10.1159/000532112","DOIUrl":"https://doi.org/10.1159/000532112","url":null,"abstract":"<b><i>Introduction:</i></b> Fixed drug eruptions (FDEs) are cutaneous hypersensitivity reactions due to an offending drug and are rarely associated with nail involvement. Moreover, FDEs associated with fluconazole use are sparsely reported in literature. <b><i>Case Presentation:</i></b> We report a case of a recurrent FDE with involvement of one finger and corresponding Beau’s lines due to fluconazole use. The diagnosis of FDE secondary to fluconazole use was confirmed histopathologically, with improvement after the application of twice daily 0.05% clobetasol propionate ointment. <b><i>Conclusion:</i></b> FDEs are hypersensitivity reactions that occur after exposure to an offending drug. FDEs uncommonly affect the nail matrix and are often not caused by fluconazole. It is important for dermatologists to assess for changes in the nail plate when evaluating a patient with FDE and evaluate all medications a patient is taking.","PeriodicalId":21844,"journal":{"name":"Skin Appendage Disorders","volume":"441 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136214847","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}
引用次数: 0
Fibro-Osseus Pseudotumor of the Digit: A Case Report and Review of Literature 手指纤维-骨假瘤1例报告及文献复习
Skin Appendage Disorders Pub Date : 2023-08-18 DOI: 10.1159/000532113
Chander Grover, Pratibha Gupta, Chhavi Gupta, Kaniyappan Nambiyar, Shitij Goel
{"title":"Fibro-Osseus Pseudotumor of the Digit: A Case Report and Review of Literature","authors":"Chander Grover, Pratibha Gupta, Chhavi Gupta, Kaniyappan Nambiyar, Shitij Goel","doi":"10.1159/000532113","DOIUrl":"https://doi.org/10.1159/000532113","url":null,"abstract":"<b><i>Introduction:</i></b> Bony subungual growths arising on the digital tip are uncommon. Among these, subungual exostosis is a common cause. <b><i>Case Presentation:</i></b> We describe a 35-year-old-male patient with a rare occurrence of a fibro-osseus pseudotumor of the digit. It presents with reactive intramembranous ossification, with no continuity with the distal phalanx, helping differentiate it from a subungual exostosis. The patient presented with an asymptomatic subungual growth, lifting up the nail plate distally causing onycholysis. The characteristic clinical, radiological, and histopathological features of the case are described, which helped confirm the diagnosis. <b><i>Conclusion:</i></b> Cases with fibro-osseus pseudotumor of the digit reported in literature are reviewed comprehensively. The factors helping differentiate this from the other bony tumors affecting the distal phalanx, including subungual exostosis, myositis ossificans, and osteosarcoma are also highlighted.","PeriodicalId":21844,"journal":{"name":"Skin Appendage Disorders","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136214848","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}
引用次数: 0
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