JAAD InternationalPub Date : 2026-02-01Epub Date: 2025-10-16DOI: 10.1016/j.jdin.2025.09.020
Zhichao Wang MD , Xing Hu MD, PhD , Haoyang Mo MD , Minxue Shen PhD , Carlos G. Romo MD, PhD , Katya Vera BA , Zhixiong Liu MD, PhD , Qingfeng Li MD, PhD , Chuntao Li MD, PhD , Kavita Y. Sarin MD, PhD
{"title":"Phenotypic characterization of neurofibromatosis type 1 in a large Chinese cohort: A cross-sectional study","authors":"Zhichao Wang MD , Xing Hu MD, PhD , Haoyang Mo MD , Minxue Shen PhD , Carlos G. Romo MD, PhD , Katya Vera BA , Zhixiong Liu MD, PhD , Qingfeng Li MD, PhD , Chuntao Li MD, PhD , Kavita Y. Sarin MD, PhD","doi":"10.1016/j.jdin.2025.09.020","DOIUrl":"10.1016/j.jdin.2025.09.020","url":null,"abstract":"<div><h3>Background</h3><div>Neurofibromatosis type 1 (NF1) is a multisystemic genetic disorder characterized by <em>NF1</em> gene mutations. The well-described manifestations of NF1 are primarily derived from European populations.</div></div><div><h3>Objective</h3><div>To evaluate the phenotypic characteristics of Chinese patients with NF1.</div></div><div><h3>Methods</h3><div>This cross-sectional, multicenter study involved patients with NF1 from Chinese and U.S. populations. Clinical data were obtained from NF1 clinics and patient-reported outcome assessments.</div></div><div><h3>Findings</h3><div>1313 patients with Chinese NF1 were included. We found that Chinese patients were diagnosed later in life and exhibited a lower prevalence of spinal neurofibromas and fractures but a higher rate of malignant peripheral nerve sheath tumors as compared to U.S. patients. Four distinct NF1 subtypes were identified: severe neural, cutaneous, hereditary, and mild. Significant correlations were observed between freckles and cutaneous neurofibromas and between bone lesions and pseudarthrosis. Cutaneous manifestations were correlated with systemic manifestations, and the risk of developing plexiform neurofibromas was inversely proportional to the number of cutaneous neurofibromas and freckles.</div></div><div><h3>Limitations</h3><div>The use of self-report data may introduce subjectivity and recall bias.</div></div><div><h3>Conclusion</h3><div>This study provides the first comprehensive analysis of clinical phenotypes in Chinese patients with NF1. The identification of distinct NF1 subtypes, phenotypic correlations, and ethnic differences supports more personalized management strategies for NF1 patients.</div></div>","PeriodicalId":34410,"journal":{"name":"JAAD International","volume":"24 ","pages":"Pages 181-190"},"PeriodicalIF":5.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145615225","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}
JAAD InternationalPub Date : 2026-02-01Epub Date: 2025-11-26DOI: 10.1016/j.jdin.2025.11.010
Douglas Grossman MD, PhD , Elizabeth Berry MD , Justin M. Ko MD , Raja Sivamani MD , Serena Mraz MD , Sunil S. Dhawan MD , Kevin Manbeck MS , Amit Shachaf PhD , Shamika Majmudar MS , Catherine Shachaf PhD , Sancy Leachman MD, PhD
{"title":"In vivo molecular skin fluorescence imaging for noninvasive assessment of atypical nevi and melanoma: A validation trial","authors":"Douglas Grossman MD, PhD , Elizabeth Berry MD , Justin M. Ko MD , Raja Sivamani MD , Serena Mraz MD , Sunil S. Dhawan MD , Kevin Manbeck MS , Amit Shachaf PhD , Shamika Majmudar MS , Catherine Shachaf PhD , Sancy Leachman MD, PhD","doi":"10.1016/j.jdin.2025.11.010","DOIUrl":"10.1016/j.jdin.2025.11.010","url":null,"abstract":"<div><h3>Background</h3><div>Current visual assessments and assistive technologies for melanoma detection primarily focus on detecting morphological changes, often requiring invasive biopsies for confirmation.</div></div><div><h3>Objective</h3><div>To determine the efficacy of skin fluorescent imaging (SFI), a novel noninvasive technology for detection of αvβ3 integrin in the tumor microenvironment, for discrimination of benign from malignant melanocytic lesions.</div></div><div><h3>Methods</h3><div>A prospective validation trial evaluated 240 clinically suspicious cutaneous pigmented lesions prior to biopsy in 6 academic and community dermatology clinics in California, Utah, and Oregon.</div></div><div><h3>Results</h3><div>The distribution of lesions included 99 (41%) lesions without dysplasia, 59 (25%) nevi with low-grade dysplasia, 51 (21%) nevi with high-grade dysplasia, 20 (8.3%) melanoma in situ, and 11 invasive melanomas (4.6%). SFI cutoff scores of 5 and 7 demonstrated sensitivities of 93% and 87% and specificities of 77% and 91%, respectively, for discrimination of lesions with no or low-grade dysplasia from those with high-grade dysplasia or melanomas. The area under the receiver operating characteristic curve was 0.907 (95% CI 0.864-0.951, <em>P</em> <.0001).</div></div><div><h3>Limitations</h3><div>This was a single-arm trial.</div></div><div><h3>Conclusions</h3><div>SFI demonstrated high sensitivity and specificity for discriminating low-risk from high-risk lesions, representing a promising approach to enhance evaluation of clinically concerning pigmented lesions and reduce unnecessary biopsies.</div></div>","PeriodicalId":34410,"journal":{"name":"JAAD International","volume":"24 ","pages":"Pages 279-286"},"PeriodicalIF":5.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145883300","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}
JAAD InternationalPub Date : 2026-02-01Epub Date: 2025-10-14DOI: 10.1016/j.jdin.2025.09.019
Yuming Sun PhD , Zehao Luo MD , Furong Zeng PhD , Guangtong Deng PhD
{"title":"Nonkeratinocyte skin cancer in survivors of childhood, adolescent, and young adult cancer with and without radiotherapy","authors":"Yuming Sun PhD , Zehao Luo MD , Furong Zeng PhD , Guangtong Deng PhD","doi":"10.1016/j.jdin.2025.09.019","DOIUrl":"10.1016/j.jdin.2025.09.019","url":null,"abstract":"","PeriodicalId":34410,"journal":{"name":"JAAD International","volume":"24 ","pages":"Pages 92-94"},"PeriodicalIF":5.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145520945","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}
JAAD InternationalPub Date : 2026-02-01Epub Date: 2025-10-01DOI: 10.1016/j.jdin.2025.08.013
Kan-Hsuan Lin MD , Yu-Jun Chang PhD , Tung-Ming Chang MD, PhD , Kuender D. Yang MD, PhD , Ching-Yuang Lin MD, PhD , Ko-Huang Lue MD, PhD , Hai-Lun Sun MD, PhD , Pei-Fen Liao MD , Jun-Kai Kao MD, PhD , Yi-Giien Tsai MD, PhD
{"title":"Impact of sleep disturbance on mental health in schoolchildren with atopic dermatitis: A population-based study","authors":"Kan-Hsuan Lin MD , Yu-Jun Chang PhD , Tung-Ming Chang MD, PhD , Kuender D. Yang MD, PhD , Ching-Yuang Lin MD, PhD , Ko-Huang Lue MD, PhD , Hai-Lun Sun MD, PhD , Pei-Fen Liao MD , Jun-Kai Kao MD, PhD , Yi-Giien Tsai MD, PhD","doi":"10.1016/j.jdin.2025.08.013","DOIUrl":"10.1016/j.jdin.2025.08.013","url":null,"abstract":"<div><h3>Objective</h3><div>This Taiwanese population-based cross-sectional (CARE) study examined associations between sleep disturbances and mental health symptoms in adolescents with atopic dermatitis (AD).</div></div><div><h3>Method</h3><div>A cross-sectional analysis was conducted among 14,675 adolescents (median age: 12.6 years; 49.7% male) using validated self-report questionnaires to assess anxiety (Screen for Child Anxiety Related Emotional Disorders) and depression (Patient Health Questionnaire-9). AD was identified via physician diagnosis and self-reported symptoms. Sleep quality, frequency of disturbances, and daytime sleepiness were evaluated using self-report. Logistic regression models adjusted for sex and psychosocial factors were used to assess associations with mental health outcomes.</div></div><div><h3>Results</h3><div>Adolescents with AD (<em>n</em> = 3470) had higher anxiety (18.7% vs 16.0%) and depression (4.2% vs 2.4%) prevalence than health controls (<em>n</em> = 7865) (<em>P</em> < 0.001). Among adolescents with AD, weekly sleep disturbances, poor sleep quality, and daytime sleepiness were independently associated with 2.1, 1.8, and 1.6-fold higher risks of anxiety and 4.4, 2.7, and 2.1-fold higher risks of depression, after adjustment for sex and psychosocial factors. A dose-response relationship was observed between the sleep disturbance frequency and symptom severity.</div></div><div><h3>Conclusion</h3><div>Sleep disturbances are strongly associated with increased anxiety and depression symptoms in adolescents with AD. Interventions focusing on sleep and psychosocial stress may improve mental health outcomes in this vulnerable population.</div></div>","PeriodicalId":34410,"journal":{"name":"JAAD International","volume":"24 ","pages":"Pages 50-60"},"PeriodicalIF":5.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145398510","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}
JAAD InternationalPub Date : 2026-02-01Epub Date: 2025-09-29DOI: 10.1016/j.jdin.2025.08.012
Dahyeon Kim BS , Lauren Pineda MS , Amylee Martin MD , Christina Kraus MD , Harry Dao MD
{"title":"Gaps in phototherapy and Mohs surgery access: A cross-sectional survey of dermatology residency programs in the United States","authors":"Dahyeon Kim BS , Lauren Pineda MS , Amylee Martin MD , Christina Kraus MD , Harry Dao MD","doi":"10.1016/j.jdin.2025.08.012","DOIUrl":"10.1016/j.jdin.2025.08.012","url":null,"abstract":"","PeriodicalId":34410,"journal":{"name":"JAAD International","volume":"24 ","pages":"Pages 23-26"},"PeriodicalIF":5.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145398516","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}
JAAD InternationalPub Date : 2026-02-01Epub Date: 2025-10-07DOI: 10.1016/j.jdin.2025.09.010
Christine T. Olagun-Samuel BA, Christine C. Akoh MD, PhD, Nnaemeka Anyanwu BS, Elizabeth F. Sher PhD, Carli D. Needle BA, Jamie Widawsky PA-C, MPAS, David E. Cohen MD, MPH, Emily Milam MD, Alexandra Flamm MD, Vikash Oza MD, Theodora K. Karagounis MD, MS
{"title":"Tralokinumab for moderate-to-severe atopic dermatitis: A viable option for dupilumab nonresponders","authors":"Christine T. Olagun-Samuel BA, Christine C. Akoh MD, PhD, Nnaemeka Anyanwu BS, Elizabeth F. Sher PhD, Carli D. Needle BA, Jamie Widawsky PA-C, MPAS, David E. Cohen MD, MPH, Emily Milam MD, Alexandra Flamm MD, Vikash Oza MD, Theodora K. Karagounis MD, MS","doi":"10.1016/j.jdin.2025.09.010","DOIUrl":"10.1016/j.jdin.2025.09.010","url":null,"abstract":"","PeriodicalId":34410,"journal":{"name":"JAAD International","volume":"24 ","pages":"Pages 67-69"},"PeriodicalIF":5.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145468581","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":"Oral tranexamic acid use for melasma is not associated with thromboembolism: Findings from a multicenter propensity score–matched electronic health record cohort","authors":"Tyler Hernandez MD , Kayla Penny MD , Nicholas Culotta MD","doi":"10.1016/j.jdin.2025.09.005","DOIUrl":"10.1016/j.jdin.2025.09.005","url":null,"abstract":"","PeriodicalId":34410,"journal":{"name":"JAAD International","volume":"24 ","pages":"Pages 64-66"},"PeriodicalIF":5.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145468580","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}