{"title":"A comparison of dermoscopic features of pigmented purpuric dermatoses and pigmented purpuric dermatosis-like mycosis fungoides.","authors":"Handan Merve Erol Mart, Zeynep Keskin, Hatice Sanli, Aylin Okcu Heper, Ayca Kirmizi, Bengu Nisa Akay","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Pigmented purpuric dermatosis-like mycosis fungoides (PPD-MF) is an uncommon clinical presentation of mycosis fungoides characterized by purpuric lesions that may closely mimic pigmented purpuric dermatosis (PPD). This study evaluates dermoscopic features that may help differentiate PPD-MF from PPD.</p><p><strong>Methods: </strong>This retrospective study assesses the diagnostic utility of dermoscopy in distinguishing PPD from PPD-MF. It included 11 patients with histopathologically confirmed PPD-MF and 19 patients with PPD. Categorical variables were compared using Fisher's exact test.</p><p><strong>Results: </strong>Curved vessels, straight vessels, serpentine vessels, and curved linear vessels with a terminal dot were significantly more frequent in PPD-MF. In contrast, an orangish-brown background and white lines were significantly more common in PPD.</p><p><strong>Conclusions: </strong>Dermoscopy may provide useful supportive clues for distinguishing PPD-MF from PPD, particularly through the assessment of vascular morphology and background color. However, because of overlapping clinical and dermoscopic features, dermoscopic findings should be interpreted together with clinicopathological and immunohistochemical evaluation. Further studies with larger sample sizes and follow-up data are warranted to validate these findings.</p>","PeriodicalId":45914,"journal":{"name":"Acta Dermatovenerologica Alpina Pannonica et Adriatica","volume":"35 3","pages":"167-172"},"PeriodicalIF":1.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082259","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}
Mohammad Salem Hareedy, Manar Hamdy, Essamelden Mohamed Mohamed, Mofreh Mansour
{"title":"Microneedling and narrowband UVB in vitiligo: clinical insights on the efficacy and patterns of repigmentation.","authors":"Mohammad Salem Hareedy, Manar Hamdy, Essamelden Mohamed Mohamed, Mofreh Mansour","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Vitiligo is a relatively common acquired pigmentary disorder, characterized by a progressive loss of melanocytes. In stable vitiligo, treatment via microneedling followed by narrowband ultraviolet B (NB-UVB) phototherapy showed significant improvement. The goal of this study was to evaluate and compare the safety and efficacy of microneedling with NB-UVB versus NB-UVB alone in the treatment of stable vitiligo.</p><p><strong>Methods: </strong>This comparative study included 92 vitiligo lesions from 46 patients with stable vitiligo (confirmed by Wood's lamp) treated at the Assiut University Hospitals dermatology outpatient clinic between October 2023 and June 2024. All patients underwent a detailed history, general and local examination, and a Vitiligo Extent Score (VES) assessment. Lesions were divided into two groups: Group 1 (n = 46) received weekly microneedling plus NB-UVB twice a week, and Group 2 (n = 46) received NB-UVB twice a week only, both for 3 months.</p><p><strong>Results: </strong>Both groups showed a significant decrease in the VES; however, Group 1 demonstrated significantly greater improvement compared to Group 2 (p < 0.001). Furthermore, lesions on the upper extremities and trunk in Group 1 exhibited a significantly higher VES score reduction after treatment compared to Group 2 (p = 0.03 and 0.01, respectively). Peripheral repigmentation was the most common pattern, followed by perifollicular and mixed repigmentation, with no significant difference between the groups.</p><p><strong>Conclusions: </strong>Microneedling plus NB-UVB had significantly higher efficacy than NB-UVB alone, especially on the trunk and upper extremities. A peripheral repigmentation pattern was most common, followed by perifollicular and mixed repigmentation.</p>","PeriodicalId":45914,"journal":{"name":"Acta Dermatovenerologica Alpina Pannonica et Adriatica","volume":"35 3","pages":"153-158"},"PeriodicalIF":1.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082396","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":"Advanced optical microscopy for skin imaging: from confocal to novel techniques.","authors":"Svetoslava Troyanova-Slavkova, Dimitar Slavkov, Preslav Vasilev, Petranka Troyanova","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Timely and accurate diagnosis of dermatological diseases remains a global challenge, particularly in healthcare systems with limited access to dermatopathology services. Advanced optical microscopy techniques have emerged as powerful tools for non-invasive skin imaging, offering real-time visualization of microscopic structures with near-histological resolution. Reflectance confocal microscopy (RCM) and ex vivo confocal microscopy (EVCM) have achieved significant clinical traction, demonstrating high concordance with conventional histopathology and high diagnostic accuracy for melanocytic lesions and non-melanoma skin cancers. In parallel, developments in optical coherence tomography (OCT) and its variants-including dynamic OCT and line-field confocal OCT (LC-OCT)-provide complementary morphological and vascular information with greater penetration depth. LC-OCT further combines near-cellular resolution with simultaneous vertical and horizontal imaging, narrowing the gap between non-invasive imaging and histopathology. Emerging multimodal imaging platforms integrating OCT, Raman spectroscopy, photoacoustic tomography, and ultrasound, together with artificial intelligence-assisted image analysis, continue to expand the diagnostic capabilities of optical microscopy. Although RCM, EVCM, OCT, and LC-OCT are increasingly being incorporated into routine dermatological practice, several emerging technologies remain largely confined to specialized academic centers because of their cost, technical complexity, and limited clinical validation. This narrative review summarizes current evidence on confocal microscopy and related optical imaging technologies for skin diagnostics, emphasizing diagnostic performance, clinical utility, implementation challenges, and future directions.</p>","PeriodicalId":45914,"journal":{"name":"Acta Dermatovenerologica Alpina Pannonica et Adriatica","volume":"35 3","pages":"201-205"},"PeriodicalIF":1.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082236","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":"Regional quantitative digital trichoscopy in female hair loss: a comparative study.","authors":"Artina Pajaziti, Besa Gacaferi","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Differentiating types of hair loss in the female population is often challenging because these conditions frequently present with overlapping clinical features, especially in early or diffuse forms of hair loss. Quantitative digital trichoscopy allows objective assessment of hair and follicular parameters and may improve diagnostic accuracy. The objective of this study was to compare regional quantitative digital trichoscopic features in female patients with androgenetic alopecia (AGA) and chronic telogen effluvium (TE) under comparable clinical conditions, and to identify parameters useful for differentiating miniaturizing from non-miniaturizing alopecia.</p><p><strong>Methods: </strong>This cross-sectional single-center study included 143 adult female patients with chronic TE (n = 74) and AGA (n = 69). Standardized digital trichoscopy was used to assess quantitative parameters in three scalp regions, followed by regional and intergroup comparisons and correlation analyses.</p><p><strong>Results: </strong>Chronic TE demonstrated preserved trichoscopic parameters across scalp regions, whereas AGA showed region-dependent miniaturization-related changes, with the strongest discriminatory pattern observed in the frontal scalp.</p><p><strong>Conclusions: </strong>Regional quantitative digital trichoscopy allows differentiation between common causes of female hair loss, particularly through frontal scalp assessment.</p>","PeriodicalId":45914,"journal":{"name":"Acta Dermatovenerologica Alpina Pannonica et Adriatica","volume":"35 3","pages":"147-151"},"PeriodicalIF":1.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082342","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}
Nika Jutraž, Katja Perdan Pirkmajer, Bor Hrvatin Stančič
{"title":"Amyopathic dermatomyositis presenting as severe alopecia and prominent eyelid edema: a case report and literature review.","authors":"Nika Jutraž, Katja Perdan Pirkmajer, Bor Hrvatin Stančič","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Amyopathic dermatomyositis (AD) is an autoimmune connective tissue disease of uncertain etiology that comprises 20% to 30% of dermatomyositis patients. Multiple studies suggest an association between malignancies and AD; moreover, some also report fulminant lung disease in patients with AD. We present a 62-year-old female patient with severe clinical presentation of AD, characterized by diffuse severe alopecia and pronounced symmetrical livid edema of the upper and lower eyelid, and positive anti-melanoma differentiation-associated gene 5 (anti-MDA-5) antibodies, who was successfully treated with concurrent therapy with hydroxychloroquine, methylprednisolone, and methotrexate as well as topical corticosteroids. Underlying malignancies or lung disease were excluded. Furthermore, we recommend vigilance in the key differential diagnosis of cutaneous lupus erythematosus because they can both present with similar clinical and histopathological features. The remission correlated with the complete absence of anti-MDA-5 antibodies.</p>","PeriodicalId":45914,"journal":{"name":"Acta Dermatovenerologica Alpina Pannonica et Adriatica","volume":" ","pages":"213-218"},"PeriodicalIF":1.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785147","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":"Association between intestinal fatty acid-binding protein and acne severity: evidence for gut barrier dysfunction in acne vulgaris.","authors":"Gülhan Aksoy Saraç, Burak Celik, Merve Kaya, Andaç Uzdoğan, Akın Aktaş","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Acne vulgaris is a common inflammatory dermatosis with a multifactorial pathogenesis. Recent research suggests that alterations in the gut-skin axis and impaired intestinal barrier function may contribute to acne pathogenesis; however, direct evaluation of gut barrier integrity in acne patients remains limited. The objective of this study was to assess intestinal barrier integrity in patients with acne vulgaris by measuring serum intestinal fatty acid-binding protein (I-FABP) levels and to evaluate the association between I-FABP levels and acne severity.</p><p><strong>Methods: </strong>This single-center, prospective case-control study included 77 patients with acne vulgaris and 77 age- and sex-matched controls without acne. Acne severity was assessed using the Global Acne Grading System. Serum I-FABP levels were measured using an enzyme-linked immunosorbent assay.</p><p><strong>Results: </strong>Median serum I-FABP levels were significantly higher in patients with acne vulgaris than in controls (32.03 [7-107] pg/ml vs. 22.81 [12-189] pg/ml, p = 0.002). I-FABP levels differed significantly across acne severity grades (p < 0.001), with progressively higher levels observed from mild to very severe acne. A strong positive correlation was identified between acne severity and serum I-FABP levels (Spearman r = 0.797, p < 0.001). No significant association was found between I-FABP levels and body mass index.</p><p><strong>Conclusions: </strong>Serum I-FABP levels are significantly elevated in patients with acne vulgaris and correlate strongly with disease severity. These findings support the hypothesis that impaired intestinal barrier function may contribute to both the development and progression of acne vulgaris, highlighting the potential role of the gut-skin axis in acne pathogenesis.</p>","PeriodicalId":45914,"journal":{"name":"Acta Dermatovenerologica Alpina Pannonica et Adriatica","volume":"35 2","pages":"73-76"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165031","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}
Gulhan Gurel, Mujgan Ercan, Sefa Celik, Rumeysa Cinar, Serkan Sen
{"title":"Evaluation of the effects of cinobufagin on G361 melanoma cells and a comparison with paclitaxel.","authors":"Gulhan Gurel, Mujgan Ercan, Sefa Celik, Rumeysa Cinar, Serkan Sen","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>The pathophysiology of melanoma is considerably complex. Wnt signaling via the β-catenin / transcription factor 7-like 2 / lymphoid enhancer-binding factor 1 (LEF1) complex, microphthalmia-associated transcription factor, tyrosinase-related protein-2, tyrosinase, and cyclin-dependent kinase 2 are reported to activate the transcriptional gene expression associated with pigmentation and the differentiation and proliferation of melanocytes and malignant melanoma cells. Cinobufagin, a common active ingredient in traditional Chinese medicine, has been approved in China as a chemotherapeutic agent for the treatment of liver and prostate cancer. The primary aim of this study is to evaluate the effects of cinobufagin, paclitaxel, and their combination (cinobufagin/paclitaxel) on melanoma cells, both individually and in combination, in the G361 melanoma cell line.</p><p><strong>Methods: </strong>Within the study, half maximal inhibitory concentration doses were determined based on the [3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide] assay, caspase-3 levels were measured using an enzyme-linked immunosorbent assay method, and mRNA expression levels were analyzed using RT-PCR.</p><p><strong>Results: </strong>The use of cinobufagin/paclitaxel was found to increase caspase-3 levels by more than the use of cinobufagin alone; moreover, cinobufagin treatment decreased the expression of the β-catenin, c-myc, and cyclin D1 genes, whereas cinobufagin/paclitaxel was found to increase the mRNA expression of all genes considered (Bax, caspase-3, Bcl2, β-catenin, c-myc, Wnt, and cyclin D1).</p><p><strong>Conclusions: </strong>Cinobufagin can therefore be considered a promising natural pharmaceutical agent for the targeted treatment of cancers with high levels of LEF1.</p>","PeriodicalId":45914,"journal":{"name":"Acta Dermatovenerologica Alpina Pannonica et Adriatica","volume":"35 2","pages":"85-90"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165004","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":"Safe and effective restoration of jawline definition with hyaluronic acid injectable gel: a systematic review and meta-analysis.","authors":"Amir Hashemloo, Maryam Milanifard","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A well-defined jawline is an important aspect of facial aesthetics, contributing to overall appearance. This feature is particularly sought after by individuals, especially older adults, who are interested in enhancing their facial contours. This systematic review and meta-analysis evaluates safety and effectiveness following use of VYC-25L, a hyaluronic acid-based injectable gel, for restoration of jawline definition. VYC-25L is a soft tissue filler designed to add volume, lift, and contour to the jawline area, providing a non-surgical solution for improving facial aesthetics. This meta-analysis included two randomized controlled trials and three cohort studies of international databases-PubMed, EMBASE, Web of Science, and Cochrane Library-from January 2015 to May 2025, using keywords aligned with the study objective. The VYC-25L group had significantly higher responder rates on the Allergan Loss of Jawline Definition Scale (ALJDS) compared to the control group (71%; p < 0.001; 95% confidence interval [CI] [48%, 94%]). The most common event was swelling (effect size [ES]: 81%; 95% CI [69%, 92%]), lumps/bumps (ES: 83%; 95% CI [66%, 99%]), pain after injection (ES: 79%; 95% CI [62%, 96%]), and tenderness to touch (ES: 76%; 95% CI [61%, 92%]). In summary, VYC-25L appears to be an effective treatment for jawline definition, with a predictable adverse event profile.</p>","PeriodicalId":45914,"journal":{"name":"Acta Dermatovenerologica Alpina Pannonica et Adriatica","volume":"35 2","pages":"93-98"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165013","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":"Types of phacomatosis pigmentovascularis associated with nevus cesius.","authors":"Daniele Torchia","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Phacomatosis pigmentovascularis (PPV) is a term encompassing a group of disorders characterized by the coexistence of segmental pigmented nevi of melanocytic origin and segmental capillary nevi. Several variants are characterized by a hallmark nevus cesius. Systematic reviews on the topic are lacking. An extensive review and critical reassessment of worldwide literature was carried out. A total of 435, 17, 19, and 17 cases of phacomatosis cesioflammea, phacomatosis cesiomarmorata, phacomatosis cesioflammeomarmorata, and phacomatosis melanocesioflammea, respectively, were identified. Specific clinical manifestations emerged for each variant. Postzygotic mosaic mutations affecting the GNAQ or GNA11 genes have been identified for all these entities. Four cases of nevus cesius associated with nevus anemicus (NA) were also retrieved. Phacomatosis cesioflammea is confirmed to be the most common PPV type by far. Its extracutaneous manifestations mostly consist of Sturge-Weber-Klippel-Trénaunay syndrome-like abnormalities, and ocular melanoma is a rare but relevant occurrence. The clinical associations of phacomatosis cesioflammeomarmorata mostly seem to result from the presence of cutis marmorata telangiectatica congenita. Phacomatosis cesioflammeomarmorata seems to resemble phacomatosis cesioflammea in several respects. A high frequency of NA and the Klippel-Trénaunay phenotype (or leg-length discrepancy) was observed in phacomatosis melanocesioflammea. The existence of \"pseudodidymosis cesioanemica\" is also corroborated.</p>","PeriodicalId":45914,"journal":{"name":"Acta Dermatovenerologica Alpina Pannonica et Adriatica","volume":"35 2","pages":"113-120"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148164994","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}
Klemen Lovšin, Ana Plesničar, Romi Cencelj-Arnež, Alenka Matjašič, Boštjan Luzar
{"title":"Giant cutaneous melanoma presenting with hemorrhagic complications.","authors":"Klemen Lovšin, Ana Plesničar, Romi Cencelj-Arnež, Alenka Matjašič, Boštjan Luzar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Giant cutaneous melanoma is a rare presentation characterized by significant morbidity and mortality. We report the case of a 45-year-old male presenting with an acute life-threatening hemorrhage from a giant melanoma on his right thigh. The tumor, measuring 90 × 50 × 85 mm, was immediately excised under local anesthesia to achieve hemostasis. The patient exhibited acute anemia and required postoperative blood transfusion. Histopathological analysis confirmed superficial spreading melanoma with a Breslow thickness of 85.0 mm and extensive ulceration. Genetic testing identified critical mutations, including BRAFV600D and alterations involving the ARID2, CDKN2A/B, AKT3, PTEN, and HRAS genes. Remarkably, no metastatic disease was detected upon thorough diagnostic evaluation. The patient received adjuvant immunotherapy with programmed cell death-1 inhibitors. Six months after the procedure, he remains free of metastasis. This case underscores the urgent need for timely recognition and intervention in giant melanoma with acute complications. It also highlights the effectiveness of modern adjuvant therapies in improving prognosis.</p>","PeriodicalId":45914,"journal":{"name":"Acta Dermatovenerologica Alpina Pannonica et Adriatica","volume":" ","pages":"129-132"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146182996","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}