International Journal of Women''s Dermatology最新文献

{"title":"Considerations and recommendations on camouflage in alopecia in Black women.","authors":"Marta Taye, Nourine Ahmed Kamili, Crystal Aguh, Loren D Krueger","doi":"10.1097/JW9.0000000000000111","DOIUrl":"10.1097/JW9.0000000000000111","url":null,"abstract":"<p><p>Alopecia is among the leading dermatological concerns affecting Black women. For many women, hair is a central component of identity and self-expression, the loss of which can have significant psychosocial effects. Hair camouflage is often utilized to minimize the visibility of hair loss, provide aesthetic benefits, and improve quality of life. The versatility and affordability of hair camouflage allows patients with alopecia to conceal hair loss, increasing self-confidence, and decreasing social stigma. However, hair camouflage practices often involve adhesives, chemicals, and/or high-tension braiding, all of which can exacerbate alopecia. Accordingly, special considerations should be made to protect patients' natural hair from damage while using these styling practices. A better understanding of best practices for some of the most widely used camouflage options-wigs, extensions, topical hair fibers, and micropigmentation-can help clinicians establish rapport with Black women and optimize individually-tailored therapeutic plans during active treatment and end-stage hair loss.</p>","PeriodicalId":53478,"journal":{"name":"International Journal of Women''s Dermatology","volume":"9 3","pages":"e111"},"PeriodicalIF":0.0,"publicationDate":"2023-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/59/44/jw9-9-e111.PMC10550043.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41157225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk factors and comorbidities associated with central centrifugal cicatricial alopecia.","authors":"Maxwell Green,&nbsp;Aileen Feschuk,&nbsp;Manuel Valdebran","doi":"10.1097/JW9.0000000000000108","DOIUrl":"10.1097/JW9.0000000000000108","url":null,"abstract":"<p><p>Central centrifugal cicatricial alopecia (CCCA) is the most common form of scarring alopecia that most often affects Black women. The disease typically begins with hair loss in the center scalp, which progresses in a centripetal fashion. Both environmental insult and genetics have been implicated in CCCA etiology, although the exact pathophysiology remains unknown. Nevertheless, it is important that providers feel comfortable educating their patients on risk factors (RFs) for the development or worsening of CCCA, and potential comorbidities associated with the condition. Thus, the goal of this review was to summarize these factors. A comprehensive literature search was performed, and studies were included if they reported research on RFs for or comorbidities associated with, CCCA. A total of 15 studies were included: <i>n</i> = 5 researching RFs for CCCA and <i>n</i> = 10 researching comorbidities associated with CCCA. There was an association suggesting an increased risk of CCCA with traction hairstyles in <i>n</i> = 2/3 studies, previous pregnancies in <i>n</i> = 1/1 studies, and use of chemical hair relaxers in <i>n</i> = 1/3 studies. Additionally, age and total years of hair loss were associated with increased CCCA severity in <i>n</i> = 2/2 studies. Type 2 diabetes was positively associated with CCCA in <i>n</i> = 3/5 studies, uterine leiomyomas in <i>n</i> = 1/2 studies, hyperlipidemia in <i>n</i> = 1/2 studies, and vitamin D deficiency in <i>n</i> = 1/1 studies. Conflicting results regarding RFs and comorbidities associated with CCCA exist within the literature. Thus, further investigation in larger cohorts must be done, and future research into genes implicated in CCCA and their potential role in the development of other diseases is recommended.</p>","PeriodicalId":53478,"journal":{"name":"International Journal of Women''s Dermatology","volume":"9 3","pages":"e108"},"PeriodicalIF":0.0,"publicationDate":"2023-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b8/f5/jw9-9-e108.PMC10513237.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41174289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Religious headwear and alopecia: considerations for dermatologists.","authors":"Lina Alhanshali,&nbsp;Michael G Buontempo,&nbsp;Fatima Bawany,&nbsp;Prince Adotama,&nbsp;Jerry Shapiro,&nbsp;Kristen Lo Sicco","doi":"10.1097/JW9.0000000000000107","DOIUrl":"10.1097/JW9.0000000000000107","url":null,"abstract":"An estimated 84% of the global population identifies with a religious group.1 Wearing religious headwear has been associated with alopecia, most notably traction alopecia (Fig. 1). Traction alopecia can result from how the headwear is secured and styled, or other practices that may lead to tension on the hair and scalp. Individuals with alopecia who observe religious head coverings may struggle to conform to practices regarding headwear styling. As this topic is scarcely reported in the scientific literature, the authors relied on their personal experiences and expertise in treating hair and scalp disorders to provide recommendations for mitigating alopecia risk. Although no published clinical study directly implicates religious headwear in alopecia presentation, there is a strong discourse on headwear and hair loss. For example, Shareef et al.2 analyzed self-reported hijab-related alopecia content on YouTube and found 27 videos with a total of 17,158,078 views. Traction is a likely contributor to hijab-related alopecia, owing to the consistent and tight wrapping of the hijab around the head and hair, which can lead to continuous pull on the hair roots. This is a particularly important consideration for certain subgroups, such as women with afro-textured hair who have fewer elastic fibers attaching hair follicles to the dermis compared to Caucasians.3 In the Jewish tradition, wigs, known as sheitels, worn by Orthodox women may cause traction alopecia if they create tension on the scalp, particularly from wig attachment techniques. Wig placement often requires natural hair to be styled in a sleek, compact manner, promoting tight hair styling techniques such as buns and braids that can lead to alopecia. A case series on dermatologic considerations in ultra-Orthodox Jews reported a woman who presented with an alopecic patch in the frontal scalp where the sheitel clip was consistently placed.4 Hair regrew in the region after the patient transitioned to a clipless wig. Similarly, a study of 37 men with localized alopecic patches in the region of the pins used to secure their kippah showed that 58.8% of the patients who changed to a different type of pin fastener exhibited hair regrowth.5 Traction alopecia related to the turban or dastar, worn by Sikh men, has been reported in the scientific literature and is referred to as turban alopecia.1 This condition results from the tension caused by hairstyling and/or headwear styling. Sikh men generally style the hair in a bun or knot that is wrapped tightly with a cloth or scarf around the head. Tension can result from the bun itself, or from the turban being worn too tightly. The Rastafarian tradition encourages the growth of dreadlocks, which are considered a symbol of the Lion of Judah and a mark of African identity. The risk of traction alopecia can be influenced by the weight and length of dreadlocks as well as the tightness with which they are tied or wrapped under a headwrap. Recommendations for preven","PeriodicalId":53478,"journal":{"name":"International Journal of Women''s Dermatology","volume":"9 3","pages":"e107"},"PeriodicalIF":0.0,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10482083/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10559804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dermatologic care of patients with differences of sex development.","authors":"Sarah Gold,&nbsp;Christina Huang,&nbsp;Rakan Radi,&nbsp;Pranav Gupta,&nbsp;Eric I Felner,&nbsp;Jeehea Sonya Haw,&nbsp;Krista Childress,&nbsp;Nancy Sokkary,&nbsp;Vin Tangpricha,&nbsp;Michael Goodman,&nbsp;Howa Yeung","doi":"10.1097/JW9.0000000000000106","DOIUrl":"10.1097/JW9.0000000000000106","url":null,"abstract":"<p><strong>Background: </strong>Differences of sex development (DSD or disorders of sex development) are uncommon congenital conditions, characterized by atypical development of chromosomal, gonadal, or anatomic sex.</p><p><strong>Objective: </strong>Dermatologic care is an important component of the multidisciplinary care needed for individuals with DSD. This article discusses the most common primary dermatologic manifestations of DSD in addition to the cutaneous manifestations of hormonal and surgical therapies in individuals with DSD.</p><p><strong>Data sources: </strong>Published articles including case series and case reports on PubMed.</p><p><strong>Study selections: </strong>Selection was conducted by examining existing literature with a team of multidisciplinary specialists.</p><p><strong>Methods: </strong>Narrative review.</p><p><strong>Limitations: </strong>This article was not conducted as a systematic review.</p><p><strong>Results: </strong>In Klinefelter syndrome, refractory leg ulcers and incontinentia pigmenti have been described. Turner syndrome is associated with lymphatic malformations, halo nevi, dermatitis, and psoriasis. Virilization can be seen in some forms of congenital adrenal hyperplasia, where acne and hirsutism are common.</p><p><strong>Conclusion: </strong>Dermatologists should consider teratogenic risk for treatments of skin conditions in DSD depending on pregnancy potential. Testosterone replacement, commonly used for Klinefelter syndrome, androgen insensitivity syndrome, 5-alpha reductase deficiency, gonadal dysgenesis, or ovotesticular DSD, may cause acne.</p>","PeriodicalId":53478,"journal":{"name":"International Journal of Women''s Dermatology","volume":"9 3","pages":"e106"},"PeriodicalIF":0.0,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10473340/pdf/jw9-9-e106.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10522974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Skin tone representation in dermatologic direct-to-consumer advertisements: a cross-sectional analysis and call to action.","authors":"Chidubem A V Okeke,&nbsp;Joseph Tran,&nbsp;Ixavion Wright,&nbsp;Ginette A Okoye,&nbsp;Cheryl M Burgess,&nbsp;Angel S Byrd","doi":"10.1097/JW9.0000000000000101","DOIUrl":"https://doi.org/10.1097/JW9.0000000000000101","url":null,"abstract":"<p><strong>Background: </strong>Direct-to-consumer advertisements (DTCAs) in medical marketing serve as a prominent modality to deliver information to an increasingly diverse audience of consumers and increase prescription sales. In dermatology, advertisements have the potential to shape the public's opinions, aid in the understanding of skin conditions, and raise awareness of available treatments.</p><p><strong>Objective: </strong>To investigate and characterize the representation of skin tones in DTCAs.</p><p><strong>Methods: </strong>Nielsen ratings were utilized to identify the networks most watched by Black viewers in 2022. Programming on NBCUniversal, ABC, CBS, and FOX that aired in the District of Columbia, suburban Maryland, and Northern Virginia from June 2022 to July 2022 was reviewed for DTCAs. DTCAs were then analyzed to determine the skin tones of models and skin conditions depicted on models with darkly pigmented skin.</p><p><strong>Results: </strong>Of the 106 DTCAs related to dermatologic conditions, there were 13 unique advertisements featuring 32 unique models. Four advertisements depicted the skin condition on darkly pigmented skin tones. Using the Monk Skin Tone (MST) scale to assess the 32 unique individuals, only 25% (<i>n</i> = 8) were rated at an MST 7 or above, and 6.25% (<i>n</i> = 2) were rated at an MST 10.</p><p><strong>Limitations: </strong>This study has the limitation of only sampling DTCAs from Washington, District of Columbia which does not fully represent all dermatology-related DTCAs in the United States.</p><p><strong>Conclusion: </strong>Results of this content analysis demonstrate that the number of persons of color within dermatologic DTCAs is 23%, whereas there are 13.6% Black individuals in the 2021 US census. This suggests that DTCAs are becoming more diverse since 2018. However, findings also show that the vast majority of DTCAs do not include models with darkly pigmented skin, and there remains a lack of advertisements depicting skin disease among people of color. Given the role of DTCAs in informing and aiding patients' requests for prescription drugs, representation of all skin tones is essential for this communication to be effective, especially in the field of dermatology.</p>","PeriodicalId":53478,"journal":{"name":"International Journal of Women''s Dermatology","volume":"9 3","pages":"e101"},"PeriodicalIF":0.0,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10584291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49684934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Skincare from the inside out: a pilot project addressing social determinants of health through dermatology.","authors":"Kelly M Kimball,&nbsp;Rachael A Cowan,&nbsp;Rachel Krevh,&nbsp;Adrianna Nicholson,&nbsp;Payas Shah,&nbsp;Shreya Gurumurthy,&nbsp;Jacqueline Graham","doi":"10.1097/JW9.0000000000000094","DOIUrl":"10.1097/JW9.0000000000000094","url":null,"abstract":"<p><strong>Background: </strong>Many women's shelters across the nation have programs that emphasize and empower women through career workshops and skills training. However, what is not typically addressed is their dermatological and mental health needs, which are equally important.</p><p><strong>Objective: </strong>Through this pilot project, we aim to address the diverse interrelated issues concerning the whole woman and her body/mind systems including skin cancer awareness, skincare, healthy sun habits, self-esteem, mental health, and stress management. By addressing the woman holistically, we hope to positively impact the way she views and values herself.</p><p><strong>Methods: </strong>We partnered with a local women's shelter to host a seminar focused on dermatological and mental health education. Pre- and post-seminar surveys were collected from participants. Surveys were anonymous and aimed to evaluate the success and efficiency of the workshop to guide and improve future seminars. The seminar had three workshops: skin cancer and sun protection, skincare, and mental health and wellness. Upon completion of the seminar, the attendees were provided with the opportunity to receive free skin examinations by two board-certified dermatologists, and referrals were made to Northeast Ohio Medical University's Student-Run Free Clinic. Upon completion of the seminar, attendees were provided with items such as sunscreen, skincare, and mental health resources.</p><p><strong>Results: </strong>The \"Skincare from the Inside Out\" pilot project proved to be beneficial to residents of both Norma Herr Women's Shelter.</p><p><strong>Limitations: </strong>Limitations of this study were the small sample size (n = 15), due to participation limitations during the COVID-19 pandemic.</p><p><strong>Conclusion: </strong>Ultimately, to reduce the morbidity and mortality of dermatologic conditions associated with homelessness, it is imperative to address upstream social determinants of health. Future development of this pilot project will aim toward educating medical professionals on the unique and complex dermatologic and mental health needs of women experiencing homelessness.</p>","PeriodicalId":53478,"journal":{"name":"International Journal of Women''s Dermatology","volume":"9 3","pages":"e094"},"PeriodicalIF":0.0,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/77/7e/jw9-9-e094.PMC10424894.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10015604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Central centrifugal cicatricial alopecia and the impact of wig prosthesis on patient quality of life: a case report with medical insurance appeal letter.","authors":"Janelle Chan,&nbsp;Jennifer L Coias,&nbsp;Saranya P Wyles","doi":"10.1097/JW9.0000000000000102","DOIUrl":"10.1097/JW9.0000000000000102","url":null,"abstract":"","PeriodicalId":53478,"journal":{"name":"International Journal of Women''s Dermatology","volume":"9 3","pages":"e102"},"PeriodicalIF":0.0,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/39/6f/jw9-9-e102.PMC10414690.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9999208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The dermatologists' case for the bidet.","authors":"Yoseph Dalia,&nbsp;Hebah Al Khateeb,&nbsp;Tejesh Patel","doi":"10.1097/JW9.0000000000000103","DOIUrl":"10.1097/JW9.0000000000000103","url":null,"abstract":"","PeriodicalId":53478,"journal":{"name":"International Journal of Women''s Dermatology","volume":"9 3","pages":"e103"},"PeriodicalIF":0.0,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10414710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9999210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Readability assessment of online patient education materials for central centrifugal cicatricial alopecia.","authors":"Ogechi Ezemma,&nbsp;Deega Omar,&nbsp;Jessica B Brown-Korsah,&nbsp;Jazmin Newton,&nbsp;Susan C Taylor","doi":"10.1097/JW9.0000000000000105","DOIUrl":"10.1097/JW9.0000000000000105","url":null,"abstract":"validated readability","PeriodicalId":53478,"journal":{"name":"International Journal of Women''s Dermatology","volume":"9 3","pages":"e105"},"PeriodicalIF":0.0,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f5/91/jw9-9-e105.PMC10412427.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9999207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and attitude of Lebanese women about cosmetics: a cross-sectional survey.","authors":"Bahia Chahine,&nbsp;Venise Hanna,&nbsp;Inasse Ghandour,&nbsp;Sahar Haydar,&nbsp;Lama Faddoul","doi":"10.1097/JW9.0000000000000091","DOIUrl":"10.1097/JW9.0000000000000091","url":null,"abstract":"<p><p>The Middle East and North Africa region, including Lebanon, is well known for its excessive cosmetics expenditure. While the use of beauty products is increasing, it is unclear if customers are aware of the products' safety and proper use.</p><p><strong>Objective: </strong>To explore Lebanese women's knowledge and attitudes toward cosmetics use.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from January to May 2021 among a sample of adult Lebanese women. Data were collected using an electronic questionnaire divided into 3 sections (sociodemographic characteristics, cosmetics knowledge, and attitude) and shared via social media platforms. Knowledge and attitude scores were then calculated. Descriptive and regression analysis was performed using Statistical Package for the Social Sciences. <i>P</i> value < .05 was considered statistically significant.</p><p><strong>Results: </strong>A total of 1,051 females completed the survey, and the age range of the majority 744 (70.8%) was between 18 and 20 years. The mean score of participants' knowledge was 7.54 ± 2.7 (range 0-14) with 658 (62.6%) of the respondents being knowledgeable about cosmetics. The study sample exhibited an overall positive attitude toward cosmetics. A significant association was observed between the area of residency and monthly income of respondents and their knowledge toward cosmetic products (<i>P</i> < .001).</p><p><strong>Limitations: </strong>The self-administered questionnaire may have resulted in information bias and it targeted only those having internet access, and the age group 18 to 20 years was overrepresented.</p><p><strong>Conclusion: </strong>The study sample demonstrated a good level of knowledge as well as a positive attitude toward cosmetics. However, raising awareness on the acute and chronic side effects of cosmetics is warranted.</p>","PeriodicalId":53478,"journal":{"name":"International Journal of Women''s Dermatology","volume":"9 3","pages":"e091"},"PeriodicalIF":0.0,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/53/94/jw9-9-e091.PMC10402977.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9950609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}