J Lorca-Spröhnle, A Casanova-Esquembre, C Labrandero-Hoyos, A Pérez-Ferriols
{"title":"Pyoderma Gangrenosum and Systemic Lupus Erythematosus: An Uncommon Association.","authors":"J Lorca-Spröhnle, A Casanova-Esquembre, C Labrandero-Hoyos, A Pérez-Ferriols","doi":"10.1016/j.ad.2024.02.044","DOIUrl":"10.1016/j.ad.2024.02.044","url":null,"abstract":"","PeriodicalId":7173,"journal":{"name":"Actas dermo-sifiliograficas","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144574629","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":"Patient with neuropathic ulcers and morphea treated with apremilast.","authors":"L M Guzmán, J Montero, C Gutiérrez, C Postigo","doi":"10.1016/j.ad.2024.02.045","DOIUrl":"10.1016/j.ad.2024.02.045","url":null,"abstract":"","PeriodicalId":7173,"journal":{"name":"Actas dermo-sifiliograficas","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144574628","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}
M Claudia Matei, T Gracia-Cazaña, M Almenara Blasco, L Bernal Masferrer, Y Gilaberte
{"title":"DNA Repair Enzymes for Actinic Keratoses and Keratinocyte Cancer: A Systematic Review of Treatment and Prevention Utility.","authors":"M Claudia Matei, T Gracia-Cazaña, M Almenara Blasco, L Bernal Masferrer, Y Gilaberte","doi":"10.1016/j.ad.2025.03.032","DOIUrl":"10.1016/j.ad.2025.03.032","url":null,"abstract":"<p><p>The difficulty of traditional photoprotectors in preventing actinic keratoses (AK) and keratinocyte skin cancer has led to research into new photoprotection measures. DNA repair enzymes are compounds that aim to increase the repair of DNA damaged by UV radiation and thus reduce the risk of carcinogenesis.We conducted a systematic review on the use of DNA repair enzymes in the prevention and treatment of precancerous and cancerous skin conditions in full compliance with the PRISMA guidelines, including studies published from 2000 through 2024.A total of 486 articles were identified, 20 of which 20 were included: 9 randomized clinical trials and 11 quasi-experimental trials. A total of 8 studies focused on photolyase, 6 on endonuclease, and 6 on combinations of different DNA repair enzymes.DNA repair enzymes reduce DNA damage and prevent skin cancer, especially when combined with each other as well as with traditional photoprotectors and other substances such as antioxidants. The heterogeneity of the studies limits the ability to draw definitive conclusions.</p>","PeriodicalId":7173,"journal":{"name":"Actas dermo-sifiliograficas","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144566978","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}
J Arroyo-Andrés, A Gotor Rivera, B Díaz-Benito, A Moraga, I Lizasoain Hernández, R Rivera-Díaz
{"title":"Neutrophil Extracellular Trap (NET) Markers in Psoriasis: Linking with Disease Severity and Comorbidities.","authors":"J Arroyo-Andrés, A Gotor Rivera, B Díaz-Benito, A Moraga, I Lizasoain Hernández, R Rivera-Díaz","doi":"10.1016/j.ad.2024.10.076","DOIUrl":"10.1016/j.ad.2024.10.076","url":null,"abstract":"<p><p>Psoriatic patients have shown higher levels of neutrophil extracellular traps (NETs) vs healthy controls. Psoriasis is often associated with other comorbidities such as cardiovascular disease. An increase in indirect markers of NETs has been found in patients with increased cardiovascular events in patients without psoriasis.We conducted a prospective observational study with psoriatic patients. A total of 39 of patients were included. Myeloperoxidase, neutrophil elastase and double-stranded DNA were significantly higher in patients with severe-to-moderate vs mild psoriasis. Myeloperoxidase was also significantly higher in patients of moderate high vs low cardiovascular risk (p = .01) in patients with mild psoriasis. Patients with psoriatic arthritis show higher myeloperoxidase levels higher vs those without arthritis (p = .048). Myeloperoxidase was also significantly correlated (p = .0375) with the patients' BMI.The detection of NETs through indirect markers (Myeloperoxidase, neutrophil elastase and double-stranded DNA) is associated with the severity of psoriasis. In addition, myeloperoxidase can be useful in psoriatic patients as biomarkers of comorbidities.</p>","PeriodicalId":7173,"journal":{"name":"Actas dermo-sifiliograficas","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144566980","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":"Designing and Validating a Questionnaire on Photoprotection in Children and Families.","authors":"J E Muñoz Negro, A Cabrera-León, A Buendía Eisman","doi":"10.1016/j.ad.2024.10.080","DOIUrl":"10.1016/j.ad.2024.10.080","url":null,"abstract":"<p><strong>Background and objective: </strong>Primary prevention is the only way to reduce the incidence rate of skin cancer. With this objective, we designed and evaluated the questionnaire's feasibility, validity, and reproducibility on photoprotective behaviors and their associated variables in the child population and their families.</p><p><strong>Material and methods: </strong>After reviewing the literature, a group of experts drafted the first questionnaire, analyzing its logical and content validity in 109 participants. A new questionnaire was obtained from this analysis, examining its internal validity through factor analysis and internal consistency (n = 98). Finally, reproducibility was determined in 32 participants who had previously answered the questionnaire.</p><p><strong>Results: </strong>Our questionnaire was easy or very easy for 75% of the study population (mean time, 12 minutes). The following 4 factors were obtained for parents (total explained variance = 61.7%): \"photoprotection of fathers and mothers\"; \"personal vulnerability to sun exposure\"; \"information received on photoprotection and healthy lifestyle habits,\" and \"sun exposure schedule\". For children, a total of 4 factors were also obtained (variance = 61.3%): \"perceived vulnerability and sun protection behavior\"; \"barriers to sun protection\"; \"other barriers\"; and \"beliefs of mothers and fathers and sunburns in their children\". On the other hand, significant changes were only observed in 5 questions. The results of each fieldwork produced improved versions of the questionnaire until its final version was obtained.</p><p><strong>Conclusion: </strong>The questionnaire was a viable, valid, and reproducible instrument to measure sun protection behavior in children and their families.</p>","PeriodicalId":7173,"journal":{"name":"Actas dermo-sifiliograficas","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144566977","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":"Chronic pruritus of unknown origin: a therapeutic approach.","authors":"A Vidal Ruiz, T Ojeda-Vila, D Moreno-Ramírez","doi":"10.1016/j.ad.2024.10.079","DOIUrl":"10.1016/j.ad.2024.10.079","url":null,"abstract":"<p><p>Chronic pruritus of unknown origin (CPUO) is defined as itching lasting over 6 weeks without an identifiable medical cause. This condition significantly impairs patients' quality of life and carries a substantial psychosocial burden, often requiring systemic treatment and contributing to a considerable health care load. Managing CPUO is challenging due to its varied clinical presentations, unpredictable treatment responses, and unknown underlying mechanisms. Furthermore, there's limited scientific evidence supporting most current treatments. This review offers a practical diagnostic and therapeutic approach for CPUO patients, drawing from the latest expert recommendations and literature consensus.</p>","PeriodicalId":7173,"journal":{"name":"Actas dermo-sifiliograficas","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144566976","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}
E de la Rosa-Fernández, P Llansó-Florentí, P Laynez-Roldán, S Garrido-Ríos, J González-Rodríguez, E Benítez-García, I Loizate-Sarrionandia, R Fernández-de-Misa Cabrera
{"title":"The Reality of Migration by Patera Boats: Morbidity and Dermatological Injuries.","authors":"E de la Rosa-Fernández, P Llansó-Florentí, P Laynez-Roldán, S Garrido-Ríos, J González-Rodríguez, E Benítez-García, I Loizate-Sarrionandia, R Fernández-de-Misa Cabrera","doi":"10.1016/j.ad.2024.10.075","DOIUrl":"10.1016/j.ad.2024.10.075","url":null,"abstract":"<p><strong>Background and objectives: </strong>The Canary Islands (Spain) serve as the entry point to the EU for thousands of people each year, many of whom arrive by sea in small boats known as \"pateras.\" The extreme conditions of the journey often result in complex clinical presentations upon arrival.</p><p><strong>Objective: </strong>To evaluate the characteristics of patients admitted to a tertiary referral center after a journey in a patera boat.</p><p><strong>Materials and methods: </strong>We conducted a retrospective cross-sectional observational study including migrant patients after a journey in a patera boat who required admission to CHUNSC during 2023. The study evaluates the care pathway and the patients' epidemiological, clinical, and evolutionary characteristics.</p><p><strong>Results: </strong>A total of 484 patients were treated in the emergency department. A total of 93 (19.2%) required admission, the mean age was 23 years old, and 85 (91.4%) were men. The mean length of stay was 29 days. A total of 22 patients (23.6%) were admitted to the ICU for a mean 7.6 days. The most common clinical conditions upon admission were anemia (73.1%) and rhabdomyolysis (62.5%). A total of 76 patients exhibited skin lesions (81.7%), predominantly on the legs (68.4%), feet (67.1%), and buttocks and sacrum (56.6%). A total of 36 (38.7%) underwent surgery; debridement of skin necrosis was performed in 22, skin grafts in 21, and amputations in 12. A total of 35 positive cultures were obtained, with S. aureus, P. aeruginosa, and S. algae being the most frequently isolated pathogens.</p><p><strong>Conclusions: </strong>The extreme conditions of the journey in a patera lead to complex and severe clinical scenarios, with skin and soft tissue lesions often determining the prognosis. Therefore, it is essential to adequately manage these conditions and any associated comorbidities.</p>","PeriodicalId":7173,"journal":{"name":"Actas dermo-sifiliograficas","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144566983","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":"Bicalutamide Mesotherapy: A Novel Alternative for Androgenetic Alopecia.","authors":"C F Caballero-Linares, F J Rodríguez-Cuadrado","doi":"10.1016/j.ad.2024.10.078","DOIUrl":"10.1016/j.ad.2024.10.078","url":null,"abstract":"","PeriodicalId":7173,"journal":{"name":"Actas dermo-sifiliograficas","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144566975","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}
L Bascón Rodríguez, M E Iglesias Zamora, F J de León Marrero, L Turrión-Merino, A Tejera-Vaquerizo, P J Navarro-Guillamón, P Rodríguez-Jiménez, E Rodríguez Lomba, F Russo de la Torre, I García-Doval, A Guilabert Vidal, J Romaní de Gabriel
{"title":"New Horizons for the Puzzle Flap: A Multicenter Review of 35 Cases.","authors":"L Bascón Rodríguez, M E Iglesias Zamora, F J de León Marrero, L Turrión-Merino, A Tejera-Vaquerizo, P J Navarro-Guillamón, P Rodríguez-Jiménez, E Rodríguez Lomba, F Russo de la Torre, I García-Doval, A Guilabert Vidal, J Romaní de Gabriel","doi":"10.1016/j.ad.2024.10.074","DOIUrl":"10.1016/j.ad.2024.10.074","url":null,"abstract":"<p><strong>Introduction: </strong>The advancement flap known as the puzzle flap was first introduced by Goldberg et al. in 2005 as an alternative for small defects on the nasal ala. Although initially designed for this area, its application has been extended to other facial locations, such as the melolabial fold, auricular tragus and temple, with satisfactory aesthetic results.</p><p><strong>Material and methods: </strong>The present retrospective study analyzed a total of 35 cases of puzzle flaps performed by dermatologists across Spain using the multicenter case collection platform known as CLINI-AEDV.</p><p><strong>Results: </strong>Most patients were women, with a mean age of 70 years. Basal cell carcinoma was the most common histological diagnosis. The most common tumor location was the nasal tip with 14 cases being reported out of 35, followed by other areas such as the nasal wing, the nasolabial fold and the retroauricular fold. Most cases, around 90%, did not exhibit immediate or late complications, with the trapdoor effect standing out as the most common complication among the rare ones. There were no recurrences of the excised lesions at the follow-up.</p><p><strong>Discussion: </strong>This study highlights the usefulness of puzzle flap in the reconstruction of facial defects, especially in the nasal tip and adjacent areas, as well as its successful application in other less common facial locations. Its low complication rate and absence of recurrences suggest that this technique can be considered a valid option in the surgical arsenal of every dermatologist for the reconstruction of facial skin defects.</p>","PeriodicalId":7173,"journal":{"name":"Actas dermo-sifiliograficas","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144566981","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}
F Allegue, Ander Zulaica, M A Pastor-Nieto, I Ballester-Nortes, V Fernández-Tapia, M E Parera-Amer, I García-Doval
{"title":"Erythema Papulatum Centrifugum: A Clinically Distinct Dermatosis. CLINI-AEDV Case Series.","authors":"F Allegue, Ander Zulaica, M A Pastor-Nieto, I Ballester-Nortes, V Fernández-Tapia, M E Parera-Amer, I García-Doval","doi":"10.1016/j.ad.2024.10.077","DOIUrl":"10.1016/j.ad.2024.10.077","url":null,"abstract":"<p><p>Erythema papulatum centrifugum is a rare condition marked by a centrifugally growing border dotted with small papules and a relapsing course, often worse in spring and summer. There aren't any specific diagnostic tests to confirm it. This study analyzes the clinical characteristics of seven cases, representing the largest series of non-Oriental patients to date. Our findings confirm the pruritic and seasonally relapsing nature of this condition. Lesions are typically few, primarily located on the trunk, and generally exceed 5 cm in diameter. Interestingly, in one patient, two outbreaks correlated temporally with the COVID-19 vaccine. In two other cases, the condition was linked to hematological malignancies: multiple myeloma and Hodgkin lymphoma. These observations, along with other neoplasm-associated cases reported in the literature, suggest that this entity might function as a paraneoplastic syndrome.</p>","PeriodicalId":7173,"journal":{"name":"Actas dermo-sifiliograficas","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144566979","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}