M Zalve-Vicedo, T Montero-Vilchez, A Buendía-Eisman, S Arias Santiago
{"title":"New treatments for adult female acne.","authors":"M Zalve-Vicedo, T Montero-Vilchez, A Buendía-Eisman, S Arias Santiago","doi":"10.1016/j.ad.2026.104703","DOIUrl":"https://doi.org/10.1016/j.ad.2026.104703","url":null,"abstract":"<p><strong>Introduction: </strong>Adult female acne is a common dermatological condition whose management is challenging because of its tendency toward chronicity, recurrence, and resistance to available treatments. The aim of this systematic review is to study the effectiveness, safety, and use profile of antiandrogenic treatments used as an alternative in women who present alterations in androgen hormones or receptors or who have a state of hyperandrogenism.</p><p><strong>Material and methods: </strong>A search was conducted in the PubMed database including all types of epidemiological studies-clinical trials, retrospective, prospective, cohort, and case-series studies-published in the last 10 years and performed in humans that evaluated the effectiveness and safety of antiandrogenic treatments-spironolactone, metformin, and bicalutamide-in patients with acne.</p><p><strong>Results: </strong>Thirteen articles met the inclusion criteria, evaluating a total of 1335 patients. Of these 13 articles, 4 (30.8%) addressed spironolactone and 9 (69.2%) addressed metformin. No studies were found evaluating the effectiveness and tolerability of bicalutamide for acne. Both drugs showed good results in reducing acne lesions, measured with different scales, and in terms of safety and tolerability. The most frequent adverse effects were menstrual irregularities in the case of spironolactone and gastrointestinal discomfort with the use of metformin. The latter also showed good results in improving the lipid profile, insulin resistance, and BMI, which should be taken into consideration in the management of acne associated with polycystic ovary syndrome.</p><p><strong>Conclusion: </strong>Although antiandrogenic treatments such as spironolactone and metformin have shown promise as options for the management of acne in adult women, more controlled and randomized studies comparing these drugs with each other and with placebo are needed to evaluate their efficacy and tolerability with a higher level of evidence.</p>","PeriodicalId":7173,"journal":{"name":"Actas dermo-sifiliograficas","volume":" ","pages":"104703"},"PeriodicalIF":2.9,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148315271","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 Mateu-Arrom, H Iznardo, E Roé, E Baselga, L Puig, C Morales-Munera
{"title":"Botulinum Toxin for Pachyonychia Congenita: A Case Report on the Management of Loss of Therapeutic Response.","authors":"L Mateu-Arrom, H Iznardo, E Roé, E Baselga, L Puig, C Morales-Munera","doi":"10.1016/j.ad.2026.104712","DOIUrl":"10.1016/j.ad.2026.104712","url":null,"abstract":"","PeriodicalId":7173,"journal":{"name":"Actas dermo-sifiliograficas","volume":" ","pages":"104712"},"PeriodicalIF":2.9,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148315230","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 Viedma-Martinez, R Roman-Cheuque, R de la Varga-Martínez, D Jimenez-Gallo, T Hashimoto, M Linares-Barrios
{"title":"Specific autoantibody profile in a case series of mucous membrane pemphigoid.","authors":"M Viedma-Martinez, R Roman-Cheuque, R de la Varga-Martínez, D Jimenez-Gallo, T Hashimoto, M Linares-Barrios","doi":"10.1016/j.ad.2026.104695","DOIUrl":"https://doi.org/10.1016/j.ad.2026.104695","url":null,"abstract":"","PeriodicalId":7173,"journal":{"name":"Actas dermo-sifiliograficas","volume":" ","pages":"104695"},"PeriodicalIF":2.9,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148300711","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 E Gimeno-Ribes, A Mensa-Vilaro, J I Aróstegui, S Prieto-González, J C Milisenda, X Bosch-Amate, J M Mascaró
{"title":"Refractory Dermatomyositis Treated With Anifrolumab: Clinical Response and Dynamics of Type-I Interferon Signature.","authors":"M E Gimeno-Ribes, A Mensa-Vilaro, J I Aróstegui, S Prieto-González, J C Milisenda, X Bosch-Amate, J M Mascaró","doi":"10.1016/j.ad.2026.104679","DOIUrl":"10.1016/j.ad.2026.104679","url":null,"abstract":"<p><p>Dermatomyositis (DM) is a systemic inflammatory disease predominantly affecting the skin and muscles, with potential involvement of internal organs. Despite multiple therapeutic options, treatment response may be unsatisfactory. Type-I interferon (IFN) signaling pathways have been proposed as key drivers of disease pathogenesis. Consequently, treatment with anifrolumab, a monoclonal antibody targeting IFN receptor-1, may offer therapeutic benefit. To date, only a few cases of refractory DM successfully treated with anifrolumab have been reported. We present two cases of refractory DM treated with anifrolumab achieving an almost complete cutaneous response. Longitudinal evaluation of the type-I IFN signature revealed a decrease during treatment. These findings support the hypothesis that type-I IFN plays a pathogenic role in DM, especially in patients with refractory disease. In this context, we aim to highlight the importance of considering anifrolumab as a therapeutic option and underscore the potential of the IFN signature as a biomarker of treatment response.</p>","PeriodicalId":7173,"journal":{"name":"Actas dermo-sifiliograficas","volume":" ","pages":"104679"},"PeriodicalIF":2.8,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147959543","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":"Acne Vulgaris and Quality of Life: A Study of 100 Cases.","authors":"Fatima-Zahra Agharbi, Bouchra Elghouti, Soumiya Chiheb","doi":"10.1016/j.ad.2026.104680","DOIUrl":"https://doi.org/10.1016/j.ad.2026.104680","url":null,"abstract":"","PeriodicalId":7173,"journal":{"name":"Actas dermo-sifiliograficas","volume":" ","pages":"104680"},"PeriodicalIF":2.8,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147959457","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}
K.M. Ramirez-Gomez , A. Imbernon-Moya , M.F. Villegas-Calzada , S. Vano-Galvan , D. Saceda-Corralo
{"title":"Hair Graying Update and Review","authors":"K.M. Ramirez-Gomez , A. Imbernon-Moya , M.F. Villegas-Calzada , S. Vano-Galvan , D. Saceda-Corralo","doi":"10.1016/j.ad.2025.104564","DOIUrl":"10.1016/j.ad.2025.104564","url":null,"abstract":"<div><div>Graying is a natural process, characterized by the loss of pigment in the hair, and is considered a sign of aging in society; its onset and progression is closely correlated with age and occurs to varying degrees in all individuals, regardless of gender or race. However, premature graying has a psychological and social impact, affecting patients’ self-esteem. The exact etiopathogenesis is still unknown, and it has been associated with multiple factors such as: oxidative stress, ultraviolet radiation, genetic factors, and lifestyle factors such as smoking, nutritional and emotional factors. All of this causes a decrease in the production of melanin by the melanocytes of the hair bulb. Despite the extensive molecular research being carried out to understand the pathogenesis of graying, there is a shortage of effective, evidence-based treatment options. Today, graying has become a cultural phenomenon, where many people opt for cosmetic treatments to cover gray hair.</div></div>","PeriodicalId":7173,"journal":{"name":"Actas dermo-sifiliograficas","volume":"117 5","pages":"Article 104564"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145792640","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}
R. Castillo-Muñoz , J. Aguilera , E. Navarrete-De Gálvez , E. Herrera-Acosta , J.A. Suárez-Pérez , M. Rodríguez-Ruiz , C. Sánchez-Roldán , L. Martínez-Pilar , D.J. Godoy-Díaz , M. Aguilar-Bernier , M. De Troya-Martín , M.V. De Gálvez
{"title":"Evaluation of the Efficacy of Photoprotective Formulations Applied in Conjunction With Topical Active Ingredients in Patients With Photodermatoses","authors":"R. Castillo-Muñoz , J. Aguilera , E. Navarrete-De Gálvez , E. Herrera-Acosta , J.A. Suárez-Pérez , M. Rodríguez-Ruiz , C. Sánchez-Roldán , L. Martínez-Pilar , D.J. Godoy-Díaz , M. Aguilar-Bernier , M. De Troya-Martín , M.V. De Gálvez","doi":"10.1016/j.ad.2025.104581","DOIUrl":"10.1016/j.ad.2025.104581","url":null,"abstract":"<div><h3>Background</h3><div>One of the main strategies in the prevention of photodermatoses is the use of topical sunscreens, which sometimes must be applied together with topical drugs specific for the dermatosis with the possibility that the efficacy of the sunscreen may be altered.</div></div><div><h3>Objectives</h3><div>The aim of this study was to analyse whether the efficacy of the sunscreen could be affected when applied together with topical drugs routinely used in patients with photodermatoses and whether there is any variation when they are applied before or after the drug.</div></div><div><h3>Methods</h3><div>Ninety-three volunteer patients with photodermatoses participated. Very high SPF sunscreens were used with corticosteroids, antibiotics and topical antifungals as active ingredients. Paravertebral areas were delimited in each individual and the sunscreen was applied alone and in association with a drug in different sequential order. Ultraviolet reflectance photography and image analysis were used to compare the level of UV absorption by the sunscreen/drug combinations in the different areas.</div></div><div><h3>Results</h3><div>UV reflectance analysis showed no difference in the efficacy of the sunscreen applied before or after the various drugs used. In the antifungal group, a significant increase in the effect of the sunscreen was observed when the antifungal was applied first.</div></div><div><h3>Conclusions</h3><div>The efficacy of sunscreens was not altered by combined use with corticosteroids, antibiotics or topical antifungals. These results are of great relevance for patients with photodermatosis who often have to combine these active ingredients with photoprotection.</div></div>","PeriodicalId":7173,"journal":{"name":"Actas dermo-sifiliograficas","volume":"117 5","pages":"Article 104581"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145888592","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}
C. Sobrino García-Yanes, C. Carrión-García, A. Garrido-Ríos, B. Echeverría-García, H. Álvarez-Garrido, J. Borbujo-Martínez
{"title":"Cutaneous Ultrasound in Digital Fibrokeratomas: Series of 4 Cases","authors":"C. Sobrino García-Yanes, C. Carrión-García, A. Garrido-Ríos, B. Echeverría-García, H. Álvarez-Garrido, J. Borbujo-Martínez","doi":"10.1016/j.ad.2025.104572","DOIUrl":"10.1016/j.ad.2025.104572","url":null,"abstract":"","PeriodicalId":7173,"journal":{"name":"Actas dermo-sifiliograficas","volume":"117 5","pages":"Article 104572"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145792672","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}