{"title":"A sporadic diffuse multiple cutaneous leiomyomatosis mimicking plexiform neurofibromatosis: A surgical challenge.","authors":"Gajanand M Antakanavar, Bijaylaxmi Sahoo, Aneet Kaur, Ishu Ghiloria, Ajay Jangid, Bhavishya Shetty","doi":"10.1002/ski2.414","DOIUrl":"10.1002/ski2.414","url":null,"abstract":"<p><p>A 32-year-old male presented with diffuse plaques accompanied by multiple large, painful swellings predominantly distributed over the trunk, face and both upper and lower extremities for 11 years. There was no family history of similar complaints. The histopathological examination (HPE), supplemented with special stains confirmed the diagnosis of cutaneous leiomyoma (CL). The immunohistochemical analysis showed a strong expression of smooth muscle actin. The final diagnosis of sporadic diffuse multiple cutaneous leiomyomatosis was made. This presentation of CL is uncommon and resembled plexiform neurofibroma. The clinical diagnosis of this presentation was challenging. Therefore, HPE combined with special stains aided in confirming this surgically challenging rare tumour. In resource-poor settings regular screening is required for early detection of renal cancer and other associated complications.</p>","PeriodicalId":74804,"journal":{"name":"Skin health and disease","volume":"4 5","pages":"e414"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11442042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362519","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":"Angry back","authors":"R.W.D. Ottevanger, Roel E. Genders","doi":"10.1002/ski2.428","DOIUrl":"https://doi.org/10.1002/ski2.428","url":null,"abstract":"","PeriodicalId":74804,"journal":{"name":"Skin health and disease","volume":"29 25","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141806021","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}
G. Pathak, Kush Patel, Christopher Wachuku, T. Truong, Priya Agarwal, Babar K. Rao
{"title":"Trends in disease severity and quality of life outcome measures in pemphigus clinical trials: A scoping review","authors":"G. Pathak, Kush Patel, Christopher Wachuku, T. Truong, Priya Agarwal, Babar K. Rao","doi":"10.1002/ski2.429","DOIUrl":"https://doi.org/10.1002/ski2.429","url":null,"abstract":"Pemphigus represents a spectrum of autoimmune‐mediated blistering diseases associated with high morbidity, mortality and reduced quality of life (QoL). Despite an increase in pemphigus clinical trials, the varied instrument measurements of disease severity and QoL outcomes make comparisons between studies challenging. This study aimed to evaluate trends in the use of disease severity and QoL outcome measurements in pemphigus clinical trials. A review of pemphigus clinical trials was conducted using the PubMed, Embase, Cochrane Reviews and ClinicalTrials.gov databases up until September 2023. Only pemphigus randomized clinical trials that assessed at least one disease severity and/or QoL outcome were included. Overall, 53 clinical trials were eligible for this review. All clinical trials evaluated a disease severity outcome, with the Pemphigus Disease Area Index being the most used validated questionnaire (28.3% of trials) and more popular after 2015 (47.8% of trials since). The autoimmune bullous skin disorder intensity score (7.6%) and visual analogue measurements (7.6%) have fallen out of favour. Most studies now include lab parameters (56.5% of trials after 2015), with anti‐desmoglein 1 and 3 antibody levels (30.2%), immunoglobulins (IgG and/or IgM and IgA) (11.3%), and anti‐drug antibody levels (7.6%) being frequently evaluated. A small portion of trials evaluated QoL (26.5% of studies), with the autoimmune bullous quality of life being the most common (15.1%), however QoL utilization as an outcome measure has been increasing since 2015 (61.1% of trials since). Standardising the use of validated outcome measurements allows for better data interpretation, comparability and clinical application of results.","PeriodicalId":74804,"journal":{"name":"Skin health and disease","volume":"58 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141807091","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}
Emma McIntyre, Philina Lamb, Maxwell A. Fung, Maija Kiuru, Lawrence S. Chan
{"title":"COVID‐19 vaccination‐linked granuloma annulare in two patients","authors":"Emma McIntyre, Philina Lamb, Maxwell A. Fung, Maija Kiuru, Lawrence S. Chan","doi":"10.1002/ski2.412","DOIUrl":"https://doi.org/10.1002/ski2.412","url":null,"abstract":"The COVID‐19 pandemic brought not only a huge healthcare challenge to the world but also introduced many questions of how the human immune system reacts to counter viral invasion, including vaccination. Unlike most vaccinations that are not usually linked to any specific skin eruptions, COVID‐19 vaccination has been linked to a variety of skin lesions. In this paper, we present two patients who developed granulomatous skin lesions post‐COVID‐19 vaccination, one patient has generalised granuloma annulare (GA) and the other patient develops localised GA. Both patients have good responses to treatment regimens containing systemic corticosteroids. We review the literature pertaining to COVID‐19‐linked skin diseases, particularly granulomatous diseases and discuss the possible pathomechanism of granulomatous eruptions in relation to COVID‐19 vaccination.","PeriodicalId":74804,"journal":{"name":"Skin health and disease","volume":"61 41","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141807181","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}
Filomena Russo, A. Dattolo, D. Sordi, A.R. Giampetruzzi, Ornella de Pità, Annarita Panebianco, B. Cocuroccia
{"title":"Potential role of mindfulness in the adjuvant treatment of atopic dermatitis","authors":"Filomena Russo, A. Dattolo, D. Sordi, A.R. Giampetruzzi, Ornella de Pità, Annarita Panebianco, B. Cocuroccia","doi":"10.1002/ski2.423","DOIUrl":"https://doi.org/10.1002/ski2.423","url":null,"abstract":"","PeriodicalId":74804,"journal":{"name":"Skin health and disease","volume":"129 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141811525","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}
Christian Vestli, Assia Bassarova, Jose Hernán Alfonso
{"title":"Rapidly progressing scalp melanoma in an elderly patient","authors":"Christian Vestli, Assia Bassarova, Jose Hernán Alfonso","doi":"10.1002/ski2.431","DOIUrl":"https://doi.org/10.1002/ski2.431","url":null,"abstract":"","PeriodicalId":74804,"journal":{"name":"Skin health and disease","volume":"16 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141815650","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":"Linear atrophoderma of Moulin: A rare case report and review of the literature","authors":"Moatasem Hussein Al‐janabi, Sdrah Diab, Ghina Aljammal, Lina Kassab, Z. Al-shehabi, Lina Al‐Soiufi","doi":"10.1002/ski2.424","DOIUrl":"https://doi.org/10.1002/ski2.424","url":null,"abstract":"Linear atrophoderma of Moulin (LAM) is an uncommon dermatological disease characterised by linear, depressed plaques typically following Blaschko's lines. LAM generally occurs in adolescence or early adulthood and is more commonly observed in females. The aetiology of LAM is still unclear. We report a rare case of LAM in an 18‐year‐old female presenting with an atypical Blaschkoid distribution (multiple band‐like pattern) on her right trunk. A clinical examination and histopathological analysis were performed to make the diagnosis. Partial improvement was obtained with calcipotriol and colchicine. LAM is a rare condition; we were only able to identify 23 case reports in the published literature. The findings of this report contribute to the limited literature on LAM, highlighting the clinical variability of LAM and suggesting potential novel variants beyond the classic presentation, emphasising the importance of recognising diverse manifestations for accurate diagnosis and management. Early recognition of LAM is crucial for appropriate treatment and improved patient outcomes. Further research is needed to elucidate LAM's aetiology and underlying mechanisms to facilitate the development of more targeted therapeutic strategies.","PeriodicalId":74804,"journal":{"name":"Skin health and disease","volume":"46 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141818101","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 Fardos, Heather Kopecky, James Sligh, Jill Browning
{"title":"Clear cell renal cell carcinoma micrometastasis: Insights from an unconventional cutaneous presentation","authors":"Mohammad Fardos, Heather Kopecky, James Sligh, Jill Browning","doi":"10.1002/ski2.427","DOIUrl":"https://doi.org/10.1002/ski2.427","url":null,"abstract":"Clear cell renal cell carcinoma (ccRCC) is a highly lethal cancer known for its propensity to metastasise, yet the mechanisms underlying metastasis are not well defined. Cutaneous metastases from ccRCC are uncommon and typically occur within 3 years post‐nephrectomy, predominantly affecting the scalp, chest or abdomen. Here, we present a unique case of a 75‐year‐old male, previously treated for ccRCC with right radical nephrectomy, who developed a singular skin lesion on the left side of the neck 19 years post‐nephrectomy. The lesion was confirmed as metastatic ccRCC through histopathological analysis, despite negative imaging findings. Micrometastases, characterised by microscopic tumour cell foci in distant sites, pose a significant diagnostic challenge, frequently evading detection on conventional imaging modalities like computed tomography and magnetic resonance imaging. This case contributes to our understanding of ccRCC metastasis, emphasising the necessity for continued clinical vigilance and thorough diagnostic scrutiny, particularly concerning atypical metastatic sites.","PeriodicalId":74804,"journal":{"name":"Skin health and disease","volume":" 453","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141823588","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}
Bethany M. Barnes, Anya Shyne, David A. Gunn, Christopher E. M. Griffiths, Rachel E. B. Watson
{"title":"Epigenetics and ultraviolet radiation: Implications for skin ageing and carcinogenesis","authors":"Bethany M. Barnes, Anya Shyne, David A. Gunn, Christopher E. M. Griffiths, Rachel E. B. Watson","doi":"10.1002/ski2.410","DOIUrl":"https://doi.org/10.1002/ski2.410","url":null,"abstract":"Recent published data have highlighted the importance of epigenetics in the response of the skin to recreational and therapeutic ultraviolet radiation (UVR) exposure. ‘Epi’—from the Greek επί, meaning over, outside of or around—relates to the chemical modifications that occur on top of the DNA sequence (for example, DNA methylation) and its associated proteins (e.g. histone modifications, including methylation, acetylation and phosphorylation). These epigenetic processes, collectively called the ‘epigenome’, dictate the three‐dimensional conformation of the DNA, thus impacting upon gene expression and genomic stability. Given that epigenetic changes are long‐lived and mitotically heritable, an accumulation of epigenetic perturbations likely influence the pathogenesis of the chronic consequences of UVR exposure, including photoageing and skin cancer risk. In this review, we describe the multifarious epigenetic effects elicited by UVR in the skin. We further speculate on the underlying molecular mechanisms that may direct epigenetic changes, such as oxidative stress and changes in metabolism, and their impact on skin health and disease.","PeriodicalId":74804,"journal":{"name":"Skin health and disease","volume":" 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141674174","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}
Sara Jasionowska, A. Almadori, Mary Goble, B. Langridge, D. Iakovou, Fady Kamel, Milla McKenzie, Allan Mclean, D. Boyle, N. Zenner, V. Swale, Peter E. M. Butler
{"title":"A systematic review of outcome measures evaluating treatment efficacy in vulval lichen sclerosus and evaluation of patients' priorities","authors":"Sara Jasionowska, A. Almadori, Mary Goble, B. Langridge, D. Iakovou, Fady Kamel, Milla McKenzie, Allan Mclean, D. Boyle, N. Zenner, V. Swale, Peter E. M. Butler","doi":"10.1002/ski2.422","DOIUrl":"https://doi.org/10.1002/ski2.422","url":null,"abstract":"Vulval lichen sclerosus (VLS) is an inflammatory skin disease characterised by itching, apareunia, loss of vulval architecture and scarring. Heterogeneity in outcome reporting precludes comparison between treatments. This study aimed to systematically review outcome measures used to evaluate the efficacy of VLS treatments and present patients' treatment priorities. This review followed the PRISMA guidelines using a registered protocol (PROSPERO: CRD42022356738). Multiple databases were searched, along with grey literature on Clinicaltrials.gov, European Union Clinical Trials and International Standard Randomised controlled trial (RCT) registries. All RCTs assessing any treatment for VLS were eligible for inclusion. A total of 775 patients were assessed across 21 RCTs. The assessment tools reported outcomes in the following domains: patient‐reported symptoms assessed with one validated scale in 12 studies and seven non‐validated scales in nine studies; sexual function with validated female sexual function index and female sexual distress scale in two studies and two non‐validated scales in two studies; quality of life with three validated scales in three studies and clinician‐reported objective outcomes with two validated scales in three studies and six non‐validated scales in fourteen studies. Histological changes were assessed in 10 studies and tissue biomechanics in one study. We also carried out an online survey completed by 809 women with VLS to assess their research and disease treatment priorities and identified validated outcome measures to assess these. There is high variability in assessing treatment outcomes for VLS. We identified validated assessment tools which could be implemented in VLS studies to evaluate the effectiveness of treatments.","PeriodicalId":74804,"journal":{"name":"Skin health and disease","volume":" 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141676613","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}