Archives of Dermatological Research最新文献

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Disorders of hyperpigmentation and associated thyroid abnormalities: a retrospective cohort study. 色素沉着症和相关甲状腺异常:一项回顾性队列研究。
IF 1.8 4区 医学
Archives of Dermatological Research Pub Date : 2024-08-24 DOI: 10.1007/s00403-024-03328-y
Sarah Gonzalez, Arielle Carolina Mora Hurtado, Nicole Syder, Claudia Quarshie, Raveena Ghanshani, Jack Rodman, Nada Elbuluk
{"title":"Disorders of hyperpigmentation and associated thyroid abnormalities: a retrospective cohort study.","authors":"Sarah Gonzalez, Arielle Carolina Mora Hurtado, Nicole Syder, Claudia Quarshie, Raveena Ghanshani, Jack Rodman, Nada Elbuluk","doi":"10.1007/s00403-024-03328-y","DOIUrl":"https://doi.org/10.1007/s00403-024-03328-y","url":null,"abstract":"","PeriodicalId":8203,"journal":{"name":"Archives of Dermatological Research","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142046185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Investigation of the in-vitro lethal effect of spilanthol on demodex and finding the most effective dose. 研究螺环菌素对脱虱的体外致死作用,并找出最有效的剂量。
IF 1.8 4区 医学
Archives of Dermatological Research Pub Date : 2024-08-23 DOI: 10.1007/s00403-024-03276-7
Rabia Oztas Kara, Bahar Sevimli Dikicier, Berna Solak, Ozlem Aydemir, Ahmet Kara, Ayse Serap Karadag
{"title":"Investigation of the in-vitro lethal effect of spilanthol on demodex and finding the most effective dose.","authors":"Rabia Oztas Kara, Bahar Sevimli Dikicier, Berna Solak, Ozlem Aydemir, Ahmet Kara, Ayse Serap Karadag","doi":"10.1007/s00403-024-03276-7","DOIUrl":"https://doi.org/10.1007/s00403-024-03276-7","url":null,"abstract":"<p><p>Demodex species are associated with many dermatological diseases, so an acaricidal agent that is effective against them and safe for skin applications may benefit many diseases. This study aims to investigate the anti-demodex potential of spilanthol, a product obtained from the Spilanthes Acmella plant, by determining the minimal effective dose for the first time in the literature. Demodex mites were obtained from 70 patients with standard superficial skin biopsy. Spilanthol extract was used at 1%, 2%, 3%, 4%, and 5%. Standard immersion oil was used for the negative control, and permethrin 5% was used for the positive control group. The dependent variable is the survival time of the mite. Comparisons with the negative control group, the anti-demodex effect demonstrated itself in all groups, creating a statistically significant difference (p < 0.001). The positive control group, had 3%, 4%, and 5% spilanthol rates which were very similar to the results with 5% permethrin (p > 0.05). Higher concentrations than 3% did not make any additional contribution to survival times. This is the first attempt to show the dose-dependent acaricidal effect of spilanthol on demodex mites. Even the 3% dose shows similar results to 5% permethrin, and no additional effect increase was observed at higher doses. Therefore, in vivo, studies may be planned with a 3% spilanthol dose for further studies.</p>","PeriodicalId":8203,"journal":{"name":"Archives of Dermatological Research","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142035078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How to develop entrustable professional activities in a training dermatology program; practical tips for dermatology educators. 如何在皮肤病学培训项目中开展可委托的专业活动;皮肤病学教育工作者的实用技巧。
IF 1.8 4区 医学
Archives of Dermatological Research Pub Date : 2024-08-23 DOI: 10.1007/s00403-024-03285-6
Rania Abdelghani, Hussein M M Hassab-El-Naby, Mohammed Saad Hegazy, Omayma Hamed
{"title":"How to develop entrustable professional activities in a training dermatology program; practical tips for dermatology educators.","authors":"Rania Abdelghani, Hussein M M Hassab-El-Naby, Mohammed Saad Hegazy, Omayma Hamed","doi":"10.1007/s00403-024-03285-6","DOIUrl":"https://doi.org/10.1007/s00403-024-03285-6","url":null,"abstract":"<p><p>Entrustable professional activities (EPAs) are units of professional practice that could be observed, assessed, monitored, documented, and entrusted. EPAs when entrusted, outline the physician's qualifications, and shape the scope of practice. This insight highlights the importance of development of EPAs in all medical specialties including dermatology to ensure the best standards for patient's care. Development of EPAs-based training program is considered a challenge for clinical educators. In this paper, we describe practical tips and reflections on our experience in developing EPAs in dermatology doctoral training program that could be a guide for dermatology educators to implement EPAs in dermatology training programs.</p>","PeriodicalId":8203,"journal":{"name":"Archives of Dermatological Research","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142035076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Icariin ameliorates TNF-α/IFN-γ-induced oxidative stress, inflammatory response and apoptosis of human immortalized epidermal cells through the WTAP/SERPINB4 axis. 淫羊藿苷通过WTAP/SERPINB4轴改善TNF-α/IFN-γ诱导的氧化应激、炎症反应和人永生表皮细胞凋亡。
IF 1.8 4区 医学
Archives of Dermatological Research Pub Date : 2024-08-23 DOI: 10.1007/s00403-024-03281-w
Xincheng Wang, Jun Wang, Lu Tian
{"title":"Icariin ameliorates TNF-α/IFN-γ-induced oxidative stress, inflammatory response and apoptosis of human immortalized epidermal cells through the WTAP/SERPINB4 axis.","authors":"Xincheng Wang, Jun Wang, Lu Tian","doi":"10.1007/s00403-024-03281-w","DOIUrl":"10.1007/s00403-024-03281-w","url":null,"abstract":"<p><p>Atopic dermatitis (AD) is a chronic inflammatory skin disorder characterized by increased sensitivity to environmental allergens and irritants. Icariin, a natural compound extracted from the herb Epimedium, has been traditionally used for its potential anti-inflammatory and antioxidant properties. This study aimed to investigate the regulatory effects of icariin on AD-like symptoms and to elucidate its underlying mechanisms. The effects of icariin on TNF-α/IFN-γ-induced HaCaT cell injury were assessed using various assays, including cell counting kit-8 for cell viability, flow cytometry for reactive oxygen species (ROS) levels, and colorimetric assays for malondialdehyde (MDA) levels and superoxide dismutase (SOD) activity. In addition, the study performed enzyme-linked immunosorbent assays to assess cytokines (IL-1β, IL-6, and IL-8) and chemokines (MDC, TARC, and RANTES) levels. Flow cytometry was used to quantify apoptotic rate, while a wound-healing assay was conducted to assess cell migration. The expression of WT1 associated protein (WTAP) and serpin family B member 4 (SERPINB4) at the mRNA and protein levels was determined using qRT-PCR and western blotting, respectively. The associations between WTAP and SERPINB4 were analyzed using RNA immunoprecipitation assay and m6A RNA immunoprecipitation assay. Icariin treatment significantly mitigated TNF-α/IFN-γ-induced oxidative stress, inflammatory response, and apoptosis in HaCaT cells, while also reversing the inhibitory effect on cell migration. Icariin reduced the expression of WTAP in TNF-α/IFN-γ-stimulated HaCaT cells. Overexpression of WTAP reversed the effects of icariin in TNF-α/IFN-γ-stimulated HaCaT cells. WTAP silencing inhibited the mRNA stability of SERPINB4 through the m6A modification. SERPINB4 overexpression attenuated the effects of WTAP silencing on oxidative stress, inflammatory response, apoptosis, and migration of TNF-α/IFN-γ-stimulated HaCaT cells. Icariin treatment downregulated SERPINB4 expression by regulating WTAP in TNF-α/IFN-γ-stimulated HaCaT cells. Icariin ameliorated TNF-α/IFN-γ-induced human immortalized epidermal cell injury through the WTAP/SERPINB4 axis, highlighting the potential for targeted interventions in AD pathogenesis.</p>","PeriodicalId":8203,"journal":{"name":"Archives of Dermatological Research","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142035077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Role of neutrophil-lymphocyte ratio as a prognostic marker in SJS/TEN patients. 嗜中性粒细胞-淋巴细胞比率作为 SJS/TEN 患者预后标志的作用。
IF 1.8 4区 医学
Archives of Dermatological Research Pub Date : 2024-08-23 DOI: 10.1007/s00403-024-03327-z
M K Mrunalini Rayi, Rochelle Cheryl Monteiro, Jacintha Martis, Ramesha M Bhat, Michelle Serene Fernandes, Jyothi Jayaraman, Myfanwy Joanne D'souza, Prajna Shetty, Sonal Fernandes
{"title":"Role of neutrophil-lymphocyte ratio as a prognostic marker in SJS/TEN patients.","authors":"M K Mrunalini Rayi, Rochelle Cheryl Monteiro, Jacintha Martis, Ramesha M Bhat, Michelle Serene Fernandes, Jyothi Jayaraman, Myfanwy Joanne D'souza, Prajna Shetty, Sonal Fernandes","doi":"10.1007/s00403-024-03327-z","DOIUrl":"https://doi.org/10.1007/s00403-024-03327-z","url":null,"abstract":"<p><p>Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are severe mucocutaneous reactions, usually to drugs, characterized by blistering and epithelial sloughing. SCORTEN is an established prognosticator index employed in SJS/TEN patients to evaluate their severity degree and mortality risk. Many studies done in the recent past have indicated that neutrophil-lymphocyte ratio (NLR) is related to disease activity in several dermatological diseases. Hence, this study has been performed to correlate the NLR of each patient with their respective SCORTEN values and assess whether NLR can be used as a prognostic marker in SJS/TEN. A single centre, retrospective, 4 year study was conducted at a tertiary care hospital. The required clinical and laboratory data were obtained from existing IP records of all cases of SJS/TEN disorders admitted in the last 4 years in our hospital between May 1st 2019 and April 30th 2023. The correlation coefficient and p value were analysed using the Spearman's rank correlation. The total sample size of the study was 22 patients. A female preponderance (59.1%) with an age range between 10 to 74 years was noted. Drugs were the main triggering factor in all the patients and antiepileptics were the most commonly implicated drug group. On statistical analysis a weak positive correlation (r = 0.182) between NLR and SCORTEN was noted, however p value was insignificant (p = 0.417). Further, mean ± SD of NLR was found to be higher in group II (patients with SCORTEN ≥ 3) as compared to group I (patients with SCORTEN < 3). On correlating NLR with each group separately, p value still remained insignificant. Elevation in NLR value reflects the systemic inflammation, but its role in predicting the severity of the disease needs further research involving larger sample size.</p>","PeriodicalId":8203,"journal":{"name":"Archives of Dermatological Research","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142035080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Skin cancer perceptions and sun protective practices in an indigenous Hispanic/Latinx population. 西班牙裔/拉丁裔土著居民对皮肤癌的看法和防晒措施。
IF 1.8 4区 医学
Archives of Dermatological Research Pub Date : 2024-08-23 DOI: 10.1007/s00403-024-03321-5
Nicole M Vecin, Rachel Lin, Natalie Constantine, Saltenat Moghaddam Adames, Brent Schillinger, Julia Belkowitz
{"title":"Skin cancer perceptions and sun protective practices in an indigenous Hispanic/Latinx population.","authors":"Nicole M Vecin, Rachel Lin, Natalie Constantine, Saltenat Moghaddam Adames, Brent Schillinger, Julia Belkowitz","doi":"10.1007/s00403-024-03321-5","DOIUrl":"10.1007/s00403-024-03321-5","url":null,"abstract":"","PeriodicalId":8203,"journal":{"name":"Archives of Dermatological Research","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142035081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of lipidome on five inflammatory skin diseases: a Mendelian randomization study. 脂质体对五种炎症性皮肤病的影响:孟德尔随机研究。
IF 1.8 4区 医学
Archives of Dermatological Research Pub Date : 2024-08-23 DOI: 10.1007/s00403-024-03294-5
Xu Zhu, Wenzhong Wu
{"title":"The impact of lipidome on five inflammatory skin diseases: a Mendelian randomization study.","authors":"Xu Zhu, Wenzhong Wu","doi":"10.1007/s00403-024-03294-5","DOIUrl":"https://doi.org/10.1007/s00403-024-03294-5","url":null,"abstract":"<p><strong>Objective: </strong>Two-sample Mendelian randomization (TSMR) was employed to examine the association between lipidome and five inflammatory skin diseases.</p><p><strong>Method: </strong>To evaluate the association between various molecular subtypes of lipidome and the risk of five inflammatory skin diseases, we analyzed a comprehensive GWAS dataset comprising 179 lipidome. The Two-Sample Mendelian Randomization (TSMR) method was employed to investigate causal relationships. Heterogeneity and pleiotropy were assessed using Cochran's Q test, MR-Egger intercept test, and MR-PRESSO global test. Additionally, a sensitivity analysis was conducted to evaluate the influence of individual single nucleotide polymorphisms on Mendelian Randomization study.</p><p><strong>Results: </strong>Using 179 serum lipidome as exposures and five common inflammatory skin diseases as outcomes, we investigated their associations in this large-scale study. Our findings reveal significant impacts of glycerophospholipids, glycerolipids, and sphingomyelins on inflammatory skin diseases. Glycerophospholipids were protective against pemphigus but predominantly posed risks for other inflammatory skin diseases. Specifically, phosphatidylcholine (16:0_0:0) exhibited the most significant risk association with lichen planus (OR = 1.25, 95% CI 1.11-1.40, P < 0.001). Conversely, glycerolipids showed no effect on lichen planus but were protective against pemphigus while potentially posing risks for other conditions. Triacylglycerol (46:2) showed the most substantial risk association with vitiligo (OR = 1.99, 95% CI 1.35-2.93, P < 0.001). Furthermore, sphingomyelins had no effect on atopic dermatitis but posed potential risks for other inflammatory skin diseases. Sphingomyelin (d40:1) notably emerged as a significant risk factor for pemphigus (OR = 1.91, 95% CI 1.37-2.66, P < 0.001).</p><p><strong>Conclusions: </strong>This study has elucidated the potential harmful effects of glycerophospholipids, glycerolipids, and sphingomyelins on inflammatory skin diseases, while also providing valuable insights for future research into the pathophysiology, prevention and treatment of these conditions.</p>","PeriodicalId":8203,"journal":{"name":"Archives of Dermatological Research","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142035083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CircAKR1B10 interacts with EIF4A3 to stabilize AURKA and promotes IL-22-induced proliferation, migration and invasion in keratinocytes. CircAKR1B10 与 EIF4A3 相互作用以稳定 AURKA,并促进 IL-22 诱导的角质形成细胞的增殖、迁移和侵袭。
IF 1.8 4区 医学
Archives of Dermatological Research Pub Date : 2024-08-23 DOI: 10.1007/s00403-024-03302-8
Liping Shi, Xiaoqing Du, Bin Wang, Guoqiang Zhang
{"title":"CircAKR1B10 interacts with EIF4A3 to stabilize AURKA and promotes IL-22-induced proliferation, migration and invasion in keratinocytes.","authors":"Liping Shi, Xiaoqing Du, Bin Wang, Guoqiang Zhang","doi":"10.1007/s00403-024-03302-8","DOIUrl":"10.1007/s00403-024-03302-8","url":null,"abstract":"<p><p>Circular RNAs (circRNAs) are demonstrated to be involved in psoriasis progression. CircRNAs can act as RNA-binding protein (RBP) sponges. Here, we investigated the action of circAKR1B10 in psoriasis, and explored the potential proteins interacted with circAKR1B10. Levels of genes and proteins were assayed by qRT-PCR and western blotting analyses. Keratinocytes in functional groups were treated with interleukin (IL)-22. Functional analysis were conducted using MTT, 5-ethynyl-2'-deoxyuridine (EdU), and transwell assays, respectively. Interaction analysis among circAKR1B10, Eukaryotic initiation factor 4 A-III (EIF4A3) and Aurora Kinase A (AURKA) was conducted using bioinformatics analysis, RNA pull-down assay, and RNA immunoprecipitation (RIP) assay. CircAKR1B10 was highly expressed in psoriasis patients and IL-22-induced keratinocytes. Functionally, knockdown of circAKR1B10 abolished IL-22-induced proliferation, migration and invasion in keratinocytes. AURKA expression was also higher in psoriasis patients and IL-22-induced keratinocytes, and was negatively correlated with circAKR1B10 expression. Moreover, AURKA silencing reduced the proliferative, migratory and invasive abilities of IL-22-induced keratinocytes. Mechanistically, circAKR1B10 interacted with EIF4A3 protein to stabilize and regulate AURKA expression. CircAKR1B10 contributes to IL-22-induced proliferation, migration and invasion in keratinocytes via up-regulating AURKA expression through interacting with EIF4A3 protein.</p>","PeriodicalId":8203,"journal":{"name":"Archives of Dermatological Research","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142035073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Systematic review of dupilumab safety and efficacy for treatment of keloid scars. 治疗瘢痕疙瘩的安全性和有效性的系统性综述。
IF 1.8 4区 医学
Archives of Dermatological Research Pub Date : 2024-08-23 DOI: 10.1007/s00403-024-03277-6
David Bitterman, Paras Patel, Jennifer Y Wang, Margaret Kabakova, Kayla Zafar, Austin Lee, Jessica Mineroff Gollogly, Marc Cohen, Evan Austin, Jared Jagdeo
{"title":"Systematic review of dupilumab safety and efficacy for treatment of keloid scars.","authors":"David Bitterman, Paras Patel, Jennifer Y Wang, Margaret Kabakova, Kayla Zafar, Austin Lee, Jessica Mineroff Gollogly, Marc Cohen, Evan Austin, Jared Jagdeo","doi":"10.1007/s00403-024-03277-6","DOIUrl":"10.1007/s00403-024-03277-6","url":null,"abstract":"<p><p>Keloids, characterized by excessive scar formation following dermal inflammation, pose a therapeutic challenge due to high recurrence rates. Radiation therapy, contraindicated in children, can minimize recurrence post-surgical removal. Dupilumab, which inhibits the pro-fibrotic interleukin-4/interleukin-13 axis, may effectively manage keloids when intralesional corticosteroid injections are unsuccessful. It may also prevent recurrence post-surgery in pediatric patients. This systematic review assesses the efficacy and safety of dupilumab for the treatment of keloids. Through a systematic search adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we identified and analyzed outcomes from three case reports and three case series studies, totaling 15 patients. Results indicate variable responses to treatment, including significant improvements, no clinical change, and worsening of keloid symptoms. Additional research is needed to recommend using dupilumab to treat keloids (Grade D). Treatment response variability may be linked to differences in interleukin-4/interleukin-13 activity between active and inactive keloids. Additionally, the unintended promotion of T helper 17 cell differentiation by dupilumab may worsen keloids.</p>","PeriodicalId":8203,"journal":{"name":"Archives of Dermatological Research","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142035082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development of a prognostic model for patients with nodular melanoma of the lower extremities: a study based on the SEER database. 下肢结节性黑色素瘤患者预后模型的开发:基于 SEER 数据库的研究。
IF 1.8 4区 医学
Archives of Dermatological Research Pub Date : 2024-08-23 DOI: 10.1007/s00403-024-03282-9
Shun Zhang, Si Tian, Xinrui Qin, Hao Mou, Bin He, Yi Wang, Bin Xue, Wentao Lin
{"title":"Development of a prognostic model for patients with nodular melanoma of the lower extremities: a study based on the SEER database.","authors":"Shun Zhang, Si Tian, Xinrui Qin, Hao Mou, Bin He, Yi Wang, Bin Xue, Wentao Lin","doi":"10.1007/s00403-024-03282-9","DOIUrl":"https://doi.org/10.1007/s00403-024-03282-9","url":null,"abstract":"<p><p>Lower extremity nodular melanoma (NM) is a common malignant tumor with a poor prognosis. We aims to identify the prognostic factors and develop a nomogram model to predict overall survival (OS) in patients with lower extremity NM. A total of 746 patients with lower extremity NM were selected and randomly divided into a training set (522 cases) and a validation set (224 cases) from the Surveillance, Epidemiology, and End Results(SEER) database. The training set underwent univariate and multivariate Cox regression analyses to identify independent prognostic factors associated with patient outcomes, and to develop a nomogram model. The effectiveness of the nomogram was subsequently validated using the validation set. Multivariable Cox regression analysis of the training set indicated that age, ulceration, radiotherapy, chemotherapy, primary site of first malignant tumor, and Breslow thickness were independent variables associated with OS. In the training set, the area under the curve (AUC) of the nomogram for predicting 3-year and 5-year OS was 0.796 and 0.811, respectively. In the validation set, the AUC for predicting 3-year and 5-year OS was 0.694 and 0.702, respectively. The Harrell's C-index for the training set and validation set were 0.754 (95% CI: 0.721-0.787) and 0.670 (95% CI: 0.607-0.733), respectively. Calibration curves for both training and validation sets showed good agreement. In this study, we develop and validate a nomogram to predict OS in patients with lower extremity NM. The nomogram demonstrated reasonable reliability and clinical applicability. Nomograms are important tools assessing prognosis and aiding clinical decision-making.</p>","PeriodicalId":8203,"journal":{"name":"Archives of Dermatological Research","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142035074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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