Archives of Dermatological Research最新文献

{"title":"Assessment of the readability of patient education materials on dermatology practice websites: a focus on acne and skin cancer","authors":"Nada Hentati, Kaden M. Thomas, Bryan T. Carroll, Jeremy S. Bordeaux","doi":"10.1007/s00403-026-04940-w","DOIUrl":"10.1007/s00403-026-04940-w","url":null,"abstract":"","PeriodicalId":8203,"journal":{"name":"Archives of Dermatological Research","volume":"318 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149133383","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}

{"title":"Psychiatric comorbidities in black pediatric vitiligo patients: a propensity-matched cohort analysis","authors":"Kritin K. Verma, Kevin T. Nguyen, Dora Ryan Goldstein, Nada Elbuluk, Michelle B. Tarbox, Seemal R. Desai","doi":"10.1007/s00403-026-04997-7","DOIUrl":"10.1007/s00403-026-04997-7","url":null,"abstract":"","PeriodicalId":8203,"journal":{"name":"Archives of Dermatological Research","volume":"318 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149132885","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}

{"title":"Assessing the accuracy of patient-reported actinic keratoses and keratinocyte carcinomas","authors":"Joseph McGrath, Evelyn Fagan, Kaeli Samson, Yue Zhan, Adam Sutton","doi":"10.1007/s00403-026-04942-8","DOIUrl":"10.1007/s00403-026-04942-8","url":null,"abstract":"","PeriodicalId":8203,"journal":{"name":"Archives of Dermatological Research","volume":"318 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149133102","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}

{"title":"Perceptions of wound care access for hidradenitis suppurativa patients: a specialty clinic survey","authors":"Timothy Klufas, Ayushya Ajmani, Samantha Strelzer, Albert E. Zhou, Akua Sarfo","doi":"10.1007/s00403-026-04924-w","DOIUrl":"10.1007/s00403-026-04924-w","url":null,"abstract":"","PeriodicalId":8203,"journal":{"name":"Archives of Dermatological Research","volume":"318 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149132878","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}

{"title":"Clinical insights into photosensitivity among patients with cutaneous lupus erythematosus: a retrospective review at a single institution","authors":"Julia Ross, Aster Workineh, Rachel Breidbart, Sarika Ramachandran, Matthew D. Vesely, Jeff R. Gehlhausen, Jeffrey M. Cohen, Alicia J. Little","doi":"10.1007/s00403-026-04987-9","DOIUrl":"10.1007/s00403-026-04987-9","url":null,"abstract":"","PeriodicalId":8203,"journal":{"name":"Archives of Dermatological Research","volume":"318 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149133100","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}

{"title":"Incidence of Rosacea in the United States: a retrospective study using real-world data","authors":"Rehman Basharat, Javed Iqbal","doi":"10.1007/s00403-026-04977-x","DOIUrl":"10.1007/s00403-026-04977-x","url":null,"abstract":"","PeriodicalId":8203,"journal":{"name":"Archives of Dermatological Research","volume":"318 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149132889","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}

{"title":"Landscape of outpatient dermatology work relative value units (wRVUs) at a tertiary cancer center","authors":"Ian Nykaza,&nbsp;Stephen W. Dusza,&nbsp;Lavanya Mittal,&nbsp;Allison Gordon,&nbsp;Shamir Geller,&nbsp;Cesar A. Virgen,&nbsp;Veronica Rotemberg,&nbsp;Alina Markova","doi":"10.1007/s00403-026-04901-3","DOIUrl":"10.1007/s00403-026-04901-3","url":null,"abstract":"<div><h3>Background</h3><p>Specialized dermatology services including cutaneous oncology (CO), cutaneous lymphoma (CL), and oncodermatology (OD) are increasingly central to cancer care. However, data on the financial sustainability and complexity of care provided by these subspecialties is limited.</p><h3>Objective</h3><p>Evaluate outpatient work relative value unit (wRVU) generation, including visit complexity, across CO, CL, and OD subspecialties at a tertiary cancer center.</p><h3>Methods</h3><p>Retrospective review of work relative value units (wRVUs) assigned to 13,534 outpatient visits between April 1, 2022, and April 1, 2023. Visits were categorized into CO, CL, or OD visits and inpatient and procedure-only visits were excluded. wRVUs for each visit were assigned according to evaluation and management (E/M) levels and associated current procedural terminology (CPT) procedure codes for each visit. Geometric mean wRVUs per visit and sources of wRVUs were compared between CL, CO, and OD subspecialties.</p><h3>Results</h3><p>Among 7,589 patients (mean age 58.7 years), all three subspecialties demonstrated high geometric mean wRVUs per visit (1.76, 95% CI 1.73–1.77). Most wRVUs were derived from codes for evaluation and management, rather than procedures. Most visits were level 3 (51.6%) and 4 (39.9%) complexity with OD visits exhibiting the highest proportion of Level 4 (53.7%) and Level 5 (10.7%) visits.</p><h3>Conclusions</h3><p>CO, CL, and OD services demonstrate high billing intensity, which may reflect high-complexity, cognitively intensive care. These findings support further investigation into the financial sustainability of these subspecialties to support broader institutional investment.</p></div>","PeriodicalId":8203,"journal":{"name":"Archives of Dermatological Research","volume":"318 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149132877","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}

{"title":"A study on the serum trace element concentration in patients with androgenetic alopecia","authors":"Haoan Sun,&nbsp;Jiangrong Luo,&nbsp;Chunbao Xie","doi":"10.1007/s00403-026-04967-z","DOIUrl":"10.1007/s00403-026-04967-z","url":null,"abstract":"<div><p>To explore the differences between the serum levels of copper, zinc, and other trace elements in patients with androgenetic alopecia and healthy individuals and assess its clinical significance. Patient information was retrospectively collected from Sichuan Provincial People’s Hospital, covering the period from October 2021 to December 2024. Patients with androgenetic alopecia comprised the experimental group, and healthy individuals constituted the control group. Inductively coupled plasma mass spectrometry was used to detect the serum concentrations of copper, zinc, and other trace elements in the two groups. The data were statistically analyzed using the GraphPad Prism 9.0 software. The differences in trace element concentrations between the experimental and control groups were analyzed using unpaired t-tests, with <i>P</i> &lt; 0.05 considered statistically significant. The percentage of trace elements that exceeded the reference interval was also examined. The experimental group comprised data from 1,297 patients with androgenetic alopecia, and the control group consisted of data from 476 healthy individuals. Micronutrients with statistically significant (<i>P</i> &lt; 0.05) differences between the experimental and control groups were serum copper, lithium, calcium, and phosphorus. Serum copper levels in the experimental and control groups were 897.8 ± 164.2 ng/mL and 922.3 ± 188.2 ng/mL, respectively, within the reference interval of 240–2000 ng/mL. Serum lithium levels were 1.20 ± 1.09 ng/mL and 1.35 ± 1.19 ng/mL in the experimental and control groups, respectively, within the reference interval &lt; 200 ng/mL. Serum calcium levels exceeded the reference interval of 80–100 µg/mL for some of the individuals in the control group, but the proportion of those out of the range was similar in both groups. Serum phosphorus levels were within the reference interval of 25–200 µg/mL in &gt; 99% of people in the study groups. The trace elements zinc, magnesium, iron, manganese, molybdenum, nickel, selenium, chromium, and cobalt showed no statistically significant differences between the two groups. The serum levels of copper, zinc, and other trace elements were within the reference intervals in patients with androgenetic alopecia and not significantly different from those of healthy individuals. Therefore, routine screening of serum trace elements in patients with androgenetic alopecia is not recommended.</p></div>","PeriodicalId":8203,"journal":{"name":"Archives of Dermatological Research","volume":"318 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149132888","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}

{"title":"Point-of-care ultrasound in Hidradenitis Suppurativa: applications for diagnosis, staging, and treatment planning","authors":"Kyle Maas,&nbsp;Anish Sharma,&nbsp;Sahil Kapur,&nbsp;Hamza Kaakarli,&nbsp;Kirollos Tadrousse,&nbsp;Kermanjot S. Sidhu,&nbsp;Kritin K. Verma,&nbsp;Lucas Unver,&nbsp;Craig G. Burkhart","doi":"10.1007/s00403-026-04984-y","DOIUrl":"10.1007/s00403-026-04984-y","url":null,"abstract":"<div><p>Hidradenitis suppurativa (HS) is a chronic, inflammatory skin condition that impacts patients’ quality of life (QOL). Clinically, HS is characterized by inflammatory skin findings, including nodules and abscesses, which occur in intertriginous areas of skin. Despite an increased understanding of symptomatology and rapid advancement of treatment, HS has significant diagnostic delays. Superimposed bacterial infections, cosmetic scarring, and, rarely, squamous cell carcinoma arising in chronically inflamed lesional skin are complications that may occur after missed diagnoses. Late HS diagnoses are associated with increased treatment burden, comorbidity risk, and personal time needed for medical visits. Ultrasound (US) imaging has emerged as a valuable imaging modality for the detection and adjuvant treatment of HS. This paper reviews the current use of point-of-care ultrasound in HS, with a focus on its role in early detection, disease progression tracking, and procedural applications. High (15 MHz) and ultra-high frequency (48–70 MHz) US imaging can detect subclinical enlargement of hair follicles, potentially enabling earlier identification of HS in at-risk individuals. However, the clinical benefit of such earlier detection has yet to be established. Nodules, abscesses, sinus tracts (clinically synonymous with fistulas and most often visualized sonographically as tunnels) can be distinguished on ultrasound, supporting staging and severity assessment in selected patients. The Hidradenitis Suppurativa Activity (US-HSA) scoring system recommends utilizing US imaging to compare baseline and follow-up lesions. US can also support selected aspects of procedural HS care, including preoperative mapping for surgical planning, abscess drainage, and intralesional triamcinolone injection. Investigational applications, including deep learning–based image interpretation, smartphone-linked sonography, contrast-enhanced ultrasound, and elastography, are under early development but have not yet been validated for routine use. Important limitations, including operator dependency, training requirements, uncertain interobserver reproducibility, restricted device availability, absent cost-effectiveness data, and unclear clinical meaning of subclinical findings, should be weighed when integrating ultrasound into routine HS care.</p></div>","PeriodicalId":8203,"journal":{"name":"Archives of Dermatological Research","volume":"318 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00403-026-04984-y.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149133103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Flare management perspectives among patients with hidradenitis suppurativa: a qualitative study","authors":"Natalie M. Baker,&nbsp;Karla Santiago-Soltero,&nbsp;Anila Narayana,&nbsp;Oluwadamilola H. Oke,&nbsp;Madeline E. DeWane,&nbsp;Stephanie R. Cohen,&nbsp;John S. Barbieri,&nbsp;Megan Noe,&nbsp;Alexandra P. Charrow","doi":"10.1007/s00403-026-04907-x","DOIUrl":"10.1007/s00403-026-04907-x","url":null,"abstract":"<div><p>Hidradenitis Suppurativa (HS) is a recurrent inflammatory skin condition with some of the highest rates of emergency department (ED) use in dermatology. To decrease ED utilization, it is critical to understand what factors into patient decision-making when seeking care for flares. We conducted a qualitative study using semi-structured interviews in an effort to help answer this question. Adult English-speaking participants with hidradenitis suppurativa who had established care with an HS specialist and had recently presented to either an ED or dermatology for a flare were recruited from a dermatology specialty clinic at an academic medical center and surrounding emergency departments in the same geographic catchment area. Interviews were conducted from February 2024-January 2025. Semi-structured interview guides were informed by a previously conducted quantitative analysis as part of a broader sequential mixed-methods approach. Transcripts underwent qualitative thematic analysis until thematic saturation was reached, and a grounded-theory approach was used to construct a resulting conceptual framework. Nine participants who had presented to an ED and 11 who had presented to a dermatology clinic for a flare were recruited and interviewed. Demographics were consistent with HS population characteristics (mean age 37 ± 12 years, 85% female; 45% White, 30% African American, 10% mixed heritage, 10% Asian, 10% Hispanic or Latino). Thematic analysis identified twelve primary themes related to participants’ decisions to seek care at the ED versus dermatology clinic during disease exacerbation. ED utilization was facilitated by factors including severe pain unresponsive to at-home management, provider/family recommendations, and concern about infection, while barriers included negative ED experiences such as stigmatization and painful procedures. Dermatology clinic utilization was facilitated by factors including positive provider relationships and comprehensive care, and limited by restricted clinic availability (especially after-hours), extended wait times, and unpredictable flare progression. Participants with access to specialty care still frequently present to the ED, driven by a unique interplay of individual and structural factors. Improving after-hours access to urgent dermatologic care, development of evidence-based guidelines for at-home treatment strategies, and enhanced patient and provider education may reduce ED utilization in this population.</p></div>","PeriodicalId":8203,"journal":{"name":"Archives of Dermatological Research","volume":"318 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149133098","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}