Archives of Dermatological Research最新文献

{"title":"Cultural taboos, shame, and diagnostic avoidance in vulvar dermatoses among women with skin of color","authors":"Grace Herrick,&nbsp;Harleen K. Multani,&nbsp;Daniela Rizzo,&nbsp;Kiratpreet Sraa,&nbsp;Neena Edupuganti,&nbsp;Kathleen Click,&nbsp;Stuti Prajapati,&nbsp;Kelly Frasier,&nbsp;Kathryn Dempsey,&nbsp;Pooja R. Shah","doi":"10.1007/s00403-026-04995-9","DOIUrl":"10.1007/s00403-026-04995-9","url":null,"abstract":"<div><p>Vulvar dermatoses (VD) are often underdiagnosed and undertreated in women with skin of color (SOC), not solely because of clinical oversight, but because of cultural, structural, and educational barriers that shape how symptoms are perceived, reported, and evaluated. In many communities of color, discussions of vulvar health remain taboo, constrained by cultural norms that associate it with moral impurity. These beliefs can prevent women from seeking care, disclosing symptoms, or developing the language to describe their concerns. Among women of color who seek care, clinical encounters are frequently shaped by mistrust in the healthcare system, longstanding patterns of racialized dismissal, and inadequate recognition of pain and dermatologic symptoms in richly pigmented skin. Providers express discomfort and insufficient training in evaluating VD on darker skin tones, leading to reliance on visual cues and diagnostic frameworks designed for lighter phototypes. This mismatch contributes to frequent misclassification of pigmentary changes, underrecognition of inflammation, and missed diagnoses of chronic disorders such as lichen sclerosus and lichen planus. This review aims to investigate the cultural and systemic barriers that contribute to the underrecognition of VD in women with SOC and to highlight how patient shame, provider discomfort, and lack of inclusive diagnostic criteria intersect to perpetuate disparities in care. Addressing disparities requires more than improved clinical instruction; it calls for a fundamental reorientation of how dermatology approaches genital health in historically marginalized populations. Achieving equity requires developing culturally sensitive educational resources and affirming the validity of vulvar concerns regardless of skin tone.</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":"149133099","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":"Drug survival and dosing of ustekinumab in hidradenitis suppurativa","authors":"Morgan A. Rousseau,&nbsp;Hayley Zimbric,&nbsp;Robert Furlong,&nbsp;Jessica Kaffenberger","doi":"10.1007/s00403-026-04902-2","DOIUrl":"10.1007/s00403-026-04902-2","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":"149133101","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":"Quantifying and reducing waste with triamcinolone injection practices","authors":"Jordan K. Bui,&nbsp;Christine Chow,&nbsp;Meg Greer,&nbsp;Michael Lindberg,&nbsp;Thomas Stringer","doi":"10.1007/s00403-026-04988-8","DOIUrl":"10.1007/s00403-026-04988-8","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":"149132887","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":"Patient-perceived usefulness of educational content and support delivery for managing dermatologic toxicities of cancer therapy","authors":"Sabrina Saeed,&nbsp;Lenique Huggins,&nbsp;Mica Williams,&nbsp;Tiffany X. Chen,&nbsp;Jonathan Leventhal","doi":"10.1007/s00403-026-04918-8","DOIUrl":"10.1007/s00403-026-04918-8","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":"149132886","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":"Adherence to breast cancer screening guidelines among patients with hidradenitis suppurativa: a retrospective cohort study","authors":"Albert T. Young,&nbsp;Alexandra Turfe,&nbsp;Meyer Gershater,&nbsp;Umer Nadir,&nbsp;Mulin Xiong,&nbsp;Li Zhou,&nbsp;Qing-Sheng Mi","doi":"10.1007/s00403-026-04930-y","DOIUrl":"10.1007/s00403-026-04930-y","url":null,"abstract":"","PeriodicalId":8203,"journal":{"name":"Archives of Dermatological Research","volume":"318 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149034716","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":"Patient-centered perioperative interventions for mohs micrographic surgery: a systematic review","authors":"Jett Ramir,&nbsp;Joshua Burshtein,&nbsp;Roger Haber","doi":"10.1007/s00403-026-04972-2","DOIUrl":"10.1007/s00403-026-04972-2","url":null,"abstract":"<div><p>Mohs Micrographic Surgery (MMS) is the gold standard surgical treatment for cutaneous malignancies, distinguished by its high cure rates and tissue-sparring approach. Patient satisfaction is an increasingly recognized indicator of care quality in dermatology, and a growing body of literature has sought to identify interventions that enhance the MMS experience. We conducted a systematical review of perioperative interventions implemented during MMS and evaluated their effects on patient satisfaction. This systematic review was conducted in accordance with PRISMA guidelines. PubMed was searched using terms related to MMS and patient satisfaction, with eligible articles restricted to those implementing perioperative interventions and measuring patient satisfaction. Sources last accessed December 1, 2025. Nineteen publications spanning January 1999 to August 2025, encompassing 3,494 patients met criteria. Risk of Bias assessment used NIH’s Quality Assessment Tool. Included studies comprised 15 randomized control trials, three retrospective observational studies, and one comparison study. Patient satisfaction was uniformly high across interventions, regardless of treatment, consistent with ceiling effect attributable to the high baseline satisfaction observed in MMS populations. Four interventions demonstrated statistically significant improvement in patient satisfaction: education using 3D printed anatomical models, viewing of the surgical defect prior to closure, electrocautery smoke evacuation, and postoperative oral wound healing supplementation. Although most interventions did not significantly improve satisfaction, several demonstrated clinical value through improvements in anxiety reduction, patient preparedness, and complication detection. Future research should prioritize adequately powered, multicenter trials employing standardized satisfaction instruments and isolating interventions to more precisely characterize their contributions to the MMS experience.</p></div>","PeriodicalId":8203,"journal":{"name":"Archives of Dermatological Research","volume":"318 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00403-026-04972-2.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149034951","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":"Cutaneous manifestations of systemic autoimmune rheumatic diseases including systemic sclerosis, idiopathic inflammatory myopathies, systemic lupus erythematous, mixed connective tissue disease, Sjögren’s disease, and systemic vasculitis and the association with interstitial lung disease: a review of dermatologic risk stratification, screening and monitoring guidelines, and indications for pulmonary referral","authors":"Rachel M. Kirven,&nbsp;Kirsten Bogunovich,&nbsp;Annabelle B. Feibel,&nbsp;Morgan Amigo,&nbsp;Stephanie Trovato,&nbsp;Susan C. Massick,&nbsp;James Allen,&nbsp;Ali Ajam,&nbsp;Mark A. Bechtel","doi":"10.1007/s00403-026-04966-0","DOIUrl":"10.1007/s00403-026-04966-0","url":null,"abstract":"<div><p>Interstitial lung disease (ILD) significantly impacts morbidity in patients with systemic autoimmune rheumatic diseases associated with characteristic cutaneous manifestations, including systemic sclerosis, idiopathic inflammatory myopathies, systemic lupus erythematosus, mixed connective tissue disease, Sjögren’s disease, and systemic vasculitis. As early interstitial lung disease is often subclinical, a thorough understanding of extrapulmonary manifestations associated with ILD, particularly cutaneous findings, is essential for patient risk-stratification. Patients may seek care by a dermatologist early in their disease course, allowing the opportunity for prompt intervention. Dermatologists therefore play a critical role in accurately diagnosing systemic autoimmune rheumatic diseases to avoid delays in ILD screening with emerging opportunities to identify high-risk patients who warrant further evaluation. In this review, we highlight the appropriate clinical evaluation, evidenced-based screening and monitoring guidelines, and indications for pulmonary referral in dermatologic patients with systemic autoimmune rheumatic diseases associated with ILD.</p></div>","PeriodicalId":8203,"journal":{"name":"Archives of Dermatological Research","volume":"318 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00403-026-04966-0.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149034648","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":"Insurance type is associated with reduced use of dermatitis nonsteroidal topical therapies","authors":"Mihir M. Shah,&nbsp;Arash Pour Mohammad,&nbsp;Mahi Bhatt,&nbsp;Justin M. Ko,&nbsp;Gordon H. Bae","doi":"10.1007/s00403-026-04956-2","DOIUrl":"10.1007/s00403-026-04956-2","url":null,"abstract":"","PeriodicalId":8203,"journal":{"name":"Archives of Dermatological Research","volume":"318 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149034780","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":"Augmenting the diagnosis of cellulitis using image-based machine learning","authors":"Priya Gupta,&nbsp;Nana A. Fosu,&nbsp;Zachary Bittinger,&nbsp;Gregory S. Bobulsky,&nbsp;Mark Conroy,&nbsp;Gregory J. Eisinger,&nbsp;Benjamin H. Kaffenberger,&nbsp;Rachel M. Kirven,&nbsp;Abraham M. Korman","doi":"10.1007/s00403-026-04964-2","DOIUrl":"10.1007/s00403-026-04964-2","url":null,"abstract":"","PeriodicalId":8203,"journal":{"name":"Archives of Dermatological Research","volume":"318 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149034498","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":"Efficacy and tolerability of low-level diode laser therapy as an adjunctive in the treatment of oral pemphigus vulgaris, a randomized controlled trial","authors":"Hamada Hussein,&nbsp;Hesham Galal Mahran,&nbsp;Olfat Shaker,&nbsp;Hagar El Sayed","doi":"10.1007/s00403-026-04875-2","DOIUrl":"10.1007/s00403-026-04875-2","url":null,"abstract":"<div><h3>Background</h3><p>Pemphigus is a group of relatively chronic autoimmune disorders characterized by the formation of intraepithelial bullae in the skin and mucous membrane. Low-energy laser radiation has been found to have a stimulating effect on cells and is used to stimulate wound healing and treat ulcers.</p><h3>Objective</h3><p>This study aimed to assess the therapeutic efficacy of low-level laser therapy (LLLT) on oral pemphigus vulgaris patients.</p><h3>Methods</h3><p>Twenty-two patients diagnosed with oral pemphigus vulgaris were randomly assigned into two equal groups. The first group received low-level diode laser therapy 3 times weekly for 4 weeks in addition to their systemic therapy while the second group received systemic therapy only. Tools of assessment used were wound and pain assessment, Pemphigus Oral Lesions Intensity Score (POLIS) and tissue level of (TNF alpha) as by ELISA. All measures were done before and after 4 weeks of treatment.</p><h3>Results</h3><p>Results showed significant differences in ulcer length % change and VAS score (<i>p</i> &lt; 0.001), favoring the combined group with lower scales. Both groups showed significant decreases in POLIS scores after 4 weeks (<i>p</i> = 0.006 in Laser group and 0.003 in the other group) although there was no significant difference) between them (<i>p</i> = 0.101). Although TNFα levels decreased in each group, there was no statistically significant difference in percent change between them. Patient satisfaction scores were similar between groups, while physician global assessment scores were significantly different. Patients in the study group were more satisfied.</p><h3>Conclusion</h3><p>Low level laser therapy can be considered an additive safe and effective therapy in treating oral pemphigus.</p></div>","PeriodicalId":8203,"journal":{"name":"Archives of Dermatological Research","volume":"318 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149034565","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}