Australasian Journal of Dermatology最新文献

{"title":"Appropriate Use of Mohs Micrographic Surgery: A Survey of Australasian Mohs Dermatologists.","authors":"Edmund Wee, Ludi Ge, Amit Verma, Timothy Gilbert Elliott, Ernest Tan","doi":"10.1111/ajd.70130","DOIUrl":"https://doi.org/10.1111/ajd.70130","url":null,"abstract":"","PeriodicalId":8638,"journal":{"name":"Australasian Journal of Dermatology","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147832995","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":"Dulaglutide-Associated Lichen Planus Pemphigoides.","authors":"Valencia Long, Sze Hwa Tan, Suyin Ong","doi":"10.1111/ajd.70132","DOIUrl":"https://doi.org/10.1111/ajd.70132","url":null,"abstract":"","PeriodicalId":8638,"journal":{"name":"Australasian Journal of Dermatology","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147832948","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":"Demographic Analysis of the Sun Protective Behaviours and Skin Cancer Risk of Victorian Farmers.","authors":"Eloise Violet Kwan, Jessie Adams, Joanna Macdonald, Susan Brumby, Tracey Hatherell, Feby Savira, Alison Kennedy","doi":"10.1111/ajd.70135","DOIUrl":"https://doi.org/10.1111/ajd.70135","url":null,"abstract":"<p><strong>Background: </strong>Farmers have an elevated risk of melanoma and non-melanoma skin cancer due to their occupational exposure to high levels of ultraviolet radiation. The sun protective behaviours of farmers are poorly understood, limiting targeted interventions to this at-risk population.</p><p><strong>Objectives: </strong>This study aimed to characterise sun protective behaviours among Victorian farmers and to assess whether demographic factors were associated with variations in sun protection uptake.</p><p><strong>Method: </strong>A cross-sectional study of 124 Victorian farmers was completed using Health and Lifestyle Assessment data collected by the National Centre for Farmer Health. Associations between sun protective behaviours (sunscreen, sunglasses, long sleeve shirt, long trousers, broad brim hat) and demographic factors (gender, age group, rurality) were investigated with descriptive statistics and ordinal logistic regression.</p><p><strong>Results: </strong>Age group was significantly associated with sunscreen use (p = 0.035). Participants aged 65 years and over were most likely to never use sunscreen, while those aged 50-64 years were most likely to always use it. No significant associations were found between gender or rurality and any sun protective behaviour. Overall, use of sun protection was suboptimal across all demographic groups.</p><p><strong>Conclusion: </strong>These findings suggest that Victorian farmers over 65 years of age may benefit from targeted public health messaging and education from primary care physicians and dermatologists. Further research is required to validate these results given the small sample size. A focus group of at-risk farmers as identified in this study may be valuable to identify interventions that could increase the sun protective behaviours of Australian farmers.</p>","PeriodicalId":8638,"journal":{"name":"Australasian Journal of Dermatology","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147832963","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":"Merkel Cell Carcinoma in Queensland: Treatment, Incidence and Outcomes Over a 10-Year Period (2012-2021).","authors":"Danny R Youlden, Shabnam Gujadhur, Artika Nath, Phoebe Woodrow, Julie Moore, Wen Xu, Bryan H Burmeister","doi":"10.1111/ajd.70136","DOIUrl":"https://doi.org/10.1111/ajd.70136","url":null,"abstract":"<p><strong>Background: </strong>Merkel Cell Carcinoma (MCC) is a rare skin cancer with aggressive behaviour. We present results for incidence and outcomes of MCC in Queensland, a population having the highest rates of skin cancer worldwide.</p><p><strong>Methods: </strong>Data for patients diagnosed with MCC between 2012 and 2021 were obtained from the population-based Queensland Oncology Repository. The age-standardised incidence rate trend was assessed using Joinpoint regression. Five-year MCC-specific survival was estimated using the Kaplan-Meier method and factors independently associated with survival were determined from a Fine-Grey multivariable model.</p><p><strong>Results: </strong>A total of 1061 patients with MCC were included. Median age at diagnosis was 78 years, 68% were male and 27% were immunocompromised. Nearly all patients (94%) received treatment within 365 days of diagnosis, of whom 79% had surgery, 58% had radiotherapy and 15% had intravenous systemic therapy, either alone or in combination with other modalities. The average annual incidence rate was 1.89 per 100,000 population and remained stable over the study period (p_trend = 0.13). Over one-third (35%) of the study cohort developed recurrences within 5 years, with a median time to recurrence of 11 months. Five-year MCC-specific survival increased from 61% between 2012 and 2016 to 69% during 2017-2021 (p = 0.01). Older age at diagnosis, higher tumour stage, a greater number of co-morbidities and immunosuppression were significantly associated with poorer survival.</p><p><strong>Conclusion: </strong>Our results indicate that the incidence of MCC in Queensland has stabilised following a long period of rapid increases. MCC-specific survival is improving, mostly for more advanced tumours, which is likely attributable to increasing use of immunotherapy.</p>","PeriodicalId":8638,"journal":{"name":"Australasian Journal of Dermatology","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147810166","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 Narrative Review of the Factors Impacting Solid Organ Transplant Recipient Participation in Skin Cancer Screening.","authors":"Will Swansson, Alvin H Chong","doi":"10.1111/ajd.70134","DOIUrl":"https://doi.org/10.1111/ajd.70134","url":null,"abstract":"<p><p>Solid organ transplant recipients (SOTRs) are at a significantly elevated risk of cutaneous malignancy due to the requirement for lifelong immunosuppressive medications. Regular full skin examinations (FSEs) with a specialist clinician are recommended by most guidelines and are critical for early skin cancer detection. However, screening engagement remains variable. This narrative review synthesises the existing literature examining participation in FSEs amongst SOTRs. Seventeen studies were identified and grouped into patient-, clinician- and system-level domains. Across studies, adherence varied between countries and healthcare settings. Patient-level barriers to screening predominantly related to sociodemographic factors. Clinician-level factors that influenced screening practice included guideline awareness and prioritisation of skin cancer risk. At the system level, structured protocols and access to dermatologists improved screening uptake. Identifying and addressing barriers across these domains may improve screening uptake in this at-risk population.</p>","PeriodicalId":8638,"journal":{"name":"Australasian Journal of Dermatology","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147810118","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":"Cercarial Dermatitis (aka 'Swimmers' or 'Duck Itch') in New Zealand Lakes.","authors":"Marius Rademaker, Eugene Tan","doi":"10.1111/ajd.70131","DOIUrl":"https://doi.org/10.1111/ajd.70131","url":null,"abstract":"<p><p>Despite 'Swimmers Itch' having been first reported in the Transactions of the Royal Society of South Australia in 1941, and shortly afterwards in the New Zealand Medical Journal in 1944, there remain few publications in the Australasian dermatology journals.</p>","PeriodicalId":8638,"journal":{"name":"Australasian Journal of Dermatology","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147810199","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":"Neutrophilic Dermatosis and Pyoderma Gangrenosum: A Not-So-Sweet Adverse Reaction to Pembrolizumab.","authors":"Alena Yang, Brandon Tan, Dedee F Murrell","doi":"10.1111/ajd.70133","DOIUrl":"https://doi.org/10.1111/ajd.70133","url":null,"abstract":"","PeriodicalId":8638,"journal":{"name":"Australasian Journal of Dermatology","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147810138","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":"Could an Essential Medicines List Strengthen Access and Equity in Australian Dermatology?","authors":"Conor Larney, Peter Foley","doi":"10.1111/ajd.70127","DOIUrl":"https://doi.org/10.1111/ajd.70127","url":null,"abstract":"","PeriodicalId":8638,"journal":{"name":"Australasian Journal of Dermatology","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147760840","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":"Representation of Topical Corticosteroid Withdrawal and Steroid Phobia on TikTok and YouTube Shorts: A Mixed-Methods Content Analysis.","authors":"Ju Hee Roh, Terry Kim, Aaron M Secrest, Harriet Kennedy","doi":"10.1111/ajd.70129","DOIUrl":"https://doi.org/10.1111/ajd.70129","url":null,"abstract":"<p><strong>Background: </strong>Short-form video platforms such as TikTok and YouTube Shorts have become influential sources of health information. Among dermatology topics, topical steroid withdrawal (TSW) and corticosteroid phobia ('corticophobia') are frequently discussed.</p><p><strong>Objectives: </strong>To examine quantitative engagement patterns and qualitatively characterise representations of TSW and corticosteroid phobia on TikTok and YouTube Shorts.</p><p><strong>Methods: </strong>A qualitative reflexive thematic analysis was conducted on publicly available TikTok and YouTube Shorts videos identified using predefined hashtags. Sampling was restricted to a consecutive two-day period to minimise algorithmic drift. Seventy-six publicly-accessible videos met inclusion criteria. Videos were coded inductively using NVivo, and thematic saturation was assessed through analytic redundancy and code recurrence.</p><p><strong>Results: </strong>TikTok videos were shorter and more interactive than YouTube Shorts. Sentiment was negative or neutral in most (78.9%, 60/76) videos. Five themes emerged: (1) Visually-dramatic embodiment of TSW; (2) Protest and mistrust; (3) Alternative healing; (4) Identity and hope; (5) Platform-shaped performance.</p><p><strong>Conclusions: </strong>Short-form platforms amplify emotionally intense and distrust-oriented narratives about TSW. Future research should focus on effective strategies to address misinformation and rebuild trust.</p>","PeriodicalId":8638,"journal":{"name":"Australasian Journal of Dermatology","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147728102","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":"Culturally Safe and Decentralised Care: Patient Experiences of a Dermatology Clinic Embedded in an Aboriginal and Torres Strait Islander Primary Health Care Service.","authors":"Nikhil Dwivedi, Nicholas Van Rooij, Geoffrey Spurling, Claudette Sissy Tyson, Sonya Egert, Erin McMeniman, Noel Hayman","doi":"10.1111/ajd.70128","DOIUrl":"10.1111/ajd.70128","url":null,"abstract":"<p><strong>Background: </strong>Skin disease is a major cause of morbidity in Australia and a leading reason for primary care visits. Aboriginal and Torres Strait Islander peoples experience a disproportionate burden of skin conditions but face barriers to accessing culturally safe specialist services. This study described patient demographics, presentations and experiences at a new community-based dermatology clinic.</p><p><strong>Methods: </strong>A mixed-methods study was conducted at an urban Aboriginal and Torres Strait Islander primary health care dermatology clinic in South East Queensland. Retrospective analysis of medical records (March 2021-December 2023) examined demographics, attendance and diagnoses. Verbal semi-structured interviews were undertaken with patients to explore their experiences, and data were analysed thematically.</p><p><strong>Results: </strong>Across 338 encounters, 76% of patients identified as Aboriginal and/or Torres Strait Islander and 72% were female. Attendance was 55%. 27% had previously accessed specialist dermatology care. In this urban cohort, inflammatory dermatoses predominated, including atopic dermatitis (n = 26), acne (n = 15), chronic spontaneous urticaria (n = 12) and psoriasis (n = 12). This differs from existing literature in rural and remote settings where infectious dermatoses often predominate. Seventeen patients participated in interviews led by Aboriginal and Torres Strait Islander Research Officers. Participants valued the clinic's accessibility, shorter wait times compared with hospital services and culturally safe environment. Barriers included transport, scheduling challenges and medication costs.</p><p><strong>Conclusions: </strong>A community-based, culturally tailored clinic was perceived by patients as more accessible, culturally safe and responsive to their needs. Supporting similar models may help close the gap in dermatological care and outcomes for Aboriginal and Torres Strait Islander peoples.</p>","PeriodicalId":8638,"journal":{"name":"Australasian Journal of Dermatology","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147721594","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}