Australasian Journal of Dermatology最新文献

{"title":"Segmental Congenital Vascular Anomaly With Atrophy, Ulceration and Scarring With Complications in Pregnancy.","authors":"Anne R Halbert, AmyLeigh Hall, Cathryn Poulton","doi":"10.1111/ajd.14441","DOIUrl":"https://doi.org/10.1111/ajd.14441","url":null,"abstract":"<p><p>A 33-year-old woman with a segmental non-involuting congenital vascular anomaly of the left neck developed pain and ulceration in pregnancy and left-sided Horner's syndrome after delivery. Mutational analysis of affected tissue showed a missense mutation in GNA11 (Glu209) and a second mutation in PIK3CA. Sirolimus therapy resulted in healing of the ulceration and resolution of the Horner's syndrome.</p>","PeriodicalId":8638,"journal":{"name":"Australasian Journal of Dermatology","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143522579","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":"#Acne: A Thematic Qualitative Analysis of Acne Content on TikTok.","authors":"Laxmi Iyengar, Susan Saldanha, Alvin H Chong","doi":"10.1111/ajd.14433","DOIUrl":"https://doi.org/10.1111/ajd.14433","url":null,"abstract":"<p><strong>Aim: </strong>TikTok has accrued over 3 million posts and 129 billion views under #acne, establishing itself as a popular platform amongst adolescents to access health information. We conducted an in-depth thematic analysis of acne videos on TikTok to determine how adolescents engage with acne content.</p><p><strong>Methods: </strong>The top 150 consecutive videos under #acne on TikTok were subjected to rigorous qualitative analysis by experienced researchers (Laxmi Iyengar, Susan Saldanha) until data saturation was reached, guided by SRQR (Standards for Reporting Qualitative Research) guidelines. Five themes were identified:(1) Pimple popping, (2) Acne education, (3) 'Acne transformation' depicting treatment success stories, (4) Acne positivity, normalising acne and (5) Acne reality, capturing the lived experience of acne.</p><p><strong>Results: </strong>Overall, the top 150 videos under #acne accumulated almost 2 billion views and 102 million followers. The majority of acne content was uploaded by females (125/150; 84%). Medically trained clinicians represented only 11% of the content (17/150). Pimple-popping videos attracted the most significant viewership (804 million views; 44%; 17% of content) despite having a lower proportion of content than acne education videos, uploaded by patients and clinicians (324 million views; 34% of content). These videos included dietary hacks, miracle cures and narratives that antagonised the medical treatments. Acne reality videos demonstrating the mental health burden of acne were the least popular amongst TikTok viewers (79 million views; 4% of content).</p><p><strong>Conclusion: </strong>Thematic qualitative research of acne on TikTok bridges the gap between clinical expertise and the lived experiences of those navigating acne in the digital age. Based on the results of the study, strategies are proposed for dermatologists to engage in the TikTok platform on the topic of acne, including medicolegal precautions. Given the lack of content credibility on social media, this research urges dermatologists to redefine healthy skin care practices based on evidence-based principles.</p>","PeriodicalId":8638,"journal":{"name":"Australasian Journal of Dermatology","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143497804","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":"Treatment of Benign Adnexal Tumours With Mohs Micrographic Surgery: An Australian Retrospective Analysis.","authors":"Alain Tran, Lucinda Liu, Anjana Prabu, Sonya Odhavji, Tim Rutherford","doi":"10.1111/ajd.14442","DOIUrl":"https://doi.org/10.1111/ajd.14442","url":null,"abstract":"<p><p>Benign adnexal tumours are characterised by slow growth; however, they can cause significant patient morbidity due to their predilection for the face and potential for disfigurement. We present a series of cases treated with Mohs micrographic surgery to reinforce the existing data that these tumours can be sub-clinically extensive and draw attention to their ability to invade both widely and deeply.</p>","PeriodicalId":8638,"journal":{"name":"Australasian Journal of Dermatology","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143498112","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 Case of Sweet's Syndrome Presenting With Tongue Ulcerations","authors":"Olga Pawlik,&nbsp;Timothy Cowan,&nbsp;Andrew Miller","doi":"10.1111/ajd.14422","DOIUrl":"10.1111/ajd.14422","url":null,"abstract":"<p>We describe the case of an 87-year-old woman who developed Sweet's syndrome with atypical mucosal involvement following a post-operative wound infection. The disease manifestations included two large, ulcerated plaques on both sides of the tongue as well as cutaneous lesions. Her lesions resolved promptly with oral prednisolone.</p>","PeriodicalId":8638,"journal":{"name":"Australasian Journal of Dermatology","volume":"66 2","pages":"e43-e45"},"PeriodicalIF":2.2,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajd.14422","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143498084","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":"Paediatric Hypotrichosis: A Clinical and Algorithmic Approach to Diagnosis.","authors":"Neda So, Leona Yip, David Orchard","doi":"10.1111/ajd.14429","DOIUrl":"https://doi.org/10.1111/ajd.14429","url":null,"abstract":"<p><p>Paediatric hypotrichosis is the clinical feature of paucity of hair arising congenitally or in early life with the presentation being that of the child whose hair is growing insufficiently. It is a hallmark finding of a diverse group of genodermatoses and sporadic disorders, presenting as either an isolated symptom or in association with syndromic features. Hypotrichoses are rare, with numerous possible differentials requiring a thorough clinical assessment, additional investigations for hair shaft abnormalities and occasionally genetic counselling to reach a diagnosis. We propose a clinical algorithm for the investigation and diagnosis of paediatric hypotrichosis, designed to aid the clinician by utilising key clinical findings in conjunction with the forced hair pull test and trichoscopy to differentiate groups of hair shaft and hair loss disorders. We also discuss in further detail the pathogenesis, phenotypical features and microscopy findings of various types of hypotrichosis.</p>","PeriodicalId":8638,"journal":{"name":"Australasian Journal of Dermatology","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143481941","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":"Improving Cardiovascular Outcomes in the Psoriasis Cohort. Psoriasis and Cardiovascular Disease-Clinician Knowledge, Practice and Perceptions.","authors":"Annika Smith, Belinda Lai, Sarah Zaman, Peter Wong, Fiona Foo, Katy J L Bell, Pablo Fernandez-Penas, Clara K Chow","doi":"10.1111/ajd.14436","DOIUrl":"https://doi.org/10.1111/ajd.14436","url":null,"abstract":"<p><strong>Background: </strong>Psoriasis is a risk factor for cardiovascular disease (CVD). This risk is independent and incremental to traditional cardiovascular (CV) risk factors, but clinician and patient perspectives on this risk are unclear. This study aims to assess the knowledge, perceptions, and practice of clinicians and patients with respect to psoriasis and CVD.</p><p><strong>Methods: </strong>This cross-sectional study consisted of a self-administered questionnaire capturing demographic characteristics, knowledge of the association between psoriasis and CVD, and perspectives on CV screening and management. This was distributed to members of relevant Australasian Speciality Medical Colleges, speciality societies, and psoriasis patients in public and private clinic settings. Survey data were assessed using descriptive statistics. Logistic regression was used to investigate the relationship between categorical variables and the outcome variable, for example, to determine factors predictive of clinician knowledge and perceptions. For all analyses, a p-value of less than 0.05 was considered statistically significant.</p><p><strong>Results: </strong>A total of 298 clinicians (dermatologists (86), rheumatologists (56), cardiologists (53), general practitioners (103)) and 102 patients with psoriasis were surveyed. Regarding clinician knowledge of the association between psoriasis and CVD, dermatologists and rheumatologists indicated knowledge of this association (98.8%) (85/96) and 91.1% (51/56) respectively, while only 54.7% (29/53) of cardiologists and 29.1% (30/103) of GPs indicated knowledge of this association. Only 23.5% (24/102) of patients surveyed indicated knowledge of this association. Clinicians with a higher proportion of their caseload including psoriasis patients were significantly more likely to be aware of the association between psoriasis and CVD (OR 3.05 [1.64, 5.68]; p < 0.001). Most clinicians nominated GPs as best placed to facilitate CV risk factor screening and management (dermatologists 80.2% (69/86); rheumatologists 83.9% (47/56); cardiologists 75.5% (40/53); GPs 88.3% (91/103)). Patients preferred specialist input and multidisciplinary care for CVD risk management; 34.3% (35/102) nominated a cardiologist as the preferred clinician, and 23.5% (24/102) indicated preference for a multidisciplinary team.</p><p><strong>Limitations: </strong>The possibility of sampling and response bias, inherent in the study design, is acknowledged; however, responses are likely representative of clinician and patient sentiments on this issue and in keeping with similar study findings.</p><p><strong>Conclusion: </strong>Clinician and patient knowledge of the relationship between psoriasis and CVD needs to be improved. The establishment of a national consensus approach to address this gap in clinical care is needed.</p>","PeriodicalId":8638,"journal":{"name":"Australasian Journal of Dermatology","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476106","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":"Resolution of Severe Hidradenitis Suppurativa Following Kidney Transplantation.","authors":"Kerem Balan, Neslihan Akdogan, Guldehan Haberal, Seref Rahmi Yılmaz","doi":"10.1111/ajd.14437","DOIUrl":"https://doi.org/10.1111/ajd.14437","url":null,"abstract":"","PeriodicalId":8638,"journal":{"name":"Australasian Journal of Dermatology","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476162","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":"Pellagra and Scurvy in a Patient With Relapsed Schizophrenia.","authors":"Vanessa Tran, Andrew Awad, Laura Scardamaglia, Gayle Ross","doi":"10.1111/ajd.14438","DOIUrl":"https://doi.org/10.1111/ajd.14438","url":null,"abstract":"","PeriodicalId":8638,"journal":{"name":"Australasian Journal of Dermatology","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476111","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":"Ergonomics in Dermatological Surgery: An International Survey Among Dermatologists.","authors":"Puo Nen Lim, Aine Sinead Kelly, Marc Lawrence, William Thomas Nicholas Hunt","doi":"10.1111/ajd.14435","DOIUrl":"https://doi.org/10.1111/ajd.14435","url":null,"abstract":"<p><p>There is a high prevalence of musculoskeletal pain among dermatological surgeons, particularly in the neck, upper and lower back, and shoulders. We performed an international survey which revealed a lack of ergonomic education and use of ergonomic tools in dermatological surgery. Most respondents were aware of bad posture during surgery, but few regularly checked their posture. Behavioural interventions, such as alternating between standing and sitting, and taking frequent breaks, are recommended to reduce pain. Ergonomic workstation adaptations, including the use of surgical loupes, good lighting and adjustable stools, are crucial for reducing strain.</p>","PeriodicalId":8638,"journal":{"name":"Australasian Journal of Dermatology","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456776","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":"Prevention of Post-Inflammatory Hyperpigmentation in Skin of Colour: A Systematic Review.","authors":"Kristie Mar, Mahan Maazi, Bushra Khalid, Rayan Ahmed, Ou Jia Emilie Wang, Touraj Khosravi-Hafshejani","doi":"10.1111/ajd.14432","DOIUrl":"https://doi.org/10.1111/ajd.14432","url":null,"abstract":"<p><strong>Background/objectives: </strong>Post-inflammatory hyperpigmentation (PIH) impacts all skin tones with a heightened predilection for Fitzpatrick skin types (FST) III-VI. Preventative measures include pre- and post-intervention approaches, such as sunscreen and corticosteroids. This systematic review aims to summarise the preventative measure outcomes for skin of colour individuals.</p><p><strong>Methods: </strong>A literature search was conducted using MEDLINE (from 1946) and Embase (from 1974) in adherence to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines.</p><p><strong>Results: </strong>Of 14 studies, 369 cases were included. The mean age was 38 years (n = 293) and 72% were female (n = 265). All patients were of Asian ethnicity, and 42% were of FST III, 54% FST IV, and 4% FST V. Nearly all cases were precipitated by laser therapy (> 95%), and the face was the most reported location (85%). The most successful preventative measure was sunscreen alone or combined with other ingredients. Less successful outcomes were seen with topical corticosteroids and systemic tranexamic acid, while cooling air devices exacerbated the development of PIH.</p><p><strong>Conclusion: </strong>Overall, only sunscreen consistently prevented the incidence of PIH; however, the severity of the ensuing PIH may be diminished with other measures. There is considerable room for improved preventative strategies for at-risk populations.</p>","PeriodicalId":8638,"journal":{"name":"Australasian Journal of Dermatology","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143424916","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}