BMC Dermatology最新文献

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Effects of variations in access to care for children with atopic dermatitis. 特应性皮炎患儿获得护理机会差异的影响。
BMC Dermatology Pub Date : 2020-12-20 DOI: 10.1186/s12895-020-00114-x
Elaine C Siegfried, Amy S Paller, Paola Mina-Osorio, Francis Vekeman, Mandeep Kaur, Usha G Mallya, Julie Héroux, Raymond Miao, Abhijit Gadkari
{"title":"Effects of variations in access to care for children with atopic dermatitis.","authors":"Elaine C Siegfried,&nbsp;Amy S Paller,&nbsp;Paola Mina-Osorio,&nbsp;Francis Vekeman,&nbsp;Mandeep Kaur,&nbsp;Usha G Mallya,&nbsp;Julie Héroux,&nbsp;Raymond Miao,&nbsp;Abhijit Gadkari","doi":"10.1186/s12895-020-00114-x","DOIUrl":"https://doi.org/10.1186/s12895-020-00114-x","url":null,"abstract":"<p><strong>Background: </strong>An estimated 50% of children in the US are Medicaid-insured. Some of these patients have poor health literacy and limited access to medications and specialty care. These factors affect treatment utilization for pediatric patients with atopic dermatitis (AD), the most common inflammatory skin disease in children. This study assesses and compares treatment patterns and healthcare resource utilization (HCRU) between large cohorts of Medicaid and commercially insured children with AD.</p><p><strong>Methods: </strong>Pediatric patients with AD were identified from 2 large US healthcare claims databases (2011-2016). Included patients had continuous health plan eligibility for ≥6 months before and ≥12 months after the first AD diagnosis (index date). Patients with an autoimmune disease diagnosis within 6 months of the index date were excluded. Treatment patterns and all-cause and AD-related HCRU during the observation period were compared between commercially and Medicaid-insured children.</p><p><strong>Results: </strong>A minority of children were evaluated by a dermatology or allergy/immunology specialist. Several significant differences were observed between commercially and Medicaid-insured children with AD. Disparities detected for Medicaid-insured children included: comparatively fewer received specialist care, emergency department and urgent care center utilization was higher, a greater proportion had asthma and non-atopic morbidities, high- potency topical corticosteroids and calcineurin inhibitors were less often prescribed, and prescriptions for antihistamines were more than three times higher, despite similar rates of comorbid asthma and allergies among antihistamine users. Treatment patterns also varied substantially across physician specialties.</p><p><strong>Conclusions: </strong>Results suggest barriers in accessing specialty care for all children with AD and significant differences in management between commercially and Medicaid-insured children. These disparities in treatment and access to specialty care may contribute to poor AD control, especially in Medicaid-insured patients.</p>","PeriodicalId":9014,"journal":{"name":"BMC Dermatology","volume":"20 1","pages":"24"},"PeriodicalIF":0.0,"publicationDate":"2020-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s12895-020-00114-x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38728488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 15
Associations of self-reported atopic dermatitis with comorbid conditions in adults: a population-based cross-sectional study. 成人中自我报告的特应性皮炎与合并症的关联:一项基于人群的横断面研究
BMC Dermatology Pub Date : 2020-12-17 DOI: 10.1186/s12895-020-00117-8
Jevgenija Smirnova, Scott Montgomery, Magnus Lindberg, Åke Svensson, Laura von Kobyletzki
{"title":"Associations of self-reported atopic dermatitis with comorbid conditions in adults: a population-based cross-sectional study.","authors":"Jevgenija Smirnova,&nbsp;Scott Montgomery,&nbsp;Magnus Lindberg,&nbsp;Åke Svensson,&nbsp;Laura von Kobyletzki","doi":"10.1186/s12895-020-00117-8","DOIUrl":"https://doi.org/10.1186/s12895-020-00117-8","url":null,"abstract":"<p><strong>Background: </strong>The objective of this study was to investigate the relationships between atopic dermatitis (AD) and other common chronic health conditions in adults.</p><p><strong>Methods: </strong>A cross-sectional survey was sent to a randomly selected population sample of 78,004 adults in Sweden. The questionnaires included measures of self-reported physical and mental health. Binary and multinomial logistic regression were used to examine the associations of AD with common chronic health conditions and psychological wellbeing.</p><p><strong>Results: </strong>AD was self-reported by 4,175 respondents, representing almost 14% of the study population of 34,313 adults. Our results showed positive associations between AD and chronic health disorders, including conditions of the oral cavity: chronic obstructive pulmonary disease (adjusted odds ratio [aOR] = 1.58, 95% confidence interval [CI]: 1.30 to 1.92), asthma (aOR = 2.13, 95% CI: 1.91 to 2.38), mild recurrent gastrointestinal symptoms (adjusted relative risk ratio [aRRR] = 1.78, 95% CI: 1.64 to 1.92), high blood pressure (aOR = 1.16, 95% CI: 1.06 to 1.26), obesity (aOR = 1.34, 95% CI: 1.23 to 1.47), mild joint pain (aRRR = 1.47, 95% CI: 1.35 to 1.61), mild headache or migraine (aRRR = 1.50, 95% CI: 1.38 to 1.64), caries (aOR = 1.25, 95% CI: 1.04 to 1.49), bleeding gums (aOR = 1.69, 95% CI: 1.38 to 2.08), periodontitis (aOR = 1.42, 95% CI: 1.13 to 1.77), sensitive teeth (aOR = 1.57, 95% CI: 1.35 to 1.82), and dry mouth (aOR = 1.52, 95% CI: 1.33 to 1.74). Adjustment for asthma and depression attenuated the magnitude of the associations between AD and the study outcomes. AD was also associated with poorer general psychological wellbeing.</p><p><strong>Conclusions: </strong>Adults reporting AD may be at increased risk of chronic disorders and decreased psychological wellbeing. Physicians should recognize that individuals with severe AD and those with comorbid asthma or depression may be especially vulnerable.</p>","PeriodicalId":9014,"journal":{"name":"BMC Dermatology","volume":"20 1","pages":"23"},"PeriodicalIF":0.0,"publicationDate":"2020-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s12895-020-00117-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38725653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 17
Quality of life of patients living with psoriasis: a qualitative study. 牛皮癣患者生活质量:一项定性研究。
BMC Dermatology Pub Date : 2020-12-10 DOI: 10.1186/s12895-020-00116-9
Silmara Meneguin, Natália Aparecida de Godoy, Camila Fernandes Pollo, Hélio Amante Miot, Cesar de Oliveira
{"title":"Quality of life of patients living with psoriasis: a qualitative study.","authors":"Silmara Meneguin,&nbsp;Natália Aparecida de Godoy,&nbsp;Camila Fernandes Pollo,&nbsp;Hélio Amante Miot,&nbsp;Cesar de Oliveira","doi":"10.1186/s12895-020-00116-9","DOIUrl":"https://doi.org/10.1186/s12895-020-00116-9","url":null,"abstract":"<p><strong>Background: </strong>Psoriasis is a multifactorial inflammatory disease prevalent in dermatology. We aimed to understand the perceptions of patients living with psoriasis in relation to their quality of life and to identify aspects to improve it.</p><p><strong>Methods: </strong>This is qualitative research carried out in a dermatology outpatient clinic of the São Paulo State University (UNESP) medical school, Botucatu, Brazil, with 81 psoriasis patients. The interviews were transcribed and analysed using the Discourse of the Collective Subject method (DCS).</p><p><strong>Results: </strong>Quality of life was linked to well-being, happiness, leisure, good food and financial stability. However, disease symptoms, social and clothing restrictions, impairment of professional activities and the absence of a cure, negatively influenced their perceptions. Suggestions for improvements included an increase of public awareness, stress reduction, disease acceptance and multidisciplinary care.</p><p><strong>Conclusion: </strong>The meanings of quality of life revealed by the participants are subjective, multidimensional, linked to moments experienced by them and to the health-disease process. Public health policies promoting reduction in social stigma and stress as well as multidisciplinary approaches towards care can contribute to improvements of QoL in psoriasis.</p>","PeriodicalId":9014,"journal":{"name":"BMC Dermatology","volume":"20 1","pages":"22"},"PeriodicalIF":0.0,"publicationDate":"2020-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s12895-020-00116-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38359542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 22
Multidisciplinary educational programme for caregivers of children with atopic dermatitis- in South East Norway - an observational study. 针对特应性皮炎儿童护理人员的多学科教育方案-在挪威东南部-一项观察性研究。
BMC Dermatology Pub Date : 2020-12-09 DOI: 10.1186/s12895-020-00119-6
M Lundborg, J-O H Holm, L Sandvik, A H Lossius, E M Rehbinder, J C Sitek, T L Berents
{"title":"Multidisciplinary educational programme for caregivers of children with atopic dermatitis- in South East Norway - an observational study.","authors":"M Lundborg,&nbsp;J-O H Holm,&nbsp;L Sandvik,&nbsp;A H Lossius,&nbsp;E M Rehbinder,&nbsp;J C Sitek,&nbsp;T L Berents","doi":"10.1186/s12895-020-00119-6","DOIUrl":"https://doi.org/10.1186/s12895-020-00119-6","url":null,"abstract":"<p><strong>Background: </strong>Educational programmes for caregivers of children with atopic dermatitis (AD) are reported to reduce the severity of AD and improve quality of life (QOL). Oslo University Hospital (OUH) in Norway offers a multidisciplinary educational programme for caregivers of children with AD. We aimed to evaluate the AD educational programme by assessing QOL of the family, the severity of the disease and caregiver's fear of topical corticosteroid (TCS) before and after attending the programme.</p><p><strong>Methods: </strong>This was a small observational prospective cohort study including 41 caregiver-child pairs. The children (mean age 3.4 years) had doctors' diagnosed AD with a difficult to treat eczema. The children's caregivers were referred from physicians to attend the AD educational programme at our hospital. At inclusion and at a 3 months follow-up QOL was assessed by Dermatitis Family Impact (DFI), the eczema severity by Patient-Orientated - SCORing Atopic Dermatitis (PO-SCORAD) and caregivers fear of TCS was recorded by asking a dichotomous \"yes\" or \"no\" question: \"Are you worried about using TCS on your child?\"</p><p><strong>Results: </strong>Three months after caregivers attending the educational programme there was an improvement in QOL by reduced mean DFI from 9.6 (SD 6.3) to 6.8 (SD 5.4), the mean PO-SCORAD was reduced from 38.5 (SD 15.1) to 24.6 (SD13.6), the number of caregivers reporting fear of TCS use was reduced from 33/46 (72%) to 12/41 (29%). All results p < 0.001.</p><p><strong>Conclusion: </strong>Our study suggests beneficial effects by improving QOL of the family, the severity of the eczema and in reducing the fear of TCS when caregivers of children with difficult to treat AD attend an AD multidisciplinary educational programme. Lack of control group makes it difficult to draw definite conclusions.</p>","PeriodicalId":9014,"journal":{"name":"BMC Dermatology","volume":"20 1","pages":"20"},"PeriodicalIF":0.0,"publicationDate":"2020-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s12895-020-00119-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38693614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Skin manifestations after bariatric surgery. 减肥手术后的皮肤表现。
BMC Dermatology Pub Date : 2020-12-09 DOI: 10.1186/s12895-020-00120-z
Yada Itthipanichpong, Wilawan Damkerngsuntorn, Natsinee Tangkijngamvong, Suthep Udomsawaengsup, Patchaya Boonchayaanant, Chanat Kumtornrut, Stephen J Kerr, Pravit Asawanonda, Pawinee Rerknimitr
{"title":"Skin manifestations after bariatric surgery.","authors":"Yada Itthipanichpong,&nbsp;Wilawan Damkerngsuntorn,&nbsp;Natsinee Tangkijngamvong,&nbsp;Suthep Udomsawaengsup,&nbsp;Patchaya Boonchayaanant,&nbsp;Chanat Kumtornrut,&nbsp;Stephen J Kerr,&nbsp;Pravit Asawanonda,&nbsp;Pawinee Rerknimitr","doi":"10.1186/s12895-020-00120-z","DOIUrl":"https://doi.org/10.1186/s12895-020-00120-z","url":null,"abstract":"<p><strong>Background: </strong>Skin signs observed in morbid obesity may change as the weight reduces, especially post-bariatric surgery (BaS). Data concerning the skin findings exclusively in post-BaS patients remain limited.</p><p><strong>Methods: </strong>Seventy post-BaS patients were examined for cutaneous abnormalities. The patients were divided into those with successful weight loss (% excessive body weight loss (EBWL) of at least 50%) and a non-successful group (%EBWL < 50%).</p><p><strong>Results: </strong>Forty-six patients with successful weight loss demonstrated a significantly lower prevalence of acanthosis nigricans on the neck, axillae and inguinal areas, keratosis pilaris (KP) and pebble fingers. However, a higher prevalence of alopecia was observed. After adjustment with patients' factors, KP (adjusted odds ratio (aOR) = 0.21, 95%CI 0.06-0.74, p = 0.02) and pebble fingers (aOR = 0.09, 95%CI 0.01-0.89, p = 0.04) remained significantly less likely in patients with successful weight loss. Laboratory results comparing pre- and post-surgery values revealed significant decreases in fasting plasma glucose, hemoglobin A1c, and triglyceride and an increase of high-density lipoproteins in both groups. However, significant decreases of liver aminotransferases (AST and ALT) were observed only in the successful group (p = 0.04, 0.003). Nonetheless, a decrease in vitamin B12 (p = 0.01) was observed in the successful group.</p><p><strong>Conclusion: </strong>Weight loss after BaS provided an improvement for metabolic profiles. Successful weight reduction resulted in better skin improvement. However, nutritional supplements may be necessary.</p><p><strong>Trial registration: </strong>Thai Clinical Trials Registry TCTR20171003002 . Registered October 3. 2017, retrospectively registered.</p>","PeriodicalId":9014,"journal":{"name":"BMC Dermatology","volume":"20 1","pages":"21"},"PeriodicalIF":0.0,"publicationDate":"2020-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s12895-020-00120-z","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38693616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Cutaneous Rosai - Dorfman disease in a patient with late syphilis and cervical cancer - case report and a review of literature. 皮肤Rosai - Dorfman病并发晚期梅毒和宫颈癌1例报告并文献复习。
BMC Dermatology Pub Date : 2020-12-07 DOI: 10.1186/s12895-020-00115-w
Angelika Bielach-Bazyluk, Agnieszka B Serwin, Agata Pilaszewicz-Puza, Iwona Flisiak
{"title":"Cutaneous Rosai - Dorfman disease in a patient with late syphilis and cervical cancer - case report and a review of literature.","authors":"Angelika Bielach-Bazyluk, Agnieszka B Serwin, Agata Pilaszewicz-Puza, Iwona Flisiak","doi":"10.1186/s12895-020-00115-w","DOIUrl":"10.1186/s12895-020-00115-w","url":null,"abstract":"<p><strong>Background: </strong>Cutaneous Rosai - Dorfman disease (CRDD) is extremely rare variant of idiopathic histiocytic proliferative disorder, which may manifest as a non-specific macules, papules, plaques or nodules ranging in size and colour from yellow - red to red -brown.</p><p><strong>Case presentation: </strong>A 52-year-old female presented with three gradually enlarging, reddish - brown nodules on the right upper extremity lasting six months. The patients denied fever, weight loss, malaise. Clinical examination and imaging tests showed no sign of lymphadenopathy. A biopsy specimen of a nodule showed a dense dermal polymorphic infiltrate with numerous histiocytes exhibiting emperipolesis phenomenon. Immunohistochemical staining of the histiocytes showed S-100 protein (+), CD68(+), but CD1a (-). Aforementioned findings were consistent with CRDD characteristics. Additionally, a routine serological screening and confirmatory serological tests for syphilis were positive. Syphilis of unknown duration was diagnosed. The IgG antibodies titre against Chlamydia trachomatis was elevated. An isolated sensory impairment over the right trigeminal nerve was found on neurological consultation. Comprehensive gynaecological assessment was carried out because of patient's complaints of bleeding after sexual intercourse and led to diagnosis of cervical cancer. The initial therapy with methotrexate was discontinued after three months due to neutropenia. Further therapy with dapson was ineffective, therefore complete surgical excision was recommended.</p><p><strong>Conclusions: </strong>CRDD is a rare, benign condition especially difficult to diagnose due to lack of general symptoms and lymphadenopathy. Histopathologic examination with immunohistochemical staining, exhibiting characteristic and reproducible findings play a key role in establishing an accurate diagnosis. In the presented case activated histiocytes demonstrated in a lesional skin might be a response to immune dysregulation related to chronic, untreated sexually transmitted infections and cancer.</p>","PeriodicalId":9014,"journal":{"name":"BMC Dermatology","volume":"20 1","pages":"19"},"PeriodicalIF":0.0,"publicationDate":"2020-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s12895-020-00115-w","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38684011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Scleromyxedema in a 21 year old female patient with acute lymphoblastic leukemia: a case report. 21岁女性急性淋巴细胞白血病硬化性水肿1例。
BMC Dermatology Pub Date : 2020-12-04 DOI: 10.1186/s12895-020-00118-7
Hadi Rabee, Leeda Tayem, Mohammad Gharbeyah, Dina Abugaber
{"title":"Scleromyxedema in a 21 year old female patient with acute lymphoblastic leukemia: a case report.","authors":"Hadi Rabee,&nbsp;Leeda Tayem,&nbsp;Mohammad Gharbeyah,&nbsp;Dina Abugaber","doi":"10.1186/s12895-020-00118-7","DOIUrl":"https://doi.org/10.1186/s12895-020-00118-7","url":null,"abstract":"<p><strong>Background: </strong>Scleromyxedema is a rare, para-neoplastic, chronic, progressive condition of the Lichen myxedematosus (LM) family. The clinical picture consists of generalized confluent papular eruptions with possible systemic manifestations, which may be fatal as it still constitutes a therapeutic dilemma. Histologically, it is characterized by dermal mucin deposition, fibroblast proliferation with fibrosis, with monoclonal gammopathy in the absence of thyroid disease. Some atypical forms of the disease were reported in the literature, but none were reported in acute leukemia.</p><p><strong>Case presentation: </strong>Herein, we report a case of a 21 years old female patient, known case of acute lymphoblastic leukemia (ALL), who developed numerous hyper-pigmented erythematous papules and plaques, mainly over her thighs, lower abdomen, and sub-mammary flexures. Histopathology of skin lesions confirmed the diagnosis of atypical scleromyxedema. Her symptoms significantly improved with the use of high dose intravenous immunoglobulin (IVIG).</p><p><strong>Conclusions: </strong>Despite that scleromyxedema is associated with many hematologic disorders, it is very rarely associated with acute lymphoblastic leukemia, and a high index of suspicion is needed for diagnosis. IVIG remains a reasonable management of such a disabling disease.</p>","PeriodicalId":9014,"journal":{"name":"BMC Dermatology","volume":"20 1","pages":"18"},"PeriodicalIF":0.0,"publicationDate":"2020-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s12895-020-00118-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38674506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Antibiotic resistant Cutibacterium acnes among acne patients in Jordan: a cross sectional study. 约旦痤疮患者中耐抗生素痤疮表皮杆菌:一项横断面研究。
BMC Dermatology Pub Date : 2020-11-17 DOI: 10.1186/s12895-020-00108-9
Eman Alkhawaja, Saleem Hammadi, Medhat Abdelmalek, Naser Mahasneh, Bayan Alkhawaja, Suzanne M Abdelmalek
{"title":"Antibiotic resistant Cutibacterium acnes among acne patients in Jordan: a cross sectional study.","authors":"Eman Alkhawaja,&nbsp;Saleem Hammadi,&nbsp;Medhat Abdelmalek,&nbsp;Naser Mahasneh,&nbsp;Bayan Alkhawaja,&nbsp;Suzanne M Abdelmalek","doi":"10.1186/s12895-020-00108-9","DOIUrl":"https://doi.org/10.1186/s12895-020-00108-9","url":null,"abstract":"<p><strong>Background: </strong>Antibiotics have been used for decades against Cutibacterium acnes (previously known as Propionibacterium acnes; C. acnes). Alarmingly, antibiotic resistance to this bacterium has become a worldwide problem in recent years. No studies are available on the antibiotic susceptibility patterns of C. acnes among Jordanian acne patients and how that is influenced by antibiotic use. This study aims to assess antibiotic resistance patterns of C. acnes clinical isolates and neighboring Gram-positive normal flora of the skin obtained from acne patients attending dermatology clinics in Amman -Jordan appraising the role of antibiotic consumption.</p><p><strong>Methods: </strong>This is a cross-sectional study of acne patients presenting to selected dermatology outpatient clinics over a 6-month study period. Swabs obtained from inflamed lesions were cultured aerobically and anaerobically. Isolates were identified and screened for antibiotic susceptibility. In addition, all patients were asked to fill in a questionnaire that included questions about the history of antibiotic treatment.</p><p><strong>Results: </strong>C. acnes was isolated from lesions of 100 patients out of 115 participants included in this study. 73% of the isolates were resistant to erythromycin and 59% to clindamycin 37% to doxycycline, 36% to tetracycline, 31% to trimethoprim / sulfamethoxazole, 15% to levofloxacin, and 3% to minocycline. Multi drug resistance (MDR) in C. acnes isolates as well as Staphylococcus aureus (S. aureus) and Staphylococcus epidermidis (S. epidermidis) with a similar pattern of resistance were detected from the same patient in most cases. A pattern of higher resistance towards variable antibiotic was observed in patients previously treated with antibiotics for acne management.</p><p><strong>Conclusions: </strong>The findings of this study demonstrate the distribution of antibiotic resistance of C. acnes towards used antibiotics and emphasizes the influence of antibiotic consumption on development of antibiotic resistance. The similar pattern of resistance between skin bacteria tested in this study highlights the genetic transfer of resistance between skin commensals including S. aureus and S. epidermidis hence promoting its circulation in the community.</p>","PeriodicalId":9014,"journal":{"name":"BMC Dermatology","volume":"20 1","pages":"17"},"PeriodicalIF":0.0,"publicationDate":"2020-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s12895-020-00108-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38719774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 27
Mapping of cis-acting expression quantitative trait loci in human scalp hair follicles. 人头皮毛囊顺式表达数量性状位点的定位。
BMC Dermatology Pub Date : 2020-11-10 DOI: 10.1186/s12895-020-00113-y
Marisol Herrera-Rivero, Lara M Hochfeld, Sugirthan Sivalingam, Markus M Nöthen, Stefanie Heilmann-Heimbach
{"title":"Mapping of cis-acting expression quantitative trait loci in human scalp hair follicles.","authors":"Marisol Herrera-Rivero,&nbsp;Lara M Hochfeld,&nbsp;Sugirthan Sivalingam,&nbsp;Markus M Nöthen,&nbsp;Stefanie Heilmann-Heimbach","doi":"10.1186/s12895-020-00113-y","DOIUrl":"https://doi.org/10.1186/s12895-020-00113-y","url":null,"abstract":"<p><strong>Background: </strong>The association of molecular phenotypes, such as gene transcript levels, with human common genetic variation can help to improve our understanding of interindividual variability of tissue-specific gene regulation and its implications for disease.</p><p><strong>Methods: </strong>With the aim to capture the spectrum of biological processes affected by regulatory common genetic variants (minor allele frequency ≥ 1%) in healthy hair follicles (HFs) from scalp tissue, we performed a genome-wide mapping of cis-acting expression quantitative trait loci (eQTLs) in plucked HFs, and applied these eQTLs to help further explain genomic findings for hair-related traits.</p><p><strong>Results: </strong>We report 374 high-confidence eQTLs found in occipital scalp tissue, whose associated genes (eGenes) showed enrichments for metabolic, mitotic and immune processes, as well as responses to steroid hormones. We were able to replicate 68 of these associations in a smaller, independent dataset, in either frontal and/or occipital scalp tissue. Furthermore, we found three genomic regions overlapping reported genetic loci for hair shape and hair color. We found evidence to confirm the contributions of PADI3 to human variation in hair traits and suggest a novel potential candidate gene within known loci for androgenetic alopecia.</p><p><strong>Conclusions: </strong>Our study shows that an array of basic cellular functions relevant for hair growth are genetically regulated within the HF, and can be applied to aid the interpretation of interindividual variability on hair traits, as well as genetic findings for common hair disorders.</p>","PeriodicalId":9014,"journal":{"name":"BMC Dermatology","volume":"20 1","pages":"16"},"PeriodicalIF":0.0,"publicationDate":"2020-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s12895-020-00113-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38678603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Prevalence of pressure ulcers among hospitalized adult patients in Ethiopia: a systematic review and meta-analysis. 埃塞俄比亚住院成人患者压疮患病率:系统回顾和荟萃分析
BMC Dermatology Pub Date : 2020-11-07 DOI: 10.1186/s12895-020-00112-z
Wondimeneh Shibabaw Shiferaw, Yared Asmare Aynalem, Tadesse Yirga Akalu
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引用次数: 7
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