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Wilson BN, Sun M, Shah R, Murrell DF, Murase JE. Purposeful inclusion of skin of colour in published literature for improved dermatology education: a call to action. Clin Exp Dermatol 2021; 47:409-410. [PMID: 34189766 DOI: 10.1111/ced.14821] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/29/2021] [Indexed: 11/29/2022]
Affiliation(s)
- B N Wilson
- Department of Dermatology, School of Medicine, Rutgers New Jersey Medical School, Newark, NJ, USA
| | - M Sun
- Department of Dermatology, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - R Shah
- Department of Dermatology, School of Medicine, Rutgers New Jersey Medical School, Newark, NJ, USA
| | - D F Murrell
- Department of Dermatology, The George Institute of Global Health, Sydney, NSW, Australia.,Department of Dermatology, University of New South Wales, Sydney, NSW, Australia
| | - J E Murase
- Department of Dermatology, School of Medicine, Rutgers New Jersey Medical School, Newark, NJ, USA.,Department of Dermatology, University of California, San Francisco, San Francisco, CA, USA.,Department of Dermatology, Palo Alto Foundation Medical Group, Mountain View, CA, USA
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Abel MK, Jelousi S, Berger T, Murase JE, Butler DC. Immunological eruptions of ageing: reframing chronic pruritic rashes in older adults. Br J Dermatol 2021; 185:638-639. [PMID: 33913508 DOI: 10.1111/bjd.20414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Revised: 04/22/2021] [Accepted: 04/23/2021] [Indexed: 11/28/2022]
Affiliation(s)
- M K Abel
- University of California, San Francisco School of Medicine, San Francisco, CA, USA.,Department of Dermatology, University of California, San Francisco, San Francisco, CA, USA
| | - S Jelousi
- University of California, San Francisco School of Medicine, San Francisco, CA, USA.,Department of Dermatology, University of California, San Francisco, San Francisco, CA, USA
| | - T Berger
- Department of Dermatology, University of California, San Francisco, San Francisco, CA, USA
| | - J E Murase
- Department of Dermatology, University of California, San Francisco, San Francisco, CA, USA.,Department of Dermatology, Palo Alto Foundation Medical Group, Mountain View, CA, USA
| | - D C Butler
- Department of Dermatology, University of California, San Francisco, San Francisco, CA, USA
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Yang EJ, Murase JE. Recalcitrant anal and genital pruritus treated with dupilumab. Int J Womens Dermatol 2018; 4:223-226. [PMID: 30627621 PMCID: PMC6322158 DOI: 10.1016/j.ijwd.2018.08.010] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2018] [Revised: 08/26/2018] [Accepted: 08/27/2018] [Indexed: 11/16/2022] Open
Abstract
Chronic anogenital pruritus can significantly impair affected patients’ quality of life by disrupting their sleep, mood, sexual function, and personal relationships. Although a significant portion of these patients can be managed with hygiene measures, topical therapy, oral anti-pruritics, and allergen avoidance after patch testing, guidelines to treat patients who do not respond to standard therapy have yet to be established. We describe the therapeutic response of a case of anogenital pruritus recalcitrant to multiple topical and systemic therapies. Treatment of this patient with dupilumab, an interleukin-4 receptor alpha blocker, resulted in clinical remission at 1 year from the initiation of the therapy, without significant adverse effects.
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Affiliation(s)
- E J Yang
- Department of Dermatology, University of California San Francisco, San Francisco, California.,Chicago Medical School, Rosalind Franklin University of Medicine and Science, North Chicago, Illinois
| | - J E Murase
- Department of Dermatology, University of California San Francisco, San Francisco, California.,Department of Dermatology, Palo Alto Foundation Medical Group, Mountain View, California
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Suresh R, Twigg A, Murase JE. The relationship between menopausal hormone therapy and keratinocyte carcinoma: A review. Int J Womens Dermatol 2018; 5:8-13. [PMID: 30809572 PMCID: PMC6374736 DOI: 10.1016/j.ijwd.2018.07.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2018] [Accepted: 07/27/2018] [Indexed: 11/18/2022] Open
Abstract
Introduction Keratinocyte carcinoma (KC) is the most common malignancy in the United States. The two most common forms of KC are basal cell carcinoma and squamous cell carcinoma (SCC), which account for 80% and 20% of cases, respectively. Objective There are many well-established risk factors for KC, but a more controversial risk factor for KC development is menopausal hormone therapy (MHT). This review synthesizes existing information on this topic and identifies knowledge gaps for future study. Methods A systematic review of the literature using the Medical Subject Headings terms “menopausal hormone therapy; skin neoplasms” was conducted in the PubMed database from March 19, 2018 to April 1, 2018. This yielded 168 articles, case reports, and reviews, which were further refined for inclusion during the development of this manuscript. Additional articles were identified from cited references. Results Four studies pertaining to this topic were identified. The results were evaluated in the context of these studies’ strengths and weaknesses. MHT contributes to an increased risk of basal cell carcinoma in Caucasian subjects and may make these tumors histologically more aggressive. There is not enough evidence to make a conclusion with regard to a potential relationship between MHT and SCC. However, one study suggested an increased risk of SCC with MHT use and another demonstrated a temporal association with prolonged MHT use and increased risk of SCC development. Conclusion Ever users of MHT should be screened more frequently for KC. This issue is of importance to dermatologists because patients who receive earlier diagnoses of KC will have a better opportunity to pursue treatment.
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Affiliation(s)
- R Suresh
- Department of Dermatology, University of California, San Francisco, San Francisco, California
| | - A Twigg
- Department of Dermatology, University of California, San Francisco, San Francisco, California
| | - J E Murase
- Department of Dermatology, University of California, San Francisco, San Francisco, California.,Department of Dermatology, Palo Alto Foundation Medical Group, Mountain View, California
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Trivedi MK, Shinkai K, Murase JE. A Review of hormone-based therapies to treat adult acne vulgaris in women. Int J Womens Dermatol 2017; 3:44-52. [PMID: 28492054 PMCID: PMC5419026 DOI: 10.1016/j.ijwd.2017.02.018] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2016] [Revised: 01/20/2017] [Accepted: 02/06/2017] [Indexed: 11/29/2022] Open
Abstract
Hormone-based therapies including combined oral contraceptive medications and spironolactone are considered effective therapies to treat adult acne in women. Our objective is to provide a concise and comprehensive overview of the types of hormonal therapy that are available to treat acne and comment on their efficacy and safety profiles for clinical practice. A systematic search using the PubMed Database was conducted to yield 36 relevant studies for inclusion in the review and several conclusions were drawn from the literature. Treatment with oral contraceptive pills leads to significant reductions in lesion counts across all lesion types compared with placebo. There were no consistent differences in efficacy between the different combined oral contraceptive formulations. In terms of risk, oral contraceptive pill users had three-times increased odds of venous thromboembolism versus non-users according to a recent meta-analysis (95% confidence interval 2.46-2.59). Data on oral contraceptive pill use and breast cancer risk are conflicting but individual patient risk factors and histories should be discussed and considered when prescribing these medications. However, use of these medications does confer measurable protection from endometrial and ovarian cancer. Spironolactone was also shown to be an effective alternative treatment with good tolerability. Combined oral contraceptive medications and spironolactone as adjuvant and monotherapies are safe and effective to treat women with adult acne. However, appropriate clinical examinations, screening, and individual risk assessments particularly for venous thromboembolism risk must be conducted prior to initiating therapy.
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Affiliation(s)
- M K Trivedi
- Department of Dermatology, University of California San Francisco, San Francisco, CA.,University of Michigan Medical School, Ann Arbor, Michigan
| | - K Shinkai
- Department of Dermatology, University of California San Francisco, San Francisco, CA
| | - J E Murase
- Department of Dermatology, University of California San Francisco, San Francisco, CA.,Department of Dermatology, Palo Alto Medical Foundation, Mountain View, CA
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Trivedi MK, Kroumpouzos G, Murase JE. A review of the safety of cosmetic procedures during pregnancy and lactation. Int J Womens Dermatol 2017; 3:6-10. [PMID: 28492048 PMCID: PMC5418954 DOI: 10.1016/j.ijwd.2017.01.005] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2016] [Revised: 01/21/2017] [Accepted: 01/21/2017] [Indexed: 01/21/2023] Open
Abstract
The safety of cosmetic procedures in patients who are pregnant and/or lactating is a complex clinical question surrounded by uncertainty. Our objective is to consolidate data on the safety of commonly requested cosmetic procedures during pregnancy and lactation after a systematic review of the current literature to guide evidence-based care in the future. A systematic search of the PubMed database was conducted for articles on cosmetic procedures during pregnancy and lactation. Due to a lack of controlled trials, case reports and series were considered. Minor procedures such as shave, punch, snipping, and electrocautery are considered safe. With respect to chemical peels, glycolic and lactic acid peels are deemed safe; however, trichloracetic and salicylic acid peels should be avoided or used with caution. Although safety data on botulinum toxin A is insufficient, the procedure may be safe because systemic absorption and placental transfer are negligible. Sclerotherapy can be safe during pregnancy but must be avoided during the first trimester and after week 36 of the pregnancy. Laser and light therapies have been considered generally safe for patients with granulomatous conditions and condylomata. Epilation should be limited to waxing, shaving, and topical treatments instead of permanent procedures. In patients who are lactating, most therapies discussed above are safe but fat transfer, sclerotherapy, and tumescent liposuction are not recommended. Better evidence is needed to make concrete recommendations on the safety of cosmetic therapy during pregnancy and lactation but preliminary evidence suggests excellent safety profiles for many commonly requested cosmetic procedures.
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Affiliation(s)
- M K Trivedi
- Department of Dermatology, University of California San Francisco, San Francisco, California.,University of Michigan Medical School, Ann Arbor, Michigan
| | - G Kroumpouzos
- Department of Dermatology, Alpert Medical School of Brown University, Providence, Rhode Island.,Department of Dermatology, Medical School of Jundiaí, São Paulo, Brazil
| | - J E Murase
- Department of Dermatology, University of California San Francisco, San Francisco, California.,Department of Dermatology, Palo Alto Medical Foundation, Mountain View, California
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Abstract
Phototherapy is a mainstay of vitiligo treatment and has varying rates of efficacy. Narrowband ultraviolet (UV) B (NB-UVB) and UVA have been used for decades, but it is only recently that monochromatic excimer light (MEL) was developed for use in dermatology and adapted for the treatment of vitiligo. The specific 308-nm radiation wavelength is delivered in a targeted form by the xenon-chloride excimer laser and is also available in an incoherent form that is commonly referred to as the excimer lamp. MEL administered by both laser and lamp has shown efficacy superior to NB-UVB for the treatment of vitiligo and induces more changes at the cellular level than conventional UVB modalities. The excimer laser is effective in adults and children with vitiligo in all skin types as monotherapy or in combination with other established vitiligo therapeutics. Treatment regimens studied included excimer laser two to three times weekly for up to 36 weeks. Patients commonly achieved > 75% repigmentation. The laser has also been used in combination with topical corticosteroids, calcineurin inhibitors and vitamin D analogues, as well as surgery, thus further expanding treatment options for patients with vitiligo. The excimer lamp has been used for treatments one to three times a week for up to 24 weeks and was found to be equal to excimer laser in a head-to-head comparison. It has also been used in combination with topical corticosteroids and oral vitamin E. Both MEL modalities have a limited adverse side-effect profile. Long-term effects are yet to be determined; however, based on available data on UVB phototherapy as well as the properties of MEL devices, there is probably only a minimal increased malignancy risk.
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Affiliation(s)
- K K Park
- Department of Dermatology, University of California San Francisco, 515 Spruce Street, San Francisco, CA 94118, USA.
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Affiliation(s)
- K F Davis
- Department of Dermatology, University of California, Irvine, Irvine, CA 92868-3201, USA
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Waller JM, Wu JJ, Murase JE, Dyson SW, Kelly KM. Chronically painful right thumb with pustules and onycholysis. Diagnosis: acrodermatitis continua of Hallopeau. Clin Exp Dermatol 2007; 32:619-20. [PMID: 17501968 DOI: 10.1111/j.1365-2230.2007.02440.x] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- J M Waller
- Department of Dermatology, University of California, Irvine, Irvine, Orange, CA 92868-3201, USA
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