1
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Aquino JMRM, Guevara BEK. Erythematous, annular lesions on the extremities of a female patient. Int J Dermatol 2024; 63:588-589. [PMID: 38044561 DOI: 10.1111/ijd.16956] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/12/2023] [Revised: 11/09/2023] [Accepted: 11/21/2023] [Indexed: 12/05/2023]
Affiliation(s)
- Jay M R M Aquino
- Department of Dermatology, Southern Philippines Medical Center, Davao City, Philippines
| | - Bryan E K Guevara
- Department of Dermatology, Southern Philippines Medical Center, Davao City, Philippines
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2
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Gu Y, He R, Zhang B. A girl with circular erythema on the forearm. BMJ 2024; 385:e078449. [PMID: 38636968 DOI: 10.1136/bmj-2023-078449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/20/2024]
Affiliation(s)
- Ying Gu
- Department of Dermatology, Beijing Children's Hospital, Capital Medical University, National Centre for Children's Health, Beijing, China
| | - Rui He
- Department of Dermatology, Beijing Children's Hospital, Capital Medical University, National Centre for Children's Health, Beijing, China
| | - Bin Zhang
- Department of Dermatology, Beijing Children's Hospital, Capital Medical University, National Centre for Children's Health, Beijing, China
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3
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Yao QH, Xia XJ, Zhi HL, Liu ZH. Pruritic Erythema in a Child with Undifferentiated Connective Tissue Disease. Mycopathologia 2024; 189:31. [PMID: 38578559 DOI: 10.1007/s11046-024-00840-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2023] [Accepted: 02/24/2024] [Indexed: 04/06/2024]
Affiliation(s)
- Qi-Hao Yao
- Department of Dermatology, Hangzhou Third People's Hospital, Zhejiang University School of Medicine, No.38, West Lake Rd, Shangcheng District, Hangzhou, 310009, Zhejiang Province, China
| | - Xiu-Jiao Xia
- Department of Dermatology, Hangzhou Third People's Hospital, Zhejiang University School of Medicine, No.38, West Lake Rd, Shangcheng District, Hangzhou, 310009, Zhejiang Province, China
| | - Hui-Lin Zhi
- Department of Dermatology, Hangzhou Third People's Hospital, Zhejiang University School of Medicine, No.38, West Lake Rd, Shangcheng District, Hangzhou, 310009, Zhejiang Province, China
| | - Ze-Hu Liu
- Department of Dermatology, Hangzhou Third People's Hospital, Zhejiang University School of Medicine, No.38, West Lake Rd, Shangcheng District, Hangzhou, 310009, Zhejiang Province, China.
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4
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Matsuo M, Niwa H, Onishi H, Iwata H. A case of generalized pustular psoriasis with discrepant resolution time between pustules and erythema after treatment with spesolimab. J Dermatol 2024; 51:e127-e128. [PMID: 37955351 DOI: 10.1111/1346-8138.17032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Revised: 10/06/2023] [Accepted: 10/26/2023] [Indexed: 11/14/2023]
Affiliation(s)
- Maho Matsuo
- Department of Dermatology, Gifu University Graduate School of Medicine, Gifu, Japan
| | - Hirofumi Niwa
- Department of Dermatology, Gifu University Graduate School of Medicine, Gifu, Japan
| | - Hidenori Onishi
- Department of Pediatrics, Gifu University Graduate School of Medicine, Gifu, Japan
| | - Hiroaki Iwata
- Department of Dermatology, Gifu University Graduate School of Medicine, Gifu, Japan
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5
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McNamara SA, Henehan M, Zubair R, Nousari C. Flagellate erythema with relapsing fevers and arthralgia. Int J Dermatol 2024; 63:464-466. [PMID: 37728193 DOI: 10.1111/ijd.16851] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/24/2023] [Revised: 07/26/2023] [Accepted: 09/08/2023] [Indexed: 09/21/2023]
Affiliation(s)
- Stephanie A McNamara
- Broward Health Medical Center, Department of Dermatology, 1600 S Andrews Ave., Fort Lauderdale, FL, 33316, USA
| | - Mason Henehan
- Broward Health Medical Center, Department of Dermatology, 1600 S Andrews Ave., Fort Lauderdale, FL, 33316, USA
| | - Raheel Zubair
- Broward Health Medical Center, Department of Dermatology, 1600 S Andrews Ave., Fort Lauderdale, FL, 33316, USA
| | - Carlos Nousari
- Broward Health Medical Center, Department of Dermatology, 1600 S Andrews Ave., Fort Lauderdale, FL, 33316, USA
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6
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Visscher MO, Taleghani A, Nurre M, Meganathan K, Strange R, Kinnett M, Narendran V. Assessment of diaper dermatitis using a novel electronic health record-embedded scale. J Perinatol 2024; 44:501-507. [PMID: 37985814 DOI: 10.1038/s41372-023-01824-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Revised: 11/02/2023] [Accepted: 11/06/2023] [Indexed: 11/22/2023]
Abstract
OBJECTIVE Quantify the evolution and severity of neonatal skin injury, specifically diaper skin compromise, by embedding a validated skin integrity evaluation into the electronic health record (EHR). METHODS Retrospective longitudinal cohort analysis of 747 patients stratified by gestation: 22-27, 28-31, 32-24, and 35-37 weeks, from birth to discharge. Primary outcomes were time to first perineal erythema, duration as percent days with erythema, and severity as maximum score. Data were analyzed using generalized linear models and multiple linear regression methods. RESULTS Seventy percent had erythema and, of these, 34% had at least one high score with bleeding. Days with erythema ranged from 34-44% (p < 0.05). Days to first erythema were inversely correlated with gestational age. Risks for severe injury included short time to first erythema, 5 or more stools/day, infection, and Caucasian race/ethnicity. CONCLUSIONS The EHR-based scale can be readily implemented to mitigate diaper skin compromise in premature infants.
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Affiliation(s)
- Marty O Visscher
- James L. Winkle College of Pharmacy, University of Cincinnati, Cincinnati, OH, USA.
| | - Afshin Taleghani
- Neonatal Intensive Care Unit, University of Cincinnati Medical Center, Cincinnati, OH, USA
| | - Melissa Nurre
- Neonatal Intensive Care Unit, University of Cincinnati Medical Center, Cincinnati, OH, USA
| | - Karthikeyan Meganathan
- College of Medicine, Department of Environmental and Public Health, University of Cincinnati, Cincinnati, OH, USA
| | - Ruthann Strange
- Neonatal Intensive Care Unit, University of Cincinnati Medical Center, Cincinnati, OH, USA
| | - Melissa Kinnett
- Neonatal Intensive Care Unit, University of Cincinnati Medical Center, Cincinnati, OH, USA
| | - Vivek Narendran
- Perinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
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7
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Zhao C, Li H. Multiple large annular and semi-annular erythema in a young woman. Int J Dermatol 2024; 63:462-463. [PMID: 38217491 DOI: 10.1111/ijd.16929] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/25/2023] [Revised: 11/06/2023] [Accepted: 11/13/2023] [Indexed: 01/15/2024]
Affiliation(s)
- Chunxia Zhao
- Department of Dermatology and Venerology, Peking University First Hospital, Beijing, China
- National Clinical Research Center for Skin and Immune Diseases, Beijing, China
- Beijing Key Laboratory of Molecular Diagnosis on Dermatoses, Beijing, China
- NMPA Key Laboratory for Quality Control and Evaluation of Cosmetics, Beijing, China
- Department of Dermatology, Xijing Hospital, Fourth Military Medical University, Xi'an, China
| | - Hang Li
- Department of Dermatology and Venerology, Peking University First Hospital, Beijing, China
- National Clinical Research Center for Skin and Immune Diseases, Beijing, China
- Beijing Key Laboratory of Molecular Diagnosis on Dermatoses, Beijing, China
- NMPA Key Laboratory for Quality Control and Evaluation of Cosmetics, Beijing, China
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8
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Sheriff S, Bahrami S, Schadt CR. Annular Erythematous Eruption in a Pediatric Patient. JAMA Dermatol 2024; 160:468-469. [PMID: 38381410 DOI: 10.1001/jamadermatol.2023.4984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/22/2024]
Abstract
An 11-year-old girl presented in autumn with an asymptomatic rash on her arms, face, and legs of a 3-week duration. What is your diagnosis?
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Affiliation(s)
- Samar Sheriff
- Department of Medicine, Division of Dermatology, University of Louisville, Louisville, Kentucky
| | - Soon Bahrami
- Department of Medicine, Division of Dermatology, University of Louisville, Louisville, Kentucky
- University of Louisville Pathology and Laboratory Medicine, Louisville, Kentucky
| | - Courtney R Schadt
- Department of Medicine, Division of Dermatology, University of Louisville, Louisville, Kentucky
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9
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del Río‐Sancho S, Alvarez Martinez D, Pünchera J, Guerrier S, Laubach HJ. Dermobile: A cost-effective portable device for erythema evaluation. Skin Res Technol 2024; 30:e13668. [PMID: 38606726 PMCID: PMC11010262 DOI: 10.1111/srt.13668] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2024] [Accepted: 03/11/2024] [Indexed: 04/13/2024]
Affiliation(s)
- Sergio del Río‐Sancho
- Laser Dermatology Consultation, Division of Dermatology and VenereologyGeneva University HospitalsGenevaSwitzerland
- Pediatric Dermatology Unit, Departments of Dermatology & VenereologyUniversity Hospital LausanneUniversity of LausanneLausanneSwitzerland
| | - David Alvarez Martinez
- Laser Dermatology Consultation, Division of Dermatology and VenereologyGeneva University HospitalsGenevaSwitzerland
| | - Jöri Pünchera
- Laser Dermatology Consultation, Division of Dermatology and VenereologyGeneva University HospitalsGenevaSwitzerland
| | | | - Hans Joachim Laubach
- Laser Dermatology Consultation, Division of Dermatology and VenereologyGeneva University HospitalsGenevaSwitzerland
- Pediatric Dermatology Unit, Departments of Dermatology & VenereologyUniversity Hospital LausanneUniversity of LausanneLausanneSwitzerland
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10
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López Sanz P, Rodríguez de Vera Guardiola C, Escario Travesedo E. Annular Erythematous Plaques With Overlying Blisters in a Cluster of Jewels Pattern. JAMA Dermatol 2024; 160:356-357. [PMID: 38265771 DOI: 10.1001/jamadermatol.2023.4461] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2024]
Abstract
A woman in her 80s presented with erythematous, nondesquamative, annular plaques in a cluster of jewels pattern on her wrists and legs. What is your diagnosis?
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Affiliation(s)
- Pablo López Sanz
- Department of Dermatology, Hospital General Universitario de Albacete, Universidad de Castilla-La Mancha, Albacete, Spain
| | | | - Eduardo Escario Travesedo
- Department of Dermatology, Hospital General Universitario de Albacete, Universidad de Castilla-La Mancha, Albacete, Spain
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11
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Moran S, Derrick KM, McGovern J, Glick SA. Annular Erythema of Infancy. J Pediatr 2024; 266:113857. [PMID: 38008213 DOI: 10.1016/j.jpeds.2023.113857] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/15/2023] [Revised: 11/18/2023] [Accepted: 11/21/2023] [Indexed: 11/28/2023]
Affiliation(s)
- Shannon Moran
- Department of Dermatology, The State University of New York Downstate School of Medicine, Brooklyn, New York
| | - Kristina M Derrick
- Department of Dermatology, State University of New York Downstate School of Medicine, Brooklyn, New York; Department of Dermatology, Maimonides Medical Center, Brooklyn, New York
| | - John McGovern
- Department of Dermatology, State University of New York Downstate School of Medicine, Brooklyn, New York; Department of Dermatology, Maimonides Medical Center, Brooklyn, New York
| | - Sharon A Glick
- Department of Dermatology, State University of New York Downstate School of Medicine, Brooklyn, New York; Department of Dermatology, Maimonides Medical Center, Brooklyn, New York
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12
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Li Q, Xu Y, Shu H, Li N, Gu H, He L, Tu Y. Lactic acid sting test and capsaicin test differentially induce facial erythematous reaction in subjects with sensitive skin. J Cosmet Dermatol 2024; 23:1009-1014. [PMID: 38059312 DOI: 10.1111/jocd.16047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2023] [Revised: 09/25/2023] [Accepted: 10/15/2023] [Indexed: 12/08/2023]
Abstract
BACKGROUND Sensitivity skin (SS) is a common skin disorders, which have a various of clinical manifestation. Facial erythema is common objective symptom of SS. However, the reasons for the occurrence of erythema in sensitive skin are not fully understood. AIMS In this study, we preliminarily explain the possible factors inducing erythema of sensitive skin by evaluating facial erythematous reaction to lactic acid sting test (LAST) and capsaicin test (CAT) in subjects with sensitive skin. METHODS A total of 197 subjects were divided into five groups, that is, normal controls (NC), LAST-positive (LAST+ ), both LAST and CAT positive (L+ C+ ), both LAST and CAT negative (L- C- ) and CAT-positive (CAT+ ). Erythema index (EI), a* value, and tissue viability imaging (TIVI) were measured before and after LAST and CAT, The ΔEI, Δa*, and ΔTIVI before and after LAST and CAT were calculated, and the correlation between the scores of CAT, EI values, a* values, and TIVI values were analyzed to clarify the causes of facial erythema. RESULTS Our results showed that EI values and a* values were significantly higher in the L+ C+ and CAT+ group than in NC group, TIVI values were higher in the L+ C+ group than in NC group. ΔEI and Δa* values after LAST did not differ significantly among five groups. However, ΔEI values in L+ C+ group were higher than that in L- C- group, while Δa* values were higher in CAT+ group than in NC. Moreover, ΔTIVI values in L+ C+ group and CAT+ group were also significantly higher than that in NC group after capsaicin stimulation. CAT scores correlated positively with EI, a* and TIVI values. CONCLUSION Our results suggest that sensitive skin subjects with positive CAT are more likely to experience erythema reactions, and vasodilation is more pronounced after capsaicin stimulation. Reducing vascular and neural hyperreactivity could be therapeutic target in management of facial erythema in subjects with sensitive skin.
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Affiliation(s)
- Qingwen Li
- Department of Dermatology, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China
| | - Yujuan Xu
- Nursing Department, The First Affiliated Hospital of Kunming Medical University, Kunming, China
| | - Hong Shu
- Department of Dermatology, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China
| | - Na Li
- Nursing Department, The First Affiliated Hospital of Kunming Medical University, Kunming, China
| | - Hua Gu
- Department of Dermatology, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China
| | - Li He
- Department of Dermatology, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China
| | - Ying Tu
- Department of Dermatology, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China
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13
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Liu WT, Hsu CK, Chen HW, Lee JYY. A painful erythematous plaque on the abdomen of a woman with ipsilateral breast cancer. J Dtsch Dermatol Ges 2024; 22:300-303. [PMID: 38196106 DOI: 10.1111/ddg.15303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2022] [Accepted: 10/14/2023] [Indexed: 01/11/2024]
Affiliation(s)
- Wei-Ting Liu
- Department of Dermatology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan
| | - Chao-Kai Hsu
- Department of Dermatology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan
| | - Hui-Wen Chen
- Department of Pathology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan
| | - Julia Yu-Yun Lee
- Department of Dermatology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan
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14
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Wang J, Xu J. Newborn Girl Presenting With Erythema and Blisters. JAMA Dermatol 2024; 160:222-223. [PMID: 38090992 DOI: 10.1001/jamadermatol.2023.4221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/22/2024]
Abstract
A female child presents for 3-year follow-up with erythema, vesicles, and bullae present since birth and an increasing number of annular hyperkeratotic plaques and palmoplantar hyperkeratosis. What is your diagnosis?
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Affiliation(s)
- Jiayue Wang
- Department of Dermatology, West China Second University Hospital, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, Sichuan University, Chengdu, China
- Department of Dermatology, Capital Medical University, Beijing Children's Hospital, Beijing, China
| | - Jiaosheng Xu
- Department of Dermatology, Capital Medical University, Beijing Children's Hospital, Beijing, China
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15
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Gracz M, Chung HJ, Lee H. Nonblanching, Erythematous, Cerebriform Plaques on the Foot. Cutis 2024; 113:67-74. [PMID: 38593105 DOI: 10.12788/cutis.0939] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/11/2024]
Affiliation(s)
- Maciej Gracz
- Maciej Gracz and Dr. Lee are from Albany Medical College, New York. Dr. Jin Chung is from Harvard Medical School, Boston, Massachusetts
| | - Hye Jin Chung
- Maciej Gracz and Dr. Lee are from Albany Medical College, New York. Dr. Jin Chung is from Harvard Medical School, Boston, Massachusetts
| | - Hwajeong Lee
- Maciej Gracz and Dr. Lee are from Albany Medical College, New York. Dr. Jin Chung is from Harvard Medical School, Boston, Massachusetts
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16
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Schwartzberg L, McEldrew E, Baldassano M, Altman H, Gust A. Annular Erythematous Plaques on the Back. Cutis 2024; 113:66-71. [PMID: 38593095 DOI: 10.12788/cutis.0941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/11/2024]
Affiliation(s)
- Lauren Schwartzberg
- Drs. Schwartzberg, McEldrew, Altman, and Gust are from the Department of Dermatology, Lehigh Valley Health Network, Allentown, Pennsylvania. Dr. Baldassano is from Baldassano Dermatopathology, Blue Bell, Pennsylvania
| | - Emily McEldrew
- Drs. Schwartzberg, McEldrew, Altman, and Gust are from the Department of Dermatology, Lehigh Valley Health Network, Allentown, Pennsylvania. Dr. Baldassano is from Baldassano Dermatopathology, Blue Bell, Pennsylvania
| | - Marisa Baldassano
- Drs. Schwartzberg, McEldrew, Altman, and Gust are from the Department of Dermatology, Lehigh Valley Health Network, Allentown, Pennsylvania. Dr. Baldassano is from Baldassano Dermatopathology, Blue Bell, Pennsylvania
| | - Howard Altman
- Drs. Schwartzberg, McEldrew, Altman, and Gust are from the Department of Dermatology, Lehigh Valley Health Network, Allentown, Pennsylvania. Dr. Baldassano is from Baldassano Dermatopathology, Blue Bell, Pennsylvania
| | - Anthony Gust
- Drs. Schwartzberg, McEldrew, Altman, and Gust are from the Department of Dermatology, Lehigh Valley Health Network, Allentown, Pennsylvania. Dr. Baldassano is from Baldassano Dermatopathology, Blue Bell, Pennsylvania
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17
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He G, Yang Q, Wu J, Huang Y, Zheng H, Cheng H. Treating rosacea with botulism toxin: Protocol for a systematic review and meta-analysis. J Cosmet Dermatol 2024; 23:44-61. [PMID: 37605478 DOI: 10.1111/jocd.15962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2023] [Revised: 06/05/2023] [Accepted: 08/01/2023] [Indexed: 08/23/2023]
Abstract
BACKGROUND Rosacea is a chronic inflammatory disease usually associated with persistent erythema and periodic flushing. This disease is difficult to treat, and the outcomes are often unsatisfactory and prone to recurrence. In recent years, botulinum toxin has been used as a new treatment for rosacea; however, its efficacy and safety remain under discussion. Although a systematic review of the effectiveness and safety of botulinum toxin has been previously conducted by other researchers, our systematic review and meta-analysis evaluate the efficacy of botulinum toxin from a more comprehensive and detailed perspective to provide evidence for clinicians. METHODS Any study using botulinum toxin for the treatment of rosacea was considered for the analysis. RESULTS A total of 22 studies were included, 9 of which were randomized controlled trials involving 720 subjects. After treatment, all studies showed varying degrees of improvement in patient signs and symptoms along with reduced Clinician's Erythema Assessment (CEA) scores. The improvement was maintained for several months, and the adverse effects were mild and self-limiting. CONCLUSION Botulinum toxin may be an effective treatment for patients with rosacea; however, further clinical evidence is needed to confirm its long-term efficacy and side effects. The study was preregistered with Prospero (CRD42022358911).
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Affiliation(s)
- Guanjin He
- Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Qifeng Yang
- Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Jin Wu
- Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Yuanen Huang
- Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Huilan Zheng
- Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Hongbin Cheng
- Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China
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18
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Shaker N, Phelps R, Niedt G, Sangueza OP, Pradhan D. Indurated Erythematous Lesions of Bilateral Breasts in a Middle-Aged Woman: Challenge. Am J Dermatopathol 2024; 46:e1-e2. [PMID: 38086091 DOI: 10.1097/dad.0000000000002586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2023]
Affiliation(s)
- Nada Shaker
- Department of Pathology, The Ohio State University, Wexner Medical Center, Columbus, OH
| | - Robert Phelps
- Icahn School of Medicine at Mount Sinai, New York, NY
- Division of Dermatopathology, Departments of Dermatology and Pathology, Mount Sinai Medical Center, New York, NY
| | - George Niedt
- Icahn School of Medicine at Mount Sinai, New York, NY
- Division of Dermatopathology, Departments of Dermatology and Pathology, Mount Sinai Medical Center, New York, NY
| | - Omar P Sangueza
- Departments of Dermatology and Pathology, Wake Forest University, School of Medicine, Medical Center Boulevard Winston-Salem, NC; and
| | - Dinesh Pradhan
- Department of Dermatopathology, The University of Nebraska Medical Center, Omaha, NE
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19
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Hou P, Chen L, Takashi E, Kamijo A, Xu H, Miura D, Ten H, Kitayama A, Fan J. Fluctuations in Detection Indicators and Their Significance for the Diagnosis of Early Pressure Injury in Rat Models. J Wound Ostomy Continence Nurs 2024; 51:32-38. [PMID: 38215296 DOI: 10.1097/won.0000000000001043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2024]
Abstract
PURPOSE The aim of this study was to identify the most meaningful diagnostic indicator for distinguishing blanchable erythema (BE) and stage 1 pressure injury (early PI) in an in vivo (rat) model. DESIGN A prospective case-control design was used to complete a horizontal and vertical comparison of detection indicators during the process of fading of BE or the deterioration of early PI into ulcer in rat models. MATERIALS AND SETTING The sample comprised 5 hairless rats with 20 injuries, of which 10 were BE and the other 10 were early PI. Data were collected at Nagano College of Nursing in 2020 in Nagano, Japan. METHODS The BE and PI rat models were established by subjecting the dorsal skin of a hairless rat to compression between 2 neodymium magnets for 45 minutes and 3.45 hours, respectively. The affected skin was observed based on the following: (1) photography, (2) hardness, (3) temperature, (4) moisture, and (5) spectrophotometric (a* value and ultraviolet [UV] reflectance) measurements. All measurements of BE were performed at the beginning to 60 minutes after decompression, and those for early PI were performed until 48 hours after decompression. RESULTS Multiple BE factors, such as the degree of erythema (macroscopy and a* value), hardness, temperature, and moisture, were found to have unstable fluctuations. Only UV reflectance gradually decreased from 6 hours and decreased significantly at 48 hours after decompression (P = .001 vs 1 hour). In contrast to early PI, erythema in BE obviously faded within 10 minutes. CONCLUSIONS Study findings indicate that a continuous decrease in UV reflectance can reflect the worsening of hemorrhage in early (stage 1) PI. In contrast, other indicators including photography, skin hardness, temperature, and moisture fluctuated and did not prove predictive for PI progression. The obvious fading of erythema in BE a short time after decompression can be used for clinical observations.
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Affiliation(s)
- Ping Hou
- Ping Hou, MM, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan; and School of Nursing and School of Public Health, Yangzhou University, Yangzhou, China
- Lu Chen, MM, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan; and Department of Anesthesiology, the Affiliated Hospital of Yangzhou University, Yangzhou, China
- En Takashi, MD, PhD, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Akio Kamijo, PhD, RPT, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Huiwen Xu, MM, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan; and School of Nursing and School of Public Health, Yangzhou University, Yangzhou, China
- Daiji Miura, PhD, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Hirotomo Ten, MD, PhD, Department of Judo Physical Therapy, Faculty of Health, Teikyo Heisei University, Tokyo, Japan
- Akio Kitayama, PhD, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Jianglin Fan, MD, PhD, Department of Molecular Pathology, Graduate School of Medical Sciences, University of Yamanashi, Yamanashi, Japan; and School of Biotechnology and Health Sciences, Wuyi University, Jiangmen, China
| | - Lu Chen
- Ping Hou, MM, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan; and School of Nursing and School of Public Health, Yangzhou University, Yangzhou, China
- Lu Chen, MM, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan; and Department of Anesthesiology, the Affiliated Hospital of Yangzhou University, Yangzhou, China
- En Takashi, MD, PhD, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Akio Kamijo, PhD, RPT, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Huiwen Xu, MM, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan; and School of Nursing and School of Public Health, Yangzhou University, Yangzhou, China
- Daiji Miura, PhD, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Hirotomo Ten, MD, PhD, Department of Judo Physical Therapy, Faculty of Health, Teikyo Heisei University, Tokyo, Japan
- Akio Kitayama, PhD, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Jianglin Fan, MD, PhD, Department of Molecular Pathology, Graduate School of Medical Sciences, University of Yamanashi, Yamanashi, Japan; and School of Biotechnology and Health Sciences, Wuyi University, Jiangmen, China
| | - En Takashi
- Ping Hou, MM, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan; and School of Nursing and School of Public Health, Yangzhou University, Yangzhou, China
- Lu Chen, MM, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan; and Department of Anesthesiology, the Affiliated Hospital of Yangzhou University, Yangzhou, China
- En Takashi, MD, PhD, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Akio Kamijo, PhD, RPT, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Huiwen Xu, MM, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan; and School of Nursing and School of Public Health, Yangzhou University, Yangzhou, China
- Daiji Miura, PhD, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Hirotomo Ten, MD, PhD, Department of Judo Physical Therapy, Faculty of Health, Teikyo Heisei University, Tokyo, Japan
- Akio Kitayama, PhD, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Jianglin Fan, MD, PhD, Department of Molecular Pathology, Graduate School of Medical Sciences, University of Yamanashi, Yamanashi, Japan; and School of Biotechnology and Health Sciences, Wuyi University, Jiangmen, China
| | - Akio Kamijo
- Ping Hou, MM, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan; and School of Nursing and School of Public Health, Yangzhou University, Yangzhou, China
- Lu Chen, MM, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan; and Department of Anesthesiology, the Affiliated Hospital of Yangzhou University, Yangzhou, China
- En Takashi, MD, PhD, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Akio Kamijo, PhD, RPT, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Huiwen Xu, MM, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan; and School of Nursing and School of Public Health, Yangzhou University, Yangzhou, China
- Daiji Miura, PhD, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Hirotomo Ten, MD, PhD, Department of Judo Physical Therapy, Faculty of Health, Teikyo Heisei University, Tokyo, Japan
- Akio Kitayama, PhD, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Jianglin Fan, MD, PhD, Department of Molecular Pathology, Graduate School of Medical Sciences, University of Yamanashi, Yamanashi, Japan; and School of Biotechnology and Health Sciences, Wuyi University, Jiangmen, China
| | - Huiwen Xu
- Ping Hou, MM, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan; and School of Nursing and School of Public Health, Yangzhou University, Yangzhou, China
- Lu Chen, MM, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan; and Department of Anesthesiology, the Affiliated Hospital of Yangzhou University, Yangzhou, China
- En Takashi, MD, PhD, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Akio Kamijo, PhD, RPT, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Huiwen Xu, MM, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan; and School of Nursing and School of Public Health, Yangzhou University, Yangzhou, China
- Daiji Miura, PhD, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Hirotomo Ten, MD, PhD, Department of Judo Physical Therapy, Faculty of Health, Teikyo Heisei University, Tokyo, Japan
- Akio Kitayama, PhD, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Jianglin Fan, MD, PhD, Department of Molecular Pathology, Graduate School of Medical Sciences, University of Yamanashi, Yamanashi, Japan; and School of Biotechnology and Health Sciences, Wuyi University, Jiangmen, China
| | - Daiji Miura
- Ping Hou, MM, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan; and School of Nursing and School of Public Health, Yangzhou University, Yangzhou, China
- Lu Chen, MM, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan; and Department of Anesthesiology, the Affiliated Hospital of Yangzhou University, Yangzhou, China
- En Takashi, MD, PhD, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Akio Kamijo, PhD, RPT, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Huiwen Xu, MM, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan; and School of Nursing and School of Public Health, Yangzhou University, Yangzhou, China
- Daiji Miura, PhD, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Hirotomo Ten, MD, PhD, Department of Judo Physical Therapy, Faculty of Health, Teikyo Heisei University, Tokyo, Japan
- Akio Kitayama, PhD, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Jianglin Fan, MD, PhD, Department of Molecular Pathology, Graduate School of Medical Sciences, University of Yamanashi, Yamanashi, Japan; and School of Biotechnology and Health Sciences, Wuyi University, Jiangmen, China
| | - Hirotomo Ten
- Ping Hou, MM, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan; and School of Nursing and School of Public Health, Yangzhou University, Yangzhou, China
- Lu Chen, MM, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan; and Department of Anesthesiology, the Affiliated Hospital of Yangzhou University, Yangzhou, China
- En Takashi, MD, PhD, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Akio Kamijo, PhD, RPT, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Huiwen Xu, MM, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan; and School of Nursing and School of Public Health, Yangzhou University, Yangzhou, China
- Daiji Miura, PhD, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Hirotomo Ten, MD, PhD, Department of Judo Physical Therapy, Faculty of Health, Teikyo Heisei University, Tokyo, Japan
- Akio Kitayama, PhD, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Jianglin Fan, MD, PhD, Department of Molecular Pathology, Graduate School of Medical Sciences, University of Yamanashi, Yamanashi, Japan; and School of Biotechnology and Health Sciences, Wuyi University, Jiangmen, China
| | - Akio Kitayama
- Ping Hou, MM, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan; and School of Nursing and School of Public Health, Yangzhou University, Yangzhou, China
- Lu Chen, MM, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan; and Department of Anesthesiology, the Affiliated Hospital of Yangzhou University, Yangzhou, China
- En Takashi, MD, PhD, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Akio Kamijo, PhD, RPT, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Huiwen Xu, MM, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan; and School of Nursing and School of Public Health, Yangzhou University, Yangzhou, China
- Daiji Miura, PhD, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Hirotomo Ten, MD, PhD, Department of Judo Physical Therapy, Faculty of Health, Teikyo Heisei University, Tokyo, Japan
- Akio Kitayama, PhD, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Jianglin Fan, MD, PhD, Department of Molecular Pathology, Graduate School of Medical Sciences, University of Yamanashi, Yamanashi, Japan; and School of Biotechnology and Health Sciences, Wuyi University, Jiangmen, China
| | - Jianglin Fan
- Ping Hou, MM, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan; and School of Nursing and School of Public Health, Yangzhou University, Yangzhou, China
- Lu Chen, MM, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan; and Department of Anesthesiology, the Affiliated Hospital of Yangzhou University, Yangzhou, China
- En Takashi, MD, PhD, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Akio Kamijo, PhD, RPT, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Huiwen Xu, MM, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan; and School of Nursing and School of Public Health, Yangzhou University, Yangzhou, China
- Daiji Miura, PhD, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Hirotomo Ten, MD, PhD, Department of Judo Physical Therapy, Faculty of Health, Teikyo Heisei University, Tokyo, Japan
- Akio Kitayama, PhD, RN, Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Jianglin Fan, MD, PhD, Department of Molecular Pathology, Graduate School of Medical Sciences, University of Yamanashi, Yamanashi, Japan; and School of Biotechnology and Health Sciences, Wuyi University, Jiangmen, China
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20
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Loridon L, Langlois V, Boulard C. [Erythema of the lower limb]. Rev Med Interne 2024; 45:50-51. [PMID: 37626002 DOI: 10.1016/j.revmed.2023.08.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Accepted: 08/13/2023] [Indexed: 08/27/2023]
Affiliation(s)
- L Loridon
- Service de dermatologie, CHU de Rouen, 76000 Rouen, France.
| | - V Langlois
- Service de médecine interne, groupe hospitalier du Havre, 76600 Le Havre, France
| | - C Boulard
- Service de dermatologie, groupe hospitalier du Havre, 76600 Le Havre, France
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21
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Parra García JJ, Sánchez MS, García Martínez E. [Extensive ab igne erythema in the context of use of electric blanket]. Semergen 2024; 50:102068. [PMID: 37827049 DOI: 10.1016/j.semerg.2023.102068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Accepted: 07/13/2023] [Indexed: 10/14/2023]
Affiliation(s)
- J J Parra García
- Servicio de Dermatología, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España.
| | - M Segado Sánchez
- Servicio de Dermatología, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España
| | - E García Martínez
- Servicio de Dermatología, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España
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22
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Hu M, Tu Y, Man MQ, He Y, Wu P, He L, Gu H. Rosacea and seborrheic dermatitis differentially respond to lactic acid sting and capsaicin tests in Chinese women. J Cosmet Dermatol 2023; 22:3505-3510. [PMID: 37464957 DOI: 10.1111/jocd.15878] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2022] [Revised: 05/23/2023] [Accepted: 06/10/2023] [Indexed: 07/20/2023]
Abstract
BACKGROUND Although rosacea and seborrheic dermatitis share some symptoms of sensitive skin, whether they respond differently to lactic acid sting and capsaicin tests, common tests for diagnosis of sensitive skin, is unknown. OBJECTIVES To reveal the cutaneous responses to lactic acid sting (LAST) and capsaicin test (CAT) in females with either rosacea vs. seborrheic dermatitis. METHODS A total of 60 patients with rosacea, 20 patients with seborrheic dermatitis and 40 normal controls were enrolled in the study. Their skin sensitivity to stimuli were evaluated following topical application of either 10% lactic acid solution or 0.001% capsaicin solution. Transepidermal water loss (TEWL) rates and erythema indexes were also measured on the face. RESULTS In comparison to normal controls, the positive rate to either LAST or CAT was significantly higher in subjects with rosacea (p < 0.001), but not in that with seborrheic dermatitis. Similarly, individuals with rosacea displayed a higher positive rate to both LAST and CAT than those with seborrheic dermatitis and normal controls (p < 0.001). In parallel, the LAST scores and CAT scores in individuals with rosacea were significantly higher than in that with either seborrheic dermatitis or normal controls (p < 0.001). The baseline TEWL rates and erythema indexes were higher in individual with rosacea than in normal controls (p < 0.001). But the baseline TEWL rates and erythema indexes did not differ significantly between subjects with rosacea and that with seborrheic dermatitis. Moreover, LAST scores and CAT scores correlated positively with TEWL (p < 0.0001). TEWL rates were higher in CAT positive than in CAT negative subjects (p < 0.0001). Finally, erythema index correlated positively with CAT scores (p < 0.0001), but not with LAST scores (p = 0.0842). CONCLUSIONS Skin responses to LAST and CAT differ between individuals with rosacea and those with seborrheic dermatitis, possibly due to the differences in epidermal permeability barrier and the neurovascular hyperreactivity. The higher LAST and CAT scores, as well as positive rates of both LAST and CAT can be attributable to inferior permeability barrier and the neurovascular hyperreactivity in subjects with rosacea.
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Affiliation(s)
- Min Hu
- Department of Dermatology, First Affiliated Hospital of Kunming Medical University, Kunming, China
| | - Ying Tu
- Department of Dermatology, First Affiliated Hospital of Kunming Medical University, Kunming, China
| | - Mao-Qiang Man
- Dermatology Hospital of Southern Medical University, Guangzhou, China
| | - Yunting He
- Department of Dermatology, First Affiliated Hospital of Kunming Medical University, Kunming, China
| | - Pan Wu
- Department of Dermatology, First Affiliated Hospital of Kunming Medical University, Kunming, China
| | - Li He
- Department of Dermatology, First Affiliated Hospital of Kunming Medical University, Kunming, China
| | - Hua Gu
- Department of Dermatology, First Affiliated Hospital of Kunming Medical University, Kunming, China
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23
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Wulf HC, Heydenreich J, Philipsen PA. Equipment developed for simplifying routine phototesting in dermatology. Photochem Photobiol Sci 2023; 22:2907-2917. [PMID: 37940798 DOI: 10.1007/s43630-023-00494-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2022] [Accepted: 10/10/2023] [Indexed: 11/10/2023]
Abstract
Some people react abnormally when exposed to sunlight by getting easily burned or develop a rash. When testing a patient's level of photosensitivity in the clinic, the UVR dose to provoke erythema is determined by the minimal erythema dose (MED) test. Subsequently, a photoprovocation test is performed to detect abnormal skin reactions by daily exposing the skin to UVR for several consecutive days. Associated problems in MED testing include choice of an even skin area for testing, patients keeping still during the test, testing with different UVR doses simultaneously, and securing clear borders of erythema. To address these issues, a MED Test Patch was developed which adheres closely to the skin to ensure sharp erythema borders and provides six irradiation fields with decremental doses of 20%. For MED testing, we constructed a solar simulator and LED lamps with peak emissions at 309 and 370 nm, small enough to be mounted directly on to the MED Test Patch and accommodate patient movements. These lamps and a 415 nm LED can also be used for provocation testing which is best performed on the back where the skin is assumed to have identical UVR sensitivity, and the area is large enough for adjacent MED and provocation test fields. Reading of erythema is still performed by visual and tactile evaluation. The UVA and UVB MED test can be performed in 1 h. The advantage of these developments is an easy-to-use, standardized test method with improved accuracy of the results.
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Affiliation(s)
- Hans Christian Wulf
- Department of Dermatology, Copenhagen University Hospital-Bispebjerg and Frederiksberg, Nielsine Nielsens Vej 9, Entrance 4, 2400, Copenhagen, Denmark.
| | - Jakob Heydenreich
- Department of Dermatology, Copenhagen University Hospital-Bispebjerg and Frederiksberg, Nielsine Nielsens Vej 9, Entrance 4, 2400, Copenhagen, Denmark
| | - Peter Alshede Philipsen
- Department of Dermatology, Copenhagen University Hospital-Bispebjerg and Frederiksberg, Nielsine Nielsens Vej 9, Entrance 4, 2400, Copenhagen, Denmark
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24
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López-Vera E, López-Riquelme I, García-Hirschfeld JM, Godoy-Díaz DJ. Asymptomatic wide erosive, erythematous, and bullous lesions in an elder woman. Int J Dermatol 2023; 62:1345-1346. [PMID: 37828781 DOI: 10.1111/ijd.16681] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/25/2023] [Revised: 03/15/2023] [Accepted: 04/01/2023] [Indexed: 10/14/2023]
Affiliation(s)
- Eduardo López-Vera
- Dermatology Department, Hospital Regional Universitario de Málaga, Málaga, Spain
| | - Irene López-Riquelme
- Dermatology Department, Hospital Regional Universitario de Málaga, Málaga, Spain
| | | | - Daniel J Godoy-Díaz
- Dermatology Department, Hospital Regional Universitario de Málaga, Málaga, Spain
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25
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Shi H, Zhang E, Zhang M, Lin T. Narrow-Band Intense Pulsed Light as Treatment for Erythematotelangiectatic Rosacea: A Retrospective Study. J Drugs Dermatol 2023; 22:1095-1098. [PMID: 37943269 DOI: 10.36849/jdd.4920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2023]
Abstract
BACKGROUND Erythematotelangiectatic rosacea can be successfully treated using various laser and light-based devices. However, the use of narrow-band intense pulsed light for the treatment of erythematotelangiectatic rosacea has not been investigated in detail. This retrospective study aimed to analyze the clinical efficacy of narrow-band intense pulsed light (500-600 nm) for the treatment of erythematotelangiectatic rosacea among Chinese individuals. Methods: Patients with erythematotelangiectatic rosacea who had completed 3 sessions of treatment with narrow-band intense pulsed light and follow-up from July 2016 to December 2018 were retrospectively evaluated. Clinical improvement was assessed by 2 blinded dermatologists based on photographs obtained at each follow-up visit using the clinician erythema assessment scale and 5-grade scale. RESULTS Forty-five patients with erythematotelangiectatic rosacea treated with narrow-band intense pulsed light were included in this study. The effectiveness and excellent rates after 3 treatment sessions were 68.9% and 35.6%, respectively. An average of 2 treatment sessions was required among patients who achieved good or excellent clearance of erythema and telangiectasia. Except for transient erythema and edema, no severe adverse effects were observed. CONCLUSIONS Narrow-band intense pulsed light is a safe and effective treatment for erythematotelangiectatic rosacea. Even with a small number of treatment sessions, narrow-band intense pulsed light can deliver a significant therapeutic effect, which may be applicable in clinical practice. J Drugs Dermatol. 2023;22(11):1095-1098 doi:10.36849/JDD.4920.
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Zhu H, Ren V. Warm, Erythematous, Edematous Plaques With Overlying Vesicles on the Thigh: Challenge. Am J Dermatopathol 2023; 45:e89-e90. [PMID: 37856745 DOI: 10.1097/dad.0000000000002551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2023]
Affiliation(s)
- Harrison Zhu
- School of Medicine, Baylor College of Medicine, Houston, TX; and
| | - Vicky Ren
- Department of Dermatology, Baylor College of Medicine, Houston, TX
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27
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Zhu H, Ren V. Warm, Erythematous, Edematous Plaques With Overlying Vesicles on the Thigh: Answer. Am J Dermatopathol 2023; 45:773. [PMID: 37856741 DOI: 10.1097/dad.0000000000002552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2023]
Affiliation(s)
- Harrison Zhu
- School of Medicine, Baylor College of Medicine, Houston, TX; and
| | - Vicky Ren
- Department of Dermatology, Baylor College of Medicine, Houston, TX
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28
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Ozcan Y, Gunes Takir S, Karagun E, Uyar B. Dermatoscopic Features of Early Erythema Chronicum Migrans. Acta Dermatovenerol Croat 2023; 31:110-112. [PMID: 38006374] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/27/2023]
Abstract
Dear Editors, A 37-year-old man from a Lyme disease-endemic area presented with a one-week old rapidly expanding rash on his right calf. He lacked other comorbidities or symptoms such as fever, weakness, lack of appetite, or joint pain, but recalled removing a tick from the same region three weeks earlier. Inspection revealed a round, bluish-red erythematous patch with a central clearing (Figure 1). The patient experienced no discomfort, but the rash was warm and faded easily when palpated. Dermatoscopic inspection revealed collarette-shaped white scales encircling the punctum of the tick bite in the center (Figure 2, left inset). There were three distinct background zones towards the periphery: skin-colored, bluish-red, and bright red. The transitions between the zones were not fully discernable. Red purpuric dots and clods were randomly distributed over these backgrounds, gradually increasing towards the periphery (Figure 2). The rash was diagnosed as erythema chronicum migrans (ECM), and the patient was started on doxycycline 100 mg BID. The expansion of the rash was stopped, while the speed of central clearing was increased. Half of the rash had healed by the third day (Figure 1, left inset), and it had completely disappeared by the seventh (Figure 1, right inset). Anti-Borrelia burgdorferi antibodies were initially negative for IgM and positive for IgG, but both tested positive two weeks later. ECM is the hallmark of early-stage lyme disease, but it is not always present. In addition to the classically described bull's eye appearance, ECM may appear as homogenous erythematous patches, interrupted annular patches, or patches with hemorrhagic or purpuric components (1). It can manifest anywhere except in the palmoplantar region, but it is more common around large joints. Despite the morphological variations of ECM, the clinical presentation is often clear and distinct enough for dermatologists to correctly diagnose more than 90% of patients (1). Diagnostic procedures such as ELISA or Western blot are employed in cases when the ECM is absent or atypical. However, their reliability is low due to the lack of standardization, limited coverage of Borrelia spp., and significant false-positive and false-negative rates (1). Seropositivity owing to previous asymptomatic infection in individuals residing in endemic areas may result in incidental positive findings. Alternative methods, including isolating the pathogen or PCR testing from biopsy samples have similar drawbacks (1). Histopathological investigations are another practical method that yields supportive findings. ECM exhibits diffuse perivascular and interstitial inflammation, including lymphocytes, eosinophils, and plasma cells (2), which corresponds to background erythema in dermatoscopy. As the inflammation develops, the newly-developed regions are superficial and brilliant red, but the surface inflammation fades over time, leaving bluish erythema, which correlates to deeper inflammation (2,3) dermoscopy is gaining appreciation in assisting the diagnosis of nonneoplastic diseases, especially inflammatory dermatoses (inflammoscopy). Extravasated erythrocytes combined with perivascular inflammation (2) generate purpuric pinkish-red dots and clods. Given the greater efficacy of early treatment and the ambiguity surrounding diagnostic methods, clinical findings should be deemed adequate to commence therapy, particularly in endemic regions (1). Dermatoscopic examination of ECM offers a quick and low-cost alternative approach for supporting the diagnosis. However, as emphasized by Errichetti, dermatoscopic examination in non-neoplastic diseases should be regarded as the second step of a "2-step procedure", with differential diagnoses established first by history and clinical examination (3). A systematic investigation of early and late, typical and atypical lesions would improve the reliability and utility of this method.
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Affiliation(s)
- Yunus Ozcan
- Yunus Ozcan, Duzce Ataturk State Hospital, Duzce, Turkey;
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Poddighe D, Assylbekova M, Almukhamedova Z, Aman A, Mukusheva Z. Pediatric erythema ab igne: clinical aspects and diagnostic issues. Eur J Pediatr 2023; 182:4807-4832. [PMID: 37661206 DOI: 10.1007/s00431-023-05155-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/25/2023] [Revised: 08/04/2023] [Accepted: 08/07/2023] [Indexed: 09/05/2023]
Abstract
Erythema ab igne is a dermatological condition resulting from repeated low-grade heat exposure (below the burning point), which can variably manifest with reticulated erythema and skin hyperpigmentation. Not infrequently, the cause of such a skin disorder is not immediately evident or reported by patients, especially if these are children. Compared to adults, erythema ab igne is rare in children and, if the general practitioners and pediatricians are not aware of this disorder, pediatric patients are often addressed to rheumatologists and/or undergo useless immunological investigations. Here, we performed a systematic case-based review, which finally included 32 cases of pediatric erythema ab igne (in addition to our new clinical report), and discussed the main clinical aspects and issues of this clinical entity in children. In detail, similarities of erythema ab igne with livedo reticularis and/or vasculitis-related rashes sometimes can lead to perform a panel of immunological investigations, which could be avoided. Indeed, our analysis emphasizes the importance of a careful and complete patient's anamnesis, including active questioning about the potential exposure to any physical agents (including heat sources) that may cause dermatological lesions. We also highlight some peculiarities in terms of location and heat injury in children developing erythema ab igne, based on the presence or absence of comorbidities. CONCLUSION The occurrence of erythema ab igne in children (and especially in adolescents) is likely to increase in the next years because of the greater and sometimes inappropriate use of technological devices. Physicians should be aware of this condition in order to prevent patients from useless investigations, especially in the differential diagnosis of rheumatic disorders. A careful and complete patient's history with active questioning about the potential exposure to heating source is often decisive to diagnose erythema ab igne. WHAT IS KNOWN • Erythema ab igne is a dermatological condition which is mainly described in adults exposed to heating source at the workplace. WHAT IS NEW • The occurrence of erythema ab igne in children is likely to increase in the next years because of the greater and sometimes inappropriate use of technological devices. • Erythema ab igne in children can be classified in two main categories, based on the presence or absence of comorbidity. • A careful and complete anamnesis (including the active questioning about potential exposure to any heating source) is the mainstay for diagnosing erythema ab igne in children.
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Affiliation(s)
- Dimitri Poddighe
- Department of Medicine, Nazarbayev University School of Medicine, Kerei-Zhanibek Str. 5/1, Astana, 010000, Kazakhstan.
- Clinical Academic Department of Pediatrics, National Research Center of Mother and Child Health, University Medical Center, Astana, 010000, Kazakhstan.
| | - Maykesh Assylbekova
- Program of Pediatric Rheumatology, Clinical Academic Department of Pediatrics, National Research Center of Mother and Child Health, University Medical Center, Astana, Kazakhstan
| | - Zhaina Almukhamedova
- Program of Pediatric Rheumatology, Clinical Academic Department of Pediatrics, National Research Center of Mother and Child Health, University Medical Center, Astana, Kazakhstan
| | - Akbota Aman
- Department of Medicine, Nazarbayev University School of Medicine, Kerei-Zhanibek Str. 5/1, Astana, 010000, Kazakhstan
| | - Zaure Mukusheva
- Program of Pediatric Rheumatology, Clinical Academic Department of Pediatrics, National Research Center of Mother and Child Health, University Medical Center, Astana, Kazakhstan
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Hetzel JD, Ajebo EM, Powell MR, Davis LS. Recurrent figurate erythema on extremities of a middle-aged woman. Int J Dermatol 2023; 62:1213-1214. [PMID: 36683164 DOI: 10.1111/ijd.16594] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/27/2022] [Revised: 12/14/2022] [Accepted: 01/05/2023] [Indexed: 01/24/2023]
Affiliation(s)
- John D Hetzel
- The Medical College of Georgia at Augusta University, Augusta, GA, USA
| | - Etsubdenk M Ajebo
- The Medical College of Georgia at Augusta University, Augusta, GA, USA
| | - Matthew R Powell
- The Medical College of Georgia at Augusta University, Augusta, GA, USA
| | - Loretta S Davis
- The Medical College of Georgia at Augusta University, Augusta, GA, USA
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Sonenblum SE, Patel R, Phrasavath S, Xu S, Bates-Jensen BM. Using Technology to Detect Erythema Across Skin Tones. Adv Skin Wound Care 2023; 36:524-533. [PMID: 37729162 PMCID: PMC10545068 DOI: 10.1097/asw.0000000000000043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2023] [Accepted: 07/17/2023] [Indexed: 09/22/2023]
Abstract
OBJECTIVE To examine the effectiveness of the ColorMeter DSM III (ColorMeter; Cortex Technology) at grouping individuals by skin tone and measuring erythema/skin discoloration after erythema induction across skin tones. METHODS This pre/post experimental study induced erythema on a convenience sample of 61 healthy adults. Skin tone at baseline was measured using the ColorMeter, Munsell Soil Color Chart 5YR (Munsell), and Pantone SkinTone Guide (Pantone) and compared with the Eumelanin Human Skin Colour Scale (Eumelanin Scale) groupings. Erythema and melanin values on the arm immediately and after recovery time were compared with baseline values. Melanin was measured at five body regions on the face and arm. RESULTS Participants were predominantly women (64% [n = 39] women, 36% [n = 22] men) and young (mean, 28.8 ± 14.3 years); 5% (n = 3) were Hispanic, 26% (n = 16) Asian, 29% (n = 18) Black, 38% (n = 23) White, and 7% (n = 4) identified with more than one race. ColorMeter lightness (L*) and melanin measures were strongly correlated with both Munsell and Pantone values. Munsell skin tone groups were not aligned with Eumelanin Scale groupings. Most participants were in the Eumelanin intermediate-low group, and this changed depending on which body location melanin value was used. The change in erythema from baseline did not differ significantly across skin tone groups at the ulnar head, but on the forearm at the delayed time point, significant differences existed between light and both medium and dark skin tone groups (P = .001; 95% CI, 0.04-0.37). CONCLUSIONS The ColorMeter provides an effective objective measure of skin tone and erythema/discoloration across various skin tones and may improve on current standards for detection. The proposed Eumelanin Scale-Modified provides additional sensitivity for persons with medium skin tones.
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Affiliation(s)
- Sharon Eve Sonenblum
- Sharon Eve Sonenblum, PhD, is Principal Research Scientist, George W. Woodruff School of Mechanical Engineering, Georgia Institute of Technology, Atlanta, Georgia, USA. Rahee Patel, DPT, Sarah Phrasavath, DPT, and Sharon Xu, DPT, are Student Researchers, Emory University, Atlanta. Barbara M. Bates-Jensen, PhD, RN, FAAN, is Professor of Nursing and Medicine, University of California, Los Angeles
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Kowe P, Behera B, Sethy M, Dash S, Sarkar N, Garg S. Clinico-dermoscopic and pathological features of a rare presentation of erythema elevatum diutinum. Indian J Dermatol Venereol Leprol 2023; 89:738-741. [PMID: 37067117 DOI: 10.25259/ijdvl_933_2021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2021] [Accepted: 12/05/2022] [Indexed: 03/31/2023]
Affiliation(s)
- Priyanka Kowe
- Department of Dermatology, and Venereology, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, Odisha, India
| | - Biswanath Behera
- Department of Dermatology, and Venereology, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, Odisha, India
| | - Madhusmita Sethy
- Department of Pathology, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, Odisha, India
| | - Siddharth Dash
- Department of Pathology, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, Odisha, India
| | - Namrata Sarkar
- Department of Pathology, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, Odisha, India
| | - Sonika Garg
- Department of Dermatology, and Venereology, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, Odisha, India
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Pinto-Pulido EL, González-Cañete M, Vélez-Velázquez MD, Rodríguez-Villa Lario A. Erythematous annular plaques in a patient with systemic lupus erythematosus. Int J Dermatol 2023; 62:1107-1109. [PMID: 36324290 DOI: 10.1111/ijd.16489] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Revised: 09/30/2022] [Accepted: 10/20/2022] [Indexed: 11/06/2022]
Affiliation(s)
- Elena Lucía Pinto-Pulido
- Department of Dermatology, Hospital Universitario Príncipe de Asturias, Universidad de Alcalá, Madrid, Spain
| | - Marta González-Cañete
- Department of Dermatology, Hospital Universitario Príncipe de Asturias, Universidad de Alcalá, Madrid, Spain
| | | | - Ana Rodríguez-Villa Lario
- Department of Dermatology, Hospital Universitario Príncipe de Asturias, Universidad de Alcalá, Madrid, Spain
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Wu YH, Chang HC, Leu YY, Lin SF, Chiu YW. Indurated erythematous plaque on the forearm. Int J Dermatol 2023; 62:1105-1106. [PMID: 36518023 DOI: 10.1111/ijd.16556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/09/2022] [Revised: 11/14/2022] [Accepted: 12/01/2022] [Indexed: 12/23/2022]
Affiliation(s)
- Yi-Hsuan Wu
- Department of Dermatology, Taipei Medical University Shuang Ho Hospital, New Taipei City, Taiwan
| | - Hua-Ching Chang
- Department of Dermatology, Taipei Medical University Hospital, Taipei, Taiwan
- Department of Dermatology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
| | - Yao-Yu Leu
- Department of Dermatology, Taipei Medical University Shuang Ho Hospital, New Taipei City, Taiwan
| | - Shiou-Fu Lin
- Department of Pathology, Taipei Medical University Shuang Ho Hospital, New Taipei City, Taiwan
| | - Yun-Wen Chiu
- Department of Dermatology, Taipei Medical University Shuang Ho Hospital, New Taipei City, Taiwan
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Mohigefer J, Silva F, Morales IG, Ríos-Martín JJ. Erythematous annular macules in a patient with Sjögren syndrome. J Dtsch Dermatol Ges 2023; 21:924-927. [PMID: 37158370 DOI: 10.1111/ddg.15065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2022] [Accepted: 02/20/2023] [Indexed: 05/10/2023]
Affiliation(s)
- Javier Mohigefer
- Department of Pathology, Hospital Universitario de Jerez, Cádiz, Spain
| | - Francisca Silva
- Department of Dermatology, Hospital Universitario Virgen Macarena. Sevilla, Andalucía, Spain
| | - Irene García Morales
- Department of Dermatology, Hospital Universitario Virgen Macarena. Sevilla, Andalucía, Spain
| | - Juan José Ríos-Martín
- Department of Pathology, Hospital Universitario Virgen Macarena. Sevilla, Andalucía, Spain
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Eichenfield LF, Hebert AA, Gold LS, Cartwright M, Moro L, Han J, Squittieri N, Mazzetti A. Long-Term Safety and Efficacy of Twice-Daily Topical Clascoterone Cream 1% in Patients Greater Than or Equal to 12 Years of Age With Acne Vulgaris. J Drugs Dermatol 2023; 22:810-816. [PMID: 37556524 DOI: 10.36849/jdd.7592] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/11/2023]
Abstract
BACKGROUND Clascoterone cream 1% is approved for the treatment of acne vulgaris in patients aged ≥ 12 years based on results from two 12-week Phase 3 studies in patients with moderate-to-severe acne. Safety and efficacy of clascoterone in patients aged ≥ 12 years from an open-label, long-term extension study are presented. Methods: Enrolled patients applied clascoterone cream 1% twice daily to the entire face and, if desired by the patient and/or investigator, truncal acne, for up to 9 months. Patients achieving Investigator’s Global Assessment score of 0 or 1 (IGA 0/1) could stop treatment and resume if/when acne worsened. Safety was assessed from treatment-emergent adverse events (TEAEs) and local skin reactions (LSRs [telangiectasia, skin atrophy, striae rubrae, erythema, edema, scaling/dryness, stinging/burning, and pruritus]) in all treated patients. Efficacy was assessed from IGA at each visit among those completing the study per-protocol (PP); face and trunk were evaluated individually. Results: Of 600 patients aged ≥ 12 years (original randomization: 311 clascoterone, 289 vehicle), 343 completed the extension study (177 clascoterone, 166 vehicle). There were 187 TEAEs in 108/598 clascoterone-treated patients (18.1%), including 56/311 (18.0%) and 52/287 (18.1%) patients originally randomized to clascoterone and vehicle, respectively; the most common LSRs (previous clascoterone/vehicle) were erythema (face, 8.0%/7.7%) and scaling/dryness (face, 10.0%/7.3%). The percentage of PP patients with facial and truncal IGA 0/1 increased to 48.9% (156/319) and 52.4% (65/124), respectively, at study end. CONCLUSIONS Clascoterone cream 1% maintained a favorable safety and efficacy profile for up to 12 months in patients aged ≥ 12 years. Eichenfield LF, Hebert AA, Stein Gold L, et al. Long-term safety and efficacy of twice-daily topical clascoterone cream 1% in patients ≥ 12 years of age with acne vulgaris. J Drugs Dermatol. 2023;22(8):810-816. doi:10.36849/JDD.7592.
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Li Y, Cheng S, Ying C, Li L, Wang G, Chen X. Targetoid-like lesions and chilblain-like erythema manifested on hands and feet: A case of Rowell syndrome from China. Immun Inflamm Dis 2023; 11:e979. [PMID: 37647424 PMCID: PMC10461425 DOI: 10.1002/iid3.979] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2023] [Revised: 07/23/2023] [Accepted: 07/28/2023] [Indexed: 09/01/2023] Open
Abstract
BACKGROUND Rowell syndrome (RS) is an uncommon condition characterized by erythema multiforme (EM)-like lesions and lupus erythematosus. It is more common in females, and EM may be the first manifestation of the disease with positive autoantibodies, such as antinuclear antibody (ANA), SSA, SSB and rheumatoid factor. The pathogenesis of RS is unknown and is likely caused by drug induction, ultraviolet exposure and infection. METHOD We describe a case of RS from China which presented as characteristic targetoid-like lesions and chilblain-like erythema on hands and feet. This is a case of RS in a female patient from the inpatient department of dermatology. RESULTS A 41-year-old female with systemic lupus erythematosus exhibited chilblain-like erythema and characteristic EM lesions on her extremities. She tested positive for serum ANA (1:320) and anti-double-stranded DNA, as well as other autoantibodies. Systemic glucocorticoids and hydroxychloroquine worked effectively for her. CONCLUSION The present case met diagnostic criteria of RS. Notably, there was a co-occurrence of facial butterfly erythema, chilblain-like erythema and EM lesions distributed on the limbs in this case.
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Affiliation(s)
- Yanqiao Li
- Department of Dermatology, Sichuan Provincial People's Hospital, School of MedicineUniversity of Electronic Science and Technology of ChinaChengduChina
| | - Shi Cheng
- Department of Dermatology, Sichuan Provincial People's Hospital, School of MedicineUniversity of Electronic Science and Technology of ChinaChengduChina
| | - Chuanpeng Ying
- Department of Dermatology, Sichuan Provincial People's Hospital, School of MedicineUniversity of Electronic Science and Technology of ChinaChengduChina
| | - Ling Li
- Department of Dermatology, Sichuan Provincial People's Hospital, School of MedicineUniversity of Electronic Science and Technology of ChinaChengduChina
| | | | - Xuejun Chen
- Department of Dermatology, Sichuan Provincial People's Hospital, School of MedicineUniversity of Electronic Science and Technology of ChinaChengduChina
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Ochi A, Mitsui Y, Ogawa K, Asada H. Painful Erythematous Plaques on the Hands: A Quiz. Acta Derm Venereol 2023; 103:adv12344. [PMID: 37448213 PMCID: PMC10391530 DOI: 10.2340/actadv.v103.12344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2023] [Accepted: 06/20/2023] [Indexed: 07/15/2023] Open
Abstract
Abstract is missing (Quiz)
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Affiliation(s)
- Anna Ochi
- Department of Dermatology, Nara Medical University School of Medicine, Kashihara, Japan
| | - Yasuhiro Mitsui
- Department of Dermatology, Nara Medical University School of Medicine, Kashihara, Japan.
| | - Kohei Ogawa
- Department of Dermatology, Nara Medical University School of Medicine, Kashihara, Japan
| | - Hideo Asada
- Department of Dermatology, Nara Medical University School of Medicine, Kashihara, Japan
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Xiao J, Zhang L, Chen L. An asymptomatic erythematous plaque on the cheek. Indian J Dermatol Venereol Leprol 2023; 89:606-608. [PMID: 35962489 DOI: 10.25259/ijdvl_1165_2021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2021] [Accepted: 05/01/2022] [Indexed: 11/04/2022]
Affiliation(s)
- Jing Xiao
- Department of Dermatology, Wuhan No 1 Hospital, Wuhan, Hubei Province, People's Republic of China
| | - Liang Zhang
- Department of Dermatology, Wuhan No 1 Hospital, Wuhan, Hubei Province, People's Republic of China
| | - Liuqing Chen
- Department of Dermatology, Wuhan No 1 Hospital, Wuhan, Hubei Province, People's Republic of China
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Affiliation(s)
- Arunachalam Narayanan
- Department of Dermatology and STD, Jawaharlal Institute of Postgraduate Medical Education and Research,, Gorimedu, Puducherry, India
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Mazumder A, McClure S, Seger E, Rajpara A. Erythematous Plaques on the Dorsal Aspect of the Hand. Cutis 2023; 112:E58-E59. [PMID: 37611312 DOI: 10.12788/cutis.0836] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/25/2023]
Affiliation(s)
- Anika Mazumder
- Dr. Mazumder is from the School of Medicine, Saint Louis University, Missouri. Drs. McClure and Seger are from the Division of Dermatology, University of Kansas Hospital, Kansas City. Dr. Rajpara is from the School of Medicine, University of Missouri, Kansas City
| | - Spencer McClure
- Dr. Mazumder is from the School of Medicine, Saint Louis University, Missouri. Drs. McClure and Seger are from the Division of Dermatology, University of Kansas Hospital, Kansas City. Dr. Rajpara is from the School of Medicine, University of Missouri, Kansas City
| | - Edward Seger
- Dr. Mazumder is from the School of Medicine, Saint Louis University, Missouri. Drs. McClure and Seger are from the Division of Dermatology, University of Kansas Hospital, Kansas City. Dr. Rajpara is from the School of Medicine, University of Missouri, Kansas City
| | - Anand Rajpara
- Dr. Mazumder is from the School of Medicine, Saint Louis University, Missouri. Drs. McClure and Seger are from the Division of Dermatology, University of Kansas Hospital, Kansas City. Dr. Rajpara is from the School of Medicine, University of Missouri, Kansas City
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Headen AC, Berry CT, Jen M, Rubin AI. Misdiagnosis of neutrophilic erythema of infancy as leukocytoclastic vasculitis: A potential diagnostic pitfall in an infantile inflammatory dermatosis. J Cutan Pathol 2023; 50:289-293. [PMID: 36000215 DOI: 10.1111/cup.14302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Revised: 07/08/2022] [Accepted: 08/01/2022] [Indexed: 10/15/2022]
Affiliation(s)
- Alvis C Headen
- Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Corbett T Berry
- Department of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Melinda Jen
- Department of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
- Section of Pediatric Dermatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
| | - Adam I Rubin
- Department of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
- Section of Pediatric Dermatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
- Department of Pathology and Laboratory Medicine, Perelman School of Medicine, Philadelphia, Pennsylvania, USA
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Shareef M, Roekevisch E, Komen DJC. [A man with unilateral erythema of the leg]. Ned Tijdschr Geneeskd 2023; 167. [PMID: 36928086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/18/2023]
Abstract
We report the case of an otherwise healthy 47 year-old man who presented to the dermatology outpatient clinic with asymptomatic, one sided erythema of his leg, without edema. The diagnosis acrodermatitis chronica atrophicans was made based on positive IgG antibodies to Borrelia burgdorferi.
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Affiliation(s)
- Madena Shareef
- Dijklander Ziekenhuis, afd. Dermatologie, Hoorn
- Contact: Madena Shareef
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Schmidt AC, Technau-Hafsi K, Eyerich K, Schempp CM. [Annular migrating erythema in an 18-year-old man]. Dermatologie (Heidelb) 2023; 74:218-221. [PMID: 36301332 DOI: 10.1007/s00105-022-05074-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 09/30/2022] [Indexed: 06/16/2023]
Affiliation(s)
- Anna C Schmidt
- Klinik für Dermatologie und Venerologie, Universitätsklinikum Freiburg, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg, Hauptstr. 7, 79104, Freiburg, Deutschland
| | - Kristin Technau-Hafsi
- Klinik für Dermatologie und Venerologie, Universitätsklinikum Freiburg, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg, Hauptstr. 7, 79104, Freiburg, Deutschland
| | - Kilian Eyerich
- Klinik für Dermatologie und Venerologie, Universitätsklinikum Freiburg, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg, Hauptstr. 7, 79104, Freiburg, Deutschland
| | - Christoph M Schempp
- Klinik für Dermatologie und Venerologie, Universitätsklinikum Freiburg, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg, Hauptstr. 7, 79104, Freiburg, Deutschland.
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Srinivasan D, Gottlieb A. Successful Management of Erythema Dyschromicum Perstans Following Topical Ruxolitinib Therapy. J Drugs Dermatol 2023; 22:297-299. [PMID: 36877872 DOI: 10.36849/jdd.7156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/08/2023]
Abstract
Erythema dyschromicum perstans (EDP) is a rare cutaneous disorder in which patients develop gray or blue-brown macules or patches on their bodies.1 This condition does not appear to have a gender or age predilection. The diagnosis of EDP is essentially clinical, with histopathology findings being nonspecific. To date, treatment for EDP varies. The use of several therapies, including dapsone, clofazimine, retinoid A, tacrolimus, and ultraviolet light have been reported but with minimal effectiveness.5 We report a case of EDP occurring in a patient following the COVID-19 vaccine that was given topical ruxolitinib with success in treatment. To our knowledge, this is the first report of the use of topical ruxolitinib in treatment of EDP with successful management. J Drugs Dermatol. 2022;22(3): doi:10.36849/JDD.7156.
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Knitzschke M, Rose C, Bartsch S, Schley G. [Firm elastic swelling and erythema on the shoulder in a 71-year-old male patient]. Dermatologie (Heidelb) 2023; 74:140-142. [PMID: 36129482 DOI: 10.1007/s00105-022-05063-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 08/24/2022] [Indexed: 01/28/2023]
Affiliation(s)
- Maria Knitzschke
- Hautklinik und Hautkrebszentrum, Helios Kliniken Schwerin, Universitärer Campus der Medical School Hamburg, Wismarsche Str. 393, 19049, Schwerin, Deutschland.
| | | | | | - Gaston Schley
- Hautklinik und Hautkrebszentrum, Helios Kliniken Schwerin, Universitärer Campus der Medical School Hamburg, Wismarsche Str. 393, 19049, Schwerin, Deutschland
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Brubaker R, Linabury J, Thomas Landers J. Chronic Erythematous Plaques Around the Ears. Cutis 2023; 111:E10-E12. [PMID: 37075181 DOI: 10.12788/cutis.0719] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/09/2023]
Affiliation(s)
- Riley Brubaker
- Dr. Brubaker is from the Naval Medical Center, San Diego, California. Dr. Linabury is from Walter Reed National Military Medical Center, Bethesda, Maryland. Dr. Landers is from Captain James A. Lovell Federal Health Care Center, Great Lakes, Illinois
| | - John Linabury
- Dr. Brubaker is from the Naval Medical Center, San Diego, California. Dr. Linabury is from Walter Reed National Military Medical Center, Bethesda, Maryland. Dr. Landers is from Captain James A. Lovell Federal Health Care Center, Great Lakes, Illinois
| | - J Thomas Landers
- Dr. Brubaker is from the Naval Medical Center, San Diego, California. Dr. Linabury is from Walter Reed National Military Medical Center, Bethesda, Maryland. Dr. Landers is from Captain James A. Lovell Federal Health Care Center, Great Lakes, Illinois
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Nakamura T, Xiuri J, Yamada S. Investigation of biomarkers in an infant with erythema toxicum neonatorum present at birth. Pediatr Int 2023; 65:e15456. [PMID: 36560901 DOI: 10.1111/ped.15456] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/18/2022] [Revised: 11/22/2022] [Accepted: 12/20/2022] [Indexed: 12/24/2022]
Affiliation(s)
- Toshihiko Nakamura
- Department of Neonatology, Japanese Red Cross Musashino Hospital, Tokyo, Japan
- Department of Pediatrics, National Organization Hospital Nishisaitama-chuo National Hospital, Tokorozawa, Japan
| | - Jin Xiuri
- Immunology and MDx Unit, Shino-Test Corporation, Sagamihara, Japan
| | - Shingo Yamada
- Immunology and MDx Unit, Shino-Test Corporation, Sagamihara, Japan
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Ertam Sagduyu I, Marakli O, Oraloglu G, Bulut Okut E, Unal I. Comparison of 1064 nm Q-switched Nd:YAG laser and Jessner peeling in melasma treatment. Dermatol Ther 2022; 35:e15970. [PMID: 36346028 DOI: 10.1111/dth.15970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2022] [Accepted: 10/20/2022] [Indexed: 11/10/2022]
Abstract
Melasma is an acquired hyperpigmentation disease characterized by hyperpigmented patches in sun-exposed areas that significantly impairs life quality. Topical treatments such as hydroquinone, retinoic acid, azelaic acid, chemical peels and laser treatments are among the main treatment options. In our study, we aimed to compare the effectiveness of Jessner peeling and 1064 nm Q-switched Nd:YAG laser in melasma treatment. For this purpose, Jessner peeling was applied to 20 patients and 1064 nm Q-switched Nd: YAG laser was applied to 19 patients of 39 melasma patients who applied to the cosmetology unit of Ege University department of dermatology and venereal diseases between November 2018-March 2020. Thirty seven patients completed the study. Changes in MASI, pigment and erythema scores measured by mexameter before and after treatment were compared for two groups. A statistically significant decrease in MASI scores, pigment and erythema scores was observed in both groups with no significant difference between two groups. In conclusion, in our study, it has been shown that Jessner peeling and 1064 nm Q-switched Nd:YAG laser are equally effective in treatment of melasma.
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Affiliation(s)
| | - Onur Marakli
- Siverek State Hospital, Dermatology Clinics, Sanliurfa, Turkey
| | - Gokturk Oraloglu
- Siirt Education and Research Hospital, Dermatology Clinics, Siirt, Turkey
| | - Ecem Bulut Okut
- Tinaztepe Galen University Hospital, Dermatology Clinics, Izmir, Turkey
| | - Idil Unal
- Dermatology and Venerology Department, Ege University, Izmir, Turkey
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Obal M, Gacoń E, Piechocki K, Symonides B. [Red man syndrome as a complication of vancomycin therapy]. Pol Merkur Lekarski 2022; 50:240-242. [PMID: 36086983] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
UNLABELLED Red man syndrome (RMS) is a side effect of vancomycin therapy and manifests itself mainly by a red blotchy rash with itching and sometimes muscle pain and a decrease of arterial blood pressure. A CASE REPORT 24-year-old patient admitted to hospital with a history of chest pain radiating to the back. EKG has shown the depression of PQ, in the ECHO mark of liquid in the pericardial cavity and the increase of CRP and troponin concentrations. The patient was diagnosed with acute pericarditis and treated with ibuprofen and colchicine. Due to the increasing parameters of inflammation, a bacterial etiology was suspected and vancomycin was administered. During antibiotic therapy, there were symptoms of a mild adverse reaction in the form of a maculopapular rash and periodic decreases in blood pressure. RMS was diagnosed and symptoms resolved after treatment with cetirizine. CONCLUSIONS RMS should be distinguished from anaphylaxis and treated according to the diagnosis.
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Affiliation(s)
- Mateusz Obal
- Medical University of Warsaw, Poland: Student Scientific Group "Pressor", Department of Internal Medicine, Hypertension and Vascular Diseases
| | - Ewa Gacoń
- Medical University of Warsaw, Poland: Student Scientific Group "Pressor", Department of Internal Medicine, Hypertension and Vascular Diseases
| | - Kacper Piechocki
- Medical University of Warsaw, Poland: Department of Internal Medicine, Hypertension and Vascular Diseases
| | - Bartosz Symonides
- Medical University of Warsaw, Poland: Department of Internal Medicine, Hypertension and Vascular Diseases
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