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Correction to “Gender and Sex Disparities in Melanoma: Advances in Diagnosis, Treatment, and the Role of Artificial Intelligence” 对“黑色素瘤中的性别和性别差异:诊断、治疗和人工智能作用的进展”的更正
Pub Date : 2025-05-30 DOI: 10.1002/der2.70034

D. R. K. Kakish, J. F. Alsamhori, L. N. Qaqish, et al. “Gender Disparities in Melanoma: Advances in Diagnosis, Treatment, and the Role of Artificial Intelligence,” Dermatologic Therapy 2025; e70022, https://doi.org/10.1002/der2.70022.

In the title of the published article, the phrase “Gender Disparities in Melanoma” should read “Gender and Sex Disparities in Melanoma” to more accurately reflect the scope of the manuscript, which discusses disparities related to both gender identity and biological sex in melanoma diagnosis, treatment, and research.

We apologize for this error.

D. R. K. Kakish, J. F. Alsamhori, L. N. Qaqish,等。“黑色素瘤中的性别差异:诊断、治疗和人工智能的作用的进展”,《皮肤病治疗》2025;e70022, https://doi.org/10.1002/der2.70022.In已发表文章的标题,短语“黑色素瘤中的性别差异”应阅读为“黑色素瘤中的性别和性别差异”,以更准确地反映手稿的范围,该手稿讨论了黑色素瘤诊断、治疗和研究中与性别认同和生理性别相关的差异。我们为这个错误道歉。
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引用次数: 0
A Case of Persistent Facial Rash in a 15-Year-Old: Uncovering Rosacea in the Context of Duchenne Muscular Dystrophy 15岁持续性面部皮疹1例:发现酒渣鼻在杜氏肌营养不良的背景下
Pub Date : 2025-05-28 DOI: 10.1002/der2.70040
Kathleen Ward, Valerie Foy, Haowei Han, Sourab Choudhury

Background

We were presented with a 15-year-old male with Duchenne Muscular Dystrophy and a 5-year history of worsening and treatment-resistant facial erythema.

Methods

To investigate, an H&E punch biopsy was sampled from the left temporal lobe, showing minute vellus-type hairs surrounded by small granulomas and mononuclear cells, including plasma cells.

Results

The findings were most consistent with rosacea, likely the telangiectatic type. Although current research connecting Duchenne Muscular Dystrophy and rosacea is limited, both conditions involve chronic inflammatory states and dysregulation of the immune system, with a notable convergence in NLRP3 inflammasome activation.

Conclusion

Highlighting this connection between DMD and rosacea may pave the way for targeted treatment regimen for both conditions. The similarities in these two disease processes showcase the importance of interdisciplinary communication and research.

我们报告了一名15岁的男性杜氏肌营养不良症患者,有5年的面部红斑恶化和治疗难治性病史。方法从左侧颞叶取H&;E穿刺活检,显示微小的绒毛型毛发被小肉芽肿和单个核细胞(包括浆细胞)包围。结果与酒糟鼻最一致,可能是毛细血管扩张型。虽然目前关于杜氏肌营养不良症和酒渣鼻的研究有限,但这两种疾病都涉及慢性炎症状态和免疫系统失调,且NLRP3炎症小体激活具有显著的趋同性。结论强调DMD与酒渣鼻之间的联系可能为这两种疾病的靶向治疗方案铺平道路。这两种疾病过程的相似之处显示了跨学科交流和研究的重要性。
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引用次数: 0
Guest Editor's Introduction: New Concepts in Laser Hair Removal 客座编辑介绍:激光脱毛的新概念
Pub Date : 2025-05-21 DOI: 10.1002/der2.70035
Rahul Pillai
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引用次数: 0
Moisturizing Treatment Outcomes: A Comparative Study of Diabetic and Nondiabetic Skin, Associated With the Presence or Absence of Dermatoporosis 保湿治疗结果:糖尿病和非糖尿病皮肤的比较研究,与存在或不存在皮肤疏松症有关
Pub Date : 2025-05-21 DOI: 10.1002/der2.70037
Juliana Rodrigues Pinto, Silas Arandas Monteiro e Silva, Gislaine Ricci Leonardi

Background

Skin disorders are highly common in type 1 and 2 diabetes mellitus patients. This study assessed the effects of a moisturizing formulation on photoprotected (volar forearm) and photoexposed (dorsal hand) skin in diabetic and nondiabetic participants, with or without stage I dermatoporosis, comparing it to a reference product.

Methods

Thirty participants, aged 61–81 years, were included and equally divided into diabetic and nondiabetic groups. Biophysical assessments, including capacitance (hydration), transepidermal water loss (TEWL) measurements, and skin micro-imaging for roughness evaluation, were performed at baseline, 45, and 60 days.

Results

The test formulation significantly increased skin hydration, up to 34% on the forearm (FO) and 35% on the dorsal hand (DH) in diabetic participants, and up to 21% on the FO and 27% on the DH in nondiabetic participants. TEWL reduction, indicating improved barrier function, was more pronounced in diabetics (8% on FO and DH), while non-diabetics showed a 1% reduction on the FO. Skin roughness decreased more in diabetics (16% on FO and 18% on DH) than in non-diabetics (11% on DH). Diabetic participants showed greater improvements overall. The test formulation and the reference product demonstrated similar effects in improving skin condition. Participants with stage I dermatoporosis showed significant improvements in skin condition, with the test formulation providing greater benefits for diabetics.

Conclusion

The test formulation effectively enhanced skin hydration and barrier function while reducing skin roughness in diabetic and nondiabetic subjects, regardless of dermatoporosis diagnosis. These findings offer valuable guidance for developing targeted skincare treatments.

背景皮肤疾病在1型和2型糖尿病患者中非常常见。本研究评估了一种保湿配方对糖尿病和非糖尿病参与者(伴有或不伴有I期皮肤疏松症)光保护(前臂掌侧)和光暴露(手背)皮肤的影响,并将其与参考产品进行比较。方法将30例年龄在61 ~ 81岁之间的参与者平均分为糖尿病组和非糖尿病组。在基线、45天和60天进行生物物理评估,包括电容(水合作用)、经皮失水(TEWL)测量和用于粗糙度评估的皮肤微成像。结果测试配方显著增加皮肤水合作用,糖尿病参与者的前臂(FO)和手背(DH)分别增加34%和35%,非糖尿病参与者的手背和手背分别增加21%和27%。TEWL减少,表明屏障功能的改善,在糖尿病患者中更为明显(FO和DH为8%),而非糖尿病患者的FO为1%。糖尿病患者的皮肤粗糙度比非糖尿病患者下降更多(FO组16%,DH组18%)(DH组11%)。糖尿病参与者总体上表现出更大的改善。试验配方和参考产品在改善皮肤状况方面表现出相似的效果。患有I期皮肤疏松症的参与者表现出皮肤状况的显著改善,试验配方为糖尿病患者提供了更大的益处。结论该试验配方在糖尿病和非糖尿病受试者中,不论是否患有皮肤病,均能有效增强皮肤水分和屏障功能,同时降低皮肤粗糙度。这些发现为开发有针对性的护肤治疗提供了有价值的指导。
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引用次数: 0
Inflammatory Oculocutaneous Disease: Review, Update, and Practical Approach 炎症性眼皮疾病:回顾、更新和实用方法
Pub Date : 2025-05-21 DOI: 10.1002/der2.70036
Daniel L. Fischer, Valerie Foy, Nicole E. Fischer, Graham Litchman, Suzanne Sirota Rozenberg, Adam J. Friedman

Background

Periocular skin is notably thinner than other areas of the body, making it more susceptible to environmental factors and topical medications. Conditions affecting this region often require specialized care due to their impact on quality of life and potential to impair vision.

Aim

This review aims to address the unique characteristics, diagnostic challenges, and therapeutic strategies for oculocutaneous inflammatory conditions, offering guidance for dermatologists in managing this specialized area of skin.

Methods

A literature search was conducted on PubMed reviewing the most relevant periocular inflammatory conditions, including glandular and eyelid inflammation, conjunctival and corneal disorders, allergic and irritant contact dermatitis, autoimmune diseases, and infections. Key diagnostic and therapeutic approaches are highlighted to assist in effective patient management.

Results

Inflammatory oculocutaneous diseases stem from various causes, including eczematous dermatoses, infections, autoimmune conditions, meibomian gland dysfunction. Treatments range from traditional options like warm compresses, antibiotics, and corticosteroids to newer approaches such as biologic therapies and intense pulsed light. These conditions are often associated with allergies, side effects of biologic drugs, and systemic diseases like atopic dermatitis, highlighting the need for accurate diagnosis, personalized treatment, and proper eyelid hygiene for effective management.

Conclusions

Effective management of periocular inflammatory conditions can be challenging due to the unique anatomy of the area and often requires a targeted and specialized approach to treatment. Dermatologists are essential in diagnosing and managing oculocutaneous diseases. Collaboration with optometrists and ophthalmologists is often needed to ensure the best outcomes, as these conditions greatly affect patients’ quality of life and cosmetic appearance.

眼周皮肤明显比身体其他部位薄,使其更容易受到环境因素和局部药物的影响。影响这一区域的疾病通常需要专门护理,因为它们会影响生活质量并可能损害视力。目的本综述旨在探讨眼部皮肤炎症的独特特征、诊断挑战和治疗策略,为皮肤科医生管理这一皮肤专业领域提供指导。方法在PubMed上进行文献检索,回顾最相关的眼周炎症,包括腺体和眼睑炎症、结膜和角膜疾病、过敏性和刺激性接触性皮炎、自身免疫性疾病和感染。关键的诊断和治疗方法强调,以协助有效的病人管理。结果炎性皮肤病的病因多种多样,包括湿疹、感染、自身免疫性疾病、睑板腺功能障碍等。治疗方法包括热敷、抗生素和皮质类固醇等传统选择,以及生物疗法和强脉冲光等新方法。这些情况通常与过敏、生物药物的副作用以及特应性皮炎等全身性疾病有关,因此需要准确诊断、个性化治疗和适当的眼睑卫生以进行有效管理。结论:由于该区域独特的解剖结构,有效的眼周炎症治疗具有挑战性,通常需要有针对性和专门的治疗方法。皮肤科医生在诊断和管理眼皮疾病方面是必不可少的。通常需要与验光师和眼科医生合作以确保最佳结果,因为这些情况极大地影响了患者的生活质量和美容外观。
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引用次数: 0
Trends in Paradoxical Hypertrichosis as a Result of Energy-Based Hair Removal Devices 能源脱毛装置导致的矛盾多毛症趋势
Pub Date : 2025-05-21 DOI: 10.1002/der2.70038
Karen Montecinos, Sure Aygun, Margarita S. Lolis, David J. Goldberg

Background

Laser hair removal has been regarded as a relatively safe and effective treatment for the removal of unwanted body hair. While there are a variety of reported side effects like post-inflammatory hyperpigmentation or erythema, a rare and underreported complication is paradoxical hypertrichosis (PH). PH involves the unexpected increase of hair in or near the treatment area following laser hair removal. The mechanism behind this phenomenon is not fully understood but is important to address to improve treatment outcomes and minimize the occurrence of PH.

Objective

This paper aims to consolidate and analyze literature pertaining to PH as a side effect resulting from laser hair removal (LHR), focusing on identifying commonalities and trends.

Materials and Methods

A comprehensive literature search was conducted utilizing the PubMed database, employing keywords such as “laser paradoxical effect” and “paradoxical hypertrichosis.” The gathered findings were synthesized and are presented in this review.

Results

The Alexandrite and Intense Pulsed Light (IPL) lasers are frequently associated with inducing PH. PH predominantly manifests in facial and neck regions, with sporadic occurrences on other body areas, notably the upper arms and periareolar region. Patients with darker skin tones, particularly Fitzpatrick Skin Types III−VI, and those with hormonal imbalances such as polycystic ovarian syndrome (PCOS), are more predisposed to experiencing PH after LHR. Proposed preventive measures include sun protection and avoiding shaving before LHR sessions. Continuation of LHR treatments on affected areas is the standard approach for treating PH.

Conclusion

PH, although rare, poses a tangible side effect of LHR, occurring in about 3% of patients. The literature highlights specific regions of the body and laser types associated with PH, alongside potential patient predispositions. Further research is warranted to elucidate preventive strategies and enhance patient satisfaction and trust in LHR procedures.

激光脱毛被认为是一种相对安全有效的去除多余体毛的方法。虽然有多种报道的副作用,如炎症后色素沉着或红斑,但一种罕见且未被报道的并发症是悖论性多毛症(PH)。PH值涉及激光脱毛后治疗区域或治疗区域附近毛发的意外增加。这种现象背后的机制尚不完全清楚,但对于改善治疗效果和减少PH的发生至关重要。目的本论文旨在整合和分析有关PH作为激光脱毛(LHR)副作用的文献,重点是确定共性和趋势。材料与方法利用PubMed数据库进行全面的文献检索,关键词为“激光悖论效应”和“悖论多毛症”。本文对收集到的研究结果进行了综合并发表。结果紫翠石和强脉冲光(IPL)激光经常与PH诱导有关。PH主要表现在面部和颈部区域,其他身体部位偶尔出现,特别是上臂和乳晕周围区域。肤色较深的患者,特别是菲茨帕特里克皮肤III - VI型,以及激素失衡的患者,如多囊卵巢综合征(PCOS),更容易在LHR后出现PH。建议的预防措施包括防晒和在LHR会议前避免剃须。在受累部位继续进行LHR治疗是治疗PH的标准方法。结论PH虽然罕见,但LHR会产生明显的副作用,约占3%的患者。文献强调了与PH相关的身体特定区域和激光类型,以及潜在的患者易感性。需要进一步的研究来阐明预防策略,提高患者对LHR程序的满意度和信任度。
{"title":"Trends in Paradoxical Hypertrichosis as a Result of Energy-Based Hair Removal Devices","authors":"Karen Montecinos,&nbsp;Sure Aygun,&nbsp;Margarita S. Lolis,&nbsp;David J. Goldberg","doi":"10.1002/der2.70038","DOIUrl":"https://doi.org/10.1002/der2.70038","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Laser hair removal has been regarded as a relatively safe and effective treatment for the removal of unwanted body hair. While there are a variety of reported side effects like post-inflammatory hyperpigmentation or erythema, a rare and underreported complication is paradoxical hypertrichosis (PH). PH involves the unexpected increase of hair in or near the treatment area following laser hair removal. The mechanism behind this phenomenon is not fully understood but is important to address to improve treatment outcomes and minimize the occurrence of PH.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This paper aims to consolidate and analyze literature pertaining to PH as a side effect resulting from laser hair removal (LHR), focusing on identifying commonalities and trends.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>A comprehensive literature search was conducted utilizing the PubMed database, employing keywords such as “laser paradoxical effect” and “paradoxical hypertrichosis.” The gathered findings were synthesized and are presented in this review.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The Alexandrite and Intense Pulsed Light (IPL) lasers are frequently associated with inducing PH. PH predominantly manifests in facial and neck regions, with sporadic occurrences on other body areas, notably the upper arms and periareolar region. Patients with darker skin tones, particularly Fitzpatrick Skin Types III−VI, and those with hormonal imbalances such as polycystic ovarian syndrome (PCOS), are more predisposed to experiencing PH after LHR. Proposed preventive measures include sun protection and avoiding shaving before LHR sessions. Continuation of LHR treatments on affected areas is the standard approach for treating PH.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>PH, although rare, poses a tangible side effect of LHR, occurring in about 3% of patients. The literature highlights specific regions of the body and laser types associated with PH, alongside potential patient predispositions. Further research is warranted to elucidate preventive strategies and enhance patient satisfaction and trust in LHR procedures.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100366,"journal":{"name":"Dermatological Reviews","volume":"6 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/der2.70038","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144100942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Medication-Induced Lichen Sclerosus: A Systematic Review 药物性地衣硬化:系统综述
Pub Date : 2025-04-17 DOI: 10.1002/der2.70031
Samar Alyousef, Lama Alqahtani, Asem Shadid, Mohammed Almashali

Background

Lichen sclerosus (LS) is an inflammatory skin disease that predominantly affects the anogenital region, although it can occasionally present in extragenital areas. The precise etiology of LS remains uncertain; however, recent studies suggest that certain medications may contribute to its onset or exacerbate its progression. This systematic review and meta-analysis aims to evaluate the association between specific medications and the development of LS.

Methods

A comprehensive search of multiple databases identified 16 publications that met the inclusion criteria. These studies, primarily comprising case reports and case series, revealed a significant correlation between LS and immune checkpoint inhibitors (ICIs), such as nivolumab and pembrolizumab, as well as hormonal therapies, including anti-androgenic oral contraceptives and aromatase inhibitors.

Results

The findings suggest that these medications may disrupt immune tolerance or hormonal homeostasis, thereby contributing to the pathogenesis of LS. The analysis highlights the challenges in managing medication-induced LS, particularly in patients who cannot discontinue the implicated drug due to underlying conditions such as cancer or chronic illnesses.

Conclusion

Despite offering valuable insights into the potential risks of specific medications, the study's limitations—including reliance on small case studies and data heterogeneity—underscore the need for further research. Larger observational studies and randomized controlled trials are essential to validate these associations and inform targeted prevention and treatment strategies. Clinicians should remain vigilant for signs of LS in patients undergoing treatment with these medications to facilitate early diagnosis and intervention.

背景:硬化地衣(LS)是一种炎症性皮肤病,主要影响肛门生殖器区域,尽管它偶尔会出现在生殖器外区域。LS的确切病因尚不清楚;然而,最近的研究表明,某些药物可能有助于其发病或加剧其进展。本系统综述和荟萃分析旨在评估特定药物与LS发展之间的关系。方法对多个数据库进行综合检索,筛选出符合纳入标准的文献16篇。这些研究主要包括病例报告和病例系列,揭示了LS与免疫检查点抑制剂(ICIs)之间的显著相关性,如纳沃单抗和派姆单抗,以及激素疗法,包括抗雄激素口服避孕药和芳香酶抑制剂。结果这些药物可能破坏免疫耐受或激素稳态,从而参与了LS的发病机制。该分析强调了管理药物引起的LS的挑战,特别是对于由于癌症或慢性疾病等潜在疾病而无法停止相关药物的患者。尽管对特定药物的潜在风险提供了有价值的见解,但该研究的局限性——包括依赖于小案例研究和数据异质性——强调了进一步研究的必要性。更大规模的观察性研究和随机对照试验对于验证这些关联并为有针对性的预防和治疗策略提供信息至关重要。临床医生应该对接受这些药物治疗的患者的LS症状保持警惕,以促进早期诊断和干预。
{"title":"Medication-Induced Lichen Sclerosus: A Systematic Review","authors":"Samar Alyousef,&nbsp;Lama Alqahtani,&nbsp;Asem Shadid,&nbsp;Mohammed Almashali","doi":"10.1002/der2.70031","DOIUrl":"https://doi.org/10.1002/der2.70031","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Lichen sclerosus (LS) is an inflammatory skin disease that predominantly affects the anogenital region, although it can occasionally present in extragenital areas. The precise etiology of LS remains uncertain; however, recent studies suggest that certain medications may contribute to its onset or exacerbate its progression. This systematic review and meta-analysis aims to evaluate the association between specific medications and the development of LS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A comprehensive search of multiple databases identified 16 publications that met the inclusion criteria. These studies, primarily comprising case reports and case series, revealed a significant correlation between LS and immune checkpoint inhibitors (ICIs), such as nivolumab and pembrolizumab, as well as hormonal therapies, including anti-androgenic oral contraceptives and aromatase inhibitors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The findings suggest that these medications may disrupt immune tolerance or hormonal homeostasis, thereby contributing to the pathogenesis of LS. The analysis highlights the challenges in managing medication-induced LS, particularly in patients who cannot discontinue the implicated drug due to underlying conditions such as cancer or chronic illnesses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Despite offering valuable insights into the potential risks of specific medications, the study's limitations—including reliance on small case studies and data heterogeneity—underscore the need for further research. Larger observational studies and randomized controlled trials are essential to validate these associations and inform targeted prevention and treatment strategies. Clinicians should remain vigilant for signs of LS in patients undergoing treatment with these medications to facilitate early diagnosis and intervention.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100366,"journal":{"name":"Dermatological Reviews","volume":"6 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/der2.70031","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143840893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Introduction—Dermatological Reviews—April 2025 引言-皮肤病学评论- 2025年4月
Pub Date : 2025-04-11 DOI: 10.1002/der2.70033
Faraz Yousefian
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引用次数: 0
Dermatological Reviews Introduction—Potpourri Issue April 2025 《皮肤病学评论》2025年4月号
Pub Date : 2025-04-11 DOI: 10.1002/der2.70032
Michael H. Gold
{"title":"Dermatological Reviews Introduction—Potpourri Issue April 2025","authors":"Michael H. Gold","doi":"10.1002/der2.70032","DOIUrl":"https://doi.org/10.1002/der2.70032","url":null,"abstract":"","PeriodicalId":100366,"journal":{"name":"Dermatological Reviews","volume":"6 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/der2.70032","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143818429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
High-Intensity Focused Ultrasound Devices for Skin Tightening: A Comparative Literature Review of Device Specifications 用于皮肤紧致的高强度聚焦超声设备:设备规格的比较文献综述
Pub Date : 2025-04-07 DOI: 10.1002/der2.70030
Valentina Dicker, Luis Alberto Parra, Andreina Martinez Amado, Andrea Acevedo, Desiree Castelanich, Lina Velasquez, Andrea Marcela Parra

Background

Nonsurgical skin tightening using high-intensity focused ultrasound (HIFU) and micro focused ultrasound (MFU) is a rapidly growing aesthetic procedure. However, a lack of comparative data on the technical specifications of leading devices (Ultherapy, Ultraformer, Liftera) hinders optimal treatment selection. This review addresses this gap.

Materials and Methods

For each device, a literature search (PubMed, Google Scholar, grey literature) focused on skin-tightening applications. Inclusion criteria included articles published in English or Spanish after 2017 detailing technical specifications. Data extraction included regulatory approvals, ultrasound frequency, energy levels, treatment depths, thermal coagulation points per shot, and other treatment parameters.

Results

The review analyzed data from available publications and manufacturer documentation. Significant heterogeneity was identified across devices regarding ultrasound frequency, energy levels, treatment depths, and real-time visualization capabilities. Ultherapy uniquely offers real-time imaging. Due to limited published research, Ultraformer and Liftera data relied heavily on manufacturer information.

Conclusion

This literature review reveals substantial heterogeneity in the technical specifications of Ultherapy, Ultraformer, and Liftera for nonsurgical skin tightening. The lack of published literature for Ultraformer and Liftera highlights the need for further research to confirm manufacturer-provided specifications and to establish clear evidence-based guidelines for optimal treatment selection. The value of real-time imaging in treatment optimization is also discussed.

背景:使用高强度聚焦超声(HIFU)和微聚焦超声(MFU)进行非手术皮肤收紧是一种快速发展的美容手术。然而,缺乏领先设备(Ultherapy, Ultraformer, Liftera)技术规格的比较数据阻碍了最佳治疗选择。本综述解决了这一差距。材料和方法:对每个设备进行文献检索(PubMed,谷歌Scholar,灰色文献),重点是紧肤应用。纳入标准包括2017年以后以英语或西班牙语发表的详细技术规范的文章。数据提取包括监管批准、超声频率、能量水平、处理深度、每次注射的热凝点和其他处理参数。结果本综述分析了来自现有出版物和制造商文件的数据。不同设备在超声频率、能量水平、治疗深度和实时可视化能力方面存在显著的异质性。Ultherapy提供独特的实时成像。由于发表的研究有限,Ultraformer和Liftera的数据严重依赖于制造商信息。结论本文献综述揭示了Ultherapy、Ultraformer和Liftera在非手术皮肤紧致方面的技术规格存在很大差异。由于缺乏关于Ultraformer和Liftera的已发表文献,因此需要进一步的研究来确认制造商提供的规格,并为最佳治疗选择建立明确的循证指南。讨论了实时成像在优化治疗中的价值。
{"title":"High-Intensity Focused Ultrasound Devices for Skin Tightening: A Comparative Literature Review of Device Specifications","authors":"Valentina Dicker,&nbsp;Luis Alberto Parra,&nbsp;Andreina Martinez Amado,&nbsp;Andrea Acevedo,&nbsp;Desiree Castelanich,&nbsp;Lina Velasquez,&nbsp;Andrea Marcela Parra","doi":"10.1002/der2.70030","DOIUrl":"https://doi.org/10.1002/der2.70030","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nonsurgical skin tightening using high-intensity focused ultrasound (HIFU) and micro focused ultrasound (MFU) is a rapidly growing aesthetic procedure. However, a lack of comparative data on the technical specifications of leading devices (Ultherapy, Ultraformer, Liftera) hinders optimal treatment selection. This review addresses this gap.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>For each device, a literature search (PubMed, Google Scholar, grey literature) focused on skin-tightening applications. Inclusion criteria included articles published in English or Spanish after 2017 detailing technical specifications. Data extraction included regulatory approvals, ultrasound frequency, energy levels, treatment depths, thermal coagulation points per shot, and other treatment parameters.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The review analyzed data from available publications and manufacturer documentation. Significant heterogeneity was identified across devices regarding ultrasound frequency, energy levels, treatment depths, and real-time visualization capabilities. Ultherapy uniquely offers real-time imaging. Due to limited published research, Ultraformer and Liftera data relied heavily on manufacturer information.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This literature review reveals substantial heterogeneity in the technical specifications of Ultherapy, Ultraformer, and Liftera for nonsurgical skin tightening. The lack of published literature for Ultraformer and Liftera highlights the need for further research to confirm manufacturer-provided specifications and to establish clear evidence-based guidelines for optimal treatment selection. The value of real-time imaging in treatment optimization is also discussed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100366,"journal":{"name":"Dermatological Reviews","volume":"6 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/der2.70030","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143787071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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