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Natural language processing of online support group postings reveals patient perspectives on strategies for managing psoriasis 在线支持小组帖子的自然语言处理揭示了患者对牛皮癣管理策略的看法
Q2 DERMATOLOGY Pub Date : 2023-09-11 DOI: 10.4081/dr.2023.9824
Karan Rajalingam, Phillip Johansen, Nicole Levin, Jerry Qi, Oge Marques
Psoriasis is a chronic skin disorder, and patients encounter high physical and psychosocial burdens. Social media forums feature extensive patient-generated comments. We hypothesized that analyzing patient-posted comments using natural language processing would provide insights into patient engagements, sentiments, concerns, and support, which are vital for the holistic management of psoriasis. We collected 32,000 active user comments posted on Reddit-forum. We applied Latent Dirichlet Allocation to categorize posts into popular topics and employed spectral clustering to establish cohesive themes and word representation frequency within these topics. We sorted posts into 29 significant topics of discussion and categorized them into four categories: management (37.48%), emotion (21.57%), presentation (19.79%), and others (3.57%). The frequent posts on management were diet (7.23%), biologics (6.95%), and adverse-effects (3.88%). Emotion category comprised negative sentiments (11.02%), encouragement (5.49%), and gratitude (5.06%). Presentation topic included a discussion of scalp (5.69%), flare-timing (3.63%), and arthritis (2.64%). Others comprised differential-diagnosis (5.01%), leaky gut (4.12%), and referrals (3.70%). This study identified patients’ experiences and perspectives associated with psoriasis, which should be considered to tailor support systems to improve their quality of life.
牛皮癣是一种慢性皮肤病,患者会遇到很高的身体和心理负担。社交媒体论坛上有大量患者发表的评论。我们假设使用自然语言处理分析患者发表的评论将提供对患者参与、情绪、关注和支持的见解,这对牛皮癣的整体管理至关重要。我们在reddit论坛上收集了32000条活跃用户的评论。我们使用潜狄利克雷分配将帖子分类为热门主题,并使用谱聚类来建立这些主题中的内聚主题和单词表示频率。我们将帖子分为29个重要的讨论话题,并将其分为四类:管理(37.48%)、情感(21.57%)、展示(19.79%)和其他(3.57%)。管理类帖子最多的是饮食类(7.23%)、生物类(6.95%)和不良反应类(3.88%)。情绪类别为负面情绪(11.02%)、鼓励(5.49%)、感激(5.06%)。报告主题包括头皮(5.69%)、耀斑时间(3.63%)和关节炎(2.64%)的讨论。其他包括鉴别诊断(5.01%)、肠漏(4.12%)和转诊(3.70%)。本研究确定了患者与牛皮癣相关的经历和观点,应考虑定制支持系统以提高其生活质量。
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引用次数: 0
Delayed hypersensitivity reaction of hyaluronic acid filler (VCY-20) 透明质酸填充剂(VCY-20)迟发性超敏反应
Q2 DERMATOLOGY Pub Date : 2023-09-11 DOI: 10.4081/dr.2023.9800
Christopher Del Rio-Martinez, Patricio Mendoza-Galvez, Victoria Holguin-Montaño, Marcela Santos-Flores
Hyaluronic acid filler, a temporary injectable used for rejuvenating facial treatments, has gained significant popularity over the years due to its nonsurgical approach. While these procedures are generally safe, there are certain complications associated with their application. These complications can be categorized into early-, delayed-, and late-onset reactions. In this case report, we present a 55-year-old female who experienced a delayed hypersensitivity reaction following the application of hyaluronic acid filler, resulting in generalized facial edema.
透明质酸填充物是一种用于恢复面部活力的临时注射剂,多年来由于其非手术方法而获得了显著的普及。虽然这些手术通常是安全的,但有一些并发症与它们的应用有关。这些并发症可分为早期、延迟和迟发性反应。在这个病例报告中,我们报告了一位55岁的女性,她在使用透明质酸填充剂后出现了延迟性超敏反应,导致全身面部水肿。
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引用次数: 0
Pyoderma gangrenosum developed from aggravated pemphigus foliaceous after dog bite 坏疽性脓皮病是由狗咬伤后加重的叶状天疱疮发展而来的
Q2 DERMATOLOGY Pub Date : 2023-09-11 DOI: 10.4081/dr.2023.9633
Jun Ho Kwak, Chan Ho Na, Bong Seok Shin, Min Sung Kim, Hoon Choi
Dear Editor, Pyoderma gangrenosum(PG) is a rare neutrophilic dermatosis that causes the development of painful ulcers on the skin, initially starting with nodules or abscesses, and quickly progressing at the peripheral regions into ulcers.1 The exact cause is not yet known, and 20-30% of patients are said to experience a pathergy phenomenon in which lesions occur in the sites of previous trauma.2 In addition, pyoderma gangrenosum is accompanied by systemic diseases, such as Crohn's disease or inflammatory colitis, rheumatoid arthritis, and hyperthyroidism.3 Although numerous reports indicate that pyoderma gangrenosum is associated with systemic diseases,4 case reports on the association of pyoderma gangrenosum with skin diseases, especially blistering disorders, are very rare. [...]
坏疽性脓皮病(Pyoderma gangrenosum, PG)是一种罕见的中性粒细胞性皮肤病,可引起皮肤上疼痛的溃疡,最初以结节或脓肿开始,并在周围区域迅速发展为溃疡确切的原因尚不清楚,据说20-30%的患者会经历病变现象,即病变发生在以前的创伤部位此外,坏疽性脓皮病还伴有全身性疾病,如克罗恩病或炎症性结肠炎、类风湿关节炎和甲状腺功能亢进虽然大量的报道表明坏疽性脓皮病与全身性疾病有关,但关于坏疽性脓皮病与皮肤病,特别是起泡性疾病相关的4例报道非常罕见。[…]
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引用次数: 0
Can hydradenitis suppurativa be associated with inflammatory joint involvement? Report of a case series and review of the literature. 化脓性水疱炎是否与炎性关节受累有关?案例系列报告及文献回顾。
Q2 DERMATOLOGY Pub Date : 2023-09-11 DOI: 10.4081/dr.2023.9815
Dario Graceffa, Martina Silvestri, Norma Cameli, Viviana Lora, Antonio Cristaudo, Claudio Bonifati, Carlo Cota, Pierluigi Saraceni
Dear Editor, Hidradenitis suppurativa (HS) or acne inversus, is a chronic inflammatory cutaneous disease with a significant negative impact on the patient's quality of life, from a psychological, social and occupational point of view. The disease mainly affects the female sex and occurs between puberty and 40 years of age. It is estimated that in Europe the prevalence of the disease in the general population is 1%.1 Recent studies have shown a high incidence of inflammatory arthritis, in particular spondyloarthritis, in patients with HS.2 In this report, we present 18 cases of patients with hidradenitis suppurativa, visited at the San Gallicano Dermatological Institute, who presented joint symptoms. [...]
化脓性汗腺炎(HS)或痤疮反转,是一种慢性炎症性皮肤病,从心理,社会和职业的角度对患者的生活质量产生重大的负面影响。这种疾病主要影响女性,发生在青春期到40岁之间。据估计,在欧洲,这种疾病在一般人群中的流行率为1%最近的研究表明,在hs患者中,炎症性关节炎的发病率很高,特别是脊椎关节炎。2在本报告中,我们报告了18例化脓性汗腺炎患者,他们在圣加利卡诺皮肤病研究所就诊,表现出关节症状。[…]
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引用次数: 0
Can hydradenitis suppurativa be associated with inflammatory joint involvement? Report of a case series and review of the literature. 化脓性水疱炎是否与炎性关节受累有关?案例系列报告及文献回顾。
IF 2.3 Q2 DERMATOLOGY Pub Date : 2023-09-11 eCollection Date: 2024-09-02 DOI: 10.4081/dr.2024.9815
Dario Graceffa, Martina Silvestri, Norma Cameli, Viviana Lora, Antonio Cristaudo, Claudio Bonifati, Carlo Cota, Pier Luigi Saraceni
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引用次数: 0
Metronidazole-induced linear immunoglobulin A disease in a patient suffering from ulcerative colitis: a case report and focused review of the literature 甲硝唑诱导的溃疡性结肠炎患者的线性免疫球蛋白A疾病:一例报告和文献综述
Q2 DERMATOLOGY Pub Date : 2023-08-29 DOI: 10.4081/dr.2023.9831
Stefano Buffon, Michele Parietti, Andrea Carugno, Elisa Robustelli Test, Angelo Valerio Marzano, Paolo Sena, Pamela Vezzoli
Linear immunoglobulin (Ig) A disease (LAD) is a rare autoimmune blistering dermatosis caused by linear deposition of IgA1 along the dermoepidermal junction of skin and mucosae. It can affect both children and adults. Although idiopathic in most cases, it can also be associated with infections, malignancies, or drug administration. Among medications, antibiotics are most commonly responsible, particularly vancomycin. We report the case of a 51-year-old female patient who developed mucocutaneous LAD after oral metronidazole administration, which was confirmed by histopathological examination and direct immunofluorescence of one of the bullous lesions. Lesions rapidly cleared after metronidazole discontinuation and a short course of oral methylprednisolone and dapsone. To our knowledge, this is the third reported case of metronidazole-induced LAD, and the first in which metronidazole was not administered in combination with other antibiotics such as ceftriaxone.
线性免疫球蛋白(Ig) A病(LAD)是一种罕见的自身免疫性起泡性皮肤病,由IgA1沿皮肤和粘膜的真皮表皮连接处线性沉积引起。它可以影响儿童和成人。虽然在大多数情况下是特发性的,但它也可能与感染、恶性肿瘤或药物管理有关。在药物治疗中,抗生素是最常见的原因,尤其是万古霉素。我们报告一例51岁女性患者口服甲硝唑后发生粘膜皮肤LAD,经组织病理学检查和其中一个大疱性病变的直接免疫荧光证实。停用甲硝唑和短期口服甲基强的松龙和氨苯砜后,病变迅速清除。据我们所知,这是第三例甲硝唑诱发LAD的报告病例,也是第一例甲硝唑未与头孢曲松等其他抗生素联合使用的病例。
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引用次数: 0
Delayed breast cellulitis post nipple-sparing mastectomy surgery. 保留乳头乳房切除术后迟发性乳腺蜂窝织炎。
IF 2.3 Q2 DERMATOLOGY Pub Date : 2023-08-29 eCollection Date: 2024-09-02 DOI: 10.4081/dr.2024.9793
Vittoria Cioppa, Pietro Rubegni, Ernesto De Piano
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引用次数: 0
Definitive histology control after Mohs micrographic surgery: pleonastic or not? 莫氏显微摄影手术后明确的组织学控制:增生与否?
Q2 DERMATOLOGY Pub Date : 2023-08-29 DOI: 10.4081/dr.2023.9827
Ernesto De Piano, Vittoria Cioppa, Valentina Ongaro, Filomena Russo, Pietro Rubegni, Clelia Miracco
Not available
不可用
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引用次数: 0
Delayed breast cellulitis post nipple-sparing mastectomy surgery 保留乳头乳房切除术后迟发性乳腺蜂窝织炎
IF 1.1 Q2 DERMATOLOGY Pub Date : 2023-08-29 DOI: 10.4081/dr.2023.9793
Vittoria Cioppa, Pietro Rubegni, E. De Piano
Not available
不适用
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引用次数: 0
Definitive histology control after Mohs micrographic surgery: pleonastic or not? 莫氏显微摄影手术后明确的组织学控制:增生与否?
IF 2.3 Q2 DERMATOLOGY Pub Date : 2023-08-29 eCollection Date: 2024-09-02 DOI: 10.4081/dr.2024.9827
Ernesto De Piano, Vittoria Cioppa, Valentina Ongaro, Filomena Russo, Pietro Rubegni, Clelia Miracco
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引用次数: 0
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