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The emerging role of Artificial Intelligence in diagnosis and clinical analysis of dermatology 人工智能在皮肤科诊断和临床分析中的新兴作用
4区 医学 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.4103/ds.ds-d-23-00025
Mingling Chen, Shengzhen Ye
Dermatology, as a highly intuitive clinical discipline, requires dermatologists to apply their own knowledge and clinical experience to make a reasonable diagnosis for various skin diseases. However, the diagnosis results are largely affected by the subjective consciousness of dermatologists, and there is a certain misdiagnosis rate, especially in areas with low medical levels. Therefore, there is an urgent need for more accurate, objective, and efficient auxiliary diagnostic tools to improve the diagnostic level of skin diseases. Facing an increasing number of patients and higher requirements for accurate diagnosis of diseases, Artificial Intelligence (AI) technology has attracted considerable attention in the field of dermatology. As a nonorganism, the computer is not affected by subjective consciousness, emotion, fatigue, and other factors in the recognition process. It helps to improve the efficiency of diagnosis and assists human doctors to provide objective and accurate diagnosis results. This paper systematically summarizes the research progress of AI in the diagnosis and application of skin cancers, acne, rosacea, onychomycosis, psoriasis, vitiligo, atopic dermatitis, and eczema diseases at home and abroad in recent years, hoping to help dermatologists have a deeper understanding of AI.
皮肤科作为一门直观程度较高的临床学科,需要皮肤科医生运用自身的知识和临床经验对各种皮肤病进行合理的诊断。但诊断结果很大程度上受皮肤科医生主观意识的影响,存在一定的误诊率,特别是在医疗水平较低的地区。因此,迫切需要更准确、客观、高效的辅助诊断工具来提高皮肤病的诊断水平。面对越来越多的患者和对疾病准确诊断的更高要求,人工智能(AI)技术在皮肤病学领域引起了相当大的关注。计算机作为一个非有机体,在识别过程中不受主观意识、情感、疲劳等因素的影响。它有助于提高诊断效率,帮助人类医生提供客观准确的诊断结果。本文系统总结了近年来国内外人工智能在皮肤癌、痤疮、酒渣鼻、甲癣、银屑病、白癜风、特应性皮炎、湿疹等疾病的诊断和应用方面的研究进展,希望能帮助皮肤科医生对人工智能有更深入的了解。
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引用次数: 1
HOX transcript antisense intergenic RNA is differentially expressed in hypertrophic scar tissues and regulates the biological function of scar fibroblasts through sponging miR-30a-5p HOX转录反义基因间RNA在增生性瘢痕组织中差异表达,并通过海绵化miR-30a-5p调控瘢痕成纤维细胞的生物学功能
4区 医学 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.4103/ds.ds-d-22-00120
Yi Wang, Yong Song, Minjian Chen, Zhenni Wei
Background: The pathogenesis of hypertrophic scars (HS) is complex and unclear. It is of great importance to investigate the formation mechanism of HS at the gene level, find new targets for gene therapy, and establish effective prevention strategies for the formation of HS. Objectives: The study explored the expression pattern of HOX transcript antisense intergenic RNA (HOTAIR) and miR-30a-5p in scar tissues of HS patients and investigated their regulatory role in fibroblast function. Methods: Forty HS patients were recruited, and their scar tissues and adjacent normal skin tissues were collected. Fibroblasts were extracted from these tissues. The quantitative reverse transcription–polymerase chain reaction was used for the mRNA measurement. The CCK-8 and transwell assay were applied for cell proliferation and migration assessment. Luciferase reporter assay was done to verify the target gene of HOTAIR. Results: Elevated HOTAIR and decreased miR-30a-5p were measured in both scar tissues and scar fibroblasts, and their levels were negatively correlated. HOTAIR acted as the sponge of miR-30a-5p. HOTAIR knockdown inhibited fibroblast proliferation, migration, and the expression of collagen synthesis-related proteins (procollagen, alpha-smooth muscle actin, and collagen I), but these functions were abolished by miR-30a-5p downregulation. Conclusion: HS patients owned elevated HOTAIR and decreased miR-30a-5p. HOTAIR knockdown can inhibit the proliferation, migration, and collagen synthesis of scar fibroblasts by negatively regulating the expression of miR-30a-5p.
背景:增生性瘢痕(HS)的发病机制复杂且不清楚。从基因水平研究HS的形成机制,寻找新的基因治疗靶点,建立有效的HS形成预防策略具有重要意义。目的:探讨HOX转录物反义基因间RNA (HOTAIR)和miR-30a-5p在HS患者瘢痕组织中的表达模式,并探讨其在成纤维细胞功能中的调节作用。方法:选取40例HS患者,收集瘢痕组织及邻近正常皮肤组织。从这些组织中提取成纤维细胞。采用定量逆转录-聚合酶链反应测定mRNA。采用CCK-8和transwell法评估细胞增殖和迁移。荧光素酶报告基因实验验证HOTAIR的靶基因。结果:在瘢痕组织和瘢痕成纤维细胞中均检测到HOTAIR升高和miR-30a-5p降低,且两者水平呈负相关。HOTAIR作为miR-30a-5p的海绵。HOTAIR敲低抑制成纤维细胞增殖、迁移和胶原合成相关蛋白(前胶原、α -平滑肌肌动蛋白和胶原I)的表达,但这些功能被miR-30a-5p下调所消除。结论:HS患者HOTAIR升高,miR-30a-5p降低。HOTAIR敲低可通过负调控miR-30a-5p的表达抑制瘢痕成纤维细胞的增殖、迁移和胶原合成。
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引用次数: 1
Breakthrough monkeypox infection in a Taiwanese male with human immunodeficiency virus 6 days after vaccination 接种猴痘疫苗6天后,台湾男性猴痘突破感染人类免疫缺陷病毒
IF 2.5 4区 医学 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.4103/ds.ds-d-22-00136
Yuan-Chen Chao, Bor-shen Hu, Connie S Liu, Meng-Sui Lee
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引用次数: 1
Multiple hyperkeratotic white papules in a 6-year-old girl: A rare presentation of granuloma annulare 6岁女童多发角化性白色丘疹:罕见的环形肉芽肿
IF 2.5 4区 医学 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.4103/ds.ds-d-22-00159
Yavuz Semiz, Ezgi Aktaş, Sila Aktas, O. Yalçın
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引用次数: 0
Subcutaneous panniculitis-like T-cell lymphoma presenting as an ulcerated plaque: A case report 皮下膜炎样t细胞淋巴瘤表现为溃疡斑块:1例报告
4区 医学 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.4103/ds.ds-d-22-00209
PatriciaRelatado Solon, BryanEdgar K. Guevara
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引用次数: 1
Biomarker for rosacea? 酒渣鼻的生物标志物?
IF 2.5 4区 医学 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.4103//ds.v41-1-editorial
Chih-Chiang Chen
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引用次数: 0
Successful treatment with everolimus for microcystic lymphangioma of the tongue caused by a somatic PIK3CA mutation 依维莫司成功治疗由体细胞PIK3CA突变引起的舌微囊性淋巴管瘤
IF 2.5 4区 医学 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.4103/ds.ds-d-23-00060
Yi-Lu Li, Yi-Han Chang, Cheng-Lin Wu, Hsing-San Yang, Hsin-Yu Huang, Yuan-Ju Lin, J. Hsiao, C. Hsu
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引用次数: 0
Poststeroid panniculitis in an 11-month-old boy after rapid cessation of high-dose systemic corticosteroids 一个11个月大的男孩在快速停止大剂量全身皮质类固醇后发生类固醇后膜炎
IF 2.5 4区 医学 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.4103/ds.ds-d-22-00199
Chun-Sheng Chen, Po-Yuan Wu
{"title":"Poststeroid panniculitis in an 11-month-old boy after rapid cessation of high-dose systemic corticosteroids","authors":"Chun-Sheng Chen, Po-Yuan Wu","doi":"10.4103/ds.ds-d-22-00199","DOIUrl":"https://doi.org/10.4103/ds.ds-d-22-00199","url":null,"abstract":"","PeriodicalId":11107,"journal":{"name":"Dermatologica Sinica","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84635327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Subungual acantholytic dyskeratotic acanthoma: A case report 甲下棘囊性角化不良棘瘤1例
IF 2.5 4区 医学 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.4103/ds.ds-d-23-00007
Chia-Hsiang Chung, Yang‐Chih Lin, Yu-Hung Wu
{"title":"Subungual acantholytic dyskeratotic acanthoma: A case report","authors":"Chia-Hsiang Chung, Yang‐Chih Lin, Yu-Hung Wu","doi":"10.4103/ds.ds-d-23-00007","DOIUrl":"https://doi.org/10.4103/ds.ds-d-23-00007","url":null,"abstract":"","PeriodicalId":11107,"journal":{"name":"Dermatologica Sinica","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72860012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From zero to one: Recent advances in the pathogenesis, diagnosis, and treatment of vitiligo 从零到一:白癜风的发病机制、诊断和治疗的最新进展
4区 医学 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.4103/ds.ds-d-23-00054
ChauYee Ng, Peng-Chieh Shen, Tsung-Fu Tsai, Yi-Jing Lai, Tzu-Li Liu
Vitiligo is the most common acquired pigmentary disorder and can have profound negative psychosocial impacts on patients. The disease course of vitiligo is often unpredictable, and diagnosis and treatment of vitiligo remain a challenging dermatological task. In this review, we touch on new advances in understanding vitiligo pathogenesis; discuss emerging biomarkers that may aid physicians in assessing vitiligo disease activity and severity, and summarize prospective targeted therapies in treating vitiligo. A brief outline dedicated to the impact of the coronavirus disease 2019 pandemic on vitiligo patients is also provided. We hope that readers may acquire a more comprehensive understanding of vitiligo and gain insights into new diagnostic tools and therapeutic options for vitiligo.
白癜风是最常见的获得性色素障碍,可对患者产生深远的负面心理社会影响。白癜风的病程往往是不可预测的,白癜风的诊断和治疗仍然是一个具有挑战性的皮肤科任务。本文就白癜风发病机制的研究进展作一综述;讨论可能帮助医生评估白癜风疾病活动性和严重程度的新兴生物标志物,并总结治疗白癜风的前瞻性靶向疗法。本文还简要介绍了2019年冠状病毒病大流行对白癜风患者的影响。我们希望读者能对白癜风有更全面的了解,并对白癜风的新诊断工具和治疗选择有更深入的了解。
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引用次数: 1
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Dermatologica Sinica
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