Anjali J D'Amiano, Bethany Rohr, Brad Glick, Marcia Hogeling, Matthew Keller, Joel Sunshine
While strong relationships with mentors and advisers are critical to navigating the dermatology match process, the advice around the match process that medical students receive from different individuals can be contradictory. In this study, we sought to examine the advice that mentors provide to medical students applying to dermatology residency programs via a 14-question anonymous survey covering topics such as research years, away rotations, dual applying, couples matching, program signaling, PGY-1 year, geographic signaling, interviewing, and volunteering in medical school.
{"title":"A Nationwide Survey of Dermatology Faculty and Mentors on Their Advice for the Dermatology Match Process.","authors":"Anjali J D'Amiano, Bethany Rohr, Brad Glick, Marcia Hogeling, Matthew Keller, Joel Sunshine","doi":"10.12788/cutis.1235","DOIUrl":"https://doi.org/10.12788/cutis.1235","url":null,"abstract":"<p><p>While strong relationships with mentors and advisers are critical to navigating the dermatology match process, the advice around the match process that medical students receive from different individuals can be contradictory. In this study, we sought to examine the advice that mentors provide to medical students applying to dermatology residency programs via a 14-question anonymous survey covering topics such as research years, away rotations, dual applying, couples matching, program signaling, PGY-1 year, geographic signaling, interviewing, and volunteering in medical school.</p>","PeriodicalId":11195,"journal":{"name":"Cutis","volume":"116 1","pages":"11-15"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144944603","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}
Spironolactone is an effective systemic treatment for acne in women and likely is an underutilized alternative to oral antibiotics. It is used off label for all types of acne and has shown effectiveness for both facial and truncal acne. We recommend a starting dose of 100 mg/d, as most patients can tolerate it and it has superior effectiveness to lower doses. The most common adverse effects of spironolactone are lightheadedness; headache; and menstrual irregularities, which tend to be dose dependent and can be prevented or treated using combined oral contraceptives. Potassium monitoring is of low usefulness in young healthy women, and studies have not identified an association between spironolactone use and increased risk for cancer. This article provides an overview of spironolactone for the treatment of acne, including recent clinical trials and practical strategies for patient selection, dosing, adverse effect management, and monitoring.
{"title":"Spironolactone for Acne: Practical Strategies for Optimal Clinical Outcomes.","authors":"Sherry Ershadi, John S Barbieri","doi":"10.12788/cutis.1239","DOIUrl":"https://doi.org/10.12788/cutis.1239","url":null,"abstract":"<p><p>Spironolactone is an effective systemic treatment for acne in women and likely is an underutilized alternative to oral antibiotics. It is used off label for all types of acne and has shown effectiveness for both facial and truncal acne. We recommend a starting dose of 100 mg/d, as most patients can tolerate it and it has superior effectiveness to lower doses. The most common adverse effects of spironolactone are lightheadedness; headache; and menstrual irregularities, which tend to be dose dependent and can be prevented or treated using combined oral contraceptives. Potassium monitoring is of low usefulness in young healthy women, and studies have not identified an association between spironolactone use and increased risk for cancer. This article provides an overview of spironolactone for the treatment of acne, including recent clinical trials and practical strategies for patient selection, dosing, adverse effect management, and monitoring.</p>","PeriodicalId":11195,"journal":{"name":"Cutis","volume":"116 1","pages":"26-31"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946233","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}
Samuel Blount, Chase Pitchford, Courtney Cook, Jeffrey McBride, Jarad Levin
{"title":"Multiple Fungating Plaques on the Face, Arms, and Legs.","authors":"Samuel Blount, Chase Pitchford, Courtney Cook, Jeffrey McBride, Jarad Levin","doi":"10.12788/cutis.1232","DOIUrl":"https://doi.org/10.12788/cutis.1232","url":null,"abstract":"","PeriodicalId":11195,"journal":{"name":"Cutis","volume":"116 1","pages":"10-25"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946226","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}
{"title":"Atypical Skin Bronzing in Response to Belumosudil for Graft-vs-Host Disease.","authors":"Melissa Cheng, Diem Pham","doi":"10.12788/cutis.1250","DOIUrl":"https://doi.org/10.12788/cutis.1250","url":null,"abstract":"","PeriodicalId":11195,"journal":{"name":"Cutis","volume":"116 1","pages":"E5-E7"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946276","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}
Eric J Beltrami, Emily Shaughnessy, Michael J Murphy
{"title":"Pedunculated Pink Papule on the Nose.","authors":"Eric J Beltrami, Emily Shaughnessy, Michael J Murphy","doi":"10.12788/cutis.1252","DOIUrl":"https://doi.org/10.12788/cutis.1252","url":null,"abstract":"","PeriodicalId":11195,"journal":{"name":"Cutis","volume":"116 1","pages":"E8-E11"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946192","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}
{"title":"Irritable Bowel Syndrome Risk in Acne Patients: Implications for Dermatologic Care.","authors":"Alex Y Liu, Ana Ormaza Vera, Clinton W Enos","doi":"10.12788/cutis.1238","DOIUrl":"10.12788/cutis.1238","url":null,"abstract":"","PeriodicalId":11195,"journal":{"name":"Cutis","volume":"116 1","pages":"32-35"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946214","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}
Soraya Regina Abu Jamra, Renata Gomes de Oliveira, Laura Cardoso Brentini, Nathalia Ventura Stefli, Lais Fukuda Cuoghi, Ana Cláudia Rossini Clementino, Fábio André Dias, Patricia Schiavotello Stefanelli, Persio Roxo-Junior
{"title":"Upadacitinib for Treatment of Severe Atopic Dermatitis in a Child.","authors":"Soraya Regina Abu Jamra, Renata Gomes de Oliveira, Laura Cardoso Brentini, Nathalia Ventura Stefli, Lais Fukuda Cuoghi, Ana Cláudia Rossini Clementino, Fábio André Dias, Patricia Schiavotello Stefanelli, Persio Roxo-Junior","doi":"10.12788/cutis.1253","DOIUrl":"https://doi.org/10.12788/cutis.1253","url":null,"abstract":"","PeriodicalId":11195,"journal":{"name":"Cutis","volume":"116 1","pages":"E12-E14"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946190","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}
DanTasia Welch, Richard P Usatine, Candrice R Heath
{"title":"Consider Cultural Practices and Barriers to Care When Treating Alopecia Areata.","authors":"DanTasia Welch, Richard P Usatine, Candrice R Heath","doi":"10.12788/cutis.1236","DOIUrl":"https://doi.org/10.12788/cutis.1236","url":null,"abstract":"","PeriodicalId":11195,"journal":{"name":"Cutis","volume":"116 1","pages":"38-39"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946230","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}
Josiah A Williams, Adelle Pacyna, Jessica Patterson, Vlad Codrea
Infection and allergic contact dermatitis may be encountered in postoperative and chronic wounds. Since symptoms overlap, differentiating these complications in real time could help guide management. We propose applying potentially allergenic wound care agents to an area of healthy skin while managing postoperative and chronic wounds. This method can help identify allergic contact dermatitis rapidly, thereby reducing misdiagnosis and improving patient care.
{"title":"Continuous Testing Method for Contact Allergy to Topical Therapies in the Management of Chronic and Postoperative Wounds.","authors":"Josiah A Williams, Adelle Pacyna, Jessica Patterson, Vlad Codrea","doi":"10.12788/cutis.1237","DOIUrl":"https://doi.org/10.12788/cutis.1237","url":null,"abstract":"<p><p>Infection and allergic contact dermatitis may be encountered in postoperative and chronic wounds. Since symptoms overlap, differentiating these complications in real time could help guide management. We propose applying potentially allergenic wound care agents to an area of healthy skin while managing postoperative and chronic wounds. This method can help identify allergic contact dermatitis rapidly, thereby reducing misdiagnosis and improving patient care.</p>","PeriodicalId":11195,"journal":{"name":"Cutis","volume":"116 1","pages":"18-19"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946238","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}
Rosacea is a chronic inflammatory skin condition of the central face driven by immune dysregulation, genetic predisposition, epidermal barrier dysfunction, and microbial dysbiosis. Recent evidence implicates both the gut and skin microbiomes-through direct immune interactions and the gut-skin axis-in driving cutaneous inflammation and disease severity, with an increase in proinflammatory species such as Demodex folliculorum, Staphylococcus epidermidis, and Bacillus oleronius alongside a decline in protective species such as Cutibacterium acnes. Therapeutic strategies now aim to restore microbial balance using narrow-spectrum antibiotics, anthelmintics, topical and oral probiotics, and microbiome-friendly skin care to reduce inflammation, reinforce skin barrier function, and improve clinical outcomes. Future research to refine precision treatments that target specific microbial and immune pathways would be beneficial to modulate dysbiosis and improve outcomes in rosacea.
{"title":"The Skin Microbiome in Rosacea: Mechanisms, Gut-Skin Interactions, and Therapeutic Implications.","authors":"Aniket Asees, Alana Sadur, Sonal Choudhary","doi":"10.12788/cutis.1240","DOIUrl":"https://doi.org/10.12788/cutis.1240","url":null,"abstract":"<p><p>Rosacea is a chronic inflammatory skin condition of the central face driven by immune dysregulation, genetic predisposition, epidermal barrier dysfunction, and microbial dysbiosis. Recent evidence implicates both the gut and skin microbiomes-through direct immune interactions and the gut-skin axis-in driving cutaneous inflammation and disease severity, with an increase in proinflammatory species such as Demodex folliculorum, Staphylococcus epidermidis, and Bacillus oleronius alongside a decline in protective species such as Cutibacterium acnes. Therapeutic strategies now aim to restore microbial balance using narrow-spectrum antibiotics, anthelmintics, topical and oral probiotics, and microbiome-friendly skin care to reduce inflammation, reinforce skin barrier function, and improve clinical outcomes. Future research to refine precision treatments that target specific microbial and immune pathways would be beneficial to modulate dysbiosis and improve outcomes in rosacea.</p>","PeriodicalId":11195,"journal":{"name":"Cutis","volume":"116 1","pages":"20-23"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946203","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}
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