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Neuropsychiatric Outcomes of IL-17 and IL-23 Inhibitors in Dermatology: Risks, Benefits, and Clinical Implications. 皮肤病学中IL-17和IL-23抑制剂的神经精神预后:风险、益处和临床意义
IF 3.2 4区 医学 Q1 DERMATOLOGY Pub Date : 2025-12-19 DOI: 10.1111/ijd.70204
Isabella J Tan, Alexis Mitelman, Mohammad Jafferany
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引用次数: 0
Medical Phototherapy Malpractice and Legal Precedents in North America (1983-2025). 北美医疗光疗事故和法律先例(1983-2025)。
IF 3.2 4区 医学 Q1 DERMATOLOGY Pub Date : 2025-12-18 DOI: 10.1111/ijd.70223
Ghassan Barnawi, Houriah Nukaly, Raquel Lazarowitz, Ammar Saed Aldein, Sarah Kashkari, Saud Aleissa, Mathew Avram
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引用次数: 0
Artificial Intelligence in Acne Diagnosis and Management: Current Applications and Future Directions. 人工智能在痤疮诊断和管理中的应用现状和未来方向。
IF 3.2 4区 医学 Q1 DERMATOLOGY Pub Date : 2025-12-18 DOI: 10.1111/ijd.70215
Shern-Ping Choy, Sanketh Rampes
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引用次数: 0
Immunomodulators and Antineoplastics Are Reported in Drug-Associated Epidermolysis Bullosa Acquisita Flares: A Retrospective Analysis of 58 Reported Cases Utilizing Multiple International Pharmacovigilance Databases. 免疫调节剂和抗肿瘤药物在药物相关性大疱性表皮松解症中被报道:利用多个国际药物警戒数据库对58例报告病例进行回顾性分析。
IF 3.2 4区 医学 Q1 DERMATOLOGY Pub Date : 2025-12-18 DOI: 10.1111/ijd.70218
Gaurav N Pathak, Brandon Tan, Aalia Syed, Dedee F Murrell
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引用次数: 0
Epidemiology of Pediatric Atopic Dermatitis in East China and Parental Mental Health Impairment: A Cross-Sectional Questionnaire Study 华东地区儿童特应性皮炎流行病学与父母心理健康损害的横断面问卷研究
IF 3.2 4区 医学 Q1 DERMATOLOGY Pub Date : 2025-12-17 DOI: 10.1111/ijd.70112
Xing Zou, Chao Zhang, Luanluan Li, Dan Deng, Pengjie Wan

Background

Atopic dermatitis (AD) is the most prevalent chronic recurrent inflammatory skin disease in children. However, there are currently limited epidemiological data on children with AD in East China, and few studies have assessed its impact on parental anxiety and depression. Therefore, we aimed to explore the epidemiology of pediatric AD in Shanghai and its impact on parental anxiety and depression.

Methods

A cross-sectional questionnaire survey was conducted on pediatric patients with AD in Shanghai, China. The questionnaires were completed by the parents of patients attending the Department of Dermatology at Shanghai Children's Medical Center between January 1, 2023, and June 3, 2024. Disease severity was assessed using the Investigator's Global Assessment (IGA).

Results

A total of 1733 parents of children with AD completed the survey. The children had a mean age of 4.5 years (95% confidence interval: 4.4–4.7), and 54.00% were male. A history of cow's milk or egg white allergy, family history of atopic diseases, living near a street, and the absence of household pets were significantly associated with increased AD severity. Higher IGA scores were significantly associated with more severe itching and sleep disturbance, as well as elevated parental Hospital Anxiety and Depression Scale (HADS) scores, including both the anxiety and depression subscales.

Conclusions

Both genetic predisposition and environmental exposures were associated with increased AD severity in children. Greater disease severity was associated with higher parental psychological burden, highlighting the importance of family-centered management strategies.

背景:特应性皮炎(AD)是儿童最常见的慢性复发性炎症性皮肤病。然而,目前中国东部地区AD儿童的流行病学资料有限,很少有研究评估其对父母焦虑和抑郁的影响。因此,我们旨在探讨上海地区儿童AD的流行病学及其对父母焦虑和抑郁的影响。方法:对上海市儿童AD患者进行横断面问卷调查。问卷由2023年1月1日至2024年6月3日在上海儿童医学中心皮肤科就诊的患者家长填写。使用研究者全局评估(IGA)评估疾病严重程度。结果:共1733名AD患儿家长完成调查。儿童平均年龄为4.5岁(95%可信区间:4.4-4.7),54.00%为男性。牛奶或蛋清过敏史、特应性疾病家族史、住在街道附近以及没有家庭宠物与AD严重程度的增加显著相关。较高的IGA评分与更严重的瘙痒和睡眠障碍以及父母医院焦虑和抑郁量表(HADS)评分升高显著相关,包括焦虑和抑郁亚量表。结论:遗传易感性和环境暴露与儿童AD严重程度增加有关。疾病严重程度越高,父母心理负担越重,强调了以家庭为中心的管理策略的重要性。
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引用次数: 0
Mechanisms and Repair of Skin Barrier Dysfunction: The TLC Strategy 皮肤屏障功能障碍的机制和修复:TLC策略。
IF 3.2 4区 医学 Q1 DERMATOLOGY Pub Date : 2025-12-17 DOI: 10.1111/ijd.70081
Zhenfeng Liu, Xiaoyi Qin, Xuan Wang, Junfen Zhang, Bin Yang

The skin barrier functions as a key line of defense with physical, chemical, microbial, and immunological components that act synergistically to protect the body against extrinsic antigens, microbes, and ultraviolet rays and prevent loss of nutrients and moisture from the body. Skin barrier dysfunction is caused by various factors, including environmental stressors, genetic predisposition, psychological stress, and inadequate nutrition. These factors can lead to metabolic, immunological, and microbial disorders of the skin barrier, which are associated with skin diseases, such as sensitive skin, rosacea, atopic dermatitis, and psoriasis, and can significantly diminish quality of life. Significant progress has been made in the development of strategies to repair skin barrier dysfunctions. In this review, we propose a repair strategy based on the “TLC” concept: “target skin disruption, lock in moisture, and connect skin cells.” Targeting skin disruption involves the implementation of interventions for skin barrier disorders, including ceramide supplementation, pH regulation, and optimized immunomodulation, to restore the metabolic, immunological, and microbial balance of the skin. Locking in moisture involves promoting moisturization and moisture retention to enhance skin hydration by reducing water loss and promoting water absorption and transport. Connecting skin cells involves the restoration of intercellular connections and the lipid bilayer structure of the stratum corneum, thereby enhancing epidermal connectivity and reinforcing the skin barrier. This multilevel strategy offers new avenues for mitigating skin barrier dysfunctions and related diseases and is of great significance in clinical applications.

皮肤屏障的功能是物理、化学、微生物和免疫成分的一道关键防线,它们协同作用,保护身体免受外来抗原、微生物和紫外线的侵害,防止身体营养和水分的流失。皮肤屏障功能障碍是由多种因素引起的,包括环境压力、遗传易感性、心理压力和营养不足。这些因素可导致皮肤屏障的代谢、免疫和微生物紊乱,这与皮肤疾病有关,如敏感皮肤、酒渣鼻、特应性皮炎和牛皮癣,并可显著降低生活质量。在开发修复皮肤屏障功能障碍的策略方面取得了重大进展。在这篇综述中,我们提出了一种基于“TLC”概念的修复策略:“针对皮肤破坏,锁住水分,连接皮肤细胞。”针对皮肤破坏,需要对皮肤屏障障碍进行干预,包括神经酰胺补充、pH调节和优化免疫调节,以恢复皮肤的代谢、免疫和微生物平衡。锁住水分包括促进保湿和保湿,通过减少水分流失和促进水分的吸收和运输来增强皮肤的水合作用。连接皮肤细胞涉及细胞间连接和角质层脂质双层结构的恢复,从而增强表皮连通性和加强皮肤屏障。这种多层次的策略为减轻皮肤屏障功能障碍及相关疾病提供了新的途径,在临床应用中具有重要意义。
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引用次数: 0
Clinical Characteristics and Serum CGRP Level Differences Between Neurogenic Rosacea and Non-Neurogenic Rosacea 神经性红斑痤疮与非神经性红斑痤疮的临床特征及血清CGRP水平差异
IF 3.2 4区 医学 Q1 DERMATOLOGY Pub Date : 2025-12-17 DOI: 10.1111/ijd.70071
Chenchen Wu, Kaoyuan Zhang, Yang Guo, Chao Chen, Yan Liao, Xiaoming Liu, Zhuoxuan Chen, Lulu Yu, Bo Yu, Xiaofan Chen, Lin Wu

Background

There are limited reports on neurogenic rosacea (NR), and further clarifications are needed regarding its clinical manifestations, serological indicators, and treatment response.

Objective

Our aim was to explore the clinical features and potential serological biomarkers of NR.

Methods

We collected and analyzed the clinical characteristics, triggers, psychological burden, and treatment of 251 rosacea patients. According to the 2017 International Diagnostic Criteria for Rosacea, key clinical symptoms, and response to conventional treatment, the cohort was divided into 32 NR patients and 219 non-neurogenic rosacea (NNR) patients. Serum neuropeptide levels were detected in 20 NR patients and 20 matched NNR controls. Clinical characteristics, serum neuropeptide differences, and correlations were assessed.

Results

NR patients exhibited more severe and more frequent flushing. Besides, neuroinflammatory-related symptoms, such as burning, occur more frequently in NR patients. The serum calcitonin gene-related peptide (CGRP) levels were significantly elevated in NR patients and correlated with clinical severity, flushing severity of rosacea, and treatment outcome.

Conclusion

NR patients experienced more severe flushing and other neuroinflammatory-related symptoms. The increased serum CGRP level was positively correlated with the severity of NR, suggesting its potential as an adjunct biomarker to screen for NR in rosacea patients and guide treatment.

背景神经源性酒渣鼻(NR)的报道有限,其临床表现、血清学指标和治疗效果有待进一步明确。目的探讨NR的临床特征及潜在的血清学标志物。方法收集251例酒渣鼻患者的临床特征、诱发因素、心理负担及治疗方法,并进行分析。根据2017年国际酒渣鼻诊断标准、主要临床症状和对常规治疗的反应,将队列分为32例NR患者和219例非神经源性酒渣鼻(NNR)患者。检测20例NR患者和20例匹配的NNR对照组的血清神经肽水平。评估临床特征、血清神经肽差异及相关性。结果NR患者脸红更严重、更频繁。此外,神经炎症相关症状,如灼烧,在NR患者中发生的频率更高。NR患者血清降钙素基因相关肽(CGRP)水平显著升高,并与临床严重程度、酒渣鼻潮红严重程度和治疗结果相关。结论NR患者出现更严重的潮红及其他神经炎症相关症状。血清CGRP水平升高与NR的严重程度呈正相关,提示其有潜力作为筛查酒渣鼻患者NR的辅助生物标志物并指导治疗。
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引用次数: 0
Skin Barrier Dysfunction in China: Introduction to the Special Issue 中国皮肤屏障功能障碍:特刊导言。
IF 3.2 4区 医学 Q1 DERMATOLOGY Pub Date : 2025-12-17 DOI: 10.1111/ijd.70158
Bin Yang
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引用次数: 0
Burden of Atopic Dermatitis in China and Its Provinces, 1990–2021: A Global Burden of Disease 2021 Analysis 中国及各省特应性皮炎负担,1990-2021:全球疾病负担2021分析
IF 3.2 4区 医学 Q1 DERMATOLOGY Pub Date : 2025-12-17 DOI: 10.1111/ijd.70085
Weijia Zhao, Pengpeng Ye, Haihui Yang, Yunqing Yang, Shunmin Zhu, Hajanirina Jade Cheung, Bin Yang, Yunsheng Liang, Changchang Li

Background

Atopic dermatitis (AD) has a high disease burden worldwide. However, the specific impact and geographical variations of AD in China remain unclear.

Methods

Using Global Burden of Disease (GBD) 2021 data, we assessed the AD burden (incidence, prevalence, and years lived with disability [YLDs]) across China's 33 provinces (1990–2021). Joinpoint regression analysis was used to identify temporal trends. We examined how urbanization and the human development index (HDI) influence the AD burden.

Results

In 2021, China had 2.17 million (95% uncertainty interval [UI]: 2.08–2.26) new AD cases, 15.42 million (95% UI: 14.84–16.00) patients, and 0.68 million (95% UI: 0.35–1.14 million) YLDs. The crude incidence, prevalence, and YLD rates peaked in female individuals aged < 5 years of age and showed a decreasing gradient from South to North and West to East. Overall, all three rates slightly decrease from 1990 to 2021. Heterogeneity of time trends was observed across age groups, with rapid growth in patients aged < 5 years. Both the speed of urbanization and HDI were positively correlated with the incidence (rurban = 0.52, rHDI = 0.48), prevalence (rurban = 0.50, rHDI = 0.50), and YLD rates (rurban = 0.61, rHDI = 0.62) of average annual percentage change in people aged < 5 years.

Conclusions

The disease burden due to AD is high in China, with a sharp increase in people aged < 5 years. Rapid urbanization may intensify this increase, making it crucial to develop comprehensive AD management strategies that account for urbanization.

特应性皮炎(AD)在世界范围内具有很高的疾病负担。然而,AD在中国的具体影响和地理差异尚不清楚。方法利用全球疾病负担(GBD) 2021数据,我们评估了中国33个省份(1990-2021年)的AD负担(发病率、患病率和残疾生活年限[YLDs])。接合点回归分析用于确定时间趋势。我们研究了城市化和人类发展指数(HDI)对AD负担的影响。结果2021年,中国新发AD病例217万例(95%不确定区间[UI]: 208 - 2.26),患者1542万例(95% UI: 1484 - 16.00), yld 68万例(95% UI: 35 - 114万)。粗发病率、患病率和YLD率在5岁女性个体中达到高峰,并呈现由南到北、由西到东递减的梯度。总体而言,从1990年到2021年,这三种比率都略有下降。不同年龄组的时间趋势存在异质性,5岁患者增长较快。城市化速度和HDI均与5岁人群年平均变化率的发病率(rurban = 0.52, rHDI = 0.48)、患病率(rurban = 0.50, rHDI = 0.50)和YLD率(rurban = 0.61, rHDI = 0.62)呈正相关。结论中国阿尔茨海默病的疾病负担较高,且在5岁人群中急剧增加。快速的城市化可能加剧这种增长,因此制定全面的AD管理战略对城市化至关重要。
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引用次数: 0
Moisturizer Based on Multi-Targeted Skin Barrier Repair Conception: Evidence From In Vitro and Clinical Evaluations 基于多目标皮肤屏障修复概念的润肤霜:来自体外和临床评估的证据。
IF 3.2 4区 医学 Q1 DERMATOLOGY Pub Date : 2025-12-17 DOI: 10.1111/ijd.70114
Bohan Xu, Yinjuan Wang, Jie Ren

Background

Skin barrier dysfunction is a key driver of skin sensitivity and inflammatory dermatoses. However, the long-term efficacy of existing moisturizers remains limited. This study aimed to evaluate the efficacy of a moisturizer formulated with target skin disruption, lock in moisture, connect skin cells (TLC) technology using in vitro and clinical evaluations.

Methods

The efficacy of the TLC complex was assessed through ultraviolet A (UVA)–induced full-thickness skin, sodium lauryl sulfate (SLS)–damaged epidermis, and capsaicin-stimulated keratinocytes in vitro. Clinical evaluations were conducted to comprehensively assess the soothing effects, hydration enhancement, and barrier repair of the TLC technology–based moisturizer.

Results

The TLC complex significantly suppressed the expression of nuclear factor kappa B, transient receptor potential vanilloid 1, interleukin-1α, prostaglandin E2, and vascular endothelial growth factor (all p < 0.01). It also markedly increased aquaporin-3, natural moisturizing factor levels, and the ceramide-to-protein ratio (all p < 0.01). The expression of key barrier proteins, including filaggrin, loricrin, involucrin, keratin 10, corneodesmosin, claudin-1, and laminin-5, was significantly restored (all p < 0.01). Clinically, the TLC moisturizer significantly reduced facial redness proportion, a* value, erythema index, and Sensitive Scale-10 score (all p < 0.001). A single application markedly boosted hydration and reduced transepidermal water loss (p < 0.001). The moisturizer also significantly accelerated barrier repair in SLS-damaged skin (p < 0.001).

Conclusion

The TLC-based moisturizer demonstrated comprehensive anti-inflammatory, hydrating, and barrier-restoring effects in preclinical and clinical evaluations, supporting its use as a safe and effective adjuvant therapy for individuals with sensitive or compromised skin.

背景:皮肤屏障功能障碍是皮肤敏感和炎症性皮肤病的关键驱动因素。然而,现有保湿霜的长期功效仍然有限。本研究旨在通过体外和临床评估,评估一种具有目标皮肤破坏、锁水、连接皮肤细胞(TLC)技术的保湿霜的功效。方法:通过紫外线A (UVA)诱导的全层皮肤、月桂醇硫酸钠(SLS)损伤的表皮和辣椒素刺激的角质形成细胞,对TLC复合物的体外疗效进行评价。通过临床评价,综合评价基于TLC技术的润肤霜的舒缓效果、补水增强效果和屏障修复效果。结果:TLC复合物显著抑制核因子κ B、瞬时受体电位香素样蛋白1、白细胞介素1α、前列腺素E2和血管内皮生长因子的表达(均为p)结论:基于TLC的润肤霜在临床前和临床评估中表现出全面的抗炎、补水和屏障恢复作用,支持其作为敏感或受损皮肤个体安全有效的辅助治疗。
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引用次数: 0
期刊
International Journal of Dermatology
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