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A Retrospective Study Comparing Patient Self Reported Percepts using aValidated Sensitive Scale Questionnaire between Dermatologist Diagnosed SkinConditions in a Private Clinic Setting including Sensitive Skin Syndrome 一项回顾性研究比较患者自我报告的感知使用有效的敏感量表问卷在私人诊所皮肤科医生诊断的皮肤状况,包括敏感皮肤综合征
Pub Date : 2020-01-01 DOI: 10.35248/2155-9554.20.11.518
K. Chan
Sensitive skin syndrome; albeit reported in many countries worldwide; remained a condition of unknown etiology and pathogenesis. Some authorities speculate it as a skin condition continuum from mild to severe, its severity is difficult to assess. Our retrospective study aimed to draw a one- year new patient’s attendee clinical data comparing the patient self -reported percepts using a validated sensitive scale questionnaire between dermatologist diagnosed skin conditions in a private clinic setting including sensitive skin syndrome. The results suggested that allergic contact dermatitis, herpes zoster and sensitive skin syndrome diagnosed patients reported a similar mean Sensitive Scale-10 scores {46.07 (N= 91), 40.72 (N=35) and 41.38 (N=84); p >0.05} respectively. The mean SS 10 score was statistically significantly different from other skin conditions like atopic dermatitis and seborrhea dermatitis and control. The patterns of percepts distribution in terms of skin irritation, general discomfort, skin itchiness, tautness and pain between allergic contact dermatitis, herpes zoster and sensitive skin syndrome were similar. Though pain is more commonly reported it herpes zoster than itch. As how a patient perceives their somatic symptoms is one of the major reasons for their dermatology health seeking behavior, our study suggested that extreme acute form of sensitive skin syndrome may have a patient percepts similar to allergic contact dermatitis, herpes zoster psychosocially significantly affecting quality of life of the sufferers.
敏感皮肤综合征;尽管在世界上许多国家都有报道;病因和发病机制尚不清楚。一些权威人士推测,它是一种从轻微到严重的连续皮肤状况,其严重程度难以评估。我们的回顾性研究旨在绘制一年内新患者的临床数据,比较患者自我报告的感知,使用经过验证的敏感量表问卷,在私人诊所设置皮肤科医生诊断的皮肤状况,包括敏感皮肤综合征。结果表明,过敏性接触性皮炎、带状疱疹和敏感皮肤综合征患者的敏感量表-10平均评分相似,分别为46.07 (N= 91)、40.72 (N=35)和41.38 (N=84);P >0.05}。ss10平均评分与其他皮肤病如特应性皮炎、脂溢性皮炎及对照组有统计学差异。过敏性接触性皮炎、带状疱疹和敏感皮肤综合征患者在皮肤刺激、全身不适、皮肤瘙痒、紧绷和疼痛方面的感知分布模式相似。尽管疼痛比瘙痒更常被报道为带状疱疹。由于患者对躯体症状的感知是其皮肤健康寻求行为的主要原因之一,我们的研究表明,极端急性型敏感皮肤综合征可能具有与过敏性接触性皮炎相似的患者感知,带状疱疹的心理社会显著影响患者的生活质量。
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引用次数: 0
Sensitivity of Hyaluronic Acid Fillers to Hyaluronidase: An in vitro Analysis 透明质酸填充剂对透明质酸酶的敏感性:体外分析
Pub Date : 2020-01-01 DOI: 10.35248/2155-9554.20.11.517
M. Cavallini, M. Papagni, G. Trocchi
Objective: The purpose of this study was to provide qualitative information on the in vitro dissolution of hyaluronic acid (HA) fillers upon exposure to hyaluronidase and to determine whether in vitro sensitivity of fillers relates to clinical findings in patients treated with hyaluronidase to manage complications of HA filler placement. Methods: The authors undertook an in vitro study to evaluate how 6 types of HA fillers respond to hyaluronidase exposure. The findings were compared to outcomes in 3 clinical cases in which hyaluronidase was given to manage adverse outcomes of HA injection. Results: The fillers responded differently to the same dose of hyaluronidase. Fillers with a higher concentration of HA or a greater degree of crosslinking generally were more resistant to enzymatic dissolution. Clinical findings were consistent with in vitro results. Conclusion: The sensitivities of HA fillers to hyaluronidase in vitro were consistent with clinical findings.
目的:本研究的目的是提供透明质酸(HA)填充物暴露于透明质酸酶后体外溶出的定性信息,并确定填充物的体外敏感性是否与使用透明质酸酶治疗HA填充物放置并发症的患者的临床表现有关。方法:作者进行了一项体外研究,评估了6种透明质酸填充剂对透明质酸酶暴露的反应。结果与3例使用透明质酸酶治疗血凝素注射不良反应的临床病例进行了比较。结果:相同剂量的透明质酸酶对填充物的反应不同。具有较高的HA浓度或更大程度的交联填料通常更耐酶溶解。临床结果与体外结果一致。结论:透明质酸填充物对透明质酸酶的体外敏感性与临床表现一致。
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引用次数: 11
A Double Blinded, Randomized, Controlled Split-Face Study to Investigate the Efficacy of a Tailor-made Anti-Ageing Skin Care Regimen Adapted to a Genetic Skin Ageing Risk Profile 一项双盲、随机、对照的裂脸研究,旨在研究适合遗传皮肤衰老风险概况的量身定制的抗衰老护肤方案的疗效
Pub Date : 2020-01-01 DOI: 10.35248/2155-9554.20.11.527
Barbara Geusen, L. Rodrigues, Rita Matias, Bárbara Tavares, A. L. Fonseca, A. M. Silva, P. Oliveira, Marta Ferreira, Dea Zhilivoda, Géraldine Lagast
Background: Available data suggests that the manifestation of aging has a strong genetic basis, which can modify an individual ‘ s susceptibility to specific skin aging signs. Proteins such as matrix metalloproteinases, aquaporins, filaggrin, superoxide dismutase and glutathione peroxidase have specific roles. Their encoding genes present single nucleotide polymorphisms resulting in different responses to skin aging for elasticity, hydration, barrier function and wrinkles. Aim: This study aimed to investigate the anti-ageing and anti-oxidant efficacy of a skin care regimen designed to address the specific needs of a certain genetic risk profile: high risk for collagen breakdown, medium risk for antioxidant production and low risk for dehydration and impaired barrier function. Methods: DNA samples of 100 participants were collected for genetic profile analysis. Of these, 24 participants presenting the most abundant genetic risk profile were enrolled on a 56 days anti-aging efficacy study of a combined treatment. The antioxidant efficacy of one investigational product was assessed for 14 participants. Results: Significant wrinkle’s depth and skin roughness improvements were found for the investigational treatment in comparison to the comparator and baseline. No variations were observed for the skin hydration and barrier function when compared to the comparator. The skin serum provided a significant antioxidant efficacy up to 24 h. Conclusion: A skin care regimen designed to address the specific needs of a genetic risk profile characterized by high risk for collagen breakdown and medium risk for low anti- oxidant production was effective on decreasing wrinkles, improving skin roughness and protecting the skin from UV oxidative damage.
背景:现有数据表明,衰老的表现有很强的遗传基础,它可以改变个体对特定皮肤衰老迹象的易感性。诸如基质金属蛋白酶、水通道蛋白、聚丝蛋白、超氧化物歧化酶和谷胱甘肽过氧化物酶等蛋白质具有特定的作用。它们的编码基因呈现单核苷酸多态性,导致皮肤弹性、水合作用、屏障功能和皱纹老化的不同反应。目的:本研究旨在研究一种皮肤护理方案的抗衰老和抗氧化功效,该方案旨在解决特定遗传风险概况的特定需求:胶原蛋白分解的高风险,抗氧化剂产生的中等风险,脱水和屏障功能受损的低风险。方法:收集100名参与者的DNA样本进行遗传谱分析。其中,24名遗传风险最高的参与者参加了为期56天的联合治疗抗衰老效果研究。一种研究产品的抗氧化功效被评估了14名参与者。结果:与比较者和基线相比,研究治疗发现显著的皱纹深度和皮肤粗糙度改善。与比较者相比,皮肤水合作用和屏障功能没有变化。皮肤血清在24小时内具有显著的抗氧化功效。结论:针对胶原蛋白分解风险高、抗氧化剂生成风险低的遗传风险人群,设计一种皮肤护理方案,可有效减少皱纹,改善皮肤粗糙度,保护皮肤免受紫外线氧化损伤。
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引用次数: 0
COVID-19 and the Dermatology COVID-19和皮肤病学
Pub Date : 2020-01-01 DOI: 10.35248/2155-9554.20.11.E110
Reszko Ae
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引用次数: 0
Atypical Fibroxanthoma of the Scalp in a Young Woman: A Case Report 年轻女性头皮非典型纤维黄色瘤1例报告
Pub Date : 2020-01-01 DOI: 10.46889/jdr.2020.1203
K. Elboukhari, M. Bennani, S. Elloudi, Z. Douhi, H. Baybay, F. Mernissi, A. Amarti
Atypical fibroxanthoma, is a uncommon tumor of fibrohistiocytic mesenchymal origin, it occurs on the sun-damaged skin of elderly men. The clinical presentation is a solitary cutaneous nodule. The diagnosis is made by histology and immunohistochemistry. The large excision is the mainstay therapy and the recurrence is possible. We report a case of atypical Fibroxanthoma occurring in the scalp of a young woman.
非典型纤维黄色瘤是一种罕见的纤维组织细胞间充质起源的肿瘤,它发生在老年男性晒伤的皮肤上。临床表现为一个孤立的皮肤结节。通过组织学和免疫组织化学进行诊断。大切除是主要的治疗方法,复发是可能的。我们报告一个不典型纤维黄色瘤发生在头皮的一个年轻妇女的情况。
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引用次数: 0
Evaluation of Efficacy and Safety of AHPL/AYCAP/0413 Capsule and AHPL/ AYTOP/0213 Cream in Patients Suffering from Acne Vulgaris AHPL/AYCAP/0413胶囊与AHPL/ AYTOP/0213乳膏治疗寻常性痤疮的疗效及安全性评价
Pub Date : 2020-01-01 DOI: 10.35248/2155-9554.20.11.525
S. Nipanikar, V. Deshp, Cho Hs
Background: Available treatments for acne vulgaris are associated with various adverse effects, which necessitate patients to opt for alternative treatment options. Objectives: To evaluate efficacy and safety of AHPL/AYCAP/0413 capsule and AHPL/AYTOP/0213 cream in subjects suffering from Acne Vulgaris. Method: A total of 62 subjects completed the study. Subjects were advised to take 2 capsules of AHPL/AYCAP/0413 twice daily orally after meals with water and apply AHPL/AYTOP/0213 cream all over the face twice a day for two months or complete resolution of acne whichever was earlier. The primary objective was to assess changes in total number of inflammatory acne lesions on face. Secondary objectives were to assess changes in total numbers of noninflammatory acne lesions, total lesion count (inflammatory and non-inflammatory), acne severity, acne scarring, signs and symptoms, skin lightening effect, post acne dark spots, adverse events and laboratory investigations. Results: The mean inflammatory acne lesion count reduced significantly from 7.94 ± 5.91 (baseline visit) to 1.89 ± 3.06 (p=0.001) at the end of treatment. Significant reduction in total numbers of non-inflammatory acne lesions, total lesion count, acne severity and signs and symptoms of acne were observed at the end of treatment. Also improvement in skin colour, severity of post acne dark spot and reduction in numbers of post acne dark spots were observed at the end of treatment. Laboratory parameters were within normal limits both at pre and post treatment. Conclusion: AHPL/AYCAP/0413 capsule and AHPL/AYTOP/0213 cream is safe and significantly effective for treatment of acne vulgaris.
背景:寻常痤疮的现有治疗方法与各种不良反应相关,这需要患者选择替代治疗方案。目的:评价AHPL/AYCAP/0413胶囊和AHPL/AYTOP/0213乳膏治疗寻常性痤疮的疗效和安全性。方法:共62名受试者完成研究。建议受试者服用AHPL/AYCAP/0413胶囊2粒,每日2次,餐后用水口服,并将AHPL/AYTOP/0213面霜涂抹于面部,每日2次,持续2个月或痤疮完全消退,以较早者为准。主要目的是评估面部炎症性痤疮病变总数的变化。次要目的是评估非炎症性痤疮病变总数、病变总数(炎症性和非炎症性)、痤疮严重程度、痤疮疤痕、体征和症状、皮肤美白效果、痤疮后黑斑、不良事件和实验室调查的变化。结果:治疗结束时,炎症性痤疮的平均病变数从基线时的7.94±5.91减少到1.89±3.06 (p=0.001)。治疗结束时,观察到非炎性痤疮病变总数、病变总数、痤疮严重程度和痤疮体征和症状显著减少。在治疗结束时,还观察到皮肤颜色的改善,痤疮后黑斑的严重程度和痤疮后黑斑数量的减少。治疗前后的实验室参数均在正常范围内。结论:AHPL/AYCAP/0413胶囊和AHPL/AYTOP/0213乳膏治疗寻常性痤疮安全有效。
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引用次数: 0
Indeterminate Cells Histiocytosis 组织细胞增多症
Pub Date : 2020-01-01 DOI: 10.35248/2155-9554.11.S7.E111
Mina Haghighiabyaneh
Dendritic cells comprise a large family of antigen-presenting cells whose cutaneous subset includes Langerhans cells, indeterminate cells, and dermal dendritic cells. These cells present antigens to lymphocytes, with whom they interact through specific surface receptors. The prototypical dendritic cell of the skin is the Langerhans cell [1]. Langerhans cells are derived from the bone marrow, are thought to locally renew in the skin, and express CD1a, S100, CD45, HLA-DR, and Langerin. A unique feature of Langerhans cells is the presence of Birbeck granules. Birbeck granules are recognized by the monoclonal antibody targeting Langerin (CD207), which acts as an endocytic receptor to translocate ligands from the cell surface into the Birbeck granule [1,2]. Indeterminate cells are morphologically and immunophenotypically similar to Langerhans cells. Various hypotheses regarding the origin of indeterminate cells have been published, but the most accepted theory is that indeterminate cells represent some variant of Langerhans cells with the lack of Birbeck granules and Langerin expression being reflective of Birbeck granules either not having developed yet in an immature precursor or having been lost after activation [2,3].
树突状细胞包括一个抗原呈递细胞大家族,其皮肤亚群包括朗格汉斯细胞、不确定细胞和真皮树突状细胞。这些细胞将抗原呈递给淋巴细胞,通过特定的表面受体与淋巴细胞相互作用。皮肤树突状细胞的原型是朗格汉斯细胞[1]。朗格汉斯细胞来源于骨髓,被认为在皮肤中局部更新,并表达CD1a, S100, CD45, HLA-DR和朗格汉斯细胞。朗格汉斯细胞的一个独特特征是存在伯贝克颗粒。Birbeck颗粒被靶向Langerin (CD207)的单克隆抗体识别,Langerin作为一种内吞受体,将配体从细胞表面转运到Birbeck颗粒中[1,2]。不确定细胞在形态和免疫表型上与朗格汉斯细胞相似。关于不定式细胞起源的各种假说已经发表,但最被接受的理论是,不定式细胞代表了Langerhans细胞的某种变体,缺乏Birbeck颗粒,Langerin的表达反映了Birbeck颗粒在未成熟前体中尚未发育或激活后丢失[2,3]。
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引用次数: 0
Study of Secret on your Skin 研究皮肤上的秘密
Pub Date : 2020-01-01 DOI: 10.35248/2155-9554.11.S7.543
Saba Shahrosv
Introduction: Keratosis Pilaris (KP) is a harmless condition of the skin.it is may be a secret on your skin for a few times. There are several types of keratosis pilaris and it has been associated with pregnancy, type 1 diabetes mellitus, obesity, dry skin, allergic diseases (e.g., Atopic dermatitis) and rarely cancer. Often the lesions can appear on the face, which may be mistaken for acne. Aim: The aim of this review was to present this condition of the skin and increase information about keratosis pilaris. Methods: A detailed electronic search was carried out on the authentic databases. Review authentic data on websites/ following patients comments for correct realization their belief form keratosis pilaris and study journals about this common skin condition. Results: In most cases, the condition gradually improves before age 30. However, it can persist longer. Physician can often diagnose keratosis pilaris simply by examining the skin; tests are not needed. Physicians will often consider family history and the presence of symptoms when making the diagnosis. Conclusion: This review suggests that • Use the soaps with suitable pH • Limit your time in the water • Avoid tight clothes You should follow the suggestions above and be patient.
简介:毛糙角化病(KP)是一种无害的皮肤状况。这可能是一个秘密在你的皮肤上几次。毛毛角化病有几种类型,它与妊娠、1型糖尿病、肥胖、皮肤干燥、过敏性疾病(如特应性皮炎)和罕见的癌症有关。通常病变会出现在脸上,这可能被误认为是痤疮。目的:本综述的目的是介绍这种情况的皮肤和增加信息角化病毛癣。方法:对真品数据库进行详细的电子检索。查阅网站上的真实资料/跟踪患者的评论,以正确认识他们对毛角化病的看法,并研究有关这种常见皮肤疾病的期刊。结果:大多数病例在30岁前病情逐渐好转。然而,它可以持续更长时间。医生通常可以通过检查皮肤来诊断毛糙角化病;不需要测试。医生在诊断时通常会考虑家族史和症状的存在。结论:本综述建议:•使用pH值合适的肥皂•限制您在水中的时间•避免穿紧身衣服。您应该遵循上述建议并保持耐心。
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引用次数: 0
Xeroderma Pigmentosum with Acute Myeloid Leukemia and Meningiomas: Review of Literature 色素性干皮病合并急性髓性白血病和脑膜瘤:文献回顾
Pub Date : 2020-01-01 DOI: 10.35248/2155-9554.20.11.524
N. Mian, P. Kushwaha
Xeroderma Pigmentosum (XP) a unique disorder, inherited as an autosomal recessive genodermatosis. Characterized by photosensitivity, freckly pigmented changes, premature skin ageing, telegiectasis, warty and papillomatous growth and malignant tumor development in later stage. Results from mutation in seven nucleotide excision repair gene (XPA to XP-G complement groups) and post replication repair defect (XP-Variant). This report aims to acknowledge the unique combination of XP along with neurological defects in a patient of acute myeloid leukemia.
着色性干皮病(XP)是一种独特的疾病,遗传为常染色体隐性遗传性皮肤病。特征为光敏、雀斑色素改变、皮肤过早老化、远端扩张、疣状和乳头状瘤生长,后期发展为恶性肿瘤。结果:7个核苷酸切除修复基因(XPA到XP-G补体群)突变和复制后修复缺陷(XP-Variant)。本报告的目的是承认XP的独特组合以及神经缺陷的急性髓性白血病患者。
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引用次数: 0
Idiopathic Pyoderma Gangrenosum in a Toddler: Case Report 幼儿特发性坏疽性脓皮病1例报告
Pub Date : 2020-01-01 DOI: 10.35248/2155-9554.20.11.516
Waleed Alajroush, Nouf Alqahtani, A. Alfaleh
Pyoderma Gangrenosum (PG) is an inflammatory neutrophilic dermatosis of unknown etiology, primarily sterile with no underlying infectious process and commonly present as an association with a systemic disease. It is rarely seen in pediatric age group and here we describe an atypical presentation of painless cutaneous ulcerative eruption involving the upper thighs and buttock in an otherwise healthy 14-month-old girl. Diagnosis of idiopathic PG was made based on clinical and histopathological correlation, and after excluding other etiologies including immunodeficiency and infections. The patient improved and responded well within 4 weeks of treatment with systemic corticosteroids.
坏疽性脓皮病(Pyoderma Gangrenosum, PG)是一种病因不明的炎症性中性粒细胞皮肤病,主要是无菌的,没有潜在的感染过程,通常与全身性疾病有关。这是罕见的儿科年龄组,在这里我们描述了一个非典型的无痛皮肤溃疡性爆发涉及大腿上部和臀部在其他方面健康的14个月大的女孩。特发性PG的诊断是基于临床和组织病理学相关性,并在排除其他病因包括免疫缺陷和感染后做出的。患者在全身性糖皮质激素治疗4周后病情改善,反应良好。
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引用次数: 0
期刊
Journal of clinical & experimental dermatology research
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