Pub Date : 2024-05-01DOI: 10.1097/jdn.0000000000000794
N. Alizadeh, A. Darjani, R. Rafiei, Kaveh Gharaei Nejad, Amirhosein Khoshhal Ziabari, H. Eftekhari
Skin tumors as one of the patient's most concerning health issues have a varied spectrum, some of which can be fatal. In this study, we aimed to evaluate the frequency of various skin lesions and the associated risk factors among patients. This cross-sectional study was conducted from 2016 to 2021 on 559 skin lesions diagnosed by dermatology specialists. Demographical and clinical data and various skin lesions (skin malformations, benign, premalignant, and malignant tumors) were recorded and analyzed using IBM SPSS Statistics Version 21 based on a significance level < .05. The findings indicated an age-dependent increase in the prevalence of skin lesions. Females had a higher frequency of benign tumors, whereas males represented a higher rate of malignant tumors. About 53%, 6.8%, and 40.1% of skin lesions were benign, premalignant, and malignant tumors, respectively. Among detected tumors, seborrheic keratosis, actinic keratosis, and basal cell carcinoma were the most prevalent as benign, premalignant, and malignant tumors, respectively. The high level of diagnostic accuracy among clinical and histopathological findings illustrated a significant agreement (p < .05). Our findings showed that malignant skin tumors were more prevalent in males and in patients with an upper age, which suggests more consideration for better preventive policies in these populations.
{"title":"The Frequency of Skin Lesions in Guilan Province, Iran","authors":"N. Alizadeh, A. Darjani, R. Rafiei, Kaveh Gharaei Nejad, Amirhosein Khoshhal Ziabari, H. Eftekhari","doi":"10.1097/jdn.0000000000000794","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000794","url":null,"abstract":"\u0000 \u0000 Skin tumors as one of the patient's most concerning health issues have a varied spectrum, some of which can be fatal. In this study, we aimed to evaluate the frequency of various skin lesions and the associated risk factors among patients.\u0000 \u0000 \u0000 \u0000 This cross-sectional study was conducted from 2016 to 2021 on 559 skin lesions diagnosed by dermatology specialists. Demographical and clinical data and various skin lesions (skin malformations, benign, premalignant, and malignant tumors) were recorded and analyzed using IBM SPSS Statistics Version 21 based on a significance level < .05.\u0000 \u0000 \u0000 \u0000 The findings indicated an age-dependent increase in the prevalence of skin lesions. Females had a higher frequency of benign tumors, whereas males represented a higher rate of malignant tumors. About 53%, 6.8%, and 40.1% of skin lesions were benign, premalignant, and malignant tumors, respectively. Among detected tumors, seborrheic keratosis, actinic keratosis, and basal cell carcinoma were the most prevalent as benign, premalignant, and malignant tumors, respectively. The high level of diagnostic accuracy among clinical and histopathological findings illustrated a significant agreement (p < .05).\u0000 \u0000 \u0000 \u0000 Our findings showed that malignant skin tumors were more prevalent in males and in patients with an upper age, which suggests more consideration for better preventive policies in these populations.\u0000","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141143431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01DOI: 10.1097/jdn.0000000000000784
Rebekah Leigh, Alina Goldenberg
Teledermatology is a term to describe the provision of dermatologic medical services through telecommunication technology. This is a teledermatology case of violaceous papules on the genital region.
{"title":"Violaceous Papules","authors":"Rebekah Leigh, Alina Goldenberg","doi":"10.1097/jdn.0000000000000784","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000784","url":null,"abstract":"\u0000 Teledermatology is a term to describe the provision of dermatologic medical services through telecommunication technology. This is a teledermatology case of violaceous papules on the genital region.","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140272266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01DOI: 10.1097/jdn.0000000000000786
Kyleen E. Davis
In recent years, multiple novel and improved therapies have become available to treat alopecia disorders. Whereas many therapeutics are entirely new, some medications, such as oral minoxidil, have been available for years and are just now being revisited as potentially valuable hair loss treatments. This article discusses the risks, benefits, and potential side effects of the off-label use of low-dose oral minoxidil. It compares low-dose oral minoxidil with topical minoxidil, a well-established and FDA-approved treatment for androgenetic alopecia, but one that is often associated with poor overall adherence. Finally, nursing considerations in the education and care of patients with alopecia disorders and associated medications are discussed.
{"title":"What's Old Is New Again","authors":"Kyleen E. Davis","doi":"10.1097/jdn.0000000000000786","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000786","url":null,"abstract":"\u0000 In recent years, multiple novel and improved therapies have become available to treat alopecia disorders. Whereas many therapeutics are entirely new, some medications, such as oral minoxidil, have been available for years and are just now being revisited as potentially valuable hair loss treatments. This article discusses the risks, benefits, and potential side effects of the off-label use of low-dose oral minoxidil. It compares low-dose oral minoxidil with topical minoxidil, a well-established and FDA-approved treatment for androgenetic alopecia, but one that is often associated with poor overall adherence. Finally, nursing considerations in the education and care of patients with alopecia disorders and associated medications are discussed.","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140280104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01DOI: 10.1097/jdn.0000000000000788
Theresa Foster
Three-dimensional total body photography is a recent advance in melanoma early detection that can aid clinicians in monitoring and identifying new and changing skin lesions over time. It is a beneficial screening tool for high-risk patients to have a history of melanoma or dysplastic nevi. According to the American Cancer Society, melanoma cases are increasing each year. Melanoma is one of the most aggressive skin cancers in the United States and is the fifth most common cancer cause in both men and women. Prompt diagnosis is critical to reducing the morbidity and mortality caused by melanoma. Survival outcomes worsen with increasing tumor thickness, and thicker melanomas require more invasive and intensive treatment. However, if detected early, the 10-year survival rate of patients with thin melanomas is almost 98%, compared with as low as 48% in thick melanomas. Three-dimensional total body photography along with education provided by dermatology nurses on how this system aids in the identification of new and changing nevi is vital in the prevention of melanoma. As a Dermatology nurse, one of the most crucial roles is educating patients with evidence-based knowledge. This includes following a distinct schedule of follow up appointments to monitor moles, using sunscreen, avoiding excessive sun exposure, encouraging self-skin examinations, and ensuring patients maintain their follow-up appointments. These measures can help to prevent Melanoma.
{"title":"The Importance of Three-Dimensional Total Body Photography and the Role of the Dermatology Nurse in the Prevention of Melanoma in High-Risk Patients","authors":"Theresa Foster","doi":"10.1097/jdn.0000000000000788","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000788","url":null,"abstract":"\u0000 Three-dimensional total body photography is a recent advance in melanoma early detection that can aid clinicians in monitoring and identifying new and changing skin lesions over time. It is a beneficial screening tool for high-risk patients to have a history of melanoma or dysplastic nevi. According to the American Cancer Society, melanoma cases are increasing each year. Melanoma is one of the most aggressive skin cancers in the United States and is the fifth most common cancer cause in both men and women. Prompt diagnosis is critical to reducing the morbidity and mortality caused by melanoma. Survival outcomes worsen with increasing tumor thickness, and thicker melanomas require more invasive and intensive treatment. However, if detected early, the 10-year survival rate of patients with thin melanomas is almost 98%, compared with as low as 48% in thick melanomas. Three-dimensional total body photography along with education provided by dermatology nurses on how this system aids in the identification of new and changing nevi is vital in the prevention of melanoma. As a Dermatology nurse, one of the most crucial roles is educating patients with evidence-based knowledge. This includes following a distinct schedule of follow up appointments to monitor moles, using sunscreen, avoiding excessive sun exposure, encouraging self-skin examinations, and ensuring patients maintain their follow-up appointments. These measures can help to prevent Melanoma.","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140277947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01DOI: 10.1097/jdn.0000000000000787
Angela L. Borger
{"title":"Dermatology Nurses, Dedicated Professionals","authors":"Angela L. Borger","doi":"10.1097/jdn.0000000000000787","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000787","url":null,"abstract":"","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140283519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01DOI: 10.1097/jdn.0000000000000759
Trevor Lippincott
Mycosis fungoides (MF) is the most common type of cutaneous T-cell lymphoma occurring when T-cell lymphocytes become malignant and proliferate as well as manifest in the skin. Most commonly, the disease affects the elderly population but has been seen in all ages. Presentations of MF include erythematous patches and plaques with fine scale anatomically favoring the buttocks, trunk, and extremities with complaints of significant pruritus. MF can mimic other benign inflammatory diseases such as atopic dermatitis or psoriasis. Skin biopsy of the rash for simple histology and immunophenotyping will aid in the differentiation from other diseases and confirm accurate diagnosis. Repeat biopsy is often required. A wide range of treatment options exist based on the extent of the disease and patient compliance. The prognosis is good with early detection and treatment. No cure currently exists for the disease, but a deeper understanding of triggers can guide prevention techniques and help develop targeted treatment modalities.
放线菌病（MF）是最常见的皮肤 T 细胞淋巴瘤，当 T 细胞淋巴细胞发生恶变、增殖并在皮肤上表现出来时就会发病。这种疾病最常见于老年人群，但也见于所有年龄段。巨细胞淋巴瘤的表现包括红斑和斑块，鳞屑较细，好发于臀部、躯干和四肢，伴有明显的瘙痒。手足口病可与其他良性炎症疾病（如特应性皮炎或银屑病）相似。对皮疹进行皮肤活检，进行简单的组织学和免疫分型检查，有助于与其他疾病进行鉴别，并确定准确的诊断。通常需要重复活检。根据疾病的程度和患者的依从性，有多种治疗方案可供选择。早期发现和治疗预后良好。目前还没有治愈这种疾病的方法，但加深对诱发因素的了解可以指导预防技术，并有助于开发有针对性的治疗方法。
{"title":"Skin Cancer: Back to Basics, Mycosis Fungoides","authors":"Trevor Lippincott","doi":"10.1097/jdn.0000000000000759","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000759","url":null,"abstract":"\u0000 Mycosis fungoides (MF) is the most common type of cutaneous T-cell lymphoma occurring when T-cell lymphocytes become malignant and proliferate as well as manifest in the skin. Most commonly, the disease affects the elderly population but has been seen in all ages. Presentations of MF include erythematous patches and plaques with fine scale anatomically favoring the buttocks, trunk, and extremities with complaints of significant pruritus. MF can mimic other benign inflammatory diseases such as atopic dermatitis or psoriasis. Skin biopsy of the rash for simple histology and immunophenotyping will aid in the differentiation from other diseases and confirm accurate diagnosis. Repeat biopsy is often required. A wide range of treatment options exist based on the extent of the disease and patient compliance. The prognosis is good with early detection and treatment. No cure currently exists for the disease, but a deeper understanding of triggers can guide prevention techniques and help develop targeted treatment modalities.","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140278904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01DOI: 10.1097/jdn.0000000000000783
Elizabeth Valentine, Katie Wallace
Cutaneous lupus erythematosus (CLE) can present with a wide variety of dermatologic manifestations and is broken down into acute, subacute, and chronic subtypes. Tumid lupus, a variant of CLE, is rarely associated with systemic lupus erythematosus. Lesions of CLE and tumid lupus can mimic multiple other dermatologic conditions. We present a case of a patient with tumid lupus who was initially treated for erythema migrans and systemic symptoms suspected to represent Lyme disease. This article is intended for nurse practitioners, nurses, and other clinicians practicing in dermatology, primary care, urgent care, and emergency medicine settings in the care of patients presenting with annular skin lesions.
{"title":"Tumid Lupus Case Report","authors":"Elizabeth Valentine, Katie Wallace","doi":"10.1097/jdn.0000000000000783","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000783","url":null,"abstract":"\u0000 Cutaneous lupus erythematosus (CLE) can present with a wide variety of dermatologic manifestations and is broken down into acute, subacute, and chronic subtypes. Tumid lupus, a variant of CLE, is rarely associated with systemic lupus erythematosus. Lesions of CLE and tumid lupus can mimic multiple other dermatologic conditions. We present a case of a patient with tumid lupus who was initially treated for erythema migrans and systemic symptoms suspected to represent Lyme disease. This article is intended for nurse practitioners, nurses, and other clinicians practicing in dermatology, primary care, urgent care, and emergency medicine settings in the care of patients presenting with annular skin lesions.","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140275525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01DOI: 10.1097/jdn.0000000000000785
Genevieve Patrick, Julian Melchor, David Pascoe, Chris Derosier, David Stewart
Molluscum contagiosum (MC) is a highly contagious, cutaneous infection caused by a double-stranded DNA poxvirus. Mollusca are characterized by a firm, dome-shaped, flesh-colored, pearly papule with a white, umbilicated center. Generally, lesions occur in clusters and range in size from 1 to 5 millimeters. Although unusual and infrequent, MC occurring in an epidermal inclusion cyst has been reported. This case involves an 83-year-old woman with a flesh-colored, slightly tender papule on the right lower vermillion border, which had been enlarging over several months. Histopathology showed prominent molluscum bodies present in the adjacent epidermis and focally lining the central epidermal cyst. The findings observed in this case support the hypothesized pathophysiological co-inoculation theory for the development of molluscum-infected epidermal inclusion cysts. This is clinically significant given the infectivity of cyst contents and the potential for direct inoculation of the cyst. Given its rarity, treatment protocols for epidermal inclusion cysts containing MC have not been established. However, management requires care to avoid viral transmission.
传染性软疣（MC）是一种由双链 DNA 痘病毒引起的高度传染性皮肤感染。软疣的特征是坚硬、圆顶形、肉色、珍珠状丘疹，中心呈白色脐状。一般来说，病变成群出现，大小在 1 至 5 毫米之间。MC发生在表皮包涵体囊肿中的情况虽然不常见，但也有报道。本病例涉及一名 83 岁的妇女，她的右侧朱砂下缘有一个肉色、稍有触痛的丘疹，几个月来不断增大。组织病理学显示，邻近的表皮和表皮中央囊肿内的病灶有突出的软疣体。本病例的观察结果支持软疣感染性表皮包涵囊肿发病的病理生理学共同接种理论。考虑到囊肿内容物的感染性和囊肿直接接种的可能性，这具有重要的临床意义。鉴于其罕见性，含 MC 的表皮包涵囊肿的治疗方案尚未确定。不过，治疗时需要注意避免病毒传播。
{"title":"Suspicious Papule on Lower Vermillion Border","authors":"Genevieve Patrick, Julian Melchor, David Pascoe, Chris Derosier, David Stewart","doi":"10.1097/jdn.0000000000000785","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000785","url":null,"abstract":"\u0000 Molluscum contagiosum (MC) is a highly contagious, cutaneous infection caused by a double-stranded DNA poxvirus. Mollusca are characterized by a firm, dome-shaped, flesh-colored, pearly papule with a white, umbilicated center. Generally, lesions occur in clusters and range in size from 1 to 5 millimeters. Although unusual and infrequent, MC occurring in an epidermal inclusion cyst has been reported.\u0000 This case involves an 83-year-old woman with a flesh-colored, slightly tender papule on the right lower vermillion border, which had been enlarging over several months. Histopathology showed prominent molluscum bodies present in the adjacent epidermis and focally lining the central epidermal cyst.\u0000 The findings observed in this case support the hypothesized pathophysiological co-inoculation theory for the development of molluscum-infected epidermal inclusion cysts. This is clinically significant given the infectivity of cyst contents and the potential for direct inoculation of the cyst. Given its rarity, treatment protocols for epidermal inclusion cysts containing MC have not been established. However, management requires care to avoid viral transmission.","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140275533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01DOI: 10.1097/jdn.0000000000000782
Julia Nellis, Kenzie Gardner
Lichen sclerosus (LS) et atrophicus et atrophicus, commonly referred to as LS, is a relatively uncommon chronic inflammatory condition that typically affects the skin of the vulvar and perianal regions but can involve extragenital areas. This review will focus primarily on vulvar LS. Although LS can affect men and prepubescent patients, LS has a much higher incidence in women over the age of 30 years. When correctly diagnosed and treated in its earlier stages, LS, although still chronic, is manageable with the appropriate protocol. When left untreated or poorly managed, LS can progress to its later “atrophic” stages and cause severe lichenification, atrophy, and destructive scarring, resulting in the loss of normal anatomic landmarks and function of the genitals. In addition, both men and women with genital LS have an increased risk of developing squamous cell carcinoma in the affected skin. In women, 65% of genital squamous cell carcinomas arise from a preexisting lesion from LS. This can negatively affect a patient's sleep and physical, mental, and social/emotional health. Increased awareness of the presentation and symptoms, in both providers and patients, of LS et atrophicus encourages earlier treatment and management while preventing long-term, irreversible physical, mental, and emotional damage.
萎缩性苔藓（Lichen sclerosus et atrophicus et atrophicus），通常简称为 LS，是一种比较少见的慢性炎症，通常会影响外阴和肛周的皮肤，但也会累及生殖器以外的部位。本综述将主要关注外阴 LS。尽管 LS 可影响男性和青春期前的患者，但 30 岁以上女性的发病率要高得多。如果在早期阶段得到正确诊断和治疗，LS 虽然仍是慢性疾病，但通过适当的治疗方案是可以控制的。如果不及时治疗或处理不当，LS 会发展到后期的 "萎缩 "阶段，引起严重的苔藓化、萎缩和破坏性瘢痕，导致生殖器失去正常的解剖标志和功能。此外，患有生殖器 LS 的男性和女性患皮肤鳞状细胞癌的风险都会增加。在女性患者中，65%的生殖器鳞状细胞癌是由LS原有的病变引起的。这可能会对患者的睡眠、身体、精神和社交/情感健康造成负面影响。提高医护人员和患者对 LS 等萎缩性皮肤病的表现和症状的认识，有助于尽早治疗和管理，同时防止对身体、精神和情感造成长期、不可逆转的伤害。
{"title":"Lichen Sclerosus et Atrophicus","authors":"Julia Nellis, Kenzie Gardner","doi":"10.1097/jdn.0000000000000782","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000782","url":null,"abstract":"\u0000 Lichen sclerosus (LS) et atrophicus et atrophicus, commonly referred to as LS, is a relatively uncommon chronic inflammatory condition that typically affects the skin of the vulvar and perianal regions but can involve extragenital areas. This review will focus primarily on vulvar LS. Although LS can affect men and prepubescent patients, LS has a much higher incidence in women over the age of 30 years. When correctly diagnosed and treated in its earlier stages, LS, although still chronic, is manageable with the appropriate protocol. When left untreated or poorly managed, LS can progress to its later “atrophic” stages and cause severe lichenification, atrophy, and destructive scarring, resulting in the loss of normal anatomic landmarks and function of the genitals. In addition, both men and women with genital LS have an increased risk of developing squamous cell carcinoma in the affected skin. In women, 65% of genital squamous cell carcinomas arise from a preexisting lesion from LS. This can negatively affect a patient's sleep and physical, mental, and social/emotional health. Increased awareness of the presentation and symptoms, in both providers and patients, of LS et atrophicus encourages earlier treatment and management while preventing long-term, irreversible physical, mental, and emotional damage.","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140278038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.1097/jdn.0000000000000776
Nancy Smail
{"title":"Achieving New Heights by Expanding Your Vision","authors":"Nancy Smail","doi":"10.1097/jdn.0000000000000776","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000776","url":null,"abstract":"","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139635845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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