Pub Date : 2022-12-21DOI: 10.1097/JDN.0000000000000719
Jodi Y. So, S. Admani
ABSTRACT Halo nevi are commonly observed in children and adolescents and may coexist with other disorders including vitiligo and Turner syndrome. This review discusses the epidemiology, pathophysiology, diagnosis, and management of halo nevi, with a particular emphasis on pediatric patients.
{"title":"Halo Nevi in the Pediatric Population","authors":"Jodi Y. So, S. Admani","doi":"10.1097/JDN.0000000000000719","DOIUrl":"https://doi.org/10.1097/JDN.0000000000000719","url":null,"abstract":"ABSTRACT Halo nevi are commonly observed in children and adolescents and may coexist with other disorders including vitiligo and Turner syndrome. This review discusses the epidemiology, pathophysiology, diagnosis, and management of halo nevi, with a particular emphasis on pediatric patients.","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":"23 1","pages":"41 - 45"},"PeriodicalIF":0.4,"publicationDate":"2022-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82572860","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 : 2022-12-13DOI: 10.1097/JDN.0000000000000716
Emine Aktas, M. Esin
Purpose The aim of this study was to evaluate the effectiveness of the skin health promotion program based on the health promotion model (HPM) to reduce hand eczema (HE) symptom severity and improve skin health behavior in young hairdressers and barber apprentices. Design and Methods The study was designed as pretest–posttest quasi-experimental control group research with repetitive measurements in the first-, third-, and sixth-month follow-up, which included 96 young workers (intervention = 48, control = 48). The program, as secondary prevention, consists of training with evidence-based recommendations, cognitive determinants, and practices to improve skin health behaviors. Findings The mean age of the young workers was 20.77 ± 4.85 years. After the sixth month of intervention, total severity scores of HE symptoms in the intervention group were significantly decreased from 5.92 to 2.91. In addition, the frequency of skin health behaviors and cognitive factors showed statistically positive changes (p < .05). Conclusions The skin health promotion program based on HPM is effective in reducing HE symptoms and improving the skin health behaviors of young workers. Healthcare professionals, especially nurses, can use the HPM-based skin health program to improve skin health and psychological health resulting from skin disease symptoms in other specific skin diseases for their patients.
{"title":"Health Promotion Model-Based Skin Health Program to Improve Skin Health Behaviors, Quality of Life, and Self-Efficacy and Reduce Eczema Symptoms in Hairdresser Apprentices","authors":"Emine Aktas, M. Esin","doi":"10.1097/JDN.0000000000000716","DOIUrl":"https://doi.org/10.1097/JDN.0000000000000716","url":null,"abstract":"Purpose The aim of this study was to evaluate the effectiveness of the skin health promotion program based on the health promotion model (HPM) to reduce hand eczema (HE) symptom severity and improve skin health behavior in young hairdressers and barber apprentices. Design and Methods The study was designed as pretest–posttest quasi-experimental control group research with repetitive measurements in the first-, third-, and sixth-month follow-up, which included 96 young workers (intervention = 48, control = 48). The program, as secondary prevention, consists of training with evidence-based recommendations, cognitive determinants, and practices to improve skin health behaviors. Findings The mean age of the young workers was 20.77 ± 4.85 years. After the sixth month of intervention, total severity scores of HE symptoms in the intervention group were significantly decreased from 5.92 to 2.91. In addition, the frequency of skin health behaviors and cognitive factors showed statistically positive changes (p < .05). Conclusions The skin health promotion program based on HPM is effective in reducing HE symptoms and improving the skin health behaviors of young workers. Healthcare professionals, especially nurses, can use the HPM-based skin health program to improve skin health and psychological health resulting from skin disease symptoms in other specific skin diseases for their patients.","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":"11 1","pages":"29 - 40"},"PeriodicalIF":0.4,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84018284","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 : 2022-11-01DOI: 10.1097/jdn.0000000000000720
{"title":"Erratum: Wound Healing and Assessment","authors":"","doi":"10.1097/jdn.0000000000000720","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000720","url":null,"abstract":"","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":"20 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84248587","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 : 2022-11-01DOI: 10.1097/jdn.0000000000000714
Angela L. Borger
{"title":"Journal History, Audience Participation, and Peer Review","authors":"Angela L. Borger","doi":"10.1097/jdn.0000000000000714","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000714","url":null,"abstract":"","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":"77 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86038125","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 : 2022-11-01DOI: 10.1097/JDN.0000000000000711
Karla Lebedoff, M. Bain, S. Walsh
ABSTRACT Written action plans for chronic diseases, such as asthma, guide parents to improve clinical outcomes for their children. Many primary care and specialty care clinicians follow national guidelines and prescribe asthma action plans annually. However, written action plans are not routinely prescribed for eczema, a chronic disease with high morbidity and prevalence that commonly presents before asthma symptoms develop. This quality improvement project initiated the use of eczema action plans with parents whose children were being managed by a pediatric dermatologist. Clinical outcomes and confidence among parents managing their child's eczema symptoms using an eczema action plan were measured. Many parents who followed individual eczema action plans reported improvement in their child's symptoms, supporting further investigation into the expected benefits of distributing eczema action plans for use at home, school, and other environments harboring potential eczema triggers.
{"title":"Distributing Written Action Plans to Control Eczema Symptoms in Children","authors":"Karla Lebedoff, M. Bain, S. Walsh","doi":"10.1097/JDN.0000000000000711","DOIUrl":"https://doi.org/10.1097/JDN.0000000000000711","url":null,"abstract":"ABSTRACT Written action plans for chronic diseases, such as asthma, guide parents to improve clinical outcomes for their children. Many primary care and specialty care clinicians follow national guidelines and prescribe asthma action plans annually. However, written action plans are not routinely prescribed for eczema, a chronic disease with high morbidity and prevalence that commonly presents before asthma symptoms develop. This quality improvement project initiated the use of eczema action plans with parents whose children were being managed by a pediatric dermatologist. Clinical outcomes and confidence among parents managing their child's eczema symptoms using an eczema action plan were measured. Many parents who followed individual eczema action plans reported improvement in their child's symptoms, supporting further investigation into the expected benefits of distributing eczema action plans for use at home, school, and other environments harboring potential eczema triggers.","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":"72 1","pages":"256 - 260"},"PeriodicalIF":0.4,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84134163","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 : 2022-11-01DOI: 10.1097/jdn.0000000000000713
Ioachim Preda-Naumescu, Iris Paladi-Noel, Ana Preda-Naumescu, T. Huynh, V. Nahar
{"title":"Dermatopathologist Perceptions of Overdiagnosis, Physical Activity Among Long-Term Melanoma Survivors, and Lifestyle Modifications in Hidradenitis Suppurativa","authors":"Ioachim Preda-Naumescu, Iris Paladi-Noel, Ana Preda-Naumescu, T. Huynh, V. Nahar","doi":"10.1097/jdn.0000000000000713","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000713","url":null,"abstract":"","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":"8 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84743990","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 : 2022-10-17DOI: 10.1097/jdn.0000000000000712
Mitzy Placencia, Eugene Wong
GANGRENE and eyanosis of an extremity, due to thrombophlebitis with massive venous occlusions, is an uncommon condition and is often confused with primary arterial oeclusive disease. With massive venous occlusion and the associated arterial venospasm the blood flow may be so impeded to an extremity that cyanosis and eventually gangrene may occur. The recognition of this is important, since this gangrene is usually superficial or limited to the digits. Conservative treatment of this type of gangrene is indicated in contrast to the more radical treatment advocated for gangrene due to primary arterial insufficiency. This disease has been called "phlegmasia cerulea dolens," "blue phlebitis of Gregoire," "acute massive venous occlusion of the extremities," "pseudoembolic phlebitis, " and " gangrene of venous origin. " That gangrene of an extremity can be of venous origin was first recognized by Fabricius Hiddanus in 1593.1 Excellent review articles on phlegmasia cerulea dolens have been published by Haimovici2 auid DeBakey,3 making a detailed review of the literature unnecessary. Of the 102 cases in the literature in which information is available, 69 occurred in the left lower extremity, 27 in the right lower extremity, four in the left upper extremity, and two in the right upper extremity. The high incidence in the left lower extremity is probably because the right common iliac artery crosses over the left common iliac veini shortly after the bifurcation of the abdominal aorta. Spontaneous involvement of the upper extremity is rare, and it has been reported in only five previous cases. It is the purpose of this paper to report two cases, one with involvement of the upper extremity.
{"title":"Phlegmasia Cerulea Dolens","authors":"Mitzy Placencia, Eugene Wong","doi":"10.1097/jdn.0000000000000712","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000712","url":null,"abstract":"GANGRENE and eyanosis of an extremity, due to thrombophlebitis with massive venous occlusions, is an uncommon condition and is often confused with primary arterial oeclusive disease. With massive venous occlusion and the associated arterial venospasm the blood flow may be so impeded to an extremity that cyanosis and eventually gangrene may occur. The recognition of this is important, since this gangrene is usually superficial or limited to the digits. Conservative treatment of this type of gangrene is indicated in contrast to the more radical treatment advocated for gangrene due to primary arterial insufficiency. This disease has been called \"phlegmasia cerulea dolens,\" \"blue phlebitis of Gregoire,\" \"acute massive venous occlusion of the extremities,\" \"pseudoembolic phlebitis, \" and \" gangrene of venous origin. \" That gangrene of an extremity can be of venous origin was first recognized by Fabricius Hiddanus in 1593.1 Excellent review articles on phlegmasia cerulea dolens have been published by Haimovici2 auid DeBakey,3 making a detailed review of the literature unnecessary. Of the 102 cases in the literature in which information is available, 69 occurred in the left lower extremity, 27 in the right lower extremity, four in the left upper extremity, and two in the right upper extremity. The high incidence in the left lower extremity is probably because the right common iliac artery crosses over the left common iliac veini shortly after the bifurcation of the abdominal aorta. Spontaneous involvement of the upper extremity is rare, and it has been reported in only five previous cases. It is the purpose of this paper to report two cases, one with involvement of the upper extremity.","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":"55 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82255975","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 : 2022-10-13DOI: 10.1097/JDN.0000000000000710
K. Boozer, Kelly L. Rossler, Jaclyn L. Saitta
ABSTRACT Primary care nurse practitioners (NPs) are positioned to improve patient outcomes and reduce the global burden of skin cancers including cutaneous melanoma (CM). Improving skin cancer and CM educational opportunities, especially at the graduate student level, is a necessary step to overcome practice barriers and improve patient care. The purpose of this quality improvement project was to evaluate the effectiveness of an online graduate educational training program to improve knowledge, confidence, and practice intent. An exploratory, descriptive design guided this project with a nonprobability, convenience sample of NP graduate students. This project served as the first phase of a long-term research initiative focused on integrating CM education within an NP curriculum.
{"title":"Effectiveness of Cutaneous Melanoma Education on Knowledge, Confidence, and Practice Intent Among Graduate Nursing Students","authors":"K. Boozer, Kelly L. Rossler, Jaclyn L. Saitta","doi":"10.1097/JDN.0000000000000710","DOIUrl":"https://doi.org/10.1097/JDN.0000000000000710","url":null,"abstract":"ABSTRACT Primary care nurse practitioners (NPs) are positioned to improve patient outcomes and reduce the global burden of skin cancers including cutaneous melanoma (CM). Improving skin cancer and CM educational opportunities, especially at the graduate student level, is a necessary step to overcome practice barriers and improve patient care. The purpose of this quality improvement project was to evaluate the effectiveness of an online graduate educational training program to improve knowledge, confidence, and practice intent. An exploratory, descriptive design guided this project with a nonprobability, convenience sample of NP graduate students. This project served as the first phase of a long-term research initiative focused on integrating CM education within an NP curriculum.","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":"2 1","pages":"251 - 255"},"PeriodicalIF":0.4,"publicationDate":"2022-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79717315","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 : 2022-10-13DOI: 10.1097/JDN.0000000000000708
Taylor Rager, E. Lake
ABSTRACT Mycosis fungoides is the most common primary cutaneous T-cell lymphoma. Although mycosis fungoides affects patients of all skin tones, mycosis fungoides has a higher incidence in patients with skin of color. Patients with skin of color who are diagnosed with mycosis fungoides have worse outcomes and poor prognosis compared with patients with lighter skin tones. Mycosis fungoides is difficult to diagnose in patients with skin of color as rare subtypes or clinical presentations are commonly seen in these populations. Increased awareness of the presentation of mycosis fungoides in skin of color and early detection could address the higher rates of morbidity and mortality in these populations.
{"title":"Mycosis Fungoides in Skin of Color","authors":"Taylor Rager, E. Lake","doi":"10.1097/JDN.0000000000000708","DOIUrl":"https://doi.org/10.1097/JDN.0000000000000708","url":null,"abstract":"ABSTRACT Mycosis fungoides is the most common primary cutaneous T-cell lymphoma. Although mycosis fungoides affects patients of all skin tones, mycosis fungoides has a higher incidence in patients with skin of color. Patients with skin of color who are diagnosed with mycosis fungoides have worse outcomes and poor prognosis compared with patients with lighter skin tones. Mycosis fungoides is difficult to diagnose in patients with skin of color as rare subtypes or clinical presentations are commonly seen in these populations. Increased awareness of the presentation of mycosis fungoides in skin of color and early detection could address the higher rates of morbidity and mortality in these populations.","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":"53 1","pages":"261 - 264"},"PeriodicalIF":0.4,"publicationDate":"2022-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87295152","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 : 2022-09-01DOI: 10.1097/JDN.0000000000000695
Melissa A. Nickles, Kathie Velez, Jessica Maloh, A. Shakhbazova, M. Singh, R. Sivamani
BACKGROUND Increased intestinal permeability, known as leaky gut syndrome, occurs when the intestinal lining of the gastrointestinal tract has been damaged. The influx of unwanted material in the bloodstream can induce an immune response releasing proinflammatory cytokines that have been thought to be correlated with dermatologic conditions. OBJECTIVE We aimed to evaluate the role of leaky gut in dermatological conditions. Methods PubMed and Embase were systematically searched through September 2020 for clinical studies that measured intestinal permeability in participants with a dermatological condition. RESULTS We identified 20 studies including participants with dermatitis herpetiformis, atopic dermatitis/eczema, systemic sclerosis, psoriasis, bullous pemphigoid, and pemphigus vulgaris/foliaceus. Atopic dermatitis was the most well studied. Studies utilized a range of measures of intestinal permeability, including sugar excretion tests and serum markers. For all disorders reviewed, except bullous pemphigoid and pemphigus vulgaris/foliaceus, there was evidence of increased intestinal permeability in the disease state compared with controls. LIMITATIONS The range of methodology across clinical studies makes it difficult to draw conclusions across results. In addition, studies tended to be small, and only one study included an intervention to target leaky gut syndrome. CONCLUSIONS We have found preliminary evidence of a relationship between leaky gut and certain dermatological conditions.
{"title":"Leaky Gut and Dermatological Conditions","authors":"Melissa A. Nickles, Kathie Velez, Jessica Maloh, A. Shakhbazova, M. Singh, R. Sivamani","doi":"10.1097/JDN.0000000000000695","DOIUrl":"https://doi.org/10.1097/JDN.0000000000000695","url":null,"abstract":"BACKGROUND Increased intestinal permeability, known as leaky gut syndrome, occurs when the intestinal lining of the gastrointestinal tract has been damaged. The influx of unwanted material in the bloodstream can induce an immune response releasing proinflammatory cytokines that have been thought to be correlated with dermatologic conditions. OBJECTIVE We aimed to evaluate the role of leaky gut in dermatological conditions. Methods PubMed and Embase were systematically searched through September 2020 for clinical studies that measured intestinal permeability in participants with a dermatological condition. RESULTS We identified 20 studies including participants with dermatitis herpetiformis, atopic dermatitis/eczema, systemic sclerosis, psoriasis, bullous pemphigoid, and pemphigus vulgaris/foliaceus. Atopic dermatitis was the most well studied. Studies utilized a range of measures of intestinal permeability, including sugar excretion tests and serum markers. For all disorders reviewed, except bullous pemphigoid and pemphigus vulgaris/foliaceus, there was evidence of increased intestinal permeability in the disease state compared with controls. LIMITATIONS The range of methodology across clinical studies makes it difficult to draw conclusions across results. In addition, studies tended to be small, and only one study included an intervention to target leaky gut syndrome. CONCLUSIONS We have found preliminary evidence of a relationship between leaky gut and certain dermatological conditions.","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":"29 1","pages":"220 - 237"},"PeriodicalIF":0.4,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72526448","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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