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Impact of Hirsutism on the Quality of Life: A Cross-Sectional Pilot Study from Dermatology Life Quality Index Western India 多毛症对生活质量的影响:一项来自西印度皮肤病生活质量指数的横断面试点研究
Pub Date : 2022-07-20 DOI: 10.5812/jssc-123857
Kopal Agrawal, V. Belgaumkar, R. Chavan, N. Deshmukh
Background: Hirsutism is defined as excess terminal hair growth over androgen-dependent areas in women. It may cause significant social and psychological stigma with a negative impact on the quality of life. However, there is a dearth of data regarding this important parameter from the Indian sub-continent. Objectives: A cross-sectional study was performed to elucidate the quality of life of women with hirsutism using the dermatology life quality index (DLQI). Methods: The severity of hirsutism was graded by modified Ferriman-Gallwey Score (F-G score) and correlated with quality of life by employing self-administered questionnaires of DLQI. Results: Of 40 women with hirsutism (mean DLQI score 5.55 ± 1.501), 3% demonstrated no effect, 52% small effect, and 45% moderate effect. Among domains, “symptoms and feelings” had the highest mean DLQI. Moreover, F-G score and DLQI had a weak positive but insignificant correlation. There was no significant correlation between DLQI and variables like age, marital status, occupation, and polycystic ovarian syndrome (PCOS). Conclusions: Hirsutism had a small to moderate impact on the quality of life, with symptoms and feelings as the most affected domain.
背景:多毛症被定义为女性雄激素依赖区域末端毛发生长过多。它可能造成严重的社会和心理耻辱,对生活质量产生负面影响。然而,印度次大陆缺乏关于这一重要参数的数据。目的:采用皮肤病学生活质量指数(DLQI)对女性多毛症患者的生活质量进行了横断面研究。方法:采用改进的Ferriman-Gallwey评分(F-G评分)对多毛症的严重程度进行评分,并采用DLQI自填问卷与生活质量进行相关性分析。结果:40例多毛症患者(DLQI平均评分5.55±1.501)中,3%无疗效,52%小疗效,45%中度疗效。在所有领域中,“症状和感觉”的DLQI平均值最高。F-G评分与DLQI呈弱正相关,但不显著。DLQI与年龄、婚姻状况、职业、多囊卵巢综合征(PCOS)等变量无显著相关。结论:多毛症对生活质量有小到中等程度的影响,症状和感觉是受影响最大的领域。
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引用次数: 3
Autologous Platelet-Rich Plasma in The Management of Diabetic Foot Ulcer: A Systematic Review of Randomized Controlled Trials 自体富血小板血浆治疗糖尿病足溃疡:随机对照试验的系统综述
Pub Date : 2022-07-03 DOI: 10.5812/jssc-126907
Dewi Fibrini, I. E. Lister, I. Rosadi
Context: Diabetic foot ulcer (DFU) remains a devastating and prevalent complication of diabetes, which leads to significant morbidity, mortality, and economic implications. Outcomes of DFU management are still unsatisfactory, warranting innovations to improve them. One accessible and promising potential for treating DFU is autologous platelet-rich plasma (PRP), a blood product abundant in bioactive molecules. Platelet-rich plasma has been used in other fields of medicine to treat various conditions. Evidence Acquisition: While there is substantial research studying the use of PRP for DFU, these studies are regarded as having flaws in methodology. Hence, this systematic review aims to bridge the knowledge gap by only including randomized controlled trials (RCT). Results: After sifting through various databases, six studies were included. This review focused on specific outcomes, namely percentage of patients with healed wounds, wound size, and time to closure. Conclusions: The authors found that PRP has performed well with regards to healing DFU wounds with a high rate of healing, which leads to a shorter time to wound closure.
背景:糖尿病足溃疡(DFU)仍然是糖尿病的一种破坏性和普遍的并发症,它导致显著的发病率、死亡率和经济影响。DFU管理的结果仍然不令人满意,需要创新来改善它们。自体富血小板血浆(PRP)是治疗DFU的一种可行且有前景的方法,它是一种富含生物活性分子的血液制品。富血小板血浆已在其他医学领域用于治疗各种疾病。证据获取:虽然有大量研究研究了PRP在DFU中的应用,但这些研究被认为在方法上存在缺陷。因此,本系统综述旨在通过仅纳入随机对照试验(RCT)来弥合知识差距。结果:通过各种数据库筛选,纳入6项研究。本综述关注的是具体的结果,即伤口愈合的患者百分比、伤口大小和愈合时间。结论:作者发现PRP在DFU伤口愈合方面表现良好,愈合率高,伤口愈合时间短。
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引用次数: 2
Platelet-Rich Plasma for Musculoskeletal Disorders: No Infection Reported in Daily Practice 富血小板血浆治疗肌肉骨骼疾病:在日常实践中没有感染报道
Pub Date : 2022-06-19 DOI: 10.5812/jssc-126321
M. Landro, L. Martucci, M. Margulies, A. L. Douglas Price, H. Caviglia
Background: Platelet-rich plasma is an autologous blood product defined by a concentration of platelets higher than baseline. Enough evidence supports its application for the treatment of orthopedic disorders. Objectives: The aim of this study was to report the absence of infection and/or complication events related to platelet-rich plasma treatment in patients with musculoskeletal disorders of diverse etiologies. Methods: This transversal and descriptive study included a total of 513 patients, presenting either common orthopedic disorders or hemophilic synovitis/arthropathy. Peripheral whole blood was collected in the presence of anticoagulant and centrifuged. Platelet-rich fraction was separated under sterile conditions. Before injection, the affected area was sanitized and covered with sterile field drapes. Injections were performed in the procedure room under ultrasound image. No anesthesia or antibiotics were administered. Data were analyzed using Pearson’s chi-square test and Cramer’s V test. Results: Of the 923 procedures, 63.2% were intra-articular, and 36.8% were performed in soft tissues. Intra-articular injections were more common in patients with hemophilia, compared with patients without hemophilia (P < 0.001). The most commonly affected anatomical sites were: the knee, the ankle, the hip, and the elbow, with a higher prevalence of ankle and elbow disorders in patients with hemophilia, compared with patients without hemophilia (P < 0.001). Among patients with hemophilia, 13 presented HCV infection, one presented HIV infection, and three were coinfected with HCV and HIV. Twelve patients presented inhibitors. No complications were observed during blood extraction or after platelet-rich plasma injection. No infections occurred at the site of injection. Conclusions: Our platelet-rich plasma preparation and administration protocol under sterile conditions considerably reduce the chances of contamination and further complications associated with it. The occurrence of infection after intra-articular or soft tissue injection was nil in this study, even in patients with hemophilia.
背景:富血小板血浆是一种自体血液制品,其定义是血小板浓度高于基线。有足够的证据支持其应用于骨科疾病的治疗。目的:本研究的目的是报告不同病因的肌肉骨骼疾病患者富血小板血浆治疗相关的感染和/或并发症事件的缺失。方法:这项横向描述性研究共纳入513例患者,这些患者要么是常见的骨科疾病,要么是血友病性滑膜炎/关节病。在抗凝剂存在的情况下采集外周血,离心。富血小板部分在无菌条件下分离。注射前对感染区域进行消毒,并用无菌现场布覆盖。注射在手术室内超声图像下进行。未使用麻醉或抗生素。数据分析采用Pearson卡方检验和Cramer V检验。结果:923例手术中,63.2%为关节内手术,36.8%为软组织手术。与非血友病患者相比,血友病患者关节内注射更为常见(P < 0.001)。最常受影响的解剖部位为:膝关节、踝关节、髋关节和肘部,血友病患者的踝关节和肘部疾病患病率高于非血友病患者(P < 0.001)。血友病患者中,HCV感染13例,HIV感染1例,HCV和HIV合并感染3例。12例患者出现抑制剂。采血过程中及富血小板血浆注射后均无并发症发生。注射部位未发生感染。结论:我们在无菌条件下的富血小板血浆制备和给药方案大大减少了污染的机会和与之相关的进一步并发症。在本研究中,即使在血友病患者中,关节内或软组织注射后感染的发生率为零。
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引用次数: 1
Skin Stem Cells in Iran 伊朗的皮肤干细胞
Pub Date : 2022-06-17 DOI: 10.5812/jssc-126442
M. Nilforoushzadeh, M. Amirkhani, Farnoosh Seirafianpour, Farzaneh Mashayekhi, P. Hejazi, A. Goodarzi
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引用次数: 0
Sunitinib-Induced Cutaneous Small-Vessel Vasculitis: A Rare Case Report 舒尼替尼诱发皮肤小血管炎1例报道
Pub Date : 2022-06-14 DOI: 10.5812/jssc-126370
S. Kachare, V. Belgaumkar, Shefali Prashant Deshpande, Chakor Vora, S. Pradhan
Introduction: Sunitinib is an inhibitor of tumor angiogenesis and has been used as the first-line drug in metastatic renal cell carcinoma (RCC). Sunitinib attracts attention due to its cutaneous toxicities, which are unusual but can range from benign self-resolving skin rash to severe systemic involvement. Herein, we report a 51-year-old male case with metastatic RCC, clear cell type. Case Presentation: Due to multifocal metastatic disease, the patient was started on tablet sunitinib 50 mg once daily (2 weeks on and 1 week off protocol) with palliative intent. On the 4th day of the second cycle, the case developed multiple reticulate palpable purpuric lesions over bilateral shins without any other constitutional or systemic symptoms, such as fever, joint pain, or abdominal pain. Skin histopathology was consistent with clinical suspicion of cutaneous small-vessel vasculitis. The potential involvement of other organs was ruled out. The lesions resolved completely within 2 weeks through symptomatic treatment with topical fluocinolone acetonide 0.01% cream and emollients. Conclusions: Sunitinib was continued uninterrupted without other organ involvement or the reappearance of lesions. Therefore, oncology care providers should always be vigilant and thoroughly evaluate any cutaneous toxicities associated with sunitinib, although it is a rare manifestation.
舒尼替尼是一种肿瘤血管生成抑制剂,已被用作转移性肾细胞癌(RCC)的一线药物。舒尼替尼引起了人们的注意,因为它的皮肤毒性是不寻常的,但可以从良性的自解性皮疹到严重的全身受累。在此,我们报告一例51岁男性转移性肾细胞癌,透明细胞型。病例介绍:由于多灶性转移性疾病,患者开始服用舒尼替尼片剂50mg,每日一次(2周服用,1周停用),目的是缓解病情。在第二个周期的第4天,患者在双侧胫骨上出现可触及的多发网状紫癜性病变,无其他体质或全身症状,如发热、关节痛或腹痛。皮肤组织病理学与临床怀疑的皮肤小血管炎一致。排除了其他器官可能参与的可能性。经0.01%醋酸氟西诺酮乳膏及润肤剂对症治疗,2周内病灶完全消退。结论:舒尼替尼持续不间断,无其他器官受累或病变复发。因此,肿瘤护理提供者应始终保持警惕,并彻底评估与舒尼替尼相关的任何皮肤毒性,尽管这是一种罕见的表现。
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引用次数: 0
The Nail Bed: Theories of Its Functioning and Therapeutic Mechanisms of Dermabrasion 甲床:其功能理论及磨皮的治疗机制
Pub Date : 2022-05-04 DOI: 10.5812/jssc-123012
A. Avila-alvarez, Luz Marina Gomez-Vargas, Maria Camila Velez-Pelaez
Introduction: The nail bed is a fundamental structure of the nail unit. Given its close relationship with the nail plate, the distal matrix, and the hyponychium, how it interacts with these structures is still a matter of study. Case Presentation: We describe clinical cases of patients with traumatic destruction of the nail bed treated with mechanical dermabrasion in a reference center. Both clinical cases had a satisfactory response to the treatment, which supports the proposed theories about the functioning of the nail bed. Conclusions: The nail bed is a dynamic tissue that closely interacts with adjacent structures and responds to forces applied to it.
甲床是甲单元的基本结构。鉴于其与甲板、远端基质和下甲骨的密切关系,它如何与这些结构相互作用仍是一个研究问题。病例介绍:我们描述了在参考中心用机械磨皮治疗创伤性甲床破坏的患者的临床病例。两个临床病例对治疗有满意的反应,这支持了提出的理论关于甲床的功能。结论:甲床是一个动态组织,与邻近结构密切相互作用,并对施加在其上的力作出反应。
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引用次数: 0
A Clinico-Epidemiological Study of Cases of Herpes Zoster in a Tertiary Care Hospital 某三级医院带状疱疹病例的临床流行病学研究
Pub Date : 2022-03-28 DOI: 10.5812/jssc.122913
Gautam Kumar Singh, D. Mitra, Sourabh Kumar, Nishant Raman, Pankaj Das, P. Sharma
Background: Herpes zoster (HZ) is a viral disease caused by the reactivation of the varicella-zoster virus characterized by distinctive prodromal pain followed by herpetiform vesicular eruptions. The immunocompromised states, such as old age, diabetes, human immunodeficiency virus (HIV) infection, and immunosuppressive drugs, are known predisposing factors in this regard. Objectives: The study aimed to investigate the clinic-epidemiological profile of HZ cases attending a tertiary care center. Methods: All consecutive cases of HZ reported to the dermatology outpatient department (OPD) at a tertiary care dermatological center in North India within January - June in 2019 were enrolled after obtaining informed consent and ethical clearance. The clinical profile of patients was noted on predesigned proforma. Laboratory investigations, including complete blood count, routine urine examination, renal function test, and blood sugar, were performed. The HIV antibody was tested by enzyme-linked immunosorbent assay in all cases. The data were analyzed by tabulation, mean, standard deviation on Microsoft Excel for Windows 10 operating system. Results: A total of 190 HZ cases were enrolled, that constituted 0.84% of total dermatology OPD cases of the above-mentioned duration. There were 126 male and 64 female subjects with a gender ratio of 2: 1. Out of the total number of cases, 53% were below 50 years of age, and 59% had a definite history of chickenpox. Moreover, 66 (34%) cases had comorbidities, which included 43 (22% of total cases) cases with some form of immune suppression. In addition, 11 cases were HIV positive, out of whom 2 subjects were diagnosed with HIV infection while evaluating HZ. More than 90% of cases had prodrome before eruptions. Thoracic dermatome was most commonly involved, followed by the trigeminal nerve. Corneal involvement was observed in 4 out of 11 cases of HZ ophthalmicus. The resolution period was within the range of 8 - 15 days. Moreover, 51 (27%) cases developed some complications. Postherpetic neuralgia (PHN) was present in 41 (21.5%) cases. Conclusions: The HZ constituted 0.84% of total dermatology OPD in 6 months and reflected a sizable burden in a tertiary care centre. The presence of this disease in a relatively young population or in the male gender might be due to the demographic characteristics of the dependent clientele. There was a higher incidence of PHN (21.5%) in prolonged follow-up. The involvement of thoracic dermatome as the most common segment in HZ and PHN and association with diabetes mellitus is consistent with the results of other studies.
背景:带状疱疹(HZ)是一种由水痘-带状疱疹病毒再激活引起的病毒性疾病,其特征是明显的前体疼痛,随后出现疱疹样水疱疹。免疫功能低下的状态,如老年、糖尿病、人类免疫缺陷病毒(HIV)感染和免疫抑制药物,是已知的这方面的诱发因素。目的:调查某三级保健中心收治的HZ患者的临床流行病学特征。方法:在获得知情同意和伦理许可后,于2019年1月至6月在印度北部的一家三级皮肤科中心皮肤科门诊(OPD)连续报告所有HZ病例。患者的临床资料记录在预先设计的表格上。实验室检查包括全血细胞计数、尿常规检查、肾功能检查和血糖。所有病例均采用酶联免疫吸附法检测HIV抗体。在Windows 10操作系统的Microsoft Excel上采用制表法、均数法、标准差法对数据进行分析。结果:共纳入190例HZ病例,占上述病程皮肤病OPD病例总数的0.84%。男性126例,女性64例,性别比例为2:1。在所有病例中,53%的患者年龄在50岁以下,59%的患者有明确的水痘史。此外,66例(34%)有合并症,其中43例(22%)有某种形式的免疫抑制。11例HIV阳性,其中2例在评估HZ时被诊断为HIV感染。超过90%的病例在爆发前有前驱症状。胸皮节最常受累,其次是三叉神经。11例HZ眼病中有4例累及角膜。解决周期为8 ~ 15天。51例(27%)出现并发症。带状疱疹后神经痛(PHN) 41例(21.5%)。结论:在6个月内,HZ占皮肤科总OPD的0.84%,反映了三级医疗中心的相当大的负担。这种疾病在相对年轻的人群或男性中的存在可能是由于依赖客户的人口统计学特征。随访时间越长,PHN发生率越高(21.5%)。胸皮节是HZ和PHN中最常见的节段,与糖尿病的关系与其他研究结果一致。
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引用次数: 3
Bruising and Bleaching Cosmetics 瘀伤和漂白化妆品
Pub Date : 2022-03-27 DOI: 10.5812/jssc.122867
A. Urakov, Natalya A Urakova, Albina A. Shchemeleva, Evgeny L. Fisher
: A review of the literature shows that bruises impair the aesthetic appearance of the skin. At the same time, official medicine has no cure for urgent skin discoloration in the area of bruises. Attention is drawn to the fact that alkaline hydrogen peroxide solutions effectively decolorize blemishes and the traces of blood by local interaction under in vitro and in vivo conditions. It has been shown that the main ingredients of these solutions are water, hydrogen peroxide, and sodium hydrogen carbonate. Some products have been developed for bleaching blood stains and marks on textiles, bandages, skin, nails, and inside the skin in the area of bruises. Here, the leading medical technologies for whitening cosmetic products are reviewed.
文献综述表明,瘀伤损害皮肤的美学外观。与此同时,官方医学无法治愈瘀伤区域的紧急皮肤变色。注意到碱性过氧化氢溶液在体外和体内条件下通过局部相互作用有效地脱色瑕疵和血液痕迹。研究表明,这些溶液的主要成分是水、过氧化氢和碳酸氢钠。已经开发出一些产品,用于漂白纺织品、绷带、皮肤、指甲和皮肤内部瘀伤区域的血迹和痕迹。本文综述了美白化妆品的主要医疗技术。
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引用次数: 1
Periosteum as Barrier Membrane: A Case Report 骨膜作为屏障膜:1例报告
Pub Date : 2022-03-14 DOI: 10.5812/jssc.122218
S. Bhatnagar, A. Chandra
Introduction: The quest for finding a regenerative material for periodontal defects is everlasting. Numerous resorbable, nonresorbable, synthetic, and autogenous materials have been tried and tested in this regard. The periosteum has gained popularity in this field as it has exhibited osteogenic properties. The harvest of the periosteum is hassle-free and does not cause additional surgical sites. Case Presentation: The present case report demonstrates the successful use of the periosteum as a barrier membrane in the treatment of an intrabony defect. A 25-year-old female patient reported a complaint of food lodgement and bleeding gums. Clinical and radiographic examinations suggested an intrabony defect concerning the maxillary molar. The periosteum pedicle as a barrier membrane, along with bone graft, was used to treat the defect. Conclusions: The outcome was favorable in defect filling and soft tissue thickness.
对牙周缺损再生材料的探索是永恒的。在这方面,许多可吸收的、不可吸收的、合成的和自生的材料已经被尝试和测试过。骨膜因其具有成骨特性而在这一领域得到了广泛的应用。骨膜的摘取是无麻烦的,不会造成额外的手术部位。病例介绍:本病例报告展示了骨膜作为屏障膜在骨内缺损治疗中的成功应用。一名25岁女性病人自诉食物淤积及牙龈出血。临床及影像学检查提示上颌磨牙骨内缺损。骨膜蒂作为屏障膜,与骨移植物一起用于治疗缺损。结论:在缺损填充和软组织厚度方面效果良好。
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引用次数: 0
Clinicopathological Evaluation of Seborrheic Keratosis Lesions in Patients Referred to Afzalipour Hospital, Kerman, Iran 伊朗克尔曼阿夫扎利普尔医院患者脂溢性角化病病变的临床病理评价
Pub Date : 2022-02-25 DOI: 10.5812/jssc.122310
M. Khalili, S. Shamsi meymandi, Rezvan Amiri, Mahin Aflatoonian, Shirin Alimortazavi
Background: Seborrheic keratosis is a benign epidermal proliferation, which is highly common in sun-exposed areas. This study evaluated the clinicopathological characteristics of seborrheic keratosis lesions in patients referred to the Afzalipour Hospital, Kerman, Iran. Methods: This retrospective cross-sectional study investigated ninety-nine skin biopsies of seborrheic keratosis lesions. The patients’ demographic features and the clinical and pathological features of the lesions were recorded. Then the correlation between pathological subtypes and demographics and clinical features was evaluated. Independent t-test and chi-square tests were used to assess the correlation between quantitative and qualitative data, respectively. Results: A majority of the patients were female (56.6%) in the sixth decade of their lives (33.3%). The lesions were more frequent in sun-exposed areas (65.6%). The most common pathological subtypes were acanthotic (47.5%), hyperkeratotic (27.3%), and adenoid (14.1%), and horn cyst (75.8%) and squamous eddies (5.1%) were the most and the least prevalent pathological features, respectively. Moreover, no significant correlation was noticed between pathological subtypes with the patients’ age or sun-exposed areas (P = 0.257 & P = 0.05, respectively) Conclusions: The most common pathological subtype in this study was the acanthotic type. There was no correlation between pathological subtypes and the patients’ demographic features. The most common clinicopathological correlation was associated with the sun-protected lesions.
背景:脂溢性角化病是一种良性表皮增生,常见于日晒区。本研究评估了在伊朗克尔曼阿夫扎利普尔医院就诊的脂溢性角化病患者的临床病理特征。方法:本回顾性横断面研究调查了99例脂溢性角化病变的皮肤活检。记录患者的人口学特征及病变的临床和病理特征。然后评估病理亚型与人口统计学和临床特征的相关性。定量资料与定性资料的相关性分别采用独立t检验和卡方检验。结果:60 - 10岁患者以女性居多(56.6%),占33.3%。病变多发于暴露在阳光下的部位(65.6%)。最常见的病理亚型为棘突(47.5%)、角化过度(27.3%)和腺样(14.1%),角囊肿(75.8%)和鳞状漩涡(5.1%)分别是最常见和最不常见的病理特征。病理亚型与患者年龄、日晒面积无显著相关性(P = 0.257、P = 0.05)。结论:本研究中最常见的病理亚型为棘层型。病理亚型与患者的人口学特征无相关性。最常见的临床病理相关性与防晒病变有关。
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引用次数: 1
期刊
Journal of Skin and Stem Cell
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