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Frequency of skin diseases in Egyptian population during coronavirus disease 2019 pandemic: a hospital-based cross-sectional study 2019冠状病毒病大流行期间埃及人群皮肤病的频率:一项基于医院的横断面研究
IF 0.4 Q4 DERMATOLOGY Pub Date : 2022-09-01 DOI: 10.4103/ejdv.ejdv_38_21
M. Mohamed, N. Mohammed, R. Saleh
Background Coronavirus disease 2019 (COVID-19) pandemic has resulted in remarkable changes in the profiles of diseases including dermatologic conditions. Aim To investigate the patterns of skin diseases in Egypt during the COVID-19 pandemic. Patients and methods In this cross-sectional study, we reviewed the data of patients who visited dermatology clinics between August 2020 and January 2021 and compared them with the data from the same clinics in the previous year. Results The total number of patients who attended the dermatology clinics between August 2020 and January 2021 was 803 as compared with 1611 patients in the corresponding period of the previous year (49.84% reduction). During the COVID-19 pandemic, there was a significant increase in the frequency of allergic contact dermatitis, irritant contact dermatitis, pityriasis rosea, alopecia areata, erythema multiforme, vasculitis, herpes zoster, and chicken pox (P<0.05). On the contrary, some dermatological conditions such as urticaria and nonscarring hair loss had significantly decreased frequencies during the COVID-19 pandemic (P<0.05). Several skin diseases had unchanged frequencies during the COVID-19 pandemic. These included skin infections (other than viral infections), bullous disorders, some eczematous skin diseases, papulosquamous disorders, and disorders of skin pigmentation. Conclusion This study indicates a significant reduction in the total number of patients attending dermatology clinics in Egypt during the COVID-19 pandemic. The frequency of some skin diseases increased significantly, whereas other skin diseases decreased significantly or remained unchanged during the pandemic. Periodic evaluation of the epidemiologic characteristics of skin diseases is required at different stages of evolution of the COVID-19 pandemic.
背景2019冠状病毒病(新冠肺炎)大流行导致包括皮肤病在内的疾病特征发生了显著变化。目的了解新冠肺炎大流行期间埃及皮肤病的发病模式。患者和方法在这项横断面研究中,我们回顾了2020年8月至2021年1月期间访问皮肤科诊所的患者数据,并将其与前一年相同诊所的数据进行了比较。结果2020年8月至2021年1月期间,到皮肤科诊所就诊的患者总数为803人,而前一年同期为1611人(减少49.84%)。在新冠肺炎大流行期间,过敏性接触性皮炎、刺激性接触性皮肤炎、玫瑰皮病、斑秃、多形性红斑、血管炎、带状疱疹和水痘的发病率显著增加(P<0.05),在新冠肺炎大流行期间,一些皮肤病如荨麻疹和非持续性脱发的发病率显著降低(P<0.05),而在新冠肺炎大流行期间,几种皮肤病的发病率没有变化。其中包括皮肤感染(病毒感染除外)、大疱性疾病、一些湿疹性皮肤病、丘疹性鳞状疾病和皮肤色素沉着障碍。结论这项研究表明,在新冠肺炎大流行期间,埃及皮肤科诊所的患者总数显著减少。一些皮肤病的发病率显著增加,而其他皮肤病在大流行期间显著下降或保持不变。在新冠肺炎大流行的不同演变阶段,需要定期评估皮肤病的流行病学特征。
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引用次数: 0
Serum interleukin-33 level and psoriasis diagnosis 血清白细胞介素33水平与银屑病诊断
IF 0.4 Q4 DERMATOLOGY Pub Date : 2022-09-01 DOI: 10.4103/ejdv.ejdv_48_21
P. Sookaromdee, V. Wiwanitkit
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引用次数: 0
Median canaliform nail dystrophy involving thumb nails and great toe nails: a rare entity 中位管状甲营养不良,包括拇指甲和大趾甲:罕见病例
IF 0.4 Q4 DERMATOLOGY Pub Date : 2022-09-01 DOI: 10.4103/ejdv.ejdv_30_21
Vikram Arragudla, A. Parthasaradhi
Median canaliform dystrophy of Heller is a rare entity characterized by median or midline split of nails in one or both thumb nails. Treatment of median canaliform dystrophy is at times challenging as no successful therapy is available till date. Recently reported treatments include topical steroids, calcineurin inhibitor tacrolimus 0.1%, and tazarotene 0.05% ointment. We report the case of a 30-year-old man who came to our institute with complaints of nail lesions over both thumb nails and great toe nails from the past 5 years, which was causing cosmetic disfigurement.
Heller的正中管状营养不良是一种罕见的实体,其特征是一个或两个拇指指甲的正中或中线裂开。正中管形营养不良的治疗有时具有挑战性,因为迄今为止还没有成功的治疗方法。最近报道的治疗方法包括局部类固醇、钙调神经磷酸酶抑制剂他克莫司0.1%和他扎罗汀0.05%软膏。我们报告了一名30岁的男子的病例,他来到我们的研究所,抱怨在过去5年中,拇指指甲和大脚趾指甲都出现了指甲损伤,导致美容毁容。
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引用次数: 0
Optimizing acne care via teledermatology − where do we stand? 通过远程皮肤科优化痤疮护理——我们的立场是什么?
IF 0.4 Q4 DERMATOLOGY Pub Date : 2022-09-01 DOI: 10.4103/ejdv.ejdv_44_21
Rajat Kandhari
Acne patients demonstrate high levels of social, psychological, and emotional impairment including suicidal ideation. 1 The global pandemic bought with it high levels of psychological distress, and it is well known that stress influences the activity of the pilosebaceous unit leading to acne. 2 Further, “do it yourself” (DIY) solutions flooding the internet meant that it was pertinent that the dermatologist not only initiate care, but administer due counselling and “on-going” care for acne patients at this time. The continuation of care of acne is possible via teledermatology, and it appears to be a common issue for which patients seek video consultations and are satisfied with their initial consult, 3 however video consultation has its limitations.
痤疮患者表现出高度的社会、心理和情绪障碍,包括自杀意念。1全球疫情带来了高度的心理困扰,众所周知,压力会影响皮脂腺单位的活动,从而导致痤疮。2此外,互联网上充斥着“自己动手”(DIY)解决方案,这意味着皮肤科医生不仅要开始护理,还要在这个时候为痤疮患者提供适当的咨询和“持续”护理。通过远程皮肤科可以继续治疗痤疮,这似乎是患者寻求视频咨询并对初次咨询感到满意的常见问题,3然而视频咨询有其局限性。
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引用次数: 0
An insight into the value of circular RNA in psoriasis pathogenesis and its correlation with PASI score 环状RNA在银屑病发病机制中的价值及其与PASI评分的相关性
IF 0.4 Q4 DERMATOLOGY Pub Date : 2022-09-01 DOI: 10.4103/ejdv.ejdv_36_21
Rehab Naguib, A. El-Rifaie, Abd-ElA El-Taweel, M. Dahab
Background Psoriasis is a chronic hyperproliferative inflammatory disease, in which genetic and environmental factors have an important role, but the exact cause is yet unknown. Circular RNAs (circRNAs) are regulatory noncoding RNAs. They play an important role in multiple physiological and pathological processes, such as cancer, cardiovascular diseases, and neuronal diseases. Some circRNAs are involved in regulating immunity, inflammation, and cell proliferation in many types of cells. Aim To detect the expression of circRNA (Circ0061012) in psoriatic skin of diseased patients as compared with normal control persons to investigate the possible role of circRNA in psoriasis pathogenesis and its correlation with disease severity. Patients and methods The present study included 30 psoriatic patients and 30 healthy controls. A 4-mm punch skin biopsy was taken from patients (psoriatic lesion) and controls, and it was kept in the lysis solution for the stability of the studied parameters and was kept frozen at ‑80°Celsius till analysis of circRNA by real-time polymerase chain reaction. Results The tissue level of circRNA (Circ0061012) was significantly higher among patients with psoriasis as compared with normal control individuals. Conclusion circRNA could contribute to psoriasis pathogenesis through its immunomodulatory role, so it might be a therapeutic target in the future.
背景银屑病是一种慢性增生性炎症性疾病,遗传和环境因素在其中起重要作用,但确切病因尚不清楚。环状rna (circRNAs)是调节性非编码rna。它们在多种生理和病理过程中发挥重要作用,如癌症、心血管疾病和神经疾病。在许多类型的细胞中,一些环状rna参与调节免疫、炎症和细胞增殖。目的检测circRNA (Circ0061012)在银屑病患者和正常对照组皮肤中的表达,探讨circRNA在银屑病发病机制中的可能作用及其与病情严重程度的相关性。患者与方法本研究包括30例银屑病患者和30例健康对照者。从患者(银屑病病变)和对照组中取4毫米穿孔皮肤活检,保存在裂解液中以保持研究参数的稳定性,并在‑80℃下冷冻,直到通过实时聚合酶链反应分析circRNA。结果银屑病患者circRNA (Circ0061012)的组织表达水平明显高于正常对照组。结论circRNA可能通过其免疫调节作用参与银屑病的发病机制,可能成为未来治疗银屑病的靶点。
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引用次数: 0
Autophagy-related gene 16L1 value in chronic plaque psoriasis 自噬相关基因16L1在慢性斑块型银屑病中的价值
IF 0.4 Q4 DERMATOLOGY Pub Date : 2022-05-01 DOI: 10.4103/ejdv.ejdv_34_21
Rehab Naguib, Abd-ElAziz El-Rifaie, EmanA.Z. Eissa, L. Rashed
Background Psoriasis is a chronic hyperproliferative inflammatory disease, in which genetic and environmental factors have an important role, but the exact cause is yet unknown. Autophagy is a strictly regulated lysosomal degradation pathway that is crucial for maintaining intracellular homeostasis and normal development. Dysregulation of autophagy-related genes has been recognized to increase susceptibility to diseases, such as inflammation, cancer, and autoimmune disorders. Aim Our study aimed to detect the expression of the autophagy-related gene 16L1 (ATG 16L) in psoriasis patients compared with normal controls to investigate the role of autophagy in the pathogenesis of this disease. Patients and methods This case–control study included 30 psoriasis patients and 30 healthy controls. Punch skin biopsies of 4 mm were taken from psoriatic lesions and then from the controls and they were kept in a lysis solution for the stability of the studied parameters and were kept frozen at –80°C till analysis of ATG 16L using real-time PCR. Results The level of the ATG 16L1 in the lesional skin of psoriasis was significantly increased compared with normal controls (P<0.001). Limitation Limited number of patients were included in this study (30 patients). Conclusion Autophagy process may play an important role in the pathogenesis of psoriasis disease.
背景银屑病是一种慢性高增殖性炎症性疾病,遗传和环境因素在其中起着重要作用,但其确切病因尚不清楚。自噬是一种严格调控的溶酶体降解途径,对维持细胞内稳态和正常发育至关重要。自噬相关基因的失调已被认为会增加对疾病的易感性,如炎症、癌症和自身免疫性疾病。目的本研究旨在检测自噬相关基因16L1(ATG 16L)在银屑病患者中的表达,并与正常对照组进行比较,以探讨自噬在银屑病发病机制中的作用。患者和方法本病例对照研究包括30名银屑病患者和30名健康对照。穿孔皮肤活检4 mm从银屑病病变中提取,然后从对照中提取,为了研究参数的稳定性,将其保存在裂解溶液中,并在-80°C下冷冻,直到使用实时PCR分析ATG 16L。结果银屑病病变皮肤ATG16L1水平较正常对照组明显升高(P<0.001),本研究纳入的患者数量有限(30例)。结论自噬过程可能在银屑病的发病机制中起重要作用。
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引用次数: 0
Prevalence and risk factors associated with acanthosis nigricans in primary school children 小学生黑棘皮病患病率及相关危险因素
IF 0.4 Q4 DERMATOLOGY Pub Date : 2022-05-01 DOI: 10.4103/ejdv.ejdv_16_21
N. Mohamad, Samar El-Tahlawy, Naglaa A. El Sherbiny, Eman Ebrahim
Background Acanthosis nigricans (AN) is characterized by pigmented velvety thickening of the intertriginous body areas and neck. Many studies linked it to metabolic syndrome. Aim To detect the prevalence of AN among primary school children and to identify the associated risk factors. Patients and methods We included 2060 primary school students who were selected from two rural and four urban schools. The data were collected by questionnaire sheets that were fulfilled from each student in which present and past history for any disease were taken. Results The prevalence of AN was 17.7% of all examined students, higher in females (18.6%) than males (16.3%), but it was not statistically significant. More than half of the students 55.0% were of normal weight, 23.3% were overweight, and 21.7% were obese. In the current study, 69.1% of obese children were having AN. Conclusions Regular dermatologic examination for early identification of AN is required. AN in the knuckles should be considered as a classic site and highly prevalent. It should be borne in mind that coordinated efforts of medical professional teams may be required aiming to correct the underlying disease to improve the skin symptoms. Strict follow-up of patients with AN for early detection and management of insulin resistance and metabolic syndrome.
背景黑棘皮病(AN)的特征是原始身体区域和颈部的色素天鹅绒般增厚。许多研究将其与代谢综合征联系起来。目的检测小学儿童AN的患病率,并确定相关的危险因素。患者和方法我们纳入了2060名小学生,他们分别来自两所农村学校和四所城市学校。数据是通过问卷表收集的,问卷表是从每个学生身上完成的,其中记录了任何疾病的现在和过去的病史。结果AN患病率为17.7%,女性(18.6%)高于男性(16.3%),但无统计学意义。超过一半的学生体重正常,占55.0%,超重占23.3%,肥胖占21.7%。在目前的研究中,69.1%的肥胖儿童患有AN。结论需要定期进行皮肤科检查以早期识别AN。关节炎应被认为是一个典型的和高度流行的部位。应该记住,可能需要医疗专业团队的协调努力,以纠正潜在疾病,改善皮肤症状。对AN患者进行严格随访,以早期发现和管理胰岛素抵抗和代谢综合征。
{"title":"Prevalence and risk factors associated with acanthosis nigricans in primary school children","authors":"N. Mohamad, Samar El-Tahlawy, Naglaa A. El Sherbiny, Eman Ebrahim","doi":"10.4103/ejdv.ejdv_16_21","DOIUrl":"https://doi.org/10.4103/ejdv.ejdv_16_21","url":null,"abstract":"Background Acanthosis nigricans (AN) is characterized by pigmented velvety thickening of the intertriginous body areas and neck. Many studies linked it to metabolic syndrome. Aim To detect the prevalence of AN among primary school children and to identify the associated risk factors. Patients and methods We included 2060 primary school students who were selected from two rural and four urban schools. The data were collected by questionnaire sheets that were fulfilled from each student in which present and past history for any disease were taken. Results The prevalence of AN was 17.7% of all examined students, higher in females (18.6%) than males (16.3%), but it was not statistically significant. More than half of the students 55.0% were of normal weight, 23.3% were overweight, and 21.7% were obese. In the current study, 69.1% of obese children were having AN. Conclusions Regular dermatologic examination for early identification of AN is required. AN in the knuckles should be considered as a classic site and highly prevalent. It should be borne in mind that coordinated efforts of medical professional teams may be required aiming to correct the underlying disease to improve the skin symptoms. Strict follow-up of patients with AN for early detection and management of insulin resistance and metabolic syndrome.","PeriodicalId":40542,"journal":{"name":"Egyptian Journal of Dermatology and Venereology","volume":"42 1","pages":"97 - 102"},"PeriodicalIF":0.4,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41372002","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}
引用次数: 1
Assessment of serum fatty acid-binding protein 4 and adiponectin levels in psoriasis patients and their correlation with disease severity 银屑病患者血清脂肪酸结合蛋白4和脂联素水平的评估及其与疾病严重程度的相关性
IF 0.4 Q4 DERMATOLOGY Pub Date : 2022-05-01 DOI: 10.4103/ejdv.ejdv_40_21
Noha Z Tawfik, A. Gomaa, Ranya Hassan, Basma El-alfy, Sara Rageh, N. Ismail
Background Psoriasis is a chronic multifactorial autoimmune disease that has significant impacts on the quality of life. Adiponectin exhibits important anti-inflammatory, antioxidants, and antidiabetic effects. The role of fatty acid-binding protein 4 (FABP4) in psoriasis may be linked to tumor necrosis factor-α, which is one of the main cytokines contributing to the etiopathogenesis of this disease. Aim To understand the role of serum levels of FABP4 and adiponectin in disease pathogenesis and their correlation to disease severity. Patients and methods A case–control study was conducted on two groups. The first group included 35 psoriatic patients; the second group included 35 healthy volunteers matched for age, sex, and weight. Serum FABP4 and adiponectin levels were evaluated. Results The mean level of adiponectin among the patients was 4.3±1.4 ng/dl. The mean level of FABP4 among controls was 2.1±1.5 ng/dl. The difference between both groups was statistically significant (P<0.05). Conclusion In this study, serum FABP4 level and adiponectin levels were decreased in patients with psoriasis with no relation to disease severity. So, they cannot be used as clinical biomarkers of inflammation and disease activity in psoriasis
背景银屑病是一种对生活质量有重大影响的慢性多因素自身免疫性疾病。脂联素具有重要的抗炎、抗氧化和抗糖尿病作用。脂肪酸结合蛋白4(FABP4)在银屑病中的作用可能与肿瘤坏死因子-α有关,后者是导致银屑病发病的主要细胞因子之一。目的了解血清FABP4和脂联素水平在疾病发病机制中的作用及其与疾病严重程度的相关性。患者和方法对两组患者进行病例对照研究。第一组包括35名银屑病患者;第二组包括35名年龄、性别和体重匹配的健康志愿者。评估血清FABP4和脂联素水平。结果患者血清脂联素平均水平为4.3±1.4 ng/dl。对照组中FABP4的平均水平为2.1±1.5 ng/dl。结论银屑病患者血清FABP4和脂联素水平降低,与疾病严重程度无关。因此,它们不能用作银屑病炎症和疾病活动的临床生物标志物
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引用次数: 0
An observational study of infant dermatoses at a tertiary care health center in Delhi region 德里地区三级保健中心婴儿皮肤病的观察性研究
IF 0.4 Q4 DERMATOLOGY Pub Date : 2022-05-01 DOI: 10.4103/ejdv.ejdv_21_21
A. Dhillon, A. Chopra
Objectives To know the prevalence and clinical patterns of infant dermatosis at a tertiary care referral institute. Patients and methods The present observational cross-sectional study was carried out on 508 neonates and infants with physiological and pathological skin conditions from August 1, 2018 to February 1, 2020. A standard study proforma was used to obtain detailed systemic and dermatological findings. Data entry was done in MS Excel, and data analysis was carried out using Statistical Package for Social Sciences, version 22.0. Results The common dermatoses were bacterial infection [folliculitis (29.03%) and staphylococcal scalded skin syndrome (19.35%)], fungal infections [candidal intertrigo (41.67%) and pityriasis versicolor (37.50%)], developmental abnormalities [accessory tragi (21.43%), anencephaly (14.29%), and cleft lip (14.29%)], diaper area eruptions [diaper dermatitis (81.82%), atopic dermatitis (45.92%), hemangiomas: infantile congenital hemangioma (60.87%) and nevus simplex/stork bite (21.74%)], hyperpigmentation disorders [Café-au-lait (44.44%) and congenital melanocytic nevi (22.22%)], hypopigmentation disorder [pityriasis alba (42.31%)], iatrogenic/traumatic disorders [Stevens-Johnson syndrome (40%)], immunologic disorders [insect bite hypersensitivity (41.18%) and acute urticaria (29.41%)], and transient benign disorders [Mongolian spots (23.28%) and Lanugo (14.29%)]. Conclusion Physiological dermatoses are transient and self-resolving and need to be differentiated from the pathological ones for management and parents’ reassurance. The pathological dermatoses are caused most commonly by infections and infestation, which warrants a clean and hygienic living. Owing to wide variety, burden, and public health problem of cutaneous dermatoses in infants, the current data can be useful in creating awareness among the dermatologists, pediatricians, and the health care system.
目的了解三级护理转诊机构婴儿皮肤病的患病率和临床模式。患者和方法本观察性横断面研究于2018年8月1日至2020年2月1日对508名患有生理和病理性皮肤病的新生儿和婴儿进行。使用标准研究形式表来获得详细的全身和皮肤学结果。数据输入在MS Excel中完成,数据分析使用社会科学统计软件包22.0版进行。结果常见的皮肤病有细菌性感染[毛囊炎(29.03%)和葡萄球菌烫伤皮肤综合征(19.35%)]、真菌性感染[念珠菌感染(41.67%)和花斑癣(37.50%)]、发育异常[副tragi(21.43%)、无脑畸形(14.29%)和唇裂(14.29%,尿布区皮疹[尿布皮炎(81.82%),特应性皮炎(45.92%),血管瘤:婴儿先天性血管瘤(60.87%)和单纯痣/鹳咬伤(21.74%)],色素沉着障碍[Café-au-lait(44.44%)和先天性黑色素细胞痣(22.22%)],色沉障碍[白色糠疹(42.31%)],医源性/创伤障碍[Stevens-Johnson综合征(40%)],免疫性疾病[虫咬超敏反应(41.18%)和急性荨麻疹(29.41%)],以及短暂性良性疾病[蒙古斑(23.28%)和拉努戈(14.29%)]。病理性皮肤病最常见的是由感染和侵扰引起的,这需要干净卫生的生活。由于婴儿皮肤病的种类繁多、负担沉重和公共卫生问题,目前的数据有助于提高皮肤科医生、儿科医生和卫生保健系统的认识。
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引用次数: 1
Unusual Triggers for Erythema Multiforme 多形性红斑的不寻常诱因
IF 0.4 Q4 DERMATOLOGY Pub Date : 2022-05-01 DOI: 10.4103/ejdv.ejdv_20_21
Manal Alsabbagh
{"title":"Unusual Triggers for Erythema Multiforme","authors":"Manal Alsabbagh","doi":"10.4103/ejdv.ejdv_20_21","DOIUrl":"https://doi.org/10.4103/ejdv.ejdv_20_21","url":null,"abstract":"","PeriodicalId":40542,"journal":{"name":"Egyptian Journal of Dermatology and Venereology","volume":"42 1","pages":"148 - 150"},"PeriodicalIF":0.4,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45362347","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}
引用次数: 0
期刊
Egyptian Journal of Dermatology and Venereology
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