International Journal of Women''s Dermatology最新文献

英文中文

Consumer attitudes toward aging skin during the COVID-19 pandemic. COVID-19大流行期间消费者对皮肤老化的态度。

Q2 Medicine

International Journal of Women''s Dermatology

Pub Date : 2023-07-14 eCollection Date: 2023-10-01 DOI: 10.1097/JW9.0000000000000095

Lynna J Yang, Justin Knoll, Roopal V Kundu

The impact of the novel coronavirus disease (COVID-19) pandemic on consumer attitudes toward their skin has not been well characterized.

Objective: This study investigated how consumers' attitudes toward their skin changed during the COVID-19 pandemic.

Methods: A cross-sectional survey was conducted using REDCap. A total of 1,434 participants were recruited and consented to participate online through ResearchMatch. The survey gathered demographic information and assessed participants' attitudes toward their skin using a Likert scale. An ordered logistic regression analysis was performed.

Results: Nearly one-third of participants felt unhappy with their skin. Forty four percent feel less happy about their skin compared with 5 years earlier. The top skin concerns were eye puffiness (86.5%), loose skin (85.1%), uneven tone (84.9%), uneven texture (83.5%), and dry skin (81.4%). Video conferencing (31%), wearing masks (23%), and increased stress (21%) during the COVID-19 pandemic affected how participants felt about their skin. Compared with men, women were 1.6 to 1.8 times (P < .01) more likely to "strongly agree" that all 3 pandemic-related factors-video conferencing, wearing masks, and increased stress-affected how they felt about their skin. Younger age groups were 1.5 to 2.8 times (P < .01) more likely to answer in the top category for all 3 pandemic-related factors compared with the oldest age group.

Limitations: Recruitment of participants was limited to English-speaking adults aged 18 years or older who were registered on ResearchMatch, which underrepresents minority populations. Further studies should be conducted to elucidate how the pandemic affected perceptions of skin.

Conclusion: Skin aging is a significant concern among adults of all ages. The COVID-19 pandemic has exacerbated skin concerns. Women and young adults are more likely to be affected by the COVID-19 pandemic in their attitudes toward their skin.

新型冠状病毒病（新冠肺炎）大流行对消费者对皮肤态度的影响尚未得到很好的表征。目的：本研究调查了新冠肺炎大流行期间消费者对皮肤的态度如何变化。方法：采用REDCap进行横断面调查。共招募了1434名参与者，并同意通过ResearchMatch在线参与。该调查收集了人口统计信息，并使用Likert量表评估了参与者对皮肤的态度。进行有序逻辑回归分析。结果：近三分之一的参与者对自己的皮肤感到不满意。与5年前相比，44%的人对自己的皮肤不太满意。最主要的皮肤问题是眼部浮肿（86.5%）、皮肤松弛（85.1%）、肤色不均（84.9%）、质地不均（83.5%）和皮肤干燥（81.4%）。新冠肺炎大流行期间，视频会议（31%）、戴口罩（23%）和压力增加（21%）影响了参与者对皮肤的感觉。与男性相比，女性“强烈同意”所有三个与疫情相关的因素——视频会议、戴口罩和压力增加——都会影响她们对皮肤的感觉的可能性是男性的1.6至1.8倍（P<0.01）。与年龄最大的年龄组相比，年龄较小的年龄组在所有3个疫情相关因素中排名第一的可能性高1.5至2.8倍（P<0.01）。限制：参与者的招募仅限于在ResearchMatch上注册的18岁或以上会说英语的成年人，该网站的少数族裔人口代表性不足。应该进行进一步的研究，以阐明新冠疫情如何影响对皮肤的感知。结论：皮肤老化在所有年龄段的成年人中都是一个值得关注的问题。新冠肺炎大流行加剧了皮肤问题。女性和年轻人对皮肤的态度更有可能受到新冠肺炎大流行的影响。

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引用次数: 0

Colorism attitudes and use of skin lightening agents in the United States. 美国的肤色主义态度和皮肤美白剂的使用。

Q2 Medicine

International Journal of Women''s Dermatology

Pub Date : 2023-07-13 eCollection Date: 2023-10-01 DOI: 10.1097/JW9.0000000000000092

Karishma Daftary, Sneha Poondru, Nina Patel, Maxwell Shramuk, Lutfiyya Muhammad, Roopal V Kundu

Skin lightening (SL) is a practice involving the use of chemicals to lighten the skin that is more common among skin of color (SOC) individuals, particularly women, and can lead to adverse health consequences.

Objective: In this study, we examine SL habits, including both general lightening and lightening for the treatment of a skin condition, among SOC individuals in the United States and the role of colorism in motivating these behaviors.

Methods: A cross-sectional survey was administered to SOC individuals through ResearchMatch, an online national health registry. Demographics, rates of SL, SL habits, and perceived colorism among SL users and nonusers were collected and analyzed with χ², Fisher's exact, Analysis of variance (ANOVA), Spearman correlation, and t tests.

Results: A total of 455 participants completed the survey. Ninety-seven participants (21.3%) reported using SL agents: 73.2% (71/97) used SL agents for the treatment of a skin condition and 26.8% (26/97) used the products for general SL. Only 22.6% (22/97) of SL users consulted a medical provider before using the products. Forty-four participants (45.4%) were unaware of their SL product ingredients, and 35.1% (34/97) reported using hydroquinone-based products. Composite colorism scores were significantly higher in SL users than nonusers (20.03 vs 18.20; P < .001).

Limitations: This study used self-reported racial/ethnic groups to characterize those with SOC rather than assessing actual skin tones of participants, which could have led to variability.

Conclusion: SL among SOC individuals is prevalent in the U.S. and poses a health risk, as many SL users are unaware of product ingredients, do not consult a medical provider before use, and have access to potentially unsafe formulations. Dermatologists should address skin tone and pigmentary concerns with their SOC patients.

皮肤美白（SL）是一种使用化学物质来淡化皮肤的做法，在有色人种（SOC）中更为常见，尤其是女性，可能会导致不利的健康后果。目的：在这项研究中，我们调查了美国SOC个体的SL习惯，包括一般的美白和治疗皮肤病的美白，以及肤色在激发这些行为中的作用。方法：通过在线国家健康登记处ResearchMatch对SOC个体进行横断面调查。收集SL使用者和非使用者的人口学数据、SL发生率、SL习惯和感知色度，并采用χ2、Fisher精确、方差分析（ANOVA）、Spearman相关性和t检验进行分析。结果：共有455名参与者完成了调查。97名参与者（21.3%）报告使用SL制剂：73.2%（71/97）使用SL制剂治疗皮肤病，26.8%（26/97）将该产品用于一般SL。只有22.6%（22/97）的SL使用者在使用该产品前咨询了医疗机构。44名参与者（45.4%）不知道他们的SL产品成分，35.1%（34/97）报告使用了氢醌类产品。SL使用者的综合肤色得分明显高于非使用者（20.03 vs 18.20；P<.001）。局限性：这项研究使用自我报告的种族/族裔群体来表征SOC患者，而不是评估参与者的实际肤色，这可能会导致变异。结论：SL在SOC人群中在美国很普遍，并构成健康风险，因为许多SL使用者不知道产品成分，使用前不咨询医疗服务提供者，并且可以获得潜在的不安全配方。皮肤科医生应解决SOC患者的肤色和色素问题。

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引用次数: 1

Practical application of the facial fat compartments and the line of ligaments concept in achieving the lifting effect in the lower face region in female patients. 面部脂肪区隔和韧带线概念在女性患者面部下区提升效果的实际应用。

Q2 Medicine

International Journal of Women''s Dermatology

Pub Date : 2023-06-01 DOI: 10.1097/JW9.0000000000000080

Lidia Majewska

Dear Editors, The rhytidectomy has always been the gold standard in treating facial sagging and loss of facial contour, however recent years brought better understanding of the facial anatomy and facial aging processes, especially those affecting fat pads and ligaments. Understanding the fact that face is not a static structure but a 3D dynamic one allows for applying new injection techniques to achieve natural results. The concept of subcutaneous facial fat compartments1 suggests that the face does not age as a composite mass. The shearing forces between neighboring compartments may be the reason behind soft tissues malposition. This knowledge, together with the concept of the line of ligaments (Fig. 1A) and the preconditioning effect of the lateral injection2,3 allows to gain an aesthetic lifting effect in the lower face area. The technique reported here is based on the filling of the superficial lateral temporal cheek fat compartment (Fig. 1B). Specific targeting of this region with the moderate amount of hyaluronic acid (HA) can lift the position of soft tissues of the lower face and accentuate the jawline contour. Novelty of this technique is based on the fact that this region of the face is usually not a target area for the injection procedures using HA fillers. In recent years, however, there was a number of publications on non-surgical temporal lifting techniques proving their efficacy in the correction of facial shape.2–5 In author’s personal experience, combining temporal lifting with the presented here technique of the lateral non-surgical lifting is more beneficial toward improving facial contours. To assess the aesthetic improvement of the treated area, the Global Aesthetic Improvement Scale (GAIS) was used. The GAIS is a scale where 0 = worse, 1 = no change, 2 = improved, 3 = much improved, and 4 = very much improved. The patient was also asked to report her level of personal satisfaction with the treatment (very satisfied, satisfied, not satisfied) and whether she would recommend the treatment to her friends (yes or no). The patient presented here is a 56-year-old woman. She had no previous soft tissue filler treatments of the face, reported absence of previous thread treatment, and had no previous face or neck surgery. Medical history revealed an absence of allergies, contraindications, or chronic diseases that would exclude the application of soft tissue fillers in the face (Fig. 2). After topical skin disinfection (Skinsept Pur; Ecolab Deutschland GmbH, Düsseldorf, Germany), it was punctured 1.5 cm to the Porion with a 23 G needle and a 25 G 50 mm blunt cannula (TSK, Japan) was inserted in the downward direction. The entire length of the cannula was advanced in the superficial subdermal plane until reaching the mandibula angle. Using the fanning technique, a total volume of 0.7 mL of the product (TEOSYAL RHA 4; Teoxane, Geneva, Switzerland) was injected in a triangular shape starting from the mandibular angle all the way to the

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引用次数: 0

Gender disparities in health-related quality of life (HRQoL) in patients with cutaneous T-cell lymphoma. 皮肤t细胞淋巴瘤患者健康相关生活质量(HRQoL)的性别差异

Q2 Medicine

International Journal of Women''s Dermatology

Pub Date : 2023-06-01 DOI: 10.1097/JW9.0000000000000085

Christopher W Chalaka, Heather M Mahurin, Erica Tarabadkar, Daniel S Hippe, Elizabeth T Loggers, Michi M Shinohara

Patients with cutaneous T-cell lymphoma (CTCL) often experience debilitating symptoms that impair health-related quality of life (HRQoL). Existing evidence for HRQoL differences with respect to gender is conflicting.

Objective: To investigate potential gender differences in HRQoL for patients with CTCL.

Methods: We performed a cross-sectional study to assess HRQoL in patients with CTCL by partnering with the Cutaneous Lymphoma Foundation to distribute an electronic survey from February to April 2019.

Results: A total of 292 patient responses (66% women, mean age 57 years) were included in the analysis. Most of the cohort had early-stage (IA-IIA) (74%; 162/203) mycosis fungoides (MFs) (87%; 241/279), followed by Sézary syndrome (SS) (12%; 33/279). Women with CTCL experienced significantly worse HRQoL compared with men (Skindex-16: 51±26 vs. 36±26, P ≤ 0.001; FACT-G: 69±21 vs. 77±16, P = 0.005). This gender difference was present even when controlling for stage of disease. Women experienced worse HRQoL in all three of the Skindex-16 subscales (symptoms: β = 14.0, P ≤ 0.001; emotions: β = 15.1, P ≤ 0.001; functioning: β = 11.3, P = 0.006), but only two of the four FACT-G subscales (physical: β =-2.8, P ≤ 0.001; emotional: β = -2.0, P = 0.004).

Limitations: Due to the method of distribution of the survey, we were unable to estimate a participant response rate. Participants' diagnosis and stage were self-reported.

Conclusion: In this cohort women with CTCL experienced significantly worse HRQoL when compared to men. Additional studies are necessary to determine what factors contribute to this gender disparity.

皮肤t细胞淋巴瘤(CTCL)患者经常出现衰弱症状，损害健康相关生活质量(HRQoL)。关于HRQoL的性别差异的现有证据是相互矛盾的。目的:探讨CTCL患者HRQoL的潜在性别差异。方法:我们与皮肤淋巴瘤基金会合作进行了一项横断面研究，以评估CTCL患者的HRQoL，并于2019年2月至4月分发电子调查。结果:共有292例患者应答(66%为女性，平均年龄57岁)被纳入分析。大多数队列为早期(IA-IIA) (74%;162/203)蕈样真菌病(MFs) (87%;241/279)，其次是ssamzary综合征(SS) (12%;33/279)。女性CTCL患者的HRQoL明显低于男性(skinindex -16: 51±26 vs 36±26,P≤0.001;FACT-G: 69±21比77±16,P = 0.005)。即使控制了疾病的阶段，这种性别差异仍然存在。在所有三个skinindex -16亚量表中，女性的HRQoL均较差(症状:β = 14.0, P≤0.001;情绪:β = 15.1, P≤0.001;功能:β = 11.3, P = 0.006)，但四个FACT-G子量表中只有两个(身体:β =-2.8, P≤0.001;情绪:β = -2.0, P = 0.004)。局限性:由于调查的分布方法，我们无法估计参与者的回复率。参与者的诊断和阶段是自我报告的。结论:在这个队列中，女性CTCL患者的HRQoL明显差于男性。需要进一步的研究来确定造成这种性别差异的因素。

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引用次数: 0

Improving hairdressers' knowledge and identification of scarring alopecia using an educational video. 利用教育视频提高理发师对瘢痕性脱发的认识和识别。

Q2 Medicine

International Journal of Women''s Dermatology

Pub Date : 2023-06-01 DOI: 10.1097/JW9.0000000000000079

Shaheir Ali, Maya Collins, Isabel Pupo Wiss, Laura Burns, Dina Hagigeorges, Jean Pickford, Maryanne Senna

引用次数: 0

Exploring the historical stigma of spironolactone use in breast cancer survivors with alopecia. 探讨螺内酯在脱发乳腺癌幸存者中使用的历史耻辱。

Q2 Medicine

International Journal of Women''s Dermatology

Pub Date : 2023-06-01 DOI: 10.1097/JW9.0000000000000083

Michael G Buontempo, Lina Alhanshali, Jerry Shapiro, Kristen Lo Sicco

引用次数: 0

Pain management and emergency care in adolescent patients with hidradenitis suppurativa: a cross-sectional hospital-based study. 青少年化脓性汗腺炎患者的疼痛管理和急救:一项基于医院的横断面研究。

Q2 Medicine

International Journal of Women''s Dermatology

Pub Date : 2023-06-01 DOI: 10.1097/JW9.0000000000000086

Helen H Park, Carrie L Vuong, Katy Phan, Kumudra Nyun, Elana Kleinman, Romeo C Ignacio, George K Hightower

引用次数: 0

Acquired vulvar lymphangioma: risk factors, disease associations, and management considerations: a systematic review. 获得性外阴淋巴管瘤:危险因素、疾病关联和管理考虑:系统综述。

Q2 Medicine

International Journal of Women''s Dermatology

Pub Date : 2023-06-01 DOI: 10.1097/JW9.0000000000000087

Amber Duong, Alex Balfour, Christina N Kraus

Acquired vulvar lymphangioma (AVL) is not well-characterized. Diagnosis is delayed and the condition is often refractory to therapy.

Objective: The objective of this study was to provide a systematic review of AVL including risk factors, disease associations, and management options.

Methods: A primary literature search was conducted using 3 databases: PubMed, CINAHL, and OVID, from all years to 2022.

Results: In total, 78 publications with 133 patients (48 ± 17 years) were included. Most studies were case reports/series. The most common disease association was prior malignancy (70 patients, 53% of cases) and inflammatory bowel disease (6 patients, 5% of cases). The most common malignancy was cervical cancer (57 patients, 43% of cases). Most patients had prior radiation or surgery, with 36% (n = 48) treated with radiation, 30% (n = 40) with lymph node dissection, and 27% (n = 36) with surgical resection. Common presenting symptoms included discharge/oozing, pain, and pruritus. Most patients underwent surgical treatment for AVL with 39% treated with excision, 12% with laser therapy (the majority used CO₂), and 11% with medical therapies. Most patients had failed prior therapies and there was a diagnostic delay.

Limitations: Retrospective nature. Most studies were limited to case reports and case series, with interstudy variability and result heterogeneity.

Conclusion: AVL is an underrecognized entity and should be considered in patients with a history of malignancy or radiation to the urogenital area. Treatment should include multidisciplinary care and address underlying lymphatic changes, manage any existing inflammatory conditions, and utilize skin-directed therapies and barrier agents while addressing symptoms of pruritus and pain. Prospective studies are needed to further characterize AVL and develop treatment guidelines.

获得性外阴淋巴管瘤(AVL)的特征尚不明确。诊断延迟，病情往往难以治疗。目的:本研究的目的是对AVL的危险因素、疾病关联和治疗方案进行系统回顾。方法:采用PubMed、CINAHL和OVID 3个数据库，检索至2022年的所有年份的文献。结果:共纳入78篇文献，133例患者(48±17岁)。大多数研究为病例报告/系列。最常见的疾病关联是既往恶性肿瘤(70例，53%的病例)和炎症性肠病(6例，5%的病例)。最常见的恶性肿瘤是宫颈癌(57例，占病例的43%)。大多数患者既往有放疗或手术，其中36% (n = 48)接受放疗，30% (n = 40)接受淋巴结清扫，27% (n = 36)接受手术切除。常见的症状包括分泌物、疼痛和瘙痒。大多数患者接受手术治疗AVL，其中39%接受切除治疗，12%接受激光治疗(大多数使用CO2)， 11%接受药物治疗。大多数患者之前的治疗都失败了，诊断延迟了。局限性:回顾性。大多数研究仅限于病例报告和病例系列，存在研究间的可变性和结果异质性。结论:AVL是一种未被充分认识的疾病，在有恶性肿瘤或泌尿生殖区放射史的患者中应予以考虑。治疗应包括多学科护理和解决潜在的淋巴变化，管理任何现有的炎症状况，并在解决瘙痒和疼痛症状时使用皮肤导向疗法和屏障剂。需要前瞻性研究来进一步确定AVL的特征并制定治疗指南。

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引用次数: 0

Lymphedema and painless papules of the vulva. 外阴淋巴水肿和无痛丘疹。

Q2 Medicine

International Journal of Women''s Dermatology

Pub Date : 2023-06-01 DOI: 10.1097/JW9.0000000000000081

Brandon J Calley, Karolyn A Wanat, Olushola L Akinshemoyin Vaughn

An 86-year-old woman with a history of urothelial bladder cancer currently on enfortumab and pembrolizumab presented with several months of painless papules on the bilateral labia majora, with the extension of induration to the lower abdomen. Computed tomography (CT) scan 2 months prior showed bladder wall thickening secondary to urothelial bladder cancer and subcutaneous edema in the anterior lower pelvis without enlarged lymph nodes or adnexal masses suggestive of metastatic disease. She had no history of transplant, abdominal surgery, or radiation. She wore incontinence garments for bouts of diarrhea. Physical examination revealed confluent firm and nontender pink plaques involving the bilateral labia majora, mons pubis, and lower abdomen (Fig. 1). There were 1–2 mm vesicles at the medial free margins of the clitoral hood. Punch biopsies of both the lower abdomen and right labium majus were performed with histopathologic features shown (Fig. 2).

引用次数: 0

Treating co-existent genitourinary syndrome of menopause in patients with lichen sclerosus improves symptoms. 治疗硬化地衣患者并发的绝经期泌尿生殖系统综合征可改善症状。

Q2 Medicine

International Journal of Women''s Dermatology

Pub Date : 2023-03-01 DOI: 10.1097/JW9.0000000000000071

Shivani Desai, Sarah B Corley

引用次数: 0

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