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Impact of 30% supramolecular salicylic acid combined with ultra-pulse carbon dioxide fractional laser therapy on facial atrophic acne scars 30% 超分子水杨酸联合超脉冲二氧化碳点阵激光疗法对面部萎缩性痤疮疤痕的影响
Pub Date : 2024-07-11 DOI: 10.1097/jd9.0000000000000394
Xiu-Feng Liu, Man-Chang Yu
To assess the impact of 30% supramolecular salicylic acid (SSA) combined with ultra-pulse carbon dioxide (CO2) fractional laser therapy on facial atrophic acne scars. This retrospective study included patients with atrophic acne scars treated from June 2020 to June 2022. The patients were divided into the combination group (SSA combined with ultra-pulse CO2 fractional laser therapy) and the laser group (ultra-pulse CO2 fractional laser therapy alone). Four treatment sessions were conducted for each group. Follow-up visits were performed every 2 months after each treatment and included assessments of the Échelle d'Évaluation clinique des cicatrices d'acné (ECCA) score, effective rate, and visual analogue scale score. The combination and laser groups comprised 72 and 61 patients, respectively. There were no significant differences in sex, age, or baseline ECCA score between the two groups. The effective rate (95.8% vs. 67.2%, P < 0.001) was higher and the pain scores (during and after the intervention) were lower in the combination group than in the laser group (P < 0.001). The severity of erythema, edema, and crusting was milder in the combination group (P < 0.001). The proportion of highly satisfied patients was higher (73.6% vs. 31.2%, P < 0.001) and the Dermatology Life Quality Index showed greater improvement (0.15 ± 0.40 vs. 1.39 ± 1.53, P < 0.001) in the combination group than in the laser group. The combination of ultra-pulse CO2 fractional laser therapy and 30% supramolecular SSA had improved efficacy in treating facial atrophic acne scars without increasing pain or inducing adverse reactions.
目的:评估30%超分子水杨酸(SSA)联合超脉冲二氧化碳(CO2)点阵激光疗法对面部萎缩性痤疮疤痕的影响。 这项回顾性研究纳入了2020年6月至2022年6月期间接受治疗的萎缩性痤疮疤痕患者。患者被分为联合组(SSA联合超脉冲二氧化碳点阵激光疗法)和激光组(单纯超脉冲二氧化碳点阵激光疗法)。每组进行四次治疗。每次治疗后每两个月进行一次随访,内容包括Échelle d'Évaluation clinique des cicatrices d'acné(ECCA)评分、有效率和视觉模拟评分。 联合组和激光组分别有 72 名和 61 名患者。两组患者在性别、年龄或基线 ECCA 评分方面无明显差异。联合组的有效率(95.8% 对 67.2%,P < 0.001)高于激光组,疼痛评分(干预期间和干预后)也低于激光组(P < 0.001)。联合治疗组的红斑、水肿和结痂程度较轻(P < 0.001)。与激光组相比,联合治疗组的高度满意患者比例更高(73.6% 对 31.2%,P < 0.001),皮肤科生活质量指数的改善幅度更大(0.15 ± 0.40 对 1.39 ± 1.53,P < 0.001)。 超脉冲二氧化碳点阵激光疗法和30%超分子SSA联合治疗面部萎缩性痤疮疤痕的疗效更好,且不会增加疼痛或引起不良反应。
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引用次数: 0
Design and Content Validity of Health Games for children with Atopic Dermatitis 特应性皮炎儿童健康游戏的设计和内容有效性
Pub Date : 2024-07-08 DOI: 10.1097/jd9.0000000000000396
Mariana Muzzolon, Mariana A Pasa Morgan, R. Imoto, Vânia O de Carvalho
The success of managing atopic dermatitis (AD) largely depends on patient adherence to treatment. Achieving adherence requires more than knowledge transfer; it also requires a change in patients’ health behavior. Therefore, we conducted this study to develop and validate the content of health games for the pediatric population with AD. This study focused on developing and validating the content of health games about AD. Among these were the book Oli e o Grande Desafio da Coceira™ (“Oli and the Great Itching Challenge”) and the games Dermatrilha™ (“Dermatrail”) and Caixinha Surpresa da Dermatite™ (“Dermatitis Surprise Box”). The instrument development process consisted of five stages: planning of the instruments, development of the instruments, development of content validation questionnaires, evaluation by an expert committee, and a pre-test with the target audience. The expert committee comprised 20 professionals: 5 pediatric dermatologists, 5 hospital psychologists, 5 illustrators/designers, and 5 early childhood education teachers. The target audience comprised 25 children with AD aged 5 to 12 years. The content validity index was 0.94 in the evaluation by the expert committee and 0.95 in the evaluation by the target audience. Among the games, the general content validity index was 0.95 among the members of the expert committee and 0.92 among the target audience, being higher than 0.80 for all items. The health games evaluated in this study are useful psychoeducational tools with high content validity for use in the therapeutic education of children with AD.
特应性皮炎(AD)的治疗成功与否在很大程度上取决于患者是否坚持治疗。要做到坚持治疗,不仅需要知识的传授,还需要患者健康行为的改变。因此,我们开展了这项研究,以开发和验证针对儿童特应性皮炎患者的健康游戏内容。 本研究的重点是开发和验证有关注意力缺失症的健康游戏内容。这些游戏包括《Oli e o Grande Desafio da Coceira™》(《Oli 和瘙痒大挑战》)一书以及游戏 Dermatrilha™(《Dermatrail》)和 Caixinha Surpresa da Dermatite™(《皮炎惊喜盒》)。工具开发过程包括五个阶段:工具规划、工具开发、内容验证问卷开发、专家委员会评估和目标受众预测试。 专家委员会由 20 位专业人士组成:专家委员会由 20 名专业人士组成:5 名儿科皮肤科医生、5 名医院心理学家、5 名插画家/设计师和 5 名幼儿教育教师。目标受众包括 25 名 5 至 12 岁患有注意力缺失症的儿童。在专家委员会的评估中,内容效度指数为 0.94,在目标受众的评估中,内容效度指数为 0.95。在游戏中,专家委员会成员的一般内容效度指数为 0.95,目标受众的一般内容效度指数为 0.92,所有项目的内容效度指数均高于 0.80。 本研究评估的健康游戏是有用的心理教育工具,其内容效度高,可用于注意力缺失症儿童的治疗教育。
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引用次数: 0
Prognosis and immune infiltration analysis of m6A RNA methylation regulators in cutaneous melanoma and differential analysis with cuproptosis related genes 皮肤黑色素瘤 m6A RNA 甲基化调节因子的预后和免疫浸润分析以及与杯突症相关基因的差异分析
Pub Date : 2024-06-03 DOI: 10.1097/jd9.0000000000000387
Cui-cui Tian, Hao-ze Shi, Cong-cong Zhang, Yingjie Kong, Hao Chen
N6-methyladenosine (m6A) modification and cuproptosis play essential roles in the pathogenesis of various malignant tumors. However, the predictive role of m6A regulators and cuproptosis-related genes in cutaneous melanoma (CM) remains unclear. In this study, the aim was not only to explore the role of m6A modification in CM, but also to investigate the differential expression of cuproptosis-related genes in different risk group. We obtained transcriptome data from the XENA and GTEx databases. Univariate Cox regression analysis was performed to investigate the relationship between m6A-related genes and the outcomes of CM. LASSO regression analysis was utilized to construct a risk model. Moreover, we analyzed immune cell infiltration using CIBERSORT algorithms. Finally, we evaluated the expression levels of cuproptosis-related genes in CM samples and performed RT-qPCR to validate the expression of cuproptosis-associated genes in melanoma cells after YTHDF3 knockdown. All m6A-related genes differed in melanoma tissues and normal tissues and a prognostic signature was developed. Immune infiltration revealed that low-risk group patients had a higher level of CD8 + T cells, memory activated CD4 + T cells, activated NK cells and M1 Macrophages than high-risk group (P<0.05). Moreover, the cuproptosis-related genes MTF-1, PDHB and FDX1 were significantly negatively associated with risk score (P=0.0007, P=0.0057 and P=0.04, respectively). We also found that downregulation YTHDF3 in melanoma cells affected the expression of cuproptosis-related genes. (P<0.01 and P<0.05). Our study demonstrated the prognostic value of m6A-related genes and cuproptosis-related genes in CM, providing new predictive models and potential therapeutic targets for CM.
N6-甲基腺苷(m6A)修饰和杯突症在各种恶性肿瘤的发病机制中起着至关重要的作用。然而,m6A调节因子和杯突症相关基因在皮肤黑色素瘤(CM)中的预测作用仍不清楚。本研究的目的不仅在于探讨m6A修饰在皮肤黑色素瘤中的作用,还在于研究杯突相关基因在不同风险组中的差异表达。 我们从 XENA 和 GTEx 数据库中获得了转录组数据。我们采用单变量 Cox 回归分析来研究 m6A 相关基因与 CM 结局之间的关系。我们还利用 LASSO 回归分析构建了风险模型。此外,我们还使用 CIBERSORT 算法分析了免疫细胞浸润。最后,我们评估了CM样本中杯突症相关基因的表达水平,并通过RT-qPCR验证了YTHDF3敲除后黑色素瘤细胞中杯突症相关基因的表达情况。 所有与 m6A 相关的基因在黑色素瘤组织和正常组织中均存在差异,并形成了预后特征。免疫浸润显示,低风险组患者的CD8 + T细胞、记忆活化CD4 + T细胞、活化NK细胞和M1巨噬细胞水平高于高风险组(P<0.05)。此外,杯突相关基因MTF-1、PDHB和FDX1与风险评分呈显著负相关(分别为P=0.0007、P=0.0057和P=0.04)。我们还发现,黑色素瘤细胞中 YTHDF3 的下调会影响杯突相关基因的表达。(P<0.01和P<0.05)。 我们的研究证明了m6A相关基因和杯突症相关基因在CM中的预后价值,为CM提供了新的预测模型和潜在的治疗靶点。
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引用次数: 0
Research progress on ultrastructure of Treponema pallidum subspecies pallidum 苍白螺旋体亚种超微结构的研究进展
Pub Date : 2024-05-09 DOI: 10.1097/jd9.0000000000000386
Si-Ning Wang, Rui-Li Zhang
The ultrastructure of Treponema pallidum, the causative pathogen of syphilis, remains unclarified because of the difficulty of long-term culture in vitro. However, research on the ultrastructure of T. pallidum has made great progress in recent years with the success of long-term culture of T. pallidum in vitro and the development of gene sequencing technology and electron microscopy. This review summarizes the research progress on the ultrastructure of T. pallidum.
由于难以在体外进行长期培养,梅毒的致病菌苍白螺旋体(Treponema pallidum)的超微结构仍未明确。不过,近年来随着苍白螺旋体体外长期培养的成功以及基因测序技术和电子显微镜技术的发展,对苍白螺旋体超微结构的研究取得了很大进展。本综述总结了苍白螺旋体超微结构的研究进展。
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引用次数: 0
Impact of the COVID-19 pandemic on the epidemiology of hand-foot-and-mouth disease and varicella in a general hospital in Guangzhou, China COVID-19 大流行对中国广州某综合医院手足口病和水痘流行病学的影响
Pub Date : 2024-04-15 DOI: 10.1097/jd9.0000000000000383
Hui-Hui Wu, Hang Li, Juan-Hua Liu, Lu-Li Song, D. Luo, Yu-Kun Zhao
We retrospectively reviewed the medical records of patients with hand-foot-and-mouth disease (HFMD) and varicella treated in a general hospital in Guangzhou, China between 2017 and 2023 to evaluate the effect of the coronavirus disease 2019 (COVID-19) on the epidemiology of HFMD and varicella in Guangzhou. The epidemiological characteristics of HFMD and varicella before (2017–2019), during (2020–2022), and after (2023) the pandemic were compared. In total, 1731 cases of HFMD and 1043 cases of varicella were reported before the COVID-19 pandemic (2017–2019), with average reporting rates of 0.08% and 0.05%, respectively. During the COVID-19 pandemic (2020–2022), the number of reported cases of HFMD and varicella decreased to 571 and 389, respectively, with average reporting rates of 0.03% and 0.02%, respectively, which were significantly different from those in the pre-pandemic period (P < 0.001). In the post-pandemic period (2023), the reporting rate of HFMD was 0.07%, showing a marked increase compared with that in 2022 (P < 0.001). However, the difference in the reporting rate of varicella in 2023 did not differ significantly from that in 2022 (P =0.204). These results suggest that non-pharmaceutical interventions implemented during the COVID-19 pandemic might be helpful in preventing the spread of HFMD and varicella.
我们回顾性地查阅了2017年至2023年间中国广州某综合医院收治的手足口病和水痘患者的病历,以评估2019年冠状病毒病(COVID-19)对广州手足口病和水痘流行病学的影响。比较了流行前(2017-2019年)、流行中(2020-2022年)和流行后(2023年)手足口病和水痘的流行特征。COVID-19大流行前(2017-2019年)共报告手足口病1731例,水痘1043例,平均报告率分别为0.08%和0.05%。在 COVID-19 大流行期间(2020-2022 年),手足口病和水痘的报告病例数分别降至 571 例和 389 例,平均报告率分别为 0.03% 和 0.02%,与大流行前相比有显著差异(P < 0.001)。在疫症流行後(2023 年),手足口病的呈報率為 0.07%,較 2022 年顯著上升(P < 0.001)。然而,2023 年的水痘报告率与 2022 年相比并无显著差异(P =0.204)。这些结果表明,在 COVID-19 大流行期间实施的非药物干预措施可能有助于预防手足口病和水痘的传播。
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引用次数: 0
Eruptive pseudoangiomatosis and parvovirus: exclusive clinical findings 爆发性假血管瘤病和副病毒:独有的临床发现
Pub Date : 2024-04-15 DOI: 10.1097/jd9.0000000000000384
F. Gaudiello, S. Spennato, F. Cillo, Maria Teresa Cantelli, Maria Vastarella, M. Scalvenzi
Eruptive pseudoangiomatosis (EP) is a rare type of cutaneous exanthema characterized by red angioma-like papules. An association of EP with viral infection has been reported. We herein describe four pediatric patients who showed a new variant of EP-associated rash with atypical clinical features and positivity for parvovirus B19 infection. Pediatric patients showed a new variant of EP-associated rash with atypical clinical features and positivity for parvovirus B19 infection by dermoscopy and reflectance confocal microscopy. The papules were localized to the face and characteristic perilesional halo was absent. In all patients, serology revealed evidence of active infection by parvovirus B19. Few cases of a facial pseudoangiomatous rash that is related to parvovirus B19 infection and lacks the typical anemic halo have been reported in the literature. These cases provide new data on the clinical spectrum of EP and its association with parvovirus.
爆发性假血管瘤病(EP)是一种罕见的皮肤外红斑,以红色血管瘤样丘疹为特征。有报道称,EP 与病毒感染有关。我们在此描述了四名儿童患者,他们表现出一种新的变异型EP相关皮疹,临床特征不典型,且副病毒B19感染呈阳性。 通过皮肤镜检查和反射共聚焦显微镜检查,发现四名儿童患者的EP相关皮疹具有新的变异型,临床特征不典型,副病毒B19感染阳性。丘疹局限于面部,周围无特征性晕轮。所有患者的血清学检查都显示出副病毒 B19 的活动感染证据。 与副病毒 B19 感染有关的面部假血管瘤性皮疹缺乏典型的贫血晕的病例在文献中鲜有报道。 这些病例为 EP 的临床范围及其与 parvovirus 的关联提供了新的数据。
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引用次数: 0
Macrophage Polarization and Crosstalk between Macrophages and Other Cells in Hidradenitis Suppurativa 化脓性扁桃体炎中巨噬细胞的极化以及巨噬细胞与其他细胞之间的相互影响
Pub Date : 2024-03-25 DOI: 10.1097/jd9.0000000000000382
Qiujing Zhang, Yibo Feng, Xiang Chen, Xiaohui Mo, Qiong Wu, Qiang Ju
Hidradenitis suppurativa (HS), also known as acne inversa, is a chronic inflammatory disease characterized by the development of inflammatory nodules, abscesses, and pus-discharging tunnels in areas such as the axillary, inguinal, gluteal, and perianal regions. The pathogenesis of HS remains unclear, but it is being increasingly recognized to rely on the dysregulation of inflammatory responses. Central to this process are macrophages, which have emerged as key players in the inflammatory milieu of HS. These cells orchestrate inflammation via polarization and significantly influence the functions of neighboring cells. This review briefly describes macrophage polarization and crosstalk between macrophages and other cells in patients with HS with the aim of providing new therapeutic strategies for the clinical management of HS.
化脓性扁平湿疹(Hidradenitis suppurativa,HS)又称倒置性痤疮,是一种慢性炎症性疾病,其特征是在腋窝、腹股沟、臀部和肛周等部位出现炎性结节、脓肿和排脓隧道。HS的发病机制尚不清楚,但越来越多的人认识到它依赖于炎症反应的失调。这一过程的核心是巨噬细胞,它们已成为 HS 炎症环境中的关键角色。这些细胞通过极化协调炎症反应,并对邻近细胞的功能产生重大影响。本综述简要介绍了HS患者体内巨噬细胞的极化以及巨噬细胞与其他细胞之间的相互影响,旨在为HS的临床治疗提供新的治疗策略。
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引用次数: 0
Serum 25-Hydroxyvitamin D Level Might Be a Useful Indicator of Disease Severity in Obese Children With Atopic Dermatitis: A Case-Control Study 血清 25-羟维生素 D 水平可能是特应性皮炎肥胖儿童疾病严重程度的有效指标:病例对照研究
Pub Date : 2024-03-01 DOI: 10.1097/jd9.0000000000000366
Jing-Jing Chen, Xiao-Kai Fang, Xiu-Mei Liu, Xiao-Chun Liu, Xu Yao
To assess the relationship between the severity of atopic dermatitis (AD) in children of varying weight categories and their serum 25-hydroxyvitamin D [25(OH)D] levels. The study population comprised 899 patients with AD and 854 age- and sex-matched controls. The Mann-Whitney U test and Kruskal-Wallis H tests were used to assess differences between groups, and Spearman correlation analysis was used to test correlation. The 25(OH)D level in the AD group was M (Q 25, Q 75), 24.0 (19.7, 28.4) ng/mL, which was significantly lower than the control group (26.4 [23.6, 29.9] ng/mL; Z = −3.34, P = 0.001). 25(OH)D levels in children with AD were negatively correlated with body mass index (r = −0.30, P < 0.001), Severity scoring of Atopic Dermatitis (SCORAD; r = −0.14, P < 0.001), total immunoglobulin E (r = −0.13, P < 0.001), and eosinophil (r = −0.08, P = 0.017). There were statistically significant differences in 25(OH)D (H = 18.46, P < 0.001), total immunoglobulin E (H = 9.13, P = 0.010), eosinophil (H = 67.17, P < 0.001), and SCORAD (H = 10.49, P = 0.005) among groups with different body mass index classification. The 25(OH)D levels were 22.3 (17.5, 27.1) ng/mL in the overweight AD group and 22.3 (17.6, 25.7) ng/mL in the obese AD group, which were significantly lower than those in the normal-weight AD group (24.7 [20.4, 25.5] ng/mL; P = 0.003, P = 0.004). 25(OH)D levels were negatively correlated with SCORAD in obese AD patients (r = −0.25, P = 0.010). Vitamin D insufficient or deficient is obvious in children AD patients. The 25(OH)D levels in the overweight/obese AD group are significantly lower than those in the normal-weight AD group. Vitamin D level is negatively correlated with SCORAD in obese children with AD.
目的:评估不同体重儿童特应性皮炎(AD)的严重程度与其血清中 25- 羟基维生素 D [25(OH)D] 水平之间的关系。 研究对象包括 899 名 AD 患者和 854 名年龄和性别匹配的对照组。曼-惠特尼U检验和Kruskal-Wallis H检验用于评估组间差异,斯皮尔曼相关分析用于检验相关性。 AD组的25(OH)D水平为M(Q 25,Q 75),24.0(19.7,28.4)纳克/毫升,明显低于对照组(26.4 [23.6,29.9] 纳克/毫升;Z = -3.34,P = 0.001)。AD患儿的25(OH)D水平与体重指数(r = -0.30,P < 0.001)、特应性皮炎严重程度评分(SCORAD;r = -0.14,P < 0.001)、总免疫球蛋白E(r = -0.13,P < 0.001)和嗜酸性粒细胞(r = -0.08,P = 0.017)呈负相关。不同体重指数组间的 25(OH)D(H = 18.46,P < 0.001)、总免疫球蛋白 E(H = 9.13,P = 0.010)、嗜酸性粒细胞(H = 67.17,P < 0.001)和 SCORAD(H = 10.49,P = 0.005)差异有统计学意义。超重AD组和肥胖AD组的25(OH)D水平分别为22.3(17.5,27.1)纳克/毫升和22.3(17.6,25.7)纳克/毫升,明显低于正常体重AD组(24.7 [20.4,25.5] 纳克/毫升;P = 0.003,P = 0.004)。肥胖AD患者的25(OH)D水平与SCORAD呈负相关(r = -0.25,P = 0.010)。 在儿童注意力缺失症患者中,维生素 D 的不足或缺乏非常明显。超重/肥胖AD组的25(OH)D水平明显低于正常体重AD组。肥胖儿童AD患者的维生素D水平与SCORAD呈负相关。
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引用次数: 0
Eccrine Spiradenoma of the Forehead: A Case Report 额部棘细胞瘤:病例报告
Pub Date : 2024-02-06 DOI: 10.1097/jd9.0000000000000375
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引用次数: 0
A novel small deletion in the ATP2A2 gene in a patient with sporadic Darier’s disease and concomitant depression: a case report 一名散发性达里尔病患者的 ATP2A2 基因小缺失并伴有抑郁症:病例报告
Pub Date : 2024-02-06 DOI: 10.1097/jd9.0000000000000371
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引用次数: 0
期刊
International journal of dermatology and venereology
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