Anais brasileiros de dermatologia最新文献

英文中文

Dermoscopic monitoring of pediatric melanocytic nevi regarding pattern and diameter changes 皮肤镜监测小儿黑素细胞痣的形态和直径变化。

IF 2.6 4区医学 Q2 DERMATOLOGY

Anais brasileiros de dermatologia

Pub Date : 2024-07-14 DOI: 10.1016/j.abd.2024.01.004

Dilara İlhan Erdil , Ayşe Esra Koku Aksu , Vefa Aslı Turgut Erdemir , Duygu Erdil , Cem Leblebici , Asude Kara Polat

Background

Childhood and adolescence are dynamic period in terms of nevogenesis, and the development and growth of new melanocytic nevus are frequently observed. In this study, the aim was to examine the pattern and diameter changes seen in the follow-up of pediatric melanocytic nevus.

Objectives

To describe the pattern and diameter changes seen in the follow-up of pediatric melanocytic.

Methods

Our study involved the assessment of 301 pediatric melanocytic nevi in 50 patients attended at the Dermatology Clinic of Istanbul Training and Research Hospital between January 2008 and 2022. The pediatric melanocytic nevi were diagnosed clinically and dermoscopically. Subsequently, we conducted video-dermoscopic monitoring of these nevi over a span of 3 months to 3 years.

Results

46% of our patients were female (n = 23), with a mean age of 11.5 years. While the pattern of nevi was globular in 40% patients, the rate of globular pattern decreased to 30% in the follow-up. The basal homogeneous nevus pattern was seen in 10% patients, but was detected in 13.9% in the follow-up. Peripheral globules were observed in 19.3% of the cases, but in the follow-up, 61.1% of the globules regressed completely. Nevus excision was indicated in only 11 of 301 nevi.

Study limitations

Single-center study and a small of studies available on this subject.

Conclusions

Pediatric melanocytic nevi can show dynamic changes compared to nevi in adults. In this study, growth rates, dermoscopic features, and pattern changes seen in the follow-up of melanocytic nevi were evaluated. The globular pattern was observed most frequently. The presence of peripheral globules is frequently observed in pediatric melanocytic nevi with regression during the follow-up period.

背景：儿童和青少年时期是痣生成的动态时期，经常可以观察到新的黑素细胞痣的发育和生长。本研究旨在观察小儿黑色素细胞痣随访中的形态和直径变化：描述小儿黑色素细胞痣随访中出现的形态和直径变化：2008年1月至2022年期间，伊斯坦布尔培训与研究医院皮肤病诊所对50名就诊患者中的301个小儿黑素细胞痣进行了评估。这些小儿黑素细胞痣是通过临床和皮肤镜诊断出来的。随后，我们对这些痣进行了 3 个月至 3 年的视频皮肤镜监测：结果：46%的患者为女性（23 人），平均年龄为 11.5 岁。40%的患者痣的形态为球状，但在随访中，球状形态的比例降至30%。10%的患者出现基底均质痣形态，但在随访中，13.9%的患者发现了这种形态。19.3%的病例观察到周边球状痣，但在随访中，61.1%的球状痣完全消退。301个痣中只有11个需要切除：研究局限性：单中心研究，相关研究较少：结论：与成人黑素细胞痣相比，小儿黑素细胞痣会出现动态变化。本研究评估了随访黑色素细胞痣的生长率、皮肤镜特征和形态变化。最常观察到的是球状形态。在小儿黑素细胞痣中，经常可以观察到外周球状物，并在随访期间消退。

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引用次数: 0

Acquired ichthyosis as a messenger to gastric diffuse large B-cell lymphoma 后天性鱼鳞病是胃弥漫大 B 细胞淋巴瘤的信使。

IF 2.6 4区医学 Q2 DERMATOLOGY

Anais brasileiros de dermatologia

Pub Date : 2024-07-14 DOI: 10.1016/j.abd.2023.08.020

引用次数: 0

Two years of innovative dermatological care: the first public health consultation service for the transgender and gender diverse community in Argentina 两年的创新皮肤病护理：阿根廷首个变性和性别多元化社区公共卫生咨询服务。

IF 2.6 4区医学 Q2 DERMATOLOGY

Anais brasileiros de dermatologia

Pub Date : 2024-07-14 DOI: 10.1016/j.abd.2024.03.003

Lola Kuperman Wilder , Valeria Orsi , Gonzalo Chebi , Maria Agustina Balague , Luciana Cabral Campana

Background

The LGBTQI + community encounters distinct healthcare challenges due to discrimination and inadequate understanding of their needs. Dermatologists play a crucial role in addressing this by fostering inclusiveness, recognizing individual concerns, and adopting tailored approaches, thereby promoting a more equitable healthcare system.

Objective

To address the need for an inclusive healthcare space, the authors established the first dermatological practice exclusively for transgender and non-binary patients. This article presents a comprehensive two-year experience in a public hospital.

Methods

The authors conducted a retrospective and descriptive study, analyzing the medical records of 114 patients evaluated at a specialized dermatological practice between June 2021 and May 2023. Key variables assessed included self-identified gender, age, residence, access to private healthcare, human immunodeficiency virus status, hormonal treatment, surgical interventions, consultation motives, employment stability, and family support during gender expression transition.

Results

The present study included 114 patients, 49.1% trans men, 39.5% trans women, and 8.8% non-binary individuals. Trans men, on average younger than trans women (p < 0.001), predominantly sought care for body modification-related concerns, particularly acne and androgenetic alopecia. In contrast, trans women exhibited a more diverse range of consultation motives typically unrelated to hormonal or surgical procedures.

Study limitations

This study is retrospective and limited in geographic scope. Additionally, the patient population lacked diversity in terms of Black ethnicity.

Conclusions

The pioneering dermatological practice for transgender and non-binary patients exemplifies healthcare equity and cultural competence. Effective LGBTQI + healthcare requires addressing unique dermatological concerns while fostering inclusiveness and continuous learning within the medical community.

背景：LGBTQI +群体由于受到歧视和对自身需求了解不足，在医疗保健方面面临着独特的挑战。皮肤科医生在解决这一问题方面发挥着至关重要的作用，他们促进包容性，认识到个人的关切，并采取量身定制的方法，从而促进医疗保健系统更加公平：为了满足对包容性医疗空间的需求，作者建立了第一家专为变性和非二元患者服务的皮肤科诊所。本文全面介绍了一家公立医院两年来的经验：作者进行了一项回顾性和描述性研究，分析了 2021 年 6 月至 2023 年 5 月期间在一家皮肤科专科诊所接受评估的 114 名患者的医疗记录。评估的主要变量包括自我认定的性别、年龄、居住地、获得私人医疗服务的机会、人类免疫缺陷病毒感染状况、激素治疗、手术干预、就诊动机、就业稳定性以及性别表达转换期间的家庭支持：本研究共纳入 114 名患者，其中变性男性占 49.1%，变性女性占 39.5%，非二元个体占 8.8%。变性男性平均比变性女性年轻（p 研究局限性：本研究为回顾性研究，地域范围有限。此外，就黑人种族而言，患者人群缺乏多样性：针对变性和非二元患者的皮肤科开创性实践体现了医疗公平和文化能力。有效的 LGBTQI + 医疗保健需要解决独特的皮肤病问题，同时促进医疗界的包容性和持续学习。

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引用次数: 0

8-Hydroxy-2’-deoxyguanosine protein immunoexpression is associated with the pathogenesis of actinic cheilitis - Replay 8-羟基-2'-脱氧鸟苷蛋白免疫表达与光化性咽颊炎的发病机制有关 - Replay。

IF 2.6 4区医学 Q2 DERMATOLOGY

Anais brasileiros de dermatologia

Pub Date : 2024-07-08 DOI: 10.1016/j.abd.2024.04.003

引用次数: 0

Transient neonatal zinc deficiency or acrodermatitis enteropathica? 一过性新生儿锌缺乏症还是肠病性肢皮炎？

IF 2.6 4区医学 Q2 DERMATOLOGY

Anais brasileiros de dermatologia

Pub Date : 2024-07-01 DOI: 10.1016/j.abd.2023.08.018

引用次数: 0

Acquired dermal melanocytosis restricted to the hand 局限于手部的获得性真皮黑素细胞增多症。

IF 2.6 4区医学 Q2 DERMATOLOGY

Anais brasileiros de dermatologia

Pub Date : 2024-06-29 DOI: 10.1016/j.abd.2023.05.013

引用次数: 0

Psoriasiform rash following maculopapular eruption during the continued administration of pembrolizumab 在持续服用 pembrolizumab 期间，继斑丘疹后出现牛皮癣样皮疹。

IF 2.6 4区医学 Q2 DERMATOLOGY

Anais brasileiros de dermatologia

Pub Date : 2024-06-29 DOI: 10.1016/j.abd.2023.03.012

引用次数: 0

A case of generalized pustular psoriasis following Moderna/NIAID COVID-19 vaccination successfully treated with secukinumab 一例接种 Moderna/NIAID COVID-19 疫苗后出现的泛发性脓疱型银屑病患者成功接受了 secukinumab 治疗。

IF 2.6 4区医学 Q2 DERMATOLOGY

Anais brasileiros de dermatologia

Pub Date : 2024-06-26 DOI: 10.1016/j.abd.2023.07.016

引用次数: 0

Use of low-dose rituximab to treat pemphigus 使用小剂量利妥昔单抗治疗丘疹性荨麻疹。

IF 2.6 4区医学 Q2 DERMATOLOGY

Anais brasileiros de dermatologia

Pub Date : 2024-06-15 DOI: 10.1016/j.abd.2023.07.019

引用次数: 0

Multirefractory bullous pemphigoid, psoriasis and psoriatic arthritis successfully treated with guselkumab 多发性难治性大疱性类风湿关节炎、银屑病和银屑病关节炎成功治愈的古舍库单抗。

IF 2.6 4区医学 Q2 DERMATOLOGY

Anais brasileiros de dermatologia

Pub Date : 2024-06-13 DOI: 10.1016/j.abd.2023.07.017

引用次数: 0

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