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Australasian Journal of Dermatology最新文献

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Contact Dermatitis 接触性皮炎。
IF 2 4区 医学 Q2 Medicine
Australasian Journal of Dermatology
Pub Date : 2024-05-09 DOI: 10.1111/ajd.14276
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引用次数: 0
Cosmetic Dermatology 美容皮肤科。
IF 2 4区 医学 Q2 Medicine
Australasian Journal of Dermatology
Pub Date : 2024-05-09 DOI: 10.1111/ajd.14277
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引用次数: 0
Hair 头发
IF 2 4区 医学 Q2 Medicine
Australasian Journal of Dermatology
Pub Date : 2024-05-09 DOI: 10.1111/ajd.14282
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引用次数: 0
Medical Dermatology 皮肤医学。
IF 2 4区 医学 Q2 Medicine
Australasian Journal of Dermatology
Pub Date : 2024-05-09 DOI: 10.1111/ajd.14283
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引用次数: 0
Acne 痤疮
IF 2 4区 医学 Q2 Medicine
Australasian Journal of Dermatology
Pub Date : 2024-05-09 DOI: 10.1111/ajd.14271
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引用次数: 0
Biologics/Psoriasis 生物制剂/牛皮癣。
IF 2 4区 医学 Q2 Medicine
Australasian Journal of Dermatology
Pub Date : 2024-05-09 DOI: 10.1111/ajd.14274
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引用次数: 0
Surgery for the General Dermatologist 普通皮肤科医生的外科手术。
IF 2 4区 医学 Q2 Medicine
Australasian Journal of Dermatology
Pub Date : 2024-05-09 DOI: 10.1111/ajd.14289
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引用次数: 0
The burden of atopic dermatitis in Australia: Medical care, treatment satisfaction, financial impact, long-term control and quality of life 澳大利亚特应性皮炎的负担：医疗护理、治疗满意度、经济影响、长期控制和生活质量。
IF 2.2 4区 医学 Q2 DERMATOLOGY
Australasian Journal of Dermatology
Pub Date : 2024-05-08 DOI: 10.1111/ajd.14299
Lynita Howie MPhil, Kara Orevillo BSc, Michelle Tu BSc, Alan Schwartz PhD JD, Melanie Funk, Cheryl Talent, Korey Capozza MPH

Atopic dermatitis patients and caregivers experience a high physical, mental and financial burden in Australia. We outline how the current care model impacts disease management and patients' quality of life via a survey of 265 Australian patients and caregivers to capture the experience of managing atopic dermatitis (AD) in Australia. Patients report an unsatisfactory quality of life and a high burden of disease with poor long-term control and low treatment satisfaction. They also reported changing spending and saving patterns to fund medical care. Patient experience improves with more specialised care that incorporates shared decision-making and patient/caregiver training beyond the clinic visit. These results highlight the need for improved general practitioner (GP) education, expedited access to medical specialists, greater patient involvement in treatment choices and more financial assistance to improve the experience of Australian patients and caregivers.

在澳大利亚，特应性皮炎患者和护理人员在身体、精神和经济方面都承受着沉重的负担。我们通过对 265 名澳大利亚患者和护理人员进行调查，了解了澳大利亚特应性皮炎（AD）患者的管理经验，从而概述了当前的护理模式如何影响疾病管理和患者的生活质量。患者对生活质量不满意，疾病负担重，长期控制不佳，治疗满意度低。他们还报告说，为了支付医疗费用，他们改变了消费和储蓄模式。如果提供更专业的护理，并在门诊之外纳入共同决策和患者/护理人员培训，患者的就医体验将得到改善。这些结果突出表明，有必要改进全科医生（GP）教育，加快专科医生的诊治，让患者更多地参与治疗选择，并提供更多的经济援助，以改善澳大利亚患者和护理人员的就医体验。
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引用次数: 0
Elongated linear vessels simulating branching vessels and diffuse structureless orange areas as prominent dermoscopic features of diffuse flat facial and extrafacial granuloma faciale: A case series 模拟分支血管的细长线状血管和弥漫性无结构橙色区域是弥漫性扁平面部肉芽肿和面部外肉芽肿的突出皮肤镜特征：一个病例系列。
IF 2.2 4区 医学 Q2 DERMATOLOGY
Australasian Journal of Dermatology
Pub Date : 2024-05-05 DOI: 10.1111/ajd.14298
Francesco Savoia, Matelda Medri, Ignazio Stanganelli, Silvia Zago, Lucia Domeniconi, Davide Melandri, Mauro Alaibac, Jacopo Tartaglia, Christian Ciolfi, Andrea Sechi

Dermoscopy can be an important help for the diagnosis of skin cancers and inflammatory cutaneous diseases. The list of the dermoscopic features reported in granuloma faciale is wide and includes vascular and non-vascular features. We report here three cases of diffuse flat facial and extrafacial granuloma faciale that exhibited elongated linear vessels simulating branching vessels and diffuse structureless orange areas. The differential diagnosis between flat-type granuloma faciale, basal cell carcinoma and cutaneous sarcoidosis can be extremely difficult, making histology mandatory before any treatment.

皮肤镜检查对皮肤癌和皮肤炎症性疾病的诊断有重要帮助。据报道，面部肉芽肿的皮肤镜特征很多，包括血管性和非血管性特征。我们在此报告了三例弥漫性面部扁平肉芽肿和面部外肉芽肿，这些肉芽肿表现为模拟分支血管的细长线状血管和弥漫性无结构橙色区域。面部扁平型肉芽肿、基底细胞癌和皮肤肉样瘤病之间的鉴别诊断非常困难，因此在治疗前必须进行组织学检查。
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引用次数: 0
Methylisothiazolinone sensitisation in New Zealand is decreasing 新西兰的甲基异噻唑啉酮过敏现象正在减少。
IF 2.2 4区 医学 Q2 DERMATOLOGY
Australasian Journal of Dermatology
Pub Date : 2024-05-05 DOI: 10.1111/ajd.14301
Hyun Kyoung Lee MBChB, Harriet Kennedy BHB, MBChB, MPhil, FRACP

Background/Objectives

In the last 10 years methylisothiazolinone (MI) emerged as a global cause of preservative-related ACD. New Zealand has liberal regulations for the MI concentration limit in cosmetic products compared to Europe and Australia. The aim of this study was to evaluate the prevalence of MI sensitisation in New Zealand, explore sources of MI exposure and make recommendations on New Zealand regulations for MI use.

Methods

This retrospective study included data from patients who underwent patch testing with MI from 2008 to 2021 in a tertiary hospital dermatology clinic and a private dermatology clinic in Auckland, New Zealand. Patient baseline characteristics were recorded along with results of patch testing. Sources of MI exposure were identified from medical records.

Results

Over the study period, 1049 patch tests were performed in 1044 patients. MI was only tested as a stand-alone allergen from 2015; positive reactions to MI increased from 5.3% in 2015 to a peak of 11.9% in 2017 and then decreased to 6.4% in 2021. The most common source of MI exposure was shampoo or conditioner (27.7% of all relevant reactions) followed by occupational exposures to paints, biocides or glue (19.1%).

Conclusion

Both sensitisation and ACD to MI appear to be decreasing, likely secondary to changes in product compounding due to stricter concentration limits internationally. We recommend New Zealand adopt lower MI concentration limits for cosmetics to match the limits of Australia and Europe.

背景/目的：在过去 10 年中，甲基异噻唑啉酮（MI）已成为全球防腐剂相关急性呼吸道感染的致病原因。与欧洲和澳大利亚相比，新西兰对化妆品中的甲基异噻唑啉酮浓度限制有宽松的规定。这项研究的目的是评估MI过敏症在新西兰的发病率，探索MI暴露的来源，并就新西兰有关MI使用的法规提出建议：这项回顾性研究包括2008年至2021年期间在新西兰奥克兰一家三甲医院皮肤科诊所和一家私人皮肤科诊所接受MI贴片测试的患者数据。患者的基线特征和斑贴测试结果均被记录在案。从医疗记录中确定了接触 MI 的来源：在研究期间，对 1044 名患者进行了 1049 次斑贴测试。从 2015 年起，只将 MI 作为一种独立的过敏原进行检测；对 MI 的阳性反应从 2015 年的 5.3% 增加到 2017 年的峰值 11.9%，然后在 2021 年降至 6.4%。最常见的MI接触源是洗发水或护发素（占所有相关反应的27.7%），其次是职业性接触油漆、杀菌剂或胶水（19.1%）：结论：MI 的致敏性和 ACD 似乎都在下降，这可能是由于国际上更严格的浓度限制导致产品配方发生了变化。我们建议新西兰在化妆品中采用较低的 MI 浓度限值，以与澳大利亚和欧洲的限值保持一致。
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