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Dermatologic Clinics

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https://www.readbyqxmd.com/read/29499806/complexities-of-rosacea
#1
EDITORIAL
Steven R Feldman, Leah A Cardwell, Sarah L Taylor
No abstract text is available yet for this article.
April 2018: Dermatologic Clinics
https://www.readbyqxmd.com/read/29499805/measurement-of-disease-severity-in-a-population-of-rosacea-patients
#2
REVIEW
Hossein Alinia, Sara Moradi Tuchayi, Sara M James, Leah A Cardwell, Sonali Nanda, Naeim Bahrami, Olabola Awosika, Irma Richardson, Karen E Huang, Steven R Feldman
Severity of rosacea in populations is not well characterized. A validated self-assessment tool was used to study the relationship between rosacea severity and demographic factors. Subjects were adult patients with a clinical diagnosis of rosacea. Self-assessment severity scores were significantly higher in participants less than 60 years old (mean 3.43 ± 1.07) compared with those greater than or equal to 60 years old (mean 3.09 ± 1.13; P = .04). Self-assessment severity scores were significantly higher in men (3...
April 2018: Dermatologic Clinics
https://www.readbyqxmd.com/read/29499804/validity-and-reliability-of-a-rosacea-self-assessment-tool
#3
REVIEW
Sara Moradi Tuchayi, Hossein Alinia, Lucy Lan, Olabola Awosika, Abigail Cline, Leah A Cardwell, Dennis Hopkinson, Irma Richardson, Karen E Huang, Steven R Feldman
The lack of validated rosacea assessment tools is a hurdle in assessing rosacea severity. This article discusses a valid and reliable rosacea severity self-assessment tool (RSAT) to measure rosacea severity. To determine test-retest validity, participants completed the self-assessment twice. A blinded physician graded the participant's disease severity with the Investigator Global Severity (IGS) score. Pearson correlations were used to assess the relationship between the self-assessment measure and the IGS...
April 2018: Dermatologic Clinics
https://www.readbyqxmd.com/read/29499803/genetic-predisposition-to-rosacea
#4
REVIEW
Olabola Awosika, Elias Oussedik
Rosacea is a common inflammatory skin disease with a multifaceted pathophysiology, including environmental stressors and neurovascular and immune dysfunction affected by the presence of pathogens. The genetic component of this disorder is not well understood. However, a possible genetic origin in Northern European descendants, family inheritance, twin concordance, and genetic associations with autoimmune disorders attest the genetic predisposition to rosacea. Currently, one single-nucleotide polymorphism has been identified in association with rosacea and is intergenic between HLA-DRA and BTNL2...
April 2018: Dermatologic Clinics
https://www.readbyqxmd.com/read/29499802/rosacea-pathogenesis
#5
REVIEW
Christine S Ahn, William W Huang
Rosacea is a chronic inflammatory skin disorder that is not fully understood but involves the complex interplay of genetic factors, immune dysregulation, neurovascular dysregulation, presence of microorganisms, and environmental factors. Increased activation of the immune system occurs through multiple stimuli, including increased levels of cathelicidin and kallikrein 5, Toll-like receptor 2, matrix metalloproteinases, and mast cells within the skin. Their effects are enhanced by the presence of microorganisms and external triggers, such as UV radiation...
April 2018: Dermatologic Clinics
https://www.readbyqxmd.com/read/29499801/coping-mechanisms-and-resources-for-patients-suffering-from-rosacea
#6
REVIEW
Leah A Cardwell, Timothy Nyckowski, Laura N Uwakwe, Steven R Feldman
Rosacea has significant quality of life impact. The authors review the literature and Internet sources pertaining to rosacea to identify coping mechanisms and resources available to rosacea patients. MEDLINE and PsycINFO databases were searched to identify pertinent articles. The term "rosacea" was searched in combination with "patient resources," "coping," "dealing with," "blog," "forum," "support," "nonpharmacologic," and "psychological...
April 2018: Dermatologic Clinics
https://www.readbyqxmd.com/read/29499800/patient-costs-associated-with-rosacea
#7
REVIEW
Jackson G Turbeville, Hossein Alinia, Sara Moradi Tuchayi, Naeim Bahrami, Leah A Cardwell, Olabola Awosika, Irma Richardson, Karen E Huang, Steven R Feldman
The recalcitrance of rosacea to many treatment options may prompt patients to spend exorbitant amounts of money on unsubstantiated treatment regimens in an effort to achieve relief. The authors examine the relationship between disease severity and treatment cost across several demographic and socioeconomic strata. Familiarization of evidence-based clinical recommendations and consensus guidelines may equip physicians to educate patients about the most efficacious and cost-effective treatment options to assist patients in making cost-conscious decisions in the management of their rosacea...
April 2018: Dermatologic Clinics
https://www.readbyqxmd.com/read/29499799/revisiting-rosacea-criteria-where-have-we-been-where-are-we-going-and-how-will-we-get-there
#8
REVIEW
Mohammed D Saleem
Rosacea is one of the most common and misunderstood dermatologic conditions. Currently, rosacea criteria are based on expert opinion; the definition of rosacea is primarily a reflection of opinion that is prone to bias. It has been more than a decade since the initial criteria were created by the National Rosacea Society. Revisiting the criteria and incorporating evidence-based techniques used by rheumatology and psychiatry can improve the validity and reliability of rosacea criteria. Literature from other specialties is reviewed and a method proposed for developing valid criteria...
April 2018: Dermatologic Clinics
https://www.readbyqxmd.com/read/29499798/medical-management-of-facial-redness-in-rosacea
#9
REVIEW
Abigail Cline, Sean P McGregor, Steven R Feldman
Persistent centrofacial erythema is a predominant component of rosacea. The authors review the topical and systemic treatments for rosacea-related erythema and flushing to aid in treatment decision making in clinical practice. Databases were searched for literature pertaining to treatment options for erythema related to rosacea. The paucity of large-scale clinical trials in patients with the erythematotelangiectatic rosacea subtype makes it difficult to draw firm conclusions regarding treatment. Although certain topical and oral treatments appear to have modest benefit in reducing erythema, there is a need for high-quality, well-designed, and rigorously reported studies for the treatments for rosacea...
April 2018: Dermatologic Clinics
https://www.readbyqxmd.com/read/29499797/a-review-of-the-current-modalities-for-the-treatment-of-papulopustular-rosacea
#10
REVIEW
Sean P McGregor, Hossein Alinia, Alyson Snyder, Sara Moradi Tuchayi, Alan Fleischer, Steven R Feldman
Papulopustular rosacea is characterized by papules and pustules in the central facial region. We review the literature surrounding the treatment of papulopustular rosacea. PubMed, EMBASE, and Cochrane (Central) databases searches of articles published from 1980 to 2015 were performed using the MeSH terms or keywords "rosacea" and "clinical trial." Additional searches were performed to include rosacea and each treatment modality used. Topical metronidazole, azelaic acid, ivermectin, and oral doxycycline have the most robust data to support their use...
April 2018: Dermatologic Clinics
https://www.readbyqxmd.com/read/29499796/evaluating-and-optimizing-the-diagnosis-of-erythematotelangiectatic-rosacea
#11
REVIEW
Mohammed D Saleem, Jonathan K Wilkin
Erythematotelangiectatic rosacea is the most prevalent rosacea subtype. Multiple dermatologic conditions may mimic erythematotelangiectatic rosacea. The authors review a comprehensive approach to evaluating subjects with a suspected diagnosis of erythematotelangiectatic rosacea and discuss findings that may warrant further investigation. Differential diagnoses can be narrowed based on the presence of characteristics such as transient erythema, nontransient erythema, and telangiectasias. A thorough history and physical examination are critical in ruling out conditions such as dermatomyositis, lupus erythematosus, atopic dermatitis, and seborrheic dermatitis...
April 2018: Dermatologic Clinics
https://www.readbyqxmd.com/read/29499795/rosacea-triggers-alcohol-and-smoking
#12
REVIEW
Hossein Alinia, Sara Moradi Tuchayi, Nupur U Patel, Nishit Patel, Olabola Awosika, Naeim Bahrami, Leah A Cardwell, Irma Richardson, Karen E Huang, Steven R Feldman
A variety of triggers are thought to exacerbate rosacea. A validated self-assessment tool and survey was used to study the relationship between rosacea severity and triggers. Subjects were adult patients with a clinical diagnosis of rosacea. Increased severity of disease was significantly associated with consumption of many alcoholic beverages in 1 day and employment at a job requiring extensive sun exposure. The authors' findings may inform physician counseling practices; patients may be provided with practical measures for managing their rosacea, such as limiting alcohol consumption over short periods of time and increasing sun protection, especially in the summer...
April 2018: Dermatologic Clinics
https://www.readbyqxmd.com/read/29499794/rosacea-comorbidities
#13
REVIEW
Nora Vera, Nupur U Patel, Lucia Seminario-Vidal
Rosacea is a chronic inflammatory cutaneous disorder with an unclear pathogenesis. It has been associated with multiple comorbidities, including cardiovascular diseases, malignancies, depression, migraines, dementia, Parkinson disease, gastrointestinal disorders, and autoimmune conditions. The extent, clinical significance, and implications of these associations remain a topic of discussion. Further evaluation of these comorbidities may offer valuable insight for future screening practices and treatment recommendations...
April 2018: Dermatologic Clinics
https://www.readbyqxmd.com/read/29499793/psychosocial-burden-and-other-impacts-of-rosacea-on-patients-quality-of-life
#14
REVIEW
Elias Oussedik, Marc Bourcier, Jerry Tan
Rosacea is a common and chronic skin disorder with substantial impact on a patients' quality of life. Its varying phenotypic features and facial localization can adversely affect the mental health and socialization of those affected. Although there are no curative interventions, certain therapies have greater effect in improving patient quality of life. This article summarizes the associated psychosocial implications of rosacea. Several skin disease and rosacea-specific quality-of-life measures and their application in clinical care and research studies are also summarized...
April 2018: Dermatologic Clinics
https://www.readbyqxmd.com/read/29108551/cosmetic-dermatology-for-men
#15
EDITORIAL
Neil S Sadick
No abstract text is available yet for this article.
January 2018: Dermatologic Clinics
https://www.readbyqxmd.com/read/29108550/liposuction-considerations-in-men
#16
REVIEW
Cheryl Karcher
Liposuction is the most popular cosmetic surgical procedure performed in men. Aside from traditional liposuction using the tumescent technique, several energy-assisted liposuction technologies have emerged and been proven safe and particularly beneficial for the male patient demographic. The differences in fat distribution and unique goals and emotional perspective in men need to be taken into account when performing liposuction, to ensure meeting the patient's needs and expectations for satisfactory results...
January 2018: Dermatologic Clinics
https://www.readbyqxmd.com/read/29108549/combination-therapy-for-male-cosmetic-patients
#17
REVIEW
Michael H Gold
This article reviews the most common male cosmetic procedures that are performed in combination with more than one procedure. Evidence-based medicine for many of these combination therapies is not rampant in the medical literature, but the author uses his current experience to share how combining therapies can be useful for our male population seeking cosmetic improvements in our offices.
January 2018: Dermatologic Clinics
https://www.readbyqxmd.com/read/29108548/new-generation-therapies-for-the-treatment-of-hair-loss-in-men
#18
REVIEW
Neil S Sadick
Hair loss affects millions of people worldwide and can have devastating effects on an individual's psychoemotional well-being. Today hair restoration technologies through hair transplantation have advanced with the use of robots and follicular unit extraction/grafting that can offer patients excellent clinical results. Adjuvant modalities, such as platelet-rich plasma injections, lasers, and stem cells, can further enhance durability, health, and appearance of hair transplants.
January 2018: Dermatologic Clinics
https://www.readbyqxmd.com/read/29108547/advances-in-hair-restoration
#19
REVIEW
Paul T Rose
Hair loss affects millions of people worldwide and can have devastating effects on an individual's psychological and emotional well-being. Hair restoration technologies have advanced with the use of robotics and manual and motorized follicular unit extraction to provide patients excellent clinical results. Adjuvant modalities such as platelet-rich plasma injections, lasers and stem cells can further enhance the survivability and appearance of hair transplants.
January 2018: Dermatologic Clinics
https://www.readbyqxmd.com/read/29108546/cosmetic-concerns-among-men
#20
REVIEW
Marc Zachary Handler, David J Goldberg
Men are interested in reducing signs of aging, while maintaining a masculine appearance. A chief concern among men is maintenance of scalp hair. Men are also concerned with reducing under eye bags and dark circles. The concern of feminization is of significant importance. Neuromodulators remain the most common cosmetic procedure performed in men. Men often prefer a reduction in facial rhytids, as opposed to elimination of the lines. Softening facial lines in men is meant to maintain an appearance of wisdom, without appearing fragile...
January 2018: Dermatologic Clinics
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