British Journal of Dermatology




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Issue Information

doi : 10.1111/bjd.19240

Volume 185, Issue 4 p. i-v

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Editor’s Choice

John Ingram

doi : 10.1111/bjd.20666

Volume 185, Issue 4 p. xi-xi

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Widening the tightrope: new abstract guidelines for BJD authors

A.M. Drucker,J.R. Ingram

doi : 10.1111/bjd.20498

Volume 185, Issue 4 p. 687-688

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Commentary on the British Association of Dermatologists guidelines for the management of people with rosacea 2021

J. S. S. Ho,Y. Asai

doi : 10.1111/bjd.20631

Volume 185, Issue 4 p. 689-690

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GUIDEMAP: an open-access dermatology guidelines repository

T.E. Sivesind,R.P. Dellavalle

doi : 10.1111/bjd.20652

Volume 185, Issue 4 p. 690-691

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Bruton tyrosine kinase inhibition warrants further study for pemphigus

A.M. Drucker,N.H. Shear

doi : 10.1111/bjd.20623

Volume 185, Issue 4 p. 691-692

Pemphigus vulgaris (PV) is a rare and devastating autoimmune bullous disease. Until recently, treatment required high-dose oral corticosteroids and nontargeted immunomodulating agents such as intravenous immunoglobulin (IVIG), azathioprine, mycophenolate and cyclophosphamide. Rituximab, an anti-CD20 monoclonal antibody that works by depleting B cells, revolutionized treatment of PV. Rituximab can induce long-lasting remission off corticosteroids in 40% of patients, compared with 10% for mycophenolate.1 Rituximab has been a breakthrough, improving outcomes and decreasing IVIG utilization. However, there is still a need for safe and effective treatments to optimize outcomes for patients with PV. In this issue of the BJD, Murrell et al. present early-phase findings for a Bruton tyrosine kinase (BTK) inhibitor, rilzabrutinib, for the treatment of PV.2

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Strengthening melanoma prevention and early detection among people with type 2 diabetes

A.E. Cust

doi : 10.1111/bjd.20633

Volume 185, Issue 4 p. 692-693

Prognosis after a diagnosis of cutaneous melanoma is strongly related to stage at diagnosis.1 As most countries rely on opportunistic skin checks rather than an organized screening programme for the early detection of melanoma, it is important to identify population characteristics that are associated with more aggressive melanomas, as these population subgroups could be targeted for heightened prevention and early detection strategies.

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Growing evidence for an association between inflammatory skin disease and chronic kidney disease

J. Wan,K. Abuabara

doi : 10.1111/bjd.20632

Volume 185, Issue 4 p. 693-694

Diseases such as psoriasis, atopic dermatitis, hidradenitis suppurativa, alopecia areata, vitiligo, bullous pemphigoid and rosacea have different aetiologies, but are sometimes studied together as ‘chronic inflammatory skin diseases’ or ‘immune-mediated inflammatory skin diseases’. A growing body of literature has led to recognition that these conditions are frequently associated with other diseases that extend beyond the skin. While most comorbidity research on inflammatory skin diseases has focused on links to cardiovascular disease, cancer, infections and mental health conditions, a growing body of literature examines links to kidney disease.

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Addressing the causality of the association of atopic dermatitis with depression and anxiety using Mendelian randomization

M. Standl

doi : 10.1111/bjd.20622

Volume 185, Issue 4 p. 694-695

An association of atopic dermatitis with depression and anxiety has been observed in several epidemiological studies, such as that by Schonmann et al.1 However, the underlying mechanisms, and whether this association is causal, is not yet clear. The study by Baurecht et al.2 in the current issue of the BJD is the first to investigate this important and frequently reported association using Mendelian randomization. This approach allows the causality of the observed effect to be studied, controlling for reverse causation, confounding and biases such as reporting or recall bias.3

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Getting to the core of peripheral vascular malformations: measuring what matters

J. Tan

doi : 10.1111/bjd.20635

Volume 185, Issue 4 p. 695-696

The management of peripheral vascular malformations – previously limited to sclerotherapy, laser treatments and surgical excision – is progressing into the realm of molecular targeted therapies. Thus, it is timely that in this issue of the BJD, development of a patient-reported outcome measure addressing symptoms and appearance in vascular malformations (OVAMA questionnaire) is presented.1

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Therapeutic biomarkers in hidradenitis suppurativa: one step closer to the clinic

J.W. Frew

doi : 10.1111/bjd.20513

Volume 185, Issue 4 p. 696-697

Hidradenitis suppurativa (HS) is a challenging disease to manage. Achieving long-term disease remission with medical monotherapy is often elusive. Selection of therapy is often based on personal experience and ‘trial and error’, and restricted by the limited number of options available. Evidence-based and pathogenesis-directed individualized therapies (primarily in the form of identification of predictive biomarkers) are tantalizing solutions to the uncertainty surrounding whether an individual patient will adequately respond to a specific medical therapy.

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Decoding the pharmacogenetics of nonsteroidal anti-inflammatory drug hypersensitivity

C. Flores

doi : 10.1111/bjd.20693

Volume 185, Issue 4 p. 697-698

Hypersensitivity reactions triggered by nonsteroidal and anti-inflammatory drugs (NSAIDs) commonly develop with respiratory and/or cutaneous manifestation. Those typically displaying as skin reactions are commonly referred to as NSAID-induced acute urticaria/angioedema (NIUA). Familial aggregation of NSAID hypersensitivity is well known.1 Thus, although simple inheritance models of the condition are not expected, the evidence supports the influence of genetic factors in the development of this phenotype.

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Data-driven prediction of biologic treatment responses in psoriasis: steps towards precision medicine

L. S. van der Schoot,J. M. P. A. van den Reek

doi : 10.1111/bjd.20625

Volume 185, Issue 4 p. 698-699

In this issue of the BJD, Geifman et al. defined subgroups or ‘trajectories’ of patients with psoriasis with similar patterns of disease severity (Psoriasis Area and Severity Index, PASI). The patients were studied over time using a data-driven latent class mixed-modelling approach.1 This modelling approach can be used to divide a heterogeneous population into a few homogeneous groups or ‘trajectories’. As such, patient characteristics in specific trajectories can be used to predict health outcomes such as treatment success.2, 3 With the increase in (expensive) treatment options for psoriasis, but still a substantial number of nonresponders per biologic, these analyses are very welcome. In this study, data of patients who were treated with various biologics were included. Four PASI trajectories were identified, with differences in clinical characteristics such as body mass index, baseline PASI, psoriasis subtype and the specific biologics.

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Not all melanomas are created equal: a review and call for more research into nodular melanoma

C. Dessinioti,A.C. Geller,D.C. Whiteman,C. Garbe,J.J. Grob,J.W. Kelly,R.A. Scolyer,R.V. Rawson,A. Lallas,G. Pellacani,A.J. Stratigos

doi : 10.1111/bjd.20388

Volume 185, Issue 4 p. 700-710

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Clinical experience and psychometric properties of the Cardiff Acne Disability Index (CADI)*

Y.T. Abdelrazik,F.M. Ali,M.S. Salek,A.Y. Finlay

doi : 10.1111/bjd.20391

Volume 185, Issue 4 p. 711-724

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British Association of Dermatologists guidelines for the management of people with rosacea 2021*

P.J. Hampton,J. Berth-Jones,C.E. Duarte Williamson,R. Hay,T.A. Leslie,I. Porter,S. Rauz,D. Seukeran,R.T. Winn,M. Hashme,L.S. Exton,M.F. Mohd Mustapa,L. Manounah,on behalf of the British Association of Dermatologists’ Clinical Standards Unit 

doi : 10.1111/bjd.20485

Volume 185, Issue 4 p. 725-735

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Global Guidelines in Dermatology Mapping Project (GUIDEMAP): a scoping review of dermatology clinical practice guidelines*

W.Y. Haw,A. Al-Janabi,B.W.M. Arents,L. Asfour,L.S. Exton,D. Grindlay,S.S. Khan,L. Manounah,H. Yen,C.-C. Chi,E.J. van Zuuren,C. Flohr,Z.Z.N. Yiu

doi : 10.1111/bjd.20428

Volume 185, Issue 4 p. 736-744

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Proof of concept for the clinical effects of oral rilzabrutinib, the first Bruton tyrosine kinase inhibitor for pemphigus vulgaris: the phase II BELIEVE study*

D.F. Murrell,A. Patsatsi,P. Stavropoulos,S. Baum,T. Zeeli,J.S. Kern,A.-V. Roussaki-Schulze,R. Sinclair,I.D. Bassukas,D. Thomas,A. Neale,P. Arora,F. Caux,V.P. Werth,S.G. Gourlay,P. Joly,on behalf of the BELIEVE trial investigators

doi : 10.1111/bjd.20431

Volume 185, Issue 4 p. 745-755

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Relationship between type 2 diabetes mellitus and markers of cutaneous melanoma aggressiveness: an observational multicentric study in 443 patients with melanoma*

E. Nagore,M.A. Martinez-Garcia,J.D. Gomez-Olivas,E. Manrique-Silva,A. Martorell,J. Bañuls,C. Carrera,P. Ortiz,J. Gardeazabal,A. Boada,E. de Eusebio,E. Chiner,C. Gonzalez,A. Pérez-Gil,D. Cullen,M. Formigón,B. de Unamuno,C. Navarro-Soriano,A. Muriel,D. Gozal

doi : 10.1111/bjd.19813

Volume 185, Issue 4 p. 756-763

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The cardiovascular safety of oral alitretinoin: a population-based cohort study involving 19 513 patients exposed to oral alitretinoin*

F. Poizeau,F. Balusson,A.P. Jonville-Béra,E. Nowak,M.D. Drici,P.Y. Scarabin,C. Droitcourt,A. Dupuy,E. Oger

doi : 10.1111/bjd.20069

Volume 185, Issue 4 p. 764-771

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Inflammatory skin diseases and the risk of chronic kidney disease: population-based case–control and cohort analyses*

Y. Schonmann,K.E. Mansfield,A. Mulick,A. Roberts,L. Smeeth,S.M. Langan,D. Nitsch

doi : 10.1111/bjd.20067

Volume 185, Issue 4 p. 772-780

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Relationship between atopic dermatitis, depression and anxiety: a two-sample Mendelian randomization study

H. Baurecht,C. Welker,S.-E. Baumeister,S. Weidnger,C. Meisinger,M.F. Leitzmann,H. Emmert

doi : 10.1111/bjd.20092

Volume 185, Issue 4 p. 781-786

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Development of a shared decision-making tool in vitiligo: an international study*

J. Shourick,M. Ahmed,J. Seneschal,T. Passeron,N. Andreux,A. Qureshi,E.Y. Chow,P.A. Natella,J. Harris,V.-T. Tran,K. Ezzedine

doi : 10.1111/bjd.20137

Volume 185, Issue 4 p. 787-796

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Development of a condition-specific patient-reported outcome measure for measuring symptoms and appearance in vascular malformations: the OVAMA questionnaire

M.M. Lokhorst,S.E.R. Horbach,D.A. Young-Afat,M.L.E. Stor,L. Haverman,P.I. Spuls,C.M.A.M. van der Horst,the OVAMA Steering Group

doi : 10.1111/bjd.20429

Volume 185, Issue 4 p. 797-803

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Potential predictive biomarkers of adalimumab response in patients with hidradenitis suppurativa*

Y. Cao,F. Hong,D.M. Conlon,L. Sidur,K.M. Smith,Y. Fang,C.A. Cuff,Z. Kaymakcalan,M.C. Ruzek

doi : 10.1111/bjd.20097

Volume 185, Issue 4 p. 804-814

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Polymorphisms in eicosanoid-related biosynthesis enzymes associated with acute urticaria/angioedema induced by nonsteroidal anti-inflammatory drug hypersensitivity

R. Jurado-Escobar,I. Doña,J.R. Perkins,J.J. Laguna,R. Muñoz-Cano,A. García-Sánchez,P. Ayuso,M.J. Torres,C. Mayorga,J.A. Cornejo-García

doi : 10.1111/bjd.20440

Volume 185, Issue 4 p. 815-824

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Defining trajectories of response in patients with psoriasis treated with biologic therapies

N. Geifman,N. Azadbakht,J. Zeng,T. Wilkinson,N. Dand,I. Buchan,D. Stocken,P. Di Meglio,R.B. Warren,J.N. Barker,N.J. Reynolds,M.R. Barnes,C.H. Smith,C.E.M. Griffiths,N. Peek,the BADBIR Study Group, on behalf of the PSORT Consortium

doi : 10.1111/bjd.20140

Volume 185, Issue 4 p. 825-835

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Mohs micrographic surgery for patients living with HIV

A. Alani,N. Kibbi,T. Oliphant

doi : 10.1111/bjd.20417

Volume 185, Issue 4 p. 836-837

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Forewarned is forearmed: chronic spontaneous urticaria as a potential risk to effective SARS-CoV-2 vaccine uptake and global public health

W.H. Bermingham,M.R. Ardern-Jones,A.P. Huissoon,M.T. Krishna

doi : 10.1111/bjd.20495

Volume 185, Issue 4 p. 838-839

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Efficacy and safety of apremilast in patients with moderate-to-severe plaque psoriasis of the scalp: results up to 32 weeks from a randomized, phase III study

A.S. Van Voorhees,L. Stein Gold,M. Lebwohl,B. Strober,H. Sofen,K. Papp,J. Bagel,Z. Zhang,M. Paris,Y. Wang

doi : 10.1111/bjd.20083

Volume 185, Issue 4 p. 840-842

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Methicillin-resistant Staphylococcus aureus (MRSA) nasal colonization predicts MRSA infection in inpatient paediatric cellulitis

R. Rrapi,S. Chand,S. Song,C.K Gabel,R. Shah,C. El Saleeby,D. Kroshinsky

doi : 10.1111/bjd.20439

Volume 185, Issue 4 p. 842-844

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Skin cancers in lockdown: no impact on pathological tumour staging

N. Gaunt,R.L. Green,L.F. Motta,L.A. Jamieson

doi : 10.1111/bjd.20438

Volume 185, Issue 4 p. 844-846

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YouTube as a source of educational information for natural hair

S. Shukla,A. Amuzie,D. Moslehi,E. Linos,J. Lester

doi : 10.1111/bjd.20402

Volume 185, Issue 4 p. 846-847

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Alopecia barbae severity score: a novel scoring system to estimate the extent of beard loss and success of treatment

A.J. Stefanis,P. Arenberger,M. Arenbergerova,S. Gkalpakiotis

doi : 10.1111/bjd.20489

Volume 185, Issue 4 p. 847-849

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Comparative performance of predictors of death from thin (? 1·0 mm) melanoma

M. Claeson,P. Baade,M. Marchetti,S. Brown,H.P. Soyer,B.M. Smithers,A.C. Green,D.C. Whiteman,K. Khosrotehrani

doi : 10.1111/bjd.20480

Volume 185, Issue 4 p. 849-851

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Topical imiquimod as neoadjuvant therapy before Mohs micrographic surgery for basal cell carcinoma in the head and neck region: findings from a large retrospective study

C. Queirós,L. Silva,A. Miroux Catarino,J. Labareda,G. Catorze,I. Viana

doi : 10.1111/bjd.20487

Volume 185, Issue 4 p. 851-853

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Skin checks and skin cancer diagnosis in Australian general practice before and during the COVID-19 pandemic, 2011–2020

J. Roseleur,D.A. Gonzalez-Chica,J. Emery,N.P. Stocks

doi : 10.1111/bjd.20494

Volume 185, Issue 4 p. 853-855

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Novel evidence of androgen receptor immunoreactivity in skin tunnels of hidradenitis suppurativa: assessment of sex and individual variability

W. Yu,J. Barrett,P. Liu,A. Parameswaran,E.S. Chiu,C.P. Lu

doi : 10.1111/bjd.20520

Volume 185, Issue 4 p. 855-858

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Relapse of chilblain-like lesions during the second wave of the COVID-19 pandemic: a cohort follow-up

T. Hubiche,F. Le Duff,E. Fontas,J. Rapp,C. Chiaverini,T. Passeron

doi : 10.1111/bjd.20584

Volume 185, Issue 4 p. 858-859

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Kawasaki-like multisystem inflammatory syndrome associated with COVID-19 in an adult: a case report

R. Dabas,G. Varadaraj,S. Sandhu,A. Bhatnagar,R. Pal

doi : 10.1111/bjd.20574

Volume 185, Issue 4 p. 859-861

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Multifocal extracardiac rhabdomyomas: extending the phenotype of Birt–Hogg–Dubé syndrome

D. S. Bajwa,S. Cook,R. Winn,I. M. Winship,A. McQueen,A. Husain,N. Rajan

doi : 10.1111/bjd.20521

Volume 185, Issue 4 p. 861-863

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Adalimumab dose intensification in hidradenitis suppurativa: effectiveness and safety results of a multicentre study

E.M. Sánchez Martínez,G. Murray,F. Alfageme Roldán,R. García Ruiz,A.M. Tobin,C.C. Zouboulis

doi : 10.1111/bjd.20525

Volume 185, Issue 4 p. 863-865

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Integrated safety analysis of treatment-emergent eczematous reactions in patients with moderate-to-severe psoriasis treated with ixekizumab, etanercept and ustekinumab

P.M. Brunner,C. Conrad,R. Vender,S. Grond,C. Schuster,H. Patel,W. Xu,J.M. Carrascosa Carrillo

doi : 10.1111/bjd.20527

Volume 185, Issue 4 p. 865-867

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Ivermectin in the management of a scabies outbreak in a long-term care facility

S.L. Walker,M.G. Head,J. Middleton,J.A. Cassell

doi : 10.1111/bjd.20484

Volume 185, Issue 4 p. 868-868

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Response to ‘A call to standardize the BCC:SCC ratio’

B.C. Ma,V.N. Sahni,L.D. Edwards,D.R. Sahni,A.M. Secrest

doi : 10.1111/bjd.20486

Volume 185, Issue 4 p. 868-869

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Response to ‘A call to standardize the BCC:SCC ratio’: reply from the authors

Z. Jiyad,L. Marquart,A.C. Green

doi : 10.1111/bjd.20490

Volume 185, Issue 4 p. 869-870

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Subcutaneous rituximab for autoimmune bullous diseases

C. Riquelme-Mc Loughlin,P. Iranzo

doi : 10.1111/bjd.20493

Volume 185, Issue 4 p. 870-871

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Response to ‘Decline in the use of phototherapy in France from 2010 to 2019’

E. Eadie,M. Gallacher,A. Gorczynski,L. Smith,R.S. Dawe,Photonet, the Managed Clinical Network for Ultraviolet Phototherapy in Scotland

doi : 10.1111/bjd.20586

Volume 185, Issue 4 p. 871-872

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Response to ‘COVID-19-associated multisystem inflammatory syndrome in adults with Kawasaki disease-like cutaneous manifestations’

Y.S. Pathania

doi : 10.1111/bjd.20590

Volume 185, Issue 4 p. 872-872

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Response to ‘COVID-19-associated multisystem inflammatory syndrome in adults with Kawasaki disease-like cutaneous manifestations’: reply from the authors

T.P. Afra,M.M. Siraj,M. Razmi T

doi : 10.1111/bjd.20638

Volume 185, Issue 4 p. 872-873

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News and Notices

doi : 10.1111/bjd.20763

Volume 185, Issue 4 p. 874-874

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Corrigendum

doi : 10.1111/bjd.20747

Volume 185, Issue 4 p. 874-874

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Isolated cutaneous larva migrans over the scalp in a hod carrier

A. Sil,A. Panigrahi,J.D. Pramanik

doi : 10.1111/bjd.20589

Volume 185, Issue 4 p. e157-e157

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Shared decision-making for vitiligo

doi : 10.1111/bjd.20667

Volume 185, Issue 4 p. e158-e158

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Diabetes mellitus and melanoma aggressiveness

doi : 10.1111/bjd.20668

Volume 185, Issue 4 p. e159-e159

Some studies have suggested a relationship between type 2 diabetes mellitus and an increased incidence of a skin cancer called melanoma, at least in men. Tumour aggressiveness may also differ in people using a medication called metformin for their diabetes. This needs researching as melanoma is considered to be the most serious type of skin cancer because it is more likely to spread from the skin to other parts of the body than other types of skin cancer.

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Predictive biomarkers of response to adalimumab treatment in patients with hidradenitis suppurativa

doi : 10.1111/bjd.20670

Volume 185, Issue 4 p. e160-e160

Hidradenitis suppurativa (HS), also known as acne inversa, is a long-lasting, inflammatory skin disease resulting in painful lesions in and around the sweat glands. It is a common disease but the average delay in accurate diagnosis is 7 years from first signs of disease.

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The Cardiff Acne Disability Index

doi : 10.1111/bjd.20671

Volume 185, Issue 4 p. e161-e161

The Cardiff Acne Disability Index (CADI) is a questionnaire that measures the impact of acne on teenagers and young adults. It is used by doctors and researchers around the world.

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Guidelines on how to manage rosacea

doi : 10.1111/bjd.20672

Volume 185, Issue 4 p. e162-e162

Rosacea is a common skin condition that mostly affects the central face (nose, forehead, cheeks and chin). Although rosacea mainly affects young to middle-aged adults, it can occur at any time of life. How individuals are affected can vary; patients may experience any combination of symptoms including flushing, changes to skin colour, prominent surface blood vessels, soreness, dryness, inflamed skin bumps (which may contain pus), sore eyes or facial swellings known as ‘phymas’.

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Are skin conditions associated with kidney disease?

doi : 10.1111/bjd.20673

Volume 185, Issue 4 p. e163-e163

Chronic kidney disease (CKD) affects up to 13% of the population and may progress to kidney failure and death. Some risk factors for CKD are well known such as high blood pressure and diabetes. There is some evidence that inflammatory skin diseases such as eczema and psoriasis may also increase the risk of CKD.

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The cardiovascular safety of the drug alitretinoin

doi : 10.1111/bjd.20674

Volume 185, Issue 4 p. e164-e164

Hand eczema is a skin disease causing intense itching and dry skin on the hands. It affects around 15% of people worldwide during their lifetime, and is more frequent among young adults. Most people can control hand eczema with treatments applied directly to the skin. Some people, however, have severe disease that can be better managed with an oral drug called alitretinoin.

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Availability of guidelines to ensure appropriate care for common skin conditions

doi : 10.1111/bjd.20675

Volume 185, Issue 4 p. e165-e165

Skin-related diseases are leading causes of disability and disease burden globally. Clinical practice guidelines (CPGs), are documents that are developed with the aim of standardizing and improving treatment for patients based on the available evidence.

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Oral rilzabrutinib as a treatment for patients with pemphigus vulgaris

doi : 10.1111/bjd.20676

Volume 185, Issue 4 p. e166-e166

Pemphigus is a rare and potentially life-threatening autoimmune disease with painful blistering and erosions in the skin and/or mucous membranes that line, for example, the mouth, nose and throat. Our immune system makes antibodies to fight infection and normally these antibodies do not attack our own body. However, in an autoimmune disease, such as pemphigus vulgaris, the immune system makes antibodies directed to its own components of the body (autoantibodies) that work against tissues.

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A study of different types of IL-17 proteins in psoriasis

doi : 10.1111/bjd.20686

Volume 185, Issue 4 p. e167-e168

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doi : 10.1111/bjd.20677

Volume 185, Issue 4 p. e169-e169

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doi : 10.1111/bjd.20678

Volume 185, Issue 4 p. e170-e170

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doi : 10.1111/bjd.20679

Volume 185, Issue 4 p. e171-e171

?????? (HS) ????????, ????????????, ???????????????????????????, ?????????????????? 7 ??

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doi : 10.1111/bjd.20680

Volume 185, Issue 4 p. e172-e172

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doi : 10.1111/bjd.20681

Volume 185, Issue 4 p. e173-e173

??????????, ??????? (???????????) ?????????????????, ??????????????????????????; ?????????????, ??????????????????????????????? (??????) ?????????? (??“??”) ?

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doi : 10.1111/bjd.20682

Volume 185, Issue 4 p. e174-e174

???? (CKD) ???? 13% ???, ???????????????????????????????, ???????????????, ???????????????????????????

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doi : 10.1111/bjd.20683

Volume 185, Issue 4 p. e175-e175

???????????, ??????????????????? 15% ??????????, ??????????????????????????????????????, ??????????, ????????????? A ????????????

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doi : 10.1111/bjd.20684

Volume 185, Issue 4 p. e176-e176

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doi : 10.1111/bjd.20685

Volume 185, Issue 4 p. e177-e177

???????????????????????, ????/??? (?????????????) ?????????????????????????????, ????????????????????, ?????????, ????????, ????????????????? (????) , ???????????

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doi : 10.1111/bjd.20687

Volume 185, Issue 4 p. e178-e178

?????? 1.25 ???????, ????????, ???????????, ?????????????????????????????? (IL)-17 ??????????????????????IL-17 ?????????, ???????????????????

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