1
|
Chiu A, Montes JR, Munavalli G, Shamban A, Chawla S, Abrams S. Improved Patient Satisfaction With Skin After Treatment of Cheek Skin Roughness and Fine Lines With VYC-12L: Participant-Reported Outcomes From a Prospective, Randomized Study. Aesthet Surg J 2023; 43:1367-1375. [PMID: 37074002 PMCID: PMC10575618 DOI: 10.1093/asj/sjad111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2023] [Revised: 04/13/2023] [Accepted: 04/17/2023] [Indexed: 04/20/2023] Open
Abstract
BACKGROUND VYC-12L is a hyaluronic acid filler to improve skin quality. A prospective study showed safety and effectiveness of VYC-12L for improving cheek skin smoothness and fine lines. OBJECTIVES To report participant-reported outcomes, subgroup analyses, and physician experience from the prospective study. METHODS Adults with moderate to severe Allergan Cheek Skin Smoothness (ACSS) scale scores were randomized 2:1 to VYC-12L or control (no treatment with optional treatment). Participant assessments included FACE-Q Satisfaction With Skin, FACE-Q Appraisal of Lines, natural look and feel, the Global Aesthetic Improvement Scale (GAIS), and safety. Subgroup analyses examined ACSS responder rate (≥1-grade improvement from baseline to 1 month). RESULTS FACE-Q Satisfaction With Skin overall mean scores improved from baseline to 1 month posttreatment by 32.0 and 1.4 in the VYC-12L and control groups, respectively. FACE-Q Appraisal of Lines overall mean scores improved from baseline to 1 month posttreatment by 23.3 and 0.4 in VYC-12L and control, respectively. Treated participants had high median scores (≥9.0) of natural look and feel of their cheek skin. GAIS responder rate was high at Month 1 (85.5%; 95% CI, 79.3%-91.7%) and through Month 6 (83.1%; 95% CI, 76.5%-89.7%). Mean participant-rated pain scores were low (<3). The most common injection site reactions were redness, swelling, and lumps/bumps; most resolved within 3 days. Subgroup analyses showed significant differences in ACSS responder rate between VYC-12L and control groups 1 month posttreatment. Physician injectors reported that VYC-12L was easily injected at the superficial skin and integrated quickly. CONCLUSIONS VYC-12L treatment produced significant improvements in satisfaction with skin and cheek skin smoothness, as measured by participant-reported outcome measures. LEVEL OF EVIDENCE: 2
Collapse
Affiliation(s)
- Annie Chiu
- Corresponding Author: Dr Annie Chiu, 1636 Aviation Blvd #201, Redondo Beach, CA 90278, USA. E-mail:
| | | | | | | | | | | |
Collapse
|
2
|
Makino ET, Huang P, Cheng T, Acevedo SF, de Oliveira C, Mehta RC. 12-Week, Single-Center Study of a Targeted Pigment-Correcting Dark Spot Treatment for Post-Inflammatory Hyperpigmentation and Solar Lentigines. Clin Cosmet Investig Dermatol 2023; 16:2677-2686. [PMID: 37790902 PMCID: PMC10544009 DOI: 10.2147/ccid.s427956] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2023] [Accepted: 09/14/2023] [Indexed: 10/05/2023]
Abstract
Purpose Post-inflammatory hyperpigmentation (PIH) and solar lentigines are dark spots of skin from excessive melanin production due to injury or UV exposure. This 12-week single-center study assessed the efficacy and tolerability of a novel targeted pigment-correcting spot treatment gel suspension cream (Dark Spot Treatment) for improving mild-to-moderate PIH or solar lentigines. Patients and Methods Female participants (N = 41) aged 25-65 with mild-to-moderate facial dark spots applied Dark Spot Treatment daily for 12 weeks. Investigators assessed overall hyperpigmentation, skin tone evenness, and dark spot intensity, contrast, and size at Weeks 2, 4, 8, and 12. Participant self-assessments occurred at Weeks 1, 2, 4, 8, and 12. Tolerability was assessed by clinical grading and participant reporting. Results Dark Spot Treatment improved overall hyperpigmentation, skin tone evenness, and dark spot intensity and contrast at Weeks 2 through 12, and dark spot size at Weeks 4 through 12 (all p < 0.001 compared to baseline). Participant self-assessments showed high overall satisfaction. Dark Spot Treatment was well tolerated. Conclusion The novel pigment-correcting Dark Spot Treatment significantly improved the appearance of PIH and solar lentigines, had high participant satisfaction, and was well tolerated.
Collapse
Affiliation(s)
| | - Priscilla Huang
- SkinMedica - Allergan Aesthetics, an AbbVie Company, Irvine, CA, USA
| | - Tsing Cheng
- SkinMedica - Allergan Aesthetics, an AbbVie Company, Irvine, CA, USA
| | | | | | - Rahul C Mehta
- SkinMedica - Allergan Aesthetics, an AbbVie Company, Irvine, CA, USA
| |
Collapse
|
3
|
Alexiades M, Palm MD, Kaufman-Janette J, Papel I, Cross SJ, Abrams S, Chawla S. A Randomized, Multicenter, Evaluator-blind Study to Evaluate the Safety and Effectiveness of VYC-12L Treatment for Skin Quality Improvements. Dermatol Surg 2023; 49:682-688. [PMID: 37163665 PMCID: PMC10292578 DOI: 10.1097/dss.0000000000003802] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/12/2023]
Abstract
BACKGROUND Skin quality may be assessed by degrees of skin smoothness, fine lines, and hydration. VYC-12L is a recently developed hyaluronic acid filler to improve skin quality. OBJECTIVE This was a randomized, evaluator-blind study assessing safety and effectiveness of intradermal VYC-12L treatment for improving cheek skin smoothness, fine lines, and hydration. METHODS Participants (≥22 years) with moderate-to-severe investigator-assessed Allergan Cheek Smoothness Scale (ACSS) scores were randomized in 2:1 ratio to receive VYC-12L or control (no treatment with optional treatment). Effectiveness was assessed 1 month after last injection (initial or touch-up) by a responder rate (≥1-grade improvement from baseline on both cheeks) using investigator-rated ACSS and Allergan Fine Lines Scale (AFLS), and tissue dielectric constant probe-measured skin hydration. Safety was evaluated throughout. RESULTS Participants (VYC-12L, n = 131; control, n = 71) were 86.1% female with a median age of 58.0 years. At month 1, ACSS and AFLS responder rates were statistically significantly higher in the VYC-12L group (57.9%, 58.3%, respectively) than in the untreated controls (4.5%, 5.4%, respectively; p < .001). VYC-12L ACSS and AFLS responder rates remained consistent throughout the 6-month follow-up. Six participants reported treatment-related adverse events; none led to study discontinuation. CONCLUSION VYC-12L is an effective, well-tolerated treatment for lasting improvement of cheek skin smoothness, fine lines, and hydration.
Collapse
Affiliation(s)
- Macrene Alexiades
- Associate Clinical Professor, School of Medicine, Yale University, New Haven, Connecticut
- Dermatology & Laser Surgery Center of New York, New York
| | | | | | - Ira Papel
- Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology - Head and Neck Surgery, Johns Hopkins University, Baltimore, Maryland
| | | | | | | |
Collapse
|
4
|
Cognition/Psychological Burden and Resilience in Cutaneous T-Cell Lymphoma and Psoriasis Patients: Real-Life Data and Implications for the Treatment. BIOMED RESEARCH INTERNATIONAL 2022; 2022:8802469. [PMID: 35937394 PMCID: PMC9348939 DOI: 10.1155/2022/8802469] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Revised: 06/14/2022] [Accepted: 06/28/2022] [Indexed: 01/09/2023]
Abstract
Background. Psoriasis and cutaneous T-cell lymphoma (CTCL) expose patients to chronic inflammation as well as physical and psychological disabilities, but the impact of such alterations on cognitive function is unknown. Objective. This study is aimed at determining if CTCL and psoriasis impact cognitive functioning in relation to psychological and health-related quality of life (HR-QOL) status. Methods. A cross-sectional study was performed in an outpatient dermatology clinic of a university teaching hospital. Thirty-nine subjects with CTCL (
) or psoriasis (
) who met eligibility criteria were included. The cognitive domains of memory, attention and processing speed, and executive function were assessed with standard neuropsychological tests. Subjects were assessed for depression, anxiety, and HR-QOL (using the SKINDEX-29 questionnaire). Results. Study participants were CTCL and psoriasis subjects; cognitive impairment was found in the domain of memory in 17.9% subjects with CTCL or psoriasis. Lower scores on executive function tests were predicted by higher (worse HR-QOL) SKINDEX-29 functioning scores (
). A higher estimated baseline intellectual functioning predicted lower scores (better HR-QOL) on the symptoms and functioning domains of SKINDEX-29 (
and 0.02, respectively) and a statistical trend (
) for the emotion domain. Memory and acute anxiety were adversely impacted by shorter disease duration (
for both). Conclusions. Memory impairment may be associated comorbidity in CTCL and psoriasis. Subjects with stronger cognitive resources appear to cope better with health-related quality of life (HR-QOL) challenges.
Collapse
|
5
|
Safa M, Natalizio A, Hee CK. A Prospective, Open-Label Study to Evaluate the Impact of VYC-12L Injection on Skin Quality Attributes in Healthy Volunteers. Clin Cosmet Investig Dermatol 2022; 15:411-426. [PMID: 35300433 PMCID: PMC8921677 DOI: 10.2147/ccid.s352007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2021] [Accepted: 02/23/2022] [Indexed: 11/23/2022]
Abstract
Purpose Age-related changes in skin structure and function can negatively impact skin quality. VYC-12L is a crosslinked hyaluronic acid filler for treating fine lines and improving hydration and elasticity. The goal of this study was to understand skin quality, histologic, and genomic changes underlying long-term clinical benefits of VYC-12L treatment. Patients and Methods In this prospective, nonrandomized, open-label study, 11 healthy men (n = 2) and women (n = 9) received intradermal VYC-12L treatment on the volar forearm. Clinical probes assessed skin quality at baseline and months 1 and 3 post-treatment. Punch biopsies were collected 1 and 3 months post-treatment to evaluate histologic and genomic changes. Safety was evaluated throughout. Results Participants had a mean age of 41 years and Fitzpatrick skin phototypes II (54.5%) and III (45.5%). At months 1 and 3, VYC-12L-treated skin had higher hydration in the stratum corneum than untreated skin. Cutometer measurements indicated treated skin that was firmer and more resistant to deformation. Histology showed increased epidermal AQP3 and Ki67 expression 1 and 3 months post-treatment and a qualitative increase in papillary dermal collagen I at month 3. Genomic analyses demonstrated treatment-related upregulation of genes involved in adipocyte differentiation, lipid metabolism, keratinocyte renewal, and dermal extracellular matrix (ECM) maintenance. Injection site reactions were mild-to-moderate in severity and resolved by month 1. Five participants reported 19 adverse events; most (68.4%) were related to the biopsy and none to VYC-12L. Conclusion VYC-12L produced changes in hydration, firmness, and ECM density and composition consistent with improved skin properties, demonstrating that VYC-12L can act as a substrate for tissue repair.
Collapse
Affiliation(s)
- Marva Safa
- La Jouvence, Neuchâtel, Switzerland
- Correspondence: Marva Safa, La Jouvence, Rue de l’Hôpital 18, 2000 Neuchâtel, Switzerland, Tel +41 32 710 19 07, Email
| | | | | |
Collapse
|
6
|
Achavanuntakul P, Manuskiatti W, Wanitphakdeedecha R, Jantarakolica T. Early Treatment Initiation Improves Outcomes in Nevus of Ota: A 10-Year Retrospective Study. Am J Clin Dermatol 2022; 23:105-114. [PMID: 34693508 DOI: 10.1007/s40257-021-00637-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/20/2021] [Indexed: 11/26/2022]
Abstract
BACKGROUND Nevus of Ota is a psychologically burdensome facial pigmentation birthmark common in Asian populations. Laser therapy is currently the first-line treatment, but no guidelines on when to initiate treatment have yet been established. OBJECTIVES Our objective was to determine the correlation between treatment efficacy and safety, risk of recurrence, and age of treatment initiation in patients receiving laser therapy for nevus of Ota. METHODS We conducted a 10-year (2008-2018) retrospective cohort study of all patients who completed a minimum of five laser treatments at Siriraj Skin Laser Center, Mahidol University, Bangkok, Thailand. RESULTS A total of 84 patients (aged 4 months-50 years) with nevus of Ota lesions were enrolled in the study. All patients were treated with a 1064-nm Q-switched Nd:YAG or a 755-nm or 1064-nm picosecond-domain laser (or a combination thereof). Our analysis identified that initiation of laser therapy before the age of 5 years was a significant factor in reducing the number of sessions necessary to achieve aesthetic improvement (P < 0.01; 95% confidence interval [CI] 1.06-3.21). In total, 18 patients (21.4%) initiating treatment before the age of 5 years required an average of 2, 4, and 7 treatment sessions to achieve > 25, 50, and 75% of pigment lightening, respectively, whereas 66 patients (78.6%) initiating treatment after the age of 5 years required an average of 3, 7, and 11 sessions to achieve comparable clearance. The risk of postinflammatory hyperpigmentation was significantly lower in patients starting treatment before the age of 5 years (P < 0.01; 95% CI - 43.76 to - 11.94). Recurrences were not observed in patients achieving > 95% clearance. CONCLUSIONS In our patient cohort, initiation of laser treatment for nevus of Ota before the age of 5 years significantly improved therapeutic outcomes and reduced the risk of adverse events and recurrence. CLINICAL TRIAL REGISTRATION ClinicalTrials.gov PRS number: NCT04481178.
Collapse
Affiliation(s)
- Petchlada Achavanuntakul
- Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wanglang Road, Bangkok, 10700, Thailand
| | - Woraphong Manuskiatti
- Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wanglang Road, Bangkok, 10700, Thailand.
| | - Rungsima Wanitphakdeedecha
- Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wanglang Road, Bangkok, 10700, Thailand
| | | |
Collapse
|
7
|
Lee E, Cho C, Ha J. Biophysical properties of redness-prone skin in Korean women. J Cosmet Dermatol 2021; 21:4035-4041. [PMID: 34967485 DOI: 10.1111/jocd.14722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2021] [Revised: 12/16/2021] [Accepted: 12/21/2021] [Indexed: 11/27/2022]
Abstract
BACKGROUND Facial skin redness can have a negative impact on the quality of life. In this study, we investigated the skin biophysical parameters associated with facial skin redness as a function of aging. METHODS Our aims were as follows: (1) to understand the impact of non-pathological facial skin redness on the quality of life of Korean women through a survey; and (2) compare skin biophysical properties between women with and without facial skin redness. RESULTS Women aged between 20 and 39 years perceived their own facial skin redness at a higher rate than those aged ≥40 years. In addition, in redness-prone women, the intensity of skin redness and skin surface perfusion were higher, while skin hydration was lower regardless of age. In redness-prone women aged ≥40 years, the values for transepidermal water loss, elasticity, and skin thickness were lower, and the mean pore depth was greater. Facial redness intensity was higher, and the distribution was wider in redness-prone younger women, while only redness intensity increased in the older age group. CONCLUSIONS Overall, redness-prone women aged ≥40 years had weaker skin properties. Our study indicated the age-related biophysical characteristics of non-pathological facial skin redness. We believe that our findings will help improve its negative effects.
Collapse
Affiliation(s)
- Eunyoung Lee
- Skin Research Center, Institut d'Expertise Clinique (IEC) KOREA, Suwon, Korea
| | - Changhui Cho
- Skin Research Center, Institut d'Expertise Clinique (IEC) KOREA, Suwon, Korea
| | - Jaehyoun Ha
- Skin Research Center, Institut d'Expertise Clinique (IEC) KOREA, Suwon, Korea
| |
Collapse
|
8
|
Bagnenko ES, Araviiskaia ER, Bogatenkov AI, Bagnenko SS. The correlation of clinical and psychological characteristics of women seeking cosmetic help. VESTNIK DERMATOLOGII I VENEROLOGII 2021. [DOI: 10.25208/vdv1246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
Abstract
Background. Patients seeking cosmetic help, most commonly, haven`t only defects in appearance, in particular, facial skin, but also experience certain psychological problems in this regard. On the other hand, the reaction to the performed cosmetic correction of the mentioned defects depends, including on the patients psychological characteristics. The study of the correlation between clinical and psychological characteristics should contribute to the individualization of the cosmetological correction process and optimization of the patient life quality.
Aims. To establish the correlation between age, clinical and psychological characteristics of women with cosmetic problems of the facial skin.
Materials and methods. Using the methods of psychological diagnostics, we examined 110 women who received cosmetic assistance. Semi-quantitative method was used to assess the cosmetic problem intensity, the duration of its existence and the effect of the correction performed. Clinical and psychological research was carried out using the author's structured interview, which questions were aimed at fixing both the formal social positions of the patients and the characteristics of the system of significant relationships. Psychometric research was carried out using standardized questionnaires in order to identify a wide range of personality characteristics. In the course of statistical processing of the results, a frequency analysis of the gradations of nominative and rank signs was carried out using Pearson's 2, as well as a correlation analysis of clinical and psychological characteristics using the Spearman -test.
Results. The author traced the statistical correlation between the degree of manifestation of the cosmetic problem and its influence on the psychological state of patients, as well as between the degree of their satisfaction with its solution and a number of personal characteristics and attitudes.
Conclusions. The assumption was confirmed that the effect of treatment is determined not only by clinical factors and the possibilities of modern cosmetology, but also by psychological factors, among which the motivational orientation and activity of the individual, which form the basis of patient compliance, are of decisive importance.
Collapse
|
9
|
Zaslavsky DV, Sobolev AV, Skrek SV, Yunovidova AA, Zelyanina MI, Mashuka DM, Starodubceva DA, Shimanskaya ML, Zyablova DD, Khamnagdaeva AS. Normalization of the epidermal barrier as a method of pathogenetic therapy of Atopic Dermatitis in children. VESTNIK DERMATOLOGII I VENEROLOGII 2021. [DOI: 10.25208/vdv1255] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
Abstract
Background. A key link in the pathogenesis of atopic dermatitis is a violation of the barrier function of the skin. Artificial skin moisturizing with emollients is the basis of palliative therapy for the disease.
Aims. The purpose of the study was to assess the effectiveness and tolerability of the cosmetic product Admera.
Materials and methods. The article presents the results of an open non-comparative prospective observational study of the efficacy and safety of Admera cream in pediatric patients with mild to moderate atopic dermatitis, conducted at the Pierre Wolkenstein Clinic for Skin Diseases in June-August 2020.
Results. The study included 35 patients aged 4 to 17 years. The study included 35 patients aged 4 to 17 years inclusive. The clinical study demonstrated a statistically significant decrease in the Severity scoring of atopic dermatitis (SCORAD) index total score. The average value of this indicator decreased by 33% from the value 36.2 12.3 at the screening visit to 24.2 11.4 at the visit 3 (p 0.001). Assessment of the dynamics of the Eczema area and severity index (EASI) index showed a significant decrease in the total score of the indicator after 14 and 28 days of therapy relative to the baseline (p 0.001). The cosmetic product studied was well tolerated by patients. During the present study, 3 adverse events were reported in 2 patients. According to expert opinion, the recorded undesirable phenomena were not associated with the application of the studied cosmetic product. Reported adverse events were gastrointestinal disorders and included cases of diarrhea, abdominal pain and at the end of the study completely
Conclusions. Evaluation of the results of the study showed high efficacy and safety of the study drug as a moisturizing agent: four-week therapy leads to a decrease in the severity of Atopic dermatitis manifestations, a decrease in the intensity of pruritus, an increase in the level of skin hydration in the T-zone and on the patient's body.
Collapse
|
10
|
Humphrey S, Manson Brown S, Cross SJ, Mehta R. Defining Skin Quality: Clinical Relevance, Terminology, and Assessment. Dermatol Surg 2021; 47:974-981. [PMID: 34148998 PMCID: PMC8231670 DOI: 10.1097/dss.0000000000003079] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BACKGROUND Flawless skin is one of the most universally desired features, and demand for improvements in skin quality is growing rapidly. Skin quality has been shown to substantially impact emotional health, quality of life, self-perception, and interactions with others. Although skin quality improvements are a common end point in studies of cosmeceuticals, they are rarely assessed in clinical studies of other aesthetic treatments and products. Descriptive terminology for skin quality parameters also varies considerably within the aesthetic field, relying on a range of redundant and occasionally contradictory descriptors. In short, skin quality has not been clearly defined. OBJECTIVE The goal of this review is to highlight the importance of skin quality to patients and physicians, explore known and unknown factors comprising skin quality, and provide clarity regarding terminology, descriptors, and evaluation tools for assessing skin quality. MATERIALS AND METHODS A review of the literature on skin quality was performed without limitation on publication date. Relevant articles are presented. RESULTS AND CONCLUSION We propose a framework of attributes contributing to skin quality rooted in 3 fundamental categories-visible, mechanical, and topographical-with the aim to provide information to help guide clinicians and inform future clinical studies.
Collapse
Affiliation(s)
- Shannon Humphrey
- Humphrey Cosmetic Dermatology, Vancouver, British Columbia, Canada
- Department of Dermatology and Skin Science, University of British Columbia, Vancouver, British Columbia, Canada
| | | | | | - Rahul Mehta
- Allergan Aesthetics, an AbbVie Company, Irvine, California
| |
Collapse
|
11
|
Raveendra L, Sidappa H, Shree S. A Study of Quality of Life in Patients with Facial Melanoses. Indian Dermatol Online J 2020; 11:154-157. [PMID: 32477971 PMCID: PMC7247630 DOI: 10.4103/idoj.idoj_209_19] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Context: Facial melanoses decreases the quality of life (QoL). Melasma is the commonest cause but there are various other etiologies for facial pigmentation. Aims: To study the clinical profile of patients with facial melanoses and the psychological burden in these patients. Settings and Design: All patients having patchy or diffuse facial pigmentation attending the OPD in a tertiary care hospital for a period of 1 year were included in this hospital based cross-sectional study. Subjects and Methods: The type, extent, and distribution of the pigmentation was noted and tabulated in all patients. All patients were explained about Skindex-16 questionnaire and asked to complete it. Statistical Analysis Used: Student t-test (two tailed, independent) was used to find the significance of study parameters on continuous scale between two groups. Chi-square/Fisher Exact test was used to find the significance of study parameters on categorical scale between two or more groups. Correlation was performed using Spearman corrélation. Results: The total number of cases studied was 238 of which 186 (78.2%) were females and 52 (21.8%) were males. The most common diagnosis was melasma seen in 73% of cases. Other conditions noted were phototanning (5.8%), post-inflammatory hyperpigmentation (5.8%), Lichen planus pigmentosus (4.2%), freckles (3.7%), and Nevus of Ota (1.6%). Skindex-16 score against different grades of pigmentation showed that the mean Skindex-16 score was higher in severe cases but there was no statistically significant difference between the groups. Conclusions: The extent and severity of facial pigmentation and the decrease in the QoL are not proportional.
Collapse
Affiliation(s)
- Leena Raveendra
- Rajarajeswari Medical College and Hospital, Kambipura, Kengeri Hobli, Mysore Road, Karnataka, India
| | - Harsha Sidappa
- CUTIS Academy of Cutaneous Sciences, 5/1, 4th Main, MRCR Layout, Vijaynagar, Magadi Main Rd, Govindaraja Nagar Ward, MC Layout, Vijayanagar, Bengaluru, Karnataka, India
| | - Sapna Shree
- Essential Hospital, 42, Outer Ring Road, Marilingappa Extension, Nagarbhavi, Bengaluru, Karnataka, India
| |
Collapse
|
12
|
Liao AH, Cai YL, Chuang HC, Lee CY, Lin YC, Chiang CP. Application of ultrasound-mediated adapalene-coated lysozyme-shelled microbubbles in UVA-induced skin photoaging. PLoS One 2020; 15:e0232617. [PMID: 32438389 PMCID: PMC7242023 DOI: 10.1371/journal.pone.0232617] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2019] [Accepted: 04/18/2020] [Indexed: 01/30/2023] Open
Abstract
Photoaging, the premature aging of skin induced by ultraviolet rays, is characterized by wrinkling, roughness, laxity, and pigmentary changes. Various natural and synthetic retinoids have been explored for the treatment of aging. Among retinoids, adapalene (Ada, 0.3%) is one of the most potent and widely used drugs to treat photoaging. However, it causes irritant reactions that limit its acceptance by patients. Several studies have shown the applicability of Lysozyme (Lys)-shelled microbubbles (MBs) for drug delivery through sonophoresis, and recently we have shown its efficiency to treat inflammatory skin disease. Here, we report the construction of novel Ada-LysMBs based on opposite electric charges for combined effects to treat photoaging. The Ada-LysMBs were self-assembled and had a mean diameter of 2857 nm. The maximum loading efficiency of Ada onto LysMBs was 13.99 ± 0.59%. An acoustic power density of 3 W/cm2 for 1 min revealing maximum penetration depth of LysMBs was optimized for further in vitro and in vivo studies of Ada-LysMBs. It was observed that in vitro Ada release from Ada-LysMBs at 6 h after ultrasound (US) treatment was more rapid at pH 7.4 (82%) than at pH 5.5 (73%). Franz diffusion experiments on isolated porcine skin indicated that US approximately doubled Ada delivery by Ada-LysMBs and Ada + LysMBs at 12 h and six-fold Lys permeation by LysMBs at 6 h, compared to these treatments alone. A 5-week in vivo study in mice identified significant wrinkle reduction in animals treated with US plus Ada-LysMBs. Our findings indicate that US may be used with Ada-LysMBs in the water phase to treat photoaging by normalizing hyperkeratinization and promoting collagen synthesis.
Collapse
Affiliation(s)
- Ai-Ho Liao
- Graduate Institute of Biomedical Engineering, National Taiwan University of Science and Technology, Taipei, Taiwan
- Department of Medical Engineering, National Defense Medical Center, Taipei, Taiwan
| | - You-Lin Cai
- Graduate Institute of Manufacturing Technology, National Taipei University of Technology, Taipei, Taiwan
| | - Ho-Chaio Chuang
- Graduate Institute of Manufacturing Technology, National Taipei University of Technology, Taipei, Taiwan
| | - Cheng-Ying Lee
- Graduate Institute of Biomedical Engineering, National Taiwan University of Science and Technology, Taipei, Taiwan
| | - Yu-Chun Lin
- Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
- * E-mail: (YL); (CC)
| | - Chien-Ping Chiang
- Department of Dermatology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
- Department of Biochemistry, National Defense Medical Center, Taipei, Taiwan
- * E-mail: (YL); (CC)
| |
Collapse
|
13
|
Troin L, Mallet S, Lagouanelle MC, Scannapieco F, Lignon C, Gaudy-Marqueste C, Grob JJ, Richard MA. [Five years' experience of cosmetic camouflage of disfiguring skin disorders: Patient satisfaction]. Ann Dermatol Venereol 2019; 147:4-8. [PMID: 31831215 DOI: 10.1016/j.annder.2019.09.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2016] [Revised: 04/06/2019] [Accepted: 09/03/2019] [Indexed: 10/25/2022]
Abstract
INTRODUCTION Living with disfiguring disorders can impair the emotional well-being and relationships of patients as well as their social and professional life. Since 2010, courses in medical cosmetic correction for disfiguring diseases have been conducted at the dermatology department of the Timone University Hospital in Marseille and they form part of an educational program. The aim of this study was to assess the satisfaction of patients taking part in this program. PATIENTS AND METHODS This is a retrospective study of 55 patients taking part in make-up sessions from January 2010 to December 2014 and subsequently completing a questionnaire. RESULTS The median patient age was 46 years with most being women (n=49, 89 %). They presented pigmentary disorders (54.5 %), inflammatory diseases (27.3 %) and scars (18.2 %). 75 % of patients stated that they had improved their knowledge and 82 % remarked that the technique was personalized to their needs. The technique was considered as easy by 62 % and reproducible by 87 % of patients. 55 % of patients considered that cosmetic camouflage improved their quality of life and 56 % stated that it helped them accept the gaze of others. CONCLUSION In our study skin camouflage appears easy to use and meets patient expectations.
Collapse
Affiliation(s)
- L Troin
- Inserm CRO2, UMR 911, département de dermatologie, centre de recherche en oncologie biologique et oncopharmacologie, Aix-Marseille université, hôpital de la Timone, AP-HM, 264, rue Saint-Pierre, 13385 Marseille, France.
| | - S Mallet
- Inserm CRO2, UMR 911, département de dermatologie, centre de recherche en oncologie biologique et oncopharmacologie, Aix-Marseille université, hôpital de la Timone, AP-HM, 264, rue Saint-Pierre, 13385 Marseille, France
| | - M-C Lagouanelle
- Service de santé publique hôpital de la conception, Aix-Marseille université, AP-HM, 13385 Marseille, France
| | - F Scannapieco
- Inserm CRO2, UMR 911, département de dermatologie, centre de recherche en oncologie biologique et oncopharmacologie, Aix-Marseille université, hôpital de la Timone, AP-HM, 264, rue Saint-Pierre, 13385 Marseille, France
| | - C Lignon
- Inserm CRO2, UMR 911, département de dermatologie, centre de recherche en oncologie biologique et oncopharmacologie, Aix-Marseille université, hôpital de la Timone, AP-HM, 264, rue Saint-Pierre, 13385 Marseille, France
| | - C Gaudy-Marqueste
- Inserm CRO2, UMR 911, département de dermatologie, centre de recherche en oncologie biologique et oncopharmacologie, Aix-Marseille université, hôpital de la Timone, AP-HM, 264, rue Saint-Pierre, 13385 Marseille, France
| | - J-J Grob
- Inserm CRO2, UMR 911, département de dermatologie, centre de recherche en oncologie biologique et oncopharmacologie, Aix-Marseille université, hôpital de la Timone, AP-HM, 264, rue Saint-Pierre, 13385 Marseille, France
| | - M-A Richard
- CEReSS-EA 3279, Dermatology Department, Research Center in Health Services and Quality of Life Aix-Marseille University, Universitary Hospital Timone, Assistance Publique-Hôpitaux de Marseille, AP-HM, 13385, Marseille, France
| |
Collapse
|
14
|
Claudel JP, Auffret N, Leccia MT, Poli F, Dréno B. Acne from the young patient's perspective. J Eur Acad Dermatol Venereol 2019; 34:942-947. [PMID: 31715036 DOI: 10.1111/jdv.16067] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2019] [Accepted: 10/31/2019] [Indexed: 12/21/2022]
Abstract
Acne may significantly impact quality of life, self-esteem and self-worth. The aim of this paper was to provide an overview of the knowledge and perception of acne and its risk factors in adolescents and young adults. The most critical issues reported for an optimal management of this specific population were identified. A PubMed literature review of results from patient-oriented surveys published between 2007 and 2018 was conducted. Two different types of survey were used: those using either validated questionnaires or specifically developed questionnaires. No consistency or directly comparable data with regards to age, onset, duration, severity and treatment of acne and by whom and where data were collected were observed. Acne affected female patients psychologically more than male patients. The majority referred to their treating physician in order to obtain information, and all surveys pointed out that specific treatment programs would allow to increase awareness about acne. Beliefs, traditions and economic factors continue to impact the perception of and treatment choices for acne in almost all countries and cultures, maintaining the improvement of awareness about acne a major global health challenge. In conclusion, identifying, considering and managing the patient's concerns about acne may improve the young patient's well-being and thus decrease additional healthcare expenses for emerging psychological comorbidities. This can be achieved by creating substantial and structured awareness through local and global information campaigns via the treating physicians, Internet, social networks and education.
Collapse
Affiliation(s)
| | | | - M-T Leccia
- Department of Dermatology, Allergology and Photobiology, CHU A Michallon, Grenoble, France
| | - F Poli
- Private Practice, Paris, France
| | - B Dréno
- UF Dermato-cancérologie, Inserm U1232, CIC Biothérapie Inserm 05031, CHU Nantes-Hôtel-Dieu, Nantes, France
| |
Collapse
|
15
|
Abstract
Acne is one of the most common skin conditions seen by dermatologists. As with many other cutaneous diseases, due to its visibility, acne often produces a large psychosocial impact on patients who suffer from the disease. Such psychosocial burdens are exacerbated by the variation in acne presentation that can lead to the usage of multiple different treatments before visible improvements are appreciated. Although many scales have been established to determine severity from the clinician standpoint, patient-oriented scales are lacking. Clinicians use these severity tools to guide management and judge patient improvement from visit to visit. Creation of such a severity scale from a patient's perspective would allow patients to not only assess their perception of their acne independent of a physician but could also be used to determine patient satisfaction with treatment that would then help to more effectively guide management. Therefore the goal of this study is to create and validate a patient-centered acne severity scale using a visual analogue scale format.
Collapse
Affiliation(s)
- Deepa P Patel
- Section of Pediatric Dermatology, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.,School of Medicine, University of Louisville, Louisville, KY, USA
| | - Elena Bernardis
- Section of Pediatric Dermatology, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - Albert C Yan
- Section of Pediatric Dermatology, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA
| |
Collapse
|
16
|
Kordi M, Rashidi Fakari F, Mazloum SR, Layegh P. Quality of Life Evaluation in Iranian Postpartum Women With and Without Striae Gravidarum. IRANIAN JOURNAL OF PSYCHIATRY AND BEHAVIORAL SCIENCES 2016; 10:e3993. [PMID: 27803721 PMCID: PMC5088410 DOI: 10.17795/ijpbs-3993] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/02/2015] [Revised: 11/17/2015] [Accepted: 03/03/2016] [Indexed: 11/25/2022]
Abstract
BACKGROUND Striae are a common change during pregnancy, leaving striae in various body parts after delivery, which most women find unpleasant. They create a big aesthetic concern for most women. Although striae do not endanger the mother and the fetus, they may cause a desire to scratch the region leading to small wounds, induce stress over beauty, decrease self-confidence, and create psychological disorders. They may try various treatments and often refer to dermatology clinics and receive long-term treatments; these time-consuming and costly behaviors and may affect their quality of life. OBJECTIVES The aim of this study was to evaluate the quality of life in Iranian postpartum women with and without striae gravidarum. MATERIALS AND METHODS This cross-sectional study was conducted on 145 women who had referred to health centers of Mashhad to receive post-delivery health care six weeks after delivery during year 2013. Multi-stage sampling was applied to select the participants. The tools used were demographic, SF-36 quality of life, Skindex29, Atwal and Fitzpatrick classification questionnaires. Data were analyzed using the SPSS V.11.5 software. RESULTS The subjects' mean age was 26.3 ± 5.7. Mann-Whitney test showed there was a significant difference between mean of Skindex29 and its dimensions (P < 0.001), general life quality (P < 0.001) in women with and without striae. Mann-Whitney test showed no significant difference between mean general quality of life dimension, except physical function in women with and without striae (P > 0.05). CONCLUSIONS The results showed that striae lead to reduced quality of general life and reduced skin quality index in women postpartum.
Collapse
Affiliation(s)
- Masoumeh Kordi
- Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, IR Iran
| | - Farzaneh Rashidi Fakari
- Department of Midwifery, Students Research Committee, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, IR Iran
| | - Seyed Reza Mazloum
- Department of Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, IR Iran
| | - Pouran Layegh
- Department of Dermatology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran
| |
Collapse
|
17
|
Jones AL, Porcheron A, Sweda JR, Morizot F, Russell R. Coloration in different areas of facial skin is a cue to health: The role of cheek redness and periorbital luminance in health perception. Body Image 2016; 17:57-66. [PMID: 26967010 DOI: 10.1016/j.bodyim.2016.02.001] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/21/2015] [Revised: 02/05/2016] [Accepted: 02/06/2016] [Indexed: 01/20/2023]
Abstract
Looking healthy is a desirable trait, and facial skin color is a predictor of perceived health. However, skin conditions that cause dissatisfaction with appearance are specific to particular facial areas. We investigated whether color variation in facial skin is related to perceived health. Study 1 defined three areas based on color differences between faces perceived as healthy or unhealthy: the forehead, periorbital areas, and the cheeks. Periorbital luminance and cheek redness predicted perceived health, as did global skin yellowness. In Study 2, increased luminance and redness caused faces to be perceived as healthier, but only when the increase was in the periorbital and cheek areas, respectively. Manipulating each area separately in Study 3 revealed cheek redness and periorbital luminance equally increased perceived health, with low periorbital luminance more negatively affecting perceptions. These findings show that color variation in facial skin is a cue for health perception in female faces.
Collapse
Affiliation(s)
- Alex L Jones
- Department of Psychology, Gettysburg College, Gettysburg, PA, USA.
| | - Aurélie Porcheron
- CHANEL Recherche et Technologie, CHANEL PB, Paris, France; LPNC, University of Grenoble-Alpes, Grenoble, France
| | - Jennifer R Sweda
- Department of Psychology, Gettysburg College, Gettysburg, PA, USA
| | | | - Richard Russell
- Department of Psychology, Gettysburg College, Gettysburg, PA, USA.
| |
Collapse
|
18
|
Vilar GN, Santos LAD, Sobral Filho JF. Quality of life, self-esteem and psychosocial factors in adolescents with acne vulgaris. An Bras Dermatol 2016; 90:622-9. [PMID: 26560206 PMCID: PMC4631226 DOI: 10.1590/abd1806-4841.201533726] [Citation(s) in RCA: 46] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2014] [Accepted: 09/19/2014] [Indexed: 11/22/2022] Open
Abstract
Background Dermatological diseases, among which acne vulgaris, have psychological impact on
the affected generating feelings of guilt, shame and social isolation. Objectives To compare quality of life, self-esteem and other psychosocial variables amongst
adolescents with and without acne vulgaris, and between levels of severity. Methods Cross-sectional observational study in a sample of 355 high school students from
the city of João Pessoa. Data collection was performed with questionnaires and
clinical-dermatological evaluation. The primary variables were the incidence of
AV; quality of life, set by the Children's Dermatology Quality of Life Index and
Dermatology Quality of Life Index; and self-esteem, measured by the Rosenberg
Self-Esteem Scale. For calculation of statistical tests, we used the SPSS 20.0
software, considering p=0.05. Results The sample, with an average age of 16, showed 89.3% prevalence of acne vulgaris.
The most prevalent psychosocial issue was "afraid that acne will never cease",
present in 58% of affected youth. The median score of Quality of Life in
Children's Dermatology Index was different amongst students with and without acne
vulgaris (p=0.003), as well as the Quality of Life in Dermatology (p=0.038)
scores, so that students with acne vulgaris have worse QoL. There was a
correlation between the severity of acne vulgaris and worse quality of life.
Self-esteem was not significantly associated with the occurrence or severity of
acne vulgaris. Conclusions acne vulgaris assumes significance in view of its high prevalence and the effect
on quality of life of adolescents, more severe at the more pronounced stages of
disease (p<0.001). The psychosocial impact of acne vulgaris should be valued in
the management of patients with this condition.
Collapse
|
19
|
Gieler U, Gieler T, Kupfer JP. Acne and quality of life - impact and management. J Eur Acad Dermatol Venereol 2016; 29 Suppl 4:12-4. [PMID: 26059729 DOI: 10.1111/jdv.13191] [Citation(s) in RCA: 81] [Impact Index Per Article: 10.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2015] [Accepted: 04/16/2015] [Indexed: 11/27/2022]
Abstract
Acne is a common skin disease with a high prevalence in adolescents and young adults. In addition to physical effects such as permanent scarring and disfigurement, acne has long-lasting psychosocial effects that affect the patient's quality of life. Depression, social isolation and suicidal ideation are frequent comorbidities of acne that should not be neglected in the therapy of acne patients. Research evidence suggests that the impairment of quality of life can be alleviated by appropriate topical acne treatment.
Collapse
Affiliation(s)
- U Gieler
- Department of Dermatology and Allergology, University Clinic Giessen (UGKM), Giessen, Germany
| | - T Gieler
- Vitos Clinics for Psychiatry, Psychosomatic Medicine, and Psychotherapy Giessen, Giessen, Germany
| | - J P Kupfer
- Institute of Medical Psychology, University of Giessen, Giessen, Germany
| |
Collapse
|
20
|
Salsberg JM, Weinstein M, Shear N, Lee M, Pope E. Impact of Cosmetic Camouflage on the Quality of Life of Children With Skin Disease and Their Families. J Cutan Med Surg 2015; 20:211-5. [PMID: 26162859 DOI: 10.1177/1203475415595175] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND/OBJECTIVES Cosmetic camouflage is known to improve quality of life in adults. Few data are available regarding cosmetic camouflage in children, and thus it is not often selected as a mode of treatment. We sought to determine whether cosmetic camouflage leads to improved quality of life of pediatric patients with visible dermatoses and their parent or primary caregiver. METHODS Patients aged 5 to 17 years with visible skin disease and their parent were assessed with the Children's Dermatology Life Quality Index (CDLQI) and the Family Dermatology Life Quality Index (FDLQI) before and after consultation regarding cosmetic camouflage. RESULTS Twenty-two children with skin conditions were included in the study. The mean CDLQI decreased from 6.82 (SD = 1.28) to 3.05 (SD = 0.65; P = .0014), while the mean FDLQI decreased from 7.68 (SD = 1.15) to 4.68 (SD = 0.92; P = .0012). CONCLUSIONS Our study highlighted improvement in quality of life in patients with skin disorders who were managed with cosmetic camouflage.
Collapse
Affiliation(s)
| | | | - Neil Shear
- Sunnybrook Health Sciences Centre, Toronto, Ontario
| | - Michelle Lee
- The Hospital for Sick Children, Toronto, Ontario
| | - Elena Pope
- The Hospital for Sick Children, Toronto, Ontario
| |
Collapse
|
21
|
Beresniak A, Auray JP, Duru G, Aractingi S, Krueger GG, Talarico S, Tsutani K, Dupont D, de Linares Y. Quality of life assessment in cosmetics: specificity and interest of the international BeautyQol instrument. J Cosmet Dermatol 2015; 14:260-5. [PMID: 26133392 DOI: 10.1111/jocd.12156] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/09/2015] [Indexed: 11/28/2022]
Abstract
The wide use of cosmetics and their perceived benefits upon well-being imply objective descriptions of their effects upon the different dimensions contributing to the quality of life (QoL). Such a goal pleas for using relevant and validated scientific instruments with robust measurement methods. This paper discusses the interest of the new validated questionnaire BeautyQoL specifically designed to assess the effect of cosmetic products on physical appearance and QoL. After conducting a review of skin appearance and QoL, three phases of the international codevelopment have been carried out in the following sequence: semi-directed interviews (Phase 1), acceptability study (Phase 2), and validation study (Phase 3). Data collection and validation process have been carried out in 16 languages. This review confirms that QoL instruments developed in dermatology are not suitable to assess cosmetic products, mainly because of their lack of sensitivity. General acceptability of BeautyQol was very good. Forty-two questions have been structured in five dimensions that explained 76.7% of the total variance: Social Life, Self-confidence, Mood, Vitality, and Attractiveness. Cronbach's alpha coefficients are between 0.932 and 0.978, confirming the good internal consistency of the results. The BeautyQol questionnaire is the first international instrument specific to cosmetic products and physical appearance that has been validated in 16 languages and could be used in a number of clinical trials and descriptive studies to demonstrate the added value of these products on the QoL.
Collapse
Affiliation(s)
- Ariel Beresniak
- Data Mining International, Geneva, Switzerland.,Paris-Descartes University, Paris, France
| | | | | | | | | | | | | | | | | |
Collapse
|
22
|
Ribeiro de Jesus PB, Santos ID, Brandão EDS. A autoimagem e a autoestima das pessoas com transtornos de pele: uma revisão integrativa da literatura baseada no modelo de Callista Roy. AQUICHAN 2015. [DOI: 10.5294/aqui.2015.15.1.8] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Objetivo: conhecer a relação entre os transtornos da pele e a alteração do autoconceito nas pessoas com afecção cutânea. Método: revisão integrativa da literatura a partir dos descritores: lesões, dermatologia e autoimagem. A busca se fez nas bases Lilacs, SciELO e PubMed, em artigos publicados entre 2000 e 2012. Resultados: a revisão integrativa mostrou os principais efeitos psicológicos causados pelas doenças da pele e confirmou que os fatores psicossociais relacionados com a autoimagem e a autoestima afetam a vida das pessoas. Conclusão: os transtornos da pele podem levar o indivíduo a buscar estratégias que vão desde o isolamento do corpo e o isolamento social, a negação da doença até o uso de maquiagem de camuflagem, como aparecem nas publicações. A escassez de estudos publicados que mostrem as estratégias a adotar pelos enfermeiros para lidar com os efeitos psicológicos causados pela doença cutânea evidenciam a necessidade de se pesquisar sobre o tema.
Collapse
|
23
|
New Trends in Cosmetics: By-Products of Plant Origin and Their Potential Use as Cosmetic Active Ingredients. COSMETICS 2015. [DOI: 10.3390/cosmetics2020082] [Citation(s) in RCA: 62] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
|
24
|
Taieb A, Ortonne JP, Ruzicka T, Roszkiewicz J, Berth-Jones J, Peirone MH, Jacovella J. Superiority of ivermectin 1% cream over metronidazole 0·75% cream in treating inflammatory lesions of rosacea: a randomized, investigator-blinded trial. Br J Dermatol 2015; 172:1103-10. [PMID: 25228137 DOI: 10.1111/bjd.13408] [Citation(s) in RCA: 85] [Impact Index Per Article: 9.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/12/2014] [Indexed: 02/06/2023]
Abstract
BACKGROUND Few therapeutic alternatives currently exist in the treatment of papulopustular rosacea (PPR). OBJECTIVES To demonstrate superiority of once-daily ivermectin 1% cream (IVM 1%) once daily vs. twice-daily metronidazole (MTZ 0·75%) cream, regarding percentage reduction of inflammatory lesions in subjects with moderate to severe PPR. METHODS In this Phase 3, investigator-blinded, randomized, parallel-group study, subjects received IVM 1% once daily, or MTZ 0·75% twice daily over 16 weeks. Efficacy assessments were inflammatory lesion counts and Investigator's Global Assessment (IGA). Safety assessments included incidence of adverse events (AEs) and local tolerance parameters. Subjects evaluated their disease following a 5-grade scale and completed questionnaires. RESULTS A total of 962 subjects were randomized to receive IVM 1% (n = 478) or MTZ 0·75% (n = 484). At week 16, IVM 1% was significantly superior to MTZ 0·75% in terms of reduction from baseline in inflammatory lesions (83·0% vs. 73·7%; P < 0.001), observed as early as week 3 (Last Observation Carried Forward, LOCF). IGA results (subjects 'clear' or 'almost clear') also favoured IVM 1%: 84·9% vs. 75·4%, respectively (P < 0.001). Incidence of AEs was comparable between groups and local tolerability was better for IVM 1%. More subjects receiving IVM rated their global improvement as 'excellent' or 'good.' CONCLUSIONS Ivermectin 1% cream was significantly superior to MTZ 0·75% cream and achieved high patient satisfaction.
Collapse
Affiliation(s)
- A Taieb
- Service de Dermatologie et Dermatologie Pédiatrique, Hôpital Saint-André, 1 rue Jean Burguet, 33075, Bordeaux Cedex, France
| | | | | | | | | | | | | | | |
Collapse
|
25
|
Abstract
Acne vulgaris is a chronic condition affecting more than 85% of adolescents and young adults. It is one of the most common diseases affecting humanity and its impact on quality of life (QoL) is important. The impact of acne on QoL in Indian patients remains undocumented. The study was undertaken to detect the impact of acne vulgaris and related factors that may influence the QoL.
Collapse
Affiliation(s)
- Priya Cinna T Durai
- Department of Dermatology, Sexually Transmitted Disease and Leprosy, A. J. Institute of Medical Sciences, Kuntikana, Mangalore, Karnataka, India
| | - Dhanya G Nair
- Department of Dermatology, Sexually Transmitted Disease and Leprosy, A. J. Institute of Medical Sciences, Kuntikana, Mangalore, Karnataka, India
| |
Collapse
|
26
|
Segot-Chicq E, Fanchon C. Quality of life in postmenopausal women: translation and validation of MSkinQOL questionnaire to measure the effect of a skincare product in USA. J Cosmet Dermatol 2013; 12:267-74. [DOI: 10.1111/jocd.12064] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/11/2013] [Indexed: 11/28/2022]
|
27
|
Quintard B, Gana K, Constant A, Quintric C, Taïeb A, Léauté-Labrèze C. Social isolation in parents of children with hemangiomas: Effects of coping styles and emotional distress. PSYCHOL HEALTH MED 2013; 18:698-704. [DOI: 10.1080/13548506.2013.766351] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|
28
|
Down-regulation of tyrosinase, TRP-1, TRP-2 and MITF expressions by citrus press-cakes in murine B16 F10 melanoma. Asian Pac J Trop Biomed 2013; 3:617-22; discussion 621-2. [PMID: 23905018 DOI: 10.1016/s2221-1691(13)60125-2] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2013] [Accepted: 06/22/2013] [Indexed: 02/06/2023] Open
Abstract
OBJECTIVE To investigate the suitability of citrus-press cakes, by-products of the juice industry as a source for the whitening agents for cosmetic industry. METHODS Ethylacetate extracts of citrus-press cakes (CCE) were examined for their anti-melanogenic potentials in terms of the inhibition of melanin production and mechanisim of melanogenesis by using Western Blot analysis with tyrosinese, tyrosinase-related protein-1 (TRP-1), TRP2, and microphthalmia-associated transcription factor (MITF) proteins. To apply the topical agents, citrus-press cakes was investigated the safety in human skin cell line. Finally flavonoid analysis of CCE was also determined by HPLC analysis. RESULTS Results indicated that CCE were shown to down-regulate melanin content in a dose-dependent pattern. The CCE inhibited tyrosinase, TRP-2, and MITF expressions in a dose-dependent manner. To test the applicability of CCE to human skin, we used MTT assay to assess the cytotoxic effects of CCE on human keratinocyte HaCaT cells. The CCE exhibited low cytotoxicity at 50 µg/mL. Characterization of the citrus-press cakes for flavonoid contents using HPLC showed varied quantity of rutin, narirutin, and hesperidin. CONCLUSIONS Considering the anti-melanogenic activity and human safety, CCE is considered as a potential anti-melanogenic agent and may be effective for topical application for treating hyperpigmentation disorders.
Collapse
|
29
|
Wu Y, Niu Y, Zhong S, Liu H, Zhen Y, Saint-Leger D, Verschoore M. A preliminary investigation of the impact of oily skin on quality of life and concordance of self-perceived skin oiliness and skin surface lipids (sebum). Int J Cosmet Sci 2013; 35:442-7. [PMID: 23651406 DOI: 10.1111/ics.12063] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2013] [Accepted: 05/02/2013] [Indexed: 11/30/2022]
Affiliation(s)
- Y. Wu
- Department of dermatology; Peking University First Hospital; Beijing; China
| | - Y. Niu
- Department of dermatology; Peking University First Hospital; Beijing; China
| | - S. Zhong
- Department of dermatology; Peking University First Hospital; Beijing; China
| | - H. Liu
- Department of dermatology; Peking University First Hospital; Beijing; China
| | - Y. Zhen
- L'Oreal Research & Innovation; Shanghai; China
| | | | | |
Collapse
|
30
|
Van Onselen J. Rosacea: symptoms and support. BRITISH JOURNAL OF NURSING (MARK ALLEN PUBLISHING) 2012; 21:1252-1255. [PMID: 23469507 DOI: 10.12968/bjon.2012.21.21.1252] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Rosacea is a common skin condition, especially for middle-aged and some older adults. However, it is often wrongly perceived as cosmetic facial redness caused by alcohol. This can be very distressing for rosacea patients, as it is a facial vascular condition with subtypes, varying in severity. Rosacea should be effectively treated, as physical symptoms such as burning, stinging and soreness, as well as facial disfigurement are very distressing and can have a major impact on quality of life. This articles seeks to explain what rosacea is, including a description of sub-types and possible causes and trigger factors. Treatments for different severities of rosacea and the nurse's role in supporting patients will also be discussed.
Collapse
|
31
|
Abstract
Melasma is an acquired hypermelanosis that results in localized hyperpigmentation, commonly found on the face. This condition is much more common in women than men. There are some features of melasma in men that seem to differ from those seen in women. However, there is a paucity of data on this topic. The aim of this article is to review the etiology, clinical presentation, and treatment of melasma in men. It is important for dermatologists to understand some unique aspects of melasma in this group to provide appropriate care for patients who suffer from this frustrating condition.
Collapse
Affiliation(s)
- Vasanop Vachiramon
- Division of Dermatology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
| | | | | |
Collapse
|
32
|
Sugimoto S, Ishii Y, Izawa N, Masuoka N, Kano M, Sone T, Chiba K, Miyazaki K, Ishikawa F. Photoprotective effects ofBifidobacterium brevesupplementation against skin damage induced by ultraviolet irradiation in hairless mice. PHOTODERMATOLOGY PHOTOIMMUNOLOGY & PHOTOMEDICINE 2012; 28:312-9. [DOI: 10.1111/phpp.12006] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Saho Sugimoto
- Pharmaceutical and Cosmetic Research Department; Yakult Central Institute for Microbiological Research; Tokyo; Japan
| | - Yuki Ishii
- Pharmaceutical and Cosmetic Research Department; Yakult Central Institute for Microbiological Research; Tokyo; Japan
| | - Naoki Izawa
- Pharmaceutical and Cosmetic Research Department; Yakult Central Institute for Microbiological Research; Tokyo; Japan
| | - Norie Masuoka
- Pharmaceutical and Cosmetic Research Department; Yakult Central Institute for Microbiological Research; Tokyo; Japan
| | - Mitsuyoshi Kano
- Pharmaceutical and Cosmetic Research Department; Yakult Central Institute for Microbiological Research; Tokyo; Japan
| | - Toshiro Sone
- Pharmaceutical and Cosmetic Research Department; Yakult Central Institute for Microbiological Research; Tokyo; Japan
| | - Katsuyoshi Chiba
- Pharmaceutical and Cosmetic Research Department; Yakult Central Institute for Microbiological Research; Tokyo; Japan
| | - Kouji Miyazaki
- Pharmaceutical and Cosmetic Research Department; Yakult Central Institute for Microbiological Research; Tokyo; Japan
| | - Fumiyasu Ishikawa
- Pharmaceutical and Cosmetic Research Department; Yakult Central Institute for Microbiological Research; Tokyo; Japan
| |
Collapse
|
33
|
El Fakir S, Baybay H, Bendahhou K, Obtel M, Benchat L, Mernissi FZ, Nejjari C. Validation of the Skindex-16 questionnaire in patients with skin diseases in Morocco. J DERMATOL TREAT 2012; 25:106-9. [PMID: 22455447 DOI: 10.3109/09546634.2012.681016] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE The aim of the study was to translate and adapt the original version of the Skindex-16 questionnaire from English to Moroccan Arabic language, refining its terms and adapting it to Moroccan culture. METHODS After translation and cross-cultural adaptation, the questionnaire was tested on skin diseases patients. Internal consistency was tested using Cronbach's α coefficient, the test-retest reliability using intraclass correlation coefficient (ICC). Construct validity was assessed by examining item convergent and divergent validity. RESULTS The questionnaire was administered to 120 patients. The mean age of patients was 39 years (SD: 16), 49.6% were married. 76.9% of all participants lived in an urban area. The average time to complete the Skindex-16 questionnaire was 5 min. Questionnaire reliability was assessed using Cronbach's α coefficient, in which the values were all > 0.7. All items exceeded the 0.4 criterion for convergent validity. CONCLUSION In general, the findings of this study indicated that the authors have developed a semantically equivalent translation of Skindex-16 into Moroccan Arabic. It is a reliable and valid measure of the effects of skin disease on the quality of life in Moroccan patients.
Collapse
Affiliation(s)
- Samira El Fakir
- Department of Epidemiology, Clinical Research and Community Health - Faculty of Medicine , Fez , Morocco
| | | | | | | | | | | | | |
Collapse
|
34
|
[The impact of rosacea on patients' daily life: a transverse observational study among private dermatologists]. Ann Dermatol Venereol 2012; 139:222-4. [PMID: 22401690 DOI: 10.1016/j.annder.2011.11.013] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2011] [Revised: 10/31/2011] [Accepted: 11/30/2011] [Indexed: 12/19/2022]
|
35
|
Brodell RT, Schlosser BJ, Rafal E, Toth D, Tyring S, Wertheimer A, Kerrouche N, Bucher D. A fixed-dose combination of adapalene 0.1%–BPO 2.5% allows an early and sustained improvement in quality of life and patient treatment satisfaction in severe acne. J DERMATOL TREAT 2012; 23:26-34. [DOI: 10.3109/09546634.2011.643221] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
|
36
|
Barnes LE, Levender MM, Fleischer AB, Feldman SR. Quality of life measures for acne patients. Dermatol Clin 2011; 30:293-300, ix. [PMID: 22284143 DOI: 10.1016/j.det.2011.11.001] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Acne vulgaris affects most adolescents and two-thirds of adults and is associated with substantial psychosocial burden. Health-related quality of life (HRQOL) for patients with acne is an important factor of patient care, and several dermatologic and acne-specific measures have been created to assist in acne research, management, and care. This review describes several skin disease and acne-specific HRQOL measures and their applications in clinical care or research. The ideal HRQOL measure for the management of patients with acne is a concise questionnaire that places minimal burden on respondents and allows physicians to track improvement in HRQOL with successful treatment.
Collapse
Affiliation(s)
- Lauren E Barnes
- Department of Dermatology, Center for Dermatology Research, Wake Forest School of Medicine, Box 2473, Medical Center Boulevard, Winston-Salem, NC 27157-1071, USA.
| | | | | | | |
Collapse
|
37
|
Su D, Drummond PD. Blushing Propensity and Psychological Distress in People with Rosacea. Clin Psychol Psychother 2011; 19:488-95. [DOI: 10.1002/cpp.763] [Citation(s) in RCA: 44] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- Daphne Su
- School of Psychology; Murdoch University; Perth; Western Australia; Australia
| | - Peter D. Drummond
- School of Psychology; Murdoch University; Perth; Western Australia; Australia
| |
Collapse
|
38
|
Shah M, Mavers M, Bree A, Fosko S, Lents NH. Quality of life and depression assessment in nevoid basal cell carcinoma syndrome. Int J Dermatol 2011; 50:268-76. [PMID: 21342158 DOI: 10.1111/j.1365-4632.2010.04658.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND Nevoid basal cell carcinoma syndrome (NBCCS) is a rare genetic disease which causes a variety of dermatological lesions, especially basal cell carcinomas (BCCs), often on the face, neck, and head. METHODS Persons attending a national NBCCS support group meeting were asked to participate in survey-based assessments of quality of life and depressive symptoms. Inclusion criteria required a self-reported NBCCS diagnosis, voluntary agreement to participate, and age over 18 years. Exclusion criteria included cognitive impairment. Skin-related quality of life was assessed with Skindex-29, completed by 32 participants. Depressive symptomatology was determined with the Center for Epidemiological Studies Depression Scale (CES-D), completed by 18 participants. Sociodemographic, medical, and social variables were also analyzed. RESULTS Median Skindex-29 scores for the emotions, symptoms, and functioning scales were 42.50, 32.14, and 28.13, respectively (means: 41.17, 37.05, and 29.30, respectively). These scores were slightly higher than those observed in patients with neurofibromatosis type 1, a similar genetic disease with skin symptoms. The CES-D scores (median = 15.50, mean = 17.50) suggested that 50% of participants had significant depressive symptomatology. Variables showing moderate associations with the scores included diet, number of affected family members, and treatment type. Interestingly, the number of BCCs had no effect. CONCLUSIONS Nevoid basal cell carcinoma syndrome impacts the quality of life of its subjects in a similar manner to other genodermatoses. Depressive symptoms are particularly prevalent. Several demographic, medical, and social characteristics affect these outcomes. Thus, the psychological impact of this disorder should be evaluated in the course of considering the care of persons with NBCCS.
Collapse
Affiliation(s)
- Maulik Shah
- Saint Louis University Cancer Center, St Louis, MO, USA.
| | | | | | | | | |
Collapse
|
39
|
Abstract
Patients with rosacea frequently present with coexisting skin conditions, such as seborrheic dermatitis, acne, perioral dermatitis, and melasma, which may complicate diagnosis and treatment. This article discusses the presentation, pathophysiology, and management of rosacea with common concomitant skin disorders.
Collapse
|
40
|
Elewski BE, Draelos Z, Dréno B, Jansen T, Layton A, Picardo M. Rosacea - global diversity and optimized outcome: proposed international consensus from the Rosacea International Expert Group. J Eur Acad Dermatol Venereol 2010; 25:188-200. [PMID: 20586834 DOI: 10.1111/j.1468-3083.2010.03751.x] [Citation(s) in RCA: 150] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
BACKGROUND The absence of specific histological or serological markers, the gaps in understanding the aetiology and pathophysiology of rosacea, and the broad diversity in its clinical manifestations has made it difficult to reach international consensus on therapy guidelines. OBJECTIVES The main objective was to highlight the global diversity in current thinking about rosacea pathophysiology, classification and medical features, under particular consideration of the relevance of the findings to optimization of therapy. METHODS The article presents findings, proposals and conclusions reached by the ROSacea International Expert group (ROSIE), comprising European and US rosacea experts. RESULTS New findings on pathogenesis provide a rationale for the development of novel therapies. Thus, recent findings suggest a central role of the antimicrobial peptide cathelicidin and its activator kallikrein-5 by eliciting an exacerbated response of the innate immune system. Cathelicidin/kallikrein-5 also provide a rationale for the effect of tetracyclines and azelaic acid against rosacea. Clinically, the ROSIE group emphasized the need for a comprehensive therapy strategy - the triad of rosacea care - that integrates patient education including psychological and social aspects, skin care with dermo-cosmetics as well as drug- and physical therapies. Classification of rosacea into stages or subgroups, with or without progression, remained controversial. However, the ROSIE group proposed that therapy decision making should be in accordance with a treatment algorithm based on the signs and symptoms of rosacea rather than on a prior classification. CONCLUSION The ROSIE group reviewed rosacea pathophysiology and medical features and the impact on patients and treatment options. The group suggested a rational, evidence-based approach to treatment for the various symptoms of the condition. In daily practice this approach might be more easily handled than prior subtype classification, in particular since patients often may show clinical features of more than one subtype at the same time.
Collapse
Affiliation(s)
- B E Elewski
- Department of Dermatology, University of Alabama, Birmingham, AL, USA
| | | | | | | | | | | |
Collapse
|
41
|
Thomas K, Yelverton CB, Yentzer BA, Balkrishnan R, Fleischer AB, Feldman SR. The cost-effectiveness of rosacea treatments. J DERMATOL TREAT 2009; 20:72-5. [DOI: 10.1080/09546630802314662] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
|
42
|
Dogramaci AC, Havlucu DY, Inandi T, Balkrishnan R. Validation of a melasma quality of life questionnaire for the Turkish language: The MelasQoL-TR study. J DERMATOL TREAT 2009; 20:95-9. [DOI: 10.1080/09546630802287553] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
|
43
|
Pichardo R, Vallejos Q, Feldman SR, Schulz MR, Verma A, Quandt SA, Arcury TA. The prevalence of melasma and its association with quality of life in adult male Latino migrant workers. Int J Dermatol 2009; 48:22-6. [PMID: 19126046 DOI: 10.1111/j.1365-4632.2009.03778.x] [Citation(s) in RCA: 54] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND Melasma is a common condition of Latino women that detracts from their quality of life (QOL). The prevalence and impact of melasma in Latino men is not well characterized. AIM To assess the prevalence of melasma and its association with QOL in Latino men from Mexico and Central America working in the USA. METHODS The prevalence of melasma was assessed in three studies of Latino men: by direct examination in a study of 25 Latino poultry workers; by direct examination in a study of 54 Latino farm workers; and by examination of store-and-forward teledermatology images in a study of 300 Latino farm workers. QOL was assessed with a Spanish version of the Dermatology Life Quality Index (DLQI). RESULTS The prevalence of melasma was 36.0%, 7.4%, and 14.0% in the three studies. The prevalence of melasma was greatest amongst those aged 31 years and older, who were from Guatemala, and who spoke an indigenous language. The presence of melasma was associated with higher DLQI scores, indicating a poorer QOL, in the poultry worker population. CONCLUSIONS Melasma is a common condition in Latino men and is associated with a poor QOL in some affected individuals. Clinicians should be aware that melasma may be a concern for their male Latino patients. Research on the association of skin conditions with QOL amongst minority men is needed.
Collapse
Affiliation(s)
- Rita Pichardo
- Department of Dermatology, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157-1071, USA
| | | | | | | | | | | | | |
Collapse
|
44
|
Gollnick H, Layton A. Azelaic acid 15% gel in the treatment of rosacea. Expert Opin Pharmacother 2008; 9:2699-706. [DOI: 10.1517/14656566.9.15.2699] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
|
45
|
Adalatkhah H, Sadeghi-bazargani H, Amini-sani N, Zeynizadeh S. Melasma and its association with different types of nevi in women: a case-control study. BMC DERMATOLOGY 2008; 8:3. [PMID: 18680608 PMCID: PMC2525625 DOI: 10.1186/1471-5945-8-3] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/28/2007] [Accepted: 08/05/2008] [Indexed: 11/30/2022]
Abstract
Background Very little is known about possible association of nevi and melasma. The study objective was to determine if there is an association between melasma and existence of different kinds of nevi. Methods In a case-control study, 120 female melasma patients referred to dermatology clinic of Ardabil and 120 patients referred to other specialty clinics who lacked melasma were enrolled after matching for age. Number of different types of nevi including lentigines and melanocytic nevi were compared between case and control group patients. Data were entered into the computer and analyzed by SPSS 13 statistical software. Results Mean number of lentigines was 25.5 in melasma group compared to 8 in control group(P < 0.01). Mean number of melanocytic nevi was 13.2 in cases compared to 2.8 in control group(P < 0.001). Multivariate analysis showed that existence of freckles, lentigines and more than three melanocytic nevi were positively related to developing melasma. The chance of melasma increased up to 23 times for patients having more than three melanocytic nevi. Congenital nevi were observed among 10% both in case and control groups. Campbell de morgan angiomas were seen among 26 patients(21.8%) in case group compared to 6 patients(5%) in control group. Conclusion Existence of lentigines and melanocytic nevi increases chance of having melasma
Collapse
Affiliation(s)
- Hassan Adalatkhah
- Department of public health sciences, Karolinska Institute, Stockholm, Sweden.
| | | | | | | |
Collapse
|
46
|
Critical Review of Generic and Dermatology-Specific Health-Related Quality of Life Instruments. J Invest Dermatol 2007; 127:2726-39. [DOI: 10.1038/sj.jid.5701142] [Citation(s) in RCA: 204] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
|
47
|
Narayanan S, Hünerbein A, Getie M, Jäckel A, Neubert RHH. Scavenging properties of metronidazole on free oxygen radicals in a skin lipid model system. J Pharm Pharmacol 2007; 59:1125-30. [PMID: 17725855 DOI: 10.1211/jpp.59.8.0010] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
Reactive oxygen species (ROS) play a vital role in the pathophysiology of the skin disease rosacea, a chronic, genetically-determined and UV-triggered disease, leading to facial redness and blemishes and exhibiting a deep impact on a patient's self-esteem and quality of life. ROS can cause oxidative damage to nucleic acids, sugars, proteins and lipids, thereby contributing to adverse effects on the skin. Metronidazole has been the first-line topical agent therapy for many years; nevertheless the mechanism of action is still not well understood. The therapeutic efficacy of metronidazole has been attributed to its antioxidant effects, which can involve two pathways: decreased generation of ROS within tissues or scavenging and inactivation of existing ROS. Previous investigations have shown that metronidazole reduces ROS by decreasing ROS production in cellular in-vitro systems. The aim of the following study was to demonstrate that metronidazole additionally exhibits antioxidative properties in a cell-free system, by acting as an antioxidant scavenger. A simple skin lipid model (oxidative) system and a complex skin adapted lipid system in conjunction with thiobarbituric acid (TBA) test, a quantitative assay for the detection of malondialdehyde (MDA) and therefore lipid peroxidation, were used to determine the antioxidative properties of metronidazole after UV irradiation. Results clearly show that metronidazole has antioxidative properties in a cell-free environment, acting as a free radical scavenger. Simple skin lipid model: in the presence of 10, 100 and 500 microg mL(-1)metronidazole the MDA concentration was reduced by 25, 36 and 49%, respectively. Complex skin lipid system: in the presence of 100 and 500 microg mL(-1)metronidazole the MDA concentration was reduced by 19 and 34%, respectively. The results obtained in this study and from previous publications strongly suggest that metronidazole exhibits antioxidative effects via two mechanisms: decrease in ROS production through modulation of neutrophil activity and decrease in ROS concentration by exhibiting ROS scavenging properties. The remarkable clinical efficacy of metronidazole in the treatment of rosacea is probably due to its ability to decrease ROS via different mechanisms, thereby protecting skin components from induced damage.
Collapse
Affiliation(s)
- Sabrina Narayanan
- Medical Department, Galderma Laboratorium GmbH, Georg-Glock-Str. 8, 40474 Düsseldorf, Germany
| | | | | | | | | |
Collapse
|
48
|
Khemis A, Kaiafa A, Queille-Roussel C, Duteil L, Ortonne JP. Evaluation of efficacy and safety of rucinol serum in patients with melasma: a randomized controlled trial. Br J Dermatol 2007; 156:997-1004. [PMID: 17388924 DOI: 10.1111/j.1365-2133.2007.07814.x] [Citation(s) in RCA: 53] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
BACKGROUND Melasma is a hyperpigmentation disorder predominantly affecting sun-exposed areas in women, which is often refractory to treatment. Most commercially available treatments incorporate inhibitors of tyrosinase, a key enzyme in melanin production within the melanocyte. In general, however, the efficacy of these therapies is somewhat limited. Recent studies have identified other enzymes that play an important role in melanogenesis, including tyrosinase-related protein-1 (TRP-1), which catalyses the oxidation of the melanogenetic intermediate 5,6-dihydroxyindole-2-carbolylic acid. Rucinol (4-n-butylresorcinol) has been shown to inhibit the activity of both tyrosinase and TRP-1. OBJECTIVES To assess the efficacy of rucinol serum 0.3% vs. the corresponding vehicle as a treatment for melasma. Secondary objectives were to evaluate local and general tolerability and to assess the skin acceptability of rucinol serum in the target population. METHODS In this prospective, single-centre, double-blind, randomized, vehicle-controlled, bilateral (split-face) comparative trial, 32 women with melasma were provided with two identical tubes containing rucinol serum 0.3% or vehicle. The products were each applied to one-half of the face, according to the randomization scheme, twice daily for 12 weeks (phase 1). A broad-spectrum sunscreen (sun protection factor 60) was also applied daily. Assessments at baseline, 4, 8 and 12 weeks included clinical evaluations by a dermatologist, chromametry, ultraviolet and standard photography, and assessments of skin acceptability and tolerability. After 12 weeks, patients were given the option of an additional 3-month treatment period of open full-face rucinol treatment, with reviews at 16, 20 and 24 weeks (phase 2). RESULTS Twenty-eight patients completed phase 1 and 26 patients completed phase 2. After 12 weeks, the clinical pigmentation score for rucinol-treated skin was significantly lower than for vehicle-treated skin (P = 0.027). During phase 2, rucinol induced a significant reduction in mean pigmentation score on the half of the face previously treated with vehicle. There was also a further, significant improvement on the rucinol-treated side of the face. Chromametry measurements showed that skin was significantly lighter and less yellow, with a strong trend towards reduced redness, following rucinol therapy compared with vehicle. Rucinol serum showed good tolerability and acceptability and was considered to have good or fair efficacy by 78% of the patient population. CONCLUSIONS Rucinol serum was shown to have significant efficacy compared with vehicle alone in improving melasma after 3 months of treatment, according to clinical and objective assessments of skin colour.
Collapse
Affiliation(s)
- A Khemis
- Dermatology Department, Hôpital de L'Archet 2, Nice cedex 3, France
| | | | | | | | | |
Collapse
|