1
|
Romera de Blas C, Vega Díez D, Ricart Vayá JM, Gómez Zubiaur A. Nevus Psiloliparus Successfully Treated With Hair Transplantation. Dermatol Surg 2024:00042728-990000000-00777. [PMID: 38687885 DOI: 10.1097/dss.0000000000004218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/02/2024]
Affiliation(s)
| | - David Vega Díez
- Department of Dermatology, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Spain
- Trichology Unit, Instituto Médico Ricart, Madrid and Valencia, Spain
| | | | | |
Collapse
|
2
|
Pérez Mesonero R, Pinto Pulido EL, Gómez Zubiaur A, Vélez Velázquez D, Vega Díez D, Rodríguez-Villa Lario A, González-Cañete M, García Verdú E, Vergara Pelayo P, Trasobares Marugán L. Occipital involvement in classic frontal fibrosing alopecia: Clinical and trichoscopic cross-sectional study in 17 patients. J Am Acad Dermatol 2023; 89:815-817. [PMID: 37269919 DOI: 10.1016/j.jaad.2023.05.064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2023] [Revised: 04/25/2023] [Accepted: 05/22/2023] [Indexed: 06/05/2023]
Affiliation(s)
- Raquel Pérez Mesonero
- Dermatology Department, Príncipe de Asturias University Hospital Carretera Alcalá-Meco, Madrid, Spain.
| | - Elena Lucía Pinto Pulido
- Dermatology Department, Príncipe de Asturias University Hospital Carretera Alcalá-Meco, Madrid, Spain
| | | | - Dolores Vélez Velázquez
- Pathology Department, Príncipe de Asturias University Hospital, Alcalá de Henares, Madrid, Spain
| | - David Vega Díez
- Dermatology Department, Príncipe de Asturias University Hospital Carretera Alcalá-Meco, Madrid, Spain
| | - Ana Rodríguez-Villa Lario
- Dermatology Department, Príncipe de Asturias University Hospital Carretera Alcalá-Meco, Madrid, Spain
| | - Marta González-Cañete
- Dermatology Department, Príncipe de Asturias University Hospital Carretera Alcalá-Meco, Madrid, Spain
| | - Elena García Verdú
- Dermatology Department, Príncipe de Asturias University Hospital Carretera Alcalá-Meco, Madrid, Spain
| | - Pablo Vergara Pelayo
- Dermatology Department, Príncipe de Asturias University Hospital Carretera Alcalá-Meco, Madrid, Spain
| | - Lidia Trasobares Marugán
- Dermatology Department, Príncipe de Asturias University Hospital Carretera Alcalá-Meco, Madrid, Spain
| |
Collapse
|
3
|
Umar S, Shitabata P, Rose P, Carter MJ, Thuangtong R, Lohlun B, Benhiba H, Oguzoglu T, Zollinger MM, Maldonado J, Gonzalez A, Novosilska M, Gómez Zubiaur A, Marti M. A New Universal Follicular Unit Excision Classification System for Hair Transplantation Difficulty and Patient Outcome. CCID 2022; 15:1133-1147. [PMID: 35784270 PMCID: PMC9249093 DOI: 10.2147/ccid.s369346] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Accepted: 06/14/2022] [Indexed: 11/23/2022]
Abstract
Introduction The difficulty of the follicular unit excision (FUE) hair transplantation procedure is currently attributed to hair curliness and subsurface angulation. Patients possessing the curliest hair shafts are considered the most challenging. Consequently, patients with these features are often denied FUE. However, this practice does not consider intrapatient variation in the graft attrition rate and the rates themselves, which are frequently low in very curly hair where the skin firmness/thickness is average. To better aid practitioners in predicting FUE performance, we have developed a new scoring system (the Sanusi FUE Score Scale [SFS Scale]) based on two major donor variables (hair and skin characteristics). Material and Method The scale assigns scores to each of three hair subtypes (straight-wavy, curly, and coily-kinky) and each of three skin subtypes (thick/firm, soft/thin, and medium thickness/firmness). The scores were weighted based on the assessment of 13 experienced FUE practitioners from around the globe, who were asked to score each of the three skin and hair characteristics for their contribution to FUE difficulty. Results On the contribution of skin characteristics to FUE difficulty, 12/13 (92%) practitioners assigned the highest (most difficult) score to thick/firm skin, with medium skin thickness/firmness being the least challenging. The same percentage of practitioners gave the highest difficulty score to coiled-kinky hair subtypes regarding the contribution of hair characteristics to FUE difficulty. All agreed that straight-wavy hair presents the least challenge to FUE performance. Tallying the scores of the skin and hair variables generates a final score range of 2–9, which is associated with five grades/classes of challenge in the FUE procedure, influencing the need for a specialized skill/nuanced approach or equipment. Conclusion We developed a universal FUE donor scoring scale that accounts for the diversity of human hair and skin types. Further evaluation to determine the validity of this new classification system in predicting and grading FUE difficulty and patient outcomes is warranted. ![]()
Point your SmartPhone at the code above. If you have a QR code reader the video abstract will appear. Or use: https://youtu.be/_O2E-rw-x0E
Collapse
Affiliation(s)
- Sanusi Umar
- Department of Medicine, Dermatology Division, University of California, Los Angeles, CA, USA
- Division of Dermatology, Harbor-UCLA Medical Center, Torrance, CA, USA
- Dr. U Hair and Skin Clinic, Manhattan Beach, CA, USA
- Correspondence: Sanusi Umar, Dr. U Hair and Skin Clinic, 2121 N. Sepulveda Boulevard, Suite 200, Manhattan Beach, CA, 90266, USA, Tel +1-310-318-1500, Fax +1-310-318-1590, Email
| | - Paul Shitabata
- Division of Dermatology, Harbor-UCLA Medical Center, Torrance, CA, USA
- Dermatopathology Institute, Torrance, CA, USA
| | - Paul Rose
- Miami Skin and Hair Institute, Coral Gables, FL, USA
| | | | - Rattapon Thuangtong
- Department of Dermatology, Faculty of Medicine, Siriraj Hospital, Bangkok, Thailand
- Department of Medicine, Division of Dermatology, Mahidol University, Bangkok, Thailand
- Hairderma Clinic, Bangkok, Thailand
| | | | | | | | | | | | | | - Myroslava Novosilska
- Department of Dermatology and Oncology, Aesthetic Medical Clinic Myroslava Novosilska, Lviv, Ukraine
| | | | - Miguel Marti
- Dr. Marti Hair and Scalp Diseases Group, Buenos Aires, Argentina
| |
Collapse
|
4
|
Vega-Diez D, Lario AR, Zubiaur AG, Medina S. Pemphigus Vulgaris Localized to the Scalp with Complete Response to Topical Steroids. Int J Trichology 2021; 13:36-38. [PMID: 34934300 PMCID: PMC8647706 DOI: 10.4103/ijt.ijt_95_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Revised: 07/29/2020] [Accepted: 01/12/2021] [Indexed: 11/21/2022] Open
Abstract
Pemphigus vulgaris (PV) is an anti-cadherin autoimmune disease, characterized by the production of anti-desmoglein 3 (and to a lesser extent anti-desmoglein 1) antibodies, producing acanthosis, typically suprabasal, which clinically translates into flaccid blisters and erosions, generally starting on mucous membranes, with subsequent appearance of skin lesions. Only about 25 cases of PV of exclusively cutaneous location have been described in the literature. Treatment with potent topical steroids is usually sufficient to control the symptoms. We present the case of a 68-year-old female patient with localized PV in the scalp, presenting as alopecic and scabby plaque, with excellent response and hair regrowth with topical corticotherapy.
Collapse
Affiliation(s)
- David Vega-Diez
- Department of Dermatology, Principe De Asturias University Hospital, Alcalá De Henares, Spain
| | - Ana Rodríguez Lario
- Department of Dermatology, Principe De Asturias University Hospital, Alcalá De Henares, Spain
| | - Alba Gómez Zubiaur
- Department of Dermatology, Principe De Asturias University Hospital, Alcalá De Henares, Spain
| | - Susana Medina
- Department of Dermatology, Principe De Asturias University Hospital, Alcalá De Henares, Spain
| |
Collapse
|
5
|
Vega Díez D, Gómez Zubiaur A, Medina Montalvo S. Reactive perforating collagenosis: a rare side effect associated with sorafenib. Rev Esp Enferm Dig 2020; 112:960-961. [PMID: 33226256 DOI: 10.17235/reed.2020.7138/2020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
We present the case of a patient with a debut of reactive perforating collagenosis associated with the use of Sorafenib for stage IV hepatocarcinoma, very successfully controlled with local corticotherapy and systemic antihistamines. This is an extremely rare side effect associated with this treatment, as only another eleven cases of acquired perforating dermatoses associated with Sorafenib or other multi-kinase inhibitors have been found in the medical literature. Given the unusual nature of this presentation, high clinical suspicion and a correct histopathological study are indispensable for its correct filiation and treatment.
Collapse
Affiliation(s)
- David Vega Díez
- Dermatología, Hospital Universitario Príncipe de Asturias, España
| | | | | |
Collapse
|