Dermatological Issues Among Individuals Receiving Palliative Care - A Review DOI
Zhenli Kwan, Winn Hui Han, Shin Shen Yong

et al.

American Journal of Hospice and Palliative Medicine®, Journal Year: 2023, Volume and Issue: 41(8), P. 952 - 964

Published: Aug. 25, 2023

Skin disorders among individuals receiving palliative care may be associated with the primary condition or underlying comorbidities and patients experience pruritus, discomfort pain. Common conditions include xerosis, pressure ulcers, intertrigo, superficial fungal infections, telogen effluvium, herpes zoster, eczematous edema. During end-of-life care, there is reduced skin perfusion metabolism hence leading to susceptibility infection, injury. Other factors affecting limited mobility, nutritional deficits immunosuppression. Although treatment strategies for each are usually aligned standard protocols, considerations these life-expectancies, potential burden, drug-drug interactions as well comfort-directed rather than cure-directed therapy. For xerosis cutis, regular use of moisturisers recommended. The management prevention ulcers assessment redistribution, nutrition hydration ulcer care. Superficial infections require appropriate topical and/or systemic antifungals while antivirals adjunctive can prescribed zoster. Treatment symptom control in this population improve quality life patients’ comfort level.

Language: Английский

Differential diagnosis of contact dermatitis: A practical‐approach review by the EADV Task Force on contact dermatitis DOI Creative Commons
David Pesqué, Olivier Aerts, Mojca Bizjak

et al.

Journal of the European Academy of Dermatology and Venereology, Journal Year: 2024, Volume and Issue: 38(9), P. 1704 - 1722

Published: May 7, 2024

The diagnosis of eczema ('dermatitis') is mostly clinical and depends on the history exploratory objective findings (primary lesions, patterns). Contact dermatitis remains as an important condition in group eczematous disorders, with socioeconomic occupational relevance. Although irritant allergic contact have a different pathogenesis, both are characterized by rather typical morphology, triggered external factors tend to occur primarily area exogenous agent. In addition, may also co-exist. importance diagnosing dermatitis, especially when nature, due possibility avoiding trigger, its role aggravating other skin conditions. Nevertheless, heterogeneity presentations daily practice pose challenge for suspicion correct dermatitis. Furthermore, conditions, pathogenesis treatment, clinically simulate Task Force aims conduct review unifying features characterize main phenotypes, simulators, order contribute early or recognition enable differential diagnosis.

Language: Английский

Citations

12
Skin image analysis for detection and quantitative assessment of dermatitis, vitiligo and alopecia areata lesions: a systematic literature review DOI Creative Commons
Athanasios Kallipolitis, Κωνσταντίνος Μούτσελος, Argyriοs Zafeiriou

et al.

BMC Medical Informatics and Decision Making, Journal Year: 2025, Volume and Issue: 25(1)

Published: Jan. 8, 2025

Language: Английский

Citations

1
The ‘MOAHLFA(P) Index’: An Attempt to Standardise a Widely Used Array of Descriptors of Patch‐Tested Patients DOI Creative Commons
Wolfgang Uter, Klaus E. Andersen, Richard Brans

et al.

Contact Dermatitis, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 12, 2025

ABSTRACT Background Since its inception in 1980, the MOHL index (% patients who are male, have occupational, hand, or leg dermatitis, respectively) and later evolutions until presently used MOAHLFA(P) (adding % with atopic face age 40+ years positive reaction(s) to ≥ 1 baseline series allergen) been intended convey important demographic clinical information on patch tested a certain area time, aiding interpretation of observed spectrum sensitisation. Objectives To examine current usage suggest consolidated definitions for single items. Methods A title/abstract search Medline identified publications mentioning evolving acronyms. Delphi‐like survey among contact dermatitis experts collected agreement suggested definitions. Results The term ‘MOAHLFA’ was 35 from broad geographical origin. More than 80% 24 participants (65% response) agreed maintaining use (i) sex ‘M’ criterion, (ii) occupation‐related irrespective medicolegal ‘O’, (iii) (but not rhinitis asthma) ‘A’. possibility more one site ‘H’, ‘L’ ‘F’ detailed description distribution were favoured, difficult interpretability ‘P’ measure highlighted. Conclusions ‘classical’ may be extended. Some aspects, notably need further standardisation.

Language: Английский

Citations

0
Unilateral Upper Extremity Stasis Dermatitis: An Uncommon Presentation of a Common Condition (Preprint) DOI
Khalid Nabil Nagshabandi,

Abdulrahman Alqerafi,

Asem Shadid

et al.

Published: Jan. 14, 2025

BACKGROUND Upper extremity stasis dermatitis (SD) is an uncommon manifestation of chronic venous insufficiency, predominantly affecting the lower extremities. It can develop secondary to vascular abnormalities such as arteriovenous fistulas (AVFs) created for hemodialysis, posing diagnostic and management challenges. This report aims highlight a rare case unilateral upper SD underscore importance early recognition intervention. OBJECTIVE METHODS A 58-year-old male with end-stage renal disease dysfunctional right limb AVF presented swelling, hyperpigmentation, eczematous plaques on extremity. Diagnostic evaluation included clinical examination, duplex ultrasound, histopathological analysis skin biopsy. Management strategies combined topical corticosteroids definitive interventions, including ligation angioplasty. RESULTS Duplex ultrasound confirmed hypertension, biopsy findings were consistent SD, revealing epidermal hyperplasia, hemosiderin deposition, proliferation. Following angioplasty, patient demonstrated significant improvement, resolution hypertension reduction in lesions, erythema, scaling, ulceration. CONCLUSIONS Unilateral but complication AVFs. highlights critical role comprehensive targeting both dermatological aspects. Optimizing design timely intervention prevent complications improve outcomes.

Language: Английский

Citations

0
Akute Wunden in der Dermatologie DOI

Joachim Dissemond

hautnah dermatologie, Journal Year: 2025, Volume and Issue: 41(S1), P. 16 - 21

Published: Feb. 1, 2025

Citations

0
Novel drug delivery systems in topical treatment of atopic dermatitis DOI
Meghna Dabhadkar, Madhur Kulkarni

Naunyn-Schmiedeberg s Archives of Pharmacology, Journal Year: 2025, Volume and Issue: unknown

Published: March 13, 2025

Language: Английский

Citations

0
Unveiling the Systemic Impact of Congestion in Heart Failure: A Narrative Review of Multisystem Pathophysiology and Clinical Implications DOI Creative Commons
Daniela Mocan,

Radu Jipa,

Daniel Alexandru Jipa

et al.

Journal of Cardiovascular Development and Disease, Journal Year: 2025, Volume and Issue: 12(4), P. 124 - 124

Published: March 31, 2025

Congestion is a key clinical feature of heart failure (HF), contributing to hospitalizations, disease progression, and poor outcomes. While traditionally considered hemodynamic issue, congestion now recognized as systemic process affecting multiple organs. Renal dysfunction arises from impaired perfusion sodium retention, leading maladaptive left ventricular remodeling. Hepatic contributes cholestatic liver injury, while metabolic disturbances drive anemia, muscle wasting, inflammation. Additionally, disrupts the intestinal barrier immune function, exacerbating HF progression. Given its widespread impact, effective management requires shift cardiovascular-centered approach comprehensive, multidisciplinary strategy. Targeted decongestive therapy, nutritional optimization, modulation are crucial in mitigating congestion-related organ dysfunction. Early recognition intervention essential slow preserve functional capacity, improve survival. Addressing through personalized, evidence-based strategies vital for optimizing long-term care advancing treatment paradigms.

Language: Английский

Citations

0
A Dark Side of Calcium Channel Blockers: Increased Risk of Stasis Dermatitis DOI
Racha Cherradi,

Iman Bouchelkia,

Safiya Haque

et al.

International Journal of Dermatology, Journal Year: 2025, Volume and Issue: unknown

Published: April 16, 2025

Language: Английский

Citations

0
Prevalence and Mechanisms of Itch in Chronic Wounds: A Narrative Review DOI Open Access
M Papanikolaou, Julia Paul, Leigh Nattkemper

et al.

Journal of Clinical Medicine, Journal Year: 2025, Volume and Issue: 14(9), P. 2877 - 2877

Published: April 22, 2025

Itch is a commonly experienced problem by individuals with chronic wounds and greatly compromises their quality of life. Scratching can further hinder the wound healing process. Despite this being clinically recognized issue, our knowledge its exact prevalence in different types molecular mechanisms driving it limited. The multifactorial nature itch makes characterization particularly challenging. present review based on thorough PubMed search, aims to provide an overview existing evidence epidemiology, impact, pathophysiology itch, along general recommendations management. Importantly, work highlights merit screening patients for associated pruritus incorporating anti-itch measures mainstream care.

Language: Английский

Citations

0
Triggered Skin Sensitivity: Understanding Contact Dermatitis DOI Open Access
Haris Sheikh, Roshan Kumar Jha

Cureus, Journal Year: 2024, Volume and Issue: unknown

Published: May 1, 2024

Dermatitis, the incendiary reaction of skin to various components, can manifest in types, including atopic dermatitis, contact nummular eczema, seborrhoea, and stasis dermatitis. Atopic dermatitis is most common disease children has a growing prevalence recent years. It characterized by extreme tingling, eczemous injuries, dryness skin, family history illnesses. Contact (CD) common, irritating disorder caused allergens aggravating elements environment. cause work-related plays substantial role hand face A complete restorative essential for establishing CD identifying allergies that it. Fix testing, tests fast reactions, serum allergen-specific IgE subjective quantitative evaluation inside probable items patients were exposed to, challenge testing are among other diagnostic techniques. To avoid breakdown continuation illness, early suitable therapy critical. Allergic (ACD) develops during normal, delayed perplexing etiology. Accurate identification allergen causing allows adequate individual avoidance. The major treatment alternatives continue be corticosteroids. Nickel-contact an allergic affects both adults. Adverse frequent affect Less than 10% all procedures pediatric involve checking ACD symptoms. answer clinical question, thorough gathered based on appearance, age group, type. According pediatricians US, metals, perfumes, topical antimicrobials, excessive chemicals, fabric softeners typical allergens.

Language: Английский

Citations

3