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Der Hautarzt; Zeitschrift Fur... Jan 2020Incontinence-associated dermatitis (IAD) describes damage to the skin caused by repeated and prolonged contact with urine and/or feces. Patients of all ages can be... (Review)
Review
Incontinence-associated dermatitis (IAD) describes damage to the skin caused by repeated and prolonged contact with urine and/or feces. Patients of all ages can be affected; the diagnosis is preferably used in adults and adolescents. The predilection sites are perineal, perianal, the inner thighs and the convex areas of the buttocks. Increased moisture on the skin surface, increased pH, occlusion, feces digestive enzymes and repeated skin cleansing procedures are pathophysiologically relevant factors. Typical clinical signs of IAD are erythema, erosions, excoriations and pain. Diagnosis is often difficult because there are many relevant differential diagnoses, some of which may occur together with an IAD. In particular, pressure ulcer, contact dermatitis and intertrigo need to be differentiated and treated. Effective strategies of prevention and therapy of IAD are continence management, the use of efficient, absorbent products as well as consistent skin protection and care. IAD is a skin disease that is often not or incorrectly diagnosed. It should be treated as early as possible, together with the causative factors such a fecal and/or urinary incontinence, as otherwise it can lead to an unnecessarily long duration and severity of the symptoms.
Topics: Adolescent; Adult; Dermatitis; Fecal Incontinence; Humans; Skin; Skin Care; Urinary Incontinence
PubMed: 31538217
DOI: 10.1007/s00105-019-04480-7 -
Der Hautarzt; Zeitschrift Fur... May 2021Treating the signs of skin ageing or acne scars by chemical peels or ablative lasers is increasingly used worldwide. Due to their reduced invasiveness, these methods are... (Review)
Review
Treating the signs of skin ageing or acne scars by chemical peels or ablative lasers is increasingly used worldwide. Due to their reduced invasiveness, these methods are often favored over aesthetic surgical interventions. Both procedures rely on the principle of controlled damage to the skin. The subsequent regeneration may lead to the development of new epidermal (and dermal) tissue and therefore improve the skin's aesthetic appearance. At present, there are no official guidelines in Germany concerning pre- and post-interventional skin care, which is currently based on the personal experiences and evaluations of the practitioner. It is known that an appropriate treatment regime can improve the outcome and reduces downtime pre- and post-laser as well as pre- and post-peel. The aim of this article is to present the different possibilities of pre- and post-interventional care. In most cases, priming includes intense ultraviolet (UV) protection, topical retinoids as well as skin brightening agents, and occasionally oral herpes simplex prophylaxis. In order to support post-interventional wound healing, skin care should modulate inflammation and balance skin hydration. In addition to light moisturizers, broad spectrum UV protection as well as the avoidance of sports and sweating are essential.
Topics: Acne Vulgaris; Chemexfoliation; Cicatrix; Germany; Humans; Lasers; Skin Care
PubMed: 33763749
DOI: 10.1007/s00105-021-04788-3 -
Frontiers in Public Health 2022The incidence of cosmetics-associated dermatoses is on the rise recently while the awareness and knowledge about proper utilization of cosmetics are insufficient in both...
BACKGROUND
The incidence of cosmetics-associated dermatoses is on the rise recently while the awareness and knowledge about proper utilization of cosmetics are insufficient in both the public and specialists due to limited education about cosmetics.
METHODS
Our aim was to build and enhance the public's ability to select appropriate cosmetics, manage possible dermatoses and improve skin-care practices and skin health by offering access to medical information free online courses. Consequently, we launched a massive open online course (MOOC), Appreciation and Analysis of Cosmetics. An online questionnaire was also sent to evaluate the effectiveness of the course.
RESULTS
Nearly 540,000 learners were enrolled in the course since 2014. In the discussion forum, there were 8,383 posts and 73,014 replies in total, where learners were mostly concerned about topics of sun protection, cleansing and proper utilization of cosmetics in some skin diseases. 645 learners answered the questionnaire with 88.84% of the them changed skin care practices and 50.39% reported improvement in skin health. Moreover, participants who completed the course reported better understanding and utilization of cosmetics-related knowledge ( values < 0.05). 72.09% of respondents were willing to recommend this course to others.
CONCLUSIONS
Free online public courses are feasible for conducting public health education campaigns related to cosmetics and associated dermatology to lower the incidence of cosmetics-associated dermatoses.
Topics: Education, Distance; Educational Measurement; Educational Status; Humans; Skin Care; Skin Diseases
PubMed: 36159238
DOI: 10.3389/fpubh.2022.951481 -
Journal of Cosmetic Dermatology Aug 2023Beeswax is a naturally occurring product secreted from worker bees that has varied uses in modern day. In skincare, its function ranges from its role as an occlusive,... (Review)
Review
BACKGROUND
Beeswax is a naturally occurring product secreted from worker bees that has varied uses in modern day. In skincare, its function ranges from its role as an occlusive, helping to create a semi-occlusive skin barrier that minimizes transepidermal water loss; as a humectant, locking in hydration; and an emollient to soften and soothe the skin. As a natural substance, its use has been shown to help alleviate symptoms associated with common cutaneous conditions like dermatitis, psoriasis, and overgrowth of normal skin flora.
AIMS
In this narrative review, we aim to describe current uses of beeswax in skincare that has been published in the literature.
MATERIALS AND METHODS
A review of beeswax related publications was performed by searching the PubMed database studies.
RESULTS
A total of five clinical studies were included with three studies on animals and two studies in humans.
DISCUSSION
Several studies show the benefits of topical beeswax in supporting the skin barrier.
CONCLUSION
Beeswax can be a low-cost, natural ingredient for use in products. Further studies with topical beeswax are warranted.
Topics: Humans; Animals; Skin; Waxes; Skin Care; Skin Diseases
PubMed: 36999457
DOI: 10.1111/jocd.15718 -
Journal of Drugs in Dermatology : JDD Jul 2022Targeted marketing and media may serve as potential sources of health information for consumers, influencing knowledge, practices, perception, and utilization of health...
Targeted marketing and media may serve as potential sources of health information for consumers, influencing knowledge, practices, perception, and utilization of health care services. In addition to this vulnerable consumerism, there are barriers to healthy consumerism including exposure to different sources or lack thereof, lack of knowledge, inadequate transportation, or proximity to stores, cost, and marketing of products that are not suitable for all skin types. We conducted a multi-center “Skin of Color Skin Care Needs” survey to characterize the skin care practices, concerns, and habits of both persons of color and non-Hispanic whites to evaluate barriers and influences on product choice and behaviors in these populations. One hundred and twenty-one respondents (74%) self-identified as a nonwhite racial group, while 31 respondents (19%) self-identified as non-Hispanic white. The top skincare concerns in the skin of color population were acne and blemishes (40%), dry skin (32%), and pigmentation/dark spots (26%). In the non-Hispanic white population, the top concerns were fine lines and wrinkles (42%), followed by acne and blemishes (39%), and dry skin (26%). When questioned about barriers respondents faced in discovering and using dermatologic products, SOC respondents were more likely to cite lack of available products for their skin type (11%), as compared to white respondents (0%). Skin of color respondents identified internet (42%) and social media (29%) as major sources of information regarding dermatologic products as compared to white respondents (26% and 13%, respectively). Health care disparities can be heightened by targeted marketing and the media, which have a major impact on patient health literacy and consumer choices. Dermatologists should be aware of this impact in order to address the knowledge gaps, minimize bias, and increase inclusivity for all skin types. J Drugs Dermatol. 2022;21(7):709-711. doi:10.36849/JDD.6557.
Topics: Humans; Acne Vulgaris; Racial Groups; Skin Care; Surveys and Questionnaires
PubMed: 35816066
DOI: 10.36849/JDD.6557 -
Nursing Standard (Royal College of... Oct 2021The role of emollients in the treatment of dry skin conditions is often underestimated. Emollients promote optimal skin health and prevent skin breakdown, and their use...
The role of emollients in the treatment of dry skin conditions is often underestimated. Emollients promote optimal skin health and prevent skin breakdown, and their use can improve patients' quality of life. However, when advising patients on emollient use, nurses must consider the challenges involved such as the extensive choice of products and the necessity of regular applications. This article explores the development of dry skin conditions and outlines the role of emollients in maintaining the skin barrier function. The author also details optimal nursing practice in areas such as emollient prescribing and application.
Topics: Emollients; Humans; Quality of Life; Skin; Skin Care; Skin Diseases
PubMed: 34369116
DOI: 10.7748/ns.2021.e11687 -
Advances in Skin & Wound Care Jul 2024To review issues related to atopic dermatitis, including its classification, clinical presentation, potential triggers, and treatment options. (Review)
Review
GENERAL PURPOSE
To review issues related to atopic dermatitis, including its classification, clinical presentation, potential triggers, and treatment options.
TARGET AUDIENCE
This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and registered nurses with an interest in skin and wound care.
LEARNING OBJECTIVES/OUTCOMES
After participating in this educational activity, the participant will:1. Synthesize a differential diagnosis for atopic dermatitis (AD).2. Explain the classification of AD cases.3. Select triggers or exacerbating factors for AD.4. Explain pharmacologic and nonpharmacologic treatment options for patients with AD.
Topics: Dermatitis, Atopic; Humans; Diagnosis, Differential; Skin Care
PubMed: 38899816
DOI: 10.1097/ASW.0000000000000161 -
Journal of Drugs in Dermatology : JDD Jun 2022While rosacea is a common inflammatory condition that affects diverse populations, published data in skin of color (SOC) are limited. This review explored nuances in... (Review)
Review
BACKGROUND
While rosacea is a common inflammatory condition that affects diverse populations, published data in skin of color (SOC) are limited. This review explored nuances in clinical presentation and treatment considerations in SOC patients with rosacea and the role of cleansers and moisturizers in the management of rosacea in these populations.
METHODS
A panel reviewed and discussed aspects of rosacea in SOC and possible implications for treatment and maintenance. The outcome of these discussions, coupled with the panel's expert opinion and experience was used to define draft statements. After group discussions and an online review process, the panel agreed on the inclusion and wording of five statements.
RESULTS
Studies and anecdotal clinical experience suggest that rosacea is more common in SOC populations than previously reported. The clinical presentation of rosacea across diverse skin types includes the spectrum of clinical subtypes observed in other populations; however, clinical features may be less conspicuous in individuals with higher skin phototypes and the index of suspicion may be lower in SOC populations. To avoid underdiagnosis, dermatologists should consider rosacea in the differential diagnosis of any patient presenting with a history of skin sensitivity, central facial erythema, papules, and pustules. The compromised barrier in rosacea contributes to skin sensitivity. Studies including Chinese rosacea patients showed that using a moisturizer and sunscreen negatively correlated with rosacea development.
CONCLUSIONS
The use of skincare could improve rosacea symptomatology. These products are recommended before and during prescription therapy and as part of a maintenance regimen as adjuncts. J Drugs Dermatol. 2022;21(6):574-580. doi:10.36849/JDD.6838.
Topics: Humans; Erythema; Rosacea; Skin; Skin Care; Ethnic and Racial Minorities
PubMed: 35674765
DOI: 10.36849/JDD.6838 -
British Journal of Community Nursing Jun 2020Understanding the differential diagnosis between device-related pressure ulcers (DRPUs) and pressure ulcers ensures that appropriate prevention, management and...
Understanding the differential diagnosis between device-related pressure ulcers (DRPUs) and pressure ulcers ensures that appropriate prevention, management and intervention plans are identified. National reporting systems now include DRPUs alongside other categories of pressure ulcers listed by international pressure ulcer advisory panels. Medical devices are not the only cause of DRPUs, and, in the community setting, other objects can also cause pressure ulcers, such as spectacles and hearing aids. Skin assessment around the site of devices is essential to ensure the skin is intact, the micro-climate is considered and the skin is properly cleansed. Risk assessment for devices should be undertaken, and prevention according to the device itself may include fixation and the use of prophylactic dressings. Advice and support must be given to patients and carers to facilitate self-care and identify signs of skin damage and infection.
Topics: Bandages; Equipment and Supplies; Humans; Independent Living; Pressure Ulcer; Risk Assessment; Skin Care
PubMed: 32501759
DOI: 10.12968/bjcn.2020.25.Sup6.S14 -
Soins. Pediatrie, Puericulture 2022A study looked at the representations of skin-to-skin contact among parents and caregivers in seven neonatal units in France and Belgium. Their ways of understanding...
A study looked at the representations of skin-to-skin contact among parents and caregivers in seven neonatal units in France and Belgium. Their ways of understanding skin-to-skin contact have some common elements, without completely overlapping. The work carried out could prove useful for professionals who, thanks to it, would be likely to obtain a better understanding and adhesion of the families to the practice of this relational care.
Topics: Infant, Newborn; Humans; Caregivers; Neonatology; Parents; Skin Care; France
PubMed: 36435520
DOI: 10.1016/j.spp.2022.09.012