Journal of the American Academy of Dermatology
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J. Am. Acad. Dermatol. · Aug 2020
Meta AnalysisAcne vulgaris and risk of depression and anxiety: A meta-analytic review.
Several studies have shown an association of acne vulgaris with depression and anxiety, but a quantitative review has not yet been conducted. ⋯ Because of an increased risk for depression and anxiety, clinicians should pursue aggressive treatment of acne and consider psychiatric screening or referrals.
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J. Am. Acad. Dermatol. · Aug 2020
ReviewCosmetic treatment in patients with autoimmune connective tissue diseases: Best practices for patients with morphea/systemic sclerosis.
Morphea and systemic sclerosis are inflammatory, sclerosing disorders. Morphea primarily affects the dermis and subcutaneous fat, while systemic sclerosis typically involves the skin and internal organs. Functional impairment and cosmetic disfigurement are common in both diseases. ⋯ There is scarce information to guide safety decisions regarding laser parameters, soft tissue augmentation, treatment intervals, and the concurrent use of immune-modifying or immune-suppressing medications. Given the fears of disease reactivation and exacerbation from postprocedural inflammation along with limited data, it is difficult for clinicians to provide evidence-based cosmetic treatment with realistic expectations with regard to short- and long-term outcomes. In the first article in this continuing medical education series, we attempt to address this practice gap.