Katie Alexandra O’cOnnell

Sun protection has become popular within mainstream culture. A common way for people to obtain information on sun protection and monitor their sun exposure is through mobile applications (apps). Our study focuses on the popularity and utility of ultraviolet (UV) index apps. Data on UV app popularity, rating, pricing and functionality was collected from Google and Apple app markets. The most common functions of UV apps, other than displaying current UV levels, were UV index notifications and providing skin assessments. A minority of apps were published by medical and governmental organizations. Our study demonstrates an area in which dermatologists can advance public understanding of skin protection.

Background: Penile squamous cell carcinoma (PSCC) carries significant morbidity and mortality. Literature is limited regarding prognostic factors, especially prognostic factors for development of metastasis.Objectives: To identify independent prognostic factors associated with poor outcomes, defined as local recurrence (LR), metastasis and disease‐specific death (DSD) in clinically node‐negative PSCC undergoing local therapy.Methods: Thirty‐two‐year Retrospective Multicenter Cohort Study of 265 patients with histologically diagnosed PSCC at three tertiary care centres. Predictive models based on patient or tumour characteristics were developed.Results: Local recurrence occurred in 56 patients, metastasis in 52 patients and DSD in 40 patients. In multivariable models, the following five factors were independent prognostic factors based on subhazard ratio (SHR): history of balanitis (LR SHR: 2.3; 95% CI 1.2–4.2), poor differentiation (metastasis SHR 1.9; 95% CI 1.0–3.6), invasion into the corpora (metastasis SHR: 3.0; 95% CI 1.5–5.8 and DSD SHR: 4.5; 95% CI 1.7–12.1), perineural invasion (PNI) (metastasis SHR: 2.8; 95% CI 1.4–5.5 and DSD SHR: 3.5; 95% CI, 1.6–7.8) and a history of phimosis (DSD SHR: 2.5; 95% CI 1.2–5.3). The 5‐year cumulative incidence of metastasis was higher for tumours with PNI [cumulative incidence function (CIF) = 55%, 95% CI 38–75 vs. CIF 15%, 95% CI 11–22], corporal invasion (CIF: 35%, 95% CI 26–47 vs. 12%, 95% CI 7–19) and poorly differentiated tumours (CIF = 46%, 95% CI 31–64 vs. CIF 15%, 95% CI 11–22).Conclusions: History of balanitis, history of phimosis, PNI, corporal invasion and poor differentiation are independent risk factors associated with poor outcomes. Since poor differentiation and PNI currently constitute only T1b disease, prognostic staging can likely be improved.

The American Academy of Dermatology (AAD) has resources meant to be used by children. Herein, we discuss the Good Skin Knowledge (GSK) curriculum, which was created to educate youth aged 8-13 about common dermatologic conditions to promote healthy skin habits, build self-confidence, and encourage careers in science and medicine. To assess participants' confidence regarding understanding and retention of GSK materials, the authors developed a pre- and post-training survey consisting of 10 questions. Results of our survey demonstrate a significant improvement in participants confidence regarding knowledge of skin function and care with at least two thirds of youth surveyed indicating understanding across all areas, with the largest gains centered around knowledge of the three skin layers, knowing what a dermatologist does, and appreciating the causes of acne.

This study underscores the persistent underrepresentation of women in academic dermatology leadership positions by examining the gender composition of editorial boards across top dermatology journals, emphasizing the urgent need for proactive strategies to promote diversity, equity, and inclusion.

Penile cancer is rare, with significant morbidity and limited literature assessing utility of peripheral and deep en face margin assessment (PDEMA) versus traditional margin assessment (vertical sections) on treatment outcomes. 32-year Retrospective Multicenter Cohort Study at 3 academic tertiary care centers. Cohort of 189 patients with histologic diagnosis of in situ or T1a cutaneous squamous cell carcinoma of the penis at Brigham and Women's, Massachusetts General Hospital (1988-2020), and Memorial Sloan Kettering Cancer Center (1995-2020) treated with PDEMA surgical excision, excision/circumcision, or penectomy/glansectomy. Local recurrence, metastasis, and disease-specific death were assessed via multivariable Cox proportional hazard models. The cohort consisted of 189 patients. Median age at diagnosis was 62 years. Median tumor diameter was 1.3 centimeters. The following outcomes of interest occurred: 30 local recurrences, 13 metastases, and 5 disease-specific deaths. Primary tumors were excised with PDEMA (N = 30), excision/circumcision (N = 110), or penectomy/glansectomy (N = 49). Of patients treated with traditional margin assessment (non-PDEMA), 12% had narrow or positive margins. 5-year proportions were as follows with respect to local recurrence-free survival (LRFS), metastasis-free survival (MFS), and disease-specific survival/progression-free survival (DSS/PFS), respectively: 100%, 100%, 100% following PDEMA; 82%, 96%, 99% following excision/circumcision; 83%, 91%, 95% following penectomy/glansectomy. multi-institutional cohort study not externally validated. Initial results are encouraging that PDEMA surgical management effectively controls early-stage penile squamous cell carcinoma.

We assessed interventional clinical trials for hidradenitis suppurativa from 2006 to 2021 noting patient demographics, intervention types and reported outcomes. We report and analyse the emerging trend towards biologic treatments. We also discuss that across studies, more consistent documentation of patient characteristics as well as more variable intervention types may broaden trial generalizability and provide benefit to more patients.