Publications by authors named "Blume-Peytavi Ulrike"

Development of items for the assessment of paediatric incontinence-associated dermatitis in German: Delphi study Paediatric incontinence-associated dermatitis (PIAD) is a common problem in premature infants, neonates, infants and young children. Standardized instruments for the assessment of PIAD can support clinical decision-making, but no standardized instrument is yet available for German-speaking countries. Selection, development and agreement of appropriate items for the assessment of PIAD in newborns, infants and young children in German ().

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  • Prolonged pressure on the skin and soft tissue can lead to pressure ulcers, making it essential to use special support surfaces for prevention.
  • This study compared the effects of lying on two types of support surfaces—one with a coverlet designed to help manage heat and moisture—on skin responses and comfort after 2.5 hours.
  • Results showed that while skin temperature and moisture levels increased at both the sacral and heel areas, there were only slight differences in overall skin responses between the two support surfaces, with saline simulation exacerbating the effects.
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The population of older people is steadily increasing and the majority live at home. Although the home and community are the largest care settings worldwide, most of the evidence on dermatological care relates to secondary and tertiary care. The overall aims were to map the available evidence regarding the epidemiology and burden of the most frequent skin conditions and regarding effects of screening, risk assessment, diagnosis, prevention and treatment of the most frequent skin conditions in older people living in the community.

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Purpose: Alopecia areata (AA) is an autoimmune disease characterized by hair loss that has significant psychosocial implications. This study aims to describe the patient-reported burden of severe AA, coping mechanism and information needs using data from the multinational AA Patient Satisfaction and Unmet Need Survey.

Patients And Methods: Participants with current or previous ≥50% scalp hair loss (n = 747) were recruited from 11 countries and completed a web-based survey that assessed demographics, clinical characteristics, disease burden and psychosocial impact.

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In dry skin (DS), skin-barrier function is easily disturbed and moisturizing factors in the stratum corneum are reduced. Despite being a common condition, DS is often overlooked in patients with advanced age or comorbid diseases. In September 2022, specialists in dermatology and skin care met to discuss unmet needs and management of patients with DS with existing medical conditions or DS induced by ongoing pharmacological treatments.

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Background And Aims: Skin aging is associated with dry skin and a decrease of the strength of the dermoepidermal adhesion, which increases the risk for lacerations (skin tears). Application of leave-on products improves dry skin and seems to reduce skin tear incidence. The aim of this study was to measure the effects of a humectant containing leave-on product on the strength of the dermoepidermal junction in older adult participants with dry skin.

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Alopecia areata (AA), an autoimmune disease -affecting the hair of the scalp, face, and/or body, can entail substantial psychological and physical burden for patients. There is currently no international agreement on how to treat AA and the approach may vary across countries. This study investigated the management of AA in clinical practice.

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Aim: The aim of the study was to describe types and frequencies of skin care interventions and products provided in institutional long-term care.

Materials And Methods: Baseline data from a cluster randomized controlled trial conducted in nursing homes in Berlin, Germany was collected before randomization. Numbers, proportions and frequencies of washing, showering and bathing, and the application of leave-on products were calculated.

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Importance: Current measures of alopecia areata (AA) severity, such as the Severity of Alopecia Tool score, do not adequately capture overall disease impact.

Objective: To explore factors associated with AA severity beyond scalp hair loss, and to support the development of the Alopecia Areata Severity and Morbidity Index (ASAMI).

Evidence Review: A total of 74 hair and scalp disorder specialists from multiple continents were invited to participate in an eDelphi project consisting of 3 survey rounds.

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  • Older nursing home residents often experience multiple skin issues simultaneously, and existing guidelines tend to address these conditions individually rather than collectively.
  • This study implemented a six-month structured skincare program in one group of nursing homes while another group continued with standard care, assessing various skin conditions and resident-reported outcomes.
  • Results showed that the intervention significantly reduced the incidence of skin tears, pressure ulcers, and intertrigo compared to the control group, indicating the effectiveness of the skincare program for elderly residents.
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Objectives: To identify possible factors associated with different severities of xerosis cutis and to describe possible associations between (skin) care dependency and application of moisturizers.

Design: Cross-sectional study using baseline data from a cluster-randomized controlled trial. Demographic and health characteristics, skin physiological measurements, functional abilities and application of moisturizers were compared between the participants with mild and severe dry skin.

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Introduction: Alopecia areata (AA) can negatively affect quality of life (QoL) and is associated with increased prevalence of anxiety and depression (vs people without AA). This study compared physician-assessed and patient self-rated severity of AA in a European sample and described the patient-reported burden of AA stratified by physician-assessed severity.

Methods: Real-world data were collected from the Adelphi Real World AA Disease Specific Programme™, a retrospective point-in-time cross-sectional survey of dermatologists and their adult patients with AA in five European countries (France, Germany, Italy, Spain, UK).

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Tattoos have been gaining popularity in recent years, leading to a growing interest in researching tattoo inks and the tattooing process itself. Since the exposure to soluble tattoo ink ingredients has not yet been investigated, we here present the method validation for a short-term biokinetics study on soluble tattoo ink ingredients. The three tracers 4-aminobenzoic acid (PABA), 2-phenoxyethanol (PEtOH) and iodine will be added to commercially available tattoo inks, which will subsequently be used on healthy study participants.

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Background: Short anagen hair (SAH) is a rare paediatric hair disorder characterized by a short anagen phase, an inability to grow long scalp hair and a negative psychological impact. The genetic basis of SAH is currently unknown.

Objectives: To perform molecular genetic investigations in 48 individuals with a clinical phenotype suggestive of SAH to identify, if any, the genetic basis of this condition.

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Bacterial infections are a constant challenge in the management of acute and chronic wounds. Chronic wounds, such as diabetic foot ulcers, have increased significantly in the last few years due to the rise of an aging population. A better understanding of the infectious pathophysiological mechanisms is urgently needed along with new options for the treatment of wound infections and wound-healing disorders.

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Cicatricial alopecia may lead to an enormous emotional burden, social distress, and psychological impairment affecting the quality of life. The objective of this review is to systematically describe the health-related quality of life in adults with primary cicatricial alopecia and its subtypes. Studies that (i) reported quality of life in patients with primary cicatricial alopecia or its subtypes; (ii) were original research and not a conference abstract or review (iii) with patients >18 years of age were included in the review.

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  • Increasing evidence suggests that epigenetic changes, particularly DNA methylation of the POMC gene, can increase the risk of obesity, with a notable 1.4-fold risk linked to specific hypermethylation patterns.
  • A human embryonic stem cell model was used to study how these methylation states are established early in development, showing that reduced DNA methylation is associated with the formation of hypothalamic neurons that express the POMC gene.
  • Treatment with an MC4R agonist in individuals with hypermethylation resulted in an average body weight reduction of about 4.66% over several months, highlighting a potential therapeutic approach for addressing this epigenetic obesity risk variant.
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  • The human skin barrier in newborns is underdeveloped, leading to increased vulnerability to conditions like atopic dermatitis (AD) and affecting skin hydration and resistance to irritants.
  • A panel of eight clinicians developed a skincare algorithm to promote healthy skin in infants, emphasizing non-prescription methods based on clinical research and expert opinions.
  • Recommended skincare practices include maintaining a cool environment, using gentle cleansers with a pH of 4-6, brief lukewarm baths, and applying hydrating moisturizers to strengthen the skin barrier from an early age.
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Introduction: Ageing is accompanied by an age-related decrease in mobility or cognitive and sensory functions; in addition, physiological changes in the skin occur with age. Therefore, the skin requires appropriate care and observation in order to prevent or manage a variety of dermatological diseases and conditions, and to prevent or minimise effects on the quality of life.Globally, most older people live at home, and the need to establish sustainable structures and processes to support and to care for people at home for as long as possible has been emphasised.

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