Publications by authors named "Evan Rieder"
Article Synopsis
- Acne vulgaris is a complex skin condition with limited research on adult cases, particularly regarding skin barrier function and effective management strategies.
- A panel of dermatologists created a consensus on the importance of skin barrier integrity and the supportive role of cleansers and moisturizers in treating adult acne.
- Addressing skin barrier dysfunction is crucial for managing symptoms and improving treatment adherence, emphasizing the need for better patient education on skincare routines.
Background: Minimally invasive cosmetic dermatology procedures continue to be increasingly popular; however, the extant literature has poorly documented the psychological antecedents of interest in cosmetic procedures and their psychological consequences.
Objective: To better inform dermatologists on their patients' motivations for cosmetic enhancement.
Materials And Methods: In a general population survey, an online representative sample of 984 Americans reported the extent to which they feel authentic using the validated authenticity scale and whether they were interested in undergoing a cosmetic procedure.
Article Synopsis
- - Dermatologists often encounter patients with inflammatory skin conditions and related psychological issues, but many lack formal training to address these concerns holistically.
- - Body dysmorphic disorder (BDD), a psychiatric condition that leads to excessive worry about minor or nonexistent flaws in appearance, is prevalent among dermatology patients, particularly those with chronic skin conditions like acne.
- - Adolescents are especially at risk for BDD due to high rates of acne and the influence of social media, which can amplify body image dissatisfaction; therefore, dermatologists should use screening tools and collaborate with mental health professionals for optimal patient care.
Article Synopsis
- Patient-reported outcomes (PROs) are being recognized as important in assessing the impact of acne vulgaris (AV), particularly with the use of sarecycline in real-world settings, which lacks existing data.
- A study involved 253 patients aged 9 and older with moderate or severe non-nodular AV, who were treated with sarecycline for 12 weeks, demonstrating significant improvements in symptoms and psychosocial impacts as measured by the Acne Symptom and Impact Scale.
- Results showed a 58.9% success rate in reducing AV severity and 88.1% physician satisfaction, with some patients reporting side effects, highlighting the efficacy of oral antibiotic treatment in managing AV symptoms.
Background: Concise patient-reported outcome (PRO) instruments addressing the consequences of facial acne vulgaris (AV) on patients’ functioning and activities of daily living (ADL) are needed.
Methods: A 12-week, single-arm, prospective cohort study was conducted in patients ≥9 years old with moderate/severe non-nodular facial AV prescribed sarecycline as part of usual care. The primary endpoint included AV-specific patient- and caregiver-reported outcomes assessed with the expert panel questionnaire (EPQ, developed by 10 experts using a Delphi method) in patients (>12 years) and caregivers (for patients 9-11 years).
Background: The contribution of psychological disorders to the burden of skin disease has been poorly explored in adolescent patients. The review aims to provide insights into the psychological, social, occupational, and social medias' association with acne, atopic dermatitis (AD), and aesthetics in adolescent patients.
Methods: The project used a modified Delphi process comprising face-to-face discussions followed up online.
Ghadimi TR, Martinez MJ, Rieder EA. Self-reported long-term side effects of isotretinoin: A case series. J Drugs Dermatol.
View Article and Find Full Text PDFBackground: Cosmetic enhancing procedures continue to grow in demand. Physicians should understand the complex factors that drive patient motivation for seeking such procedures.
Objective: In contrast to a lens of psychopathology, this review reveals the driving power of everyday intrapersonal, social, and behavioral factors that motivate interest in elective facial cosmetic procedures.
Linear lichen planus pigmentosus (LPP) of the face is a rare variant of lichen planus, with only a few cases published in the literature.1 It is an inflammatory condition with unknown etiology, characterized by blue-gray hyperpigmented macules, and tends to affect sun-exposed areas of the head and neck.1-4 The pathophysiology of linear lichen pigmentosus is poorly understood, though it is postulated to be caused by T-lymphocyte autoimmunity against keratinocytes.
View Article and Find Full Text PDFPsychosocial issues and body dysmorphic disorder in aesthetics: Review and debate.
Clin Dermatol
February 2022
Body dysmorphic disorder (BDD) is a serious and debilitating psychiatric condition that disproportionately presents in dermatologic and cosmetic surgery patients. BDD is currently underrecognized in cosmetic medical settings and is thought to be underdiagnosed by behavioral health professionals. The significant comorbidities associated with this disorder, as well as potential harm done to both patient and physician, raise ethical and medicolegal concerns regarding its treatment.
View Article and Find Full Text PDFConsidering Aesthetic Procedures During an International Viral Pandemic.
J Clin Aesthet Dermatol
July 2021
Objectives: Pedunculated lipofibromas are soft, compressible, skin-colored nodules that typically present as an acquired solitary lesion, predominantly located on the buttocks and thighs. We aimed to differentiate between pedunculated lipofibromas and nevus lipomatosus superficialis. Although benign, this may be important as treatment options vary.
View Article and Find Full Text PDFPsychosocial Stress and Mechanisms of Skin Health: A Comprehensive Update.
J Drugs Dermatol
January 2021
Although the relationship between psychosocial stress and skin health is commonly invoked in both the scientific and popular literature, its underlying mechanisms are still not well understood. In this review, we provide a comprehensive update on the pathophysiology of stress and its clinical impact on skin homeostasis. The recent characterization of a bidirectional HPA stress axis in the skin has illuminated peripheral stress pathways, with effects spanning inflammation, atopy, barrier function, dermal thinning, wound healing, and melanogenesis.
View Article and Find Full Text PDFBackground: The use of fine art in medical education has a long history. Numerous studies have investigated the potential benefits of incorporating art in medical education; however, there are gaps in knowledge regarding the efficacy, methodology, and clinical significance of these studies.
Objective: This scoping review of the literature aims to describe the available literature on the incorporation of art education in medical school and residency.
Background: A role for addiction psychiatry in aesthetic treatment-seeking behavior has been evidenced for ultraviolet light tanning.
Objective: We aim to demonstrate an initial proof of concept for the presence of addictive behaviors in cosmetic procedure use.
Methods: Adults visiting a cosmetic dermatology practice with history of at least 1 cosmetic procedure and consideration of at least 1 cosmetic procedure in the past 12 months were included.
Background: Cosmetic procedures have demonstrated beneficial effects on physical appearance based on anatomic markers as well as patient-perceived self-image and quality of life. Recent studies of observer-reported outcomes (OROs) suggest an additional benefit from aesthetic interventions.
Objective: The authors aimed to review the evidence of OROs from cosmetic procedures performed on the head and neck.
Article Synopsis
- The study examines papular scars, a newly identified type of acne scarring characterized by dome-shaped papules primarily found on the nose and chin of patients with a history of acne vulgaris.
- A review of 20 patients revealed that these papules were mostly seen in adolescent Hispanic males, with many also experiencing traditional acne in other facial areas.
- Histopathological analysis of biopsies from some patients showed features similar to angiofibromas, suggesting that these papules may represent a serious yet under-recognized consequence of acne, especially among adolescents with darker skin tones.
Paradigm Shifts in Understanding Motivation in Aesthetic Medicine.
Facial Plast Surg Aesthet Med
November 2020