Publications by authors named "Howard I. Maibach"

Per- and polyfluoroalkyl substances (PFAS) are found in a variety of places including cosmetics, rain jackets, dust, and water. PFAS have also been applied to occupational gear to protect against water and oils. However, PFAS have been identified as immunosuppressants and perfluorooctanoic acid (PFOA), a specific PFAS, has been identified as carcinogenic.

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Acne vulgaris is a common dermatologic disorder that affects approximately 85% of teenagers, which significantly impacts the quality of life in adolescents. It is a chronic disease of the sebaceous follicles that is multifactorial in etiology. Topical treatment is the first choice for mild and moderate acne, while systemic therapy is reserved for severe and certain moderate cases.

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Allergic contact dermatitis is frequently caused by metals, including multiple metals simultaneously. To assess characteristics and associations of positive and clinically relevant patch test (PT) reactions with solitary and concurrent metal sensitization. A retrospective analysis of PT results for nickel, cobalt, and/or chromium from the North American Contact Dermatitis Group between 2001 and 2018 ( = 43,522).

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  • Androgenetic alopecia is a common type of hair loss, affecting about 58% of men and 40% of women by age 50, leading to psychological distress.
  • This study aimed to review and analyze the effectiveness of combining topical minoxidil with microneedling versus using minoxidil alone for treating this condition.
  • The analysis of eight selected studies showed significant improvement in total hair count with the combined treatment, although hair diameter increase wasn't statistically significant, and no serious side effects were reported.
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Hidradenitis suppurativa (HS) is a chronic, profoundly incapacitating disease predominantly affecting the apocrine gland-rich areas of the human body. Although it affects 0.05% to 4% of the general population, there exists a significant racial disparity, with people of color, particularly Black individuals, experiencing a notably higher prevalence.

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Microneedle Array Patches (MAPs) are an emerging dosage form that creates transient micron-sized disruptions in the outermost physical skin barrier, the stratum corneum, to facilitate delivery of active pharmaceutical ingredients to the underlying tissue. Numerous MAP products are proposed and there is significant clinical potential in priority areas such as vaccination. However, since their inception scientists have hypothesized about the risk of a clinically significant MAP-induced infection.

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Cobalt is a recognized cause of allergic contact dermatitis (ACD); however, detailed information on patient characteristics, sites, and sources is lacking. The aim of the study is to assess trends in patch test reactions to cobalt and associated patient characteristics, common sources, and body sites affected. The study used a retrospective analysis of adult patients who were patch tested to cobalt by the North American Contact Dermatitis Group between 2001 and 2018 (n = 41,730).

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Benzophenone (BZP)-3 and BZP-4 are ultraviolet (UV) absorbers used in sunscreens and personal care products (PCPs) and may cause allergic contact dermatitis. To characterize positive patch test reactions to BZP-3 (10% in petrolatum [pet]) and BZP-4 (2% pet) in a screening allergen series. Retrospective analysis of patients tested to BZP-3 and BZP-4 was conducted by the North American Contact Dermatitis Group from 2013 to 2020.

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Patch testing is an important diagnostic tool for assessment of allergic contact dermatitis (ACD). This study documents the North American Contact Dermatitis Group (NACDG) patch testing results from January 1, 2019, to December 31, 2020. At 13 centers in North America, patients were tested in a standardized manner with a screening series of 80 allergens, and, as indicated, supplemental allergens.

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Dermatological diseases are widespread and have a significant impact on the quality of life of patients; however, access to appropriate care is often limited. Improved early training during medical school represents a potential upstream solution. This scoping review explores dermatology education during medical school, with a focus on identifying the factors associated with optimizing the preparation of future physicians to provide care for patients with skin disease.

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Sexual and gender minority (SGM) patients face health issues relevant to dermatologists, such as allergic contact dermatitis (ACD); however, there is a lack of information surrounding common allergens causing ACD that disproportionally affect SGM patients. Covidence, Embase, MEDLINE, PubMed, Web of Science, and Google Scholar were searched to identify relevant articles studying ACD in the SGM population. Common allergens associated with ACD in SGM patients include nitrates, fragrance mix, methylisothiazolinone, methylisothiazolinone-methylchloroisothiazolinone, topical antibiotics, and allergens seen in chest binders.

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Purpose Of Review: Pityriasis lichenoides (PL) is a spectrum of dermatological conditions involving polymorphous lesions. Natural history of the condition ranges from acute to chronic. Cases of PL following SARS-CoV-2 infection/vaccination have been reported, but not yet comprehensively reviewed.

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  • * Data was collected from several databases and showed that while positivity rates for MCI/MI have decreased in Europe, they have continued to rise in North America, especially for MI.
  • * The differing trends in reactions could be linked to earlier and stricter regulations on MI in Europe compared to North America.
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  • Pityrosporum folliculitis (PF) is a fungal skin condition that mimics acne, marked by itchy bumps, primarily affecting young males (average age 24.26 years) on the chest and back.!* -
  • Diagnosis can be tricky since PF is often misidentified as bacterial acne, but it can be diagnosed through the presence of fungal spores and associated symptoms like itching.!* -
  • Most patients see success with antifungal treatments, especially oral medications (92% effectiveness), highlighting the need for accurate diagnosis to avoid ineffective treatments like antibiotics.!*
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  • An updated understanding of allergic contact cheilitis is necessary, as it shows increasing prevalence across a study period from 2001 to 2018.
  • A retrospective analysis of over 43,000 patients revealed that about 4.8% had lips involved in dermatitis, with a notable rise in cases documented in later years.
  • The study found high rates of positive allergic reactions among patients with cheilitis, suggesting the importance of including a broader range of allergens in patch testing, especially those beyond standard NACDG screening.
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  • Contact urticaria syndrome, which includes contact urticaria and protein contact dermatitis, is often underreported and misdiagnosed, particularly in workplaces.
  • Recent trends have linked increased cases to the use of personal protective equipment and hand sanitizers during the COVID-19 pandemic, as well as exposure to legal cannabis products.
  • Diagnosis requires careful consideration of symptoms and occupational history, with prick testing recommended as a screening method, while avoiding the triggering agents is the best treatment strategy.
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