Publications by authors named "Kathrin Hillmann"

Article Synopsis
  • 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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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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Article Synopsis
  • 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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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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Article Synopsis
  • - Alopecia areata (AA) is an autoimmune condition causing hair loss that can negatively affect the quality of life (QoL) in children and adolescents, leading to issues like bullying and self-esteem problems.
  • - A systematic review examined eight studies involving 358 participants with AA and found a consistent impairment in their QoL, particularly in areas related to embarrassment and social interactions.
  • - The findings highlight the importance of considering QoL in children with AA in both clinical settings and research, underscoring its role in treatment development and decision-making.
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Article Synopsis
  • Epidermolysis bullosa (EB) is a rare genetic skin disorder causing blisters to form on the skin and mucous membranes, with varying severity among patients.
  • A study conducted in Germany found an EB incidence of 45 cases per million live births, with higher rates for junctional EB compared to other countries, possibly due to better early genetic diagnosis.
  • With estimates of around 2000 EB patients in Germany, the findings aim to influence healthcare policies, drug development strategies, and support patient advocacy efforts for improved quality of life.
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The number of patients presenting with frontal fibrosing alopecia (FAA) is increasing not only in hair clinics. The recognition of the peculiar clinical pattern and associated symptoms is an important prerequisite to ensure adequate counseling and therapeutic management of the patients. Experimental studies and a range of case series give first insights into the pathogenesis, possible trigger factors, clinical course of disease and treatment options.

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Alopecia areata (AA) is a chronic, immune-mediated disease characterized by acute or chronic non-scarring hair loss, with a heterogeneity in clinical manifestations ranging from patchy hair loss to complete scalp and body hair loss. An overview of the up-to-date pathophysiology and the underlying signaling pathways involved in AA together with diagnostic and therapeutic recommendations will be provided. Current treatments, including topical, systemic and injectable interventions show varying response and frequent relapses reflecting the unmet clinical need.

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Background: Pregnancy leads to several skin changes, but evidence about structural and functional skin changes is scarce. Findings on skin structure and function in children in their first year reveal rapid skin maturation, but evidence indicates that in particular, water holding and transport mechanisms are different from adults. Important questions include whether maternal cutaneous properties predict infant skin condition, and if so, how.

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Article Synopsis
  • Dry skin is a common health issue, and this study aimed to assess the effectiveness of bath oil additives compared to regular non-oil cleansers in improving skin barrier function for individuals with mild to moderate dry skin.
  • Conducted as a randomized trial in Berlin, sixty participants used either bath oil or their usual skin cleansers over 28 days, with evaluations of skin barrier parameters and dry skin severity.
  • Results showed that the group using bath oil experienced significantly lower transepidermal water loss and higher skin hydration, indicating better skin barrier function, while overall skin surface conditions were similar between the two groups.
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Background/aims: Antibiotic-induced drug resistance requires new approaches in topical acne treatment. Tyrothricin is known to produce no resistance. In this study, it was tested for the first time in topical acne treatment.

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Background: 5% minoxidil formulations twice daily are effective in treating vertex male androgenetic alopecia (AGA); however, efficacy and safety data in frontotemporal regions are lacking.

Objectives: To assess the efficacy of 5% minoxidil topical foam (5% MTF) in the frontotemporal region of male AGA patients after 24 weeks of treatment compared to placebo treatment and to the vertex region.

Methods: Seventy males with moderate AGA applied 5% MTF or placebo foam (plaTF) twice daily for 24 weeks in frontotemporal and vertex regions.

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Background/purpose: Non-contact methods for quantifying skin surface topography in vivo are common in skin research. The surface evaluation of living skin (SELS) and the phaseshift rapid in vivo measurement of skin (PRIMOS) are two approaches to measure skin surface roughness and wrinkling via optical methods. The aim of this study was to compare the reliability and interrelatedness of the parameters obtained by both technologies.

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Background: Latanoprost is a prostaglandin analogue used to treat glaucoma. It can cause adverse effects, such as iridial and periocular hyperpigmentation, and eyelash changes including pigmentation and increased thickness, length, and number. Latanoprost has been used to treat eyelash alopecia, but knowledge on its effects on human scalp hair growth is not available.

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Background: Although twice-daily application of propylene glycol-containing 2% minoxidil topical solution (MTS) stimulates new hair growth, higher concentrations of minoxidil in a once-daily, propylene glycol-free formulation may improve efficacy and reduce unpleasant side effects.

Objective: We sought to compare the efficacy, safety, and acceptability and to show noninferiority of once-daily 5% minoxidil topical foam (MTF) with twice-daily 2% MTS in women with androgenetic alopecia.

Methods: A total of 113 women with androgenetic alopecia were randomized to 24 weeks of treatment with 5% MTF or 2% MTS.

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Hair disorders include hair loss, increased hair growth, and hair structure defects with increased breakage, as well as unacceptable cosmetic appearance, such as reduced shine, strength, curliness, and elasticity. It is the task of the dermatologist to choose the right diagnostic tool depending on the suspected clinical diagnosis. Moreover, certain tools are best suited for diagnosis in private practice, whereas others can only be used to monitor hair growth under treatment in clinical studies.

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