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18101MCID_676f086be37dc0a2c50ddb9f 39018081 Matthew D Mansh[author] Mansh, Matthew D[Full Author Name] mansh, matthew d[Author] trying2...
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2168-608416092024Sep01JAMA dermatologyJAMA DermatolSexual Orientation and Lifetime Prevalence of Skin Cancer Across Racial and Ethnic Groups.977983977-98310.1001/jamadermatol.2024.2097Sexual minority (SM) persons have been found to have differential rates of skin cancer, but limited data exist on differences across racial and ethnic groups and by individual sexual identities.To examine differences by sexual orientation in the lifetime prevalence of skin cancer among US adult females and males across racial and ethnic groups and by individual sexual identity.This cross-sectional study used data from the Behavioral Risk Factor Surveillance System from January 1, 2014, to December 31, 2021, for US adults from the general population. Data were analyzed from December 1, 2023, to March 1, 2024.Self-reported lifetime prevalence of skin cancer by sexual orientation. Age-adjusted prevalence and adjusted prevalence odds ratios (AORs) compared heterosexual and SM adults in analyses stratified by individual race.Of 1 512 400 participants studied, 805 161 (53.2%) were heterosexual females; 38 933 (2.6%), SM females; 638 651 (42.2%), heterosexual males; and 29 655 (2.0%), SM males. A total of 6.6% of participants were Hispanic; 3.4%, non-Hispanic Asian, Pacific Islander, or Hawaiian; 7.5%, non-Hispanic Black; 78.2%, non-Hispanic White; and 4.3%, other race and ethnicity. Mean (SE) age was 48.5 (0.03) years (incomplete data for age of respondents ≥80 years). The lifetime prevalence of skin cancer was overall higher among SM males compared with heterosexual males (7.4% vs 6.8%; AOR, 1.16; 95% CI, 1.02-1.33), including specifically among Hispanic males (4.0% vs 1.6%; AOR, 3.81; 95% CI, 1.96-7.41) and non-Hispanic Black males (1.0% vs 0.5%; AOR, 2.18; 95% CI, 1.13-4.19) in analyses stratified by race and ethnicity. Lifetime prevalence rates were lower among SM females compared with heterosexual females among non-Hispanic White females (7.8% vs 8.5%; AOR, 0.86; 95% CI, 0.76-0.97) and were higher among Hispanic (2.1% vs 1.8%; AOR, 2.46; 95% CI, 1.28-4.70) and non-Hispanic Black (1.8% vs 0.5%; AOR, 2.33; 95% CI, 1.01-5.54) females in analyses stratified by race and ethnicity.In this cross-sectional study of US adults, differences in the lifetime prevalence of skin cancer among SM adults compared with heterosexual adults differed across racial and ethnic groups and by individual sexual identity among both females and males. Both Hispanic and non-Hispanic Black and SM females and males had higher rates of skin cancer compared with their heterosexual counterparts. Further research addressing the individual factors contributing to these differences is needed to inform screening guidelines and public health interventions focused on these diverse, heterogeneous populations.RypkaKatelyn JKJDepartment of Dermatology, University of Minnesota, Minneapolis.Department of Dermatology, Minneapolis VA Medical Center, Minneapolis, Minnesota.WendlandZachary DZDDepartment of Dermatology, University of Minnesota, Minneapolis.Department of Dermatology, Minneapolis VA Medical Center, Minneapolis, Minnesota.SteeleMaritza VMVUniversity of Minnesota Medical School, Minneapolis.WehnerMackenzie RMRDepartment of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston.Department of Dermatology, The University of Texas MD Anderson Cancer Center, Houston.YeungHowaHDepartment of Dermatology, Emory University School of Medicine, Atlanta, Georgia.Telehealth Service Clinical Resource Hub, VA Southeast Network Veterans Integrated Service Network 7, Decatur, Georgia.Associate Editor, JAMA Dermatology.ManshMatthew DMDDepartment of Dermatology, University of California, San Francisco.engJournal Article
United StatesJAMA Dermatol1015895302168-6068IMHumansMaleFemaleSkin NeoplasmsepidemiologyethnologyCross-Sectional StudiesPrevalenceMiddle AgedAdultUnited StatesepidemiologyAgedYoung AdultAdolescentSexual and Gender Minoritiesstatistics & numerical dataSexual Behaviorstatistics & numerical dataethnologyEthnicitystatistics & numerical dataBehavioral Risk Factor Surveillance SystemHeterosexualitystatistics & numerical dataRacial Groupsstatistics & numerical dataConflict of Interest Disclosures: Dr Wehner reported receiving a grant from the National Cancer Institute and is a Cancer Prevention and Research Institute of Texas Scholar in Cancer Research. Dr Yeung reported receiving grants from the National Institute of Arthritis and Musculoskeletal and Skin Diseases during the conduct of the study and grants from the Dermatology Foundation and the Department of Veterans Affairs outside the submitted work. No other disclosures were reported.2025717202491812512024717124320247171135ppublish39018081PMC1125596510.1001/jamadermatol.2024.20972821288de Vere Hunt I, Lester J, Linos E. Insufficient evidence for screening reinforces need for primary prevention of skin cancer. JAMA Intern Med. 2023;183(6):509-511. doi:10.1001/jamainternmed.2023.092710.1001/jamainternmed.2023.092737071418Mansh M, Katz KA, Linos E, Chren MM, Arron S. Association of skin cancer and indoor tanning in sexual minority men and women. JAMA Dermatol. 2015;151(12):1308-1316. doi:10.1001/jamadermatol.2015.312610.1001/jamadermatol.2015.312626444580Singer S, Tkachenko E, Hartman RI, Mostaghimi A. Association between sexual orientation and lifetime prevalence of skin cancer in the United States. JAMA Dermatol. 2020;156(4):441-445. doi:10.1001/jamadermatol.2019.419610.1001/jamadermatol.2019.4196PMC704282332049301Yeung H, Braun H, Goodman M. Sexual and gender minority populations and skin cancer-new data and renewed priorities. JAMA Dermatol. 2020;156(4):367-369. doi:10.1001/jamadermatol.2019.417410.1001/jamadermatol.2019.4174PMC742368632049300Shao K, Feng H. Racial and ethnic healthcare disparities in skin cancer in the United States: a review of existing inequities, contributing factors, and potential solutions. J Clin Aesthet Dermatol. 2022;15(7):16-22.PMC934519735942012Dawes SM, Tsai S, Gittleman H, Barnholtz-Sloan JS, Bordeaux JS. Racial disparities in melanoma survival. J Am Acad Dermatol. 2016;75(5):983-991. doi:10.1016/j.jaad.2016.06.00610.1016/j.jaad.2016.06.00627476974Lam M, Zhu JW, Hu A, Beecker J. Racial differences in the prognosis and survival of cutaneous melanoma from 1990 to 2020 in North America: a systematic review and meta-analysis. J Cutan Med Surg. 2022;26(2):181-188. doi:10.1177/1203475421105286610.1177/12034754211052866PMC895070734676795Lopes FCPS, Sleiman MG, Sebastian K, Bogucka R, Jacobs EA, Adamson AS. UV exposure and the risk of cutaneous melanoma in skin of color: a systematic review. JAMA Dermatol. 2021;157(2):213-219. doi:10.1001/jamadermatol.2020.461610.1001/jamadermatol.2020.461633325988Blashill AJ. Indoor tanning and skin cancer risk among diverse us youth: results from a national sample. JAMA Dermatol. 2017;153(3):344-345. doi:10.1001/jamadermatol.2016.478710.1001/jamadermatol.2016.478728030714Buster KJ, You Z, Fouad M, Elmets C. Skin cancer risk perceptions: a comparison across ethnicity, age, education, gender, and income. J Am Acad Dermatol. 2012;66(5):771-779. doi:10.1016/j.jaad.2011.05.02110.1016/j.jaad.2011.05.021PMC376635821875760McKenzie C, Kundu RV. Sun protective behaviors among US racial and ethnic minorities with sun-sensitive skin. J Am Acad Dermatol. 2023;88(1):152-153. doi:10.1016/j.jaad.2019.06.130610.1016/j.jaad.2019.06.130631279024Shangani S, Gamarel KE, Ogunbajo A, Cai J, Operario D. Intersectional minority stress disparities among sexual minority adults in the USA: the role of race/ethnicity and socioeconomic status. Cult Health Sex. 2020;22(4):398-412. doi:10.1080/13691058.2019.160499410.1080/13691058.2019.1604994PMC688466031144598Feinstein BA, Dyar C. Bisexuality, minority stress, and health. Curr Sex Health Rep. 2017;9(1):42-49. doi:10.1007/s11930-017-0096-310.1007/s11930-017-0096-3PMC560330728943815Blosnich JR, Farmer GW, Lee JG, Silenzio VM, Bowen DJ. Health inequalities among sexual minority adults: evidence from ten U.S. states, 2010. Am J Prev Med. 2014;46(4):337-349. doi:10.1016/j.amepre.2013.11.01010.1016/j.amepre.2013.11.010PMC410212924650836Rypka KJ, Jacobsen AA, Mansh M. A cross-sectional study on skin cancer screening behaviors in sexual minorities among adults in the United States. J Am Acad Dermatol. 2023;89(3):586-589. doi:10.1016/j.jaad.2023.04.06010.1016/j.jaad.2023.04.06037169296379249492024021420240214
1097-67879032024MarJournal of the American Academy of DermatologyJ Am Acad DermatolDermatology representation in academic clinical gender care programs in the United States: A cross-sectional study.632635632-63510.1016/j.jaad.2023.10.058S0190-9622(23)03111-0ReddySoumya ASADepartment of Dermatology, University of Virginia, Charlottesville, Virginia. Electronic address: Soumya.reddy@ttuhsc.edu.FisherCarolineCSchool of Medicine, University of Virginia, Charlottesville, Virginia.ManshMatthew DMDDepartment of Dermatology, University of California, San Francisco, San Francisco, California.PeeblesJ KlintJKDepartment of Dermatology, Mid-Atlantic Permanente Medical Group, Kaiser Permanente, Rockville, Maryland.engJournal Article20231103
United StatesJ Am Acad Dermatol79071320190-9622IMUnited StatesHumansCross-Sectional StudiesDermatologyTransgender PersonsLGBTQgender diversegender-affirming carehealth care equitytransgenderConflicts of interest None disclosed.2023926202310252023103120242121542202311504220231142014ppublish3792494910.1016/j.jaad.2023.10.058S0190-9622(23)03111-0374367272023081720240714
2168-608415982023Aug01JAMA dermatologyJAMA DermatolPrevalence of Atopic Diseases Among Sexually Diverse Adults in the US.884887884-88710.1001/jamadermatol.2023.1934RypkaKatelyn JKJDepartment of Dermatology, University of Minnesota Medical School, Minneapolis.Department of Dermatology, Minneapolis VA Medical Center, Minneapolis, Minnesota.University of Minnesota Medical School, Minneapolis.WolduAbelAUniversity of Minnesota Medical School, Minneapolis.BoosMarkus DMDDivision of Dermatology, Department of Pediatrics, University of Washington School of Medicine, Seattle.MaguinessSheilagh MSMDepartment of Pediatric Dermatology, University of Minnesota Medical School, Minneapolis.ManshMatthew DMDDepartment of Dermatology, University of Minnesota Medical School, Minneapolis.engJournal Article
United StatesJAMA Dermatol1015895302168-6068IMHumansAdultPrevalenceDermatitis, AtopicepidemiologyRisk FactorsRhinitis, AllergicepidemiologyThis cross-sectional study assesses the prevalence of asthma, allergic rhinitis, or atopic dermatitis among sexually diverse adults compared with heterosexual adults in the US.Conflict of Interest Disclosures: Dr Maguiness reported being a cofounder of Stryke Club outside the submitted work and having a patent pending for a novel cleansing agent for acne. Dr Mansh reported receiving grants from the National Institutes of Health/National Institute of Environmental Health Sciences outside the submitted work. No other disclosures were reported.20238176432023712137202371211332024712ppublish37436727PMC1033921310.1001/jamadermatol.2023.19342807316Arndt J, Smith N, Tausk F. Stress and atopic dermatitis. Curr Allergy Asthma Rep. 2008;8(4):312-317. doi:10.1007/s11882-008-0050-610.1007/s11882-008-0050-618606083Gao J, Mansh M. Sexual orientation disparities in the prevalence of asthma and allergic rhinitis among US adults. Ann Allergy Asthma Immunol. 2016;117(4):435-437.e2. doi:10.1016/j.anai.2016.07.02910.1016/j.anai.2016.07.02927527671Goldsmith L, Bell ML. Queering environmental justice: unequal environmental health burden on the LGBTQ+ community. Am J Public Health. 2022;112(1):79-87. doi:10.2105/AJPH.2021.30640610.2105/AJPH.2021.306406PMC871362334936411Collins TW, Grineski SE, Morales DX. Environmental injustice and sexual minority health disparities: a national study of inequitable health risks from air pollution among same-sex partners. Soc Sci Med. 2017;191:38-47. doi:10.1016/j.socscimed.2017.08.04010.1016/j.socscimed.2017.08.040PMC562312528888127Croce EA, Levy ML, Adamson AS, Matsui EC. Reframing racial and ethnic disparities in atopic dermatitis in Black and Latinx populations. J Allergy Clin Immunol. 2021;148(5):1104-1111. doi:10.1016/j.jaci.2021.09.01510.1016/j.jaci.2021.09.015PMC857846534600773Curry CW, Felt D, Kan K, et al. . Asthma remission disparities among US youth by sexual identity and race/ethnicity, 2009-2017. J Allergy Clin Immunol Pract. 2021;9(9):3396-3406. doi:10.1016/j.jaip.2021.04.04610.1016/j.jaip.2021.04.046PMC843496933964511374077612023112820241102
1525-149738152023NovJournal of general internal medicineJ Gen Intern MedHuman Papillomavirus Vaccination Series Initiation and Completion Among Transgender and Gender Diverse Adults in the United States.343934413439-344110.1007/s11606-023-08293-2RypkaKatelyn JKJDepartment of Dermatology, University of Minnesota, Minneapolis, MN, USA.Department of Dermatology, Veterans Affairs Medical Center, Minneapolis, MN, USA.LiszewskiWalter JWJDepartment of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.ManshMatthew DMDDepartment of Dermatology, University of Minnesota, Minneapolis, MN, USA. mansh@umn.edu.engLetter20230705
United StatesJ Gen Intern Med86058340884-87340Papillomavirus VaccinesIMHumansUnited StatesepidemiologyAdultHuman Papillomavirus VirusesTransgender PersonsPapillomavirus Infectionsepidemiologyprevention & controlPapillomavirus VaccinesVaccinationDr. Matthew Mansh is supported by the National Institute of Environmental Health Sciences (U01ES029603). Ms. Rypka and Dr. Liszewski have no conflicts of interest to disclose.2023472023615202311286422023761820237523312024111ppublish37407761PMC1068230910.1007/s11606-023-08293-210.1007/s11606-023-08293-2Pho AT, Mangal S, Bakken S. Human Papillomavirus Vaccination Among Transgender and Gender Diverse People in the United States: An Integrative Review. Transgend Health. 2022;7(4):303–313. Published 2022 Aug 1.PMC939847736033213Yeung H, Luk KM, Chen SC, Ginsberg BA, Katz KA. Dermatologic care for lesbian, gay, bisexual, and transgender persons: Epidemiology, screening, and disease prevention. J Am Acad Dermatol. 2019;80(3):591-602.PMC637530130744875Brown B, Poteat T, Marg L, Galea JT. Human Papillomavirus-Related Cancer Surveillance, Prevention, and Screening Among Transgender Men and Women: Neglected Populations at High Risk. LGBT Health. 2017;4(5):315-319.28876211Bednarczyk RA, Whitehead JL, Stephenson R. Moving beyond sex: Assessing the impact of gender identity on human papillomavirus vaccine recommendations and uptake among a national sample of rural-residing LGBT young adults. Papillomavirus Res. 2017;3:121-125.PMC560487628720445Jann JT, Cunningham NJ, Assaf RD, Krysiak RC, Herman D. Evolving Primary Care Utilization of Transgender and Gender-Nonconforming People at a Community Sexual Health Clinic. Transgend Health. 2022;7(4):340–347. Published 2022 Aug 1.PMC939848036033210White Hughto JM, Murchison GR, Clark K, Pachankis JE, Reisner SL. Geographic and Individual Differences in Healthcare Access for U.S. Transgender Adults: A Multilevel Analysis. LGBT Health. 2016;3(6):424–433.PMC516567827636030367056502023013120230202
2162-52203412023Jan-FebDermatitis : contact, atopic, occupational, drugDermatitisAllergic Contact Dermatitis in Sexual and Gender Minority Patients: Disparities and a Call to Action.293229-3210.1089/DERM.0000000000000959Objectives: 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. Methods: Covidence, Embase, MEDLINE, PubMed, Web of Science, and Google Scholar were searched to identify relevant articles studying ACD in the SGM population. Results: Common allergens associated with ACD in SGM patients include nitrates, fragrance mix, methylisothiazolinone, methylisothiazolinone-methylchloroisothiazolinone, topical antibiotics, and allergens seen in chest binders. Common anatomic sites included the chest, cheeks, perioral region, nasal orifices, and the anogenital region. Conclusions: Certain allergens and body sites affected by ACD are more common among the SGM community. This can help guide patch testing as a diagnostic tool. Further research must be conducted regarding ACD in SGM patients.BurliAnukAFrom the Department of Dermatology, University of California, San Francisco.Santa Clara Valley Medical Center, San Jose, CA.SchlarbaumJamie PJPDepartment of Dermatology, Oregon Health Science and University, Portland.LiszewskiWalter JWJDepartment of Dermatology, Northwestern Feinberg School of Medicine, Chicago, IL.ManshMatthew DMDDepartment of Dermatology, University of Minnesota School of Medicine, Minneapolis.MaibachHoward IHIFrom the Department of Dermatology, University of California, San Francisco.engJournal Article
United StatesDermatitis1012073351710-3568229D0E1QFA2-methyl-4-isothiazolin-3-one0Allergens0Anti-Bacterial AgentsIMHumansDermatitis, Allergic ContactdiagnosisepidemiologyetiologyAllergensadverse effectsPatch Testsadverse effectsAnti-Bacterial AgentsRetrospective Studies2023127105320231286020232160ppublish3670565010.1089/DERM.0000000000000959363833632023012020231117
2168-608415912023Jan01JAMA dermatologyJAMA DermatolDiversity and Career Goals of Graduating Allopathic Medical Students Pursuing Careers in Dermatology.475547-5510.1001/jamadermatol.2022.4984Dermatology is one of the least diverse specialties, while patients from minority racial and ethnic groups and other underserved populations continue to face numerous dermatology-specific health and health care access disparities in the US.To examine the demographic characteristics and intended career goals of graduating US allopathic medical students pursuing careers in dermatology compared with those pursuing other specialties and whether these differ by sex, race and ethnicity, and/or sexual orientation.This secondary analysis of a repeated cross-sectional study included 58 077 graduating allopathic medical students using data from the 2016 to 2019 Association of American Medical Colleges Graduation Questionnaires.The proportion of female students, students from racial and ethnic groups underrepresented in medicine (URM), and sexual minority (SM) students pursuing dermatology vs pursuing other specialties. The proportions and multivariable-adjusted odds of intended career goals between students pursuing dermatology and those pursuing other specialties and by sex, race and ethnicity, and sexual orientation among students pursuing dermatology.A total of 58 077 graduating students were included, with 28 489 (49.0%) female students, 8447 (14.5%) URM students, and 3641 (6.3%) SM students. Female students pursuing dermatology were less likely than female students pursuing other specialties to identify as URM (96 of 829 [11.6%] vs 4760 of 27 660 [17.2%]; P < .001) or SM (16 [1.9%] vs 1564 [5.7%]; P < .001). In multivariable-adjusted analyses, students pursuing dermatology compared with other specialties had decreased odds of intending to care for underserved populations (247 of 1350 [18.3%] vs 19 142 of 56 343 [34.0%]; adjusted odd ratio [aOR], 0.40; 95% CI, 0.35-0.47; P < .001), practice in underserved areas (172 [12.7%] vs 14 570 [25.9%]; aOR, 0.40; 95% CI, 0.34-0.47; P < .001), and practice public health (230 [17.0%] vs 17 028 [30.2%]; aOR, 0.44; 95% CI, 0.38-0.51; P < .001) but increased odds of pursuing research (874 [64.7%] vs 29 121 [51.7%]; aOR, 1.76; 95% CI, 1.57-1.97; P < .001) in their careers. Among students pursuing dermatology, female, URM, and SM identities were independently associated with increased odds of caring for underserved populations (eg, URM: aOR, 4.05; 95% CI, 2.83-5.80) and practicing public health (eg, SM: aOR, 2.55; 95% CI, 1.51-4.31). URM students compared with non-URM students pursuing dermatology had increased odds of intending to practice in underserved areas (aOR, 3.93; 95% CI, 2.66-5.80), and SM students compared with heterosexual students pursuing dermatology had increased odds of intending to become medical school faculty (aOR, 1.60; 95% CI, 1.01-2.57), to pursue administrative roles (aOR, 1.60; 95% CI, 1.01-2.59), and to conduct research (aOR, 1.73; 95% CI, 1.01-2.98).The findings of this cross-sectional study suggest that diversity gaps continue to exist in the dermatology workforce pipeline. Efforts are needed to increase racial and ethnic and sexual orientation diversity and interest in careers focused on underserved care and public health among students pursuing dermatology.GaoYiYDepartment of Dermatology, University of Minnesota, Minneapolis.FulkTravisTDepartment of Dermatology, University of Minnesota, Minneapolis.MoriWestleyWDepartment of Dermatology, University of Minnesota, Minneapolis.AckermanLindsayLMedical Dermatology Specialists, Phoenix, Arizona.GaddisKevinKDepartment of Dermatology, University of Minnesota, Minneapolis.FarahRondaRDepartment of Dermatology, University of Minnesota, Minneapolis.LesterJennaJDepartment of Dermatology, University of California, San Francisco.LinosEleniEDepartment of Dermatology, Stanford University, Stanford, California.PeeblesJ KlintJKKaiser Permanente, Mid-Atlantic Permanente Medical Group, Largo, Maryland.YeungHowaHDepartment of Dermatology, Emory University, Atlanta, Georgia.ManshMatthew DMDDepartment of Dermatology, University of Minnesota, Minneapolis.engK23 AR075888ARNIAMS NIH HHSUnited StatesL30 AR076081ARNIAMS NIH HHSUnited StatesJournal Article
United StatesJAMA Dermatol1015895302168-6068IMJAMA Dermatol. 2023 Jan 1;159(1):19-21. doi: 10.1001/jamadermatol.2022.497436383375HumansMaleFemaleStudents, Medicalstatistics & numerical dataDermatologyCross-Sectional StudiesGoalsMinority Groupsstatistics & numerical dataSurveys and QuestionnairesConflict of Interest Disclosures: Dr Linos reported receiving grants from the National Institutes of Health and the National Institute of Arthritis and Musculoskeletal and Skin Diseases outside the submitted work. Dr Yeung reported receiving grants from National Institute of Arthritis and Musculoskeletal and Skin Diseases and the Dermatology Foundation outside the submitted work. Dr Mansh reported receiving grants from National Institute of Environmental Health Sciences outside the submitted work. No other disclosures were reported.202211176020231216020221116113320231116ppublish36383363PMC966992110.1001/jamadermatol.2022.49842798235Pandya AG, Alexis AF, Berger TG, Wintroub BU. Increasing racial and ethnic diversity in dermatology: a call to action. J Am Acad Dermatol. 2016;74(3):584-587. doi:10.1016/j.jaad.2015.10.04410.1016/j.jaad.2015.10.04426774427Wu AG, Lipner SR. National trends in gender and ethnicity in dermatology training: 2006 to 2018. J Am Acad Dermatol. 2022;86(1):211-213. doi:10.1016/j.jaad.2021.01.07710.1016/j.jaad.2021.01.07733515628Chen A, Shinkai K. Rethinking how we select dermatology applicants—turning the tide. JAMA Dermatol. 2017;153(3):259-260. doi:10.1001/jamadermatol.2016.468310.1001/jamadermatol.2016.468328030657Association of American Medical Colleges. Diversity and inclusion: underrepresented in medicine definition. March 19, 2004. Accessed June 10, 2022. https://www.aamc.org/what-we-do/equity-diversity-inclusion/underrepresented-in-medicinePritchett EN, Pandya AG, Ferguson NN, Hu S, Ortega-Loayza AG, Lim HW. Diversity in dermatology: roadmap for improvement. J Am Acad Dermatol. 2018;79(2):337-341. doi:10.1016/j.jaad.2018.04.00310.1016/j.jaad.2018.04.00329653209Imadojemu S, James WD. Increasing African American representation in dermatology. JAMA Dermatol. 2016;152(1):15-16. doi:10.1001/jamadermatol.2015.303010.1001/jamadermatol.2015.303026509327Reck SJ, Stratman EJ, Vogel C, Mukesh BN. Assessment of residents’ loss of interest in academic careers and identification of correctable factors. Arch Dermatol. 2006;142(7):855-858. doi:10.1001/archderm.142.7.85510.1001/archderm.142.7.85516847200Mansh MD, Dommasch E, Peebles JK, Sternhell-Blackwell K, Yeung H. Lesbian, gay, bisexual, and transgender identity and disclosure among dermatologists in the US. JAMA Dermatol. 2021;157(12):1512-1514. doi:10.1001/jamadermatol.2021.454410.1001/jamadermatol.2021.4544PMC858178734757403Jones JM. LGBT identification rises to 5.6% in latest US estimate. Gallup.com. February 24, 2021. Accessed December 27, 2021. https://news.gallup.com/poll/329708/lgbt-identification-rises-latest-estimate.aspxSamuels EA, Boatright DH, Wong AH, et al. . Association between sexual orientation, mistreatment, and burnout among US medical students. JAMA Netw Open. 2021;4(2):e2036136. doi:10.1001/jamanetworkopen.2020.3613610.1001/jamanetworkopen.2020.36136PMC785654033528552Mansh M, Garcia G, Lunn MR. From patients to providers: changing the culture in medicine toward sexual and gender minorities. Acad Med. 2015;90(5):574-580. doi:10.1097/ACM.000000000000065610.1097/ACM.000000000000065625650825Sitkin NA, Pachankis JE. Specialty choice among sexual and gender minorities in medicine: the role of specialty prestige, perceived inclusion, and medical school climate. LGBT Health. 2016;3(6):451-460. doi:10.1089/lgbt.2016.005810.1089/lgbt.2016.0058PMC516566327726495Bodenheimer T, Sinsky C. From triple to quadruple aim: care of the patient requires care of the provider. Ann Fam Med. 2014;12(6):573-576. doi:10.1370/afm.171310.1370/afm.1713PMC422678125384822Association of American Medical Colleges. Medical School Graduation Questionnaire: 2019 all schools summary report. July 2019. Accessed October 12, 2022. https://www.aamc.org/system/files/2019-08/2019-gq-all-schools-summary-report.pdfXierali IM, Nivet MA, Pandya AG. US dermatology department faculty diversity trends by sex and underrepresented-in-medicine status, 1970 to 2018. JAMA Dermatol. 2020;156(3):280-287. doi:10.1001/jamadermatol.2019.429710.1001/jamadermatol.2019.4297PMC699083031913403Lett E, Murdock HM, Orji WU, Aysola J, Sebro R. Trends in racial/ethnic representation among US medical students. JAMA Netw Open. 2019;2(9):e1910490-e1910490. doi:10.1001/jamanetworkopen.2019.1049010.1001/jamanetworkopen.2019.10490PMC672768631483469Mori WS, Gao Y, Linos E, et al. . Sexual orientation diversity and specialty choice among graduating allopathic medical students in the United States. JAMA Netw Open. 2021;4(9):e2126983. doi:10.1001/jamanetworkopen.2021.2698310.1001/jamanetworkopen.2021.26983PMC848517534591110Razack S, Risør T, Hodges B, Steinert Y. Beyond the cultural myth of medical meritocracy. Med Educ. 2020;54(1):46-53. doi:10.1111/medu.1387110.1111/medu.1387131464349Sambunjak D, Straus SE, Marusić A. Mentoring in academic medicine: a systematic review. JAMA. 2006;296(9):1103-1115. doi:10.1001/jama.296.9.110310.1001/jama.296.9.110316954490Montañez-Wiscovich ME, Brioso Rubio X, Torres A. Dermatology leadership and a top-down approach to increasing diversity. Clin Dermatol. 2020;38(3):316-320. doi:10.1016/j.clindermatol.2020.02.00610.1016/j.clindermatol.2020.02.00632563343National Resident Matching Program. Results and data: 2020 main residency match. May 2020. Accessed August 1, 2020. https://www.nrmp.org/wp-content/uploads/2020/06/MM_Results_and-Data_2020-1.pdfMaverakis E, Li CS, Alikhan A, Lin TC, Idriss N, Armstrong AW. The effect of academic “misrepresentation” on residency match outcomes. Dermatol Online J. 2012;18(1):1. doi:10.5070/D38F4346T510.5070/D38F4346T522301038National Resident Matching Program. Results of the 2018 NRMP Program Director Survey. June 2018. Accessed August 1, 2020. https://www.nrmp.org/wp-content/uploads/2018/07/NRMP-2018-Program-Director-Survey-for-WWW.pdfWei C, Eleryan MG, Gu A, Friedman AJ. Assessing a paradigm shift: perceptions of the USMLE Step 1 scoring change to pass/fail. J Drugs Dermatol. 2020;19(6):669-671.32574017Phillips JP, Petterson SM, Bazemore AW, Phillips RL. A retrospective analysis of the relationship between medical student debt and primary care practice in the United States. Ann Fam Med. 2014;12(6):542-549. doi:10.1370/afm.169710.1370/afm.1697PMC422677525384816Gabrielson AT, Kohn JR, Sparks HT, Clifton MM, Kohn TP. Proposed changes to the 2021 residency application process in the wake of COVID-19. Acad Med. 2020;95(9):1346-1349. doi:10.1097/ACM.000000000000352010.1097/ACM.0000000000003520PMC726883932459675Grossberg AL, Carranza D, Lamp K, Chiu MW, Lee C, Craft N. Dermatologic care in the homeless and underserved populations: observations from the Venice Family Clinic. Cutis. 2012;89(1):25-32.22439307Humphrey VS, James AJ. The importance of service learning in dermatology residency: an actionable approach to improve resident education and skin health equity. Cutis. 2021;107(3):120-122. doi:10.12788/cutis.019910.12788/cutis.019933956601Harrington H, Pearlman R, Flischel A. Training medical students in a rural dermatology clinic. In Brodell RT, Byrd AC, Firkins Smith C, Nahar VK, eds. Dermatology in Rural Settings: Organizational, Clinical, and Socioeconomic Perspectives. Springer Nature. 2021; 65-70.Luke J, Cornelius L, Lim HW. Dermatology resident selection: shifting toward holistic review? J Am Acad Dermatol. 2021;84(4):1208-1209. doi:10.1016/j.jaad.2020.11.02510.1016/j.jaad.2020.11.02533245933Harvard Combined Dermatology Residency Training Program . Equity track. Harvard University. Accessed October 12, 2022. https://projects.iq.harvard.edu/harvardderm/equity-trackPenn Medicine. Diversity and community track (diversity and community engagement residency position). Accessed October 12, 2022. https://dermatology.upenn.edu/residents/diversity-community-track/Duke dermatology diversity and community engagement residency position . Accessed October 12, 2022. https://dermatology.duke.edu/diversity/duke-dermatology-diversity-and-community-engagement-residency-position-1529080a2Bärnighausen T, Bloom DE. Financial incentives for return of service in underserved areas: a systematic review. BMC Health Serv Res. 2009;9:86. doi:10.1186/1472-6963-9-8610.1186/1472-6963-9-86PMC270228519480656Fulk T, Wessman LL, Gupta R, et al. . Geographic practice preferences of graduating medical students pursuing careers in dermatology. J Am Acad Dermatol. 2022;S0190-9622(22)00388-7. doi:10.1016/j.jaad.2022.02.06110.1016/j.jaad.2022.02.06135276287Sánchez NF, Rankin S, Callahan E, et al. . LGBT trainee and health professional perspectives on academic careers—facilitators and challenges. LGBT Health. 2015;2(4):346-356. doi:10.1089/lgbt.2015.002410.1089/lgbt.2015.002426788776Cheng MY, Sukhov A, Sultani H, Kim K, Maverakis E. Trends in National Institutes of Health funding of principal investigators in dermatology research by academic degree and sex. JAMA Dermatol. 2016;152(8):883-888. doi:10.1001/jamadermatol.2016.027110.1001/jamadermatol.2016.027127191545Shi CR, Olbricht S, Vleugels RA, Nambudiri VE. Sex and leadership in academic dermatology: a nationwide survey. J Am Acad Dermatol. 2017;77(4):782-784. doi:10.1016/j.jaad.2017.05.01010.1016/j.jaad.2017.05.01028917468Thiers BH, Tomecki KJ, Taylor SC, et al. . Diversity In dermatology: Diversity Committee approved plan 2021-2023. American Academy of Dermatology. January 26, 2021. Accessed June 10, 2022. https://assets.ctfassets.net/1ny4yoiyrqia/xQgnCE6ji5skUlcZQHS2b/65f0a9072811e11afcc33d043e02cd4d/DEI_Plan.pdf3625539520240216
2162-52202022Oct17Dermatitis : contact, atopic, occupational, drugDermatitisAllergic Contact Dermatitis in Sexual and Gender Minority Patients: Disparities and a Call to Action.10.1097/DER.0000000000000959Sexual 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. Common anatomic sites included the chest, cheeks, perioral region, nasal orifices, and the anogenital region.Certain allergens and body sites affected by ACD are more common among the SGM community. This can help guide patch testing as a diagnostic tool. Further research must be conducted regarding ACD in SGM patients.Copyright © 2022 American Contact Dermatitis Society. All Rights Reserved.BurliAnukASchlarbaumJamie PJPDepartment of Dermatology, Oregon Health Science and University, Portland.LiszewskiWalter JWJDepartment of Dermatology, Northwestern Feinberg School of Medicine, Chicago, IL.ManshMatthew DMDDepartment of Dermatology, University of Minnesota School of Medicine, Minneapolis.MaibachHoward IHIFrom the Department of Dermatology, University of California, San Francisco.engJournal Article20221017
United StatesDermatitis1012073351710-3568IMThe authors have no funding or conflicts of interest to declare.20221018104320221019602022101960aheadofprint3625539510.1097/DER.000000000000095901206501-990000000-00077Yeung H, Luk KM, Chen SC, et al. Dermatologic care for lesbian, gay, bisexual, and transgender persons: terminology, demographics, health disparities, and approaches to care. J Am Acad Dermatol 2019;80(3):581–589. doi:10.1016/j.jaad.2018.02.042.10.1016/j.jaad.2018.02.042Kadyk DL, McCarter K, Achen F, et al. Quality of life in patients with allergic contact dermatitis. J Am Acad Dermatol 2003;49(6):1037–1048.Boos MD, Yeung H, Inwards-Breland D. Dermatologic care of sexual and gender minority/LGBTQIA youth, part I: an update for the dermatologist on providing inclusive care. Pediatr Dermatol 2019;36(5):581–586. doi:10.1111/pde.13896.10.1111/pde.13896Kosche C, Mansh M, Luskus M, et al. Dermatologic care of sexual and gender minority/LGBTQIA youth, part 2: recognition and management of the unique dermatologic needs of SGM adolescents. Pediatr Dermatol 2019;36(5):587–593. doi:10.1111/pde.13898.10.1111/pde.13898Bos JD, Jansen FC, Timmer JG. Allergic contact dermatitis to amyl nitrite (‘poppers’). Contact Dermatitis 1985;12:109.Darrigade AS, Dendooven E, Mangodt E, et al. Airborne allergic contact dermatitis by proxy caused by ‘poppers’. Contact Dermatitis 2021;84(3):212–214.Fisher AA, Brancaccio RR, Jelinek JE. Facial dermatitis in men due to inhalation of butyl nitrite. Cutis 1981;27(2):146, 152–153.Foroozan M, Studer M, Splingard B, et al. Facial dermatitis due to inhalation of Poppers [in French]. Ann Dermatol Venereol 2009;136(3):298–299.Latini A, Lora V, Zaccarelli M, et al. Unusual presentation of poppers dermatitis. JAMA Dermatol 2017;153(2):233–234.Magdaleno-Tapial J, Valenzuela-Oñate C, Giacamanvon der Weth MM, et al. Image gallery: painful skin rash on the face after a ‘chemsex’ party. Br J Dermatol 2019;180(2):e33.Schauber J, Herzinger T. ‘Poppers’ dermatitis. Clin Exp Dermatol 2012;37:587–588.Vij A, Sood A, Piliang M, et al. Infection or allergy? The multifaceted nature of vulvar dermatoses. Int J Womens Dermatol 2015;1(4):170–172.Peitzmeier S, Gardner I, Weinand J, et al. Health impact of chest binding among transgender adults: a community-engaged, cross-sectional study. Cult Health Sex 2017;19:64–75.Schlarbaum JP, Kimyon RS, Liou YL, et al. Genital dermatitis in a transgender patient returning from Thailand: a diagnostic challenge. Travel Med Infect Dis 2019;27:134–135.Warshaw EM, Kimyon RS, Silverberg JI, et al. Evaluation of patch test findings in patients with anogenital dermatitis. JAMA Dermatol 2020;156(1):85–91.Yale K, Asowika O, Rengifo-Pardo M, et al. Genital allergic contact dermatitis. Dermatitis 2018;29(3):112–119.Aschenbeck KA, Warshaw EM. Allergenic ingredients in personal hygiene wet wipes. Dermatitis 2017;28(5):317–322.Warshaw EM, Schlarbaum JP, Maibach HI, et al. Facial dermatitis in male patients referred for patch testing: retrospective analysis of North American Contact Dermatitis Group data, 1994 to 2016. JAMA Dermatol 2020;156(1):79–84.Warshaw EM, Schlarbaum JP, Silverberg JI, et al. Contact dermatitis to personal care products is increasing (but different!) in males and females: North American Contact Dermatitis Group data, 1996–2016. J Am Acad Dermatol 2021;85(6):1446–1455. doi:10.1016/j.jaad.2020.10.003.10.1016/j.jaad.2020.10.003Jones T, de Bolger ADP, Dune T, et al. Female-to-Male (FtM) Transgender People's Experiences in Australia: A National Study. Cham: Springer International Publishing; 2015.361165852023022820230228
1097-67878832023MarJournal of the American Academy of DermatologyJ Am Acad DermatolDemographic characteristics, factors influencing specialty choice, and intended career goals of graduating medical students pursuing careers in rural dermatology.708711708-71110.1016/j.jaad.2022.09.007S0190-9622(22)02645-7FulkTravis STSDepartment of Dermatology, University of Minnesota, Minneapolis, Minnesota.RypkaKatelyn JKJUniversity of Minnesota Medical School, Minneapolis, Minnesota.WessmanLaurel LLLDepartment of Dermatology, University of Minnesota, Minneapolis, Minnesota.FarahRonda SRSDepartment of Dermatology, University of Minnesota, Minneapolis, Minnesota.GaddisKevin JKJDepartment of Dermatology, University of Minnesota, Minneapolis, Minnesota.BrodellRobert TRTDepartment of Dermatology, University of Mississippi Medical Center, Jackson, Mississippi.SmithCindy FirkinsCFDepartment of Dermatology, Carris Health, Wilmar, Minnesota.ManshMatthew DMDDepartment of Dermatology, University of Minnesota, Minneapolis, Minnesota. Electronic address: mansh@umn.edu.engJournal Article20220916
United StatesJ Am Acad Dermatol79071320190-9622IMHumansGoalsStudents, MedicalDermatologyMedicineCareer ChoiceDemographySurveys and QuestionnairesConflicts of interest Dr Matthew Mansh is supported by the National Institute of Environmental Health Sciences (U01ES029603). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Robert T. Brodell is a principal investigator for a clinical trial (Novartis) and for the Corevitas psoriasis biologic registry. He serves on editorial boards of American Medical Student Research (faculty advisor), Practice Update Dermatology (editor-in-chief), Journal of the American Journal Academy of Dermatology (associate editor), Practical Dermatology, Journal of the Mississippi State Medical Society, and SKIN: The Journal of Cutaneous Medicine and Archives of Dermatological Research. Drs Fulk, Wessman, Farah, Gaddis, and Firkins Smith and Ms. Rypka have no conflicts of interest to disclose.202262820228232022972022919602023336020229181924ppublish3611658510.1016/j.jaad.2022.09.007S0190-9622(22)02645-7347574032022032520221116
2168-6084157122021Dec01JAMA dermatologyJAMA DermatolLesbian, Gay, Bisexual, and Transgender Identity and Disclosure Among Dermatologists in the US.151215141512-151410.1001/jamadermatol.2021.4544This survey study used data from a 2020 American Academy of Dermatology member satisfaction survey to assess lesbian, gay, bisexual, and transgender identity and disclosure among US dermatologists.ManshMatthew DMDDepartment of Dermatology, University of Minnesota, Minneapolis.DommaschEricaEDepartment of Dermatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.PeeblesJ KlintJKDepartment of Dermatology, Kaiser-Permanente Mid-Atlantic Permanente Medical Group, Rockville, Maryland.Sternhell-BlackwellKaraKMeramec Dermatology, St Louis, Missouri.YeungHowaHDepartment of Dermatology, Emory University School of Medicine, Atlanta, Georgia.engJournal Article
United StatesJAMA Dermatol1015895302168-6068IMBisexualityDermatologistsDisclosureFemaleHumansSexual and Gender MinoritiesTransgender PersonsConflict of Interest Disclosures: Dr Mansh reported receiving funding from the National Institute of Environmental Health Sciences. Drs Dommasch and Peebles reported being co-chairs of the American Academy of Dermatology Expert Resource Group on LGBTQ/Sexual and Gender Minority Health. Dr Yeung reported receiving funding from the National Institutes of Health National Institute of Arthritis and Musculoskeletal and Skin Diseases. No other disclosures were reported.202111116020223266020211110163320221110ppublish34757403PMC858178710.1001/jamadermatol.2021.45442785837Mansh M, Garcia G, Lunn MR. From patients to providers: changing the culture in medicine toward sexual and gender minorities. Acad Med. 2015;90(5):574-580. doi:10.1097/ACM.000000000000065610.1097/ACM.000000000000065625650825Sitkin NA, Pachankis JE. Specialty choice among sexual and gender minorities in medicine: the role of specialty prestige, perceived inclusion, and medical school climate. LGBT Health. 2016;3(6):451-460. doi:10.1089/lgbt.2016.005810.1089/lgbt.2016.0058PMC516566327726495Jones JM. LGBT identification rises to 5.6% in latest U.S. estimate. Gallup. February 24, 2021. Accessed June 25, 2021. https://news.gallup.com/poll/329708/lgbt-identification-rises-latest-estimate.aspxAmerican Association of Family Physicians . Ethnicity/race and sexual orientation of AAFP members. Accessed April 25, 2021. https://www.aafp.org/about/dive-into-family-medicine/family-medicine-facts/table3.htmlRosendale N, Ostendorf T, Evans DA, et al. . American Academy of Neurology members’ preparedness to treat sexual and gender minorities. Neurology. 2019;93(4):159-166. doi:10.1212/WNL.000000000000782910.1212/WNL.000000000000782931201295Mori WS, Gao Y, Linos E, et al. . Sexual orientation diversity and specialty choice among graduating allopathic medical students in the United States. JAMA Netw Open. 2021;4(9):e2126983.PMC848517534591110345911102022012120220121
2574-3805492021Sep01JAMA network openJAMA Netw OpenSexual Orientation Diversity and Specialty Choice Among Graduating Allopathic Medical Students in the United States.e2126983e2126983e212698310.1001/jamanetworkopen.2021.26983This survey study examines the prevalence of gay, lesbian, or bisexual individuals among graduating allopathic medical students by specialty choice in the US.MoriWestley SWSDepartment of Dermatology, University of Minnesota Medical School, Minneapolis.GaoYiYDepartment of Dermatology, University of Minnesota Medical School, Minneapolis.LinosEleniEDepartment of Dermatology, Stanford University School of Medicine, Stanford, California.LunnMitchell RMRDivision of Nephrology, Department of Medicine, Stanford University School of Medicine, Stanford, California.Department of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, California.Obedin-MaliverJunoJDepartment of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, California.Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California.YeungHowaHDepartment of Dermatology, Emory University School of Medicine, Atlanta, Georgia.ManshMatthew DMDDepartment of Dermatology, University of Minnesota Medical School, Minneapolis.engK24 AR075060ARNIAMS NIH HHSUnited StatesJournal Article20210901
United StatesJAMA Netw Open1017292352574-3805IMAdultCareer ChoiceFemaleHumansMaleMedicinestatistics & numerical dataSexual and Gender Minoritiesstatistics & numerical dataStudents, Medicalstatistics & numerical dataSurveys and QuestionnairesUnited StatesYoung AdultConflict of Interest Disclosures: Dr Linos reported receiving grants from the National Institutes of Health and the National Institute of Arthritis and Musculoskeletal and Skin Diseases. Dr Lunn reported consulting for Hims Inc and Folx Inc outside the submitted work. Dr Obedin-Maliver reported consulting for Sage Therapeutics, Ibis Reproductive Health, Folx Inc, and Hims Inc outside the submitted work. Dr Yeung reported grants from the National Institutes of Health outside the submitted work. Dr Mansh reported receiving a grant from the National Institute of Environmental Health Sciences outside the study. No other disclosures were reported.202193012232021101602022122602021930epublish34591110PMC848517510.1001/jamanetworkopen.2021.269832784599US Department of Health and Human Services, Office of Disease Prevention and Health Promotion . Healthy People 2030: LGBT. Accessed August 24, 2020. https://health.gov/healthypeople/objectives-and-data/browse-objectives/lgbtObedin-Maliver J, Goldsmith ES, Stewart L, et al. . Lesbian, gay, bisexual, and transgender-related content in undergraduate medical education. JAMA. 2011;306(9):971-977. doi:10.1001/jama.2011.125510.1001/jama.2011.125521900137Mansh M, Garcia G, Lunn MR. From patients to providers: changing the culture in medicine toward sexual and gender minorities. Acad Med. 2015;90(5):574-580. doi:10.1097/ACM.000000000000065610.1097/ACM.000000000000065625650825Conron KJ, Goldberg SK, O’Neill K. Age Cohort and Sex Differences in LGBT Identification Among US Youth and Adults. The Williams Institute, UCLA. Forthcoming 2021.Hill KA, Samuels EA, Gross CP, et al. . Assessment of the prevalence of medical student mistreatment by sex, race/ethnicity, and sexual orientation. JAMA Intern Med. 2020;180(5):653-665. doi:10.1001/jamainternmed.2020.003010.1001/jamainternmed.2020.0030PMC704280932091540Sitkin NA, Pachankis JE. Specialty choice among sexual and gender minorities in medicine: the role of specialty prestige, perceived inclusion, and medical school climate. LGBT Health. 2016;3(6):451-460. doi:10.1089/lgbt.2016.005810.1089/lgbt.2016.0058PMC516566327726495343710932022062020220716
1097-67878712022JulJournal of the American Academy of DermatologyJ Am Acad DermatolThe impact of psoriasis and sexual orientation on mental and physical health among adults in the United States.234237234-23710.1016/j.jaad.2021.07.066S0190-9622(21)02276-3ManshMatthew DMDDepartment of Dermatology, University of Minnesota, Minneapolis, Minnesota. Electronic address: mansh@umn.edu.MulickAmyALondon School of Hygiene and Tropical Medicine, London, United Kingdom.LanganSinéad MSMLondon School of Hygiene and Tropical Medicine, London, United Kingdom; St. John's Institute of Dermatology, London, United Kingdom.engU01 ES029603ESNIEHS NIH HHSUnited StatesChief Scientist Office [UK]Department of Health [UK]BHF_British Heart FoundationUnited Kingdom205039/Z/16/ZWT_Wellcome TrustUnited KingdomMRC_Medical Research CouncilUnited Kingdom205039WT_Wellcome TrustUnited KingdomWT_Wellcome TrustUnited KingdomJournal ArticleResearch Support, Non-U.S. Gov'tResearch Support, N.I.H., Extramural20210808
United StatesJ Am Acad Dermatol79071320190-9622IMAdultFemaleHumansMaleMental HealthPsoriasisepidemiologySexual BehaviorUnited StatesepidemiologyConflicts of interest None dislosed.2021312202161820217132021810602022622602021892011202271ppublish34371093EMS135991PMC761289210.1016/j.jaad.2021.07.066S0190-9622(21)02276-3Grozdev I, Kast D, Cao L, et al. Physical and mental impact of psoriasis severity as measured by the compact Short Form-12 Health Survey (SF-12) quality of life tool. J Invest Dermatol. 2012;132(4):1111–6.PMC336642622205305King M, Semlyen J, Tai SS, et al. A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry. 2008;8:70–87.PMC253365218706118Caceres BA, Streed CG, Corliss HL, et al. Assessing and addressing cardiovascular health in lgbtq adults: a scientific statement from the american heart association. Circulation. 2020;142(19):e321–e332.PMC821286733028085Gao Y, Wei EK, Arron ST, Linos E, Margolis DJ, Mansh MD. Acne, sexual orientation, and mental health among young adults in the United States: A population-based, cross-sectional study. J Am Acad Dermatol. 2017;77(5):971–973.PMC618175429029907Mansh MD, Nguyen A, Katz KA. Improving Dermatologic Care for Sexual and Gender Minority Patients Through Routine Sexual Orientation and Gender Identity Data Collection. JAMA Dermatol. 2019;155(2):145–146.30477004331466812021031220210312
2168-6084156122020Dec01JAMA dermatologyJAMA DermatolPotential Role for Topical Antiandrogens in the Management of Acne Among Patients Receiving Masculinizing Hormone Therapy.138013811380-138110.1001/jamadermatol.2020.4380MarksDustin HDHUniversity of Pittsburgh, Pittsburgh, Pennsylvania.ManshMatthew DMDDepartment of Dermatology, University of Minnesota, Minneapolis.engLetterComment
United StatesJAMA Dermatol1015895302168-60680Androgen Antagonists0PropionatesWDT5SLP0HQCortodoxoneXN7MM8XG2MClascoteroneIMJAMA Dermatol. 2020 Jun 1;156(6):621-630. doi: 10.1001/jamadermatol.2020.046532320027JAMA Dermatol. 2020 Jun 1;156(6):619-620. doi: 10.1001/jamadermatol.2020.046432320045JAMA Dermatol. 2020 Dec 1;156(12):1381. doi: 10.1001/jamadermatol.2020.334133146696Acne Vulgarisdrug therapyAndrogen AntagonistsCortodoxoneanalogs & derivativesHumansPropionatesRandomized Controlled Trials as Topic20201156020213136020201141213ppublish3314668110.1001/jamadermatol.2020.43802772466304770042019101720191017
2168-608415522019Feb01JAMA dermatologyJAMA DermatolImproving Dermatologic Care for Sexual and Gender Minority Patients Through Routine Sexual Orientation and Gender Identity Data Collection.145146145-14610.1001/jamadermatol.2018.3909ManshMatthew DMDDepartment of Dermatology, University of Minnesota Medical School, Minneapolis.NguyenAndyADepartment of Medicine, Mount Auburn Hospital, Cambridge, Massachusetts.KatzKenneth AKADepartment of Dermatology, Kaiser Permanente, San Francisco, California.engJournal ArticleReview
United StatesJAMA Dermatol1015895302168-6068IMData CollectionmethodsDermatologyorganization & administrationFemaleGender IdentityHumansMaleNeeds AssessmentSexual BehaviorSexual and Gender Minoritiesstatistics & numerical dataSkin DiseasesdiagnosisepidemiologytherapyUnited StatesVulnerable Populations201811276020191018602018112760ppublish3047700410.1001/jamadermatol.2018.39092715094303831102019101420200309
2168-608415512019Jan01JAMA dermatologyJAMA DermatolClinical Features of Neutrophilic Dermatosis Variants Resembling Necrotizing Fasciitis.798479-8410.1001/jamadermatol.2018.3890Pyoderma gangrenosum and necrotizing Sweet syndrome are diagnostically challenging variants of neutrophilic dermatosis that can clinically mimic the cutaneous and systemic features of necrotizing fasciitis. Improved characterization of these rare variants is needed, as improper diagnosis may lead to inappropriate or delayed treatment and the potential for morbidity.To determine the characteristics of necrotizing neutrophilic dermatosis to improve diagnostic accuracy and distinguish from infection.A case series of patients with necrotizing neutrophilic dermatosis treated at 3 academic hospitals (University of California San Francisco, Oregon Health and Science University, and University of Minnesota) from January 1, 2015, to December 31, 2017, was performed along with a literature review of related articles published between January 1, 1980, and December 31, 2017. Data were obtained from medical records as well as Medline and Embase databases. All patients had signs resembling necrotizing infection and had a final diagnosis of pyoderma gangrenosum with systemic features or necrotizing Sweet syndrome. Patients were excluded if a diagnosis other than neutrophilic dermatosis was made, if key clinical information was missing, and if reported in a non-English language.Description of key characteristics of necrotizing neutrophilic dermatosis.Overall, 54 patients with necrotizing neutrophilic dermatosis were included, of which 40 had pyoderma gangrenosum with systemic features and 14 had necrotizing Sweet syndrome. Of the 54 patients, 29 (54%) were male and 25 (46%) were female, with a mean (SD) age of 51 (19) years. Skin lesions commonly occurred on the lower (19 [35%]) and upper (13 [24%]) extremities and developed after a surgical procedure (22 [41%]) or skin trauma (10 [19%]). Shock was reported in 14 patients (26%), and leukemoid reaction was seen in 15 patients (28%). Of the patients with necrotizing neutrophilic dermatosis, 51 (94%) were initially misdiagnosed as necrotizing fasciitis and subsequently received inappropriate treatment. Debridement was performed in 42 patients (78%), with a mean (SD) of 2 (2 [range, 1-12]) debridements per patient. Four amputations (7%) were performed. Forty-nine patients (91%) received antibiotics when necrotizing neutrophilic dermatosis was misdiagnosed as an infection, and 50 patients (93%) received systemic corticosteroids; all patients responded to immunosuppressants.A complex spectrum of clinical findings of pyoderma gangrenosum and Sweet syndrome with prominent systemic inflammation exists that defines a new subset of neutrophilic dermatoses, termed necrotizing neutrophilic dermatoses; recognizing the difference between this variant and severe infection may prevent unnecessary surgical procedures and prolonged disease morbidity associated with a misdiagnosis and may expedite appropriate medical management.SanchezIsabelle MIMDepartment of Dermatology, University of California San Francisco, San Francisco.LowensteinStefanSDepartment of Dermatology, University of California San Francisco, San Francisco.JohnsonKelly AKADepartment of Medicine, University of California San Francisco, San Francisco.BabikJenniferJDepartment of Medicine, University of California San Francisco, San Francisco.Division of Infectious Disease, University of California San Francisco, San Francisco.HaagCarterCSchool of Medicine, Oregon Health and Science University, Portland.KellerJesse JJJDepartment of Dermatology, Oregon Health and Science University, Portland.Ortega-LoayzaAlex GAGDepartment of Dermatology, Oregon Health and Science University, Portland.CohenJarishJDepartment of Dermatology, University of California San Francisco, San Francisco.Department of Pathology, University of California San Francisco, San Francisco.McCalmontTimothy HTHDepartment of Dermatology, University of California San Francisco, San Francisco.Department of Pathology, University of California San Francisco, San Francisco.DemerAddison MAMDepartment of Dermatology, University of Minnesota, Minneapolis.ManshMatthew DMDDepartment of Dermatology, University of Minnesota, Minneapolis.HylwaSara ASADepartment of Dermatology, University of Minnesota, Minneapolis.Department of Dermatology, Hennepin County Medical Center, Minneapolis, Minnesota.LiuJingJDepartment of Dermatology, University of Minnesota, Minneapolis.Department of Dermatology, Hennepin County Medical Center, Minneapolis, Minnesota.ShinkaiKanadeKDepartment of Dermatology, University of California San Francisco, San Francisco.Editor.engJournal ArticleMulticenter Study
United StatesJAMA Dermatol1015895302168-60680Immunosuppressive AgentsIMJAMA Dermatol. 2019 Jan 1;155(1):17-18. doi: 10.1001/jamadermatol.2018.378830383120JAMA Dermatol. 2019 Jul 1;155(7):863-864. doi: 10.1001/jamadermatol.2019.120131141111JAMA Dermatol. 2019 Jul 1;155(7):864-865. doi: 10.1001/jamadermatol.2019.058131141113Diagnosis, DifferentialFasciitis, Necrotizingdiagnosisdrug therapyFemaleHumansImmunosuppressive Agentstherapeutic useMaleMiddle AgedNeutrophilspathologyPrognosisRetrospective StudiesSkinpathologySweet Syndromediagnosisdrug therapyConflict of Interest Disclosures: None reported.201811260201910156020181126020191031ppublish30383110PMC643957010.1001/jamadermatol.2018.38902711238Braswell SF, Kostopoulos TC, Ortega-Loayza AG. Pathophysiology of pyoderma gangrenosum (PG): an updated review. J Am Acad Dermatol. 2015;73(4):691-698. doi:10.1016/j.jaad.2015.06.02110.1016/j.jaad.2015.06.02126253362Kroshinsky D, Alloo A, Rothschild B, et al. . Necrotizing Sweet syndrome: a new variant of neutrophilic dermatosis mimicking necrotizing fasciitis. J Am Acad Dermatol. 2012;67(5):945-954. doi:10.1016/j.jaad.2012.02.02410.1016/j.jaad.2012.02.02422445215Moher D, Shamseer L, Clarke M, et al. ; PRISMA-P Group . Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev. 2015;4:1. doi:10.1186/2046-4053-4-110.1186/2046-4053-4-1PMC432044025554246Singer M, Deutschman CS, Seymour CW, et al. . The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA. 2016;315(8):801-810. doi:10.1001/jama.2016.028710.1001/jama.2016.0287PMC496857426903338Potasman I, Grupper M. Leukemoid reaction: spectrum and prognosis of 173 adult patients. Clin Infect Dis. 2013;57(11):e177-e181. doi:10.1093/cid/cit56210.1093/cid/cit56223994818Wong CH, Chang HC, Pasupathy S, Khin LW, Tan JL, Low CO. Necrotizing fasciitis: clinical presentation, microbiology, and determinants of mortality. J Bone Joint Surg Am. 2003;85-A(8):1454-1460.12925624Brook I, Frazier EH. Clinical and microbiological features of necrotizing fasciitis. J Clin Microbiol. 1995;33(9):2382-2387.PMC2284177494032Milani-Nejad N, Zhang M, Kaffenberger BH. Association of dermatology consultations with patient care outcomes in hospitalized patients with inflammatory skin diseases. JAMA Dermatol. 2017;153(6):523-528. doi:10.1001/jamadermatol.2016.613010.1001/jamadermatol.2016.6130PMC581761528296992Ko LN, Garza-Mayers AC, St John J, et al. . Effect of dermatology consultation on outcomes for patients with presumed cellulitis: a randomized clinical trial. JAMA Dermatol. 2018;154(5):529-536. doi:10.1001/jamadermatol.2017.619610.1001/jamadermatol.2017.6196PMC587689129453872Gonzalez Santiago TM, Pritt B, Gibson LE, Comfere NI. Diagnosis of deep cutaneous fungal infections: correlation between skin tissue culture and histopathology. J Am Acad Dermatol. 2014;71(2):293-301. doi:10.1016/j.jaad.2014.03.04210.1016/j.jaad.2014.03.04224836547Inoue S, Furuta JI, Fujisawa Y, et al. . Pyoderma gangrenosum and underlying diseases in Japanese patients: a regional long-term study. J Dermatol. 2017;44(11):1281-1284. doi:10.1111/1346-8138.1393710.1111/1346-8138.1393728635156Maverakis E, Ma C, Shinkai K, et al. . Diagnostic criteria of ulcerative pyoderma gangrenosum: a Delphi consensus of international experts. JAMA Dermatol. 2018;154(4):461-466. doi:10.1001/jamadermatol.2017.598010.1001/jamadermatol.2017.598029450466Rochet NM, Chavan RN, Cappel MA, Wada DA, Gibson LE. Sweet syndrome: clinical presentation, associations, and response to treatment in 77 patients. J Am Acad Dermatol. 2013;69(4):557-564. doi:10.1016/j.jaad.2013.06.02310.1016/j.jaad.2013.06.02323891394Ruocco E, Sangiuliano S, Gravina AG, Miranda A, Nicoletti G. Pyoderma gangrenosum: an updated review. J Eur Acad Dermatol Venereol. 2009;23(9):1008-1017. doi:10.1111/j.1468-3083.2009.03199.x10.1111/j.1468-3083.2009.03199.x19470075Su WP, Davis MD, Weenig RH, Powell FC, Perry HO. Pyoderma gangrenosum: clinicopathologic correlation and proposed diagnostic criteria. Int J Dermatol. 2004;43(11):790-800. doi:10.1111/j.1365-4632.2004.02128.x10.1111/j.1365-4632.2004.02128.x15533059302229852022122020230215
1097-67878812023JanJournal of the American Academy of DermatologyJ Am Acad DermatolComment on "Risk of skin cancer in HIV-infected patients: A Danish nationwide cohort study".e17e18e17-e1810.1016/j.jaad.2018.07.067S0190-9622(18)32503-9MarksDustin HDHDepartment of Dermatology, Massachusetts General Hospital, Boston, Massachusetts.ManshMatthew DMDDepartment of Dermatology, University of Minnesota, Minneapolis, Minnesota. Electronic address: mansh@umn.edu.engLetterComment20180914
United StatesJ Am Acad Dermatol79071320190-9622IMJ Am Acad Dermatol. 2018 Oct;79(4):689-695. doi: 10.1016/j.jaad.2018.03.02429588249J Am Acad Dermatol. 2023 Jan;88(1):e15. doi: 10.1016/j.jaad.2018.08.04530222988HumansCohort StudiesAntiretroviral Therapy, Highly ActiveHIV Infectionscomplicationsepidemiologydrug therapySkin NeoplasmsepidemiologyDenmarkepidemiology201872520187262018918602022122160201891860ppublish3022298510.1016/j.jaad.2018.07.067S0190-9622(18)32503-9300468022019091220240331
2168-608415492018Sep01JAMA dermatologyJAMA DermatolCharacteristics and Skin Cancer Risk Behaviors of Adult Sunless Tanners in the United States.106610711066-107110.1001/jamadermatol.2018.2054Incidence rates of nonmelanoma and melanoma skin cancers are increasing rapidly in the United States likely because of increased UV light exposure. Sunless tanning is a safe alternative to achieve tanned skin that might help reduce skin cancer incidence by deterring risky behaviors. However, limited data exist on the characteristics and associated skin cancer risk behaviors of sunless tanners in the United States.To assess the demographic characteristics and skin cancer risk behaviors of sunless tanners among adults in the United States.This secondary analysis of a cross-sectional study used data from the 2015 National Health Interview Survey, a population-based survey of the US noninstitutionalized civilian population. Participants included 27 353 men and women 18 years or older.Participant demographics and skin cancer risk behaviors, including indoor tanning, skin cancer screening, sunburn, and sun protection behaviors.Of the 27 353 adults (representative of more than 198 million US adults; mean [SE] age, 46.0 [0.2] years) studied, 6.4% (SE, 0.2%) reported sunless tanning. Factors associated with sunless tanning included being young, female, non-Hispanic white, college educated, nonobese, and sun sensitive, living in the western United States, and having a family history of skin cancer. Sunless tanners were more likely to report indoor tanning (adjusted prevalence odds ratio [aPOR], 3.77; 95% CI, 3.19-4.43; P < .001), recent sunburn (aPOR, 1.55; 95% CI, 1.31-1.83; P < .001), use of sunscreen (β = 0.19; 95% CI, 0.09-0.28; P < .001), and having had a full-body skin examination (aPOR, 1.77; 95% CI, 1.51-2.08; P < .001) but less likely to seek shade (β = -0.12; 95% CI, -0.19 to -0.04; P = .001) or use protective clothing when outdoors (long pants: β = -0.18; 95% CI, -0.26 to -0.11; P < .001; long sleeves: β = -0.10; 95% CI, -0.18 to -0.03; P = .01). Among indoor tanners, sunless tanners compared with those who did not sunless tan reported increased frequency of indoor tanning (mean [SE], 19.2 [1.9] vs 14.9 [1.2] sessions in the past 12 months; P = .04) but no differences in other skin cancer risk behaviors.This study suggests that sunless tanning is associated with risky skin cancer-related behaviors. Longitudinal studies are needed to assess whether sunless tanning changes UV exposure behaviors to better determine whether sunless tanning represents an effective public health strategy to reduce rates of skin cancer in the United States.DoddsMelissaMDepartment of Dermatology, University of Minnesota, Minneapolis.ArronSarah TSTDepartment of Dermatology, University of California, San Francisco.LinosEleniEDepartment of Dermatology, University of California, San Francisco.PolcariIngridIDepartment of Dermatology, University of Minnesota, Minneapolis.ManshMatthew DMDDepartment of Dermatology, University of Minnesota, Minneapolis.engDP2 CA225433CANCI NIH HHSUnited StatesR21 CA212201CANCI NIH HHSUnited StatesJournal ArticleResearch Support, N.I.H., Extramural
United StatesJAMA Dermatol1015895302168-60680Sunscreening AgentsIMAdolescentAdultAge FactorsAgedCosmetic TechniquesinstrumentationCross-Sectional StudiesEarly Detection of Cancerstatistics & numerical dataEducational StatusEthnicitystatistics & numerical dataFemaleHealth Risk BehaviorsHealth SurveysHumansMaleMiddle AgedPhotosensitivity DisordersepidemiologyProtective Clothingstatistics & numerical dataSex FactorsSkin NeoplasmsdiagnosisepidemiologySunbathingstatistics & numerical dataSunburnepidemiologySunscreening Agentstherapeutic useSuntanUnited StatesepidemiologyYoung AdultConflict of Interest Disclosures: None reported.2018727602019913602018727602019725ppublish30046802PMC614304310.1001/jamadermatol.2018.20542687975US Department of Health and Human Services The Surgeon General’s Call to Action to Prevent Skin Cancer. Washington, DC: US Dept of Health and Human Services, Office of the Surgeon General; 2014.0American Academy of Dermatology Body Mole Map. SPOT Skin Cancer. https://www.aad.org/public/spot-skin-cancer/learn-about-skin-cancer/detect/body-mole-map. Accessed January 18, 2018.US Food and Drug Administration. Dihydroxyacetone. 21 CFR §73.2150.Sahn RE, McIlwain MJ, Magee KH, Veledar E, Chen SC. A cross-sectional study examining the correlation between sunless tanning product use and tanning beliefs and behaviors. Arch Dermatol. 2012;148(4):448-454. doi:10.1001/archdermatol.2011.207210.1001/archdermatol.2011.207222184716Stryker JE, Yaroch AL, Moser RP, Atienza A, Glanz K. Prevalence of sunless tanning product use and related behaviors among adults in the United States: results from a national survey. J Am Acad Dermatol. 2007;56(3):387-390.17097362Brooks K, Brooks D, Dajani Z, et al. . Use of artificial tanning products among young adults. J Am Acad Dermatol. 2006;54(6):1060-1066. doi:10.1016/j.jaad.2006.01.01410.1016/j.jaad.2006.01.01416713463Yoo J-J, Hur W-M. Body-tanning attitudes among female college students. Psychol Rep. 2014;114(2):585-596. doi:10.2466/06.07.PR0.114k21w510.2466/06.07.PR0.114k21w524897909Fischer AH, Wang TS, Yenokyan G, Kang S, Chien AL. Association of indoor tanning frequency with risky sun protection practices and skin cancer screening. JAMA Dermatol. 2016;153(2):168-174. doi:10.1001/jamadermatol.2016.375410.1001/jamadermatol.2016.375427732686StataCorp Stata Statistical Software: Release 13. College Station, TX: StataCorp LP; 2013.Mansh M, Katz KA, Linos E, Chren M-M, Arron S. Association of skin cancer and indoor tanning in sexual minority men and women. JAMA Dermatol. 2015;151(12):1308-1316. doi:10.1001/jamadermatol.2015.312610.1001/jamadermatol.2015.312626444580Linos E, Keiser E, Kanzler M, et al. . Sun protective behaviors and vitamin D levels in the US population: NHANES 2003-2006. Cancer Causes Control. 2012;23(1):133-140. doi:10.1007/s10552-011-9862-010.1007/s10552-011-9862-0PMC371829322045154Jovanovic Z, Schornstein T, Sutor A, Neufang G, Hagens R. Conventional sunscreen application does not lead to sufficient body coverage. Int J Cosmet Sci. 2017;39(5):550-555. doi:10.1111/ics.1241310.1111/ics.1241328699163Day AK, Oxlad M, Roberts RM. Predictors of sun-related behaviors among young women: comparisons between outdoor tanners, fake tanners, and tan avoiders. J Am Coll Health. 2013;61(6):315-322. doi:10.1080/07448481.2013.80692610.1080/07448481.2013.80692623930746Mahoney A, Swetter SM, Biello KB, Resnick EA, Feuerstein I, Geller AC. Attitudes toward indoor tanning among users of sunless tanning products. Arch Dermatol. 2012;148(1):124-126. doi:10.1001/archderm.148.1.12310.1001/archderm.148.1.12322250251Pagoto SL, Schneider KL, Oleski J, Bodenlos JS, Ma Y. The sunless study: a beach randomized trial of a skin cancer prevention intervention promoting sunless tanning. Arch Dermatol. 2010;146(9):979-984. doi:10.1001/archdermatol.2010.20310.1001/archdermatol.2010.203PMC322131020855696294903672019052120190521
2168-608415442018Apr01JAMA dermatologyJAMA DermatolIndoor Tanning, Sunless Tanning, and Sun-Protection Behaviors Among Sexual Minority Men.477479477-47910.1001/jamadermatol.2018.0003This cross-sectional analysis assesses the impact of sexual orientation on indoor tanning, sunless tanning, and sun-protection behaviors among men.GaoYiYCleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio.ArronSarah TSTDepartment of Dermatology, University of California, San Francisco, San Francisco.LinosEleniEDepartment of Dermatology, University of California, San Francisco, San Francisco.PolcariIngridIDepartment of Dermatology, University of Minnesota, Minneapolis.ManshMatthew DMDDepartment of Dermatology, University of Minnesota, Minneapolis.engDP2 CA225433CANCI NIH HHSUnited StatesK76 AG054631AGNIA NIH HHSUnited StatesR21 CA212201CANCI NIH HHSUnited StatesLetterResearch Support, N.I.H., ExtramuralResearch Support, Non-U.S. Gov't
United StatesJAMA Dermatol1015895302168-60680Sunscreening AgentsIMBisexualityCross-Sectional StudiesHealth BehaviorHeterosexualitystatistics & numerical dataHomosexuality, MaleHumansMaleProtective ClothingSexual and Gender Minoritiesstatistics & numerical dataSunbathingSunscreening AgentsUltraviolet RaysConflict of Interest Disclosures: Dr Linos is supported by the National Institutes of Health (grants K76AG054631, R21CA212201, DP2OD024079), as well as the University of California, San Francisco Helen Diller Impact Grant Award.20183160201952260201831602019228ppublish29490367PMC587684410.1001/jamadermatol.2018.00032673329Mansh M, Katz KA, Linos E, Chren M-M, Arron S. Association of skin cancer and indoor tanning in sexual minority men and women. JAMA Dermatol. 2015;151(12):1308-1316.26444580Beckmann KR, Kirke BA, McCaul KA, Roder DM. Use of fake tanning lotions in the South Australian population. Med J Aust. 2001;174(2):75-78.11245507Fischer AH, Wang TS, Yenokyan G, Kang S, Chien AL. Association of indoor tanning frequency with risky sun protection practices and skin cancer screening. JAMA Dermatol. 2016;153(2):168-174.27732686Blashill AJ, Rooney BM, Wells KJ. An integrated model of skin cancer risk in sexual minority males. [published online August 16, 2017]. J Behav Med. 2017. doi:10.1007/s10865-017-9879-210.1007/s10865-017-9879-228815351Autier P, Boniol M, Doré J-F. Sunscreen use and increased duration of intentional sun exposure: still a burning issue. Int J Cancer. 2007;121(1):1-5.17415716Heckman CJ, Coups EJ, Manne SL. Prevalence and correlates of indoor tanning among US adults. J Am Acad Dermatol. 2008;58(5):769-780.PMC260168118328594290299072017112120181113
1097-67877752017NovJournal of the American Academy of DermatologyJ Am Acad DermatolAcne, sexual orientation, and mental health among young adults in the United States: A population-based, cross-sectional study.971973971-97310.1016/j.jaad.2017.06.004S0190-9622(17)31794-2GaoYiYCleveland Clinic Lerner College of Medicine, Cleveland, Ohio.WeiEsther KEKCalifornia Pacific Medical Center Research Institute, San Francisco, California.ArronSarah TSTDepartment of Dermatology, University of California, San Francisco, San Francisco, California.LinosEleniEDepartment of Dermatology, University of California, San Francisco, San Francisco, California.MargolisDavid JDJDepartment of Dermatology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania.ManshMatthew DMDDepartment of Dermatology, University of Minnesota, Minneapolis, Minnesota. Electronic address: mansh@umn.edu.engDP2 CA225433CANCI NIH HHSUnited StatesK76 AG054631AGNIA NIH HHSUnited StatesR21 CA212201CANCI NIH HHSUnited StatesLetter
United StatesJ Am Acad Dermatol79071320190-9622IMAcne VulgariscomplicationspsychologyAdolescentAdultCross-Sectional StudiesFemaleHumansMaleMental DisordersepidemiologyetiologySexual BehaviorpsychologyUnited StatesYoung AdultConflicts of interest: None declared. Dr Mansh had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Drs Gao and Mansh were responsible for drafting the manuscript, and Drs Wei and Mansh were responsible for statistical analysis. All the authors were responsible for the study concept and design; acquisition, analysis, and interpretation of data; critical revision of the manuscript for important intellectual content; and study supervision.20161219201752720176220171015602017101760201711296020181011ppublish29029907NIHMS964732PMC618175410.1016/j.jaad.2017.06.004S0190-9622(17)31794-2Halvorsen JA, Stern RS, Dalgard F, Thoresen M, Bjertness E, Lien L. Suicidal ideation, mental health problems, and social impairment are increased in adolescents with acne: a population-based study. J Invest Dermatol. 2011;131(2): 363–370.20844551King M, Semlyen J, Tai SS, et al. A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry. 2008;8: 70–87.PMC253365218706118Morrison MA, Morrison TG, Sager CL. Does body satisfaction differ between gay men and lesbian women and heterosexual men and women? A meta-analytic review. Body Image. 2004;1(2):127–138.18089146Pompili M, Serafini G, Innamorati M, et al. Antidepressants and suicide risk: a comprehensive overview. Pharmaceuticals (Basel). 2010;3(9):2861–2883.PMC403410127713380Bradford J, Cahill S, Grasso C, Makadon H. How to Ask about Sexual Orientation and Gender Identity in Clinical Settings. Boston, MA: The Fenway Institute; 2012Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9): 606–613.PMC149526811556941trying2...
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Sexual Orientation and Lifetime Prevalence of Skin Cancer Across Racial and Ethnic Groups.
Katelyn J Rypka Zachary D Wendland Maritza V Steele Mackenzie R Wehner Howa Yeung Matthew D Mansh

JAMA Dermatol

September 2024

Importance: Sexual minority (SM) persons have been found to have differential rates of skin cancer, but limited data exist on differences across racial and ethnic groups and by individual sexual identities.

Objective: To examine differences by sexual orientation in the lifetime prevalence of skin cancer among US adult females and males across racial and ethnic groups and by individual sexual identity.

Design, Setting, And Participants: This cross-sectional study used data from the Behavioral Risk Factor Surveillance System from January 1, 2014, to December 31, 2021, for US adults from the general population.

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Dermatology representation in academic clinical gender care programs in the United States: A cross-sectional study.
Soumya A Reddy Caroline Fisher Matthew D Mansh J Klint Peebles

J Am Acad Dermatol

March 2024

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Prevalence of Atopic Diseases Among Sexually Diverse Adults in the US.
Katelyn J Rypka Abel Woldu Markus D Boos Sheilagh M Maguiness Matthew D Mansh

JAMA Dermatol

August 2023

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Human Papillomavirus Vaccination Series Initiation and Completion Among Transgender and Gender Diverse Adults in the United States.
Katelyn J Rypka Walter J Liszewski Matthew D Mansh

J Gen Intern Med

November 2023

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Allergic Contact Dermatitis in Sexual and Gender Minority Patients: Disparities and a Call to Action.
Anuk Burli Jamie P Schlarbaum Walter J Liszewski Matthew D Mansh Howard I Maibach

Dermatitis

January 2023

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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Diversity and Career Goals of Graduating Allopathic Medical Students Pursuing Careers in Dermatology.
Yi Gao Travis Fulk Westley Mori Lindsay Ackerman Kevin Gaddis Matthew D Mansh

JAMA Dermatol

January 2023

Importance: Dermatology is one of the least diverse specialties, while patients from minority racial and ethnic groups and other underserved populations continue to face numerous dermatology-specific health and health care access disparities in the US.

Objectives: To examine the demographic characteristics and intended career goals of graduating US allopathic medical students pursuing careers in dermatology compared with those pursuing other specialties and whether these differ by sex, race and ethnicity, and/or sexual orientation.

Design, Setting, And Participants: This secondary analysis of a repeated cross-sectional study included 58 077 graduating allopathic medical students using data from the 2016 to 2019 Association of American Medical Colleges Graduation Questionnaires.

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Allergic Contact Dermatitis in Sexual and Gender Minority Patients: Disparities and a Call to Action.
Anuk Burli Jamie P Schlarbaum Walter J Liszewski Matthew D Mansh Howard I Maibach

Dermatitis

October 2022

Objectives: 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.

Methods: Covidence, Embase, MEDLINE, PubMed, Web of Science, and Google Scholar were searched to identify relevant articles studying ACD in the SGM population.

Results: 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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Demographic characteristics, factors influencing specialty choice, and intended career goals of graduating medical students pursuing careers in rural dermatology.
Travis S Fulk Katelyn J Rypka Laurel L Wessman Ronda S Farah Kevin J Gaddis Matthew D Mansh

J Am Acad Dermatol

March 2023

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Lesbian, Gay, Bisexual, and Transgender Identity and Disclosure Among Dermatologists in the US.
Matthew D Mansh Erica Dommasch J Klint Peebles Kara Sternhell-Blackwell Howa Yeung

JAMA Dermatol

December 2021

This survey study used data from a 2020 American Academy of Dermatology member satisfaction survey to assess lesbian, gay, bisexual, and transgender identity and disclosure among US dermatologists.

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Sexual Orientation Diversity and Specialty Choice Among Graduating Allopathic Medical Students in the United States.
Westley S Mori Yi Gao Eleni Linos Mitchell R Lunn Juno Obedin-Maliver Matthew D Mansh

JAMA Netw Open

September 2021

This survey study examines the prevalence of gay, lesbian, or bisexual individuals among graduating allopathic medical students by specialty choice in the US.

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The impact of psoriasis and sexual orientation on mental and physical health among adults in the United States.
Matthew D Mansh Amy Mulick Sinéad M Langan

J Am Acad Dermatol

July 2022

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Potential Role for Topical Antiandrogens in the Management of Acne Among Patients Receiving Masculinizing Hormone Therapy.
Dustin H Marks Matthew D Mansh

JAMA Dermatol

December 2020

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Improving Dermatologic Care for Sexual and Gender Minority Patients Through Routine Sexual Orientation and Gender Identity Data Collection.
Matthew D Mansh Andy Nguyen Kenneth A Katz

JAMA Dermatol

February 2019

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Clinical Features of Neutrophilic Dermatosis Variants Resembling Necrotizing Fasciitis.
Isabelle M Sanchez Stefan Lowenstein Kelly A Johnson Jennifer Babik Carter Haag Matthew D Mansh

JAMA Dermatol

January 2019

Importance: Pyoderma gangrenosum and necrotizing Sweet syndrome are diagnostically challenging variants of neutrophilic dermatosis that can clinically mimic the cutaneous and systemic features of necrotizing fasciitis. Improved characterization of these rare variants is needed, as improper diagnosis may lead to inappropriate or delayed treatment and the potential for morbidity.

Objective: To determine the characteristics of necrotizing neutrophilic dermatosis to improve diagnostic accuracy and distinguish from infection.

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Comment on "Risk of skin cancer in HIV-infected patients: A Danish nationwide cohort study".
Dustin H Marks Matthew D Mansh

J Am Acad Dermatol

January 2023

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Characteristics and Skin Cancer Risk Behaviors of Adult Sunless Tanners in the United States.
Melissa Dodds Sarah T Arron Eleni Linos Ingrid Polcari Matthew D Mansh

JAMA Dermatol

September 2018

Importance: Incidence rates of nonmelanoma and melanoma skin cancers are increasing rapidly in the United States likely because of increased UV light exposure. Sunless tanning is a safe alternative to achieve tanned skin that might help reduce skin cancer incidence by deterring risky behaviors. However, limited data exist on the characteristics and associated skin cancer risk behaviors of sunless tanners in the United States.

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Indoor Tanning, Sunless Tanning, and Sun-Protection Behaviors Among Sexual Minority Men.
Yi Gao Sarah T Arron Eleni Linos Ingrid Polcari Matthew D Mansh

JAMA Dermatol

April 2018

This cross-sectional analysis assesses the impact of sexual orientation on indoor tanning, sunless tanning, and sun-protection behaviors among men.

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Acne, sexual orientation, and mental health among young adults in the United States: A population-based, cross-sectional study.
Yi Gao Esther K Wei Sarah T Arron Eleni Linos David J Margolis Matthew D Mansh

J Am Acad Dermatol

November 2017

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