• Issue

    British Journal of Dermatology: Volume 187, Issue 6

    i-vi, 835-1084, e193-e221
    December 2022

Issue Information

Free Access

Issue Information

  • Pages: i-iv
  • First Published: 04 December 2022

Editor's Choice

Editor's Choice

  • Page: vi
  • First Published: 04 December 2022

EDITORIAL

Free Access

Patient engagement with the BJD: encouraging the patient voice and readership

  • Pages: 835-836
  • First Published: 04 December 2022
Patient engagement with the BJD: encouraging the patient voice and readership

This editorial for the British Journal of Dermatology provides an update from a patient editor point of view.

COMMENTARIES

Evidence-Based Dermatology

SYSTEMATIC REVIEW

Open Access

Pain measurement in painful skin conditions and rheumatoid arthritis randomized controlled trials: a scoping review to inform pain measurement in hidradenitis suppurativa

  • Pages: 846-854
  • First Published: 12 August 2022
Pain measurement in painful skin conditions and rheumatoid arthritis randomized controlled trials: a scoping review to inform pain measurement in hidradenitis suppurativa*

The review looked at the tools used to measure pain in painful skin conditions and how Pain NRS and VAS were used in randomized clinical trials (RCTs) of painful skin conditions and rheumatoid arthritis. The results showed a discrepancy in how pain NRS/VAS were measured in the trials. In addition, the mean difference was the most common method of reporting pain.

Plain language summary available online

Original articles

CLINICAL TRIALS

Open Access

Efficacy and safety of mirikizumab in psoriasis: results from a 52-week, double-blind, placebo-controlled, randomized withdrawal, phase III trial (OASIS-1)

  • Pages: 866-877
  • First Published: 06 July 2022
Efficacy and safety of mirikizumab in psoriasis: results from a 52-week, double-blind, placebo-controlled, randomized withdrawal, phase III trial (OASIS-1)*

The primary efficacy endpoints were met, with significantly greater improvements in clinical response observed with mirikizumab than with placebo at the end of the induction period. sPGA(0,1) response rates were superior in the mirikizumab arm (n(%) [95% confidence interval; CI], mirikizumab: 293(69.3) [64.9-73.7]; placebo: 7(6.5) [1.9, 11.2]; P < 0.001) compared with placebo at Week 16.

Linked Comment: L. Puig. Br J Dermatol 2022; 187:837.

Plain language summary available online

Open Access

Efficacy and safety of topical brepocitinib for the treatment of mild-to-moderate atopic dermatitis: a phase IIb, randomized, double-blind, vehicle-controlled, dose-ranging and parallel-group study

  • Pages: 878-887
  • First Published: 20 August 2022
Efficacy and safety of topical brepocitinib for the treatment of mild-to-moderate atopic dermatitis: a phase IIb, randomized, double-blind, vehicle-controlled, dose-ranging and parallel-group study*

Brepocitinib, a TYK2/JAK1 inhibitor, is being investigated as a topical cream treatment for atopic dermatitis (AD). In a phase IIb, randomised, double-blind study, brepocitinib was effective and well tolerated in participants with mild-to-moderate AD, although further study with a larger population and longer treatment duration is required.

Linked Comment: S.J. Lax and A.M. Drucker. Br J Dermatol 2022; 187:838.

Plain language summary available online

Open Access

Safety of tralokinumab in adult patients with moderate-to-severe atopic dermatitis: pooled analysis of five randomized, double-blind, placebo-controlled phase II and phase III trials

  • Pages: 888-899
  • First Published: 09 September 2022
Safety of tralokinumab in adult patients with moderate-to-severe atopic dermatitis: pooled analysis of five randomized, double-blind, placebo-controlled phase II and phase III trials*

Tralokinumab, an anti-interleukin-13 biologic for the treatment of atopic dermatitis (AD), has provided significant and early improvements in signs and extent of AD in key Phase 3 clinical trials and was well tolerated, with a safety profile comparable to placebo. This study comprehensively assessed the safety profile of tralokinumab using data from five placebo-controlled trials in adult patients with moderate-to-severe AD, finding that overall incidence and rate of adverse events (AEs) was similar between tralokinumab and placebo in the initial treatment period (16 weeks) and did not increase over 52 weeks of continued treatment. Common AEs occurring more frequently with tralokinumab included conjunctivitis and injection site reaction.

Plain language summary available online

EPIDEMIOLOGY

Open Access

Cutaneous manifestations of SARS-CoV-2 infection during the Delta and Omicron waves in 348 691 UK users of the UK ZOE COVID Study app

  • Pages: 900-908
  • First Published: 22 July 2022
Cutaneous manifestations of SARS-CoV-2 infection during the Delta and Omicron waves in 348 691 UK users of the UK ZOE COVID Study app*

Odds ratios in adults testing positive for COVID-19 of self-reporting some of the typical COVID-19 symptoms and skin signs of COVID-19 infection. Results are based on 198 609 users of the ZOE COVID Study App that self-reported their symptoms during the Delta wave and 198 609 users matched for age, sex, vaccination status and self-reported eczema diagnosis that self-reported their symptoms during the Omicron wave. The OR for anosmia (13·4, 95% confidence interval 13·1–13·8) is not shown for the Delta wave to improve visualization.

Linked Comment: M. Grau-Pérez and I. Garcia-Doval. Br J Dermatol 2022; 187:839.

Plain language summary available online

OUTCOMES AND QUALITATIVE RESEARCH

Open Access

Living with vulval lichen sclerosus: a qualitative interview study

  • Pages: 909-918
  • First Published: 13 July 2022
Living with vulval lichen sclerosus: a qualitative interview study*

Vulval lichen sclerosus can have a profound impact on quality of life and self-identity but is relatively under-explored from the perspective of those living with the condition. Using qualitative methods, the aim of this study was to explore individuals’ experiences of vulval lichen sclerosus and its impact on their lives. We developed three themes to interpret the experience of living with vulval lichen sclerosus: missed opportunities, learning to live with a long-term condition, and a secret life.

Linked Comment: V. Sivalingam and K. Tamber. Br J Dermatol 2022; 187:840.

Plain language summary available online

TRANSLATIONAL RESEARCH

Open Access

Insights into male androgenetic alopecia using comparative transcriptome profiling: hypoxia-inducible factor-1 and Wnt/β-catenin signalling pathways

  • Pages: 936-947
  • First Published: 21 July 2022
Insights into male androgenetic alopecia using comparative transcriptome profiling: hypoxia-inducible factor-1 and Wnt/β-catenin signalling pathways*

We identified a number of differentially expressed genes and pathways between balding vertex and non-balding occipital AGA HFs by using whole transcriptome analyses. We identified pathways not previously reported in AGA, such as the HIF-1 signaling pathway. Moreover, we verified that HIF-1 pathway-related genes (EGLN1, EGLN3) and Wnt pathway inhibitors (PEDF, SFRP2) played important roles in DPC activity, hair growth, and hair cycle, suggesting that these genes may be potentially utilized as therapeutic targets for AGA.

Linked Comment: M. Philpott. Br J Dermatol 2022; 187:845.

Plain language summary available online

MEDICAL DERMATOLOGY

Open Access

Primary cutaneous peripheral T-cell lymphomas with a T-follicular helper phenotype: an integrative clinical, pathological and molecular case series study

  • Pages: 970-980
  • First Published: 27 July 2022
Primary cutaneous peripheral T-cell lymphomas with a T-follicular helper phenotype: an integrative clinical, pathological and molecular case series study*

There is a group of cutaneous lymphomas that express TFH markers that do not appear to correspond to existing WHO diagnostic entities. This is the first large original series of patients with a diagnosis of primary cutaneous peripheral T-cell lymphomas with a T-follicular helper phenotype (pcTFH-PTCL) to be molecularly characterised. pcTFH-PTCL may be a standalone group of cutaneous lymphomas with clinicopathological and molecular characteristics that overlap with those of systemic TFH lymphomas, and does not belong to known diagnostic groups of cutaneous lymphoma.

Linked Comment: W. Kempf. Br J Dermatol 2022; 187:841–842.

Plain language summary available online

Checkpoint inhibitor-associated bullous cutaneous immune-related adverse events: a multicentre observational study

  • Pages: 981-987
  • First Published: 17 August 2022
Checkpoint inhibitor-associated bullous cutaneous immune-related adverse events: a multicentre observational study*

This is the largest multicentre, observational study conducted in the UK, demonstrating an overall incidence of bullous cutaneous irAEs associated with CPI of 0·3%. Clinical presentation may vary, with pruritus and non-bullous variants appearing similar to other cutaneous toxicities. Time to onset appears later than with other cutaneous toxicities (12 months) and can occur after discontinuation of therapy. Interruption of CPI is often needed. Our study demonstrates this occurs mostly in men, older age groups and is associated with BRAF wildtype in MM patients. It is important for clinicians to recognize this condition promptly, so early optimal management is initiated to reduce interruptions to CPI and improve overall patient outcomes and tumour response.

Linked Comment: K. Kridin and C.M. Hammers. Br J Dermatol 2022; 187:843–844.

Plain language summary available online

Correspondence

PERSPECTIVES

Dermatological considerations and culturally sensitive recommendations for women who wear the hijab

  • Pages: 1003-1004
  • First Published: 03 August 2022
Dermatological considerations and culturally sensitive recommendations for women who wear the hijab

Currently, there is little guidance in the literature on how to advise patients who wear the hijab on hijab-related dermatoses. This manuscript describes hijab-related dermatoses and provides culturally sensitive recommendations that can be used in conjunction with standard treatments to provide more holistic care for these patients.

Is it necessary to wear sunscreen indoors?

  • Pages: 1009-1010
  • First Published: 23 August 2022

RESEARCH LETTERS

Folliculitis decalvans and dystrophic epidermolysis bullosa: a significant association

  • Pages: 1026-1028
  • First Published: 29 July 2022
Folliculitis decalvans and dystrophic epidermolysis bullosa: a significant association

This work reports 30 cases of folliculitis decalvans (FD) in patients with dystrophic epidermolysis bullosa (DEB) among a cohort of 125 DEB patients seen between 2010 and 2021 in 2 French expert centers for the management of inherited epidermolysis bullosa. Such an association between two rare diseases cannot be fortuitous and implies a physiopathological link that we discuss in this paper. This association is a new significant fact to add to the reflexion on FD causes, suggesting that skin abnormality of DEB could act as a factor of a specific skin barrier alteration which could favor FD. Scarring alopecia with tufted folliculitis and pustules on inflamed skin at the vertex of a woman with dominant dystrophic epidermolysis bullosa.

Open Access

A translation re-initiation variant in KLHL24 also causes epidermolysis bullosa simplex and dilated cardiomyopathy via intermediate filament degradation

  • Pages: 1045-1048
  • First Published: 17 August 2022
A translation re-initiation variant in KLHL24 also causes epidermolysis bullosa simplex and dilated cardiomyopathy via intermediate filament degradation

This study shows that gain-of-function variants in KLHL24 causing EBS and DCM, do not only originate in the start-codon and suggest that any nonsense-inducing variant affecting nucleotides c.4_84 will likely cause the same effect on protein level and a similar potential lethal phenotype.

Monkeypox: a new differential diagnosis when addressing genital ulcer disease

  • Pages: 1050-1052
  • First Published: 17 August 2022
Monkeypox: a new differential diagnosis when addressing genital ulcer disease

We describe a case of genital ulcer and inguinal adenopathies that were attributable to monkeypox virus infection. We suggest clinicians adopt a low threshold for suspicion, particularly when evaluating genital ulcer disease.

CORRIGENDA

Free Access

Corrigenda

  • Pages: 1060-1070
  • First Published: 04 December 2022
Free Access

Corrigenda

  • Pages: 1071-1082
  • First Published: 04 December 2022
Free Access

Corrigenda

  • Page: 1082
  • First Published: 04 December 2022

Free Access

Corrigenda

  • Pages: 1082-1083
  • First Published: 04 December 2022

CORRESPONDENCE: IMAGE GALLERY

A monkeypox virus infection mimicking primary syphilis

  • Pages: e194-e195
  • First Published: 25 August 2022
A monkeypox virus infection mimicking primary syphilis

Given the current monkeypox virus (MPXV) outbreak in at-risk men who have sex with men (MSM), clinicians should consider MPXV a differential diagnosis of syphilis, in any patient with a solitary painless genital nodule.

PLAIN LANGUAGE SUMMARIES

Free Access

Skin lymphomas of the T-follicular helper type

  • Page: e208
  • First Published: 04 December 2022
Free Access

曲罗芦单抗治疗特应性皮炎的安全性

  • Page: e214
  • First Published: 04 December 2022
Free Access

外阴硬化性苔藓患者的疾病体验

  • Page: e215
  • First Published: 04 December 2022
Free Access

患者对化脓性汗腺炎治疗的满意度

  • Page: e217
  • First Published: 04 December 2022
Free Access

T 滤泡辅助型皮肤淋巴瘤

  • Page: e221
  • First Published: 04 December 2022