• Issue

    Journal of the European Academy of Dermatology and Venereology: Volume 39, Issue 3

    439-699, e204-e296
    March 2025

ISSUE INFORMATION

Free Access

Issue Information

  • Pages: 439-444
  • First Published: 25 February 2025

EDITOR’S PICKS

Free Access

Editor's Picks March 2025

  • Pages: 445-446
  • First Published: 25 February 2025

COMMENTARY

Open Access

Closing the gap between possibilities and reality in psoriasis management

  • Pages: 449-450
  • First Published: 25 February 2025

Open Access

Towards greener conferences: Addressing the sustainability of cosmeceutical samples

  • Pages: 463-464
  • First Published: 25 February 2025

REVIEW ARTICLE

Open Access

Beyond the classic players: Mas-related G protein-coupled receptor member X2 role in pruritus and skin diseases

  • Pages: 476-486
  • First Published: 23 July 2024

Beyond the classic players: Mas-related G protein-coupled receptor member X2 role in pruritus and skin diseases

MRGPRX2/MrgprB2 role in the pathogenesis of pruritus and skin diseases.

Open Access

Considerations for defining and diagnosing generalized pustular psoriasis

  • Pages: 487-497
  • First Published: 06 September 2024
Considerations for defining and diagnosing generalized pustular psoriasis

Generalized pustular psoriasis (GPP) is a rare chronic skin disease with inconsistent definitions and diagnostic criteria. It is characterized by widespread pustules and erythema, which are often accompanied by other signs and symptoms. Cases of suspected GPP may benefit from laboratory testing to assess organ function as well as genetic and histopathological testing to support a diagnosis. Increased awareness and education of this rare and highly variable disease will improve diagnosis and timely treatment.

Open Access

Hair regrowth in alopecia areata and re-pigmentation in vitiligo in response to treatment: Commonalities and differences

  • Pages: 498-511
  • First Published: 11 September 2024
Hair regrowth in alopecia areata and re-pigmentation in vitiligo in response to treatment: Commonalities and differences

Hair Regrowth in Alopecia Areata. This scheme summarizes recent findings in hair follicle stem cell biology and their implication to regrow hair in alopecia areata. Hair follicle stem cells reside in hair bulge abundantly. Anagen drivers are enhanced and suppressed expression levels of activators and repressors at telogen, respectively. Noradrenaline secreted from niche activates hair follicle regeneration via ADRB2, FOXP1 and FGF18. Hair plucking at high density regenerate hair follicles via TNF-α. JAG1 + regulatory T lymphocytes regenerate hair follicles. Loss of COL17A1 results in hair follicle miniaturization. Burgundy and navy arrows indicate downregulation and upregulation, respectively. ADRB2, adrenergic receptor B2; BMP2, bone morphogenic protein 2; COL17A1, collagen XVII; DKK1, dickkopf 1; FGF18, fibroblast growth factor 18; FOXP1, forkhead box P1; JAG1, jagged 1; SFRP4, secreted frizzled-related protein 4; SHH, sonic hedgehog; TNFα, tumour necrosis factor-α. Re-pigmentation in Vitiligo. This scheme summarizes recent findings in melanocyte stem cell biology and their implication to re-pigment vitiligo skin. Melanocyte stem cells reside in lower portion of hair bulge and hair germ at telogen phase and contribute to perifollicular re-pigmentation. Amplifying melanocytes tend to lose proliferation and migration potential. BMI + CXCR2 + melanocyte stem cells exist in interfollicular epidermis and may contribute to marginal re-pigmentation. Hair follicle stem cells regulate melanocyte stem cells via cKIT, Wnt and other signals. PAX3 activates MITF, followed by DCT activation, whereas PAX3 directly downregulates DCT and maintains stemness. Noradrenaline induces melanocyte stem cell differentiation and migration via ADRB2. BMI1, B lymphoma Mo-MLV insertion region 1; cKIT, receptor tyrosine kinase for stem cell factor; CXCR2, chemokine C-X-C motif receptor 2; DCT, dopachrome tautomerase; MCAM, melanoma cell adhesion molecule; MITF, microphthalmia associated transcription factor; PAX3, paired box gene 3. Melanocyte Distribution Pattern Differences. The distribution pattern of melanocyte stem cells is different depending on the density of pigmented terminal hair and that of vellus hair. As compared with hair follicle stem cells, melanocyte stem cells are sparsely distributed. Volar melanocyte stem cells reside in eccrine sweat gland and require a long travel to distribute melanocytes in the epidermis. Volar melanocytes is sparse, as compared with melanocytes in hairy skin.

ORIGINAL ARTICLE AND SHORT REPORT

PSORIASIS

Open Access

Happiness across the borders—A cross-sectional study among patients with psoriasis and atopic dermatitis in Europe

  • Pages: 529-542
  • First Published: 14 August 2024

Happiness across the borders—A cross-sectional study among patients with psoriasis and atopic dermatitis in Europe

The study aimed to assess happiness among psoriasis and atopic dermatitis patients from 8 European countries. Patients ≥18 years of age were asked to complete a questionnaire on happiness and quality of life. Differences between psoriasis and atopic dermatitis patients and between the European countries were analysed. Psoriasis and atopic dermatitis patients showed similar levels of happiness, while patients with psoriasis showed higher quality of life. Both happiness and quality of life varied between European countries, with Austrian patients displaying the highest happiness levels. Equality in treatment access is imperative, alongside the development of targeted positive psychological interventions to enhance happiness.

SKIN CANCER

Open Access

Efficacy of interventions for cutaneous squamous cell carcinoma in situ (Bowen's disease): A systematic review and meta-analysis of proportions

  • Pages: 543-554
  • First Published: 16 August 2024

Efficacy of interventions for cutaneous squamous cell carcinoma in situ (Bowen's disease): A systematic review and meta-analysis of proportions

Graphical abstract of the study on cutaneous squamous cell carcinoma in situ, commonly known as Bowen's disease, with the primary objective of comparing the efficacies of different treatment interventions. The top right corner section depicts the methods used herein: the study begins with a systematic literature search to identify relevant studies. Subsequently, a quality assessment of the studies is conducted. Data extraction focuses on several key metrics: lesion clearance ates (LCR), participant clearance rates (PCR), lesion recurrence rates (LRR), participant recurrence rates (PRR) and baseline characteristics. The extracted data are then used to group the various interventions, including PDT, 5% 5-FU, cryotherapy and surgery, among others. Two meta-analyses of proportions are conducted for each outcome using a generalized linear mixed model: one focusing exclusively on high-quality studies, and another encompassing all study arms to ensure comprehensive results. At the bottom left, the meta-analysis process using forest plots is illustrated. The treatment efficacies are presented in descending order in treatment rankings, exemplified with a ranking of LCR. At the bottom right, the conclusions are stated: the efficacy comparison provides a thorough overview of the efficacy outcomes for practice-relevant interventions in treating Bowen's disease. Additionally, the study addresses the challenges in comparability, highlighting the variability in treatment rankings across LCR, PCR, LRR and PRR. It also discusses the limitations in comparability due to the different numbers of studies between treatment groups and outcome measures, as well as methodical and clinical heterogeneity.

In vivo reflectance confocal microscopy role for early to advanced lentigo maligna melanoma spectrum: A systematic review and pooled analysis

  • Pages: 555-565
  • First Published: 13 November 2024
In vivo reflectance confocal microscopy role for early to advanced lentigo maligna melanoma spectrum: A systematic review and pooled analysis

Key confocal features in LM/LMM progression: Architecture: AIMP: Preserved; LM: Non-edged papillae; LMM: Epidermal/junctional disarray, collagen fibre destruction. Cellular distribution: AIMP: Junctional scattered atypical cells; LM: Widespread pagetoid and junctional atypical cells with junctional nests; LMM: Widespread pagetoid and junctional atypical cells with junctional and dermal nests. Cell Types: AIMP: Dendritic cells with mild atypia; LM/LMM: Dendritic cells with mild atypia, round nucleated cells with marked atypia.

Reflectance confocal microscopy for margin mapping of melanoma of the lentigo maligna type: A systematic review and meta-analysis

  • Pages: 566-575
  • First Published: 15 November 2024
Reflectance confocal microscopy for margin mapping of melanoma of the lentigo maligna type: A systematic review and meta-analysis

When compared with the gold standard histopathologic examination, the non-invasive RCM imaging technique has a negative predictive value (true negative margins confirmed by histopathology among all negative margins analysed by RCM) of 89.15%, highlighting its efficacy for margin mapping of melanoma of the lentigo maligna type.

PATIENT EXPERIENCE

Open Access

Predictors and mechanisms of self-stigma in five chronic skin diseases: A systematic review

  • Pages: 622-630
  • First Published: 09 September 2024
Predictors and mechanisms of self-stigma in five chronic skin diseases: A systematic review

Along with experiencing stigmatization in social contexts, individuals with visible chronic skin disease often deal with self-stigma. The graphical abstract depicts an adapted model from Germain and colleagues (2021) and highlights correlates, predictors and outcomes associated with self-stigma for people with atopic dermatitis, psoriasis, vitiligo, alopecia areata or hidradenitis suppurativa according to the present systematic literature review of 27 included studies. Study quality ratings were good although majority of the reviewed studies were cross-sectional and causal inferences could not be made. Psychosocial correlates to self-stigmatization with supporting evidence in both Germain and colleagues' (2021) model and the current review were noted with an asterisk (*), whereas additional correlates found in our review were emphasized in red text. Several psychosocial correlates were considered modifiable, such as social stigma, coping strategies and social support, and therefore potential targets for psychosocial interventions (highlighted in green and pathways depicted with solid green lines), while others were not (depicted with dashed grey lines). The figure also identifies measurable outcomes (highlighted in blue) for future interventions.

Open Access

The Dermatology Life Quality Index (DLQI) used as the benchmark in validation of 101 quality-of-life instruments: A systematic review

  • Pages: 631-679
  • First Published: 13 September 2024
The Dermatology Life Quality Index (DLQI) used as the benchmark in validation of 101 quality-of-life instruments: A systematic review

This study systematically analysed peer-reviewed publications describing use of the DLQI in validation of other PRO and QoL measures and identified widespread use of the DLQI as a benchmark in validation of other dermatology PRO/QoL measures. It confirms the central role DLQI plays in the development of novel instruments and validation across dermatology and beyond.

ANNOUNCEMENT

Announcement

  • Page: 698
  • First Published: 25 February 2025

Announcement

  • Page: 699
  • First Published: 25 February 2025

LETTER TO THE EDITOR