Dermatology and Cosmetic

Letter to Editor

Alireza Firooz

No abstract ####

Personality disorders in psoriatic patients

Mehriar NaderMohammadi Moghadam

Background and Aim: Considering the high role of psychological factors in somatic disorders, especially in dermatologic disorders, the prevalence of personality disorders in psoriatic patients was studied.

Methods: Among patients referred to Dermatology Clinic of Imam Khomeini Hospital in Ardabil, 81 patients with psoriasis (case group) and 80 without skin disease (control group) were evaluated. The two groups were matched in terms of age and sex. The severity of psoriasis was determined based on the psoriasis area and severity index (PASI) index as mild, moderate and severe by the dermatologist. The traits and personality disorders were assessed and compared between two groups using MCMI-III questionnaire.

Results: There was a significant difference in depressive, dependent, obsessive and hystrionic personality traits or disorders between two groups. There was a reverse correlation between the severity were more common psoriasis and obsessive and dependent personality disorders, so they among mild and moderate psoriasis patients.

Conclusion: This study emphasized the role of psychological factors in course of psoriasis. Better strategies for prevention and treatment of psoriasis will be achieved by a careful examination of the behavioral, cognitive and emotional patterns of cluster C personality. It is also necessary to provide psychotherapy services to these patients along with drug therapy.

Comparison of ziziphus poultice, combination of olive oil and lime water and silver sulfadiazine on healing rate of third-degree burn wounds in Balb/c mice

Siamak Kazemi Darabadi

Background and Aim: Burns are among the most common causes of wounds. One of the medications used in these cases is silver sulfadiazine 1%, which has many side effects. Therefore, people turn to traditional compounds for treatment of these ulcers . Despite the widespread use of lime water in combination with olive oil and Ziziphus in Iran, little research has been done to prove their benefits. The purpose of this study was to investigate the topical effect of Ziziphus and olive oil and lime water combination on the healing rate of third-degree burns in mice.

Methods: In this study, 24 male Balb/c mice with a mean weight of 25±5 g were used. After anesthesia, a 1 cm² third-degree burn was created with a special device. The mice were randomly divided into four groups and received normal saline, Ziziphus poultice, olive oil-lime water, or silver sulfadiazine 1% daily. Pictures were taken weekly for three weeks. Then the area of the wounds was measured and the percentage of healing was calculated. Repeated measure ANOVA was used to analyze the data.

Results: In all weeks, the percentage of wound healing in the second to fourth groups was significantly higher than that of the first group, but was not significantly different from each other.

Conclusion: The results of this study showed the positive effect of Ziziphus leaves and the combination of olive oil and lime water on the healing rate of third-degree burn wounds in mice.

Comparison of maladaptive personality traits and mental health in cosmetic surgery applicants and control group

Shirin Irani

Background and Aim: Cosmetic surgeries have been very common and popular in recent decades. Personality traits and mental health could affect people`s motivations of doing cosmetic surgery as a psychological pattern. The aim of this study was to compare maladaptive personality traits and mental health between cosmetic surgery applicants and control group.

Methods: In this descriptive-comparative study, 45 applicants for rhinoplasty and filler injections, who were selected by available sampling method, answered to DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure and the personality inventory for DSM-5 (PID-5). Forty five nonapplicants matched with applicants with age, sex and education were also included as a control group . They answered to the same questionnaires too. The data were analyzed by "multivariate analysis of variance" (MANOVA).

Results: Rhinoplasty applicants were not significantly different from nonapplicants neither in maladaptive personality traits nor mental health. But applicants for gel injections were significantly different from control group in detachment (mean differences = - 0.36, P<0.05) , depression
(-0.91, P<0.01), Psychosis (-0.44, P<0.05) and substance abuse (-0.57, P<0.05).

Conclusion: Plastic surgeons and cosmetic professionals must reconsider applicant`s personality and mental health. Comprehensive psychological assessments must be done, specially for gel injection applicants before any action for surgery.

Management of urticaria: Iranian Society of Dermatology clinical practice guideline

Alireza Firooz

Urticaria is a common and challenging skin disorder. Diagnosis and treatment of urticaria is not limited to the field of dermatology. General physicians, allergologists and clinical immunologists are also commonly involved in the management of patients with urticaria.

Iranian Society of Dermatology developed a clinical practice guideline concerning diagnosis and treatment of urticaria that was published in 2015. The current guideline, with respect to scientific papers that got published from 2015 to August 2018, is the update it.

The effect of stress inoculation training on quality of life and life expectancy in male patients with skin cancer

Sara Hashemi

Background and Aim: Skin cancer is the most common malignancy in the world with high morbidity. The aim of this study was to determine the effect of stress inoculation training on quality of life and life expectancy in patients with skin cancer.

Methods: This research was a semi experimental study with pre test - post test - follow up assessment in experimental and control group. The study population consisted of all male patients with skin cancer at Negah Clinic Center in Saveh during the year 2017. Thirty patients were recruited by randomization followed by random allocation dividing them into two groups of 15 subjects. The training included 6 weekly sessions and subjects were asked to fill quality of life and life expectancy questionnaires both at the beginning and end of the coarse. Data was analyzed using ANOVA with repeated measure.

Results: There was a significant difference in life expectancy between the experimental group and control group (P<%001). Furthermore, similar significant difference was found between two groups regarding quality of life.

Conclusion: Stress inoculation training can be used as a valuable and practical intervention in patients with skin cancer,which leads to a significant improvement both in quality of life and life expectancy.

Review of common head lice treatments

Saman Ahmad Nasrollahi

Pediculosis infection is seen in all age group and different societies and several treatment have been suggested and marketed. In this study, we try to explain the difference of anti-lice products in Iran. Also it is necessary to mention that Anti-lice products are not effective alone, therefore to eliminate head lice infection the use of appropriate anti-lice combs is recommended.

A multidisciplinary approach to notalgia paresthetica: The role of physical medicine and rehabilitation specialty

Mohaddeseh Azadvari

Notalgia paresthetica (NP) is a neuropathic complication which occurs within the innervating field of T2-T6 spinal nerves. The patient complains of burning and itching sensation in the lower part of the inner margin of the scapula, and because of frequent itching,signs of skinscratching and hyperpigmentation are observed in the affected area. The definite cause of this pathology is unclear. Available resources have suggested the followings as the possible causes of the disorder: entrapment of the sensory branches within surrounding muscles, postural abnormalities such as scoliosis and kyphosis and degenerative changes of the spine. NP is usually represented as a rare pathology, however, the relatively common clinical incidence suggests a lack of attention to appropriateidentification, diagnosis and treatment ofthe patients. Diagnosis is done through history taking and physical examination, and there is often no need to
additional studiesfor confirmation. A wide spectrum of treatment options have been recommended. Although there is often a tendency to prescribe topical and oral medications for treatment of NP, but application of non-pharmacological therapies such as therapeutic exercises to correct abnormal postures, physical agent modalities such as electrical stimulation and also acupuncture can be effective in accelerating the treatment process and increasing the duration of recovery. Given the undeniable importance of the disorder and its impact on patient's quality of life, a comprehensive approach to existing treatment options with an emphasis on the role of physical medicine and rehabilitation specialists will be discussed in this paper.

Subcutaneous granuloma annulare in a 3-year old boy: A rare case report

Nader Pazyar

Introduction: Subcutaneous granuloma annulare is a rare subtype of granuloma annulare that take place almost completely in children. The etiology and pathogenesis of subcutaneous granuloma annulare are not completely understood. Precipitating factors such as physical trauma , insect bites, bacterial and viral infections and diabetes have been considered.

Case Report: A 3-year-old boy with right thumb lesion from three months ago as well as right forearm lesion refered to us. Cutaneous biopsy from right thumb lesion revealed degenerative collagen fiber (necrobiosis) with palisading histiocytes and lymphocytes with focal mucin deposition. These findings were compatible with subcutaneous granuloma annulare.

Conclusion: Subcutaneous granuloma annulare should be included in the differential diagnosis in a child with finger swelling and subcutaneous nodules.