Dermatology and Cosmetic

Letter to Editor

Alireza Firooz

No Abstract###

The relationship between perfectionism and depression with the body image in women asking for cosmetic surgery

Sara Hashemi

Background and Aim: The aim of this study was to investigate the relationship between perfectionism and depression with body image in women asking for cosmetic surgery.

Methods: In this study 360 women (20-40 years old) asking for cosmetic surgery (nose and chest) in north of Tehran in year 1397 were selected by convenience sampling. The questionnaires that were used included multidimensional perfectionism in Tehran (2007), Beck depression (BDI-II 1996) and body image (MBSRQ 1983) and to analyze the findings, multi-variant regression analysis and Pearson correlation coefficient were used.

Results: The results showed there is an inverse relationship between perfectionism and body image. That means higher perfectionism shows that the body image is weaker. Also there is an inverse relationship between depression and body image. That means higher depression shows that the body image is weaker. There is a direct relationship between perfectionism and depression. That means high perfectionism in subjects shows that depression is high in them (P<0.05).

Conclusion: Perfectionism and depression can predict the body image, perfectionism prediction was stronger, as it had a higher beta value than depression.

Job satisfaction among Iranian dermatology residents and its related factors

Kosar Pakseresht

Background and Aim: Medical residents play an important role in visiting the patients; also they're the future specialists of their country. Thus, their job satisfaction is of significant importance. In this study, we aimed to assess Iranian dermatology residents' job satisfaction and its related factors.

Methods: We used short Minnesota Satisfaction Questionnaire (MSQ), in which, intrinsic and extrinsic job satisfaction factors are assessed with 20 questions. The data collection method was accidental sampling. Data analysis was performed by SPSS (version 17) program.

Results: Data were collected from 62 residents in years 2016-2017, majority of whom were studing in Tehran universities. Mean intrinsic and extrinsic satisfaction rates were 79% and 60% respectively. General satisfaction was 71.6%. In analytical assessment, attending attitude to residents (P=0.005), how much teaching performed by attendings (P<0.001), senior residents' attitude (P=0.003) and teaching skills by seniors (P<0.001) had a significant positive correlation with job satisfaction.

Conclusion: Generally, job satisfaction among Iranian dermatology residents was found as above average. The lowest satisfaction belonged to payments, job physical conditions, the hospital rules and education that all were extrinsic factors. It seems that change in educational program such as increasing training sessions, develop and implementation of rules halting non dermatologists practitionaires working in dermatology fields can promote dermatology residents' job satisfaction.

The effectiveness of compassion-focused therapy on anxiety, depression and suicidal thoughts in women with vitiligo

Ilnaz Sajjadian

Background and Aim: Vitiligo is a depigmenting skin disorder, which has a great impact on the psyches of patients. The present study aimed at investigating the effectiveness of compassion-based treatment on anxiety, depression, and suicidal ideation of women with vitiligo.

Methods: This study was designed as a pre-test and post-test semi-experimental with a one-month follow-up and control group. Thirty patients of all vitiligo women (n=80) referring to Skin Diseases and Leishmaniasis Research Center (SDLRC) during 2016-2017 (n=80) were selected for this study and randomized in 2 groups: all participants were assessed for anxiety and depression using Hospital Anxiety and Depression Scale (HADS), Zigmond and Smith (1983), suicidal through Beck Scale for Suicide Ideation (BSS), (1997) before intervention, at the end and one month after intervention. The experimental group attended in 8 consecutive 60-minute session group - based compassion - focused therapy (CFT, Gilbert and Neff therapeutic Package 2009) biweekly. Control group did not receive any intervention until the end of the follow-up phase. Repeated measure analysis of variance was used for data analysis.

Results: The results showed that compassion-focused therapy was effective on anxiety, depression, suicide ideation compared to control group.

Conclusion: According to the results of this research, compassion-based therapy has been effective in reducing anxiety, depression, and suicidal ideation.

Comparison of the efficacy of betamethasone lotion with clotrizone (betamethasone + clotrimazole) lotion in seborrheic dermatitis of face and scalp

Seyedeh Fatemeh Yaghoubi Al

Background and Aim: Seborrhoic dermatitis is one of the most common diseases in dermatology with a prevalence of about 2%. Many treatments have been used for this disease. This Study aimed to investigate the efficacy of betamethasone lotion compared with clotrizone lotion in patients with seborrheic dermatitis of face and scalp.

Methods: This double blind study was performed on 60 patients with seborrheic dermatitis older than 18 years, who refered to Emam Reza hospital, Mashhad. Patients were divided into two groups: clotrizone (31) and betamethasone group (29 patients). Patients were treated for a month. We evaluated severity of pruritus, erythema and desquamation of the face and scalp.

Results: The average age of patients participating in the study was 33.1 years (18 to 56 years) and 56.7% of patients were male. No significant differences were found in age and gender between the two groups (P> 0.05). Both treatments reduced severity of erythema and desquamation of the face and scalp (P<0.001). Two weeks after treatment, clotrizone had better performance, but there after both lotions had similar effect. Betamethasone reduced pruritus more than clotrizone.

Conclusion: This study showed that both betamethasone and clotrizone were effective. Clotrizone has better impact on the severity of erythema and scaling and betamethasone has better effect on improving the severity of pruritus.

Acupuncture in skin and esthetics

Maryam Hoseini

Acupuncture is an ancient medical procedure that is commonly used. It has been used in China for over two thousand years. Acupuncture has gained increasing interest from the public as well as health professionals for a wide range of disorders. This method works through regulation of qi current (life energy in body). Acupuncture has been introduced recently in dermatology for rejuvenation and treatment of facial wrinkles and improving muscle tone and elasticity. Acupuncture is used for treatment of many medical conditions including skin disorders. Tiny, sterile, needles are inserted along meridian lines and acupuncture points to increase blood circulation. Cosmetic acupuncture is a totally natural and holistic anti-ageing treatment that aims to reduce fine lines and wrinkles. Different mechanisms have been proposed for cosmetic acupuncture, including increasing muscle elasticity, and restoring muscle tone. There have been also evidence of increase in skin moisture and lipid.
In this method, body points and local facial points are used and usually 10-12 sessions of facial acupunctures are recommended. With the increasing popularity of complementary therapies in the community, acupuncture is also considered as a new therapeutic approach.

The role of microbiota, probiotics and prebiotics in dermatology

Azadeh Goodarzi

Probiotics are living microorganisms that, when used adequately, have beneficial effects on the host, and their superiority is that they are safe and secure for the host. The use of probiotics in addition to the digestive tract, has been studied in immune function, skin diseases, diabetes, cancer, liver disease, hypertension, urogenital system and oral cavity. In general, probiotics seem to be a promising and safe treatment. Nevertheless, more extensive studies are needed to use probiotics as alternative treatments along with old treatments. In dermatology, there is also a widespread use of probiotics and prebiotics. The use of probiotics has been studied in the treatment of atopic dermatitis, acne, eczema, allergic diseases, skin aging, bacterial and fungal infections, chronic wound healing, including diabetic foot ulcers, with promising results. In this review, papers related to the use of probiotics in the treatment of skin diseases were searched in data bases of Pubmed, Google scholar and Medline. Relevant papers were selected and presented. It is expected that probiotics will be used as complimentary treatment in several skin disorders.

Congenital Becker’s nevus: report of a rare case

Azin Ayatollahi

Introduction: Beckers’s nevus is a cutaneous hamartoma which usually appears as a circumscribed hyperpigmentation with hypertrichosis. It usually presents unilaterally and the usual site is shoulder and scapula. It is rarely congenital and it is usually noticed first during adolescence.

Case Report: Herein, we report a congenital bilateral large Becker’s nevus with positive familial history of Becker’s nevus. There were no associated anomalies in our patients.

Conclusion: Familial and bilateral cases of Becker’s nevus can present with no associated anomalies as “Becker’s syndrome”.

Letter to editor: the critical appraisal of “efficacy of licorice extract in the treatment of melasma: a randomized, double-blind, lacebo-controlled clinical trial”

Ghasem Yadegarfar

This is a letter to editor criticizing the paper entitled “Efficacy of licorice extract in the treatment of melasma: A randomized, double-blind, placebo-controlled clinical trial”. We discuss some methodological points on external and internal validity of results. The paper suffers from lack of detailed information on sample size and power calculation to make sure generalisability of results to study population. The paper also did not report blinding procedure and placebo details. The results of the paper also suffer from multiplicity (multiple comparisons) and suitability of data analysis approach. It is recommended to apply either repeated measure ANOVA or a mixed model to consider correlation between repeated measure of outcomes and multiplicity problem.