Journal of

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.

Background and Aim: Oral lichen planus is a chronic
muco-cutaneous immunopathological disorder that commonly affects the oral mucosa. Candida albicans is the most common pathogen associated with oral candidiasis. The aim of this study was to determine the effect of 810 nm low power laser wavelength as an adjuvant in the treatment of
nystatin-resistant C.albicans in patients with oral lichen planus.
 

Methods: In this experimental study, 5 nystatin-resistant C.albicans were isolated from the oral cavity of patients with ulcerative lichen planus. Drug susceptibility testing was performed based on CLSI-M27-A3 and showed that these isolates were resistant to nystatin. The fungal suspension with a dilution of 0.5 McFarland was exposed to a diode laser with a wavelength of 810 nm and a density energy of 20.38 j / cm2 with a time of 20 seconds. Then the results of minimum inhibitory concentration (MIC) were recorded for each group.
 

Results: 810 nm laser caused a significant reduction in nystatin-resistant C.albicans colonies (P<0.001). The MIC did not decrease significantly after the exposure.
 

Conclusion: Laser irradiation reduces the number of nystatin-resistant C.albicans colonies. But this effect does not necessarily change the MIC. Dentists should be aware that in cases of resistant Candida strains, a low-power diode laser with a wavelength of 810 nm can play a role in reducing colonies and responding better to standard treatment.

Background and Aim: The aim of this study was to determine the effectiveness of psychotherapy based on improving quality of life on depression and self-esteem in women with vitiligo.
 

Methods: The present study was a quasi-experimental study (Pre-test - post-test with follow-up and control group). The statistical population of this study included all women with vitiligo skin disease referred to Isfahan Dermatology and Leishmaniasis Research Center , among which, 20 people were selected by available sampling method and randomly assigned to experimental and control groups (10 people for each group). Both groups completed Beck Depression Inventory (1996) and Rosenberg Self-Esteem (1965) Questionnaires as a pre-test and after completing eight sessions of psychotherapy based on improving quality of life (one 90-minute session per week for eight weeks), the post-test was performed again and one month later for the control and experimental groups. The collected data were analyzed using repeated measures analysis of variance in SPSS 23 software.
 

Results: Based on the findings of repeated measures analysis of variance, it was found that psychotherapy based on improving quality of life reduced the average depression scores and increased the self-esteem of women with vitiligo.
 

Conclusion: Considering that psychotherapy based on improving the quality of life has an effect on depression and self-esteem in women with vitiligo, so teaching this therapeutic approach is recommended as an effective intervention method to reduce depression and improve the self-esteem of women with vitiligo.