Body Dysmorphic Disorder: a Critical Appraisal of Diagnostic, Screening, and Assessment Tools
Body dysmorphic disorder (BDD) is a psychiatric condition characterized by profound concern about a minor or imagined defect in the appearance of individuals and increased preoccupation with the imagined/perceived defect. Individuals with BDD often undergo cosmetic intervention for the perceived imperfection but rarely experience improvement in their signs and symptoms following such treatment. It is recommended that aesthetic providers evaluate individuals face-to-face and screen for BDD with approved scales preoperatively to determine the candidate's suitability for the procedure. (Source: Clinics in Dermatology)
Source: Clinics in Dermatology - March 4, 2023 Category: Dermatology Authors: Cemre B üşra Türk, Mayra BC Maymone, George Kroumpouzos Source Type: research

“Pick” Wisely: An Approach to Diagnosis and Management of Pathologic Skin Picking
Manipulation of the skin is ubiquitous in most individuals along a spectrum of extent and severity. Skin picking that results in clinically evident changes or scarring to the skin, hair, and nails or significantly impairs intrapsychic, psychosocial, or occupational function is considered pathological picking. Several psychiatric conditions are associated with skin picking, including obsessive-compulsive disorder, body-focused repetitive behaviors, borderline personality disorder, and depressive disorder. (Source: Clinics in Dermatology)
Source: Clinics in Dermatology - March 4, 2023 Category: Dermatology Authors: Leila Parsa, Jessica N. Pixley, Richard G. Fried Source Type: research

Addressing Body-Focused Repetitive Behaviors in the Dermatology Practice
Dermatologists are often the first to treat the medical consequences of body-focused repetitive behaviors (BFRBs) such as hair pulling, skin picking, and others. BFRBs are still under-recognized, and effectiveness of treatments is known only in limited circles. Patients exhibit varied presentations of BFRBs and repeatedly engage in these despite the physical and functional impairments. Dermatologists are uniquely placed to guide patients lacking knowledge about BFRBs and experiencing stigma, shame, and isolation. (Source: Clinics in Dermatology)
Source: Clinics in Dermatology - March 4, 2023 Category: Dermatology Authors: Simone K Madan, Joan Davidson, Hannah Gong Source Type: research

Through the Looking Glass: Skin Signs that Help Diagnose Eating Disorders
Eating disorders (EDs) such as anorexia nervosa and bulimia nervosa have a plethora of skin manifestations. They can be categorized into skin signs of self-purging, skin signs of starvation, skin signs related to drug abuse, skin signs of psychiatric comorbidity, and miscellaneous signs. “Guiding signs” are valuable, because they are pointers to the diagnosis of an ED. They include hypertrichosis (lanugo-like hair), Russell's sign (knuckle calluses), self-induced dermatitis, and perimylolysis (tooth enamel erosion). (Source: Clinics in Dermatology)
Source: Clinics in Dermatology - March 4, 2023 Category: Dermatology Authors: Caroline Stamu-Obrien, Swathi Shivakumar, Tassahil Messas, George Kroumpouzos Source Type: research

Psychiatric and psychologic aspects of chronic skin diseases
Chronic skin diseases can substantially impact a patient's physical, psychologic, and social well-being. Physicians may play a critical role in identifying and managing the psychologic sequelae of the most common chronic skin conditions. Acne, atopic dermatitis, psoriasis, vitiligo, alopecia areata, and hidradenitis suppurativa are chronic dermatologic diseases that put patients at high risk for symptoms of depression, anxiety, and decreased quality of life. Both general and disease-specific scales exist to assess the quality of life in patients with chronic skin disease, the most common being the Dermatology Life Quality ...
Source: Clinics in Dermatology - March 4, 2023 Category: Dermatology Authors: Rachel E. Christensen, Mohammad Jafferany Source Type: research

Personality Disorders in Dermatology: a Review of Patient Characteristics, Associated Dermatologic Conditions, and Pearls for Management
Personality disorders are characterized by ‘ego-syntonic’ maladaptive behaviors that impair functioning. This contribution outlines the relevant characteristics and approach to patients with personality disorders pertaining to the dermatology setting. For patients with Cluster A personality disorders (paranoid, schizoid, and schizotypal) , it is crucial to avoid being overly contradictory of eccentric beliefs and to take a straightforward, unemotional approach. Cluster B includes antisocial, borderline, histrionic, and narcissistic personality disorders. (Source: Clinics in Dermatology)
Source: Clinics in Dermatology - March 3, 2023 Category: Dermatology Authors: Kelly A Reynolds, Joanna Rew, Mio Nakamura Source Type: research

Psychopharmacology in Dermatology: Five Common Disorders
Dermatologists often encounter a patient who presents with an illness that overlaps both psychiatric and dermatologic specialties. Psychodermatology patients range from straightforward (i.e., trichotillomania, onychophagia, excoriation disorder) to challenging (i.e., body dysmorphic disorder) to highly challenging (i.e., delusions of parasitosis). Many refuse to see psychiatrists. As such, the only chance that many of these patients will receive treatment is if the dermatologist is willing to prescribe psychiatric medications to them. (Source: Clinics in Dermatology)
Source: Clinics in Dermatology - March 3, 2023 Category: Dermatology Authors: Eric L. Ha, Michelle Magid Source Type: research

Doctor, please don't tell my partner I have a sexually transmitted disease
What is the correct, legal, and ethical way to respond to a patient you have diagnosed with a sexually transmitted disease (STD) from an extra-marital affair and requests that you do not report the condition to the spouse or other intimate partners? There are several ethical considerations in this kind of scenario to consider including patient confidentiality and autonomy versus the spouse's beneficence and non-maleficence.1,2 Not treating some STDs (like syphilis) can result in severe long-term consequences and even death. (Source: Clinics in Dermatology)
Source: Clinics in Dermatology - February 28, 2023 Category: Dermatology Authors: Krishan Parashar, Jane M. Grant-Kels, Abraham M. Korman Tags: Correspondence Source Type: research

The clinical and pathologic spectrum of mucocutaneous reactions following COVID-19 vaccines in three tertiary referral centers of Northern Italy.
Adverse cutaneous reactions following COVID-19 vaccines have increased, highlighting not only how SARS-CoV-2 infection but also COVID-19 vaccines may induce adverse cutaneous manifestations. We evaluated the clinical and pathologic spectrum of mucocutaneous reactions following COVID-19 vaccines, observed consecutively within three large tertiary Centers of the Metropolitan City of Milan (Lombardy), comparing our results with the currently available literature.We retrospectively reviewed medical records and skin biopsies of patients diagnosed with mucocutaneous adverse events following COVID-19 vaccines and followed at 3 It...
Source: Clinics in Dermatology - February 27, 2023 Category: Dermatology Authors: Giovanni Paolino, Valentina Caputo, Jan Schroeder, Angelo Valerio Marzano, Emanuela Bonoldi, Chiara Moltrasio, Carlo Alberto Maronese, Linda Borgonovo, Franco Rongioletti Tags: COVID-19: Important Updates and Developments Source Type: research

The mystery of the skull with ears: An ancient case of petrified ears?
To the Editor: The cult of the souls in purgatory is an ancient worship in Naples, Italy, where the church of Santa Luciella ai Librai is part of this mystical route. Its basement contains several creepy skulls peering at the incoming visitors. One of the skulls even has its ears (Fig. 1). (Source: Clinics in Dermatology)
Source: Clinics in Dermatology - February 3, 2023 Category: Dermatology Authors: Sebastiano Recalcati, Franco Rongioletti, Fabrizio Fantini Tags: Correspondence Source Type: research

Fifteenth Congress of the International Academy of Cosmetic Dermatology, Ir-Rabat, Malta, November 3-5, 2022
The 15th Congress of the International Academy of Cosmetic Dermatology (IACD) was held in Rabat, Malta, from November 3rd to November 5th, 2022, under the presidency of Dr. Michael Boffa and the honorary presidency of Dr. Uwe Wollina. The First Congress had taken place in Malta, so this was the also known as the Twentieth Anniversary Meeting. (Source: Clinics in Dermatology)
Source: Clinics in Dermatology - January 24, 2023 Category: Dermatology Authors: Vesna Petronic-Rosic Source Type: research

Cover 2 - Editorial Board with barcode
(Source: Clinics in Dermatology)
Source: Clinics in Dermatology - January 1, 2023 Category: Dermatology Source Type: research

Table of Contents
(Source: Clinics in Dermatology)
Source: Clinics in Dermatology - January 1, 2023 Category: Dermatology Source Type: research

The Indelible Marks on Dermatology: Impacts of COVID-19 on Dermatology Residency Match using the Texas STAR Database
With changes to interview format and away rotations, the COVID-19 pandemic has reshaped the residency application process. In this retrospective cohort study of data from the nationwide Texas Seeking Transparency in Applications to Residency (STAR) survey, we sought to understand how the pandemic has impacted applicants in the 2021 dermatology Match. We compared applicants in the “post-COVID-19” Match year (2021) to “pre-COVID-19” Match years (2018-2020) regarding match rates, interview costs, residency geographic connections, and number of interviews attended. (Source: Clinics in Dermatology)
Source: Clinics in Dermatology - December 9, 2022 Category: Dermatology Authors: Georgia Williams, Jessica Turner, Claire Wiggins, Riyad Seervai, Angela Mialic, Ammar M Ahmed Tags: Graduate Medical Education Rounds Source Type: research

Parallel lives in contrast: Scars in the Roman Republic versus English hereditary monarchy
Scars are a visible part of the political forum in the Roman Republic and in English hereditary monarchy. Coriolanus's scars are celebrated by Romans in William Shakespeare's Coriolanus; in contrast, an absent record of King Richard II's skin ever breaking is part of the collective fiction of hereditary monarchy in Shakespeare's Richard II. For democracy in Rome, the symbology of scarring may be a practical element in ratifying the office of the consul: as a reminder of Rome's experience with the Tarquin kings they had expelled and to avoid the concentration of power in any one man. (Source: Clinics in Dermatology)
Source: Clinics in Dermatology - November 30, 2022 Category: Dermatology Authors: Jonathan Xu Tags: Clio Dermatologica Source Type: research