JMIR Dermatology

This cross-sectional analysis of 100 highly viewed dermatology-related TikTok videos found that influencers without medical training produced the majority of top-viewed content but did not differ significantly from dermatologists in engagement rate.

Basal cell carcinoma (BCC) is the most common cutaneous malignancy, with multiple localized lesions typically linked to genodermatoses or environmental exposures. Rarely, nonsyndromic BCCs (NSBCCs) may be present in an agminated pattern without identifiable genetic or environmental risk factors. We present two patients with numerous agminated BCCs without syndromic features: one with focal distribution of BCCs along the frontal scalp/hairline, and the other with unilateral distribution of BCCs on the right side of the face. Patient 1, a woman aged 67 years, developed 22 BCCs over 24 years, 19 localized to the frontal scalp. Patient 2, a man aged 78 years, developed 44 BCCs over 11 years, predominantly on the right face, with a history of adolescent full-face radiation, representing the highest number of nonsyndromic agminated BCCs reported to date. We report these two cases of nonsyndromic agminated BCCs treated with surgical and destructive modalities. Their strikingly focal distribution raises the possibility of localized genetic or environmental factors, highlighting the need for further studies to clarify the mechanisms underlying nonsyndromic agminated BCC and determine whether it represents a distinct entity.

The era of social media platforms has transformed the dissemination of health information, raising concerns about the quality and accuracy of content. Urticaria, a common skin condition, necessitates reliable information for effective management. Unreliable information on the internet can lead to misconceptions about urticaria, which could contribute to overemphasis on triggers or underrepresentation of guideline-based interventions, delaying effective management approaches.

Adolescents and young adults may be particularly susceptible to social media content that promotes tanning and appearance-based beauty standards.

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The use of AI in health care is rapidly expanding due to its accessibility, with growing reliance among both physicians and patients.

Atypical fibroxanthoma (AFX) is a rare dermal mesenchymal neoplasm that is most commonly identified on sun-exposed areas of the head and neck of older adults. Presentation on the dorsal hand is uncommon.

Facial appearance influences visible age (VA), defined here as the age perceived by others; this perception-based outcome differs from chronological age and biological age. Human evaluation of facial aging signs can be time-consuming and subject to interobserver variability. A standardized AI-based approach might offer a more reproducible assessment of visible facial aging in digital dermatology research.

For melanoma, an aggressive form of skin cancer, early and accurate detection is critical to improving clinical outcomes. Deep learning–based image analysis has emerged as a promising approach for computer-assisted evaluation of dermoscopic lesions. However, model performance is often affected by limited dataset size, class imbalance, overfitting, and differences in network architecture and optimization strategies.

Differences in compensation between men and women exist, despite having similar experiences. Here, we present data from the Association of American Medical Colleges (AAMC) from 2022 of self-reported compensation rates of academic dermatologists. Women dermatologists comprised 36.95% (75/203) of full professors, 61.54% (152/247) of associate professors, and 63.47% (311/490) of assistant professors; among these, 52.17% (12/23) were service chiefs and 35.48 % (22/62) were department chairs. The data shows that, except for department chairs, women are reporting being paid less relative to men at all academic ranks. Division chiefs had the most significant (45.52%) wage difference (45.52%) between men and women at US $281,674. This is a $281,674 difference between men and women chiefs per year. Women earned US $91,738.73 less on average per year when considering all academic positions. Different career trajectories and societal pressures to take time off for family-related absences are two of many factors contributing to the observed differences. We conclude that engagement at a national, institutional, and personal level is needed to better understand the observed differences, and future research should focus on how to improve it.

Psychological stress is known to exacerbate dermatologic conditions such as acne, eczema, and compulsive skin behaviors. The COVID-19 pandemic introduced a global stressor with widely experienced psychosocial effects and potential impacts on skin health. This study analyzes US public interest in stress-induced dermatologic conditions and psychodermatologic disorders to test for pandemic-associated shifts in 6 search terms.

Alopecia areata (AA) is a chronic, immune-mediated disease characterized by nonscarring hair loss and a substantial clinical and psychosocial burden, yet it is still widely perceived as a purely cosmetic concern. In this viewpoint, we draw on the available Malaysian studies, selected international evidence, and our collective clinical experience to propose that AA warrants greater clinical, research, and policy attention in Malaysia. Malaysia-specific evidence remains limited and is derived largely from retrospective, single-center studies; nonetheless, the available data point to variable disease presentation, inconsistent use of standardized severity assessment, reliance on conventional therapies, substantial loss to follow-up, and a meaningful psychosocial impact among affected patients. Current local management appears to rely mainly on conventional therapies, while access to advanced therapies such as Janus kinase inhibitors remains constrained by affordability and reimbursement challenges. We therefore call for 5 priorities: strengthening Malaysia-specific epidemiological and real-world evidence, including through a national AA registry; adopting standardized disease-assessment tools in clinical studies and routine practice; integrating psychosocial support into AA care pathways; developing locally relevant clinical guidance; and improving public, clinician, and policymaker awareness that AA is a medical condition rather than a cosmetic concern. Together, these steps would support earlier diagnosis, more equitable access to effective treatment, and holistic, patient-centered care for adults and children living with AA in Malaysia.