Treatment of Self-Harm Scars: A Scoping Review.

BACKGROUND: Self-harm scars are a consequence of deliberate self-injury, serving as a visual reminder for involved individuals. Patients often reach out to their providers seeking treatment for their scars. However, there is currently no standard for treating self-harm scars, because multiple options are being explored. OBJECTIVE: A scoping review was conducted to identify and characterize the body of literature on different treatments for self-harm scars, including surgical, laser, and vitamin A management. METHODS: Thorough literature searches were conducted in PubMed/MEDLINE, EMBASE, and CINAHL Complete. The search strategy was designed and implemented by a medical librarian. RESULTS: Of 510 retrieved articles, 4 described laser treatments, 8 described surgical treatments, and 2 described vitamin A treatments. CONCLUSION: A multidisciplinary approach is critical for the selection and outcome of the treatment of self-harm scars.

Cutaneous Rosai-Dorfman Disease: A Case Report.

Rosai-Dorfman disease (RDD) is a rare benign non-Langerhans cell histiocytosis. The most common site of extranodal involvement is the skin. Cutaneous involvement without lymphadenopathy is extremely rare. It is often difficult to diagnose primary cutaneous RDD secondary to the non-specific nature of its clinical and histologic features. Consequently, diagnosis can be significantly delayed. To our knowledge, about 220 reports of purely cutaneous RDD are documented in the literature to date. We present an additional unique case of cutaneous RDD and emphasize the challenging nature of accurate clinical and histopathologic diagnosis.

Prospective protocol registration should be required for systematic reviews in dermatology literature.

Recently, the authors of this study undertook a systematic review, and during the data collection phase, a systematic review was published on the same topic, despite not being registered on Prospective Registration of Systematic Reviews (PROSPERO). As a result we sought to perform an evidence-based review of the dermatology literature evaluating PROSPERO registration for published systematic reviews. Prospective systematic review protocol registration can help optimize resources, time, and the efforts of research teams rather than committing unplanned duplication. Our data on journals' author guidelines showed that although 38.8% of journals mentioned systematic reviews in their author guidelines, only 2.5% (n = 2) required PROSPERO registration. Further analysis revealed that only 13.7% (n = 204 of 1,492) of published systematic reviews in dermatology literature were registered in PROSPERO. Our study highlights the paucity of PROSPERO-registered systematic reviews in dermatology journals, as well as the need to require prospective protocol registration and require submission of a Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. We believe these measures will ultimately improve the quality of systematic reviews in dermatology literature.

Infected Mature Teratoma in the Anterior Mediastinum Removed Using the Da Vinci Robotic System.

Mature teratomas have been found to be the most common type of extragonadal primary germ cell tumors found in the anterior mediastinum. Over the past decade, several reports have been published using minimally invasive approaches to remove mediastinal masses. Of these publications, only one reported a teratoma excision from the anterior mediastinum via the Da Vinci Robot. Additionally, there have been few reports regarding teratomas infected with bacteria. This is a case of a 37-year-old man with an incidentally identified Proteus mirabilis infected mature teratoma in the anterior mediastinum that was removed with the Da Vinci Robotic System.