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The article "Reply to 'incidence of nonmelanoma skin cancer in patients with vitiligo who applied ruxolitinib cream'" discusses a study on the risk of nonmelanoma skin cancer (NMSC) in patients with vitiligo using ruxolitinib cream. The authors found no evidence of an association between NMSC and ruxolitinib cream application in vitiligo patients, despite six patients developing NMSC events. They highlight the need for further studies with longer observation periods to evaluate the impact of ruxolitinib cream on NMSC risk in vitiligo patients. [Extracted from the article]

The article titled "Reply to 'Burnout and professional quality of life in dermatologists'" discusses the relationship between burnout and professional quality of life (PQL) among dermatologists. The authors conducted a cross-sectional study and found that dermatologists who work exclusively in the private sector have better PQL conditions compared to those in the public health care system. They also found that age and work experience were inversely correlated with the risk of burnout. However, the authors suggest that emerging risk factors such as technostress, caused by the increasing use of communication devices, should be considered when analyzing burnout among dermatologists. [Extracted from the article]

Dermatologists' burnout is a growing phenomenon. During the last years, an important role on medical stress is played by the ever-increasing use of common technological devices (smartphones, smartwatches, PCs and tablets). The aim of the study was to investigate whether digital technology use causes burnout among Italian dermatologists, using a survey conducted among a group of Italian dermatologists. The final sample contained 194 responses valid for analysis. A positive and significant relationship between technostress, assessed through Technostress Inventory and burnout, assessed through Maslach Burnout Inventory, among Italian dermatologists was found. Our data seems suggesting a close relationship between technostress and dermatologist burnout., (© 2024 Australasian College of Dermatologists.)

Lichen sclerosus (LS) is a chronic inflammatory dermatosis typical of the genital region, with rare involvement of extragenital areas and particularly the face. LS therapeutic management is challenging, and common therapies including topical and systemic corticosteroids, topical calcineurin inhibitors, surgery are often ineffective. Herein, we present a case of LS occurred in a 36-year-old girl with facial involvement resistant to therapy with systemic corticosteroids and topical tacrolimus. Considering the involvement of a sensitive area, the young age of the patient, and the consistent clinical experience in using photodynamic therapy for the treatment of facial skin disease, we started a treatment with topical 5-aminolevulinic acid (ALA)-photodynamic therapy (PDT) with a dosage of 37 J/cm 2 once a month. We compared our case with eight other facial LS patients from the literature and treated differently., (© 2024. The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature.)