Publications by authors named "Mary D Sun"

Despite increasing academic discourse surrounding psychodermatology, few dermatologists or psychiatrists demonstrate a clear understanding of the field. Barriers to physician awareness are double-edged, stemming from both inadequate educational opportunities and patient non-disclosure of psychodermatologic symptoms during clinical encounters. It is crucial that medical practitioners, especially in the field of dermatology, become accustomed to recognizing, diagnosing, and treating psychocutaneous disorders, which disproportionately affect members of historically marginalized populations.

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Youth who hold both Asian American and Pacific Islander (AAPI) and sexual or gender minority (SGM) identities are frequently overlooked and underserved, and experience intersecting forms of discrimination, interpersonal stressors, and structural barriers. Amid heightened anti-AAPI and anti-SGM violence, these populations are particularly vulnerable to poor mental health outcomes. In 2023, over half of AAPI SGM reported experiences of depression, anxiety, and gender-based discrimination, and nearly half reported racial abuse.

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Background: Despite the increasing ubiquity and accessibility of teledermatology applications, few studies have comprehensively surveyed their features and technical standards. Importantly, features implemented after the point of capture are often intended to augment image utilization, while technical standards affect interoperability with existing healthcare systems. We aim to comprehensively survey image utilization features and technical characteristics found within publicly discoverable digital skin imaging applications.

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The COVID-19 pandemic has resulted in an alarming increase in hate incidents directed toward Asian Americans and Pacific Islanders (AAPIs), including verbal harassment and physical assault, spurring the nationwide #StopAsianHate movement. This rise in anti-Asian sentiment is occurring at a critical time of racial reckoning across the United States, galvanized by the Black Lives Matter movement, and of medical student calls for the implementation of antiracist medical curricula. AAPIs are stereotyped by the model minority myth, which posits that AAPIs are educated, hardworking, and therefore able to achieve high levels of success.

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Article Synopsis
  • The study examines the increasing use of smartphone images in dermatology for assessing skin lesions but highlights issues with image quality affecting clinical outcomes.
  • Researchers evaluated 191 digital skin imaging applications based on features that improve image quality and how these apps cater to different audiences and functions.
  • Findings reveal that only 57% of apps included features to enhance image acquisition, with greater feature richness found in consumer-facing, educational apps for both patients and providers.
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Body dysmorphic disorder (BDD) is a serious and debilitating psychiatric condition that disproportionately presents in dermatologic and cosmetic surgery patients. BDD is currently underrecognized in cosmetic medical settings and is thought to be underdiagnosed by behavioral health professionals. The significant comorbidities associated with this disorder, as well as potential harm done to both patient and physician, raise ethical and medicolegal concerns regarding its treatment.

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We sought to analyze the existence of skin of color (SOC)-related literature in Pediatric Dermatology. To do so, we applied criteria developed by Wilson et al (Assessment of skin of color and diversity and inclusion content of dermatologic published literature: an analysis and call to action. Int J Women Dermatol.

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Pediatric populations are expected to bear most of the climate change impacts, with racial minorities and children living in poorer countries being particularly vulnerable. Given their relevance to cutaneous disease, dermatologists should be aware of these climate-sensitive health impacts and the ways in which they intersect with social factors. Strategies including targeted risk communication, motivational interviewing, and storytelling can help facilitate climate discussions during the patient encounter.

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Importance: Clinical artificial intelligence (AI) algorithms have the potential to improve clinical care, but fair, generalizable algorithms depend on the clinical data on which they are trained and tested.

Objective: To assess whether data sets used for training diagnostic AI algorithms addressing skin disease are adequately described and to identify potential sources of bias in these data sets.

Data Sources: In this scoping review, PubMed was used to search for peer-reviewed research articles published between January 1, 2015, and November 1, 2020, with the following paired search terms: deep learning and dermatology, artificial intelligence and dermatology, deep learning and dermatologist, and artificial intelligence and dermatologist.

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Article Synopsis
  • Seborrheic keratoses (SKs) are common, mostly harmless skin tumors that vary widely in appearance and are influenced by factors like age, but the roles of UV exposure and immune systems are still not fully understood.
  • Recent research indicates that SKs are linked to oncogenic mutations, which could help us understand skin cancer better, and suggest treatments like inhibiting specific pathways and using existing skin cancer therapies.
  • Advances in technology, such as dermoscopy and AI, are improving how SKs are detected, but current treatments can be uncomfortable and may not be suitable for all skin types, highlighting the need for better options and trials for diverse patient care.
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Although the relationship between psychosocial stress and skin health is commonly invoked in both the scientific and popular literature, its underlying mechanisms are still not well understood. In this review, we provide a comprehensive update on the pathophysiology of stress and its clinical impact on skin homeostasis. The recent characterization of a bidirectional HPA stress axis in the skin has illuminated peripheral stress pathways, with effects spanning inflammation, atopy, barrier function, dermal thinning, wound healing, and melanogenesis.

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