Free skin cancer screenings in the Triad on Wednesday
With the weather getting warmer, we're spending more time outdoors in the sun. That's why May is Skin Cancer Awareness Month. Atrium Health Wake Forest Baptist is offering two free screenings on May 7.
5:30 to 7:30 p.m., on May 7 at Dermatology – Country Club , located at 4618 Country Club Rd., Winston-Salem
5:30 to 7:30 p.m., on May 7 at Dermatology – Palladium, located at 5826 Samet Dr., Suite 103, High Point
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Medscape
a day ago
- Medscape
WHO Resolution Aims to Bridge Global Gap in Skin Care
A medical resident in the South Pacific will soon make history. After he graduates in 2026, he's slated to become the first dermatologist to serve the Solomon Islands, a nation of 800,000 people. His training is both a breakthrough and the product of an international effort to improve access to skin care. As they gathered in Fiji in late May to support the resident's regional training program, visiting dermatologists got thrilling news: In Geneva, the World Health Organization (WHO) unanimously passed a landmark resolution to support global skin health. Dermatology trainee Joseph Sangatu, slated to become the first dermatologist in the Solomon Islands, and American dermatologist Esther Freeman, MD, PhD, in the patient ward at the Pacific Dermatology Trainin Cengter in Suva, Fiji. 'We're here 2 days after the resolution passed, already implementing it,' said Claire Fuller, a London-based consultant dermatologist and chair of the International League of Dermatological Societies (ILDS) in an interview. 'The timing is fantastic.' Addressing a Global Care Crisis The resolution aims to tackle stark disparities in global dermatological care. Africa and the Pacific islands have only zero to three dermatologists per million people, Esther Freeman, MD, PhD, associate professor of dermatology at Harvard Medical School and director of Global Health Dermatology at Massachusetts General Hospital, Boston, said in an interview from Fiji. 'Many countries have zero dermatologists. There are two dermatologists in Papua New Guinea for 10 million people,' she said. In May, at the annual meeting of the Society for Investigative Dermatology in San Diego, Freeman told colleagues about other gaps in care: In parts of Africa, people with albinism can't find sunscreen, and moisturizer for atopic dermatitis costs double the typical monthly salary. In Australia, only six dermatologists serve rural areas. At least a billion patients with skin disease have no access to dermatologic care, she said, and many more can't afford it. The WHO's 'Skin Diseases as a Global Public Health Priority' resolution, proposed by the Ivory Coast and backed by Nigeria, Togo, Micronesia, and China, aims to implement a coordinated global strategy through initiatives like Fiji's regional training program. The resolution, which passed without the support of the absent US delegation, doesn't come with funding. But José Ruiz Postigo, MD, PhD, a Neglected Tropical Diseases medical officer with WHO, told Medscape Medical News from Fiji that the vote is still transformative. A resolution comes with a high level of mandate, he said. 'When you approach someone at a ministry of health and they ask why you are doing this, to what extent is this a priority, you show them the resolution.' What Will the Resolution Do? One goal of the resolution is to boost the training of dermatologists around the world through programs such as the Fiji's Pacific Dermatology Training Center . It's the first dermatology training program ever established in the Pacific islands, and three Fijians are graduating as the region's inaugural dermatologists. The center, supported by a 5-year ILDS agreement, is similar to programs that have been implemented in other parts of the world. A regional center in Tanzania, for example, serves 16 countries across Africa. Fuller emphasized that training isn't just a matter of producing dermatologists: '80% of dermatology burden is caused by about 10 diseases. We've got an achievable curriculum, and we can train community frontline workers on these 10 diseases.' Freeman agreed, noting that a focus on 10 diseases is 'much more manageable . ' 'We definitely need dermatologists to train the trainers, but they're not the only key players. We'll never have enough dermatologists,' she said. 'Using Papua New Guinea as an example, we need to acknowledge who's on the ground. It could be nurses, medical officers, pharmacists. There's a lot of different cadres of health workers, and this gives us an opportunity to think about the big picture of how we treat people on the front line.' Funding Isn't Allocated — But It's Encouraged Even though it doesn't allocate funding, the resolution specifically recommends that member states increase investment and financing for skin health. 'We in the dermatology community can go to WHO members and say, 'You signed up for this resolution, how can we help you deliver it?'' Fuller said. 'We're not waiting for governments to just act on this; we're going to help them do it.' In addition, the resolution 'opens the door' toward nongovernmental funding, she said. 'Everyone can go to a donor, a university, and say 'Look, in view of this resolution, we want to do this, but we need money.' It's something concrete to point to.' The resolution also mandates WHO to develop internal dermatological resources. 'There's no dermatology department,' Fuller added. 'An obvious solution is to develop a dermatological resource within WHO.' As for the ultimate goal, she said, 'we'd like to be able to say that access to dermatological care is a standard: Any person with a common skin disease would be able to go to their frontline healthcare provider and get it addressed, and there would be specialist services available to refer to when needed.'
Medscape
a day ago
- Medscape
AI Rates Eczema Severity From Your Smartphone Snaps
Japanese researchers have developed an artificial intelligence (AI) tool that objectively assesses the severity of atopic dermatitis (AD) using user-uploaded photographs. The study published in the journal Allergy marks a significant advancement in the application of AI to chronic inflammatory dermatoses. To develop the AI model, three algorithms were trained and integrated: Body part detection, skin lesion detection, and severity assessment. The latter is based on the Three-Item Severity (TIS) score, a localized severity assessment ranging from 0-9, evaluating erythema, edema or papulation, and excoriation. Training relied on an extensive database from Atopiyo, the largest online AD platform, which allows 28,000+ users to share 57,000+ photos and comments about their symptoms, providing a rich dataset. The AI model was trained using 880 images, followed by testing using 220 images. A total of 9656 images with itch scores, excluding unclear images, were included to establish and validate AI-TIS in patients aged 2-71 years (median age, 33 years). The trained AI model correctly detected 98% of body parts and 100% of the eczema areas. Next, the investigators compared the AI outputs with established clinical scoring systems, including Scoring Atopic Dermatitis (SCORAD), which includes both objective measures, such as intensity parameters (oozing/crusts, lichenification, and dryness) and eczema extent, as well as subjective measures, such as pruritus and sleep loss. AI-TIS showed a lower correlation with the severity of itch on a scale of 0-5 (Itch-NRS-5) across 8556 images in 602 patients. A subgroup of 15 participants underwent an in-person evaluation by a dermatologist and received scores based on the TIS, SCORAD, and objective SCORAD scales. Pearson correlation between these clinical scores and the AI results was robust, with R = 0.73 for test images. This study demonstrated that the AI-TIS can successfully identify body parts, eczema-affected areas, and TIS scores from smartphone-uploaded images in a nonclinical setting. The strong correlation between the AI-TIS and objective measures, including the TIS and objective SCORAD scores, supports its clinical utility in assessing objective outcomes and patient perception. Because AD severity assessment still involves considerable subjectivity, the AI tool stood out for its ability to quantify objective disease signs from home photographs. This approach improved precision in clinical assessments and could enhance daily patient monitoring. In contrast, the weaker correlation between AI-TIS and Itch-NRS-5 suggests that pruritus in AD does not always correspond to eczema severity. The use of digital assessment, therefore, may be an alternative to complement subjective reporting and bring more objectivity to the management of AD. The AI model developed in this study has the potential to help patients with AD, objectively assess their skin condition, and facilitate timely and appropriate treatment. This study lays the groundwork for future advancements in AI-driven dermatological assessments, thereby enhancing patient care and clinical research. Despite these advances, the model has limitations; it needs to be expanded to cover a wider age range and diverse skin types and to incorporate elements from other well-established clinical scales, such as the Eczema Area and Severity Index. Nonetheless, this represents a meaningful step forward in dermatology and AD care.
CNET
3 days ago
- CNET
Microcurrent Devices: Do They Work and Are They Worth It? We Asked Skin Experts
Over the past few years, many people have added a microcurrent device to their skin care regimen, hoping it will delay aging, produce collagen, sculpt facial muscles and improve skin texture. Many celebrities have even promoted the use of these devices in their own skin care routine videos. But do these at-home microcurrent devices from popular brands like NuFace, ZIIP, Therabody and Foreo actually work? And are they worth the cost? To learn more about whether a microcurrent device is worth adding to your collection of skin care tools, we reached out to dermatologists to find out the potential benefits, side effects and more. Do at-home microcurrent devices work? At-home microcurrent devices aren't cheap -- costing hundreds of dollars. If you're thinking about investing in one, you might be wondering whether they actually work. What do the experts say? "Yes, at-home microcurrent devices can provide noticeable benefits, though they're generally less powerful than professional-grade treatments," said Hannah Kopelman, a dermatologist at Kopelman Aesthetic Surgery. "These devices deliver low-level electrical currents designed to stimulate facial muscles and boost circulation. Over time, this can create a temporary lifting effect and provide mild improvement in skin tone." While the effectiveness of at-home microcurrent devices hasn't been thoroughly tested, some research studies show that they can provide real results. In a 2024 study, 56 people were instructed to use the Slendertone Face microcurrent device and 52 people were placed in a control group. After using the Slendertone Face device five days per week for 12 weeks, participants reported significantly better skin tone, radiance and fewer wrinkles compared to the control group. But before you start using an at-home microcurrent device, it's important to set realistic expectations. "At-home microcurrent devices can be a beneficial part of your skincare routine, but they work best for mild improvements and maintenance, rather than dramatic changes," said Kopelman. "For individuals looking for more immediate or pronounced results, professional treatments remain the gold standard." Wellness editor Anna Gragert's results using the NuFACE TRINITY+, before, during and after. Anna Gragert/CNET At-home microcurrent device benefits When you use an at-home microcurrent device consistently, it can have a wide range of benefits for your skin. "The main benefits include mild lifting and firming of the skin, improved circulation and enhanced lymphatic drainage, which can reduce puffiness. Some users also report that their skin looks more refreshed and radiant after consistent use," Kopelman said. For deeper wrinkles and significant sagging, however, Kopelman said these devices probably won't have the same effect as professional treatments or more invasive in-office procedures. While these at-home devices can be effective, the results aren't one-size-fits-all. According to Dr. Robyn Gmyrek, a dermatologist at New York-based UnionDerm, "The benefits of at-home microcurrent devices vary from person to person based on age, health status and behavioral choices, like sun exposure, smoking, diet and the specific device used." Like with most skin care treatments and procedures, you shouldn't expect results immediately. "With at-home devices, consistency is everything," Gmyrek said. "I recommend using a microcurrent device daily, or at least three to five times per week. Think of it like the gym -- if you don't continue to go, you will lose the benefits." Potential microcurrent device negative side effects Generally speaking, at-home microcurrent devices are safe when used as directed. And because the microcurrents are small, the treatments shouldn't be painful. Some side effects are possible, though. "Some people may experience mild redness or a tingling sensation during use but this is usually temporary. However, improper use -- like applying excessive pressure or using the device for longer than recommended -- can lead to skin irritation or muscle fatigue," said Kopelman. In the 2024 study referenced above, only a few participants experienced mild skin redness during their treatments. None of the participants had any other adverse reactions, suggesting that these devices are mostly safe. While there are dozens of at-home devices that deliver microcurrents, they're not all created equal. Each device works differently and has unique advantages and drawbacks. If you're in the market for an at-home microcurrent device, there are a few things you should look for, according to Gmyrek. She recommends buying a device with FDA clearance, multiple intensity levels and different functions, like the option to use LED light therapy. You should also look for a device that comes with or requires a conductive gel to properly transmit the microcurrent. Pick a device from a well-established brand with positive user and expert reviews. The ZIIP HALO with its Electric Complex Gel. Anna Gragert/CNET How to use an at-home microcurrent device Before using an at-home microcurrent device, read the manufacturer's instructions. Each device might be slightly different but here's a general overview of how these devices should be used: Wash your face: You should always start with clean, dry skin before using a microcurrent device. Apply conductive: Most microcurrent devices require a conductive gel that allows the device to glide over your face and helps deliver the current into the deeper layers of your skin. Select the intensity level: If your device has multiple intensity settings, select the one that is right for your skin at the time of use. Start low and gradually increase once you get used to the different settings. Glide the device over your face: Using light pressure, gently move the device across your face in an upward and outward motion. You can use the device on your jawline, cheekbones, forehead and the sides of your neck (make sure to avoid the thyroid in the center). Remove the gel from your face and device: Once you're finished, wash the gel off your face. Follow the manufacturer's instructions for cleaning the device -- generally, you can wipe off the gel with a soft, clean cloth. Then, you can continue with the next steps in your skin care routine. Repeat based on the manufacturer's recommendation: Most at-home microcurrent devices should only be used five times per week, for 3 to 5 minutes, but some devices can be used daily. Check the instructions to see how often your device should be used for optimal results. Best microcurrent devices To figure out which microcurrent devices are the best, CNET wellness editor Anna Gragert tested six devices over the course of two months. Based on price, modes, accessories, features, FDA clearance, cleaning instructions, app compatibility and the required conductive gel, she found the NuFACE TRINITY+ to be the best microcurrent device overall. The NuFACE TRINITY+ is priced at $395. It helps you track time with audible beeps, has helpful tutorials on its app and is easy to charge with its included stand. If you're looking for a device with more features, such as massage and LED light therapy, the $420 TheraFace Pro is recommended. This device can also cleanse the face. Hot and cold rings are sold separately but can be used with the device. The only potential downside is that app tutorials are on the longer side and would be better with voice instructions. Can you overdo it with a microcurrent device? At-home microcurrent devices aren't without risks and using them too often can do more harm than good. "Overuse can lead to inflammation in the skin, redness and swelling," said Gmyrek. If that happens, you should stop using the device immediately until your side effects resolve. "Using an at-home microcurrent device too frequently can also cause muscle fatigue, leaving the facial muscles feeling sore or overly tight. Sticking to the manufacturer's recommended usage schedule can help avoid this issue," added Kopelman. Before you start using an at-home microcurrent device, read the instructions on the frequency of use, which will vary by product. For example, the Foreo Bear is designed to be used every day. However, the NuFace Trinity Plus and SkinGym Microcurrent Wand should be used five times per week for 60 days, and then up to three times per week for maintenance. Don't be tempted to use the device more often than what's recommended. Experts agree that overusing won't provide better benefits or faster results. Plus, you could end up damaging your skin in the process. Who shouldn't use an at-home microcurrent device? Although at-home microcurrent devices are typically safe, not everyone is a good candidate. "Individuals with certain medical conditions, such as epilepsy, a pacemaker or other implanted electrical devices, should avoid using microcurrent devices, as the electrical currents could interfere with their function," said Kopelman. Microcurrent devices should also be avoided during pregnancy, unless it's cleared by a health care vs. at-home microcurrent devices Microcurrent is a popular offering at many medical spas and skin care clinics as a standalone treatment or an add-on to other services. According to experts, in-office treatments offer more bang for your buck. "Professional microcurrent devices used in clinical settings are much more powerful and can deliver a more significant, long-lasting lifting effect in a shorter period of time," said Kopelman. Additionally, professional treatments can be better personalized to your needs, potentially giving you better results faster. "Licensed professionals are also trained to adjust settings based on your skin's needs, which makes the treatment more customized," said Kopelman. "At-home devices, by contrast, are designed to be safe for general use, so they deliver lower current levels and require more frequent treatments to maintain results." At-home microcurrent devices aren't cheap, either. FDA-cleared devices can cost anywhere from $150 to upward of $400. Most devices also require a conductive gel, which is sold separately. However, at-home devices tend to be slightly cheaper than professional procedures. In-office microcurrent treatments often cost between $250 and $500 per session but it depends on various factors, including the type of treatment, length of treatment and your location. The bottom line At-home microcurrent devices can be a great addition to your skin care routine if you want to improve skin firmness, reduce puffiness and sculpt your face. But it's important to have realistic expectations about the results. While at-home devices do work, they aren't nearly as effective as professional treatments. If you're on the fence about getting an at-home microcurrent device, there are a few things you can consider. First, think about your skin goals. An at-home microcurrent device won't get rid of deep wrinkles and it's not an alternative to Botox, dermal fillers or skin lasers. You should also determine how often you will realistically use the device. Here's some advice from Gmyrek: "Be honest with yourself -- if you aren't going to use an at-home device consistently, don't bother spending the money on it. Instead, spend that money on in-office treatments that are more effective."
