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In consultation with experts from Northwestern University's Institute for Sexual and Gender Minority Health and Wellbeing, we adapted seven tanning-motive survey items from prior research for use in surveying young adult SMM (Table 1). Dear Editor, Lifetime skin cancer prevalence is 25% higher among gay men and 46% higher among bisexual men compared with heterosexual men, making sexual minority men (SMM) an at-risk group for skin cancer.1 These elevated skin cancer rates may be attributed in part to indoor tanning among SMM, some of whom are motivated to indoor tan by perceived body image standards, appearance concerns and affect regulation.2 A promising decline in indoor tanning rates among US adults from 2007 to 2018 has followed the passage of legislation limiting youth access to indoor tanning in several states including Illinois.3 Although SMM's indoor tanning has been described in the literature, less is known about the prevalence and motives for outdoor tanning. Survey measures also included frequency of outdoor tanning in the past summer months (June, July and August 2019) in addition to indoor tanning and sunless tanning for the past 3 months. [Extracted from the article]

Purpose of Review: To highlight recent advances in the knowledge base surrounding noninfectious causes of alopecia in the pediatric population., Recent Findings: Recent developments in the literature included assessments of treatment efficacy, diagnostic utility of trichoscopy, and retrospective studies characterizing the clinical picture of pediatric cases., Summary: These findings will equip practitioners with the recent advances in the field's understanding of noninfectious causes of alopecia in the pediatric population., (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)

This literature review introduces the integration of Large Language Models (LLMs) in the field of dermatopathology, outlining their potential benefits, challenges, and prospects. It discusses the changing landscape of dermatopathology with the emergence of LLMs. The potential advantages of LLMs include a streamlined generation of pathology reports, the ability to learn and provide up-to-date information, and simplified patient education. Existing instances of LLMs encompass diagnostic support, research acceleration, and trainee education. Challenges involve biases, data privacy and quality, and establishing a balance between AI and dermatopathological expertise. Prospects include the integration of LLMs with other AI technologies to improve diagnostics and the improvement of multimodal LLMs that can handle both text and image input. Our implementation guidelines highlight the importance of model transparency and interpretability, data quality, and continuous oversight. The transformative potential of LLMs in dermatopathology is underscored, with an emphasis on a dynamic collaboration between artificial intelligence (AI) experts (technical specialists) and dermatopathologists (clinicians) for improved patient outcomes.

Background: Malignant melanoma in-situ, lentigo maligna (MMIS-LM) can be successfully treated with several different surgical techniques; however, the literature is inconsistent in defining them., Objective: To comprehensively define and describe the national guideline recommended surgical techniques used to treat MMIS-LM to help clarify and standardize this terminology to ensure compliance with the guidelines., Methods: A targeted literature review was performed from 1990 to 2022 focusing on articles that discussed the national guideline recommended surgical techniques of wide local excision, Mohs micrographic surgery (MMS), modified Mohs surgery, and staged excision/Slow-Mohs for MMIS-LM, as well as the related methods of tissue processing. National Comprehensive Cancer Network and American Academy of Dermatology guidelines were reviewed to identify how the techniques need to be employed to be compliant with guideline recommendations., Results: We describe the various surgical and tissue processing techniques and discuss advantages and disadvantages of each., Limitations: This paper was styled as a narrative review defining and clarifying terminology and technique and does not investigate these topics more broadly., Conclusion: Understanding the methodology and terminology for these surgical procedures and tissue processing methods is critical so that both general dermatologists and surgeons can employ these techniques effectively for optimal patient care., Competing Interests: Conflicts of interest None disclosed., (Published by Elsevier Inc.)

Secondary melanoma prevention remains crucial to reduce morbidity and mortality for the 200,000 people in the United States estimated to develop melanoma in 2021. This 3-month randomized controlled trial of online skin self-examination (SSE) education among 1000 at-risk women who received care at Northwestern Medicine in Illinois sought to determine SSE initiation and monthly performance, SSE anxiety and confidence, and health care practitioner (HCP) visits for concerning moles. Positive responses to a personal history of sunburn, a personal or family history of skin cancer, and/or having 10 or more lifetime indoor tanning sessions identified and informed women of their increased risk of melanoma. At one month, 96.2% of women receiving SSE education (SSE women) initiated SSE compared to 48.1% in the active control arm (control) (p < 0.001). More control women sought HCP visits (n = 107) than SSE women (n = 39). Control women seen by HCPs identified benign lesions, especially seborrheic keratosis, more often than SSE women. More atypical nevi (SSE 38.5%, control 8.4%) and melanomas (SSE 25.6%, control 4.7%) were visually identified by SSE women seeing HPCs (p < 0.001). There was no significant difference in SSE anxiety between the control and SSE arms. Confidence increased significantly in the SSE arm whereas there was no change in the control group (p < 0.001). Women checked someone else for concerning moles [315/ 494 (63.8%) of SSE women]. Targeting at-risk women for SSE education may help reduce melanoma mortality, especially in rural communities where incidence and mortality are greater than in urban areas., (© 2021 The Author(s).)