Evidence map›Paper›PMID 24863570›Full record

Trial reportThe British journal of dermatology2014

Improving acne keloidalis nuchae with targeted ultraviolet B treatment: a prospective, randomized, split-scalp comparison study.

G A Okoye, B M Rainer, S G Leung, H S Suh, J H Kim, A M Nelson, L A Garza, A L Chien, S Kang

Open access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in The British journal of dermatology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.4field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Acne Keloidalis Nuchae is Associated with Cutis Verticis Gyrata.Clinical, cosmetic and investigational dermatology · 2022
    Article
  3. Acne keloidalis in an Asian female patient.Clinical case reports · 2019
    Article
  4. Review
  5. Acne keloidalis nuchae: prevalence, impact, and management challenges.Clinical, cosmetic and investigational dermatology · 2016
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 2 countries.

G A OkoyeDepartment of Dermatology, Johns Hopkins University School of Medicine, 1550 Orleans Street, Baltimore, MD, 21231, U.S.A.
B M Rainer
S G Leung
H S Suh
J H Kim
A M Nelson
L A Garza
A L Chien
S Kang
Johns Hopkins University · USUlsan College · KR

Funding

Mechanism and clinical pilot tst of volar fibroblast to create ectopic volar skinR01AR064297 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI GARZA, LUIS ANDRES · 2013 to 2017
$1.8M
NIAMS NIH HHS R01 AR064297NIAMS NIH HHS R01AR064297
6 · The paper itself

Abstract

backgroundAcne keloidalis nuchae (AKN) is a chronic scarring folliculitis with fibrotic papules on the occipital scalp. Its treatment is limited and unsatisfactory.

objectivesTo determine whether targeted ultraviolet B (tUVB) phototherapy will (i) improve the clinical appearance of AKN and (ii) induce extracellular matrix remodelling in affected lesions.

methodsEleven patients with AKN were enrolled in a prospective, randomized, split-scalp comparison study. One randomly selected side of the scalp was treated with tUVB up to three times weekly for 8 weeks. After week 8, both sides were treated for eight additional weeks. Assessment included lesion counts in two 3 × 3-cm regions of interest (ROIs), one on each side of the scalp (ROI-1: tUVB weeks 0-16, ROI-2: tUVB weeks 9-16), patient self-assessment and analysis of MMP1, MMP9, TGFB1 and COL1A1 mRNA expression by quantitative reverse-transcription polymerase chain reaction.

resultsBefore treatment, the mean lesion count was similar between tUVB-treated and untreated sides (14·8 vs. 15·0). After 8 weeks of tUVB, the mean lesion count decreased significantly to 9·4 ± 1·2 (P =  0·03), with no change on the untreated side. With continued treatment, the mean lesion count in ROI-1 decreased further to 7 ± 1·5 (P = 0·04) after 16 weeks of tUVB.

conclusionstUVB significantly improved the clinical appearance of AKN, led to patient satisfaction and was well tolerated.

Indexed as

Acne KeloidAdultCollagen Type ICollagen Type I, alpha 1 ChainFemaleHumansMaleMatrix Metalloproteinase 1Matrix Metalloproteinase 9Middle AgedPatient SatisfactionPilot ProjectsProspective StudiesScalp DermatosesTransforming Growth Factor beta1Treatment OutcomeCollagen Type ICollagen Type I, alpha 1 ChainMatrix Metalloproteinase 1Matrix Metalloproteinase 9MMP1 protein, humanMMP9 protein, humanTGFB1 protein, humanTransforming Growth Factor beta1

Identifiers

PMID24863570
PMCPMC4239195
OpenAlexW1997012184

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.