Darier disease is a rare type of autosomal dominant genodermatosis, and it is caused by a mutation in the gene coding for the endoplasmic reticulum membrane calcium pump Ca2+-ATPase type 2, leading to compromised intercellular adhesion. Moreover, this condition is characterized by multiple keratotic greasy papules with a seborrheic distribution and is worsened by heat and sun exposure, sweating, and friction. Occasionally, it may be associated with nail abnormalities and may involve the mucosa. Unilateral segmental Darier disease is a rare variant characterized by unilateral eruption of erythematic keratotic papules not associated with other conditions. Herein, we report a case of type 1 segmental Darier disease. Furthermore, the main characteristics and treatment options are discussed.

Background: Burnout is a multidimensional syndrome declared recently as an occupational phenomenon in the International Classification of Diseases, recognizing burnout as a serious public health issue of national proportions. Objective: To determine burnout prevalence in Saudi dermatology residency and identify contributing factors. Methods: Validated measure of burnout (Maslach Burnout Inventory-human services survey), alongside the possible risk factors of burnout, was distributed to all dermatology board training programs in all centers with Saudi Board Dermatology Training Program in the Western, Eastern, and Southern Region in Saudi Arabia. Results: A total of 70 respondents completed the questionnaire. High Emotional Exhaustion (EE) was present in (47.1%) , low personal accomplishment (PA) was present in (65.7%) , and high depersonalization (DP) was the least prevalent across all burnout dimensions (24.3%) of dermatology residents. Overall burnout was present in (21.4%) of the dermatology residents. Multivariate analysis showed that the odds of EE were significantly lower in males than females (OR = 0.2, P = 0.016) and the higher number of patients seen per clinic (OR = 1.09, P = 0.032) was associated with higher odds of having high risk of EE while higher satisfaction with work life balance was associated with lower odds of high risk of EE (OR = 0.47, P = 0.005). Higher number of study hours/week was associated with lower odds of low PA (OR = 0.95, P = 0.02). Similarly, higher satisfaction with career was associated with lower odds of low PA (OR = 0.35, P = 0.042). Multivariate analysis showed that only exercise (OR = 0.21, P = 0.05) and satisfaction with work/life balance (OR = 0.42, P = 0.008) were associated with lower risk of burnout. Conclusion: Our study adds to the literature the burnout rates in dermatology residents in Saudi Arabia, in addition to possible risk factors that can predict burnout. These findings can be applied in the improvement of training programs to reduce the burnout rate among residents.

IntroductionMany patients present to the emergency department with skin conditions that are not true dermatologic emergencies. Urgent skin conditions are uncommon. Because these conditions are rare, they can be sometimes challenging to diagnose. Few works of literature discussed the accuracy of non-dermatologists' initial judgment on dermatologic conditions concluding that non-dermatologists misdiagnose many common and uncommon skin conditions. Because the study was never done in our region, we aim to conduct an online assessment using a questionnaire assessing the ability of non-dermatologists to recognize urgent skin diseases at KingAbdulazizUniversityHospital (KAUH) in Jeddah, Saudi Arabia. MethodsA cross-sectional study was conducted. Non-dermatologist physicians were contacted through their verified emails, provided by the secretaries of each department and the academic affairs unit. The questionnaire consisted of two main sections, the first section covered demographics, specialty, and academic level. The second part had eight questions, each containing a brief case scenario about an urgent dermatological condition with a picture of the condition attached. Participants were required to answer the questions and assess on a scale from one to 10 how confident they were about their answers. The responses were collected and analyzed. ResultsOut of all 161 responses, this study included 93 male physicians (57.8%) and 68 female physicians (42.2%). The mean age in the study was approximately 45 ± 3 years. This study showed that the percentage of accuracy by non-dermatologists in diagnosing urgent skin diseases given the typical presentation of the condition was (61.33%); nevertheless, the percentage decreased when it was recalculated in relation to the full level of confidence to (25.3%). Herpes zoster appeared to be the most recognizable urgent skin disease, and Pemphigus vulgaris was the least recognizable one. ConclusionThis study shows that it is difficult for physicians to recognize some urgent skin diseases, which affects offering the optimum health care for the patients. Moreover, more dermatology-focused courses are needed to strengthen the knowledge about dermatological diseases.

Background Psoriasis is a chronic inflammatory disease that affects around 2% of the population. The lives of psoriasis patients are greatly impacted by stigma and social exclusion, regardless of the severity of the condition. This is the first study of its kind to be conducted in Saudi Arabia. This study aimed to assess peoples’ psoriasis-related misconceptions, negative prejudice, and discriminatory behaviors. Methodology A self-administered Google Forms survey was distributed between January and February 2023. The survey was conducted among residents of Jeddah, Saudi Arabia who were enrolled randomly via social media. We aimed to investigate their perception and awareness related to psoriasis, as well as how varying educational levels, age groups, and genders affected these variables. Results In total, 803 individuals participated in the survey. Results showed that 19.9% of the participants did not know about psoriasis. Only 5.1% of respondents stated that they were well knowledgeable about psoriasis. Moreover, psoriasis was more frequently perceived as a communicable disease by people in the age group of 18-29 years (p = 0.000). Surprisingly, only 43.5% of the participants reported that they would shake hands with someone with psoriasis without hesitation. Additionally, 40.7% of the participants were aware that psoriasis requires lifelong treatment. Moreover, the belief that psoriasis does not require lifelong therapy was more prevalent among university graduates (p = 0.000). Conclusions This study found that the residents of Jeddah need further education on skin disorders, in general, and psoriasis, in particular. Future studies should be conducted utilizing various approaches, with a greater emphasis on certain groups of people who engage physically with psoriasis patients.