Open research questions in Dermatology and Skin Diseases
211 unresolved questions extracted from the limitations and future-work sections of 559 Dermatology and Skin Diseases papers in our library. Each links back to the study that raised it.
What the literature leaves open
Future prospective studies should combine repeated skin and nasal evaluation, paired biological sampling, careful control of shared determinants, and ethically appropriate mechanistic perturbation
A systemic epithelial–immune–neural framework for pediatric atopic dermatitis–allergic rhinitis comorbidity · 2026 · DOIThe inconsistent adherence to minimum reporting standards and essential characterization requirements in terms of platelet enrichment, leukocyte content or activation status across studies. The regenerative and immunomodulatory properties of platelet-rich derivatives are highly dependent on multiple processing variables. Additional sources of variability associated with the use of platelet-rich derivatives contribute to substantial heterogeneity in the final product composition and local bioavailability.
Platelet-rich therapies in cutaneous and mucocutaneous disorders characterized by inflammatory tissue responses: mechanistic insights and clinical evidence · 2026 · DOImachine-learning multi-omic integration for PAD that incorporates targeted tryptophan-pathway metabolomics
Tryptophan Metabolism in Pediatric Atopic Dermatitis: Shared Mechanisms, Age-Specific Biomarkers, and Emerging Therapies · 2026 · DOIThe lack of standardized, prospective studies directly contrasting age groups in tryptophan metabolism, - The limited direct pediatric evidence on tryptophan metabolism in atopic dermatitis, - The need for a dedicated pediatric tryptophan-pathway dataset
Tryptophan Metabolism in Pediatric Atopic Dermatitis: Shared Mechanisms, Age-Specific Biomarkers, and Emerging Therapies · 2026 · DOIUnderstanding the complex interplay between molecular mechanisms and skin disease is a challenge. Identifying new targets for therapeutic advancements is a challenge. The paper discusses the need for further research to clarify the contributions of hormonal mechanisms to the pathogenesis of hidradenitis suppurativa.
However, how staphylococcal strain variation affects disease aetiology and progression remains unclear.
Isoleucine and asparagine influence the growth of staphylococcal strains in atopic dermatitis · 2026 · DOINatural killer (NK) cells play an important role in skin homoeostasis; however, their involvement in eAD remains unclear.
Age-related changes of FCGR3A+ natural killer cells and their association with elderly atopic dermatitis · 2026 · DOIBackground Detailed clinical descriptions of paediatric atopic dermatitis from southern China are scarce; available Chinese data are largely modelled burden estimates or laboratory series of allergen sensitisation.
Clinical profile, reported triggers, and comorbidity pattern in children and adolescents with atopic dermatitis: a cross-sectional study from Fujian, China · 2026 · DOIBiologics targeting IL-13, including tralokinumab and lebrikizumab, have demonstrated efficacy in clinical trials; however, the therapeutic value of intra-class switching following primary treatment failure remains poorly defined, and existing real-world reports rarely distinguish primary from secondary failure.
Case Report: Differential response to IL-13 inhibition: lebrikizumab following primary tralokinumab failure in atopic dermatitis · 2026 · DOIFuture research should focus on well-designed randomized controlled trials that account for potential sources of bias in order to provide evidence-based public health recommendations.
Probiotics supplements for the prevention of atopic dermatitis in children: an umbrella review · 2025 · DOINotably, its prevalence and impact among elderly individuals remain poorly understood, highlighting the need for a deeper understanding of its global burden.
The Global Burden of Atopic Dermatitis in Elderly Populations: Trends, Disparities, and Future Projections · 2025 · DOIAlopecia areata (AA) is a common non-scarring hair loss condition whose specific pathogenesis is not yet fully understood.
Case Report: Baricitinib improved alopecia areata in a pediatric patient with atopic dermatitis · 2025 · DOIWhile most plakins are critical for maintaining epidermal integrity, the role of epiplakin (EPPK1) in inflammatory skin disorders has not been thoroughly investigated.
Epiplakin expression is lost in psoriatic skin lesions and is downregulated by IFN-γ in ex vivo skin cultures · 2025 · DOIWhile previously not fully understood and limited in treatment options, AD is currently undergoing a therapeutic revolution.
Abstract Description Skin-resident regulatory T (Treg) cells play a critical role in allergen-specific immunotherapy (SIT) for atopic dermatitis (AD), yet their function and origin remain incompletely understood.
The Critical Function of a Peripheral-induced Skin-resident Treg cells in Allergen-Specific Immunotherapy for Atopic Dermatitis 9177 · 2025 · DOIHowever, the neuronal circuit mechanisms underlying the comorbidity of anxiety in chronic itch remain elusive.
A thalamic nucleus reuniens–lateral septum–lateral hypothalamus circuit for comorbid anxiety–like behaviors in chronic itch · 2024 · DOIAlthough specific cell types have been proposed to underlie itch, the neural basis for itch remains unclear.
To develop a more thorough understanding of skin pathology and to identify new targets for therapeutic advancements, molecular mechanisms of inflammation in the context of skin disease should be studied.
However, the interplay between skin bacteria and the lipids is not fully understood.
Microbiome and lipidomic analysis reveal the interplay between skin bacteria and lipids in a cohort study · 2024 · DOISkin microecological imbalance is an important factor in the pathogenesis of AD, but the underlying mechanism of its interaction with humans remains unclear.
Multi-omics analyses reveal interactions between the skin microbiota and skin metabolites in atopic dermatitis · 2024 · DOIPerturbations in the intestinal bacteria and flora contributed to the development of AD, and the mouse model could serve as a valuable tool for further investigation of therapeutic approaches for managing ADS.
Nevertheless, the risk of AEs with oral corticosteroids, especially among patients with atopic dermatitis (AD), has not been comprehensively investigated and lacks evidence on duration of treatment.
Long-Term Use of Oral Corticosteroids and Safety Outcomes for Patients With Atopic Dermatitis · 2024 · DOIThe current management of atopic dermatitis has limitations, including the use of antibiotics and glucocorticoids. There is a need for novel therapeutic strategies for atopic dermatitis.
Topical acacia gum reshapes staphylococcal dysbiosis and inflammation in atopic dermatitis · 2026 · DOIThe study uses only female BALB/c mice (6 weeks old) in the animal model, limiting generalizability to other mouse strains, ages, and sexes, which may respond differently to AG treatment.
Topical acacia gum reshapes staphylococcal dysbiosis and inflammation in atopic dermatitis · 2026 · DOIFurther investigation of the signaling pathways involved in opioid-induced itch. Exploration of the therapeutic potential of targeting OPRM1 and MRGPRX1 heterodimers. Investigation of the role of other receptors and mechanisms in opioid-induced itch.
Most-cited papers in Dermatology and Skin Diseases
- Two Phase 3 Trials of Dupilumab versus Placebo in Atopic Dermatitis · New England Journal of Medicine · 2016 · 1,873 citations
- Probiotics in primary prevention of atopic disease: a randomised placebo-controlled trial · The Lancet · 2001 · 1,868 citations
- Atopic dermatitis · The Lancet · 2015 · 1,793 citations
- Endogenous Antimicrobial Peptides and Skin Infections in Atopic Dermatitis · New England Journal of Medicine · 2002 · 1,635 citations
- Probiotics and prevention of atopic disease: 4-year follow-up of a randomised placebo-controlled trial · The Lancet · 2003 · 927 citations
- Food hypersensitivity and atopic dermatitis: Evaluation of 113 patients · The Journal of Pediatrics · 1985 · 588 citations
- EXTREME HYPERIMMUNOGLOBULINEMIA E AND UNDUE SUSCEPTIBILITY TO INFECTION · PEDIATRICS · 1972 · 475 citations
- Treatment of Staphylococcus aureus Colonization in Atopic Dermatitis Decreases Disease Severity · PEDIATRICS · 2009 · 419 citations
- Two Phase 3 Trials of Lebrikizumab for Moderate-to-Severe Atopic Dermatitis · New England Journal of Medicine · 2023 · 337 citations
- Atopic eczema: its impact on the family and financial cost · Archives of Disease in Childhood · 1997 · 319 citations
Most recent work
- A sympathetic-eosinophil axis orchestrates psychological stress to exacerbate skin inflammation · Science · 2026
- Microbiome dysbiosis and therapeutic restoration in atopic dermatitis · Frontiers in Cellular and Infection Microbiology · 2026
- Sensory Neuroimmunology: Bidirectional Neuro-Immune Circuits Governing Pain, Itch, Inflammation, and Host Defense at Barrier Surfaces · Biology · 2026
- Patchouli alcohol attenuates DNFB-induced atopic dermatitis-like inflammatory dermatitis associated with NF-κB/STAT6 signaling and macrophage polarization · Molecular & Cellular Toxicology · 2026
- Therapeutic effect of Drynariae rhizoma water extract on DNCB-induced atopic dermatitis in mice · Molecular & Cellular Toxicology · 2026
- Tinea barbae following ruxolitinib cream application in a vitiligo patient: a case report · Frontiers in Medicine · 2026
- A real-world disproportionality analysis of dupilumab safety in children aged 0–5 years with atopic dermatitis · Naunyn-Schmiedeberg's Archives of Pharmacology · 2026
- Observations on the Efficacy and Safety of Dupilumab as an Anti-Itch Agent in Special Populations · Global Insights in Medicine and Nursing · 2026
- Letter to the Editor Regarding “Anchored Matching-Adjusted Indirect Comparison of the Long-Term Maintenance of Efficacy of Tralokinumab and Lebrikizumab in Patients with Moderate-to-Severe Atopic Dermatitis” · Dermatology and Therapy · 2026
- JAK Inhibitor Safety in Atopic Dermatitis and Alopecia Areata: A 4.5-Year Real-World Retrospective Cohort Study · Dermatology and Therapy · 2026
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