Mission Statement: JAMA Dermatology’s mission is to elevate the art and science of health and diseases of skin, hair, nails, and mucous membranes, and their treatment, to enable dermatologists to deliver evidence-based, high-value medical and surgical dermatologic care. The journal publishes a broad range of innovative studies and trials that shift research and clinical practice paradigms, expand the understanding of the burden of dermatologic diseases and key outcomes, improve the practice of dermatology, and ensure equitable care to all patients. The journal also features research and opinion examining ethical, moral, socioeconomic, educational, and political issues relevant to dermatologists to enable ongoing improvement to the workforce, scope of practice, and the training of future dermatologists. JAMA Dermatology aims to be a leader in developing initiatives to improve diversity, equity, and inclusion within the specialty and within dermatology medical publishing.
Kanade Shinkai, MD, PhD, San Francisco, California
Adewole Adamson, MD, MPP, Austin, Texas (also Web Editor)
John Barbieri, MD, Boston, Massachusetts (also Evidence-based Practice Editor)
An-Wen Chan, MD, DPhil, Toronto, Ontario, Canada
Haley Naik, MD, MHSc, San Francisco, California
Veronica Rotemberg, MD, PhD, New York, New York
Howa Yeung, MD, MSc, Atlanta, Georgia
Associate Editor for Diversity, Equity, and Inclusion
Associate Editor for Quantitative Methods
JAMA Dermatology Clinicopathological Challenge
Assistant Section Editors
Carole Bitar, MD, New Orleans, Louisiana
Carla N. Cruz Diaz, MD, Guaynabo, Puerto Rico
Mar Llamas-Velasco, MD, Madrid, Spain
Cuong Nguyen, MD, Chicago, Illinois
JAMA Dermatology Patient Page
Lauren Madigan, MD, Salt Lake City, Utah
Robert G. Micheletti, MD, Philadelphia, Pennsylvania
Maria Teresa GarcÃa-Romero, MD, Mexico City, Mexico
Andrea Maderal, MD, Miami, Florida
April W. Armstrong, MD, MPH, Los Angeles, California
Jeffrey P. Callen, MD, Louisville, Kentucky
Edward W. Cowen, MD, MHSc, Bethesda, Maryland
Kenneth A. Katz, MD, MSc, MSCE, San Francisco, California
Amy J. McMichael, MD, Winston-Salem, North Carolina
Misha Rosenbach, MD, Philadelphia, Pennsylvania
International Advisory Committee
Sultan Al-Khenaizan, MD, Riyadh, Saudi Arabia
Luca Borradori, MD, Bern, Switzerland
Gurbir Dhadwal, MD, FRCPC, FAAD, Vancouver, British Columbia, Canada
Margarita M. Larralde, MD, Buenos Aires, Argentina
Dédée F. Murrell, MA, BMBCh, FAAD, MD, FACD, Sydney, Australia
Graham Ogg, FRCP, DPhil, BMBCh, Oxford, England
M. Ramam, MD, MBBS, New Delhi, India
Luis Requena, MD, Madrid, Spain
Jacek C. Szepietowski, MD, PhD, Wrocław, Poland
Henry G. Piffard, MD 1882-1885
Prince A. Morrow, MD 1882-1891
John A. Fordyce, MD 1891-1896
James C. Johnston, MD 1896-1902
George K. Swinburne, MD 1896-1902
Bolesław Lapowski, MD 1896-1909
A. D. Mewborn, MD 1903-1908
George M. Mackee, MD 1909-1919
William Allen Pusey, MD 1920-1936
Howard Fox, MD 1937-1946
Paul O’Leary, MD 1947-1955
Herbert Rattner, MD 1955-1961
Harvey Blank, MD 1962-1963
Walter C. Lobitz, MD 1964-1968
Robert R. Kierland, MD 1969-1973
John H. Epstein, MD 1974-1978
Frederick A. Malkinson, MD 1979-1983
Kenneth A. Arndt, MD 1984-2003
June K. Robinson, MD 2004-2018
Editor in Chief, ÌÇÐÄvlog Kirsten Bibbins-Domingo, PhD, MD, MAS
Executive Editor Gregory Curfman, MD
Executive Managing Editor Annette Flanagin
Managing Editor Brenda Gregoline
Deputy Managing Editor Iris Y. Lo
Assistant Deputy Managing Editor Kevin Brown
Manuscript Editing Gabriel Dietz, Amanda Ehrhardt (senior manuscript editors); Jennifer C. Ball, Stephanie R. Holland, Jamie Scott (manuscript editors); Wanda Hill (editorial assistant)
Freelance Manuscript Editing Connie L. Manno (director); Sara M. Billings (senior coordinator); Doug Brandt, Timothy Gray, Peter J. Olson, Juliet A. Orellana, Paul Ruich, Kirby Snell (coordinators)
Freelance Copy Editors and Copyreaders Judith A. Ahlers, Stephanie Lang Beckmeyer, Jane Calayag, Jan Clavey, Mary Coerver-Connolly, Amy L. Eutsey, Paul G. Jaworski, Laura King, Mary Kingzette, Martha W. Lentz, Donna Adeline Lysak, Jenny MacKay, Bella A. Manning, Jennifer George Maybin, Charon Pierson, Shilpa Shenvi, Thressa D. Smith, Divya Sreekumar, Donna J. Thordsen, Emma D. Underdown, Becki K. Weiss, Christina West, Caroline A. V. Woods
Editorial Operations and Systems Erin Kato, Jacob Kendall-Taylor, Monica Mungle (directors); Lenette Gardner-Gullens (manager); Anna Bukowski, Lee Calibeo, Jordan Faber, Andrew Given, Tosca Hall, Roisin Maguire, Michaela Mark, Sylvia Orellana, Kenneth Otani, Caroline Sietmann, Angelia Waltower
Digital Media Production Matthew O’Connor (director); Elena Guobyte, R. Patrick Lile, Daniel Morrow, Daniel Musisi, Shelly Steffens (producers)
Communications and Engagement Jennifer Zeis (director); Jim Michalski (senior publication information officer); Wendy K. Lee (social media manager); Alexandra Marusarz (communications specialist); Reuben Rios (senior social media specialist)
Electronic Media Systems and Services Mary Lynn Ferkaluk (manager); Dawn Cortez (coordinator)
Visual Abstract Editors Shukri H. A. Dualeh, MD; Heather E. Hsu, MD MPH; Andrew M. Ibrahim, MD, MSc; Cody Mullens, MD, MPH, Sara Lindsay Schaefer, MD
Editorial Graphics Karen Bucher, Andy Rekito (managers and senior medical illustrators), Nick Reback, Lohitha Kethu (medical illustrators); David Song (coordinator)
Budgets and Administration Marla A. Jefferson (director); Cheryl Sykes (manager); Julissa Santos, Deanna Willis (executive assistants); Yolanda Davis (copyright/library services coordinator)
Editorial Counsel Joseph P. Thornton, JD
Periodical Publishing Staff
Senior Vice President and Executive Publisher Thomas J. Easley
Group Vice President and Publisher Brian Shields
Vice President, Publishing Production Operations Karen Adams-Taylor
Vice President, Digital Product Management and Development Paul Gee
Vice President, Publishing Sales Anna Frazier
Staff Rhonda Bailey Brown, Monica Smith
Advertising Sales and Marketing–Pharmaceuticals and Devices
Manager Kathy Russell
Staff Mirna Monal
Sales Representatives Stacey McHugh, Tim Melroy
Director, Marketing Mark Thornbury
Staff Tricia Castellano
Advertising Sales and Marketing–Health Systems, Recruitment and Classified
Coordinator Meghan Thue
Media Consultants Sade DeRamus-Townsend, Thalia Moss
Recruitment Consultants Samantha Bauer, Hank Eurich
Circulation Sales and Marketing
Director, Worldwide Sales Vida Damijonaitis
Managers Saskia Bolore, Gretchen Linder, Brian McCartney
Sales Representatives Christine Hearne, Natasha Nekola
Staff Henry Aguillon, David Baum, Ron Thomas
Marketing and Product Development
Directors Rick Bell, Ellen Gibson, Emi Nakamura, Daniel Pickhardt, Elizabeth Solaro, Sara Zimmerman
Managers Lindsay Dawson, Craig McCaffrey, Michael McGraw, Romando Rossini, Sarah Subramanian, Colleen Tricarico, Stacy Tucker, KC Walsh
Business Analyst Sirisha Alluri
Staff Millette Jackson-Bates, Morgan Osgood
Directors Lydia Cruz, Karl Elvin, Eric Hill, Jaye Mize, Sean O’Donnell, Joe Wixted
Managers David Antos, Anthony Bautista, Chris Borden, Debbie Camp, Scott Curl, Nanette Diaz, Jordynn Farrar, Sherry Flores, Sharon Goldsmith, Allison Hughes, Tiffany Jones, John Lash, Chris Meyer, Tom Miller, Annemarie Neff, J.D. Neff, Sean Ohlson, Phil O’Leary, Bill Pedone, Jaynam Shah, Denise Steinhauser
Advertising and Production Services Ahmed Avendano, Kim Boler, Fin Carter, Michael Deegan, Joan Hall, Joshua Lane, Barbara Marek, Cindy Rendlen, John Rhead, Janis Trinchere, Annissa Zak
Circulation Services Julie Burton, Ronna Hewitt, Mary Sieck, Geneine Van Someren, Jamaal Vargas
Content Production Systems Mike Bujewski, Nathan Mitre
Digital Production Regina Brownlee, Amanda Camino, Brenda Chandler-Grayer, Emily Dunn, Amy Evers, Maleeka Holden, Teri Hutchison, Dan Knowles, Joshua Lampinen, Natalie Marsh, Patricia E. Panek, Marla Seidell, La’son Diggs Sledge, Julian Wiley
Graphics Joe Amft, Jonathan Chala, Maria Duda, Fred Furtner, Carolyn Hall, Maria Kowalkowski, Kelley McDonald
Proofreading Carol Joy Farrell, Maria Giannini, Sasha Grossman, Judith A. Literskis, Teresa H. Omiotek, Michael Ryder
ÌÇÐÄvlog is a consortium of peer-reviewed medical publications that includes ´³´¡²Ñ´¡Â® and the ÌÇÐÄvlog journals. JAMA Dermatology does not hold itself responsible for statements made by any contributor. All articles published, including opinion articles, represent the views of the authors and do not reflect the policy of the Journal, the ÌÇÐÄvlog, or the institution with which the author is affiliated, unless otherwise indicated.
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