- Email: [email protected]
Third World Congress of the International Academy of Cosmetic Dermatology
CONGRESS REPORT Edited by Marcia Ramos-e-Silva, MD, PhD
Third World Congress of the International Academy of Cosmetic Dermatology Beijing, China, December 7–10, 2003 JENNIFER L. PARISH, MD LARRY E. MILLIKAN, MD HENRY H.L. CHAN, MD The Third World Congress of the International Academy of Cosmetic Dermatology was held in Beijing, China, December 7–10, 2003, under the organization of the Chinese Medical Association and the Chinese Society of Medical Esthetics & Cosmetology. The venue was the ultra-modern Beijing International Convention Center. Professor Xue-Jun Zhu of Beijing and his Organizing Committee overcame Herculean problems in producing this outstanding dermatologic event. The Third World Congress had originally been scheduled for May 15–17, 2003; however, the world situation in Iraq and the health problems in Asia due to SARS, necessitated the change in dates (Fig 1). Although December in Beijing can be chilly, over 1300 registrants gathered for a highly informative scientific program, along with memorable social events (Figs 2 and 3).
Figure 1. Opening Ceremonies: l to r Wilma F. Bergfeld, Cleveland, OH; Jennifer L. Parish, Philadelphia, PA; Larry E. Millikan, New Orleans, LA; Secretary/Treasurer General of the IACD; and Xue-Jun Zhu, Beijing, China, President of the Congress.
Special Lectures Wilma Bergfeld, Cleveland, Ohio, gave the First Eugene J. Van Scott Lecture (Fig 4). The lecture, “Today’s Hair Disorders, Current Evaluation and Available Therapies,” included a very practical approach to the evaluation of hair disorders, both acquired and hereditary in scope. She also reviewed the status of hair research and the future possibilities for the significant cosmetic problem of androgenic alopecia. The Van Scott Lectureship was established in 2001 by the IACD to honor Dr. Van Scott for his many contributions to dermatology, and in particular to cosmetic dermatology for his work with Ruey Yu, recipient of the First Gold Medal of the IACD on the use of aquaglycolic acids and similar compounds. Van Scott was the first Address correspondence to Jennifer L Parish, MD, 1760 Market Street, Suite 301, Philadelphia PA 19103. E-mail address: [email protected] © 2004 by Elsevier Inc. All rights reserved. 360 Park Avenue South, New York, NY 10010
head of the Dermatology Branch at the National Institutes of Health and later Professor of Dermatology at Temple University School of Medicine, of which Dr. Bergfeld is an alumna (Fig 5). The Platinum Lecture was given by Emiliano Panconesi of Florence, Italy (Fig 6). Combining his long-term interests in psychosomatic dermatology, he discussed body image as a focal point in cosmetic dermatology. “The organ to which we dedicate our work as dermatologists, the skin,” Panconesi emphasized, “is, in sickness and health, extremely visible, and thus it constitutes the center of attention for human appearance and body image.” Continuing his life-long activities, Panconesi gave the attendees an impressive insight into the interaction of the psyche and skin, both organs being of ectodermal origin. This much-neglected area always needs re-emphasis, especially when one looks at body image, cosmetics and aging, and self-image. 0738-081X/04/$–see front matter doi:10.1016/j.clindermatol.2004.03.018
352 CONGRESS REPORT
Clinics in Dermatology
Y
2004;22:351–354
Figure 2. The many lectures and seminars were well attended.
Plenary Lectures
Figure 4. Wilma F. Bergfeld gave the First Eugene J. Van Scott Lecture on understanding hair disorders.
Jean-Paul Ortonne, Nice, France, in discussing “Pathogenesis of Vitiligo: Present Knowledge,” pointed out the three “classic” theories of vitiligo: immune hypothesis (most popular), neural hypothesis, and self-destruct hypothesis. With the increase in our knowledge of genetics, an autoimmunity susceptibility locus (AIS1) has now been identified on chromosome 1p31.3-p32.2. Recent advances in therapy include the use of topical immunomodulators and UVP therapies (Excimer laser) that may promote T-cell apoptosis. Gelatinase, a matrix metalloprorteinase that can degrade gelatin, type IV collagen, elatsin, and laminin, is involved in photoaging, according to S. Inomata of Yokohama, Japan. Because gelatinase is continually made in the facial epidermis, interfering with it by use of a tumeric extract may diminish aging, according to a study in middle-aged women. Xuemin Wang, Shanghai, China, presented his work, comparing the variations in facial skin among Chinese
women living in different cities and according to the season. Women in Shanghai, where there is less sun than in Harbin, have better complexions, possibly due to the humidity, higher temperature, and diminished sun exposure. Yeast extracts, according to Lee Woan-Ruoh, Taipei, Taiwan, may be useful in wound healing. The mechanism may involve saccharomycopsis ferment filtrate, inhibiting the lipopolysaccharide-induced nitric oxide production. John Gray, London, England, presented data on new developments in shampoo technology. Zinc pyrithione, which is a stable particulate anti-dandruff agent, can be placed in an aqueous base without diminishing its cosmetic attributes. This agent can also reduce ultrastructural abnormalities of the stratum corneum, as evidenced by no parakeratosis, diminished corneocyte lipid inclusions, and absence of “scared cell.”
Figure 3. The outstanding scientific program was complemented by a large number of technical exhibits, both from China and elsewhere in the world.
Figure 5. Eugene J. Van Scott, Abington, PA, is one of the world’s leading dermatologic researchers.
Clinics in Dermatology
Y
2004;22:351–354
Figure 6. Diana Sears accompanied her husband Emiliano Panconesi, Florence, Italy, who lectured on body image and cosmetic dermatology.
Symposia In the symposium on surgical cosmetic dermatology, Placek Waldemar, Warsaw, Poland, and his group discussed suction blister grafting and autologous grafts for treating vitiligo, while E. Tooms, Washington, DC, presented her work on liposuction in men. The fat is more fibrous in men than in women; therefore the canulas need to have different apertures and shorter lengths. Several sessions were devoted to acne. Larry Millikan, New Orleans, LA (Fig 7), spoke on “Optimal Skin Care 2004 —the new approach to total skin care.” Research into inflammation and skin disease, most importantly in acne and rosacea, has provided new insights into cosmetic concerns with these conditions. Work in the US, as well as the work by Inomhea of Yakohama, Japan, has centered on activation of various TOLL receptors, the gelatinase, and other substances. Recent studies looking at retinoids suppressing the activation
Figure 7. Larry E. Millikan spoke on delivering the best dermatologic care for 2004.
CONGRESS REPORT
353
Figure 8. Jennifer L. Parish lectured on the use of water in dermatology.
of these processes and thereby diminishing inflammation promises to completely change the approach to acne therapy. Increasing awareness of this cosmetic concern noted by Yan Wu, Beijing, China and his group have found that not enough Chinese teenagers seek help for the treatment of acne. The scarring that occurs can have psychiatric sequellae. Chinese dermatologists need to teach patients about the problems of acne and the need for early intervention. The symposia on phototherapy, headed by Henry Lim, Detroit, Michigan and Jin Ho Chung, Seoul, Korea,
Figure 9. Xue-Jun Zhu and Larry E. Millikan are seen at the Opening Banquet.
354
Clinics in Dermatology
CONGRESS REPORT
Y
2004;22:351–354
Figure 10. The Closing Banquet included a spectacular exhibition of traditional Chinese dancers.
included presentations on molecular mechanism of solar elastosis and functional evaluation of cosmetic sunscreens in China. Lim discussed polymorphous light eruption (PMLE) as the most common idiopathic photodermatosis, while actinic prurigo, most often found in Native Americans, and juvenile spring eruption, a variant of PMLE, occurs in young boys on the ears Jennifer Parish, Philadelphia, Pennsylvania, discussed the various uses of water in dermatology (Fig 8). There has been a resurgence in interest worldwide in the use of water for the treatment of various skin diseases. This has probably been sparked by the extensive studies in the treatment of psoriasis at the Dead Sea. Dermatologic entities seem to benefit more from external use of water, rather than the ingestion of various spring waters containing a variety of minerals. In the symposium on prevention and correction of pigmentation, Jean de Rigal from France suggested a new skin color chart to evaluate the intensity of pigmentation. This should prove helpful to the research directed toward standardization of skin color. Zhigang Bi, China, gave a lecture on prevention of pigmentation in China. Use of daily skin care with broad spectrum anti- UVB and UVA filters should be recommended. R. Schmidt from France presented his work on in vitro models to study skin pigmentation and its modulation.
Free Communications There were a number of excellent short papers that covered the gamut of cosmetic dermatology (Fig 11). Jie Weang, Harbin, China uses smooth beam laser for treating acnes while Weig Hong, Chendu, China, has studied the Nlite laser system for reducing wrinkles. Other presentations discussed stinging, transepidermal water loss, and the interesting correlation with abnormal skin-barrier function. The Coherent CO2 Ul-
Figure 11. Free Communications.
tra Pulse Laser permits repigmentation in several patients. A study compared the aging process between European patients and Pacific-rim patients, whereas Caucasian skin is more associated with wrinkling, Chinese, Japanese, and Korean skin will often show more mottling and spotting.
Social Events The opening banquet took place in the Great Hall of the People (Chinese Parliament) (Fig 9). The other social events (Fig 10) and the opportunity to see the Great Wall, Tiananmen Square, the Forbidden City, and other places of historic interest made this Third World Congress a most memorable event. We are indebted to our hosts from Beijing.
Paris 2005 We all look forward to the Fourth World Congress of the IACD, which will be held in Paris under the presidency of Daniel Wallach. The venue is the Palais des Congre`s de Paris and the dates are July 3–5, 2005.
Third World Congress of the International Academy of Cosmetic Dermatology Beijing, China, December 7–10, 2003 JENNIFER L. PARISH, MD LARRY E. MILLIKAN, MD HENRY H.L. CHAN, MD The Third World Congress of the International Academy of Cosmetic Dermatology was held in Beijing, China, December 7–10, 2003, under the organization of the Chinese Medical Association and the Chinese Society of Medical Esthetics & Cosmetology. The venue was the ultra-modern Beijing International Convention Center. Professor Xue-Jun Zhu of Beijing and his Organizing Committee overcame Herculean problems in producing this outstanding dermatologic event. The Third World Congress had originally been scheduled for May 15–17, 2003; however, the world situation in Iraq and the health problems in Asia due to SARS, necessitated the change in dates (Fig 1). Although December in Beijing can be chilly, over 1300 registrants gathered for a highly informative scientific program, along with memorable social events (Figs 2 and 3).
Figure 1. Opening Ceremonies: l to r Wilma F. Bergfeld, Cleveland, OH; Jennifer L. Parish, Philadelphia, PA; Larry E. Millikan, New Orleans, LA; Secretary/Treasurer General of the IACD; and Xue-Jun Zhu, Beijing, China, President of the Congress.
Special Lectures Wilma Bergfeld, Cleveland, Ohio, gave the First Eugene J. Van Scott Lecture (Fig 4). The lecture, “Today’s Hair Disorders, Current Evaluation and Available Therapies,” included a very practical approach to the evaluation of hair disorders, both acquired and hereditary in scope. She also reviewed the status of hair research and the future possibilities for the significant cosmetic problem of androgenic alopecia. The Van Scott Lectureship was established in 2001 by the IACD to honor Dr. Van Scott for his many contributions to dermatology, and in particular to cosmetic dermatology for his work with Ruey Yu, recipient of the First Gold Medal of the IACD on the use of aquaglycolic acids and similar compounds. Van Scott was the first Address correspondence to Jennifer L Parish, MD, 1760 Market Street, Suite 301, Philadelphia PA 19103. E-mail address: [email protected] © 2004 by Elsevier Inc. All rights reserved. 360 Park Avenue South, New York, NY 10010
head of the Dermatology Branch at the National Institutes of Health and later Professor of Dermatology at Temple University School of Medicine, of which Dr. Bergfeld is an alumna (Fig 5). The Platinum Lecture was given by Emiliano Panconesi of Florence, Italy (Fig 6). Combining his long-term interests in psychosomatic dermatology, he discussed body image as a focal point in cosmetic dermatology. “The organ to which we dedicate our work as dermatologists, the skin,” Panconesi emphasized, “is, in sickness and health, extremely visible, and thus it constitutes the center of attention for human appearance and body image.” Continuing his life-long activities, Panconesi gave the attendees an impressive insight into the interaction of the psyche and skin, both organs being of ectodermal origin. This much-neglected area always needs re-emphasis, especially when one looks at body image, cosmetics and aging, and self-image. 0738-081X/04/$–see front matter doi:10.1016/j.clindermatol.2004.03.018
352 CONGRESS REPORT
Clinics in Dermatology
Y
2004;22:351–354
Figure 2. The many lectures and seminars were well attended.
Plenary Lectures
Figure 4. Wilma F. Bergfeld gave the First Eugene J. Van Scott Lecture on understanding hair disorders.
Jean-Paul Ortonne, Nice, France, in discussing “Pathogenesis of Vitiligo: Present Knowledge,” pointed out the three “classic” theories of vitiligo: immune hypothesis (most popular), neural hypothesis, and self-destruct hypothesis. With the increase in our knowledge of genetics, an autoimmunity susceptibility locus (AIS1) has now been identified on chromosome 1p31.3-p32.2. Recent advances in therapy include the use of topical immunomodulators and UVP therapies (Excimer laser) that may promote T-cell apoptosis. Gelatinase, a matrix metalloprorteinase that can degrade gelatin, type IV collagen, elatsin, and laminin, is involved in photoaging, according to S. Inomata of Yokohama, Japan. Because gelatinase is continually made in the facial epidermis, interfering with it by use of a tumeric extract may diminish aging, according to a study in middle-aged women. Xuemin Wang, Shanghai, China, presented his work, comparing the variations in facial skin among Chinese
women living in different cities and according to the season. Women in Shanghai, where there is less sun than in Harbin, have better complexions, possibly due to the humidity, higher temperature, and diminished sun exposure. Yeast extracts, according to Lee Woan-Ruoh, Taipei, Taiwan, may be useful in wound healing. The mechanism may involve saccharomycopsis ferment filtrate, inhibiting the lipopolysaccharide-induced nitric oxide production. John Gray, London, England, presented data on new developments in shampoo technology. Zinc pyrithione, which is a stable particulate anti-dandruff agent, can be placed in an aqueous base without diminishing its cosmetic attributes. This agent can also reduce ultrastructural abnormalities of the stratum corneum, as evidenced by no parakeratosis, diminished corneocyte lipid inclusions, and absence of “scared cell.”
Figure 3. The outstanding scientific program was complemented by a large number of technical exhibits, both from China and elsewhere in the world.
Figure 5. Eugene J. Van Scott, Abington, PA, is one of the world’s leading dermatologic researchers.
Clinics in Dermatology
Y
2004;22:351–354
Figure 6. Diana Sears accompanied her husband Emiliano Panconesi, Florence, Italy, who lectured on body image and cosmetic dermatology.
Symposia In the symposium on surgical cosmetic dermatology, Placek Waldemar, Warsaw, Poland, and his group discussed suction blister grafting and autologous grafts for treating vitiligo, while E. Tooms, Washington, DC, presented her work on liposuction in men. The fat is more fibrous in men than in women; therefore the canulas need to have different apertures and shorter lengths. Several sessions were devoted to acne. Larry Millikan, New Orleans, LA (Fig 7), spoke on “Optimal Skin Care 2004 —the new approach to total skin care.” Research into inflammation and skin disease, most importantly in acne and rosacea, has provided new insights into cosmetic concerns with these conditions. Work in the US, as well as the work by Inomhea of Yakohama, Japan, has centered on activation of various TOLL receptors, the gelatinase, and other substances. Recent studies looking at retinoids suppressing the activation
Figure 7. Larry E. Millikan spoke on delivering the best dermatologic care for 2004.
CONGRESS REPORT
353
Figure 8. Jennifer L. Parish lectured on the use of water in dermatology.
of these processes and thereby diminishing inflammation promises to completely change the approach to acne therapy. Increasing awareness of this cosmetic concern noted by Yan Wu, Beijing, China and his group have found that not enough Chinese teenagers seek help for the treatment of acne. The scarring that occurs can have psychiatric sequellae. Chinese dermatologists need to teach patients about the problems of acne and the need for early intervention. The symposia on phototherapy, headed by Henry Lim, Detroit, Michigan and Jin Ho Chung, Seoul, Korea,
Figure 9. Xue-Jun Zhu and Larry E. Millikan are seen at the Opening Banquet.
354
Clinics in Dermatology
CONGRESS REPORT
Y
2004;22:351–354
Figure 10. The Closing Banquet included a spectacular exhibition of traditional Chinese dancers.
included presentations on molecular mechanism of solar elastosis and functional evaluation of cosmetic sunscreens in China. Lim discussed polymorphous light eruption (PMLE) as the most common idiopathic photodermatosis, while actinic prurigo, most often found in Native Americans, and juvenile spring eruption, a variant of PMLE, occurs in young boys on the ears Jennifer Parish, Philadelphia, Pennsylvania, discussed the various uses of water in dermatology (Fig 8). There has been a resurgence in interest worldwide in the use of water for the treatment of various skin diseases. This has probably been sparked by the extensive studies in the treatment of psoriasis at the Dead Sea. Dermatologic entities seem to benefit more from external use of water, rather than the ingestion of various spring waters containing a variety of minerals. In the symposium on prevention and correction of pigmentation, Jean de Rigal from France suggested a new skin color chart to evaluate the intensity of pigmentation. This should prove helpful to the research directed toward standardization of skin color. Zhigang Bi, China, gave a lecture on prevention of pigmentation in China. Use of daily skin care with broad spectrum anti- UVB and UVA filters should be recommended. R. Schmidt from France presented his work on in vitro models to study skin pigmentation and its modulation.
Free Communications There were a number of excellent short papers that covered the gamut of cosmetic dermatology (Fig 11). Jie Weang, Harbin, China uses smooth beam laser for treating acnes while Weig Hong, Chendu, China, has studied the Nlite laser system for reducing wrinkles. Other presentations discussed stinging, transepidermal water loss, and the interesting correlation with abnormal skin-barrier function. The Coherent CO2 Ul-
Figure 11. Free Communications.
tra Pulse Laser permits repigmentation in several patients. A study compared the aging process between European patients and Pacific-rim patients, whereas Caucasian skin is more associated with wrinkling, Chinese, Japanese, and Korean skin will often show more mottling and spotting.
Social Events The opening banquet took place in the Great Hall of the People (Chinese Parliament) (Fig 9). The other social events (Fig 10) and the opportunity to see the Great Wall, Tiananmen Square, the Forbidden City, and other places of historic interest made this Third World Congress a most memorable event. We are indebted to our hosts from Beijing.
Paris 2005 We all look forward to the Fourth World Congress of the IACD, which will be held in Paris under the presidency of Daniel Wallach. The venue is the Palais des Congre`s de Paris and the dates are July 3–5, 2005.