Infertility is often associated with diverse psychiatric morbidities and quality of life impairments. Hence, this meta-analysis aimed to compare stress, depression, anxiety and quality of life (QoL) among infertile men and women. We retrieved the relevant articles from multiple databases. For the statistical analyses, we used Comprehensive Meta-Analysis software v. 3.7 (Biostat Inc., Englewood, NJ). Standardized mean differences (SMD) with 95% confidence intervals (CI) were calculated and displayed in forest plots. Among the 4123 articles identified, 35 studies met the inclusion criteria. Our results revealed that stress, depression, and anxiety were higher in infertile women compared to men. Similarly, infertile women presented a lower QoL than infertile men. Subgroup analysis revealed that the assessment tool used, study design, and geographical origin were a source of heterogeneity. This meta-analysis showed that psychological disturbances were higher in infertile women compared to men. Physicians need to consider this difference to enable couples to better understand and support each other.

Purpose The term muscle dysmorphia (MD) refers to the pathological desire to increase lean muscle mass coupled with a persistent belief that one is not muscular enough. The disorder was recently classified under the umbrella of obsessive-compulsive disorder in DSM-5. The individuals social view and sense of self-worth are impacted by MD. Consequently, functional impairment occurs. The assessment of MD is made with the muscle dysmorphia Disorder Inventory (MDDI). The purpose of the study is to validate the Arabic version of the MDDI ensuring the availability of the instrument in Arabic-speaking nations. Methods 1118 participants (58% female, average age 28 years) participated in the translation of MDDI through an internet-based survey. Results Based on multigroup confirmatory factor analysis (CFA), the three-factor structure of the English MDDI was replicated, independent of gender (TLI = 0.85, CFI = 0.90, RMSEA = 0.09). The reliability was evaluated via Cronbach's α and McDonald's ω for the total MDDI scale and the sub-scales. Cronbach´s alpha was 0.71 for DFS, 0.71 for AI and 0.82 for FI, and 0.70 for the MDDI total score. Men and women showed differences in three subscales of the MDDI (DFS, AI, FI). McDonald's Omega showed an Al of (0 .72) DFS (0.72) FI (0.83) and total MDDI (0.82). Conclusion The MDDI-13 Arabic translation proved to be valid. Thus, the results are consistent with using the measure in Arabic-speaking nations. Level of evidence: Level V descriptive cross-sectional study.

Atrophoderma of Pasini and Pierini (APP) is a rare cutaneous condition of unknown etiology, predominantly affecting young women. It is a dermatologic disorder characterized by hyperpigmented depressed patches of dermal atrophy. Patients usually present with single or multiple asymptomatic, violaceous, and sharply demarcated areas of depressed plaques; of note, unlike morphea, there is no surrounding erythema or induration. In this report, we discuss a case of a 43-year-old South Asian male patient who presented with an eight-month history of multiple asymptomatic, and depressed bluish-brown plaques that had appeared over his body. The clinicopathological correlation was consistent with a diagnosis of idiopathic atrophoderma of Pasini and Pierini (IAPP). We also engage in a review of the literature on IAPP.