We describe two patients with newly diagnosed dermatoses localizing to the radiotherapy field following treatment for breast cancer. Patient 1 was a 53-year-old woman who developed bullous morphoea on her left breast two years after radiotherapy. Patient 2 was a 43-year-old woman who developed urticaria pigmentosa on her right breast eight months after radiotherapy and similar lesions gradually developed beyond the radiotherapy field. Both patients experienced a significant delay in diagnosis due to diagnostic confusion and concern over breast cancer recurrence. Irradiated skin demonstrates gradual and sustained alterations in fibrosis due to the production of long-lived cytokines and chemokines. These changes can induce a koebnerizing response in conditions such as morphoea and urticaria pigmentosa. We explore the mechanisms behind radiotherapy-induced skin changes, and highlight the potential for radiotherapy to exacerbate or unmask underlying dermatoses and systemic disease in the months and years following treatment.
Background
Research impact has traditionally been measured using citation count and impact factor (IF). Academics have long relied heavily on this form of metric system to measure a publication’s impact. A higher number of citations is viewed as an indicator of the importance of the research and a marker for the impact of the publishing journal. Recently, social media and online news sources have become important avenues for dissemination of research, resulting in the emergence of an alternative metric system known as altmetrics.
Objective
We assessed the correlation between altmetric attention score (AAS) and traditional scientific impact markers, namely journal IF and article citation count, for all the dermatology journal and published articles of 2017.
Methods
We identified dermatology journals and their associated IFs available in 2017 using InCites Journal Citation Reports. We entered all 64 official dermatology journals into Altmetric Explorer, a Web-based platform that enables users to browse and report on all attention data for every piece of scholarly content for which Altmetric Explorer has found attention.
Results
For the 64 dermatology journals, there was a moderate positive correlation between journal IF and journal AAS (rs=.513, P<.001). In 2017, 6323 articles were published in the 64 dermatology journals. Our data show that there was a weak positive correlation between the traditional article citation count and AAS (rs=.257, P<.001).
Conclusions
Our data show a weak correlation between article citation count and AAS. Temporal factors may explain this weak association. Newer articles may receive increased online attention after publication, while it may take longer for scientific citation counts to accumulate. Stories that are at times deemed newsworthy and then disseminated across the media and social media platforms border on sensationalism and may not be truly academic in nature. The opposite can also be true.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.