{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,21]],"date-time":"2026-06-21T20:49:02Z","timestamp":1782074942307,"version":"3.54.5"},"reference-count":12,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Dermatitis\u00ae"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Despite known dermatologic risks from sustained mouthpiece contact, the prevalence, clinical presentation, care-seeking patterns, and hygiene practices related to mouthpiece-associated dermatitis and cheilitis in brass musicians remain poorly understood.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To characterize mouthpiece-related dermatitis\/cheilitis symptoms, performance impact, care-seeking behavior, and hygiene practices among brass musicians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Brass musicians aged \u226515 completed an anonymous 18-item survey. Quantitative data were analyzed with descriptive statistics and logistic regression. Open-ended responses underwent thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Of 228 respondents, 48.2% (95% confidence interval [CI]: 41.8\u201354.7) reported any mouthpiece-related symptoms and 28.1% (95% CI 22.6\u201334.3) reported definite symptoms. The most common symptoms were redness (67.6%), lip swelling (53.7%), and dryness (52.8%), with impacts on performance quality (47.2%) and the need for playing breaks (46.2%). 80.0% of respondents indicated hygiene familiarity, but only 38.1% cleaned their mouthpiece at least weekly. Symptom reporting varied by age (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.010) and professional level (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.002), though multivariable estimates were imprecise. Qualitative themes highlighted physical and mental symptoms, mouthpiece materials, and self-management.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Mouthpiece-related dermatitis and cheilitis are prevalent among brass musicians, frequently impacting performance, yet care-seeking remains limited and symptoms are often self-managed outside formal health care settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17103568261461965","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T10:50:53Z","timestamp":1781866253000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Brass Instrument-Related Dermatitis and Cheilitis: A Cross-Sectional Survey Study of Brass Musicians"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-0018-9308","authenticated-orcid":false,"given":"Jacob","family":"Fay","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Aultman","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, Northeast Ohio Medical University, Rootstown, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eliot","family":"Mostow","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Northeast Ohio Medical University, Rootstown, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,19]]},"reference":[{"key":"e_1_3_1_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-5945-4-3"},{"key":"e_1_3_1_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/DER.0000000000000153"},{"issue":"3","key":"e_1_3_1_4_1","first-page":"117","article-title":"Dermatologic manifestations of musicians: A case report and review of skin conditions in musicians","volume":"87","author":"Vine K","year":"2011","unstructured":"3.Vine K, , DeLeo V. Dermatologic manifestations of musicians: A case report and review of skin conditions in musicians. Cutis. 2011;87(3):117\u2013121.","journal-title":"Cutis."},{"key":"e_1_3_1_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/cod.13191"},{"key":"e_1_3_1_6_1","doi-asserted-by":"publisher","DOI":"10.4103\/jmms.jmms_41_18"},{"key":"e_1_3_1_7_1","unstructured":"6.Demerath G. Nickel contact dermatitis in instrumental music: a multiple case study. Master\u2019s thesis. University of Michigan: Ann Arbor MI; 2019. https:\/\/deepblue.lib.umich.edu\/bitstream\/handle\/2027.42\/150619\/Microsoft%20Word%20-%20Demerath%20Thesis.docx.pdf?sequence=1&isAllowed=y"},{"key":"e_1_3_1_8_1","doi-asserted-by":"publisher","DOI":"10.5021\/ad.2017.29.1.127"},{"issue":"6","key":"e_1_3_1_9_1","first-page":"351","article-title":"Cheilitis due to nickel contact allergy in a trumpet player","volume":"42","author":"Thomas P","year":"2000","unstructured":"8.Thomas P, , Rueff F, , Przybilla B. Cheilitis due to nickel contact allergy in a trumpet player. Contact Dermatitis. 2000;42(6):351\u2013352.","journal-title":"Contact Dermatitis"},{"key":"e_1_3_1_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.144.5.690"},{"key":"e_1_3_1_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0105-1873.2004.0426g.x"},{"key":"e_1_3_1_12_1","volume-title":"StatPearls","author":"Rishor-Olney CR","year":"2023","unstructured":"11.Rishor-Olney CR, , Gnugnoli DM. Nickel allergy. In: StatPearls. StatPearls Publishing: Treasure Island, FL; 2023. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK557638\/"},{"key":"e_1_3_1_13_1","volume-title":"An Introduction to Categorical Data Analysis","author":"Agresti A","year":"2018","unstructured":"12.Agresti A. An Introduction to Categorical Data Analysis, 3rd ed. John Wiley & Sons: Hoboken, NJ; 2018.","edition":"3"}],"container-title":["Dermatitis\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17103568261461965","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17103568261461965","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17103568261461965","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,21]],"date-time":"2026-06-21T20:26:31Z","timestamp":1782073591000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17103568261461965"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,19]]},"references-count":12,"alternative-id":["10.1177\/17103568261461965"],"URL":"https:\/\/doi.org\/10.1177\/17103568261461965","relation":{},"ISSN":["1710-3568","2162-5220"],"issn-type":[{"value":"1710-3568","type":"print"},{"value":"2162-5220","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,19]]},"article-number":"17103568261461965"}}