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Efficacy of Tofacitinib in the Treatment of Universal Alopecia Areata and Primary Sjögren Syndrome 托法替尼治疗广泛性斑秃及原发性Sjögren综合征的疗效观察
Pub Date : 2023-04-21 DOI: 10.3390/dermato3020009
T. Ródenas-Herranz, Marta Cebolla-Verdugo, Carlos Llamas-Segura, R. Ruiz-Villaverde, M. T. Herranz-Marín
Dear Editor: Alopecia areata (AA) is a form of alopecia whose prevalence ranges from 0 [...]
亲爱的编辑:斑秃(AA)是脱发的一种形式,患病率从0[…]
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引用次数: 0
Congenital Atrophic Dermatofibrosarcoma Protuberans: A Case Report and Review of the Literature 先天性萎缩性皮肤纤维肉瘤隆突1例报告及文献复习
Pub Date : 2023-04-16 DOI: 10.3390/dermato3020008
I. Salem, Katherine E. Bradley, Julianne A Mann, Joseph H. Shin, M. LeBoeuf, Aravindhan Sriharan
Dermatofibrosarcoma protuberans (DFSP) is a rare mesenchymal tumor of intermediate malignant potential. The neoplasm is locally aggressive with a high rate of recurrence. It typically presents in adults. Atrophic congenital DFSP is extremely rare. The few reported cases have presented as a morphea-like plaque that persists for years, before progressing into a nodular form. To our knowledge, congenital atrophic DFSP has been only reported fourteen times, and of those, only nine were confirmed by molecular studies. Herein we report a congenital case of atrophic DFSP, which initially presented as a bruise-like atrophic plaque on the dorsal forearm, initially mistaken for child abuse. The clinical appearance, histopathology, and molecular features of this rare form of DFSP are reviewed. Our case highlights the importance of early detection and adequate sampling of congenital DFSP; early treatment allows for treating small lesions without large, disfiguring, and potentially disabling excisions.
摘要隆突性皮肤纤维肉瘤(DFSP)是一种罕见的中间恶性潜能间充质肿瘤。肿瘤局部侵袭性强,复发率高。它通常出现在成年人身上。萎缩性先天性DFSP极为罕见。少数报告的病例表现为吗啡样斑块,持续数年,然后发展为结节形式。据我们所知,先天性萎缩性DFSP仅报道了14例,其中只有9例得到了分子研究的证实。在此,我们报告一个先天性萎缩性DFSP病例,最初表现为前臂背侧的瘀伤样萎缩性斑块,最初被误认为是儿童虐待。本文综述了这种罕见的DFSP的临床表现、组织病理学和分子特征。我们的病例强调了早期发现和充分取样先天性DFSP的重要性;早期治疗可以治疗小的病变,而不需要大的、毁容的和可能致残的切除。
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引用次数: 0
An In Vitro Pilot Study Investigating the Antineoplastic Effects of GP-2250 on Cutaneous Squamous Cell Carcinoma Cell Lines: Preliminary Results GP-2250对皮肤鳞状细胞癌细胞抗肿瘤作用的体外初步研究
Pub Date : 2023-03-14 DOI: 10.3390/dermato3010007
Milan Barras, L. Schmitz, C. Braumann, W. Uhl, M. Skrygan, M. Buchholz, T. Meyer, E. Stockfleth, T. Müller, J. Becker, T. Gambichler
Advanced cutaneous squamous cell carcinoma (cSCC) can be a life-threatening disease for which effective and safe treatment in advanced stages is very limited. GP-2250 has been recently proven to have—in vitro and in vivo—antineoplastic effects on cancer cells. This study aims to investigate the potential anti-neoplastic effects of GP-2250 on the cSCC cell lines SCC13 and A431 through dose finding assessments, MTT cytotoxicity assays, cell migration assays, BrdU proliferation assays and FCM analysis. Our preliminary results have shown for the first time evidence for anti-neoplastic effects of GP-2250 on cSCC cells, enhancing cytotoxicity, attenuating cancer cell proliferation, inducing apoptosis and reducing tumour cell migration. Further investigations evaluating the modes of action of GP-2250 on cSCC cell lines are warranted in order to justify the use in vivo studies.
晚期皮肤鳞状细胞癌(cSCC)是一种危及生命的疾病,在晚期有效和安全的治疗非常有限。GP-2250最近已被证明对癌细胞具有体外和体内的抗肿瘤作用。本研究旨在通过剂量发现评估、MTT细胞毒性试验、细胞迁移试验、BrdU增殖试验和FCM分析,探讨GP-2250对cSCC细胞株SCC13和A431的潜在抗肿瘤作用。我们的初步结果首次证明了GP-2250对cSCC细胞的抗肿瘤作用,增强细胞毒性,减缓癌细胞增殖,诱导细胞凋亡,减少肿瘤细胞迁移。进一步的研究评估GP-2250对cSCC细胞系的作用模式是必要的,以证明在体内研究的使用是合理的。
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引用次数: 1
FDTD Simulations of Sweat Ducts and Hair at 0.45 THz 0.45太赫兹下汗腺和毛发的时域有限差分模拟
Pub Date : 2023-03-02 DOI: 10.3390/dermato3010006
Zoltan Vilagosh, Negin Foroughimehr, A. Lajevardipour, A. Wood
Advances in Terahertz frequency electromagnetic radiation (THz) production technologies have produced an increasing interest in exploring possible applications. New applications will inevitably lead to increased incidental interaction of humans with THz radiation. Given that the wavelength of THz radiation is in the same order of magnitude as the dimensions of skin structures such as hair and sweat ducts, the possibility of interaction among these structures is of interest. The interaction was studied utilizing Finite Difference Time Domain (FDTD) simulations using a far-field excitation of 0.45 THz. No antenna-like effects were detected. Regions of increased specific absorption rate (SAR) due to reactive near-field effects with both the hair and sweat ducts were found in the order of 0.01–0.05 mm and 0.001–0.002 mm, respectively. Simulations using unwound sweat ducts yielded the same penetration pattern as the helical structure, indicating that the helical structure has no impact on the propagation of THz radiation in skin.
太赫兹频率电磁辐射(THz)生产技术的进步使人们对探索可能的应用越来越感兴趣。新的应用将不可避免地导致人类与太赫兹辐射的偶然相互作用增加。考虑到太赫兹辐射的波长与皮肤结构(如头发和汗腺)的尺寸在同一个数量级,这些结构之间相互作用的可能性令人感兴趣。在0.45太赫兹远场激励下,利用时域有限差分(FDTD)模拟研究了两者的相互作用。未检测到天线样效应。由于反应性近场效应,毛发和汗管的比吸收率(SAR)增加的区域分别为0.01 ~ 0.05 mm和0.001 ~ 0.002 mm。使用未缠绕的汗管进行模拟得到了与螺旋结构相同的穿透模式,表明螺旋结构对太赫兹辐射在皮肤中的传播没有影响。
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引用次数: 2
Violaceous Lesions on the Leg: What Else Apart from Kaposi Sarcoma? Differential Diagnosis with a Narrative Review of the Literature 腿上的紫色病变:除了卡波西肉瘤还有什么?鉴别诊断与文献叙述回顾
Pub Date : 2023-02-16 DOI: 10.3390/dermato3010005
A. Pileri, Gionathan Orioni, C. Zengarini, V. Grandi, B. Piraccini, V. Gaspari
With this work, we aimed to review the principal benign and malignant tumors (including vascular, keratinocytic/epidermal, melanocytic, hematopoietic, and lymphoid origin), primarily affecting the leg’s skin. The lesions’ location can also help focus on a spectrum of differential diagnoses in clinical practice. All the diseases present the same clinical presentation characterized by erythematous to violaceous nodules. Despite the same clinical presentation, each disease’s prognostic outcome and therapeutic management can be somewhat different. Since clinical diagnosis may sometimes be challenging, histology and immunohistochemistry play a fundamental role in recognizing and staging these types of lesions. Molecular studies can help to determine the exact nature of lesions with no specific characteristics. Kaposi’s sarcoma is an angioproliferative neoplasm that typically occurs in the lower limbs and can enter into differential diagnosis with several other rarer skin diseases. The principal differential diagnosis concerns primary cutaneous lymphomas, of which mycosis fungoides represent the most frequent primary cutaneous T-cell lymphoma. Other rare forms include primary cutaneous B-cell lymphomas, which can be divided into indolent and aggressive forms, such as the primary cutaneous diffuse large B-cell lymphoma, leg type, and lymphomatoid papulomatosis (LyP). In the case of indolent lesions, skin-directed therapies, limited-field radiotherapy, and surgical approaches can be good options. At the same time, different management, with systemic chemotherapy and allogenic bone marrow transplant, is required with aggressive neoplasms, such as blastic plasmacytoid dendritic cell neoplasia or advanced mycosis fungoides. The dermatologist’s role can be crucial in recognizing such diseases and avoiding misdiagnosis, giving the pathologist the correct clinical information for an accurate diagnosis, and starting the suitable therapy.
通过这项工作,我们旨在回顾主要影响腿部皮肤的主要良性和恶性肿瘤(包括血管、角化细胞/表皮、黑素细胞、造血和淋巴细胞起源)。在临床实践中,病变的位置也可以帮助集中在一系列的鉴别诊断上。所有的疾病都有相同的临床表现,以红斑到紫色结节为特征。尽管临床表现相同,但每种疾病的预后结果和治疗管理可能有所不同。由于临床诊断有时可能具有挑战性,组织学和免疫组织化学在识别和分期这些类型的病变方面起着重要作用。分子研究可以帮助确定没有特定特征的病变的确切性质。卡波西肉瘤是一种血管增生性肿瘤,通常发生在下肢,可与其他几种罕见的皮肤病进行鉴别诊断。主要的鉴别诊断涉及原发性皮肤淋巴瘤,其中蕈样真菌病是最常见的原发性皮肤t细胞淋巴瘤。其他罕见的形式包括原发性皮肤b细胞淋巴瘤,可分为惰性和侵袭性两种形式,如原发性皮肤弥漫性大b细胞淋巴瘤、腿部型和淋巴瘤样丘疹瘤病(LyP)。在惰性病变的情况下,皮肤定向治疗,有限场放射治疗和手术方法可以是很好的选择。同时,对于侵袭性肿瘤,如母浆细胞样树突状细胞瘤或晚期蕈样真菌病,需要不同的治疗方法,如全身化疗和同种异体骨髓移植。皮肤科医生的角色在识别此类疾病和避免误诊方面至关重要,为病理学家提供准确诊断的正确临床信息,并开始适当的治疗。
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引用次数: 1
Rapid Melanoma Death of an Adult Male with Congenital Bathing Trunk Nevus despite Initiation of Combination Immunotherapy 一例成年男性先天性浴干痣患者在开始联合免疫治疗后迅速死亡
Pub Date : 2023-02-08 DOI: 10.3390/dermato3010004
T. Gambichler, Kathrin Noldes, Yousef Arafat, M. Neid, A. Rütten, S. Boms
Dear Editors: Giant congenital melanocytic naevus (GCMN)-associated melanoma in adults is very rare [...]
亲爱的编辑:成人巨型先天性黑素细胞痣(GCMN)相关黑色素瘤非常罕见[…]
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引用次数: 0
Merkel Cell Carcinoma in Kidney Transplant Recipients 肾移植受者的默克尔细胞癌
Pub Date : 2023-01-30 DOI: 10.3390/dermato3010003
Henry H. L. Wu, Isobel Pye, R. Chinnadurai
Merkel cell carcinoma (MCC) is an uncommon form of skin neoplasm with poor histological differentiation and an aggressive disease process, leading to high recurrence and mortality. There are multiple risk factors in which being in an immunocompromised state is a significant factor, and the discovery of Merkel cell polyomavirus (MCPyV) since 2008 has strengthened causal associations between MCC and immunosuppression. Individuals who have undergone kidney transplantation are therefore more susceptible to having MCC, secondary to post-transplant immunosuppression which plays a vital role in reducing the risk of transplant kidney rejection. Over recent years a rise in the incidence of MCC following kidney transplantation is noted, with increased reporting of such cases. Whilst localized MCC is observed, MCC metastasis to the lymphatic system, brain, bone, liver, lung, and heart has been previously observed in patients with transplanted kidneys. Kidney metastasis is less common and has been only reported in recent years with greater frequency. The management of aggressive, metastatic MCC has historically been palliative, and prognosis is poor. Recently, the use of immune checkpoint inhibitors for metastatic MCC in multi-center phase II clinical trials have shown promising survival outcomes and have been approved for use in countries such as the United States as a first-line treatment. In this review we will explore the potential pathophysiological processes of MCC manifesting post-kidney transplantation. We will then evaluate the epidemiology of MCC within the context of kidney transplantation, before discussing the various clinical presentations, diagnostic measures, surveillance strategies, and current treatment options as well as future directions to best manage MCC in kidney transplant recipients.
默克尔细胞癌(MCC)是一种罕见的皮肤肿瘤,组织学分化差,病程侵袭性强,复发率高,死亡率高。存在多种危险因素,其中免疫功能低下是一个重要因素,自2008年以来默克尔细胞多瘤病毒(MCPyV)的发现加强了MCC与免疫抑制之间的因果关系。因此,接受过肾移植的个体更容易发生MCC,继发于移植后的免疫抑制,这在降低移植肾排斥反应的风险中起着至关重要的作用。近年来,肾移植后MCC的发病率有所上升,这类病例的报道也有所增加。虽然可以观察到局部MCC,但MCC转移到淋巴系统、脑、骨、肝、肺和心脏的情况以前也曾在肾移植患者中观察到。肾转移不太常见,近年来才有报道,发生频率更高。侵袭性、转移性MCC的治疗历来是姑息性的,预后较差。最近,在多中心II期临床试验中,使用免疫检查点抑制剂治疗转移性MCC显示出有希望的生存结果,并已被批准在美国等国家作为一线治疗。在这篇综述中,我们将探讨肾移植后MCC的潜在病理生理过程。然后,我们将评估肾移植背景下MCC的流行病学,然后讨论各种临床表现、诊断措施、监测策略、当前治疗方案以及未来最好地管理肾移植受者MCC的方向。
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引用次数: 0
The Correlation between Interleukin 33 and Psoriasis: A Systematic Review and Meta-Analysis 白细胞介素33与银屑病的相关性:系统回顾和荟萃分析
Pub Date : 2023-01-09 DOI: 10.3390/dermato3010002
Keshav Kc, Hua Hu, Tilak Mahatara, S. Koirala, S. Shrestha, Shiv K. Sharma, Xiangfeng Song, Zhongwei Tian
Psoriasis is a common genetic autoimmune disorder with a global prevalence of 2–3%. The clear pathogenesis of psoriasis is not fully understood, but hyperproliferation and inflammation of the epidermis with marked infiltration of immune cells have been indicated in psoriasis with such cells producing different types of cytokines- interleukin. As such a new member of the IL-1 cytokine family, in some research, IL-33 has been linked with psoriasis showing high serum concentration of IL-33 in human psoriatic plaques compared to normal healthy skin. Despite this, the association between IL-33 and psoriasis is not clear. Herein, in this review, we aim to investigate the correlation between serum IL-33 levels and psoriasis. We conducted meta-analysis using fixed or random-effects models to calculate pooled standard mean differences. We found that the mean IL-33 serum levels were reported between 0.35 pg/mL to 586 pg/mL in the psoriatic group and 0 pg/mL to 87.7 pg/mL in the healthy control group. Out of five, four individual studies included in the analysis reported statistically significant differences in IL-33 levels, the pooled estimate (SMD = 0.340 95% CI: −0.308 to 0.988), however, did not indicate a significant relation between IL-33 and psoriasis. This analysis revealed no significant difference between serum IL-33 levels in the psoriatic population in comparison to healthy controls. This may be because we did not include any animal studies, lab-based studies, any other markers mixed together, or any other cases of diseases mixed together. However, further research is warranted to confirm the reported association as this analysis is limited by the low-quality and observational nature of the included studies.
牛皮癣是一种常见的遗传性自身免疫性疾病,全球患病率为2-3%。银屑病的发病机制尚不完全清楚,但在银屑病中,表皮增生和炎症与免疫细胞的明显浸润有关,这些细胞产生不同类型的细胞因子-白细胞介素。IL-33作为IL-1细胞因子家族的新成员,在一些研究中,IL-33与银屑病有关,与正常健康皮肤相比,银屑病斑块中IL-33的血清浓度较高。尽管如此,IL-33与牛皮癣之间的关系尚不清楚。本文旨在探讨血清IL-33水平与银屑病的相关性。我们使用固定或随机效应模型进行了meta分析,以计算合并标准均值差异。我们发现,银屑病组的平均血清IL-33水平在0.35 pg/mL至586 pg/mL之间,健康对照组的平均血清IL-33水平在0 pg/mL至87.7 pg/mL之间。在五项研究中,有四项研究报告了IL-33水平的统计学差异,但合并估计(SMD = 0.340 95% CI: - 0.308至0.988)并未表明IL-33与牛皮癣之间存在显着关系。该分析显示银屑病人群与健康对照组相比血清IL-33水平无显著差异。这可能是因为我们没有包括任何动物研究、实验室研究、任何其他混合标记物或任何其他混合疾病病例。然而,由于纳入研究的低质量和观察性,本分析受到限制,需要进一步的研究来证实报告的相关性。
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引用次数: 0
Lack of Knowledge and Misperceptions on Photoprotection among Brazilian Youngsters 巴西青少年对光防护知识的缺乏和误解
Pub Date : 2022-12-23 DOI: 10.3390/dermato3010001
M. de Paula Corrêa, Fabrina Bolzan Martins, A. Yamamoto, Natana Batista Paiva, L. F. Silva, R. J. Souza, Mayara Motta Melo, Clarissa Santos de Carvalho Ribeiro
Daily photoprotection (PhP) is essential in preventing harmful effects from solar ultraviolet radiation (UVR) exposure. For that reason, we interviewed students aged from 4 to 20 years old about their knowledge on sun exposure and PhP habits. Age, sex, family income, and skin phototype were statistically related to the proposed questions. Our results show that Brazilian youngsters do not have the habit of wearing long-sleeved clothing (<15% in summer), sunglasses (0.0%), or hats (2.1%). More than 40% had no knowledge about ultraviolet index (UVI), while another 30% misinterpreted what it is. Less than half of all students wear sunscreen when out in the sun. Despite this low PhP use-rate, more than 90% know that UVR causes skin cancers. Low income was the factor that showed the greatest number of significant relationships with respect to the lack of PhP. The findings suggest that current traditional PhP campaigns are not efficient. We propose that PhP should be part of school curricula from elementary school onwards. After all, the lack of educational programs predisposes these youngsters to an increased chance of skin diseases in the future.
日常的光防护(PhP)对于防止太阳紫外线辐射(UVR)的有害影响是必不可少的。出于这个原因,我们采访了4到20岁的学生,了解他们对阳光照射和PhP习惯的了解。年龄、性别、家庭收入和皮肤照相类型与提出的问题有统计学关系。我们的研究结果显示,巴西年轻人没有穿长袖衣服(夏季<15%)、太阳镜(0.0%)或帽子(2.1%)的习惯。超过40%的人对紫外线指数(UVI)一无所知,另有30%的人误解了它的含义。不到一半的学生在阳光下涂抹防晒霜。尽管PhP的使用率很低,但超过90%的人知道紫外线辐射会导致皮肤癌。低收入是在缺乏PhP方面显示出最显著关系的因素。研究结果表明,目前传统的PhP活动效率不高。我们建议PhP应该成为小学以后学校课程的一部分。毕竟,缺乏教育计划会使这些年轻人将来患皮肤病的几率增加。
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引用次数: 0
Pityriasis Lichenoides Chronica-like CD8-Positive Mycosis Fungoides 慢性地衣癣样cd8阳性蕈样真菌病
Pub Date : 2022-10-19 DOI: 10.3390/dermato2040011
T. Gambichler, Ekaterina Heinzer, C. Hendricks, Nicole Duschner, S. Boms
Dear Editors: Pityriasis lichenoides-like mycosis fungoides (MF) is a rare variant of MF, presenting clinical findings of pityriasis lichenoides (PL) but histological features of MF [...]
亲爱的编者:地衣样松皮癣样蕈样真菌病(MF)是一种罕见的MF变异,临床表现为地衣样松皮癣(PL),但MF的组织学特征[…]
{"title":"Pityriasis Lichenoides Chronica-like CD8-Positive Mycosis Fungoides","authors":"T. Gambichler, Ekaterina Heinzer, C. Hendricks, Nicole Duschner, S. Boms","doi":"10.3390/dermato2040011","DOIUrl":"https://doi.org/10.3390/dermato2040011","url":null,"abstract":"Dear Editors: Pityriasis lichenoides-like mycosis fungoides (MF) is a rare variant of MF, presenting clinical findings of pityriasis lichenoides (PL) but histological features of MF [...]","PeriodicalId":11115,"journal":{"name":"Dermato-Endocrinology","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80122875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Dermato-Endocrinology
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