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Sunscreens Percutaneous Absorption and Ingredients Concentration in Human Plasma and Urine: A Systematic Review. 人体血浆和尿液中防晒霜的经皮吸收和成分浓度:系统综述。
Pub Date : 2022-12-31 DOI: 10.33425/2690-537x.1024
Farnoosh Seirafianpour, Navid Sadeghi Azad, Atefeh Naeimifar, Milad Dodangeh, Masoud Pourghahramani Koltapeh, Sepideh Safari, H. Maibach, S. S. Alenabi, Parsa Panahi, Bita Mehravi, S. Nafisi
Sunscreen application is widespread and incorporated into daily life. Although FDA has approved 16 sunscreen ingredients, recent studies suggest a revaluation of their potential adverse effects. This systematic review assesses sunscreens’ percutaneous absorption, toxicity, and their ingredients concentration in urine and plasma. The search was conducted in Medline (PubMed), Scopus, Embase, and Cochrane until 05/08/2021. Data from 21 studies with related inclusion criteria were extracted. 18 studies reported sunscreen complications such as rash, irritation, immune system disorders, stratum corneum DNA damage, and hormonal disruption, 4 articles reported maximum concentration of sunscreen ingredients in plasma, and 4 articles reported urinary concentration of ingredients. In 2016, the FDA suggested a plasma concern level of 0.5 ng/mL for sunscreen ingredients. Sunscreen ingredients including avobenzone, octocrylene, ecamsule, homosalate, octisalate, enzacamene, octinoxate, and oxybenzone were detected more than 0.5 ng/mL after in blood 1-4 daily applications. Sunscreen application reduces the risk of sunlight harmful effects but could have advers effects related to their percutaneous penetration. Taken together, related data provide the impetus for detailed analysis of sunscreen toxicology. Also, highly adsorbed ingredients should be replaced with less adsorbed compounds to minimize body accumulation and the associated risks. Also, life time infant and children sunscreen exposure provide furthur impetus for in-depth toxicologic investigations
防晒霜的使用是广泛的,并融入日常生活。尽管FDA已经批准了16种防晒霜成分,但最近的研究表明,对它们潜在的副作用进行了重新评估。本系统综述评估了防晒霜的经皮吸收、毒性及其成分在尿液和血浆中的浓度。检索在Medline (PubMed)、Scopus、Embase和Cochrane中进行,直到2021年8月5日。从21项具有相关纳入标准的研究中提取数据。18项研究报告了防晒霜的并发症,如皮疹、刺激、免疫系统紊乱、角质层DNA损伤和激素紊乱,4项研究报告了血浆中防晒霜成分的最高浓度,4项研究报告了尿液中防晒霜成分的浓度。2016年,FDA建议防晒霜成分的血浆关注水平为0.5 ng/mL。防晒成分阿伏苯宗、奥克烯、艾胶囊、同盐酸盐、奥克酸盐、enzacamene、奥克酸盐、氧苯酮在使用1-4天后血液中检测出大于0.5 ng/mL的含量。防晒霜的使用减少了阳光的有害影响的风险,但可能有不利的影响与他们的经皮渗透。综上所述,相关数据为防晒霜毒理学的详细分析提供了动力。同时,高吸附成分应该用低吸附化合物代替,以尽量减少体内积聚和相关风险。此外,婴儿和儿童终身暴露于防晒霜为深入的毒理学研究提供了进一步的动力
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引用次数: 3
Dyslipidemia in Patients with Psoriasis and Psoriatic Arthritis 银屑病和银屑病关节炎患者的血脂异常
Pub Date : 2022-12-31 DOI: 10.33425/2690-537x.1026
Jinan Q. Mohammed, A. Mathkhor, Fahmi T Mardan
Background: Different comorbidities, including metabolic syndrome, altered lipid profile, and an increased cardiovascular risk commonly associated with Psoriasis and psoriatic arthritis (PsA). This study aimed to declare the correlation between dyslipidemia and Psoriasis. Patents and methods: Ninety-tow patients (29 patients with PSA and 63 patients with psoriasis vulgaris) and 88 healthy, age and sex-matched controls were recruited for the study. Serum levels of total cholesterol (TC), triglycerides (TG), high-density lipoproteins (HDL), and low-density lipoproteins (LDL) were measured. The severity of Psoriasis and PsA activity was assessed using the Psoriasis Area and Severity Index (PASI) and the Disease Activity Score using 28 joints (DAS28) for patients with Psoriasis and PSA, respectively. Results: HDL level was significantly lower in the patients than in controls. TC, TG, and LDL levels were significantly higher in the patient group than those in the control group. There are no significant differences in serum TC, TG, LDL, and HDL levels in Psoriasis and psoriatic arthritis. The serum TC, TG, LDL, and HDL levels were not related to disease duration but were associated with high disease activity. Conclusion: Dyslipidemia was found in a high percentage of psoriatic and PsA patients than in healthy controls. Dyslipidemia was associated with high disease activity in psoriatic and PsA patients. As Psoriasis and PsA are associated with an increased risk of cardiovascular diseases, thorough lipid levels estimation is required.
背景:不同的合并症,包括代谢综合征、血脂改变和心血管风险增加,通常与银屑病和银屑病关节炎相关。本研究旨在阐明血脂异常与银屑病的相关性。专利与方法:研究招募了92例患者(PSA患者29例,寻常型牛皮癣患者63例)和88例年龄和性别匹配的健康对照。测定血清总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白(HDL)和低密度脂蛋白(LDL)水平。银屑病患者和PsA患者分别采用银屑病面积和严重程度指数(PASI)和疾病活动评分(DAS28)对银屑病和PsA的严重程度和PsA活性进行评估。结果:患者HDL水平明显低于对照组。患者组TC、TG、LDL水平明显高于对照组。银屑病和银屑病关节炎患者血清TC、TG、LDL和HDL水平无显著差异。血清TC、TG、LDL和HDL水平与病程无关,但与疾病活动度高相关。结论:银屑病和PsA患者血脂异常的比例高于健康对照组。在银屑病和PsA患者中,血脂异常与高疾病活动度相关。由于牛皮癣和PsA与心血管疾病的风险增加有关,因此需要全面的脂质水平评估。
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引用次数: 0
Moderna Arm Cutaneous Side Effect of Moderna Vaccine among Healthcare Providers in Secondary Hospital in Jakarta - Tangerang, Indonesia. 印度尼西亚雅加达-坦格朗二级医院现代疫苗在医疗服务提供者中的皮肤副作用。
Pub Date : 2022-12-31 DOI: 10.33425/2690-537x.1023
Muthia Kamal Putri, Anna Rumaisyah, Ruri D. Pamela, P. K. Esti
Introduction: Since the emerging Delta variant of COVID-19 in 2021, the World Health Organization (WHO) and Centers for Disease Control and Prevention (CDC) have encouraged world citizens to get booster vaccination. Booster vaccination has been used worldwide to prevent severe COVID-19. Healthcare providers were given the priority to be vaccinated, and the Moderna vaccine was given as chosen booster vaccination. Cutaneous side effect related to the Moderna vaccine has been reported in Public Secondary Hospital in both two cities in Indonesia, Jakarta and Tangerang. Material & Methods: The observation for this report took place from August until September 2021. All the patients gave their informed consent to participate in this case report and explicit consent to use their clinical photos. We collected data on 357 cases for 2 months in Dr. Suyoto Hospital (Jakarta) dan Dr. Sitanala Hospital (Tangerang). Results: The total number of healthcare workers who got the booster vaccine was 1370, and the number of experienced Moderna Arm was 350 cases: 321 cases with edema, urtica, and erythematous rash, and 29 cases with ecchymosis in Suyoto Hospital while in Sitanala Hospital 7 cases of urtica & erythematous rash. Conclusion: There were side effects after the Moderna injection, and it was important to inform the recipient about those effects.
导言:自2021年新出现的COVID-19 Delta变体以来,世界卫生组织(WHO)和疾病控制与预防中心(CDC)鼓励世界公民接种加强疫苗。加强疫苗接种已在世界范围内用于预防严重的COVID-19。卫生保健提供者被优先接种疫苗,现代疫苗被作为选择的加强疫苗接种。印度尼西亚雅加达和坦格朗两个城市的公立二级医院都报告了与Moderna疫苗有关的皮肤副作用。材料与方法:本报告的观察时间为2021年8月至9月。所有患者均知情同意参与本病例报告,并明确同意使用其临床照片。我们收集了Dr. Suyoto医院(雅加达)和Dr. Sitanala医院(坦格朗)为期2个月的357例病例资料。结果:接受加强疫苗接种的医护人员总数为1370人,有现代医学经验的医护人员350例,其中Suyoto医院出现水肿、荨麻疹、红斑性皮疹321例,瘀斑29例,Sitanala医院出现荨麻疹、红斑性皮疹7例。结论:现代那注射液存在不良反应,应及时告知患者。
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引用次数: 0
Mannitol Cream for Itchy Psoriasis, a Case Report 甘露醇乳膏治疗瘙痒性牛皮癣1例报告
Pub Date : 2022-12-31 DOI: 10.33425/2690-537x.1025
Hélène Bertrand
78-year-old woman with severely itchy psoriasis, bald from scratching her scalp and pulling out her hair found relief from the itch within five minutes of applying a 30% mannitol cream. After using the cream twice daily for 5 weeks, her scalp psoriasis had subsided and her hair had regrown. The effect of this cream on her lower back psoriasis is documented with photographs. The psoriasis recurred when the cream was no longer available.
78岁的女性患有严重发痒的牛皮癣,由于抓挠头皮和拔头发而秃了,在涂了30%甘露醇霜后,瘙痒在5分钟内得到了缓解。每天使用两次乳膏,持续5周后,她的头皮牛皮癣消退,头发也重新长出来了。这面霜对她的下背部牛皮癣的影响是用照片记录的。牛皮癣复发时,膏不再可用。
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引用次数: 0
The Effectiveness of Virgin Coconut Oil Application on Improving The Skin Integrity of Preterm Infants: Systematic Review and Metaanalysis with Neonatal Skin Condition Score as the Parameter 初榨椰子油改善早产儿皮肤完整性的效果:以新生儿皮肤状况评分为参数的系统评价和荟萃分析
Pub Date : 2022-12-31 DOI: 10.33425/2690-537x.1022
Syafria Zidni, Diah Adriani Malik, P. Riyanto, Asih Budiastuti, R. Widayati, Muslimin M, Hardian H
Background: Preterm infants have a greater susceptibility to serious infections because their skin barrier has not fully functioned properly. Early birth in preterm infants causes immaturity of the barrier development, in the form of a thinner stratum corneum. Therefore extra care is needed to maintain the integrity of their skin to prevent infection, where the main recommendation is the administration of emollients, such as coconut oil. Virgin coconut oil contains nutrients and lauric acid that are more maintained and higher than coconut oil. Changes in skin integrity can cause extensive skin damage and become risk factors for infection. Erythema or damage to the skin such as erosion, excoriation, or crusting can be an early symptom of life-threatening infection in preterm infants. Assessment of skin integrity can be assessed objectively using the Neonatal Skin Condition Score (NSCS). Virgin coconut oil as an emollient with its antimicrobial activity is expected to allow improvement of the barrier structure of the skin. Aim: The purpose of this study is to review previous studies to provide a systematic summary of the effectiveness of topical coconut oil in improving the skin integrity of premature infants. Methods: Searching the electronic database Pubmed-MEDLINE, Scopus, ProQuest, Cochrane library, ClinicalTrials.gov, and Google Scholar, found five most relevant articles included in the qualitative and two of those five articles included in the meta-analysis. Result: The meta-analysis of the effect of topical VCO compared with control on NSCS values in preterm infants showed the value of heterogeneity test with Tau2=0.04 df=1; p=0.13, I2=55%. The value of the Q statistic was z value = 5.23 (p < 0.001). This shows that the overall administration of topical VCO can significantly improve the value of NSCS on preterm infants. The results of the overall meta-analysis showed that the overall standardized mean difference in NSCS between the intervention group compared to control was -0.93[-1.28 -0.58] (p < 0.001). These results indicate that the overall NSCS value of the intervention group was significantly better than the control group. Conclusion: Data from a systematic review and meta-analysis showed that the application of VCO can provide significantly better results in improving the skin integrity of preterm infants.
背景:早产儿对严重感染的易感性更大,因为他们的皮肤屏障还没有完全发挥作用。早产婴儿会导致角质层发育不成熟,形成较薄的角质层。因此,需要额外的护理来保持皮肤的完整性,以防止感染,其中主要的建议是使用润肤剂,如椰子油。初榨椰子油含有的营养成分和月桂酸比椰子油更持久,含量更高。皮肤完整性的改变可引起广泛的皮肤损伤,并成为感染的危险因素。红斑或皮肤损伤,如糜烂、擦伤或结痂,可能是早产儿危及生命的感染的早期症状。使用新生儿皮肤状况评分(NSCS)可以客观地评估皮肤完整性。初榨椰子油作为一种具有抗菌活性的润肤剂,有望改善皮肤的屏障结构。目的:本研究的目的是回顾以往的研究,提供一个系统的总结,在改善早产儿皮肤完整性外用椰子油的有效性。方法:检索Pubmed-MEDLINE、Scopus、ProQuest、Cochrane图书馆、ClinicalTrials.gov和谷歌Scholar等电子数据库,找到5篇最相关的文章纳入定性分析,其中2篇纳入meta分析。结果:外用VCO与对照组对早产儿NSCS值影响的meta分析显示,Tau2=0.04 df=1的异质性检验值;p = 0.13, I2 = 55%。Q统计值为z值= 5.23 (p < 0.001)。由此可见,局部应用VCO可显著提高NSCS对早产儿的价值。综合meta分析结果显示,干预组与对照组相比,NSCS总体标准化平均差异为-0.93[-1.28 -0.58](p < 0.001)。这些结果表明,干预组的整体NSCS值明显优于对照组。结论:系统回顾和荟萃分析的数据显示,应用VCO在改善早产儿皮肤完整性方面可以提供明显更好的结果。
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引用次数: 0
Serum Micronutrient Levels In Premature Canities: A Systematic Review and Meta-analysis. 早产儿血清微量营养素水平:系统回顾和荟萃分析。
Pub Date : 2021-12-30 DOI: 10.33425/2690-537x.1021
N. Camelia, Diah Adriani Malik, P. Riyanto, Asih Budiastuti, R. Widayati, Muslimin M, Hardian H
Background: Premature canities, also known as premature graying of hair, is the graying of hair before 20 years old in Caucasians, before 25 years old in Asians, and before 30 years old in African–Americans. The risk factors for premature canities are multifactorial. The role of micronutrient deficiency has long been suggested to be involved in the etiopathogenesis of premature canities. The management of premature canities remains limited and far from satisfactory; hence, knowing what vitamins and minerals can help in treating premature canities is vital. Aim: This study aims to analyze serum vitamin B12, iron, ferritin, copper, calcium, and zinc levels in premature canities. Methods: The MEDLINE/PubMed electronic database, Cochrane library, ClinicalTrials.gov, EBSCO, Scopus, ProQuest, Cambridge Core, reference lists, conference proceedings, and researchers in fields of eligible studies were searched. Twelve studies (n = 1791 subjects) were included in qualitative analysis of which nine studies (n = 1381 subjects) were included in meta-analysis. Serum levels of micronutrients (vitamin B12, iron, ferritin, copper, calcium, and zinc) were compared in the premature canities and nonpremature canities groups. Result: Pooling of data using fixed-effects model found the overall effect mean difference serum vitamin B12 level was −0.697 ± 0.105 (95% CI = −0.904 to −0.490), p < 0.001. The overall mean difference serum iron level was 0.146 ± 0.105 (95% CI = −0.058 to 0.350), p = 0.161. The overall mean difference serum ferritin level was 0.720 ± 0.071 (95% CI = 0.585 to 0.854), p < 0.001. The overall mean difference serum copper level was 0.230 ± 0.118 (95% CI = −0.003 to 0.463, p = 0.053. The overall mean difference serum calcium level was −0.443 ± 0.114 (95% CI = −0.655 to −0.212), p < 0.001. The overall mean difference serum zinc level was −0.104 ± 0.138 (95% CI = 0.377 to 0.170, p = 0.457. Qualitative analysis showed that vitamin B12 plays an important role in DNA synthesis in the proliferation of hair follicle cells and in melanogenesis. Iron, ferritin, copper, calcium, and zinc also play important roles in stabilizing and increasing tyrosinase activity in several stages of the melanogenesis process. Conclusion: The meta-analysis showed that serum levels of vitamin B12, ferritin, and calcium were significantly lower in premature canities. Although the lower serum iron, copper, and zinc levels were not significantly different in premature canities compared with nonpremature canities. Qualitative analysis found that deficiency of vitamin B12, iron, ferritin, zinc, copper, and calcium can affect the physiology of hair melanogenesis that causing premature canities.
背景:早老性龋齿,也被称为头发过早变白,是指白种人在20岁之前,亚洲人在25岁之前,非裔美国人在30岁之前出现头发变白。早产的危险因素是多因素的。长期以来,微量营养素缺乏的作用一直被认为参与了早产儿的发病机制。对过早龋齿的管理仍然有限,远不能令人满意;因此,了解哪些维生素和矿物质可以帮助治疗早产牙是至关重要的。目的:本研究旨在分析早产儿血清中维生素B12、铁、铁蛋白、铜、钙和锌的水平。方法:检索MEDLINE/PubMed电子数据库、Cochrane图书馆、ClinicalTrials.gov、EBSCO、Scopus、ProQuest、Cambridge Core、参考文献、会议论文集以及符合条件研究领域的研究者。定性分析纳入12项研究(n = 1791名受试者),meta分析纳入9项研究(n = 1381名受试者)。血清微量营养素(维生素B12、铁、铁蛋白、铜、钙和锌)水平在早牙组和非早牙组进行比较。结果:采用固定效应模型合并数据发现,血清维生素B12水平总体效应均值差异为- 0.697±0.105 (95% CI = - 0.904 ~ - 0.490), p < 0.001。血清铁水平总体平均差值为0.146±0.105 (95% CI = - 0.058 ~ 0.350), p = 0.161。血清铁蛋白水平总体平均差值为0.720±0.071 (95% CI = 0.585 ~ 0.854), p < 0.001。血清铜水平总体平均差值为0.230±0.118 (95% CI = - 0.003 ~ 0.463, p = 0.053)。总平均血钙水平差为- 0.443±0.114 (95% CI = - 0.655 ~ - 0.212), p < 0.001。血清锌水平总体平均差值为- 0.104±0.138 (95% CI = 0.377 ~ 0.170, p = 0.457)。定性分析表明,维生素B12在毛囊细胞增殖和黑色素形成的DNA合成中起重要作用。铁、铁蛋白、铜、钙和锌在稳定和增加酪氨酸酶活性的过程中也起着重要作用。结论:荟萃分析显示,早产儿血清中维生素B12、铁蛋白和钙水平显著降低。虽然较低的血清铁,铜,锌水平在早产儿与非早产儿相比没有显著差异。定性分析发现,缺乏维生素B12、铁、铁蛋白、锌、铜和钙会影响头发黑色素生成的生理机能,从而导致过早的龋齿。
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引用次数: 0
Systematic Review and Meta-analysis of the Effectiveness of Topical Aloe vera on Diaper Dermatitis with Parameters Degree of Diaper Dermatitis with Scale 局部芦荟治疗纸尿裤皮炎疗效的系统评价与meta分析,参数为纸尿裤皮炎分级
Pub Date : 2021-12-30 DOI: 10.33425/2690-537x.1020
Rinda Gita Atikasari, Diah Adriani Malik, R. Widayati, P. Riyanto, Asih Budiastuti, Muslimin M, Hardian H
Background: For toddlers younger than 36 months, most of them still use diapers, so diaper rashes frequently appear in the diaper area. To improve the skin barrier, a moisturizer is needed to repair the skin barrier. Besides, the ceramide gold standard of moisturizer for diaper dermatitis, topical ingredients with natural ingredients can be used, for example, topical Aloe vera. Objective: To prove the effectiveness of topical Aloe vera moisturizer compared to other topical ingredients against diaper dermatitis. Methods: The results of the electronic database search Medline Pubmed, Scopus, EBSCOhost, ProQuest, Cochrane library, ClinicalTrials.gov, found 5 articles were included in the qualitative review (n = 289 subjects) and 4 articles (n = 214 subjects) were included in the meta-analysis. Results: Meta-analysis showed that after the administration of topical Aloe vera, there was a mean difference in the score of the degree of diaper dermatitis before and after therapy, the result showed negative value in the studies which were included the treatment group with Aloe vera. This indicates a decrease in the degree of diaper dermatitis after treatment with Aloe vera. The control group also showed that the mean score difference in the degree of diaper dermatitis after administration of control therapy was all negative. This shows that after the administration of therapy in the control group there was also a decrease in the score of the degree of dermatitis. The biggest decrease in the degree of diaper dermatitis was in the study conducted by Murni 2020, which was -2.10 ± 1.39. The lowest decrease in the degree of diaper dermatitis was found in the study conducted by Badelbuu 2019 B which received Chamomile, which was -0.93 ± 1.08. Meanwhile, in the Panahi’s study, the heterogeneity test results showed the value of Q=5,324 df=43; p=0,256, I2=24,866. This shows that the data is homogeneous, it is in line with the results of the statistical Q test and heterogeneity, the results of the I2 test obtained p < 0.001 which also indicates the data is homogeneous. The analysis was carried out using a fixed effect model because the data were homogeneous. The results of the meta-analysis showed that the statistical Q value was z value = -0.969 (p = 0.047). It has quite meaningful results. Conclusion: The meta-analysis showed that statistically there were only slight differences, but there were also studies that provided significant results. Topical application of Aloe vera appears to be more effective. The results of qualitative analysis on other skin barrier function parameters indicate that topical Aloe vera can improve skin barrier function in diaper dermatitis patients. In addition, it provides the same results as standard therapy and several other topical therapies that had been studied which had a good effect on repairing the skin barrier.
背景:对于36个月以下的幼儿,大多数仍在使用尿布,因此尿布疹经常出现在尿布区。为了改善皮肤屏障,需要保湿霜来修复皮肤屏障。此外,纸尿裤皮炎保湿霜的神经酰胺金标准,可以使用天然成分的局部成分,例如局部芦荟。目的:比较芦荟保湿剂与其他外用成分对尿布性皮炎的疗效。方法:电子数据库检索Medline Pubmed、Scopus、EBSCOhost、ProQuest、Cochrane library、ClinicalTrials.gov,结果发现5篇文章(n = 289受试者)被纳入质评,4篇文章(n = 214受试者)被纳入meta分析。结果:meta分析显示,局部给药芦荟后,治疗前后尿布皮炎程度评分均有均值差异,纳入芦荟治疗组的研究结果均为负值。这表明用芦荟治疗后尿布皮炎的程度有所下降。对照组也显示,给予对照治疗后尿布皮炎程度的平均评分差异均为阴性。这说明对照组在给予治疗后,皮炎程度评分也有所下降。在Murni 2020的研究中,尿布皮炎程度下降幅度最大,为-2.10±1.39。服用洋甘菊的巴德布2019 B组尿布皮炎程度下降最低,为-0.93±1.08。同时,在Panahi的研究中,异质性检验结果为Q= 5324 df=43;p = 0256, I2 = 24866。这表明数据是同质的,与统计Q检验和异质性的结果一致,I2检验的结果得到p < 0.001,也表明数据是同质的。由于数据是均匀的,所以采用固定效应模型进行分析。meta分析结果显示,统计Q值为z值= -0.969 (p = 0.047)。它有相当有意义的结果。结论:meta分析显示在统计学上只有微小的差异,但也有研究提供了显著的结果。局部应用芦荟似乎更有效。定性分析其他皮肤屏障功能参数的结果表明,局部芦荟可改善纸尿裤皮炎患者的皮肤屏障功能。此外,它提供了与标准疗法和其他几种局部疗法相同的结果,这些疗法对修复皮肤屏障有很好的效果。
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引用次数: 0
A Case of Syphilitic Chancre of the Tongue 梅毒性舌下疳1例
Pub Date : 2021-12-30 DOI: 10.33425/2690-537x.1018
Galdava G, Liluashvili S, Kvirkvelia V
Initial presentation of syphilis may be the oral cavity. Because oral lesions are highly contagious, it is vital to make correct diagnosis and start therapy because interrupt chain of infection. In this article, we report a case of primary syphilis with extra genital chancre on the tongue.
梅毒的最初表现可能是口腔。由于口腔病变具有高度传染性,因此正确诊断并开始治疗至关重要,因为这会中断感染链。在这篇文章中,我们报告了一例原发性梅毒与额外生殖器下疳在舌头。
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引用次数: 0
SARS-CoV-2 Spike Glycoprotein Binds Heparan Sulfate Chains and N-Glycans in Psoriatic Keratinocytes: A Hypothesis. SARS-CoV-2刺突糖蛋白在银屑病角化细胞中结合硫酸肝素链和n -聚糖:一种假设
Pub Date : 2021-12-30 DOI: 10.33425/2690-537x.1019
Arciniegas Enrique, Carrillo Luz Marina, Salgado Antonio, Piquero Jaime, O. Diana
Psoriasis vulgaris, the most common form of psoriasis, is a chronic inflammatory skin disease that affects 2-3% of the worldwide population. It has been reported in patients with Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) suggesting the percutaneous transmission of this infection which may cause the exacerbation of psoriasis. Interestingly, elevated expression of ACE2 receptor on differentiating keratinocytes and basal cell layer of the epidermis of patients with psoriasis and COVID-19 involving pro inflammatory cytokines such as IFN-γ and IL-17, has been reported; however little is known about the participation of other receptors expressed on the surface of psoriatic keratinocytes, in the SARS-CoV-2 infection. Here we hypothesize that, in the skin of patients with psoriasis who have been diagnosed with COVID-19, the interaction of the SARS-CoV-2 S glycoprotein with the HSPGs Synd-1 and CD44 through their HS side chains and N-linked glycan, and Gal-3 and Gal-8 through the N- glycans located on the ACE2, integrin-β1, CD147, IFN-γR and IL-17A-R, would generate a Gal-glycan lattice at the surface of SARS-CoV-2 virus and psoriatic keratinocyte. Such Gal-glycan lattice in addition to influence keratinocyte proliferation and terminal differentiation, might induce conformational changes in the SARS-CoV-2 S glycoprotein facilitating the attachment and virus entry. We consider that future work will be required to understand the mechanisms regulating Gal-glycan lattice assembly during psoriatic keratinocyte and SARS-CoV-2 interaction as well as for the development of new inhibitors of virus attachment and internalization.
寻常型牛皮癣是牛皮癣最常见的一种形式,是一种慢性炎症性皮肤病,影响全球2-3%的人口。据报道,在患有严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)的患者中,这种感染可经皮传播,可能导致牛皮癣加重。有趣的是,有报道称,银屑病和COVID-19患者表皮分化角质形成细胞和基底细胞层中ACE2受体的表达升高,涉及促炎细胞因子如IFN-γ和IL-17;然而,对于银屑病角质形成细胞表面表达的其他受体在SARS-CoV-2感染中的作用知之甚少。本研究假设,在确诊为COVID-19的银屑病患者皮肤中,SARS-CoV-2 S糖蛋白通过HS侧链和N-链聚糖与HSPGs Synd-1和CD44相互作用,Gal-3和Gal-8通过位于ACE2、整合素-β1、CD147、IFN-γ r和IL-17A-R上的N-聚糖相互作用,会在SARS-CoV-2病毒和银屑病角化细胞表面产生gal -聚糖晶格。这种Gal-glycan晶格除了影响角质细胞增殖和终末分化外,还可能引起sars - cov - 2s糖蛋白的构象变化,从而促进病毒的附着和进入。我们认为,未来的工作将需要了解银屑病角化细胞和SARS-CoV-2相互作用过程中gal -聚糖晶格组装的调节机制,以及开发新的病毒附着和内化抑制剂。
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引用次数: 0
Treatment of Varicose Veins with Neodymium: Yag Laser 钬激光治疗静脉曲张
Pub Date : 2021-12-30 DOI: 10.33425/2690-537x.1017
A. Huacuja, Dafne Arellano Montalvo, A. A. Montalvo
In the year of 1998, we started with the treatment of vascular lesions that occur in both legs and face in skins type III, IV and V in greater numbers. The use of this equipment has allowed good results in reticular veins, telangiectasias and hair lesions. And important results in hemangiomas and nevus flameus, (Port Winne Stain) and Sturge Weber, as well as in Rosacea and Poikiloderma de Civatte.
在1998年,我们开始治疗发生在双腿和面部的血管病变,在III, IV和V型皮肤中数量更多。这种设备的使用对网状静脉、毛细血管扩张和头发病变有很好的效果。在血管瘤和红斑性痣(Port Winne Stain)和Sturge Weber,以及红斑痤疮和奇瓦特白皮病中也有重要的结果。
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Dermatology Research
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