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Biomarkers of chronic spontaneous urticaria 慢性自发性荨麻疹的生物标志物
Pub Date : 2023-09-04 DOI: 10.25259/ijsa_14_2023
Shreya Datta, Abhishek De, Sushil Singh, Aarti Sarda, Sandipan Dhar
Chronic spontaneous urticaria (CSU) is a distressing skin condition that is characterized by the daily or nearly daily appearance of pruritus and wheals of more than 6-week duration. CSU is now believed to have two endotypes, namely, the more common auto-allergic type and the more recalcitrant autoimmune type. It is often difficult to treat the disorder and various treatment modalities are recommended for symptom control, including second-generation non-sedative antihistamines, cyclosporin, and omalizumab. To track the progression of the disease and the efficacy of treatment, certain biomarkers play a key role. Biomarkers identified for CSU include some major ones such as Interleukin (IL)-6, IL-17, and IL-31 and minor ones such as periostin and oncostatin-M. Not only do they may serve as important prognostic tools for proper diagnosis of the disease, but they have also been utilized in several clinical studies to track the progression of the disease, which underlines their importance in the clinical setting.
慢性自发性荨麻疹(CSU)是一种令人痛苦的皮肤状况,其特征是每天或几乎每天出现瘙痒和荨麻疹,持续时间超过6周。CSU现在被认为有两种内型,即更常见的自身过敏型和更顽固的自身免疫型。这种疾病通常难以治疗,因此推荐多种治疗方法来控制症状,包括第二代非镇静性抗组胺药、环孢素和奥玛单抗。为了跟踪疾病的进展和治疗效果,某些生物标志物起着关键作用。已确定的CSU生物标志物包括一些主要的生物标志物,如白细胞介素(IL)-6、IL-17和IL-31,以及次要的生物标志物,如periostin和oncostatin-M。它们不仅可以作为正确诊断疾病的重要预后工具,而且还在一些临床研究中用于跟踪疾病的进展,这强调了它们在临床环境中的重要性。
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引用次数: 0
Association of COVID-19 vaccination and Urticarial vasculitis COVID-19疫苗接种与荨麻疹血管炎的关系
Pub Date : 2023-08-10 DOI: 10.25259/ijsa_13_2023
V. M. Santos, T. Sugai
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引用次数: 0
Normocomplementemic urticarial vasculitis simulating subacute cutaneous lupus erythematosus 模拟亚急性皮肤红斑狼疮的正常互补性荨麻疹血管炎
Pub Date : 2023-08-02 DOI: 10.25259/ijsa_5_2023
Anantpreet Singh, N. Kansal, Ashok Singh, Omna Chawla
Urticarial vasculitis is a cutaneous disease characterized by recurring wheals along with histopathological evidence of leukocytoclastic vasculitis, along with potential systemic complications. Urticarial vasculitis clinically presents with erythematous wheals. The measurement of complement levels is useful in classifying urticarial vasculitis. Here, we describe a rare case of normocomplementemic urticarial vasculitis clinically mimicking subacute cutaneous lupus erythematosus in a young female.
荨麻疹血管炎是一种皮肤疾病,其特征是反复出现的皮疹,并伴有白细胞破坏性血管炎的组织病理学证据,并伴有潜在的全身并发症。荨麻疹血管炎临床表现为红斑疹。补体水平的测量对荨麻疹血管炎的分类是有用的。在这里,我们描述一个罕见的病例正常互补荨麻疹血管炎临床模拟亚急性皮肤红斑狼疮在一个年轻的女性。
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引用次数: 0
Digital object identifier: What it is and why it matters? 数字对象标识符:它是什么,为什么重要?
Pub Date : 2023-07-24 DOI: 10.25259/ijsa_20_2023
Himel Mondal, Shaikat Mondal
Digital object identifiers (DOIs) have become essential tools in academic publishing for linking and identifying digital objects. This review examines the structure and assignment process of DOIs, shedding light on their critical importance in scholarly communication. DOIs consist of a unique alphanumeric string, including a prefix and a suffix, which serves as a persistent link to digital objects. By providing a standardized identifier, DOIs enhance the discoverability, accessibility, and referencing of various digital objects, including journal articles. The DOI also plays a crucial role in article promotion. With a DOI, authors, publishers, and researchers can effectively share and promote their articles, facilitating their discoverability in academic and research communities. However, challenges may arise with DOIs, such as non-functional links. This review provides troubleshooting tips for resolving such issues, including checking for typographical errors, validating the source, and seeking assistance from the DOI registration agency or the publisher.
数字对象标识符(DOIs)已成为学术出版中链接和识别数字对象的重要工具。本文考察了doi的结构和分配过程,揭示了它们在学术交流中的重要作用。doi由唯一的字母数字字符串组成,包括前缀和后缀,作为到数字对象的持久链接。通过提供标准化的标识符,doi增强了各种数字对象(包括期刊文章)的可发现性、可访问性和引用性。DOI在文章推广中也起着至关重要的作用。有了DOI,作者、出版商和研究人员可以有效地分享和推广他们的文章,促进其在学术和研究社区中的可发现性。但是,doi可能会出现挑战,例如非功能链接。本文提供了解决此类问题的故障排除提示,包括检查印刷错误、验证来源以及向DOI注册机构或出版商寻求帮助。
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引用次数: 0
Vitamin D levels in patients with chronic spontaneous urticaria 慢性自发性荨麻疹患者的维生素D水平
Pub Date : 2023-03-31 DOI: 10.25259/ijsa_3_2023
V. M. Santos, T. Sugai
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引用次数: 0
Indian Journal of Skin Allergy: Journey of past 1 year 印度皮肤过敏杂志:过去一年的旅程
Pub Date : 2023-03-30 DOI: 10.25259/ijsa_11_2023
K. Godse
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引用次数: 0
A rare case of diffuse penile phytocontact dermatitis caused by common greenbrier 常见绿刺草引起弥漫性阴茎植物接触性皮炎1例
Pub Date : 2023-03-30 DOI: 10.25259/ijsa_22_2022
A. Wirya, S. Wirya, Ivan Kurniadi
Penis size has always been a considerable concern to a lot of men. Many men look for ways to increase their penile size, ranging from oral medication, stretch apparatus, injections, and surgery, to traditional methods. Smilax rotundifolia, also known as daun bungkus or common greenbrier in the western hemisphere, is a local herb most found in the West Papua region of Indonesia. This plant has been used for a variety of medicinal purposes but has recently gained fame as a novel penis enlargement. However, these claims have not been scientifically proven. A 25-year-old male presented with an ill-defined erythematous patch with multiple geographic erosion and diffuse edema after using a local herb called S. rotundifolia, also known as daun bungkus or common greenbrier. The patient was treated with an oral antihistamine, topical corticosteroids, and antibiotics. The condition improved within 2 weeks. S. rotundifulia, also known as daun bungkus, is a local herb from Papua, Indonesia, believed to have penis-enlargement properties. Research is still scarce on the active ingredients in this plant, and one study suggests that it contains triterpenoid saponin and saponin steroid. The active ingredients in this plant may be responsible for the development of contact dermatitis. Due to the popularity of this plant as an alternative penis augmentation product, it is important for practitioners to be aware of this product and its adverse effects. Further studies are also needed to examine the active ingredients in this plant.
阴茎的大小一直是很多男人非常关心的问题。许多男性都在寻找增加阴茎尺寸的方法,从口服药物、拉伸器械、注射、手术到传统方法。圆叶菝葜(Smilax rotundifolia),也被称为西半球的秋蕨或普通绿蔷薇,是一种当地草本植物,主要分布在印度尼西亚西巴布亚地区。这种植物已被用于多种药用目的,但最近因一种新的阴茎增大而名声大噪。然而,这些说法尚未得到科学证实。患者为25岁男性,在服用当地一种叫做圆叶参的草药后,出现了界限不清的红斑斑块,伴有多处地理糜烂和弥漫性水肿。患者接受口服抗组胺药、外用皮质类固醇和抗生素治疗。2周内病情好转。圆尾草,也被称为龙葵,是印度尼西亚巴布亚的一种当地草本植物,据信具有增大阴茎的特性。对这种植物的有效成分的研究仍然很少,一项研究表明它含有三萜皂苷和皂苷类固醇。这种植物中的活性成分可能是导致接触性皮炎的原因。由于这种植物作为一种替代阴茎增大产品的普及,重要的是从业者要意识到这种产品及其不利影响。还需要进一步的研究来检验这种植物的有效成分。
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引用次数: 0
Exosome therapy in atopic dermatitis – A way to look forward 外泌体治疗特应性皮炎-展望之路
Pub Date : 2023-03-30 DOI: 10.25259/ijsa_26_2022
N. Sharma, Farhat Khan, P. Sahu
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引用次数: 0
Ligelizumab: A novel molecule in the management of chronic spontaneous urticaria 利利珠单抗:治疗慢性自发性荨麻疹的新分子
Pub Date : 2023-03-30 DOI: 10.25259/ijsa_8_2023
S. Datta, Dishani Chakraborty, Abhishek De
The next-generation high affinity monoclonal immunoglobulin E (IgE) inhibitor Ligelizumab is being tested in clinical studies to treat chronic spontaneous urticaria (CSU). In 2020, the US Food and Drug Administration (FDA) designated Ligelizumab (QGE031) as a breakthrough therapy for patients with chronic idiopathic urticaria; however, FDA clearance has not yet been granted, despite the phase 3 trial’s completion. Recent clinical investigations have shown that it has a considerable affinity for the high-affinity IgE receptor (FcRI) on the surface of immune cells, which is quite beneficial in the management of the distressing symptoms of CSU. Studies have been done comparing Ligelizumab to Omalizumab, the current standard of care for treating CSU that is refractory. While omalizumab is more effective than Ligelizumab at inhibiting IgE: CD23 interactions, Ligelizumab exhibits stronger inhibition of IgE binding to FcRI, basophil activation, IgE synthesis by B cells, and passive systemic anaphylaxis. To learn about this molecule’s extended characteristics, long-term efficacy and safety, and potential uses in other dermatological disorders, more clinical data is needed.
新一代高亲和力单克隆免疫球蛋白E (IgE)抑制剂Ligelizumab正在临床研究中用于治疗慢性自发性荨麻疹(CSU)。2020年,美国食品和药物管理局(FDA)指定Ligelizumab (QGE031)为治疗慢性特发性荨麻疹患者的突破性疗法;然而,尽管三期试验已经完成,FDA尚未批准。最近的临床研究表明,它对免疫细胞表面的高亲和力IgE受体(FcRI)有相当大的亲和力,这对治疗CSU的痛苦症状是非常有益的。已有研究比较了利利珠单抗和奥玛珠单抗,后者是目前治疗难治性CSU的标准治疗方案。虽然omalizumab在抑制IgE: CD23相互作用方面比Ligelizumab更有效,但Ligelizumab对IgE与FcRI结合、嗜碱性粒细胞激活、B细胞IgE合成和被动全身过敏反应的抑制作用更强。为了了解该分子的扩展特性、长期疗效和安全性,以及在其他皮肤病中的潜在用途,需要更多的临床数据。
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引用次数: 0
JAK inhibitors in dermatology 皮肤病学中的JAK抑制剂
Pub Date : 2023-03-30 DOI: 10.25259/ijsa_7_2021
S. S. Ahmed, Abhishek De, Aarti Sarda, K. Godse, S. Dhar
The four Janus Kinase (JAK) proteins and seven signal transducer and activator of transcription (STAT) factors mediate the intracellular signaling pathway of cytokine receptors, which are described in the pathogenesis of many autoimmune, allergic, and inflammatory dermatoses. The development of targeted small-molecule therapies like JAK inhibitors has enabled a paradigm shift in the treatment of various cutaneous disorders. JAK inhibitors are effective in the treatment of atopic dermatitis, vitiligo, alopecia areata, psoriasis, lupus erythematosus, dermatomyositis, mastocytosis, etc. Various blood parameters include complete blood count, liver, and renal function, the viral marker to be checked and tuberculosis to be ruled out before starting the therapy. There is a risk of acquiring serious infections such as upper respiratory tract infections, urinary tract infections, reactivation of latent tuberculosis, opportunistic infections, hepatitis B virus reactivation, and alteration of various blood parameters; so regular monitoring is required. The use of JAK inhibitors will open a new horizon by reducing the burden of systemic steroids and other non-specific immunosuppressants in the treatment of immune-mediated inflammatory dermatoses.
四种Janus激酶(JAK)蛋白和七种转录信号转导和激活因子(STAT)介导细胞因子受体的细胞内信号通路,在许多自身免疫性、过敏性和炎症性皮肤病的发病机制中被描述。JAK抑制剂等靶向小分子疗法的发展使各种皮肤疾病的治疗模式发生了转变。JAK抑制剂可有效治疗特应性皮炎、白癜风、斑秃、银屑病、红斑狼疮、皮肌炎、肥大细胞增多症等。在开始治疗前,各种血液参数包括全血细胞计数、肝肾功能、要检查的病毒标志物和要排除的肺结核。有获得严重感染的风险,如上呼吸道感染、尿路感染、潜伏结核再激活、机会性感染、乙型肝炎病毒再激活和各种血液参数改变;所以需要定期监测。JAK抑制剂的使用将通过减少全身性类固醇和其他非特异性免疫抑制剂在免疫介导性炎症性皮肤病治疗中的负担,开辟新的视野。
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引用次数: 1
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Indian Journal of Skin Allergy
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