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Fungal Genomics in Dermatology 皮肤病学中的真菌基因组学
Q4 Medicine Pub Date : 2019-06-01 DOI: 10.17966/JMI.2019.24.2.37
Y. Lee, S. Lee, Ji-Min Seo, Min Ji Kang, D. Yu
To date, hundreds of fungal genomes have been sequenced, and many more are underway. Recently developed cutting-edge techniques generate very large amounts of data, and the field of fungal genomics in dermatology has consequently evolved substantially. Methodological improvements have broadened the scope of large-scale ecological studies in dermatology, including biodiversity assessments and genomic identification of fungi. Here, we aimed to provide a brief introduction to bioinformatic approaches to fungal genomics in the field of dermatology. We described the history and basic concepts of fungal genomics and presented sequencing-based techniques for fungal identification, including a list of the revised taxa of dermatophytes, as determined by current phylogenetic analysis. Finally, we discussed the emerging trends in fungal genomics in dermatology, such as next-generation sequencing.
到目前为止,已经对数百个真菌基因组进行了测序,还有更多的基因组正在进行中。最近开发的尖端技术产生了大量的数据,皮肤病学中的真菌基因组学领域也因此得到了长足的发展。方法的改进扩大了皮肤病学大规模生态学研究的范围,包括生物多样性评估和真菌的基因组鉴定。在此,我们旨在简要介绍皮肤病学领域真菌基因组学的生物信息学方法。我们描述了真菌基因组学的历史和基本概念,并提出了基于测序的真菌鉴定技术,包括通过当前的系统发育分析确定的皮肤癣菌的修订分类群列表。最后,我们讨论了皮肤科真菌基因组学的新趋势,如下一代测序。
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引用次数: 0
Fungal Allergen Propensity Study Confirmed Through Multiple Allergosorbent Chemiluminescent Assay 通过多种变应原吸附剂化学发光测定证实的真菌变应原倾向性研究
Q4 Medicine Pub Date : 2019-03-31 DOI: 10.17966/JMI.2019.24.1.9
Yongwoo Choi, Joonsoo Park
Background: Exposure and sensitization to fungal allergens can evoke the development and worsen allergic diseases. Many patients with allergies show multiple positive reactions to different allergens. Objective: The purpose of this study was to analyze the relationship between fungal allergens that are mostly found in South Korea and other positive reactions to the allergens of the multiple allergosorbent simultaneous test chemiluminescent assay (MAST-CLA). Methods: We enrolled 1,040 (588 men, 452 women) patients who showed positive reactions to three fungi, namely, Alternaria alternata, Aspergillus fumigatus, and Cladosporium herbarum, using MAST-CLA at Daegu Catholic University Medical Center from January 2010 to July 2017. The epidemiology and relationship between positive reactions to multiple fungal allergens and positive reactions to the allergens of the MAST-CLA were investigated. Results: A. alternata was the most common fungal species, followed by C. herbarum and A. fumigatus (78.8% vs. 52.1% vs. 20.1%). Patients who showed positive reactions to all fungal allergens had 4.97 other antigens on average. Statistically significant results were obtained when comparing positive reactions to all fungal allergens to other allergens (Spearman correlation coefficient = 0.129, p<0.05). Conclusion: Patients should be educated on allergic diseases caused by other antigens if they are sensitized to fungal antigens.
背景:接触和致敏真菌过敏原可引起过敏性疾病的发展并使其恶化。许多过敏患者对不同的过敏原表现出多种阳性反应。目的:本研究的目的是分析韩国常见的真菌过敏原与多种变应原吸附剂同时检测化学发光法(MAST-CLA)过敏原的其他阳性反应之间的关系。方法:我们招募了1040名(588名男性,452名女性)患者,他们于2010年1月至2017年7月在大邱天主教大学医学中心使用MAST-CLA对三种真菌,即Alternaria alternata、Aspergillus fumigatus和Cladosporium herbram表现出阳性反应。研究了MAST-CLA对多种真菌过敏原的阳性反应与过敏原阳性反应的流行病学关系。结果:A.alternata是最常见的真菌种类,其次是C.herbarum和A.furmatus(78.8%对52.1%对20.1%)。对所有真菌过敏原呈阳性反应的患者平均有4.97种其他抗原。将所有真菌过敏原的阳性反应与其他过敏原进行比较,结果具有统计学意义(Spearman相关系数=0.129,p<0.05)。
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引用次数: 0
Disseminated Cryptococcosis Incorrectly Managed: a Case Report 播散性隐球菌病处理不当1例报告
Q4 Medicine Pub Date : 2019-03-31 DOI: 10.17966/JMI.2019.24.1.28
A. Maleb, A. Hami, Y. Lahlou, S. Lamrabat, S. Rifai, Nawal Rahmani, M. Bensalah, M. Frikh, A. Lemnouer, M. Elouennass
Disseminated cryptococcosis is a rare fungal infection, which mainly occurs in immunocompromised patients, and the diagnosis is difficult. Therefore, it is less likely to be considered in immunocompetent patients. Here, we present a case of fatal cryptococcal infection of the pleural fluid and ascites in a patient seronegative for HIV. The patient was a 45-year old man who was followed for Crohn's disease and treated with steroids and an immunosuppressant (azathioprine). The culture of pleural and ascites fluids showed the presence of yeasts colonies identified as Cryptococcus neoformans. Bacteriological examination of the blood culture or cerebrospinal fluid (CSF) was not prescribed. The HIV serology was negative. At the fourth day of treatment, the patient died because of the deterioration of neurological and hepatocellular functions. The main diagnostic problems that led to this fatal outcome were non-suspicion of an at-risk patient, lack of microbiological analysis of the blood or CSF, and inadequate antifungal therapy.
播散性隐球菌病是一种罕见的真菌感染,主要发生在免疫功能低下的患者中,诊断困难。因此,它不太可能被考虑在免疫活性患者中。在这里,我们提出了一个致命的隐球菌感染胸膜液和腹水的患者血清阴性的艾滋病毒。患者是一名45岁的男性,他接受了克罗恩病的随访,并接受了类固醇和免疫抑制剂(硫唑嘌呤)的治疗。胸膜和腹水的培养显示存在被鉴定为新型隐球菌的酵母菌落。并没有规定对血液培养或脑脊液(CSF)进行细菌学检查。HIV血清学结果为阴性。在治疗的第四天,患者因神经和肝细胞功能恶化而死亡。导致这种致命结果的主要诊断问题是不怀疑有风险的患者,缺乏血液或脑脊液的微生物分析,以及抗真菌治疗不足。
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引用次数: 1
Clinical and Biochemical Assessment of New-formula Shampoo for Scalp Seborrheic Dermatitis 新配方洗发水治疗头皮脂溢性皮炎的临床及生化评价
Q4 Medicine Pub Date : 2019-03-31 DOI: 10.17966/JMI.2019.24.1.1
Jin Hee Kim, J. Kim, Hong-Ju Shin, Yangwon Lee
Background: Scalp seborrheic dermatitis is a common disease characterized by flaking and itching of the scalp. Conventional treatment options, such as the use of topical corticosteroids and antifungal agents, may cause adverse effects and reduce user satisfaction rates; thus, it is important to explore other treatment options for scalp seborrheic dermatitis. Objective: We aimed to evaluate the efficacy and safety of a new-formula shampoo containing natural ingredients, including the extract of Rosa centifolia petals, epigallocatechin gallate, zinc pyrithione, and climbazole. Methods: A total of 50 patients with scalp seborrheic dermatitis were enrolled and divided into two groups: the new-formula shampoo-treated group and the 1.5% ciclopirox olamine shampoo-treated group. Clinical severity scores, sebum secretion, and inflammatory cytokines were assessed. In addition, patient satisfaction and adverse events were assessed using a questionnaire. Results: The new-formula shampoo was comparable with ciclopirox in reducing the clinical severity scores and sebum secretion. Patients' improvement scores and user satisfaction rates were higher in the new-formula shampoo group than in the 1.5% ciclopirox olamine shampoo-treated group. The inflammatory cytokine levels considerably changed in both groups during the course of the study. Conclusion: Thus, the new-formula shampoo can be considered a treatment option for patients with scalp seborrheic dermatitis.
背景:头皮脂溢性皮炎是一种常见的疾病,其特征是头皮脱落和瘙痒。常规治疗方案,如局部使用皮质类固醇和抗真菌药物,可能会造成不良反应并降低用户满意度;因此,探索头皮脂溢性皮炎的其他治疗方案是很重要的。目的:研究一种含有月季花瓣提取物、表没食子儿茶素没食子酸酯、吡硫锌和克里巴唑等天然成分的新配方洗发水的疗效和安全性。方法:将50例头皮脂溢性皮炎患者分为两组:新配方洗发水治疗组和1.5%环匹罗胺洗发水治疗组。评估临床严重程度评分、皮脂分泌和炎症因子。此外,患者满意度和不良事件评估使用问卷。结果:新配方洗发水在降低临床严重程度评分和皮脂分泌方面与环吡醇相当。新配方洗发水组患者改善评分和用户满意度高于1.5%环匹罗胺洗发水治疗组。在研究过程中,两组的炎症细胞因子水平都发生了显著变化。结论:新配方洗发水可作为头皮脂溢性皮炎患者的一种治疗选择。
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引用次数: 0
Tinea Corporis Caused by Trichophyton verrucosum Mimicking Nummular Dermatitis 疣毛癣菌模拟模拟模拟模拟性皮肤炎引起的体癣
Q4 Medicine Pub Date : 2019-03-31 DOI: 10.17966/JMI.2019.24.1.32
J. Hong, Dong Won Lee, M. Suh, G. Ha, T. Jang, J. Choi
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引用次数: 0
Treatment Outcomes of Combination Therapy with 1,064-nm Neodymium-doped Yttrium Aluminum Garnet Laser and Efinaconazole 10% Solution for Big Toenail Onychomycosis: a Retrospective Study 1064 nm掺钕钇铝石榴石激光联合10%艾非那康唑溶液治疗大趾甲甲真菌病疗效的回顾性研究
Q4 Medicine Pub Date : 2019-03-31 DOI: 10.17966/jmi.2019.24.1.19
D. Suh, H. Park, Sang Jun Lee, Hyun-Joo Kim, K. Jeong, Mu-Hyoung Lee, M. Shin
Background: Laser therapy can be used as an alternative treatment for onychomycosis; however, there are some limitations to its efficacy as a single agent. Objective: To evaluate the effectiveness of combination therapy with 1,064-nm neodymium-doped yttrium aluminum garnet (Nd:YAG) laser and topical efinaconazole in onychomycosis treatment and identify factors influencing the therapeutic outcomes of combination treatment. Methods: Big toenails with onychomycosis were treated by 1,064-nm Nd:YAG laser at 4-week intervals with daily application of topical efinaconazole. Therapeutic response was assessed through onychomycosis severity index (OSI) and percentage of nail infected (PNI), and its association with a variety of factors that may affect treatment outcome was evaluated. Results: One hundred big toenails were included in the study and significant clinical improvements were observed after treatment (OSI improvement score = 76.68 ± 28.83, PNI improvement score = 72.37 ± 30.37). There was no difference in treatment response according to the number of laser treatments, onychomycosis clinical type, or initial severity. However, patient age was negatively correlated with clinical improvement (p = 0.019). Also, female patients had better therapeutic responses than male patients. Conclusion: Combined treatment with Nd:YAG laser and topical efinaconazole has a significant therapeutic effect on onychomycosis. A randomized controlled trial is warranted in the future.
背景:激光治疗可以作为甲真菌病的替代治疗方法;然而,作为单一制剂,其疗效存在一些局限性。目的:评价1064nm掺钕钇铝石榴石(Nd:YAG)激光与外用烯那康唑联合治疗甲真菌病的疗效,并探讨影响联合治疗效果的因素。方法:采用1064nm Nd:YAG激光治疗大脚趾甲伴甲真菌病,疗程4周,每日局部应用烯那康唑。通过甲真菌病严重程度指数(OSI)和指甲感染率(PNI)评估治疗反应,并评估其与可能影响治疗结果的各种因素的相关性。结果:研究中包括100个大脚趾甲,治疗后观察到显著的临床改善(OSI改善评分=76.68±28.83,PNI改善评分=72.37±30.37)。根据激光治疗次数、甲真菌病临床类型或初始严重程度,治疗反应没有差异。然而,患者年龄与临床改善呈负相关(p=0.019)。此外,女性患者的治疗反应优于男性患者。结论:Nd:YAG激光联合烯那康唑外用治疗甲真菌病疗效显著。未来有必要进行随机对照试验。
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引用次数: 0
Macroscopic and Microscopic Findings of Trichophyton erinacei 长春毛癣菌的宏观和微观表现
Q4 Medicine Pub Date : 2019-03-31 DOI: 10.17966/JMI.2019.24.1.35
J. Hong, Dong Won Lee, M. Suh, G. Ha
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引用次数: 0
A Suspected Case of Hyperkeratotic Head and Neck Malassezia Dermatosis Presenting with Acanthosis Nigricans 以黑棘皮病为表现的头颈部角化过度马拉色菌皮肤病疑似病例
Q4 Medicine Pub Date : 2018-12-01 DOI: 10.17966/JMI.2018.23.4.111
안민균, 김광호, 박은주, 윤지하, 조은별
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引用次数: 0
Tinea Barbae Caused by Trichophyton rubrum Mimicking Rosacea 由模仿酒糟鼻的红毛癣引起的斑癣
Q4 Medicine Pub Date : 2018-12-01 DOI: 10.17966/JMI.2018.23.4.115
홍준석, 최종수, 하경임, 이종임, 이동원, 서무규
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引用次数: 0
In vitro Study and Clinical Trial of Natural Essential Oils and Extract Against Malassezia Species 天然精油及提取物对马拉色菌的体外研究与临床试验
Q4 Medicine Pub Date : 2018-12-01 DOI: 10.17966/JMI.2018.23.4.91
이민영, LeeJeebum, 이승철, 원영호, 나의영, 윤숙정
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引用次数: 0
期刊
Journal of Mycology and Infection
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