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Expression of estrogen receptors in spitz and reed nevi. spitz和芦苇中雌激素受体的表达。
IF 2 Q3 Medicine Pub Date : 2021-06-01 DOI: 10.23736/S0392-0488.19.06376-4
V. Panasiti, M. Barone, R. Coppola, V. Devirgiliis, V. Roberti, P. Persichetti, S. Carotti, S. Morini
BACKGROUNDEstrogens play a key role in the skin: they are associated with an increased production of melanin, proliferation of melanocytes, increased skin thickness and increased cutaneous vascularization. Spitz and Reed nevi are acquired melanocytic lesions that generally develop during childhood or adolescence, a period of changes in sex hormones background. Our study project aimed at investigating, through immunohistochemical analysis, the expression levels of ERß receptors and their expression patterns (cytoplasmic or nuclear) in Spitz and Reed nevi.METHODSIn our study we collected a total of 86 melanocytic lesions of patients: of these, 16 were common nevi, 23 were Spitz nevi, 18 were Reed nevi and 29 were melanomas. Expression curves for estrogen receptors were constructed using the Kaplan-Meier method and compared using a log-rank test.Statistical analysis was performed using MedCalc®. Immunohistochemical analysis on all histological sections of nevi and melanomas was performed to evaluate the expression levels of of ERß and their expression patterns (cytoplasmic or nuclear). The agreement between the operators was calculated using Fleiss κ values.RESULTSCorrelation between immunoreactivity for the β-estrogen receptor and the sex of patients with Spitz and Reed nevi: immunoreactivity was higher in male patients. Correlation between β-estrogen receptor immunoreactivity and patient age for Spitz and Reed nevi: No statistically significant correlation was observed. Correlation between immunoreactivity for the β-estrogen receptor and histotype: Spitz and Reed nevi showed a high intensity, while in common nevi and in melanomas the immunoreactive was low. Correlation between receptor immunoreactivity for β estrogens and Breslow thickness in melanomas: Breslow thickness of non-immunoreactive melanomas for ERβ was much higher than those showing high immunoreactivity for this reeptor.CONCLUSIONSSpitz and Reed nevi express a higher immunoreactivity for estrogens than common nevi and melanomas, especially those with a high Breslow thickness; and immunoreactivity is higher in younger age groups.
破坏因子在皮肤中起着关键作用:它们与黑色素的增加、黑色素细胞的增殖、皮肤厚度的增加和皮肤血管化的增加有关。Spitz痣和Reed痣是获得性黑色素细胞病变,通常发生在儿童期或青春期,这是性激素背景变化的时期。本研究旨在通过免疫组化分析,探讨ERß受体在Spitz和Reed nevi中的表达水平及其表达模式(细胞质或细胞核)。方法本研究共收集86例黑色素细胞病变患者,其中普通痣16例,Spitz痣23例,Reed痣18例,黑色素瘤29例。采用Kaplan-Meier法构建雌激素受体表达曲线,采用log-rank检验进行比较。使用MedCalc®进行统计分析。对痣和黑素瘤的所有组织学切片进行免疫组织化学分析,以评估ERß的表达水平及其表达模式(细胞质或细胞核)。使用Fleiss κ值计算操作符之间的一致性。结果β-雌激素受体免疫反应性与患者性别的相关性:男性患者免疫反应性较高。Spitz和Reed nevi患者β-雌激素受体免疫反应性与患者年龄的相关性:无统计学意义相关。β-雌激素受体的免疫反应性与组织型的相关性:Spitz痣和Reed痣的免疫反应性较高,而普通痣和黑色素瘤的免疫反应性较低。黑色素瘤中β雌激素受体免疫反应性与Breslow厚度的相关性:ERβ受体无免疫反应性黑色素瘤的Breslow厚度远高于ERβ受体免疫反应性高的黑色素瘤。结论spitz痣和Reed痣对雌激素的免疫反应性高于普通痣和黑色素瘤,尤其是高brreslow厚度痣;免疫反应性在年轻人群中更高。
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引用次数: 2
MiR-29b inhibits hypertrophic scar tissue inflammation after burn through regulating TGF-β1/smad signaling pathway. MiR-29b通过调节TGF-β1/smad信号通路抑制烧伤后增生性瘢痕组织炎症。
IF 2 Q3 Medicine Pub Date : 2021-04-01 DOI: 10.23736/S0392-0488.19.06444-7
Jing Yu, Lian Zhang, Shuang Zhang, Guangyan Xian, Yuping Zhao, X. Bu
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引用次数: 1
Comparison of clinical and sonographic scores in hidradenitis suppurativa and proposal of a novel ultrasound scoring system. 化脓性汗腺炎的临床与超声评分比较及一种新型超声评分系统的提出。
IF 2 Q3 Medicine Pub Date : 2021-04-01 DOI: 10.23736/S0392-0488.18.06196-5
G. Nazzaro, E. Passoni, S. Muratori, C. Moltrasio, E. Guanziroli, M. Barbareschi, S. Veraldi, A. Marzano
BACKGROUNDHidradenitis suppurativa (HS) is a chronic, inflammatory disease that presents with nodules, abscesses and fistulae affecting the apocrine gland-bearing skin. Since few years, ultrasonography is used to better characterize HS skin lesions but comparison between clinical and sonographic scores has been made only in small series of patients. The aim is to assess concordance between clinical and sonographic scores in a larger cohort of HS patients.METHODSWe conducted a retrospective observational study on 140 HS patients comparing two clinical score systems, Hurley and HS-Physical Global Assessment (PGA), with two ultrasonographic scores, SOnographic Score of Hidradenitis Suppurativa (SOS-HS) and ultrasonographic HS-PGA, a novel ultrasound scoring system set up by our group. We used the weighted Cohen's Kappa statistic (k) to evaluate the agreement.RESULTSAgreement between Hurley staging and SOS-HS was found in 61.4% of patients (weighted kappa 0.477), while agreement between clinical and ultrasonography HS-PGA scores was found in 35% of patients (weighted kappa 0.278), both findings suggesting a substantial disagreement.CONCLUSIONSOur study demonstrated a relevant disagreement between clinical and ultrasonography scores. Ultrasonography discovered non-clinically evident HS lesions, notably fistulae. Taken together, the above findings may support the view, previously suggested in expert panel reports, on the higher sensitivity of ultrasonography compared to clinics in HS.
化脓性湿疣炎(HS)是一种慢性炎症性疾病,表现为影响大汗腺皮肤的结节、脓肿和瘘管。近年来,超声检查被用于更好地表征HS皮肤病变,但仅在少数患者中进行了临床和超声评分的比较。目的是评估临床和超声评分之间的一致性在一个更大的队列HS患者。方法对140例HS患者进行回顾性观察研究,比较两种临床评分系统Hurley和HS- physical Global Assessment (PGA),以及两种超声评分系统化脓性湿疣超声评分(SOS-HS)和超声评分系统HS-PGA。我们使用加权科恩Kappa统计量(k)来评估一致性。结果61.4%的患者Hurley分期与SOS-HS评分一致(加权kappa为0.477),35%的患者临床与超声HS-PGA评分一致(加权kappa为0.278),两者结果均提示存在实质性差异。结论本研究显示临床评分与超声评分存在相关差异。超声检查发现非临床明显的HS病变,尤其是瘘管。综上所述,上述发现可能支持先前专家小组报告中提出的观点,即超声检查与HS临床相比具有更高的灵敏度。
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引用次数: 21
Anti IL-17 therapy rapidly decreases osteoclast activity in psoriatic patients: a novel quality in addition to its efficacy and safety. 抗IL-17治疗可迅速降低银屑病患者的破骨细胞活性:除了其有效性和安全性之外,这是一种新的质量。
IF 2 Q3 Medicine Pub Date : 2021-04-01 DOI: 10.23736/S0392-0488.18.06175-8
A. Raimondo, S. Lembo, G. Caiazzo, R. Di Caprio, A. Balato
BACKGROUNDPsoriasis is a chronic, immune-mediated, inflammatory skin disease where interleukin-17 plays an important role in the underlying pathogenesis. IL-17A is a key driver of pro- osteoclastogenic process, that is abnormal in psoriatic patients. Aim of this study was to investigate in vivo the capability of secukinumab to influence the osteoclastogenesis in psoriatic patients reporting also our experience regarding the effectiveness and safety profile of this biological treatment.METHODSEfficacy and tolerability of secukinumab were evaluated after the induction period and 12 weeks. Moreover, to investigate how the cutaneous clinical improvement impacted also on the osteoclastogenic profile of psoriatic patients, the osteoclastogenic assay was performed in 5 secukinumab-treated psoriatic patients, not including psoriatic arthritis, before and after 5 weeks of therapy.RESULTSIn line with clinical trials, our results confirmed the efficacy, speed of achievement and safety of secukinumab for the treatment of psoriatic patients.CONCLUSIONSMoreover, in our experiments, secukinumab has demonstrated speed of action also on osteoclastogenic process, reducing the number and activity of osteoclasts only after five weeks of treatment.
背景银屑病是一种慢性、免疫介导的炎症性皮肤病,白细胞介素-17在其潜在发病机制中起重要作用。IL-17A是破骨细胞生成过程的关键驱动因子,在银屑病患者中是异常的。本研究的目的是研究体内secukinumab影响银屑病患者破骨细胞生成的能力,并报告我们关于这种生物治疗的有效性和安全性的经验。方法在诱导期和12周后评价secukinumab的疗效和耐受性。此外,为了研究皮肤临床改善如何影响银屑病患者的破骨细胞生成谱,我们对5名接受secukinumab治疗的银屑病患者(不包括银屑病关节炎)在治疗前和治疗后5周进行了破骨细胞生成测定。结果:与临床试验一致,我们的结果证实了secukinumab治疗银屑病患者的有效性、实现速度和安全性。此外,在我们的实验中,secukinumab在破骨细胞生成过程中也表现出了快速的作用,仅在治疗5周后就减少了破骨细胞的数量和活性。
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引用次数: 3
HERV-E expression in peripheral mononuclear cells of patient with Psoriasis. 银屑病患者外周血单核细胞HERV-E的表达。
IF 2 Q3 Medicine Pub Date : 2021-02-01 DOI: 10.23736/S0392-0488.18.06133-3
M. Bergallo, V. Daprá, R. Ponti, P. Quaglino, M. Novelli, P. Fava, P. Montanari, Cristina Calvi, I. Galliano, M. Fierro
BACKGROUNDPsoriasis is a common inflammatory skin disease characterized by uncontrolled proliferation of keratinocytes and recruitment of T lymphocytes into the skin. Possible triggers for psoriasis have been attributed to drugs or pathogens such as bacteria and possibly virus. Human endogenous retroviruses (HERVs) might play a role in triggering these anti-viral immune responses, since the role of HERVs in the pathogenesis of autoimmune diseases has generated considerable interest. Some studies have also reported an association of HERV-E and psoriasis. None of them investigate the HERV-E expression in peripheral blood of psoriasis. All these considerations have prompted us to perform a survey for HERV-E expression in PBMC from psoriatic patients.METHODSPeripheral blood mononuclear cells from 69 psoriatic patients were analyzed. Total RNA was extracted and amplified with reverse transcription polymerase chain reaction. Results were compared with those obtained in a cohort of 20 healthy donors.RESULTSHERV E was expressed in all samples analyzed but the level of expression was much lower in the psoriasis that in HC p<0.0001.CONCLUSIONSThe reasons for the unexpected, low levels of HERV expression in psoriatic patients are unclear and might be in part a consequence of anti-viral defense mechanisms.
背景银屑病是一种常见的炎症性皮肤病,其特征是角质形成细胞增殖失控和T淋巴细胞向皮肤募集。牛皮癣的可能诱因是药物或病原体,如细菌,可能还有病毒。人类内源性逆转录病毒(herv)可能在触发这些抗病毒免疫反应中发挥作用,因为herv在自身免疫性疾病发病机制中的作用已经引起了相当大的兴趣。一些研究也报道了HERV-E和牛皮癣的关联。没有研究银屑病外周血中HERV-E的表达。所有这些考虑促使我们对银屑病患者PBMC中的HERV-E表达进行调查。方法对69例银屑病患者外周血单个核细胞进行分析。提取总RNA,用逆转录聚合酶链反应扩增。结果与20名健康捐赠者的队列结果进行了比较。结果sherv E在所有样本中均有表达,但在银屑病中的表达水平明显低于HC (p<0.0001)。结论银屑病患者HERV表达水平异常低的原因尚不清楚,可能部分是抗病毒防御机制的结果。
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引用次数: 4
Chronic refractory leg ulcers in mosaic Klinefelter's syndrome: the importance of a prompt diagnosis and appropriate treatment. 马赛克克氏综合征慢性难治性腿部溃疡:及时诊断和适当治疗的重要性。
IF 2 Q3 Medicine Pub Date : 2021-02-01 DOI: 10.23736/S0392-0488.18.06155-2
F. Pappalardo, E. Cozzani, A. Gallino, C. Mainetti
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引用次数: 0
Keep your eyes wide open: how lifting the eyebrows can help exclude diagnosis of frontal fibrosing alopecia. 睁大你的眼睛:如何提升眉毛可以帮助排除额部纤维化性脱发的诊断。
IF 2 Q3 Medicine Pub Date : 2021-02-01 DOI: 10.23736/S0392-0488.18.06191-6
N. Brandi, A. Alessandrini, M. Starace, B. Piraccini
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引用次数: 0
Non-antipsychotic therapies for delusions of parasitosis. 寄生虫妄想的非抗精神病药物治疗。
IF 2 Q3 Medicine Pub Date : 2021-02-01 DOI: 10.23736/S0392-0488.19.06163-7
C. Sung, Franchesca Choi, Spencer H. Wang, N. Jacobs, Gerald Maguire
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引用次数: 1
Lipedematous alopecia of the scalp in a Caucasian man: an atypical presentation. 白种人头皮脂溢性脱发:一种非典型表现。
IF 2 Q3 Medicine Pub Date : 2021-02-01 DOI: 10.23736/S0392-0488.18.06205-3
I. Neri, A. Barisani, C. Baraldi, P. Fanti, A. Patrizi
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引用次数: 0
Dermoscopic findings in Ashy dermatosis. 灰色皮肤病的皮肤镜表现。
IF 2 Q3 Medicine Pub Date : 2021-02-01 DOI: 10.23736/S0392-0488.18.06169-2
G. Tonini, Laura Casini, E. Cinotti, P. Rubegni
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引用次数: 0
期刊
Giornale Italiano Di Dermatologia E Venereologia
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