Journal ArticleJ Eur Acad Dermatol Venereol · June 2024
INTRODUCTION: Linear IgA dermatosis (LAD) is a rare subepidermal autoimmune bullous disease (AIBD) defined by predominant or exclusive immune deposits of immunoglobulin A at the basement membrane zone of skin or mucous membranes. This disorder is a rare, c ...
Full textLink to itemCite
Journal ArticleJAMA Dermatol · January 1, 2024
IMPORTANCE: Drug reaction with eosinophilia and systemic symptoms (DRESS) is a rare but potentially fatal drug hypersensitivity reaction. To our knowledge, there is no international consensus on its severity assessment and treatment. OBJECTIVE: To reach an ...
Full textLink to itemCite
Journal ArticleInt J Dermatol · August 2023
BACKGROUND: Cutaneous immune-related adverse events (cirAEs) remain a prevalent and common sequelae of immune checkpoint inhibitor (ICI) therapy, often necessitating treatment interruption and prolonged immune suppression. Treatment algorithms are still po ...
Full textLink to itemCite
Journal ArticleJAMA Dermatol · July 1, 2023
IMPORTANCE: Scoring systems for Stevens-Johnson syndrome and epidermal necrolysis (EN) only estimate patient prognosis and are weighted toward comorbidities and systemic features; morphologic terminology for EN lesions is inconsistent. OBJECTIVES: To estab ...
Full textLink to itemCite
Journal ArticleJCI Insight · June 8, 2023
Alloreactivity can drive autoimmune syndromes. After allogeneic hematopoietic stem cell transplantation (allo-HCT), chronic graft-versus-host disease (cGVHD), a B cell-associated autoimmune-like syndrome, commonly occurs. Because donor-derived B cells cont ...
Full textOpen AccessLink to itemCite
Journal ArticleAnnals of Internal Medicine Clinical Cases · April 1, 2023
Lower-extremity ulcerations are a frequent cause of hospitalization, and those that persist despite appropriate treatment warrant careful scrutiny. We present a case of chronic, progressive leg ulcerations in a young woman accompanied by oral and genital u ...
Full textCite
Journal ArticleTransplant Cell Ther · March 2023
Despite the exciting advancement of novel therapies, chronic graft-versus-host disease (cGVHD) remains the most common cause of non-relapse mortality after allogeneic hematopoietic stem cell transplantation (HCT). Frontline treatment of cGVHD involves syst ...
Full textLink to itemCite
Journal ArticleSkinmed · 2023
Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome is a potentially fatal cutaneous hypersensitivity reaction commonly precipitated by antiepileptic drugs (AEDs). Cross-reactivity among aromatic AEDs is well-documented, but between arom ...
Link to itemCite
Journal ArticleBr J Dermatol · July 2022
Enfortumab vedotin (EV), a novel antibody-drug conjugate approved for metastatic urothelial carcinoma, causes a variety of cutaneous adverse reactions. We present two cases of bullous eruptions following treatment with EV, both demonstrating IgG deposition ...
Full textLink to itemCite
Journal ArticlePediatr Dermatol · May 2022
Chronic graft-versus-host disease (cGVHD) of the skin is a serious cause of long-term morbidity and mortality among patients who receive hematopoietic stem cell transplants. Systemic corticosteroids remain first-line treatment for cutaneous cGVHD; however, ...
Full textLink to itemCite
Journal ArticleAnnals of Internal Medicine Clinical Cases · April 1, 2022
A healthy, unvaccinated 44-year-old woman developed a severe, diffusely spread, and intensely painful purpuric rash following mild COVID-19 infection. A punch skin biopsy revealed small vessel inflammation and intravascular thrombi consistent with thrombot ...
Full textCite
Journal ArticleUltrason Imaging · July 2021
Correctly calculating skin stiffness with ultrasound shear wave elastography techniques requires an accurate measurement of skin thickness. We developed and compared two algorithms, a thresholding method and a deep learning method, to measure skin thicknes ...
Full textLink to itemCite
Journal ArticleJ Eur Acad Dermatol Venereol · June 2024
INTRODUCTION: Linear IgA dermatosis (LAD) is a rare subepidermal autoimmune bullous disease (AIBD) defined by predominant or exclusive immune deposits of immunoglobulin A at the basement membrane zone of skin or mucous membranes. This disorder is a rare, c ...
Full textLink to itemCite
Journal ArticleJAMA Dermatol · January 1, 2024
IMPORTANCE: Drug reaction with eosinophilia and systemic symptoms (DRESS) is a rare but potentially fatal drug hypersensitivity reaction. To our knowledge, there is no international consensus on its severity assessment and treatment. OBJECTIVE: To reach an ...
Full textLink to itemCite
Journal ArticleInt J Dermatol · August 2023
BACKGROUND: Cutaneous immune-related adverse events (cirAEs) remain a prevalent and common sequelae of immune checkpoint inhibitor (ICI) therapy, often necessitating treatment interruption and prolonged immune suppression. Treatment algorithms are still po ...
Full textLink to itemCite
Journal ArticleJAMA Dermatol · July 1, 2023
IMPORTANCE: Scoring systems for Stevens-Johnson syndrome and epidermal necrolysis (EN) only estimate patient prognosis and are weighted toward comorbidities and systemic features; morphologic terminology for EN lesions is inconsistent. OBJECTIVES: To estab ...
Full textLink to itemCite
Journal ArticleJCI Insight · June 8, 2023
Alloreactivity can drive autoimmune syndromes. After allogeneic hematopoietic stem cell transplantation (allo-HCT), chronic graft-versus-host disease (cGVHD), a B cell-associated autoimmune-like syndrome, commonly occurs. Because donor-derived B cells cont ...
Full textOpen AccessLink to itemCite
Journal ArticleAnnals of Internal Medicine Clinical Cases · April 1, 2023
Lower-extremity ulcerations are a frequent cause of hospitalization, and those that persist despite appropriate treatment warrant careful scrutiny. We present a case of chronic, progressive leg ulcerations in a young woman accompanied by oral and genital u ...
Full textCite
Journal ArticleTransplant Cell Ther · March 2023
Despite the exciting advancement of novel therapies, chronic graft-versus-host disease (cGVHD) remains the most common cause of non-relapse mortality after allogeneic hematopoietic stem cell transplantation (HCT). Frontline treatment of cGVHD involves syst ...
Full textLink to itemCite
Journal ArticleSkinmed · 2023
Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome is a potentially fatal cutaneous hypersensitivity reaction commonly precipitated by antiepileptic drugs (AEDs). Cross-reactivity among aromatic AEDs is well-documented, but between arom ...
Link to itemCite
Journal ArticleBr J Dermatol · July 2022
Enfortumab vedotin (EV), a novel antibody-drug conjugate approved for metastatic urothelial carcinoma, causes a variety of cutaneous adverse reactions. We present two cases of bullous eruptions following treatment with EV, both demonstrating IgG deposition ...
Full textLink to itemCite
Journal ArticlePediatr Dermatol · May 2022
Chronic graft-versus-host disease (cGVHD) of the skin is a serious cause of long-term morbidity and mortality among patients who receive hematopoietic stem cell transplants. Systemic corticosteroids remain first-line treatment for cutaneous cGVHD; however, ...
Full textLink to itemCite
Journal ArticleAnnals of Internal Medicine Clinical Cases · April 1, 2022
A healthy, unvaccinated 44-year-old woman developed a severe, diffusely spread, and intensely painful purpuric rash following mild COVID-19 infection. A punch skin biopsy revealed small vessel inflammation and intravascular thrombi consistent with thrombot ...
Full textCite
Journal ArticleUltrason Imaging · July 2021
Correctly calculating skin stiffness with ultrasound shear wave elastography techniques requires an accurate measurement of skin thickness. We developed and compared two algorithms, a thresholding method and a deep learning method, to measure skin thicknes ...
Full textLink to itemCite
Journal ArticleCurr Dermatol Rep · 2021
PURPOSE OF REVIEW: There are various dermatologic emergencies stemming from bacterial, viral, and fungal etiologies that can present in the inpatient setting. This review summarizes the pathogenesis and diagnosis of infections with cutaneous involvement an ...
Full textLink to itemCite
Journal ArticleTranspl Int · October 2020
Vascularized composite allotransplantation (VCA) is challenged by the morbidity of immunosuppression required to prevent rejection. The use of highly specific biologics has not been well explored in VCA. Given that psoriasis is T-cell mediated, as is rejec ...
Full textLink to itemCite
Dataset · July 2, 2020
There is a need for objective, sensitive and reproducible methods of assessing skin sclerosis. We performed a cross sectional, non-interventional study to evaluate the utility of accoustic radiation force impulse (ARFI) and shear wave elasticity imaging (S ...
Full textCite
Journal ArticleJ Am Acad Dermatol · June 2020
Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are life-threatening conditions with high morbidity and mortality. Supportive care management of SJS/TEN is highly variable. A systematic review of the literature was performed by dermatol ...
Full textLink to itemCite
Journal ArticleJAMA Dermatol · May 1, 2020
IMPORTANCE: First-line systemic therapy for morphea includes methotrexate with or without systemic corticosteroids. When this regimen is ineffective, not tolerated, or contraindicated, a trial of mycophenolate mofetil (MMF) or mycophenolic acid (MPA)-refer ...
Full textLink to itemCite
Journal ArticleJ Am Acad Dermatol · March 2020
BACKGROUND: Several European countries recently developed international diagnostic and management guidelines for pemphigus, which have been instrumental in the standardization of pemphigus management. OBJECTIVE: We now present results from a subsequent Del ...
Full textLink to itemCite
Journal ArticleBr J Dermatol · February 2020
BACKGROUND: The European League Against Rheumatism/American College of Rheumatology classification criteria for inflammatory myopathies are able to classify patients with skin-predominant dermatomyositis (DM). However, approximately 25% of patients with sk ...
Full textLink to itemCite
Journal ArticleClin Dermatol · 2020
Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome is a severe cutaneous drug reaction characterized by fever, lymphadenopathy, hematologic abnormalities, multisystem involvement, and viral reactivation. Although most patients with DRES ...
Full textLink to itemCite
Journal ArticleCurrent Dermatology Reports · December 1, 2019
Purpose of Review: This review highlights current concepts in the management of Stevens-Johnson syndrome/toxic epidermal necrolysis (SJS/TEN). Recent Findings: A new scoring system, the ABCD-10, was recently developed to better estimate mortality among SJS ...
Full textCite
Journal ArticleCurrent Dermatology Reports · December 1, 2019
Purpose of Review: Review the evaluation, management, and treatment of hospitalized autoimmune blistering diseases (AIBD) patients based on the current literature and expert opinion. Recent Findings: The cost and prevalence of hospitalization for AIBD pati ...
Full textCite
Journal ArticleDermatol Clin · October 2019
Merkel cell carcinoma (MCC) is a rare but aggressive skin cancer associated with the Merkel cell Polyomavirus. Its incidence and mortality are increasing. There have been many advances in the last several decades in the etiology, detection, and management ...
Full textLink to itemCite
ConferenceIEEE International Ultrasonics Symposium, IUS · October 1, 2019
Skin stiffness correlates with the progression of sclerotic skin diseases. Ultrasound shear wave elasticity imaging techniques can measure skin stiffness, but an accurate skin thickness measurement is required to compute the elastic modulus. We explored di ...
Full textCite
ConferenceIEEE International Ultrasonics Symposium, IUS · October 1, 2019
In 10 patients with cutaneous sclerotic skin conditions, shear wave elasticity imaging (SWEI) was used to measure shear wave speed in the skin in vivo. The dermis was segmented using an thresholding-based algorithm and group speeds were found in both the d ...
Full textCite
Journal ArticleBr J Dermatol · September 2019
Programmed cell death 1 (PD-1) blockade has rapidly emerged as an effective therapy for a wide variety of metastatic malignancies. It has been associated with multiple immune-related adverse effects, including cutaneous eruptions. We describe two patients ...
Full textLink to itemCite
Journal ArticleJAMA Dermatol · July 1, 2019
IMPORTANCE: Cutaneous chronic graft-vs-host disease (cGVHD) is common after allogeneic hematopoietic stem cell transplant and is often associated with poor patient outcomes. A reliable and practical method for assessing disease severity and response to the ...
Full textLink to itemCite
Journal ArticleClin Exp Dermatol · April 2019
BACKGROUND: The incidence of cutaneous squamous cell carcinoma (cSCC) is markedly increased in renal transplant recipients compared with that of the nontransplant population. AIM: To investigate whether there is a relationship between transplant rejection ...
Full textLink to itemCite
Journal ArticleJAMA Dermatol · April 1, 2019
IMPORTANCE: Stevens-Johnson syndrome/toxic epidermal necrolysis (SJS/TEN) is a spectrum of severe mucocutaneous drug reaction associated with significant morbidity and mortality. A previously developed SJS/TEN-specific severity-of-illness model (Score of T ...
Full textLink to itemCite
Journal ArticleBlood · March 14, 2019
Approximately 35% to 50% of patients otherwise cured of hematologic malignancies after allogeneic hematopoietic stem cell transplantation will develop the pleomorphic autoimmune-like syndrome known as chronic graft-versus-host disease (cGVHD). Since in 200 ...
Full textLink to itemCite
Chapter · January 1, 2019
Autoimmune blistering diseases are characterized by epidermal or subepidermal blistering of the skin and mucosal surfaces. Both genetic and environmental factors play a role in their development. Pathogenic autoantibodies against epidermal and basement mem ...
Full textCite
Journal ArticleJ Invest Dermatol · November 2018
Stevens-Johnson syndrome/toxic epidermal necrolysis (SJS/TEN) is a rare, severe mucocutaneous reaction with few large cohorts reported. This multicenter retrospective study included patients with SJS/TEN seen by inpatient consultative dermatologists at 18 ...
Full textLink to itemCite
Journal ArticleCutis · November 2018
Drug rash with eosinophilia and systemic symptoms (DRESS syndrome), also known as drug-induced hypersensitivity syndrome, is an uncommon severe systemic hypersensitivity drug reaction. It typically develops 2 to 6 weeks after exposure to a culprit medicati ...
Link to itemCite
Journal ArticleJCI Insight · October 4, 2018
Graft-versus-host disease (GVHD) is a major complication of hematopoietic stem cell transplantation (HCT). The tyrosine kinase SYK contributes to both acute and chronic GVHD development, making it an attractive target for GVHD prevention. Entospletinib (EN ...
Full textLink to itemCite
Journal ArticleDermatol Online J · September 15, 2018
Primary cutaneous amyloidosis may be characterized as macular amyloidosis, lichenoid amyloidosis, or nodular amyloidosis. Nodular amyloidosis results from the deposition of immunoglobulin light chains and may rarely be associated with systemic amyloidosis. ...
Open AccessLink to itemCite
Journal ArticleAm J Transplant · July 2018
Most immunosuppressive regimens used in clinical vascularized composite allotransplantation (VCA) have been calcineurin inhibitor (CNI)-based. As such, most recipients have experienced CNI-related side effects. Costimulation blockade, specifically CD28/B7 ...
Full textLink to itemCite
Dataset · June 5, 2018
Background: Rituximab is a promising steroid sparing agent used in the treatment of moderate to severe pemphigus vulgaris. Its exact place in the algorithm of pemphigus treatment, vis-a-vis other, conventional adjuvant therapy (CAT) is not known.
Objectiv ...
Full textCite
Journal ArticleJAMA Dermatol · June 1, 2018
This cohort study of 3652 recipients of solid organ transplants examines the timing and number of cutaneous squamous cell carcinomas that developed after transplantation. ...
Full textLink to itemCite
Journal ArticleJAMA Dermatol · May 1, 2018
IMPORTANCE: The immunosuppression vital to maintaining transplanted organs comes with an increased incidence of cutaneous neoplasms. Understanding the genesis of malignant melanoma (MM) in transplant subpopulations is necessary for adequate disease surveil ...
Full textLink to itemCite
Journal ArticlePLoS One · 2018
BACKGROUND: Rituximab is a promising steroid sparing agent used in the treatment of moderate to severe pemphigus vulgaris. Its exact place in the algorithm of pemphigus treatment, vis-à-vis other, conventional adjuvant therapy (CAT) is not known. OBJECTIVE ...
Full textLink to itemCite
Journal ArticleG Ital Dermatol Venereol · December 2017
Cutaneous lichen planus (CLP) is a chronic autoimmune disease classically associated with severely pruritic, polygonal, violaceous, flat-topped papules and plaques. Subtypes such as hypertrophic and bullous lichen planus and lichen planus pigmentosus have ...
Full textLink to itemCite
Journal ArticleTranspl Int · June 2016
The first Banff vascularized composite allotransplantation meeting was held in 2007 to standardize criteria for the characterization and reporting of severity and types of rejection. As a result, the 2007 Banff VCA working classification for skin allograft ...
Full textLink to itemCite
Conference2015 IEEE International Ultrasonics Symposium, IUS 2015 · November 13, 2015
Sclerotic skin diseases are associated with inflammation and fibrosis in the dermis, and these changes in collagen content with disease progression make this pathology amenable to being characterized with Acoustic Radiation Force Impulse (ARFI) and Shear W ...
Full textCite
Journal ArticleUltrasound Med Biol · November 2015
In this study, acoustic radiation force impulse (ARFI) and shear wave elasticity imaging (SWEI) were applied to the skin to investigate the feasibility of their use in assessing sclerotic skin diseases. Our motivation was to develop a non-invasive imaging ...
Full textLink to itemCite
ConferenceJAMA Dermatol · September 2015
IMPORTANCE: Topical fluorouracil was demonstrated to be effective in reducing the number of actinic keratoses (AKs) for up to 6 months, but no randomized trials studied its long-term efficacy. OBJECTIVE: To evaluate the long-term efficacy of a single cours ...
Full textLink to itemCite
Chapter · January 1, 2015
Dapsone, a sulfone, was synthesized in the early twentieth century and has held longtime FDA approval to treat dermatitis herpetiformis and leprosy. However, unlabeled uses of dapsone have become prevalent among dermatologist, especially in autoimmune bull ...
Full textCite
Journal ArticleSkin Therapy Lett · 2014
Autoimmune blistering diseases are rare, but potentially debilitating cutaneous disorders characterized by varying degrees of mucosal and cutaneous bullae formation. Topical therapy is appropriate for mild and even some moderate disease activity, but syste ...
Link to itemCite
Journal ArticleDermatol Surg · January 2013
BACKGROUND: The role of human papillomavirus (HPV) in the induction and maintenance of cervical, anogenital, and some oropharyngeal carcinomas is well recognized, but its role in cutaneous squamous cell carcinoma (SCC) remains to be elucidated. HPV is thou ...
Full textLink to itemCite
Journal ArticleBlood · July 5, 2012
WHIM syndrome is a rare, autosomal dominant, immunodeficiency disorder so-named because it is characterized by warts, hypogammaglobulinemia, infections, and myelokathexis (defective neutrophil egress from the BM). Gain-of-function mutations that truncate t ...
Full textLink to itemCite
Journal ArticleImmunol Allergy Clin North Am · May 2012
The major treatment strategies for DH are gluten restriction or medical treatment with sulfones. Control of the cutaneous manifestations, but not the gastrointestinal changes, is rapid with dapsone. In addition to control of the cutaneous signs and symptom ...
Full textLink to itemCite
Journal ArticleImmunol Allergy Clin North Am · May 2012
Dermatitis herpetiformis (DH) is an autoimmune blistering skin disease in which antigen presentation in the gastrointestinal mucosa results in cutaneous IgA deposition and distinct, neutrophil-driven cutaneous lesions. Our findings suggest that the qualita ...
Full textLink to itemCite
Journal ArticleDermatol Clin · October 2011
The major treatment strategies for DH are gluten restriction or medical treatment with sulfones. Control of the cutaneous manifestations, but not the gastrointestinal changes, is rapid with dapsone. In addition to control of the cutaneous signs and symptom ...
Full textLink to itemCite
Journal ArticleDermatol Clin · July 2011
Dermatitis herpetiformis (DH) is an autoimmune blistering skin disease in which antigen presentation in the gastrointestinal mucosa results in cutaneous IgA deposition and distinct, neutrophil-driven cutaneous lesions. Our findings suggest that the qualita ...
Full textLink to itemCite
Journal ArticleArch Dermatol · April 2009
BACKGROUND: Synthetic peptides that target proopiomelanocortin receptors are being investigated as a novel and safe way to tan. It has been postulated that synthetic alpha-melanocyte-stimulating hormone (alpha-MSH) peptides may have protective effects agai ...
Full textLink to itemCite
Journal ArticleJ Immunol · December 1, 2006
CCL21, a lymphatic endothelial cell (LEC)-derived chemokine, and its receptor CCR7 regulate dendritic cell (DC) trafficking to lymph nodes (LN), but it is unclear how CCL21 expression is regulated. Oncostatin M (OSM) is an IL-6-like cytokine synthesized by ...
Full textLink to itemCite
Journal ArticleMicrovasc Res · January 2006
LYVE-1 is a surface bound hyaluronic acid (HA) receptor that is preferentially expressed by lymphatic endothelial cells (LEC). cDNA encoding full-length human LYVE-1 was coated onto gold particles that were then delivered via helium-assisted jet propulsion ...
Full textLink to itemCite
Journal ArticleCurr Pharm Des · 2006
Vascular endothelial growth factor (VEGF)-mediated angiogenesis is thought to play a critical role in tumor growth and metastasis. Consequently, anti-VEGF therapies are being actively investigated as potential anti-cancer treatments, either as alternatives ...
Full textLink to itemCite
Journal ArticleProc Natl Acad Sci U S A · July 5, 2005
Central memory CD8+ T cells (T(CM)) and effector memory CD8+ T cells (T(EM)) are found in humans and mice; however, their relative contributions to host immunity have only recently been examined in vivo. Further, the ability of T(CM) to treat an establishe ...
Full textLink to itemCite
Journal ArticleJ Dermatol Sci · November 2004
Cancer metastasis is the end result of a complex series of biologic events that leads to the formation of clinically significant secondary tumors at distant sites. The sites of distant metastasis are not random since certain tumors show a tendency to devel ...
Full textLink to itemCite
Journal ArticleBlood · December 1, 2003
Kaposi sarcoma (KS), the most common neoplasm in patients with AIDS, typically presents with multiple skin lesions characterized by "spindle cells," the vast majority of which are infected with KSHV (Kaposi sarcoma herpes virus, also named HHV-8). In patie ...
Full textLink to itemCite
Journal ArticleJ Exp Med · November 3, 2003
Human melanoma cells frequently express CC chemokine receptor (CCR)10, a receptor whose ligand (CCL27) is constitutively produced by keratinocytes. Compared with B16 murine melanoma, cells rendered more immunogenic via overexpression of luciferase, B16 cel ...
Full textLink to itemCite
Journal ArticleCancer Res · October 15, 2003
The chemokine receptor, CXCR4, is expressed by human melanomas, and its ligand, CXCL12, is frequently produced at sites of melanoma metastasis. Herein, we examine CXCR4-enhanced binding of B16 murine melanoma cells to endothelial cells (ECs) and recombinan ...
Link to itemCite
Journal ArticleCancer Res · December 15, 2002
The chemokine receptors CC chemokine receptor (CCR) 7 and CXC chemokine receptor (CXCR) 4 have been implicated in cancer metastasis. To evaluate whether CXCR4 is sufficient to increase tumor metastasis in an organ-specific manner, we transduced murine B16 ...
Link to itemCite