383 results on '"L Rudnicka"'
Search Results
2. Transbronchial lung cryobiopsy in sarcoidosis – is single biopsy enough?
- Author
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M Gnass, A Filarecka, M Ciesielska, J Soja, D Czyżewski, L Rudnicka, W Zajęcki, A Bartczak, A Ćmiel, A Paluch-Stachowicz, P Gniady, and A Szlubowski
- Published
- 2022
- Full Text
- View/download PDF
3. 定义在非癌症皮肤疾病的皮肤镜检查研究中应使用的术语和参数
- Author
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E. Errichetti, I. Zalaudek, H. Kittler, Z. Apalla, G. Argenziano, R. Bakos, A. Blum, R. Braun, D. Ioannides, F. Lacarrubba, E. Lazaridou, C. Longo, G. Micali, E. Moscarella, J. Paoli, C. Papageorgiou, T. Russo, A. Scope, G. Stinco, L. Thomas, R.J. Toncic, P. Tschandl, H. Cabo, A. Hallpern, R. Hofmann‐Wellenhof, J. Malvehy, A. Marghoob, S. Menzies, G. Pellacani, S. Puig, H. Rabinovitz, L. Rudnicka, E. Vakirlis, P. Soyer, W. Stolz, M. Tanaka, and A. Lallas
- Subjects
Dermatology - Published
- 2020
- Full Text
- View/download PDF
4. Influence of Cryopreservation on Structural, Chemical, and Immunoenzymatic Properties of Aortic Valve Allografts
- Author
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E. Majewska, L. Rudnicka-Sosin, Małgorzata Mazur, M. Kopytek, Z. Marcinkowska, M. Pawlikowski, R. Pfitzner, and D. Barecka
- Subjects
Aortic valve ,Adult ,Male ,CD34 ,Antigens, CD34 ,030204 cardiovascular system & hematology ,Age and sex ,Cryopreservation ,Andrology ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,Endocardial cell ,medicine ,Humans ,Transplantation, Homologous ,Transplantation ,Decellularization ,Chemistry ,Middle Aged ,Allografts ,Tissue Donors ,Platelet Endothelial Cell Adhesion Molecule-1 ,medicine.anatomical_structure ,030228 respiratory system ,Initial phase ,Aortic Valve ,Microscopy, Electron, Scanning ,Surgery ,Female ,Collagen - Abstract
Objectives The problems in preparing (including cryopreservation) and implanting aortic valve allografts (AVAs) is widely elaborated, but some issues need explanation. Material and Methods Twenty AVAs cryopreserved in dimethylsulphoxide/RPMI solution under −160°C for 1–15 years and 3 controls stored at +4°C up to 2 weeks, from 19 male and 4 female donors, aged 20–51, ±30.8 years, were examined using light (LM), digital (DM), and scanning electron microscopy (SEM), energy dispersion X-ray spectroscopy (EDS), and enzyme-linked immunosorbent assay immunoenzymatic tests (PECAM1, CD34). Results All AVAs were macroscopically correct. LM revealed normal structure of leaflets but massive endothelial decellularization (±59 cells remained on the surface of 5 mm scraps). DM and SEM demonstrated generally normal collagen structures, but local alterations, probably influenced by freezing-thawing (gaps, separated plates) or being initial phase of native degeneration (grains). EDS detected a little elevated calcium amount in 1 specimen only. The mean PECAM1 and CD34 concentrations were at similar low level in all probes. Conclusions Fresh and cryopreservation technologies did not significantly influence the basic properties of AVA leaflets; however, massive endothelial decellularization was present in both groups. Therefore, no endocardial cell activity nor signs of inflammation were observed. These results were independent of donors' age and sex, processing technology, and time of storage of cryopreserved AVAs.
- Published
- 2017
5. High frequency ultrasonography: a complementary diagnostic method in evaluation of primary cutaneous melanoma
- Author
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M, Maj, O, Warszawik-Hendzel, E, Szymanska, I, Walecka, A, Rakowska, M, Antczak-Marczak, P, Kuna, J, Kruszewski, A, Nasierowska-Guttmejer, J, Litniewski, A, Nowicki, M, Olszewska, and L, Rudnicka
- Subjects
Diagnosis, Differential ,Microscopy, Confocal ,Skin Neoplasms ,Humans ,Dermoscopy ,Neoplasm Invasiveness ,Melanoma ,Ultrasonography - Abstract
The aim of our study was to assess the usefulness of high frequency ultrasonography in the diagnosis of melanoma.We examined 84 patients with suspicious melanocytic skin lesions, including 19 cases of melanoma. In vivo high-resolution ultrasonography (30 MHz) was performed prior to excision.In ultrasound scans early melanomas presented as flat oval or fusiform shaped structures and were clearly demarcated, while advanced melanomas were characterized by a roundish shape with less distinct borders. The ultrasonographic thickness of in situ melanomas ranged from 0.02 to 0.85 mm. In the case of invasive tumors, the mean thickness evaluated by high frequency ultrasonography was 10.7% higher compared to the Breslow Score (1.44±0.8 mm and 1.3±0.88 mm, respectively). In all melanomas of Breslow Score of 1 mm or more ultrasound also indicated a Breslow Score of 1 mm or more.High frequency ultrasound examination has limited value in differential diagnosis of melanoma, but it gives a clear picture of the size and depth of the tumor. The method should be used as a complementary method (after dermoscopy and, where applicable, reflectance confocal microscopy) in preoperative evaluation of the tumor. In some cases of locally advanced melanoma, ultrasound examination may allow to reduce the number of surgical procedures and favor the decision of a one-time surgical treatment (removal of primary tumor and sentinel lymph node biopsy at the same time).
- Published
- 2015
6. Nutritional status in chronic obstructive pulmonary disease and systemic sclerosis: two systemic diseases involving the respiratory system
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D, Mękal, A, Doboszyńska, E, Kądalska, E, Świetlik, and L, Rudnicka
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Adult ,Aged, 80 and over ,Male ,Scleroderma, Systemic ,Adolescent ,Nutritional Status ,Feeding Behavior ,Middle Aged ,Nutrition Disorders ,Pulmonary Disease, Chronic Obstructive ,Young Adult ,Electric Impedance ,Quality of Life ,Humans ,Female ,Lung ,Aged - Abstract
This study aimed to assess and compare the nutritional status and life quality of patients with chronic obstructive pulmonary disease (COPD) and systemic sclerosis (SSc). Thirty patients with stable COPD and 32 patients with SSc were examined. In all patients, the following parameters were measured: fat mass, fat-free mass, total body water, FEV1, and blood gases. COPD patients' life quality was assessed with St. George's Respiratory Questionnaire, and in SSc patients with a Quality of Life Questionnaire. The results show that among COPD patients 13% had normal body weight, 60% were obese, and 27% were overweight. In SSc patients, 59% had normal body weight, 31% were overweight, 1 patient was obese, and 2 were underweight. The mean life quality score in COPD patients was 57.3±16.5, while that in SSc patients was 35.8±18.2. COPD patients had a statistically significant lower life quality than SSc patients. The mean value of FEV1 was 45.5±12.2% pred. in COPD patients, and 86.8±21.2% pred. in the SSc group. We conclude that nutritional disorders are more frequent in COPD patients compared to those with SSc.
- Published
- 2014
7. 'Black dots' seen under trichoscopy are not specific for alopecia areata
- Author
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E, Kowalska-Oledzka, M, Slowinska, A, Rakowska, J, Czuwara, J, Sicinska, M, Olszewska, and L, Rudnicka
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Adult ,Male ,Scalp ,Adolescent ,Alopecia Areata ,Dermoscopy ,Middle Aged ,Skin Diseases ,Young Adult ,Child, Preschool ,Humans ,Female ,Child ,Pigmentation Disorders ,Aged - Abstract
'Black dots' are macrocomedo-like round structures localized to the follicular ostium, and are considered a specific trichoscopic feature of alopecia areata (AA).To characterize specific features of 'black dots', and assess their possible presence in common hair and scalp disorders.In total, 107 patients with hair loss [30 with alopecia areata (AA), 37 with androgenetic alopecia (AGA), 17 with chronic telogen effluvium (TE), 23 with other hair and scalp diseases] and 93 healthy controls were examined, using a videodermoscope with 20-70 times magnification.There was a correlation between the black dots and the early acute phase of the various alopecia types with the presence of the black dots. Black dots were found in 11% (22/107) of patients with hair loss, including 53.3% (16/30) with AA; in 40% (2/5) of patients with severe chemotherapy-induced alopecia, and in 100% of patients with dissecting cellulitis of the scalp (n = 2), hypotrichosis simplex (n = 1), and congenital aplasia cutis (n = 1). No black dots were seen in patients with AGA or TE.Black dots are not specific for AA, and may be present in other hair and scalp diseases.
- Published
- 2012
8. Effect of Candida colonization on human ulcerative colitis and the healing of inflammatory changes of the colon in the experimental model of colitis ulcerosa
- Author
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M, Zwolinska-Wcislo, T, Brzozowski, A, Budak, S, Kwiecien, Z, Sliwowski, D, Drozdowicz, D, Trojanowska, L, Rudnicka-Sosin, T, Mach, S J, Konturek, and W W, Pawlik
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Adult ,Male ,Antifungal Agents ,Time Factors ,Adolescent ,Colon ,Tumor Necrosis Factor-alpha ,Probiotics ,Interleukin-1beta ,Candidiasis ,Middle Aged ,Rats ,Disease Models, Animal ,Young Adult ,Candida albicans ,Animals ,Humans ,Colitis, Ulcerative ,Female ,Rats, Wistar ,Fluconazole ,Aged ,Peroxidase - Abstract
The influence of fungal colonization on the course of ulcerative colitis (UC) has not been thoroughly studied. We determined the activity of the disease using clinical, endoscopic and histological index (IACH) criteria in UC patients with fungal colonization and the healing process of UC induced by an intrarectal administration of trinitrobenzene sulfonic acid (TNBS) in rats infected with Candida, without and with antifungal (fluconazole) or probiotic (lacidofil) treatment. The intensity of the healing of the colonic lesions was assessed by macro- and microscopic criteria as well as functional alterations in colonic blood flow (CBF). Myeloperoxidase (MPO) content and plasma proinflammatory cytokines IL-1beta and TNF-alpha levels were evaluated. Candida more frequently colonized patients with a history of UC within a 5-year period, when compared with those of shorter duration of IBS. Among Candida strains colonizing intestinal mucosa, Candida albicans was identified in 91% of cases. Significant inhibition of the UC activity index as reflected by clinical, endoscopical and histological criteria was observed in the Candida group treated with fluconazole, when compared to that without antifungal treatment. In the animal model, Candida infection significantly delayed the healing of TNBS-induced UC, decreased the CBF and raised the plasma IL-1beta and TNF-alpha levels, with these effects reversed by fluconazole or lacidofil treatment. We conclude that 1) Candida delays healing of UC in both humans and that induced by TNBS in rats, and 2) antifungal therapy and probiotic treatment during Candida infection could be beneficial in the restoration and healing of colonic damage in UC.
- Published
- 2008
9. Correlation between type and grade of ductal carcinoma in situ and concomitant invasive ductal carcinoma of the breast
- Author
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L, Rudnicka and J, Stachura
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Adult ,Aged, 80 and over ,Carcinoma, Ductal, Breast ,Calcinosis ,Humans ,Breast Neoplasms ,Female ,Neoplasm Invasiveness ,Middle Aged ,Carcinoma in Situ ,Aged ,Retrospective Studies - Abstract
Morphological analysis was made in a group of 52 breast cancers, in which ductal carcinoma in situ (DCIS) was coexisted with invasive ductal carcinoma. DCIS was graded according to the cytological, Van Nuys and Holland classifications sharing a criterion of evaluating the degree of cancer cell nuclear atypia, and the histological classification. Histological grading of invasive breast carcinoma was based upon the modified Bloom and Richardson classification. Statistical analysis revealed a significant correlation between grades of invasive carcinoma and concomitant DCIS. This indicates a high prognostic value of above-mentioned DCIS classifications, proving their clinical usefulness. The Van Nuys classification should be recommended as its criteria are precise and there is no need to isolate DCIS with intermediate nuclear atypia, which improves assessment of the lesion.
- Published
- 2001
10. [Use of cefuroxime axetil in clinical practice]
- Author
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M, Słowińska, E, Szymańska, I, Walecka, and L, Rudnicka
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Cefuroxime ,Cytokines ,Humans ,Dermatitis ,Bacterial Infections ,Lymphocytes ,Borrelia Infections ,Connective Tissue Diseases ,Respiratory Tract Infections - Abstract
This study summarizes the actual recommendations for cefuroxime axetil treatment in dermatology and general medicine. These include the well known clinical efficacies in therapy of upper and lower respiratory tract infections, genitourinary tract infections and skin and soft tissue infections, but also connective tissue diseases, such as morphea and SCLE. Though the immunomodulatory activity of the drug should be established by further controlled studies, there are some limited literature data, which show the modulatory effect of cefuroxime axetil on the lymphocyte proliferation and the production of selected cytokines.
- Published
- 2001
11. Long-term cefuroxime axetil in subacute cutaneous lupus erythematosus. A report of three cases
- Author
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L, Rudnicka, E, Szymańska, I, Walecka, and M, Słowińska
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Adult ,Cefuroxime ,Lupus Erythematosus, Cutaneous ,Humans ,Female ,Middle Aged ,Cephalosporins ,Skin - Abstract
Subacute cutaneous lupus erythematosus (SCLE) is a subset of lupus erythematosus characterized mainly by prominent photoaggravated cutaneous manifestations. Standard therapies for SCLE include topical or systemic steroids and antimalarial drugs. Both methods show limited efficacy in clearing cutaneous lesions and occasionally produce serious side effects.To assess the efficacy of cefuroxime axetil, an oral cephalosporin with antibacterial and immunosuppressive activity, in patients with SCLE.Three patients with SCLE were treated with cefuroxime axetil at a daily dose of 500 mg for 30-60 days.In all patients complete clearing of skin lesions was achieved and no side effects were observed.We suggest that long-term cefuroxime axetil administration might be an alternative treatment for patients with SCLE skin lesions.
- Published
- 2000
12. Nesidioblastosis in an adult man--case report
- Author
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R, Tomaszewska, W, Nowak, L, Rudnicka-Sosin, and J, Stachura
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Male ,Alcoholism ,Pancreatitis ,Chronic Disease ,Humans ,Pancreatic Diseases ,Aged - Abstract
We report a case of nesidioblastosis in a 66-year-old man with chronic alcohol-induced pancreatitis manifested by attacks of hypoglycemia for several years. The state of the patient improved after subtotal pancreatectomy.
- Published
- 1999
13. Mature cystic teratoma of the mediastinum containing a carcinoid. A case report
- Author
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L, Rudnicka, B, Papla, and E, Malinowski
- Subjects
Treatment Outcome ,Teratoma ,Humans ,Female ,Carcinoid Tumor ,Middle Aged ,Mediastinal Neoplasms - Abstract
We report a case of mature mediastinal teratoma containing mature pancreatic tissue and carcinoid in a 57-year-old woman who underwent a successful surgical operation.
- Published
- 1999
14. Thymomas and thymic carcinomas. Evaluation of the Müller-Hermelink classification
- Author
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B, Papla, L, Rudnicka, M, Dubiel-Bigaj, and E, Malinowski
- Subjects
Adult ,Male ,Thymoma ,Evaluation Studies as Topic ,Carcinoma ,Humans ,Female ,Thymus Neoplasms ,Middle Aged ,Aged ,Retrospective Studies - Abstract
In the present study the Müller-Hermelink classification was used to analyze 39 thymomas and 4 thymic carcinomas collected over 20 years at the Chair and Department of Pathomorphology CM UJ. Our series consisted of 10 medullary thymomas (25.6%), 13 mixed (33.3%), 7 organoid (17.9%) and 9 cortical thymomas (23.0%). The mean age of the patients was 50.3 and it was the highest in patients with mixed thymomas-58.4 years and the lowest in patients with organoid thymomas-38.9 years, the difference being statistically significant. In the present series women were predominant (24:15). Myasthenia gravis was observed in 10 patients (25.6%), 5 women and 5 men, in 7 of them it was associated with cortical and organoid thymomas. Medullary, mixed and organoid thymomas were usually of lower stage (I and II), having a better prognosis than cortical thymomas and thymic carcinomas. One organoid thymoma recurring after 7 years evolved into cortical thymoma. Two thymic carcinomas were diagnosed as anaplastic, low differentiated, one as sarcomatous and one as well differentiated squamous carcinoma. The mean age of the patients was 39.7 years. The prognosis in all the patients with thymic carcinoma was poor. Based upon personal experience the authors regard the Müller-Hermelink classification as useful, easy to apply, reproducible and providing important prognostic information.
- Published
- 1999
15. Short-term eradication therapy for Helicobacter pylori does not reduce the incidence of gastric metaplasia in duodenal ulcer patients
- Author
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L, Rudnicka, A, Bobrzyński, and J, Stachura
- Subjects
Adult ,Male ,Metaplasia ,Helicobacter pylori ,Stomach ,Amoxicillin ,Middle Aged ,Anti-Ulcer Agents ,Helicobacter Infections ,Duodenal Ulcer ,Metronidazole ,Organometallic Compounds ,Humans ,Drug Therapy, Combination ,Female ,Omeprazole ,Aged - Abstract
The presence of gastric metaplasia in the duodenal mucosa and Helicobacter pylori infection play an important role in the development of duodenal ulcers and the risk for ulcer relapses. The purpose of the present study was to identify the presence of gastric metaplasia in the duodenum and observation of changes in its extent during eradication therapy for Helicobacter pylori. The study population consisted of 40 patients, 15 women (aged from 29 to 65 years) and 25 men (aged from 22 to 62 years). At baseline and after 6 weeks all patients underwent endoscopic examinations of the upper alimentary tract during which two gastric antral and duodenal biopsies were obtained. The first endoscopy revealed the presence of duodenal ulcers in 22 patients, no ulcers in 11 cases, and postulceration scar in the duodenal bulb in 7 cases. The specimens were stained with hematoxylin and eosin, Giemsa and periodic acid Schiff/Alcian Blue. On first examination Helicobacter pylori infection in gastric antral specimens was detected in 40 patients. Therapy with amoxycillin, metronidazole, ventrisol and omeprazole for two weeks was administered in patients without duodenal ulcers and with omeprazole and ventrisol for additional 14 days in patients with duodenal ulcers. After therapy the presence of Helicobacter pylori was found in 10 cases, thus the degree of Hp eradication in the present study was 75%. Gastric metaplasia in duodenal samples was seen in 15 patients with duodenal ulcers and in 10 nonulcer patients. After therapy only in 4 cases gastric metaplasia was reduced along with Hp eradication, whereas in 9 cases gastric metaplasia in the duodenum was still present despite effective Hp eradication. The present findings indicate that gastric metaplasia is a reversible lesion, although this process is not dynamic and requires more time. The presence of gastric metaplasia in the duodenum after Hp eradication indicates an increased risk for the recurrence of duodenal ulcers, thus providing a useful information for a clinician.
- Published
- 1997
16. Mediastinal myelolipoma. A case report
- Author
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L, Rudnicka, B, Papla, and E, Malinowski
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Male ,Myelolipoma ,Humans ,Radiography, Thoracic ,Mediastinal Neoplasms ,Aged - Published
- 1996
17. Expression of extracellular matrix genes in adult human dermal microvascular endothelial cells and their regulation by heparin and endothelial cell mitogens
- Author
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E G, Hitraya, E M, Tan, L, Rudnicka, and S A, Jimenez
- Subjects
Adult ,Extracellular Matrix Proteins ,Umbilical Veins ,Heparin ,Microcirculation ,Fluorescent Antibody Technique ,Endothelial Growth Factors ,Iliac Vein ,Blotting, Northern ,Gene Expression Regulation ,Fibroblast Growth Factor 1 ,Humans ,Fibroblast Growth Factor 2 ,Endothelium, Vascular ,Cells, Cultured ,Skin - Abstract
Microvascular alterations are prominent features of systemic sclerosis (SSc) and often precede the appearance of clinically detectable fibrosis. The mechanism leading to selective microvascular injury in SSc is not known; however, microvascular endothelial cell (EC) activation has been demonstrated in SSc skin and is considered to be an early event in the pathogenesis of SSc.The expression of genes encoding extracellular matrix (ECM) proteins was examined in adult human dermal microvascular EC (HDMVEC), human iliac vein EC (HIVEC), and human umbilical vein EC (HUVEC) using indirect immunofluorescence (IIF) and Northern hybridization analysis. The effects of heparin and the endothelial cell mitogens, endothelial cell growth factor (ECGF) supplement and acidic and basic fibroblast growth factors (aFGF and bFGF), on the expression of ECM genes by these cells were also studied.Abundant transcripts for collagen types I, IV, VI, and fibronectin (FN) and weak expression of the type III collagen gene were detected in HDMVEC cultures in the absence of ECGF and heparin. In contrast, in the presence of these factors, no mRNA for types I, III, and VI collagens and marked down-regulation (more than twofold) of mRNA levels for collagen type IV and FN were observed. These results were confirmed at the protein level by IIF staining. In contrast to HDMVEC, HIVEC and HUVEC did not show expression of genes encoding types I, III, and VI collagens under any culture conditions examined. Next we studied the separate effect of heparin and aFGF or bFGF on the expression of ECM genes in HDMVEC. In contrast to the maximal expression of types I and VI collagens and FN detected in the absence of growth factors, aFGF decreased mRNA levels by 43% for type I collagen, by 52% for type VI collagen, and by 47% for FN. The decreases in mRNA levels caused by bFGF were 37, 41, and 36%, respectively. Heparin alone decreased the mRNA levels for these genes by 60, 77, and 65%, respectively; however, FGF potentiated the negative effect of heparin on ECM gene expression.These results demonstrate that HDMVEC display a unique pattern of expression of ECM genes that is different from that displayed by EC from medium and large vessels. The data also demonstrate that heparin, ECGF supplement, aFGF, and bFGF regulate ECM gene expression in HDMVEC in vitro and suggest that these growth factors may modulate the expression of matrix genes in vivo. Altered expression of ECM genes by HDMVEC may play an important role in diseases affecting the microvasculature, such as SSc.
- Published
- 1995
18. Use of spontaneously mutated human DNA as competitive internal standard for nucleic acid quantification by reverse transcription-polymerase chain reaction (RT-PCR)
- Author
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L, Rudnicka, A, Diaz, J, Varga, A, Christiano, J, Uitto, and S A, Jimenez
- Subjects
Scleroderma, Systemic ,Base Sequence ,Transcription, Genetic ,Molecular Sequence Data ,DNA ,Fibroblasts ,Reference Standards ,Polymerase Chain Reaction ,Reference Values ,Transforming Growth Factor beta ,Mutation ,Humans ,Collagen ,RNA, Messenger - Abstract
Quantification of gene expression is of increasing interest in many medical sciences. Methods based on reverse transcription-polymerase chain reactions (RT-PCRs) are timesaving and require only very small amounts of RNA. A limiting factor, however, is the significant fluctuation in the efficacy of reverse transcription as well as in the polymerase chain reactions. Various external and internal standards have been suggested for correcting these fluctuations. We describe a novel way of creating an internal standard for assessing the expression of type VII collagen in human cells. The total RNA of a patient with hereditary epidermolysis bullosa dystrophica associated with a homozygous T to A point mutation in type VII collagen gene was reverse transcribed and a 382bp fragment of type VII collagen cDNA containing the mutation was amplified. The mutated cDNA, unlike normal type VII collagen cDNA could be cleaved by EarI endonuclease into 244bp and 138bp fragments. Semiquantitative PCR was performed with the mutated cDNA as internal standard and the studied cDNA sample in the same tube in the presence of alpha 32P-labeled dCTP. The reaction was followed by EarI digestion, electrophoresis on a polyacrylamide gel and exposure to a X-ray film. In conclusion, we describe a timesaving method for creating internal standards for semiquantitative RT-PCR.
- Published
- 1995
19. Human recombinant interleukin-1 beta up-regulates elastin gene expression in dermal fibroblasts. Evidence for transcriptional regulation in vitro and in vivo
- Author
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A, Mauviel, Y Q, Chen, V M, Kähäri, I, Ledo, M, Wu, L, Rudnicka, and J, Uitto
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Mice ,Gene Expression Regulation ,Transcription, Genetic ,Animals ,Humans ,Cycloheximide ,Fibroblasts ,Promoter Regions, Genetic ,Cells, Cultured ,Elastin ,Interleukin-1 ,Skin ,Up-Regulation - Abstract
The effects of human recombinant interleukin (IL)-1 beta on elastin gene expression were studied in human skin fibroblast cultures by Northern hybridization and transient transfection experiments. Incubation of the cells with IL-1 beta elevated the elastin mRNA steady-state levels by approximately 3- to 4-fold. A similar increase was noted at the protein level, when estimated by indirect immunofluorescence of cultured cells. This effect was independent of the on-going protein synthesis, as tested by incubation with cycloheximide. Transient transfections of the dermal fibroblasts with a human elastin promoter/chloramphenicol acetyltransferase (CAT) reporter gene construct suggested transcriptional regulation, since the CAT activity in cells incubated with IL-1 beta was similarly increased approximately 3-fold. Enhancement of the human elastin promoter activity by IL-1 beta was also noted in fibroblast cultures established from the skin and lungs of transgenic mice which have integrated the human promoter/CAT construct into their genome and express it in a tissue-specific manner. Furthermore, subcutaneous injection of IL-1 beta to the mice resulted in a approximately 4-fold elevation of the CAT activity in the skin after a 30-h incubation, as compared to the CAT activity in the skin of control animals. Collectively, these data indicate that IL-1 beta up-regulates elastin gene expression in fibroblast cultures as well as in the skin in vivo, and the activation occurs at the transcriptional level.
- Published
- 1993
20. [Pathogenesis of systemic scleroderma--new evidence]
- Author
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L, Rudnicka and S, Majewski
- Subjects
Scleroderma, Systemic ,Humans - Published
- 1990
21. [Studies of natural killer cell cytotoxicity against human chondrocytes in patients with articular arthritic changes complicated by psoriasis and systemic scleroderma]
- Author
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J, Malejczyk, S, Majewski, W, Gliński, L, Rudnicka, and M, Malejczyk
- Subjects
Killer Cells, Natural ,Cartilage ,Scleroderma, Systemic ,Arthritis, Psoriatic ,Humans ,In Vitro Techniques - Abstract
The natural killer (NK) activity against fetal chondrocytes was studied in patients with psoriasis and systemic sclerosis. It was shown that the cell responsible for the cytotoxic effect is a lymphocyte CD16+, CD2-. In patients with arthritic psoriasis NK activity against chondrocytes was significantly higher than in other psoriasis patients or in healthy controls. Preliminary studies show that the NK activity against chondrocytes is decreased in patients with systemic sclerosis.
- Published
- 1990
22. [Studies on the production of epidermal cytokines after UVB irradiation in patients with epidermodysplasia verruciformis]
- Author
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S, Majewski, J, Malejczyk, A, Urbanski, T, Schwarz, M, Malejczyk, J, Misiewicz, L, Rudnicka, J, Szymańczyk, T A, Luger, and S, Jabłońska
- Subjects
Adult ,Keratinocytes ,Male ,Skin Neoplasms ,Epidermodysplasia Verruciformis ,Humans ,Female ,Ultraviolet Therapy ,In Vitro Techniques ,Middle Aged ,Precancerous Conditions ,Interleukin-1 - Abstract
The production of interleukin-1 (IL-1) and interleukin-1 inhibitor by keratinocytes isolated from the skin of epidermodysplasia verruciformis patients was studied. Keratinocytes from uninvolved skin of patients with most pronounced neoplastic lesions produced large amounts of an IL-1 inhibitor (20-40 kD). Keratinocytes from preneoplastic lesions showed no significant differences compared to cells from healthy donors but their production of IL-1 after UVB irradiation was increased.
- Published
- 1990
23. [Studies of the role of cellular immunity and angiogenetic changes in the pathogenesis of circumscribed scleroderma]
- Author
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S, Majewski, M, Błaszczyk, M, Chibowska, D, Rosińska-Borkowska, D, Kencka, L, Rudnicka, M, Marczak, B, Makieła, A, Skiendzielewska, and S, Jabłońska
- Subjects
Leukocyte Count ,Scleroderma, Localized ,Rosette Formation ,T-Lymphocyte Subsets ,Antibodies, Antinuclear ,Lymphopenia ,T-Lymphocytes ,Humans ,Angiogenesis Inducing Agents ,Autoimmune Diseases - Abstract
The studies were performed in 48 patients with morphea and included evaluation of 1) antinuclear antibodies 2) lymphocyte induced angiogenesis 3) natural killer (NK) cell activity and 4) T cell subpopulations in peripheral blood. The presence of antinuclear antibodies was found in 44.4% (8/18) patients with scleroderma linearis and in 21% (4/19) patients with morphea disseminata. Lymphocyte induced angiogenesis was increased in 41.5% (17/41) morphea patients, mainly in cases with pronounced vascular changes. The E rosette forming test showed a decreased percentage of active rosette forming cells (ARFC) and total rosette forming cells (TRFC) in peripheral blood and the NK cell activity was lowered in patients with morphea. These results obtained in patients with morphea show some similarities and differences in comparison to cellular immunity disturbances in patients with systemic scleroderma.
- Published
- 1990
24. [Case of polyarteritis nodosa with atypical neurological manifestations and cardiomyopathy]
- Author
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L, Rudnicka
- Subjects
Diagnosis, Differential ,Male ,Humans ,Cardiomegaly ,Middle Aged ,Cardiomyopathies ,Muscular Dystrophies ,Polyarteritis Nodosa - Published
- 1977
25. [Immunologic disorders in patients with recurrent herpes simplex]
- Author
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S, Majewski, M, Polkowska, M, Wasik, and L, Rudnicka
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Adult ,Male ,Adolescent ,T-Lymphocytes ,Herpes Simplex ,Middle Aged ,Leukocyte Count ,Recurrence ,Child, Preschool ,Lymphopenia ,Humans ,Female ,Child ,Aged - Published
- 1988
26. [Platelet growth factors -- physiology and pathology]
- Author
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L, Rudnicka, S, Majewski, and B, Makieøa
- Subjects
Arthritis, Rheumatoid ,Platelet-Derived Growth Factor ,Wound Healing ,Scleroderma, Systemic ,Arteriosclerosis ,Neoplasms ,Humans - Published
- 1989
27. [Cellular cytotoxicity in the studies of immunosuppressive activity of drugs]
- Author
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M, Wasik, G, Rychlik, L, Rudnicka, and A, Górski
- Subjects
Cytotoxicity, Immunologic ,Mice ,Leukemia, Experimental ,Animals ,Leukemia, Erythroblastic, Acute ,In Vitro Techniques ,Leukemia L1210 ,Cyclophosphamide ,Methylprednisolone ,Promethazine ,Immunosuppressive Agents - Published
- 1988
28. [THROMBOSIS OF THE PORTAL VEIN]
- Author
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E, HOFFMAN and L, RUDNICKA
- Subjects
Portal Vein ,Humans ,Thrombosis ,Thrombophlebitis - Published
- 1964
29. Efficacy and safety of the oral Janus kinase 3/tyrosine kinase expressed in hepatocellular carcinoma family kinase inhibitor ritlecitinib over 24 months: integrated analysis of the ALLEGRO phase IIb/III and long-term phase III clinical studies in alopecia areata.
- Author
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Piliang M, Soung J, King B, Shapiro J, Rudnicka L, Farrant P, Magnolo N, Piraccini BM, Luo X, Wolk R, Woodworth D, Schaefer G, and Lejeune A
- Subjects
- Humans, Male, Female, Adult, Adolescent, Treatment Outcome, Middle Aged, Young Adult, Child, Administration, Oral, Patient Satisfaction, Pyrimidines, Pyrroles, Alopecia Areata drug therapy, Protein Kinase Inhibitors administration & dosage, Protein Kinase Inhibitors adverse effects
- Abstract
Background: The ALLEGRO phase IIa and IIb/III (NCT02974868 and NCT03732807) studies have demonstrated that ritlecitinib is effective and well tolerated in adults and adolescents with alopecia areata (AA) up to 48 weeks., Objectives: To assess the efficacy of ritlecitinib through month 24 and safety through data cutoff in the ALLEGRO phase IIb/III study and the ongoing long-term open-label phase III ALLEGRO-LT study (NCT04006457)., Methods: Patients aged ≥ 12 years with AA and ≥ 50% scalp hair loss from ALLEGRO IIb/III who rolled over to ALLEGRO-LT after up to 48 weeks were included. Proportions of patients with responses based on clinician-reported Severity of Alopecia Tool (SALT) scores of ≤ 20 and ≤ 10, eyebrow assessment (EBA) and eyelash assessment (ELA), patient global impression of change (PGI-C) and patient satisfaction with hair growth were reported through month 24 for patients who received ritlecitinib 50 mg daily with or without a 200-mg 4-week daily loading dose. Observed and imputed data [last observation carried forward (LOCF)] were reported up to 9 December 2022. Safety was assessed throughout., Results: At month 12, a SALT score ≤ 20 was achieved by 45.1% and 45.9% (observed) and 40.3% and 41.8% (LOCF) of the 191 and 194 patients who received ritlecitinib 50 mg and ritlecitinib 200 mg/50 mg, respectively. At month 24, these proportions increased to 60.8% and 63.1% (observed) and 46.1% and 50.8% (LOCF), respectively. Patients with abnormal EBA or ELA scores at baseline achieved responses at month 24 [EBA observed: 57.6% (50 mg), 61.0% (200/50 mg); EBA LOCF: 46.8% (50 mg), 50.9% (200/50 mg); ELA observed: 51.2% (50 mg), 62.7% (200/50 mg); ELA LOCF: 43.2% (50 mg), 51.7% (200/50 mg)]. PGI-C response was achieved by patients at month 24 [observed: 70.0% (50 mg), 76.4% (200/50 mg); LOCF: 56.6% (50 mg), 65.5% (200/50 mg)]. Safety profiles for both treatment groups were consistent with the known safety profile of ritlecitinib., Conclusions: Ritlecitinib has clinically meaningful and sustained efficacy beyond 1 year with a favourable safety and tolerability profile, supporting its long-term use in patients aged ≥ 12 years with AA., Competing Interests: Conflicts of interest: M.P. has been a consultant and/or investigator for Pfizer, Eli Lilly and Procter & Gamble. J. Soung has been a speaker for Celgene, Regeneron/Sanofi and Ortho Dermatologics; a speaker and investigator for Amgen, AbbVie and Pfizer; a speaker, investigator and advisor for Eli Lilly; an investigator and advisor for LEO Pharma; an investigator, speaker and consultant for Novartis; an investigator for UCB, Janssen, Kyowa Kirin, KoBioLabs and Castel Biosciences; an investigator and consultant for Dermavant; a speaker and consultant for Bristol Myers Squibb; and a speaker, investigator and consultant for Arcutis. B.K. has been an advisory board member, consultant, clinical trial investigator and/or on data monitoring committees for AbbVie, AltruBio, Almirall, AnaptysBio, Arena Pharmaceuticals, Bioniz Therapeutics, Bristol Myers Squibb, Concert Pharmaceuticals, Equillium, Horizon Therapeutics, Eli Lilly, Incyte, Janssen Pharmaceuticals, LEO Pharma, Merck, Otsuka/Visterra, Pfizer, Q32 Bio, Regeneron, Sanofi Genzyme, Sun Pharmaceutical, TWi Biotechnology, Viela Bio and Ventyx Biosciences; and has served on speakers bureau for AbbVie, Incyte, Eli Lilly, Pfizer, Regeneron and Sanofi Genzyme. J. Shapiro has been a consultant for Pfizer and Eli Lilly, and a clinical trial investigator for Pfizer. L.R. has been a speaker for AbbVie, L’Oréal, LEO Pharma, Novartis, Pierre Fabre and Pfizer; and an advisory board member for LEO Pharma, Janssen, L’Oréal, Novartis, Pfizer, Sanofi and UCB. P.F. has been a consultant for Eli Lilly and an advisory board member and investigator for Pfizer. N.M. has received honoraria for participation in advisory boards, speaker and/or consultancy for AbbVie, Almirall, Amgen, Bristol Myers Squibb, Boehringer Ingelheim, Celgene, Dr. Wolff, Eli Lilly, Janssen, La Roche-Posay, LEO Pharma, Novartis, Pfizer and UCB Pharma. B.M.P. has received honoraria for participation in advisory boards, speaker and/or consultancy for Almirall, Pfizer, Eli Lilly, Pierre Fabre-Ducray, Cantabria-Difa Cooper, Dercos–L’Oréal, ISDIN and Legacy Healthcare. X.L., R.W., D.W., G.S. and A.L. are employees of, and hold stock or stock options in, Pfizer., (© The Author(s) 2024. Published by Oxford University Press on behalf of British Association of Dermatologists.)
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- 2025
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30. Radiotherapy-Induced Alopecia: A Multicenter Retrospective Study of 20 Cases.
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Chequer Cabral GC, Cortez de Almeida RF, Freites-Martinez A, Piraccini BM, Starace M, Rudnicka L, Waśkiel-Burnat A, Alves LD, Müller Ramos P, Dos Santos RLB, Machado CJ, Tortelly V, and Melo DF
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- 2025
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31. Baseline trichoscopic values for afro-textured hair in indigenous South Africans show lower density and unique features.
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Dlova NC, Enechukwu NA, Suleman MH, Maseko JZ, and Rudnicka L
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Background: Afro-textured hair exhibits distinct physicochemical properties with possible variations in measurable hair parameters. Standardized documentation of trichoscopic norms of afro-textured hair in indigenous Africans is notably lacking., Methods: A cross-sectional study involving 122 South Africans of both genders of African ancestry (mean age 20.9 ± 3.3 years) with natural afro-textured hair was performed to establish trichoscopic norms. Standard images, one overview, and five microimages (one 20× and four 50× magnifications) were captured with the FotoFinder Medicam1000V2 videodermoscope. Hair density (HD; N/cm
2 ); hair shaft thickness (HST; μm); the proportion of thin, mid, and thick hairs (%); cumulative hair thickness (mm/cm2 ); and follicular units (FU; N/cm2 ) were assessed., Results: The average HD was 139.1 ± 33.88 hairs/cm2 with significant variations across different scalp areas. The average hair thickness was 62.59 ± 8.45 μm with the frontal scalp showing the greatest HST, the proportion of thick hairs, cumulative hair thickness, and FU densities; the temporal had the greatest proportion of thin hairs, whereas the occipital showed the highest proportion of triple hair FU. Male participants exhibited significantly greater average hair thickness, more thick hairs, and more double and triple FU, whereas females had higher cumulative hair thickness density, more thin and intermediate hairs, and more single follicular units., Conclusion: Baseline trichoscopic values for natural afro-textured hair in indigenous South Africans reveal lower hair densities, variations in shaft diameters, and follicular unit patterns compared to other racial groups. Significant gender-based differences are evident in some of the measured parameters. Tailored reference values are essential for accurate clinical evaluations and hair transplant planning., (© 2025 the International Society of Dermatology.)- Published
- 2025
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32. Lichen Planopilaris in Children: A Systematic Review.
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Papierzewska M, Waśkiel-Burnat A, and Rudnicka L
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- Humans, Child, Adolescent, Male, Female, Child, Preschool, Dermoscopy, Lichen Planus pathology, Lichen Planus drug therapy, Lichen Planus diagnosis, Alopecia pathology, Alopecia drug therapy, Alopecia diagnosis
- Abstract
Background: Lichen planopilaris (LPP) is the most common form of scarring alopecia in adults. The disease may also occur in children and adolescents. The aim of this systematic review is to evaluate clinical, trichoscopic, and histopathologic features of pediatric LPP. Therapeutic management is also discussed., Methods: The systematic review was performed according to preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines by searching PubMed, Scopus, and EBSCO databases with the last search on June 18, 2024., Results: A total of 12 studies including 20 children were analyzed. Male predominance was observed. The typical presentation of LPP in children included scarring, perifollicular erythema, scaling, and plugging; atrophy, and follicular hyperkeratotic papules, located most commonly in the vertex. The most common trichoscopic findings were scaling and blue-gray dots, perifollicular erythema, and the absence of follicular ostia. Histopathological examination revealed perifollicular fibrosis, perifollicular interface lymphocytic inflammation, pigment incontinence, cytoid bodies, and scarring in the dermis. Complete or partial response was observed in children treated with topical, intralesional, and systemic corticosteroids, methotrexate, pioglitazone, and tocilizumab., Conclusions: LPP is a rare cause of scarring alopecia in children. The disease should be taken into consideration in the differential diagnosis of patchy hair loss in children., (© 2024 Wiley Periodicals LLC.)
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- 2025
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33. Diagnostic Difficulties of Erosive Lichen Planus in a Pediatric Patient.
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Szwed C, Gudziewski O, Sar-Pomian M, Olszewska M, Rudnicka L, and Czuwara J
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Background: Lichen planus (LP) is a chronic inflammatory disease that can present with significant morbidity, particularly in children. Erosive lichen planus (ELP), its rare destructive subtype, can be particularly difficult to diagnose and manage. We present a rare pediatric case of ELP with multisite involvement and discuss the differential diagnosis. Case Presentation : A 12-year-old boy presented with painful erosions and ulcers on the lateral tongue and dystrophic nails. His six-year history of tongue and nail lesions prompted several comprehensive examinations. Laboratory tests did not reveal any abnormalities. Histopathological examination of the tongue lesions was representative of ELP. Line-field confocal optical coherence tomography (LC-OCT) examination of the tongue lesions showed features that strongly correlated with histopathology. The patient was later hospitalized due to dysphagia and esophageal food impaction, during which esophageal ELP was confirmed. The patient was initially managed with topical corticosteroids. He was later started on systemic therapy in the form of methotrexate and low-dose naltrexone to address his symptoms and disease presentation. Conclusions: This case highlights the complexities of diagnosis and management of ELP in pediatric patients. A multidisciplinary approach and regular follow-up are necessary to manage symptoms, prevent complications, and improve quality of life.
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- 2024
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34. The Role of Minoxidil in Treatment of Alopecia Areata: A Systematic Review and Meta-Analysis.
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Majewski M, Gardaś K, Waśkiel-Burnat A, Ordak M, and Rudnicka L
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Background/Objectives : Minoxidil, in addition to its vasodilatory effect, has also immunomodulatory properties that may be partially responsible for its efficacy in alopecia areata. The aim of the study was to evaluate the efficacy of monotherapy with topical or oral minoxidil in alopecia areata. Methods : A systematic review and meta-analysis of the efficacy of monotherapy with minoxidil in alopecia areata was conducted following the PRISMA guidelines. Efficacy of minoxidil in alopecia areata was evaluated separately for three groups of the patients: (1) treated with 5% topical minoxidil, (2) less than 5% topical minoxidil, and (3) oral minoxidil. Therapeutic response was defined as any regrowth of terminal hair. Results : Of 244 articles, 13 were considered eligible for the further analysis. The study included 372 patients with alopecia areata (338 using topical minoxidil and 34 taking oral minoxidil). The mean time of treatment ranged from 2 to 60 weeks (mean: 27 weeks). The response rate for 5% topical was 82% (95% CI 0.7-0.93) and 58% (95% Cl 0.5-0.67) for the less than 5% topical minoxidil group. For the group of patients treated orally, the response rate was 82%. Conclusions : Minoxidil, both topical and oral, may be beneficial in monotherapy in patients with alopecia areata. 5% topical minoxidil is characterized by significantly higher efficacy compared to minoxidil at a lower concentration. There are no sufficient data to recommend minoxidil as a first-line therapeutic option for alopecia areata.
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- 2024
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35. The Metaverse: A New Frontier in the Management of Hair Loss and Nail Disorders.
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Goldust M and Rudnicka L
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- 2024
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36. Isotretinoin as a promising option in the treatment of facial papules of frontal fibrosing alopecia.
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Beyzaee AM, Babaei M, Ghoreishi B, Waśkiel-Burnat A, Rudnicka L, Starace M, Tosti A, Patil A, Sinclair R, Goldust M, and Rahmatpour Rokni G
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- Humans, Treatment Outcome, Administration, Oral, Facial Dermatoses drug therapy, Facial Dermatoses pathology, Forehead, Isotretinoin therapeutic use, Isotretinoin administration & dosage, Alopecia drug therapy, Alopecia pathology, Dermatologic Agents therapeutic use, Dermatologic Agents administration & dosage, Fibrosis drug therapy
- Abstract
Frontal fibrosing alopecia (FFA) is a primary cicatricial alopecia characterized by hairline recession, pruritus, and facial papules (FP). Various therapies are used to stabilize disease activity and induce remission. However, FP of FFA is resistant to treatment in many cases. In this review, we searched the PubMed and Google Scholar databases to screen the published literature on treatment options for FP in the context of FFA. Overall, 12 studies were included in this review. Available literature suggests a noticeable improvement in resistant-to-treatment FP in FFA patients with oral isotretinoin. The available evidence is limited and is derived from retrospective studies and case reports/series. Systemic isotretinoin can be considered a promising therapeutic regimen for treating resistant-to-treatment FP of FFA patients. However, more extensive, well-designed studies are necessary for confirmatory evidence., (© 2024 the International Society of Dermatology.)
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- 2024
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37. Diffuse pattern of alopecia areata in children: A multicentre retrospective study with 67 patients.
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Buzatto BC, Lemes LR, Cortez de Almeida RF, Machado CJ, Starace M, Piraccini BM, Alessandrini A, Quadrelli F, Marti M, Rudnicka L, Wáskiel Burnat A, Doroshkevich A, Silyuk T, Iorizzo M, Rigatti M, Tosti A, Vincenzi C, Mercau S, Sánchez-Dueñas LE, Asz Sigall D, Dos Santos Lima C, Baptista E, de Carvalho R, Faro GBA, Doche I, and Melo DF
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- Adolescent, Child, Child, Preschool, Female, Humans, Infant, Male, Retrospective Studies, Alopecia Areata
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- 2024
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38. The emerging role of exosomes in the treatment of hair loss.
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Rudnicka L and Olszewska M
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- Humans, Hair Follicle, Exosomes metabolism, Alopecia therapy, Alopecia drug therapy
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- 2024
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39. Differential diagnosis of red scalp: the importance of trichoscopy.
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Waśkiel-Burnat A, Czuwara J, Blicharz L, Olszewska M, and Rudnicka L
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- Humans, Diagnosis, Differential, Dermatitis, Seborrheic diagnosis, Dermatitis, Seborrheic pathology, Rosacea pathology, Rosacea diagnosis, Psoriasis pathology, Psoriasis diagnosis, Dermatomyositis pathology, Dermatomyositis diagnosis, Dermatomyositis diagnostic imaging, Scalp pathology, Dermatitis, Contact pathology, Dermatitis, Contact diagnosis, Erythema pathology, Scalp Dermatoses pathology, Scalp Dermatoses diagnosis, Scalp Dermatoses diagnostic imaging, Dermoscopy methods, Lichen Planus pathology, Lichen Planus diagnosis
- Abstract
Red scalp is a common complaint that may constitute a diagnostic and therapeutic challenge in daily clinical practice. Among the numerous diseases to cause diffuse scalp erythema are psoriasis, seborrhoeic dermatitis, contact dermatitis, diffuse lichen planopilaris, dermatomyositis and scalp rosacea. Accurate diagnosis is crucial for optimal treatment outcomes. Histology most frequently discriminates the underlying condition, but it requires scalp biopsy. In many cases, the combination of clinical examination and trichoscopy is sufficient for establishing the correct diagnosis. The main trichoscopic features of psoriasis are silver-white scaling, regularly distributed dotted (glomerular) vessels or twisted red loops, and punctate haemorrhages. Yellowish-white scaling and thin arborizing vessels are typical features of seborrhoeic dermatitis. Contact dermatitis is characterized by the presence of yellow exudate and polymorphic vessels, while perifollicular scaling and erythema with the lack of follicular openings are typical findings in lichen planopilaris. In scalp dermatomyositis, tortuous and arborizing vessels with interfollicular and perifollicular pigmentation may be detected. The most characteristic features of scalp rosacea are perifollicular scaling and polygonal/arborizing vessels. This review also summarizes histological features and therapeutic options for these conditions., Competing Interests: Conflicts of interest The authors declare no conflicts of interest., (© The Author(s) 2023. Published by Oxford University Press on behalf of British Association of Dermatologists. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
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- 2024
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40. The Usefulness of Line-Field Confocal Optical Coherence Tomography in Monitoring Epidermal Changes in Atopic Dermatitis in Response to Treatment: A Pilot Study.
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Dryżałowska Z, Blicharz L, Michalczyk A, Koscian J, Maj M, Czuwara J, and Rudnicka L
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Background: Atopic dermatitis (AD) is the most common chronic inflammatory skin disease. Due to its high prevalence, considerable morbidity, and chronicity, there is a need for the accurate in vivo evaluation of treatment efficacy. Line-field confocal optical coherence tomography (LC-OCT) is a new emerging imaging technique able to perform a non-invasive, real-time examination of the epidermis and the upper dermis. LC-OCT may represent a promising tool in the diagnosis and treatment follow-up of chronic eczematous skin diseases with barrier defects., Objectives: We aimed to investigate the role of LC-OCT in the non-invasive monitoring of the treatment effect on five patients with severe atopic dermatitis during dupilumab treatment., Materials and Methods: LC-OCT imaging was performed on five patients (three women and two men) aged between 14 and 85 years old at the baseline and at 2, 4, and 6 weeks of treatment with dupilumab. The LC-OCT scans were performed at two sites, the lesional skin in the antecubital fossa and the extensor part of the arm, considered a control site on each patient for comparison. The captured images were later evaluated. Descriptive statistics and a t -test were used to compare the analyzed parameters over time and between involved atopic skin and clinically healthy skin., Results: The LC-OCT imaging was able to detect the difference in stratum corneum (SC) thickness and quality and epidermal thickness (ET) and the changes before and after treatment with high accuracy. The main findings include a significant reduction in the epidermal and stratum corneum thickness and decreased epidermal spongiosis and inflammation, with better quality of the stratum corneum indicating restoration of its tightness at both lesional and control sites., Conclusions: This study demonstrates that clinical improvement of affected and unaffected atopic skin under dupilumab treatment correlates with the LC-OCT findings. LC-OCT represents a novel, non-invasive tool examining the in vivo skin barrier and inflammation and can help to monitor the treatment efficacy among patients with atopic dermatitis in daily practice.
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- 2024
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41. Efficacy and Safety of Rilzabrutinib in Pemphigus: PEGASUS Phase 3 Randomized Study.
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Murrell DF, Caux F, Patsatsi A, Hagino O, Rudnicka L, Vassileva S, Uzun S, Ye J, Yen K, Arora P, Gourlay SG, Joly P, and Werth VP
- Subjects
- Humans, Middle Aged, Adult, Male, Female, Aged, Treatment Outcome, Aged, 80 and over, Young Adult, Adolescent, Double-Blind Method, Pyrimidines administration & dosage, Pyrimidines adverse effects, Dose-Response Relationship, Drug, Protein Kinase Inhibitors adverse effects, Protein Kinase Inhibitors administration & dosage, Protein Kinase Inhibitors therapeutic use, Severity of Illness Index, Remission Induction methods, Pemphigus drug therapy, Agammaglobulinaemia Tyrosine Kinase antagonists & inhibitors
- Abstract
Trial Design: Pemphigus is a rare but life-threatening autoimmune disease requiring long-term treatment that minimizes corticosteroid (CS) exposure while providing consistent disease control. The phase 2 pemphigus study of oral, reversible, covalent Bruton tyrosine kinase inhibitor rilzabrutinib demonstrated rapid and sustained efficacy with well-tolerated safety., Methods: Adults (aged 18-80 years) were randomized 1:1 to 400 mg rilzabrutinib (n = 65) or placebo (n = 66) twice daily (with CS ≤ 0.5 mg/kg/d) for 37 weeks in the phase 3 PEGASUS study in moderate-to-severe pemphigus vulgaris/pemphigus foliaceus., Results: The primary endpoint of complete remission from week 29 to week 37 with the amended endpoint CS dose ≤10 mg/d was not significant for 13 of 54 (24%) rilzabrutinib versus 10 of 55 (18%) placebo patients with PV (P = .45). Secondary endpoints showed numerical but nonsignificant improvements with rilzabrutinib (vs placebo) in reduced CS use, prolonged complete remission duration, and faster time to first complete remission., Conclusions: Overall, rilzabrutinib was well-tolerated, with similar adverse events reported in both groups. Using minimal CS dose ≤10 mg/d and excluding remote observations, the primary efficacy endpoint was not met. However, results from a prespecified sensitivity analysis using CS dose ≤5 mg/d, considering all observations, and including all patients support Bruton tyrosine kinase inhibition as a viable therapeutic approach for pemphigus., (Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
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- 2024
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42. Hair Shaft Abnormalities as a Dermoscopic Feature of Mycosis Fungoides: Pilot Results.
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Jasińska M, Czuwara J, Lortkipanidze N, Michalczyk A, Borkowska B, Gajda-Mróz P, Kurzeja M, Olszewska M, Rudnicka L, and Rakowska A
- Abstract
Introduction: Diagnosis of persistent erythematous, scaly patches, or plaques can be complex since psoriasis (Ps), eczematous dermatitis (ED), and mycosis fungoides (MF) can be considered. Dermoscopy, which is a noninvasive diagnostic tool, is commonly used to examine blood vessels, scales, and background color; however, research on hair shaft evaluation in inflammatory dermatoses remains scarce. The aim of the study was dermoscopic evaluation of hair shafts in skin lesions localized on the non-scalp skin areas in patients diagnosed with MF, Ps, and ED., Methods: This was a retrospective evaluation of 55 patients diagnosed with MF, Ps, and ED. Photographic and dermoscopic documentation of these patients and detailed medical history were evaluated., Results: A total of 21 patients with MF, 21 patients with Ps, and 13 patients with ED were evaluated. The examination revealed the presence of various abnormalities of hair shafts (e.g., numerous pili torti, single pili torti, 8-shaped hairs, pigtail hairs, broken hairs, hair shafts rapidly tapered over long sections, hair shafts irregular in thickness, angulated hairs, branched hairs, the presence of trichorrhexis nodosa, and monilethrix-like hairs), yellow dots, and black dots. The presence of pili torti was found in 80% of patients with MF, compared with 16% of patients with Ps and 8% of patients with ED (p < 0.005), with multiple pili torti found only in MF patients (67%) (p < 0.005). Statistically significant differences also applied to hair shafts rapidly tapering over long sections and 8-shaped hairs, which occurred only in MF patients (p < 0.005 and p = 0.035, respectively)., Conclusions: The presence of hair shaft abnormalities such as numerous pili torti, 8-shaped hairs, and hair shafts rapidly tapering over long sections is an important criterion that should be considered in the dermoscopic differentiation of the patchy/plaque mycosis fungoides and inflammatory dermatoses, such as psoriasis and eczematous dermatitis localized on the non-scalp skin areas., (© 2024. The Author(s).)
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- 2024
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43. Dermoscopic Nail Changes in Psoriasis, Lichen Planus, and Lichen Striatus.
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Sar-Pomian M, Starace MVR, Lencastre A, Piraccini BM, Richert B, Rudnicka L, Trakatelli MG, and Iorizzo M
- Abstract
Background: Onychoscopy is a noninvasive method helpful in diagnosing nail disorders. The aim of the study was to review literature on the usability of onychoscopy in nail psoriasis, nail lichen planus, and nail lichen striatus., Summary: Onychoscopic features of nail psoriasis are pitting, onycholysis with erythematous border, salmon patches, splinter hemorrhages, dotted vessels in lateral and proximal folds, and hyponychium. Onychoscopic features of nail lichen planus are onychorrhexis, onycholysis, longitudinal melanonychia, and red lunula. The literature on the usability of onychoscopy in nail lichen striatus is scarce., Keynotes: Onychoscopy facilitates evaluation of nail abnormalities compared to the clinical examination. Lunular alterations, salmon patches, erythematous border of onycholysis as well as splinter hemorrhages in nail psoriasis are better visualized with onychoscopy compared to the naked eye. Onychoscopy enhances detection of melanonychia, dyschromia, and lunular changes in nail lichen planus. Onychoscopic features are different in fingernails and toenails., Competing Interests: The authors have no conflicts of interest to declare., (© 2024 S. Karger AG, Basel.)
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- 2024
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44. HPV Infections-Classification, Pathogenesis, and Potential New Therapies.
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Mlynarczyk-Bonikowska B and Rudnicka L
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- Humans, Virus Replication drug effects, Papillomavirus Vaccines therapeutic use, Papillomavirus Vaccines immunology, Antiviral Agents therapeutic use, Antiviral Agents pharmacology, Papillomavirus Infections virology, Papillomavirus Infections drug therapy, Papillomaviridae physiology, Papillomaviridae pathogenicity, Papillomaviridae classification, Papillomaviridae genetics
- Abstract
To date, more than 400 types of human papillomavirus (HPV) have been identified. Despite the creation of effective prophylactic vaccines against the most common genital HPVs, the viruses remain among the most prevalent pathogens found in humans. According to WHO data, they are the cause of 5% of all cancers. Even more frequent are persistent and recurrent benign lesions such as genital and common warts. HPVs are resistant to many disinfectants and relatively unsusceptible to external conditions. There is still no drug available to inhibit viral replication, and treatment is based on removing lesions or stimulating the host immune system. This paper presents the systematics of HPV and the differences in HPV structure between different genetic types, lineages, and sublineages, based on the literature and GenBank data. We also present the pathogenesis of diseases caused by HPV, with a special focus on the role played by E6, E7, and other viral proteins in the development of benign and cancerous lesions. We discuss further prospects for the treatment of HPV infections, including, among others, substances that block the entry of HPV into cells, inhibitors of viral early proteins, and some substances of plant origin that inhibit viral replication, as well as new possibilities for therapeutic vaccines.
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- 2024
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45. Correction to: Integrated Safety Analysis of Ritlecitinib, an Oral JAK3/TEC Family Kinase Inhibitor, for the Treatment of Alopecia Areata from the ALLEGRO Clinical Trial Program.
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King B, Soung J, Tziotzios C, Rudnicka L, Joly P, Gooderham M, Sinclair R, Mesinkovska NA, Paul C, Gong Y, Anway SD, Tran H, Wolk R, Zwillich SH, and Lejeune A
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- 2024
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46. Consensus statement on the diagnosis and treatment of sclerosing diseases of the skin, Part 1: Localized scleroderma, systemic sclerosis and overlap syndromes.
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Knobler R, Geroldinger-Simić M, Kreuter A, Hunzelmann N, Moinzadeh P, Rongioletti F, Denton CP, Mouthon L, Cutolo M, Smith V, Gabrielli A, Bagot M, Olesen AB, Foeldvari I, Jalili A, Kähäri V, Kárpáti S, Kofoed K, Olszewska M, Panelius J, Quaglino P, Seneschal J, Sticherling M, Sunderkötter C, Tanew A, Wolf P, Worm M, Skrok A, Rudnicka L, and Krieg T
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- Humans, Diagnosis, Differential, Scleroderma, Systemic diagnosis, Scleroderma, Systemic therapy, Scleroderma, Localized diagnosis, Scleroderma, Localized therapy, Consensus
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The term 'sclerosing diseases of the skin' comprises specific dermatological entities, which have fibrotic changes of the skin in common. These diseases mostly manifest in different clinical subtypes according to cutaneous and extracutaneous involvement and can sometimes be difficult to distinguish from each other. The present consensus provides an update to the 2017 European Dermatology Forum Guidelines, focusing on characteristic clinical and histopathological features, diagnostic scores and the serum autoantibodies most useful for differential diagnosis. In addition, updated strategies for the first- and advanced-line therapy of sclerosing skin diseases are addressed in detail. Part 1 of this consensus provides clinicians with an overview of the diagnosis and treatment of localized scleroderma (morphea), and systemic sclerosis including overlap syndromes., (© 2024 European Academy of Dermatology and Venereology.)
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- 2024
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47. Consensus statement on the diagnosis and treatment of sclerosing diseases of the skin, Part 2: Scleromyxoedema and scleroedema.
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Knobler R, Geroldinger-Simić M, Kreuter A, Hunzelmann N, Moinzadeh P, Rongioletti F, Denton C, Mouthon L, Cutolo M, Smith V, Gabrielli A, Bagot M, Olesen AB, Foeldvari I, Jalili A, Kähäri VM, Kárpáti S, Kofoed K, Olszewska M, Panelius J, Quaglino P, Seneschal J, Sticherling M, Sunderkötter C, Tanew A, Wolf P, Worm M, Skrok A, Rudnicka L, and Krieg T
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- Humans, Consensus, Diagnosis, Differential, Scleromyxedema diagnosis, Scleromyxedema pathology, Scleromyxedema therapy
- Abstract
The term 'sclerosing diseases of the skin' comprises specific dermatological entities, which have fibrotic changes of the skin in common. These diseases mostly manifest in different clinical subtypes according to cutaneous and extracutaneous involvement and can sometimes be difficult to distinguish from each other. The present consensus provides an update to the 2017 European Dermatology Forum Guidelines, focusing on characteristic clinical and histopathological features, diagnostic scores and the serum autoantibodies most useful for differential diagnosis. In addition, updated strategies for the first- and advanced-line therapy of sclerosing skin diseases are addressed in detail. Part 2 of this consensus provides clinicians with an overview of the diagnosis and treatment of scleromyxoedema and scleroedema (of Buschke)., (© 2024 The Authors. Journal of the European Academy of Dermatology and Venereology published by John Wiley & Sons Ltd on behalf of European Academy of Dermatology and Venereology.)
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- 2024
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48. Disease burden, clinical management and unmet treatment need of patients with moderate to severe atopic dermatitis; consensus statements, insights and practices from CERTADE (Central/Eastern EU, Russia, Turkiye AD Experts) Delphi panel.
- Author
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Trzeciak M, Rudnicka L, Arenberger P, Engin B, L'vov A, Alper S, Alpsoy E, Benáková N, Bobko S, Borlu M, Czarnecka-Operacz M, Elisyutina O, Ergun T, Ertam I, Fedenko E, Filipovská O, Fomina D, Gadzhigoroeva A, Kojanová M, Lesiak A, Michenko A, Murashkin N, Owczarek W, Özkaya E, Plzáková Z, Reich A, Selerova M, and Gurbuz BA
- Abstract
Background: There is limited insight into the current disease burden and everyday clinical management of moderate-to- severe AD in Poland, Czechia, Russia, and Turkiye. Therefore, this study aimed to get information-driven insights regarding the current disease burden and clinical management of patients with moderate-to-severe AD with common and differentiating aspects of the patient journey and establish a consensus., Methods: In this modified 2-round Delphi panel, 133 questions were asked in total to 27 dermatologists. A consensus was achieved when 70% of the panel members strongly agreed or agreed (or strongly disagreed or disagreed) with an item. Statements with <40% agreement dropped from the Delphi rounds and were not repeated., Results: The results state that AD has a significant impact on the quality of life for both patients and their families with social and economic consequences in these countries. While there were significant dissimilarities regarding the current treatment approach by preference order and treatment duration among participants, there was also a high percentage of consensus on literature and guideline-based statements. Current topical therapies and the immune response modifiers were not found to be sufficient by panelists to cover the therapeutic needs of patients with moderate-to-severe AD. Moreover, panelists highlighted the significant burden of adverse events with the off-label use of currently available immunosuppressants., Conclusions: These results underlined that there is a significant disease burden with an unmet treatment need for patients with moderate-to-severe AD in Poland, Czechia, Russia, and Turkiye., Competing Interests: All panel members/authors received honoraria from Pfizer for their consultancy on answering the questionnaires. DF has acted in advisory board of Novartis, Takeda, GlaxoSmithKline and has received speaker honorarium from Abbvie, Novartis, GlaxoSmithKline, Sanofi, Takeda, CSl Behring, AstraZeneca. MS has acted in advisory board of Novartis, Pfizer, Bristol Byers Squibb and has received speaker honorarium from Abbvie and Pfizer. AL'v has acted in advisory board of Bayer AG, Pfizer, Novartis, Abbvie, and Sanofi and has received speaker honorarium from Pfizer, LEO Pharma, Sanofi, Janssen, Bayer AG, and Sun Pharma. MT has acted in advisory board of Sanofi, Abbvie, and Leopharma, has received speaker honorarium from Abbvie, Bioderma, LEO Pharma, Pierre Fabre, La Roche Possey, Bausch Health, Mead Johnson, Eli Lilly and subinvestigator in clinical trials sponsored by Amge, Novartyis, and Pfizer. MB has acted in advisory board of UCB, Sanofi, Novartis, Pfizer, Lilly, Janssen, Abbvie, and has received speaker honorarium from UCB, Sanofi, Novartis, Pfizer, Lilly, Janssen, and Abbvie. AM has acted in advisory board of Bayer AG and has received honorarium from L'Oreal, Roche, and Novartis. ZP has acted in advisory board of Novartis, Pfizer, and Bristol Byers Squibb and has received speaker honorarium from Pfizer and Abbvie. EA has acted in advisory board of Novartis, Johnson and Johnson, and Abbvie and has received speaker honorarium from Novartis, Johnson and Johnson, and Abbvie. AR has been a consultant or speaker for AbbVie, Bioderma, Bristol-Myers Squibb, Celgene, Chema Elektromet, Eli Lilly, Galderma, Janssen, Leo Pharma, Medac, Menlo Therapeutics, Novartis, Pierre-Fabre, Sandoz, and Trevi; and principal investigator or sub investigator in clinical trials sponsored by Abbvie, Argenx, Corbus, Drug Delivery Solutions Ltd., Eli Lilly, Galderma, Genentech, Janssen, Kymab Limited, LEO Pharma, Menlo Therapeutics, MetrioPharm, MSD, Novartis, Pfizer, Trevi, and VielaBio. OE has acted in advisory boards of Abbvie, Eli-Lilly, Pfizer, and Sanofi and has received speaker honorarium from Abbvie, Sanofi, Berlin-Chemie/Menarini, and Eli-Lilly. EÖ has acted in advisory boards of Pfizer and Sanofi, and has received speaker honorarium from Pfizer and Sanofi. MK has served as consultant, speaker, or investigator for Abbvie, Amgen, Eli Lilly, Janssen, Leo Pharma, Novartis, Pfizer, and UCB. BE has acted in advisory board of Novartis, Lilly, and Abbvie and has received speaker honorarium from Novartis and Abbvie. EF has acted in advisory board of Novartis, Pfizer, Abbvie, Sanofi, and Eli Lilly and has received speaker honorarium from Novartis, Pfizer, Abbvie, Sanofi, Eli Lilly, and Berlin-Chemie/Menarini. WO has worked as a Consultant or Speaker and participated as Principal Investigator or Subinvestigator in clinical trials sponsored by AbbVie, Alfasigma, Almirall, Bioderma, Bristol-Myers Squibb, Egis, Eli Lilly, Galenica, Galderma, Janssen-Cilag, Leo Pharma, Medac GmbH, Mylan, Novartis, Pfizer, Pierre-Fabre, Roche, Sandoz, Teva Pharmaceuticals, and UCB Pharma. MC-O has acted in the Advisory Board of Novartis and Pfizer. OF has acted in advisory board of Lilly, Novartis, Abbvie, Sanofi, and Janssen and was Principal Investigator in clinical studies of Bristol Myers Squibb, Pfizer, Abbvie, Sanofi, Lilly, Novartis, and Janssen. NM has received research grants from Jansen, Eli Lilly, and Novartis; has acted in advisory board of Galderma, Pierre Fabre, Bayer, LEO Pharma, Pfizer, AbbVie, Amryt Pharma, Zeldis Pharma LLC companies and has received speaker honorarium from LEO Pharma, Abbvie, Novartis, and Viatris. AG has received speaker honorarium from Pfizer, L'Oreal, and Piere Fabre. SB has received speaker honoraria/travel fees from LEO Pharma. ALe has acted in advisory board of Novartis, Abbvie, Leo pharma, Sandoz, Sanofi, and Jansssen Squibb and has received speaker honorarium from Pfizer, Abbvie, Sandoz, Novartis, Leo pharma, Galderma, and Janssen. LR member of advisory boards –Janssen Pharmaceutical Companies, L'Oreal, Leo Pharma, Lilly, Pfizer, Sanofi, Novartis, UCB; invited speaker – Eli Lilly, Leo Pharma, Abbvie, L'Oreal, Lilly, and Pierre Fabre. SA has acted in advisory board of Novartis, Pfizer Pharmaceuticals, and Bristol Myers Squibb and has received speaker honorarium from Pfizer and Abbvie. BG is an employee of Pfizer., (Copyright © 2024 Trzeciak, Rudnicka, Arenberger, Engin, L'vov, Alper, Alpsoy, Benáková, Bobko, Borlu, Czarnecka-Operacz, Elisyutina, Ergun, Ertam, Fedenko, Filipovská, Fomina, Gadzhigoroeva, Kojanová, Lesiak, Michenko, Murashkin, Owczarek, Özkaya, Plzáková, Reich, Selerova and Gurbuz.)
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- 2024
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49. The interplay between dermocosmetics and pharmacotherapy in the management of scalp seborrheic dermatitis.
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Rudnicka L
- Subjects
- Humans, Middle Aged, Dermatitis, Seborrheic drug therapy, Scalp Dermatoses drug therapy
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- 2024
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50. A ranking of treatment efficacy in alopecia areata is not possible without head-to-head studies.
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Rudnicka L and Olszewska M
- Subjects
- Humans, Treatment Outcome, Alopecia Areata drug therapy
- Published
- 2024
- Full Text
- View/download PDF
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