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Atopic eczema

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https://www.readbyqxmd.com/read/28994767/effects-of-exposure-of-formaldehyde-to-a-rat-model-of-atopic-dermatitis-induced-by-neonatal-capsaicin-treatment
#1
Rafael Taeho Han, Seung Keun Back, JaeHee Lee, Hye Young Kim, Hee Jin Kim, Heung Sik Na
Atopic dermatitis is chronically relapsing pruritic eczema and prevails around the world especially in developed countries. Complex interactions between genetic and environmental factors are known to play an important role in the pathophysiology of atopic dermatitis. However, we still lack a detailed picture of the pathogenesis of this disease. Thus, it is of importance to develop appropriate animal models for elucidating the progression of atopic dermatitis. Moreover, investigating the effect of environmental factors such as air pollutants on atopic dermatitis expands understanding of the disease...
September 27, 2017: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/28989281/efficacy-and-tolerability-of-liposomal-polyvinylpyrrolidone-iodine-hydrogel-for-the-localized-treatment-of-chronic-infective-inflammatory-dermatoses-an-uncontrolled-pilot-study
#2
Matthias Augustin, Lisa Goepel, Arnd Jacobi, Bjoern Bosse, Stefan Mueller, Michael Hopp
Infection is common in many chronic, inflammatory skin conditions but is often difficult to treat, in part due to growing bacterial resistance to antibiotics. Liposomal polyvinyl-pyrrolidone (PVP)-iodine hydrogel has a unique mode of action, combining the antiseptic and anti-inflammatory actions of PVP-iodine with the drug delivery and moisturizing properties of liposomes. We investigated the utility of liposomal PVP-iodine to treat infective dermatoses. In this prospective, single-arm (uncontrolled), open-label Phase II pilot study, patients with acne vulgaris (n=30), atopic dermatitis (n=20), impetigo contagiosa (n=10), and rosacea (n=10) received PVP-iodine (3%) hydrogel for ≤4 weeks...
2017: Clinical, Cosmetic and Investigational Dermatology
https://www.readbyqxmd.com/read/28987493/risk-of-infection-in-patients-with-atopic-dermatitis-treated-with-dupilumab-a-meta-analysis-of-randomized-controlled-trials
#3
Patrick Fleming, Aaron M Drucker
BACKGROUND: Atopic dermatitis (AD) is characterized by skin barrier defects, Th2 activation, and increased risk for cutaneous and extracutaneous infections. In clinical trials, dupilumab appeared to decrease rates of skin infections in AD. OBJECTIVE: We aimed to determine the impact of dupilumab on rates of skin and other infections in patients with moderate-to-severe AD. METHODS: We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) of dupilumab for AD...
October 4, 2017: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/28978208/overview-of-atopic-dermatitis
#4
Carmela Avena-Woods
Atopic dermatitis (AD), also known as atopic eczema, is a chronic relapsing inflammatory skin condition. Incidence of AD has increased 2- to 3-fold in industrialized nations, impacting approximately 15% to 20% of children and 1% to 3% of adults worldwide. AD has a wide-ranging impact on a patient's quality of life and the burden from direct and indirect costs (approximately $37.7 billion in out-of-pocket costs) is shared by the families and caregivers of patients with AD. This article reviews the epidemiology, burden of disease, pathophysiology, and diagnostic criteria important for early diagnosis and treatment...
June 2017: American Journal of Managed Care
https://www.readbyqxmd.com/read/28977301/cross-cultural-adaptation-and-validation-of-the-itching-severity-scale-in-children-and-adolescents-with-atopic-dermatitis
#5
Dayanne Mota Veloso Bruscky, Ana Caroline Cavalcanti Dela Bianca Melo, Emanuel Sávio Cavalcanti Sarinho
OBJECTIVE: To translate, adapt and validate the Itch Severity Scale to a Brazilian version (ISS-Ped) in order to measure the severity of pruritus in children and adolescents with atopic dermatitis. METHODS: This is a methodological study of validation of an instrument following recommended protocols. The translated version was evaluated by a group of experts including one professional with experience in instrument validation, three English teachers, one linguistics teacher and seven allergists...
July 2017: Revista Paulista de Pediatria: Orgão Oficial da Sociedade de Pediatria de São Paulo
https://www.readbyqxmd.com/read/28970453/knowledge-attitude-and-advice-giving-behaviour-of-community-pharmacists-regarding-topical-corticosteroids
#6
Wing Man Lau, Parastou Donyai
This study examines the relationship between community pharmacists' knowledge, attitudes to information provision and self-reported counselling behaviours in relation to topical corticosteroids and adjunct therapy in atopic eczema. A mixed-methods approach was used whereby data from interviews with community pharmacists were used to design a structured questionnaire that a larger sample of community pharmacists completed anonymously. The questionnaire was completed and returned by 105 pharmacists (36% response rate)...
July 25, 2017: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/28967549/methotrexate-versus-cyclosporine-in-adults-with-moderate-to-severe-atopic-dermatitis-a-phase-iii-randomized-noninferiority-trial
#7
Catherine Goujon, Manuelle Viguier, Delphine Staumont-Sallé, Claire Bernier, Gérard Guillet, Morad Lahfa, Marie-Christine Ferrier Le Bouedec, Frédéric Cambazard, David Bottigioli, Sophie Grande, Karima Dahel, Frédéric Bérard, Muriel Rabilloud, Catherine Mercier, Jean-François Nicolas
BACKGROUND: Methotrexate is currently used to treat atopic dermatitis but has never been assessed versus cyclosporine in adults. OBJECTIVE: This study evaluated the efficacy and safety of methotrexate versus cyclosporine in patients with moderate-to-severe atopic dermatitis. METHODS: Patients were randomized to receive either oral methotrexate (15 mg/wk) or cyclosporine (2.5 mg/kg/d) for 8 weeks. The primary end point was a patient achieving 50% improvement in the SCORing Atopic Dermatitis index (SCORAD 50) at week 8...
September 26, 2017: Journal of Allergy and Clinical Immunology in Practice
https://www.readbyqxmd.com/read/28965102/association-between-eczema-and-major-cardiovascular-outcomes-in-population-based-studies-a-systematic-review-protocol
#8
Anna Ascott, Ashley M Yu, Morten Schmidt, Katrina Abuabara, Liam Smeeth, Sinéad M Langan
INTRODUCTION: Chronic inflammatory diseases such as eczema (also known as atopic dermatitis) have been inconsistently linked to cardiovascular disease and stroke in both mechanistic and epidemiological studies. There is a need to review the existing epidemiological data examining the association between eczema and major cardiovascular outcomes, including angina, myocardial infarction, coronary revascularisation, heart failure, cardiac arrhythmias, stroke and cardiovascular death, in order to improve our understanding of the comorbidities of eczema...
September 29, 2017: BMJ Open
https://www.readbyqxmd.com/read/28960254/efficacy-and-safety-of-topical-jte-052-a-janus-kinase-inhibitor-in-japanese-adult-patients-with-moderate-to-severe-atopic-dermatitis-a-phase-2-multi-centre-randomised-vehicle-controlled-clinical-study
#9
H Nakagawa, O Nemoto, A Igarashi, T Nagata
BACKGROUND: JTE-052 is a novel Janus kinase inhibitor presently under clinical development for the topical treatment of atopic dermatitis (AD). OBJECTIVES: To evaluate the efficacy and safety of JTE-052 ointment in Japanese adult patients with AD. Methods Patients with moderate-to-severe AD were randomised (2:2:2:2:1:1) to receive JTE-052 ointment at 0.25%, 0.5%, 1% or 3%, the vehicle ointment or 0.1% tacrolimus ointment (reference) twice daily for 4 weeks. The primary efficacy endpoint was the percent change in modified Eczema Area Severity Index (m-EASI) score from the baseline at the end of treatment (EOT)...
September 28, 2017: British Journal of Dermatology
https://www.readbyqxmd.com/read/28954118/case-for-diagnosis-infective-dermatitis-associated-with-htlv-1-differential-diagnosis-of-atopic-dermatitis
#10
Lorena Maria Lima de Oliveira, Marcos Vilela de Souza, Antonio Carlos Martins Guedes, Marcelo Grossi Araújo
Infective dermatitis associated with HTLV-1 (IDH) is the main cutaneous marker of HTLV-1 infection. This disease occurs primarily in children and should be differentiated from other eczemas, especially from atopic dermatitis. The largest series of IDH are from Jamaica and Brazil. There are an estimated 15 to 20 million infected people in the world, and Brazil is one of the endemic regions. Studies suggest that IDH in children may be a marker for the development of T-cell leukemia/lymphoma (ATL) or myelopathy associated with HTLV-1/tropical spastic paraparesis (HAM / TSP) in adulthood...
July 2017: Anais Brasileiros de Dermatologia
https://www.readbyqxmd.com/read/28951239/the-micro-evolution-and-epidemiology-of-staphylococcus-aureus-colonization-during-atopic-eczema-disease-flare
#11
Catriona P Harkins, Kerry A Pettigrew, Katarina Oravcová, June Gardner, R M Ross Hearn, Debbie Rice, Alison E Mather, Julian Parkhill, Sara J Brown, Charlotte M Proby, Matthew T G Holden
Staphylococcus aureus is an opportunistic pathogen and variable component of the human microbiota. In atopic eczema (AE) a characteristic of the disease is colonization by S. aureus, with exacerbations associated with an increased bacterial burden of the organism. Despite this, the origins and genetic diversity of S. aureus colonizing individual patients during AE disease flares is poorly understood. To examine the micro-evolution of S. aureus colonization we have deep-sequenced S. aureus populations from nine children with moderate to severe AE, and 18 non-atopic children asymptomatically carrying S...
September 23, 2017: Journal of Investigative Dermatology
https://www.readbyqxmd.com/read/28945812/association-between-breastfeeding-and-eczema-during-childhood-and-adolescence-a-cohort-study
#12
Jingying Wang, Alban Ramette, Maja Jurca, Myrofora Goutaki, Caroline S Beardsmore, Claudia E Kuehni
BACKGROUND: Breastfeeding is said to protect children from eczema (atopic dermatitis), but the available evidence is conflicting and subject to the influences of parental atopy and reverse causation (when mothers extended duration of breastfeeding because their children had eczema). METHODS: In the prospective, population-based Leicester Respiratory Cohort study, we assessed duration of breastfeeding in children aged 1-4 years. Prevalence of eczema was determined by questionnaire surveys that were repeated until the children were 17 years old...
2017: PloS One
https://www.readbyqxmd.com/read/28931299/-steroid-induced-glaucoma-as-a-complication-of-atopic-eczema-local-treatment
#13
T Řeháková, A Stepanov, N Jirásková
The authors present case reports of two young women, who visited the outpatient Department of Ophthalmology clinic, University Hospital in Hradec Králové with lacklustre subjective eye complaints lasting over few weeks. It the beginning high values of intraocular pressure in both eyes and severe glaucomatous damage of the optic nerve head were find out, which was confirm using perimetry and OCT (optical coherence tomography). The anamnesis has shown that both patients have been treated for atopic eczema since their childhood...
2017: Ceská a Slovenská Oftalmologie
https://www.readbyqxmd.com/read/28927889/epidemiology-of-eczema-herpeticum-in-hospitalized-us-children-analysis-of-a-nationwide-cohort
#14
Derek Y Hsu, Kanade Shinkai, Jonathan I Silverberg
Eczema herpeticum (EH) is characterized by viral infection of a preexisting inflammatory dermatosis and is associated with considerable morbidity. In this cross-sectional study, we sought to determine the incidence, risk factors, comorbidities, costs of care, length of stay, and mortality in hospitalized US children with EH. The Nationwide Inpatient Sample 2002-2012, containing a 20% sample of all US hospitalizations, was analyzed. We used a validated approach involving ICD-9-CM codes to identify patients primarily admitted for EH (n=4655 weighted)...
September 16, 2017: Journal of Investigative Dermatology
https://www.readbyqxmd.com/read/28914560/thiopurine-metabolite-levels-in-patients-with-atopic-dermatitis-and-or-chronic-hand-foot-eczema-treated-with-azathioprine
#15
F M Garritsen, J van der Schaft, C A F Bruijnzeel-Koomen, R H van Schaik, M de Graaf, M P H van den Broek, M S de Bruin-Weller
BACKGROUND: Azathioprine is frequently used in severe eczema. It is converted in the liver into active metabolites, including 6-thioguanine nucleotide (6-TGN) and methylated 6-methylmercaptopurine (6-MMP). In the past, the therapeutic potential of azathioprine may have not been fully utilized. Recent investigations on inflammatory bowel disease have led to a better understanding of azathioprine metabolism and optimizing treatment. OBJECTIVE: To investigate whether measuring thiopurine metabolites in circulation can improve the effectiveness and safety of azathioprine treatment in patients with atopic dermatitis and/or chronic hand/foot eczema...
September 26, 2017: Journal of Dermatological Treatment
https://www.readbyqxmd.com/read/28914333/-acute-skin-infections-and-their-imitators-in-children-a-photo-quiz
#16
REVIEW
M Theiler, A Schwieger-Briel, L Weibel
BACKGROUND: Skin infections account for 40% of emergency visits in pediatric dermatology. It is important to promptly recognize skin infections with potential complications and initiate treatment. However some characteristic skin findings may imitate skin infections and are often misdiagnosed. OBJECTIVES: To illustrate frequent pediatric skin infections and pitfalls in view of imitators and differential diagnoses. MATERIALS AND METHODS: A photo quiz is presented with the discussion of a selection of acute pediatric skin infections in comparison to their infectious or noninfectious differential diagnoses...
September 15, 2017: Der Hautarzt; Zeitschrift Für Dermatologie, Venerologie, und Verwandte Gebiete
https://www.readbyqxmd.com/read/28912020/intestinal-dysbiosis-featuring-abundance-of-ruminococcus-gnavus-associates-with-allergic-diseases-in-infants
#17
Huey-Huey Chua, Hung-Chieh Chou, Ya-Ling Tung, Bor-Luen Chiang, Chien-Chia Liao, Hong-Hsing Liu, Yen-Hsuan Ni
BACKGROUND & AIMS: Dysbiosis of the intestinal microbiota has been associated with development of allergies in infants. However, it is not clear what microbes might contribute to this process. We investigated what microbe(s) might be involved in analyses of infant twins and mice. METHODS: We studied fecal specimens prospectively in a twin cohort (n=30) and age-matched singletons (n=14) born at National Taiwan University Children's Hospital, Taipei, Taiwan, from April 2011 to March 2013...
September 11, 2017: Gastroenterology
https://www.readbyqxmd.com/read/28905998/mast-cells-and-sphingosine-1-phosphate-underlie-prelesional-remodeling-in-a-mouse-model-of-eczema
#18
P A Wedman, A Aladhami, A P Chumanevich, J W Fuseler, C A Oskeritzian
BACKGROUND: Atopic dermatitis (AD) is a chronic skin inflammation that affects children and adults worldwide, but its pathogenesis remains ill-understood. METHODS: We show that a single application of OVA to mouse skin initiates remodeling and cellular infiltration of the hypodermis measured by a newly developed computer-aided method. RESULTS: Importantly, we demonstrate that skin mast cell (MC) activation and local sphingosine-1-phosphate (S1P) are significantly augmented after OVA treatment in mice...
September 14, 2017: Allergy
https://www.readbyqxmd.com/read/28902946/the-association-between-low-grade-systemic-inflammation-and-skin-diseases-a-cross-sectional-survey-in-the-northern-finland-birth-cohort-1966
#19
Suvi-Päivikki Sinikumpu, Laura Huilaja, Juha Auvinen, Jari Jokelainen, Katri Puukka, Aimo Ruokonen, Markku Timonen, Kaisa Tasanen
Low grade inflammation is associated with many noncommunicable diseases. The association between skin diseases in general and systemic inflammation has not previously been studied at the population level. A whole-body investigation on 1,930 adults belonging to Northern Finland Birth Cohort 1966 was performed and high sensitive C-reactive protein (CRP) level was measured as a marker of low grade inflammation in order to determine the association between low grade inflammation and skin diseases in an unselected adult population...
September 13, 2017: Acta Dermato-venereologica
https://www.readbyqxmd.com/read/28902527/smoking-in-the-family-is-most-predictive-of-the-development-of-childhood-asthma-in-preterm-babies-30-weeks-gestation-results-of-the-respiratory-outcomes-study-2-respos2
#20
Claire F Johnston, Margaret Broom, Bruce Shadbolt, David A Todd
OBJECTIVES: The Respiratory Outcomes Study 2 (RESPOS2) investigated the relationship between neonatal outcomes (specifically, chronic lung disease [CLD]) and environmental factors on the development of asthma and atopic outcomes at primary school age for preterm babies (PBs) <30 weeks gestational age (GA). METHODS: The study included all surviving PBs <30 weeks GA admitted to the Neonatal Intensive Care Unit at Canberra Hospital, Australian Capital Territory between 2007 and 2009...
September 13, 2017: Journal of Asthma: Official Journal of the Association for the Care of Asthma
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