Photochemotherapy for localized morphoea: effect on clinical and molecular markers.

Abstract:

BACKGROUND:Effective treatment options for morphoea remain limited. As a result, there has been increasing interest in the role of phototherapy in the management of this condition. Aims. We report the findings of a study in which 13 patients with localized morphoea were treated with oral (n = 11) and topical (n = 2) psoralen ultraviolet (PUVA) phototherapy. METHODS:The clinical effect on disease activity was assessed using a skin score adapted from the modified Rodnan score. The effect on serological and immunohistochemical markers was also measured. RESULTS:In total, 11/13 patients showed an improvement in their skin score after phototherapy, with the mean reduction in score being 62.9% (P = 0.003, Wilcoxon signed rank test). After treatment with PUVA, there was a fall in circulating levels of vascular cell adhesion molecule in 10/13 patients (P = 0.059) and a significant increase in tumour necrosis factor-alpha in 9 of 13 patients (P = 0.036). In the five patients in whom CD3 and CD4 was measured, all showed a reduction in CD3 (P = 0.025), with a fall in CD4 (P = 0.046) seen in four of the five patients. CONCLUSIONS:PUVA is associated with clinical improvement in patients with morphoea, as shown by significant improvement in the skin score. However, in one patient who had been simultaneously started on ciclosporin, this improvement could not be attributed to the phototherapy alone. Although the sample size was small, we also found that certain lymphocyte markers, adhesion molecules and cytokines are affected by this treatment, helping to further clarify the mechanism of action of PUVA treatment.

journal_name

Clin Exp Dermatol

authors

Usmani N,Murphy A,Veale D,Goulden V,Goodfield M

doi

10.1111/j.1365-2230.2008.02890.x

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

698-704

issue

6

eissn

0307-6938

issn

1365-2230

pii

CED2890

journal_volume

33

pub_type

杂志文章
  • DRESS syndrome caused by efalizumab.

    abstract::We report a case of drug reaction with eosinophilia and systemic symptoms (DRESS) to efalizumab. A 52-year-old man developed a widespread papulovesicular rash after 4 weeks of treatment with efalizumab (1.0 mg/kg/week) for treatment-resistant severe psoriasis. Histology revealed a subepidermal blister with eosinophil-...

    journal_title:Clinical and experimental dermatology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2230.2007.02604.x

    authors: White JM,Smith CH,Robson A,Ash G,Barker JN

    更新日期:2008-01-01 00:00:00

  • Comparative efficacy of drug regimens in skin tuberculosis.

    abstract::Three antituberculous drug regimens have been employed to study the therapeutic response in 90 patients with any one of the commonly encountered paucibacillary forms of skin tuberculosis, namely lupus vulgaris, tuberculosis verrucosa cutis and scrofuloderma. The first two regimens contained rifampicin, isoniazid and e...

    journal_title:Clinical and experimental dermatology

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1365-2230.1991.tb00317.x

    authors: Ramesh V,Misra RS,Saxena U,Mukherjee A

    更新日期:1991-03-01 00:00:00

  • Which children should we patch test?

    abstract:BACKGROUND:Allergic contact dermatitis (ACD) in childhood was considered rare until recently. However, reports are increasing, which may reflect an increased incidence and/or more frequent patch testing of children. It is also likely that allergen exposure in children has changed with time. AIMS:To determine the most ...

    journal_title:Clinical and experimental dermatology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2230.2006.02232.x

    authors: Beattie PE,Green C,Lowe G,Lewis-Jones MS

    更新日期:2007-01-01 00:00:00

  • Allergic contact dermatitis in children; has there been a change in allergens?

    abstract::Allergic contact dermatitis (ACD) is now recognized as a common relevant diagnosis in children. We reviewed the results of patch tests in children under 16 years of age over the 3-year period January 2009 to December 2011, comparing the results with those in a similar 3-year retrospective study performed in our unit f...

    journal_title:Clinical and experimental dermatology

    pub_type: 杂志文章

    doi:10.1111/ced.12460

    authors: Vongyer GA,Green C

    更新日期:2015-01-01 00:00:00

  • Treatment of cutaneous leishmaniasis with either topical paromomycin or intralesional meglumine antimoniate.

    abstract::Ninety-six patients with a clinical and parasitological diagnosis of cutaneous leishmaniasis were recruited to a comparative randomized clinical trial evaluating the efficacy of topical paromomycin vs. weekly intralesional injections of meglumine antimoniate. The patients were randomly divided into two treatment group...

    journal_title:Clinical and experimental dermatology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2230.2003.01169.x

    authors: Faghihi G,Tavakoli-kia R

    更新日期:2003-01-01 00:00:00

  • Porokeratosis ptychotropica: a lesser-known variant.

    abstract::We report a case of the rare porokeratosis variant porokeratosis ptychotropica (PP). A circumferential perianal plaque and the characteristic histology of multiple cornoid lamellae with underlying dermal amyloid deposition were seen. Amyloid deposition was seen in the biopsied intertriginous area of the plaque only, w...

    journal_title:Clinical and experimental dermatology

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2230.2009.03664.x

    authors: Tallon B,Blumental G,Bhawan J

    更新日期:2009-12-01 00:00:00

  • Aleukaemic leukaemia cutis presenting as a benign-appearing eruption.

    abstract::A 68-year-old Caucasian male presented with a 5-week history of a widespread pruritic papular eruption. Histology from a papule on the left shoulder showed a dense dermal infiltrate of large mononuclear cells which were positive for leucocyte common antigen, KP1 and PGM1, with an MIB-1 proliferating fraction of 40%, d...

    journal_title:Clinical and experimental dermatology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2230.2003.01172.x

    authors: Millard TP,Aitchison R,Wilkinson JD

    更新日期:2003-03-01 00:00:00

  • Complete Melkersson-Rosenthal syndrome with multiple cranial nerve palsies.

    abstract::Melkersson-Rosenthal syndrome (MRS) is an uncommon, complex neuromucocutaneous disorder characterized by recurrent orofacial oedema, facial palsy and fissured tongue. Complete MRS is uncommon. A case of complete MRS with multiple cranial nerve palsies is reported. ...

    journal_title:Clinical and experimental dermatology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2230.2009.03418.x

    authors: Zeng W,Geng S,Niu X,Yuan J

    更新日期:2010-04-01 00:00:00

  • Dorfman-Chanarin syndrome (neutral lipid storage disease). A case report.

    abstract::We describe the case of a woman from a small town in the south of Spain, with consanguineous parents, who presented with the complete syndrome. The main clinicopathological characteristics are discussed. ...

    journal_title:Clinical and experimental dermatology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2230.1994.tb02705.x

    authors: Bañuls J,Betlloch I,Botella R,Sevila A,Morell A,Román P

    更新日期:1994-09-01 00:00:00

  • Acquired reactive perforating collagenosis associated with papillary thyroid carcinoma: a paraneoplastic phenomenon?

    abstract::Acquired reactive perforating collagenosis (ARPC) is an uncommon dermatosis characterized by transepidermal elimination of altered collagen. It is commonly seen in patients with diabetes mellitus and/or chronic renal insufficiency. Rarely, it has been reported in association with malignancy and other conditions. We re...

    journal_title:Clinical and experimental dermatology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2230.2009.03211.x

    authors: Yazdi S,Saadat P,Young S,Hamidi R,Vadmal MS

    更新日期:2010-03-01 00:00:00

  • Zinc-induced granuloma--a unique complication of insulin therapy.

    abstract::A 55-year-old diabetic female treated with a combination of a short- and intermediate-acting insulin, developed sterile furunculoid lesions at the injection sites which eventually healed with atrophic scars. Histopathologically, an initial neutrophilic stage was followed by granulomatous and fibrotic stages. It was co...

    journal_title:Clinical and experimental dermatology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2230.1989.tb00938.x

    authors: Jordaan HF,Sandler M

    更新日期:1989-05-01 00:00:00

  • Estimating emollient usage in patients with eczema.

    abstract:BACKGROUND:Atopic eczema (AE) is characterized by reduced skin hydration (SH) and impaired integrity of the skin. Proper emollient usage is an important facet of AE management and patients are encouraged to use emollients liberally. AIM:To evaluate whether the amount of emollient and skin cleanser used correlates with...

    journal_title:Clinical and experimental dermatology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2230.2009.03341.x

    authors: Hon KL,Ching GK,Leung TF,Choi CY,Lee KK,Ng PC

    更新日期:2010-01-01 00:00:00

  • Psoriasis or crusted scabies.

    abstract::We describe a case of a 67-year-old woman with a 1-year history of nail thickening and a non-itchy erythematous scaly eruption on the fingertips. She was diagnosed with psoriasis and started on methotrexate after having had no response to topical calcipotriol. The diagnosis was reviewed after it was revealed by anothe...

    journal_title:Clinical and experimental dermatology

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2230.2007.02539.x

    authors: Goyal NN,Wong GA

    更新日期:2008-03-01 00:00:00

  • Metallothionein I and II gene knock-out mice exhibit reduced tolerance to 24-h sodium lauryl sulphate patch testing.

    abstract:BACKGROUND:Metallothioneins (MTs) are a group of proteins widely distributed in tissues regulating metal metabolism, scavenging free radicals, and taking part in immunological reactions. Knockout mice for MT genes I and II (MT(-/-)) exhibit reduced tolerance to ultraviolet B injury in vivo. Upregulation of MT proteins ...

    journal_title:Clinical and experimental dermatology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2230.2007.02399.x

    authors: Ma C,Li LF,Zhang BX

    更新日期:2007-07-01 00:00:00

  • Solar urticaria successfully treated with intravenous immunoglobulin.

    abstract::Idiopathic solar urticaria (SU) is a rare, debilitating photodermatosis, which may be difficult to treat. First-line treatment with antihistamines is effective in mild cases, but remission after phototherapeutic induction of tolerance is often short-lived. Other treatment options include plasma exchange, photopheresis...

    journal_title:Clinical and experimental dermatology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2230.2009.03374.x

    authors: Hughes R,Cusack C,Murphy GM,Kirby B

    更新日期:2009-12-01 00:00:00

  • Results of computer-assisted sensory evaluation in 41 patients with erythromelalgia.

    abstract:BACKGROUND:Erythromelalgia is a rare disorder characterized by the clinical syndrome of burning pain, warmth and redness of the limbs. Neurological abnormalities (both large- and small-fibre neuropathy) are common. There have been few published reports on the sensory status of patients with erythromelalgia. AIM:To inv...

    journal_title:Clinical and experimental dermatology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2230.2011.04330.x

    authors: Genebriera J,Michaels JD,Sandroni P,Davis MD

    更新日期:2012-06-01 00:00:00

  • Merkel cell carcinoma with divergent differentiation.

    abstract::Merkel cell carcinoma (MCC) is a rare primary neuroendocrine carcinoma of the skin, usually occurring at sun-exposed sites in elderly people. Divergent differentiation in MCC, although rare, has been reported in previous case series. We describe two new cases of MCC with divergent differentiation. Patient 1 was a 96-y...

    journal_title:Clinical and experimental dermatology

    pub_type: 杂志文章

    doi:10.1111/ced.14110

    authors: Gaitskell K,Nassar S,Ibrahim H

    更新日期:2020-04-01 00:00:00

  • Tissue-engineered dermal skin grafting in the treatment of ulcerated necrobiosis lipoidica.

    abstract::Necrobiosis lipoidica is a well recognized but comparatively rare cutaneous complication of diabetes mellitus. The aetiology is probably multifactorial with microangiopathy, immune complex formation, abnormal collagen synthesis and breakdown, and altered haemostasis all thought to play a part. Necrobiosis lipoidica of...

    journal_title:Clinical and experimental dermatology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2230.2001.00789.x

    authors: Owen CM,Murphy H,Yates VM

    更新日期:2001-03-01 00:00:00

  • Reduction in undesired sexual hair growth with anandron in male-to-female transsexuals--experiences with a novel androgen receptor blocker.

    abstract::The effect of Anandron, a novel non-steroidal anti-androgen, on the reduction in sexual hair growth of 14 male-to-female transsexuals was investigated. Anandron (300 mg/day) alone for 8 weeks increased serum testosterone levels (mean: 19.2 +/- 6.1 to 44.9 +/- 11.5 mmol/l) and serum oestradiol levels (mean: 0.08 +/- 0....

    journal_title:Clinical and experimental dermatology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2230.1989.tb02585.x

    authors: Asscheman H,Gooren LJ,Peereboom-Wynia JD

    更新日期:1989-09-01 00:00:00

  • Disseminated eruptive clear cell acanthoma--a case report with review of the literature.

    abstract::Clear cell acanthoma (CCA) is a benign epidermal tumour with distinctive and uniform clinical and histological features. Although solitary lesions are the rule, some cases of multiple CCA, rarely with more than 10 lesions, have been previously reported. Only 22 cases of multiple CCA have been described in the English ...

    journal_title:Clinical and experimental dermatology

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2230.1994.tb01179.x

    authors: Innocenzi D,Barduagni F,Cerio R,Wolter M

    更新日期:1994-05-01 00:00:00

  • Incidence of acne vulgaris in patients with infantile acne.

    abstract::A group of patients who attended dermatology clinics in Northern Ireland between 1960 and 1970 with a diagnosis of infantile acne was compared with a similar age-matched control group of 160 medical students. The severity of the acne was judged according to the form of treatment required--topical treatment, systemic a...

    journal_title:Clinical and experimental dermatology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2230.1990.tb02119.x

    authors: Chew EW,Bingham A,Burrows D

    更新日期:1990-09-01 00:00:00

  • Tacalcitol and narrow-band phototherapy in patients with vitiligo.

    abstract:BACKGROUND:Vitiligo is a skin disease characterized by loss of normal pigmentation in the skin. Several treatments exist but none is really effective. Recently, perturbations of calcium homeostasis in vitiliginous epidermis have been described. AIM:Based on these findings, the aim of this prospective, randomized, open...

    journal_title:Clinical and experimental dermatology

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2230.2005.02037.x

    authors: Leone G,Pacifico A,Iacovelli P,Paro Vidolin A,Picardo M

    更新日期:2006-03-01 00:00:00

  • Coexisting morphoea and granuloma annulare-are the conditions related?

    abstract::Granuloma annulare and localized morphoea are both well described in the dermatological literature. We now present two patients with both of these diseases, a comorbidity rarely described. A possible pathogenic relationship is discussed. ...

    journal_title:Clinical and experimental dermatology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2230.1999.00425.x

    authors: Ben-Amitai D,Hodak E,Lapidoth M,David M

    更新日期:1999-03-01 00:00:00

  • Association between plasma interleukin-17 levels and risk of psoriasis: a meta-analysis.

    abstract:BACKGROUND:Emerging evidence indicates that plasma interleukin (IL)-17 levels may be associated with increased risk of psoriasis, but the individual published results are inconclusive. AIM:To evaluate IL-17 levels in patients with psoriasis using a meta-analysis of studies comparing IL-17 levels in controls and in pat...

    journal_title:Clinical and experimental dermatology

    pub_type: 杂志文章,meta分析

    doi:10.1111/ced.13033

    authors: Zhou XY,Bao J,Huang B,Jin Y

    更新日期:2017-03-01 00:00:00

  • Evening primrose oil and marine oil in the treatment of psoriasis.

    abstract::The effect of dietary supplementation with a combination of n-3 (marine oil) and n-6 (evening primrose oil) essential fatty acids in the treatment of chronic stable plaque psoriasis was observed. Thirty-seven patients in a double-blind parallel trial were studied. There was no significant improvement in clinical sever...

    journal_title:Clinical and experimental dermatology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2230.1994.tb01139.x

    authors: Oliwiecki S,Burton JL

    更新日期:1994-03-01 00:00:00

  • T-cell receptor gene analysis in cutaneous T-cell lymphomas.

    abstract::An essential property of the immune system is its ability to generate diverse antibody and T-cell mediated responses to virtually any potential foreign particle. The basic molecular mechanisms responsible for producing this extensive diversity have now been elucidated. Each T cell expresses a unique membrane bound T-c...

    journal_title:Clinical and experimental dermatology

    pub_type: 杂志文章,评审

    doi:

    authors: Whittaker S

    更新日期:1996-03-01 00:00:00

  • Expression of CD39/Entpd1 on granuloma-composing cells and induction of Foxp3-positive regulatory T cells in sarcoidosis.

    abstract:BACKGROUND:Regulatory T cells (Tregs), together with tolerogenic dendritic cells (tDCs) are involved in maintaining peripheral tolerance. A recent report suggested both Tregs and tDCs may be pathogenic in granulomatous skin disorders. AIM:To examined the expression of CD39 on granuloma-composing cells and Foxp3-positi...

    journal_title:Clinical and experimental dermatology

    pub_type: 杂志文章

    doi:10.1111/ced.12094

    authors: Fujimura T,Kambayashi Y,Aiba S

    更新日期:2013-12-01 00:00:00

  • Efficacy and safety of a lindane 1% treatment regimen for scabies, confirmed by dermoscopy-guided skin scraping with microscopic examination.

    abstract:BACKGROUND:This is the first study investigating scabies treatment since 1992 to involve examination of patients with microscopically confirmed scabies. AIM:To assess the efficacy of 1% lindane cream in treating microscopically confirmed scabies, and to determine the utility of dermoscopy-guided skin scraping with mic...

    journal_title:Clinical and experimental dermatology

    pub_type: 杂志文章

    doi:10.1111/ced.12643

    authors: Park SE,Her Y,Kim SS,Kim CW

    更新日期:2015-08-01 00:00:00

  • Dermoscopic features in fungal melanonychia.

    abstract:BACKGROUND:Data on the dermoscopic features of fungal melanonychia are limited. AIM:To identify the dermoscopic features of fungal melanonychia. METHODS:We reviewed patient files, clinical history and dermoscopic images of all cases with a diagnosis of fungal melanonychia seen at our dermoscopy unit within the past y...

    journal_title:Clinical and experimental dermatology

    pub_type: 杂志文章

    doi:10.1111/ced.12552

    authors: Kilinc Karaarslan I,Acar A,Aytimur D,Akalin T,Ozdemir F

    更新日期:2015-04-01 00:00:00

  • Hydroa vacciniforme presenting in an adult successfully treated with cyclosporin A.

    abstract::Hydroa vacciniforme (HV) is a rare photodermatosis first described by Bazin in the mid-nineteenth century. It typically presents in childhood and resolves during adolescence. Rarely, however, symptoms may persist into adult life.2,3 We now describe a patient with this condition presenting unusually for the first time ...

    journal_title:Clinical and experimental dermatology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2230.1998.00322.x

    authors: Blackwell V,McGregor JM,Hawk JL

    更新日期:1998-03-01 00:00:00