Suction blistering the lesional skin of vitiligo patients reveals useful biomarkers of disease activity.

Abstract:

BACKGROUND:Vitiligo is an autoimmune disease of the skin with limited treatment options; there is an urgent need to identify and validate biomarkers of disease activity to support vitiligo clinical studies. OBJECTIVE:To investigate potential biomarkers of disease activity directly in the skin of vitiligo subjects and healthy subjects. METHODS:Patient skin was sampled via a modified suction-blister technique, allowing for minimally invasive, objective assessment of cytokines and T-cell infiltrates in the interstitial skin fluid. Potential biomarkers were first defined and later validated in separate study groups. RESULTS:In screening and validation, CD8+ T-cell number and C-X-C motif chemokine ligand (CXCL) 9 protein concentration were significantly elevated in active lesional compared to nonlesional skin. CXCL9 protein concentration achieved greater sensitivity and specificity by receiver operating characteristic analysis. Suction blistering also allowed for phenotyping of the T-cell infiltrate, which overwhelmingly expresses C-X-C motif chemokine receptor 3. LIMITATIONS:A small number of patients were enrolled for the study, and only a single patient was used to define the treatment response. CONCLUSION:Measuring CXCL9 directly in the skin might be effective in clinical trials as an early marker of treatment response. Additionally, use of the modified suction-blister technique supports investigation of inflammatory skin diseases using powerful tools like flow cytometry and protein quantification.

journal_name

J Am Acad Dermatol

authors

Strassner JP,Rashighi M,Ahmed Refat M,Richmond JM,Harris JE

doi

10.1016/j.jaad.2016.12.021

subject

Has Abstract

pub_date

2017-05-01 00:00:00

pages

847-855.e5

issue

5

eissn

0190-9622

issn

1097-6787

pii

S0190-9622(16)31252-X

journal_volume

76

pub_type

杂志文章
  • Cutaneous vascular proliferations. Part III. Malignant neoplasms, other cutaneous neoplasms with significant vascular component, and disorders erroneously considered as vascular neoplasms.

    abstract::In this third and last part of our review of cutaneous vascular proliferations we include malignant vascular neoplasms and a group of heterogeneous cutaneous neoplasms characterized by a significant vascular component. We also review some disorders that, in our opinion, have been erroneously considered as vascular neo...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,评审

    doi:10.1016/s0190-9622(98)70237-3

    authors: Requena L,Sangueza OP

    更新日期:1998-02-01 00:00:00

  • Recognizing the Toxicodendrons (poison ivy, poison oak, and poison sumac).

    abstract::Poison ivy, poison oak, and poison sumac are now classified in the genus Toxicodendron which is readily distinguished from Rhus. In the United States, there are two species of poison oak, Toxicodendron diversilobum (western poison oak) and Toxicodendron toxicarium (eastern poison oak). There are also two species of po...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/s0190-9622(81)70014-8

    authors: Guin JD,Gillis WT,Beaman JH

    更新日期:1981-01-01 00:00:00

  • Treatment of extensive chronic cutaneous graft-versus-host disease in an infant with topical pimecrolimus.

    abstract::We report a case of generalized cutaneous chronic graft-versus-host disease in a 17-month-old infant. Topical treatment with the novel ascomycin substance pimecrolimus once daily for 4 weeks led to a near complete clearance of skin lesions. Importantly, this excellent clinical response was obtained without additional ...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2004.02.010

    authors: Ziemer M,Gruhn B,Thiele JJ,Elsner P

    更新日期:2004-06-01 00:00:00

  • Propranolol treatment of infantile hemangioma is not associated with psychological problems at 7 years of age.

    abstract:BACKGROUND:Concern has been raised about the potential long-term effects of propranolol treatment for infantile hemangioma (IH). OBJECTIVES:We sought to assess psychologic (social, emotional, behavioral, and executive) functioning in children treated with propranolol for IH. METHODS:Twenty-seven patients with IH (6.1...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2017.01.025

    authors: Moyakine AV,Spillekom-van Koulil S,van der Vleuten CJM

    更新日期:2017-07-01 00:00:00

  • An overview of sexually transmitted diseases. Part I.

    abstract::Sexually transmitted diseases are a persistent problem in the United States and throughout the world. Many of these infections involve the skin and may be encountered in the field of dermatology. This 3-part review highlights the cutaneous features, diagnosis, and treatment of 11 of the most commonly encountered sexua...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,评审

    doi:

    authors: Brown TJ,Yen-Moore A,Tyring SK

    更新日期:1999-10-01 00:00:00

  • Dermatoses caused by cultural practices: Cosmetic cultural practices.

    abstract::The second article in this continuing medical education series discusses cosmetic practices associated with cultural dermatoses, including hair care, traditional clothing, and skin decorations. Often, the steps individuals take to enhance their physical appearance are determined by cultural perceptions of beauty. With...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jaad.2017.06.160

    authors: Vashi NA,Patzelt N,Wirya S,Maymone MBC,Kundu RV

    更新日期:2018-07-01 00:00:00

  • Sclerotherapy for the permanent eradication of varicose veins: theoretical and practical considerations.

    abstract::Although sclerotherapy is an established procedure to treat ectatic veins, a wide disparity remains in the reported rates of success, especially for larger varicose veins. This article reviews the venous anatomy of the lower extremity and outlines the indications for sclerotherapy. The historical basis for treatment t...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,评审

    doi:10.1016/s0190-9622(98)70506-7

    authors: Green D

    更新日期:1998-03-01 00:00:00

  • Intravascular lymphomatosis of the skin as a manifestation of recurrent B-cell lymphoma.

    abstract::Intravascular lymphomatosis (IVL) is a rare type of lymphoma with a poor prognosis. Its distinctive clinical and histopathologic features are generated by the proliferation of neoplastic mononuclear cells within blood vessels. We describe a patient with IVL of the skin as a manifestation of a recurrent diffuse large B...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1067/mjd.2003.112

    authors: Asagoe K,Fujimoto W,Yoshino T,Mannami T,Liu Y,Kanzaki H,Arata J

    更新日期:2003-02-01 00:00:00

  • Advanced presentation of melanoma in African Americans.

    abstract:BACKGROUND:Melanoma in African Americans is rare, and the diagnosis is often delayed, leading to advanced presentation and poor prognosis. OBJECTIVE:The purpose of this retrospective study is to determine whether African American patients diagnosed with melanoma at the Washington Hospital Center were initially seen wi...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/s0190-9622(03)02091-7

    authors: Byrd KM,Wilson DC,Hoyler SS,Peck GL

    更新日期:2004-01-01 00:00:00

  • Hidradenitis suppurativa: Current and emerging treatments.

    abstract::The treatment of hidradenitis suppurativa (HS) has remained challenging because of the many knowledge gaps regarding etiology. However, recent studies into the pathogenesis of HS have enabled the investigation of newer therapies. The second article in this continuing medical education series reviews the evidence for e...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jaad.2019.08.089

    authors: Goldburg SR,Strober BE,Payette MJ

    更新日期:2020-05-01 00:00:00

  • Lichen sclerosus.

    abstract::Dialogues in Dermatology, a monthly audio program from the American Academy of Dermatology, contains discussions between dermatologists on timely topics. Commentaries from Dialogues Editor-in-Chief Warren R. Heymann, MD, are provided after each discussion as a topic summary and are provided here as a special service t...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2006.11.031

    authors: Heymann WR

    更新日期:2007-04-01 00:00:00

  • Fulminant transfusion-associated graft-versus-host disease in a premature infant.

    abstract::A fatal case of transfusion-associated graft-versus-host disease developed in a premature infant after receiving several blood products, including nonirradiated white blood cells. Transfusion-associated graft-versus-host disease can be prevented. Irradiation of blood products is the least controversial and most effect...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/s0190-9622(89)70116-x

    authors: Berger RS,Dixon SL

    更新日期:1989-05-01 00:00:00

  • Prediction of histologic melanocytic dysplasia from clinical observation.

    abstract:BACKGROUND:The dysplastic melanocytic nevus (DMN) is a putative precursor for malignant melanoma in persons with a family history of melanoma and multiple large atypical moles. Furthermore, the concept that DMN confers increased risk for melanoma has been extended to those without a family history of melanoma. Some inv...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/0190-9622(93)70221-e

    authors: Roush GC,Dubin N,Barnhill RL

    更新日期:1993-10-01 00:00:00

  • Essential progressive telangiectasia in an autoimmune setting: successful treatment with acyclovir.

    abstract::A unique, progressive syndrome of muscle weakness, ascending telangiectasia, and venous ectasia of the legs developed in a 55-year-old woman with autoimmune thyroiditis. Myopathy was documented by electromyography and electron microscopy. Her constellation of findings is considered to be of autoimmune origin. Treatmen...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/s0190-9622(89)70303-0

    authors: Shelley WB,Shelley ED

    更新日期:1989-11-01 00:00:00

  • Dermoscopy of black skin: A cross-sectional study of clinical and dermoscopic features of melanocytic lesions in individuals with type V/VI skin compared to those with type I/II skin.

    abstract:BACKGROUND:The identification of "normal" dermoscopic patterns of acquired melanocytic nevi provides better diagnostic accuracy for melanoma in people with black skin. OBJECTIVE:We sought to describe melanocytic lesions (numbers and anatomic distributions) in skin types V and VI compared with skin types I and II, acco...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2015.03.043

    authors: Tuma B,Yamada S,Atallah ÁN,Araujo FM,Hirata SH

    更新日期:2015-07-01 00:00:00

  • Antipruritic treatment with systemic μ-opioid receptor antagonists: a review.

    abstract::During the past two decades, systemic μ-opioid receptor antagonists (MORA) have been used in the treatment of various forms of chronic pruritus. In a number of case reports, case series, and controlled trials, treatment with MORA has demonstrated considerable antipruritic effects. In double-blind controlled studies, s...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jaad.2009.08.052

    authors: Phan NQ,Bernhard JD,Luger TA,Ständer S

    更新日期:2010-10-01 00:00:00

  • A case of childhood epithelioid hemangioendothelioma.

    abstract::Epithelioid hemangioendothelioma (EHE) is a unique tumor, mainly of adults, which is characterized by epithelioid or histiocytoid endothelial cells. It is a low-grade malignant vascular tumor first described as a distinctive entity in 1982 by Weiss and Enzinger. An 8-year-old girl presented with an approximately 3-yea...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/s0190-9622(00)90267-6

    authors: Roh HS,Kim YS,Suhr KB,Yoon TY,Lee JH,Park JK

    更新日期:2000-05-01 00:00:00

  • Langerhans cell histiocytosis in a child while in remission for acute lymphocytic leukemia.

    abstract::The occurrence of Langerhans cell histiocytosis (LCH) and malignancy in the same patient is rare. When LCH occurs concomitantly with acute leukemia, distinct temporal patterns often exist; acute myelogenous leukemia (AML) typically succeeds LCH, whereas acute lymphocytic leukemia (ALL) usually precedes it. We report a...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1067/mjd.2001.104964

    authors: Chiles LR,Christian MM,McCoy DK,Hawkins HK,Yen AH,Raimer SS

    更新日期:2001-12-01 00:00:00

  • Cheilitis glandularis: a clinical marker for both malignancy and/or severe inflammatory disease of the oral cavity.

    abstract::We report the case of an 84-year-old white male who underwent vermilionectomy for removal of a tumor, which proved to be squamous cell carcinoma. Chelitis glandularis related to marked actinic damage was noted at a subsequent visit. The presence of chelitis glandularis should be investigated for the presence of neopla...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2005.06.030

    authors: Carrington PR,Horn TD

    更新日期:2006-02-01 00:00:00

  • Routine diagnostic immunohistochemical labeling of extracellular antigens in formol saline solution-fixed, paraffin-embedded cutaneous tissue.

    abstract::A technique involving modification of the routine paraffin embedding procedure that allows immunohistochemical examination of extracellular antigens by light microscopy is described. The method is thus suitable for routine diagnostic immunofluorescence studies, permitting reliable, reproducible immunolabeling of immun...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/s0190-9622(88)70232-7

    authors: Cerio R,MacDonald DM

    更新日期:1988-10-01 00:00:00

  • The impact of emollients on phototherapy: a review.

    abstract::When treating psoriasis, various topical emollients exist that can affect the penetration of ultraviolet radiation in phototherapy. Compared with normal-appearing skin with a reflectance of 4% to 5%, psoriatic skin has higher reflectance as a result of its increased air-to-corneocyte interfaces. Studies have tested th...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jaad.2012.05.034

    authors: Asztalos ML,Heller MM,Lee ES,Koo J

    更新日期:2013-05-01 00:00:00

  • Percutaneous absorption and inflammation in aged skin: a review.

    abstract::We review experimental studies that address age-related changes in cutaneous barrier function and dermal blood vessel function. These differences have important implications in the understanding of age-related changes in the inflammatory process and topical drug delivery systems. ...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,评审

    doi:10.1016/s0190-9622(94)70273-x

    authors: Harvell JD,Maibach HI

    更新日期:1994-12-01 00:00:00

  • Ulcerous granulomatous cheilitis with lymphatic invasion caused by Scopulariopsis brevicaulis infection.

    abstract::A 43-year-old man with ulcerous granulomatous cheilitis and submaxillary lymph node invasion caused by Scopulariopsis brevicaulis infection is described. Administration of itraconazole produced a dramatic and definitive cure. Reported cases of deep mycosis caused by S. brevicaulis infection are also reviewed. ...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/s0190-9622(94)70251-9

    authors: Creus L,Umbert P,Torres-Rodríguez JM,López-Gil F

    更新日期:1994-11-01 00:00:00

  • CD2- CD4+ CD56+ hematodermic/hematolymphoid malignancy.

    abstract:BACKGROUND:CD2- CD4+ CD56+ lymphoid malignancy has been only rarely reported the last 5 years. It is characterized by a high incidence of cutaneous involvement, cytologically agranular cells, aggressive clinical course, and negative Epstein-Barr virus (EBV) involvement. OBSERVATION:We describe a Japanese patient with ...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,评审

    doi:10.1067/mjd.2001.110897

    authors: Kato N,Yasukawa K,Kimura K,Sugawara H,Aoyagi S,Mishina T,Nakata T

    更新日期:2001-02-01 00:00:00

  • The vulvovaginal gingival syndrome: a severe subgroup of lichen planus with characteristic clinical features and a novel association with the class II HLA DQB1*0201 allele.

    abstract:BACKGROUND:The vulvovaginal gingival syndrome is an uncommon and severe variant of lichen planus characterized by erosions or desquamation of vulval, vaginal, and gingival mucosae with a predilection for scarring and stricture formation. OBJECTIVE:We sought to define the clinical, immunopathologic, and human leukocyte...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jaad.2005.12.006

    authors: Setterfield JF,Neill S,Shirlaw PJ,Theron J,Vaughan R,Escudier M,Challacombe SJ,Black MM

    更新日期:2006-07-01 00:00:00

  • Inflammatory bowel disease is associated with hidradenitis suppurativa: Results from a multicenter cross-sectional study.

    abstract:BACKGROUND:Hidradenitis suppurativa (HS) is often associated with inflammatory bowel disease (IBD; Crohn's disease or ulcerative colitis). However, the prevalence of IBD in HS patients is unknown. OBJECTIVE:To determine the prevalence of IBD in HS patients, and determine if patients with HS and IBD have a distinct HS ...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jaad.2016.08.031

    authors: Deckers IE,Benhadou F,Koldijk MJ,Del Marmol V,Horváth B,Boer J,van der Zee HH,Prens EP

    更新日期:2017-01-01 00:00:00

  • Environmental nickel pollution: does it protect against nickel allergy?

    abstract::The Norwegian-Russian border area is polluted because of emissions from two local Russian nickel refineries. We patch tested the general adult population on both sides of the border. Only 7.2% of the Russian women were sensitized to nickel, compared with 27.5% of the Norwegian women. We suggest that long-term exposure...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1067/mjd.2002.120443

    authors: Smith-Sivertsen T,Tchachtchine V,Lund E

    更新日期:2002-03-01 00:00:00

  • An analysis of reports of depression and suicide in patients treated with isotretinoin.

    abstract:BACKGROUND:The Food and Drug Administration (FDA) has received reports of depression and suicide in patients treated with isotretinoin. OBJECTIVE:Our purpose was to provide the number and describe the cases of depression and suicide reported to the FDA in US patients treated with isotretinoin and to consider the natur...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1067/mjd.2001.117730

    authors: Wysowski DK,Pitts M,Beitz J

    更新日期:2001-10-01 00:00:00

  • Frequency and duration of patient follow-up after treatment of a primary malignant melanoma.

    abstract::To develop guidelines for the follow-up of patients with primary cutaneous melanoma (clinical Stage I), we studied 295 patients who had presented with a primary melanoma and who subsequently developed evidence of metastatic disease in the course of follow-up. Cox multivariate analysis was used to assess the influence ...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/s0190-9622(85)70218-6

    authors: Kelly JW,Blois MS,Sagebiel RW

    更新日期:1985-11-01 00:00:00

  • Aggressive gluten challenge of dermatitis herpetiformis cases converts them from seronegative to seropositive for IgA-class endomysial antibodies.

    abstract::The responses to aggressive gluten challenge of two dermatitis herpetiformis patients with normal gut mucosa and negative serum findings for IgA endomysial antibodies while on normal diets indicate that these patients have a latent gluten-sensitive enteropathy. This was shown further by the control of skin lesions in ...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/s0190-9622(88)70089-4

    authors: Chorzelski TP,Rosinska D,Beutner EH,Sulej J,Kumar V

    更新日期:1988-04-01 00:00:00