Clearing of epidermolysis bullosa acquisita with cyclosporine.

Abstract:

:Epidermolysis bullosa acquisita is a chronic, severe, subepidermal, blistering disease of the skin, characterized by marked resistance to topical and systemic therapy. This report concerns a well-documented case of a woman who had had epidermolysis bullosa acquisita for 6 years and had remained hospitalized continuously for 7 months in 1987. Her case ultimately was controlled with cyclosporine after the failure of a variety of therapeutic modalities in the hospital, including prednisone, methotrexate, azathioprine, phenytoin, vitamin E, gold sodium thiomalate (Myochrysine), isotretinoin, and plasmapheresis. In contrast to patients with pemphigus and pemphigoid treated with cyclosporine, our patient's autoantibodies did not disappear on therapy. Although its mechanism of action in epidermolysis bullosa acquisita is unknown, we propose that cyclosporine may be a helpful drug for patients whose disease is refractory to more traditional forms of therapy.

journal_name

J Am Acad Dermatol

authors

Crow LL,Finkle JP,Gammon WR,Woodley DT

doi

10.1016/s0190-9622(88)70254-6

subject

Has Abstract

pub_date

1988-11-01 00:00:00

pages

937-42

issue

5 Pt 2

eissn

0190-9622

issn

1097-6787

pii

S0190-9622(88)70254-6

journal_volume

19

pub_type

杂志文章
  • Disseminated Trichosporon inkin and Histoplasma capsulatum in a patient with newly diagnosed AIDS.

    abstract::Histoplasma capsulatum and Trichosporon inkin may cause disseminated disease in immunocompromised patients. Disseminated T inkin, the causative agent of white piedra, is rare and difficult to diagnose. We report the case of a 28 year-old man with newly diagnosed HIV infection who developed asymptomatic lesions on his ...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2007.08.027

    authors: David C,Martin DB,Deng A,Cooper JZ

    更新日期:2008-08-01 00:00:00

  • Interleukin 17A: toward a new understanding of psoriasis pathogenesis.

    abstract::Molecular and cellular understanding of psoriasis pathogenesis has evolved considerably over the last 30 years beginning in the early 1980s when psoriasis was thought to be a skin disease driven by keratinocyte hyperproliferation. During the next 20 years, the role of the immune system and T-helper (Th) cells in psori...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 历史文章,杂志文章,评审

    doi:10.1016/j.jaad.2013.12.036

    authors: Lynde CW,Poulin Y,Vender R,Bourcier M,Khalil S

    更新日期:2014-07-01 00:00:00

  • Acitretin improves psoriasis in a dose-dependent fashion.

    abstract::Acitretin, a metabolite of etretinate, was given to 38 patients for the treatment of psoriasis. During the first 8 weeks patients received either placebo, 10 mg, 25 mg, 50 mg, or 75 mg of acitretin daily in a double-blind manner. The dosages of 10 mg and 25 mg daily did not achieve any statistically significant improv...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0190-9622(88)70086-9

    authors: Goldfarb MT,Ellis CN,Gupta AK,Tincoff T,Hamilton TA,Voorhees JJ

    更新日期:1988-04-01 00:00:00

  • Subsequent primary cancers among men and women with in situ and invasive melanoma of the skin.

    abstract:BACKGROUND:An estimated 750,000 melanoma survivors in the United States are at increased risk of subsequent primary cancers. OBJECTIVE:We sought to assess the risk of developing subsequent primary cancers among people with cutaneous melanoma. METHODS:Using 1992 to 2006 data from the National Cancer Institute Surveill...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2011.04.033

    authors: Balamurugan A,Rees JR,Kosary C,Rim SH,Li J,Stewart SL

    更新日期:2011-11-01 00:00:00

  • Efficacy and tolerability of an investigational nitric oxide-releasing topical gel in patients with molluscum contagiosum: A randomized clinical trial.

    abstract:BACKGROUND:Although a variety of ablative, topical, and systemic therapies are used for molluscum contagiosum (MC), none has been well studied or approved by the US Food and Drug Administration. OBJECTIVES:To compare the efficacy and tolerability of topical SB206 (berdazimer sodium gel coadministered with hydrogel) wi...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jaad.2019.09.064

    authors: Hebert AA,Siegfried EC,Durham T,de León EN,Reams T,Messersmith E,Maeda-Chubachi T

    更新日期:2020-04-01 00:00:00

  • Mortality of bullous pemphigoid: an evaluation of 223 patients and comparison with the mortality in the general population in the United States.

    abstract:BACKGROUND:There are large discrepancies in reported mortality for bullous pemphigoid (BP). OBJECTIVE:We sought to determine the mortality of a large cohort of patients with BP and compare this with age-matched control subjects. METHODS:Data were collected on 223 patients with a new diagnosis of BP between 1998 and 2...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2008.07.022

    authors: Parker SR,Dyson S,Brisman S,Pennie M,Swerlick RA,Khan R,Manos S,Korman BD,Xia Z,Korman NJ

    更新日期:2008-10-01 00:00:00

  • Pigmentary demarcation lines: a population survey.

    abstract::An examination of 380 patients was accomplished in order to determine the frequency of occurrence of pigmentary demarcation lines in an unselected population. Both white and black patients were included in the study, and there was an equal sex distribution. Separation of data by age groups enabled us to determine that...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/s0190-9622(87)70078-4

    authors: James WD,Carter JM,Rodman OG

    更新日期:1987-03-01 00:00:00

  • Acute primary cutaneous nocardiosis.

    abstract::An acute localized, purulent skin lesion developed on the right knee of an 8-year-old girl and was subsequently diagnosed as a primary cutaneous Nocardia brasiliensis infection. It was soon accompanied by intense lymphangitis and regional adenopathy. The patient had a history of a minor abrasion contaminated by soil a...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/0190-9622(90)70232-7

    authors: Hironaga M,Mochizuki T,Watanabe S

    更新日期:1990-08-01 00:00:00

  • How should we define itching?

    abstract::The standard definition of itching (as "an unpleasant sensation that provokes the desire to scratch") takes no account of recent advances in knowledge about itch physiology. Always imprecise, this definition is also out-of-date. Its defects are discussed in this article, and some modifications are proposed. ...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/s0190-9622(98)70087-8

    authors: Savin JA

    更新日期:1998-08-01 00:00:00

  • Atypical histologic and immunohistochemical findings in melanocytic nevi after liquid nitrogen cryotherapy.

    abstract::Two patients with atypical histologic and immunohistochemical findings in nevi after cryotherapy are reported. Patient 1, a 32-year-old white woman, presented to our cancer center with two changing moles that had been treated with liquid nitrogen therapy by her primary care provider. After cryotherapy, these two lesio...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2009.01.038

    authors: Adeniran AJ,Prieto VG,Chon S,Duvic M,Diwan AH

    更新日期:2009-08-01 00:00:00

  • Galli-Galli disease: an unrecognized entity or an acantholytic variant of Dowling-Degos disease?

    abstract::Galli-Galli disease is an inherited disease characterized by slowly progressive and disfiguring reticulate hyperpigmentation of the flexures, clinically and histopathologically diagnostic for Dowling-Degos disease, but also associated with suprabasal, nondyskeratotic acantholysis. A few patients exhibiting these featu...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1067/mjd.2001.116340

    authors: Braun-Falco M,Volgger W,Borelli S,Ring J,Disch R

    更新日期:2001-11-01 00:00:00

  • Genital herpes: an integrated approach to management.

    abstract::This review of epidemiologic, clinical, and psychosocial/psychobehavioral data related to genital herpes simplex virus infection details the increasing incidence of herpes simplex virus infection in the United States and summarizes the data regarding the safety and efficacy of chronic and acute antiviral therapy with ...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,评审

    doi:10.1016/s0190-9622(96)90687-8

    authors: Conant MA,Berger TG,Coates TJ,Longo DJ,Robinson JK,Drake LA

    更新日期:1996-10-01 00:00:00

  • Five cases of calciphylaxis and a review of the literature.

    abstract::Calciphylaxis is a rare phenomenon of cutaneous necrosis that typically occurs in association with renal failure and has a poor prognosis. We report 5 new cases of calciphylaxis that illustrate the important clinical and histopathologic features of the disease. All patients had end-stage renal failure at the time that...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,评审

    doi:10.1016/s0190-9622(99)70087-3

    authors: Oh DH,Eulau D,Tokugawa DA,McGuire JS,Kohler S

    更新日期:1999-06-01 00:00:00

  • Systemic administration of antibiotics in the management of venous ulcers. A randomized clinical trial.

    abstract::Forty-seven patients with chronic venous leg ulcers were included in a randomized clinical trial to evaluate the efficacy of systemically administered antibiotics in healing with condition. One group was treated by means of elastic support bandages only, whereas the other one received the same local treatment plus sys...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0190-9622(86)70154-0

    authors: Alinovi A,Bassissi P,Pini M

    更新日期:1986-08-01 00:00:00

  • Mechanisms of action of topical therapies and the rationale for combination therapy.

    abstract::The advent of new topical agents such as topical calcineurin inhibitors, as well as the reformulations of older agents in new vehicles, has broadened the treatment approaches to psoriasis and atopic dermatitis. The clinician must now consider additional novel physiologic pathways and mechanisms of action as well as ex...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jaad.2005.04.027

    authors: Norris DA

    更新日期:2005-07-01 00:00:00

  • Clinically and dermoscopically featureless melanoma: when prevention fails.

    abstract::We report a case of amelanotic melanoma that was clinically and dermoscopically featureless; it was repeatedly missed during examination at a pigmented lesion clinic. Dermoscopy evidenced a peculiar vascular pattern, and only the adoption of a specific diagnostic algorithm including the atypical vascular pattern among...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1067/mjd.2002.120569

    authors: Carli P,Massi D,de Giorgi V,Giannotti B

    更新日期:2002-06-01 00:00:00

  • Aphthous ulcers associated with imiquimod and the treatment of actinic cheilitis.

    abstract::Our case series report is the first documented depiction of the appearance of aphthous ulcers secondary to imiquimod application. This case series presentation discusses the underlying pathophysiology of aphthous ulcer development and imiquimod therapy in terms of the stimulation of proinflammatory cytokines, such as ...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2004.06.045

    authors: Chakrabarty AK,Mraz S,Geisse JK,Anderson NJ

    更新日期:2005-02-01 00:00:00

  • Improvement of lichen nitidus after topical dinitrochlorobenzene application.

    abstract::Recently, a relationship between immunologic alterations and the development of lichen nitidus (LN) lesions has been described. We treated LN lesions with topical dinitrochlorobenzene (DNCB) application in a patient with peripheral CD4+ T lymphocytopenia. After 4 months, the eruption cleared. We investigated histologi...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/s0190-9622(98)70377-9

    authors: Kano Y,Otake Y,Shiohara T

    更新日期:1998-08-01 00:00:00

  • Safety of a new micronized formulation of isotretinoin in patients with severe recalcitrant nodular acne: A randomized trial comparing micronized isotretinoin with standard isotretinoin.

    abstract:BACKGROUND:Isotretinoin is a very effective drug for treating severe recalcitrant nodular acne. A new micronized formulation of isotretinoin has been shown to be clinically equivalent to standard isotretinoin with improved bioavailability and minimal food effect. The safety profile of the micronized formulation has not...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1067/mjd.2001.115966

    authors: Strauss JS,Leyden JJ,Lucky AW,Lookingbill DP,Drake LA,Hanifin JM,Lowe NJ,Jones TM,Stewart DM,Jarratt MT,Katz I,Pariser DM,Pariser RJ,Tschen E,Chalker DK,Rafal ES,Savin RP,Roth HL,Chang LK,Baginski DJ,Kempers S,M

    更新日期:2001-08-01 00:00:00

  • Dermatopsychosomatics: classification, physiology, and therapeutic approaches.

    abstract::Psychosomatic dermatology is practiced in some manner by every dermatologist. In spite of this, there has been a virtual void in the literature from the middle 1950s until the present time. The relationship to physiologic phenomena, as well as a classification of psychosomatic dermatology, is reviewed. Dermatologic pa...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,评审

    doi:10.1016/s0190-9622(81)70081-1

    authors: Medansky RS,Handler RM

    更新日期:1981-08-01 00:00:00

  • Skin distribution and pharmaceutical aspects of adapalene gel.

    abstract:BACKGROUND:The formulation of topical dermatologic products must take into account efficacy, safety, and patient compliance. OBJECTIVE:We describe how an aqueous gel containing adapalene, a novel naphthoic acid derivative was selected for the topical treatment of acne. METHODS AND RESULTS:Dose selection was made usin...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/s0190-9622(97)70055-0

    authors: Allec J,Chatelus A,Wagner N

    更新日期:1997-06-01 00:00:00

  • Performance of a computer-aided digital dermoscopic image analyzer for melanoma detection in 1,076 pigmented skin lesion biopsies.

    abstract:BACKGROUND:Digital dermoscopic image analysis of pigmented skin lesions (PSLs) has become increasingly popular, despite its unclear clinical utility. Unbiased, high-powered studies investigating the efficacy of commercially available systems are limited. OBJECTIVE:To investigate the diagnostic performance of the FotoF...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2017.01.049

    authors: Del Rosario F,Farahi JM,Drendel J,Buntinx-Krieg T,Caravaglio J,Domozych R,Chapman S,Braunberger T,Dellavalle RP,Norris DA,Fathi R,Alkousakis T

    更新日期:2018-05-01 00:00:00

  • Clinicopathologic features of skin cancer in organ transplant recipients: a retrospective case-control series.

    abstract:BACKGROUND:Non-melanoma skin cancers (NMSCs) are increased in organ transplant recipients, but transplant and immunocompetent squamous and basal cell carcinomas (SCCs, BCCs) have not been compared previously in a single-center study. OBJECTIVE:To compare clinicopathologic features of transplant and immunocompetent NMS...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2005.10.049

    authors: Harwood CA,Proby CM,McGregor JM,Sheaff MT,Leigh IM,Cerio R

    更新日期:2006-02-01 00:00:00

  • Reliability of Clinician Erythema Assessment grading scale.

    abstract:BACKGROUND:Facial erythema is a clinical hallmark of rosacea and often causes social and psychological distress. Although facial erythema assessments are a common endpoint in rosacea clinical trials, their reliability has not been evaluated. OBJECTIVE:The objective of this study was to evaluate the inter- and intrarat...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2014.05.044

    authors: Tan J,Liu H,Leyden JJ,Leoni MJ

    更新日期:2014-10-01 00:00:00

  • Annular lichen planus: a case series of 20 patients.

    abstract:BACKGROUND:Annular lichen planus (ALP) is a long-recognized clinical variant of lichen planus, but is often considered uncommon in occurrence. The typical distribution and presentation of this variant have not been well described. OBJECTIVE:We sought to better define the sites affected and clinical characteristics of ...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2003.08.011

    authors: Reich HL,Nguyen JT,James WD

    更新日期:2004-04-01 00:00:00

  • Phototherapy treatment of psoriasis today.

    abstract::The use of the various forms of phototherapy remains an essential treatment option for psoriasis vulgaris. Expertise concerning the mechanisms involved with the actions of therapeutic ultraviolet light and the proper delivery of office-based treatments resides within the specialty of dermatology. New therapies for the...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,评审

    doi:10.1016/s0190-9622(03)01139-3

    authors: Zanolli M

    更新日期:2003-08-01 00:00:00

  • Tinea pedis in prepubertal children: does it occur?

    abstract::Fifteen children who had foot dermatitis were evaluated by examinations with potassium hydroxide and fungal cultures. In eight cases dermatophyte infection was identified. Tinea pedis in prepubertal children is more common than previously reported. ...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/s0190-9622(88)70214-5

    authors: Kearse HL,Miller OF 3rd

    更新日期:1988-10-01 00:00:00

  • Loose anagen syndrome.

    abstract::A distinctive new hair condition, the loose anagen syndrome, features anagen hairs that are loosely anchored and easily pulled from the scalp. The children studied had sparse hair that did not grow long and that pulled easily from the scalp. The majority of patients were blond girls, aged 2 to 5 years, but both sexes ...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/s0190-9622(89)70030-x

    authors: Price VH,Gummer CL

    更新日期:1989-02-01 00:00:00

  • Divided café-au-lait macule of the mouth.

    abstract::We describe a 4-year-old, otherwise healthy boy with a congenital history of a perioral and labial segmental café-au-lait macule, who was noted to have unilateral localized gingival hyperpigmentation that aligned with the café-au-lait macule. This case is highly illustrative of the embryologic timing of the genetic ev...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2007.01.015

    authors: Sergay A,Silverberg NB

    更新日期:2007-05-01 00:00:00

  • Psoriatic arthritis is a strong predictor of sleep interference in patients with psoriasis.

    abstract:OBJECTIVE:We sought to determine what clinical features of psoriasis predict sleep interference. METHODS:Data were obtained from 420 respondents to the 2005 National Psoriasis Foundation telephone and e-mail surveys. Logistic regression was used to determine whether disease severity, body mass index, age of onset, pso...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2008.10.059

    authors: Callis Duffin K,Wong B,Horn EJ,Krueger GG

    更新日期:2009-04-01 00:00:00