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Dermatomyositis, Sandi Watts 2017 Southern Illinois University Carbondale

Dermatomyositis, Sandi Watts

ASA Multidisciplinary Research Symposium

Dermatomyositis is a rare disease which affects the skin and muscles. This disease can manifest in children or not present until one is older. Since this disease is so rare, most individuals who are diagnosed with it will have a team of physicians who work together to help treat the patient.


Suppression Of Systemic Autoimmunity By The Innate Immune Adaptor Sting, Shrutie Sharma, Allison M. Campbell, Jennie Chan, Stefan A. Schattgen, Gregory M. Orlowski, Ribhu Nayar, Annie H. Huyler, Kerstin Nundel, Chandra Mohan, Leslie J. Berg, Mark J. Shlomchik, Ann Marshak-Rothstein, Katherine A. Fitzgerald 2017 University of Massachusetts Medical School

Suppression Of Systemic Autoimmunity By The Innate Immune Adaptor Sting, Shrutie Sharma, Allison M. Campbell, Jennie Chan, Stefan A. Schattgen, Gregory M. Orlowski, Ribhu Nayar, Annie H. Huyler, Kerstin Nundel, Chandra Mohan, Leslie J. Berg, Mark J. Shlomchik, Ann Marshak-Rothstein, Katherine A. Fitzgerald

Katherine A. Fitzgerald

Cytosolic DNA-sensing pathways that signal via Stimulator of interferon genes (STING) mediate immunity to pathogens and also promote autoimmune pathology in DNaseII- and DNaseIII-deficient mice. In contrast, we report here that STING potently suppresses inflammation in a model of systemic lupus erythematosus (SLE). Lymphoid hypertrophy, autoantibody production, serum cytokine levels, and other indicators of immune activation were markedly increased in STING-deficient autoimmune-prone mice compared with STING-sufficient littermates. As a result, STING-deficient autoimmune-prone mice had significantly shorter lifespans than controls. Importantly, Toll-like receptor (TLR)-dependent systemic inflammation during 2,6,10,14-tetramethylpentadecane (TMPD)-mediated peritonitis was similarly aggravated in STING-deficient mice ...


The Global Burden Of Scabies: A Cross-Sectional Analysis From The Global Burden Of Disease Study 2015., Chante Karimkhani, Danny V Colombara, Aaron M Drucker, Scott A Norton, Roderick Hay, Daniel Engelman, Andrew Steer, Margot Whitfeld, Mohsen Naghavi, Robert P Dellavalle 2017 George Washington University

The Global Burden Of Scabies: A Cross-Sectional Analysis From The Global Burden Of Disease Study 2015., Chante Karimkhani, Danny V Colombara, Aaron M Drucker, Scott A Norton, Roderick Hay, Daniel Engelman, Andrew Steer, Margot Whitfeld, Mohsen Naghavi, Robert P Dellavalle

Dermatology Faculty Publications

Background

Numerous population-based studies have documented high prevalence of scabies in overcrowded settings, particularly among children and in tropical regions. We provide an estimate of the global burden of scabies using data from the Global Burden of Disease (GBD) Study 2015.

Methods

We identified scabies epidemiological data sources from an extensive literature search and hospital insurance data and analysed data sources with a Bayesian meta-regression modelling tool, DisMod-MR 2·1, to yield prevalence estimates. We combined prevalence estimates with a disability weight, measuring disfigurement, itch, and pain caused by scabies, to produce years lived with disability (YLDs). With an assumed ...


Scleroderma, Erika Lawson 2017 Otterbein University

Scleroderma, Erika Lawson

Master of Science in Nursing (MSN) Student Scholarship

Scleroderma, also known as sclerosis, is an autoimmune disease causing fibrosis in connective tissues. Symptoms include: skin tightening, stiffness and swelling of fingers, weight loss, fatigue, and musculoskeletal pain. Limited scleroderma, also known as CREST syndrome, includes calcinosis, Raynaud's phenomenon, esophageal dysfunction, sclerodactyly, and telangiectasia. This presentation is to help increase knowledge of scleroderma pathophysiology and nursing implications that will help medical staff better care for those affected.


Creating The First Indoor Tan-Free Skin Smart College Campus, Jessica S. Mounessa, Sherry L. Pagoto, Katie Baker, John Antonishak, Robert P. Dellavalle 2017 University of Colorado

Creating The First Indoor Tan-Free Skin Smart College Campus, Jessica S. Mounessa, Sherry L. Pagoto, Katie Baker, John Antonishak, Robert P. Dellavalle

Sherry L. Pagoto

Given the prevalence and risk associated with indoor tanning among college students, university campuses constitute a prime target for skin cancer prevention. This report identifies the successes and challenges faced in promoting a campus-wide tan-free policy through the National Council on Skin Cancer Prevention (NCSCP) Indoor Tan-Free Skin Smart Campus Initiative. Beginning in February 2016, we communicated with university faculty or staff members who have participated in skin cancer prevention via education, clinical care, or research at 20 universities regarding the steps to adopt the tan-free policy. One campus, East Tennessee State University (ETSU), successfully fulfilled all criteria and implemented ...


Noonan Syndrome With Loose Anagen Hair Associated With Trichorrhexis Nodosa And Trichoptilosis, Jennifer L. Kane, Kristen Berrebi, Riley McLean, Stephanie Petkiewicz, Beverly N. Hay, Madelena Martin, Karen Wiss 2017 University of Massachusetts Medical School

Noonan Syndrome With Loose Anagen Hair Associated With Trichorrhexis Nodosa And Trichoptilosis, Jennifer L. Kane, Kristen Berrebi, Riley Mclean, Stephanie Petkiewicz, Beverly N. Hay, Madelena Martin, Karen Wiss

Pediatric Publications and Presentations

We report a case of Noonan syndrome with loose anagen hair (NS/LAH), a rare variant of Noonan syndrome, with associated trichorrhexis nodosa and trichoptilosis. The SHOC2 mutation may be responsible for these additional hair shaft defects, revealing the importance of microscopic examination of hairs in these patients.


Fungal Infections From Human And Animal Contact, Dennis J. Baumgardner 2017 Aurora UW Medical Group, Aurora Health Care; University of Wisconsin School of Medicine and Public Health; Center for Urban Population Health

Fungal Infections From Human And Animal Contact, Dennis J. Baumgardner

Dennis J. Baumgardner. MD

Fungal infections in humans resulting from human or animal contact are relatively uncommon, but they include a significant proportion of dermatophyte infections. Some of the most commonly encountered diseases of the integument are dermatomycoses. Human or animal contact may be the source of all types of tinea infections, occasional candidal infections, and some other types of superficial or deep fungal infections. This narrative review focuses on the epidemiology, clinical features, diagnosis and treatment of anthropophilic dermatophyte infections primarily found in North America. Other human-acquired and zoonotic fungal infections also are discussed in brief.


Plasmonic Gold Nanoparticle For Detection Of Fungi And Human Cutaneous Fungal Infections, Tobiloba Sojinrin, Kangze Liu, Joao Conde, Hugh Byrne, James Curtin, Daxiang Cui, Furong Tian 2017 Dublin Institute of Technology

Plasmonic Gold Nanoparticle For Detection Of Fungi And Human Cutaneous Fungal Infections, Tobiloba Sojinrin, Kangze Liu, Joao Conde, Hugh Byrne, James Curtin, Daxiang Cui, Furong Tian

Articles

Fungi, which are common in the environment, can cause a multitude of diseases. Warm, humid conditions allow fungi to grow and infect humans via the respiratory, digestive and reproductive tracts, genital area and other bodily interfaces. Fungi can be detected directly by microscopy, using the potassium hydroxide (KOH) test, which is the gold standard and most popular method for fungal screening. However, this test requires trained personnel operating specialist equipment, including a fluorescent microscope and culture facilities. As most acutely infected patients seek medical attention within the first few days of symptoms, the optimal diagnostic test would be rapid and ...


Video Capsule Endoscopy In Patients With Muir-Torre Syndrome, Erik Holzwanger, Yasir Al-Azzawi, David R. Cave 2017 University of Massachusetts Medical School

Video Capsule Endoscopy In Patients With Muir-Torre Syndrome, Erik Holzwanger, Yasir Al-Azzawi, David R. Cave

UMass Center for Clinical and Translational Science Research Retreat

Introduction: Muir-Torre Syndrome (MTS) is a rare, primarily autosomal dominant disorder that is distinguished by having sebaceous skin malignancies in addition to visceral malignancies. The most common form of MTS is a variant of HNPCC. Our aim is to demonstrate the utilization of VCE in patients with MTS as the first line screening method.

Methods: Single center, retrospective chart review study of outpatients with MTS who underwent a video capsule endoscopy study between January 2006 and January 2016.

Results: Four patients, all women and mean age of 57 years old, with MTS underwent a video capsule endoscopy at our institution ...


The Smoking Paradox In The Development Of Psoriatic Arthritis Among Psoriasis Patients – A Population-Based Study, Uyen-Sa D. T. Nguyen, Yuqing Zhang, Na Lu, Qiong Louie-Gao, Jingbo Niu, Thorvador J. Love, Alexis Ogdie, Joel M. Gelfand, Michael P. LaValley, Maureen Dubreuil, Jeffrey A. Sparks, Elizabeth W. Karlson, Hyon K. Choi 2017 University of Massachusetts Medical School

The Smoking Paradox In The Development Of Psoriatic Arthritis Among Psoriasis Patients – A Population-Based Study, Uyen-Sa D. T. Nguyen, Yuqing Zhang, Na Lu, Qiong Louie-Gao, Jingbo Niu, Thorvador J. Love, Alexis Ogdie, Joel M. Gelfand, Michael P. Lavalley, Maureen Dubreuil, Jeffrey A. Sparks, Elizabeth W. Karlson, Hyon K. Choi

UMass Center for Clinical and Translational Science Research Retreat

Objectives: Smoking is strongly associated with an increased risk of psoriatic arthritis (PsA) in the general population, but not among psoriasis patients. We sought to clarify the possible methodologic mechanisms behind this paradox.

Methods: Using 1995-2015 data from The Health Improvement Network, we performed survival analysis to examine the association between smoking and incident PsA in the general population and among psoriasis patients. We clarified the paradox using mediation analysis and conducted bias sensitivity analyses to evaluate the potential impact of index event bias and quantify its magnitude from uncontrolled/unmeasured confounders.

Results: Of 6.65 million subjects without PsA ...


Dermatomyositis As Paraneoplastic Manifestation Of Tonsillar Squamous Cell Carcinoma, Jatinder S. Patti, Kate Daniello, Lan Qin 2017 University of Massachusetts Medical School

Dermatomyositis As Paraneoplastic Manifestation Of Tonsillar Squamous Cell Carcinoma, Jatinder S. Patti, Kate Daniello, Lan Qin

UMass Center for Clinical and Translational Science Research Retreat

OBJECTIVE: Discussion of a rare case of dermatomyositis associated with tonsillar neoplasm in an African American woman.

BACKGROUND: Dermatomyositis is a syndrome of inflamatory myopathy with multiorgan manifestations which has been linked to immune dysregulation and neoplasia.

INTRODUCTION: Many studies have shown five to seven fold increased risk of developing malignancy with dermatomyositis within two years of presentation. Most common cancers reported are adenocarcinomas of lung, breast, ovaries, stomach, pancreas and bladder. Dermatomyositis as a paraneoplastic manifestation of tonsillar squamous cell carcinoma has not previously been described.

DESIGN: This is a case report of a 52 year old woman who ...


Fungal Infections From Human And Animal Contact, Dennis J. Baumgardner 2017 Aurora UW Medical Group, Aurora Health Care; University of Wisconsin School of Medicine and Public Health; Center for Urban Population Health

Fungal Infections From Human And Animal Contact, Dennis J. Baumgardner

Journal of Patient-Centered Research and Reviews

Fungal infections in humans resulting from human or animal contact are relatively uncommon, but they include a significant proportion of dermatophyte infections. Some of the most commonly encountered diseases of the integument are dermatomycoses. Human or animal contact may be the source of all types of tinea infections, occasional candidal infections, and some other types of superficial or deep fungal infections. This narrative review focuses on the epidemiology, clinical features, diagnosis and treatment of anthropophilic dermatophyte infections primarily found in North America. Other human-acquired and zoonotic fungal infections also are discussed in brief.


Beyond Skin Deep: The Traumatic Effects Of Dermatomyositis, Alexander Lorenzo Perez Herrera 2017 Dominican University of California, San Rafael

Beyond Skin Deep: The Traumatic Effects Of Dermatomyositis, Alexander Lorenzo Perez Herrera

Scholarly & Creative Works Conference 2018

Dermatomyositis is a rare autoimmune disease that affects a very small percentage of the population, close to 10 cases per million, according to the National Organization of Rare Disorders (NORD). The amount of men that are diagnosed with this disease are even smaller. However, hardly anyone knows what Dermatomyositis is, let alone what its side effects are. The purpose of this research paper is to exploit the severity of Dermatomyositis for those who are unaware of its existence, characteristics and significance within the health community. In doing so, I hope to create awareness throughout society by also telling my father ...


Skin Cancer: Causes, Prevention, And Treatment, Lauren Queen 2017 Liberty University

Skin Cancer: Causes, Prevention, And Treatment, Lauren Queen

Senior Honors Theses

The purpose of this thesis is to analyze the causes, prevention, and treatment of skin cancer. Skin cancers are defined as either malignant or benign cells that typically arise from excessive exposure to UV radiation. Arguably, skin cancer is a type of cancer that can most easily be prevented; prevention of skin cancer is relatively simple, but often ignored. An important aspect in discussing the epidemiology of skin cancer is understanding the treatments that are available, as well as the prevention methods that can be implemented in every day practice. It is estimated that one in five Americans will develop ...


Dupuytren's Disease, Leah C. Pinckney 2017 Gettysburg College

Dupuytren's Disease, Leah C. Pinckney

Student Publications

Dupuytren's disease (DD) is a chronic condition in which fibrosis of tissue beneath the palm of the hand occurs. Causes and mechanisms of this disease's development are still not entirely understood. However, symptoms and the negative impact on individuals' quality of life are evident. While existing therapies for DD have been established to prevent and slow its progression, further research is needed to effectively address it on a wider scale.


Diagnostic Challenges And Treatment Difficulties In A Patient With Excoriated Acne Conglobata, Simona R. Georgescu, Maria I. Sârbu, Cristina I. Mitran, Mădălina I. Mitran, Vasile Benea, Mircea Tampa 2017 Carol Davila University, Department of Dermatology

Diagnostic Challenges And Treatment Difficulties In A Patient With Excoriated Acne Conglobata, Simona R. Georgescu, Maria I. Sârbu, Cristina I. Mitran, Mădălina I. Mitran, Vasile Benea, Mircea Tampa

Journal of Mind and Medical Sciences

Acne conglobata is a rare and severe form of acne vulgaris, characterized by the presence of comedones, papules, pustules, nodules and sometimes hematic or meliceric crusts. Acne excoriée is a form of self-inflicted skin condition in which the patient picks on imaginary or real acne lesions.

We report the case of a 16 year old Caucasian female patient from the urban area who addressed our dermatology department for erythematous, edematous plaques covered by pustules and crusts, located on the face. The anamnesis revealed that during the last weeks she had had a depressive mood after ending a relationship with her ...


Toward The Global Control Of Human Scabies: Introducing The International Alliance For The Control Of Scabies, Daniel Engelman, Karen Kiang, Olivier Chosidow, James McCarthy, Claire Fuller, Patrick Lammie, Roderick Hay, Andrew Steer 2017 Selected Works

Toward The Global Control Of Human Scabies: Introducing The International Alliance For The Control Of Scabies, Daniel Engelman, Karen Kiang, Olivier Chosidow, James Mccarthy, Claire Fuller, Patrick Lammie, Roderick Hay, Andrew Steer

Daniel T. Engelman MD

Scabies, the human skin disease caused by infestation by the mite Sarcoptes scabiei var. hominis, causes considerable morbidity and mortality through direct effects and as a result of secondary bacterial infection. Scabies is a truly neglected disease, largely absent from the global health agenda, and its huge burden of disease is largely underappreciated. We contend that coordinated, global efforts to control this ubiquitous pathogenic mite are both important and achievable.


Creating The First Indoor Tan-Free Skin Smart College Campus, Jessica S. Mounessa, Sherry L. Pagoto, Katie Baker, John Antonishak, Robert P. Dellavalle 2017 University of Colorado

Creating The First Indoor Tan-Free Skin Smart College Campus, Jessica S. Mounessa, Sherry L. Pagoto, Katie Baker, John Antonishak, Robert P. Dellavalle

University of Massachusetts Medical School Faculty Publications

Given the prevalence and risk associated with indoor tanning among college students, university campuses constitute a prime target for skin cancer prevention. This report identifies the successes and challenges faced in promoting a campus-wide tan-free policy through the National Council on Skin Cancer Prevention (NCSCP) Indoor Tan-Free Skin Smart Campus Initiative. Beginning in February 2016, we communicated with university faculty or staff members who have participated in skin cancer prevention via education, clinical care, or research at 20 universities regarding the steps to adopt the tan-free policy. One campus, East Tennessee State University (ETSU), successfully fulfilled all criteria and implemented ...


Review Of Applications Of Microneedling In Dermatology., Christopher Iriarte, Olabola Awosika, Monica Rengifo-Pardo, Alison Ehrlich 2017 George Washington University

Review Of Applications Of Microneedling In Dermatology., Christopher Iriarte, Olabola Awosika, Monica Rengifo-Pardo, Alison Ehrlich

Dermatology Faculty Publications

Microneedling (MN) is a novel therapeutic modality in dermatology. Through physical trauma from needle penetration, MN induces a wound healing cascade with minimal damage to the epidermis. This allows for enhancement in the absorption of mainstay topical therapies across the thick stratum corneum. MN has become increasingly utilized over the last several years as it is a relatively simple procedure that is cost-effective, well tolerated, and offers both cosmetic and therapeutic benefits. The ability to treat localized areas of disease has led to numerous studies gauging its potential in focal diseases of inflammation, dyschromia, and photodamage. This review discusses the ...


Sampling Serum In Patients With Vitiligo To Measure Disease Activity In The Skin, Medhi Rashighi, John E. Harris 2016 University of Massachusetts Medical School

Sampling Serum In Patients With Vitiligo To Measure Disease Activity In The Skin, Medhi Rashighi, John E. Harris

UMass Metabolic Network Publications

In this issue of JAMA Dermatology, Speeckaert and colleagues report that levels of the soluble CD25 and CD27 molecules (sCD25 and sCD27) are elevated in the serum of patients with active vitiligo compared with patients with stable disease. In addition, sCD25 levels were found to be significantly lower in the serum of patients being treated with topical immunosuppressants (including steroids and calcineurin inhibitors) and the serum level of sCD27 was significantly lower in patients with recent repigmentation, suggesting a potential to use these as biomarkers to monitor treatment responses. Interestingly, the authors continued to prospectively study a relatively large number ...


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