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  • 1
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Science Ltd
    British journal of dermatology 149 (2003), S. 0 
    ISSN: 1365-2133
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Background  Hidradenitis suppurativa (HS) is a chronic disease characterized by significant morbidity. Current medical therapies are only minimally effective at treating the disease. Infliximab is a chimeric monoclonal antibody with high affinity for tumour necrosis factor (TNF)-α. TNF-α is known to induce proinflammatory cytokines and may play an important role in the therapy of a number of disparate inflammatory disorders. Infliximab has shown promise for the therapy of rheumatoid arthritis and psoriasis.Objectives  Retrospectively to evaluate the effectiveness of infliximab for the treatment of HS.Methods  A retrospective chart review was performed for patients who received infliximab at the University of Miami Department of Dermatology. Patients were contacted and asked retrospectively to rate their disease activity immediately prior to and after therapy.Results  Patients' self-reported disease activity scores were significantly decreased (P = 0·0001, paired t-test) following infliximab infusion. This correlated with physician-observed clinical improvement.Conclusions  Infliximab is a promising agent for the treatment of HS. These initial results suggest that infliximab is associated with objective and subjective improvement in HS. Further controlled studies of the efficacy of infliximab and its effect on the course of the disease are warranted.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    British journal of dermatology 132 (1995), S. 0 
    ISSN: 1365-2133
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: The use of interferon (INF) is usually considered safe, the major side-effect being a flu-like syndrome. However, with its ability to alter immune responsiveness, INF has been associated with the induction of autoimmune diseases.We report a patient with Waldenström's macroglobulinaemia who developed a generalized blistering eruption after treatment with systemic INF-α 2A (INF) for multiple skin cancers. The patient's skin showed histological features, immunofluorescence findings, and immunoprecipitation diagnostic of paraneoplastic pemphigus. Despite aggressive treatment the patient died.In our patient, the use of INF was temporally related to the development of paraneoplastic pemphigus. Although interferon has been shown to induce other autoimmune diseases, to our knowledge this is only the second report of a patient treated with an interferon who subsequently developed a fatal autoimmune blistering disorder. Paraneoplastic pemphigus is a recently described autoimmune bullous disorder with a poor prognosis. The mechanism by which INF triggered the paraneoplastic pemphigus is not known.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Oxford, UK; Malden, USA : Blackwell Publishing Ltd/Inc.
    Wound repair and regeneration 13 (2005), S. 0 
    ISSN: 1524-475X
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Extracellular matrix laminins are the major noncollagenous components in the basement membrane zones (BMZ) and influence a variety of important biological processes including cell attachment, migration, and tissue development. A newly discovered laminin family member, laminin 10 (alpha 5, beta 1, and gamma 1), is found a major laminin present in the BMZs at the dermal-epidermal junction and dermal microvascular vessels. We examined the roles of laminin 10 in cutaneous wound repair in vitro and in vivo. Purified laminin 10 protein promoted human keratinocyte spreading and attachment, which is mediated by integrins. In human wound lesions, immunoperoxidase staining, with antibody 4C7 specific to laminin alpha 5 chain, stained strongly positive for laminin 10 in newly formed BMZs of epidermis and dermal blood vessels. Using a laminin 10 alpha 5 chain knockout mouse, excisional wounds in this model had abnormal reepithelialization and decreased granulation tissue formation. Transmission electron microscopy analysis of the BMZ of the mutant skin showed discontinuous lamina densa formation in areas between hemidesmosomes. In a porcine burn wound model, Reverse Transcription and Polymerase Chain Reaction analysis found significant higher expression of laminin 10 shortly after wounding and persisted through day 21, peaking at day 10. This expression pattern is consistent with the reconstitution of BMZs in the epidermis and microvascular blood vessels. These studies indicate that laminin 10 plays important roles in wound healing by promoting cell migration, BMZ assembly, reepithelialization, and angiogenesis.This study was supported by grants from NIH/NIAMES, DOD/DARPA and the Dermatology Foundation of South Florida.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    British journal of dermatology 128 (1993), S. 0 
    ISSN: 1365-2133
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Solitary morphoea profunda is a recently described morphological variant of localized scleroderma. Two of the five reported patients had a solitary fibrotic plaque in the paraspinal region. We report a 16-year-old boy with a solitary fibrotic paraspinai plaque which, on histological examination, showed dermal and subcutaneous sclerosis, with a polymorphous infiltrate including plasma cells and eosinophils. Laboratory tests were either negative or normal, except for mild peripheral blood eosinophilia. Antinuclear antibodies were not detected, and the patient had no evidence of Borrelia infection. Magnetic resonance imaging (MRI) showed that the process involved the subcutaneous tissue, but did not extend to the underlying bone.As half of the patients with this entity (three of six) now described have had a solitary fibrotic plaque in a paraspinal location. we suggest that it may be premature to classify all these cases as being a variant of morphoea. We propose the use ofthe descriptive term solitary fibrosing paraspinal plaque, until the aetiology or aetiologies of this condition are better understood.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    British journal of dermatology 135 (1996), S. 0 
    ISSN: 1365-2133
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Summary Initially thought to act as tissue replacement, cultured epithelial allografts arc now known to work by providing a potent stimultis for healing. In a similar fashion, we believe that traditional autografts may also provide a stimulus to help heal chronic wounds, thus acting as pharmacological agents for healing. We attempted to assess the possibility of augmenting the stimulatory properties of donor skin by initiating the healing process in the donor region prior to grafting. This was accomplished by pre-wounding the donor area 3 days prior to harvesting the donor skin. We compared these ‘pre-wounded’ grafts to those harvested immediately. Two patients underwent punch grafting for chronic leg ulceration. Half of the ulcer was grafted with donor skin harvested from an area that was pre-wounded and the other half from freshly harvested skin. We evaluated each for improvement of granulation tissue and degree of edge effect (migration ofthe previously dormant wound edges). All the grafts did well. There was marked improvement in granulation tissue in the ulcer hed after grafting, and the obvious presence of an edge effect. The edge eflect vvas increased on the site where the pre-wounded grafts were placed. It may be possible to augment the growth stimulatory properties of donor skin. This may offer therapeutic options in patients with chronic wounds.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Amsterdam : Elsevier
    Lingua 76 (1988), S. 209-248 
    ISSN: 0024-3841
    Source: Elsevier Journal Backfiles on ScienceDirect 1907 - 2002
    Topics: Linguistics and Literary Studies
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Amsterdam : Elsevier
    Lingua 24 (1970), S. 101-154 
    ISSN: 0024-3841
    Source: Elsevier Journal Backfiles on ScienceDirect 1907 - 2002
    Topics: Linguistics and Literary Studies
    Type of Medium: Electronic Resource
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