American Journal of Clinical Dermatology最新文献

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American Academy of Dermatology Annual Meeting: Orlando, FL, USA, 7-11 March 2025 美国皮肤病学会年会:2025年3月7-11日,美国佛罗里达州奥兰多。
IF 8.6 1区 医学
American Journal of Clinical Dermatology Pub Date : 2025-04-07 DOI: 10.1007/s40257-025-00945-9
Kathy A. Fraser
{"title":"American Academy of Dermatology Annual Meeting: Orlando, FL, USA, 7-11 March 2025","authors":"Kathy A. Fraser","doi":"10.1007/s40257-025-00945-9","DOIUrl":"10.1007/s40257-025-00945-9","url":null,"abstract":"","PeriodicalId":7706,"journal":{"name":"American Journal of Clinical Dermatology","volume":"26 3","pages":"471 - 474"},"PeriodicalIF":8.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143794444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Epidemiological, Genetic, Clinical, and Treatment Differences of Generalized Pustular Psoriasis and Acrodermatitis Continua of Hallopeau Across Ethnicities: A Systematic Review 多民族广泛性脓疱性银屑病和持续性脚端皮炎的流行病学、遗传、临床和治疗差异:一项系统综述。
IF 8.6 1区 医学
American Journal of Clinical Dermatology Pub Date : 2025-04-01 DOI: 10.1007/s40257-025-00937-9
Francis Li-Tien Hsu, Tsen-Fang Tsai
{"title":"Epidemiological, Genetic, Clinical, and Treatment Differences of Generalized Pustular Psoriasis and Acrodermatitis Continua of Hallopeau Across Ethnicities: A Systematic Review","authors":"Francis Li-Tien Hsu,&nbsp;Tsen-Fang Tsai","doi":"10.1007/s40257-025-00937-9","DOIUrl":"10.1007/s40257-025-00937-9","url":null,"abstract":"<div><h3>Background</h3><p>Ethnic differences of the clinicopathological characteristics in many immune-mediated skin diseases have been reported, including psoriasis vulgaris (PV). However, the ethnic differences of pustular psoriasis have been less studied.</p><h3>Objective</h3><p>The aim of this study was to compare the differences in epidemiology, genetic background, clinical manifestations, treatment patterns and responses among Asian and non-Asian patients with pustular psoriasis, including generalized pustular psoriasis (GPP) and acrodermatitis continua of Hallopeau (ACH).</p><h3>Methods</h3><p>This systematic review was based on a comprehensive search of Cochrane, PubMed, and Embase databases from earliest available date to 31 December 2024, and all studies reporting on patients with either GPP or ACH irrespective of study design. Studies with study size below five patients or those focusing on quality of life or economic aspects were excluded. In each publication, the ethnic composition, demographics information, disease course and manifestation, as well as genetic mutations, treatment type and response were collected if available.</p><h3>Results</h3><p>Of 2187 screened studies, 141 studies were included, with the majority being cohort studies. Compared with other ethnicities, East Asians with GPP carried more null <i>IL36RN</i> mutations, while <i>AP1S3</i> mutations seemed absent in Asians. Phenotypically, Asians had younger onset age, bimodal age distribution, less family history of PV, and more scalp/nail involvement. In Asians, absence of coexisting PV was associated with severe disease. GPP with PV had shorter pre-pustular duration among Asians than non-Asians. Use of acitretin appeared higher and more effective among East Asians compared with other populations. In ACH, Asians mostly carried homozygous null <i>IL36RN</i> mutations and had younger onset age, more multi-digit involvement, persistent treatment course, and more coexisting GPP than Europeans. Biologics use was less common in Asia in both GPP and ACH than in Europe and the US.</p><h3>Conclusions</h3><p>This systematic review underscores notable ethnic differences in genetic profiles, clinical features, and therapeutic responses in GPP and ACH. The diagnosis of GPP and ACH may differ across studies and the true impacts of ethnicities on these differences remain to be confirmed. Nonetheless, the results from this study enhance our understanding of the heterogeneous characteristics of GPP and ACH, highlighting the necessity of incorporating ethnic differences into the diagnosis, genetic testing, and management strategies for patients with GPP and ACH.</p></div>","PeriodicalId":7706,"journal":{"name":"American Journal of Clinical Dermatology","volume":"26 3","pages":"395 - 409"},"PeriodicalIF":8.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Scratching the Surface: A Comprehensive Guide to Understanding and Managing Vulvovaginal Itching 抓挠表面:理解和管理外阴阴道瘙痒的综合指南。
IF 8.6 1区 医学
American Journal of Clinical Dermatology Pub Date : 2025-03-25 DOI: 10.1007/s40257-025-00939-7
Kayla D. Mashoudy, Ana F. Tomlinson, Sarah Kim, Vanya Shivashankar, Gil Yosipovitch, Michelle Fletcher
{"title":"Scratching the Surface: A Comprehensive Guide to Understanding and Managing Vulvovaginal Itching","authors":"Kayla D. Mashoudy,&nbsp;Ana F. Tomlinson,&nbsp;Sarah Kim,&nbsp;Vanya Shivashankar,&nbsp;Gil Yosipovitch,&nbsp;Michelle Fletcher","doi":"10.1007/s40257-025-00939-7","DOIUrl":"10.1007/s40257-025-00939-7","url":null,"abstract":"<div><p>Vulvovaginal itching is a common yet often under-recognized condition affecting women across all age groups. Despite its prevalence, many dermatologists receive minimal training in vulvar diseases, leading to delayed diagnoses and prolonged discomfort for patients. This review explores the broad spectrum of causes, including infections, inflammatory conditions, neuropathic disorders, and systemic illnesses. The complexity of vulvovaginal pruritus often requires a multidisciplinary approach to accurately diagnose and treat. Contributing factors such as hormonal changes, personal hygiene practices, and environmental exposures must also be considered. Treatment strategies typically begin with lifestyle modifications and topical therapies, such as corticosteroids and antifungals, but can extend to systemic medications and biologics for resistant cases. Additionally, nonpharmaceutical options such as sitz baths and psychological interventions can be crucial for managing chronic symptoms. However, there remains a significant gap in research, particularly regarding the characterization of female-specific pruritus and its long-term impact on quality of life. Despite some advances, the available studies largely focus on isolated causes rather than the holistic nature of the condition. Further research is urgently needed to develop comprehensive, evidence-based guidelines for diagnosing and treating vulvovaginal itching, a condition that has a profound effect on both physical and emotional well-being.</p></div>","PeriodicalId":7706,"journal":{"name":"American Journal of Clinical Dermatology","volume":"26 3","pages":"361 - 378"},"PeriodicalIF":8.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s40257-025-00939-7.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143707860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Guide to the Management of Hidradenitis Suppurativa in Pregnancy and Lactation 妊娠和哺乳期化脓性汗腺炎的处理指南。
IF 8.6 1区 医学
American Journal of Clinical Dermatology Pub Date : 2025-03-25 DOI: 10.1007/s40257-025-00935-x
Raveena Ghanshani, Katrina Lee, Ashley B. Crew, Vivian Y. Shi, Jennifer L. Hsiao
{"title":"A Guide to the Management of Hidradenitis Suppurativa in Pregnancy and Lactation","authors":"Raveena Ghanshani,&nbsp;Katrina Lee,&nbsp;Ashley B. Crew,&nbsp;Vivian Y. Shi,&nbsp;Jennifer L. Hsiao","doi":"10.1007/s40257-025-00935-x","DOIUrl":"10.1007/s40257-025-00935-x","url":null,"abstract":"<div><p>Hidradenitis suppurativa is a chronic inflammatory condition characterized by recurrent abscesses, nodules, tunnels, and scarring. Fluctuations in disease activity are common during pregnancy, and more than half of women with hidradenitis suppurativa report experiencing post-partum flares. Both treatment efficacy and safety of the woman and fetus or infant must be considered when developing a treatment plan for pregnant and lactating women with hidradenitis suppurativa. Although certain commonly used hidradenitis suppurativa medications, such as tetracyclines and spironolactone, are contraindicated during pregnancy, there are still various medical therapies, including topicals, systemic antibiotics, metabolic modulators, and biologics, as well as procedural therapies that may be utilized during pregnancy. This paper aims to provide an updated evidence-based review of the management of hidradenitis suppurativa in pregnancy with an emphasis on safety data.</p></div>","PeriodicalId":7706,"journal":{"name":"American Journal of Clinical Dermatology","volume":"26 3","pages":"345 - 360"},"PeriodicalIF":8.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s40257-025-00935-x.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143707858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Maximal Usage Trial of Tapinarof Cream 1% Once Daily in Pediatric Patients Down to 2 Years of Age with Extensive Atopic Dermatitis Tapinarof乳膏在2岁以下患有广泛特应性皮炎的儿童患者中每日一次的最大使用量试验。
IF 8.6 1区 医学
American Journal of Clinical Dermatology Pub Date : 2025-03-24 DOI: 10.1007/s40257-025-00929-9
Amy S. Paller, Adelaide A. Hebert, Mercedes E. Gonzalez, Victoria Butners, Nancy Fitzgerald, Glenn Tabolt, David S. Rubenstein, Stephen C. Piscitelli
{"title":"Maximal Usage Trial of Tapinarof Cream 1% Once Daily in Pediatric Patients Down to 2 Years of Age with Extensive Atopic Dermatitis","authors":"Amy S. Paller,&nbsp;Adelaide A. Hebert,&nbsp;Mercedes E. Gonzalez,&nbsp;Victoria Butners,&nbsp;Nancy Fitzgerald,&nbsp;Glenn Tabolt,&nbsp;David S. Rubenstein,&nbsp;Stephen C. Piscitelli","doi":"10.1007/s40257-025-00929-9","DOIUrl":"10.1007/s40257-025-00929-9","url":null,"abstract":"<div><h3>Background</h3><p>Tapinarof cream 1% is an aryl hydrocarbon receptor agonist approved by the US Food and Drug Administration to treat atopic dermatitis (AD) in patients down to age 2 years.</p><h3>Objective</h3><p>The aim of this study was to evaluate the safety and pharmacokinetics of tapinarof cream 1% once daily (QD) in adolescents and children with extensive AD under maximal usage conditions.</p><h3>Methods</h3><p>Patients with a validated Investigator Global Assessment scale for Atopic Dermatitis™ (vIGA-AD™) score ≥ 3 and body surface area (BSA) involvement ≥ 25% (ages 12–17 years) or ≥ 35% (ages 2–11 years) were enrolled into three age cohorts (2–6, 7–11, and 12–17 years) and received tapinarof cream 1% QD for 4 weeks.</p><h3>Results</h3><p>Overall, 36 patients (12 per cohort) were enrolled; mean BSA affected was 42.8% (range 26.0–90.0) and mean Eczema Area and Severity Index (EASI) score was 23.8. At baseline, 28 patients (77.8%) had a vIGA-AD™ score of 3 (moderate). No-to-minimal tapinarof systemic exposure was observed (25% of post-treatment plasma samples were below the quantifiable limit of a highly sensitive assay [&lt; 50 pg/mL]). Mean maximum plasma concentration (<i>C</i><sub>max</sub>) was 2.44 ng/mL, and median time to <i>C</i><sub>max</sub> was 2.9 h. Eight patients (22.2%) reported treatment-emergent adverse events (TEAEs), which were mild or moderate; only one patient discontinued due to two unrelated TEAEs. One case of mild folliculitis and no contact dermatitis occurred. Tapinarof was well tolerated, including on sensitive skin and extensor/flexural surfaces.</p><h3>Conclusion</h3><p>Tapinarof cream exhibits highly favorable safety and pharmacokinetics in adolescents and children down to age 2 years with extensive AD.</p><h3>Trial Registration</h3><p>ClinicalTrials.gov: NCT05186805.</p></div>","PeriodicalId":7706,"journal":{"name":"American Journal of Clinical Dermatology","volume":"26 3","pages":"449 - 456"},"PeriodicalIF":8.6,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Photoaging: Current Concepts on Molecular Mechanisms, Prevention, and Treatment 光老化:分子机制、预防和治疗的最新概念。
IF 8.6 1区 医学
American Journal of Clinical Dermatology Pub Date : 2025-03-12 DOI: 10.1007/s40257-025-00933-z
Maria V. Kaltchenko, Anna L. Chien
{"title":"Photoaging: Current Concepts on Molecular Mechanisms, Prevention, and Treatment","authors":"Maria V. Kaltchenko,&nbsp;Anna L. Chien","doi":"10.1007/s40257-025-00933-z","DOIUrl":"10.1007/s40257-025-00933-z","url":null,"abstract":"<div><p>Photoaging is the consequence of chronic exposure to solar irradiation, encompassing ultraviolet (UV), visible, and infrared wavelengths. Over time, this exposure causes cumulative damage, leading to both aesthetic changes and structural degradation of the skin. These effects manifest as rhytids, dyschromia, textural changes, elastosis, volume loss, telangiectasias, and hyperkeratosis, collectively contributing to a prematurely aged appearance that exceeds the skin’s chronological age. The hallmarks of photoaging vary significantly by skin phototype. Skin of color tends to exhibit dyschromia and features associated with “intrinsic” aging, such as volume loss, while white skin is more prone to “extrinsic” aging characteristics, including rhytids and elastosis. Moreover, susceptibility to different wavelengths within the electromagnetic spectrum also differs by skin phototype, influencing the clinical presentation of photoaging, as well as prevention and treatment strategies. Fortunately, photoaging—and its associated adverse effects—is largely preventable and, to some extent, reversible. However, effective prevention and treatment strategies require careful tailoring to an individual’s skin type. In this review, we summarize molecular mechanisms underlying photoaging, examine its clinical manifestations, outline risk factors and prevention strategies, and highlight recent advancements in its treatment.</p></div>","PeriodicalId":7706,"journal":{"name":"American Journal of Clinical Dermatology","volume":"26 3","pages":"321 - 344"},"PeriodicalIF":8.6,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143613041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical Outcomes and Prognostic Factors in Bullous Pemphigoid Patients: A 15-Year Review in China 大疱性类天疱疮患者的临床结局和预后因素:中国15年回顾。
IF 8.6 1区 医学
American Journal of Clinical Dermatology Pub Date : 2025-03-10 DOI: 10.1007/s40257-025-00925-z
Shan Cao, Wenchao Li, Zhenzhen Wang, Hongda Li, Pengcheng Huai, Tongsheng Chu, Baoqi Yang, Yonghu Sun, Peiye Xing, Guizhi Zhou, Yongxia Liu, Shengli Chen, Qing Yang, Mei Wu, Zhongxiang Shi, Hong Liu, Furen Zhang
{"title":"Clinical Outcomes and Prognostic Factors in Bullous Pemphigoid Patients: A 15-Year Review in China","authors":"Shan Cao,&nbsp;Wenchao Li,&nbsp;Zhenzhen Wang,&nbsp;Hongda Li,&nbsp;Pengcheng Huai,&nbsp;Tongsheng Chu,&nbsp;Baoqi Yang,&nbsp;Yonghu Sun,&nbsp;Peiye Xing,&nbsp;Guizhi Zhou,&nbsp;Yongxia Liu,&nbsp;Shengli Chen,&nbsp;Qing Yang,&nbsp;Mei Wu,&nbsp;Zhongxiang Shi,&nbsp;Hong Liu,&nbsp;Furen Zhang","doi":"10.1007/s40257-025-00925-z","DOIUrl":"10.1007/s40257-025-00925-z","url":null,"abstract":"<div><h3>Background</h3><p>There are limited data on clinical outcomes and prognosis factors for bullous pemphigoid (BP) at long-term follow-up.</p><h3>Objective</h3><p>We aimed to investigate the clinical outcomes and prognostic factors in BP patients.</p><h3>Methods</h3><p>This retrospective study was performed between January 1, 2009 and December 31, 2023 in Shandong Province, China. The primary outcomes were the rates and predictive factors of mortality, complete remission off-therapy (CROT), and relapse by Cox proportional hazards models or logistic regression analyses. Nomograms for BP mortality and CROT were also described.</p><h3>Results</h3><p>Of the 1063 BP patients enrolled, 45 were excluded due to loss to follow-up. The cohort comprised 1018 BP patients to analyze. A total of 344 (33.8%) patients died, with cumulative 1-, 3-, and 5-year mortality rates of 22.8%, 31.2%, and 34.5%, respectively. Increased age at onset (HR = 1.08), body surface area (BSA) involvement 10–30%, BSA involvement &gt; 30% (HR = 7.19; HR = 9.84, respectively), double-positive IgG and C3 on DIF (HR = 1.37), and systemic corticosteroid in combination  with immunosuppressants treatments (HR = 0.50) were associated with mortality. A total of 321 (31.5%) patients achieved CROT. Cumulative CROT rates at 1, 3, and 5 years were 10.9%, 32.9%, and 47.5%, respectively. Shorter diagnosis delay time (HR = 1.01), baseline anti-BP180 antibody &lt; 50 IU/mL (HR = 1.48) and systemic drugs other than corticosteroid treatment (HR = 1.68) were associated with CROT. Predictive models demonstrated outstanding performance in classifying mortality at 1, 3, and 5 years (AUCs 0.83, 0.86, 0.88), but moderate classification for CROT (AUCs 0.67, 0.62, 0.63). A total of 749 (73.6%) patients experienced relapses.</p><h3>Conclusions</h3><p>This study, the first large cohort to examine long-term outcomes in BP patients, identifies risk factors for mortality and CROT, offering key insights for clinicians to improve prognosis and reduce relapse rates.</p></div>","PeriodicalId":7706,"journal":{"name":"American Journal of Clinical Dermatology","volume":"26 3","pages":"457 - 470"},"PeriodicalIF":8.6,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s40257-025-00925-z.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143584375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Real-World Evidence of Tralokinumab Effectiveness and Safety: A Systematic Review and Meta-analysis 曲洛单抗有效性和安全性的真实世界证据:系统回顾和荟萃分析。
IF 8.6 1区 医学
American Journal of Clinical Dermatology Pub Date : 2025-03-05 DOI: 10.1007/s40257-025-00927-x
Amalie Thorsti Møller Rønnstad, Christopher G. Bunick, Raj Chovatiya, Masahiro Kamata, Mia-Louise Nielsen, Daniel Isufi, Simon F. Thomsen, Christian Vestergaard, Andreas Wollenberg, Alexander Egeberg, Jacob P. Thyssen, Nikolai Loft
{"title":"Real-World Evidence of Tralokinumab Effectiveness and Safety: A Systematic Review and Meta-analysis","authors":"Amalie Thorsti Møller Rønnstad,&nbsp;Christopher G. Bunick,&nbsp;Raj Chovatiya,&nbsp;Masahiro Kamata,&nbsp;Mia-Louise Nielsen,&nbsp;Daniel Isufi,&nbsp;Simon F. Thomsen,&nbsp;Christian Vestergaard,&nbsp;Andreas Wollenberg,&nbsp;Alexander Egeberg,&nbsp;Jacob P. Thyssen,&nbsp;Nikolai Loft","doi":"10.1007/s40257-025-00927-x","DOIUrl":"10.1007/s40257-025-00927-x","url":null,"abstract":"<div><h3>Background</h3><p>Tralokinumab, a first-in-class and second biologic approved for treating moderate-to-severe atopic dermatitis in adolescents and adults, has demonstrated consistent efficacy and safety across multiple clinical trials.</p><h3>Objective</h3><p>We aimed to assess the real-world effectiveness and safety of tralokinumab by performing a systematic review and meta-analysis on the real-world evidence of tralokinumab.</p><h3>Methods</h3><p>We systematically searched PubMed and EMBASE from inception until 28 July, 2024 for observational studies describing the effectiveness and safety of tralokinumab for the treatment of atopic dermatitis. The primary outcome was the proportion of patients achieving a ≥75% improvement in the Eczema Area and Severity Index (EASI-75) after 16 weeks and secondary outcomes included the proportion of patients achieving EASI-50 and EASI-90 and the proportion of patients experiencing adverse events.</p><h3>Results</h3><p>Nineteen unique studies encompassing 911 bio-naïve and bio-experienced patients with atopic dermatitis treated with tralokinumab were included. After 16 weeks of treatment, 82%, 59% and 26% of patients achieved EASI-50, EASI-75 and EASI-90, respectively, and the proportion of patients developing conjunctivitis was 3.2%.</p><h3>Conclusions</h3><p>Tralokinumab demonstrates strong effectiveness and good tolerability in real-world settings, with a high proportion of patients achieving a clinical response and adverse events being observed only infrequently.</p></div>","PeriodicalId":7706,"journal":{"name":"American Journal of Clinical Dermatology","volume":"26 3","pages":"411 - 424"},"PeriodicalIF":8.6,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143565581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Safety and Effectiveness of Upadacitinib in Patients with Moderate-to-Severe Atopic Dermatitis Who Smoke: a 2-Year Real-Life Multicenter Study Upadacitinib治疗中重度特应性皮炎患者的安全性和有效性:一项为期2年的真实多中心研究
IF 8.6 1区 医学
American Journal of Clinical Dermatology Pub Date : 2025-02-24 DOI: 10.1007/s40257-025-00926-y
Francesco Leo, Michela Ortoncelli, Ruggero Cascio Ingurgio, Benedetta Galli, Laura Grigolato, Claudia Paganini, Martina Maurelli, Eugenia Veronica Di Brizzi, Giuseppe Lauletta, Francesca Barei, Chiara Anna Fiasconaro, Marta Casale Alloa, Mario Bruno Guanti, Niccolò Gori, Andrea Chiricozzi, Maddalena Napolitano, Cataldo Patruno, Marco Galluzzo, Mariateresa Rossi, Anna Balato, Silvia Mariel Ferrucci, Angelo Valerio Marzano, Elena Pezzolo, Caterina Foti, Giampiero Girolomoni, Luigi Gargiulo, Alessandra Narcisi, Pietro Quaglino, Simone Ribero, Luca Mastorino
{"title":"Safety and Effectiveness of Upadacitinib in Patients with Moderate-to-Severe Atopic Dermatitis Who Smoke: a 2-Year Real-Life Multicenter Study","authors":"Francesco Leo,&nbsp;Michela Ortoncelli,&nbsp;Ruggero Cascio Ingurgio,&nbsp;Benedetta Galli,&nbsp;Laura Grigolato,&nbsp;Claudia Paganini,&nbsp;Martina Maurelli,&nbsp;Eugenia Veronica Di Brizzi,&nbsp;Giuseppe Lauletta,&nbsp;Francesca Barei,&nbsp;Chiara Anna Fiasconaro,&nbsp;Marta Casale Alloa,&nbsp;Mario Bruno Guanti,&nbsp;Niccolò Gori,&nbsp;Andrea Chiricozzi,&nbsp;Maddalena Napolitano,&nbsp;Cataldo Patruno,&nbsp;Marco Galluzzo,&nbsp;Mariateresa Rossi,&nbsp;Anna Balato,&nbsp;Silvia Mariel Ferrucci,&nbsp;Angelo Valerio Marzano,&nbsp;Elena Pezzolo,&nbsp;Caterina Foti,&nbsp;Giampiero Girolomoni,&nbsp;Luigi Gargiulo,&nbsp;Alessandra Narcisi,&nbsp;Pietro Quaglino,&nbsp;Simone Ribero,&nbsp;Luca Mastorino","doi":"10.1007/s40257-025-00926-y","DOIUrl":"10.1007/s40257-025-00926-y","url":null,"abstract":"<div><h3>Background</h3><p>Atopic dermatitis (AD) is a chronic inflammatory skin condition that significantly impairs the quality of life. Recent advancements in systemic therapies, such as Janus kinase (JAK) inhibitors, offer very effective new treatment options. However, concerns regarding potential adverse events, including cardiovascular and thromboembolic risk, have emerged from clinical studies and call for further real-life investigations. This has highlighted the need to establish specific risk categories, such as tobacco smokers.</p><h3>Objective</h3><p>This study aims to evaluate the safety and effectiveness of upadacitinib, a JAK1 inhibitor, in patients who smoke with moderate-to-severe AD over a 2-year treatment period, comparing outcomes with patients who do not smoke.</p><h3>Patients and Methods</h3><p>A retrospective multicenter study was conducted across 12 dermatology departments in Italy, including 375 patients treated with upadacitinib. The presence and intensity of smoking habits as well as effectiveness scores and safety data were collected.</p><h3>Results</h3><p>Patients who smoke accounted for 36.8% of the sample. Two thromboembolic events in patients who do not smoke were recorded in the 2-year (median follow up of 52.6 weeks) observation period. The most common adverse event was acneiform eruption (12.4% of patients after 104 weeks). No significant differences related to safety emerged regarding the presence or absence of a smoking habit. Drug survival was very high with no differences between the two cohorts (83.5% after 104 weeks for patients who smoke).</p><h3>Conclusions</h3><p>This study suggests that upadacitinib is a safe and effective treatment for moderate-to-severe AD in presence of tobacco smoke, with no significant differences in safety or effectiveness compared with patients who do not smoke.</p></div>","PeriodicalId":7706,"journal":{"name":"American Journal of Clinical Dermatology","volume":"26 3","pages":"425 - 435"},"PeriodicalIF":8.6,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s40257-025-00926-y.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143490386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Next-Generation Anti-IL-17 Agents for Psoriatic Disease: A Pipeline Review 治疗银屑病的下一代抗il -17药物:管道综述
IF 8.6 1区 医学
American Journal of Clinical Dermatology Pub Date : 2025-02-21 DOI: 10.1007/s40257-025-00928-w
Dahyeon Kim, Seanna Yang, Minka Gill, Nickoulet Babaei, Mireya Cervantes, Jashin J. Wu
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