{"title":"Understanding of Pathomechanisms and Clinical Practice for Vitiligo.","authors":"Atsushi Tanemura","doi":"10.5021/ad.23.065","DOIUrl":"10.5021/ad.23.065","url":null,"abstract":"<p><p>Vitiligo is a disease caused by the acquired depletion of melanocytes and/or melanocyte precursor cells in response to genetic and environmental factors, resulting in depigmentation of the entire body. It is roughly divided into segmental and non-segmental vitiligo, and it has been found that abnormalities of melanocytes themselves and dysregulation of autoimmune responses to melanocytes are greatly involved in the pathology of non-segmental vitiligo. Segmental vitiligo pathology is largely unknown; however, it has been suggested that it may be caused by skin or melanocyte mosaicism. Treatments for vitiligo include topical therapy, ultraviolet therapy, and surgical transplantation, and it is extremely important to correctly understand the pathology to perform optimal treatment. In recent years, the development of vitiligo treatments using Janus kinase (JAK) inhibitors has progressed rapidly. We herein outline the latest pathology of vitiligo, from general vitiligo treatment to the progress of clinical trials using JAK inhibitors, along with what clinicians should consider in archiving precision medicine, including my own ideas thereon.</p>","PeriodicalId":94298,"journal":{"name":"Annals of dermatology","volume":"35 5","pages":"333-341"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/62/ee/ad-35-333.PMC10579571.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41224662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical Findings, Response to Steroid Treatment, and Recurrence Rate in Alopecia Areata Patients with or without a Nonsynonymous Variant of Coiled-Coil Alpha-Helical Rod Protein 1.","authors":"Satoshi Koyama, Nagisa Yoshihara, Atsushi Takagi, Etsuko Komiyama, Akira Oka, Shigaku Ikeda","doi":"10.5021/ad.22.227","DOIUrl":"10.5021/ad.22.227","url":null,"abstract":"<p><strong>Background: </strong>Alopecia areata (AA) is considered complex genetic and tissue-specific autoimmune disease. We recently discovered a nonsynonymous variant in the coiled-coil alpha-helical rod protein 1 (<i>CCHCR1</i>) gene within the AA risk haplotype. And a water avoidance stress test on <i>CCHCR1</i> knockout mice induced AA-like lesions.</p><p><strong>Objective: </strong>To investigate the difference clinical findings of AA in patients with the <i>CCHCR1</i> variant and without.</p><p><strong>Methods: </strong>We conducted a retrospective analysis of the data from 142 AA patients. Among these patients, 20 (14.1%) had a variant of <i>CCHCR1</i>. We evaluated the sex distribution of the patients, age at onset, distribution of the clinical types, prevalence of a positive family history of AA, prevalence of association of AA with atopic dermatitis, response to steroid therapy, and recurrence rate. We used multivariate logistic regression analysis and Fisher's exact test for statistical analysis. We also investigate electron microscopic observations of hair samples with the <i>CCHCR1</i> variant and without.</p><p><strong>Results: </strong>The results showed a significant correlation between the <i>CCHCR1</i> variant and the recurrence rate compared with the variant-negative group (<i>p</i>=0.0072). Electron microscopy revealed abnormalities in the hair shaft structure and hair cuticle in patients with the <i>CCHCR1</i> variant (<i>p</i>=0.00174).</p><p><strong>Conclusion: </strong>Our results suggest that AA with <i>CCHCR1</i> variant is clinically characterized by a high recurrence rate and hair morphological abnormality.</p>","PeriodicalId":94298,"journal":{"name":"Annals of dermatology","volume":"35 5","pages":"367-373"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/23/f3/ad-35-367.PMC10579570.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41224656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ji Hyun Lee, Yunha Noh, Ahhyung Choi, In-Sun Oh, Ja-Young Jeon, Hyun-Jeong Yoo, Ju-Young Shin, Sang Wook Son
{"title":"Hospital Utilization and Medication Prescriptions among Patients with Atopic Dermatitis in South Korea: A Real-World Data Analysis.","authors":"Ji Hyun Lee, Yunha Noh, Ahhyung Choi, In-Sun Oh, Ja-Young Jeon, Hyun-Jeong Yoo, Ju-Young Shin, Sang Wook Son","doi":"10.5021/ad.22.038","DOIUrl":"10.5021/ad.22.038","url":null,"abstract":"","PeriodicalId":94298,"journal":{"name":"Annals of dermatology","volume":"35 5","pages":"374-388"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e5/f5/ad-35-374.PMC10579577.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41224658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Association between Family History and Male Androgenetic Alopecia with Female Pattern Hair Loss.","authors":"Sang-Hoon Lee, Hyun Kang, Won-Soo Lee","doi":"10.5021/ad.22.221","DOIUrl":"10.5021/ad.22.221","url":null,"abstract":"<p><strong>Background: </strong>Male androgenetic alopecia (MAGA) is often accompanied by female pattern hair loss (FPHL). However, the risk factors related to MAGA with FPHL are unclear.</p><p><strong>Objective: </strong>To investigate demographic and laboratory factors related to MAGA with FPHL.</p><p><strong>Methods: </strong>This retrospective case-control study was performed in a single tertiary care center for MAGA with FPHL between March 2012 and September 2021. Eligible patients were males >12 years old diagnosed with androgenetic alopecia by a dermatologist. The patients were subdivided into MAGA with FPHL and MAGA without FPHL groups. Comorbidities as well as demographic, laboratory, and disease-specific variables were compared between the two groups. Data analysis was conducted between October 2021 and February 2022. The independent samples t-test, Mann-Whitney U test, and chi-squared test were used to assess the factors that contributed to MAGA with FPHL.</p><p><strong>Results: </strong>Of 469 patients with MAGA, 309 (65.9%) had FPHL, which was a much higher rate than previously reported. Among the variables, only matrilineal (odds ratio, 1.605; 95% confidence interval, 1.014~2.541) and maternal history (odds ratio, 4.705; confidence interval, 1.632~13.559) of androgenetic alopecia were significantly associated with MAGA with FPHL. In the MAGA with FPHL group, a significant positive correlation was noted between body mass index and the type F score (r=0.114, <i>p</i>=0.025).</p><p><strong>Conclusion: </strong>In this case-control study, patients with MAGA and a maternal history of androgenetic alopecia were at risk of FPHL. Therefore, early screening may benefit these patients.</p>","PeriodicalId":94298,"journal":{"name":"Annals of dermatology","volume":"35 5","pages":"348-354"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/50/e6/ad-35-348.PMC10579574.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41224655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mi Hee Kwack, Chang Hyun Song, Seongjin Lee, Gi Ung Ha, Gun-Ho Kim, Weon Ju Lee
{"title":"Effect of a Temperature-Adjustable Cryotherapy Device on Mice with Lysophosphatidic Acid-Induced Pruritus.","authors":"Mi Hee Kwack, Chang Hyun Song, Seongjin Lee, Gi Ung Ha, Gun-Ho Kim, Weon Ju Lee","doi":"10.5021/ad.21.195","DOIUrl":"10.5021/ad.21.195","url":null,"abstract":"","PeriodicalId":94298,"journal":{"name":"Annals of dermatology","volume":"35 5","pages":"381-385"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/80/36/ad-35-381.PMC10579573.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41224657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Case of Primary Cutaneous Perivascular Epithelioid Cell Tumor.","authors":"Haneul Oh, Byeong Geun Park, Il-Hwan Kim","doi":"10.5021/ad.20.322","DOIUrl":"10.5021/ad.20.322","url":null,"abstract":"A primary cutaneous perivascular epithelioid cell tumor (pcPEComa) is an extremely rare mesenchymal tumor composed of perivascular epithelioid cells, a distinctive neoplastic cell with no known normal counterpart 1 . They usually show both melanocytic and smooth muscle differentiation 2 . A","PeriodicalId":94298,"journal":{"name":"Annals of dermatology","volume":"35 Suppl 1","pages":"S155-S157"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2d/d1/ad-35-S155.PMC10608356.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49686951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Seborrheic Dermatitis: A Case of an Atypical Side Effect of Atypical Antipsychotics.","authors":"Ramy Bishay, Janis Chang, Chih-Peng Chang","doi":"10.5021/ad.20.270","DOIUrl":"10.5021/ad.20.270","url":null,"abstract":"","PeriodicalId":94298,"journal":{"name":"Annals of dermatology","volume":"35 Suppl 1","pages":"S184-S185"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cc/35/ad-35-S184.PMC10608406.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49687076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jee-Woo Kim, Jung Min Ko, Dong Yoon Lee, Jung-Won Shin
{"title":"A Case Report of Rubinstein-Taybi Syndrome Presenting with Extensive Keloid Formation and Review of Literature.","authors":"Jee-Woo Kim, Jung Min Ko, Dong Yoon Lee, Jung-Won Shin","doi":"10.5021/ad.20.320","DOIUrl":"10.5021/ad.20.320","url":null,"abstract":"<p><p>Rubinstein-Taybi syndrome (RSTS) is an extremely rare genetic disorder affecting multi-organ systems. A tendency to form keloid is one of the common dermatologic manifestations. We describe a 23-year-old female presented with extensive keloids which developed spontaneously. She had typical facial features, broad thumbs, and dental defects, which were suspicious features of genetic syndrome. Direct sequencing for cyclic-AMP-regulated enhancer binding protein revealed a novel mutation. So far, 23 cases of RSTS have been reported in Korean literature. To the best of our knowledge, this is the first report in Korea to describe confirmed case of RSTS with extensive keloids as a chief manifestation.</p>","PeriodicalId":94298,"journal":{"name":"Annals of dermatology","volume":"35 Suppl 1","pages":"S19-S24"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0d/ed/ad-35-S19.PMC10608378.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49686955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ruoqu Wei, Haifei Liu, Zhen Zhang, Fuying Chen, Jiawen Chen, Qianyue Xu, Hong Yu, Jianying Liang, Zhirong Yao
{"title":"Coexistence of Subcutaneous Panniculitis-Like T-Cell Lymphoma and Dermatomyositis in a 12-Year-Old Boy.","authors":"Ruoqu Wei, Haifei Liu, Zhen Zhang, Fuying Chen, Jiawen Chen, Qianyue Xu, Hong Yu, Jianying Liang, Zhirong Yao","doi":"10.5021/ad.20.310","DOIUrl":"10.5021/ad.20.310","url":null,"abstract":"<p><p>Subcutaneous panniculitis-like T-cell lymphoma (SPTL) is an extremely rare, indolent skin malignancy that can be difficult to distinguish from autoimmune disease-associated panniculitides. Here, we describe a 12-year-old boy who was diagnosed at age 7 years with dermatomyositis with classical manifestations, including poikiloderma, Gottron's sign, and symmetric muscle weakness. Recently, the boy presented multiple subcutaneous nodules and fever. Histopathological examination and immunohistochemical staining revealed coexistence of SPTL. To our knowledge, this is the first case of dermatomyositis accompanied with SPTL. This case alert clinical physicians of the possibility of SPTL should be considered when a patient with dermatomyositis has new lesions presenting as nodules and unknown fever.</p>","PeriodicalId":94298,"journal":{"name":"Annals of dermatology","volume":"35 Suppl 1","pages":"S79-S83"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/63/b2/ad-35-S79.PMC10608403.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49687052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}