Publications by authors named "Ajay N Sharma"

Objective: Scalp inflammation and alopecia are distressing conditions for which patients regularly present to dermatology. Although some diagnoses can be made clinically, others require biopsy, which carries the risk of pain, infection, bleeding, and scarring. This review examines the existing literature regarding noninvasive in vivo imaging techniques and their evidence and utility in evaluating scalp pathology, with a focus on the diagnostics of hair conditions.

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  • Minoxidil is commonly used off-label for treating hair loss but may increase the risk of pericardial effusions, even at low doses.
  • A study compared 51 patients on low-dose oral minoxidil with 49 control patients for the presence of these effusions, using ultrasound to evaluate results.
  • The findings revealed no significant difference in the prevalence of small pericardial effusions between the two groups, suggesting LDOM is not linked to increased risk in this small cohort of alopecia patients.
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Introduction: In an effort to define the characteristics of populations affected by melasma, we utilized a large global health research network database from 108 health care organizations (TriNetx) to quantify the associations between race, ethnicity, and comorbidities.

Methods: We identified the cohort of all patients with melasma from the TriNetx database, and subsequently generated a control cohort. ICD-10 codes were used to identify the prevalence of various comorbidities associated with melasma.

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  • Iatrogenic cutaneous siderosis is a skin condition characterized by dark patches near injection sites from iron infusions, causing aesthetic and psychological issues for patients, and often doesn't resolve on its own.
  • A systematic review of the effectiveness of energy-based devices to treat this condition included 54 female patients, mostly around 44 years old, primarily affected after intravenous iron infusion for iron deficiency anemia.
  • Six different laser systems were analyzed, showing over half of patients experienced complete clearance after an average of 5.4 treatments, with the Nd:YAG 532 nm laser showing the best results in the case discussed.
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Objective: Chiari malformations (CMs) are a group of congenital or acquired disorders characterized by hindbrain overcrowding into an underdeveloped posterior cranial fossa. CM is considered largely sporadic-however, there exists growing evidence of transmissible genetic underpinnings. The purpose of this systematic review of all familial studies of CM was to investigate the existence of an inherited component and provide recommendations to manage and monitor at-risk family members.

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Background: Avelumab, a programmed death ligand-1 inhibitor, has shown success in providing durable responses for difficult-to-treat Merkel cell carcinomas (MCCs).

Objective: Evaluate the efficacy and safety of avelumab in the treatment of advanced MCC.

Methods: Studies reporting the use of avelumab as a monotherapy or in combination with other agents in the treatment of stage III or IV (advanced) MCC were included.

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Healthcare access greatly impacts skin cancer diagnosis and mortality rates. Recognition of current disparities in Mohs micrographic surgery (MMS) access can assist future policy and clinical decisions to correct them. For the years 2014-2018, the CPT codes for MMS (17,311 and 17,313) were counted on a per county level across the United States per the Medicare Centers for Medicare & Medicaid Services (CMS) Medicare Prescriber Database.

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Background: Biallelic mutations in the dedicator of cytokinesis 8 () gene were identified as the cause of combined immunodeficiency in 2009. Survival rates without hematopoietic stem cell transplant in patients with DOCK8 deficiency decline from 87% at 10 years to 33% at 30 years. Hematopoietic stem cell transplant is therefore the recommended treatment for cure of DOCK8 deficiency.

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Background: Radiofrequency (RF) devices are being increasingly used for cosmetic dermatology applications. Recent studies have reported an apparent dualistic nature of RF devices for hair, causing either removal or growth depending on the modality of RF.

Materials And Methods: PubMed/MEDLINE and Web of Science searches were conducted in July 2022 according to PRISMA guidelines for studies discussing RF technology in hair applications ( = 19).

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Introduction: Space travel imposes significant gravitational and radiation stress on both cellular and systemic physiology, resulting in myriad cardiovascular changes that have not been fully characterized.

Methods: We conducted a systematic review of the cellular and clinical adaptations of the cardiovascular system after exposure to real or simulated space travel in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The PubMed and Cochrane databases were searched in June 2021 for all peer-reviewed articles published since 1950 related to the following search terms entered in separate pairs: "cardiology and space" and "cardiology and astronaut.

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Background: Transplantation-associated thrombotic microangiopathy (TA-TMA) is an endothelial injury syndrome linked to the overactivation of complement pathways. It manifests with microangiopathic hemolytic anemia, consumptive thrombocytopenia, and microvascular thrombosis leading to ischemic tissue injury. Mannose residues on fungi and viruses activate the mannose-binding lectin complement pathway, and hence activation of the lectin pathway could be one of the reasons for triggering TA-TMA.

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  • * In 2018, Nepal reported over 90 ND outbreaks affecting nearly 75,000 birds, with recent outbreaks in 2021 further damaging poultry production due to the complexity of diagnosing ND, which shares symptoms with Influenza A (IA).
  • * A nationwide study found that for commercial farms, 70% had ND antibodies and 27.5% had IA antibodies, while backyard farms showed lower prevalence; a new ND vaccine (Ranigoldunga™) was developed, proving effective with over 85
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