Publications by authors named "Axel Villani"

Background: SUNSHINE and SUNRISE demonstrated sustained clinical efficacy of secukinumab in patients with moderate-to-severe hidradenitis suppurativa (HS) through 52 weeks. Patients completing the core trials could enter a 4-year extension trial.

Objectives: To evaluate the long-term efficacy, safety/tolerability, and maintenance of clinical response of secukinumab through Week 104 in the extension trial.

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Introduction Hidradenitis suppurativa (HS) is a debilitating, inflammatory skin disorder. Treatment strategies in patients with HS are challenging; real-world evidence in a HS population is warranted for greater disease understanding. The objective of this analysis was to describe real-world treatment patterns and treatment satisfaction in patients with HS.

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Psoriasis is a common chronic skin disease, with well-characterised impact on quality-of life, however, no information is available on the lifetime impact of psoriasis on patients' lives. This descriptive cross-sectional web-based survey of patients with psoriasis, recruited from an online patient community, was conducted in France in 2021. Established questionnaires (Major Life-Changing Decision Profile-MLCDP, Dermatology Life Quality Index-DLQI, Hospital Anxiety and Depression Scale [HADS]), CAGE and BRIEF-COPE) were administered together with specially created questions.

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Article Synopsis
  • - The study investigates the effectiveness of bimekizumab for treating palmoplantar pustulosis (PPP) and palmoplantar plaque psoriasis with pustules, conditions known to be difficult to manage due to their inflammatory nature.
  • - In a case series involving 21 adults treated in France, bimekizumab demonstrated promising results, with 17 patients achieving complete skin clearance and significant improvements in symptoms after 1 to 4 months of treatment.
  • - Outcomes also included assessments of joint pain and nail conditions, showing up to 70% improvement in nail involvement for a subset of patients, while treatment was well tolerated overall.
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Importance: The pathogenesis of eosinophilic cellulitis (EC) is poorly understood, limiting available treatment options. The current treatment paradigm focuses on delayed type 2 hypersensitivity reaction to various triggers.

Objective: To gain further insight into the nature of EC inflammation and into the cellular signal transduction pathways that are activated in the context of EC.

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Article Synopsis
  • * Over 200 sites in 40 countries participated, enrolling patients aged 18 or older who displayed a specific severity of the condition for at least a year, while also adhering to certain treatment guidelines.
  • * The main goal was to see how many patients achieved a significant reduction in their symptoms after 16 weeks, comparing those receiving secukinumab to a placebo group, using a randomized and double-blind method to ensure reliable results.
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Although retinoids are considered as the most effective treatment, management of dissecting cellulitis of the scalp (DCS) is often challenging. A multicentre retrospective study was conducted to evaluate the efficacy of anti-tumour necrosis factor (TNF) agents in treating DCS after failure of other conventional treatments. Twenty-six patients were included.

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Background: In atopic dermatitis (AD), some studies have shown an association with increased cardiovascular disease in certain populations. However, other investigations found modest or no association. Despite conflicting results, molecular profiling studies in both AD skin and blood have demonstrated upregulation of atherosclerosis and cardiovascular risk-related markers.

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Background: Flow cytometry is a well-accepted approach for immune profiling; however, its value is restricted by the limited number of markers that can be analyzed simultaneously. Mass cytometry/CyTOF offers broad-scale immune characterization integrating large number of parameters. While partial blood phenotyping was reported in atopic dermatitis (AD), patients' comprehensive profiling, critical for leveraging new targeted treatments, is not available.

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Toxic epidermal necrolysis (TEN) is a life-threatening cutaneous adverse drug reaction. To better understand why skin symptoms are so severe, we conducted a prospective immunophenotyping study on skin and blood. Mass cytometry results confirmed that effector memory polycytotoxic CD8 T cells (CTLs) are the main leucocytes in TEN blisters at the acute phase.

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Background: Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition substantially impacting patients' quality of life; the pathogenesis remains unclear, and treatment is complex and not yet standardized. Observational data are increasingly being used to evaluate therapeutics in "real-life" interventions, and the development of e-cohorts is offering new tools for epidemiological studies at the population level.

Objective: The aim of this study was to describe the clinical characteristics and treatment history of HS participants in the Community of Patients for Research (ComPaRe) cohort and to compare these to other cohorts.

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Psoriasis typically affects young adults and therefore many women with a desire to become pregnant or already pregnant. In this particular situation, treatment can be a real challenge for some patients, especially in the case of severe forms. In addition to local treatments, which are generally well tolerated, UVB phototherapy and cyclosporin remain the first-line systemic treatments.

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Article Synopsis
  • Approximately 30% of patients with skin psoriasis also have psoriatic arthritis (PsA), and over 70% of PsA patients experience nail psoriasis, particularly onycholysis, which may increase the risk of developing PsA.
  • A study compared tendon thickness and bone erosions in patients with psoriatic onycholysis without PsA, those with only skin psoriasis, patients with PsA, and healthy controls, finding significant differences in tendon thickness and a higher frequency of erosions in the onycholysis group.
  • The results indicate that onycholysis is linked to significant bone erosions and enthesopathy, suggesting it could serve as a marker for determining the severity of psoriasis.
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Background: Although infliximab (IFX) has been available since 2005, there are very little data on the long-term drug survival of infliximab in real-life.

Objective: Our aim was to identify and describe psoriasis patients treated with IFX for longer than 6 years.

Methods: Psoriasis patients treated with IFX for longer than 6 years were retrospectively included.

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Article Synopsis
  • * Common issues among these patients included obesity (median BMI percentile 88), with comorbidities like acne (32.8%), hirsutism (19.3%), and pilonidal cysts (16.4%).
  • * Treatment options included topical applications like resorcinol and clindamycin, oral medications (tetracycline and clindamycin with rifampicin), and surgical interventions;
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Background: The factors that determine whether an area of the body will be affected by hidradenitis suppurativa (HS) are unknown.

Methods: To address these factors, we performed multivariate regression analyses in a cohort of 1,138 patients.

Results: We found that the body sites affected occurred in specific combinations that were influenced by sex and body mass index.

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Background: Clinical and pathologic criteria to distinguish drug-induced subacute lupus erythematosus (DI-SCLE) from idiopathic (I-SCLE) are controversial.

Objective: The aim of the survey was a retrospective analysis of a consistent number of iatrogenous and idiopathic SCLE cases, by means of clinical and histopathologic investigation.

Methods: Eleven European university dermatology units collected all diagnosed cases from January 2000 to December 2016.

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