Publications by authors named "Ji-Xu A"

Background: Penile squamous cell carcinoma (PSCC) carries significant morbidity and mortality. Literature is limited regarding prognostic factors, especially prognostic factors for development of metastasis.

Objectives: To identify independent prognostic factors associated with poor outcomes, defined as local recurrence (LR), metastasis and disease-specific death (DSD) in clinically node-negative PSCC undergoing local therapy.

View Article and Find Full Text PDF

Purpose: Penile cancer is rare, with significant morbidity and limited literature assessing utility of peripheral and deep en face margin assessment (PDEMA) vs traditional margin assessment (vertical sections) on treatment outcomes.

Materials And Methods: This was a 32-year retrospective multicenter cohort study at 3 academic tertiary care centers. The cohort consisted of 189 patients with histologic diagnosis of in situ or T1a cutaneous squamous cell carcinoma of the penis at Brigham and Women's, Massachusetts General Hospital (1988-2020), and Memorial Sloan Kettering Cancer Center (1995-2020) treated with PDEMA surgical excision, excision/circumcision, or penectomy/glansectomy.

View Article and Find Full Text PDF
Article Synopsis
  • The JAK-STAT pathway is crucial in understanding and treating alopecia areata, a condition that leads to hair loss.
  • Oral Janus kinase inhibitors, like Baricitinib (the only FDA-approved option), show promise in promoting hair regrowth, even for those who haven't responded to traditional therapies.
  • More research is needed to assess the long-term effects and effectiveness of topical JAK inhibitors, as well as to find markers that can predict how different patients will respond to these treatments.
View Article and Find Full Text PDF

Leukocytoclastic vasculitis is a histopathologic term describing a type of small-vessel vasculitis characterized by a predominantly neutrophilic inflammatory infiltrate and nuclear debris. Skin involvement is common and can have a heterogeneous clinical presentation. Herein, we describe a 76-year-old woman with no history of chemotherapy or recent mushroom ingestion that presented with focal areas of flagellate purpura secondary to bacteremia.

View Article and Find Full Text PDF

Trichodysplasia spinulosa (TS) is a rare skin condition that occurs mainly in immunosuppressed patients. Although initially postulated to be an adverse effect of immunosuppressants, TS-associated polyomavirus (TSPyV) has since been isolated from TS lesions and is now considered to be the causative agent. Trichodysplasia spinulosa presents with folliculocentric papules with protruding keratin spines, most commonly on the central face.

View Article and Find Full Text PDF

ERAP1, ERAP2, and LNPEP are aminopeptidases implicated in autoimmune pathophysiology. In this study, we show that ERAP2 is upregulated and ERAP1 is downregulated in patients with psoriasis who are homozygous for autoimmune-linked variants of ERAP. We also demonstrate that aminopeptidase expression is not uniform in the skin.

View Article and Find Full Text PDF

Atopic dermatitis (AD) is a common, chronic skin disorder that is associated with dysbiosis of the skin microbiome along with an impaired skin barrier and abnormal immune signalling. Particularly, AD has been associated with increased abundance of Staphylococcus aureus and decreased overall bacterial diversity. Topical probiotic formulations are garnering further interest in the treatment of AD and may be derived from commensal bacteria found on healthy epithelium or from exogenous bacteria.

View Article and Find Full Text PDF

Despite reaching historical lows in the early 2000s, cases of both primary and secondary syphilis and congenital syphilis have increased dramatically in the U.S. over the last decade.

View Article and Find Full Text PDF

Hispanic adults with skin cancer are known to exhibit worsened outcomes compared to their counterparts. To critically evaluate the literature on methods to educate Spanish-speaking patients on sun safety and skin cancer, we conducted a systematic review of PubMed, SCOPUS, Embase, Web of Science, and Cochrane Central Register databases from inception through December 18, 2021. Evidence quality was assessed using criteria from the Oxford Centre for Evidence-Based Medicine.

View Article and Find Full Text PDF

Proprotein convertase subtilisin/kexin type-9 (PCSK9) is a posttranslational regulator of the LDL receptor (LDLR). Recent studies have proposed a role for PCSK9 in regulating immune responses. Using RNA-Seq-based variant discovery, we identified a possible psoriasis-susceptibility locus at 1p32.

View Article and Find Full Text PDF

Background: Individuals with a prior diagnosis of chronic lymphocytic leukaemia (CLL) have a higher risk of developing melanoma and exhibit poorer outcomes than patients without CLL. However, there are limited data reporting the clinicopathological features of melanoma diagnosed in patients with CLL.

Aims: To review clinicopathological characteristics of patients with coexisting diagnoses of melanoma and CLL.

View Article and Find Full Text PDF
Article Synopsis
  • The systematic use of Delphi consensus diagnostic criteria led to significant changes in how suspected pyoderma gangrenosum (PG) is managed, particularly reducing reliance on systemic corticosteroids.
  • Improved clinical outcomes were observed, likely due to fewer misdiagnoses, more effective management strategies, and decreased harm from unnecessary treatments.
  • Utilizing validated diagnostic criteria for PG can enhance physicians' decision-making, improve diagnostic accuracy, and lead to better overall patient outcomes.
View Article and Find Full Text PDF