Publications by authors named "Jochen Hoffmann"

Cutaneous squamous cell carcinoma (cSCC) is a serious public health problem due to its high incidence and metastatic potential. It may progress from actinic keratosis (AK), a precancerous lesion, or the in situ carcinoma, Bowen's disease (BD). During this progression, malignant keratinocytes activate dermal fibroblasts into tumor promoting cancer-associated fibroblasts (CAFs), whose origin and emergence remain largely unknown.

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Scleromyxedema Arndt-Gottron is the systemic variant of lichen myxedematosus in which mucin accumulation occurs in the dermis. The disease is usually chronically progressive and extracutaneous manifestations or complications are possible. The pathogenesis is unknown and the disease is usually associated with monoclonal gammopathy.

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The precision of compartment-based quantification methods is subject to multiple effects, of which partitioning and subsampling play a major role. Partitioning is the process of aliquoting the sample liquid and consequently the contained target molecules, whereas subsampling denotes the fact that usually only a portion of a sample is analyzed. In this work, we present a detailed statistical description comprising the effects of partitioning and subsampling on the relative uncertainty of the test result.

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Pemphigus vulgaris (PV) is a potentially lethal autoimmune bullous skin disorder caused by IgG autoantibodies against desmoglein 3 (Dsg3) and Dsg1. During the last three decades, high-dose intravenous immunoglobulins (IVIgs) have been applied as an effective and relatively safe treatment regime in severe, therapy-refractory PV. This prompted us to study T- and B- cell polarization by IVIg in a human-Dsg3-dependent mouse model for PV.

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Subcutaneous panniculitis-like T-cell lymphoma is a rare, indolent cutaneous cytotoxic alpha-beta T-cell lymphoma, where no specific therapy regimen is defined. We present a case with a diagnostically challenging association with anti-double stranded DNA and provides one of the first reports of a successful treatment with mycophenolate mofetil and glucocorticosteroids.

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Background: Psoriasis is a chronic and systemic inflammatory disease with a loss of up to 5 life years, which is thought to be reduced by biologic treatment. Disease severity and eligibility for systemic treatment are often based on the cutaneous psoriasis area and severity index (PASI) with a cut-off of 10 in several European countries. However, it is unclear how well this cut-off reflects systemic inflammation and, consequently, the risk for the development of comorbidity.

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Article Synopsis
  • - Psoriasis is linked to lower life expectancy due to systemic inflammation, and a study analyzed the neutrophil-to-lymphocyte ratio as a marker of this inflammation during treatment with two types of biologic drugs.
  • - Results showed that the neutrophil-to-lymphocyte ratio significantly decreased within 3 months and remained low for at least 33 months, with greater reductions in patients receiving tumour necrosis factor-α antagonists compared to those on interleukin-12/23 antagonists.
  • - The findings indicate that tumour necrosis factor-α antagonist treatment and initial neutrophil-to-lymphocyte ratios are important predictors of lower cardiovascular risk during psoriasis treatment, highlighting distinct effects of different drug classes
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We report on the development of a microfluidic multiplexing technology for highly parallelized sample analysis via quantitative polymerase chain reaction (PCR) in an array of 96 nanoliter-scale microcavities made from silicon. This PCR array technology features fully automatable aliquoting microfluidics, a robust sample compartmentalization up to temperatures of 95 °C, and an application-specific prestorage of reagents within the 25 nl microcavities. The here presented hybrid silicon-polymer microfluidic chip allows both a rapid thermal cycling of the liquid compartments and a real-time fluorescence read-out for a tracking of the individual amplification reactions taking place inside the microcavities.

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Circulating tumor cells (CTCs) that enter the bloodstream play an important role in the formation of metastases. The prognostic significance of CTCs as biomarkers obtained from liquid biopsies is intensively investigated and requires accurate methods for quantification. The purpose of this study was the capture of CTCs on an optically accessible surface for real-time quantification.

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Article Synopsis
  • The Psoriasis Area and Severity Index (PASI) is commonly used to evaluate psoriasis treatments, but its effectiveness as a measure of systemic disease in individual patients hasn't been systematically studied.* -
  • A retrospective study involving 186 treatments for psoriasis found weak-to-moderate correlations between PASI scores and systemic inflammation biomarkers like the neutrophil-to-lymphocyte ratio and C-reactive protein.* -
  • While PASI can indicate levels of systemic inflammation, it should not replace laboratory tests for more accurate evaluations, especially in patients with concurrent conditions like psoriatic arthritis.*
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The term cutaneous pseudolymphoma (C-PSL) is defined in the literature as a benign, reactive lymphoproliferation that clinically and/or histopathologically imitates cutaneous lymphoma. The exact etiopathogenesis has not been fully elucidated to date. A distinction is made between primary, idiopathic PSL without an identifiable cause and secondary PSL with a known stimulus.

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Article Synopsis
  • * A study showed that adding methotrexate increased the risk of mild laboratory adverse events, with notable decreases in blood cell counts and an increase in liver enzyme levels (GPT).
  • * Serious laboratory side effects (grades 3-4) were observed in about 9.5% of patients using methotrexate compared to 5.2% without it, leading to potential discontinuation of methotrexate in some cases due to these side effects.
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Scleromyxedema.

J Dtsch Dermatol Ges

December 2020

Article Synopsis
  • Scleromyxedema is a rare skin disorder involving a buildup of mucin in the skin and can impact multiple organs, often linked with a type of blood protein disorder called monoclonal gammopathy.
  • It presents as small, waxy papules on the skin and can lead to serious complications, including a potentially fatal condition called dermato-neuro syndrome.
  • Diagnosis requires specific skin symptoms, a distinct histological pattern, and the presence of monoclonal gammopathy, while treatment typically starts with high-dose intravenous immunoglobulins (IVIg).
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