Publications by authors named "Koumaki D"

In this paper, the European Academy of Dermatology and Venereology (EADV) Task Force on Quality of Life (QoL) and Patient-Oriented Outcomes presents its position statements on health-related (HR) QoL assessment in epidermolysis bullosa (EB). The EADV TF on QoL and Patient-Oriented Outcomes recommends the use of the EB-specific instrument QOLEB in patients over the age of 10 years and, in addition to the QOLEB, the use of iscorEB-p in moderate-to-severe EB; the IntoDermQoL proxy instrument with its EB-specific module should be used in children aged under 5 years. The EB-specific instrument iscorEB-p, and the dermatology-specific instrument CDLQI may measure HRQoL in children with EB aged from 5 to 10 years.

View Article and Find Full Text PDF

Backgorund: This study aimed to explore the relationship between different types of skin cancer and factors such as sun exposure and photoprotection measures in a Greek cohort on the island of Crete.

Methods: This cross-sectional observational study was conducted in the Dermatology Department of the University Hospital in Heraklion, Crete, between January 2019 and January 2024. The study population included consecutive patients diagnosed with basal cell carcinoma (BCC), squamous cell carcinoma (SCC), and malignant melanoma (MM), as well as healthy controls.

View Article and Find Full Text PDF

Introduction: The goal of the present study was to develop a short version (SV) of the Quality of Life Relevance-Acne (QOLRELEVANCE-ACNE) based on the identified most relevant items for acne patients.

Methods: Members of the international internet group for acne patients were asked to fill in the short prototype version of the QOLRELEVANCE-ACNE. Internal consistency was measured using Cronbach's alpha.

View Article and Find Full Text PDF
Article Synopsis
  • * A thorough literature review identified 12 studies (10 on dupilumab, 2 on JAK inhibitors) and evaluated their effects on skin barrier metrics like transepidermal water loss and hydration, with a total of 416 participants across various study designs.
  • * Results showed that dupilumab significantly reduced transepidermal water loss and improved skin hydration, highlighting the effectiveness of IL-4/IL-13 inhibitors, while the data on JAK inhibitors is limited, suggesting further research is needed
View Article and Find Full Text PDF
Article Synopsis
  • The study focuses on a coagulase-negative staphylococcus (CoNS) known for its ability to cause severe skin infections, as assessed in patients at a hospital in Greece over a decade.
  • A total of 123 skin specimens reflecting the diversity of infections were analyzed, with hidradenitis suppurativa being the most frequent condition, and many cases also presenting co-infections.
  • The majority of patients received effective systemic antibiotic treatments, leading to a 100% cure rate, though some notable antibiotic resistance was found against penicillin and clindamycin.
View Article and Find Full Text PDF

Objective: Skin involvement is common in systemic lupus erythematosus (SLE), but may be resistant to conventional treatment. We sought to evaluate the efficacy of anifrolumab (ANI) in refractory cutaneous manifestations of SLE.

Methods: Case series of patients with refractory cutaneous SLE from three Rheumatology Departments in Greece.

View Article and Find Full Text PDF

: Antibiotic (AB) therapy is the first step in managing hidradenitis suppurativa (HS). Knowledge of the local patterns of antimicrobial resistance is paramount for the appropriate selection of antimicrobials. This study aimed to assess the occurrence of antibiotic resistance in patients with HS.

View Article and Find Full Text PDF
Article Synopsis
  • The EADV Task Forces analyzed the Health-Related Quality of Life (HRQoL) measurement in urticaria treatment, highlighting the Dermatology Life Quality Index as the most commonly used tool in clinical trials.
  • Many trials lacked specific numeric results on HRQoL changes, complicating comparisons and conclusions across studies.
  • The study suggests favoring HRQoL instruments that include minimal clinically significant difference (MCID) data for better relevance in clinical practice rather than just relying on statistically significant changes.
View Article and Find Full Text PDF

Background: Merkel cell carcinoma (MCC) is a rare, aggressive, cutaneous tumour with high mortality and frequently delayed diagnosis. Clinically, it often manifests as a rapidly growing erythematous to purple nodule usually located on the lower extremities or face and scalp of elderly patients. There is limited available data on the dermoscopic findings of MCC, and there are no specific features that can be used to definitively diagnose MCC.

View Article and Find Full Text PDF

Tinea incognito is a dermatophyte infection with atypical features, due to the use of topical or systemic steroids or other immunosuppressive medications. Delayed diagnosis, spread of the infection to critical body surfaces, resistance to antifungal drugs, and increased costs due to prolonged hospitalization and multiple treatment regimens often complicate tinea incognito. It can affect individuals of all ages and genders, but it is more common in children.

View Article and Find Full Text PDF

The European Academy of Dermatology and Venereology (EADV) Task Forces on quality of life (QoL) and patient-oriented outcomes and on urticaria and angioedema recommendations for the assessment of Health-related (HR) QoL in all patients with urticaria in research and practice are as follows: to use the DLQI for adults and the CDLQI for children as dermatology-specific and the CU-Q2oL as a disease-specific HRQoL instruments in urticaria; to use generic instruments to provide comparison of data on urticaria with non-dermatologic diseases, or to compare with healthy volunteers or the general population; to select validated HRQoL instruments with appropriate age limits; to present exact numeric data for HRQoL results; correct title of any HRQoL instrument should be used, along with its correct abbreviation and the reference to its original publication, where possible. The EADV TFs discourage the use of non-validated HRQoL instruments and modified HRQoL instruments that have not undergone standard validation.

View Article and Find Full Text PDF

To investigate the incidence and prognostically significant correlations and cooperations of LKB1 loss of expression in non-small cell lung cancer (NSCLC), surgical specimens from 188 metastatic and 60 non-metastatic operable stage I-IIIA NSCLC patients were analyzed to evaluate their expression of LKB1 and pAMPK proteins in relation to various processes. The investigated factors included antitumor immunity response regulators STING and PD-L1; pro-angiogenic, EMT and cell cycle targets, as well as metastasis-related (VEGFC, PDGFRα, PDGFRβ, p53, p16, Cyclin D1, ZEB1, CD24) targets; and cell adhesion (β-catenin) molecules. The protein expression levels were evaluated via immunohistochemistry; the RNA levels of LKB1 and NEDD9 were evaluated via PCR, while KRAS exon 2 and BRAF mutations were evaluated by Sanger sequencing.

View Article and Find Full Text PDF

Background: Participating members of the European Academy of Dermatology and Venereology Task Forces on quality of life (QoL) and Patient Oriented Outcomes and Acne, Rosacea and Hidradenitis Suppurativa initiated data collection in 9 European countries and formed the list of the most relevant topics for acne patients.

Objective: The aim of this study was to develop a new acne-specific health-related QoL instrument based on the list of the most relevant topics for acne patients.

Methods: After assessment by acne patients ( = 715) on how clear and relevant the items in the prototype questionnaire were, a group of experts on acne and QoL performed discussions on items inclusion, which resulted in a series of 21 items.

View Article and Find Full Text PDF
Article Synopsis
  • Recent advances in understanding the immunopathogenesis of atopic dermatitis (AD) have led to the development of new immune-based therapies, particularly interleukin (IL) antagonists like dupilumab and tralokinumab, which are now approved for use in Europe.
  • This review examines the role of various interleukins in AD's development and assesses the efficacy and safety of newer and investigational IL-antagonists for treating moderate-to-severe forms of the condition.
  • Although current IL-4 and IL-13 inhibitors show promise for quick flare control and long-term relief, more research is needed on additional IL-inhibitors and real-world effectiveness, alongside establishing predictive biomarkers for personalized treatment plans.
View Article and Find Full Text PDF

We are delighted to present the Special Issue on "Skin and Cutaneous Adnexal Tumors: Diagnosis and Management" in [...

View Article and Find Full Text PDF
Article Synopsis
  • Merkel cell carcinoma (MCC) is a highly aggressive skin cancer, and this study explores how its color differs from benign skin lesions and other non-melanoma cancers using digital color analysis.
  • Researchers analyzed clinical images from 46 patients, focusing on color differences using RGB and the CIE Lab color system, to assist in differentiating MCC from cherry angiomas, hemangiomas, and basal/squamous cell carcinomas.
  • The results showed significant color parameter differences between MCC and other lesions, suggesting that color analysis could be useful in diagnosing skin cancers, while emphasizing the need for more extensive studies to confirm these findings.
View Article and Find Full Text PDF

Background: There are few studies on bullying in skin diseases. Persons with skin diseases are especially prone to bullying.

Objectives: This component of the project 'Bullying among Dermatologic Patients' aimed to study the prevalence and nature of bullying in patients with skin diseases from different countries and age groups.

View Article and Find Full Text PDF

Introduction: Treatment of hidradenitis suppurativa (HS) is challenging, and in Hurley stage I, it is based on topical measures. Our aim was to compare the efficacy and safety of topical resorcinol 10% with topical clindamycin 1% and no therapy, in Hurley stage I HS.

Methods: In this open, prospective, randomized trial, we studied 60 Hurley stage I patients with IHS4 ≤10.

View Article and Find Full Text PDF

Introduction: The basophil activation test (BAT) is a flow cytometry laboratory technique that assesses the level of activation indicators expressed on the surface of basophils. We conducted a real-life study in a prospective cohort of patients with reported drug hypersensitivity reactions to determine the true relevance of BAT as a diagnostic tool for assessing immediate hypersensitivity reactions to medicines.

Methods: We prospectively assessed individuals with clinical suspicion of immediate hypersensitivity reactions to drugs over a 2-year period.

View Article and Find Full Text PDF