Publications by authors named "Rania AlAkad"

Article Synopsis
  • Keratoacanthoma (KA) is a benign skin growth primarily affecting sun-damaged skin, and while it's usually treated surgically, non-surgical options are preferable due to potential disfigurement from surgery.
  • A study compared the effectiveness of two non-surgical treatments: intralesional methotrexate (MTX) and 5-fluorouracil (5-FU) in a randomized trial with 20 patients; both treatments showed similar success rates but required different numbers of sessions for clearance.
  • While both treatments are valid alternatives to surgery, 5-FU tended to achieve results faster, which could enhance patient satisfaction and adherence to the treatment plan.
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Hintergrund Und Ziele: Die Behandlung der Nagelpsoriasis ist wegen mangelnder Penetration topischer Therapeutika durch die Nagelplatte häufig unbefriedigend. Daher sind innovative Methoden zur adäquaten Verabreichung des Arzneimittels in den Nagel erforderlich. In dieser Studie vergleichen wir die Wirksamkeit der intraläsionalen Corticosteroid-Injektion mit topischer Applikation nach fraktionierter CO -Laser-Behandlung bei Fingernagelpsoriasis.

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Background And Objectives: The treatment of nail psoriasis is often unsatisfactory due to poor penetration of topical therapeutics through the nail plate. The development of innovative methods that provide adequate delivery of the drug into the nail is warranted. In this study, we aim to compare the efficacy of intralesional corticosteroid injection versus its topical application after fractional CO laser in the treatment of fingernail psoriasis.

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Background: Nail psoriasis has a major negative impact on physical and psychological aspects of the patient's life. Treatment is often unsatisfactory because of difficult penetration of the drug into the nail.

Objective: To evaluate and compare the efficacy of laser-assisted delivery of methotrexate versus its intralesional injection in fingernail psoriasis.

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Article Synopsis
  • * Ninety patients were divided into two groups: one received the Candida antigen treatment, while the other received a saline placebo, with results showing a higher clearance rate of warts in the treatment group.
  • * Findings suggest that IL17A levels significantly decrease and MIF levels increase after treatment, indicating their potential roles in the effectiveness of the therapy, with IL17A showing promise as a predictor of treatment response.
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Background: The treatment of warts is challenging and the development of an antiviral drug that can eradicate the human papilloma virus (HPV) is difficult. The viral origin of warts suggests that acyclovir, an antiviral drug with a proven efficacy in DNA viruses, may be a potential therapeutic option.

Aim: To evaluate the efficacy and safety of intralesional acyclovir in the treatment of cutaneous warts.

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H syndrome is a rare autosomal recessive disorder with clinical features comprising: hyperpigmentation, hypertrichosis, hearing loss, heart anomalies, low height, hypogonadism and hepatosplenomegaly. H syndrome results from loss-of-function mutations in SLC29A3 which leads to abnormal proliferation and function of histiocytes. Herein, we discuss the considerable phenotypic heterogeneity detected in a consanguineous Egyptian family comprising of four affected siblings, two of which are monozygotic twin and the possible therapeutics.

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Background: The treatment of dilated facial pores is difficult, and the ideal modality is not established yet. Different ablative and nonablative lasers have been used in the treatment of dilated pores with variable outcomes.

Aim: To evaluate and compare the efficacy of fractional CO2 laser versus carbon-assisted Q-switched Nd: YAG laser in dilated facial pores.

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Classic erythema nodosum leprosum (ENL) is characterized clinically by abrupt eruption of tender erythematous nodules, papules and plaques. Variable atypical patterns have been described, for example pustular, bullous, ulcerative, necrotic and Sweet's syndrome-like ENL. We aim to review previously reported cases of atypical ENL addressing the diagnostic and therapeutic aspects of these uncommon presentations.

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Background: Treatment of acanthosis nigricans (AN) is challenging, and new modalities are being explored continuously to increase the therapeutic efficacy.

Aim: To evaluate the efficacy and safety of fractional CO2 laser compared to trichloroacetic acid (TCA) peel in the treatment of pseudo-acanthosis nigricans (pseudo-AN).

Methods: The study included 40 patients with pseudo-AN on the neck and axilla allocated into two groups each containing 20 patients.

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Background: Intralesional immunotherapy has been effectively used in the treatment of warts; however, comparative studies between different antigens are limited.

Objective: To evaluate the efficacy and safety of intralesional measles, mumps, and rubella (MMR) vaccine compared with intralesional antigen for the treatment of multiple common and plantar warts.

Methods: Sixty-eight adult patients with multiple common and plantar warts were randomly assigned into two groups, each containing 34 patients.

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Background: Intralesional immunotherapy using different types of antigens is considered an effective and safe treatment option for different types of warts. However, there are few studies that illustrate the use of these antigens in the treatment of periungual warts as a distinct type of warts.

Objective: To evaluate the efficacy and safety of three antigens: measles, mumps, rubella (MMR) vaccine, Candida antigen, and purified protein derivative (PPD) in the treatment of periungual warts.

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Background And Objectives: Several modalities have been used to clear residual facial pigmentation in patients with extensive vitiligo; however, the ideal depigmenting agent does not yet exist. The use of trichloroacetic acid (TCA) for depigmentation in universal vitiligo has been recently reported. We aim to evaluate the efficacy and safety of TCA 100 % as a depigmenting therapy for recalcitrant facial pigmentation in Egyptian patients with universal vitiligo.

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Background: Topical antifungals are the most commonly used therapy in white piedra of the scalp. However, persistence and relapse of infection still pose a significant challenge. Systemic antifungals have been recommended to enhance the therapeutic response.

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Article Synopsis
  • Diabetic patients face increased risks when using traditional wart treatments, such as secondary infections and slow healing, making alternative therapies necessary.
  • A study evaluated the effectiveness of intralesional Candida antigen injections in 50 diabetic patients with multiple warts, comparing results with a control group receiving saline injections.
  • Results showed that 80% of patients treated with Candida antigen achieved complete wart clearance, significantly higher than only 15% in the control group, suggesting this method is both effective and safe, despite some mild side effects.
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Background: Despite the recent advances in the treatment of vitiligo, results are still largely unsatisfactory and many patients show either weak or no response to treatment. Few clinical trials have investigated the use of trichloroacetic acid (TCA) to induce repigmentation in stable vitiligo.

Objective: To evaluate the efficacy and safety of TCA, in different concentrations, for the treatment of stable localized vitiligo.

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Background: The prevalence of anogenital warts is increasing in adults as well as in pediatric population. The treatment of anogenital warts is challenging, particularly in children as most conventional modalities are painful and associated with high recurrence rates.

Objectives: To evaluate the efficacy and safety of intralesional immunotherapy for the treatment of anogenital warts in pediatric patients.

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Intralesional immunotherapy by different antigens has shown promising efficacy and safety in the treatment of warts. However, the use of these antigens for the treatment of plane warts has been investigated in two studies only. To evaluate the efficacy and safety of three antigens; Measles Mumps, Rubella vaccine (MMR), Candida antigen, and purified protein derivative (PPD) in the treatment of multiple plane warts.

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