Publications by authors named "Ryan Gotesman"

Article Synopsis
  • Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by severe headaches and temporary narrowing of brain blood vessels, with CT scans often showing complications that can complicate diagnosis.
  • A systematic review and meta-analysis were conducted to assess the prevalence of initial CT abnormalities in adult RCVS patients, using data from various medical databases.
  • The analysis reviewed 20 studies involving 379 patients, finding that 31% showed abnormalities on initial CT scans, with subarachnoid hemorrhage being the most common at 24%.
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Background: Delusional infestation, also known as Ekbom syndrome, is a rare delusional disorder characterized by the fixed belief that one is infested with parasites, worms, insects, or other organisms. Although delusional infestation is a psychiatric condition, patients often consult dermatologists with skin findings, and it is currently unclear what treatments are recommended for this disorder.

Objective: We aimed to systematically review and describe the treatment and management of patients presenting with primary delusional infestation.

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Introduction: Laryngospasm is an involuntary, sustained closure of sphincter musculature that leads to an unpleasant subjective experience of dyspnea and choking. It is an underreported symptom in amyotrophic lateral sclerosis (ALS). In this study we aimed to better characterize the prevalence and clinical characteristics of laryngospasm in ALS patients.

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Article Synopsis
  • - Psoriasis is a skin disease affecting around 2% of people, linked to various other health issues, and driven by immune system inflammation.
  • - Research has shown that interleukin (IL)-17 signaling is key in how psoriasis develops.
  • - Bimekizumab is a new treatment for moderate-to-severe plaque psoriasis that works by blocking both IL-17A and IL-17F to improve safety and effectiveness.
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Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition that presents with recurrent inflammatory nodules and draining tunnels in the skin. Most HS studies have focused on Western populations, and the understanding of how HS characteristics differ in specific Asian ethnicities is poor. We conducted the first systematic review and meta-analysis to characterize HS patients from East and Southeast Asia.

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Griscelli syndrome type 2 is a rare autosomal recessive disorder characterized by hypopigmentation, silvery hair, and immunological dysfunction with no primary neurological impairment. We report an 18-month-old girl with Griscelli syndrome type 2 who presented to the dermatology department for cutaneous granulomas that developed following live-attenuated vaccination. Two compound heterozygous variants in the RAB27A gene were subsequently identified.

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Introduction: Reversible cerebral vasoconstriction syndrome (RCVS) is characterised by severe, recurrent thunderclap headaches (TCHs) and vasoconstriction of cerebral arteries that resolve within 3 months. Abnormalities on non-contrast CT (NCCT) such as ischaemic strokes, intracerebral haemorrhage and subarachnoid haemorrhages are frequently observed on brain imaging of patients with RCVS though their prevalence varies considerably between studies. The aim of this systematic review and meta-analysis is to estimate the prevalence of NCCT abnormalities seen on neuroimaging of adult patients with RCVS.

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The huntingtin protein participates in several cellular processes that are disrupted when the polyglutamine tract is expanded beyond a threshold of 37 CAG DNA repeats in Huntington's disease (HD). Cellular biology approaches to understand these functional disruptions in HD have primarily focused on cell lines with synthetically long CAG length alleles that clinically represent outliers in this disease and a more severe form of HD that lacks age onset. Patient-derived fibroblasts are limited to a finite number of passages before succumbing to cellular senescence.

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