Publications by authors named "Sophie Carrie-Shan Cai"

Ribonucleic acid (RNA) therapeutics hold great potential for the advancement of dermatological treatments due to, among other reasons, the possibility of treating previously undruggable targets, high specificity with minimal side effects, and ability to include multiple RNA targets in a single product. Although there have been research relating to RNA therapeutics for decades, there have not been many products translated for clinical use until recently. This may be because of challenges to the application of RNA therapeutics, including the dearth of effective modes of delivery to the target, and rapid degradation of RNA in the human body and environment.

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Phototherapy is a useful treatment modality for atopic dermatitis (AD). This is a prospective randomised double-blind study comparing the clinical efficacy of combined ultraviolet-A (UVA)/narrowband ultraviolet-B (NBUVB) versus NBUVB phototherapy in the treatment of chronic AD. Patients with moderate-to-severe AD were randomised to receive either UVA/NBUVB or NBUVB phototherapy twice weekly over 12 weeks.

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Article Synopsis
  • A 49-year-old woman experienced persistent bumps on her fingers and under her breasts, coupled with symptoms of connective tissue disease like joint pain and Raynaud phenomenon.
  • A skin biopsy revealed a proliferation of bland spindled cells and multinucleated giant cells in the dermis, showing no smooth muscle actin but some positive staining for CD68 and CD163.
  • The diagnosis was challenging, suggesting possibilities like fibroblastic rheumatism or multinucleate cell angiohistiocytoma, but the patient improved significantly after treatment with cyclosporine and methotrexate.
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The introduction of ustekinumab, an interleukin [IL]12/23 p40 inhibitor, to the therapeutic armamentarium of Crohn's disease has provided a much needed treatment option for patients who have failed conventional biologics with anti-tumour necrosis factor [TNF] and anti-integrin agents. Despite targeting two major cytokine pathways, the side effect profile of ustekinumab appears to be favourable in clinical trials. In particular, the risk of tuberculosis infection was observed to be lower than in patients who have received anti-TNF agents.

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