Publications by authors named "Sung E Chang"

Article Synopsis
  • Early mycosis fungoides (MF) can be challenging to distinguish from psoriasis and chronic spongiotic dermatitis, prompting research into diagnostic markers.
  • The study involved analyzing T cells in skin samples using single-cell transcriptomics, finding 41 differentially expressed genes (DEGs) linked to T-cell receptor (TCR) signaling and apoptosis regulation specifically in MF.
  • GNLY and FYB1 emerged as potential diagnostic biomarkers, showing promising sensitivity and specificity in differentiating MF from the other conditions, with GNLY having an AUC of 0.86 and FYB1 0.79.
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Prognostic markers are needed for tumor-stage mycosis fungoides (MF) because of their variable prognosis. The objectives of this study were to explore prognostic markers for tumor-stage MF and assess the prognostic significance of clinically assessed MF tumor burden index (MTBI). MTBI was devised to consider the tumor size ≥ 2 cm, number ≥ 5, ulcers, and body surface area ≥ 50%.

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Post-inflammatory hyperpigmentation (PIH) is a very common disorder of cutaneous hyperpigmentation, which poses a persistent management challenge in the fields of dermatology and esthetics. This study was designed to explore the anti-melanogenic and anti-inflammatory effects of Bay 11-7082, an NF-κB inhibitor, using small-molecule screening, to determine its potential application for PIH prevention. The molecular mechanisms were investigated in vitro and ex vivo in epidermis-humanized mice using melanin content, RT-PCR, and immunoblotting.

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Article Synopsis
  • This study examined 627 cases of primary cutaneous lymphoma (PCL) in Korea from 1994 to 2022, revealing significant variation in PCL subtypes across time and geography.
  • The majority (87.2%) of cases were T-/NK-cell lymphomas (CTCL), with notable increases in the prevalence of mycosis fungoides (MF) and CD4-positive small/medium T-cell lymphoproliferative disorder over the years.
  • Survival analysis indicated that CTCL generally had better 5-year overall survival rates compared to B-cell lymphomas (CBCL), with certain CTCL subtypes showing improved survival outcomes over time.
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Background: Dysregulation of melanogenesis contributes to the development of skin hyperpigmentation diseases, which poses a treatment challenge. Following the establishment of CRTC3 screening methods to explore small molecules inhibiting melanogenesis for the topical treatment of hyperpigmentation diseases, we identified a candidate molecule, semaxanib.

Objective: To explore the antimelanogenic effects of semaxanib, a vascular endothelial growth factor receptor (VEGFR) 2 inhibitor, for potential applications in hyperpigmentation management and to unravel the role of VEGF signaling in melanocyte biology by investigating mechanism of action of semaxanib.

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  • Amelanotic acral melanoma (AAM) is a rare and aggressive form of melanoma with a poor prognosis, prompting an investigation of its differences from pigmented acral melanoma (PAM).
  • The study analyzed transcriptomic profiles of AAM and PAM from multiple patients, focusing on gene expression and immune cell composition using specific markers.
  • Results showed significant differences, including certain genes being upregulated or downregulated in AAM, and variations in immune cell types, indicating that AAM has unique biological characteristics that could affect its clinical outcomes.
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Purpose: Few studies have investigated the impact of biologics on the risk of major adverse cardiovascular events (MACEs) among Korean patients with psoriatic diseases. We compared the risk of MACEs and all-cause mortality among patients with psoriatic disease treated with tumor necrosis factor (TNF)-α and interleukin (IL)-12/23 inhibitors in Korea.

Methods: Patients with psoriatic disease prescribed with TNF-α and IL-12/23 inhibitors since 2016 were selected from the Korean National Health Insurance Service (NHIS) Database.

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Article Synopsis
  • A study comparing comorbidities in patients with psoriasis and atopic dermatitis (AD) found that psoriasis patients had significantly higher odds of conditions like obesity, hypertension, diabetes, chronic kidney disease, and Parkinson's disease.
  • The analysis included 14,128 patients and utilized data from Asan Medical Center to assess how these comorbidities are associated with different psoriasis subtypes.
  • Specifically, plaque psoriasis was linked to multiple conditions, while guttate psoriasis had higher odds of dementia, and generalized pustular psoriasis was associated with a significantly higher risk of diabetes.
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  • Acral lentiginous melanoma (ALM) has a worse prognosis than nonacral cutaneous melanoma (NACM), and the study investigates the neutrophil-to-lymphocyte ratio (NLR) as a potential prognostic marker for ALM.
  • Analysis of patient records from 1997 to 2022 revealed that advanced-stage ALM had a higher median NLR compared to NACM, indicating notable differences in baseline NLR.
  • The study found that a high NLR in ALM patients was linked to poorer progression-free survival, suggesting that NLR could be an important prognostic tool for assessing ALM outcomes.
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Background: Prurigo nodularis (PN) is an intensively pruritic skin disease that negatively influences quality of life. Cryosim-1 (Intrinsic IB Spot) is a synthetic, selective transient receptor potential melastatin 8 agonist.

Aims: To investigate the efficacy and safety of cryosim-1 in PN patients.

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The morphology of facial scars shows a wide variation in terms of texture and colour. To date, there are no reliable predictors of aberrant scarring. We conducted a retrospective analysis to identify factors associated with specific scar features and types.

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Lymphoplasmacytic lymphoma (LPL) is a rare variant of non-Hodgkin lymphoma, accounting for <1% of cases. Skin involvement in LPL is quite rare-accounting for approximately 5% of extramedullary disease-and includes a variety of clinical morphologies, such as erythematous-to-violaceous plaques, violaceous nodules or tumors, and ulceration at various anatomical sites. Herein, we report the case of a 45-year-old Korean woman who presented with generalized erythematous indurated plaques and pendulous skin growths, which were asymptomatic, with marked diffuse infiltration of lymphocytes and plasma cells in the dermis.

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Linear lichen planus pigmentosus is a rare subtype of lichen planus pigmentosus that follows Blaschko's lines, leaving long-standing residual atrophy and pigmentation, especially in dark-skinned populations. Conventional treatments have several limitations regarding the alleviation of pigmentation and atrophy. We report two cases of Korean women with linear lichen planus pigmentosus on their faces who were successfully treated with fractional lasers and intralesional injection of polydeoxyribonucleotide.

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There are limited large population-based cohort studies on the risk of incident autoimmune diseases among patients with newly diagnosed psoriatic disease. The objective of this study was to assess the risk of autoimmune diseases in patients with newly diagnosed psoriatic disease. Using the Korean National Health Insurance Service database, patients with newly diagnosed psoriatic disease between 2007 and 2019 were included.

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Importance: Artificial intelligence (AI) training for diagnosing dermatologic images requires large amounts of clean data. Dermatologic images have different compositions, and many are inaccessible due to privacy concerns, which hinder the development of AI.

Objective: To build a training data set for discriminative and generative AI from unstandardized internet images of melanoma and nevus.

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Article Synopsis
  • - The study focused on the cancer risks in psoriasis patients and how different treatments, specifically TNF-α inhibitors and IL-12/23 inhibitors, impact those risks.
  • - Analysis of data from 191,678 psoriasis patients revealed a higher overall cancer risk compared to the general population, with TNF-α inhibitors linked to a significant increase in overall cancer and non-Hodgkin lymphoma risk.
  • - In contrast, IL-12/23 inhibitors did not show an increased cancer risk, suggesting they may be a safer treatment option in terms of cancer risk for psoriasis patients.
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Mycosis fungoides with large-cell transformation (MF-LCT) occurs in a minor proportion of aggressive lesions, which express CD30 similar to primary cutaneous anaplastic large-cell lymphoma (pcALCL). We investigated the differences in spatially resolved transcriptome profiles of MF-LCT and pcALCL using CD30 morphology markers and 28 and 24 regions of interest (ROIs) in MF-LCT and pcALCL, respectively. Differentially expressed genes, pathway analysis, and immune-cell deconvolution by selective analysis of CD30-positive tumor cells and CD30-negative extratumoral areas were undertaken.

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Background: Pigmented contact dermatitis (PCD), a rare variant of non-eczematous contact dermatitis, is clinically characterized by sudden-onset brown or grey pigmentation on the face and neck. It is hypothesized to be caused by repeated contact with low levels of allergens.

Objectives: This study evaluated the risk of using hair dyes in patients with PCD in Korea.

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