Publications by authors named "Tyring S"

Leukemia cutis (LC) is an uncommon cutaneous manifestation of leukemia that involves the leukocytic infiltration of the skin. LC typically presents after a diagnosis of leukemia has been made but may rarely appear before confirmation of the disease. In this report, we describe the case of an 86-year-old male presenting with LC prior to a clear diagnosis of leukemia in the blood.

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A biofilm is a diverse community of microorganisms enclosed in an extracellular matrix. Although this organization of cells exists naturally in healthy skin, it is also involved in the pathogenesis of multiple skin disorders, such as acne and atopic dermatitis. Because biofilms provide microorganisms with a survival advantage and increased resistance to traditional antibiotics, they can be very difficult to treat, particularly when the goal is to also preserve the natural skin microbiota.

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Background: More patients with moderate-to-severe plaque psoriasis achieved responses with JNJ-77242113, a targeted oral peptide inhibiting interleukin (IL)-23 receptor signaling, versus placebo at Week(W)16 of the phase 2 FRONTIER-1 study.

Objective: FRONTIER-2, a long-term extension of FRONTIER-1, evaluated JNJ-77242113 through 1 year.

Methods: FRONTIER-1 participants received JNJ-77242113 at doses from 25mg once daily (QD) to 100mg twice daily (BID) or placebo, through W16.

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This comprehensive review article gives an up-to-date assessment of the therapeutic landscape for warts and molluscum contagiosum (MC), focusing on advances made in the last 5 years. New treatment choices include VP-102 (Ycanth) for molluscum contagiosum, potentially intralesional Vitamin D3 for warts, and topical cidofovir for both. Immunotherapy is regarded as a potential option, especially in difficult situations.

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Psoriasis is a chronic, inflammatory skin disease that affects over 60 million adults and children globally. It is classically characterized by pink plaques covered with silver scales on the extensor surfaces, trunk, or scalp. In this report, we describe the case of a woman in her late 60s with psoriasis presenting as a painful plaque on her left breast.

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Basal cell carcinoma (BCC), the most prevalent form of human cancer, is traditionally treated by surgical and alternative destructive or topical chemical means, each with its advantages, challenges, and drawbacks. We describe our experience treating BCCs with a topical concentrate of proteolytic enzymes enriched in bromelain (CPEEB) sourced from pineapple stems. CPEEB has strong proteolytic, antitumor-proapoptotic, and inflammation modulation activities, and is approved for debridement of deep burns and starting phase 3 trials for chronic wounds.

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Article Synopsis
  • Part I covered the skin microbiome in healthy people, focusing on its normal function and composition.
  • Part II dives into how the skin microbiome changes in certain diseases, highlighting these alterations and their implications.
  • The discussion also includes how environmental factors and medications like antibiotics impact the microbiome, along with current research on potential microbiome-based treatments.
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Article Synopsis
  • Human skin hosts various microorganisms, including bacteria and fungi, that help maintain skin health and balance.
  • Our knowledge of the skin microbiome is still developing, mostly from lab and animal studies, and more research is needed to apply these findings to humans.
  • The article explores the concept of the skin microbiome, its interactions with the host, and how changes to the microbiome can relate to skin diseases and potential treatments.
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Melanomas affecting acral and mucosal sites have distinct features and are associated with poorer prognosis. Patients of color may be disproportionately affected. Herein we discuss six ethnically diverse cases of acral and mucosal melanoma (AMM).

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Article Synopsis
  • - Tirbanibulin 1% ointment, approved by the EU in 2021, is used to treat actinic keratoses and has shown effectiveness against various HPV-related lesions and cancers.
  • - A study on HeLa cells treated with tirbanibulin revealed that it inhibits cell proliferation with an IC of 31.49 nmol/L, downregulating multiple key proteins involved in cancer progression and cell cycle regulation.
  • - The findings suggest that tirbanibulin affects HPV oncoprotein expression and activates apoptotic pathways, indicating a potential mechanism for its antiproliferative effects.
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Article Synopsis
  • A patient with a decade-long history of blue-black skin lesions attributed to skin-lightening creams was diagnosed with exogenous ochronosis (EO), despite an inconclusive biopsy.
  • EO is characterized by hyperpigmentation from hydroquinone products, commonly affecting Black populations due to widespread use.
  • Accurate recognition of EO's clinical features by dermatologists is essential for early diagnosis and can prevent progression to more severe skin symptoms.
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Syphilis is an ancient sexually transmitted infection that plagues communities across the United States and the world. Cutaneous syphilis has a wide variety of manifestations and presentations, and is notoriously difficult to identify clinically as a result. In this report, we describe the case of a 30-year-old patient with condyloma lata on the umbilicus, an extremely rare site for the presentation of these lesions.

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Bullous pemphigoid is often difficult to treat with the limited therapies available. Here, we describe clinical outcomes among 30 adults with bullous pemphigoid patients treated with dupilumab. We performed a multicenter, retrospective case series between March 2020 to August 2022.

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Merkel cell carcinoma (MCC) is an aggressive neuroendocrine skin cancer with high rates of metastasis and mortality. In vitro studies suggest that selinexor (KPT-330), an inhibitor of exportin 1, may be a targeted therapeutic option for MCC. This selective inhibitor prevents the transport of oncogenic mRNA out of the nucleus.

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Background: Hidradenitis suppurativa (HS) is a chronic inflammatory disease that generates multiple cytokines. Here, we present an example of the cytokines forming a cytokine storm and its effects on the patient.

Case Presentation: We report the case of a 55-year-old man who had severe but stable HS.

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Background: Dysregulated interleukin (IL)-17/IL-23 signalling contributes to psoriasis pathogenesis. Cedirogant is an inverse agonist of nuclear receptor ROR-gamma isoform 2 (RORyt), a key transcription factor responsible for IL-17 synthesis and a regulator of the T helper 17 cell lineage programme.

Objectives: To evaluate the efficacy and safety of cedirogant to treat moderate-to-severe psoriasis.

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Trichodysplasia spinulosa (TS) is a rare, disfiguring skin condition which presents with widespread asymptomatic or pruritic, skin-colored papules with white protruding keratin spiculations in immunocompromised individuals. Due to its rarity, there is little data to guide treatment decisions. The purpose of this article is to report a case of TS that completely resolved after treatment with topical cidofovir.

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Article Synopsis
  • Topical acne trials face challenges from high responses to placebo treatments and varied outcome measures, complicating treatment comparisons; number needed to treat (NNT) offers a straightforward way to evaluate effectiveness indirectly.
  • Among 13 acne treatments analyzed, the effectiveness varied significantly, with a triple-combination gel showing the highest treatment success rates, leading to favorable NNTs of 4 and 5.
  • The study concludes that using consistent outcome measures and similar patient demographics highlights triple-combination gel and adapalene/BPO gel as the most effective options based on NNT results.
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Background: Buffalopox virus (BPXV) infection is an under-recognized zoonotic disease associated with recently reported outbreaks in humans in South Asia. It is frequently isolated from skin lesions in cattle and buffalos, and can be transmitted to humans by direct contact with the skin of infected animals and fomites. Very little data exist to inform treatment guidelines.

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