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State-of-the-art diagnosis of autoimmune blistering diseases.

Front Immunol

June 2024

Department of Dermatology, Allergology and Venerology, University of Lübeck, Lübeck, Germany.

Article Synopsis
  • - Autoimmune blistering disorders (AIBDs) include various conditions such as pemphigus and pemphigoid, characterized by blisters and skin lesions that can have diverse appearances, making accurate diagnosis essential for treatment and prognosis.
  • - Diagnosis typically combines clinical evaluation with the detection of specific autoantibodies, utilizing tests like enzyme-linked immunosorbent assay (ELISA) and direct immunofluorescence microscopy (IFM), which is considered the gold standard.
  • - Recent advancements in molecular identification of target antigens have led to new diagnostic methods and treatment approaches, enhancing the ability to detect specific antibodies related to various AIBDs.
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(1) Background: Although the association between psoriasis and atopic dermatitis (AD) is reported in the literature, scarce data are known about the efficacy of biologic therapy (including TNF and IL-17 inhibitors) in patients with psoriatic arthritis (PsA) and concomitant AD. (2) Objective: We aimed to explore AD in patients with PsA undergoing biologics for their active disease, focusing on prevalence and clinical and potential therapeutic implications. (3) Material and methods: We performed a retrospective analysis of 64 patients with PsA receiving various biological agents, followed-up in an academic outpatient rheumatology department up to 10 years.

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Article Synopsis
  • Prurigo nodularis (PN) is a long-term skin condition that impacts the quality of life, and treatment options in Japan are limited.
  • A study tested the safety and effectiveness of the drug nemolizumab at two different doses (30 mg and 60 mg) compared to a placebo over 16 weeks in patients with PN.
  • Results showed significant reductions in itching and improvements in skin condition, sleep, and quality of life for those taking nemolizumab, with both doses being well tolerated.*
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Article Synopsis
  • Prurigo nodularis (PN) is a chronic skin condition marked by intense itching and nodules, often linked to mental health issues and other medical conditions.
  • A study involving 81 adult patients revealed that nearly 79% had mental health disorders, with itching and dry skin being the most frequent symptoms.
  • Treatments like cyclosporine, methotrexate, and narrow band ultraviolet (NB-UVB) showed notable effectiveness in alleviating itching, but clinicians should be aware of possible side effects.
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