222 results match your criteria: ""A.Sygros" Hospital[Affiliation]"

Topical therapy remains a critical component in the management of immune‑mediated inflammatory dermatoses such as psoriasis and atopic dermatitis. In this field, macrolactam immunomodulators, including calcineurin and mammalian target of rapamycin inhibitors, can offer steroid‑free therapeutic alternatives. Despite their potential for skin‑selective treatment compared with topical corticosteroids, the physicochemical properties of these compounds, such as high lipophilicity and large molecular size, do not meet the criteria for efficient penetration into the skin, especially with conventional topical vehicles.

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We present a case of a 75-year-old male patient who experienced a severe exacerbation of his Kaposi sarcoma lesions, which have remained clinically stable for a year, following treatment with BRAF/mitogen-activated protein kinase inhibitors for his coexisting melanoma. In this case, we present the possibility that BRAF/MEK inhibition may be mechanistically associated with the progression of Kaposi sarcoma and briefly discuss the potential mechanisms behind this phenomenon.

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Article Synopsis
  • The study aimed to analyze how well biologic drugs (IL-23 and IL-17 inhibitors) work for treating psoriasis in patients aged 65 and older compared to younger patients.
  • It found that elderly patients had a higher risk of discontinuing treatment, especially with IL-23 inhibitors, while IL-17 inhibitors didn't show a significant difference.
  • Additionally, factors like previous treatments influenced the likelihood of continuing or stopping the medication in elderly patients.
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A tribute to Dr Robert Baran: The grandfather of European onychology.

J Am Acad Dermatol

September 2024

Department of Dermatology and Venereology, Saint Pierre-Brugmann and Queen Fabiola Children's University Hospitals, Universite Libre de Bruxelles, Brussels, Belgium.

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Article Synopsis
  • Bimekizumab is a monoclonal antibody that targets interleukin-17A and interleukin-17F, proving to be very effective for treating chronic plaque psoriasis with a quick impact based on Randomized Controlled Trials (RCTs).
  • A study in Athens involved 61 patients with moderate-to-severe psoriasis, revealing that a significant percentage achieved marked improvement (PASI75: 65.7%, PASI90: 45.7%, PASI100: 32.4%) after just 4 weeks and even higher rates after 16 weeks.
  • The safety profile showed a few mild-to-moderate adverse events, including oral candidiasis, aligning with
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Article Synopsis
  • * A survey was conducted with 490 Italian and 234 Greek dermatologists using a 50-item questionnaire to assess current practices in diagnosing and treating AA.
  • * Findings show that most dermatologists rely on patient history and clinical exams for diagnosis, use few quality-of-life assessments, and mainly prescribe topical steroids, revealing a wide variety in treatment approaches.
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  • A recent study found that about 15.3% of individuals with melanoma had germline pathogenic variants, indicating hereditary factors play a significant role in this type of cancer.
  • Most of these variants were linked to genes not typically associated with melanoma, while one-third were related to known familial melanoma genes such as CDKN2A and BRCA2.
  • The findings suggest that hereditary predisposition to melanoma is more common than previously thought, with actionable genetic insights available for nearly 15% of patients tested.
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A sharp increase in early syphilis cases in a referral hospital in Athens, Greece, 2 years into the COVID-19 pandemic.

J Eur Acad Dermatol Venereol

June 2024

1st Department of Dermatology and Venereology, Medical School, National and Kapodistrian University of Athens, "A. Sygros" Hospital, Athens, Greece.

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A Retrospective Study of Diameter and Breslow Thickness in Invasive Melanomas.

Dermatology

June 2024

Skin Cancer and Melanoma Unit, 1st Department of Dermatology, A.Sygros Hospital, University of Athens, Athens, Greece.

Article Synopsis
  • - The study explored the relationship between Breslow thickness (a measure of melanoma depth) and the diameter of cutaneous melanoma, focusing on patients with nodular melanoma (NM) and superficial spreading melanoma (SSM).
  • - Out of 537 melanoma cases analyzed, NM had a greater Breslow thickness compared to SSM, but there was no significant correlation between thickness and melanoma diameter, even after adjusting for factors like age and sex.
  • - The findings suggest that relying on a diameter greater than 6 mm may not be effective for detecting invasive melanomas, highlighting that smaller melanomas can also be significantly thicker.
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Background: Tuberculosis has a major global impact. Immunocompetent hosts usually control this disease, resulting in an asymptomatic latent tuberculosis infection (LTBI). Because TNF inhibitors increase the risk of tuberculosis reactivation, current guidelines recommend tuberculosis screening before starting any biologic drug, and chemoprophylaxis if LTBI is diagnosed.

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Background: Many patients with chronic spontaneous urticaria (CSU) do not achieve complete control of their symptoms with current available treatments. In a dose-finding phase 2b study, ligelizumab improved urticaria symptoms in patients with H1-antihistamine (H1-AH) refractory CSU. Here, we report the efficacy and safety outcomes from two ligelizumab phase 3 studies.

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Psoriasis is a common inflammatory disease that affects mainly the skin. However, the moderate to severe forms have been associated with several comorbidities, such as psoriatic arthritis, Crohn's disease, metabolic syndrome and cardiovascular disease. Keratinocytes and T helper cells are the dominant cell types involved in psoriasis development via a complex crosstalk between epithelial cells, peripheral immune cells and immune cells residing in the skin.

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Introduction: Melanoma of the lentigo maligna (LM) type is challenging. There is lack of consensus on the optimal diagnosis, treatment, and follow-up.

Objectives: To obtain general consensus on the diagnosis, treatment, and follow-up for LM.

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Background: Limited data on immune checkpoint inhibitor (ICI)-induced pruritus per se and efficacy of different therapeutic modalities in its management exist.

Objective: To study the quantitative and qualitative characteristics of ICI-induced pruritus per se and to assess the efficacy of the therapeutic modalities usually applied.

Methods: We retrospectively reviewed the records of 91 patients who were under treatment with ICIs for any kind of neoplasia and developed pruritus during treatment.

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Accumulating evidence considers psoriasis a systemic inflammatory disorder that is associated with comorbidities such as psoriatic arthritis, cardiovascular disease, and metabolic syndrome. Although the precise pathogenetic links between psoriasis and atherosclerosis warrants further investigation, it is believed that chronic systemic inflammation along with the T helper (Th)-1 and Th17 polarization are associated with endothelial dysfunction and subsequent acceleration of atherosclerosis. Considering the above, several studies have evaluated if optimal control of the inflammation in psoriasis by inhibiting interleukins targeting the Interleukin (IL)-23/Th17 axis could subsequently reduce the atherosclerotic process during anti-psoriatic treatment by using a variety of surrogate markers of subclinical atherosclerosis.

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