62 results match your criteria: "Alan Lyell Centre for Dermatology[Affiliation]"

Article Synopsis
  • The ALLEGRO study showed that ritlecitinib, a JAK3/TEC inhibitor, is effective and safe for treating alopecia areata in patients aged 12 and older with significant scalp hair loss.
  • A post hoc analysis examined how previous alopecia treatments affected treatment outcomes using the Severity of Alopecia Tool (SALT) in patients taking ritlecitinib.
  • Results indicated that prior use of intralesional corticosteroids improved short-term outcomes, while systemic immunosuppressants worsened them, but overall, previous treatment history did not significantly influence long-term responses to ritlecitinib.
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Background: It is not known whether alopecia areata (AA) is associated with a greater or reduced risk for infection.

Aim: We undertook a population-based study exploring associations between AA and common infections.

Methods: We extracted primary care records from the UK Oxford-Royal College of General Practitioners Research and Surveillance Centre database (trial registration: NCT04239521).

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Article Synopsis
  • Alopecia areata (AA) is associated with a higher prevalence of atopic and autoimmune conditions compared to healthy individuals, with 37.2% of people with AA experiencing atopic conditions and 11.5% experiencing autoimmune conditions.
  • In a study involving over 8,000 adults with newly diagnosed AA, those in the AA group were 43% more likely to develop atopic conditions and 45% more likely to develop autoimmune conditions than a matched control group.
  • Specific conditions like atopic dermatitis, allergic rhinitis, autoimmune hypothyroidism, systemic lupus erythematosus, and vitiligo showed significantly increased risks in the AA group, highlighting the complexity of immune responses involved in AA.
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Alopecia areata (AA) is an immune-mediated disease that causes non-scarring hair loss. Autoreactive CD8 T cells are key pathogenic effectors in the skin, and AA has been associated both with atopy and with perturbations in intestinal homeostasis. This study aimed to investigate mechanisms driving AA by characterizing the circulating immunophenotype and faecal microbiome, and by stratifying AA to understand how identified signatures associated with heterogeneous clinical features of the condition.

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The associated burden of mental health conditions in alopecia areata: a population-based study in UK primary care.

Br J Dermatol

July 2022

South Wales Clinical Psychology Training Programme, Department of Psychology, Cardiff University, 11th Floor, Tower Building, 70 Park Place, Cardiff, CF10 3AT, UK.

Background: Alopecia areata (AA) is a common cause of nonscarring hair loss that can have a profound psychological impact.

Objectives: To assess the co-occurrence of depression and anxiety in adults with AA compared with the general population, and to evaluate the mental health treatment burden and impact on time off work and unemployment.

Methods: In total, 5435 people with newly diagnosed AA in UK primary care were identified from the Oxford Royal College of General Practitioners Research and Surveillance Centre network database, and matched to 21 740 controls.

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Background: The lack of validated and responsive outcome measures in the management of frontal fibrosing alopecia (FFA) significantly limits assessment of disease progression and treatment response over time.

Aim: To understand how FFA extent and progression is currently assessed in UK specialist centres, to validate components of the International FFA Cooperative Group (IFFACG) statement on FFA assessment, and to identify pragmatic advice to improve FFA management in clinic.

Methods: Consultant dermatologists with a specialist interest in hair loss (n = 17) were invited to take part.

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Introduction: Alopecia areata (AA) is a common cause of immune-mediated non-scarring hair loss. Links between AA and common mental health, autoimmune and atopic conditions, and common infections have previously been described but remain incompletely elucidated and contemporary descriptions of the epidemiology of AA in the UK are lacking.

Methods And Analysis: Retrospective study series using a large population-based cohort (5.

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Importance: Alopecia induced by classic chemotherapy affects up to 65% of patients and is usually reversible. However, there are increasing reports of persistent chemotherapy-induced alopecia (pCIA), especially for patients treated with taxane-containing chemotherapy regimens.

Objective: To analyze the clinicopathologic characteristics and response to treatment of patients with pCIA after chemotherapy for breast cancer.

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Background: There is a lack of population-based information on the disease burden and management of alopecia areata (AA).

Objectives: To describe the epidemiology of AA, focusing on incidence, demographics and patterns of healthcare utilization.

Methods: Population-based cohort study of 4·16 million adults and children, using UK electronic primary care records from the Oxford-Royal College of General Practitioners (RCGP) Research and Surveillance Centre (RSC) network database, 2009-2018.

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Background: The frequency of different types of alopecia is not clearly reported in recent studies.

Objective: To analyze the frequency of the types of alopecia in patients consulting at specialist hair clinics (SHC) and to assess for global variations.

Methods: Multicenter retrospective study including data from patients evaluated at referral SHC in Europe, America, Africa and Australia.

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Frontal fibrosing alopecia (FFA) is a recently described inflammatory and scarring type of hair loss affecting almost exclusively women. Despite a dramatic recent increase in incidence the aetiopathogenesis of FFA remains unknown. We undertake genome-wide association studies in females from a UK cohort, comprising 844 cases and 3,760 controls, a Spanish cohort of 172 cases and 385 controls, and perform statistical meta-analysis.

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Novel mutations in desmoglein 1: focal palmoplantar keratoderma in milder phenotypes.

Br J Dermatol

September 2019

Dermatology and Genetic Medicine, Division of Biological Chemistry and Drug Discovery, School of Life Sciences, University of Dundee, Dundee, U.K.

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Background: Biologic therapies can be highly effective for the treatment of severe psoriasis, but response for individual patients can vary according to drug. Predictive biomarkers to guide treatment selection could improve patient outcomes and treatment cost-effectiveness.

Objective: We sought to test whether HLA-C*06:02, the primary genetic susceptibility allele for psoriasis, predisposes patients to respond differently to the 2 most commonly prescribed biologics for psoriasis: adalimumab (anti-TNF-α) and ustekinumab (anti-IL-12/23).

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Painful punctate palmoplantar keratoderma due to heterozygous mutations in AAGAB.

Br J Dermatol

May 2019

Dermatology and Genetic Medicine, Division of Biological Chemistry and Drug Discovery, School of Life Sciences, University of Dundee, Dundee, U.K.

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Mutations in keratin genes underlie a variety of epidermal and nonepidermal cell-fragility disorders, and are the genetic basis of many inherited palmoplantar keratodermas (PPKs). Epidermolytic PPK (EPPK) is an autosomal dominant disorder that can be due to mutations in the keratin 1 gene, KRT1. Epidermolytic ichthyosis (EI), the major keratinopathic ichthyosis, is characterized by congenital erythroderma, blistering and erosions of the skin.

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Loricrin palmoplantar keratoderma: full-thickness skin grafting for pseudoainhum.

Clin Exp Dermatol

June 2019

Department of Plastic Surgery, Canniesburn Unit, Glasgow Royal Infirmary, Glasgow, UK.

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Response to "Development and validation of the Frontal Fibrosing Alopecia Severity Score".

J Am Acad Dermatol

December 2018

The Dermatology Centre, Salford Royal National Health Service Foundation Trust, Salford, Greater Manchester, England; Centre for Dermatology Research, University of Manchester, Manchester, England; Manchester Academic Health Science Centre, Manchester, England; National Institute for Health Research Manchester Biomedical Research Centre, Manchester, England.

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