902 results match your criteria: "Dermatologic Manifestations of Gastrointestinal Disease"

Gastrointestinal (GI) diseases can present with several extraintestinal manifestations, and cutaneous signs and symptoms are most frequent. Although conventionally GI and skin are considered two entirely separate organ systems, they are closely correlated in origin. An increasing amount of data highlights the complex relationship between GI and dermatological conditions.

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Hashimoto's disease, the most common cause of hypothyroidism in iodine-sufficient regions, is traditionally viewed as a thyroid-specific autoimmune disorder. However, emerging evidence indicates that Hashimoto's disease has far-reaching systemic effects, manifesting in multiple organ systems beyond the thyroid gland. This comprehensive review aims to elucidate the extra-thyroidal manifestations of Hashimoto's disease, highlighting their pathophysiology, clinical presentation, and management strategies.

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Article Synopsis
  • The American Gastroenterological Association (AGA) commissioned this expert review to provide guidance on diagnosing infectious and immune-mediated esophageal disorders, which are often under-recognized and lead to dysfunction and health costs.
  • The review offers Best Practice Advice (BPA) statements based on published literature and expert opinions, but lacks formal evidence ratings due to the absence of systematic reviews.
  • Increased awareness among gastroenterologists regarding these disorders can enhance patient care by improving diagnosis and limiting unnecessary medical procedures, particularly in patients presenting with dysphagia, heartburn, and odynophagia.
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Real-World Safety and Effectiveness of Infliximab in 255 Patients with Intestinal, Neurological, and Vascular Behçet's Disease: A Post-Marketing Surveillance.

Adv Ther

December 2024

Department of Internal Medicine and Clinical Immunology, Yokohama City University, Graduate School of Medicine, 22-2, Seto, Kanazawa-ku, Yokohama-shi, Kanagawa, 236-0027, Japan.

Article Synopsis
  • Behçet's disease (BD) significantly affects the intestines, nervous system, and blood vessels, and while infliximab is approved for treatment in Japan, limited effectiveness and safety data exist.
  • A 2-year study was conducted to assess the safety and effectiveness of infliximab in patients with intestinal, neurological, or vascular manifestations of BD who didn't respond to other treatments.
  • Among 255 patients treated, infliximab demonstrated a good safety profile with no new safety issues, and 68.8% of patients with intestinal BD showed improvement, while those with chronic NBD and VBD remained stable.
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Article Synopsis
  • - Gastrointestinal complications are common in systemic sclerosis (SSc) and may be linked to autoimmune factors and blood vessel damage, but the exact causes are unclear.
  • - The study examined the small blood vessels in the abdomen of SSc patients using Doppler Ultrasound to explore their relationship with GI symptoms and disease progression.
  • - Results showed differences in blood flow measurements between types of SSc and found significant correlations between blood vessel function and GI symptoms like fecal incontinence.
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An Assessment of the Impact of Insect Meal in Dry Food on a Dog with a Food Allergy: A Case Report.

Animals (Basel)

October 2024

Pet Nutrology Research Center (CEPEN Pet), Department of Animal Nutrition and Production, School of Veterinary Medicine and Animal Science, University of Sao Paulo, Pirassununga 13635-000, Brazil.

Food allergy triggers an immune response to dietary proteins, resulting in food rejection and dermatological and gastrointestinal manifestations. The preferred therapies include diets with hydrolyzed proteins or unusual single-source proteins, with insect protein emerging as a promising option, with no reported allergic reactions in dogs with a food allergy. In this case study, the effects of including black soldier fly larva (BSFL) meal were observed in a 5-year-old spayed beagle previously diagnosed with a food allergy.

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Purpose: Patients with Crohn's disease (CD) and subsequent ocular manifestations may have worse outcomes when compared to matched patients with CD without ocular disease.

Methods: In this retrospective cohort study, an aggregated electronic health records research network, TriNetX (Cambridge, MA, USA), was used to identify patients diagnosed with CD stratified by the presence or absence of ocular involvement with at least 1 year of follow-up. Propensity score matching (PSM) was performed to control for baseline demographics and medical comorbidities.

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Hematoporphyrine injection-based photodynamic therapy for Perianal Paget's disease: A case report.

Photodiagnosis Photodyn Ther

December 2024

Institute of Photomedicine, Shanghai Skin Disease Hospital, Tongji University School of Medicine, Shanghai, China. Electronic address:

Article Synopsis
  • Paget's disease of the perianal skin (PPD) is a rare skin condition that can be caused by issues in the colon or develop on its own.
  • Surgery is usually the main treatment for PPD, but it can sometimes cause problems and isn't always a good option for older patients or those with severe cases.
  • An alternative treatment called HpD-PDT helped a 70-year-old man with this condition by getting rid of the lesions without harming his ability to use the bathroom or causing other side effects.
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Article Synopsis
  • This literature review examines the role of the gastrointestinal (GI) tract in sarcoidosis, which is a rare inflammatory disease that can be difficult to diagnose and treat due to overlapping symptoms with other GI disorders.* -
  • GI sarcoidosis can impact any area of the gastrointestinal system, particularly the stomach and small intestine, leading to symptoms that range from mild discomfort to serious complications like obstruction or perforation.* -
  • Current treatment options primarily involve corticosteroids, but their long-term effectiveness and safety are questionable, highlighting the urgent need for better diagnostic methods and standardized treatment protocols.*
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A comprehensive review on the co-occurrence of scurvy and anorexia nervosa.

Front Nutr

September 2024

Department of Biological Sciences, Dartmouth College, Hanover, NH, United States.

Article Synopsis
  • * The overlapping symptoms of scurvy and AN, like fatigue and joint pain, make diagnosis and treatment complicated, highlighting the need for a multidisciplinary approach.
  • * Early treatment with vitamin C can significantly improve symptoms, but the malnutrition from AN complicates this, emphasizing the importance of recognizing both conditions to avoid serious complications.
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Expanding clinical characteristics and genotypic profiling of Yao syndrome in Chinese patients.

Front Immunol

September 2024

Department of Rare Diseases, Peking Union Medical College Hospital (PUMCH), Chinese Academy of Medical Sciences & Peking Union Medical College; State Key Laboratory of Complex Severe and Rare Diseases, PUMCH; Department of Rheumatology and Clinical Immunology, PUMCH; National Clinical Research Center for Dermatologic and Immunologic Diseases (NCRC-DID), Ministry of Science & Technology; Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, Beijing, China.

Article Synopsis
  • Yao syndrome (YAOS) is a systemic autoinflammatory disease with limited clinical reports in China; this study presents the largest cohort of Chinese YAOS patients to enhance knowledge about its characteristics and treatment.
  • The research involved 15 adult patients diagnosed with YAOS, utilizing whole-exome sequencing to analyze clinical features, genetic variations, and treatment outcomes, comparing them with a Caucasian cohort.
  • Findings revealed a mean disease onset age of 35 years, common symptoms like recurrent fever and gastrointestinal issues, and a high response rate to treatments such as glucocorticoids and TNF inhibitors, with notable differences in symptoms and demographic features compared to Caucasians.
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Long-term benefit of ustekinumab in ulcerative colitis in clinical practice: ULISES study.

Aliment Pharmacol Ther

November 2024

Gastrointestinal Units of Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Universidad Autónoma de Madrid (UAM), Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Madrid, Spain.

Article Synopsis
  • Ustekinumab is approved for treating ulcerative colitis (UC), and this study evaluated its long-term effectiveness and tolerability in real clinical settings.
  • In a multicenter analysis of 620 UC patients, 25% discontinued treatment, with baseline anemia, steroid use, and severe disease linked to higher discontinuation rates.
  • At 16 weeks, 40% of patients were in steroid-free remission, and treatment was generally safe with no adverse effects on other conditions, indicating good long-term durability for difficult-to-treat cases.
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Article Synopsis
  • * The review covers various diseases, like cardiovascular and autoimmune disorders, and their specific eye-related symptoms, along with diagnostic methods like eye exams and lab tests.
  • * It also discusses management strategies and emerging treatments, stressing the importance of a collaborative healthcare approach to improve patient outcomes.
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Distinct clinical trajectories of gastrointestinal progression among patients with systemic sclerosis.

Rheumatology (Oxford)

August 2024

Division of Rheumatology, UTHealth Houston, Houston, TX, USA.

Article Synopsis
  • The study focuses on systemic sclerosis (SSc) and aims to identify different gastrointestinal (GI) phenotypes among patients, considering how these can change over time in severity.* -
  • Researchers analyzed data from 2,696 SSc patients and discovered four distinct GI phenotypes: one stable group and three progressive groups, with variations in symptom severity and mortality.* -
  • The findings suggest that these GI phenotypes are linked to specific autoantibody profiles, highlighting the clinical significance of understanding these patterns for better patient management.*
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Objective: This retrospective single center study aims to describe changes in the severity and organ-specific distribution of GvHD, by comparing the outcomes of 3 distinct GvHD prophylaxis approaches.

Methods: Between January 2012 and June 2022, 226 patients underwent allogeneic hematopoietic stem cell transplantation from HLA-matched or 1-allele mismatched related or unrelated donors. Fifty-eight (26%) received prophylaxis with calcineurin inhibitor in combination with mycophenolate mofetil or a short course of methotrexate (Cohort-1), 87 (38%) tacrolimus plus sirolimus (Cohort-2), and 81 (36%) post-transplant cyclophosphamide (PTCy) plus tacrolimus (Cohort-3).

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Molecular Mechanisms of Biotin in Modulating Inflammatory Diseases.

Nutrients

July 2024

Department of Education and Training, Tohoku Medical Megabank Organization, Tohoku University, Sendai 980-8573, Miyagi, Japan.

Article Synopsis
  • Biotin (vitamin B7) is a key water-soluble vitamin that acts as a co-enzyme for five carboxylases, essential for processes like glucose and lipid utilization in energy production.
  • It is activated by holocarboxylase synthase and transported from the intestine via a sodium-dependent transporter, with severe deficiency leading to multiple carboxylase deficiency and links to conditions like diabetes and multiple sclerosis.
  • The review highlights biotin's regulatory roles in metabolism and immune response, its connection to inflammatory diseases, and suggests potential therapeutic applications for biotin in various health conditions.
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Article Synopsis
  • X-linked agammaglobulinemia (XLA) is a condition where individuals have recurrent infections and low levels of antibodies due to a lack of B cells, and while it's rare, renal issues can occur.
  • This article presents two cases of twin brothers with XLA who experienced respiratory infections and renal complications, with varying treatment responses due to financial constraints.
  • The study emphasizes the importance of genetic testing and immune profiling in diagnosing XLA in boys with recurring infections, as well as the need for regular monitoring for kidney issues in these patients.
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Article Synopsis
  • Ulcerative colitis (UC) can sometimes lead to issues outside the intestines, such as immune thrombocytopenia (ITP), a condition where platelet levels drop.
  • A 51-year-old man with severe UC and ITP did not respond to standard treatments, but treatment with biologic drugs like ustekinumab and adalimumab helped him achieve remission in both conditions.
  • This case highlights how effective biologics can be in treating difficult UC cases accompanied by ITP, suggesting they might help avoid the need for surgery.
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Article Synopsis
  • * It highlights the phenomenon of "long COVID," which involves persistent symptoms that can affect physical health, cognitive abilities, and mental well-being, presenting challenges for healthcare providers.
  • * The discussion includes ongoing research aimed at understanding long COVID's causes and exploring treatment options like medication, physical therapy, and psychological support, stressing the importance of a comprehensive strategy in addressing these complex health issues.
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Noninfectious Complications in B-Lymphopenic Common Variable Immunodeficiency.

J Investig Allergol Clin Immunol

July 2024

Research Center for Immunodeficiencies, Pediatrics Center of Excellence, Children´s Medical Center, Tehran University of Medical Science, Tehran, Iran.

Article Synopsis
  • Common variable immunodeficiency (CVID) is a significant disorder characterized by both infectious and noninfectious complications, with 66.4% of patients experiencing noninfectious issues such as enteropathy and autoimmunity.
  • In a study of 387 CVID patients, those with B-cell lymphopenia showed higher rates of certain complications, particularly in the dermatologic, endocrine, and musculoskeletal systems.
  • The study highlights the need for routine monitoring and appropriate treatment strategies, including medication alongside immunoglobulin therapy, to manage complications associated with CVID effectively.
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Article Synopsis
  • The study investigates the protective effects of dimethyl fumarate (DMF) against ethanol-induced gastric ulcers in rats, comparing its efficacy to omeprazole.
  • Rats treated with DMF showed a significant reduction in gastric damage, inflammation, and improved healing, attributed to increased mucus production and reduced acidity.
  • DMF enhances gastric health by activating specific pathways (PPARγ/SIRT1/Nrf2) that restore antioxidant defenses and reduce cell death, suggesting its potential as a new gastroprotective drug.
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Cutaneous Involvement by Refractory Celiac Disease Type 2 Histologically Mimicking Mycosis Fungoides.

Am J Dermatopathol

September 2024

Department of Anatomical Pathology, PathWest Laboratory Medicine, Perth, Australia.

Article Synopsis
  • - Refractory celiac disease (RCD) is a rare type of celiac disease where symptoms and intestinal damage persist even on a gluten-free diet, with distinct types: RCD type 1 and type 2, the latter having more severe characteristics and a risk of transforming into a type of cancer called enteropathy-associated T-cell lymphoma (EATL).
  • - A case study describes a 66-year-old man with celiac disease who developed a widespread rash and upon biopsy, revealed unusual T cells in his skin indicating a possible lymphoproliferative disorder and significant intestinal damage.
  • - The findings suggested that his condition might represent RCD type 2 or 'EATL in situ' with skin involvement, emphasizing
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Article Synopsis
  • Yao syndrome (YAOS) is a newly identified autoinflammatory disease associated with the NOD2 gene, causing symptoms like fevers, GI issues, arthritis, and skin problems.
  • A review revealed that 85.7% of YAOS patients experienced skin symptoms, commonly presenting as red patches and plaques on various body parts.
  • Prednisone is recommended as the first-line treatment, with sulfasalazine and other drugs as secondary options; YAOS should be considered when diagnosing patients with skin rashes alongside joint pain, fever, and GI symptoms.
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Febrile ulceronecrotic Mucha-Habermann disease - a case and treatment review.

Dermatol Online J

April 2024

Departamento de Medicina, Servico de Medicina Interna, Unidade Local de Saude de Matosinhos EPE, Portugal.

Article Synopsis
  • * It often leads to serious complications including issues in the blood, lungs, heart, gut, and brain.
  • * Treatment typically involves corticosteroids and immunosuppressants like methotrexate, with a case presented showing a gradual treatment strategy for a patient not responding well to methotrexate.
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