125 results match your criteria: "HELIOS St. Elisabeth Hospital[Affiliation]"

Objectives: Little is known on the mechanisms necessary to maintain the physiological adult human skin integrity. This study aims to quantitatively describe anatomical changes in systemic sclerosis (SSc)-skin compared to controls and investigate the underlying mechanisms.

Methods: Skin morphology was histologically assessed in twenty-three SSc-patients, eighteen controls and fifteen patients with hypertrophic scars.

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Short-term and long-term changes in natriuretic peptide levels after bariatric surgery: a systematic review and meta-analysis.

Surg Obes Relat Dis

November 2024

Department of Intensive Care Medicine, Elisabeth-Tweesteden Hospital, Tilburg, the Netherlands; Department of Surgery, Marien Hospital Herne, University Hospital of Ruhr University Bochum, Herne, North Rhine-Westphalia, Germany. Electronic address:

Bariatric surgery (BS) has demonstrated cardiovascular benefits in patients and was previously proven to be associated with an increased natriuretic peptide level without cardiac dysfunction. However, new studies have emerged, which require us to re-examine the relationship and extent of the correlation between BS, weight loss, and cardiac natriuretic peptide levels. A systematic search was conducted.

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Background: Cancer immunotherapy has revolutionized melanoma treatment, but the high number of non-responders still emphasizes the need for improvement of therapy. One potential avenue for enhancing anti-tumor treatment is through the modulation of coagulation and platelet activity. Both have been found to play an important role in the tumor microenvironment, tumor growth and metastasis.

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Clinical and genetic characteristics of -mutated non-uveal and uveal melanoma.

Front Immunol

June 2024

Department of Dermatology, University Hospital Essen, University of Duisburg-Essen, Germany & German Cancer Consortium (Deutsches Konsortium für Translationale Krebsforschung, DKTK), Essen, Germany.

Article Synopsis
  • Screening for gene mutations in melanoma has become standard practice, with identified mutations impacting prognosis in metastatic uveal melanoma, while their significance in non-uveal melanoma is still unclear.
  • A study analyzing 2,650 melanoma cases found mutations in 129 samples, highlighting differences in the prevalence and types of mutations between uveal and non-uveal melanomas.
  • Unlike uveal melanomas, where mutations are linked to worse outcomes, mutations in non-uveal melanomas are mostly seen as "passenger mutations" with little impact on prognosis or treatment effectiveness.
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Purpose: Metabolic and bariatric surgery (MBS) is the gold standard in treating severe obesity. Previous research implies that different psychological and behavior-related factors might be critical for MBS' sustained success. Yet adherence to dietary behavior recommendations and its impact on weight development is rarely examined.

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Background: The structured expression of several keratins in the skin is associated with differentiation status of the epidermal layers, whereas other keratins are upregulated only during wound healing, in skin disorders and in cancers. One of these stress keratins, K17, is correlated with poor prognosis in various cancer types and its loss has been shown to decelerate tumour growth. K17 expression can also be detected in cutaneous squamous cell carcinomas, where ultraviolet irradiation and infection with cutaneous human papillomaviruses are important cofactors.

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EuroGuiderm guideline on lichen sclerosus-Treatment of lichen sclerosus.

J Eur Acad Dermatol Venereol

October 2024

Division of Evidence-Based Medicine (dEBM), Department of Dermatology, Venereology and Allergology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.

Article Synopsis
  • Lichen sclerosus (LS) is a skin condition primarily affecting the anogenital area, causing symptoms like itching, soreness, and potential sexual and urinary dysfunction, with a risk of genital cancer and significant impacts on quality of life.
  • The guideline aims to improve the diagnosis and treatment of LS, offering evidence-based recommendations for different therapies and care approaches, especially during pregnancy and follow-up.
  • Topical corticosteroids are the primary treatment for LS in both sexes, with surgery as an option for males if standard treatments fail, while UV light therapy is suggested for non-genital LS, despite limited research.
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EuroGuiderm guideline on lichen sclerosus-introduction into lichen sclerosus.

J Eur Acad Dermatol Venereol

October 2024

Department of Dermatology, Venereology and Allergology, Division of Evidence- Based Medicine (dEBM), Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.

Article Synopsis
  • Lichen sclerosus (LS) is an inflammatory skin condition primarily affecting the anogenital area, leading to symptoms like itching, soreness, and potentially serious complications such as urinary and sexual dysfunction, along with an increased risk of genital cancer.
  • *The guideline aims to provide a comprehensive approach for diagnosing and treating LS, including recommendations for topical and surgical treatments, as well as care considerations for patients during pregnancy and ongoing management.
  • *Topical corticosteroids are considered the standard treatment for LS, with additional options like emollients and, if ineffective, surgical interventions such as circumcision for males; UV light therapy is also suggested for non-genital forms of LS despite limited evidence.
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Background: The 2022 mpox outbreak continues, and while progress has been made in prevention strategies and potential treatment options, data on late sequelae following mpox are scarce.

Objective: This analysis aimed to assess the incidence of scar formation in individuals affected by the 2022 mpox outbreak.

Methods: All individuals diagnosed with mpox at the Department of Dermatology at the Medical University of Vienna in 2022 were included in this analysis.

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Hydrochlorothiazide and increased risk of atypical fibroxanthoma and pleomorphic dermal sarcoma.

J Dtsch Dermatol Ges

April 2024

Department of Dermatology, Venereology, and Allergology, Helios St. Elisabeth Hospital Oberhausen, University of Witten-Herdecke, Oberhausen, Germany.

Article Synopsis
  • Hydrochlorothiazide (HCTZ) is linked to a higher risk of skin cancers such as Atypical fibroxanthoma (AFX) and pleomorphic sarcoma (PDS) compared to squamous cell carcinoma (SCC) and basal cell carcinoma (BCC).
  • A study analyzed data from 146 AFX/PDS patients and 438 SCC/BCC controls over a seven-year period, finding that HCTZ use was significantly more common among AFX/PDS patients (44.5% vs. 25.3%).
  • The findings suggest that HCTZ may be a risk factor for developing AFX/PDS, with diabetes mellitus also linked to an increased risk.
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The updated S2k guideline deals with the diagnosis and therapy of localized scleroderma (LoS). LoS represents a spectrum of sclerotic skin diseases in which, depending on the subtype and localisation, structures such as adipose tissue, muscles, joints, and bones may also be affected. Involvement of internal organs or progression to systemic sclerosis does not occur.

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Background: Metabolic and bariatric surgery (MBS) is the preferred method to achieve significant weight loss in patients with Obesity Class V (BMI > 60 kg/m). However, there is no consensus regarding the best procedure(s) for this population. Additionally, these patients will likely have a higher risk of complications and mortality.

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Causal factors for the rapid decline of the global Mpox outbreak 2022.

J Eur Acad Dermatol Venereol

July 2024

Institute of Virology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.

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Epicardial adipose tissue (EAT) is a visceral fat depot located between the myocardium and visceral epicardium. Emerging evidence suggests that excessive EAT is linked to increased risk of cardiovascular conditions and other metabolic diseases. A literature search was conducted from the earliest studies to the 26th of November 2022 on PubMed, Embase, and the Cochrane.

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Paradoxical tralokinumab-induced psoriasis in a patient with atopic dermatitis.

J Dermatolog Treat

December 2023

Department of Dermatology, Venereology and Allergology, Helios St. Elisabeth Hospital Oberhausen, University of Witten/Herdecke, Oberhausen, Germany.

Article Synopsis
  • Psoriasis and atopic dermatitis (AD) can coexist in patients, contrary to the belief that they are opposing diseases, especially with modern targeted therapies.
  • Treatment with anti-IL-13 antibody tralokinumab led to the development of psoriasis vulgaris in a 36-year-old male patient who had severe intrinsic AD, highlighting unexpected complications from such treatments.
  • This case indicates that both dual and selective IL-13 inhibition can disrupt immune balance, resulting in paradoxical psoriasis, but there are currently no clinical guidelines to predict this outcome in patients receiving biologic therapies.
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Impact of Systemic Sclerosis-Associated Interstitial Lung Disease With and Without Pulmonary Hypertension on Survival: A Large Cohort Study of the German Network for Systemic Sclerosis.

Chest

January 2024

Mainz Center for Pulmonary Medicine, Departments of Pneumology, Mainz University Medical Center and of Pulmonary, Critical Care & Sleep Medicine, Marienhaus Clinic Mainz, Mainz, Germany.

Background: Pulmonary involvement is the leading cause of death in systemic sclerosis (SSc) and may manifest as interstitial lung disease (ILD), pulmonary arterial hypertension (PAH), or in combination of both (ILD with pulmonary hypertension [ILD-PH]). The aim of this analysis was to determine prevalence, clinical characteristics, and survival of these different forms within the registry of the German Network for Systemic Sclerosis.

Research Question: Does SSc-associated ILD-PH or ILD without PH affect survival differently, and are there any risk factors that have an additional impact?

Study Design And Methods: Clinical data of 5,831 patients with SSc were collected in the German Network for Systemic Sclerosis registry.

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Purpose: Bariatric surgery is established as the gold standard in the treatment of severe obesity. However, a significant proportion of patients experience a substantial weight regain afterwards. Previous research focused predominantly on patients' personal factors.

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Objectives: Gastroesophageal reflux disease (GERD) occurs frequently in patients with SSc. We investigated whether the presence of GERD and/or the use of anti-acid therapy, specifically proton-pump inhibitors (PPIs), are associated with long-term outcomes, especially in SSc-associated interstitial lung disease (SSc-ILD).

Methods: We retrospectively analysed patients with SSc and SSc-ILD from the German Network for Systemic Sclerosis (DNSS) database (2003 onwards).

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Epidemiology of Merkel Cell Polyomavirus Infection and Merkel Cell Carcinoma.

Cancers (Basel)

December 2022

Institute of Virology, National Reference Center for Papilloma- and Polyomaviruses, Faculty of Medicine, University Hospital Cologne, 50935 Cologne, Germany.

Merkel cell polyomavirus (MCPyV) is a ubiquitous virus replicating in human dermal fibroblasts. MCPyV DNA can be detected on healthy skin in 67−90% of various body sites, and intact virions are regularly shed from the skin. Infection occurs early in life, and seropositivity increases from 37 to 42% in 1- to 6-year-olds to 92% in adults.

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Increase of atypical fibroxanthoma and pleomorphic dermal sarcoma: a retrospective analysis of four German skin cancer centers.

J Dtsch Dermatol Ges

December 2022

Department of Dermatology, Venereology, and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University of Witten-Herdecke, Oberhausen, Germany.

Background And Objectives: In recent years, considerable insight has been gained into the pathogenesis, diagnosis and treatment of cutaneous sarcomas, including atypical fibroxanthoma (AFX) and pleomorphic dermal sarcoma (PDS). Both entities have shown increasing incidence rates in the last decade. This study was initiated to evaluate how these new insights impact the number of diagnoses of AFX/PDS compared to other cutaneous sarcoma entities.

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