64 results match your criteria: "National Reference Center for Rare Skin Disorders[Affiliation]"

Programmed cell death 1 (PD-1) is a premier cancer drug target for immune checkpoint blockade (ICB). Because PD-1 receptor inhibition activates tumor-specific T-cell immunity, research has predominantly focused on T-cell-PD-1 expression and its immunobiology. In contrast, cancer cell-intrinsic PD-1 functional regulation is not well understood.

View Article and Find Full Text PDF

Chronic inflammatory skin diseases are multifactorial diseases that combine genetic predisposition, environmental triggers, and metabolic disturbances associated with abnormal immune responses. From an immunological perspective, the better understanding of their physiopathology has demonstrated a large complex network of immune cell subsets and related cytokines that interact with both epidermal and dermal cells. For example, in type-1-associated diseases such as alopecia areata, vitiligo, and localized scleroderma, recent evidence suggests the presence of a type-2 inflammation that is well known in atopic dermatitis.

View Article and Find Full Text PDF

Vitiligo: Current Therapies and Future Treatments.

Dermatol Pract Concept

December 2023

University of Bordeaux, CNRS, Immuno ConcEpT, UMR 5164, Bordeaux, France.

The current management of vitiligo remains challenging; however, different strategies can be proposed to patients with a good efficacy in many cases. First, it is important to identify patients in the active phase of the disease because treatment should start as soon as possible to halt its progression. For patients with a stable disease, the treatment strategy is now well-stratified and is based on a combination of phototherapy (natural or in a cabin) and topical immunomodulatory agents.

View Article and Find Full Text PDF

Clinical Features of Vitiligo and Social Impact on Quality of Life.

Dermatol Pract Concept

December 2023

Department of Dermatology and Pediatric Dermatology, National Reference Center for Rare Skin disorders, Hôpital Saint-André, Bordeaux, France.

Article Synopsis
  • Vitiligo is the most common cause of skin depigmentation, affecting about 0.5% to 2% of the global population, and is marked by the appearance of white patches due to the loss of melanocytes.
  • The term "nonsegmental vitiligo" encompasses all generalized forms, while other types include segmental vitiligo and unclassified forms.
  • The skin's color changes can lead to significant psychological effects, making vitiligo a condition that greatly affects a person's quality of life, which will be further explored in this review.
View Article and Find Full Text PDF

Background: Vitiligo is the most common cause of skin depigmentation worldwide. Patients with vitiligo may experience stigma and this needs to be addressed.

Objectives: To evaluate stigma in patients with vitiligo, search for associated factors and establish severity strata for the Patient Unique Stigmatization Holistic tool in Dermatology (PUSH-D) for patients with vitiligo.

View Article and Find Full Text PDF

Background: This is the first report on the effects of abrocitinib, a Janus kinase 1-selective inhibitor, on the expression of skin biomarkers in patients with moderate-to-severe atopic dermatitis (AD).

Methods: JADE MOA (NCT03915496) was a double-blind Phase 2a trial. Adults were randomly assigned 1:1:1 to receive monotherapy with once-daily abrocitinib 200 mg, abrocitinib 100 mg, or placebo for 12 weeks.

View Article and Find Full Text PDF

Tissue-resident memory T (T) cells serve as a first line of defense in peripheral tissues to protect the organism against foreign pathogens. However, autoreactive T cells are increasingly implicated in autoimmunity, as evidenced in chronic autoimmune and inflammatory skin conditions. This highlights the need to characterize their phenotype and understand their role for the purpose of targeting them specifically without affecting local immunity.

View Article and Find Full Text PDF

Worldwide expert recommendations for the diagnosis and management of vitiligo: Position statement from the International Vitiligo Task Force Part 1: towards a new management algorithm.

J Eur Acad Dermatol Venereol

November 2023

Department of Dermatology and Pediatric Dermatology, National Reference Center for Rare Skin disorders, Hospital Saint-André, University of Bordeaux, CNRS UMR 5164, ImmunoConcept, Bordeaux, France.

Background: The treatment of vitiligo can be challenging and depends on several factors such as the subtype, disease activity, vitiligo extent, and treatment goals. Vitiligo usually requires a long-term approach. To improve the management of vitiligo worldwide, a clear and up-to-date guide based on international consensus with uniform stepwise recommendations is needed.

View Article and Find Full Text PDF

Background: The treatment of vitiligo can be challenging. Up-to-date agreed consensus recommendations on the use of topical and systemic therapies to facilitate the clinical management of vitiligo are currently lacking.

Objectives: To develop internationally agreed-upon expert-based recommendations for the treatment of vitiligo.

View Article and Find Full Text PDF

Background: Vitiligo is a chronic autoimmune disease resulting in skin depigmentation.

Objectives: This study assessed the prevalence, disease burden and treatment of vitiligo in France.

Methods: VIOLIN was a cross-sectional study nested in the national CONSTANCES cohort, which consists of randomly selected adults aged 18-69 years in France.

View Article and Find Full Text PDF

Clinician-reported outcome measures (ClinROMs) are essential for assessment of vitiligo in clinical trials and daily practice. Several instruments have been developed and tested to measure, for example, vitiligo extent, repigmentation and activity. The goal of this review was to identify all introductory publications of ClinROMs for vitiligo that include at least some aspects of validation and to describe the instruments' characteristics, intention for use and practical strengths and limitations.

View Article and Find Full Text PDF

Vitiligo is the most common depigmenting skin disorder. Given the ongoing development of new targeted therapies, it has become important to evaluate adequately the surface area involved. Assessment of vitiligo scores can be time consuming, with variations between investigators.

View Article and Find Full Text PDF
Article Synopsis
  • Sleep disorders, particularly excessive daytime sleepiness, are prevalent in patients with atopic dermatitis, affecting 46.1% of those studied.
  • This daytime sleepiness is linked to the severity of atopic dermatitis and negatively impacts patients' quality of life and overall well-being.
  • The findings highlight the need for assessing and managing sleep issues in these patients, suggesting that targeted intervention programs could enhance their quality of life.
View Article and Find Full Text PDF

Impact of Atopic Dermatitis on Patients and their Partners.

Acta Derm Venereol

June 2023

Department of dermatology, Aix-Marseille University, La Timone university hospital, Marseille, France, CEReSS-EA 3279, health services and quality of life research centre, Aix Marseille University, dermatology department, La Timone university hospital APHM, 13385, Marseille, France.

Article Synopsis
  • - Atopic dermatitis is a chronic skin condition that affects not only the patients but also their partners, yet its impact on partners has been under-explored.
  • - A study involving 1,266 patient-partner pairs revealed that the severity of atopic dermatitis correlates with higher burden scores for both patients and their partners, with significant differences in burden levels among mild, moderate, and severe cases.
  • - The research indicated that both patients and their partners experience impaired sleep quality, and the condition negatively affects sexual desire, reported by 39% of partners and 26% of patients.
View Article and Find Full Text PDF

Background: Vitiligo is an autoimmune skin disorder characterized by loss of melanocytes. Protease-mediated disruption of junctions between keratinocytes and/or keratinocyte intrinsic dysfunction may directly contribute to melanocyte loss. House dust mite (HDM), an environmental allergen with potent protease activity, contributes to respiratory and gut disease but also to atopic dermatitis and rosacea.

View Article and Find Full Text PDF

Background: The involvement of visible areas in vitiligo has been found to be correlated with increased psychiatric morbidity. Although multiple tools have been developed to assess vitiligo, no cutoff for improvement or worsening of vitiligo from a patient's perspective has been established.

Objectives: To determine the minimal clinically important difference (MCID) of the Self-Assessment Vitiligo Extent Score (SA-VES) in patients with vitiligo and to evaluate, from the patient's perspective, the importance of the change in the involvement of visible areas (face and hands) in patients' overall perception of disease worsening or improving.

View Article and Find Full Text PDF

Two Phase 3 Trials of Lebrikizumab for Moderate-to-Severe Atopic Dermatitis.

N Engl J Med

March 2023

From the Department of Dermatology, George Washington University School of Medicine and Health Sciences, Washington, DC (J.I.S.); the Department of Dermatology, Icahn School of Medicine at Mount Sinai, New York (E.G.-Y.); the Institute and Comprehensive Center for Inflammation Medicine, University of Lübeck, Lübeck, Germany (D.T.); the Department of Clinical Medicine, Trinity College Dublin, Dublin (A.D.I.); Dermatology Clinical Research, Henry Ford Health System, Detroit (L.S.G.); Oregon Medical Research Center (A.B.), and the Department of Dermatology, Oregon Health and Science University (E.L.S.) - both in Portland; the Department of Dermatology, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei (C.-Y.C.); Eli Lilly, Indianapolis (Z.L., R.G.L., S.G.P.); and the Department of Dermatology and Pediatric Dermatology, National Reference Center for Rare Skin Disorders, Hospital Saint-André, Bordeaux University, Centre National de la Recherche Scientifique, ImmunoConcept, Unité Mixte de Recherche 5164, Bordeaux, France (J.S.).

Article Synopsis
  • Lebrikizumab is a monoclonal antibody that targets interleukin-13, aimed at treating moderate-to-severe atopic dermatitis by blocking a specific receptor complex.
  • Two phase 3 clinical trials evaluated the effectiveness of lebrikizumab versus placebo, with a total duration of one year, focusing on skin clearance and symptom improvement over 16 weeks.
  • Results showed significant improvements in skin condition and reduced symptoms for lebrikizumab users compared to placebo, although higher cases of conjunctivitis were noted in the treatment group.
View Article and Find Full Text PDF

Atopic dermatitis is a chronic inflammatory skin disorder associated with a heterogeneous presentation and considerable disease burden. Exploring atopic dermatitis treatment patterns and patient benefits could improve disease management and patients' quality of life. This study aimed to describe current and previous atopic dermatitis treatment patterns and patient benefits from those treatments to inform disease management.

View Article and Find Full Text PDF