Hyperornithinemia-hyperammonemia-homocitrullinuria syndrome, a rare inherited urea cycle disorder, can remain undiagnosed for decades and suddenly turn into an acute life-threatening state. Adult presentation ...
https://ift.tt/2MY3zDz
Αρχειοθήκη ιστολογίου
-
►
2020
(289)
- ► Φεβρουαρίου (28)
-
►
2019
(9071)
- ► Δεκεμβρίου (19)
- ► Σεπτεμβρίου (54)
- ► Φεβρουαρίου (3642)
- ► Ιανουαρίου (3200)
-
▼
2018
(39872)
- ► Δεκεμβρίου (3318)
-
▼
Σεπτεμβρίου
(3683)
-
▼
Σεπ 22
(71)
- Late onset hyperornithinemia-hyperammonemia-homoci...
- Sepsis and Pleural Empyema Caused by Streptococcus...
- Fratura nasal e septal – Dr Marco Antônio Corvo
- Malformação de arco mandibular
- Carótida aberrante
- IL-6: a cytokine at the crossroads of autoimmunity
- Emerging areas for therapeutic discovery in SLE
- Evaluation of circulating invariant T cells before...
- Tolerogenic dendritic cells induced the enrichment...
- Different Upper Airway Microbiome and Their Functi...
- A comparative study between adenoids and nasal muc...
- Risk factors for cervical lymph node metastasis in...
- The molecular mechanisms of increased radiosensiti...
- Penicillin minor determinants: History and relevan...
- Anaphylaxis to beta-lactam antibiotics at pediatri...
- BJORL: moving forward, always
- Ultrasonographic study of intestinal Doppler blood...
- Stem cell factor suppressed IL-33-induced MHC clas...
- Characterization of cDNA clones encoding major his...
- The role of mitochondria in NLRP3 inflammasome act...
- Actinomycosis Presenting as Macroglossia: Case Rep...
- Definitive radiation with concurrent cetuximab vs....
- Loss-of-function mutations in CARD14 are associate...
- Actinomycosis Presenting as Macroglossia: Case Rep...
- Introduction
- Paradoxical case effects of psoriasis following ad...
- The management of pseudomyogenic hemangioendotheli...
- Multiple Bowen's diseases and basal cell carcinoma...
- Actinomycosis Presenting as Macroglossia: Case Rep...
- Local Delivery of Regulatory T Cells Promotes Corn...
- Perspectives on the Optimal Genetically-Engineered...
- The challenges associated with a calcineurin inhib...
- DONOR HYPOTHERMIA AND HEART TRANSPLANTATION
- Early Hypertension and Diabetes after Living Kidne...
- Cardiotrophin 1 improves kidney preservation, graf...
- The selective RNA polymerase I inhibitor CX-5461 m...
- UW vs HTK for Static Preservation in Liver Transpl...
- Comparison of postdonation kidney function between...
- Socioeconomic Status and Kidney Transplant Outcome...
- Plaque‐like dermatofibroma with satellitosis in a ...
- The cake flap: a technique of serial excision in q...
- Relative abundance of nasal microbiota in chronic ...
- A novel de novo mutation p.Ala428Asp in KRT5 gene ...
- Effect of oral isotretinoin on the nucleo‐cytoplas...
- The Eczema Solution. Sue Armstrong‐Brown. London: ...
- Clinical, dermoscopic and reflectance confocal mic...
- Ingenol mebutate versus imiquimod versus diclofena...
- Development of pemphigoid nodularis after remissio...
- Successful treatment with dapsone for lupus profun...
- The histological absence of IgG4 positive plasma c...
- The controversy of complete lymph node dissection;...
- Leading by example: Exploring the influence of des...
- Statistical Primer: heterogeneity, random- or fixe...
- Sulfur-Deficient Bismuth Sulfide/Nitrogen-Doped Ca...
- Senataxin mutations elicit motor neuron degenerati...
- Mapping Industrial Symbiosis Development In Europe...
- Biomarkers of Hepatic Fibrosis in Chronic Hepatiti...
- Manuscript to print and print to print: on the tra...
- Rab4A organizes endosomal domains for sorting carg...
- Raised VEGF: High sensitivity and specificity in t...
- Reconciling persistent and dynamic hypotheses of w...
- Recruitment and retention strategies in mental hea...
- Radii of Rydberg states of isolated silicon donors
- Reclaiming the everyday: the situational dynamics ...
- c302: a multiscale framework for modelling the ner...
- Geppetto: a reusable modular open platform for exp...
- MPBoot: fast phylogenetic maximum parsimony tree i...
- The State of Software for Evolutionary Biology
- Impaired brain glymphatic flow in experimental hep...
- 3D human liver tissue from pluripotent stem cells ...
- Kidney cancer: The next decade
-
▼
Σεπ 22
(71)
- ► Φεβρουαρίου (2693)
- ► Ιανουαρίου (3198)
-
►
2017
(41099)
- ► Δεκεμβρίου (3127)
- ► Σεπτεμβρίου (2173)
-
►
2016
(13807)
- ► Δεκεμβρίου (700)
- ► Σεπτεμβρίου (600)
- ► Φεβρουαρίου (1350)
- ► Ιανουαρίου (1400)
-
►
2015
(1500)
- ► Δεκεμβρίου (1450)
Ετικέτες
Σάββατο 22 Σεπτεμβρίου 2018
Late onset hyperornithinemia-hyperammonemia-homocitrullinuria syndrome - how web searching by the family solved unexplained unconsciousness: a case report
Sepsis and Pleural Empyema Caused by Streptococcus pyogenes after Influenza A Virus Infection
Streptococcus pyogenes (also referred to as group A streptococci, GAS) causes severe invasive diseases such as bacteremia, necrotizing fasciitis, pneumonia, osteomyelitis, septic arthritis, and toxic shock syndrome in children. However, there are only a few reports on pleural empyema caused by GAS in children. Here, we report the case of a 4-year-old boy who presented with pleural empyema due to GAS after influenza A virus infection. With intravenous antibiotic administration and continuous chest-tube drainage, followed by video-assisted thoracoscopic surgery, his condition improved. During the clinical course, cytokines induced in response to the influenza virus, especially IL-1β and IL-10, were elevated 1 week after influenza A infection, but these decreased as the symptoms improved. Reportedly, the IL-10 production increases during influenza virus-bacteria superinfection. These observations suggest that the immunological mechanisms induced by the influenza virus can play an important role in influencing the susceptibility to secondary bacterial infections, such as GAS, in children.
https://ift.tt/2xxWvIS
Fratura nasal e septal – Dr Marco Antônio Corvo
Fratura nasal e septal – Dr Marco Antônio Corvo
https://ift.tt/2PZYwUY
Malformação de arco mandibular
Malformação de arco mandibular
https://ift.tt/2NZOuWB
Carótida aberrante
Carótida aberrante
https://ift.tt/2PZZv7H
IL-6: a cytokine at the crossroads of autoimmunity
Britta E Jones | Megan D Maerz | Jane H Buckner
https://ift.tt/2xzsJDk
Emerging areas for therapeutic discovery in SLE
Naomi I Maria | Anne Davidson
https://ift.tt/2MVsnvy
Evaluation of circulating invariant T cells before and after IL-17 inhibitor treatment in a patient with psoriatic arthritis
Publication date: Available online 21 September 2018
Source: Clinical Immunology
Author(s): Tomohiro Koga, Megumi Matoba, Tomohito Sato, Koike, Yushiro Endo, Remi Sumiyoshi, Shin-ya Kawashiri, Naoki Iwamoto, Kunihiro Ichinose, Mami Tamai, Hideki Nakamura, Tomoki Origuchi, Atsushi Kawakami
https://ift.tt/2DmeHdz
Tolerogenic dendritic cells induced the enrichment of CD4+Foxp3+ regulatory T cells via TGF-β in mesenteric lymph nodes of murine LPS-induced tolerance model
Publication date: Available online 21 September 2018
Source: Clinical Immunology
Author(s): Li Jia, Jia Lu, Ya Zhou, Yijing Tao, Hualin Xu, Wen Zheng, Juanjuan Zhao, Guiyou Liang, Lin Xu
Abstract
Endotoxin tolerance is an important state for the prevention of lethal infection and inflammatory response, which is closely associated with the participation of innate immune cells. Moreover, mesenteric lymph nodes (MLNs)-resident immune cells, such as CD4+Foxp3+ regulatory T (Treg) cells and dendritic cells, play important roles in the maintenance of peripheral immune tolerance. However, the potential roles of these cells in MLNs in the development of endotoxin tolerance remain largely unknown. Recent research work showed that CD4+Foxp3+ Treg cells contributed to the development of endotoxin tolerance. Here, we further analyzed the possible change on CD4+Foxp3+Tregs population in MLNs in murine LPS-induced endotoxin tolerance model. Our data showed that the proportion and absolute number of CD4+Foxp3+Tregs, expressing altered levels of CTLA4 and GITR, significantly increased in MLNs of murine LPS-induced tolerance model. Moreover, the expression level of TGF-β in MLNs also increased obviously. Furthermore, TGF-β blockade could obviously reduce the proportion and absolute number of CD4+Foxp3+Tregs in MLNs and subsequently impair the protection effect against LPS rechallenge. Of note, we found that tolerogenic dendritic cell (Tol-DC), expressing lower levels of MHC-II and CD86 molecules, dominantly secreted TGF-β in MLNs in murine LPS-induced tolerance model. In all, our data provided an unknown phenomenon that the total cell number of CD4+Foxp3+Tregs significantly increased in MLNs in endotoxin tolerance, which was related to MLN-resident TGF-β secreting CD11c+DCs, providing a new fundamental basis for the understanding on the potential roles of MLN-resident immune cells in the development of endotoxin tolerance.
https://ift.tt/2NwGfSk
Different Upper Airway Microbiome and Their Functional Genes Associated with Asthma in Young Adults and Elderly Individuals
Allergy, Volume 0, Issue ja, -Not available-.
https://ift.tt/2QRI2iY
A comparative study between adenoids and nasal mucosa for ciliated epithelium in children with recurrent or chronic rhinosinusitis
Publication date: Available online 21 September 2018
Source: International Journal of Pediatric Otorhinolaryngology
Author(s): Christine M. Kim, Earl H. Harley
Abstract
Objective
To determine whether adenoid epithelium is superior to nasal mucosa for biopsy of ciliated epithelium for electron microscopy (EM) to evaluate pediatric patients with rhinosinusitis for primary ciliary dyskinesia (PCD).
Methods
A retrospective review compared electron microscopic results in children with chronic or recurrent rhinosinusitis who underwent both adenoidectomy or nasopharyngeal biopsy and nasal mucosa biopsy in the course of evaluation for PCD at a tertiary care institution.
Results
Forty pediatric patients met inclusion criteria for this study. Nine of these patients had a prior adenoidectomy and therefore underwent nasopharyngeal biopsy for collection of adenoid tissue. All nine of the nasopharyngeal biopsies and 25 of the 31 (80.6%) adenoid biopsies had sufficient cilia for EM evaluation of the ultrastructure. Of the 40 patients who also had a nasal biopsy, only 12 (30.0%) had sufficient cilia for EM analysis. The distribution of sufficient versus insufficient cilia for analysis between adenoid and nasal mucosa was statistically significant (P<0.05). Abnormal cilia were found in only 2.5 percent of our patients.
Conclusions
In current practice, the nasal cavity is a common location for obtaining ciliated epithelium for EM analysis, as it is easily accessible for biopsy and the procedure itself causes relatively low patient morbidity. Chronic rhinosinusitis, however, has been associated with decreased cilia density on nasal respiratory epithelium. Given that adenoidectomies are often performed in children with chronic rhinosinusitis, our data suggest that adenoid tissue is a better source of ciliated tissue for analysis compared to turbinate epithelium.
https://ift.tt/2I7f3ni
Risk factors for cervical lymph node metastasis in endoscopically resected superficial hypopharyngeal cancers
Publication date: Available online 22 September 2018
Source: Auris Nasus Larynx
Author(s): Takayuki Imai, Shigemi Ito, Tomoyuki Oikawa, Yukinori Asada, Ko Matsumoto, Takefumi Miyazaki, Tomoko Yamazaki, Ikuro Satoh, Tetsuya Noguchi, Kazuto Matsuura
Abstract
Objective
Hypopharyngeal cancer is a head and neck cancer with a poor prognosis, and most cases show metastases on diagnosis. Cervical lymph node (LN) metastasis is a poor prognostic factor in hypopharyngeal cancer patients. The identification of risk factors for LN metastasis can help guide surgical treatment strategies for these patients.
Methods
This retrospective study included 93 superficial hypopharyngeal cancer patients with 109 histopathologically examined lesions treated by endoscopic resection between January 2007 and December 2017. Tumor thickness quantification, quantification of budding nests, immunostaining and other histopathological analyses in paraffin-embedded, formalin-fixed tissue sections (3-μm) of surgical specimens were performed by a certified pathologist.
Results
Cervical LN metastasis was positive in 18 out of 93 cases (19.3%) and 18 out of 109 lesions (16.5%). No differences were detected in patient characteristics between LN-positive and LN-negative cases, except for tumor thickness, which was significantly larger in LN-positive cases (3119.4 ± 602.2 μm vs. 1015.5 ± 129.6 μm, respectively; p < 0.0001). Univariate analysis showed that tumor thickness ≥1000 μm (odds ratio: 5.559, p = 0.003), lesions with high budding grade (odds ratio: 5.188, p = 0.01) and vascular invasion (odds ratio: 12.710, p = 0.007) were significantly associated with cervical LN metastasis. Multivariate analysis revealed tumor thickness ≥ 1000 μm as the most significant risk factor for cervical LN metastasis in superficial hypopharyngeal cancer (odds ratio: 3.639, p = 0.04).
Conclusions
We demonstrate for the first time that high budding grade may serve as powerful predictors of LN metastasis and tumor thickness ≥1000 μm is a significant risk factor for LN metastasis of superficial hypopharyngeal cancer. These results should be further examined in future larger scale studies.
https://ift.tt/2psS11t
The molecular mechanisms of increased radiosensitivity of HPV-positive oropharyngeal squamous cell carcinoma (OPSCC): an extensive review
Head and neck carcinomas (HNCs) collectively are the sixth most common cancer with an annual incidence of about 400,000 cases in the US. The most well-established risk factors for HNCs are tobacco and alcohol ...
https://ift.tt/2Nx5hAV
Penicillin minor determinants: History and relevance for current diagnosis
Publication date: Available online 21 September 2018
Source: Annals of Allergy, Asthma & Immunology
Author(s): N. Franklin Adkinson, Louis M. Mendelson, Charlotte Ressler, John C. Keogh
Abstract
Objective
To review the history of the penicillin minor determinants and evaluate their relevance for current diagnosis.
Data Sources
Skin testing to detect immunoglobulin E (IgE) sensitivity to penicillins in patients with a history of penicillin allergy has been the subject of more than 55 years of published research involving tens of thousands of patients.
Study Selections
Selection of data was based on its relevance to the objective of this article.
Results
It was established early on that testing with the major penicilloyl determinant using the polyvalent penicilloyl-polylysine (PPL) is negative in a substantial portion (10-64%, including recent increases) of those at risk for immediate hypersensitivity reactions. A variety of minor penicillin determinants are clinically significant in that their use in skin testing is essential to detect all those at risk. In particular, a minor determinant mixture (MDM) of benzylpenicillin, benzylpenicilloate, and benzylpenilloate, used in conjunction with PPL, has been shown in numerous studies to achieve an average negative predictive value (NPV) of 97.9% in history-positive patients. Benzylpenicillin alone, as the sole minor determinant, leaves many skintest- positive patients undiscovered. Use of amoxicillin as an additional minor determinant reagent appears to identify another 2-8% of skin-testpositive patients in some populations.
Conclusion
IgE skin testing, using both the major and appropriate minor determinants of penicillin, can identify, with a high degree of reliability (NPV ∼ 97%), penicillin-allergy-history-positive patients who can receive beta-lactam antibiotics without concern for serious acute allergy, including anaphylaxis. The few false negative skin tests reported globally are largely confined to minor, self-limited cutaneous reactions.
https://ift.tt/2znW70V
Anaphylaxis to beta-lactam antibiotics at pediatric age: Six-year survey
Publication date: Available online 21 September 2018
Source: Allergologia et Immunopathologia
Author(s): J. Azevedo, Â. Gaspar, I. Mota, F. Benito-Garcia, M. Alves-Correia, M. Chambel, M. Morais-Almeida
Abstract
Introduction
Beta-lactams are the most frequently used antibiotics in pediatric age. Anaphylactic reactions may occur and need to be properly studied, but studies in children are scarce.
Objective
Characterization of case reports of anaphylaxis in children referred to an allergy department with suspected beta-lactams hypersensitivity.
Materials and methods
Retrospective analysis of all children referred to our Drug Allergy Center with suspected beta-lactams hypersensitivity between January 2011 and December 2016. Description of the drug allergy work-up performed studied according to standardized diagnostic procedures of ENDA/EAACI, including specific-IgE assay, skin prick and intradermal tests and diagnostic/alternative drug challenge tests.
Results
146 children with suspected beta-lactams hypersensitivity were studied, and in 21 (14.4%) the diagnosis was confirmed. In all of them, except for three children, an alternative beta-lactam was found. In seven children (33.3% of those with confirmed beta-lactams hypersensitivity) anaphylaxis was confirmed, and all of them described reactions with cutaneous and respiratory or gastrointestinal involvement. The culprit drug was amoxicillin in six and flucloxacillin in one. In this sample, we also performed oral challenge with cefuroxime, being negative in all cases. Almost all cases of confirmed anaphylaxis (six from seven cases) were IgE mediated, with positive skin tests despite negative serum specific-IgE.
Conclusions
Allergic reactions to beta-lactams, although rare in children, require a detailed clinical history and a specialized drug allergy work-up to allow a correct diagnosis as well as to avoid the possibility of a potential life-threatening reaction and provide alternative drugs.
https://ift.tt/2MUg8Qb
BJORL: moving forward, always
Publication date: Available online 21 September 2018
Source: Brazilian Journal of Otorhinolaryngology
Author(s): Wilma Terezinha Anselmo-Lima, Shirley Shizue Nagata Pignatari
https://ift.tt/2Dojmf5
Ultrasonographic study of intestinal Doppler blood flow in infantile non-IgE-mediated gastrointestinal food allergy
Publication date: Available online 22 September 2018
Source: Allergology International
Author(s): Keisuke Jimbo, Yoshikazu Ohtsuka, Tatsuo Kono, Nobuyasu Arai, Reiko Kyoudo, Kenji Hosoi, Yo Aoyagi, Takahiro Kudo, Nobuyoshi Asai, Toshiaki Shimizu
Abstract
Background
Although non-IgE-mediated gastrointestinal food allergy has increased rapidly in Japan, a small number of reports has evaluated B-mode and Doppler ultrasonographic findings in the acute phase of infantile gastrointestinal milk allergy. The aim of the present study was to compare the diagnostic utility of ultrasonographic findings and laboratory allergic data in non-IgE-mediated infantile gastrointestinal milk allergy.
Methods
Sixteen cases of active non-IgE-mediated infantile gastrointestinal milk allergy, diagnosed by food elimination tests and oral food challenge tests (OFCTs) (group A), 15 cases of acute viral gastroenteritis (AGE) (group B), and 15 controls (group C) were enrolled. 1) B-mode abdominal ultrasound findings, 2) laboratory allergic data including eosinophil counts (Eos), serum IgE, and the antigen-specific lymphocyte proliferation test (ALPT) against milk protein, and 3) vessel density (VD) indirectly quantified by gastrointestinal Doppler flow at jejunum, ileum, and sigmoid colonic mucosae were evaluated and compared among the groups.
Results
In the small intestine, wall thickening, dilation, mesenteric thickening, and poor peristalsis were found in 100%, 62.5%, 93.7%, and 100%, respectively, in group A. Eos, IgE, ALPT, and VD were positive in 25.0%, 0%, 87.5%, and 100%, respectively, in group A. Small intestinal VD was significantly greater in group A than in groups B (jejunum p < .001; ileum p < .001) and C (jejunum p < .001; ileum p < .001), with no significant differences between groups B and C (jejunum: p = .74; ileum: p = .73).
Conclusions
Abdominal Doppler ultrasonography and small intestinal VD at symptomatic state can support the diagnosis and evaluation of non-IgE-mediated infantile gastrointestinal milk allergy with symptoms of vomiting, diarrhea, and failure to thrive.
https://ift.tt/2QRdM7B
Stem cell factor suppressed IL-33-induced MHC class II expression in murine bone marrow-derived mast cells
Publication date: Available online 21 September 2018
Source: Allergology International
Author(s): Tomonobu Ito, Chizu Egusa, Tatsuo Maeda, Takafumi Numata, Nobuhiro Nakano, Chiharu Nishiyama, Ryoji Tsuboi
https://ift.tt/2xJi48j
Characterization of cDNA clones encoding major histocompatibility class II receptors from walleye (Sander vitreus)
Publication date: November 2018
Source: Molecular Immunology, Volume 103
Author(s): Quinn H. Abram, Kazuhiro Fujiki, Marije Booman, Emily Chin-Dixon, Guang Wei, Brian Dixon
Abstract
The teleost major histocompatibility (MH) class II receptor presents peptides from exogenous sources to CD4+ T cells, leading to the initiation of the adaptive immune response. The genes encoding MH class II have been identified in a number of teleost species, but not in walleye, an important recreational fish and commercial fishery in North America. In this study, we cloned and characterized the sequences encoding walleye MH class II α and β chains. These sequences contained all of the domains typical for functional MH class II α and β chain proteins, and aligned with other teleost sequences of MH class II. The walleye MH class II α amino acid sequence, along with other members of the Supraorder Percomorpharia, contains a high concentration of methionine residues in the beginning of the leader peptide. Southern blotting indicated that there is more than one gene copy for both MH class II α and β, while northern blotting analysis of both genes showed that expression of these genes is greatest in lymphoid tissues and at potential entry points for pathogens. These results help to further the understanding of MH class II receptors in teleosts, and could prove useful in the study of disease issues in walleye such as dermal sarcoma virus.
https://ift.tt/2MUrGCV
The role of mitochondria in NLRP3 inflammasome activation
Publication date: November 2018
Source: Molecular Immunology, Volume 103
Author(s): Qiuyun Liu, Danyan Zhang, Diyu Hu, Xiangmei Zhou, Yang Zhou
Abstract
The NLRP3 inflammasome is a multiprotein platform which is activated upon cellular infection or stress. Its activation leads to caspase-1-dependent secretion of proinflammatory cytokines like interleukin-1β (IL-1β) and IL-18, and an inflammatory form of cell death termed as pyroptosis. Recent studies have unveiled the pivotal roles of mitochondria in initiation and regulation of the NLRP3 (nucleotide-binding domain, leucine-rich-repeat containing family, pyrin domain-containing 3) inflammasome. NLRP3 activators induce mitochondrial destabilization, NLRP3 deubiquitination, linear ubiquitination of ASC, and externalization or release of mitochondria-derived molecules such as cardiolipin and mitochondrial DNA. These molecules bind to NLRP3 that is translocated on mitochondria and activate the NLRP3 inflammasome. Here we review recently described mechanisms by which mitochondria regulate NLRP3 inflammasome activation.
https://ift.tt/2xxi6AV
Actinomycosis Presenting as Macroglossia: Case Report and Review of Literature
Abstract
Cervicofacial actinomycosis is a common form of Actinomyces infection. However, the latter seldom occurs in the tongue. We present a case of a 66 year-old man with macroglossia caused by actinomycosis of the tongue. Radiographic features were compatible with a chronic inflammatory disease. Biopsies revealed granulomas containing giant cells and Gram positive bacterial clusters consistent with actinomycosis. The patient was treated with a 22 week course of antibiotics. Imaging showed a notable improvement in the extent of the lesions 1 year later. The patient was asymptomatic and in good condition during his second year follow-up. Diagnosis of actinomycosis of the tongue can prove to be challenging because of the non-specific nature of its symptoms, clinical signs, and radiographic features. Isolation of Actinomyces sp. is an added diagnostic hurdle, because of its fastidious nature.
https://ift.tt/2QQVCmI
Definitive radiation with concurrent cetuximab vs. radiation with or without concurrent cytotoxic chemotherapy in older patients with squamous cell carcinoma of the head and neck: Analysis of the SEER-medicare linked database
Publication date: November 2018
Source: Oral Oncology, Volume 86
Author(s): Dan P. Zandberg, Kevin Cullen, Soren M. Bentzen, Olga G. Goloubeva
Abstract
Objective
To evaluate OS and toxicity after definitive radiation with concurrent cetuximab (CTX-RT) compared to radiation with concurrent cytotoxic chemotherapy (CRT) in older HNSCC patients via the SEER-Medicare linked database.
Materials and Methods
We used the SEER-Medicare linked database to evaluate OS in HNSCC patients (Oropharynx, Larynx, Hypopharynx, Nasopharynx) diagnosed over 2005–2011, following FDA approval of cetuximab in combination with radiation therapy (RT) in March 2006.
Results
2135 beneficiaries were identified. Median age was 73 (66–104) years. Primary was oropharynx (61%), hypopharynx (15%), nasopharynx (5%), and larynx (19%). CRT was platinum based in 82% of patients. CTX-RT was associated with worse OS compared to CRT (P < 0.005), and similar OS to RT (P = 0.21); 5-year OS was 46% for CRT, 35% for CTX-RT, 32% for RT. Patients were more likely to receive CTX-RT vs. CRT if they had oropharyngeal vs nasopharyngeal primary, Charlson comorbidity index 2 vs 0, older age at diagnosis. Multivariable Cox regression showed that CTX-RT was associated with a higher risk of death compared to CRT (hazard ratio = 1.23, 1.07–1.42; p = 0.005), after stratifying by stage and primary site, and adjusting for gender, race, age, income, Charlson comorbidity index, marital status, hospital type, and year of diagnosis. There were no differences in dysphagia, gastrostomy tube placement, pneumonia, and weight loss over the first 12 months after diagnosis.
Conclusion
Despite the limitations to comparative effectiveness evaluation in population-based registries, our data suggest that cytotoxic chemotherapy should be used with RT for eligible older HNSCC patients.
https://ift.tt/2I4vwbG
Loss-of-function mutations in CARD14 are associated with a severe variant of atopic dermatitis
Publication date: Available online 21 September 2018
Source: Journal of Allergy and Clinical Immunology
Author(s): Alon Peled, Ofer Sarig, Guangping Sun, Liat Samuelov, Chi A. Ma, Yuan Zhang, Tom Dimaggio, Celeste G. Nelson, Kelly D. Stone, Alexandra F. Freeman, Liron Malki, Lucia Seminario Vidal, Latha M. Chamarthy, Valeria Briskin, Janan Mohamad, Mor Pavlovski, Jolan E. Walter, Joshua D. Milner, Eli Sprecher
Abstract
Background
Atopic dermatitis (AD) is a highly prevalent chronic inflammatory skin disease which is known to be, at least in part, genetically determined. Mutations in CARD14 have been shown to result in various forms of psoriasis and related disorders.
Objective
We aimed to identify rare DNA variants conferring a significant risk for AD through genetic and functional studies in a cohort of patients affected with severe atopic dermatitis.
Methods
Whole exome and direct gene sequencing, immunohistochemistry, real-time PCR, ELISA and functional assays in human keratinocytes were used.
Results
In a cohort of individuals referred with severe atopic dermatitis, DNA sequencing revealed in 4 patients two rare heterozygous missense mutations in CARD14 encoding the Caspase Recruitment Domain-Containing Protein 14, a major regulator of NF-κB. A dual luciferase reporter assay demonstrated that both mutations exert a dominant loss-of-function effect and result in decreased NF-κB signaling. Accordingly, immunohistochemistry staining showed decreased expression of CARD14 in patient skin as well as decreased levels of activated p65, a surrogate marker for NF-κB activity. CARD14-deficient or mutant-expressing keratinocytes displayed abnormal secretion of key mediators of innate immunity.
Conclusions
While dominant gain-of-function mutations in CARD14 are associated with psoriasis and related diseases, loss-of-function mutations in the same gene are associated with a severe variant of atopic dermatitis.
https://ift.tt/2znxgKs
Actinomycosis Presenting as Macroglossia: Case Report and Review of Literature
Abstract
Cervicofacial actinomycosis is a common form of Actinomyces infection. However, the latter seldom occurs in the tongue. We present a case of a 66 year-old man with macroglossia caused by actinomycosis of the tongue. Radiographic features were compatible with a chronic inflammatory disease. Biopsies revealed granulomas containing giant cells and Gram positive bacterial clusters consistent with actinomycosis. The patient was treated with a 22 week course of antibiotics. Imaging showed a notable improvement in the extent of the lesions 1 year later. The patient was asymptomatic and in good condition during his second year follow-up. Diagnosis of actinomycosis of the tongue can prove to be challenging because of the non-specific nature of its symptoms, clinical signs, and radiographic features. Isolation of Actinomyces sp. is an added diagnostic hurdle, because of its fastidious nature.
https://ift.tt/2QQVCmI
Introduction
Publication date: Available online 21 September 2018
Source: Operative Techniques in Otolaryngology-Head and Neck Surgery
Author(s): David Myssiorek
https://ift.tt/2pv3Ns8
Paradoxical case effects of psoriasis following adalimumab therapy: A case series
Dermatologic Therapy, EarlyView.
https://ift.tt/2NtDocO
The management of pseudomyogenic hemangioendothelioma of the foot: A case report and review of the literature
Dermatologic Therapy, EarlyView.
https://ift.tt/2DmnNHu
Multiple Bowen's diseases and basal cell carcinomas in a patient with acute promyelocytic leukemia treated with arsenic trioxide: A case report and effective treatment with photodynamic therapy
Dermatologic Therapy, EarlyView.
https://ift.tt/2Nw0DD6
Actinomycosis Presenting as Macroglossia: Case Report and Review of Literature
Abstract
Cervicofacial actinomycosis is a common form of Actinomyces infection. However, the latter seldom occurs in the tongue. We present a case of a 66 year-old man with macroglossia caused by actinomycosis of the tongue. Radiographic features were compatible with a chronic inflammatory disease. Biopsies revealed granulomas containing giant cells and Gram positive bacterial clusters consistent with actinomycosis. The patient was treated with a 22 week course of antibiotics. Imaging showed a notable improvement in the extent of the lesions 1 year later. The patient was asymptomatic and in good condition during his second year follow-up. Diagnosis of actinomycosis of the tongue can prove to be challenging because of the non-specific nature of its symptoms, clinical signs, and radiographic features. Isolation of Actinomyces sp. is an added diagnostic hurdle, because of its fastidious nature.
https://ift.tt/2QQVCmI
Local Delivery of Regulatory T Cells Promotes Corneal Allograft Survival
https://ift.tt/2zmoVXB
Perspectives on the Optimal Genetically-Engineered pig in 2018 for Initial Clinical Trials of Kidney or Heart Xenotransplantation
https://ift.tt/2OIs0Xa
Early Hypertension and Diabetes after Living Kidney Donation: A National Cohort Study
https://ift.tt/2zmZFjT
Cardiotrophin 1 improves kidney preservation, graft function, and survival in transplanted rats
https://ift.tt/2OJ4FV6
The selective RNA polymerase I inhibitor CX-5461 mitigates neointimal remodeling in a modified model of rat aortic transplantation
https://ift.tt/2znIQ8i
Comparison of postdonation kidney function between Caucasian donors and low-risk APOL1 genotype living kidney donors of African ancestry
Socioeconomic Status and Kidney Transplant Outcomes in a Universal Healthcare System: A Population-based Cohort Study
https://ift.tt/2OIVN1X
Plaque‐like dermatofibroma with satellitosis in a young woman
International Journal of Dermatology, EarlyView.
https://ift.tt/2znkJXC
The cake flap: a technique of serial excision in quadrants useful beyond congenital nevi
International Journal of Dermatology, EarlyView.
https://ift.tt/2OK0oke
Relative abundance of nasal microbiota in chronic rhinosinusitis by structured histopathology
International Forum of Allergy &Rhinology, EarlyView.
https://ift.tt/2OJHQkn
A novel de novo mutation p.Ala428Asp in KRT5 gene as a cause of localized epidermolysis bullosa simplex
Experimental Dermatology, Volume 0, Issue ja, -Not available-.
https://ift.tt/2QRA35f
Effect of oral isotretinoin on the nucleo‐cytoplasmic distribution of FoxO1 and FoxO3 proteins in sebaceous glands of patients with acne vulgaris
Experimental Dermatology, Volume 0, Issue ja, -Not available-.
https://ift.tt/2xHV7Cz
The Eczema Solution. Sue Armstrong‐Brown. London: Vermilion, 2002; 128 pp. ISBN: 978‐009188284. Price £12.99.
British Journal of Dermatology, EarlyView.
https://ift.tt/2Dobyu2
Clinical, dermoscopic and reflectance confocal microscopy characterization of facial basal cell carcinomas presenting as small white lesions on sun‐damaged skin
British Journal of Dermatology, Volume 0, Issue ja, -Not available-.
https://ift.tt/2NwwrI8
Ingenol mebutate versus imiquimod versus diclofenac for actinic cheilitis: a 6‐month follow‐up clinical study
Clinical and Experimental Dermatology, EarlyView.
https://ift.tt/2PXtsoK
Development of pemphigoid nodularis after remission of bullous lesions
Clinical and Experimental Dermatology, EarlyView.
https://ift.tt/2O7v5mI
Successful treatment with dapsone for lupus profundus accompanied by xanthomatous reaction
Clinical and Experimental Dermatology, EarlyView.
https://ift.tt/2PWleNv
The histological absence of IgG4 positive plasma cells in juvenile xanthogranuloma; comments on ‘Systemic juvenile xanthogranuloma: a case report and brief review’
Clinical and Experimental Dermatology, EarlyView.
https://ift.tt/2O7v428
The controversy of complete lymph node dissection; reply to ‘Completion lymphadenectomy should not necessarily be recommended after a positive SLN biopsy’
Clinical and Experimental Dermatology, EarlyView.
https://ift.tt/2PYA72a
Leading by example: Exploring the influence of design examples on children’s creative ideation
Benton, L; Varotsis, G; Vasalou, A; (2019) Leading by example: Exploring the influence of design examples on children's creative ideation. International Journal of Human-Computer Interaction (In press).
https://ift.tt/2NtpMOK
Statistical Primer: heterogeneity, random- or fixed-effects model analyses?
Barili, F; Parolari, A; Kappetein, PA; Freemantle, N; (2018) Statistical Primer: heterogeneity, random- or fixed-effects model analyses? Interactive CardioVascular and Thoracic Surgery , 27 (3) pp. 317-321. 10.1093/icvts/ivy163 .
https://ift.tt/2Dkn7lZ
Sulfur-Deficient Bismuth Sulfide/Nitrogen-Doped Carbon Nanofibers as Advanced Free-Standing Electrode for Asymmetric Supercapacitors
Zong, W; Lai, F; He, G; Feng, J; Wang, W; Lian, R; Miao, Y-E; ... Liu, T; + view all Zong, W; Lai, F; He, G; Feng, J; Wang, W; Lian, R; Miao, Y-E; Wang, G-C; Parkin, IP; Liu, T; - view fewer (2018) Sulfur-Deficient Bismuth Sulfide/Nitrogen-Doped Carbon Nanofibers as Advanced Free-Standing Electrode for Asymmetric Supercapacitors. Small , 14 (32) , Article 1801562. 10.1002/smll.201801562 .
https://ift.tt/2NtpCXE
Senataxin mutations elicit motor neuron degeneration phenotypes and yield TDP-43 mislocalization in ALS4 mice and human patients
Bennett, CL; Dastidar, SG; Ling, S-C; Malik, B; Ashe, T; Wadhwa, M; Miller, DB; ... La Spada, AR; + view all Bennett, CL; Dastidar, SG; Ling, S-C; Malik, B; Ashe, T; Wadhwa, M; Miller, DB; Lee, C; Mitchell, MB; van Es, MA; Grunseich, C; Chen, Y; Sopher, BL; Greensmith, L; Cleveland, DW; La Spada, AR; - view fewer (2018) Senataxin mutations elicit motor neuron degeneration phenotypes and yield TDP-43 mislocalization in ALS4 mice and human patients. Acta Neuropathologica , 136 (3) pp. 425-443. 10.1007/s00401-018-1852-9 .
https://ift.tt/2DlNIil
Mapping Industrial Symbiosis Development In Europe_ typologies of networks, characteristics, performance and contribution to the Circular Economy
Domenech Aparisi, TA; Bleischwitz, R; Doranova, A; Panayotopoulos, D; Roman, L; (2018) Mapping Industrial Symbiosis Development In Europe_ typologies of networks, characteristics, performance and contribution to the Circular Economy. Resources, Conservation and Recycling (In press).
https://ift.tt/2NuFJV4
Biomarkers of Hepatic Fibrosis in Chronic Hepatitis C A Comparison of 10 Biomarkers Using 2 Different Assays for Hyaluronic Acid
Tanwar, S; Trembling, PM; Hogan, BJ; Parkes, J; Harris, S; Grant, P; Nastouli, E; ... Rosenberg, WM; + view all Tanwar, S; Trembling, PM; Hogan, BJ; Parkes, J; Harris, S; Grant, P; Nastouli, E; Ocker, M; Wehr, K; Herold, C; Neureiter, D; Schuppan, D; Rosenberg, WM; - view fewer (2017) Biomarkers of Hepatic Fibrosis in Chronic Hepatitis C A Comparison of 10 Biomarkers Using 2 Different Assays for Hyaluronic Acid. Journal of Clinical Gastroenterology , 51 (3) pp. 268-277. 10.1097/MCG.0000000000000581 . Green open access
https://ift.tt/2DnMiE8
Manuscript to print and print to print: on the transmission history of Jacob ben Asher’s Tur Orah Hayyim
Vidro, N; (2018) Manuscript to print and print to print: on the transmission history of Jacob ben Asher's Tur Orah Hayyim. Zutot: Perspectives on the Jewish History and Culture , 15 (1) pp. 73-93. 10.1163/18750214-12151074 . Green open access
https://ift.tt/2NAaWWY
Rab4A organizes endosomal domains for sorting cargo to lysosome-related organelles
Nag, S; Rani, S; Mahanty, S; Bissig, C; Arora, P; Azevedo, C; Saiardi, A; ... Setty, SR; + view all Nag, S; Rani, S; Mahanty, S; Bissig, C; Arora, P; Azevedo, C; Saiardi, A; van der Sluijs, P; Delevoye, C; van Niel, G; Raposo, G; Setty, SR; - view fewer (2018) Rab4A organizes endosomal domains for sorting cargo to lysosome-related organelles. Journal of Cell Science , 131 (18) , Article jcs216226. 10.1242/jcs.216226 . Green open access
https://ift.tt/2DuhnWy
Raised VEGF: High sensitivity and specificity in the diagnosis of POEMS syndrome
Pihan, M; Keddie, S; D'Sa, S; Church, AJ; Yong, KL; Reilly, MM; Lunn, MP; (2018) Raised VEGF: High sensitivity and specificity in the diagnosis of POEMS syndrome. Neurology, Neuroimmunology & Neuroinflammation , 5 (5) , Article e486. 10.1212/NXI.0000000000000486 . Green open access
https://ift.tt/2NuuRX3
Reconciling persistent and dynamic hypotheses of working memory coding in prefrontal cortex
Cavanagh, SE; Towers, JP; Wallis, JD; Hunt, LT; Kennerley, SW; (2018) Reconciling persistent and dynamic hypotheses of working memory coding in prefrontal cortex. Nature Communications , 9 , Article 3498. 10.1038/s41467-018-05873-3 . Green open access
https://ift.tt/2DxOF7B
Recruitment and retention strategies in mental health trials - A systematic review
Liu, Y; Pencheon, E; Hunter, RM; Moncrieff, J; Freemantle, N; (2018) Recruitment and retention strategies in mental health trials - A systematic review. PLoS One , 13 (8) , Article e0203127. 10.1371/journal.pone.0203127 . Green open access
https://ift.tt/2NuuITv
Radii of Rydberg states of isolated silicon donors
Li, J; Le, NH; Litvinenko, KL; Clowes, SK; Engelkamp, H; Pavlov, SG; Huebers, H-W; ... Murdin, BN; + view all Li, J; Le, NH; Litvinenko, KL; Clowes, SK; Engelkamp, H; Pavlov, SG; Huebers, H-W; Shuman, VB; Portsel, LM; Lodygin, AN; Astrov, YA; Abrosimov, N; Pidgeon, CR; Fisher, A; Zeng, Z; Niquet, Y-M; Murdin, BN; - view fewer (2018) Radii of Rydberg states of isolated silicon donors. Physical Review B , 98 (8) , Article 085423. 10.1103/PhysRevB.98.085423 . Green open access
https://ift.tt/2DljGeH
Reclaiming the everyday: the situational dynamics of the 2011 London Riots
Tiratelli, M; (2018) Reclaiming the everyday: the situational dynamics of the 2011 London Riots. Social Movement Studies , 17 (1) pp. 64-84. 10.1080/14742837.2017.1348942 .
https://ift.tt/2Nuuyvn
c302: a multiscale framework for modelling the nervous system of Caenorhabditis elegans
Gleeson, P; Lung, D; Grosu, R; Hasani, R; Larson, SD; (2018) c302: a multiscale framework for modelling the nervous system of Caenorhabditis elegans. Philosophical Transactions of The Royal Society B: Biological Sciences , 373 (1758) , Article 20170380. 10.1098/rstb.2017.0379 . Green open access
https://ift.tt/2DnG7jo
Geppetto: a reusable modular open platform for exploring neuroscience data and models
Cantarelli, M; Marin, B; Quintana, A; Earnshaw, M; Court, R; Gleeson, P; Dura-Bernal, S; ... Idili, G; + view all Cantarelli, M; Marin, B; Quintana, A; Earnshaw, M; Court, R; Gleeson, P; Dura-Bernal, S; Silver, RA; Idili, G; - view fewer (2018) Geppetto: a reusable modular open platform for exploring neuroscience data and models. Philosophical Transactions of The Royal Society B: Biological Sciences , 373 (1758) , Article 20170380. 10.1098/rstb.2017.0380 . (In press). Green open access
https://ift.tt/2NuumfD
MPBoot: fast phylogenetic maximum parsimony tree inference and bootstrap approximation
Hoang, DT; Vinh, LS; Flouri, T; Stamatakis, A; von Haeseler, A; Minh, BQ; (2018) MPBoot: fast phylogenetic maximum parsimony tree inference and bootstrap approximation. BMC Evolutionary Biology , 18 (1) , Article 11. 10.1186/s12862-018-1131-3 . Green open access
https://ift.tt/2DliIPr
The State of Software for Evolutionary Biology
Darriba, D; Flouri, T; Stamatakis, A; (2018) The State of Software for Evolutionary Biology. Molecular Biology and Evolution , 35 (5) pp. 1037-1046. 10.1093/molbev/msy014 . Green open access
https://ift.tt/2Nw3CeP
Impaired brain glymphatic flow in experimental hepatic encephalopathy
Hadjihambi, A; Harrison, IF; Costas-Rodríguez, M; Vanhaecke, F; Arias, N; Gallego-Durán, R; Mastitskaya, S; ... Jalan, R; + view all Hadjihambi, A; Harrison, IF; Costas-Rodríguez, M; Vanhaecke, F; Arias, N; Gallego-Durán, R; Mastitskaya, S; Hosford, PS; Olde Damink, SWM; Davies, N; Habtesion, A; Lythgoe, MF; Gourine, AV; Jalan, R; - view fewer (2018) Impaired brain glymphatic flow in experimental hepatic encephalopathy. Journal of Hepatology 10.1016/j.jhep.2018.08.021 . (In press). Green open access
https://ift.tt/2Dk7YRu
3D human liver tissue from pluripotent stem cells displays stable phenotype in vitro and supports compromised liver function in vivo
Rashidi, H; Luu, N-T; Alwahsh, SM; Ginai, M; Alhaque, S; Dong, H; Tomaz, RA; ... Hay, DC; + view all Rashidi, H; Luu, N-T; Alwahsh, SM; Ginai, M; Alhaque, S; Dong, H; Tomaz, RA; Vernay, B; Vigneswara, V; Hallett, JM; Chandrashekran, A; Dhawan, A; Vallier, L; Bradley, M; Callanan, A; Forbes, SJ; Newsome, PN; Hay, DC; - view fewer (2018) 3D human liver tissue from pluripotent stem cells displays stable phenotype in vitro and supports compromised liver function in vivo. Archives of Toxicology , 92 (10) pp. 3117-3129. 10.1007/s00204-018-2280-2 . Green open access
https://ift.tt/2NsBMzY
Kidney cancer: The next decade
Turajlic, S; Swanton, C; Boshoff, C; (2018) Kidney cancer: The next decade. Journal of Experimental Medicine , 215 (9) 10.1084/jem.20181617 . Green open access
https://ift.tt/2DuhiSK