101
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Perrot JL, Cinotti E, Labeille B, Douchet C, Cambazard F. Essai de validation de la caméra Vivascope 3000 pour le diagnostic des carcinomes basocellulaires. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.09.229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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102
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Perrot JL, Cinotti E, Labeille B, Champin J, Thomas A, Douchet C, Parrau G, Chol C, Cambazard F. Repérage des marges du lentigo malin au moyen d’un microscope confocal in vivo pour l’optimisation du traitement chirurgical. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.09.227] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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103
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Perrot JL, Labeille B, Cinotti E, Grivet D, Campolmi N, Thuret G, Douchet C, Forest F, Cambazard F. Microscopie confocale in vivo et ex vivo : application à la chirurgie micrographique de Mohs des tumeurs palpébrales : à propos de six carcinomes basocellulaires. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.09.197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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104
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Chevallier J, Cinotti E, Perrot JL, Labeille B, Thomas L, Cambazard F. Étude des mutations du gène c-kit de 43 mélanomes muqueux de la région Rhône Alpes. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.09.305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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105
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Perrot JL, Labeille B, Elisa C, Nuiry O, Dietemann J, Cambazard F. Thérapie par pression négative des troubles trophiques : sept ans d’expérience dans un CHU. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.09.333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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106
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Perrot JL, Cinotti E, Boukenter A, Labeille B, Ouerdane Y, Cambazard F. Dissolution de récipients en plastique au contact de l’Ascabiol® lors du traitement de la gale : un nouveau type de pharmacovigilance. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.09.350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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107
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Perrot JL, Naigeon N, Labeille B, Cinotti E, Thuret G, Campolmi N, Bourlet T, Douchet C, Cambazard F. Première description de l’identification spécifique d’HSV1 au cours d’une infection cutanée au moyen d’un microscope confocal ex vivo en fluorescence. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.09.489] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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108
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Biron AC, Chol C, Perrot JL, Labeille B, Chevalier J, Leclercq A, Besson E, Cambazard F. Greffe cutanée de plaies chroniques par ensemencement cellulaire autologue. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.09.332] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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109
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Chol C, Perrot JL, Biron-Schneider AC, Labeille B, Cinotti E, Cambazard F. Suivi moyen en mois sur 336 patients opérés d’un mélanome entre 1998 et 2009. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.09.314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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110
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Cinotti E, Perrot JL, Labeille B, Biron A, Cambazard F. Reproductibilité inter-investigateur du score de vieillissement cutané SCINEXA. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.09.261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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111
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Perrot JL, Labeille B, Cinotti E, Espinasse M, Grivet D, Campolmi N, Thuret G, Cambazard F. Intérêt diagnostic de l’examen en microscopie confocale in vivo des tumeurs des paupières à propos de 53 malades, 54 tumeurs. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.09.225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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112
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Cinotti E, Perrot JL, Labeille B, Cambazard F. Diagnostic de la gale par épimicroscopie à fort grossissement : l’aspect « en deltaplane » de Sarcoptes scabiei. Ann Dermatol Venereol 2013; 140:722-3. [DOI: 10.1016/j.annder.2013.04.097] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2012] [Revised: 02/07/2013] [Accepted: 04/10/2013] [Indexed: 10/26/2022]
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113
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Cinotti E, Douchet C, Perrot JL, Labeille B, Allombert-Blaise C, Cambazard F. Bullous pemphigoid in an infant with milk protein allergy. Br J Dermatol 2013; 169:191-2. [PMID: 23834119 DOI: 10.1111/bjd.12228] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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114
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Cinotti E, Perrot JL, Labeille B, Champin J, Parrau G, Douchet C, Seguin P, Alix T, Cambazard F. Repérage des marges du lentigo malin au moyen d’un microscope confocal in vivo pour l’optimisation du traitement chirurgical. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.03.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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115
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Cambazard F, Phan A, Cinotti E, Labeille B, Adegbidi H, Perrot JL. Manifestations cutanées atypiques du syndrome mains-pieds-bouche. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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116
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Cinotti E, Billiemaz K, Gay C, Perrot JL, Labeille B, Cambazard F. Première description des manifestations cutanées du syndrome tricho-hépato-entérique. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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117
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Biron AC, Perrot JL, Labeille B, Cambazard F. Prise en charge des plaies chroniques par électrostimulation. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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118
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Perrot JL, Labeille B, Cinotti E, Biron AC, Flori P, Tromber B, Cambazard F. Évolution du nombre des cas de gale vus au cours de 97 357 consultations successives dans un service de dermatologie de janvier 2001 à juin 2012. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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119
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Labeille B, Perrot JL, Glas N, Cinotti E, Adegbidi H, Cambazard F. Sarcoïdose cutanée et pulmonaire induite par ipilimumab au cours d’un mélanome métastatique. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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120
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Perrot JL, Labeille B, Thuret G, Gain P, Grivet D, Cinotti E, Cambazard F. Faisabilité d’un examen de la conjonctive bulbaire au moyen d’un microscope confocal dédié originellement à la dermatologie. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.374] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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121
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Perrot JL, Labeille B, Cinotti E, Biron AC, Thuret G, Douchet C, Grivet D, Cambazard F. Aspect en dermatoscopie et microscopie confocale d’un nævus à cellules ballonisantes de l’enfant : premier cas rapporté. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.238] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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122
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Guy C, Perrot JL, Beyens M, Mounier G, Labeille B, Marsille F, Roy M, Mismetti P, Cambazard F. Enquête nationale de pharmacovigilance concernant le nicorandil. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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123
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Perrot JL, Labeille B, Champin J, Cinotti E, Douchet C, Adegbidi H, Cambazard F. Optimisation du traitement chirurgical du mélanome de Dubreuilh par l’identification des marges saines au moyen d’un microscope confocal à balayage laser in vivo. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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124
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Lynde C, Cambazard F, Ruzicka T, Sebastian M, Brown TC, Maares J. Extended treatment with oral alitretinoin for patients with chronic hand eczema not fully responding to initial treatment. Clin Exp Dermatol 2012; 37:712-7. [DOI: 10.1111/j.1365-2230.2012.04396.x] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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125
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Perrot JL, Cinotti E, Labeille B, Trau C, Rabérin H, Flori P, Cambazard F. Diagnostic rapide de la gale au moyen d’une caméra manuelle de microscopie confocale par réflectance. Ann Dermatol Venereol 2012; 139:502-5. [DOI: 10.1016/j.annder.2012.03.021] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2012] [Accepted: 03/29/2012] [Indexed: 11/29/2022]
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126
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Cinotti E, Perrot JL, Labeille B, Vercherin P, Chol C, Besson E, Cambazard F. Reflectance confocal microscopy for quantification of Sarcoptes scabiei in Norwegian scabies. J Eur Acad Dermatol Venereol 2012; 27:e176-8. [PMID: 22621304 DOI: 10.1111/j.1468-3083.2012.04555.x] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND AND OBJECTIVES In vivo reflectance-mode confocal microscopy (RCM) can be used for the diagnosis of scabies. This study quantifies S. scabiei and its eggs and droppings in a patient affected by Norwegian Scabies (NS), and describes their distribution within the epidermis and in different body areas. METHODS Different skin sites were randomly chosen in four sections (head, upper limbs, trunk and inferior limbs) of the body surface area (BSA) to acquire a total of 60 RCM z-stacks. The number of mites and eggs, the presence of droppings, as well as the minimum epidermal depth at which mites, eggs and faeces were detectable, was established for each z-stack. The total number of mites and eggs on the entire BSA was calculated considering the weighted mean for the four sections of the BSA. RESULTS A total of 15.8 millions of S. scabiei and 7.2 millions of eggs were calculated. Mites, eggs and faeces were homogeneously distributed all over the body surface. Droppings, easily recognized by the RCM, were present in more than an half of the analyzed cutaneous sites and were associated with the presence of parasites (chi-squared test, P = 0.002). CONCLUSIONS Our study illustrates the ability of RCM to identify, locate, and quantify the various forms of S. scabiei in human skin. NS is an extremely contagious disease, considering that the number of mites can be around 15.8 millions. Moreover, all areas of the body are parasitized in NS, including the face.
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Affiliation(s)
- E Cinotti
- Service de Dermatologie Hôpital Nord, Cedex 2, Saint Etienne, France
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127
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Dufour C, Souillet A, Chaneliere C, Jouen F, Bodemer C, Jullien D, Cambazard F, Joly P, Reix P. Successful management of severe infant bullous pemphigoid with omalizumab. Br J Dermatol 2012; 166:1140-2. [DOI: 10.1111/j.1365-2133.2011.10748.x] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
Affiliation(s)
- C. Dufour
- Service de Pédiatrie, Hospices Civils de Lyon, Lyon, France
| | - A.L. Souillet
- Service de Pédiatrie, Hospices Civils de Lyon, Lyon, France
| | - C. Chaneliere
- Service de Pédiatrie, Hospices Civils de Lyon, Lyon, France
| | - F. Jouen
- Department of Dermatology, INSERM U 905, University of Rouen, Rouen, France
| | - C. Bodemer
- Service de Dermatologie, Hôpital Necker, Paris, France
| | - D. Jullien
- Service de Dermatologie, Hospices Civils de Lyon, Lyon, France
| | | | - P. Joly
- Department of Dermatology, INSERM U 905, University of Rouen, Rouen, France
| | - P. Reix
- Service de Pédiatrie, Hospices Civils de Lyon, Lyon, France
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128
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Labeille B, Perrot JL, Cambazard F. Apport de la microscopie confocale par réflectance laser pour le diagnostic et le traitement par PDT des carcinomes basocellulaires du syndrome de Gorlin. Ann Dermatol Venereol 2011. [DOI: 10.1016/j.annder.2011.10.048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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129
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Perrot JL, Labeille B, Douchet C, Cartier E, Biron AC, Cambazard F. Diagnostic d’une métastase sous cutanée de mélanome par microscopie confocale à propos de quatre observations. Ann Dermatol Venereol 2011. [DOI: 10.1016/j.annder.2011.10.375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
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130
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Perrot JL, Labeille B, Biron Schneider AC, Besson E, Chol C, Cartier E, Cambazard F. Traitement par photothérapie dynamique d’une maladie de Hailey-Hailey : comparaison rétrospective de la douleur selon deux modalités de délivrance de la lumière. Ann Dermatol Venereol 2011. [DOI: 10.1016/j.annder.2011.10.141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
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131
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Perrot JL, Labeille B, Cambazard F. Visualisation de la nécrose cellulaire d’un carcinome basocellulaire traité par photothérapie dynamique en microscopie confocale. Ann Dermatol Venereol 2011. [DOI: 10.1016/j.annder.2011.10.211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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132
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Perrot JL, Paviot BT, Labeille B, Cambazard F. Étude de l’incidence standardisée française et mondiale du Mélanome in situ hors Dubreuilh dans le département de la Loire de 2004 à 2009. Ann Dermatol Venereol 2011. [DOI: 10.1016/j.annder.2011.10.379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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133
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Perrot JL, Labeille B, Flori P, Cambazard F. Intérêt de la microscopie confocale pour le diagnostic de la gale humaine. Ann Dermatol Venereol 2011. [DOI: 10.1016/j.annder.2011.10.318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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134
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Cartier E, Perrot JL, Labeille B, Cambazard F. Mélanome muqueux : caractéristiques cliniques et thérapeutiques dans la Loire. Ann Dermatol Venereol 2011. [DOI: 10.1016/j.annder.2011.10.226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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135
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Perrot JL, Labeille B, Schipkov C, Douchet C, Cambazard F. Repérage par microscopie confocale des marges d’exérèse d’un carcinome basocellulaire infiltrant à propos d’une observation. Ann Dermatol Venereol 2011. [DOI: 10.1016/j.annder.2011.10.209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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136
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Cambazard F, Perrot JL, Labeille B. Que doit faire évoquer l’apparition d’un angiome plan chez un enfant ? Ann Dermatol Venereol 2011. [DOI: 10.1016/j.annder.2011.10.098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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137
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Perrot JL, Labeille B, Douchet C, Alix T, Parraud G, Cambazard F. Repérage par microscopie confocale des marges d’exérèse de mélanomes in situ de type Dubreuilh : à propos de cinq observations. Ann Dermatol Venereol 2011. [DOI: 10.1016/j.annder.2011.10.373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
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138
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Perrot JL, Labeille B, Douchet C, Cambazard F. Diagnostic en microscopie confocale d’un carcinome basocellulaire de type Pinkus. Ann Dermatol Venereol 2011. [DOI: 10.1016/j.annder.2011.10.208] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
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139
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Perrot JL, Labeille B, Douchet C, Biron A, Cambazard F. Maladie de Paget du sein diagnostiquée en microscopie confocale, associée à un carcinome mammaire in situ. Ann Dermatol Venereol 2011. [DOI: 10.1016/j.annder.2011.10.217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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140
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Stalder JF, Barbarot S, Wollenberg A, Holm EA, De Raeve L, Seidenari S, Oranje A, Deleuran M, Cambazard F, Svensson A, Simon D, Benfeldt E, Reunala T, Mazereeuv J, Boralevi F, Kunz B, Misery L, Mortz CG, Darsow U, Gelmetti C, Diepgen T, Ring J, Moehrenschlager M, Gieler U, Taïeb A. Patient-Oriented SCORAD (PO-SCORAD): a new self-assessment scale in atopic dermatitis validated in Europe. Allergy 2011; 66:1114-21. [PMID: 21414011 DOI: 10.1111/j.1398-9995.2011.02577.x] [Citation(s) in RCA: 160] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
BACKGROUND Patient-oriented medicine is an emerging concept, encouraged by the World Health Organization, to greater involvement of the patient in the management of chronic diseases. The Patient-Oriented SCORing Atopic Dermatitis (PO-SCORAD) index is a self-assessment score allowing the patient to comprehensively evaluate the actual course of atopic dermatitis (AD), using subjective and objective criteria derived mainly from the SCORAD, a validated AD severity clinical assessment tool. OBJECTIVES To validate the PO-SCORAD index in a large European population of patients exhibiting all forms of AD severity by assessing its correlation with the SCORAD index. PATIENTS/METHODS Four hundred and seventy-one patients (185 adults, 286 children) consulting for AD in hospitals from 9 European countries were recruited. The investigators and the patients used the SCORAD and PO-SCORAD scales, respectively, to assess AD severity at inclusion (D0) and 28 ± 7 days later (D28). RESULTS Patient-Oriented SCORing Atopic Dermatitis and SCORAD scores were significantly correlated at D0 [r = 0.67 (95% CI: 0.62; 0.72), P < 0.0001]. Consistency was confirmed at D28, with a stronger linear correlation between both scales [r = 0.79 (95% CI: 0.75; 0.83), P < 0.0001]. Absolute changes from baseline in SCORAD and PO-SCORAD scores were also significantly correlated [r= 0.71 (95% CI: 0.64; 0.76), P < 0.0001]. Although no specific intervention was investigated, AD improved over the study, with a decrease of PO-SCORAD and SCORAD scores from D0 to D28 by -19.19% and -24.39%, respectively. The consistency of the correlations was similar in the adult and children groups. CONCLUSIONS This study validated the use of PO-SCORAD to self-assess AD severity and demonstrated its good correlation with SCORAD.
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Affiliation(s)
- J-F Stalder
- Department of Dermatology, Nantes University Hospital, Nantes, France.
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Jouary T, Leyral C, Dreno B, Doussau A, Sassolas B, Beylot-Barry M, Renaud-Vilmer C, Guillot B, Bernard P, Lok C, Bedane C, Cambazard F, Misery L, Estève E, Dalac S, Machet L, Grange F, Young P, Granel-Brocard F, Truchetet F, Vergier B, Delaunay MM, Grob JJ. Adjuvant prophylactic regional radiotherapy versus observation in stage I Merkel cell carcinoma: a multicentric prospective randomized study. Ann Oncol 2011; 23:1074-80. [PMID: 21750118 DOI: 10.1093/annonc/mdr318] [Citation(s) in RCA: 120] [Impact Index Per Article: 9.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND The treatment of stage I Merkel cell carcinoma (MCC) usually includes wide local excision (WLE) combined with irradiation of the tumor bed (ITB). No randomized study has ever been conducted in MCC. The purpose of this study was to assess the efficacy and safety of prophylactic adjuvant radiotherapy on the regional nodes. PATIENTS AND METHODS In this randomized open controlled study, patients for a stage I MCC treated by WLE and ITB were randomly assigned to regional adjuvant radiotherapy versus observation. Overall survival (OS) and probability of regional recurrence (PRR) were primary end points. Progression-free survival (PFS) and tolerance of irradiation were secondary end points. RESULTS Eighty-three patients were included before premature interruption of the trial, due to a drop in the recruitment mainly due to the introduction of the sentinel node dissection in the management of MCC. No significant improvement in OS (P = 0.989) or PFS (P = 0.4) could be demonstrated after regional irradiation, which, however, significantly reduced the PRR (P = 0.007) with 16.7% regional recurrence rate in the observation arm versus 0% in the treatment arm. The treatment was well tolerated. CONCLUSION The adjuvant regional irradiation significantly decreased the PRR in MCC, but benefit in survival could not be demonstrated.
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Affiliation(s)
- T Jouary
- Skin Cancer Unit, Dermatology Department, Hôpital Saint André, Bordeaux, France.
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142
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Doss N, Kamoun MR, Dubertret L, Cambazard F, Remitz A, Lahfa M, de Prost Y. Efficacy of tacrolimus 0.03% ointment as second-line treatment for children with moderate-to-severe atopic dermatitis: evidence from a randomized, double-blind non-inferiority trial vs. fluticasone 0.005% ointment. Pediatr Allergy Immunol 2010; 21:321-9. [PMID: 19563466 DOI: 10.1111/j.1399-3038.2009.00895.x] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Tacrolimus 0.03% ointment is licensed for second-line treatment of children with atopic dermatitis (AD). Although data are available from clinical trials, no study has enrolled only second-line patients. This double-blind, non-inferiority study compared tacrolimus 0.03% and fluticasone 0.005% ointments in children with moderate-to-severe AD, who had responded insufficiently to conventional therapies. Children (aged 2-15 yr) were randomized to tacrolimus ointment (n = 240) or fluticasone ointment (n = 239), twice daily until clearance or for a maximum of 3 wk and, if lesions remained, once daily for up to 3 wk further. Primary end-point was week 3 response rate (improvement of >or=60% in modified Eczema Area and Severity Index and not withdrawn for lack of efficacy). Secondary end-points included pruritus and sleep quality, global assessment of clinical response, incidence of new flares and safety. Response rates were 86.3% with tacrolimus ointment and 91.5% with fluticasone. Lower limit of the 95% confidence interval was -11.8%, exceeding the non-inferiority limit of -15% and meeting the primary end-point. Moderate or better improvement on the physicians' global assessment occurred in 93.6% and 92.4% of patients in the tacrolimus ointment and fluticasone arms, respectively, while median pruritus scores improved by 84.0% and 91.5%. Sleep quality improved by approximately 92% in both treatment arms. After day 21, new flare-up occurred in 5.5% and 11.3% of patients receiving tacrolimus ointment and fluticasone, respectively; mean times to new flares were 6.5 +/- 5.0 and 8.6 +/- 5.2 days. Adverse events were similar between the two arms, with the exception of application-site skin burning sensation in the tacrolimus ointment group. In conclusion, efficacy of tacrolimus 0.03% ointment as second-line treatment was not inferior to that of fluticasone 0.005% ointment, with similar benefits on global disease improvement and quality of sleep.
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Affiliation(s)
- N Doss
- Department of Dermatology, Military Hospital of Tunis, Tunis, Tunisia.
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143
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Ben Said B, Maitre S, Perrot JL, Labeille B, Cambazard F. [Hypercalcemia-hyperleukocytosis paraneoplastic syndrome complicating cutaneous squamous cell carcinoma. Report of two cases]. Rev Med Interne 2010; 31:309-11. [PMID: 20167400 DOI: 10.1016/j.revmed.2009.08.004] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2009] [Revised: 07/08/2009] [Accepted: 08/13/2009] [Indexed: 11/28/2022]
Abstract
INTRODUCTION We report two cases of hypercalcemia-hyperleucocytosis paraneoplastic syndrome complicating cutaneous squamous cell carcinoma. CASE REPORTS The first patient, a 50-year-old man, suffering for hidradenitis suppurativa for the past 20 years, was admitted for squamous cell carcinoma. Laboratory findings showed marked hypercalcemia and hyperleucocytosis. PTHrP serum level was increased. Bone scintigraphy was normal. There was evidence of pulmonary metastasis. Despite treatment the patient died of agranulocytosis. The second patient was a 60-year-old man who presented with several months enlarging left axillary tumour. He has been treated by surgery for a squamous cell carcinoma of the left hand, 6 months ago. Serum calcium and white cell bloods count were elevated. The diagnosis of metastatic lymph node of cutaneous squamous cell carcinoma was confirmed. There was evidence of pulmonary metastasis. Despite chemotherapy the patient died rapidly. CONCLUSION Hypercalcemia-hyperleucocytosis paraneoplastic syndrome is rarely described during the course of cutaneous squamous cell carcinoma. This syndrome seems to be related to hormones or cytokines secretion by the neoplasic cells including PTHrP and G-CSF. Some authors ascribe it a poor prognostic significance.
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Affiliation(s)
- B Ben Said
- Service de dermatologie, hôpital Nord, CHU St-Etienne, avenue Albert-Raimond, St-Priest-en-Jarez, France.
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144
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Bissonnette R, Worm M, Gerlach B, Guenther L, Cambazard F, Ruzicka T, Maares J, Brown T. Successful retreatment with alitretinoin in patients with relapsed chronic hand eczema. Br J Dermatol 2009; 162:420-6. [DOI: 10.1111/j.1365-2133.2009.09572.x] [Citation(s) in RCA: 75] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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145
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Cambazard F. Un nouveau traitement dans le psoriasis du cuir chevelu : Xamiol® : Résultats à court terme et à long terme. Ann Dermatol Venereol 2009. [DOI: 10.1016/s0151-9638(09)74550-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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146
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Chraibi R, Gentil-Perret A, Clemenson A, Labeille B, Perrot JL, Cambazard F. [Infantile myofibromatosis with ulceration]. Ann Dermatol Venereol 2009; 136:366-7. [PMID: 19361707 DOI: 10.1016/j.annder.2008.10.028] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2008] [Accepted: 10/10/2008] [Indexed: 10/21/2022]
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147
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Chraïbi R, Labeille B, Perrot JL, Cambazard F. [Congenital macroglossia (Wiedmann-Beckwith syndrome)]. Ann Dermatol Venereol 2009; 136:91-2. [PMID: 19171243 DOI: 10.1016/j.annder.2008.09.015] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2008] [Accepted: 09/19/2008] [Indexed: 10/21/2022]
Affiliation(s)
- R Chraïbi
- Service de dermatologie, CHU de Saint-Etienne, Saint-Etienne, France.
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148
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Chraïbi R, Labeille B, Perrot JL, Cambazard F. [Porphyria cutanea tarda in a patient presenting hepatitis C treated with imatinib]. Ann Dermatol Venereol 2008; 135:775-6. [PMID: 19061660 DOI: 10.1016/j.annder.2008.03.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2008] [Accepted: 03/22/2008] [Indexed: 10/21/2022]
Affiliation(s)
- R Chraïbi
- Service de dermatologie, hôpital Nord, CHU de Saint-Etienne, Saint-Etienne, France.
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149
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Reitamo S, Rustin M, Harper J, Kalimo K, Rubins A, Cambazard F, Brenninkmeijer E, Smith C, Berth-Jones J, Ruzicka T, Sharpe G, Taieb A. A 4-year follow-up study of atopic dermatitis therapy with 0·1% tacrolimus ointment in children and adult patients. Br J Dermatol 2008; 159:942-51. [DOI: 10.1111/j.1365-2133.2008.08747.x] [Citation(s) in RCA: 57] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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150
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Luger TA, Cambazard F, Larsen FG, Bourcier M, Gupta G, Clonier F, Kidson P, Shear NH. A study of the safety and efficacy of calcipotriol and betamethasone dipropionate scalp formulation in the long-term management of scalp psoriasis. Dermatology 2008; 217:321-8. [PMID: 18787325 DOI: 10.1159/000155642] [Citation(s) in RCA: 74] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2008] [Accepted: 07/11/2008] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Effective and safe products are needed for long-term management of scalp psoriasis. This study investigated the long-term safety and efficacy of a two-compound formulation (calcipotriol 50 microg/g plus betamethasone dipropionate 0.5 mg/g) for scalp psoriasis. METHODS In this 52-week, international, double-blind study, 869 patients with moderate-to-severe scalp psoriasis were randomized to either a two-compound scalp formulation (n = 429) or calcipotriol (n = 440). RESULTS Adverse drug reactions were less frequent in the two-compound group compared with the calcipotriol group (17.2 vs. 29.5%; p < 0.001). Incidences of adverse events possibly associated with long-term corticosteroid use were low in both the two-compound (2.6%) and the calcipotriol (3.0%) groups. Disease was satisfactorily controlled in 92.3% of visits in the two-compound group versus 80.0% in the calcipotriol group (p < 0.001). CONCLUSION The two-compound scalp formulation demonstrated a high level of safety and efficacy in long-term management of scalp psoriasis.
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Affiliation(s)
- T A Luger
- Department of Dermatology, University Clinic Münster, Münster, Germany.
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