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Bertlich I, Enk A, Haenssle HA, Höfer H, Haus G. Ausgeprägte Lokalreaktion nach Biss der mediterranen Spinne Zoropsis spinimana. J Dtsch Dermatol Ges 2019; 17:76-78. [DOI: 10.1111/ddg.13717_g] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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102
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Majenka P, Hoffmann M, Rötzer I, Dimitrakopoulou-Strauss A, Koschny R, Longerich T, Enk A, Hassel JC. Diet-dependent toxicity of ipilimumab in metastatic melanoma. Eur J Cancer 2018; 106:220-224. [PMID: 30528806 DOI: 10.1016/j.ejca.2018.10.018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2018] [Revised: 10/03/2018] [Accepted: 10/27/2018] [Indexed: 11/25/2022]
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103
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Bertlich I, Enk A, Haenssle HA, Höfer H, Haus G. Extensive local reaction after bite of the Mediterranean spider Zoropsis spinimana. J Dtsch Dermatol Ges 2018; 17:76-78. [PMID: 30506826 DOI: 10.1111/ddg.13717] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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104
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Leichsenring J, Stögbauer F, Volckmar AL, Buchhalter I, Oliveira C, Kirchner M, Fröhling S, Hassel J, Enk A, Schirmacher P, Endris V, Penzel R, Stenzinger A. Genetic profiling of melanoma in routine diagnostics: assay performance and molecular characteristics in a consecutive series of 274 cases. Pathology 2018; 50:703-710. [DOI: 10.1016/j.pathol.2018.08.004] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2018] [Revised: 08/01/2018] [Accepted: 08/14/2018] [Indexed: 11/16/2022]
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105
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Fink C, Fuchs T, Enk A, Haenssle HA. Design of an Algorithm for Automated, Computer-Guided PASI Measurements by Digital Image Analysis. J Med Syst 2018; 42:248. [DOI: 10.1007/s10916-018-1110-7] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2017] [Accepted: 10/24/2018] [Indexed: 11/28/2022]
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106
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Epple A, Paffhausen J, Fink C, Enk A, Sedlaczek O, Haenssle H. Chronic recurrent multifocal osteomyelitiswith psoriatic skin manifestations in a 12-year-old female. Dermatol Pract Concept 2018; 8:297-298. [PMID: 30479859 PMCID: PMC6246070 DOI: 10.5826/dpc.0804a09] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2018] [Accepted: 03/15/2018] [Indexed: 10/31/2022] Open
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107
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Silva-Vilches C, Ring S, Schrader J, Clausen BE, Probst HC, Melchior F, Schild H, Enk A, Mahnke K. Production of Extracellular Adenosine by CD73 + Dendritic Cells Is Crucial for Induction of Tolerance in Contact Hypersensitivity Reactions. J Invest Dermatol 2018; 139:541-551. [PMID: 30393085 DOI: 10.1016/j.jid.2018.10.016] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2018] [Revised: 10/02/2018] [Accepted: 10/15/2018] [Indexed: 02/02/2023]
Abstract
Dendritic cells (DCs) express the ecto-5'-nucleotidase CD73 that generates immunosuppressive adenosine (Ado) by dephosphorylation of extracellular Ado monophosphate and diphosphate. To investigate whether CD73-derived Ado has immune-suppressive activity, 2,4-dinitrothiocyanobenzene (DNTB) was applied to skin of wild-type (WT) or CD73-deficient (CD73-/-) mice, followed by sensitization and challenge with 2,4-dinitrofluorobenzene. In this model, we show the induction of tolerance by DNTB against 2,4-dinitrofluorobenzene only in WT but not in CD73-/- mice. Analysis of skin DCs showed increased expression of CD73 after application of DNTB in WT mice. That was accompanied by elevated concentrations of extracellular Ado in the lymph node. Moreover, T cells expressed markers for anergy, namely EGR2 and NDRG1 in DNTB-treated WT mice and they exhibited impaired proliferation upon ex vivo re-stimulation. Similarly, in vitro we observed that Ado-producing WT DCs, but not CD73-/- DCs, rendered transgenic T cells from OTII mice (OTII T cells) hyporeactive, decreased their T-cell costimulatory signaling, and induced up-regulation of EGR2 and NDRG1. Thus, these data show that expression of CD73 by DCs, which triggers elevated levels of extracellular Ado, is a crucial mechanism for the induction of anergic T cells and tolerance.
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108
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Menzer C, Beedgen B, Rom J, Duffert CM, Volckmar AL, Sedlaczek O, Richtig E, Enk A, Jäger D, Hassel JC. Immunotherapy with ipilimumab plus nivolumab in a stage IV melanoma patient during pregnancy. Eur J Cancer 2018; 104:239-242. [PMID: 30454709 DOI: 10.1016/j.ejca.2018.09.008] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2018] [Accepted: 09/12/2018] [Indexed: 12/29/2022]
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109
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Fink C, Alt C, Uhlmann L, Klose C, Enk A, Haenssle H. Precision and reproducibility of automated computer‐guided Psoriasis Area and Severity Index measurements in comparison with trained physicians. Br J Dermatol 2018; 180:390-396. [DOI: 10.1111/bjd.17200] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/16/2018] [Indexed: 01/05/2023]
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110
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Fink C, Kilian S, Bertlich I, Hoxha E, Bardehle F, Enk A, Haenssle HA. Evaluation of capillary pathologies by nailfold capillaroscopy in patients with psoriasis vulgaris: study protocol for a prospective, controlled exploratory study. BMJ Open 2018; 8:e021595. [PMID: 30099394 PMCID: PMC6089272 DOI: 10.1136/bmjopen-2018-021595] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
INTRODUCTION Psoriasis vulgaris was shown to be an independent factor increasing the risk of several comorbidities such as obesity, diabetes and dyslipidaemia with an increased risk of stroke and myocardial infarction. We hypothesise that early endothelial dysfunction, which plays a crucial role in the pathogenesis of atherosclerosis, may be detected by digital video nailfold capillaroscopy (DVNC) at the level of the dermal capillary microvasculature as a surrogate parameter. Nailfolds represent the only body site allowing for a non-invasive assessment of the capillary microvasculature at a horizontal plane. DVNC is a well-established diagnostic tool for in vivo assessment of the peripheral microcirculation by evaluating the morphology of dermal papillary capillaries. To date, reports on morphological changes of the non-lesional nailfold capillaries in patients with psoriasis vulgaris are scarce and the existing data are not conclusive. METHODS AND ANALYSIS This is a prospective, single-centre, non-randomised, controlled, exploratory study assessing the capillary patterns in 100 subjects affected by psoriasis vulgaris. Non-lesional nailfold capillaries will be imaged by means of DVNC (Optilia Digital Capillaroscopy System, Optilia Instruments AB, Sollentuna, Sweden) in 50 patients affected by psoriasis vulgaris and 50 healthy controls. Assessments will include a qualitative, descriptive analysis of the nailfold capillaries' morphology, as well as a quantitative investigation (frequency, extent) of changes in capillary patterns. Moreover, patients' characteristics associated with the manifestation of nailfold capillaries' pathologies including well-known cardiovascular risk markers will be studied. ETHICS AND DISSEMINATION Ethical approval was provided by the ethic committee of the medical faculty of the University of Heidelberg (Ethics approval number S-447/2017). The design and the final results of the study will be published and made available to the public. TRIAL REGISTRATION NUMBER DRKS00012856.
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111
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Toberer F, Jaschinski H, Enk A, Haenssle HA. Rötlicher Knoten am Kapillitium eines jungen Mannes. Hautarzt 2018; 69:703-706. [DOI: 10.1007/s00105-018-4169-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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112
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Hanner S, Wieland U, Hartschuh W, Enk A, Toberer F. Merkel cell polyomavirus integration-PCR in bilateral metachronous Merkel cell carcinoma on the nose. J Eur Acad Dermatol Venereol 2018; 33:e16-e18. [PMID: 29888815 DOI: 10.1111/jdv.15113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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113
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Augustin M, Wimmer J, Biedermann T, Blaga R, Dierks C, Djamei V, Elmer A, Elsner P, Enk A, Gass S, Henningsen M, Hofman-Wellenhof R, von Kiedrowski R, Kunz HD, Liebram C, Navarini A, Otten M, Reusch M, Schüller C, Zink A, Strömer K. Praxis der Teledermatologie. J Dtsch Dermatol Ges 2018; 16 Suppl 5:6-57. [DOI: 10.1111/ddg.13512] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
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114
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Fink C, Uhlmann L, Hofmann M, Forschner A, Eigentler T, Garbe C, Enk A, Haenssle HA. Patientenakzeptanz und -vertrauen in die automatisierte, computergestützte Diagnostik des Melanoms mithilfe der Dermatofluoroskopie. J Dtsch Dermatol Ges 2018; 16:854-860. [DOI: 10.1111/ddg.13562_g] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2017] [Accepted: 12/19/2017] [Indexed: 11/29/2022]
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115
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Winkler JK, Fink C, Enk A, Toberer F. Hyperkeratotische Papeln mit retikulärem Muster am Dekolleté. Hautarzt 2018; 69:606-608. [DOI: 10.1007/s00105-018-4133-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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116
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Fink C, Uhlmann L, Hofmann M, Forschner A, Eigentler T, Garbe C, Enk A, Haenssle HA. Patient acceptance and trust in automated computer-assisted diagnosis of melanoma with dermatofluoroscopy. J Dtsch Dermatol Ges 2018; 16:854-859. [PMID: 29927518 DOI: 10.1111/ddg.13562] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2017] [Accepted: 12/19/2017] [Indexed: 01/13/2023]
Abstract
BACKGROUND AND OBJECTIVES Automated computer-guided diagnostic procedures are increasingly being integrated into patient care. However, in contrast to the increasing application of automation, patient acceptance and trust in such technologies has rarely been studied. Automated diagnosis of melanoma with dermatofluoroscopy was recently approved by regulatory agencies. The objective of this study is to assess patient acceptance and trust in automated melanoma diagnosis with dermatofluoroscopy. PATIENTS AND METHODS We examined 140 pigmented skin lesions with dermatofluoroscopy as part of a prospective clinical study. Four weeks after their examination with dermatofluoroscopy, we contacted 100 patients with a 10-item questionnaire addressing their acceptance and trust in this technology on a five-point visual analogue scale. RESULTS A "high" to "very high" level of patient acceptance and trust in dermatofluoroscopy was found in 74 % of responders. Most patients agreed that computer-assisted diagnoses are trustworthy and may generally improve the diagnostic performance of physicians. However, all responders insisted on the interpretation of computer-assisted diagnoses by a physician and frequently rejected the idea of computers completely replacing physicians. CONCLUSION Patient acceptance and trust in dermatofluoroscopy was high. Patients clearly supported the use of automated, computer-assisted diagnostics as an adjunct to the physicians' examination.
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Toberer F, Mechtersheimer G, Jaschinski H, Enk A, Hakim-Meibodi L, Haenssle HA. Spontaneous Regression of Primary Cutaneous Diffuse Large B-cell Lymphoma, Leg Type. Acta Derm Venereol 2018; 98:608-609. [PMID: 29508000 DOI: 10.2340/00015555-2921] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
MESH Headings
- Aged
- Biomarkers, Tumor/analysis
- Biomarkers, Tumor/genetics
- Biopsy
- Humans
- Immunohistochemistry
- Leg
- Lymphoma, Large B-Cell, Diffuse/chemistry
- Lymphoma, Large B-Cell, Diffuse/genetics
- Lymphoma, Large B-Cell, Diffuse/pathology
- Lymphoma, Large B-Cell, Diffuse/radiotherapy
- Male
- Neoplasm Regression, Spontaneous
- Skin Neoplasms/chemistry
- Skin Neoplasms/genetics
- Skin Neoplasms/pathology
- Skin Neoplasms/radiotherapy
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118
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Sommer R, Mrowietz U, Radtke MA, Schäfer I, von Kiedrowski R, Strömer K, Enk A, Maul JT, Reich K, Zander N, Augustin M. Was ist Schuppenflechte? - Wahrnehmung und Bewertung der Psoriasis in der deutschen Bevölkerung. J Dtsch Dermatol Ges 2018; 16:703-710. [DOI: 10.1111/ddg.13539_g] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2017] [Accepted: 12/01/2017] [Indexed: 11/29/2022]
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119
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Sommer R, Mrowietz U, Radtke MA, Schäfer I, von Kiedrowski R, Strömer K, Enk A, Maul JT, Reich K, Zander N, Augustin M. What is psoriasis? - Perception and assessment of psoriasis among the German population. J Dtsch Dermatol Ges 2018; 16:703-710. [DOI: 10.1111/ddg.13539] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2017] [Accepted: 12/01/2017] [Indexed: 11/30/2022]
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120
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Gholam P, Bosselmann I, Enk A, Fink C. Einfluss von Rot- versus Blaulicht auf Verträglichkeit und Wirksamkeit der PDT: eine randomisierte kontrollierte Studie. J Dtsch Dermatol Ges 2018; 16:711-718. [DOI: 10.1111/ddg.13545_g] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2017] [Accepted: 12/12/2017] [Indexed: 11/29/2022]
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121
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Hassel JC, Menzer C, Menzies AM, Carlino MS, Long GV, Kefford R, Eigentler TK, Johnson DB, Schlaak M, Meiss F, Schilling B, Gutzmer R, Pföhler C, Meier FE, Zimmer L, Haalck T, Thoms K, Kopp-Schneider A, Enk A. BRAF/MEK inhibition in melanoma patients with rare BRAF mutations. J Clin Oncol 2018. [DOI: 10.1200/jco.2018.36.15_suppl.9542] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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122
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Toberer F, Enk A, Hartschuh W, Grüllich C. Testicular choriocarcinoma with cutaneous metastasis in a 19-year-old man. J Cutan Pathol 2018; 45:535-538. [DOI: 10.1111/cup.13261] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2018] [Revised: 04/05/2018] [Accepted: 04/06/2018] [Indexed: 11/26/2022]
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123
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Martín-García D, Enk A, Lonsdorf A. 1226 Role of CC-chemokine receptor 6 (CCR6) and CC-chemokine ligand 20 (CCL20) mediated immunosurveillance in malignant melanoma. J Invest Dermatol 2018. [DOI: 10.1016/j.jid.2018.03.1241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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124
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Haeberle S, Wei X, Bieber K, Goletz S, Ludwig R, Schmidt E, Enk A, Hadaschik E. 064 Impaired peripheral tolerance leads to AIBD phenotype with pathogenic antibodies and blister formation. J Invest Dermatol 2018. [DOI: 10.1016/j.jid.2018.03.068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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125
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Estelmann S, Neuberger A, Toberer F, Fink C, Enk A, Haenssle HA. Mycosis fungoides in a 15-year-old adolescent. Dermatol Pract Concept 2018; 8:123-125. [PMID: 29785329 PMCID: PMC5955079 DOI: 10.5826/dpc.0802a10] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2017] [Accepted: 12/12/2017] [Indexed: 12/05/2022] Open
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