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Vázquez-López F, Reyes-García S, Carrero-Martín J, Núñez-Domínguez Á, López-Pando M, Kiecis E, González-Vela MC, González-López MA. Risk of systemic cancer in patients with acquired perforating dermatosis. A double case-control retrospective study. Arch Dermatol Res 2024; 316:335. [PMID: 38844613 DOI: 10.1007/s00403-024-02962-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2023] [Revised: 04/20/2024] [Accepted: 04/26/2024] [Indexed: 06/27/2024]
Affiliation(s)
- Francisco Vázquez-López
- Dermatology Department, Hospital Universitario Central de Asturias, University of Oviedo, Avenida de Roma, s/n, Oviedo, Asturias, 33011, Spain
- GRIDER (Dermatology Investigation Group of Asturias, University of Oviedo), Oviedo, Spain
| | - Sebastian Reyes-García
- Dermatology Department, Hospital Universitario Central de Asturias, University of Oviedo, Avenida de Roma, s/n, Oviedo, Asturias, 33011, Spain
| | - Jimena Carrero-Martín
- Dermatology Department, Hospital Universitario Central de Asturias, University of Oviedo, Avenida de Roma, s/n, Oviedo, Asturias, 33011, Spain
| | - Álvaro Núñez-Domínguez
- Dermatology Department, Hospital Universitario Central de Asturias, University of Oviedo, Avenida de Roma, s/n, Oviedo, Asturias, 33011, Spain
| | - Marta López-Pando
- Dermatology Department, Hospital Universitario Central de Asturias, University of Oviedo, Avenida de Roma, s/n, Oviedo, Asturias, 33011, Spain
| | - Edgars Kiecis
- Dermatology Department, Hospital Universitario Central de Asturias, University of Oviedo, Avenida de Roma, s/n, Oviedo, Asturias, 33011, Spain
| | - M Carmen González-Vela
- Pathology Department, Hospital Universitario Marqués de Valdecilla, University of Cantabria, IDIVAL, Avenida de Valdecilla s/n, Santander, Cantabria, 39008, Spain
| | - Marcos A González-López
- Dermatology Department, Department of Medicine and Psychiatry, Hospital Universitario Marqués de Valdecilla, University of Cantabria, IDIVAL, Avenida de Valdecilla s/n, Santander, Cantabria, 39008, Spain.
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Al-Showbaki L, Toubasi AA, Jaber DZ, Shdifat MA, Al-Maani N, Qudah O, Fararjeh F, Amir E. Paraneoplastic Cutaneous Manifestations of Hepatocellular Carcinoma. A Systematic Review and Meta-analysis. J Cancer 2024; 15:1021-1029. [PMID: 38230223 PMCID: PMC10788718 DOI: 10.7150/jca.88931] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Accepted: 12/04/2023] [Indexed: 01/18/2024] Open
Abstract
Background: There remains a scarcity of published data on the clinical significance of paraneoplastic cutaneous manifestations in hepatocellular carcinoma (HCC). Method: A systematic search of MEDLINE was performed in December 2022. Inclusion criteria comprised studies reporting on patients with HCC, who had paraneoplastic cutaneous manifestations. Outcomes of interests comprise survival and response to cancer-directed and/or skin directed therapy. Results: A total of 48 studies comprising 60 HCC patients were included in the analysis. The most frequent reported skin abnormalities were dermatomyositis, pityriasis rotunda, and porphyria. Most patients presented with dermatomyositis had underlying viral hepatitis, while all reported porphyria and acanthosis cases were associated with metabolic causes of HCC, such as steatosis. Paraneoplastic skin changes were more common in patients with metastatic disease. Pityriasis Rotunda was associated with the lowest risk of death, (OR: 0.05, 95% CI: 0.003 to 0.89; p = 0.04), while dermatomyositis had a statistically significant higher risk of death (OR: 3.37, 95% CI: 1.01-12.1; p = 0.03). Most patients showed an improvement in their cutaneous abnormalities, following cancer-directed therapy. Conclusion: Paraneoplastic cutaneous manifestations are reported more frequently in patients with a higher burden of disease, especially presence of metastases. Certain cutaneous manifestations have prognostic implication.
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Affiliation(s)
- Laith Al-Showbaki
- Division of Hematology and Medical Oncology, Department of Medicine, Jordan University Hospital and School of Medicine, the University of Jordan, Amman, Jordan
| | | | - Dunia Z. Jaber
- School of Medicine, The University of Jordan, Amman, Jordan
| | | | - Noor Al-Maani
- Division of Dermatology, Department of Medicine, Jordan university Hospital and school of Medicine, The University of Jordan, Amman, Jordan
| | - Omar Qudah
- Division of Hepatology and gastroenterology, Department of Medicine, Jordan university Hospital and school of Medicine, The University of Jordan, Amman, Jordan
| | - Feras Fararjeh
- Division of Hematology and Medical Oncology, Department of Medicine, Jordan University Hospital and School of Medicine, the University of Jordan, Amman, Jordan
| | - Eitan Amir
- Division of Medical Oncology and Hematology, Princess Margaret Cancer Centre, University Health Network, University of Toronto, Toronto, ON. Canada
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Bohdanowicz M, Bradshaw SH. Perforating Gout: Expanding the Differential for Transepidermal Elimination. Dermatopathology (Basel) 2023; 10:207-218. [PMID: 37489453 PMCID: PMC10366899 DOI: 10.3390/dermatopathology10030029] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2023] [Revised: 07/03/2023] [Accepted: 07/04/2023] [Indexed: 07/26/2023] Open
Abstract
Perforating dermatoses are dermatologic disorders with transepidermal elimination (TE) of dermal substances. While TE is typically associated with collagen and elastin, it can also occur as a secondary event in other processes, and it is important to keep a broad differential. We present a case of perforating tophaceous gout, which underscores the need for a thoughtful approach to perforating disorders. An updated review of recent literature is also presented.
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Affiliation(s)
- Michal Bohdanowicz
- Department of Medicine, Sunnybrook Campus, University of Toronto, 2075 Bayview Ave., Toronto, ON M4N 3N5, Canada
| | - Scott H Bradshaw
- Department of Medicine, Sunnybrook Campus, University of Toronto, 2075 Bayview Ave., Toronto, ON M4N 3N5, Canada
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Ghosh SK, Datta M, Das S, Mondal S. Pruritic papules in a boy. Pediatr Dermatol 2022; 39:470-472. [PMID: 35797213 DOI: 10.1111/pde.15024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/09/2022] [Revised: 03/23/2022] [Accepted: 04/17/2022] [Indexed: 11/29/2022]
Affiliation(s)
- Sudip Kumar Ghosh
- Department of Dermatology, Venereology, and Leprosy, R. G. Kar Medical College, Kolkata, West Bengal, India
| | - Madhab Datta
- Department of Dermatology, Venereology, and Leprosy, R. G. Kar Medical College, Kolkata, West Bengal, India
| | - Sisir Das
- Department of Dermatology, Venereology, and Leprosy, R. G. Kar Medical College, Kolkata, West Bengal, India
| | - Satarupa Mondal
- Department of Dermatology, Venereology, and Leprosy, R. G. Kar Medical College, Kolkata, West Bengal, India
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