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Nicolas JF, Cozzani E, Ghohestani R, Peyron E, Thivolet J, Claudy A. Les pemphigus, maladies auto-immunes acquises de l'adhérence des kératinocytes. Med Sci (Paris) 2013. [DOI: 10.4267/10608/2399] [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] Open
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Kanitakis J, Faisant M, Wagschal D, Haftek M, Claudy A. Cutaneous collagenous vasculopathy: ultrastructural and immunohistochemical study of a new case. Am J Clin Dermatol 2010; 11:63-6. [PMID: 20000878 DOI: 10.2165/11311030-000000000-00000] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.6] [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: 11/02/2022]
Abstract
Cutaneous collagenous vasculopathy is a very rare entity first described in 2000, manifesting clinically with acquired, progressively diffuse, cutaneous telangiectases with a histologically distinct aspect, characterized by a thick hyaline collagenous wall. Its cause is unknown. Differential diagnosis includes mainly generalized essential telangiectasia and telangiectatic mastocytosis. We report a 65-year-old Caucasian patient who presented with progressive telangiectasia starting over the lower limbs that spread progressively upwards. Histopathologic (light and electron microscopic) examinations were typical of cutaneous collagenous vasculopathy. We review the salient clinicopathologic features of this poorly known condition.
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Affiliation(s)
- Jean Kanitakis
- Department of Dermatology, Ed. Herriot Hospital, Lyon, France.
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Euvrard S, Boissonnat P, Roussoulières A, Kanitakis J, Decullier E, Claudy A, Sebbag L. Effect of everolimus on skin cancers in calcineurin inhihitor-treated heart transplant recipients. Transpl Int 2009; 23:855-7. [DOI: 10.1111/j.1432-2277.2009.01010.x] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Kanitakis J, Rival-Tringali AL, Chouvet B, Vignot E, Claudy A, Faure M. Porokeratoma (porokeratotic acanthoma): immunohistological study of a new case. J Cutan Pathol 2009; 36:804-7. [DOI: 10.1111/j.1600-0560.2008.01122.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [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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Rival-Tringali AL, Euvrard S, Decullier E, Claudy A, Faure M, Kanitakis J. Conversion from calcineurin inhibitors to sirolimus reduces vascularization and thickness of post-transplant cutaneous squamous cell carcinomas. Anticancer Res 2009; 29:1927-1932. [PMID: 19528449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
BACKGROUND Immunosuppression favors the development of skin cancer. Experimental data suggest that sirolimus (SRL) has antitumoral and antiangiogenic properties. An investigation was undertaken into the effects of SRL on squamous cell carcinoma (SCC) developing in organ transplant recipients (OTR) receiving immunosuppressive treatments, with special emphasis on vascularization. MATERIALS AND METHODS SCC that developed in eight OTR before and after conversion from calcineurin inhibitors (CNI) to SRL were compared for thickness, differentiation, ulceration, perineural invasion, density of peritumoral infiltrate, peritumoral vascularization, density of T-regulatory cells and of intratumoral Langerhans cells and growth fraction. RESULTS SCC developing under SRL showed lower peritumoral vascularization and thickness, and higher growth fraction and density of peritumoral T-regulatory cells. CONCLUSION Conversion from CNI to SRL at clinically relevant doses is associated in vivo with a reduced vascularization and thickness of post-transplant human cutaneous SCC. This effect could account for the beneficial effect of SRL on immunosuppression-induced skin carcinogenesis in humans.
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Affiliation(s)
- Anne-Laure Rival-Tringali
- Hospices Civils de Lyon, Hôspital Edouard Herriot, Clinique Dermatologique (Pav. R), 69437 Lyon Cedex 03, France
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Ktiouet S, Bertrand Y, Rival-Tringali AL, Kanitakis J, Malcus C, Poitevin F, Picard C, Claudy A, Faure M. Omenn syndrome due to mutation of the RAG2 gene. J Eur Acad Dermatol Venereol 2009; 23:1449-51. [PMID: 19470080 DOI: 10.1111/j.1468-3083.2009.03232.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Jaconelli L, Kanitakis J, Ktiouet S, Faure M, Claudy A. Multinucleate cell angiohistiocytoma: report of three new cases and literature review. Dermatol Online J 2009; 15:4. [PMID: 19336021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023] Open
Abstract
Multinucleate cell angiohistiocytoma (MCA) is a rare benign vascular proliferation of the skin of unknown cause. About 75 cases have been reported previously. We present herein three new cases of MCA studied immunohistologically and present a review the relevant literature that delineates the salient clinicopathological features of this unusual entity.
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Affiliation(s)
- Laure Jaconelli
- Dept. of Dermatology, Ed. Herriot Hospital, Lyon cedex 03, France
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Nosbaum A, Rival-Tringali AL, Barth X, Damon H, Vital-Durand D, Claudy A, Faure M. Nickel-induced systemic allergic dermatitis from a sacral neurostimulator. Contact Dermatitis 2009; 59:319-20. [PMID: 18976388 DOI: 10.1111/j.1600-0536.2008.01434.x] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- A Nosbaum
- Department of Dermatology, Edouard Herriot Hospital, Lyon, France
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Jaconelli L, Kanitakis J, Ktiouet S, Faure M, Claudy A. Multinucleate cell angiohistiocytoma: Report of three new cases and literature review. Dermatol Online J 2009. [DOI: 10.5070/d30z27t0xz] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
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Affiliation(s)
- Sylvie Euvrard
- Department of Dermatology, Hôpital Edouard Herriot, 69437 Lyon, Cedex 03, France
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Reitamo S, Spuls P, Sassolas B, Lahfa M, Claudy A, Griffiths C. Efficacy of sirolimus (rapamycin) administered concomitantly with a subtherapeutic dose of cyclosporin in the treatment of severe psoriasis: a randomized controlled trial. Br J Dermatol 2008. [DOI: 10.1111/j.1365-2133.2001.04376.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [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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Ghohestani R, Nicolas JF, Kanitakis J, Bedane C, Faure M, Claudy A. Pemphigoid gestationis with autoantibodies exclusively directed to the 230-kDa bullous pemphigoid antigen (BP230Ag). Br J Dermatol 2008. [DOI: 10.1046/j.1365-2133.1996.t01-6-53778.x] [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: 11/20/2022]
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Quereux G, Marques S, Nguyen JM, Bedane C, D’incan M, Dereure O, Puzenat E, Claudy A, Martin L, Joly P, Delaunay M, Beylot-Barry M, Vabres P, Celerier P, Sasolas B, Grange F, Khammari A, Dreno B. Prospective Multicenter Study of Pegylated Liposomal Doxorubicin Treatment in Patients With Advanced or Refractory Mycosis Fungoides or Sézary Syndrome. ACTA ACUST UNITED AC 2008; 144:727-33. [DOI: 10.1001/archderm.144.6.727] [Citation(s) in RCA: 73] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Nosbaum A, Allombert-Blaise C, Ly A, Jullien D, Faure M, Claudy A, Simon M. [Efalizumab-induced pancytopenia]. Ann Dermatol Venereol 2008; 135:407-8. [PMID: 18457730 DOI: 10.1016/j.annder.2007.05.005] [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] [Received: 04/02/2007] [Accepted: 05/11/2007] [Indexed: 11/24/2022]
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Jaconelli L, Doebelin B, Kanitakis J, Saïd BB, Faure M, Claudy A. Granular parakeratosis in a patient treated with liposomal doxorubicin for ovarian carcinoma. J Am Acad Dermatol 2008; 58:S84-7. [DOI: 10.1016/j.jaad.2007.05.031] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2007] [Revised: 05/07/2007] [Accepted: 05/28/2007] [Indexed: 11/29/2022]
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Doebelin B, Ly A, Allombert C, Faure M, Claudy A. Effets secondaires dermatologiques des inhibiteurs de l’EGFR. Presse Med 2008; 37:485-9. [PMID: 17601698 DOI: 10.1016/j.lpm.2007.05.024] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/20/2006] [Revised: 04/27/2007] [Accepted: 05/23/2007] [Indexed: 11/23/2022] Open
Abstract
Epidermal growth cell receptors (EGFR) play a key role in tumor proliferation. Their inhibitors (anti-EGFR) are promising treatments for various types of cancers. Papulopustular follicular eruptions are the most frequent dermatological side effect and occur in 45 to 85% of patients receiving this treatment. Paronychias appear after several weeks of treatment. They are painful and impair hand and foot function. A positive correlation seems to exist between the intensity of the papulo-follicular eruption, tumor regression and survival.
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Bathelier E, Ly A, Kanitakis J, Ranchere-Vince D, Chouvet B, Allombert C, Faure M, Claudy A. Subcutaneous dermatofibrosarcoma protuberans masquerading as a cyst. J Eur Acad Dermatol Venereol 2007; 21:1127-8. [PMID: 17714149 DOI: 10.1111/j.1468-3083.2006.02114.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Abstract
Lesions developing in organ transplant patients may have a misleading clinical appearance. We report herein a case of Bowen's disease that developed within the epithelial wall of a hair follicle and masqueraded clinically as a banal follicular cyst in a renal transplant recipient. We speculate that this lesion developed from pre-existing Bowen's disease extending to the hair follicles.
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Affiliation(s)
- Jean Kanitakis
- Department of Dermatology, Ed. Herriot Hospital, Lyon, France.
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Amini-Adle M, Auxenfants C, Allombert-Blaise C, Deroo-Berger MC, Ly A, Jullien D, Faure M, Damour O, Claudy A. Rapid healing of long-lasting sickle cell leg ulcer treated with allogeneic keratinocytes. J Eur Acad Dermatol Venereol 2007; 21:707-8. [PMID: 17448004 DOI: 10.1111/j.1468-3083.2006.02003.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Kanitakis J, Euvrard S, Sebbag L, Claudy A. Trichilemmal Carcinoma of the Skin Mimicking a Keloid in a Heart Transplant Recipient. J Heart Lung Transplant 2007; 26:649-51. [PMID: 17543793 DOI: 10.1016/j.healun.2007.03.001] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2006] [Revised: 02/07/2007] [Accepted: 03/08/2007] [Indexed: 11/27/2022] Open
Abstract
Trichilemmal carcinoma is a rare cutaneous adnexal malignant tumor deriving from the outer root sheath of hair follicles. It is only rarely reported in recipients of solid (renal) organ transplants. We describe the first case of trichilemmal carcinoma presenting with a misleading clinical aspect in a heart transplant recipient. We then briefly outline the salient clinicopathologic features of this malignancy.
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Affiliation(s)
- Jean Kanitakis
- Department of Dermatology, Ed. Herriot Hospital, Lyon, France.
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Bouwes Bavinck JN, Euvrard S, Naldi L, Nindl I, Proby CM, Neale R, Abeni D, Tessari GP, Feltkamp MCW, Claudy A, Stockfleth E, Harwood CA. Keratotic skin lesions and other risk factors are associated with skin cancer in organ-transplant recipients: a case-control study in The Netherlands, United Kingdom, Germany, France, and Italy. J Invest Dermatol 2007; 127:1647-56. [PMID: 17380113 PMCID: PMC2478722 DOI: 10.1038/sj.jid.5700776] [Citation(s) in RCA: 108] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
This study examines the association of keratotic skin lesions with the development of skin cancer in 915 solid organ-transplant recipients in five European countries. In a hospital-based case-control study, cases with squamous- and basal-cell carcinoma were compared with controls without skin cancer. Questionnaires, scrutiny of medical charts, and skin examination were delivered according to a standardized protocol. Keratotic skin lesions and viral warts were counted on different body sites. Keratotic skin lesions were strongly associated with an increased risk of squamous-cell carcinoma, with adjusted odds ratios of 4.1 (2.4;7.0) and 12.1 (6.1;24) for 1-49 and 50 and more keratotic skin lesions compared with no lesions, respectively. Keratotic skin lesions were also associated with basal-cell carcinoma with adjusted odds ratios of 2.9 (1.7;4.9) and 4.0 (1.7;9.2) for 1-49 and 50 and more lesions, respectively. Lighter skin types and painful sunburns were also significantly associated with an increased risk of squamous- and basal-cell carcinoma. Keratotic skin lesions are strongly associated with skin cancer and are, thus, an important clinical criterion for identifying those organ-transplant recipients at an increased risk of skin cancers who should be offered more intensive skin surveillance.
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Affiliation(s)
- Jan N Bouwes Bavinck
- Department of Dermatology, Leiden University Medical Center, Leiden, The Netherlands.
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Abstract
BACKGROUND Nicorandil is a potassium-channel activator used in the treatment of angina pectoris. The first cases of anal ulcerations induced by nicorandil were published in 2002. CASE REPORT A 71-year-old man presented with a 2-year history of anal ulcerations occurring within a few months of initiation of treatment with Nicorandil. Histological tests on a biopsy sample showed granulation tissue with non-specific chronic inflammation. Nicorandil was stopped and this resulted in complete healing of the ulcers after three months. DISCUSSION Nicorandil can induce chronic and extensive anal ulcerations. The pathogenesis is unknown. Patients are usually treated with high doses of nicorandil. Dermatologists should be aware of this rare side-effect which heals after withdrawal of the drug.
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Affiliation(s)
- A-L Rival
- Service de Dermatologie, Hôpital Edouard Herriot, place d'Arsonval, 69437 Lyon Cedex 03
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Abstract
INTRODUCTION Acquired hypertrichosis lanuginosa is a form of obligatorily paraneoplastic disease characterised by the recurrence of lanuga hair during adulthood. We report a case in which this hypertrichosis allowed diagnosis of gastric cancer. OBSERVATION A 51 year-old woman was seen for hypertrichosis present for 3 months. Clinical examination led to diagnosis of acquired hypertrichosis lanuginosa, which subsequently resulted in the discovery of gastric adenocarcinoma. Surgical excision of the tumour resulted in the disappearance of hypertrichosis with no recurrence during the ensuing 13 months. DISCUSSION Acquired hypertrichosis lanuginosa is rare, with only 50 or so cases reported in the literature since the condition was first described in 1865 by Turner. These cases confirm the obligatorily paraneoplastic nature of this particular dermatosis. Our finding is original since it is the first recorded case of association with gastric adenocarcinoma. It is also unique in terms of the strictly parallel development of acquired hypertrichosis lanuginosa and the tumour, with complete disappearance of the hypertrichosis in the weeks following surgical removal of the tumour, and in terms of prolonged survival (complete remission 17 months after the onset of symptoms). The mechanism responsible for acquired hypertrichosis lanuginosa is unknown. Two hypotheses have nevertheless been suggested: acquired hypertrichosis lanuginosa could be associated with secretion by the tumour of an as yet unidentified serum factor, or with a nutritional deficiency that may accompany this form of cancer.
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Affiliation(s)
- N Saad
- Service de Dermatologie, Hôpital Edouard Herriot, Lyon, France
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Kanitakis J, Badet L, Petruzzo P, Béziat JL, Morelon E, Lefrançois N, Françès C, Claudy A, Martin X, Lengelé B, Testelin S, Devauchelle B, Dubernard JM. Clinicopathologic Monitoring of the Skin and Oral Mucosa of the First Human Face Allograft: Report on the First Eight Months. Transplantation 2006; 82:1610-5. [PMID: 17198245 DOI: 10.1097/01.tp.0000248780.55263.33] [Citation(s) in RCA: 97] [Impact Index Per Article: 5.4] [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: 11/26/2022]
Abstract
BACKGROUND The first human face allograft was performed in France on November 27, 2005. We report herein the clinicopathologic findings from the skin and oral mucosa of this allograft during the first eight months. METHODS Sequential biopsies were taken from the facial skin (n = 3), oral mucosa (n = 20), and sentinel skin graft (n = 11) from day 3 to day 220 postgraft and examined (immuno)histologically, using a pathological score previously proposed for evaluation of rejection in composite tissue (hand) transplantation. RESULTS The patient developed clinically rejection episodes at day 20 and during the eighth month postgraft, manifesting with redness and edema of the facial skin, oral mucosa, and sentinel graft skin. Pathologically, changes suggestive of rejection grades 0, I, II, and III were seen in 1, 1, 1, and 0 biopsies of facial skin, 7, 2, 1, and 1 biopsies of sentinel skin graft and 3, 5, 8, and 4 biopsies of oral mucosa, respectively. Pathological changes were generally more severe in the oral mucosa than in facial and sentinel graft skin (mean scores 1.85, 0.64, and 1, respectively). CONCLUSIONS As it happens with other composite tissue allografts, close clinicopathologic monitoring of the skin (and oral mucosa) seems to be the most reliable way to detect rejection in the setting of human facial tissue allotransplantation. Apart from these rejection episodes, the skin and mucosa maintained a normal microscopic structure, paralleling functional recovery.
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Affiliation(s)
- Jean Kanitakis
- Department of Dermatology, Ed. Herriot Hospital, Lyon, France.
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Chassaing N, Kanitakis J, Sportich S, Cordier-Alex MP, Titeux M, Calvas P, Claudy A, Berbis P, Hovnanian A. Generalized Epidermolytic Hyperkeratosis in Two Unrelated Children from Parents with Localized Linear Form, and Prenatal Diagnosis. J Invest Dermatol 2006; 126:2715-7. [PMID: 16990804 DOI: 10.1038/sj.jid.5700553] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Kanitakis J, Ly A, Claudy A. Eccrine angiokeratomatous hamartoma: A new variant of eccrine hamartoma with angiokeratoma. J Am Acad Dermatol 2006; 55:S104-6. [PMID: 17052519 DOI: 10.1016/j.jaad.2005.09.026] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2005] [Revised: 09/14/2005] [Accepted: 09/27/2005] [Indexed: 10/24/2022]
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Kanitakis J, Euvrard S, Chouvet B, Butnaru AC, Claudy A. Merkel cell carcinoma in organ-transplant recipients: report of two cases with unusual histological features and literature review. J Cutan Pathol 2006; 33:686-94. [PMID: 17026521 DOI: 10.1111/j.1600-0560.2006.00529.x] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.3] [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 Non-melanoma skin cancers are the commonest malignancies after organ transplantation and are often associated with human papillomavirus (HPV). Merkel cell carcinoma is an uncommon neuroendocrine skin tumor, of which 67 cases have been reported up till now, usually briefly, in organ transplant patients. METHODS Among a cohort of 2340 organ-transplant recipients, two patients (one renal, one heart) developed cutaneous Merkel cell carcinomas 5 and 12 years of post graft, respectively. These were studied histologically and immunohistochemically, as well as virologically for the presence of HPV. A thorough literature review of all reported cases of Merkel cell carcinoma following solid organ transplantation was performed. RESULTS Despite a typical immunophenotype, the tumors showed unusual histological features: both were epidermotropic, and one was intermingled with a bowenoid squamous cell carcinoma. Search for HPV by immunohistochemistry and PCR proved negative in both cases. CONCLUSION In the setting of organ transplantation, Merkel cell carcinoma is much rarer than other non melanoma skin cancers but may show unusual histologic features. HPV do not seem to be involved in its pathogenesis.
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Affiliation(s)
- Jean Kanitakis
- Department of Dermatology/EA 37-32, University Cl. Bernard, France.
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Kanitakis J, Joly MO, Chouvet B, Euvrard S, Claudy A. Merkel cell carcinoma in immunocompetent and organ-transplant recipients do not harbor HPV. Eur J Dermatol 2006; 16:445-6. [PMID: 16935810] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
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Affiliation(s)
- L Montagliani
- Service de chirurgie viscérale, Hôpital du Val de Grâce, Paris.
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Kanitakis J, Euvrard S, Claudy A. Skin cancers in organ transplant recipients. J Am Acad Dermatol 2006; 54:1115. [PMID: 16713490 DOI: 10.1016/j.jaad.2006.02.042] [Citation(s) in RCA: 7] [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] [Received: 02/15/2006] [Revised: 02/15/2006] [Accepted: 02/19/2006] [Indexed: 11/25/2022]
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Euvrard S, Kanitakis J, Decullier E, Butnaru AC, Lefrançois N, Boissonnat P, Sebbag L, Garnier JL, Pouteil-Noble C, Cahen R, Morelon E, Touraine JL, Claudy A, Chapuis F. Subsequent skin cancers in kidney and heart transplant recipients after the first squamous cell carcinoma. Transplantation 2006; 81:1093-100. [PMID: 16641592 DOI: 10.1097/01.tp.0000209921.60305.d9] [Citation(s) in RCA: 128] [Impact Index Per Article: 7.1] [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: 12/26/2022]
Abstract
BACKGROUND The increased incidence of skin cancers in transplant patients is well documented; however, few data exist on the risk of subsequent skin tumors in a given patient after the first skin cancer. The aim of this study was to compare the individual rate of subsequent skin cancers in kidney (KTR) and heart transplant recipients (HTR) after the first squamous cell carcinoma (SCC) and to assess risk factors for tumor multiplicity. METHODS In all, 188 patients (121 KTR/67 HTR) were studied for up to 5 years. The cumulative number of SCC, basal cell carcinomas, Bowen's diseases, premalignant keratoses, and keratoacanthomas was recorded yearly after the first SCC. RESULTS Overall, 71% of patients developed 757 new skin tumors. At 5 years, 100% of HTR and 88% of KTR had presented new tumors. However, the mean number of all tumors was significantly higher in KTR (3.4 vs. 2.0, 4.8 vs. 2.6, 6.6 vs. 2.9, 8.5 vs. 3.5, and 9.7 vs. 4.6 at 1, 2, 3, 4, and 5 years, respectively). Transplantation before 1984, multiple tumors at first consultation, eye and hair color, and skin type were predictive of multiple tumors. Early minimization of immunosuppression and of sun exposure tended to be associated with a reduced rate of all tumors and of SCC, respectively. CONCLUSIONS Although the proportion of HTR developing new tumors is greater as compared with KTR, the mean number of tumors per patient is higher in KTR. This could be due to a longer immunosuppression in patients younger at transplantation.
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Affiliation(s)
- Sylvie Euvrard
- Department of Dermatology, Edouard Herriot Hospital, Lyon, France.
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Debarbieux S, Deroo-Berger MC, Grande S, Najioullah F, Kanitakis J, Faure M, Claudy A. Syndrome d’hypersensibilité médicamenteuse associé à une primo-infection HHV6. Ann Dermatol Venereol 2006; 133:145-7. [PMID: 16508598 DOI: 10.1016/s0151-9638(06)70865-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [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: 11/24/2022]
Abstract
INTRODUCTION Drug hypersensitivity syndrome is a severe life-threatening drug reaction. An association between this syndrome and HHV6 reactivation has been hypothesized. CASE-REPORT A 45 year-old women was treated with sulfasalazine for polyarthralgia. One month after beginning the treatment, she developed a drug hypersensitivity syndrome with severe acute hepatic failure. HHV6 serology and serum PCR revealed a primary HHV6 infection. DISCUSSION We report the second case of drug hypersensitivity syndrome associated with a primary HHV6 infection. An immunological disorder may explain such an association by increasing viral replication. Detection and titration of anti-HHV6 antibodies in each case of drug hypersensitivity syndrome should help to confirm this association and possibly modify treatment strategy.
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Affiliation(s)
- S Debarbieux
- Service de Dermatologie, Pavillon R, Hôpital Edouard Herriot, Lyon
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Auxenfans C, Colloud M, Debard AL, Braye FM, Amini M, Allombert-Blaise V, Builles N, Claudy A, Damour O. Use of allogenic epidermal sheets for difficult wound healing: selection and testing of relevant growth factors. Biomed Mater Eng 2006; 16:S73-83. [PMID: 16823115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
The clinical interest of using allogenic epidermal sheets (AES) has largely been shown [1,2,3]. As well as covering, they also stimulate healing, by simultaneously secreting numerous growth factors (GFs), although little is known on their mechanism of action. Our objectives were to: (a) devise a test for the efficacy of AES release, (b) select keratinocyte-secreting strains and optimal culture conditions. Three GFs were selected: IL-1alpha, IL-8 and VEGF. Three different keratinocyte strains were cultured for 3 and 6 days after confluence for 3 passages. Assays were performed after 3 h and 24 h+3 h after dispase treatment (AES conservation for 24 h then change of medium and sampling after 3 h). AES were found to secrete GFs in DMEM and the amounts were greater when cultured for 6 rather than 3 days after confluence. Each strain had different secretory patterns depending on passage and time in culture, this variability being explained by inter-individual heterogeneity.
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Affiliation(s)
- C Auxenfans
- Banque de Tissus et Cellules des Hospices Civils de Lyon, Hôpital E. Herriot, 69437 Lyon, Rhône, France
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Bécuwe C, Euvrard S, Bosshard S, Pouteil-Noble C, Garnier JL, Lefrançois N, Boillot O, Kanitakis J, Touraine JL, Claudy A. Maladie de Kaposi et transplantation d’organes : 22 cas. Ann Dermatol Venereol 2005; 132:839-43. [PMID: 16327712 DOI: 10.1016/s0151-9638(05)79501-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [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: 11/30/2022]
Abstract
BACKGROUND The discovery of the Human Herpes virus 8 (HHV8) improved our knowledge of the pathogenesis of Kaposi's sarcoma. After organ transplantation, Kaposi's sarcoma exhibits distinctive features compared with other forms of the disease. PATIENTS AND METHODS We report 22 cases of post-transplant Kaposi's sarcoma (12 kidneys, 2 kidney-pancreas, 6 livers and 2 hearts). The aim of this retrospective study was to analyze clinical and virological characteristics in these transplant patients and to specify the frequency of HHV8 seroconversions in this population. RESULTS Twenty-one patients showed cutaneous lesions and 9 had visceral involvement. HHV8 serology was positive in 16/20 patients at transplantation and in 21/22 cases at the time of Kaposi's sarcoma diagnosis. Most cases corresponded to viral reactivations whereas seroconversions occurred in 2 cases and may have been linked to viral transmission by the graft. Treatment led to recovery in 68p. 100 of the cases. Two heart-transplant patients died from their disease. We included in our series two cases of re-transplanted patients without recurrence of Kaposi's sarcoma and one case of familial Kaposi's sarcoma. DISCUSSION Seroconversions after transplantation emphasize the interest of systematic screening of HHV8 serology in transplant recipients and their donors.
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Affiliation(s)
- C Bécuwe
- Service de Dermatologie, Hôpital Edouard Herriot, Lyon
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Joly P, Bastuji-Garin S, Frances C, Lebbe C, Aubin F, Penso-Assathiany D, D’incan M, Avril M, Claudy A, Lair G, Barete S, Benmarek L, Butnaru A, Euvrard S. C49 - Relation entre la présence de verrues et la survenue de carcinomes épidermoïdes cutanés chez les transplantés d’organes. Ann Dermatol Venereol 2005. [DOI: 10.1016/s0151-9638(05)79670-8] [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: 12/14/2022]
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Rival A, Allombert-Blaise C, Ly A, Faure M, Claudy A. P47 - Ulcérations anales induites par le nicorandil. Ann Dermatol Venereol 2005. [DOI: 10.1016/s0151-9638(05)79776-3] [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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Euvrard S, Decullier E, Kanitakis J, Butnaru A, Lefrançois N, Garnier J, Chapuis F, Claudy A. C51 - Évolution des tumeurs cutanées chez les greffés rénaux après retour en dialyse. Ann Dermatol Venereol 2005. [DOI: 10.1016/s0151-9638(05)79672-1] [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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Amini-Adle M, Deroo-Berger M, Auxenfans C, Allombert-Blaise C, Ly A, Jullien D, Faure M, Damour O, Claudy A. P51 - Intérêt des kératinocytes allogèniques dans le traitement d’un ulcère chronique de jambe au cours d’une drépanocytose. Ann Dermatol Venereol 2005. [DOI: 10.1016/s0151-9638(05)79780-5] [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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Quereux G, Marques S, Bedane C, D’incan M, Guillot B, Dereure O, Humbert P, Puzenat E, Claudy A, Esteve E, Martin L, Joly P, Young P, Delaunay M, Beylot-barry M, Vabres P, Celerier P, Sassolas B, Grange F, Khammari A, Dreno B. C23 - Place du cælyx en monothérapie dans le traitement des lymphomes cutanés T. Ann Dermatol Venereol 2005. [DOI: 10.1016/s0151-9638(05)79644-7] [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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Bachelez H, Bagot M, Beylot-Barry M, Claudy A, Grange F, Grob JJ, Dereure O, Dréno B, D'Incan M, Laroche L, Viraben R. [Therapy algorithm for cutaneous T-cell lymphomas]. Ann Dermatol Venereol 2005; 132 Spec No 2:5S43-4. [PMID: 16385900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
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Claudy A. Éléments du diagnostic et bilan des lymphomes T cutanés. Ann Dermatol Venereol 2005. [DOI: 10.1016/s0151-9638(05)79614-9] [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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Claudy A. [Diagnostic criteria and evaluation of cutaneous T-cell lymphomas]. Ann Dermatol Venereol 2005; 132 Spec No 2:5S21-2. [PMID: 16385894] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Affiliation(s)
- A Claudy
- Service de Dermatologie, Hôpital Edouard-Herriot, 69437 Lyon, France
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Kanitakis J, Allombert C, Doebelin B, Deroo-Berger MC, Grande S, Blanc S, Claudy A. Fucosidosis with angiokeratoma. Immunohistochemical & electronmicroscopic study of a new case and literature review. J Cutan Pathol 2005; 32:506-11. [PMID: 16008696 DOI: 10.1111/j.0303-6987.2005.00366.x] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.1] [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: 12/19/2022]
Abstract
Fucosidosis is a rare lysosomal storage disease due to alpha-L-fucosidase deficiency. It presents clinically with neurological, skeletal, and cutaneous findings, including mainly angiokeratoma corporis diffusum. Electronmicroscopic examination reveals characteristic electron-lucent cytoplasmic vacuolization present in several cell types of the skin and other tissues. We present here a new patient suffering from fucosidosis with angiokeratoma, whose normal and diseased skin was studied by lightmicroscopy and electronmicroscopy. The salient clinicopathological features of this disease are briefly reviewed.
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Affiliation(s)
- Jean Kanitakis
- Department of Dermatology (Pav. R), Ed. Herriot Hospital, Lyon, France.
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Kanitakis J, Petruzzo P, Jullien D, Badet L, Dezza MC, Claudy A, Lanzetta M, Hakim N, Owen E, Dubernard JM. Pathological score for the evaluation of allograft rejection in human hand (composite tissue) allotransplantation. Eur J Dermatol 2005; 15:235-8. [PMID: 16048749] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/17/2005] [Indexed: 05/03/2023]
Abstract
The experience obtained from the human hand allografts (HHA) performed to date suggests that the skin is a priviledged target of allograft rejection in this setting. The aim of this study was to establish a pathological score for assessing the severity of HHA rejection. The pathological slides of 89 skin biopsies obtained from the allografted limbs of six HHA recipients from day 0 to 5 years post-graft were retrospectively examined. According to the severity of the pathological changes observed, the following grades of rejection are proposed: 0: no rejection, I: mild rejection, II: moderate rejection, III: severe rejection, IV: very severe rejection. This grading system can be used as a basis for monitoring allograft rejection and for assessing the effects of the immunosuppressive treatment aiming at reversing HHA rejection; it can also be used for monitoring rejection of other skin-containing CTA.
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Affiliation(s)
- Jean Kanitakis
- Department of Dermatology/EA 37-32 UCBL, Ed. Herriot Hospital, Lyon, France.
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Abstract
INTRODUCTION Facial lipoatrophy in HIV-infected patients under tri-therapy occurs frequently and alters their quality of life. No systemic treatment is capable of curing this problem. PATIENTS AND METHODS Eighty-one patients were included in an open, prospective, compassionate study. A strict intradermal injection of a biodegradable, polyacrylamide cationic copolymer was administered in several sessions. RESULTS In all the patients, the correction of the facial lipoatrophy was considered satisfactory and stable over a period of 6 months using comparative photographic clichés. The thickness of the dermal skin, assessed by sonography, was doubled. No local or systemic side effect was reported. CONCLUSION Our study shows that is it possible to durably correct the facial lipoatrophy of HIV-infected patients under tri-therapy by using a biodegradable implant.
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Affiliation(s)
- E Carbonnel
- Service de Dermatologie, Hôpital Edouard Herriot, Lyon
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Kanitakis J, Chouvet B, Claudy A, Scoazec J. Apport de l’anticorps monoclonal OCH1E5/Hep Par 1 dans le diagnostic histopathologique des métastases cutanées. Etude rétrospective de 66 cas. Ann Dermatol Venereol 2005. [DOI: 10.1016/s0151-9638(05)79364-9] [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: 10/22/2022]
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