1
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Mastoraki E, Niforatou-Daskalaki S, Bunker CB, Kravvas G. A case of COVID-19-related vulval ulceration coupled with genital viral shedding. J Eur Acad Dermatol Venereol 2023; 37:e1187-e1188. [PMID: 37194651 DOI: 10.1111/jdv.19212] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2023] [Accepted: 05/10/2023] [Indexed: 05/18/2023]
Affiliation(s)
- E Mastoraki
- Department of Dermatology, University College London Hospitals NHS Foundation Trust, London, UK
| | | | - C B Bunker
- Department of Dermatology, University College London Hospitals NHS Foundation Trust, London, UK
| | - G Kravvas
- Department of Dermatology, University College London Hospitals NHS Foundation Trust, London, UK
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2
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Kravvas G, Muneer A, Watchorn R, Castiglione F, Haider A, Freeman A, Hadway P, Alnajjar H, Lynch M, Bunker C. 234 Male genital lichen sclerosus, micro incontinence and occlusion: Mapping the disease across the prepuce. J Invest Dermatol 2022. [DOI: 10.1016/j.jid.2022.05.241] [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: 10/17/2022]
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3
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Spencer A, Watchorn RE, Kravvas G, Ben-Salha I, Haider A, Francis N, Freeman A, Alnajjar HM, Muneer A, Bunker CB. Pseudoepitheliomatous keratotic and micaceous balanitis: a series of eight cases. J Eur Acad Dermatol Venereol 2022; 36:1851-1856. [PMID: 35695159 DOI: 10.1111/jdv.18328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2021] [Accepted: 05/05/2022] [Indexed: 11/28/2022]
Abstract
BACKGROUND Pseudoepitheliomatous keratotic and micaceous balanitis (PEKMB) is a clinicopathological entity characterized clinically by micaceous scale on the glans, and histologically by acanthosis, hyperkeratosis and pseudoepitheliomatous hyperplasia. We present a series of eight cases of this rare condition, the first series of more than two cases to be reported. OBJECTIVES To determine the clinical and histological characteristics of cases of PEKMB, and evaluate treatments used and clinical course. METHODS This monocentric case series was conducted at the University College London Hospitals tertiary male genital dermatology clinic between April 2018 and August 2020. Eight patients with PEKMB were evaluated. Data were collected on demographics, clinical presentation, histological features, presence of human papilloma virus (HPV), history of lichen sclerosus, treatment of PEKMB and subsequent response, and presence or development of squamous cell carcinoma (SCC) or penile intraepithelial neoplasia (PeIN) during follow-up. RESULTS Eight Caucasian males presented with clinical and histological evidence of PEKMB. Seven had a background of lichen sclerosus; two had failed treatment with superpotent topical steroids and four had symptoms for three or more years prior to circumcision. There was no clinical or histological relationship with HPV infection, and p16 staining was negative. HPV PCR, performed in two cases, was negative. Basal atypia, insufficient to amount to PeIN, was present in six patients. One patient progressed to PeIN during follow-up, and no patient progressed to invasive malignancy. Five patients were treated successfully with glans resurfacing and split skin graft reconstruction. CONCLUSIONS Our observations demonstrate that PEKMB represents a form of chronic, undiagnosed or misdiagnosed, inadequately treated or treatment refractory, unstable lichen sclerosus. The significant potential for squamous carcinogenesis (differentiated PeIN and verrucous carcinoma) can be mitigated by timely diagnosis and treatment. Glans resurfacing and split skin graft reconstruction appears to be a successful treatment modality in patients with refractory disease.
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Affiliation(s)
- A Spencer
- Department of Dermatology, University College London Hospitals NHS Trust, London, UK.,Department of Dermatology, Imperial College Healthcare NHS Trust, London, UK
| | - R E Watchorn
- Department of Dermatology, University College London Hospitals NHS Trust, London, UK.,Department of Dermatology, Imperial College Healthcare NHS Trust, London, UK
| | - G Kravvas
- Department of Dermatology, University College London Hospitals NHS Trust, London, UK
| | - I Ben-Salha
- Department of Histopathology, University College London Hospitals NHS Trust, London, UK
| | - A Haider
- Department of Histopathology, University College London Hospitals NHS Trust, London, UK
| | - N Francis
- Department of Histopathology, Imperial College Healthcare NHS Trust, London, UK
| | - A Freeman
- Department of Histopathology, University College London Hospitals NHS Trust, London, UK
| | - H M Alnajjar
- Department of Urology, University College London Hospitals NHS Trust, London, UK
| | - A Muneer
- Department of Urology, University College London Hospitals NHS Trust, London, UK.,National Institute of Health Research Centre, University College London Hospitals NHS Trust, London, UK.,Division of Surgery and Interventional Science, University College London, London, UK
| | - C B Bunker
- Department of Dermatology, University College London Hospitals NHS Trust, London, UK
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4
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Ganatra B, Amarnani R, Alfallouji Y, Dear K, Twigg E, Westwood JP, Goulden B, Morris V, Hillman T, Goolamali S, Naderi Z, Sidwell R, Ellery P, Calonje E, Kravvas G, Bunker CB. Patient characteristics in tardive COVID-19 pseudoperniosis: a case series of 16 patients. Clin Exp Dermatol 2021; 47:399-403. [PMID: 34411313 PMCID: PMC8444777 DOI: 10.1111/ced.14891] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/12/2021] [Indexed: 02/05/2023]
Abstract
Background Acute pseudoperniosis (PP) has a recognized association with COVID‐19 and tends to occur without cold precipitation in young, healthy patients, often without a clear history of COVID‐19. These lesions usually resolve within 2 weeks and without long‐term sequelae. In the early months of 2021, patients with delayed and protracted PP began to emerge. We have called this presentation ‘tardive COVID‐19 PP (TCPP)’. Aim To consolidate and expand knowledge on TCPP, we describe the clinical characteristics, treatments and outcomes of 16 patients with TCPP who were reviewed by our outpatient dermatology service. Results The initial clinical manifestations were erythema, swelling and PP of the fingers in 56.2%, and of the toes in 31.2%, desquamation in 56.2% and acrocyanosis in 12.5%. Ten patients had eventual involvement of all acral sites. The median duration of symptoms was 191 days. Six patients reported close contact with a confirmed or suspected case of COVID‐19, but only two had positive COVID‐19 tests. Four patients experienced complete or almost complete resolution of symptoms, while the rest remain under active treatment. Conclusion Unlike acute PP, TCPP has a protracted and delayed presentation that is typically associated with profound acrocyanosis. Patients with TCPP represent a new phenomenon that is part of the post‐COVID‐19 syndrome, with risk factors and pathophysiology that are not yet fully understood. Our data indicate that likely predisposing factors for developing TCPP include young age, a preceding history of cold intolerance and an arachnodactyloid phenotype. Anorexia, connective tissue disorders or sickle cell trait may also predispose to TCPP. In addition, low titre antinuclear antibody positivity, the presence of cryoglobulins, or low complement levels may represent further risk factors. Finally, prolonged low temperatures are also likely to be contributing to the symptoms.
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Affiliation(s)
- B Ganatra
- Department of Dermatology, University College London Hospitals NHS Foundation Trust, London, UK
| | - R Amarnani
- Department of Dermatology, University College London Hospitals NHS Foundation Trust, London, UK
| | - Y Alfallouji
- Department of Dermatology, University College London Hospitals NHS Foundation Trust, London, UK
| | - K Dear
- Department of Dermatology, University College London Hospitals NHS Foundation Trust, London, UK
| | - E Twigg
- Department of Dermatology, University College London Hospitals NHS Foundation Trust, London, UK
| | - J P Westwood
- Department of Haematology, University College London Hospitals NHS Foundation Trust, London, UK
| | - B Goulden
- Department of Rheumatology, University College London Hospitals NHS Foundation Trust, London, UK
| | - V Morris
- Department of Rheumatology, University College London Hospitals NHS Foundation Trust, London, UK
| | - T Hillman
- Department of Respiratory Medicine, University College London Hospitals NHS Foundation Trust, London, UK
| | - S Goolamali
- Department of Dermatology, King's College Hospital NHS Foundation Trust, London, UK
| | - Z Naderi
- Department of Dermatology, West Hertfordshire Hospitals NHS Trust, Reading, UK
| | - R Sidwell
- Department of Dermatology, West Hertfordshire Hospitals NHS Trust, Reading, UK.,Department of Dermatology, The Devonshire Clinic, London, UK
| | - P Ellery
- Department of Histopathology, University College London Hospitals NHS Foundation Trust, London, UK
| | - E Calonje
- Department of Histopathology, St John's Institute of Dermatology, London, UK
| | - G Kravvas
- Department of Dermatology, University College London Hospitals NHS Foundation Trust, London, UK
| | - C B Bunker
- Department of Dermatology, University College London Hospitals NHS Foundation Trust, London, UK
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5
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Panou E, Panagou E, Foley C, Kravvas G, Watchorn R, Alnajjar H, Muneer A, Bunker CB. Male genital lichen sclerosus associated with urological interventions and microincontinence: a case series of 21 patients. Clin Exp Dermatol 2021; 47:107-109. [PMID: 34499360 DOI: 10.1111/ced.14869] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2021] [Revised: 06/09/2021] [Accepted: 07/26/2021] [Indexed: 01/06/2023]
Abstract
BACKGROUND Male genital lichen sclerosus (MGLSc) is an acquired, chronic, inflammatory cutaneous disease associated with significant morbidity and squamous cell carcinoma of the penis. Consideration of all of the evidence suggests that chronic exposure of susceptible epithelium to urinary occlusion by the foreskin is the most likely pathomechanism. MGLSc never occurs in men who were circumcised at birth, and has been associated with trauma, instrumentation and anatomical abnormalities, e.g. frank hypospadia that results in microincontinence. AIM To describe 21 patients who developed MGLSc following urological diagnoses and procedures. METHODS We conducted a retrospective review of patients with a diagnosis of MGLSc whose symptoms related to urological procedures who attended or saw one of the authors (CBB) privately during the period June-October 2018. RESULTS In total, 21 patients (mean age 59 years) were identified. The referrals came from the local urology departments, primary care or extramural dermatology services. Most of the patients were uncircumcised men. All had developed symptoms and signs of MGLSc within 5 years following their urological procedure; on examination, 30% of the patients were found to have damp penile skin due to microincontinence. Of the 21 patients, 10 had undergone radical prostatectomy for prostate cancer, 4 had a diagnosis of Peyronie disease, 4 had undergone multiple cystoscopies and urethroscopies, 2 had undergone surgery on the bladder neck and 1 had undergone implantation of a penile prosthesis to treat erectile dysfunction. CONCLUSION This case series further strengthens the urinary occlusion hypothesis for the causation of MGLSc. It is important to recognize that urological interventions can create incompetence of the naviculomeatal valve post voiding. In uncircumcised men, this creates a risk factor for MGLSc that was not previously present. Occlusion, the phenomenon of koebnerization and currently unelucidated epithelial susceptibility factors lead to inflammation, sclerosis and cancer. Patients and urologists should be aware of these possibilities and preventative measures instituted, e.g. adaptive voiding habits and barrier protection.
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Affiliation(s)
- E Panou
- Departments of Dermatology, University College Hospital
| | - E Panagou
- Departments of Dermatology, University College Hospital
| | - C Foley
- Departments of Dermatology, University College Hospital
| | - G Kravvas
- Departments of Dermatology, University College Hospital
| | - R Watchorn
- Departments of Dermatology, University College Hospital
| | - H Alnajjar
- Urology, University College Hospital, University College London Hospitals NHS Foundation Trust, London, UK
| | - A Muneer
- Urology, University College Hospital, University College London Hospitals NHS Foundation Trust, London, UK
| | - C B Bunker
- Departments of Dermatology, University College Hospital
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Bunker CB, Kravvas G, Watchorn R, Spencer A, Ong E, Haider A, Freeman A, Francis NA, Alnajjar H, Muneer A, Dinneen M. Reply to: ‘Does routine histology alter management post-circumcision?’. Journal of Clinical Urology 2020. [DOI: 10.1177/2051415820982755] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- CB Bunker
- Department of Dermatology, University College London Hospitals, UK
| | - G Kravvas
- Department of Dermatology, University College London Hospitals, UK
| | - R Watchorn
- Department of Dermatology, Imperial College Healthcare, UK
| | - A Spencer
- Department of Dermatology, Imperial College Healthcare, UK
| | - E Ong
- Department of Dermatology, University College London Hospitals, UK
| | - A Haider
- Department of Histopathology, University College London Hospitals, UK
| | - A Freeman
- Department of Histopathology, University College London Hospitals, UK
| | - NA Francis
- Department of Histopathology, Chelsea and Westminster Hospital, UK
| | - H Alnajjar
- Department of Urology, University College London Hospitals, UK
| | - A Muneer
- Department of Urology, University College London Hospitals, UK
| | - M Dinneen
- Department of Urology, Chelsea and Westminster Hospital, UK
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7
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Blakeway H, Van‐de-Velde V, Allen V, Kravvas G, Palla L, Page M, Flohr C, Weller R, Irvine A, McPherson T, Roberts A, Williams H, Reynolds N, Brown S, Paternoster L, Langan S. What is the evidence for interactions between filaggrin null mutations and environmental exposures in the aetiology of atopic dermatitis? A systematic review. Br J Dermatol 2020; 183:443-451. [PMID: 31794059 PMCID: PMC7496176 DOI: 10.1111/bjd.18778] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/02/2019] [Indexed: 12/30/2022]
Abstract
BACKGROUND Epidemiological studies indicate that gene-environment interactions play a role in atopic dermatitis (AD). OBJECTIVES To review the evidence for gene-environment interactions in AD aetiology, focusing on filaggrin (FLG) loss-of-function mutations. METHODS A systematic search from inception to September 2018 in Embase, MEDLINE and BIOSIS was performed. Search terms included all synonyms for AD and filaggrin/FLG; any genetic or epidemiological study design using any statistical methods were included. Quality assessment using criteria modified from guidance (ROBINS-I and Human Genome Epidemiology Network) for nonrandomized and genetic studies was completed, including consideration of power. Heterogeneity of study design and analyses precluded the use of meta-analysis. RESULTS Of 1817 papers identified, 12 studies fulfilled the inclusion criteria required and performed formal interaction testing. There was some evidence for FLG-environment interactions in six of the studies (P-value for interaction ≤ 0·05), including early-life cat ownership, older siblings, water hardness, phthalate exposure, higher urinary phthalate metabolite levels (which all increased AD risk additional to FLG null genotype) and prolonged breastfeeding (which decreased AD risk in the context of FLG null genotype). Major limitations of published studies were the low numbers of individuals (ranging from five to 94) with AD and FLG loss-of-function mutations and exposure to specific environmental factors, and variation in exposure definitions. CONCLUSIONS Evidence on FLG-environment interactions in AD aetiology is limited. However, many of the studies lacked large enough sample sizes to assess these interactions fully. Further research is needed with larger sample sizes and clearly defined exposure assessment. Linked Comment: Park and Seo. Br J Dermatol 2020; 183:411.
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Affiliation(s)
- H. Blakeway
- Faculty of Health SciencesUniversity of BristolBristol Medical SchoolOakfield HouseOakfield GroveBristolBS8 2BNU.K.
| | - V. Van‐de-Velde
- Department of DermatologyLauriston Building, Lauriston PlaceEdinburghEH3 9HAU.K.
| | - V.B. Allen
- Department of InfectionSt. Thomas’ HospitalWestminster Bridge RdLambeth, LondonSE1 7EHU.K.
| | - G. Kravvas
- Department of DermatologyLauriston Building, Lauriston PlaceEdinburghEH3 9HAU.K.
| | - L. Palla
- Department of Medical StatisticsLondon School of Hygiene and Tropical MedicineLondonU.K.
| | - M.J. Page
- School of Public Health and Preventive MedicineMonash UniversityLevel 4, 553 St Kilda RoadMelbourne3004Australia
| | - C. Flohr
- Unit for Population‐Based Dermatology ResearchSt John's Institute of DermatologyGuy's & St Thomas’ NHS Foundation Trust & King's College LondonStrand, LondonWC2R 2LSU.K.
| | - R.B. Weller
- Department of DermatologyLauriston Building, Lauriston PlaceEdinburghEH3 9HAU.K.
| | - A.D. Irvine
- Clinical MedicineTrinity College DublinDublinIreland,The National Children's Research CentreCrumlinIreland,DermatologyChildren's Health IrelandCrumlinIreland
| | - T. McPherson
- Churchill HospitalOld RoadHeadington, OxfordOX3 7LEU.K.
| | - A. Roberts
- Nottingham Support Group for Carers of Children with EczemaNottinghamU.K.
| | - H.C. Williams
- Centre of Evidence‐Based DermatologyUniversity of NottinghamNottinghamNG7 2NRU.K.
| | - N. Reynolds
- DermatologyRoyal Victoria InfirmaryNHS Foundation TrustNewcastle upon TyneU.K.,Institute of Cellular MedicineFaculty of Medical SciencesNewcastle UniversityNewcastle upon TyneU.K.
| | - S.J. Brown
- Skin Research Group, Division of Molecular and Clinical MedicineSchool of MedicineUniversity of DundeeDundeeDD1 9SYU.K.,Department of DermatologyNinewells HospitalDundeeDD1 9SYU.K.
| | - L. Paternoster
- MRC Integrative Epidemiology Unit at the University of BristolPopulation Health SciencesBristol Medical School, Oakfield House, Oakfield GroveBristolBS8 2BNU.K.
| | - S.M. Langan
- Faculty of Epidemiology and Population HealthLondon School of Hygiene and Tropical MedicineLondonWC1E 7HTU.K.,Health Data Research UKLondonU.K.
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8
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Kravvas G, Ge L, Ng J, Shim TN, Doiron PR, Watchorn R, Kentley J, Panou E, Dinneen M, Freeman A, Jameson C, Haider A, Francis N, Minhas S, Alnajjar H, Muneer A, Bunker CB. The management of penile intraepithelial neoplasia (PeIN): clinical and histological features and treatment of 345 patients and a review of the literature. J DERMATOL TREAT 2020; 33:1047-1062. [DOI: 10.1080/09546634.2020.1800574] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Affiliation(s)
- G. Kravvas
- Department of Dermatology, University College London Hospitals, London, UK
| | - L. Ge
- Department of Dermatology, University College London Hospitals, London, UK
| | - J. Ng
- Department of Dermatology, Chelsea & Westminster Hospital, London, UK
| | - T. N. Shim
- Department of Dermatology, University College London Hospitals, London, UK
| | - P. R. Doiron
- Department of Dermatology, University College London Hospitals, London, UK
| | - R. Watchorn
- Department of Dermatology, University College London Hospitals, London, UK
| | - J. Kentley
- Department of Dermatology, Chelsea & Westminster Hospital, London, UK
| | - E. Panou
- Department of Dermatology, University College London Hospitals, London, UK
| | - M. Dinneen
- Department of Urology, Chelsea & Westminster Hospital, London, UK
| | - A. Freeman
- Department of Histopathology, University College London Hospitals, London, UK
| | - C. Jameson
- Department of Histopathology, University College London Hospitals, London, UK
| | - A. Haider
- Department of Histopathology, University College London Hospitals, London, UK
| | - N. Francis
- Department of Histopathology, Imperial College Hospitals, London, UK
| | - S. Minhas
- Department of Urology, Imperial College Hospitals, London, UK
| | - H. Alnajjar
- Department of Urology, University College London Hospitals, London, UK
| | - A. Muneer
- Department of Urology, University College London Hospitals, London, UK
| | - C. B. Bunker
- Department of Dermatology, University College London Hospitals, London, UK
- Department of Dermatology, Chelsea & Westminster Hospital, London, UK
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9
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Van-de-Velde V, Kravvas G, Ali G, Biswas A, Naysmith L. A solitary and tender acral papule in a young patient. Clin Exp Dermatol 2018; 43:630-632. [PMID: 29748978 DOI: 10.1111/ced.13567] [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] [Accepted: 08/27/2017] [Indexed: 11/27/2022]
Affiliation(s)
- V Van-de-Velde
- Department of Dermatology, Royal Infirmary of Edinburgh, Edinburgh, UK
| | - G Kravvas
- Department of Dermatology, Royal Infirmary of Edinburgh, Edinburgh, UK
| | - G Ali
- Department of Dermatology, Royal Infirmary of Edinburgh, Edinburgh, UK
| | - A Biswas
- Department of Pathology, Royal Infirmary of Edinburgh, Edinburgh, UK
| | - L Naysmith
- Department of Dermatology, Royal Infirmary of Edinburgh, Edinburgh, UK
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10
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Kravvas G, Kavanagh GM. Eruptive melanocytic naevi secondary to azathioprine: case report and review of the literature. Clin Exp Dermatol 2017; 43:106-107. [PMID: 28994130 DOI: 10.1111/ced.13276] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/10/2017] [Indexed: 11/26/2022]
Affiliation(s)
- G Kravvas
- Department of Dermatology, NHS Lothian, Edinburgh, UK
| | - G M Kavanagh
- Department of Dermatology, NHS Lothian, Edinburgh, UK
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11
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Stavrou C, Wincup C, Kravvas G, Manson J. An atypical case of scleroderma. Br J Hosp Med (Lond) 2017; 78:590-591. [PMID: 29019719 DOI: 10.12968/hmed.2017.78.10.590] [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] [Indexed: 11/11/2022]
Affiliation(s)
- C Stavrou
- Foundation Doctor, Rheumatology Department, University College London Hospitals NHS Trust, London
| | - C Wincup
- Senior Clinical Research Fellow, Rheumatology Department, University College London Hospitals NHS Trust, London NW1 2BU
| | - G Kravvas
- Senior House Officer, Rheumatology Department, University College London Hospitals NHS Trust, London
| | - J Manson
- Consultant Rheumatologist, Rheumatology Department, University College London Hospitals NHS Trust, London
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12
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Kravvas G, Shim T, Doiron P, Freeman A, Jameson C, Minhas S, Muneer A, Bunker C. The diagnosis and management of male genital lichen sclerosus: a retrospective review of 301 patients. J Eur Acad Dermatol Venereol 2017; 32:91-95. [DOI: 10.1111/jdv.14488] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2017] [Accepted: 07/19/2017] [Indexed: 11/27/2022]
Affiliation(s)
- G. Kravvas
- Department of Dermatology; University College London Hospitals; London UK
| | - T.N. Shim
- Department of Dermatology; University College London Hospitals; London UK
| | - P.R. Doiron
- Department of Dermatology; University College London Hospitals; London UK
| | - A. Freeman
- Department of Histopathology; University College London Hospitals; London UK
| | - C. Jameson
- Department of Histopathology; University College London Hospitals; London UK
| | - S. Minhas
- Department of Urology; University College London Hospitals; London UK
| | - A. Muneer
- Department of Urology; University College London Hospitals; London UK
| | - C.B. Bunker
- Department of Dermatology; University College London Hospitals; London UK
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13
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Affiliation(s)
- G. Kravvas
- Department of Dermatology, University College London Hospital, London, UK
| | - D. Veitch
- Department of Dermatology, University College London Hospital, London, UK
| | - F. Al-Niaimi
- Department of Dermatologic Surgery and Laser Unit, St. Thomas' Hospital, St. John's Institute of Dermatology, London, UK
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14
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Kravvas G, Veitch D, Doiron PR, Freeman A, Muneer A, Dinneen M, Francis N, Bunker CB. Recurrent penile squamous cell carcinoma in an elderly circumcised man. Clin Exp Dermatol 2017; 42:360-362. [PMID: 28218423 DOI: 10.1111/ced.13051] [Citation(s) in RCA: 1] [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] [Accepted: 04/20/2016] [Indexed: 11/28/2022]
Affiliation(s)
- G Kravvas
- Department of Dermatology, University College London Hospitals, London, UK
| | - D Veitch
- Department of Dermatology, University College London Hospitals, London, UK
| | - P R Doiron
- Department of Dermatology, University College London Hospitals, London, UK
| | - A Freeman
- Department of Histopathology, University College London Hospitals, London, UK
| | - A Muneer
- Department of Urology, University College London Hospitals, London, UK
| | - M Dinneen
- Department of Urology, Chelsea & Westminster Hospital, London, UK
| | - N Francis
- Department of Histopathology, Chelsea & Westminster Hospital, London, UK
| | - C B Bunker
- Department of Dermatology, University College London Hospitals, London, UK.,Department of Dermatology, Chelsea & Westminster Hospital, London, UK
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15
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Kravvas G, Veitch D, Fawcett H, Bunker CB. Porokeratosis of Mibelli: case report of an uncommon penile lesion. Clin Exp Dermatol 2016; 41:704-5. [PMID: 27338161 DOI: 10.1111/ced.12870] [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] [Accepted: 10/14/2015] [Indexed: 11/28/2022]
Affiliation(s)
- G Kravvas
- Department of Dermatology, University College London Hospitals, London, UK
| | - D Veitch
- Department of Dermatology, University College London Hospitals, London, UK
| | - H Fawcett
- Department of Dermatology, Basingstoke and North Hampshire Hospital, Basingstoke, Hampshire, UK
| | - C B Bunker
- Department of Dermatology, University College London Hospitals, London, UK
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16
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Affiliation(s)
- D Veitch
- Department of Dermatology, University College London Hospital, London, UK
| | - G Kravvas
- Department of Dermatology, University College London Hospital, London, UK
| | - C M Perrett
- Department of Dermatology, University College London Hospital, London, UK
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