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Herrerias-Moreno J, Expósito-Serrano V, Agut-Busquet E, Corbacho M, Sáez E, Luelmo J. Cutaneous leishmaniasis mimicking dactylitis in a patient with rheumatoid arthritis treated with certolizumab. Clin Exp Dermatol 2017; 43:348-350. [DOI: 10.1111/ced.13307] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/13/2017] [Indexed: 11/27/2022]
Affiliation(s)
- J. Herrerias-Moreno
- Department ofDermatology; Corporació Sanitària Parc Tauli; Hospital Universitari de Sabadell; Universitat Autònoma de Barcelona; Sabadell Spain
| | - V. Expósito-Serrano
- Department ofDermatology; Corporació Sanitària Parc Tauli; Hospital Universitari de Sabadell; Universitat Autònoma de Barcelona; Sabadell Spain
| | - E. Agut-Busquet
- Department ofDermatology; Corporació Sanitària Parc Tauli; Hospital Universitari de Sabadell; Universitat Autònoma de Barcelona; Sabadell Spain
| | - M. Corbacho
- Department ofDermatology; Corporació Sanitària Parc Tauli; Hospital Universitari de Sabadell; Universitat Autònoma de Barcelona; Sabadell Spain
| | - E. Sáez
- Department ofAnatomy-Pathology; Corporació Sanitària Parc Tauli; Hospital Universitari de Sabadell; Universitat Autònoma de Barcelona; Sabadell Spain
| | - J. Luelmo
- Department ofDermatology; Corporació Sanitària Parc Tauli; Hospital Universitari de Sabadell; Universitat Autònoma de Barcelona; Sabadell Spain
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Gil S, Yébenes M, Luelmo J, Alsina M, Sabés M. A comparative study of the effectiveness of cisplatin and 5-fluorouracil on cutaneous squamous human carcinoma cell line: Potential chemotherapy alternative to surgery. Dermatol Ther 2016; 29:341-344. [PMID: 27292650 DOI: 10.1111/dth.12373] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
Surgery as treatment for local invasive cutaneous squamous cell carcinoma (cSCC) is not always feasible due to the age and/or the health status of patients. Thus, the investigation of new strategies to improve the quality of life of them is required. The aim of this work is to investigate two chemotherapy agents individually on cSCC cells with the purpose to provide a better understanding of the effectiveness underlying each one. The cisplatin effectiveness is compared at different times with that observed for the 5-fluorouracil treatment. The effectiveness of both was assessed by using flow cytometry to determine the survival cell ratio, and QBlue test to study the cell recovery ability after treatments. A significant increase in the number of apoptotic cells, especially 48 hours after treatments, has been detected. Despite this, cisplatin arises as the most promising agent for the treatment of local invasive cutaneous squamous cell carcinoma due to the fact that a lower concentration and time are required to observe a higher effectiveness on cells with respect to the 5-fluorouracil. An optimal cisplatin-based chemotherapy might provide a better outcome for patients affected by a local invasive cSCC rather than surgery.
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Affiliation(s)
- S Gil
- Dermatology Department, Hospital Parc Taulí, Sabadell (Barcelona), Spain.
| | - M Yébenes
- Dermatology Department, Hospital Parc Taulí, Sabadell (Barcelona), Spain
| | - J Luelmo
- Dermatology Department, Hospital Parc Taulí, Sabadell (Barcelona), Spain
| | - M Alsina
- Dermatology Department, Hospital Clínic de Barcelona, Barcelona, Spain
| | - M Sabés
- Department of Biophysics, Faculty of Medicine, Universitat Autònoma de Barcelona, Bellaterra (Barcelona), Spain
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Torre-Alonso J, Carmona L, Moreno M, Galíndez E, Babío J, Zarco P, Linares L, Collantes E, Fernández-Barrial M, Hermosa J, Coto P, Suárez C, Almodόvar R, Luelmo J, Cárcaba V, Castañeda S, Gratacόs J. FRI0457 Recommendations for The Management of Comorbidities in Psoriatic Disease: Table 1. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.3440] [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: 11/04/2022]
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Carmona L, Torre-Alonso J, Moreno M, Galíndez E, Babío J, Zarco P, Linares L, Collantes E, Fernández-Barrial M, Hermosa J, Coto P, Suárez C, Almodόvar R, Luelmo J, Cárcaba V, Castañeda S, Otόn T, Curbelo R, Gratacόs J. FRI0458 Assessment of Comorbidity in Psoriatic Disease: How Often Should Be Performed?: Table 1. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.3484] [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: 11/04/2022]
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Moreno M, Lisbona M, Luelmo J, Gallardo F, Ferran M, Pontes C, Vives R, Gratacόs J, Maymo J. THU0429 Ultrasound Differences Between Psoriatic Onychopathy and Onychomycosis. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.4228] [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: 11/04/2022]
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Carrascosa J, Belinchón I, de-la-Cueva P, Izu R, Luelmo J, Ruiz-Villaverde R. Expert Recommendations on Treating Psoriasis in Special Circumstances. Actas Dermo-Sifiliográficas (English Edition) 2015. [DOI: 10.1016/j.adengl.2015.03.019] [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: 11/26/2022] Open
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Carrascosa JM, Belinchón I, de-la-Cueva P, Izu R, Luelmo J, Ruiz-Villaverde R. Expert recommendations on treating psoriasis in special circumstances. Actas Dermosifiliogr 2015; 106:292-309. [PMID: 25595327 DOI: 10.1016/j.ad.2014.11.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2014] [Revised: 10/26/2014] [Accepted: 11/09/2014] [Indexed: 01/09/2023] Open
Abstract
INTRODUCTION AND OBJECTIVES A great amount of information on systemic and biologic therapies for moderate to severe psoriasis is now available. However, applying the evidence in numerous clinical scenarios has engendered debate; under these circumstances, the consensus of experts is useful. MATERIAL AND METHODS A scientific committee systematically reviewed the literature relevant to 5 clinical scenarios. An online Delphi survey of dermatologists with experience treating moderate to severe psoriasis was then carried out in order to shed light on questions that remained unresolved by the available evidence. RESULTS Twenty-three dermatologists responded to the survey and consensus was reached on 37 (56%) of the 66 statements proposed. These results led to consensus on various clinical situations even though firm evidence was lacking. Thus, intermittent therapeutic regimens and strategies for reducing the intensity of treatment are considered appropriate for optimizing biologic treatment and reducing costs. The measurement of drug and antidrug antibody levels should be included routinely when following patients on biologics to treat psoriasis. Concomitant psoriatic arthritis or a history of cardiovascular conditions will influence the choice of biologic; in these situations, an agent with anti-tumor necrosis factor properties will be preferred. Tailored management is important when the patient is pregnant or intends to conceive; drug half-life and disease severity are important factors to take into consideration in these scenarios. CONCLUSIONS A combination of systematic review of the literature and structured discussion of expert opinion facilitates decision-making in specific clinical scenarios.
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Affiliation(s)
- J M Carrascosa
- Servei de Dermatologia, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, España.
| | - I Belinchón
- Servicio de Dermatología, Hospital General Universitario de Alicante, Alicante, España
| | - P de-la-Cueva
- Servicio de Dermatología, Hospital Universitario Infanta Leonor, Madrid, España
| | - R Izu
- Servicio de Dermatología, Hospital Universitario Basurto, Universidad del País Vasco, Bilbao, España
| | - J Luelmo
- Servicio de Dermatología, Hospital Universitario ParcTaulí de Sabadell, Universidad Autónoma de Barcelona, Barcelona, España
| | - R Ruiz-Villaverde
- Servicio de Dermatología, Hospital Universitario Virgen de las Nieves, Granada, España
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Luelmo J, Gratacos J, Moreno Martínez-Losa M, Ribera M, Romaní J, Calvet J, Leal L, Larrosa M. Multidisciplinary Psoriasis and Psoriactic Arthritis Unit: Report of 4 years’ Experience. Actas Dermo-Sifiliográficas (English Edition) 2014. [DOI: 10.1016/j.adengl.2013.10.010] [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: 11/16/2022] Open
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Luelmo J, Gratacós J, Moreno Martínez-Losa M, Ribera M, Romaní J, Calvet J, Leal L, Larrosa M. Experiencia de 4 años de funcionamiento de una unidad multidisciplinar de psoriasis y artritis psoriásica. Actas Dermo-Sifiliográficas 2014; 105:371-7. [DOI: 10.1016/j.ad.2013.10.009] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2013] [Revised: 10/11/2013] [Accepted: 10/19/2013] [Indexed: 11/28/2022] Open
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Romaní J, Leal L, Sáez A, Luelmo J. Dermatomyofibroma on the nape of the neck: a report of 2 pediatric cases. Actas Dermosifiliogr 2014; 105:315-7. [PMID: 24657025 DOI: 10.1016/j.adengl.2013.03.014] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2012] [Accepted: 03/18/2013] [Indexed: 10/25/2022] Open
Affiliation(s)
- J Romaní
- Servicio de Dermatología, Corporación Sanitaria Parc Taulí, Hospital Universitario Parc Taulí, Universidad Autónoma de Barcelona, Barcelona, Spain.
| | - L Leal
- Servicio de Dermatología, Corporación Sanitaria Parc Taulí, Hospital Universitario Parc Taulí, Universidad Autónoma de Barcelona, Barcelona, Spain
| | - A Sáez
- Servicio de Anatomía Patológica, Corporación Sanitaria Parc Taulí, Hospital Universitario Parc Taulí, Universidad Autónoma de Barcelona, Barcelona, Spain
| | - J Luelmo
- Servicio de Dermatología, Corporación Sanitaria Parc Taulí, Hospital Universitario Parc Taulí, Universidad Autónoma de Barcelona, Barcelona, Spain
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Romaní J, Caixàs A, Escoté X, Carrascosa JM, Ribera M, Rigla M, Vendrell J, Luelmo J. Lipopolysaccharide-binding protein is increased in patients with psoriasis with metabolic syndrome, and correlates with C-reactive protein. Clin Exp Dermatol 2012; 38:81-4. [DOI: 10.1111/ced.12007] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
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Romaní J, Caixàs A, Carrascosa JM, Ribera M, Rigla M, Luelmo J. Effect of narrowband ultraviolet B therapy on inflammatory markers and body fat composition in moderate to severe psoriasis. Br J Dermatol 2012; 166:1237-44. [PMID: 22309899 DOI: 10.1111/j.1365-2133.2012.10883.x] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
BACKGROUND Previous studies have shown increased prevalence of metabolic syndrome in patients with psoriasis. OBJECTIVES To characterize the anthropometric and metabolic profile of Spanish patients with moderate to severe psoriasis compared with controls without psoriasis matched for gender, age and body mass index (BMI), and to evaluate the impact of narrowband ultraviolet B (NB-UVB) therapy on patient profiles. METHODS Baseline waist circumference, body fat composition, lipid, carbohydrate and calcium metabolism profile, inflammation markers, homocysteine, vitamins D, B(6) and B(12) and folic acid of 50 patients with psoriasis and 50 matched controls were recorded then evaluated after NB-UVB in patients with psoriasis and correlated with clinical outcome. RESULTS Despite very similar BMIs, 54% of patients met International Diabetes Foundation criteria for metabolic syndrome compared with 42% of controls (P = 0·01); body fat was 29·9% in patients and 28·0% in controls (P = 0·037), correlating with waist circumference; while patient atherogenic profiles were less favourable, with higher apolipoprotein B and low density lipoprotein cholesterol than controls, and both patients and controls showed insufficient vitamin D serum levels (< 20 ng mL(-1)). Mean improvement of Psoriasis Area and Severity Index (PASI) after NB-UVB was 78·2%. Ferritin, B(12) and C-reactive protein decreased significantly after NB-UVB therapy. Vitamin D levels reached adequate levels after phototherapy; however, no relationship with PASI improvement was observed. CONCLUSIONS We characterized inflammatory and atherogenic profiles of Spanish patients with psoriasis compared with matched controls. After NB-UVB therapy we demonstrated improvement in psoriasis and some systemic inflammation markers, which were not mediated by enhancement of vitamin D synthesis.
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Affiliation(s)
- J Romaní
- Department of Dermatology, Corporació Sanitària Universitària Parc Taulí, Institut Universitari Parc Taulí, Autonomous University of Barcelona, 08208 Sabadell, Barcelona, Spain.
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Romaní J, Sábat M, Leal L, Luelmo J. [Usefulness of dermoscopy in plantar pilonidal sinus]. Actas Dermosifiliogr 2011; 102:553-4. [PMID: 21530933 DOI: 10.1016/j.ad.2010.09.017] [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: 07/11/2010] [Revised: 08/30/2010] [Accepted: 09/08/2010] [Indexed: 10/17/2022] Open
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Puig L, Sáez E, Lozano M, Bordas X, Carrascosa J, Gallardo F, Luelmo J, Sánchez-Regaña M, Alsina M, García-Patos V. Reacciones a la infusión de infliximab en pacientes dermatológicos. Actas Dermo-Sifiliográficas 2009; 100:103-12. [DOI: 10.1016/s0001-7310(09)70227-3] [Citation(s) in RCA: 10] [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] [Indexed: 01/27/2023] Open
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Puig L, Sáez E, Lozano M, Bordas X, Carrascos J, Gallardo F, Luelmo J, Sánchez-Regaña M, Alsina M, García-Patos V. Reactions to Infliximab Infusions in Dermatologic Patients: Consensus Statement and Treatment Protocol. Actas Dermo-Sifiliográficas (English Edition) 2009. [DOI: 10.1016/s1578-2190(09)70025-3] [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: 10/19/2022] Open
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Yébenes M, Muñoz C, Sábat M, Palacio L, San Vicente B, Travería FJ, Luelmo J. Multiple furunculoid myiasis on the scalp of a child. Dermatol Online J 2007; 13:13. [PMID: 17498432] [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: 05/15/2023] Open
Abstract
Cutaneous myiasis is easy to diagnose and treat if clinicians are aware of the condition. Because of widespread travel, physicians may encounter this infestation in patients living in geographical regions where the condition is rare. A child is presented with cutaneous myiasis that presented as furuncle-like nodules on the scalp. The larvae were identified as a stage of the bluebottle-like fly, Dermatobia hominis.
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Affiliation(s)
- M Yébenes
- Department of Dermatology, Hospital Parc Taulí, Sabadell
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Yébenes M, Muñoz C, Sábat M, Palacio L, Vicente BS, Travería FJ, Luelmo J. Multiple furunculoid myiasis on the scalp of a child. Dermatol Online J 2007. [DOI: 10.5070/d317z0g570] [Citation(s) in RCA: 2] [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: 11/08/2022] Open
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Esteve V, Almirall J, Luelmo J, Sáez A, Andreu X, García M. [Calcific uraemic arteriolopathy (calciphylaxis): incidence, clinical features and long term outcomes]. Nefrologia 2007; 27:599-604. [PMID: 18045036] [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: 05/25/2023] Open
Abstract
UNLABELLED Calcific uraemic arteriolopathy, also named calciphylaxis, is a rare but serious disorder characterized by medial mural calcification of small vessel leading to tissue ischaemia. It most commonly occurs in end stage renal disease patients on dialysis or recently received renal transplant with chronic nephropathy allograft. The pathogenesis of calciphylaxis is poorly understood. Abnormalities in mineral metabolism are clearly involved, but the specific factors that induces this disorder are not completely known. OBJECTIVES Describe the main clinical features, outcomes and follow up of all calciphylaxis cases recorded in our dialysis unit in order to analyse the incidence, the main biologic parameters and the therapeutic background in which calciphylaxis appeared. MATERIAL AND METHODS We performed a descriptive study about all the calciphylaxis cases diagnosed at our dialysis unit between the years 1991 and 2005. RESULTS 8 cases, 6 women. Mean age: 65.3 years. All the patients were on haemodialysis treatment (one previous renal transplant). Mean time on dialysis was 76.6 months. Cumulative incidence was 1.17%. The principal end stage renal disease aethiology was neprhoangioeslerosis in four patients. Secondary hiperparatyrhoidism was present in 4 patients and 2 of them had been paratyrhoidectomized previously. A second cutaneous biopsy was needed for correct diagnosis in 3 patients. Calciphylaxis distal lesions were present in 7 patients. Two cases required urgent paratyrhoidectomy in order to control calciphylaxis. Only in 2 cases a Ca x P product > 60 mg/dL was present and 3 cases had PTHi values higher than 300 pg/mL. Calcium phosphate binders and vitamin D were present in 2 and 4 cases, respectively. One patient with proximal calciphylaxis died due to skin injury infection. CONCLUSIONS Calciphylaxis is a rare disorder but not exceptional, related to end stage renal disease patients. The diagnosis requires a high clinical suspicion, being sometimes difficult to distinguish from other entities in spite of pathological study. Proximal distribution of calciphylaxis had worst prognostic. Metabolic disorders and therapeutics background were not different from other patients included in dialysis treatment.
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Affiliation(s)
- V Esteve
- Servei de Nefrología, Corporació Sanitaria Parc Taulí, Institut Universitari Parc Taulí (UAB), Sabadell.
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Almirall J, Amengual MJ, López T, Andreu X, Oristrell J, Sala M, Luelmo J, Dalmau B. [Type II essential mixed cryoglobulinemia and renal disease. Hepatitis C virus association]. Nefrologia 2003; 22:531-9. [PMID: 12516286] [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: 02/28/2023] Open
Abstract
UNLABELLED Recently a number of studies have implicated C virus as a major cause of mixed cryoglobulinemia. Several authors described that up to 95% of "essential" mixed cryoglobulinemia could be attributed to this viral infection. Nevertheless, its prevalence and clinical significance are not well known. We review our experience in relation with the clinical, biological and evolutive characteristics of patients diagnosed of type II mixed cryoglobulinemia. METHODS Descriptive and protocolized study of all cases found to have type II mixed cryoglobulinemia over a period of 8 years. Secondary cryoglobulinemic nephropathy was defined in a restrictive way: a plasma creatinine > 1.5 mg/dl and/or proteinuria > 500 mg/24 h and/or hematuria (> 15 red blood cells) need to be present in the absence of any other pathological conditions that could justify these alterations. Furthermore, the information obtained from available kidney biopsies was considered. RESULTS 62 patients have been detected. C virus infection was demonstrated in 44 (72%). 52% had clinical symptoms related with cryoglobulinemia. 56% had alteration of renal tests, and 17 (27%) fulfil the conditions for the diagnosis of cryoglobulinemic nephropathy (nearly all with persistent microhematuria, median proteinuria 4.2 +/- 3.9 g/24 h; median plasma creatinine 2.8 +/- 1.8 mg/dl). Nine patients had been histologically examined, showing 6 cases a membranoproliferative glomerulonephritis pattern, one with associated extraglomerular vasculitis; two with mesangial proliferative pattern and one with membranous glomerulonephritis. The most striking differences between cryoglobulinemic nephropathy patients and the rest has been: higher amount of cryoglobulins (49 +/- 28 vs 20 +/- 22); more frequent hypocomplementemia, especially C4 (93% vs 59%) and recurrent purpura (75% vs 32%). No differences in the presence of C virus infection could be observed (75% vs 71%). IN CONCLUSION 72% of patients with type II mixed cryoglobulinemia are infected by C virus (so 28% in our serie are "essential"); 52% have symptoms related with the presence of cryoglobulins, half of them with cryoglobulinemic nephropathy.
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Affiliation(s)
- J Almirall
- Servicio de Nefrología, Corporació Parc Taulí Institut Universitari Parc Taulí (UAB) 08208 Sabadell, Barcelona.
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Jurado I, Saez A, Luelmo J, Diaz J, Mendez I, Rey M. Pigmented squamous cell carcinoma of the skin: report of two cases and review of the literature. Am J Dermatopathol 1998; 20:578-81. [PMID: 9855353 DOI: 10.1097/00000372-199812000-00006] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.2] [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: 11/26/2022]
Abstract
Melanoma is the most common malignant tumor in which melanin synthesis occurs, although other nonmelanocytic tumors synthesize melanin or contain nonneoplastic melanocytes. We present two cases of infiltrating pigmented squamous cell carcinoma of the skin and review the clinical, morphologic, and ultrastructural features. Melanin was found in epithelial tumor cells as well as in macrophages and dendritic melanocytes. Interestingly, one of the neoplasms was associated with an adjacent melanocytic nevus and pigmented solar keratosis. Immunohistochemical analysis showed that neoplastic cells stained for keratin and melanin-filled dendritic cells were found to be S-100 protein and HMB45 positive. A careless examination of the immunohistochemical stains for S-100 protein and HMB45 could cause the misdiagnosis of melanoma, a neoplasm that has a more ominous outlook.
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Affiliation(s)
- I Jurado
- Department of Pathology, Consorci Hospitalari del Parc Taulí, Sabadell, Barcelona, Spain
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Affiliation(s)
- M Moreno
- Department of Internal Medicine, Consorci Hospitalari Parc Taulí, Sabadell, Barcelona, Spain
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Luelmo J, Sala M, Sasal M, Cervantes M. [Genital ulcers from foscarnet: three cases]. Med Clin (Barc) 1996; 107:318. [PMID: 8965499] [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: 02/03/2023]
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García López C, Luelmo J, Travería FJ. [Human scabies]. Aten Primaria 1996; 17:358-60. [PMID: 8722163] [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: 02/01/2023] Open
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Luelmo J, Tolosa C, Prats J, Bella MR, Saez A, Pellicé C. [Tumorous lymphedema of the penis. Report of verrucous elephantiasis. A brief case. Preliminary note]. Actas Urol Esp 1995; 19:585-7. [PMID: 8815674] [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: 02/02/2023]
Abstract
Exclusively penial lymphatic affections can be considered a highly infrequent occurrence. In the absence of an scrotal oedema, an "elephantiac" involvement with tumoral appearance in the penis, is indeed exceptional. A clinical case is briefly commented here. It refers to a patient with a significant sociopathy who presented a lymphedema confined to the penis in its maximum expression (elephantiasis verrucosa nostras).
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Affiliation(s)
- J Luelmo
- Servicio de Dermatología, Hospital de Sabadell
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Del Río R, Alsina M, Monteagudo J, Torremorell D, González U, Luelmo J, Mascaró JM. POEMS syndrome and multiple angioproliferative lesions mimicking generalized histiocytomas. Acta Derm Venereol 1994; 74:388-90. [PMID: 7817680 DOI: 10.2340/0001555574388390] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023] Open
Abstract
A case of POEMS syndrome and Castleman's multicentric disease is reported. Multiple long-standing cutaneous lesions, histologically similar to histiocytomas, were the initial manifestation of POEMS syndrome. A high incidence of angiomatous lesions associated with POEMS syndrome has already been established. To our knowledge, this report is the first report to associate multiple angioproliferative lesions mimicking generalized histiocytomas with POEMS syndrome.
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Affiliation(s)
- R Del Río
- Department of Dermatology, Hospital Clínic, Barcelona, Spain
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