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Polivka L, Valyi-Nagy I, Szekanecz Z, Bogos K, Vago H, Kamondi A, Fekete F, Szlavik J, Surjan G, Surjan O, Nagy P, Schaff Z, Kiss Z, Müller C, Kasler M, Müller V. Waning of SARS-CoV-2 Vaccine Effectiveness in COPD Patients: Lessons from the Delta Variant. Vaccines (Basel) 2023; 11:1786. [PMID: 38140190 PMCID: PMC10747394 DOI: 10.3390/vaccines11121786] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 09/26/2023] [Revised: 10/23/2023] [Accepted: 11/24/2023] [Indexed: 12/24/2023] Open
Abstract
Although the COVID-19 pandemic is profoundly changing, data on the effect of vaccination and duration of protection against infection and severe disease can still be advantageous, especially for patients with COPD, who are more vulnerable to respiratory infections. The Hungarian COVID-19 registry was retrospectively investigated for risk of infection and hospitalization by time since the last vaccination, and vaccine effectiveness (VE) was calculated in adults with COPD diagnosis and an exact-matched control group during the Delta variant of concern (VOC) wave in Hungary (September-December 2021). For the matching, sex, age, major co-morbidities, vaccination status, and prior infection data were obtained on 23 August 2021. The study population included 373,962 cases divided into COPD patients (age: 66.67 ± 12.66) and a 1:1 matched group (age: 66.73 ± 12.67). In both groups, the female/male ratio was 52.2:47.7, respectively. Among the unvaccinated, there was no difference between groups in risk for infection or hospitalization. Regarding vaccinated cases, in the COPD group, a slightly faster decline in effectiveness was noted for hospitalization prevention, although in both groups, the vaccine lost its significant effect between 215 and 240 days after the last dose of vaccination. Based on a time-stratified multivariate Cox analysis of the vaccinated cases, the hazard was constantly higher in the COPD group, with an HR of 1.09 (95%: 1.05-1.14) for infection and 1.87 (95% CI: 1.59-2.19) for hospitalization. In our study, COPD patients displayed lower vaccine effectiveness against SARS-CoV-2 infection and hospitalization but a similar waning trajectory, as vaccines lost their preventive effect after 215 days. These data emphasize revaccination measures in the COPD patient population.
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Affiliation(s)
- Lörinc Polivka
- Department of Pulmonology, Semmelweis University, 1085 Budapest, Hungary;
| | - Istvan Valyi-Nagy
- South-Pest Hospital Centre, National Institute for Infectiology and Hematology, 1097 Budapest, Hungary (J.S.)
| | - Zoltan Szekanecz
- Department of Rheumatology, University of Debrecen, 4032 Debrecen, Hungary;
| | - Krisztina Bogos
- National Korányi Institute of Pulmonology, 1122 Budapest, Hungary;
| | - Hajnalka Vago
- Heart and Vascular Centre, Semmelweis University, 1122 Budapest, Hungary;
| | - Anita Kamondi
- National Institute of Mental Health, Neurology and Neurosurgery, 1145 Budapest, Hungary;
| | - Ferenc Fekete
- Heim Pál National Pediatric Institute, 1089 Budapest, Hungary;
| | - Janos Szlavik
- South-Pest Hospital Centre, National Institute for Infectiology and Hematology, 1097 Budapest, Hungary (J.S.)
| | - György Surjan
- National Public Health Center, 1097 Budapest, Hungary; (G.S.); (O.S.); (C.M.)
| | - Orsolya Surjan
- National Public Health Center, 1097 Budapest, Hungary; (G.S.); (O.S.); (C.M.)
| | - Peter Nagy
- National Institute of Oncology, 1122 Budapest, Hungary;
| | - Zsuzsa Schaff
- Department of Pathology and Forensic Medicine, Semmelweis University, 1091 Budapest, Hungary;
| | - Zoltan Kiss
- 2nd Department of Internal Medicine and Nephrological Center, University of Pécs, 7624 Pécs, Hungary;
| | - Cecilia Müller
- National Public Health Center, 1097 Budapest, Hungary; (G.S.); (O.S.); (C.M.)
| | | | - Veronika Müller
- Department of Pulmonology, Semmelweis University, 1085 Budapest, Hungary;
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Polivka L, Parietti V, Bruneau J, Soucie E, Madrange M, Bayard E, Rignault R, Canioni D, Fraitag S, Lhermitte L, Feroul M, Tissandier M, Rossignol J, Frenzel L, Cagnard N, Meni C, Bouktit H, Collange AF, Gougoula C, Parisot M, Bader-Meunier B, Livideanu C, Laurent C, Arock M, Hadj-Rabia S, Rüther U, Dubreuil P, Bodemer C, Hermine O, Maouche-Chrétien L. The association of Greig syndrome and mastocytosis reveals the involvement of the hedgehog pathway in advanced mastocytosis. Blood 2021; 138:2396-2407. [PMID: 34424959 DOI: 10.1182/blood.2020010207] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2020] [Accepted: 07/28/2021] [Indexed: 11/20/2022] Open
Abstract
Mastocytosis is a heterogeneous disease characterized by an abnormal accumulation of mast cells (MCs) in 1 or several organs. Although a somatic KIT D816V mutation is detected in ∼85% of patients, attempts to demonstrate its oncogenic effect alone have repeatedly failed, suggesting that additional pathways are involved in MC transformation. From 3 children presenting with both Greig cephalopolysyndactyly syndrome (GCPS, Mendelian Inheritance in Man [175700]) and congenital mastocytosis, we demonstrated the involvement of the hedgehog (Hh) pathway in mastocytosis. GCPS is an extremely rare syndrome resulting from haploinsufficiency of GLI3, the major repressor of Hh family members. From these familial cases of mastocytosis, we demonstrate that the Hh pathway is barely active in normal primary MCs and is overactive in neoplastic MCs. GLI3 and KIT mutations had a synergistic, tumorigenic effect on the onset of mastocytosis in a GCPS mouse model. Finally, Hh inhibitors suppressed neoplastic MC proliferation in vitro and extend the survival time of mice with aggressive systemic mastocytosis (ASM). This work revealed, for the first time, the involvement of Hh signaling in the pathophysiology of mastocytosis and demonstrated the cooperative effects of the KIT and Hh oncogenic pathways in mice with ASM, leading to the identification of new promising therapeutic targets.
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Affiliation(s)
- L Polivka
- Laboratory of Molecular Mechanisms of Hematologic Disorders and Therapeutic Implications, INSERM Unité Mixte de Recherche (UMR) 1163, Paris-Centre University, Imagine Institute, Paris, France
- Department of Dermatology, Reference Center for Genodermatoses (MAGEC), Hôpital Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France
- Centre de Référence Maladies Rares des Mastocytoses (CEREMAST), Necker-Enfants Malades Hospital, Paris, France
| | - V Parietti
- Department of Animal Experimentation, Institut Universitaire d'Hématologie, Université Paris Diderot, Sorbonne Paris Cité, Paris, France
| | - J Bruneau
- Department of Pathology, Hôpital Necker-Enfants Malades, AP-HP, Paris-Centre University, Paris, France
| | - E Soucie
- Centre de Recherche en Cancérologie de Marseille, INSERM U1068, Marseille, France
| | - M Madrange
- Laboratory of Molecular Mechanisms of Hematologic Disorders and Therapeutic Implications, INSERM Unité Mixte de Recherche (UMR) 1163, Paris-Centre University, Imagine Institute, Paris, France
| | - E Bayard
- Laboratory of Molecular Mechanisms of Hematologic Disorders and Therapeutic Implications, INSERM Unité Mixte de Recherche (UMR) 1163, Paris-Centre University, Imagine Institute, Paris, France
| | - R Rignault
- Laboratory of Molecular Mechanisms of Hematologic Disorders and Therapeutic Implications, INSERM Unité Mixte de Recherche (UMR) 1163, Paris-Centre University, Imagine Institute, Paris, France
| | - D Canioni
- Department of Pathology, Hôpital Necker-Enfants Malades, AP-HP, Paris-Centre University, Paris, France
| | - S Fraitag
- Department of Pathology, Hôpital Necker-Enfants Malades, AP-HP, Paris-Centre University, Paris, France
| | - L Lhermitte
- Institut Necker-Enfants Malades, Université de Paris, INSERM Unité (U)1151, Paris, France
- Laboratory of Onco-Hematology, Hôpital Universitaire Necker Enfants-Malades, AP-HP, Paris, France
| | - M Feroul
- Institut Necker-Enfants Malades, Université de Paris, INSERM Unité (U)1151, Paris, France
- Laboratory of Onco-Hematology, Hôpital Universitaire Necker Enfants-Malades, AP-HP, Paris, France
| | - M Tissandier
- Laboratory of Molecular Mechanisms of Hematologic Disorders and Therapeutic Implications, INSERM Unité Mixte de Recherche (UMR) 1163, Paris-Centre University, Imagine Institute, Paris, France
| | - J Rossignol
- Laboratory of Molecular Mechanisms of Hematologic Disorders and Therapeutic Implications, INSERM Unité Mixte de Recherche (UMR) 1163, Paris-Centre University, Imagine Institute, Paris, France
- Centre de Référence Maladies Rares des Mastocytoses (CEREMAST), Necker-Enfants Malades Hospital, Paris, France
| | - L Frenzel
- Laboratory of Molecular Mechanisms of Hematologic Disorders and Therapeutic Implications, INSERM Unité Mixte de Recherche (UMR) 1163, Paris-Centre University, Imagine Institute, Paris, France
- Centre de Référence Maladies Rares des Mastocytoses (CEREMAST), Necker-Enfants Malades Hospital, Paris, France
- Department of Hematology, Necker-Enfants Malades Hospital, AP-HP, Paris-Centre University, Imagine Institute, Paris, France
| | - N Cagnard
- Bioinformatics, Platform Bioinformatics, INSERM U1163, Paris-Centre University, Imagine Institute, Paris, France
| | - C Meni
- Department of Dermatology, Reference Center for Genodermatoses (MAGEC), Hôpital Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France
| | - H Bouktit
- Centre de Référence Maladies Rares des Mastocytoses (CEREMAST), Necker-Enfants Malades Hospital, Paris, France
| | - A-F Collange
- Laboratory of Molecular Mechanisms of Hematologic Disorders and Therapeutic Implications, INSERM Unité Mixte de Recherche (UMR) 1163, Paris-Centre University, Imagine Institute, Paris, France
- Centre de Référence Maladies Rares des Mastocytoses (CEREMAST), Necker-Enfants Malades Hospital, Paris, France
| | - C Gougoula
- Central Unit for Animal Research and Animal Welfare Affairs (ZETT), Heinrich-Heine-University of Düsseldorf, Düsseldorf, Germany
| | - M Parisot
- Genomics Core Facility, Institut Imagine-Structure Fédérative de Recherche Necker, INSERM U1163 et INSERM US24/Centre National de la Recherche Scientifique (CNRS) Unité Mixte de Service (UMS)3633, Paris-Centre University, Imagine Institute, Paris, France
| | - B Bader-Meunier
- Department of Pediatric Immunology and Hematology, Necker-Enfants Malades Hospital, AP-HP, INSERM U1163, Paris-Centre University, Paris, France
| | - C Livideanu
- Service de Dermatologie, CEREMAST, CHU de Toulouse
| | - C Laurent
- Service d'Anatomie-Pathologique, Oncopole, Centre Hospitalier de Universitaire (CJU) de Toulouse, Toulouse, France
| | - M Arock
- Centre de Référence Maladies Rares des Mastocytoses (CEREMAST), Necker-Enfants Malades Hospital, Paris, France
- Centre de Recherche des Cordeliers, INSERM Unité de Recherche Mixte en Santé (UMRS)1138, Paris, France
- Laboratory of Hematology, Pitié-Salpêtrière Hospital, AP-HP Sorbonne Université, Paris, France; and
| | - S Hadj-Rabia
- Department of Dermatology, Reference Center for Genodermatoses (MAGEC), Hôpital Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France
| | - U Rüther
- Institute of Animal Developmental and Molecular Biology, Heinrich Heine University, Düsseldorf, Germany
| | - P Dubreuil
- Centre de Recherche en Cancérologie de Marseille, INSERM U1068, Marseille, France
| | - C Bodemer
- Department of Dermatology, Reference Center for Genodermatoses (MAGEC), Hôpital Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France
- Centre de Référence Maladies Rares des Mastocytoses (CEREMAST), Necker-Enfants Malades Hospital, Paris, France
| | - O Hermine
- Laboratory of Molecular Mechanisms of Hematologic Disorders and Therapeutic Implications, INSERM Unité Mixte de Recherche (UMR) 1163, Paris-Centre University, Imagine Institute, Paris, France
- Centre de Référence Maladies Rares des Mastocytoses (CEREMAST), Necker-Enfants Malades Hospital, Paris, France
- Department of Hematology, Necker-Enfants Malades Hospital, AP-HP, Paris-Centre University, Imagine Institute, Paris, France
| | - L Maouche-Chrétien
- Laboratory of Molecular Mechanisms of Hematologic Disorders and Therapeutic Implications, INSERM Unité Mixte de Recherche (UMR) 1163, Paris-Centre University, Imagine Institute, Paris, France
- Department of Dermatology, Reference Center for Genodermatoses (MAGEC), Hôpital Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France
- Centre de Référence Maladies Rares des Mastocytoses (CEREMAST), Necker-Enfants Malades Hospital, Paris, France
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Fertitta L, Welfringer A, Polivka L, Chhun S, Ouedrani A, Chatenoud L, Hadj-Rabia S, Sermet-Gaudelus I, Bodemer C. Pseudo-engelures de l’enfant et SARS-CoV-2 : quel lien ? Ann Dermatol Venereol 2020. [PMCID: PMC7688282 DOI: 10.1016/j.annder.2020.09.235] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Introduction L’augmentation des manifestations cutanées acrales pendant l’épidémie de SARS-CoV-2 interroge. Notre objectif était d’analyser un éventuel lien au travers de 3 tests biologiques diagnostiques SARS-CoV-2. Matériel et méthodes Du 08/04 au 03/06/2020 ont été inclus les enfants adressés en consultation de dermatologie pédiatrique pour des manifestations cutanées aiguës, inhabituelles chez le patient, et associées à des symptômes évocateurs de COVID-19 : signes systémiques chez l’enfant et/ou chez un parent au 1er degré, pendant le pic épidémique de SARS-CoV-2. Résultats Trente patients et 37 apparentés symptomatiques au 1er degré étaient inclus. Dix-sept patients présentaient des lésions de pseudo-engelures, survenant après des manifestations systémiques (60 %, délai moyen : 22 j). Une rémission complète était notée chez 11/17 patients dans les 10 à 50 jours. Les autres manifestations cutanées observées étaient des lésions à type de : urticaire parfois linéaire, exanthème maculo-papuleux (EMP), livédo. Parmi les 37 apparentés, des manifestations cutanées étaient observées au cours de la même période : pseudo-engelures (n = 3 ; 37 %), EMP (n = 3 ; 37 %), urticaires (n = 3 ; 37 %). Un syndrome inflammatoire était présent chez 11/30 enfants (37 %) dont 8/17 avec pseudo-engelures (47 %) : élévation de CRP et/ou élévation des concentrations de cytokines inflammatoires. Parmi les 17 patients avec pseudo-engelures, 8 avaient des concentrations sériques d’IL-1, IL-6, TNF-α ou IFN de type 1 augmentées, et ce parfois plusieurs semaines après les manifestations systémiques. Les 3 PCR nasales réalisées chez les patients symptomatiques (fièvre ou toux) étaient négatives. Parmi les 16/17 patients avec pseudo-engelures prélevés, un seul avait une sérologie SARS-CoV-2 positive (IgG, technique Abbott ARCHITECT®). Des explorations immunologiques complémentaires témoignant d’un contact direct avec le virus (dont ELISPOT®) sont en cours de vérification de résultats. Discussion Tous les patients, sauf un, avaient des tests négatifs pour le SARS-CoV-2. L’élévation persistante d’IL-1 et de la CRP pourrait refléter une réaction immunologique post-virale intense. Malgré l’absence de détection du SARS-CoV-2, les données épidémiologiques, les manifestations cliniques évocatrices et l’élévation des cytokines chez nos patients suggèrent un lien entre ce virus et les manifestations cutanées motivant la poursuite des explorations immunologiques.
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Maincent O, Polivka L, Canioni D, Fraitag S, Maouche-Chrétien L, Hermine O, Hadj-Rabia S, Bodemer C. Mastocytose systémique congénitale sévère associée à des mutations KIT et EZH2. Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.09.393] [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: 11/16/2022]
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5
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Polivka L, Parietti V, Soucie E, Bayard E, Canioni D, Fraitag S, Lhermitte L, Tissandier M, Rossignol J, Cagnard N, Bader-Meunier B, Arock M, Hadj-Rabia S, Dubreuil P, Bodemer C, Hermine O, Maouche-Chrétien L. Implication de la voie de signalisation Hedgehog dans les mastocytoses. Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.09.076] [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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Fertitta L, Welfringer-Morin A, Ouedrani A, Polivka L, Chhun S, Chatenoud L, Fourgeaud J, Hadj-Rabia S, Temmam S, Eloit M, Sermet-Gaudelus I, Bodemer C. Immunological and virological profile of children with chilblain-like lesions and SARS-CoV-2. J Eur Acad Dermatol Venereol 2020; 35:e164-e167. [PMID: 33010072 PMCID: PMC7675551 DOI: 10.1111/jdv.16972] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Affiliation(s)
- L Fertitta
- Department of Dermatology, Université de Paris AP-HP-5, Hôpital Universitaire Necker-Enfants Malades, Paris, France.,Reference Center for Genodermatoses and Rare Skin Diseases (MAGEC), Université de Paris AP-HP-5, Hôpital Universitaire Necker-Enfants Malades, Paris, France
| | - A Welfringer-Morin
- Department of Dermatology, Université de Paris AP-HP-5, Hôpital Universitaire Necker-Enfants Malades, Paris, France.,Reference Center for Genodermatoses and Rare Skin Diseases (MAGEC), Université de Paris AP-HP-5, Hôpital Universitaire Necker-Enfants Malades, Paris, France
| | - A Ouedrani
- Institut Necker-Enfants Malades, Université de Paris, Paris, France.,Laboratory of Immunology, Université de Paris AP-HP-5, Hôpital Universitaire Necker-Enfants Malades, Paris, France
| | - L Polivka
- Department of Dermatology, Université de Paris AP-HP-5, Hôpital Universitaire Necker-Enfants Malades, Paris, France.,Reference Center for Genodermatoses and Rare Skin Diseases (MAGEC), Université de Paris AP-HP-5, Hôpital Universitaire Necker-Enfants Malades, Paris, France
| | - S Chhun
- Institut Necker-Enfants Malades, Université de Paris, Paris, France.,Laboratory of Immunology, Université de Paris AP-HP-5, Hôpital Universitaire Necker-Enfants Malades, Paris, France
| | - L Chatenoud
- Institut Necker-Enfants Malades, Université de Paris, Paris, France.,Laboratory of Immunology, Université de Paris AP-HP-5, Hôpital Universitaire Necker-Enfants Malades, Paris, France
| | - J Fourgeaud
- Laboratory of Virology, Université de Paris AP-HP-5, Hôpital Universitaire Necker-Enfants Malades, Paris, France
| | - S Hadj-Rabia
- Department of Dermatology, Université de Paris AP-HP-5, Hôpital Universitaire Necker-Enfants Malades, Paris, France.,Reference Center for Genodermatoses and Rare Skin Diseases (MAGEC), Université de Paris AP-HP-5, Hôpital Universitaire Necker-Enfants Malades, Paris, France.,INSERM U1163, Institut Imagine, Hôpital Universitaire Necker-Enfants Malades, Paris, France
| | - S Temmam
- Pathogen Discovery Laboratory, Department of Virology, Institut Pasteur, Paris, France
| | - M Eloit
- Pathogen Discovery Laboratory, Department of Virology, Institut Pasteur, Paris, France
| | - I Sermet-Gaudelus
- Department of Pneumology, Université de Paris AP-HP-5, Hôpital Universitaire Necker-Enfants Malades, Paris, France.,Reference Center Rare Diseases: cystic fibrosis, Paris, France.,INSERM U1151, Institut Necker - Enfants Malades, Université de Paris, Paris, France
| | - C Bodemer
- Department of Dermatology, Université de Paris AP-HP-5, Hôpital Universitaire Necker-Enfants Malades, Paris, France.,Reference Center for Genodermatoses and Rare Skin Diseases (MAGEC), Université de Paris AP-HP-5, Hôpital Universitaire Necker-Enfants Malades, Paris, France.,INSERM U1163, Institut Imagine, Hôpital Universitaire Necker-Enfants Malades, Paris, France
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Polivka L, Rossignol J, Neuraz A, Condé D, Méni C, Dubreuil P, Maouche-Chrétien L, Hadj-Rabia S, Hermine O, Bodemer C. Facteurs cliniques et moléculaires associés à la régression de la mastocytose : étude d’une cohorte de 272 enfants. Ann Dermatol Venereol 2019. [DOI: 10.1016/j.annder.2019.09.151] [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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Polivka L, Hadj-Rabia S, Bal E, Leclerc-Mercier S, Madrange M, Smahi A, Bodemer C. Syndrome SAMEC : un modèle d’interaction dysfonction de la barrière épithéliale-dysrégulation immunologique. Ann Dermatol Venereol 2018. [DOI: 10.1016/j.annder.2018.09.062] [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]
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Polivka L, Rill L. DOES AGE BLOC VOTING MATTER? AN EXAMINATION OF OLDER VOTERS INFLUENCE ON THE RECENT PRESIDENTIAL ELECTIONS. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.1300] [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: 11/12/2022] Open
Affiliation(s)
- L Polivka
- Florida State University, Tallahassee, Florida, United States
| | - L Rill
- Florida State University, Tallahassee, FL, USA
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Polivka L, Applebaum B. THE INCREASING FRAGMENTATION OF THE U.S. PUBLIC LONG TERM CARE SYSTEM AND GROWING CORPORATE CONTROL. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.830] [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: 11/14/2022] Open
Affiliation(s)
- L Polivka
- Florida State University, Tallahassee, Florida
| | - B Applebaum
- Department of Sociology and Gerontology and Scripps Gerontology Center, Miami University, Oxford, Ohio
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Polivka L. CORPORATE LONG-TERM CARE IN FLORIDA AND ITS IMPLICATIONS FOR THE FUTURE OF LONG-TERM CARE IN THE U.S. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.831] [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: 11/13/2022] Open
Affiliation(s)
- L Polivka
- Florida State University, Tallahassee, Florida, United States
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12
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Polivka L, Oubaya N, Bachelez H, Paul C, Richard MA, Beylot-Barry M, Schmutz JL, Beneton N, Mahé E, Viguier M, Chosidow O, Canoui-Poitrine F, Sbidian E. Trends in hospitalization rates for psoriasis flares since the introduction of biologics: a time series in France between 2005 and 2015. J Eur Acad Dermatol Venereol 2018; 32:1920-1929. [PMID: 29729123 DOI: 10.1111/jdv.15044] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2018] [Accepted: 03/28/2018] [Indexed: 11/28/2022]
Abstract
BACKGROUND In the late 2000s, the introduction of biologics transformed the prognosis for patients with moderate-to-severe psoriasis. We hypothesized that treatment with biologics may associate with a reduction in the hospitalization rate for psoriasis flares. OBJECTIVE To analyse changes over time in the hospitalization rate for psoriasis flares. METHODS We included inpatient stays in any of nine French hospitals between 2005 and 2015 for a psoriasis flare, as documented in the national inpatient database. In two centres, we also analysed data from the individual patients' electronic medical records. RESULTS A total of 3572 stays were included. The introduction of biologics was not associated with a decrease in the number of hospitalizations for a psoriasis flare; on the contrary, we observed a non-significant increase in the number of hospitalizations (13 hospitalizations for psoriasis flares per quarter per 10 000 beds). In the two-centre study, the introduction of biologics was associated with a significant increase in the hospitalization of patients receiving topical treatments only (520 hospitalizations per year per 10 000 beds) and those with a first psoriasis flare. CONCLUSION The number of hospitalizations for a psoriasis flare tended to increase between 2005 and 2015. The availability of additional treatment options might have increased patient demand and/or broadened the indications in clinical practice.
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Affiliation(s)
- L Polivka
- Department of Dermatology, Necker-Enfants Malades Hospital (AP-HP), Paris Descartes-Sorbonne Paris Cité University, Paris, France
| | - N Oubaya
- Department of Clinical Research and Public Health, Mondor Hospital (AP-HP), Paris Est Créteil University, Créteil, France.,IMRB-EA 7376 CEpiA (Clinical Epidemiology And Ageing Unit), UPEC, DHU A-TVB, Paris-Est University, Créteil, France
| | - H Bachelez
- Department of Dermatology, Saint Louis Hospital (AP-HP), Sorbonne Paris Cité University Paris Diderot, Paris, France
| | - C Paul
- Department of Dermatology, Larrey Hospital, Toulouse University, Toulouse, France
| | - M A Richard
- Dermatology Department, Centre de recherche en oncologie biologique et oncophamacologie', UMR 911, INSERM CRO2, Timone Hospital, Assistance Publique Hôpitaux de Marseille, Aix-Marseille Univ, Marseille, France
| | - M Beylot-Barry
- Department of Dermatology, INSERM 1053, CHU Bordeaux, Bordeaux University, Bordeaux, France
| | - J L Schmutz
- Department of Dermato-Allergology, Brabois Hospital, Nancy University, Vandoeuvre-lès-Nancy, France
| | - N Beneton
- Department of Dermatology, Le Mans General Hospital, Le Mans, France
| | - E Mahé
- Department of Dermatology, Victor Dupouy Hospital, Argenteuil, France
| | - M Viguier
- Department of Dermatology, Robert Debré Hospital, University of Reims-Champagne Ardennes, Reims, France
| | - O Chosidow
- Department of Dermatology, Mondor Hospital (AP-HP), Paris Est Créteil University, Créteil, France.,Centre d'Investigation Clinique 1430, INSERM, Créteil, France.,UPEC, DHU VIC, EA 7379 EpiDermE (Epidemiologie En Dermatologie et Evaluation des Thérapeutiques), Paris-Est University, Créteil, France
| | - F Canoui-Poitrine
- Department of Clinical Research and Public Health, Mondor Hospital (AP-HP), Paris Est Créteil University, Créteil, France.,IMRB-EA 7376 CEpiA (Clinical Epidemiology And Ageing Unit), UPEC, DHU A-TVB, Paris-Est University, Créteil, France
| | - E Sbidian
- Department of Dermatology, Mondor Hospital (AP-HP), Paris Est Créteil University, Créteil, France.,Centre d'Investigation Clinique 1430, INSERM, Créteil, France.,UPEC, DHU VIC, EA 7379 EpiDermE (Epidemiologie En Dermatologie et Evaluation des Thérapeutiques), Paris-Est University, Créteil, France
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Polivka L, Applebaum R. ALTERNATE MODELS OF PUBLIC LONG-TERM CARE IN THE UNITED STATES. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.3603] [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: 11/12/2022] Open
Affiliation(s)
- L. Polivka
- Claude Pepper Center, Tallahassee, Florida
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Polivka L, Luo B. POLITICAL ECONOMIES OF AGING IN THE DEVELOPING WORLD—NEOLIBERALISM, SOCIAL EXCLUSION, AND GROWTH. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.3965] [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: 11/14/2022] Open
Affiliation(s)
- L. Polivka
- Claude Pepper Center, Tallahassee, Florida,
| | - B. Luo
- Western Washington University, Bellingham, Washington
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Polivka L, Luo B. LONG-TERM CARE IN ASIA, THE U.S., AND EUROPE. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.4625] [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: 11/14/2022] Open
Affiliation(s)
- L. Polivka
- Claude Pepper Center, Tallahassee, Florida
| | - B. Luo
- Western Washington University, Bellingham, Washington
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Polivka L. A PUBLIC LONG-TERM CARE SYSTEM FULLY ADMINISTERED BY PRIVATE, FOR-PROFIT HMOS—THE FLORIDA MODEL. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.3604] [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: 11/14/2022] Open
Affiliation(s)
- L. Polivka
- Claude Pepper Center, Tallahassee, Florida
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17
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Polivka L, Moguelet P, Meritet JF, Ouali N, Francès C, Senet P. Giant orf tumour in an immunocompromised patient. J Eur Acad Dermatol Venereol 2017; 31:e515-e516. [PMID: 28544177 DOI: 10.1111/jdv.14361] [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] [Indexed: 12/01/2022]
Affiliation(s)
- L Polivka
- Department of Dermatology, Tenon Hospital (AP-HP), Paris, France
| | - P Moguelet
- Department of Pathology, Tenon Hospital (AP-HP), Paris, France
| | - J F Meritet
- Department of Microbiology, Cochin Hospital (AP-HP), Paris, France
| | - N Ouali
- Department of Nephrology, Tenon Hospital (AP-HP), Paris, France
| | - C Francès
- Department of Dermatology, Tenon Hospital (AP-HP), Paris, France
| | - P Senet
- Department of Dermatology, Tenon Hospital (AP-HP), Paris, France
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Polivka L, Diana JS, Soria A, Bodemer C, Quartier P, Fraitag S, Bader-Meunier B. Probable DRESS syndrome induced by IL-1 inhibitors. Orphanet J Rare Dis 2017; 12:87. [PMID: 28494771 PMCID: PMC5425965 DOI: 10.1186/s13023-017-0645-x] [Citation(s) in RCA: 4] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2017] [Accepted: 05/02/2017] [Indexed: 11/17/2022] Open
Abstract
Interleukin (IL)-1 inhibitors have been increasingly used for treating autoinflammatory diseases during the last 10 years, but the spectrum of their possible side effects is not yet fully known. Here, we bring physicians’ attention to a new severe complication of IL-1 inhibitors, manifesting as a probable drug reaction with eosinophilia and systemic symptoms (DRESS) in two patients.
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Affiliation(s)
- L Polivka
- Paris Descartes-Sorbonne Paris Cité University and IMAGINE Institute, Paris, France.,Department of Pediatric Hematology-Immunology and Rheumatology, Necker-Enfants Malades Hospital (AP-HP), 149 rue de Sèvres, 75015, Paris, France
| | - J S Diana
- Paris Descartes-Sorbonne Paris Cité University and IMAGINE Institute, Paris, France.,Department of Pediatric Hematology-Immunology and Rheumatology, Necker-Enfants Malades Hospital (AP-HP), 149 rue de Sèvres, 75015, Paris, France
| | - A Soria
- Sorbonne University, UPMC University Paris 06, Immunology and Infectious diseases Center - Paris (Cimi-Paris), INSERM U1135, Paris, France.,Department of Dermatology and Allergology, Tenon Hospital (AP-HP), Paris, France
| | - C Bodemer
- Paris Descartes-Sorbonne Paris Cité University and IMAGINE Institute, Paris, France.,Department of Dermatology, Necker-Enfants Malades Hospital (AP-HP), Paris, France
| | - P Quartier
- Paris Descartes-Sorbonne Paris Cité University and IMAGINE Institute, Paris, France.,Department of Pediatric Hematology-Immunology and Rheumatology, Necker-Enfants Malades Hospital (AP-HP), 149 rue de Sèvres, 75015, Paris, France
| | - S Fraitag
- Paris Descartes-Sorbonne Paris Cité University and IMAGINE Institute, Paris, France.,Department of Pathology, Necker-Enfants Malades Hospital (AP-HP), Paris, France
| | - B Bader-Meunier
- Paris Descartes-Sorbonne Paris Cité University and IMAGINE Institute, Paris, France. .,Department of Pediatric Hematology-Immunology and Rheumatology, Necker-Enfants Malades Hospital (AP-HP), 149 rue de Sèvres, 75015, Paris, France.
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Polivka L, Oubaya N, Richard MA, Chosidow O, Bachelez H, Canoui-Poitrine F, Sbidian E. Évolution du profil et du nombre de cas de psoriasis hospitalisés : une analyse en série chronologique de 700 patients entre 2003 et 2013. Ann Dermatol Venereol 2016. [DOI: 10.1016/j.annder.2016.09.151] [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: 10/20/2022]
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Méni C, Polivka L, Hadj-Rabia S, Bekel L, Bellon N, Boccara O, Sissaoui S, Pannier S, Lacaille F, Hermine O, Bodemer C. Un cas de mastocytose systémique chez un enfant avec anomalies morphologiques : hypothèses physiopathologiques. Ann Dermatol Venereol 2016. [DOI: 10.1016/j.annder.2016.09.438] [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: 10/20/2022]
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Polivka L, Bodemer C, Hadj-Rabia S. Maladies desmosomales : quels signes dermatologiques sont annonciateurs d’une atteinte cardiaque infra-clinique sévère ? Proposition d’un algorithme. Ann Dermatol Venereol 2015. [DOI: 10.1016/j.annder.2015.10.050] [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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Polivka L, Battistella M, Bagot M, Revol M, Bachelez H. Le lipofilling : une nouvelle option thérapeutique des cicatrices atrophiques de panniculites lupiques. Ann Dermatol Venereol 2014. [DOI: 10.1016/j.annder.2014.09.576] [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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Polivka L, Peytavin G, Franck N, Mouthon L, Dupin N. Testing for levamisole and cocaine in hair samples for the diagnosis of levamisole-related panniculitis. J Eur Acad Dermatol Venereol 2014; 29:2487-9. [DOI: 10.1111/jdv.12582] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2014] [Revised: 05/02/2014] [Accepted: 05/05/2014] [Indexed: 11/28/2022]
Affiliation(s)
- L. Polivka
- Service de Dermatologie; Université Paris Descartes; Pavillon Tarnier; Hôpital Cochin; Assistance Publique-Hôpitaux de Paris (AP-HP); Paris
| | - G. Peytavin
- EA 4409; Université Paris Diderot and Service de Pharmacologie-Toxicologie; Hôpital Bichat; AP-HP; Paris
| | - N. Franck
- Service de Dermatologie; Université Paris Descartes; Pavillon Tarnier; Hôpital Cochin; Assistance Publique-Hôpitaux de Paris (AP-HP); Paris
| | - L. Mouthon
- Service de Médecine Interne; Université Paris Descartes; Hôpital Cochin; AP-HP; Paris
| | - N. Dupin
- Service de Dermatologie; Université Paris Descartes; Pavillon Tarnier; Hôpital Cochin; Assistance Publique-Hôpitaux de Paris (AP-HP); Paris
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Polivka L. MEDICARE AND THE FUTURE OF RETIREMENT SECURITY: Robert H. Binstock, PhD, Editor. The Gerontologist 2007. [DOI: 10.1093/geront/47.1.123] [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: 11/13/2022] Open
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Polivka L. The science and ethics of long-term care. Generations 2003; 22:21-5. [PMID: 12785340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/02/2023]
Affiliation(s)
- L Polivka
- Florida Policy Exchange Center on Aging, University of South Florida, Tampa, FL, USA
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Polivka L, Imershein AW, White JW, Stivers LE. Human service reorganization and its effects: a preliminary assessment of Florida's services integration 'experiment.'. Public Adm Rev 1981; 41:359-365. [PMID: 10251865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
The present discussion reports on some of the first statewide data gathering and analysis to assess the consequences of the 1975 reorganization of the Florida Department of Health and Rehabilitative Services. Two major concepts guiding the reorganization were: (1) integration of services in order to cover more adequately the needs of clients, including "multi-problem" clients, and (2) decentralization of administrative authority of all programs under a single, district-wide management structure. Despite widespread interest in the Florida system, and two previous studies, no systematic, detailed study of the impact of reorganization at the service delivery level has been conducted until now. The results of this study indicate that departmental employees perceive substantial decentralization of authority and progress toward integration of services since the 1975 reorganization. Perceived improvement in client services is also indicated. Major factors cited as influential in the change are the move toward collocation of services, the establishment of administratively interlinked service networks, and to a lesser extent, the development of generalist managers.
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