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Toker M, Forelli N, Wind O, Khanna U, Jaller JA, Fischer S, Mardakhaev E, Wu B. Histopathology and radiologic imaging for the confirmation of calciphylaxis in a diverse population: A retrospective cohort study. J Am Acad Dermatol 2024:S0190-9622(24)00503-6. [PMID: 38513831 DOI: 10.1016/j.jaad.2024.03.012] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2023] [Revised: 02/22/2024] [Accepted: 03/11/2024] [Indexed: 03/23/2024]
Affiliation(s)
- Michelle Toker
- Division of Dermatology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York.
| | - Nicholas Forelli
- Division of Dermatology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York
| | - Olivia Wind
- Division of Dermatology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York
| | - Urmi Khanna
- Division of Dermatology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York
| | - Jose A Jaller
- Division of Dermatology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York
| | - Sarah Fischer
- Department of Radiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York
| | - Edward Mardakhaev
- Department of Radiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York
| | - Benedict Wu
- Division of Dermatology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York
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Kohanzadeh A, Sher A, Wind O, Liu Q, Srivastava P, Amin B, Mann R. Pancreatic Panniculitis: A Case Associated With Acute Pancreatic Allograft Rejection. Cureus 2024; 16:e52925. [PMID: 38274602 PMCID: PMC10810171 DOI: 10.7759/cureus.52925] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/24/2024] [Indexed: 01/27/2024] Open
Abstract
We present a unique case of pancreatic panniculitis (PP) in a 42-year-old male with a history of pancreas-after-kidney (PAK) transplant. The patient developed PP due to acute pancreas allograft rejection. Clinical manifestations included fevers, myalgias, arthralgias, and tender erythematous subcutaneous nodules on the lower extremities. A recent hospital admission was noted for acute pancreas allograft rejection related to low tacrolimus levels. Rheumatological and infectious disease workups were negative. Skin nodule punch biopsy confirmed PP with lobular panniculitis, necrotic adipocytes, basophilic debris, and calcification. Pancreatic biopsy showed evidence of parenchymal acute cellular rejection. Lipase and amylase levels were elevated (1781 U/L and 881 U/L, respectively). Treatment involved pulse solumedrol and thymoglobulin for pancreatic rejection, alongside adjustments to immunosuppressive medications. This case highlights the rarity of PP in a PAK recipient and its association with acute pancreas allograft rejection. Importantly, it is the first reported case of PP occurring solely in the context of pancreas transplant rejection, without concurrent kidney damage or rejection. Prompt diagnosis and management led to the resolution of skin and systemic symptoms. In conclusion, this report presents a clinically relevant and unique case of PP resulting from acute pancreas allograft rejection in a PAK transplant recipient. The findings underscore the importance of early diagnosis and management for positive patient outcomes, serving as a reminder to consider underlying pancreatic pathology when encountering PP in transplant recipients.
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Affiliation(s)
- Avraham Kohanzadeh
- Internal Medicine, Albert Einstein College of Medicine, New York City, USA
| | - Ariel Sher
- Dermatology, New York Medical College, New York City, USA
| | - Olivia Wind
- Dermatology, Mount Sinai Hospital, New York City, USA
| | - Qiang Liu
- Pathology and Laboratory Medicine, Montefiore Medical Center, New York City, USA
| | | | - Bijal Amin
- Dermatopathology, Montefiore Medical Center, New York City, USA
| | - Ranon Mann
- Dermatology, Montefiore Medical Center, New York City, USA
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Mieczkowska K, Deutsch A, Borok J, Guzman AK, Fruchter R, Patel P, Wind O, McLellan BN, Mann RE, Halverstam CP. Telogen effluvium: a sequela of COVID-19. Int J Dermatol 2020; 60:122-124. [PMID: 33226117 PMCID: PMC7753411 DOI: 10.1111/ijd.15313] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/09/2020] [Revised: 10/19/2020] [Accepted: 10/23/2020] [Indexed: 01/18/2023]
Affiliation(s)
- Karolina Mieczkowska
- Department of Medicine, Division of Dermatology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA
| | - Alana Deutsch
- Department of Medicine, Division of Dermatology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA
| | - Jenna Borok
- Department of Medicine, Division of Dermatology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA
| | - Anthony K Guzman
- Department of Medicine, Division of Dermatology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA
| | - Renee Fruchter
- Department of Medicine, Division of Dermatology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA
| | - Parth Patel
- Department of Medicine, Division of Dermatology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA
| | - Olivia Wind
- Department of Medicine, Division of Dermatology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA
| | - Beth N McLellan
- Department of Medicine, Division of Dermatology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA.,Division of Dermatology, Jacobi Medical Center, Bronx, NY, USA
| | - Ranon E Mann
- Department of Medicine, Division of Dermatology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA
| | - Caroline P Halverstam
- Department of Medicine, Division of Dermatology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA.,Division of Dermatology, Jacobi Medical Center, Bronx, NY, USA
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Zhou D, Ota K, Nardin C, Feldman M, Widman A, Wind O, Simon A, Reilly M, Levin LR, Buck J, Wakamatsu K, Ito S, Zippin JH. Mammalian pigmentation is regulated by a distinct cAMP-dependent mechanism that controls melanosome pH. Sci Signal 2018; 11:11/555/eaau7987. [PMID: 30401788 DOI: 10.1126/scisignal.aau7987] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
The production of melanin increases skin pigmentation and reduces the risk of skin cancer. Melanin production depends on the pH of melanosomes, which are more acidic in lighter-skinned than in darker-skinned people. We showed that inhibition of soluble adenylyl cyclase (sAC) controlled pigmentation by increasing the pH of melanosomes both in cells and in vivo. Distinct from the canonical melanocortin 1 receptor (MC1R)-dependent cAMP pathway that controls pigmentation by altering gene expression, we found that inhibition of sAC increased pigmentation by increasing the activity of tyrosinase, the rate-limiting enzyme in melanin synthesis, which is more active at basic pH. We demonstrated that the effect of sAC activity on pH and melanin production in human melanocytes depended on the skin color of the donor. Last, we identified sAC inhibitors as a new class of drugs that increase melanosome pH and pigmentation in vivo, suggesting that pharmacologic inhibition of this pathway may affect skin cancer risk or pigmentation conditions.
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Affiliation(s)
- Dalee Zhou
- Department of Dermatology, Weill Cornell Medical College, New York, NY 10021, USA
| | - Koji Ota
- Department of Dermatology, Weill Cornell Medical College, New York, NY 10021, USA
| | - Charlee Nardin
- Department of Dermatology, Weill Cornell Medical College, New York, NY 10021, USA.,Service de Dermatologie, Centre Hospitalier Universitaire, Besançon 25030, France
| | - Michelle Feldman
- Department of Dermatology, Weill Cornell Medical College, New York, NY 10021, USA
| | - Adam Widman
- Department of Dermatology, Weill Cornell Medical College, New York, NY 10021, USA
| | - Olivia Wind
- Department of Dermatology, Weill Cornell Medical College, New York, NY 10021, USA
| | - Amanda Simon
- Department of Dermatology, Weill Cornell Medical College, New York, NY 10021, USA
| | - Michael Reilly
- Department of Dermatology, Weill Cornell Medical College, New York, NY 10021, USA
| | - Lonny R Levin
- Department of Pharmacology, Weill Cornell Medical College, New York, NY 10065, USA
| | - Jochen Buck
- Department of Pharmacology, Weill Cornell Medical College, New York, NY 10065, USA
| | - Kazumasa Wakamatsu
- Department of Chemistry, Fujita Health University School of Health Sciences, Toyoake 470-1192, Japan
| | - Shosuke Ito
- Department of Chemistry, Fujita Health University School of Health Sciences, Toyoake 470-1192, Japan
| | - Jonathan H Zippin
- Department of Dermatology, Weill Cornell Medical College, New York, NY 10021, USA.
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Wind O, Zhou D, Zippin J. 1235 Expression pattern of melanosomal proteins following inhibition of soluble adenylyl cyclase. J Invest Dermatol 2018. [DOI: 10.1016/j.jid.2018.03.1250] [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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Woggon U, Giessen H, Gindele F, Wind O, Fluegel B, Peyghambarian N. Ultrafast energy relaxation in quantum dots. Phys Rev B Condens Matter 1996; 54:17681-17690. [PMID: 9985896 DOI: 10.1103/physrevb.54.17681] [Citation(s) in RCA: 52] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/12/2023]
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Woggon U, Gindele F, Wind O, Klingshirn C. Exchange interaction and phonon confinement in CdSe quantum dots. Phys Rev B Condens Matter 1996; 54:1506-1509. [PMID: 9985984 DOI: 10.1103/physrevb.54.1506] [Citation(s) in RCA: 55] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/12/2023]
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Umlauff M, Kalt H, Langbein W, Wind O, Geyzers KP, Heuken M. Gain and dynamics of excitons in MOVPE-grown ZnSe/ZnSxSe1 −x heterostructures. ACTA ACUST UNITED AC 1994. [DOI: 10.1002/amo.860030108] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Woggon U, Bogdanov SV, Wind O, Schlaad K, Pier H, Klingshirn C, Chatziagorastou P, Fritz HP. Electro-optic properties of CdS embedded in a polymer. Phys Rev B Condens Matter 1993; 48:11979-11986. [PMID: 10007542 DOI: 10.1103/physrevb.48.11979] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/12/2023]
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