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Li X, Xing L, Lai R, Yuan C, Humbert P. Literature mapping: association of microscopic skin microflora and biomarkers with macroscopic skin health. Clin Exp Dermatol 2020; 46:21-27. [PMID: 32786033 PMCID: PMC7754415 DOI: 10.1111/ced.14353] [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] [Received: 12/17/2019] [Revised: 03/09/2020] [Accepted: 05/27/2020] [Indexed: 10/27/2022]
Abstract
Associations between skin microbes or biomarkers and pathological conditions have been reported in the literature. However, there is a lack of clarity on the interaction between the coexistence of common skin microbes with skin physiology and subsequent development of clinical symptoms, and the role of biomarkers in mediating these changes before the development of skin disease. In this review, we aim to identify areas in which extensive research for the studied factors has already been conducted, and which research areas are under-represented. The SciFinder database was searched for articles containing key words including specific skin microbes, biomarkers, skin physiology and diseases from the beginning of the SciFinder data record to 26 April 2016, and we included an additional relevant recent publication from our group. Among the 8000 + articles selected, the frequency of keyword pairs between two roles [microscopic markers (microflora or biomarkers) and reactions (skin physiology or clinical symptoms, or skin disease)] was investigated. Associated research between the individual factors such as skin microflora or biomarkers (chosen based on our earlier publication) and specific biophysical parameters, symptoms or skin disease was identified. The present research heatmap emphasizes the significance of a structured review of research on concerned factor associations to identify early/subclinical clues that can be used to prevent progression to overt skin disease with the help of precise skin care or early intervention, as indicated by skin microflora, biomarkers and an interactive skin biophysics profile. The findings provide a novel approach to explore such associations and may guide future research directed towards predicting disease from early/subclinical symptoms.
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Affiliation(s)
- X Li
- Clinical Science APAC, Johnson & Johnson (China) Ltd, Shanghai Technology and Research Center, Shanghai, China
| | - L Xing
- Clinical Science APAC, Johnson & Johnson (China) Ltd, Shanghai Technology and Research Center, Shanghai, China
| | - R Lai
- External Innovation, Johnson & Johnson (China) Ltd, Minhang District, Shanghai, China
| | - C Yuan
- Skin and Cosmetic Research Department, Shanghai Skin Disease Hospital, Shanghai, China
| | - P Humbert
- Department of Dermatology, Research and Clinic Centre on the Tegument, Clinical Investigation Center, Besançon University Hospital, Besançon, France.,University of Franche-Comté, Inserm U1098, Besançon, France
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Couffignal C, Kolta S, Flamant M, Cazanave C, Haymann JP, Mentré F, Duval X, Leport C, Raffi F, Chêne G, Salamon R, Moatti JP, Pierret J, Spire B, Brun-Vézinet F, Fleury H, Masquelier B, Peytavin G, Garraffo R, Costagliola D, Dellamonica P, Katlama C, Meyer L, Salmon D, Sobel A, Cuzin L, Dupon M, Le Moing V, Marchou B, May T, Morlat P, Rabaud C, Waldner-Combernoux A, Hardel L, Reboud P, Couffin-Cadiergues S, Marchand L, Assuied A, Carrieri P, Habak S, Couturier F, Jadand C, Perrier A, Préau M, Protopopescu C, Schmit J, Chennebault J, Faller J, Magy-Bertrand N, Chirouze C, Humbert P, Longy-Boursier, Neau D, Granier P, Ansart S, Verdon R, Merrien D, Chevojon P, Sobel A, Levy Y, Piroth L, Perronne C, Froguel E, Ceccaldi J, Chidiac C, Grégoire V, Reynes J, Fuzibet JG, Arsac P, Bouvet E, Bricaire F, Monsonego J, Girard P, Guillevin L, Herson S, Molina J, Pialoux G, Sain O, Sellier P, Roblot F, Bani-Sadr F, Michelet C, Lucht F, Debord C, Martin T, De Jaureguiberry J, Bernard L. Nevirapine Use Is Associated with Higher Bone Mineral Density in HIV-1 Positive Subjects on Long-Term Antiretroviral Therapy. AIDS Res Hum Retroviruses 2020; 36:399-405. [PMID: 31891665 DOI: 10.1089/aid.2019.0229] [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] [Indexed: 11/13/2022] Open
Abstract
We assessed bone mineral density (BMD) in a cohort of human immunodeficiency virus (HIV)-positive patients after a median of 11 years of combination antiretroviral therapy (cART) and evaluated the respective role of HIV infection and antiretroviral drugs (ARVs). A cross-sectional study of 162 participants (131 male) from the ANRS-C08 cohort was performed with bone dual-energy X-ray absorptiometry (DXA) scans and renal assessment. The window of exposure to ARVs was defined as an exposure of more than six cumulative months during the last 3 years before the DXA evaluation to account for a cumulative exposure that could affect bone remodeling. The association with low BMD (Z-score < -2) was assessed by a multiple logistic regression model. The study population was 50 years (median), hepatitis C virus (HCV) (18%), and hepatitis B virus (HBV) (8%) coinfection with HIV-RNA <50 c/mL in 89%, median CD4 of 619/mm3. Prevalence of low BMD was 18% in males and 6% in females. The factors associated with a Z-score < -2 in males were uric acid renal loss [adjusted odds ratio (aOR): 6.1; 95% confidence interval (CI): 1.2-31.5; p = .03], HCV coinfection (aOR: 4.0; 95% CI: 1.3-12.2; p = .02), and less frequent window of exposure to nevirapine (NVP) (aOR: 0.1; 95% CI: 0.02-0.6; p = .01). For the full study sample, there was a strong positive association between duration of exposure to NVP and lumbar spine Z-score (p = .004). HIV-positive patients exposed to long-term cART have a high incidence of low BMD. Tenofovir disoproxil fumarate and ritonavir-boosted protease inhibitors did not seem to be associated with increased risk of low BMD, whereas NVP exposure appeared to have an independent positive association.
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Affiliation(s)
- Camille Couffignal
- Infection, Antimicrobials, Modeling, Evolution (IAME) UMR 1137, INSERM and Université of Paris, Paris, France
| | - Sami Kolta
- Department of Rheumatology, University Hospital Cochin, Assistance Publique–Hôpitaux de Paris, INSERM UMR-1153, Paris, France
| | - Martin Flamant
- Department of Physiology, University Hospital Bichat, Assistance Publique–Hôpitaux de Paris, Paris, France
| | - Charles Cazanave
- Infectious Diseases Department, University Hospital Bordeaux, Bordeaux, France
| | - Jean-Philippe Haymann
- Department of Physiology, University Hospital Tenon, and INSERM UMR_S1155, Paris, France
| | - France Mentré
- Infection, Antimicrobials, Modeling, Evolution (IAME) UMR 1137, INSERM and Université of Paris, Paris, France
| | - Xavier Duval
- Infection, Antimicrobials, Modeling, Evolution (IAME) UMR 1137, INSERM and Université of Paris, Paris, and INSERM CIC1425, Paris, France
| | - Catherine Leport
- Unité COREB (Coordination du Risque Epidémique et Biologique), Assistance Publique–Hôpitaux de Paris, Paris, France
| | - François Raffi
- Infectious Diseases Department, University Hospital Hotel-Dieu, and INSERM CIC 1413, University of Nantes, Nantes, France
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Abstract
OBJECTIVE In venous leg ulcer (VLU), the impaired healing has been shown to be associated with excessive levels of protease activities such as matrix metalloproteinases (MMPs) and elastases found in exudates. The present study focused on exudates absorption and proteases trapping capacity of a new generation of polyacrylate superabsorbent, Tegaderm superabsorber (TS), compared with a traditional dressing such as Zetuvit. METHOD We studied the proteases implicated in VLU (MMP-1, MMP-2, MMP-9 and PMN elastase). Absorption was tested using an artificial exudate like fluid, over 30 minutes. The protein trapping ability was obtained using ELISA assays (enzyme-linked immunosorbent assay) to determine the amount retained by the dressings from spiked fluid samples. RESULTS TS had a higher exudate absorption capacity (72.8±1.7%) compared with the standard dressing (36.5±1.6%), and was also able to trap and retain proteases while the standard dressing released them. The difference was shown to be much larger for MMP-2 and PMN elastase. CONCLUSION In our knowledge, this is the first comparative in vitro study evaluating absorption capacity as well as protease trapping capacity of a polyacrylate dressing for the four most implicated proteases in VLU. TS could be an appropriate alternative to improve the management of VLU by trapping MMPs and PMN elastse with a particularly high affinity for MMP-2 and PMN elastase.
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Affiliation(s)
- P Humbert
- Professor of Dermatology, Dermatology, University Hospital, 2 boulevard Fleming, 25030 Besançon; University of Franche-Comté, INSERM UMR1098; SFR FED 4234 IBCT, Besançon, France
| | - C Courderot-Masuyer
- Doctor of Pharmaceutical Science, Laboratoire Bioexigence, 8 rue Alfred de Vigny, 25000 Besançon, France
| | - S Robin
- Doctor of the University of Franche-Comté, Research Engineer, Dermatology, University Hospital, 2 boulevard Fleming, 25030 Besançon; University of Franche-Comté, INSERM UMR1098; SFR FED 4234 IBCT, Besançon, France
| | - D Oster
- Technical Engineer, Laboratoire national de métrologie et d'essais, 29 avenue Roger Hennequin, 78197 Trappes cedex
| | - R Pegahi
- Medical Affairs Manager, Critical and chronic care solution Division, 3M France, Boulevard de l'Oise, 95006 Cergy Pontoise
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Lombart F, Dillies A, Senet P, Pourchot D, Oro S, Modiano P, Barete S, Perceau G, Humbert P, Brault F, Poreaux C, Lorriaux A, Lok C, Chaby G. Calciphylaxie chez des patients non insuffisants rénaux : série de 10 cas. Ann Dermatol Venereol 2018. [DOI: 10.1016/j.annder.2018.09.483] [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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Affiliation(s)
- P. Humbert
- University of Franche-Comté; Besancon France
| | - L. Louvrier
- University of Franche-Comté; Besancon France
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Rahrovan S, Fanian F, Mehryan P, Humbert P, Firooz A. Male versus female skin: What dermatologists and cosmeticians should know. Int J Womens Dermatol 2018; 4:122-130. [PMID: 30175213 PMCID: PMC6116811 DOI: 10.1016/j.ijwd.2018.03.002] [Citation(s) in RCA: 50] [Impact Index Per Article: 8.3] [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] [Received: 08/04/2017] [Revised: 02/23/2018] [Accepted: 03/04/2018] [Indexed: 02/08/2023] Open
Abstract
Introduction The skin is important for the perception of health and beauty. Knowledge of the physiological, chemical, and biophysical differences between the skin of male and female patients helps dermatologists develop a proper approach not only for the management of skin diseases but also to properly take care of cosmetic issues. The influence of genetic and environmental factors on skin characteristics is also critical to consider. Methods A literature search of PubMed and Google was conducted to compare the biophysical and biomechanical properties of the skin of male and female patients using the keywords "skin", "hydration", "water loss", "sebum", "circulation", "color", "thickness", "elasticity", "pH", "friction", "wrinkle", "sex", "male", and "female". Results A total of 1070 titles were found. After removing duplications and non-English papers, the number was reduced to 632. Of the 632 titles, 57 were deemed suitable for inclusion in this review. The studies show that the skin parameters of hydration, transepidermal water loss, sebum, microcirculation, pigmentation, and thickness are generally higher in men but skin pH is higher in women. Conclusions These parameters can be considered as age markers in some cases and are susceptible to change according to environment and life style. Biometrological studies of the skin provide useful information in the selection of active principles and other ingredients of formulations to develop a specific approach for cosmetic treatments.
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Affiliation(s)
- S Rahrovan
- Center for Research and Training in Skin Disease and Leprosy, Tehran University of Medical Sciences, Tehran, Iran
| | - F Fanian
- Research and Studies Center on the Integument, Department of Dermatology, Clinical Investigation Center, Besançon University Hospital, University of Franche-Comté, Besançon, France
| | - P Mehryan
- Center for Research and Training in Skin Disease and Leprosy, Tehran University of Medical Sciences, Tehran, Iran
| | - P Humbert
- Research and Studies Center on the Integument, Department of Dermatology, Clinical Investigation Center, Besançon University Hospital, University of Franche-Comté, Besançon, France
| | - A Firooz
- Center for Research and Training in Skin Disease and Leprosy, Tehran University of Medical Sciences, Tehran, Iran
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Mahevas T, Jachiet M, Servy A, Livideanu CB, Cribier B, Frances C, Le Moigne M, Sbidian E, Bouaziz JD, Descamps V, D’incan M, Humbert P, Beylot-Barry M, Passeron T, Arnulf B, Harel S, Sassolas B, de Moreuil C, Hermine O, Dupuy A, Barbarot S, Debardieux S, Carpentier O, Brault F, Schmutz JL, Thomas-Beaulieu D, Zarnitsky C, Limal N, Le-Bras F, Osio A, Battistella M, Tauber M, Mékinian A, Fain O. Caractéristiques clinicobiologiques, facteurs pronostiques et prise en charge thérapeutique du scléromyxœdème : étude rétrospective multicentrique. Ann Dermatol Venereol 2017. [DOI: 10.1016/j.annder.2017.09.157] [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: 10/18/2022]
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Humbert P, Guichard A, Bennani I, Chiheb S. [Giardia duodenalis and its involvement in skin diseases]. Ann Dermatol Venereol 2017; 144:676-684. [PMID: 28965699 DOI: 10.1016/j.annder.2017.08.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [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: 09/01/2016] [Revised: 02/01/2017] [Accepted: 08/07/2017] [Indexed: 10/18/2022]
Abstract
BACKGOUND Over the last thirty years, the scientific community has become increasingly interested in the intestinal flora, whether commensal or pathogenic, and its impact on other organs. In dermatology, the correlation between intestinal microbial agents and cutaneous lesions is well established. Giardia duodenalis, an intestinal parasite, has been particularly widely studied. The aim of this work is to provide a review of studies demonstrating the involvement of G. duodenalis in various forms of dermatosis. PATIENTS AND METHODS The data were obtained by an English-language literature search of Medline, PubMed and Google Scholar for the period 1975-2015. Among the thirty case reports since 1976, we selected the twenty most objective and clinically relevant. RESULTS AND DISCUSSION This review demonstrates that intestinal giardiasis may be an etiological factor, either alone or in combination with other agents, of various dermatoses through inflammatory and allergic mechanisms or intestinal hyperpermeability. The mucocutaneous lesions are varied: urticaria, angioedema, atopic dermatitis, erythema nodosum, Wells syndrome, among others. The role and origin of the infection are often unknown, and it is thus difficult to determine the interval between parasite infestation and the onset of skin lesions. Consequently, a fecal examination to identify G. duodenalis should be considered in chronic urticaria or angioedema, and where atopic dermatitis occurs in adulthood without any specific etiology. Therapeutic test should be done in every suspicion.
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Affiliation(s)
- P Humbert
- Service de dermatologie, centre d'études et de recherche sur le tégument (CERT), centre d'investigation clinique (CIC BT506), université de Franche-Comté, centre hospitalier universitaire Besançon, Inserm UMR1098, SFR FED 4234 IBCT, 25030 Besançon, France; Fondation Cheikh Khalifa Mohammed VI, Casablanca, Maroc.
| | - A Guichard
- Service de dermatologie, centre d'études et de recherche sur le tégument (CERT), centre d'investigation clinique (CIC BT506), université de Franche-Comté, centre hospitalier universitaire Besançon, Inserm UMR1098, SFR FED 4234 IBCT, 25030 Besançon, France
| | - I Bennani
- Fondation Cheikh Khalifa Mohammed VI, Casablanca, Maroc
| | - S Chiheb
- Fondation Cheikh Khalifa Mohammed VI, Casablanca, Maroc; Faculté de médecine et de pharmacie, université Hassan II, Casablanca, Maroc
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Goorochurn R, Viennet C, Tissot M, Locatelli F, Granger C, Varin-Blank N, Humbert P, Le Roy C. Differential morphological and functional features of fibroblasts explanted from solar lentigo. Br J Dermatol 2017; 177:e109-e111. [DOI: 10.1111/bjd.15386] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Affiliation(s)
- R. Goorochurn
- LIBC, Engineering and Cutaneous Biology Laboratory; UMR 1098 INSERM; EFS BFC; University of Bourgogne Franche-Comté; Besançon France
- UMR U978 INSERM; Bobigny Cedex France
- ASIH; Signaling Adaptors in Hematology; University SPC; Paris 13, UFR-SMBH; Labex INFLAMEX; Bobigny Cedex France
- DERMANCE Laboratoire; Dermo-cosmetic and Mature Skin Expertise Paris; France
| | - C. Viennet
- LIBC, Engineering and Cutaneous Biology Laboratory; UMR 1098 INSERM; EFS BFC; University of Bourgogne Franche-Comté; Besançon France
| | - M. Tissot
- LIBC, Engineering and Cutaneous Biology Laboratory; UMR 1098 INSERM; EFS BFC; University of Bourgogne Franche-Comté; Besançon France
| | - F. Locatelli
- Department of Dermatology, Research and Studies Center on the Integument (CERT); Clinical Investigation Center (CIC 1431); Besançon University Hospital; Besançon France
| | - C. Granger
- DERMANCE Laboratoire; Dermo-cosmetic and Mature Skin Expertise Paris; France
| | - N. Varin-Blank
- UMR U978 INSERM; Bobigny Cedex France
- ASIH; Signaling Adaptors in Hematology; University SPC; Paris 13, UFR-SMBH; Labex INFLAMEX; Bobigny Cedex France
| | - P. Humbert
- LIBC, Engineering and Cutaneous Biology Laboratory; UMR 1098 INSERM; EFS BFC; University of Bourgogne Franche-Comté; Besançon France
- Department of Dermatology, Research and Studies Center on the Integument (CERT); Clinical Investigation Center (CIC 1431); Besançon University Hospital; Besançon France
| | - C. Le Roy
- UMR U978 INSERM; Bobigny Cedex France
- ASIH; Signaling Adaptors in Hematology; University SPC; Paris 13, UFR-SMBH; Labex INFLAMEX; Bobigny Cedex France
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Humbert P, Fanian F, Lihoreau T, Jeudy A, Pierard G. Bateman purpura (dermatoporosis): a localized scurvy treated by topical vitamin C - double-blind randomized placebo-controlled clinical trial. J Eur Acad Dermatol Venereol 2017; 32:323-328. [DOI: 10.1111/jdv.14525] [Citation(s) in RCA: 9] [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] [Received: 11/23/2016] [Accepted: 07/13/2017] [Indexed: 11/27/2022]
Affiliation(s)
- P. Humbert
- Department of Dermatology; Research and Studies Center on the Integument (CERT); Clinical Investigation Center (CIC BT506); Besançon University Hospital; Besançon France
- INSERM UMR1098; SFR FED 4234 IBCT; University of Franche-Comté; Besançon France
| | - F. Fanian
- Department of Dermatology; Research and Studies Center on the Integument (CERT); Clinical Investigation Center (CIC BT506); Besançon University Hospital; Besançon France
| | - T. Lihoreau
- Department of Dermatology; Research and Studies Center on the Integument (CERT); Clinical Investigation Center (CIC BT506); Besançon University Hospital; Besançon France
| | - A. Jeudy
- Department of Dermatology; Research and Studies Center on the Integument (CERT); Clinical Investigation Center (CIC BT506); Besançon University Hospital; Besançon France
| | - G.E. Pierard
- Laboratory of Skin Bioengineering and Imaging (LABIC); Department of Clinical Sciences; University of Liège; Liège Belgium
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Demoré B, Humbert P, Boschetti E, Bevilacqua S, Clerc-Urmès I, May T, Pulcini C, Thilly N. Evaluation of effects of an operational multidisciplinary team on antibiotic use in the medium to long term at a French university hospital. Int J Clin Pharm 2017; 39:1061-1069. [PMID: 28756579 DOI: 10.1007/s11096-017-0516-5] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2017] [Accepted: 07/19/2017] [Indexed: 11/30/2022]
Abstract
Background Antibiotic-resistant bacteria are a major public health problem throughout the world. In 2006, in accordance with the national guidelines for antibiotic use, the CHRU of Nancy created an operational multidisciplinary antibiotic team at one of its sites. In 2011, a cluster-controlled trial showed that the operational multidisciplinary antibiotic team (the intervention) had a favourable short-term effect on antibiotic use and costs. Objective Our objective was to determine whether these effects continued over the medium to long term (that is, 2-7 years after creation of the operational multidisciplinary antibiotic team, 2009-2014). Setting The 1800-bed University Hospital of Nancy (France). Method The effect in the medium to long term is measured according to the same criteria and assessed by the same methods as the first study. A cluster controlled trial was performed on the period 2009-2014. The intervention group comprised 11 medical and surgical wards in settings where the operational multidisciplinary antibiotic team was implemented and the control group comprised 6 wards without this operational team. Main outcome measure Consumption of antibiotics overall and by therapeutic class (in defined daily doses per 1000 patient-days) and costs savings (in €). Results The reduction in antibiotic use and costs continued, but at a lower rate than in the short term (11% between 2009 and 2014 compared with 33% between 2007 and 2009) at the site of the intervention. The principal decreases concerned fluoroquinolones and glycopeptides. At the site without an operational multidisciplinary antibiotic team (the control group), total antibiotic use remained stable. Between 2009 and 2014, costs fell 10.5% in the intervention group and 5.7% in the control group. Conclusion This study shows that it is possible to maintain the effectiveness over time of such an intervention and demonstrates its role in defining a hospital's antibiotic policy.
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Affiliation(s)
- Béatrice Demoré
- Pharmacy, Brabois Hospital, University Hospital of Nancy, Allée du Morvan, 54511, Vandoeuvre-lès-Nancy, France.
- Faculté de Pharmacie, UMR 7565, SRSMC, CNRS - Lorraine University, Rue Albert Lebrun, 54001, Nancy Cedex, France.
| | - Pauline Humbert
- Pharmacy, Brabois Hospital, University Hospital of Nancy, Allée du Morvan, 54511, Vandoeuvre-lès-Nancy, France
| | - Emmanuelle Boschetti
- Pharmacy, Brabois Hospital, University Hospital of Nancy, Allée du Morvan, 54511, Vandoeuvre-lès-Nancy, France
| | - Sibylle Bevilacqua
- Infectious Diseases Department, Brabois Hospital, University Hospital of Nancy, Allée du Morvan, 54511, Vandoeuvre-lès-Nancy, France
| | - Isabelle Clerc-Urmès
- Unité ESPRI-BIOBASE, Plateforme d'Aide à la Recherche Clinique, Brabois Hospital, University Hospital of Nancy, Allée du Morvan, 54511, Vandoeuvre-lès-Nancy, France
| | - Thierry May
- Infectious Diseases Department, Brabois Hospital, University Hospital of Nancy, Allée du Morvan, 54511, Vandoeuvre-lès-Nancy, France
- Host-Environment Relation, EA 4369, Lorraine University, Nancy, France
| | - Céline Pulcini
- Infectious Diseases Department, Brabois Hospital, University Hospital of Nancy, Allée du Morvan, 54511, Vandoeuvre-lès-Nancy, France
- EA 4360 Apemac, Lorraine University, Nancy, France
| | - Nathalie Thilly
- Plateforme d'Aide à la Recherche Clinique, Brabois Hospital, University Hospital of Nancy, Allée du Morvan, 54511, Vandoeuvre-lès-Nancy, France
- EA 4360 Apemac, Lorraine University, Nancy, France
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Elfatoifi F, Fanian F, Chiheb S, Humbert P. Maladie de Hailey-Hailey : efficacité de l’association doxycycline et vitamine PP. Ann Dermatol Venereol 2017; 144:216-217. [DOI: 10.1016/j.annder.2016.09.031] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2016] [Revised: 07/24/2016] [Accepted: 09/14/2016] [Indexed: 10/20/2022]
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13
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Piérard GE, Nizet JL, Humbert P. [New paradigms and metaphors in cutaneous melanoma treatment]. Rev Med Liege 2016; 71:562-566. [PMID: 28387097] [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] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
In recent years, new drugs have been designed for treating advanced cutaneous malignant melanoma, in particular the metastases. They afford modest benefits despite the fact they are commonly heralded as breakthroughs in the lay press and by some medical opinion leaders. Unfortunately, the use of inflated descriptors of the drug efficacy leads to misunderstandings among the clinicians in charge of patients. Currently, vemurafenib, ipilimumab, pembrolizumab and nivolumab have demonstrated their relative activity in the control of advanced malignant melanoma. The results expected from surrogate markers of efficacy are magnified and idealized regarding the expectations from many patients. The recent therapeutic advance improves the median overall survival for a few months. Some combined treatments could possibly boost the current beneficial effects.
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Affiliation(s)
- G E Piérard
- Laboratoire de Bioingénierie et d'Imagerie cutanée, Département des Sciences Cliniques, Université de Liège
- Hôpital Saint-Jacques, Service de Dermatologie, Université de Franche-Comté, Besançon, France
| | - J L Nizet
- Service de Chirurgie Plastique, Maxillo-Faciale et Microchirurgie
| | - P Humbert
- Hôpital Saint-Jacques, Service de Dermatologie, Université de Franche-Comté, Besançon, France
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Ma YF, Yuan C, Jiang WC, Wang XL, Humbert P. Reflectance confocal microscopy for the evaluation of sensitive skin. Skin Res Technol 2016; 23:227-234. [PMID: 27782310 DOI: 10.1111/srt.12327] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/23/2016] [Indexed: 11/29/2022]
Abstract
BACKGROUND Nowadays, the diagnosis for sensitive skin relies on subjective assessment or on the combination of subjective and objective evaluation. No quantitative evaluation is available. It could be expected that confocal microscopy imaging could be of interest to better define the condition. METHODS Total 166 healthy female subjects were recruited in this study. Firstly, all subjects completed the sensitive questionnaire. Then, the cutaneous structures were measured by the reflectance confocal microscopy (RCM) on the face and fossa cubitalia. The lactic acid sting test was conducted finally. According to the results of self-perception sensitive skin questionnaire and lactic acid stinging test to evaluate facial skin sensitivity the both positive subjects were regarded as sensitive skin group and both negative group as healthy control group. RESULT The results of RCM indicating that the proportion of 'disarranged honeycomb pattern' and 'spongiform edema' in the sensitive group and healthy control group were statistically different (P < 0.05), respectively; The following report 'damaged dermal papilla rings' was not a distinctive pattern, with no significant statistical difference (P > 0.05). The epidermal thickness was 38.88 ± 6.81 μm, healthy control group was 40.31 ± 9.37 μm in, respectively, sensitive skin group and healthy control group, there was no significant statistical difference between the two groups (P > 0.05). The honeycomb structure depth of sensitive group was 20.57 ± 4.86 μm. It was for 23.27 ± 6.38 μm, healthy control group the difference being statistically different between the two groups (P < 0.05). CONCLUSION Based on the RCM results, 'epidermal honeycomb structure' and 'spongiform edema' may be used as new skin signs of RCM evaluation of sensitive skin effectively. Indeed, sensitive skin honeycomb structure depth was thinner compared with healthy control group. Such a specific pattern has good clinical and monitoring value for the further exploration. RCM could provide new data and patterns for the evaluation of sensitive skin.
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Affiliation(s)
- Y-F Ma
- Department of Skin and Cosmetic Research, Shanghai Skin Disease Hospital, Shanghai, China
| | - C Yuan
- Department of Skin and Cosmetic Research, Shanghai Skin Disease Hospital, Shanghai, China
| | - W-C Jiang
- Department of Skin and Cosmetic Research, Shanghai Skin Disease Hospital, Shanghai, China
| | - X-L Wang
- Department of Phototherapy, Shanghai Skin Disease Hospital, Shanghai, China
| | - P Humbert
- Research and Studies Center on the Integument (CERT), Department of Dermatology, Clinical Investigation Center (CIC INSERM 1431), Besançon University Hospital, Besançon, France.,INSERM UMR1098, FED4234 IBCT, University of Franche-Comté, Besançon, France
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15
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Elfatoifi FZ, Chiheb S, Humbert P. [Infrapatellar hypertrichosis in adult dermatomyositis]. Ann Dermatol Venereol 2016; 144:161-162. [PMID: 27765415 DOI: 10.1016/j.annder.2016.07.012] [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] [Received: 05/20/2016] [Revised: 07/04/2016] [Accepted: 07/26/2016] [Indexed: 10/20/2022]
Affiliation(s)
- F-Z Elfatoifi
- Service de dermatologie, CHU Ibn Roch, 20000 Casablanca, Maroc.
| | - S Chiheb
- Service de dermatologie, CHU Ibn Roch, 20000 Casablanca, Maroc
| | - P Humbert
- Service de dermatologie, centre d'études et de recherche sur le tégument (CERT), centre d'investigation clinique (CIC BT506), CHRU de Besançon, 25030 Besançon cedex, France; Inserm UMR1098, SFR FED 4234 IBCT, université de Franche-Comté, CHRU de Besançon, 25030 Besançon cedex, France
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Sbidian E, Hotz C, Seneschal J, Maruani A, Amelot F, Aubin F, Paul C, Beylot Barry M, Humbert P, Dupuy A, Caux F, Dupin N, Modiano P, Lepesant P, Ingen-Housz-Oro S, Mahé E, Bachelez H, Chosidow O, Wolkenstein P. Antitumour necrosis factor-α therapy for hidradenitis suppurativa: results from a national cohort study between 2000 and 2013. Br J Dermatol 2015; 174:667-70. [PMID: 26406350 DOI: 10.1111/bjd.14199] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- E Sbidian
- AP-HP, Département de Dermatologie, UPEC, Hôpitaux Universitaires Henri Mondor, Créteil, F-94010, France. .,INSERM, Centre d'Investigation Clinique 1430, Créteil, F-94010, France. .,EA 7379 EpiDermE, UPEC, Université Paris-Est Créteil, Créteil, F-94010, France.
| | - C Hotz
- AP-HP, Département de Dermatologie, UPEC, Hôpitaux Universitaires Henri Mondor, Créteil, F-94010, France
| | - J Seneschal
- Département de Dermatologie, Centre de Référence des Maladies Cutanées Rares, INSERM U1035, Université de Bordeaux, Hôpital Saint-André, Bordeaux, F-33000, France
| | - A Maruani
- Service de Dermatologie, Hôpitaux Universitaires de Tours, Hôpital Trousseau, Université François Rabelais, Tours, F-37000, France
| | - F Amelot
- Département de Dermatologie, UMR CNRS 5165, INSERM 1056, Université Paul Sabatier, Hôpitaux Universitaires de Toulouse, Toulouse, F-31000, France
| | - F Aubin
- EA 3181, SFR4234, Département de Dermatologie, Centre Hospitalier Universitaire, Université de Franche Comté, Besançon, F-25000, France
| | - C Paul
- Département de Dermatologie, UMR CNRS 5165, INSERM 1056, Université Paul Sabatier, Hôpitaux Universitaires de Toulouse, Toulouse, F-31000, France
| | - M Beylot Barry
- Département de Dermatologie, Centre Hospitalier Universitaire, Hôpital du Haut Lévêque, Université de Bordeaux EA 2406, Pessac, F-33600, France
| | - P Humbert
- Département de Dermatologie, INSERM U1098, SFR4234, Centre Hospitalier Universitaire, Université de Franche Comté, Besançon, F-25000, France
| | - A Dupuy
- Département de Dermatologie, INSERM CIC 1414, Centre Hospitalier Universitaire de Rennes, Hôpital Pontchaillou, Université de Rennes 1, Rennes, F-35000, France
| | - F Caux
- AP-HP, Département de Dermatologie, Centre de Référence MAGEC, Université Paris 13, Hôpitaux Universitaires Avicenne, Bobigny, F-93000, France
| | - N Dupin
- AP-HP, Département de Dermatologie, Université Paris Descartes Paris V, Hôpitaux Universitaires Cochin, Paris, F-75014, France
| | - P Modiano
- GHICL, Département de Dermatologie, Hôpital Saint-Vincent-de-Paul, Lille, F-59000, France
| | - P Lepesant
- GHICL, Département de Dermatologie, Hôpital Saint-Vincent-de-Paul, Lille, F-59000, France
| | - S Ingen-Housz-Oro
- AP-HP, Département de Dermatologie, UPEC, Hôpitaux Universitaires Henri Mondor, Créteil, F-94010, France.,EA 7379 EpiDermE, UPEC, Université Paris-Est Créteil, Créteil, F-94010, France
| | - E Mahé
- Département de Dermatologie, Hôpital Victor Dupouy, Argenteuil, F-95100, France
| | - H Bachelez
- Sorbonne Paris Cité, Service de Dermatologie, AP-HP, Hôpital Saint-Louis, Université Paris Diderot, Paris, F-75010, France
| | - O Chosidow
- AP-HP, Département de Dermatologie, UPEC, Hôpitaux Universitaires Henri Mondor, Créteil, F-94010, France.,INSERM, Centre d'Investigation Clinique 1430, Créteil, F-94010, France.,EA 7379 EpiDermE, UPEC, Université Paris-Est Créteil, Créteil, F-94010, France
| | - P Wolkenstein
- AP-HP, Département de Dermatologie, UPEC, Hôpitaux Universitaires Henri Mondor, Créteil, F-94010, France.,EA 7379 EpiDermE, UPEC, Université Paris-Est Créteil, Créteil, F-94010, France
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Guichard A, Ma L, Tan Y, Yuan C, Wang H, Lihoreau T, Humbert P, Wang X. What if scalp flora was involved in sensitive scalp onset? Int J Cosmet Sci 2015; 38:429-30. [PMID: 26648476 DOI: 10.1111/ics.12298] [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] [Indexed: 12/01/2022]
Affiliation(s)
- A Guichard
- Department of Skin and Cosmetic Research, Shanghai Skin Disease Hospital, Shanghai, 200442, China
| | - L Ma
- Department of Skin and Cosmetic Research, Shanghai Skin Disease Hospital, Shanghai, 200442, China
| | - Y Tan
- Department of Skin and Cosmetic Research, Shanghai Skin Disease Hospital, Shanghai, 200442, China
| | - C Yuan
- Department of Skin and Cosmetic Research, Shanghai Skin Disease Hospital, Shanghai, 200442, China
| | - H Wang
- Guanghua Integrative Medicine Hospital, Changning District, Shanghai, 200442, China
| | - T Lihoreau
- Department of Dermatology, Research and Studies Center on the Integument (CERT), Clinical Investigation Center (CIC INSERM 1431), Besançon University Hospital, Besançon, France.,INSERM UMR1098, FED4234 IBCT, University of Franche-Comté, Besançon, France
| | - P Humbert
- Department of Dermatology, Research and Studies Center on the Integument (CERT), Clinical Investigation Center (CIC INSERM 1431), Besançon University Hospital, Besançon, France.,INSERM UMR1098, FED4234 IBCT, University of Franche-Comté, Besançon, France
| | - X Wang
- Department of Skin and Cosmetic Research, Shanghai Skin Disease Hospital, Shanghai, 200442, China.
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18
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Fournier A, Roche-Kubler B, Laresche C, Humbert P, Aubin F, Dupond AS. Dermato-neuro syndrome d’évolution favorable sous immunoglobulines intraveineuses. Ann Dermatol Venereol 2015. [DOI: 10.1016/j.annder.2015.10.436] [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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19
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Pelletier F, Girardin M, Humbert P, Puyraveau M, Aubin F, Parratte B. Long-term assessment of effectiveness and quality of life of OnabotulinumtoxinA injections in provoked vestibulodynia. J Eur Acad Dermatol Venereol 2015; 30:106-11. [PMID: 26491951 DOI: 10.1111/jdv.13437] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2015] [Accepted: 07/27/2015] [Indexed: 11/29/2022]
Abstract
BACKGROUND Provoked vestibulodynia is a relatively common condition that affects sexual activity. Multidisciplinary care is indicated and OnabotulinumtoxinA injections are safe and effective treatment in this indication. AIMS To assess the long-term efficacy of OnabotulinumtoxinA in provoked vestibulodynia. MATERIALS AND METHODS Twenty-one patients treated with OnabotulinumtoxinA injections (50U in each bulbospongiosus muscle) 24 months prior to the study were included. Data on pain [assessed using a visual analogue scale (VAS)], quality of life [measured by the Dermatology Life Quality Index (DLQI)] and quality of sex life [assessed using the Female Sexual Function Index (FSFI)] were collected before treatment, and 3 and 24 months after injection. RESULTS Nineteen patients participated in the study and 37% had no pain after 24 months. Significant improvements were noted in the VAS, DLQI and FSFI scores between baseline and 24 months post treatment (P < 0.0001). After 24 months, 18 patients (95%) were able to have sexual intercourse. This study was open and non-controlled. DISCUSSION AND CONCLUSION 100U OnabotulinumtoxinA injections constitute an effective treatment in provoked vestibulodynia with results maintained after 2 years. They significantly improve pain, and have a positive impact on patient quality of life and sex life. Beneficial effects continue in the long-term, allowing patients to resume sexual activity.
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Affiliation(s)
- F Pelletier
- Department of Dermatology, Besançon University Hospital, Besançon, France.,INSERM UMR1098, University of Franche-Comté, Besançon, France
| | - M Girardin
- Department of Dermatology, Besançon University Hospital, Besançon, France
| | - P Humbert
- Department of Dermatology, Besançon University Hospital, Besançon, France.,INSERM UMR1098, University of Franche-Comté, Besançon, France
| | - M Puyraveau
- Clinical Methodology Centre, Besançon University Hospital, Besançon, France
| | - F Aubin
- Department of Dermatology, Besançon University Hospital, Besançon, France.,University of Franche-Comté, Besançon, France
| | - B Parratte
- Department of Physical Medicine and Readaptation, Besançon University Hospital, Besançon, France.,Anatomy Laboratory, University of Franche-Comté, Besançon, France
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20
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Deveza E, Puzenat E, Manzoni P, Humbert P, Aubin F. [Congenital hemangiomas: Report on ten patients]. Arch Pediatr 2015; 22:685-92. [PMID: 26047746 DOI: 10.1016/j.arcped.2015.04.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2014] [Revised: 03/17/2015] [Accepted: 04/11/2015] [Indexed: 11/25/2022]
Abstract
INTRODUCTION Congenital hemangiomas (CHs) are rare congenital vascular tumors seldom mentioned in the literature. MATERIALS AND METHODS We carried out a retrospective study of all the cases of CH diagnosed and treated at Besançon Hospital from 2008 to 2014. The clinical, radiological, and histological data of each case were collected. All the children were seen again in 2014. RESULTS Ten CHs (seven rapidly involuting CHs, RICH and three non-involuting CH, NICH), predominantly full-term eutrophic male infants, were enrolled. RICHs were located on the head (n=2), trunk (n=2), and lower limbs (n=3), and NICHs were found on the hands. Diagnosis was clinical for all ten infants. All CHs resembled "tumor" congenital lesions: single, oval-shaped, nonpulsatile, and well delimited, and their size did not increase after birth. Two RICHs were warm, one had phlebolites, and two had draining veins at the first visit. The mean age of the RICH involution onset was 1.7 months and the mean time to complete involution was 10.4 months. One CH was classified as a PICH (partially involuting CH) due to partial regression, two RICHs were still in the involution process at the age of 10 and 15 months, and one regressed very quickly within 7 days. No complications were observed in the NICH. Two RICHs presented benign complications (ulcerations and bleeding). Two RICHs regressed entirely, and five regressed with sequelae: lipoatrophy (n=3), cutaneous excess (n=2), dysplastic veins (n=3), a pigmented area (n=1), and an anemic halo (n=2). DISCUSSION The small number of patients in our cohort, in spite of the length of the study, confirms the rarity of CH. The sex-ratio in favor of male infants and the location of NICH on the hands have not been reported. The most discriminating element remained the follow-up over 1 year. The initial clinical aspect of the NICH and the progression of one RICH into a NICH suggested possible overlapping forms between RICH and NICH. Some CHs, including one PICH, presented clinical and radiological criteria similar to those of vascular malformations (warm lesion, dysplastic veins, and echo-Doppler results in favor of vascular malformation). RICH regressed with sequelae in most cases. CONCLUSION This study reveals a polymorphous clinical presentation of CH and provides a thorough description of their progression. It underlines the existence of overlapping phenomena between RICH and NICH, and between CH and vascular malformations, thus suggesting a possible link between proliferation and malformation phenomena at the origin of these lesions.
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Affiliation(s)
- E Deveza
- Service de dermatologie, CHU Besançon, 3, boulevard Fleming, 25030 Besançon cedex, France
| | - E Puzenat
- Service de dermatologie, CHU Besançon, 3, boulevard Fleming, 25030 Besançon cedex, France.
| | - P Manzoni
- Service de Radiologie A, CHU Besançon, 3, boulevard Fleming, 25030 Besançon cedex, France
| | - P Humbert
- Service de dermatologie, CHU Besançon, 3, boulevard Fleming, 25030 Besançon cedex, France; Inserm U1098, SFR FED 4234 IBCT, université de Franche-Comté, 25030 Besançon, France
| | - F Aubin
- Service de dermatologie, CHU Besançon, 3, boulevard Fleming, 25030 Besançon cedex, France; EA 3181, SFR FED 4234 IBCT, université de Franche-Comté, 25030 Besançon, France
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Wang Y, Rolin G, Tissot M, Muret P, Viennet C, Berthon J, Humbert P. Développement et validation d’une méthode simple et commune pour l’extraction de cellules épidermiques. Ann Dermatol Venereol 2015. [DOI: 10.1016/j.annder.2015.04.046] [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: 11/27/2022]
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22
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Fournier A, Roche Kubler B, Laresche C, Humbert P, Aubin F, Dupond A. Dermatoneuro-syndrome d’évolution favorable sous immunoglobulines intraveineuses. Rev Med Interne 2015. [DOI: 10.1016/j.revmed.2015.03.068] [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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23
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Messikh R, Try C, Bennani B, Humbert P. Efficacité des diurétiques dans le traitement de la maladie de Morbihan. Rev Med Interne 2015. [DOI: 10.1016/j.revmed.2015.03.294] [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: 10/23/2022]
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Deveza E, Locatelli F, Girardin M, Valmary-Degano S, Daguindau E, Aubin F, Humbert P, Pelletier F. [Vulvar oedema revealing systemic mastocytosis]. Ann Dermatol Venereol 2015; 142:685-9. [PMID: 26003033 DOI: 10.1016/j.annder.2015.04.018] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [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: 10/17/2014] [Revised: 02/25/2015] [Accepted: 04/09/2015] [Indexed: 11/17/2022]
Abstract
BACKGROUND Systemic mastocytosis is characterised by abnormal proliferation of mast cells in various organs. We report an original case of systemic mastocytosis revealed by vulvar oedema. PATIENTS AND METHODS A 24-year-old patient was examined in the dermatology department for vulvar oedema appearing during sexual intercourse. She presented vasomotor dysfunction of the lower limbs, urticaria on the trunk on exertion, diarrhoea and bone pains. Laboratory tests showed serum tryptase of 29.7μg and plasma histamine at twice the normal value. Myelogram results showed infiltration by dysmorphic mast cells. Screening for c-kit D816V mutation was positive. Duodenal biopsies revealed mast-cell clusters with aggregation involving over 15 mast cells. CD2 staining was inconclusive and CD25 staining could not be done. Trabecular osteopenia was found, and we thus made a diagnosis of indolent systemic mastocytosis (ISM variant Ia) as per the WHO 2008 criteria. Symptomatic treatment was initiated (antiH1, H2, antileukotrienes) and clinical and laboratory follow-up was instituted. DISCUSSION The cutaneous signs leading to diagnosis in this patient of systemic mastocytosis involving several organs were seemingly minimal signs associated with mastocyte degranulation. This is the third recorded case of mastocytosis revealed by vulvar oedema and the first case revealing systemic involvement. The two previously reported cases of vulvar oedema revealed cutaneous mastocytosis alone. Mastocytosis, whether systemic or cutaneous, must be included among the differential diagnoses considered in the presence of vulvar oedema.
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Affiliation(s)
- E Deveza
- Unité d'allergologie, service de dermatologie, centre de compétences des mastocytoses, CHRU de Besançon, 3, boulevard Fleming, 25030 Besançon cedex, France.
| | - F Locatelli
- Unité d'allergologie, service de dermatologie, centre de compétences des mastocytoses, CHRU de Besançon, 3, boulevard Fleming, 25030 Besançon cedex, France
| | - M Girardin
- Unité d'allergologie, service de dermatologie, centre de compétences des mastocytoses, CHRU de Besançon, 3, boulevard Fleming, 25030 Besançon cedex, France
| | - S Valmary-Degano
- Service d'anatomopathologie, CHRU de Besançon, 25030 Besançon cedex, France
| | - E Daguindau
- Service d'hématologie, CHRU de Besançon, 25030 Besançon cedex, France
| | - F Aubin
- Unité d'allergologie, service de dermatologie, centre de compétences des mastocytoses, CHRU de Besançon, 3, boulevard Fleming, 25030 Besançon cedex, France; EA3181, SFR FED 4234 IBCT, université de Franche-Comté, 25030 Besançon cedex, France
| | - P Humbert
- Unité d'allergologie, service de dermatologie, centre de compétences des mastocytoses, CHRU de Besançon, 3, boulevard Fleming, 25030 Besançon cedex, France; Inserm U1098, SFR FED 4234 IBCT, université de Franche-Comté, 25030 Besançon cedex, France
| | - F Pelletier
- Unité d'allergologie, service de dermatologie, centre de compétences des mastocytoses, CHRU de Besançon, 3, boulevard Fleming, 25030 Besançon cedex, France; Inserm U1098, SFR FED 4234 IBCT, université de Franche-Comté, 25030 Besançon cedex, France
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Salard D, Mercier S, Thauvin C, Küry S, Bézieau S, Altuzarra C, Humbert P, Aubin F, Puzenat E. Mutation dans le gène FAM111B : une nouvelle cause de poïkilodermie héréditaire. Ann Dermatol Venereol 2014. [DOI: 10.1016/j.annder.2014.09.347] [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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26
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Deveza E, Puzenat E, Manzoni P, Aubin F, Humbert P. Hémangiomes congénitaux : cohorte de 10 cas suivis au CHU de Besançon de 2008 à 2014. Ann Dermatol Venereol 2014. [DOI: 10.1016/j.annder.2014.09.252] [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: 11/24/2022]
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27
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Guichard A, Fanian F, Girardin P, Humbert P. Patch test allergologique et eczéma de contact en microscopie confocale. Ann Dermatol Venereol 2014; 141:805-7. [DOI: 10.1016/j.annder.2014.09.028] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2014] [Revised: 08/11/2014] [Accepted: 09/23/2014] [Indexed: 10/24/2022]
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Humbert P, Yuan C, Wang X, Guichard A, Lihoreau T, Lafforgue C. Demodex folliculorum dans la rosacée papulo-pustuleuse : comparaison de deux méthodes de caractérisation. Ann Dermatol Venereol 2014. [DOI: 10.1016/j.annder.2014.09.518] [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: 10/24/2022]
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29
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Yuan C, Wang XM, Guichard A, Lihoreau T, Mac-Mary S, Khyat L, Ardigò M, Humbert P. Comparison of reflectance confocal microscopy and standardized skin surface biopsy for three different lesions in a pityriasis folliculorum patient. Br J Dermatol 2014; 172:1440-2. [PMID: 25363861 DOI: 10.1111/bjd.13506] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Affiliation(s)
- C Yuan
- Department of Skin & Cosmetic Research, Shanghai Skin Disease Hospital, Shanghai, China
| | - X-M Wang
- Department of Skin & Cosmetic Research, Shanghai Skin Disease Hospital, Shanghai, China
| | - A Guichard
- Research and Studies Center on the Integument (CERT); Clinical Investigation Center (CIC BT506), Department of Dermatology, Besançon University Hospital, University of Franche-Comté, 3, Boulevard Alexandre Fleming, Besancon, France
| | - T Lihoreau
- Research and Studies Center on the Integument (CERT); Clinical Investigation Center (CIC BT506), Department of Dermatology, Besançon University Hospital, University of Franche-Comté, 3, Boulevard Alexandre Fleming, Besancon, France
| | | | - L Khyat
- Research and Studies Center on the Integument (CERT); Clinical Investigation Center (CIC BT506), Department of Dermatology, Besançon University Hospital, University of Franche-Comté, 3, Boulevard Alexandre Fleming, Besancon, France
| | - M Ardigò
- San Gallicano Dermatological Institute-IRCCS, Rome, Italy
| | - P Humbert
- Research and Studies Center on the Integument (CERT); Clinical Investigation Center (CIC BT506), Department of Dermatology, Besançon University Hospital, University of Franche-Comté, 3, Boulevard Alexandre Fleming, Besancon, France
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Viennet C, Laurensou C, Goydadin AC, Faivre B, Muret P, Humbert P. Development of an in vitro fibrin clot model to evaluate fibrinolytic agents for wound care application. J Wound Care 2014; 23:66-7, 70, 72. [PMID: 24526082 DOI: 10.12968/jowc.2014.23.2.66] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
OBJECTIVE To describe an in vitro fibrin clot model that could reliably assess the fibrinolytic activity of enzymatic debriding agents for wound care application. METHOD A model of a fibrin clot was reconstructed in vitro by mixture of human fibrinogen and (alpha)-thrombin supplemented with factor XIII. These clots were then treated with enzymatic ointments. Fibrinolytic activity was investigated by measuring D-dimer levels, using an automated immunoturbidimetric Liatest D-dimer assay. RESULTS Collagenase and papain-urea ointments demonstrated fibrinolytic activity which was macroscopically visible. Their effect was identical on the in vitro reconstructed fibrin clot and ex vivo collected wound fibrin clot; collagenase and papain-urea both induced a complete degradation and dissolution of both fibrin clots after 24 hours of treatment. This was associated with an increase in D-dimer concentration. CONCLUSION This reconstructed fibrin clot in vitro model has the potential to predict the efficacy of fibrinolytic agents and therefore appears to be a suitable model for in vitro assays. DECLARATION OF INTEREST This study was supported by a grant from URGO Laboratory.
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Affiliation(s)
- C Viennet
- PhD, Research Engineer, Engineering and Cutaneous Biology Laboratory, UMR 1098, University of Franche-Comte, France
| | - C Laurensou
- Industrial Pharmacist, URGO Laboratory, France
| | - A C Goydadin
- Research Technician, Engineering and Cutaneous Biology Laboratory, UMR 1098, University of Franche-Comte, France
| | - B Faivre
- MD, Dermatologist, Department of Dermatology, Besançon University Hospital, France
| | - P Muret
- MD, PhD, Hospital Practitioner, Engineering and Cutaneous Biology Laboratory, UMR 1098, University of Franche-Comte, France, Department of Clinical Pharmacology, Besançon University Hospital, France
| | - P Humbert
- MD, PhD, Professor of Dermatology, Engineering and Cutaneous Biology Laboratory, UMR 1098, University of Franche-Comte, France, Department of Dermatology, Besançon University Hospital, France
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Puzenat E, Bellaud G, Saugier-Veber P, Crémillieux C, Mignot B, Humbert P, Aubin F. [The challenge for dermatologists of early APECED diagnosis]. Ann Dermatol Venereol 2014; 141:290-4. [PMID: 24703644 DOI: 10.1016/j.annder.2014.01.012] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2013] [Revised: 10/31/2013] [Accepted: 01/10/2014] [Indexed: 11/20/2022]
Abstract
BACKGROUND Polyglandular auto-immune syndrome type 1 (PAS-1) or auto-immune polyendocrinopathy-candidiasis-ectodermal dystrophy (APECED) is a rare autosomal recessive disorder linked to auto-immune regulator (AIRE) gene mutations. Herein, we report the case of a 3-year-old boy with APECED emphasizing the wide phenotypic variability and the extent of skin lesions. PATIENTS AND METHODS A 3-year-old boy with a history of auto-immune hepatitis was referred for a generalized pruriginous urticaria-like eruption present for one month. He was born to non-consanguineous parents. Cutaneous examination revealed twenty-nail dystrophy, which had been present since the age of 2 years. Both direct microscopy and culture of nail samples were negative for Candida albicans. Esophagogastroduodenoscopy revealed esophageal candidiasis. A diagnosis of APECED was suspected and subsequently confirmed by molecular analysis of the AIRE gene, which showed two mutations. No other auto-immune endocrinopathies were found. DISCUSSION Our case report illustrates the phenotypic variability of APECED with the absence of typical manifestations such as Addison's disease and hypoparathyroidism. APECED should thus be systematically suspected in young children presenting with cutaneous lesions associated with mucocutaneous candidiasis or auto-immune disease, even in the absence of known endocrinopathies. CONCLUSION Dermatologists should be aware of this association since early diagnosis of APECED is critical in preventing life-threatening endocrinological crises.
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Affiliation(s)
- E Puzenat
- Service de dermatologie, CHU Jean Minjoz, 3, boulevard Alexandre-Fleming, 25030 Besançon cedex, France.
| | - G Bellaud
- Service de dermatologie, CHU Jean Minjoz, 3, boulevard Alexandre-Fleming, 25030 Besançon cedex, France
| | - P Saugier-Veber
- Laboratoire de génétique moléculaire, CHU, 1, rue de Germont, 76000 Rouen, France
| | - C Crémillieux
- Service de pédiatrie, CHU de Besançon, 25030 Besançon cedex, France
| | - B Mignot
- Service de pédiatrie, CHU de Besançon, 25030 Besançon cedex, France
| | - P Humbert
- Service de dermatologie, CHU Jean Minjoz, 3, boulevard Alexandre-Fleming, 25030 Besançon cedex, France; Inserm U1098, SFR FED 4234 IBCT, université de Franche-Comté, 25030 Besançon cedex, France
| | - F Aubin
- Service de dermatologie, CHU Jean Minjoz, 3, boulevard Alexandre-Fleming, 25030 Besançon cedex, France; EA3081, SFR FED 4234 IBCT, université de Franche-Comté, 25030 Besançon cedex, France
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Humbert P, Faivre B, Véran Y, Debure C, Truchetet F, Bécherel PA, Plantin P, Kerihuel JC, Eming SA, Dissemond J, Weyandt G, Kaspar D, Smola H, Zöllner P. Protease-modulating polyacrylate-based hydrogel stimulates wound bed preparation in venous leg ulcers--a randomized controlled trial. J Eur Acad Dermatol Venereol 2014; 28:1742-50. [PMID: 24612304 PMCID: PMC4263240 DOI: 10.1111/jdv.12400] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [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] [Received: 09/20/2013] [Accepted: 01/14/2014] [Indexed: 01/10/2023]
Abstract
Background Stringent control of proteolytic activity represents a major therapeutic approach for wound-bed preparation. Objectives We tested whether a protease-modulating polyacrylate- (PA-) containing hydrogel resulted in a more efficient wound-bed preparation of venous leg ulcers when compared to an amorphous hydrogel without known protease-modulating properties. Methods Patients were randomized to the polyacrylate-based hydrogel (n = 34) or to an amorphous hydrogel (n = 41). Wound beds were evaluated by three blinded experts using photographs taken on days 0, 7 and 14. Results After 14 days of treatment there was an absolute decrease in fibrin and necrotic tissue of 37.6 ± 29.9 percentage points in the PA-based hydrogel group and by 16.8 ± 23.0 percentage points in the amorphous hydrogel group. The absolute increase in the proportion of ulcer area covered by granulation tissue was 36.0 ± 27.4 percentage points in the PA-based hydrogel group and 14.5 ± 22.0 percentage points in the control group. The differences between the groups were significant (decrease in fibrin and necrotic tissue P = 0.004 and increase in granulation tissue P = 0.0005, respectively). Conclusion In particular, long-standing wounds profited from the treatment with the PA-based hydrogel. These data suggest that PA-based hydrogel dressings can stimulate normalization of the wound environment, particularly in hard-to-heal ulcers.
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Affiliation(s)
- P Humbert
- Research and Studies Center on the Integument (CERT), Clinical Investigation Center (CIC BT506), Department of Dermatology, University Hospital, Besançon, France; INSERM UMR, University of Franche-Comté, Besançon, France
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Lboutounne Y, Silva J, Pazart L, Bérard M, Muret P, Humbert P. Microclimate next to the skin: influence on percutaneous absorption of caffeine (ex-vivostudy). Skin Res Technol 2013; 20:293-8. [DOI: 10.1111/srt.12118] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/19/2013] [Indexed: 11/30/2022]
Affiliation(s)
- Y. Lboutounne
- Univ Hospital of Besançon; Clinical Investigation Centre; Besançon France
- Inserm UMR 1098; Besançon France
| | - J. Silva
- Univ Hospital of Besançon; Clinical Investigation Centre; Besançon France
- Inserm UMR 1098; Besançon France
| | - L. Pazart
- Univ Hospital of Besançon; Clinical Investigation Centre; Besançon France
- Inserm UMR 1098; Besançon France
| | - M. Bérard
- Department of Clinical Pharmacology and Toxicology; Univ Hospital of Besançon; Besançon France
| | - P. Muret
- Inserm UMR 1098; Besançon France
- Univ Franche-Comte; Besançon France
- Department of Clinical Pharmacology and Toxicology; Univ Hospital of Besançon; Besançon France
| | - P. Humbert
- Inserm UMR 1098; Besançon France
- Univ Franche-Comte; Besançon France
- Department of Dermatology; Univ Hospital of Besançon; Besançon France
- Research and Studies Centre on the Integument (CERT); Besançon France
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Laresche C, Fournier E, Dupond AS, Woronoff AS, Drobacheff-Thiébaut MC, Pelletier F, Humbert P, Aubin F. Étude épidémiologique rétrospective descriptive de la maladie de Kaposi dans le Doubs sur la période 1977 à 2009. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.09.257] [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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Robin S, Courderot-Masuyer C, Tauzin H, Harbon S, Mary SM, Trompezinski S, Chavagnac-Bonneville M, Cadars B, Jourdan E, Humbert P. Développement et utilisation d’un modèle d’hématome induit pour évaluer l’effet d’une association contenant un extrait d’arnica et de l’apigénine. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.09.618] [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: 10/26/2022]
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Moreau J, Puzenat E, Rohrlich PS, Beaussant-Cohen S, Aubin F, Humbert P. Mutation DOCK 8 : une nouvelle cause du syndrome hyper-IgE. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.09.425] [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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Guichard A, Agozzino M, Humbert P, Fanian F, Elkhyat A, Ardigò M. Skin rejecting tattoo ink followed, in vivo,
by reflectance confocal microscopy. J Eur Acad Dermatol Venereol 2013; 28:391-3. [DOI: 10.1111/jdv.12200] [Citation(s) in RCA: 5] [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: 11/29/2022]
Affiliation(s)
- A. Guichard
- Department of Dermatology; Research and Studies Center on the Integument (CERT); Clinical Investigation Center (CIC BT506); Besançon University Hospital; University of Franche-Comté; Besançon France
| | - M. Agozzino
- Department of Dermatology; Research and Studies Center on the Integument (CERT); Clinical Investigation Center (CIC BT506); Besançon University Hospital; University of Franche-Comté; Besançon France
| | - P. Humbert
- Department of Dermatology; Research and Studies Center on the Integument (CERT); Clinical Investigation Center (CIC BT506); Besançon University Hospital; University of Franche-Comté; Besançon France
| | - F. Fanian
- Department of Dermatology; Research and Studies Center on the Integument (CERT); Clinical Investigation Center (CIC BT506); Besançon University Hospital; University of Franche-Comté; Besançon France
| | - A. Elkhyat
- Department of Dermatology; Research and Studies Center on the Integument (CERT); Clinical Investigation Center (CIC BT506); Besançon University Hospital; University of Franche-Comté; Besançon France
| | - M. Ardigò
- Department of Dermatology; Research and Studies Center on the Integument (CERT); Clinical Investigation Center (CIC BT506); Besançon University Hospital; University of Franche-Comté; Besançon France
- San Gallicano Dermatological Institute - IRCCS; Rome Italy
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Dreno B, Bensadoun RJ, Humbert P, Krutmann J, Luger T, Triller R, Rougier A, Seité S. Algorithm for dermocosmetic use in the management of cutaneous side-effects associated with targeted therapy in oncology. J Eur Acad Dermatol Venereol 2013; 27:1071-80. [PMID: 23368717 PMCID: PMC3883088 DOI: 10.1111/jdv.12082] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [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] [Received: 08/01/2012] [Accepted: 11/27/2012] [Indexed: 12/21/2022]
Abstract
Currently, numerous patients who receive targeted chemotherapy for cancer suffer from disabling skin reactions due to cutaneous toxicity, which is a significant problem for an increasing number of patients and their treating physicians. In addition, using inappropriate personal hygiene products often worsens these otherwise manageable side-effects. Cosmetic products for personal hygiene and lesion camouflage are part of a patients’ well-being and an increasing number of physicians feel that they do not have adequate information to provide effective advice on concomitant cosmetic therapy. Although ample information is available in the literature on pharmaceutical treatment for cutaneous side-effects of chemotherapy, little is available for the concomitant use of dermatological skin-care products with medical treatments. The objective of this consensus study is to provide an algorithm for the appropriate use of dermatological cosmetics in the management of cutaneous toxicities associated with targeted chemotherapy such as epidermal growth factor receptor inhibitors and other monoclonal antibodies. These guidelines were developed by a French and German expert group of dermatologists and an oncologist for oncologists and primary care physicians who manage oncology patients. The information in this report is based on published data and the expert group’s opinion. Due to the current lack of clinical evidence, only a review of published recommendations including suggestions for concomitant cosmetic use was conducted.
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Affiliation(s)
- B Dreno
- Department of Cancero-Dermatology, Hôtel Dieu, CHU Nantes, France
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Viennet C, Gheit T, Muret P, Aubin F, Cabou J, Marchal A, Tommasino M, Humbert P. Assessment of the efficacy of a new formulation for plantar wart mummification: new experimental design and human papillomavirus identification. Clin Exp Dermatol 2012; 38:85-8. [DOI: 10.1111/ced.12025] [Citation(s) in RCA: 10] [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] [Accepted: 06/07/2012] [Indexed: 12/01/2022]
Affiliation(s)
- C. Viennet
- Engineering and Cutaneous Biology Laboratory, INSERM UMR1098, SFR FED 4234; University of Franche-Comte; Besançon; France
| | - T. Gheit
- International Agency for Research on Cancer; Lyon; France
| | | | - F. Aubin
- Department of Dermatology; University Hospital; Besançon; France
| | - J. Cabou
- Auriga International; Braine-L'Alleud; Belgium
| | - A. Marchal
- Auriga International; Braine-L'Alleud; Belgium
| | - M. Tommasino
- International Agency for Research on Cancer; Lyon; France
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Puzenat E, Bellaud G, Saugier-Veber P, Cremillieux C, Mignot B, Humbert P, Aubin F. Diagnostic précoce du syndrome APECED : un challenge pour le dermatologue. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.298] [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: 10/27/2022]
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Bellaud G, Amsallem D, David A, Schwartz C, Aubin F, Humbert P, Puzenat E. Syndrome PHACE : l’expérience bisontine à propos de six patients. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.182] [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: 10/27/2022]
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Girardin M, Puzenat E, Algros MP, Hoen B, Janin S, Humbert P, Aubin F. L’insuffisance aortique, une complication rare du syndrome de Sweet. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.332] [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: 12/01/2022]
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Guichard A, Thanacody B, Girardin P, Vigan M, Humbert P. Cosmétovigilance : analyse rétrospective de l’expérience franc-comtoise et comparaison avec le fichier national. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Slekovec C, Faivre B, Humbert P, Bertrand X, Hocquet D, Pazart L, Talon D. [Chronic wound care leads to the bacterial contamination of the environment]. Ann Dermatol Venereol 2012; 139:798-802. [PMID: 23237277 DOI: 10.1016/j.annder.2012.09.007] [Citation(s) in RCA: 4] [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: 05/23/2012] [Revised: 07/19/2012] [Accepted: 09/06/2012] [Indexed: 11/19/2022]
Abstract
AIM The aim of this study was to determine levels of bacterial contamination of the environment during chronic wound dressing changes. METHODS Sampling of chronic wounds and of the environment (air and surfaces) was performed during changing of chronic wound dressing. A series of samples was defined as the entire sample for a given day for a given patient. Five sequential samples of air and six samples of surfaces were taken for each series. Staphylococcus aureus, Pseudomonas aeruginosa and enterobacteria were specifically cultured. RESULTS Thirty series of samples were taken for 26 different patients. Twenty-seven out of these 30 series were colonized with one or two of the target species. For 13 series of the latter samples (13/27, 48.1%), bacteria isolated from the wound were recovered in the environment, namely S. aureus and P. aeruginosa. The six enterobacteria isolated from wounds were not retrieved in the environment. Air samples were more often positive than surfaces samples. CONCLUSION We demonstrated frequent contamination of the hospital environment with bacteria colonizing wounds during dressing changes. This indicates that wearing of masks and hand disinfection after contact with the environment constitute key measures in the control of bacterial cross-transmission.
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Affiliation(s)
- C Slekovec
- UMR « chrono-environnement » et CIC biothérapie, service d'hygiène hospitalière, CHU de Besançon, boulevard Fleming, 25030 Besançon cedex, France
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Messikh R, Try C, Bennani B, Humbert P. [Efficacy of diuretics in the treatment of Morbihan's disease: three cases]. Ann Dermatol Venereol 2012; 139:559-63. [PMID: 22963967 DOI: 10.1016/j.annder.2012.03.024] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2011] [Revised: 01/16/2012] [Accepted: 03/09/2012] [Indexed: 01/30/2023]
Abstract
BACKGROUND Morbihan's disease (MD), also known as 'persistent facial oedema' or 'rosaceous lymphoedema', is an uncommon facial condition that is difficult to treat. Its cause remains unclear. AIM We report three new cases of solid persistent facial oedema, which, after treatment with furosemide, showed dramatic improvement. PATIENTS AND METHODS Three men (respectively aged 38, 66 and 76 years) presented Morbihan's disease progressing respectively for 2, 5 and 8 years. These patients presented with facial oedema, mainly affecting the eyelids. The diagnosis of MD was based on clinical and laboratory criteria (after exclusion of other aetiologies such as sarcoidosis, lupus erythematosus, facial demodicidosis and rosacea). After several unsuccessful treatments (tetracyclines, synthetic antimalarials, danazol, systemic steroids and isotretinoin), the patients received diuretics: furosemide (60 mg/d) in two cases and spironolactone 75 mg twice daily for the third patient. The patients were evaluated after 1 month, then every 3 months. RESULTS Regression of oedema was complete or almost complete with follow-up of between 1 and 16 years. No adverse effects were reported. DISCUSSION Treatment of Morbihan's disease remains difficult and empirical. Diuretics may be of value since they help significantly reduce swelling even if they do not definitely cure patients.
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Affiliation(s)
- R Messikh
- Service de dermatologie, université de Franche-Comté, CHU Saint-Jacques, Inserm U1098, SFR FED 4234-IBCT, 2, place Saint-Jacques, 25030 Besançon cedex, France
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Lafolie J, van de Laak A, Eboux G, Algros MP, Humbert P, Millon L, Grenouillet F. Phaeohyphomycose cutanée à Alternaria infectoria (lewia infectoria) : réelle emergence ou diagnostic optimisé ? J Mycol Med 2012. [DOI: 10.1016/j.mycmed.2012.07.047] [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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Mitbauerová A, Rolin G, Robin S, Tauzin H, Jacquet E, Muret P, Humbert P. A human skin culture system for a wound-healing model. Comput Methods Biomech Biomed Engin 2012; 15 Suppl 1:102-3. [DOI: 10.1080/10255842.2012.713641] [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: 10/27/2022]
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Benchikhi H, Atide N, Jroundi I, Humbert P, Lakhdar H. Risk factors in facial hyperpigmentation in Maghrebian population - a case-control study. Int J Cosmet Sci 2012; 34:477-80. [PMID: 22784199 DOI: 10.1111/j.1468-2494.2012.00739.x] [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: 03/27/2012] [Accepted: 07/05/2012] [Indexed: 11/29/2022]
Abstract
Triggering factors seem to be multiple in the pathogenesis of facial hyperpigmentation (FH), as dark skin types, pregnancy, sun exposure… The aim of this study was to investigate the risk factors for FH in Maghrebian population. Patients with FH were included in a case-controlled study. Following data were recorded: age, sex, parity, phototype, FH and hormonal-related history, endocrinological features, sunlight exposure, specific cultural behaviours, use of topic corticosteroids and sunscreens. One hundred women (mean age 29.5 ± 13.7 years) were included with 200 age-matched controls. Duration of FH was 32.9 ± 42.2 months. There was a statistically significant relation between FH and hirsutism (P = 0.009), troubles of menstruations (P = 0.008), but not with acne (P = 0.23) and contraceptive oral (P = 0.06) drugs or with history of thyroid disorders (P = 0.13). For cultural factors, there were a statistical significant relation with rubbing by flannel glove (P < 0.05), use of dark soap (P = 0.009) and traditional masks (P < 0.05) but both groups were used to go to hammam. A strong relation was observed between FH and use of topical corticosteroids: 40% in the FH group vs. 5% in the control group (P < 0.05). Both groups used to apply sunscreens: 70% in the FH group and 67% in the control group where as there were no differences in the two groups for sun exposure. No statistical differences were observed regarding to age, phototypes and grade of parity. Our study demonstrated a relation between FH and hyperestrogenemia, rubbing with a friction glove, use of moroccan traditional masks and application of topical steroids. The eviction of all these triggering factors could be an adjuvant recommendation in the assessment of FH.
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Affiliation(s)
- H Benchikhi
- Department of Dermatology, Ibn Rochd University Hospital, Casablanca, Morocco.
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Biver-Dalle C, Guichard A, Vigan M, Humbert P, Aubin F. Hypersensibilité aux dermocorticoïdes. Ann Dermatol Venereol 2012; 139:489-99; quiz 488, 500. [DOI: 10.1016/j.annder.2012.03.019] [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: 12/23/2011] [Revised: 03/05/2012] [Accepted: 03/16/2012] [Indexed: 10/28/2022]
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