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Thareja S, Humeda Y, Patrick G, Cognetta AB. Deja UV all over again: Theoretical risks of the unregulated direct-to-consumer infrared technologies. J Am Acad Dermatol 2020; 85:224-225. [PMID: 32771544 DOI: 10.1016/j.jaad.2020.08.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2019] [Revised: 05/06/2020] [Accepted: 08/01/2020] [Indexed: 11/19/2022]
Affiliation(s)
- Shalini Thareja
- Division of Dermatology, College of Medicine, Florida State University, Tallahassee, Florida.
| | - Yasmine Humeda
- College of Medicine, Florida State University, Tallahassee, Florida
| | | | - Armand B Cognetta
- Division of Dermatology, College of Medicine, Florida State University, Tallahassee, Florida; Mohs and Procedural Dermatology Program, Division of Dermatology, College of Medicine, Florida State University, Tallahassee, Florida; Department of Clinical Sciences, Tallahassee, Florida
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Thareja S, Fink M, Chen KH, Liu Y, Chen SC, Stoff BK. Race as a predictor of patient preferences for biopsy result communication. J Am Acad Dermatol 2017; 78:1223-1225.e1. [PMID: 29223577 DOI: 10.1016/j.jaad.2017.11.054] [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] [Received: 07/20/2017] [Revised: 11/21/2017] [Accepted: 11/24/2017] [Indexed: 11/24/2022]
Affiliation(s)
- Shalini Thareja
- Department of Internal Medicine, Emory University, Atlanta, Georgia
| | - Matthew Fink
- Department of Dermatology, Emory University, Atlanta, Georgia
| | - Kuang-Ho Chen
- School of Medicine, Emory University, Atlanta, Georgia
| | - Yuan Liu
- Department of Biostatistics and Bioinformatics, Emory University, Atlanta, Georgia
| | - Suephy C Chen
- Department of Dermatology, Emory University, Atlanta, Georgia
| | - Benjamin K Stoff
- Department of Dermatology, Emory University, Atlanta, Georgia; Center for Ethics, Emory University, Atlanta, Georgia.
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Florek AG, Nardone B, Thareja S, Tran G, Giles FJ, West DP. Malignancies and ustekinumab: an analysis of the U.S. Food and Drug Administration Adverse Event Reporting System and the European Union Drug Regulating Authorities Pharmacovigilance database. Br J Dermatol 2017. [PMID: 28646575 DOI: 10.1111/bjd.15752] [Citation(s) in RCA: 12] [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: 11/28/2022]
Affiliation(s)
- A G Florek
- Department of Dermatology, Northwestern University, Feinberg School of Medicine, 676 N. Saint Clair Street, Suite 1600, Chicago, IL, 60611, U.S.A
| | - B Nardone
- Department of Dermatology, Northwestern University, Feinberg School of Medicine, 676 N. Saint Clair Street, Suite 1600, Chicago, IL, 60611, U.S.A
| | - S Thareja
- Department of Dermatology, Northwestern University, Feinberg School of Medicine, 676 N. Saint Clair Street, Suite 1600, Chicago, IL, 60611, U.S.A
| | - G Tran
- Department of Dermatology, Northwestern University, Feinberg School of Medicine, 676 N. Saint Clair Street, Suite 1600, Chicago, IL, 60611, U.S.A
| | - F J Giles
- Developmental Therapeutics Program, Division of Hematology Oncology, Northwestern University, Feinberg School of Medicine, 676 N. Saint Clair Street, Suite 1600, Chicago, IL, 60611, U.S.A.,Robert H. Lurie Comprehensive Cancer Center of Northwestern University, Chicago, IL, U.S.A
| | - D P West
- Department of Dermatology, Northwestern University, Feinberg School of Medicine, 676 N. Saint Clair Street, Suite 1600, Chicago, IL, 60611, U.S.A.,Robert H. Lurie Comprehensive Cancer Center of Northwestern University, Chicago, IL, U.S.A
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Thareja S, Kollmann K, Ardalan K, Klein-Gitelman MS, Paller AS, Arkin LM. Oral Macrolides for the Dermatologic Manifestations of Blau Syndrome. JAMA Dermatol 2017; 153:1066-1067. [DOI: 10.1001/jamadermatol.2017.2172] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
- Shalini Thareja
- Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois2Emory University School of Medicine, Atlanta, Georgia
| | - Kaitlyn Kollmann
- Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Kaveh Ardalan
- Division of Rheumatology, Ann and Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois4Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois5Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Marisa S. Klein-Gitelman
- Division of Rheumatology, Ann and Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois4Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Amy S. Paller
- Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois4Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Lisa M. Arkin
- Department of Dermatology, University of Wisconsin School of Medicine and Public Health, Madison7Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison
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Abstract
BACKGROUND/AIMS The purpose of this study was to examine the clinical presentations and pathological features of spontaneously necrotic choroidal melanomas. METHODS The clinical and histological features of patients who underwent enucleation for uveal melanoma from 1989 to 2012 at Emory University and were found to have spontaneously necrotic choroidal melanomas were retrospectively analyzed. RESULTS A total of 6 cases were identified. All cases had 90-100% tumor necrosis and also exhibited marked ischemic necrosis of the iris and ciliary body; 5 of 6 cases exhibited marked ischemic necrosis of the retina. The tumor consisted of melanoma ghost cells often surrounded by a zone of pigmented macrophages. Thrombi were not found in any of the cases. All of the tumors in our cases were centered around the equatorial choroid and 2 extended into the ciliary body. One of the cases exhibited a wedge-shaped infarct in a lateral aspect of the tumor. In most of the cases, microscopic areas of intact tumor cells were present in the peripheries of the tumors. CONCLUSIONS Spontaneous necrosis may occur in uveal melanoma. We believe that this occurs secondary to tumor hypoxia in the center of the tumor, followed by secondary inflammation, generalized ischemia and finally complete tumor necrosis.
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Affiliation(s)
- Shalini Thareja
- Department of Ophthalmology, Emory University School of Medicine, Atlanta, Ga., USA
| | - Alia Rashid
- Department of Ophthalmology, Emory University School of Medicine, Atlanta, Ga., USA
| | - Hans E Grossniklaus
- Department of Ophthalmology, Emory University School of Medicine, Atlanta, Ga., USA; Department of Pathology, Emory University School of Medicine, Atlanta, Ga., USA
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Thareja S, Zager JS, Sadhwani D, Thareja S, Chen R, Marzban S, Jukic DM, Glass LF, Messina J. Analysis of tumor mitotic rate in thin metastatic melanomas compared with thin melanomas without metastasis using both the hematoxylin and eosin and anti-phosphohistone 3 IHC stain. Am J Dermatopathol 2014; 36:64-7. [PMID: 24451214 DOI: 10.1097/dad.0b013e31829433b6] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
Studies have suggested that elevated tumor mitotic rate (MR) is linked to overall survival in thin melanoma. Recently, promising data regarding anti-phosphohistone 3 (pHH3) immunohistochemistry and its ability to aid in calculation of MR have emerged. The authors retrospectively analyzed original biopsies from 13 thin melanomas with positive sentinel node (SN) status and 16 thin melanomas with negative SN status. Both anti-pHH3 immunohistochemistry and the hematoxylin and eosin (H&E) stain were used to evaluate MR by 2 dermatopathologists blinded to SN status using the "hot spot" method. Intraclass coefficient values were attained to measure interobserver concordance and reliability of the pHH3 stain. By generating a receiver operating characteristic curve and analyzing the overall area under the curve, pHH3 was found to have good interobserver reliability. The relationship between MR and SN involvement was also evaluated, but this correlation was not statistically significant.
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Affiliation(s)
- Sumeet Thareja
- *Department of Dermatology, University of South Florida, Tampa, FL; †Department of Cutaneous Oncology, Sarcoma Program, Moffitt Cancer Center; ‡University of Central Florida College of Medicine, Tampa, FL; §Emory University College of Medicine; ¶Biostatistics Core, Clinical and Translational Science Institute, University of South Florida College of Medicine, Tampa, FL; ‖University of South Florida College of Medicine, Tampa, FL; **Department of Pathology and Cell Biology, University of South Florida, Tampa, FL; ††Department of Dermatology, James A. Haley VAMC; ‡‡Department of Dermatology, Moffitt Cancer Center; §§Department of Dermatology, University of South Florida, Tampa, FL; and ¶¶Department of Pathology, Cell Biology and Dermatology, University of South Florida Morsani College of Medicine, Tampa, FL
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Clark W, Siegel EM, Chen YA, Zhao X, Parsons CM, Hernandez JM, Weber J, Thareja S, Choi J, Shibata D. Quantitative measures of visceral adiposity and body mass index in predicting rectal cancer outcomes after neoadjuvant chemoradiation. J Am Coll Surg 2013; 216:1070-81. [PMID: 23523147 DOI: 10.1016/j.jamcollsurg.2013.01.007] [Citation(s) in RCA: 95] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2012] [Revised: 01/01/2013] [Accepted: 01/03/2013] [Indexed: 12/22/2022]
Abstract
BACKGROUND The association between body mass index as a measure of obesity and rectal cancer outcomes has been inconsistent. Radiologic measures of visceral adiposity using CT scans have not been well characterized among rectal cancer patients. The objective of this study was to examine quantitative radiologic measures of visceral obesity compared with body mass index in predicting patient outcomes among patients undergoing neoadjuvant chemoradiation and resection for locally advanced rectal cancers. STUDY DESIGN We identified 99 rectal adenocarcinoma patients treated with neoadjuvant chemoradiation and surgical resection. Visceral and subcutaneous fat areas, as well as perinephric fat thickness (PNF), were recorded and categorized as obese (body mass index ≥30, visceral fat area to subcutaneous fat area ratio [V/S] ≥0.4, or median PNF). The Kaplan-Meier method, log-rank test, and Cox proportional hazards models evaluated overall and disease-free survival differences by adiposity. RESULTS Viscerally obese rectal cancer patients (V/S >0.4 or PNF) were more likely to be older, male, and have pre-existing obesity-related conditions (eg, diabetes, hypertension, and/or hypercholesterolemia). Elevated V/S or PNF was associated with shorter disease-free survival (p = 0.02) or overall survival time (p = 0.047), respectively. Among patients with well to moderately differentiated tumors, visceral obesity was associated with poorer disease-free survival (V/S >0.4: adjusted hazard ratio = 5.0; 95% CI, 1.2-22.0). CONCLUSIONS Visceral fat area to subcutaneous fat area ratio and PNF were strongly associated with key preoperative metabolic comorbidities, and body mass index was not. Findings suggests that elevated visceral adiposity was associated with an increased risk of recurrence, which was most evident among patients with well to moderately differentiated tumors and those with incomplete response to neoadjuvant chemoradiation treatment. Quantitative measures of visceral adiposity warrant large-scale prospective evaluation.
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Affiliation(s)
- Whalen Clark
- Department of Surgery, University of South Florida College of Medicine, Tampa, FL 33612, USA
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Clark WC, Parsons CM, Hernandez JM, Weber J, Siegel EM, Thareja S, Shibata D. Radiologic measures of visceral adiposity and rectal cancer outcomes. J Am Coll Surg 2011. [DOI: 10.1016/j.jamcollsurg.2011.06.038] [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: 11/15/2022]
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Vicari RM, Polanco E, Schechtmann N, Santiago JO, Shaurya K, Halstead M, Marszal D, Grosskreutz T, Thareja S. Atrial myxoma presenting with orthostatic hypotension in an 84-year-old Hispanic man: a case report. J Med Case Rep 2009; 3:9328. [PMID: 20062757 PMCID: PMC2803851 DOI: 10.1186/1752-1947-3-9328] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [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: 09/30/2008] [Accepted: 12/14/2009] [Indexed: 11/10/2022] Open
Abstract
INTRODUCTION Left atrial myxomas remain the most common benign primary cardiac tumors, and these cardiac growths can masquerade as mitral stenosis, infective endocarditis and collagen vascular disease. Atrial myxomas are found in approximately 14-20% of the population and can lead to embolization, intercardiac obstructions, conduction disturbances and lethal valve obstructions. CASE PRESENTATION An 84-year-old Hispanic man presented with complaints of dizziness upon standing, and with no prior history of heart murmurs, syncope, shortness of breath, or chest pain. Physical examination revealed evidence of orthostatic hypotension and a soft grade 1/6 systolic murmur at the left sternal border. A transthoracic echocardiogram revealed a large atrial myxoma occupying the majority of the left atrium, with the posterior border of the large atrial mass defined by eccentric mitral regurgitation identified during cardiac catheterization. Left atrial myxoma excision was performed, revealing a 7 x 6.5 x 4.5 cm atrial tumor attached to a 4 x 3 x 2 cm stalk of atrial septal tissue. CONCLUSION This patient didn't present with the common symptoms associated with an atrial myxoma, which may include chest pain, dyspnea, orthopnea, peripheral embolism or syncope. Two-dimensional echocardiography provides substantial advantages in detecting intracardiac tumors. We recommend a two-dimensional echocardiogram in the workup of orthostatic hypotension of unknown etiology after the common causes such as autonomic disorders, dehydration, and vasodilative dysfunctions have been ruled out. By illustrating this correlation between orthostasis and an atrial myxoma, we hope to facilitate earlier identification of these intracardiac growths.
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Affiliation(s)
- Ralph M Vicari
- Mima Century Research, E. Sheridan Rd, Melbourne, FL 32901, USA
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