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McGlacken-Byrne SM, Abdelmaksoud A, Haini M, Palm L, Ashworth M, Li J, Wang W, Wang X, Wang J, Callaghan B, Kinsler VA, Faravelli F, Dattani MT. Mosaic PRKACA duplication causing a novel and distinct phenotype of early-onset Cushing's syndrome and acral cutaneous mucinosis. Eur J Endocrinol 2022; 187:K55-K61. [PMID: 36691942 DOI: 10.1530/eje-22-0287] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Revised: 09/21/2022] [Accepted: 10/17/2022] [Indexed: 02/01/2023]
Abstract
SIGNIFICANCE STATEMENT We describe a mosaic PRKACA duplication in a young infant who presented with a Carney-like complex: bilateral non-pigmented micronodular adrenal hyperplasia, severe early-onset Cushing's syndrome, and distinct acral soft tissue overgrowth due to cutaneous mucinosis. This represents a novel manifestation of PRKACA disruption and broadens the extra-adrenal phenotype of PRKACA-associated Cushing's syndrome. Our data suggest that Cushing's syndrome phenotypes arising from somatic and germline PRKACA abnormalities can exist on a spectrum. We emphasise the value of ascertaining a genetic diagnosis for PRKACA-mediated adrenal and extra-adrenal disease to guide individualised and targeted care.
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Affiliation(s)
- Sinéad M McGlacken-Byrne
- Department of Paediatric Endocrinology, Great Ormond Street Hospital for Children, London, UK
- Genetics and Genomic Medicine Programme, UCL GOS Institute of Child Health, London, UK
| | - Ashraf Abdelmaksoud
- International and Private Patient Department, Great Ormond Street Hospital NHS Foundation Trust, London, UK
| | - Mohammad Haini
- Department of Histopathology, Great Ormond Street Hospital for Children, London, UK
| | - Liina Palm
- Department of Histopathology, Great Ormond Street Hospital for Children, London, UK
| | - Michael Ashworth
- Department of Histopathology, Great Ormond Street Hospital for Children, London, UK
| | - Juan Li
- Department of Endocrinology and Metabolism, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, Shanghai, China
| | - Wei Wang
- Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
| | - Xiumin Wang
- Department of Endocrinology and Metabolism, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, Shanghai, China
| | - Jian Wang
- Department of Medical Genetics and Molecular Diagnostic Laboratory, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, Shanghai, China
| | - Bridget Callaghan
- International and Private Patient Department, Great Ormond Street Hospital NHS Foundation Trust, London, UK
| | - Veronica A Kinsler
- Genetics and Genomic Medicine Programme, UCL GOS Institute of Child Health, London, UK
- Department of Dermatology, Great Ormond Street Hospital for Children, London, UK
- Mosaicism and Precision Medicine Laboratory, Francis Crick Institute, London, UK
| | - Francesca Faravelli
- North East Thames Regional Genetic Service, Great Ormond Street Hospital, London, UK
| | - Mehul T Dattani
- Department of Paediatric Endocrinology, Great Ormond Street Hospital for Children, London, UK
- Genetics and Genomic Medicine Programme, UCL GOS Institute of Child Health, London, UK
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Wollina U, Abdelmaksoud A, Chiriac A, Brzezinski P, Temiz S. SYMPTOMATOLOGY AND TREATMENT OF COVID-19 AFFECTING SKIN APPENDAGES: A NARRATIVE REVIEW BEYOND COVID-TOES. Georgian Med News 2022:78-84. [PMID: 36539135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
SARS-CoV-2 is the cause of COVID-19 disease and responsible for a pandemic since the 2020. Multiple organ involvement has been described including cutaneous symptoms. Affection of skin appendages, however, seems to be under-reported except for COVID-toes. We performed a PUBMED research for "COVID-19" OR "SARS-CoV-2" AND "skin appendages", "hair", "nails", and "skin glands" from January 2020 to April 2022. COVID toes were excluded since this symptom had extensively been discussed. The focus of this narrative review was laid on clinical presentation, association to the course of COVID-19 disease and treatment options. Skin appendages can be affected by COVID-19 disease beyond COVID-toes, both by symptomatic and asymptomatic course. Telogen effluvium, androgenetic alopecia, and alopecia areata are the most common hair disorders in COVID-19 patients. Nails are less commonly affected by COVID-19 than hair. Splinter hemorrhages and leukonychia are the most frequent findings. While sebaceous glands seem to be uninvolved, SARS-CoV-2 spike proteins have been identified in eccrine sweat glands. Alopecia areata is often seen among asymptomatic COVID-19 patients while telogen effluvium is observed in symptomatic and asymptomatic patients. The half-moon sign on the nails could be a red flag for a more severe course of COVID-19. Treatment options are summarized. Skin appendages are not spared by COVID-19. Their knowledge will help to identify asymptomatic patients and patients at risk for a more severe course of the viral disease.
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Affiliation(s)
- U Wollina
- 1Department of Dermatology and Allergology, Städtisches Klinikum Dresden, Academic Teaching Hospital, Dresden, Germany
| | - A Abdelmaksoud
- 2Mansoura Dermatology, Venerology and Leprology Hospital, Mansoura, Egypt; 3Department of Dermatology, University of Studies Guglielmo Marconi, Rome, Italy
| | - A Chiriac
- 4Nicolina Medical Center, Department of Dermatology, Apollonia University, Iași, Romania; 5"Petru Poni" Institute of Macromolecular Chemistry, Romanian Academy, Iași, Romania
| | - P Brzezinski
- 6Department of Physiotherapy and Medical Emergency, Faculty of Health Sciences, Pomeranian Academy, Slupsk, Poland; 7Department of Dermatology Voivodship Specialist Hospital in Slupsk, Ustka, Poland
| | - S Temiz
- 8Department of Dermatology, Necmettin Erbakan University Meram Medical Faculty, Konya, Turkey
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3
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Durmaz K, Aykut Temiz S, Metin Z, Dursun R, Abdelmaksoud A. Allergic and cutaneous reactions following inactivated SARS-CoV-2 vaccine (CoronaVac ® ) in healthcare workers. Clin Exp Dermatol 2021; 47:171-173. [PMID: 34415637 PMCID: PMC8444939 DOI: 10.1111/ced.14896] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/28/2021] [Indexed: 11/30/2022]
Affiliation(s)
- K Durmaz
- Department of Dermatology, Bilecik Bozuyuk State Hospital, Bozuyuk, Bilecik, Turkey
| | - S Aykut Temiz
- Department of Dermatology, Konya Ereğli State Hospital, Konya, Turkey
| | - Z Metin
- Department of Dermatology, Zonguldak Ataturk State Hospital, Zonguldak, Turkey
| | - R Dursun
- Department of Dermatology, Necmettin Erbakan University Meram Medical Faculty, Konya, Turkey
| | - A Abdelmaksoud
- Mansoura Dermatology, Venerology and Leprology Hospital, Mansoura, Egypt
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Abdelmaksoud A, Goldust M. Comment on ‘Androgenetic alopecia is associated with increased scalp hardness’: role of phosphodiesterase inhibitors? J Eur Acad Dermatol Venereol 2020; 34:e711-e712. [DOI: 10.1111/jdv.16532] [Citation(s) in RCA: 1] [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] [Received: 01/20/2020] [Revised: 03/24/2020] [Accepted: 04/10/2020] [Indexed: 11/27/2022]
Affiliation(s)
- A. Abdelmaksoud
- Mansoura Dermatology, Venerology and Leprology Hospital Mansoura Egypt
| | - M. Goldust
- Department of Dermatology University of Rome G. Marconi Rome Italy
- Department of Dermatology University Medical Center Mainz Mainz Germany
- Department of Dermatology University Hospital Basel Basel Switzerland
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Affiliation(s)
- M Goldust
- Department of Dermatology & Allergy, University Hospital Basel, Basel, Switzerland
| | - A Abdelmaksoud
- Mansoura Dermatology, Venerology and Leprology Hospital, Mansoura, Egypt
| | - A A Navarini
- Department of Dermatology & Allergy, University Hospital Basel, Basel, Switzerland
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Goldust M, Abdelmaksoud A, Shuang Z, Xiang C, Navarini AA. Fever with rash in COVID-19: viral exanthema or secondary lesions? J Eur Acad Dermatol Venereol 2020; 34:e464-e465. [PMID: 32428291 PMCID: PMC7280629 DOI: 10.1111/jdv.16639] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Affiliation(s)
- M Goldust
- Department of Dermatology & Allergy, University Hospital Basel, Basel, Switzerland
| | - A Abdelmaksoud
- Mansoura Dermatology, Venerology and Leprology Hospital, Mansoura, Egypt
| | - Z Shuang
- Department of Dermatology, Xiangya Hospital, Central South University, Changsha, China
| | - C Xiang
- Department of Dermatology, Xiangya Hospital, Central South University, Changsha, China
| | - A A Navarini
- Department of Dermatology & Allergy, University Hospital Basel, Basel, Switzerland
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Abdelmaksoud A, Vestita M. Réplica a «Pápulas faciales en alopecia frontal fibrosante con buena respuesta a isotretinoína». Actas Dermo-Sifiliográficas 2019; 110:876-877. [DOI: 10.1016/j.ad.2019.01.012] [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: 01/09/2019] [Accepted: 01/28/2019] [Indexed: 10/26/2022] Open
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8
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Abdelmaksoud A. Comment on ‘Progressive erythematous papules and plaques in an infant’: Sweet that is not so sweet! Clin Exp Dermatol 2019; 44:950-951. [DOI: 10.1111/ced.14024] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/14/2019] [Indexed: 11/27/2022]
Affiliation(s)
- A. Abdelmaksoud
- Mansoura Dermatology, Venerology and Leprology Hospital Mansoura Egypt
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9
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Abdelmaksoud A, Vestita M. Comment on 'Fatal occurrence of acquired haemophilia A in a patient with pemphigus vulgaris'. Clin Exp Dermatol 2019; 45:478-479. [PMID: 31733157 DOI: 10.1111/ced.14143] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/14/2019] [Indexed: 11/27/2022]
Affiliation(s)
- A Abdelmaksoud
- Mansoura Dermatology, Venerology and Leprology Hospital, Mansoura, Egypt
| | - M Vestita
- Department of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
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10
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Abdelmaksoud A. Comment on 'Bronchiolitis obliterans as a long-term sequela of Stevens-Johnson syndrome and toxic epidermal necrolysis in children'. Clin Exp Dermatol 2019; 44:949-950. [PMID: 31323139 DOI: 10.1111/ced.14047] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/11/2019] [Indexed: 11/29/2022]
Affiliation(s)
- A Abdelmaksoud
- Mansoura Dermatology, Venerology and Leprology Hospital, Mansoura, Egypt
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11
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Abdelmaksoud A. Comment on 'Fatal, incidental, idiopathic pulmonary fibrosis in a patient receiving long-term low-dose methotrexate for psoriasis'. Clin Exp Dermatol 2019; 44:592-593. [PMID: 30943310 DOI: 10.1111/ced.13975] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/01/2019] [Indexed: 12/13/2022]
Affiliation(s)
- A Abdelmaksoud
- Mansoura Dermatology, Venerology and Leprology Hospital, Mansoura, Egypt
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12
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Affiliation(s)
- A. Abdelmaksoud
- Mansoura Dermatology, Venereology and Leprology Hospital Mansoura Egypt
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13
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Ibrahim SMA, El-Morshedy SED, Abdelmaksoud A. Effect of reactor operator intervention during unprotected LOFA in a typical MTR. KERNTECHNIK 2019. [DOI: 10.3139/124.110874] [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] [Indexed: 11/20/2022]
Abstract
Abstract
The main objective for reactor engineering and inherent safety features is to keep the nuclear fuel in a thermally safe condition with enough safety margins during all operational states (normal-abnormal and accidental states). In this work, an accident analysis of the unprotected loss of flow transient in a typical material test reactor is presented. The effect of reactor operator intervention during the accident in case of manually triggering the shutdown system at different flow coast down ratios is studied. Flow trip scenarios are compared for flow trip ratios of 14, 15, 20, 30, 40, 50 and 60 %. The calculations were performed with the nuclear reactor analysis code PARET. The reactor stability region is described in terms of initial reactor power, core inlet temperature, and power peaking factor.
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Affiliation(s)
- S. M. A. Ibrahim
- Mechanical Engineering Department Faculty of Engineering Al-Azhar University , Nasr City, Cairo , Egypt
| | | | - A. Abdelmaksoud
- Reactors Department , Egyptian Atomic Energy Authority, Cairo , Egypt
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14
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Abdelmaksoud A. Subclinical atherosclerosis in psoriasis: a clue to aortic abnormalities? Clin Exp Dermatol 2018; 43:957-958. [DOI: 10.1111/ced.13643] [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] [Accepted: 01/24/2018] [Indexed: 10/14/2022]
Affiliation(s)
- A. Abdelmaksoud
- Mansoura Dermatology, Venerology and Leprology Hospital; 5-Amien Alsamanoudy Street, from AbdelsalamAaref Street Mansoura Egypt
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15
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Affiliation(s)
- A. Abdelmaksoud
- Mansoura Dermatology, Venereology and Leprology Hospital; Mansoura Egypt
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16
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Affiliation(s)
- A Abdelmaksoud
- Mansoura Dermatology, Venerology and Leprology Hospital, 5 Amien Alsamanoudy Street, from AbdelsalamAaref Street, Mansoura, Egypt
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17
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Abdelmaksoud A, Vestita M. Acquired Port-Wine Stain: Not a simple stain! Actas Dermo-Sifiliográficas (English Edition) 2018. [DOI: 10.1016/j.adengl.2018.02.023] [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: 10/14/2022] Open
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18
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Abdelmaksoud A, Vestita M. Mancha de vino de Oporto adquirida: ¡no es una simple mancha! Actas Dermo-Sifiliográficas 2018; 109:462-463. [DOI: 10.1016/j.ad.2018.02.004] [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: 12/07/2017] [Accepted: 02/11/2018] [Indexed: 11/28/2022] Open
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Abdelmaksoud A. Mast cells of the nail in psoriasis: the tip of the iceberg? Clin Exp Dermatol 2018; 43:952-953. [PMID: 29845641 DOI: 10.1111/ced.13644] [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] [Accepted: 01/01/2018] [Indexed: 11/30/2022]
Affiliation(s)
- A Abdelmaksoud
- Mansoura Dermatology, Venerology and Leprology Hospital, 5-Amien Alsamanoudy Street, from AbdelsalamAaref Street, Mansoura, Egypt
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20
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Affiliation(s)
- A Abdelmaksoud
- Mansoura Dermatology, Venereology and Leprology Hospital, Mansoura, Egypt
| | - M Vestita
- Unit of Plastic and Reconstructive Surgery, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy
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21
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Abdelmaksoud A. Reply to ‘Topical ionic contra-viral therapy comprised of digoxin and furosemide as a potential novel treatment approach for common warts’. J Eur Acad Dermatol Venereol 2018; 32:e156-e157. [DOI: 10.1111/jdv.14645] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- A. Abdelmaksoud
- Mansoura Dermatology, Venerology and Leprology Hospital; Mansoura Egypt
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22
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Affiliation(s)
- A Abdelmaksoud
- Mansoura Dermatology, Venerology and Leprology Hospital, Mansoura, Egypt
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23
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Abdelmaksoud A. Lipoid proteinosis: towards predictive clinical clues. Clin Exp Dermatol 2017; 43:320-321. [PMID: 29214664 DOI: 10.1111/ced.13312] [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] [Accepted: 03/31/2017] [Indexed: 11/28/2022]
Affiliation(s)
- A Abdelmaksoud
- Mansoura Dermatology, Venerology and Leprology Hospital, 5-Amien Alsamanoudy Street, from AbdelsalamAaref Street, Mansoura, Egypt
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24
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Abdelmaksoud A. Lichen scrofulosorum: a clinical marker for sexually transmitted tuberculosis. Clin Exp Dermatol 2017; 42:917-918. [DOI: 10.1111/ced.13206] [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] [Accepted: 03/16/2017] [Indexed: 11/30/2022]
Affiliation(s)
- A. Abdelmaksoud
- Mansoura Dermatology; Venerology and Leprology Hospital; 5 Amien Alsamanoudy Street, from AbdelsalamAaref Street Mansoura Egypt Mansoura Egypt
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Abdelmaksoud A. Bullous pemphigoid inguinalis? J Eur Acad Dermatol Venereol 2017; 32:e196-e197. [PMID: 29178207 DOI: 10.1111/jdv.14710] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- A Abdelmaksoud
- Mansoura Dermatology, Venereology and Leprology Hospital, Mansoura, Egypt
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Abdelmaksoud A. Peristomal psoriasis: an intriguing new subset of psoriasis. Clin Exp Dermatol 2017; 43:193. [PMID: 28994137 DOI: 10.1111/ced.13295] [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] [Accepted: 02/21/2017] [Indexed: 11/28/2022]
Affiliation(s)
- A Abdelmaksoud
- Mansoura Dermatology, Venerology and Leprology Hospital, 5-Amien Alsamanoudy Street, from Abdelsalam Aaref Street, Mansoura, Egypt
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27
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Affiliation(s)
- A Abdelmaksoud
- Mansoura Dermatology, Venerology and Leprology Hospital, 5-Amien Alsamanoudy Street, from AbdelsalamAaref Street, Mansoura, Egypt
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28
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Affiliation(s)
- A. Abdelmaksoud
- Mansoura Dermatology; Venerology and Leprology Hospital; Mansoura Egypt
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El Halaby M, Abdelmaksoud A, Osman T, Fawaz K. POS-01.114: Treatment of post prostatectomy incontinence using the SAFYRE male sling. Urology 2007. [DOI: 10.1016/j.urology.2007.06.815] [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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