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Couselo-Rodríguez C, Batalla A, Carrascosa JM, Chicharro P, González-Quesada A, de la Cueva P, Giménez-Arnau AM, Gilaberte Y, Rodríguez-Serna M, Montero-Vilchez T, Ruiz-Villaverde R, Elosua-González M, Silvestre-Salvador JF, Munera-Campos M, Sánchez-Pérez J, Carretero G, Mauleón-Fernández C, Curto-Barredo L, Ballano-Ruiz A, Botella-Estrada R, Arias-Santiago S, Navarro-Triviño FJ, Roustan-Gullón G, Betlloch I, Del Alcázar E, Abalde-Pintos MT, Suárez-Perez J, García-Doval I, Descalzo MÁ, Flórez Á. [Translated article] Drug Survival in Cyclosporine Treatment for Moderate to Severe Atopic Dermatitis: Analysis of the Spanish Atopic Dermatitis Registry (BIOBADATOP). Actas Dermosifiliogr 2024; 115:T341-T346. [PMID: 38325545 DOI: 10.1016/j.ad.2023.07.028] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Accepted: 07/03/2023] [Indexed: 02/09/2024] Open
Abstract
BACKGROUND The past 5 years have seen a proliferation of new treatments for atopic dermatitis (AD). We analyzed recent drug survival data for cyclosporine in this setting. Because the Spanish National Healthcare system requires patients with AD to be treated with cyclosporine before they can be prescribed other systemic treatments, drug survival for cyclosporine may be shorter than in other diseases. MATERIAL AND METHOD Multicenter, observational, prospective cohort study using data from the Spanish Atopic Dermatitis Registry (BIOBADATOP). Data from the Spanish Registry of Systemic Treatments in Psoriasis (BIOBADADERM) were used to create a comparison cohort. RESULTS We analyzed data for 130 patients with AD treated with cyclosporine (median drug survival, 1 year). Median cyclosporine survival in the psoriasis comparison group (150 patients) was 0.37 years. Drug survival was significantly longer in AD than in psoriasis (P<.001). CONCLUSION Drug survival of cyclosporine in the BIOBADATOP registry is similar to that described in other series of patients with AD and longer than that observed in the BIOBADADERM psoriasis registry.
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Affiliation(s)
- C Couselo-Rodríguez
- Servicio de Dermatología, Complejo Hospitalario Universitario de Pontevedra, Pontevedra, Spain; Grupo de Investigación DIPO, Instituto de Investigación Sanitaria Galicia Sur (IIS Galicia Sur), SERGAS-UVIGO, Spain.
| | - A Batalla
- Servicio de Dermatología, Complejo Hospitalario Universitario de Pontevedra, Pontevedra, Spain; Grupo de Investigación DIPO, Instituto de Investigación Sanitaria Galicia Sur (IIS Galicia Sur), SERGAS-UVIGO, Spain
| | - J M Carrascosa
- Servicio de Dermatología, Hospital Universitari Germans Trias i Pujol. Germans Trias I Pujol Research Institute (IGTP), Universitat Autònoma de Barcelona, Badalona, Barcelona, Spain
| | - P Chicharro
- Servicio de Dermatología, Hospital Universitario de la Princesa, Madrid, Spain
| | - A González-Quesada
- Servicio de Dermatología, Hospital Universitario de Gran Canaria Doctor Negrín, Las Palmas de Gran Canaria, Spain
| | - P de la Cueva
- Servicio de Dermatología, Hospital Universitario Infanta Leonor, Madrid, Spain
| | - A M Giménez-Arnau
- Servicio de Dermatología, Hospital del Mar, IMIM, Universitat Pompeu Fabra, Barcelona, Spain
| | - Y Gilaberte
- Servicio de Dermatología, Hospital Universitario Miguel Servet, Zaragoza, Spain
| | - M Rodríguez-Serna
- Servicio de Dermatología, Hospital Universitario y Politécnico la Fe, Valencia, Spain
| | - T Montero-Vilchez
- Servicio de Dermatología, Hospital Universitario Virgen de las Nieves, Granada. Instituto de Investigación IBS, Granada, Spain
| | - R Ruiz-Villaverde
- Servicio de Dermatología, Hospital Universitario San Cecilio, Granada, Spain
| | - M Elosua-González
- Servicio de Dermatología, Hospital Universitario Puerta del Hierro, Madrid, Spain
| | - J F Silvestre-Salvador
- Servicio de Dermatología, Hospital General Universitario Dr. Balmis, Alicante. ISABIAL, Alicante, Spain
| | - M Munera-Campos
- Servicio de Dermatología, Hospital Universitari Germans Trias i Pujol. Germans Trias I Pujol Research Institute (IGTP), Universitat Autònoma de Barcelona, Badalona, Barcelona, Spain
| | - J Sánchez-Pérez
- Servicio de Dermatología, Hospital Universitario de la Princesa, Madrid, Spain
| | - G Carretero
- Servicio de Dermatología, Hospital Universitario de Gran Canaria Doctor Negrín, Las Palmas de Gran Canaria, Spain
| | - C Mauleón-Fernández
- Servicio de Dermatología, Hospital Universitario Infanta Leonor, Madrid, Spain
| | - L Curto-Barredo
- Servicio de Dermatología, Hospital del Mar, IMIM, Universitat Pompeu Fabra, Barcelona, Spain
| | - A Ballano-Ruiz
- Servicio de Dermatología, Hospital Universitario Miguel Servet, Zaragoza, Spain
| | - R Botella-Estrada
- Servicio de Dermatología, Hospital Universitario y Politécnico la Fe, Valencia, Spain
| | - S Arias-Santiago
- Servicio de Dermatología, Hospital Universitario Virgen de las Nieves, Granada. Instituto de Investigación IBS, Granada, Spain
| | - F J Navarro-Triviño
- Servicio de Dermatología, Hospital Universitario San Cecilio, Granada, Spain
| | - G Roustan-Gullón
- Servicio de Dermatología, Hospital Universitario Puerta del Hierro, Madrid, Spain
| | - I Betlloch
- Servicio de Dermatología, Hospital General Universitario Dr. Balmis, Alicante. ISABIAL, Alicante, Spain
| | - E Del Alcázar
- Servicio de Dermatología, Hospital Universitari Germans Trias i Pujol. Germans Trias I Pujol Research Institute (IGTP), Universitat Autònoma de Barcelona, Badalona, Barcelona, Spain
| | - M T Abalde-Pintos
- Servicio de Dermatología, Complejo Hospitalario Universitario de Pontevedra, Pontevedra, Spain; Grupo de Investigación DIPO, Instituto de Investigación Sanitaria Galicia Sur (IIS Galicia Sur), SERGAS-UVIGO, Spain
| | - J Suárez-Perez
- Servicio de Dermatología, Hospital Clínico de Málaga, Málaga, Spain
| | - I García-Doval
- Unidad de Investigación, Fundación Piel Sana AEDV, Spain; Servicio de Dermatología, Complexo Hospitalario Universitario de Vigo, Vigo, Spain
| | - M Á Descalzo
- Unidad de Investigación, Fundación Piel Sana AEDV, Spain
| | - Á Flórez
- Servicio de Dermatología, Complejo Hospitalario Universitario de Pontevedra, Pontevedra, Spain; Grupo de Investigación DIPO, Instituto de Investigación Sanitaria Galicia Sur (IIS Galicia Sur), SERGAS-UVIGO, Spain
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Couselo-Rodríguez C, Batalla A, Carrascosa JM, Chicharro P, González-Quesada A, de la Cueva P, Giménez-Arnau AM, Gilaberte Y, Rodríguez-Serna M, Montero-Vilchez T, Ruiz-Villaverde R, Elosua-González M, Silvestre-Salvador JF, Munera-Campos M, Sánchez-Pérez J, Carretero G, Mauleón-Fernández C, Curto-Barredo L, Ballano-Ruiz A, Botella-Estrada R, Arias-Santiago S, Navarro-Triviño FJ, Roustan-Gullón G, Betlloch I, Del Alcázar E, Abalde-Pintos MT, Suárez-Perez J, García-Doval I, Descalzo MÁ, Flórez Á. Drug Survival in Cyclosporine Treatment for Moderate to Severe Atopic Dermatitis: Analysis of the Spanish Atopic Dermatitis Registry (BIOBADATOP). Actas Dermosifiliogr 2024; 115:341-346. [PMID: 37482292 DOI: 10.1016/j.ad.2023.07.014] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Revised: 06/04/2023] [Accepted: 07/03/2023] [Indexed: 07/25/2023] Open
Abstract
BACKGROUND The past 5 years have seen a proliferation of new treatments for atopic dermatitis (AD). We analyzed recent drug survival data for cyclosporine in this setting. Because the Spanish National Healthcare system requires patients with AD to be treated with cyclosporine before they can be prescribed other systemic treatments, drug survival for cyclosporine may be shorter than in other diseases. MATERIAL AND METHOD Multicenter, observational, prospective cohort study using data from the Spanish Atopic Dermatitis Registry (BIOBADATOP). Data from the Spanish Registry of Systemic Treatments in Psoriasis (BIOBADADERM) were used to create a comparison cohort. RESULTS We analyzed data for 130 patients with AD treated with cyclosporine (median drug survival, 1 year). Median cyclosporine survival in the psoriasis comparison group (150 patients) was 0.37 years. Drug survival was significantly longer in AD than in psoriasis (P<.001). CONCLUSION Drug survival of cyclosporine in the BIOBADATOP registry is similar to that described in other series of patients with AD and longer than that observed in the BIOBADADERM psoriasis registry.
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Affiliation(s)
- C Couselo-Rodríguez
- Servicio de Dermatología, Complejo Hospitalario Universitario de Pontevedra, Pontevedra, España; Grupo de Investigación DIPO, Instituto de Investigación Sanitaria Galicia Sur (IIS Galicia Sur), SERGAS-UVIGO, España.
| | - A Batalla
- Servicio de Dermatología, Complejo Hospitalario Universitario de Pontevedra, Pontevedra, España; Grupo de Investigación DIPO, Instituto de Investigación Sanitaria Galicia Sur (IIS Galicia Sur), SERGAS-UVIGO, España
| | - J M Carrascosa
- Servicio de Dermatología, Hospital Universitari Germans Trias i Pujol. Germans Trias I Pujol Research Institute (IGTP), Universitat Autònoma de Barcelona, Badalona, Barcelona, España
| | - P Chicharro
- Servicio de Dermatología, Hospital Universitario de la Princesa, Madrid, España
| | - A González-Quesada
- Servicio de Dermatología, Hospital Universitario de Gran Canaria Doctor Negrín, Las Palmas de Gran Canaria, España
| | - P de la Cueva
- Servicio de Dermatología, Hospital Universitario Infanta Leonor, Madrid, España
| | - A M Giménez-Arnau
- Servicio de Dermatología, Hospital del Mar, IMIM, Universitat Pompeu Fabra, Barcelona, España
| | - Y Gilaberte
- Servicio de Dermatología, Hospital Universitario Miguel Servet, Zaragoza, España
| | - M Rodríguez-Serna
- Servicio de Dermatología, Hospital Universitario y Politécnico la Fe, Valencia, España
| | - T Montero-Vilchez
- Servicio de Dermatología, Hospital Universitario Virgen de las Nieves, Granada. Instituto de Investigación IBS, Granada, España
| | - R Ruiz-Villaverde
- Servicio de Dermatología, Hospital Universitario San Cecilio, Granada, España
| | - M Elosua-González
- Servicio de Dermatología, Hospital Universitario Puerta del Hierro, Madrid, España
| | - J F Silvestre-Salvador
- Servicio de Dermatología, Hospital General Universitario Dr. Balmis, Alicante. ISABIAL, Alicante, España
| | - M Munera-Campos
- Servicio de Dermatología, Hospital Universitari Germans Trias i Pujol. Germans Trias I Pujol Research Institute (IGTP), Universitat Autònoma de Barcelona, Badalona, Barcelona, España
| | - J Sánchez-Pérez
- Servicio de Dermatología, Hospital Universitario de la Princesa, Madrid, España
| | - G Carretero
- Servicio de Dermatología, Hospital Universitario de Gran Canaria Doctor Negrín, Las Palmas de Gran Canaria, España
| | - C Mauleón-Fernández
- Servicio de Dermatología, Hospital Universitario Infanta Leonor, Madrid, España
| | - L Curto-Barredo
- Servicio de Dermatología, Hospital del Mar, IMIM, Universitat Pompeu Fabra, Barcelona, España
| | - A Ballano-Ruiz
- Servicio de Dermatología, Hospital Universitario Miguel Servet, Zaragoza, España
| | - R Botella-Estrada
- Servicio de Dermatología, Hospital Universitario y Politécnico la Fe, Valencia, España
| | - S Arias-Santiago
- Servicio de Dermatología, Hospital Universitario Virgen de las Nieves, Granada. Instituto de Investigación IBS, Granada, España
| | - F J Navarro-Triviño
- Servicio de Dermatología, Hospital Universitario San Cecilio, Granada, España
| | - G Roustan-Gullón
- Servicio de Dermatología, Hospital Universitario Puerta del Hierro, Madrid, España
| | - I Betlloch
- Servicio de Dermatología, Hospital General Universitario Dr. Balmis, Alicante. ISABIAL, Alicante, España
| | - E Del Alcázar
- Servicio de Dermatología, Hospital Universitari Germans Trias i Pujol. Germans Trias I Pujol Research Institute (IGTP), Universitat Autònoma de Barcelona, Badalona, Barcelona, España
| | - M T Abalde-Pintos
- Servicio de Dermatología, Complejo Hospitalario Universitario de Pontevedra, Pontevedra, España; Grupo de Investigación DIPO, Instituto de Investigación Sanitaria Galicia Sur (IIS Galicia Sur), SERGAS-UVIGO, España
| | - J Suárez-Perez
- Servicio de Dermatología, Hospital Clínico de Málaga, Málaga, España
| | - I García-Doval
- Unidad de Investigación, Fundación Piel Sana AEDV, España; Servicio de Dermatología, Complexo Hospitalario Universitario de Vigo, Vigo, España
| | - M Á Descalzo
- Unidad de Investigación, Fundación Piel Sana AEDV, España
| | - Á Flórez
- Servicio de Dermatología, Complejo Hospitalario Universitario de Pontevedra, Pontevedra, España; Grupo de Investigación DIPO, Instituto de Investigación Sanitaria Galicia Sur (IIS Galicia Sur), SERGAS-UVIGO, España
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Munera-Campos M, Chicharro P, Gonzalez Quesada A, Florez Menendez A, de la Cueva Dovao P, Gimenez Arnau AM, Gilaberte Calzada Y, Rodríguez Serna M, Montero T, Silvestre Salvador JF, Elosua González M, Del Alcazar E, Santamaría C, Sánchez-Pérez J, Carretero Hernández G, Batalla Cebey A, Jin Suh Oh H, Mauleón Fernández C, Curto Barredo L, Bertolín M, Navarro Bielsa A, Ballano Ruiz A, Botella Estrada R, Arias Santiago S, Betlloch I, Roustan Gullón G, Rosell Díaz A, Descalzo MÁ, García-Doval I, Carrascosa JM. [[Translated article]]BIOBADATOP Spanish Atopic Dermatitis Registry: Description and Early Findings. Actas Dermosifiliogr 2023:S0001-7310(23)00349-6. [PMID: 37172898 DOI: 10.1016/j.ad.2023.05.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Accepted: 03/07/2023] [Indexed: 05/15/2023] Open
Abstract
BACKGROUND In recent years, remarkable improvements in our understanding of atopic dermatitis (AD) have revolutionized treatment perspectives, but access to reliable data from clinical practice is essential. MATERIALS AND METHOD The Spanish Atopic Dermatitis Registry, BIOBADATOP, is a prospective, multicenter database that collects information on patients of all ages with AD requiring systemic therapy with conventional or novel drugs. We analyzed the registry to describe patient characteristics, diagnoses, treatments, and adverse events (AEs). RESULTS We studied data entries for 258 patients who had received 347 systemic treatments for AD. Treatment was discontinued in 29.4% of cases, mostly due to a lack of effectiveness (in 10.7% of cases). A total of 132 AEs were described during follow-up. Eighty-six AEs (65%) were linked to a systemic treatment, most commonly dupilumab (39 AEs) and cyclosporine (38 AEs). The most common AEs were conjunctivitis (11 patients), headache (6), hypertrichosis (5), and nausea (4). There was 1 severe AE (acute mastoiditis) associated with cyclosporine. CONCLUSIONS Initial findings on AEs from the Spanish BIOBADATOP registry are limited by short follow-up times precluding comparisons or calculation of crude and adjusted incidence rates. At the time of our analysis, no severe AEs had been reported for novel systemic therapies. BIOBADATOP will help answer questions on the effectiveness and safety of conventional and novel systemic therapies in AD.
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Affiliation(s)
- M Munera-Campos
- Servicio de Dermatología. Hospital Universitari Germans Trias i Pujol. Universitat Autònoma de Barcelona. Germans Trias i Pujol Research Institute (IGTP). Badalona, Barcelona, Spain.
| | - P Chicharro
- Servicio de Dermatología. Hospital Universitario de la Princesa, Madrid, Spain
| | - A Gonzalez Quesada
- Servicio de Dermatología. Hospital Universitario de Gran Canaria Doctor Negrín, Las Palmas de Gran Canaria, Spain
| | - A Florez Menendez
- Servicio de Dermatología. Complejo Hospitalario de Pontevedra, Pontevedra, Spain
| | - P de la Cueva Dovao
- Servicio de Dermatología. Hospital Universitario Infanta Leonor, Madrid, Spain
| | - A M Gimenez Arnau
- Servicio de Dermatología. Hospital del Mar-Parc de Salut Mar, Barcelona, Spain
| | - Y Gilaberte Calzada
- Servicio de Dermatología. Hospital Universitario Miguel Servet, Zaragoza, Spain
| | - M Rodríguez Serna
- Servicio de Dermatología. Hospital Universitario y Politécnico la Fe, Valencia, Spain
| | - T Montero
- Servicio de Dermatología. Hospital Universitario Virgen de las Nieves, Granada, Spain
| | | | - M Elosua González
- Servicio de Dermatología. Hospital Universitario Puerta de Hierro, Madrid, Spain
| | - E Del Alcazar
- Servicio de Dermatología. Hospital Universitari Germans Trias i Pujol. Universitat Autònoma de Barcelona. Germans Trias i Pujol Research Institute (IGTP). Badalona, Barcelona, Spain
| | - C Santamaría
- Servicio de Dermatología. Hospital Universitario de la Princesa, Madrid, Spain
| | - J Sánchez-Pérez
- Servicio de Dermatología. Hospital Universitario de la Princesa, Madrid, Spain
| | - G Carretero Hernández
- Servicio de Dermatología. Hospital Universitario de Gran Canaria Doctor Negrín, Las Palmas de Gran Canaria, Spain
| | - A Batalla Cebey
- Servicio de Dermatología. Complejo Hospitalario de Pontevedra, Pontevedra, Spain
| | - H Jin Suh Oh
- Servicio de Dermatología. Complejo Hospitalario de Pontevedra, Pontevedra, Spain
| | - C Mauleón Fernández
- Servicio de Dermatología. Hospital Universitario Infanta Leonor, Madrid, Spain
| | - L Curto Barredo
- Servicio de Dermatología. Hospital del Mar-Parc de Salut Mar, Barcelona, Spain
| | - M Bertolín
- Servicio de Dermatología. Hospital del Mar-Parc de Salut Mar, Barcelona, Spain
| | - A Navarro Bielsa
- Servicio de Dermatología. Hospital Universitario Miguel Servet, Zaragoza, Spain
| | - A Ballano Ruiz
- Servicio de Dermatología. Hospital Universitario Miguel Servet, Zaragoza, Spain
| | - R Botella Estrada
- Servicio de Dermatología. Hospital Universitario y Politécnico la Fe, Valencia, Spain
| | - S Arias Santiago
- Servicio de Dermatología. Hospital Universitario Virgen de las Nieves, Granada, Spain
| | - I Betlloch
- Servicio de Dermatología. Hospital General Universitario Alicante, Alicante, Spain
| | - G Roustan Gullón
- Servicio de Dermatología. Hospital Universitario Puerta de Hierro, Madrid, Spain
| | - A Rosell Díaz
- Servicio de Dermatología. Hospital Universitario Puerta de Hierro, Madrid, Spain
| | - M Á Descalzo
- Unidad de Investigación. Fundación Piel Sana AEDV, Spain
| | - I García-Doval
- Unidad de Investigación. Fundación Piel Sana AEDV, Spain; Servicio de Dermatología. Complexo Hospitalario Universitario de Vigo, Vigo, Spain
| | - J M Carrascosa
- Servicio de Dermatología. Hospital Universitari Germans Trias i Pujol. Universitat Autònoma de Barcelona. Germans Trias i Pujol Research Institute (IGTP). Badalona, Barcelona, Spain
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Munera-Campos M, Chicharro P, Gonzalez Quesada A, Florez Menendez A, de la Cueva Dovao P, Gimenez Arnau AM, Gilaberte Calzada Y, Rodríguez Serna M, Montero T, Silvestre Salvador JF, Elosua González M, Del Alcazar E, Santamaría C, Sánchez-Pérez J, Carretero Hernández G, Batalla Cebey A, Jin Suh Oh H, Mauleón Fernández C, Curto Barredo L, Bertolín M, Navarro Bielsa A, Ballano Ruiz A, Botella Estrada R, Arias Santiago S, Betlloch I, Roustan Gullón G, Rosell Díaz A, Descalzo MÁ, García-Doval I, Carrascosa JM. BIOBADATOP Spanish Atopic Dermatitis Registry: Description and Early Findings. Actas Dermosifiliogr 2023:S0001-7310(23)00181-3. [PMID: 36935039 DOI: 10.1016/j.ad.2023.03.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Accepted: 03/07/2023] [Indexed: 03/19/2023] Open
Abstract
BACKGROUND In recent years, remarkable improvements in our understanding of atopic dermatitis (AD) have revolutionized treatment perspectives, but access to reliable data from clinical practice is essential. MATERIALS AND METHOD The Spanish Atopic Dermatitis Registry, BIOBADATOP, is a prospective, multicenter database that collects information on patients of all ages with AD requiring systemic therapy with conventional or novel drugs. We analyzed the registry to describe patient characteristics, diagnoses, treatments, and adverse events (AEs). RESULTS We studied data entries for 258 patients who had received 347 systemic treatments for AD. Treatment was discontinued in 29.4% of cases, mostly due to a lack of effectiveness (in 10.7% of cases). A total of 132 AEs were described during follow-up. Eighty-six AEs (65%) were linked to a systemic treatment, most commonly dupilumab (39 AEs) and cyclosporine (38 AEs). The most common AEs were conjunctivitis (11 patients), headache (6), hypertrichosis (5), and nausea (4). There was 1 severe AE (acute mastoiditis) associated with cyclosporine. CONCLUSIONS Initial findings on AEs from the Spanish BIOBADATOP registry are limited by short follow-up times precluding comparisons or calculation of crude and adjusted incidence rates. At the time of our analysis, no severe AEs had been reported for novel systemic therapies. BIOBADATOP will help answer questions on the effectiveness and safety of conventional and novel systemic therapies in AD.
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Affiliation(s)
- M Munera-Campos
- Servicio de Dermatología. Hospital Universitari Germans Trias i Pujol. Universitat Autònoma de Barcelona. Germans Trias i Pujol Research Institute (IGTP). Badalona, Barcelona, Spain.
| | - P Chicharro
- Servicio de Dermatología. Hospital Universitario de la Princesa, Madrid, Spain
| | - A Gonzalez Quesada
- Servicio de Dermatología. Hospital Universitario de Gran Canaria Doctor Negrín, Las Palmas de Gran Canaria, Spain
| | - A Florez Menendez
- Servicio de Dermatología. Complejo Hospitalario de Pontevedra, Pontevedra, Spain
| | - P de la Cueva Dovao
- Servicio de Dermatología. Hospital Universitario Infanta Leonor, Madrid, Spain
| | - A M Gimenez Arnau
- Servicio de Dermatología. Hospital del Mar-Parc de Salut Mar, Barcelona, Spain
| | - Y Gilaberte Calzada
- Servicio de Dermatología. Hospital Universitario Miguel Servet, Zaragoza, Spain
| | - M Rodríguez Serna
- Servicio de Dermatología. Hospital Universitario y Politécnico la Fe, Valencia, Spain
| | - T Montero
- Servicio de Dermatología. Hospital Universitario Virgen de las Nieves, Granada, Spain
| | | | - M Elosua González
- Servicio de Dermatología. Hospital Universitario Puerta de Hierro, Madrid, Spain
| | - E Del Alcazar
- Servicio de Dermatología. Hospital Universitari Germans Trias i Pujol. Universitat Autònoma de Barcelona. Germans Trias i Pujol Research Institute (IGTP). Badalona, Barcelona, Spain
| | - C Santamaría
- Servicio de Dermatología. Hospital Universitario de la Princesa, Madrid, Spain
| | - J Sánchez-Pérez
- Servicio de Dermatología. Hospital Universitario de la Princesa, Madrid, Spain
| | - G Carretero Hernández
- Servicio de Dermatología. Hospital Universitario de Gran Canaria Doctor Negrín, Las Palmas de Gran Canaria, Spain
| | - A Batalla Cebey
- Servicio de Dermatología. Complejo Hospitalario de Pontevedra, Pontevedra, Spain
| | - H Jin Suh Oh
- Servicio de Dermatología. Complejo Hospitalario de Pontevedra, Pontevedra, Spain
| | - C Mauleón Fernández
- Servicio de Dermatología. Hospital Universitario Infanta Leonor, Madrid, Spain
| | - L Curto Barredo
- Servicio de Dermatología. Hospital del Mar-Parc de Salut Mar, Barcelona, Spain
| | - M Bertolín
- Servicio de Dermatología. Hospital del Mar-Parc de Salut Mar, Barcelona, Spain
| | - A Navarro Bielsa
- Servicio de Dermatología. Hospital Universitario Miguel Servet, Zaragoza, Spain
| | - A Ballano Ruiz
- Servicio de Dermatología. Hospital Universitario Miguel Servet, Zaragoza, Spain
| | - R Botella Estrada
- Servicio de Dermatología. Hospital Universitario y Politécnico la Fe, Valencia, Spain
| | - S Arias Santiago
- Servicio de Dermatología. Hospital Universitario Virgen de las Nieves, Granada, Spain
| | - I Betlloch
- Servicio de Dermatología. Hospital General Universitario Alicante, Alicante, Spain
| | - G Roustan Gullón
- Servicio de Dermatología. Hospital Universitario Puerta de Hierro, Madrid, Spain
| | - A Rosell Díaz
- Servicio de Dermatología. Hospital Universitario Puerta de Hierro, Madrid, Spain
| | - M Á Descalzo
- Unidad de Investigación. Fundación Piel Sana AEDV, Spain
| | - I García-Doval
- Unidad de Investigación. Fundación Piel Sana AEDV, Spain; Servicio de Dermatología. Complexo Hospitalario Universitario de Vigo, Vigo, Spain
| | - J M Carrascosa
- Servicio de Dermatología. Hospital Universitari Germans Trias i Pujol. Universitat Autònoma de Barcelona. Germans Trias i Pujol Research Institute (IGTP). Badalona, Barcelona, Spain
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Docampo A, Sánchez-Pujol MJ, Belinchón I, Miralles J, Lucas A, García L, Cuesta L, Berbegal L, Quecedo E, Millan F, Esteve A, Sánchez EM, Díaz T, Bernat J, Betlloch I. Response to Letter to the editor: 'Psoriasis dermatitis: an overlap condition of psoriasis and atopic dermatitis in children'. J Eur Acad Dermatol Venereol 2019; 33:e410-e412. [PMID: 31136030 DOI: 10.1111/jdv.15716] [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] [Received: 04/20/2019] [Accepted: 05/17/2019] [Indexed: 01/09/2023]
Affiliation(s)
- A Docampo
- Hospital General de Alicante, Alicante, Spain
| | | | - I Belinchón
- Hospital General de Alicante, Alicante, Spain
| | - J Miralles
- Hospital San Juan de Alicante, Alicante, Spain
| | - A Lucas
- Hospital General de Elda, Elda, Spain
| | - L García
- Hospital General de Elda, Elda, Spain
| | - L Cuesta
- Hospital La Marina Baixa, Villajoyosa, Spain
| | | | - E Quecedo
- Hospital Arnau de Vilanova de Valencia, Valencia, Spain
| | - F Millan
- Hospital Arnau de Vilanova de Valencia, Valencia, Spain
| | - A Esteve
- Hospital General de Valencia, Valencia, Spain
| | - E M Sánchez
- Hospital Dr. Peset de Valencia, Valencia, Spain
| | - T Díaz
- Hospital de Requena, Requena, Spain
| | - J Bernat
- Hospital General de Castellón, Castellon de la Plana, Spain
| | - I Betlloch
- Hospital General de Alicante, Alicante, Spain
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González‐Villanueva I, Gutiérrez M, Hispán P, Betlloch I, Pascual J. Novel
POFUT
1
mutation associated with hidradenitis suppurativa–Dowling–Degos disease firm up a role for Notch signalling in the pathogenesis of this disorder. Br J Dermatol 2018; 178:984-986. [DOI: 10.1111/bjd.16264] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [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)
- I. González‐Villanueva
- Department of Dermatology Alicante University General Hospital Alicante Institute for Health and Biomedical Research (ISABIAL‐FISABIO Foundation) Alicante Spain
| | - M. Gutiérrez
- Department of Genetics Alicante University General Hospital Alicante Institute for Health and Biomedical Research (ISABIAL‐FISABIO Foundation) Alicante Spain
| | - P. Hispán
- Department of Dermatology Alicante University General Hospital Alicante Institute for Health and Biomedical Research (ISABIAL‐FISABIO Foundation) Alicante Spain
| | - I. Betlloch
- Department of Dermatology Alicante University General Hospital Alicante Institute for Health and Biomedical Research (ISABIAL‐FISABIO Foundation) Alicante Spain
| | - J.C. Pascual
- Department of Dermatology Alicante University General Hospital Alicante Institute for Health and Biomedical Research (ISABIAL‐FISABIO Foundation) Alicante Spain
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González I, Pascual J, Corona D, Hispán P, Betlloch I. European Heart Systemic Coronary Risk Evaluation may underestimate cardiovascular risk after assessing cardiovascular disease with carotid ultrasound in hidradenitis suppurativa. Br J Dermatol 2017; 178:e22-e23. [DOI: 10.1111/bjd.15776] [Citation(s) in RCA: 3] [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] [Indexed: 01/10/2023]
Affiliation(s)
- I. González
- Department of Dermatology Alicante University General Hospital Alicante Institute for Health and Biomedical Research (ISABIAL‐FISABIO Foundation) Alicante Spain
| | - J.C. Pascual
- Department of Dermatology Alicante University General Hospital Alicante Institute for Health and Biomedical Research (ISABIAL‐FISABIO Foundation) Alicante Spain
| | - D. Corona
- Department of Neurology Alicante University General Hospital Alicante Institute for Health and Biomedical Research (ISABIAL‐FISABIO Foundation) Alicante Spain
| | - P. Hispán
- Department of Dermatology Alicante University General Hospital Alicante Institute for Health and Biomedical Research (ISABIAL‐FISABIO Foundation) Alicante Spain
| | - I. Betlloch
- Department of Dermatology Alicante University General Hospital Alicante Institute for Health and Biomedical Research (ISABIAL‐FISABIO Foundation) Alicante Spain
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Casanova J, Pujol R, Ferrándiz C, Betlloch I, Bosch R, Fernández V, Martí R, Requena L, Moreno J, Alegre V, Vilata J, Vilar N, Jaén P, Bielsa I, Querol I, Azón T, Borrego L, Mascaró J, Alsina M, Díaz R, Suarez R, García-Bustinduy M, García-Patos V, Estrach T. Core Content for Undergraduate Medical Education in Spain: Recommendations of the Instructors’ Group of the Spanish Academy of Dermatology and Venereology (AEDV). Actas Dermo-Sifiliográficas (English Edition) 2016. [DOI: 10.1016/j.adengl.2015.09.025] [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] Open
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9
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Casanova JM, Pujol RM, Ferrándiz C, Betlloch I, Bosch RJ, Fernández V, Martí RM, Requena L, Moreno JC, Alegre V, Vilata JJ, Vilar N, Jaén P, Bielsa I, Querol I, Azón T, Borrego L, Mascaró JM, Alsina M, Díaz RM, Suarez R, García-Bustinduy M, García-Patos V, Estrach T. Core Content for Undergraduate Medical Education in Spain: Recommendations of the Instructors' Group of the Spanish Academy of Dermatology and Venereology (AEDV). Actas Dermosifiliogr 2015; 107:125-32. [PMID: 26691244 DOI: 10.1016/j.ad.2015.09.014] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [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: 11/03/2014] [Revised: 09/30/2015] [Accepted: 09/30/2015] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND Skin problems are among the most frequent reasons for seeking medical attention in primary care. In recent years, as a result of the process of adapting medical curricula to the requirements of the European Higher Education Area, the amount of time students spend learning the concepts of dermatology has been reduced in many universities. MATERIAL AND METHODS In order to reach a consensus on core content for undergraduate education in dermatology, we sent a survey to the 57 members of the instructors' group of the Spanish Academy of Dermatology and Venereology (AEDV), asking their opinions on what objectives should be set for a dermatology course in Spain. A total of 131 previously selected objectives were listed. We then applied the Delphi method to achieve consensus on which ones the respondents considered important or very important (score≥4 on a Likert scale). RESULTS Nineteen responses (33%) were received. On the second round of the Delphi process, 68 objectives achieved average scores of at least 4. The respondents emphasized that graduates should understand the structure and functions of the skin and know about bacterial, viral, and fungal skin infections, the most common sexually transmitted diseases (STDs), and the 4 main inflammatory dermatoses. Students should also learn about common complaints, such as itching and bald patches; the management of dermatologic emergencies; purpura and erythema nodosum as signs of internal disease; and the prevention of STDs and skin cancer. During clinical clerkships students should acquire the communication skills they will need to interview patients, write up a patient's medical history, and refer the patient to a specialist. CONCLUSIONS The AEDV's group of instructors have defined their recommendations on the core content that medical faculties should adopt for the undergraduate subject of dermatology in Spain.
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Affiliation(s)
| | - R M Pujol
- Universitat Autònoma de Barcelona, Barcelona, España
| | - C Ferrándiz
- Universitat Autònoma de Barcelona, Barcelona, España
| | - I Betlloch
- Universitad Miguel Hernández, Elche, Alicante, España
| | - R J Bosch
- Universitat de Málaga, Málaga, España
| | - V Fernández
- Universidad de Santiago de Compostela, Santiago de Compostela, España
| | - R M Martí
- Universitat de Lleida, Lleida, España
| | - L Requena
- Universidad Autónoma de Madrid, Madrid, España
| | | | - V Alegre
- Universidad de Valencia, Valencia, España
| | - J J Vilata
- Universidad de Valencia, Valencia, España
| | - N Vilar
- Universitat de Girona, Girona, España
| | - P Jaén
- Universidad de Alcalá de Henares, Madrid, España
| | - I Bielsa
- Universitat Autònoma de Barcelona, Barcelona, España
| | - I Querol
- Universidad de Zaragoza, Zaragoza, España
| | - T Azón
- Universitat Rovira i Virgili, Reus, Tarragona, España
| | - L Borrego
- Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, España
| | | | - M Alsina
- Universitat de Barcelona, Barcelona, España
| | - R M Díaz
- Universidad Alfonso X el Sabio, Madrid, España
| | - R Suarez
- Universidad Complutense de Madrid, Madrid, España
| | | | | | - T Estrach
- Universitat de Barcelona, Barcelona, España
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Blanes M, Belinchón I, Portilla J, Betlloch I, Reus S, Sánchez-Payá J. Pruritus in HIV-infected patients in the era of combination antiretroviral therapy: a study of its prevalence and causes. Int J STD AIDS 2012; 23:255-7. [PMID: 22581948 DOI: 10.1258/ijsa.2009.009189] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Pruritus is a common symptom in HIV-infected patients. However, there is a lack of studies examining this symptom. We investigated the prevalence of pruritus and its causes in this population by offering the possibility of participating in a skin health programme to all HIV-infected patients who attended our service in Alicante, Spain. Those who accepted (n = 303) underwent an interview and a detailed physical examination by specialists from the Dermatology Department. Between May 2003 and October 2003, 94 patients (31%) reported pruritus: xerosis, seborrhoeic eczema and interdigital tinea pedis were the most frequent dermatological entities responsible for this symptom. Patients with pruritus had higher viral loads (P = 0.006). We conclude that pruritus is still a frequent symptom in HIV-infected patients. To the best of our knowledge this is the first prevalence study of pruritus in an HIV population in the combination antiretroviral therapy (cART) era.
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Affiliation(s)
- M Blanes
- Dermatology Department, Hospital Marina Baixa, Villajoyosa, Alicante, Spain.
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Ramírez-Bosca A, Zapater P, Betlloch I, Albero F, Martínez A, Díaz-Alperi J, Horga J. Extracto de Polypodium leucotomos en dermatitis atópica: Ensayo multicéntrico, aleatorizado, doble ciego y controlado con placebo. Actas Dermo-Sifiliográficas 2012; 103:599-607. [DOI: 10.1016/j.ad.2012.01.008] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2011] [Revised: 01/17/2012] [Accepted: 01/29/2012] [Indexed: 11/25/2022] Open
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12
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Ramírez-Bosca A, Zapater P, Betlloch I, Albero F, Martínez A, Díaz-Alperi J, Horga J. Polypodium leucotomos Extract in Atopic Dermatitis: A Randomized, Double-Blind, Placebo-Controlled, Multicenter Trial. Actas Dermo-Sifiliográficas (English Edition) 2012. [DOI: 10.1016/j.adengl.2012.08.012] [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] Open
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13
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Albares M, Belinchón I, Ramos J, Sánchez-Payá J, Betlloch I. Epidemiologic study of skin diseases among immigrants in Alicante, Spain. Actas Dermo-Sifiliográficas (English Edition) 2012. [DOI: 10.1016/j.adengl.2011.07.007] [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: 10/28/2022] Open
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14
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Albares M, Belinchón I, Ramos J, Sánchez-Payá J, Betlloch I. Estudio epidemiológico de la patología cutánea en la población inmigrante de Alicante. Actas Dermo-Sifiliográficas 2012; 103:214-22. [DOI: 10.1016/j.ad.2011.07.008] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2011] [Revised: 06/15/2011] [Accepted: 07/05/2011] [Indexed: 11/28/2022] Open
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Affiliation(s)
- M Perez-Crespo
- Dermatology Department, Hospital General Universitario de Alicante, Spain.
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Cuesta L, Betlloch I, Toledo F, Latorre N, Monteagudo A. Severe sorafenib-induced hand-foot skin reaction. Dermatol Online J 2011; 17:14. [PMID: 21635836] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023] Open
Abstract
Sorafenib is a new drug, multikinase inhibitor, which has been recently approved for the treatment of metastatic renal cell carcinoma and hepatocellular carcinoma. Up to 90 percent of patients receiving this drug have been reported to develop dermatological symptoms. Recently, it has been suggested that the appearance of skin toxicity during therapy may indicate antitumor activity. We report a new case of sorafenib-induced severe hand-foot skin reaction, which hindered the patient's normal life. The reaction was successfully treated with topical costicosteroids and discontinuation of sorafenib. However, the patient died one month later.
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Blanes M, Belinchón I, Merino E, Portilla J, Sánchez-Payá J, Betlloch I. [Current prevalence and characteristics of dermatoses associated with human immunodeficiency virus infection]. Actas Dermosifiliogr 2010; 101:702-709. [PMID: 20965013] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023] Open
Abstract
INTRODUCTION The introduction of highly active antiretroviral therapy has produced a substantial change in the natural history of human immunodeficiency virus (HIV) infection. The frequency of opportunistic infections and AIDS-related cancers has fallen, though new health problems have developed. Likewise, there has been a change in the spectrum of skin diseases now observed in these patients. OBJECTIVE To analyze the prevalence and characteristics of skin disease in a group of HIV-infected outpatients. METHODS A cross-sectional, observational study was performed. All patients who attended the day care unit of the infectious diseases department over a 6-month period (May-October, 2003) were offered the possibility of complete dermatologic examination. Epidemiologic and clinical variables were recorded in all participants, together with the findings on examination of the skin. A comparative study was performed, grouping the patients according to CD4-lymphocyte count and antiretroviral treatment. RESULTS The prevalence of dermatoses in the study patients was 98.3%. The most common conditions were xerosis (114 patients, 37.6%), seborrheic dermatitis (94 patients, 31%), distal subungual onychomycosis (80 patients, 26.4%), and viral warts (65 patients, 21.4%). Grouped by etiology, infectious diseases were the most common (68.6%), followed by inflammatory diseases (47.5%). CONCLUSION Mucocutaneous lesions continue to be very common in HIV-infected patients, although there has been a qualitative change in the conditions that these patients present.
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Affiliation(s)
- M Blanes
- Hospital Marina Baixa, Villajoyosa, Alicante, España.
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Blanes M, Belinchón I, Merino E, Portilla J, Sánchez-Payá J, Betlloch I. Prevalencia y características de las dermatosis relacionadas con la infección por VIH en la actualidad. Actas Dermo-Sifiliográficas 2010. [DOI: 10.1016/j.ad.2010.03.021] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Betlloch I, Izu R, Lleonart M, Ferrer M, Ferrando J. Actitud del paciente adulto con dermatitis atópica frente a su patología y tratamiento. Estudio ACTIDA. Actas Dermo-Sifiliográficas 2010. [DOI: 10.1016/j.ad.2009.07.020] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Betlloch I, Izu R, Lleonart M, Ferrer M, Ferrando J. [Attitude of the adult patient with atopic dermatitis to the disease and its treatment: the ACTIDA Study]. Actas Dermosifiliogr 2010; 101:143-150. [PMID: 20223156] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023] Open
Abstract
OBJECTIVE To determine the attitude of adult patients with atopic dermatitis (AD) to their disease and its treatment. MATERIAL AND METHODS A multicenter, cross-sectional study was performed in patients with at least 2 outbreaks of AD in the previous year. RESULTS Two hundred twenty-seven dermatologists recruited 1441 analyzable patients, the majority women, with a mean of 3.6 outbreaks per year. Most of the patients (97.2%) indicated that they always or sometimes requested medical evaluation of a new outbreak. In the most recent outbreak, 72.2% had used combined therapy, regardless of the severity of the episode; 2-drug combinations were the most common. The majority of dermatologists prescribed combined therapy, most commonly a 2-drug combination for mild or minimal disease, and 3 or more drugs for moderate to very severe outbreaks. CONCLUSIONS Treatments used by patients for an outbreak of AD are similar to those prescribed by dermatologists in recent outbreaks.
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Affiliation(s)
- I Betlloch
- Servicio de Dermatología, Hospital General de Alicante, Alicante, Spain
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Blanes M, Belinchón I, Merino E, Portilla J, Sánchez-Payá J, Betlloch I. Current Prevalence and Characteristics of Dermatoses Associated with Human Immunodeficiency Virus Infection. Actas Dermo-Sifiliográficas (English Edition) 2010. [DOI: 10.1016/s1578-2190(10)70700-9] [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] Open
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Lucas A, Bañuls J, Mataix J, Pérez-Crespo M, Jiménez MJ, Botella R, Betlloch I. Localized acquired cutis laxa secondary to interstitial granulomatous dermatitis. Clin Exp Dermatol 2009; 34:e102-5. [DOI: 10.1111/j.1365-2230.2008.03193.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Lucas A, Betlloch I. [Erythematous papules on the arm of a mastectomy patient]. Actas Dermosifiliogr 2009; 100:231-232. [PMID: 19457310] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023] Open
Affiliation(s)
- A Lucas
- Servicio de Dermatología, Hospital General Universitario de Alicante, Alicante, España.
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Mataix J, Betlloch I. Langerhans cell histiocytosis: an update. GIORN ITAL DERMAT V 2009; 144:119-134. [PMID: 19357620] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
The histiocytoses represent a heterogeneous group of disorders that are characterized by the proliferation and accumulation of reactive or neoplastic histiocytes within various tissues. Langerhans cell histiocytosis (LCH) is the commonest of these disorders and it is associated with high morbidity and mortality, especially in children. LCH is a poorly understood disease with features suggestive of a neoplastic, reactive, or immune dysregulation process. The clinical spectrum of LCH is considered to be broad and includes from self-resolving involvement of a single organ to a potentially fatal multisystem disease. The purpose of this review is to undertake an update of LCH with emphasis on the current recommendations regarding the classification, evaluation and treatment of this enigmatic disease.
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Affiliation(s)
- J Mataix
- Department of Dermatology, General Hospital of Alicante, Spain.
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Lucas A, Betlloch I. Erythematous Papules on the Arm of a Mastectomy Patient. Actas Dermo-Sifiliográficas (English Edition) 2009. [DOI: 10.1016/s1578-2190(09)70050-2] [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: 10/19/2022] Open
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Senent C, Betlloch I, Chiner E, Llombart M, Moragón M. Tuberculous empyema necessitatis. A rare cause of cutaneous abscess in the XXI century. Dermatol Online J 2008; 14:11. [PMID: 18627713] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023] Open
Abstract
A 24-year-old Moroccan man was admitted to the hospital because of a tumor of the abdominal wall, fever, and purulent sputum. Imaging tests showed the presence of a pleural effusion and tumor in the right abdominal wall. The organized collection of liquid in the mass was contiguous with the thoracic collection and that of the subphrenic space. Thoracocentesis removed purulent material suggestive of empyema. Cultures and polymerase chain reaction (PCR) tests confirmed the diagnosis of tuberculous empyema. Empyema necessitatis refers to empyema that extends into the extrapleural space through a defect in the pleural surface. Various infectious etiologies may be responsible. Tuberculous empyema necessitatis is a rare complication of tuberculosis (TB); our case is even more unusual because this condition presented as an abdominal wall abcess and the patient was immunocompetent. His only predisposing factors were his country of origin, where there is a high prevalence of TB and the delay in diagnosis due to a lack of access to health care.
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Affiliation(s)
- C Senent
- Servicio de Neumología. Hospital San Juan de Alicante
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Senent C, Betlloch I, Chiner E, Llombart M, Moragón M. Tuberculous empyema necessitatis. A rare cause of cutaneous abscess in the XXI century. Dermatol Online J 2008. [DOI: 10.5070/d34q535204] [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: 11/08/2022] Open
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Affiliation(s)
- J Mataix
- Servicio de Dermatología, Hospital General Universitario de Alicante, Pintor Baeza s/n, 03010 Alicante, Spain.
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Affiliation(s)
- J Mataix
- Service of Dermatology, Alicante General Hospital, Spain.
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Pastor N, Betlloch I, Pascual JC, Blanes M, Bañuls J, Silvestre JF. Pyoderma gangrenosum treated with anti-TNF alpha therapy (etanercept). Clin Exp Dermatol 2006; 31:152-3. [PMID: 16309525 DOI: 10.1111/j.1365-2230.2005.01972.x] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Abstract
Polycythemia vera is classified with myelogenous leukaemia, agnogenic myeloid metaplasia and primary thrombocythemia as a myeloproliferative syndrome. Cutaneous symptoms have been reported with polycythemia vera, including facial plethora, aquagenic pruritus, urticaria, purpura, Sweet's syndrome and pyoderma gangrenosum. However, polycythemia vera associated with systemic sarcoidosis has been rarely reported. An unusual case of polycythemia vera associated with cutaneous sarcoidosis is described.
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Affiliation(s)
- J C Pascual
- Department of Dermatology, Hospital General de Alicante, Spain.
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Pascual JC, Belinchón I, Silvestre JF, Vergara G, Blanes M, Bañuls J, Betlloch I, Boix V. Sarcoidosis after highly active antiretroviral therapy in a patient with AIDS. Clin Exp Dermatol 2004; 29:156-8. [PMID: 14987273 DOI: 10.1111/j.1365-2230.2004.01487.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- J C Pascual
- Department of Dermatology, Hospital General Universitario de Alicante, Spain.
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Abstract
Aquagenic keratoderma has been described as a transitory condition involving young females and defined clinically by the appearance of palmar lesions accentuated after immersion in water. According to previous case reports, these lesions are characterized histologically by hyperkeratosis and dilated eccrine ducts. Some aberration in the eccrine ducts has been suggested as a possible pathogenic mechanism. We report a new case in a female adolescent. With regard to the normal aspect of the epidermis in our case, the clinical changes should be ascribed to a structural alteration of the horny layer without any visible microscopy change or functional alteration of the stratum corneum involving the organism in the adolescence period.
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Affiliation(s)
- I Betlloch
- Department of Dermatology, General University Hospital, Alicante, Spain.
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39
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Albares MP, Betlloch I, Guijarro J, Vergara G, Pascual JC, Botella R. Severe pruritus in a haemodialysed patient: dramatic improvement with granisetron. Br J Dermatol 2003; 148:376-7. [PMID: 12588407 DOI: 10.1046/j.1365-2133.2003.05097_11.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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40
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Ramón R, Silvestre JF, Meana JA, Morell A, Navas J, Betlloch I, Bañuls J, Botella R. Merkel cell tumor presenting as a painful patch lesion on the right arm. Cutis 2003; 71:146-8. [PMID: 12635895] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/01/2023]
Abstract
Primary small cell cutaneous neuroendocrine carcinoma (Merkel cell carcinoma) is an uncommon, highly malignant, primary cutaneous neuroendocrine carcinoma. Clinically it is seen as a 0.5- to 5.0-cm pinkish purple papule or nodule, usually not ulcerated, on the head, neck, or, less frequently, the roots of the limbs. We present the case of a woman with an atypical clinical presentation of a Merkel cell tumor.
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Affiliation(s)
- R Ramón
- Department of Dermatology, Hospital General Alicante, Alicante, Spain
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41
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Merino E, Bañuls J, Boix V, Franco A, Guijarro J, Portilla J, Betlloch I. Relapsing cutaneous alternariosis in a kidney transplant recipient cured with liposomal amphotericin B. Eur J Clin Microbiol Infect Dis 2003; 22:51-3. [PMID: 12582745 DOI: 10.1007/s10096-002-0856-4] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
An immunosuppressed patient who presented with unusual clinical signs of cutaneous alternariosis, including papular, nodular and verrucous lesions of the forearms, is reported. In spite of continuous treatment with oral itraconazole for 6 months, a large, progressive, necrotic ulcer appeared on the patient's left leg. Liposomal amphotericin B was then administered (total dose, 750 mg) with excellent clinical results.
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Affiliation(s)
- E Merino
- Unit of Infectious Diseases, Hospital General Universitario de Alicante, Pintor Baeza s/n, 03012 Alicante, Spain.
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42
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43
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Silvestre JF, Betlloch I, Guijarro J, Albares MP, Vergara G. Erythema-multiforme-like eruption on the application site of a nitroglycerin patch, followed by widespread erythema multiforme. Contact Dermatitis 2001; 45:299-300. [PMID: 11722494 DOI: 10.1034/j.1600-0536.2001.450512.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- J F Silvestre
- Section of Dermatology, Hospital General de Alicante, C/ Pintor Baeza s/n, 03010 Alicante, Spain
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44
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Abstract
Juvenile acute pityriasis rubra pilaris (JAPRP) is a form of pityriasis rubra pilaris (PRP) with particular clinical characteristics and course. It is usually preceded by an infectious condition. We report a boy, initially thought to have Kawasaki disease, and subsequently diagnosed as having JAPRP, who made a satisfactory recovery. In this case, prior antibiotic treatment made it impossible to show the presence of any microorganism. However, the clinical characteristics of these patients and the similarities with other disorders involving the skin that are mediated by superantigens led us to think that these antigens may be involved in the development of this disease. Also, in view of the obvious differences between JAPRP and the other PRP, we suggest that, in the future this disorder may be considered a separate entity as a reactive exanthem.
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Affiliation(s)
- I Betlloch
- Department of Dermatology, General Universitary Hospital, Alicante, Spain
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45
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Silvestre JF, Botella R, Ramón R, Guijarro J, Betlloch I, Morell AM. Periumbilical contact vitiligo appearing after allergic contact dermatitis to nickel. Am J Contact Dermat 2001; 12:43-4. [PMID: 11300099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/19/2023]
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46
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47
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Bañuls J, Ramón R, Pascual E, Navas J, Betlloch I, Botella R. Mycobacterium chelonae infection resistant to clarithromycin in a patient with dermatomyositis. Br J Dermatol 2000; 143:1345. [PMID: 11122063 DOI: 10.1046/j.1365-2133.2000.03931.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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48
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49
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Silvestre JF, Bañuls J, Ramón R, Guijarro J, Botella R, Betlloch I. Unilateral multiple facial angiofibromas: a mosaic form of tuberous sclerosis. J Am Acad Dermatol 2000; 43:127-9. [PMID: 10863238 DOI: 10.1067/mjd.2000.106361] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Tuberous sclerosis has many forms of clinical presentation. Rarely, multiple facial angiofibromas of unilateral distribution have been reported. We describe 2 patients with such a presentation and hypothesize that this is a mosaic form of tuberous sclerosis.
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Affiliation(s)
- J F Silvestre
- Department of Dermatology, Hospital General de Alicante, Alicante, Spain
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50
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Abstract
We report a subcutaneous bronchogenic cyst in a 7-year-old girl with unusual presentation as a nodular lesion. The cyst was excised and no connection with deeper structures was found. Histologic examination showed the typical features of a bronchogenic cyst. The characteristic clinical and histologic features of bronchogenic cysts are reviewed. The problems of differential diagnosis are also discussed.
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Affiliation(s)
- R Ramón
- Department of Dermatology, Hospital General de Alicante, Spain
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