item: #1 of 1356 id: skin-100 author: Weber, T M; Arrowitz, C E; Jiang, L I; Qian, K; Filbry, A title: Efficacy of an Ointment Body Spray to Improve the Appearance of Dry, Ashy Skin and Alleviate Moderate to Severe Dryness on the Heel date: 2017-10-27 words: 603 flesch: 50 summary: Wk 2 Treated Untreated N=31 C o rn eo m et er U n it s Skin Hydration a,c b,c OBS=Ointment Body Spray ap<0.05 vs Baseline bp<0.001 vs Baseline cp<0.05 vs Control 5.7 4.3 3.4 5.8 5.8 5.8 0.0 1.0 2.0 3.0 4.0 5.0 6.0 7.0 Baseline Week 1 Week 2 0.0 1.0 2.0 3.0 4.0 5.0 6.0 7.0 Baseline Week 1 Week 2 0.0 1.0 2.0 3.0 4.0 5.0 6.0 7.0 Baseline Week 1 Week 2 Ashen Appearance M ea n C lin ic al G ra d in g S co re s a,b a,b a,b a,b 5.7 4.8 4.1 5.7 5.9 5.9 a,b a,b Dryness 5.5 4.1 3.1 5.5 5.6 5.6 Flaking N=31 ap<0.001 vs Baseline bp<0.001 vs Control Treated Untreated 0 1 2 3 4 5 6 7 Baseline Day 5 Day 10 Day 15 Baseline Day 5 Day 10 Day 15 Baseline Day 5 Day 10 Day 15 Baseline Day 5 Day 10 Day 15 M ea n C lin ic al G ra d in g S co re 0 1 2 3 4 5 6 7 Scaling Dryness Cracking 0 1 2 3 4 5 6 7 0 1 2 3 4 5 6 7 OBS AHO a a a a a a a a a a a a a a a a a a a a a a a a Roughness N=18ap=0.001 OBS Significantly Improved Skin Hydration of Dry Skin Compared with Baseline and Untreated Skin 19.6 23.5 24.9 20.4 20.1 keywords: baseline; day cache: skin-100.pdf plain text: skin-100.txt item: #2 of 1356 id: skin-1000 author: Del Rosso, James Q; Gold, Linda Stein; Kircik, Leon; Bhatia, Neal D; Sadick, Neil; Zirwas, Matthew; Lain, Edward; Stuart, Iain title: Integrated Safety and Efficacy Analysis of FMX103 1.5% Topical Minocycline Foam for the Treatment of Moderate-to-Severe Papulopustular Rosacea: Results From Two Phase 3 Studies date: 2020-09-02 words: 3476 flesch: 42 summary: Summary Efficacy Summary • FMX103 1.5% demonstrated efficacy over vehicle foam in treating papulopustular rosacea in a pooled population of ~1500 subjects, with effects being observed as early as 4 weeks into treatment • Sub-analyses were performed on the integrated data set to characterize the efficacy of FMX103 1.5% in treating papulopustular rosacea in predefined subgroups of subjects – FMX103 1.5% demonstrated significant efficacy benefits in treating papulopustular rosacea in subgroups of subjects that had either moderate (IGA=3) or severe (IGA=4) disease severity at baseline, with a more pronounced effect in the severe subpopulation • Findings from this integrated efficacy analysis are thus consistent with those from the individual phase 3 studies, both of which achieved statistically significant differences for all primary efficacy endpoints and further demonstrated significant differences as early as 4 weeks into treatment Safety Summary • FMX103 1.5% was generally safe and well tolerated • 341 (22.4%) subjects reported a TEAE during the 2 identical double-blind Phase 3 studies – In general, no differences were observed between treatment groups in the incidence of TEAEs – The most frequently reported TEAEs for FMX103 1.5% vs vehicle, respectively, were viral upper respiratory tract infection (2.4% vs 2.3%), upper respiratory tract infection (1.9% vs 2.5%), and headache (1.4% vs 1.9%) – The majority of TEAEs reported were mild in severity (overall 68%) – 7 subjects reported severe TEAEs; all were considered to be unrelated to treatment, and were similar between treatment groups • 219 (21.7) 122 (23.8) 341 (22.4) Number of TEAEs 350 184 534 Subjects with any serious TEAE, n(%) 3 (0.3) 5 (1.0) 8 (0.5) Number of serious TEAEs 8a 9b 17 Subjects with any treatment-related TEAE, n(%) 3 (0.3) 5 (1.0) 8 (0.5) Number of treatment-related TEAEs 24c 17d 41 Subjects with any TEAE leading to discontinuation, n(%) 7 (0.7) 2 (0.4) 9 (0.6) Number of TEAEs leading to study discontinuation 8e 2f 10 aNausea, chest discomfort, fatigue, seasonal allergy, dehydration, syncope, dyspnea, hypertension bGastrointestinal hemorrhage, chest pain, pyrexia, dyspnea, asthma, hypertension, myocardial infarction, tachycardia cPruritis, rash, dermatitis, dermatitis contact, hair color changes, nail discoloration, skin hyperpigmentation, application site pain, application site erythema, facial pain, nodule, migraine, dizziness, dysgeusia, aphthous ulcer, cheilitis, eye irritation, ophthalmic herpes simplex, sunburn dNail discoloration, rosacea, skin exfoliation, application site pain, facial pain, application site pruritis, headache, cellulitis, skin cancer, urine odor abnormal ePruritis, dermal cyst, dermatitis, telangiectasia, influenza, urinary tract infection, bladder mass fRash pustular, myocardial infarction • The incidence rate of the most frequently reported TEAEs (≥1% in any group) was similar between treatment groups (Table 3) keywords: baseline; efficacy; figure; fmx103; foam; subjects; teaes; treatment; vehicle; week cache: skin-1000.pdf plain text: skin-1000.txt item: #3 of 1356 id: skin-1001 author: Del Rosso, James Q; Jackson, Mark; Johnson, Sandra; Harvey, Alison; Chavda, Rajeev title: Effect of Combination Therapy on Visible/Non-Visible Symptoms, and Disease Burden Associated with Severe Rosacea: Results from A Post-Hoc Analysis of A Randomized Controlled Trial date: 2020-09-02 words: 1684 flesch: 52 summary: [Figure 2] • Impact of baseline lesion count, previous oral and/or topical treatment, and disease duration on efficacy of combination therapy • At week 12, there was a significant and strong correlation (-0.727; P=.000) between lesion counts at baseline and absolute change in lesion counts for the combined treatment arms. • Impact of changes in the visible and nonvisible symptoms of rosacea on Dermatology Life Quality Index (DLQI) • Impact of baseline lesion count, prior rosacea treatment, and disease duration on efficacy of combination therapy METHODS keywords: baseline; change; dlqi; lesion; treatment cache: skin-1001.pdf plain text: skin-1001.txt item: #4 of 1356 id: skin-1002 author: Tan, Jerry; Del Rosso, James; Weiss, Jonathan; Gold, Linda Stein; Cook-Bolden, Fran; Eichenfeld, Lawrence; Tanghetti, Emil; Saenz, Alessandra Ali?; Ahmad, Faiz title: Trifarotene 50 µg/G Cream for Treatment of Acne Vulgaris – A Summary of Two Randomized Trials and a Long-Term Safety Study date: 2020-09-02 words: 1829 flesch: 42 summary: Medical writing supported by Galderma Laboratories, L.P. ALT.P-RD18250-08 INTRODUCTION Introduction to trifarotene 50 μg/g cream:1 • Retinoid receptor agonist that selectively targets retinoic acid receptor gamma • Low systemic exposure after topical administration • Once-daily cream developed for treatment of acne vulgaris on the face and trunk Objectives: • Study 1 and Study 2: Assess safety and efficacy of trifarotene 50 μg/g cream applied once daily for 12 weeks in subjects with acne vulgaris • Long-term Safety and Efficacy Study: Evaluate long-term safety and efficacy of trifarotene 50 μg/g cream use over a period of 52 weeks TRIFAROTENE 50 μg/g CREAM FOR TREATMENT OF ACNE VULGARIS – A SUMMARY OF TWO RANDOMIZED TRIALS AND A LONG-TERM SAFETY STUDY Jerry Tan, MD1; James Del Rosso, DO2; Jonathan Weiss, MD3; Linda Stein Gold, MD4; Fran Cook-Bolden, MD5; Lawrence Eichenfield, MD6; Emil Tanghetti, MD7; Michael Graeber, MD8; Allesandra Alió Saenz, MD8; Faiz Ahmad8 1Department of Medicine, University of Western Ontario, Windsor ON, Canada, 2JDR Dermatology Research/Thomas Dermatology, Las Vegas, NV; 3Gwinnett Dermatology, Snellville, GA; 4Henry Ford Medical Center Department of Dermatology, Detroit, MI; 5Mount Sinai Hospital, New York, NY; 6Department of Pediatric and Adolescent Dermatology, Rady Children’s Hospital, University of California, San Diego, CA; 7Center for Dermatology and Laser Surgery Sacramento, CA; 8Galderma R&D, LLC, Fort Worth, TX METHODS Study 1 and 2 • Two identical multi-center, double-blind, randomized 12-week studies of subjects with moderate facial and truncal acne comparing vehicle with once-daily trifarotene 50 μg/g cream; N = 2,420 • Study 1: conducted at 109 sites, majority United States • Study 2: conducted at 80 sites, majority Europe • Primary efficacy endpoints (face) measured at Baseline and Weeks 1, 2, 4, 8, and 12: - Success rate: percentage of subjects with Investigator Global Assessment (IGA) of clear (0) or almost clear (1) and at least a 2-grade improvement - Absolute change in facial inflammatory/non-inflammatory lesion count • Secondary efficacy endpoints (trunk) measured at Baseline and Weeks 1, 2, 4, 8, and 12: - Success rate: percentage of subjects with Physician Global Assessment (PGA) of clear (0) or almost clear (1) and at least a 2-grade improvement - Absolute change in truncal inflammatory/non-inflammatory lesion count • Safety endpoints: - Incidence of adverse events and local tolerability1 Long-term Efficacy and Safety Study • A long-term safety and efficacy study conducted over 52 weeks for once-daily use of trifarotene 50 μg/g cream in patients with moderate facial and truncal acne; N = 455 • Efficacy and tolerability measured at Baseline and Weeks 12, 20, 26, 38, and 52 • Primary endpoints (safety) included: - Local tolerability (erythema, scaling, dryness, stinging/burning) on face and trunk - Adverse events • Secondary endpoints (efficacy) included: - Success rate: IGA/PGA score of clear (0) or almost clear (1) and at least a 2-grade IGA/PGA improvement from Baseline - Grade change from baseline of IGA and PGA - Subject’s assessment of facial acne improvement2 RESULTS Study 1 and 2 Efficacy: Results of all efficacy assessments at Week 12 significant (P <.001) in favor of trifarotene 50 μg/g cream versus vehicle • Study 1: Primary efficacy endpoints (MI) - 29.4% IGA success rate in trifarotene 50 μg/g cream compared with 19.5% for vehicle - Mean percent change of -54.4% in facial inflammatory lesion count from Baseline to Week 12 for trifarotene 50 μg/g cream, compared with -44.8% for vehicle - Mean percent change of -49.7% in facial non-inflammatory lesion count from Baseline to Week 12 for trifarotene 50 μg/g cream, compared with -35.7% for vehicle (multiple imputation values used) • Study 2: Primary efficacy endpoints - 42.3% trifarotene 50 μg/g cream IGA success rate compared with 25.7% for vehicle - Mean percent change of -66.2% in facial inflammatory lesion count from Baseline to Week 12 for trifarotene 50 μg/g cream, compared with -51.2% for vehicle - Mean percent change of -57.7% in facial non-inflammatory lesion count from Baseline to Week 12 for trifarotene 50 μg/g cream, compared with -43.9% for vehicle (multiple imputation values used) Safety: • Skin irritation related to trifarotene 50 μg/g cream was transient, and consistent with known patterns of topical retinoid dermatitis - Most common related AEs included irritation, pruritus, and sunburn (incidence ≥1%) - Severe AEs related to trifarotene 50 μg/g cream reported in nine subjects versus none in the vehicle group, with no serious AEs reported - Severe related AEs led to subject discontinuation in 1.9% of the trifarotene 50 μg/g cream group in Study 1, and in 1.2% of the trifarotene 50 μg/g cream group in Study 2 • Tolerability signs related to trifarotene 50 μg/g cream assessed as mostly mild to moderate by investigator Long-term Efficacy and Safety Study Efficacy: • Both IGA and PGA success rates improved over time - IGA success rates increased from 26.6% at Week 12 to 65.1% at Week 52 - PGA success rates increased from 38.6% at Week 12 to 66.9% at Week 52 - At Week 52, 57.9% of patients had both IGA and PGA success2 Safety: • Majority of treatment emergent adverse events (TEAEs) occurred during the first three months of the study • Most common TEAEs included pruritus, irritation, and sunburn • No serious TEAEs were related to trifarotene 50 μg/g cream2 REFERENCES We wish to thank our colleagues in Galderma International, Galderma R&D in Sophia Antipolis, and Galderma Laboratories and the trifarotene study group, as well as all investigators in the United States, Canada, Europe, and Russia who participated in these clinical trials. Local tolerability of trifarotene 50 µg/g cream keywords: cream; study; trifarotene cache: skin-1002.pdf plain text: skin-1002.txt item: #5 of 1356 id: skin-1003 author: Del Rosso, James Q; Hartman, Corey L; Lewis, Caitlin; Schreiber, Rhonda title: Real World Patient Perceptions of the use of Tazarotene 0.1% Foam in the Treatment of Acne Vulgaris date: 2020-09-02 words: 2151 flesch: 56 summary: Foam vehicle formulations received the highest ranking by far, with 56% of respondents rating it as “most preferred”. It is well known that topical vehicle formulation can significantly alter drug delivery and therefore impact safety, efficacy and tolerability.3 In recent years aqueous-based foam formulations have become a preferred vehicle in treating skin disease as their favorable tolerability and cosmetic elegance have led to positive patient preference, increasing the likelihood that adherence to treatment regimens including these foam vehicles will also improve. keywords: foam; satisfaction; tazarotene; treatment; use; week cache: skin-1003.pdf plain text: skin-1003.txt item: #6 of 1356 id: skin-1004 author: Gold, Linda Stein; Pariser, David M; Levy, Marci; Guenin, Eric title: Tretinoin 0.05% Lotion for the Once-Daily Treatment of Moderate-to-Severe Acne Vulgaris in Females: Effect of Age on Efficacy and Tolerability date: 2020-09-02 words: 1560 flesch: 61 summary: In�ammatory Lesions -27.4% -28.1% -24.1% -34.6% -36.3%Vehicle: -44.6% Week 8 -37.9% -46.7% -36.4% -50.3% -49.7% #( -55.3% Week 12 -45.2% -55.8% -46.6% -63.5% -56.7% 13-19 y (n=173) 20-29 y (n=163) 30+ y (n=80) #( -70% -50% -30% -10% -21.3% Week 4 LS M e a n P e rc e n t C h a n g e F ro m B a se lin e B. Nonin�ammatory Lesions -17.0% -25.6% -18.2% -27.6% -20.3%Vehicle: -36.0% Week 8 -22.1% -39.2% -29.9% -45.2% -36.4% #( -47.1% Week 12 -27.6% -55.2% -39.3% -59.0% -45.4% 13-19 y (n=173) 20-29 y (n=163) 30+ y (n=80) 0% 0% *P<0.05 vs vehicle; **P<0.01 vs vehicle; ***P<0.001 vs vehicle. LS Mean Percent Reduction from Baseline in Inflammatory and Noninflammatory Lesion Counts by Age Group and Visit (ITT Population, Pooled) #( -70% -50% -30% -10% -30.5% Week 4 LS M e a n P e rc e n t C h a n g e F ro m B a se lin e A. keywords: age; vehicle; week cache: skin-1004.pdf plain text: skin-1004.txt item: #7 of 1356 id: skin-1005 author: Baldwin, Hilary E; Green, Lawrence; Kircik, Leon; Caronia, Ashlie M; Guenin, Eric title: Efficacy and Safety of a Novel Tazarotene 0.045% Lotion in Females and Males With Moderate-to-Severe Acne date: 2020-09-02 words: 1536 flesch: 66 summary: -70% -60% -50% -40% -30% -20% -10% 0% # * ) ( ' & % -70% -60% -50% -40% -30% -20% -10% 0% # * ) keywords: lotion; tazarotene; week cache: skin-1005.pdf plain text: skin-1005.txt item: #8 of 1356 id: skin-1006 author: Silverberg, Jonathan I; Soong, Weily; Lockshin, Benjamin; Gadkari, Abhijit; Chen, Zhen; Bansal, Ashish title: Dupilumab Improves Symptoms of Anxiety and Depression in Adults and Adolescents With Moderate-to-Severe Atopic Dermatitis: A Post Hoc Analysis of Three Phase 3 Trials (LIBERTY AD SOLO 1 and 2 and ADOL) date: 2020-09-02 words: 2984 flesch: 62 summary: METHODS Study design • Detailed descriptions of the study populations and methodologies have been previously published,9,10 and are summarized below and in Figure 1 – ADOL adolescent patients received 200/300 mg dupilumab q2w (patients with body weight < CONCLUSIONS • A large proportion of adult and adolescent patients with AD had symptoms of anxiety or depression at baseline, indicative of a high burden of AD • Dupilumab monotherapy improved symptoms of anxiety and depression in adult and adolescent patients with AD, and was well tolerated with an acceptable safety profile METHODS (cont.) keywords: dupilumab cache: skin-1006.pdf plain text: skin-1006.txt item: #9 of 1356 id: skin-1007 author: Simpson, Eric L; Fujita, Hiroyuki; Arima, Kazuhiko; Hamilton, Jennifer; Lu, Yufang; Rossi, Ana B; Bansal, Ashish title: Dupilumab Decreases Blood Biomarkers in Adolescents With Moderate-to-Severe Atopic Dermatitis: Data From a Phase 3 Trial (LIBERTY AD ADOL) date: 2020-09-02 words: 2634 flesch: 67 summary: Eichenfield LF, et al. Thijs JL, et al. keywords: baseline; dupilumab; placebo cache: skin-1007.pdf plain text: skin-1007.txt item: #10 of 1356 id: skin-1008 author: Silverberg, Jonathan I; Lockshin, Benjamin; Gooderham, Melinda; Chen, Zhen; Gadkan, Abhijit; Rossi, Ana B title: Long-Term Effect of Dupilumab With Concomitant Topical Corticosteroids on POEM in Adults With Moderate-to-Severe Atopic Dermatitis: LIBERTY AD CHRONOS Trial date: 2020-09-02 words: 2493 flesch: 63 summary: In the 52-week, phase 3, randomized, double-blinded LIBERTY AD CHRONOS trial (NCT02260986), dupilumab with concomitant topical corticosteroids (TCS) vs placebo with TCS signifi cantly improved AD signs, symptoms, and patient quality of life with an acceptable safety profi le8 Long-Term Effect of Dupilumab With Concomitant Topical Corticosteroids on POEM in Adults With Moderate-to-Severe Atopic Dermatitis: Categorical change in AD severity according to total POEM score in (A) placebo + TCS group and (B) dupilumab 300 mg q2w group. keywords: n o; p o; tcs; week cache: skin-1008.pdf plain text: skin-1008.txt item: #11 of 1356 id: skin-1009 author: Sher, Lawrence; Soong, Weily; Prescilla, Randy; Chen, Zhen; Bansal, Ashish title: Dupilumab in Adolescents With Moderate-to-Severe Atopic Dermatitis and a History of Allergic Rhinitis: Subgroup Analysis From a Phase 3 Trial (LIBERTY AD ADOL) date: 2020-09-02 words: 2272 flesch: 62 summary: Safety was assessed among patients who received ≥ 1 dose of any study drug RESULTS Patients • Of the 251 patients randomized, 166 had a history of AR and 85 did not have a history of AR • Baseline disease characteristics were similar among treatment groups and between subgroups with a history of AR and no history of AR (Table 1) OBJECTIVE • To determine if a history of AR impacts the effi cacy of dupilumab treatment in adolescent patients with moderate-to-severe AD enrolled in a phase 3 trial A P ro p o rt io n o f p a ti e n ts a c h ie vi n g IG A 0 o r 1 a t W e e k 1 6 ( % ) Placebo 0 n = 28 n = 50 22.0 18.5 (6.06, 30.93) This analysis includes the subpopulation of patients who reported a history of AR at baseline and the complementary subpopulation without a history of AR • Effi cacy outcomes were analyzed among randomized patients (full analysis set) among the 2 subgroups • keywords: dupilumab; patients cache: skin-1009.pdf plain text: skin-1009.txt item: #12 of 1356 id: skin-101 author: Weber, T M; Arrowitz, C E; Scherdin, U; Schoelermann, A M; Filbry, A title: A Moisturizing Spray Ointment to Help Alleviate Dry Skin Symptoms Associated with Atopic Eczema, Psoriasis, and Xerosis date: 2017-10-27 words: 311 flesch: -14 summary: Figure 4. Figure 5. 55% 6% 35% 2% Atopic Eczema Xerosis Psoriasis Ichthyosis N=80 2.29 1.61 0.34 0.86 0.51 0.13 0 0.5 1.0 1.5 2.0 2.5 Dryness Scaling Cracks M ea n C lin ic al G ra d in g S co re * * * OBS=Aquaphor Ointment Body Spray *p<0.0001 vs Baseline N=80 Baseline End of Study 0 20 40 60 Severe/ Very Severe Moderate Slight None Severe/ Very Severe Moderate Slight None Severe/ Very Severe Moderate Slight None 0 20 40 60 0 25 50 75 Reduction in Dryness Reduction in Scaling Reduction in Cracks N=70 N=20 End of Study 0.59 1.39 1.39 1.1 0.15 0.81 0.41 0.39 0.0 0.2 0.4 0.6 0.8 1.0 1.2 1.4 1.6 Burning Erythema Itching Tightness M ea n C lin ic al G ra d in g S co re * * * * OBS=Aquaphor Ointment Body Spray *p<0.0001 vs Baseline N=80 Baseline End of Study Reduction in Itching Reduction in Erythema 0 20 40 60 0 20 40 60 % o f Su b je ct s % o f Su b je ct s N=62 N=57 Reduction in Burning Reduction in Tightness OBS=Aquaphor Ointment Body Spray Mean Duration of Treatment=16.2 days % o f Su b je ct s % o f Su b je ct s 0 20 40 60 0 20 40 60 80 N=35 N=52 Severe/ Very Severe Moderate Slight None Severe/ Very Severe Moderate Slight None Severe/ Very Severe Moderate Slight None Severe/ Very Severe Moderate Slight None Progression to Reduced Symptom Severity Baseline End of Study p p FC17PosterBeiersdorfWeberMoisturizingSpray.pdf INTRODUCTION RESULTS CONCLUSIONS METHODS OBJECTIVE Subjects Study design Assessments TM Weber,1 CE Arrowitz,1 U Scherdin,2 AM Schoelermann,2 A Filbry2 1Beiersdorf Inc, Wilton, CT, USA; 2Beiersdorf AG, Hamburg, Germany A Moisturizing Spray Ointment to Help Alleviate Dry Skin Symptoms Associated with Atopic Eczema, Psoriasis, and Xerosis Figure 1. keywords: reduction; severe/ cache: skin-101.pdf plain text: skin-101.txt item: #13 of 1356 id: skin-1010 author: Eichenfield, Lawrence F; Elewski, Boni; Sugarman, Jeffrey L; Rosen, Ted; Gupta, Aditya; Cantrell, Wendy; Pillai, Radhakrishnan; Jacobson, Abby title: Safety, Pharmacokinetics, and Efficacy of Efinaconazole 10% Topical Solution for the Treatment of Onychomycosis in Pediatric Patients date: 2020-09-02 words: 1505 flesch: 55 summary: Participants were aged 6 – 16 years with culture-positive mild-to-severe onychomycosis affecting ≥20% of at least 1 great toenail ◾ ACKNOWLEDGEMENTS: Medical writing support was provided by Prescott Medical Communications Group (Chicago, IL) with financial support from Ortho Dermatologics; Ortho Dermatologics is a division of Bausch Health US, LLC | 2020 keywords: cure; dermatologics; efinaconazole; population cache: skin-1010.pdf plain text: skin-1010.txt item: #14 of 1356 id: skin-1011 author: Pr?stegaard, Morten; Vestbjerg, Birgitte; Selmer, Johan; Holm-Larsen, Tove title: Phase 3 Trial Demonstrates Superior Patient Treatment Convenience of MC2-01 Calcipotriene Plus Betamethasone Dipropionate Cream Compared to Current Topical Suspension date: 2020-09-02 words: 1188 flesch: 57 summary: The secondary endpoint assessing patient treatment convenience (PTCS) at Week 8 demonstrated superiority of MC2-01 cream compared to CAL/BDP TS (41.5 vs. 37.5, p<0.0001) PowerPoint-præsentation © mc2 therapeutics  1 Phase 3 trial demonstrates superior patient treatment convenience of MC2-01 calcipotriene plus betamethasone dipropionate cream compared to current topical suspension Adults mild to moderate psoriasis R MC2-01 cream (n=343) MC2-01 cream vehicle (n=115) keywords: cal; cream; mc2 cache: skin-1011.pdf plain text: skin-1011.txt item: #15 of 1356 id: skin-1012 author: Blauvelt, Andrew; Kempers, Steven; Forman, Seth; Lain, Edward; Bruce, Suzanne title: Tirbanibulin Ointment 1%, a Novel Inhibitor of Tubulin Polymerization and Src Kinase Signaling , for the Treatment of Actinic Keratosis (AK): Results from Two Pivotal Phase III Studies date: 2020-09-02 words: 1667 flesch: 51 summary: Complete (100%) and partial (≥75%) clearance rates of AK lesions (ITT population) KX01-AK-003 (n=351) KX01-AK-004 (n=351) Tirbanibulin (n=175) Vehicle (n=176) p-value Tirbanibulin (n=178) Vehicle (n=173) p-value 100% clearance, n (%) 77 (44%) 8 (5%) <0.0001 97 (54%) 22 (13%) <0.0001 Face 50% 6% <0.0001 61% 14% <0.0001 Scalp 30% 2% <0.0001 41% 11% 0.0003 ≥75% clearance, n (%) 119 (68%) 29 (16%) <0.0001 136 (76%) 34 (20%) ACKNOWLEDGMENTS ‒ KX01-AK-003: 44% vs 5% (complete clearance); 68% vs 16% (partial clearance), respectively ‒ KX01-AK-004: 54% vs 13% (complete clearance); 76% vs 20% (partial clearance), respectively • Significantly higher complete and partial clearance rates for tirbanibulin compared with vehicle were also demonstrated in subgroup analyses for age, baseline AK lesion count, gender, skin type, and treatment location (face or scalp) in both studies (p<0.001) • To assess the efficacy and safety of tirbanibulin compared with vehicle in participants with AK lesions on the face or scalp OBJECTIVE • Adult participants with 4–8 typical, visible AK lesions in a 25 cm2 treatment area on the face or scalp were enrolled (2:1) in the study • Participants were randomized to receive either tirbanibulin ointment 1% or vehicle (1:1); treatment was self-applied once-daily for 5 consecutive days and left in place for ~12 hours • keywords: kx01; study; tirbanibulin; treatment; usa; vehicle cache: skin-1012.pdf plain text: skin-1012.txt item: #16 of 1356 id: skin-1013 author: Litchman, Graham H; Fitzgerald, Alison L; Kurley, Sarah J; Cook, Robert W; Rigel, Darrell S title: Impact of a Prognostic 40-Gene Expression Profiling Test on Clinical Management Decisions for High-Risk Cutaneous Squamous Cell Carcinoma date: 2020-09-02 words: 1331 flesch: 51 summary: 25 19 0 118 Nodal Imaging 35 4 12 20 2 103 44 4 26 13 1 89 Adjuvant Radiation 53 1 11 25 1 133 71 2 27 17 2 117 Adjuvant Chemotherapy 34 1 9 26 4 112 53 2 17 15 1 104 *Fisher’s exact test with Freeman-Halton extension indicated that each row had statistically significant differences p<0.0001 when comparing Class 1, 2A, and 2B for a given modality. ns <.0001 <.05 ns Class 1 SLNB F/U, chemo, imaging, RT ---- SLNB, RT F/U, imaging, chemo ---- Class 2A ---- keywords: class; gep; risk; test; vignette cache: skin-1013.pdf plain text: skin-1013.txt item: #17 of 1356 id: skin-1014 author: Freeman, Scott; Bettencourt, Miriam; Corliss, Meg; Dunkelly-Allen, Nikeshia; Veverka, Karen A title: Evaluation of Different Approaches in Managing Local Skin Reactions With the Use of Ingenol Mebutate 0.015% and 0.05% During the Treatment of Actinic Keratosis date: 2020-09-02 words: 2443 flesch: 46 summary: Neri L et al, 2017 • Neri L et al, conducted an observational, multicenter, longitudinal cohort study in 1136 adult patients with multiple grade I/II AKs10 • LSRs were assessed at 2 follow-up visits: – T1: 8 days after initiation of AK treatment – T2: 25-30 days after initiation of AK treatment • Approximately 37% of patients received treatment for LSRs at T1 – 53% received topical antibiotics – 47% received emollient creams • Roughly 14% received treatment at T2 – 70% received emollient creams – 29% received antibiotics • There was a steep decrease in average LSR score (scale=0-4) from the first follow-up visit (2.6±1.5) to the second follow-up visit (0.9+1.0), which was seen in both LSR-treated and untreated groups Bettencourt MS, 2016 • Bettencourt MS conducted a study at a community dermatology practice in 78 male patients with recurring and relapsed scalp AK2 • All patients exhibited LSRs on the first day of treatment – Erythema (100%) – Flaking/Scaling (97%) – Crusting (66%) – Swelling (6%) – Vesiculation/Pustulation (32%) – Erosion/Ulceration (13%) • 44% of the patients treated their LSRs with a topical product (Figure 3) • LSRs were resolved in 10-14 days regardless of the use of a topical product – In 1 patient, LSRs were resolved at day 20 Bettencourt MS, 2014 • Bettencourt MS conducted a retrospective chart review of 135 patients who had a prolonged history of AKs treated with IMB7 • Regardless of body area or use of LSR treatment, most patients had developed LSRs by day 2 of treatment (Table 2) • keywords: dermatol; imb; lsrs; patients; treatment cache: skin-1014.pdf plain text: skin-1014.txt item: #18 of 1356 id: skin-1015 author: Berman, Brian; Bhatia, Neal; Piacquadio, Daniel; Houlihan, Anna; Siegel, Daniel title: Efficacy of ALA–PDT in the Treatment of Actinic Keratoses on the Upper Extremities: A Post Hoc Analysis of a Phase 3, Randomized, Vehicle-Controlled Trial date: 2020-09-02 words: 1826 flesch: 46 summary: In a phase 3, randomized, evaluator-blinded, vehicle-controlled trial (NCT02137785), ALA 20% solution–PDT at baseline and week 8 using lesion-targeted treatment and a 3-hour occluded incubation was superior to vehicle (VEH)–PDT for AK clearance of the upper extremities3 — The study assessed response of the entire field to treatment, including new AKs present at follow-up, in calculations of clearance rates OBJECTIVE • To assess clearance rate relative to baseline, cumulative disease area clearance, and complete clearance rate by lesion size in treated lesions only in patients treated with ALA-PDT for AKs on the upper extremities METHODS Study design • Efficacy of ALA–PDT in the treatment of actinic keratoses on the upper extremities: A post hoc analysis of a phase 3, randomized, vehicle-controlled trial Brian Berman,1,2 Neal Bhatia,3 Daniel Piacquadio,4 Anna Houlihan,5 and Daniel Siegel6,7 1Center for Clinical and Cosmetic Research, Aventura, FL, USA; 2Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL, USA; 3Therapeutics Clinical Research, San Diego, CA, USA; 4Therapeutics, Inc., San Diego, CA, USA; 5DUSA Pharmaceuticals, Inc., Wilmington, MA, USA; 6Department of Dermatology, The State University of New York Downstate Health Sciences University, Brooklyn, NY, USA; 7Dermatology Service, Veterans Affairs New York Harbor Healthcare System, Brooklyn, NY, USA BACKGROUND • Actinic keratoses (AKs) are precancerous, dysplastic epidermal lesions that may progress to squamous cell carcinoma (SCC)1 • Aminolevulinic acid (ALA) 20% solution photodynamic therapy (PDT) is indicated for targeted treatment of AK on the face, scalp, and upper extremities2 • keywords: ala; clearance; pdt; treatment; veh cache: skin-1015.pdf plain text: skin-1015.txt item: #19 of 1356 id: skin-1016 author: Guminski, Alexander; Squittieri, Nicholas; Lear, John T title: Adverse Events of Special Interest in Patients with Advanced Basal Cell Carcinoma Receiving Sonidegib: Long-Term 42-Month Results from the BOLT Study date: 2020-09-02 words: 2207 flesch: 47 summary: Adverse events reported in ≥30% of patients receiving 200 mg daily N = 79. AE, adverse event; CK, creatine kinase. Adverse events of special interest reported in ≥30% of patients receiving sonidegib 200 mg daily N keywords: patients; response; sonidegib cache: skin-1016.pdf plain text: skin-1016.txt item: #20 of 1356 id: skin-1017 author: Migden, Michael; Lear, John; Squittieri, Nicholas; Liu, Li; Guminski, Alexander; Dummer, Reinhard title: Duration of Response and Progression-Free Survival with Sonidegib 200 Mg Once Daily Until Disease Progression or Start of New Antineoplastic Therapy in Patients with Locally Advanced Basal Cell Carcinoma: Results of the 42-Month, Randomized, Double-Blind date: 2020-09-02 words: 2149 flesch: 33 summary: • Tumor response was evaluated by central review using modified Response Evaluation Criteria in Solid Tumors (mRECIST) for patients with laBCC (Figure 2 and 3) — Includes assessment by magnetic resonance imaging complemented by color photography and histology of multiple biopsy samples; complete response was defined as negative histology with complete disappearance of target lesions by all image modalities11,14 Figure 3. CONCLUSIONS • Patients with laBCC receiving sonidegib 200 mg/day experienced durable tumor response until disease progression or start of new antineoplastic therapy • Safety and tolerability of sonidegib 200 mg/day at 42 months was consistent with earlier data REFERENCES 1) Xiang F, et al. keywords: cell; labcc; patients; response; sonidegib cache: skin-1017.pdf plain text: skin-1017.txt item: #21 of 1356 id: skin-1018 author: Dummer, Richard; Migden, Michael; Squittieri, Nicholas; Liu, Li; Guminski, Alexander; Lear, John title: Effect of Concomitant Medications on Efficacy of Sonidegib 200 Mg Daily in Patients with Locally Advanced Basal Cell Carcinoma: Results of the 42-Month Randomized, Double-Blind BOLT Study date: 2020-09-02 words: 2039 flesch: 33 summary: Efficacy outcomes per central review in patients with laBCC receiving sonidegib 200 mg daily IaBCC (n = 66) ORR, % (95% CI) 56.1 (43.3, 68.3) CR, % (95% CI) 4.5 (0.9, 12.7) DCR, % 90.9 DOR, median, months (95% CI) 26.1 (NE) PFS, median, months (95% CI) 22.1 (NE) TTR, median, months (95% CI) 4.0 (3.8, 5.6) BCC, basal cell carcinoma; CI, confidence interval; CR, complete response; DCR, disease control rate; DOR, duration of response; laBCC, locally advanced BCC; mBCC, metastatic BCC; NE, not estimable; ORR, objective response rate; PFS, progression-free survival; TTR, time to tumor response. AE, adverse event; BOLT, Basal Cell Carcinoma Outcomes with LDE225 (sonidegib) Treatment; CR, complete response; DOR, duration of response; HHI, hedgehog inhibitor; laBCC, locally advanced basal cell carcinoma; mBCC, metastatic basal cell carcinoma; mRECIST, modified Response Evaluation Criteria in Solid Tumors; ORR, objective response rate; OS, overall survival; PFS, progression-free survival; Q8W, every 8 weeks; Q12W, every 12 weeks; TTR, time to tumor response. keywords: labcc; patients; response; sonidegib cache: skin-1018.pdf plain text: skin-1018.txt item: #22 of 1356 id: skin-1019 author: Eversman, Anna; Fatima, Sakeena; Honda, Kord; Beveridge, Mara title: Imatinib-Induced Acquired Dermal Melanocytosis date: 2021-01-01 words: 1156 flesch: 43 summary: While the histologic appearance of imatinib- induced hyperpigmentation varies, intradermal hemosiderosis is the most common finding.4 We report a rare case of hyperpigmented patches secondary to dermal melanocytosis following imatinib treatment in an African American patient with acute lymphoblastic leukemia (ALL). Although dermal melanocytosis is evidence of melanocyte activation, there are only 5 reported cases of primary cutaneous DISCUSSION A. B. C. SKIN January 2021 Volume 5 Issue 1 Copyright 2021 The National Society for Cutaneous Medicine 77 Figure 2. keywords: case; dermal; imatinib; melanocytosis cache: skin-1019.pdf plain text: skin-1019.txt item: #23 of 1356 id: skin-102 author: Dirschka, T; Ekanayake-Bohlig, S; Dominicus, R; Aschoff, R; Herrera-Ceballos, E; Botella-Estrada, R; Hunfeld, A; Schmitz, B; Lubbert, H; Puig, S title: Daylight Photodynamic Therapy of Actinic Keratosis with BF-200 ALA compared to MAL date: 2017-10-27 words: 46 flesch: 55 summary: � � � � � � � � � � � � � � � � � � � 1 ≥ ≥ ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± • • • • • ≤ • > • < • • FC17PosterBiofronteraDirschkaDaylightPhotodynamic.pdf keywords: ± ± cache: skin-102.pdf plain text: skin-102.txt item: #24 of 1356 id: skin-1020 author: Beard, Cassandra; Mojica, Rafael; Ferrer-Bruker, Sarah; Krishnamurthy, Karthik title: Coexisting Pediatric Acute Generalized Exanthematous Pustulosis and Staphylococcal Scalded Skin Syndrome date: 2021-03-06 words: 1348 flesch: 44 summary: SKIN March 2021 Volume 5 Issue 2 Copyright 2021 The National Society for Cutaneous Medicine 185 BRIEF ARTICLE Coexisting Pediatric Acute Generalized Exanthematous Pustulosis and Staphylococcal Scalded Skin Syndrome Cassandra Beard, DO, MPH1, Rafael Mojica, BS2, Sarah Ferrer-Bruker, DO1, Karthik Krishnamurthy, DO1 1Division of Dermatology, HCA Healthcare/Mercer University School of Medicine/Orange Park Medical Center Program, Orange Park, FL 2Edward Via College of Osteopathic Medicine, Spartanburg, SC Acute generalized exanthematous pustulosis (AGEP) is a disease of acute onset, typically following drug intake. The lesions quickly spread within hours to involve the trunk and limbs.1 Staphylococcal scalded skin syndrome (SSSS) presents in a similar distribution with swelling and erythema with subsequent bulla formation and exfoliation.2 Although rare, SSSS most commonly presents in the pediatric population with an annual incidence of 7.67 per million U.S. children.3 There are far fewer reported cases of AGEP in the pediatric population, which is highlighted by the paucity of such incidence reports.4 keywords: acute; agep; skin; ssss; staphylococcal cache: skin-1020.pdf plain text: skin-1020.txt item: #25 of 1356 id: skin-1021 author: Domzalski, Colin; Wei, Nancy; Lebwohl, Mark title: A Systematic Review of Neurovascular Complications in Patients with Pseudoxanthoma Elasticum date: 2020-10-27 words: 2394 flesch: 53 summary: Accordingly, individual cohort studies Van der Berg et al and Kauw et al found an 8% prevalence for ischemic CVAs in PXE patients, compared to the 3% prevalence for ischemic CVAs seen in the general population.9 Relative risk of developing ischemic strokes is estimated to be 3.6 in PXE patients less than 65 years compared with the general population (95 % confidence interval 3.3–4.0).23,21 As demonstrated in Bertamino et al and Araki et al, an ischemic stroke can be a rare presenting symptom in both pediatric and adult cases of PXE.14, 13 While an increased risk for neurovascular events in the general population warrants the initiation of prophylactic antiplatelet therapy, there is no current consensus on antiplatelet in PXE patients.5 Cardiovascular complications secondary to accelerated atherosclerosis are well-documented in published literature; however, there is a paucity of studies that reviews serious neurovascular complications including CVA(cerebral vascular accident), TIA(Transient ischemic attack), and intracranial aneurysm in PXE patients. keywords: aneurysm; complications; disease; elasticum; ischemic; patients; pseudoxanthoma; pxe cache: skin-1021.pdf plain text: skin-1021.txt item: #26 of 1356 id: skin-1023 author: Bissonnette, Robert; Gold, Linda Stein; Kircik, Leon; Tyring, Stephen; Tailman, Anna; Armstrong, April title: Efficacy of Tapinarof Cream by Body Region in Subjects With Plaque Psoriasis in a Phase 2b Randomized Controlled Study date: 2020-08-29 words: 1993 flesch: 56 summary: PGA Response Rates ■ Primary endpoint: PGA response rates (defined as PGA score 0 or 1 and ≥2-grade improvement) at Week 12 were significantly higher (at 0.05 significance level) in the tapinarof cream groups than the vehicle groups (65% [1% BID], 56% [1% QD], 46% [0.5% BID], and 36% [0.5% QD] vs 11% [vehicle BID] and 5% [vehicle QD]) and were maintained for 4 weeks after the end-of-study treatment in all active treatment groups, except for the 0.5% BID group3 Mean Change in PASI ■ Mean PASI improvements at Week 12 were significantly greater in all tapinarof groups vs vehicle groups (all P<0.001): – ■ Lower extremities: Mean PASI improvements in the lower extremities at Week 12 were significantly greater in all tapinarof groups vs vehicle groups (all P<0.001): –8.74 (1% BID), –8.19 (1% QD), –7.16 (0.5% BID), and –6.33 (0.5% QD) vs –2.47 (vehicle BID) and –2.0 (vehicle QD); significant improvements were maintained in all tapinarof groups for 4 weeks after the last application through Week 16 (Figure 4) Figure 4. keywords: bid; pasi; tapinarof; vehicle; week cache: skin-1023.pdf plain text: skin-1023.txt item: #27 of 1356 id: skin-1024 author: Lebwohl, Mark; Del Rosso, James Q; Hong, Chih-Ho; Tailman, Anna M; Kircik, Leon title: Tapinarof Cream for the Treatment of Plaque Psoriasis: Efficacy and Safety by Baseline Disease Characteristics and Skin Type in a Phase 2b Randomized Study date: 2020-08-29 words: 2068 flesch: 59 summary: [vehicle BID] and 5% [vehicle QD]) and were maintained for 4 weeks after the end-of-study treatment in all active treatment groups except for the 0.5% BID group2 PGA Response Rates by Baseline % BSA Affected ■ PGA response rates at Week 12 were higher in tapinarof cream groups than vehicle groups, regardless of baseline % BSA affected (Figure 2) – 1 to <10% BSA affected (n=102): 67% (1% BID), 60% (1% QD), 33% (0.5% BID), and 35% (0.5% QD) vs 13% (vehicle BID) and 6% (vehicle QD) – ≥10% BSA affected (n=39): 64% (1% BID), 40% (1% QD), 75% (0.5% BID), and 38% (0.5% QD) vs 0% (vehicle BID) and 0% (vehicle QD) Figure 2. INTRODUCTION ■ Psoriasis is a chronic, immune-mediated disease characterized by scaly, erythematous, and pruritic plaques that can be painful and disfiguring1 ■ Although multiple options are available for the treatment of plaque psoriasis, there is a need for effective topical therapies that can be used without body surface area (BSA) restrictions or concerns for the duration of treatment ■ Tapinarof cream is a therapeutic aryl hydrocarbon receptor modulating agent (TAMA) under investigation for the treatment of psoriasis (NCT03956355 & NCT03983980) and atopic dermatitis ■ This previously conducted phase 2b dose-finding study (NCT02564042) was designed to assess the efficacy and safety of tapinarof cream in subjects with plaque psoriasis2,3 ■ Factors related to disease characteristics and skin type may influence clinical outcomes in psoriasis4,5 ■ This post-hoc analysis was conducted to explore whether the efficacy and safety of tapinarof cream varied across subgroups by baseline disease characteristics and skin type OBJECTIVES ■ To evaluate the efficacy and safety of tapinarof through post-hoc analysis of a phase 2b study in subjects with plaque psoriasis stratified by baseline disease characteristics, including % BSA affected, duration of psoriasis, and Fitzpatrick skin type METHODS Study Design ■ In this multicenter (United States, Canada, and Japan), phase 2b, double-blind, vehicle-controlled, randomized study, adult subjects with psoriasis were randomized 1:1:1:1:1:1 to receive tapinarof cream 0.5% or 1% once (QD) or twice daily (BID) or vehicle QD or BID for 12 weeks and followed up for 4 more weeks (Figure 1) Figure 1. keywords: bid; pga; tapinarof; vehicle cache: skin-1024.pdf plain text: skin-1024.txt item: #28 of 1356 id: skin-1025 author: Heibel, Haley Danielle; Dhaliwal, Parneet; Cockerell, Clay J. title: New Cases of Syphilis and Molluscum Contagiosum in the COVID-19 Pandemic: A Sign That Social Distancing Guidelines Are Not Being Adhered to? date: 2021-01-01 words: 1123 flesch: 38 summary: All medical providers must consider how we can better encourage individuals to abide by social distancing recommendations, optimize care for patients during the pandemic, and prevent the misallocation of valued health care resources. Dermatologists are experts in the recognition of the cutaneous manifestations of venereal diseases which is critical to appropriate diagnosis and management, and they should continue to provide care during this pandemic. Individuals who acquire STDs during this time may increase the strain on already limited health care resources by disregarding social distancing recommendations. keywords: care; distancing; health cache: skin-1025.pdf plain text: skin-1025.txt item: #29 of 1356 id: skin-1028 author: Snyder, Margaret; Lebwohl , Mark title: Ixekizumab Overdose: A Case Report date: 2020-10-27 words: 2218 flesch: 39 summary: Due to complex dosing schedules as well as increasing use of these agents, it is likely that healthcare providers will encounter cases of patients accidentally self- administering larger than recommended doses. Due to complex dosing schedules as well as increasing use of these agents, it is likely that healthcare providers will encounter cases of patients accidentally self-administering larger than recommended doses. keywords: case; insert; medicine; overdose; package; patients cache: skin-1028.pdf plain text: skin-1028.txt item: #30 of 1356 id: skin-1029 author: Garg, Jasmine; Cline, Abigail ; Pereira, Frederick title: Increase in Google Trends Regarding Telogen Effluvium Due To COVID-19 date: 2021-03-06 words: 913 flesch: 58 summary: Methods: We performed Google TrendsTM search for “COVID hair loss”, “telogen effluvium” and “hair loss” between 5/1/20 and 8/16/20. Conclusion: All three terms have increased in popularity for search terms since mid-March and were the most prevalent in the states that experienced the earliest increase in number of coronavirus cases. Date range 5/1/2020 to 8/16/2020 19 cases within their borders.4 New York and New Jersey topped the list both in terms of Google Trend searches and in COVID-19 infection rates per 100,000 (Table 1).5 TE secondary to COVID-19 may be on the rise. keywords: effluvium; hair; loss cache: skin-1029.pdf plain text: skin-1029.txt item: #31 of 1356 id: skin-1030 author: Conway, Jade; Roy, Bipasha; Barazani, Lauren; Wu, Albert; Cline, Abigail; Moy , Janet title: High Demand: Identification of Dermatology Visit Trends from 1991-2016 National Ambulatory Medical Care Surveys date: 2020-10-27 words: 1127 flesch: 49 summary: Utilizing the National Summary Tables from the National Ambulatory Medical Care Survey from 1991-2016, we analyzed office data and identified trends relating to dermatology visits over time. Methods: Analysis of the 1991-2016 National Summary Tables from the National Ambulatory Medical Care Survey (NAMCS) was performed in order to identify several trends relating to dermatology visits. keywords: dermatology; drug; national; visits cache: skin-1030.pdf plain text: skin-1030.txt item: #32 of 1356 id: skin-1031 author: Kuraitis, Drew; Lee, Yong; Kadi, Abida; Murina, Andrea title: Eccrine Porocarcinoma Masquerading as Squamous Cell Carcinoma date: 2020-10-27 words: 729 flesch: 49 summary: This squamous variant has been characterized in a retrospective study of 21 cases.1 Features that favor the diagnosis of squamous EPC include tumor cells within the dermis in anastomosing trabeculae and ductal structures lined by tumor cells. The National Society for Cutaneous Medicine 620 SHORT COMMUNICATIONS Eccrine Porocarcinoma Masquerading as Squamous Cell Carcinoma Drew Kuraitis, MD, PhD1, Yong Lee, BS2, Abida Kadi3, Andrea Murina, MD1 1Department of Dermatology, Tulane University, New Orleans, LA 2Tulane University School of Medicine, Tulane University, New Orleans, LA 3Department of Pathology, Tulane University, New Orleans, LA A squamoid variant of eccrine porocarcinoma (EPC) exists and is often misdiagnosed as squamous cell carcinoma (SCC) due to clinical and histopathologic similarities. keywords: scc; tumor cache: skin-1031.pdf plain text: skin-1031.txt item: #33 of 1356 id: skin-1033 author: none title: A Cross-Sectional Study on Herpes Zoster Diagnosis in the time of COVID-19 date: 2020-10-27 words: 1403 flesch: 53 summary: The total number of HZ cases to the total number of medical visits during the same six-month time frame (March to August) in 2019 and 2020 were also collected to assess if COVID-19 impacted the HZ incidence. To analyze whether there was an increase in the HZ condition rate during the pandemic, we compared the total number of HZ cases to the total number of medical visits during the same six-month time frame (March to August) in 2019 and 2020 using the general de-identified UC health data warehouse (UCHDW). keywords: cases; covid-19; patients cache: skin-1033.pdf plain text: skin-1033.txt item: #34 of 1356 id: skin-1034 author: Vu, Trang; Taher, Muba; Hung, Tawny title: A Case Report of a Primary Cutaneous Adenoid Carcinoma: A Diagnostic and Management Challenge date: 2021-01-01 words: 1343 flesch: 28 summary: Cutaneous adenoid cystic carcinoma with perineural invasion treated by mohs micrographic surgery-a case report with literature review. Adenoid cystic carcinoma: A review of recent advances, molecular targets, and clinical trials. keywords: adenoid; carcinoma; http://paperpile.com/b/nzabld/9tza; http://paperpile.com/b/nzabld/nc1v; http://paperpile.com/b/nzabld/yu1b; pcacc cache: skin-1034.pdf plain text: skin-1034.txt item: #35 of 1356 id: skin-1035 author: Vittitow, Stephany; Kozak, Merrick; Daughtery, Reza; Zlotoff, Barrett title: A Rapidly Enlarging Solitary Infantile Myofibroma: A Case Report and a Review of Current Monitoring Guidelines date: 2020-10-27 words: 1661 flesch: 46 summary: Larralde M, Ferrari B, Martinez JP, Barbieri MAF, Méndez JH, Casas J. Infantile myofibromatosis. Whole-body magnetic resonance imaging in the diagnosis and follow-up of multicentric infantile myofibromatosis: A case report. keywords: imaging; infantile; involvement; mri; myofibromatosis; skin; visceral cache: skin-1035.pdf plain text: skin-1035.txt item: #36 of 1356 id: skin-1036 author: Neville, Kayla; Obradovic, Aleksandar title: Verrucous Carcinoma Arising Secondary to Diabetic Foot Lesions: A Systematic Review of the Literature date: 2021-05-21 words: 2550 flesch: 45 summary: Verrucous carcinoma is classically considered a variant of squamous cell carcinoma, which forms painful lesions marked by an exophytic appearance, with deep invasion into local underlying structures.6,7 Ackerman first described verrucous carcinoma in the oral cavity, associated with chewing tobacco,7 and verrucous carcinoma of the oral cavity has been so closely associated with the use of snuff and chewing tobacco that is has been ABSTRACT Verrucous carcinoma is classically considered a variant of squamous cell carcinoma, most commonly occurring in the oral cavity in association with snuff and chewed tobacco. Critically, we find that among 6 described cases of diabetic foot ulcer resulting in verrucous carcinoma, only a single patient reported pain in the area of the lesion. keywords: carcinoma; case; diabetes; foot; treatment; ulcers cache: skin-1036.pdf plain text: skin-1036.txt item: #37 of 1356 id: skin-1037 author: Jimenez, Antonio Roberto; Gleghorn, Kristyna ; Wagner, Richard title: The Implementation of Educational Videos in Mohs Micrographic Surgery for Improved Patient Satisfaction and Comprehension: A Review of Literature date: 2021-05-21 words: 3395 flesch: 46 summary: As per Migden’s article, patients who watched MMS videos asked more subjectively educated questions in comparison to patients who did not.4 Objective: To review published literature to determine if video education in MMS can improve patient satisfaction and comprehension of their procedure. keywords: education; mms; mohs; patients; satisfaction; video; wound cache: skin-1037.pdf plain text: skin-1037.txt item: #38 of 1356 id: skin-1043 author: Perez, Megan; Otto-Meyer, Sebastian; Nguyen, Cuong; Zheng, Lida; Choi, Jennnifer; Guggina, Lauren title: Atezolizumab Caused Pityriasis Lichenoides-Like Drug Eruption Treated with Narrowband Ultraviolet B date: 2021-03-06 words: 1562 flesch: 40 summary: Pityriasis lichenoides: clinical photograph of back drug-induced variant of pityriasis lichenoides, presenting with numerous erythematous slightly scaly papules coalescing into a large plaque in the central upper back with a second large plaque visible on the lower back. When considering treatments for drug induced pityriasis lichenoides, our patient presented unique therapeutic challenges given her complicated medical history. keywords: case; drug; eruption; lichenoides; nbuvb; pityriasis cache: skin-1043.pdf plain text: skin-1043.txt item: #39 of 1356 id: skin-1046 author: Carrillo, Brenda; Gallaga, Natalya; Hoyer, Paige; Ross, Lindy; Wilkerson, Michael title: A Case of Linagliptin-Induced Bullous Pemphigoid date: 2021-03-06 words: 1929 flesch: 46 summary: if refractory, followed by taper Corticosteroids PO prednisone >1mg/Kg (n = 22), adjuvant immunosuppressant (n=15), topical steroid (n = 4) High potency topical corticosteroid, systemic corticosteroid #BP Patients discontinued DPP4-I 19/28 27/31 19/36 48/106 DPP4-I Discontinuation Results Complete (11/19) or partial (7/19) remission Complete response (26/27), 1 death Complete remission off therapy (6/19), minimal therapy (9/19), partial remission (3/19). 7. Magdaleno-Tapial J, Valenzuela-Oñate C, Esteban Hurtado Á, et al. Association Between Bullous Pemphigoid and Dipeptidyl Peptidase 4 Inhibitors: A Retrospective Cohort Study. keywords: bullous; dipeptidyl; inhibitors; linagliptin; patients; pemphigoid cache: skin-1046.pdf plain text: skin-1046.txt item: #40 of 1356 id: skin-1050 author: Litchman, Graham H; Schwartzberg, Lauren; Friedler, Suzanne; Sirota Rozenberg, Suzanne title: Elephantiasis Nostras Verrucosa: A Case Series date: 2020-10-27 words: 1464 flesch: 40 summary: Physical examination revealed verrucous nodules and plaques scattered over bilateral lower legs down to the ankle (Figures 1A and 1B) with concomitant non-pitting edema of bilateral lower extremities and a positive Kaposi- Stemmer sign on bilateral 2nd toes. (A) Patient 1’s left lower leg; hyperpigmented verrucous plaques, scaling fissures, and significant xerosis. keywords: elephantiasis; env; nostras; patient; verrucosa; york cache: skin-1050.pdf plain text: skin-1050.txt item: #41 of 1356 id: skin-1051 author: Eichelberger, Ashley; Butt, Melissa; Silva, Colleen; Mosley, Aretha; Kirby, Joslyn title: Perceptions of Teledermatology among people with Hidradenitis Suppurativa date: 2021-01-01 words: 1308 flesch: 53 summary: Teledermatology can be valuable for HS patients to decrease travel and wait times and improve patient access. Its benefits include reduced wait times and improved access, which support its ongoing use.1,2 Teledermatology can be valuable for people with hidradenitis suppurativa (HS) who may require maintenance therapy, as well as flare interventions, for the chronic and acute aspects of this inflammatory skin disease, respectively.3 keywords: covid-19; patients; teledermatology cache: skin-1051.pdf plain text: skin-1051.txt item: #42 of 1356 id: skin-1054 author: Trigg, Joanna; Cubelli, Stefanie; Litchman, Graham; Cohen, Jason; Sirota Rozenberg, Suzanne title: An Uncommon Location for Granular Cell Tumor in a 10-year-old Caucasian Female: Granular Cell tumor in a Young Caucasian Female date: 2021-03-06 words: 1408 flesch: 59 summary: Granular cell tumor on proximal left arm of the patient. There are three variants of granular cell tumors. keywords: case; cell; granular; skin; tumor cache: skin-1054.pdf plain text: skin-1054.txt item: #43 of 1356 id: skin-1055 author: E. Bax, Christina; J. Smith, Robert; L. Simpson, Cory title: Expanding Armor-Like Scales in a Middle-Aged Woman date: 2021-01-01 words: 790 flesch: 42 summary: Over the following two months, her eruption worsened, and she developed painful oral mucosal erosions. Definitive diagnosis of PV depends on demonstration of typical suprabasal epidermal acantholysis along with detection of tissue-deposited or circulating auto-antibodies by immunofluorescence or ELISA, which measures antibodies recognizing Dsg1 and/or Dsg3.2 Treatment of PV is dictated by the extent of skin and/or mucosal involvement. keywords: disease; erosions; skin cache: skin-1055.pdf plain text: skin-1055.txt item: #44 of 1356 id: skin-1056 author: Moore, Angela; Green, Lawrence J.; Johnson, Jodi L.; Grada, Ayman title: Efficacy and Safety of Narrow-spectrum Oral Sarecycline for Moderate to Severe Acne Vulgaris date: 2020-10-27 words: 828 flesch: 62 summary: Back: Significant improvements at week 12 in SC1401 (-32.9 vs -17.1%; p < 0.001) and SC1402 (-33.2 vs -25.7%; p < 0.05).  Significant improvements was seen at week 12in SC1401 (-29.5 vs -19.6%; p < 0.05) and SC1402 (-36.6 vs -21.6%; keywords: acne; sarecycline; week cache: skin-1056.pdf plain text: skin-1056.txt item: #45 of 1356 id: skin-1057 author: Pariser, David M; Green, Lawrence J.; Lain, Edward L.; Johnson, Jodi L.; Grada, Ayman title: Long-term Safety and Tolerability of Sarecycline for the Treatment of Acne Vulgaris: Results from a Phase III, Multicenter, Open-Label Study and a Phase I Phototoxicity Study date: 2020-10-27 words: 822 flesch: 46 summary: Patterns of sarecycline use were a secondary assessment.  At three hours after administration of the study treatment, a previously unexposed area of each subject’s back was irradiated with 16J/cm2 of UVA, after which point, another area was irradiated with UVA/UVB at 50 percent of the subject’s minimum erythemal dose (MED)  UV-exposed skin was assessed visually at 24, 48, and 72 hours after irradiation, and UV-induced skin reaction was evaluated using dermal response score scale  keywords: acne; sarecycline cache: skin-1057.pdf plain text: skin-1057.txt item: #46 of 1356 id: skin-1058 author: Cook-Bolden, Fran E; Bhatia, Neal; Weiss, Jonathan S; Sadick, Neil; Tyring, Stephen K; Guenin, Eric; Loncaric, Anya; Harris, Susan title: Novel Polymeric Tazarotene 0.045% Lotion for Moderate-to-Severe Acne: Pooled Phase 3 Analysis by Race date: 2020-10-27 words: 1666 flesch: 47 summary: % female: % Non-Hispanic/Latino: Mean in�ammatory lesion count: Mean nonin�ammatory lesion count: % EGSS distribution (moderate and severe): 63.2%78.2% 74.2%94.3% 90% 10% 95% 5% • Demographics and baseline characteristics were generally similar between subgroups, though: • Black participants were on average older and more likely to be female • A higher proportion of White participants had a baseline EGSS of 4 (“severe”) EGSS, Evaluator’s Global Severity Score; ITT, intent to treat. FIGURE 3. -70% -50% -30% -10% Black Participants White Participants Black Participants White Participants Black Participants White ParticipantsLS M e a n C h a n g e f ro m B a se lin e A. keywords: baseline; black; lotion; participants; tazarotene; vehicle; white cache: skin-1058.pdf plain text: skin-1058.txt item: #47 of 1356 id: skin-1059 author: Del Rosso, James ; Gold, Linda Stein; Kircik, Leon; Alexis, Andrew; Desai, Seemal R.; Stakias, Vassilis; Stuart, Iain title: Integrated Efficacy of FMX101 4% Topical Minocycline Foam for the Treatment of Moderate-to-Severe Acne Vulgaris: Analyses of Efficacy in Clinically Relevant Subgroups of Patients date: 2020-10-27 words: 4011 flesch: 35 summary: ≥9 years • Moderate-to-severe acne (IGA score of 3 or 4) • 20-50 inflammatory lesions (papules, pustules, and nodules) • 25-100 non-inflammatory lesions (open and closed comedones) • Absolute change in the inflammatory lesion count at Week 12 compared with baseline • Absolute change in the inflammatory lesion count at Weeks 3, 6, and 9 compared with baseline Integrated efficacy population (N=2449) Vehicle foam (n=1071) FMX101 4% (n=1378) Included efficacy endpoints IGA, Investigator’s Global Assessment, based upon a 6-point scale in which 0 Absolute reduction from baseline in inflammatory lesions for the pooled population -16.0-16.0 -13.0 -13.0 -20 -15 -10 -5 0 0 3 6 9 12 A bs ol ut e ch an ge fr om b as el in e in in fla m m at or y le si on s Week -20 -15 -10 -5 0 A bs ol ut e ch an ge fr om b as el in e at W ee k 12 in in fla m m at or y le si on s P<0.0001, LSM Diff=3.43, CI=(2.40, 4.46) n=1378 n=1071 FMX101 4% A B Vehicle foam P<0.0001 P<0.0001 P<0.0001 P<0.0001 FMX101 4% Vehicle foam -16.0-16.0 -13.0 -13.0 -20 -15 -10 -5 0 0 3 6 9 12 A bs ol ut e ch an ge fr om b as el in e in in fla m m at or y le si on s Week -20 -15 -10 -5 0 A bs ol ut e ch an ge fr om b as el in e at W ee k 12 in in fla m m at or y le si on s P<0.0001, LSM Diff=3.43, CI=(2.40, 4.46) n=1378 n=1071 FMX101 4% A B Vehicle foam P<0.0001 P<0.0001 P<0.0001 P<0.0001 FMX101 4% Vehicle foam LSM Diff, least squares mean difference; CI, confidence interval; ITT population with multiple imputation; P values are based on LSM Diff from ANCOVA. keywords: e ch; fla; p<0.0001 p<0.0001; s p<0.0001; ut e cache: skin-1059.pdf plain text: skin-1059.txt item: #48 of 1356 id: skin-106 author: Jeong, Sinyoung; Hermsmeier, Maiko; Osseiran, Sam; Yamamoto, Akira; Nagavarapu, Usha; Chan, Kin F; Evans, Conor L title: Visualization of Cutaneous Distribution of Minocycline of a Topical Gel in Human Facial Skin with Two-Photon Excited Fluorescence Lifetime Imaging Microscopy (FLIM) and Phasor Analysis date: 2017-10-27 words: 1500 flesch: 44 summary: Signals were acquired with photomultiplier tubes (PMT) to reconstruct FLIM images. FLIM analysis starting (from left to right column) bright field images, two-photon excitation fluorescence (2PEF) images, FLIM images, Phasor plots corresponding to FLIM images, and quantitative analysis of local minocycline concentration, in the epidermis, hair follicle and sebaceous gland by phasor analysis. keywords: analysis; flim; fluorescence; minocycline; phasor cache: skin-106.pdf plain text: skin-106.txt item: #49 of 1356 id: skin-1060 author: Del Rosso, James Q; Gold, Linda Stein; Draelos, Zoe; Raoof, Tooraj Joseph; Hooper, Deidre; Stuart, Iain title: A Prospective, Multicenter, Randomized, Double-blind, Vehicle-controlled Phase 2 Study to Evaluate the Safety and Efficacy of a Combination Of 3% Minocycline and 0.3% Adapalene Topical Foam Formulation for the Treatment of Moderate-to-Severe Acne date: 2020-10-27 words: 3396 flesch: 54 summary: The objectives of this study are: – To evaluate the safety, tolerability, and efficacy of the combination product FCD105 in the treatment of moderate-to-severe acne vulgaris with up to 12 weeks of daily treatment, in comparison with vehicle – To compare the efficacy and safety of FCD105 against the individual, active-drug components: minocycline 3% and adapalene 0.3% topical foam products Methods • Study FX2016-40 was a randomized, multicenter, double-blind, vehicle-controlled, Phase 2 study – The purpose was to evaluate the safety, tolerability, and efficacy over a 12-week treatment period of FCD105 as compared with vehicle foam and the individual active components of FCD105 in the treatment of subjects with moderate-to-severe acne vulgaris in a 2x2 factorial design (Figure 1) • Study drug administration – Subjects were randomized 5:3:4:4 to one of the following 4 color-matched foam treatments: FCD105 (minocycline 3% + adapalene 0.3%), vehicle, minocycline 3%, or adapalene 0.3% � Overall, there was high rate of study completion; 417 (93.3%) of the 447 subjects who were included in the ITT population completed the study, with comparable completion rates between treatment groups (Figure 1) – The assigned study treatment was applied once daily for 12 weeks • Co-primary efficacy endpoints – Absolute change in inflammatory and noninflammatory lesion counts from baseline to week 12 for FCD105 vs. vehicle – Percent of subjects achieving IGA treatment success at week 12, where success was defined as a score of 0 (clear) or 1 (minimal) and a ≥2-grade improvement (decrease) from baseline for FCD105 vs. vehicle • Secondary efficacy endpoints – Percentage change of inflammatory and noninflammatory lesion count for FCD105 vs vehicle at weeks 4, 8, and 12 – Absolute change of inflammatory and noninflammatory lesion count for FCD105 vs minocycline 3% and FCD105 vs. adapalene 0.3% from baseline to week 12 – Percent of patients achieving IGA treatment success at week 12 for FCD105 vs minocycline 3% and FCD105 vs. adapalene 0.3% • Safety evaluations – Treatment-emergent adverse events, local skin tolerability assessments, vital signs, and physical examinations • A subject satisfaction questionnaire was completed at baseline and week 12 Figure 1. A limitation of the study relates to the generalizability of the data to a larger population or to patients less than 12 years of age • Future studies are needed to confirm these findings and evaluate the safety profile of FCD105 over longer treatment durations Conclusions • Statistically significant improvement in disease burden was observed for FCD105 foam vs vehicle foam for the absolute change in inflammatory lesion count and IGA treatment success at week 12 • Numerical superiority was demonstrated for FCD105 over vehicle foam for the absolute change in noninflammatory lesions at week 12 • Numerical advantage of FCD105 foam over both minocycline 3% foam and adapalene 0.3% foam was observed at week 12, with the majority of comparisons being statistically significant • TEAEs were few in type and frequency. keywords: baseline; fcd105; inflammatory; subjects; treatment; vehicle; week cache: skin-1060.pdf plain text: skin-1060.txt item: #50 of 1356 id: skin-1061 author: Gold, Linda Stein; Del Rosso, James; Kircik, Leon; Bhatia, Neal D; Hooper, Deirdre; Nahm, Walter; Stuart, Iain title: Open-Label Extension Study Evaluating the Long-Term Safety, Efficacy, and Tolerability of FMX103 1.5% Topical Minocycline Foam in the Treatment of Moderate-to-Severe Facial Papulopustular Rosacea date: 2020-10-27 words: 2618 flesch: 47 summary: Study 11 Randomized (N=751) Completed DB study (FMX103 1.5%) n=437 Completed DB study (Vehicle) n=232 Entered OL study n=140 (32%) Entered OL study n=77 (24%) Study 12 Randomized (N=771) Completed DB study (FMX103 1.5%) n=479 Completed DB study (Vehicle) n=239 Entered OL study n=192 (40%) Entered OL study n=95 (40%) Study design Week 52Baseline Key Inclusion Criteria for DB Study • Males and nonpregnant females ≥18 years • Moderate-to-severe facial papulopustular rosacea (IGA score of 3 or 4) • >15 to ≤75 facial papules and pustules, excluding lesions involving eyes and scalp; ≤2 nodules on the face • Presence or history of facial erythema or flushing Co-Primary Efficacy Endpoints • Absolute change in the inflammatory lesion count at Week 52 compared to DB baseline • IGA Success Rate (dichotomized as yes/no) at Week 52, where success was defined as an IGA score of 0 or 1, and at least a 2-grade improvement (decrease) from DB baseline Secondary Efficacy Endpoints • The absolute and percent change from DB baseline in inflammatory lesion count at Weeks 16, 22, 28, 34, 40, 46, and 52 of the OL study • The dichotomized IGA Success Rate at Weeks 16, 22, 28, 34, 40, and 46 • The Subject Satisfaction Questionnaire (SSQ) at Week 52 Week 12 FMX103 1.5% (505 enrolled, 504 in safety population, 410 completed) Double-blind, vehicle-controlled (N=1522) Open-Label (FX2016-13) for subjects who completed the DB study Visit every 6 weeks Vehicle Foam (n=256) FMX103 1.5% (n=495) Vehicle Foam (n=257) FMX103 1.5% (n=514) S tu dy 1 1 S tu dy 1 2 IGA, Investigator’s Global Assessment; DB, double-blind study; OL, open-label study; OTC, over-the-counter. Results Subject Disposition and Double-Blind Baseline Demographics • As shown in Figure 2, 504 subjects who completed the DB study (Study 11: N=217; Study 12: N=287) comprised the All Treated (Safety) population in the OL extension study (Study 13) Figure 2. keywords: fmx103; rosacea; study; subjects; treatment; vehicle; week cache: skin-1061.pdf plain text: skin-1061.txt item: #51 of 1356 id: skin-1062 author: Del Rosso, James Q; Gold, Linda Stein; Kircik, Leon; Bhatia, Neal; Sadick, Neil; Zirwas, Matthew; Lain, Edward; Stuart, Iain title: Integrated Safety and Efficacy Analysis of FMX103 1.5% Topical Minocycline Foam for the Treatment of Moderate-to-Severe Papulopustular Rosacea: Results From Two Phase 3 Studies date: 2020-10-27 words: 3476 flesch: 42 summary: Summary Efficacy Summary • FMX103 1.5% demonstrated efficacy over vehicle foam in treating papulopustular rosacea in a pooled population of ~1500 subjects, with effects being observed as early as 4 weeks into treatment • Sub-analyses were performed on the integrated data set to characterize the efficacy of FMX103 1.5% in treating papulopustular rosacea in predefined subgroups of subjects – FMX103 1.5% demonstrated significant efficacy benefits in treating papulopustular rosacea in subgroups of subjects that had either moderate (IGA=3) or severe (IGA=4) disease severity at baseline, with a more pronounced effect in the severe subpopulation • Findings from this integrated efficacy analysis are thus consistent with those from the individual phase 3 studies, both of which achieved statistically significant differences for all primary efficacy endpoints and further demonstrated significant differences as early as 4 weeks into treatment Safety Summary • FMX103 1.5% was generally safe and well tolerated • 341 (22.4%) subjects reported a TEAE during the 2 identical double-blind Phase 3 studies – In general, no differences were observed between treatment groups in the incidence of TEAEs – The most frequently reported TEAEs for FMX103 1.5% vs vehicle, respectively, were viral upper respiratory tract infection (2.4% vs 2.3%), upper respiratory tract infection (1.9% vs 2.5%), and headache (1.4% vs 1.9%) – The majority of TEAEs reported were mild in severity (overall 68%) – 7 subjects reported severe TEAEs; all were considered to be unrelated to treatment, and were similar between treatment groups • 219 (21.7) 122 (23.8) 341 (22.4) Number of TEAEs 350 184 534 Subjects with any serious TEAE, n(%) 3 (0.3) 5 (1.0) 8 (0.5) Number of serious TEAEs 8a 9b 17 Subjects with any treatment-related TEAE, n(%) 3 (0.3) 5 (1.0) 8 (0.5) Number of treatment-related TEAEs 24c 17d 41 Subjects with any TEAE leading to discontinuation, n(%) 7 (0.7) 2 (0.4) 9 (0.6) Number of TEAEs leading to study discontinuation 8e 2f 10 aNausea, chest discomfort, fatigue, seasonal allergy, dehydration, syncope, dyspnea, hypertension bGastrointestinal hemorrhage, chest pain, pyrexia, dyspnea, asthma, hypertension, myocardial infarction, tachycardia cPruritis, rash, dermatitis, dermatitis contact, hair color changes, nail discoloration, skin hyperpigmentation, application site pain, application site erythema, facial pain, nodule, migraine, dizziness, dysgeusia, aphthous ulcer, cheilitis, eye irritation, ophthalmic herpes simplex, sunburn dNail discoloration, rosacea, skin exfoliation, application site pain, facial pain, application site pruritis, headache, cellulitis, skin cancer, urine odor abnormal ePruritis, dermal cyst, dermatitis, telangiectasia, influenza, urinary tract infection, bladder mass fRash pustular, myocardial infarction • The incidence rate of the most frequently reported TEAEs (≥1% in any group) was similar between treatment groups (Table 3) keywords: baseline; efficacy; figure; fmx103; foam; subjects; teaes; treatment; vehicle; week cache: skin-1062.pdf plain text: skin-1062.txt item: #52 of 1356 id: skin-1063 author: Gooderham, Melinda J.; Kircik, Leon H.; Zirwas, Matthew; Lee, Mark; Kempers, Steven E.; Draelos, Zoe D.; Ferris, Laura; Jones, Terry M.; Saint-Cyr Proulx, Etienne; Bissonnette, Robert; Bhatia, Neal; Guenthner, Scott T.; Koppel, Robert A.; Welgus, Howard; Merritt, Charlotte; Elias, Meg; Navale, Lynn; Higham, Robert C.; Droege, Michael; Berk, David R. title: The Safety and Efficacy of Roflumilast Cream 0.15% and 0.05% in Atopic Dermatitis: Phase 2 Proof-of-Concept Study date: 2020-10-27 words: 2356 flesch: 51 summary: Phase 2 Proof-of-Concept Study Roflumilast cream 0.15% QD Roflumilast cream 0.05% QD Vehicle QD ENDPOINTS • Primary: EASI change from baseline • Secondary: – EASI % change from baseline – EASI-50 and EASI-75 – BSA – WI-NRS • Exploratory: – vIGA-AD “clear” or “almost clear” – vIGA-AD “clear” or “almost clear” + ≥2-grade improvement • Safety and tolerability 4 weeks Ra nd om iz at io n 1:1:1 N=136 ELIGIBILITY • Mild or moderate atopic dermatitis (vIGA-AD=2 or 3) • Week 1 Week 2 Week 4 LS M ea n Ch an ge F ro m B as el in e, % (9 5% C I) (A) 0 -10 -20 -30 -40 -50 -60 -70 -80 -90 P=0.040 P=0.035 Vehicle (n=45)Roflumilast 0.15% (n=45) Roflumilast 0.05% (n=46) Melinda J. Gooderham,1 Leon H. Kircik,2 Matthew Zirwas,3 Mark Lee,4 keywords: atopic; cream; dermatitis; easi; roflumilast; viga; week cache: skin-1063.pdf plain text: skin-1063.txt item: #53 of 1356 id: skin-1064 author: Guttman-Yassky, E; Blauvelt, A; Eichenfield, L; Paller, A; Armstrong, A; Drew, J; Gopalan, R; Simpson, E title: Impact of Lebrikizumab on Patient-Reported Outcomes in Atopic Dermatitis: Prospective and Post Hoc Analyses of a Phase 2b Clinical Trial Demonstrate Clinically Meaningful Improvements date: 2020-10-27 words: 2411 flesch: 58 summary: Patient-Reported Outcomes • LEB-treated patients showed a numerically greater reduction in pruritus NRS by Day 2 vs. placebo-treated patients, with further improvement across LEB arms vs. placebo to Week 16 as assessed by ≥4-point improvement or percent change from Baseline (Figure 3) – Differences in the proportions of patients achieving pruritus NRS change ≥4 points at Day 2: 6.3%, 5.6%, 15.3% of LEB 125 mg Q4W, 250 mg Q4W, 250 mg Q2W vs. 4.5% of placebo-treated patients, respectively Figure 3. SYNOPSIS • Atopic dermatitis (AD) is associated with higher rates of anxiety and depression, likely due to a number of contributing factors such as intense itching, disrupted sleep, stigma, increased healthcare costs, and a decreased quality of life1 • Lebrikizumab (LEB) is a novel, high-affinity monoclonal antibody targeting IL-13 that selectively prevents formation of the IL-13Rα1/IL-4Rα heterodimer receptor signaling complex while leaving endogenous regulation of IL-13 intact • In a randomized, double-blinded, placebo-controlled, dose-ranging, phase 2b study of LEB in patients with moderate-to-severe AD (NCT03443024),² LEB demonstrated dose-dependent, statistically significant improvement in the primary endpoint (percent change from Baseline to Week 16 in Eczema Area and Severity Index keywords: leb; mg q4w; q2w; q4w; week cache: skin-1064.pdf plain text: skin-1064.txt item: #54 of 1356 id: skin-1065 author: Papp, Kim; Szepietowski, Jacek C.; Kircik, Leon; Toth, Darryl; Kuligowski, Michael E.; Venturanza, May E.; Sun, Kang; Simpson, Eric L. title: Efficacy and Safety of Ruxolitinib Cream for the Treatment of Atopic Dermatitis: Results From Two Phase 3, Randomized, Double-Blind Studies date: 2020-10-27 words: 2546 flesch: 54 summary: Kim Papp, MD, PhD,1 Jacek C. Szepietowski, MD, PhD,2 Leon Kircik, MD,3 Darryl Toth, MD,4 Michael E. Kuligowski, MD, PhD, MBA,5 May E. Venturanza, MD,5 Kang Sun, PhD,5 Eric L. Simpson, MD6 Background ● Atopic dermatitis (AD) is a chronic, inflammatory skin disease that greatly impacts patients’ quality of life1,2 ● Janus kinases (JAKs) modulate inflammatory cytokines involved in the pathogenesis of AD3 and may also directly modulate itch4 ● Ruxolitinib (RUX) is a potent, selective inhibitor of JAK1 and JAK25 ● In a phase 2 study (NCT03011892), RUX cream provided strength-dependent efficacy in patients with AD and a safety profile similar to vehicle6 Objectives ● To report efficacy and safety of RUX cream in patients with AD in two phase 3 studies (TRuE-AD1 [NCT03745638] and TRuE-AD2 [NCT03745651]) Methods Patients and Study Design ● Eligible patients were aged ≥12 years with AD for ≥2 years, an Investigator’s Global Assessment (IGA) score of 2 or 3, and 3% to 20% affected body surface area ● Key exclusion criteria were unstable course of AD, other types of eczema, immunocompromised status, use of AD systemic therapies during the washout period and during the study, use of AD topical therapies (except bland emollients) during the washout period and during the study, and any serious illness/medical condition that could interfere with study conduct, interpretation of data, or patients’ well-being ● TRuE-AD1 and TRuE-AD2 had identical study designs (Figure 1) – In both studies, patients were randomized (2:2:1) to either of 2 RUX cream strength regimens (0.75% twice daily Efficacy ● Significantly more patients treated with RUX cream regimens vs vehicle demonstrated IGA-TS (primary endpoint); responses were time and strength dependent (Figure 2) ● Significantly more patients treated with RUX cream achieved EASI-75 vs vehicle; responses were time and strength dependent (Figure 3) ● Both strengths of RUX cream showed greater improvement in mean percentage change in EASI scores vs vehicle; statistical significance was observed at Week 2 and later (Figure 4) ● Significantly greater reductions in itch NRS scores were observed within 12 hours of the first application of RUX cream (1.5%; P<0.05; Figure 5) vs vehicle ● Significantly more patients treated with RUX cream demonstrated clinically meaningful reduction in itch (≥4-point improvement in itch NRS) vs vehicle (Figure 6) keywords: cream; patients; rux; treatment; vehicle; week cache: skin-1065.pdf plain text: skin-1065.txt item: #55 of 1356 id: skin-1066 author: Simpson, Eric; Blauvelt, Andrew; Guttman-Yassky, Emma; Worm, Margitta; Lynde, Charles; Saeki, Hidehisa; Poulin, Yves; Wollenberg, Andreas title: Efficacy and Safety of Tralokinumab Monotherapy in Adult Patients with Moderate-to-Severe Atopic Dermatitis: Results from Two 52-Week, Phase 3 Trials (ECZTRA 1 and ECZTRA 2) date: 2020-10-27 words: 2696 flesch: 47 summary: Frequent AEs (≥5% in any treatment group)a Table 2. Tralokinumab 300 mg q2w Placebo q2w Placebo q2w Tralokinumab 300 mg q4w Alternating with placebo Open-label treatment Tralokinumab 300 mg q2w � optional TCS 3:1 randomization Washout of TCS and other AD medication 300 mg q2w after initial loading dose (600 mg) Patients with clinical response of IGA-0/1 or EASI-75 2:2:1 randomization Screening Initial treatment Maintenance treatment Safety follow-up 66 weeks52 weeks16 weeks0-6 weeks Tralokinumab 300 mg q2w Placebo q2w ECZTRA 1 (n=603) keywords: ecztra; patients; placebo; q2w; rescue; tralokinumab; week cache: skin-1066.pdf plain text: skin-1066.txt item: #56 of 1356 id: skin-1067 author: Elewski, Boni E.; Zirwas, Matthew J.; Langley, Richard G.; Alexis, Andrew F.; Veverka, Karen A.; Zoidis, John; Kurbasic, Azra; Silverberg, Jonathan I. title: Efficacy and Safety of Tralokinumab with Concomitant Topical Corticosteroids in North American Adults with Moderate-to-Severe Atopic Dermatitis: A Subanalysis of the ECZTRA 3 Trial date: 2020-10-27 words: 2184 flesch: 36 summary: Efficacy and safety of tralokinumab with concomitant topical corticosteroids in North American adults with moderate-to-severe atopic dermatitis: a subanalysis of the ECZTRA 3 trial Boni E. Elewski,1 Matthew J. Zirwas,2 [SCORAD]) at week 16 — Cumulative TCS use in tralokinumab-treated patients was lower than that of those who received placebo at week 16, suggesting achievement of endpoints was not likely attributable to TCS use alone Objective • To evaluate the efficacy and safety of tralokinumab 300 mg q2w in combination with TCS in the ECZTRA 3 North American subpopulation at week 16 Methods Study design and patients • ECZTRA 3 was a randomized, double-blind, placebo-controlled, 32-week trial in adult patients with moderate-to-severe AD (Figure 1) keywords: american; north; placebo; q2w; tcs; tralokinumab; week cache: skin-1067.pdf plain text: skin-1067.txt item: #57 of 1356 id: skin-1068 author: Silverberg, Jonathan I.; Cork, Michael; Wollenberg, Andreas; Katoh, Norito; Steffensen, Louise Abildgaard; Kurbasic, Azra; Olsen, Christina Kurre; Kuznetsova, Alexandra; ?sterdal, Marie Louise; Vilsb?ll, Andreas Westh; Deleuran, Mette title: Early Changes in Patient-Relevant Endpoints in Three Tralokinumab Pivotal Phase 3 Trials (ECZTRA 1−3) in Adult Patients with Moderate-to-Severe Atopic Dermatitis date: 2020-10-27 words: 2496 flesch: 51 summary: [bi-weekly to week 8, then at weeks 12 and 16] - Patient-Orientated Eczema Measure (POEM): consisting of seven items eac addressing a specific AD symptom over the last week (itching, sleep, bleeding, weeping, cracking, flaking, and dryness) – patients indicated the frequency of each experienced in the previous week to generate a total score (bi-weekly to week 8, then at weeks 12 and 16) - DLQI and POEM were answered electronically at the study site and all PRO measures were reported prior to clinician assessments 2020 Schedule of PRO assessments in ECZTRA 1-3 Patient-reported outcome measure DLQI POEM Eczema-related sleep NRS (weekly average) Assessed daily with eDiary Assessed daily with eDiary Worst daily pruritus NRS (weekly average) Baseline X X Week 1 Week 2 X X Week 3 Week 4 X X Week 5 Week 6 X X Week 7 Week 8 X X Week 9 Week 10 Visit 5a keywords: ecztra; placebo; q2w; tcs; tralokinumab; week cache: skin-1068.pdf plain text: skin-1068.txt item: #58 of 1356 id: skin-1069 author: Farberg, Aaron; Ahmed, Kelli; Bailey, Christine ; Russell, Brooke; Douglas, Kelly; Johnson, Clare; Zolochevska, Olga; Cook, Robert; Goldberg, Matthew title: A 35-Gene Expression Profile Test for use in Suspicious Pigmented Lesions Impacts Clinical Management Decisions of Dermatopathologists and Dermatologists date: 2020-10-27 words: 5027 flesch: 50 summary: As with the dermatopathologists, the lesion order and timing to which GEP results were presented was randomized for participants. While the head to head comparisons with other GEP tests for melanoma diagnosis do not exist, the cross study comparison of accuracy metrics, the substantially reduced intermediate-risk zone, and the inclusion of melanoma in situ lesions in the development and validation of the test position the 35-GEP test to provide superior diagnostic clarity when compared to existing GEPs for melanocytic neoplasms.21 keywords: benign; dermatopathologists; diagnosis; gep; lesions; malignant; melanocytic; melanoma; result; study; test cache: skin-1069.pdf plain text: skin-1069.txt item: #59 of 1356 id: skin-107 author: Alexis, Andrew; Del Rosso, James; Desai, Seemal R; Downie, Jeanine; Draelos, Zoe D; Feser, Christina; Forconi, Rion; Fowler, Joseph; Gold, Michael; Kaufman-Janette, Joely; Lain, Edward; Lee, Mark; Ling, Mark; Shamban, Ava; Werschler, William; Daniels, AnnaMarie title: Rapid Improvement with BPX-01 Minocycline Topical Gel in the Treatment of Moderate-to-Severe Inflammatory Acne Vulgaris: a Randomized, Double-Blind, Vehicle-Controlled Study date: 2017-10-27 words: 1508 flesch: 53 summary: AnnaMarie Daniels16 Rapid Improvement with BPX-01 Minocycline Topical Gel in the Treatment of Moderate-to-Severe Inflammatory Acne Vulgaris: a Randomized, Double-Blind, Vehicle-Controlled Study -70% -60% -50% -40% -30% -20% -10% 0% Baseline Week 4 Week 8 Week 12 BPX-01 1% BPX-01 2% Vehicle Baseline 0.0% 0.0% 0.0% Week 2 -32.8% -27.6% -25.7% Week 4 -39.7% -43.3% -25.3% Week 8 -50.5% -49.5% keywords: acne; lesions; minocycline; reduction; treatment; week cache: skin-107.pdf plain text: skin-107.txt item: #60 of 1356 id: skin-1070 author: Estrada, Sarah; Shackelton, Jeffrey; Cleaver, Nathan; Depcik-Smith, Natalie; Cockerell, Clay; Lencioni, Stephen ; Martin, Howard; Wilkinson, Jeffrey; Meldi Sholl, Lauren; Berg, Michael; Russell, Brooke; Zolochevska, Olga; Covington, Kyle; Farberg, Aaron; Goldberg, Matthew; Gerami, Pedram; Hosler, Gregory title: Development and Validation of a Diagnostic 35-Gene Expression Profile Test for Ambiguous or Difficult-to-Diagnose Suspicious Pigmented Skin Lesions date: 2020-10-27 words: 8713 flesch: 53 summary: The majority of malignant lesions were biopsied from arms and legs (extremities, 40% of cases in training and validation, p=0.812), while benign lesions were mainly located on patients’ backs (36.5% in training cohort and 41% in validation, p=0.863). The National Society for Cutaneous Medicine 513 diagnosis of pigmented lesions, yet there is a substantial amount of diagnostic discordance that may potentially lead to overtreatment of patients with benign lesions and undertreatment of patients with melanoma.80 The 35-GEP test to distinguish benign from malignant pigmented lesions was developed to improve diagnostic accuracy and reduce diagnostic uncertainty for difficult-to-diagnose cases. keywords: benign; cancer; cases; cutaneous; dermatol; diagnosis; doi:10.1016; expression; gene; gep; lesions; malignant; melanocytic; melanoma; nevi; nevus; pathol; protein; risk; samples; skin; spitz; study; test; training; validation cache: skin-1070.pdf plain text: skin-1070.txt item: #61 of 1356 id: skin-1073 author: Tamazian, Shant; Chu, Emily; Simpson, Cory L. title: Pruritic Rash and Oral Erosions During Nivolumab Treatment for Melanoma date: 2021-01-01 words: 891 flesch: 42 summary: Only one case of non-bullous pemphigoid in association with anti-PD-1 therapy has been previously reported.6 Our case further supports that immunotherapy-related BP may present with non-bullous skin lesions and additionally emphasizes the need to monitor closely for oral erosions.2 Conflict of Interest Disclosures: None Funding: C.L.S. is supported by grant NIH K08- AR075846 Immunohistochemical (IHC) staining of the skin biopsy showed linear deposition of complement protein C3d along the dermal-epidermal junction (Figure 2) and enzyme-linked immunosorbent assay (ELISA) revealed anti-BP180 antibodies, confirming a diagnosis of bullous pemphigoid. keywords: figure; pemphigoid; skin cache: skin-1073.pdf plain text: skin-1073.txt item: #62 of 1356 id: skin-1075 author: Heibel, Haley Danielle; Dhaliwal, Parneet; Marks, Etan; Cockerell, Clay J. title: A Case of Metastatic Malignant Melanoma Simulating Granuloma Annulare date: 2021-05-21 words: 1734 flesch: 38 summary: The etiology of a granulomatous process associated with metastatic melanoma is unclear, but theories include a cell-mediated immune response against an antigenic factor derived from tumor cells or that melanoma cells secrete cytokines which attract histiocytes and lead to granuloma formation.7 In the setting of granulomatous reactions occurring during the treatment of melanoma, Park et al6 suggested this may represent immune activation against tumor DISCUSSION SKIN May 2021 BRIEF ARTICLE A Case of Metastatic Malignant Melanoma Simulating Granuloma Annulare Haley D. Heibel, MD,1 Parneet Dhaliwal, DO,2 Etan Marks, DO,3 Clay J. Cockerell, MD, MBA1,4 1Cockerell Dermatopathology, Dallas, TX 2Department of Pathology, Baylor University Medical Center, Dallas, TX 3Advanced Dermatology and Cosmetic Surgery, Delray Beach, FL 4Departments of Dermatology and Pathology, UT Southwestern Medical Center, Dallas, TX Malignant melanoma is a complex malignancy that can present with a wide range of histological patterns, including mimicking other malignant tumors and benign entities, such as interstitial granulomatous processes.1,2 Similarly, metastatic melanoma has a wide variety of clinical presentations that may not be visible to the clinician and may not seem suspicious for melanoma.1 All of these factors contribute to the challenges with making an accurate diagnosis of metastatic melanoma. keywords: excision; history; melanoma; patient cache: skin-1075.pdf plain text: skin-1075.txt item: #63 of 1356 id: skin-1076 author: Silverberg, Jonathan; Pink, Andrew; Olsen, Christina; Weidinger, Stephan title: Use of Topical Corticosteroids with Tralokinumab in Adult Patients with Moderate-to-Severe Atopic Dermatitis: Results from the 32-Week, Phase 3 ECZTRA 3 Trial date: 2020-10-27 words: 2657 flesch: 54 summary: ● In patients who did not respond to tralokinumab q2w plus TCS at week 16 and then continued with tralokinumab q2w plus TCS treatment up to week 32, TCS use increased from 13.8 g at week 16 to 15.0 g at week 32 (data not shown) ● TCS use decreased from 25.4 g to 16.3 g between weeks 16 and 32 in placebo non-responders who were assigned to tralokinumab q2w plus TCS at week 16 (data not shown) Safety ● Tralokinumab in combination with TCS was well tolerated in patients with moderate-to-severe AD (Table 3) ● Tralokinumab 300 mg q2w plus TCS was significantly more efficacious than placebo plus TCS at treating moderate-to-severe AD ● The lower use of TCS by tralokinumab-treated patients compared to placebo-treated patients through the initial 16-week treatment period, and the lower use of rescue medication in the tralokinumab arm, demonstrated the potential steroid-sparing effects of tralokinumab — By week 16, TCS use was 50% higher for placebo compared to tralokinumab, suggesting the observed high placebo response could be attributed to high TCS use — For comparison, the level of TCS use (38.1 g/month)12 reported in a recent prescription database study in patients with moderate-to-severe AD was similar to that seen in the placebo-treated patients presented here ● The reduction in TCS use is important because prolonged use of TCS is associated with unwanted adverse events, especially in patients concomitantly receiving other forms of corticosteroids,8 reflecting the “real-world” setting Use of topical corticosteroids with tralokinumab in adult patients with moderate-to-severe atopic dermatitis: results from the 32-week, Phase 3 ECZTRA 3 trial Jonathan I. Silverberg,1 Andrew E. Pink,2 keywords: placebo; q2w; tcs; tralokinumab; treatment; week cache: skin-1076.pdf plain text: skin-1076.txt item: #64 of 1356 id: skin-1077 author: Weidinger, Stephan; Pink, Andrew; Francisco, Juan; Kurbasic, Azra; Olsen, Christina; Vilsb?ll, Andreas; de Bruin Weller, Marjolein title: Tralokinumab Improves Clinically Relevant Outcome Measures: A Post Hoc Analysis of ECZTRA 3, A Randomized Clinical Trial in Patients with Moderate-To-Severe Atopic Dermatitis date: 2020-10-27 words: 2235 flesch: 28 summary: John’s Institute of Dermatology, Guy’s and St. Thomas’ Hospitals, London, UK; 3Dermatology Department, Hospital General Universitario de Alicante, Alicante, Spain; 4LEO Pharma A/S, Ballerup, Denmark; 5Department of Dermatology and Allergology, University Medical Center Utrecht, National Expertise Center for Eczema, Utrecht, The Netherlands Patient characteristics ● Patients had a long duration of AD prior to being enrolled into the study; almost half of patients had severe AD (IGA-4) at baseline and mean body surface area (BSA) involvement was close to 50% (Table 2) ● Overall, 60% of patients had a worst PGI-B score of 4 (very much bothered by their AD) at baseline ● ECZTRA 3 included assessment of: - IGA and EASI assessed every 2 weeks - Patient Global Impression of Bother (PGI-B) and Numerical Rating Scale (NRS) for worst daily pruritus assessed daily and recorded as the worst weekly and daily score respectively - Dermatology Life Quality Index (DLQI) and Patient-Oriented Eczema Measure (POEM) assessed bi-weekly until week 8, every 4 weeks until week 20, and then at week 28 and 32 Post hoc analysis ● Following HOME recommendations,8 outcomes were selected in the domains o clinician-assessed signs (EASI), patient-reported symptoms (pruritus NRS and POEM) quality of life (DLQI), and a patient global instrument (PGI-B) (Table 1) Conclusions ● Tralokinumab 300 mg every other week in combination with TCS as needed was associated with a high proportion of patients (91%) achieving a clinically meaningful improvement (minimal target) in at least one of the pre-defined disease domains (AD signs and symptoms and AD-related quality of life) 3 months after initiating treatment ● A high proportion of patients (82%) achieved an outcome equivalent to mild disease activity (ideal target) in at least one of the pre-defined disease domains (AD signs and symptoms and AD-related quality of life) during the maintenance treatment phase ● Using a holistic approach combining the achievement of the patients’ impression of burden target (PGI-B) in combination with one other initiation period target increased the proportion of patients who achieved EASI-50 and EASI-75 in the maintenance period ● This post hoc assessment is in line with previous data showing that IGA and EASI scores do not correlate perfectly with symptom outcome measures and suggest that jointly agreed treatment targets between patients and the clinician are important, as are holistic assessments References 1. keywords: patients; pgi; tcs; tralokinumab; treatment; week cache: skin-1077.pdf plain text: skin-1077.txt item: #65 of 1356 id: skin-1078 author: Simpson, Eric; Werfel, Thomas; Bieber, Thomas; Steffensen, Louise; Kuznetsova, Alexandra; ?sterdal, Marie; Saeki, Hidehisa title: Tralokinumab Monotherapy in Adult Patients with Moderate-to-Severe Atopic Dermatitis: Regional Differences in Baseline Disease Characteristics and Prior Treatment in the ECZTRA 1 and ECZTRA 2 Trials date: 2020-10-27 words: 1940 flesch: 49 summary: In this post hoc analysis of the ECZTRA 1 and ECZTRA 2 studies, regional differences were observed in disease severity and prior AD treatment, despite identical inclusion criteria ● Japan and Australia enrolled a similarly high proportion of patients with severe AD (IGA-4); however, Australia had the highest levels of prior medication use, compared with low use of medications (including systemic immunosuppressants) in Japan, most likely due to regional differences in AD treatment guidelines ● Regional differences in standard of care, in addition to differential assessment of study outcomes may, in part, explain the differences in therapeutic responses observed between ECZTRA 1 and ECZTRA 2. Prior AD treatments in all randomized patients by region in (A) ECZTRA 1 and (B) ECZTRA 2 A B 0 20 40 60 80 100 P a ti e n ts , % 0 20 40 60 80 100 P a ti e n ts , % ECZTRA 2 ECZTRA 1 Topical corticosteroid potency Topical corticosteroid potency 37.4% 34.8% 15.2% 52.0% 45.7% 23.3% 50.1% 11.1% 12.8% 21.5% 49.6% keywords: ecztra; europe; patients cache: skin-1078.pdf plain text: skin-1078.txt item: #66 of 1356 id: skin-1079 author: Weidinger, Stephan; Silverberg, Jonathan; Toth, Darryl; Bieber, Thomas; Alexis, Andrew; Elewski, Boni; Pink, Andrew; Hignen, DirkJan title: Efficacy and Safety of Tralokinumab Plus Concomitant Topical Corticosteroids (TCS) in Adult Patients with Moderate-to-Severe Atopic Dermatitis: Results from the 32-Week, Phase 3 ECZTRA 3 Trial date: 2020-10-27 words: 2734 flesch: 47 summary: ● Some patients who did not achieve IGA-0/1 or EASI-75 at week 16 were found to improve their IGA-0/1 or EASI-75 scores with continued tralokinumab q2w plus TCS treatment up to week 32 (Figure 6b) 2:1 randomization Washout of TCS and other AD medication 300 mg q2w after initial loading dose (600 mg) Clinical response defined as IGA-0/1 or EASI-75 Tralokinumab q2w  TCS (n=69) 16-week responders Tralokinumab q4w  TCS (n=69) 1:1 re-randomization Tralokinumab q2w  TCS (n=95) 16-week non-responders Placebo q2w  TCS (n=41) 16-week responders Tralokinumab q2w  TCS (n=79) keywords: patients; placebo; q2w; tcs; tralokinumab; week cache: skin-1079.pdf plain text: skin-1079.txt item: #67 of 1356 id: skin-108 author: Cook, Robert W; Oelschlager, Kristen; Poteet, Trisha; Maetzold, Derek; Stone, John; Monzon, Federico title: Clinical Reliability and Reproducibility of a Prognostic 31-Gene Expression Profile Test for Cutaneous Melanoma, and Association of the Test with Standard Clinicopathologic Factors date: 2017-10-27 words: 773 flesch: 43 summary: Pathologic characteristics of all successfully reported samples according to GEP Class result; Stage IIB and above, Breslow >1mm, ulceration, and mitotic rate ≥1/mm2 were significantly associated with Class result (Fisher’s exact test, p<0.0001) Results Conclusions • The 31-GEP test demonstrates robust, reproducible and reliable performance in primary tumor FFPE specimens. Metastatic risk class was determined using a proprietary predictive modeling algorithm which provides two results: a binary classification of Class 1 (low risk) or Class 2 (high-risk) tumor biology, and a quantitative discriminant score from 0 to 1.0, for which 0.5 represents the cutoff score between the binary classes. keywords: class; risk; test cache: skin-108.pdf plain text: skin-108.txt item: #68 of 1356 id: skin-1080 author: Stein-Gold, Linda; Moore, Angela; Tanaka, S. Ken; Johnson, Jodi; Grada, Ayman title: Reduced Blood-brain Barrier Penetration of Sarecycline Relative to Minocycline in Rats Corresponds with Lipophilicity and Low Vestibular Side Effects date: 2020-10-27 words: 709 flesch: 55 summary: Vestibular adverse events were low in Phase 3 efficacy and safety studies for sarecycline Time Mcn-pl Scn-pl Mcn-br Scn-br (hours) µg/mL µg/mL µg/g µg/g 1 0.333 0.460 0.074 BLQ 3 0.174 0.217 0.139 BLQ 6 0.077 0.049 0.068 BLQ Pl = plasma, Br = brain, Mcn = minocycline, Scn = sarecycline Limit of quantitation (LOQ) (plasma) = 0.025 µg/mL, LOQ (brain) = 0.05 µg/g; BLQ – Below the limit of quantitation Compound pH 5.5 pH 7.4 Sarecycline HCl -0.16 + 0.01 -0.26 + 0.01 Doxycycline HCl -0.00 + 0.02 -0.18 + 0.03 Minocycline HCl 0.09 + 0.02 0.12 + 0.02 Octanol/water distribution coefficients of sarecycline HCl, minocycline HCl, and doxycycline HCl at 25°C. Unlike minocycline, sarecycline was not detectable in the brain in rats Results - Table 2. keywords: brain; minocycline; sarecycline cache: skin-1080.pdf plain text: skin-1080.txt item: #69 of 1356 id: skin-1081 author: Chimalakonda, Anjaneya; Burke, James; Cheng, Lihong; Catlett, Ian; Patel, Aditya; Shen, Jun; Girgis, Ihab; Banerjee, Subhashis; Throup, John title: Selective Inhibition of Tyrosine Kinase 2 With Deucravacitinib (BMS-986165) Compared With Janus Kinase 1−3 Inhibitors date: 2020-10-27 words: 1888 flesch: 45 summary: Tofacitinib 10 mg BID is approved for treating ulcerative colitis but not for rheumatoid arthritis.9 Tofacitinib, upadacitinib, and baricitinib: margins to TYK2 inhibitor IC50 are provided for the highest approved dose. BID, twice daily; IC50, half-maximal inhibitory concentration; JAK, Janus kinase; QD, once daily; TYK, tyrosine kinase 2. JAK 1−3 and TYK2 inhibitor pharmacokinetic parameters and whole blood IC50 • At clinically relevant doses, deucravacitinib Cmax, Cave, and Cmin were higher than or close to the TYK2 IC50 value, but were considerably lower than JAK 1/3 and JAK2 IC50 values (Figure 3) • Cmax, Cave, and Cmin values for tofacitinib, upadacitinib, and baricitinib were many-fold lower than TYK2 IC50 values, but were above or within range of JAK 1/3 and JAK2 IC50 values Figure 3. keywords: ic50; jak; tyk2 cache: skin-1081.pdf plain text: skin-1081.txt item: #70 of 1356 id: skin-1082 author: Kirsch, Brandon; Armas, Danielle; Chadha, Deepak title: A Four-Way, Cross-Over Design, Randomized, Double-Blinded, Placebo-&Active-Controlled Study for the Evaluation of the Effect of a Supratherapeutic Dose of Sofpironium Bromide Gel, 15% Applied Topically on the QT/QTc Intervals in Adult Healthy Volunteers date: 2020-10-27 words: 1011 flesch: 65 summary: (0%) 3 (5%) Table 1: Adverse Event Frequency by Treatment – Number of Subjects Reporting the Event (% of Subjects Dosed) (Safety Population) (≥5%) Results This was a randomized, double-blind (with respect to the supratherapeutic dose (6-fold) of sofpironium bromide gel, 15% and placebo gel only) and active-controlled (with respect to the moxifloxacin and therapeutic dose of sofpironium bromide gel, 15%), single-dose, 4-way crossover TQT study. In a study designed to mimic exposure that may occur under extreme circumstances in healthy subjects (BBI-4000-CL-109), a single 6-fold application of sofpironium bromide gel, 15% under occlusion showed a 3-fold increase in maximum sofpironium exposure compared to the intended therapeutic dose. keywords: bromide; dose; gel; sofpironium cache: skin-1082.pdf plain text: skin-1082.txt item: #71 of 1356 id: skin-1083 author: Kwong, Pearl; Baldwin, Hilary; Glaab, Debbie; Schreiber, Rhonda; Hignett, Emma title: Review of Mechanisms of Release of Commonly Prescribed Tetracyclines date: 2020-10-27 words: 1153 flesch: 44 summary: The most common MORs used in dermatology are immediate release (IR), delayed release (DR), and extended release (ER). No Slide Title This review highlights the evolution of oral formulations of tetracyclines most prescribed in dermatology. keywords: doxycycline; information; minocycline; release cache: skin-1083.pdf plain text: skin-1083.txt item: #72 of 1356 id: skin-1084 author: Patel, Anisha; Seminario-Vidal, Lucia title: Incidence, Characteristics, and Management of Alpelisib-Associated Rash in Patients With Advanced Breast Cancer date: 2020-10-27 words: 1984 flesch: 44 summary: Characteristics of these 2 rash types are presented in Table 1.11 • Retrospective data from 2 patients who experienced alpelisib-associated rash showed histology consistent with a hypersensitivity reaction.11 • Laboratory assessment data showed that patients who developed rash had an increase in blood eosinophils after 2 weeks of alpelisib treatment compared with baseline (2.7% vs 4.4%, P<0.05); a trend toward elevated ALT was also observed.11 – No differences in lymphocyte, neutrophil, or monocyte counts were reported between patients who developed rash and those who did not. – Rash leading to alpelisib treatment discontinuation did not occur frequently in clinical studies and most patients were able to resume anticancer treatment upon rash resolution. keywords: alpelisib; cancer; grade; patients; rash; treatment cache: skin-1084.pdf plain text: skin-1084.txt item: #73 of 1356 id: skin-1085 author: Robert, Caroline; Grob, Jean; Stroyakovskiy, Daniil; Karaszewska, Boguslawa; Hauschild, Axel; Levchenko, Evgeny; Sileni, Vanna; Schachter, Jacob; Garbe, Claus; Bondarenko, Igor; Nathan, Paul; Ribas, Antoni; Davies, Michael; Flaherty, Keith; Burgess, Paul; Tan, Monique; Gasal, Eduard; Schadendorf, Dirk; Long, Georgina title: Characteristics of Patients With a Complete Response Treated With Dabrafenib + Trametinib Combination Therapy: Findings From Pooled COMBI-d and COMBI-v 5-Year Analysis date: 2020-10-27 words: 2494 flesch: 52 summary: DOR in Patients Treated With D+T With CR or PR Patients With CR Patients With PR COMBI-d Patients, n Median DOR (95% CI), mo 39 NR (34.5-NR) 107 9.2 (7.2-10.5) COMBI-v Patients, n Median DOR (95% CI), mo 70 49.7 (27.6-NR) 167 10.8 (8.5-11.3) CR, complete response; D, dabrafenib; DOR, duration of response; NR, not reached; PR, partial response; T, trametinib. Baseline Characteristics in Patients With and Without CR • A higher proportion of patients who achieved CR had Eastern Cooperative Oncology Group performance status (ECOG PS) 0, normal LDH levels, and < 3 organ sites with metastases at baseline compared with patients who did not have a CR (Table 3) keywords: combi; disease; patients; response; years cache: skin-1085.pdf plain text: skin-1085.txt item: #74 of 1356 id: skin-1086 author: Draelos, Zoe; Tanghetti, Emil title: A Comparative Clinical Demonstration of the Spreadability of Tazarotene Lotion 0.045% versus Trifarotene Cream 0.005% date: 2020-10-27 words: 797 flesch: 50 summary: The investigator applied the products with a gloved hand to obtain an even film, moving study product down the back until it would no longer spread ◾ These results are supported by the differences in the rheological profiles of the two products, in which tazarotene lotion exhibits lower yield stress and lower intrinsic viscosity versus trifarotene cream3 REFERENCES 1. keywords: lotion; trifarotene cache: skin-1086.pdf plain text: skin-1086.txt item: #75 of 1356 id: skin-1087 author: Melin, Matthew; Reinders, Jennifer; Wubben, Angie; Cecconi, Katie title: The Synergistic, Amplifying Use of Micronized Purified Flavanoid Fraction, Proprietary Ceramide Emulsion, and Dermal Microdeformation Fuzzy Wale Compression Under Inelastic Compression for the Management of Venous Leg Ulcers date: 2020-10-27 words: 908 flesch: 36 summary: Initiation MPFF (diosmiplex 630mg), proprietary 3:1:1 ceramide dominant emulsion, fuzzy wale dermal compression under inelastic compres- sion, HOCL wound washes The Synergistic, amplifying use of Micronized Purified Flavanoid Fraction, proprietary ceramide emulsion, and dermal microdeformation fuzzy wale compression under inelastic compression for the management of Venous Leg Ulcers ■ Matthew M. Melin, MD, FACS, RPVI,FACCWS; Jennifer Reinders, WOCN; Angie Wubben, WOCN; Katie Cecconi, PA ■ Wound Healing Institute, M Health Fairview, Edina, MN OBJECTIVE Assess use of simultaneous treatment methods for accelerated wound healing and dermatitis improvement CONCLUSIONS Day 1 initiated MPFF (diosmiplex 630mg), proprietary 3:1:1 ceramide emulsion, fuzzy wale compression with inelastic compression (applied by husband) keywords: compression; day; venous; wound cache: skin-1087.pdf plain text: skin-1087.txt item: #76 of 1356 id: skin-1088 author: Anderson, Katlyn title: Step-up Therapy with Skin Barrier Repair Emulsion in Personal Protective Equipment (PPE) Associated Adverse Skin Reactions during the COVID-19 Pandemic date: 2020-10-27 words: 700 flesch: 50 summary: Gloves CONCLUSIONS Step-up and maintenance therapy with a 3:1:1 skin barrier repair emulsion was associated with improved outcomes in PPE associated skin irritation on the hands. It is therefore important to re-evaluate and evolve approaches in the prevention, treatment, and maintenance of PPE associated ASRs. keywords: barrier; ppe; skin cache: skin-1088.pdf plain text: skin-1088.txt item: #77 of 1356 id: skin-1089 author: Kirsch, Brandon; Dubois, Janet; Zaiac, Martin; Ahuja, Sanjeev; Chadha, Deepak title: A Multi-Center, Open-Label Extension Study to Assess the Long-Term Safety, Tolerability and Pharmacokinetics, and Explore the Efficacy of Sofpironium Bromide Gel, 15% Applied Topically to Children/Adolescents, 9-16 Years, with Primary Axillary Hyperhidrosis date: 2020-10-27 words: 1194 flesch: 59 summary: Approximately 2.1% of individuals <18 years of age have primary hyperhidrosis with ~65% having axillary [11] Table 2: Frequency of Anticholinergic TEAEs (≥5%) (n=21) Dry Eye 1 (4.8%) keywords: hyperhidrosis; severity; study; subjects cache: skin-1089.pdf plain text: skin-1089.txt item: #78 of 1356 id: skin-109 author: Fleming, Martin; Johnson, Clare; Covington, Kyle; Gadzia, Joseph; Dillon, Larry; Monzon, Frederico title: Clinical Impact of a 31-Gene Expression Profile Test on Physician Recommendations for Management of Melanoma Patients in a Prospectively Tested Cohort date: 2017-10-27 words: 1021 flesch: 54 summary: At the subsequent visit following receipt of GEP test result, follow-up recommendations were again collected to capture any changes in management. • Changes were categorized as increases, decreases or no change based on comparison of management plans pre- and post-receipt of GEP test result. keywords: class; gep; management; risk cache: skin-109.pdf plain text: skin-109.txt item: #79 of 1356 id: skin-1090 author: Rice, ZP; Pieretti, LJ; Wheeler, A; Payne, J; Gillard, KK; Hebert, AA title: Quality of Life Impact and Awareness of Primary Focal Hyperhidrosis in Children and Adolescents date: 2020-10-27 words: 2839 flesch: 51 summary: In general, there is a lack of awareness of hyperhidrosis as a bona fide medical condition and an underappreciation for the extent of burden caused by the disease.3-7 Though primary focal hyperhidrosis typically has a childhood/adolescent onset, very few studies exist on the impact and burden of the disease in younger patients compared with adult patients. – Areas with excessive sweating were generally consistent with focal hyperhidrosis, including palmar (96%), axillary (86%), plantar (86%), craniofacial (61%), back (61%), and inguinal (18%) regions. keywords: age; children; figure; hyperhidrosis; impact; life; participants; quality; sweating cache: skin-1090.pdf plain text: skin-1090.txt item: #80 of 1356 id: skin-1091 author: Hull, M; Gillard, KK; Peterson-Brandt, J; Klein, SZ title: Depression, Anxiety, Health Care Costs, and Utilization among Patients with Hyperhidrosis in a Real‑World Database Analysis date: 2020-10-27 words: 3568 flesch: 4 summary: The condition has reportedly been associated with impacts on health‑related quality of life, social and emotional stress, and a relatively high risk of concomitant depression and anxiety2‑5 • Real‑world observational data are limited in patients with hyperhidrosis, suggesting that additional research is warranted OBJECTIVES • To describe clinical characteristics and treatment patterns of patients with hyperhidrosis • To determine the prevalence of depression and anxiety among patients with hyperhidrosis relative to patients in a control cohort • To examine health care resource utilization (HCRU) and costs associated with concomitant depression and/or anxiety in patients with hyperhidrosis METHODS Patient Selection • Patients were identified from January 2010 through November 2017 from the Optum Research Database, a de‑identified database that contains medical and pharmacy information for commercial and Medicare Advantage claims • Inclusion criteria for patients newly diagnosed with hyperhidrosis were – Commercial health plan members with continuous enrollment with medical and pharmacy coverage for 12 months before (the baseline or pre‑index period) and ≥12 months after the index date (follow‑up period) – ≥2 hyperhidrosis diagnosis codes and/or prescription claims for extra‑ or prescription‑strength antiperspirant; the index date was the first observed claim indicating hyperhidrosis – No claims for medical procedures (botulinum toxin A, microwave thermolysis, suction curettage, iontophoresis, endoscopic thoracic sympathectomy) with codes specific to hyperhidrosis treatment during the baseline period – No claims for the above medical procedures or pharmacy claims for oral systemic therapies not specific to hyperhidrosis treatment within 7 days of the index date • Patients in the hyperhidrosis cohort were followed for a variable period of ≥12 months • A control cohort (CC) was constructed with comparable index year, age, gender, and health plan region to the hyperhidrosis cohort, and had the following key inclusion criteria – No evidence of hyperhidrosis based on medical claims or pharmacy claims for prescription‑strength antiperspirants – Continuous enrollment criteria identical to that of the hyperhidrosis cohort • The index date for control cohort patients was selected as a random date of health care resource utilization during the identification period, such as an office visit, inpatient admission, or a prescription claim; patients were followed for a fixed 12‑month period beginning on the index date Outcomes • Outcome variables were – Index year, age, gender, and geographic region – Baseline comorbid conditions, defined using indicator variables for specific disease conditions based on International Classification of Disease (ICD)‑9‑CM and ICD‑10 diagnoses employed by the Clinical Classifications Software, managed by the Agency for Healthcare Research and Quality – Hyperhidrosis treatments (hyperhidrosis cohort only, variable follow‑up period) P values were computed with clustering; Rao‑Scott test was used for binary measures Comorbidities were identified by Clinical Classification Software for ICD‑9‑CM/ICD‑10‑CM codes from the AHRQ AHRQ, Agency for Healthcare Research and Quality; ICD, International Classification of Disease Treatment Patterns • A slight majority of patients in the hyperhidrosis cohort (51.6%) received treatment with prescription antiperspirants, while 13.1% had prescription fills for oral systemic therapies; a very small percentage of the hyperhidrosis sample received procedures for hyperhidrosis treatment, including botulinum toxin A (Figure 1) • Prescription antiperspirants were the earliest initiated therapies in the hyperhidrosis cohort during the variable follow‑up period, with a mean ± SD time to first prescription fill of 1.4 ± 6.3 months (Table 2); this is consistent with the International Hyperhidrosis Society (IHhS) clinical treatment algorithm, which generally recommends antiperspirants as a first line of therapy for hyperhidrosis – While glycopyrronium cloth is also recommended by the IHhS as a first line treatment for primary axillary hyperhidrosis, the therapy was not available in the US until October 2018; since the study included data through November 2018, there were very few prescriptions made for glycopyrronium cloth (n=6) in this dataset, precluding meaningful analysis of the treatment option • keywords: anxiety; cohort; costs; depression; follow‑up; hyperhidrosis; patients; period; treatment cache: skin-1091.pdf plain text: skin-1091.txt item: #81 of 1356 id: skin-1092 author: Yavel, Regina; Overcash, J. Scott; Zhi, Jay; Cutler, Eva; Cutler, David; Fang, Jane title: Phase I Maximal Use Pharmacokinetic Study of Tirbanibulin Ointment 1% in Subjects with Actinic Keratosis date: 2020-10-27 words: 1225 flesch: 64 summary: • Mean (SD) dose applied was 137 (44.9) mg among the combined subject group (~55% of the full dose possible, 250 mg). • Secondary objectives were to evaluate the safety and tolerability of tirbanibulin ointment 1% and to determine the PK of tirbanibulin metabolites. keywords: mean; ointment; scalp; tirbanibulin cache: skin-1092.pdf plain text: skin-1092.txt item: #82 of 1356 id: skin-1093 author: Schlesinger, Todd; Bhatia, Neal; Berman, Brian; Grada, Ayman; Torra, Albert; Cutler, David; Lebwohl, Mark title: Favorable Safety Profile of Tirbanibulin Ointment 1% for Actinic Keratosis: Pooled Results from Two Phase III Studies date: 2020-10-27 words: 1034 flesch: 63 summary: Pooled LSR composite scores (the sum of all 6 LSRs) by visit and treatment were analyzed. Regarding composite LSR scores, LSR peaked on D8 with tirbanibulin with a maximum mean composite LSR score of 4.1, decreased significantly by D15, and resolved by D29- D57. keywords: day; lsr; tirbanibulin; treatment cache: skin-1093.pdf plain text: skin-1093.txt item: #83 of 1356 id: skin-1094 author: Blauvelt, Andrew; Kempers, Steven; Schlesinger, Todd; Lain, Edward; Wang, Hui; Cutler, David; Lebwohl, Mark; Fang, Jane; Kwan, Rudolf title: Tirbanibulin Ointment 1% for Actinic Keratosis (AK): Pooled Data from Two Phase 3 Studies date: 2020-10-27 words: 1089 flesch: 68 summary: PowerPoint Presentation • AK lesion count to Day 57 is shown in Figure 2. Reduction in AK lesion count to Day 57 was significantly greater than vehicle for all post-Baseline visits until Day 57 (Table 2). Complete and partial clearance rates of AK lesions (ITT population) • Primary and secondary endpoints were complete (100%) and partial (≥75%) clearance of AK lesions at Day (D) 57. keywords: day; tirbanibulin; vehicle cache: skin-1094.pdf plain text: skin-1094.txt item: #84 of 1356 id: skin-1095 author: Migden, Michael; Rischin, Danny; Sasane, Medha; Mastey, Vera; Pavlick, Anna; Schmults, Chrysalyne; Chen, Zhen; Guminski, Alexander; Hauschild, Axel; Bury, Denise; Chang, Anne Lynn; Rabinowits, Guilherme; Ibrahim, Sheriff; Lowy, Israel; Fury, Matthew; Li, Siyu; Chen, Chieh-I title: Health-Related Quality of Life (HRQL) in Patients with Advanced Cutaneous Squamous Cell Carcinoma (CSCC) Treated with Cemiplimab: Post Hoc Exploratory Analysis of a Phase 2 Clinical Trial date: 2020-10-27 words: 3070 flesch: 55 summary: • At baseline and day 1 of each treatment cycle until progression, patients were administered the QLQ-C30.9 Group 1 – Adult patients with metastatic (nodal and/or distant) CSCC Cemiplimab 3 mg/kg Q2W IV, for up to 96 weeks Cemiplimab 350 mg/kg Q3W IV, for up to 54 weeks Tumor response assessment by ICR (RECIST v1.1 for scans; modified WHO criteria for photos) EORTC QLQ-C30 quality of life questionnaire administered at baseline and day 1 of each treatment cycle Tumor imaging every 8 weeks for the assessment of clinical activity Tumor imaging every 9 weeks for the assessment of clinical activity Group 3 – Adult patients with metastatic (nodal and/or distant) CSCC Group 2 – laCSCC Key inclusion criteria • ECOG performance status of 0 or 1 • Adequate organ function • Groups 1 and 3: - At least one lesion measurable by RECIST v1.1 • Synopsis • Cutaneous squamous cell carcinoma (CSCC) is considered the second most common malignancy in the US, although its exclusion from national cancer registries has presented a barrier to epidemiologic characterization.1 - Estimates suggest an incidence of around 1.5 million cases per year in the US.2 - The incidence of CSCC is increasing yearly in the US.3 • Most CSCC patients have a favorable prognosis, but for the patients who are not amenable to curative surgery, palliative systemic therapy has been administered.1 • Cemiplimab is a programmed cell death (PD)-1 inhibitor that is indicated for treatment of CSCC in patients with metastatic (mCSCC) or locally advanced (laCSCC) disease not amenable to curative surgery or curative radiation.4 - Cemiplimab demonstrated a robust durable clinical response and a safety profile consistent with other checkpoint inhibitors in a recent Phase 2 study (NCT02760498).5–8 - Longer follow-up data from the Phase 2 study of cemiplimab in patients with advanced CSCC is presented in the poster titled “Phase 2 Study of Cemiplimab in Patients with Advanced Cutaneous Squamous Cell Carcinoma (CSCC): keywords: baseline; cscc; cycle; hrql; inc; patients; pharmaceuticals; regeneron; treatment cache: skin-1095.pdf plain text: skin-1095.txt item: #85 of 1356 id: skin-1096 author: Jalbert, Jessica; Chen, Chieh-I; Wu, Ning; Fury, Matthew; Ge, Wenzhen; Ruiz, Emily title: Patterns Of Hedgehog Inhibitor (HHI) Treatment Interruptions and Reinitiations Among Patients with Basal Cell Carcinoma (BCC) in Real-World Clinical Practice date: 2020-10-27 words: 2257 flesch: 57 summary: Ning Wu,1 Matthew G Fury,1 Emily Ruiz,2 Wenzhen Ge1 1Regeneron Pharmaceuticals, Inc., Tarrytown, NY, USA; 2Brigham and Women’s Hospital, Boston, MA, USA • Among patients with HHI treatment discontinuation, the risk of 12-month HHI reinitiation, median time (95% CIs) to reinitiation, and the risk of treatment discontinuation following second HHI use at 12 months was estimated via Kaplan–Meier analysis and stratified by type of HHI use (i.e. potential adjuvant, neoadjuvant, or both neoadjuvant and adjuvant use) using a 60-day grace period. The risk of HHI treatment discontinuation at 12 months, and median time (95% confidence intervals [CIs]) to treatment discontinuation was estimated via Kaplan– Meier survival analysis using different grace periods and stratified by type of HHI use (i.e. potential adjuvant, neoadjuvant, or both neoadjuvant and adjuvant use) using a 60-day grace period. keywords: days; grace; hhi; period; treatment cache: skin-1096.pdf plain text: skin-1096.txt item: #86 of 1356 id: skin-1097 author: Rischin, Danny; Khushalani, Nikhil; Schmults, Chryslalyne; Guminski, Alexander; Chang, Anne Lynn; Lewis, Karl; Lim, Annette; Hernandez-Aya, Leonel; Hughes, Brett; Schadendorf, Dirk; Hauschild, Axel; Stankevich, Elizabeth; Booth, Jocelyn; Yoo, Suk-Young; Chen, Zhen; Okoye, Emmanuel; Lowy, Israel; Fury, Matthew; Migden, Micahel title: Phase 2 Study of Cemiplimab in Patients with Advanced Cutaneous Squamous Cell Carcinoma (CSCC): Longer Follow-Up date: 2020-10-27 words: 3265 flesch: 56 summary: Maculopapular rash 23 (11.9) 1 (0.5) Anemia 22 (11.4) 8 (4.1) Hypothyroidism 22 (11.4) 0 Headache 21 (10.9) 0 Upper respiratory tract infection 20 (10.4) 0 †TEAEs reported in ≥10% of patients, ordered by frequency of any grade. Post hoc analysis of health-related quality of life in the same patient population is presented in the poster titled “Health-Related Quality of Life (HRQL) in Patients with Advanced Cutaneous Squamous Cell Carcinoma (CSCC) Treated with Cemiplimab: Post Hoc Exploratory Analysis of a Phase 2 Clinical Trial”, also available on the 2020 Fall Clinical Dermatology Conference platform. keywords: group; inc; merck; months; patients; pharmaceuticals; regeneron; response cache: skin-1097.pdf plain text: skin-1097.txt item: #87 of 1356 id: skin-1098 author: Rabinowits, Guilherme; Homsi, Jade; Nikanjam, Mina; Gentry, Rhonda; Strasswimmer, John; Venna, Suraj; Migden, Michael; Chandra, Sunandana; Ruiz, Emily; Zhang, Haixin; McGinniss, Jennifer; Seluzhytsky, Alex; Desai, Jigar title: Demographics, Prior Therapies, and Reasons for Cemiplimab Treatment: Prospective CemiplimAb-rwlc Survivorship and Epidemiology (C.A.S.E.) Study in Patients with Advanced Cutaneous Squamous Cell Carcinoma date: 2020-10-27 words: 1656 flesch: 46 summary: This initial demographic analysis of patients with advanced CSCC receiving cemiplimab in real-world practice indicates that most patients were male and elderly, with ~20% being immunosuppressed or immunocompromised to varying degrees. However, a small percentage of patients develop locally advanced CSCC, that is not amenable to curative surgery or curative radiotherapy (RT).4 • Until recently, patients with advanced CSCC, who were not candidates for curative surgery or radiation, had poor prognosis.5,6 • Cemiplimab is a high-affinity, monoclonal antibody that blocks programmed cell death (PD)-1 binding to PD-ligand (L)1 and PD-L2 and has demonstrated substantial antitumor activity in patients with advanced CSCC.4, 7-9 • Cemiplimab (cemiplimab-rwlc in the US) is approved by the European Medicines Agency and is the first PD-1 inhibitor approved by the US Food and Drug Administration for the treatment of patients with locally advanced or metastatic CSCC who are not candidates for curative surgery or curative radiation.10,11 • Limited data exist on the clinical characteristics, management, disease progression and survivorship of patients with advanced CSCC in real-world clinical practice. keywords: cemiplimab; cscc; inc; patients; pharmaceuticals; regeneron; usa cache: skin-1098.pdf plain text: skin-1098.txt item: #88 of 1356 id: skin-1099 author: Arrowitz, CE; Jiang, L; Hino, PD; Weber, TM title: Compatibility of a Colloidal Oatmeal Containing Body Wash for Pediatric Subjects with Atopic Dermatitis date: 2020-10-27 words: 956 flesch: 60 summary: Baseline Week 1 Week 2 AGREE DISAGREE ** 62.9% 14.3% ** 71.4% 14.3% 28.6% 42.8% **Statistically significant compared to baseline (p!0.001) 100% 80% 60% 40% 20% 0% % S u b je c ts Baseline Week 1 Week 2 AGREE DISAGREE ** 45.7% 40.0% 14.3% ** 74.3% 20.0% 80.0% **Statistically significant compared to baseline (p!0.001) 100% 80% 60% 40% 20% 0% % S u b je c ts Baseline Week 1 Week 2 AGREE DISAGREE * 51.4% 34.3%37.2% * 62.9% 25.7% 50.0% *Statistically significant compared to baseline (p!0.05) 100% 80% 60% 40% 20% 0% % S u b je c ts Baseline Week 1 Week 2 AGREE DISAGREE * 60.0% 25.7% 31.4% * 65.8% 17.2% 51.4% *Statistically significant compared to baseline (p!0.05) The following clinical trial tested a specially formulated Mild Cream Body Wash (MCBW) containing 2% colloidal oatmeal (skin protectant), mild surfactants, Ceramide NP, and components of the natural moisturizing factor on children with AD. keywords: baseline; skin; week cache: skin-1099.pdf plain text: skin-1099.txt item: #89 of 1356 id: skin-110 author: Hsueh, Eddy C; DeBloom, James R; Lee, Jonathan; Sussman, Jeffrey J; Slingluff, Jr, Craig L; McMasters, Kelly M title: Interim Analysis of Survival Outcomes in a Prospective Multicenter Cohort Evaluating a Prognostic 31-Gene Expression Profile (GEP) Test for Melanoma date: 2017-10-27 words: 1104 flesch: 65 summary: Physicians enrolled CM pts who were ≥16 years old and had successful GEP test results. This interim analysis of a prospective, multicenter study confirms the association between GEP class and outcomes (p<0.0001). keywords: analysis; class; gep; test cache: skin-110.pdf plain text: skin-110.txt item: #90 of 1356 id: skin-1100 author: Cork, Michael; Tha?i, Diamant; Eichenfield, Lawrence; Arkwright, Peter; Chen, Zhen; Kamal, Mohamed; O'Malley, John; Bansal, Ashish title: Dupilumab Provides Acceptable Long-Term Safety and Efficacy in Children Aged ≥ 6 to < 12 Years with Uncontrolled, Severe Atopic Dermatitis: Results From Patients Who Participated in an Open-Label Phase 2a Study and then in a Subsequent Phase 3 Open-Label Extension Study date: 2020-10-27 words: 3076 flesch: 55 summary: Here we present data from the patient population consisting of children who continued from the phase 2a study and received their original assigned regimen (2 mg/kg qw or 4 mg/kg qw, up to a maximum of 300 mg) in the OLE study Endpoints • Primary endpoints – Concentration–time profile (phase 2a study) of dupilumab, including PK parameters such as the area under the concentration time curve from 0 to the last measurable concentration (AUClast), maximal concentration (cmax), and time to cmax (tmax) – Incidence and rate of adverse events (phase 3 OLE study) Completion of Phase 2a study Baseline A B End of treatment End of study Screening period Screening visit between D –28 and D –1 Phone visits at W1, W2, W3 Weekly telephonic appraisalsc between in-clinic visitsd Treatment period Follow-up period W4 W260 W272W52D1 1st dose Part Aa Safety review of data up to 2 weeks from the first 8 patients in cohort 1A Cohort 1A (2 mg/kg in age group ≥ 12 to < 18 years) The second study is an ongoing, phase 3, OLE study (NCT02612454) enrolling pediatric patients who participated in previous dupilumab AD trials (Figure 1B) – Patients with a serious treatment-emergent adverse event (TEAE) deemed related to the study drug or with a TEAE related to study drug which led to discontinuation were not eligible to enroll in the OLE study – Patients continued on their original assigned regimen (2 mg/kg or 4 mg/kg qw) • keywords: dupilumab; ole; phase; study cache: skin-1100.pdf plain text: skin-1100.txt item: #91 of 1356 id: skin-1101 author: Nguyen, Tien; Lima, Hermenio; Finklea, Lindsey; Zhang, Haixin; Richman, Daniel; Korotzer, Andrew; Bansal, Shikha title: Atopic Dermatitis (AD) Disease History With AD Treatment History in a Cohort of AD Patients Treated With Dupilumab From a Real-World Registry (PROSE) date: 2020-10-27 words: 1133 flesch: 51 summary: We present baseline data from a real-world registry of adult AD patients, initiating commercial dupilumab treatment for AD per approved prescribing information OBJECTIVE • To report patient and family history of AD, and AD treatments taken before treatment initiation with dupilumab in patients from the PROSE registry Atopic Dermatitis (AD) Disease History With AD Treatment History in a Cohort of AD Patients Treated With Dupilumab From a Real-World Registry (PROSE) Tien Q. Nguyen1, Hermenio Lima2, Lindsey Finklea3, Haixin Zhang4, Daniel Richman5, Andrew Korotzer4, Shikha Bansal4 1First OC Dermatology, Fountain Valley, CA, USA; 2McMaster University, Hamilton, ON, Canada; 3RFSA Dermatology, San Antonio, TX, USA; 4Regeneron Pharmaceuticals, Inc., Tarrytown, NY, USA; 5Sanofi Genzyme, Cambridge, MA, USA CONCLUSIONS • Family history of AD was common in patients enrolled in this real-world registry • Comorbid ocular diseases were frequently reported, including one-fifth of patients reporting seasonal allergic conjunctivitis • AD treatment history (life-long recall). keywords: history; patients; table cache: skin-1101.pdf plain text: skin-1101.txt item: #92 of 1356 id: skin-1102 author: Shrager, Daniel; Guenthner, Scott; Cohen, David; Zhang, Haixin; Richman, Daniel; Korotzer, Andrew; Bansal, Shikha title: Baseline Characteristics of Atopic Dermatitis (AD) and AD Treatments in a Cohort of Adult AD Patients Initiating Dupilumab in a Real-World Registry (PROSE) date: 2020-10-27 words: 1328 flesch: 54 summary: We present baseline data from a real-world registry of adult AD patients, initiating commercial dupilumab treatment for AD per approved prescribing information OBJECTIVE • To report baseline disease severity and treatment burden of AD in patients initiating dupilumab using data from the PROSE registry Baseline Characteristics of Atopic Dermatitis (AD) and AD Treatments in a Cohort of Adult AD Patients Initiating Dupilumab in a Real-World Registry (PROSE) Daniel I. Shrager1, Scott Guenthner2, David Cohen3, Haixin Zhang4, Daniel Richman5, Andrew Korotzer4, Shikha Bansal4 1Alpha Dermatology of PA, LLC, Sellersville, PA; 2The Indiana Clinical Trials Center, PC, Plainfield, IN; 3Skin Care Physicians of Georgia, Macon, GA; 4Regeneron Pharmaceuticals, Inc., Tarrytown, NY; 5Sanofi Genzyme, Cambridge, MA; USA CONCLUSIONS • Patients initiating dupilumab in routine clinical practice had significant burden of disease as determined by both patient- and clinician-assessed outcomes of AD lesions and quality of life • AD symptomology extended beyond itch and included skin sensitivity to touch and disturbances to sleep • More than half of the patients in PROSE were on ≥ 1 medication at study baseline, that included oral and topical corticosteroids and systemic AD treatments, signifying a high treatment burden References: Analysis • Data presented here are from the first interim analysis set of adult patients receiving dupilumab (data cutoff: July 2019) • keywords: disease; mean; patients cache: skin-1102.pdf plain text: skin-1102.txt item: #93 of 1356 id: skin-1103 author: Kircik, Leon; Lebwohl, Mark; Papp, Kim; Gooderham, Melinda; Stein Gold, Linda; Draelos, Zoe; Kempers, Steven; Tyring, Stephen; Albrecht, Lorne; Wiseman, Marni; Ferris, Laura; Smith, Kathleen; Higham, Robert; Navale, Lynn; Welgus, Howard; Berk, David title: Roflumilast Cream (ARQ-151) 0.15% and 0.3% Improved Burden of Signs and Symptoms in Adults With Chronic Plaque Psoriasis in a Phase 2b Study date: 2020-10-27 words: 2453 flesch: 53 summary: For the primary endpoint, superior efficacy was demonstrated for both dose levels of roflumilast cream vs vehicle cream (Figure 1)4 CONCLUSIONS • Roflumilast once-daily cream 0.3% and 0.15% showed significant improvement of plaque psoriasis severity measured by achievement of IGA “clear” or “almost clear” • Roflumilast cream demonstrated improvement in patient-reported burden of psoriasis signs and symptoms and QoL • In a randomized, double-blind, phase 2b trial of 331 adults with chronic plaque psoriasis, roflumilast cream administered once daily was superior to vehicle cream and led to achievement of clear or almost clear skin based on Investigator Global Assessment (IGA) at Week 6 (Figure 1)4 • keywords: burden; cream; item; psd; psoriasis; roflumilast; vehicle; week cache: skin-1103.pdf plain text: skin-1103.txt item: #94 of 1356 id: skin-1104 author: Stein Gold, Linda; Lebwohl, Mark; Papp, Kim; Gooderham, Melinda; Kircik, Leon; Draelos, Zoe; Kempers, Steven; Pariser, David; Alonso-Llamazares, Javier; Toth, Darryl; Smith, Kathleen; Higham, Robert; Navale, Lynn; Welgus, Howard; Berk, David title: Roflumilast Cream (ARQ-151) Improved Itch Severity and Itch-Related Sleep Loss in Adults With Chronic Plaque Psoriasis in a Phase 2b Study date: 2020-10-27 words: 2827 flesch: 57 summary: Here we report the effect of roflumilast cream on itch, a highly prevalent and frequently bothersome symptom of chronic plaque psoriasis that negatively impacts quality of life,3 assessed using patient-reported outcome (PRO) measures in this study OBJECTIVE • To assess the effect of roflumilast cream on various PROs related to itch METHODS • Design: parallel-group, randomized, double-blind, vehicle-controlled phase 2b study (ClinicalTrials.gov NCT03638258; Figure 1)2 • Location: 30 sites in the United States and Canada CONCLUSIONS • Once-daily roflumilast cream demonstrated significant improvement in reducing itch in patients with psoriasis compared with vehicle cream – Patients reported a rapid and clinically significant reduction in the severity and burden of itch – Significant itch reduction occurred by Week 2 and continued with further reductions through Week 12 – In a subgroup of patients with greater severity of itch at baseline (WI-NRS ≥6), more than half of the patients had a substantial (≥4-point) reduction in itch by Week 6, and the response rate continued to increase through Week 12 – Reduction in itch resulted in significant improvement in sleep loss by Week 6 • Roflumilast cream was well-tolerated and application site pain was uncommon and similar to vehicle Table 1. • Itch was assessed at baseline and Weeks 2, 4, 6, 8, and 12 using PRO measures: – Worst Itch Numeric Rating Scale (WI-NRS)3 assessed the worst itch – Psoriasis Symptom Diary (PSD) Items 1 and 24-6 assessed burden and severity of itch – Itch-Related Sleep Loss NRS assessed intensity of sleep loss – All PRO measures assessed itch over the previous 24 hours and were rated on a scale from 0 (no impact) to 10 (as bad as it can be) RESULTS • keywords: itch; nrs; psoriasis; roflumilast; score; vehicle; week cache: skin-1104.pdf plain text: skin-1104.txt item: #95 of 1356 id: skin-1105 author: Menter, Alan; Blauvelt, Andrew; Strober, Bruce; Colombo, Matthew; Kisa, Renata; Kundu, Sudeep; Banerjee, Subhashis; Leonardi, Craig title: Deucravacitinib (BMS-986165), an Oral, Allosteric Tyrosine Kinase 2 Inhibitor, Reduces Body Surface Area Involvement and Improves Quality of Life in Patients With Psoriasis date: 2020-10-27 words: 1419 flesch: 53 summary: DLQI at Week 12 according to level of BSA involvement • Mean DLQI at Week 12 was lower among patients with BSA ≤1% and ≤3% who received deucravacitinib compared with the placebo recipient with BSA ≤3% (Figure 3) — Mean DLQI at Week 12 was also numerically lower in those patients who received a daily dose of 12 mg deucravacitinib (ie, 6 mg BID and 12 mg QD groups) than in those who received 6 mg daily doses (ie, 3 mg BID; Figure 3) Figure 3. Percentage of patients who achieved BSA of ≤1% and ≤3% at Week 12 • BSA ≤1% was achieved by approximately one-third of patients receiving deucravacitinib vs 0% of those receiving placebo (Figure 2) — Additionally, BSA ≤3% was achieved by approximately one-half of patients receiving deucravacitinib vs 2.2% receiving placebo • Nearly 40% of patients achieved BSA ≤1 and nearly 60% achieved BSA ≤3 in the highest-responding deucravacitinib 12 mg QD group Figure 2. keywords: bid; bsa; patients; pharma cache: skin-1105.pdf plain text: skin-1105.txt item: #96 of 1356 id: skin-1106 author: none title: An Oral, Selective Tyrosine Kinase 2 Inhibitor, Deucravacitinib (BMS-986165), Reduced Absolute Psoriasis Area and Severity Index in a Phase 2 Trial in Psoriasis date: 2020-10-27 words: 1887 flesch: 34 summary: Introduction • Plaque psoriasis is a debilitating, chronic, immune-mediated skin disorder that impairs patients’ health-related quality of life (HRQoL) and productivity1 • Treatment outcomes for plaque psoriasis based on the absolute Psoriasis Area and Severity Index (PASI) are indicative of an individual patient’s disease severity at the time of analysis2 — Absolute PASI may be more clinically meaningful than percentage change in PASI from baseline captured by scores such as PASI 75 (≥75% reduction from baseline PASI)2 — Although a consensus therapeutic target has yet to be defined, a recent analysis reported that attainment of an absolute PASI of ≤2 translates to meaningful improvements in clinical and HRQoL outcomes2 • Previous studies have demonstrated that an absolute PASI ≤2 correlates with PASI 90 (≥90% improvement from baseline PASI), static Physician’s Global Assessment (sPGA) score of 0/1 (range, 0–5; higher scores indicate greater disease severity), and Dermatology Life Quality Index (DLQI) of 0/1 (range, 0–30; higher scores indicate worse HRQoL)2 • Deucravacitinib (BMS-986165) is an oral, selective, allosteric inhibitor of tyrosine kinase 2 (TYK2), an intracellular enzyme involved in key cytokine signaling pathways in plaque psoriasis pathogenesis3 — In a Phase 2, double-blind, randomized trial in patients with moderate to severe plaque psoriasis (NCT02931838), 67%–75% of patients treated with deucravacitinib at doses of 3 or 6 mg twice daily (BID) or 12 mg once daily (QD) achieved PASI 75 at Week 12 (primary endpoint) vs 7% with placebo (P<0.001)3 — Deucravacitinib had a favorable safety and tolerability profile, and was associated with low rates of treatment discontinuation3 Objective • This post hoc analysis of the Phase 2 trial compared the efficacy of deucravacitinib vs placebo based on absolute PASI over time up to Week 12 Materials and Methods Inclusion criteria • Adults with body mass index of 18–40 kg/m2 • Moderate to severe plaque psoriasis for ≥6 months affecting ≥10% of body surface area — PASI ≥12 (range, 0–72; higher scores indicate greater disease severity) — sPGA ≥3 • Eligible for phototherapy or systemic therapy Exclusion criteria • Diagnosis of nonplaque psoriasis or other immune-mediated condition requiring concomitant systemic immunosuppressant therapy • History or evidence of specific infections (eg, HIV or hepatitis B or C infection) or risk of tuberculosis • Previous lack of response to any therapeutic agent targeting the TYK2 pathway (eg, interleukin-12/-23 pathways) Absolute PASI at Week keywords: absolute; bid; deucravacitinib; pasi; psoriasis cache: skin-1106.pdf plain text: skin-1106.txt item: #97 of 1356 id: skin-1107 author: Jett, John; McLaughlin, Michael; Lee, Mark; Parish, Lawrence; Tabolt, Glenn; Wilson, Timothy; Somerville, Matthew; DellaMaestra, Wayne; Piscitelli, Stephen title: Maximal Use Study of Tapinarof Cream 1% in Subjects with Extensive Plaque Psoriasis date: 2020-10-27 words: 1785 flesch: 43 summary: (36.8) BSA, body surface area; PASI, Psoriasis Area and Severity Index; PASI75, ≥75% improvement in PASI from baseline; PGA, Physician Global Assessment; QD, once daily; SD, standard deviation. Mean % change in PASI score from baseline to Day 29 (SD) –59.6 (29.0) keywords: patients; pga; psoriasis; tapinarof cache: skin-1107.pdf plain text: skin-1107.txt item: #98 of 1356 id: skin-1108 author: Lebwohl, Mark; Stein Gold, Linda; Strober, Bruce; Armstrong, April; Hong, H Chih-Ho; Kircik, Leon; Soung, Jennifer; Fromowitz, Jeff; Guenthner, Scott; Piscitelli, Stephen; Rubenstein, David; Brown, Philip; Tallman, Anna; Bissonnette, Robert title: Tapinarof Cream 1% QD for the Treatment of Plaque Psoriasis: Efficacy and Safety in Two Pivotal Phase 3 Trials date: 2020-10-27 words: 1809 flesch: 58 summary: Study Design Double-blind treatment (12 weeks) Adult subjects with stable plaque psoriasis ■ Aged 18–75 years ■ PGA score ≥2* ■ BSA ≥3%–≤20% 2:1 2:1 N=510 N=515 Tapinarof 1% QD (n=340) Tapinarof 1% QD (n=343) Vehicle QD (n=172) Vehicle QD (n=170) R R *PGA of 2 (mild) or 4 (severe) was limited to ~10% each of the total randomized population; ~80% of the randomized population had a PGA of 3 (moderate). PASI75 Response at Week 12 Δ 25.9% 36.1% 10.2% P<0.0001 M e a n P A S I7 5 r e sp o n se ra te , % ( S E M ) PSOARING 1 30 40 50 60 20 10 0 Tapinarof 1% QD (n=340) Vehicle QD (n=170) Δ 40.7% 47.6% 6.9% P<0.0001 PSOARING 2 Tapinarof 1% QD (n=343) Vehicle QD (n=172) ITT population. keywords: pga; tapinarof; vehicle cache: skin-1108.pdf plain text: skin-1108.txt item: #99 of 1356 id: skin-1109 author: Veverka, Karen; Hansen, Jes; Yaloumis, Maria; Kircik, Leon; Stein Gold, Linda title: Treatment Success in Mild Psoriasis Patients With Fixed-Combination Calcipotriene and Betamethasone Dipropionate (Cal/BD) Foam: Results From the PSO-FAST Trial date: 2020-10-27 words: 1361 flesch: 47 summary: Foam: Results From the PSO-FAST Trial Karen A. Veverka, PhD,1 Jes B. Hansen, PhD,1 Maria Yaloumis, PharmD,1 Leon Kircik, MD,2 and Linda Stein Gold, MD3 1LEO Pharma, Madison, NJ; 2Icahn School of Medicine at Mount Sinai, New York, NY; Indiana University School of Medicine, Indianapolis, IN; Physicians Skin Care, PLLC, Louisville, KY; 3Henry Ford Hospital, Detroit, MI Introduction • Psoriasis is a chronic skin disease affecting approximately 2% of the worldwide population characterized by sharply demarcated, scaling, and erythematous plaques that may be painful and often severely pruritic1 • While topical therapy is the regimen of choice for patients with less extensive disease,2 very few of these therapies have been demonstrated effective for mild psoriasis – Treatment success in this population requires that visible disease be completely cleared (i.e., improvement of Investigator’s Global Assessment (IGA) score from 2 to 0) • Corticosteroids and vitamin D analogues are among the most common treatments that are either used alone or in combination2,3 • Topical, fixed-combination calcipotriene (50 µg/g) plus betamethasone dipropionate (0.5 mg/g; Cal/BD) cutaneous foam is indicated for the treatment of plaque psoriasis in patients 12 years and older4 – In a Phase III, double-blind, randomized study that included patients with all severities of psoriasis (PSO-FAST), Cal/BD foam was efficacious and well tolerated, and also provided rapid treatment responses with significant itch relief3 Objective • To compare the efficacy of treatment with Cal/BD foam to that of treatment with vehicle for up to 4 weeks in patients with mild psoriasis vulgaris by performing a post hoc analysis of the PSO-FAST trial Materials and Methods Study Design • PSO-FAST was a Phase III, randomized, multicenter (US), double-blind, vehicle-controlled, 4-week study (NCT01866163) • 426 patients were randomized (3:1) to Cal/BD foam or foam vehicle once daily for up to 4 weeks Figure 1.  In this post hoc analysis, once-daily fixed-dose combination Cal/BD foam was efficacious in treating mild plaque psoriasis – Importantly, while numerous other topical and systemic therapies are available for psoriasis, very few have demonstrated efficacy in this subpopulation • These important results establish treatment success for Cal/BD foam in mild psoriasis, a population in which efficacy is difficult to demonstrate since the treatment must completely clear visible disease to be considered effective • The once-daily, Cal/BD foam may provide a valuable treatment option for patients with mild plaque psoriasis References 1. keywords: cal; foam; psoriasis; week cache: skin-1109.pdf plain text: skin-1109.txt item: #100 of 1356 id: skin-111 author: Armstrong, April; Levi, Eugenia title: A Retrospective Cohort Study of Real-World Experience with Apremilast in Patients with Plaque Psoriasis date: 2017-10-27 words: 1125 flesch: 46 summary: Among patients who received APR monotherapy for ≥90 days and had ≥1 POTE assessment (n=160), the majority (n=138; 86%) somewhat agreed or strongly agreed that APR treatment was effective in clearing their skin of psoriasis (Figure 3). Pattern of Switching From Other Therapies to APR Treatment • Among the patients who changed from non-APR treatments to APR monotherapy during the study period, almost three-quarters (74.2%) changed from topical treatment alone to APR monotherapy (Figure 1). keywords: apr; monotherapy; patients; psoriasis cache: skin-111.pdf plain text: skin-111.txt item: #101 of 1356 id: skin-1110 author: Hebert, Adelaide; Schrieber, Rhonda; Glaab, Debbie; Eichenfield, Lawrence title: Phase IV Open Label Evaluation of the Adrenal Suppression Potential and Pharmacokinetic Properties of Twice Daily Halobetasol propionate Foam, 0.05% in Adolescent Subjects with Plaque Psoriasis date: 2020-10-27 words: 2 flesch: -6 summary: PowerPoint Presentation keywords: powerpoint cache: skin-1110.pdf plain text: skin-1110.txt item: #102 of 1356 id: skin-1111 author: Leonardi, Craig; Stein Gold, Linda; Lain, Edward; Neimann, Andrea; Jacobson, Abby title: Halobetasol 0.01%/Tazarotene 0.045% (HP/TAZ) Lotion for the Treatment of Plaque Psoriasis in Patients With 3-5% Body Surface Area date: 2020-10-27 words: 1809 flesch: 54 summary: ACKNOWLEDGEMENTS: Medical writing support was provided by Prescott Medical Communications Group (Chicago, IL) with financial support from Ortho Dermatologics; Ortho Dermatologics is a division of Bausch Health US, LLC • Presented at Fall Clinical 2020 • October 29 - November 1, 2020 • Virtual SYNOPSIS � In the treatment of psoriasis, combining tazarotene (TAZ) with a potent topical steroid, such as the superpotent corticosteroid halobetasol propionate (HP), is recommended for patients with mild-to-moderate disease1 � The TAZ + HP combination may provide synergistic efficacy, increase the duration of treatment effect and time of remission, and reduce side effects of both HP and TAZ1-3 � Topical psoriasis therapy has also been recommended for patients with lower levels of body surface area (BSA) involvement4; though these patients may be deemed more “mild,” they may nonetheless have disease characteristics that severely impact their quality of life (QoL) � A once-daily, fixed combination HP 0.01%/TAZ 0.045% lotion (Duobrii,® Ortho Dermatologics) was developed to address these unmet needs in the topical treatment of psoriasis OBJECTIVE � To evaluate the efficacy, impact on QoL, and safety of HP 0.01%/TAZ 0.045% lotion versus vehicle in patients with lower levels of BSA involvement (3–5%) at baseline METHODS FIGURE 1. BSA Reduction in 3–5% BSA Subgroup and Overall Populationa (ITT Population, Pooled) 0% -50% -40% -30% -20% -10% 10% M e a n P e rc e n t C h a n g e F ro m B a se lin e -60% 2 4 6 8 12 Study Visit (Weeks) keywords: baseline; bsa; lotion; taz; vehicle cache: skin-1111.pdf plain text: skin-1111.txt item: #103 of 1356 id: skin-1112 author: Stein Gold, Linda; Lebwohl, Mark; Bhatia, Neal ; DiRuggiero, Douglas; Jacobson, Abby; Pillai, Radhakrishnan title: Long-Term Management of Moderate-to-Severe Plaque Psoriasis: Maintenance of Treatment Success Following Cessation of Halobetasol Propionate 0.01%/Tazarotene 0.045% Lotion date: 2020-10-27 words: 1573 flesch: 52 summary: A fixed combination halobetasol propionate 0.01%/tazarotene 0.045% (HP/TAZ) lotion (Duobrii,® Ortho Dermatologics) was developed to address unmet needs in the topical treatment of psoriasis (see inset) • Topical corticosteroids—such as HP—are the mainstay of treatment, though long-term safety remains a concern, limiting use3 • The topical retinoid TAZ has demonstrated efficacy by modulating major causes of psoriasis and maintaining therapeutic effect, though TAZ may induce cutaneous irritation3-6 • Treating psoriasis by combining HP with TAZ may enhance efficacy, reduce side effects of both HP and TAZ, and sustain treatment response posttreatment3,6 OBJECTIVE ◾ To investigate maintenance of effect posttreatment following once-daily application of HP/TAZ lotion in patients with moderate-to-severe psoriasis who achieved clear skin METHODS ◾ These data indicate a long maintenance of therapeutic effect with HP 0.01%/ TAZ 0.045% lotion in participants who achieved clear skin, likely due to the role of TAZ in sustaining efficacy posttreatment (see inset) REFERENCES 1. keywords: participants; study; taz; treatment; weeks cache: skin-1112.pdf plain text: skin-1112.txt item: #104 of 1356 id: skin-1113 author: Blauvelt, A; Warren, RB; Reich, K; Brock, F; Fierens, F; Ciaravino, V; Lebwohl, M title: Durability of DLQI Improvements Among Patients with Moderate to Severe Plaque Psoriasis Treated with Certolizumab Pegol: Three-Year Results from Two Phase 3 Trials (CIMPASI-1 and CIMPASI-2) date: 2020-10-27 words: 2167 flesch: 50 summary: Author Disclosures: AB: Scientific adviser and/or clinical study investigator for AbbVie, Allergan, Almirall, Athenex, Boehringer Ingelheim, Bristol Myers Squibb, Dermavant, Eli Lilly, Forte, Galderma, Incyte, Janssen, LEO Pharma, Novartis, Pfizer, Rapt, Regeneron, Sanofi Genzyme, Sun Pharma, and UCB Pharma; paid speaker for AbbVie; RBW: Consulting fees from AbbVie, Almirall, Amgen, Arena, Avillion, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, Eli Lilly, Janssen, LEO Pharma, Novartis, Pfizer, Sanofi, and UCB Pharma; research grants from AbbVie, Almirall, Amgen, Celgene, Eli Lilly, Janssen, LEO Pharma, Novartis, Pfizer, and UCB Pharma; KR: Served as advisor and/or paid speaker for and/or participated in clinical trials sponsored by AbbVie, Affibody, Almirall, Amgen, Avillion, Biogen, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, Centocor, Covagen, Dermira, Eli Lilly, Forward Pharma, Fresenius Medical Care, Galapagos, GSK, Janssen, Kyowa Kirin, LEO Pharma, Medac, MSD, Miltenyi Biotec, Novartis, Ocean Pharma, Pfizer, Regeneron, Samsung Bioepis, Sanofi, Sun Pharma, Takeda, UCB Pharma, Valeant/Bausch Health, and Xenoport; FB, FF, VC: Employees of UCB Pharma; ML: Employee of Mount Sinai which receives research funds from AbbVie, Amgen, Arcutis, Boehringer Ingelheim, Dermavant, Eli Lilly, Incyte, Janssen, LEO Pharma, Ortho Dermatologics, Pfizer, and UCB Pharma; consultant for Aditum Bio, Allergan, Almirall, Arcutis, Avotres, BirchBioMed, BMD Skincare, Boehringer Ingelheim, Bristol Myers Squibb, Cara Therapeutics, Castle Biosciences, Corrona, Dermavant, Evelo, Facilitate International Dermatologic Education, Foundation for Research and Education in Dermatology, Inozyme Pharma, LEO Pharma, Meiji Seika Pharma, Menlo, Mitsubishi Pharma, Neuroderm, Pfizer, Promius/Dr. Reddy’s Laboratories, Serono, Theravance, and Verrica. keywords: czp; dlqi; mg q2w; pharma; q2w cache: skin-1113.pdf plain text: skin-1113.txt item: #105 of 1356 id: skin-1114 author: Gordon, K; Warren, RB; Gottlieb, AB; Blauvelt, A; Tha?i, D; Poulin, Y; Boehnlein, M; Brock, F; Arendt, C; Reich, K title: Durable Efficacy of Certolizumab Pegol Dosed at 400 mg Every Two Weeks Over 128 Weeks in Patients with Plaque Psoriasis Enrolled in Three Phase 3 Trials (CIMPASI-1, CIMPASI-2, and CIMPACT) date: 2020-10-27 words: 2159 flesch: 42 summary: Author Disclosures: KG: Honoraria and/or research support from AbbVie, Almirall, Amgen, Boehringer Ingelheim, Bristol-Myers Squibb, Celgene, Dermira Inc., Eli Lilly, Janssen, Novartis, Pfizer, Sun Pharma, and UCB Pharma; RBW: Research grants from AbbVie, Almirall, Amgen, Celgene, Eli Lilly, Janssen, LEO Pharma, Novartis, Pfizer and UCB Pharma; Consultant for AbbVie, Almirall, Amgen, Arena, Avillion, Bristol Myers Squibb, Boehringer Ingelheim, Celgene, Eli Lilly, Janssen, LEO Pharma, Novartis, Pfizer, Sanofi and UCB Pharma; ABG: Current consulting/advisory board agreements with AbbVie, Avotres Therapeutics, Beiersdorf, Boehringer Ingelheim, Bristol-Myers Squibb, Celgene, Eli Lilly, Incyte, Janssen, LEO Pharma, Novartis, Sun Pharma, UCB Pharma, and XBiotech; Research and educational grants from Boehringer Ingelheim, Incyte, Janssen, Novartis, UCB Pharma, and XBiotech; AB: Served as a scientific adviser and/or clinical study investigator for AbbVie, Aclaris, Allergan, Almirall, Athenex, Boehringer Ingelheim, Bristol-Myers Squibb, Dermavant, Dermira Inc., Eli Lilly, Forte, Galderma, Incyte, Janssen, LEO Pharma, Novartis, Ortho, Pfizer, Rapt, Regeneron, Sandoz, Sanofi Genzyme, Sun Pharma, and UCB Pharma, and as a paid speaker for AbbVie; DT: Honoraria for participation on advisory boards, as a speaker and for consultancy from AbbVie, Almirall, Amgen, Biogen-Idec, Boehringer Ingelheim, Bristol-Myers Squibb, Celgene, DS-Biopharma, Eli Lilly, Galapagos, Janssen, LEO Pharma, Morphosis, Novartis, Pfizer, Regeneron, Samsung, Sandoz-Hexal, Sanofi and UCB Pharma; Research grants received from Celgene, LEO Pharma and Novartis; YP: Investigator (research grants) from AbbVie, Baxter, Boehringer Ingelheim, Celgene, Centocor/Janssen, Eli Lilly, EMD Serono, GSK, LEO Pharma, MedImmune, Merck, Novartis, Pfizer, Regeneron, Takeda, and UCB Pharma; Speaker (honoraria) from AbbVie, Celgene, Janssen, Eli Lilly, LEO Pharma, Novartis, Regeneron, and Sanofi Genzyme; MB, FB, CA: Employees of UCB Pharma; KR: Served as advisor and/or paid speaker for and/or participated in clinical trials sponsored by AbbVie, Affibody, Almirall, Amgen, Avillion, Biogen, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, Centocor, Covagen, Dermira, Eli Lilly, Forward Pharma, Fresenius Medical Care, Galapagos, GSK, Janssen, Kyowa Kirin, LEO Pharma, Medac, MSD, Miltenyi Biotec, Novartis, Ocean Pharma, Pfizer, Regeneron, Samsung Bioepis, Sanofi, Sun Pharma, Takeda, UCB Pharma, Valeant/Bausch Health, and Xenoport. UCB Pharma is the regulatory sponsor of certolizumab pegol in psoriasis. keywords: czp; pasi; patients; pharma; q2w; weeks cache: skin-1114.pdf plain text: skin-1114.txt item: #106 of 1356 id: skin-1115 author: Reich, K; Papp, K; Blauvelt, A; Langley, R; Armstrong, A; Warren, RB; Gordon, K; Merola, JF; Madden, C; Wang, M; Vanvoorden, V; Lebwohl, M title: Efficacy and Safety of Bimekizumab in Patients with Moderate to Severe Plaque Psoriasis: Results from BE VIVID, a 52-Week Phase 3, Randomized, Double-Blinded, Ustekinumab- and Placebo-Controlled Study date: 2020-10-27 words: 2652 flesch: 35 summary: Author Disclosures: KR: Served as advisor and/or paid speaker for and/or participated in clinical trials sponsored by AbbVie, Affibody, Almirall, Amgen, Avillion, Biogen, Boehringer Ingelheim, Bristol-Myers Squibb, Celgene, Centocor, Covagen, Dermira Inc., Eli Lilly, Forward Pharma, Fresenius Medical Care, Galapagos, GlaxoSmithKline, Janssen-Cilag, Kyowa Kirin, LEO Pharma, Medac, Merck Sharp & Dohme, Miltenyi Biotec, Novartis, Ocean Pharma, Pfizer, Regeneron, Samsung Bioepis, Sanofi, Sun Pharma, Takeda, UCB Pharma, Valeant, and Xenoport. KAP: Honoraria and/or grants from AbbVie, Akros, Amgen, Arcutis, Astellas, Baxalta,Boehringer Ingelheim, Bristol-Myers Squibb, Canfite, Celgene, Coherus, Dermira, Dow Pharma, Eli Lilly, Forward Pharma, Galderma, Genentech, Gilead, GlaxoSmithKline, Janssen, Kyowa Hakko Kirin, LEO Pharma, MedImmune, Merck Sharp & Dohme, Merck-Serono, Mitsubishi Pharma, Moberg Pharma, Novartis, Pfizer, PRCL Research, Regeneron, Roche, Sanofi Aventis/Genzyme, Sun Pharma, Takeda, UCB Pharma, and Valeant/Bausch Health; Consultant (no compensation) for AstraZeneca and Meiji Seika Pharma. keywords: bimekizumab; patients; pharma; placebo; ustekinumab; week cache: skin-1115.pdf plain text: skin-1115.txt item: #107 of 1356 id: skin-1116 author: Gordon, K; Foley, P; Krueger, JG; Pinter, A; Reich, K; Vender, R; Vanvoorden, V; Madden, C; Peterson, L; Blauvelt, A title: Efficacy and Safety of Bimekizumab in Patients with Moderate to Severe Plaque Psoriasis: Results from BE READY, a 56-Week Phase 3, Randomized, Double-Blinded, Placebo-Controlled Study with Randomized Withdrawal date: 2020-10-27 words: 2454 flesch: 43 summary: Received grant support from AbbVie, Amgen, Celgene, Eli Lilly, Janssen, Merck, Novartis, Pfizer, Sun Pharma, and Sanofi; served as an Investigator for AbbVie, Amgen, AstraZeneca, Bristol-Myers Squibb, Boehringer Ingelheim, Botanix, Celgene, Celtaxsys, CSL, Cutanea, Dermira Inc., Eli Lilly, Galderma, Genentech, Geneseq, GSK, Hexima, Janssen, LEO Pharma, Merck, Novartis, Pfizer, Regeneron Pharmaceuticals Inc., Reistone, Roche, Sanofi, Sun Pharma, UCB Pharma, and Valeant; served on the advisory board of AbbVie, Amgen, Bristol-Myers Squibb, Celgene, Eli Lilly, Galderma, Janssen, LEO Pharma, Mayne Pharma, Merck, Novartis, Pfizer, Sanofi, Sun Pharma, UCB Pharma, and Valeant; served as a consultant for Bristol-Myers Squibb, Eli Lilly, Janssen, Novartis, Pfizer, UCB Pharma, and Wintermute; received travel grants from AbbVie, Eli Lilly, Janssen, LEO Pharma, Merck, Novartis, Pfizer, Roche, and Sanofi; served as a speaker for or received honoraria from AbbVie, Celgene, Eli Lilly, Galderma, Janssen, LEO Pharma, Merck, Novartis, Pfizer, and Roche. Served as advisor and/or paid speaker for and/or participated in clinical trials sponsored by AbbVie, Affibody, Almirall, Amgen, Avillion, Biogen, Boehringer Ingelheim, Bristol-Myers Squibb, Celgene, Centocor, Covagen, Dermira Inc., Eli Lilly, Forward Pharma, Fresenius Medical Care, Galapagos, GSK, Janssen-Cilag, Kyowa Kirin, LEO Pharma, Medac, Merck Sharp & Dohme, Miltenyi Biotec, Novartis, Ocean Pharma, Pfizer, Regeneron, Samsung Bioepis, Sanofi, Sun Pharma, Takeda, UCB Pharma, Valeant, and Xenoport. keywords: bimekizumab; pasi; patients; pharma; placebo; week cache: skin-1116.pdf plain text: skin-1116.txt item: #108 of 1356 id: skin-1117 author: Gottlieb, AB; Blauvelt, A; Tha?i, D; Poulin, Y; Brock, F; Arendt, C; Boehnlein, M; Reich, K title: Reductions in Absolute PASI Over 144 Weeks of Treatment with Certolizumab Pegol in Patients with Plaque Psoriasis: Pooled Analysis from Two Phase 3 Trials (CIMPASI-1 and CIMPASI-2) date: 2020-10-27 words: 2010 flesch: 51 summary: Author Disclosures: ABG: Received honoraria as an advisory board member and consultant for Avotres Therapeutics, Beiersdorf, Boehringer Ingelheim, Bristol-Myers Squibb Co., Eli Lilly, Incyte, Janssen, LEO Pharma, Novartis, Sun Pharma, UCB Pharma, and Xbiotech (only stock options which she has not used); and has received research/educational grants from Boehringer Ingelheim, Incyte, Janssen, Novartis, Sun Pharma, UCB Pharma, and Xbiotech; AB: Served as a scientific adviser and/or clinical study investigator for AbbVie, Aclaris, Allergan, Almirall, Athenex, Boehringer Ingelheim, Bristol-Myers Squibb, Dermavant, Dermira Inc., Eli Lilly, Forte, Galderma, Janssen, LEO Pharma, Novartis, Ortho, Pfizer, Regeneron, Sandoz, Sanofi Genzyme, Sun Pharma, and UCB Pharma, and as a paid speaker for AbbVie; DT: Honoraria for participation on advisory boards, as a speaker and for consultancy from AbbVie, Almirall, Amgen, Biogen-Idec, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, DS-Biopharma, Eli Lilly, Galapagos, Janssen, LEO Pharma, Morphosis, Novartis, Pfizer, Regeneron, Samsung, Sandoz-Hexal, Sanofi and UCB Pharma; Research grants received from Celgene, LEO Pharma and Novartis; YP: Investigator (research grants) from AbbVie, Baxter, Boehringer Ingelheim, Celgene, Centocor/Janssen, Eli Lilly, EMD Serono, GSK, LEO Pharma, MedImmune, Merck, Novartis, Pfizer, Regeneron, Takeda, and UCB Pharma. Speaker (honoraria) from AbbVie, Celgene, Janssen, Eli Lilly, LEO Pharma, Novartis, Regeneron, and Sanofi Genzyme; FB, CA, MB: Employees of UCB Pharma; KR: Served as advisor and/or paid speaker for and/or participated in clinical trials sponsored by AbbVie, Affibody, Almirall, Amgen, Avillion, Biogen, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, Centocor, Covagen, Dermira, Eli Lilly, Forward Pharma, Fresenius Medical Care, Galapagos, GSK, Janssen, Kyowa Kirin, LEO Pharma, Medac, MSD, Miltenyi Biotec, Novartis, Ocean Pharma, Pfizer, Regeneron, Samsung Bioepis, Sanofi, Sun Pharma, Takeda, UCB Pharma, Valeant/Bausch Health, and Xenoport. keywords: czp; mg q2w; pasi; q2w; week cache: skin-1117.pdf plain text: skin-1117.txt item: #109 of 1356 id: skin-1118 author: Blauvelt, A; Gottlieb, AB; Fierens, F; Brock, F; Wiegratz, S; Sofen, H title: Dose Adjustment Patterns in the Open-Label Extension Arms of Three Phase 3 Trials of Certolizumab Pegol in Psoriasis: CIMPASI-1, CIMPASI-2, and CIMPACT date: 2020-10-27 words: 1524 flesch: 51 summary: Table 2 Percent improvement from baseline PASI at time of dose adjustment Median percentage change from baseline was assessed during the open-label extension period at the time of the first dose reduction (CZP 400 mg Q2W down to CZP 200 mg Q2W) and at the time of the second dose adjustment (CZP 200 mg Q2W back up to CZP 400 mg Q2W). CZP 400 mg Q2W Placebo Q2W CZP 200 mg Q2W CZP 400 mg Q2W LDa Maintenance period Initial treatment period (double-blinded) Open-label extensionb 1:2:2 randomization CIMPASI-1 and CIMPASI-2 1:3:3:3 randomization CIMPACT 3212Week 0 16 48 144 Dose adjustments: Mandatory Placebo Q2W CZP 200 mg Q2W CZP 400 mg Q2W LDa ETN 50 mg BW Washout Open-label escape CZP 400 mg Q2W A mutations were the most frequently observed mutational change (48%) in our study cohorts. keywords: analyses; melanoma; tert cache: skin-1124.pdf plain text: skin-1124.txt item: #114 of 1356 id: skin-1125 author: Giesey, Rachel Lynn; Mehrmal, Sino; Uppal, Prabhdeep; Delost, Gregory title: The Global Burden of Skin and Subcutaneous Disease: A Longitudinal Analysis from the Global Burden of Disease Study From 1990-2017 date: 2021-03-06 words: 4390 flesch: 51 summary: Half of all skin conditions are associated with mortality, and on average, death from skin disease has been seen to occur five years younger (68.2 years) than the average age of death for all causes.2 ABSTRACT Background: The global prevalence and disability of skin and subcutaneous diseases have grown annually in recent decades. The global prevalence of all skin disease was 26.79% in 2017, up from 26.15% in 1990, while the percentage of total DALYs due to skin and subcutaneous diseases was 1.76% in 2017, up from 1.21% in 1990.9 The top three most prevalent dermatoses were fungal skin diseases (10.09%); “other skin conditions” encompassing skin diseases such as bullous diseases, connective tissue diseases, and cutaneous drug reactions DISCUSSION SKIN March 2021 Volume 5 Issue 2 Copyright 2021 The National Society for Cutaneous Medicine 130 Figure 2. keywords: age; burden; countries; dermatol; disease; figure; gbd; health; medicine; prevalence; rates; skin; study cache: skin-1125.pdf plain text: skin-1125.txt item: #115 of 1356 id: skin-1126 author: Hoyer, Paige; Croley, Julie ; Wagner, Jr. , Richard F. title: Use of Absorbable Cutaneous Sutures Amid the COVID-19 Pandemic: Absorbable Cutaneous Sutures date: 2021-03-06 words: 993 flesch: 46 summary: Studies have shown no significant difference in cosmetic outcomes between non-absorbing suture and absorbable suture. However, those over the age of 65 are more likely to have comorbidities.5 Patients with chronic kidney disease, type 2 diabetes, chronic obstructive pulmonary disease, obesity, compromised immune systems (e.g. solid organ transplant patients), and heart disease are at a much higher risk of significant morbidity and mortality from COVID-19.5 The American Academy of Dermatology recommends the use of absorbable sutures during the current pandemic as well.6 We requested that patients who did not return for in-person follow up, upload post- op photos via our patient portal system. keywords: absorbable; patients; sutures cache: skin-1126.pdf plain text: skin-1126.txt item: #116 of 1356 id: skin-1127 author: Yi, Lauren G; Tran, Benjamin A; Flowers, R Hal; Greer, Kenneth E; Guffey, Darren J title: Treatment of Pityriasis Rubra Pilaris with Daily Low-Dose Methotrexate: A Retrospective Cohort Study date: 2021-07-09 words: 2732 flesch: 54 summary: 12 patients (85.7%) developed asymptomatic elevations in liver enzymes (ALT and AST) that resolved in most patients (66.7%) after dose reduction. A complete blood count and liver enzymes (ALT and AST) were checked every few months at follow-up visits while patients were on MTX. keywords: daily; dose; liver; mtx; patients; prp cache: skin-1127.pdf plain text: skin-1127.txt item: #117 of 1356 id: skin-1128 author: Barone, Hope; Veremis, Mary; Gildenberg, Stuart title: Herpes Zoster in a 2-Year-Old Child After a Single Dose of Varicella Vaccine date: 2021-03-06 words: 1546 flesch: 44 summary: Furthermore only 1% of pediatric HZ cases were identified in immunocompetent children.5 We report an unusual case of an immunocompetent 2-year-old child who developed herpes zoster in the same dermatomal distribution as the vaccination site received eight months prior. Although rare, at 15-93 per 100,000 person-years, the incidence of breakthrough varicella (defined as infection with wild-type varicella >42 days after vaccination) and post-vaccination HZ in children led to the implementation of a two-dose series in 2006.3 Further evaluation revealed that only 50% of breakthrough varicella or post- vaccination HZ are attributable to wild-type VZV, with the Oka vaccine-strain virus identified in the remaining cases.4 keywords: herpes; left; vaccine; varicella; zoster cache: skin-1128.pdf plain text: skin-1128.txt item: #118 of 1356 id: skin-113 author: Callis Duffin, Kristina; Jackson, J Mark; Goncalves, Joana; Levi, Eugenia; Bagel, Jerry title: Evaluation of the PGAxBSA Composite Tool in Patients with Moderate-to-Severe Plaque Psoriasis date: 2017-10-27 words: 1663 flesch: 70 summary: In addition, 35.4% of APR patients in UNVEIL achieved a ≥75% reduction from baseline in PGAxBSA score (PGAxBSA-75) vs. 12.3% of PBO patients (P<0.0001) (Figure 3). – Eligible patients were randomized (2:1) to receive APR or PBO, titrated over the fi rst week of treatment, through Week 16. – At Week 16, PBO patients were switched to APR, with titration. keywords: apremilast; baseline; pasi; patients; pgaxbsa; week cache: skin-113.pdf plain text: skin-113.txt item: #119 of 1356 id: skin-1131 author: Hattaway, Reagan; Singh, Nikhi; Rais-Bahrami, Soroush; Kole, Lauren title: Adaptations of Dermatology Residency Programs to Changes in Medical Education Amid the COVID-19 Pandemic: Virtual Opportunities and Social Media date: 2021-03-06 words: 3063 flesch: 43 summary: Objective: To describe how dermatology residency programs have adapted by developing social media platforms and virtual opportunities. Conclusion: Dermatology residency programs have adapted to the COVID-19 pandemic by developing social media platforms and virtual opportunities. keywords: accounts; dermatology; instagram; media; opportunities; programs; residency cache: skin-1131.pdf plain text: skin-1131.txt item: #120 of 1356 id: skin-1132 author: Bangalore Kumar, Anagha; Bryce, Alan; Vishnu, Prakash; Markovic, Svetomir; McEvoy, Marian title: Associations of Cutaneous Immune-Related Adverse Effects of Immunotherapy With Treatment Response in Patients With Metastatic Melanoma date: 2021-03-06 words: 4796 flesch: 52 summary: 7. Belum VR, Benhuri B, Postow MA, et al. Characterisation and management of dermatologic adverse events to agents targeting the PD-1 receptor. Curry JL, Tetzlaff MT, Nagarajan P, et al. keywords: dermatitis; grade; immune; iraes; melanoma; patients; response; therapy; vitiligo cache: skin-1132.pdf plain text: skin-1132.txt item: #121 of 1356 id: skin-1133 author: Altmann, Stefanie; Chahine, Adam; Casale, Jarett; Forbes, Jessica; Ferrer-Bruker, Sarah title: Cutaneous Type Pemphigus Vulgaris of the Scalp: A Rare Unilesional Presentation date: 2021-03-06 words: 1321 flesch: 47 summary: Furthermore, only two previous accounts of unilesional scalp PV have been reported.6,7 Our case is a unique presentation of unilesional cutaneous PV in a young woman. The high frequency of scalp involvement in PV is likely due to the presence of high levels of desmogleins in hair follicles.8 keywords: involvement; pemphigus; scalp; vulgaris cache: skin-1133.pdf plain text: skin-1133.txt item: #122 of 1356 id: skin-1134 author: Hobbs, Landon Kaleb; Zufall, Alina; Khalil, Shadi; Flowers, Richard title: Treatment of Pyodermatitis-Pyostomatitis Vegetans: A Systematic Review and Meta-analysis date: 2021-07-09 words: 6771 flesch: 59 summary: None PDV ABX OCS (low dose) + DAP OCS (higher dose) McCarthy 19632 5 27M, White UC PSV T-CS/CNI Mehravaran 19975 5 43F None PDV- PSV OCS+AZA OCS Merkourea 201346 5 58M CD PSV 5-ASA (“low dose”) Mesquita 201247 5 12M None PDV- PSV OCS + AZA DAP Mijandrusic-Sincic 201048 5 23F CD PSV BIO 32F UC PSV AZA Mizukami 201949 5 29F UC PSV OCS DAP Molnar 201150 5 16M CD PSV OCS, AZA+BIO Moloney 201151 5 50F UC PDV- PSV DAP DAP + AZA + 5-ASA Naish 197052 5 26M, Black UC PSV OCS Nayak 201753 5 Summary of findings in 95 reported cases Report Rating of QoE Demographic IBD PDV/ PSV Response to Treatment No Response Partial Response CR-I CR-M CR-D Abellaneda 20117 5 35M, Spanish UC PDV- PSV AZA, MTX, DAP, COL, RET, 5-ASA, MSC OCS AZA + 5-ASA Ahn 20048 5 33F, Korean UC PDV- PSV DAP, COL, OSC DAP, COL, OSC 5-ASA Al-Rimawi 19989 5 7M UC PSV OCS, 5-ASA, CHL 5F Chronic colitis PSV T-CS/CNI, OCS Atarbashi-Moghadam 201610 5 39F CD PSV 5-ASA, AZA Ayangco 200211 5 22F, White CD PSV T-CS/CNI 5-ASA Ballo 198912 5 39F UC PSV ABX, T-CS/CNI, MSC OCS 5-ASA Bens 200313 5 35F CD PSV BIO MTX Bertlich 201914 5 51F UC PDV- PSV AZA + OCS + T- CS/CNI BIO, OCS, T- CS/CNI Bianchi 20014 5 48F UC PDV ABX 5-ASA Brinkmeier 200115 5 32F, White None PDV- PSV DAP, 5-ASA OCS, T- CS/CNI, OCS + RET, OCS + OCNI Calobrisi 199516 5 65M, White UC PSV T-CS/CNI total colectomy Canpolat 201117 5 64M UC PDV OCS, ABX 5-ASA Carvalho 201618 5 79F None PDV ABX + OCS Cataldo 198119 5 48M, White CD PSV T-CS/CNI OCS Chan 199120 5 23M, White UC PSV FES, T- CS/CNI, OCS, ABX 5-ASA 17F, White UC PSV 5-ASA, T- CS/CNI, FES Chaudhry 199921 5 63M UC PSV T-CS/CNI, ABX Clark 20163 4 22F UC PSV 5-ASA, T- CS/CNI 30M UC PDV- PSV OCS, DAP, AZA, NYS, PTR 29M CD PSV OCS, DAP SKIN July 2021 Volume 5 Issue 4 Copyright 2021 The National Society for Cutaneous Medicine 336 54M CD PSV OCS, T-CS/CNI, DAP, OCNI, MM BIO 44F UC PDV- PSV OCS, T- CS/CNI, PTR 21M UC PDV- PSV DAP, T- CS/CNI 58M CD PDV- PSV OCS, T-CS/CNI, DAP, MSC Dodd 201722 5 30F CD PDV- PSV BIO, AZA OCS, T- CS/CNI BIO + DAP Dupuis 201623 5 48M Colitis PDV- PSV OCS Ficarra 199324 5 45F, Italian CD PDV- PSV Zinc OCS Forman 196525 5 45F UC PDV- PSV ACTH, ABX 44F UC PDV- PSV DAP DAP ABX, T- CS/CNI Gonzalez-Moles 200826 5 84F None PSV T-CS/CNI + NYS Hansen 198327 5 37M, White UC PSV OCS OCS keywords: abx; asa; cni; dap; dermatol; disease; ocs; oral; patients; pdv; pdvpsv; psv; pyostomatitis; pyostomatitis vegetans; response; treatment; vegetans cache: skin-1134.pdf plain text: skin-1134.txt item: #123 of 1356 id: skin-1137 author: Jafri, Zainab; Shedlofsky, Lydia; Newman, Andrew; Lam, Travis; Mengesha, Yebabe title: A Sweet Presentation of a Bitter Disease: Acute Febrile Neutrophilic Dermatosis Associated with Coccidioidomycoses date: 2021-03-06 words: 1617 flesch: 36 summary: Coccidioidomycosis- associated AFND has rarely been reported in literature. Indurated erythematous nodules and pseudovesicles The diagnosis of classic AFND requires the presence of both major criteria and two out of the four minor criteria (Table 1).4 Symptoms and clinical manifestations typically respond rapidly to high-dose systemic corticosteroids. keywords: afnd; coccidioidomycosis; disease; skin; sweet; syndrome cache: skin-1137.pdf plain text: skin-1137.txt item: #124 of 1356 id: skin-1138 author: Bowers, Nathan; Porosnicu, Mercedes title: Increased PD-L1 Tumor Expression Correlates with High Rate of Response to PD-1 Inhibitors in Patients with Unresectable, Recurrent, and Metastatic Cutaneous Squamous Cell Carcinoma date: 2021-01-01 words: 1160 flesch: 63 summary: JAK2 0 0 P278S ASXL, CDKN2A, NOTCH1, PIK3CA, TERT Fatigue Mets to right parotid F 81 N L 9 PR On n/a NET S99F Q100 Q16 SS SNV CDKN2A BRCA2 MAP2K1 ND ND NET NET Other primary cSCC ND ND G245N R342 CASP8, MLL2, NOTCH1, RB1 Fatigue F 64 N R 4 PD On Surg, Adj RT CPS 30 8 G266R 0 keywords: net; patients cache: skin-1138.pdf plain text: skin-1138.txt item: #125 of 1356 id: skin-1139 author: Workman, Ashleigh; Lindsley, Josh; Web, Nathaniel; Miller, Thaddeus; Stockbridge, Erica; Charles, Jean; Weis, Stephen title: Preventative Medicine in Dermatologic Care: Providing Immunization Education and Convenient Pneumococcal Immunizations for Patients Receiving Immunosuppressive Therapy date: 2021-01-01 words: 1469 flesch: 47 summary: We evaluated the project’s approach of providing education with immediate onsite immunization availability relative to standard care to determine if vaccination uptake per CDC guidelines5 can be increased. We observed that many of our patients’ immunizations were incomplete and sought to increase immunization uptake through a quality improvement (QI) project beginning in Fall 2019. keywords: group; immunization; patients; vaccination cache: skin-1139.pdf plain text: skin-1139.txt item: #126 of 1356 id: skin-114 author: Evans, Colby; Humphrey, Louise; Pelletier, Corey; Hudgens, Stacie title: Group Concept Mapping to Understand the Patient Perspective and Burden of Psoriasis date: 2017-10-27 words: 1488 flesch: 38 summary: • Clinical data and clinician-reported data will be considered against the patient reported QoL, symptom, and treatment satisfaction data to measure and characterize the unmet needs and burden of psoriasis from the GCM exercise and to identify populations of psoriasis patients who may benefit from new psoriasis treatments. Hispanics (1.6%,) and others (1.4%).3 • Topical corticosteroids are the traditional and most widely used psoriasis therapy in the US, ranging from over-the- counter 1% hydrocortisone to more potent Class 1 corticosteroids.4 – Additional treatments are phototherapy, systemic retinoids, methotrexate, cyclosporine, apremilast, and newer biological agents.5 • The symptoms and treatment of psoriasis have a significant negative impact on patient-reported quality of life (QoL). – A survey by the National Psoriasis Foundation showed that nearly 75% of patients believed psoriasis had a moderate to large negative impact on their QoL, with alterations in their daily activities.5 • There are a number of clinical outcome assessments that have been used to measure QoL in psoriasis patients ranging from psoriasis-specific measures (Psoriasis Index of Quality of Life, Psoriasis Disability Index), to skin-specific measures (Questionnaire on Experience with Skin Complaints, Dermatology Life Quality Index) to generic measures (Short Form-36, EuroQol 5D, Work Productivity Assessment Index).5 • With a high prevalence and large burden of disease, there is interest to explore and understand patient priorities and unmet needs for the treatment of psoriasis. keywords: exercise; gcm; patients; psoriasis; study cache: skin-114.pdf plain text: skin-114.txt item: #127 of 1356 id: skin-1140 author: Litchman, Graham; Marson, Justin; Rigel, Darrell title: The Ongoing Impact of COVID-19 on US Dermatology Practices date: 2021-01-01 words: 1793 flesch: 51 summary: Comparison of US Dermatology practice during February 17-21 versus March 16-20, April 13-18, and prospective practice estimates. No significant differing telemedicine usage (39.5% hotspots vs 37.2% non-hotspots) or practice closure (21.0% hotspots vs 17.6% non-hotspots) was found in Survey 1 (March); however, a significant difference in telemedicine usage (54.5% hotspots vs 45.5% non-hotspots) and practice closure (25.4% hotspots vs 16.4% non-hotspots, when compared to a typical April week) was found in Survey 2 (April). keywords: april; dermatology; hotspots; practice; survey cache: skin-1140.pdf plain text: skin-1140.txt item: #128 of 1356 id: skin-1141 author: Alkul, Suzanne; Graubard, Rachel; Wasko, Carina title: Eccrine Poromatosis Following Lymphoma Treatment: A Case Report and Literature Review date: 2021-03-06 words: 2560 flesch: 52 summary: Japan10 72 Female Nasolacrimal Duct Adenocarcinoma Radiation Rapid onset after radiation therapy Garshick et al., 2014; New York, NY11 46 Male AML Chemotherapy; Autologous Stem Cell Transplant Months Deckelbaum et al., 2014; Long Beach, CA12 73 Male Testicular Lymphoma Chemotherapy; Radiation 13 Years Mayo et al., 2015; Birmingham, AL13 43 Male Mantle Cell Lymphoma Chemotherapy; Autologous Stem Cell Transplant 4 Years Takahashi et al., 2015; Hokkaido, Japan14 63 Female AML Chemotherapy; Autologous Stem Cell Transplant 15 Years Aung et al., 2017; Houston, TX15 45 Male AML Chemotherapy; Allogeneic Stem Cell Transplant 3 Months Transplant complicated by CMV infection; Lesions positive for HPV and MCPyV Lim et al., 2018; London, United Kingdom16 63 Female Breast Cancer Chemotherapy; Radiation 6 Years Valdebran et Navi et al., 2008; Davis, CA,5 64 Male Non-Hodgkin Lymphoma Chemotherapy Unknown Sherman et al., 2010; Oxford, United Kingdom6 32 Male Acute Myeloid Leukemia (AML) Chemotherapy; Total Body Radiation; Allogeneic Bone Marrow Transplant (2) 6 Years Both transplants complicated by GVHD Diamantis et al., 2011; Austin, TX7 53 Male Mantle Cell Lymphoma Allogeneic Stem Cell Transplant 5 Years Transplant complicated by GVHD; Lesions positive for HPV Fujii et al., 2012; Okayama, Japan8 66 Female Chronic Lymphocytic Leukemia (CLL); B-Cell Follicular Lymphoma Chemotherapy; Radiation 16 Years Fujii et al., 2012; Okayama, Japan8 62 Male Malignant Fibrous Histiocytoma Chemotherapy; Radiation 10 Years Fujii et al., 2012; Okayama, Japan8 59 Male B-Cell Lymphoma Chemotherapy 6 Months Fujii et al., 2012; Okayama, Japan8 72 Male B-Cell Lymphoma Chemotherapy 10 Years Nguyen et al., 2012; San Diego, CA9 25 Male AML Chemotherapy; Autologous Bone Marrow Transplant 11 Years SKIN March 2021 Volume 5 Issue 2 Copyright 2021 The National Society for Cutaneous Medicine 182 Miura & Yamamoto 2013; Fukushima, keywords: cell; chemotherapy; eccrine; poromas; poromatosis; transplant; years cache: skin-1141.pdf plain text: skin-1141.txt item: #129 of 1356 id: skin-1142 author: Marson, Justin; Litchman, Graham; Rigel, Darrell title: The Differential Impact of COVID-19 on Urban Versus Rural Dermatologic Practice Logistics and Recovery: A Cross-Sectional Investigation of the First Wave date: 2021-03-06 words: 2919 flesch: 64 summary: Rural 18.7% (0.7%-27.7%) 19.3% (21.1%-26.6%) 13.1% (5.7%-20.5%) <0.0001 Urban 26.7% (23.0%-30.5%) 19.3% (12.1%-26.6%) 10.7%B,C (8.4%-12.9%) In April 2020 urban practices reported more closed practices (21.4% vs 5.8%, p<0.0001) and predicted significantly larger patient volume decreases (-45.2% vs -31.4%, p<0.0001) and practice closures (11.9% vs. 2.5% p<0.0001) in the following 2 weeks. keywords: covid-19; mean; practices; survey; volume cache: skin-1142.pdf plain text: skin-1142.txt item: #130 of 1356 id: skin-1143 author: Kim, Angela; Khan, Muneeb; Lin, Ann; Wang, Hongbei; Siegel, Louis; Rozenberg, Suzanne title: New Bullous Eruptions in a COVID-19 Positive Patient in an Intensive Care Unit date: 2021-05-21 words: 1899 flesch: 55 summary: The sensitivity of DIF in BP ranges 88.3-84%7,8; additionally, in a large group of BP patients, DIF detected IgG was 91.4% and 73.6% for C3. When encountering new bullous eruptions in patients with active SARS-COV-2, clinicians should take caution and consider BP in their differential diagnosis as timely diagnosis and management can improve patient outcome. keywords: case; dif; igg; new; patient; pemphigoid; skin cache: skin-1143.pdf plain text: skin-1143.txt item: #131 of 1356 id: skin-1145 author: Hooper, Perry; Holmes, Samantha; Que, Syril Keena T. title: Smoke Evacuation in Dermatology: A National Cross-Sectional Analysis Examining the Behaviors and Perceptions of Dermatologists and Dermatologic Surgeons date: 2021-05-21 words: 1382 flesch: 43 summary: No 44 (72.1) 15 (62.5) *“Infrequent use” of smoke evacuators is defined as “use of smoke evacuator during 50% or less of cases generating surgical smoke”. **“Frequent use” of smoke evacuators is defined as “use of smoke evacuator during more than 50% of cases generating surgical smoke”. keywords: dermatologists; evacuation; smoke; use cache: skin-1145.pdf plain text: skin-1145.txt item: #132 of 1356 id: skin-1146 author: Brouha, Brook; Ferris, Laura; Skelsey, Maral; Peck, Gary; Rock, Jim; Nguyen, Anh; Yao, Zuxu; Howell, Michael; Jansen, Burkhard; Cockerell, Clay title: Genomic Atypia to Enrich Melanoma Positivity in Biopsied Lesions: Gene Expression and Pathology Findings From a Large U.S. Registry Study date: 2021-01-01 words: 2215 flesch: 41 summary: Specifically, 18.7% of surgically excised 2-GEP-positive lesions in this registry study, compared to 4% of lesions biopsied based on visual atypia, were histopathologically confirmed as melanoma in situ or invasive melanoma.-3 Taken together with our previous reports, the 2-GEP test has the potential to transform management of pigmented lesions by non- invasively guiding biopsy decisions to detect melanoma while reducing surgical biopsies by approximately 90%.7,8 An integrated approach to optimize pigmented lesion management appears well aligned with the most recent 2019 American Academy of Dermatology (AAD) cutaneous melanoma guidelines which state “that efforts to standardize the histopathologic diagnosis and categorization of melanocytic neoplasms are underway to reduce the significant interobserver variability among pathologists. Consideration of genomic atypia may be a superior approach to guide biopsy decisions and manage pigmented lesions. keywords: atypia; genomic; gep; lesions; linc; melanoma; prame cache: skin-1146.pdf plain text: skin-1146.txt item: #133 of 1356 id: skin-1148 author: Surjanto, Kezia; Phan, Michael; Williams, Laura title: A Commentary on Colorism and Skin Bleaching in Asian and Asian American Patients date: 2021-03-06 words: 446 flesch: 38 summary: As a result, Asians and Asian Americans use skin bleaching products, despite their ingredients’ adverse effects which include, but are not limited to: exogenous ochronosis (hydroquinone), membranous nephropathy (mercury), and superficial mycoses (steroids).1,3 With this in mind, one can understand that the practice of skin bleaching is not only an attempt to attain beauty, but also a means to evade skin tone specific discrimination.2 It is crucial for dermatologists— especially those serving a diverse patient demographic— to be aware of the origins of skin bleaching and approach patients suspected of this practice from a culturally sensitive perspective. Colorism is a bias according to a skin color hierarchy within ethnoracial groups that leads to systematic discrimination against individuals with darker skin tones.1,2 In Japan, light skin reflected nobility based on the implication that fair-skinned individuals were exempt from outdoor labor.1,2 In India, possessing darker skin implied that one was of a lower caste.2 Similar colorism trends were also present in China, Pakistan, Vietnam, Korea, the Philippines, Cambodia, Thailand, and Indonesia, ultimately associating fair skin with improved social privilege and beauty.1, 2 These biases impact individuals whose skin tone does not conform to the culturally rooted standard that is perpetuated throughout generations. keywords: bleaching; skin cache: skin-1148.pdf plain text: skin-1148.txt item: #134 of 1356 id: skin-1149 author: Jimenez, Antonio Roberto; Hoyer, Paige; Ross, Lindy title: A Rare Presentation of Concomitant Alopecia Areata and Vitiligo in a Teenager date: 2021-05-21 words: 1771 flesch: 51 summary: The patient was diagnosed with concomitant disease and topical tofacitinib was added to her treatment regimen. The rare nature of the patient’s presentation makes concomitant disease a therapeutic challenge and can impose significant psychological distress to a pediatric patient. keywords: hair; patient; scalp; vitiligo cache: skin-1149.pdf plain text: skin-1149.txt item: #135 of 1356 id: skin-115 author: Knuckles, Melissa L F; Levi, Eugenia; Soung, Jennifer title: Defining and Treating Moderate Plaque Psoriasis in a Real-World Clinical Setting: A Dermatologist Survey and Prospective 6-Month Chart Review of Patients Treated with Apremilast date: 2017-10-27 words: 1898 flesch: 40 summary: • US dermatologists treating patients with psoriasis were invited to complete an online survey which asked: – How they typically assess psoriasis severity – What cutoff criteria they use to defi ne moderate psoriasis – Which treatments they commonly prescribe to patients with moderate plaque psoriasis • Eligible survey participants were US dermatologists who: – Treat ≥20 adult patients with plaque psoriasis per month, ≥1% of whom must be considered to have moderate psoriasis – Spend ≥40% of practice time in medical dermatology or ≥70% in medical and surgical dermatology – Have been in practice for 2 to 30 years – Spend >75% of practice time in direct patient care Prospective 6-Month Patient Chart Review • Surveyed dermatologists were also asked to provide data from charts of 4 patients with a diagnosis of moderate plaque psoriasis whom they had seen in the last month, including ≥1 patient treated with APR; 6 months later they were invited to provide follow-up patient chart information. INTRODUCTION • Management of moderate psoriasis remains a signifi cant challenge, with some evidence suggesting patients with moderate disease are often undertreated and experience unsatisfactory clinical outcomes.1,2 keywords: apr; month; patients; psoriasis; treatment cache: skin-115.pdf plain text: skin-115.txt item: #136 of 1356 id: skin-1151 author: Litchman DO, MS, Graham H; Thibodeaux, Quinn; Rivera-Oyola, Ryan; Koo, John; Fried, Rick; Goldenberg, Gary; Han, George; Hsu, Sylvia; Kircik, Leon; Knuckles, Melissa; Murina, Andrea; Wu, Jashin; Lebwohl, Mark title: Should Package Insert Warnings Deter Prescribing in Psoriasis Patients with Depression? date: 2021-01-01 words: 3229 flesch: 46 summary: Reports of depression for the duration of each clinical trial are also below population averages of psoriasis patients when previous data and meta-analyses are considered. IL-17A causes depression-like symptoms via NF B and p38MAPK signaling pathways in mice: implications for psoriasis associated depression. keywords: amgen; apremilast; brodalumab; celgene; depression; dermatology; novartis; patients; pharma; psoriasis; speaker; treatment cache: skin-1151.pdf plain text: skin-1151.txt item: #137 of 1356 id: skin-1153 author: Cockerell, Clay; Goldberg, Matthew; Estrada, Sarah; Hosler, Gregory; Martin, Howard; Russell, Brooke; Zolochevska, Olga; Depcik-Smith, Natalie; Cleaver, Nathan title: Performance of a 35-Gene Expression Profile Test in Suspicious Pigmented Lesions of the Head and Neck date: 2020-12-31 words: 964 flesch: 60 summary: PowerPoint Presentation REFERENCES •Lesions on the head and neck in the ≥18 yo population were analyzed from the cohort published in Estrada et al.; samples are described in Table 1. •Clinically diagnosed melanomas tested with the 31-GEP (prognostic melanoma test available from Castle Biosciences Inc.) were included in this study. Estrada et al. SKIN J Cutan Med. keywords: gep; neck cache: skin-1153.pdf plain text: skin-1153.txt item: #138 of 1356 id: skin-1154 author: Kirkwood, John; Dummer, Reinhard; Hauschild, Axel; Santinami, Mario; Atkinson, Victoria; Sileni, Vanna; Larkin, James; Nyakas, Marta; Haydon, Andrew; Dutriaux, Caroline; Schachter, Jacob; Robert, Caroline; Mortier, Laurent; Banerjee, Hiya; Haas, Tomas; Tan, Monique; Lau, Mike; Schadendorf, Dirk; Long, Georgina; Mandala, Mario title: Restricted Mean Survival Time and Cure-Rate Modeling in Estimating Relapse-Free Survival Benefit With Adjuvant Dabrafenib + Trametinib Treatment in Melanoma date: 2021-01-01 words: 2623 flesch: 52 summary: Dirk Schadendorf,18 Georgina V. Long,19 Mario Mandalà20 1Melanoma Program, UPMC Hillman Cancer Center, University of Pittsburgh, Pittsburgh, PA, USA; 2Department of Dermatology, University Hospital Zürich Skin Cancer Center, Zürich, Switzerland; 3Department of Dermatology, University Hospital Schleswig-Holstein, Kiel, Germany; 4Melanoma and Sarcoma Unit, Department of Surgery, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy; 5Division of Cancer Services, Princess Alexandra Hospital, Gallipoli Medical Research Foundation, University of Queensland, Greenslopes, QLD, Australia; 6Melanoma Cancer Unit, Department of Experimental and Clinical Oncology, Veneto Oncology Institute-IRCCS, Padova, Italy; 7Department of Medical Oncology, Royal Marsden NHS Foundation Trust, London, UK; 8Department of Cancer, Oslo University Hospital, The Norwegian Radium Hospital, Oslo, Norway; 9Melanoma Service, Department of Medical Oncology, The Alfred Hospital, Melbourne, VIC, Australia; 10Service de Dermatologie, Centre Hospitalier Universitaire de Bordeaux, Hôpital Saint-André, Bordeaux, France; 11Division of Oncology, Ella Lemelbaum Institute for Immuno-Oncology and Melanoma, Sheba Medical Center, Tel Hashomer, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; 12Dermatology Service and Melanoma Research Unit, Gustave Roussy and Paris-Sud-Paris-Saclay University, Villejuif, France; 13Service de Dermatologie, Université de Lille, INSERM U 1189, Lille, France; 14Clinical Development and Analytics, Novartis Pharmaceuticals Corporation, East Hanover, NJ, USA; 15Clinical Development and Analytics, Novartis Pharma AG, Basel, Switzerland; 16Oncology Clinical Development, Novartis Pharmaceuticals Corporation, East Hanover, NJ, USA; 17Global Medical Affairs, Novartis Pharma AG, Basel, Switzerland; 18Department of Dermatology, Comprehensive Cancer Center (Westdeutsches Tumorzentrum), University Hospital Essen, Essen, and German Cancer Consortium, Heidelberg, Germany; 19Department of Medical Oncology, Melanoma Institute Australia, The University of Sydney, and Royal North Shore and Mater Hospitals, Sydney, NSW, Australia; 20Department of Oncology and Hematology, Papa Giovanni XXIII Cancer Center Hospital, Bergamo, Italy Background • In COMBI-AD analysis, 5-year relapse-free survival (RFS) rates were 52% in patients with stage No prior systemic anticancer therapy • ECOG PS 0-1 N = 870 Stratified by: • BRAF mutation (V600E or V600K) • Disease stage (IIIA, IIIB, or IIIC) R 1:1 n = 438 Dabrafenib 150 mg BID + Trametinib 2 mg QD n = 432 2 matched placebos Treatment (12 months)a Primary endpoint: RFS Secondary endpoints: OS, DMFS, FFR, safety Follow-upb until the end of study AJCC, American Joint Committee on Cancer; AJCC 7, AJCC Cancer Staging Manual, 7th edition; BID, twice daily; DMFS, distant metastasis–free survival; ECOG PS, Eastern Cooperative Oncology Group performance status; FFR, freedom from relapse; OS, overall survival; QD, once daily; R, randomization; RFS, relapse-free survival. keywords: cure; dab; pbo; rate; stage; tram cache: skin-1154.pdf plain text: skin-1154.txt item: #139 of 1356 id: skin-1155 author: Lewis, Karl; Peris, Katty; Sekulic, Aleksandar; Stratigos, Alexander; Dunn, Lara; Eroglu, Zeynep; Chang, Anne Lynn; Migden, Michael; Li, Siyu; Yoo, Suk-Young; Mohan, Kosalai; Coates, Ebony; Okoye, Emmanuel; Baurain, Jean-Francois; Bechter, Oliver; Hauschild, Axel; Butler, Marcus; Hernandez-Aya, Leonel; Licitra, Lisa; Neves, Rogerio; Ruiz, Emily; Seebach, Frank; Lowy, Israel; Bowler, Timothy; Fury, Matthew title: Interim Analysis of Phase 2 Results for Cemiplimab in Patients with Metastatic Basal Cell Carcinoma (mBCC) who Progressed on or are Intolerant to Hedgehog Inhibitors (HHIs) date: 2021-01-01 words: 2979 flesch: 50 summary: Any TEAE occurring in ≥10% patients or Grade ≥3 in ≥5% patients§ Fatigue 14 (50.0) 0 Diarrhea 10 (35.7) 0 Constipation 7 (25.0) 0 Pruritus 7 Synopsis • Basal cell carcinoma (BCC) is the most common type of skin cancer1 and ultraviolet exposure is a major risk factor.2 • Surgery is a curative option for most patients, but systemic therapy is indicated for a small percentage of patients who develop advanced BCC.3 • Vismodegib is a hedgehog signalling pathway inhibitor (HHIs) that is approved for treatment of patients with metastatic BCC (mBCC) or locally advanced BCC (laBCC) who are not candidates for curative surgery or curative radiotherapy. keywords: cemiplimab; disease; inc; months; patients; pharmaceuticals; regeneron; reports; response; treatment cache: skin-1155.pdf plain text: skin-1155.txt item: #140 of 1356 id: skin-1156 author: Stratigos, Alexander; Sekulic, Aleksandar; Peris, Ketty; Bechter, Oliver; Kaatz, Martin; Lewis, Karl; Basset-Segiun, Nicole; Chang, Anne Lynn; Dalle, Stephanie; Orland, Almudena Fernandez; Licitra, Lisa; Robert, Caroline; Ulrich, Claas; Hauschild, Axel; Migden, Michael; Dummer, Reinhard; Li, Siyu; Mohan, Kosalai; Coates, Ebony; Jankovic, Vladimir; Flaschi, Nathalie; Okoye, Emmanuel; Bassukas, Ioannis; Loquai, Carmen; De Giorgi, Vincent; Eroglu, Zeynep; Gutzmer, Ralf; Ulrich, Jens; Puig, Susana; Seebach, Frank; Thurston, Gavin; Lowy, Israel; Bowler, Timothy; Fury, Matthew title: Primary Analysis of Phase 2 Results for Cemiplimab in Patients (pts) with Locally Advanced Basal Cell Carcinoma (laBCC) who Progress on or are Intolerant to Hedgehog Inhibitors (HHIs) date: 2021-01-01 words: 3035 flesch: 50 summary: Any grade Grade ≥3 Any 82 (98) 43 (51) Serious 29 (35) 22 (26) Led to discontinuation 14 (17) 7 (8) Associated with an outcome of death* 3 (4) 3 (4) Occurred in ≥10% patients (any grade) or Grade 3 in ≥5% patients Fatigue 25 (30) 3 (4) Diarrhea 20 (24) 0 Pruritus 18 (21) 0 Asthenia 17 (20) 1 (1) Anemia 13 (16) 1 (1) Decreased appetite 13 (16) 1 (1) Headache 12 (14) 1 (1) Nausea 12 (14) 1 (1) Urinary tract infection 12 (14) 3 (4) Arthralgia 11 (13) 0 Caroline Robert reports grants and personal fees advisory board roles with Bristol-Myers Squibb, Pierre Fabre, Novartis, Amgen, Merck, Roche, Merck Sharp & Dhome, Sanofi, Biothera, and Ultimovacs. keywords: disease; fees; inc; novartis; patients; pharmaceuticals; regeneron; reports; response; roche; table; treatment cache: skin-1156.pdf plain text: skin-1156.txt item: #141 of 1356 id: skin-1157 author: Migden, Michael; Rischin, Danny; Sasane, Medha; Mastey, Vera; Pavlick, Anna; Schmults, Chrysalyne; Chen, Zhen; Guminski, Alexander; Hauschild, Axel; Bury, Denise; Hudgens, Stacie; Chang, Anne Lynn; Rabinowits, Guilherme; Ibrahim, Sherrif; Fury, Matthew; Lowy, Israel; Li, Siyu; Chen, Chieh-I title: Cemiplimab Improves Health-Related Quality of Life (HRQoL) and Reduces Pain in Patients with Advanced Cutaneous Squamous Cell Carcinoma (CSCC): Results from a Post Hoc Exploratory Analysis of a Phase 2 Clinical Trial date: 2021-01-01 words: 3010 flesch: 55 summary: Guilherme Rabinowits: consulting and advisory roles for EMD Serono Pfizer, Sanofi, Regeneron Pharmaceuticals Inc. and Merck and Castle and stock/other ownership interests from Syros Pharmaceuticals and Regeneron Pharmaceuticals, Inc. Funding sources Funding was provided by Regeneron Pharmaceuticals, Inc. and Sanofi. keywords: baseline; cycle; inc; pain; pharmaceuticals; regeneron; response; time cache: skin-1157.pdf plain text: skin-1157.txt item: #142 of 1356 id: skin-1158 author: Campbell, Garrett; Hartung, Ryan; Churko, Jared; Thorpe, David title: Improving Skin Barrier Function During the COVID-19 Era: Laboratory Studies of a Prescription Tri-lipid Emollient date: 2021-01-01 words: 1407 flesch: 60 summary: For treated filter paper, cream was applied and spread uniformly using a glass slide and dried for 2 h at 30oC. Untreated filter paper was used as a control. Interpretation: No growth is proof of complete blockage of microbial passage through treated filter papers. keywords: barrier; filter; paper; test cache: skin-1158.pdf plain text: skin-1158.txt item: #143 of 1356 id: skin-1159 author: Roebuck, Heather title: COVID-19 Pandemic and Personal Protection Equipment (PPE): A Focus on Treatment of Essential Workers with Hand Dermatitis date: 2021-01-01 words: 602 flesch: 39 summary: Subsequently, bacteria, fungi, and viruses, such as the coronavirus, can penetrate through the skin into the bloodstream causing additional comorbidities.3 Though 90% of healthcare workers experience symptoms associated with hand eczema less than 15% recognize the symptoms as onset of disease.2 Introduction 54 year old female essential worker with a history of atopic dermatitis presents with a 6 week worsening of hand dermatitis due to frequent job related hand washing and sanitizing (~20x/day). COVID-19 Training on TRAIN Trainings on Infection Prevention and Control, PPE, Self-Care/Mental Health for Professionals OpenWHO Free Covid-19 Training Courses and Exercises, Patient Handouts/Stickers/ Posters/Fun Activities Latest research, Free CME, Public Health Guidance and Patient Information with a Special JAMA Dermatology Section Available Free Evidence Based Skin Disease Booklets to Order or Download for Your Patients and Educational Grants and Funding Information Database of Clinical Studies Available Around the World New Symptom Tracker Launched to Fight COVID-19 Provides Real Time Data for Treatment Planning and Updated Recommendations Due to COVID-19, extended use of PPE introduced an increased risk of dermatological conditions among health care workers. keywords: daily; skin cache: skin-1159.pdf plain text: skin-1159.txt item: #144 of 1356 id: skin-116 author: Reich, Kristian; Bomas, Stefanie; Korge, Bernhard; Manasterski, Maria; Schwitchtenberg, Uwe; Mentz, Hannah; Groegel, Kathrin title: First "Real-World" Insights on Apremilast Treatment for Patients with Plaque Psoriasis from the LAPIS-PSO Study: An Interim Analysis date: 2017-10-27 words: 1577 flesch: 60 summary: The subgroup analysis was stratifi ed based on the number of prior conventional systemic treatments (≤1 vs. >1) (Table 1). US: AbbVie Deutschland GmbH, Almirall Hermal GmbH, Astellas Pharma GmbH, Beiersdorf Derma Medical GmbH, Celgene GmbH, Janssen Cilag GmbH, Johnson & Johnson GmbH, LEO Pharma GmbH, L´Oréal GmbH, MEDA Pharma GmbH, Merz Pharmaceuticals GmbH, MSD SHARP & DOHME GmbH, Novartis Pharma GmbH, Pfi zer GmbH, and Medical Project Design GmbH – paid speaker, advisory board member, investigator, and/or stockholder. keywords: dlqi; gmbh; patients; subgroup; systemic; visit cache: skin-116.pdf plain text: skin-116.txt item: #145 of 1356 id: skin-1161 author: Papp, Kim; Szepietowski, Jacek; Kircik, Leon; Toth, Darryl; Kuligowski, Michael; Venturanza, May; Sun, Kang; Simpson, Eric title: Efficacy and Safety of Ruxolitinib Cream for the Treatment of Atopic Dermatitis: Pooled Analysis of Two Phase 3, Randomized, Double-Blind Studies date: 2021-01-01 words: 2471 flesch: 54 summary: Proportion of Patients Achieving EASI-75 Pr op or tio n (S E) o f EA SI -7 5 Re sp on de rs , % † 0 10 20 30 40 50 70 60 0 2 4 8 Time, wk Vehicle (n=244) 0.75% RUX (n=483) 1.5% RUX (n=481) 4.9 12.3 19.7 28.0 47.0 53.8 33.9 54.7 62.0 **** **** EASI-75, ≥75% improvement in Eczema Area and Severity Index score from baseline; RUX, ruxolitinib cream; SE, standard error. [BID], 1.5% BID) or vehicle cream BID for 8 weeks of double-blind treatment – Patients on ruxolitinib cream could subsequently continue treatment for 44 weeks; patients initially randomized to vehicle were re-randomized 1:1 to either ruxolitinib cream regimen Figure 1. keywords: baseline; cream; patients; rux; ruxolitinib; vehicle; week cache: skin-1161.pdf plain text: skin-1161.txt item: #146 of 1356 id: skin-1162 author: Silverberg, Jonathan; Barbarot, Sebastien; Gooderham, Melinda; Simon, Jan; Simpson, Eric; Kurbasic, Azra; Olsen, Christina; Cork, Michael title: Specifically Targeting Interleukin-13 with Tralokinumab Improved Sleep in Two Phase 3, Randomized, Double-Blind, Placebo-Controlled Trials in Patients with Atopic Dermatitis date: 2021-01-01 words: 2440 flesch: 51 summary: [95% CI –2.9, –2.3] vs –1.8 [95% CI –2.3, –1.3]; P=0.004, and ECZTRA 2, –3.0 [95% CI –3.2, –2.7] vs –1.8 [95% CI –2.3, –1.2]; P0.001) POEM sleep score ● There was a greater shift towards lower POEM sleep scores with tralokinumab compared with placebo in both ECZTRA 1 and ECZTRA 2 (Figure 4) — The majority of patients (87.5−92.8%) across treatment groups reported ≥3 nights of sleep disturbance at baseline in both trials — At week 16, 64.2% and 60.9% of tralokinumab-treated patients reported ≥3 nights of sleep disturbance compared to 81% and 78.5% of patients with placebo ● A greater proportion of tralokinumab-treated patients (35.9−39.1%) reported “No days” or “1−2 days” of sleep disturbance at week 16 versus placebo (19.1−21.5%) Winter Clinical Dermatology Conference, January 16-24, 2021 Conclusions ● Tralokinumab monotherapy 300 mg every 2 weeks demonstrated improvements compared with placebo in three sleep measures (NRS for eczema-related sleep interference, SCORAD sleep score, and POEM sleep score) during the initial 16-week treatment period ● Improvement in sleep measures was consistent across two large Phase 3 trials, ECZTRA 1 and ECZTRA 2 ● A greater proportion of tralokinumab-treated patients reported either “no days” or “1–2 days” of sleep disturbance ● Early improvement in sleep measures as early as week 1 with tralokinumab is consistent with its effects on the signs and troublesome symptoms of atopic dermatitis, including pruritus [95% CI –2.4, –1.5]; P=0.007, and ECZTRA 2, –2.9 [95% CI –3.1, –2.7] vs –1.5 [95% CI –1.9, –1.1]; P0.001) SCORAD sleep score ● There was a greater improvement in SCORAD sleep score with tralokinumab compared with placebo in both ECZTRA 1 and ECZTRA 2 (Figure 3) — Change from baseline in SCORAD sleep score was greater with tralokinumab compared with placebo, with separation observed between the treatment groups from week 2 (P0.001) and at each week onwards (P0.05) ● The LSM change from baseline at week 16 was greater with tralokinumab compared with placebo (ECZTRA 1, −2.6 keywords: ecztra; placebo; score; sleep; tralokinumab; week cache: skin-1162.pdf plain text: skin-1162.txt item: #147 of 1356 id: skin-1163 author: Wollenberg, Andreas; Beck, Lisa; de Bruin Weller, Marjolein; Zachariae, Rebecca; Olsen, Christina; Thyssen, Jacob title: Conjunctivitis in Tralokinumab-Treated Adult Patients with Moderate-To-Severe Atopic Dermatitis: Pooled Results from Five Clinical Trials date: 2021-01-01 words: 2282 flesch: 48 summary: ● However, the duration of the first conjunctivitis event was longer in the tralokinumab group compared to the placebo group (21.0 days vs 14 days) (Table 4) Common treatments ● The majority of patients in both treatment groups received treatment for their conjunctivitis (85.7% of tralokinumab patients vs 71.4% of placebo patients) ● Common treatments in tralokinumab-treated and placebo-treated patients included ophthalmic anti-allergics (31.0% vs 38.1%), anti-infectives (30.2% vs 19.0%), corticosteroids (23.0% vs 9.5%) and combined corticosteroids and anti-infectives (13.5% vs 14.3%) References 1. Time to onset of first conjunctivitis event (safety analysis set, AD pool, initial treatment period) keywords: conjunctivitis; patients; placebo; q2w; tralokinumab; treatment cache: skin-1163.pdf plain text: skin-1163.txt item: #148 of 1356 id: skin-1164 author: Simpson, Eric; Merola, Joseph; Silverberg, Jonathan; Zachariae, Rebecca; Olsen, Rebecca; Wollenberg, Andreas title: Safety of Specifically Targeting Interleukin 13 with Tralokinumab in Adult Patients with Moderate-To-Severe Atopic Dermatitis: Pooled Analysis of Five Randomized, Double-Blind, Placebo-Controlled Phase 3 and Phase 2 Trials date: 2021-01-01 words: 3790 flesch: 47 summary: In this analysis of five clinical trials (three Phase 3 and two Phase 2), which included 2285 patients, tralokinumab 300 mg q2w was well tolerated when used as monotherapy and as combination therapy with TCS for treatment of moderate-to-severe AD in the AD pool during the initial 16-week period ● The overall frequencies of AEs were similar for tralokinumab and placebo; skin infections requiring systemic treatment, eczema herpeticum, opportunistic infections and severe or serious infections were lower with tralokinumab than with placebo ● The safety profile during prolonged tralokinumab treatment was consistent with the initial 16-week treatment period and some events decreased in frequency References 1. ● The overall frequency of AEs during the initial treatment period was similar for tralokinumab (69.0%) and placebo (71.5%) and similar to the AD pool — The majority of AEs were mild or moderate in severity ● The safety profile during prolonged tralokinumab treatment from 16–52 weeks in the monotherapy pool was consistent with the initial 16-week treatment period, based on overall frequencies of AEs, SAEs, severe AEs and AEs leading to permanent discontinuation (Figure 2) keywords: aes; ecztra; placebo; q2w; tralokinumab; treatment cache: skin-1164.pdf plain text: skin-1164.txt item: #149 of 1356 id: skin-1165 author: Blaiss, Michael; Cork, Michael; Lio, Peter; Kessel, Aharon; Takiya, Liza; Werth, John; O'Connell, Michael; Zang, Chuanbo; Spergel, Jonathan title: Efficacy and Safety of Crisaborole in Patients With Mild-to-Moderate Atopic Dermatitis With and Without Food Allergies date: 2021-01-01 words: 2020 flesch: 50 summary: INTRODUCTION • AD is a chronic inflammatory skin disease; patients with AD are at higher risk for other atopic comorbidities, such as food allergies1 • The prevalence of food allergy in AD ranges from 20% to 80% in this population2 – Although it is not clear whether the presence of food allergies makes AD more difficult to treat, there is an association between ingestion of food that triggers an allergic reaction and AD exacerbation3 • Crisaborole ointment, 2%, is an anti-inflammatory nonsteroidal PDE4 inhibitor for the treatment of patients aged ≥3 months (≥2 years of age outside the United States) with mild-to-moderate AD4 – Initial regulatory approval was based on the results from 2 identically designed, vehicle-controlled, phase 3 clinical studies: CORE 1 (NCT02118766) and CORE 2 (NCT02118792)5 OBJECTIVE • In the pooled study population, 1016 patients received crisaborole and 506 received vehicle – Among them, 251 reported a past medical history of food allergies and 1271 did not have a past medical history of food allergies – Baseline demographics were generally similar between treatment arms and between those who did and those who did not have food allergies – Regarding baseline disease characteristics, for those with a past medical history of food allergies, a relatively greater proportion (1) used systemic corticosteroids previously, (2) used antihistamines concurrently, (3) had moderate AD per ISGA at baseline, and (4) had greater %BSA involvement with AD lesions (Table 1) Table 1. keywords: allergies; crisaborole; food; history; patients; vehicle cache: skin-1165.pdf plain text: skin-1165.txt item: #150 of 1356 id: skin-1166 author: Spergel, Jonathan; Blaiss, Michael; Lio, Peter; Kessel, Aharon; Takiya, Liza; Werth, John; O'Connell, Michael; Zang, Chuanbo; Cork, Michael title: Efficacy and Safety of Crisaborole in Patients With Mild-to-Moderate Atopic Dermatitis With and Without Comorbid Allergic Rhinitis date: 2021-01-01 words: 2225 flesch: 46 summary: Among patients with allergic rhinitis, 53 crisaborole-treated patients (32.5%) and 22 vehicle-treated patients (27.8%) experienced at least 1 all-cause TEAE • Among crisaborole-treated patients with allergic rhinitis, 34 patients (20.9 %) experienced a mild TEAE, 16 patients (9.8%) experienced a moderate TEAE, and 3 patients (1.8%) experienced a severe TEAE • Individual TEAEs were infrequent (Table 2) • The most common treatment-related TEAE in those with allergic rhinitis and in those without allergic rhinitis (crisaborole vs vehicle) was application site pain (4.9% vs 1.3% and 4.4% vs 1.2%, respectively) • 1 crisaborole-treated patient with allergic rhinitis experienced a serious TEAE (pneumonia, 0.6%), and none treated with vehicle experienced a serious TEAE (0%); the serious TEAE was not considered treatment related • Allergic rhinitis was reported as an AE in ≤2 patients in any group; no anaphylaxis was reported in any group Table 2. In the pooled study population, 1016 patients received crisaborole and 506 received vehicle – Among them, 242 were reported to have a past medical history of allergic rhinitis and 1280 did not have a past medical history of allergic rhinitis – Baseline demographics and disease characteristics were generally balanced between treatment arms and between patients who did and those who did not have allergic rhinitis; however, for patients with a past medical history of allergic rhinitis, a relatively greater proportion used systemic corticosteroids, used antihistamines concurrently, and had greater mean %BSA involvement with AD lesions (Table 1) Efficacy and Safety of Crisaborole in Patients With Mild-to-Moderate Atopic Dermatitis With and Without Comorbid Allergic Rhinitis Jonathan M. Spergel,1 Michael S. Blaiss,2 Peter Lio,3,4 keywords: crisaborole; isga; patients; pmh; rhinitis; vehicle cache: skin-1166.pdf plain text: skin-1166.txt item: #151 of 1356 id: skin-1167 author: Bunick, Christopher; Del Rosso, James; Tyring, Stephen; Draper, Michael; Johnson, Jodi; Grada, Ayman title: Sarecycline Demonstrates Narrow spectrum Antibacterial Activity and Anti inflammatory Effect in Animal Models date: 2021-01-01 words: 725 flesch: 34 summary: Anti-inflammatory effect of sarecycline and comparators in rat footpad model Antibacterial S. aureus RN450-1 E. coli PBS1478 agent MIC (mg/mL) ➢ Sarecycline showed anti-inflammatory effect comparable to doxycycline and minocycline in the rat footpad edema model. keywords: sarecycline cache: skin-1167.pdf plain text: skin-1167.txt item: #152 of 1356 id: skin-1168 author: Warren, RB; Blauvelt, A; Bagel, J; Papp, KA; Yamauchi, P; Armstrong, A; Langley, R; Vanvoorden, V; De Cuyper, D; Peterson, L; Cross, N; Reich, K title: Bimekizumab Efficacy and Safety versus Adalimumab in Patients with Moderate to Severe Plaque Psoriasis: Results from a Multicenter, Randomized, Double-Blinded Active Comparator-Controlled Phase 3 Trial (BE SURE) date: 2021-01-01 words: 2797 flesch: 46 summary: Author Disclosures: RBW: Research grants and/or consulting fees from AbbVie, Almirall, Amgen, Arena, Avillion, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, Eli Lilly, Janssen, LEO Pharma, Novartis, Pfizer, Sanofi, and UCB Pharma; AB: Scientific adviser and/or clinical study investigator for AbbVie, Allergan, Almirall, Athenex, Boehringer Ingelheim, Bristol Myers Squibb, Dermavant, Eli Lilly, Forte, Galderma, Incyte, Janssen, LEO Pharma, Novartis, Pfizer, Rapt, Regeneron, Sanofi Genzyme, Sun Pharma and UCB Pharma; paid speaker for AbbVie; JB: Speaker, investigator and/or consultant for AbbVie, Celgene, Eli Lilly, Leo Pharma, Novartis and Ortho Dermatologics; KAP: Honoraria and/or grants from AbbVie, Akros, Amgen, Arcutis, Astellas, Baxalta, Boehringer Ingelheim, Bristol Myers Squibb, Canfite, Celgene, Coherus, Dermira, Dow Pharma, Eli Lilly, Forward Pharma, Galderma, Genentech, Gilead, GSK, Janssen, Kyowa Kirin, LEO Pharma, MedImmune, Merck (MSD), Merck-Serono, Mitsubishi Pharma, Moberg Pharma, Novartis, Pfizer, PRCL Research, Regeneron, Roche, Sanofi Genzyme, Sun Pharma, Takeda, UCB Pharma, and Valeant/Bausch Health; consultant (no compensation) for AstraZeneca and Meiji Seika Pharma; PY: Speaker, investigator, consultant for AbbVie, Amgen, Eli Lilly, Janssen, Novartis, Ortho Dermatologics, Sun Pharma and UCB Pharma; AA: Research investigator and/or consultant for AbbVie, Bristol Myers Squibb, Dermavant, Dermira, Eli Lilly, Janssen, LEO Pharma, Kyowa Kirin, Modernizing Medicine, Novartis, Ortho Dermatologics, Regeneron, Sanofi, Sun Pharma and UCB Pharma; RL: Honoraria from AbbVie, Amgen, Boeringer Ingelheim, Centocor, Eli Lilly, Janssen, LEO Pharma, Pfizer and Valeant/Bausch Health; VV, LP, DDC, NC: Employees of UCB Pharma; KR: Served as advisor and/or paid speaker for and/or participated in clinical trials sponsored by AbbVie, Affibody, Almirall, Amgen, Avillion, Biogen, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, Centocor, Covagen, Dermira, Eli Lilly, Forward Pharma, Fresenius Medical Care, Galapagos, GSK, Janssen, Kyowa Kirin, LEO Pharma, Medac, MSD, Miltenyi Biotec, Novartis, Ocean Pharma, Pfizer, Regeneron, Samsung Bioepis, Sanofi, Sun Pharma, Takeda, UCB Pharma, Valeant/Bausch Health, and Xenoport. keywords: adalimumab; bimekizumab; pharma; q4w; week cache: skin-1168.pdf plain text: skin-1168.txt item: #153 of 1356 id: skin-1169 author: Strober, B; Krueger, JG; Magnolo, N; Vender, R; Toth, DP; Thaci, D; Wang, M; Cioffi, C; Madden, C; Warren, RB title: Bimekizumab versus Ustekinumab Efficacy Across Subgroups of Patients with Moderate to Severe Plaque Psoriasis: Results from the Multicenter, Randomized, Double-Blinded Phase 3 BE VIVID Trial date: 2021-01-01 words: 2179 flesch: 31 summary: Author Disclosures: BS: Consultant (honoraria) from AbbVie, Almirall, Amgen, Arcutis, Arena, Aristea, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, Dermavant, Dermira, Eli Lilly, Equillium, GSK, Janssen, LEO Pharma, Meiji Seika Pharma, Mindera, Novartis, Ortho Dermatologics, Pfizer, Regeneron, Sanofi-Genzyme, Sun Pharma and UCB Pharma; speaker for AbbVie, Amgen, Eli Lilly, Janssen and Ortho Dermatologics; Scientific Director (consulting fee) for Corrona Psoriasis Registry; Investigator for AbbVie, Cara, Corrona Psoriasis Registry, Dermavant, Dermira and Novartis; Editor-in-Chief (honorarium) for Journal of Psoriasis and Psoriatic Arthritis; JGK: Grants paid to institution from AbbVie, Akros, Allergan, Amgen, Avillion, Biogen MA, Boehringer Ingelheim, Botanix, Bristol Myers Squibb, Celgene, Eli Lilly, Exicure, Incyte, Innovaderm, Janssen, LEO Pharma, Novan, Novartis, Paraxel, Pfizer, Regeneron, Sienna, UCB Pharma and Vitae; personal fees from AbbVie, Allergan, Almirall, Amgen, Arena, Aristea, Asana, Aurigne, Biogen, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, Eli Lilly, Escalier, LEO Pharma, Nimbus, Novartis, Menlo, Pfizer, Sanofi, Sienna, Sun Pharma, UCB Pharma and Valeant; NM: Honoraria, advisor, and/or paid speaker for and/or participated as principal investigator in clinical trials for AbbVie, Almirall, Asana, Biogen, Bristol Myers Squibb, Boehringer Ingelheim, Celgene Corporation, Dermira, Dr. Reddy’s Laboratories, Eli Lilly, Galderma, Genentech, Incyte, Janssen-Cilag, Kyowa Kirin, LEO Pharma, Merck, Novartis, Pfizer, Regeneron, Sun Pharma and UCB Pharma; RV: Consultant, and/or scientific advisor, and/or investigator, and/or speaker for AbbVie, Amgen, Astellas, Bausch Health/Valeant, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, Dermira, Eli Lilly, Galderma, GSK, Janssen, LEO Pharma, Merck (MSD), Merck Serono, Novartis, Pfizer, Regeneron, Roche, Sanofi-Aventis/Genzyme, Sun Pharma, Takeda and UCB Pharma; DPT: Investigator and/or speaker for AbbVie, Amgen, Arcutis, Avillion, Bausch Health, Bristol Myers Squibb, Boehringer Ingelheim, Celgene, Dermira, Eli Lilly, Galderma, GSK, Incyte, Janssen, LEO Pharma, Merck-Serono, Novartis, Pfizer, Regeneron, Sanofi-Aventis/Genzyme, Sun Pharma and UCB Pharma; DT: Honoraria for participation on advisory boards, as a speaker and for consultancy from AbbVie, Almirall, Amgen, Biogen-Idec, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, DS-Biopharma, Eli Lilly, Galapagos, Janssen, LEO Pharma, Morphosis, Novartis, Pfizer, Regeneron, Samsung, Sandoz-Hexal, Sanofi and UCB Pharma; Research grants received from Celgene and Novartis; MW: Employee of UCB Pharma; CC, CM: Employees and shareholders of UCB Pharma; RBW: Research grants from AbbVie, Almirall, Amgen, Celgene, Eli Lilly, Janssen, LEO Pharma, Novartis, Pfizer and UCB Pharma; Consultant for AbbVie, Almirall, Amgen, Arena, Avillion, Bristol Myers Squibb, Boehringer Ingelheim, Celgene, Eli Lilly, Janssen, LEO Pharma, Novartis, Pfizer, Sanofi and UCB Pharma. keywords: bimekizumab; exposure; patients; pharma; ustekinumab; years cache: skin-1169.pdf plain text: skin-1169.txt item: #154 of 1356 id: skin-117 author: Reich, Kristian; Goodfield, Mark; Green, Lawrence; Nograles, Kristine; Levi, Eugenia; Langley, Richard GB title: Safety and Efficacy of Apremilast Through 104 Weeks in Patients swith Moderate-to-Severe Psoriasis Who Continued on Apremilast or Switched from Etanercept Treatment in the LIBERATE Study date: 2017-10-27 words: 2217 flesch: 65 summary: • Improvements in nail psoriasis were achieved with APR at Week 16, and continued APR treatment over 104 weeks resulted in further improvements in nail psoriasis. At Week 16, patients in the PBO and ETN groups switched to APR, and patients in the APR group continued APR. keywords: apr; etn; patients; pbo; phase; psoriasis; week cache: skin-117.pdf plain text: skin-117.txt item: #155 of 1356 id: skin-1170 author: Gordon, K; Foley, P; Rich, P; Duffin, K; Pinter, A; Griffiths, CEM; Wang, M; Vanvoorden, V; Staelens, F; Ciaravino, V; Merola, JF title: Bimekizumab Versus Ustekinumab in Plaque Psoriasis: Lasting Efficacy Translates to Rapid and Sustained Improvements in Quality of Life in the BE VIVID Multicenter, Randomized, Double-Blinded Phase 3 Trial date: 2021-01-01 words: 1953 flesch: 41 summary: Author Disclosures: KG: Honoraria and/or research support from AbbVie, Almirall, Amgen, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, Dermira, Eli Lilly, Janssen, Novartis, Pfizer, Sun Pharma, and UCB Pharma; PF: Grant support from AbbVie, Amgen, Celgene, Eli Lilly, Janssen, Merck, Novartis, Pfizer, Sanofi, and Sun Pharma; Investigator for AbbVie, Amgen, AstraZeneca, Bristol Myers Squibb, Boehringer Ingelheim, Botanix, Celgene, Celtaxsys, CSL, Cutanea, Dermira, Eli Lilly, Galderma, Genentech, Geneseq, GSK, Hexima, Janssen, LEO Pharma, Merck, Novartis, Pfizer, Regeneron, Reistone, Roche, Sanofi Genzyme, Sun Pharma, UCB Pharma, and Valeant/Bausch Health; served on the advisory board for AbbVie, Amgen, Bristol Myers Squibb, Celgene, Eli Lilly, Galderma, Janssen, LEO Pharma, Mayne Pharma, Merck, Novartis, Pfizer, Sanofi Genzyme, Sun Pharma, UCB Pharma, and Valeant/Bausch Health; consultant for Bristol Myers Squibb, Eli Lilly, Janssen, Novartis, Pfizer, UCB Pharma, and Wintermute; received travel grants from AbbVie, Eli Lilly, Janssen, LEO Pharma, Merck, Novartis, Pfizer, Roche, and Sanofi; speaker for or received honoraria from AbbVie, Celgene, Eli Lilly, Galderma, Janssen, LEO Pharma, Merck, Novartis, Pfizer, and Roche; PR: Research grants due to being principal investigator from AbbVie, Arcutis, Bristol Myers Squibb, Centocor, Dermavant, Eli Lilly, Kadmon, Merck, Novartis, Pfizer, Sun Pharma, and UCB Pharma; KD: Consultant and/or investigator for AbbVie, Arena, Avotres, Biogen, Bristol Myers Squibb, Dermavant, Eli Lilly, EMD-Serono, Janssen, LEO Pharma, Merck, Novartis, Regeneron, Sanofi, Sun Pharma, Pfizer, and UCB Pharma. keywords: bimekizumab; dlqi; patients; pharma; ustekinumab; week cache: skin-1170.pdf plain text: skin-1170.txt item: #156 of 1356 id: skin-1171 author: Papp, KA; Lebwohl, M; Gottlieb, AB; Sebastian, M; Langley, R; Okubo, Y; Wang, M; Cioffi, C; Staelens, F; Reich, K title: Bimekizumab for the Treatment of Moderate to Severe Plaque Psoriasis with Scalp, Nail and Palmoplantar Involvement Through 52 Weeks: Post-Hoc Analysis from the BE VIVID Phase 3 Trial date: 2021-01-01 words: 1930 flesch: 35 summary: Author Disclosures: KAP: Honoraria and/or grants from AbbVie, Akros, Amgen, Arcutis, Astellas, Baxalta, Boehringer Ingelheim, Bristol Myers Squibb, Canfite, Celgene, Coherus, Dermira, Dow Pharma, Eli Lilly, Forward Pharma, Galderma, Genentech, Gilead, GSK, Janssen, Kyowa Kirin, LEO Pharma, MedImmune, Merck (MSD), Merck-Serono, Mitsubishi Pharma, Moberg Pharma, Novartis, Pfizer, PRCL Research, Regeneron, Roche, Sanofi Genzyme, Sun Pharma, Takeda, UCB Pharma and Valeant/Bausch Health; Consultant (no compensation) for AstraZeneca and Meiji Seika Pharma; ML: Employee of Mount Sinai which receives research funds from AbbVie, Amgen, Arcutis, Boehringer Ingelheim, Dermavant, Eli Lilly, Incyte, Janssen, LEO Pharma, Ortho Dermatologics, Pfizer and UCB Pharma; Consultant for Aditum Bio, Allergan, Almirall, Arcutis, Avotres, BirchBioMed, BMD Skincare, Boehringer Ingelheim, Bristol Myers Squibb, Cara Therapeutics, Castle Biosciences, Corrona, Dermavant, Evelo, Facilitate International Dermatologic Education, Foundation for Research and Education in Dermatology, Inozyme Pharma, LEO Pharma, Meiji Seika Pharma, Menlo, Mitsubishi Pharma, Neuroderm, Pfizer, Promius/Dr. Reddy’s Laboratories, Serono, Theravance and Verrica; ABG: Honoraria as an advisory board member and consultant for Avotres Therapeutics, Beiersdorf, Boehringer Ingelheim, Bristol Myers Squibb, Eli Lilly, Incyte, Janssen, LEO Pharma, Novartis, Sun Pharma, UCB Pharma and XBiotech (only stock options which she has not used); research/educational grants (paid to Mount Sinai Medical School) from Boehringer Ingelheim, Incyte, Janssen, Novartis, Sun Pharma, UCB Pharma and XBiotech; MS: Received honoraria as an investigator, or received grants and has been an advisor/consultant for AbbVie, Affibody, Almirall, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, Dermira, Dr. August Wolff, Dr. Reddy’s Laboratories, Eli Lilly, Galderma, Genentech, GSK, Incythe, Janssen, LEO Pharma, MedImmune, MSD, Mundipharma, Novartis, Pfizer, Regeneron and UCB Pharma; RL: Honoraria from AbbVie, Amgen, Boehringer Ingelheim, Centocor, Eli Lilly, Janssen, LEO Pharma, Pfizer and Valeant/ Bausch Health for serving as an advisory board member, principal investigator and speaker; YO: Research grants from Eisai, Maruho, Shiseido, and Torii Pharmaceutical; current consulting/advisory board agreements and/or speakers bureau and/or clinical trials from AbbVie, Amgen, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, Eisai, Eli Lilly, Janssen, Jimro, Kyowa Kirin, LEO Pharma, Maruho, Mitsubishi Pharma, Novartis, Pfizer, Sanofi Genzyme, Sun Pharma, Taiho Pharma, Torii Pharmaceutical and UCB Pharma; MW, FS: Employees of UCB Pharma; CC: Employee and shareholder of UCB Pharma; KR: Served as advisor and/or paid speaker for and/or participated in clinical trials sponsored by AbbVie, Affibody, Almirall, Amgen, Avillion, Biogen, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, Centocor, Covagen, Dermira, Eli Lilly, Forward Pharma, Fresenius Medical Care, Galapagos, GSK, Janssen, Kyowa Kirin, LEO Pharma, Medac, MSD, Miltenyi Biotec, Novartis, Ocean Pharma, Pfizer, Regeneron, Samsung Bioepis, Sanofi, Sun Pharma, Takeda, UCB Pharma, Valeant/ Bausch Health and Xenoport. keywords: baseline; bimekizumab; iga; patients; pharma; psoriasis; scalp; ustekinumab cache: skin-1171.pdf plain text: skin-1171.txt item: #157 of 1356 id: skin-1172 author: Blauvelt, A; Warren, RB; Reich, K; Brock, F; Fierens, F; Ciaravino, V; Lebwohl, M title: Durability of DLQI Improvements Among Patients with Moderate to Severe Plaque Psoriasis Treated with Certolizumab Pegol: Three-Year Results from Two Phase 3 Trials (CIMPASI-1 and CIMPASI-2) date: 2021-01-01 words: 2182 flesch: 50 summary: Served as advisor and/or paid speaker for and/or participated in clinical trials sponsored by AbbVie, Affibody, Almirall, Amgen, Avillion, Biogen, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, Centocor, Covagen, Dermira, Eli Lilly, Forward Pharma, Fresenius Medical Care, Galapagos, GSK, Janssen, Kyowa Kirin, LEO Pharma, Medac, MSD, Miltenyi Biotec, Novartis, Ocean Pharma, Pfizer, Regeneron, Samsung Bioepis, Sanofi, Sun Pharma, Takeda, UCB Pharma, Valeant/Bausch Health, and Xenoport; FB, FF, VC: Employees of UCB Pharma; ML: Employee of Mount Sinai which receives research funds from AbbVie, Amgen, Arcutis, Boehringer Ingelheim, Dermavant, Eli Lilly, Incyte, Janssen, LEO Pharma, Ortho Dermatologics, Pfizer, and UCB Pharma; consultant for Aditum Bio, Allergan, Almirall, Arcutis, Avotres, BirchBioMed, BMD Skincare, Boehringer Ingelheim, Bristol Myers Squibb, Cara Therapeutics, Castle Biosciences, Corrona, Dermavant, Evelo, Facilitate International Dermatologic Education, Foundation for Research and Education in Dermatology, Inozyme Pharma, LEO Pharma, Meiji Seika Pharma, Menlo, Mitsubishi Pharma, Neuroderm, Pfizer, Promius/Dr. Reddy’s Laboratories, Serono, Theravance, and Verrica. Author Disclosures: AB: Scientific adviser and/or clinical study investigator for AbbVie, Allergan, Almirall, Athenex, Boehringer Ingelheim, Bristol Myers Squibb, Dermavant, Eli Lilly, Forte, Galderma, Incyte, Janssen, LEO Pharma, Novartis, Pfizer, Rapt, Regeneron, Sanofi Genzyme, Sun Pharma, and UCB Pharma; paid speaker for AbbVie; RBW: Consulting fees from AbbVie, Almirall, Amgen, Arena, Avillion, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, Eli Lilly, Janssen, LEO Pharma, Novartis, Pfizer, Sanofi, and UCB Pharma; research grants from AbbVie, Almirall, Amgen, Celgene, Eli Lilly, Janssen, LEO Pharma, Novartis, Pfizer, and UCB Pharma; KR: keywords: czp; dlqi; mg q2w; pharma; q2w cache: skin-1172.pdf plain text: skin-1172.txt item: #158 of 1356 id: skin-1173 author: Tha?i, D; Blauvelt, A; Reich, K; Warren, RB; Piguet, V; Brock, F; Fierens, F; Ciaravino, V; Lebwohl, M title: Long-Term Improvements in Health-Related Quality of Life of Patients with Moderate to Severe Plaque Psoriasis Treated with Certolizumab Pegol: Results from the CIMPASI-1 and CIMPASI-2 Phase 3 Trials date: 2021-01-01 words: 2022 flesch: 44 summary: Served as advisor and/or paid speaker for and/or participated in clinical trials sponsored by AbbVie, Affibody, Almirall, Amgen, Avillion, Biogen, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, Centocor, Covagen, Dermira, Eli Lilly, Forward Pharma, Fresenius Medical Care, Galapagos, GSK, Janssen, Kyowa Kirin, LEO Pharma, Medac, MSD, Miltenyi Biotec, Novartis, Ocean Pharma, Pfizer, Regeneron, Samsung Bioepis, Sanofi, Sun Pharma, Takeda, UCB Pharma, Valeant/Bausch Health, and Xenoport. Author Disclosures: DT: Honoraria for participation on advisory boards, as a speaker and for consultancy from AbbVie, Almirall, Amgen, Biogen, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, DS Biopharma, Eli Lilly, Galapagos, Janssen, LEO Pharma, Morphosis, Novartis, Pfizer, Regeneron, Samsung, Sandoz, Sanofi Genzyme, and UCB Pharma; research grants received from Celgene, LEO Pharma, and Novartis. keywords: czp; patients; pharma; q2w; week cache: skin-1173.pdf plain text: skin-1173.txt item: #159 of 1356 id: skin-1174 author: Reich, K; Blauvelt, A; Lebwohl, M; Papp, KA; Rich, P; Strober, B; De Cuyper, D; Madden, C; Peterson, L; Vanvoorden, V; Warren, RB title: Bimekizumab Safety in Patients with Moderate to Severe Psoriasis: Analysis of Pooled Data from Phase 2 and 3 Clinical Trials date: 2021-01-01 words: 2655 flesch: 38 summary: Author Disclosures: KR: Served as advisor and/or paid speaker for and/or participated in clinical trials sponsored by AbbVie, Affibody, Almirall, Amgen, Avillion, Biogen, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, Centocor, Covagen, Dermira, Eli Lilly, Forward Pharma, Fresenius Medical Care, Galapagos, GSK, Janssen, Kyowa Kirin, LEO Pharma, Medac, MSD, Miltenyi Biotec, Novartis, Ocean Pharma, Pfizer, Regeneron, Samsung Bioepis, Sanofi, Sun Pharma, Takeda, UCB Pharma, Valeant/Bausch Health, and Xenoport; AB: Served as a scientific adviser and/or clinical study investigator for AbbVie, Allergan, Almirall, Athenex, Boehringer Ingelheim, Bristol Myers Squibb, Dermavant, Eli Lilly, Forte, Galderma, Incyte, Janssen, LEO Pharma, Novartis, Pfizer, Rapt, Regeneron, Sanofi Genzyme, Sun Pharma, and UCB Pharma; paid speaker for AbbVie; ML: Employee of Mount Sinai which receives research funds from AbbVie, Amgen, Arcutis, Boehringer Ingelheim, Dermavant, Eli Lilly, Incyte, Janssen, LEO Pharma, Ortho Dermatologics, Pfizer, and UCB Pharma; consultant for Aditum Bio, Allergan, Almirall, Arcutis, Avotres, BirchBioMed, BMD Skincare, Boehringer Ingelheim, Bristol Myers Squibb, Cara Therapeutics, Castle Biosciences, Corrona, Dermavant, Evelo, Facilitate International Dermatologic Education, Foundation for Research and Education in Dermatology, Inozyme Pharma, LEO Pharma, Meiji Seika Pharma, Menlo, Mitsubishi Pharma, Neuroderm, Pfizer, Promius/Dr. Reddy’s Laboratories, Serono, Theravance, and Verrica; KAP: Honoraria and/or grants from AbbVie, Akros, Amgen, Arcutis, Astellas, Baxalta, Boehringer Ingelheim, Bristol Myers Squibb, Canfite, Celgene, Coherus, Dermira, Dow Pharma, Eli Lilly, Forward Pharma, Galderma, Genentech, Gilead, GSK, Janssen, Kyowa Kirin, LEO Pharma, MedImmune, Merck (MSD), Merck-Serono, Mitsubishi Pharma, Moberg Pharma, Novartis, Pfizer, PRCL Research, Regeneron, Roche, Sanofi Genzyme, Sun Pharma, Takeda, UCB Pharma, and Valeant/Bausch Health; consultant (no compensation) for AstraZeneca and Meiji Seika Pharma; PR: Research grants due to being principal investigator from AbbVie, Arcutis, Bristol Myers Squibb, Centocor, Dermavant, Eli Lilly, Kadmon, Merck, Novartis, Pfizer, Sun Pharma, and UCB Pharma; BS: Consultant (honoraria) from AbbVie, Almirall, Amgen, Arcutis, Arena, Aristea, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, Dermavant, Dermira, Eli Lilly, Equillium, GSK, Janssen, LEO Pharma, Meiji Seika Pharma, Mindera, Novartis, Ortho Dermatologics, Pfizer, Regeneron, Sanofi Genzyme, Sun Pharma, and UCB Pharma; speaker for AbbVie, Amgen, Eli Lilly, Janssen, and Ortho Dermatologics; Scientific Director (consulting fee) for Corrona Psoriasis Registry; investigator for AbbVie, Cara Therapeutics, Corrona Psoriasis Registry, Dermavant, Dermira, and Novartis; Editor-in-Chief (honorarium) for Journal of Psoriasis and Psoriatic Arthritis; DDC, LP, VV: employees of UCB Pharma; CM: employee and shareholder of UCB Pharma; RBW: Consulting fees from AbbVie, Almirall, Amgen, Arena, Avillion, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, Eli Lilly, Janssen, LEO Pharma, Novartis, Pfizer, Sanofi, and UCB Pharma; research grants from AbbVie, Almirall, Amgen, Celgene, Eli Lilly, Janssen, LEO Pharma, Novartis, Pfizer, and UCB Pharma. keywords: bimekizumab; patients; pharma; phase; teaes; term cache: skin-1174.pdf plain text: skin-1174.txt item: #160 of 1356 id: skin-1177 author: Stein Gold, Linda; Tanghetti, Emil; Leonardi, Craig; Kwatra, Shawn; Jacobson, Abby title: Halobetasol Propionate 0.01%/Tazarotene 0.045% Lotion for the Treatment of Plaque Psoriasis in Patients with Mild Scaling and Mild Plaque Elevation date: 2021-01-01 words: 1887 flesch: 46 summary: Treatment Posttreatment -40% -20% 0% 20% ** *** ** * HP/TAZ Lotion: Mild Plaque Elevation Subgroup (n=30) HP/TAZ Lotion: Mild Scaling Subgroup (n=36) Vehicle Lotion: Mild Plaque Elevation Subgroup (n=14) HP combination may provide synergistic efficacy, increase the duration of remission, and reduce side effects of both HP and TAZ when used alone1-3 � A once-daily, fixed-combination HP 0.01%/TAZ 0.045% lotion (Duobrii,® Ortho Dermatologics) was developed utilizing polymeric emulsion technology, which allows for rapid and uniform distribution of HP and TAZ, humectants, and moisturizers on the skin � HP/TAZ lotion has demonstrated efficacy and safety in patients with moderate-to-severe psoriasis,4,5 including those with lower body surface area (BSA) involvement6 OBJECTIVE � To evaluate efficacy and safety of HP 0.01%/TAZ 0.045% lotion in patients with either mild scaling or mild plaque elevation at baseline METHODS � keywords: elevation; lotion; plaque; scaling cache: skin-1177.pdf plain text: skin-1177.txt item: #161 of 1356 id: skin-1178 author: Stein Gold, Linda; Baldwin, Hilary; Cook-Bolden, Fran; Green, Lawrence; Ablon, Glynis; Sadick, Neil; Weiss, Jonathan; Guenin, Eric title: Efficacy and Safety of Tazarotene 0.045% Lotion in Female Patients with Moderate-to-Severe Acne: Post Hoc Analysis by Age date: 2021-01-01 words: 1918 flesch: 57 summary: -70% -60% -50% -40% -30% -20% -10% 0% Baseline Week 4 Week 8 Week 12 Vehicle Lotion (n=241) -70% -60% -50% -40% -30% -20% -10% 0% Baseline Week 4 Week 8 Week 12 Vehicle Lotion (n=71) keywords: baseline; lotion; taz; veh; week; years cache: skin-1178.pdf plain text: skin-1178.txt item: #162 of 1356 id: skin-118 author: Strober, Bruce; Bagel, Jerry; Lebwohl, Mark; Stein Gold, Linda; Jackson, J Mark; Goncalves, Joana; Levi, Eugenia; Callis Duffin, Kristina title: Efficacy and Safety of Apremilast in Patients with Moderate Plaque Psoriasis with Lower BSA (UNVEIL Phase IV Study) date: 2017-10-27 words: 2277 flesch: 64 summary: • Long-term sPGA response was maintained with APR treatment in the open-label treatment phase. • Clinical responses were maintained with continued APR treatment through Week 52 and emerged in patients who switched from PBO to APR at Week 16. • keywords: apr; patients; pbo; phase; psoriasis; safety; treatment; week cache: skin-118.pdf plain text: skin-118.txt item: #163 of 1356 id: skin-1180 author: Weisshaar, Elke; Sciascia, Thomas; Stander, Sonja title: Efficacy and Safety of Oral Nalbuphine Extended Release in Prurigo Nodularis: Results of a Phase 2, Randomized, Controlled Trial with an Open Open-Label Extension Phase date: 2021-01-01 words: 1064 flesch: 55 summary: SST is an investigator for Dermasence, Galderma, Kiniksa, Menlo Therapeutics, Trevi Therapeutics, Novartis, Sanofi, and Vanda Therapeutics; a consultant and/or advisory board member for Almirall, Bayer, Beiersdorf, Bellus Health, Bionorica, Cara Therapeutics, Celgene, Clexio, DS Biopharma, Galderma, Kiniksa, Lilly, Menlo Therapeutics, Novartis, Pfizer, Sanofi, and Trevi Therapeutics. The authors received writing/editorial support in the preparation of this poster provided by Excerpta Medica, funded by Trevi Therapeutics. CONFLICTS OF INTEREST EW is an investigator in clinical trials for Kiniksa, Menlo Therapeutics, and Trevi Therapeutics. keywords: patients; therapeutics cache: skin-1180.pdf plain text: skin-1180.txt item: #164 of 1356 id: skin-1181 author: Elmariah, Sarina; Chisolm, Sarah; Sciascia, Thomas; Kwatra, Shawn title: Modulation of the Mu and Kappa Opioid Axis for the Treatment of Chronic Pruritus date: 2021-01-01 words: 1840 flesch: 55 summary: Tsianakas A, et al. Noble F, et al. keywords: itch; kor; mor; opioid; placebo cache: skin-1181.pdf plain text: skin-1181.txt item: #165 of 1356 id: skin-1182 author: Kim, Brian; Sciascia, Thomas; Yosipovitch, Gil title: The Role of Kappa- and Mu-Opioid Receptors in Pruritus date: 2021-01-01 words: 1556 flesch: 50 summary: 2. Acton D, et al. Inan S, et al. keywords: itch; kor; kors; mor; opioid; receptors cache: skin-1182.pdf plain text: skin-1182.txt item: #166 of 1356 id: skin-1183 author: Del Rosso, J; Levy-Hacham, O; Mizrahi, O title: Efficacy and Safety of Microencapsulated Benzoyl Peroxide 3% and Microencapsulated Tretinoin 0.1% (E-Bpo/E-Atra) in Acne Vulgaris: Results from Two Randomized Controlled Clinical Trials date: 2021-01-01 words: 1552 flesch: 67 summary: METHODS Design RESULTS Patients • In Study 65-04, 281 patients were randomized to E-BPO/E-ATRA and 143 to Vehicle; 249 (88.6%) and 131 (91.6%) completed the trial. E-BPO/E-ATRA was well tolerated, with results similar to Vehicle at 12 weeks. keywords: atra; bpo; study; vehicle cache: skin-1183.pdf plain text: skin-1183.txt item: #167 of 1356 id: skin-1184 author: Bhatia, N; Werschler, W; Baldwin, H; Sugarman, J; Stein Gold, L; Green, L; Lain, E title: Long-Term Efficacy and Safety of Benzoyl Peroxide Cream, 5%, Prepared with Microencapsulation in Papulopustular Rosacea: Results from an Extension of Two Phase 3, Vehicle-Controlled Trials date: 2021-01-01 words: 2018 flesch: 64 summary: The results from this long-term extension of two phase 3 randomized controlled trials demonstrated progressive clinical improvement as reflected by percentage of patients achieving IGA success and reduction in erythema as well as good cutaneous safety and tolerability with E-BPO Cream, 5% applied for up to 52 weeks in patients with rosacea. This extends drug delivery time to improve efficacy and potently reduces the potential for skin irritation.1 • The efficacy, safety, and tolerability of E-BPO Cream, 5% were evaluated in two identical randomized, double-blind, phase 3 trials which demonstrated significant superiority of this encapsulated BPO over vehicle for percentage of patients achieving success (clear or almost clear) on the Investigators Global Assessment (IGA) and reducing the number of lesions.2 • E-BPO Cream, 5% was also well tolerated with adverse events (AEs) and cutaneous safety and tolerability was comparable to that for vehicle. keywords: bpo; cream; patients; phase cache: skin-1184.pdf plain text: skin-1184.txt item: #168 of 1356 id: skin-1185 author: Stein Gold, L; Del Rosso, J title: Microencapsulated Benzoyl Peroxide 3%, Microencapsulated Tretinoin 0.1% Cream: Efficacy for Pediatric and Adolescent Patients date: 2021-01-01 words: 1070 flesch: 61 summary: • E-BPO/E-ATRA is an investigational, antibiotic-free, fixed-dose combination cream containing microencapsulated BPO 3% (E-BPO) and microencapsulated tretinoin 0.1% (E-ATRA). The efficacy of E-BPO/E-ATRA in pediatric and adolescent patients (9-17 years of age) was at least equivalent to that for the entire population. keywords: atra; bpo; vehicle cache: skin-1185.pdf plain text: skin-1185.txt item: #169 of 1356 id: skin-1186 author: Sugarman, J; Baldwin, H; Bhatia, N title: Efficacy of Microencapsulated Benzoyl Peroxide (E-Bpo) Cream, 5% in Elderly Rosacea Patients date: 2021-01-01 words: 1123 flesch: 62 summary: This extends drug delivery time to improve efficacy and reduce the potential for skin irritation.1 • The efficacy, safety, and tolerability of E-BPO Cream, 5% were evaluated in two identical randomized, double-blind phase 3 trials which demonstrated significant superiority of E-BPO versus vehicle for percentage of patients achieving success (clear or almost clear) on the Investigators Global Assessment (IGA) and reducing the number of lesions.2 • E-BPO Cream, 5% was also well tolerated with adverse events (AEs) and cutaneous safety and tolerability comparable to that for vehicle.2 • The prevalence of rosacea is higher in the elderly population than the general population,3,4 but no quantitative data has been published regarding treatment efficacy on papulopustular rosacea in this subpopulation. % E-BPO (N=90) % Vehicle (N=36) keywords: bpo; cream; patients cache: skin-1186.pdf plain text: skin-1186.txt item: #170 of 1356 id: skin-1188 author: Eversman, Anna; Ahsanuddin, Sayeeda; Saltzman, Joel ; Silverman, Paula; Beveridge, Mara title: Clinically Amyopathic Dermatomyositis Associated with Recurrence of Esophageal Cancer: A Case Report date: 2021-05-21 words: 1612 flesch: 39 summary: Imaging is often reserved for patients with additional findings concerning for malignancy.11 As the majority of dermatomyositis patients harboring internal malignancies are otherwise asymptomatic, more liberal use of imaging may be beneficial.10 In a study from Leatham et al, malignancies in patients with dermatomyositis were most frequently detected by CT scan. Current literature suggests the incidence of malignancy is lower in CADM patients compared to patients with dermatomyositis. keywords: amyopathic; cadm; cancer; dermatomyositis; esophageal; patients cache: skin-1188.pdf plain text: skin-1188.txt item: #171 of 1356 id: skin-1189 author: Carlos, Carmen; Brown, Christen; Elliott, Erika; Murina, Andrea title: Assessing Comfort in Conducting Research Among Medical Students Interested in Dermatology date: 2021-07-09 words: 2041 flesch: 41 summary: Our analysis seeks to discover if the current method of undergraduate medical research results in a high degree of self-assessed competence with research skills. Number of research projects students participated in during medical school. keywords: dermatology; medical; research; residency; school; skills; students cache: skin-1189.pdf plain text: skin-1189.txt item: #172 of 1356 id: skin-119 author: Augustin, Matthias; Weglowska, Jolanta; Lebwohl, Mark; Paul, Carle; Piquet, Vincent; Sofen, Howard; Blauvelt, Andrew; Burge, Daniel; Peterson, Luke; Drew, Janice; Rollen, Robert title: Maintenance of Response with Certolizumab Pegol for the Treaatment of Chronic Plaque Psoriasis: Results of a 32-Week Re-Randomized Maintenance Period from an Onging Phase 3, Multicenter, Randomized, Active- and Placebo-Controlled Study (CIMPACT) date: 2017-10-27 words: 3241 flesch: 48 summary: At Week 16, responder rates were greater for CZP 400 mg Q2W and CZP 200 mg Q2W versus placebo for PASI 75 (74.7% and 68.2% vs 3.8%), PGA 0/1 (58.4% and 48.3% vs 3.4%), and PASI 90 (49.1% and 39.8% vs 0.3%) (p<0.0001 for all) • CZP 400 mg Q2W achieved superiority to ETN at Week 12 (p=0.0152); CZP 200 mg Q2W achieved noninferiority to ETN at Week 12 (95% confidence interval: -2.9–18.9, within the prespecified noninferiority margin of 10%) Week 16 to Week 48 • Among Week 16 PASI 75 responders, Week 48 PASI 75 (Figure 4A), PGA 0/1 (Figure 4B), and PASI 90 (Figure 4C) responder rates were greater in the patients re-randomized to CZP compared with placebo, with the highest rates seen among patients receiving CZP 400 mg Q2W in both the Initial and Maintenance Periods Figure 4. PASI 75, PGA 0/1, and PASI 90 Responder Rates From Week 16 to Week 48 in Week 16 PASI 75 Responders 100 80 60 40 20 0 R es po nd er R at e (% ) pneumonia fEscherichia coli sepsis and pyelonephritis in the same subject, endophthalmitis, pneumonia, sepsis, erysipelas, and tuberculosis gPrimary progressive multiple sclerosis; incidental finding during evaluation for low back pain and considered unrelated to treatment according to the Investigator hAnaplastic oligodendroglioma, keratoacanthoma CZP, certolizumab pegol; TEAE, treatment-emergent adverse event; Q2W, every 2 weeks CONCLUSIONS • CZP 400 mg Q2W and CZP 200 mg Q2W demonstrated statistically significant and clinically meaningful improvements in signs and symptoms of moderate-to-severe chronic plaque psoriasis versus placebo at Weeks 12 and 16 • CZP 400 mg Q2W was superior and CZP 200 mg Q2W was noninferior to ETN for PASI 75 responder rate at Week 12 • Among CZP-treated Week 16 PASI 75 responders, those who were re-randomized to CZP continued to have clinically meaningful responses in PASI 75, PGA 0/1, and PASI 90 through Week 48 that were well above the responses observed for those re-randomized to placebo – Across efficacy endpoints, treatment with CZP 400 mg Q2W in both the Initial and Maintenance Periods provided greater efficacy than either reducing the dose to CZP 200 mg Q2W after PASI 75 was achieved or treatment with CZP 200 mg Q2W in both the Initial and Maintenance Periods – The maintenance dosing regimens of CZP 200 mg Q2W and CZP 400 mg Q4W (same cumulative monthly dose) provided similar efficacy – Patients initially treated with CZP and re-randomized to placebo had a considerable loss of efficacy over time; no episodes of rebound were reported • keywords: czp; etn; mg q2w; pasi; placebo; psoriasis; treatment; week cache: skin-119.pdf plain text: skin-119.txt item: #173 of 1356 id: skin-1190 author: Ilyas, Muneeb; Hund, William; Vasile , Gabriella ; Weiss, Eduardo title: Maskne: A Potential Misnomer? date: 2021-05-21 words: 1302 flesch: 46 summary: Although these pathologies are certainly evident and seem to be exacerbated by prolonged mask use, the dermatologic literature lacks reports on the increasing incidence of various other cutaneous pathologies associated with wearing facial masks. Although there is an increase in acne and acneiform lesions associated with prolonged facial mask use, “maskne” may be a misnomer, causing non-dermatologic providers to misdiagnose patients with acne when they, in fact, have an alternate cutaneous pathology. keywords: acne; dermatitis; mask; maskne; skin cache: skin-1190.pdf plain text: skin-1190.txt item: #174 of 1356 id: skin-1191 author: Hobbs, Landon Kaleb; Guffy, Darren; Flowers, R. Hal title: Diffuse Dermal Angiomatosis of the Breasts: A Case Series of 8 Patients date: 2021-05-21 words: 2528 flesch: 54 summary: In the literature one patient with DDA was reported to improve with the combination of weight loss and smoking cessation10, however another patient did not see substantial improvement despite reducing smoking and losing weight.8 Furthermore, there are reports of DDA presenting after or worsening with weight gain.1,3,4,8 In the series, we saw a trend of greater BMI among symptomatic patients compared to asymptomatic patients. Our series of DDA patients includes three patients diagnosed with FM DISCUSSION SKIN keywords: angiomatosis; breasts; dda; dermal; patients; series; smoking cache: skin-1191.pdf plain text: skin-1191.txt item: #175 of 1356 id: skin-1193 author: Yassky, Noa; Wei, Nancy; Lebwohl, Mark title: Pulmonary Manifestations in Pseudoxanthoma Elasticum: A Review of Current Literature date: 2021-03-06 words: 1744 flesch: 39 summary: A lung biopsy in a patient with severe dyspnea revealed calcified deposits within thickened alveolar lumina and septa, widespread irregularities in elastic laminae, METHODS RESULTS SKIN March 2021 Volume 5 Issue 2 Copyright 2021 The National Society for Cutaneous Medicine 92 Table 1 Characteristics of PXE patients with pulmonary manifestations Case report Year published Age (years) Patients Country Diagnostic findings Pulmonary Symptoms Miki et al4 2007 68 1 Japan Calcification of muscular arterial walls only Exertional dyspnea* Montani D et al5 2020 39 1 France Pulmonary stenosis Exertional dyspnea Yamamoto N et al6 1996 74 1 Japan Small, calcified nodules scattered in the alveolar septa only Exertional dyspnea Jackson A et al7 1980 51 1 Malaysia Calcification and elastic fiber irregularities in pulmonary arteries, arterioles, venules and alveolar lumina and septa. Discussion: Histologic and/or radiologic investigation of PXE patients who presented with progressive exertional dyspnea revealed calcification and irregularity of the elastic laminae in the pulmonary vasculature, the alveolar septa, or both. keywords: calcification; elasticum; manifestations; patients; pseudoxanthoma; pulmonary; pxe cache: skin-1193.pdf plain text: skin-1193.txt item: #176 of 1356 id: skin-1194 author: Wong, Alan; Altmann, Stefanie; Krishnamurthy, Karthik title: Cutaneous Endometriosis: A Case Report date: 2021-05-21 words: 1686 flesch: 44 summary: BRIEF ARTICLE Cutaneous Endometriosis: A Case Report Alan Wong, BS1; Stefanie Altmann, DO2; Karthik Krishnamurthy, DO2 1Lake Erie College of Osteopathic Medicine, Bradenton, FL 2Orange Park Medical Center, Division of Dermatology, Orange Park, FL Cutaneous endometriosis (CEM) is defined as the presence of endometrial glands and/or stroma in the dermis or subcutis.1,2 CEM primarily affects women of reproductive age and represents 0.5-1% of all ectopic endometriosis.2,3 CEM can be classified as primary or secondary, with primary CEM accounting for less than 30% of all cases.1 The cause of primary CEM is unclear and occurs spontaneously. Although risk factors for developing primary CEM are not clearly defined, age and hormone levels likely play a role since a majority of affected individuals are premenopausal.1,2 Secondary CEM, also called scar endometriosis, is believed to occur due to seeding/iatrogenic implantation of endometrial tissue into the skin during abdominopelvic surgeries.1,2 Clinically, CEM presents as a firm papule or nodule averaging 2 cm in diameter. keywords: cells; cem; endometriosis; patients; skin cache: skin-1194.pdf plain text: skin-1194.txt item: #177 of 1356 id: skin-1195 author: Lindsley, Joshua; Webb, Nathaniel; Workman, Ashleigh; Miller, Thaddeus; Stockbridge, Erica ; Charles, Jean; Carletti, Michael; Casperson, Stephanie ; Weis, Stephen title: The Effect of Offering Pneumococcal Vaccines During Specialty Care on Vaccination Rates in Patients Receiving Immunosuppressive date: 2021-05-21 words: 7016 flesch: 45 summary: The main measure of outcome was pneumococcal immunization status after QI intervention. SKIN May 2021 Volume 5 Issue 3 Copyright 2021 The National Society for Cutaneous Medicine 250 ORIGINAL RESEARCH The Effect of Offering Pneumococcal Vaccines During Specialty Care on Vaccination Rates in Patients Receiving Immunosuppressive Therapy Joshua Lindsley1, Nathaniel Webb, MPH2, Ashleigh Workman, DO3, Thaddeus Miller, DrPH, MPH2, Erica Stockbridge, PhD1, Jean Charles, DO3, Michael Carletti, DO1,3, Stephanie Casperson RN, BSN, 4, Stephen Weis, DO1,3,4 1Texas College of Osteopathic Medicine, University of North Texas Health Science Center, Fort Worth, TX 2Department of Health Behavior & Health Systems, School of Public Health, University of North Texas Health Science Center, Fort Worth, TX 3Department of Dermatology, Medical City Weatherford, Weatherford, TX 4John Peter Smith Hospital, JPS Health Network, Fort Worth, TX ABSTRACT Purpose: To determine whether clinician-led immunization education with immediate onsite vaccination availability will increase pneumococcal immunizations during specialty care. keywords: care; comparison; disease; group; health; immunization; immunosuppressive; initial; medicine; observation; patients; pneumococcal; status; table; vaccination; vaccine cache: skin-1195.pdf plain text: skin-1195.txt item: #178 of 1356 id: skin-1198 author: Sakya, Surav; Hallan, David ; Gee, Sage ; Rizk, Monica ; Brooke, Justin; Kirby, Joslyn title: The Top 100 Most Cited Articles on Hidradenitis Suppurativa date: 2021-05-21 words: 4103 flesch: 59 summary: 243 158 0 20 40 60 80 100 120 140 160 180 200 220 240 260 1 9 3 6 1 9 4 0 1 9 4 4 1 9 4 8 1 9 5 2 1 9 5 6 1 9 6 0 1 9 6 4 1 9 6 8 1 9 7 2 1 9 7 6 1 9 8 0 1 9 8 4 1 9 8 8 1 9 9 2 1 9 9 6 2 0 0 0 2 0 0 4 2 0 0 8 2 0 1 2 2 0 1 6 2 0 2 0 # o f A rt ic le s Year Total number of published original HS articles by 4-year-interval from 1939 to 2020 SKIN May 2021 Volume 5 Issue 3 Copyright 2021 The National Society for Cutaneous Medicine 271 Furthermore, Jemec mentioned in his 2012 HS article that the pathogenesis of HS remains unclear; HS is a disease characterized by sebaceous gland atrophy, lymphocytic infiltration, pilosebaceous unit hyperkeratosis and formation of granulomas with hair follicle destruction.16 Bibliometric features of top articles by country Country Total Citations Average Article Citations Corresponding Authors SCP MCP MCP Ratio Denmark 2808 165 17 15 2 0.118 USA 2268 119 19 16 3 0.158 United Kingdom 1417 142 10 8 2 0.2 France 1414 157 9 6 3 0.333 Netherlands 1173 117 10 8 2 0.2 Germany 890 127 7 7 0 0 Sweden 403 101 4 4 0 0 keywords: 100; articles; authors; citations; dermatology; hidradenitis; journal; number; research; suppurativa cache: skin-1198.pdf plain text: skin-1198.txt item: #179 of 1356 id: skin-1199 author: Chambers, Morgan; Miller, Jeffrey; Brod, Bruce; Lim, Jordan title: Tele-dermatology Recruitment during COVID-19: An Application of Behavioral Economic Principles date: 2021-07-09 words: 1780 flesch: 46 summary: The application of behavioral economics, being relatively new to healthcare, has been rarely reported in dermatology. Various published examples in dermatology include the use of framing effects and status quo when discussing actinic keratosis treatment5, tanning practices in adolescents6, and sun protection practices7. keywords: choice; dermatology; patients; script; tele; use cache: skin-1199.pdf plain text: skin-1199.txt item: #180 of 1356 id: skin-12 author: Fosko, Scott W; Chu, Melinda B; Beal, Brandon T; Dhandha, Maulik; Armbrecht, Eric S title: Development of a metastatic risk model for cutaneous squamous cell carcinoma date: 2017-06-28 words: 3378 flesch: 54 summary: The sum score for each case is calculated by adding up the total number of risk factors present. That the PC model had the highest values for SN, SP, and PPV when examined in aggregate suggests both the combination and the additive effect of risk factors contribute to cSCC metastasis. keywords: cancer; cscc; factors; location; metastasis; model; ppv; risk; size cache: skin-12.pdf plain text: skin-12.txt item: #181 of 1356 id: skin-120 author: Glaser, Dee Anna; Hebert, Adelaide A; Fehnel, Sheri; DiBenedetti, Dana; Nelson, Lauren; Drew, Janice; Pariser, David M title: Confirmatory Psychometric Evaluation of the Axillary Sweating Daily Diary: A Vaildated Patient-Reported Outcome Measure to Assess Axillary Hyperhidrosis Sweating Severity date: 2017-10-27 words: 1833 flesch: 52 summary: Construct validity was supported by strong correlations between ASDD Item 2 and the ASDD items addressing the impact and bother of axillary sweating (Items 3 and 4, respectively) (Table 3) • Test-retest reliability was supported by ICCs of 0.93 for both age subgroups (Table 3), which is well above the 0.70 criterion, and within the confidence interval of the phase 2 estimate of 0.91 (95% CI: 0.87, 0.94)4 • The ASDD/ASDD-C Item 2 responsiveness, or ability to detect change in sweating severity, was demonstrated by large effect sizes and correlations that were within the expected range for the change in ASDD/ASDD-C Item 2 and the change in the gravimetric measures of sweat production (Table 3) [-4.0] Construct Validity, Pearson r ASDD Item 3 (impact) Week 4 —b 0.89 ASDD Item 4 (bother) —b 0.91 Sweat Productionc 0.26d 0.25d Test-retest reliability, ICC Week 4-Week 3 0.93 0.93 Responsiveness Sweat production,c r Week 4-Baseline 0.23d,e 0.22d,e Effect size of change (SD baseline units) -2.4 -2.4 Standardized response mean -1.4 -1.5 ᵃSubjects with Baseline and Week 4 scores bASDD-C (for use in patients <16 years of age) does not include items corresponding to ASDD Items 3 and 4 cMeasured gravimetrically ᵈSpearman correlation coefficient ᵉBased on the change from Baseline to Week 4 in ASDD Item 2 scores and the natural logarithm of sweat production ASDD, keywords: asdd; item; sweating; underarm cache: skin-120.pdf plain text: skin-120.txt item: #182 of 1356 id: skin-1200 author: Otto-meyer, Sebastian; Nahi, Skylar; Amin, Ahmad title: Blastomycosis Infection in the Setting of Immunosuppression with Concurrent Methotrexate and Adalimumab for Treatment of Psoriasis date: 2021-07-09 words: 1547 flesch: 40 summary: A meta- analysis of RCTs in patients with rheumatoid arthritis found that the use of biological DMARDs did not significantly increase the risk of invasive and superficial fungal infections (OR 1.31; 95% CI 0.46–3.72) or invasive fungal infections (OR 2.85; 95% CI 0.68–11.91).3 As such, a DMARD such as methotrexate (MTX) is less likely to be the sole etiology of the susceptibility to blastomycosis infection. Although sixteen cases of blastomycosis associated with TNF- -α inhibitor use have been reported to the FDA adverse event reporting system, no systemic cases have been described with a detailed clinical course in the literature2. keywords: adalimumab; blastomycosis; case; inhibitor; psoriasis cache: skin-1200.pdf plain text: skin-1200.txt item: #183 of 1356 id: skin-1201 author: Wei, Angela; Hill, Sheena ; Vidmar, Dennis title: A Case of Hydroxyurea-Associated Cutaneous Only Polyarteritis Nodosa date: 2021-07-09 words: 1611 flesch: 43 summary: Long-term use has been associated with several adverse cutaneous reactions, including skin ulcers, xerosis, and hyperpigmentation. While generally well-tolerated, there have been reports of adverse cutaneous reactions after prolonged use in roughly 5% of patients.4 These include skin eruptions, skin ulcers, xerosis, diffuse hyperpigmentation, alopecia, nail dystrophy, dermatomyositis-like syndrome, and an increased risk of squamous and basal cell carcinoma.4 keywords: case; doi; hydroxyurea; nodosa; polyarteritis; skin; vasculitis cache: skin-1201.pdf plain text: skin-1201.txt item: #184 of 1356 id: skin-1203 author: Marson, Justin; Litchman, Graham; Svoboda, Ryan; Glazer, Alex; Farberg, Aaron; Winkelmann, Richard; Rigel, Darrell title: Assessment of the 31-Gene Expression Profile Test by Dermatologists: A Cross-Sectional Survey from National Dermatology Conferences date: 2021-03-06 words: 2927 flesch: 55 summary: Surgical excision completed before metastasis of the cancer 66.6 (62.7 – 70.4) Host immune system 71.5 (67.8 – 75.1) Early intervention 71.3 (67.7 – 75.0) Incorrect GEP result 31.2 (27.5 – 35.0) Other (please specify)† 1.9† (0.8 – 3.0) Additional benefits included using test results to determine referrals/follow-up frequency (36.3%) and informing discussion regarding potential sentinel lymph node biopsy (SLNBx) (36.0%). keywords: class; gep; participants; patients; risk; skin; test cache: skin-1203.pdf plain text: skin-1203.txt item: #185 of 1356 id: skin-1204 author: Heibel, Haley Danielle; Cockerell, Clay J.; Guillen, Christina; Bamgbola, Oluwatoyin ; Schmidt, John; Sharma, Poonam; White, Robert ; Youens, Susan; Heibel, Mark title: Finding a Sense of Gratitude and Purpose in Medicine Through Positive Role Models and a Diversity of Passions, Experiences, and Practices date: 2021-05-21 words: 6296 flesch: 53 summary: Dr. Oluwatoyin Bamgbola’s response on being a clinician as a teacher of life experiences: Early life experience has a strong influence not only in my decision to become a physician, but it is also a major determinant of my professional behavior. The major impediment is time, many physicians will say. keywords: care; community; gratitude; life; medicine; patients; physician; purpose; sense; skin cache: skin-1204.pdf plain text: skin-1204.txt item: #186 of 1356 id: skin-1205 author: Bowers, Nate; Huang, William title: Treatment of Refractory Pruritus with Dupilumab in a Patient with Dermatomyositis date: 2021-05-21 words: 844 flesch: 50 summary: In addition to inhibiting signaling of IL-4, a key driver of Th2 mediated inflammation, dupilumab also demonstrates the ability to reduce expression of IL-31.3 A recent study highlighted the role of IL-31 in DM, demonstrating increase gene expression of IL-31 and IL-31RA in lesional skin compared to non-lesional skin and healthy controls.4 Collectively, this suggest a possible mechanism of action of dupilimab through its direct effect on Th2 mediated inflammation in DM as well as an indirect effect on the expression of IL-31, a proposed driver of pruritus in DM. (B) After six weeks of treatment with dupilumab background erythema is minimal to absent with only post- inflammatory hyperpigmentation. keywords: dupilumab; skin cache: skin-1205.pdf plain text: skin-1205.txt item: #187 of 1356 id: skin-1207 author: Fernandez, Jennifer; Lenczowski, Joi; Hsiao, Jennifer; Shi, Vivian title: Nutrition Education Toolbox for Hidradenitis Suppurativa date: 2021-05-21 words: 4063 flesch: 52 summary: A larger follow up study evaluated 37 HS patients who followed a yeast-free diet for six years after excision of HS lesions, with 70% reporting improvement in HS symptoms without other accompanying treatment, and 87% reporting recurrence of HS symptoms within a few days after consuming a restricted food.4 symptoms.1–4 Recent survey studies indicate that up to 90% of HS patients have attempted to manage HS through dietary changes, with up to 65% of patients reporting that dietary changes were beneficial.1,5 Price et al. identified dietary modification to be the most commonly self-employed complementary alternative medicine (CAM) intervention implemented by HS patients.5 keywords: copyright; dairy; dermatology; diet; food; hidradenitis; intake; issue; medicine; nutrition; patients; skin; suppurativa cache: skin-1207.pdf plain text: skin-1207.txt item: #188 of 1356 id: skin-121 author: Siegel, Daniel; Tanghetti, Emil; Brody, Neil; Freeman, Michael; Skov, Torsten; Petersen, Astrid; Clonier, Fabrice; Spelman, Lynda title: Ingenol Mebutate 0.06% Gel for Field Treatment of Actinic Keratosis on 250 cm2 of Skin on Trunk and Extremities: A Randomized Dose-Finding Trial date: 2017-11-13 words: 5222 flesch: 61 summary: Methods: This randomized, double-blind, vehicle-controlled trial (NCT01998984) evaluated ingenol mebutate (IngMeb) 0.06% gel for AK treatment over extended areas. Statistical Analysis Sample size was determined based on the number of patients required to obtain 80% power when detecting a difference in AKCLEAR 100 rates between IngMeb and vehicle treatment groups, assuming a true estimate of 28% in the IngMeb groups and 7% in the vehicle group (significance level 0.05). keywords: actinic; baseline; count; days; group; ingmeb; patients; skin; treatment; vehicle cache: skin-121.pdf plain text: skin-121.txt item: #189 of 1356 id: skin-1210 author: Patel, Deep; Mardini, Jennifer; Chu, Christopher; Disse, Max; Flamm, Alexandra title: Heroin-induced Ulcer Mimicking Pyoderma Gangrenosum date: 2021-07-09 words: 1404 flesch: 48 summary: The dermatopathology of heroin ulcers have been found to show nonspecific findings such as leukocytoclastic vasculitis, dermal pigment deposition, non-specific ulceration/scarring and necrobiosis lipoidica- like dermatitis10. We present a patient with lower extremity ulceration due to subcutaneous injection of heroin which resembled PG. keywords: gangrenosum; heroin; patient; skin; wound cache: skin-1210.pdf plain text: skin-1210.txt item: #190 of 1356 id: skin-1213 author: Lee, Jack; Carr, Patrick; Zlotoff, Barrett; Guffey, Darren title: True Serum Sickness, Pearls for Clinical Diagnosis date: 2021-05-21 words: 2325 flesch: 51 summary: In studies detailing localization of arthralgias, 5 of 5 ATG-induced cases and 3 of 8 infliximab- induced cases reported jaw pain.4-6 In studies describing rashes in detail (all ATG), palmoplantar bands were present in 29 of 39 (74%) patients.7,8 SS remains a clinical diagnosis and biopsies are generally not indicated, however transplant patients are exposed to multiple new medications and susceptible to many infections. Further labs revealed low CH50, C3, and C4 (Table ABSTRACT Background: True serum sickness is a type 3 hypersensitivity reaction against foreign antibodies, resulting in vasculitis and an acute clinical presentation. keywords: atg; complement; doi; pmid; serum; sickness; skin cache: skin-1213.pdf plain text: skin-1213.txt item: #191 of 1356 id: skin-1214 author: Chadha, Simran Arinder; Shastry, Jennifer; McComb, Erin; Clarke, Christina title: A Case of Cutaneous Sarcoidosis with Direct Osseous Involvement date: 2021-07-09 words: 1516 flesch: 45 summary: Sarcoidosis of the large bones can be lytic or sclerotic and may present as focal lesions or diffuse marrow infiltration.7, 9, 10 Among cutaneous manifestations, lupus pernio may be more associated with bone cysts, though uncommonly through direct extension.1 The diagnosis of cutaneous sarcoidosis requires skin biopsy and histopathological confirmation illustrating non-caseating granulomas composed of epithelioid histiocytes. However, in the absence of symptoms, there are no clear treatment guidelines for bone involvement.8 Finally, DISCUSSION CONCLUSION SKIN July 2021 Volume 5 Issue 4 Copyright 2021 The National Society for Cutaneous Medicine 421 while certain cutaneous morphologies of sarcoidosis portend a worse prognosis – for example, lupus pernio – osseous disease has a more benign natural history.2, 12 Previous studies have linked osseous sarcoidosis to favorable outcomes and the vast majority of cases remain stable or improved with treatment.12 Thus, this case demonstrates an unusual presentation of cutaneous sarcoidosis in which imaging suggested direct osseous involvement, with excellent response to intralesional steroid injection. keywords: bone; doi; involvement; medicine; sarcoidosis; skin cache: skin-1214.pdf plain text: skin-1214.txt item: #192 of 1356 id: skin-1215 author: Marson, Justin; Del Rosso, James; Bhatia, Neal; Rigel, Darrell title: Considerations in the Management of Actinic Keratosis: The Importance of Adherence and Persistence to Therapy date: 2021-03-06 words: 3664 flesch: 51 summary: Objective: To review the current literature reporting known known factors of AK treatment non- adherence intrinsic to patient behavior and treatment regimens and re-examine how dermatologists can navigate these challenges. At 12-month follow up, not only were there no notable adverse effects, but 42% of participants had no recurrence of originally treated AKs.34,35 Perhaps more importantly from an adherence standpoint, studies have shown that LSRs were mild- moderate, peaked within 8 days of first application and resolved entirely within 15- 29 days.33-35 Taken together these data suggest inhibition of tubulin polymerization provides an efficacious way to treat AKs that also mitigates unpleasant adverse effects of contemporary AK treatments and its shorter course may also further improve adherence to therapy. keywords: actinic; adherence; aks; dermatol; dermatology; doi; keratosis; patient; pmid; skin; therapies; therapy; treatment cache: skin-1215.pdf plain text: skin-1215.txt item: #193 of 1356 id: skin-1216 author: Kwong, Pearl ; Hebert, Adelaide; Utley, Collette; Olivadoti, Melissa title: The Hidden Impact of Molluscum Contagiosum: A Survey of Caregivers’ Experiences with Diagnosis, Treatment, and Impact on Quality of Life date: 2021-07-09 words: 3711 flesch: 54 summary: There are few studies reporting quality of life (QoL) concerns with molluscum and most are small or use generalized methods that may not highlight the unique concerns for molluscum patients and caregivers. This online survey aimed to collect caregivers’ views on their experiences with molluscum infection in their children, including diagnosis, treatment, and the impact of the virus on the caregivers’ and their child’s life. keywords: caregivers; child; children; home; impact; molluscum; survey; treatment cache: skin-1216.pdf plain text: skin-1216.txt item: #194 of 1356 id: skin-1219 author: Lebwohl, Mark; Langley, Richard; Paul, Carle; Puig, Lluis; Reich, Kristian; van der Kerkhof, Peter; Tang, Lihua; Richter, Sven; Guerette, Benolt; Gisondi, Paolo title: Evolution of Patient Perceptions of Psoriatic Disease: Results From the Understanding Psoriatic Disease Leveraging Insights for Treatment (UPLIFT) Survey date: 2021-01-01 words: 1388 flesch: 49 summary: Additionally, many patients were not receiving any medication, suggesting that there remains significant unmet need Evolution of Patient Perceptions of Psoriatic Disease: Results From the Understanding Psoriatic Disease Leveraging Insights for Treatment (UPLIFT) Survey • More than half of patients with limited skin involvement reported their current disease as moderate or severe, had PsO involvement in special areas, and were receiving topicals or no treatment, suggesting a persistent unmet need in this patient population • In MAPP vs. UPLIFT, the proportion of patients describing their disease as moderate to severe on systematic treatment remained relatively low despite the higher number of available treatment options • Further research is needed to better understand why a significant proportion of patients with limited skin involvement and PsO in special areas perceive their current disease as moderate or severe but do not receive systemic treatment ML: Mount Sinai – employment; AbbVie, Amgen Inc., Arcutis, Boehringer Ingelheim, Dermavant, Eli Lilly, Incyte, Janssen, LEO Pharma, Ortho Dermatologics, Pfizer, and UCB – research funds; Aditum Bio, Allergan, Almirall, Arcutis, Avotres Therapeutics, BirchBioMed, BMD Skincare, Boehringer-Ingelheim, Bristol-Myers Squibb, Cara Therapeutics, Castle Biosciences, Corrona, Dermavant Sciences, Evelo, Facilitate International Dermatologic Education, Foundation for Research and Education in Dermatology, Inozyme Pharma, Kyowa Kirin, LEO Pharma, Meiji Seika Pharma, Menlo, Mitsubishi, Neuroderm, Pfizer, Promius/Dr. Reddy’s Laboratories, Serono, Theravance, and Verrica – consultant. keywords: inc; mapp; patients; pso; uplift cache: skin-1219.pdf plain text: skin-1219.txt item: #195 of 1356 id: skin-122 author: Pariser, David M; Hebert, Adelaide A; Drew, Janice; Quiring, John; Glaser, Dee Anna title: Burden of Axillary Hyperhidrosis Using a Patient-Reported Outcome Measure to Assess Impact on Activities and Bothersomeness date: 2017-10-27 words: 2583 flesch: 47 summary: Axillary Sweating Daily Diary; ASDD-C, ASDD-Children • At Baseline in ATMOS-1 and ATMOS-2, mean ± SD ASDD Item 3 (impact of axillary sweating) scores were 2.3 ± 0.9 and 2.4 ± 0.9, respectively – In each trial, approximately 70% of patients ≥16 years of age reported scores ≥2 on ASDD Item 3, indicating that their daily activities were at least moderately affected by axillary hyperhidrosis at Baseline (Figure 3) – 26.2% and 29.7% of patients were severely impacted by axillary sweating in ATMOS-1 and ATMOS-2, respectively, having reported scores of 3 or 4 at Baseline (Figure 3) Figure 3. Axillary Sweating Daily Diary • At Baseline in ATMOS-1 and ATMOS-2, the mean ± SD ASDD Item 4 (bother of axillary sweating) scores were 2.6 ± 0.9 and 2.6 ± 0.9, respectively – In each trial, >75% of patients ≥16 years of age reported scores ≥2 on ASDD Item 4, indicating that they were at least moderately bothered by axillary sweating at Baseline (Figure 4) – 37.5% and 40.1% of patients were severely bothered by axillary sweating in ATMOS-1 and ATMOS-2, respectively, having reported scores of 3 or 4 at Baseline (Figure 4) Figure 4. keywords: asdd; baseline; item; patients; sweating; underarm cache: skin-122.pdf plain text: skin-122.txt item: #196 of 1356 id: skin-1221 author: Liu, Jesse; Veenstra, Jesse title: COVID-19 Associated Onychomadesis date: 2021-05-21 words: 719 flesch: 57 summary: During the initial visit, nail plate was examined histologically and demonstrated parakeratosis with bacterial colonization. At patient’s return visit three months later, the patient experienced interval loss of nail plates on all fingernails. keywords: covid-19; nail; onychomadesis cache: skin-1221.pdf plain text: skin-1221.txt item: #197 of 1356 id: skin-1227 author: Nam, Hannah; Lim, Jordan; Flamm, Alexandra title: Angiosarcoma Clinically Mimicking a Targetoid Hemosiderotic Hemangioma date: 2021-07-09 words: 1397 flesch: 50 summary: This case report emphasizes the value of early clinical suspicion for atypical, rapidly changing vascular lesions. The National Society for Cutaneous Medicine 423 Figure 1. 2cm targetoid vascular lesion on right flank unremarkable. keywords: angiosarcoma; cutaneous; lesion; vascular cache: skin-1227.pdf plain text: skin-1227.txt item: #198 of 1356 id: skin-1228 author: Urso, Brittany; Lacquer, Vivian; Hillman, Joseph; Zachary, Christopher; Smith, Janellen title: Multifaceted Facial Tumor Posing a Therapeutic Challenge: A Multifaceted Nevus Sebaceous date: 2021-05-21 words: 788 flesch: 55 summary: Fortunately, dermatologic surgeons routinely remove large tumors under local anesthesia and large defects can be repaired using many techniques including a combined closure as in this case. Joseph Mission Hospital, Mission Viejo, CA Nevus sebaceous (NS) are benign congenital hamartomas which primarily affect the head and neck. keywords: carcinoma; nevus cache: skin-1228.pdf plain text: skin-1228.txt item: #199 of 1356 id: skin-1229 author: Afrin, Antara; Kim, Lori; Ashack , Kurt ; Klis, Thomas; Bain, Michelle title: Medium-Sized Congenital Melanocytic Nevus with Halo Phenomenon: A Report of Two Cases date: 2021-07-09 words: 1590 flesch: 54 summary: July 2021 Volume 5 Issue 4 Copyright 2021 The National Society for Cutaneous Medicine 428 literature has demonstrated some connection between the mainly CD8+T-cell mediated pathogenesis of halo nevi transformation with that of vitiligo’s anti-melanocyte response.5 A similar reactive oxidative species pathogenesis of both halo nevi phenomenon and vitiligo has been implicated by Yang et al through measurements of H2O2 levels in tissues.5 The similarities in pathogenesis may explain why halo nevi are up to 10 times more common in patients with vitiligo than the general population.6 This relationship between halo nevi and vitiligo is demonstrated by the patient presented in case two. Although this phenomenon is rare and likely to be benign, there are reports of melanoma development either within the halo nevus or at a distant site.1 One systematic review of adult-onset halo nevi showed that there is a 1% risk of melanoma development in the first year following halo nevi diagnosis;2 however, there is very limited research following congenital halo nevi. keywords: cmn; halo; medium; nevi; vitiligo cache: skin-1229.pdf plain text: skin-1229.txt item: #200 of 1356 id: skin-123 author: Pariser, David M; Hebert, Adelaide A; Drew, Janice; Quiring, John; Glaser, Dee Anna title: Patient-Reported Outcomes from Two Randomized, Double-Blind, Vehicle-Controlled Phase 3 Trials in Axillary Hyperhidrosis (ATMOS-1 & ATMOS-2) date: 2017-10-27 words: 3440 flesch: 49 summary: Axillary Sweating Daily Diary; GT, topical glycopyrronium tosylate • Improvement in scores related to the bother of axillary sweating (ASDD Item 4) was greater in GT‑treated patients than vehicle‑treated patients at every study week (Figure 4) – After 4 weeks of treatment in ATMOS‑1, Item 4 scores improved by 64% (‑1.7 point change) in GT‑treated patients and by 39% (‑0.9) in vehicle‑treated patients compared with Baseline – After 4 weeks of treatment in ATMOS‑2, Item 4 scores improved by 72% (‑1.9 point change) in GT‑treated patients and by 41% (‑1.0) in vehicle‑treated patients compared with Baseline Figure 4. The ASDD Item 2 responder rate (coprimary outcome; ≥4‑point improvement) was significantly greater for GT‑treated patients than for vehicle‑treated patients in ATMOS‑1 (53% vs 28%) and ATMOS‑2 (66% vs 27%) (p<0.001 both studies) • Improvement in axillary sweating severity (ASDD/ASDD‑C Item 2) was greater for GT‑ treated patients compared with vehicle‑treated patients at every study week (Figure 2) – After 4 weeks of treatment in ATMOS‑1, scores improved 58% (‑4.3 point change) in GT‑treated patients and 35% (‑2.5) in vehicle‑treated patients compared with Baseline – After 4 weeks of treatment in ATMOS‑2, scores improved 67% (‑4.9 point change) in GT‑treated patients and 36% (‑2.6) in vehicle‑treated patients compared with Baseline Figure 2. keywords: item; patients; sweating cache: skin-123.pdf plain text: skin-123.txt item: #201 of 1356 id: skin-1237 author: Ghani, Hira; Cubelli, Stefanie; Rahman, Raphia; Chervonsky, Alexandra title: Molecular Pathogenesis and Complications Associated with Keratosis Follicularis: A Clinical Review date: 2021-07-09 words: 3205 flesch: 55 summary: Moreover, in the recent cross-sectional clinical study of metabolic phenotype of DD, it has been found that DD patients have lower fasting glucose level and higher c-peptide and 33 This indicates that DD patients have a higher secretory capacity of islet cells and a higher basal insulin level. keywords: atp2a2; calcium; cell; darier; diabetes; disease; individuals; keratosis; patients; skin cache: skin-1237.pdf plain text: skin-1237.txt item: #202 of 1356 id: skin-1239 author: Marson, Justin; Lebwohl, Mark title: Apremilast as an Off-Label Therapeutic Agent: A Comprehensive Review of Safety and Efficacy Data in the Literature for Combination Therapy and Inflammatory Dermatoses date: 2021-05-21 words: 11048 flesch: 54 summary: Apremilast treatment of atopic dermatitis and other chronic eczematous dermatoses. al76 Granuloma Annulare 4 ~60 F ~43.3 (5.8); 0 30 mg BID 30 mg BID 12 6-8 Significant response within 6 weeks, almost clear by 12 weeks Significant response within 6-8 weeks Mild diarrhea, myalgia Myalgia, nausea Kieffer et al77 Hailey-Hailey disease 4 52.5 (5);25 30 mg BID 26 (4) 3/4 achieve PGA 1 after 6 months, 1/4 achieve PGA 1-2 after 5 months Diarrhea (2), Myalgia (1) requiring dose reduction to 30 mg daily Weber et keywords: apremilast; bid; case; combination; copyright; dermatitis; dermatology; diarrhea; improvement; issue; journal; label; medicine; mg bid; patients; psoriasis; skin; study; therapy; treatment; trial; volume; weeks cache: skin-1239.pdf plain text: skin-1239.txt item: #203 of 1356 id: skin-124 author: Piguet, Vincent; Blauvelt, Andrew; Burge, Daniel; Peterson, Luke; Drew, Janice; Rolleri, Robert; Weglowska, Jolanta title: Certolizumab Pegol for the Treatment of Chronic Plaque Psoriasis: DLQI and WPAI Patient-Reported Outcomes from an Ongoing Phase 3, Multicenter, Randomized, Active- and Placebo-Controlled Study (CIMPACT) date: 2017-10-27 words: 3367 flesch: 54 summary: At Week 16, CZP‑ and ETN‑treated PASI 75 responders were re‑randomized and continued for 32 weeks of maintenance treatment: – From CZP 400 mg Q2W to 400 mg Q2W, 200 mg Q2W, or placebo Q2W – From CZP 200 mg Q2W to 400 mg every 4 weeks (Q4W), 200 mg Q2W, or placebo Q2W – From ETN to CZP 200 mg Q2W (after loading dose) or placebo Q2W • At Week 16, placebo‑treated PASI 75 responders continued placebo Q2W for 32 weeks of maintenance treatment • Mean CfB -1.1 -8.1** -11.0**18 16 14 12 8 6 4 10 2 0 M ea n S co re **p<0.0001 vs placebo based on adjusted least squares mean difference from an ANCOVA model with treatment group, region, and prior biologic exposure (yes/no) as factors and Baseline DLQI score as a covariate using LOCF imputation aCZP 200 mg Q2W patients received a loading dose of CZP 400 mg at Weeks 0, 2, and 4 b1 patient did not have DLQI mean score values ANCOVA, analysis of covariance; CfB, change from Baseline; CZP, certolizumab pegol; DLQI, Dermatology Life Quality Index; LOCF, last observation carried forward; Q2W, every 2 weeks Figure 4. keywords: czp; dlqi; mg q2w; placebo; q2w; week cache: skin-124.pdf plain text: skin-124.txt item: #204 of 1356 id: skin-1240 author: Akhtar, Shifa; Perez, Mariana; Sharma, Jessica; Canazza, Agnese; Zaiac, Martin title: Calcipotriene 0.005%/Betamethasone Dipropionate 0.064% Foam as a Treatment for Nail Psoriasis: A Case Series date: 2021-09-13 words: 1785 flesch: 49 summary: Eight percent clobetasol-17- propionate in a colorless nail lacquer vehicle has produced favorable results, with one study of 15 patients demonstrating a reduction in nail alterations and in the modified Psoriasis Severity Index by 78% compared to baseline.6 There are also case reports of refractory nail psoriasis treated successfully with Cal/BD gel, with authors hypothesizing that the low viscosity of the lipophilic gel may reach the subungual gap and the gap beneath the proximal nail folds in affected nails.7 While topical therapies combining a corticosteroid and vitamin D analog are established treatments for nail psoriasis, there is scarce literature regarding the use of Cal/BD aerosol foam. A Case Series Shifa Akhtar1, BS, Mariana Perez1, BA, Jessica Sharma1, BS, Agnese Canazza2, Martin Zaiac1,2, MD 1 Florida International University, Herbert Wertheim College of Medicine, Miami, FL 2 Greater Miami Skin and Laser Center, Mount Sinai Medical Center, Miami Beach, FL An estimated 80-90% of psoriasis patients develop nail involvement, leading to decreased quality of life secondary to pain, activity restriction, and an increased risk of anxiety and depression.1 Historically, topical treatments for nail psoriasis have been considered less effective due to limited penetration through the psoriatic nail plate and prolonged duration of use leading to poor patient adherence.2 While systemic approaches with newer biologic agents have demonstrated efficacy in the treatment of moderate to severe nail psoriasis, patients with disease limited to the nail may be reluctant to use systemic biologic agents as opposed to topical agents. keywords: cal; foam; nail; psoriasis; treatment cache: skin-1240.pdf plain text: skin-1240.txt item: #205 of 1356 id: skin-1242 author: Snow, Tara; Harper, Chelsea D. ; Crane, Jonathan; Arida, Muammar title: Bilateral Nodules on the Thighs: A Case Report on Insulin Therapy-Induced Palisaded Granulomas date: 2021-09-13 words: 1126 flesch: 39 summary: Herein, we present an unusual case of bilateral nodules on the thighs secondary to insulin injections. A 90-year-old female presented with a 14- year history of slowly enlarging pruritic nodules located on her proximal lateral thighs where insulin injections were repeatedly administered. keywords: complications; diabetes; injection; insulin cache: skin-1242.pdf plain text: skin-1242.txt item: #206 of 1356 id: skin-1243 author: Clark, Kayla ; Miori, Virginia ; Alvarado Jones, Virgina; Tsoukas, Maria title: Dermatology Residency Applicants’ Concerns Due to COVID-19 date: 2021-07-09 words: 1952 flesch: 54 summary: Concerns Due to COVID-19 Kayla A. Clark, BS1, Virginia M. Miori, PhD2, Virginia A. Jones, MD, MS1, Maria M. Tsoukas, MD, PhD1 1Department of Dermatology, University of Illinois at Chicago, Chicago, IL 2Department of Decision and System Sciences, Saint Joseph’s University, Philadelphia, PA Educational policy changes related to the Coronavirus disease 2019 (COVID-19) pandemic during the 2020-2021 residency application cycle caused challenges for dermatology residency applicants.1 As advised by the Association of American Medical Colleges (AAMC), programs conducted interviews entirely virtually.2 Due to these unique circumstances, our group created a survey to gain insight into dermatology residency applicants’ concerns attributable to the COVID-19 Despite these concerns, preliminary data released by the AAMC reveals an 8% (661 students vs. 611) increase for MD students applying to dermatology residency this cycle.3 Preliminary match results indicate a 73.9% (382/517) match rate for PGY-2 position for MD seniors in the 2020-2021 cycle compared to the 78.1% (368/471) match rate in the 2019-2020 cycle; an overall 4.2% decrease in the match rate.4,5 Consistent with MD applicant concerns, this cycle’s virtual match yielded a lower match rate. keywords: concerns; dermatology; home; students; uim cache: skin-1243.pdf plain text: skin-1243.txt item: #207 of 1356 id: skin-1244 author: Bowers, Nate; Haidari, Wasim; Su, Jennifer; Cardenas-de la Garza, Jesus; Feldman, Steve ; Jorizzo, Joseph title: Characterization of Clinical Outcomes in Patients with Cutis Marmorata Telangiectatica Congenita date: 2021-07-09 words: 1500 flesch: 54 summary: Cutis marmorata telangiectatica congenita: clinical features in 35 cases. Due to different reporting methodologies and inclusion of abnormalities which are prevalent in the general population, the higher rate may be secondary to incidental or SKIN July 2021 Volume 5 Issue 4 Copyright 2021 The National Society for Cutaneous Medicine 401 questionable findings.(1-3) Recent reports have characterized limb length discrepancy and other congenital vascular abnormalities as the most frequent associations.(3-5) keywords: cmtc; cutis; patients; skin cache: skin-1244.pdf plain text: skin-1244.txt item: #208 of 1356 id: skin-1245 author: Rodriguez, Eduardo Adrian; Visnaw, Edward; Petr, Frank; Siddiqui, Huma title: Atypical Targetoid Lesions as the Presenting Sign of Myeloid Sarcoma date: 2021-11-05 words: 1750 flesch: 48 summary: No controlled trials evaluating the role of allogenic hematopoietic stem cell transplantation in patients with isolated MS have been performed but retrospective studies have demonstrated encouraging results.6 MS prognosis can be variable depending on the different backgrounds of MS formation but it is typically accepted to be poor. Clinical knowledge about a typical presentation of myeloid sarcoma is limited, given the heterogeneity in the location and size of MS lesions. keywords: aml; cutaneous; lesions; myeloid; patients; sarcoma cache: skin-1245.pdf plain text: skin-1245.txt item: #209 of 1356 id: skin-125 author: Reich, Kristian; Blauvelt, Andrew; Thaci, Diamant; Leonardi, Craig; Poulin, Yves; Burge, Daniel; Peterson, Luke; Arendt, Catherine; Gottlieb, Alice B title: Maintenance of Response with Certolizumab Pegol for the Treatment of Chronic Plaque Psoriasis: 48-Week Results from Two Ongoing Phase 3, Multicenter, Randomized, Placebo-Controlled Studies (CIMPASI-1 and CIMPASI-2) date: 2017-10-27 words: 3654 flesch: 58 summary: CZP, certolizumab pegol; MCMC, Markov chain Monte Carlo; PASI 75, ≥75% reduction in psoriasis area and severity index; Q2W, every 2 weeks Figure 4. PGA 0/1 Responder Rates From Baseline to Week 48 CIMPASI-1 Week Week CIMPASI-2 80 100 60 40 20 0 R es po nd er R at e (% ) 0 2 4 8 12 16 20 24 28 32 40 48 80 100 60 40 20 0 R es po nd er R at e (% ) 0 2 4 8 12 16 20 24 28 32 40 48 Placebo (N=51) CZP 200 mg Q2Wa (N=95) CZP 400 mg Q2W (N=88) 4.2% 2.0% Placebo (N=49) CZP 200 mg Q2Wa (N=91) CZP 400 mg Q2W (N=87) 47.0% 52.7% 66.8% 72.6% 57.9% 69.5% 71.6% 66.6% *p<0.05, **p<0.0001 versus placebo aCZP 200 mg Q2W patients received loading dose of CZP 400 mg at Weeks 0, 2, and Most Frequently Reported TEAEs (≥5% in Any Group): Baseline to Week 48 n (%), [incidence ratea] CIMPASI-1 CIMPASI-2 CZP 200 mg Q2W (N=100)b CZP 400 mg Q2W (N=144)b CZP 200 mg Q2W (N=95)b CZP 400 mg Q2W (N=129)b Nasopharyngitis 28 (28.0) keywords: czp; mg q2w; pasi; patients; placebo; q2w; week cache: skin-125.pdf plain text: skin-125.txt item: #210 of 1356 id: skin-1251 author: Abbas, Laila; Wang, Jennifer; Nijhawan, Rajiv; Srivastava, Divya title: The Impact of the COVID-19 Pandemic on Skin Cancers treated with Mohs Micrographic Surgery: A Retrospective Analysis at a Single United States Academic Institution date: 2021-07-09 words: 1347 flesch: 59 summary: The aim of this single center retrospective study was to determine changes in skin cancers treated with MMS at a large, U.S. medical center in the context of evolving COVID-19 pandemic restrictions over the course of several months. MMS case logs identified patients treated with MMS for skin cancer from March– September 2020 and March–September 2019. keywords: cancer; covid-19; pandemic; patients; skin cache: skin-1251.pdf plain text: skin-1251.txt item: #211 of 1356 id: skin-126 author: Thaci, Diamant; Gottlieb, Alice; Reich, Kristian; Bagel, Jerry; Burge, Daniel; Peterson, Luke; Drew, Janice; Arendt, Catherine; Weglowska, Jolanta title: Certolizumab Pegol for the Treatment of Chronic Plaque Psoriasis: DLQI and WPAI Patient-Reported Outcomes from Two Ongoing Phase 3, Multicenter, Randomized, Placebo-Controlled Studies (CIMPASI-1 and CIMPASI-2) date: 2017-10-27 words: 3587 flesch: 54 summary: In both studies, at least 90% of patients in each treatment arm completed Week 16 (Figure 2) • Of those patients who entered the Maintenance Period in CIMPASI-1|CIMPASI-2, 90.9%|88.4% of CZP 400 Q2W patients and 95.9%|84.2% of CZP 200 mg Q2W patients completed Week 48 (Figure 2) • Baseline DLQI scores were comparable across treatment groups for both studies while WPAI score trends varied slightly by study (Table 1) Figure 2. CZP 200 mg Q2Wb (N=95) CZP 400 mg Q2W (N=88) 41.2% 66.3% 78.4% 68.2% 60.0% Placebo (N=49) CZP 200 mg Q2Wb (N=91) CZP 400 mg Q2W (N=87) 40.8% 74.7% 75.9% 70.1% 61.5% a≥4-point improvement in DLQI bCZP 200 mg Q2W patients received loading dose of CZP 400 mg at Weeks 0, 2, and 4 Statistical comparisons not performed at Week 48 Week 16 PASI 50 nonresponders were imputed as nonresponders for all subsequent time points through Week 48; all other missing data were imputed via nonresponder imputation CZP, certolizumab pegol; DLQI, Dermatology Life Quality Index; Q2W, every 2 weeks • DLQI 0/1 responder rates were also greater at Week 16 for CZP 400 mg Q2W and 200 mg Q2W vs placebo (Figure 5) • keywords: czp; dlqi; mg q2w; pasi; placebo; q2w; week cache: skin-126.pdf plain text: skin-126.txt item: #212 of 1356 id: skin-1262 author: Wu, Ellen; Chadha, Simran; Krueger, Karen; Nguyen, Cuong; Guggina, Lauren title: Disseminated HSV-2 Infection in a Person Living with HIV (PLWH) date: 2021-09-13 words: 779 flesch: 39 summary: We suspect immune reconstitution inflammatory syndrome (IRIS) was responsible for her exuberant HSV-2 presentation in the setting of appropriate treatment and a rapid decline in HIV VL. Viral culture confirmed HSV-2 infection, but susceptibilities could not be obtained. keywords: hiv; medicine; school cache: skin-1262.pdf plain text: skin-1262.txt item: #213 of 1356 id: skin-1263 author: Visconti, Michael; Buckland, Molly; Krach, Kent; Richardson, Adam; Rutt, Veronica title: Surgeon Experience Level and Number of Mohs Stages: A Prospective Observational Study of In-training Surgeons date: 2021-09-13 words: 2955 flesch: 42 summary: If accurate, this would demonstrate a higher efficiency for more experienced surgeons in extirpating tumors compared to less experienced surgeons – arguing against previous findings of no significant difference in mean number of stages for different experience levels. Mean number of stages overall for all variants of BCC and SCC. above). keywords: attending; cohort; experience; level; mean; number; stages cache: skin-1263.pdf plain text: skin-1263.txt item: #214 of 1356 id: skin-1264 author: Whittington, Andrew ; Pearlman, Ross; Brodell, Robert title: Facial Pyoderma Gangrenosum: Overcoming Anchoring Bias date: 2021-07-09 words: 957 flesch: 41 summary: A case of recurrent PG in a 44-year-old female is presented to highlight the difficulty in making this diagnosis on the face. Abbreviations used: PG: pyoderma gangrenosum; IBD: inflammatory bowel disease Conflict of Interest Disclosures: Robert T. Brodell discloses the following: Multicenter Clinical Trials: Novartis – Principal Investigator; Corona psoriasis biologic registry. keywords: dermatology; journal; pyoderma cache: skin-1264.pdf plain text: skin-1264.txt item: #215 of 1356 id: skin-1265 author: Heibel, Haley Danielle; Ibad, Sidra; Dhaliwal, Parneet; Currimbhoy, Sharif; Cockerell, Clay J. title: A Subacute Cutaneous Lupus Erythematosus-Like Drug Eruption Related to Terbinafine in a Male date: 2021-07-09 words: 1396 flesch: 37 summary: In addition, one case of SCLE that developed during terbinafine therapy for onychomycosis was associated with chilblain lupus.1 There have also been reports of patients with symptoms and signs of autoimmune dysfunction who developed SCLE with terbinafine therapy.2,7 Terbinafine-induced SCLE has been associated with high titers of antinuclear antibodies (ANA) and the presence of anti-Ro (SS-A) antibodies, anti-La (SS-B) antibodies, and anti-histone antibodies, although the presence of anti-histone antibodies is less common.1,3,6 DISCUSSION SKIN July 2021 Volume 5 Issue 4 Copyright 2021 The National Society for Cutaneous Medicine 439 Bonsmann et al1 observed that ANA titers and anti-histone antibodies decreased with Figure 2. Although the mechanism for terbinafine- induced SCLE has not been fully elucidated, we suggest that there may be distinctive mechanisms of terbinafine-induced SCLE of patients with and without a predisposition to or history of autoimmune or connective tissue diseases, which should be a focus for future research. keywords: erythematosus; lupus; patients; scle; terbinafine cache: skin-1265.pdf plain text: skin-1265.txt item: #216 of 1356 id: skin-1269 author: Weir, Sydney; Hattaway, Reagan; Singh, Nikhi ; Boyd, Carter; Hemal, Kshirpa title: Characterizing the Effect of the COVID-19 Pandemic on the Dermatology Literature date: 2021-09-13 words: 1888 flesch: 42 summary: For COVID-19 related articles, we also assessed whether AAS and citations varied by the type of article (editorial, original article, or guideline) and sub- specialty of dermatology to which the article pertained. COVID-19 related articles in the dermatology literature received more widespread attention as measured by the average AAS (33 vs. 4 p<0.001) and were higher impact as measured by citation count (11 vs. 1, p<0.001) than non-COVID-19 articles. keywords: articles; covid-19; dermatology; literature; pandemic cache: skin-1269.pdf plain text: skin-1269.txt item: #217 of 1356 id: skin-127 author: Frias, Jennifer; Vargas, Raquel; Paez, Erika; Chopite, Marina; Reyes, Oscar; Soucre, Natalia; Swenson, Nicole; Berman, Brian title: Effects of Imiquimod 5% Cream in the Prevention of Excised Keloid Recurrence date: 2018-01-02 words: 769 flesch: 54 summary: The subset of 20 treated auricular keloids were followed up to 5 years after keloid treatment, with no additional recurrences were noted. 1 Treatment of surgical keloidectomy excision sites with topical imiquimod 5% cream for 8 weeks daily has been reported to have no recurrences of the keloids at the end of the relatively short, 24 week follow up period. keywords: imiquimod; keloids cache: skin-127.pdf plain text: skin-127.txt item: #218 of 1356 id: skin-1270 author: Marson, Justin; Farberg, Aaron; Glazer, Alex; Litchman, Graham; Svoboda, Ryan; Winkelmann, Richard; Rigel, Darrell title: Expert Consensus on Sunscreen for the Primary Prevention of Skin Cancer: Results from the Skin Cancer Prevention Working Group Conference date: 2021-05-21 words: 7218 flesch: 57 summary: Skin cancer (melanoma and NMSC) is the most common type of malignancy diagnosed annually, outnumbering all other cancer diagnoses ~3 to 1 with over 5.4 million new diagnoses per year and 1 in 5 Americans expected to be diagnosed with a type of skin cancer by the age of 70.1-4 The incidence of skin cancer has continued to rise in the past several decades and only recently began to plateau as public outreach on sun-safety has increased.3 However, timely diagnosis and adequate management and treatment of skin cancer still account for ~$6 billion in annual healthcare expenditures.7 Furthermore, despite improvements in care and diagnostic techniques, there are expected to be 7180 deaths in 2021 due to invasive melanoma alone.3,10 Table 1. As experts in the diagnosis and management of skin cancers, dermatologists are especially well-equipped to discuss with patients the risks of UVR exposure and skin cancer and benefits of multimodal sun-protective measures, including the regular and proper use of sunscreens. keywords: cancer; consensus; dermatol; doi; efficacy; epub; exposure; medicine; melanoma; oxybenzone; patients; pmid; prevention; protection; review; risk; safety; skin; skin cancer; society; spf; studies; sunscreen; use; uvr cache: skin-1270.pdf plain text: skin-1270.txt item: #219 of 1356 id: skin-1276 author: Brody, Gabrielle; Yale, Katerina; Nguyen, Alora; Juhasz, Margit ; Doan, Linda; Mesinkovska, Natasha Atanaskova title: Laterality and site-specific distribution patterns of Lentigo Maligna and Lentigo Maligna Melanoma date: 2021-09-13 words: 1395 flesch: 57 summary: The observed sex differences in the distribution pattern of LM and LMM support previous studies with similar findings in superficial spreading and nodular melanomas specifically, as well as studies that did not distinguish between subclassifications.7 Similar to previous studies, our study observed a significant left-sided laterality for the head/neck region (59.1% left, p=0.0178) (Table 2).3 keywords: extremities; left; lmm; melanoma cache: skin-1276.pdf plain text: skin-1276.txt item: #220 of 1356 id: skin-1278 author: Dando, Emily; Guerrero, Angela; Collins, Mary-Katharine; James, Alaina title: Virtual medical student dermatologic surgery workshop increases confidence in suturing and skin biopsy skills in the era of COVID-19 date: 2021-11-05 words: 1283 flesch: 45 summary: Early and prolonged opportunities to practice suturing increases medical student comfort with suturing during clerkships: Students who participate in procedure training demonstrate increased confidence and ability when applying these skills to patients.1 In the era of COVID-19, many pre- clinical medical school curricula have transitioned to remote learning, which may reduce critical early exposure to basic procedures. keywords: students; suture; workshop cache: skin-1278.pdf plain text: skin-1278.txt item: #221 of 1356 id: skin-128 author: Glaser, Dee Anna; Hebert, Adelaide A; Nast, Alexander; Werschler, William P; Shideler, Stephen; Green, Lawrence; Mamelok, Richard D; Drew, Janice; Quiring, John; Pariser, David M title: Open-Label Study (ARIDO) Evaluating Long-Term Safety of Topical Glycopyrronium Tosylate (GT) in Patients with Axillary Hyperhidrosis date: 2017-10-27 words: 2384 flesch: 39 summary: This 44-week, open-label extension study (ARIDO; NCT02553798) assessed the long-term safety of GT in patients with primary axillary hyperhidrosis who completed ATMOS-1 (NCT02530281; sites in the US and Germany) or ATMOS-2 (NCT02530294, sites in US only) METHODS Study Design • ARIDO was a 44-week open-label extension of ATMOS-1/ATMOS-2, 4-week, double-blind, phase 3 clinical trials in which patients with primary axillary hyperhidrosis were randomized 2:1 to GT (3.75% topical solution) or vehicle applied once daily to each axilla for 28 days (Figure 1) – Patients who completed ATMOS-1/ATMOS-2 with ≥80% treatment compliance were eligible to continue into ARIDO and receive open-label GT for 44 weeks or to early termination (ET; Figure 1) • Eligible patients were ≥9 years of age (patients <16 years were only recruited at US sites) and had primary axillary hyperhidrosis for ≥6 months, with gravimetrically-measured sweat production of ≥50 mg/5 min in each axilla, Axillary Sweating Daily Diary (ASDD; for patients ≥16 years of age) or ASDD-Children (ASDD-C; for patients <16 years of age) axillary sweating severity item (Item 2)4 score ≥4 (0 to 10 numeric rating scale), and Hyperhidrosis Disease Severity Scale (HDSS) ≥3 Scaling (N=25) 5 (20%) 20 (80%) Mild Moderate Severe 200 160 120 80 40 0 N um be r of L S R s Patients were counted as having an LSR if any post-Baseline assessment was mild, moderate, or severe aBaseline in ATMOS-1/ATMOS-2 bPatients receiving ≥1 dose of GT and having ≥1 post-Baseline assessment in ARIDO GT, topical glycopyrronium tosylate; LSR, local skin reaction CONCLUSIONS • Safety results were consistent with anticholinergic treatment and with the safety profile observed in prior GT studies,3 with no new or unexpected findings – Most TEAEs were mild or moderate in severity and considered by the investigator to be related to study drug – A low number of subjects discontinued due to a TEAE – While approximately one-third of patients reported LSRs, most were mild or moderate in severity – Incidence of TEAEs, including prespecified anticholinergic TEAEs of interest, did not increase with long-term treatment • Efficacy measures obtained at the end of treatment in ARIDO indicated that subjects had maintained sweat production reduction and less bothersome sweating compared with Baseline in ATMOS-1/ATMOS-2 • GT was generally well tolerated and improvements in efficacy measures were maintained in patients with primary axillary hyperhidrosis when applied once daily to both axillae over a maximum of 48 weeks References 1. keywords: arido; atmos-2; baseline; patients; teaes; week cache: skin-128.pdf plain text: skin-128.txt item: #222 of 1356 id: skin-1281 author: Armenta, Andrew; Winsett, Frank; Wagner, Richard title: Pathophysiology, Risk Factors, and Prevention of Wound Dehiscence Following Dermatologic Procedures date: 2021-11-05 words: 4223 flesch: 46 summary: Postoperative wound dehiscence: Predictors and associations. SKIN November 2021 Volume 5 Issue 6 Copyright 2021 The National Society for Cutaneous Medicine 590 IN-DEPTH REVIEW Pathophysiology, Risk Factors, and Prevention of Wound Dehiscence Following Dermatologic Procedures Andrew M. Armenta, MD1, Frank T. Winsett, MD1, Richard F. Wagner Jr. MD1 1Department of Dermatology, The University of Texas Medical Branch, Galveston, TX Skin cancer is the most common malignancy in the United States and has been increasing in incidence, affecting approximately one in five Americans.1,2 As the number of skin cancers have increased, so have the number of dermatologic procedures including biopsies, excisions and Mohs micrographic surgery.2 Behind surgical site infection, wound dehiscence is the second most common postoperative complication of dermatologic procedures and often occurs within the first postoperative week.3-6 There are many preoperative, intraoperative, and postoperative risk factors that must be considered to decrease the risk for this common complication. keywords: collagen; dehiscence; dermatol; factors; healing; infection; inflammation; proliferation; risk; skin; surgery; suture; tension; wound cache: skin-1281.pdf plain text: skin-1281.txt item: #223 of 1356 id: skin-1287 author: Abercrombie, McKenna; Healey, Brayden; Barone, Hope ; McNeil, Morgan; Zheng, Zijian; Sigal, Peter ; LaFond, Ann title: Effect of Pre-Surgical Education on Patient Satisfaction and Surgical Experience: A Quality Improvement Initiative date: 2022-01-17 words: 2145 flesch: 51 summary: Surgical patients scheduled at our academic dermatology clinic for excision or Mohs surgery were randomly assigned to a “call”/intervention group or “non-call”/control group. Díez-Álvarez E, Arrospide A, Mar J, Alvarez U, Belaustegi A, Lizaur B, et al. Effectiveness of pre-operative education in reducing anxiety in surgical patients. keywords: group; intervention; patients; satisfaction; surgery cache: skin-1287.pdf plain text: skin-1287.txt item: #224 of 1356 id: skin-1288 author: Tassavor, Michael ; Hashim, Peter; Babalola, Folawiyo; Bhatt, Mehul title: Nonavalent Human Papillomavirus Vaccine as a Treatment for Recalcitrant Warts in an Adult with HIV date: 2021-07-09 words: 1305 flesch: 50 summary: A recent single center retrospective cohort study (n=16, two immunocompromised patients, one lost to follow up, the second deceased due to unrelated reasons) of recalcitrant warts showed nearly 50% response to HPV vaccination, comparable to conventional treatments. After 8 injections of bleomycin, 3 months after first HPV shot While there are three FDA approved vaccines, only the nonavalent Gardasil 9 is currently available today in the United States, targeting HPV 6, 11, 16, 18, 31, 33, 45, 52 and 58. keywords: bleomycin; hpv; human; vaccine; warts cache: skin-1288.pdf plain text: skin-1288.txt item: #225 of 1356 id: skin-1289 author: Ghani, Hira; Rahman, Raphia; Liu, Kevin; Cubelli , Stefani title: An Investigation of Makeup Ingredients and their Effects on Acne Cosmetica with Dermatologic Practice Recommendations date: 2021-09-13 words: 4073 flesch: 45 summary: These oils have a high comedogenic index of 3-4.19 Isopropyl Isostearate Isopropyl isostearate is an emollient found in many lotions and skin care products. Salicylic acid is less irritating than skin care products containing alpha-hydroxy acids, while providing similar improvement in skin texture and color. keywords: acid; acne; cosmetic; dermatol; ingredients; makeup; patients; products; sebum; skin; use; vulgaris cache: skin-1289.pdf plain text: skin-1289.txt item: #226 of 1356 id: skin-129 author: Hornberger, John; Rigel, Darrell title: Health Econommic Implications of a Non-Invasive Gene Expression Test for Primary Cutaneous Melanoma date: 2017-10-27 words: 499 flesch: 45 summary: A recently described adhesive patch skin biopsy based non-invasive gene expression test (pigmented lesion assay, PLA) demonstrated utility and differentiated benign from malignant pigmented skin lesions with a test performance that exceeded visual inspection (VI) and a sensitivity that matching the gold standard of dermatopathology. A biopsy ratio reduction from 12.5 for VI to 2.4 for PLA use was observed. keywords: benign; melanoma cache: skin-129.pdf plain text: skin-129.txt item: #227 of 1356 id: skin-1290 author: Jiang, Angela; Kashlan, Reem; Joseph, Christine; Tang, Amy; Lim, Henry title: Disparities in Access to Teledermatology During the COVID-19 Pandemic in Detroit, Michigan date: 2021-11-05 words: 3934 flesch: 55 summary: Women, however, may have a disproportionate distribution of childcare duties with children staying home, which may limit access to telehealth.21,22 Most articles posit that older patients pursue fewer dermatology virtual visits due to lower technical literacy as well more common complaints related to keratinocyte carcinomas.18,19 In this study, the pediatric patient population who completed virtual visits appeared to mirror health disparities previously reported in pediatric dermatology patients, with improved access in patients with commercial insurance, lower SDI scores, and Demographic characteristics of patients who pursued virtual visits was compared with those who did not. keywords: access; age; care; covid-19; insurance; pandemic; patients; teledermatology; visits cache: skin-1290.pdf plain text: skin-1290.txt item: #228 of 1356 id: skin-1291 author: Kou, Leon; Wong, Austin; Zhong, Lily; Danesh, Sid title: Cutaneous Metastasis of Thymic Carcinoma to the Frontal Scalp date: 2021-07-09 words: 1627 flesch: 54 summary: TC skin metastasis is rare and could be misdiagnosed for a benign skin condition. Except for CD5 and CD117, our IHC results correlate with a previously reported TC cutaneous metastasis case.5 Positive PAX8 staining, found in approximately 77% of TCs, but rarely expressed in primary lung cancers, supported the diagnosis of TC with metastasis to the lungs and our current diagnosis of TC metastasis to the skin.10,11 TCs generally stain negative for TTF-1 and synaptophysin and our negative results further rule out the possibility of lung, thyroid, or neuroendocrine tumor metastasis.12 Positive staining for P63, found in normal thymus gland and thymic epithelial tumors, and pancytokeratin (AE1/AE3), typically positive in TCs, further support our diagnosis.3 Our patient’s skin lesion appeared 1 month after discovery of the mediastinal mass by cardiac MRI and because it was left uninvestigated, the lesion worsened over 1 year with increased size, pain, and alopecia of the surrounding area. keywords: cd5; metastasis; skin; staining cache: skin-1291.pdf plain text: skin-1291.txt item: #229 of 1356 id: skin-1292 author: Heibel, Haley Danielle; Bandel, Chris; Reddick, Claire; Cockerell, Clay J. title: A Case of Cutaneous Metastatic Tonsillar Squamous Cell Carcinoma in a Female date: 2022-05-06 words: 1219 flesch: 52 summary: To our knowledge, only 8 cases of cutaneous metastatic tonsillar SCC previously have been reported in the English literature. Cutaneous metastatic tonsillar SCC. keywords: carcinoma; case; neck; patient; scc cache: skin-1292.pdf plain text: skin-1292.txt item: #230 of 1356 id: skin-1293 author: Wei, Nancy; Elbogen, Emily; Dan, Joshua; Chessky, Anna; Rivera-Oyola, Ryan; Lebwohl, Mark title: Telogen Effluvium in Patients recovering from COVID-19 date: 2021-09-13 words: 2561 flesch: 36 summary: Literature on dengue fever associated TE similarly found no association between severity of infection and hair loss.3,9 Additionally, coagulopathy studies of COVID-19 patients revealed coagulation functions remained fairly stable in mild COVID-19 and not significantly different from baseline (convalescent state) within the same individuals.10 Psychological and emotional stressors are a known trigger for TE, so they may contribute to the new onset TE seen in COVID-19 patients. keywords: covid-19; effluvium; hair; http://paperpile.com/b/oo8g4l/zeyg; infection; patients; telogen cache: skin-1293.pdf plain text: skin-1293.txt item: #231 of 1356 id: skin-1294 author: Monahan, Zachary; Cantor, Aaron; Handfield, Kent title: Parkinson’s Disease as a Risk Factor for Melanoma: A Review date: 2021-09-13 words: 4385 flesch: 58 summary: Three studies offered estimated risk of development of malignant melanoma in patients with classic melanoma risk factors. Cancer risk in association with Parkinson disease: a population-based study. keywords: association; cancer; cohort; diagnosis; disease; factors; melanoma; parkinson; patients; risk; skin; studies cache: skin-1294.pdf plain text: skin-1294.txt item: #232 of 1356 id: skin-1295 author: Brody, Gabrielle; Nguyen, Michael O.; Foulad, Delila Pouldar; Rojek, Nathan W. title: Retiform Purpura in the Setting of COVID-19: A Harbinger of Underlying Coagulopathy and Severe Disease Course date: 2021-07-09 words: 999 flesch: 41 summary: This case highlights the seriousness of retiform purpura in COVID-19 patients as a cutaneous finding concerning for an underlying vasculopathy that may precede further acute thromboembolic events and a worsening course of disease. Magro et al. noted that patients with pernio-like lesions secondary to COVID-19 who have mild respiratory symptoms and good outcomes have a strong inflammatory response with low viral loads, while patients with retiform purpura with severe COVID-19 disease have minimal interferon response, high viral loads and profound vasculopathy. keywords: case; course; covid-19; retiform cache: skin-1295.pdf plain text: skin-1295.txt item: #233 of 1356 id: skin-1296 author: Alkul, Suzanne; Liu , Yuangao ; Whipple, Scott; Verstovsek, Gordana; Kim, Soo Jung title: Primary Cutaneous Plasmacytoma Treated with Palliative Radiotherapy: A Case Report and Literature Review date: 2021-11-05 words: 2028 flesch: 52 summary: He denied constitutional symptoms including ABSTRACT Introduction: Primary cutaneous plasmacytomas (PCP) are very rare plasma cell neoplasms present in the skin or subcutaneous tissue without underlying multiple myeloma (MM). Infiltrate is strongly positive for CD138 by immunohistochemistry confirming plasmacytoma P) 1B) (1A, Hematoxylin and Eosin 100x; 1B Immunoperoxidase 40x) Primary cutaneous plasmacytomas are even more rare type of EMP confined to only skin without underlying systemic disease6. keywords: diagnosis; lesions; nodules; pcp; plasmacytoma; skin cache: skin-1296.pdf plain text: skin-1296.txt item: #234 of 1356 id: skin-1297 author: Marson, Justin; Berto, Stefano; Mouser, Paul; Baldwin, Hilary title: Association between Rosacea, Environmental Factors, and Facial Cutaneous Dysbiosis: A Pilot Study from the Largest National Festival of Twins date: 2021-09-13 words: 2922 flesch: 47 summary: Beta-diversity (differences between samples across groups) assessed with principal component analysis with Weighted UniFrac (accounting for number of different species and relative abundance) demonstrated clustering of the microbiome samples that were significantly different for facial cutaneous microbiome (E) but not for the enteric microbiome (F). Conclusion: Environmental factors may alter relative abundances of specific microbial genera and lead to microbiome diversity. keywords: dermatol; fdr; microbiome; participants; rosacea; skin cache: skin-1297.pdf plain text: skin-1297.txt item: #235 of 1356 id: skin-1298 author: Howard, Tara; Matin, Taraneh; Howard, John; Howard, Eduardo Weiss title: Rare Mucosal Lip Atypical Fibroxanthoma Treated with Mohs Micrographic Surgery date: 2021-11-05 words: 943 flesch: 46 summary: AFX presents as a rapidly growing, solitary, red-pink, firm nodule with a mean diameter less than 2 cm and occasionally may ulcerate or bleed. ABSTRACT Atypical fibroxanthoma (AFX) is a rare dermal neoplasm of low-intermediate malignant potential found almost exclusively in the non-mucosal regions of the head and neck in light-skinned elderly males who have a history of significant sun exposure. keywords: afx; lip; skin cache: skin-1298.pdf plain text: skin-1298.txt item: #236 of 1356 id: skin-1299 author: Serrano, Linda; Carlberg, Valerie; Holland, Kristen title: Rapid Efficacy of Ixekizumab for Pediatric Acute Generalized Pustular Psoriasis date: 2021-11-05 words: 1897 flesch: 41 summary: 6-8 Multiple cases of adolescent males with known deficiency of the interleukin IL-36 receptor antagonist (DITRA), characterized by fevers and pustular psoriasis flares, who were refractory to a variety of treatments such as acitretin, infliximab, cyclosporine, phototherapy, adalimumab, prednisone, ustekinumab, methotrexate, apremilast, and anikinara had a notable response to secukinumab, another anti- IL-17 monoclonal antibody. Case presentation: A 17-year-old female with a history of alopecia areata and pustular psoriasis, on ustekinumab, was admitted for a severe pustular psoriasis flare with systemic symptoms including fever and tachycardia which progressed to erythroderma and required vasopressor support. keywords: cyclosporine; gpp; ixekizumab; patients; pediatric; psoriasis cache: skin-1299.pdf plain text: skin-1299.txt item: #237 of 1356 id: skin-13 author: Hadi, Ali; Lebwohl, Mark title: Apremilast for Lichen Planopilaris and Frontal Fibrosing Alopecia: A Case Series date: 2017-06-28 words: 2022 flesch: 46 summary: Figure 2B. Two months into apremilast treatment, note the resolution of perifollicular erythema. bSol and Clara Kest Professor and Chair of the Department of Dermatology, Icahn School of Medicine at Mount Sinai, New York, NY 10029 ABSTRACT ABSTRACT Importance: Lichen planopilaris and frontal fibrosing alopecia are characterized by scarring alopecia associated with pruritus, inflammation, and pain of affected areas. keywords: alopecia; apremilast; lichen; patients; planopilaris cache: skin-13.pdf plain text: skin-13.txt item: #238 of 1356 id: skin-1300 author: Mukovozov, Ilya; Mirali, Sara; Khaslavsky, Sofi; Kalia, Sunil title: Light and Laser-based Treatments for Hidradenitis Suppurativa: A Systematic Review date: 2021-11-05 words: 9134 flesch: 59 summary: Suarez-Valladares et al. found that in a series of HS patients treated with intralesional ALA-PDT, 76.3% (n=29/38) achieved complete remission.8 In a smaller study of five Hurley stage II or III HS patients with recalcitrant disease, no significant improvement was seen, despite mild improvements in Sartorius score, VAS, and DLQI in all patients (mean change from baseline to post-treatment: Sartorius = -1.6, VAS = -0.3, DLQI = -6.4%). In a study of 24 patients, Lapins et al. showed that CO2 laser treatment with healing by secondary intention was safe, beneficial, and rapidly effective with a mean resolution period of 4 weeks. keywords: case; co2; co2 laser; disease; hidradenitis; improvement; ipl; laser; lesions; light; patients; pdt; recurrence; response; series; studies; study; suppurativa; therapy; treatment; yag cache: skin-1300.pdf plain text: skin-1300.txt item: #239 of 1356 id: skin-1301 author: Chopra, Shara; Sinharoy, Ankita; Flamm, Alexandra title: A Cross-Sectional Survey of Students and Instructors on Virtual Dermatology Teaching in a Competency-based Format date: 2021-11-05 words: 2048 flesch: 36 summary: In a traditional in-person teaching format, student learning is assessed by whether it fulfills the ACGME (Accreditation Council for Graduate Medical Education) core competencies: patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice.1 During the COVID-19 pandemic, the dermatology elective at the Penn State College of Medicine (PSCOM) was converted to a four- week virtual format in lieu of a clinical rotation. Results: Medical students (n=15, response rate=52%) were satisfied with learning objectives geared towards the ACGME core competencies in five of the six competencies. keywords: course; dermatology; education; instructors; learning; satisfaction; student cache: skin-1301.pdf plain text: skin-1301.txt item: #240 of 1356 id: skin-1304 author: Masterson, Wylie ; Morse, Daniel; Pacha, Omar title: IL-17A Blockade Treatment Success in Erythrodermic Pityriasis Rubra Pilaris date: 2021-09-13 words: 1584 flesch: 51 summary: PRP patients have an increase in cytokines IL-17A, IL-17F, and IL-22. Interestingly, in skin lesions of PRP patients, studies found an upregulation of helper T- cell 17 cytokines including IL-17A, IL-17F, and IL-22,5 which suggests that the IL-23- Th17 pathway plays an important role in this condition. keywords: case; erythrodermic; il-17a; prp; skin; treatment cache: skin-1304.pdf plain text: skin-1304.txt item: #241 of 1356 id: skin-1307 author: Glinos, George; Hooper, Madeline; Morey, G. Eli; Seminario-Vidal, Lucai title: Zosteriform lichen planus as a manifestation of Wolf’s isotopic response date: 2021-09-13 words: 1628 flesch: 43 summary: Isotopic response. The temporal delay between primary VZV eruption and the subsequent presentation of zosteriform LP can range from 15 days to five years. keywords: herpes; lichen; response; skin; wolf cache: skin-1307.pdf plain text: skin-1307.txt item: #242 of 1356 id: skin-1309 author: Kimmel, Grace; Chima, Margot; Kim, Hee Jin; Bares, Jennifer; Yaroshinsky, Alex; Singer, Giselle; Kim, Soo Jung; Bagel, Jerry; Lebwohl, Mark title: Brodalumab in the treatment of moderate-to-severe psoriasis in patients refractory to anti-interleukin-17A therapies: Evaluation of secondary endpoints date: 2021-09-13 words: 2034 flesch: 56 summary: For those patients who were non- responders at week 16, we observed a partial response (PASI-50) in 50% (AO)/30.8% (NRI). Our prior publication reported significant disease improvement with brodalumab in psoriasis patients who had previously failed treatment with an anti-IL-17A agent. keywords: patients; treatment; value; week cache: skin-1309.pdf plain text: skin-1309.txt item: #243 of 1356 id: skin-131 author: Sligh, James; Yao, Zuxu; Jansen, Burkhard title: An Adhesive Patch Biopsy Based Gene Expression Test to Non-invasively Differentiate Basal Cell and Squamous Cell Carcinomas from Actinic Keratoses and Other Skin Lesions of Similar Appearance date: 2017-10-27 words: 584 flesch: 43 summary: The described approach of non-invasive gene expression testing differentiates primary cutaneous BCC and SCC cases from benign and precursor lesions such as AK with high sensitivity and specificity. Once fully validated in an ongoing large prospective study, such a test has the potential to reduce the number of avoidable surgical procedures while missing fewer cases of non-melanoma skin cancer. keywords: gene; skin cache: skin-131.pdf plain text: skin-131.txt item: #244 of 1356 id: skin-1312 author: Hubbard, Erika; Lebwohl, Mark title: Vascular Effects of Pseudoxanthoma Elasticum date: 2021-09-13 words: 4243 flesch: 61 summary: Pingel S, Pausewang KS, Passon SG, et al. Increased vascular occlusion in patients with pseudoxanthoma elasticum. Utani A, Tanioka M, Yamamoto Y, et al. Relationship between the distribution of pseudoxanthoma elasticum skin and mucous membrane lesions and cardiovascular involvement. keywords: arterial; calcification; cardiovascular; carotid; case; crm; disease; elasticum; et al; hypertension; med; patients; pseudoxanthoma; pseudoxanthoma elasticum; pxe; vascular cache: skin-1312.pdf plain text: skin-1312.txt item: #245 of 1356 id: skin-1316 author: Wu, Jashin ; Montgomery, Paul; Long, Blake ; Dickerson , Tobin; Snyder, Margaret; Gross, Martyn ; Chaihorsky, Lena; Mamuszka, Hannah; Fried, Mike title: An Economic Evaluation of The Budget Impact of Precision Medicine Testing for The Treatment of Psoriasis date: 2021-07-09 words: 5964 flesch: 57 summary: Drug costs for the future state are the same for SoC. Model Output Secondary Response Rate – average drug class response rate when a second drug is used in the same drug class after the first drug failed. keywords: class; costs; drug; figure; inhibitor; medicine; model; patients; precision; psoriasis; rate; response; savings; treatment; week cache: skin-1316.pdf plain text: skin-1316.txt item: #246 of 1356 id: skin-1320 author: Garraway, Caroline ; Huynh, Thy ; Brodell, Robert ; Nahar, Vinayak K. title: Idiopathic Aseptic Facial Granuloma date: 2021-09-13 words: 1340 flesch: 44 summary: At 2 month follow up, he was started on a 30-day course of oral amoxicillin- clavulanate 875-125 mg twice ABSTRACT Pyodermite froide du visage, otherwise known as idiopathic facial aseptic granuloma (IFAG), is a benign lesion exclusively seen in children and presents as a cold abscess on the face.1 We report a case of a 14-year-old male with IFAG who failed initial treatment with oral doxycycline, but responded to treatment with oral 13-cis-retinoic acid, oral amoxicillin-clavulanate and intralesional triamcinolone injections over a 7 month period. Following four-months of moderate acne vulgaris on the cheeks treated with doxycycline 100 mg daily, the patient developed this erythematous, indurated, multi-lobular plaque on the left cheek typical of idiopathic facial aseptic granuloma. keywords: granuloma; intralesional; medicine; treatment cache: skin-1320.pdf plain text: skin-1320.txt item: #247 of 1356 id: skin-1322 author: Penny, Kayla ; Sharma, Manoj ; E. Flischel, Amy ; T. Brodell, Robert ; Nahar, Vinayak K. title: Atopic Dermatitis: Preventing and Managing the Itch That Rashes, and a Case for the Multi-Theory Model (MTM) for Health Behavior Change for Educational Interventions: Application of a Novel Theory to Self-Management Behaviors in Atopic Dermatitis date: 2021-09-13 words: 5560 flesch: 39 summary: Multi-theory models (MTM) have not yet been used in AD interventions but may prove beneficial as they use behavior concepts to predict both initiation and sustenance in education health interventions. Multi-theory model (MTM) for health behavior change. keywords: atopic; behavior; change; children; dermatitis; health; interventions; management; model; mtm; self cache: skin-1322.pdf plain text: skin-1322.txt item: #248 of 1356 id: skin-1325 author: O'Connell, Katie; Raef, Haya; Gao, David title: The American Academy of Dermatology Camp Discovery Goes Virtual date: 2021-09-13 words: 518 flesch: 50 summary: SKIN September 2021 Volume 5 Issue 5 Copyright 2021 The National Society for Cutaneous Medicine 566 COMPELLING COMMENTS The American Academy of Dermatology Camp Discovery Goes Virtual Katie A. O’Connell, MS1, Haya Raef, MS2, David X. Gao, BA3 1 Eastern Virginia Medical School, Norfolk, VA 2 Tufts University School of Medicine, Boston, MA 3 University of Illinois School of Medicine, Chicago, IL Teasing and bullying related to skin disease have been associated with depression, suicidal ideation, and social withdrawal.1 Psychological distress can further exacerbate skin conditions, initiating a vicious cycle of stress and disease. 2. Wu J, Hogeling M. Impact of summer camps for children with chronic skin conditions [published online ahead of print, 2020 Aug 3]. keywords: camp; skin cache: skin-1325.pdf plain text: skin-1325.txt item: #249 of 1356 id: skin-1327 author: Skelsey, Maral; Brouha, Brook; Rock, Jim; Howell, Michael; Jansen, Burkhard; Clarke, Loren; Peck, Gary title: Non-Invasive Detection of Genomic Atypia Increases Real-World NPV and PPV of the Melanoma Diagnostic Pathway and Reduces Biopsy Burden date: 2021-09-13 words: 4923 flesch: 49 summary: Following the extraction of RNA, samples were analyzed using quantitative PCR to assess the expression of two genes, LINC00518 and PRAME.11,12 The PLA is considered positive when one or both genes are detected; positive lesions subsequently undergo biopsy or excision for histopathologic review. A total of 3,418 lesions were assessed by PLA, and positive melanocytic lesions with corresponding histopathology were further classified by MPATH-Dx.8, 9 Many tests require a compromise with respect to NPV and PPV in which optimizing one parameter comes at the expense of the other. keywords: biopsy; class; lesions; melanoma; mpath; npv; pla; positive; risk; study; testing cache: skin-1327.pdf plain text: skin-1327.txt item: #250 of 1356 id: skin-1328 author: Brownstone, Nicholas; Cummins , Daniel ; Gandelman , Jocelyn ; Bhutani , Tina ; Liao , Wilson title: The Goeckerman Regimen as an Effective Treatment Modality for Checkpoint Inhibitor Dermatoses date: 2021-09-13 words: 1930 flesch: 46 summary: Within days of starting Goeckerman therapy, he had rapid improvement in his skin lesions along with a reduction in pruritus. The decision to start Goeckerman therapy was based on the persistence of his rash and the previous failure of topical and oral steroids. keywords: goeckerman; pembrolizumab; psoriasis; skin; therapy; treatment cache: skin-1328.pdf plain text: skin-1328.txt item: #251 of 1356 id: skin-1329 author: Long, Tyler; Dunn, Austin; Arndt, Mary ; Parlette, Eric title: Melanoma Recurrence after Mohs Micrographic Surgery with MART-1: A Systematic Review and Meta-analysis date: 2021-11-05 words: 5112 flesch: 13 summary: Mariwalla, K., Aasi, S. Z., Glusac, E. J. & Leffell, D. J. Mohs micrographic surgery histopathology concordance. Kesty, K., Sangueza, O. P., Leshin, B. & Albertini, J. G. Mohs micrographic surgery and dermatopathology concordance; An analysis of 1421 Mohs cases over 17 years. keywords: dermatol; mart-1; melanoma; mis; mms; mohs; recurrence; situ; studies; surgery cache: skin-1329.pdf plain text: skin-1329.txt item: #252 of 1356 id: skin-133 author: Adigun, Chris; Vlahovic, Tracey C; McClellan, Michael B; Thakker, Kailas D; Klein, Ryan R; Elstrom, Tuan A; Ward, Jr., Daniel B title: Efinaconazole 10% and Tavaborole 5% Penetrate Across Poly-ureaurethane 16%: Results of In Vitro Release Testing and Clinical Implications of Onychodystrophy in Onychomycosis date: 2017-10-27 words: 3388 flesch: 56 summary: Prescribing antifungal therapy for suspected, but not confirmed nail fungus is therefore not recommended, and fungal confirmation or exclusion is an important initial step to ensure that patients are correct- ly treated. Although formulated to pen- etrate the nail unit and work with the porosity and inher- ent electrical charge of the nail plate, the newer topical an- tifungals do not address nail plate damage that has been created from years of harboring a dermatophyte infection. keywords: barrier; dermatol; efinaconazole; flux; nail; onychomycosis; tavaborole; treatment; ureaurethane cache: skin-133.pdf plain text: skin-133.txt item: #253 of 1356 id: skin-1330 author: Mumber, Hannah; Del Campo, Daniela; Alvarado, Manuel; Watchmaker, Jacqueline title: Willingness of Patients from an Urban Safety-Net Dermatology Clinic to Receive a COVID-19 Vaccine date: 2021-11-05 words: 3349 flesch: 48 summary: When engaging with vaccine hesitant patients, dermatologists may turn to the evidence- based guidelines and scripts provided by the American Academy of Dermatology.19 Therein, dermatologists can assure patients that the vaccines have been properly tested and are recommended for the vast majority of the population including immunocompromised individuals. (0%) 1 (1.2%) Other 35 (22.6% ) 10 (14.5%) 25 (29.1%) Not disclosed 18 (11.6% ) 1 (1.5%) 17 (19.7%) COVID-19 vaccine than those who do not regularly receive the flu vaccine (p=0.0020). keywords: covid-19; dermatologists; dermatology; patients; safety; study; vaccination; vaccine cache: skin-1330.pdf plain text: skin-1330.txt item: #254 of 1356 id: skin-1336 author: Kou, Leon; Niu, Kevyn; Wong, Austin; Chen, Aaron; Danesh, Sid title: Diffuse Large B-cell Lymphoma in Bilateral Lower Extremities date: 2021-11-05 words: 1275 flesch: 54 summary: Histologically, DLBCLLT is comprised primarily of large B cells in sheets that diffusely infiltrate the dermis. The 2018 update of the WHO-EORTC classification for primary cutaneous lymphomas. keywords: cell; diffuse; lymphoma; treatment cache: skin-1336.pdf plain text: skin-1336.txt item: #255 of 1356 id: skin-1337 author: Buechler, Connor R; Veenstra, Jesse; Stein Gold, Linda title: Psoriasis Therapy Beyond Biologics date: 2021-11-05 words: 4685 flesch: 44 summary: Bark C, Brown C, Svangren P. Systematic literature review of long-term efficacy data for topical psoriasis treatments. Steroidal formulations Topical corticosteroids (TCS) have been the cornerstone of psoriasis therapy since the 1950s, largely offered as creams, ointments, and lotions that act through anti- inflammatory, antimitotic, immunomodulatory, apoptotic, and vasoconstrictive functions. keywords: cream; dermatol; efficacy; foam; patients; phase; plaque; psoriasis; safety; therapies; therapy; topical; treatment cache: skin-1337.pdf plain text: skin-1337.txt item: #256 of 1356 id: skin-1338 author: Urban, Katelyn; Giesey, Rachel L.; Delost, Gregory R. title: Pemphigus Foliaceous after COVID-19 Infection and Bamlanivimab Infusion date: 2021-11-05 words: 1327 flesch: 44 summary: Rachel L. Giesey, DO2, Gregory R. Delost, DO3 1 University Hospitals Regionals, Richmond Heights, OH 2 Ohio University Heritage College of Osteopathic Medicine, Athens, OH 3 Apex Dermatology and Skin Surgery Center, Mayfield Heights, OH To the authors’ knowledge, this is the first report of pemphigus foliaceous (PF) in the setting of COVID-19 infection and subsequent treatment with bamlanivimab. Given the current pandemic, the presentation of PF following COVID-19 infection and bamlanivimab infusion is of special interest and further investigation may be warranted. keywords: bamlanivimab; covid-19; infection; pemphigus; treatment cache: skin-1338.pdf plain text: skin-1338.txt item: #257 of 1356 id: skin-134 author: Thomson, K S; Thomson, G K; Biehle, J; Deeb, A; Crawford, J; Herrera, R; Robledo, I; Vazquez, G title: Bensal HP (BHP-410), a Novel Antimicrobial Agent with Activity Against MRSA, VRE, Gram-negative MDROs, Yeasts, and Dermatophytic Fungi date: 2017-10-27 words: 1390 flesch: 48 summary: The MDROs were previously characterized for resistance mechanisms by phenotypic, biochemical and molecular methods (1) and included isolates producing the ESBLs TEM-52, SHV ESBLs, OXA-45, CTX-M-1, CTX- M-9, CTX-M-12, CTX-M-14, CTX-M-15, CTX-M-17, CTX-M-18, and CTX-M-19, chromosomal and plasmid-mediated AmpC β-lactamases that included FOX-like and CMY-2 enzymes, and carbapenemases of the IMP, VIM, KPC, and NDM families. In addition its activity against selected isolates of Mycobacterium fortuitum, Nocardia brasiliensis, yeasts and filamentous fungi was also assessed. keywords: activity; gram; isolates; mdro; resistance cache: skin-134.pdf plain text: skin-134.txt item: #258 of 1356 id: skin-1340 author: Taritsa, Iulianna; Walia, Shikha; Choi, Jennifer title: Demodicosis Mimicking Papulopustular Eruption in the Setting of Targeted Therapy date: 2022-01-17 words: 1555 flesch: 42 summary: Demodicosis in the setting of chemotherapy and immunomodulation must remain a diagnostic consideration in cancer patients to allow for appropriate management of cutaneous findings without discontinuation of essential cancer therapy. Proteasome inhibitors like carfilzomib have also been reported to cause cutaneous eruptions, including papulonodular eruptions, urticaria, cutaneous vasculitis8, and Sweet syndrome9. keywords: demodex; demodicosis; inhibitor; medicine; patients; therapy cache: skin-1340.pdf plain text: skin-1340.txt item: #259 of 1356 id: skin-1341 author: Ahmed, Hana; Olivet, Meagan; Elston, Carly; Elewski, Boni title: Erythema Multiforme Is Not Always Erythema Multiforme date: 2022-01-17 words: 1502 flesch: 55 summary: Our case demonstrates that an atypical presentation of recurrent erythema multiforme, which does not respond to typical EM treatment, should raise a suspicion for RS and prompt screening for autoimmune markers and lupus erythematosus. Zeitouni et al. proposed the major criteria of LE, EM, and anti-nuclear antibodies, and the minor criteria of chilblains, anti-Ro/anti-La antibodies, and rheumatoid factor. keywords: case; lupus cache: skin-1341.pdf plain text: skin-1341.txt item: #260 of 1356 id: skin-1343 author: Lateef, Hanna; Kraish, Ali ; Lateef, Farooq title: Successful Treatment of Confluent and Reticulated Papillomatosis with Minocycline Topical 4% Foam date: 2022-01-17 words: 1991 flesch: 50 summary: 60 BRIEF ARTICLE Successful Treatment of Confluent and Reticulated Papillomatosis with Minocycline Topical 4% Foam Hanna Lateef, BS1, Ali Kraish, BA2; Farooq Lateef, MD, FAAD3 1 Florida State University College of Medicine 2 Ross University College of Medicine 3 Orlando Dermatology Inc. Confluent and reticulated papillomatosis was first recognized in 1927 by Henri Gougerot and Alexandre Carteaud as papillomatose pigmentée innominée, and subsequently papillomatose pigmentée confluente et reticulée.1,2 Lim JHL, Tet LH, Chong W. Confluent and reticulated papillomatosis: diagnostic and treatment challenges. keywords: confluent; crp; dermatol; minocycline; papillomatosis; topical; treatment cache: skin-1343.pdf plain text: skin-1343.txt item: #261 of 1356 id: skin-1344 author: Patel, Shreya; Phillips, Tania title: The Importance of Clinicopathological Correlation: A Case of Xanthoma Disseminatum date: 2022-01-17 words: 1095 flesch: 49 summary: The differential diagnosis of XD includes adult-onset juvenile xanthogranuloma, eruptive xanthomas, as well as other xanthomatous diseases. There is no consensus on XD treatment; options include surgical removal, carbon dioxide laser treatment, cryotherapy, intralesional steroids, 2- chlorodeoxyadenosine, and electrocoagulation.1,3,5 Surgical removal and carbon dioxide laser have shown the best cosmetic outcomes, though 2- chlorodeoxyadenosine has recently demonstrated efficacy.1,5 Radiation therapy is effective for airway obstruction, while cyclophosphamide is used for keywords: case; patient; xanthoma cache: skin-1344.pdf plain text: skin-1344.txt item: #262 of 1356 id: skin-1345 author: Yang, Christopher; Quan, Victor; Amin, Ahmad title: Successful Use of Apremilast in Psoriasiform Dermatitis Refractory to Biologics date: 2021-11-05 words: 1179 flesch: 47 summary: Papp K, Reich K, Leonardi CL, et al. Apremilast, an oral phosphodiesterase 4 (PDE4) inhibitor, in patients with moderate to severe plaque psoriasis: Results of a phase III, randomized, controlled trial (Efficacy and Safety Trial Evaluating the Effects of Apremilast in Psoriasis [ESTEEM] 1). The most common form of the disease is chronic plaque psoriasis (psoriasis vulgaris), which presents as sharply demarcated erythematous plaques with silvery scales. keywords: apremilast; dermatitis; psoriasiform; psoriasis cache: skin-1345.pdf plain text: skin-1345.txt item: #263 of 1356 id: skin-1346 author: Brownstone, Nicholas; Hakimi, Marwa; Koo, John title: Best Practices for Management of Delusions of Parasitosis date: 2021-09-13 words: 2102 flesch: 48 summary: It is well known that DOP patients who are angry at their dermatology providers will be motivated to make sure that their dissatisfaction with their provider is well known, potentially causing patient satisfaction scores to plummet. Dermatologists can, with training, diagnose DOP, build rapport and therapeutically treat DOP patients. keywords: dop; dose; national; patients; skin cache: skin-1346.pdf plain text: skin-1346.txt item: #264 of 1356 id: skin-1347 author: Logas, Chris; Dunn, Austin; Lazarra, Danielle; Rubin, Justin; Saleeby, Eli; Glick, Brad title: Dermatofibrosarcoma Protuberans Presenting as a Subcutaneous Cystic Nodule date: 2021-11-05 words: 1281 flesch: 37 summary: Increased PDGFB expression leads to autocrine activation, tumor growth and development 4. A disadvantage of MMS is that tumor cells can be confused with normal spindle cells of the dermis. keywords: dfsp; http://paperpile.com/b/10uaeo/js8a; protuberans; tumor cache: skin-1347.pdf plain text: skin-1347.txt item: #265 of 1356 id: skin-135 author: Berman, Brian; Nestor, Mark title: Observer-Blinded, Randomized Study to Determine the Safety and Efficacy of a Silicone Gel versus a Gel Containing Onion Extract for the Appearance and Symptoms of Surgical Scars date: 2017-10-27 words: 1217 flesch: 43 summary: The use of silicone gel sheets for treating burns has revealed that skin grafts refrain from shrinking, while the area around the burns heals by epithelialization without hypertrophy3 • Silicone gels and sheets are widely considered as first-line treatment for scars2 Objectives • To evaluate the safety and efficacy, in terms of appearance and symptoms, of a 100% silicone gel (RecedoTM) compared with an onion extract-containing gel (Mederma®) in adult subjects with postsurgical scars Methods Study Design • Randomized, evaluator-blinded, single-center, 16-week, active- comparator clinical study (Figure 1) • Baseline Characteristics 100% silicone gel BID (n=24) Onion extract- containing gel OD (n=24) Gender, n (%) Male Female 13 (54.2) 11 (45.8) 10 (41.7) 14 (58.3) Age, mean, years 61.7 60.5 Ethnicity, n (%) Hispanic or Latino Non-Hispanic or -Latino 6 (25) 18 (75) 5 (20.8) 19 (79.2) Race, n (%) White Hispanic Black/African American 20 (83.3) 4 (16.7) 0 (0) 20 (83.3) 3 (12.5) 1 (4.2) Age of scar, mean, days 45 52.4 Efficacy Evaluations VSS Score • The mean VSS score increasingly improved (decreased) from baseline for both groups during the course of the study (Figure 2) • keywords: gel; onion; week cache: skin-135.pdf plain text: skin-135.txt item: #266 of 1356 id: skin-1350 author: Karim , Maria; Wu, Marlyn; Ros, Adriana title: Multinucleate Cell Angiohistiocytoma: A Case Report and Unique Treatment Consideration date: 2021-11-05 words: 1590 flesch: 38 summary: The multinucleate cells characteristically have angulated cytoplasms, with several hyperchromatic nuclei arranged around the periphery of the cells, comparable to the multinucleated cells seen in dermatofibroma.9 Immunohistochemical staining has been found to be positive for vimentin, CD34, CD31, and factor VIII- related antigen, with some cases reported to have CD68 expression of multinucleate cells depending on varying maturation or degenerative stages of the cells.9 The scarcity of reported cases ABSTRACT Introduction: Multinucleate cell angiohistiocytoma (MCAH) is a benign, yet exceedingly rare vascular and fibrohistiocytic proliferation. keywords: cell; laser; lesions; mcah; multinucleate cache: skin-1350.pdf plain text: skin-1350.txt item: #267 of 1356 id: skin-1351 author: Blake, Amy title: A Thousand Words for a Picture of Health date: 2021-11-05 words: 749 flesch: 46 summary: we overestimate patients’ understanding of what we say.3 Written language poses additional challenges, as it does not permit real-time clarifications or the contextualization of body language.1 This shift now positions the medical record to serve as a real-time method of patient communication—whether or not it is well-suited for that task. keywords: communication; patient; words cache: skin-1351.pdf plain text: skin-1351.txt item: #268 of 1356 id: skin-1353 author: Cavanagh, Mary; Chellappan, Brinda title: Social Media and Skin Cancer Prevention: A Promising Platform for Education Among Adolescents and Young Adults date: 2021-11-05 words: 546 flesch: 54 summary: The rising incidence of skin cancer allows for the novel use of social media to encourage skin cancer education and prevention. These social media educators should consider creating content specifically for adolescents and young adults to highlight techniques for skin cancer prevention and identification. keywords: cancer; skin cache: skin-1353.pdf plain text: skin-1353.txt item: #269 of 1356 id: skin-1355 author: Nawaz, Nanjiba; Samaan, Christen; Flamm, Alexandra title: Herpes zoster in an immunocompetent young patient following mRNA-1273 vaccine for COVID-19: A case report date: 2022-01-17 words: 1020 flesch: 59 summary: HZ has also been reported in children and immunocompetent individuals after administration of some vaccines including the live-attenuated varicella and yellow fever vaccines.1,2 Here, we present a case of HZ infection in a young, immunocompetent female following administration of the mRNA-1273 vaccine. 77 Figure 2 mRNA COVID-19 vaccines were seen in older patients.3 There are also reports of concomitant HZ in COVID-19 positive patients, both in older and younger patients.4 However, more recently there have been some reports of HZ infection in young immunocompetent individuals after receiving the COVID-19 BNT162b2 and mRNA-1273 vaccines.5,6,7 keywords: covid-19; herpes; vaccine; zoster cache: skin-1355.pdf plain text: skin-1355.txt item: #270 of 1356 id: skin-136 author: Hoffman, Lauren; Raymond, Isabelle; Kircik, Leon title: The Effect of Econazole Nitrate Topical Foam, 1% on Signs and Symptoms (Pruritis) of Interdigital Tinea Pedis date: 2017-10-27 words: 1427 flesch: 53 summary: Study Design: A single-center, investigator blinded, observational split body, pilot study was conducted to compare econazole nitrate topical foam, 1% to ketoconazole cream 2%. All subjects applied econazole nitrate topical foam, 1% (Ecoza foam) and ketoconazole cream 2% (Nizoral Cream) to either the right or left foot. keywords: econazole; foam; ketoconazole; nitrate; topical cache: skin-136.pdf plain text: skin-136.txt item: #271 of 1356 id: skin-1365 author: Raef, Haya; Hourihan, Maribeth; MacDonald, Jacob M; Lewis, Janell; Seiverling, Elizabeth V. title: Addressing geographic disparities in dermatology through virtual educational outreach date: 2022-01-17 words: 1820 flesch: 54 summary: 3. Shipman SA, Wendling A, Jones KC, Kovar- Gough I, Orlowski JM, Phillips J. The decline in rural medical students: A growing gap in geographic diversity threatens the rural physician workforce. Adapting to the precautions necessitated by the COVID-19 pandemic, we developed a virtual pipeline program called the Inside Medicine Program, led by a combination of medical school students, faculty and staff. keywords: career; dermatology; program; school; students; workshop cache: skin-1365.pdf plain text: skin-1365.txt item: #272 of 1356 id: skin-1369 author: Stanger, Roselyn; Tan, Kathryn ; Lebwohl, Mark title: Diagnostic Approach to Patients with Chronic Pruritus of Unknown Origin: A Single-Site Retrospective Chart Review date: 2022-01-17 words: 3339 flesch: 54 summary: Patients with prurigo nodularis were included if patients reported pruritus and if the lesions affected at least 5 body parts. patients had a biopsy consistent with bullous pemphigoid 1/8 (12.5%) patient with resolution of pruritus after switching lisinopril to losartan H&E: Hematoxylin and eosin; DIF: direct immunofluorescence Table 3. keywords: chronic; nodularis; patients; pemphigoid; prurigo; pruritus; skin; study; treatment cache: skin-1369.pdf plain text: skin-1369.txt item: #273 of 1356 id: skin-137 author: Jones, Terry M; Ellman, Herman; deVries, Tina title: Pharmacokinetic Evaluation of Once-Daily Topical 4% Minocycline Foam in Adult and Pediatric Subjects with Moderate-to-Severe Acne in Two Phase 1 Studies date: 2017-10-27 words: 1727 flesch: 48 summary: In adult subjects, oral minocycline treatment had a geometric mean C max of 850 ng/mL, while topical application of 4 g FMX101 4% in adults had a geometric mean C max ranging from 1.109–1.539 ng/mL (days 1-2, days 12-13, and days 21-25) • The mean plasma concentration of oral minocycline in adult subjects reached C max by 3 hours after administration, followed by a log-linear decrease in concentration for the remaining 96-hour sample period • The mean plasma minocycline concentration of FMX101 4% increased until 8–14 hours (median T max value) on days 1, 12, and 21 • Figure 2 shows a comparison of mean plasma minocycline concentrations during the first 24 hours after a single dose of oral minocycline and after topical applications of FMX101 4% at 3 timepoints in adult subjects • keywords: application; fmx101; minocycline; study; subjects cache: skin-137.pdf plain text: skin-137.txt item: #274 of 1356 id: skin-1373 author: Chan, Stephanie ; Saski, Jodie; Qureshi , Abrar; Giordano , Grace; Brownstone, Nicholas; Koo, John title: A Review of the Evidence for Intrinsic Ethnic Differences as Important Determinants of Skin Aging and Carcinogenesis: A Hope For All Ethnicities date: 2022-01-17 words: 3131 flesch: 53 summary: Published by the National Society for Cutaneous Medicine. 1 IN-DEPTH REVIEW A Review of the Evidence for Intrinsic Ethnic Differences as Important Determinants of Skin Aging and Carcinogenesis: A Hope For All Ethnicities Stephanie Chan, BS1, Jodie Sasaki, MD2, Abrar Qureshi, MD, MPH1, Grace Giordano3, John Koo, MD4, Nicholas Brownstone, MD5 1 Department of Dermatology, Brown Warren Alpert Medical School, Providence, Rhode Island 2 Department of Dermatology, University of Washington Valley Medical Center, Seattle, Washington 3 Barnard College, New York, NY 4 Department of Dermatology, University of California San Francisco, San Francisco, California 5 National Society for Cutaneous Medicine, New York, NY Aging is an important and current topic in dermatology. By the year 2030, over 20% of U.S. residents are projected to be 65 years or older, compared with 13% in 2010.[1] Skin aging encompasses an entire spectrum of changes starting with fine rhytids, discolorations, and benign keratosis, progressing to deeper rhytids, pre- cancerous lesions, and eventually skin cancers. keywords: age; aging; differences; dna; ethnic; pmid; repair; skin; women cache: skin-1373.pdf plain text: skin-1373.txt item: #275 of 1356 id: skin-1374 author: Lebwohl, Lily; Phelps, Robert title: Association Between Pseudoxanthoma Elasticum and Bleeding date: 2022-01-17 words: 2411 flesch: 21 summary: Pseudoxanthoma elasticum: a rare cause of recurrent gastrointestinal bleeding in a child. There were many sites of bleeding identified in this literature review, including the brain 9, skin 35, nose35, uterus 35 and gums, 13 but gastrointestinal bleeding was particularly common 11,15,28,30, followed by cerebral hemorrhage 12,14. keywords: bleeding; elasticum; figure; gastrointestinal; hemorrhage; patients; pseudoxanthoma; pxe; skin cache: skin-1374.pdf plain text: skin-1374.txt item: #276 of 1356 id: skin-1375 author: Heibel, Haley Danielle; Burger, Robin; Cockerell, Clay title: Desmoplastic Malignant Melanoma Clinically Presenting as a “Cyst” date: 2022-03-04 words: 644 flesch: 49 summary: DMM often eludes clinical diagnosis as it usually does not have characteristic features of melanoma. Unusual histological variants of cutaneous malignant melanoma with some clinical and possible prognostic correlations. keywords: cyst; melanoma cache: skin-1375.pdf plain text: skin-1375.txt item: #277 of 1356 id: skin-1376 author: Jacob, Joanne; Brown, Alexandria; Wiggins, Claire; Alkul, Suzanne; Chan, Audrey ; Kim, Soo Jung title: Effectivity of E-Learning as a Resident Education and Engagement Tool date: 2022-01-17 words: 898 flesch: 52 summary: 79 SHORT COMMUNICATION Effectivity of E-Learning as a Resident Education and Engagement Tool Joanne S Jacob, BS1, Alexandria Brown, BSA1, Claire Wiggins, MD1,2, Suzanne Alkul, MD3, Audrey Chan, MD3,4, Soo Jung Kim, MD, PhD3 1Baylor College of Medicine 2University of Texas at Austin Dell Medical School 3Department of Dermatology, Baylor College of Medicine 4Department of Pediatric Dermatology, Texas Children's Hospital The survey returned a 100% response rate of group participants. keywords: learning; medicine; residents; whatsapp cache: skin-1376.pdf plain text: skin-1376.txt item: #278 of 1356 id: skin-1378 author: Ahatov, Renat; Good, Allison; Ross, Lindy title: An Unusual Timeline of Nivolumab-induced Vitiligo in a Patient with Melanoma date: 2022-01-17 words: 1546 flesch: 54 summary: We present a 52-year-old male patient whose initial vitiligo presentation occurred a year after starting the therapy and has continued for months after concluding Nivolumab therapy. While the sample size in that study was nine patients, previous cases in the literature report vitiligo developing 9 months or less after the initiation of Nivolumab.3,5 In our patient, the vitiligo on his right cheek began about one year after starting Nivolumab and continued to progress after the completion of Nivolumab therapy. keywords: melanoma; nivolumab; patient; therapy; vitiligo cache: skin-1378.pdf plain text: skin-1378.txt item: #279 of 1356 id: skin-1379 author: Appiah, Margaret; Ball, Laurel; Ikediobi, Ogechi; Daniels, Brianne title: A New Skin-Colored Nodule in a Patient with Cushing’s Disease: Melanocytic Schwannoma date: 2022-01-17 words: 857 flesch: 55 summary: In Carney’s identification of seventeen patients diagnosed with melanotic schwannomas, nine patients also had a diagnosis of Cushing’s 3. Melanocytic schwannoma of the cutaneous and subcutaneous tissues: three cases and a review of the literature. keywords: melanocytic; melanoma; schwannoma; skin cache: skin-1379.pdf plain text: skin-1379.txt item: #280 of 1356 id: skin-138 author: Mrowietz, Ulrich; Kedem, Tal Hetzroni; Kenyan, Rita; Eini, Meir; Tamarkin, Dov; Shirvan, Mitchell title: Topical Minocycline Foam (FMX-103) for the Treatment of Moderate-to-Severe Rosacea: Results of a Phase 2, Randomized, Double-Blind, Multicenter Clinical Study date: 2017-10-27 words: 1538 flesch: 51 summary: Improvement in IGA score from baseline by visit FMX-103 1.5% (n=79) FMX-103 3% (n=75) Vehicle (n=78) FMX-103 1.5% (n=79) FMX-103 3% (n=75) Vehicle (n=78) Safety • Both FMX-103 1.5% and 3% doses appeared to be generally safe and well tolerated, with no reported treatment-related systemic AEs – Overall, 47% (109/232) of subjects reported ≥1 TEAE (Table 2) – The most common AEs (≥2% of subjects) included nasopharyngitis, urinary tract infection, cystitis, and bronchitis (Table 3) – 11 (4.7%) subjects reported treatment-related TEAEs; 9 had treatment- related dermal reactions (Tables 2, 4) – Serious TEAEs were reported in 4 subjects (3 in FMX-103 groups and 1 in vehicle group) (Tables 2, 4) – 4 subjects discontinued the study due to TEAEs; only 3 subjects discontinued due to dermal-related TEAEs (skin and subcutaneous tissue disorders) (Tables 2, 4) Table 2. This was a randomized, multicenter, double-blind study evaluating the safety and efficacy of 2 different doses of the topical minocycline foam, FMX-103 1.5% and 3%, in the treatment of papulopustular rosacea, as compared with vehicle Methods • Phase 2, randomized, multicenter (18 sites in Germany), double-blind, vehicle- controlled clinical trial • Evaluated the safety and efficacy of 2 doses of a topical once-daily minocycline foam (FMX-103 1.5% and 3%) compared with vehicle foam in the treatment of moderate-to-severe papulopustular rosacea (Figure 1) – Subjects were randomized 1:1:1 to receive treatment once daily (in the evening) for 12 weeks – Safety and efficacy evaluations were performed at week 2, 4, 8, and 12, with an additional safety follow-up visit at week 16 Figure 1. keywords: fmx-103; rosacea; subjects; vehicle cache: skin-138.pdf plain text: skin-138.txt item: #281 of 1356 id: skin-1381 author: Bagel, Jerry; Wang, Yipeng; Montgomery, III, Paul; Abaya, Christian; Andrade, Eric; Boyce, Courtney; Tomich, Tatiana; Lee, Byung-In; Pariser, David; Menter, Alan; Dickerson, Tobin title: A Machine Learning-Based Test for Predicting Response to Psoriasis Biologics date: 2021-11-05 words: 6233 flesch: 51 summary: The Psoriasis Treatment Center of Central New Jersey, East Windsor, NJ 2 Mindera Health, San Diego, CA 3 Eastern Virginia Medical School and Virginia Clinical Research, Inc., Norfolk, VA 4 Baylor University Medical Center, Dallas, TX ABSTRACT Objective: This study was designed to develop and prospectively validate a machine learning based algorithm that could predict patient response to the most common biologic drug classes used in the management of psoriasis patients. The advent of biologic therapy as one of these systemic agents has revolutionized the management and treatment of psoriasis patients and is a direct result of the increased molecular understanding of the disease.7 Presently, there are eleven approved biologic agents approved for use in the United States for the treatment of psoriasis, with more under development. keywords: baseline; biologic; classifier; data; drug; il-23i; medicine; pasi; patients; predictive; psoriasis; response; skin; study; tnfi; treatment cache: skin-1381.pdf plain text: skin-1381.txt item: #282 of 1356 id: skin-1383 author: Rosenthal, MD, Amanda; Reddy, MD, Shivani; Chung, Joanie; Kim, MD, Christina; Cooper, MD, Robert; Haque, PhD, Reina title: Disparities in overall survival in patients with melanoma by race/ethnicity, socioeconomic status, and healthcare systems: Disparities in overall survival in patients with melanoma date: 2022-01-17 words: 1721 flesch: 64 summary: Male 2759 (58.7%) 5850 (59%) 8609 (58.9%) Socioeconomic status (SES) Lowest SES 361 (7.7%) 510 (5.1%) 871 (6%) Lower-Middle SES 662 (14.1%) 1077 (10.9%) 1739 (11.9%) Middle SES 1033 6.65 (5.21,8.49) Race/Ethnicit y Non-Hispanic White 626 46.9 (43.3,50.7) 1 (ref) 1558 54.6 (51.9,57.3) 1 (ref) 2184 52.1 (50,54.4) 1 (ref) Hispanic 64 38.2 (29.4,48.8) 0.72 (0.54,0.95) 114 63.3 (52.2,76.1) 0.79 (0.64,0.96) 178 51.2 (44,59.3) 0.76 (0.65,0.9) Non-Hispanic Black 25 62.1 (40.2,91.7) 0.87 (0.57,1.32) 19 66.3 (39.9,103.6) 1.00 (0.63,1.60) 44 63.9 (46.4,85.7) 0.92 (0.68,1.26) Asian/Pacific Islander 13 56.1 (29.9,95.9) 0.95 (0.54,1.66) 29 71.4 (47.8,102.5) 1.24 (0.85,1.80) 42 65.8 (47.4,89) 1.12 (0.82,1.53) American Indian 1 29.5 (0.7,164.3) 0.57 (0.08,4.08) 3 68.2 (14.1,199.4) 1.73 (0.43,6.94) 4 51.4 (14,131.5) 1.06 (0.34,3.29) Other/Unkno wn 4 3.5 (0.9,8.8) 0.09 (0.03,0.25) 4 3.0 (0.8,7.7) 0.083 (0.03,0.22) Socioecono mic status (SES) Lowest SES 69 57.7 (44.9,73.1) 1.47 (1.09,2.00) 137 96.4 (80.9,113.9) 1.80 (1.47,2.22) 206 78.7 (68.3,90.2) 1.70 (1.43,2.02) Lower-Middle SES 103 47.5 (38.8,57.6) 1.40 (1.08,1.80) 264 77 (68,86.9) 1.50 (1.28,1.76) 367 65.6 (59,72.6) 1.47 (1.29,1.68) Middle SES 164 46.5 (39.7,54.2) 1.28 (1.03,1.60) 348 64 (57.4,71.1) 1.39 (1.21,1.61) 512 57.1 (52.3,62.3) 1.36 (1.21,1.53) Upper-Middle SES 210 44.3 (38.5,50.7) 1.15 (0.94,1.41) 422 50.1 (45.4,55.1) 1.19 (1.04,1.35) 632 48.0 (44.3,51.9) 1.19 (1.07,1.33) keywords: kpsc; melanoma; mortality; patients; ses cache: skin-1383.pdf plain text: skin-1383.txt item: #283 of 1356 id: skin-1384 author: Desai, Seemal; Draelos, Zoe; Feldman, Steve; Jackson, J. Mark title: A Phase 3, Randomized, Double-Blind, Vehicle-Controlled, Multicenter, Parallel Group Trial Investigating the Efficacy and Safety of Clobetasol Propionate Cream, 0.025% in the Treatment of Moderate to Severe Plaque Psoriasis for 14 Days date: 2021-11-05 words: 1464 flesch: 60 summary: Clobetasol Propionate 0.025% Cream (n=176) Vehicle Cream (n=89) 0% -10% -20% -40% -30% -25.1% -7.4% *P<.001 C h an g e in B SA fr om B as el in e, % * A Phase 3, Randomized, Double-Blind, Vehicle-Controlled, Multicenter, Parallel Group Trial Investigating the Efficacy and Safety of Clobetasol Propionate Cream, 0.025% in the Treatment of Moderate to Severe Plaque Psoriasis for 14 Days All other trademarks are property of their respective owners. keywords: clobetasol; day; group; propionate; vehicle cache: skin-1384.pdf plain text: skin-1384.txt item: #284 of 1356 id: skin-1385 author: Kircik, Leon ; Stein Gold, Linda; Del Rosso, James; Desai, Seemal; Glick, Brad; Sofen, Howard; Tallman, Anna; Rubenstein, David; Brown, Philip title: Tapinarof Cream 1% Once Daily for Plaque Psoriasis: Efficacy by Baseline Disease Characteristics and Demographics in Two Pivotal Phase 3 Trials date: 2021-11-05 words: 1831 flesch: 27 summary: Endpoints and Statistical Analysis ■ The primary endpoint was PGA response at Week 12, defined as the proportion of patients with a PGA score of clear (0) or almost clear (1) and ≥2-grade improvement in PGA score from baseline to Week 12 ■ The incidence, frequency, and nature of adverse events (AEs) and serious AEs were monitored from the start of study treatment until the end-of-study visit ■ The pooled analyses used multiple imputation for the intention-to-treat (ITT) populations in PSOARING 1 and 2 ■ Tapinarof cream 1% QD and vehicle groups were compared within each subgroup for the primary endpoint using 95% confidence intervals for the relative risk calculated using Cochran-Mantel-Haenszel analyses stratified by baseline PGA score RESULTS Patient Disposition and Baseline Characteristics ■ The pooled analysis population included 1025 patients randomized to tapinarof cream 1% QD (n=683) or vehicle QD (n=342) in PSOARING 1 and 2 (ITT population) ■ Baseline disease characteristics and demographics in the pooled population were comparable across treatment groups (Table 1) ■ Overall, at baseline, 82% had a PGA score of 3 (moderate), 57% had psoriasis for >10 years, and 26% had ≥10% body surface area (BSA) affected Table 1. Although conclusions cannot be drawn due to the small number of patients in some subgroups, the frequency and type of AEs appeared to be generally comparable across subgroups and consistent with those observed in the overall population CONCLUSIONS ■ Tapinarof cream 1% QD was consistently efficacious and well tolerated irrespective of baseline PGA score, BSA affected, duration of psoriasis, sex, age, race, or country of enrollment (US or Canada) ■ Due to the small number of patients in some subgroups, limitations exist regarding the ability to draw definitive conclusions from the subgroup analysis ■ The consistent efficacy and tolerability in all subgroups support the potential use of tapinarof cream 1% QD across a broad spectrum of disease severity and patient demographics ■ A long-term extension trial (PSOARING 3) of intermittent treatment with tapinarof 1% QD based on PGA score demonstrated continued efficacy following the 12-week pivotal trials and an ~4-month remittive effect off therapy2 ■ Tapinarof cream 1% QD has potential to be the first topical psoriasis treatment with a novel mechanism of action in almost 20 years REFERENCES 1. keywords: baseline; inc; pga; tapinarof; vehicle cache: skin-1385.pdf plain text: skin-1385.txt item: #285 of 1356 id: skin-1386 author: Strober , Bruce; Stein Gold, Linda; Bissonnette, Robert; Armstrong , April; Blauvelt, Andrew ; Brown, Philip ; Kircik, Leon ; Tallman, Anna; Lebwohl, Mark title: Tapinarof Cream 1% Once Daily for Plaque Psoriasis: Long-Term Extension Trial of a Novel Therapeutic Aryl Hydrocarbon Receptor Modulating Agent date: 2021-11-05 words: 2347 flesch: 20 summary: Anna M. Tallman,8 Mark Lebwohl7 1Yale University, New Haven & Central Connecticut Dermatology Research, Cromwell, CT, USA, 2Henry Ford Health System, Detroit, MI, USA, 3Innovaderm Research Inc., Montreal, QC, Canada, 4Keck School of Medicine at University of Southern California, Los Angeles, CA, USA, 5Oregon Medical Research Center, Portland, OR, USA, 6Skin Sciences PLLC, Louisville, KY, USA, 7Icahn School of Medicine at Mount Sinai, New York, NY, USA, 8Dermavant Sciences, Inc., Morrisville, NC, USA SYNOPSIS ■ In two 12-week pivotal phase 3 trials, PSOARING 1 (NCT03956355) and PSOARING 2 (NCT03983980), tapinarof cream 1% once daily (QD) demonstrated highly statistically and clinically significant efficacy versus vehicle and was well tolerated in adults with mild to severe plaque psoriasis1 ■ Tapinarof cream 1% QD also demonstrated maintenance of efficacy for 4 weeks after treatment discontinuation in a 12-week phase 2b trial, warranting further investigation of a potential remittive effect2 OBJECTIVE ■ To present the results of PSOARING 3 (NCT04053387), a long-term extension trial designed to assess the safety, efficacy, durability of response, tolerability, and duration of remittive effect of tapinarof during repeated intermittent treatment, based on patient Physician Global Assessment (PGA) score METHODS Study Design ■ Patients completing PSOARING 1 and PSOARING 2 were eligible to enroll in PSOARING 3 for 40 weeks of open-label treatment with tapinarof cream 1% QD, followed by four weeks of follow-up (Figure 1) B.S. has served as an honorary consultant/speaker/scientific director/investigator for AbbVie, Almirall, Amgen, Arcutis, Arena, Aristea, Boehringer Ingelheim, Bristol-Myers-Squibb, Cara, Celgene, Corrona Psoriasis Registry, Dermavant Sciences Inc., Dermira, Equillium, Janssen, Leo, Eli Lilly, Meiji Seika Pharma, Mindera, Novartis, Pfizer, GlaxoSmithKline, UCB Pharma, Sun Pharma, Ortho Dermatologics, Regeneron, Sanofi-Genzyme. keywords: disease; inc; patients; pga; score; tapinarof cache: skin-1386.pdf plain text: skin-1386.txt item: #286 of 1356 id: skin-1387 author: Merola, Joe; Sofen, Howard; Thaci, Diamant; Paul, Carle; Imafuku, Shinichi; Banerjee, Subhashis; Armstrong , April title: Deucravacitinib, an Oral, Selective Tyrosine Kinase 2 (TYK2) Inhibitor, Versus Placebo and Apremilast in Moderate to Severe Plaque Psoriasis: Efficacy Analysis by Baseline Disease Characteristics From the Phase 3 POETYK PSO-1 and PSO-2 Trials date: 2021-11-05 words: 2576 flesch: 54 summary: Patients, n Placebo Deucravacitinib Apremilast 15.7 (8.1−23.2) 254 475 241 19.0 (10.2−27.7) 167 368 181 16.2 (9.7−22.7) 345 665 335 20.0 (7.6−32.4) 75 178 87 16.6 (8.4−24.8) 226 421 200 17.7 (9.7−25.7) 195 422 222 19.9 (9.1−30.7) 119 261 112 16.1 (9.3−22.9) 301 582 310 16.1 (4.8−27.4) 102 208 112 19.8 (12.0−27.7) 205 438 215 13.2 (1.0−25.3) 113 197 95 Deucravacitinib vs placebo Deucravacitinib vs apremilast Missing data were imputed with nonresponder imputation. 42.9 (28.3−57.5) Patients, n Placebo Deucravacitinib Apremilast 25 55 25 88 142 70 205 438 215 102 208 112 167 327 167 64 125 62 139 293 146 Difference (95% CI) −2.6 (−26.9 to 21.8) 20.2 (6.1−34.2) 19.8 (12.0−27.7) 16.1 (4.8−27.4) 11.6 (2.4−20.8) 18.1 (3.1−33.1) 22.9 (13.3−32.5) 19.1 (1.2−37.0) 48 94 42 Deucravacitinib vs placebo Deucravacitinib vs apremilast -35 -25 keywords: baseline; deucravacitinib; disease; pasi; placebo cache: skin-1387.pdf plain text: skin-1387.txt item: #287 of 1356 id: skin-1388 author: Thaci, Diamant; Gordon , Kenneth ; Gooderham, Melinda; Strober , Bruce; Korman, Neil; Banerjee, Subhashis; Banerjee, Subhashis; Colston, Elizabeth; Kim, Jonghyeon; Throup, John; Morita, Akimichi title: Deucravacitinib, an Oral, Selective Tyrosine Kinase 2 (TYK2) Inhibitor, Compared With Placebo and Apremilast in Moderate to Severe Psoriasis: Integrated Laboratory Parameter Results From the Phase 3 POETYK PSO-1 and POETYK PSO-2 Trials date: 2021-11-05 words: 2819 flesch: 45 summary: Grade ≥3 laboratory abnormalities, Weeks 0−16 Placebo (n=419) n (%) Laboratory assessments over Weeks 0−52 • No clinically relevant cumulative trends were observed in any assessed laboratory parameters in PSO-1 patients who were randomized to deucravacitinib at baseline and who continued to receive treatment until Week 52 (Figure 4 and Figure 5) • Discontinuation rates due to laboratory abnormalities were not increased between Weeks 16−52 vs Weeks 0−16 Figure 4. keywords: deucravacitinib; laboratory; lln; uln; weeks cache: skin-1388.pdf plain text: skin-1388.txt item: #288 of 1356 id: skin-1389 author: Armstrong , April; Strober , Bruce; Gordon , Kenneth ; Zhuo, Joe; Becker, Brandon ; Kisa, Renata; Throup, John; Kim, Jonghyeon; Papp, Kim title: Deucravacitinib Improves Psoriasis Symptoms and Signs Diary Domain Scores in Patients With Moderate to Severe Plaque Psoriasis: Results From the Phase 3 POETYK PSO-1 and POETYK PSO-2 Studies date: 2021-11-05 words: 1928 flesch: 45 summary: Mean change from baseline in PSSD symptom domain scores and PSSD sign domain scores at Week 16 -5 -4 -3 -2 -1 0 M e an c h an ge f ro m b as e li n e POETYK PSO-1 PSSD symptom domain scores POETYK PSO-2 PSSD symptom domain scores Deucravacitinib 6 mg QDPlacebo Apremilast 30 mg BID -5 -4 -3 -2 -1 0 M e an c h an ge f ro m b as e li n e POETYK PSO-1 PSSD sign domain scores -5 -4 -3 -2 -1 0 POETYK PSO-2 PSSD sign domain scores -5 -4 -3 -2 -1 0 –0.6 –0.7 –0.6 –0.8 –0.5 –3.1*† –3.6*† –3.1*† –3.4*† –2.8*† –2.3 –2.7 –2.1 –2.7 –2.1 Burning Itch Pain Skin tightness Stinging –0.3 –0.5 –0.2 –0.5 –0.1 –2.9*† –3.6*† –2.9*† –3.5*† –2.7*† –2.1 –2.7 –2.3 –2.6 –1.8 Burning Itch Pain Skin tightness Stinging –0.6 –0.6 –0.7 –0.6 –0.6 –0.7 –2.2*† –3.4*† –3.9*† –3.5*† –3.9*† –4.0*† –1.6 –2.6 –2.9 –2.6 –3.0 –3.1 Bleeding Cracking Dryness Redness Scaling Shedding or flaking –0.6 –0.9 –0.8 –0.7 –0.9 –0.8 –2.3*† –3.5*† –3.8*† –3.6*† –3.6*† –3.8*† –1.8 –2.6 –2.9 –2.6 –2.7 –2.7 Bleeding Cracking Dryness Redness Scaling Shedding or flaking *P<0.0001 vs placebo. keywords: poetyk; psoriasis; pssd; scores; sign; symptom cache: skin-1389.pdf plain text: skin-1389.txt item: #289 of 1356 id: skin-139 author: Stein Gold, Linda; Dhawan, Sunil; Weiss, Jonathan; Draelos, Zoe D; Ellman, Herman title: The Efficacy and Safety of FMX101, Minocycline Foam 4%, for the Treatment of Acne Vulgaris: A Pooled Analysis of Phase 2 and Phase 3 Studies date: 2017-10-27 words: 1724 flesch: 50 summary: Patient Satisfaction Questionnaire Results (Pooled analysis, n=534) Safety • FMX101 4% was generally safe and well tolerated in both Study 04 and Study 05 • Across the 2 studies, the percentage of subjects reporting treatment-emergent adverse events (TEAEs) ranged between 16.9% and 33% for FMX101 4%, vs 18.2% to 26.5% for vehicle (Table 2) – 1 subject receiving FMX101 4% discontinued treatment in Study 05 (ectopic pregnancy; not related to treatment), as compared with 4 subjects for vehicle across the 2 studies – 7 subjects reported 9 serious TEAEs across the 2 studies; all were considered not related to treatment – Few treatment-related TEAEs were reported in both studies • The most common TEAEs in ≥2% of subjects were nasopharyngitis and headache (Table 3) – Dermal TEAEs were reported in <1% of all subjects in the FMX101 4% treatment groups; their severity was mostly mild • The majority (>95%)a of FMX101 4% subjects reported none or mild signs and symptoms for tolerability assessment parameters at week 12 (Table 4) ªBased on observed cases. Conclusions • The results of the 2 Phase 3 studies showed that FMX101 4% was effective for the treatment of moderate-to-severe acne – There was significantly greater reduction of both inflammatory and noninflammatory lesions at week 12 from baseline with FMX101 4% vs vehicle in both Study 04 and Study 05, as well as in the pooled analysis (a co-primary end point) � A significant reduction in inflammatory lesions was observed as early as week 3 for FMX101 4% – The rate of IGA treatment success was significantly greater for FMX101 4% vs vehicle in Study 05, but not Study 04 (a co-primary end point) � Pooled analysis of IGA treatment success was statistically significant for FMX101 4% • >95% of subjects had none or mild signs and symptoms at the week 12 assessment of dermal tolerability • FMX101 4% appeared to be safe and well tolerated, with dermal AEs occurring in <1% of FMX101 4% subjects and no serious drug-related AEs reported • There was high satisfaction with FMX101 4% • The FMX101 4% open-label phase is currently ongoing to determine long-term safety The Efficacy and Safety of FMX101, Minocycline Foam 4%, for the Treatment of Acne Vulgaris: A Pooled Analysis of 2 Phase 3 Studies Linda Stein Gold, MD1; Sunil Dhawan, MD2; Jonathan Weiss, MD3; Zoe Diana Draelos, MD4; Herman Ellman, MD5 1Henry Ford Health System, Detroit, Michigan, USA; 2Center for Dermatology Clinical Research, Inc., Fremont, California, USA; 3Gwinnett Dermatology, Braselton, Georgia, USA; 4Dermatology Consulting Services, High Point, North Carolina, USA; 5Foamix Pharmaceuticals, Inc, Bridgewater, New Jersey, USA. keywords: fmx101; study; subjects; vehicle cache: skin-139.pdf plain text: skin-139.txt item: #290 of 1356 id: skin-1390 author: Korman, Neil; Papp, Kim; Bagel, Jerry ; Foley, Peter; Morita, Akimichi; Banerjee, Subhashis; Colston, Elizabeth; Wang, Tao; Throup, John; Thaci, Diamant title: Deucravacitinib, an Oral, Selective Tyrosine Kinase 2 (TYK2) Inhibitor, Versus Placebo and Apremilast in Moderate to Severe Plaque Psoriasis: Onset of Action in the Phase 3 POETYK PSO-1 and POETYK PSO-2 Trials date: 2021-11-05 words: 3734 flesch: 61 summary: Deucravacitinib, an Oral, Selective Tyrosine Kinase 2 (TYK2) Inhibitor, Versus Placebo and Apremilast in Moderate to Severe Plaque Psoriasis: Onset of Action in the Phase 3 POETYK PSO-1 and POETYK PSO-2 Trials Neil J Korman,1 Kim Papp,2 Jerry Bagel,3 Peter Foley,4 Akimichi Morita,5 POETYK PSO-2 (N=1020) Deucravacitinib 6 mg keywords: baseline; deucravacitinib; pasi; pharma; placebo; poetyk cache: skin-1390.pdf plain text: skin-1390.txt item: #291 of 1356 id: skin-1391 author: Nestor, Mark; Fischer, Daniel; Arnold, David; Han, Haowei; Gade, Anita; Ceci, Francesca; Dunn, Austin; Lawson, Alec title: A randomized, investigator-blinded study to compare the efficacy and tolerance of a 650-microsecond, 1064-nm YAG laser to a 308-nm excimer laser for the treatment of mild-to-moderate psoriasis vulgaris date: 2021-11-05 words: 1246 flesch: 63 summary: Laser treatment of onychomycosis using a novel 0.65-millisecond pulsed Nd: YAG 1064-nm laser. Laser treatment of skin of color for medical and aesthetic uses with a new 650-microsecond nd:yag 1064nm laser. keywords: laser; microsecond; treatment cache: skin-1391.pdf plain text: skin-1391.txt item: #292 of 1356 id: skin-1392 author: Gooderham, Melinda; Alonso-Llamazares, Javier ; Bagel, Jerry ; Browning, John; Draelos, Zoe; Grande, Kimberly ; Herbert, Adelaide; Jing Loo, Wei; Hong, Chih-ho; Lebwohl, Mark; Nahm, Walter; Papp, Kim; Pariser, David; Soung, Jennifer; Stein Gold, Linda; Turchin, Irina; Feng, Amy ; Burnett, Patrick; Higham, Robert; Berk, David title: Roflumilast Cream 0.3% Improved the Severity and Impact of Itch in Patients With Chronic Plaque Psoriasis in the Phase 3 DERMIS-1 and DERMIS-2 Studies date: 2021-11-05 words: 3548 flesch: 57 summary: Roflumilast cream improved patient quality of life as indicated by changes in DLQI (Figure 7) CONCLUSIONS • Once-daily treatment with roflumilast cream 0.3% provided significant, consistent, and sustained improvements in the severity and burden of itch and quality of life in patients with chronic plaque psoriasis – Onset of action of patient-reported improvements were observed as early as the first timepoint measured (2 weeks) and improvement continued through Week 8 – Results were reproducible across both phase 3 studies • Roflumilast cream was associated with low rates of application-site AEs, treatment-related AEs, and discontinuations due to AEs • DERMIS-1 and DERMIS-2 support the potential use of investigational roflumilast cream as an effective and well-tolerated nonsteroidal topical therapy in patients with chronic plaque psoriasis Melinda J. Gooderham,1 Javier Alonso-Llamazares,2 Jerry Bagel,3 John C. Browning,4 The primary endpoint was analyzed using a Cochran-Mantel-Haenszel test stratified by site, baseline IGA, and baseline intertriginous involvement – Statistical significance was concluded at the 5% significance level (2-sided) – Missing IGA scores were imputed using multiple imputation • To control for multiple comparisons among the secondary endpoints, a multiplicity procedure was used – Upon successful testing of the primary endpoint, the α was partitioned to test secondary endpoints RESULTS • 439 patients were enrolled in DERMIS-1 and 442 patients were enrolled in DERMIS-2 • Most patients (86.2% to 91.0%) completed the studies (Table 1) – Few patients discontinued due to adverse events (AEs) • Baseline disease characteristics were balanced across treatment groups and similar between the 2 studies (Table 2) Safety • Safety and tolerability of roflumilast cream were similar to vehicle (Table 3) • Roflumilast cream demonstrated low rates of application-site AEs, treatment-related AEs, and discontinuations due to AEs (Table 3) – Rates were comparable with vehicle • There were no treatment-related serious AEs • Application-site reactions were low • Over 96% of patients in each group had no evidence of irritation at Week 4 or 8 as assessed by the investigators Table 2. keywords: baseline; iga; itch; nrs; roflumilast; vehicle; week cache: skin-1392.pdf plain text: skin-1392.txt item: #293 of 1356 id: skin-1393 author: Lebwohl, Mark; Kircik, Leon ; Moore, Angela; Stein Gold, Linda; Del Rosso, James; Draelos, Zoe; Gooderham, Melinda; Green, Lawrence; Herbert, Adelaide; Papp, Kim; Bagel, Jerry ; Bhatia, Neal; Ferris, Laura; Jones, Terry ; Kempers, Steve; Pariser, David; Yamauchi, Paul; Zirwas, Matthew; Feng, Amy ; Burnett, Patrick; Higham, Robert; Berk, David title: Once-Daily Roflumilast Cream 0.3%, a Potent Phosphodiesterase-4 Inhibitor, Provided Safe and Effective Treatment of Psoriasis in the DERMIS-1 and DERMIS-2 Phase 3 Trials date: 2021-11-05 words: 3542 flesch: 55 summary: The primary endpoint was analyzed using a Cochran-Mantel-Haenszel test stratified by site, baseline Investigator Global Assessment (IGA), and baseline intertriginous involvement – Statistical significance was concluded at the 5% significance level (2-sided) – Missing IGA scores were imputed using multiple imputation • To control for multiple comparisons among the secondary endpoints, a multiplicity procedure was used – Upon successful testing of the primary endpoint, the α was partitioned to test secondary endpoints RESULTS • 439 patients were enrolled in DERMIS-1 and 442 patients were enrolled in DERMIS-2 • Most patients (86.2% to 91.0%) completed the studies (Table 1) • Baseline disease characteristics were balanced across treatment groups and similar between the 2 studies (Table 2) These were 2 identical phase 3, randomized, double-blind, vehicle-controlled studies of once-daily roflumilast cream 0.3% in patients with psoriasis (Figure 1) Once-Daily Roflumilast Cream 0.3%, a Potent Phosphodiesterase-4 Inhibitor, Provided Safe and Effective Treatment of Psoriasis in the DERMIS-1 and DERMIS-2 Phase 3 Trials CONCLUSIONS Once-daily roflumilast cream 0.3% demonstrated: • Clinically meaningful efficacy in psoriasis based on IGA Success at the primary endpoint of 8 weeks – Results were reproducible across both phase 3 studies • Significant improvements in difficult-to-treat areas – Significant increases in percentages of patients achieving I-IGA Success and I-IGA status of clear • Superior improvement across multiple other efficacy endpoints versus vehicle cream – Onset of efficacy occurred as early as 2 weeks • keywords: baseline; cream; iga; patients; psoriasis; roflumilast; usa; vehicle; week cache: skin-1393.pdf plain text: skin-1393.txt item: #294 of 1356 id: skin-1394 author: Moore, Angela; Alonso-Llamazares, Javier ; Bhatia, Neal; Devani, Alim; Bukhalo, Michael; Draelos, Zoe; Gooderham, Melinda; Kempers, Steve; Kircik, Leon ; Papp, Kim; Pariser, David; Sankeva, Marina; Sinclair, Rodney ; Zirwas, Matthew; Feng, Amy ; Burnett, Patrick; Higham, Robert; Berk, David title: Once-Daily Roflumilast Foam 0.3% Improves Severity and Burden of Itch in Patients With Scalp and Body Psoriasis in a Randomized, Double-blind, Vehicle-Controlled Phase 2b Study date: 2021-11-05 words: 3094 flesch: 54 summary: -100% -80% -60% -40% -20% 0% Baseline Week 2 Week 4 Week 8 M ea n % C fB (9 5% C I) • Very few AEs led to study discontinuation – Discontinuation rates were similar between groups • ≥99% of roflumilast- and ≥98% of vehicle-treated patients had no evidence of irritation on the investigator rating of local tolerability Table 3. keywords: foam; iga; nrs; psoriasis; roflumilast; scalp; vehicle; week cache: skin-1394.pdf plain text: skin-1394.txt item: #295 of 1356 id: skin-1395 author: Stein Gold, Linda; Gooderham, Melinda; Papp, Kim; Ferris, Laura; Lebwohl, Mark; Adam, David; Alonso-Llamazares, Javier ; Hong, Chih-ho; Kempers, Steve; Kircik, Leon ; Jing Loo, Wei; Stewart, Daniel; Nahm, Walter; Zirwas, Matthew; Burnett, Patrick; Higham, Robert; Navale, Lynn; Berk, David title: Long-term Safety and Efficacy of Roflumilast Cream 0.3% in Adult Patients With Chronic Plaque Psoriasis: Results From a 52-Week, Phase 2b Open-Label Study date: 2021-11-05 words: 2222 flesch: 52 summary: ≥97% of patients had no evidence of irritation per physician assessment at each visit CONCLUSIONS • Patients with chronic plaque psoriasis need topical treatments that provide effective control of psoriasis with low incidence of side effects that can be used for long-term treatment • INTRODUCTION • Topical treatment options for chronic plaque psoriasis lack products that are safe with long-term usage, are well tolerated, and are used as single agents over the entire body • Roflumilast cream, a phosphodiesterase-4 (PDE-4) inhibitor that is more potent than other PDE-4 inhibitors,1 is under investigation as a once-daily, nonsteroidal, topical treatment for psoriasis • In a phase 2b randomized, double-blind, 12-week trial of 331 adults with chronic plaque psoriasis, roflumilast cream once daily was found to be superior to vehicle cream and was well tolerated2 • keywords: cohort; cream; iga; patients; roflumilast; study; usa; week cache: skin-1395.pdf plain text: skin-1395.txt item: #296 of 1356 id: skin-1396 author: Dickerson, Tobin; Boyd, Stephen; Andrade, Eric; Abaya, Christian; Wang, Yipeng; Lee, Byung-In title: A Dermal Biomarker Patch Displays Excellent Analytical Performance and Outperforms Tape Stripping in Psoriatic Skin date: 2021-11-05 words: 652 flesch: 59 summary: Influence of time between collection and processing on quality of DBP RNA-Seq data. Statistical analysis of the data set demonstrated no statistically significant di!erence observed between body sites (ANOVA, p=0.342), in contrast to previously published data using stratum corneum tape stripping. keywords: mrna; samples; skin cache: skin-1396.pdf plain text: skin-1396.txt item: #297 of 1356 id: skin-1398 author: Herbert, Adelaide; Schreiber, Rhonda; Glaab, Debbie; Eichenfeld, Lawrence title: Phase IV Evaluation of the Adrenal Suppression Potential and PKPD of Halobetasol Propionate Foam, 0.05% in Adolescent Subjects with Plaque Psoriasis date: 2021-11-05 words: 1350 flesch: 57 summary: Relationship to Treatment Seriousness Abnormal ACTH stimulation test 1 (4.2) Related mild Abnormal ACTH stimulation test 5 (20.8) Possibly Related mild Gastritis 1 (4.2) Not related moderate Hematuria 1 (4.2) Not related mild Table 3: Treatment Emergent Adverse Events (TEAEs) Figure 1: % Patients with IGA Reduction at Each Study Visit Laboratory evidence of HPA axis suppression, as evidenced by post-CST serum total cortisol level of ≤ 18μg/dL, was noted in 6 of 23 patients at Day 15 and resolved by the post-EOS study visit, ~4 weeks later. % BSA Mean (Range) Hispanic or Latino 6 (25) Affected 15.1 (11-23) Not Hispanic or Latino 18 (75) To be treated 14.5 (10-20) RACE n(%) keywords: day; hbp; patients; psoriasis cache: skin-1398.pdf plain text: skin-1398.txt item: #298 of 1356 id: skin-1399 author: Alexis, Andrew ; Del Rosso, James; Bhutani, Tina; Papp, Kim; Jacobson, Abby title: Long-term Safety and Efficacy of Fixed-Combination Halobetasol Propionate and Tazarotene Lotion in Patients With Clinically Meaningful Improvement in Plaque Psoriasis date: 2021-11-05 words: 1569 flesch: 54 summary: Week 8 Week 12 Week 24 Week 52Screening Once-daily HP/TAZ for 8 weeks Evaluated for treatment success at week 8a Success Treatment stopped for 4 weeks No success Continued once-daily HP/TAZ for 4 weeks Evaluated for improvement at week 12b keywords: participants; taz; week cache: skin-1399.pdf plain text: skin-1399.txt item: #299 of 1356 id: skin-14 author: Bonomo, Lauren; Ramos-Rodriguez, Alvaro; Guttman-Yassky, Emma title: Systemic Manifestations of Atopic Dermatitis: A Systematic Review date: 2017-06-28 words: 3249 flesch: 53 summary: This progression is termed the “atopic march” and is considered the classical presentation of atopic disease. If the mechanisms underlying atopic disease do indeed play a role in the development of non-atopic comorbidities, it would support the notion put forth by Brunner et al. keywords: allergy; atopic; dermatitis; disease; immunology; journal; patients; risk; studies; study cache: skin-14.pdf plain text: skin-14.txt item: #300 of 1356 id: skin-140 author: Bank, David; Jones, Derek H; Wong, Cindy; Mashburn, J H title: A Comprehensive Analysis of the Safety of a New Range of Injectable Hyaluronic Acid Products for Aesthetic Indications date: 2017-10-27 words: 911 flesch: 38 summary: The safety dataset was compiled from post-market surveillance (PMS) reports of adverse events (AEs) received since the products were launched in 2011, including any cases reported in the literature • Among these events, 85% resolved within 28 days and 95% within 60 days - Information on the event outcome showed that 64% were resolved or resolving, but no information was available for 25% of these events • Reporting frequencies of nodules, inflammatory reactions and granulomas for OBT HA (Table 2) • Safety data from 7 sponsored interventional clinical studies and 1 observational study were reviewed - Studies; 638 subjects followed for 24 weeks to 18 months · No related serious adverse events adverse events reported · keywords: emervel; events; reports; safety cache: skin-140.pdf plain text: skin-140.txt item: #301 of 1356 id: skin-1400 author: Kircik, Leon ; Green, Lawrence; Zeichner, Joshua; Alonso-Llamazares, Javier ; Jacobson, Abby title: Long-term Outcomes of Fixed-Combination Halobetasol Propionate and Tazarotene Lotion Stratified by Baseline Signs and Symptoms of Psoriasis date: 2021-11-05 words: 1417 flesch: 54 summary: In this post hoc analysis of a 52-week open-label study (NCT02462083),1 we assessed the efficacy and safety of once-daily halobetasol propionate (0.01%) and tazarotene (0.045%) lotion (HP/TAZ) in 550 participants with psoriasis stratified by baseline signs and symptoms of disease CONCLUSIONS • Long-term use of HP/TAZ was generally associated with treatment success regardless of baseline symptom severity, and no new safety signals emerged over 52 weeks • Participants with mild baseline symptoms were less likely to experience local skin reactions postbaseline compared with participants with more severe baseline symptoms • Evaluation of patients’ baseline itch, dryness, and stinging/burning may help predict outcomes of HP/TAZ treatment • Clinicians can use this information to counsel patients regarding treatment expectations when initiating HP/TAZ SYNOPSIS • Topical psoriasis treatments may be used as monotherapy for mild disease or as adjunct therapy for more severe disease2 • Fixed-combination halobetasol propionate (0.01%) and tazarotene (0.045%) lotion (HP/TAZ) is approved for treatment of plaque psoriasis in adults3 • Given that patients’ experiences with psoriasis differ greatly, further consideration and assessment of the utility of HP/TAZ in patients with varying symptom severity is warranted METHODS • At week 8, participants who achieved the primary endpoint of treatment success (defined as investigator’s global assessment [IGA] of clear [0] or almost clear [1]) stopped HP/TAZ and were reevaluated every 4 weeks and retreated as needed through 52 weeks. keywords: baseline; itch; participants cache: skin-1400.pdf plain text: skin-1400.txt item: #302 of 1356 id: skin-1401 author: Armstrong , April; Keegan, Brian; Han, George ; Jacobson, Abby title: Retreatment With Brodalumab Results in Skin Clearance and Improvements in Quality of Life in Patients With Psoriasis After Treatment Interruption date: 2021-11-05 words: 1153 flesch: 49 summary: [0.8]) improved at week 52 (prior biologic failure, 1.9 [1.1]; prior biologic nonfailure, 1.8 [0.4]), similar to DLQI scores achieved during the induction phase at week 12 (Figure 2A) – Change in DLQI from baseline to week 52 for the prior biologic failure and nonfailure subgroups were -11.5 (95% CI, -15.6 to -7.4) and -11.0 (95% CI, -12.8 to -9.2), respectively (Figure 2B) – No significant differences in DLQI were observed by prior biologic response through week 52 (P>0.05 between subgroups) These results are relevant to real-life practice given that it is relatively common for patients to stop and restart their medications because of various factors Funding: This study was sponsored by Ortho Dermatologics. keywords: biologic; brodalumab; pasi; week cache: skin-1401.pdf plain text: skin-1401.txt item: #303 of 1356 id: skin-1402 author: Menter, Alan; Boh, Erin ; Lewitt, George; Jacobson, Abby title: Efficacy of Brodalumab vs Ustekinumab by Prior TNFα Inhibitor Exposure: Post hoc Analysis of Two Phase 3 Psoriasis Studies date: 2021-11-05 words: 1107 flesch: 30 summary: SYNOPSIS • Brodalumab is a fully human interleukin-17 receptor A antagonist approved for the treatment of moderate-to-severe plaque psoriasis in adult patients with inadequate response or loss of response to other systemic therapies1 METHODS • In AMAGINE-2/-3 (NCT01708603 and NCT01708629), after a 12-week induction phase, patients received maintenance treatment as follows: brodalumab-treated patients were rerandomized to brodalumab 210 mg every 2 weeks (Q2W); ustekinumab-treated patients continued to receive ustekinumab; and patients receiving placebo switched to brodalumab 210 mg Q2W2 • At week 16, patients with inadequate response to ustekinumab (single static physician’s global assessment [sPGA] of ≥3 or persistent sPGA of 2 over ≥4 weeks) were eligible for rescue with brodalumab 210 mg Q2W. After week 16, patients on ustekinumab with an inadequate response remained on ustekinumab • Efficacy was assessed by psoriasis area and severity index 75%, 90%, and 100% response rates (PASI 75, 90, and 100) for patients who were rescued with 36 weeks of brodalumab 210 mg Q2W after an inadequate response to ustekinumab at week 16 (N=124) and for patients who continued on ustekinumab after an inadequate response to ustekinumab after week 16 (N=149), stratified by tumor necrosis factor α (TNFα) inhibitor treatment before entering the study (no prior TNFα inhibitor experience, prior TNFα inhibitor nonfailure, or prior TNFα inhibitor failure) RESULTS • Erin Boh,2 George Michael Lewitt,3 Abby Jacobson4 1Baylor University Medical Center, Dallas, TX; 2Tulane University School of Medicine, New Orleans, LA; 3Illinois Dermatology Institute, Chicago, IL; 4Ortho Dermatologics (a division of Bausch Health US, LLC), Bridgewater, NJ OBJECTIVE • To evaluate the efficacy of brodalumab vs ustekinumab (an anti–interleukin-12/-23 monoclonal antibody) in individuals who were rescued with brodalumab or continued ustekinumab, stratified by prior treatment with tumor necrosis factor α (TNFα) inhibitors, in a post hoc analysis of two phase 3 studies (AMAGINE-2/-3) CONCLUSIONS • Patients with psoriasis who were rescued with 36 weeks of retreatment with brodalumab demonstrated higher response rates than those who continued ustekinumab, regardless of prior TNFα inhibitor treatment • Brodalumab may be a safe and effective treatment after inadequate response to previous biologics Funding: This study was sponsored by Ortho Dermatologics. keywords: patients; prior; ustekinumab; week cache: skin-1402.pdf plain text: skin-1402.txt item: #304 of 1356 id: skin-1403 author: Strober , Bruce; Asahina, Akihiko; Mrowietz, Ulrich; Lebwohl, Mark; Foley, Peter; Langley, Richard; Barker, Jonathan; Cioffi, Christopher; Cross, Nancy; Wang, Maggie ; Paul, Carle title: Bimekizumab response maintenance through two years of treatment in patients with moderate to severe plaque psoriasis who responded after 16 weeks: Interim results from the BE BRIGHT open-label extension trial date: 2021-11-05 words: 2751 flesch: 53 summary: All BKZ-randomized patients continued Q4W treatment at Week 16;2 BE SURE: Patients allocated to BKZ treatment were randomized 1:1 at baseline to either continue Q4W or switch to Q8W at Week 16;4 BE READY: BKZ-randomized Week 16 PASI 90 responders were re-randomized 1:1:1 to BKZ Q4W, Q8W, or placebo (PASI 90 non-responders entered an escape arm);3 bBE SURE and BE READY had a Week 56 visit that was not included in the BE BRIGHT pooled analysis. Author Disclosures: BS: Consultant (honoraria) from AbbVie, Almirall, Amgen, Arcutis, Arena, Aristea, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, Dermavant, Dermira, Eli Lilly, Equillium, GSK, Janssen, LEO Pharma, Meiji Seika Pharma, Mindera, Novartis, Ortho Dermatologics, Pfizer, Regeneron, Sanofi Genzyme, Sun Pharma, and UCB Pharma; speaker for AbbVie, Amgen, Eli Lilly, Janssen, and Ortho Dermatologics; Scientific Director (consulting fee) for CorEvitas Psoriasis Registry; investigator for AbbVie, Cara Therapeutics, CorEvitas Psoriasis Registry, Dermavant, Dermira and Novartis; Editor-in-Chief (honorarium) for Journal of Psoriasis and Psoriatic Arthritis. keywords: bkz; mg q4w; pharma; q4w; q8w; week cache: skin-1403.pdf plain text: skin-1403.txt item: #305 of 1356 id: skin-1404 author: Blauvelt, Andrew ; Iversen, Lars; McBride, Sandy ; Gooderham, Melinda; Staubach, Petra; Yamauchi, Paul; Staelens, Fabienne; Vanoorden, Veerle; White, Katy ; Gisondi, Paolo title: Bimekizumab versus secukinumab efficacy across subgroups of patients with moderate to severe plaque psoriasis: Results from the multicenter, randomized, double-blinded phase 3b BE RADIANT trial date: 2021-11-05 words: 1799 flesch: 49 summary: Author Disclosures: AB: Served as a scientific adviser and/or clinical study investigator for AbbVie, Abcentra, Aligos, Almirall, Amgen, Arcutis, Arena, Aslan, Athenex, Boehringer Ingelheim, Bristol Myers Squibb, Dermavant, Eli Lilly, Evommune, Forte, Galderma, Incyte, Janssen, Landos, LEO Pharma, Novartis, Pfizer, Rapt, Regeneron, Sanofi Genzyme, Sun Pharma, UCB Pharma, and Vibliome. LI: Served as a consultant and/or paid speaker for and/or participated in clinical trials sponsored by AbbVie, Almirall, Amgen, AstraZeneca, Bristol Myers Squibb, Boehringer Ingelheim, Celgene, Eli Lilly, Janssen, LEO Pharma, MSD, Novartis, Pfizer, Regranion, Samsung, UCB Pharma, and Union Therapeutics. keywords: baseline; bkz; pasi; patients; pharma; sec cache: skin-1404.pdf plain text: skin-1404.txt item: #306 of 1356 id: skin-1405 author: Leonardi, C; Fahrbach, K; Neupane, B; Armstrong , A; Gordon, K; Kiri, S; Taieb, V; McClung, L title: Number Needed to Treat Among Therapies for Patients with Moderate to Severe Plaque Psoriasis: Clinical Perspective of Results from a Network Meta-Analysis date: 2021-11-05 words: 2191 flesch: 49 summary: We conducted a systematic literature review (SLR) in July 2020 to identify randomized controlled trials (RCTs) assessing the efficacy and safety of biologic and non-biologic therapies in the management of moderate to severe PSO.7 ⚫ Studies were included if they assessed the response to biologic therapies (at dosages approved by the Food and Drug Administration as well as some doses approved by the European Medicines Agency) and non-biologic therapies via the percentage improvement in PASI scores from baseline at 10 to 16 weeks (Table 1). The NNTs of biologic treatments compared to placebo to achieve one additional PASI 90 or PASI 100 response were calculated as the reciprocal of the corresponding absolute risk differences obtained from the NMA. keywords: bimekizumab; pasi; placebo; psoriasis cache: skin-1405.pdf plain text: skin-1405.txt item: #307 of 1356 id: skin-1406 author: Blauvelt, Andrew ; Han, George; Tyring, Steve; Soung, Jennifer; Oh, Tae; Davis, Leah; Vanoorden, Veerle; Lebwohl, Mark title: Mean percent PASI improvement with bimekizumab in patients with moderate to severe plaque psoriasis: Pooled results from four phase 3/3b trials date: 2021-11-05 words: 1121 flesch: 45 summary: Honoraria and/or consulting fees from Amgen, Celgene, Dermavant, National Psoriasis Foundation, Ortho Dermatologics and Regeneron; grants and consulting fees from Abbvie, Actelion, Boeringher Ingelheim, Dermira, Eli Lilly, Janssen, Leo Pharma, Novartis Pharma and UCB; research grants from Cassiopeia, Galderma, and Pfizer; TO, LD: Employees of UCB Pharma; VV: Employee and shareholder of UCB Pharma; ML: Employee of Mount Sinai and receives research funds from Abbvie, Amgen, Arcutis, Avotres, Boehringer Ingelheim, Dermavant, Eli Lilly, Incyte, Janssen Research & Development, LLC, Ortho Dermatologics, Regeneron, and UCB Pharma; consultant for Aditum Bio, AnaptysBio, Almirall, Arcutis, Aristea, Arrive technology, Avotres Therapeutics, BioMx, Boehringer Ingelheim, Bristol Myers Squibb, Cara Therapeutics, Castle Biosciences, Corrona, Dermavant Sciences, Dr.Reddy, Evelo, Evommune, Facilitate International Dermatologic Education, Forte, Foundation for Research and Education in Dermatology, Helsinn, LEO Pharma, Meiji, Mindera, Pfizer, Seanergy, and Verrica. Author Disclosures: AB: Scientific adviser and/or clinical study investigator for AbbVie, Abcentra, Aligos, Almirall, Amgen, Arcutis, Arena, Athenex, Boehringer Ingelheim, Bristol Myers Squibb, Dermavant, Eli Lilly, Evommune, Forte, Galderma, Incyte, Janssen, Landos, LEO Pharma, Novartis, Pfizer, Rapt, Regeneron, Sanofi Genzyme, Sun Pharma, and UCB Pharma; GH: Consultant, speaker, or research support for AbbVie, Amgen, Athenex, Boehringer Ingelheim, Bond Avillion, Bristol Myers Squibb, Castle Biosciences, Celgene, Dermavant, Dermtech, Eli Lilly, Janssen, LEO Pharma, MedX, MC2, Novartis, Ortho Dermatologics, Pfizer, Regeneron, Sanofi Genzyme, Sun Pharma, and UCB Pharma; SKT: keywords: bimekizumab; mean; pasi; pharma cache: skin-1406.pdf plain text: skin-1406.txt item: #308 of 1356 id: skin-1407 author: Bieber, Thomas ; Beck, Lisa; Pink, Andrew; Saeki, Hidehisa; Eichenfeld, Lawrence; Werfel, Thomas; Rosholm, Anders; Ropke, Mads; Paller, Amy title: Neutralizing interleukin-13 increases skin microbial diversity: results from a Phase 3, randomized, double-blind, placebo-controlled trial of tralokinumab in adult patients with atopic dermatitis date: 2021-11-05 words: 2115 flesch: 43 summary: S. cohnii (CoNS) Other species Placebo Tralokinumab Placebo Tralokinumab Baseline Week 16 Week 8 Baseline Week 16 Week 8 Baseline Week 16 Week 8 Baseline Week 16 Week 8 Figure 5. Relative abundance of the most dominant phyla and genera over time 0.0 0.2 0.4 0.6 0.8 1.0 A ve ra g e p ro p o rt io n o f m a jo r p h yl a a n d g e n u s Staphylococcus Streptococcus Lactobacillus Brochothrix Other Firmicutes Corynebacterium Micrococcus Dermacoccus Kocuria Other Actinobacteriota Moraxella Acinetobacter Paracoccus Haemophilus Photobacterium Brucella Other Proteobacteria Chryseobacterium Prevotella Porphyromonas Bacteroides Other Bacteroidota Other phyla Bacteriodota Proteobacteria Actinobacterota Firmicutes Placebo Tralokinumab Baseline Week 16 Week 8 Baseline Week 16 Week 8 Figure 1. keywords: baseline; tralokinumab; week cache: skin-1407.pdf plain text: skin-1407.txt item: #309 of 1356 id: skin-1408 author: Blauvelt, Andrew ; Wollenberg, Anderas; Pink, Andrew; Peris, Ketty ; Armstrong , April; Spelman, Lynda; Saeki, Hidehisa; Lynde, Charles; Herranz, Pedro; Barbarot, Sebastien; Simpson, Eric title: Assessing long-term maintenance of efficacy with tralokinumab monotherapy in patients with moderate-to-severe atopic dermatitis: combined results from two phase 3, randomized, double-blind, placebo-controlled trials (ECZTRA 1 and 2) date: 2021-11-05 words: 3309 flesch: 34 summary: Introduction Objectives Methods Results Patients, Demographics, and Clinical Characteristics ● 1596 adult patients were randomized to tralokinumab 300 mg q2w (1196) or placebo (400) in the initial treatment period ● Baseline demographics and clinical characteristics were well balanced between treatment groups (Table 1) - Mean duration of atopic dermatitis was 28.2 years and around one-half of patients (49.7%) had IGA 4 (severe disease) at baseline Maintenance of Week 16 Responses at Week 52 ● 412 patients achieved IGA 0/1 and/or EASI-75 at Week 16 with tralokinumab q2w and were re-randomized (2:2:1) to continue tralokinumab q2w, tralokinumab q4w, or placebo in the maintenance treatment period ● A large proportion of the patients who continued tralokinumab q2w or q4w maintained IGA 0/1 and/or EASI-75 response at Week 52 (42.4 to 57.3%), without using any rescue medication (including TCS) during the 36-week maintenance period - For patients with IGA 0/1 response at Week 16, this response was maintained by 55.9%, 42.4%, and 34.0% of patients re-randomized to tralokinumab q2w, q4w, and placebo, respectively (Figure 2A) - EASI-75 response was maintained by 57.3%, 50.4%, and 26.4%, respectively (Figure 2B) - IGA 0/1 or EASI-75 response was maintained by 56.2%, 50.0%, and 27.4% respectively, in patients who had previously achieved either or both responses (Figure 2C) Time to Relapse ● In patients who achieved IGA 0/1 with tralokinumab at Week 16 without rescue medication use, median time to relapse was not reached for patients re-randomized to tralokinumab q2w or q4w - Relapse was defined as transfer to open-label treatment, first rescue medication, or discontinuation of investigational medicinal product due to lack of efficacy, AE, or for other reasons, where lack of efficacy could not be excluded - The log-rank test P-values that resulted from the comparison of each of the tralokinumab treatment groups with placebo were P=0.004 for the tralokinumab q2w group and P=0.14 for the q4w group (Figure 3A) keywords: easi-75; iga; patients; q2w; q4w; tralokinumab; tralokinumab q2w; week cache: skin-1408.pdf plain text: skin-1408.txt item: #310 of 1356 id: skin-1409 author: Blauvelt, Andrew ; Pink, Andrew ; Worm, Margitta; Langley, Richard; Costanzo, Antonio; Gjerum, Le; Jorgensen, Emilie; Corriveau, Joshua; Guttman-Yassky, Emma title: COVID-19 in tralokinumab-treated patients with moderate-to- severe atopic dermatitis: case series from the ECZTEND long- term extension trial date: 2021-11-05 words: 1694 flesch: 42 summary: Skin Pathology Laboratory, Humanitas Research Hospital IRCCS, Via Manzoni 56, 20089, Rozzano, Milano, Italy; 6LEO Pharma A/S, Ballerup, Denmark; 7LEO Pharma Inc., Madison, NJ, USA; 8Department of Dermatology and the Immunology Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA Introduction Methods • As shown in Figure 1, ECZTEND is an ongoing, 5 year, open-label, single-arm, multicenter, long-term extension trial in patients with AD who participated in parent tralokinumab trials (ECZTRA 1-8 and TraSki)a o Approximately 1600 patients with moderate-to-severe AD across Canada, the United States, Europe, and Japan are participating in ECZTEND o Doi: 10.1016/j.jaad.2021.03.032 • Andrew Blauvelt is a scientific adviser and clinical study investigator for AbbVie, Aclaris, Almirall, Arena, Athenex, Boehringer Ingelheim, Bristol-Myers Squibb, Dermavant, Dermira, Eli Lilly, FLX Bio, Forte, Galderma, Janssen, LEO Pharma, Novartis, Ortho Derm, Pfizer, Regeneron Pharmaceuticals, Inc., Sandoz, Sanofi Genzyme, Sun Pharma, UCB Pharma, and a paid speaker for AbbVie • Andrew Pink reports personal fees and nonfinancial support from LEO Pharma, Novartis, and UCB; and personal fees from AbbVie, Almirall, Janssen, La Roche Posay Lilly, and Sanofi • Margitta Worm declares that she has receipt honoraria or consultation fees by ALK-Abelló Arzneimittel GmbH, Mylan Germany GmbH, LEO Pharma GmbH, Sanofi-Aventis Deutschland GmbH, Regeneron Pharmaceuticals, Inc., DBV Technologies S.A, Stallergenes GmbH, HAL Allergie GmbH, Allergopharma GmbH & Co. KG, Bencard Allergie GmbH, Aimmune Therapeutics UK Limited, Actelion Pharmaceuticals Deutschland GmbH, Novartis AG and Biotest AG • Richard Langley has served and has received compensation in the form of grant funding and/or honoraria as principal investigator for and is on the scientific advisory board or has served as a speaker for AbbVie , Amgen , Boehringer Ingelheim , Celgene , Janssen , LEO Pharma , Eli Lilly , Merck , Novartis , Pfizer , Sun Pharma , and UCB • Antonio Costanzo has served on advisory boards Celgene, UCB, Eli Lilly, Pfizer, Janssen, Novartis, Sanofi-Genzyme and MSD • Le Gjerum, Emilie Jorgensen, and Joshua Corriveau are employees of LEO Pharma A/S • Emma Guttman-Yassky has received honoraria for consultant services from AbbVie, Almirall, Amgen, Asana Biosciences, Boerhinger Ingelhiem, Cara Therapeutics, Celgene, Concert, DBV, Dermira, DS Biopharma, Lilly, EMD Serono, Escalier, Galderma, Glenmark, Kyowa Kirin, LEO Pharma, Mitsubishi Tanabe, Pfizer, RAPT Therapeutics, Regeneron, Sanofi, Sienna Biopharma, and Union Therapeutics and received research grants for investigator services from AbbVie, Almirall, Amgen, AnaptysBio, Asana Biosciences, Boerhinger Ingelhiem, Celgene, Concert, Dermavant, Dermira, DS Biopharma, Lilly, Glenmark, Galderma, Innovaderm, Janssen, Kiniska, Kyowa Kirin, LEO Pharma, Novan, Pfizer, Ralexar, Regeneron, Sienna Biopharma, UCB, and Union Therapeutics Acknowledgements • keywords: covid-19; ecztend; patients; pharma; tralokinumab; treatment; trial cache: skin-1409.pdf plain text: skin-1409.txt item: #311 of 1356 id: skin-141 author: Del Rosso, James; Stein Gold, Linda; Marchese Johnson, Sandra; Jose Rueda, Maria; Baldwin, Hilary; Lain, Edward L; Landis, Megan; Rendon, Marta; Tanghetti, Emil; Weiss, Jonathan title: Efficacy and Saftey of Adapalene 0.3%/Benzoyl Peroxide 2.5% Gel Plus Doxycycline in Subjects with Severe Inflammatory Acne (Non-Nodulocystic) that are Candidates for Oral Isotretinoin date: 2017-10-27 words: 1738 flesch: 58 summary: At week 12 the total mean percent reduction in lesions was -62.6% compared with baseline (P < .0001) For subjects with severe AV (non-nodulocystic, non-conglobate) who are also candidates for OI - For subjects who must wait before starting oral isotretinoin - As an alternative option for those unwilling to use oral isotretinoin - For those unable to use oral isotretinoin due to contraindications SUBJECTS and METHODS • Open label, single arm, 12-week, multicenter study of A/BPO 0.3%/2.5% gel+DOX† 200 mg • Twenty-three sites enrolled males and females, 12 years of age or older, with a clinical diagnosis of severe inflammatory acne (Investigator's Global Assessment [IGA] score = 4) who had never received OI, and, in the opinion of the investigator, were candidates for OI - Subjects had ≤ 4 nodules/cysts > 1 cm in diameter on the face · Subjects were excluded if they had nodulocystic or conglobate acne, acne fulminans, or secondary acne (eg, chloracne, drug-induced acne) • Treatments: - Topical A/BPO 0.3%/2.5% gel, once daily for 12 weeks - DOX 200 mg (2x 50 mg tablets, Mayne, DORYX), twice daily (morning and evening) for 12 weeks - Cetaphil® Gentle Cleanser* (or equivalent), twice daily - Cetaphil® Daily Facial Moisturizer SPF 15* (or equivalent), at least once daily and re-apply as needed • Endpoints and Assessments: - Reduction and percent reduction in lesions at Weeks 4, 8, and 12 - IGA (IGA, 0 – 4 scale): Success (subjects rated IGA 0 or 1) at weeks 0, 4, 8, and 12 - Number and percent of subjects who, in the opinion of the investigator, are candidates for oral isotretinoin at Weeks 0, 4, 8, and 12 · Investigator evaluation of each subject’s candidacy to OI was performed independently at each visit, without consideration of previous visits - Photographs were taken of all subjects enrolled in the study at all study visits - Incidence of adverse events (AEs) and local tolerability (0 keywords: baseline; iga; subjects; week cache: skin-141.pdf plain text: skin-141.txt item: #312 of 1356 id: skin-1410 author: Blauvelt, Andrew ; Lacour, Jean-Philippe; Toth, Darryl; Laquer, Vivian; Beissert, Stefan; Wollenberg, Andreas; Herranz, Pedro; Pink, Andrew; Peris, Ketty ; Fangel, Stine; Saeki, Hidehisa title: Long-Term Improvements Observed in Tralokinumab-Treated Patients with Moderate-to-Severe Atopic Dermatitis: an ECZTEND Interim Analysis date: 2021-11-05 words: 3191 flesch: 56 summary: 282 (24.0) ECZTRA 5 (16-week monotherapy) 149 (12.7) Median (IQR) age, years 38 (27.0-50.0) Male, n (%) 675 (57.5) Region, % North America 46.2 Europe 46.5 Japan 7.3 Median (IQR) duration of AD at baseline, years 27 (18.0-40.0) Median (IQR) BSA at parent trial baseline, % 44.5 (30.0-67.0) Median (IQR) time from last dose in parent trial, days 36 (15.0-85.0) Baseline characteristics Viral upper respiratory tract infection (most commonly reported as common cold) 256 15.7 65.1 78 12.2 53.5 250 21.3 29.3 Atopic dermatitis 272 15.4 68.0 167 26.2 139.7 158 13.5 20.6 Upper respiratory tract infection 92 5.6 20.8 33 4.8 18.5 83 7.1 9.1 Safety areas of interest Conjunctivitis, including conjunctivitis, allergic conjunctivitis, bacterial conjunctivitis, viral conjunctivitis, and atopic conjunctivitis 126 7.5 29.0 21 3.2 12.3 65 5.9 6.9 Patients ● ECZTEND is an ongoing, up to 268-week, open-label, single-arm, multicenter, long-term extension trial in patients with atopic dermatitis who participated in parent tralokinumab trials (ECZTRA 1-8 and TraSki) (Figure 1) Key Inclusion Criteria — Completed treatment period(s) in a tralokinumab parent trial (ECZTRA 1-8 or TraSki) without any safety concerns — Complied with the clinical trial protocol in the parent trial — Able and willing to self-administer tralokinumab, or have it administered by a caregiver, at home after the initial 3 injection visits at trial site — Applied a stable dose of emollient (minimum twice daily) for at least 14 days before baseline ECZTEND Trial Design ● Patients received subcutaneous tralokinumab 300 mg every 2 weeks (q2w) plus optional topical corticosteroids (TCS) after a 300 mg or 600 mg loading dose of tralokinumab (Figure 2) ECZTEND Trial Design ● Study primary and secondary endpoints: — Number of adverse events from baseline up to Week 268 — Investigator’s Global Assessment (IGA) score of 0/1 from Week 16 to Week 248 — Eczema Area and Severity Index reduction of at least 75% (EASI-75) keywords: data; ecztend; ecztra; parent; patients; pharma; tralokinumab; week cache: skin-1410.pdf plain text: skin-1410.txt item: #313 of 1356 id: skin-1411 author: Gutermuth, Jan; Pink, Andrew ; Worm, Margitta; Soldbro, Lise; Mark, Thomas; Corriveau, Joshua; Bjeeregard Oland, Christian; Weidinger, Stephan title: Efficacy and safety of tralokinumab plus topical corticosteroids in patients with severe atopic dermatitis and prior history of dupilumab treatment: a post hoc subgroup analysis from ECZTRA 7 trial date: 2021-11-05 words: 1690 flesch: 48 summary: PowerPoint Presentation Objective Efficacy and safety of tralokinumab plus topical corticosteroids in patients with severe atopic dermatitis and prior history of dupilumab treatment: a post hoc subgroup analysis from ECZTRA 7 trial Jan Gutermuth1, Andrew Pink2, Margitta Worm3, Lise Soldbro4, Thomas Mark4, Joshua Corriveau5, Christian Bjerregård Øland4, Stephan Weidinger6 • AD is a chronic inflammatory disease,1 characterized by eczematous skin lesions and multiple symptoms, including pruritus, sleep disturbance, and depression2-4 • Tralokinumab is a high-affinity, fully human, monoclonal antibody designed to specifically neutralize interleukin-13, a key driver of the underlying inflammation in AD5-7 • The Phase 3 ECZTRA 7 trial (NCT03761537) met its primary endpoint of EASI-75 at Week 16, confirming tralokinumab plus topical corticosteroids (TCS) is superior to placebo plus TCS in treating severe atopic dermatitis (AD) in patients not adequately controlled by, or with contraindications to, oral cyclosporine A • There can be inadequate disease control with currently available treatment options and many patients with severe AD continue to experience high disease burden To describe the efficacy and safety of tralokinumab in a subgroup of ECZTRA 7 patients with prior history of dupilumab treatment 1Department of Dermatology, Universitair Ziekenhuis Brussel and Vrije Universiteit Brussel, Brussels, Belgium; 2St John’s Institute of Dermatology, Guy’s and St Thomas’ NHS Foundation Trust, London, UK; 3Division of Allergy and Immunology, Department of Dermatology, Venereology and Allergy, Charité – Universitätsmedizin Berlin, Berlin, Germany; 4LEO Pharma A/S, Ballerup, Denmark; 5LEO Pharma Inc., Madison, NJ, USA; 6Department of Dermatology and Allergy, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany Introduction Methods • ECZTRA 7 was a randomized, double-blinded, multicenter, placebo-controlled Phase 3 trial (Figure 1) • Key inclusion criteria for ECZTRA 7: o Adult patients with AD for ≥1 year with inadequate response to topical or documented systemic medication in the past year o Disease not adequately controlled with, or patients with contraindications to, use of oral cyclosporine A o AD involvement of ≥10% body surface area o EASI ≥20 and IGA ≥3 at screening and at baseline o Worst daily pruritus numeric rating scale (NRS) average score of ≥4 during the week prior to baseline Table 1. One placebo patient reported 2 events of conjunctivitis, 1 mild and 1 of moderate severity; 1 tralokinumab patient reported 1 mild event of conjunctivitis Efficacy and safety of tralokinumab plus topical corticosteroids in patients with severe atopic dermatitis and prior history of dupilumab treatment: a post hoc subgroup analysis from ECZTRA 7 trial keywords: dupilumab; patients; placebo; tcs; tralokinumab cache: skin-1411.pdf plain text: skin-1411.txt item: #314 of 1356 id: skin-1412 author: Simpson, Eric; Wollenberg, Anderas; Soong, Weily; Mark, Thomas; Kuznetsova, Alexandra; Abildgaard Steffensen, Louise; Silverberg, Jonathan title: Rapid and sustained improvements in itch and sleep with tralokinumab treatment in patients with moderate-to-severe Atopic Dermatitis, a post hoc analysis of pooled data from ECZTRA 1 and 2 date: 2021-11-05 words: 1895 flesch: 51 summary: Mean EASI (SD) 32.3 (14.0), n=1590 32.2 (14.0), n=1192 32.7 (13.9), n=398 Mean total SCORAD (SD) 70.4 (13.0), n=1590 70.2 (13.2), n=1192 71.1 (12.4), n=398 Mean DLQI (SD) 17.3 (7.1), n=1572 17.2 (7.1), n=1178 17.5 (7.0), n=394 Mean weekly average worst daily pruritus NRS (SD) 7.8 (1.4), n=1577 7.8 (1.4), n=1182 7.8 (1.4), n=395 Mean weekly average eczema related sleep NRS (SD) 7.0 (2.0), n=1577 7.0 (2.0), n=1182 7.0 (2.0), n=395 • At Week 16, tralokinumab had a greater adjusted mean percentage improvement from baseline in weekly average of worst daily pruritus NRS (tralokinumab 35.5%, placebo 21.4%; p<0.001) and eczema-related sleep interference (tralokinumab 39.7%, placebo 18.4%; p<0.001) compared to placebo (Figure 2) Effect on itch and sleep over 16 weeks Figure 3. im e Tralokinumab Placebo *** *** *** *** *** *** *** *** *** *** *** *** *** *** *** *** • A greater improvement from baseline was seen in worst daily pruritus NRS from Day 2 (p=0.001), and in eczema-related sleep interference from Day 1 (p<0.05) with tralokinumab compared to placebo (Figure 3) keywords: baseline; nrs; placebo; sleep; tralokinumab; weeks cache: skin-1412.pdf plain text: skin-1412.txt item: #315 of 1356 id: skin-1413 author: Eichenfeld, Lawrence; Silverberg, Jonathan; Bissonnette, Robert; Tallman, Anna; Rubenstein, David; Piscitelli, Stephen; Jett, John title: Tapinarof Cream 1% Once Daily for the Treatment of Moderate to Severe Atopic Dermatitis in Children and Adults: The Pivotal Phase 3 ADORING Clinical Program date: 2021-11-05 words: 1893 flesch: 40 summary: [clear] or 1 [almost clear]) off therapy11,12 OBJECTIVE ■ To assess the efficacy and safety of tapinarof cream 1% QD in children and adults with moderate to severe AD in the two pivotal Phase 3 studies (ADORING 1 and 2) and a long- term extension Phase 3 trial (ADORING 3) METHODS Trial Design: ADORING 1 and 2 ■ ADORING 1 and ADORING 2 are two identically designed, Phase 3, multicenter (US and Canada), double-blind, vehicle-controlled randomized trials (Figure 2) ■ Following a 30-day screening period, patients aged ≥2 years old with an vIGA-AD score ≥3 (moderate to severe) and a percentage body surface area (%BSA) affected of ≥5–≤35% will be randomized 2:1 to tapinarof cream 1% QD or vehicle QD for 8 weeks Figure 2. Trial Design: ADORING 1 and ADORING 2 Trial Design: ADORING 3 ■ ADORING 3 is a long-term, open-label, multicenter extension trial to evaluate the long-term safety and efficacy of tapinarof 1% QD in patients with AD (Figure 3) ■ Eligible patients completing ADORING 1, ADORING 2, or the Maximal Use Pharmacokinetics trial can enroll in ADORING 3 ■ In addition, approximately 125 pediatric patients (aged 2 to <18 years) can enroll directly in ADORING 3 if they had a vIGA-AD score of ≥3 (moderate) and %BSA affected ≥40% at screening and baseline (pre-randomization), or patients with a vIGA-AD score of 2 (mild) at screening and baseline (pre- randomization) regardless of %BSA affected, and were thus not eligible for participation in the ADORING 1 and 2 pivotal trials Figure 3. keywords: patients; score; tapinarof; treatment; viga cache: skin-1413.pdf plain text: skin-1413.txt item: #316 of 1356 id: skin-1414 author: Papp, Kim; Szepietowski, Jacek; Kircik, Leon ; Toth, Darryl; Eichenfeld, Lawrence; Forman, Seth; Kuligowski, Michael; Venturanza, May; Sun, Kang; Simpson, Eric title: Long-Term Safety and Disease Control With Ruxolitinib Cream in Atopic Dermatitis: Results From Two Phase 3 Studies date: 2021-11-05 words: 2960 flesch: 47 summary: Objective ● To evaluate the long-term safety and disease control of ruxolitinib cream in patients with AD Methods Study Design and Patients ● Eligible patients were aged ≥12 years with AD for ≥2 years and had an Investigator’s Global Assessment (IGA) score of 2 or 3 and 3%–20% affected body surface area (BSA), excluding scalp ● Key exclusion criteria were unstable course of AD, other types of eczema, immunocompromised status, use of AD systemic therapies during the washout period and during the study, use of AD topical therapies (except bland emollients) during the washout period and during the study, and any serious illness or medical condition that could interfere with study conduct, interpretation of data, or patients’ well-being ● TRuE-AD1 and TRuE-AD2 had identical study designs (Figure 2) – In both studies, patients were randomized (2:2:1) to 1 of 2 ruxolitinib cream strength regimens (0.75% twice daily [BID], 1.5% BID) or vehicle cream BID for 8 weeks of double-blind continuous treatment (vehicle-controlled [VC] period); patients were instructed to continue treating lesions even if they improved – Patients on ruxolitinib cream subsequently continued treatment for 44 weeks (long-term safety keywords: cream; lts; patients; period; rux; ruxolitinib; vehicle cache: skin-1414.pdf plain text: skin-1414.txt item: #317 of 1356 id: skin-1415 author: Blauvelt, Andrew ; Szepietowski, Jacek; Papp, Kim ; Simpson, Eric; Silverberg, Jonathan; Kim, Brian ; Kwatra, Shawn; Kuligowski, Michael ; Venturanza, May; Sun, Kang; Kircik, Leon title: Itch-Free State in Patients With Atopic Dermatitis Treated With Ruxolitinib Cream date: 2021-11-05 words: 2912 flesch: 55 summary: Assessments ● The effects of ruxolitinib cream on itch were assessed by the proportion of patients achieving an itch numerical rating scale score of 0 or 1 (NRS 0/1) – Patients were given an electronic diary to be completed each evening and were instructed to report their worst level of itch during the past 24-hour period from 0 (no itch) to 10 (worst imaginable itch) – The by-visit itch NRS score for post-baseline visits (Weeks 2, 4, 8) was determined by averaging the 7 daily itch NRS scores before the study visit; if ≥4 daily scores were missing, the itch NRS score for the study visit was classified as missing ● The effects on eczema-related itch were also assessed using the proportion of patients reporting no days of itch per item 1 (frequency of itch; Q1) of the Patient-Oriented Eczema Measure (POEM)8 at baseline and Weeks 2, 4, and 8 ● Itch-free state was also assessed stratified by baseline itch NRS score (<6 or ≥6) Statistical Analyses ● All analyses were conducted using the pooled data from the vehicle-controlled portion of both studies ● The proportion of patients achieving itch NRS 0/1 and the number of days with no itch per POEM Q1 were assessed using logistic regression ● Cumulative incidence plots were created for time to itch NRS 0/1 – A log-rank test was used for between-group comparisons ● The efficacy population consisted of 1208 patients (vehicle, n=244; 0.75% ruxolitinib cream, n=483; 1.5% ruxolitinib cream, n=481) Results Patients ● A total of 1249 patients (median age, 32 years) were randomized in the VC period ● The mean (SD) itch NRS score at baseline was 5.1 (2.4) ● Distribution of baseline demographics and clinical characteristics was similar across treatment groups (Table 1) Table 1. ● At Week 8, the proportion of patients achieving itch NRS 0/1 (average of daily NRS measurements over the 7 days before the Week 8 visit) was significantly higher for patients who applied ruxolitinib cream (0.75%/1.5%) compared with vehicle (45.5%/51.5% vs 23.1%; both P<0.0001; Figure 3) Figure 3. keywords: cream; itch; nrs; patients; rux; ruxolitinib; vehicle cache: skin-1415.pdf plain text: skin-1415.txt item: #318 of 1356 id: skin-1416 author: Blauvelt, Andrew ; Eichenfeld, Lawrence; Kuligowski, Michael; Venturanza, May; Sun, Kang; Silverberg, Jonathan title: Long-term safety and disease control with ruxolitinib cream among patients with atopic dermatitis based on previous medication history: Pooled results from two phase 3 studies date: 2021-11-05 words: 2306 flesch: 36 summary: Andrew Blauvelt, MD, MBA,1 Lawrence F. Eichenfield, MD,2 Michael E. Kuligowski, MD, PhD, MBA,3 May E. Venturanza, MD,3 Kang Sun, PhD,3 Jonathan I. Silverberg, MD, PhD, MPH4 Introduction ● Atopic dermatitis (AD) is a chronic inflammatory skin disease characterized by itching, dryness, and redness1 ● Treatments for AD include topical corticosteroids (TCS), topical calcineurin inhibitors (TCI), and systemic immunomodulatory agents1 ● Some topical treatments may be insufficient because of inadequate efficacy, delayed onset of efficacy, duration-of-use limitations, anatomic use restrictions, poor tolerability, and/or adverse reactions1,2 – TCS are associated with decreased skin thickness and elasticity (eg, striae); they are also not recommended for long-term application or use in sensitive areas – TCI are associated with local reactions, such as stinging and burning ● Ruxolitinib cream is a topical formulation of ruxolitinib, a selective inhibitor of Janus kinase (JAK) 1 and JAK23 ● In two phase 3 randomized studies of identical design (TRuE-AD1 [NCT03745638] and TRuE-AD2 [NCT03745651]), ruxolitinib cream demonstrated anti-inflammatory activity with antipruritic action vs vehicle and was well tolerated in patients with AD3 Objective ● To evaluate the long-term safety and disease control of ruxolitinib cream based on types of previous medication using pooled data from two phase 3 trials in patients with AD Methods Study Design and Patients ● Eligible patients were aged ≥12 years with AD for ≥2 years and had an Investigator’s Global Assessment (IGA) score of 2 or 3 and 3%–20% affected body surface area (BSA), excluding scalp ● Key exclusion criteria were unstable course of AD, other types of eczema, immunocompromised status, use of AD systemic therapies during the washout period and during the study, use of AD topical therapies (except bland emollients) during the washout period and during the study, and any serious illness or medical condition that could interfere with study conduct, interpretation of data, or patients’ well-being – The washout period for prior therapies was 1 week for topical AD treatments, 4 weeks for systemic corticosteroids or other immunomodulating agents, and 12 weeks or 5 half-lives for biologics ● TRuE-AD1 and TRuE-AD2 had identical study designs (Figure 1) – In both studies, patients were randomized (2:2:1) to 1 of 2 ruxolitinib cream strength regimens (0.75% twice daily [BID], 1.5% BID) or vehicle cream BID for 8 weeks of double-blinded continuous treatment (vehicle-controlled [VC] period); patients were instructed to continue treating lesions even if they improved – Patients on ruxolitinib cream subsequently continued treatment for 44 weeks (long-term safety [LTS] period); patients initially randomized to vehicle were rerandomized 1:1 (blinded) to either ruxolitinib cream regimen ■ During the LTS period, patients were instructed to treat skin areas with active AD only and stop treatment 3 days after clearance of lesions; patients were to restart treatment with ruxolitinib cream at the first sign of recurrence Figure 1. keywords: cream; patients; period; ruxolitinib cache: skin-1416.pdf plain text: skin-1416.txt item: #319 of 1356 id: skin-1417 author: Simpson, Eric; Kircik, Leon ; Blauvelt, Andrew ; Kuligowski, Michael; Venturanza, May; Sun, Kang; Eichenfeld, Lawrence title: Long-Term Safety and Disease Control With Ruxolitinib Cream in Patients With More Severe Atopic Dermatitis: Pooled Results From Two Phase 3 Studies date: 2021-11-05 words: 2694 flesch: 61 summary: [NCT03745651]), ruxolitinib cream demonstrated anti-inflammatory activity with antipruritic action vs vehicle and was well tolerated in patients with AD7 Objective ● To evaluate the long-term safety and disease control of ruxolitinib cream in a subpopulation of patients with more severe AD at baseline Methods Study Design and Patients ● Eligible patients were aged ≥12 years with AD for ≥2 years and had an IGA score of 2 or 3 and 3%–20% affected BSA, excluding scalp ● Key exclusion criteria were unstable course of AD, other types of eczema, immunocompromised status, use of AD systemic therapies during the washout period and during the study, use of AD topical therapies (except bland emollients) during the washout period and during the study, and any serious illness or medical condition that could interfere with study conduct, interpretation of data, or patients’ well-being ● TRuE-AD1 and TRuE-AD2 had identical study designs (Figure 1) – In both studies, patients were randomized (2:2:1) to 1 of 2 ruxolitinib cream strength regimens (0.75% twice daily [BID], 1.5% BID) or vehicle cream BID for 8 weeks of double-blinded continuous treatment (vehicle- controlled [VC] period); patients were instructed to continue treating lesions even if they improved – Patients on ruxolitinib cream subsequently continued treatment for 44 weeks (long-term safety keywords: bsa; cream; lts; patients; period; rux cache: skin-1417.pdf plain text: skin-1417.txt item: #320 of 1356 id: skin-1418 author: Simpson, Eric; Bissonnette, Robert; Kuligowski, Michael; Venturanza, May; Sun, Kang; Silverberg, Jonathan title: Effects of Ruxolitinib Cream in Patients With Atopic Dermatitis With Head and/or Neck Involvement date: 2021-11-05 words: 2752 flesch: 58 summary: Assessments ● Pooled efficacy at Week 8 was assessed by achievement of the following endpoints in patients with HN involvement at baseline and the overall population: – IGA-treatment success (IGA-TS; IGA of 0/1 and ≥2-grade improvement from baseline) – ≥50%, ≥75%, and ≥90% improvement in Eczema Area and Severity Index vs baseline (EASI-50, EASI-75, and EASI-90 † Patients with missing post-baseline values were imputed as nonresponders at Weeks 2, 4, and 8. keywords: baseline; cream; patients; rux; vehicle; week cache: skin-1418.pdf plain text: skin-1418.txt item: #321 of 1356 id: skin-1419 author: Greywal, Tanya; Saedi, Nazanin; Ortiz, Arisa title: A Clinical Evaluation of the 1064nm Nd:YAG Laser with a 650-microsecond Pulse Duration for the Treatment of Acne Vulgaris date: 2021-11-05 words: 433 flesch: 53 summary: Treatments were very well tolerated with no reported pain during or after treatment. Treatments were performed on average every 1-4 weeks for 3 to 7 treatments. keywords: laser; yag cache: skin-1419.pdf plain text: skin-1419.txt item: #322 of 1356 id: skin-142 author: Kaufman, Joely; Cohen, Joel; Peredo, Marina; Jonas, Brandie; Nogueira, Alessandra; Mashburn, Jay H title: Two On-Label Injection Volumes of AbobotulinumtoxinA (ABO) Produce Simlar Safety and Efficacy Results when Used to Treate Moderate to Sever Glabellar Lines date: 2017-10-27 words: 1831 flesch: 57 summary: Population Group A (1.5 mL) – 0.05 mL/injection; Group B (2.5 mL) – 0.08 mL/injection; *P=.0377, Group A compared to Group B; Composite Responders = based on combined subject and blinded evaluator assessments; mITT = modified intent to treat Group A (1.5 mL) – 0.05 mL/injection; Group B (2.5 mL) – 0.08 mL/injection; Composite Responders = based on combined subject and blinded evaluator assessments; mITT ■ Responder rates for each treatment group were generally similar among all evaluations with the exception of ≥ 1-point composite responders at maximum frown at Day 2 (~ 24 hours post-treatment) where ABO 2.5 mL treatment group (Group B) had a statistically significant larger number of responders compared to ABO 1.5 mL treatment group (Group A; P = .0377). keywords: group; subjects cache: skin-142.pdf plain text: skin-142.txt item: #323 of 1356 id: skin-1420 author: Draelos, Zoe; Tanghetti, Emil; Stein Gold, Linda; Baldwin, Hilary ; Kircik, Leon ; Guenin, Eric title: Tazarotene 0.045% Lotion for Acne: Formulation, Application Characteristics, and Clinical Efficacy and Safety date: 2021-11-05 words: 1457 flesch: 48 summary: -35.2% TAZ 0.045% � Healthy female participants aged 35–65 years (N=15) answered a questionnaire on the properties of the vehicle lotion for tazarotene 0.045% Results � Most participants (93–100%) responded favorably (strongly agree or agree) to all questions about the various attributes of the vehicle lotion after application My skin feels… The product… CORNEOMETRY AND TRANSEPIDERMAL WATER LOSS (TEWL) TANGHETTI EA, ET AL. keywords: cream; lotion; skin; tazarotene; vehicle cache: skin-1420.pdf plain text: skin-1420.txt item: #324 of 1356 id: skin-1422 author: Tanghetti, Emil; Gold, Michael ; Sadick, Neil; Cook-Bolden, Fran; Kircik, Leon ; Stein Gold, Linda; Tyring, Stephen; Del Rosso, James; Guenin, Eric title: Improvements in Acne and Skin Oiliness with Tazarotene 0.045% Lotion in Acne Patients with Oily Skin date: 2021-11-05 words: 2031 flesch: 46 summary: In�ammatory -29.7% -40.2% -48.4% -28.9% -48.0% -57.0% -70% -60% -50% -40% -30% -20% -10% 0% Baseline Week 4 Week 8 Week 12 VEH (n=367) TAZ (n=369) *** *** ** -70% -60% -50% -40% -30% -20% -10% 0% **P<0.01; ***P<0.001 vs vehicle. keywords: lotion; participants; skin; taz; tazarotene; veh; week cache: skin-1422.pdf plain text: skin-1422.txt item: #325 of 1356 id: skin-1423 author: Del Rosso, James; Kircik, Leon ; Effron, Cheryl; Draelos, Zoe title: Oral Sarecycline for Treatment of Papulopustular Rosacea: Results of a Pilot Study Evaluating Efficacy and Safety date: 2021-11-05 words: 913 flesch: 34 summary: CONCLUSIONS • In this pilot study, oral sarecycline demonstrated effectiveness for treatment of papulopustular rosacea in adults as early as 4 weeks based on IGA scores and reductions in inflammatory lesion counts • Sarecycline improved facial symptoms, including burning, erythema, and pruritis • Sarecycline was associated with a favorable safety and tolerability profile, with AEs consistent with prior studies • Additional studies are warranted to further evaluate oral sarecycline as treatment for papulopustular rosacea 1 Enrolled participants (N=102) This was a prospective, parallel-group, 12-week, randomized, investigator-blinded, pilot study of oral sarecycline treatment for adults with moderate to severe papulopustular rosacea (Figure 1) • Eligible participants were adults (aged ≥18 years) with moderate or severe rosacea based on Investigator Global Assessment (IGA) rating with ≥15 and ≤50 facial papules/ pustules and ≤2 facial nodules • Statistical analyses were conducted on an intention-to- treat basis; all tests were 2-sided and interpreted at a 5% significance level Figure 1. keywords: figure; rosacea; sarecycline; week cache: skin-1423.pdf plain text: skin-1423.txt item: #326 of 1356 id: skin-1424 author: Moore, Angela; Moore, Stephen; Moore, Luke; Tyring, Stephen; Tyring, Stephen title: Sarecycline: Rapid Improvement of Truncal Acne in Hispanic Male date: 2021-11-05 words: 574 flesch: 54 summary: 1 • Since severity of truncal acne does not correlate with severity of facial acne, the psychosocial burden and physical pain and bleeding of truncal acne cannot be underestimated. 3 • Significant improvement in truncal acne, using IGA assessments, was reported with sarecycline in Phase 3 clinical trials. keywords: acne; sarecycline; trunk cache: skin-1424.pdf plain text: skin-1424.txt item: #327 of 1356 id: skin-1425 author: Bodor, Nicholas; Friedman, Adam; Smith, Stacy; Del Rosso, James; Dubois, Janet; Herbert, Adelaide; Sullivan, Tory; Rice, Zakiya; Gorlick, Joe; Kircik, Leon ; Green, Lawrence; Kirsch, Brandon ; Chadha, Deepak title: Investigating Treatment of Primary Axillary Hyperhidrosis With a Topical Retrometabolic Anticholinergic Drug date: 2021-11-05 words: 782 flesch: 29 summary: Sofpironium bromide (SB) is a novel, quaternary ammonium, anticholinergic drug that is a retrometabolically designed structural analogue of glycopyrrolate. Unlike glycopyrrolate, SB includes a readily hydrolyzable ester moiety. keywords: dermatology; drug; glycopyrrolate cache: skin-1425.pdf plain text: skin-1425.txt item: #328 of 1356 id: skin-143 author: Meckfessel, Matthew H; Teissedre, Sandrine; Lachmann, Nadege; Santoro, Francine title: Tolerability and Efficacy of a Moisturizing Broad Spectrum Sunscreen Formulated for Redness-Prone Skin date: 2017-10-27 words: 818 flesch: 38 summary: This poster  presents the results of two clinical studies that assessed the performance and tolerability  of DFM. TOLERABILITY AND EFFICACY OF A MOISTURIZING BROAD SPECTRUM SUNSCREEN FORMULATED FOR REDNESS­PRONE SKIN Matthew H Meckfessel, PhD1; Sandrine Teissedre, MSc2; Nadege Lachmann3; Francine Santoro, MD3  1Galderma Laboratories, L.P., Fort Worth, Texas; 2Galderma R&D, Sophia Antipolis, France; 3Galderma R&D, Egerkingen, Switzerland CET.P­RD105649­01 SUMMARY DFM significantly improves skin hydration and skin barrier  function and is an ideal daily broad spectrum facial moisturizer  for patients with rosacea and sensitive skin SUBJECTS and METHODS Study 1: Hydration and Skin Barrier Function  • Men and women with dry volar forearms • Inner forearms randomized to treated and control • 40 mg of product applied to 20 cm2  ­ Corneometer and transepidermal water loss (TEWL) assessed at baseline and 2, 4, 8, and 24 hours Study 2: In Use Efficacy and Tolerability • Men or women with rosacea and mild to moderate non­transient erythema • Product applied QD in the morning for 3 weeks • Assessments made on day 1 before application, day 1 30 minutes after first use and days 3, 8, and 22 before product application  ­ Objective (chromameter) and subjective (investigator and subject) assessment of redness  ­ Investigator and subject tolerability assessments · Redness and tolerability assessments made on a 5 point scale of 0 (none), 0.5 (very slight), 1 (slight), 2 (moderate) and 3 (strong)  ­ Subject satisfaction M ea n  Sc or e Baseline 30 Minutes Dryness Tightness 0 0.1 0.7 0.2 0.5 1 2 3 *P < .05 vs baseline * * Disagree Neutral Agree Percent of Subjects Overall, I like the product very much Easy to apply Suitable for sensitive skin Neutralizes the look of redness 0 100 12020 40 60 80 0 96.7 73.3 23.3 3.3 3.3 70.0 90.0 6.7 6.7 6.7 20.0 P < .05 for Agree vs Disagree for all Figure 4. Subject Assessment of Dryness and Tightness (n=30) Figure 5. Subject Satisfaction  Additionally it is also formulated with allantoin, caffeine, licorice  root extract, and vitamin E to help calm and soothe rosacea­prone skin. keywords: skin; subject cache: skin-143.pdf plain text: skin-143.txt item: #329 of 1356 id: skin-1430 author: Goldberg, Matthew; Siegel, Jennifer; Russell, Brooke; Rogers, Jason; Covington, Kyle ; Oelschlanger, Kristen; Poteet, Trisha; Wilkinson , Jeffrey; Berg, Michael; Falkowski, Katherine; Kurley, Sarah; Kajoian, Armineh title: A comprehensive diagnostic offering workflow increases the rate of actionable results of the 23- and 35-gene expression profile tests for use as ancillary diagnostic tools for difficult-to-diagnose melanocytic lesions date: 2021-11-05 words: 1183 flesch: 59 summary: The tests use proprietary algorithms to produce results of likely benign, intermediate, or malignant.5-7 › The 23-GEP has shown accuracy metrics of over 90% sensitivity in multiple clinical studies that included patient outcomes.8-10 However, the 23-GEP historically has resulted in ~23% of cases receiving either a technical failure or an intermediate result, which can be perceived as nonactionable.6,11-13 The 35-GEP test can address this shortcoming and showed both an increased sensitivity in the first validation cohort and a decreased nonactionable rate of 8.5%.7 › Clinical utility has been demonstrated with benign and malignant GEP test results;11,14 therefore, those test results are defined as actionable. is well documented and particularly prevalent among difficult-to-diagnose cases, for which histopathology may be insufficient for a definitive diagnosis.1-4 › The 23-gene expression profile (GEP; myPath Melanoma) and 35-GEP (DiffDx-Melanoma) tests are clinically available objective ancillary tools that facilitate diagnosis of melanocytic lesions with ambiguous histopathology. keywords: cases; gep cache: skin-1430.pdf plain text: skin-1430.txt item: #330 of 1356 id: skin-1431 author: Martin, Brian ; Taylor, Nicholas; Whitman, Eric; Quick, Ann; Bailey, Christine; Covington, Kyle ; Vetto, John title: Integrating the 31-gene expression profile and clinicopathologic data to determine the risk of sentinel lymph node positivity and recurrence-free survival in cutaneous melanoma date: 2021-11-05 words: 851 flesch: 70 summary: SLN positivity risk have good outcomes based on Kaplan-Meier analysis and were not evaluated further in this study. Keller, J. et al. keywords: gep; i31; patients cache: skin-1431.pdf plain text: skin-1431.txt item: #331 of 1356 id: skin-1432 author: Martin, G; Berman, B; Feldman, S; Armstrong , A ; Edwards, M; Graziadio, S; McCool, R; Arber, M; Carr, E; James, D; Chapman-Rounds, M; Fumero, E; Schuchardt, M; Grada, A title: Field Treatments for Actinic Keratosis: A Systematic Review and Network Meta-Analysis date: 2021-11-05 words: 918 flesch: 33 summary: Two sets of analyses were proposed; primary analyses would include only the results of studies offering participants one course or session of treatment (a trial design comparable with that of the two tirbanibulin RCTs), while the secondary analyses would include results of studies offering any number of courses or sessions of treatment, plus retreatment where offered. Based on the overlap of credible intervals shown in the statistical plots, the novel topical treatment (tirbanibulin 1% ointment) appeared to be as efficacious as existing treatments, and more so than topical placebo or diclofenac 3%. keywords: analysis; nma; studies; treatments cache: skin-1432.pdf plain text: skin-1432.txt item: #332 of 1356 id: skin-1434 author: Ghannoum, Mahmoud; Herrada, Janet; Gamal, Ahmed; Long, Lisa; McCormick, Thomas; Grada, Ayman title: Sarecycline exhibits decreased activity Against Representative Bacterial and Fungal Microflora Commonly Present in the Human Gastrointestinal Tract date: 2021-11-05 words: 795 flesch: 15 summary: Effect of sarecycline vs. minocycline on the growth rates of Anaerobic Microorganisms Sarecycline Demonstrated Reduced Activity Against Representative Bacterial and Fungal Microflora Commonly Present in the Human Gastrointestinal Tract Phylum Genus Species Sarecycline Minocycline Fold Difference in MIC Actinobacteria Bifidobacterium Bifidobacterium adolescentis 1 1 1 Actinobacteria Collinsella Collinsella aerofaciens 1 0.5 2 Actinobacteria Eggerthella Eggerthella lenta 1 0.5 2 Actinobacteria Actinomycetales Propionibacterium freudenreichii 8 1 8 Bacteroidetes Bacteroides Bacteroides caccae 8 0.25 32 Bacteroidetes Bacteroides Bacteroides fragilis enterotoxigenic (ET) 2 4 0.5 Bacteroidetes Bacteroides Bacteroides fragilis nontoxigenic 1 0.25 4 Bacteroidetes Bacteroides Bacteroides ovatus 0.5 0.5 1 Bacteroidetes Bacteroides Bacteroides thetaiotaomicron 0.25 0.125 2 Bacteroidetes Bacteroides Bacteroides uniformis 2 0.5 4 Bacteroidetes Bacteroides Bacteroides vulgatus 0.125 0.016 7.8 Bacteroidetes Bacteroides Bacteroides xylanisolvens 1 0.25 4 Bacteroidetes Bacteroides Bifidobacterium subtile Biavati >8 8 Not Determined Bacteroidetes Odoribacter Odoribacter splanchnicus 8 4 2 Bacteroidetes Parabacteroides Parabacteroides distasonis 8 2 4 Bacteroidetes Parabacteroides Parabacteroides merdae 0.06 0.016 3.8 Firmicutes Blautia Blautia obeum 1 0.5 2 Firmicutes Clostridium Clostridium bolteae 4 0.5 8 Firmicutes Clostridium Clostridium ramosum 2 0.06 33.3 Firmicutes Clostridium Clostridium saccharolyticum 2 2 1 Firmicutes Dorea Dorea formicigenerans 0.25 0.06 4.2 Firmicutes Eubacterium Eubacterium eligens >8 4 Not Determined Firmicutes Lactobacillus Lactobacillus paracasei 1 0.25 4 Proteobacteria Escherichia Escherichia coli IAI1 16 8 2 Sac fungi Candida Candida albicans 32 16 2 Sac fungi Candida Candida glabrata 32 In vivo evaluation is ongoing • Sarecycline showed significantly less activity against E. coli compared to minocycline at all time points (P- values <0.05) • Sarecycline was significantly less active against C. tropicalis compared to minocycline at 20 and 22 hours post exposure (P-values <0.05) • Time kill study shows that with longer time exposure sarecycline has less inhibitory activity against Candida • Sarecycline showed significantly less activity against L. paracasei compared to minocycline after 24 hours of growth (P-value of 0.002) keywords: bacteroides; minocycline; sarecycline cache: skin-1434.pdf plain text: skin-1434.txt item: #333 of 1356 id: skin-1435 author: Wang, Jordan; Friedman, Paul; Konda, Adarsh; Parker, Catherine; Geronemus, Roy title: Enhanced Uptake of 2% Salicylic Acid Following 1440-nm Non-ablative Fractional Diode Laser Treatment date: 2021-11-05 words: 773 flesch: 50 summary: salicylic acid uptake, low-power 1440-nm non-ablative fractional diode laser pretreatment with 320 MTZ/cm2 resulted in greater retention within skin tissue samples compared to untreated controls and the 80-MTZ/cm2 setting • Retention enhancement following treatment with greater MTZ density did not appear to have an additive effect on overall uptake at 24 hours, supporting the argument that salicylic acid uptake may be predominantly transfollicular • These results may guide the development of treatment protocols for clinical use of non-ablative fractional laser pretreatment to enhance uptake of salicylic acid–containing topicals Presented at the 2021 Fall Clinical Dermatology Conference • October 21-24, 2021 • Las Vegas, NV, and Virtual Funding information: This study was sponsored by Solta Medical. Experimental Parameters • Following laser pretreatment, 2% salicylic acid was applied, and uptake was determined at various time points up to 24 hours after application (Figure 1) Figure 1. keywords: cm2; laser; mtz; uptake cache: skin-1435.pdf plain text: skin-1435.txt item: #334 of 1356 id: skin-1436 author: Wang, Jordan; Friedman, Paul; Konda, Adarsh; Parker, Catherine; Geronemus, Roy title: Enhanced Uptake of 10% Ascorbic Acid After 1440-nm or 1927-nm Non-ablative Fractional Diode Laser Treatment date: 2021-11-05 words: 905 flesch: 58 summary: Uptake Ratios of 10% Ascorbic Acid SYNOPSIS • The stratum corneum forms a vital protective barrier along the outer layer of the skin, but also prevents optimal uptake of topical formulations1 • Lasers can facilitate better penetration and absorption of topicals by disrupting the stratum corneum and tight junctions in the epidermis2 • Non-ablative lasers generally target dermal tissue and largely spare the stratum corneum, which minimizes overall thermal side effects and postprocedural recovery time, while fractionation further reduces postprocedural downtime3,4 • The relationship between topical uptake and laser device settings, such as wavelength, peak power, and spot density, must be quantified to optimize treatment benefits Enhanced Uptake of 10% Ascorbic Acid After 1440-nm or 1927-nm Non-ablative Fractional Diode Laser Treatment Jordan V. Wang, MD, MBE, MBA1; Paul M. Friedman, MD1,2; Adarsh Konda, PharmD3; Catherine Parker, NP, MSN4; Roy G. Geronemus, MD1 1Laser & Skin Surgery Center of New York, New York, NY; 2Dermatology and Laser Surgery Center, Houston, TX; 3Bausch Health US, LLC, Bridgewater, NJ; 4Solta Medical, Bothell, WA OBJECTIVE • To quantify uptake of 10% ascorbic acid following pretreatment with low-power 1440-nm or 1927-nm non-ablative fractional diode lasers (Clear + Brilliant® laser system; Solta Medical, Bothell, WA) with varying treatment densities CONCLUSIONS • Experimental Parameters • Following laser pretreatment, 10% ascorbic acid (Obagi®, Long Beach, CA; 2010 formulation) was applied, and permeation was measured up to 24 hours after application (Figure 1) • keywords: cm2; laser; mtz cache: skin-1436.pdf plain text: skin-1436.txt item: #335 of 1356 id: skin-1437 author: Wang, Jordan; Friedman, Paul; Konda, Adarsh; Parker, Catherine; Geronemus, Roy title: Quantifying Uptake of Topical 4% Hydroquinone After 1440-nm and 1927-nm Non-ablative Fractional Diode Laser Treatment date: 2021-11-05 words: 785 flesch: 45 summary: RESULTS • Pretreatment with the 1927-nm wavelength resulted in greater cumulative uptake of 4% hydroquinone serum compared to the 1440-nm wavelength and untreated control (Figure 2) Figure 2. METHODS • Human donor skin tissue samples of 500-µm thickness were pretreated with a 1440-nm or 1927-nm laser (Clear + Brilliant® laser system; Solta Medical, Bothell, WA), or received no pretreatment (Table 1) keywords: uptake cache: skin-1437.pdf plain text: skin-1437.txt item: #336 of 1356 id: skin-1438 author: Wang, Jordan; Friedman, Paul; Konda, Adarsh; Parker, Catherine; Geronemus, Roy title: Quantifying Uptake of Eye Serum After 1440-nm or 1927-nm Non-ablative Fractional Diode Laser Treatment date: 2021-11-05 words: 843 flesch: 50 summary: These results provide a foundation for guidance on the use of non-ablative lasers in clinical studies on topical uptake enhancement Presented at the 2021 Fall Clinical Dermatology Conference • October 21-24, 2021 • Las Vegas, NV, and Virtual Funding information: This study was sponsored by Solta Medical. Cumulative permeation of mineral eye serum after laser pretreatment. keywords: laser; pretreatment; uptake cache: skin-1438.pdf plain text: skin-1438.txt item: #337 of 1356 id: skin-1439 author: Desai, Seemal title: Cysteamine: Clinical efficacy, safety and tolerability versus best-in-class treatments for melasma date: 2021-11-05 words: 1439 flesch: 51 summary: At week 16, ST-CYS-5% was shown to be slightly superior in MASI score reduction compared to HQ4% when analyzed as per protocol (-39.1% versus -33%, p=0.96) 11 • Cascade reaction: increase of intracellular glutathione, amplifying natural depigmenting effects.12 • Keratolytic effect: by breaking keratin disulfide bonds, it enhances the removal of melanin contained in the superficial epidermis layers and accelerates the epidermal turnover for generation of new non-pigmented skin layers.13 5% Stabilized Cysteamine (ST-CYS-5%) versus modified Kligman’s formula (mKF)14 Material and methods Double-blinded, Investigator-driven, randomized 50 female with melasma, 20-50 years old, assigned in 2 groups: •ST-CYS-5% 15min application + moisturizer + sunscreen (daily, 16weeks) keywords: cys-5; cysteamine; evaluation; melasma; mmasi; weeks cache: skin-1439.pdf plain text: skin-1439.txt item: #338 of 1356 id: skin-144 author: Meckfessel, Matthew H; Teissedre, Sandrine; Lachmann, Nadege; Santoro, Francince title: An Effective yet Gentle Foaming Facial Cleanser Specifically Designed for Redness-Prone Skin date: 2017-10-27 words: 707 flesch: 49 summary: ACKNOWLEDGEMENTS Study funded by Galderma R&D; poster/editorial support provided by Galderma Laboratories, L.P. INTRODUCTION Cleansing skin is an important component of maintaining healthy skin as it removes dirt, oil, make up, and helps prepare the skin for topical prescription treatments. Chromameter Assessment Disagree Neutral Agree Percent of Subjects Overall, I like the product very much Is suitable for sensitive skin Washes away face make up and skin impurities Rinses easily to leave skin soft and clean 0 50 6010 20 30 40 70 80 90 100 24.2 69.7 66.7 3.0 3.0 3.0 3.0 21.2 9.1 15.2 78.8 90.9 P < .05 for Agree vs Disagree for all Figure 5. keywords: day; figure; skin cache: skin-144.pdf plain text: skin-144.txt item: #339 of 1356 id: skin-1440 author: Saki, Nasrin title: Stabilized Cysteamine 5% Cream for the Treatment of Senile Lentigo date: 2021-11-05 words: 850 flesch: 52 summary: doi:10.1001/archderm.1975.01630130042004 ReferencesReferences • Randomized, double-blinded; 30 subjects with dorsal hand lentigines • Cyspera® Cysteamine 5% from Scientis vs vehicle, 15-minutes daily short contact; Sunscreen daily • Colorimetry and visual analogue scale (VAS) at baseline, 4-weeks, 8-weeks and 12-weeks • Mean age 49.5; Gender 8:22 M:F distributed equally Material & MethodsMaterial & Methods Vehicle Cysteamine 0 50 100 150 200 250 300 350 400 450 500 387 294 397 481 COLORIMETRY Vehicle Cysteamine 0 1 2 3 4 5 6 7 8 9 7.46 5.09 7.33 8.27 VAS Subject 1 Baseline week-12 Subject 2 Baseline week-12 40% reduction in colorimetry (p<0.002) vs 2% reduction in non-treatment arm (p<0.405) 40% reduction In VAS (p<0.001) vs 2% reduction in non-treatment arm p<0.245) Learn more about the product: Stabilized Cysteamine 5% Cream for the Treatment of Senile Lentigo Nasrin Saki, MD, Shiraz University of Medical Sciences Stabilized Cysteamine 5% Cream for the Treatment of Senile Lentigo Nasrin Saki, MD, Shiraz University of Medical Sciences ”Efficacy of cysteamine cream in the treatment of epidermal melasma, evaluating by Dermacatch : a randomized double blind placebo controlled study”. keywords: cream; cysteamine cache: skin-1440.pdf plain text: skin-1440.txt item: #340 of 1356 id: skin-1441 author: Ablon, Glynis; Berkowitz, Sheryl; Kogan, Sophia; Raymond, Isabelle title: Long-Term Efficacy of a Nutraceutical Supplement for Promoting Hair Growth in Perimenopausal, Menopausal and Postmenopausal Women with Self-Perceived Thinning Hair date: 2021-11-05 words: 915 flesch: 45 summary: The results of this study showed significant and progressive improvements in hair growth during 6 and 12 months, demonstrating the ability of a nutraceutical supplement to effectively improve hair growth and quality in peri-, menopausal and postmenopausal women with thinning hair. A 13% increase was noted from Day 180 to 360 but was not statistically significant When switched over to the active treatment, subjects initially in the placebo group had: • 5.1% increase in hair growth (p<0.001) • 39% decrease in shedding (p<0.0001) from day 180 to 360. keywords: day; growth; hair cache: skin-1441.pdf plain text: skin-1441.txt item: #341 of 1356 id: skin-1442 author: Siegfried, Elaine; Eichenfeld, Lawrence; Kwong, Pearl ; Desai, Seemal; Cutler, Susan ; Wilson, Cynthia; Rumney, Pamela; Crosby, Christine ; Andres, Jennifer; McBride, Mark title: Pooled Results of VP-102 Safety and Efficacy in Phase 3 Trials for Molluscum Contagiosum by Fitzpatrick Skin Type (FST) date: 2021-11-05 words: 899 flesch: 73 summary: • Study included 180 subjects with FST I or II (n=101 VP-102; n=79 vehicle), 270 with FST III or IV (n=166 VP-102; n=104 vehicle), and 77 with FST V or VI (n=42 VP-102; n=35 vehicle). • VP-102, a single-use proprietary drug-device combination product (cantharidin 0.7%), is under investigation for treatment of molluscum contagiosum (MC). keywords: day; type; vehicle; vp-102 cache: skin-1442.pdf plain text: skin-1442.txt item: #342 of 1356 id: skin-1444 author: Lipner, Shari; Josepth, Warren; Vlahovic, Tracy; Scher, Richard; Rich, Phoebe; Ghannoum, Mahmoud; Daniel, Ralph; Elewski, Boni title: Therapeutic Recommendations for the Treatment of Toenail Onychomycosis in the US date: 2021-11-05 words: 2026 flesch: 43 summary: Efinaconazole preferred for topical treatment due to higher rates of complete cure and mycologic cure versus other topical treatments. Wear �ip �ops or shower shoes. keywords: disease; figure; nail; onychomycosis; patients; topical; treatment cache: skin-1444.pdf plain text: skin-1444.txt item: #343 of 1356 id: skin-1445 author: Zirwas, Matthew; Draelos, Zoe; Dubois, Janet; Kircik, Leon ; Moore, Angela; Stein Gold, Linda; Alonso-Llamazares, Javier ; Bukhalo, Michael; Bruce, Suzanne; Eads, Kimmie; Green, Lawrence; Guenthner, Scott; Ferris, Laura; Forman, Seth; Kempers, Steven; Lain, Edward ; Lynde, Charles; Pariser, David; Pariser, David; Toth, Darryl; Yamauchi, paul; Burnett, Patrick; Berk, David title: A Randomized, Double-blind, Vehicle-Controlled Phase 2a Study Evaluating Once Daily Roflumilast Foam 0.3% in Patients With Moderate to Severe Seborrheic Dermatitis date: 2021-11-05 words: 3146 flesch: 54 summary: Overall, 92% of patients completed the study (Table 2) – Few patients discontinued due to adverse events (AEs) • Demographics and baseline characteristics were similar in the treatment groups (Table 3) CONCLUSIONS • Roflumilast foam 0.3% demonstrated significant improvement in IGA Success, erythema, scaling, and itch – The improvements in IGA Success were statistically significant at the first post-baseline visit (Week 2) and continued through Week 8 – Roflumilast foam resulted in significant improvements in itch by Week 2 • ~80% of patients reported notable itch at baseline (WI-NRS ≥4) – Roflumilast reduced BSA affected and improved patient quality of life (DLQI) • Rates of treatment-related AEs, discontinuations due to AEs, and application-site pain were low and similar to vehicle • Vehicle (n=71) -66.6% -28.5% Significant improvements in BSA affected and DLQI at Week 8 (A) (B) 1-4 -3.5 -3 -2.5 -2 -1.5 -1 -0.5 0 Baseline Week 2 Week 4 Week 8 LS M ea n Cf B in D LQ I ( SE ) keywords: baseline; derm; foam; iga; patients; roflumilast; success; usa; vehicle; week cache: skin-1445.pdf plain text: skin-1445.txt item: #344 of 1356 id: skin-145 author: Meckfessel, Matthew H; Teissedre, Sandrine; Lachmann, Nadege; Santoro, Francince title: Performance of a Facial Night Moisturizer for Redness-Prone Skin date: 2017-10-27 words: 641 flesch: 50 summary: 24 hours Study 2: In Use Efficacy and Tolerability • Men or women with rosacea and mild to moderate non-transient erythema • Product applied QD in the evening for 3 weeks • Assessments made on day 1 before application, day 1 30 minutes after first use and days 8, and 22 before product application - Objective (chromameter) and subjective (investigator and subject) assessment of redness - Investigator and subject tolerability assessments · Redness and tolerability assessments made on a 5 point scale of 0 (none), 0.5 (very slight), 1 (slight), 2 (moderate) and 3 (strong) - Subject satisfaction PERFORMANCE OF A FACIAL NIGHT MOISTURIZER DESIGNED FOR REDNESS-PRONE SKIN Matthew H Meckfessel, PhD1; Sandrine Teissedre, MSc2; Nadege Lachmann3; Francine Santoro, MD3 1Galderma Laboratories, L.P., Fort Worth, Texas; 2Galderma R&D, Sophia Antipolis, France; 3Galderma R&D, Egerkingen, Switzerland CET.P-RD105328-01 SUMMARY CNM significantly improves skin hydration and skin barrier function and is an ideal nightly facial moisturizer for patients with rosacea RESULTS Skin hydration and skin barrier function significantly improved for 24 and 8 hours, respectively, compared to untreated and baseline (Figures 1 and 2). Regular use of a moisturizer by patients with rosacea can help alleviate skin dryness and restore skin barrier function. keywords: baseline; skin cache: skin-145.pdf plain text: skin-145.txt item: #345 of 1356 id: skin-1450 author: Enos, Clinton; O'Connell, Katie; Harrison, Ryan; McLean, Robert; Dube, Blessing ; Van Voorhees, Abby title: Regional Variation in DLQI 0/1 within the CorEvitas Psoriasis Registry 6-months following Biologic Initiation date: 2022-01-17 words: 1398 flesch: 58 summary: 41 RESEARCH LETTER Regional Variation in DLQI 0/1 Within the CorEvitas Psoriasis Registry 6-months Following Biologic Initiation Clinton W. Enos, MD, MS1, Katie A. O’Connell, MS1, Ryan W. Harrison, MS2, Robert R McLean, DSc, MPH2, Blessing Dube, MPH2, Abby S. Van Voorhees, MD1 1 Eastern Virginia Medical School Department of Dermatology, Norfolk, VA 2 CorEvitas, LLC, Waltham, MA Recently, we identified geographic variation in treatment patterns and outcomes among psoriasis patients across the United States (US) enrolled in the CorEvitas Psoriasis Registry.1 As there is a predictive correlation between reductions in psoriasis area severity index (PASI) and the Dermatology Life Quality Index (DLQI) scores among psoriasis patients treated in clinical trials with biologics,2 we assessed for geographic differences in achieving DLQI 0/1 among US patients initiating a biologic therapy in 2018 in the CorEvitas Psoriasis Registry, a multicenter registry of psoriasis patients under the care of a dermatologist. keywords: 0/1; corevitas; dlqi; patients; psoriasis cache: skin-1450.pdf plain text: skin-1450.txt item: #346 of 1356 id: skin-1456 author: Kim, Lori; Dodd, Erin; Chadha, Angad title: Segmental Kaposi Sarcoma in an Immunocompromised Patient date: 2022-01-17 words: 1496 flesch: 49 summary: The patient was not a candidate for local treatments alone due to the number of lesions; he was originally discharged with plans to adjust his immunosuppression and assess KS response before considering local therapies. Given the patient’s tenuous clinical status and difficulty obtaining a lung biopsy, he was treated empirically with broad-spectrum antimicrobials and soon thereafter with intravenous liposomal doxorubicin for possible KS. keywords: isotopic; patient; response; skin cache: skin-1456.pdf plain text: skin-1456.txt item: #347 of 1356 id: skin-1457 author: Surjanto, Kezia; Rensch, Gage; Vick, Garrett; Murina, Andrea title: Wells Syndrome with Sustained Response to Omalizumab date: 2022-03-04 words: 1519 flesch: 53 summary: Autoimmunity, insect bites, drugs, contact allergens, infections, and photosensitivity are triggers that have previously been associated with this diagnosis.1 Treatment options for Wells syndrome include corticosteroids, antihistamines, antibiotics, immunosuppressants, and biologics.2 We present a case of Wells syndrome that was unresponsive to corticosteroids, antivirals, antibiotics, antihistamines, and dapsone. This case reflects one of the few reported instances of Wells syndrome that was successfully treated with omalizumab. keywords: omalizumab; syndrome; weeks; wells cache: skin-1457.pdf plain text: skin-1457.txt item: #348 of 1356 id: skin-1458 author: O'Connell, Katie; Svoboda, Ryan ; Anderson, Bryan; Helm, Klaus; Ken , Kimberly title: A Diagnostic Challenge: Desmoplastic Melanoma date: 2022-03-04 words: 1301 flesch: 50 summary: Due to these challenges, a delay in diagnosis of DM is not uncommon, particularly if a partial biopsy is taken or if appropriate immunohistochemistry is not performed due to low clinical suspicion.4 There are two subtypes of DM—pure DM (pDM) and mixed DM (mDM)—named by the degree of desmoplasia.3 Mixed DM arises from and thus resembles preexisting lesions of another melanoma subtype (often lentigo maligna melanoma).3 In contrast, pDM arises de novo.1,4 As with all melanoma, the mainstay of treatment is wide local excision with margins determined by Breslow depth.1,5 Compared to mDM, pDM exhibits a lower propensity for regional lymph node involvement, but a similar rate of distant metastasis, suggesting possible hematogenous spread.4 Due to the lack of robust evidence, the utility of sentinel lymph node biopsy (SLNB) for patients with pDM remains controversial.5 Histologically, DM is characterized by a paucicellular proliferation of spindled melanocytes accompanied by a densely fibrotic stroma and may closely resemble scar or other spindle cell tumors including atypical fibroxanthoma/pleomorphic dermal sarcoma, spindle cell squamous cell carcinoma (SCC), and leiomyosarcoma.1 Immunohistochemistry is essential to the diagnosis; S-100 is diffusely positive and markers of melanocytic differentiation such as Melan-A and SOX-10 are often positive but can be focally negative.1,4 The absence of staining for epithelial markers such as cytokeratins 5/6 and muscle markers such as smooth muscle actin and desmin help to differentiate DM from spindle SCC and leiomyosarcoma, respectively. keywords: biopsy; desmoplastic; melanoma; skin cache: skin-1458.pdf plain text: skin-1458.txt item: #349 of 1356 id: skin-146 author: Stein Gold, Linda; Lain, Edward; Harvey, Alison title: The Anti-Inflammatory Properties of Ivermectin and Brimonidine in the Treatment of Papulopustular Rosacea date: 2017-10-27 words: 1250 flesch: 60 summary: Once daily IVM vehicle and BR vehicle for 12 weeks (vehicle group, n = 95) - A daily skin care regimen of gentle cleanser, moisturizing lotion and facial moisturizer SPF 15 sunscreen • Efficacy and safety endpoints - IGA success (0/1 [clear/almost clear], 5-point scale, week 12, 3 hours after BR application), IGA at each visit, CEA, 100% reduction in IL count, and subject global improvement of rosacea - AEs were monitored throughout the study RESULTS Study 1 • Anti-inflammatory synergy was observed between IVM and BR in the mouse model • IVM+BR had a similar effect on ear edema at 6 hours when compared with a potent corticosteroid or NSAID (Figure 1 and 2) Study 2 • Subjects who began IVM+BR treatment at baseline had an improved rate of IGA success when compared with both vehicle and subjects who began BR treatment at week 8 (Figure 3) • Subjects who began IVM+BR treatment at baseline had improved CEA assessments at week 12 when compared with both vehicle and subjects who began BR treatment at week 8 (Figure 4) • Subjects who began IVM+BR treatment at baseline were more likely to achieve a 100% reduction in lesions at week 12 when compared with both vehicle and subjects who began BR treatment at week 8 (Figure 5) Safety • Only 8 treatment-related AEs in 6 subjects (3.2%) were reported; none were serious or severe. The regimen of IVM+BR is a safe and effective option for the comprehensive management of this complex disease • These studies suggest that initiating rosacea therapy with IVM+BR, along with a complete daily skin care regimen, may improve and accelerate the efficacy of IVM treatment, without impairing tolerability • Treating with IVM+BR from the start was more effective than an initial period of IVM treatment alone followed by IVM+BR REFERENCES 1. keywords: ivm; treatment; vehicle cache: skin-146.pdf plain text: skin-146.txt item: #350 of 1356 id: skin-1461 author: Mancuso, Christopher; Reiter, Paloma; Zambrano, Regina; Saini, Ritu; Sirota-Rozenberg, Suzanne title: SARS-Cov-2 Infection Uncovering Latent Mycobacterium Leprae Infection date: 2022-03-04 words: 1714 flesch: 47 summary: Will cases of leprosy reaction increase with COVID-19 infection? There are very few reports of leprosy with concurrent COVID-19.1 Limited literature suggests two theories have been postulated thus far: keywords: case; covid-19; infection; leprosy; patients; skin; type cache: skin-1461.pdf plain text: skin-1461.txt item: #351 of 1356 id: skin-1463 author: Kolla, Avani; Fried, Lauren; Shah, Payal; Liebman, Tracey; Stein, Jennifer; Polsky, David title: Impact of Electrical Impedance Spectroscopy on Clinician Confidence and Diagnostic Accuracy in Evaluating Melanocytic Skin Lesions Suspicious for Melanoma: A Pilot Study date: 2022-01-17 words: 4097 flesch: 55 summary: Results: Addition of EIS scores increased mean biopsy sensitivity for melanoma/severely dysplastic nevi from 70% to 84% (p = .014) and mean diagnostic accuracy from 74% to 86% (p = .005). The addition of EIS scores to clinical images resulted in more accurate biopsy decision- making by clinicians in survey studies.14-16. keywords: confidence; eis; images; lesions; melanoma; score; students cache: skin-1463.pdf plain text: skin-1463.txt item: #352 of 1356 id: skin-1464 author: Lee, Victoria; Hoffman, Mark ; Ruiz de Luzuriaga, Arlene title: A Case of Amelanotic Melanoma in the Setting of Cemiplimab Therapy for Invasive Squamous Cell Carcinoma date: 2022-03-04 words: 1409 flesch: 49 summary: Migden MR, Khushalani NI, Chang ALS, et al. Cemiplimab in locally advanced cutaneous squamous cell carcinoma: results from an open- label, phase 2, single-arm trial. 4. Stratigos AJ, Sekulic A, Perris K, et al. Cemiplimab in locally advanced basal cell carcinoma after hedgehog inhibitor therapy: an open-label, multi-centre, single-arm, phase 2 trial. keywords: amelanotic; cemiplimab; melanoma; therapy cache: skin-1464.pdf plain text: skin-1464.txt item: #353 of 1356 id: skin-1465 author: Sterner, Jessica; Rushing, Benjamin; Rensch, Gage; Murina, Andrea title: Recognizing Adnexal Tumors in Skin of Color date: 2022-01-17 words: 451 flesch: 56 summary: This case highlights the importance of recognizing pigmented adnexal tumors in skin of color and represents a rare location for an eccrine poroma. The differential diagnosis included acrochordon, condyloma, verrucous carcinoma, basal cell carcinoma, and melanoma. keywords: poroma; tumor cache: skin-1465.pdf plain text: skin-1465.txt item: #354 of 1356 id: skin-1467 author: Guenin, Sophie; Elbogen , Emily; Kresch , Mindy; Lebwohl , Mark title: Herpes Zoster Post-COVID-19 Vaccination in Young Adults (Under 35): Case Series date: 2022-03-04 words: 1807 flesch: 56 summary: Our goal is to call for closer investigation given the anecdotal increase in HZ cases seen in our vaccinated patients. Lastly, we must also acknowledge the variety of confounding factors in reported HZ cases during the pandemic. keywords: cases; reactivation; vaccination; vaccine; varicella; zoster cache: skin-1467.pdf plain text: skin-1467.txt item: #355 of 1356 id: skin-147 author: Stein Gold, Linda; Papp, Kim; Lynde, Charles; Lain, Edward; Gooderham, Melinda; Johnson, Sandra; Kerrouche, Nabil; Schafer, Gregor title: Concurrent Administration of Ivermectin 1% Cream with Brimonidine 0.33% Gel Improves Efficacy and Tolerability in the Treatment of Moderate-to-Severe Rosacea date: 2017-10-27 words: 1488 flesch: 64 summary: A trend towards higher efficacy was observed in the IVM+BR/12W compared to the IVM+BR/8W subgroup for both outcomes, corroborating the additive effect of BR when taken concomitantly with IVM treatment. Vehicle group: - Once-daily IVM vehicle and once-daily BR vehicle for 12 weeks (vehicle group, n=95). keywords: ivm; vehicle; weeks cache: skin-147.pdf plain text: skin-147.txt item: #356 of 1356 id: skin-1471 author: Lauck, Kyle ; Nguyen, Quoc-Bao; Hebert, Adelaide title: Trends in Medicare Reimbursement within Dermatology: 2011-2021 date: 2022-03-04 words: 4793 flesch: 54 summary: Extrapolation to general populations is difficult when only examining Medicare reimbursement which did not include individuals with supplemental Medicare plans nor individuals with private insurance. Nominal vs. inflation adjusted changes in Medicare reimbursement 2011 to 2021 Top 20 Most Common Procedures Unadjusted Reimbursement Reimbursement Adjusted for Inflation with Medical Care CPI HCPCS Code Description 2011 2021 Percent Change P- value 2011 2021 Percent Change P-value 17003 Destruction of premalignant lesion add-on $7.14 $6.63 -7.14% 0.131 $9.35 $6.63 keywords: lesion; minutes; office; outpatient visit; skin cache: skin-1471.pdf plain text: skin-1471.txt item: #357 of 1356 id: skin-1472 author: Brownstone, Nicholas; Dirr, McKenzie; Rigel, Darrell title: Ulcerations and Lymphadenopathy in a 42 year old Male date: 2022-01-17 words: 774 flesch: 56 summary: While still a rare disease, it is important to be aware of this presentation, as extra-pulmonary TB has increased proportionally with rising total TB cases in industrialized countries from 7.6% in 1962 to 21% in 20063. Additionally, it is useful to perform a chest X- ray and abdominal ultrasound to ensure the patient does not have pulmonary TB or TB afflicting a different anatomic region5. keywords: medicine; society; tuberculosis cache: skin-1472.pdf plain text: skin-1472.txt item: #358 of 1356 id: skin-1475 author: Siegel , Daniel ; Murphy , Christopher; Wangsness, Kent; Perry , Allyson ; Smith , Ian title: Cost-Benefit Analysis of the Pigmented Lesion Assay When Introduced Into the Visual Assessment / Histopathology Pathway for Lesions Clinically Suspicious for Melanoma date: 2022-03-04 words: 5537 flesch: 52 summary: 112 future years and discounted the cost by prevailing interest rates estimated from the 10-year U.S. Treasury T-Bill rate (1%) to arrive at the cost in terms of dollars today.20 Inputs for cost trend, churn rate, and cost share were based on claims dated between January 1, 2017 and December 31, 2019.19 Estimating Return-on-Investment Figure 1 includes visual representations of the ROI model calculations, including Final Savings, Genomic Assessment Savings, Procedure Avoidance Savings, PLA Costs, and Plan Net Cost Per Member Per Month. Final Savings was calculated as Genomic Assessment Savings + Procedure Avoidance Savings – PLA Costs (Figure 1A). keywords: benign; biopsy; claims; cost; diagnosis; lesions; melanoma; pla; procedure; savings; skin cache: skin-1475.pdf plain text: skin-1475.txt item: #359 of 1356 id: skin-1476 author: Sanín-Guana, Antonio; Lebwohl, Mark title: Ustekinumab in the Treatment of Erythema Nodosum with Underlying Crohn’s Disease: A Case Report date: 2022-03-04 words: 1520 flesch: 55 summary: The presence of ANCA and HLA-B27 antigen in patients with EN and IBD also argues in favor of the important role of genetic factors.8 EN is usually treated with corticosteroids and intensification of medical therapy to control intestinal disease.5 Ustekinumab is a monoclonal antibody that targets the p-40 subunit of the interleukin-12 (IL-12) and interleukin-23 (IL-23).9 It is approved by the FDA to treat moderate to severe plaque psoriasis and psoriatic arthritis, in addition to CD and UC.11 Inflammation of the gastrointestinal tract in CD patients has been associated with a Th1-type response; ustekinumab has been suggested to inhibit differentiation of Th1 cells in patients with CD. 149 BRIEF ARTICLE Ustekinumab in the Treatment of Erythema Nodosum with Underlying Crohn’s Disease: A Case Report Antonio Sanín-Guana, BA1, Mark G. Lebwohl, MD1 1 Department of Dermatology, Icahn School of Medicine at Mount Sinai, New York, NY Erythema nodosum (EN) is a septal panniculitis characterized by raised, tender, red or purple lesions with a diameter of 1-5 cm. keywords: crohn; disease; patients; ustekinumab cache: skin-1476.pdf plain text: skin-1476.txt item: #360 of 1356 id: skin-1477 author: Carrillo, Brenda title: The Legacy of Lucio and Latapí: A Brief History date: 2022-05-06 words: 465 flesch: 43 summary: A Brief History Brenda Carrillo, BS1 1University of Texas Medical Branch School of Medicine, Galveston, TX Rafael Lucio Nájera and Fernando Latapí contributed greatly to the knowledge about a specific form of diffuse lepromatous leprosy, now known as Lucio-Latapí leprosy. Rafael Lucio Nájera (left) and Fernando Latapí (right)2 https://www.zotero.org/google-docs/?2qn036 https://www.zotero.org/google-docs/?2qn036 SKIN May 2022 Volume 6 Issue 3 (c) 2022 THE AUTHORS. keywords: https://www.zotero.org/google-docs/?iihcpu; leprosy cache: skin-1477.pdf plain text: skin-1477.txt item: #361 of 1356 id: skin-148 author: Stein Gold, Linda; York, JP; Jacovella, Jean title: Consistent Efficacy and Safety in Four Double-Blind, Vehicle-Controlled Studies of Ivermectin 1% Cream in the Treatment of Moderate-to-Severe Papulopustular Rosacea date: 2017-10-27 words: 1488 flesch: 62 summary: Phase 3 studies: a statistically superior rate of success was seen, compared to vehicle - 38.4%; Week 12, Phase 3, Study 1, n = 683, P < .001 - 40.1%; Week 12, Phase 3, Study 2, n = 688, P < keywords: phase; week cache: skin-148.pdf plain text: skin-148.txt item: #362 of 1356 id: skin-1480 author: Krenitsky, Amanda; Ravichandran, Sairekha; Cohen, Joel; Braue, Jonathan; Correa-Selm, Lilia title: Successful Dupilumab Treatment of Atopic Dermatitis in a Liver Transplant Patient date: 2022-03-04 words: 1039 flesch: 40 summary: However, there is little literature regarding treatment of this population, and standard regimens are not well-defined.2-4 Here, we report a case of successful treatment of AD in an orthotopic LT patient with dupilumab. However, there is dearth of literature regarding treatment of this population, and standard regimens are not well-defined.2-4 Here, we report a case of successful treatment of AD in an orthotopic LT patient with dupilumab. keywords: dermatitis; dupilumab; liver; transplant; treatment cache: skin-1480.pdf plain text: skin-1480.txt item: #363 of 1356 id: skin-1481 author: Galambus, Justine; Vafa, Atefah title: Hydroxychloroquine and Acute Generalized Exanthematous Pustolosis date: 2022-05-06 words: 1593 flesch: 50 summary: 246 BRIEF ARTICLE Hydroxychloroquine and Acute Generalized Exanthematous Pustolosis Justine Galambus, BS1, Atefah Vafa, MD2 1 Morsani College of Medicine, University of South Florida, Tampa, FL 2 Department of Rheumatology, University of South Florida, Tampa, FL Acute generalized exanthematous pustulosis (AGEP) is a rare, potentially lethal, cutaneous reaction precipitated by drugs in more than 90% of cases,1 with the most common triggers being pristinamycin, aminopenicillins, quinolones, (hydroxy)chloroquine, sulfonamides, terbinafine, and diltiazem.1 AGEP typically presents within one day of treatment after antibiotic exposure versus eleven days after other drugs, including hydroxychloroquine (HCQ, Plaquenil).1 AGEP presents with innumerable pinhead-sized pustules arising on a diffuse erythematous background and are reported to localize in intertriginous zones, the trunk, and upper extremities.2 Diagnostic criteria outside of a pustular eruption include a fever, neutrophilia with or without mild eosinophilia, subcorneal or intraepidermal pustules on skin biopsy, and spontaneous resolution in less than 15 days.1 Sidoroff et al developed a validation scale founded in these criteria to aid clinicians in the diagnosis of AGEP. HCQ-precipitated AGEP is predominantly reported in the context of HCQ’s immunosuppressive action, most commonly when used to treat Rheumatoid Arthritis,9 Sjogren’s Syndrome,5 and Systemic Lupus Erythematous.6 However, with the increased use of HCQ as an antiviral for treatment of COVID-19, several cases of AGEP have been reported.10 AGEP tends to affect women, and HCQ-precipitated AGEP ABSTRACT Acute generalized exanthematous pustulosis (AGEP) is a rare, potentially lethal, cutaneous reaction most commonly precipitated by drugs. keywords: agep; case; hcq; hydroxychloroquine; patient; treatment cache: skin-1481.pdf plain text: skin-1481.txt item: #364 of 1356 id: skin-1485 author: Karlin, Samantha; Ritter, Alexandra; Linkous, Courtney; Wehlage, Katherine; Wine Lee, Lara title: Weekly Isotretinoin Therapy (WIT) Study: A Potential Alternative for the Treatment of Moderate Acne Vulgaris date: 2022-03-04 words: 1142 flesch: 56 summary: Conclusion: Once weekly isotretinoin may be an additional treatment option for patients with moderate acne. Despite the lower total cumulative dose achieved versus with conventional dosing, recurrence rates were similar.3 Additionally, cost of alternative dosing was lower than conventional dosing, and patient satisfaction was highest in the alternative dosing groups.2-4 ABSTRACT Background: Treatment options for moderate acne remain limited. keywords: acne; isotretinoin; patients cache: skin-1485.pdf plain text: skin-1485.txt item: #365 of 1356 id: skin-1487 author: MacKenzie, James; Sagher, Miriam; Sagher, Ethan; Friedman, Ben; Veenstra, Jesse title: An Uncommon Presentation Of Erosive Pustular Dermatosis: A Large, Crusted Plaque On The Scalp date: 2022-03-04 words: 963 flesch: 49 summary: Rarely, large solitary crusted plaques may be the sole manifestation of EPD, but have been seldom described in the current literature.1 These diagnoses have led to months of non-productive treatment consequently prescribed to the patients, such as imiquimod and 5-fluorouracil, which may further contribute to the progression of EPD without effectively treating the underlying condition.3,4 The pathology of EPD occurs below the crust, which is why our patient returned to the office for complete debridement of the crusted plaque (Figure 1B) after a diagnosis of EPD was made. keywords: crusted; epd; erosive; scalp cache: skin-1487.pdf plain text: skin-1487.txt item: #366 of 1356 id: skin-1489 author: Mostafa, Niyaz; Phan, Kevin; Amin, Tajrian; Smith, Saxon title: Hidradenitis Suppurativa and Down Syndrome: Systematic Review and Meta-Analysis date: 2022-05-06 words: 2511 flesch: 54 summary: The pooled proportion of HS cases in the DS group was 10.9% (95% CI, 3.8%-27.6%). The pooled proportion of HS cases in the control group was 0.4% (95% CI, 0.2%-0.8%). keywords: dermatol; hidradenitis; patients; review; studies; suppurativa; syndrome cache: skin-1489.pdf plain text: skin-1489.txt item: #367 of 1356 id: skin-149 author: Webster, Guy; Schaller, Martin; Tan, Jerry; Jackson, Mark; Kerrouche, Nabil; Schafer, Gregor title: Achieving an Endpoint of Completely Clear of Inflammatory Lesions and Erythema After Treatment of Rosacea Provides Multiple Positive Patient Outcomes: A Pooled Analysis date: 2017-10-27 words: 973 flesch: 47 summary: 2017;28(5):469-474. METHODS Study Design • Objectives - To evaluate whether, after successful treatment, “clear” subjects had better outcomes than “almost clear” subjects • Methods - Pooled analysis of 1366 rosacea subjects from 4 randomized controlled trials with IGA assessments before and after treatment (ivermectin, metronidazole, or vehicle) Representative Photographs (10355-108-028) IGA Score: 3 2 1 0 FC17PosterGaldermaWebsterAchievingCompleteyClearLesions.pdf keywords: relapse; subjects cache: skin-149.pdf plain text: skin-149.txt item: #368 of 1356 id: skin-1491 author: Ngonadi, Nwanneoma; Florenzo, Brian; Flowers, Richard; Martin, Seth title: Granulomatous Mastitis with Erythema Nodosum: A Case Report and Systematic Review date: 2022-03-04 words: 4248 flesch: 54 summary: Compiled Additional Findings in GM with EN Cases as Reported in Literature Finding Number of Reported Cases Additional Symptom (n) Akın M, Karabacak H, Esendağlı G, et al. Coexistence of idiopathic granulomatous mastitis and erythema nodosum: successful treatment with corticosteroids. keywords: breast; cases; erythema; literature; mastitis; medicine; nodosum; patients; review; symptoms; treatment cache: skin-1491.pdf plain text: skin-1491.txt item: #369 of 1356 id: skin-1494 author: Imani, Saba; Gomez-Meade, Carlos title: The “Brownsville Bolster”: A Novel Bolstering Technique for Full Thickness Skin Grafts date: 2022-05-06 words: 814 flesch: 60 summary: 259 therefore increasing graft vascularization and viability (Figure 1D). 257 SHORT COMMUNICATION The “Brownsville Bolster”: A Novel Bolstering Technique For Full Thickness Skin Grafts Saba Imani, DO1, Carlos Gomez-Meade, DO, FAAD, FACMS2 1 University of Oklahoma, Tulsa, OK 2 Oklahoma Cancer Specialists and Research Institute, Tulsa, OK keywords: bolster; graft; skin cache: skin-1494.pdf plain text: skin-1494.txt item: #370 of 1356 id: skin-1495 author: Daftary, Karishma; Chovatiya, Raj title: Persistent Papulosquamous Dermatitis as an Early Cutaneous Manifestation of Celiac Disease date: 2022-05-06 words: 825 flesch: 45 summary: Other dermatologic diseases associated with CD include psoriasis, palmoplantar pustulosis, urticaria, rosacea, atopic dermatitis, and aphthous stomatitis, as well as several others with less supporting evidence.3-5 The risk of developing skin disorders is highest within the first year of CD diagnosis and may persist beyond 10 years1; however, patients may experience skin symptoms in the absence of gastrointestinal symptoms. Gluten and skin disease beyond dermatitis herpetiformis: a review. keywords: dermatitis; disease; skin cache: skin-1495.pdf plain text: skin-1495.txt item: #371 of 1356 id: skin-1497 author: Haddadin, Rakahn; Ahadiat, Omeed title: Calcinosis Cutis: Case Report Of Topical Sodium Thiosulfate (STS) Treatment In The Context Of Dermatomyositis date: 2022-07-07 words: 1302 flesch: 53 summary: Calcinosis is an extremely painful skin condition that causes impairment in daily tasks for many patients affected. This case report discusses a patient with dermatomyositis with painful CC that was treated successfully with topical STS. keywords: patient; sts; topical; treatment cache: skin-1497.pdf plain text: skin-1497.txt item: #372 of 1356 id: skin-1498 author: Ramachandran, Vignesh; Loya, Asad; Phan, Kevin title: Second Primary Malignancies After Initial Cutaneous Angiosarcoma: A SEER population-Based Study date: 2022-05-06 words: 1583 flesch: 55 summary: Specifically, there was increased risk of soft tissue malignancies, and non-epithelial skin malignancies other than melanoma/basal cell/squamous cell. Specifically, there was increased risk of soft tissue malignancies, and non-epithelial skin malignancies other than melanoma/basal cell/squamous cell. keywords: cas; malignancies; risk; skin; spms cache: skin-1498.pdf plain text: skin-1498.txt item: #373 of 1356 id: skin-15 author: Haslam, Samuel Paul; Smith, Robert C title: An Interesting Case of Muir-Torre Syndrome date: 2017-06-28 words: 1431 flesch: 51 summary: A clinical scoring system to identify patients with sebaceous neoplasms at risk for the Muir- Torre variant of Lynch syndrome. The frequency of Muir-Torre syndrome among Lynch syndrome families. keywords: lynch; muir; sebaceous; syndrome; torre cache: skin-15.pdf plain text: skin-15.txt item: #374 of 1356 id: skin-1501 author: Bard, Jason; Kornmehl , Heather; Wentzell, Joesph title: Auricular Distortion Following Cryotherapy date: 2022-03-04 words: 733 flesch: 50 summary: About half of patients reported burning or stinging pain during treatment; no serious reactions were reported.2 The ears, particularly in shorter haired individuals, are a common site of actinic damage and are therefore commonly treated with cryotherapy techniques.3,4 SKIN March 2022 Volume 6 Issue 2 (c) 2022 THE AUTHORS. In terms of efficacy, one of the largest prospective studies on cryotherapy for the treatment of actinic keratosis found an overall complete response rate of 67.2%. keywords: antihelix; cryotherapy; helix cache: skin-1501.pdf plain text: skin-1501.txt item: #375 of 1356 id: skin-1503 author: Liu, Yuangao; Skopicki, Natalie; Nguyen, Harrison; Blalock, Travis title: Surprise Medical Billing Reform: Considerations for Dermatology date: 2022-03-04 words: 1254 flesch: 50 summary: • Providers may not know in advance who will be involved in an episode of care and other providers’ contract status. The No Surprises Act seeks to set national standards to protect patients from unexpected medical bills while establishing processes for providers and payers to resolve billing disputes. keywords: billing; network; patients; process; providers cache: skin-1503.pdf plain text: skin-1503.txt item: #376 of 1356 id: skin-1504 author: Hogan, Elise; Nusbaum, Kelsey; Householder, Anne title: Subacute Cutaneous Lupus Erythematosus Associated with Ramucirumab Therapy date: 2022-03-04 words: 820 flesch: 43 summary: There has been increasing discussion surrounding chemotherapeutic agents inducing SCLE, with highest risk medications of docetaxel, paclitaxel, fluorouracil, capecitabine, tamoxifen citrate, and doxorubicin.3 Ramucirumab is a fully human monoclonal antibody that targets VEGFR2, indicated in patients with hepatocellular carcinoma with prior treatment of sorafenib. 174 SHORT COMMUNICATION Subacute Cutaneous Lupus Erythematosus Associated with Ramucirumab Therapy Elise Hogan, BS1, Kelsey Nusbaum, BS1, Anne Householder, MD1 1University of Cincinnati College of Medicine, Cincinnati, OH Lupus erythematosus is an autoimmune inflammatory condition with a constellation of clinical findings including fever, malaise, myalgias, and loss of appetite/weight.1 Subsets of this disease are numerous, with subacute cutaneous lupus erythematosus (SCLE) demonstrating cutaneous manifestations. keywords: erythematosus; lupus; ramucirumab; scle cache: skin-1504.pdf plain text: skin-1504.txt item: #377 of 1356 id: skin-1505 author: Burli, Anuk; Law, Rebecca; Maibach , Howard title: Percutaneous Penetration: Reliability of Mathematical Models date: 2022-03-04 words: 737 flesch: 49 summary: Percutaneous penetration data regarding the use of sunscreens has also been recently studied. Although we have a global understanding of factors that control percutaneous penetration, experimental human in vivo data for few compounds exist- suggesting the need for QSAR based algorithms to predict flux- based on chemical structure. keywords: model; penetration; vivo cache: skin-1505.pdf plain text: skin-1505.txt item: #378 of 1356 id: skin-1506 author: Yang, Jay; Kirby, Joslyn; Maczuga, Steven title: Exploring the Psychosocial Impact on Parents of Adolescents Diagnosed With Hidradenitis Suppurativa: A Retrospective Claims-Based Analysis date: 2022-03-04 words: 4379 flesch: 57 summary: After adjusting for parental sex, parental age, parental HS status, parental obesity, and change in employment status, the presence of HS in the adolescent was not a significant predictor (OR: 1.06 (95% CI: 0.98, 1.16), p = 0.15) of depression in the parent(s). Regression analysis shows that after adjusting for parental sex, parental age, parental HS status, parental obesity, depression, anxiety, and adolescent sex, the presence of HS in the adolescent contributed to a higher odds (OR: 1.17 (95% CI: 1.02, 1.34), p = 0.021) of employment change in the parent(s). keywords: adolescent; depression; employment; families; group; parents; status cache: skin-1506.pdf plain text: skin-1506.txt item: #379 of 1356 id: skin-1507 author: Ramachandran, Vignesh title: Space Medicine - The Next Frontier for Dermatology date: 2022-05-06 words: 1800 flesch: 34 summary: This has ramifications for the dermatology community that have been briefly introduced in the past,4 but have not gone into illustrating the dearth of dermatologists involved in space medicine. On another note, the effects of radiation exposure during spaceflight have implications for skin malignancies, further highlighting the role of dermatologists in space medicine. keywords: astronauts; dermatology; https://doi.org/10.1038/s41526-017-0015-y https://doi.org/10.1038/s41526-017-0015-y; medicine; skin; space; spaceflight; study cache: skin-1507.pdf plain text: skin-1507.txt item: #380 of 1356 id: skin-1508 author: Altmann , Stefanie; Jacobs, Dominique ; Brown, Thomas ; Kamath, Preetha ; Krishnamurthy, Karthik title: Treatment-Resistant Pemphigoid Following SARS-CoV-2 Vaccination date: 2022-05-06 words: 1731 flesch: 55 summary: BP affects the elderly and is typically seen in patients 70 years of age and older.5 This is due to either patient loss to follow-up or negative direct immunofluorescence.3 Additionally, new-onset BP has been reported in patients with acute SARS-CoV-2 infection.7-8 Our patient was not tested for SARS-CoV-2 at the time of diagnosis, as he was asymptomatic and had just completed the mRNA vaccine series. keywords: cov-2; doi; patient; pemphigoid; sars; vaccine cache: skin-1508.pdf plain text: skin-1508.txt item: #381 of 1356 id: skin-1509 author: Yousefian, Faraz; Espinoza, Liliana; Berger, Sarah; Osswald, Sandra; Petr, Frank title: Tophaceous Gout on Ear Imitating Squamous Cell Carcinoma date: 2022-07-07 words: 1252 flesch: 44 summary: We present a case of tophaceous gout where the tophus presented on a patient’s superior helix of the ear, clinically mimicking a squamous cell carcinoma. He reported that he was treated ABSTRACT We report a case of tophaceous gout occurring in a Hispanic 69-year-old immunocompetent man. keywords: antonio; gout; lesion; san cache: skin-1509.pdf plain text: skin-1509.txt item: #382 of 1356 id: skin-151 author: Berman, Brian; Nestor, Mark title: An Investigator Blinded Randomized Study Evaluating HOCl in the Treatment of Atopic Dermatitis-Associated Pruritus date: 2017-10-27 words: 1059 flesch: 61 summary: At the conclusion of the study, subjects in both groups were separated into those who had less itch (difference in itch between baseline and 72 hours was positive), same itch (difference in itch between baseline and 72 hours was equal to zero), or more itch at 72 hours (difference in itch between baseline and 72 hours was negative) (Figure 3). Effect of Treatment with HOCl Gel x3 days on Itch in Atopic Dermatitis Figure 4. keywords: hocl; hours; itch cache: skin-151.pdf plain text: skin-151.txt item: #383 of 1356 id: skin-1511 author: Pei, Evonne; Fatima, Sakeena; Konheim, Ari; Schrom, Kory P title: Late Onset Junctional Epidermolysis Bullosa in Adulthood date: 2022-07-07 words: 1216 flesch: 53 summary: The typical age of onset is at birth, and it can present with either generalized or localized mucocutaneous findings.3 A rare subtype of JEB is JEB of late onset (JEB-lo), which occurs in young adulthood or later with blisters primarily located on the hands and feet.2 The typical age of onset is at birth, and it can present with either generalized or localized mucocutaneous findings.3 A rare subtype of JEB is JEB of late onset (JEB-lo), which occurs in young adulthood or later with blisters primarily located on the hands and feet.2 Other clinical features of this rare subtype include nail dystrophy, hyperhidrosis, loss of dermatoglyphs, and skin atrophy.2,4,5 We report a case of JEB-lo diagnosed in late adulthood. keywords: bullosa; epidermolysis; jeb; onset; skin cache: skin-1511.pdf plain text: skin-1511.txt item: #384 of 1356 id: skin-1512 author: Adams, Derrick; Mai, Kevin title: A Rare Presentation of Angiolymphoid Hyperplasia with Eosinophilia Involving the Scrotum date: 2022-07-07 words: 1397 flesch: 51 summary: Figure 2. Case reports of angiolymphoid hyperplasia with eosinophilia have been inconsistent and underreported due to cases being incorrectly diagnosed as Kimura’s disease (KD).9 While ALHE and KD have similar characteristics, they are now characterized ALHE lesions often bleed easily and present as either asymptomatic or with pain, pruritis, or pulsations.3 Renal disease and peripheral eosinophilia occur in a minority of patients.4 Involvement of the oral mucosa, bone, muscle, parapharyngeal space, tongue, colon, and salivary glands are rare.5 There are less than 30 cases reported of male urogenital involvement. keywords: alhe; angiolymphoid; dermatol; eosinophilia; hyperplasia cache: skin-1512.pdf plain text: skin-1512.txt item: #385 of 1356 id: skin-1514 author: Shih, Terri; Brimacombe , Allison ; Shi, Vivian; Hsiao, Jennifer Lin title: Online Patient Health Resources in Nonmelanoma Skin Cancer: An Assessment of Readability, Quality, and Comprehensiveness date: 2022-05-06 words: 3424 flesch: 55 summary: 50.6% included skin cancer images, of which only 17.5% were of skin of color patients. Only 37.5% (9/24) websites included images of skin cancer, of which only 2 of the 9 (22.2%) included images of skin cancer in SOC patients. keywords: cancer; health; images; nmsc; online; quality; readability; search; skin; websites cache: skin-1514.pdf plain text: skin-1514.txt item: #386 of 1356 id: skin-1516 author: Langley, Richard; Thaci, Diamant; Blauvelt, Andrew ; Tsai, Tsen-Fang; Miller, Megan ; Yu, Jenny; Shen, Yaung-Kaung ; You, Yin; Yang, Ya-Wen; Papp, Kim ; Puig, Luis; Foley, Peter title: Low Risk of Serious Infections and Infections of Interest in Psoriasis Patients Treated with Guselkumab (GUS) for up to 5 Years in VOYAGE (VOY) 1&2 Phase 3 Trials date: 2022-03-04 words: 1629 flesch: 47 summary: Candida infection 0.02 (0.00, 0.11) 0 (0.00, 0.16) 0.01 (0.00, 0.08) *Search criterion: MedDRA high-level term, Candida infections; preferred terms with rate >0 keywords: gus; infections; janssen; novartis; pfizer; pharma cache: skin-1516.pdf plain text: skin-1516.txt item: #387 of 1356 id: skin-1517 author: Blauvelt, Andrew ; Thaci, Diamant; Papp, Kim; Ho, Vincent ; Ghoreschi, Kamran; Kim, Byung Soo; Miller, Megan ; Shen, Yaung-Kaung ; You, Yin; Yu, Jenny; Yang, Ya-Wen; Crowley, Jeffrey; Foley, Peter title: Guselkumab (GUS) in Psoriasis Patients With a History of Malignancy: 5-Year Safety From VOYAGE (VOY)1&2 date: 2022-03-04 words: 1986 flesch: 35 summary: Right breast lump observed ~1 year prior to study entry • Lump slowly enlarged and became tender • Diagnosis on Day 202: 2.7 cm subareolar right breast mass • Gene mutation identification testing was negative • Grade 3 infiltrating ductal carcinoma with focal micropapillary features • 2 of 6 lymph nodes positive for metastasis • Recovered following right modified radical mastectomy Patient 2: SAE of Recurrent Bronchial Carcinoma Patient 3: SAE of Invasive Melanoma Demographics & Medical Hx • White; male; Germany; age 57 years; BMI 36.6 kg/m2 • Lung cancer, smoker (0.5 packs/day), family Hx of cancer, benign prostatic hypertrophy, HTN • Prior methotrexate, ultraviolet B, and topical treatment Demographics & Medical Hx • White; male; Canada; age 71 years; BMI 31.9 kg/m2 • Type I/II skin; sun exposure from recreational activities (avid golfer) • Prostate cancer, family Hx of cancer, former smoker, alcohol consumption, hyperlipidemia • Prior topical treatment VOYAGE 2 Treatment • Randomized to adalimumab • Received GUS from W28-100 VOYAGE 2 Treatment • Randomized to placebo • Received GUS at W16 and W20; rerandomized to placebo from W28-72 • Open-label GUS Q8W from W72-180 • Total GUS exposure=161 weeks Malignancy SAE • Right lower lobe lung carcinoma diagnosed on Day 753 (Stage IVB; cT4 N3 M1c) • Tumor infiltration into middle lobe; exophytic tumor growth in lower lobe • Poorly differentiated non-cornified squamous cell carcinoma, programmed death-ligand 1 negative • 3 supratentorial brain metastases • Died of bronchial carcinoma ~4 months after study discontinuation Malignancy SAE* • Right forearm invasive melanoma diagnosed on Day 1139 • Ulcerated depth=at least 0.7 mm; mitotic rate=3 cells/mm2 • Margins involved; no lymphovascular invasion • Had 2 basal cell carcinomas during study (left cheek, Day 211; left ankle, Day 1139) • Recovered after surgical removal of melanoma Age; Race; Sex; Country; Study Prior Malignancy Treatment Phase SAE (Day; Treatment Relatedness; Outcome) 57 y; Asian; F; Korea; VOY 2 Cervical cancer GUS GUS • Multiple fractures (Day 141; Not related; Resolved) • Subdural hemorrhage (Day 141; Not related; Resolved) 57 y; White; F; Germany; VOY 2 Breast cancer Withdrawal Withdrawal • Noncardiac chest pain (Day 204; Not related; Resolved) • Herniated disc (Day 231; Not related; Resolved) 64 y; White; F; Spain; VOY 2 Breast cancer GUS Withdrawal • Cardiac failure (Day 127; Not related; Resolved) • Respiratory failure (Day 238; Not related; Resolved) 68 y; White; M; USA; VOY 2 Dermatofibrosarcoma protuberans GUS GUS (open-label) GUS (open-label) • Cellulitis (Day 435; Possible; Resolved) • Presyncope (Day 1201; Not related; Not resolved) • Chest injury (Day 1378; Not related; Resolved) 59 y; White; F; USA; VOY 1 Cervical cancer GUS (open-label) • Patients with a history of malignancy are often excluded from clinical trials, which limits the availability of safety data for biologics in this population1,2 • Guselkumab (GUS), an interleukin-23 p19 subunit inhibitor, is approved for the treatment of moderate to severe psoriasis and active psoriatic arthritis • VOYAGE 1 and 2 were Phase 3 studies that demonstrated the long-term efficacy and safety of GUS in patients with moderate to severe psoriasis3,4 • These studies included a small number of patients with a history of malignancy (excluding non-melanoma skin cancer keywords: cancer; day; gus; history; malignancy; patients; pharma cache: skin-1517.pdf plain text: skin-1517.txt item: #388 of 1356 id: skin-1519 author: Merola, Joe; Puig, Luis; Miller, Megan ; You, Yin; Shen, Yaung-Kaung ; Yang, Ya-Wen; Blauvelt, Andrew title: Mean Percentage Improvement in Psoriasis Area and Severity Index (PASI) Response and Absolute PASI Through 5 Years of Continuous Treatment With Guselkumab (GUS) in VOYAGE 1 date: 2022-03-04 words: 1788 flesch: 59 summary: In addition to patients randomized to GUS, PBO, and ADA at baseline, treatment groups analyzed: o GUS Group: Baseline Demographics and Disease Characteristics PBO GUS ADA Total Randomized patients, n keywords: baseline; gus; pasi; week cache: skin-1519.pdf plain text: skin-1519.txt item: #389 of 1356 id: skin-152 author: Jacobi, Arnd; Mayer, Anke; Anastasiadou, Zografia; Augustin, Matthias title: Keratolytic Activity of a Novel Dimethicone Formulation (PB/LO-112) Compared to 10% Salicylic Acid Oil in Patients with Psoriasis Capitis date: 2017-10-27 words: 960 flesch: 50 summary: EFFICACY (PSSI scaling score) Methods In this single-center, randomized, active-controlled, observer-blinded, parallel group trial, 90 patients with chronic psoriasis capitis were randomized equally into 2 groups: one receiving the dimethicone formulation LOYON® (test group) and the other receiving a topical 10% salicylic acid formulation (10-SA, standard group). Relative reduction of PSSI was in favor of PB-LO/112 after 3 treatment days (25% for PB-LO/112 vs.14% for 10-SA; and increased for PB-LO/112 to 38% after 7 days, while 10-SA remained on the initial level. keywords: psoriasis cache: skin-152.pdf plain text: skin-152.txt item: #390 of 1356 id: skin-1520 author: Warren , Richard; Armstrong , April; Gooderham, Melinda; Strober , Bruce; Thaci, Diamant; Imafuku, Shinichi; Sofen, Howard; Spelman, Lynda; Korman, Neil; Zheng, Min; Colston, Elizabeth; Throup , John; Kundu, Sundeep; Kisa, Renata; Banerjee, Subhashis; Blauvelt, Andrew title: Deucravacitinib, an Oral, Selective Tyrosine Kinase 2 (TYK2) Inhibitor, in Moderate to Severe Plaque Psoriasis: 52-Week Efficacy Results From the Phase 3 POETYK PSO-1 and PSO-2 Trials date: 2022-03-04 words: 3271 flesch: 44 summary: Acknowledgments • These clinical trials were sponsored by Bristol Myers Squibb • Writing and editorial assistance were provided by Lisa Feder, PhD, of Peloton Advantage, LLC, an OPEN Health company, Parsippany, NJ, USA, funded by Bristol Myers Squibb Disclosures • RBW: Consulting fees: AbbVie, Almirall, Amgen, Boehringer Ingelheim, Celgene, Eli Lilly, Janssen, Leo Pharma, Novartis, Pfizer, Sanofi, UCB, and Xenoport; Research grants: AbbVie, Almirall, Amgen, Celgene, Eli Lilly, Janssen, Leo Pharma, Novartis, Pfizer, and UCB; Honorarium: Biogen • AWA: Grants and personal fees: AbbVie, Bristol Myers Squibb, Eli Lilly, Janssen, Leo Pharma, and Novartis; Personal fees: keywords: 0/1; deucravacitinib; n =; pasi; patients; placebo; week cache: skin-1520.pdf plain text: skin-1520.txt item: #391 of 1356 id: skin-1521 author: Strober , Bruce; Stein Gold, Linda; Bissonnette, Robert; Armstrong , April; Blauvelt, Andrew ; Kircik, Leon ; Brown, Philip ; Tallman, Anna; Lebwohl, Mark title: Tapinarof Cream 1% Once Daily for Plaque Psoriasis: Long-Term Extension Trial of a Novel Therapeutic Aryl Hydrocarbon Receptor Modulating Agent date: 2022-03-04 words: 2507 flesch: 25 summary: B.S. has served as an honorary consultant/speaker/scientific director/investigator for AbbVie, Almirall, Amgen, Arcutis, Arena, Aristea, Boehringer Ingelheim, Bristol-Myers-Squibb, Cara, Celgene, Corrona Psoriasis Registry, Dermavant Sciences Inc., Dermira, Equillium, Janssen, Leo, Eli Lilly, Meiji Seika Pharma, Mindera, Novartis, Pfizer, GlaxoSmithKline, UCB Pharma, Sun Pharma, Ortho Dermatologics, Regeneron and Sanofi-Genzyme. R.B. has served as a consultant/advisory board member/speaker/investigator, and/or receives honoraria/grant from Almirall, Amgen, AnaptysBio, Arcutis, Arena Pharma, Aristea, Asana BioSciences, Bausch Health, Bellus Health, Bluefin Biomedicine, Boehringer-Ingelheim, Bristol-Myers Squibb, CARA, Dermavant Sciences Inc., Eli Lilly, EMD Serono, Escalier, Evidera, Galderma, GSK, Inmagene Bio, Incyte, Janssen, Kiniksa, Kyowa Kirin, LEO Pharma, Nimbus, Novan, Pfizer, Ralexar, RAPT, Regeneron, Respivant, Sanofi Genzyme, Sienna, Target RWE, and UCB. keywords: cream; disease; inc; patients; pga; tapinarof cache: skin-1521.pdf plain text: skin-1521.txt item: #392 of 1356 id: skin-1523 author: Kircik, Leon ; Stein Gold, Linda; Del Rosso, James; Desai, Seemal; Glick, Brad; Sofen, Howard; Tallman, Anna; Rubenstein, David; Fournier, Janine; Brown, Philip title: Tapinarof Cream 1% Once Daily for Plaque Psoriasis: Efficacy by Baseline Disease Characteristics and Demographics in Two Pivotal Phase 3 Trials date: 2022-03-04 words: 1954 flesch: 29 summary: Although conclusions cannot be drawn due to the small number of patients in some subgroups, the frequency and type of AEs appeared to be generally comparable across subgroups and consistent with those observed in the overall population CONCLUSIONS ■ Tapinarof cream 1% QD was consistently efficacious and well tolerated irrespective of baseline PGA score, BSA affected, duration of psoriasis, sex, age, race, or country of enrollment (US or Canada) ■ Due to the small number of patients in some subgroups, limitations exist regarding the ability to draw definitive conclusions from the subgroup analysis ■ The consistent efficacy and tolerability in all subgroups support the potential use of tapinarof cream across a broad spectrum of disease severity and patient demographics ■ A long-term extension trial (PSOARING 3) of intermittent treatment with tapinarof cream 1% QD based on PGA score demonstrated continued efficacy following the 12-week pivotal trials and an ~4-month remittive effect off therapy2 ■ Tapinarof cream 1% QD has potential to be the first topical psoriasis treatment with a novel mechanism of action in over 20 years REFERENCES 1. PGA Response by Baseline Disease Characteristics and Demographics ■ The primary endpoint (PGA of 0 or 1 and ≥2-grade improvement at Week 12) was met; PGA response rates were highly statistically significant in the tapinarof cream 1% QD group versus the vehicle group in both PSOARING 1 and 2: 35.4% vs 6.0% (P<0.0001) and 40.2% vs 6.3% (P<0.0001), respectively1 ■ The efficacy of tapinarof cream was consistent across subgroups, regardless of baseline disease characteristics such as PGA score, %BSA affected, and duration of disease, and demographics such as sex, age, race, country of enrollment (Figure 2) ■ Notably, based upon the definition of PGA response requiring achievement of PGA=0 or 1 with ≥2-grade improvement, mild patients had to achieve complete disease clearance (PGA=0) and severe patients had to improve a minimum of 3 points, to be responders Figure 2. PGA Response at Week 12 by Baseline Disease Characteristics (A) and Demographics (B) (Pooled PSOARING 1 and 2) *Lower limit of the 95% CI for the relative risk >1, indicating a significantly higher probability of PGA response with tapinarof compared with vehicle. keywords: baseline; inc; pga; response; tapinarof; vehicle cache: skin-1523.pdf plain text: skin-1523.txt item: #393 of 1356 id: skin-1524 author: Bagel, Jerry ; Stein Gold, Linda; Del Rosso, James; Bhatia, Neal; Johnson , Sandy ; Yamauchi, Paul; Moore, Angela; Tallman, Anna title: Patient Satisfaction with Tapinarof Cream 1% Once Daily for Plaque Psoriasis in a Long-Term Extension Trial date: 2022-03-04 words: 2031 flesch: 0 summary: ■ Overall, 40.9% (312/763) of patients achieved complete disease clearance at least once during the study; this included 233 patients who entered the study with a Physician Global Assessment (PGA) score of ≥1 and 79 patients who entered with a PGA of 04 ■ The median duration of remittive effect while off therapy for patients who entered the study with a PGA of 0 was 115 days, and the mean total duration of remittive effect off therapy for patients who entered with, or achieved, a PGA of 0 was 130 days4 ■ Durability of response of up to 52 weeks was demonstrated with intermittent use of tapinarof cream 1% QD, indicating no observation of tachyphylaxis (defined as loss of response) while on therapy4 ■ Tapinarof cream 1% QD was well tolerated with long-term use and had a safety profile consistent with previous studies2,5 RESULTS Patient Satisfaction Questionnaire ■ 91.6% of eligible patients (n=763) completing PSOARING 1 and 2 elected to enroll in PSOARING 3 ■ Patient Satisfaction Questionnaires were completed by 78.5% (599/763) of patients in PSOARING 3 ■ Patients consistently reported high satisfaction rates across all parameters, including patients’ satisfaction with tapinarof efficacy, formulation elegance, application ease, impact on daily life, and preference for tapinarof cream versus prior psoriasis therapies Confidence and Satisfaction with the Efficacy of Tapinarof Cream ■ Most patients either strongly agreed or agreed with all questions on confidence and satisfaction with the efficacy of tapinarof cream (Figure 3) ■ 85.8% felt they could easily manage their psoriasis with tapinarof, and 83.6% were satisfied with how well tapinarof worked ■ In addition to the 40.9% of patients who achieved complete disease clearance and the observed remittive effect of ~4 months, 62.9% of patients either strongly agreed or agreed that tapinarof cleared their skin and kept psoriasis from coming back ■ 84.1% had confidence in tapinarof, and 84.0% would recommend tapinarof to other patients with psoriasis ■ 82.5% of patients would use tapinarof again or continue on tapinarof if it was available Figure 3. Confidence and Satisfaction with the Efficacy of Tapinarof Cream (n=599) Ease of Application and Cosmetic Elegance of Tapinarof Cream ■ Patients were consistently very satisfied with the tapinarof cream formulation and elegance (Figure 4) ■ 93.2% were satisfied with the time spent applying tapinarof, and 96.3% considered it easy to apply ■ In addition, most patients either strongly agreed or agreed that tapinarof was quickly absorbed (89.5%), felt good on their skin (79.9%), and was not greasy (89.0%) ■ 87.7% were very satisfied with the look and feel of tapinarof Figure 4. keywords: cream; patients; psoriasis; satisfaction; tapinarof cache: skin-1524.pdf plain text: skin-1524.txt item: #394 of 1356 id: skin-1525 author: Pinter, Andreas; Præstegaard, Morten; Selmer, Johan; Reich, Adam title: Calcipotriene And Betamethasone Dipropionate Cream Demonstrates High Treatment Success In Patients With Scalp Psoriasis date: 2022-03-04 words: 815 flesch: 58 summary: • CAL/BDP cream demonstrated high PGA treatment success and satisfaction, fast onset of action and a favourable safety profile in patients with scalp psoriasis. • Efficacy analyses of scalp psoriasis, included patients with scalp involvement of at least 10% and a PGA on the scalp of at least mild severity (grade 2) at baseline (CAL/BDP cream n=112; vehicle n=38; Table 1). keywords: bdp; scalp cache: skin-1525.pdf plain text: skin-1525.txt item: #395 of 1356 id: skin-1526 author: Stein Gold, Linda; Selmer, John; Præstegaard, Morten; Armstrong , April title: Calcipotriene and betamethasone dipropionate cream demonstrates superior efficacy in moderate plaque psoriasis compared to topical suspension: a subgroup analysis of a phase 3 trial date: 2022-03-04 words: 1156 flesch: 62 summary: Figure 2. mPASI75 (a) and DLQI Satisfaction (b) in patients with moderate psoriasis by weeks of treatment • CAL/BDP cream demonstrated significantly greater mPASI75 compared to CAL/BDP TS in moderate psoriasis patients (42.3% versus 29.7%; p=0.0027) with significant difference also at Week 4 (p=0.0008) (Figure 2a). PTCS scores for moderate psoriasis patients (CAL/BDP cream vs. TS) # Question Odds Ratio (CI 95%) P-value 1 How easy was the treatment to apply to the skin? keywords: bdp; cal; cream; psoriasis cache: skin-1526.pdf plain text: skin-1526.txt item: #396 of 1356 id: skin-1527 author: Le, Marilyn; Kamrani, Payvand; Hollins , L. Claire title: Coexistentence of Morphea and DLE in a Patient with Beta Thalassemia Leading to a Diagnosis of Systemic Lupus Erythematous date: 2022-05-06 words: 1119 flesch: 60 summary: 243 BRIEF ARTICLE Coexistent of Morphea and DLE in a Patient With Beta Thalassemia Leading to a Diagnosis of Systemic Lupus Erythematous Marilyn Le, MS1, Payvand Kamrani, DO2, L. Claire Hollins, MD2 1 Philadelphia College of Osteopathic Medicine, Philadelphia, PA 2 Department of Dermatology, Penn State Health Milton S. Hershey Medical Center, Hershey, PA An 18-year-old female with beta thalassemia presented with a six-month history of rash. In this case, we describe a patient with morphea and discoid lupus erythematous in the setting of beta thalassemia leading to diagnosis of SLE. keywords: beta; lupus; morphea; sle; thalassemia cache: skin-1527.pdf plain text: skin-1527.txt item: #397 of 1356 id: skin-1528 author: Reich , Kristian; Armstrong , April; Zhu, Yaowei; Miller, Megan ; You, Yin; Shen, Yaung-Kaung ; Yang, Ya-Wen; Foley, Peter; Griffiths, Christopher; Strober , Bruce title: Immunogenicity of Guselkumab (GUS) Among Psoriasis Patients in VOYAGE (VOY) 1&2 Studies date: 2022-03-04 words: 2028 flesch: 53 summary: ADA positive patients in VOYAGE 1 and VOYAGE 2, respectively, were positive for NAbs to GUS • Through the end of the 5-year VOYAGE 1 and VOYAGE 2 studies of GUS in psoriasis, 15% of patients had developed ADA to GUS. keywords: gus; guselkumab; patients; pharma; voyage; week cache: skin-1528.pdf plain text: skin-1528.txt item: #398 of 1356 id: skin-1529 author: Keri, Jonette; Kircik, Leon ; Green, Lawrence; Ablon, Glynis; Werschler, William ; Tanghetti, Emil; Draelos, Zoe; Guenin, Eric title: Treating Acne in Obese and Morbidly Obese Patients With Tazarotene 0.045% Lotion: Post Hoc Analysis of Pooled Phase 3 Data date: 2022-03-04 words: 1620 flesch: 52 summary: -70% -60% -50% -40% -30% -20% -10% 0% Baseline Week 4 Week 8 Week 12 Vehicle Lotion (n=172) TAZ 0.045% Lotion (n=160) -70% -60% -50% -40% -30% -20% -10% 0% Baseline Week 4 Week 8 Week 12 Vehicle Lotion (n=172) TAZ 0.045% Lotion (n=160) keywords: acne; lotion; obese; tazarotene; vehicle; week cache: skin-1529.pdf plain text: skin-1529.txt item: #399 of 1356 id: skin-153 author: Nguyen, Tien Q; Nguyen, Andrea title: A Case Study Series to Evaluate the Safety and Efficacy of a Novel Keratolytic in Patients Diagnosed with Plaque Psoriasis date: 2017-10-27 words: 561 flesch: 51 summary: A Case Study Series to Evaluate the Safety and Efficacy of a Novel Keratolytic in Patients Diagnosed with Plaque Psoriasis Tien Q. Nguyen, M.D., Andrea Nguyen, MS, PA-C First O C Dermatology, Fountain Valley, CA Background Many patients with plaque psoriasis suffer from noticeable physical disease aff liction. This study evaluated the safety and effectiveness of LOYON® in treating plaque and scaling buildup in patients diagnosed with plaque psoriasis. keywords: psoriasis; visit cache: skin-153.pdf plain text: skin-153.txt item: #400 of 1356 id: skin-1530 author: Moore, Angela; Moore, Stephen; Moore, Luke; Grada, Ayman; Tyring, Stephen title: Marked Truncal Acne Response to Sarecycline Monotherapy in Different Ethnicities date: 2022-03-04 words: 600 flesch: 50 summary: PowerPoint Presentation INTRODUCTION RESULTS METHODS REFERENCES CONCLUSIONS CLINICAL IMPLICATIONS Baseline; IGA 4 Week 12; IGA 1 14-year-old White Male Chest Back Baseline; IGA 3 Week 12; IGA 1 13-year-old Hispanic Female Chest Back Marked Truncal Acne Response to Sarecycline Monotherapy in Different Ethnicities Angela Yen Moore1,2, Stephen Moore1,3, Luke Moore1, Ayman Grada4, Stephen K Tyring3 1Arlington Research Center, Arlington, TX, USA; 2Baylor University Medical Center, Dallas, TX, USA 3Department of Dermatology, The University of Texas McGovern Medical School, Houston, TX, USA; 4Grada Dermatology Research LLC, Chesterbrook, PA, USA ▪ 60-70% of patients present with acne on the trunk.1 ▪ Since severity of truncal acne does not correlate with severity of facial acne, the psychosocial burden and physical pain and bleeding of truncal acne cannot be underestimated. 3 ▪ Significant improvement in truncal acne, using IGA assessments, was reported with sarecycline in Phase 3 clinical trials. keywords: acne; sarecycline cache: skin-1530.pdf plain text: skin-1530.txt item: #401 of 1356 id: skin-1531 author: Bhatia, Neal; Lain, Edward ; Baldwin, Hilary ; Brantman, Sam ; Del Rosso, James; Sivamani, Raja title: Encapsulated benzoyl peroxide (E-BPO): A novel formulation of BPO for long-term management of rosacea date: 2022-03-04 words: 1544 flesch: 59 summary: See Table 3. E-BPO Provided a Sustained Effect in Rosacea Patients for Over 1 Year (52 Weeks) Vehicle in Phase *Note: Treatment-emergent adverse events are those events with an onset after the first application of E-BPO Cream 5%. keywords: bpo; safety; study; subjects; week cache: skin-1531.pdf plain text: skin-1531.txt item: #402 of 1356 id: skin-1532 author: Del Rosso, James; Bhatia, Neal; Baldwin, Hilary ; Stein Gold, Linda; Desai, Seemal; Brantman, Sam title: Critical Evaluation of Benzoyl Peroxide in Rosacea: Old Challenges and New Clinical Opportunities With Encapsulated Benzoyl Peroxide  date: 2022-03-04 words: 1678 flesch: 66 summary: The disease is frequently characterized by remissions and exacerbations1 CRITICAL EVALUATION OF BENZOYL PEROXIDE IN ROSACEA: OLD CHALLENGES AND NEW CLINICAL OPPORTUNITIES WITH ENCAPSULATED BENZOYL PEROXIDE James Q. Del Rosso, DO1; Neal D. Bhatia, MD2; Hilary Baldwin, MD3; Linda Stein Gold, MD4; Seemal R. Desai, MD5,6; Sam Brantman, PharmD7 1JDR Dermatology Research, Las Vegas, NV; 2Therapeutics Clinical Research, San Diego, CA; 3The Acne Treatment & Research Center, Brooklyn, NY, and Rutgers Robert Wood Johnson Medical Center, New Brunswick, NJ; 4Henry Ford Health Systems, Detroit, MI; 5Innovative Dermatology, Plano, TX; 6Department of Dermatology, The University of Texas Southwestern Medical Center, Dallas, TX; 7Galderma Laboratories, L.P., Fort Worth, TX METHODS Co-primary Endpoints • Proportion of subjects with the primary measure of success, “Clear” (0) or “Almost clear” (1), in the Investigator Global Assessment (IGA) relative to baseline at Week 12 - The IGA scale ranged from “Clear” (0) to “Severe” (4) and included the number of papules/pustules and erythema severity • Absolute mean change in inflammatory lesion counts from baseline to Week 12 Secondary Endpoints • Percentage change in inflammatory lesion count from baseline to Week 12 • Absolute change in inflammatory lesion count from baseline to Week 8 Study Design of the Two Pivotal Phase 3 Trials for E-BPO Cream, 5% (Figure 1) REFERENCES 1. In both studies, E-BPO cream, 5%, demonstrated statistically significant improvement in the co-primary endpoint of the number of subjects achieving “Clear” or “Almost clear” • In Study 1, 47.4% of subjects treated with E-BPO achieved IGA success at Week 12 versus 20.7% of subjects treated with vehicle. keywords: baseline; bpo; study; vehicle; week cache: skin-1532.pdf plain text: skin-1532.txt item: #403 of 1356 id: skin-1533 author: Del Rosso, James; Sugarman , Jeffrey; Gold, Michael; Arekapdui, Krysten; Green, Lawrence title: A New Frontier in Acne Treatment: Encapsulated Benzoyl Peroxide and Tretinoin   date: 2022-03-04 words: 1678 flesch: 66 summary: The disease is frequently characterized by remissions and exacerbations1 CRITICAL EVALUATION OF BENZOYL PEROXIDE IN ROSACEA: OLD CHALLENGES AND NEW CLINICAL OPPORTUNITIES WITH ENCAPSULATED BENZOYL PEROXIDE James Q. Del Rosso, DO1; Neal D. Bhatia, MD2; Hilary Baldwin, MD3; Linda Stein Gold, MD4; Seemal R. Desai, MD5,6; Sam Brantman, PharmD7 1JDR Dermatology Research, Las Vegas, NV; 2Therapeutics Clinical Research, San Diego, CA; 3The Acne Treatment & Research Center, Brooklyn, NY, and Rutgers Robert Wood Johnson Medical Center, New Brunswick, NJ; 4Henry Ford Health Systems, Detroit, MI; 5Innovative Dermatology, Plano, TX; 6Department of Dermatology, The University of Texas Southwestern Medical Center, Dallas, TX; 7Galderma Laboratories, L.P., Fort Worth, TX METHODS Co-primary Endpoints • Proportion of subjects with the primary measure of success, “Clear” (0) or “Almost clear” (1), in the Investigator Global Assessment (IGA) relative to baseline at Week 12 - The IGA scale ranged from “Clear” (0) to “Severe” (4) and included the number of papules/pustules and erythema severity • Absolute mean change in inflammatory lesion counts from baseline to Week 12 Secondary Endpoints • Percentage change in inflammatory lesion count from baseline to Week 12 • Absolute change in inflammatory lesion count from baseline to Week 8 Study Design of the Two Pivotal Phase 3 Trials for E-BPO Cream, 5% (Figure 1) REFERENCES 1. In both studies, E-BPO cream, 5%, demonstrated statistically significant improvement in the co-primary endpoint of the number of subjects achieving “Clear” or “Almost clear” • In Study 1, 47.4% of subjects treated with E-BPO achieved IGA success at Week 12 versus 20.7% of subjects treated with vehicle. keywords: baseline; bpo; study; vehicle; week cache: skin-1533.pdf plain text: skin-1533.txt item: #404 of 1356 id: skin-1534 author: Del Rosso, James; Kircik, Leon ; Stein Gold, Linda; Baldwin, Hilary ; Weiss, Jonathan ; Pariser, David; Callender, Valerie ; Lain, Edward ; Gold, Michael; Beer, Kenneth ; Draelos, Zoe; Sadick, Neil; Pillai, ; Radhakrishnan; Bhatt, Varsha; Tanghetti, Emil title: Fixed-Dose Clindamycin Phosphate 1.2%, Benzoyl Peroxide 3.1%, and Adapalene 0.15% Gel for Moderate-to-Severe Acne: Phase 2 Study of the First Triple-Combination Drug date: 2022-03-04 words: 2232 flesch: 39 summary: In�ammatory Lesions -100% -80% -60% -40% LS M e a n P e rc e n t C h a n g e F ro m B a se lin e 0% -76.4% -69.2% -64.0% -68.1% -50.4% ** ** ** *** -20% B. Nonin�ammatory Lesions -100% -80% -60% -40% LS M e a n P e rc e n t C h a n g e F ro m B a se lin e 0% -71.0% -60.7%-58.7%-61.1% -45.8% ** *** ** *** -20% IDP-126 Gel (n=146) , LLC is an affiliate of Bausch Health Companies Inc. � CeraVe® hydrating cleanser and CeraVe® moisturizing lotion (L’Oreal, NY) were provided as needed for optimal moisturization/cleaning of the skin � Endpoints were treatment success at week 12 (≥2-grade reduction from baseline in EGSS and clear/almost clear skin) and least-squares (LS) mean changes from baseline to week 12 in inflammatory/ noninflammatory lesions � Treatment-emergent adverse events (TEAEs) and cutaneous safety and tolerability (via 4-point scale where 0=none and 3=severe) were also assessed RESULTS Participants � A total of 741 participants were enrolled (intent-to- treat population: n=740; safety population: n=725) � Mean age was approximately 19.5 years, most participants were female and White, and most had moderate disease (EGSS 3) at baseline (Table 1) � Treatment compliance across treatment groups was ≥93% Efficacy � At week 12, over half of participants achieved treatment success with IDP-126 vs ~30% or less with vehicle and dyads (P≤0.001, all; Figure 1) � IDP-126 also demonstrated significantly greater absolute reductions in the number of inflammatory and noninflammatory lesions vs vehicle or dyads, (P<0.05, all) corresponding to >70% reductions (Figure 2) � Images depicting acne improvements in IDP-126- treated participants are shown in Figure 3 Safety � TEAE rates were higher with IDP-126 and BPO/adapalene vs clindamycin/BPO, clindamycin/adapalene, or vehicle at week 12 (Table 2) � Most TEAEs were of mild-to-moderate severity (data not shown) � With IDP-126, there was no severe scaling, erythema, hypopigmentation, or itching, and <5% of participants had severe hyperpigmentation, burning, or stinging (Table 3) FIGURE 3. keywords: adap; bpo; clin; clindamycin; gel; idp-126; peroxide; phosphate cache: skin-1534.pdf plain text: skin-1534.txt item: #405 of 1356 id: skin-1535 author: Sadick, Neil; Cook-Bolden, Fran; Beer, Kenneth ; Draelos, Zoe; Kircik, Leon ; Tanghetti, Emil; Guenin, Eric title: Tazarotene 0.045% Lotion for Females With Acne: Analysis of Two Different Adult Age Groups date: 2022-03-04 words: 2143 flesch: 51 summary: In�ammatory Lesion Reduction -53.7% -60.6% ** ≥25 years -57.3% -60.9% Vehicle LotionTazarotene 0.045% Lotion -10% n= 374 n= 370 n= 167 n= 168 -30% -70% -50% ≥18 years 0% B. Nonin�ammatory Lesion Reduction -48.4% -59.0% *** ≥25 years -48.8% -61.1% ** -10% n= 374 n= 370 n= 167 n= 168 40% 0% 20% ≥18 years P e rc e n ta g e o f P a rt ic ip a n ts 100% C. Treatment Successa 24.8% ** 35.8% ≥25 years 26.1% 35.9% 60% n= 374 n= Safety � TEAE rates/severity/relationship to study drug and the most common TEAEs were generally similar for tazarotene-treated females in both age groups (Table 2); most TEAEs were mild to moderate in severity • Rates of treatment-related application site dryness and exfoliation were slightly higher among females ≥25 years than females ≥18 years, consistent with the association between adult female acne and dry skin � Rates of application site irritation related to tazarotene treatment were low for both female age groups (≥18 years, 1.1%; ≥25 years, 0.6%) TABLE 2. keywords: acne; females; lotion; tazarotene; years cache: skin-1535.pdf plain text: skin-1535.txt item: #406 of 1356 id: skin-1536 author: Berman, Brian ; Armstrong , April; Lebwohl, Mark; Grada, Ayman; Bhatia, Neal; Patel, Vishal; Rigel, Darrell; Del Rosso, James; Schlesinger, Todd; Kircik, Leon ; Salem, Raidah; Kasujee, Ismail title: Patient-Reported Outcomes for Tirbanibulin Effectiveness and Safety in Actinic Keratosis in Real-world Settings: PROAK Study Protocol date: 2022-03-04 words: 1866 flesch: 31 summary: TS reports receiving grant/research funding from AbbVie, Aclaris, Allergan, Anterios, AOBiome, Arcutis Premier Research, Astellas Pharma US, Inc, Athenex, Biofrontera, Biorasi, Boehringer Ingelheim, Brickell Biotech, Bristol-Myers Squibb, Cara Therapeutics, Castle BioScience, Celgene, Centocor Ortho Biotech (Now Janssen Biotech), ChemoCentryx, Coherus Biosciences, Concert Pharmaceutical, Corrona, Cutanea Life Sciences, Dermavant, Dermira, DT Pharmacy & DT Collagen (Melasma), EPI Health, Galderma (Nestle), Janssen Pharmaceuticals, Inc, Kiniksa, Leo, Lilly, Merz, Nestle Skin Health, Nimbus, Novartis, Pfizer, Processa, Pulse Biosciences, Regeneron, Sanofi Genzyme, Sisaf, and Trevi; has received honoraria from AbbVie, Allergen, Almirall, Biofrontera AG, Bristol-Myers Squibb, Castle BioScience, EPI Health, Foundation for Research and Education in Dermatology (FRED), Galderma (Nestle), Merz, Novartis, Regeneron, and Sun Pharma; and has served as a speaker, advisory board member, or consultant for AbbVie, Allergan, Almirall, Amgen, Biofrontera AG, Bristol-Meyers Squibb, Castle BioScience, Celgene, CMS Aesthetics DCME, DUSA/Sun Pharma, EPI Health, Foundation for Research and Education in Dermatology (FRED), Genentech, Greenway Therapeutix, Kintor, Merz, Nextphase, Novartis, Pharmatecture, Prolacta Biosciences, Pulse Biosciences, Regeneron, Remedly, Inc, Sanofi Genzyme, Sun Pharma, UCB, and Verrica; has received consulting fees from Lilly, Ortho Dermatologics, Pierre Fabre, Plasmed, Regeneron, and Skinceuticals/L’Oreal; has been involved in the CME Program for MED Learning Group; has been involved with OncLive SSC Insights Filming/Stacy Jaffe for MJH Associates; and owns stock in Remedly, Inc. LK has served as an investigator, speaker, advisory board member , or consultant for Abbott Laboratories; Aclaris, Inc; Allergan, Inc; Almirall; Anacor Pharmaceuticals, Inc; Assos Pharma; Astellas Pharma US, Inc; Asubio Pharma Co, Ltd; Berlex Laboratories (Bayer Healthcare Pharmaceuticals); Biogen-Idec, Inc; Biolife; Biopelle; Boehringer Ingelheim; Breckinridge Pharma; Celgene Corporation; Centocor, Inc; Colbar; CollaGenex; Combinatrix; Connetics Corporation; Coria; Dermik Laboratories; Dermira, Inc; Dow Pharmaceutical Sciences, Inc; Dusa Pharmaceuticals, Inc; Eli Lilly & Co; Embil Pharmaceutical Co, Ltd; EOS; Ferndale Laboratories, Inc; Galderma Laboratories, LP; Genentech, Inc; GlaxoSmithKline, PLC; Health Point Ltd; Idera, Inc; Innocutis Medical, LLC; Innovail; Intendis, Inc; Johnson & Johnson; Laboratory Skin Care, Inc; Leo Pharmaceuticals, Inc; L’Oreal SA; 3M; Maruho Co, Ltd; Medical International Technologies; Medicis Pharmaceutical Corp; Merck & Co, Inc; Merz; Nano Bio Corporation; Novartis Pharmaceutical Corporation; Noven Pharmaceuticals, Inc; Nucryst Pharmaceuticals Corporation; Obagi Medical Products, Inc; Onset; Ortho Dermatologics; OrthoNeutrogena; PediaPharma, Inc; Promius Pharma, LLC; PharmaDerm; Pfizer, Inc; PuraCap; QLT, Inc; Quatrix; Quinnova; Serono (Merck-Serono International SA); SkinMedica, Inc; Stiefel Laboratories, Inc; Sun Pharmaceutical Industries, Ltd; Taro; TolerRx, Inc; Triax; UCB, Inc; Valeant Pharmaceuticals North America LLC; Warner-Chilcott; XenoPort, Inc; and ZAGE. Patient inclusion criteria • Diagnosed with AK of the face and scalp • Has clinically typical, visible, and discrete AK lesions • Considered as a potential candidate for tirbanibulin treatment to manage their AK • Male or female, aged 18 years and above at the time of initiation of treatment with tirbanibulin • Willing to avoid excessive sun or UV exposure and/or use relevant sunscreen protection and protective clothing during the study duration • Able to read and write English • Provide consent to participate in the study Key exclusion criteria • Patients with any dermatological condition of the face or scalp that could interfere with the clinical evaluations • Hypertrophic AK lesions, open wounds, or suspected skin cancers within close proximity of the treatment area Assessments • keywords: almirall; inc; patient; pharma; regeneron; research; tirbanibulin; treatment cache: skin-1536.pdf plain text: skin-1536.txt item: #407 of 1356 id: skin-1537 author: Moore, Angela; Moore, Stephen; He, Qin; Rady, Peter; Grada, Ayman; Tyring, Stephen title: Tirbanibulin Ointment Eradicates HPV-57 (+) Periungual Squamous Cell Carcinoma date: 2022-03-04 words: 601 flesch: 53 summary: From actinic keratosis to squamous cell carcinoma: pathophysiology revisited. Qin He,3 Peter Rady,3 Ayman Grada,5 Stephen Tyring3 1Arlington Research Center, Arlington, TX, USA; 2Baylor University Medical Center, Dallas, TX, USA; 3Department of Dermatology, The University of Texas McGovern Medical School, Houston, TX, USA; 4 Rice University, Houston, TX, USA; 5Grada Dermatology Research LLC, Chesterbrook, PA, USA INTRODUCTION • Actinic keratosis (AK) are precancerous lesions that if left untreated may lead to invasive squamous cell carcinoma (SCC) 1 (Fernandez) • Tirbanibulin (KX2-391, KX01) is a synthetic, highly selective, novel inhibitor of tubulin polymerization and Src kinase signaling developed as a first-in-class topical formulation for the treatment for AK 2 (Smolinksi) • Previous Phase I and II studies demonstrated that tirbanibulin ointment 1% was active against AK lesions on the forearm and face or scalp, respectively. keywords: hpv; tirbanibulin; usa cache: skin-1537.pdf plain text: skin-1537.txt item: #408 of 1356 id: skin-1538 author: Farberg, Aaron; Siegel, Jennifer; Rackely , Briana; Fitzgerald, Alison; Kurley, Sarah; Cook, Robert title: Appropriate utilization of the prognostic 40-gene expression profile (40-GEP) test for cutaneous squamous cell carcinoma (cSCC) demonstrated by clinical reports and physician evaluation of real-world cases date: 2022-03-04 words: 1058 flesch: 49 summary: The 40-GEP test has high technical reliability Figure 3D. Clinicopathologic risk group of tested patients 98.1% Successful 40-GEP 1.9% MGF Clinicopathologic Risk* % of Patients NCCN: Very High Risk 39.3% High Risk 60.5% Low Risk** 0.2% BWH T-stage: T1 38.5% T2a 39.4% T2b 21.6% T3 0.6% *Estimated based on factors reported. Risk factors included lesion located on the H or M area, ≥2cm diameter, poorly defined borders, patient immunosuppression, rapidly growing tumor, site of prior RT or chronic inflammation, History & Physical- other factor noted, high-risk subtype, Clark Level IV, >2mm invasion, poorly differentiated, LVI, PNI, invasion beyond the subcutaneous fat. keywords: class; figure; gep; risk; test cache: skin-1538.pdf plain text: skin-1538.txt item: #409 of 1356 id: skin-1539 author: Goldberg, Matthew; Kurley, Sarah; Siegel, Jennifer; Fitzgerald, Alison; Cook, Robert title: Evidence review of the prognostic 40-gene expression profile test for cutaneous squamous cell carcinoma date: 2022-03-04 words: 1229 flesch: 43 summary: Farberg, et al. Plasseraud et al. keywords: class; gep; risk cache: skin-1539.pdf plain text: skin-1539.txt item: #410 of 1356 id: skin-154 author: Granger, C; Martinez-Masana, G; Garre, A title: An Open Label, Prospective, Clinical Study to Evaluatee the Anti-aging Effects and the Safety of a Novel Ccosmetic Facial Day Cream date: 2017-10-27 words: 774 flesch: 60 summary: After 56 days of use, there were demonstrated improvements of skin firmness, moisturization, and elasticity. Elasticity: increase in the R2 (total recovery of the initial state/final defromation) parameter (S)=p<0.001 Fi g u re 6 R 2 va lu e (i n m m ) Figure 2. 7% decrease of ptosis volume after 56 days of use The blue zone characterizes a decrease in the cheek volume so a decrease in ptosis Te xt u re c o u n t D0 D28 D56 D0 D28 D56 -12% (S) -10% (S) 80 3 70 8 Fi g u re 4 V o lu m e (i n m m 3 ) 0. 57 9 Figure 4 and 5. keywords: d56; figure; skin cache: skin-154.pdf plain text: skin-154.txt item: #411 of 1356 id: skin-1540 author: Miley, Lorrie-Beth; Ahmed, Kelli ; Siegel, Jennifer; Morgan-Linnell, Sonia title: Attitudes of Patients with Cutaneous Melanoma Towards Prognostic Testing Using Gene Expression Profiling date: 2022-03-04 words: 1188 flesch: 60 summary: Most respondents, whether they received 31- GEP or not, desired prognostic testing about their tumor. Acknowledgments & Disclosures References › This study was sponsored by Castle Biosciences, Inc. Did you want prognostic testing at the time of your diagnosis? Respondents were asked if they wanted prognostic information about their tumor at the time of diagnosis. keywords: decision; gep; regret; respondents; testing cache: skin-1540.pdf plain text: skin-1540.txt item: #412 of 1356 id: skin-1542 author: Berman, Brian ; Schlesinger, Todd; Bhatia, Neal; Grada, Ayman; Padulles, Laura; Hernandez, Francisco; Cutler, david; Lebwohl, Mark title: Complete clearance of actinic keratosis with tirbanibulin ointment 1% is not correlated with the severity of local skin reactions date: 2022-03-04 words: 1151 flesch: 60 summary: Composite LSR score was ≤3 in 26.5% and ≤5 in 70.2% of CC patients (Figure 2). LSR composite scores range from 0 (no reaction) to 18 (maximum reaction). keywords: composite; lsr; patients cache: skin-1542.pdf plain text: skin-1542.txt item: #413 of 1356 id: skin-1543 author: Schlesinger, Todd; Bhatia, Neal; Berman, Brian ; Grada, Ayman; Padulles, Laura; Hernandez, Francisco; Cutler, David; Lebwohl, Mark title: Impact of prior treatment in the efficacy and tolerability of tirbanibulin ointment 1% for actinic keratosis: pooled results from two Phase 3 studies date: 2022-03-04 words: 1231 flesch: 54 summary: OBJECTIVE • This post-hoc analysis of the pooled Phase 3 data assessed efficacy and tolerability according to prior AK treatment in the treatment area. • Compared to pooled Phase 3 trials, in this post-hoc analysis the efficacy of tirbanibulin in pretreated areas was similar, and there were no differences in tolerability in terms of LSR. keywords: participants; tirbanibulin; treatment; vehicle cache: skin-1543.pdf plain text: skin-1543.txt item: #414 of 1356 id: skin-1544 author: Berman, Brian ; Gual, Adria; Grada, Ayman; Fumero, Emilio; Padulles, Laura; Hernandez, Francisco title: Efficacy of tirbanibulin ointment 1% across different patient populations: pooled results from two Phase 3 studies date: 2022-03-04 words: 1266 flesch: 68 summary: The primary efficacy and key secondary endpoints were complete clearance (CC, 100% reduction from baseline) and partial clearance (PC, ≥75%) rates of AK lesions at Day 57. Logistic regression models to find independent predictors of CC and PC of AK lesions among tirbanibulin-treated patients were built. keywords: day; tirbanibulin; vs. cache: skin-1544.pdf plain text: skin-1544.txt item: #415 of 1356 id: skin-1545 author: Eichenfeld, Lawrence; Simpson, Eric; Papp, Kim; Szepietowski, Jacek; Kircik, Leon ; Toth, Darryl; Forman, Seth; Kuligowski, Michael; Venturanza, May; Ren, Haobo; Paller, Amy title: Long-Term Safety and Disease Control of Ruxolitinib Cream Among Adolescents With Atopic Dermatitis: Results From Two Phase 3 Studies date: 2022-03-04 words: 2552 flesch: 47 summary: [BID], 1.5% BID) or vehicle cream BID for 8 weeks of double-blind treatment (vehicle-controlled [VC] period); patients were instructed to continue treating lesions even if they improved – Patients on ruxolitinib cream subsequently continued treatment for 44 weeks (long-term safety [clear or almost clear skin]) and mean percentage of BSA affected by AD at each visit (every 4 weeks) during the LTS period ● Safety and tolerability assessments included the frequency of reported treatment-emergent adverse events (TEAEs), treatment-related adverse events, and TEAEs leading to treatment discontinuation ● Patients initially randomized to 0.75% or 1.5% ruxolitinib cream who remained on ruxolitinib cream during the LTS period were included in this analysis; patients initially on vehicle who received ruxolitinib cream during the LTS are not included in this analysis Statistical Analyses ● Data were analyzed by descriptive statistics ● The safety analysis was conducted using pooled data from both studies ● Disease control data (IGA 0/1 and BSA) are reported as observed Results Patients ● Of the 1249 patients randomized in the VC period, 245 (19.6%) were between 12–17 years old ● Distribution of baseline demographics and clinical characteristics for the pooled adolescent population was similar across treatment groups (Table 1) keywords: cream; lts; patients; period; ruxolitinib; ruxolitinib cream; safety cache: skin-1545.pdf plain text: skin-1545.txt item: #416 of 1356 id: skin-1546 author: Paller, Amy ; Blauvelt, Andrew ; Soong, Weily; Imafuku, Shinichi; Hong, Chih-ho; Schuttelaar, Marie ; Amoudruz, Petra; Kurbasic, Azra; Soldbro, Lise; Lophaven, Katja; Cork, Michael; Bewley, Anthony ; Simpson, Eric title: Efficacy and safety of tralokinumab in adolescents with moderate-to- severe atopic dermatitis: results of the phase 3 ECZTRA 6 trial date: 2022-03-04 words: 2286 flesch: 56 summary: Amy Paller has served as an investigator for AbbVie, Anaptysbio, Incyte, Janssen, KrystalBio, LEO Pharma, Regeneron, and UCB, received honorarium for consultancy from AbbVie, Abeona, Almirall, Anaptysbio, Arena, Azitra, BiomX, Boehringer Ingelheim, Castle Biosciences, Catawba, Dermira, Exicure, Forté, Kamari, LEO Pharma, Lilly, LifeMax, Novartis, Pfizer, Regeneron, Sanofi Genzyme, Seanergy, and UCB, and served on a Data Safety Monitory Board for AbbVie, Bausch, Galderma, and Novan. Andrew Blauvelt is a scientific adviser and clinical study investigator for AbbVie, Abcentra, Aligos, Almirall, Amgen, Arcutis, Arena, Aslan, Athenex, Boehringer Ingelheim, Bristol-Myers Squibb, Dermavant, Eli Lilly, Evommune, Forte, Galderma, Incyte, Janssen, Landos, LEO Pharma, Novartis, Pfizer, Rapt, Regeneron Pharmaceuticals, Inc., Sanofi Genzyme, Sun Pharma, UCB Pharma. keywords: leo; patients; pharma; placebo; q2w; tralokinumab; treatment; week cache: skin-1546.pdf plain text: skin-1546.txt item: #417 of 1356 id: skin-1547 author: Adjei, Susuana; Miller, Austinn; Temiz, Laurie; Tyring, Stephen title: A Rare Case of Empedobacter Brevis Cutaneous Infection Treated Successfully with Oral Sarecycline   date: 2022-03-04 words: 836 flesch: 54 summary: PowerPoint Presentation Empedobacter brevis, as a part of the Flavobacteriaceae family, is a non-motile, strictly aerobic, gram negative, yellow colony-forming bacterium that typically resides in soil, plants, water sources, and hospital environments.1,2 The first reported case of a human infection was in 2002 when 11 out of 12 patients were diagnosed with endophthalmitis from an E. brevis infection post cataract surgery.3 More cases of E. brevis infections have since been reported ranging from meningitis to cellulitis.3,4,6 Treatment can be complicated by the bacteria’s beta lactamase gene, which results in resistance to extended cephalosporins and carbapenems.5 There have been a few dermatologic manifestations of E. Brevis infections reported in the literature that warrant further evaluation.6,7 We present a case of an E. brevis infection in a 61-year-old male who presented with a persistent right mid-thigh lesion. A Rare Case of Empedobacter Brevis Cutaneous Infection Treated Successfully with Oral Sarecycline Susuana Adjei, MD1; Austinn C. Miller, MD 1; Laurie A. Temiz, BA2 ; Stephen K. Tyring, MD, PhD, MBA 1,3 1Center for Clinical Studies Webster, TX; 2Meharry Medical College, Nashville, TN; 3UT Houston Department of Dermatology, Houston TX DISCUSSION Thought to be an environmental pathogen, increasing cases of human E. brevis infections are now being reported as portrayed in Table 1. keywords: brevis; case; empedobacter cache: skin-1547.pdf plain text: skin-1547.txt item: #418 of 1356 id: skin-1548 author: Lipner, Shari; Joseph , Warren ; Vlahovic, Tracey; Scher, Richard; Rich, Phoebe; Ghannoum, Mahmoud; Daniel, Ralph; Elewski, Boni title: Therapeutic Recommendations for the Treatment of Toenail Onychomycosis in the US date: 2022-03-04 words: 2041 flesch: 42 summary: Recommended Medications � The authors all agreed that treatment should be individualized for each patient based on nail involvement (number, surface area, thickness), infecting organism, patient characteristics (including comorbidities), current medications, biomechanics, cost/availability/accessibility based on insurance, and patient preference � A decision tree to provide practical guidance on therapeutic recommendations in onychomycosis treatment developed by the authors is shown in Figure 2 � Therapeutic recommendations by drug are also detailed in Figure 3 � Among oral medications, terbinafine is most commonly used as first-line treatment, followed by fluconazole � Among topical products, efinaconazole is ideal as first-line medication in pediatric patients, patients with less severe disease, and those with dermatophytomas � A topical medication was also recommended for use in combination with terbinafine or fluconazole and can be considered as maintenance therapy to prevent relapse � To improve outcomes, concurrent tinea pedis should be treated in all patients receiving topical therapy for onychomycosis Patient Education � It is important to manage patient expectations when treating onychomycosis: optimal results can take over a year and clinical cure/normal nail appearance may not be possible � Patients should also be educated on the high recurrence rates (6.5%–53%)5; as such, regular follow-up visits with patients are recommended (3–6 months after oral or 1 year after topical treatment) Efinaconazole preferred for topical treatment due to higher rates of complete cure and mycologic cure versus other topical treatments. keywords: disease; nail; onychomycosis; patients; topical; treatment cache: skin-1548.pdf plain text: skin-1548.txt item: #419 of 1356 id: skin-1549 author: Cockerell, Clay; Ceilley, Roger; Lebwohl, Mark; Rigel, Darrell title: Using Genomics to Improve Pigmented Lesion Management & Health Outcomes date: 2022-03-04 words: 1195 flesch: 51 summary: 88 Siegel et al. also showed high rates of biopsies and excisions on benign lesions using the VAH pathway, which highlights the need for more accurate clinical assessment of pigmented lesions. [PLA] DermTech, La Jolla, CA), which studies have demonstrated has a >99% negative predictive value (NPV).3 With the ability to detect genomic atypia in pigmented lesions, this technology offers an additional tool to clinicians faced with the conundrum of determining whether a pigmented lesion should be biopsied/removed or if they can be safely monitored.4 keywords: gep; lesions; melanoma; skin cache: skin-1549.pdf plain text: skin-1549.txt item: #420 of 1356 id: skin-155 author: Granger, C; Goni-de-Cerio, F; Martinez-Masana, G; Garre, A title: Ex-vivo Determination of Antifungal Activity of a New Prescription Non-Steroidal Facial Cream Against Malassezia furfur in Human Skin Explants date: 2017-10-27 words: 722 flesch: 51 summary: Ex-vivo determination of antifungal activity of a new prescription non- steroidal facial cream against Malassezia furfur in human skin explants Fall Clinical Dermatology Conference® October 12-15, 2017. On control skin explants, inoculated in the same way, no product was applied. keywords: nsfc; skin cache: skin-155.pdf plain text: skin-155.txt item: #421 of 1356 id: skin-1550 author: Castro Porto Silva Lopes, Fabiana; Ahmed, Ammar title: Insurance Coverage for Phototherapy for Vitiligo in Comparison to Psoriasis and Atopic Dermatitis date: 2022-05-06 words: 3188 flesch: 46 summary: Results: Vitiligo is the only disease analyzed for which multiple insurances explicitly stated they do not cover in-office phototherapy, and it is also the least covered for home phototherapy. Information about phototherapy coverage was extracted via web search. keywords: phototherapy; prerequisites; psoriasis; review; treatment; vitiligo cache: skin-1550.pdf plain text: skin-1550.txt item: #422 of 1356 id: skin-1551 author: Boccardi, Aleia; Trigg, Joanna ; Reiter, Paloma ; Papadopoulos, Dimitria ; Sirota Rozenberg, Suzanne title: Polypoid Melanoma: Diagnostic Hardships Concerning A Rare Melanoma Variant date: 2022-05-06 words: 1704 flesch: 53 summary: Polypoid amelanotic melanoma: a diagnostic challenge. Amelanotic melanomas presenting as red skin lesions: a diagnostic challenge with potentially lethal consequences. keywords: growth; lesion; melanoma; patient; polypoid; skin cache: skin-1551.pdf plain text: skin-1551.txt item: #423 of 1356 id: skin-1552 author: Ngonadi, Nwanneoma; Hannah, Claire; Rosenbach, Misha title: Lichen Sclerosus et Atrophicus date: 2022-05-06 words: 692 flesch: 46 summary: Additionally, genital LSeA increases the risk of vulvar squamous cell carcinoma by 4-5% 3, therefore, all patients with LSeA should be asked about genital symptoms and a genital examination is recommended. Extragenital LSeA is rare, with a prevalence of up to 0.3% 4. keywords: lichen; lsea; sclerosus cache: skin-1552.pdf plain text: skin-1552.txt item: #424 of 1356 id: skin-1556 author: Mezni, Line; Farah, Elhadadi; Nadia , Ismaili title: Pustular Penile Pyoderma Gangrenosum: A Puzzling Clinical Presentation date: 2022-05-06 words: 594 flesch: 45 summary: Pustular pyoderma gangrenosum: an uncommon variant which is easily misdiagnosed. A Puzzling Clinical Presentation Mezni Line, MD1, Elhadadi Farah, MD1, Ismaili Nadia MD,PhD1 1Ibn Sina University Hospital Dermatology Department, Mohammed V University, Rabat, Morocco Figure 1 : Penile pyoderma gangrenosum : erosive, and sharply demarcated lesions on the glans penis Pyoderma gangrenosum (PG) is a recurrent, chronic inflammatory neutrophilic dermatosis. keywords: gangrenosum; pyoderma cache: skin-1556.pdf plain text: skin-1556.txt item: #425 of 1356 id: skin-1558 author: Min, Susie; Subhadarshani, Sweta ; Sharma , Pooja; Thakran, Priyesh title: Median Raphe Cyst date: 2022-07-07 words: 694 flesch: 51 summary: Median raphe cyst is a rare, benign cyst of congenital origin. Median raphe cysts develop along the median raphe of the male external genitalia with the most cases having been reported in young patients.1 keywords: cysts; median; raphe cache: skin-1558.pdf plain text: skin-1558.txt item: #426 of 1356 id: skin-1559 author: Weir, Sydney; Hattway, Reagan ; Singh, Nikhi ; King, Timothy; Kole, Lauren title: Interviewing Dermatology Applicants in a Virtual Setting: A Perspective after 2020-2021 Match: Perspective after Match date: 2022-07-07 words: 1052 flesch: 21 summary: In addition to dermatology program director responses, we received a 2% response rate from medical students who successfully matched into dermatology during the 2020-2021 application cycle (N=11). Dermatology residency training programs may use this information to decide which virtual pre-interview events to offer in subsequent virtual application cycles. keywords: dermatology; medical; program; residency cache: skin-1559.pdf plain text: skin-1559.txt item: #427 of 1356 id: skin-156 author: Valderas-Martinez, P; Garre, A; Granger, C title: Efficacy and Tolerance of a New Non-Steroidal Prescription Cream in the Treatment of Mild Facial Seborrheic Dermatitis date: 2017-10-27 words: 743 flesch: 56 summary: RESULTS Treatment proved successful in most patients (88%), and the IGA with a reduction of the IGA score at 28±2 days to 0.66 ± 0.94 compared to IGA at 2 at baseline, SD was evaluated as absent in 56% of patients. After 10±2 days, treatment proved successful in most patients (79%), and the mean score of IGA at this visit was 1.00±0.75 (Figure 1). keywords: patients; score cache: skin-156.pdf plain text: skin-156.txt item: #428 of 1356 id: skin-1560 author: Govea, Ramon; Hollins, Lauren title: Residency Program Websites as an Avenue Towards Increasing Diversity and Inclusion in Dermatology: A Cross-Sectional Analysis of Program Websites date: 2022-05-06 words: 1191 flesch: 56 summary: Conclusions: Most dermatology residency programs do not mention D&I on their websites. Percent of dermatology websites mentioning diversity and inclusion Future studies are needed to determine how these changes correlate with URM applications and diversity in residency programs. keywords: d&i; dermatology; residency; websites cache: skin-1560.pdf plain text: skin-1560.txt item: #429 of 1356 id: skin-1561 author: Siddiqui, Fahad; Witkoff, Benjamin; Glick, Brad title: Potential Neurologic Side Effects of Oral Isotretinoin: A Case of Peripheral Neuropathy date: 2022-07-07 words: 1314 flesch: 49 summary: Aside from its effectiveness in treating the acne itself, isotretinoin has also been noted to improve the psychosocial aspects of severe acne including depression, anxiety, and quality of life.1 Despite its effectiveness, the drug is publicly known for its association with adverse effects such as xerosis, epistaxis, cheilitis, and myalgias as well as less common side effects like depression, anxiety, insomnia, suicidal ideation, sun sensitivity, vision changes, and hair loss.2 Adverse effects of isotretinoin: A large, retrospective review. keywords: effects; isotretinoin; nerve; potential cache: skin-1561.pdf plain text: skin-1561.txt item: #430 of 1356 id: skin-1562 author: Garcia, Natalie; Hill, Callie; Jiminez, Victoria; Phillips, Carlton Blake title: Diagnostic Challenges of Hypertrophic Lupus Erythematosus date: 2022-07-07 words: 873 flesch: 49 summary: No single criterion confidently differentiates HLE from SCC histologically, postulating the need for CD123 immunostaining in evaluating locally recurring, supposed SCCs.1 CD123 is highly expressed on the surface of plasmacytoid dendrocytes, seen in HLE lesions densely at the epidermal-dermal junction, while SCC lacks this positive band staining. 348 SKIMages Diagnostic Challenges of Hypertrophic Lupus Erythematosus Natalie Garcia BS1, Callie Hill MD2, Victoria Jiminez BS1, Leah Cardwell, MD2, Peter Pavlidakey, MD2, Carlton B Phillips, MD2 1 University of Alabama at Birmingham School of Medicine, Birmingham, AL 2 University of Alabama at Birmingham, Department of Dermatology, Birmingham, AL Hypertrophic lupus erythematosus (HLE), a variant of cutaneous LE, often occurs in the absence of systemic symptoms and can be misdiagnosed as squamous cell carcinoma (SCC) as both appear clinically as erythematous scaling plaques in sun exposed areas and histologically show significant epithelial hyperplasia.1 Distinguishing HLE from SCC can be difficult, thus a detailed clinical history and adjunct testing to rule out inflammatory conditions are necessary to direct treatment. keywords: cd123; hle; leg cache: skin-1562.pdf plain text: skin-1562.txt item: #431 of 1356 id: skin-1563 author: Cheng, Melissa; Pham, Diem; Kim, Gene title: Lobular Panniculitis in a Patient with Chronic Lymphoid Leukemia date: 2022-07-07 words: 1513 flesch: 49 summary: Causes of lobular panniculitis include systemic lupus erythema, pancreatic disorders, α1-antitrypsin deficiency, or infection. This case discusses a 63- year-old female that presents with lobular panniculitis without vasculitis associated with chronic lymphoid leukemia. keywords: chronic; cll; leukemia; panniculitis; patient cache: skin-1563.pdf plain text: skin-1563.txt item: #432 of 1356 id: skin-1564 author: Wu, Albert; Cline, Abigail; Russo, Marion title: Step 1 as Pass/Fail: Navigating Dermatology Application Components as Holistic Review Expands date: 2022-05-06 words: 978 flesch: 50 summary: An increasing trend in the number of publications and research projects among dermatology residency applicants. Volunteer and work experiences among dermatology residency applicants. keywords: application; change; dermatology; step cache: skin-1564.pdf plain text: skin-1564.txt item: #433 of 1356 id: skin-1566 author: Arriaza, Olivia; Winsett, Frank; Wilson, Janice; Kelly, Brent title: A Case of Dasatinib-Induced Keratosis Pilaris date: 2023-01-10 words: 1716 flesch: 40 summary: We report a case of keratosis pilaris induced by dasatinib treatment that histologically revealed evidence of follicular destabilization, characterized by follicular epithelial thinning, leading to follicular rupture. It is well known that one of the most common non-hematologic adverse effects of TKIs cutaneous reactions, however, there is little evidence of cutaneous side effects associated with dasatinib.8 Although, keratosis pilaris-like eruptions are the most common adverse cutaneous effects reported from dasatinib treatment, they have not been well characterized as morphologies are varied.2,5,9 Bergman, et al. describes a case of neutrophilic dermatosis associated with dasatinib that presented as recurrent erythematous plaques on the face, neck, chest, arms and back. keywords: dasatinib; keratosis; patient; pilaris; skin cache: skin-1566.pdf plain text: skin-1566.txt item: #434 of 1356 id: skin-1567 author: Marushchak, Olga; Tan, Kathryn Jayne ; Encarnacion, Maria Rosa Noliza ; Clark, Loren; Golant, Alexandra title: Acne Keloidalis Nuchae Successfully Treated with Halobetasol 0.01% and Tazarotene 0.045% Lotion date: 2022-07-07 words: 1691 flesch: 49 summary: Beckett N, Lawson C, Cohen G. Electrosurgical excision of acne keloidalis nuchae with secondary intention healing. The efficacy of laser-assisted hair removal in the treatment of acne keloidalis nuchae; a pilot study. keywords: acne; akn; dermatol; keloidalis; nuchae; topical; treatment cache: skin-1567.pdf plain text: skin-1567.txt item: #435 of 1356 id: skin-1568 author: Owji, Shayan; Han, Joseph; He, Helen; Lopera, Isabel; Tassavor, Michael; Brownstone, Nicholas; Gulati, Nicholas; Ungar, Benjamin; Ungar, Jonathan title: Diagnostic Efficacy of Electrical Impedance Spectroscopy Versus Dermoscopy for Pigmented Skin Lesions: A Pilot Study date: 2022-05-06 words: 3049 flesch: 51 summary: To better understand the clinical utility of EIS, we investigated how this relatively new technology – specifically, the effect it has on clinical decisions for PSLs – compares to traditional dermoscopy. Images of twenty-four randomly selected, histologically-confirmed and EIS-evaluated PSLs, comprising 8 melanomas, 8 dysplastic nevi (6 mild-moderate dysplastic, 2 severe dysplastic), and 8 melanocytic nevi, from a previously published prospective blinded trial of 2416 lesions were included in this study.6 Twelve PSLs (half of the lesions from each diagnosis group) were randomly selected to be presented as a clinical image with associated dermoscopic image (dermoscopy group), while the other twelve lesions were presented as a clinical image with the corresponding EIS score (EIS group). keywords: biopsy; decisions; dermoscopy; eis; lesions; sensitivity; specificity cache: skin-1568.pdf plain text: skin-1568.txt item: #436 of 1356 id: skin-1569 author: Baah, Natasha; Skandamis, George title: A Novel Case of Eruptive Keratoacanthomas Associated with Apalutamide Treatment for Prostate Cancer date: 2022-07-07 words: 1754 flesch: 48 summary: Past medical history is significant for squamous cell skin cancer on the left central forehead and prostate cancer, for which he underwent a radical prostatectomy 25 years ago. al. Dermatological adverse events in prostate cancer patients treated with the androgen receptor inhibitor apalutamide. keywords: apalutamide; cancer; cell; eruptive; keratoacanthomas; patient; prostate cache: skin-1569.pdf plain text: skin-1569.txt item: #437 of 1356 id: skin-157 author: Teeple, A; Muser, E title: Cost Per Responder Analysis of Guselkumab versus Adalimumab using Efficacy Results fromm a Head-to-Head Clinical Trial in Patients with Moderate to Severe Plaque Psoriasis date: 2017-10-27 words: 1063 flesch: 55 summary: Percent of Patients Reaching Each PASI Response at 48 Weeks 0 20 40 60 80 10 30 50 70 90 100 P er ce n ta g e o f P at ie n ts PASI 75 87.8% 62.6% 76.3% 47.9% 47.4% 23.4% PASI 90 Guselkumab Adalimumab PASI 100 ■ Figure 2 shows the cost per responder estimates for Guselkumab and Adalimumab for the VOYAGE 1 primary endpoint, a response of PASI 90. Figure 2. Induction Year Cost per Responder for All Three PASI Response Levels $0 $100,000 $125,000 $175,000 $225,000 $275,000 $200,000 $50,000 $25,000 $75,000 $150,000 $250,000 $300,000 C o st p er R es p o n d er PASI 75 $88,237 $99,325 $101,536 $129,807 $163,443 $265,715 PASI 90 Guselkumab Adalimumab PASI 100 Conclusions ■ This cost per responder analysis from the VOYAGE 1 trial demonstrates that guselkumab is a more cost-effective treatment with a lower cost per responder than adalimumab for achieving a PASI 90, PASI 75, and a PASI 100 response in the first year of treatment among patients with moderate to severe plaque psoriasis. keywords: adalimumab; cost; guselkumab; pasi cache: skin-157.pdf plain text: skin-157.txt item: #438 of 1356 id: skin-1570 author: Perez, Mariana; Witkoff, Benjamin; Lutwak, Moises ; Cohn, Michael; Weiss, Eduardo title: Eosinophilic Annular Erythema of Childhood: A Rare Case date: 2022-09-12 words: 1741 flesch: 41 summary: Comparison of eosinophilic annular erythema (EAE), annular erythema of infancy (AEI), Well’s Syndrome (WS), and erythema annularis centrifugum (EAC) SKIN September 2022 Volume 6 Issue 5 (c) 2022 Eosinophilic annular erythema treated with dupilumab. keywords: annular; childhood; eae; eosinophilic; erythema; lesions cache: skin-1570.pdf plain text: skin-1570.txt item: #439 of 1356 id: skin-1571 author: Shamloul, Gelan; McEldrew, Emily ; Kesty, Chelsea; McClain, Richard title: A Unique Presentation and Unusual Cause of Acute Generalized Exanthematous Pustulosis: Case Report date: 2023-01-10 words: 1508 flesch: 45 summary: A Case Report Gelan Shamloul, BS1, Emily McEldrew, DO2, Chelsea Kesty, MD2, Richard McClain, MD2 1Philadelphia College of Osteopathic Medicine, Philadelphia, PA 2Department of Dermatology, Lehigh Valley Health Network, Allentown, PA Acute generalized exanthematous pustulosis (AGEP) is a severe, acute-onset cutaneous eruption of small, sterile pustules on an erythematous base, occurring with fever and a neutrophilic leukocytosis.1,2 AGEP primarily presents as an adverse drug reaction beginning 2-14 days following drug ingestion. Nikolsky sign was negative, and there was no ABSTRACT Acute generalized exanthematous pustulosis (AGEP) is a febrile, pustular eruption that has been reported in all ages. keywords: acute; agep; eruption; pustules; pustulosis; weeks cache: skin-1571.pdf plain text: skin-1571.txt item: #440 of 1356 id: skin-1572 author: Brownstone, Nicholas; Rigel, Darrell title: Skin Cancer Screenings: Why Are the Benefits in Question? date: 2022-05-06 words: 1099 flesch: 55 summary: Therefore, skin cancer screening should have the potential to increase the survivability from melanoma by detecting this cancer at an earlier stage thereby positively impacting prognosis. So why do the benefits of skin cancer screening still remain controversial? keywords: cancer; melanoma; screening; skin cache: skin-1572.pdf plain text: skin-1572.txt item: #441 of 1356 id: skin-1573 author: Tassovar, Michael; Owji, Shayan; Han, Joseph; Dautriche, Cula; Unger, Jonathan title: 1st Place: Improving Dermatology Resident Billing date: 2022-05-06 words: 498 flesch: 34 summary: The intervention consisted of four monthly billing lectures with two associated quizzes as well as a note template designed by author MT that automatically lists the correct procedural codes according to the numbers and types of procedures chosen from a dropdown list • Billing accuracy was verified by two attending dermatologists through chart review and compared between the two time periods • State population and setting CONCLUSIONS • Lectures on medical coding and a template that automatically lists the CPT codes for procedures greatly improved the billing accuracy of dermatology residents at our institution, significantly decreasing the rate of errors for procedural codes and modifiers • Residents consistently undercoded E/M rather than the opposite, perhaps due to a perception that there is no meaningful benefit to maximizing their billing • Our lectures seemed to be most impactful on procedural codes and modifiers RESULTS • Billing data from 513 patient visits, 257 from the pre-intervention period and 256 from the post-intervention period, were checked for accuracy • The accuracy of resident-billed E/M levels of service was similar between pre- and post-intervention (44.4% vs. 44.8%) • Similar rates of undercoding and overcoding were noted between the pre- and post-intervention periods (35.4% undercoded and 8.1% overcoded vs. 35.8% and 8.9%). • Substantial improvements were noted in the rate of errors with procedural codes and modifiers in the post-intervention period • 22.0% of procedural codes were incorrectly billed pre-intervention while only 3.7% were incorrectly billed post-intervention (p<0.05). keywords: codes; intervention cache: skin-1573.pdf plain text: skin-1573.txt item: #442 of 1356 id: skin-1575 author: Glaser, Ella; Rosemary , King ; Glaser, Dee Anna title: 3rd Place: Prevalence of Anxiety, Depression, and Attention Deficit Disorder in Patients with Primary Hyperhidrosis date: 2022-05-06 words: 669 flesch: 47 summary: • There is a significant association between HH and the prevalence of anxiety, depression and ADD regardless of gender or age • Compared to the nationally reported prevalence of anxiety (5.7%)6, depression (7.8%)7 and ADD (4.4%) 8, HH patients have a statistically significant higher prevalence than the general public. • Understand the correlation between hyperhidrosis location and severity with mental health • 500 patients included • 13.8% of patients had a diagnosis of anxiety, 12.4% had depression and 6.4% had ADD • Positive correlations between the number of anatomical HH sites involved and the prevalence of psychiatric conditions • no association with overall HDSS severity or location involved with prevalence of psychiatric conditions. keywords: anxiety; depression; prevalence cache: skin-1575.pdf plain text: skin-1575.txt item: #443 of 1356 id: skin-1576 author: Sanghvi, Anuj; Wang, David; Lipner, Matthew; Tackett, Kelly ; Holahan, Heather; Mervak, Julie title: Runner Up: Accuracy and Confidence Among New First-year Dermatology Residents in the Diagnosis of Common Dermatologic Conditions in Different Fitzpatrick Skin Types date: 2022-05-06 words: 602 flesch: 31 summary: The number of common skin conditions in the survey was limited out of consideration for the time • Survey did not fully represent the spectrum or prevalence of skin conditions seen in the practice of dermatology Limitations • New dermatology residents diagnose common dermatologic conditions in darker skin with less accuracy and confidence than in lighter skin • There is a lack of statistical significance with participants’ demographics and background characteristics • Differences identified in diagnostic accuracy and confidence may stem from a systemic deficiency in skin of color education rather than individual backgroundsnd confidence in lighter versus darker Medical students' ability to diagnose common dermatologic conditions in skin of color. keywords: conditions; dermatology; skin cache: skin-1576.pdf plain text: skin-1576.txt item: #444 of 1356 id: skin-1577 author: Malik, Kunal ; Ngo, Tracy; Patel, Parth; Khachemoune, Amor title: Runner Up: Second Intention Healing for Mohs Defects of Specific Anatomic Locations of the Lower Extremities: Identifying Indications and Mitigating Challenges date: 2022-05-06 words: 1078 flesch: 49 summary: Furthermore, wound characteristics and outcomes of SIH for MMS defects of specific lower extremity sites is not well described in the literature.1,2 To address possible underutilization of SIH on the lower extremity, site-specific indications and challenges of SIH below-the-knee need exploration. A systematic review of the literature from inception of databases to January 2, 2021 using PubMed, EMBASE, and Cochrane Library using search terms: 1) Mohs surgery and lower extremity, leg, foot and 2) Mohs and lower extremity, leg, foot was performed. keywords: extremity; sih cache: skin-1577.pdf plain text: skin-1577.txt item: #445 of 1356 id: skin-1578 author: Rosenthal , Amanda; Chung, Joanie; Cooper, Robert; Haque, Reina; Kim, Christina title: Runner Up: Health Disparities in Melanoma Patients: Understanding the Influence of Comorbidities on Overall Survival Among Our Poorest Patient Populations date: 2022-05-06 words: 590 flesch: 37 summary: Specifically, we find that the survival disparity appreciated among melanoma patients of lower SES is persistent, albeit attenuated, even when adjusting for the presence of comorbidities, as defined by the ECI. Health Disparities in Melanoma Patients: Understanding the influence of comorbidities on overall survival among our poorest patient populations Amanda Rosenthal, MD1; Joanie Chung, MPH2; Robert Cooper MD3; Reina Haque, PhD2,4; Christina Kim, MD1 1 Department of Dermatology, Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA; 2 Department of Research & Evaluation, Kaiser Permanente Southern California; Kaiser Permanente Los Angeles Medical Center (TH), Pasadena, CA; 3 Department of Pediatric Hematology/Oncology, Southern California Permanente Medical Group, Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA; 4 Department of Health Systems Science, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA No authors have any financial relationships to disclose. keywords: los angeles; melanoma; ses cache: skin-1578.pdf plain text: skin-1578.txt item: #446 of 1356 id: skin-1579 author: Ramachandran, Vignesh; Ayaz, Talha; Loya, Asad title: Runner Up: Association of Insurance Coverage with Diagnosis of Malignant Melanoma Before and After the Affordable Care Act: A National Database Study date: 2022-05-06 words: 590 flesch: 30 summary: Vignesh Ramachandran, MD1, Talha Ayaz, MD2, Asad Loya, MD3 1 Department of Dermatology, New York University, New York, NY 2 Department of Radiology, University of Texas Medical Branch, Galveston, TX 3 Department of Ophthalmology, Baylor College of Medicine, Houston, TX Figures 1, 2, 3: (1) national insurance trends in patients diagnosed with malignant melanoma; (2) sub-analysis of insurance trends in states which expanded Medicaid; (3) sub-analysis of insurance trends in non-expansion states 0 20 40 60 80 100 2007 2008 2009 2010 2011 2012 2013 2014 2015 In s u ra n c e R a te , % Year of Diagnosis Figure 2. However, Medicaid patients have worse all-cause and cause-specific mortality compared to non-Medicaid counterparts • We must address socioeconomic factors likely contributing these disparities through policy to ensure insurance coverage translates to quality care and survivorship REFERENCES 1. keywords: insurance; medicaid cache: skin-1579.pdf plain text: skin-1579.txt item: #447 of 1356 id: skin-158 author: Baldwin, H E; Bhatia, N C; Friedman, A; Prunty, T; Martin, R; Seite, S title: The Role of Cutaneous Microbiota Harmony in Maintaining a Functional Skin Barrier date: 2017-10-27 words: 1867 flesch: 41 summary: Current model of relationship between skin barrier and skin microbiota 1The Acne Treatment and Research Center of Atlantic Health System, Morristown, NJ - 2Therapeutics Clinical Research Inc., San Diego, CA - 3George Washington School of Medicine and Health Sciences, Washington, DC 4AraMed Strategies, DE - 5L’Oréal Research and Innovation, Tours, France - 6La Roche-Posay Dermatological Laboratories, Asnières, France Human skin is a complex barrier organ that provides an ecological niche for a wide range of micro-organisms(1). Relationship between skin barrier and skin microbiota Moisturizers can be formulated with deionized water or thermal water. keywords: bacteria; barrier; growth; microbiota; skin; water cache: skin-158.pdf plain text: skin-158.txt item: #448 of 1356 id: skin-1580 author: Jfri, Abdulhadi; Meltzer, Rachel; Guggina, Lauren title: Runner Up: Incidence of Cutaneous Adverse Events with PI3K-Akt-mTOR Pathway Inhibitors: A Systematic Review and Network Meta-Analysis date: 2022-05-06 words: 388 flesch: 37 summary: Conclusion This study provides incidence of cutaneous adverse events with PI3K inhibitors, Akt inhibitors and mTOR inhibitors. It is an important target in malignancies that include PI3K inhibitors that contain three classes (Pan-class I, Isoform-selective and Dual PI3K/mTOR inhibitors), Akt inhibitors and mTOR inhibitors. keywords: inhibitors; mtor cache: skin-1580.pdf plain text: skin-1580.txt item: #449 of 1356 id: skin-1581 author: Hill, Callie; Ghannoum, Mahmoud; Garcia, Natalie; Elewski, Boni title: Runner Up: Terbinafine-Resistant Dermatophytosis in Alabama: Two Cases of Recalcitrant Dermatophytosis and the Dermatologist’s Role in Detection of Drug Resistance and Antifungal Stewardship date: 2022-05-06 words: 1030 flesch: 44 summary: Highlight important clinical and diagnostic findings to consider when treating antifungal resistant dermatophytosis. • Speciation and susceptibility reported in Table 1 highlighting terbinafine resistance. keywords: dermatophytosis; resistance; terbinafine cache: skin-1581.pdf plain text: skin-1581.txt item: #450 of 1356 id: skin-1583 author: Patel, Deep; Joshi, Isha; Flamm, Alexandra title: Are Dermatology Electives Meeting The Learning Objectives of Rotators? date: 2022-09-12 words: 1587 flesch: 41 summary: Medical students with an interest in dermatology expressed a greater interest in career exploration (n=8) compared to medical student not interested in dermatology (n=4). Methods: A survey was distributed to medical students and residents on a dermatology elective to assess their specific learning objectives and rotation satisfaction. keywords: dermatology; learning; objectives; students cache: skin-1583.pdf plain text: skin-1583.txt item: #451 of 1356 id: skin-1584 author: Burli, Anuk; Somers, Kathryn; Rotoli , Jason E. title: Deaf and Hard of Hearing Patients in Dermatology: A Call to Action date: 2022-07-07 words: 803 flesch: 45 summary: 339 SHORT COMMUNICATION Deaf and Hard of Hearing Patients in Dermatology: A Call to Action Anuk Burli, BS1, Kathryn E. Somers, MD2, Jason M. Rotoli, MD3 1 University of Rochester School of Medicine and Dentistry, Rochester, NY 2 University of Rochester Department of Dermatology, Rochester, NY 3 University of Rochester Department of Emergency Medicin, Rochester, NY Deaf and hard of hearing (DHH) patients have reported unsatisfying experiences with the healthcare system due to decreased access to care resulting from discrimination and poor experiences with communication in health care settings1. In-person dermatology visits are conducted using personal protective equipment (PPE), including a face mask, which impairs communication for DHH patients. keywords: dermatology; dhh; patients cache: skin-1584.pdf plain text: skin-1584.txt item: #452 of 1356 id: skin-1585 author: Brownstone, Nicholas; Zakria, Danny; Dirr, McKenzie; Lu, Yenn; Rigel, Darrell title: Integrating Genomic Testing for Melanoma Into Your Practice date: 2022-05-06 words: 2947 flesch: 58 summary: doi:10.1002/hed.25473 11. Mirsky R, Prado G, Svoboda R, Glazer A, Rigel D. Management Decisions Made by Physician Assistants and Nurse Practitioners in Cutaneous Malignant Melanoma Patients: Impact of a 31-Gene Expression Profile Test. doi:10.3390/cancers13122875 8. Brouha B, Ferris L, Skelsey M, et al. keywords: biopsy; gep; melanoma; patient; risk; test cache: skin-1585.pdf plain text: skin-1585.txt item: #453 of 1356 id: skin-1586 author: Foy, Valerie; McEldrew, Emily ; Kesty, Chelsea; Lim, Kristina; Liu, Kevin; Asad, Haider; Bartus, Cynthia title: Invasive Trichosporonosis in a Child Following Chemotherapy Induction date: 2022-09-12 words: 908 flesch: 42 summary: The tissue culture was positive for Trichosporon asahii. Fatal disseminated Trichosporon asahii fungemia in a child with acute lymphoblastic leukemia and a morbilliform eruption. keywords: acute; asahii; leukemia; medicine; trichosporonosis cache: skin-1586.pdf plain text: skin-1586.txt item: #454 of 1356 id: skin-1588 author: Ramesh, Malvika; Purser, Jeremy; Tarbox, Michelle title: The Biett Collarette as an Important Dermascopic Finding of Secondary Syphilis date: 2022-09-12 words: 773 flesch: 48 summary: The variety of cutaneous presentations seen in secondary syphilis can mimic other dermatologic pathologies and make diagnosis difficult. However, the individual lesions seen in secondary syphilis can be distinguished by a peripheral scale called Biett’s Collarette [Figure 1] and dermoscopy can aid physicians in clueing into the right diagnosis via visualization of this unique finding. keywords: diagnosis; rash; syphilis cache: skin-1588.pdf plain text: skin-1588.txt item: #455 of 1356 id: skin-159 author: Dreno, B; Martin, R; Khammari, A; Moyal, D; Henley, J B; Seite, S title: Skin Microbiome and Acne Vulgaris: Staphylococcus, a New Actor in Acne date: 2017-10-27 words: 1020 flesch: 52 summary: Moreover, Proteobacteria were less abundant in areas with comedones and papulo-pustular lesions than in unaffected skin areas (29% vs 34% - p=0.001 and 31% vs 34% - p=0.05) while Firmicutes were more abundant in zones with comedones (52% vs 47% - p=0.002). The study showed that in subjects with acne, the bacterial diversity is similar on the surface of unaffected skin as well as on comedones and papulo- pustular lesions. keywords: comedones; papulo; skin cache: skin-159.pdf plain text: skin-159.txt item: #456 of 1356 id: skin-16 author: Bernstein, Daniel; Farberg, Aaron S.; Khorasani, Hooman; Kriegel, David title: Noninvasive Body Contouring: Literature Review and Summary of Objective Data date: 2017-06-28 words: 4607 flesch: 59 summary: High Intensity Focused Ultrasound; LOFU: Low Intensity Focused Ultrasound Background: There is increasing demand for noninvasive body contouring but objective data is difficult to compare between modalities. Currently, the most accepted forms of noninvasive body contouring are cryolipolyisis (Cryo), focused ultrasound (FUS), radiofrequency (RF), and low level laser therapy (LLLT). keywords: body; lasers; level; med; noninvasive; patients; results; studies; surg; ultrasound cache: skin-16.pdf plain text: skin-16.txt item: #457 of 1356 id: skin-160 author: Moyal, D; Seite, S title: Effect of Air Pollution on Sebum Rate and Acne: How to Manage Acneic Skin in a Polluted Environment date: 2017-10-27 words: 907 flesch: 69 summary: The objective of this study was to evaluate first the effect of pollution on sebum rate and acne lesions and then, the efficiency of a skin care product routine to reduce the effects of pollution. Sebum rate and acne lesions numbers were evaluated each week during 8 weeks in a polluted environment (Beijing, China). keywords: t3w cache: skin-160.pdf plain text: skin-160.txt item: #458 of 1356 id: skin-161 author: Seite, S; Moyal, D title: Using a Specific Cleanser for Patients with Mild Atopic Dermatitis: Relationship Between Cinical Efficacy and Skin Microbiota Modification date: 2017-10-27 words: 725 flesch: 37 summary: We speculated that a mild cleanser (syndet) supplemented with a biomass of non-pathogenic bacteria such as Vitreoscilla filiformis, grown in a medium containing thermal spring water (LRP-VFB) could have a clinical effect on the skin symptoms and skin bacterial landscape. Swabs were taken under axenic conditions, from lesion and proximal unaffected skin to analyse microbiome. keywords: d14 cache: skin-161.pdf plain text: skin-161.txt item: #459 of 1356 id: skin-1621 author: Yeh, Jennifer; Ward, Ashley; Reynolds, Rachel title: Recognizing Multiple Diagnoses: Von Zumbusch Generalized Pustular Psoriasis Flare and Adverse Drug Effect date: 2022-07-07 words: 1410 flesch: 41 summary: Triggers include infection, medications, operations, and hypocalcemia.1, 2 We present a patient with von Zumbusch GPP who flared in the setting of a gap in etanercept dosing and hospitalization for hip fracture. Here we describe a patient with a history of von Zumbusch GPP who presented with erythroderma, neutrophilic leukocytosis, and hyperbilirubinemia in the setting of missed medication dose and hip surgery. keywords: drug; figure; gpp; psoriasis; skin cache: skin-1621.pdf plain text: skin-1621.txt item: #460 of 1356 id: skin-1622 author: Taylor, Mitchell; Farias-Eisner, Robin title: Racial and Ethnic Disparities in Malignant Melanoma: A Literature Review date: 2022-09-12 words: 4119 flesch: 50 summary: Historically, studies with melanoma patients have directed attention to genetic mutations in BRAF, NRAS, and KIT genes, which have long been associated with melanoma and are thought to be mutually excluding.16 More recently, research has focused on further characterizing the role of BRCA1/BRCA2 mutations in the development of melanoma. al, 630 patients with a history of melanoma and 3,700 controls were genotyped for the prevalence of three common variants of BRCA2 mutations (T1915M, N991D, and N372H).20 This study found that the prevalence of the BRCA2-N991D variant was significantly greater in melanoma patients compared to the controls. keywords: african; americans; brca2; cancer; melanoma; minority; mutations; patients; populations; skin cache: skin-1622.pdf plain text: skin-1622.txt item: #461 of 1356 id: skin-1623 author: Shope, Chelsea; Beck, Tyler; Andrews, Laura; Friedman, Peter; Wine Lee, Lara title: Nonthermal Atmospheric Pressure Plasma Technology in Dermatology date: 2022-09-12 words: 4610 flesch: 54 summary: Moreover, in vitro application of NTAP therapy to keratinocytes in culture stimulated cell growth and proliferation, as evidenced by increases in the proportion of treated cells in S and G2 phase.8 Additionally, NTAP treatment disrupted E- cadherin mediated cell-to-cell interactions, allowing for increased nuclear localization of β-catenin. Notably, 61.5% of patients were satisfied with their treatment; 76.9% of patients expressed willingness to pay for NTAP treatment, and 100% of patients felt that treatment was tolerable. keywords: atmospheric; cell; medicine; ntap; patients; plasma; skin; studies; study; treatment; wound cache: skin-1623.pdf plain text: skin-1623.txt item: #462 of 1356 id: skin-1624 author: Chung, Mimi; Hakimi, Marwa; Yeroushalmi, Samuel; Bartholomew, Erin; Koo, John title: Contrasting between Atopic Dermatitis and Psoriasis in the Quality of Life Impact and the Prevalence of Psychiatric Disorders: A Review date: 2022-07-07 words: 3186 flesch: 54 summary: A meta-analysis on depression outcomes in PSO and AD patients found that both AD and PSO patients had increased risk of suicidal ideation compared to controls (including studies that used general population or other medical conditions as controls). AD patients also had increased odds of conduct disorder (2.74, 95%CI 1.30-5.78, p = 0.0084) compared to PSO patients (3.30, 95%CI 0.91 - 11.99, p = 0.0696). keywords: 95%ci; controls; patients; pso; suicidal cache: skin-1624.pdf plain text: skin-1624.txt item: #463 of 1356 id: skin-1625 author: Frantz, Robert; Herold, Mitchell; Curiel-Lewandrowski, Clara title: Vismodegib as a Treatment for Multiple Non-locally Advanced Basal Cell Carcinomas date: 2022-09-12 words: 1052 flesch: 46 summary: Vismodegib was presented as an off-label option for potentially decreasing the size and number of lesions, and the patient started ABSTRACT We present the case of a 77-year-old female with seven non-locally advanced basal cell carcinomas (BCCs) of the face who achieved a clinical complete response (CR) in six lesions after completing twelve months of Vismodegib monotherapy with tolerable side effects. This case investigates the off- label practical use of Vismodegib monotherapy to treat multiple non-locally advanced BCCs and reduce the surgical burden of disease in select patients. keywords: lesions; patients; treatment; vismodegib cache: skin-1625.pdf plain text: skin-1625.txt item: #464 of 1356 id: skin-1626 author: Harper, Kamran; Falcone, Lauryn; Savage, Kevin; James, Alaina title: Clinicopathologic Correlation: Differentiating Between Localized Lichen Myxedematosus and Scleromyxedema date: 2022-07-07 words: 689 flesch: 47 summary: Histologically, scleromyxedema can be indistinguishable from localized lichen myxedematosus (LM).2 Unlike patients with LM, patients with scleromyxedema may develop severe complications such as dermato-neuro syndrome, which is a potentially fatal condition characterized by a flu-like prodrome followed by fever, seizures, and coma.3 It is important to differentiate scleromyxedema from LM early due to the risk of progressive systemic disease. Given that prognosis and management of LM and scleromyxedema differ, patients with histologic evidence of a cutaneous mucinosis should be screened for evidence of systemic involvement. keywords: lichen; scleromyxedema; skin cache: skin-1626.pdf plain text: skin-1626.txt item: #465 of 1356 id: skin-1627 author: Haquang, Joseph; Li, Rocky; Mai, Kevin; Chen, Kuang Cheng; Sisan, Fardad; YuLing, Kuo title: Epidemiology and Mortality Risk Factors of Sebaceous Carcinoma: A SEER – Based Population Study date: 2023-05-20 words: 1668 flesch: 58 summary: Our article aims to build upon the limited prognostic research by ABSTRACT Background: Sebaceous carcinoma is a rare and potentially aggressive cutaneous malignancy. Hence, we sought to assess the prognostic impact of demographic and socioeconomic factors on the outcome of patients with sebaceous carcinoma. keywords: age; carcinoma; factors; survival cache: skin-1627.pdf plain text: skin-1627.txt item: #466 of 1356 id: skin-1628 author: Nguyen, Tue; Shah, Anaya ; Momin, Bahar ; Vu, Marie ; Browning, MD, John title: An Unusual Clinical Presentation of Cutaneous Syphilis date: 2022-07-07 words: 762 flesch: 44 summary: 351 SKIMages An Unusual Clinical Presentation of Cutaneous Syphilis Tue Felix Nguyen, BS1, Anaya Shah, BS1, Bahar Momin, BBA1, Marie Vu, BSA1, John Browning, MD2 1UT Health San Antonio, Long School of Medicine, San Antonio, TX 2Department of Dermatology, UT Health San Antonio, San Antonio, TX Figure 1: Annular, friable violaceous plaque with surrounding erythematous raised border with solitary nodules containing pinpoint petechiae A 33-year-old Black homosexual male presented with a plaque that appeared four months after he injured his hand on a metal railing under his car seat. While intramuscular 2.4 million units benzathine penicillin G single dose remains the gold standard of treatment, minocycline has been shown to be an effective alternative therapy for early syphilis if penicillin is unavailable.5 SKIN July 2022 Volume 6 Issue 4 (c) 2022 THE AUTHORS. keywords: antonio; medicine; san; syphilis cache: skin-1628.pdf plain text: skin-1628.txt item: #467 of 1356 id: skin-163 author: Seite, S; Moyal, D title: Can the Skin Microbiota of Patients Suffering from Atopic Dermatitis be Modified after Balneotherapy? date: 2017-10-27 words: 749 flesch: 14 summary: We assessed the evolution of skin microbiota in AD patients, before and after 3 weeks of balneotherapy including high pressure filiform showers, baths, facial and body spray treatments as well as La Roche-Posay thermal water consumption. Among the 7561 patients treated in 2016 with balneotherapy at La Roche-Posay thermal center, 27% presented with eczema or atopic dermatitis (AD). keywords: balneotherapy; gram; prevotella cache: skin-163.pdf plain text: skin-163.txt item: #468 of 1356 id: skin-1635 author: Motosko, Catherine; Villada, Gabriel; Bray, Fleta; Perez, Gregory title: A Friable, Polypoid Tumor on the Chest date: 2023-03-13 words: 698 flesch: 45 summary: If the tumor has prominent squamous cell differentiation, CK7, Cam5.2 or CEA highlight ductal differentiation, therefore supporting the diagnosis of porocarcinoma versus squamous cell carcinoma.1 Shave biopsy demonstrated dermal islands of atypical basaloid cells with pushing borders and central areas of necrosis en masse. keywords: cell; miami; porocarcinoma cache: skin-1635.pdf plain text: skin-1635.txt item: #469 of 1356 id: skin-1639 author: Lamb, Jordan; Beatty, Colleen; House, Nancy; James, Alaina title: Digital Pigmented Squamous Cell Carcinoma In-situ: A Case Report date: 2022-09-12 words: 1761 flesch: 55 summary: This case highlights a unique association between inflammatory disease and development of pigmented SCCIS and emphasizes the importance of surveillance for atypical presentations of skin cancer in this patient population. While skin cancer is more common in individuals with white skin, patients with brown and black skin account for 1-5% of all skin cancer cases, with SCC being the most common skin cancer in this group.4 As illustrated in our case, patients with brown and black skin are more likely to have pigmented SCCIS in sun-protected areas, particularly acral surfaces.5 Factors other than UV damage, including advanced age, immunosuppression, scars, burns, arsenic exposure, and/or HPV infection, may play a role in the pathogenesis of pigmented SCC.6 The mean age of patients with pigmented SCCIS is approximately 63 years.3 A small number of cases of pigmented SCCIS have been documented in the pediatric population related to HPV, but cases in young adults, as in this case, are rare.5 Cigarette smoking is a well-established risk factor for lung SCC and mucosal head and neck SCC, but there is inconsistent evidence on the association between smoking and development of cutaneous SCC.7 In a recent meta-analysis, people who actively smoked were found to have an increased incidence of cutaneous SCC, while people who previously smoked did not have the same increased risk.7 Given our patient’s former smoking status and lack of other known risk factors, we hypothesize that his long-term corticosteroid therapy for systemic sarcoidosis may have played a role in the development of pigmented SCCIS at a young age. keywords: case; patients; pigmented; risk; sccis; skin cache: skin-1639.pdf plain text: skin-1639.txt item: #470 of 1356 id: skin-164 author: Seite, S; Moyal, D title: Observational Study on Patients with Acne and at Risk of Post-Inflammatory Hyperpigmented Lesions date: 2017-10-27 words: 859 flesch: 54 summary: This survey demonstrated that a dermocosmetic product containing lipohydroxy acid, salicylic acid, linoleic acid, niacinamide, piroctone olamine and procerad (anti-inflammatory and anti-melanin synthesis action) can provide good results in managing acne patients with risks of post-inflammatory hyperpigmented lesions,when associated with therapeutic treatments or alone for milder acne. The aim of this observational study was to evaluate the use of a topical formula containing ingredients (niacinamide, procerad, LHA, piroctone olamine, linoleic acid) to reduce acne lesions and PIH, alone or in adjunctive therapy, in patients with mild to moderate acne and post-inflammatory hyperpigmented lesions. keywords: patients; visit cache: skin-164.pdf plain text: skin-164.txt item: #471 of 1356 id: skin-1640 author: Mendis, Rajith; Morgan, Gary; Abdul-Razak, Muzib; Wong, Eva; Howle, Julie; Gebski, Val; Veness, Michael title: Margin Status Predicts Outcome in Patients with Cutaneous Squamous Cell Carcinoma of the Scalp: The Westmead Hospital Experience date: 2022-07-07 words: 3403 flesch: 51 summary: Local recurrence by margin status (Low risk group (LRG): >2mm; High risk group (HRG): ≤2mm) Disease specific mortality by margin status (Low risk group (LRG): >2mm; High risk group (HRG): keywords: cscc; margin; patients; radiotherapy; recurrence; risk; scalp; status cache: skin-1640.pdf plain text: skin-1640.txt item: #472 of 1356 id: skin-1641 author: Han, Haowei; Berman, Brian title: Clinical Management of Actinic Keratosis: Review and Update date: 2022-07-07 words: 6428 flesch: 23 summary: It is regarded as the spectrum along the continuum to squamous cell carcinoma (SCC).9 Although the rate for individual AK to progress into SCC is low, but 82.4% of SCCs were developed from AK directly or from tissue that is adjacent to AK lesions.10 AK is principally caused by sun exposure, or ultraviolet B (UV- B) radiation (wavelength 290–320 nanometer). Conversely, other factors needs to be evaluated when judging the most suitable option for the patient.54 Another meta- analysis published in 2014 examined 10 modalities and concluded that treatments with the relatively highest efficacy were: BF- 200 ALA PDT , followed by imiquimod 5% for 16-week, ALA PDT, and 5-FU 0.5%.55 A retrospective chart review scrutinized the rate of invasive SCC incidences after more than 1 year of initial AK field treatment. keywords: actinic; ala; cream; dermatol; efficacy; face; field; gel; iii; imiquimod; keratosis; light; patients; pdt; phase; skin; study; treatment cache: skin-1641.pdf plain text: skin-1641.txt item: #473 of 1356 id: skin-1643 author: Lanyi, Shira; Wills, Abigail; Schenck, Olivia title: Numerous Spider Angiomas as the Presenting Sign of Acute Graft Versus Host Disease date: 2022-11-16 words: 1468 flesch: 61 summary: The clinical manifestations of cutaneous GVHD are highly variable, with many morphologies mimicking another skin condition. In the dermis there were ectatic superficial blood ABSTRACT Graft versus host disease (GVHD) is a highly morbid immunologic reaction and complication commonly seen in response to allogenic hematopoietic stem cell transplant. keywords: acute; chronic; disease; graft; gvhd; host cache: skin-1643.pdf plain text: skin-1643.txt item: #474 of 1356 id: skin-1646 author: Armenta, Andrew Michael; Ahatov, Renat; Gleghorn, Kristyna; Winsett, Frank T; Wagner, Richard F title: Absorbable Sutures in the COVID-19 Era: A Post-Operative Quality Improvement Survey of Patient Satisfaction Rates Following Mohs Surgery date: 2022-09-12 words: 717 flesch: 51 summary: The patients were asked to rate their cosmetic outcome, perception of decreased exposure to COVID-19 by eliminating suture removal appointment, comfort level on decreased post-operative visits/wound checks due to eliminating suture removal appointment, and their likelihood to opt for absorbable sutures in the future or recommend them to a friend/family (Figure 2). Absorbable sutures have been used since as early as 1860.2 keywords: absorbable; removal; sutures cache: skin-1646.pdf plain text: skin-1646.txt item: #475 of 1356 id: skin-1648 author: Park, Meredith; Googe, Paul; Derebail, Vimal K; Saha, Manish K; Matkovic, Eduard; Cope, Jennifer; Karim , Ibne; Ziemer, Carolyn; Wu, Sam title: Cutaneous Acanthamoeba Infection Presenting with Granulomatous Vasculitis date: 2023-03-13 words: 1838 flesch: 42 summary: Acanthamoeba infection is a rare cause of cutaneous lesions that may mimic granulomatous inflammatory diseases including vasculitis. 703 fungal infections and vasculitides.1,2,4 Acanthamoeba species may infect the CNS causing granulomatous amoebic encephalitis, which shows necrotizing or granulomatous response on pathologic examination.5 Granulomatous vasculitis is often associated with ANCA vasculitis, and less commonly other etiologies such as lymphomatoid granulomatosis, rheumatoid vasculitis, or herpes simplex virus.7 Given the severity of Acanthamoeba infection, cutaneous acanthamoebiasis should be considered in the differential diagnosis of granulomatous vasculitis that fails to improve on standard therapies and with clinical history suggestive of exposure. keywords: acanthamoeba; infection; lesions; medicine; patient; vasculitis cache: skin-1648.pdf plain text: skin-1648.txt item: #476 of 1356 id: skin-1649 author: Ahearn, Emily; Tzur, Lihi; Mahalingam, Meera; Konnikov, Nellie title: Successful Treatment of Cutaneous Collagenous Vasculopathy with Pulsed Dye Laser: A Case Report date: 2022-09-12 words: 1832 flesch: 52 summary: In summary, our case reiterates previously observed improvement in CCV patients with PDL laser. Given that the clinical presentation of CCV can be indistinguishable from other vascular disorders with cutaneous telangiectasias, especially generalized essential telangiectasia (GET), diagnosis requires biopsy to confirm the histopathology.2-3 Distinctive histopathological findings of CCV include ectatic superficial blood vessels with thickened vessel walls containing type IV collagen, that stains periodic acid-Schiff (PAS) positive.1-2 Fewer than fifty cases of CCV have been reported in the literature since it was first described by Salama and Rosenthal in ABSTRACT Cutaneous collagenous vasculopathy (CCV) is clinically characterized by symmetrical, progressive telangiectasias and an absence of systemic involvement. keywords: biopsy; ccv; pdl; telangiectasias; vasculopathy cache: skin-1649.pdf plain text: skin-1649.txt item: #477 of 1356 id: skin-165 author: Seite, S; Moyal, D title: Observational Study on Patients with Atopic Dermatitis date: 2017-10-27 words: 859 flesch: 54 summary: This survey demonstrated that a dermocosmetic product containing lipohydroxy acid, salicylic acid, linoleic acid, niacinamide, piroctone olamine and procerad (anti-inflammatory and anti-melanin synthesis action) can provide good results in managing acne patients with risks of post-inflammatory hyperpigmented lesions,when associated with therapeutic treatments or alone for milder acne. The aim of this observational study was to evaluate the use of a topical formula containing ingredients (niacinamide, procerad, LHA, piroctone olamine, linoleic acid) to reduce acne lesions and PIH, alone or in adjunctive therapy, in patients with mild to moderate acne and post-inflammatory hyperpigmented lesions. keywords: patients; visit cache: skin-165.pdf plain text: skin-165.txt item: #478 of 1356 id: skin-1651 author: Mai, Kevin; Pham, Quang D. ; Haquang, Joseph; Pham, Diem Q. title: Perioral Contact Dermatitis Caused by Limonene Hydroperoxide in Cannabis Vaping Products date: 2023-03-13 words: 1591 flesch: 51 summary: Due to its desirable aromatic qualities, it is one of the most common chemical additives in household products including cosmetics, essential oils, and cleaning supplies.1 The non-oxidized form of limonene can cause a weak fragrance allergy.2 When exposed to air, however, limonene rapidly autoxidizes and generates limonene hydroperoxide, a more potent contact sensitizer that has been noted to cause allergic contact dermatitis (ACD).2,3 Limonene’s availability and popularity has extended its use to novel products that use aerosolization such as electronic cigarettes or vapes.4 When exposed to air, limonene autoxidizes to form limonene hydroperoxide, a potent allergen that can cause allergic contact dermatitis. keywords: contact; dermatitis; hydroperoxide; limonene; products; vaping cache: skin-1651.pdf plain text: skin-1651.txt item: #479 of 1356 id: skin-1652 author: Tate, Jesalyn; Wang, Jennifer; Patel, Shreya; Nijhawan, Rajiv; Srivastava, Divya title: Assessing Patient Reported Quality of Care and Safety in Mohs Surgery During the COVID-19 Pandemic date: 2022-09-12 words: 1776 flesch: 53 summary: Although, prior to their visit, several patients expressed some degree of concern regarding skin cancer treatment during COVID-19, most patients reported feeling safe during their appointment and satisfied with their care. Overall, patients felt safe and satisfied, with 75.7% reporting 10/10 safety (average 9.5/10) and 84% reporting 10/10 satisfaction (average 9.7/10). keywords: pandemic; patients; safety; skin; study cache: skin-1652.pdf plain text: skin-1652.txt item: #480 of 1356 id: skin-1656 author: Dirr, McKenzie; Brownstone, Nicholas; Rigel, Darrell title: Preference Signaling in the Dermatology Residency Match date: 2022-07-07 words: 766 flesch: 31 summary: As reported by the AAMC key findings, one- fourth of dermatology programs received up to 53% of preference signals from all applicants, indicating a skewed distribution of signals across programs.6 343 SHORT COMMUNICATION Preference Signaling in the Dermatology Residency Match McKenzie A. Dirr, BA, BS1, Nicholas Brownstone, MD2, Darrell Rigel, MD, MS3 1 Medical University of South Carolina, Charleston, SC 2 National Society for Cutaneous Medicine, New York, NY 3 Department of Dermatology, Mount Sinai Icahn School of Medicine, New York, NY The residency match, facilitated by the National Resident Matching Program (NRMP) organization, which utilizes the Association of American Medical Colleges (AAMC) Electronic Residency Application Service (ERAS), facilitates the determination of where senior medical students will continue their education as resident physicians.1 Created in 1952, the match is the culmination of a reciprocal interest between students and residency programs, whereby both entities rank prospects in order of interest. keywords: dermatology; match; residency cache: skin-1656.pdf plain text: skin-1656.txt item: #481 of 1356 id: skin-1657 author: Dirr, McKenzie; Brownstone, Nicholas; Rigel, Darrell title: Hypopigmented Patches on the Trunk of a 25-year-old Hispanic Male date: 2022-07-07 words: 729 flesch: 52 summary: It had previously been proposed that in patients with skin of color, hypopigmentation is more common, with the potential to combine into a larger, amalgamated area of discoloration, while patients with lighter skin tones are more likely to present with hyperpigmentation. This demonstrates a case of hypopigmented TV in a patient with Fitzpatrick skin type IV, and illustrates an example of one of the many forms in which TV may present. keywords: patients; skin cache: skin-1657.pdf plain text: skin-1657.txt item: #482 of 1356 id: skin-166 author: Seite, S; Moyal, D title: Prevention of Actinic Keratosis by a Very High UVB/UVA Daily Photoprotectant date: 2017-10-27 words: 461 flesch: 55 summary: 70 patients between 45 and 80 years old with AK lesions were included in the study. New 4 53 Female II 4 Cryo 2 62 Recurrence and new 4 4 67 Male II 5 Cryo 2 182 Recurrence 1 69 Male II 3 Cryo 0 50 Recurrence and new 1 6 In patients with relapse (recurrence or new lesions) keywords: lesions; new cache: skin-166.pdf plain text: skin-166.txt item: #483 of 1356 id: skin-1660 author: Sun, Haorui; Helm, Matthew; Svoboda, Ryan title: The Incidence of Imprecise ICD-10 Coding in Patients with Cutaneous T-cell Lymphoma: A MarketScan Database Study date: 2023-01-10 words: 1720 flesch: 52 summary: Furthermore, the use of diagnosis codes for “CTCL” without more specific codes for individual entities can impact treatment and survival data and nullify the utility of claims- based data used for research purposes, as previously demonstrated with other disease entities.5,6 Consequently, our study aimed to determine the proportion of patients in the ABSTRACT Background: The term “Primary Cutaneous T-cell Lymphoma” (primary CTCL), although used largely interchangeably with mycosis fungoides in the past, actually represents numerous non-Hodgkin lymphomas with highly variable and distinct characteristics. Proper use of ICD-10 diagnosis codes has important implications not only for billing, but also for claims-based research, as the validity of such studies hinges on the ability to identify a complete, homogenous sample population.5 keywords: cell; code; ctcl; diagnosis; lymphoma cache: skin-1660.pdf plain text: skin-1660.txt item: #484 of 1356 id: skin-1664 author: Patel, Jason; Hill, Callie; Hodge, Bonnie; Phillips, Carlton title: Multiple Sebaceous Carcinomas in an African American Patient with Muir-Torre Syndrome date: 2022-09-12 words: 1070 flesch: 55 summary: MSH6: Expressed in tumor cells (Positive) To our knowledge, there are currently only 3 cases of sebaceous neoplasms in African American patients described in the literature.3,4,5 Of these, one case report details an African American patient with a diagnosis of MTS and a biopsy-proved sebaceous adenoma of the back.3 Moon et al. reported one patient with a pruritic, erythematous, mildly lichenified plaque on the abdomen with biopsy revealing sebaceous carcinoma; this patient did not have an associated MTS.4 Another author theorized the occurrence of sebaceous neoplasms in African Americans without MTS and a potential relationship between the immunosuppressive state in end-stage renal failure.5,6 As noted in this patient, concomitant hidradenitis suppurativa disease could delay diagnosis if sebaceous neoplasms present within typical areas of HS disease (axilla, groin, buttocks, inframammary chest) or with similar clinical features, particularly follicular occlusion lesions.7 Clinicians should obtain a careful medical and family history when cyst-like lesions present with unusual features or in patients with known MTS. It is also important to consider differences in clinical appearance of sebaceous neoplasms in skin of color. keywords: patient; pmid; sebaceous; syndrome cache: skin-1664.pdf plain text: skin-1664.txt item: #485 of 1356 id: skin-1666 author: Blauvelt, Andrew ; Rich, Phoebe; Sofen, Howard; Lambert, Jo; Merola, Joe; Lebwohl, Mark; Hippeli, Lauren; Kisa, Renata; Banerjee, Subhashis; Kimball, Alexa title: Deucravacitinib, an oral, selective tyrosine kinase 2 inhibitor, versus placebo in scalp, nail, and palmoplantar psoriasis: subset analyses of the phase 3 POETYK PSO-1 and PSO-2 trials date: 2022-07-07 words: 2573 flesch: 55 summary: Subhashis Banerjee,7 Alexa B Kimball8 1Oregon Medical Research Center, Portland, OR, USA; 2Oregon Dermatology and Research Center, Portland, OR, USA; 3UCLA School of Medicine, Los Angeles, CA, USA; 4Ghent University, Ghent, Belgium; 5Harvard Medical School, Boston, MA, USA; 6Icahn School of Medicine at Mount Sinai, New York, NY, USA; 7Bristol Myers Squibb, Princeton, NJ, USA; 8Beth Israel Deaconess Medical Center, Boston, MA, USA Presented at the Fall Clinical Dermatology Conference for NPs and PAs®; June 3−5, 2022; Scottsdale, AZ Acknowledgments • These clinical trials were sponsored by Bristol Myers Squibb • Writing and editorial assistance were provided by Lisa Feder, PhD, of Peloton Advantage, LLC, an OPEN Health company, Parsippany, NJ, USA, funded by Bristol Myers Squibb Disclosures AB: Scientific adviser and/or clinical study investigator: AbbVie, Abcentra, Aligos, Almirall, Amgen, Arcutis, Arena, Aslan, Athenex, Boehringer Ingelheim, Bristol Myers Squibb, Dermavant, EcoR1, Eli Lilly, Evommune, Forte, Galderma, Incyte, Janssen, Landos, Leo Pharma, Novartis, Pfizer, Rapt, Regeneron, Sanofi Genzyme, Sun Pharma, UCB, and Vibliome. keywords: deucravacitinib; pga; placebo; week cache: skin-1666.pdf plain text: skin-1666.txt item: #486 of 1356 id: skin-1667 author: Han, George; Feldman, Steve; Bhatia, Neal; Præstegaard, Morten title: Dipropionate (Bdp) Cream (Cal 0.005%/Bdp 0.064% W/W) Improves Plaque Psoriasis At Week One In A Phase 3 Trial date: 2022-07-07 words: 970 flesch: 67 summary: In this head-to-head trial, CAL/BDP cream demonstrated a faster onset of action than CAL/BDP TS. • Finally, more patients in the CAL/BDP cream group (44.8%) achieved a clinically relevant 4-point improvement in Dermatology Life Quality Index (DLQI) at week 1 than with CAL/BDP TS (40.4%; p=0.0476) or vehicle (29.7%) (Figure 3). keywords: bdp; cal; cream cache: skin-1667.pdf plain text: skin-1667.txt item: #487 of 1356 id: skin-1668 author: Kircik, Leon ; Draelos, Zoe; Guenin, Eric title: Tazarotene 0.045% Lotion for Truncal Acne: Efficacy, Safety, and Spreadability date: 2022-07-07 words: 1178 flesch: 58 summary: Mean difference: 36.7 cm2 • On average, skin coverage with tazarotene 0.045% lotion was ~30% greater than with trifarotene 0.005% cream Tazarotene 0.045% Lotion for Truncal Acne: Efficacy, Safety, and Spreadability Leon H Kircik, MD1-3; Zoe D Draelos, MD4; Eric Guenin, PharmD, PhD, MPH5 1Icahn School of Medicine at Mount Sinai, New York, NY; 2Indiana University Medical Center, Indianapolis, IN; 3Physicians Skin Care, PLLC, DermResearch, PLLC, and Skin Sciences, PLLC, Louisville, KY; 4Dermatology Consulting Services, PLLC, High Point, NC; 5Ortho Dermatologics, Bridgewater, NJ* *Ortho Dermatologics is a division of Bausch Health US, LLC FIG CONCLUSIONS � Tazarotene 0.045% lotion utilizes polymeric emulsion technology to enhance hydration, moisturization, and skin barrier function � Tazarotene 0.045% lotion led to significant reductions in truncal acne severity and lesion counts; ~90% of participants achieved clear or almost clear skin with 12 weeks of once-daily use and most participants had no tolerability issues � This easy-to-apply tazarotene lotion has sensory and aesthetic properties preferred by patients6 and resulted in ~30% greater skin coverage compared with trifarotene cream • Less product needed to cover the same skin area equals more applications per unit volume REFERENCES 1. STUDY 1: EFFICACY, SAFETY, AND TOLERABILITY IN TRUNCAL ACNE Tazarotene 0.045% Lotion • Most participants had no tolerability issues • There were no signi�cant changes from baseline to week 12 in any tolerability assessment Total Lesion Reductions -100% -60% -40% -20% 0% Baseline Week 4 Week 8 Week 12 LS M e a n P e rc e n t C h a n g e F ro m B a se lin e -80% -44.9% *** Tazarotene 0.045% Lotion (n=19) keywords: acne; lotion; participants; skin; tazarotene cache: skin-1668.pdf plain text: skin-1668.txt item: #488 of 1356 id: skin-1669 author: Draelos, Zoe; Blair, Amber ; Tanghetti, Emil title: Vehicle Formulation Impacts Tolerability and Patient Preference: Comparison of Tretinoin Branded Lotion and Generic Cream date: 2022-07-07 words: 1369 flesch: 48 summary: After 2 weeks of use, average impression rating scores on each of the 16 questionnaire items were better (lower) for lotion versus cream (P<0.05 on 15 of 16 items; Figures 3 and 4) • Similar results were observed immediately after one use (P<0.05 on 10 of 16 items; data not shown) � More than 70% of participants agreed (rating score 1–3) that the tretinoin lotion was gentle, comfortable/soothing, spreadable, absorbent, not sticky, and left a minimal white residue versus <40% for generic cream (Figure 3) � Agreement scores on skin sensation (feels soft, smooth, comforted/soothed/calm, not dry and looks smoother, less dull, less flaky) were similarly higher for lotion versus cream (>60% vs ≤40%; Figure 4) � Overall, approximately 70% of participants preferred to take tretinoin lotion home over cream both after first use and 2 weeks of use (Figure 5) FIGURE 3. In this single-center, double-blinded, split-face study, females with acne aged ≥18 years were randomized to apply tretinoin lotion or generic cream once daily to the right or left cheek for 2 weeks • First application occurred at the research site under the supervision of a research coordinator � Assessments were conducted immediately after first use and after two weeks of split-face drug application � keywords: cream; lotion; tretinoin cache: skin-1669.pdf plain text: skin-1669.txt item: #489 of 1356 id: skin-167 author: Zeichner, Joshua A title: The Use of Lipohydroxy Acid in Skin Care and Acne Treatment date: 2017-10-27 words: 655 flesch: 64 summary: •A 2 week study of 14 acne patients showed that twice daily LHA application resulted in a significant decrease in size and number of comedones with approximately an 85% reduction in follicular plugs(8). THE USE OF LIPOHYDROXY ACID IN SKIN CARE AND ACNE TREATMENT •Lipohydroxy acid (LHA) is a salicylic acid (SA) derivative with skin renewing, exfoliating, and acne treating properties. keywords: acne; dermatol; lha cache: skin-167.pdf plain text: skin-167.txt item: #490 of 1356 id: skin-1676 author: Vu, Marie; Nguyen, Tue; Lue, Melinda; Browning, John title: Multidisciplinary Surgical Management of Extensive Basal Cell Carcinomas date: 2023-01-10 words: 1384 flesch: 49 summary: Mohs micrographic surgery is an option which involves precise surgical technique and complete excision of skin cancer that is checked by microscopic margin control. In addition, homeless and uninsured individuals are presumed to have a higher prevalence of skin cancer than the general population.8 As highlighted in this case, delayed detection of BCC may lead to a more invasive treatment requiring multidisciplinary teams for management. keywords: bcc; flap; patient; skin; treatment cache: skin-1676.pdf plain text: skin-1676.txt item: #491 of 1356 id: skin-1677 author: Mostaghimi, Arash; Meche, Aster; Ray, Markqayne; Gandhi, Kavita; Gruben, David; Sikirica, Vanja title: Comorbidities, Healthcare Utilization, and Costs Associated With Alopecia Totalis and Alopecia Universalis in the United States date: 2022-11-16 words: 2503 flesch: 58 summary: 512 seldom experience spontaneous recovery.2-4 Treatment efficacy is variable and limited in this subset of AA patients, with cases often recalcitrant to treatment.5 This retrospective healthcare claims analysis used stratification of AA patients to identify a subset of AT/AU patients to compare HCRU and healthcare costs in patients diagnosed with AT/AU with non-AT/AU AA. keywords: alopecia; costs; index; mean; patients cache: skin-1677.pdf plain text: skin-1677.txt item: #492 of 1356 id: skin-1679 author: Shih, Terri; De, Devea; Rick, Jonathan; Shi, Vivian; Hsiao, Jennifer Lin title: Seasonal Trends of Ambulatory Visit Burden in Hidradenitis Suppurativa Patients date: 2022-09-12 words: 1376 flesch: 48 summary: Survey-weighted number of HS visits per 100.000 visits by month SKIN September 2022 Volume 6 Issue 5 (c) 2022 However, there is a paucity of literature on whether there is an increased ambulatory visit burden for HS patients during the warmer months. keywords: ambulatory; hidradenitis; patients; suppurativa; visits cache: skin-1679.pdf plain text: skin-1679.txt item: #493 of 1356 id: skin-168 author: Bhatia, Neal D title: An Open-Label Exploratory Study Evaluating the Efficacy and Safety of Ingenol Mebutate Gel 0.05% for the Treatment of Verruca Vulgaris date: 2017-10-27 words: 1451 flesch: 54 summary: A recent case study showed the efficacy of ingenol mebutate against anogenital warts7 • The current study was an open-label, exploratory study using ingenol mebutate gel 0.05% for the treatment of verruca vulgaris on the hands METHODS Design • Open-label, exploratory study (Figure 1) • Conducted at a single site in the US in 2016-2017 • 16 eligible subjects were treated once daily for 2 consecutive days, on days 1 and 2 of the study, with ingenol mebutate gel 0.05% • Key inclusion criteria • Eligible subjects were >18 years of age; nonpregnant • Minimum of 2 and maximum of 5 verrucous papules diagnosed as common warts on the hands, excluding proximity to the nails Key exclusion criteria • Pregnancy • Use of any investigational drug or device that could affect common wart treatment − Use of an investigational drug or investigational device treatment within 30 days prior to visit 1 − keywords: day; subjects; treatment; warts cache: skin-168.pdf plain text: skin-168.txt item: #494 of 1356 id: skin-1681 author: Babadjouni, Arash; Phong, Celine H; Raffi, Jodie; Mesinkovska, Natasha A title: Turning Down the Fire: The Role of Botulinum Toxin Microdroplets in Refractory Rosacea Erythema date: 2022-09-12 words: 1488 flesch: 49 summary: Anecdotal reports have linked rosacea facial erythema to diminished quality of life and self-confidence. Dilute, intradermal BTX-A (microdroplet BTX-A) can improve facial erythema and skin quality, as denoted by reduced sebum production and facial pores. keywords: btx; erythema; microdroplet; rosacea; treatment cache: skin-1681.pdf plain text: skin-1681.txt item: #495 of 1356 id: skin-1685 author: Taylor, Mitchell; Pham, Amelia; Clausen, Michaela; Darabi, Kamruz title: Eruptive Keratoacanthoma in a 59-year-old Female with Chronic Kidney Disease: A Case Report and Review of Treatment Approaches date: 2023-05-20 words: 3012 flesch: 48 summary: A correct diagnosis of multiple KA syndrome provides medical treatment options other than surgical methods used for conventional solitary KAs and well-differentiated SCCs and provides an opportunity to avoid surgical overtreatment of lesions. The most common subtype presents as a single lesion with a central keratin-filled crater that may regress without intervention, though many are biopsied to rule out other diagnoses such as squamous cell carcinoma (SCC), amelanotic melanoma, Merkel cell carcinoma, and cutaneous infections.3, 4 Despite many shared histological features between KA and SCC, most authors regard KA as benign.5 However, due to the ambiguity and difficulty with histological differentiation between KA and invasive well- differentiated SCC, and sometimes only partial sampling techniques, current guidelines recommend surgical excision for KAs to ensure treatment of potential malignancy.1 While the most common variants of KAs manifest as sporadic and solitary lesions, a number of syndromes have been described in which individuals develop hundreds to thousands of KAs.6 Unlike solitary KAs, multiple KA syndromes affect the skin regardless of sun exposure.7 keywords: doi; eruptive; geka; kas; keratoacanthoma; lesions; multiple; patient; treatment cache: skin-1685.pdf plain text: skin-1685.txt item: #496 of 1356 id: skin-1686 author: Ugoh, Gregory; Crain, Caroline; Goodwin, Brandon title: A Case of Pseudoverrucous Papules and Nodules in an Adult with Spinal Dysraphism date: 2022-11-16 words: 1034 flesch: 48 summary: Herein we present a case of perianal PPN in a patient with Dubowitz syndrome and spina bifida. Herein, we present the case of a patient with spina bifida in association with Dubowitz syndrome who presented with perianal PPN. keywords: incontinence; nodules; papules; ppn cache: skin-1686.pdf plain text: skin-1686.txt item: #497 of 1356 id: skin-1687 author: Ugoh, Gregory Ugoh; Linfante, Anthony; Good, Allison; Wilson, Janice; Kroger, Kathleen title: Bazex Syndrome Associated with Angioimmunoblastic T-cell Lymphoma date: 2023-05-20 words: 919 flesch: 48 summary: in 1965 in association with malignancy of the upper aerodigestive tract.1 The main features are the presence of symmetrical psoriasiform eruptions, nail dystrophy, and xerotic scaling usually accentuated on the acral surfaces, ears, and nose.2 Several mechanisms for development of Bazex syndrome have been proposed. Association with cutaneous squamous cell carcinoma, Hodgkin’s disease, peripheral T- cell lymphoma, and follicular lymphoma in- situ have been reported.3 We present a unique case of Bazex syndrome associated with AITL. keywords: bazex; cell; lymphoma; syndrome cache: skin-1687.pdf plain text: skin-1687.txt item: #498 of 1356 id: skin-1688 author: Taylor, Alexandra; Pile, Hannah; Altman, David title: A Man with Worsening Scaling Plaques and a New Onset Large Draining Ulcerated Tumor date: 2023-03-13 words: 1603 flesch: 45 summary: 698 While LCT is very rare in early stage I of MF, it has been described in up to 50% of patients with stage IV disease.2 MF with LCT typically confers a worse prognosis with 50% survival by 1 year compared to tumor stage MF without LCT, which has an average survival of 5.5 years.2 Figure 3. Brentuximab vedotin (BV) is a monoclonal antibody targeting the CD30 antigen on cancer cells and is increasingly used in the treatment of MF patients with LCT. keywords: disease; fungoides; mycosis; skin cache: skin-1688.pdf plain text: skin-1688.txt item: #499 of 1356 id: skin-169 author: DiRuggiero, Douglas; Hong, Chih-Ho; Tiu, Lisa; Freeman, Scott title: Results of Subject's Assessment of Behavior and Attitudes (SABA) Survey Toward Psoriasis and Treatments in the PSO-INSIGHTFUL Study date: 2017-10-27 words: 1300 flesch: 56 summary: Psoriasis impacts on my emotional well being 112 (53.1) 99 (46.9) 0 Attitudes to Psoriasis and Treatments Strongly/slightly agree, n (%) Overall, SABA responses indicate patients’ attitudes toward specific aspects of psoriasis treatment (i.e., quick treatment application, willingness to try newest treatments) are stronger than their worry of side effects or self- perception of lifestyles that limit time for treatment. keywords: patients; psoriasis; saba; treatment cache: skin-169.pdf plain text: skin-169.txt item: #500 of 1356 id: skin-1693 author: Shenoy, Tanya; Nahar, Vinayak; Goodwin, Melodie; Helms, Stephen E; Brodell, Robert T; Black, William title: Forestalling Lidomageddon: Local Solutions to the Nationwide Shortage of Lidocaine date: 2022-09-12 words: 1079 flesch: 45 summary: ** If 50cc vials of lidocaine are not available, carefully maintain the same ratio to dilute available lidocaine with 0.9% NaCl or sodium bicarbonate SKIN September 2022 Volume 6 Issue 5 (c) 2022 THE AUTHORS. Dilute injectable lidocaine to preserve available supplies* Dermatologists generally use 1.0-2.0% lidocaine for local anesthesia. keywords: dermatology; epinephrine; journal; lidocaine cache: skin-1693.pdf plain text: skin-1693.txt item: #501 of 1356 id: skin-17 author: Farberg, Aaron S.; Donohue, Stephen; Farberg, Alexander; Teplitz, Rebeca W.; Rigel, Darrell S. title: Cutaneous Implications of Whole Body Cryotherapy date: 2017-06-28 words: 1587 flesch: 47 summary: Recently, WBC has been advocated to help skin appear and feel healthier, fight age-related deficiencies, and increase antioxidant production. The currently available evidence appears to be insufficient to support the use of WBC for improving skin and there is some small potential for risk. keywords: body; cryotherapy; skin; studies; treatment; wbc cache: skin-17.pdf plain text: skin-17.txt item: #502 of 1356 id: skin-1701 author: Yeh, Jennifer; Pereira da Silva, Marcelo; Raff, Adam; Foreman, Ruth title: Identifying Inflammatory Gene Expression Signatures for Skin and Soft Tissue Infections date: 2022-11-16 words: 1460 flesch: 40 summary: Comprehensive screening of inflammatory genes in SSTIs could identify biomarkers to distinguish SSTIs from mimics. SSTIs are thought to be mediated by toxin-induced inflammatory pathways3; however, published literature lacks comprehensive screening of inflammatory genes in SSTIs. keywords: cases; cellulitis; genes; skin; sstis; study cache: skin-1701.pdf plain text: skin-1701.txt item: #503 of 1356 id: skin-1703 author: Nguyen, Kevin; Pham, Diem Q. ; Erickson, Christof P. title: Psoriasiform Spongiotic Dermatitis Drug Eruption following Pfizer-BioNTech SARS-CoV-2 mRNA Vaccine Administration date: 2023-03-13 words: 2013 flesch: 52 summary: Furthermore, the patient’s histopathology taken from the right medial thigh revealed focal spongiosis, eosinophils at the dermis, and lymphohistiocytic infiltrate consistent with drug exanthem biopsies observed in the literature.9 Few reports of morbilliform drug eruptions have been documented after vaccination. The differential diagnosis included guttate psoriasis, drug eruption, and allergic contact dermatitis. keywords: covid-19; drug; patient; psoriasis; rashes; vaccine cache: skin-1703.pdf plain text: skin-1703.txt item: #504 of 1356 id: skin-1706 author: Rodrigues, Adrian E; Dolivo, David; Li, Yingxing; Hou, Chun; Sun, Lauren; Mustoe, Thomas A.; Hong, Seok Jong; Galiano, Robert D. title: Thermal Burn Wounds Produce Greater Scars Compared to Similarly Sized Excisional Wounds And Topical Amiloride Applied to Burn-Induced Scars Shows Scar Reduction date: 2022-09-12 words: 3751 flesch: 53 summary: Given that skin injuries disrupt the integumentary barrier and consequently produce local dehydration by increasing transepidermal water loss (TEWL),13 and since burn scars also exhibit increased TEWL compared to normal skin,14 we hypothesized that amiloride (and celecoxib due to its COX-2 antagonistic effect) could reduce scar formation in an in vivo study by hampering collagen production in a rabbit-ear injury model. B) Bar graph illustrating a significantly reduced SEI in burn scars treated with amiloride compared to vehicle control, and C) keywords: amiloride; burn; celecoxib; control; ear; figure; scar; sei; skin; study; vehicle; wounds cache: skin-1706.pdf plain text: skin-1706.txt item: #505 of 1356 id: skin-1707 author: Holt, Sara; Meckley, Abigail; Harp, Taylor; Esguerra, David title: Messenger RNA-1273 Moderna COVID-19 Vaccination as Potential Trigger for Case of New Onset Pemphigus Vulgaris date: 2022-09-12 words: 1012 flesch: 26 summary: Co-managed by the Centers for Disease Control and the U.S. Food and Drug Administration, VAERS (https://vaers.hhs.gov) accepts and analyzes reports of adverse events after a person has received a vaccination.4 There are at least 20 reported cases of pemphigus claimed to be associated with the mRNA-1273 (Moderna) vaccine, however no cause-and- effect relationship has been established.4 In this case, the development of PV following COVID-19 vaccination with the mRNA-1273 (Moderna) vaccine may be coincidental, however the following factors suggest a relationship may exist: the time interval between vaccination and symptom onset, successful response to standard treatment, and lack of other risk factors such as drug intake, self or family history of autoimmune disorder, recent infection or known malignancy. Here we describe a case of new onset PV following COVID-19 vaccination with the mRNA-1273 (Moderna) vaccine. keywords: covid-19; vaccination; vaccine cache: skin-1707.pdf plain text: skin-1707.txt item: #506 of 1356 id: skin-1709 author: Nguyen, Christopher; Nguyen, Quoc-Bao; Lauck, Kyle; Hebert, Adelaide title: Five Years Later: Continuing Disparity in the Geographic Density and Distribution of U.S. Dermatologists date: 2023-05-20 words: 1644 flesch: 53 summary: From a 2014 American Academy of Dermatology (AAD) survey, dermatologists in rural areas were more likely to report an undersupply of dermatologists, while dermatologists in urban areas were more likely to report an oversupply.1 The Glazer et al. studies analyzing the geographic distribution of practicing dermatologists in the US in 2009 and 2016 confirmed this maldistribution.2,3 Trends in dermatology: geographic density of US dermatologists. keywords: areas; cagr; density; dermatologists cache: skin-1709.pdf plain text: skin-1709.txt item: #507 of 1356 id: skin-171 author: Segaert, Siegfried; Shear, Neal; Chiricozzi, Andrea; Thaci, Diamant; Carrascosa, Jose M; Young, Helen; Descamps, Vincent title: Innovation in Topical Therapy for Psoriasis with Corticostereoid and Vitamin D Analogue Commbination date: 2017-10-27 words: 2113 flesch: 26 summary: 80 IL-17A secretion from T-cells† Cal BD CombinationCal BD Combination Cal BD Combination Cal BD Combination 0 20 40 60 80 0 50 100 150 200 250 300 350 0 20 40 60 80 IL-10 secretion from T-cells IL-23 secretion from DCs* IL- 8 secretion from KCs‡ % o f c on tr ol % o f c on tr ol % o f c on tr ol % o f c on tr ol P≤0.01 ns P<0.001 P<0.001 P<0.001 P<0.001 P<0.001 P<0.001 Figure 2. Table 2)15,22–24 � The increased efficacy of Cal/BD aerosol foam is also associated with a similar safety profile, as demonstrated in a pooled safety analysis comparing fixed-dose combination Cal/BD aerosol foam with BD foam, Cal foam, Cal/BD ointment, and vehicles (foam and ointment)25 Table 2. keywords: cal; combination; dermatol; foam; skin; treatment cache: skin-171.pdf plain text: skin-171.txt item: #508 of 1356 id: skin-1713 author: Mancuso, Christopher J; Danosos, Gerard; Ruppel, Tyler; Litchman, Graham H; Choudhury, Sourab title: Erythema Elevatum Diutinum Associated with Tuberculosis date: 2022-09-12 words: 1676 flesch: 44 summary: The prognosis for EED patients varies based upon the underlying disorder.8 Proper and timely treatment of the underlying cause or infection should significantly improve EED lesions. These patients may experience prolonged EED as well as lung damage and associated conditions, dissemination of disease, and systemic amyloidosis, among others.11 This case demonstrates an exceedingly rare presentation of erythema elevatum diutinum caused by tuberculosis in a middle-aged woman. keywords: disease; diutinum; eed; erythema; tuberculosis cache: skin-1713.pdf plain text: skin-1713.txt item: #509 of 1356 id: skin-1717 author: Johnson, Jessica; Nowacki, Amy; Narang, Jatin; Young, Sarah; Fernandez, Anthony P. title: Severity of COVID-19 in Patients with Dermatomyositis: A Single Center, Retrospective Observational Cohort Study date: 2022-11-16 words: 1269 flesch: 49 summary: Although dermatomyositis (DM) patients have been included in large cohorts of patients with IMIDs evaluating for COVID-19 risk and severity, there is little literature specifically evaluating DM patient cohorts. We performed a single-center, retrospective cohort study to evaluate the severity of COVID-19 in DM patients and to assess for risk factors related to severe COVID-19 disease course. keywords: covid-19; hospitalized; patients cache: skin-1717.pdf plain text: skin-1717.txt item: #510 of 1356 id: skin-1718 author: Bullock, Taylor; Simonds, Robert; McBride, Jeffrey; Irfan, Mawish; Young, Sarah title: Neonatal Lupus Erythematosus: A Case Report and Review of the Literature date: 2023-03-13 words: 3708 flesch: 51 summary: Additionally, skin biopsy will distinguish lesions of Langerhans cell histiocytosis from those of NLE.22,25 Autoinflammatory diseases may closely resemble cutaneous NLE manifestations, but commonly present with multisystem involvement and severe fevers. The histologic findings and laboratory abnormalities confirmed the diagnosis of neonatal lupus erythematosus. keywords: antibodies; block; cardiac; cutaneous; disease; erythematosus; findings; heart; lesions; lupus; manifestations; neonatal; nle cache: skin-1718.pdf plain text: skin-1718.txt item: #511 of 1356 id: skin-172 author: Soung, Jennifer; Tiu, Lisa; Veverka, Karen; Hong, Chih-Ho title: Patient Preference for Calcipotriene 0.005%/Betamethasone Dipropionate 0.064% Foam or Topical Suspension vs. Latest Topical Treatment in the PSO-INSIGHTFUL Study date: 2017-10-27 words: 1534 flesch: 38 summary: Patient Demographics and baseline characteristics (adapted from PSO-INSIGHTFUL) BMI, body mass index; BSA, body surface area; mPASI, modified psoriasis and severity index; PGA, Physician’s Global Assessment of disease severity � Full analysis set comprised all randomized patients who completed an on-study questionnaire � LTT analysis set comprised all randomized patients who had used topical treatment within 3 months before baseline Statistical Analysis Topical Product Usability Questionnaire (TPUQ) Total time spent acceptable o Quick to apply o Easily incorporated into daily routine � Significant differences observed in favor of Cal/BD foam vs topical suspension in the domains of “immediate feeling of relief” and “soothing feeling” � Significant differences observed in favor of Cal/BD topical suspension vs foam included: o Ease of application, ease of application on lesion only, and ease of spreading o Good for use on small areas o Odorless o Accurately dispensed wanted amount Cal/BD foam (n=212) Cal/BD topical suspension (n=212) keywords: cal; foam; topical cache: skin-172.pdf plain text: skin-172.txt item: #512 of 1356 id: skin-1720 author: Markeson, Christopher; Brownstone, Nicholas ; Parker, Jennifer; Hsu, Sylvia title: Allergic Contact Dermatitis to Paraphenylenediamine in Black Henna date: 2022-09-12 words: 777 flesch: 53 summary: Cosmetic practices, such as black henna and hair darkening, make up the majority of reported cases of PPDA allergic contact dermatitis. The prevalence of PPDA allergy is highest in hairdressers, hairdressing clients undergoing dye application, and photographic film developers due to repeated exposure. keywords: henna; medicine; ppda cache: skin-1720.pdf plain text: skin-1720.txt item: #513 of 1356 id: skin-1727 author: Garcia, Natalie; Mcrae, Charlotte ; Smith, Abigail; Graham, Lauren title: Leukemia Cutis as the Presenting Sign of Acute Myeloid Leukemia in an HIV+ patient date: 2023-05-20 words: 1261 flesch: 54 summary: The diagnosis of leukemia cutis is important to consider, regardless of CD4 count or presence of systemic leukemia, in immunosuppressed patients. 821 BRIEF ARTICLE Leukemia Cutis as the Presenting Sign of Acute Myeloid Leukemia in an HIV+ patient Natalie Garcia, BS1, Charlotte Mcrae, BS1, Abigail Smith, MD2, Lauren Graham, MD, PhD2 1University of Alabama at Birmingham Heersink School of Medicine, Birmingham, AL 2University of Alabama at Birmingham, Department of Dermatology, Birmingham, AL Leukemia Cutis (LC) is a rare extramedullary cutaneous manifestation of leukemia that varies in terms of clinical presentation, type of leukemia, and timing of presentation in relation to systemic leukemia. keywords: leukemia; patient; rash cache: skin-1727.pdf plain text: skin-1727.txt item: #514 of 1356 id: skin-1728 author: Batchelder, Emma; Trifoi, Mara; Hong, Julie; Maczuga, Steven; Kirby, Joslyn title: Biologic Treatment of Psoriasis and Tuberculosis Testing: A Retrospective Analysis date: 2022-11-16 words: 1378 flesch: 62 summary: TB tests were positive in 4.1% (n = 147) of patients and TNF- α inhibitors was the most frequently prescribed biologic. TB tests were positive in 4.1% (n=147/3,559). keywords: biologic; patients; psoriasis; testing cache: skin-1728.pdf plain text: skin-1728.txt item: #515 of 1356 id: skin-1734 author: Zakria, Danny; Brownstone, Nicholas; Dirr, McKenzie; Rigel, Darrell title: Erythrasma Under Wood's Lamp and the Coral Red Glow date: 2022-09-12 words: 658 flesch: 48 summary: Topical therapy consists of clindamycin, fusidic acid, mupirocin, and Whitfield’s ointment while systemic therapy includes oral clarithromycin, erythromycin, and tetracycline.4 There is no consensus on optimal first-line agent, but topical therapy is generally preferred to limit adverse effects.1 For intertriginous disease, it is important to add a topical agent, often in conjunction with systemic therapy, in order to obtain clearance.4 While there is limited data on duration of treatment, most studies suggest a 2-week course. Published by the National Society for Cutaneous Medicine. keywords: erythrasma; medicine; therapy cache: skin-1734.pdf plain text: skin-1734.txt item: #516 of 1356 id: skin-1735 author: Christensen, Rachel; Powers, Colleen; Mockbee, Chelsea; Brodell, Robert title: Petaloid Seborrheic Dermatitis: A Variant Described Primarily in Skin of Color date: 2023-03-13 words: 1730 flesch: 50 summary: Recognizing the symmetry and classic distribution of petaloid seborrheic dermatitis, a KOH preparation was not performed. Recognition of petaloid seborrheic dermatitis will prevent misdiagnosis and improper treatment of this common condition. keywords: daily; dermatitis; petaloid; seborrheic; skin cache: skin-1735.pdf plain text: skin-1735.txt item: #517 of 1356 id: skin-1736 author: Green, Jackson; Nye, Jessica; Turner, Kelly; Greives, Matthew R; Mowrey, Kate; Herbert, Adelaide A; Atkinson, Autumn title: Malignant Melanoma within a Giant Congenital Melanocytic Nevus in a Pediatric Patient date: 2023-01-10 words: 1485 flesch: 52 summary: 608 BRIEF ARTICLE Malignant Melanoma within a Giant Congenital Melanocytic Nevus in a Pediatric Patient Jackson Green, BS4, Jessica Nye, BS4, Kelly Turner, PA3,4, Matthew R. Greives, MD3,4, Kate Mowrey, MS, CGC1,4, Adelaide A. Hebert, MD1,2,4, Autumn Atkinson, MD1,4 1Department of Pediatrics, University of Texas Health Science Center at Houston, Houston, TX 2Department of Dermatology, University of Texas Health Science Center at Houston, Houston, TX 3Department of Plastic Surgery, University of Texas Health Science Center at Houston, Houston, TX 4University of Texas McGovern Medical School at Houston, Houston, TX Congenital melanocytic nevi (CMN) pose a constellation of challenges that include cosmetic and functional disfigurement, reduction in self-esteem, and the potential to develop into malignant melanoma.1, 2 Giant CMNs are defined by pigmented proliferations that are greater than 20 cm2 in diameter, and these occur in 1 in 20,000 births, most commonly on the trunk, upper extremities and head and neck regions.2, 3 CMNs can change in size and appearance with age from a flat brown plaque to a pigmented and hairy plaque with erosions, ulcerations, or a thickened verrucous surface.4 While all CMNs have the potential to transform into malignant melanoma, the highest risk of malignant transformation resides in giant congenital melanocytic nevi with reports of this transformation being as high as 14%.1-5 Regular dermatologic screenings by pediatricians are vital to assess changes in giant congenital nevi over time.4 Early biopsy and possible surgical intervention can help identify early transformation and potentially reduce the sequelae of melanoma.4 A male infant was born at 39 weeks and 6 days gestation to a 23-year-old primigravida mother who obtained appropriate prenatal care throughout the pregnancy. The patient was evaluated in the Vascular ABSTRACT While giant congenital melanocytic nevi are rare lesions in the pediatric population, malignant transformation within these lesions remains even more rare. keywords: houston; melanocytic; melanoma; nevi; pediatric cache: skin-1736.pdf plain text: skin-1736.txt item: #518 of 1356 id: skin-1738 author: Darnall, Ariel; Olsen, Rebecca; Hamann, Dathan; Estrada, Sarah title: Cutaneous Prostate Adenocarcinoma Masquerading as Cellulitis date: 2023-05-20 words: 1743 flesch: 45 summary: To accurately distinguish cutaneous prostatic metastases from other conditions, a through history and physical exam focusing on palpation and tissue texture, combined with supportive diagnostics, can guide clinicians in differentiating malignancy from other benign skin conditions. In a study of 15 cases of cutaneous zosteriform metastases, seven of the cases were initially misdiagnosed as a herpes zoster infection and treated with antiviral medications.10 The variable presentation of cutaneous metastases of prostate cancer makes it difficult to diagnose, often resulting in delayed or improper treatment. keywords: cancer; cellulitis; diagnosis; lesions; metastasis; prostate; skin cache: skin-1738.pdf plain text: skin-1738.txt item: #519 of 1356 id: skin-174 author: Blauvelt, Andrew; Leonardi, Craig; Zachariae, Claus; Burge, Russel; Ridenour, Terri; McKean-Matthews, Missy; Garces, Sandra; Cameron, Gregory title: Efficacy, Health-Related Outcomes, and Safety of Ixekizumamb for up to Five Years of Open-Label Treatment in a Phase 2 Study in Chronic Plaque Psoriasis date: 2017-10-27 words: 1890 flesch: 55 summary: WEEK 20 20-32 Wks WEEK 0 of OLE Long-term Open-label Treatment WEEK 240 WEEK 260 Entered Part C (Week 244-260) N=73c Part A Part B Part C DLQI=Dermatology Life Quality Index; LOCF=last observation carried forward; PASI 75/90/100=Psoriasis Area and Severity Index 75%/90%/100% response; Fall Clinical Dermatology Conference (Fall CDC 2017); Las Vegas, Nevada; October 12-15, 2017; Previously presented at EADV 2017 Sponsored by Eli Lilly and Company and/or one of its subsidiaries Disclosures ♦ A. Blauvelt has served as a scientific adviser and/or clinical study investigator for: AbbVie, Aclaris, Allergan, Almirall, Amgen, Boehringer Ingelheim, Celgene, Dermavant, Dermira, Eli Lilly and Company, Genentech/Roche, GlaxoSmithKline, Janssen, Leo Pharma, Merck Sharp & Dohme, Novartis, Pfizer, Purdue Pharma, Regeneron, Sandoz, Sanofi Genzyme, Sienna Pharmaceuticals, Sun Pharma, UCB, Valeant, and Vidac, and as a paid speaker for Eli Lilly and Company, Janssen, Regeneron, and Sanofi Genzyme; K. Gordon has served as a consultant for: AbbVie, Amgen, Boehringer Ingelheim, Celgene, Dermira, Eli Lilly and Company, Janssen, Novartis, and Pfizer, and has received grants from: AbbVie, Amgen, Celgene, Eli Lilly and Company and Janssen; C. Leonardi is on the speaker’s bureau of: AbbVie, Celgene, and Leo Pharma, is a consultant for: AbbVie, Amgen, Dermira, Eli Lilly and Company, Janssen, Leo Pharma, Pfizer, Sandoz, and UCB Pharma, has a conflict with: Actavis, AbbVie, Amgen, Celgene, Coherus, Cermira, Eli Lilly and Company, Galderma, Janssen, Leo Pharma, Merck, Novartis, Pfizer, Sandoz, Stiefel, and Wyeth; C. Zachariae has received honoraria from: Eli Lilly and Company, Novartis, and Pfizer, and has consulted for and participated in advisory boards for: AbbVie, Amgen, Eli Lilly and Company, Janssen-Cilag, Novartis, and Takeda and has been a clinical study investigator for: AbbVie, Amgen, Eli Lilly and Company, Leo Pharma, MSD, Novartis, Regeneron, and Takeda; R. Burge, T. Ridenour, M. McKean-Matthews, S. Garces, and G. Cameron are shareholders and employees of Eli Lilly and Company keywords: company; eli; lilly; pasi; treatment; weeks cache: skin-174.pdf plain text: skin-174.txt item: #520 of 1356 id: skin-1740 author: Shope, Chelsea; Andrews, Laura; Linkous, Courtney; Sagut, Pelin; Wine Lee, Lara title: Predicting Skin Cancer Development after Liver Transplant date: 2023-01-10 words: 1937 flesch: 57 summary: Sequalae includes increased risk for malignancies, most commonly skin cancer.2 Risk of skin cancer is correlated with type of organ transplanted,3 however, the majority of literature elucidating skin cancer risk is in kidney recipients.4 While liver recipients is reported as lowest risk for skin cancer, there is less data compared to kidney graft recipients, and the incidence rates reported are wide.5 keywords: cancer; liver; recipients; risk; skin; transplant cache: skin-1740.pdf plain text: skin-1740.txt item: #521 of 1356 id: skin-1741 author: Lawson, Olivia; Langley, Collins; Davis, Michael title: Psoriasiform Eruption in an Immunocompromised Neurosyphilis Patient date: 2022-11-16 words: 789 flesch: 56 summary: Diffuse papulosquamous rash on the upper back and shoulders Figure 2. Thick, scaling, psoriasiform rash on the palms (a) and soles (b). keywords: medicine; rash; syphilis cache: skin-1741.pdf plain text: skin-1741.txt item: #522 of 1356 id: skin-1743 author: Dirr, McKenzie A.; Bailey , Alison M. ; Marchell, Richard title: Successful Treatment of Cutaneous Siderosis with Pulsed Dye Laser date: 2022-11-16 words: 804 flesch: 56 summary: Abbreviations iron deficiency anemia (IDA) Quality-switched (Q-switched) pulsed dye laser (PDL) Conflict of Interest Disclosures: Pulsed dye laser (PDL) was the only laser available in clinic for treatment. keywords: iron; laser; pdl; treatment cache: skin-1743.pdf plain text: skin-1743.txt item: #523 of 1356 id: skin-1746 author: Margulies, Shae; Nagrani, Nicole; Rodriguez-Waitkus, Paul; Correa-Selm, Lilia title: Adult-Onset Still’s Disease with an Atypical Cutaneous Manifestation date: 2022-11-16 words: 1803 flesch: 45 summary: Persistent pruritic papules and plaques associated with adult-onset Still’s disease: Report of six cases. Patidar, A., Parikh, P. M., Balai, M., & Mittal, A. (2020). keywords: adult; aosd; disease; rash; skin cache: skin-1746.pdf plain text: skin-1746.txt item: #524 of 1356 id: skin-1748 author: De, Devea; Shih, Terri; Atluri, Swetha; Fixsen, Denise; Brooks, Brindley; Hsiao, Jennifer; Shi, Vivian title: Support Group Utilization and Perspectives Among Hidradenitis Suppurativa Patients date: 2022-11-16 words: 1415 flesch: 52 summary: This study investigates the perspectives of HS patients on HS support groups and the usage of this resource among this population. Data regarding demographics, use, and perspectives of HS support groups was collected. keywords: groups; patients; respondents; support cache: skin-1748.pdf plain text: skin-1748.txt item: #525 of 1356 id: skin-1749 author: Levin, Adam; Guyara, Armaan; Athalye, Leela title: A Violaceous Mass of the Chest: An Unsuspected Diagnosis of Primary Ewing Sarcoma date: 2023-05-20 words: 1073 flesch: 55 summary: To date, only a few cases of primary cutaneous Ewing Sarcoma have been published. We present a unique case of primary cutaneous Ewing Sarcoma, which presented as a blue to violaceous mass on a young woman’s chest. keywords: ewing; sarcoma; tumors cache: skin-1749.pdf plain text: skin-1749.txt item: #526 of 1356 id: skin-175 author: van der Heijde, Desiree; Okada, Masato; Lee, Chin; Shuler, Catherine L; Rathmann, Suchitrita; Lin, Chen-Yen; Mease, Philip J title: Radiographic Progression of Structural Joint Damage in Patients with Active Psoriatic Arthritis Treated with Ixekizumab over 52 Weeks date: 2017-10-27 words: 2741 flesch: 62 summary: IXE Q4W PBO (Washout) PBO (Washout) IXE Q2W IXE Q2W IXE Q2W IXE Q2W IXE Q4W IXE Q4W IXE Q4W IXE Q4W IXE Q2W R RPBO R PBO (Washout) + RTa IXE Q2W + RTa IXE Q4W + RTa IXE Q2W IXE Q2W + RTa IXE Q4W IXE Q4W + RTa ADAb R PBO (Washout) + RTa Screening Extension PeriodDouble-blind Treatment Period WEEK 0 80 mg IXE every 4 weeks IXE Q2W: 80 mg IXE every 2 weeks ADA: 40 mg ADA every 2 weeksb 417 patients randomized 1:1:1:1 R ADAb (N=101) IXE Q4W (N=107) IXE Q2W (N=103) PBO (N=106) METHODS Exclusion Criteria ♦ Current or prior use of biologic agents for treatment of psoriasis or psoriatic arthritis ♦ Inadequate response to ≥4 cDMARDs ♦ Current use (at study entry) of >1 cDMARD ♦ Serious infection within 3 months prior to randomization CASPAR=Classification Criteria for Psoriatic Arthritis; cDMARD=conventional disease-modifying antirheumatic drug Assessment of Structural Joint Damage ♦ Assessed using the van der Heijde modified Total Sharp Score (mTSS) • Quantifies the extent of bone erosions (20 locations per hand/wrist, 12 locations per foot) and joint space narrowing (20 locations per hand/wrist, 6 locations per foot) keywords: ixe; mtss cache: skin-175.pdf plain text: skin-175.txt item: #527 of 1356 id: skin-1751 author: Momin, Fareen; Reese, Vail; Wagner Jr., Richard F. title: Dermatological Findings in Children’s Films date: 2023-05-20 words: 1548 flesch: 39 summary: A subsequent study analyzed animated films for the use of dermatological findings and found significantly more skin findings in antagonists compared to protagonists. Methods: To better understand how the use of dermatological findings are changing in the film industry, eighteen Disney live-action movies in relation to their earlier animated releases were compared for changes or correlation on how the industry portrays certain characters based on their roles as heroes or villains. keywords: antagonists; film; findings; number cache: skin-1751.pdf plain text: skin-1751.txt item: #528 of 1356 id: skin-1752 author: Broderick, John; Selby, Thomas; Trevino, Julian title: Aquagenic Urticaria in an Adolescent Following COVID-19 Vaccine date: 2022-11-16 words: 1814 flesch: 48 summary: Cutaneous reactions to COVID- 19 mRNA booster vaccinations have been reported, including reactions in patients that did not have cutaneous reactions to primary vaccine doses.12 We predict similar symptoms in response to a booster vaccination because of activation of memory B cells and production of antibodies. They can accurately interpret skin reactions and provide guidance regarding further vaccination. keywords: covid-19; patient; reactions; urticaria; vaccination; vaccine; water cache: skin-1752.pdf plain text: skin-1752.txt item: #529 of 1356 id: skin-1753 author: Arora, Puneet; Tomac, Tracy title: Psoriatic Arthritis Flare in a Hospitalized Patient with Schizoaffective Disorder: A Case Report date: 2023-05-20 words: 1681 flesch: 43 summary: In recent years, large studies have observed an increased prevalence of psoriasis in patients with schizophrenia spectrum disorders (3.3%) and broadly unspecified psychosis (35%).4 Several studies have found that the risk of psoriasis among patients with schizophrenia is significantly higher than in those without it, possibly explained by T helper 17 (Th17) activation, the main immunological trigger of psoriasis.5,6 Due to the nature of severe psychiatric illnesses, patient’s length of stay in the hospital can vary greatly from 72-hour ABSTRACT Psoriasis is a known comorbid condition in patients with schizophrenia spectrum disorders. While a recent retrospective study found both ixekizumab and the similar IL-17A antagonist secukinumab to be highly effective for the short and long-term treatment of psoriasis, further studies exploring the efficacy of these medications in treatment-resistant patients is needed.8 Both medications have the benefit of monthly IM dosing, an important consideration in patients with history of inconsistent adherence. keywords: arthritis; ixekizumab; patients; psoriasis; psoriatic; treatment cache: skin-1753.pdf plain text: skin-1753.txt item: #530 of 1356 id: skin-1754 author: Fischer, Daniel ; Teplitz, Rebeca; Litchman, Graham; Rozenberg, Suzanne Sirota title: An Atypical Case of Granulomatosis with Polyangiitis with Cutaneous Features in a 19-year-old Female date: 2022-11-16 words: 892 flesch: 43 summary: Although the pulmonary and renal systems are most commonly impacted, GPA manifests with cutaneous findings in approximately 34% of patients. Skin lesions may be the initial presenting finding in about 13% of patients, however they do not typically manifest until 12-15 months of disease onset.2 The most common skin finding is palpable purpura involving the lower extremities (16%), followed by painful subcutaneous nodules(9.4%), maculopapular rash (6.7%), and papulonecrotic lesions that typically affect the face, scalp, and extremities(4.76%).3,4 keywords: case; http://paperpile.com/b/nuoy1h/0adm; http://paperpile.com/b/nuoy1h/kyn1; http://paperpile.com/b/nuoy1h/vp0e cache: skin-1754.pdf plain text: skin-1754.txt item: #531 of 1356 id: skin-1757 author: Sathe, Nishad; Bershow, Andrea title: Cutaneous Involvement of Angioimmunoblastic T-cell Lymphoma date: 2023-01-10 words: 690 flesch: 40 summary: The presence of skin involvement implies an advanced clinical stage, which confers a poorer prognosis.4 Due to its variable presentations in the skin, it is often misdiagnosed as a vasculitis or exanthem, particularly when its initial presentation is in the skin without prior diagnosis of internal AITL malignancy.3 The patient’s clinical stage was changed from stage II to stage IV AITL due to skin involvement, and the patient was started on CHOP treatment. keywords: aitl; lymphoma; skin cache: skin-1757.pdf plain text: skin-1757.txt item: #532 of 1356 id: skin-1758 author: Garcia, Natalie; Jiminez, Victoria; Smith, Abigail ; Theos, Amy title: Focal Hypertrichosis in an Infant as the Presenting Sign of Nevoid Basal Cell Carcinoma Syndrome date: 2023-01-10 words: 745 flesch: 57 summary: Over the next ten years, she was followed by an outside dermatologist where she was treated for hundreds of basal cell carcinomas with multiple modalities including imiquimod cream, electrodessication and curettage, and CO2 laser under general anesthesia. She was diagnosed with localized hypertrichosis and no further workup was pursued. keywords: cell; hypertrichosis; syndrome cache: skin-1758.pdf plain text: skin-1758.txt item: #533 of 1356 id: skin-1759 author: Htet, Kyaw; Bui, Theresa; Srivastav, Apurv; Murina, Andrea; Kuraitis, Drew title: Financial Burden of Parking Fees for Phototherapy Patients: A Cross-Sectional Study date: 2023-01-10 words: 1374 flesch: 52 summary: Full information (parking costs, city cost of living and transit score) was only available for 177 sites (Table 1). cThe n value represents the clinical sites with full information available for analysis (parking costs, city cost of living and transit score) keywords: cost; living; parking; phototherapy; score cache: skin-1759.pdf plain text: skin-1759.txt item: #534 of 1356 id: skin-176 author: Schreiber, Rhonda; Crane, Kaytiana; Patel, Juhin title: Efficacy and Tolerability of Tazarotene Foam 0.1% Across Age, Gender, and Race: An Integrated Review of Two Phase III Trials date: 2017-10-27 words: 1259 flesch: 59 summary: % o f S u b je c ts Tazarotene Foam Vehicle Foam 32.7% 23.6% 15.9% 13.5% 0% 5% 10% 15% 20% 25% 30% 35% Females (n=756) % o f S ub je ct s Tazarotene Foam Vehicle Foam OBJECTIVES Evaluate the efficacy and tolerability of tazarotene foam 0.1% keywords: age; foam; tazarotene; vehicle cache: skin-176.pdf plain text: skin-176.txt item: #535 of 1356 id: skin-1760 author: Crasto, David Walton; Lutwak, Moises; Krajewski, Eduardo; Weiss, Eduardo title: Anal Monkeypox Lesions date: 2022-11-16 words: 732 flesch: 47 summary: Given the high index of suspicion for Monkeypox infection, a lesional swab was sent for polymerase chain reaction (PCR) and found positive for Orthopoxvirus DNA. Based on the history, clinical, and pathologic findings, coupled with the PCR results, a diagnosis of Monkeypox infection was made. keywords: infection; lesions; miami; monkeypox cache: skin-1760.pdf plain text: skin-1760.txt item: #536 of 1356 id: skin-1762 author: Ingrassia, Jenne; Maher, Jacqueline; Cline, Abigail title: A Review of the Risk of Cutaneous Squamous Cell Carcinoma after Vismodegib Therapy date: 2022-11-16 words: 2841 flesch: 58 summary: The duration of vismodegib treatment until cSCC development ranged from 2 weeks to 2.7 years across all studies included. Of the 25 articles included, 14 reported patient outcome data and statistics on cSCC development after vismodegib treatment. keywords: carcinoma; cell; cscc; study; treatment; vismodegib cache: skin-1762.pdf plain text: skin-1762.txt item: #537 of 1356 id: skin-177 author: Albareda, Nuria; Rosenberg, Noah; Roth, Sandra; Zsolt, Ilonka; Rosen, Theodore; Hebert, Adelaide A title: Ozenoxacin, a Novel, Topical Antibacterial Agent for Treatment of Adult and Pediatric Patients with Impetigo: Phase III Clinical Trials Pooled Analysis Results date: 2017-10-27 words: 1067 flesch: 44 summary: Key secondary efficacy endpoints: • Clinical response at Visit 3 incorporating combined criteria of clinical success (reflecting previously accepted methodology for other topical antibiotics approved for impetigo) and Microbiological response at visits 2 and 3. Combined criteria of clinical response was defined as clinical success or improvement. keywords: cream; ozenoxacin; visit cache: skin-177.pdf plain text: skin-177.txt item: #538 of 1356 id: skin-1772 author: Preda-Naumescu, Ana; Sowell, Josiah; Weir, Sydney; Srikakolapu, Siddharth; Patel, Om; Aldana, Isabella; Garcia, Natalie; Kole, Lauren title: Community Educational Interventions: An Effective Means to Improve Photoprotection and Skin Cancer Awareness in Outdoor Occupational Workers date: 2023-01-10 words: 1597 flesch: 42 summary: Review of the literature on outdoor workers' sun related knowledge, attitudes, and protective behaviors found that photoprotective behaviors are not widely implemented or recognized among outdoor working professionals.1,2,3,4 Safety education programs have the potential to improve ABSTRACT Introduction: Outdoor workers are at increased risk for developing skin cancer compared to the general population due to environmental conditions at work sites and riskier behavior regarding skin cancer risk factors. Two-sample paired t-test performed for each of the 10 questions was statistically significant with a p <0.05 suggesting community-based education efforts may improve awareness regarding photoprotection and skin cancer risk, and ultimately mitigate behavior. keywords: cancer; outdoor; risk; skin cache: skin-1772.pdf plain text: skin-1772.txt item: #539 of 1356 id: skin-1776 author: Shope, Chelsea; Andrews, Laura; DeVore, Ansley; Wine Lee, Lara; Wagner, Carol title: Melasma is Associated with Lower Serum Vitamin D Concentrations as Compared to Healthy Controls date: 2023-05-20 words: 1434 flesch: 50 summary: Calcidiol (25-hydroxy- vitaminD) was utilized as a surrogate for vitamin D level. 796 basal layer of the epidermis.1,6 Activation of VDR causes inhibition of growth of both normal and malignant melanocytes.1 Epidermal proliferation and differentiation also occurs via VDR in keratinocytes.6 It has also been suggested that VDR may influence androgen and estrogen activation, which are proposed to play a role in the pathogenesis of melasma.1 Given this understanding of the VDR, one would expect vitamin D levels to be normal or even elevated in patients with melasma, a disease characterized by overactive melanocytes, and that is especially prevalent in pregnant women. keywords: melasma; patients; skin; vitamin cache: skin-1776.pdf plain text: skin-1776.txt item: #540 of 1356 id: skin-1778 author: Strober, Bruce; Bukhalo, Michael; Armstrong, April; Pariser, David; Kircik, Leon; Parhami, Sepideh; Montgomery, Paul; Dickerson, Tobin title: Interim Clinical Utility Findings of a Transcriptomic Psoriasis Biologic Test Demonstrate Altered Physician Prescribing Behavior and Improved Patient Outcomes date: 2022-11-16 words: 1855 flesch: 51 summary: MATCH-MND is the informed arm where patient test results are provided, and MATCH-TAU is a treatment as usual arm where test results are not provided to physicians. Px test results provided to physicians prior to biologic selection. keywords: medicine; mind.px; patients; psoriasis; results; test cache: skin-1778.pdf plain text: skin-1778.txt item: #541 of 1356 id: skin-178 author: Albareda, N; Zeichner, J; Rosenberg, N title: A Randomized Vehicle-Controlled Trial to Assess the Efficacy, Safety, and Tolerability of Ozenoxacin 1% Cream in 412 Patients 2 Months and Older with Impetigo date: 2017-10-27 words: 1027 flesch: 42 summary: Results After 5 days of treatment, ozenoxacin demonstrated clinical superiority to vehicle in clinical response, both for the primary endpoint as well as for the prespecified secondary endpoint of combined criteria of clinical success. The primary efficacy endpoint was clinical response (success or failure) at end of therapy (Visit 3) analyzed in the intent-to-treat clinical (ITTC) population. keywords: ozenoxacin; vehicle; visit cache: skin-178.pdf plain text: skin-178.txt item: #542 of 1356 id: skin-1780 author: Roster, Katie; Mulvihill, Hannah; Lakhi , Nisha title: A Missed Diagnosis of Alpha-gal Allergy in the Northern United States: A Case Report date: 2023-03-13 words: 1467 flesch: 60 summary: This mimicking type of rash, known as Southern tick-associated rash illness (STARI), is not associated with Borrelia burgdorferi infection.9 More research is needed to determine if the population of Lone Star tick is increasing in the northern United States, or if alpha-gal syndrome is associated with additional tick species not previously reported. When sensitization occurs, patients present with gastrointestinal symptoms, urticaria, and possible anaphylaxis 3-6 hours after meat ingestion due to an immune-mediated immunoglobulin E (IgE) antibody reaction to alpha-gal, also found in non-primate mammals.1,2,3,8 Diagnosis includes an IgE antibody blood test. keywords: alpha; case; gal; syndrome; tick cache: skin-1780.pdf plain text: skin-1780.txt item: #543 of 1356 id: skin-1782 author: Salusti-Simpson, Michela; Porter , Hannah ; Taylor, Dustin; Piette , Evan title: Blastomycosis-Like Pyoderma in a 59-year-old Male with Type 2 Diabetes Mellitus date: 2023-05-20 words: 1392 flesch: 45 summary: Directed antibiotics have been the mainstay of treatment for BLP, although many patients do not experience full resolution. 844 BRIEF ARTICLE Blastomycosis-Like Pyoderma in a 59-year-old Male with Type 2 Diabetes Mellitus Michela Salusti-Simpson, BA1, Hannah Porter, MD, MBA, MS1, Dustin Taylor, MD2, Evan Piette, MD1 1University of Vermont Medical Center, Burlington, VT 2Brigham and Women’s Hospital, Boston, MA Blastomycosis-like pyoderma (BLP) is a rare cutaneous disorder that results from an exaggerated response to a bacterial infection, most commonly Staphylococcus aureus. keywords: blastomycosis; blp; case; patient; pyoderma cache: skin-1782.pdf plain text: skin-1782.txt item: #544 of 1356 id: skin-1784 author: Chokshi, Aditi; Diaz, Amaury title: Syphilis in HIV Positive Individuals and the Importance of a Skin Exam: A Case Report date: 2023-07-17 words: 1406 flesch: 47 summary: If progression to tertiary syphilis occurs, patients can develop severe complications such as gummas, aortitis, tabes dorsalis, and argyll robertson pupils.2 Syphilis in HIV- infected patients often has an atypical presentation with higher rates of asymptomatic primary syphilis and accelerated disease progression. Consequently, syphilis amongst HIV patients often goes undiagnosed until it has progressed to the secondary stage of disease.3Secondary infection in HIV patients is more aggressive with increased rates of neurocognitive effects and ophthalmic involvement.4 A 68-year-old HIV-positive male presented with perianal painless erythematous lesions for a 6-week duration. keywords: hiv; patients; primary; skin; syphilis cache: skin-1784.pdf plain text: skin-1784.txt item: #545 of 1356 id: skin-1785 author: Ramesh, Malvika; Hope, Landon; Hope, Richard ; Cockerell, Clay title: Late Onset Pseudolymphomatous Reaction to Blue Tattoo Pigment Precipitated by Covid Vaccination date: 2023-01-10 words: 1583 flesch: 50 summary: Covid-19 infection and vaccination may induce a brisk immune response that may be a hyperimmune response in some patients and has been associated with cutaneous inflammatory reactions [ Front. Immunol., 30 September 2021 Sec. 597 phenomenon which should be added to the list of cutaneous reactions that can follow Covid-19 vaccination. keywords: cutaneous; papules; pseudolymphoma; reactions; tattoo; vaccination cache: skin-1785.pdf plain text: skin-1785.txt item: #546 of 1356 id: skin-1787 author: Seck, Sokhna; Bullock, Taylor; Khetarpal, Shilpi title: Treatment of Cutaneous Lesions in a Case of Blue Rubber Bleb Nevus Syndrome date: 2023-03-13 words: 846 flesch: 54 summary: Venous malformation with the morphology of a friable plaque on the left labia majora. Venous malformations typically cause pain due to thrombosis and can increase in size in response to trauma, thrombosis, or hormones. keywords: lesions; syndrome; venous cache: skin-1787.pdf plain text: skin-1787.txt item: #547 of 1356 id: skin-1788 author: Saleeby, Eli; Bielinski, Kenneth; Fitzgerald, Alison; Siegel, Jennifer; Ibrahim, Sherrif title: A Prospective, Multi-Center Clinical Utility Study Demonstrates That the 40-Gene Expression Profile (40-GEP) Test Impacts Clinical Management for Medicare-Eligible Patients with High-Risk Cutaneous Squamous Cell Carcinoma (cSCC) date: 2022-11-16 words: 6199 flesch: 49 summary: Roscher I, Falk RS, Vos L, et al: Notice of Retraction and Replacement: Roscher et al. Validating 4 Staging Systems for Cutaneous Squamous Cell Carcinoma Using Population- Based Data: A Nested Case-Control Study. These clinical treatment plan actions are not surprising given that GEP tests have been widely used and advocated for as risk- stratification factors that influence treatment plans in various cancer types.38–47 Specifically, the results described here and within Hooper et al.,36 mirror those of other risk-stratification gene expression profile tests (Table 4). keywords: cancer; carcinoma; cell; class; clinical; cscc; gep; management; patients; results; risk; study; test; treatment cache: skin-1788.pdf plain text: skin-1788.txt item: #548 of 1356 id: skin-1789 author: Ponnurangam, Rekha Gurunatham; Ramasamy, Sindhuja; Venu, Sridhar; Vijayananth, Jayakalyani title: A Randomized Controlled Study of Topical Benzoyl Peroxide with Oral Doxycycline Versus Topical Benzoyl Peroxide with Oral Lymecycline in Acne Vulgaris date: 2023-07-17 words: 3298 flesch: 57 summary: Patients who were on topical or systemic anti acne medications in the last 1month, females yet to complete their family, pregnant and lactating females, patients with known hypersensitivity to any of the components of the study medication, history of regional enteritis/ulcerative colitis/antibiotic associated colitis, severe hepatic, renal or photosensitive disease were excluded from the study. 2 Tetracyclines are the most common oral antibiotic prescribed for acne vulgaris in patients above 12 years. keywords: acne; group; lymecycline; patients; study; weeks cache: skin-1789.pdf plain text: skin-1789.txt item: #549 of 1356 id: skin-179 author: Albareda, N; Zeichner, J title: A Randomized Vehicle-Controlled Trial to Assess the Efficacy, Safety, and Tolerability of Ozenoxacin 1% Cream in 465 Patients 2 Years and Older with Impetigo date: 2017-10-27 words: 1131 flesch: 38 summary: A secondary comparison (for internal validity) of retapamulin versus vehicle was done for the analysis of clinical response (clinical success or clinical failure) at the end of therapy visit (Visit 3) in the ITTC population. This broader definition of clinical success includes improvement, and reflects the same criteria for clinical success as that used in pivotal Phase 3 clinical trials of other topical antibiotics approved for impetigo. keywords: ozenoxacin; success; visit cache: skin-179.pdf plain text: skin-179.txt item: #550 of 1356 id: skin-1790 author: Burns, Meredith; Orlowski, Timothy; Ho-Pham, Hoang; Elston, Carly; Elewski, Boni title: New Onset Generalized Pustular Psoriasis Rapidly Improved with IL-36 Blockade date: 2023-01-10 words: 1687 flesch: 36 summary: We present a case of generalized pustular psoriasis with complete response to spesolimab, an IL-36 receptor antagonist monoclonal antibody that recently became the first FDA-approved therapy for this condition. Both her cutaneous and articular disease had been well-controlled on guselkumab since February 2021 with minimal localized cutaneous disease after failing therapy with adalimumab, etanercept, ustekinumab, ABSTRACT Generalized pustular psoriasis is a relatively rare variant of psoriasis characterized by diffuse eruption of sterile pustules on an erythematous background. keywords: psoriasis; pustules; receptor; skin; spesolimab; treatment cache: skin-1790.pdf plain text: skin-1790.txt item: #551 of 1356 id: skin-1793 author: O'Connell, Katie; Youssef, Ronnie M; Torres, Angeli Eloise; Huggins, Richard H title: Perspectives of Vitiligo Patients: Voices from National Vitiligo Conferences date: 2023-07-17 words: 1916 flesch: 55 summary: Insurance coverage for vitiligo treatments varies greatly despite robust data showing treatment efficacy in delaying disease progression.5 During the US-WVDs only a small number of those surveyed reported full insurance coverage for vitiligo treatment and, from 2020 to 2021 this number dropped even further. Additionally, dermatologists should advocate for coverage of vitiligo treatment, while also taking insurance coverage into account when discussing treatment options. keywords: effects; insurance; patients; treatment; vitiligo cache: skin-1793.pdf plain text: skin-1793.txt item: #552 of 1356 id: skin-1794 author: McKinley, Jayvon; Kresch-Vatch, Mindy title: Traction Alopecia in the Beard date: 2023-01-10 words: 751 flesch: 62 summary: Traction alopecia in the beard. Traction alopecia: 2% topical minoxidil shows promise. keywords: alopecia; hair cache: skin-1794.pdf plain text: skin-1794.txt item: #553 of 1356 id: skin-1795 author: Zakria, Danny; Brownstone, Nicholas; Rigel, Darrell title: The Integrated 31-Gene Expression Profile (i31-GEP) Test for Cutaneous Melanoma Outperforms a Clinicopathologic-only Nomogram at Identifying Patients who can Forego Sentinel Lymph Node Biopsy date: 2022-11-16 words: 4097 flesch: 59 summary: The i31-GEP for SLNB identified 28.5% (166/582) of patients as having a <5% risk of SLN positivity while also having an upper 95% CI ≤10% compared with 0.9% (5/582, p<0.001) using the MIA nomogram. The i31-GEP for SLNB identified 28.5% (166/582) as having both <5% risk of positivity and an upper 95% CI ≤10% compared to 0.9% (5/582, p<0.001) using the MIA nomogram (Figure 2). keywords: gep; i31; melanoma; mia; nomogram; patients; positivity; risk; slnb cache: skin-1795.pdf plain text: skin-1795.txt item: #554 of 1356 id: skin-1796 author: Glazer, Alex; Tassavor, Michael; Portela, Dustin; Soleymani, Teo title: The Integrated 31-Gene Expression Profile Test (i31-GEP) for Cutaneous Melanoma Outperforms the CP-GEP at Identifying Patients who can Forego Sentinel Lymph Node Biopsy when Applying NCCN Guidelines date: 2022-11-16 words: 3719 flesch: 57 summary: Each of the 2 GEP tests analyzed used different genes and statistical methods during development16,28, similar to GEP tests in breast cancer, including the 21-GEP assay (Oncotype DX Breast) and the 50-gene assay (Prosigna).4,29,30 Therefore, understanding each tool’s development and validation process is important when assessing the utility of the tests. The 31-GEP has been integrated with clinical and pathological factors using a neural network algorithm to provide an individualized, precise risk of SLN positivity (i31-GEP).12 Of the variables included in the i31-GEP neural network, the 31-GEP risk score was the most significant contributor to the model.12 The CP-GEP model was developed using LASSO (logistic regression and least absolute shrinkage and selection operator), combining an 8-GEP gene signature with age and Breslow thickness, with three retrospective validation studies.14,15,19,34 However, the GEP portion of the CP-GEP model has not shown independent prognostic information from Breslow thickness and age (CP) using multivariable analysis,14,35 and Bartlett et al. called into question the utility of the CP-GEP compared to CP alone to guide SLNB.35 keywords: gene; gep; i31; melanoma; patients; risk; slnb cache: skin-1796.pdf plain text: skin-1796.txt item: #555 of 1356 id: skin-1797 author: Dirr, McKenzie A. ; Bitterman, Avi ; Al-Dehneem, Roudha; Gottlieb, Alice B. title: Successful Treatment of Morphea with Topical Ruxolitinib date: 2023-03-13 words: 799 flesch: 47 summary: Ruxolitinib is a Janus-Kinase (JAK) 1 and 2 inhibitor with anti-inflammatory properties.4,5 Ruxolitinib works by blocking the receptor-associated protein kinases JAK1 and JAK2, inhibiting the JAK-STAT pathway.4,5 When JAK1 and JAK2 are active, this pathway produces inflammatory cytokines and hematopoiesis.4,5 Ruxolitinib blocks this mechanism, downregulating the production of pro-inflammatory cytokines, such as IL-2 and IL-6, and thus decreasing the damaging effects of inflammation.4,5 Interestingly, ruxolitinib has been found to be efficacious in other inflammatory processes, including atopic dermatitis and psoriasis.4 Right shoulder hyperpigmentation before (left) and after (right) 3 months of topical ruxolitinib 1.5% cream. keywords: morphea; patient; ruxolitinib; skin cache: skin-1797.pdf plain text: skin-1797.txt item: #556 of 1356 id: skin-18 author: Dong, Joanna; Bonomo, Lauren; Lebwohl, Mark title: Common Adverse Drug-Drug Interactions in Dermatology: Oral Therapies date: 2017-08-31 words: 4130 flesch: 44 summary: 14 The three most commonly prescribed macrolides exhibit varying propensities to inhibit CYP3A4 and cause drug interactions: erythromycin most strongly, clarithromycin less so, and azithromycin has no effect on CYP3A4. Chan AJ, Rajakumar I. High-dose methotrexate in adult oncology patients: A case-control study assessing the risk association between drug interactions and methotrexate toxicity. keywords: acitretin; allopurinol; clin; cyclosporine; dermatol; drug; epinephrine; interactions; isotretinoin; mtx; patients; risk; skin; spironolactone; treatment; use cache: skin-18.pdf plain text: skin-18.txt item: #557 of 1356 id: skin-180 author: George, Rosalyn; Schlessinger, Joel; Lupin, Mark; Amato, David; McDaniel, David title: Evaluation of the Safety and Efficacy of Ultherapy for the Treatment of Signs and Symptoms of Erythematotelangiectatic Rosacea date: 2017-10-27 words: 821 flesch: 80 summary: PSA improvement (≥1-grade improvement) was greatest in Group D at Day 90 (74%), Group D at Day 180 (75%), and Group B at Day 365 (76%). .0 % P ai n Sc or e Transducers Treatment Group 4-4.5mm 7-3.0mm 10-1.5mm 0 1 2 3 4 5 6 7 8 9 10 Group A Group B Group C Group D 6.5 6.7 6.4 3.9 4.9 5.9 5.55.6 3.9 4.6 4.4 4.4 % o f S ub je ct s Sh ow in g keywords: day; group; treatment cache: skin-180.pdf plain text: skin-180.txt item: #558 of 1356 id: skin-1800 author: Lambert, Jo; Paul, Carle; Gottlieb, Alice; Poulin, Yves title: Deucravacitinib, an oral, selective tyrosine kinase 2 inhibitor, versus placebo and apremilast in moderate to severe plaque psoriasis: analysis of body surface area involvement in the phase 3 POETYK PSO-1 and PSO-2 trials date: 2022-11-16 words: 2931 flesch: 60 summary: Mean change from baseline responses in BSA and BSA × sPGA during POETYK PSO-1: Conclusions • In the POETYK PSO-1 and PSO-2 trials, deucravacitinib treatment was associated with greater improvements in BSA, BSA × sPGA, and BSA × sPGA 75 over time compared with placebo and apremilast in patients with moderate to severe plaque psoriasis • Deucravacitinib was associated with long-term improvements in response rates and maintenance of response in patients continuously treated over 52 weeks and in those who switched to deucravacitinib following 16 weeks of placebo Deucravacitinib (allosteric inhibitor) Unique TYK2 regulatory domain Catalytic domain (highly conserved across JAK family) ATP-binding active site (other kinase inhibitors) keywords: baseline; bsa; deucravacitinib; patients; placebo; poetyk; spga cache: skin-1800.pdf plain text: skin-1800.txt item: #559 of 1356 id: skin-1801 author: Korman, Neil; Passeron, Thierry; Gordon, Kenneth; Okubo, Yukari; Bagel, Jerry; Sofen, Howard; Warren, Richard; Bhatia, Neal; Spelman, Lynda; Winthrop, Kevin; Hippeli, Lauren; Kisa, Renata; Banerjee, Subhashis; Thaçi, Diamant title: Deucravacitinib in plaque psoriasis: 2-year laboratory results from the phase 3 POETYK PSO program date: 2022-11-16 words: 3019 flesch: 50 summary: AbbVie, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, Eli Lilly, Janssen, Novartis, and UCB; Consulting fees: Almirall, Amgen, Dermira, Leo Pharma, Pfizer, and Sun Pharma • YO: Research grants: Eisai, Maruho, Shiseido, and Torii; Current consulting/advisory board agreements: AbbVie, Amgen, Boehringer Ingelheim, Bristol Myers Squibb, Eli Lilly, Janssen, and Sun Pharma; Speakers bureau: AbbVie, Amgen, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, Eisai, Eli Lilly, Janssen Pharma, Jimro, Kyowa Kirin, Leo Pharma, Maruho, Novartis, Pfizer, Sanofi, Sun Pharma, Taiho, Tanabe-Mitsubishi, Torii, and UCB; Clinical trials: AbbVie, Amgen, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, Eli Lilly, Janssen, Leo Pharma, Maruho, Pfizer, Sun Pharma, and UCB • JB: Research funds payable to the Psoriasis Treatment Centre of New Jersey: AbbVie, Amgen, Arcutis, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, CorEvitas’ (Corrona) Psoriasis Registry, Dermavant, Dermira/UCB, Eli Lilly, Glenmark, Janssen Biotech, Kadmon, Leo Pharma, Lycera, Menlo Therapeutics, Novartis, Pfizer, Regeneron, Sun Pharma, Taro, and Valeant; Consultant: AbbVie, Amgen, Celgene, Eli Lilly, Janssen Biotech, Novartis, Sun Pharma, and Valeant; Speaker: AbbVie, Celgene, Eli Lilly, Janssen Biotech, and Novartis • HS: Clinical investigator: AbbVie, Amgen, Boehringer Ingelheim, Bristol Myers Squibb, Eli Lilly, Janssen, Leo Pharma, Novartis, and Sun Pharma • RBW: Research grants: AbbVie, Almirall, Amgen, Celgene, Eli Lilly, Janssen, Leo Pharma, Novartis, Pfizer, and UCB; Consulting fees: AbbVie, Almirall, Amgen, Biogen, Boehringer Ingelheim, Celgene, DiCE, Eli Lilly, Janssen, Leo Pharma, Novartis, Pfizer, Sanofi, UCB, and UNION • NB: Advisor and consultant investigator: AbbVie, Almirall, Arcutis, Arena, Boehringer Ingelheim, Bristol Myers Squibb, Dermavant, InCyte, ISDIN, Johnson & Johnson, Leo Pharma, Lilly, Ortho, Pfizer, Regeneron, Sanofi, Stemline, and Sun Pharma; Investigator: Arcutis, Biofrontera, Boehringer Ingelheim, Bristol Myers Squibb, Dermavant, Galderma, Leo Pharma, Lilly, and Ortho • LS: Consultant, paid investigator, and/or speaker: AbbVie, Amgen, Anacor, Ascend, Astellas, AstraZeneca, Blaze Bioscience, Bristol Myers Squibb, Boehringer Ingelheim, Botanix, Celgene, Dermira, Eli Lilly, Galderma, Genentech, GlaxoSmithKline, Hexima, Janssen, Leo Pharma, Mayne, MedImmune, Merck, Merck-Serono, Novartis, Otsuka, Pfizer, Phosphagenics, Photon MD, Regeneron, Roche, Samumed, Sanofi Genzyme, SHR, Sun Pharma ANZ, Trius, UCB, and Zai Lab • KW: Consulting: AbbVie, AstraZeneca, Bristol Myers Squibb, Eli Lilly, Galapagos, Gilead, GlaxoSmithKline, Novartis, Pfizer, Regeneron, Roche, Sanofi, and UCB; Research: Bristol Myers Squibb and Pfizer • LH, RMK, and SB: Employees and shareholders: Bristol Myers Squibb • DT: Grant/research support, consultant, scientific advisory board, and speakers bureau: AbbVie, Almirall, Amgen, Biogen Idec, Boehringer Ingelheim, Bristol Myers Squibb, Eli Lilly, Galapagos, Galderma, Janssen-Cilag, Leo Pharma, Novartis, Pfizer, Regeneron, Roche, Sandoz-Hexal, Sanofi, Target-Solution, and UCB Figure 1. AbbVie, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, Eli Lilly, Janssen, Leo Pharma, Novartis, Principia, Regeneron, Sanofi Genzyme, Sun Pharma, and UCB; Grant support/principal investigator: AbbVie, Amgen, Argenx, Bristol Myers Squibb, Celgene, Chemocentryx, Eli Lilly, Galderma, Kyowa Hakko Kirin, Leo Pharma, Menlo, Principia, Prothena, Rhizen, Syntimmune, Trevi, and XBiotech; Speaker: AbbVie, Eli Lilly, Janssen, Novartis, Regeneron, and Sanofi Genzyme • TP: Advisory board and consulting fees: AbbVie, Almirall, Amgen, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, Eli Lilly, Galderma, Incyte, Janssen, Leo Pharma, Novartis, Pfizer, Sanofi Genzyme, Sun Pharma, and UCB • KBG: keywords: deucravacitinib; lte; myers; pharma; poetyk; pso-1; squibb cache: skin-1801.pdf plain text: skin-1801.txt item: #560 of 1356 id: skin-1802 author: Bagel, Jerry; Armstrong, April ; Warren, Richard; Papp, Kim; Thaçi, Diamant; Menter, Alan; Cather, Jennifer; Augustin, Matthias; Hippeli, Lauren; Daamen, Carolin; Griffiths, Christopher title: Deucravacitinib, an oral, selective tyrosine kinase 2 inhibitor, in moderate to severe plaque psoriasis: 52-week efficacy by prior treatment in the phase 3 POETYK PSO-1 trial date: 2022-11-16 words: 3651 flesch: 43 summary: Figure 7. sPGA 0/1 response rates through Week 52 in systemic treatment-naive, prior systemic treatment, and prior oral systemic treatment patients (NRI)a Deucravacitinib Placebo → deucravacitinib Patients, n 0 10 20 30 40 50 60 sP G A 0 /1 r es po n se r at e, % o f pa ti en ts 70 80 90 100 0 1 2 4 8 12 16 Primary endpoint 20 Weeks Systemic treatment naive 24 28 32 36 40 44 48 52 132 132 132 132 132 132 132 132 132 132 132 127 122 127 129 132 57 Deucravacitinib Placebo – deucravacitinib 57 57 57 57 57 57 51 51 51 51 51 50 51 51 51 Patients, n 0 10 20 30 40 50 60 sP G A 0 /1 r es po n se r at e, % o f pa ti en ts 70 80 90 100 0 1 2 4 8 12 16 Primary endpoint 20 Weeks Prior systemic treatment 24 28 32 36 40 44 48 52 200 200 200 200 200 200 200 200 200 200 198 199 198 197 196 200 109 Deucravacitinib Placebo – deucravacitinib 109 109 109 109 109 109 94 94 93 93 94 92 93 94 94 Patients, n 0 10 20 30 40 50 60 sP G A 0 /1 r es po n se r at e, % o f pa ti en ts 70 80 90 100 0 1 2 4 8 12 16 Primary endpoint 20 Weeks The study design for POETYK PSO-1 is illustrated in Figure 2 • Eligible patients were ≥18 years of age with moderate to severe plaque psoriasis (ie, PASI ≥12, sPGA ≥3, body surface area involvement ≥10% at baseline) • Patients who previously received phototherapy, systemic treatment, and/or biologic treatment were required to complete washout periods ranging from 4 weeks to 6 months before study entry, depending on the treatment • The current analysis examined PASI 75 and sPGA 0/1 responses through 52 weeks in patients randomized to deucravacitinib and in those who crossed over from placebo to deucravacitinib at Week 16 (placebo crossovers), by prior treatment subgroups: — Systemic treatment naive (ie, neither biologic nor nonbiologic systemic treatment) — Prior systemic treatment (biologic and/or nonbiologic) — Prior oral systemic treatment (nonbiologic only) — Biologic treatment naive — Biologic treatment experienced • Nonresponder imputation was used for all reported endpoints Figure 2. keywords: deucravacitinib; patients; pharma; placebo; systemic; treatment cache: skin-1802.pdf plain text: skin-1802.txt item: #561 of 1356 id: skin-1803 author: Warren, Richard; Sofen, Howard; Imafuku, Shinichi; Szepietowski, Jacek; Blauvelt, Andrew; Spelman, Lynda; Toms, Jessica; Buck, Alex; Banerjee, Subhashis; Menter, Alan title: Deucravacitinib long-term efficacy and safety in plaque psoriasis: 2-year results from the phase 3 POETYK PSO program date: 2022-11-16 words: 4226 flesch: 39 summary: Clinical efficacy responses during POETYK LTE Weeks 0—60 in patients who were receiving deucravacitinib at Week 52 in the parent study (sensitivity analysis): PASI 75a, PASI 90b, and sPGA 0/1c 77.7% 79.4% 75.7% 0 10 20 30 40 50 60 70 80 90 100 0 4 8 12 16 20 24 28 32 36 40 44 48 52 56 60 R e sp o n se r at e , % o f p at ie n ts Weeks PASI 75 0 10 20 30 40 50 60 70 80 90 100 R e sp o n se r at e , % o f p at ie n ts 28 Weeks 43.6% 49.6% 43.6% 70.8% 70.8% 50.7% 44.5% 71.3% TFR Deucravacitinib 6 mg QDPlacebob Deucravacitinib 6 mg QDPlacebob Primary endpoint B LI N D E D S W IT C H T O O P E N -L A B E L D E U C R A V A C IT IN IB Open-label deucravacitinib 6 mg QD (N = 1221) POETYK LTE 14856 60 68 76 88 112 124 1364 8 12 20 28 32 36 40 44 48 480 964 8 16 24 36 60 72 84Exposure relative to LTE (weeks) 1 year 2 yearsc aApremilast was titrated from 10 mg QD to 30 mg BID over the first 5 days of dosing. keywords: deucravacitinib; lte; pasi; patients; pharma; poetyk; pso-1; psoriasis cache: skin-1803.pdf plain text: skin-1803.txt item: #562 of 1356 id: skin-1804 author: Blauvelt, Andrew; Rich, Phoebe; Sofen, Howard; Lambert, Jo; Merola, Joseph F; Lebwohl, Mark; Scharnitz, Thomas; Hoyt, Kim; Kisa, Renata M; Banerjee, Subhashis title: Deucravacitinib, an oral, selective, allosteric tyrosine kinase 2 inhibitor, in scalp, nail, and palmoplantar psoriasis: subgroup analyses of the phase 3 POETYK PSO-1 and PSO-2 trials date: 2022-11-16 words: 2685 flesch: 51 summary: Acknowledgments • These clinical trials were sponsored by Bristol Myers Squibb • Writing and editorial assistance was provided by Liz Rockstein, PhD, of Peloton Advantage, LLC, an OPEN Health company, Parsippany, NJ, USA, funded by Bristol Myers Squibb Disclosures • AB: Speaker (received honoraria): AbbVie, Arcutis, Bristol Myers Squibb, Eli Lilly, Pfizer, Regeneron, Sanofi, and UCB; Scientific adviser (received honoraria): AbbVie, Abcentra, Affibody, Aligos, Almirall, Alumis, Amgen, AnaptysBio, Arcutis, Arena, Aslan, Athenex, Bluefin Biomedicine, Boehringer Ingelheim, Bristol Myers Squibb, Cara Therapeutics, Dermavant, EcoR1, Eli Lilly, Escient, Evelo, Evommune, Forte Bioscience, Galderma, HighlightII Pharma, Incyte, InnoventBio, Janssen, Landos, Leo Pharma, Merck, Novartis, Pfizer, Rapt, Regeneron, Sanofi Genzyme, Spherix Global Insights, Sun Pharma, TLL Pharmaceutical, TrialSpark, UCB, Vibliome, and Xencor; Clinical study investigator (institution has received clinical study funds): AbbVie, Acelyrin, Almirall, Amgen, Arcutis, Athenex, Boehringer Ingelheim, Bristol Myers Squibb, Concert, Dermavant, Eli Lilly, Evelo, Evommune, Galderma, Incyte, Janssen, Leo Pharma, Merck, Novartis, Pfizer, Regeneron, Sun Pharma, and UCB • PR: Research (principal investigator on pharmaceutical trials): AbbVie, Arcutis, Bristol Myers Squibb, Dermavant, Eli Lilly, Janssen, Novartis, Sun Pharma, and UCB • HS: Clinical investigator: AbbVie, Amgen, Boehringer Ingelheim, Bristol Myers Squibb, Eli Lilly, Janssen, Leo Pharma, Novartis, and Sun Pharma • JL: Unrestricted grants: AbbVie, Almirall, Celgene, Eli Lilly, Janssen-Cilag, Leo Pharma, Novartis, and UCB; Speaker: AbbVie, Almirall, Bristol Myers Squibb, Janssen-Cilag, Pfizer, and UCB; Consultant: AbbVie, BMS, Celgene, Eli Lilly, Janssen-Cilag, Leo Pharma, Novartis, and UCB • JFM: Consultant and/or investigator: Amgen, AbbVie, Biogen, Bristol Myers Squibb, Dermavant, Eli Lilly, Janssen, Leo Pharma, Novartis, Pfizer, Regeneron, Sanofi, Sun Pharma, and UCB • ML: Research funds on behalf of Mount Sinai: AbbVie, Amgen, Arcutis, Avotres, Boehringer Ingelheim, Dermavant, Eli Lilly, Incyte, Janssen, Ortho Dermatologics, Regeneron, and UCB; Consultant: Aditum Bio, Almirall, AltruBio AnaptysBio, Arcutis, Arena, Aristea, Arrive Technologies, Avotres, BiomX, Boehringer Ingelheim, Brickell Biotech, Bristol Myers Squibb, Cara, Castle Biosciences, CorEvitas’ (Corrona) Psoriasis Registry, Dermavant, Dr Reddy’s Laboratories, Evelo Biosciences, Evommune, Forte Biosciences, Helsinn Therapeutics, Hexima, Leo Pharma, Meiji Seika Pharma, Mindera, Pfizer, Seanergy, and Verrica • TS, RMK, and SB: Employees and shareholders: Bristol Myers Squibb • KH: Contractor: Bristol Myers Squibb via Syneos Health keywords: deucravacitinib; patients; pga; placebo; week cache: skin-1804.pdf plain text: skin-1804.txt item: #563 of 1356 id: skin-1805 author: Del Rosso, James; Guenthner, Scott; Hong, Chih-ho; Jett, John E; Brown, Philip M; Rubenstein, David S; Piscitelli, Stephen C; Piscitelli, Stephen C title: Exposure–Response Analysis Demonstrates Response to Tapinarof is Driven by Local Effects at Sites of Application date: 2022-11-16 words: 1732 flesch: 38 summary: CONCLUSIONS ■ Tapinarof cream 1% QD is efficacious and well tolerated, including on intertriginous and sensitive skin areas, in patients with mild to severe plaque psoriasis ■ Topical application of tapinarof cream 1% QD in patients with psoriasis or AD resulted in minimal systemic exposure ■ The maximal-use trial in psoriasis demonstrated that tapinarof plasma exposure declined over time ■ Furthermore, tapinarof systemic exposure was also unrelated to %BSA affected for patients with psoriasis ■ This exposure–response analysis demonstrates a lack of dependence on systemic activity for the therapeutic efficacy of tapinarof cream REFERENCES 1. Pharmacokinetics of Tapinarof ■ Tapinarof plasma exposure was low overall and below quantifiable limits in the majority (62.6% [1243/1985]) of samples using a highly sensitive assay ■ Mean (SD) C min and C max were 27.6 (23.3) pg/mL and 340 (6270) pg/mL, respectively ■ There were no trends observed between tapinarof plasma concentrations and disease (AD or psoriasis), or the concentration of tapinarof cream (0.5%, 1%), or frequency (QD, BID) of application (Figure 1) ■ In a separate, post hoc analysis of the psoriasis maximal-use trial, there was also no correlation between tapinarof plasma concentration and BSA in patients with psoriasis (ranging from 21%–46%) (Figure 2) ■ In the maximal-use trial in patients with psoriasis, tapinarof plasma exposure declined over time, and was approximately 10-fold lower on Day 29 than on Day 14 Figure 1. keywords: exposure; patients; psoriasis; tapinarof; trial cache: skin-1805.pdf plain text: skin-1805.txt item: #564 of 1356 id: skin-1806 author: Stein Gold, Linda; Lebwohl, Mark; Bissonnette, Robert; Strober, Bruce; Tallman, Anna M; Brown, Philip M; Piscitelli, Stephen C; Rubenstein, David S title: Tapinarof Cream 1% Once Daily for Plaque Psoriasis: Pooled Efficacy from Three Phase 3 Trials date: 2022-11-16 words: 1952 flesch: 42 summary: ITT population, OC. CI, confidence interval; ITT, intention-to-treat; OC, observed cases; PASI75, ≥75% improvement in Psoriasis Area and Severity Index score; PASI90, ≥90% improvement in Psoriasis Area and Severity Index score; QD, once daily. Trial Design for PSOARING 1, 2, and 3 *Patients with PGA=2 (mild) and PGA=4 (severe) limited to ~10% each of the total randomized population; ~80% of the total randomized population with PGA=3 (moderate). keywords: cream; patients; pga; score; tapinarof cache: skin-1806.pdf plain text: skin-1806.txt item: #565 of 1356 id: skin-1807 author: Armstrong, April W; Bissonnette, Robert; Brown, Philip M; Tallman, Anna M; Papp, Kim A title: Treat-to-Target Outcomes and Measures of Treatment Success in Three Phase 3 Trials of Tapinarof Cream 1% Once Daily for Mild to Severe Plaque Psoriasis date: 2022-11-16 words: 2211 flesch: 52 summary: Absolute PASI ≤1 and %BSA of ≤0.5% Achieved by Week 4 ■ Figure 4 shows the clinical response for a patient with plaque psoriasis treated with tapinarof cream 1% QD, whose improvement by Week 4 exceeded the absolute PASI, %BSA, and PGA endpoints Figure 4. Safety ■ Treatment-emergent adverse events (TEAEs) were mostly mild to moderate ■ The most common TEAEs (in ≥5% of patients) were folliculitis, contact dermatitis, and nasopharyngitis CONCLUSIONS ■ Tapinarof cream 1% QD was well tolerated and demonstrated rapid, clinically meaningful, and durable improvements in clinical efficacy in a high proportion of patients ■ Treatment targets were achieved with tapinarof cream monotherapy, despite the challenges of meeting these goals with available systemic, biologic, topical, and combination therapies ■ The aggressive target of ≤1% BSA affected was achieved by 40% of tapinarof-treated patients within ~3 months; attainment continued to increase over time, with 50% of patients achieving this target at ~4 months ■ These findings support continuing tapinarof treatment beyond 3 months for patients who are experiencing improvement but not yet meeting the ≤1% BSA affected treatment target advocated by the National Psoriasis Foundation12 ■ An absolute PASI total score of ≤2 was achieved by 67% of tapinarof-treated patients; this is a treatment target that has been shown to correspond to a PASI90 response3 ■ These analyses may have underestimated the percentage of patients who achieved treatment targets, due to the unique forced-withdrawal design of PSOARING 3 that resulted in intermittent rather than continuous treatment REFERENCES 1. keywords: bsa; pasi; patients; tapinarof; treatment cache: skin-1807.pdf plain text: skin-1807.txt item: #566 of 1356 id: skin-1808 author: Stein Gold, Linda; Griffiths, Christopher E; Tallman, Anna M; Brown, Philip M; Lebwohl, Mark title: Tapinarof Cream 1% Once Daily for Plaque Psoriasis: Improvements in Quality of Life and Clinical Efficacy in Two Pivotal Phase 3 Trials date: 2022-11-16 words: 1952 flesch: 45 summary: Endpoints and Statistical Analysis ■ The DLQI is a validated, dermatology-specific, 10-item patient questionnaire – Each item rates impact of disease on QoL on a 4-point scale from 0 (not at all) to 3 (very much) – Total scores range from 0 to 30, with lower scores indicating better health-related QoL (i.e., a lower impact of disease on QoL) – A total DLQI score of 0 or 1 indicates “no effect at all” of disease on QoL – A total DLQI score of 2–5 indicates a small effect, 6–10 a moderate effect, and >10 a very large effect on QoL8 ■ Efficacy assessments included PGA and PASI ■ Spearman rank correlations were used to evaluate relationships between changes from baseline in efficacy (assessed using PGA and PASI) and changes from baseline in DLQI score at Week 12 ■ Analyses used observed cases and were based on the intention-to-treat population ■ For the proportion of patients with DLQI of 0 or 1, P values for differences between tapinarof cream 1% QD and vehicle were calculated using Cochran- Mantel-Haenszel analyses and stratified by baseline PGA score. PSOARING 1 and PSOARING 2 Trial Design *Patients with PGA=2 (mild) and PGA= 4 (severe) were limited to ~10% each of the total randomized population; with ~80% of the total randomized population having a PGA=3 (moderate). keywords: cream; dlqi; tapinarof; week cache: skin-1808.pdf plain text: skin-1808.txt item: #567 of 1356 id: skin-1809 author: Draelos, Zoe D; Draelos, Matthew M; Praestegaard, Morten title: Enhanced Skin Deposition of Betamethasone Dipropionate into the Skin of Human Volunteers from Calcipotriene/Betamethasone Dipropionate Cream Compared to Topical Suspension date: 2022-11-16 words: 819 flesch: 60 summary: The values in Figure 1 indicate the total BDP recovered from tape strips ( # 3, 5, 7…19) reflecting the total relative amount of drug deposited to SC and epidermis • Statistical significance was demonstrated in favour of enhanced drug delivery from CAL/BDP cream over CAL/BDP TS (p ≤ 0.05) at all time points. BDP deposited from CAL/BDP TS remained lower and consistent at all time points. keywords: bdp; cal; cream cache: skin-1809.pdf plain text: skin-1809.txt item: #568 of 1356 id: skin-181 author: Geronemus, Roy G; Brauer, Jeremy A; Kilmer, Suzanne L; Wall, Jr., Simeon H; Green, Jeremy B; Cohen, Joel L; Weiss, Robert A; Alster, Tina S; Kaminer, Michael S title: An Observational Study of the Safety and Efficacy of Tissue Stabilized-Guided Subcision to Improve the Appearance of Cellulite date: 2017-10-27 words: 1273 flesch: 54 summary: Most subjects (≥93%) remained satisfied or very satisfied with the results of their treatment through 3-years. Treatment depth. keywords: depth; improvement; patients; treatment cache: skin-181.pdf plain text: skin-181.txt item: #569 of 1356 id: skin-1810 author: Callender, Valerie; Taylor, Susan; Cook-Bolden, Fran title: Calcipotriene (CAL) and Betamethasone Dipropionate (BDP) Cream Demonstrates High Efficacy and Convenience in Skin of Color Patients with Plaque Psoriasis date: 2022-11-16 words: 1169 flesch: 60 summary: Psoriasis Treatment Convenience Scale (PTCS)2 was significantly higher in CAL/BDP cream than CAL/BDP TS in the total population and the Fitzpatrick type IV-VI groups. /BDP cream CAL/ BDP TS Cream vehicle Total Population: Subjects with any TEAE, n (%) 90 (26.3) 76 (22.6) 32 (27.8) keywords: bdp; cal; cream; treatment cache: skin-1810.pdf plain text: skin-1810.txt item: #570 of 1356 id: skin-1812 author: Ferris, Laura K; Armstrong, April W; Del Rosso, James; Draelos, Zoe D; Gooderham, Melinda; Lebwohl, Mark; Papp, Kim A; Soung, Jennifer; Stein Gold, Linda; Krupa, David; Higham, Robert C; Burnett, Patrick; Berk, David R title: Efficacy and Tolerability of Roflumilast Cream 0.3% in Patients With Chronic Plaque Psoriasis Involvement on the Face, Intertriginous, or Genital Areas: Pooled Results From Phase 3 Trials (DERMIS-1 and DERMIS-2) date: 2022-11-16 words: 2673 flesch: 51 summary: In patients with involvement in SA, local tolerability was highly favorable as reported by patient and investigator assessment of irritation, burning, and stinging (Figure 6) – ≥97.6% of patients had no evidence of irritation at Week 8 on investigator-rated assessments – The local tolerability profile as assessed by both patients and investigators was favorable • The subgroup analysis of the pooled results of the phase 3 DERMIS-1 and DERMIS-2 trials showed that once-daily roflumilast cream 0.3% demonstrated efficacy and tolerability in patients with psoriasis involvement in difficult-to-treat areas RESULTS • Baseline disease characteristics and demographics were similar across treatment groups (Table 1) • Significantly more roflumilast-treated patients achieved the primary endpoint, IGA Success at Week 8 (Figure 2) – Across the subgroups at Week 8, a greater percentage of patients in the roflumilast group achieved IGA Success compared with that of the vehicle group – More patients in the roflumilast group also had an IGA status of Clear or Almost Clear across subgroups at Week 8 (Figure 3) • More roflumilast-treated patients who had a baseline score ≥4 on the Worst Itch Numeric Rating Scale (WI-NRS) had a 4-point improvement at Week 8 across subgroups (Figure 4) • keywords: cream; iga; intertriginous; involvement; patients; psoriasis; roflumilast; vehicle cache: skin-1812.pdf plain text: skin-1812.txt item: #571 of 1356 id: skin-1813 author: Armstrong, April W; Young, Melodie; Seal, Melissa; Higham, Robert; Greiling, Teri title: Patient Perspectives on the Prevalence and Burden of Psoriasis: Results From a National Survey of Adults With Psoriasis in the United States date: 2022-11-16 words: 1694 flesch: 40 summary: A propensity score variable was included to adjust for respondents’ propensity to be online • Raked weights were estimated using Random Iterative Method weighting RESULTS Patient-Reported Psoriasis Symptoms • At the time of diagnosis, most participants (N=507) described their psoriasis symptoms as moderate (59%; Figure 2) Patient-Reported Burden of Psoriasis • Participants estimated that an average of 15% of their bodies was affected by psoriasis – Most patients (63%) reported ≤10% of their body was affected – The body areas most often reported to be affected by psoriasis were the scalp, elbows, legs, intertriginous areas, arms, and knees (Figure 3) • A survey was conducted by the Harris Poll in the US, on behalf of Arcutis Biotherapeutics, to understand the perspectives and burden of patients with psoriasis who use topical treatments to manage their disease • keywords: figure; patients; psoriasis; topical; treatment cache: skin-1813.pdf plain text: skin-1813.txt item: #572 of 1356 id: skin-1814 author: Curcio, Alyssa; Kontzias, Christina; Feldman, Steven R title: Improving Patient Acceptability and Adherence in Psoriasis Treatment date: 2022-11-16 words: 746 flesch: 54 summary: The right dose in the right place: an overview of current prescription, instruction and application modalities for topical psoriasis treatments. If a topical medication caused a reaction, more than 40% of patients said they would call another dermatologist • If participants did not like a topical treatment's formulation, most (74.7%) said they would continue to use the medication for a week before discontinuation CONCLUSION • Topical treatments continue to be a mainstay of psoriasis treatment • Patients expect to see rapid improvement with topical treatment; otherwise, they report they will discontinue treatment • The characteristics of psoriasis treatment vehicles also affects patients’ reported willingness to use treatment and may be an important consideration in treatment planning REFRENCES 1. keywords: psoriasis; topical; treatment cache: skin-1814.pdf plain text: skin-1814.txt item: #573 of 1356 id: skin-1815 author: Armstrong, April W; Jayade, Sayeli; Rege, Sanika; Joshi, Namita; Patel, Vardhaman; Davidson, David; Kalirai, Samaneh; Wolin, Daniel; Boyle, Kimberly; Patel, Dipen; Seigel, Lauren title: Evaluating treatment choice among patients with moderate or severe psoriasis in the United States date: 2022-11-16 words: 32274 flesch: 43 summary: [CI], 1.4–4.2) among Black respondents (P = 0.036) — Intent to start the new once-daily oral treatment increased with psoriasis severity over the past week, with 76.5% of respondents with moderate psoriasis and 82.8% of respondents with severe disease answering “yes” • Compared with patients with no psoriasis symptoms or signs over the past week, the OR of intent to start the new treatment was 3.2 (95% CI, 2.0–4.9) among patients with mild psoriasis, 5.0 (95% CI, 3.1–8.2) among patients with moderate psoriasis, and 7.6 (95% CI, 3.9–15.0) among patients with severe psoriasis; all P < 0.001 — 79.6% of patients who responded that the new once-daily oral treatment would cause them less anxiety than an injection would start the new treatment — 87.6% of respondents who believed that the new once-daily oral treatment would reduce their symptoms more than their current treatment would start the new treatment • Asked to rank characteristics of psoriasis treatment in order of importance, 58.3% of respondents ranked “extent of skin clearance” as first or second, while 43.7% ranked “route of administration” as first or second (Figure 6) • Laboratory monitoring was ranked least important by more than half (53.0%) of the patients Figure 6. [CI], 1.4–4.2) among Black respondents (P = 0.036) — Intent to start the new once-daily oral treatment increased with psoriasis severity over the past week, with 76.5% of respondents with moderate psoriasis and 82.8% of respondents with severe disease answering “yes” • Compared with patients with no psoriasis symptoms or signs over the past week, the OR of intent to start the new treatment was 3.2 (95% CI, 2.0–4.9) among patients with mild psoriasis, 5.0 (95% CI, 3.1–8.2) among patients with moderate psoriasis, and 7.6 (95% CI, 3.9–15.0) among patients with severe psoriasis; all P < 0.001 — 79.6% of patients who responded that the new once-daily oral treatment would cause them less anxiety than an injection would start the new treatment — 87.6% of respondents who believed that the new once-daily oral treatment would reduce their symptoms more than their current treatment would start the new treatment • Asked to rank characteristics of psoriasis treatment in order of importance, 58.3% of respondents ranked “extent of skin clearance” as first or second, while 43.7% ranked “route of administration” as first or second (Figure 6) • Laboratory monitoring was ranked least important by more than half (53.0%) of the patients Figure 6. keywords: e n; n =; n treatment; patients; psoriasis treatment; treatment characteristics; treatment group cache: skin-1815.pdf plain text: skin-1815.txt item: #574 of 1356 id: skin-1816 author: Armstrong, April W; Warren, Richard B; Zhong, Yichen; Zhuo, Joe; Cichewicz, Allie; Kadambi, Ananth; Junqueira, Daniel R; Westley, Tracy; Kisa, Renata; Daamen, Carolin; Augustin, Matthias title: Indirect comparison of the short-, mid-, and long-term efficacy of treatments for moderate to severe plaque psoriasis: a systematic review and network meta-analysis date: 2022-11-16 words: 17976 flesch: 27 summary: The objective of this analysis was to examine the clinical effi cacy associated with deucravacitinib and other selected active biologic and nonbiologic treatments in patients with moderate to severe psoriasis Methods • Electronic databases were searched through October 2021 for RCTs of systemic treatments in adults with moderate to severe psoriasis who reported improvement in response on PASI • Phase 3 trial data were included when: — Nonresponder imputation was applied1,2 — Studies were conducted in multiple or single countries with diverse ethnic representation • NMA was performed using multinomial random effects models adjusting for baseline risk (ie, placebo response) to estimate PASI responses over short-, mid-, and long-term follow-up periods (Weeks 10−16, 24−28, and 44−60, respectively) and reported following the PRISMA Reporting Guidelines for meta-analysis3 Results • The objective of this analysis was to examine the clinical effi cacy associated with deucravacitinib and other selected active biologic and nonbiologic treatments in patients with moderate to severe psoriasis Methods • Electronic databases were searched through October 2021 for RCTs of systemic treatments in adults with moderate to severe psoriasis who reported improvement in response on PASI • Phase 3 trial data were included when: — Nonresponder imputation was applied1,2 — Studies were conducted in multiple or single countries with diverse ethnic representation • NMA was performed using multinomial random effects models adjusting for baseline risk (ie, placebo response) to estimate PASI responses over short-, mid-, and long-term follow-up periods (Weeks 10−16, 24−28, and 44−60, respectively) and reported following the PRISMA Reporting Guidelines for meta-analysis3 Results • keywords: mg biw; mg ixe; mg n; mg q2w; mg ris; mg sec; mg ust cache: skin-1816.pdf plain text: skin-1816.txt item: #575 of 1356 id: skin-1817 author: Armstrong, April W; Hee Park, Sang; Chirikov, Viktor; Nicolas, Pierre; Wang, Wei-Jhih; Colombo, Matthew J; Patel, Vardhaman title: Optimizing the treatment sequence: the cumulative clinical benefit of treatment initiation with deucravacitinib versus apremilast over 52 weeks in patients with moderate to severe plaque psoriasis from the POETYK PSO-1 trial date: 2022-11-16 words: 10302 flesch: 42 summary: This post hoc analysis compared data from 2 arms in the POETYK PSO-1 trial (Figure 1) — Deucravacitinib arm: patients initiated with and continued on deucravacitinib, regardless of response status — Apremilast initiators arm: patients initiated with apremilast; at Week 24, PASI 50 responders continued with apremilast while PASI 50 nonresponders crossed over to deucravacitinib • Cumulative clinical benefit from randomization to Week 52 was determined by the total area under the curve of clinical response over 52 weeks (AUC 0–52wk ) in each arm — AUC analysis has been employed to evaluate outcomes over time in clinical trials, as the AUC refl ects the rapidity and durability, as well as the magnitude, of response3-6 • While assessments at discrete time points identify static responses, the AUC approach captures cumulative treatment effects over time — This study determined the AUC using data at a patient level (responder status at each time point over 52 weeks) • Total AUC 0–52wk was calculated separately for each efficacy endpoint, using the trapezoidal rule — Total AUC 0–52wk = 15i=0∑ (Pi+Pi+1)(Ti+1−Ti), where Ti (i = 0, 1, 2, 3, …, 15) denotes the time points of Weeks 0, 1, 2, 4, 8, 12, and 16, then every 4 weeks thereafter through Week 52, and P i denotes the response (yes = 1; This post hoc analysis compared data from 2 arms in the POETYK PSO-1 trial (Figure 1) — Deucravacitinib arm: patients initiated with and continued on deucravacitinib, regardless of response status — Apremilast initiators arm: patients initiated with apremilast; at Week 24, PASI 50 responders continued with apremilast while PASI 50 nonresponders crossed over to deucravacitinib • Cumulative clinical benefit from randomization to Week 52 was determined by the total area under the curve of clinical response over 52 weeks (AUC 0–52wk ) in each arm — AUC analysis has been employed to evaluate outcomes over time in clinical trials, as the AUC refl ects the rapidity and durability, as well as the magnitude, of response3-6 • While assessments at discrete time points identify static responses, the AUC approach captures cumulative treatment effects over time — This study determined the AUC using data at a patient level (responder status at each time point over 52 weeks) • Total AUC 0–52wk was calculated separately for each efficacy endpoint, using the trapezoidal rule — Total AUC 0–52wk = 15i=0∑ (Pi+Pi+1)(Ti+1−Ti), where Ti (i = 0, 1, 2, 3, …, 15) denotes the time points of Weeks 0, 1, 2, 4, 8, 12, and 16, then every 4 weeks thereafter through Week 52, and P i denotes the response (yes = 1; keywords: apremilast; auc; deucravacitinib; pasi; weeks cache: skin-1817.pdf plain text: skin-1817.txt item: #576 of 1356 id: skin-1818 author: Armstrong, April W; Papp, Kim A; Zhuo, Joe; Becker, Brandon; Zhong, Yichen; Beaumont, Jennifer L; DeRosa, Michael; Kisa, Renata M; Banerjee, Subhashis; Strober, Bruce title: Deucravacitinib, an oral, selective, allosteric tyrosine kinase 2 inhibitor, in moderate to severe plaque psoriasis: correlations between patient-reported outcomes and clinical responses in the phase 3 clinical trials POETYK PSO-1 and POETYK PSO-2 date: 2022-11-16 words: 20335 flesch: 48 summary: At Week 16, change from baseline in sPGA score was correlated with changes in the PSSD total score (r s = 0.496) and DLQI total score (r s = 0.380) in the total study population • Higher PASI or sPGA response was associated with greater PSSD and DLQI responses at Weeks 16, 24, and 52 in the total study population (Figures 1–4) At Week 16, change from baseline in sPGA score was correlated with changes in the PSSD total score (r s = 0.496) and DLQI total score (r s = 0.380) in the total study population • Higher PASI or sPGA response was associated with greater PSSD and DLQI responses at Weeks 16, 24, and 52 in the total study population (Figures 1–4) keywords: baseline; pasi; patients; pssd; response; score; spga; spga score cache: skin-1818.pdf plain text: skin-1818.txt item: #577 of 1356 id: skin-1819 author: Lebwohl, Mark; Armstrong, April W; Merola, Joseph F; Gottlieb, Alice B; Davis, Leah; Gomez, Braulio; Wiegratz, Susanne; Cross, Nancy; Strober, Bruce title: Bimekizumab efficacy through one year in patients with moderate to severe plaque psoriasis in subgroups defined by prior biologic treatment: Pooled results from four phase 3/3b trials date: 2022-11-16 words: 2162 flesch: 51 summary: prior biologics (n=29) A) DLQI 0/1 response by number of prior biologics Week 48/52 74.0% 77.6%72.0% 80.3%79.6% 65.5% 82.7% 65.5% To receive a copy of this poster, scan the QR code or visit the website below. • We also report responses by type of prior biologic: anti-IL-17, anti-tumor necrosis factor (TNF), anti-IL-12/23, and anti-IL-23. • keywords: biologic; patients; pharma; prior; week cache: skin-1819.pdf plain text: skin-1819.txt item: #578 of 1356 id: skin-182 author: Jones, Derek H; Kerscher, Martina; Geister, Thorin; Hast, Michael A; Weissenberger, Petra title: Efficacy of IncobotulinumtoxinA for the Treatment of Glabellar Frown Lines in Male Subjects: Post-Hoc Analyses from Randomized. Double-Blind Pivotal Studies date: 2017-10-27 words: 1572 flesch: 42 summary: Despite the increasing number of men seeking aesthetic procedures, they are underrepresented in the literature on aesthetic products such as botulinum toxins - A previous analysis of 17 studies on botulinum toxins in aesthetic indications showed that only ~11% of subjects in these trials were male2 • Therefore, there remains a clinical need for studies that address how men and women respond differentially to aesthetic treatments to support individualization of treatment plans • In 2016, men accounted for ~9% of all minimally cosmetic procedures.1 keywords: incobotulinumtoxina cache: skin-182.pdf plain text: skin-182.txt item: #579 of 1356 id: skin-1820 author: Strober, Bruce; Tada, Yayoi; Mrowietz, Ulrich; Lebwohl, Mark; Foley, Peter; Langley, Richard G; Barker, Jonathan; Wang, Maggie; Vanvoorden, Veerle; Szilagyi, Balint; Ciaravino, Valerie; Paul, Carle title: Bimekizumab maintenance of response through three years in patients with moderate to severe plaque psoriasis who responded at Week 16: Results from the BE BRIGHT open-label extension trial date: 2022-11-16 words: 2852 flesch: 50 summary: Author Disclosures: BSt: Consultant (honoraria): AbbVie, Almirall, Amgen, Arcutis, Arena, Aristea Therapeutics, Asana, Boehringer Ingelheim, Bristol Myers Squibb, Connect Biopharma, Dermavant, Eli Lilly, EPI Health, Evelo Biosciences, Immunic Therapeutics, Janssen, LEO Pharma, Eli Lilly, Maruho, Meiji Seika Pharma, Mindera Health, Novartis, Ono, Pfizer, Regeneron, Sanofi-Genzyme, Sun Pharma, UCB Pharma, Union Therapeutics, Ventyxbio, and vTv Therapeutics; Stock options: Connect Biopharma, Mindera Health; Speaker: AbbVie, Eli Lilly, Janssen, Regeneron, and Sanofi-Genzyme; Scientific Co-Director (consulting fee): CorEvitas (formerly Corrona) Psoriasis Registry; Investigator: AbbVie, Cara Therapeutics, CorEvitas Psoriasis Registry, Dermavant, and Novartis; Editor-in-Chief (honorarium): Journal of Psoriasis and Psoriatic Arthritis. YT: Honoraria and/or grants from AbbVie, Boehringer Ingelheim, Bristol Myers Squibb, Eisai, Eli Lilly, Janssen, Kyowa Hakko Kirin, LEO Pharma, Maruho, Mitsubishi Tanabe Pharma, Sun Pharma, Taiho Pharmaceutical, Torii Pharmaceutical, and UCB Pharma. keywords: bkz; ole; pasi; patients; pharma; q4w; responders; week cache: skin-1820.pdf plain text: skin-1820.txt item: #580 of 1356 id: skin-1821 author: Gordon, Kenneth B; Langley, Richard G; Warren, Richard B; Okubo, Yukari; Rosmarin, David; Lebwohl, Mark; Peterson, Luke; Madden, Cynthia; de Cuyper, Dirk; Gomez, Natalie Nunez; Thaçi, Diamant title: Bimekizumab safety in patients with moderate to severe plaque psoriasis: Analysis of pooled data from up to three years of treatment in phase 2 and 3 clinical trials date: 2022-11-16 words: 2638 flesch: 53 summary: • Safety data observed over three years of BKZ treatment were consistent with those observed over two years;4 EAIRs did not increase with longer BKZ exposure, and were generally lower in Q8W- vs Q4W-treated patients (Figure 1, Table 2). Over three years of BKZ treatment, 79.9% of patients experienced no oral candidiasis events. keywords: bkz; data; pharma; phase; treatment; years cache: skin-1821.pdf plain text: skin-1821.txt item: #581 of 1356 id: skin-1822 author: Blauvelt, Andrew; Stein Gold, Linda; Gooderham, Melinda; Strober, Bruce; Pinter, Andreas; Carrascosa, Jose-Manuel; Gisondi, Paolo; Bleier, Jonathan; Madden, Cynthia; Deherder, Delphine; Gomez, Natalie Nunez; Warren, Richard B title: Bimekizumab efficacy and safety through two years in patients with moderate psoriasis: Analysis of pooled data from five phase 3/3b clinical trials date: 2022-11-16 words: 2724 flesch: 54 summary: • Similar to the overall study population,6 EAIRs of safety topics of interest were low in moderate psoriasis patients (Table 2; Table 3). Figure 1 Study design Figure 2 Efficacy responses for moderate psoriasis patients through two years (mNRI, NRI, OC) keywords: 0.0; bkz; patients; pharma; psoriasis; teaes; week cache: skin-1822.pdf plain text: skin-1822.txt item: #582 of 1356 id: skin-1824 author: Thaçi, Diamant; Vender, Ron; de Rie, Menno; Conrad, Curdin; Soung, Jennifer; Strober, Bruce; Wang, Maggie; Cross, Nancy; Deherder, Delphine; Gomez, Natalie Nunez; Gottlieb, Alice B title: Bimekizumab efficacy and safety through three years in patients with moderate to severe plaque psoriasis: Long-term results from the BE SURE randomized controlled trial and the BE BRIGHT open-label extension date: 2022-11-16 words: 2692 flesch: 60 summary: In BE SURE, 478 patients were randomized 1:1:1 to: BKZ Q4W/Q4W (N=158), BKZ Q4W/Q8W (N=161), and ADA/BKZ Q4W (N=159) (Figure 1). BKZ Q4W/Q4W; N=158 BKZ Q4W/Q8W; N=161 ADA/BKZ Q4W; N=159 0 100 80 60 40 20 Week 56 Week 104 Week 152 P ro p o rt io n o f p a ti e n ts a c h ie v in g P A S I 9 0 ( % ) 92.6% 89.6% 94.3% 85.5% 87.3% keywords: bkz; ole; patients; pharma; q4w; week cache: skin-1824.pdf plain text: skin-1824.txt item: #583 of 1356 id: skin-1825 author: Blauvelt, A; Duffin, KC; Magnolo, N; Weisman, J; Ståhle, M; Wilsmann-Theis, D; Wang, M; Wixted, K; Szilagyi, B; Puig, L title: Bimekizumab speed of response in patients with moderate to severe plaque psoriasis: Results from four phase 3/3b trials (BE VIVID, BE READY, BE SURE, and BE RADIANT) date: 2022-11-16 words: 1660 flesch: 46 summary: Author Disclosures: AB:Has served as a speaker (received honoraria) for AbbVie, Arcutis, Bristol Myers Squibb, Eli Lilly, Pfizer, Regeneron, Sanofi, and UCB Pharma, served as a scientific adviser (received honoraria) for AbbVie, Abcentra, Affibody, Aligos, Almirall, Alumis, Amgen, Anaptysbio, Arcutis, Arena, Aslan, Athenex, Bluefin Biomedicine, Boehringer Ingelheim, Bristol Myers Squibb, Cara Therapeutics, Dermavant, EcoR1, Eli Lilly, Escient, Evelo, Evommune, Forte, Galderma, HighlightII Pharma, Incyte, InnoventBio, Janssen, Landos, LEO Pharma, Merck, Novartis, Pfizer, Rapt, Regeneron, Sanofi Genzyme, Spherix Global Insights, Sun Pharma, TLL Pharmaceutical, TrialSpark, UCB Pharma, Vibliome, and Xencor, and has acted as a clinical study investigator (institution has received clinical study funds) for AbbVie, Acelyrin, Almirall, Amgen, Arcutis, Athenex, Boehringer Ingelheim, Bristol Myers Squibb, Concert, Dermavant, Eli Lilly , Evelo, Evommune, Galderma, Incyte, Janssen, Leo, Merck, Novartis, Pfizer, Regeneron, Sun Pharma, and UCB Pharma. Honoraria for participation on advisory boards, as a speaker and for consultancy from AbbVie, Almirall, Bristol Myers Squibb, Boehringer Ingelheim, Celgene, Eli Lilly, Janssen, LEO Pharma, Novartis, Pfizer, and UCB Pharma. keywords: bkz; pasi; patients; pharma; ucb; week cache: skin-1825.pdf plain text: skin-1825.txt item: #584 of 1356 id: skin-1826 author: Warren, RB; Conrad, C; Foley, P; Iversen, L; Langley, RG; Kokolakis, G; Davis, L; Vanvoorden, V; Wiegratz, S; Merola, JF title: Bimekizumab versus secukinumab continuous maintenance of response at every visit through one year in patients with moderate to severe plaque psoriasis: Post-hoc results from the BE RADIANT phase 3b trial date: 2022-11-16 words: 1956 flesch: 48 summary: Author Disclosures: RBW: Consulting fees from AbbVie, Almirall, Amgen, Arena, Astellas, Avillion, Biogen, Bristol Myers Squibb, Boehringer Ingelheim, Celgene, Eli Lilly, GSK, Janssen, LEO Pharma, Novartis, Pfizer, Sanofi and UCB Pharma; research grants to his institution from AbbVie, Almirall, Janssen, LEO Pharma, Novartis and UCB Pharma; honoraria from Astellas, DiCE, GSK and Union. CC: Consultant and/or principal investigator in clinical trials for: AbbVie, Actelion, Amgen, Almirall, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, Eli Lilly, Galderma, Incyte, Janssen-Cilag, LEO Pharma, MSD, Novartis, Pfizer, Samsung, Sanofi Genzyme and UCB Pharma. keywords: bkz; pasi; patients; pharma; week cache: skin-1826.pdf plain text: skin-1826.txt item: #585 of 1356 id: skin-1827 author: Thaçi, D; Armstrong, A; Lebwohl, M; Blauvelt, A; Paul, C; Puig, L; Wang, M; Vanvoorden, V; Madden, C; Wiegratz, S; Deherder, D; Gordon, KB title: Maintenance of bimekizumab efficacy through 2 years in patients with moderate to severe plaque psoriasis: Pooled results from five phase 3/3b trials date: 2022-11-16 words: 2217 flesch: 46 summary: We report the proportion of patients achieving PASI ≤2 and PASI=0 through two years of treatment (OLE Week 48) among BKZ-randomized Week 16 PASI ≤2 and PASI=0 responders, who remained on the same BKZ maintenance dose upon entering the relevant OLE (Q4W/Q8W/Q8W or Q4W/Q4W/Q4W). • BKZ has demonstrated high levels of skin clearance for the treatment of moderate to severe plaque psoriasis in phase 3/3b clinical trials.1–4 Methods • Data were pooled from the BE SURE, BE VIVID and BE READY phase 3 trials, the BE BRIGHT open-label extension (OLE), and BE RADIANT (48-week double-blinded phase 3b trial and ongoing OLE).1–5 • Patients included in these analyses were randomized at baseline to BKZ 320 mg every four weeks (Q4W) to Week 16, followed by BKZ Q4W or every eight weeks (Q8W) maintenance dosing for the remainder of the double-blinded period of the trials (Figure 1). keywords: bkz; ole; patients; pharma; q4w; q8w; week cache: skin-1827.pdf plain text: skin-1827.txt item: #586 of 1356 id: skin-1828 author: Olivet, Meagan; Kole, Lauren title: Sunscreen Knowledge and Sun Protective Behaviors among Medical Students at a Southern US Institution date: 2023-03-13 words: 4344 flesch: 61 summary: Compared to the general adult population, medical students are uniquely positioned in their level of knowledge to carry out best health practices in a multitude of areas. ABSTRACT Introduction: Literature has demonstrated that medical students have discrepancies in their knowledge and their execution of best practices concerning sun protection. keywords: knowledge; medical; practices; skin; students; sun; sunscreen; tan; wear; white cache: skin-1828.pdf plain text: skin-1828.txt item: #587 of 1356 id: skin-1829 author: Armstrong, A; Langley, RG; Gordon, KB; Warren, RB; Thaçi, D; Stein Gold, L; Peterson, L; Madden, C; Nunez Gomez, N; de Cuyper, D; Costanzo, A title: Bimekizumab infection rates in patients with moderate to severe plaque psoriasis: Analysis of pooled data from 2 years of treatment in phase 3 and 3b clinical trials date: 2022-11-16 words: 2420 flesch: 53 summary: Conclusions Over two years of BKZ treatment, EAIRs of infection TEAEs and pre-defined infections of interest, including oral candidiasis, were generally lower in patients treated with BKZ Q8W compared with Q4W. Infection rates decreased with longer duration of BKZ exposure. All patients received BKZ Q4W through Weeks 0–16. keywords: bkz; candidiasis; data; infections; patients; pharma cache: skin-1829.pdf plain text: skin-1829.txt item: #588 of 1356 id: skin-183 author: Sussman, Gordon; Hebert, Jacques; Gulliver, Wayne; Lynde, Charles; Yang, William H; Chambenoit, Olivier; Vieira, Antonio; De Takacsy, Frederica; Rihakova, Lenka title: Omalizumab Retreatment of Patients swith Chronic Idopathic Urticaria/Spontaneous Urticaria (CIU/CSU) Following Return of Symptoms: Primary Results of the OPTIMA Study date: 2017-10-27 words: 1486 flesch: 49 summary: If patients relapsed (UAS7 ≥16) upon withdrawal, they were retreated with their starting dose for 12 weeks Inclusion criteria • Men or women at least 18 years of age • Diagnosis of CIU/CSU and the presence of symptoms for ≥6 months prior to the screening visit • Patients must have been on an approved dose of nonsedating H 1 -antihistamine for CIU/CSU, and no other concomitant CIU/CSU treatment, for at least the 7 consecutive days immediately prior to the randomization visit and must have documented current use on the day of the randomization visit • UAS7 ≥16 (scale 0−42) and itch component of UAS7 ≥8 (scale 0−21) during 7 days prior to randomization Exclusion criteria • Patients with a clearly defined underlying etiology for chronic urticaria other than CIU/CSU • Patients with urticarial vasculitis, urticaria pigmentosa, erythema multiforme, mastocytosis, hereditary or acquired angioedema, lymphoma or leukemia, active atopic dermatitis, bullous pemphigoid, dermatitis herpetiformis, senile pruritus, or other skin disease associated with itch that could interfere with study outcomes • Patients with a history of malignancy of any organ system • Patients should stay on same approved dose of nonsedating H 1 -antihistamine during all trial duration. et al. Design and rationale of the OPTIMA study: retreatment or step-up therapy with omalizumab in patients with chronic idiopathic/spontaneous urticaria (CIU/CSU). keywords: omalizumab; patients; uas7; urticaria cache: skin-183.pdf plain text: skin-183.txt item: #589 of 1356 id: skin-1830 author: Pinter, Andreas; Strober, Bruce; Rosmarin, David; Gisondi, Paolo; Vanvoorden, Veerle; Peterson, Luke; Madden, Cynthia; de Cuyper, Dirk; Warren, Richard B title: Bimekizumab in patients with moderate to severe plaque psoriasis by bodyweight: Pooled results from phase 3 trials date: 2022-11-16 words: 2394 flesch: 58 summary: Bodyweight <120 kg Bodyweight ≥120 kg BKZ Q4W (N=1,246) BKZ Q4W (N=116) keywords: bkz; patients; q4w; q8w cache: skin-1830.pdf plain text: skin-1830.txt item: #590 of 1356 id: skin-1831 author: Mayo, Tiffany; Armstrong, April W; Kircik, Leon; Silverberg, Jonathan; Blauvelt, Andrew; Esdalie, Ben; Schneider, Shannon; Mark, Thomas; Gooderham, Melinda; Alexis, Andrew F title: Efficacy and safety of up to two years of tralokinumab treatment in adults of different racial subgroups with moderate-to-severe atopic dermatitis date: 2022-11-16 words: 2431 flesch: 32 summary: Thomas Mark owns LEO Pharma stock. Percentage of patients achieving Worst Weekly Pruritus NRS ≤3 and DLQI ≤5 by racial subgroup at Week 56 of ECZTEND Adjusting for differences in baseline characteristics and country between subgroups impacts estimated responder proportions • Adjusted for race and country as main effects, EASI-75 was achieved in 88% of Asian patients, 90% of Black patients, and 90% of White patients (Figure 4) • keywords: asian; black; ecztend; leo; patients; pharma; white cache: skin-1831.pdf plain text: skin-1831.txt item: #591 of 1356 id: skin-1832 author: Wollenberg, Andreas; de Bruin-Weller, Marjolein; Thyssen, Jacob P; Beck, Lisa A; Simpson, Eric L; Imafuku, Shinichi; Boguniewicz, Mark; Kurbasic, Azra; Soldbro, Lise; Strange Vest, Natacha; Arlert, Petra; Paller, Amy S title: Conjunctivitis in adolescent patients aged 12–17 with moderate-to-severe atopic dermatitis treated with tralokinumab up to week 52: results from the phase 3 ECZTRA 6 trial date: 2022-11-16 words: 2364 flesch: 43 summary: 2017;429:208–19 Disclosures Andreas Wollenberg has received grants, personal fees, or nonfinancial support from AbbVie, Aileens, Almirall, Beiersdorf, Bioderma, Chugai, Galapagos, Galderma, GSK, Hans Karrer, LEO Pharma, Lilly, L’Oreal, Maruho, MedImmune, Merck, Novartis, Pfizer, Pierre Fabre, Regeneron, Santen, and Sanofi-Aventis. Jacob P. Thyssen has attended advisory boards for Eli Lilly & Co., Almirall, Arena Pharmaceuticals, Pfizer, AbbVie, LEO Pharma, Regeneron and Sanofi-Genzyme, been an investigator for LEO Pharma, Sanofi-Genzyme, Eli Lilly & Co., AbbVie and Pfizer, and received speaker honorarium from LEO Pharma, Pfizer, Almirall, Abbvie, Eli Lilly & Co., Regeneron and Sanofi-Genzyme. keywords: conjunctivitis; patients; q2w; tralokinumab; treatment; weeks cache: skin-1832.pdf plain text: skin-1832.txt item: #592 of 1356 id: skin-1833 author: Cohen, Philip title: Papules on the Helical Rim: Weathering Nodules date: 2023-01-10 words: 441 flesch: 49 summary: Weathering nodules on the helical rim of the left ear. Hence, the suspected diagnosis of weathering nodules was confirmed. keywords: nodules; weathering cache: skin-1833.pdf plain text: skin-1833.txt item: #593 of 1356 id: skin-1834 author: Mayo, Tiffany; Armstrong, April W; Kircik, Leon; Silverberg, Jonathan I; Blauvelt, Andrew; Esdalie, Ben; Schneider, Shannon; Mark, Thomas; Gooderham, Melinda; Alexis, Andrew F title: Efficacy and safety of tralokinumab treatment in adults of different racial subgroups with moderate-to-severe atopic dermatitis in three randomized, placebo-controlled phase 3 trials date: 2022-11-16 words: 2642 flesch: 49 summary: o ECZTRA 1 and 2 were placebo-controlled trials and ECZTRA 3 was placebo + TCS controlled The safety profile of tralokinumab treatment was consistent across racial subgroups • Tralokinumab was generally well-tolerated, with a safety profile comparable to placebo and largely consistent across racial subgroups (Table 2) • Rates of adverse events (AEs), serious AEs, and AEs leading to drug withdrawal were low in all treatment groups • Conjunctivitis rates were lower in the Asian and Black relative to White subgroup (Table 3) Figure 4. Baseline demographic and disease characteristics of patients by racial subgroup in pooled E1/2/3 Table 2. keywords: black; ecztra; patients; placebo; tralokinumab; white cache: skin-1834.pdf plain text: skin-1834.txt item: #594 of 1356 id: skin-1835 author: Paller, Amy S; Silverberg, Jonathan I; Hong, Chih-ho; Cork, Michael; Puig, Luis; Arlert, Petra; Kurbasic, Azra; Soldbro, Lise; Simpson, Eric L title: The impact of tralokinumab on quality of life and school in patients aged 12–17 with atopic dermatitis: results from the phase 3 ECZTRA 6 trial date: 2022-11-16 words: 1757 flesch: 41 summary: Patients with at least baseline data available were included in the CDLQI adjusted mean change analysis (A), and patients with CDLQI ≥6 at baseline were included in the CDLQI reduction ≥6 analysis (B). At Week 16, problem with treatment affected patients ‘not at all’ over the past 7 days in 50.0/59.4% of tralokinumab (150/300 mg) treated patients vs 39.1% receiving placebo (Figure 2H) 0 5 10 15 20 25 30 35 40 45 0 2 4 6 8 10 12 14 16 31.0 39.5 15.9Tralokinumab 150 mg Q2W (n=84) keywords: cdlqi; leo; patients; pharma; placebo; tralokinumab cache: skin-1835.pdf plain text: skin-1835.txt item: #595 of 1356 id: skin-1836 author: Warren, Richard B; Reich, Kristian; Simpson, Eric L; Langley, Richard; Costanzo, Antonio; Saeki, Hidehisa; Almgren, Peter; Vacko, Emilia; Gooderham, Melinda; Deleuran, Mette; Francisco Silvestre, Juan; Weidinger, Stefan; Blauvelt, Andrew title: 3 years of tralokinumab treatment provides long-term disease control as demonstrated by clinically meaningful outcomes in moderate-to-severe atopic dermatitis date: 2022-11-16 words: 2845 flesch: 41 summary: o A recently presented interim safety analysis of adult patients with up to 42 months of exposure confirmed the safety profile of tralokinumab4 Maintained improvements in clinically relevant outcomes at 3 years of tralokinumab treatment • Patients were controlled (mild/no disease) for the majority of the 3 years of tralokinumab treatment (Figure 3) • PowerPoint Presentation 3 years of tralokinumab treatment provides long-term disease control as demonstrated by clinically meaningful outcomes in moderate-to-severe atopic dermatitis Richard B Warren1, Kristian Reich2, Eric Simpson3, Richard Langley4, Antonio Costanzo5, Hidehisa Saeki6, Peter Almgren7, Emilia Vacko7, Anna Carlsson7, Melinda Gooderham8, Mette Deleuran9, Juan Francisco Silvestre10, Stefan Weidinger11, Andrew Blauvelt12 1Dermatology Centre, Salford Royal NHS Foundation Trust and NIHR Biomedical Research Centre, The University of Manchester, Manchester, UK; 2Translational Research in Inflammatory Skin Diseases, Institute for Health Services Research in Dermatology and Nursing, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; 3Department of Dermatology, Oregon Health & Science University, Portland, OR, USA; 4Division of Clinical Dermatology and Cutaneous Science, Dalhousie University, Halifax, Nova Scotia, Canada; 5Dermatology Unit Department of Biomedical Sciences, Humanitas University, Milano, Italy; Skin Pathology Laboratory, Humanitas Research Hospital IRCCS, Milano, Italy; 6Department of Dermatology, Nippon Medical School, Tokyo, Japan; 7LEO Pharma A/S, Ballerup, Denmark; 8SKiN Centre for Dermatology, Peterborough, ON, Canada; Department of Dermatology, Queen's University, Kingston, ON, Canada; Probity Medical Research, Waterloo, ON, Canada; 9Department of Dermatology, Aarhus University Hospital, Aarhus, Denmark; 10Dermatology Department, Hospital General Universitario de Alicante, Alicante, Spain; 11Department of Dermatology and Allergy, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany; 12Oregon Medical Research Center, Portland, OR, USA ECZTEND interim efficacy analysis set n=347 Age Median years (IQR) 42.0 (30.0; 53.0) keywords: data; ecztend; ecztra; leo; patients; pharma; tralokinumab; treatment; years cache: skin-1836.pdf plain text: skin-1836.txt item: #596 of 1356 id: skin-1837 author: Reich, Kristian; Simpson, Eric L; Langley, Richard; Warren, Richard B; Costanzo, Antonio; Saeki, Hidehisa; Almgren, Peter; Gjerum, Le; Carlsson, Anna; Gooderham, Melinda; Pinter, Andreas; de Bruin-Weller, Marjolein; Blauvelt, Andrew title: Tralokinumab demonstrated a consistent safety profile with up to 42 months of treatment in moderate-to-severe atopic dermatitis: including adverse events of special interest date: 2022-11-16 words: 2830 flesch: 39 summary: All patients transferred from ECZTRA 1, 2, 3, 4, 5, and 7; Up to 42 months maximum tralokinumab exposure (≤1 year in PTs and ≤2.5 years in ECZTEND) Safety analysis set (n=1442) ECZTEND interim safety analysis set n=1442 Age Median years (IQR) 38.0 (27.0; 50.0) ECZTEND interim analysis baseline demographic and disease characteristics Table 2. AESIs in ECZTEND at April 30, 2021 data cut-off Conclusions • This analysis of 1442 patients with up to 42 months of treatment supports the long-term benefit-risk profile of targeted IL-13 inhibition with tralokinumab for patients with moderate- to-severe AD, with no new safety signals identified • Exposure-adjusted incidence rates of AEs of special interest were generally similar to or lower than rates reported during the short-term, placebo-controlled period up to Week 16 and declined over time • Overall, tralokinumab demonstrated sustained long-term improvement in extent and severity of atopic dermatitis over 104 weeks of treatment in ECZTEND Figure 1. keywords: ecztend; ecztra; patients; pharma; safety; tralokinumab; treatment; trial; week cache: skin-1837.pdf plain text: skin-1837.txt item: #597 of 1356 id: skin-1838 author: Paller, Amy; Hebert, Adelaide A; Jett, John E; Brown, Philip M; Rubenstein, David S; Piscitelli, Stephen C title: Tapinarof Cream 1% Once Daily for the Treatment of Extensive Atopic Dermatitis in Adolescents and Children: 4-Week Maximal-Use Trial date: 2022-11-16 words: 1851 flesch: 54 summary: ■ Tapinarof cream 1% QD demonstrated significant efficacy versus vehicle and was well tolerated in adults and adolescents with moderate to severe AD in a 12-week phase 2b trial (NCT02564055)13,14 – Efficacy was generally maintained through the last trial visit, 4 weeks after completing treatment13,14 ■ In a phase 1 pharmacokinetics (PK) evaluation of tapinarof cream 1% in adults (n=6) with moderate to severe AD, there were low levels of systemic absorption that decreased from baseline to Day 21 of assessment (mean 1.2 ng ≥12 years old with a baseline PP-NRS score ≥4 who achieve a ≥4-point reduction in PP-NRS score by visit – Proportion of patients 2–12 years old with a baseline PP-NRS score ≥4 who achieve a ≥4-point reduction in PP-NRS score by visit – Mean change in PP-NRS score at each visit by age group Statistical Analyses ■ Safety analyses will include all patients who received at least one application of tapinarof ■ Analyses of efficacy endpoints will be based upon the safety population RESULTS Baseline Patient Demographics and Disease Characteristics ■ Overall, 36 patients were enrolled at nine sites in the US and Canada ■ Patients’ baseline demographics and disease characteristics are shown in Table 2 – Equal proportions of patients (33.3% [12/36]) were young children (2–6 years), children (7–11 years), and adolescents (12–17 years) – Most patients (77.8%) across the three groups had a vIGA-ADTM score of 3 (moderate) – Overall mean (standard deviation [SD]) EASI score was 23.8 (9.2), with a range of 8.2–49.6 indicating moderate to severe AD – Overall mean (SD) %BSA affected was 42.8% (15.1%), with a range of 26%–90% Table 2. keywords: children; patients; tapinarof; trial; years cache: skin-1838.pdf plain text: skin-1838.txt item: #598 of 1356 id: skin-1839 author: Baldwin, Hilary; Graber, Emmy; Fried, Richard G; Rieder, Evan A; Harper, Julie C; Alexis, Andrew F; Stein Gold, Linda; Hebert, Adelaide A; Del Rosso, James; Kircik, Leon; Grada, Ayman; Narayanan, Siva; Koscielny, Volker; Kasujee, Ismail title: An Expert Panel Questionnaire for Assessing Patient-Reported and Caregiver-Reported Outcomes in Acne Vulgaris date: 2022-11-16 words: 1355 flesch: 63 summary: METHODS • A 10-person consensus panel of 8 dermatologists with expertise in the treatment of acne, including pediatric and skin of color focused expertise, one dermatologist /clinical psychologist, and one dermatologist/ psychiatrist was virtually convened using a three-step modified Delphi method to establish consensus on EPQ items that relate to how acne impacts the patient’s emotional functioning, social functioning, activities of daily living. AN EXPERT PANEL QUESTIONNAIRE FOR ASSESSING PATIENT-REPORTED AND CAREGIVER-REPORTED OUTCOMES IN ACNE VULGARIS Presented at Fall Clinical Dermatology Conference, 2022 – October 19-23, 2022 – Las Vegas, NV • Acne Vulgaris, hereinafter referred to as acne, affects up to 50 million Americans and is the most common skin condition in the United States (US). keywords: acne; dermatology; epq; panel; time cache: skin-1839.pdf plain text: skin-1839.txt item: #599 of 1356 id: skin-184 author: Sussman, Gordon; Hebert, Jacques; Gulliver, Wayne; Lynde, Charles; Yang, William H; Chambenoit, Olivier; Deutsch, Gretty; DeTakacsy, Frederica; Rihakova, Lenka title: Design and rational of the OPTIMA Study: Retreatment or Step-Up Therapy with Omalizumab in Patients with Chronic Idiopathic/Spontaneous Urticaria (CIU/CSU) date: 2017-10-27 words: 1590 flesch: 47 summary: To assess the effect of optimized retreatment after relapse (defined as weekly urticaria activity score [UAS7] ≥16) in patients with chronic idiopathic/spontaneous urticaria (CIU/CSU) who were clinically well controlled (UAS7 ≤6) following their first course of treatment with omalizumab • SECONDARY: Evaluation of dose step-up therapy in those who do not respond (UAS7 >6) to an initial dose of omalizumab 150 mg; assessment of the time to relapse in patients who initially were well controlled (UAS7 ≤6); and to evaluate the benefit of extending study treatment with omalizumab 300 mg in patients who are not yet clinically well controlled (UAS7 ≤6) after 24 weeks • EXPLORATORY: Evaluation of quality of life and occurrence of angioedema episodes DESIGN AND RATIONALE OF THE OPTIMA STUDY: RETREATMENT OR STEP-UP THERAPY WITH OMALIZUMAB IN PATIENTS WITH CHRONIC IDIOPATHIC/SPONTANEOUS URTICARIA (CIU/CSU) Presented at the Fall Clinical Dermatology Conference, October 12–15, 2017, Las Vegas, NV, USA Controlled at Week 24 – UAS7 ≤6 Not controlled at Week 24 UAS7 >6 Controlled at Week 24 – UAS7 ≤6 Controlled/ Mild UAS7 ≤16 Moderate/ Severe UAS7 ≥16 Omalizumab 300 mg 0 4 8 12 16 2420 0 4 8 0 412 W e ll c o n tr o ll e d w it h o u t re la p s e Weeks W e ll c o n tr o ll e d w it h r e la p s e N o t w e ll c o n tr o ll e d Follow-up Follow-up Follow-up Omalizumab 300 mg 1st keywords: dosing; omalizumab; uas7 cache: skin-184.pdf plain text: skin-184.txt item: #600 of 1356 id: skin-1840 author: Fried, Richard G; Rieder, Evan A; Alexis, Andrew F; Baldwin, Hilary; Graber, Emmy; Harper, Julie C; Stein Gold, Linda; Hebert, Adelaide A; Del Rosso, James; Kircik, Leon; Grada, Ayman; Narayanan, Siva; Koscielny, Volker; Kasujee, Ismail title: Impact of acne on social functioning, emotional functioning, and activities of daily living among patients with moderate to severe non-nodular acne vulgaris administered sarecycline in real-world community practices across the U.S. (PROSES Study) date: 2022-11-16 words: 1585 flesch: 60 summary: EPQ6: How often does acne impact your “in real life” plans? 27.3% 24.5% 48.2%48.6%* 21.0% 30.4%^ 0.0% 100.0% Never/Rarely Some of the time Most/All of the time P ro po rti on o f p at ie nt s Baseline 12 weeks EPQ7: How often are you doing something to hide your acne? 73.1% 16.2% 10.7% 88.1%* 8.7% 3.2%** 0.0% 100.0% Never/Rarely Some of the time Most/All of the time P ro po rti on o f p at ie nt s Baseline 12 weeks EPQ8: How often do you feel picked on or judged because of your acne? 72.7% 13.0% 14.2% 86.6%* 8.3% 5.1%^^ 0.0% 100.0% P ro po rti on o f p at ie nt s Baseline 12 weeks EPQ9: How concerned are you that your acne will affect your ability to reach your future goals (in school or work) and be the best you can be? 15.8% 25.7% 58.4% 16.8% 20.8% 62.4% 0.0% 100.0% Not at all/A little Somewhat Quite a bit/Very Much P ro po rti on o f p at ie nt s Baseline 12 weeks EPQ10: Do you feel that your parents understand your acne- related concerns? Sarecycline is a viable option for acne patients to reduce disease burden, due to its safety profile and efficacy demonstrated in two identical Phase-III randomized controlled trials. keywords: acne; baseline; time cache: skin-1840.pdf plain text: skin-1840.txt item: #601 of 1356 id: skin-1841 author: Graber, Emmy; Baldwin, Hilary; Harper, Julie C; Stein Gold, Linda; Grada, Ayman; Alexis, Andrew F; Hebert, Adelaide A; Fried, Richard G; Rieder, Evan A; Del Rosso, James; Narayanan, Siva; Koscielny, Volker; Kasujee, Ismail; Kircik, Leon title: Patient Reported Outcomes (PROs) and Investigator Global assessment (IGA) of Acne Vulgaris among patients with moderate to severe non-nodular Acne Vulgaris (AV) administered sarecycline in real-world community practices across the U.S. (PROSES Study) date: 2022-11-16 words: 1939 flesch: 67 summary: • Assessing the impact of sarecycline treatment on acne patient outcomes, including patient QoL, in real-world community practice settings highlights the humanistic and clinical benefits associated this narrow-spectrum antibiotic treatment option. • Majority of acne patients had significant reduction in acne severity, and majority (58.9%) had IGA success at week-12. keywords: acne; f p; o f; p ro cache: skin-1841.pdf plain text: skin-1841.txt item: #602 of 1356 id: skin-1842 author: Kircik, Leon; Draelos, Zoe D; Guenin, Eric title: Tazarotene 0.045% Lotion for Truncal Acne: Efficacy, Tolerability, and Spreadability date: 2022-11-16 words: 1321 flesch: 57 summary: Wk12 BL Wk12 BL Wk12 BL Wk12 BL Wk12 BL Wk12 CONCLUSIONS � Tazarotene 0.045% lotion utilizes polymeric emulsion technology to enhance hydration, moisturization, and skin barrier function � Tazarotene 0.045% lotion led to statistically significant reductions in truncal acne severity and lesion counts; ~90% of subjects achieved clear or almost clear skin with 12 weeks of once-daily use and most subjects had no tolerability issues � This easy-to-apply tazarotene lotion was associated with less irritation and ~30% greater skin coverage compared with trifarotene cream • Less product needed to cover the same skin area equals more applications per unit volume REFERENCES 1. On average, skin coverage with tazarotene 0.045% lotion was ~30% greater than with trifarotene 0.005% cream Study 3 Design Tazarotene 0.045% Lotion for Truncal Acne: Efficacy, Tolerability, and Spreadability Leon H Kircik, MD1-3; Zoe D Draelos, MD4; Eric Guenin, PharmD, PhD, MPH5 1Icahn School of Medicine at Mount Sinai, New York, NY; 2Indiana University Medical Center, Indianapolis, IN; 3Physicians Skin Care, PLLC, DermResearch, PLLC, and Skin Sciences, PLLC, Louisville, KY; 4Dermatology Consulting Services, PLLC, High Point, NC; 5Ortho Dermatologics*, Bridgewater, NJ *Ortho Dermatologics is a division of Bausch Health US, LLC STUDY 1: EFFICACY, SAFETY, AND TOLERABILITY IN TRUNCAL ACNE Tazarotene 0.045% Lotion8 • Subjects aged ≥12 years • Moderate truncal acne (Investigator’s Global Assessment score = 3) • Once-daily treatment with tazarotene 0.045% lotion for 12 weeks • Age (mean): 24.1 years • Sex: 52.6% female • Race: 52.6% White, 36.8% Black, 10.5% Biracial Study 1 Design Demographics Total Lesion Reductions -100% -60% -40% -20% 0% Baseline Week 4 Week 8 Week 12 LS M e a n P e rc e n t C h a n g e F ro m B a se lin e -80% -44.9% *** Tazarotene 0.045% Lotion (n=19) -67.7% *** -82.3% *** LS mean percent changes from baseline: IL -49.4%*** -63.8%*** keywords: cream; day; lotion; study; tazarotene cache: skin-1842.pdf plain text: skin-1842.txt item: #603 of 1356 id: skin-1844 author: Feldman, Steven R; Han, George; Callender, Valerie; Kircik, Leon; Stein Gold, Linda; Bhatia, Neal; Tyring, Stephen K; Zeichner, Joshua title: Benefit of Topical Combination Therapy for Acne Treatment: Analysis of Effect Size Using Number Needed to Treat date: 2022-11-16 words: 1287 flesch: 41 summary: WHAT IS NNT? � NNT is a metric for quantifying effect sizes of clinically relevant study endpoints1 � NNT represents the number of patients needed to treat to achieve an additional cure in a given timeframe1-3 • For example, NNT=3 means that 3 patients would need to be treated with active drug rather than vehicle before expecting an additional responder2 HOW IS NNT USED? IS NNT CALCULATED? � NNT is the reciprocal of the absolute risk reduction (ARR), rounded up to the nearest whole number1-3 WHAT ARE SOME LIMITATIONS OF NNT? Evaluates one binary outcome (eg, week 12 treatment success)2,4 No consideration of drug tolerability or study design/ population differences1-4 Clinical meaning subject to interpretation5 Bene�ts of a well- designed vehicle subtracted from active treatment,a leading to higher NNT values aDue to the potential of a well-designed vehicle to result in higher efficacy rates in the control group. keywords: acne; clin; dermatologics; nnt; ortho; treatment cache: skin-1844.pdf plain text: skin-1844.txt item: #604 of 1356 id: skin-1845 author: Zhang, Qian; Zhang, Dong; Wang, Li; Zhang, Rongli; Wei, Jingyi; Gao, Lin; Zhang, Xianghua; Kerob, Delphine; Zhang, Zhongxing title: Efficacy Evaluation of a Dermocosmetic with Skin Repair Properties after Fractional Laser Surgery in Acne Scars date: 2022-11-16 words: 1018 flesch: 58 summary: 84 adults (76 women, 8 men) who underwent acne scar fractional laser were included in this open label study. Fragility of epidermis: acne and post-procedure lesional skin. keywords: machine; tapé; texte; texte tapé cache: skin-1845.pdf plain text: skin-1845.txt item: #605 of 1356 id: skin-1848 author: Bhatia, Neal; Armstrong, April W; Schlesinger, Todd; Kircik, Leon; Berman, Brian; Lebwohl, Mark; Rigel, Darrell; Patel, Vishal A; Del Rosso, James; Grada, Ayman; Narayanan, Siva; Kasujee, Ismail title: An Expert Panel Questionnaire for Assessing Patient-Reported and Clinician-Reported Outcomes in Actinic Keratosis date: 2022-11-16 words: 1651 flesch: 47 summary: The panel discussed nine PROs encompassing cosmetic outcomes (‘overall appearance of the skin’, ‘ability to improve how skin looks’, ‘ability to improve skin texture’), effects of Local Skin Reactions (‘compared to previous topical treatment experience’, relative rating of ‘duration of skin reactions’, ‘severity of skin reactions’, impact on your daily activities’), relative convenience/ease of use of new treatment, overall satisfaction with new treatment, and likelihood of future use. If patient has used a topical treatment in the past: Compared to your previous experience with topical treatment X for AK, how would you rate your overall satisfaction (considering the factors such as convenience / ease of use, duration and severity of skin reactions, impact on daily life, etc.) with Treatment Y? keywords: patient; scale; skin; treatment cache: skin-1848.pdf plain text: skin-1848.txt item: #606 of 1356 id: skin-1849 author: Stevens, Greg; Jansen, Burkhard; Arnold, Terry; Rock, James; Wood, Jennifer; Hyde, Mark; Clarke, Loren title: Non-Invasive Genomic Profiling of Pigmented Lesions – an Interim Registry Analysis date: 2022-11-16 words: 1126 flesch: 55 summary: In previous studies, the test was found to have a negative predictive value ≥99%. This approach improves pigmented lesion management beyond visual inspection with a negative predictive value of ≥99% and a sensitivity of 91-97%, and by enriching melanoma among biopsied lesions almost 5-fold.1-3 The real-world performance of the test and its impact on clinical practice has been addressed in a previously completed 2020 patient registry, and summarized in 2 peer reviewed publications.3,4 The objective of this study was to better understand the real-world utility of the test using a nationwide registry. keywords: lesions; melanoma; test cache: skin-1849.pdf plain text: skin-1849.txt item: #607 of 1356 id: skin-185 author: Hide, Michihiro; Park, Hae-Sim; Igarashi, Atsuyuki; Ye, Young-Min; Kim, Tae-Bum; Yagami, Akiko title: Efficacy and Safety of Omalizumab in Japanese and Korean Patients with Chronic Idopathic/Spontaneous Urticaria (CIU/CSU: Results from the Phase 3 POLARIS Study date: 2017-10-27 words: 2925 flesch: 53 summary: UAS7 =0 • Safety was assessed through the summary of adverse events (AEs) Statistical analysis • A linear mixed model with repeated measures (country stratum, treatment group, week, and treatment-by-week interaction included as fixed effects, patient as a random effect, and baseline score as a covariate) was used to estimate treatment differences for the primary variable and selected secondary variables, including change from baseline to Week 12 in UAS7 and HSS7 • Treatment comparisons for proportions of patients at Week 12 with ISS7 MID response, UAS7 ≤6, and UAS7 =0 were performed using a logistic regression model (country stratum and treatment group as factors, and baseline value as a covariate) The difference in the proportions of responders in the active treatment and placebo groups was increased at the later assessments and were greater with omalizumab 300 mg than with omalizumab 150 mg (Figure 6) • keywords: baseline; omalizumab; placebo; treatment; uas7; week cache: skin-185.pdf plain text: skin-185.txt item: #608 of 1356 id: skin-1850 author: Lampley III, Nathaniel; Schlesinger, Todd; Rigo, Rachel; Rossi, Anthony M title: Review of Efficacy, Cost, and Adherence of Field Therapies for Actinic Keratosis date: 2022-11-16 words: 593 flesch: 47 summary: Effective cost (EC) was calculated by dividing total cost (TC) by the clearance rate (CR), EC=TC/CR. However, total cost of 5-FU ranges from $433 (4% cream) to $1503 (0.5% cream), whereas total cost for a single round of PDT with 10% ALA gel is $540. keywords: cost; pdt cache: skin-1850.pdf plain text: skin-1850.txt item: #609 of 1356 id: skin-1851 author: Shim, Paul; Zeitouni, Nathalie title: Long-term Follow Up of ALA 10% Gel and Red-Light Photodynamic Therapy for the Treatment of Squamous Cell Carcinoma In Situ date: 2022-11-16 words: 418 flesch: 42 summary: Synopsis • Nine out of the original twelve patients in the pilot study returned for evaluation at least one year after their last PDT treatment • Clinical assessment and possible punch biopsy were performed to evaluate clinical and histopathologic recurrence of SCCis • Cosmetic outcomes (rated 1-4) per the patient and investigator as well as patient satisfaction with PDT treatment were evaluated Methods ALA 10% gel with red-light PDT is effective to treat and induce long-term remission of SCCis of the trunk and extremities. 2021;35:102358 * one of the patients that declined biopsy had a previous negative biopsy performed 6 months after last PDT Long-term Follow Up of ALA 10% Gel and Red-Light Photodynamic Therapy for the Treatment of Squamous Cell Carcinoma In Situ Paul Shim1, Nathalie Zeitouni MD1, 2 1 University of Arizona College of Medicine, Phoenix, Arizona 2 Medical Dermatology Specialists, Phoenix, Arizona This study was investigator-initiated and funded by Biofrontera, Inc. keywords: gel cache: skin-1851.pdf plain text: skin-1851.txt item: #610 of 1356 id: skin-1852 author: Bierhoff, E; Cohen, JL; Szeimies, RM; Reinhold, U; Dirschka, T title: Efficacy of red-light photodynamic therapy with 10% ALA gel in relation to the epidermal extent of atypical keratinocytes in actinic keratosis - Retrospective exploratory analysis of three pivotal phase III trials date: 2022-11-16 words: 1014 flesch: 59 summary: AK lesion clearance rates when using red-light PDT with 10% ALA gel or MAL does not seem to depend on KIN grades (I-III). [4]), see Figure 1A Treatment • e.g. red-light photodynamic therapy (PDT) with 10% 5-aminolevulinic acid (ALA) gel or methyl aminolevulinate (MAL) cream (not available in US) 98 19 11 3 139 30 155 3 18 1 203 4 Figure 1B: AK lesion clearance rates by treatment and KIN grade Each bar represents the percentage of AK lesions cleared/not cleared with the respective photosensitizing prodrug (10% ALA gel, MAL) or vehicle and red-light illumination, with color code indicating lamp type: keywords: ala; gel cache: skin-1852.pdf plain text: skin-1852.txt item: #611 of 1356 id: skin-1853 author: Schwartz, Ziv; Goldenberg, Gary title: Photodynamic Therapy for Facial Actinic Keratosis with Aminolevulinic Acid 10% Gel, Microneedling, and Red-Light Illumination date: 2022-11-16 words: 685 flesch: 56 summary: The present study evaluated aesthetic improvement, AK clearance, pain during treatment, and adverse events in five subjects treated by PDT with microneedling-assisted delivery of 10% ALA gel and red-light illumination. METHODS A prospective 3-month study was conducted to evaluate aesthetic improve- ment and AK clearance relative to baseline in each of five subjects treated by PDT with microneedling-assisted delivery of 10% ALA gel and red-light illumination. keywords: pain cache: skin-1853.pdf plain text: skin-1853.txt item: #612 of 1356 id: skin-1854 author: Goldberg, Matthew S; Siegel, Jennifer J; Ahmed, Kelli; Kurley, Sarah J; Farberg, Aaron S title: A prospective clinical utility study demonstrates that physicians use the 40-gene expression profile (40-GEP) to guide clinical management decisions for Medicare-eligible patients with cutaneous squamous cell carcinoma (cSCC) date: 2022-11-16 words: 1608 flesch: 49 summary: What is the patient’s risk of developing nodal or distant metastasis? Pre-GEP Post-GEP n % of Class 1* Pre-GEP Post-GEP n % of Class 2A 5-10% <5% 12 23.5% <5% 10-30% 3 42.9% 10-30% <5% 1 2.0% 5-10% 10-30% 2 28.6% 6 Au, et al. 2021 Case reports of patients retrospectively tested with 40-GEP 2 patients The utility of the 40-GEP test to provide additional information for guiding patient management decisions and improving outcomes is demonstrated by two cases with identical tumor staging, yet divergent outcomes. keywords: gep; management; patients; risk cache: skin-1854.pdf plain text: skin-1854.txt item: #613 of 1356 id: skin-1855 author: Siegel, Jennifer J; Prasai, Anesh; Farberg, Aaron S; Goldberg, Matthew S title: Performance and clinical decision-making using the prognostic 40-gene expression profile (40-GEP) test in 1,018 patients with high-risk cutaneous squamous cell carcinoma (SCC) date: 2022-11-16 words: 1026 flesch: 48 summary: › When cohorts are combined, the 40-GEP continues significant performance in identifying metastatic risk, as shown with patients receiving Class 2A and Class 2B results incurring a 4- and 11-fold increase in metastasis, respectively, when compared to those with Class 1 results. Class 1 0.4x 0.4x Class 2A 1.3x 1.7x Class 2B 3.5x 3.6x Table 2. 40-GEP accurately and consistently stratifies metastatic risk Presented at Fall Clinical Dermatology Conference, October 20-23, 2022, Las Vegas NV For more information: jsiegel@castlebiosciences.com 10. keywords: class; gep; patients; risk cache: skin-1855.pdf plain text: skin-1855.txt item: #614 of 1356 id: skin-1856 author: Jarell, Abel; Bailey, Christine; Martin, Brian; Prieto, Peter title: The integrated 31-gene expression profile (i31-GEP) test for cutaneous melanoma outperforms a clinicopathologic-only nomogram at identifying patients who can safely forego sentinel lymph node biopsy date: 2022-11-16 words: 994 flesch: 65 summary: › All patients identified as having <5% risk by the i31-GEP had upper 95% CIs ≤10%; meaning none of these patients would have been ‘offered’ an SLNB under current guidelines. › In contrast, using the MIA nomogram, only 0.9% of the entire cohort had an SLN+ risk <5% with 95% CI ≤10%, suggesting lack of confidence in the estimate of risk and, thus, in the decision to forgo the SLNB. keywords: risk cache: skin-1856.pdf plain text: skin-1856.txt item: #615 of 1356 id: skin-1857 author: Jarell, Abel; Martin, Brian; Prieto, Peter title: The integrated 31-gene expression profile (i31-GEP) test for cutaneous melanoma outperforms CP-GEP at identifying patients who can safely forego sentinel lymph node biopsy date: 2022-11-16 words: 810 flesch: 71 summary: 2. Vickers et al. BMJ 2015. The 31-gene expression profile (GEP) was developed and validated to predict a patient’s risk of recurrence and further validated to precisely predict a patient’s individualize risk for a positive SLNB. keywords: gep; slnb cache: skin-1857.pdf plain text: skin-1857.txt item: #616 of 1356 id: skin-1858 author: Farberg, Aaron S; Ahmed, Kelli; Rackley, Briana B; Siegel, Jennifer J; Russell, Brooke H; Rogers, Jason H; Kurley, Sarah J; Goldberg, Matthew S title: A clinical impact study of dermatologists’ use of the 23- or 35-gene expression profile tests to guide surgical excision and enhance management plan confidence date: 2022-11-16 words: 890 flesch: 45 summary: GEP results impact surgical excision planning, including margin decisions Here we present dermatologist management plans and confidence utilizing diagnostic GEP results in uncertain clinical and diagnostic scenarios. The study was supported by Castle Biosciences, Inc. Results Aaron S Farberg, MD1, Kelli L Ahmed, PhD2, Briana B Rackley, PhD2, Jennifer J Siegel, PhD2, Brooke H Russell, PhD2, Jason H Rogers, MSc2, Sarah J Kurley, PhD2, and Matthew S Goldberg, MD2,3 1Baylor Scott & White Health System, Dallas, TX 2Castle Biosciences, Inc., Friendswood, TX 3Icahn School of Medicine at Mount Sinai, New York, NY For more information: afarberg@castlebiosciences.com Methods › Clinicians were invited for study participation based on prior use of diagnostic GEP testing (minimum 3 encounters with GEP results). keywords: gep; results cache: skin-1858.pdf plain text: skin-1858.txt item: #617 of 1356 id: skin-1859 author: Arron, Sarah T; Fitzgerald, Alison L; Siegel, Jennifer J; Prasai, Anesh; Rackley, Briana B; Kurley, Sarah J; Moody, Brent title: How Mohs surgeons utilize prognostic testing for high-risk cutaneous squamous cell carcinoma (SCC): a clinical impact study date: 2022-11-16 words: 1201 flesch: 55 summary: Following NCCN guidelines Always Often Sometimes Rarely Never Staging System used AJCC8* BWH** Both I assess patients with risk factors only Familiarity with GEP testing for SCC Not familiar Somewhat familiar Very familiar I have used a GEP test for SCC Patient Vignette › 68-year-old male › 2.6 diameter lesion on left temple › Biopsy confirmed SCC › Infiltrating subtype › Poor differentiation Figure 3. The study consisted of demographic questions, familiarity with and use of NCCN guidelines, AJCC-8 staging, BWH staging, and the 40-GEP. › Participants (n=39) were provided with background on the validation of the 40-GEP test, then evaluated the use of risk factors for the assessment of SCC patients within their practice and which were concerning enough to warrant the use of the 40-GEP. keywords: class; gep; risk; scc cache: skin-1859.pdf plain text: skin-1859.txt item: #618 of 1356 id: skin-186 author: Clark, Ryan; Bozkaya, Duygu; Levenberg, Mark; Faulkner, Steven; Smith, Timothy W; Gerber, Robert A title: Topical Treatment Utilization for Patients with Atopic Dermatitis in the United States and Budget Impact Analysis of Crisaborole Ointment, 2% date: 2017-10-27 words: 2549 flesch: 65 summary: Patient Demographics, and Diagnosis and Treatment Rates from RWTUC Analysis* Age category (years) 2-11 12-17 18-64 65+ Total Age distribution among patients ≥2 years 11.39% 8.47% 71.27% 8.87% 100% Number of patients by age** 111,087 82,608 695,096 86,509 975,300 AD diagnosis rate by age 2.40% 1.14% 0.54% 0.69% Number of patients diagnosed with AD by age** 2,666 942 3,754 597 7,958 TCI/TCS % receiving TCI/TCS among diagnosed 50.30% 60.25% 65.14% 58.99% Number of AD patients receiving TCI/TCS treatment** 1,341 567 2,445 352 4,706 TCI Only % receiving TCI among diagnosed 4.60% 7.13% 5.61% 2.28% Number of AD patients receiving TCI treatment** 123 67 211 14 414 Key: AD – atopic dermatitis; BIM – budget impact model; RWTUC – real-world utilization and costs; TCI – topical calcineurin inhibitor; TCS – topical corticosteroid. BIM Results 285 332 4,292 4,031 3,989 414 389 385 0 1,000 2,000 3,000 4,000 5,000 Current Year 1 Year 2 Number of patients per treatment per year Crisaborole TCS TCI ± TCS A TCI Population 84 88 414 330 326 0 100 200 300 400 500 Current Year 1 Year 2 Number of patients per treatment per year Crisaborole TCI ± TCS D $0.109 $0.109 $0.123 $0.125 $0.014 $0.016 $0.000 $0.050 $0.100 $0.150 Year 1 Year 2 PMPM budget impact over 2 years: $0.015 Without crisaborole With crisaborole B $1,311,174 $1,311,174 $1,473,279 $1,500,014 $162,106 $188,841 $0 $500,000 $1,000,000 $1,500,000 $2,000,000 Year 1 Year 2 Total budget impact over 2 years: $350,946 Without crisaborole With crisaborole C $405,793 $405,793 $394,633 $394,081 -$11,160 -$11,712 $0 $100,000 $200,000 $300,000 $400,000 $500,000 Year 1 Year 2 Total budget impact over 2 years: -$22,871 Without crisaborole With crisaborole F TCS/TCI Population $0.034 $0.034 $0.033 $0.033 -$0.001 -$0.001 $0.000 $0.010 $0.020 $0.030 $0.040 Year 1 Year 2 PMPM budget impact over 2 years: -$0.001 Without crisaborole With crisaborole E Key: AD – atopic dermatitis; BIM – budget impact model; TCI – topical calcineurin inhibitor; TCS – topical corticosteroid. keywords: crisaborole; patients; tci; tcs; year cache: skin-186.pdf plain text: skin-186.txt item: #619 of 1356 id: skin-1860 author: King, Brett; Bergfeld, Wilma; Brzewski, Pawel; Aşkin, Özge; Passeron, Thierry; Randhawa, Simaran; Law, Ernest; Edwards, Roger A; Wolk, Robert; Zwillich, Samuel H; Lejeune, Alexandre title: Impact of Disease History on the Efficacy of Ritlecitinib (PF-06651600) in Patients With Alopecia Areata: Post Hoc Analysis of the ALLEGRO Phase 2b/3 Study date: 2022-11-16 words: 2106 flesch: 48 summary: Thierry Passeron,5,6 Simran Randhawa,7 Ernest Law,7 Roger A. Edwards,8 Robert Wolk,7 Samuel H. Zwillich,7 Alexandre Lejeune9 1Yale University School of Medicine, New Haven, CT, USA; 2Cleveland Clinic, Cleveland, OH, USA; 3Department of Dermatology, Collegium Medicum, Jagiellonian University, Krakow, Poland; 4Cerrahpaşa Medical Faculty, Department of Dermatology and Venerology, Istanbul University-Cerrahpaşa, Istanbul, Turkey; 5Université Côte d’Azur, CHU Nice, Department of Dermatology, Nice, France; 6Université Côte d’Azur, INSERM, U1065, C3M, Nice, France; 7Pfizer Inc, USA; 8Health Services Consulting Corporation, Boxborough, MA, USA; 9Pfizer Inc, Paris, France BACKGROUND • Alopecia areata (AA) is an autoimmune disease with an underlying immuno-inflammatory pathogenesis and is characterized by non scarring hair loss ranging from small bald patches to complete loss of scalp, face, and/or body hair1 • Ritlecitinib, an oral JAK3/TEC inhibitor, demonstrated efficacy and safety in patients aged ≥12 years with AA in the ALLEGRO phase 2b/3 study (NCT03732807)2 • Disease history, including disease duration and/or episode duration, has been associated with severity, prognosis, and treatment efficacy in AA3-5 OBJECTIVE • This post hoc analysis aimed to assess the impact of disease duration and duration of current AA episode on response to ritlecitinib • Descriptive analyses were further conducted to analyze the contribution of current episode duration on response to ritlecitinib METHODS Study design • The ALLEGRO phase 2b/3 trial was an international, randomized, double-blind, placebo-controlled, combined dose-ranging and pivotal phase 2b/3 study (Figure 1) • Patients received daily ritlecitinib (with or without a 200-mg loading dose in the first 4 weeks): 200/50, 200/30, 50, 30, or 10 mg (10 mg assessed for dose ranging only), or placebo for 24 weeks • During the 24-week extension, ritlecitinib groups continued on the 50-, 30-, or 10-mg maintenance doses, and patients initially assigned to placebo switched to ritlecitinib 200/50 or 50 mg daily Key eligibility criteria • In this post hoc analysis, multivariable logistic regression with 2 different variable selection methods was used to evaluate the effect of ritlecitinib (vs placebo), baseline disease duration, and current AA episode duration (both <1 year vs ≥1 year) on response based on Severity of Alopecia Tool (SALT) score ≤20 (≤20% scalp without hair) at Week 24, while controlling for other covariates - Covariates listed below were included in the models to evaluate the independent effect of disease and episode duration: keywords: duration; episode; placebo; ritlecitinib; year cache: skin-1860.pdf plain text: skin-1860.txt item: #620 of 1356 id: skin-1861 author: Zhang, Xingqi; Magnolo, Nina; Mizuashi, Masato; Mesinkovska, Natasha; Shapiro, Jerry; Zhang, Fan; Kerkmann, Urs; Law, Ernest; Wolk, Robert; Schaefer, Gregor title: Efficacy of Ritlecitinib (PF-06651600) in Patients With Alopecia Totalis and Alopecia Universalis: Post Hoc Analysis of the ALLEGRO Phase 2b/3 Study date: 2022-11-16 words: 1924 flesch: 53 summary: The ALLEGRO phase 2b/3 trial was an international, randomized, double-blind, placebo-controlled, combined dose-ranging and pivotal phase 2b/3 study (Figure 1) • Patients received once daily ritlecitinib (± a 4-week 200-mg daily loading dose): 200/50 mg, 200/30 mg, 50 mg, 30 mg, 10 mg (10 mg assessed for dose ranging only), or placebo for 24 weeks • During the 24-week extension, ritlecitinib groups continued receiving their 50, 30, or 10 mg maintenance doses, and patients initially assigned to placebo switched to 200/50 or 50 mg daily Key eligibility criteria • Patients aged ≥12 years with a diagnosis of AA and ≥50% scalp hair loss, including those with AT and AU, and a current AA episode duration of 6 months to 10 years Figure 1. At Week 48, up to 49%, 50%, and 64% of patients had a PGI-C response in the AT/AU, AT, and AU subgroups, respectively, vs up to 73% in the non-AT/non-AU subgroup Presented at the 2022 Fall Clinical Dermatology Conference; October 20 - 23, 2022; Las Vegas, Nevada REFERENCES 1. keywords: mg qd; qd rit; rit cache: skin-1861.pdf plain text: skin-1861.txt item: #621 of 1356 id: skin-1862 author: Ständer, Sonja; Weisshaar, Elke; Parish, Jennifer L; Szepietowski, Jacek C; Reich, Adam; Korman, Neil J; Bortey, Enoch; Sciascia, Thomas R title: Oral Nalbuphine Extended-Release Is Effective in Severe Prurigo Nodularis–Associated Pruritus: Results From a Phase 2b/3, Double-Blind, Placebo-Controlled Study date: 2022-11-16 words: 1306 flesch: 57 summary: Summary • The PRISM study met its primary end point and all key secondary end points – A significantly higher percentage of participants experienced an antipruritic response on week 14 with NAL ER (24.7%) versus placebo (13.9%) – Compared with placebo, NAL ER treatment also resulted in • Greater improvement in ItchyQoL at weeks 6, 10, and 14 • Greater improvement in pruriginous lesions with excoriations/crusts at weeks 10 and 14 • The safety profile of NAL ER was consistent with its known safety profile – A 36-week open-label study is ongoing to assess the long-term safety and efficacy • Use of NAL ER may provide a novel oral treatment approach References 1. The IV formulation of nalbuphine is an unscheduled opioid (ie, not controlled under the Controlled Substances Act by the Drug Enforcement Agency) in the United States and most of Europe6,7 • NAL ER may improve the balance of κ- and μ-opioid receptor activity and therefore may be an oral treatment option for patients with PN-related pruritus8 Objective • To assess the antipruritic and lesion-reducing efficacy and safety of oral NAL ER in patients with PN in the phase 2b/3 PRISM trial Methods Study Design • PRISM (NCT03497975) was a randomized, double-blind, placebo-controlled, phase 2b/3 trial of adult patients with confirmed PN, ≥10 pruriginous nodules on ≥2 distinct anatomical areas, and WI-NRS score ≥7 • Participants received oral NAL ER 162 mg or placebo twice daily • keywords: nal; opioid; phase; placebo cache: skin-1862.pdf plain text: skin-1862.txt item: #622 of 1356 id: skin-1863 author: Kim, Brian S; Bissonnette, Robert; Nograles, Kristine; Munera, Catherine; Shah, Nilam; Jebara, Alia; Cirulli, Joshua; Goncalves, Joana; Lebwohl, Mark title: A Phase 2 Study of Oral Difelikefalin for Moderate-to-Severe Pruritus in Subjects With Notalgia Paresthetica (KOMFORT) date: 2022-11-16 words: 1712 flesch: 58 summary: • Here we report the results of the phase 2 study (KOMFORT; NCT04706975) evaluating oral DFK for the treatment of moderate-to-severe pruritus in subjects with NP METHODS Study Design • KOMFORT was conducted in adults with a clinically confirmed diagnosis of NP • SYNOPSIS • Notalgia Paresthetica (NP) is a common sensory neuropathy of the back characterized by chronic pruritus1 • There are no approved therapies for NP • Difelikefalin (DFK) activates kappa-opioid receptors on peripheral sensory neurons and suppresses itch predominantly by a neuromodulatory effect – Intravenous (IV) DFK is approved for the treatment of moderate-to-severe pruritus in adults with chronic kidney disease undergoing hemodialysis2-5 o IV DFK is not addictive and is not a controlled substance – Oral DFK is being developed across numerous chronic pruritic conditions6 OBJECTIVE keywords: baseline; dfk; nrs; placebo; week cache: skin-1863.pdf plain text: skin-1863.txt item: #623 of 1356 id: skin-1864 author: Chovatiya, Raj; Aldredge, Lakshi; Heath, Candrice; Acevedo, Moises; Chu, David; Hanna, Dianne; Seal, Melissa; Zirwas, Matthew title: Patient and Healthcare Provider Perspectives on the Path to Diagnosis of Seborrheic Dermatitis: Results From a National Survey of Adults With Seborrheic Dermatitis in the United States date: 2022-11-16 words: 2119 flesch: 45 summary: 1Northwestern University, Chicago, IL, USA; 2Veterans Administration Portland Health Care System, Portland, OR, USA; 3Temple University, Philadelphia, PA, USA; 4 Park Plaza Dermatology, New York, NY, USA; 5Arcutis Biotherapeutics, Westlake Village, CA, USA; 6Dermatologists of the Central States, Probity Medical Research, and Ohio University, Bexley, OH, USA Patient and Healthcare Provider Perspectives on the Path to Diagnosis of Seborrheic Dermatitis: Results From a National Survey of Adults With Seborrheic Dermatitis in the United States • Patients reported visiting an average of 2.3 HCPs for SD treatment and 75% have seen more than one HCP • Patients said they visit their primary HCP for SD management an average of 4.6 times per year, and 85% said they still actively work with their HCP for SD treatment – Of the 15% of patients who have stopped visiting their HCP, the reasons were improvement in symptoms (50%), ability to manage SD without prescription treatments (24%), and difficulty navigating insurance coverage for treatments (20%) (Figure 8) 90% of patients wish they had known that there are specific symptoms that can help identify SD 83% “I didn’t realize all of my symptoms (e.g., on face, body, scalp, etc.) were due to SD” agree 76% “I mistook my symptoms for a different type of skin condition” agree71% “I had not heard of SD prior to my diagnosis” agree 0 20 40 60 80 100 No one else but HCP Other Esthetician Other with SD or similar condition Nutritionist Friends Hairstylist/Barber Family member Patients (%) 45% 25% 22% 19% 19% 14% 5% 24% 0 20 40 60 80 100 None of these Worried about safety of treatments prescribed Treatment options were too expensive Lack of prescription treatment options that worked Insurance coverage for treatments was too difficult to navigate Ability to manage symptoms without prescription treatments Improvement in symptoms Patients (%) 50% 24% 20% 16% 13% 5% 13% Patient is actively meeting with HCP to manage SD REFERENCE “I didn’t think my symptoms were severe enough to warrant medical attention” “Most did not think that SD symptoms warranted medical attention” 63% Patients agree 66% HCPs agree “I was embarrassed to talk to my family or friends about my symptoms” “Most were embarrassed to talk to their family or friends about their symptoms” 59% keywords: figure; hcp; hcps; patients; symptoms cache: skin-1864.pdf plain text: skin-1864.txt item: #624 of 1356 id: skin-1865 author: Nestor, Mark S; Han, Haowei; Gade, Anita; Ceci, Francesca; Lawson, Alec; Dunn, Austin; Yousefian, Faraz; Smythe, Ciaran title: A Pilot Study, to Evaluate the Safety and Efficacy of Topically Applied Onabotulinum Toxin A Delivered through a Novel Iontophoresis Device in Subjects with Axillary Hyperhidrosis date: 2022-11-16 words: 828 flesch: 55 summary: % -81% Subject 5 0% -69% -72% -70% Subject 6 0% -67% -60% -81% Subject 7 0% -9% -52% -60% 0% -30% 11% -7% 0% -54% -37% -81% 0% -69% -72% % -60% -100% -80% -60% -40% -20% 0% 20% Gravimetric Sweat Measurements Relative to Baseline Baseline 243.7 mg Day 28 76.3 mgGravimetric Tests: Figure 1. keywords: hyperhidrosis; toxin; treatment cache: skin-1865.pdf plain text: skin-1865.txt item: #625 of 1356 id: skin-1866 author: Berman, Brian; Tomondy, Paul title: Human Skin Absorption and Penetration Study of Four Different Topical Formulations of 5-Fluorouracil date: 2022-11-16 words: 784 flesch: 55 summary: • We report a 20-fold reduced penetration of FU in the presence of vaseline (FU+V), and a 73% reduction in FU penetration in the presence of calcipotriol ointment (FU+C). This markedly reduced penetration of FU in the presence of vaseline (FU+V), taken with the 73% reduction in FU penetration in the presence of calcipotriol ointment (FU+C), further point to the inappropriateness of using a FU+V combination as a control for clinical studies and could lead to erroneous superiority claims. keywords: fu+v cache: skin-1866.pdf plain text: skin-1866.txt item: #626 of 1356 id: skin-1867 author: Passeron, T; Dreno, B; Puig, S; Goh, CL; Kang, HY; LY, F; Morita, A; Ocampo Candiani, J; Schalka, S; Wei, L; Le Floc’h, C; Kerob, D; Lim, HW; Krutmann, J title: Sun Exposure and Associated Risks in 17 Countries: Results from Europe Compared to Other Continents date: 2022-11-16 words: 1211 flesch: 60 summary: % 21% 40% NOT WELL/DK 58% NOT WELL/DK 74% HOW TANNING IS PERCEIVED Non-Europeans countries in comparison were less represented in phototype 1-2 (43%). keywords: europe; europeans; protection; sun cache: skin-1867.pdf plain text: skin-1867.txt item: #627 of 1356 id: skin-1868 author: Schwartz, Chelsea; Lassiter , Samuel; Cleaver , David; Cleaver , Nathan title: A Rare Case of Cutaneous Anaplastic Large Cell Lymphoma in an Adolescent Female date: 2023-01-10 words: 1673 flesch: 51 summary: Histologically, this tumor typically displays cohesive sheets of large cells with a pleomorphic, anaplastic or immunoblastic CASE REPORT DISCUSSION SKIN January 2023 Volume 7 Issue 1 (c) 2022 THE AUTHORS. In comparison, PC-ALCL tends to display larger skin lesions (>1cm) and ulceration is common. keywords: alcl; cell; lymphoma; primary cache: skin-1868.pdf plain text: skin-1868.txt item: #628 of 1356 id: skin-1869 author: Chovatiya, Raj; Daftary, Karishma title: Unilateral and Localized Bullous Eruption in a 71-year-old Woman date: 2023-01-10 words: 927 flesch: 44 summary: While widespread immunobullous eruptions like BP are well-described cutaneous adverse reactions associated with anti- CTLA-4 and -programmed cell death protein- 1 (PD-1) immunotherapy, reports of LBP following the use of these medications are extraordinarily rare.6 Diagnosis of LBP is often delayed compared to generalized BP, as the differential diagnosis of a localized bullous eruption on the leg is broad and includes trauma (e.g., burn, friction, pressure), edema, arthropod assault, contact dermatitis, leukocytoclastic vasculitis, bullous diabeticorum, acute eczema, photodermatitis, and infection (namely herpesvirus and bacterial). For new- onset bullous eruptions in patients receiving immunotherapy, it is important to consider clinical correlation alongside skin biopsy and SKIN January 2023 Volume 7 Issue 1 (c) 2022 THE AUTHORS. keywords: bullous; eng; lbp; pemphigoid cache: skin-1869.pdf plain text: skin-1869.txt item: #629 of 1356 id: skin-187 author: Simpson, Eric; Bushmakin, Andrew; Cappelleri, Joseph C; Luger, Thomas; Stander, Sonja; Tom, Wynnis; Ports, William C; Tallman, Anna M; Tan, Huaming; Gerber, Robert A title: Direct and Indirect Effects of Crisaborole Ointment on Quality of Life in Patients with Atopic Dermatitis: A Mediation Analysis date: 2017-10-27 words: 1662 flesch: 55 summary: Hong J et al. Eichenfield LF et al. keywords: dlqi; life; pruritus; pts; quality; treatment cache: skin-187.pdf plain text: skin-187.txt item: #630 of 1356 id: skin-1871 author: Elewski, Boni; Zirwas, Matthew; Kurbasic, Azra; Schneider, Shannon; Claxton, Ami; Silverberg, Jonathan title: Efficacy and Safety of Tralokinumab in US Adults with Moderate-to-Severe Atopic Dermatitis: A Post-hoc Analysis of ECZTRA3 date: 2023-03-13 words: 2836 flesch: 54 summary: This post-hoc analysis of US patients in the tralokinumab ECZTRA3 pivotal trial demonstrated that US patients treated with tralokinumab achieved significant symptom relief, reductions in disease severity, and improvement of health-related quality of life, with comparable safety versus placebo. In a subset analysis of US patients with moderate-to-severe AD from the pivotal trial, ECZTRA3, more patients treated with tralokinumab+TCS as needed achieved improvements in outcomes compared with placebo+TCS as needed. keywords: atopic; authors; baseline; dermatitis; ecztra3; patients; placebo; score; skin; tralokinumab cache: skin-1871.pdf plain text: skin-1871.txt item: #631 of 1356 id: skin-1873 author: Shope, Chelsea; Andrews, Laura; Linkous, Courtney; Girvin, Ashley; Neimy, Hannah; Wine Lee, Lara title: Characterizing Skin Cancers Arising for the First Time Following Solid Organ Transplant with Subsequent Recurrence date: 2023-03-13 words: 1784 flesch: 62 summary: Risk factors for skin cancer recurrence in organ transplant recipients with skin cancer arising for the first-time post-transplant. 718 many as 70% of patients with lower Fitzpatrick phototypes (I or II) will be diagnosed with a skin cancer within 20 years following transplant.5 Among our cohort, there was a correlation between white patients, who tend to have Fitzpatrick phototypes I or II, and a higher risk for recurrence of skin cancers that arose for the first time post-transplant, in the absence of a pre-transplant history of skin cancer. keywords: cancer; risk; skin; transplant cache: skin-1873.pdf plain text: skin-1873.txt item: #632 of 1356 id: skin-1876 author: Trifoi, Mara; Claire Hollins, Lauren title: The USMLE Step 1 Transitions to Pass/Fail Scoring: Perceptions of Dermatology Residents date: 2023-01-10 words: 1312 flesch: 59 summary: Resident perspectives on USMLE Step 1 pass/fail score change (n=132) Statement Disagree Neutral Agree A recent survey of dermatology Program Directors (PDs) echoed many of the sentiments expressed by dermatology residents, with 61.4% of PDs disagreeing with the scoring change and 78.2% of them stating they would now require a Step 2 CK score in the Electronic Residency Application Service (ERAS). keywords: dermatology; residents; step; usmle cache: skin-1876.pdf plain text: skin-1876.txt item: #633 of 1356 id: skin-1879 author: Bury, Jordan; Igelman, Sean; Shamma, H Nicholas; Trevino, Julian title: Syringofibroadenomas of the Bilateral Lower Extremities date: 2023-01-10 words: 740 flesch: 52 summary: Reported treatment options included excision for solitary lesions, cryotherapy, curettage, electrodessication, radiotherapy and etretinate topical therapy.2 A 52-year-old man presented to clinic with a one-year history of asymptomatic lesions located on his bilateral lower legs (Figure A). keywords: eccrine; lesions; syringofibroadenoma cache: skin-1879.pdf plain text: skin-1879.txt item: #634 of 1356 id: skin-188 author: Yosipovitch, Gil; Simpson, Eric; Tan, Huaming; Gerber, Robert A; Luger, Thomas; Stander, Sonja; Tom, Wynnis; Cappelleri, Joseph C; Bushmakin, Andrew G; Ports, William C; Tallman, Anna M title: The Effect of Crisaborole Ointment, 2%, on Pruritus in Patients with Atopic Dermatitis: An Extended Analysis date: 2017-10-27 words: 2570 flesch: 57 summary: [0] to severe [4]) – Patients were randomly assigned 2:1 to receive crisaborole or vehicle and instructed to apply the study drug to each lesion twice daily for 28 days – Pruritus severity was recorded twice daily using the SPS via electronic diary from baseline/day 1 through day 29 Analysis • Improvement in pruritus was indicated by an SPS score ≤1, with at least a 1-grade improvement from baseline • A minimum of 2 SPS observations were averaged for each analysis to meet the test-retest reliability threshold of acceptability (intraclass correlation coefficient ≥0.70) – Baseline for all analyses was the mean of ≥2 SPS measurements on day 1 Time to Improvement in Pruritus • Based on daily SPS values, calculated as the mean of ≥2 SPS measurements on that day Proportion of Patients Who Experienced Improvement in Pruritus • Assessed at each weekly study visit and calculated using the mean of all available postbaseline SPS scores for the patient during the corresponding preceding week (generally up to 14 measurements) Pruritus Score by Week • Weekly SPS scores were calculated as the mean of all available postbaseline SPS scores for the patient during the corresponding preceding week (up to 14 measurements) • Scores were analyzed using a repeated-measures longitudinal model with fixed effects for treatment, visit, treatment-by-visit interaction, and baseline value • The previously estimated clinically important difference (CID) of 0.20 was used as a threshold to assess the clinical meaningfulness of the treatment effect Proportion of Responders by Week • Per the pruritus score by week analysis, weekly SPS scores were calculated as the mean of all available postbaseline SPS scores for the patient during the preceding corresponding week (up to 14 measurements) • Responders were defined by a previously estimated clinically important response (CIR) of ≥0.19-point reduction in severity of pruritus from baseline The Effect of Crisaborole Ointment, 2%, on Pruritus in Patients With Atopic Dermatitis (AD): An Extended Analysis Gil Yosipovitch,1 Eric Simpson,2 keywords: patients; sps; week cache: skin-188.pdf plain text: skin-188.txt item: #635 of 1356 id: skin-1885 author: Griffin, Julia; Aurit, Sarah; Malouff, Timothy; Silberstein, Peter title: Socioeconomic Factors in the Diagnosis and Treatment of Malignant Melanoma in Hispanic vs. Non-Hispanic Patients: A National Cancer Database (NCDB) Study date: 2023-03-13 words: 3540 flesch: 46 summary: Methods: A retrospective study utilizing the National Cancer Database (NCDB) was completed investigating Hispanic patients (n=2282) and WNH patients (n=190,469) with Stage I-IV malignant melanoma. Conclusion: In addition to various socioeconomic disparities, Hispanic patients are more likely than WNH patients to have melanoma diagnosed at higher stages and subtypes with worse prognosis. keywords: cancer; hispanic; melanoma; national; patients; skin; stage; wnh cache: skin-1885.pdf plain text: skin-1885.txt item: #636 of 1356 id: skin-1886 author: Beiter, Kaylin; Behnam, Christy; Shields, Bridget title: Recalcitrant Grover’s Disease Successfully Managed with Dupilumab and Naltrexone in a Middle-Aged Woman: A Case Study date: 2023-07-17 words: 1758 flesch: 53 summary: doi:10.1001/jamadermatol.2020.5097 6. Barei F, Torretta S, Morini N, Ferrucci S. A case of Grover disease treated with Dupilumab: 891 BRIEF ARTICLE Recalcitrant Grover’s Disease Successfully Managed with Dupilumab and Naltrexone in a Middle-Aged Woman: A Case Study Kaylin Beiter, PhD1, Christy Behnam, MD2, Bridget E. Shields, MD2 1 Louisiana State University Health Sciences Center New Orleans School of Medicine, New Orleans, LA 2 University of Wisconsin Hospital and Clinics, Department of Dermatology, Madison, WI Grover’s disease, also known as transient acantholytic dermatosis, is an acquired dermatologic condition characterized by a pruritic, erythematous, and scaly papulovesicular eruption affecting the trunk. keywords: case; daily; disease; dupilumab; grover; naltrexone cache: skin-1886.pdf plain text: skin-1886.txt item: #637 of 1356 id: skin-1887 author: Beekman, Kate; DePalo, Danielle; Grichnik, James; Correa, Lilia; Zager, Jonathan title: At-Home Microneedling of Acral Skin to Increase Percutaneous Absorption of Imiquimod date: 2023-03-13 words: 716 flesch: 55 summary: 743 COMPELLING COMMENTS At-Home Microneedling of Acral Skin to Increase Percutaneous Absorption of Imiquimod Kate E. Beekman, BS¹, Danielle K. DePalo, MD2, James M. Grichnik, MD, PhD2,3, Lilia M. Correa, MD2,3, Jonathan S. Zager, MD1,2 1USF Health, Morsani College of Medicine, Tampa, FL 2Moffitt Cancer Center, Department of Cutaneous Oncology, Tampa, FL 3USF Health, Department of Dermatology and Cutaneous Surgery, Tampa, FL Increased thickness of acral skin can reduce percutaneous absorption of topical imiquimod and hinder development of desired inflammatory response,1 presenting a challenge to its efficacy in treating acral skin malignancies. Insight into imiquimod skin permeation and increased delivery using microneedle pre- treatment. keywords: imiquimod; melanoma; microneedling; skin cache: skin-1887.pdf plain text: skin-1887.txt item: #638 of 1356 id: skin-189 author: Yosipovitch, Gil; Simpson, Eric; Bushmakin, Andrew G; Cappelleri, Joseph C; Luger, Thomas; Stander, Sonja; Tom, Wynnis; Benjamin, Katy; Ports, William C; Tallman, Anna M title: Validation of the Severity of Pruritus Scale for the Assessment of Pruritus in Atopic Dermatitis date: 2017-10-27 words: 2628 flesch: 45 summary: [DFI]) Test-Retest Reliability • Assessed via an intraclass correlation coefficient (ICC) using all available SPS observations from stable subjects between baseline/day 1 and day 8 (stable group was defined as having no change on ISGA between baseline/day 1 and day 8) – ICC ≥0.70 was considered indicative of acceptable test-retest reliability; ICC ≥0.90 was considered indicative of excellent test-retest reliability11,12 Construct Validity • Convergent validity was evaluated by calculation of Pearson correlations with the ISGA, quality-of-life instruments (DLQI, CDLQI, and DFI), and signs of AD – Evidence for convergent validity was based on a Pearson correlation ≥0.40 (correlations ≥0.50 were considered indicative of a strong association) • Known-groups validity was assessed based on the difference in mean SPS scores between the “no disease group/clear” (ISGA = 0) and the “severe disease group” (ISGA = 4) – SPS scores as a function of ISGA were modeled using repeated-measures longitudinal analyses – The effect size was calculated as the difference in the mean divided by the baseline standard deviation (values of 0.20, 0.50, and 0.80 standard deviation units were considered small, medium, and large, respectively) Ability to Detect Change • Evaluated using a repeated-measures longitudinal mixed model to estimate the relationship between SPS and ISGA scores Clinically Important Difference • Estimated using a repeated-measures longitudinal model linked to a 1-cateogry difference on the ISGA Clinically Important Response • Estimated using a repeated-measures longitudinal model with the change in SPS score from baseline as the outcome and a newly created static global impression of change (SGIC) anchor as the predictor (SGIC was based on categorizing the change from baseline in ISGA scores as worse [–1], same [0], or better The safety and efficacy of crisaborole was established in 2 Phase 3 clinical trials conducted in the United States (AD-301: NCT02118766; AD-302: NCT02118792)4 • Pruritus was assessed within these trials using the SPS, a 4-point rating scale, ranging from 0 (none: no itching) to 3 (severe, bothersome itching/scratching which disturbs sleep) that was adapted from the Atopic Dermatitis Severity Index5 to quantify pruritus intensity within a 24-hour period (Table 1) Construct Validity • Convergent validity was supported by strong correlation (Pearson correlation ≥0.50) between SPS scores and ISGA, DLQI, CDLQI, and DFI instruments, and correlations of ≥0.40 with 4 of 5 of the signs of AD at day 29 (Table 4) Table 4. keywords: anchor; change; isga; pruritus; scale; score; sps cache: skin-189.pdf plain text: skin-189.txt item: #639 of 1356 id: skin-1890 author: Thacker, Shivani; Chakkalakal, Mincy; Goldstein, Zachary; Macknet, Kenneth Dale title: Beware of the “Blue Nevus”: A Case Report date: 2023-07-17 words: 1278 flesch: 48 summary: A punch biopsy was performed with a differential diagnosis of blue nevus versus melanoma. 6. Loghavi, S., Curry, J., Torres-Cabala, C. et al. Melanoma arising in association with blue nevus: a clinical and pathologic study of 24 cases and comprehensive review of the literature. keywords: blue; examination; melanoma; nevus cache: skin-1890.pdf plain text: skin-1890.txt item: #640 of 1356 id: skin-1891 author: Ahuja, Kripa title: Hypertrichosis: The Werewolf Syndrome without a Wolf Pack date: 2023-03-13 words: 431 flesch: 58 summary: While less than 50 cases are reported in the literature, it is important to recognize the magnitude of impact this disorder creates.1 Sometimes colloquially known as “Werewolf Syndrome,” patients with hypertrichosis have been recorded since the Middle Age and the Renaissance.2 Historically, these patients were often exhibited in circuses for their peculiarity.2 Unfortunately, the stigma against excess hair continues into the modern age.3 Patients with hypertrichosis not only face social isolation and bullying but face numerous difficulties finding a job as well as finding a spouse.3 Women face a higher burden, as it is less socially acceptable for women to have excess hair.3 Patients with hypertrichosis continue to work in circuses, often before they can even walk.3 Many women with hypertrichosis are single mothers due to partner abandonment.3 With no support, they have no choice but to be exhibited as a sideshow attraction and subject their child to the same fate.3 While there is no permanent cure for hypertrichosis2, the lack of an advocacy group, patient support network, or formal organization presents even greater hardships to patients with this disease.3 In a disorder characterized by an extremely high social stigma, a social network with others facing the same difficulties may make a world of difference. As one patient with hypertrichosis commented about wolves living in a zoo: Both of our faces are covered in hair, and we both live trapped - them in the zoo and me in this body, he says. keywords: hypertrichosis; patients cache: skin-1891.pdf plain text: skin-1891.txt item: #641 of 1356 id: skin-1893 author: Mulholland, Alannah; Tang, Brandon; Shumak, Steven; Zhou, Linda title: Disseminated Varicella-zoster Virus Infection in an Immunocompetent Host date: 2023-05-20 words: 525 flesch: 42 summary: Tissue culture of the lesions confirmed VZV infection. Disseminated VZV infection is defined by the presence of more than 20 vesicular lesions in three consecutive dermatomes and occurs in 2% of the general population. keywords: infection; toronto; zoster cache: skin-1893.pdf plain text: skin-1893.txt item: #642 of 1356 id: skin-1894 author: Dhandha, Maulik Manharlal; Ghosh, Debjit; Tyring, Stephen; Rady, Peter title: Atypical Human Papillomavirus Infection with Secondary Tinea in a Middle-Aged Caucasian Male date: 2023-07-17 words: 1701 flesch: 59 summary: 2003; 110: 129-136. 7. Fuessel-Haws AL, He Q, Rady P, et al. Nested PCR with the PGMY09/11 and GP5(+)/6(+) primer sets improves detection of HPV DNA in cervical samples. During the physical exam, we noticed scaly and some waxy pink to tan colored papules ABSTRACT We present a case of an atypical diffuse cutaneous eruption due to HPV infection and Tinea in a 51-year-old male patient with a past medical history of mild cytopenia, vasectomy and difficult socio-economic situation. keywords: dna; hpv; patient; pcr; skin cache: skin-1894.pdf plain text: skin-1894.txt item: #643 of 1356 id: skin-1897 author: Yousefian, Faraz; Kowalczyk, Christopher ; Norris, Nevada; Ricotti, Carlos; Kerdel, Francisco title: Acneiform Eruption of Monkeypox in a Pilot date: 2023-03-13 words: 1166 flesch: 29 summary: In conclusion, dermatologists should have a high suspicion of monkeypox infection in individuals with acute onset of vesiculopustular rash and lymphadenopathy who have a recent travel history, prior exposure, and intimate contacts. Monkeypox was declared a global health emergency by the World Health Organization (WHO) on July 23, 2022, due to a rapid increase in reported cases. keywords: http://paperpile.com/b/hqcuum/3wzn; http://paperpile.com/b/hqcuum/3wzn http://paperpile.com/b/hqcuum/3wzn; http://paperpile.com/b/hqcuum/vma1; inflammatory; monkeypox cache: skin-1897.pdf plain text: skin-1897.txt item: #644 of 1356 id: skin-1898 author: dos Santos Maia, Mayara; Sérgio Lopes, Otávio; da Silva Calixto, Poliane; Satomi Takeno Herrero, Sylvia; Monteiro de Souza, Augusto; Alberto Longui, Carlos; Rodrigues de Carvalho Filho, Ivan; Ferreira Soares, Leonardo; Delatorre, Plínio; Barbosa da Silva, Renally; Calcagno, Danielle; Rodriguez Burbano, Rommel; Moura Lima, Eleonidas title: Association of Single-Nucleotide Polymorphisms of Gene XPC with Susceptibility to Basal Cell Carcinoma in Brazilian Population date: 2023-01-10 words: 4115 flesch: 62 summary: No association studies of XPC gene SNP with susceptibility to the development of Basal Cell Carcinoma were found. Docking For the docking tests using Hex 8.0.0 software [30], two anchorages were generated, the first between XPC protein with Asn residue at codon 108 and the PH domain of TFIIH p62; And a second anchorage between the mutated XPC-modeled protein at position 108, substitution of Asn with Lys and the PH domain of TFIIH p62. keywords: cancer; carcinoma; cell; dna; domain; gene; repair; risk; rs535425175; tfiih; xpc cache: skin-1898.pdf plain text: skin-1898.txt item: #645 of 1356 id: skin-190 author: Arnold, Scott; Hanegraaf, Sharon; Ahvenien, Tina; Alsop, Hugh; Bowles, Vernon M title: A Randomized Double-Blind, Vehicle-Controlled Study of the Ovicidal Efficacy of a New Head Lice Therapy, Abametapir Lotion, 0.74%, Administered for the Treatment of Head Lice Infestation date: 2017-10-27 words: 679 flesch: 66 summary: After a single 10-minute application of abametapir lotion, 0.74% inhibited,100% of head lice eggs failed to hatch. Hatched eggs % (95% CI) keywords: eggs; lotion cache: skin-190.pdf plain text: skin-190.txt item: #646 of 1356 id: skin-1904 author: Jaklitsch, Erik; Mizes, Alicia; Sanchez, Francisco; Romero, Ana; Bonilla, Katherin; James, Alaina title: A Rare Case of Early Pregnancy-Associated Erythema Annulare Centrifugum in a Low-Resource Setting date: 2023-07-17 words: 1418 flesch: 50 summary: Prior studies have even suggested that human chorionic gonadotropin (hCG) may contribute to this response in pregnancy associated EAC, since its production begins at implantation and peaks at week 12.5 In our case, increased levels of hCG or higher patient sensitivity immediately following implantation could have contributed to worsening symptoms in this novel early presentation. A 21-year-old woman experienced asymptomatic EAC of the trunk and extremities that resolved by week 4 of two consecutive pregnancies, abruptly reoccurred on the first day postpartum, and did not resolve for an additional three years.4 All other previously reported cases of EAC suggest that lesion onset occurs between weeks 12-33 of pregnancy in a nulliparous woman with regression in the postpartum keywords: annulare; eac; erythema; pregnancy; week cache: skin-1904.pdf plain text: skin-1904.txt item: #647 of 1356 id: skin-1909 author: Kim, Jessica; Neita, Onyebuchi; Dyer, Joseph M. title: Bullous Eruption after Off-label Use of Topical Tirbanibulin on the Chest date: 2023-07-17 words: 1254 flesch: 59 summary: Advertised as a first-in- class topical with high efficacy and fewer adverse effects compared to alternative field therapies, its proposed molecular target is by indirect inhibition of Src.4 This decreases microtubule polymerization and Src kinase signaling, effectively downregulating the growth of human keratinocytes and inducing apoptosis.5,6 Recommended usage of tirbanibulin is once daily application to the face or scalp, to an area up to 25 cm2, for five consecutive days.7 Excipients in the commercially available formulation of tirbanibulin 1% ointment include propylene glycol and glycerol monostearate 40-55.8 A 56-year-old Caucasian female with a history of actinic keratoses and cutaneous squamous cell carcinoma presented for re- evaluation of scattered actinic keratoses on the upper chest status post application of tirbanibulin 1% ointment once daily for 5 days. Erythema and brisk vesiculation on the upper chest following tirbanibulin application. keywords: actinic; keratosis; ointment; tirbanibulin; topical cache: skin-1909.pdf plain text: skin-1909.txt item: #648 of 1356 id: skin-191 author: Fowler, Joseph; Allenby, Kent; Sidgiddi, Srinivas title: DFD-01, a Betamethasone Dipropionate 0.05% Spray, Improved Quality of Life and Treatment Satisfaction in Subjects with Moderate Psoriasis date: 2017-10-27 words: 623 flesch: 58 summary: ¾ 14 days of twice daily DFD-01 treatment was associated with decreased mean values of IGA (-0.9), TSS (-2.7), and BSA (-1.5%). This study was funded and sponsored by the Dr. Reddy’s Laboratories group of companies DRL Publication # 786 -1.1 -0.6 -1.2 -1 -0.8 -0.6 -0.4 -0.2 0 IGA Change Baseline to Day 14 BSA 3% to 10% BSA >10% -2.6 -2.8 -2.85 -2.8 -2.75 -2.7 -2.65 -2.6 -2.55 -2.5 TSS Change Baseline to Day 14 BSA 3% to 10% BSA > 10% 44.9 48.1 43 44 45 46 47 48 49 TSQM-II Scores at Day 14 BSA 3% to 10% BSA > 10% -0.8 -2.5 -3 -2.5 -2 -1.5 -1 -0.5 0 % BSA Change Baseline to Day 14 BSA 3% to 10% BSA > 10% Change in Clinical and QoL Parameters From Baseline to Day 14 (IIT Population) 1. keywords: bsa cache: skin-191.pdf plain text: skin-191.txt item: #649 of 1356 id: skin-1910 author: Zakria, Danny; Brownstone, Nicholas; Berman, Brian; Ceilley, Roger; Goldenberg, Gary; Lebwohl, Mark; Litchman, Graham; Siegel, Daniel title: Incorporating Prognostic Gene Expression Profile Assays into the Management of Cutaneous Melanoma: An Expert Consensus Panel Report date: 2023-01-10 words: 6943 flesch: 57 summary: Conclusion: Based on the currently available literature, GEP tests provide valuable information beyond AJCC8 and NCCN guidelines for the prognostic assessment of CM. In addition, studies have demonstrated that genomics can identify a high-risk subset of CM patients with stage I and II disease that are at greater risk for recurrence, metastasis, and increased mortality based on their lesions’ genetic profile.3-5 Tens of thousands of CM GEP tests are currently being ordered annually in the US to aid clinicians in their prognostic assessment of patients with CM.9 keywords: dermatol; et al; expression; expression profile; gene; gene expression; gep; melanoma; patients; profile; prognostic; risk; test cache: skin-1910.pdf plain text: skin-1910.txt item: #650 of 1356 id: skin-1914 author: Samia, Arthur; Lacy, Frank; Wu, Sam; Ziemer, Carolyn title: Total Skin Electron Beam Therapy-Induced Erythrodermic Subacute Radiation Dermatitis in a 54-Year-Old Man with Underlying Cutaneous T-Cell Lymphoma date: 2023-05-20 words: 843 flesch: 47 summary: 849 subject to a patient’s cumulative radiation dose.3 Additionally, a review of the literature suggests cessation of radiation therapy, appropriate wound care, and topical corticosteroids are mainstays of treatment for SRD.4 Cetuximab therapy should be considered in extreme cases until symptomatic control.5 In patients with SRD, monitoring for secondary infection of the skin is a critical concern.6 Overall, this case is a rare presentation of radiation dermatitis presenting as erythroderma and highlights the importance of appropriate consideration of these adverse events in patients receiving TSEBT. Acute toxicity and risk of infection during total skin electron beam therapy for mycosis fungoides. keywords: dose; radiation; skin; tsebt cache: skin-1914.pdf plain text: skin-1914.txt item: #651 of 1356 id: skin-1919 author: Weir, Sydney; Ahmed, Hana; Broughton, Mia ; Kole, Lauren title: The Prevalence of Secondhand Smoke Exposure in Hidradenitis Suppurativa: A Cross-Sectional Survey Study date: 2023-05-20 words: 1660 flesch: 62 summary: Compared to patients with AD and VV, HS patients had significantly higher rates of secondhand smoke exposure; however, there was no significant correlation between secondhand smoke and HS disease severity. While we cannot conclude if secondhand smoke is truly increased in HS patients regardless of race or other potential confounders, this raises the question if screening for secondhand smoke exposure in the HS population would have clinical value. keywords: exposure; secondhand; smoke cache: skin-1919.pdf plain text: skin-1919.txt item: #652 of 1356 id: skin-1922 author: Kulkarni, Maansi; Igelman, Sean ; Trevino, Julian ; Conner, Clayton title: Linear Depigmented Macules and Patches in an Elderly Man date: 2023-03-13 words: 1359 flesch: 46 summary: An 82-year-old African American male with a history of small cell lung cancer presented with new onset spreading depigmented macules and patches. We report a case in which an elderly male experienced segmental vitiligo after use of durvalumab therapy for small cell lung cancer. keywords: cell; macules; patient; segmental; vitiligo cache: skin-1922.pdf plain text: skin-1922.txt item: #653 of 1356 id: skin-1929 author: Wescott, Raquel; Dhami, Ramneek; Wang, Lingchen; Hovenic, Whitney title: Hidradenitis Suppurativa: A Cross-sectional Study of Content Quality on TikTok date: 2023-05-20 words: 1403 flesch: 59 summary: Creators can improve video quality by including treatment information, sources of their content, and current research. With its growing popularity, evaluating the educational quality of TikTok videos is important. keywords: discern; gqs; quality; videos cache: skin-1929.pdf plain text: skin-1929.txt item: #654 of 1356 id: skin-193 author: Hazan, Lydie; Haber, Robert S; Haber, Robert S; Husseman, Michael; Husseman, Michael; Shepherd, Katie; Shepherd, Katie; Hanegraaf, Sharon; Hanegraaf, Sharon; Ahveninen, Tina; Ahveninen, Tina; Jenkins, Lisa; Jenkins, Lisa; Alsop, Hugh; Alsop, Hugh; Bowles, Vernon M; Bowles, Vernon M title: Abametapir Lotion, 0.74% Demonstrates High Elimination Rates of Head Lice with a Single Application in Phase 3 Trials date: 2017-10-27 words: 637 flesch: 66 summary: DRL Publication #783 ¾ Successful treatment of head lice infestations may be hampered by limited ovicidal efficacy of current treatments1, increasing resistance to commonly used treatments2, and poor adherence to 2-application treatment regimens. The objective of the current studies was to evaluate the efficacy of a single 10 minute application of abametapir lotion, 0.74% for the treatment of head lice infestation in subjects 6 months of age and older. keywords: abametapir; lotion; treatment cache: skin-193.pdf plain text: skin-193.txt item: #655 of 1356 id: skin-1930 author: Daftary, Karishma; Brieva, Joaquin; Chovatiya, Raj title: Malignant Angiosarcoma Masquerading as Benign Epithelioid Hemangioma date: 2023-07-17 words: 1694 flesch: 44 summary: Per the classification system set forth by the International Society for the Study of Vascular Anomalies (ISSVA) that categorizes vascular tumors as benign, locally aggressive/borderline, or malignant, EH is designated as a benign whereas both EHE and angiosarcoma are categorized as malignant tumors.3 EHE is a rare malignant tumor with an epithelioid or histiocytoid appearance developing from vascular endothelial or pre- endothelial cells. Thoracic epithelioid malignant vascular tumors: a clinicopathologic study of 52 cases with emphasis on pathologic grading and molecular studies of WWTR1-CAMTA1 fusions. keywords: angiosarcoma; benign; epithelioid; features; malignant; scalp; vascular cache: skin-1930.pdf plain text: skin-1930.txt item: #656 of 1356 id: skin-1932 author: Rambhia, Pooja; D’Angelo , Sandra ; Shah, Pooja title: High-grade Undifferentiated Pleomorphic Sarcoma Presenting as Acquired Lymphangioma Circumscriptum date: 2023-05-20 words: 668 flesch: 42 summary: Prognostic factors associated with poor outcome include high histologic grade, large tumor size, presence of metastases, and unresectability1. Soft tissue sarcoma is a heterogeneous group of rare malignancies of mesenchymal origin, that represents 0.8% of all adult cancers. keywords: grade; lymphangioma; sarcoma cache: skin-1932.pdf plain text: skin-1932.txt item: #657 of 1356 id: skin-1933 author: Owens, Kelly; Kwock, Jeffery T.; Nicholas, Matilda W. title: Halo Nevi After Covid-19 Vaccination: Molecular Mimicry Attributed Cutaneous Side-Effect? date: 2023-07-17 words: 1216 flesch: 54 summary: Although well tolerated, Covid-19 vaccination is associated with several cutaneous adverse reactions such as injection site reactions, urticaria and less commonly erythema multiforme, subacute cutaneous lupus erythematosus, pityriasis rosea, and vitiligo.1,2 To date, there has been one report of halo nevi appearing after Covid-19 vaccination. Although the etiology of halo nevi is not fully understood, it is thought that vitiligo and halo nevi share a common feature: destruction of melanocytes by cytotoxic T cells; therefore, it is possible that the occurrence of halo nevi and vitiligo after Covid-19 vaccination stems from a similar pathophysiology.5 Several theories have been proposed on the mechanism surrounding Covid-19 vaccination and autoimmune skin reactions. keywords: covid-19; halo; nevi; vaccination cache: skin-1933.pdf plain text: skin-1933.txt item: #658 of 1356 id: skin-1935 author: Strouphauer, Emily; Katta, Rajani title: Cutaneous Fungal Infections Associated with Pediatric-onset Diabetes: A Case-control Study in the All of Us Research Program date: 2023-07-17 words: 1425 flesch: 49 summary: 876 RESEARCH LETTER Cutaneous Fungal Infections Associated with Pediatric-Onset Diabetes: A Case-Control Study in the All of Us Research Program Emily Strouphauer, BSA1, Rajani Katta, MD2 1 School of Medicine, Baylor College of Medicine, Houston, TX 2 Department of Dermatology, McGovern Medical School at University of Texas Health Science Center at Houston, Houston, TX With the rapidly increasing incidence of pediatric diabetes mellitus (DM) in the United States,1 an understanding of the risk of long- term cutaneous consequences, particularly the risk of cutaneous fungal infections, is important. This is a National Institutes of Health ABSTRACT Introduction: With the rapidly increasing incidence of pediatric diabetes mellitus (DM) in the United States, an understanding of the risk of long-term cutaneous consequences, particularly the risk of cutaneous fungal infections, is important. keywords: diabetes; infections; onset cache: skin-1935.pdf plain text: skin-1935.txt item: #659 of 1356 id: skin-1937 author: Masson, Rahul; Shih, Terri; De, Devea; Atluri, Swetha; Yazdani, Shahram; Sayed, Christopher; Shi, Vivian; Hsiao, Jennifer Lin title: Perspectives on Pediatric Hidradenitis Suppurativa Care: A Survey of Pediatric Providers date: 2023-03-13 words: 1714 flesch: 45 summary: Among the 50 respondents, less than one-half were confident in knowing the available treatment options for HS (46%), managing mild HS (42%) or moderate-severe HS (6%), knowing pediatric HS comorbidities (30%), addressing challenges that HS patients face in school (22%), knowing when to discuss surgical treatments (20%), managing menstrual HS flares (14%), discussing the impact of HS on sexual health (14%), and managing patients with non-prescription therapies (0%). T-tests were used for comparative statistical analyses between survey responses and provider experience (number of HS patients seen monthly and number of years in practice). keywords: hidradenitis; patients; pediatric; providers; suppurativa; university cache: skin-1937.pdf plain text: skin-1937.txt item: #660 of 1356 id: skin-1938 author: Mathis, Alexandra; Marrone, Samantha title: Cryoglobulinemia Type I in Patient with History of Monoclonal Gammopathy of Unknown Significance: A Case Report date: 2023-07-17 words: 1505 flesch: 48 summary: A French nationwide survey published by Terrier B, et al. found that out of 64 patients with cryoglobulinemia type I, 28 patients also had a diagnosis of MGUS.3 Another study published by the British Journal of Hematology also found that out of 64 patients, 40% also had a diagnosis of MGUS.6 The immunofluorescent pattern of single monoclonal antibody deposition (IgM without IgG) is suggestive of cryoglobulinemia type 1 These biopsy and laboratory findings further suggest that this presentation is more likely cryoglobulinemia type I. Type I cryoglobulinemia only accounts for 10- 15% of people with cryoglobulinemia whereas mixed constitutes the rest.8 Type I is most associated with cutaneous involvement including recurrent episodes of purpuric eruptions, livedo reticularis, acrocyanosis, Raynaud’s syndrome, and even severe infarction skin necrosis.9-11 Renal and neurologic involvement are more frequent findings in patients with mixed cryoglobulinemia, findings not seen in our patient.8 Based on presenting symptoms, physical exam findings, pathophysiology report from biopsy along with laboratory results, and current literature on cryoglobulinemia, we affirm and believe that this patient has cryoglobulinemia type I secondary to MGUS who was successfully treated with rituximab and a prednisone taper. keywords: cryoglobulinemia; hepatitis; medicine; monoclonal; patient; type cache: skin-1938.pdf plain text: skin-1938.txt item: #661 of 1356 id: skin-194 author: Hazan, Lydie; Cardona, David; Hanegraaf, Sharon; Ahveninen, Tina; Alsop, Hugh; Bowles, Vernon M title: Abametapir Lotion, 0.74%, a Novel Therapy for the Treatment of Head Lice, Pooled Safety Results from 11 Trials, in Children as Young as 6 Months date: 2017-10-27 words: 886 flesch: 69 summary: The most frequently reported treatment-emergent AEs for pediatric subjects were in the system organ class of Skin and Subcutaneous Tissue Disorders, primarily erythema, rash, skin burning sensation, and contact dermatitis. A total of 1372 subjects were evaluated in 11 clinical studies of abametapir lotion, 0.74% including 6 studies with a total of 676 pediatric subjects (aged 6 months to 17 years). keywords: skin cache: skin-194.pdf plain text: skin-194.txt item: #662 of 1356 id: skin-1945 author: Haft, Michael; Knapp, Keith; Claxton, Ami; Munoz, Breda; Balu, Sanjeev; Schnieder, Shannon; Silverberg, Jonathan; Thaci, Diamant; Eichenfield, Lawrence title: Use of advanced systemic therapy in adolescent patients with moderate-to-severe atopic dermatitis in the TARGET-DERM Registry date: 2023-03-13 words: 1623 flesch: 45 summary: In multivariate analysis controlling for sex, age, insurance, and race, only higher BSA at enrollment was associated with AST-usage • BSA of 5% OR=1.09 (1.01-1.19) • BSA of 10% OR = 1.2 (1.01-1.42) • BSA of 20% OR = 1.43 (1.02-2.01) 1 Rady Children’s Hospital, San Diego, CA 2 University of California San Diego, San Diego, CA 3 Target RWE, Durham, NC 4 LEO Pharma Inc., Madison, NJ 5 George Washington School of Medicine, Washington DC 6 University of Lübeck, Lübeck Germany Use of advanced systemic therapy in adolescent patients with moderate-to-severe atopic dermatitis in the TARGET-DERM Registry Haft M1,2, Knapp K3, Claxton A4, Hernandez B3, Balu S4, Schneider S4, Silverberg J5, Thaci D6, Eichenfield L1,2 on behalf of TARGET-DERM Investigators Conclusion • More than half of the patients with considerable disease severity and who experienced negative QOL from moderate-to-severe AD were not prescribed AST • Compared to AST-naïve patients, descriptive analysis showed that the AST- treated were slightly more severe as indicated by significantly higher baseline BSA, higher vIGA-ADxBSA, and higher PO-SCORAD at enrollment. Abuabara, K. International observational atopic dermatitis cohort to follow natural history and treatment course: TARGETDERM AD study design and rational BMJ Open 2020;10:e0399282020. keywords: ast; enrollment; patients cache: skin-1945.pdf plain text: skin-1945.txt item: #663 of 1356 id: skin-1949 author: Del Rosso, James; Kwong, Pearl; Hussain, Iftikhar; Barbarot, Sebastien; Carrascosa, Jose; Rueda, Maria; Atwater, Amber; Elmaraghy, Hany; Sun, Luna; Chen, Sherry; Natalie, Chitra; Weidinger, Stephan title: Lebrikizumab Monotherapy Reduces Flares in Patients with Moderate-to-Severe Atopic Dermatitis date: 2023-03-13 words: 1773 flesch: 29 summary: FLARE DEFINITIONS ■ Flare was defined 3 ways for these analyses: – Per protocol rescue flare: initiation or intensification of rescue therapy with topicals (corticosteroids, calcineurin inhibitors, crisaborole); systemics (corticosteroids, immunosuppressants, biologics, Janus Kinase inhibitors); phototherapy; or photochemotherapy – High potency TCS/systemic rescue flare: use of topical high potency corticosteroids or systemics (corticosteroids, immunosuppressants, biologics, Janus Kinase inhibitors); phototherapy; or photochemotherapy – AE flare: an exacerbation of AD, captured as a treatment-emergent adverse eventa OBJECTIVE ■ To assess the ability of lebrikizumab to reduce flares in patients with moderate-to-severe AD through the 16-week initial randomized treatment period in the advocate 1 and advocate 2 phase 3 clinical studies.4 a AD exacerbation was defined using specific Medical Dictionary for Regulatory Activities preferred terms of dermatitis atopic, rebound atopic dermatitis, or eczema. He is a research investigator, consultant, advisor, and/or speaker for AbbVie, Aclaris, Almirall, Amgen (Celgene), Anaptys Bio, Arcutis, Aslan, Asthenex, Bausch (Ortho Dermatology), Beiersdorf, Biofrontera, BioPharmX, Biorasi, Blue Creek, Boehringer Ingelheim, Botanix, Brickell, Cara Therapeutics, Cassiopea, Dermata, Dermavant, Dermira, Eli Lilly and Company, Encore, EPI Health, Evommune, Ferndale, Galderma, Genentech, Incyte, Janssen, Jem Health, La Roche Posay, LEO Pharma, MC2, Mendera, Novan, Pfizer, Ralexar, Regeneron, Sanofi-Genzyme, Sente, Solgel, Sonoma (Intraderm), Sun Pharma, UCB, Verrica, and Vyne (Foamix/Menlo). keywords: advocate; company; flare; lilly; rescue cache: skin-1949.pdf plain text: skin-1949.txt item: #664 of 1356 id: skin-1950 author: Ostrovskaya, Olga; Sips, Magdalena; Ulrichts, Peter; Trainor, Lance; Verheesen, Peter; Stoykov, Ivaylo title: Efgartigimod: Clinical Development of a Novel FcRn Antagonist in the Treatment of Autoimmune Diseases date: 2023-03-13 words: 1773 flesch: 41 summary: Sesarman A, et al. 2. Ulrichts P, et al. keywords: efgartigimod; igg; participants; phase cache: skin-1950.pdf plain text: skin-1950.txt item: #665 of 1356 id: skin-1951 author: Perry, Allyson; Ruppenthal, Danielle; Hill, Kellie title: Non-Invasive Genomic Profiling in Pediatric Patients date: 2023-03-13 words: 1115 flesch: 52 summary: Of PLA-positive samples, the proportion positive for LINC alone was higher in pediatric samples (69.5%) compared to adult samples (31.4%) While overall PLA positivity rates were similar across adult and pediatric samples, the proportion positive only for LINC was more than two times higher in pediatric samples than the adult samples. keywords: adult; pediatric; samples cache: skin-1951.pdf plain text: skin-1951.txt item: #666 of 1356 id: skin-1953 author: Silverberg, Jonathan I. ; Boguniewicz, Mark; Papp, Kim; Tsianakas, Athanasios; Biswas, Pinaki; Feeney, Claire; Levenberg, Mark title: Efficacy of Abrocitinib Rescue Therapy in the Phase 3 Study JADE REGIMEN date: 2023-03-13 words: 1474 flesch: 39 summary: aFlare was defined as ≥50% loss of EASI response at randomization and IGA score ≥2. bFlare was defined as ≥50% loss of week 12 EASI response and IGA score ≥2. keywords: abrocitinib; patients; period; rescue cache: skin-1953.pdf plain text: skin-1953.txt item: #667 of 1356 id: skin-1954 author: Stevens, Greg; Rock, James; Jansen, Burkhard; Arnold, Terry; Wood, Jennifer; Clarke, Loren; Hyde, Mark title: Genomic Profiling of Lentigo Maligna within an Interim Registry Analysis​ date: 2023-03-13 words: 1221 flesch: 58 summary: This group of 53 LM, LMM, and AJMH lesions were all evaluated for correlations to the DMT markers. The gene expression test is designed to rule out melanoma by analyzing non- invasively collected skin cells from pigmented lesions for genomic atypia (LINC00518, PRAME, and/or TERT). keywords: ajmh; melanoma cache: skin-1954.pdf plain text: skin-1954.txt item: #668 of 1356 id: skin-1955 author: Stevens, Greg; Jansen, Burkhard; Arnold, Terry; Rock, James; Wood, Jennifer; Clarke, Loren; Hyde, Mark title: Concordance of Preferentially Expressed Antigen in Melanoma by Non-Invasively Collected Polymerase Chain Reaction and Immunohistochemistry on Paraffin Embedded Tissue date: 2023-03-13 words: 1260 flesch: 54 summary: Pathologists used PRAME IHC for 102 lesions (10.2%). Pathologists used PRAME IHC for 102 lesions (10.2%). keywords: ihc; lesions; pcr; prame cache: skin-1955.pdf plain text: skin-1955.txt item: #669 of 1356 id: skin-1956 author: Martin, Brian; Bailey, Christine; Goldberg, Matthew; Petkov, Valentina; Cook, Robert; Covington, Kyle; Kurley, Sarah title: Improved prognostic guidance by the 31-gene expression profile test for clinical decisions after a negative lymph node for patients with cutaneous melanoma date: 2023-03-13 words: 860 flesch: 58 summary: › In the subset of patients with IIB-IIC disease (n=311), no Class 1A (0%, 0/38) patients died from melanoma compared with 6.7% (14/210; 8 IIB, 6 IIC) of Class 2B patients. A focused analysis of negative lymph node patients was performed. keywords: gep; patients cache: skin-1956.pdf plain text: skin-1956.txt item: #670 of 1356 id: skin-1957 author: Guenther, J. Michael; Bailey, Christine N.; Ahmed, Kelli; Johnson, Clare; Martin, Brian; Kur, Sarah; Yamamoto, Maki title: Clinical use of the 31-gene expression profile for informing sentinel lymph node biopsies: a prospective, multicenter study date: 2023-03-13 words: 1057 flesch: 64 summary: ›85% of SLNB decisions were influenced by the 31-GEP result. SLNB performed70% 92% -29% -19% 49% 3% 59% 9% 78% 10% SLNB performance reduction rate, relative to contemporary cohort SLNB positivity rate SLNB performance rate P e rc e n t, % 0 20 40 60 80 100 -20 -40 ** ** Class 1A (low risk), n=138 All Pts, n=193 Contemporary comparison cohort, n=856 Study Design Patients with CM considering SLNB Physician and patient make decision about SLNB after receiving 31-GEP results SLNB No SLNB Follow for outcomes Table 2. keywords: class; gep; risk; slnb cache: skin-1957.pdf plain text: skin-1957.txt item: #671 of 1356 id: skin-1958 author: Farberg, Aaron S; Ahmed, Kelli L; Rackley, Briana B ; Siegel, Jennifer J; Russell, Brooke H; Rogers, Jason H; Kurley, Sarah J; Goldberg, Matthew S title: A clinical impact study of dermatologists’ use of the 23- or 35-gene expression profile tests to guide surgical excision and enhance management plan confidence date: 2023-03-13 words: 872 flesch: 45 summary: There was also an increase in management plan confidence with GEP results provided ›. › Clinicians were invited for study participation based on prior use of diagnostic GEP testing (minimum 3 encounters with GEP results). Scan or click here for more info Here we present dermatologist management plans and confidence utilizing diagnostic GEP results in uncertain clinical and diagnostic scenarios ›. Excision Follow-up Confidence GEP Result A v e ra g e % C h a n g e Benign Benign MalignantMalignant Benign Malignant -50 50 0 100 D e c re a se In c re a se Baseline Figure 1. keywords: clinical; gep; results cache: skin-1958.pdf plain text: skin-1958.txt item: #672 of 1356 id: skin-1959 author: Armstrong, April W.; Lebwohl, Mark; Bagel, Jerry; Schlesinger, Todd; Banerjee, Subhashis; Kisa, Renata M.; Scharnitz, Thomas; Hoyt, Kim; Strober, Bruce title: Deucravacitinib, an oral, selective, allosteric tyrosine kinase 2 inhibitor, in moderate to severe plaque psoriasis: efficacy by baseline body surface area (BSA) involvement and baseline Psoriasis Area and Severity Index (PASI) date: 2023-03-13 words: 3255 flesch: 45 summary: Baseline demographics by baseline BSA involvement and PASI score in the pooled POETYK PSO-1 and PSO-2 population Baseline BSA involvement Baseline PASI score Parameters 10%–<15% 15%–<20% 20%–<30% ≥30% 12–<15 ≥15 Placebo (n = 105) Baseline demographics by baseline BSA involvement and PASI score in the POETYK PSO-1 population Baseline BSA involvement Baseline PASI score Parameters 10%–<15% 15%–<20% 20%–<30% ≥30% 12–<15 ≥15 Placebo- Deucravacitinib (n = 36) keywords: baseline; deucravacitinib; pasi; placebo; psoriasis; week cache: skin-1959.pdf plain text: skin-1959.txt item: #673 of 1356 id: skin-196 author: Jackson, J Mark; Grove, Gary L; Allenby, Kent; Houser, Tim title: DFD-01, a Betamethasone Dipropionate 0.05% Spray Lotion. Reduces Transepidermal Water Loss and Improves Skin Hydration and Elasticity date: 2017-10-27 words: 657 flesch: 67 summary: ¾ Day 2 – Test sites were evaluated for 1) baseline transepidermal water loss (TEWL) using an evaporimeter, and 2) capacitance (epidermal hydration) using a corneometer. ¾ Study 2: � After subtracting changes in untreated control sites, both DFD-01 and vehicle increased R3 values, indicating greater skin elasticity. keywords: sites cache: skin-196.pdf plain text: skin-196.txt item: #674 of 1356 id: skin-1961 author: Peck, Gary; Reifer, Rachel; Hyde, Mark; Matthews, Sarah; Jansen, Burkhard; Skelsey, Maral title: Visual Assessment and Dermoscopy Enhanced by Non-invasive Genomic Testing date: 2023-03-13 words: 1253 flesch: 51 summary: Non-invasive assessment of melanoma-associated genomic biomarkers has been shown to be effective in ruling out melanoma in uncertain pigmented skin lesions with a sensitivity of 91-97%, specificity of 53-69%, and negative predictive value >99%.7,8 RNA gene expression of Preferentially Expressed Antigen in Melanoma (PRAME) and Long Intergenic Non-Coding RNA 518 (LINC), along with somatic DNA mutations in Telomerase Reverse Transcriptase (TERT), are detected in samples of stratum corneum overlying pigmented lesions collected non-invasively using adhesive patches.7 The objective of this retrospective case series analysis was to determine whether non-invasive assessment of genomic biomarkers could enhance visual and dermoscopic detection of pigmented lesions at risk for melanoma. By non-invasive genomic assessment, 29 lesions (49.2%) expressed 2 genomic markers, 28 (47.5%) expressed PRAME and LINC and 1 lesion (1.7%) expressed PRAME and TERT. keywords: dermoscopic; features; invasive; melanoma; situ cache: skin-1961.pdf plain text: skin-1961.txt item: #675 of 1356 id: skin-1963 author: Stein Gold, Linda; Pinter, Andreas; Armstrong, April; Iversen, Lars; Praestegaard, Morten; Augustin, Matthias title: Phase 3 Trial Demonstrating High Efficacy, Favourable Safety, and Convenience of a Novel Calcipotriene and Betamethasone Dipropionate Cream date: 2023-03-13 words: 1154 flesch: 60 summary: The aim of the trial was to evaluate the efficacy and safety of CAL/BDP PAD- cream as well as treatment acceptability compared to cream vehicle and to CAL/BDP Topical Suspension (TS)/gel (sourced in the EU as Dovobet®/Daivobet® gel). The proportion of patients achieving PGA treatment success (2-step improvement to clear or almost clear) after 8 weeks was significantly greater for CAL/BDP PAD-cream (50.7%) compared to vehicle (6.1%, p<0.0001) and CAL/BDP TS/gel (42.7%, p=0.0442) (Figure 2). keywords: bdp; cal; cream; gel cache: skin-1963.pdf plain text: skin-1963.txt item: #676 of 1356 id: skin-1965 author: Yousefian, Faraz; Apple, Aurel; Lin, Ann title: Bilateral Upper Extremities Linear Eruption in a 12-year-old Boy date: 2023-07-17 words: 582 flesch: 47 summary: The exact pathogenesis of Wells syndrome is unknown.2 Along with history, clinical picture, and dermatopathology examination could help confirm the diagnosis of Wells syndrome. keywords: syndrome; wells cache: skin-1965.pdf plain text: skin-1965.txt item: #677 of 1356 id: skin-1966 author: Lebwohl, Mark; Strober, Bruce; Linaberry, Misti; Hoyt, Kim; Banerjee, Subhashis; Kisa, Renata M.; Mehta, Nehal N. title: Deucravacitinib, an oral, selective, allosteric tyrosine kinase 2 inhibitor, in moderate to severe plaque psoriasis: evaluation of lipid parameters in the phase 3 POETYK PSO-1 and PSO-2 trials date: 2023-03-13 words: 3497 flesch: 63 summary: mg/dL and <500 mg/dL and a calculated ASCVD risk ≥5% Objective • To report changes in lipid parameters in patients enrolled in POETYK PSO-1 and PSO-2 and treated with: — Placebo, deucravacitinib, or apremilast over 16 weeks — Deucravacitinib continuously for 52 weeks Methods Study designs • POETYK PSO-1 (NCT03624127) and PSO-2 (NCT03611751) were phase 3, 52-week, double-blind, randomized, placebo- and active comparator (apremilast)-controlled trials conducted globally (Figure 1) — Enrolled patients with moderate to severe plaque psoriasis (Psoriasis Area and Severity Index [PASI] ≥12; static Physician’s Global Assessment [sPGA] ≥3; body surface area involvement ≥10%) were randomized 1:2:1 to oral placebo, deucravacitinib 6 mg once daily, or apremilast 30 mg twice daily during Weeks 0–16 — Blinded treatment switches occurred at Week 16 and Week 24 • Patients receiving placebo crossed over to deucravacitinib at Week 16 • Patients receiving apremilast who failed to meet trial-specific efficacy thresholds in POETYK PSO-1 (≥50% reduction from baseline in PASI [PASI 50]) and in POETYK PSO-2 (≥75% reduction from baseline in PASI [PASI 75]) were switched to deucravacitinib at Week 24 • Patients receiving deucravacitinib who achieved PASI 75 at Week 24 in POETYK PSO-2 were re-randomized (1:1) to continue deucravacitinib or to switch to placebo (withdrawal); patients receiving apremilast who achieved PASI 75 were switched to placebo Figure 1. Synopsis • Tyrosine kinase 2 (TYK2) is an intracellular enzyme that mediates signaling of cytokines (interleukin-23 and Type I interferons) involved in psoriasis pathogenesis1 • Deucravacitinib, an oral, selective, allosteric TYK2 inhibitor, is approved by the US Food and Drug Administration for the treatment of adults with moderate-to-severe plaque psoriasis who are candidates for systemic therapy or phototherapy2 based on results from the phase 3 POETYK PSO-1 and PSO-2 trials3,4 • Plaque psoriasis is associated with hypertriglyceridemia and metabolic syndrome,5,6 and the frequency of hypertriglyceridemia increases with plaque psoriasis severity7 — Triglycerides ≥150 mg/dL are among the clinical characteristics used to identify patients with metabolic syndrome8 — The American Academy of Dermatology recommends that patients with plaque psoriasis be informed about their increased risk of metabolic syndrome and have frequent lipid screenings, especially when the disease is severe5 • In clinical trials enrolling patients with moderate to severe plaque psoriasis, treatment with deucravacitinib was associated with slight increases (~10 mg/dL) in mean triglyceride levels in the absence of any changes in mean cholesterol levels2 • keywords: baseline; deucravacitinib; grade; patients; week cache: skin-1966.pdf plain text: skin-1966.txt item: #678 of 1356 id: skin-1967 author: Lebwohl, Mark; Egeberg, Alexander; Linaberry, Misti; Hoyt, Kim; Banerjee, Subhashis; Kisa, Renata M.; Strober, Bruce title: Deucravacitinib in moderate to severe plaque psoriasis: liver transaminase results from the phase 3 POETYK PSO program date: 2023-03-13 words: 4369 flesch: 48 summary: In two phase 3 pivotal trials in patients with moderate to severe plaque psoriasis, deucravacitinib demonstrated a robust safety and efficacy profile, including superiority to placebo and apremilast4,5 • Deucravacitinib treatment did not result in clinically relevant mean changes over time across multiple laboratory parameters, including in measures of liver transaminases6 — Mean alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels remained unchanged and within normal limits over Weeks 0-166 — Increases in liver transaminases have been observed with Janus kinase 1/2/3 inhibitors in patients with autoimmune diseases, including plaque psoriasis7 • However, increases ≥3× the upper limit of normal (ULN) in ALT and AST were observed over 16 weeks in individual patients2 — ALT elevations ≥3× ULN were reported in 9 patients (3.6/100 person-years Prior use of infliximab, etanercept, and methotrexate ■ Patient 2 Deucravacitinib 12 ― • Patient BMI 32.7 kg/m2, no other relevant medical history or medications available ● Patient 3 Deucravacitinib Screening, 1 ― • History of coronary artery disease, myocardial infarction, hypertriglyceridemia, Type 2 diabetes, hypertension, BMI 33.4 kg/m2, and previous left nephrectomy • Previous treatment with etanercept, clobetasol, and betamethasone dipropionate; previous and continuing treatment with metformin, aspirin, losartan, lorazepam ● Patient 4 Deucravacitinib 1 ― • History of hepatic steatosis and obesity (BMI 38.6 kg/m2) keywords: alt; ast; baseline; deucravacitinib; patient; treatment; uln; week cache: skin-1967.pdf plain text: skin-1967.txt item: #679 of 1356 id: skin-1968 author: Lebwohl, Mark; Warren, Richard B.; Sofen, Howard; Imafuku, Shinichi; Paul, Carle; Szepietowski, Jacek C.; Spelman, Lynda; Passeron, Thierry; Colston, Elizabeth; Hippeli, Lauren; Napoli, Andrew; Kisa, Renata M.; Banerjee, Subhashis; Menter, Alan; Thaçi, Diamant; Blauvelt, Andrew title: Deucravacitinib long-term efficacy with continuous treatment in plaque psoriasis: 2-year results from the phase 3 POETYK PSO program date: 2023-03-13 words: 3345 flesch: 41 summary: Objectives • To examine long-term efficacy responses in POETYK PSO-1 patients who: — Received continuous deucravacitinib treatment from Day 1 and entered the POETYK LTE — Achieved PASI 75 response on deucravacitinib at Week 16, continued on deucravacitinib, and entered the POETYK LTE Methods Study designs and analysis populations • In addition to the as-observed analysis, 2 methods of imputation for missing data were used to evaluate long-term efficacy: — Treatment failure rules (TFR)9: patients who discontinued treatment or the study due to worsening of psoriasis or lack of efficacy were imputed as nonresponders — Modified NRI (mNRI)10: multiple imputation analysis was used for imputation of missing values, and patients who discontinued due to worsening of psoriasis were imputed as nonresponders • Only patients who discontinued or had reached Week 112 by the cutoff date of October 1, 2021, were included Results Baseline patient demographics and disease characteristics • Baseline demographics and disease characteristics for POETYK PSO-1 patients randomized to deucravacitinib who rolled over to the POETYK LTE are presented in Table 1 • A total of 332 patients were randomized to deucravacitinib — 265 patients completed the study and entered the POETYK LTE — 173 PASI 75 responders at Week 16 entered the POETYK LTE Table 1. keywords: baseline; deucravacitinib; lte; pasi; patients; pharma; poetyk; treatment; week cache: skin-1968.pdf plain text: skin-1968.txt item: #680 of 1356 id: skin-1969 author: Bagel, Jerry; Armstrong, April W.; Warren, Richard B.; Papp, Kim A.; Thaçi, Diamant; Menter, Alan; Cather, Jennifer; Augustin, Matthias; Hippeli, Lauren; Daamen, Carolin; Griffiths, Christopher EM title: Deucravacitinib, an oral, selective, allosteric tyrosine kinase 2 inhibitor, in moderate to severe plaque psoriasis: 52-week efficacy by prior treatment in the phase 3 POETYK PSO-1 trial date: 2023-03-13 words: 3677 flesch: 42 summary: Figure 4. PASI 75 response rates through Week 52 in systemic treatment-naive, prior systemic treatment, and prior oral systemic treatment patients (NRI)a 0 10 20 30 40 50 60 P A SI 7 5 re sp on se r at e, % o f pa ti en ts 70 80 90 100 0 1 2 4 8 12 16 Primary endpoint 20 Weeks Figure 7. sPGA 0/1 response rates through Week 52 in systemic treatment-naive, prior systemic treatment, and prior oral systemic treatment patients (NRI)a 0 10 20 30 40 50 60 sP G A 0 /1 r es po n se r at e, % o f pa ti en ts 70 80 90 100 0 1 2 4 8 12 16 Primary endpoint 20 Weeks Systemic treatment naive 24 28 32 36 40 44 48 52 132 132 132 132 132 132 132 132 132 132 132 127 122 127 129 132 57 57 57 57 57 57 57 51 51 51 51 51 50 51 51 51 53.0% 52.3% 5.3% 51.0% 0 10 20 30 40 50 60 sP G A 0 /1 r es po n se r at e, % o f pa ti en ts 70 80 90 100 0 1 2 4 8 12 16 Primary endpoint 20 Weeks keywords: deucravacitinib; patients; pharma; placebo; systemic; treatment cache: skin-1969.pdf plain text: skin-1969.txt item: #681 of 1356 id: skin-197 author: Kircik, Leon; Weiss, Jonathan S; Allenby, Kent title: DFD-01, a VCA midpotent beteamethasone dipropionate 0.05% emollient-like spray formulation, demonstrates earlier onset of action compared with a super potent topical steroid for the treatment of moderate psoriasis date: 2017-10-27 words: 495 flesch: 50 summary: Pooled Analysis of Early Onset of Relief of Erythema and Scaling ¾ Data from two phase 3, randomized, clinical trials enrolling adults with moderate plaque psoriasis (IGA=3; 10% to 20% BSA) were pooled. ¾ DFD-01, a VCA midpotent topical steroid, [Sernivo™ (betamethasone dipropionate) keywords: dfd-01 cache: skin-197.pdf plain text: skin-197.txt item: #682 of 1356 id: skin-1970 author: Lebwohl, Mark; Murina, Andrea; Han, George ; Jacobson, Abby title: Brodalumab: 4-Year US Pharmacovigilance Report date: 2023-03-13 words: 1238 flesch: 42 summary: One case of ulcerative colitis, which was not suspected to be related to brodalumab, was reported Malignancies • 37 malignancies were reported in 32 patients (0.81 events/ 100 PYs); none were considered related to brodalumab Depression and suicide • There were 4 new depression cases reported during year 4; no causality assessments were provided • There were no completed suicides throughout the 4-year report and no new suicide attempts reported (there was 1 previously reported suicide attempt, with no indicated causal relationship between brodalumab and the patient’s attempted self-harm) SYNOPSIS • Brodalumab is an interleukin-17 receptor A antagonist indicated for moderate-to-severe plaque psoriasis in adult patients with loss of or no response to alternative systemic therapies1 – Brodalumab has a boxed warning for suicidal ideation and behavior in the United States, even though pivotal clinical trials and recent pharmacovigilance data do not confirm a causal relationship1-3 – No completed suicides and 1 suicide attempt by a patient with a history of depression occurred during the initial 3-year pharmacovigilance reporting period3 – Arthralgia was the most common treatment-specific adverse event (AE) in the 2- and 3-year pharmacovigilance reports3,4 METHODS • Pharmacovigilance data reported to Ortho Dermatologics by US patients and healthcare providers were compiled from August 15, 2017, through August 14, 2021 • The most common AEs listed in the brodalumab package insert (incidence ≥1%; arthralgia, headache, myalgia, influenza, diarrhea, oropharyngeal pain, nausea, injection-site reactions, fatigue, neutropenia, and Tinea infections) and AEs of special interest were assessed as exposure-adjusted rates per 100 patient-years (PYs) • Brodalumab exposure was estimated as the time between the first and last prescription-dispensing authorization dates. dOne patient increased brodalumab dose. keywords: brodalumab; dermatologics; new; ortho; year cache: skin-1970.pdf plain text: skin-1970.txt item: #683 of 1356 id: skin-1971 author: Messier, Nancy; Couture, Frédéric; Théberge, Vanessa; Harvey, Mario; Kobayashi, Kenneth title: Intralesional Treatment of Basal Cell Carcinoma in a Genetically Inducible Mouse Model date: 2023-03-13 words: 1777 flesch: 57 summary: This results in the development of BCC tumors that are unresponsive to traditional hedgehog inhibitors targeting SMO protein activity. Twice a week intralesional treatment of mouse tumors (Fig.9) seems more effective than weekly treatment (Fig.8 and table 1) in these pre-clinical studies. keywords: bcc; day; mouse; treatment cache: skin-1971.pdf plain text: skin-1971.txt item: #684 of 1356 id: skin-1972 author: Del Rosso, James; Guenthner, Scott; Hong, Chih-ho; Jett, John E; Brown, Philip M.; Rubenstein, David S. ; Piscitelli, Stephen title: Exposure–Response Analysis Demonstrates Response to Tapinarof is Driven by Local Effects at Sites of Application date: 2023-03-13 words: 1780 flesch: 31 summary: No Correlation Between Tapinarof Exposure (C max on Days 1 and 29) and Baseline %BSA Affected in the Psoriasis Maximal-Use Trial BSA, body surface area; C max maximum plasma concentration. ≥20% 3%–20% Trial drug Tapinarof cream: 0.5% QD, 0.5% BID, 1% QD, 1% BID Vehicle cream: QD or BID Tapinarof cream: 1% QD Tapinarof cream: 1% QD Vehicle cream: QD PK sampling Weeks 1, 2, 4, 8, and 12 Days 1, 15, and 29 Weeks 4 and 12 AD, atopic dermatitis; BID, twice daily; BSA, body surface area; IGA, Investigator Global Assessment; PGA, Physician Global Assessment; PK, pharmacokinetic; QD, once daily. keywords: exposure; patients; psoriasis; tapinarof; trial cache: skin-1972.pdf plain text: skin-1972.txt item: #685 of 1356 id: skin-1974 author: Kircik, Leon; Draelos, Zoe ; Stein Gold, Linda; Jacobson, Abby title: Use of Combination Halobetasol Propionate/Tazarotene Lotion in Difficult-to-Treat Psoriasis and TNF-α Mechanism of Action date: 2023-03-13 words: 1262 flesch: 48 summary: Author disclosures: LK has served as an investigator, speaker, advisory board member, or consultant for Abbott Laboratories; Aclaris, Inc; Allergan, Inc; Amgen Inc; Anacor Pharmaceuticals, Inc; Assos Pharma; Astellas Pharma US, Inc; Asubio Pharma Co, Ltd; Berlex Laboratories (Bayer Healthcare Pharmaceuticals); Biogen-Idec, Inc; Biolife; Biopelle; Boehringer Ingelheim; Breckin- ridge Pharma; Celgene Corporation; Centocor, Inc; Colbar; CollaGenex; Combinatrix; Connetics Corporation; Coria; Dermik Laboratories; Dermira, Inc; Dow Pharmaceutical Sciences, Inc; Dusa Pharmaceuticals, Inc; Eli Lilly & Co; Embil Pharmaceutical Co, Ltd; EOS; Ferndale Laboratories, Inc; Galderma Laboratories, LP; Genentech, Inc; GlaxoSmithKline, PLC; Health Point Ltd; Idera, Inc; Innocutis Medical, LLC; Innovail; Intendis, Inc; Johnson & Johnson; Laboratory Skin Care, Inc; Leo Pharmaceuticals, Inc; L’Oreal SA; 3M; Maruho Co, Ltd; Medical International Technologies; Medicis Pharmaceutical Corp; Merck & Co, Inc; Merz; Nano Bio Corporation; Novartis Pharmaceutical Corporation; Noven Pharmaceuticals, Inc; Nucryst Pharmaceuticals Corporation; Obagi Medical Products, Inc; Onset; OrthoNeutrogena; PediaPharma, Inc; Promius Pharma, LLC; PharmaDerm; Pfizer, Inc; PuraCap; QLT, Inc; Quatrix; Quinnova; Serono (Merck-Serono International SA); SkinMedica, Inc; Stiefel Laboratories, Inc; Sun Pharmaceutical Industries, Ltd; Taro; TolerRx, Inc; Triax; UCB, Inc; Valeant Pharmaceuticals North America LLC; Warner-Chilcott; XenoPort, Inc; and ZAGE. At week 8 in the scalp psoriasis study6: – 10/21 patients (48%) achieved a score of IGA 0 or 1 – 15/21 patients (>70%) achieved an sIGA score of 0 or 1, and 50% maintained these scores at week 12 (Figure 3) – Nearly one-third of patients (29%) had sIGA 0, and 20% maintained sIGA 0 at week 12 • Significant improvements from baseline in PSSI 75 rates were observed at weeks 4, 8, and 12 (P≤0.0005 for all) • Rates of PSSI 75/90/100 were maintained from week 8 to 12 (Figure 4) – PSSI 75: 67% of patients achieved PSSI 75 at week 8, with 45% maintaining at week 12 – PSSI 90: 38% of patients achieved PSSI 90, with 30% maintaining at week 12 – PSSI 100: 29% of patients achieved PSSI 100, with 20% maintaining at week 12 OBJECTIVE • To review previously published results from open- label studies of HP/TAZ in palmoplantar psoriasis and scalp psoriasis in the context of reduction of proinflammatory mediators such as TNF-α CONCLUSION • keywords: inc; psoriasis; pssi; taz; week cache: skin-1974.pdf plain text: skin-1974.txt item: #686 of 1356 id: skin-1975 author: Kircik, Leon; Zirwas, Mathew; Kwatra, Shawn G.; Lewitt, Michael; Glover, Holly; Chao, Tomas; Brown, Philip M.; Rubenstein, David S.; Tallman, Anna title: Rapid Improvements in Itch with Tapinarof Cream 1% Once Daily in Two Phase 3 Trials in Adults with Mild to Severe Plaque Psoriasis date: 2023-03-13 words: 2562 flesch: 54 summary: Editorial and medical writing support under the guidance of the authors was provided by ApotheCom, UK, and was funded by Dermavant Sciences, Inc., in accordance with Good Publication Practice (GPP) guidelines (Ann Intern Med. L.K. has served as a consultant/speaker/investigator/advisory board member for Abbott Laboratories, AbbVie, Ablynx, Aclaris, Acambis, Allergan, Inc., Almirall, Amgen, Inc., Anacor Pharmaceuticals, Anaptys, Arcutis, Arena, Assos Pharma, Astellas Pharma US, Inc., Asubio, Bausch Health, Berlex Laboratories (Bayer HealthCare Pharmaceuticals), Biogen Idec, Biolife, Biopelle, BMS, Boehringer Ingelheim, Breckinridge Pharma, Cassiopea, Centocor, Inc., Cellceutix, Cipher, Coherus, Colbar, Combinatrix, Connetics Corporation, Coria, Dermavant Sciences, Inc., Dermira, Dermik Laboratories, Dow Pharmaceutical Sciences, Inc., Dr. Reddy’s Lab, Dusa, Embil Pharmaceuticals, Eli Lilly, EOS, Exeltis, Ferndale Laboratories, Inc., Foamix, Ferrer, Galderma, Genentech, Inc., GlaxoSmithKline, Glenmark, Health Point, Ltd, Idera, Incyte, Intendis, Innocutis, Innovail, Isdin, Johnson & Johnson, Kyowa Kirin, Laboratory Skin Care Inc., LEO Pharma, L’Oreal, 3M, Maruho, Medical International Technologies, Merck, Medicis Pharmaceutical Corp., Merz, Nano Bio, Novartis AG, Nven Pharmaceuticals, Nucryst Pharmaceuticals Corp., Obagi, Onset, OrthoNeutrogena, PediaPharma, Pfizer, Promius, PuraCap, PharmaDerm, QLT, Inc., Quinnova, Quatrix, Regeneron, Sanofi, Serono (Merck Serono International SA), SkinMedica, Inc., Stiefel Laboratories, Inc., Sun Pharma, Taro, TolerRx, Triax, UCB Pharma, Valeant Pharmaceuticals Intl., Warner-Chilcott, XenoPort, and ZAGE. keywords: inc; itch; p<0.0001; tapinarof; vehicle; week cache: skin-1975.pdf plain text: skin-1975.txt item: #687 of 1356 id: skin-1977 author: Paller, Amy; Hebert, Adelaide A.; Jett, John E; Brown, Philip M.; Rubenstein, David S.; Piscitelli, Stephen title: Tapinarof Cream 1% Once Daily for the Treatment of Extensive Atopic Dermatitis in Adolescents and Children: 4-Week Maximal-Use Trial date: 2023-03-13 words: 1851 flesch: 37 summary: BSA involvement ≥25% for adolescents (12–17 years) or ≥35% for children (2–11 years) Use of any prohibited medication or procedure within the indicated period before the baseline visit A vIGA-ADTM score of ≥3 at screening and baseline (pre-dosing) History of sensitivity to the trial medications AD present for ≥6 months for patients aged 6–17 years or 3 months for patients aged 2–5 years Previous known participation in a clinical trial with tapinarof AD, atopic dermatitis; BSA, body surface area; vIGA-ADTM, validated Investigator Global Assessment for Atopic DermatitisTM. Primary Endpoints ■ Incidence, frequency, and nature of adverse events (AEs) and serious AEs ■ Change from baseline in laboratory values and vital signs ■ Mean Investigator-assessed Local Tolerability Scale scores by visit (overall and sensitive areas) ■ Tapinarof plasma PK parameters on Day 1, including: – Area under the plasma concentration versus time curve from baseline to the last quantifiable concentration (AUC 0–last ) – Maximum plasma concentration (C max ) – Time to maximum plasma concentration (t max ) – Time of last quantifiable concentration (t last ) ■ Tapinarof plasma concentration on Day 28 Secondary Endpoints ■ Change in validated Investigator Global Assessment for Atopic DermatitisTM (vIGA-ADTM) score by visit ■ Proportion of patients with a vIGA-ADTM score of clear (0) or almost clear (1) by visit ■ Proportion of patients with ≥50%, ≥75%, and ≥90% improvement in Eczema Area and Severity Index (EASI) score by visit ■ Mean change and percent change in EASI score by visit ■ Mean change and percent change in %BSA affected by visit ■ Proportion of patients with a baseline Peak Pruritus-Numeric Rating Scale (PP-NRS) score of ≥4 who achieve a ≥4-point reduction in PP-NRS score by visit – Proportion of patients ≥12 years old with a baseline PP-NRS score ≥4 who achieve a ≥4-point reduction in PP-NRS score by visit – Proportion of patients 2–12 years old with a baseline PP-NRS score ≥4 who achieve a ≥4-point reduction in PP-NRS score by visit – Mean change in PP-NRS score at each visit by age group Statistical Analyses ■ Safety analyses will include all patients who received at least one application of tapinarof ■ Analyses of efficacy endpoints will be based upon the safety population RESULTS Baseline Patient Demographics and Disease Characteristics ■ Overall, 36 patients were enrolled at nine sites in the US and Canada ■ Patients’ baseline demographics and disease characteristics are shown in Table 2 – Equal proportions of patients (33.3% [12/36]) were young children (2–6 years), children (7–11 years), and adolescents (12–17 years) – Most patients (77.8%) across the three groups had a vIGA-ADTM score of 3 (moderate) – Overall mean (standard deviation 6. Lebwohl M, et al. N Engl J Med. keywords: patients; score; tapinarof; trial; years cache: skin-1977.pdf plain text: skin-1977.txt item: #688 of 1356 id: skin-198 author: Kircik, Leon; Okumu, Franklin; Kandavilli, Sateesh title: Permeation Analysis of Novel Steroid Vehicles to Deliver and Retain Steroid in Skin Layers Associated with Psoriasis date: 2017-10-27 words: 516 flesch: 45 summary: The F-10 formulation had skin layer betamethasone concentrations of 33 ng, 18 ng, and 14 ng in the stratum corneum, epidermis, and dermis, respectively (Figure 1). Permeation analysis of novel steroid vehicles to deliver and retain steroid in skin layers associated with psoriasis Leon Kircik, MD1; Franklin Okumu, PhD2; Sateesh Kandavilli, PhD2 1DermResearch, PLLC, Louisville, KY; 2Promius Pharma, a subsidiary of Dr. Reddy’s Laboratories, Princeton, NJ Introduction ¾ keywords: skin cache: skin-198.pdf plain text: skin-198.txt item: #689 of 1356 id: skin-1980 author: Rice, Zakiya; Gooderham, Melinda; Lebwohl, Mark G.; Simpson, Eric L. ; Boguniewicz, Mark; Wollenberg, Andreas; Lazariciu, Irina; Chan, Gary L.; Alderfer, Justine; Watkins, Melissa title: Short-Term Efficacy and Safety of Abrocitinib by Baseline Disease Severity in Patients With Moderate-to-Severe Atopic Dermatitis date: 2023-03-13 words: 1930 flesch: 50 summary: A greater proportion of patients achieved IGA 0/1 or EASI-75 with abrocitinib versus placebo at week 12 across all subgroups of disease severity classified by baseline IGA score, baseline EASI score, or %BSA at baseline • Efficacy responses were dose dependent across all subgroups of baseline disease severity in the pooled monotherapy population • AEs were similar in both the IGA 3 and IGA 4 baseline disease severity subgroups, with no unexpected safety signals REFERENCES 1. Eligibility Criteriaa • ≥18 years of age with AD for ≥1 year • Moderate-to-severe AD (IGA ≥3; EASI ≥16; %BSA ≥10; PP-NRS ≥4) JADE COMPARE Placebo QD (n=155) Abrocitinib 100 mg QD (n=314) Abrocitinib 200 mg QD (n=309) Eligibility Criteriaa • ≥12 years of age with AD for ≥1 year • Moderate-to-severe AD (IGA ≥3; EASI ≥16; %BSA ≥10; PP-NRS ≥4) JADE MONO-1 JADE MONO-2 0 2 4 8 Time (Weeks) 12 16 %BSA, percentage of body surface area; AD, atopic dermatitis; EASI, Eczema Area and Surface Index; EASI-75, ≥75% improvement on the EASI; IGA, Investigator’s Global Assessment; IGA 0/1, IGA score of 0 (clear) or 1 (almost clear) with a ≥2-point improvement from baseline; IGA 3, IGA score of 3 (moderate); IGA 4, IGA score of 4 (severe); PP-NRS, Peak Pruritus Numerical Rating Scale (used with permission from Regeneron Pharmaceuticals, Inc., and Sanofi); Q2W, once every 2 weeks; QD, once daily; TEAE, treatment-emergent adverse event. keywords: abrocitinib; baseline; iga; inc; jade; pfizer cache: skin-1980.pdf plain text: skin-1980.txt item: #690 of 1356 id: skin-1981 author: Korman, Neil J.; Passeron, Thierry; Gordon, Kenneth B.; Okubo, Yukari; Bagel, Jerry; Sofen, Howard; Warren, Richard B.; Bhatia, Neal; Spelman, Lynda; Winthrop, Kevin; Hippeli, Lauren; Kisa, Renata M.; Banerjee, Subhashis; Thaçi, Diamant title: Deucravacitinib in plaque psoriasis: 2-year laboratory results from the phase 3 POETYK PSO program date: 2023-03-13 words: 3215 flesch: 51 summary: Research grants: Eisai, Maruho, Shiseido, and Torii; Current consulting/advisory board agreements: AbbVie, Amgen, Boehringer Ingelheim, Bristol Myers Squibb, Eli Lilly, Janssen, and Sun Pharma; Speakers bureau: AbbVie, Amgen, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, Eisai, Eli Lilly, Janssen Pharma, Jimro, Kyowa Kirin, Leo Pharma, Maruho, Novartis, Pfizer, Sanofi, Sun Pharma, Taiho, Tanabe-Mitsubishi, Torii, and UCB; Clinical trials: AbbVie, Amgen, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, Eli Lilly, Janssen, Leo Pharma, Maruho, Pfizer, Sun Pharma, and UCB • JB: Research funds payable to the Psoriasis Treatment Center of New Jersey: AbbVie, Amgen, Arcutis, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, CorEvitas’ (Corrona) Psoriasis Registry, Dermavant, Dermira/UCB, Eli Lilly, Glenmark, Janssen Biotech, Kadmon, Leo Pharma, Lycera, Menlo Therapeutics, Novartis, Pfizer, Regeneron, Sun Pharma, Taro, and Valeant; Consultant: AbbVie, Amgen, Celgene, Eli Lilly, Janssen Biotech, Novartis, Sun Pharma, and Valeant; Speaker: AbbVie, Celgene, Eli Lilly, Janssen Biotech, and Novartis • HS: Clinical investigator: AbbVie, Amgen, Boehringer Ingelheim, Bristol Myers Squibb, Eli Lilly, Janssen, Leo Pharma, Novartis, and Sun Pharma • RBW: Research grants: AbbVie, Almirall, Amgen, Celgene, Eli Lilly, Janssen, Leo Pharma, Novartis, Pfizer, and UCB; Consulting fees: AbbVie, Almirall, Amgen, Biogen, Boehringer Ingelheim, Celgene, DICE Therapeutics, Eli Lilly, Janssen, Leo Pharma, Novartis, Pfizer, Sanofi, UCB, and UNION • The selectivity of deucravacitinib facilitates a more targeted therapeutic approach that avoids signature laboratory changes seen with the Janus kinase (JAK) 1/2/3 inhibitors — In phase 2 and phase 3 trials (POETYK PSO-1 and PSO-2) in plaque psoriasis, deucravacitinib treatment did not result in neutropenia, elevated liver enzyme and serum creatinine levels, and dyslipidemia — adverse events that have been associated with JAK 1/2/3 inhibitors3-7 • Deucravacitinib demonstrated a robust efficacy profile, including superiority to placebo and apremilast and durability and maintenance of response, in 2 multinational phase 3 trials in patients with moderate to severe plaque psoriasis5,6,8 • Patients who completed the POETYK PSO-1 and PSO-2 trials could enroll in the ongoing POETYK long-term extension (LTE) trial Objectives • To determine whether there were any clinically relevant changes in blood laboratory parameters with up to 2 years of deucravacitinib treatment in the POETYK PSO-1, PSO-2, and LTE trials • To evaluate whether deucravacitinib treatment elicits changes in the blood that are known to occur with JAK 1/2/3 inhibitors Methods Study designs • POETYK PSO-1 (NCT03624127) and PSO-2 (NCT03611751) were 52-week, multinational, phase 3, double-blind trials that randomized patients with moderate to severe plaque psoriasis 2:1:1 to deucravacitinib 6 mg once daily, placebo, or apremilast 30 mg twice daily (Figure 2) keywords: deucravacitinib; lilly; lte; myers; pharma; poetyk; pso-1; squibb cache: skin-1981.pdf plain text: skin-1981.txt item: #691 of 1356 id: skin-1982 author: Fiorillo, Loretta; Becker, Emily; de Lucas, Raul; Belloni-Fortina, Anna; Armesto, Susana ; Maes, Peter ; Oberoi, Rajneet ; Paris, Maria ; Zhang, Wendy; Zhang, Zuoshun ; Arkin, Lisa title: Efficacy and Safety Results of Apremilast in Pediatric Patients With Moderate to Severe Plaque Psoriasis: 16-Week Results From SPROUT, a Phase 3, Randomized, Controlled Study date: 2023-03-13 words: 666 flesch: 43 summary: This study was sponsored by Amgen Inc. Writing support was funded by Amgen Inc. and provided by Lakshmi Narendra Bodduluru, PhD, of Cactus Life Sciences (part of Cactus Communications), and Dawn Nicewarner, PhD, CMPP, employee of and stockholder in Amgen Inc. PASI-75 response: a ≥ 75% reduction in PASI scores from baseline. keywords: amgen; apremilast; psoriasis; week cache: skin-1982.pdf plain text: skin-1982.txt item: #692 of 1356 id: skin-1983 author: Merola, Joseph; Parish, Lawrence; Guenther, Lyn ; Lynde, Charles ; Lacour, Jean-Philippe ; Staubach, Petra ; Cheng, Sue; Jardon, Shauna; Paris, Maria ; Chen, Mindy ; Papp, Kim title: Efficacy and Safety of Apremilast in Patients With Genital Psoriasis: Results From the Phase 3, Randomized, Placebo-Controlled, Double-blind DISCREET Study date: 2023-03-13 words: 937 flesch: 37 summary: Key takeaways Apremilast, the first oral treatment to be studied for genital psoriasis, significantly improved disease symptoms, including skin, itch, and QoL and was well-tolerated in patients who were inadequately controlled by or intolerant to medications applied to the skin For additional findings, scan the QR code 1Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA; 2Parish Dermatology, Philadelphia, PA, USA; 3Guenther Research Inc., London, ON, Canada; 4Lynde Institute for Dermatology, Markham, ON, Canada; 5Probity Medical Research, Markham, ON, Canada; 6CHU de Nice - Hôpital l'Archet, Nice, France; 7Department of Dermatology, University Medical Center, Mainz, Germany; 8Amgen Inc., Thousand Oaks, CA, USA; 9Probity Medical Research, Waterloo, ON, Canada; 10K Papp Clinical Research, Waterloo, ON, Canada Up to 63% of patients with psoriasis report genital psoriasis,1,2 which can lead to: • Itching • Discomfort • Impaired QoL • Negative impact on sexual health Patient population: • Genital psoriasis severity (modified sPGA-G) score ≥ 3 • Overall psoriasis severity (sPGA) score ≥ 3 • Nongenital plaque psoriasis on ≥ 1% of BSA • Intolerant to/or not controlled by medications applied to the skin for genital psoriasis Phase 3, multicenter study Week 36 1: 1 Fo llo w -u p Week 16 Placebo Apremilast Week 32 Apremilast Apremilast Week 0 143 patients 146 patients 289 patients randomized Key secondary outcomes: • sPGA response to assess overall psoriasis severity • GPI-NRS response to assess genital itch severity • Change from baseline in DLQI score to assess the impact of psoriasis on QoL at week 16 What was our aim? To evaluate the benefit, safety, tolerability, and effect on health-related QoL of apremilast in patients with moderate to severe genital psoriasis after 16 weeks of treatment in the DISCREET study (NCT03777436) Limited treatment options are available for patients with moderate to severe genital psoriasis keywords: amgen; apremilast; pharma; psoriasis; spga cache: skin-1983.pdf plain text: skin-1983.txt item: #693 of 1356 id: skin-1984 author: Park, Sang Hee ; Zhong, Yichen ; Sima, Adam ; Patel, Vardhaman; Zhuo, Joe ; Roberts-Toler, Carla ; Becker, Brandon ; Hovland, Sara ; Strober, Bruce title: Association of patient-reported disease burden and treatment switching among patients with plaque psoriasis on nonbiologic systemic therapy date: 2023-03-13 words: 2623 flesch: 32 summary: (48.9) Severe (10–100), n (%) 204 (24.1) 66 (12.6) 138 (42.7) PASI score, mean (SD) 5.0 (5.9) 3.4 (5.2) 7.5 (6.1) 0.72 IGA score, mean (SD) 2.4 (1.1) 1.9 (1.1) 3.1 (0.6) 1.27 Unique nonbiologic systemics used prior to current systemic, n (%) 0 739 (87.1) 469 (89.3) 270 (83.6) 0.13 1 90 (10.6) 43 (8.2) 47 (14.6) ≥ 2 19 (2.2) 13 (2.5) 6 (1.9) Duration of current therapy (< 90 days), n (%) 386 (45.5) 241 (45.9) 145 (44.9) 0.02 IGA, Investigator’s Global Assessment; PASI, Psoriasis Area and Severity Index; SD, standard deviation. Odds of switching to biologic treatment, overall analysis • Unadjusted odds of switching were significantly higher in patients who reported greater vs lesser burden as measured by the DLQI or by VAS itch, skin pain, fatigue, or PGA; in those who reported activities impairment on the WPAI; and in those who reported moderate or extreme pain and discomfort, activities impairment, or anxiety/depression on the EQ-5D-3L (P ≤ 0.003) — Odds of switching were numerically higher among patients who reported moderate or extreme problems with walking or self-care on the EQ-5D-3L • After adjusting for disease severity and baseline characteristics, greater disease burden was an independent predictor for treatment switching to biologics (Figure 1) — Patients with DLQI scores > 5 had 55% higher odds of switching than those with DLQI scores ≤ 5 (adjusted odds ratio [aOR] = 1.55 The outcome measure was a switch to biologic treatment up to 45 days after Registry enrollment — Switching was defined as the introduction of a biologic therapy in addition to, or in place of, their current nonbiologic systemic therapy vs continuation of initial nonbiologic systemic treatment with no changes • Biologic therapies included adalimumab, certolizumab, etanercept, infliximab, ustekinumab, guselkumab, risankizumab, tildrakizumab, secukinumab, ixekizumab, brodalumab, and bimekizumab — Patients were excluded if they had switched from one nonbiologic systemic treatment to another • The study period extended from April 2015 to August 2022 — Because of the timeline, the study did not include switching from deucravacitinib, an oral, allosteric, selective tyrosine kinase 2 (TYK2) inhibitor approved by the US Food and Drug Administration for the treatment of adults with moderate-to-severe plaque psoriasis who are candidates for systemic therapy or phototherapy3 Independent variables • At Registry enrollment, patients completed self-reported measures of disease burden — Dermatology Life Quality Index (DLQI) • 10 items assessed dermatology-specific HRQoL • Total scores ranged from 0-30, with higher scores indicating poorer quality of life — Visual analog scale (VAS) ratings for itch, skin pain, and fatigue (each considered separate measures) • keywords: burden; odds; patients; psoriasis; treatment; vas cache: skin-1984.pdf plain text: skin-1984.txt item: #694 of 1356 id: skin-1985 author: Thyssen, Jacob P.; Bewley, Anthony; Ständer, Sonja; Castro, Carla; Misery, Laurent; Kim, Brian S.; Biswas, Pinaki; Chan, Gary L.; Myers, Daniela E.; Watkins, Melissa; Alderfer, Justine; Güler, Erman; Silverberg, Jonathan I. title: Abrocitinib Reduces Skin Pain in Adolescent and Adult Patients With Moderate-to-Severe Atopic Dermatitis date: 2023-03-13 words: 1785 flesch: 53 summary: PB, GC, DEM, MW, JA, and EG are employees and shareholders of Pfizer Inc. JIS served as an investigator for Celgene, Eli Lilly and Company, F. Hoffmann-La Roche, Menlo Therapeutics, Realm Therapeutics, Regeneron, and Sanofi; as a consultant for Pfizer Inc., AbbVie, Anacor, AnaptysBio, Arena Pharmaceuticals, Dermavant, Dermira, Eli Lilly and Company, Galderma, GlaxoSmithKline, Glenmark, Incyte, Kiniksa Pharmaceuticals, LEO Pharma, Menlo Therapeutics, Novartis, Realm Therapeutics, Regeneron, and Sanofi; and as a speaker for Regeneron and Sanofi. Abstract 639. ACKNOWLEDGMENTS Editorial/medical writing support under the guidance of authors was provided by Renata Cunha, PharmD, and Jaya Kolipaka at ApotheCom, San Francisco, CA, USA, and was funded by Pfizer Inc., New York, NY, USA, in accordance with Good Publication Practice (GPP 2022) guidelines (Ann Intern Med. 2022; 10.7326/M22-1460). keywords: abrocitinib; inc; jade; patients; placebo; sanofi cache: skin-1985.pdf plain text: skin-1985.txt item: #695 of 1356 id: skin-1986 author: Armstrong, April; Lebwohl, Mark; Stein Gold, Linda; Jacobson, Abby title: Brodalumab Provides Rapid Onset of Therapeutic Response for Patients With Moderate-to-Severe Psoriasis date: 2023-03-13 words: 1247 flesch: 58 summary: Indirect Comparison of Time to Response6 Brodalumab Provides Rapid Onset of Therapeutic Response for Patients With Moderate-to-Severe Psoriasis OBJECTIVE • To characterize the time to response of brodalumab by directly comparing brodalumab with ustekinumab or placebo in clinical studies and by indirectly comparing brodalumab with other psoriasis biologics CONCLUSIONS • Onset of response was more rapid than other psoriasis biologics in direct and indirect comparisons • Brodalumab provides a safe and effective treatment option, with rapid onset of symptom relief and improvements in quality of life, for adult patients with moderate-to-severe psoriasis SYNOPSIS • Several factors should be considered when selecting the most appropriate treatment of moderate-to-severe psoriasis, including drug effectiveness, potential adverse events, and time to response1 • The human anti–interleukin-17 receptor A monoclonal antibody brodalumab has been shown to be safe and effective for moderate-to-severe psoriasis in adults and improves clinical outcomes more rapidly than other psoriasis biologics2 METHODS • • Brodalumab treatment was associated with greater proportions of PSI total responders (defined as weekly average PSI total score ≤8, with no item scores >1) and PSI itch responders (defined as weekly average PSI itch score ≤1; P<0.0001) vs ustekinumab, indicating a rapid reduction in patient-reported symptom severity (AMAGINE-2/-3; Figure 2)8 – Additionally, a significantly greater proportion of patients treated with brodalumab vs ustekinumab achieved a PSI total score of 0 at week 12 (22.7% vs 13.4%; P<0.001)8 Figure 2. Brodalumab treatment was associated with a faster onset of symptom improvement, assessed via proportion of PSI responders, vs ustekinumab8 in AMAGINE-2/-3 for (A) PSI total score and (B) PSI itch score. keywords: brodalumab; pasi; psoriasis; week cache: skin-1986.pdf plain text: skin-1986.txt item: #696 of 1356 id: skin-1987 author: Brownstone, Nicholas; Farberg, Aaron; Quick, Ann; Siegel, Jennifer; Goldberg, Matthew; Lio, Peter title: Survey Results Identifying Clinician Strategies for Therapy Selection for Common Inflammatory Skin Diseases date: 2023-03-13 words: 1035 flesch: 41 summary: Reason for systemic therapy discontinuation Average number systemic therapies needed for efficacy Percent all respondents that would find a molecular test for AD or psoriasis therapy guidance useful “No symptom improvement” was the top reason reported for patient discontinuation of systemic medications for AD or psoriasis. Additionally, 62.3% (165) of clinicians surveyed estimated that, on average, 2 or more systemic therapies were needed to find one that was efficacious indicating that lack of efficacy for individual patients contributes to switching systemic therapies. keywords: psoriasis; selection; therapy cache: skin-1987.pdf plain text: skin-1987.txt item: #697 of 1356 id: skin-1988 author: Shi, Vivian; Bhutani, Tina; Deleuran, Mette; Fonacier, Luz; Shumack, Stephen; Zhang, Fan; Cameron, Michael C. ; Chan, Gary L.; Valdez, Hernan; Yin, Natalie title: Abrocitinib in the Treatment of Moderate-to-Severe Atopic Dermatitis Refractory to Dupilumab Treatment: An Analysis of JADE-EXTEND, a Phase 3 Long-Term Extension Study date: 2023-03-13 words: 1724 flesch: 43 summary: Abrocitinib is a Janus kinase 1 (JAK1) inhibitor that is under investigation for the treatment of moderate-to-severe AD2,3 OBJECTIVE • To assess the proportion of dupilumab nonresponder patients from JADE COMPARE who experienced clinically meaningful improvement in signs and symptoms of AD after switching to abrocitinib in JADE EXTEND METHODS • Phase 3 JADE COMPARE included adults with moderate-to-severe AD and inadequate response to topical medication or a need for systemic therapy to control AD • This post hoc analysis focused on patients with moderate-to-severe AD who received dupilumab and concomitant topical therapy for 16 weeks in JADE COMPARE followed by entry into JADE EXTEND (Figure 1) • 2020;156:863-873. ACKNOWLEDGMENTS Editorial/medical writing support under the guidance of authors was provided by Renee Gordon, PhD, and Richard W. Davis IV, PhD, at ApotheCom (San Francisco, CA, USA), and was funded by Pfizer Inc., New York, NY, USA, in accordance with Good Publication Practice (GPP 2022) guidelines (Ann Intern Med. 2022; 10.7326/M22-1460). keywords: abrocitinib; dupilumab; group; jade cache: skin-1988.pdf plain text: skin-1988.txt item: #698 of 1356 id: skin-1989 author: Simpson, Eric L. ; Silverberg, Johnathan; Nosbaum, Audrey; Winthrop, Kevin; Guttman-Yassky, Emma; Hoffmeister, Karin M.; Egeberg, Alexander; Valdez, Hernan; Fan, Haiyun; Farooqui, Saleem A.; Chan, Gary L.; Alderfer, Justine; Romero, William; Johnson, Susan title: Safety of Abrocitinib in 3582 Patients With Moderate-to-Severe Atopic Dermatitis With Over 900 Patients Exposed for Almost 2 Years date: 2023-03-13 words: 2241 flesch: 34 summary: No risk factors were identified for serious infections in a Cox regression analysis • Potential risk factors for treatment-emergent herpes zoster included abrocitinib dose, age ≥65 years, medical history of herpes zoster, absolute lymphocyte count <1000/mm3 prior to infection, and region (Supplemental Table S2) Malignancies and Cardiovascular Events • IRs for malignancies and cardiovascular events are reported in Figure 2 for the continuous-dose cohort, and in Supplementary Figure S1 for the variable-dose cohort – IRs were higher in patients aged ≥65 years compared with younger patients Hematological Events • IRs for thrombocytopenia and lymphopenia are reported in Figure 2 for the continuous-dose cohort and in Supplementary Figure S1 for the variable-dose cohort – IRs for thrombocytopenia and lymphopenia events were higher in patients aged ≥65 years compared with younger patients Safety of Abrocitinib in 3582 Patients With Moderate-to-Severe Atopic Dermatitis With Over 900 Patients Exposed for Almost 2 Years ◦ For JADE REGIMEN (200 mg only), only patients from the open-label run-in phase who did not subsequently enter the randomized phase were included • Patients may have received their first dose of abrocitinib in JADE EXTEND if they previously received placebo in the placebo- controlled parent studies and/or dupilumab in JADE COMPARE or JADE DARE • Patients from the phase 2b study (NCT02780167) who received abrocitinib 200 mg or 100 mg were also included – In the variable-dose cohort, patients received different doses of abrocitinib (200 mg and 100 mg) throughout exposure time in the parent study (JADE REGIMEN) and were enrolled in JADE EXTEND • Patients who completed the open-label period of JADE REGIMEN (abrocitinib 200 mg only) and entered the randomized phase (abrocitinib 200 mg, abrocitinib 100 mg, or placebo) were included • Some patients subsequently entered the JADE REGIMEN rescue phase (abrocitinib 200 mg) and/or keywords: abrocitinib; cohort; dose; inc; jade; patients; pfizer cache: skin-1989.pdf plain text: skin-1989.txt item: #699 of 1356 id: skin-199 author: Sidgiddi, Srinivas; Ranganathan, Usha; Gautam, Anirudh title: DFD-03 (0.1% Tazarotene), Twice-daily, Short-Contact Lotion Formulation, Showed Similar Pharmacokinetic Exposure to the Marketed Cream Product with Once-Daily Overnight Application date: 2017-10-27 words: 719 flesch: 63 summary: The Cmax after multiple twice daily applications of DFD-03 was 62.99% of the Cmax of multiple once daily applications of Tazorac cream (Table 1). ¾ Blood samples were collected on days 1, 7 and 14, prior to product application and for up to 24 hours after product application. keywords: minute cache: skin-199.pdf plain text: skin-199.txt item: #700 of 1356 id: skin-1991 author: Kimball, Alexa B ; Alavi, Afsaneh; Jemec, Gregor BE; Gottlieb, Alice; Wei, Xiaoling; Wozniak, Magdalena B; Uhlmann, Lorenz; Martinez, Angela Llobet; Keefe, Deborah; Martin, Ruvie; Chen, Li; Muscianisi, Elisa title: Secukinumab in Moderate to Severe Hidradenitis Suppurativa: Primary Endpoint Analysis From the SUNSHINE and SUNRISE Phase 3 Trials date: 2023-03-13 words: 2923 flesch: 57 summary: LU, and ALM are employees and stockholders at Novartis Pharma AG, Basel, Switzerland. The authors thank Swati Shrivastava and Nivedita Jangale of Novartis Healthcare Pvt Ltd, Hyderabad for editorial and medical writing support, which was funded by Novartis Pharma AG, Basel, Switzerland in accordance with the Good Publication Practice (GPP3) guidelines (http://www.ismpp.org/gpp3) keywords: n=180; patients; placebo; secq4w; secukinumab; sunrise; sunshine; week cache: skin-1991.pdf plain text: skin-1991.txt item: #701 of 1356 id: skin-1995 author: Armstrong, April W. ; Park, Sang Hee ; Patel, Vardhaman ; Hogan, Malcolm ; Wang, Wei-Jhih ; Davidson, David ; Chirikov, Viktor title: Matching-adjusted indirect comparison (MAIC) of deucravacitinib versus adalimumab for the treatment of patients with moderate to severe plaque psoriasis over 2 years date: 2023-03-13 words: 2863 flesch: 33 summary: Sensitivity analyses: adjusted PASI 90 response rates at Weeks 52 and 112 -0.6 (-10.0, 8.9) -0.8 (-10.2, 8.5) -4.4 (-12.4, 3.7) -3.1 (-11.1, 4.9) -0.7 (-12.0, 10.6) 7.3 (-2.0, 16.7) 7.6 (-1.8, 16.9) 6.9 (-1.3, 15.0) 6.9 (-1.1, 14.9) 2.8 (-8.0, 13.6) -20 -10 0 10 20 30 Mean difference (95% CI) Greater efficacy of deucravacitinibLower efficacy of deucravacitinib Base case Sensitivity analysis 4 Sensitivity analysis 3 Sensitivity analysis 2 Sensitivity analysis 1 Base case Sensitivity analysis 4 Sensitivity analysis 3 Sensitivity analysis 2 Sensitivity analysis 1 Week 52 Week 112 Sensitivity analysis 1: History of psoriatic arthritis and Physician Global Assessment scores plus base case variables. Study design comparison between (A) REVEAL and (B) POETYK PSO-1 and PSO-2 A. B. Screening ≤ 28 days Period A INITIAL RESPONSE 16-week DBPC Period B SUSTAINED RESPONSE 17-week open label Period C LOSS OF ADEQUATE RESPONSE 19-week DBPC Adalimumab 40 mg EOW† (n = 26) Adalimumab 40 mg EOW (n = 22) Adalimumab 40 mg EOW (n = 580) Adalimumab 40 mg EOW* (n = 812) Placebo EOW (n = 398) 1 :1 R an d o m iz at io n ≥ PASI 75 response continue to period C Patients with < PASI 75 response enter OLE Patients with PASI responses > 50 and < 75 enter OLE N = 1212 ≥ PASI 75 response continue to period B 2:1 Randomization Week 0 16 33 52 Adalimumab 40 mg EOW (n = 250) Placebo EOW (n = 240) 165100 160 keywords: adalimumab; analysis; deucravacitinib; pasi; response; sensitivity; week cache: skin-1995.pdf plain text: skin-1995.txt item: #702 of 1356 id: skin-1996 author: Rischin, Danny; Brungs, Daniel ; Day, Fiona ; Christie, Hayden ; Patel, Vishal; Adams, Gerard ; Estes Jackson, James; De Liz Vassen Schurmann, Maite; Kirtbaya, Dmitry ; Shin, Thuzar ; Hart, Christopher; Stankevich, Elizabeth ; Li, Siyu; Lowy, Israel ; Han, Hyunsil ; Gonçalves, Priscila ; Fury, Matthew ; Porceddu, Sandro title: C-POST protocol update: A Phase 3, randomized, double-blind study of adjuvant cemiplimab versus placebo post surgery and radiation therapy in patients with high-risk cutaneous squamous cell carcinoma date: 2023-03-13 words: 1576 flesch: 41 summary: Additionally, retrospective random RT treatment plan review will be performed on approximately 20% of study patients, including the first enrolled in each site whenever possible. Some patients, however, have high risk of recurrence as assessed by immune status, primary disease stage, extent of nodal involvement, presence of extracapsular extension, and prior treatment.1,2 • Postoperative radiation therapy is recommended for patients with high-risk features, but relapse with locoregional recurrence or distant metastases may still occur.3 Cemiplimab • Cemiplimab is an anti−programmed cell death-1 (PD-1) antibody approved in the US and Europe for the treatment of patients with locally advanced or metastatic CSCC who are not candidates for curative surgery or radiotherapy and is approved or under review by other health authorities.4–8 • Results from the Phase 1 (NCT02383212) and Phase 2 (NCT02760498) trials of cemiplimab generally demonstrated a clinically meaningful activity and an acceptable safety profile in patients with advanced CSCC consistent with other anti–PD-1 agents.9,10 • keywords: cemiplimab; cscc; patients; radiation; risk; study; therapy cache: skin-1996.pdf plain text: skin-1996.txt item: #703 of 1356 id: skin-1997 author: Hamid, Omid; Lewis, Karl; Weise, Amy; McKean, Meredith; Papadopoulos, Kyriakos P; Crown, John; Kim, Tae Min; Lakhani, Nehal J; Kaczmar, John; Kudchadkar, Ragini; Spira, Alexander; Rabinowits, Guilherme; Kim, Kevin; Carvajal, Richard; Williamson, Stephen; Ioffe, Ella; Chen, Shuquan; Mani, Jayakumar; Jankovic, Vladimir; Brennan, Laura; Kroog, Glenn; Sims, Tasha; Lowy, Israel; Gullo, Giuseppe title: Phase 1 study of fianlimab, a human lymphocyte activation gene-3 monoclonal antibody, in combination with cemiplimab in advanced melanoma: Expansion cohort analysis date: 2023-03-13 words: 3282 flesch: 57 summary: CI, confidence interval; CR, complete response; DOR, duration of response; NE, not estimable; NR, not reached; PD, progressive disease; PD-1, programmed cell death-1; PD-L1, programmed cell death-ligand 1; PFS, progression-free survival; PR, partial response; SD, stable disease; SOD, sum of diameters. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 100 80 60 40 20 0 -20 -40 -60 -80 -100 PD SD PR CR B e s t p e rc e n t c h a n g e fr o m b a s e lin e Patients (N=76) 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 100 80 60 40 20 0 -20 -40 -60 -80 -100 P e rc e n t o f S O D c h a n g e fr o m b a s e lin e Months 0 Total (Cohorts 6 + 15) †Prior systemic therapies, including prior adjuvant therapies, excluded for Cohort 15. CI, confidence interval; DCR, disease control rate; DOR, duration of response; KM, Kaplan-Meier; LDH, lactase dehydrogenase; N1, proportion of patients with the listed LDH status; N2, proportion of patients with the listed liver metastasis status; NE, not evaluable; NR, not reached; ORR, objective response rate; PD-1, programmed cell death-1; PD-L1, programmed cell death-ligand 1; PFS, progression-free survival; ULN, upper limit of normal. keywords: anti; cohort; patients; response; treatment; weeks cache: skin-1997.pdf plain text: skin-1997.txt item: #704 of 1356 id: skin-1998 author: Rabinowits, Guilherme; Homsi, Jade ; Park, Soo; Khushalani, Nikhil ; Panella, Timothy ; Ellison, David; Gentry, Rhonda; Venna, Suraj; Strasswimmer, John; Zuniga, Richard ; Chandra, Sunandana ; Ruiz, Emily; Migden, Michael; Ibrahim, Sherrif; Mehta, Nikita ; Inocencio, Timothy ; He, Xuanyao; Zhang, Haixin; Gillis, Kathryn ; Pouliot, Jean-Francois title: CemiplimAb-rwlc Survivorship and Epidemiology (CASE): A prospective study of the safety and efficacy of cemiplimab in patients with advanced cutaneous squamous cell carcinoma (CSCC) in a real-world setting date: 2023-03-13 words: 2052 flesch: 48 summary: • Patient survival rates after early diagnosis of CSCC are good, but morbidity and mortality rates in patients with advanced CSCC not amenable to curative surgery or curative radiotherapy remain high, leaving a significant unmet need.1 • Cemiplimab is a high-affinity, highly potent, fully human, immunoglobulin G4 monoclonal antibody to the programmed cell death (PD)-1 receptor, derived using VelocImmune technology.2 • Cemiplimab (cemiplimab-rwlc in the USA) is approved by the European Medicines Agency and the US Food and Drug Administration for the treatment of adult patients with locally advanced or metastatic CSCC who are not candidates for curative surgery or curative radiation; adult patients with locally advanced or metastatic basal cell carcinoma (BCC) previously treated with (US prescribing information [USPI])3/progressed on (Summary of Product Characteristics [SmPC])4 a hedgehog pathway inhibitor, or for whom a hedgehog pathway inhibitor is not appropriate (USPI)3/intolerant (SmPC),4 and for first-line treatment of patients with locally advanced or metastatic non-small cell lung cancer who are not candidates for surgery or definitive chemoradiation and whose tumors have a tumor proportion score of ≥50% and with no EGFR, ALK, or ROS1 aberrations.3,4 • Limited data exist on the clinical characteristics, management, disease progression, and survivorship of patients with advanced CSCC in real-world clinical practice. Here, we describe the demographics, effectiveness, and safety of an initial cohort of patients with advanced CSCC treated with cemiplimab in real-world clinical practice and enrolled in the CASE study (NCT03836105). keywords: cemiplimab; cscc; patients; study; table; treatment; usa cache: skin-1998.pdf plain text: skin-1998.txt item: #705 of 1356 id: skin-1999 author: Hughes, Brett; Grob, Jean-Jacques ; Bowyer, Samantha; Day, Fiona ; Ladwa, Rahul; Stein, Brian ; Muñoz-Couselo, Eva; Basset-Seguin, Nicole; Guminski, Alexander ; Mortier, Laurent ; Hauschild, Axel ; Migden, Michael ; Schmults, Chrysalyne ; Yoo, Suk-Young; Booth, Jocelyn ; Seebach, Frank ; Lowy, Israel ; Fury, Matthew; Rischin, Danny title: Phase 2 confirmatory study of cemiplimab (350 mg IV Q3W) in patients with locally advanced or metastatic cutaneous squamous cell carcinoma (CSCC): Study 1540 Group 6 date: 2023-03-13 words: 1959 flesch: 61 summary: Group Advanced CSCC cemiplimab 350 mg Q3W (Group 6) CSCC, cutaneous squamous cell carcinoma; ICR, independent central review; OS, overall survival; PFS, progression-free survival; Q3W, every 3 weeks. Phase 2 confirmatory study of cemiplimab (350 mg IV Q3W) in patients with locally advanced or metastatic cutaneous squamous cell carcinoma (CSCC): keywords: cemiplimab; cscc; group; median; patients; q3w; response cache: skin-1999.pdf plain text: skin-1999.txt item: #706 of 1356 id: skin-20 author: Wong, Christina Y; Billings, Steven D; Warren, Christine B title: Positive Nikolsky Sign and Pinpoint “Lakes of Pus” date: 2017-08-31 words: 1642 flesch: 47 summary: The histopathologic findings were consistent with the diagnosis of acute generalized exanthematous pustulosis (AGEP). Acute generalized exanthematous pustulosis (AGEP): A review and update. keywords: acute; agep; pustulosis; skin cache: skin-20.pdf plain text: skin-20.txt item: #707 of 1356 id: skin-2000 author: Stratigos, Alexander J; Sekulic, Aleksandar; Peris, Ketty; Bechter, Oliver; Prey, Sorilla; Kaatz, Martin; Lewis, Karl D; Basset-Seguin, Nicole; Chang, Anne Lynn S; Dalle, Stéphane; Orland, Almudena Fernandez; Licitra, Lisa; Robert, Caroline; Ulrich, Claas; Hauschild, Axel; Migden, Michael R; Dummer, Reinhard; Yoo, Suk-Young; Coates, Ebony; Okoye, Emmanuel; Bassukas, Ioannis; Loquai, Carmen; De Giorgi, Vincenzo; Eroglu, Zeynep; Gutzmer, Ralf; Ulrich, Jens; Puig, Susana; Seebach, Frank; Lowy, Israel; Fury, Matthew G title: Phase 2 study of cemiplimab in patients with locally advanced basal cell carcinoma after hedgehog inhibitor therapy: Long-term follow-up date: 2023-03-13 words: 2559 flesch: 55 summary: Phase 2 study of cemiplimab in patients with locally advanced basal cell carcinoma after hedgehog inhibitor therapy: Conclusions • This long-term follow-up analysis further confirms the safety and efficacy of cemiplimab in patients with laBCC after progression on or intolerance to HHI therapy. keywords: cell; dermatology; disease; hhi; labcc; months; patients; response; university cache: skin-2000.pdf plain text: skin-2000.txt item: #708 of 1356 id: skin-2001 author: Migden, Michael; Schmults, Chrysalyne; Khushalani, Nikhil; Guminski, Alexander ; Chang, Anne Lynn; Lewis, Karl ; Ansstas, George ; Bowyer, Samantha ; Hughes, Brett ; Schadendorf, Dirk ; Modi, Badri ; Dunn, Lara ; Flatz, Lukas ; Hauschild, Axel ; Yoo, Suk-Young ; Booth, Jocelyn ; Seebach, Frank ; Lowy, Israel ; Fury, Matthew ; Rischin, Danny title: Phase 2 study of cemiplimab in patients with advanced cutaneous squamous cell carcinoma (CSCC): Final analysis from EMPOWER-CSCC-1 Groups 1, 2, and 3 date: 2023-03-13 words: 2768 flesch: 58 summary: 350 mg Q3W Number of subjects at risk mCSCC cemiplimab: 3 mg/kg Q2W laCSCC cemiplimab: 3 mg/kg Q2W mCSCC cemiplimab: 350 mg Q3W 30 35 26 30 33 26 29 32 26 28 31 25 24 29 23 24 27 23 23 24 23 23 23 22 23 19 22 21 19 22 20 18 21 18 16 19 18 16 17 18 15 15 18 14 14 17 11 10 13 11 9 13 11 9 12 10 7 9 6 5 0 2 5 0 1 1 0 1 1 0 1 1 0 1 0 0 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1.0 0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 42 44 46 48 50 52 54 56 58 60 62 64 66 68 70 0.9 0.8 0.7 0.6 0.5 0.4 0.3 0.2 0.1 0.0 CSCC, cutaneous squamous cell carcinoma; DOR, duration of response; ICR, independent central review; laCSCC, locally advanced cutaneous squamous cell carcinoma; mCSCC, metastatic cutaneous squamous cell carcinoma; Q2W, every 2 weeks; Q3W, every 3 weeks. CSCC, cutaneous squamous cell carcinoma; ECOG, Eastern Cooperative Oncology Group; laCSCC, locally advanced cutaneous squamous cell carcinoma; mCSCC, metastatic cutaneous squamous cell carcinoma. keywords: cancer; cell; cemiplimab; mcscc; patients; q2w cache: skin-2001.pdf plain text: skin-2001.txt item: #709 of 1356 id: skin-2002 author: Lewis, Karl D; Peris, Ketty; Sekulic, Aleksandar; Stratigos, Alexander J; Dunn, Lara; Eroglu, Zeynep; Chang, Anne Lynn S; Migden, Michael R; Yoo, Suk-Young; Mohan, Kosalai; Coates, Ebony; Okoye, Emmanuel; Baurain, Jean-François; Bechter, Oliver; Hauscild, Axel; Butler, Marcus O; Hernandez-Aya, Leonel; Licitra, Lisa; Neves, Rogerio I; Ruiz, Emily S; Seebach, Frank; Lowy, Israel; Goncalves, Priscila; Fury, Matthew G title: Primary analysis of Phase 2 results for cemiplimab in patients with metastatic basal cell carcinoma who progressed on or were intolerant to hedgehog inhibitors date: 2023-03-13 words: 2604 flesch: 51 summary: ‡Defined as the proportion of patients with complete response, partial response, stable disease or non-complete response/non-progressive disease. §Defined as the proportion of patients with complete response, partial response, stable disease, or non-complete response/non-progressive disease for ≥182 days without progressive disease. keywords: cell; cemiplimab; disease; hhi; icr; mbcc; oncology; patients; response; usa cache: skin-2002.pdf plain text: skin-2002.txt item: #710 of 1356 id: skin-2003 author: Piliang, Melissa; Lynde, Charles; King, Brett; Mirmirani, Paradi ; Sinclair, Rodney; Wolk, Robert ; Zwillich, Samuel ; Tran , Helen; Zhang, Fan ; Takiya, Liza title: Sustained hair regrowth with ritlecitinib to Week 48 in patients with alopecia areata: post hoc analysis of the ALLEGRO phase 2b/3 study date: 2023-03-13 words: 1784 flesch: 46 summary: OBJECTIVE • To evaluate the maintenance of efficacy from Week 24 to Week 48 in patients with AA and ≥50% scalp hair loss treated with ritlecitinib METHODS Study design • The ALLEGRO phase 2b/3 trial was an international, randomized, double-blind, placebo-controlled, combined dose- ranging and pivotal study (Figure 1) • Patients initially received daily ritlecitinib (± a 4-week 200-mg daily loading dose): 200/50, 200/30, 50, 30, or 10 mg (10 mg assessed for dose ranging only) or placebo for 24 weeks • During the 24-week extension period, ritlecitinib groups continued on 50-, 30-, or 10-mg maintenance doses, and patients initially assigned to placebo switched to 200/50 or 50 mg daily Figure 1. The proportions of ritlecitinib-treated patients with clinical response at Week 24, based on SALT score ≤20 or SALT score ≤10, who sustained this response through Week 48, were assessed in this post-hoc analysis • Definition of sustained response included: - Response at Week 24 and Week 48, based on SALT score ≤20 or ≤10, and - No loss of response (defined as SALT score >20 or >10) at any time point between Weeks 24 and 48 (Weeks 28, 34, or 40) • Patients with missing SALT score data at Weeks 28, 34, or 40 were included in the analysis if they had observed SALT data at Week 48; patients with missing data at Week 48 were excluded from the analysis Statistical analysis • Descriptive analyses were used to evaluate the proportion of ritlecitinib-treated patients with SALT score ≤20 or SALT score ≤10 response at Week 24, who sustained this response through Week 48 • 95% CIs were calculated based on normal approximation RESULTS Table 1. keywords: patients; ritlecitinib; salt; week cache: skin-2003.pdf plain text: skin-2003.txt item: #711 of 1356 id: skin-2004 author: Bhatia, Neal; Vasquez, J Gabriel; Schenkel, Brad; Heim, Jayme title: Patient satisfaction with tildrakizumab treatment in a Phase 4 real-world study of tildrakizumab in patients with moderate-to-severe plaque psoriasis date: 2023-03-13 words: 1238 flesch: 48 summary: Asian 1 (1.8) Ethnicity Hispanic or Latino 5 (9.1) Not Hispanic or Latino 50 (90.9) Age, years, mean ± SD 48.6 ± 15.3 Happiness with Psoriasis Control, mean ± SD 2.7 ± 2.3 ITT population. Patient satisfaction with tildrakizumab treatment in a Phase 4 real-world study of tildrakizumab in patients with moderate-to-severe plaque psoriasis Neal Bhatia1, J Gabriel Vasquez2, Brad Schenkel3, Jayme Heim2 1Therapeutics Clinical Research, San Diego, CA, USA; 2West Michigan Dermatology, Grandville, MI, USA; 3Sun Pharmaceutical Industries, Inc., Princeton, NJ, USA INTRODUCTION keywords: satisfaction; week cache: skin-2004.pdf plain text: skin-2004.txt item: #712 of 1356 id: skin-2005 author: Blume-Peytavi, Ulrike ; Gubelin Harcha, Walter ; Yang, Qinping ; Schmieder, George ; Hordinsky, Maria; Micali, Giuseppe ; Ohyama, Manabu ; Takiya, Liza ; Zhang, Fan ; Schaefer, Gregor ; Wolk, Robert ; Kerkmann, Urs title: Evaluation of Response to Ritlecitinib Treatment Based on SALT Improvement Scores in Patients with Alopecia Areata: Post Hoc Analysis of the ALLEGRO Phase 2b/3 Study date: 2023-03-13 words: 1968 flesch: 50 summary: Response based on % improvement from baseline in SALT scores over time QD, once daily; SALT, Severity of Alopecia Tool; SALT 50/75/90/100 , 50%/75%/90%/100% improvement from baseline in SALT score. Response based on % improvement from baseline in SALT score at Weeks 24 and 48 • Over 48 weeks of treatment, the most frequent adverse events (AEs), with no evident dose response, were upper respiratory tract infection, nasopharyngitis, and headache • Most AEs were mild or moderate in severity, 12 serious AEs were reported, and 26 patients permanently discontinued treatment due to AEs up to Week 48 • Overall, there were 8 cases of herpes zoster infection, 4 serious infections, 2 malignancies (both breast cancer), and 1 pulmonary embolism; no major adverse cardiovascular events, deaths, or opportunistic infections were reported Outcomes • keywords: mg qd; ritlecitinib; salt; week cache: skin-2005.pdf plain text: skin-2005.txt item: #713 of 1356 id: skin-2006 author: Heim, Jayme; Vasquez, J Gabriel; Schenkel, Brad; Bhatia, Neal title: Patients’ quality of life in a Phase 4 real-world study of tildrakizumab in moderate-to-severe plaque psoriasis date: 2023-03-13 words: 1666 flesch: 56 summary: Asian 1 (1.8) Ethnicity Hispanic or Latino 5 (9.1) Not Hispanic or Latino 50 (90.9) Age, years, mean ± SD 48.6 ± 15.3 PGWBI score, mean ± SD Total score 78.1 ± 14.1 Positive Well-Being 12.6 ± 3.3 General Health 9.9 ± 2.5 Anxiety 16.9 ± 4.0 Depressed Mood 12.5 ± 2.1 Self-Control 12.9 ± 2.1 Vitality 13.3 ± 3.2 DLQI score, mean ± SD 9.4 ± 5.2 ITT population. DLQI score Proportion of patients with: • DLQI score of 0 or 1 • DLQI score ≤5 • ≥5-point reduction in DLQI score 64 X Time points (Weeks) shown in bold indicate when the primary efficacy endpoint was assessed (at Weeks 28 and 52) and the end of the study (at Week 64). keywords: dlqi cache: skin-2006.pdf plain text: skin-2006.txt item: #714 of 1356 id: skin-2007 author: Menter, Alan M; Draelos, Zoe; Heim, Jayme; Gogineni, Ranga; Griffiths, Christopher EM title: Efficacy and safety by body weight decile in patients treated with tildrakizumab 100 mg for 28 weeks: Pooled data analysis of reSURFACE 1 and reSURFACE 2 date: 2023-03-13 words: 1720 flesch: 55 summary: Efficacy and safety by body weight decile in patients treated with tildrakizumab 100 mg for 28 weeks: Pooled data analysis of reSURFACE 1 and reSURFACE 2 Alan M Menter1, Zoe Draelos2, Jayme Heim3, Ranga Gogineni4, Christopher EM Griffiths5 1Division of Dermatology, Baylor Scott & White, and Texas A&M College of Medicine, Dallas, TX, USA; 2Dermatology Consulting Services, High Point, NC, USA; 3West Michigan Dermatology, Grandville, MI, USA; 4Sun Pharmaceutical Industries, Inc., Princeton, NJ, USA; 5Centre for Dermatology Research, The University of Manchester, Manchester, UK INTRODUCTION • Higher body weight is associated with reduced efficacy of some biological therapies in patients with psoriasis1 • Tildrakizumab is an anti–interleukin-23 p19 monoclonal antibody approved for the treatment of patients with moderate-to-severe plaque psoriasis who are candidates for systemic therapy or phototherapy2 • To provide clarity regarding the efficacy and safety of tildrakizumab in relation to body weight, we analyzed efficacy and safety at the decile level OBJECTIVE • To evaluate the efficacy and safety of tildrakizumab across weight deciles up to Week 28 using pooled data from the two randomized, placebo-controlled, Phase 3 trials (reSURFACE 1 Proportion of patients with PASI 75/90/100 response at A) Week 12 and at B) Week 28 by body weight decile and treatment A) B) Full Analysis Set. keywords: decile; pasi; week; weight cache: skin-2007.pdf plain text: skin-2007.txt item: #715 of 1356 id: skin-2008 author: Nestor, Mark S; Han, Haowei; Yousefian, Faraz; Smythe, Ciaran title: The efficacy and safety of aminolevulinic acid 20% topical solution activated by pulsed dye laser and blue light for the treatment of facial cutaneous squamous cell carcinoma in situ date: 2023-03-13 words: 820 flesch: 44 summary: The primary efficacy endpoint was the proportion of patients achieving histological clearance of isSCC at the end of treatment/surgical excision • Tolerability was assessed from local skin reactions (LSRs) and patient-reported lesion site pain — Lesion site pain was measured using a visual analog scale ranging from 0 (no pain) to 10 (worst pain possible) within 15 minutes of each treatment session • Safety was assessed from frequency of adverse events (AEs) RESULTS Efficacy • Of 20 enrolled patients, 17 (85%) achieved histological clearance at the end of treatment • After excluding two patients with residual isSCC exhibiting skip lesions, the histological clearance rate was 17/18 patients (94%) • Images obtained during visit 1 (pretreatment; Figure 1A) and visit 10 (posttreatment; Figure 1B) show clinical clearance of isSCC with ALA-PDL-PDT Treatments and procedures • ALA 20% topical solution was applied to the lesion and adjacent skin and incubated for 18–24 hours, followed by PDL treatment (pulse duration: 0.45 milliseconds, fluence: 13 J/cm2, amount determined by the investigator) and then blue light illumination (BLU-U®; 10 J/cm2 for 16 minutes 40 seconds) • Patients underwent 2 ALA-PDL-PDT treatment sessions separated by a 30-day period • keywords: patient; treatment cache: skin-2008.pdf plain text: skin-2008.txt item: #716 of 1356 id: skin-2009 author: Eichenfield, Lawrence F; Hebert, Adelaide A; Stein Gold, Linda; Cartwright, Martina; Moro, Luigi; Han, Jenny; Squittieri, Nicholas; Mazzetti, Alessandro title: Long-term safety and efficacy of 1% clascoterone cream in patients ≥12 years old with acne vulgaris date: 2023-03-13 words: 2364 flesch: 50 summary: A multicenter, open-label, long-term extension study (CB-03-01/27) enrolled patients who completed 1 of the 12-week Phase 3 clinical trials (CB-03-01/25 and CB-03-01/26) • Male or nonpregnant female patients who completed 1 of the 12-week Phase 3 pivotal clinical trials (CB-03-01/25 and CB-03-01/26) and enrolled within 3 days of the final pivotal trial visit were eligible – Patients with any skin pathology or condition that could interfere with the study or who planned to use other topical or systemic antiacne preparations or undergo procedures on the face (or trunk, if applicable) were excluded – This analysis includes only patients aged ≥12 years old who entered the long-term extension study Treatment administered • Patients applied 1% clascoterone cream twice daily to the entire face and, if designated by the investigator and desired by the patient, to truncal acne, for 9 additional months of treatment – Total time applying clascoterone cream, including the Phase 3 studies, could be up to 12 months for patients originally randomized to clascoterone treatment – Clascoterone treatment could be discontinued if the Investigator’s Global Assessment (IGA) score was 0 or 1 (clear/almost clear) and reinstated if/when acne worsened Assessments • Safety was evaluated from frequencies of treatment-emergent adverse events (TEAEs), serious adverse events, and local skin reactions (LSRs), including telangiectasia, skin atrophy, striae rubrae, erythema, edema, scaling/dryness, stinging/ burning, and pruritus – Summarized in patients ≥12 years old who received at least one application of clascoterone (safety population) Safety • Overall, 108/598 (18.1%) patients in the safety population experienced a total of 187 TEAEs, with similar frequencies in patients previously treated with clascoterone compared with vehicle in the Phase 3 studies (Table 2) – The majority of TEAEs reported were mild or moderate in severity, and most were not considered related to clascoterone treatment – The most frequent TEAEs by percentage of patients affected were nasopharyngitis (2.8%) and upper respiratory tract infection (1.8%; Table 3) Table 2. keywords: clascoterone; patients; study; treatment cache: skin-2009.pdf plain text: skin-2009.txt item: #717 of 1356 id: skin-2010 author: Migden, Michael; Guminski, Alexander; Gutzmer, Ralf; Loquai, Carmen; Squittieri, Nicholas; Foley, Peter title: Hematology laboratory shift based on common terminology criteria in patients with advanced basal cell carcinoma receiving sonidegib 200 mg daily: Results from the 42-month BOLT study date: 2023-03-13 words: 2038 flesch: 39 summary: Hedgehog inhibitors were developed to block aberrant Hedgehog signaling found in the majority of sporadic basal cell carcinomas (BCCs); inhibition of the Hedgehog pathway is among the few treatment options available for patients with advanced BCC1,2 • Sonidegib is a Hedgehog inhibitor that selectively targets Smoothened3 and is approved at a dose of 200 mg daily in the US, the EU, Switzerland, and Australia for the treatment of adult patients with locally advanced BCC (laBCC) not amenable to curative surgery or radiation therapy3–6 — Sonidegib 200 mg daily is also approved to treat metastatic BCC (mBCC) in Switzerland and Australia5,6 • Hematology laboratory shift based on common terminology criteria in patients with advanced basal cell carcinoma receiving sonidegib 200 mg daily: Results from the 42-month BOLT study Michael Migden1, Alexander Guminski2,3,4, Ralf Gutzmer5, Carmen Loquai6, Nicholas Squittieri7, Peter Foley8,9,10 1University of Texas MD Anderson Cancer Center, Departments of Dermatology, Division of Internal Medicine, and Head and Neck Surgery, Division of Surgery, Houston, TX, USA; 2Department of Oncology, Royal North Shore Hospital, St Leonards, Australia; 3Melanoma Institute Australia, The University of Sydney, Sydney, Australia; 4Mater Hospital, Sydney, Australia; 5Skin Cancer Center Hannover, Department of Dermatology, Hannover Medical School, Hannover, Germany; 6Department of Dermatology, University Medical Center Mainz, Mainz, Germany; 7Sun Pharmaceutical Industries, Inc., Princeton, NJ, USA; 8Department of Dermatology, St Vincent’s Hospital Melbourne, Fitzroy, Victoria, Australia; 9The University of Melbourne, Parkville, Victoria, Australia; 10Skin Health Institute Inc, Carlton, Victoria, Australia BACKGROUND • keywords: daily; grade; labcc; patients; response; sonidegib cache: skin-2010.pdf plain text: skin-2010.txt item: #718 of 1356 id: skin-2011 author: Grubbs, Hailey; Cortes, Marianne; Strasswimmer, John title: Optimizing the Pharmacokinetics of Sonidegib in Small Bowel Syndrome and Advanced Basal Cell Carcinoma: Our Solution date: 2023-03-13 words: 833 flesch: 42 summary: SYNOPSIS • Basal cell carcinoma (BCC) is the most common cancer worldwide, with an increasing annual incidence1,2 — In patients with advanced BCC, lesions become extensively locally invasive or metastatic, and traditional first-line surgical treatment may be contraindicated3 • Tumor regrowth was noted after 5 weeks without therapy, so sonidegib was reinstated at the same dose for another 5 weeks • In total, the patient completed three 5-week sonidegib cycles with 5 weeks of medication holiday between each cycle • Following the third course of sonidegib, the patient and her family were satisfied with treatment results — More than 1 year later, she continues to deny further issues CONCLUSIONS • Combining a low dose of sonidegib with ice cream, a high-fat food, helped overcome the patient’s gastrointestinal absorption and swallowing issues • Clinical improvement of BCC was noted after 5 weeks of sonidegib treatment • Adverse effects included nausea and muscle cramping, though the patient’s bloodwork values remained within normal limits for the duration of treatment • The patient best tolerated a treatment regimen alternating 5 weeks on and 5 weeks off sonidegib REFERENCES 1) Asgari MM, et al. JAMA Dermatol. keywords: bcc; patient; sonidegib; treatment cache: skin-2011.pdf plain text: skin-2011.txt item: #719 of 1356 id: skin-2012 author: Vecchiolla, Michael; Bhatia, Neal title: Patient Perspectives on use of a water-based Calcipotriene and Betamethasone Dipropionate Cream for the treatment of Plaque Psoriasis date: 2023-03-13 words: 661 flesch: 44 summary: A key benefit of the PAD formulation used in WYNZORA cream is a reduced surfactant requirement compared to conventional emulsion systems Presented at the 20th Anniversary Winter Clinical Dermatology Conference – Hawaii®; January 13–18, 2023; Kohala Coast, Hawaii. Synopsis • Patient satisfaction with topical medications for the treatment of plaque psoriasis is directly related to adherence and real-world efficacy1 • Poor cosmetic characteristics and the time-consuming nature of greasy topical agents cause up to 75% of patients to become nonadherent with topical psoriasis treatments2,3 • Most patients have mild psoriasis that is amenable to topical therapies4 • WYNZORA® (calcipotriene [CAL] and • To assess patient satisfaction with CAL/BDP cream applied once daily to affected areas • Patients with plaque psoriasis strongly preferred a novel, water-based CAL/BDP cream formulation to previously used prescription topical therapies • keywords: cream; patient; psoriasis cache: skin-2012.pdf plain text: skin-2012.txt item: #720 of 1356 id: skin-2013 author: Guminski, Alexander; Foley, Peter; Grob, Jean-Jacques; Robert, Caroline; Gutzmer, Ralf ; Squittieri, Nicholas; Kiecker, Felix title: Biochemistry laboratory shift based on common terminology criteria in patients with advanced basal cell carcinoma receiving sonidegib 200 mg daily: Results from the 42-month BOLT study date: 2023-03-13 words: 2048 flesch: 45 summary: Hedgehog inhibitors were developed to block aberrant Hedgehog signaling found in most sporadic basal cell carcinomas (BCCs); inhibition of the Hedgehog pathway is among the limited treatment options available for patients with advanced BCC1,2 • Sonidegib is a Hedgehog inhibitor that selectively targets Smoothened3 and is approved in the US, the EU, Switzerland, and Australia for the treatment of adult patients with locally advanced BCC (laBCC) not amenable to curative surgery or radiation therapy3–6 — Sonidegib is also approved to treat metastatic BCC (mBCC) in Switzerland and Australia5,6 • CONCLUSIONS • Through 42 months of treatment with sonidegib 200 mg daily, most patients experienced no biochemistry changes or Grade 1 biochemistry shifts • Overall safety findings at 42 months were consistent with observations at 30 months9 REFERENCES 1. keywords: bcc; daily; grade; patients; response; sonidegib; treatment cache: skin-2013.pdf plain text: skin-2013.txt item: #721 of 1356 id: skin-2014 author: Yousefian, Omid; Aeschliman, Lisa ; Mortillo, Susan ; Ruvolo, Eduardo title: Evaluation of a Novel Inorganic Tinted Sunscreen Enriched with Five Antioxidants for Protection Against UVA1 and VL Induced Hyperpigmentation and Erythema date: 2023-03-13 words: 1768 flesch: 58 summary: Iron Oxides SPF 40; G. 9% Zinc Oxide + 7.5% Octinoxate + Iron Oxides SPF 46; H. 11% TiO2 + Erythema and Pigmentation (All Time Points, Pooled) Statistically Significant Reduction in Melanin and Oxy-Hemoglobin in novel ZnO/Fe2O3/5 AOX, Group C (All Time Points, Pooled Data) 2023 Winter Clinical Conference – Hawaii Sponsorship: Research sponsored by Beiersdorf Inc., Stamford, CT Formula Information A 24.08% Zinc Oxide Control SPF 50 C 24.08% Zinc Oxide + 5 AOX + Iron Oxides SPF 35 E 5.5% TiO2 + 10% Zinc Oxide + keywords: aox; iron; oxide; skin; spf; zinc cache: skin-2014.pdf plain text: skin-2014.txt item: #722 of 1356 id: skin-2015 author: Burden, David; Okubo, Yukari; Zheng, Min; Thaci, Diamant; van de Kerkhof, Peter; Hu, Na; Thoma, Christian; Choon, Siew Eng title: Efficacy of spesolimab for the treatment of GPP flares across prespecified patient subgroups in the Effisayil 1 study date: 2023-03-13 words: 1867 flesch: 48 summary: sex, age, race, BMI, GPPGA pustulation subscore at baseline, GPPGA total score at baseline, JDA GPP severity score at baseline, presence of plaque psoriasis at baseline, and IL36RN status • Scan the QR code at the bottom of this poster to see full details of the Effisayil 1 study design3,4 RESULTS Subgroup analysis from the Effisayil 1 study showed that the efficacy of spesolimab (pustular and skin lesion clearance) was consistent across all prespecified patient populations, including those with or without IL36RN mutations Genotyping data were available for 46 patients. The placebo arm included a higher proportion of female and Asian patients than the spesolimab arm; clinical characteristics were generally balanced between study arms Subgroup analysis of GPPGA total score of 0 or 1 at Week 1 The efficacy of spesolimab (GPPGA pustulation subscore of 0 or 1) was consistent across patient subgroups Missing values or any use of other medication for GPP within the first week of the trial were regarded as non-response for the analysis of these endpoints. keywords: baseline; boehringer; gppga; ingelheim; patients; spesolimab cache: skin-2015.pdf plain text: skin-2015.txt item: #723 of 1356 id: skin-2016 author: Hebert, Adelaide; Rieder, Evan; Graber, Emmy; Baldwin, Hilary; Harper, Julie; Stein Gold, Linda; Kircik, Leon; Alexis, Andrew; Del Rosso, James; Narayanan, Siva; Koscielny, Volker; Kasujee, Ismail; Fried, Richard title: Acne symptoms and impact of acne on social functioning, emotional functioning, and activities of daily living (ADL) among pediatric patients with moderate to severe non-nodular Acne Vulgaris (AV) in community practices across the U.S: PROSES study date: 2023-03-13 words: 1539 flesch: 40 summary: Objective: Evaluate patient self-perceived AV symptoms and impact of AV on emotional/social functioning and ADL, among pediatric patients with AV in community practices across the U.S. Methods: Single-arm, prospective cohort study (PROSES) was conducted with moderate-to- severe non-nodular AV patients >9yrs who were prescribed sarecycline in real-world U.S community practices. Conclusion: Moderate to severe AV burden and psychosocial impact was observed in this prospective cohort of pediatric patients with AV in the U.S. Emotional impact and social impact of AV were more pronounced across the pediatric age groups. keywords: burden; impact; yrs cache: skin-2016.pdf plain text: skin-2016.txt item: #724 of 1356 id: skin-2019 author: Farberg, Aaron; Siegel, Jennifer ; Kurley, Sarah; Fitzgerald, Alison; Prasai, Anesh; Goldberg, Matthew; Ibrahim, Sherrif; Estrada, Sarah title: Incorporating the 40-gene expression profile (40-GEP) test for poorly differentiated cutaneous squamous cell carcinoma (cSCC) tumors mitigates risk assessment uncertainty from histologic grading date: 2023-03-13 words: 1228 flesch: 44 summary: Incorporating the 40-gene expression profile (40-GEP) test for poorly differentiated cutaneous squamous cell carcinoma (cSCC) tumors mitigates risk assessment uncertainty from histologic grading Aaron S. Farberg, MD1; Jennifer J. Siegel, PhD2; Sarah J. Kurley, PhD2; Alison L. Fitzgerald, PhD2; Anesh Prasai, PhD2; Matthew S. Goldberg, MD2,3; Sherrif Ibrahim, MD4; Sarah I. Estrada, MD5 1Baylor Scott & White Health System, Dallas, TX; 2Castle Biosciences Inc., Friendswood, TX; 3Icahn School of Medicine, New York City, NY 4University of Rochester, Rochester, NY; 5Affiliated Dermatology, Scottsdale, AZ Background › With 1.8 million new cases diagnosed each year, cutaneous squamous cell carcinoma (cSCC) is the second most prevalent skin cancer in the U.S.1 While >95% of cSCC cases are cured by surgery, an estimated 5% progress to nodal or distant metastasis, where survival rates drop to 50-83% and <40%, respectively.2,3 › The degree of differentiation plays a critical role in the progression of cSCC. Independent risk assessment by the 40-GEP complements existing systems7 40-GEP Risk Class 3- year MFS (95% CI) keywords: class; cscc; differentiation; gep; risk cache: skin-2019.pdf plain text: skin-2019.txt item: #725 of 1356 id: skin-202 author: Blauvelt, Andrew; Fowler, Jr., Joseph F; Schuck, Ellen; Jauch, Julia; Woehling, Heike; Leonardi, Craig L title: A Randomized, Double-Blind, Multicenter Study to Compare the Efficacy, Safety, and Immunogenicity of a Proposed Adalimumab Biosimilar (GP2017) with Originator Adalimumab in Patients with Moderate-to-Severe Chronic Plaque Psoriasis date: 2017-10-27 words: 1839 flesch: 52 summary: A randomized, double-blind, multicenter study to compare the efficacy, safety, and immunogenicity of a proposed adalimumab biosimilar (GP2017) with originator adalimumab in patients with moderate-to-severe chronic plaque psoriasis Andrew Blauvelt,1 Joseph F Fowler Jr,2 Ellen Schuck,3 Julia Jauch,3 Heike Woehling,3 and Craig L Leonardi4 1Oregon Medical Research Center, Portland, Oregon; 2Dermatology Specialists, Louisville, Kentucky; 3Hexal AG, Holzkirchen, Germany; 4Central Dermatology, St Louis, Missouri Introduction • GP2017 is being developed as a proposed biosimilar to originator adalimumab. – Extensive state-of-the-art analytical studies have shown that GP2017 and originator adalimumab have identical amino acid sequences, indistinguishable secondary and tertiary structures, the same level of post-translational modifications, and similar in vitro functionality.1 – Pharmacokinetic (PK) bioequivalence was demonstrated in phase I PK studies in healthy volunteers, with GP2017 and originator adalimumab having similar clinical safety and immunogenicity profiles. The purpose of this phase III confirmatory study (NCT02016105) was to show equivalent efficacy and comparable safety and immunogenicity between GP2017 and originator adalimumab up to 51 weeks in patients with moderate-to-severe chronic plaque psoriasis. keywords: adalimumab; gp2017; originator; pasi; week cache: skin-202.pdf plain text: skin-202.txt item: #726 of 1356 id: skin-2020 author: Singh, Gaurav; Tolkachjov, Stan; Farberg, Aaron title: Integration of the 40-Gene Expression Profile (40-GEP) for Management and Treatment of High-risk Cutaneous Squamous Cell Carcinoma (cSCC): A Real-world Algorithm date: 2023-03-13 words: 1057 flesch: 34 summary: T2a AJCC v8: T3 BWH: T2b Rationale for 40-GEP 2.2 cm diameter, multiple stages of Mohs surgery, larger defect size (4.2 x 4.2cm) multiple stages of Mohs surgery, larger defect size (4.4 x 4.1cm) Multiple stages of Mohs surgery, poor clinical margins, patient with a history of multiple cSCCs Treatment approach pre-40-GEP CT scan, RT, and follow-up every 1-month SLNB, RT, and follow-up every 6 months Imaging to evaluate for distant metastasis was considered 40-GEP Result Class 1 (Low Risk) A Real-world Algorithm Gaurav Singh, MD, MPH, FAAD1, Stanislav N. Tolkachjov, MD2,3, Aaron S. Farberg, MD4 1Gaurav Singh MD, Milwaukee, WI; 2Epiphany Dermatology, Dallas, TX; 3University of Texas at Southwestern, Dallas, TX; 4Baylor Scott & White Health System, Dallas, TX Background › The prognostic 40-gene expression profile (40-GEP) test has established both analytical and improved clinical validity for risk stratification when compared to current staging systems. keywords: class; gep; risk; treatment cache: skin-2020.pdf plain text: skin-2020.txt item: #727 of 1356 id: skin-2021 author: Long, Georgina V. ; Del Vecchio, Michele ; Weber, Jeffrey ; Hoeller, Christoph ; Grob, Jean-Jacques ; Mohr, Peter ; Grabbe, Stephan ; Dutriaux, Caroline ; Chiarion-Sileni, Vanna ; Mackiewicz, Jacek ; Rutkowski, Piotr ; Arenberger, Petr ; Quéreux, Gaëlle ; Meniawy, Tarek; Ascierto, Paolo A. ; Durani, Piyush ; Lobo, Maurice ; Campigotto, Federico; Gastman, Brian; Kirkwood, John M. title: Adjuvant therapy with nivolumab versus placebo in patients with resected stage IIB/C melanoma (CheckMate 76K) date: 2023-03-13 words: 3333 flesch: 58 summary: The purpose of this report was to present the primary results of CheckMate 76K evaluating nivolumab (NIVO) vs PBO as adjuvant treatment in patients with resected stage IIB or IIC melanoma 87% 93%82% 83% 0 20 40 60 80 100 C 5-year risk of disease recurrencea (CMMR)1 Stage IIB Stage IIC 35% 43% 86% 80%77% 74% 0 20 40 60 80 100 IIB IIC IIIA IIIB IIB IIC IIIA IIIB M SS ( % ) M SS ( % ) 5-year MSS ratea (CMMR)1,2 5-year MSS rate (AJCCv8)3 Methods • In CheckMate 76K (NCT04099251), treatment-naive patients ≥ 12 years with completely resected stage IIB or IIC melanoma were randomized 2:1 to receive NIVO or PBO as shown in Figure 2 • The primary endpoint was investigator-assessed RFS (time between randomization and first recurrence) – Recurrence events included the following: local, regional, or distant recurrence; new primary melanoma and melanoma in situ; death (due to any cause) – Imaging assessments occurred every 26 weeks during years 1–3 and every 52 weeks in years 4 and 5 • Key secondary endpoints were distant metastasis-free survival (DMFS; time between randomization and first distant recurrence or death) and safety • Recurrence was investigator-assessed with imaging assessments approximately every 6 months in the first 3 years and annually in years 4 and 5 – Tumor assessments were performed per contrast-enhanced computed tomography (CT) of the chest, abdomen, pelvis, and all other known and suspected sites of disease, unless known contraindications for CT intravenous contrast • The design of CheckMate 76K includes an optional on-protocol NIVO open-label portion following recurrence on either NIVO (at ≥ 6 months from treatment) or PBO (at any time after recurrence) – The results presented here are from the initial blinded phase portion of the study • TRAEs in ≥ 5% patients in the NIVO group 6. keywords: melanoma; nivo; patients; pbo; rfs; stage cache: skin-2021.pdf plain text: skin-2021.txt item: #728 of 1356 id: skin-2023 author: King, Andrew ; Wong, Nikita; Potts, Geoffrey title: Successful Treatment of Refractory Hailey-Hailey Disease with Dupilumab: A Case Report date: 2023-03-13 words: 1494 flesch: 51 summary: Although used for an off-label purpose, in this case, further studies should assess the clinical response and safety of patients with recalcitrant HHD treated with dupilumab. Although used for an off-label purpose, in this case, further studies should assess the clinical response and safety of patients with recalcitrant HHD treated with dupilumab. keywords: case; disease; dupilumab; hailey; hhd; treatment cache: skin-2023.pdf plain text: skin-2023.txt item: #729 of 1356 id: skin-2024 author: Mayo, Tiffany; Armstrong, April; Kircik, Leon; Silverberg, Jonathan; Blauvelt, Andrew; Esdaile, Ben; Schneider, Shannon; Mark, Thomas; Gooderham, Melinda; Alexis, Andrew title: Efficacy and safety of tralokinumab treatment in adults of different racial subgroups with moderate-to-severe atopic dermatitis in three randomized, placebo-controlled phase 3 trials date: 2023-03-13 words: 2668 flesch: 49 summary: Scan to download a copy of this poster Copies of this poster and its content, obtained through this QR code, are for personal use only and may not be reproduced without written permission from the authors The safety profile of tralokinumab treatment was consistent across racial subgroups • Tralokinumab was generally well-tolerated, with a safety profile comparable to placebo and largely consistent across racial subgroups (Table 2) • Rates of adverse events (AEs), serious AEs, and AEs leading to drug withdrawal were low in all treatment groups • Conjunctivitis rates were lower in the Asian and Black relative to White subgroup (Table 3) Figure 4. In this post hoc analysis, tralokinumab was well-tolerated and improved the signs and symptoms of moderate-to-severe AD, regardless of race, with further improvements up to 52 weeks of treatment • Limitations of this analysis include disparate sample sizes across racial subgroups Tralokinumab improved signs and symptoms of AD across racial subgroups at Week 16 • Across three pooled trials at Week 16, tralokinumab significantly improved efficacy outcomes in the Asian and White subgroups relative to placebo. keywords: ecztra; patients; pharma; placebo; tralokinumab; white cache: skin-2024.pdf plain text: skin-2024.txt item: #730 of 1356 id: skin-2025 author: Mayo, Tiffany; Armstrong, April; Kircik, Leon; Silverberg, Jonathan; Blauvelt, Andrew; Esdaile, Ben; Schneider, Shannon; Mark, Thomas; Gooderham, Melinda; Alexis, Andrew title: Efficacy and safety of up to two years of tralokinumab treatment in adults of different racial subgroups with moderate-to-severe atopic dermatitis date: 2023-03-13 words: 2475 flesch: 33 summary: Thomas Mark owns LEO Pharma stock. Percentage of patients achieving Worst Weekly Pruritus NRS ≤3 and DLQI ≤5 by racial subgroup at Week 56 of ECZTEND Adjusting for differences in baseline characteristics and country between subgroups impacts estimated responder proportions • Adjusted for race and country as main effects, EASI-75 was achieved in 88% of Asian patients, 90% of Black patients, and 90% of White patients (Figure 4) • keywords: asian; black; ecztend; leo; patients; pharma; tralokinumab cache: skin-2025.pdf plain text: skin-2025.txt item: #731 of 1356 id: skin-2026 author: Paller, Amy; Silverberg, Jonathan; Hong, H. Chih ho; Cork, Michael; Puig, Luis; Arlert, Petra; Kurbasic, Azra; Soldbro, Lise; Simpson, Eric title: The impact of tralokinumab on quality of life and school in patients aged 12-17 with atopic dermatitis: results from the phase 3 ECZTRA 6 trial date: 2023-03-13 words: 1784 flesch: 41 summary: Patients with at least baseline data available were included in the CDLQI adjusted mean change analysis (A), and patients with CDLQI ≥6 at baseline were included in the CDLQI reduction ≥6 analysis (B). At Week 16, problem with treatment affected patients ‘not at all’ over the past 7 days in 50.0/59.4% of tralokinumab (150/300 mg) treated patients vs 39.1% receiving placebo (Figure 2H) 0 5 10 15 20 25 30 35 40 45 0 2 4 6 8 10 12 14 16 31.0 39.5 15.9Tralokinumab 150 mg Q2W (n=84) keywords: cdlqi; leo; patients; pharma; placebo; tralokinumab cache: skin-2026.pdf plain text: skin-2026.txt item: #732 of 1356 id: skin-2027 author: Reich, Kristian; Simpson, Eric; Langley, Richard; Warren, Richard; Costanzo, Antonio ; Saeki, Hidehisa; Almgren, Peter; Gjerum, Le; Carlsson, Anna; Gooderham, Melinda; Pinter, Andreas; De Bruin Weller, Marjolein; Blauvelt, Andrew title: Tralokinumab demonstrated a consistent safety profile with up to 42 months of treatment in moderate to severe atopic dermatitis: including adverse events of special interest date: 2023-03-13 words: 2857 flesch: 39 summary: All patients transferred from ECZTRA 1, 2, 3, 4, 5, and 7; Up to 42 months maximum tralokinumab exposure (≤1 year in PTs and ≤2.5 years in ECZTEND) Safety analysis set (n=1442) ECZTEND interim safety analysis set n=1442 Age Median years (IQR) 38.0 (27.0; 50.0) ECZTEND interim analysis baseline demographic and disease characteristics Table 2. AESIs in ECZTEND at April 30, 2021 data cut-off Conclusions • This analysis of 1442 patients with up to 42 months of treatment supports the long-term benefit-risk profile of targeted IL-13 inhibition with tralokinumab for patients with moderate- to-severe AD, with no new safety signals identified • Exposure-adjusted incidence rates of AEs of special interest were generally similar to or lower than rates reported during the short-term, placebo-controlled period up to Week 16 and declined over time • Overall, tralokinumab demonstrated sustained long-term improvement in extent and severity of atopic dermatitis over 104 weeks of treatment in ECZTEND Figure 1. keywords: ecztend; ecztra; patients; pharma; safety; tralokinumab; treatment; trial; week cache: skin-2027.pdf plain text: skin-2027.txt item: #733 of 1356 id: skin-2028 author: Warren, Richard; Reich, Kristian; Simpson, Eric; Langley, Richard; Costanzo, Antonio ; Saeki, Hidehisa; Almgren, Peter; Vacko, Emilia; Carlsson, Anna; Gooderham, Melinda; Deleuran, Mette; Silvestre, Juan Francisco; Weidinger, Stefan; Blauvelt, Andrew title: 3 years of tralokinumab treatment provides long term disease control as demonstrated by clinically meaningful outcomes in modera te to severe atopic dermatitis date: 2023-03-13 words: 2869 flesch: 41 summary: o A recently presented interim safety analysis of adult patients with up to 42 months of exposure confirmed the safety profile of tralokinumab4 Maintained improvements in clinically relevant outcomes at 3 years of tralokinumab treatment • Patients were controlled (mild/no disease) for the majority of the 3 years of tralokinumab treatment (Figure 3) • PowerPoint Presentation 3 years of tralokinumab treatment provides long-term disease control as demonstrated by clinically meaningful outcomes in moderate-to-severe atopic dermatitis Richard B Warren1, Kristian Reich2, Eric Simpson3, Richard Langley4, Antonio Costanzo5, Hidehisa Saeki6, Peter Almgren7, Emilia Vacko7, Anna Carlsson7, Melinda Gooderham8, Mette Deleuran9, Juan Francisco Silvestre10, Stefan Weidinger11, Andrew Blauvelt12 1Dermatology Centre, Salford Royal NHS Foundation Trust and NIHR Biomedical Research Centre, The University of Manchester, Manchester, UK; 2Translational Research in Inflammatory Skin Diseases, Institute for Health Services Research in Dermatology and Nursing, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; 3Department of Dermatology, Oregon Health & Science University, Portland, OR, USA; 4Division of Clinical Dermatology and Cutaneous Science, Dalhousie University, Halifax, Nova Scotia, Canada; 5Dermatology Unit Department of Biomedical Sciences, Humanitas University, Milano, Italy; Skin Pathology Laboratory, Humanitas Research Hospital IRCCS, Milano, Italy; 6Department of Dermatology, Nippon Medical School, Tokyo, Japan; 7LEO Pharma A/S, Ballerup, Denmark; 8SKiN Centre for Dermatology, Peterborough, ON, Canada; Department of Dermatology, Queen's University, Kingston, ON, Canada; Probity Medical Research, Waterloo, ON, Canada; 9Department of Dermatology, Aarhus University Hospital, Aarhus, Denmark; 10Dermatology Department, Hospital General Universitario de Alicante, Alicante, Spain; 11Department of Dermatology and Allergy, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany; 12Oregon Medical Research Center, Portland, OR, USA ECZTEND interim efficacy analysis set n=347 Age Median years (IQR) 42.0 (30.0; 53.0) keywords: data; ecztend; leo; patients; pharma; tralokinumab; treatment; years cache: skin-2028.pdf plain text: skin-2028.txt item: #734 of 1356 id: skin-2029 author: Wollenberg, Andreas; Cork, Michael; Flohr, Carsten; Bewley, Anthony; Blauvelt, Andrew; Hong, Chih-ho; Imafuku, Shinichi; Schuttelaar, Marie L.A.; Simpson, Eric; Soong, Weily; Amoudruz, Petra; Wendicke Lophaven, Katja ; Kurbasic, Azra; Soldbro, Lise; Strange Vest, Natacha ; Paller, Amy title: Safety of tralokinumab in pediatric patients aged 12-17 years with moderate to severe atopic dermatitis: results from the phase 3 ECZTRA 6 trial date: 2023-03-13 words: 2777 flesch: 48 summary: ≥75% improvement from baseline in Eczema Area and Severity Index (EASI-75) at Week 16 • Patients achieving primary endpoints without rescue treatment were re-randomized to tralokinumab Q2W or every 4 weeks (Q4W), at their same initial tralokinumab dosage for 36 weeks of maintenance treatment as shown in Figure 1, while Placebo responders continue in the Placebo Q2W • Patients not achieving primary endpoints at Week 16, those receiving rescue treatment from Week 2 to Week 16, and those meeting other specific criteria† were transferred to open-label treatment of tralokinumab 300 mg Q2W plus optional mild-to-moderate strength topical corticosteroids (TCS) Disclosures Andreas Wollenberg has received grants, personal fees, or nonfinancial support from AbbVie, Aileens, Almirall, Beiersdorf, Bioderma, Chugai, Galapagos, Galderma, GSK, Hans Karrer, LEO Pharma, Lilly, L’Oreal, Maruho, MedImmune, Merck, Novartis, Pfizer, Pierre Fabre, Regeneron, Santen, and Sanofi-Aventis. keywords: leo; patients; pharma; placebo; q2w; tralokinumab; treatment; weeks cache: skin-2029.pdf plain text: skin-2029.txt item: #735 of 1356 id: skin-203 author: Berman, Brian; Nestor, Mark S; Fox, Joshua; Jones, Michael; Schmieder, George; Weiss, Eduardo T title: Low Rate of Keloid Recurrences Following Treatment of Keloidectomy Sites with a Biological Effective Dose 30 of Superficial Radiation date: 2017-10-27 words: 413 flesch: 50 summary: One of the 3 following superficial radiation BED 30 fractionation protocols was employed post keloidectomy: one fraction of 13 Gy on postoperative day 1; or 2 fractions of 8 Gy on postoperative days 1 and 2; or 3 fractions of 6 Gy on postoperative days 1, 2 and 3. Superficial radiation therapy (SRT) reduces wound fibroblast proliferation and enhances apoptosis. keywords: m.d; radiation cache: skin-203.pdf plain text: skin-203.txt item: #736 of 1356 id: skin-2030 author: Lio, Peter; Kim, Yestle; Balu, Sanjeev; Guana, Adriana; Bates, Dawn; Mackie, deMauri; Costantino, Halley ; Lopez, Amanda; Soung, Jennifer title: Real World Baseline Characteristics and Early Patient Reported Outcomes in Adult Patients with Moderate to Severe Atopic Dermatitis Treated with Tralokinumab date: 2023-03-13 words: 2278 flesch: 52 summary: This study will provide insights into the impact of tralokinumab on adult patients in the real world (non- clinical trial) setting • Goal of this study is to have at least 250 patients complete the study from baseline to 52 weeks Summary of PO-SCORAD and TSQM-9 • After 4 weeks of tralokinumab use, patients saw improvements in their PO-SCORAD (13.6%, SD=62.6%) and average weekly itch (22.3%, SD=48.8%) scores (Table 2) • Patients also saw improvements in their mean TSQM-9 global satisfaction (6.0 points, SD=23.3), TSQM-9 convenience (9.8 points, SD=20.7), and TSQM-9 effectiveness (5.1 points, SD=18.3) scores (Table 2) • Improvements were seen in both ‘ever taken dupilumab’ and ‘never taken dupilumab’ groups in PO- SCORD and TSQM-9 outcomes (Table 2) Abbreviations %, percentage; AD, atopic dermatitis; DLQI, Dermatology Life Quality Index; Max, maximum; Min, minimum; n, number of patients; NRS, Numeric Rating Scale; PO- SCORAD, Patient-Oriented SCORing Atopic Dermatitis; PRO, patient-reported outcomes; TSQM-9, Treatment Satisfaction Questionnaire for Medication. Mean % improvement at week 4 (SD) 13.56 (62.56) 2.37 (74.64) 26.79 (41.33) keywords: baseline; dupilumab; improvement; mean; patients; week cache: skin-2030.pdf plain text: skin-2030.txt item: #737 of 1356 id: skin-2031 author: Eichenfield, Lawrence; Shi, Vivian; Yu, JiaDe; Pierce, Evangeline; Atwater, Amber; Austin, Jenny; Salmon, Phoebe; Piercy, James; Anderson, Peter ; Paller, Amy title: Understanding Flares in Pediatric and Adolescent Patients with Moderate or Severe Atopic Dermatitis: A Real-world Study in the United States and Europe date: 2023-03-13 words: 1094 flesch: 45 summary: 803 currently mild patients were excluded ■ 427 moderate and 304 severe patients or their parent/guardian completed a PSC ■ For 60.1% of moderate patients and 62.4% of severe patients, the physician reported the patient had suffered acute episodes (flares) as part of their disease pattern; 53.7% of moderate and 57.1% of severe patients experienced 1 or more flares during the last 12 months (Fig 1) ■ Of those with flares in the last 12 months, moderate patients suffered a median [interquartile range] of 2[2-3] flares and severe patients suffered a median of 3[2-4] (Fig 2) ■ Moderate patients were more likely to have mild or moderate flares (determined by physicians) while severe patients had more moderate and severe flares (Fig 2) ■ The median duration of a typical flare for both moderate and severe patients was 14 days (Fig 3) ■ 64.5% of severe patients self-reported the degree of bother of flares as high, 21.1% reported moderate bother and 14.5% reported low bother. For moderate patients, 38.6% reported a high degree of bother, 29.7% moderate bother and 31.6% low bother (Fig 4) Figure 4. keywords: flares; patients cache: skin-2031.pdf plain text: skin-2031.txt item: #738 of 1356 id: skin-2032 author: King, Brett ; Shapiro, Jerry ; Ohyama, Manabu ; Egeberg, Alexander ; Dutronc, Yves ; Chen, Yun-Fei ; Wu, Wen-Shuo ; Ding, Yuxin ; Somani, Najwa ; Sinclair, Rodney title: Trajectories For Scalp Hair Regrowth In Patients With Severe Alopecia Areata Treated With Baricitinib date: 2023-03-13 words: 2020 flesch: 48 summary: ≤60 years for males and ≤70 years for females ■ Hair loss involving ≥50% of the scalp, as measured by the SALT score ■ Current episode of AA >6 months to <8 yearsc ■ No spontaneous improvement in the 6 months prior to screening ■ No concomitant treatments for AAd Statistical Analyses ■ The full analysis set for patients randomized to 2mg or 4mg baricitinib was considered in these analyses. ■ For each response pattern, the following outcomes were analyzed: – Proportion of patients achieving the BRAVE-AA1/2 primary endpoint of SALT score ≤20 (≤20% scalp hair loss), and – Proportion of patients achieving ≥50% improvement from baseline in SALT score (SALT50). keywords: baseline; data; patients; response; salt; score cache: skin-2032.pdf plain text: skin-2032.txt item: #739 of 1356 id: skin-2033 author: Piraccini, Bianca Maria ; Ohyama, Manabu ; Craiglow, Brittany ; Bewley, Anthony ; Ding, Yuxin; Chen, Yun-Fei; Dutronc, Yves; Pierce, Evangeline ; Durand, Frederick ; Mostaghimi, Arash title: Scalp Hair Regrowth Is Associated With Improvements in Health-Related Quality of Life and Psychological Symptoms in Patients With Severe Alopecia Areata: Results From Two Randomized Controlled Trials date: 2023-03-13 words: 1504 flesch: 29 summary: Yves Dutronc,5 Evangeline Pierce,5 Frederick Durand,5 Arash Mostaghimi6 1University of Bologna, Bologna, Italy; 2Kyorin University Faculty of Medicine, Tokyo, Japan; 3Yale School of Medicine, New Haven, USA; 4The Royal London Hospital, London, UK; 5Eli Lilly and Company, Indianapolis, USA; 6Brigham and Women’s Hospital, Harvard Medical School, Boston, USA BACKGROUND ■ Alopecia areata (AA) is a common autoimmune disorder that results in hair loss1 – Hair loss can range in severity, from loss of hair in small localized patches on the scalp, to complete loss of hair on the scalp (alopecia totalis) and/or body (alopecia universalis)1 ■ Severe AA is frequently associated with health-related quality of life (HRQoL) impairment and psychological burden2 ■ However, the impact of hair regrowth on HRQoL and psychosocial burden has not been sufficiently investigated OBJECTIVE ■ To evaluate the association between scalp hair regrowth and improvement of HRQoL and psychological burden in patients with severe AA using pooled data from the Phase 3, randomized, placebo-controlled trials, BRAVE-AA1 (NCT03570749) and BRAVE-AA2 (NCT03899259) CONCLUSIONS ■ Patients with severe AA who achieved scalp hair regrowth at Week 36 experienced improvements in HRQoL and symptoms of anxiety and depression when compared with those who had no or minimal regrowth – Higher benefit was observed in patients achieving a SALT ≤20 response – Improvements were also observed in the intermediate response group, but generally to a lesser extent than those in the SALT ≤20 response group ■ These results support the clinical relevance of SALT ≤20, the primary endpoint for the baricitinib clinical program in severe AA ■ Longer treatment duration may be needed to assess the full impact on scalp hair regrowth, HRQoL, and symptoms of anxiety and depression ABBREVIATIONS AA=alopecia areata; B/AB=borderline/abnormal; BARI=baricitinib; HADS-A=Hospital Anxiety and Depression Scale– Anxiety; HADS-D=Hospital Anxiety and Depression Scale–Depression; HRQoL=health-related quality of life; LSM=least squares mean; mLOCF=modified last observation carried forward; NRI=non-responder imputation; PBO=placebo; QD=once daily; SALT=Severity of Alopecia Tool; W=Week KEY RESULTS Scan or click the QR code or use this URL (https://lillyscience.lilly.com/congress/wcdc2023) for a list of all Lilly content presented at the congress. keywords: hads; hair; lilly; salt cache: skin-2033.pdf plain text: skin-2033.txt item: #740 of 1356 id: skin-2034 author: Pierce, Evangeline; Kleyn, C. Elise; Grond, Susanne; Austin, Jenny; Reed, Catherine; Ständer, Sonja title: Impact Of Day-to-Day Sleep Disruption on The Burden of Disease In Moderate-severe Adult Atopic Dermatitis Patients date: 2023-03-13 words: 1217 flesch: 56 summary: KEY RESULTS Winter Clinical Dermatology Conference; Hawaii, USA; January 13-18, 2023 Figure 2. WPAI due to AD in moderate-to-severe adult AD patients according to the frequency of S-D. Figure 3. J Austin is an employee of Adelphi Real World C Reed, S Grond and E Pierce are employees of Eli Lilly and Company keywords: day; patients cache: skin-2034.pdf plain text: skin-2034.txt item: #741 of 1356 id: skin-2035 author: Senna, Maryanne; Kwon, Ohsang; Piraccini, Bianca; Sinclair, Rodney; Ball, Susan; Ding, Yuxin; Chen, Yun-Fei; Dutronc, Yves; King, Brett title: Eyebrows and Eyelashes Regrowth Across Different SALT Response Thresholds in Patients with Alopecia Areata: Outcomes from the BRAVE AA Clinical Program date: 2023-03-13 words: 2204 flesch: 19 summary: [SALT] score ≥50) was demonstrated in the Phase 2/3 trial, BRAVE-AA1, and the Phase 3 trial, BRAVE-AA2, 2 randomized, double-blinded, placebo-controlled trials2,3 – The primary endpoint was the proportion of patients who achieved SALT score ≤20 at Week 36 – Key secondary endpoints included the proportion of patients with no or minimal gaps on eyebrows and eyelashes at Week 36 ■ However, the clinical response for the scalp, eyebrows, and eyelashes may vary between patients and over time OBJECTIVE ■ To evaluate whether patients with AA treated with baricitinib who had not achieved SALT score ≤20 at Week 52 achieved clinically meaningful improvements in eyebrow or eyelash loss CONCLUSIONS ■ The data show an impact of baseline severity and duration of hair loss (disease and current episode) on SALT score response rates for scalp, eyebrow, and eyelash hair loss ■ Not surprisingly, the highest response rates for eyebrow and eyelash regrowth were observed in patients who had also experienced scalp hair regrowth ■ However, about half of the patients with partial scalp response and 15-20% of those with no scalp response experienced meaningful improvement in eyebrow and eyelash regrowth with baricitinib 4-mg, which has been identified as a highly important treatment goal for patients ■ Further analyses may be required to clarify if these observations represent different patterns of clinical responses or are linked to different kinetics of hair regrowth between the scalp, eyebrows, and eyelashes ■ Longer studies may be required to observe complete benefit ABBREVIATIONS AA=alopecia areata; BARI=baricitinib; BMI=body mass index; CI=confidence interval; ClinRO=clinician-reported outcome; ClinRO EB=ClinRO Measure for Eyebrow Hair Loss; ClinRO EL=ClinRO Measure for Eyelash Hair Loss; COVID-19=coronavirus disease 2019; PBO=placebo; QD=once daily; SALT=Severity of Alopecia Tool; SALT30=≥30% improvement from baseline in total SALT score; W=Week Study Design,a BRAVE-AA1 and BRAVE-AA2 KEY RESULTS Scan or click the QR code or use this URL (https://lillyscience.lilly.com/congress/wcdc2023) for a list of all Lilly content presented at the congress. % or less scalp hair loss (80% scalp coverage) ■ SALT scores with subscripts refer to percent improvement from baseline (eg, SALT30=≥30% improvement from baseline in total SALT score) Response Subgroups ■ Baricitinib 4-mg and 2-mg subgroups were defined by the degree of scalp hair regrowth (SALT score) at Week 52 – SALT score ≤20 Response: keywords: hair; patients; response; salt; score cache: skin-2035.pdf plain text: skin-2035.txt item: #742 of 1356 id: skin-2037 author: Blauvelt, Andrew; Alonso-Llamazares, Javier; Bhatia, Neal; Draelos, Zoe; DuBois, Janet; Forman, Seth; Gooderham, Melinda; Guenthner, Scott; Hebert, Adelaide; Lain, Edward; Moore, Angela; Papp, Kim; Stein Gold, Linda; Zirwas, Matthew; Kato, Saori; Snyder, Scott; Krupa, David; Burnett, Patrick; Berk, David; Chu, David title: Efficacy and Safety of Roflumilast Foam 0.3% in Patients With Seborrheic Dermatitis in a Phase 3 Trial date: 2023-03-13 words: 1940 flesch: 50 summary: Vehicle Foam (N=153) n=296 n=151 n=277 n=140 n=264 n=136 ~80% of Patients Achieved IGA Success at Week 8 >50% of Patients Achieved IGA of Clear Week 2 Week 4 Week 8 P e rc e n ta g e o f P a ti e n ts Roflumilast Foam 0.3% (n=206) • Writing support was provided by Christina McManus, PhD, Alligent Biopharm Consulting LLC, and funded by Arcutis Biotherapeutics, Inc. 100% 98.9% 100%100% 100% 100% Baseline Week 4 Week 8 P a ti e n ts ( % ) 92.4% 96.1% 97.8%92.8% 92.7% 94.8% Baseline Week 4 Week 8 P a ti e n ts ( % ) keywords: foam; iga; patients; roflumilast; week cache: skin-2037.pdf plain text: skin-2037.txt item: #743 of 1356 id: skin-2038 author: Green, Lawrence; Bagel, Jerry; Han, George; Jacobson, Abby; Sikes, Martha title: Halobetasol Propionate 0.01% Lotion for Plaque Psoriasis: Epidermal Permeation, Efficacy, and Safety date: 2023-03-13 words: 1217 flesch: 45 summary: In the phase 3 studies, 430 adults were randomized to HP lotion (n=285) or vehicle lotion (n=145) • HP 0.01% lotion was statistically superior to vehicle at week 8 in percent reduction from baseline in affected BSA and percentage of participants achieving treatment success (Figure 3) Adverse Events • Rates of TEAEs through week 8 were similar for participants treated with HP 0.01% lotion and those treated with vehicle, as were TEAE severity and incidence of treatment-related TEAEs (Figure 4) OBJECTIVE • To summarize the in vitro epidermal permeation of halobetasol propionate (HP) 0.01% lotion and its clinical efficacy and safety in participants with plaque psoriasis CONCLUSION • 6.17 1.72 0 2 4 6 8 10 HP 0.01% Lotion HP 0.05% Cream Pe rc en t o f a pp lie d do se , m ea n TEAE Rate HP 0.01% Lotion n=284 n=142 of participants with TEAEs: 11.7 9.8 35.2 40.9 52.9 49.1 Vehicle Lotion HP 0.01% 0% 20% 40% 60% 80% 100% Severe Moderate Mild 21.5% Vehicle Lotion23.9% Maximum TEAE Severity vs n=34 n=61 Yes Yes No No Vehicle Lotion HP 0.01% 0% 20% 40% 60% 80% 100% n=61 n=34 Related to Treatment -35.2 -5.9 -50 -40 -30 -20 -10 0 HP Lotion (n=265) Vehicle Lotion (n=131) keywords: figure; lotion; treatment; vehicle cache: skin-2038.pdf plain text: skin-2038.txt item: #744 of 1356 id: skin-204 author: Du, Ana; Raab, Susana; Yatskayer, Margarita; Lynch, Stephen title: A Split-Face Design Clinical Trial to Evaluate the Efficacy of a Masque when Used Post-Full Face Fraxel® Laser Treatment date: 2017-10-27 words: 533 flesch: 45 summary: * * * *statistically significant at P>0.05 when compared to baseline and untreated site Post masque rinse-off Ba se lin e/ Po st F ra xe l® Post m asque rinse-off TreatedUntreated The tested masque was effective in improving the appearance of redness following masque application and after rinse-off, reduced skin temperature and soothed signs of discomfort such as pain, burning, heat sensation, and tightness immediately upon masque application, following a Fraxel® procedure. The results indicated that the tested masque was effective in improving the appearance of redness (Figure 2) and reducing pain/discomfort, burning, heat sensation, and tightness on the treated side post-product application and/or post-product rinse off when compared to baseline and between the treated and untreated sides. keywords: masque; post cache: skin-204.pdf plain text: skin-204.txt item: #745 of 1356 id: skin-2040 author: Lebwohl, Mark; Stein Gold, Linda; Gooderham, Melinda; Papp, Kim; Ferris, Laura; Adam, David; Hong, H. Chih-ho; Kircik, Leon; Zirwas, Matthew; Burnett, Patrick; Higham, Robert; Krupa, David; Berk, David title: Durability of Efficacy and Safety of Roflumilast Cream 0.3% in Adults With Chronic Plaque Psoriasis From a 52-Week, Phase 2 Open-Label Safety Trial date: 2023-03-13 words: 2313 flesch: 56 summary: 1.0% • Safety was consistent with the parent trial (Tables 2 and 3) • 94% of adverse events (AEs) were rated mild or moderate in severity • 97% of AEs were unrelated or unlikely to be related to treatment as determined by the investigator • ≥97% of patients had no evidence of irritation per investigator local tolerability assessment at each visit (Figure 8) Figure 8. ~57.1% (n=185) of patients achieved IGA 0/1 during the trial; patients have a 50% probability of a duration of IGA of Clear or Almost Clear of more than 10 months (40.1 weeks) Duration of IGA Clear or Almost Clear (Weeks) 0.0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0 P ro b a b il it y I G A C le a r o r A lm o st C le a r 4 12 20 28 360 8 16 24 32 44 56 6440 48 6052 Censored 170 138 114 93 69185 166 123 101 82 41 5 063 37 28At risk Roflumilast Cream Phase 2b (Trial #201; NCT03638258)2 Roflumilast Cream Phase 2 Long-term Safety (Trial #202; NCT03764475) Eligibility • Diagnosis of at least mild plaque psoriasis • Age ≥18 years • 2-20% BSAa Roflumilast cream 0.3% QD Roflumilast cream 0.15% QD Vehicle QD Endpoints Primary: Safety • Occurrence of TEAEs • Occurrence of SAEs Secondary: Efficacy • IGA clear or almost clear • Intertriginous-IGA clear or almost clear • PASI • BSA 12 weeks R a n d o m iz a ti o n 1:1:1 N=331 Eligibility • Diagnosis of at least mild plaque psoriasis for at least 6 months • keywords: cohort; iga; patients; roflumilast; trial; week cache: skin-2040.pdf plain text: skin-2040.txt item: #746 of 1356 id: skin-2041 author: Draelos, Zoe; Farris, Patricia; Baldwin, Hilary; Tanghetti, Emil title: Comparison of Cutaneous Irritation With Repeated Application of Tazarotene 0.045% Lotion, Adapalene 0.3% Gel, and Trifarotene 0.005% Cream date: 2023-03-13 words: 1351 flesch: 36 summary: • Assessments were analyzed using a Wilcoxon signed-rank test; group differences were considered significant at a P-value of ≤0.05 Comparison of Cutaneous Irritation With Repeated Application of Tazarotene 0.045% Lotion, Adapalene 0.3% Gel, and Trifarotene 0.005% Cream Zoe D Draelos, MD1; Patricia Farris, MD2; Hilary Baldwin, MD3,4; Emil A Tanghetti, MD5 1Dermatology Consulting Services, High Point, NC; 2 Tulane University School of Medicine Department of Dermatology, New Orleans, LA; 3 The Acne Treatment and Research Center, Brooklyn, NY; 4Robert Wood Johnson University Hospital, New Brunswick, NJ; 5 Center for Dermatology and Laser Surgery, Sacramento, CA RESULTS Study 1: Adapalene 0.3% Gel vs Tazarotene 0.045% Lotion � 20 White adults (22–69 years; 95% female) were enrolled and completed this study � Tazarotene 0.045% lotion and adapalene 0.3% gel were both assessed as mildly irritating, with Dermal Effects mean scores <1 (Figure 2) • Differences in Dermal Effects mean scores between drugs were not statistically significant at any assessment, though there was slightly less irritation overall with tazarotene lotion than adapalene gel (highest mean scores: 0.50 and 0.80, respectively) � Other Effects mean scores were negligible (≤0.05) with both drugs � No irritation was observed at the control patch site at any study visit FIGURE 2. Study 2: Trifarotene 0.005% Cream vs Tazarotene 0.045% Lotion � 20 adults (22–74 years; 90% female; 90% White, 10% African American) were enrolled and completed this study � Dermal Effects mean scores with trifarotene cream were significantly greater than with tazarotene lotion at the first assessment (2 days after first patch application; P<0.05) and increased over the remaining visits (highest mean scores: 2.20 vs 0.70, respectively; P<0.001, all; Figure 3) � Other Effects mean scores were significantly greater with trifarotene cream than with tazarotene lotion, beginning at the second assessment (4 days after first patch application) and continuing through remaining visits (highest mean scores: 0.70 vs 0.20, respectively; P<0.01, all) keywords: lotion; study; tazarotene cache: skin-2041.pdf plain text: skin-2041.txt item: #747 of 1356 id: skin-2043 author: Gamal, Ahmed; Elshaer, Mohammed ; Long, Lisa; McCormick, Thomas ; Elewski, Boni; Ghannoum, Mahmoud title: Efinaconazole in the Age of Antifungal Resistance date: 2023-03-13 words: 1124 flesch: 42 summary: [n=15 each]) RESULTS � Efinaconazole showed superior potent activity against a broad panel of susceptible and resistant dermatophyte, Candida, and mold isolates (Figures 1–3) � E�naconazole (0.016 – 2) More potent antifungal activity All Mold Isolatesa (n=45) E�naconazole was the most active compound against different types of molds, including those with high itraconazole and terbina�ne MICs aScedosporium, Fusarium spp., Scopulariopsis. keywords: antifungal; isolates; mic cache: skin-2043.pdf plain text: skin-2043.txt item: #748 of 1356 id: skin-2045 author: Graber, Emmy; Baldwin, Hilary; Harper, Julie; Stein Gold, Linda; Alexis, Andrew; Fried, Richard; Rieder, Evan; Del Rosso, James; Kircik, Leon; Narayanan, Siva; Koscielny, Volker; Kasujee, Ismail; Hebert, Adelaide title: Investigator global assessment (IGA) of Acne Vulgaris and IGA Success among patients with moderate to severe non-nodular Acne Vulgaris (AV) administered sarecycline in community practices across the U.S: PROSES study analysis by gender and age date: 2023-03-13 words: 944 flesch: 46 summary: Results: A total of 253 AV patients completed the study (female: 66.40%; 9-17yrs: 39.92%; >=18yrs: 60.08%; Facial IGA success at week-12 was 56.47% for male and 60.12% for female; 57.43% for patients 9-17yrs old and 59.87% for patients >=18yrs old. Ismail Kasujee,11 Adelaide Hebert12 1The Dermatology Institute of Boston and Northeastern University, Boston, MA; 2Acne Treatment and Research Center, Brooklyn, NY; 3The Dermatology and Skin Care Center of Birmingham, Birmingham, AL; 4Henry Ford Health System, Bloomfield, MI; 5Weill Cornell Medical College, New York, NY; 6Yardley Dermatology Associates, Yardley, PA; 7New York University Grossman School of Medicine, New York, NY; 8JDR Dermatology Research/Thomas Dermatology, Las Vegas, NV; 9Icahn School of Medicine, Mount Sinai, New York, NY, 10Avant Health LLC, Bethesda, MD; 11Almirall SA, Barcelona, Spain; 12UTHealth McGovern Medical School, Houston, TX. INVESTIGATOR GLOBAL ASSESSMENT (IGA) OF ACNE VULGARIS AND IGA SUCCESS AMONG PATIENTS WITH MODERATE TO SEVERE NON-NODULAR ACNE VULGARIS (AV) ADMINISTERED SARECYCLINE IN COMMUNITY PRACTICES ACROSS THE U.S: PROSES STUDY ANALYSIS BY GENDER AND AGE Introduction: The objective of this analysis was to evaluate facial IGA and the associated IGA success, stratified by age and gender, among AV patients administered sarecycline in community practices across the U.S. Methods: A single-arm, prospective cohort study (PROSES) was conducted with moderate-to-severe non- nodular AV patients >9 years who were prescribed sarecycline in real-world community practices in the US. keywords: iga; patients; success cache: skin-2045.pdf plain text: skin-2045.txt item: #749 of 1356 id: skin-2046 author: Baldwin, Hilary; Del Rosso, James; Kircik, Leon; Stein Gold, Linda; Hebert, Adelaide; Rieder, Evan; Alexis, Andrew; Harper, Julie; Fried, Richard; Narayanan, Siva; Koscielny, Volker; Kasujee, Ismail; Graber, Emmy title: Investigator global assessment (IGA) of Acne Vulgaris and IGA Success among patients with moderate to severe non-nodular Acne Vulgaris (AV) administered sarecycline in community practices across the U.S in PROSES study: Analysis by concomitant medication date: 2023-03-13 words: 1012 flesch: 44 summary: INVESTIGATOR GLOBAL ASSESSMENT (IGA) OF ACNE VULGARIS AND IGA SUCCESS AMONG PATIENTS WITH MODERATE TO SEVERE NON-NODULAR ACNE VULGARIS (AV) ADMINISTERED SARECYCLINE IN COMMUNITY PRACTICES ACROSS THE U.S IN PROSES STUDY: ANALYSIS BY CONCOMITANT MEDICATION USE Introduction: IGA success at week-12 was defined as >2-grade improvement and score 0-clear or 1- almost clear at week-12. keywords: iga; patients; success cache: skin-2046.pdf plain text: skin-2046.txt item: #750 of 1356 id: skin-2047 author: Kircik, Leon; Schlesinger, Todd; Armstrong, April; Berman, Brian; Bhatia, Neal; Del Rosso, James; Lebwohl, Mark; Patel, Vishal; Rigel, Darrell; Narayanan, Siva; Koscielny, Volker; Kasujee, Ismail title: Impact of Actinic Keratosis (AK), as measured by patient-reported AK symptoms, and impact on emotions and functioning (using Skindex-16) among patients with AK administered tirbanibulin in real-world community practices across the U.S. (PROAK Study) date: 2023-03-13 words: 1107 flesch: 56 summary: The primary objective of the study was to evaluate patient-reported outcomes in terms of AK symptoms, and impact of AKs on emotions and functioning, among AK patients treated with tirbanibulin in community practices across the U.S. Methods: A single-arm, prospective cohort study (PROAK) was conducted among adult patients with AK of the face or scalp who were newly initiated with tirbanibulin treatment in real-world practices in the U.S, as part of usual care. OBJECTIVE • The primary objective of the study was to evaluate patient-reported outcomes in terms of AK symptoms, and impact of AKs on emotions and functioning, among AK patients treated with tirbanibulin in community practices across the U.S. RESULTS • PROAK study (NCT05260073) was initiated in 2022, with more than 75% of the study patients treated with tirbanibulin between April and August of 2022. keywords: baseline; patients; usa; week-8 cache: skin-2047.pdf plain text: skin-2047.txt item: #751 of 1356 id: skin-2048 author: Schlesinger, Todd; Kircik, Leon; Armstrong, April; Berman, Brian; Bhatia, Neal; Del Rosso, James; Lebwohl, Mark; Patel, Vishal; Rigel, Darrell; Narayanan, Siva; Koscielny, Volker; Kasujee, Ismail title: Investigator Global assessment (IGA) of Actinic Keratosis (AK) among patients administered tirbanibulin in real-world community practices across the U.S., and clinician likelihood to consider tirbanibulin again for future AK treatments (PROAK Study) date: 2023-03-13 words: 1225 flesch: 51 summary: • Overall, in 77.93% and 33.79% of study patients (not mutually exclusive), AK lesions on their face and scalp respectively were treated with tirbanibulin. [30.00, 90.00] Gender, % FemaleMale 31.38 68.62 Primary health insurance, % Private Insurance Medicaid Medicare Uninsured 41.72 3.10 53.79 1.38 History of skin cancer, % 61.72 Fitzpatrick skin type, % Type I Type II Type III Type IV Type V 7.59 71.38 18.62 1.38 1.03 Baseline patient self- reported skin-texture, % Dry Smooth Rough Bumpy Scaly Blistering Peeling 39.66 47.59 19.66 18.62 35.17 0.34 6.21 Baseline severity of skin photodamage in AK affected area, % Absent Mild Moderate Severe 1.03 21.38 56.55 20.34 73.79% 17.24% 8.97% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Completely / Partially Cleared Moderately Cleared Minimally / Not Cleared P ro po rti on o f P at ie nt s at w ee k- 8 Figure 1: Majority of patients who were administered tirbanibulin at baseline achieved IGA success at week-8 7.24% 7.59% 85.17% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Very / Somewhat Unlikely Neutral Somewhat / Very Likely P ro po rti on o f P at ie nt s at w ee k- 8 Figure 2: For majority of patients, clinicians reported their desire to consider tirbanibulin again Table 2: Site Characteristics (N=32) Current workplace: Private, office-based practice, % 100 Total number of board-certified dermatologists in the clinic/practice, Mean 3.53 Number of patients with AKs managed by the clinic in a given month, Mean 136.34 Number of years practicing dermatology, Mean 15.66 IGA Success N = 290 N = 290 keywords: iga; patients; tirbanibulin; week-8 cache: skin-2048.pdf plain text: skin-2048.txt item: #752 of 1356 id: skin-205 author: Gallo, Richard L; Raab, Susana; Yatskayer, Margarita; Lynch, Stephen title: Evaluation of the Efficacy and Tolerability of a Topical Facial Serum in Improving Signs of Aging date: 2017-10-27 words: 708 flesch: 38 summary: Bioinstrumental measurement analysis showed statistically significant improvement in hydration (p<0.001), barrier properties of the stratum corneum (p=0.017) and skin density (p=0.012) at week 12 when compared to baseline. In addition to the improvements observed in the clinical skin attributes, the study panel also showed improvements in skin hydration and barrier properties of the stratum corneum, skin density, increased HA content, and an increase in histochemical markers expression associated with HA such as HAS2 and Col1a1. 4804 A 12-week, single center, clinical study was conducted on 59 females, ages 42-60, presenting with mild to moderate facial sagging, loss of firmness, rough skin texture, nasolabial fold wrinkles, marionette wrinkles and presence of fine lines/wrinkles in the crow’s feet area, including those with self-perceived sensitive skin. keywords: skin; week cache: skin-205.pdf plain text: skin-205.txt item: #753 of 1356 id: skin-2052 author: Li, Vivian; Guenin, Sophie; Lebwohl, Mark title: Treatment of Severe Recalcitrant Atopic Dermatitis with Dupilumab in a Kidney Transplant Patient date: 2023-05-20 words: 1609 flesch: 51 summary: Dupilumab treatment resulted in significant improvement of symptoms, including reduced pruritus, and ultimately achieved disease control. A 30-year-old male first presented to us with severe atopic dermatitis in the context of an atopic triad. keywords: atopic; dermatitis; dupilumab; patient; skin; treatment cache: skin-2052.pdf plain text: skin-2052.txt item: #754 of 1356 id: skin-2054 author: Nesvik, Jazmine; Marshall, Leslie; Cleaver, David; Cleaver, Jonathan; Cleaver, Lloyd title: Apremilast in the Management of Generalized Granuloma Annulare: A Case Series date: 2023-07-17 words: 2326 flesch: 48 summary: Needing to explore other off-label options for this patient, it was decided to trial apremilast given its known anti-inflammatory effects and well- studied safety profile with minimal adverse effects. Objective: 1) To discuss whether treatment with apremilast could lead to improvement or resolution of generalized granuloma annulare. keywords: annulare; apremilast; granuloma; patients; steroids; treatment cache: skin-2054.pdf plain text: skin-2054.txt item: #755 of 1356 id: skin-2056 author: Gottlieb, Alice; Burge, Russel ; Malatestinic, William ; Zhu, Baojin; Zhao, Yunyang ; McCormack, Julie ; Kimel, Miriam; Feely, Meghan; Merola, Joseph title: Real-world effectiveness of ixekizumab in mild, moderate, and severe psoriasis: The patient perspective date: 2023-05-20 words: 1119 flesch: 40 summary: Percentage of patients with 0/1 scoresBSA: Mean % Involvement Skin Pain NRS: Percentage of patients with 0/1 scores P < 0.001 for all within-group comparisons of responses at baseline and at Week 24 DISCLOSURES  A. B. Gottlieb has received honoraria as an advisory board member, non-promotional speaker or consultant for: Amgen, AnaptysBio, Avotres Therapeutics, Boehringer Ingelheim, Bristol Myers Squibb, Dice Therapeutics, Dermavant, Eli Lilly, Janssen, Novartis, Pfizer, Sanofi, Sun Pharma, UCB Pharma, and Xbiotech (stock options for an RA project); research/educational grants from: AnaptysBio, Janssen, Novartis, Ortho Dermatologics, Sun Pharma, BMS, and UCB Pharma; all funds go to the Icahn School of Medicine at Mount Sinai  PowerPoint Presentation Assessments ■ Web-based questionnaires administered at baseline, Weeks 2, 4, 8, 12, and 24 ■ Patients were divided into mild (BSA <3%), moderate (BSA 3-10%), or severe (BSA>10%)3 Real-world effectiveness of ixekizumab in mild, moderate, and severe psoriasis: The patient perspective Key Eligibility Criteria ■ Patients with psoriasis enrolled in the US Ixekizumab CSP ■ ≥18 years of age ■ Commercial insurance ■ Initiated ixekizumab within 7 days of screening ■ Device with access to the internet Alice B. Gottlieb1, Russel Burge2, William N. Malatestinic2, Baojin Zhu2, Yunyang Zhao2, Julie McCormack3, Miriam Kimel3, Meghan Feely2, Joseph F. Merola4 1Icahn School of Medicine at Mount Sinai, New York, USA; 2Eli Lilly and Company, Indianapolis, USA; 3Evidera, Bethesda, USA; and 4Harvard Medical School, Brigham and Women’s Hospital, Boston, USA METHODS US Ixekizumab CSP Design Patient Demographics and Baseline Characteristics REFERENCES 1. keywords: baseline; psoriasis; week cache: skin-2056.pdf plain text: skin-2056.txt item: #756 of 1356 id: skin-2057 author: Jeanfreau, Alissa; Beiter, Kaylin; Hilton , Deborah title: Understanding the Factors Associated with US Dermatology Resident Trainees' Diagnostic Confidence and Skill for Skin of Color Pathology date: 2023-07-17 words: 2901 flesch: 43 summary: We first assessed overall performance on the assessment tool and found no significant difference between performance across skin types (84.7% correctly diagnosed overall; 85.4% for conditions in light skin types; 84.3% in darker skin types; p>0.05). We then analysed respondent score performance on diagnosis of cancerous conditions for images of patients with lighter versus darker skin types and found a significant difference (100% for conditions in lighter skin types; 75% in darker skin types; p<0.0001). keywords: color; conditions; dermatology; health; images; lesions; patients; skin; types cache: skin-2057.pdf plain text: skin-2057.txt item: #757 of 1356 id: skin-2061 author: Stashower, Julian; Wills, Abigail; Zlotoff, Barrett title: Vesiculobullous Erythema Migrans with Central Necrosis date: 2023-07-17 words: 668 flesch: 50 summary: Lyme disease typically presents with erythema migrans at the site of inoculation and a flu-like illness. Diagnosis of Lyme disease is primarily clinical, as histopathologic findings are non- specific and serologic tests, culture, and polymerase chain reaction have poor sensitivities, especially in the acute phase of the disease. keywords: disease; erythema; lyme cache: skin-2061.pdf plain text: skin-2061.txt item: #758 of 1356 id: skin-2063 author: Gladys, Taylor; Kim, Taehan; Beatty, Colleen J; Choudhary, Sonal title: Case of Generalized Granuloma Annulare Treated with Low Dose Naltrexone + PUVA date: 2023-07-17 words: 1475 flesch: 47 summary: Once on the dose of LDN at 4.5 mg, she began PUVA treatments, twice weekly. Generalized granuloma annulare presenting as erythematous papules coalescing on medial aspect of left arm (A) and left abdomen (B). keywords: annulare; granuloma; puva; treatment cache: skin-2063.pdf plain text: skin-2063.txt item: #759 of 1356 id: skin-2071 author: Paller, Amy; Knapp, Keith; Munoz, Breda; Claxton, Ami; Balu, Sanjeev; Schnieder, Shannon; Eichenfield, Lawrence title: Unmet Needs of Adolescents with Moderate to Severe Atopic Dermatitis in the TARGET DERM Registry date: 2023-05-20 words: 1501 flesch: 38 summary: vIGA-AD (scores 0-4) • Body Surface Area (BSA) (score %) • vIGA-AD x BSA (score 0-400) Table 1. EG is an employee of Mount Sinai and has received research grants research Grants paid to her institution: Boehringer Ingelheim, Leo Pharma, Pfizer, Cara Therapeutics, UCB, Kyowa Kirin, RAPT, Amgen, GSK, Incyte, Sanofi, Bristol Meyers Squibb, Aslan, Regeneron, Anaptysbio, Concert, Janssen and has been a consultant with: Abbvie, Almirall, Amgen, Aslan Pharmaceuticals, AstraZeneca, Biolojic Design, Boerhinger-Ingelhiem, Bristol Meyers Squibb, Cara Therapeutics, Connect, Pharma, DBV Technologies, Eli Lilly, EMD Serono, Evidera, Galderma, Gate Bio, Genentech, Incyte, Inmagene, Janssen Biotech, Kyowa Kirin, Leo Pharma, Merck, Pfizer, Q32 Bio, RAPT, Regeneron, Sanofi, SATO, Siolta, Target, UCB, Ventyx TARGET-DERM AD All patients N=2930 Age 12-17 (N=364) Study population N=128 • AST-naïve (n=40) • AST-treated (N=88)) AST-treated N=88 • Moderate N=57 • Severe N=31 ___________________________ • Prospective N=50 • Retrospective N=34 • Failed N=4 AST-naïve N=40 • Moderate N=28 • Severe N=12 Had 1+ follow-up visits (N=128) Moderate or severe AD: vIGA-AD of 3 or 4 (N=196) Figure 1. keywords: ast; target cache: skin-2071.pdf plain text: skin-2071.txt item: #760 of 1356 id: skin-2072 author: Haft, Michael; Knapp, Keith; Claxton, Ami; Munoz, Breda; Balu, Sanjeev; Schnieder, Shannon; Silverberg, Jonathan; Thaci, Diamant; Eichenfield, Lawrence title: Use of advanced systemic therapy in adolescent patients with moderate-to-severe atopic dermatitis in the TARGET-DERM Registry date: 2023-05-20 words: 1623 flesch: 46 summary: In multivariate analysis controlling for sex, age, insurance, and race, only higher BSA at enrollment was associated with AST-usage • BSA of 5% OR=1.09 (1.01-1.19) • BSA of 10% OR = 1.2 (1.01-1.42) • BSA of 20% OR = 1.43 (1.02-2.01) 1 Rady Children’s Hospital, San Diego, CA 2 University of California San Diego, San Diego, CA 3 Target RWE, Durham, NC 4 LEO Pharma Inc., Madison, NJ 5 George Washington School of Medicine, Washington DC 6 University of Lübeck, Lübeck Germany Use of advanced systemic therapy in adolescent patients with moderate-to-severe atopic dermatitis in the TARGET-DERM Registry Haft M1,2, Knapp K3, Claxton A4, Hernandez B3, Balu S4, Schneider S4, Silverberg J5, Thaci D6, Eichenfield L1,2 on behalf of TARGET-DERM Investigators Conclusion • More than half of the patients with considerable disease severity and who experienced negative QOL from moderate-to-severe AD were not prescribed AST • Compared to AST-naïve patients, descriptive analysis showed that the AST- treated were slightly more severe as indicated by significantly higher baseline BSA, higher vIGA-ADxBSA, and higher PO-SCORAD at enrollment. Abuabara, K. International observational atopic dermatitis cohort to follow natural history and treatment course: TARGETDERM AD study design and rational BMJ Open 2020;10:e0399282020. keywords: ast; enrollment; patients cache: skin-2072.pdf plain text: skin-2072.txt item: #761 of 1356 id: skin-2077 author: Plaza, Jose A; Estrada, Sarah I; Russell, Brooke H; Siegel, Jennifer J; Rogers, Jason; Wilkinson, Jeffrey K; Kurley, Sarah J; Goldberg, Matthew S; Motaparthi, Kiran title: Subtype performance of the ancillary diagnostic 23- and 35-gene expression profile (GEP) tests for difficult-to-diagnose melanocytic lesions date: 2023-05-20 words: 911 flesch: 50 summary: GEP workflow overall performance accuracy metrics Figure 1. Current clinical GEP workflow Presented at the Inaugeral Winter Clinical – Miami™ 2023 Meeting , February 17-20, 2023. keywords: gep; workflow cache: skin-2077.pdf plain text: skin-2077.txt item: #762 of 1356 id: skin-208 author: Migden, Michael R; Dummer, Reinhard title: Sonidegib Efficacy and Safety in Patients with Locally Advanced Basal Cell Carcinoma Based on Tumor Aaggressiveness date: 2017-10-27 words: 1753 flesch: 43 summary: He has served as a consultant or participated on advisory boards for Novartis Pharmaceuticals Corporation, Merck Sharp & Dohme, Bristol- Myers Squibb, Roche, GlaxoSmithKline, Amgen, and Takeda. Figure 3: Best Overall Response by laBCC Subtype at 30 Months Figure 4: Adverse Events Regardless of Cause in ≥20% of Patients with laBCC DCR, disease control rate; laBCC, locally advanced BCC; ORR, objective response rate. 0% 20% 40% 60% 80% 100% P at ie nt s, % Aggressive n = 37 Nonaggressive n = 29 5% 3% 32% 54% 5% 10% 38% 48% 3% DCR: 90% ORR: 52% DCR: 92% ORR: 59% Complete Response Partial Response Stable Disease Progressive Disease Unknown Sonidegib 200 mg 45 8 3 38 14 36 12 24 12 2 18 8 6 15 9 3 2 17 11 2 23 3 2 8 9 2 15 3 11 2 Muscle spasms Alopecia Dysgeusia Nausea Weight decrease CK increase Fatigue Diarrhea Appetite decrease Myalgia Vomiting 0 10 20 30 40 50 60 70 80 Patients, % A E s in ≥ 2 0% o f p at ie nt s w ith la B C C tr ea te d w ith s on id eg ib 2 00 m g Figure 4: Adverse Events Regardless of Cause in ≥20% of Patients with laBCC 56% 52% 47% 38% 32% 29% 29% 27% 18% 18% 12% keywords: labcc; patients; response; sonidegib; subtypes cache: skin-208.pdf plain text: skin-208.txt item: #763 of 1356 id: skin-2080 author: Solelymani, Teo; Martin, Brian; Tassavor, Michael title: The i31-gene expression profile test for cutaneous melanoma identifies patients with head and neck tumors who could forego sentinel lymph node biopsy date: 2023-05-20 words: 672 flesch: 48 summary: SLNB reduction rates in each T-category when using the i31-GEP for SLNB to guide decisions No patient (0/59) with an i31-GEP predicted SLN positivity risk of <5% had a positive SLNB. Sensitivity: true positive/(true positive + false negative); specificity: true negative/(true negative + false positive); negative predictive value: true negative/(true negative + false negative) H&N tumor, Received SLNB (T1a HR-T2a) Perform SLNB SLN – 95.0% (151/159) SLN+ 5% (8/159) i31-GEP for SLNB Low risk of SLN+ (<5%) High risk of SLN+ (>10%) Perform SLNB SLN+ 8% (8/100) Could have avoided SLNB SLN- 100% (59/59) keywords: gep; i31; slnb cache: skin-2080.pdf plain text: skin-2080.txt item: #764 of 1356 id: skin-2081 author: Zakria, Danny; Morgan-Linnell, Sonia K.; Brownstone, Nicholas title: The i31-GEP for sentinel lymph node (SLN) biopsy outperforms the MSKCC nomogram in predicting the risk of having a positive SLN in patients with cutaneous melanoma date: 2023-05-20 words: 968 flesch: 53 summary: PowerPoint Presentation Patients with T1–T2 tumors from previously published multicenter cohort studies who had undergone the SLNB procedure were analyzed by both the i31-GEP and the MSKCC nomogram (n=465).6 Accuracy metrics were compared using <5% predicted risk as a negative result and ≥5% as a positive result. › The i31-GEP for SLNB has demonstrated clinical utility to guide SLNB decisions in patients with T1-T2 tumors as well as guiding subsequent treatment plans with risk-of-recurrence. keywords: gep; i31; risk; slnb cache: skin-2081.pdf plain text: skin-2081.txt item: #765 of 1356 id: skin-2086 author: Stein Gold, Linda; Pinter, Andreas; Augustin, Matthias title: Efficacy and Safety of Calcipotriene/Betamethasone Dipropionate Cream for the Treatment of Plaque Psoriasis Evaluated from Pooled Phase 3 Data date: 2023-05-20 words: 1140 flesch: 64 summary: Mean DLQI improvement 2023 Winter Clinical - Miami *: p<0.05; **: p<0.01; ***: p<0.001; ****: p<0.0001; CAL/BDP PAD-cream vs. CAL/BDP gel/TS CAL/BDP PAD-cream (n=551) CAL/BDP gel/TS (n=542) PAD-cream vehicle (n=178) Overall, 1271 patients were included in this analysis, 551 patients were in the CAL/BDP PAD-cream group, 542 patients were in the CAL/BDP gel/TS group, and 178 patients were in the PAD-cream vehicle group. keywords: bdp; cal; cream; pad cache: skin-2086.pdf plain text: skin-2086.txt item: #766 of 1356 id: skin-209 author: Siu, Sarah Y; Ferzli, Georgina M; Brody, Neil title: Reduction of Facial Redness with Resveratrol Added to Topical Product Containing Green Tea Polyphenols and Caffeine date: 2017-10-27 words: 1970 flesch: 64 summary: Since the molecular targets of each component are not iden�cal, the components may act independently and synergis�cally to reduce cutaneous inflamma�on. The most common causes of facial redness and rashes include inflammatory dermatoses, infec�ons, and connec�ve �ssue disorders. keywords: data; redness; resveratrol; treatment cache: skin-209.pdf plain text: skin-209.txt item: #767 of 1356 id: skin-2091 author: Feldman, Steven; Han, George; Callender, Valerie; Kircik, Leon; Stein Gold, Linda; Bhatia, Neal; Tyring, Stephen; Zeichner, Joshua title: Benefit of Topical Combination Therapy for Acne Treatment: Analysis of Effect Size Using Number Needed to Treat date: 2023-05-20 words: 1284 flesch: 41 summary: WHAT IS NNT? � NNT is a metric for quantifying effect sizes of clinically relevant study endpoints1 � NNT represents the number of patients needed to treat to achieve an additional cure in a given timeframe1-3 • For example, NNT=3 means that 3 patients would need to be treated with active drug rather than vehicle before expecting an additional responder2 HOW IS NNT USED? IS NNT CALCULATED? � NNT is the reciprocal of the absolute risk reduction (ARR), rounded up to the nearest whole number1-3 WHAT ARE SOME LIMITATIONS OF NNT? Evaluates one binary outcome (eg, week 12 treatment success)2,4 No consideration of drug tolerability or study design/ population differences1-4 Clinical meaning subject to interpretation5 Bene�ts of a well- designed vehicle subtracted from active treatment,a leading to higher NNT values aDue to the potential of a well-designed vehicle to result in higher efficacy rates in the control group. keywords: acne; clin; dermatologics; nnt; ortho; treatment cache: skin-2091.pdf plain text: skin-2091.txt item: #768 of 1356 id: skin-2092 author: Harper, Julie; Kircik, Leon; Gold, Michael Gold; Hebert, Adelaide ; Sugarman, Jeffrey; Green, Lawrence; Stein Gold, Linda; Baldwin, Hilary; Del Rosso, James; Guenin , Eric title: Early and Sustained Reductions in Moderate-to-Severe Acne With Fixed-Dose Clindamycin Phosphate 1.2%, Benzoyl Peroxide 3.1%, and Adapalene 0.15% Gel date: 2023-05-20 words: 1406 flesch: 50 summary: The first triple-combination, fixed-dose acne topical in development, clindamycin phosphate 1.2%/benzoyl peroxide (BPO) 3.1%/adapalene 0.15% (IDP-126) gel, was efficacious and safe in 3 clinical studies3,4 OBJECTIVE � To determine threshold lesion reductions for IDP-126 gel and compare to its dyads and vehicle gel METHODS � A phase 2 (N=741; NCT03170388) and two phase 3 (N=183; N=180; NCT04214639; NCT04214652), double-blind, 12-week studies enrolled participants aged ≥9 years with moderate-to-severe acne � Participants were randomized to receive once-daily IDP-126 or vehicle gel; the phase 2 study included three additional dyad gel randomization arms: BPO/adapalene; clindamycin phosphate/BPO; and clindamycin phosphate/adapalene � Endpoints included least-squares mean percent change from baseline in inflammatory and noninflammatory lesion counts � The percentage of participants achieving ≥33%, ≥50%, and ≥75% thresholds in lesion reduction was evaluated RESULTS FIGURE 1. ACKNOWLEDGEMENTS: Medical writing support was provided by Prescott Medical Communications Group (Chicago, IL) with financial support from Ortho Dermatologics; Ortho Dermatologics is a division of Bausch Health US, LLC • Presented at Winter Clinical Miami 2023 • February 17-20, 2023 • Miami, FL SYNOPSIS � Adherence to acne treatment is highest when the outcome is rapid and substantial1 � keywords: gel; idp-126; vehicle; week cache: skin-2092.pdf plain text: skin-2092.txt item: #769 of 1356 id: skin-2095 author: Gottlieb, Alice; Burge, Russel; Malatestinic, William; Zhu, Baojin; Zhao, Yunyang; McCormack, Julie; Kimel, Miriam; Feely, Meghan; Merola, Joseph title: Achievement of the National Psoriasis Foundation Treatment Treat-to-Target Goals in the US Ixekizumab Customer Support Program date: 2023-05-20 words: 1047 flesch: 31 summary:  A. B. Gottlieb has received honoraria as an advisory board member, non-promotional speaker or consultant for: Amgen, AnaptysBio, Avotres Therapeutics, Boehringer Ingelheim, Bristol Myers Squibb, Dice Therapeutics, Dermavant, Eli Lilly, Janssen, Novartis, Pfizer, Sanofi, Sun Pharma, UCB Pharma, and Xbiotech (stock options for an RA project); research/educational grants from: AnaptysBio, Janssen, Novartis, Ortho Dermatologics, Sun Pharma, BMS, and UCB Pharma; all funds go to the Icahn School of Medicine at Mount Sinai; R. Burge, W. N. Malatestinic, B. Zhu, Y. Zhao, M. Feely are shareholders and employees of: Eli Lilly and Company; M. Feely is a clinical instructor at: Mount Sinai Hospital and has received consulting, travel, or speaker fees from: Aerolase, Castle Biosciences, Galderma Aesthetics, Glow Recipe, La Roche-Posay - L'Oréal, Revian, Sonoma Pharmaceuticals, Sun Pharma, and Suneva Medical; J. McCormack and M. Kimel declare no conflicts of interest; J. F. Merola is a consultant and/or investigator for: AbbVie, Amgen, Biogen, Bristol Myers Squibb, Dermavant, Eli Lilly and Company, Janssen, LEO Pharma, Novartis, Pfizer, Sanofi Regeneron, Sun Pharma, and UCB Pharma  This study was sponsored by Eli Lilly and Company. keywords: bsa; pharma; response; target cache: skin-2095.pdf plain text: skin-2095.txt item: #770 of 1356 id: skin-2097 author: Guenin, Sophie; Shah, Syed; Lebwohl, Mark title: Oral Jak Inhibitor Upadacitinib Use in Treatment of Pemphigus Foliaceus : Case Report date: 2023-07-17 words: 1608 flesch: 50 summary: Our patient’s rapid response to upadacitinib, a selective JAK1 inhibitor, suggests a novel, steroid-sparing agent for PF treatment. Dsg1 antibodies result in autoantibody-triggered signaling events that further promote keratinocyte dissociation.7 Pemphigus has been largely considered a T helper (Th) 2-dominant disease with predominance of Th2 cytokines such as IL-4 in PF patients. IL-4 keywords: foliaceus; patient; pemphigus; treatment; upadacitinib cache: skin-2097.pdf plain text: skin-2097.txt item: #771 of 1356 id: skin-21 author: Arnold, Morgan; Vu, Mai-anh; Grimshaw, Emily title: Hailey-Hailey Disease Complicated by Herpes Simplex Viral Infection date: 2017-08-31 words: 1118 flesch: 55 summary: Although cases of Hailey - Hailey herpeticum are much less common than the better-studied eczema herpeticum, it is important for physicians to be aware that any disease that disrupts the stratum corneum increases the risk of superimposed HSV infection, which constitutes a medical emergency. A 51-year-old man with a history of Hailey- Hailey disease and recurrent MRSA cutaneous infections presented with a rash in his groin persisting for two weeks. keywords: disease; hailey; infection; skin cache: skin-21.pdf plain text: skin-21.txt item: #772 of 1356 id: skin-210 author: Siu, Sarah Y; Ferzli, Georgina M; Brody, Neil title: Topical Green Tea Polyphenols and Caffeine as a Treatment for Acne Vulgaris date: 2017-10-27 words: 1797 flesch: -1704 summary: dŽƉŝĐĂů�'ƌĞĞŶ�dĞĂ�WŽůLJƉŚĞŶŽůƐ�ĂŶĚ��ĂīĞŝŶĞ�ĂƐ�Ă�dƌĞĂƚŵĞŶƚ�ĨŽƌ��ĐŶĞ�sƵůŐĂƌŝƐ ^ĂƌĂŚ�z͘ �^ŝƵ͕�'ĞŽƌŐŝŶĂ�D͘�&Ğƌnjůŝ�ĂŶĚ�EĞŝů��ƌŽĚLJ The Department of Dermatology, SUNY Downstate Medical Center, Brooklyn, NY, 11203University Hospital of Brooklyn /ŶƚƌŽĚƵĐƟŽŶ Acne vulgaris is the most prevalent skin disorder in the US with 40-50 million individuals ĂīĞĐƚĞĚ͘�/ƚ�ĂīĞĐƚƐ�ϴϱй�ŽĨ�ĂĚŽůĞƐĐĞŶƚƐ͕�ĨƌŽŵ�ĂŐĞƐ�ϭϮͲϮϰ͕�ĂŶĚ�ĐĂŶ�ĐŽŶƟŶƵĞ�ŽŶ�ŝŶƚŽ�ĂĚƵůƚŚŽŽĚ͕� ǁŝƚŚ�ϮϬй�ŽĨ�ŵĞŶ�ĂŶĚ�ϯϱй�ŽĨ�ǁŽŵĞŶ�ƐƟůů�ĂīĞĐƚĞĚ�ŝŶƚŽ�ƚŚĞŝƌ�ϯϬƐ͘΀ϭ΁��ůƚŚŽƵŐŚ�ĂĐŶĞ�ŝƐ�ŶŽƚ�ůŝĨĞ� ƚŚƌĞĂƚĞŶŝŶŐ�ŝƚ�ĐĂƵƐĞƐ�ƐŝŐŶŝĮĐĂŶƚ�ƉƐLJĐŚŽƐŽĐŝĂů�ŵŽƌďŝĚŝƚLJ�ĂŶĚ�ŚĂƐ�ƉŚLJƐŝĐĂů�ƐĞƋƵĞůĂĞ�ŝŶĐůƵĚŝŶŐ� ůŝĨĞůŽŶŐ�ƐĐĂƌƌŝŶŐ͘΀Ϯ΁�ĐŶĞ�ŝƐ�Ă�ĐŽŵƉůĞdž�ŝŶƚĞƌĂĐƟŽŶ�ŽĨ�ƚŚĞ�ŝŵŵƵŶĞ�ƐLJƐƚĞŵ�ƌĞĐŽŐŶŝƟŽŶ�ŽĨ� Propionibacterium acnes�ďĂƐĞĚ�ŽŶ�ĂŶ�ŝŶĚŝǀŝĚƵĂůƐ�ŐĞŶĞƟĐƐ�ƉůĂLJĞĚ�ŽƵƚ�ŝŶ�ƚŚĞ�ĨŽůůŝĐƵůĂƌ� ĂƉƉĂƌĂƚƵƐ͘�P. acnes�ŝƐ�Ă�ŬĞLJ�ƉůĂLJĞƌ�ŝŶ�ƚŚĞ�ƉĂƚŚŽŐĞŶĞƐŝƐ�ŽĨ�ĂĐŶĞ͘�dŚĞƐĞ�'ƌĂŵͲƉŽƐŝƟǀĞ͕� ĂŶĂĞƌŽďŝĐͬŵŝĐƌŽĂĞƌŽƉŚŝůŝĐ�ƌŽĚƐ�ĂƌĞ�ĨŽƵŶĚ�ǁŝƚŚŝŶ�ƐĞďĂĐĞŽƵƐ�ĨŽůůŝĐůĞƐ͘�dŚĞLJ�ƉƌŽĚƵĐĞ�ƉŽƌƉŚLJƌŝŶƐ� ƚŚĂƚ�ŇƵŽƌĞƐĐĞ�ƵŶĚĞƌ�tŽŽĚ Ɛ͛�ůĂŵƉƐ�ŝůůƵŵŝŶĂƟŽŶ͘΀ϭ΁ �ĂĐŚ�ŽĨ�ƚŚĞ�ƉŽƉƵůĂƌ�ĂĐŶĞ�ƚƌĞĂƚŵĞŶƚƐ�ŝƐ�Ă�ƚĂƌŐĞƚ�ŽĨ�ĂƩĂĐŬ�ŝŶ�ƚŚĞ�ůŝƚĞƌĂƚƵƌĞ�ĂŶĚ�ůĂLJ�ƉƌĞƐƐ�ĨŽƌ� ĂƐƐŽƌƚĞĚ�ƌĞĂƐŽŶƐ͘�/ƐŽƚƌĞŝŶŽŝŶ͕�ŽŶĞ�ŽĨ�ƚŚĞ�ŵŽƐƚ�ĞīĞĐƟǀĞ�ƚƌĞĂƚŵĞŶƚƐ�ŚĂƐ�ďĞĞŶ�ĂƩĂĐŬĞĚ�ďĞĐĂƵƐĞ� ŽĨ�ƐŝĚĞƐ�ĞīĞĐƚƐ͕�ŝŶĐůƵĚŝŶŐ�ůŝǀĞƌ�ĞŶnjLJŵĞ�ĂďŶŽƌŵĂůŝƟĞƐ͕�ĚLJƐůŝƉŝĚĞŵŝĂ�ĂŶĚ�ƚĞƌĂƚŽŐĞŶŝĐŝƚLJ͕ �ĂŶĚ�ŝƚƐ� ƵƐĞ�ŝƐ�ůŝŵŝƚĞĚ�ŝŶ�ŵĂŶLJ�ĐŽƵŶƚƌŝĞƐ͘΀ϯ΁�KƌĂů�ĂŶĚ�ƚŽƉŝĐĂů�ĂŶƟďŝŽƟĐƐ͕�ǁŚŝůĞ�ĞīĞĐƟǀĞ�ĨŽƌ� ŝŶŇĂŵŵĂƚŽƌLJ�ůĞƐŝŽŶƐ�ĂƌĞ�ĂĐĐƵƐĞĚ�ŽĨ�ůĞĂĚŝŶŐ�ƚŽ�ďĂĐƚĞƌŝĂů�ƌĞƐŝƐƚĂŶĐĞ͘΀ϰ΁�dŽƉŝĐĂů�ƌĞƟŶŽŝĚƐ͕�ƚŚĞ� ĐƵƌƌĞŶƚ�ĮƌƐƚͲůŝŶĞ�ƚƌĞĂƚŵĞŶƚ�ĨŽƌ�ĂĐŶĞ͕�ĐĂƵƐĞ�ŝƌƌŝƚĂƟŽŶ�ĂŶĚ�ďƵƌŶŝŶŐ�ŽŶ�ŝŶŝƟĂƟŽŶ͘΀ϱ΁��Ɛ�Ă�ƌĞƐƵůƚ͕� ƚŚĞƌĞ�ĞdžŝƐƚƐ�Ă�ŶĞĞĚ�ĨŽƌ�ŶĞǁ�ĚƌƵŐƐ�ǁŝƚŚ�ĨĞǁĞƌ�ƐŝĚĞ�ĞīĞĐƚƐ�ǁŝƚŚŽƵƚ�ĚŝŵŝŶŝƐŚŝŶŐ�ĞĸĐĂĐLJ͘ �'ƌĞĞŶ� ƚĞĂ�ƉŽůLJƉŚĞŶŽů�;'dWͿ�ŚĂƐ�ŐĂŝŶĞĚ�ŝŶƚĞƌĞƐƚ�ŝŶ�ƌĞĐĞŶƚ�LJĞĂƌƐ�ďĞĐĂƵƐĞ�ŽĨ�ŝƚƐ�ƉŽƚĞŶƚ�ĂŶƟŵŝĐƌŽďŝĂů� ĂŶĚ�ĂŶƟͲŝŶŇĂŵŵĂƚŽƌLJ�ĂĐƟǀŝƟĞƐ͘΀ϲ΁��ǀŝĚĞŶĐĞ�ŚĂƐ�ƐŚŽǁŶ�ƚŚĂƚ�'dW�ŚĂƐ�ĂŶƟďĂĐƚĞƌŝĂů�ĞīĞĐƚƐ�ŽŶ�W͘� ĂĐŶĞƐ͕�ĂƐ�ǁĞůů�ĂƐ�ƐĞďŽƐƵƉƌĞƐƐŝǀĞ͕�ĂƉŽƉƚŽƟĐ͕�ĂŶĚ�ĂŶƟͲŝŶŇĂŵŵĂƚŽƌLJ�ĞīĞĐƚƐ�ŽŶ�ƐĞďŽĐLJƚĞƐ͘΀ϳ΁� �ĂīĞŝŶĞ�ŝƐ�ĂŶŽƚŚĞƌ�ǁĞůůͲŬŶŽǁŶ�ĂŶƟͲŝŶŇĂŵŵĂƚŽƌLJ�ŝŶŐƌĞĚŝĞŶƚ͘�dŽŐĞƚŚĞƌ͕ �'dW�ĂŶĚ�ĐĂīĞŝŶĞ� ƐLJŶĞƌŐŝƐƟĐĂůůLJ�ƉƌŽƚĞĐƚ�ĐĞůůƐ�ĨƌŽŵ�ŽdžŝĚĂƟǀĞ�ĐŚĂůůĞŶŐĞ͘ Methods tĞ�ŝĚĞŶƟĮĞĚ�Ă�ŐƌŽƵƉ�ŽĨ�ϭϯ�ƉĂƟĞŶƚƐ�ĨƌŽŵ�ŽƵƌ�ƉƌŝǀĂƚĞ�ƉƌĂĐƟĐĞ�ĚĂƚĂďĂƐĞ�ĨƌŽŵ�ϮϬϬϴ�ƚŽ�ϮϬϭϲ� ǁŚŽ�ŚĂĚ�ƚŚĞ�ƌĞƋƵŝƐŝƚĞ�ŝŵĂŐĞƐ�ĚƵƌŝŶŐ�ϲ�ŵŽŶƚŚƐ�ŽĨ�ƚƌĞĂƚŵĞŶƚ͘�tĞ�ĂŶĂůLJnjĞĚ�ƚŚĞ�ŝŵĂŐĞƐ�ŽĨ�ƚŚĞ� ƉĂƟĞŶƚƐ�;ĂŐĞƐ�ϭϴ�ƚŽ�ϰϬͿ�ǁŝƚŚ�ŵŝůĚ�ƚŽ�ŵŽĚĞƌĂƚĞ�ĂĐŶĞ�ǀƵůŐĂƌŝƐ�ƚŽ�ĞǀĂůƵĂƚĞ�ƚŚĞ�ĞĸĐĂĐLJ�ŽĨ�Ă� ĐŽŵŵĞƌĐŝĂůůLJ�ĂǀĂŝůĂďůĞ�ƚŽƉŝĐĂů�ƉƌŽĚƵĐƚ�ĐŽŶƚĂŝŶŝŶŐ�ϵϬй�'dW�ĂŶĚ�ĐĂīĞŝŶĞ�h^W͘�^ƵďũĞĐƚƐ�ǁĞƌĞ� ƉŚŽƚŽŐƌĂƉŚĞĚ�ƵŶĚĞƌ�ŇƵŽƌĞƐĐŝŶŐ�ĐŽŶĚŝƟŽŶƐ�ƵƐŝŶŐ��ĂŶĮĞůĚ�ŝŵĂŐŝŶŐ�ĞƋƵŝƉŵĞŶƚ�ďĞĨŽƌĞ� ƚƌĞĂƚŵĞŶƚ�ĂŶĚ�Ăƚ�ŵŽŶƚŚůLJ�ĨŽůůŽǁͲƵƉƐ͘�ϭϯ�ďůŝŶĚĞĚ�ƉĂŝƌƐ�ŽĨ�ƉƌĞ�ĂŶĚ�ƉŽƐƚͲƚƌĞĂƚŵĞŶƚ�ƉŚŽƚŽŐƌĂƉŚƐ� ǁĞƌĞ�ƐŚŽǁŶ�ƚŽ�Ϯϴ�ĚĞƌŵĂƚŽůŽŐLJ�ƌĞƐŝĚĞŶƚƐ�ǁŚŽ�ƐĞƌǀĞĚ�ĂƐ�ĞǀĂůƵĂƚŽƌƐ͘��ǀĂůƵĂƚŽƌƐ�ǁĞƌĞ�ĂƐŬĞĚ�ƚŽ� ƐĞůĞĐƚ�ǁŚŝĐŚ�ƉŚŽƚŽ�ŝŶ�Ă�ƉĂŝƌ�ŚĂĚ�ƚŚĞ�ĨĞǁĞƐƚ�ŶƵŵďĞƌ�ŽĨ�ŽƌĂŶŐĞ�ƐƉŽƚƐ͘�dŚĞ�ĞǀĂůƵĂƚŽƌƐ�ǁĞƌĞ�ŶŽƚ� ƚŽůĚ�ƚŚĞ�ŽƌĂŶŐĞ�ƐƉŽƚƐ�ǁĞƌĞ�ŽĨ�ƉŽƌƉŚLJƌŝŶ�ŇƵŽƌĞƐĐĞŶĐĞ͘�/ŶƚƌĂĐůĂƐƐ�ĐŽƌƌĞůĂƟŽŶ�ĐŽĞĸĐŝĞŶƚ�;/��Ϳ� ǁĂƐ�ƵƐĞĚ�ƚŽ�ŵĞĂƐƵƌĞ�ƚŚĞ�ŝŶƚĞƌͲƌĂƚĞƌ�ƌĞůŝĂďŝůŝƚLJ�ŽĨ�ĞǀĂůƵĂƚŽƌƐ�ŽĨ�ƚŚĞ�ƉŚŽƚŽŐƌĂƉŚ�ƉĂŝƌƐ͘ Results dŚĞ�ĞǀĂůƵĂƚŽƌƐ�ĨŽƵŶĚ�Ă�ĚĞĐƌĞĂƐĞ�ŝŶ�ŽƌĂŶŐĞ�ƐƉŽƚƐ�ĐŽƌƌĞƐƉŽŶĚŝŶŐ�ƚŽ�P. acnes�ŇƵŽƌĞƐĐĞŶĐĞ�ŝŶ�ϭϮ� ŽƵƚ�ŽĨ�ϭϯ�ƉĂŝƌƐ�ŽĨ�ŝŵĂŐĞƐ͘ dŚĞƌĞ�ǁĂƐ�Ă�ƐŝŶŐůĞ�ƐĞƚ�ŽĨ�ƉŚŽƚŽƐ�ŝŶ�ǁŚŝĐŚ�ƚŚĞ�ŵĂũŽƌŝƚLJ�ŽĨ�ĞǀĂůƵĂƚŽƌƐ�ǁĞƌĞ�ŶŽƚ�ĂďůĞ�ƚŽ� ĚŝƐƟŶŐƵŝƐŚ�ƚŚĞ�ƉŽƐƚͲƚƌĞĂƚŵĞŶƚ�ŝŵĂŐĞ͘ dŚĞ�ĂǀĞƌĂŐĞ�ŵĞĂƐƵƌĞƐ�/���ĂŵŽŶŐƐƚ�ĞǀĂůƵĂƚŽƌƐ�ǁĂƐ�Ϭ͘ϵϯϰ�;ϵϱй��/�Ϭ͘ϴϲϴ�ƚŽ�Ϭ͘ϵϳϲͿ dŚĞ�ĚĞĐƌĞĂƐĞ�ŝŶ�ŇƵŽƌĞƐĐĞŶĐĞ�ŝŶ�P. acnes�ǁĂƐ�ƐĞĞŶ�ĂƐ�ĞĂƌůLJ�ĂƐ�ϭ�ŵŽŶƚŚ�ĂŶĚ�ĐŽŶƟŶƵĞĚ�ĨŽƌ�ƚŚĞ�ϲ� ŵŽŶƚŚƐ�ƚŚĂƚ�ƚŚĞ�ƉĂƟĞŶƚƐ�ǁĞƌĞ�ĨŽůůŽǁĞĚ͘ dŚĞƌĞ�ǁĂƐ�ƐƵďũĞĐƟǀĞ�ŝŵƉƌŽǀĞŵĞŶƚ�ŝŶ�ƚŚĞ�ĂƉƉĞĂƌĂŶĐĞ�ŽĨ�ĂĐŶĞ�ĂŶĚ�ƚƌĞĂƚŵĞŶƚ�ǁĂƐ�ǁĞůů� ƚŽůĞƌĂƚĞĚ�ǁŝƚŚ�ŶŽ�ĂĚǀĞƌƐĞ�ŽƵƚĐŽŵĞƐ͘�;�ĂƚĂ�ƉƌĞƐĞŶƚĞĚ�ĞůƐĞǁŚĞƌĞͿ Discussion dŚĞ�'dW�ĂŶĚ�ĐĂīĞŝŶĞ�ƚŽƉŝĐĂů�ƚƌĞĂƚŵĞŶƚ�ĚĞĐƌĞĂƐĞĚ�ƚŚĞ�ƉŽƌƉŚLJƌŝŶ�ůĞǀĞůƐ͕�ǁŚŝĐŚ�ŝŶĚŝĐĂƚĞĚ�Ă� ĚĞĐƌĞĂƐĞ�Žƌ�ĐŚĂŶŐĞ�ŝŶ�ŵĞƚĂďŽůŝĐ�ĨƵŶĐƟŽŶ�ŽĨ�P. acnes͘�tĞ�ĚŝĚ�ŶŽƚ�ĞǀĂůƵĂƚĞ�ďLJ�ĐŽůŽŶLJ�ĐŽƵŶƚƐ� that the P. acnes�ǁĂƐ�ƌĞĚƵĐĞĚ�ďƵƚ�ƚŚĞƌĞ�ǁĂƐ�ĐŽƌƌĞƐƉŽŶĚĞŶĐĞ�ďĞƚǁĞĞŶ�ƚŚĞ�ĚĞĐƌĞĂƐĞ�ŝŶ� ƉŽƌƉŚLJƌŝŶ�ůĞǀĞůƐ�ĂŶĚ�ƚŚĞ�ĐůŝŶŝĐĂů�ŝŵƉƌŽǀĞŵĞŶƚ�ŝŶ�ĂĐŶĞ͘ KƵƌ�ŝŶŝƟĂů�ƵƐĞ�ŽĨ�ƚŚŝƐ�ĐŽŵŵĞƌĐŝĂůůLJ�ĂǀĂŝůĂďůĞ�ĂŶƟŽdžŝĚĂŶƚ�ŝŶ�ŽƵƌ�ĂĐŶĞ�ƉĂƟĞŶƚƐ�ǁĂƐ�ƚŽ�ƚŚĞ� ŵŝƟŐĂƚĞ�ƚŚĞ�ŝƌƌŝƚĂŶƚ�ĞīĞĐƚƐ�ŽĨ�ƚƌĞƟŶŽŝŶ͘�dŚŝƐ�ƉƌŽĚƵĐƚ�ĐŽŶƚĂŝŶƐ�Ăůů�ŽĨ�ƚŚĞ�ŶĂƚƵƌĂůůLJ�ŽĐĐƵƌƌŝŶŐ� ƉŽƌƟŽŶƐ�ŽĨ�ŐƌĞĞŶ�ƚĞĂ�ǁŚŝĐŚ�ŝŶĐůƵĚĞƐ�ŵŽůĞĐƵůĞƐ�ƚŚĂƚ�ŚŝƐƚŽƌŝĐĂůůLJ�ǁĞƌĞ�ŬŶŽǁŶ�ƚŽ�ŚĂǀĞ� ĂŶƟďĂĐƚĞƌŝĂů�ƉƌŽƉĞƌƟĞƐ�ƚŚĂƚ�ŝŶĐůƵĚĞ�P. acnes͘ >ŝŵŝƚĂƟŽŶƐ ^ŵĂůů�ƐĂŵƉůĞ�ƐŝnjĞ tĞ�ĚŝĚ�ŶŽƚ�ƋƵĂŶƟƚĂƚĞ�ďĂĐƚĞƌŝŽůŽŐŝĐĂůůLJ�Ă�ƌĞĚƵĐƟŽŶ�ŝŶ�P. acnes͘ Conclusion 'dW�ĂŶĚ�ĐĂīĞŝŶĞ�ĂƌĞ�Ă�ŶŽǀĞů�ƚƌĞĂƚŵĞŶƚ�ƚŚĂƚ�ŽďǀŝĂƚĞƐ�ŵŽƐƚ�ŽĨ�ƚŚĞ�ƌĞĂƐŽŶƐ�ƚŚĂƚ�ŽƚŚĞƌ�ƐƚĂŶĚĂƌĚ� ĂĐŶĞ�ŵĞĚŝĐĂƟŽŶƐ�ĂƌĞ�ĂƩĂĐŬĞĚ�ŝŶ�ůŝƚĞƌĂƚƵƌĞ͘�dŚĞ�ĨŽƌŵƵůĂƟŽŶƐ�ĞŝƚŚĞƌ�ĐƌĞĂŵ�Žƌ�ƐĞƌƵŵ�ĚŽĞƐ�ŶŽƚ� ŝƌƌŝƚĂƚĞ�ƚŚĞ�ƐŬŝŶ�ĂŶĚ�ŵĂLJ�ĚĞĐƌĞĂƐĞ�ƚŚĞ�ŝƌƌŝƚĂƟŽŶ�ŽĨ�ƌĞƟŶŽŝĚƐ͘ dŽƉŝĐĂů�'dW�ĂŶĚ�ĐĂīĞŝŶĞ�ǁĞƌĞ�ĨŽƵŶĚ�ƚŽ�ďĞ�Ă�ǀŝĂďůĞ�ŶŽŶͲĂŶƟďŝŽƟĐ�ĂŶĚ�ŶŽŶͲŝƌƌŝƚĂƟŶŐ�ĂĚĚŝƟŽŶ�ƚŽ� ŽƵƌ�ĂƌŵĂŵĞŶƚĂƌŝƵŵ�ŽĨ�ĂĐŶĞ�ƚƌĞĂƚŵĞŶƚƐ͘ Disclosures dŚĞ�ĐŽŵŵĞƌĐŝĂůůLJ�ĂǀĂŝůĂďůĞ�ƉƌŽĚƵĐƚ�ǁĂƐ�ŐĞŶĞƌŽƵƐůLJ�ĚŽŶĂƚĞĚ�ďLJ�dŽƉŝdž�WŚĂƌŵĂĐĞƵƟĐĂůƐ͕�/ŶĐ͘�/ƚ�ŝƐ� ŵĂƌŬĞƚĞĚ�ĂƐ�ZĞƉůĞŶŝdž��&�ĂŶĚ�ĂǀĂŝůĂďůĞ�ŝŶ�ĐƌĞĂŵ�ĂŶĚ�ƐĞƌƵŵ�ĨŽƌŵƵůĂƟŽŶƐ͘��ƌ͘ ��ƌŽĚLJ�ǁĂƐ� ŝŶǀŽůǀĞĚ�ŝŶ�ƚŚĞ�ĐŽŶĐĞƉƚƵĂůŝnjĂƟŽŶ�ĂŶĚ�ĚĞƐŝŐŶ�ŽĨ�ƚŚĞ�ƉƌŽĚƵĐƚ͘ References ϭ͘��ŽůŽŐŶŝĂ͕�:͕͘�:ŽƌŝnjnjŽ͕�:͘�>͕͘�Θ�^ĐŚĂīĞƌ͕ �:͘�s͘ �͕��ĞƌŵĂƚŽůŽŐLJ͘ �ϮϬϭϮ͕�WŚŝůĂĚĞůƉŚŝĂ͗��ůƐĞǀŝĞƌ�^ĂƵŶĚĞƌƐ͘ Ϯ͘�>ĂLJƚŽŶ͕��͘D͕͘�KƉƟŵĂů�ŵĂŶĂŐĞŵĞŶƚ�ŽĨ�ĂĐŶĞ�ƚŽ�ƉƌĞǀĞŶƚ�ƐĐĂƌƌŝŶŐ�ĂŶĚ�ƉƐLJĐŚŽůŽŐŝĐĂů�ƐĞƋƵĞůĂĞ͘��ŵ�:��ůŝŶ��ĞƌŵĂƚŽů͕�ϮϬϬϭ͘�Ϯ;ϯͿ͗�Ɖ͘�ϭϯϱͲϰϭ͘ ϯ͘�dŚŝďŽƵƚŽƚ͕��͘D͕͘�KǀĞƌǀŝĞǁ�ŽĨ�ĂĐŶĞ�ĂŶĚ�ŝƚƐ�ƚƌĞĂƚŵĞŶƚ͘��ƵƟƐ͕�ϮϬϬϴ͘�ϴϭ;ϭ�^ƵƉƉůͿ͗�Ɖ͘�ϯͲϳ͘ ϰ͘�ZŽƐƐ͕�:͘/͕͘�Ğƚ�Ăů͕͘�WŚĞŶŽƚLJƉŝĐ�ĂŶĚ�ŐĞŶŽƚLJƉŝĐ�ĐŚĂƌĂĐƚĞƌŝnjĂƟŽŶ�ŽĨ�ĂŶƟďŝŽƟĐͲƌĞƐŝƐƚĂŶƚ�WƌŽƉŝŽŶŝďĂĐƚĞƌŝƵŵ�ĂĐŶĞƐ�ŝƐŽůĂƚĞĚ�ĨƌŽŵ�ĂĐŶĞ�ƉĂƟĞŶƚƐ ����ĂƩĞŶĚŝŶŐ�ĚĞƌŵĂƚŽůŽŐLJ�ĐůŝŶŝĐƐ�ŝŶ��ƵƌŽƉĞ͕�ƚŚĞ�h͘^͘�͕͘�:ĂƉĂŶ�ĂŶĚ��ƵƐƚƌĂůŝĂ͘��ƌ�:��ĞƌŵĂƚŽů͕�ϮϬϬϭ͘�ϭϰϰ;ϮͿ͗�Ɖ͘�ϯϯϵͲϰϲ͘ ϱ͘�^ƚƌĂƵƐƐ͕�:͘^͕͘�Ğƚ�Ăů͕͘�'ƵŝĚĞůŝŶĞƐ�ŽĨ�ĐĂƌĞ�ĨŽƌ�ĂĐŶĞ�ǀƵůŐĂƌŝƐ�ŵĂŶĂŐĞŵĞŶƚ͘�:��ŵ��ĐĂĚ��ĞƌŵĂƚŽů͕�ϮϬϬϳ͘�ϱϲ;ϰͿ͗�Ɖ͘�ϲϱϭͲϲϯ͘ ϲ͘��ĂďƌĞƌĂ͕��͕͘�Z͘��ƌƚĂĐŚŽ͕�ĂŶĚ�Z͘�'ŝŵĞŶĞnj͕��ĞŶĞĮĐŝĂů�ĞīĞĐƚƐ�ŽĨ�ŐƌĞĞŶ�ƚĞĂͲͲĂ�ƌĞǀŝĞǁ͘�:��ŵ��Žůů�EƵƚƌ͕ �ϮϬϬϲ͘�Ϯϱ;ϮͿ͗�Ɖ͘�ϳϵͲϵϵ͘ ϳ͘�zŽŽŶ͕�: z͘͘ ͕�Ğƚ�Ăů͕͘��ƉŝŐĂůůŽĐĂƚĞĐŚŝŶͲϯͲŐĂůůĂƚĞ�ŝŵƉƌŽǀĞƐ�ĂĐŶĞ�ŝŶ�ŚƵŵĂŶƐ�ďLJ�ŵŽĚƵůĂƟŶŐ�ŝŶƚƌĂĐĞůůƵůĂƌ�ŵŽůĞĐƵůĂƌ�ƚĂƌŐĞƚƐ�ĂŶĚ�ŝŶŚŝďŝƟŶŐ�W͘�ĂĐŶĞƐ͘�: ����/ŶǀĞƐƚ��ĞƌŵĂƚŽů͕�ϮϬϭϯ͘�ϭϯϯ;ϮͿ͗�Ɖ͘�ϰϮϵͲϰϬ͘ FC17PosterTopixSiuTopicalGTPCaffeine.pdf keywords: ă �; ăŷě �; ŝŷ �; ƚž �; � đăīğŝŷğ; � žĩ; � ƚśğ; � � cache: skin-210.pdf plain text: skin-210.txt item: #773 of 1356 id: skin-211 author: Kimball, Alexa B; Mariette, Xavier; Abraham, Bincy; Flynn, Ann; Forger, Frauke; Molto, Anna; Flipo, Rene Marc; van Tubergen, Astrid; Shaughnessy, Laura; Simpson, Jeff; Teil, Marie; Helmer, Eric; Wang, Maggie; Chakravarty, Eliza title: Lack of Placental Transfer of Certolizumab Pegol During Pregnancy: Results from CRIB, a Prospective, Postmarketing, Multicenter, Pharmacokinetic Study date: 2017-10-27 words: 2047 flesch: 56 summary: • Key inclusion criteria: – Patients were ≥30 weeks pregnant with a singleton or twins at the time of informed consent. – Patients were being treated with CZP as per the locally approved label and prescriber’s discretion. – Patients started or decided to continue CZP treatment independently from and prior to participating in this study and in accordance with the treating physician. – Patients received a CZP dose within 35 days prior to delivery. Median (min, max), unless stated otherwise Mothers (n=16)a Age, years 31 (18, 40) Mother’s indication for CZP treatment, n Rheumatoid arthritis 11 Crohn’s disease 3 keywords: birth; czp; data; infants; mothers; pharma; weeks cache: skin-211.pdf plain text: skin-211.txt item: #774 of 1356 id: skin-2113 author: Chovatiya, Raj; Balu, Sanjeev; Kim, Yestle; Althoff, Amanda G.; Rasouliyan, Lawrence title: Early Insights into the Characteristics of Tralokinumab Patients in a Real-World Setting in the United States date: 2023-05-20 words: 1713 flesch: 48 summary: *Other biologics include the following: certolizumab pegol, secukinumab, etanercept, adalimumab, tildrakizumab-asmn, infliximab, brodalumab, golimumab, risankizumab-rzaa, ustekinumab, ixekizumab, and/or guselkumab 16.7% 14.4% 10.0% 3.3% 5.6% 2.2% 29.5% 20.0% 13.3% 14.3% 4.8% 6.7% 0% 5% 10% 15% 20% 25% 30% 35% Any systemic infection Any skin infection Any cardiovascular disease Asthma Any oncologic disease Allergic rhinitis Percent of Patients with History of Medical Condition Biologic Naïve (n=90) Biologic Experienced (n=105) This study provides early insights into the baseline characteristics of tralokinumab patients in a real-world setting in the US • While many characteristics were similar between biologic-naïve and biologic- experienced patients, a higher proportion of biologic-experienced patients had a greater degree of documented disease severity • Understanding the types of patients who were being prescribed tralokinumab may help identify other patients who may benefit from tralokinumab to manage their moderate- to-severe AD • Additional real-world studies are required to observe the changes in clinical outcomes after the initiation of tralokinumab over a longer period of time Objective The objective of this study was to understand the demographic, medical history, and clinical baseline characteristics of adult patients who were prescribed tralokinumab for the treatment of AD in a real- world setting. keywords: biologic; patients; tralokinumab cache: skin-2113.pdf plain text: skin-2113.txt item: #775 of 1356 id: skin-2115 author: Stein Gold MD, Linda; Weiss MD, Jonathan S.; Fowler MD, Joseph F.; Hebert MD, Adelaide A.; Hebert MD, Adelaide A.; Sugarman MD, Jeffrey title: Efficacy of a Novel Formulation of Betamethasone Dipropionate 0.05% Spray Versus Augmented Betamethasone Dipropionate 0.05% Lotion In Patients >= 18 Years of Age with Moderate Plaque Psoriasis: A Pooled Analysis date: 2023-05-20 words: 1231 flesch: 66 summary: P�zer, Arcutis, Abbvie, Leo, Xencor Honoraria (advisory boards and lectures): P�zer, Arcutis, Leo, Ortho Dermatologics, Incyte, Almirall DSMB: Ortho Dermatologics, GSK, Regeneron, Sano� JS Consulting: Galderma, Incyte, Sol-Gel Advisory Boards: Incyte, P�zer, Sol-Gel Speaker: Galderma, Incyte, P�zer Honoraria: Galderma, Incyte, Sol-Gel Pooled e�cacy analysis included patients with stable disease (present for ≥ 3 months), an Investigator Global Assessment (IGA) = 3, and a Body Surface Area (BSA) of 10-20% who received either BDS (N = 356) or BDL (N = 90). keywords: bds; day; success cache: skin-2115.pdf plain text: skin-2115.txt item: #776 of 1356 id: skin-212 author: Eichenfield, Lawrence F; Armstrong, April; Green, Lawrence; Rastogi, Shipra; Pillai, Radhakrishnan; Israel, Robert title: Improvements in Lesional Pain and Itch Symptoms with Brodalumab in Psoriasis Studies date: 2017-10-27 words: 1936 flesch: 63 summary: The interleukin-17 receptor A (IL-17RA) antagonist brodalumab has demonstrated efficacy and safety for the treatment of moderate-to-severe plaque psoriasis in phase 3 clinical studies1,2 – AMAGINE-1: adult patients were randomized to receive placebo, brodalumab 140 mg, or brodalumab 210 mg every 2 weeks (Q2W)1 – AMAGINE-2/-3: patients were randomized to receive placebo, brodalumab (140 or 210 mg Q2W), or ustekinumab (45 or 90 mg depending on body weight)2 – Brodalumab demonstrated superior efficacy at week 12 vs placebo and ustekinumab - AMAGINE-1: brodalumab 140 The effect of brodalumab on lesional pain and itch, as measured within the PSI, was assessed in patients with moderate-to-severe psoriasis from three phase 3, multicenter, randomized, double-blind, placebo- and active-comparator– controlled studies (AMAGINE-1/-2/-3) METHODS Procedures • Patients in the AMAGINE-1/-2/-3 studies were randomized to receive treatment during the 12-week induction phase as follows: AMAGINE-1: brodalumab (140 or 210 mg Q2W) or placebo; AMAGINE-2: brodalumab (140 or 210 mg Q2W), placebo, or ustekinumab; AMAGINE-3: brodalumab (140 or 210 mg Q2W), placebo, or ustekinumab • Patients used a daily electronic diary to rate the severity of symptoms during the previous 24 hours on a PSI scale of 0 (not at all severe) to 4 (very severe) – keywords: brodalumab; itch; mg q2w; placebo; q2w cache: skin-212.pdf plain text: skin-212.txt item: #777 of 1356 id: skin-213 author: Lebwohl, Mark G; Green, Lawrence; Hsu, Sylvia; Rastogi, Shipra; Lin, Tina; Pillai, Radhakrishnan; Israel, Robert J title: Improvement of Nail Psoriasis with Brodalumab in Phase 3 Trials date: 2017-10-27 words: 909 flesch: 63 summary: N A PS I s co re , m ea n (S D ) 6 0 4 2 10 12 14 8 BL BL * BLWeek 12 Week 12 Week 12 Brodalumab 140 mg Q2W Placebo Brodalumab 210 mg Q2W 261n 466 472 1.1 (3.2)Improvement over baseline(as observed), mean (SD) 3.6 (3.9) 4.4 (3.8) 5.16.08.4 9.59.69.5 * BL, baseline; NAPSI, nail psoriasis severity index; Q2W, every 2 weeks; SD, standard deviation. N A PS I s co re im pr ov em en t ov er b as el in e, % 30 0 20 10 50 60 40 Placebo 11.6% 37.5% 46.3% Brodalumab 140 mg Q2W Brodalumab 210 mg Q2W 261 n466 472 NAPSI, nail psoriasis severity index; Q2W, every 2 weeks. keywords: brodalumab; napsi; q2w cache: skin-213.pdf plain text: skin-213.txt item: #778 of 1356 id: skin-214 author: Lebwohl, Mark; Papp, Kim A; Wu, Jashin J; Blauvelt, Andrew; Menter, Alan; Rastogi, Shipra; Pillai, Radhakrishnan; Israel, Robert title: Neuropsychiatric Adverse Events in Brodalumab Psoriasis Studies date: 2017-10-27 words: 1638 flesch: 62 summary: No pattern emerged between timing of the events and the initiation or withdrawal of brodalumab • Controlled data do not suggest a causal relationship between brodalumab treatment and SIB © 2017. The dermatology life quality index (DLQI) assesses the socio-psychological impact of the skin disease8 on patients’ lives and was measured in AMAGINE-1/-2/-3 • Data on psychiatric AEs were pooled for all trials and were summarized as follow-up time–adjusted event rates – The follow-up time–adjusted event rate is the total number of events reported during the follow-up observation time divided by total patient-years of observation; this includes gaps and interruptions in exposure and time beyond the exposure period RESULTS • Mean HADS anxiety and depression scores significantly improved with brodalumab compared with placebo by 12 weeks (Figure 1) • keywords: brodalumab; depression; patients; time; week cache: skin-214.pdf plain text: skin-214.txt item: #779 of 1356 id: skin-2140 author: Schlesinger, Todd; Kircik, Leon; Del Rosso, James; Rigel, Darrell; Lebwohl, Mark; Berman, Brian; Armstrong, April; Bhatia, Neal; Patel, Vishal A.; Narayanan, Siva; Koscielny, Volker; Kasujee, Ismail title: Clinician- and Patient-Reported Outcomes with Tirbanibulin 1% Treatment for Actinic Keratosis in Routine Clinical Practice Across the U.S. (PROAK Study) date: 2023-05-20 words: 5769 flesch: 54 summary: Clinician-reported satisfaction with tirbanibulin treatment compared with previous AK topical medications was higher than patient-reported satisfaction, most likely due to clinicians comparing the results based on their daily experience with AK patients. By contrast, this study has some strengths as to be able to assess QoL, treatment satisfaction and short-term effectiveness in daily practice tirbanibulin use in AK patients. keywords: authors; clinicians; inc; issue; keratosis; medicine; outcomes; patients; satisfaction; skin; society; study; tirbanibulin; treatment; week cache: skin-2140.pdf plain text: skin-2140.txt item: #780 of 1356 id: skin-2142 author: Fischer, Daniel ; Litchman, Graham title: A Case of a Large, Painful Dermatofibrosarcoma Protuberans Arising from a Traumatic Scar date: 2023-05-20 words: 1593 flesch: 36 summary: John’s Episcopal Hospital, Far, Rockaway, NY Dermatofibrosarcoma protuberans (DFSP) is a rare, locally aggressive and seldom metastatic soft tissue tumor usually confined to the dermis and subcutaneous tissues.1 The first case of DFSP was described in 1924 and termed by Hoffman in 1925.2 It accounts for less than 0.1% of all malignant neoplasms and 1% of soft tissue sarcomas.3 Diagnosis requires skin biopsy with histochemical analysis and mainstay of treatment is surgery. Dermatofibrosarcoma protuberans typically presents as a slow growing, nontender plaque that with time develops an asymmetric and multinodular, red, yellow, or brown appearance.1 DFSP most commonly appears on the trunk or extremities and less often on the head and neck but can appear almost anywhere.3 Local recurrence following excision is fairly common.4 keywords: case; chest; dermatofibrosarcoma; dfsp; mass; protuberans cache: skin-2142.pdf plain text: skin-2142.txt item: #781 of 1356 id: skin-2146 author: Zakria, Danny; Armstrong, April; Berman, Brian; Del Rosso, James; Lebwohl, Mark; Schlesinger, Todd; Rigel, Darrell title: The Importance of Medication Adherence in the Treatment of Actinic Keratosis: An Expert Consensus Panel date: 2023-05-20 words: 5586 flesch: 61 summary: 7 voted 9 Higher complexity, longer duration, and adverse effects negatively impact adherence to AK treatments. 7 voted 9 Lower adherence to AK treatments can lead to lower efficacy. keywords: adherence; aks; carcinoma; dermatol; keratosis; medicine; patients; review; skin; study; tirbanibulin; topical; treatment cache: skin-2146.pdf plain text: skin-2146.txt item: #782 of 1356 id: skin-2149 author: Rigel, Darrell; Lebwohl, Mark; Schlesinger, Todd; Armstrong, April; Berman, Brian; Bhatia, Neal; Del Rosso, James; Kircik, Leon; Patel, Vishal A.; Narayanan, Siva; Koscielny, Volker; Kasujee, Ismail title: Impact of Actinic Keratosis on patient-reported AK symptoms, emotions and functioning measured using Skindex-16, among patients with Actinic Keratosis administered tirbanibulin in real-world community practices across the U.S. (PROAK Study) date: 2023-05-20 words: 1843 flesch: 60 summary: [min, max] 66.30 [30.00, 90.00] Gender, % FemaleMale 31.38 68.62 Primary health insurance, % Private Insurance Medicaid Medicare Uninsured 41.72 3.10 53.79 1.38 History of skin cancer, % 61.72 Fitzpatrick skin type, % Type I Type II Type III Type IV Type V 7.59 71.38 18.62 1.38 1.03 Baseline patient self- reported skin-texture, % Dry Smooth Rough Bumpy Scaly Blistering Peeling 39.66 47.59 19.66 18.62 35.17 0.34 6.21 Baseline severity of skin photodamage in AK affected area, % Absent Mild Moderate Severe 1.03 21.38 56.55 20.34 Table 2: Site Characteristics N=32 Current workplace: Private, office-based practice, % 100 Total number of board-certified dermatologists in the clinic/practice, Mean 3.53 Number of patients with AKs managed by the clinic in a given month, Mean 136.34 Number of years practicing dermatology, Mean 15.66 77.51% 91.35% 0.00% 100.00% Baseline Week - 8 P ro po rti on o f p at ie nt s (N =2 88 ) Reporting ‘never or least bothered’ SK2: CFB: 19.23%* 87.19% 98.22% 0.00% 100.00% Baseline Week - 8 P ro po rti on o f p at ie nt s (N =2 81 ) Reporting ‘never or least bothered’ SK14: Over the past week, how often has skin condition made it hard to show affection? keywords: f p; p ro; week cache: skin-2149.pdf plain text: skin-2149.txt item: #783 of 1356 id: skin-215 author: Patel, Rakesh; Strimling, Robert; Doggett, Stephen; Willoughby, Mark; Mafong, Erick; Miller, Kenneth; Dardick, Lawrence title: Comparison of Electronic Brachytherapy and Mohs Micrographic Surgery for the Treatment of Early-Stage Non-Melanoma Skin Cancer: A Matched Pair Cohort Study date: 2017-10-27 words: 1594 flesch: 74 summary: EBX=electronic brachytherapy; MMS=Mohs micrographic surgery; BCC=basal cell carcinoma; SCC=squamous cell carcinoma; BSC=basosquamous carcinoma Table 2. Scalp 14 (6.7%) 14 (6.7%) Nose 33 (15.9%) 33 (15.9%) Torso 12 (5.8%) 12 (5.8%) Lower Extremity 23 (11.1%) 23 (11.1%) Upper Extremity 30 (14.4%) 30 (14.4%) EBX=electronic brachytherapy; MMS=Mohs micrographic surgery; BC- C=basal cell carcinoma; SCC=squamous cell carcinoma; T=tumor; N=nodes (lymph); M=metastases; G=grade 1. keywords: ebx; mms cache: skin-215.pdf plain text: skin-215.txt item: #784 of 1356 id: skin-2150 author: Lebwohl, Mark; Rigel, Darrell; Schlesinger, Todd; Armstrong, April; Berman, Brian; Bhatia, Neal; Del Rosso, James; Kircik, Leon; Patel, Vishal A.; Narayanan, Siva; Koscielny, Volker; Kasujee, Ismail title: Comparison of patient and clinician satisfaction with tirbanibulin treatment’s ability to improve ‘how skin looks’ and ‘skin texture’ in the treated area, among patients with Actinic Keratosis treated with tirbanibulin in community practices across U.S.: PROAK Study date: 2023-05-20 words: 1166 flesch: 44 summary: [min, max] 66.30 [30.00, 90.00] Gender, % FemaleMale 31.38 68.62 Primary health insurance, % Private Insurance Medicaid Medicare Uninsured 41.72 3.10 53.79 1.38 History of skin cancer, % 61.72 Fitzpatrick skin type, % Type I Type II Type III Type IV Type V 7.59 71.38 18.62 1.38 1.03 Baseline patient self- reported skin-texture, % Dry Smooth Rough Bumpy Scaly Blistering Peeling 39.66 47.59 19.66 18.62 35.17 0.34 6.21 Baseline severity of skin photodamage in AK affected area, % Absent Mild Moderate Severe 1.03 21.38 56.55 20.34 6.55% 14.14% 78.97% 10.00% 14.14% 75.86% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Extremely/Very/Dissatisfied Somewhat Satisfied Extremely/Very/Satisfied P ro po rti on o f P at ie nt s at W ee k- 8 Satisfaction Ratings Figure 1: Majority of patients and clinicians were ‘extremely/very /satisfied’ with how skin looks, after the 8-week treatment course Clinician Patient Table 2: Site Characteristics (N=32) Current workplace: Private, office-based practice, % 100 Total number of board-certified dermatologists in the clinic/practice, Mean 3.53 Number of patients with AKs managed by the clinic in a given month, Mean 136.34 Number of years practicing dermatology, Mean 15.66 N = 290 6.55% 12.41% 80.69% 9.65% 15.5… 74.83% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Extremely/Very/Dissatisfied Somewhat Satisfied Extremely/Very/Satisfied P ro po rti on o f P at ie nt s at W ee k- 8 Satisfaction Ratings Figure 2: Majority of patients and clinicians were ‘extremely/very /satisfied’ with skin texture, after the 8-week treatment course Clinician PatientN = 290 Patient’s self-reported satisfaction and clinician satisfaction with tirbanibulin treatment’s ability to improve ‘how skin looks’ and ‘skin texture’ in the treated area at individual patient-level were assessed among study patients at Week-8 on a seven- point adjectival response scale of 1 (extremely dissatisfied) – 7 (extremely satisfied). keywords: patients; skin; tirbanibulin; treatment cache: skin-2150.pdf plain text: skin-2150.txt item: #785 of 1356 id: skin-2154 author: Graber, Emmy; Baldwin, Hilary; Alexis, Andrew F.; Del Rosso, James; Fried, Richard G.; Harper, Julie C.; Hebert, Adelaide; Kircik, Leon; Rieder, Evan A.; Stein Gold, Linda; Narayanan, Siva; Koscielny, Volker; Kasujee, Ismail title: Acne symptoms and impact of acne on social functioning, emotional functioning, and activities of daily living (ADL) among patients with moderate to severe non-nodular Acne Vulgaris (AV) in community practices across the U.S: An analysis of PROSES study cohort date: 2023-05-20 words: 1171 flesch: 33 summary: Objective: Evaluate patient self-perceived AV symptoms and impact of AV on emotional/social functioning and ADL, among AV patients in community practices across the U.S. Methods: Single-arm, prospective cohort study (PROSES: NCT04820673) was conducted with moderate-to-severe non-nodular AV patients >9yrs who were prescribed sarecycline in real-world U.S community practices. SYNOPSIS CONCLUSIONS • Moderate to severe AV burden/impact was observed at study entry, in this prospective cohort of AV patients in the U.S. Emotional impact and social impact of AV were especially more pronounced among the AV population. keywords: impact; items; patients cache: skin-2154.pdf plain text: skin-2154.txt item: #786 of 1356 id: skin-2155 author: Graber, Emmy; Baldwin, Hilary; Alexis, Andrew F.; Del Rosso, James; Fried, Richard G.; Harper, Julie C.; Hebert, Adelaide; Kircik, Leon; Rieder, Evan A.; Stein Gold, Linda; Narayanan, Siva; Koscielny, Volker; Kasujee, Ismail title: Clinician satisfaction with treatment outcomes among patients with moderate to severe non-nodular Acne Vulgaris (AV) administered sarecycline in community practices across the U.S in PROSES study: Analysis by concomitant medication use date: 2023-05-20 words: 946 flesch: 43 summary: OBJECTIVE The objective of this analysis was to evaluate clinician satisfaction with treatment outcomes, stratified by the use or non-use of concomitant acne medications, among AV patients administered sarecycline in community practices across the U.S. RESULTS Table 1: Patient Baseline Characteristics N=253 Age Group, % Pediatric (<18 yrs) 39.92 Adult (≥18 yrs) 60.08 Age Group, Mean yrs Pediatric (<18 yrs) 14.81 Adult (≥18 yrs) 26.63 Gender, % 0.00% 5.14% 6.72% 37.55% 50.59% 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% Very Dissastified Dissatisfied Neutral Sastisfied Very Satisfied P ro po rti on o f P at ie nt s Figure 1: For Majority of Patients, Clinicians Were “Very Satisfied / Satisfied” with Sarecycline Outcomes at Week-12 88.14% N=253 Table 2: Concomitant Medication Use N=253 Has not used any acne medication, % 49.80 Topical medication, % Topical retinoids 24.51 Salicylic acid 1.19 Benzoyl peroxide 5.93 Topical antibiotics 13.44 Topical Dapsone 5.14 Azelaic acid 2.77 Topical Clascoterone 0.79 Other* 17.00 Oral Medication^, % 4.74 *11.07% were on adapalene/benzoyl peroxide; ^4.35% were on spironolactone. keywords: patients; sarecycline; treatment cache: skin-2155.pdf plain text: skin-2155.txt item: #787 of 1356 id: skin-2167 author: Dirr, McKenzie A. ; Dick, Mary; Boyd, Alan S. ; Milam, Philip B. title: Actinomycetoma Following Traumatic Inoculation of Nocardia Brasiliensis date: 2023-07-17 words: 684 flesch: 39 summary: Mycetomas ensue from implantation of a pathogen into skin resulting in edema, nodules, abscesses, fistulas, sinuses, and purulent drainage with variably colored granules.1,2,3 There are several subtypes of mycetomas, including eumycotic (fungal pathogens), botryomycosis (bacterial pathogens), and actinomycotic (filamentous branching organisms, including Nocardia species).1 Most mycetomas occur following trauma with exposure to contaminated soil.1 Actinomycetomas can be caused by various species of aerobic filamentous organisms, including Nocardia brasiliensis, a gram- positive, filamentous, aerobe found in soil.1,2,3 Chronic infections may result from this microbe’s capacity to adapt and survive the host’s immune response. Tissue culture was positive for Nocardia brasiliensis approximately 20 days later, confirming diagnosis of actinomycetoma. keywords: actinomycetoma; medical; nocardia; nodules cache: skin-2167.pdf plain text: skin-2167.txt item: #788 of 1356 id: skin-2169 author: Cohen, Philip title: Generalized Eruptive Keratoacanthomas of Grzybowski and the Sign of Zorro date: 2023-07-17 words: 947 flesch: 46 summary: He who wore a black mask that covered the areas around his eyes and the bridge of his nose to conceal his identity.2 The sign of Zorro, in association with generalized eruptive keratoacanthomas of Grzybowski, was initially described in 2014.2 It represents the prominent appearance of multiple individual and confluent keratoacanthomas predominantly restricted to the periorbital region--including the eyebrows, eyelids, and even extending to include the cutaneous and mucosal conjunctiva (Figure 1A).2,5 Since the distribution of keratoacanthomas presents like a mask covering these affected areas, this unique feature has more recently also been referred to as the mask of Zorro.5 SKIN July 2023 Volume 7 Issue 4 (c) 2023 THE AUTHORS. Generalized eruptive keratoacanthomas of Grzybowski is a non-hereditary onset of hundreds to thousands of small keratoacanthomas that can appear not only on the skin but also the mucous membranes of the eyes and mouth. keywords: eruptive; grzybowski; keratoacanthomas; zorro cache: skin-2169.pdf plain text: skin-2169.txt item: #789 of 1356 id: skin-217 author: Team, Editorial title: Why Publish this Special Issue? A New Paradigm in the Use of Technology to Aid in the Widespread Dissemination of Dermatologic Knowledge date: 2017-10-27 words: 317 flesch: 35 summary: While publication expenses and space limitations have limited the ability to distribute scientific posters through traditional print venues, we at SKIN see the great potential in using an online platform to make free open access to poster presentations beyond those who attend a conference a possibility. Poster Supplement Section Editors Mark Lebwohl MD Professor and Chairman, Dermatology, Icahn School of Medicine at Mount Sinai, New York James Del Rosso DO Adjunct Clinical Professor, Touro University College of Osteopathic Medicine, Henderson, NV Darrell S Rigel MD, MS Clinical Professor of Dermatology, New York University School of Medicine, New York, NY keywords: skin cache: skin-217.pdf plain text: skin-217.txt item: #790 of 1356 id: skin-2179 author: Moloney, Mairead; Teplitz, Rebeca; How, Brian; Sirota-Rozenberg, Suzanne title: A Suspected Case of Imported Yaws in New York date: 2023-07-17 words: 1820 flesch: 55 summary: Secondary Yaws, “Daughter Yaws,” are smaller and more widespread than primary Yaws.1 They occur close to body orifices and heal spontaneously over three to six months.1,3 Both primary and secondary lesions are highly contagious.4 About 10% of individuals will progress to non- contagious tertiary Yaws, in which, abscesses form, become necrotic, and ulcerate.1 The diagnosis of Yaws is typically made clinically.1,3 906 BRIEF ARTICLE A Suspected Case of Imported Yaws in New York Mairead Moloney, BS1, Rebeca Teplitz, DO2, Brian How, DO2, Suzanne Sirota-Rozenberg, DO, FAAD, FAOCD2 1 New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY 2 St. John’s Episcopal Hospital, Far Rockaway, NY Yaws is a non-venereal endemic treponematosis, which is morphologically and antigenically identical to venereal syphilis, caused by Treponema pallidum, subspecies pallidum.1,2 Yaws is caused by subspecies pertenue, and is characterized by chronic skin infections.3 Yaws occurs in warm, humid, tropical climates, with an annual temperature of >27°C, and an annual rainfall of >1,300 mm/year.1,4 Transmission occurs through direct skin-to- skin contact with an infected lesion.3,4 Risk factors include broken skin and injuries, such as bites and wounds.5-7 Lesions are most commonly found on the lower extremities.2,3 A majority of cases (70-85%) occur in children under 15 years old.2 keywords: azithromycin; endemic; jamaica; patient; skin; yaws cache: skin-2179.pdf plain text: skin-2179.txt item: #791 of 1356 id: skin-218 author: Tessiatore, Kristen; Sadhwani, Divya; Mancl, Kimberly; Rodriguez-Waitkus, Paul; Seminario-Vidal, Lucia title: Disseminated Cutaneous Mycobacterium Haemophilum Infection and Concomitant Crusted Scabies in an Iatrogenically Immunocompromised Patient - A Case Report date: 2018-03-09 words: 1552 flesch: 38 summary: M. haemophilum may take up to eight weeks to grow in culture, requires iron supplemented media, and grows optimally at 30-32C. There is no standardized antibiotic regimen for M. haemophilum infection. Whereas scabies infestation is readily diagnosed, M. haemophilum infection poses a diagnostic challenge due to its rarity as well as varied clinical and histologic presentations. keywords: haemophilum; infection; infestation; mycobacterium; scabies; skin cache: skin-218.pdf plain text: skin-218.txt item: #792 of 1356 id: skin-2186 author: Senna, Maryanna; Forman, Seth ; Bordone, Lindsey ; De La Cueva Dobao, Pablo ; Wolk, Robert ; Zwillich, Samuel ; Zhang, Fan ; Mohamed Ahmed, Haytham ; Takiya, Liza title: Scalp, eyebrow, and eyelash hair regrowth with continued ritlecitinib treatment among patients with alopecia areata without target efficacy response at Week 24: post hoc analysis of the ALLEGRO phase 2b/3 study date: 2023-07-17 words: 1892 flesch: 61 summary: Safety • Ritlecitinib was well tolerated through Week 48 in patients with AA • Among patients who did not meet clinical response at Week 24, the most common AEs (≥5% of patients in any treatment group) were nasopharyngitis, nausea, headache, and folliculitis CONCLUSIONS • Target hair regrowth responses may be achieved at later time points with continued ritlecitinib treatment in patients with AA who do not initially achieve target response at Week 24 Study population • Inclusion criteria: - Age ≥12 years - AA with ≥50% scalp hair loss, including patients with alopecia totalis (AT) and alopecia universalis (AU) - Current AA episode duration of 6 months to 10 years • Patients with other causes of alopecia or previous use of any JAK inhibitor were excluded • Hospital Universitario Infanta Leonor, Madrid, Spain; 5Pfizer Inc, Groton, CT, USA; 6Pfizer Inc, New York, NY, USA; 7Pfizer Inc, Dubai, United Arab Emirates; 8Pfizer Inc, Collegeville, PA, USA Scalp, eyebrow, and eyelash hair regrowth with continued ritlecitinib treatment among patients with alopecia areata without target efficacy response at Week 24: post hoc analysis of the ALLEGRO phase 2b/3 study BACKGROUND • Alopecia areata (AA) is an autoimmune disease that has an underlying immuno-inflammatory pathogenesis and is characterized by nonscarring hair loss ranging from small patches to complete scalp, face, and/or body hair loss1 • Ritlecitinib, an oral JAK3/TEC family kinase inhibitor, demonstrated efficacy and safety in patients aged ≥12 years with AA and ≥50% scalp hair loss in the ALLEGRO phase 2b/3 trial (NCT03732807)2 - Significant improvements in the proportion of patients with Severity of Alopecia Tool (SALT) score ≤20 (≤20% of scalp without hair) and SALT score ≤10 (≤10% of scalp without hair) at Week 24 were observed in the 50 mg and 30 mg ritlecitinib treatment groups (± 200 mg loading dose) vs placebo OBJECTIVE • To assess response to ritlecitinib between Weeks 28–48 among subpopulations of patients with AA who did not achieve target efficacy response criteria at Week 24 METHODS Study design • The ALLEGRO phase 2b/3 trial was a randomized, double-blind, placebo-controlled, combined dose-ranging and pivotal study (Figure 1) Figure 1. keywords: patients; response; rit; week cache: skin-2186.pdf plain text: skin-2186.txt item: #793 of 1356 id: skin-219 author: Parker, Jennifer J; Rademaker, Alfred; Donnelly, Eric; Choi, Jennifer title: Risk Factors for the Development of Acute Radiation Dermatitis in Breast Cancer Patients date: 2018-01-02 words: 4194 flesch: 63 summary: In our study, BMI, total radiation dose, and radiation fractionation schedule appear to be the most important factors for development of breast radiation dermatitis. Previous studies have sought to examine which patient and treatment factors play a role in acute skin reaction from breast radiation therapy. keywords: breast; cancer; dermatitis; dose; grade; increase; odds ratio; radiation; risk; skin cache: skin-219.pdf plain text: skin-219.txt item: #794 of 1356 id: skin-2192 author: Chovatiya, Raj; Aldredge, Lakshi; Heath, Candrice; Acevedo, Moises; Chu, David H.; Hanna, Diane; Seal, Melissa; Zirwas, Matthew title: Patient and Healthcare Provider Perspectives on the Disease Burden of Seborrheic Dermatitis in the United States: Results From a National Survey date: 2023-07-17 words: 2146 flesch: 43 summary: The average age of patients in the survey was 40 years and 55% were male (Figure 1) • 67% of the HCPs were physicians, 24% were PAs, and 10% were NPs (Figure 2) – The mean number of years in practice was 3.1 and the mean number of patients seen per week, for all skin conditions, was 158 • The majority of patients (71%) reported their symptoms as being moderate in severity – HCPs may be underestimating the percentage of patients experiencing moderate symptoms • Patients reported living with SD for an average of 3.6 years, with 20% waiting ≥6 years before seeking SD treatment (Figure 3) • Almost half of patients reported that SD negatively impacts their emotional (49%) and physical (42%) well-being “a lot/a great deal” – However, among the 85% of HCPs who assessed quality of life (n=511), only 32% said living with SD has “a lot/a great deal” of negative impact on patients’ lives • Patients with SD reported significant mental health impacts (Figure 4) – 77% reported anxiety, 72% reported depression, and 69% reported anxiety about interacting with other people – HCPs agreed that SD symptoms make patients feel anxiety (79%), depression (70%), and anxiety about interacting with other people (84%) The majority of patients reported SD impairs their ability to do their job, with almost half of patients having ever missed work due to SD symptoms • keywords: dermatitis; impact; patients; symptoms cache: skin-2192.pdf plain text: skin-2192.txt item: #795 of 1356 id: skin-2194 author: Lebwohl, Mark; Stein Gold, Linda; Gooderham, Melinda J.; Papp, Kim A.; Ferris, Laura K.; Adam, David N.; Hong, H. Chih-ho; Kircik, Leon H.; Zirwas, Matthew; Burnett, Patrick; Higham, Robert title: Durability of Efficacy and Safety of Roflumilast Cream 0.3% in Adults With Chronic Plaque Psoriasis From a 52-Week, Phase 2 Open-Label Safety Trial date: 2023-07-17 words: 2825 flesch: 55 summary: ≥97% of patients had no evidence of irritation per investigator local tolerability assessment at each visit (Figure 8) CONCLUSIONS • In this phase 2 long-term safety study, roflumilast cream 0.3%, a once-daily, nonsteroidal topical PDE4 inhibitor, was well-tolerated with a safety profile consistent with the parent phase 2b trial (Trial 201) – Rates of discontinuations due to AEs and lack of efficacy were low – No tachyphylaxis occurred and efficacy was consistent over time (IGA Success, IGA 0/1, and percentage change from baseline in BSA and PASI) – Of the 185 patients who achieved IGA Clear/Almost Clear during the open-label trial, the median durability of IGA of Clear/Almost Clear was 10 months (40.1 weeks) Figure 4. = no evidence of irritation 1 = minimal erythema, barely perceptible 2 = definite erythema, readily visible; minimal edema or minimal papular response 3 = erythema and papules 4 = definite edema 5 = erythema, edema and papules 6 = vesicular eruption 7 = strong reaction spreading beyond application site ~57.1% (n=185) of patients achieved IGA 0/1 during the trial; patients have a 50% probability of a duration of IGA of Clear or Almost Clear of more than 10 months (40.1 weeks) 0.0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0 Pr ob ab ili ty IG A C le ar or A lm os t C le ar 4 12 20 28 360 8 16 24 32 44 56 6440 48 6052 Censored Duration of IGA Clear or Almost Clear (Weeks) keywords: cohort; cream; iga; patients; roflumilast; trial; vehicle; week cache: skin-2194.pdf plain text: skin-2194.txt item: #796 of 1356 id: skin-2197 author: Ahuja, Kripa; DeSena, Grace title: Xylazine: An Ulcerating Addiction date: 2023-07-17 words: 627 flesch: 51 summary: Regular use of xylazine has been associated with the formation of skin ulcers.1- 3 Though the mechanism of action is incompletely understood, a possible pathophysiology may be rooted in xylazine’s role as an alpha-2-agonist.1–3 Cutaneously, xylazine functions as a vasoconstrictor, which can drastically reduce skin perfusion and impair wound healing.3 958 COMPELLING COMMENTS Xylazine: keywords: skin; ulcers; xylazine cache: skin-2197.pdf plain text: skin-2197.txt item: #797 of 1356 id: skin-2198 author: Hyams, David; Byun, Jung; Martin, Brian; Bailey, Christine; Stumpf, Timothy; Petkov, Valentina title: Combining the 31-gene expression profile test for cutaneous melanoma with the American Joint Committee on Cancer staging identifies the highest-risk patients with stage I-II disease date: 2023-07-17 words: 839 flesch: 54 summary: 4. O’Connell, E. et al. Hsueh, E. C. et al. JCO Precision Oncology 5, 589–601 (2021). keywords: class; patients cache: skin-2198.pdf plain text: skin-2198.txt item: #798 of 1356 id: skin-22 author: Haslam, Samuel P; Ross, Lindy S; Lowe, Alison C; Kelly, Brent C title: Hypertrophic Lichen Planus versus Well-Differentiated Squamous Cell Carcinoma: A Histological Challenge  date: 2017-08-31 words: 1551 flesch: 51 summary: In regards to immunohistochemistry, P53 expression is seen in all cases of PEH and 75% of SCC cases, although the staining pattern is less intense and extensive in PEH as compared to SCC 4 . To address the problem that there have not been immunohistochemical or molecular tests to date to differentiate SCC from PEH, multiplex PCR was tested and shown to differentiate cutaneous SCC from PEH in 53 of 58 cases (93%) 6 . keywords: hypertrophic; peh; scc cache: skin-22.pdf plain text: skin-22.txt item: #799 of 1356 id: skin-220 author: Del Rosso, James title: What's New in the Medicine Chest? Part 1 date: 2017-11-13 words: 57 flesch: 45 summary: Part 1 James Del Rosso, DO Video Length: 25:03 Video Description: In a CME podium lecture presented at the 2017 Fall Clinical Dermatology Conference® in Las Vegas, Nevada, James Del Ross, DO, reviews recent advances in dermatopharmacology. Topics highlighted include advances in photoprotection, atopic dermatitis, oral antibiotics, and rosacea. keywords: advances cache: skin-220.pdf plain text: skin-220.txt item: #800 of 1356 id: skin-2201 author: Stein Gold, Linda; Kircik, Leon; Werschler , William; Baldwin, Hilary; Callender, Valerie; Green , Lawrence; Sadick, Neil; Sugarman, Jeffrey; Draelos, Zoe; Tanghetti , Emil; Bhatia, Neal title: Impact of Age or Sex on Efficacy and Safety of a Fixed-Dose Clindamycin Phosphate 1.2%/Benzoyl Peroxide 3.1%/Adapalene 0.15% Gel in Participants with Moderate-to-Severe Acne date: 2023-07-17 words: 1907 flesch: 50 summary: By Sex -100% -60% -77.7% 144n= -57.9% 68 Males -77.5% 98 -57.1% 53 0% NIL: 8 (-80%) Baseline EGSS: 3 IL: 43 NIL: 47 25-Year-Old Female – Black, Hispanic Week 12 EGSS: 2 IL: 2 (-95%) NIL: 14 (-70%) keywords: dermatologics; egss; gel; idp-126; lesions; treatment cache: skin-2201.pdf plain text: skin-2201.txt item: #801 of 1356 id: skin-2202 author: Draelos, Zoe; Tanghetti , Emil; Stein Gold, Linda; Kircik, Leon; Bhatia, Neal; Zeichner, Joshua; Sugarman, Jeffrey title: Dermal Irritation, Sensitization, and Safety of Fixed-Dose Triple-Combination Clindamycin Phosphate 1.2%/Benzoyl Peroxide 3.1%/Adapalene 0.15% Gel in Healthy Participants date: 2023-07-17 words: 1661 flesch: 38 summary: CIPT: 77.8%), Black (RIPT/CIPT: ~68%), and non-Hispanic (89.3%; 91.1%), with a Fitzpatrick skin type of IV-VI (65.4%; 80.0%) Dermal Sensitization and Irritation � Overall, irritation with IDP-126 was moderate and not clinically significant � RIPT: The highest normalized total irritation score was observed for BPO 2.5%/ adapalene 0.3% gel, which was significantly greater than IDP-126 (401 vs 264; P<0.001; Figure 3) Adverse Events � In both studies, most TEAEs were of mild-moderate severity, and <3% of participants discontinued due to AEs/TEAEs (Table 1) � keywords: bpo; cipt; gel; idp-126; irritation; participants cache: skin-2202.pdf plain text: skin-2202.txt item: #802 of 1356 id: skin-2203 author: Feldman, Steven; Vlahovic, Tracey; Joseph, Warren; Daniel, C Ralph; Elewski, Boni; Rich, Phoebe; Lipner, Shari title: Monthly Usage of Efinaconazole 10% Solution in Two Phase 3 Randomized Trials: Is One 4-mL Bottle Enough for Proper Treatment? date: 2023-07-17 words: 1224 flesch: 43 summary: Steven R Feldman, MD, PhD1; Shari R Lipner, MD, PhD2; Tracey C Vlahovic, DPM3; Warren S Joseph, DPM4; C Ralph Daniel, MD5; Boni Elewski, MD6, Phebe Rich, MD7 1Wake Forest School of Medicine, Winston-Salem, NC; 2Weill Cornell Medicine, New York, NY; 3Temple University School of Podiatric Medicine, Philadelphia, PA; 4Arizona College of Podiatric Medicine, Midwestern University, Glendale, AZ; 5University of Mississippi Medical Center, Jackson, MS; 6University of Alabama at Birmingham School of Medicine, Birmingham, AL; 7Oregon Health and Science University, Portland, OR SYNOPSIS � Topical therapies for onychomycosis require extended treatment durations, and incomplete or intermittent treatment can contribute to high rates of reinfection or relapse1 � Excellent adherence to treatment is necessary to maximize efficacy,2 and prescribing an adequate quantity of medication is essential for good adherence � Efinaconazole 10% topical solution—an azole antifungal used to treat onychomycosis in patients aged 6 years and older—is available in 4- or 8-mL bottles � In the absence of data on patient characteristics influencing the amount of efinaconazole needed, 87% of efinaconazole prescriptions in 2022 were written for one 4-mL bottle per month3 OBJECTIVES � To determine monthly efinaconazole usage by baseline patient demographics and clinical characteristics METHODS � Two identical, double-blind, phase 3 studies (NCT01008033; NCT01007708) enrolled adult participants (18–70 years; N=1655) with mild-to-moderate distal lateral subungual onychomycosis affecting 20–50% of ≥1 great (target) toenail4 � Participants were randomized (3:1) to treatment with efinaconazole 10% solution or vehicle, self-applied once daily for 48 weeks � Bottles of study product (10 mL) were weighed upon dispensation at each study visit (every 4 weeks) and upon return at the following visit � Monthly efinaconazole use was analyzed post hoc based on the total number of affected toenails and percent involvement of the target toenail at baseline as well as body mass index (BMI) and sex RESULTS � At baseline, efinaconazole-treated participants in both studies (N=656 and 580) had on average over one-third involvement of their target toenails (36.2% and 36.7%) and 3.7–3.8 affected toenails4 � Among efinaconazole-treated participants with usage data for this analysis (n=1067), 85% had target toenail involvement of ≥25%, and over 55% had ≥4 affected toenails � As expected, percent involvement of the target toenail, BMI, or sex did not significantly impact average monthly efinaconazole usage (Figure 1) � keywords: efinaconazole; ortho; usage cache: skin-2203.pdf plain text: skin-2203.txt item: #803 of 1356 id: skin-2205 author: Hashemi, David; Bhatia, Neal title: The JAK-Cytokine Interface – A Review and Update on Prospective Clinical Considerations date: 2023-07-17 words: 1553 flesch: 55 summary: Atopic dermatitis represents one of the most studied, and consequently most targeted, conditions for JAK inhibition to date, with three FDA approvals of JAK inhibitors, two ABSTRACT Janus kinases (JAKs) are non-receptor tyrosine kinases that work together with signal transducers and activators of transcription (STAT) proteins to form the JAK/STAT pathway. In addition to these 4 initial dermatologic conditions for which JAK inhibitors have been approved to date, there have been a broad range of additional conditions reported for which JAK inhibition may hold promise12. keywords: alopecia; downstream; factors; inhibition; inhibitors; jak cache: skin-2205.pdf plain text: skin-2205.txt item: #804 of 1356 id: skin-221 author: Team, Editorial title: SKIN Fall Clinical Dermatology Conference® Poster Supplement Copyright Statement date: 2017-10-31 words: 15 flesch: 44 summary: Copyright 2017 The National Society for Cutaneous Medicine Reprint requests should be sent to jofskin@gmail.org. keywords: copyright cache: skin-221.pdf plain text: skin-221.txt item: #805 of 1356 id: skin-2216 author: Sparling, Kennedy title: History in The Making: The Transformative Impact of TikTok on Dermatology date: 2023-07-17 words: 662 flesch: 54 summary: 960 COMPELLING COMMENTS History in The Making: The Transformative Impact of TikTokTM on Dermatology Kennedy Sparling, BS1 1 University of Arizona, College of Medicine - Pheonix, Phoenix, AZ Have you heard the terms ‘jello skin’, ‘retinol sandwiching’, or ‘skin cycling’? By learning from the past, healthcare professionals have the opportunity to use TikTokTM to correct misinformation and promote evidence-based practices to the public. keywords: dermatology; skin; tiktoktm cache: skin-2216.pdf plain text: skin-2216.txt item: #806 of 1356 id: skin-222 author: Paniagua, Lizy; Subrt, Adrian; Gibson, Bernard title: Microsporum Canis Infection Presenting As Cutaneous Pseudolymphoma. Case Report And Review Of The Literature date: 2018-11-09 words: 1758 flesch: 51 summary: This case illustrates that differentiating between cutaneous pseudolymphoma and Microsporum canis cutaneous infection mimicking histopathologically a cutaneous T cell lymphoma is discussed. cutaneous lymphoma can be challenging. keywords: canis; cell; lymphoma; microsporum; patient; pseudolymphoma cache: skin-222.pdf plain text: skin-222.txt item: #807 of 1356 id: skin-2222 author: Reeves, Carlie; Falcone, Lauryn ; Beatty, Collen J; Kazlouskaya, Viktoryia; English III, Joseph title: Patch-Type Granuloma Annulare with Clinical and Histological Features of Morphea: A True Overlap? date: 2023-07-17 words: 2327 flesch: 58 summary: The patient was diagnosed with interstitial GA and possible morphea overlap and started on methotrexate 15 mg per week. Histologically, GA is characterized by mucin deposition, lymphohistiocytic infiltrate, and degeneration of collagen2. keywords: cd34; doi; granuloma; morphea; patient; pmid; type cache: skin-2222.pdf plain text: skin-2222.txt item: #808 of 1356 id: skin-2225 author: Gooderham, Melinda; Spelman, Lynda; Imafuku, Shinichi; Romanelli, Marco; Merola, Joseph F.; Armstrong, April W.; Colston, Elizabeth; Banerjee, Subhashis; Scharnitz, Thomas; Blauvelt, Andrew title: Deucravacitinib, an Oral, Selective, Allosteric Tyrosine Kinase 2 Inhibitor, in Moderate to Severe Plaque Psoriasis: Efficacy by Baseline Demographic and Disease Characteristics in the Phase 3 POETYK PSO-1 and PSO-2 Trials date: 2023-07-17 words: 3790 flesch: 64 summary: This study was sponsored by Bristol Myers Squibb • Writing and editorial assistance was provided by Jieming Fang, MD, of Peloton Advantage, LLC, an OPEN Health company, Parsippany, NJ, USA, funded by Bristol Myers Squibb Disclosures • MG: Advisory board, principal investigator, and lecture fees: AbbVie, Galderma, Leo Pharma, Pfizer, and Regeneron; Advisory board and lecture fees: Actelion; Principal investigator and consulting fees: Akros Pharma; Advisory board, principal investigator, lecture fees, and consulting fees: Amgen, Boehringer Ingelheim, Celgene, Eli Lilly, Janssen, Novartis, Sanofi Genzyme, and Valeant; Principal investigator: Arcutis, Bristol Myers Squibb, Dermira, GlaxoSmithKline, MedImmune, Merck, Roche Laboratories, and UCB; Principal investigator and lecture fees: Glenmark • LS: Consultant, paid investigator, and/or speaker: AbbVie, Amgen, Anacor, Ascend, Astellas, AstraZeneca, Blaze Bioscience, Boehringer Ingelheim, Botanix, Bristol Myers Squibb, Celgene, Dermira, Eli Lilly, Galderma, Genentech, GlaxoSmithKline, Hexima, Janssen, Leo Pharma, Mayne Pharma, MedImmune, Merck, Merck-Serono, Novartis, Otsuka, Pfizer, Phosphagenics, Photon MD, Regeneron, Roche, Samumed, Sanofi Genzyme, SHR Pharmacy, Sun Pharma ANZ, Trius, UCB, and Zai Lab • keywords: apremilast; baseline; body; decile; deucravacitinib; pasi; weight cache: skin-2225.pdf plain text: skin-2225.txt item: #809 of 1356 id: skin-223 author: Shin, Grace; Smith, Michael; Toro, Butros; Ehrlich, Adam; Luther, Sanjana; Midani, Deena; Hong, Inki; Stierstorfer, Michael title: Utility of Food Patch Testing in the Evaluation and Management of Irritable Bowel Syndrome date: 2018-03-09 words: 6519 flesch: 64 summary: Questionnaires assessing abdominal pain/discomfort and global improvement in IBS symptoms were used to assess one month and three or more month outcomes. In that study, 27% of the 51 individuals with IBS symptoms benefited from limited type 4 food allergen patch testing and subsequent dietary avoidance of the foods identified by the testing. keywords: avoidance; food; ibs; improvement; month; p p; patch cache: skin-223.pdf plain text: skin-223.txt item: #810 of 1356 id: skin-224 author: Team, Editorial title: Interview with Bill Humphries, Executive Vice President (Dermatology) of Ortho Dermatologics date: 2017-11-13 words: 847 flesch: 57 summary: Patients are more educated and engaged in their treatment, creating a robust dialogue in the office. Last but not least is the payer environment; dermatological medications are on the radar screen of the payers and the challenge of patients getting the brand that is prescribed for them a significant hurdle. keywords: humphries; patients cache: skin-224.pdf plain text: skin-224.txt item: #811 of 1356 id: skin-225 author: Accetta, Julia; Obayomi, Aderonke; Evers-Meltzer, Rachel; Alldredge, Virginia; Murina, Andrea title: Scarring Alopecia: The Attitudes, Knowledge and Referral Patterns of Hair Stylists and Barbers date: 2018-07-06 words: 1571 flesch: 51 summary: 33 28.0 Confidence in ability to identify permanent vs nonpermanent hair loss Not at all confident 41 34.7 Somewhat confident 59 50 Very confident 18 15.3 Believe scalp exam by a hairdresser is effective in hair loss detection Not at all helpful 21 17.8 Somewhat helpful 67 56.8 Very helpful 30 25.4 Interest in learning more about hair loss Interventions targeting the education, detection and physician referral ABSTRACT Disorders of hair loss are commonly encountered by hair stylists, who are in a unique position to identify early signs and symptoms. keywords: alopecia; hair; hairdressers; loss; stylists cache: skin-225.pdf plain text: skin-225.txt item: #812 of 1356 id: skin-226 author: Jones, Megan A; Winkelmann, Richard R; Del Rosso, James Q title: Status Report on the Safety of Topical Dapsone Therapy for Dermatologic Disease date: 2018-01-02 words: 5265 flesch: 53 summary: In 20 human studies and 7 case reports, 39 of 6,384 total patients (<1%) experienced adverse effects that were considered more than mild or resulted in discontinuation of topical dapsone. The literature supports topical dapsone 5% and 7.5% gels as safe and effective medications for the treatment of dermatologic disease. keywords: acne; application; dapsone; efficacy; gel; patients; safety; site; site ae; study; topical; treatment; vulgaris cache: skin-226.pdf plain text: skin-226.txt item: #813 of 1356 id: skin-227 author: Team, Editorial title: Three Exciting New Features Aimed at Improving the Experience of the Readers of SKIN date: 2017-11-13 words: 355 flesch: 53 summary: As such, we are excited to announce several new features of that are debuting with the publication of Volume 1, Issue 3. As a journal made by dermatologists for dermatologists, we are constantly looking for ways to implement new features aimed at serving the needs of the dermatology community. keywords: skin cache: skin-227.pdf plain text: skin-227.txt item: #814 of 1356 id: skin-228 author: Goldenberg, Gary title: Therapeutic Update date: 2017-11-13 words: 45 flesch: 16 summary: Therapeutic Update Gary Goldenberg, MD Video Length: 21:00 Video Description: In a CME podium lecture presented at the 2017 Fall Clinical Dermatology Conference® in Las Vegas, Nevada, Gary Goldenberg, MD, reviews late-breaking research covering the treatment of a broad selection of dermatologic disorders. keywords: goldenberg cache: skin-228.pdf plain text: skin-228.txt item: #815 of 1356 id: skin-23 author: Editors, The title: Time for a New Concept in the Dermatology Literature date: 2017-06-28 words: 581 flesch: 11 summary: Editors-in-Chief Mark Lebwohl MD Professor and Chairman, Dermatology, Icahn School of Medicine at Mount Sinai, New York, NY Roger Ceilley MD Clinical Professor of Dermatology, University of Iowa School of Medicine, Des Moines, IA James Del Rosso DO Adjunct Clinical Professor, Touro University College of Osteopathic Medicine, Henderson, NV Editors Brian Berman MD, PhD Professor Emeritus, Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL Robert Thomas Brodell MD Professor and Chair of Department of Dermatology, University of Mississippi, Jackson, MS M. Shane Chapman MD Chair of Dermatology, Dartmouth-Hitchcock Medical Center, Hanover, NH Clay Cockerell MD Clinical Professor of Dermatology and Pathology, Director of Dermatopathology, University of Texas Southwestern, Dallas, TX Seemal Desai MD Clinical Assistant Professor, Department of Dermatology, University of Texas Southwestern Medical, Dallas, TX Scott Dinehart MD Director, Arkansas Skin Cancer Center, Little Rock, AR Boni Elewski MD James E. Elder, MD, Endowed Professor for Graduate Education and Chair, University of Alabama at Birmingham, AL David Pariser MD Professor of Dermatology, Eastern Virginia Medical School, Norfolk, VA Darrell S Rigel MD, MS Clinical Professor of Dermatology, New York University School of Medicine, New York, NY Theodore Rosen MD Professor of Dermatology, Baylor College of Medicine, Chief of VA Dermatology Service, VA Medical Center, Houston, TX Kenneth Tomecki MD Vice Chairman, Dermatology, Cleveland Clinic, Cleveland, OH Resident/Fellow Editorial Board Aaron S. Farberg MD, Icahn School of Medicine at Mount Sinai, New York, NY Alex M. Glazer MD, University of Arizona, Tucson, AZ Richard R. Winkelmann DO, Ohio University, Columbus, OH Resident/Medical Student Associate Editors Michael Cameron MD, University of Colorado, Department of Dermatology, Denver, CO Rebeca Teplitz, New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY Microsoft Word - Skin Introduction 061416.docx Time for a New Concept in the Dermatology Literature Introducing SKIN: keywords: dermatology; professor; skin cache: skin-23.pdf plain text: skin-23.txt item: #816 of 1356 id: skin-231 author: Alashqar, Mais Bassam title: Caffeine in the Treatment of Atopic Dermatitis and Psoriasis: A Review date: 2019-03-11 words: 6172 flesch: 55 summary: Pires, I. M., Olcina, M. M., Anbalagan, S., Pollard, J. R., Reaper, P. M., Charlton, P. A., ... & Hammond, E. M. (2012). Hanifin, J. M., Chan, S. C., Cheng, J. B., Tofte, S. J., Henderson, W. R., Kirby, D. S., & Weiner, E. S. (1996). keywords: atopic; caffeine; dermatitis; dermatology; journal; psoriasis; skin cache: skin-231.pdf plain text: skin-231.txt item: #817 of 1356 id: skin-232 author: none title: Distinguishing Features: Staphylococcal Scalded Skin Syndrome vs Toxic Epidermal Necrolysis date: 2018-03-09 words: 1543 flesch: 45 summary: Staphylococcal scalded skin syndrome: diagnosis and management in children and adults. The National Society for Cutaneous Medicine 135 BRIEF ARTICLES Distinguishing Features: Staphylococcal Scalded Skin Syndrome vs. Toxic Epidermal Necrolysis Hannah Badon BS a , Joy King MD b , Robert T. Brodell MD b,c , Adam Byrd MD d a University of Mississippi Medical Center, Jackson, MS b Department of Pathology, University of Mississippi Medical Center, Jackson, MS c Department of Dermatology, University of Mississippi Medical Center, Jackson, MS Staphylococcal scalded skin syndrome (SSSS) and toxic epidermal necrolysis (TEN) share many clinical features. keywords: epidermal; skin; ssss; staphylococcal; syndrome cache: skin-232.pdf plain text: skin-232.txt item: #818 of 1356 id: skin-233 author: Borda, Luis J; Oberlin, Kate E; Nichols, Anna J title: Cutaneous Manifestations of Disseminated Histoplasmosis in a Patient with AIDS date: 2018-07-06 words: 1625 flesch: 42 summary: 1 The clinical manifestations of disseminated histoplasmosis depend on the severity of immunodeficiency of the host and the degree of exposure to the pathogen. 1,2 Patients often present with hepatosplenomegaly, pancytopenia, gastrointestinal and oropharyngeal lesions. Disseminated histoplasmosis is often seen in immunocompromised individuals, such those with acquired immunodeficiency syndrome (AIDS). keywords: aids; histoplasmosis; medicine; patients; skin; therapy cache: skin-233.pdf plain text: skin-233.txt item: #819 of 1356 id: skin-234 author: Desrosiers, Andrew S; Bernieh, Anas; Byrd, Adam C; Brodell, Robert T title: An Eruption of Follicular Keratotic Spicules with Alopecia date: 2018-07-06 words: 782 flesch: 46 summary: A physical examination revealed follicular keratotic papules and associated hair loss distributed throughout the scalp, post- auricular area, and posterior neck (Figure 1). 4 There is no single reliable criterion for differentiating between primary and mycosis fungoides-associated FM. keywords: follicular; hair; primary cache: skin-234.pdf plain text: skin-234.txt item: #820 of 1356 id: skin-235 author: Limmer, Allison L; Krejci-Manwaring, Jennifer; Limmer, Bobby L title: Case Report of a Successful Hair Transplantation in a Patient with Lichen Planopilaris / Frontal Fibrosing Alopecia Due to Incidental Chemotherapy for Breast Carcinoma date: 2018-03-09 words: 1195 flesch: 55 summary: One case report indicates hair transplantation in LPP patients can be successful if scalp and beard hair are combined and platelet rich plasma (PRP) is injected intradermally prior to graft placement. Lowered, fuller frontal hairline (A) and improvement of hair growth at the crown and mid-scalp (B). keywords: hair; scalp; transplantation cache: skin-235.pdf plain text: skin-235.txt item: #821 of 1356 id: skin-236 author: Cao, Kevin; Marion, Tyler; Roman, Jorge title: Rorschach Nevus date: 2018-03-09 words: 372 flesch: 62 summary: The National Society for Cutaneous Medicine 155 COMPELLING COMMENTS Rorschach Nevus Kevin Cao BS a , Tyler Marion BS MBA a , Jorge Roman MD b a The University of Texas Medical Branch School of Medicine, Galveston, TX b Department of Internal Medicine, Texas Health Presbyterian Hospital, Dallas, TX In the novel Sula by Toni Morrison, a powerful use of symbolism was expressed in the main antagonist’s skin. 1 The most interesting facet of Sula’s birthmark is how it is perceived differently by different characters. keywords: birthmark; sula cache: skin-236.pdf plain text: skin-236.txt item: #822 of 1356 id: skin-237 author: Hobbs, Mitchell; King, Joy; El Feghaly, Rana; Brodell, Robert title: Primary Cutaneous Cryptococcosis in an Immunocompetent 6-Year-Old Female date: 2018-07-06 words: 1137 flesch: 46 summary: The National Society for Cutaneous Medicine 240 BRIEF ARTICLE Primary Cutaneous Cryptococcosis in an Immunocompetent 6-Year-Old Female Mitchell Hobbs MD a , Joy King MD PhD b , Rana El Feghaly MD MSCI c , Robert Brodell MD d a University of Mississippi School of Medicine, Department of Pediatrics b University of Mississippi School of Medicine, Department of Pathology c University of Missouri-Kansas City School of Medicine, Department of Pediatrics d University of Mississippi School of Medicine, Department of Dermatology Primary cutaneous cryptococcosis (PCC) refers to an infectious process seen in immunocompetent patients wherein cryptococcal organisms directly inoculate the skin by exposure, typically in unclothed areas. Primary cutaneous cryptococcosis (PCC) is defined as direct inoculation and infection of the skin, and it is a rare condition in immunocompetent patients. keywords: cases; cryptococcosis; medicine; patients; primary cache: skin-237.pdf plain text: skin-237.txt item: #823 of 1356 id: skin-238 author: Shihab, Nahla; Talbott, Whitney; Kahn, Nathalie O; Alia, Erisa; Weinberg, Jeffrey M title: Cutaneous Rosai-Dorfman Disease: A Case Report date: 2018-07-06 words: 1573 flesch: 49 summary: The National Society for Cutaneous Medicine 243 BRIEF ARTICLE Cutaneous Rosai-Dorfman Disease: A Case Report Nahla Shihab MD a , Whitney Talbott MD b , Parth Desai BS c , Nathalie O Kahn d , Erisa Alia MD e , Jeffrey M. Weinberg MD f a Resident Physician, Department of Dermatology and Venereology, Universitas Indonesia/Cipto Mangunkusumo National Hospital, Jakarta, Indonesia b Resident Physician, Department of Dermatology, Mount Sinai Medical Center, New York, NY c Medical Center, Mercer University School of Medicine, Macon, GA d Undergraduate Student, Barnard College, Columbia University, New York, NY e Research Fellow, Department of Dermatology, Mount Sinai Medical Center, New York, NY f Associate Clinical Professor of Dermatology, Mount Sinai St. Luke’s, Mount Sinai Beth Israel, New York, NY Rosai-Dorfman Disease (RDD) or sinus histiocytosis with massive lymphadenopathy (SHML) is a benign, self-limited proliferation of histiocytosis, first described by Rosai and Dorfman in 1969. Clusters of pink and brown, hyperpigmented papules and nodules in patients with cutaneous Rosai- Dorfman disease Figure 2. keywords: crdd; cutaneous; dermatol; disease; dorfman; rosai cache: skin-238.pdf plain text: skin-238.txt item: #824 of 1356 id: skin-239 author: Svoboda, Ryan M; Zuckerman, Joshua D; Rigel, Darrell S title: Clinical Experience with a Novel Topical Adhesive for Dermatologic Excisional Wound Closure: A Case-Series date: 2018-01-02 words: 1455 flesch: 47 summary: To describe our experience using a novel formulation of 2-octyl cyanoacrylate for skin closure after surgical excision of cutaneous lesions. We describe the results of 9 office-based dermatologic excisions in 8 patients utilizing a novel formulation of 2-octyl cyanoacrylate for skin closure. keywords: adhesive; closure; cyanoacrylate; skin cache: skin-239.pdf plain text: skin-239.txt item: #825 of 1356 id: skin-24 author: Kailas, Ajay; Solomon, James A; Rigel, Darrell S; Mostow, Eliot; McMichael, Amy J; Pritchett, Ellen N; Jackson-Richards, Diane; Desai, Seemal R; Taylor, Susan C title: The Importance of Recognition of the Skin Cancer Risk of Native Americans: A Call to Action date: 2017-08-31 words: 940 flesch: 54 summary: Yet despite this, skin of color articles that utilize direct interventions (such as focus groups or classes) in order to educate ethnic populations of skin cancer risk have also often excluded Native Americans 5 . Better data needs to be collected from this group to assess the knowledge gaps related to skin cancer both in patients and providers. keywords: americans; cancer; m.d; skin cache: skin-24.pdf plain text: skin-24.txt item: #826 of 1356 id: skin-240 author: Del Rosso, James Q title: What's New in the Medicine Chest? Part 2 date: 2018-01-02 words: 66 flesch: 42 summary: Part 2 James Del Rosso, DO Video Length: 17:26 Video Description: In a CME podium lecture presented at the 2017 Fall Clinical Dermatology Conference® in Las Vegas, Nevada, James Del Ross, DO, reviews recent advances in dermatopharmacology. Topics highlighted include new and emerging therapies for atopic dermatitis, acne vulgaris, rosacea, actinic keratosis, seborrheic keratosis, and axillary hyperhidrosis. keywords: james cache: skin-240.pdf plain text: skin-240.txt item: #827 of 1356 id: skin-241 author: Team, Editorial title: A Letter from the Editors date: 2018-01-02 words: 304 flesch: 52 summary: 1 The Official Journal of the Fall Clinical and Winter Clinical Dermatology Conferences Welcome to Volume 2, Issue 1 of SKIN: Editors-in-Chief Mark Lebwohl MD Professor and Chairman, Dermatology, Icahn School of Medicine at Mount Sinai, New York Roger Ceilley MD Clinical Professor of Dermatology, University of Iowa School of Medicine, Des Moines, IA James Del Rosso DO Adjunct Clinical Professor, Touro University College of Osteopathic Medicine, Henderson, NV keywords: dermatology cache: skin-241.pdf plain text: skin-241.txt item: #828 of 1356 id: skin-242 author: Zeichner, Joshua title: The Newest in Dermatology-Acne, Atopic Dermatitis, Actinic Keratoses, Psoriasis, Skin Cancer, and More date: 2018-01-02 words: 61 flesch: 3 summary: 48 The Newest in Dermatology-Acne, Atopic Dermatitis, Actinic Keratoses, Psoriasis, Skin Cancer, and More Joshua Zeichner, MD Video Length: 34:43 Video Description: In a CME podium lecture presented at the 2017 Fall Clinical Dermatology Conference® in Las Vegas, Nevada, Joshua Zeichner, MD, reviews cutting edge research presented at this year’s academic poster session, covering all aspects of dermatology. keywords: dermatology cache: skin-242.pdf plain text: skin-242.txt item: #829 of 1356 id: skin-243 author: Rajaii, Roxanne; Moon, Summer; Nyckowski, Timothy; Pui, John; Mahon, Michael title: Reticular Erythematous Mucinosis (REM): Case Report and Review of Literature date: 2018-11-09 words: 2017 flesch: 43 summary: Reticular erythematous mucinosis (REM) is a rare disorder that requires both a clinical and a pathological diagnosis. Reticular erythematous mucinosis was initially classified in 1974, though similar clinical and histological descriptions of plaque-like cutaneous mucinosis date back to 1960.2,3,4,5 REM typically affects middle- aged females with a female: male ratio of 2:1.5,6 Its hallmark features of are erythematous macules and papules that coalesce into a reticulated pattern, favoring the midline chest and mid-back.5, 6,7 The macules and papules may be indurated but lack scale or other surface changes, and may also be less commonly found on the neck, face, upper abdomen, and limbs.1,5,7Most patients show no associated clinical symptoms, though 20-30% of patients report pruritus or a slight burning sensation.1,5,6 REM is a subtype of cutaneous mucinoses that often requires histologic assessment for diagnosis, demonstrating an accumulation of dermal-type mucin in the upper and mid dermis, which is predominantly composed of hyaluronic acid and other glycasimoglycans. keywords: dermatol; erythematous; mucinosis; patients; pmid; pubmed; rem; reticular cache: skin-243.pdf plain text: skin-243.txt item: #830 of 1356 id: skin-245 author: Sipprell III, William H; Maan, Harjot S; Ibrahim, Sherrif F title: Treatment of Telangiectasia Macularis Eruptiva Perstans with an Intense Pulsed Light Device date: 2018-07-06 words: 1491 flesch: 55 summary: Post-treatment of bilateral arms showing complete resolution of telangiectasias 14 months after treatment. He is without recurrence 14 months after treatment. keywords: macularis; patient; telangiectasia; tmep; treatment cache: skin-245.pdf plain text: skin-245.txt item: #831 of 1356 id: skin-246 author: Nahmias, Zachary P; Hsu, Tina; Bledsoe, C Brad; Skinner, Robert; Todd-Bell, Rebecca title: Mycobacterium marinum Infection in a Post-Katrina Carpenter: The Importance of Exposures date: 2018-04-30 words: 988 flesch: 44 summary: Among Hurricane Katrina evacuees and rescue workers, there were at least 30 cases of methicillin-resistant Staphylococcus aureus infection and 24 cases of hurricane- associated Vibrio vulnificus and V. parahaemolyticus wound infections reported. We report a unique case of M. marinum that developed on the right knee following participation in a Hurricane Katrina reconstruction project. keywords: hurricane; infection; katrina; marinum cache: skin-246.pdf plain text: skin-246.txt item: #832 of 1356 id: skin-247 author: Wagner, Keith; Juarez, Daniel; Gibson, Bernard title: Incorporating Discussion of Seborrheic Keratoses During Primary Care Visits date: 2018-04-30 words: 1611 flesch: 49 summary: The tool used in our QIP appears to be an easily- implementable provider instrument that could help to ensure streamlined attention to primary care patients with SK lesions. Of the six patients reporting symptomatic SK (itching or bleeding), 3 patients had more than 20 SK, 2 had between 11 and 20 SK, and 1 had between 1 and 10. keywords: care; patients; primary; skin cache: skin-247.pdf plain text: skin-247.txt item: #833 of 1356 id: skin-249 author: Kaminetsky, Joshua R; Feit, Eric J; Ungar, Jonathan P title: Treatment of Pityriasis Rubra Pilaris with Adalimumab: A Case Report date: 2018-09-07 words: 1381 flesch: 46 summary: Indeed, over the last ten years there have been a growing number of reports of TNF inhibitors demonstrating success in treating refractory patients or those intolerant of retinoids or antimetabolites. Similarly, it has been demonstrated that TNF-alpha levels are upregulated in areas of skin affected by PRP.3 It follows, therefore, that TNF inhibitors could produce a beneficial effect in treating the disease. keywords: adalimumab; pilaris; pityriasis; rubra; tnf; treatment cache: skin-249.pdf plain text: skin-249.txt item: #834 of 1356 id: skin-25 author: Mansouri, Yasaman; Amir, Yasmin; Min, Michelle; Khanna, Raveena; Huang, Ruiqi; Suarez-Farinas, Mayte; Lebwohl, Mark title: Impact of Temperature on Injection-Related Pain Caused by Subcutaneous Administration of Ustekinumab: A Three-arm Crossover Open-label Randomized Controlled Trial date: 2017-11-13 words: 4551 flesch: 58 summary: The National Society for Cutaneous Medicine 117 ORIGINAL RESEARCH Impact of Temperature on Injection-Related Pain Caused by Subcutaneous Administration of Ustekinumab: A Three-Arm Open-Label Randomized Controlled Trial Yasaman Mansouri MD a,c , Yasmin Amir BA a , Michelle Min MD MSci a , Raveena Khanna BA a,d , Ruiqi Huang MSci b , Mayte Suarez-Farinas PhD a,b , Mark Lebwohl MD a Departments of Dermatology a , Population Health Science and Policy b , Icahn School of Medicine at Mount Sinai, New York NY c Metropolitan Hospital Center, New York, NY d Creighton University School of Medicine, Omaha NE ABSTRACT Background: Adherence to subcutaneous biologic agents for the treatment of psoriasis can be negatively influenced by injection pain. Systematic review and meta- analysis of the effect of warming local anaesthetics on injection pain. keywords: effect; gender; heat; ice; injection; intervention; pain; patients; skin; study; vas cache: skin-25.pdf plain text: skin-25.txt item: #835 of 1356 id: skin-250 author: Moy, Stephanie; Moy, Lawrence S; Lesser, Timothy title: Striae Cream with Regenetrol Complex(TM) Demonstrates Efficacy on Stretch Marks: A Double-Blind Controlled Study date: 2018-07-06 words: 2508 flesch: 59 summary: Clinically, stretchmarks are characterized by a thinning of the skin in streaks usually located around the hips, thighs, buttocks, abdomen, and shoulders. The most common developments of stretchmarks occur during third trimester pregnancy (~40%), pubertal growth spurts or rapid weight gain (~30%), active weight training (~30%), and excessive use of topical cortisones. keywords: cream; improvement; patients; skin; stretchmarks; striae cache: skin-250.pdf plain text: skin-250.txt item: #836 of 1356 id: skin-252 author: Papp, Kim; Reich, Kristian; Blauvelt, Andrew; Thaci, Diamant; Sinclair, Rodney; Tyring, Stephen K; Cichanowitz, Nicole; Green, Stuart; Li, Qing; La Rosa, Carmen title: Clinical Efficacy or Tildrakizumab in Patients with Chronic Plaque Psoriasis Over 2 Years of Treatment: Results from Long-Term Extensions to 2 Phase 3 Clinical Studies date: 2018-02-23 words: 2392 flesch: 38 summary: Baseline Characteristics for Patients Entering Extension Period reSURFACE 1 reSURFACE 2 TIL 100 mg TIL 200 mg Total TIL 100 mg TIL 200 mg Total Subjects in population, n 239 267 506 382 349 731 Male 159 (66.5) 183 (68.5) 342 (67.6) 291 (76.2) 242 (69.3) 533 Two-Year Cumulative Number (Rate) of Patients With AEs of Interest reSURFACE 1 reSURFACE 2 TIL 100 mg n (Exposure- Adjusted Rate per 100 PY) TIL 200 mg n (Exposure- Adjusted Rate per 100 PY) TIL 100 mg n (Exposure- Adjusted Rate per 100 PY) TIL 200 mg n (Exposure- Adjusted Rate per 100 PY) Severe infections 5 (0.8) 6 (0.8) 7 (0.8) 9 (1.1) Malignancies 6 (0.9) 2 (0.3) 4 (0.5) 7 (0.9) keywords: extension; patients; resurface; til; tildrakizumab cache: skin-252.pdf plain text: skin-252.txt item: #837 of 1356 id: skin-253 author: Menter, Alan; Sobell, Jeff; Silverberg, Jonathan I; Lebwohl, Mark; Rastogi, Shipra; Pillai, Radhakrishnan; Israel, Robert J title: Long-Term Efficacy of Brodalumab for the Treatment of Moderate-to-Severe Psoriasis: Data from a Pivotal Phase 3 Clinical Trial date: 2018-02-23 words: 1442 flesch: 41 summary: 2016;175:273-286. CONCLUSIONS • Treatment with brodalumab resulted in substantial psoriatic lesion clearing for >2 years in most patients with moderate-to-severe psoriasis • Skin clearance response rates, as determined by sPGA 0/1, PASI 75, PASI 90, and PASI 100, were maintained from weeks 52 to 120 in patients who received brodalumab 210 mg Q2W • Patients receiving continuous treatment with brodalumab had higher rates of PASI 100 compared with patients who received placebo or ustekinumab during the induction phase PASI 75 90.6 88.4 PASI 90 77.6 76.8 PASI 100 53.3 56.2 R es po nd er s, % 60 0 40 20 80 100 sPGA 0/1 79.2 1015 597 1162 689 995 598 683 438 n 76.6 Week 52 (n=1282) Week 120 (n=779) Most patients were male, with a mean (standard deviation) age of 44.6 (12.8) years (Table 1) • A total of 1392 patients entered the long-term extension phase on brodalumab 210 mg Q2W, and 1282 patients had a valid measurement at week 52 Efficacy • Skin clearance response rates at weeks 52 and 120 were similar in patients who received brodalumab 210 mg Q2W during the long-term extension (Figure 2) • keywords: brodalumab; mg q2w; pasi; patients; phase cache: skin-253.pdf plain text: skin-253.txt item: #838 of 1356 id: skin-254 author: Reich, Kristian; Lebwohl, Mark; Paul, Carle; Ropke, Mads; Rosen, Monika; Hansen, Klaus title: Brodalumab, a Human Anti-Interleukin-17 Receptor A Monoclonal Antibody, Shows Low Immunogenicity in Patients with Moderate-to-Severe Psoriasis date: 2018-02-23 words: 1608 flesch: 54 summary: No patients had neutralizing ADAs, including those who received brodalumab 210 mg after ustekinumab (Table 1) Effect of anti-drug antibodies Pharmacokinetics • Because anti-brodalumab antibody incidence was <3% of the patient population, anti-brodalumab antibody status was not evaluated in a population pharmacokinetic model; however, based on tabulated pharmacokinetic data (data not shown), no trends were observed to suggest reduction in pharmacokinetics due to the presence of binding ADAs Efficacy • There was no clear initial indication that patients with ADAs developed tolerance to brodalumab with loss of therapeutic effect, based on Static Physician’s Global Assessment (sPGA) responses. Carle Paul,3 Mads Røpke,4 Monika Rosen,4 Klaus Hansen4 1Dermatologikum Hamburg and SCIderm Research Institute, Hamburg, Germany; 2Icahn School of Medicine at Mount Sinai, New York, NY, USA; 3Paul Sabatier University, Toulouse, France; 4LEO Pharma, Ballerup, Denmark Winter Clinical Dermatology Conference - Hawaii® • January 12-17, 2018 • Lahaina, HI INTRODUCTION • Brodalumab is a human anti–interleukin (IL)-17 receptor A monoclonal antibody, which is delivered via subcutaneous injection, that demon- strated high efficacy in the treatment of moderate-to-severe psoriasis1–4 • Biologic therapies, such as brodalumab, have the potential to elicit an immune response in humans, which may result in the production of anti-drug antibodies (ADAs)5 • ADAs may change the pharmacokinetic and/or pharmacodynamic profile of a drug and thereby compromise its efficacy and/or safety profile6 – ADAs have been associated with hypersensitivity and immune reactions,7,8 which may be preceded by localized inflammation at an injection site9,10 – Neutralizing antibodies can prevent the drug from binding to the target receptor11 • keywords: adas; brodalumab; injection; patients; site cache: skin-254.pdf plain text: skin-254.txt item: #839 of 1356 id: skin-255 author: Van Voorhees, Abby S; Hsu, Sylvia; Elewski, Boni; Rastogi, Shipra; Israel, Robert J title: Efficacy and Safety of Brodalumab in Obese Patients with Moderate-to-Severe Plaque Psoriasis date: 2018-02-23 words: 1198 flesch: 55 summary: Most patients were male, with an approximate mean (standard deviation) age of 45.8 (13.3) years for nonobese patients and 47.0 (12.4) years for obese patients (Table 1) • In a post hoc comparison of patients receiving continuous brodalumab 210 mg Q2W, rates of achieving sPGA score of 0 or 1 (sPGA 0/1), 75% improvement in PASI (PASI 75), PASI 90, and PASI 100 were higher among nonobese patients than obese patients at weeks 12 and 52 (Figure) • keywords: nonobese; obese; pasi; patients cache: skin-255.pdf plain text: skin-255.txt item: #840 of 1356 id: skin-256 author: Draelos, Zoe D; Kempers, Steven E; Smith, Stacy R; Wilson, David C; Powala, Christopher V; Bradshaw, Mark; Estes, Esther; Shanler, Stuart D title: Safety and Efficacy of A-101 Hydrogen Peroxide Topical Solution 40% in Adults with Seborrheic Keratosis: Results from the Phase 3, Randomized, Double-Blind, Vehicle-Controlled Study date: 2018-02-23 words: 1298 flesch: 64 summary: 0.002 P < 0.0001 Vehicle A-101 40% 0 20 10 30 40 50 60 70 Se b or rh e ic K e ra to se s, % 0 30 20 10 40 50 60 70 Se b or rh e ic K e ra to se s, % 48% 64% 10% 15% A B Day 106 Day 106 Vehicle A-101 40% Figure 2: Mean Per-Patient Percent of SKs (A) or Facial SKs (B) Judged to be Clear/Near Clear (PLA ≤ 1) Safety • Patients were randomized 1:1 to receive A-101 or matching vehicle. keywords: a-101; clear; pla; sks cache: skin-256.pdf plain text: skin-256.txt item: #841 of 1356 id: skin-258 author: Feldman, Steven R; Harris, Susan; Rastogi, Shipra; Israel, Robert J title: Distribution of Depression and Suicidality in a Psoriasis Clinical Trial Population date: 2018-02-23 words: 927 flesch: 54 summary: Author disclosures: The authors disclose past or current financial relationships with the following companies: Feldman – AbbVie, Advance Medical, Almirall, Anacor, Astellas, Baxter, Boehringer Ingelheim, Caremark, Celgene, Cosmederm Bioscience, Galderma, GlaxoSmithKline/Stiefel, Informa, Janssen, LEO Pharma, Eli Lilly & Co, Merck, Merz, Mylan, National Biological Corporation, National Psoriasis Foundation, Novan, Novartis, Parion, Pfizer, Qurient, Regeneron, Suncare Research, Taro, UpToDate, Valeant Pharmaceuticals North America LLC, Gerson Lehrman, Guidepoint Global, www.DrScore.com, and Causa Research; Harris – Valeant Pharmaceuticals North America LLC; Israel – Valeant Pharmaceuticals North America LLC; and Rastogi – Ortho Dermatologics and Valeant Pharmaceuticals North America LLC. Incidence of baseline SIB across geographic regions in patients who received any dose of brodalumab in any of the 4 trials. keywords: brodalumab; patients; sib; trials cache: skin-258.pdf plain text: skin-258.txt item: #842 of 1356 id: skin-259 author: Williamson, T; Cameron, J; McLeod, K; Turner, B; Quillen, A; LaRose, A title: Patient Concerns and Treatment Satisfaction in Patients Treated with Azelaic Acid Foam for Rosacea date: 2018-02-23 words: 5676 flesch: 49 summary: Assesses patient self-reported rosacea subtype and severity and evaluates drug characteristics that contribute to patient satisfaction/dissatisfaction and treatment decisions with rosacea topical treatments. Assesses patient self-reported rosacea subtype and severity and evaluates drug characteristics that contribute to patient satisfaction/dissatisfaction and treatment decisions with rosacea topical treatments. keywords: patients; rosacea; satisfaction; study; treatment cache: skin-259.pdf plain text: skin-259.txt item: #843 of 1356 id: skin-26 author: Dando, Emily E; Anvekar, Rina A title: Psoriasis Therapies and the Risk of Cutaneous Malignancy date: 2017-08-31 words: 4461 flesch: 55 summary: Paul, C.F., et al., Risk of malignancies in psoriasis patients treated with cyclosporine: a 5 y cohort study. Chiesa Fuxench, Z.C., et al., The Risk of Cancer in Patients With Psoriasis: A Population- Based Cohort Study in the Health Improvement Network. keywords: dermatol; nmsc; patients; psoriasis; risk; skin cache: skin-26.pdf plain text: skin-26.txt item: #844 of 1356 id: skin-260 author: Weber, TM; Arrowitz, CE; Jiang, LI; Qian, K; Filbry, A title: Efficacy of an Ointment Body Spray to Improve the Appearance of Dry, Ashy Skin and Alleviate Moderate to Severe Dryness on the Heel date: 2018-02-23 words: 603 flesch: 50 summary: Wk 2 Treated Untreated N=31 C o rn eo m et er U n it s Skin Hydration a,c b,c OBS=Ointment Body Spray ap<0.05 vs Baseline bp<0.001 vs Baseline cp<0.05 vs Control 5.7 4.3 3.4 5.8 5.8 5.8 0.0 1.0 2.0 3.0 4.0 5.0 6.0 7.0 Baseline Week 1 Week 2 0.0 1.0 2.0 3.0 4.0 5.0 6.0 7.0 Baseline Week 1 Week 2 0.0 1.0 2.0 3.0 4.0 5.0 6.0 7.0 Baseline Week 1 Week 2 Ashen Appearance M ea n C lin ic al G ra d in g S co re s a,b a,b a,b a,b 5.7 4.8 4.1 5.7 5.9 5.9 a,b a,b Dryness 5.5 4.1 3.1 5.5 5.6 5.6 Flaking N=31 ap<0.001 vs Baseline bp<0.001 vs Control Treated Untreated 0 1 2 3 4 5 6 7 Baseline Day 5 Day 10 Day 15 Baseline Day 5 Day 10 Day 15 Baseline Day 5 Day 10 Day 15 Baseline Day 5 Day 10 Day 15 M ea n C lin ic al G ra d in g S co re 0 1 2 3 4 5 6 7 Scaling Dryness Cracking 0 1 2 3 4 5 6 7 0 1 2 3 4 5 6 7 OBS AHO a a a a a a a a a a a a a a a a a a a a a a a a Roughness N=18ap=0.001 OBS Significantly Improved Skin Hydration of Dry Skin Compared with Baseline and Untreated Skin 19.6 23.5 24.9 20.4 20.1 keywords: baseline; day cache: skin-260.pdf plain text: skin-260.txt item: #845 of 1356 id: skin-261 author: Bagel, Jerry; Nia, John; Hashim, Peter; Patekar, Manmath; de Vera, Ana; Hugot, Sophie; Sheng, Kuan; Xia, Summer; Muscianisi, Elsa; Blauvelt, Andrew; Lebwohl, Mark title: Secukinumab is Superior to Ustekinumab in Clearing Skin of Patients with Moderate to Severe Plaque Psoriasis: CLARITY, a Randomized, Controlled, Phase 3b Trial date: 2018-02-23 words: 2056 flesch: 57 summary: S Xia: Employee of Novartis Beijing Novartis Pharma Co. Ltd. M Patekar, A de Vera, S Hugot: Employees of Novartis Pharma AG. keywords: 2011; pasi; secukinumab; ustekinumab; week cache: skin-261.pdf plain text: skin-261.txt item: #846 of 1356 id: skin-262 author: Weber, TM; Arrowitz, CE; Scherdin, U; Schoelermann, AM; Filbry, A title: A Moisturizing Spray Ointment to Help Alleviate Dry Skin Symptoms Associated with Atopic Eczema, Psoriasis, and Xerosis date: 2018-02-23 words: 311 flesch: -14 summary: Figure 4. Figure 5. 55% 6% 35% 2% Atopic Eczema Xerosis Psoriasis Ichthyosis N=80 2.29 1.61 0.34 0.86 0.51 0.13 0 0.5 1.0 1.5 2.0 2.5 Dryness Scaling Cracks M ea n C lin ic al G ra d in g S co re * * * OBS=Aquaphor Ointment Body Spray *p<0.0001 vs Baseline N=80 Baseline End of Study 0 20 40 60 Severe/ Very Severe Moderate Slight None Severe/ Very Severe Moderate Slight None Severe/ Very Severe Moderate Slight None 0 20 40 60 0 25 50 75 Reduction in Dryness Reduction in Scaling Reduction in Cracks N=70 N=20 End of Study 0.59 1.39 1.39 1.1 0.15 0.81 0.41 0.39 0.0 0.2 0.4 0.6 0.8 1.0 1.2 1.4 1.6 Burning Erythema Itching Tightness M ea n C lin ic al G ra d in g S co re * * * * OBS=Aquaphor Ointment Body Spray *p<0.0001 vs Baseline N=80 Baseline End of Study Reduction in Itching Reduction in Erythema 0 20 40 60 0 20 40 60 % o f Su b je ct s % o f Su b je ct s N=62 N=57 Reduction in Burning Reduction in Tightness OBS=Aquaphor Ointment Body Spray Mean Duration of Treatment=16.2 days % o f Su b je ct s % o f Su b je ct s 0 20 40 60 0 20 40 60 80 N=35 N=52 Severe/ Very Severe Moderate Slight None Severe/ Very Severe Moderate Slight None Severe/ Very Severe Moderate Slight None Severe/ Very Severe Moderate Slight None Progression to Reduced Symptom Severity Baseline End of Study p p FC17PosterBeiersdorfWeberMoisturizingSpray.pdf INTRODUCTION RESULTS CONCLUSIONS METHODS OBJECTIVE Subjects Study design Assessments TM Weber,1 CE Arrowitz,1 U Scherdin,2 AM Schoelermann,2 A Filbry2 1Beiersdorf Inc, Wilton, CT, USA; 2Beiersdorf AG, Hamburg, Germany A Moisturizing Spray Ointment to Help Alleviate Dry Skin Symptoms Associated with Atopic Eczema, Psoriasis, and Xerosis Figure 1. keywords: reduction; severe/ cache: skin-262.pdf plain text: skin-262.txt item: #847 of 1356 id: skin-263 author: Bhatia, N; Ahmadyar, M; Hansra, H; Del Rosso, J; Baldwin, H; Daniels, AM title: Early Onset of Efficacy Using a 1% and 2% Topical Minocycline Gel for the Treatment of Rosacea: a Small Open Label Study date: 2018-02-23 words: 1193 flesch: 55 summary: Change in lesion count from baseline to 12 weeks E F F IC A C Y E N D P O IN T S S T U D Y D E S IG N » Cutaneous tolerability (4-point severity scales, investigator- and subject-reported) » Hematology & chemistry lab tests » No clinically significant laboratory test findings were noted -100% -80% -60% -40% -20% 0% Baseline Week 4 Week 8 Week 12 Series1 Series2 -100% -80% -60% -40% -20% 0% Baseline Week 4 Week 8 Week 12 Series1 Series2 1%; n=10 2%; n=9 P e rc e n ta g e r e d u c ti o n i n a v e ra g e n u m b e r o f le s io n s P e rc e n ta g e r e d u c ti o n i n a v e ra g e s e v e ri ty o f le s io n s (0 -4 I G A s c a le ) 1%; n=10 2%; keywords: minocycline; rosacea; treatment; week cache: skin-263.pdf plain text: skin-263.txt item: #848 of 1356 id: skin-264 author: Cook, Robert W; Monzon, Federico A; Hyams, David title: A Retrospective Case Series to Evaluate the Clinical Utility of a 31-Gene Expression Profile Test in Cutaneous Melanoma Patients date: 2018-02-23 words: 812 flesch: 58 summary: • Documented management changes were categorized as increased intensity, decreased intensity, or no change, based on comparison of management plans before and after receipt of GEP test result. Prospective, single center 90 patients 52% of management decision based on GEP result using decision tree model Current study Retrospective, single center 70 patients 100% changed management after inclusion of GEP result Slide Number 1 keywords: class; gep; management; test cache: skin-264.pdf plain text: skin-264.txt item: #849 of 1356 id: skin-265 author: Fleming, Martin; Johnson, Clare; Covington, Kyle; Gadzia, Joseph; Dillon, Larry; Monzon, Federico A title: Clinical Impact of a 31-Gene Expression Profile Test on Physician Recommendations for Management of Melanoma Patients in a Prospectively Tested Cohort date: 2018-02-23 words: 885 flesch: 56 summary: • Post-test management recommendations were collected at the subsequent visit following receipt of GEP test result. Cohort demographics Conclusions • Overall, 49% of tested patients had a change in clinical management. keywords: class; gep; management; test cache: skin-265.pdf plain text: skin-265.txt item: #850 of 1356 id: skin-266 author: Bauer, Johann W; Paller, Amy; Mellerio, Jemima E; Hovnanian, Alain; Pan, John J; Zografaos, Panagiotis; Licholai, Greg P; Murrell, Dedee F title: Use of an Investigator's Global Assessment Scale to Evaluate Disease Severity in Patients swith Epidermolysis Bullosa Simplex date: 2018-02-23 words: 2085 flesch: 25 summary: Similarly, at 16 weeks, the proportion of lesions treated with diacerein 1% ointment showing a 2-point reduction in IGA score trended higher, as compared with vehicle-treated lesions (70% vs 47%; P=.067) (Figure 5) Figure 4. Percentage of lesions with a 2-point reduction in IGA score 58% 40% Diacerein (n=76) Placebo (n=58) -18 P er ce nt 100 80 60 40 20 0 70% 47% Diacerein (n=76) Placebo (n=58) -23 P er ce nt 100 80 60 40 20 0 P=.036 P=.067 aThe correlation was between the total blister count and the mean (over lesions) keywords: blisters; diacerein; iga; lesions; placebo; weeks cache: skin-266.pdf plain text: skin-266.txt item: #851 of 1356 id: skin-267 author: Chapman, M Shane; Cirulli, Joshua; McBride, Sandy title: Sustained Improvement in Patient-Reported Outcomes with Continued Apremilast Treatment over 104 Weeks in Patients with Moderate to Severe Psoriasis date: 2018-02-23 words: 2460 flesch: 67 summary: MCID de� ned as a ≥5-point decrease from baseline in patients with baseline DLQI score >57 – Pruritus visual analog scale (VAS; 0–100 mm); MCID de� ned as a decrease from baseline ≥20%8 – 36-Item Short Form Health Survey version 2 (SF-36v2) Mental and Physical Component Summary scores (MCS and PCS); both MCIDs de� ned as an increase of ≥2.5 points from baseline9 – Patient Health Questionnaire-8 (PHQ-8); MCID de� ned as achievement of score ≤4 (no signi� cant depressive symptoms)10 Safety Assessments • Safety was assessed based on adverse events (AEs), vital signs, clinical laboratory assessments, and physical examinations. CONCLUSIONS • In biologic-naive patients with moderate to severe psoriasis, improvements in patient-reported outcomes, including QOL and pruritus, were generally maintained with continued APR treatment up to 104 weeks. keywords: apr; etn; mcid; patients; pbo; week cache: skin-267.pdf plain text: skin-267.txt item: #852 of 1356 id: skin-268 author: Glaser, Dee Anna; Hebert, Adelaide A; Nast, Alexander; Werschler, William P; Shideler, Stephen; Green, Lawrence; Mamelok, Richard D; Drew, Janice; Quiring, John; Pariser, David M title: Open-Label Study (ARIDO) Evaluating Long-Term Safety of Topical Glycopyrronium Tosylate (GT) in Patients with Primary Axillary Hyperhydrosis date: 2018-02-23 words: 2450 flesch: 37 summary: In ATMOS-1/ATMOS-2 patients with primary axillary hyperhidrosis were randomized 2:1 to GT (3.75% topical solution) or vehicle applied once daily to each axilla for 28 days (Figure 1) • Patients who completed ATMOS-1/ATMOS-2 with ≥80% treatment compliance were eligible to continue into ARIDO and receive open-label GT for up to 44 weeks or until early termination, including patients terminated once the study objective of 100 patients receiving treatment for ≥12 months was achieved (Figure 1) • Key inclusion criteria for ATMOS-1/ATMOS-2 were: – ≥9 years of age (patients <16 years were recruited only at US sites) – Primary axillary hyperhidrosis for ≥6 months – Gravimetrically-measured sweat production of ≥50 mg/5 min in each axilla – Axillary Sweating Daily Diary (ASDD; for patients ≥16 years of age) or ASDD-Children (ASDD-C; for patients <16 years of age) axillary sweating severity item (Item 2) 4 score ≥4 (0 to 10 numeric rating scale) – Hyperhidrosis Disease Severity Scale (HDSS) ≥3 • Key exclusion criteria for ATMOS-1/ATMOS-2 were: – History of a condition that could cause secondary hyperhidrosis – Prior surgical procedure or treatment with a medical device for axillary hyperhidrosis – Treatment with iontophoresis within 4 weeks or treatment with botulinum toxin within 1 year for axillary hyperhidrosis – Axillary use of nonprescription antiperspirants within 1 week or prescription antiperspirants within 2 weeks – New or modified psychotherapeutic medication regimen within 2 weeks – Treatment with medications having systemic anticholinergic activity, centrally acting alpha-2 adrenergic agonists, or beta-blockers within 4 weeks unless dose had been stable ≥4 months and was not expected to change – Conditions that could be exacerbated by study medication Figure 1. The majority of patients (86.6%; N=564) completing ATMOS-1/ATMOS-2 (369 patients [65.4%] had received GT, and 195 [34.6%] had received vehicle) continued into ARIDO (Figure 2) • Of the patients enrolled in ARIDO, most patients were female (55.3%) and white (83.3%) with a mean age of 33.0 years and mean BMI of 27.3 kg/m2 (Table 1) • keywords: arido; atmos-1; patients; safety; study; teaes; week cache: skin-268.pdf plain text: skin-268.txt item: #853 of 1356 id: skin-269 author: Pariser, David M; Hebert, Adelaide A; Drew, Janice; Quiring, John; Glaser, Dee Anna title: Patient-Reported Outcomes from Two Randomized, Double-Blind, Vehicle Controlled Phase 3 Trials in Axillary Hyperhidrosis (ATMOS-1 & ATMOS-2) date: 2018-02-23 words: 3373 flesch: 50 summary: Axillary Sweating Daily Diary; ASDD-C, ASDD-Children; GT, topical glycopyrronium tosylate • Improvement in scores related to the impact of axillary sweating (ASDD Item 3) scores was greater for GT-treated patients than vehicle-treated patients at every study week (Figure 3) – After 4 weeks of treatment in ATMOS-1, scores improved by 63% (-1.5 point change) in GT-treated patients and 39% (-0.8) in vehicle-treated patients compared with Baseline – After 4 weeks of treatment in ATMOS-2, scores improved by 72% (-1.7 point change) in GT-treated patients and 41% (-1.0) in vehicle-treated patients compared with Baseline Figure 3. Percent Improvement From Baseline in Scores Related to the Impact of Axillary Sweating (ASDD Item 3) by Week VehicleGT VehicleGT 80 60 40 20 0 P er ce nt Im pr ov em en t i n S co re s R el at ed to th e Im pa ct of A xi lla ry S w ea tin g (A S D D It em 3 ) ATMOS-1 Week ATMOS-2 0 1 2 3 4 80 60 40 20 0 Week 0 1 2 3 4 72% 41% 63% 39% Data are representative of the intent-to-treat (ITT) population of patients 3 (a great deal), 4 (an extreme amount) ASDD, Axillary Sweating Daily Diary; GT, topical glycopyrronium tosylate • Improvement in scores related to the bother of axillary sweating (ASDD Item 4) was greater in GT-treated patients than vehicle-treated patients at every study week (Figure 4) – After 4 weeks of treatment in ATMOS-1, Item 4 scores improved by 64% (-1.7 point change) in GT-treated patients and by 39% (-0.9) in vehicle-treated patients compared with Baseline – After 4 weeks of treatment in ATMOS-2, Item 4 scores improved by 72% (-1.9 point change) in GT-treated patients and by 41% (-1.0) in vehicle-treated patients compared with Baseline Figure 4. keywords: asdd; item; patients; sweating cache: skin-269.pdf plain text: skin-269.txt item: #854 of 1356 id: skin-27 author: Weiss, Amy R; Drossner, Robbie B; Jacobson, Mark title: Sixteen Years of a Pruritic Unilateral Axillary Eruption: A Rare Presentation of Extramammary Paget’s Disease date: 2017-11-13 words: 1233 flesch: 50 summary: 1,2 Accordingly, Ohno, et al. has even recommended skin biopsy from the contralateral axilla and anogenital region, even if they appear clinically normal. 4 Treatment options for axillary EMPD are the same as those used for non-axillary EMPD, and they include Mohs micrographic surgery, wide local excision, radiotherapy, photodynamic therapy, CO2 laser ablation as well as the use of topical therapies such as imiquimod 5% cream, topical 5- fluorouracil, and retinoic acid. Fewer than fifteen cases of axillary EMPD have been reported in the literature in the past ten years. keywords: axilla; disease; empd; paget cache: skin-27.pdf plain text: skin-27.txt item: #855 of 1356 id: skin-270 author: Pariser, David M; Hebert, Adelaide A; Drew, Janice; Quiring, John; Glaser, Dee Anna title: Burden of Axillary Hyperhidrosis Using a Patient-Reported Outcome Measure to Assess Impact on Activities and Bothersomeness date: 2018-02-23 words: 2624 flesch: 47 summary: Axillary Sweating Daily Diary; ASDD-C, ASDD-Children • At Baseline in ATMOS-1 and ATMOS-2, mean ± SD ASDD Item 3 (impact of axillary sweating) scores were 2.3 ± 0.9 and 2.4 ± 0.9, respectively – In each trial, approximately 70% of patients ≥16 years of age reported scores ≥2 on ASDD Item 3, indicating that their daily activities were at least moderately affected by axillary hyperhidrosis at Baseline (Figure 3) – 26.2% and 29.7% of patients were severely impacted by axillary sweating in ATMOS-1 and ATMOS-2, respectively, having reported scores of 3 or 4 at Baseline (Figure 3) Figure 3. Axillary Sweating Daily Diary • At Baseline in ATMOS-1 and ATMOS-2, the mean ± SD ASDD Item 4 (bother of axillary sweating) scores were 2.6 ± 0.9 and 2.6 ± 0.9, respectively – In each trial, >75% of patients ≥16 years of age reported scores ≥2 on ASDD Item 4, indicating that they were at least moderately bothered by axillary sweating at Baseline (Figure 4) – 37.5% and 40.1% of patients were severely bothered by axillary sweating in ATMOS-1 and ATMOS-2, respectively, having reported scores of 3 or 4 at Baseline (Figure 4) Figure 4. keywords: asdd; baseline; item; patients; sweating; underarm cache: skin-270.pdf plain text: skin-270.txt item: #856 of 1356 id: skin-271 author: Jones, Terry M; Ellman, Herman; deVries, Tina title: Pharmacokinetic Evaluation of Once-Daily Topical 4% Minocycline Foam in Adult and Pediatric Subjects with Moderate-to-Severe Acne in Two Phase 1 Studies date: 2018-02-23 words: 1759 flesch: 46 summary: In adult subjects, oral minocycline treatment had a geometric mean C max of 850 ng/mL, while topical application of 4 g FMX101 4% in adults had a geometric mean C max ranging from 1.109–1.539 ng/mL (days 1-2, days 12-13, and days 21-25) • The mean plasma concentration of oral minocycline in adult subjects reached C max by 3 hours after administration, followed by a log-linear decrease in concentration for the remaining 96-hour sample period • The mean plasma minocycline concentration of FMX101 4% increased until 8–14 hours (median T max value) on days 1, 12, and 21 • Figure 2 shows a comparison of mean plasma minocycline concentrations during the first 24 hours after a single dose of oral minocycline and after topical applications of FMX101 4% at 3 timepoints in adult subjects • keywords: application; auc; fmx101; minocycline; subjects cache: skin-271.pdf plain text: skin-271.txt item: #857 of 1356 id: skin-272 author: Stein Gold, Linda; Dhawan, Sunil; Weiss, Jonathan; Draelos, Zoe D; Ellman, Herman title: The Efficacy and Safety of FMX101, Minocycline Foam 4%, for the Treatment of Acne Vulgaris: A Pooled Analysis of Phase 2 and Phase 3 Studies date: 2018-02-23 words: 1734 flesch: 53 summary: Conclusions • The results of the 2 Phase 3 studies showed that FMX101 4% was effective for the treatment of moderate-to-severe acne – There was significantly greater reduction of both inflammatory and noninflammatory lesions at week 12 from baseline with FMX101 4% vs vehicle in both Study 04 and Study 05, as well as in the pooled analysis (a co-primary end point) � A significant reduction in inflammatory lesions was observed as early as week 3 for FMX101 4% – The rate of IGA treatment success was significantly greater for FMX101 4% vs vehicle in Study 05, but not Study 04 (a co-primary end point) � Pooled analysis of IGA treatment success was statistically significant for FMX101 4% • >95% of subjects had none or mild signs and symptoms at the week 12 assessment of dermal tolerability • FMX101 4% appeared to be safe and well tolerated, with dermal AEs occurring in <1% of FMX101 4% subjects and no serious drug-related AEs reported • There was high satisfaction with FMX101 4% • The FMX101 4% open-label phase is currently ongoing to determine long-term safety The Efficacy and Safety of FMX101, Minocycline Foam 4%, for the Treatment of Acne Vulgaris: A Pooled Analysis of 2 Phase 3 Studies Linda Stein Gold, MD1; Sunil Dhawan, MD2; Jonathan Weiss, MD3; Zoe Diana Draelos, MD4; Herman Ellman, MD5 1Henry Ford Health System, Detroit, Michigan, USA; 2Center for Dermatology Clinical Research, Inc., Fremont, California, USA; 3Gwinnett Dermatology, Braselton, Georgia, USA; 4Dermatology Consulting Services, High Point, North Carolina, USA; 5Foamix Pharmaceuticals, Inc, Bridgewater, New Jersey, USA. Safety • FMX101 4% was generally safe and well tolerated in both Study 04 and Study 05 • Across the 2 studies, the percentage of subjects reporting treatment-emergent adverse events (TEAEs) ranged between 16.9% and 33% for FMX101 4%, vs 18.2% to 26.5% for vehicle (Table 2) – 1 subject receiving FMX101 4% discontinued treatment in Study 05 (ectopic pregnancy; not related to treatment), as compared with 4 subjects for vehicle across the 2 studies – 7 subjects reported 9 serious TEAEs across the 2 studies; all were considered not related to treatment – Few treatment-related TEAEs were reported in both studies • The most common TEAEs in ≥2% of subjects were nasopharyngitis and headache (Table 3) – Dermal TEAEs were reported in <1% of all subjects in the FMX101 4% treatment groups; their severity was mostly mild • The majority (>95%)a of FMX101 4% subjects reported none or mild signs and symptoms for tolerability assessment parameters at week 12 (Table 4) ªBased on observed cases. keywords: fmx101; study; subjects; vehicle cache: skin-272.pdf plain text: skin-272.txt item: #858 of 1356 id: skin-274 author: Bagel, Jerry; Zapata, James; Nelson, Elise; Keegan, Brian title: Psoriasis Patients on Chronic Biologic Therapy May Benefit from Additional Treatment-Study Design and Baseline Characteristics date: 2018-02-23 words: 1040 flesch: 57 summary: Patients with psoriasis desire disease clearance. More than 50% of patients with psoriasis are dissatisfied with their treatment, including biologic keywords: biologic; patients; psoriasis cache: skin-274.pdf plain text: skin-274.txt item: #859 of 1356 id: skin-275 author: Hanke, C William; Albrecht, Lorne; Kyhl, Laerke K; Larrson, Thomas; Oesterdal, Marie L; Spelman, Lynda title: Efficacy and Safety of Ingenol Mebutate Gel in Field Treatment of Actinic Keratosis on Full Face, Balding Scalp, or Approximately 250 cm2 on the Chest: A Phase III, Randomized, Controlled Trial date: 2018-02-23 words: 1403 flesch: 50 summary: Primary • Complete clearance (AKCLEAR 100), defined as a 100% reduction from baseline in the number of clinically visible AK lesions, at Week 8 Secondary • Partial clearance (AKCLEAR 75), defined as ≥75% reduction from baseline in the number of clinically visible AK lesions, at Weeks 4 and 8 • Percent reduction in AK lesion count from baseline at Week 8 Safety • Local skin responses (LSRs) and adverse events (AEs), assessed by investigators on Days 1 and 4, and Weeks 1, 2, 4, and 8, respectively Physician- and patient-reported outcomes • Global photo-damage outcome assessment by investigator at Week 8 • Patient Treatment Satisfaction Questionnaire for Medication (TSQM) v.1.4, and cosmetic outcome at Week 8 • Ingenol mebutate (IngMeb; Picato®) is indicated for the topical treatment of actinic keratosis (AK) in areas of skin up to 25 cm21 • Two or three consecutive days of treatment with IngMeb provides clinically relevant clearance of AK lesions on the face/scalp (0.015% gel) and trunk/extremities (0.05% gel) when compared with vehicle gel;2 in addition, treatment effects of IngMeb gel are maintained long term3 • However, some patients may require treatment of AK over areas of skin larger than 25 cm2 Background Methods • Phase III, randomized, parallel-group, double-blind, vehicle-controlled, eight-week trial in patients with AK (Figure 1) • Patients were eligible if they had 5–20 clinically typical, visible and discrete AK lesions within a selected treatment area of sun-damaged skin on either the full face, full balding scalp (>25 cm2–250 cm2) or a contiguous area of (~250 cm2) on the chest Table 1. Serious AEs occurred in 1.5% vs 1.1% of patients receiving IngMeb or vehicle, respectively; none were treatment related • The most frequently reported AEs (occurring in ≥2% patients receiving IngMeb 0.027% gel) included application-site pain and application-site pruritus (Table 2) Figure 4. keywords: gel; ingmeb; vehicle cache: skin-275.pdf plain text: skin-275.txt item: #860 of 1356 id: skin-276 author: Hong, Chih-Ho; Patel, Dharm S; Lophaven, Katja W title: Patient Preferences for Vehicle and Overall Preference of Calcipotriene 0.005%/Betamethasone Dipropionate 0.064% Foam and Gel in the PSO-INSIGHTFUL Study date: 2018-02-23 words: 1543 flesch: 66 summary:  Subjects’ Preference Assessment (SPA) and Vehicle Preference Measure (VPM) were completed by patients to assess preference differences based on vehicle and overall preference of Cal/BD foam and gel. Overall patient preferences, by age, for Cal/BD foam or gel. keywords: foam; gel; preference cache: skin-276.pdf plain text: skin-276.txt item: #861 of 1356 id: skin-277 author: Paul, Carle; Leonardi, Craig; Menter, Alan; Reich, Kristian; Stein Gold, Linda; Warren, Richard B; Moller, Anders; Lebwohl, Mark title: Calcipotriol Plus Betamethasone Dipropionate Foam is Effective in Patients with Moderate-to-Severe Psoriasis: Post-Hoc Analysis of the PSO-ABLE Study date: 2018-02-23 words: 1994 flesch: 50 summary: An observed case approach was used for other variables ● This subgroup analysis demonstrates that Cal/BD foam is effective in patients with moderate-to-severe psoriasis; it should be noted however, that it is difficult to treat psoriasis patients who have large BSA involvement purely with topical therapy. A foam formulation has been developed with the aim of enhancing adherence and increasing the therapeutic options available ● Studies with Cal/BD foam have demonstrated greater in vitro drug penetration and a greater antipsoriatic effect over 4 weeks of treatment than Cal/BD ointment and vehicle, with a comparable tolerability profile4–7 ● The Phase III PSO-ABLE study (NCT02132936) in patients with mild-to-severe psoriasis demonstrated that Cal/BD foam had superior efficacy at week 4 compared with Cal/BD gel at week 8 (based on the recommended treatment periods in the approved labels)8 ● This analysis from PSO-ABLE assesses the efficacy of Cal/BD foam and gel in the subgroup of patients with moderate-to-severe psoriasis Materials and methods PSO-ABLE STUDY DESIGN ● Prospective, multicentre, investigator-blinded ● Patients were randomized 4:4:1:1 to once-daily Cal/BD foam, Cal/BD gel, foam vehicle or gel vehicle for up to 12 weeks8 PATIENTS ● Aged ≥18 years with mild-to-severe psoriasis according to the physician’s global assessment of disease severity (PGA), involving 2–30% body surface area (BSA), and a modified (excluding the head, which was not treated) Psoriasis Area and Severity Index (mPASI) of ≥2 ● For inclusion in this subgroup analysis, a patient was required to have ‘moderate-to-severe’ psoriasis based on the ‘Rule of Tens’9: – BSA affected ≥10% or mPASI score >10 or Dermatology Life Quality Index (DLQI) score >10 ASSESSMENTS AND ENDPOINTS ● Efficacy was assessed at weeks 4, 8 and 12 by calculating: – Proportion of patients achieving a ≥75% or ≥90% reduction in mPASI – Change from baseline in BSA affected – Proportion of patients who were clear/almost clear of psoriasis, with a ≥2 grade improvement according to PGA (defined as ‘treatment success’) keywords: cal; note; pcg; set; workstation-2 cache: skin-277.pdf plain text: skin-277.txt item: #862 of 1356 id: skin-278 author: Queille-Roussel, Catherine; Nielsen, Jakob title: Vasoconstrictor Potencey of Fixed Combination Calcipotriol Plus Betamethasone Dipropionate Foam Versus Other Corticosteroid Psoriasis Treatments date: 2018-02-23 words: 1133 flesch: 40 summary: Kruskal-Wallis test for the overall effect, and Wilcoxon Signed Rank test for the pairwise comparisons (Cal/BD foam vs other treatments) Results PATIENTS � A total of 36 healthy volunteers were randomized and analysed (Table 1) ASSESSMENT OF SKIN BLANCHING � All active treatments resulted in greater skin blanching compared with foam vehicle (Figure 1; Table 2) � Skin blanching with Cal/BD foam was significantly lower than with CP cream (P<0.001), similar to BD ointment and MF cream, and significantly higher than HB ointment and foam vehicle (P<0.001 for both) Introduction � Many topical corticosteroids (CS) of differing potencies and formulations are available for treating psoriasis vulgaris � Topical CS potency can be assessed by the vasoconstriction assay (McKenzie-Stoughton), which is based on the blanching response of skin induced by topical CS application on healthy skin1 – This assay is recommended for topical CS potency ranking based on a correlation with clinical efficacy in psoriasis � A foam formulation of fixed-dose combination calcipotriol 50 µg/g (Cal) and betamethasone 0.5 mg/g (as dipropionate; BD) has been developed as a treatment option for patients with psoriasis – Clinical studies have demonstrated greater efficacy with Cal/BD foam versus the gel and ointment formulations 2-6 � The objective of this study was to compare the CS potency of BD in Cal/BD foam with existing CS-containing topical products Methods PATIENTS � The study enrolled healthy, non-smoking volunteers aged 18–50 years – All subjects were required to demonstrate adequate vasoconstriction prior to the study, defined as a visual skin blanching score of at least one unit following non-occlusive BD 0.05% ointment application for 4–6 hours � Subjects were excluded if they received systemic treatments or any medications that could interfere with the blanching reaction within 2 weeks, or had used topical CS on the test sites within 4 weeks prior to enrolment STUDY DESIGN � keywords: note; pcg; workstation-2 cache: skin-278.pdf plain text: skin-278.txt item: #863 of 1356 id: skin-279 author: Soung, Jennifer; Tiu, Lisa; Veverka, Karen; Hong, Chih-Ho title: Patient Preference for Calcipotriene 0.005%/Betamethasone Dipropionate 0.064% Foam or Topical Suspension vs. Latest Topical Treatment in the PSO-INSIGHTFUL Study date: 2018-02-23 words: 1586 flesch: 52 summary: Mean TPUQ domain scores were often significantly in favor of both Cal/BD foam and topical suspension compared with LTT  LTT analysis set comprised all randomized patients who had used topical treatment within 3 months before baseline Statistical Analysis Topical Product Usability Questionnaire (TPUQ)  keywords: cal; foam; topical cache: skin-279.pdf plain text: skin-279.txt item: #864 of 1356 id: skin-28 author: Del Rosso, James title: Antibiotic Resistance Considerations of Importance to Clinical Dermatologists date: 2017-08-31 words: 4228 flesch: 43 summary: Status report from the Scientific Panel on Antibiotic Use in Dermatology of the American Acne and Rosacea Society Part 1: antibiotic prescribing patterns, sources of antibiotic exposure, antibiotic consumption and emergence of antibiotic resistance, impact of alterations in antibiotic prescribing, and clinical sequelae of antibiotic use. In addition, reducing antibiotic use in a given community can reduce the prevalence of bacteria resistant to that antibiotic over time, supporting the importance of judicious prescribing of antibiotic therapy. keywords: acne; antibiotic; dermatol; resistance; rosacea; skin; topical; treatment; use cache: skin-28.pdf plain text: skin-28.txt item: #865 of 1356 id: skin-280 author: Stein Gold, Linda; Yamauchi, Paul; Pariser, David; Xu, Zhenyi; Osterdal, Marie L; Bagel, Jerry title: Treatment with Fixed Combination Calcipotriol 50 ug/g and Betamethasone Dipropionate 0.5 mg/g Foam Provides Rapid and Significant Itch Relief in Patients with Psoriasis date: 2018-02-23 words: 1375 flesch: 54 summary: In total, 323 patients were randomized to Cal/BD foam, and 103 to vehicle – Of these, 225/323 (70%) patients in the Cal/BD foam treatment group, and 75/103 (73%) patients in the vehicle group had a baseline itch VAS score of >30 � Among patients with baseline itch VAS score of >30, mean (±SD) baseline score was 66.1 ± 19.9 in the Cal/BD foam group and 69.9 ± 18.1 in the vehicle group � Treatment groups were generally well balanced in terms of demographic and baseline factors, although the gender balance was different between Cal/BD foam and vehicle (Table 1) ASSESSMENT OF ITCH � Patients receiving Cal/BD foam reported significant and rapid reduction in itch relief compared with patients receiving vehicle – Itch relief was observed by day 3 and continued to improve during the 4-week study (Figure 1; Table 2) � Significant treatment differences were noted at the first assessment on day 3 (P=0.019) and were maintained at all subsequent time points throughout treatment (Figure 1; Table 2) � Baseline demographic and clinical characteristics of patients with baseline itch score >30 Cal/BD foam (n=225) Vehicle (n=75) Age, years 50.6 (14.0) 45.6 (12.9) keywords: itch; note; patients; pcg; workstation-2 cache: skin-280.pdf plain text: skin-280.txt item: #866 of 1356 id: skin-281 author: Wollenberg, Andreas; Howell, Michael D; Guttman-Yassky, Emma; Silverberg, Jonathan I; Birrell, Claire; Kell, Christopher; Ranade, Koustubh; Dawson, Michelle; van der Merwe, Rene title: A Phase 2b Dose-Ranging Efficacy and Safety Study of Tralokinumab in Adult Patients with Moderate to Severe Atopic Dermatitis date: 2018-02-23 words: 2695 flesch: 54 summary: Furthermore, tralokinumab demonstrated significant improvements in quality of life (as shown by reduction in DLQI) and pruritus, compared with placebo • Patients treated with tralokinumab 300 mg in the DPP-4-high subgroup demonstrated significant efficacy in both primary endpoints compared with placebo; the observed effect sizes were greater than in the ITT population, suggesting that DPP-4 may serve as a predictive biomarker for patients who may benefit from tralokinumab treatment • However, treatment with Class 3 TCS may have impacted on efficacy effect sizes observed, providing a limitation to the study design • These data suggest that targeting IL-13 is a promising approach for AD treatment. We report the findings from a Phase 2b study of tralokinumab in patients with moderate to severe AD ▪ Serum dipeptidyl peptidase 4 (DPP-4) has been reported as a predictive biomarker for tralokinumab efficacy in patients with severe asthma7 Introduction Figure 1. keywords: baseline; patients; placebo; tcs; tralokinumab cache: skin-281.pdf plain text: skin-281.txt item: #867 of 1356 id: skin-282 author: Wu, Jashin; Veverka, Karen; Lu, Minyi; Armstrong, April W title: Real World Experience with Calicpotriene and Betamethasone Dipropionate Foam 0.005%/0.064% (Cal/BD Foam) in the Treatment of Adult Psoriasis Itch from Retrospective Chart Review date: 2018-02-23 words: 1224 flesch: 69 summary: Plaque areas (N = 177) # plaque areas evaluated with response to Cal/BD foam 126 # plaque areas at mild-mod-sev 113/126 # plaque areas at mild-mod-sev that were ‘clear’ or ‘almost clear’ at time of best response 80 # plaque areas at mild-mod-sev that were ‘clear’ or ‘almost clear’ at time of best response with 2 grade improvement 63 Table 4. Response of Plaques to Cal/BD Foam Plaque areas (N=177) Response to Cal/BD foam (n) 128 Itch (n), prior to Cal/BD foam treatment 64/128 126/177 plaque areas were evaluated for which response could be attributed to Cal/BD foam, and of those, 113 were mild-moderate-severe before treatment initiation. keywords: cal; foam; itch cache: skin-282.pdf plain text: skin-282.txt item: #868 of 1356 id: skin-283 author: Wu, Jashin J; Lu, Minyi; Veverka, Karen A; Smulders, Maartje; Papademetriou, Eros; Junhua, Yunjua; Feldman, Steven R title: The Psoriasis Patient Journey: Progression from Topical to Biologic Treatment for Psoriasis Patients in the United States date: 2018-02-23 words: 1740 flesch: 57 summary: (1.9%) Region East, n (%) 925 (13.7%) 848 (14.2%) 77 (10.4%) Midwest, n (%) 3669 (54.5%) 3304 (55.2%) 365 (49.3%) South, n (%) 1342 (19.9%) 1099 (18.4%) 243 (32.8%) West, n (%) 550 (8.2%) 502 (8.4%) 48 (6.5%) Missing, n (%) 243 (3.6%) 235 (3.9%) 8 (1.1%) Index Topical Agent for Patients who continued topical treatment in the 36-month follow-up period (N=5017) Estimated median cumulative duration during 36-month follow-up period days (IQR) Steroid Class 1-2 392.5 (247-572.5) Steroid Class 3-7 368 (246-571) Vitamin D 437.5 (301-633.5) A gap of 45 days or longer was assumed to be a stop or pause in topical treatment  keywords: biologic; patients; topical; treatment cache: skin-283.pdf plain text: skin-283.txt item: #869 of 1356 id: skin-284 author: van der Heijde, Desiree; Okada, Masato; Lee, Chin; Shuler, Catherine L; Rathmann, Suchitrita; Lin, Chen-Yen; Amato, David; Mease, Philip J title: Radiographic Progression of Structural Joint Damage in Patients with Active Psoriatic Arthritis Treated with Ixekizumab over 52 Weeks date: 2018-02-23 words: 1487 flesch: 102 summary: #$%&'()*+ >*,-,(?$:&5:-35-?7*6$+5-&2-*6.&$9&2/-67&2&6*7-:$,?52,$,- *28-&2.&+&3&2/-?:5/:$,,&52-51-,3:(63(:*7-@5&23-8*)*/$-&2-?*3&$23,->&3.- ?,5:&*3&6-*:3.:&3&,-3:$*3$8-15:-AB->$$%,A C D.$-$11&6*64-51-&#$%&'()*+ &2-?:59&8&2/-?$:,&,3$26$-51-67&2&6*7- :$,?52,$,-3.:5(/.-EA->$$%,-51-3:$*3)$23-.*,-+$$2-,.5>2-&2- FGHD0G;IJB ! 8VVY+BC ,ZA\+G7*6$+5<_V+`P8\+a^-)/-gS $9$:4-B->$$%, <_V+`C8\ keywords: v+`c8; v+`p8 cache: skin-284.pdf plain text: skin-284.txt item: #870 of 1356 id: skin-288 author: Thiboutot, Diane; Zaenglein, Andrea; Hebert, Adelaide; Eichenfield, Lawrence title: Efficacy, Tolerability, and Safety of SB204 Gel in Adolescents (9 to 17 Years of Age) with Acne Vulgaris date: 2018-02-23 words: 853 flesch: 47 summary: In a subset of only adolescent subjects (9 to 17 years of age) treated with topical SB204 4% once-daily, there was a statistically significant reduction (p<0.05) in inflammatory, non-inflammatory and total lesion reductions with SB204 4% compared to vehicle • The percent change from baseline in the number of non-inflammatory lesions was -33.4% for SB204 and -24.2% for vehicle (p=0.0013) • The percent change from baseline in the number of total lesions was -37.4% for SB204 and -29.1% for vehicle (p<0.001) keywords: lesions; sb204; vehicle cache: skin-288.pdf plain text: skin-288.txt item: #871 of 1356 id: skin-289 author: Sussman, Gordon; Hebert, Jacques; Gulliver, Wayne; Lynde, Charles; Yang, William H; Chambenoit, Olivier; Vieira, Antonio; DeTakaosy, Frederica; Rihakova, Lenka title: Omalizumab Retreatment of Patients with Chronic Idiopathic Urticaria/Spontaneous Urticaria (CIU/CS) Following Return of Symptoms: Primary Results of the Optima Study date: 2018-02-23 words: 1498 flesch: 48 summary: The OPTIMA (efficacy of optimized retreatment and step-up therapy with omalizumab in patients with chronic idiopathic/ spontaneous urticaria [CIU/CSU]; NCT02161562) study was designed to address some of the key gaps in the knowledge of optimal CIU/CSU treatment with omalizumab • Owing to the intermittent nature of CIU/CSU, physicians may want to consider stopping omalizumab treatment in patients who are symptom free for a period of time • Symptoms may re-emerge after a period of treatment withdrawal; the primary objective of the study was therefore to determine the efficacy and safety of retreatment in patients who respond to an initial course of omalizumab OMALIZUMAB RETREATMENT OF PATIENTS WITH CHRONIC IDIOPATHIC URTICARIA/SPONTANEOUS URTICARIA (CIU/CSU) FOLLOWING RETURN OF SYMPTOMS: PRIMARY RESULTS OF THE OPTIMA STUDY Gordon Sussman,1 • Based on weekly Urticaria Activity Score (UAS7), patients entered one of the following phases: treatment withdrawal (if UAS7 ≤6), step-up to 300 mg (if 150 mg initially and UAS7 >6 at Weeks ≥8 to 24), or continued treatment for 12 more weeks (if 300 mg initially and UAS7 >6 at Week 24) • Patients with a history of malignancy of any organ system • Patients should stay on same approved dose of nonsedating H1-antihistamine during all trial duration. keywords: omalizumab; patients; uas7; urticaria cache: skin-289.pdf plain text: skin-289.txt item: #872 of 1356 id: skin-29 author: Nolan, Katherine; Ishteiwy, Reema; Alexis, John; Zaiac, Martin; Nichols, Anna title: Minocycline-Induced Agranulocytosis Presenting as Ecthyma Gangrenosum date: 2017-11-13 words: 1638 flesch: 43 summary: Pertinent laboratory analyses included decreased white blood cell count of 0.74 10 3 /ul, hemoglobin 11.2 g/dL, hematocrit 33.5% (mean cell volume 87.5 fL) and absolute neutrophil count of 0.16 10 3 /ul but increased platelet count 514 10 3 /ul, ESR 72 mm/hr, CRP 153 Ahmed F, Kelsey PR, Shariff N. Lupus syndrome with neutropenia following minocycline therapy - a case report. keywords: blood; medicine; miami; minocycline; patient; usa cache: skin-29.pdf plain text: skin-29.txt item: #873 of 1356 id: skin-290 author: von Stebut, E; Reich, K; Thaci, D; Koenig, W; Pinter, A; Korber, A; Rassaf, T; Waisman, A; Mani, V; Yates, D; Frueh, J; Sieder, C; Melzer, N; Gori, T title: Secukinumab Reduces Endothelial Dysfunction in Subjects with Moderate-to-Severe Plaque Psoriasis Over 52 Weeks: Results of the Exploratory CARIMA Study date: 2018-02-23 words: 1851 flesch: 54 summary: % 2.2% 0.1% 1.2% -3.0% -2.0% -1.0% 0.0% 1.0% 2.0% 3.0% 4.0% 5.0% SEC 300 mg Week 12 n = 39 SEC 300 mg Week 52 n = 38 SEC 150 ABSTRACT • Introduction: An increased incidence of cardiovascular (CV) events has been reported in psoriasis subjects. keywords: fmd; mg secukinumab; secukinumab; subjects; week cache: skin-290.pdf plain text: skin-290.txt item: #874 of 1356 id: skin-291 author: Long, Georgina V; Hauschild, Axel; Santinami, Mario; Atkinson, Victoria; Mandala, Mario; Chiarion-Sileni, Vanna; Larkin, James; Nyakas, Marta; Dutriaux, Caroline; Haydon, Andrew; Robert, Caroline; Mortier, Laurent; Schachter, Jacob; Schadendorf, Dirk; Lesimple, Thierry; Plummer, Ruth; Ji, Ran; Zhang, Pingkuan; Mookerjee, Bijoyesh; Legos, Jeff; Kefford, Richard; Drummer, Reinhard; Kirkwood, John M title: Efficacy Outcomes in the Phase 3 COMBI-AD Study of Adjuvant Dabrafenib Plus Trametinib vs Placebo in Patients with Stage III BRAFV600E/K-Mutant Melanoma date: 2018-02-23 words: 3348 flesch: 60 summary: Study Rationale3, 5–8 Time From Randomisation, months O S , p ro p o rt io n a liv e 0 6 12 18 24 30 36 42 1.0 0.0 0.8 0.6 0.4 0.2 48 54 60 66 Dabrafenib Dacarbazine Dabrafenib plus trametinib Dabrafenib plus placebo pERK Proliferation, survival, invasion, metastasis RAS MEK mut BRAF Dabrafenib MAPK pathway Trametinib Overall Survival Benefit in BRAF V600–Mutant Stage IV Melanoma Can we prevent stage IV? MAPK, mitogen-activated protein kinase; mut, mutated; pERK, phosphorylated extracellular signal- regulated kinase. Overall Survival Months From Randomisation Group Events, n (%) Median (95% CI), months HR (95% CI) Dabrafenib plus trametinib 166 (38) keywords: dabrafenib; trametinib cache: skin-291.pdf plain text: skin-291.txt item: #875 of 1356 id: skin-292 author: Coates, LC; Gladman, DD; Nash, P; FitzGerald, O; Kavanaugh, A; Rasouliyan, L; Pricop, L; Ding, K; Gaillez, C title: Secukinumab Achievement of Psoriatic Arthritis Disease Activity Score (PASDAS)-Related Remission: 2-Year Results from a Phase 3 Study date: 2018-02-23 words: 2727 flesch: 61 summary: 104 104 0.0 8 6 4 2 0 0.2 0.4 0.6 0.8 1.0 M ed ia n (Q 1, Q 3) c ou nt M ed ia n (Q 1, Q 3) s co re M ed ia n (Q 1, Q 3) s co re M ed ia n (Q 1, Q 3) le ve l Leeds Enthesitis Tender Dactylitis SF-36 PCSC-Reactive Protein (mg/L) n = 22 n = 22n = 19 n = 19n = 3 0 n = 30n = 2 7 n = 27 n = 15 n = 1 5 n = 15 n = 15 n = 2 n = 2 n = 19 n = 1 9 n = 11 n = 1 1 n = 12 n = 22 n = 19 n = 30 n = 27 n = 15 n = 15 n = 2 n = 19 n = 11 n = 12 n = 12 n = 22 n = 19 n = 30 n = 27 n = 15 n = 15 n = 2 n = 19 n = 11 n = 12 The median value is denoted by symbol in the figure while the upper and lower error bars represent third (Q3) and first (Q1) quartiles, respectively n, number of patients in respective disease states at assessment LDA, low disease activity; PASDAS, psoriatic arthritis disease activity score; Q, quartile; SF-36 PCS, Short Form-36 physical component summary; SJC, swollen joint count; TJC, total joint count; VAS, visual analog scale • TNF-naïve patients receiving secukinumab were more likely than TNF-IR patients to achieve PASDAS remission and LDA (Figure 5A) • Median Core Components of PASDAS Remission and LDA Patient Global VASPhysician Global VAS SJC 66 16 16 16 16 M ed ia n (Q 1, Q 3) s co re WeeksWeeks LDA LDARemission LDA Remission Remission LDA Remission WeeksWeeks M ed ia n (Q 1, Q 3) s co re M ed ia n (Q 1, Q 3) s co re M ed ia n (Q 1, Q 3) s co re 40 30 20 10 0 0 2 4 6 8 0 2 4 6 8 0 5 10 15 20 16 16104 104 1616 104104 104 104 104 104 TJC 68 n = 22 n = 22 n = 30 n = 30 n = 27 n = 27 n = 15 n = 15 n = 15 n = 15 n = 2 n = 2 n = 19 n = 19 n = 11 n = 11 n = 22 n = 22 n = 19 n = 19 n = 12 n = 12 n = 30 n = 30 n = 27 n = 27 n = 15 n = 15 n = 15 n = 15 n = 2 n = 2 n = 19 n = 19 n = 11 n = 11 n = 19 n = 19 n = 12 n = 12 Secukinumab 300 mg s.c. keywords: lda; pasdas; remission; week cache: skin-292.pdf plain text: skin-292.txt item: #876 of 1356 id: skin-293 author: Emery, P; McInnes, IB; Mease, PJ; Schiff, M; Pricop, L; Shen, S; Wang, Z; Gaillez, C title: Secukinumab Sustains Individual Clinical Responses Over Time in Patients with Psoriatic Arthritis: 2-Year Results from a Phase 3 Trial date: 2018-02-23 words: 2095 flesch: 63 summary: Placebo-treated patients were re-randomized (1:1) to receive s.c. secukinumab (300 or 150 mg) at Week 16 (non-responders) or Week 24 (responders) based on clinical response • The key inclusion and exclusion criteria have been reported elsewhere4 Endpoints and Assessments • Post-hoc analysis of data from patients with PsA who were originally randomized to receive secukinumab 300 and 150 mg and completed the 16-week double-blind treatment period followed by long-term uncontrolled treatment • Shift analyses were performed on ACR responses between Week 24 (primary endpoint) and Week 104 (sustained effect). N = number of patients who completed Week 104 and had ACR response available at both Weeks 24 and 104; n1 = number of patients with no ACR response at Week 24 who completed Week 104 and had ACR response available; n2–n4 = number of patients with ACR response at Week 24 who completed Week 104 and had ACR response available • keywords: patients; secukinumab; week cache: skin-293.pdf plain text: skin-293.txt item: #877 of 1356 id: skin-294 author: Blauvelt, A; Armstrong, A; Rich, P; Kisa, R; Guana, A; Meng, X; Callis Duffin, K title: Secukinumab Provides Complete or Almost-Complete Psoriasis Clearance in Moderate-to-Severe Plaque Psoriasis: Pooled Analysis of 4 Phase 3 Trials date: 2018-02-23 words: 2819 flesch: 57 summary: In patients receiving secukinumab, response rates were similar between IGA mod 2011 0 and PASI 100 and between IGA mod 2011 0/1 and PASI 90 groups – At Week 52, with secukinumab 300 mg, IGA mod 2011 0 was achieved by 37.8% of patients and PASI 100 was achieved by 40.8% of patients; similarly, IGA 0/1 was achieved by 64.9% of patients and PASI 90 was achieved by 68.1% of patients8 RESULTS Secukinumab Provides Complete or Almost-complete Psoriasis Clearance in Moderate-to-Severe Plaque Psoriasis: Pooled Analysis of 4 Phase 3 Trials A Blauvelt1, A Armstrong2, P Rich3, R Kisa4, A Guana4, X Meng4, K Callis Duffin5 1Oregon Medical Research Center, Portland, OR, USA; 2University of Southern California Keck School of Medicine, Los Angeles, CA, USA; 3Oregon Dermatology and Research Center, Portland, OR, USA; 4Novartis Pharmaceuticals Corporation, East Hanover, NJ, USA; 5University of Utah, Salt Lake City, UT, USA Download document at the following URL: http://novartis.medicalcongressposters.com/Default.aspx?doc=a90dd And via Text Message (SMS) ABSTRACT • Introduction: Investigator’s Global Assessment modified 2011 (IGA mod 2011) is a more robust measure of psoriasis clearance than traditional IGA and Physician’s Global Assessment scales. keywords: iga; mod; secukinumab; week cache: skin-294.pdf plain text: skin-294.txt item: #878 of 1356 id: skin-295 author: Gulliver, Wayne; Sussman, Gordon; Hebert, Jacques; Lynde, Charles W; Papp, Kim A; Yang, William H; Chambenoit, Olivier; Viera, Antonio; DeTakaosy, Frederica; Rihakova, Lenka title: Omalizumab Dose Step-Up and Treatment Response in Patients with Chronic Idiopathic/Spontaneous Urticaria (CIU/CSU): Results from the OPTIMA Study date: 2018-02-23 words: 1930 flesch: 49 summary: Mean UAS7 during the second dosing period with omalizumab 300 mg Baseline n=141 Week 4 n=136 Week 8 n=133 Week 12b n=130 Mean UAS7 Change from baseline 22.4 14.6 12.4 12.7 −7.8 −10.0 −9.7 −20 −10 0 10 20 30 40 M e a n (+ 9 5 % C I) U A S 7 M e a n c h a n g e fr o m b a s e li n e in U A S 7 M e a n (+ 9 5 % C I) U A S 7 M e a n c h a n g e (− 9 5 % C I) f ro m b a s e li n e in U A S 7 30.4 21.9 20.3 5.2 7.7 7.9 −8.5 −10.1 −22.3 −19.1 −16.8 −40 −30 −20 −10 0 10 20 30 40 Baseline n=141 Week 4 n=141 Week 8a n=141 Week 12 n=26 Week 16 n=18 Week 20 n=9 b) Mean UAS7 during the first dosing period with omalizumab 150 mg Mean UAS7 Change from baseline Figure 4. ≤1 year >1–≤2 years >2–10 years >10 years 28 (15.7) 25 (14.0) 84 (47.2) 41 (23.0) 22 (16.2) 25 (18.4) 54 (39.7) 35 (25.7) 50 (15.9) 50 (15.9) 138 (43.9) 76 (24.2) Baseline UAS7, mean (range) 29.7 (16.0–42.0) 30.0 (16.0–42.0) 29.8 (16.0–42.0) # keywords: ciu; csu; omalizumab; patients; uas7 cache: skin-295.pdf plain text: skin-295.txt item: #879 of 1356 id: skin-296 author: Sussman, Gordon; Hebert, Jacques; Gulliver, Wayne; Lynde, Charles; Lang, William H; Chambenoit, Olivier; Deutsch, Gretty; DeTakaosy, Frederica; Rihakova, Lenka title: Design and Rationale of the OPTIMA Study: Retreatment or Step-Up Therapy with Omalizumab in Patients with Chronic Idiopathic/Spontaneous Urticaria (CIU/CSU) date: 2018-02-23 words: 1609 flesch: 47 summary: dosing Controlled at Week 24 – UAS7 ≤6 Not controlled at Week 24 – UAS7 >6 Study treatment withdrawal Follow- up Figure 2. Primary endpoint • Proportion of patients that achieved UAS7 ≤6 at the end of the second dosing period, after being clinically well controlled (UAS7 ≤6) in the initial dosing period followed by relapse (UAS7 ≥16) when treatment was discontinued Secondary endpoints • Difference in UAS7 between start and end of the second dosing period in patients who stepped up treatment from omalizumab 150 mg to 300 mg • The proportion of patients that were clinically well controlled (UAS7 ≤6) at the end of the second dosing period in patients who stepped up treatment from omalizumab 150 mg to 300 mg • The time to relapse (UAS7 ≥16) after withdrawal of omalizumab in patients who were clinically well controlled following their first course of omalizumab treatment • Difference in the UAS7 between the end of the initial dosing period and the end of the second dosing period in patients who extended treatment with omalizumab 300 mg Secondary endpoints (continued) • The UAS7 change from baseline measured at the end of the initial dosing period in patients who received omalizumab 300 mg • The UAS7 change from baseline measured at the end of the second dosing period in all patients • keywords: dosing; omalizumab; uas7 cache: skin-296.pdf plain text: skin-296.txt item: #880 of 1356 id: skin-297 author: van de Kerkhof, PCM; Reich, K; Leonardi, CL; Blauvelt, A; Mehta, NN; Tsai, TF; You, R; Papanastasiou, P; Milutinovic, M; Griffiths, CEM title: Secukinumab's Pooled and Long-Term Safety: Analysis of 19 Psoriasis Clinical Trials Up to 5 Years of Treatment date: 2018-02-23 words: 2404 flesch: 51 summary: Here, we report exposure-adjusted incidence rates (IRs) for treatment-emergent adverse events per year from a pooled analysis of all secukinumab psoriasis trials to date (19 studies, 4674 patients, 10,061 patient-years exposure). Secukinumab has shown long-lasting efficacy and safety in the complete spectrum of psoriasis manifestations, including nails, scalp, palms and soles involvement and psoriatic arthritis1–5 • Here we report exposure-adjusted incidence rates (IRs) for treatment-emergent adverse events per year from a pooled analysis of all secukinumab psoriasis trials to date (19 studies, 4,674 secukinumab patients, ~10,000 patient-years exposure) METHODOLOGY • Adverse event (AE) IRs (per 100 patient years) were examined per year for subjects who received either secukinumab 300 mg (every 4 weeks) or any dose of secukinumab (including subcutaneous 300 mg, 150 mg, 75 mg, 25 mg or intravenous infusion keywords: psoriasis; safety; secukinumab; year cache: skin-297.pdf plain text: skin-297.txt item: #881 of 1356 id: skin-298 author: Magrey, Marina; Wolin, Daniel; Mordin, Margaret; McLeod, Lori; Davenport, Eric; Hur, Peter title: US Patient Satisfaction with Secukinumab Treatment Among Patients with Both Psoriatic Arthritis and Psoriasis: Data from a Web-Based Survey date: 2018-02-23 words: 1692 flesch: 51 summary: These results provide early insight into secukinumab treatment satisfaction among US patients with PsO in conjunction with PsA REFERENCES 1. BACKGROUND • Psoriasis (PsO) is a chronic, inflammatory disease that affects the skin, with an estimated prevalence of 2.6% to 3.7% in the United States1 • PsO is associated with many comorbidities, including psoriatic arthritis (PsA)2; up to 30% of patients with PsO may have a concurrent diagnosis of PsA3,4 • Secukinumab is a fully human, interleukin-17A inhibitor approved for treatment of both PsA and PsO; it has demonstrated significant efficacy in moderate to severe plaque PsO, improvement of physical functioning and quality of life, resolution of enthesitis and dactylitis, and inhibits progression of joint structural damage5-9 • Little is known about treatment satisfaction and symptom control with secukinumab among patients with PsA and PsO in a real-world setting OBJECTIVE • To evaluate patient-reported secukinumab treatment satisfaction and PsA symptom control in US patients with PsO in conjunction with PsA in a real-world setting METHODS Study Design and Patient Population • Data were collected from a cross-sectional, panel-based web survey of patients with PsA in the United States – A random sample of patients were invited to participate in the survey by Survey Sampling International through their patient panels – Of 2755 patients screened for PsA or ankylosing spondylitis (AS), 269 patients with PsA were eligible for the analysis • Eligible patients were ≥ 18 years of age with a self-reported diagnosis of PsA, initiated secukinumab ≥ 3 months before survey participation, and had received secukinumab continuously since initiation – Of the 269 eligible patients with PsA, 266 completed the survey; 66 patients had concurrent AS and were not included in this analysis, and 3 did not consent to participate – Patients included in this analysis also had a self-reported diagnosis of PsO in conjunction with active PsA Study Variables and Data Analysis • Patient characteristics, including demographics, clinical characteristics, and medication history, were assessed at the time of survey participation • keywords: patients; psa; secukinumab; symptom; treatment cache: skin-298.pdf plain text: skin-298.txt item: #882 of 1356 id: skin-299 author: Weller, Karsten; Staubach, Petra; Metz, Martin; Chapman-Rothe, Nadine; Sieder, Christian; Brautigam, Matthias; Maurer, Marcus title: Omalizumab Improves Angioedema-Related Quality of Life Impariment in Patients with Chronic Idiopathic/Chronic Spontaneous Urticaria: Results from the X-Act Study date: 2018-02-23 words: 2017 flesch: 54 summary: OBJECTIVE • To examine the effect of omalizumab treatment on angioedema-related QoL, including patient fear of a life-threatening angioedema (swelling) episode, in the X-ACT study (NCT01723072) METHODS Study design • The X-ACT (Xolair Effects on Angioedema in Chronic Spontaneous Urticaria Treatment) study was a Phase 3, randomized, double-blind, placebo-controlled, multicenter study conducted in Germany7 • Patients were randomized 1:1 to receive subcutaneous omalizumab 300 mg or placebo every 4 weeks for 28 weeks, with an 8-week follow-up period (Figure 1) Angioedema-related QoL and disease activity • Improvement in angioedema-related QoL correlated with reduced angioedema activity (Week 12: 0.526, P<0.001; Week 28: 0.501, P<0.001; Pearson correlation coefficient) • Poster presented at the Winter Clinical Dermatology Conference, January 12–17, 2018, Lahaina, HI, USA INTRODUCTION • Chronic idiopathic/spontaneous urticaria (CIU/CSU) is defined as the repeated occurrence of spontaneous wheals (hives) and/or angioedema for at least 6 weeks without a specific external trigger1,2 • Between 33% and 67% of patients with CIU/CSU are reported to experience hives and angioedema; 1%–13% experience only angioedema3 • Angioedema is a major driver of quality of life (QoL) impairment in patients with CIU/CSU;4 owing to the unpredictable development of disfigurement and/or functional impairment, angioedema episodes can have a significant impact on daily activities and social interactions5 • Omalizumab is approved as an add-on therapy in patients with CIU/CSU refractory to H1-antihistamines.6 Subcutaneous omalizumab (300 mg) has been shown to reduce the frequency and severity of angioedema in H1-antihistamine-refractory CIU/CSU, as well as reducing QoL impairment7 OMALIZUMAB IMPROVES ANGIOEDEMA-RELATED QUALITY OF LIFE (QOL) IMPAIRMENT IN PATIENTS WITH CHRONIC IDIOPATHIC/CHRONIC SPONTANEOUS URTICARIA (CIU/CSU): RESULTS FROM THE X-ACT STUDY Karsten Weller,1 Petra Staubach,2 Martin Metz,1 Nadine Chapman-Rothe,3 Christian Sieder,4 Matthias Bräutigam,4 Marcus Maurer1 1Charité – Universitätsmedizin Berlin, Berlin, Germany; 2University Medical Center Mainz, Mainz, Germany; 3Novartis Pharma AG, Basel, Switzerland; 4Novartis Pharma GmbH, Nuremberg, Germany Patient-reported outcomes: QoL, disease activity, and psychological well-being • keywords: angioedema; life; omalizumab; placebo; qol; week cache: skin-299.pdf plain text: skin-299.txt item: #883 of 1356 id: skin-30 author: Del Rosso, James title: Clinically Important Considerations with the Use of Oral Doxycycline date: 2017-11-13 words: 2379 flesch: 43 summary: 2,14,17,18 Although the potential for photoxicity associated with oral doxycycline use is well- recognized, a recent systematic review of phototoxicity of doxycycline identified mostly Tip #1: Consider the Formulation When Prescribing Oral Doxycycline Tip #2: Reduce the Potential for “Pill Esophagitis” by Optimizing Patient Education on Proper Administration of Oral Doxycycline Tip #3: Consider Potential Dose- Related Phototoxicity and Employ Preventative Measures to Reduce Risk SKIN November 2017 23 For treatment of chronic inflammatory disorders such as AV, it is reasonable to suggest to patients to temporarily discontinue oral doxycycline use over the short duration of a vacation to be spent outdoors in a sunny climate or location of high UV exposure. keywords: antibiotic; del; dermatol; doxycycline; rosso; use cache: skin-30.pdf plain text: skin-30.txt item: #884 of 1356 id: skin-300 author: Wei, Wenhui; Ghorayeb, Eric; Andria, Michael; Walker, Valery; Chao, Jingdong; Schnitzer, James; Kennedy, Martha; Chen, Zhen; Belland, Angela; White, John; Silverberg, Jonathan I title: A Real-World Study Evaluating AdeQUacy of Existing Systematic Treatments for Patients with Moderate-to-Severe Atopic Dermatitis (AD-QUEST): Baseline Treatment Patterns and Unmet Needs Assessment date: 2018-02-23 words: 4903 flesch: 36 summary: Acknowledgements The�study�was�funded�by�Sanofi�and�Regeneron�Pharmaceuticals�Inc.�Medical�writing�support�was�provided�by�Abby�Armitt,�Prime,� Knutsford,�UK�and�funded�by�Sanofi�and�Regeneron�Pharmaceuticals,�Inc. Disclosures Wenhui�Wei�is�a�former�employee�and�current�stockholder�of�Sanofi�and�an�employee�of�Regeneron�Pharmaceuticals,�Inc.�Eric�Ghorayeb� and�James�Schnitzer�are�employees�of�and�stockholders�in�Sanofi.�Michael�Andria,�Jingdong�Chao,�Martha�Kennedy�and�Zhen�Chen�are� employees�of�and�stockholders�in�Regeneron�Pharmaceuticals,�Inc.�Valery�Walker,�Angela�Belland�and�John�White�are�employees�of� Optum,�a�company�that�received�research�funding�for�the�current�study.�Jonathan�Silverberg�is�a�member�of�an�institution�that�received� research�funding�for�the�current�study. Percent�impairment�in�regular�daily�activities�in� the�past�7�days�due�to�AD 792 18.88�(24.76) n % Work�time�missed�due�to�AD 564 2.11 *DLQI�scores�range�from�0�(no�effect�on�QoL)�to�30�(extremely�large�effect�on�QoL).�†TSQM�scores�range�from�0–100�where�higher� scores�represent�better�satisfaction. keywords: et �; itch �; rajka �; � ad; � al.; � langeland; � patients; � regeneron cache: skin-300.pdf plain text: skin-300.txt item: #885 of 1356 id: skin-301 author: Papadopoulos, Kyriakos P; Owonikoko, Taofeek K; Johnson, Melissa L; Brana, Irene; Gil-Martin, Marta; Perez, Raymond P; Moreno, Victor; Salama, April K; Calvo, Emiliano; Yee, Nelson S; Safran, Howard; Gonzalez-Martin, Antonio; Aljumaily, Raid; Mahadevan, Daruka; Mohan, Kosalai K; Li, Jingjin; Stankevich, Elizabeth; Lowy, Israel; Fury, Matthew G; Homsi, Jade title: Cemiplimab (REGN2810), a Fully Human Anti-PD-1 Monoclonal Antibody, for Patients with Unresectable Locally Advanced or Metastatic Cutaneous Squamous Cell Carcinoma: Initial Safety and Efficacy from Expansion Cohorts of Phase 1 Study date: 2018-02-23 words: 2533 flesch: 49 summary: • Cutaneous squamous cell carcinoma (CSCC) is the 2nd most common skin cancer in US.2 • Risk factors for CSCC include ultraviolet exposure, advanced age, immunosuppression.3 – There is a predominance of males and a median age of 71 years at diagnosis.4 • CSCC has a surgical cure rate of >95% in early stage disease; however, a small percentage of patients develop unresectable locally advanced or metastatic CSCC4 – US mortality: 3,900–8,800/year.4 • There is no widely accepted standard of care systemic therapy for locally advanced or metastatic CSCC (mCSCC).5 – Conventional cytotoxic chemotherapy can induce tumor responses, but often is poorly tolerated among older patients with CSCC. – In a single arm trial with cetuximab (n=36), median overall survival was 8.1 months.6 • In Phase 1 dose escalation study of cemiplimab, a durable radiologic complete response to cemiplimab was achieved in a CSCC patient.1,7 • There is a higher mutation burden in CSCC than any tumor type in The Cancer Genome Atlas (TCGA).8 • Immunosuppression is a well-described risk factor for CSCC (especially in solid organ transplant patients).9 • Programmed death-ligand 1 (PD-L1) expression has been associated with high-risk disease10; CSCC tumors may therefore be responsive to PD-1 checkpoint blockade. keywords: cemiplimab; cscc; patients; pharmaceuticals; regeneron; research; response; study; treatment; usa cache: skin-301.pdf plain text: skin-301.txt item: #886 of 1356 id: skin-303 author: Kudchadkar, Ragini; Chang, Anne Lynn S title: Long-Term Safety of Sonidegib in Basal Cell Carcinoma: 30-Month Results from the BOLT Trial date: 2018-02-23 words: 2890 flesch: 52 summary: Anne Lynn S. Chang, MD2 1Associate Professor, Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA; 2Associate Professor, Dermatology, Stanford University School of Medicine, Redwood City, CA, USA. Presented at 2018 Winter Clinical Dermatology Conference – Hawaii, Lahaina, Hawaii, USA BACKGROUND Basal cell carcinoma (BCC) is the most common form of skin cancer1 – More than 4 million cases are diagnosed in the United States (US) each year2 The incidence and prevalence of BCC is expected to increase as the population ages3 ~95% of patients with BCC have mutations in the hedgehog (HH) signaling pathway Patient Demographics and Disease History Sonidegib Dose (QD) 200 mg (n=79) 800 mg (n=151) Median age (range), years 67 (25-92) 65 (24-93) Male, % 61 64 Eastern Cooperative Oncology Group performance status, % 0 63 63 1 24 29 2 10 7 Unknown 3 1 Aggressive histological/cytological subtype for patients with laBCC based on randomization/stratification, % n=66 n=128 Aggressive subtypea 56 59 Nonaggressive subtypeb 44 41 Metastasis, % 18 15 Metastatic sites, % of total patients with metastasis Lung 71 52 Lymph nodesc 7 30 Bone 14 22 Otherd 21 30 keywords: decrease; grade; labcc; mbcc; patients; sonidegib cache: skin-303.pdf plain text: skin-303.txt item: #887 of 1356 id: skin-304 author: Zaenglein, Andrea; Del Rosso, James title: An Open-Label Study Evaluating the Long-Term Efficacy, Quality of Life, and Safety of Lidose-Isotretinoin (ABSORICA) Capsules Administered Without Food in Patients with Severe Recalcitrant Nodular Acne: Interim Analysis of 20-Week Active Treatment Period date: 2018-02-23 words: 1656 flesch: 52 summary: Study Design Screening Within ≤30 days of baseline Visit: Weeks: Baseline EOT EOS 2 3 4 5 6 7 8 9 10 11 12 13 141 0 2 4 8 12 16 20 24 32 46 72 98 124 Screening period (0–45 days) Active treatment period (20 weeks) Post-treatment period (104 weeks) EOT values reflect the last visit for which a subject had data in the ATP. keywords: acne; baseline; eot; treatment cache: skin-304.pdf plain text: skin-304.txt item: #888 of 1356 id: skin-305 author: Elewski, Boni; Menter, Alan; Crowley, Jeffrey; Tyring, Stephen; Zhao, Yang; Lowry, Simon; Rozzo, Stephen; Mendelsohn, Alan; Parno, Jeffrey; Gordon, Kenneth title: Sustained and Improved Efficacy of Tildrakizumab from Week 28 to Week 52 in Treating Moderate-to-Severe Plaque Psoriasis date: 2018-02-23 words: 1781 flesch: 71 summary: ( 7.1) 29.5 ( 6.9) Body Surface Area: % (SD) 28.9 (16.1) 33.5 (18.6) 32.0 (16.6) 35.7 (19.9) 32.2 (17.7) Disease Duration: years (SD) 14.3 (10.9) 16.8 (11.1) 17.8 (12.8) 14.3 (10.4) 16.2 (11.5) PASI: mean (SD) 18.5 ( 5.8) 20.9 ( 7.9) 19.6 ( 6.6) 20.6 ( 8.5) 19.9 ( 7.2) Previous medical conditions (%) ( 7.6) Body Surface Area: % (SD) 30.8 (17.5) 29.6 (15.3) 31.7 (17.5) 33.2 (19.6) keywords: pasi; patients; week cache: skin-305.pdf plain text: skin-305.txt item: #889 of 1356 id: skin-306 author: Blauvelt, Andrew; Reich, Kristian; Lebwohl, Mark; Burge, Daniel; Arendt, Catherine; Peterson, Luke; Rolleri, Robert; Gottlieb, Alice title: Certolizumab Pegol for the Treatment of Patients with Moderate-to-Severe Chronic Plaque Psoriasis: An Overview of 3 Randomized Controlled Trials date: 2018-02-23 words: 3039 flesch: 37 summary: The safety profile for both CZP doses was consistent with the anti-TNF class in psoriasis; based on the known safety profile of CZP,6 no new safety signals were observed (Table 2) – The incidence of TEAEs was generally similar between CZP 400 mg Q2W and placebo groups, and was lower in the CZP 200 mg Q2W group versus placebo; TEAEs infrequently led to discontinuation • Serious TEAEs and serious infections and infestations were infrequent across treatment groups (CZP 400 mg Q2W: 4.7% and 0.6%, respectively; CZP 200 mg Q2W: 1.4% and 0%; placebo: 4.5% and 0%) (Table 2) – Two serious infections were reported in the CZP 400 mg Q2W group – hematoma infection and abdominal abscess in 1 patient following a bicycle accident, and pneumonia in 1 patient • aCZP 200 mg Q2W patients received loading dose of CZP 400 mg at Weeks 0, 2, and 4 bVulvovaginal candidiasis cReported as fungal infection preferred term in the database dHematoma infection and abdominal abscess in 1 patient (bicycle accident), and pneumonia in 1 patient eBasal cell carcinoma Safety Set includes all randomized patients who received ≥1 dose of study medication CZP, certolizumab pegol; TEAE, treatment-emergent adverse event; Q2W, every 2 weeks Conclusions • In the phase 3 program, certolizumab pegol (CZP) 400 mg Q2W and CZP 200 mg Q2W were each associated with statistically significant, clinically meaningful improvements in moderate-to-severe chronic plaque psoriasis – Clinically meaningful differences in PASI 75 and PGA 0/1 responder rates versus placebo were observed as early as Week 4 – Greater improvement in quality of life as measured by CfB in DLQI and keywords: czp; mg q2w; pasi; placebo; q2w; weeks cache: skin-306.pdf plain text: skin-306.txt item: #890 of 1356 id: skin-307 author: Blauvelt, A; Strober, B; Langley, R; Burge, D; Pisenti, L; Yassine, M; Kavanagh, S; Arendt, C; Rolleri, R; Reich, K title: Safety of Certolizumab Pegol in Chronic Plaque Psoriasis: Cumulative Data Over 48 Weeks' Exposure from Phase 3, Multicenter, Randomized, Placebo-Controlled Studies date: 2018-02-23 words: 2367 flesch: 65 summary: (5.0) 10.1 (7.3, 13.8) 41 (6.5) AEs leading to death 0.1 (0.0, 0.8) 1 (0.1) 0 0 0.2 (0.0, 1.3) 1 (0.2) Patients who received both CZP 200 mg Q2W and CZP 400 mg Q2W are included in the population count for the ‘All CZP’ group. (0.2) Anti-TNF 119 (12.4) 57 (12.4) 71 (11.3) Anti-IL-17 142 (14.8) 78 (17.0) 89 (14.2) Anti-IL-12/IL-23 47 (4.9) 15 (3.3) 39 (6.2) Patients who received both CZP 200 mg Q2W and CZP 400 mg Q2W are included in the population count for the All CZP group. keywords: czp; mg q2w; patients; pharma; q2w; weeks cache: skin-307.pdf plain text: skin-307.txt item: #891 of 1356 id: skin-308 author: Hansen, Jes B; Faurby, Mads D; Corliss, Meg; Feldman, Steven R title: Real-World Treatment and Patient-Specific Characteristics of Actinic Keratosis in the USA date: 2018-02-23 words: 2040 flesch: 58 summary: No patients with >5 baseline AK lesions (n=29) receiving a procedure achieved AKCLEAR 100; 9.7% of patients receiving topical treatment (n=31) achieved AKCLEAR 100. As number of baseline lesions increased, procedure treatment became less effective (Figure 5A); the opposite trend was seen with topical treatment (Figure 5B). keywords: patients; procedure; topical; treatment cache: skin-308.pdf plain text: skin-308.txt item: #892 of 1356 id: skin-309 author: Rosen, Jordan; Nolan, Katherine; Shaikh, Noah; Rosen, Les; Zaiac, Martin title: Coexisting Basal Cell Carcinoma and Squamous Cell Carcinoma in Congenital Nevus Sebaceous date: 2018-04-30 words: 1589 flesch: 61 summary: SKIN May 2018 Volume 2 Issue 3 Copyright 2018 The National Society for Cutaneous Medicine 181 BRIEF ARTICLES Coexisting Basal Cell Carcinoma and Squamous Cell Carcinoma in Congenital Nevus Sebaceous Jordan Rosen BS a , Katherine Nolan MD a , Noah Shaikh BS a , Les Rosen MD a , Martin Zaiac MD a a Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL Nevus sebaceous (NS) is a congenital epidermal hamartoma that is present in less than 1% of newborns. 1 NS appears classically on the face or scalp as a waxy, yellow- or orange-colored linear or round plaque. NS frequently increases in size during puberty. keywords: cell; nevus; sebaceous cache: skin-309.pdf plain text: skin-309.txt item: #893 of 1356 id: skin-31 author: Lee, Jonathan J; Dando, Emily; Bibee, Kristin; Jedrych, Jaroslaw; Ho, Jonhan; Patton, Timothy title: Early-Onset Basal Cell Carcinoma in Young Female Endurance Athletes: A Report of Three Cases date: 2017-08-31 words: 1100 flesch: 48 summary: In addition to sun exposure acquired during frequent training, dosimetric studies of full distance Ironman triathletes have documented substantial amounts of UV exposure during a single 8-10 hour event (mean minimal erythema dose of 8.3). C) Case 3: 34-year-old Caucasian female triathlete with nodular BCC on right cheek. keywords: bcc; cell; exposure; onset; use cache: skin-31.pdf plain text: skin-31.txt item: #894 of 1356 id: skin-310 author: Briscoe, Cristopher C; Nahmias, Zachary P; Rosman, Ilana S; Anadkat, Milan J title: Nail Biopsy in the Diagnosis of Systemic Amyloidosis date: 2018-07-06 words: 1364 flesch: 54 summary: In light of the growing literature regarding nail changes as a presenting sign of systemic amyloidosis and the promising utility of nail biopsy, we suggest a low threshold for biopsy in appropriate patients when nail changes characteristic of amyloidosis are refractory to conventional treatment. While nail changes are a relatively rare finding of systemic amyloidosis, they have been noted in at least 32 cases to date (Table 1). keywords: amyloidosis; biopsy; changes; nail cache: skin-310.pdf plain text: skin-310.txt item: #895 of 1356 id: skin-311 author: McMurray, Stacy L; Reynolds, Matthew; Dinehart, Matthew S; Dinehart, Scott M title: Do Second-Time Users of Topical Imiquimod have a More Rapid Onset of Clinical Response? date: 2018-04-30 words: 1802 flesch: 59 summary: In this report, we present observations that arose from a quality improvement (QI) project initially designed to improve documentation of treatment response time in patients with actinic keratoses. However, the potential for immune recall demonstrated by time-to-onset of clinical response has not been formally investigated. keywords: days; imiquimod; onset; time; users cache: skin-311.pdf plain text: skin-311.txt item: #896 of 1356 id: skin-312 author: Chow, Peter; Angulo, Pablo; Adkins, Kasie K title: Current Therapy for Advanced Melanoma and a Look at Future Signaling Pathways to Target date: 2018-07-06 words: 4796 flesch: 57 summary: 40 Combined these findings suggest that Wnt/beta-catenin signaling is important for melanoma cell homeostasis, and if dysregulated, can lead to transformation of melanoma cells. In order to further improve survival rates in melanoma patients harboring a BRAFV600 mutation, combination therapy targeting other aspects of the RAS-RAF-MAPK pathways have been believed to be a potential method to overcome escape pathways of melanoma cells to BRAF inhibitor monotherapy. keywords: braf; cancer; cell; drug; inhibitor; kit; medicine; melanoma; mutation; notch; pathway; patients; resistance; signaling; skin; survival; therapy; tumor cache: skin-312.pdf plain text: skin-312.txt item: #897 of 1356 id: skin-313 author: Dinehart, Matthew S; McMurray, Stacy; Dinehart, Scott M; Lebwohl, Mark title: L-Carnitine Reduces Muscle Cramps in Patients taking Vismodegib date: 2018-03-09 words: 2576 flesch: 62 summary: The most common side effect of HHIs is muscle cramps, reported in about 60-70% of patients. 2,3 Muscle cramps are a frequent source of patient dissatisfaction and often result in a significant negative impact on patient quality of life. We report 3 patients taking vismodegib who experienced a reduction in muscle cramps after starting L-carnitine, a dietary supplement. keywords: carnitine; cell; cramps; muscle; patient; treatment; vismodegib cache: skin-313.pdf plain text: skin-313.txt item: #898 of 1356 id: skin-314 author: Cockerell, Clay title: Clinical Photographs Should Accompany Skin Biopsies in Many Instances to Improve Patient Care date: 2018-03-09 words: 1370 flesch: 45 summary: This classic “CPC” was the tradition of clinical diagnosis for many years where clinical features of a disease were correlated with anatomic features at autopsy. Finally, if it is not convenient to submit clinical images digitally, a print photograph can be provided. keywords: dermatology; diagnosis; skin cache: skin-314.pdf plain text: skin-314.txt item: #899 of 1356 id: skin-316 author: Nestor, Mark; Berman, Brian title: Efficacy of a Silicone-Based Gel Containing Pracaxi Oil (Pentaclethra macroloba) for Treating Post-Surgical Scars date: 2018-11-09 words: 4076 flesch: 54 summary: Baseline average scores were compared against end of study average scores. The objective of this 16-week, randomized, double-blind comparison study was to determine the safety and efficacy of a unique silicone-based gel containing Pracaxi oil versus a silicone-based gel containing Cepalin onion extract for improving the appearance of hypertrophic surgical scars. keywords: efficacy; extract; gel; oil; onion; pracaxi; product; scar; scores; silicone; study; subjects; treatment; week cache: skin-316.pdf plain text: skin-316.txt item: #900 of 1356 id: skin-320 author: Dillon, Larry D; Gadzia, Joseph E; Davidson, Robert S; McPhee, Michael; Covington, Kyle R; Cook, Robert W; Johnson, Clare; Monzon, Federico A; Milanese, Eric D; Vetto, John; Jarell, Abel D; Fleming, Martin D title: Prospective, Multicenter Clinical Impact Evaluation of a 31-Gene Expression Profile Test for Management of Melanoma Patients date: 2018-03-09 words: 3915 flesch: 57 summary: The National Society for Cutaneous Medicine 112 Current guidelines for cutaneous melanoma indicate that patient management and intensity of surveillance should ultimately be tailored to an individual patient’s probability of recurrence, as this is the most important factor to consider in determining follow-up and management plans. 13,14 Aside from analytical and clinical validity, a critical evaluation of a prognostic test is to determine its clinical utility, which can be demonstrated by the impact of the test on changes in patient management. keywords: cases; class; gep; management; melanoma; patients; risk; study; test cache: skin-320.pdf plain text: skin-320.txt item: #901 of 1356 id: skin-321 author: Glazer, Alex M; Farberg, Aaron S; Svoboda, Ryan M; Rigel, Darrell S title: Comparison of Survey Modality and Response Rate in Dermatologists’ Perceptions and Opinions of Sunscreens date: 2018-03-09 words: 1749 flesch: 51 summary: Despite some experts espousing survey response rates ≥60% as valid, there is no consensus as to what an adequate response rate is for a scientific survey. Response rates varied widely by survey modality (30% mail, 9% email 95% live). keywords: dermatologists; response; sunscreen; survey cache: skin-321.pdf plain text: skin-321.txt item: #902 of 1356 id: skin-322 author: Nahmias, Zachary P; Merrill, Eric D; Briscoe, Cristopher C; Mount, Charles E; Abner, Sabra; Schaffer, Andras; Anadkat, Milan J title: Development of Bullous Pemphigoid While Receiving PD-1 Checkpoint Inhibitor Nivolumab date: 2018-04-30 words: 1846 flesch: 50 summary: 4 Future studies are needed to better define the efficacy of using targeted immunotherapy alongside anti-PD-1 treatment. 1 More than 40% of melanoma patients treated with anti-PD-1 therapy develop dermatologic complications. keywords: melanoma; nivolumab; patient; pemphigoid; skin; therapy; treatment cache: skin-322.pdf plain text: skin-322.txt item: #903 of 1356 id: skin-324 author: Prado, Giselle; Nichols, Anna; Zaiac, Martin title: Resolution of Post-Surgical Hypergranulation Tissue with Topical Aluminum Chloride date: 2018-09-07 words: 1426 flesch: 51 summary: We report our experience using aluminum chloride to treat a series of two patients with hypergranulation tissue. Both patients had lengthy treatment courses after Mohs surgery with growth of hypergranulation tissue that resolved once aluminum chloride was placed on the wound. keywords: aluminum; hypergranulation; tissue; wound cache: skin-324.pdf plain text: skin-324.txt item: #904 of 1356 id: skin-325 author: Marion, Tyler; Gibbons, Jake A title: Cocaine and the Local Anesthetic date: 2018-04-30 words: 446 flesch: 55 summary: Although cocaine is no longer used for numbing effects, it paved the way for the development of local anesthetics still used today. SKIN May 2018 Volume 2 Issue 3 Copyright 2018 The National Society for Cutaneous Medicine 205 Compelling Comments Cocaine and the Local Anesthetic Tyler Marion BS MBA a , Jake Alan Gibbons BSA a a The University of Texas Medical Branch, Galveston, TX The first use of local anesthetics dates back to the 16th century when Bernabe Cobo, a Spanish missionary, noted that toothaches could be alleviated by chewing coca leaves. keywords: anesthetic; cocaine cache: skin-325.pdf plain text: skin-325.txt item: #905 of 1356 id: skin-329 author: Castillo, David Ernesto; Nagrani, Nicole; Castillo, David; Reyes Mu?oz, Rocio; C?rdenas Guevara, Mayerlis; Morales, Samuel D.; Nichols, Anna title: A Case of Familial Focal Dermal Hypoplasia: A Report of 3 Cases in Consecutive Generations date: 2018-09-07 words: 1771 flesch: 49 summary: Focal dermal hypoplasia (FDH), or Goltz syndrome, is a rare multisystem disorder affecting mesodermal and ectodermal structures, with the skin, eyes, teeth, and musculoskeletal systems most commonly affected. Focal dermal hypoplasia (FDH), or Goltz syndrome, is a rare genetic disorder resulting from mutations in the PORCN gene. keywords: dermal; fdh; patient; plaques; skin cache: skin-329.pdf plain text: skin-329.txt item: #906 of 1356 id: skin-332 author: Nagrani, Nicole; Gonzalez, Adrianna; Nichols, MD PhD, Anna title: The Cutaneous Horn: Fascinating Since 1588 date: 2018-09-07 words: 497 flesch: 56 summary: Ultimately, Bartholin concluded that cutaneous horns were not supernatural phenomenon as originally believed, but rather were produced by skin tumors. In 1642 Thomas Bartholin encountered this report, which stimulated his interest in cutaneous horns and propelled Figure 1. keywords: horn; skin cache: skin-332.pdf plain text: skin-332.txt item: #907 of 1356 id: skin-333 author: Marion, Tyler; Gibbons, Jake Alan title: Diaries of James Clarke White date: 2018-11-09 words: 437 flesch: 54 summary: Post A. James Clarke White, M.D. Additionally, White contributed to medical literature by publishing his own book entitled Dermatitis Venenata.2 In 1914, White privately published Sketches of My Life, a diary of personal reflections from his times at Harvard.1 Dr. White was a figurehead of dermatology and served a critical role in its development as a unique medical specialty. keywords: medical; white cache: skin-333.pdf plain text: skin-333.txt item: #908 of 1356 id: skin-334 author: Armenta, Andrew M; Steele, Alex; Massey, Paul R title: Dermoscopy: Past and Future date: 2019-01-09 words: 562 flesch: 48 summary: Dermoscopy was first applied in the United States by dermatologist Jeffrey Michael of Houston, Texas in 1922.1 American surgeon Leon Goldman described dermoscopy’s effectiveness in pigmented skin lesions1 and in 1971, Scottish dermatologist Rona MacKie argued that dermoscopy could be used to distinguish benign and malignant lesions. 2. Murzaku, E.C., S. Hayan, and B.K. Rao, Methods and rates of dermoscopy usage: a cross-sectional survey of US dermatologists stratified by years in practice. keywords: dermoscopy; medicine; texas cache: skin-334.pdf plain text: skin-334.txt item: #909 of 1356 id: skin-336 author: Hamann, Dathan; Ulman, Catherine title: Bilateral acquired blaschkoid dermatitis date: 2019-01-09 words: 572 flesch: 56 summary: Bilateral lichen striatus. The National Society for Cutaneous Medicine 42 SHORT COMMUNICATIONS Bilateral Acquired Blashkoid Dermatitis Dathan Hamann, MD1, Catherine Ulman, MD1 1Contact Dermatitis Institute, Phoenix, AZ 2Division of Dermatology, Ohio State University, Columbus, OH Acquired blaschkoid dermatitis (ABD) is a rare self-limited inflammatory skin disease characterized by eczematous papules and plaques that follow the embryonic migration lines of Blaschko. keywords: bilateral; blaschkoid; dermatitis cache: skin-336.pdf plain text: skin-336.txt item: #910 of 1356 id: skin-337 author: Lopez, Adriana T; Shugar, Joel; Lebwohl, Mark title: Nab-paclitaxel/Gemcitabine Induced Acquired Ichthyosis date: 2018-09-07 words: 1599 flesch: 40 summary: Of 74 hospitalized patients evaluated for mucocutaneous complications of chemotherapy, AI was reported in patients treated with doxorubicin (n=11), cytarabine DISCUSSION SKIN September 2018 Volume 2 Issue 5 Copyright 2018 While physical exam findings of AI can be virtually identical to that of IV, AI develops in adulthood and is frequently associated with underlying systemic disease.2 AI has been correlated with several conditions including hyperparathyroidism3, malnutrition4 and LyP5; however, it is most commonly observed as a paraneoplastic syndrome in Hodgkin’s disease.6 Chemotherapy associated AI has rarely been described with the majority of documented cases confined to one study. keywords: gemcitabine; ichthyosis; paclitaxel; patient; skin cache: skin-337.pdf plain text: skin-337.txt item: #911 of 1356 id: skin-338 author: Svoboda, Ryan M; Cockerell, Clay J; Ceilley, Roger I; Rigel, Darrell S title: Evaluating the Utility of Self and Clinical Skin Examinations to Screen for Skin Cancer: The Importance of Considering Publications of All Levels of Evidence date: 2018-04-30 words: 1242 flesch: 45 summary: 3 Although these studies are important because they can eliminate confounding and demonstrate causality, other study designs have merit as well and should not be completely discounted. While there is value in recognizing the hierarchy of evidence, sole reliance on study design is a flawed tactic. keywords: evidence; medicine; skin; studies cache: skin-338.pdf plain text: skin-338.txt item: #912 of 1356 id: skin-339 author: Zambito, Jeanette R title: The History of Cosmetic Nail Treatments, From Babylon to Beyoncé date: 2018-09-07 words: 450 flesch: 60 summary: Around 3000 BC, China elevated nail art by using a crude form of nail lacquer composed of beeswax and egg whites. From there, it was only a matter of time before we were left with the sculpted, studded, pierced, and stenciled nails of today. keywords: nails; rochester cache: skin-339.pdf plain text: skin-339.txt item: #913 of 1356 id: skin-34 author: Nyckowski, Timothy; Ceilley, Roger; Bean, Andrew title: Atypical Fibroxanthoma of the External Ear: Case Report and Review of Literature date: 2017-11-13 words: 1519 flesch: 55 summary: Pesapane F, Nazzaro G, Lunardon L, Coggi A, Gianotti R. Two friends with eroded nodules on the ears: atypical fibroxanthoma case report. The National Society for Cutaneous Medicine 169 BRIEF ARTICLES Atypical Fibroxanthoma of the External Ear: Case Report and Review of the Literature Timothy Nyckowski BS a , Roger Ceilley MD a,b , Andrew Bean MD a a Dermatology P.C., West Des Moines, IA b University of Iowa Carver College of Medicine, Department of Dermatology, Iowa City, IA Atypical fibroxanthoma (AFX) is a tumor first reported in 1961 to describe a dermal tumor of atypical spindle cells. keywords: afx; atypical; fibroxanthoma; skin; tumor cache: skin-34.pdf plain text: skin-34.txt item: #914 of 1356 id: skin-340 author: Ly, Priscilla; Hoyer, Paige; Subrt, Adrian; Goodwin, Brandon; Kelly, Brent title: A Rare Case of Multicentric Reticulohistiocytosis date: 2018-09-07 words: 2501 flesch: 46 summary: The arthritis may persist for several years before skin nodules erupt, making this disease difficult to differentiate from rheumatoid arthritis.10 The papulonodular lesions in MRH appear reddish-brown and can vary in size, involving the upper trunk, Multicentric reticulohistiocytosis (MRH) is a rare, histiocytic disorder that primarily affects the skin and joints. Multicentric reticulohistiocytosis. keywords: case; disease; lesions; medicine; mrh; multicentric; patient; reticulohistiocytosis; skin cache: skin-340.pdf plain text: skin-340.txt item: #915 of 1356 id: skin-343 author: Gibbons, Jake; Marion, Tyler title: Fast Absorbing Cat-Gut Sutures date: 2019-01-09 words: 430 flesch: 54 summary: Lister applied his own antiseptic techniques during his experimentation with the suture, as he understood the risk of infection when exposing patients to raw intestine.3 Further advancements in the development of absorbable sutures were made, leading to the development of sutures such as polyglycan 910 and polyglycolic acid. These sutures provide additional tensile strength and knot security, while eliciting less tissue inflammation.1 Though absorbable gut sutures are not used superficially for skin closure, they are used by dermatologists in sewing split thickness skin grafts in sensitive areas of the face and in the mouth to promote rapid healing and obviate the need for suture removal. keywords: catgut; sutures cache: skin-343.pdf plain text: skin-343.txt item: #916 of 1356 id: skin-344 author: Shi, Vivian Y; Foolad, Negar; Ornelas, Jennifer; Burney, Waqas; Maarouf, Melody; Hassoun, Lauren; Monico, Gabriela; Takeda, Nicole; Bosanac, Suzana; Eichenfield, Lawrence F; Sivamani, Raja K title: The Comparative Effects of Various Moisturizers on Epidermal Barrier Function Recovery After Bathing in Atopic Dermatitis. date: 2018-07-06 words: 1811 flesch: 58 summary: AD subjects had higher hydration following CER (442.9% 394.4%  413.2%) than healthy subjects (334.7%  282.7%  296.7%) throughout the entire study. AD subjects had higher hydration following CER than healthy subjects throughout the entire study. keywords: bathing; hydration; minutes; moisturizers; tewl cache: skin-344.pdf plain text: skin-344.txt item: #917 of 1356 id: skin-345 author: Esaa, Fatema S; Travis, Skylar N; Scott, Glynis A; Richardson, Christopher T title: Unilateral Pemetrexed-induced Pseudocellulitis Mimicking Bacterial Cellulitis date: 2018-11-09 words: 1373 flesch: 22 summary: It is used as either a single agent or in combination with cisplatin or carboplatin.2 A variety of cutaneous adverse reactions (CARs) have been reported with usage of pemetrexed and combinations of pemetrexed and cisplatin/carboplatin. Pemetrexed- induced pseudocellulitis is important to recognize as it may be dose-limiting or necessitate treatment modification. keywords: antibiotics; erythema; patient; pemetrexed; pseudocellulitis cache: skin-345.pdf plain text: skin-345.txt item: #918 of 1356 id: skin-346 author: none title: Widespread Erythematous Plaques in a Multigravid Female date: 2019-01-09 words: 1510 flesch: 42 summary: The National Society for Cutaneous Medicine 31 BRIEF ARTICLES Widespread Erythematous Plaques in a Multigravid Female Alex Harrison, BS,1 George Gibbons, MD,2 Joseph Dyer, DO,3 1Edward Via College of Osteopathic Medicine, Auburn, AL 2Dermpath Diagnostics, Tampa, FL 3Avail Dermatology, Fayetteville, GA Dermatologic conditions in pregnancy can be attributed to physiological adaptations, changes in pre-existing skin diseases, or development of new dermatologic conditions specific to pregnancy.1,2 Although controversy exists, there is an ill-defined group of pruritic conditions that are considered pregnancy-specific skin dermatoses, which include pemphigoid gestationis, polymorphic eruption of pregnancy (PEP), intrahepatic cholestasis of pregnancy, atopic eruption of pregnancy, and generalized pustular psoriasis of pregnancy (GPPP).3 Excluding intrahepatic cholestasis of pregnancy, which presents with secondary skin lesions like excoriations, prurigo nodularis, and occasionally jaundice, these conditions can often manifest as widespread erythematous plaques and papules. We present a case of generalized pustular psoriasis of pregnancy that manifested in an atypical fashion and could have been overlooked without the utilization of biopsy and histopathological analysis. keywords: conditions; gppp; pregnancy; psoriasis; skin cache: skin-346.pdf plain text: skin-346.txt item: #919 of 1356 id: skin-347 author: none title: Serum Sickness Secondary to Fluoxetine date: 2018-09-07 words: 772 flesch: 47 summary: A number of drug classes including antibiotics, beta-blockers, and anti- depressants have been implicated in SSLRs, with only 3 reported cases associated with fluoxetine.3-5 Given the benign clinical course, absence of organ dysfunction, and onset of rash within few days of drug onset, our patient was initially diagnosed with a serum sickness-like reaction secondary to fluoxetine. Serum sickness with fluoxetine, although rare, has been reported.5,6 Although our patient was young and relatively healthy, such a reaction has the potential for severe consequences especially in patients with immunosuppression, autoimmune disease, or other significant comorbidities. keywords: fluoxetine; serum; sickness cache: skin-347.pdf plain text: skin-347.txt item: #920 of 1356 id: skin-349 author: none title: Was It Auspitz's Sign? date: 2019-01-09 words: 490 flesch: 57 summary: Bernhard, J.D., Auspitz sign is not sensitive or specific for psoriasis. Although first described in psoriasis, this clinical feature can be demonstrated in other skin conditions like Darier’s disease and actinic keratosis.1 Today, most associate this psoriatic pinpoint bleeding with Carl Heinrich Auspitz, an Austrian dermatologist. keywords: auspitz; texas cache: skin-349.pdf plain text: skin-349.txt item: #921 of 1356 id: skin-351 author: Vaughn, Alexandra; Nguyen, Mimi; Maarouf, Melody; Van Skiver, Melisa; Tran, Khiem; Rybak, Iryna; Sivamani, Raja; Shi, Vivian Yan title: Multi-Center Randomized Clinical Study of The Effects of Natural Oils on Xerosis and Skin Barrier Properties date: 2018-09-07 words: 1365 flesch: 49 summary: INTRODUCTION Objective: To compare the effect of natural oils and white petrolatum on skin barrier function in patients with xerosis. The participants preferred natural oils to white petrolatum, implying that these moisturizer options may improve patient compliance. keywords: hydration; moisturizers; oil; skin; study; week cache: skin-351.pdf plain text: skin-351.txt item: #922 of 1356 id: skin-353 author: Rodriguez, Eduardo Adrian; Arnold, Morgan Leigh; Wilkerson, Michael G title: A Review of Auto-Injector Pen Safety and Preventative Strategies date: 2018-09-07 words: 2652 flesch: 49 summary: EpiPen (epinephrine injection, USP) Auto-Injector and its Authorized Generic. Additionally, 45.2% of the participants in the unmodified group had presumptive unintentional injection injuries while only 5% of participants in the modified group did.13 Therefore, further efforts should be made by manufacturers to provide both clinicians and patients with safer and more intuitive designs. keywords: auto; epinephrine; injection; injector; injuries; safety; use cache: skin-353.pdf plain text: skin-353.txt item: #923 of 1356 id: skin-355 author: Dallo, Christopher; Falck, Benjamin title: Adrenal Insufficiency and its Presidential Touch date: 2019-03-11 words: 557 flesch: 51 summary: Kennedy’s glowing skin may have been attributed to primary adrenal insufficiency – an autoimmune destruction of the adrenal gland that results in decreased cortisol levels. The series of candidate debates held during that election cycle, dubbed the “Great Debates”, were similarly historic as they represent the first televised presidential debates in the nation’s history and played a critical role in Kennedy’s success. keywords: kennedy; skin cache: skin-355.pdf plain text: skin-355.txt item: #924 of 1356 id: skin-356 author: Beal, Brandon T; Dhandha, Maulik M; Chu, Melinda B; Varra, Vamsi; Armbrecht, Eric S; Slutsky, Jordan B; Fosko, Scott W title: Tumor Characteristics Predicting Perineural Invasion in Cutaneous Squamous Cell Carcinoma Identified by Stepwise Logistic Regression Analysis date: 2018-11-09 words: 2000 flesch: 54 summary: Aims: To determine risk factors associated with the presence of PNInv using the high-risk cSCC criteria developed by the National Comprehensive Cancer Network (NCCN). As independent risk factors for cSCC, tumor size, location on the face, and moderately or poorly differentiated histology have been associated with metastasis and death,1-6 while acantholytic, adenosquamous, or desmoplastic subtypes DISCUSSION SKIN November 2018 Volume 2 Issue 6 Copyright 2018 The National Society for Cutaneous Medicine 362 of cSCC have received considerably less attention in the literature. keywords: cscc; factors; pninv; risk cache: skin-356.pdf plain text: skin-356.txt item: #925 of 1356 id: skin-357 author: Beal, Brandon T; Cundall, Hannah L; Fernandez, Anthony P title: A female with thick intertriginous vegetative plaques date: 2019-03-11 words: 595 flesch: 24 summary: Pyostomatitis vegetans is characterized by pustular and vegetative plaques of the oral mucosa, and is considered to be the oral equivalent of PDV. Direct immunofluorescence (DIF) to evaluate for pemphigus vegetans revealed weak granular deposition of complement C3 at the basement membrane zone. keywords: cleveland; pyostomatitis; vegetans cache: skin-357.pdf plain text: skin-357.txt item: #926 of 1356 id: skin-359 author: Marion, Tyler; Gibbons, Jake Alan title: The Rose of Dermatology date: 2019-05-03 words: 438 flesch: 53 summary: Unfortunately, her tenure as chair was cut short as she fell victim to lymphocytic leukemia and passed away in 1940.3 To honor Dr. Hirschler, an award of her namesake, the Rose Hirschler Award, is given annually to female dermatologists who have made significant contributions to medicine and dermatology. Dr. Hirschler was a true pioneer for women in dermatology, paving the way for future females entering the field. keywords: dermatology; hirschler cache: skin-359.pdf plain text: skin-359.txt item: #927 of 1356 id: skin-36 author: Nyckowski, Timothy; Ceilley, Roger; Wilson, Joshua title: Sarcoidosis Developing During Secukinumab Therapy: Case Report date: 2017-08-31 words: 1775 flesch: 44 summary: 2 Evidence for the involvement of IL-17A in the pathogenesis of sarcoidosis includes: (1) increased circulating IL-17A+ memory T cells, (2) increased IL-17A producing cells (IL-17A/IFN-γ and IL-17A/IL- 4 cells) in BAL samples, (3) increased T cells producing IL-17A in the lungs of sarcoidosis patients, and (4) differential distribution of IL-17A producing T cells in local granulomas. Ostadkarampour M, Eklund A, Moller D, Glader P, Olgart Höglund C, Lindén A, Grunewald J, Wahlström J. Higher levels of interleukin IL-17 and antigen-specific IL-17 responses in pulmonary sarcoidosis patients with Löfgren's syndrome. keywords: cells; disease; il-17; report; sarcoidosis; secukinumab; skin cache: skin-36.pdf plain text: skin-36.txt item: #928 of 1356 id: skin-360 author: Kaminetsky, Joshua; Aziz, Mina; Kaushik, Shivani title: A Review of Biologics and Other Treatment Modalities in HIV-Associated Psoriasis date: 2018-11-09 words: 5036 flesch: 43 summary: Their use can be particularly challenging in patients who are immunosuppressed at baseline, such as transplant recipients or HIV patients. Data regarding the use of biologic agents in treating psoriasis in HIV patients is limited, as these patients are often not included in clinical trials. keywords: agents; art; cd4; hiv; patients; psoriasis; skin; therapy; treatment cache: skin-360.pdf plain text: skin-360.txt item: #929 of 1356 id: skin-361 author: Hobson, Julia Graham; Scott, Glynis A; Mercurio, Mary Gail title: Langerhan's Cell Histiocytosis Masquerading as Intertrigo date: 2019-01-09 words: 1185 flesch: 40 summary: Girschikofsky M, Arico M, Castillo D et al. Management of adult patients with Langerhans cell histiocytosis: recommendations from an expert panel on behalf of Euro-Histio-Net. Recurrent BRAF mutations in Langerhans cell histiocytosis. keywords: cell; histiocytosis; langerhan; lch; patient cache: skin-361.pdf plain text: skin-361.txt item: #930 of 1356 id: skin-364 author: Zambito, Jeanette R; Shah, Pooja R; Scott, Glynis A; Evans, Andrew; Beck, Lisa A title: CVID-associated Granulomatous Dermatosis Resembling Sarcoidosis date: 2019-07-08 words: 1756 flesch: 47 summary: Approximately 10% of CVID patients are reported to have noncaseating granulomatous disease that is indistinguishable from sarcoidosis on pathology; it most commonly affects the lungs, lymph nodes, and liver. The National Society for Cutaneous Medicine 256 involvement of the skin or bone marrow is less common, seen in approximately 20% and 5% of CVID patients, respectively2,3,4. keywords: bone; cvid; disease; immunodeficiency; patients; sarcoidosis; skin cache: skin-364.pdf plain text: skin-364.txt item: #931 of 1356 id: skin-365 author: Ikpeama, Chinelo; Gleghorn, Krystina; Akunna, Tara; Ryan, Michael; Wilkerson, Michael title: Why Dermatology? A Survey of Factors Influencing Resident Physician Selection of A Career in Dermatology date: 2018-11-09 words: 862 flesch: 48 summary: % of Respondents (n = 242) Age of respondents % of Respondents (n = 242) keywords: career; dermatology; respondents cache: skin-365.pdf plain text: skin-365.txt item: #932 of 1356 id: skin-366 author: Benavidez, Jacob E title: Nobel Niels date: 2019-03-11 words: 463 flesch: 47 summary: Grzybowski A, Pietrzak K. From patient to discoverer—Niels Ryberg Finsen (1860–1904)—the founder of phototherapy in dermatology. Presently, phototherapy is a treatment staple for various cutaneous disorders, but its inspiration and elucidation are resultant of the Faroese physician's struggle with Niemann-Pick disease.1 Bathing in the sun, Finsen experienced reduced fatigue from his disease, inspiring his life's work.1 Finsen developed a lamp with a quartz lens and an artificial light source generated by electric carbon arcs. keywords: finsen; light cache: skin-366.pdf plain text: skin-366.txt item: #933 of 1356 id: skin-367 author: Linsley, Catherine; Aziz, Mina title: A Case of Azacitidine-Induced Toxic Erythema of Chemotherapy date: 2019-01-09 words: 802 flesch: 40 summary: However, TEC following azacitidine therapy has not been reported. Her past medical history was significant for MDS for 3 years, controlled on monthly azacitidine, until transformation to AML due to missing 2 cycles of treatment. keywords: azacitidine; mds; tec; treatment cache: skin-367.pdf plain text: skin-367.txt item: #934 of 1356 id: skin-369 author: Brown, Ashley E.; Starling, Caroline T. title: Vitiligo and Beauty date: 2018-11-09 words: 552 flesch: 45 summary: Giles, K, Davison, R. 'I think I'm beautiful': Model Winnie Harlow, who suffers from rare Vitiligo skin condition, gives empowering talk at Women in the World event. Saunders, J. ‘You gotta have tough skin’! keywords: skin; vitiligo cache: skin-369.pdf plain text: skin-369.txt item: #935 of 1356 id: skin-37 author: Glazer, Alex M.; Farberg, Aaron S.; Donohue, Stephen; Rigel, Darrell S. title: Analysis of Dermatologic Disorders Occurring in Major League Baseball Players date: 2017-08-31 words: 1103 flesch: 48 summary: 3 However, MLB players experienced a different mix with a greater proportion of mechanical, infectious, and contact related skin conditions likely due to the baseball- related activities that impact on these athletes’ skin on a day-to-day basis. In contrast, the 3 most common dermatoses seen among the non-player personnel control group were rash, tinea, and concerning skin lesion which more closely resembled the distribution of skin diseases among the general population. keywords: baseball; mlb; players; skin cache: skin-37.pdf plain text: skin-37.txt item: #936 of 1356 id: skin-370 author: Berman MD, PhD, Brian; Nestor, MD, PhD, Mark S.; Gold, MD, Michael H.; Goldberg, JD, MD, David J.; Fox, Joshua; Schmieder, DO, George title: Low Rate of Keloid Recurrences Following Treatment of Keloidectomy Sites with a Biologically Effective Dose 30 of Superficial Radiation date: 2018-11-09 words: 589 flesch: 50 summary: One of the following superficial radiation BED 30 fractionation protocols was employed post keloidectomy: one fraction of 13 Gy on post-operative day 1; or 2 fractions of 8 Gy on post-operative days 1 and 2; or, in the majority of cases, 3 fractions of 6 Gy on post-operative days 1, 2 and 3. Radiation dermatitis was not reported. The observed 3.0% rate of keloid recurrence following surgical keloidectomy and treatment of the excision site with superficial radiation therapy (BED 30) is markedly lower than that reported in the literature following keloid excision alone. keywords: keloidectomy; post; radiation cache: skin-370.pdf plain text: skin-370.txt item: #937 of 1356 id: skin-371 author: Beal, Brandon T; Varra, Vamsi; Chu, Melinda B; Armbrecht, Eric S; Walker, Ronald J; Varvares, Mark A; Fosko, Scott W title: Surgical Continuity of Care: A Multidisciplinary Approach to Managing the Mohs Micrographic Surgery Positive Deep Margin at the Parotid in Cutaneous Squamous Cell Carcinoma date: 2019-07-08 words: 2431 flesch: 53 summary: This study demonstrates that resection with negative surgical margins results in excellent long-term local and regional disease control, and overall survival for cSCC patients with positive deep MMS margin at the parotid fascia. Positive deep margin. keywords: fascia; hns; louis; margin; mms; parotid; patients cache: skin-371.pdf plain text: skin-371.txt item: #938 of 1356 id: skin-373 author: Hill, Callie Roberts; Wang, Apphia; Elewski, Boni E.; Pavlidakey, Peter G title: Subcutaneous panniculitis-like T-Cell lymphoma: A mixed diagnostic approach to diagnosing a vague clinical picture date: 2019-03-11 words: 3484 flesch: 48 summary: 8. Gorodetskiy, V.R., et al., Fluorine-18 fluorodeoxyglucose positron emission tomography/computed tomography evaluation of subcutaneous panniculitis-like T cell lymphoma and treatment response. Immunohistochemical staining of CD8+ was notable for neoplastic cells rimming numerous adipocytes. keywords: cell; cell lymphoma; lymphoma; panniculitis; patient; sptcl cache: skin-373.pdf plain text: skin-373.txt item: #939 of 1356 id: skin-374 author: Glaser, Ella; Kurta, Anastasia; Glaser, Dee Anna title: Eccrine Nevus of the Forearm Controlled With Topical Glycopyrrolate date: 2018-11-09 words: 722 flesch: 50 summary: Figure 2: Minor starch iodine test after two-year long maintenance therapy with topical glycopyrrolate - this figure shows significant improvement in hyperhidrosis severity. The National Society for Cutaneous Medicine 436 Figure 1: Left forearm after a Minor starch iodine test highlighting localized hyperhidrosis. keywords: eccrine; hyperhidrosis; nevus cache: skin-374.pdf plain text: skin-374.txt item: #940 of 1356 id: skin-376 author: Hosseinipour, Mojgan; Baigrie, Dana Marie; Crane, Jonathan title: Subcorneal Pustular Dermatosis Successfully Treated with Acitretin in a Patient with Glucose-6-Phoshate Dehydrogenase Deficiency date: 2020-01-28 words: 1723 flesch: 43 summary: We report a case of subcorneal pustular dermatosis in a G6PD deficient patient successfully treated with acitretin. Based on clinical and histopathological examination, findings were most consistent with subcorneal pustular dermatosis. keywords: acitretin; dapsone; dermatosis; patient; treatment cache: skin-376.pdf plain text: skin-376.txt item: #941 of 1356 id: skin-377 author: Orloff, Jeremy N; Kaminetsky, Joshua R; Aziz, Mina title: Psoriasis and Obesity: A Review of the Current Literature date: 2018-11-09 words: 7710 flesch: 53 summary: One study found that psoriasis patients consume more fat, saturated fat, and alcohol.13 Psoriasis Patients with Diabetes Type 2 are at High Tisk of Developing Liver Fibrosis During Methotrexate Treatment. keywords: acad; dermatol; disease; et al; levels; obese; obesity; patients; psoriasis; skin; study; tnf; treatment; weight cache: skin-377.pdf plain text: skin-377.txt item: #942 of 1356 id: skin-378 author: Varra, Vamsi; Rodriguez, Marla; Beal, Brandon; Fernandez, Anthony title: Myeloid sarcoma - a case report date: 2019-05-03 words: 869 flesch: 44 summary: Common positive immunohistochemical markers are CD43, CD68, lysozyme, myeloperoxidase, and CD117.2,4,5 Peripheral smear, flow cytometry, and bone marrow biopsy (BMB) are needed to categorize the disease and determine the extent of involvement. The diagnosis of myeloid sarcoma is challenging due to its rarity and heterogeneity of presentation. keywords: myeloid; sarcoma; skin cache: skin-378.pdf plain text: skin-378.txt item: #943 of 1356 id: skin-379 author: Cornacchia, Matthew Alexander; Munger, David; Andikyan, Vaagn; Halasz, Charles L title: Sweet Syndrome Following Gynecologic Surgery: Pelvic Abscess as a Cause date: 2019-01-09 words: 1345 flesch: 43 summary: The National Society for Cutaneous Medicine 36 Figure 1: Erythematous papulovesicular lesions of Sweet syndrome on the patient’s lower extremities. We describe a case of Sweet syndrome in a 54-year-old woman provoked by a post-surgical pelvic infection. keywords: neutrophilic; patient; sweet; syndrome cache: skin-379.pdf plain text: skin-379.txt item: #944 of 1356 id: skin-380 author: Prado, Giselle; Nichols, Anna J; Florez-White, Mercedes; Kerdel, Francisco title: Reporting of Quality of Life in Clinical Trials of Biologics for Plaque Psoriasis: A Systematic Review date: 2018-09-07 words: 8291 flesch: 66 summary: Revicki D, Willian MK, Saurat JH, et al. Impact of adalimumab treatment on health-related quality of life and other patient-reported outcomes: results from a 16-week randomized controlled trial in patients with moderate to severe plaque psoriasis. Feldman SR, Gordon KB, Bala M, et al. Infliximab treatment results in significant improvement in the quality of life of patients with severe psoriasis: a double-blind placebo-controlled trial. keywords: baseline; change; dermatol; dlqi; endpoint; life; mean; patients; psoriasis; quality cache: skin-380.pdf plain text: skin-380.txt item: #945 of 1356 id: skin-381 author: Tausend, William; Hoyer, Paige; Arnold, Morgan; Wagner, Keith; Ross, Lindy; Goodwin, Brandon P; Wilson, Janice M title: Successful Treatment of Vitiligo with Crisaborole 2% Ointment date: 2019-03-11 words: 981 flesch: 51 summary: Previous literature has discussed the possible role of systemic PDE-4 inhibitors in vitiligo; herein, we discuss the ability of topical crisaborole to accelerate repigmentation in treatment-resistant vitiligo. More research is needed to demonstrate the efficacy and safety of topical crisaborole in the treatment of vitiligo and the potential role of PDE-4 inhibitors in vitiligo. keywords: crisaborole; ointment; treatment; vitiligo cache: skin-381.pdf plain text: skin-381.txt item: #946 of 1356 id: skin-382 author: Graham, Lauren Van Duyn title: Rapid access clinic expedites patient connection with dermatologic services and improves productivity date: 2019-01-09 words: 1045 flesch: 55 summary: The average RAC encounter generated approximately 55% more wRVUs on average than non-RAC clinic visits due to a high proportion of new patients and procedures performed in RAC vs non-RAC clinic. RAC implementation reduced appointment wait times considerably. keywords: patients; rac; table; times cache: skin-382.pdf plain text: skin-382.txt item: #947 of 1356 id: skin-383 author: Svoboda, Ryan M; Del Rosso, James Q; Zeichner, Joshua A; Draelos, Zoe D title: Revisiting the Beneficial Effects of Estrogen on the Skin: A Comprehensive Review of the Literature and a Look to the Future date: 2018-09-07 words: 4270 flesch: 42 summary: These findings led Dunaif and Finnerty to hypothesize that estrogens act locally at the HISTORICAL PERSPECTIVE SKIN September 2018 Volume 2 Issue 5 Copyright 2018 The National Society for Cutaneous Medicine 310 skin to promote epidermal thickening, but that this effect is antagonized when higher systemic concentrations are achieved, possibly due to a secondary mechanism of action at a remote site.10 These early experiments laid the scientific foundation for the treatment of aging skin with estrogens. The effect of topical oestradiol on skin collagen of postmenopausal women. keywords: aging; changes; collagen; effects; estrogen; journal; medicine; potential; skin; treatment; use; women cache: skin-383.pdf plain text: skin-383.txt item: #948 of 1356 id: skin-385 author: Mirsky, Rachel S; Prado, Giselle; Svoboda, Ryan M; Rigel, Darrell S title: Oxybenzone and Sunscreens: A Critical Review of the Evidence and a Plan for Discussion with Patients date: 2018-09-07 words: 1971 flesch: 50 summary: Additionally, they raised oxybenzone concentrations to levels much greater than those found in the ocean. However, a meta-analysis of 64 studies measuring oxybenzone rates of sensitization and irritation found only 0.07% of 19,570 patients had true contact dermatitis to oxybenzone when undergoing patch testing.12 keywords: bleaching; effects; hawaii; medicine; oxybenzone; patients; skin; sunscreen cache: skin-385.pdf plain text: skin-385.txt item: #949 of 1356 id: skin-386 author: Soh, Jonathan Matthew; Pentland, Alice P title: Current Curriculum on Reflectance Confocal Microscopy: a national survey of dermatology faculty and residents date: 2019-01-09 words: 1387 flesch: 54 summary: Similar to traditional biopsy and pathology; RCM payment best approximates the time and effort that goes into acquiring and interpreting each lesion and is similar to that of traditional biopsy and pathology payments. We surveyed dermatology residency programs to explore the exposure trainees have to RCM. keywords: faculty; rcm; times; week cache: skin-386.pdf plain text: skin-386.txt item: #950 of 1356 id: skin-387 author: Dunn, Carly; Applebaum, Danielle S. title: Lues maligna in an immunocompetent male date: 2019-03-11 words: 1186 flesch: 44 summary: Lues maligna (malignant syphilis) is an aggressive, rapidly developing, rare variant of secondary syphilis and is characterized by flu-like prodromal symptoms followed by an eruption of irregularly scattered erythematous papules and pustules that quickly progresses into well-defined necrotic ulcers. The patient was diagnosed with lues maligna given his Lues maligna (malignant syphilis) is an aggressive, rapidly developing, rare variant of secondary syphilis and is characterized by flu-like prodromal symptoms followed by an eruption of irregularly scattered erythematous papules and pustules that quickly progress into well-defined necrotic ulcers. keywords: bookmark; lues; maligna; medicine; syphilis cache: skin-387.pdf plain text: skin-387.txt item: #951 of 1356 id: skin-388 author: LaCour, Matthew title: Geometric Facial Erosions on a Newborn date: 2019-03-11 words: 1509 flesch: 47 summary: MiDAS syndrome or MLS (microphthalmia with linear skin defect) is an X-linked dominant genodematosis characterized by cutaneous, ocular, central nervous system, and cardiac defects. MiDAS syndrome (microphthalmia, dermal aplasia, and sclerocornea) or MLS (microphthalmia with linear skin defect) is an X-linked dominant condition first described in the early 1990s. keywords: defects; linear; microphthalmia; midas; skin; syndrome cache: skin-388.pdf plain text: skin-388.txt item: #952 of 1356 id: skin-389 author: Hosking, Anna-Marie; Chapman, Lance; Smith, Janellen title: Crohn's Disease Presenting as Isolated Lower Lip Swelling date: 2019-05-03 words: 873 flesch: 45 summary: Clinical examination revealed lower lip edema, cheilitis, and two oral aphthous ulcerations without evidence of facial palsy (Figure 1). History was significant for asthma, bipolar disorder, headaches, and a history of gastrointestinal disease (records were requested to verify a diagnosis). keywords: crohn; disease; oral cache: skin-389.pdf plain text: skin-389.txt item: #953 of 1356 id: skin-391 author: Samaan, Christen Botros title: Survey of Sun Protection Policies in Juvenile Detention Centers in Pennsylvania: Are we also Protecting Vulnerable Communities? date: 2019-03-11 words: 1257 flesch: 51 summary: The objective of this study was to determine the prevalence of sun protection policies, environmental features, and attitudes in institutions responsible for school-aged populations in juvenile detention centers. The relationship between sun protection policies and practices in schools with primary-age students: the role of school demographics, policy comprehensiveness and SunSmart membership. keywords: cancer; centers; protection; skin; sun cache: skin-391.pdf plain text: skin-391.txt item: #954 of 1356 id: skin-392 author: Fraser, Lindsey Wold; Castillo, Stephanie A; Momtahen, Shabnam; Chapman, Michael Shane title: Frequently debrided and misdiagnosed: Post-surgical pyoderma gangrenosum date: 2019-03-11 words: 1705 flesch: 42 summary: She was treated for a presumed post-operative wound infection with multiple courses of IV vancomycin, piperacillin/tazobactam, Post-surgical pyoderma gangrenosum is rare. Consequently, post-surgical pyoderma gangrenosum is frequently misdiagnosed as an infection, leading to detrimental surgical debridement, unnecessary antibiotic use, and delay of proper treatment. keywords: gangrenosum; pspg; pyoderma; wound cache: skin-392.pdf plain text: skin-392.txt item: #955 of 1356 id: skin-393 author: Dunn, Carly; McMurray, Stacy L.; Jones, Allison; Pattanaik, Debendra title: New-Onset Vitiligo Following Etanercept for Ankylosing Spondylitis date: 2019-09-13 words: 1269 flesch: 49 summary: Although the exact mechanism is unknown, it is postulated that TNF-α inhibition modifies the cytokine balance and affects downstream pathways, resulting in activation of autoreactive T cells and immunologic imbalance.4,7 A retrospective study by Exarchou et al showed that 10 out of 183 (5.5%) patients with AS who had been treated with TNF-α inhibitors had immune-mediated skin lesions (with one case of vitiligo).1 A 10-year population-based study demonstrated an increased risk of vitiligo in patients receiving TNF-α inhibitors, with an incidence rate of 5.9 vs 2.5 per 10,000 person-years in those on TNF-α inhibitors versus control, respectively. Other therapy options include an alternative TNF-α inhibitor or another biological agent in patients whose underlying inflammatory condition had not improved or whose skin lesions progress.8 With growing literature describing immune- mediated skin diseases following TNF-α inhibitors, dermatologists, rheumatologists, and gastroenterologists need to be aware of these potential side-effects. keywords: patient; tnf; vitiligo cache: skin-393.pdf plain text: skin-393.txt item: #956 of 1356 id: skin-394 author: Pearlman, Dale Lawrence title: A novel hydrocortisone-ethanol gel ointment for treating atopic dermatitis (eczema) in children: A double blind, randomized, controlled clinical trial date: 2019-01-09 words: 2512 flesch: 53 summary: Evidence of systemic ethanol effect via percutaneous absorption on eczematous skin: None of the treated patients in the study Figure 1: A patient with atopic dermatitis behind the knee randomized to treatment with HC ointment. Average score was 68% improved in the HC-EG ointment treated patients vs 37% in the HC ointment treated patients. keywords: atopic; ethanol; hydrocortisone; ointment; patients; treatment cache: skin-394.pdf plain text: skin-394.txt item: #957 of 1356 id: skin-396 author: Abdalla, Jennifer Elise; Cruse, Allison; Patel, Neelam; Brodell, Robert title: Terra Firma-Forme Dermatosis, Keratotic Form date: 2019-05-03 words: 977 flesch: 56 summary: Fernández-Crehuet P, Ruiz-Villaverde R. Terra firma–forme dermatosis. In this case, however, the failure to clear the lesion with alcohol swabs led to the serendipitous finding that the brown, confluent, keratotic papules could be flicked off with a fingernail under a glove or by rubbing the area with a glass slide. keywords: case; dermatology; dermatosis; tffd cache: skin-396.pdf plain text: skin-396.txt item: #958 of 1356 id: skin-399 author: Barrick, Carl; Chin, An Guo Michael; Rutt, Veronica; Lountzis, Nektarios; Bartus, Cynthia title: Fibroelastolytic Papulosis in a Middle-Age Female: Presentation and Review of Treatment date: 2019-05-03 words: 1707 flesch: 53 summary: Fibroelastolytic papulosis (FEP) is a rare benign skin disorder that can be distressing to patients, and has no established treatment guidelines to date. FEP can be distressing to patients, and it is important to explore additional treatment options. keywords: case; fep; fibroelastolytic; papulosis; treatment cache: skin-399.pdf plain text: skin-399.txt item: #959 of 1356 id: skin-40 author: Hoyer, Paige; Ly, Priscilla; Ross, Lindy; Wilkerson, Michael title: Timolol for Treatment of Recalcitrant Pyogenic Granulomas: a Case Report and Review of the Literature date: 2017-11-13 words: 2192 flesch: 52 summary: No response of other lesions 15 M Abdomen 4mm 0.5% Timolol maleate (ii gtt QID) 12 days Partial response Chiriac A, et al. 2016 (9) 2 M Palpebral area N/A 0.1% Timolol in occlusive dressing (BID) + 2 applications of 70% Trichloroacetic Acid (1 every 7 days) 2 weeks Complete resolution 13 mos F Face N/A 0.1% Timolol in occlusive dressing (BID) + 1 application of 70% Trichloroacetic Acid 2 weeks Complete resolution Knöpfel M, et al. 2016 (12) 2 M Scalp N/A 0.5% Timolol GFS (BID) 1 month Almost complete resolution Hoyer P, et al. 2017 40 F Finger N/A Electrodessication → Electrodessication + Kenalog 5mg/ml → 0.5% Timolol GFS (BID) → Electrodessication + 0.5% timolol GFS (BID) 1 month 1 month 2 weeks 1 month Regrowth of lesion Regrowth of lesion Bleeding and pain Complete resolution Topical Timolol was an effective treatment for our case of Pyogenic Granuloma. Sex Location Diameter (mm) Treatment Treatment Duration Treatment response Wine L, et a.l 2013 (6) 32 mos F Cheek N/A Curettage + 0.5% Timolol GFS (BID) 6 months Complete Resolution 4 F Cheek N/A 2% Timolol GFS (BID) 2 months Partial response at 2 months, Resolution at 3 months 6 M Lower eyelid N keywords: gfs; granuloma; pyogenic; resolution; timolol; topical; treatment cache: skin-40.pdf plain text: skin-40.txt item: #960 of 1356 id: skin-403 author: Limmer, Allison L; Holland, Levi C; Garcia, Annabelle L title: Unusual presentation and successful treatment of necrobiosis lipoidica in a 15-year-old girl date: 2019-05-03 words: 1397 flesch: 40 summary: This case demonstrates the appropriateness of keeping necrobiosis lipoidica in the differential diagnosis for patients presenting with plaques or ulcerating lesions, especially of the pretibial area, even with no associated comorbidities and/or uncommon histopathology. When NL is suspected in patients without glucose intolerance, affirmative diagnosis can be difficult, and other comorbidities may be probed, as NL has been associated with conditions such as hypertension, dyslipidemia, and thyroid disorders. keywords: cells; lipoidica; necrobiosis; patient cache: skin-403.pdf plain text: skin-403.txt item: #961 of 1356 id: skin-404 author: Tran, Andrew; Sarac, Rebecca; Prussick, Lisa; Radosta, Stella; Murina, Andrea title: A Review of Treatments for Dissecting Cellulitis of the Scalp date: 2019-05-03 words: 3629 flesch: 54 summary: Histologically, there are abscesses, inflammatory infiltrates of neutrophils, dermal fibrosis, and decreased INTRODUCTION Dissecting cellulitis of the scalp (DCS) is a rare and chronic skin disorder that presents with suppurative nodules on the scalp with associated scarring alopecia. Mundi, J. P.; Marmon, S.; Fischer, M.; Kamino, H.; Patel, R.; Shapiro, J., Dissecting cellulitis of the scalp. keywords: case; cellulitis; dcs; disease; months; treatment; yes cache: skin-404.pdf plain text: skin-404.txt item: #962 of 1356 id: skin-405 author: Kirby, Joslyn; Burbach, Laura; Butt, Melissa; Butts, Jessica; Felix, Todd; Schlegel, Daniel; Shumaker, Kassidy title: Topical Corticosteroid Clinical Decision Support for Primary Care Providers: There’s an App for That! date: 2018-11-09 words: 872 flesch: 52 summary: Laura Burbach1, Melissa Butt, MPH 2, Jessica Butts, MD3, Todd Felix, MD3, Daniel Schlegel, MD3, Kassidy Shumaker2, Joslyn S Kirby, MD, MS, Med2 1Penn State College of Medicine, Hershey PA 2Department of Dermatology, Penn State Milton S. Hershey Medical Center, Hershey PA, 3Department of Family and Community Medicine, Penn State Milton S. Hershey Medical Center, Hershey, PA Literature has indicated that 20-36% of patients in PCP offices have dermatologic conditions1. A study of the app was performed with PCPs to determine changes in potency, vehicles and amount of corticosteroid prescriptions before and after app use (CorticoCream Calculator, https://www.padermatology.org/corticream- calculator.html). keywords: app; hershey; potency; use cache: skin-405.pdf plain text: skin-405.txt item: #963 of 1356 id: skin-407 author: Crain, Caroline; Gibbons, Jake Alan; Marion, Tyler title: The Father of Modern Cryotherapy date: 2019-07-08 words: 422 flesch: 54 summary: Its use dates back to the mid nineteenth century by Dr. James Arnott of England. This technique was useful in reducing tumor size, decreasing bleeding, and ameliorating pain.1 In his own words, Dr. Arnott described the significance of his work: “congelation arresting the accompanying inflammation, and destroying the vitality of the cancer cell, is not only calculated to prolong life for a great period, but may, not improbably, in the early stage of the disease, exert a curative action.”2 keywords: arnott; cryotherapy cache: skin-407.pdf plain text: skin-407.txt item: #964 of 1356 id: skin-408 author: Fasciano, Danielle; Innes, Matthew; Dorn, David; Ullman, David; Reddy, Vishnu; Ergen, Elizabeth; Pavlidakey, Peter title: Lepromatous leprosy: an elusive mimicker mistaken for polyarteritis nodosa and disseminated tuberculosis date: 2019-07-08 words: 1796 flesch: 44 summary: The pancytopenia observed in this case may have been due to lepromatous infiltration of bone marrow, azathioprine toxicity or sepsis. Comparative cytomorphology of skin, lymph node, liver and bone marrow in patients with lepromatous leprosy. keywords: bone; case; disease; leprosy; marrow; skin cache: skin-408.pdf plain text: skin-408.txt item: #965 of 1356 id: skin-410 author: Draelos, Zoe Diana; Fowler, Joseph F; Cornelison, Raymond title: A Randomized, Parallel Group, Open Label, Multicenter Study to Assess the Potential for Adrenal Suppression and Systemic Drug Absorption Following Multiple Dosing with Clobetasol Propionate Cream (Impoyz™), 0.025% versus Clobetasol Propionate (Temovate®) date: 2018-11-09 words: 4389 flesch: 51 summary: No statistical justification was made for the sample size of 50 subjects and the study was not powered to detect a statistically significant difference between treatment groups when measuring HPA axis suppression or efficacy. Additionally, in this sample, topical therapy with IMP was associated with a trend towards a lower incidence of HPA axis suppression than TMV without comprising efficacy. keywords: axis; cream; day; group; imp; study; subjects; tmv; treatment cache: skin-410.pdf plain text: skin-410.txt item: #966 of 1356 id: skin-412 author: Lebowitz, Emily; Lebwohl, Mark title: Review of suicide and depression in psoriasis and management of suicide warnings in patients treated with psoriasis drugs date: 2019-03-11 words: 4411 flesch: 53 summary: Dowlatshahi EA, Wakkee M, Arends LR, Nijsten T. The prevalence and odds of depressive symptoms and clinical depression in psoriasis patients: a systematic review and meta-analysis. The depression, anxiety, life satisfaction and affective expression levels in psoriasis patients. keywords: apremilast; brodalumab; depression; dermatol; patients; phase; placebo; psoriasis; suicide; symptoms; treatment cache: skin-412.pdf plain text: skin-412.txt item: #967 of 1356 id: skin-413 author: Prado, Giselle; Teplitz, Rebeca; Winkelmann, Richard; Del Rosso, James; Rigel, Darrell title: Clinical Efficacy & Safety of Oral Polypodium Leucotomos Extract for Photoprotection: A Systematic Review date: 2018-11-09 words: 2974 flesch: 55 summary: Middelkamp -Hup 200314 Open label, Pre and post exposure Oral PLE* 7.5mg/kg vs. On the other hand, polypodium leucotomos extract (PLE) has been shown to have photoprotective properties. keywords: cells; extract; leucotomos; med; oral; patients; ple; polypodium; skin cache: skin-413.pdf plain text: skin-413.txt item: #968 of 1356 id: skin-414 author: Cockerell, Clay title: How to Discuss Equivocal Melanocytic Neoplasms with Patients date: 2018-11-09 words: 788 flesch: 53 summary: The fact that many patients with these lesions do well even if there is evidence of lymph node involvement provides encouragement that things may not be as bad as they might seem. Using this framework, dermatologists will be more prepared to answer patient questions, dispel fears, and optimize patient outcomes. keywords: diagnosis; patients cache: skin-414.pdf plain text: skin-414.txt item: #969 of 1356 id: skin-417 author: Ahluwalia, Jusleen title: The microbiome in preadolescent acne: assessment and prospective analysis on the influence of benzoyl peroxide date: 2018-12-17 words: 521 flesch: 51 summary: The National Society for Cutaneous Medicine 95 RISING DERM STARS The microbiome in preadolescent acne: assessment and prospective analysis on the influence of benzoyl peroxide Jusleen Ahluwalia MD1, Lawrence F Eichenfield MD1 1Department of Dermatology, UC San Diego, San Diego, CA Background/Objectives: The pathogenesis of preadolescent acne has not been well studied, and it is uncertain if Propionibacterium acnes is a predominant organism in the microbiome in this age group.1-4 The aim of this study was to analyze the microbiome of preadolescent females, and to assess if benzoyl peroxide (BP) impacts the microbiome. Results show that preadolescent acne can vary in its microbial profile, reflecting surrounding changes associated with the onset of puberty. keywords: acne; microbiome; skin cache: skin-417.pdf plain text: skin-417.txt item: #970 of 1356 id: skin-418 author: Novice, Taylor Shea; Oberlin, David; McHargue, Chauncey title: A case of cutaneous metastatic adenosquamous carcinoma of the cervix date: 2019-07-08 words: 1599 flesch: 49 summary: 4. Fumerton R, Afifi T, Martinka M, de Gannes G. Cutaneous metastases of cervical adenosquamous carcinoma. The National Society for Cutaneous Medicine 271 BRIEF ARTICLES A case of cutaneous metastatic adenosquamous carcinoma of the cervix Taylor Novice, BS,1 David Oberlin, MD,2 and Chauncey McHargue, MD2 1University of Michigan School of Medicine, Ann Arbor, MI 2Department of Dermatology, Henry Ford Hospital, Detroit, MI Cervical cancer is the most common gynecologic cancer among women worldwide, and the third most common in the United States.1 Histologically, cervical cancer is divided into 4 major histologic subtypes: squamous cell carcinoma, adenocarcinoma, undifferentiated and adenosquamous carcinoma.1,2 Cutaneous metastasis is very rare among all subtypes with a reported incidence of 0.1% to 2%; of note, the adenosquamous carcinoma subtype has been reported the least.3-5 We present a case report of ulceronodular cutaneous metastasis of adenosquamous carcinoma of the cervix. keywords: cancer; carcinoma; cervix; metastases; skin cache: skin-418.pdf plain text: skin-418.txt item: #971 of 1356 id: skin-421 author: Dhandha, Maulik M title: Passion to Heal – Dermatology volunteering in the Maasai Mara, Kenya date: 2019-05-03 words: 1211 flesch: 53 summary: This “gap” of ideal versus available treatment was even more pronounced in Kenya. The key challenges to our work there were limited resources and time available, socio-economic difficulties of the local population, lack of an established dermato-pathology center, etc. Management of dermatology patients involved making clinical diagnoses without histopathology and empiric treatment from an available medication formulary. keywords: kenya; patients; skin; treatment cache: skin-421.pdf plain text: skin-421.txt item: #972 of 1356 id: skin-43 author: Paniagua Gonzalez, Lizy M; Lowe, Alison; Wilkerson, Michael title: Ulcerative Tinea Corporis in an Immunosuppressed patient date: 2017-11-13 words: 1482 flesch: 39 summary: The National Society for Cutaneous Medicine 168 Clinicians should have a strong suspicion for atypical presentations of common infections in transplant patients. Lillis, J.S., Dawson, E.S., Chang, R., White, C.R. Disseminated dermal Trichophyton rubrum infection- an expression of dermpatophyte dimorphism? keywords: dermatophytosis; infection; patient; tinea; transplant cache: skin-43.pdf plain text: skin-43.txt item: #973 of 1356 id: skin-44 author: Maarouf, Melody; Wickenheiser, Marilyn; Sligh, James; Culpepper, Keliegh; Shi, Vivian title: Disordered Presentation of Paraneoplastic Pancreatitis, Polyarthritis and Panniculitis (PPP) Syndrome in a Patient with End-Stage Pancreatic Cancer date: 2018-01-02 words: 1465 flesch: 39 summary: Zhang G, Cao Z, Yang G, Wu W, Zhang T, Zhao Y. Pancreatic panniculitis associated with pancreatic carcinoma: A case report. We report a case of PPP due to stage IV pancreatic cancer presenting with polyarthritis following chemotherapy induction, whose diagnosis was delayed due to late manifestation of pancreatic panniculitis. keywords: carcinoma; pancreatic; panniculitis; polyarthritis; ppp; syndrome cache: skin-44.pdf plain text: skin-44.txt item: #974 of 1356 id: skin-444 author: Chovatiya, Raj title: Association of Pemphigus and Pemphigoid with Osteoporosis and Pathological Fractures date: 2018-12-17 words: 581 flesch: 34 summary: A pooled analysis across all 7 years showed that patients with pemphigus had significantly higher odds (multivariate logistic regression including age, sex, primary payer, income quartile, history of long-term steroids; OR, 95% CI) of diagnosis with osteopenia (2.200, 1.590- 3.045), osteoporosis (2.536, 2.159-2.978), osteomalacia (29.699, 4.049-217.834), and pathologic fracture (2.035, 1.422-2.912) Similarly, patients with pemphigoid had significantly higher odds of diagnosis with osteoporosis (1.550, 1.392-1.727) and pathologic fracture (1.517, 1.222-1.884). keywords: pemphigoid; pemphigus cache: skin-444.pdf plain text: skin-444.txt item: #975 of 1356 id: skin-445 author: Dubin, Danielle title: Prophylactic botulinum toxin in post-excisional scars: a randomized, doubleblinded, controlled clinical trial date: 2018-12-17 words: 592 flesch: 55 summary: Figure 2: Box plot comparing VAS and mMSS for the placebo versus botulinum toxin study arms. Botulinum toxin is utilized as a treatment for facial rhytids due to its ability to induce a chemical paralysis of the musculature2. keywords: botulinum; toxin cache: skin-445.pdf plain text: skin-445.txt item: #976 of 1356 id: skin-446 author: Ekelem, Chloe title: Optical Coherence Tomography for the Scalp date: 2018-12-17 words: 538 flesch: 39 summary: We successfully devised an imaging cap to precisely relocate scalp areas, captured images that minimize data loss to light absorption, and described parameters of follicular disease, such as number of follicles, hair thickness, presence and absence of doublets and triplets, as well as epidermal thickness. Control subjects were expected to have larger average follicular diameter and higher average hair-bearing follicle density compared to alopecia subjects in all scalp regions. keywords: scalp; subjects cache: skin-446.pdf plain text: skin-446.txt item: #977 of 1356 id: skin-447 author: Guzman, Anthony title: Topical Cantharidin Revisited: A Phase 2 Study Investigating a Commercially-Viable Formulation of Cantharidin (VP-102) for the Treatment of Molluscum Contagiosum date: 2018-12-17 words: 602 flesch: 52 summary: Conclusions: VP-102 was well-tolerated with either a 6 or 24-hour exposure and was associated with a significantly reduced lesion count, improved quality of life and complete clearance of MC lesions in nearly half of the patients. Eleven subjects (44.0%) achieved total lesion clearance by EOS. keywords: cantharidin; subjects; treatment cache: skin-447.pdf plain text: skin-447.txt item: #978 of 1356 id: skin-448 author: Landriscina, Angelo title: Silver Sulfadiazine retards wound healing in mice via alterations in cytokine expression date: 2018-12-17 words: 720 flesch: 41 summary: This study aimed to elucidate SSD’s impact on wound healing and suggest mechanisms by which it occurs. The inflammatory reaction in wound healing is regulated by a delicate balance between pro- and anti-inflammatory cytokines, with the IL-1 family regulating chemokine production by keratinocytes, fibroblasts and macrophages.3,4 While expression of the IL-1 family is dependent on the complex interplay between members of the family, given our results, we hypothesize that SSD alters gene expression of IL-1 family genes resulting in impaired downstream cytokine production and ultimately delayed wound healing. keywords: healing; ssd; wound cache: skin-448.pdf plain text: skin-448.txt item: #979 of 1356 id: skin-449 author: Mollanazar, Nicholas title: Off-Label Treatment of Prurigo Nodularis with Dupilumab: A Case Series Study date: 2018-12-17 words: 633 flesch: 54 summary: To quantify the effectiveness of dupilumab in treating the itch of PN, average patient reported numeric rating scale itch intensity (NRSi) were calculated on a scale of 0-10 before and during therapy with dupilumab. 2018;54(3):527-531. doi:10.1016/j.jaad.2005.12.010 5. Hundley JL, Yosipovitch G. Mirtazapine for reducing nocturnal itch in patients with chronic pruritus: a pilot study. keywords: nrsi; patients; treatment cache: skin-449.pdf plain text: skin-449.txt item: #980 of 1356 id: skin-45 author: Kesterson, Katrina; Subrt, Adrian; Wilkerson, Michael title: Evolution of a Doxycycline-Induced Phototoxic Rash With an Unusual Distribution date: 2018-07-06 words: 1308 flesch: 48 summary: 6 Based on studies in current literature, the incidence of doxycycline phototoxicity follows a dose-dependent trend. 4. Lim D, Murphy G. High-level ultraviolet A photoprotection is needed to prevent doxycycline phototoxicity: lessons learned in East Timor. keywords: day; doxycycline; phototoxic; rash; sunscreen cache: skin-45.pdf plain text: skin-45.txt item: #981 of 1356 id: skin-450 author: Moy, Lauren title: Non-Invasive Buccal Swab Gene Testing for Skin Cancer Risk date: 2018-12-17 words: 403 flesch: 36 summary: The National Society for Cutaneous Medicine 109 RISING DERM STARS Non-Invasive Buccal Swab Gene Testing for Skin Cancer Risk Lauren Moy, MD1 1Department of Dermatology, Loyola University, Chicago, IL Background: The awareness of skin cancer is increasing, and there are new commercial kits on the market which advertise the ability to provide a patient with a skin cancer risk profile. In this pilot study, we aimed to examine whether previously identified melanoma and non-melanoma associated SNPs which were found to be present in a relatively heterogeneous population with a history of skin cancer versus an age and environmental matched controls. keywords: cancer; skin cache: skin-450.pdf plain text: skin-450.txt item: #982 of 1356 id: skin-451 author: Rothstein, Brooke title: Topical JAK inhibitor Ruxolitinib for Vitiligo Treatment date: 2018-12-17 words: 674 flesch: 52 summary: Conclusion: Twice daily application of topical ruxolitinib 1.5% cream provided significant facial vitiligo re-pigmentation and may offer a valuable new treatment for vitiligo. Three of 6 patients experienced re- pigmentation of non-acral upper extremity vitiligo (12.6% ± 19.5%), two of whom underwent simultaneous nbUVB phototherapy and had previously failed phototherapy and topical ruxolitinib 1.5% cream as single agent treatment regimens. keywords: patients; vitiligo cache: skin-451.pdf plain text: skin-451.txt item: #983 of 1356 id: skin-452 author: Rzepecki, Alexandra title: Staphylococcus Aureus Nasal Colonization is Associated with Severity of Radiation Dermatitis in Patients Receiving Radiotherapy date: 2018-12-17 words: 786 flesch: 51 summary: Skin colonization by Staphylococcus aureus in patients with eczema and atopic dermatitis and relevant combined topical therapy: a double-blind multicentre randomized controlled trial. Objective: The goals of our prospective study were to 1) characterize the incidence of baseline bacterial colonization in patients undergoing RT, and 2) examine the association between radiation dermatitis severity and baseline bacterial colonization. keywords: baseline; colonization; skin cache: skin-452.pdf plain text: skin-452.txt item: #984 of 1356 id: skin-453 author: Theodosakis, Nicholas title: Inhibition of isoprenoid synthesis synergizes with MAPK blockade to prevent growth in targeted therapy-resistant melanoma date: 2018-12-17 words: 611 flesch: 50 summary: Sosman, J. A., Kim, K. B., Schuchter, L., Gonzalez, R., Pavlick, A. C., Weber, J. S., Mcarthur, G. A., Hutson, T. E., Moschos, S. J., Flaherty, K. T., et al. (2012). Mouse studies of dual therapy with statins and BRAF inhibitors in the setting of vemurafenib-resistant BRAF-mutant melanoma provide additional in vivo evidence of efficacy, supporting a possible role for trials of statin and MAPK inhibitor combination therapy in human cancer patients. keywords: braf cache: skin-453.pdf plain text: skin-453.txt item: #985 of 1356 id: skin-454 author: Raoof, Joseph; Hooper, Deirdre; Moore, Angela; Zaiac, Martin; Sullivan, Tory; Kircik, Leon; Lain, Edward; Jankivevic, Jasmina; Stuart, Iain title: FMX101 4% Topical Minocycline Foam for the Treatment of Moderate-to-Severe Acne Vulgaris: Efficacy and Safety From a Phase 3 Randomized, Double-Blind, Vehicle-Controlled Study date: 2018-12-17 words: 1851 flesch: 57 summary: The study met both co-primary end points of absolute change from baseline in inflammatory lesion count and proportion with IGA treatment success at week 12 – Significant reduction in number of both inflammatory and noninflammatory lesions at week 12 from baseline in FMX101 4% treatment group vs vehicle treatment group – Significant improvement in IGA treatment success at week 12 in FMX101 4% treatment group vs vehicle treatment group • IGA treatment success at week 12 • keywords: figure; fmx101; treatment; vehicle; week cache: skin-454.pdf plain text: skin-454.txt item: #986 of 1356 id: skin-455 author: Schreiber, Rhonda; Lewis, Caitlin; Crane, Kaytiana title: Patient Assessment of Foam Attributes from the Tazarotene Foam, 0.1%, Phase III Trials and Potential Impact on Patient Compliance date: 2018-12-17 words: 1845 flesch: 74 summary: It has been previously well established that topical vehicle impacts not only safety, efficacy, and tolerability, but also pa�ent preference and therefore adherence to treatment protocols.3,4 This data clearly shows that the foam formula�on rated strongly in a range of proper�es which other studies have found to be important to pa�ents when choosing a topical vehicle.2 Recent research also shows that pa�ent vehicle preference is an important, but o�en overlooked, factor in maintaining compliance.3-6 A worldwide study found that poor adherence occurs in 40% of pa�ents receiving topical treatment for acne.2 Topical treatments for acne include formula�ons such as creams, lo�ons, ointments, gels, solu�ons and foams. keywords: ent; foam; ons cache: skin-455.pdf plain text: skin-455.txt item: #987 of 1356 id: skin-456 author: Paller, Amy S; Stein Gold, Linda; Lee, James; Tallman, Anna M; Rubenstein, David title: Patient-reported outcomes in subjects with atopic dermatitis treated with tapinarof cream: Results from a phase 2b, randomized parallel-group study date: 2018-12-17 words: 2152 flesch: 37 summary: ■ Of those randomized, 191 subjects (77%) completed the study including the Week 16 follow-up visit ■ Overall, mean demographic and baseline characteristics were comparable across treatment groups (Table 1) ■ Most subjects (91%) had a baseline IGA score of 3 (moderate) and a baseline mean Eczema Area and Severity Index (EASI) score of 11.3 (standard deviation 6.0) ■ Primary endpoint: IGA response rates (defined as IGA score 0 or 1 and ≥2-grade improvement) at Week 12 were higher in the tapinarof cream groups than the vehicle groups (53% [1% BID], 46% [1% QD], 37% [0.5% BID], 34% [0.5% QD] vs 24% [vehicle BID] and 28% [vehicle QD]) and were maintained for 4 weeks after the end of study treatment (non-responder imputation method)2 Table 1. Safety Overview and Most Common TEAEs (Occurring in ≥5% of Subjects in Any Group) Preferred term, n (%) keywords: bid; groups; tapinarof cache: skin-456.pdf plain text: skin-456.txt item: #988 of 1356 id: skin-457 author: Guttman-yassky, Emma; Pavel, Ana B; Estrada, Yeriel; Zhou, Lisa; Salhi, Yacine; Gudi, Girish; Ca, Vinu; Macoin, Julie; Back, Jonathan; Wolff, Gerhard title: GBR 830 Induced Progressive and Sustained Improvements in Atopic Dermatitis Skin Biomarkers and Clinical Parameters date: 2018-12-17 words: 2101 flesch: 66 summary: Prior treatment with systemic corticosteroids, topical steroids, phototherapy, and/or biologics Study Endpoints ◾◾ Co-primary: treatment-emergent adverse events (TEAEs; frequency, severity); change from baseline in epidermal hyperplasia and active AD mRNA expression biomarker signatures measured from lesional skin biopsies ◾◾ Key secondary: P R E S E NTE D AT TH E FA LL C keywords: baseline; day; gbr; placebo cache: skin-457.pdf plain text: skin-457.txt item: #989 of 1356 id: skin-458 author: Macoin, Julie; Lissilaa, Rami; Sancheti, Pavankumar; Reddy, Venkateshwar; Back, Jonathan; Wolff, Gerhard title: Targeting OX40 With GBR 830, An OX40 Antagonist, Inhibits T Cell-Mediated Pathological Responses date: 2018-12-17 words: 1920 flesch: 61 summary: ◾◾ GBR 830 significantly reduced memory antibody response to keyhole limpet hemocyanin (KLH) in cynomolgus monkeys from Day 84 onward, with no effect on primary antibody response to KLH (Figure 3) Figure 3. ◾◾ GBR 830 was equally effective as clobetasol propionate (Temovate®) compared with isotype control in ameliorating the psoriasis phenotype in a human psoriatic skin transplant model (Figure 6) ◾◾ A reduction in CD3+ T cell number was observed in the GBR 830 treatment group but was not statistically significant from the isotype control group Figure 6. keywords: gbr; group cache: skin-458.pdf plain text: skin-458.txt item: #990 of 1356 id: skin-459 author: Wollenberg, Andreas; Guttman-Yassky, Emma; Torpet, Mathias; Silverberg, Jonathan I title: Risk of anaphylaxis and conjunctivitis with tralokinumab in atopic dermatitis date: 2018-12-17 words: 2354 flesch: 48 summary: Frequency of patients with one or more eye disorders in the placebo and pooled tralokinumab treatment groups 4 3 Conjunctivitis 1 Keratitis 6 7 All eye disorders F re q u en cy ( % ) 14 12 10 8 6 4 2 0 Eye disorder Placebo (n=51) Pooled tralokinumab (n=153) LEO1825A_Wollenberg4x4-V2 Risk of anaphylaxis and conjunctivitis with tralokinumab in atopic dermatitis Andreas Wollenberg,1 Emma Guttman-Yassky,2 Mathias Torpet,3 Jonathan I Silverberg4 1Department of Dermatology and Allergy, Ludwig Maximilian University, Munich, Germany; 2Department of Dermatology and the Laboratory for Inflammatory Skin Diseases, Icahn School of Medicine at Mount Sinai, New York, NY, USA; 3LEO Pharma A /S, Ballerup, Denmark; 4Departments of Dermatology, Preventive Medicine, and Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA Objectives • To evaluate the risk of developing ADAs with tralokinumab treatment in the Phase 2b study. keywords: eye; patients; placebo; tralokinumab cache: skin-459.pdf plain text: skin-459.txt item: #991 of 1356 id: skin-460 author: Silverberg, Jonathan I; Kragh, Nana; Guttman-Yassky, Emma; Wollenberg, Andreas title: Treatment with tralokinumab improves health-related quality of life in adult patients with moderate to severe atopic dermatitis: results from a Phase 2b, randomised, double-blind, placebo-controlled study date: 2018-12-17 words: 2317 flesch: 49 summary: Tralokinumab 150 mg SC Q2W + TCS (n=51) Tralokinumab 45 mg SC Q2W + TCS (n=50) Patients with moderate to severe AD TCS TCS Placebo SC Q2W + TCS (n=51) AD, atopic dermatitis; Q2W, every 2 weeks; SC, subcutaneous; TCS, topical corticosteroids. Tralokinumab 150 mg SC Q2W + TCS (n=51) Tralokinumab 45 mg SC Q2W + TCS (n=50) Patients with moderate to severe AD TCS TCS Placebo SC Q2W + TCS (n=51) AD, atopic dermatitis; Q2W, every 2 weeks; SC, subcutaneous; TCS, topical corticosteroids. keywords: health; patients; placebo; tcs; tralokinumab cache: skin-460.pdf plain text: skin-460.txt item: #992 of 1356 id: skin-462 author: Pariser, D; Gopalan, R; Drew, J; Green, L title: Clinical Management of Anticholinergic Adverse Events with Glycopyrronium Cloth, a Treatment for Primary Axillary Hyperhidrosis date: 2018-12-17 words: 2087 flesch: 25 summary: Moderate dehydration, considered not related to study drug b Serious TEAEs are those that: resulted in death, were immediately life threatening, required inpatient hospitalization, resulted in persistent or significant disability, or judged to require medical/surgical attention in order to avoid any of the previously mentioned outcomes c Mydriasis and dry mouth appear twice in the table since they meet criteria for common TEAEs and are associated with anticholinergic use GT, topical glycopyrronium tosylate; TEAE, treatment-emergent adverse event TEAEs of Special Interest • TEAEs of special interest (blurred vision, mydriasis, and symptoms associated with urinary retention/hesitation) occurred in 13.3% (61/459) of GT-treated patients and no vehicle-treated patients (Table 2) – Most were considered related to study drug, of mild to moderate severity, and transient – Severe TEAEs of special interest occurred in only one subject who had both severe mydriasis and severe urinary retention; these events, along with mild blurred vision and TEAEs of dry mouth (severe) and anhidrosis (severe), led to discontinuation, and all resolved after study drug withdrawal – One subject had a serious TEAE of unilateral mydriasis of moderate severity; given a head injury the prior week, the subject was hospitalized to rule out a central nervous system disorder, and the event resolved after study drug withdrawal • Among the 6.8% of pooled GT-treated patients experiencing mydriasis, most events were unilateral (74.2% [23/31]), while most blurred vision events were bilateral (68.8% [11/16]); treatment was not discontinued in most cases (Table 2) • Hyperhidrosis affects an estimated 4.8% of the US population, or approximately 15.3 million people, and negative psychological consequences (eg, anxiety, depression) are associated with the disorder1 • The impact of hyperhidrosis on quality of life is comparable to, or greater than, the impact of psoriasis or eczema2 • Glycopyrronium tosylate (GT) is a topical anticholinergic approved in the US for primary axillary hyperhidrosis in patients 9 years and older (glycopyrronium cloth, 2.4%, for topical use) • GT safety and efficacy were evaluated in two, replicate, randomized, phase 3 clinical trials (ATMOS-1 and ATMOS-2); the primary efficacy and safety results of these studies have been previously reported, and in these trials, GT reduced sweating severity and sweat production compared to vehicle and was generally well tolerated3 OBJECTIVE • To examine the safety and tolerability profile of GT in the ATMOS-1 and ATMOS-2 trials and how treatment-emergent adverse events (TEAEs) associated with anticholinergic compounds were managed/resolved during those trials METHODS ATMOS-1 and ATMOS-2 Study Design and Patients • ATMOS-1 (NCT02530281; sites in the US and Germany) and ATMOS-2 (NCT02530294; US sites only) were replicate, randomized, parallel-group, 4-week, double-blind, phase 3 clinical trials3 (Figure 1) • Patients with primary axillary hyperhidrosis were randomized (2:1) to GT 3.75% topical solution (equivalent to 2.4% glycopyrronium) or vehicle applied once daily to each axilla • Eligible patients were ≥9 years of age (patients <16 years were only recruited at US sites), had primary axillary hyperhidrosis for ≥6 months, gravimetrically-measured sweat production of ≥50 mg/5 min in each axilla, Axillary Sweating Daily Diary (ASDD) sweating severity (Item 2)4 score ≥4, and Hyperhidrosis Disease Severity Scale (HDSS) grade ≥3 • Patients were excluded for history of a condition that could cause secondary hyperhidrosis; prior surgical procedure or treatment with a medical device for axillary hyperhidrosis; treatment with iontophoresis within 4 weeks or treatment with botulinum toxin within 1 year for axillary hyperhidrosis; axillary use of nonprescription antiperspirants within 1 week or prescription antiperspirants within 2 weeks; new or modified psychotherapeutic medication regimen within 2 weeks; and/or treatment with medications having systemic anticholinergic activity, centrally acting alpha-2 adrenergic agonists, or beta-blockers within 4 weeks unless dose had been stable ≥4 months and was not expected to change Figure 1. Study Design Week 0 keywords: drug; patients; teaes; vehicle cache: skin-462.pdf plain text: skin-462.txt item: #993 of 1356 id: skin-463 author: Pariser, D; Green, L; Drew, J; Gopalan, R; Yan, V; Glaser, D title: Onset of Action With Glycopyrronium Cloth in the Treatment of Primary Axillary Hyperhidrosis date: 2018-12-17 words: 3191 flesch: 39 summary: For the analyses evaluating daily ASDD/ASDD-C Item 2 responder rate over the first 7 days: – A markedly greater proportion of GT patients achieved ≥4-point ASDD/ASDD-C Item 2 improvement from Baseline starting on Day 2 vs VEH patients: Daily (Days 0-7) and Weekly Change From Baseline in ASDD Item 3 (Impact) and Item 4 (Bothersomeness) -0.2 0 -1.2 -1.0 -0.6 -0.8 -0.4 -1.4 -1.6 M ea n C ha ng e fr om B as el in e A S D D It em 3 Days Weeks 0 1 2 3 4 5 6 7 2 3 4 GT (n=447) keywords: asdd; baseline; item; vehicle; week cache: skin-463.pdf plain text: skin-463.txt item: #994 of 1356 id: skin-464 author: Hebert, Adelaide A; Glaser, Dee Anna; Green, Lawrence; Werschler, William P; Forsha, Douglass W; Drew, Janice; Gopalan, Ramanan; Pariser, David M title: Short- and Long-Term Efficacy and Safety of Glycopyrronium Cloth for the Treatment of Primary Axillary Hyperhidrosis: Post Hoc Pediatric Subgroup Analyses from the Phase 3 Studies date: 2018-12-17 words: 3573 flesch: 37 summary: Through Week 44/ET in ARIDO (up to 48 weeks of GT from the start of the double-blind ATMOS-1/ATMOS-2 trials), improvements in efficacy measures, including sweat production, HDSS responder rate, and DLQI/CDLQI, were maintained, with similar results between the pediatric and older subgroups (Figure 4) – From Baseline in ATMOS-1/ATMOS-2 to Week 44/ET in ARIDO: • Median sweat production decreased by -50.3 and -75.1 mg/5 minutes in the pediatric and older subgroups, respectively, reflecting a maintenance of sweat reduction benefit (median decreases were 61.3 and 58.7 mg/5 minutes in GT-treated patients after 4 weeks of GT treatment in the double-blind trials) The proportion of HDSS responders was consistent over the study course and similar to that observed after 4 weeks of GT treatment in the double-blind trials (59.9% and 60.2%, pediatric and older subgroups, respectively) • Mean DLQI and CDLQI scores improved by 8.7 ± 6.2 and 6.2 ± 4.9, which were maintained from a mean decrease of 8.4 ± 6.0 and 8.1 ± 5.4, respectively, in GT-treated patients after 4 weeks of treatment in ATMOS 1/ATMOS-2 Figure 4. ARIDO Outcomes at Week 44/End of Treatment ≥9 to ≤16 Years N=30 -50.3 >16 Years N=400 -75.1 ≥9 to ≤16 Years N=26 -6.2 >16 Years N=406 -8.7 ≥9 to ≤16 Years N=30 56.7 >16 Years N=407 63.6 Sweat Productiona HDSS Responder Rate CDLQ/DLQI 0 -80 -60 -40 -20 -100 M ed ia n A bs ol ut e C ha ng e fr om B as el in eb (m g/ 5 m in ) 0 -8 -6 -4 -2 -10 100 20 40 60 80 0P ro po rt io n of P at ie nt s (% ) M ea n C ha ng e fr om B as el in e aGravimetrically-measured average from the left and right axillae; bBaseline in ATMOS-1/ATMOS-2 for vehicle-treated and GT-treated patients who continued into ARIDO and received GT-treatment thereafter Pooled ATMOS-1/ATMOS-2 data; intent-to-treat (ITT) population P-values were not calculated for this post hoc analysis; multiple imputation (MCMC) was used to impute missing values for sweat production and HDSS responder rate CDLQI, children’s DLQI; DLQI, Dermatology Life Quality Index; ET, end of treatment/early termination; GT, topical glycopyrronium tosylate; HDSS, Hyperhidrosis Disease Severity Scale; MCMC, Markov chain Monte Carlo; SD, standard deviation Safety • Overall, GT was well tolerated across short and long-term treatment, and most adverse events were mild to moderate in severity, and infrequently led to discontinuation, regardless of age (Table 3) – Of two serious TEAEs reported in the double-blind trials, both occurred in the GT arm of the older subgroup and only one lead to discontinuation (moderate unilateral mydriasis; related to treatment) keywords: asdd; baseline; dlqi; patients; week; years cache: skin-464.pdf plain text: skin-464.txt item: #995 of 1356 id: skin-465 author: Ferris, Laura; Jansen, Burkhard; Yao, Zuxu; Rock, Jim; Skelsey, Maral; Peck, Gary; Cockerell, Clay J title: Real-world experience and clinical utility of a non-invasive gene expression rule-out test for melanoma and additional validation against high risk driver mutations in BRAF, NRAS and the TERT promoter date: 2018-12-17 words: 1641 flesch: 51 summary: Ten percent of PLA negative cases harbored mutations in the TERT promoter region. Mutation analyses were performed by Sanger sequencing of adhesive patch and FFPE tissue block samples. keywords: cases; melanoma; mutations; pla cache: skin-465.pdf plain text: skin-465.txt item: #996 of 1356 id: skin-466 author: Prado, Giselle; Cook, Robert W; Covington, Kyle R; Monzon, Federico A; Rigel, Darrell S title: Improvement of risk assessment in cutaneous melanoma (CM) by a prognostic 31-gene expression profile (31-GEP) test over AJCC-based staging alone date: 2018-12-17 words: 1429 flesch: 69 summary: % S u rv iv a l MSS p<0.0001 Class (n) 5-year RFS (95% CI) 5-year DMFS (95% CI) 5-year MSS (95% CI) 1A (312) 90% (87-93%) 94% (91-97%) 99% (98-100%) 1B (80) 81% (73-90%) 85% (77-93%) 95% (90-100%) 2A (84) 68% (58-79%) 75% (66-85%) 91% (85-98%) Cox multivariate regression analysis for MSS was performed comparing AJCC binary risk and 31-GEP test results. keywords: ajcc; class; gep; risk; stage cache: skin-466.pdf plain text: skin-466.txt item: #997 of 1356 id: skin-467 author: Cook, Robert W; Plasseraud, Kristen M; Kurley, Sarah J; Covington, Kyle R; Monzon, Federico A title: Literature review of a prognostic 31-gene expression profile (31-GEP) test for cutaneous melanoma (CM) risk prediction date: 2018-12-17 words: 1624 flesch: 52 summary: Melanoma Staging (per NCCN) Low Risk Class 1 High Risk Stage IIB-III High Risk Class 2 Low Risk Class 1 Continue high intensity management Appropriate treatment or clinical trial AJCC Staging 31-GEP Test Management Decision Recommendation changes with GEP result in patient vignettes Technical reliability Sufficient tumor content Insufficient content (<40%) Conference 2018 Design (n) GEP Impact Prospectively tested patients, Retrospective chart review; (156 patients)10 53% Prospective documentation of pre and post test plans; (247 patients)11 49% Prospectively tested patients, Retrospective chart review; (90 patients)12 52% Physician survey of clinical decisions with or without test results; (169 physicians)13 47- 50% Physician survey of clinical factors that affect use of 31-GEP test; (181 physicians)14 * *overall GEP impact not assessed with study design Table 1. keywords: class; gep; risk; test; validity cache: skin-467.pdf plain text: skin-467.txt item: #998 of 1356 id: skin-468 author: Moore, Angela Y; Nguyen, Madalyn title: Combination Therapy with Short Contact Topical Calcipotriene Foam and Fluorouracil Following Cryotherapy for Actinic Keratosis date: 2018-12-17 words: 1271 flesch: 58 summary: • Cryotherapy followed by short contact topical calcipotriene foam in combination with 5-fluorouracil cream may offer increased efficacy and safety in the treatment of actinic keratoses. A decrease in total AK lesion count was noted at months1, 3, and 6 using measures of central tendency, but a statistically significant decrease in total lesion count was only observed at month 6 compared to baseline count (p=0.03383). keywords: ln2; treatment cache: skin-468.pdf plain text: skin-468.txt item: #999 of 1356 id: skin-469 author: Xu, Shuai; Wang, Stacy title: Assessing Patient Concerns Regarding Seborrheic Keratoses on the Face: Comparison Against Other Cosmetic Concerns date: 2018-12-17 words: 1565 flesch: 50 summary: Interest in Aesthetic Procedures z Many survey participants were extremely interested or very interested in skin rejuvenation procedures (48%) or dental aesthetics (43%; Figure 4) z A total of 597/702 survey participants (85%) found the blinded product X consisting of high- concentration hydrogen peroxide (HP40) for the in-office treatment of SKs by a dermatologist to be extremely appealing or very appealing Figure 4. z Among survey participants who had visited a dermatologist in the past 2 years, the most common reasons for doing so were routine skin cancer check (66%), removal of noncancerous skin growths, marks, or spots (52%), or to have a suspicious mole or spot checked (47%) keywords: face; participants; sks; survey cache: skin-469.pdf plain text: skin-469.txt item: #1000 of 1356 id: skin-47 author: none title: Capecitabine-Induced Subacute Cutaneous Lupus Erythematosus in a Patient with Systemic Lupus Erythematosus date: 2018-01-02 words: 1866 flesch: 56 summary: Floristan U, Feltes RA, Sendagorta E, et al. Subacute cutaneous lupus erythematosus induced by capecitabine. Novak GV, Marques M, Balbi V, et al. Anti- RO/SSA and anti-La/SSB antibodies: keywords: capecitabine; lupus; scle; sle cache: skin-47.pdf plain text: skin-47.txt item: #1001 of 1356 id: skin-470 author: Xu, Shuai; Wang, Stacy; Estes, Esther title: The Hidden Impact of Seborrheic Keratoses: Analysis of a Psychometric Survey of an Ethnically Diverse Cohort of U.S. Adults date: 2018-12-17 words: 1874 flesch: 55 summary: Among survey participants who had visited a dermatologist, the most common reasons for doing so were routine skin cancer check (66%); removal of noncancerous skin growths, marks, or spots (52%); and to have a suspicious mole or spot checked (47%) Coping Strategies for SKs z A majority of survey participants (n=591; 84%) reported attempts to mask or modify their SKs — Makeup application was the most common strategy (53%; 65% of females and 8% of males), followed by use of over-the-counter products, such as wart removers or anti- aging products (44%), and avoidance of sun exposure (27%) (Figure 3) Figure 3. keywords: face; participants; sks; survey; treatment cache: skin-470.pdf plain text: skin-470.txt item: #1002 of 1356 id: skin-471 author: Callender, Valerie; Frankel, Ellen; Weiss, Jonathan; Werschler, William; Powala, Christopher; Beger, Brian; Estes, Esther; Shanler, Stuart title: Open-Label Study of A-101, a 40% Hydrogen Peroxide Topical Solution, in Patients With Seborrheic Keratosis date: 2018-12-17 words: 1072 flesch: 51 summary: The main objective of the current study was to evaluate the safety of A-101 40 after completion of up to 4 treatments per lesion of 4 target SKs on the trunk, extremities, and face MATERIALS AND METHODS Patients and Study Design z Multicenter, open-label study (NCT02667288) z Eligible patients: aged ≥ 18 years with 4 eligible SKs on the trunk, extremities, and face, identified by the study investigator z Eligible lesions were stable, typical SKs, measuring 5-15 mm in length and width, > 0-2 mm in thickness, with a Physician Lesion Assessment (PLA)™ grade of ≥ 2 (Table 1)2 — Target SKs could not be located on the eyelid, within 5 mm of the orbital rim, inside the orbital rim, in an intertriginous area, or pedunculated z All SKs were treated on Day 1; on Days 22, 43, and 64, any previously treated SKs with a PLA score > 0 were retreated z Patients were followed for 84 days after the fourth treatment visit (total 148 days) Stinging 0% 0% 0% 100% Erosion 0% 0% 0% 100% Ulceration 0% 0% 0% 100% Vesicles/bullae 0% 0% 0% 100% Figure 1. keywords: patients; sks; treatment cache: skin-471.pdf plain text: skin-471.txt item: #1003 of 1356 id: skin-472 author: Brickman, Chaim M; Behar, Vered; Zelinger, Galit; Becker, Oren M title: VDA-1102 : A Novel Well-Tolerated Treatment For Actinic Keratosis date: 2018-12-17 words: 609 flesch: 53 summary: High HK2 levels in human AK and SCC cells High HK2 levels in skin SCC vs. Low HK2 levels in normal skin Efficacy on UVB-damaged Skin of Hairless SKH-1 Mice Day 50 HK1 & HK2 Levels in UBV-damaged Mouse Skin 4-8 AK lesions (Grades 1-2) in a 25cm2 area on face or scalp Local Skin Reactions Pharmacokinetic analysis for the parent compound (VDA-1102) and for its major metabolite demonstrated no systemic exposure of either. Immunohistochemistry of SK208 and SK805 human tissue microarrays from US Biomax; Right panel: Western blot; HT 297.T human AK cells; A431 human skin SCC cells. keywords: blq; hk2; vda-1102 cache: skin-472.pdf plain text: skin-472.txt item: #1004 of 1356 id: skin-473 author: Migden, Michael R; Berkin, Carola; Chang, Anne Lynn; al., Et title: Interim Analysis of Phase 2 Results for Cemiplimab, a Human Monoclonal Antibody to Programmed Death-1, in Patients with Locally Advanced Cutaneous Squamous Cell Carcinoma date: 2018-12-17 words: 2171 flesch: 46 summary: Group 3 – Adult patients with metastatic (nodal and/or distant) CSCC Cemiplimab 3 mg/kg Q2W IV, for up to 96 weeks (retreatment optional for patients with disease progression during follow-up) Cemiplimab 350 mg Q3W IV, for up to 54 weeks Tumor imaging every 8 weeks for the assessment of efficacy (confirmatory scans performed no sooner than 4 weeks following initial documentation of tumor response) Conclusions • The results of the prespecified interim analysis of patients with locally advanced CSCC from this Phase 2 prospective study show that treatment with cemiplimab 3 mg/kg Q2W is associated with substantial activity and durable responses. keywords: cemiplimab; cscc; disease; patients; response; study; treatment cache: skin-473.pdf plain text: skin-473.txt item: #1005 of 1356 id: skin-474 author: Owonikoko, Taofeek K; Papadopoulos, Kyriakos P; Johnson, Melissa L; al., Et title: Phase 1 Study of Cemiplimab, a Human Monoclonal Anti-PD-1, in Patients with Unresectable Locally Advanced or Metastatic Cutaneous Squamous Cell Carcinoma (CSCC): Final Efficacy and Safety Data date: 2018-12-17 words: 2152 flesch: 55 summary: • Primary analysis of the Phase 2 study (NCT02760498) provides further evidence of substantial antitumor activity and durable response with cemiplimab treatment in advanced CSCC. Furthermore, these results showed that CSCC tumors, whether distantly metastatic or locally and/or regionally advanced, are responsive to cemiplimab. keywords: cemiplimab; cscc; disease; patients; response; treatment; usa cache: skin-474.pdf plain text: skin-474.txt item: #1006 of 1356 id: skin-475 author: Rischin, Danny; Migden, Michael R; Chang, Anne Lynn S; al., Et title: Primary Analysis of Phase 2 Results for Cemiplimab, a Human Monoclonal Anti-PD-1, in Patients with Metastatic Cutaneous Squamous Cell Carcinoma date: 2018-12-17 words: 2428 flesch: 54 summary: Background • Cutaneous squamous cell carcinoma (CSCC) is rivalled in incidence only by basal cell carcinoma as the most common cancer in the US.1 • Risk factors for CSCC include chronic sun exposure, advanced age, ultraviolet radiation-sensitive skin, and immunosuppression.2 • More than 95% of CSCC patients are cured with surgery; however, due to the very high incidence of the disease, an estimated 3,932–8,791 patients died from CSCC in 2012 in the US.3,4 • There is no approved systemic therapy for patients with advanced CSCC (locally advanced CSCC that is no longer amenable to surgery or radiation therapy, and metastatic CSCC). Methods • Patients with metastatic CSCC from Group 1 of the Phase 2, non-randomized, global, pivotal trial of cemiplimab in patients with advanced CSCC are included in this analysis (Figure 1). keywords: cemiplimab; cscc; disease; lesion; patients; response; target; teaes; treatment cache: skin-475.pdf plain text: skin-475.txt item: #1007 of 1356 id: skin-476 author: Lateef, Farooq; Lateef, Hanna title: Treatment of Palmo-plantar Keratoderma of Unna-Thost with Tazarotene Foam 0.1% date: 2018-12-17 words: 990 flesch: 55 summary: A diagnosis of Palmoplantar Keratoderma of Unna Thost was made. Tazarotene foam, with its decreased absorption into the bloodstream8, proved to be a good choice. keywords: foam; keratoderma; palmoplantar; patient; tazarotene cache: skin-476.pdf plain text: skin-476.txt item: #1008 of 1356 id: skin-477 author: Teeple, A; Muser, E title: Cost per Responder Analysis of Guselkumab Versus Certolizumab Pegol Using Efficacy Results from Pivotal Clinical Trials in Patients with Moderate to Severe Plaque Psoriasis date: 2018-12-17 words: 1819 flesch: 52 summary: Response rates were assumed to be unchanged from week 16 and extrapolated to week 52; however, this may under represent guselkumab PASI 90 results, given that response rates increased past week 16 in VOYAGE 1. ■ A sensitivity analysis was conducted for patients achieving a PASI 75 response at 48 weeks. ■ Certolizumab pegol is Monoclonal antibody to TNF-Alpha admistered by subcutaneous injection that is indicated for the treatment of moderate to severe plaque psoriasis ■ Efficacy data through week 16 from clinical trials for both products are available (VOYAGE 1 and VOYAGE 2 for guselkumab keywords: pasi; response; weeks cache: skin-477.pdf plain text: skin-477.txt item: #1009 of 1356 id: skin-478 author: Lucas, J; Teeple, A; Hetherington, J; Muser, E title: Assessing the Relationship Between Disease Severity and Patient-Reported Outcomes in Psoriasis Patients in the US date: 2018-12-17 words: 851 flesch: 58 summary: ■ Of the mild patients 47% were prescribed a biologic at the time of completing the survey vs. 42.9% of moderate patients, and 67.7% of severe patients. Kruskal-Wallis, Fisher’s Exact and Student’s T-Test where used where appropriate. Results ■ Of the 261 patients included; 132 had mild disease, 98 had moderate disease and 31 had severe disease activity at the time of completing the survey. keywords: disease; patients cache: skin-478.pdf plain text: skin-478.txt item: #1010 of 1356 id: skin-479 author: Cai, Q; Teeple, A; Wu, B; al., Et title: Economic Burden of Comorbid Anxiety and Depression among Patients with Moderate to Severe Psoriasis date: 2018-12-17 words: 1768 flesch: 40 summary: Three Most Frequently Occurring Comorbid Conditions and Concomitant Medications used Among Study Patients 39.2% 45.1% 44.4% 54.9% 46.5% 35.9% 33.8% 32.7% 30.3% 30.0% 31.0% 17.7% 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% Psoriatic Arthritis Hypertension Hyperlipidemia Opioids Respiratory Medication Anticholinergics Matched PsO with Treated Anxiety/Depression Matched PsO without Treated Anxiety/Depression §All p<0.01 Clinical Characteristics ■ Compared with controls, PsO patients with treated anxiety/depression had significantly higher overall burden of comorbidity, as measured by the Quan-Charlson Comorbidity index (all p<0.01). ■ Compared with matched PsO controls, PsO patients with both treated anxiety and depression had $14,539 higher mean costs, PsO patients with treated depression only had $10,262 higher mean costs and PsO patients with treated anxiety only had $7,052 higher mean costs (all p<.01; Figure 3). keywords: anxiety; costs; depression; patients; pso cache: skin-479.pdf plain text: skin-479.txt item: #1011 of 1356 id: skin-481 author: Cai, Q; Teeple, A; Wu, B; Shrivastava, S; Muser, E title: Trends in Prevalence of Psychiatric Comorbidities among Patients with Moderate to Severe Psoriasis date: 2018-12-17 words: 1748 flesch: 46 summary: ■ Similarly, the prevalence of treated anxiety and/or depression among moderate to severe PsO patients increased from 14.5% in 2014 to 15.9% in 2016, as compared with 9.0% (p<0.001) in 2014 and 9.7% (p<0.001) in 2016 for matched controls. — The prevalence of treated MDD among moderate to severe PsO patients increased from 3.4% in 2014 to 8.6% in 2016, as compared with 2.0% (p<0.001) in 2014 and 2.9% (p<0.001) in 2016 for matched controls. ■ Non-PsO (control) cohort: Members with no diagnosis of PsO, or disorders similar to PsO, were randomly selected from 2014-2016 and matched to PsO patients in a 1:1 ratio on age, gender, health plan type and region. keywords: patients; pso cache: skin-481.pdf plain text: skin-481.txt item: #1012 of 1356 id: skin-482 author: Bhatia, Neal; Rubenstein, David; Tallman, Anna M; Lee, James title: Patient-reported outcomes in subjects with plaque psoriasis treated with tapinarof cream: Results from a phase 2b, randomized parallel-group study date: 2018-12-17 words: 2201 flesch: 50 summary: [vehicle BID] and 5% [vehicle QD]) and were maintained for 4 weeks after the end of study treatment3 Subject Impressions ■ At baseline, 88% of subjects rated their psoriasis symptoms as moderate or severe across all treatment groups: 43–61% rated as moderate and 28–44% rated as severe ■ At Week 12, a greater proportion of subjects in the tapinarof cream groups (82–88% in the 1% groups and 77–80% in the 0.5% groups) rated the overall severity of their psoriasis symptoms as ‘very/moderately improved’ compared with 35–48% in the vehicle groups (Figure 2a) Figure 2a. Safety Overview and Most Common TEAEs (Occurring in ≥5% of Subjects in Any Group) Preferred term, n (%) keywords: bid; psoriasis; subjects; tapinarof cache: skin-482.pdf plain text: skin-482.txt item: #1013 of 1356 id: skin-483 author: Augustin, M; Wegtowska, J; Lebwohl, M; Paul, C; Piguet, V; Sofen, H; Blauvelt, A; Peterson, L; Arendt, C; Rolleri, R title: Clinical Response in Plaque Psoriasis Patients Switching from Etanercept to Certolizumab Pegol in a Phase 3, Randomized, Controlled Study date: 2018-12-17 words: 2407 flesch: 62 summary: Clinical response in ETN PASI 50 non-responders following switch to CZP A) PASI 75 SUMMARY These data show that CZP may be an e�ective treatment option in patients who require treatment switch from etanercept. Author Disclosures: MA: AbbVie, Almirall, Amgen, Biogen, Boehringer Ingelheim, Celgene, Centocor, Eli Lilly, GlaxoSmithKline, Hexal, Janssen, LEO Pharma, Medac, Merck, MSD, Mundipharma, Novartis, Pfizer, Sandoz, UCB Pharma, Xenoport; JW: Amgen, Celgene, Coherus, Dermira Inc., Eli Lilly, Galderma, Janssen, LEO Pharma, Merck, Pfizer, Regeneron, Sandoz, UCB Pharma; ML: Allergan, Aqua LEO Pharma, Promius. keywords: czp; pasi; week cache: skin-483.pdf plain text: skin-483.txt item: #1014 of 1356 id: skin-484 author: Augustin, M; Wegtowska, J; Lebwohl, M; Paul, C; Piguet, V; Sofen, H; Blauvelt, A; Peterson, L; al., Et title: Durability of Response in Patients with Chronic Plaque Psoriasis Treated with Certolizumab Pegol over 48 Weeks: Pooled Results from Ongoing Phase 3, Multicenter, Randomized, Placebo-Controlled Studies (CIMPASI-1, CIMPASI-2 and CIMPACT) date: 2018-12-17 words: 1922 flesch: 53 summary: Abbvie, Affibody, Amgen, Biogen, Boehringer Ingelheim, Celgene, Centocor, Covagen, Forward Pharma, GlaxoSmithKline, Janssen-Cilag, Kyowa Kirin, LEO Pharma, Eli Lilly, Medac, Merck Sharp & Dohme Corp., Novartis, Ocean Pharma, Pfizer, Regeneron, Samsung Biopepis, Sanofi, Takeda, UCB Pharma, Valeant, Xenoport; DT: AbbVie, Almiral, Amgen, Boehringer-Ingelheim, Celgene, Dignity, Dr. Reddy, Galapagos, GlaxoSmithKline, Janssen, LEO Pharma, Morphosis, MSD, Eli Lilly, Novartis, Pfizer, Sandoz-Hexal, Regeneron/ Sanofi, UCB Pharma; CL: AbbVie, Actavis, Amgen, Boehringer Ingelheim Pharma, Celgene, Coherus, Corrona, Dermira Inc., Eli Lilly, Galderma, Glenmark, Janssen, LEO Pharma, Merck, Novartis, Novella, Pfizer, Sandoz, Stiefel, Wyeth, UCB Pharma, Vitae. Author Disclosures: MA: AbbVie, Almirall, Amgen, Biogen, Boehringer Ingelheim, Celgene, Centocor, Eli Lilly, GlaxoSmithKline, Hexal, Janssen, LEO Pharma, Medac, Merck, MSD, Mundipharma, Novartis, Pfizer, Sandoz, UCB Pharma, Xenoport; JW: Amgen, Celgene, Coherus, Dermira Inc., Eli Lilly, Galderma, Janssen, LEO Pharma, Merck, Pfizer, Regeneron, Sandoz, UCB Pharma; ML: Allergan, Aqua LEO Pharma, Promius. keywords: czp; pasi; patients; pharma; q2w; week cache: skin-484.pdf plain text: skin-484.txt item: #1015 of 1356 id: skin-485 author: Sheahan, A; Lee, E; Pisenti, L; Yassine, M; Suruki, R title: Frequency of Inadequate Response to Treatment Among Psoriasis Patients on First-Line Biologics date: 2018-12-17 words: 1277 flesch: 50 summary: CONCLUSIONS • Inadequate response in first line PSO biologic treatment is common, with non-switch discontinuation being the most frequent type. Ustekinumab (n=1719) Golimumab (n=102) Apremilast (n=2013) Secukinumab (n=117) Infliximab (n=330) Adalimumab (n=5942) 42.4 6.7 23.6 27.3 37.6 19.7 29.1 5.1 33.3 44.1 12.7 24.2 10.8 18.0 41.2 23.8 10.7 35.6 24.3 30.5 62.1 29.7 46.9 10.9 35.4 49.8 Non-IR Above-label dosing Switch to another biologicNon-switch discontinuation Add-on treatment 5.5 3.9 5.9 5.6 8.5 9.0 6.9 2.9 3.5 12.50.2 Not persistent 30% Persistent 70% Not persistent 47% Persistent 53% 3 months after switch 6 months after switch 90 80 70 60 50 40 30 20 10 100 0 % P at ie n ts Overall 15.4 63.9 BL Biologic monotherapy BL Concomitant systemic corticosteroid BL Concomitant immunosuppressive Biologic Immunosuppressive Systemic corticosteroid 20.7 15.6 19.0 65.4 3.9 11.8 84.3 0.9 47.4 51.8 Treatment at baseline • Demographics and characteristics, including the distribution of index biologics, were similar in patients who did and did not experience IR (Table 1). keywords: biologic; patients; switch cache: skin-485.pdf plain text: skin-485.txt item: #1016 of 1356 id: skin-486 author: Lebwohl, M; Siegel, M; Shankle, L; Pisenti, L; Yassine, M; Van Vorhees, S title: A Comprehensive Survey Assessing the Family Planning Needs of Women with Psoriasis date: 2018-12-17 words: 1702 flesch: 56 summary: Do you currently have..., % respondents No or very little PSO 14.8 25.0 2.2 Only a few patches (1–2% BSA) 21.3 25.0 11.0 Scattered patches (3–4% BSA) 29.5 37.5 64.8 Scattered patches (5–10% BSA) 21.3 0 While preparing for pregnancy, where do you/did you get your information about family planning as it relates to your psoriasis and/or psoriatic arthritis?, % respondents Online source (i.e. WebMD) 45.9 12.5 80.2 National Psoriasis Foundation 42.6 50.0 78.0 Internet forums/ chat rooms 34.4 50.0 49.5 OB/GYN or Midwife 36.1 25.0 52.7 HCP for psoriatic disease 55.7 25.0 28.6 Family and/or friends 6.6 25.0 37.4 What type(s) of additional information do you/did you want related to family planning and psoriasis and/or psoriatic arthritis?, % respondents How to manage a flare during pregnancy 60.7 62.5 62.6 Safety of medications during pregnancy 77.0 50.0 38.5 How the disease could affect the developing fetus 41.0 62.5 64.8 How disease is genetically passed/relative risk 57.4 25.0 51.6 What other resources would be most helpful to you related to psoriatic disease and family planning?, % respondents Internet resources that specifically address pregnancy and psoriatic disease 71.7 62.5 47.2 Lactation resources 43.3 50.0 65.2 Mental health resources 38.3 37.5 39.3 Patient support groups 35.0 37.5 53.9 The 3 most selected answers for each question by each subgroup are highlighted in bold. keywords: family; hcp; patients; pso; treatment cache: skin-486.pdf plain text: skin-486.txt item: #1017 of 1356 id: skin-487 author: Griffiths, CEM; Papp, KA; Song, M; Randazzo, B; Li, S; Shen, YK; Han, C; Blauvelt, A title: Maintenance of Response With Guselkumab for up to 3 Years’ Treatment in the Phase 3 VOYAGE 1 Trial of Patients With Plaque Psoriasis date: 2018-12-17 words: 1761 flesch: 59 summary: Proportion of Patients Who Achieved IGA Score of 0 Through Week 156, Primary Analysis† Guselkumab PBO→Guselkumab Guselkumab* Adalimumab→Guselkumab 0 4 8 12 16 20 24 28 32 36 40 44 48 52 60 68 76 84 92 100 108 116 124 132 140 148 156 Weeks P e rc e n ta g e o f P a ti e n ts Guselkumab n= PBO→Gus n= Guselkumab* n= Ada→Gus n= 0 20 40 60 80 100 55.6 55.6 53.1 53.553.6 334 269 448 429468 174 329 165 329 278 275 56.4 27.3 50.5 †NRI through Week 48, then TFR beyond Week 48. Proportion of Patients Who Achieved PASI 75 Response Through Week 156, Primary Analysis† Guselkumab PBO→Guselkumab Guselkumab* Adalimumab→Guselkumab 0 4 8 12 16 20 24 28 32 36 40 44 48 52 60 68 76 84 92 100 108 116 124 132 140 148 156 Weeks P e rc e n ta g e o f P a ti e n ts Guselkumab n= PBO→Gus n= Guselkumab* n= Ada→Gus n= 0 20 40 60 80 100 94.9 95.8 95.8 93.7 72.4 96.4 87.8 93.8 334 269 448 431468 174 329 165 329 279 275 †NRI through Week 48, then TFR beyond Week 48. keywords: guselkumab; week cache: skin-487.pdf plain text: skin-487.txt item: #1018 of 1356 id: skin-488 author: Nyeland, Martin E; Becia, Lidia; Patel, Dharm S; Veverka, Karen A; Swensen, Andrine R title: Calcipotriene plus betamethasone dipropionate (0.005%/0.064%) foam and apremilast: matching-adjusted indirect comparison and US cost per responder analyses date: 2018-12-17 words: 1464 flesch: 59 summary: topical treatment, yes 637 (85.1%) 122 (82.4%) Treatment period[weeks] Consumption per treatment period Pack cost # Units per Pack Unit Unit per pack Price per Unit Cal/BD foam 51.1% 4 117.1 g* $987.09 $1974.18 1 2 60 g 60 g x 2 60-120 g $16.45 per g Apremilast 21.6% 16 6570 mg** $1012.5 - 3939.71 27-60 10-30 mg 690- 1800 mg $2.19 per mg Data Source MAIC (Table 2) Approved FDA indication *4 pooled Cal/BD studies **FDA indication Analysource®, accessed April 2018 (third party provider of WAC pricing data)  keywords: cal; foam; treatment cache: skin-488.pdf plain text: skin-488.txt item: #1019 of 1356 id: skin-489 author: Papp, Kim A; Merola, Joseph F; Gottlieb, Alice B; al., Et title: Dual neutralization of IL-17A and IL-17F with bimekizumab improves quality of life in patients withmoderate-to-severe plaque psoriasis: results from a Phase 2b study and correlation with clinical response date: 2018-12-17 words: 1886 flesch: 7 summary: By Week 12, in the three highest bimekizumab dose groups almost all patients had an absolute PASI <2 with the majority of patients at or near zero (Figure 3); PASI improvements were correlated with reductions in DLQI, with the majority of patients achieving a DLQI of 0 or 1 (no impact of psoriasis on disease-specific HRQoL) at Week 12 (Figure 3) All or nearly all patients with baseline DLQI ≥4 achieved MCID in DLQI at Week 12 in the top three bimekizumab dose groups; 3x MCID and 4x MCID were also achieved by a substantially greater percentage of bimekizumab patients with baseline DLQI ≥12 and ≥16, respectively, compared with placebo (Figure 4A). MCID in DLQI was achieved rapidly and differentiated from placebo after first dose across all bimekizumab groups (Figure 4B) BKZ 64 mg; n=33 BKZ 160 mg; n=37 BKZ 320 mg; n=37 BKZ 160 mg (320 mg LD); n=34 BKZ 480 mg; n=31 A) B) 79.6 53.6 64.3 52.5 0 20 40 60 80 100 ≤1 >1 – ≤3 >3 – ≤5 >5 DLQI of 0 or 1, % patients* B S A a ff ec te d by p so ri as is B) n=40 n=14 n=28 n=108 77.7 73.9 51.7 29.4 0 20 40 60 80 100 ≤1 >1 – ≤2 >2 – ≤5 >5 DLQI of 0 or 1, % patients* A bs ol ut e PA S I Absolute PASI in bimekizumab-treated patients BSA affected by psoriasis in bimekizumab-treated patients A) n=17 n=29 n=23 n=121 0 20 40 60 80 100 0 2 4 6 8 10 12 PA S I1 00 r es po ns e, % ( S E ) of p at ie nt s 28.2%** 27.9%*** 48.8%*** 60.0%*** 55.8%*** 0% Weeks BE ABLE 1: summary of key results • In this Phase 2b, double-blind, placebo-controlled study (NCT02905006), patients with moderate-to-severe plaque psoriasis were randomized (1:1:1:1:1:1) to receive bimekizumab 64 mg, 160 mg, 160 mg with 320 mg loading dose, 320 mg, 480 mg, or placebo every 4 weeks for 12 weeks; the primary objective was to evaluate the dose response of bimekizumab7 • There was a significant dose response for Psoriasis Area Severity Index (PASI)90 (P<0.0001) at Week 12. keywords: bkz; dlqi; mcid; patients; pharma; week cache: skin-489.pdf plain text: skin-489.txt item: #1020 of 1356 id: skin-49 author: Paniagua Gonzalez, Lizy M; Shimizu, Ikue title: Basal Cell Carcinoma with Adnexal Differentiation, a Rare Entity and Challenging Histopathology Presentation. Case Report date: 2017-11-13 words: 1844 flesch: 45 summary: This histopathological presentation of basal cell carcinoma is uncommon and we sought to report the clinical and pathological features of this case. Basal cell carcinoma with adnexal differentiation is an uncommon histopathological presentation. keywords: adnexal; bcc; carcinoma; cells; differentiation cache: skin-49.pdf plain text: skin-49.txt item: #1021 of 1356 id: skin-490 author: Feldman, Steven R; Schreiber, Rhonda; Crane, Kaytiana; Comito, Madelyn title: Patient Perception of Vehicle and How This Influences Adherence to Topical Treatment Regimens date: 2018-12-17 words: 1286 flesch: 60 summary: EASIER TO USE CALCIPOTRIENE 0.005% FOAM 167 (25) 108 (16) 80 (12) 39 (6) 7 (1) VEHICLE FOAM 70 (11) 59 (9) 51 (8) 19 (3) 5 (1) CONTINUE ADLs IMMEDIATELY AFTER APPLYING CALCIPOTRIENE 0.005% FOAM 178 (27) 87 This presentation was sponsored by Mayne Pharma • Two identically designed, 8-week, blinded, multicenter, parallel group clinical trials were conducted with 659 subjects with mild to moderate plaque-type psoriasis randomized in a 2:1 ratio to topical calcipotriene foam, 0.005%, (n=437) or vehicle foam (n=222) • Subjects ≥ 12 years with mild to moderate plaque psoriasis involving 2-20% of body surface areas (BSA) keywords: calcipotriene; foam; vehicle cache: skin-490.pdf plain text: skin-490.txt item: #1022 of 1356 id: skin-491 author: Travis, Skylar N; Zambito, Jeanette R title: Dermatoethics in the Selfie Era date: 2019-07-08 words: 615 flesch: 63 summary: The National Society for Cutaneous Medicine 284 COMPELLING COMMENTS Dermatoethics in the “Selfie” Era Jeanette R Zambito, M.S. Ed1, Skylar N Travis, MD1 1University of Rochester School of Medicine and Dentistry “Please”, her mother implored. Corresponding Author: Skylar N Travis, MD Dermatology Resident, PGY4 University of Rochester Medical Center Skylar_travis@urmc.rochester.edu References: 1. keywords: jenner; kylie cache: skin-491.pdf plain text: skin-491.txt item: #1023 of 1356 id: skin-492 author: Dickman, Jeffrey; Noparstak, Michael; Nathoo, Rajiv title: Dermoscopy of Inflammatory Linear Verrucous Epidermal Nevus: Brown and Red Glomerular Structures Over a White Background as an Identifying Feature date: 2019-09-13 words: 1008 flesch: 53 summary: Inflammatory linear verrucous epidermal nevus: a case report and short review of the literature. Cutis. Carbotti M, Coppola R, Graziano A, Verona Rinati M, Paolilli FL, Zanframundo S, Panasiti V. Dermoscopy of verrucous epidermal nevus: large brown circles as a novel feature for diagnosis. keywords: epidermal; ilven; linear; structures cache: skin-492.pdf plain text: skin-492.txt item: #1024 of 1356 id: skin-494 author: Bellew, Jonathan; Taylor, Chad; Daulat, Jaldeep; Mackey, Vernon title: Isotretinoin induced nail fold pyogenic granuloma resolution with combination therapy: A case report and review of the literature date: 2019-07-08 words: 1412 flesch: 40 summary: Pyogenic granulomas improving two weeks following discontinuation of isotretinoin therapy. Other associations include fluctuating hormonal states such as during pregnancy or with oral contraceptive treatment.[1] We present a case of eruptive pyogenic granulomas of the peri-ungal fingers in an adolescent male undergoing systemic retinoid therapy for severe recalcitrant nodulocystic acne, highlighting this important but rarely reported adverse effect of systemic isotretinoin therapy. keywords: granulomas; isotretinoin; pyogenic; therapy; treatment cache: skin-494.pdf plain text: skin-494.txt item: #1025 of 1356 id: skin-495 author: Cook-Bolden, Fran E; Weinkle, Susan H; Guenin, Eric; Blatt, Varsha title: Novel Tretinoin 0.05% lotion for the once-daily treatment of moderate-to-severe acne vulgaris in a Hispanic population date: 2018-12-17 words: 899 flesch: 52 summary: -70% -60% -50% -40% -30% -20% -10% 0% Tretinoin 0.05% lotion (N=371) Vehicle (N=395) P e rc e n t ch an g e f ro m b as e lin e in m e an in fl am m at o ry le si o n s Baseline Week 4 Week 8 Week 12 *P=0.006 versus vehicle **P=0.001 versus vehicle * Treatment Related AEs reported by ≥1% patients Application site pain 7 (2.0%) 0 keywords: vehicle; week cache: skin-495.pdf plain text: skin-495.txt item: #1026 of 1356 id: skin-497 author: Maarouf, Melody; Kromenacker, Bryan; Brucks, Eric; Shi, Vivian title: Expedited Resolution of 5-Fluorouracil-Induced Erythema and Barrier Dysfunction with White Petrolatum date: 2019-07-08 words: 1257 flesch: 45 summary: Following finalization of AK treatment, twice-daily application of topical Clobetasol proprionate 0.05% for 4 days did not show significant reduction of local skin responses, pain, or pruritus. The National Society for Cutaneous Medicine 282 White petrolatum is an effective therapeutic agent in reducing erythema and expediting skin barrier recovery following topical 5-FU. keywords: erythema; petrolatum; skin; treatment cache: skin-497.pdf plain text: skin-497.txt item: #1027 of 1356 id: skin-498 author: Armstrong, April; Agada, Noah; Xu, Wen; Gallo, Gaia title: An Update on the Long-Term Safety Experience of Ixekizumab: Results from the Psoriasis Clinical Development Program with More than 3 Years of Follow-up from 12 Clinical Trials and More Than 15000 Patient-Years of Exposure to Ixekizumab date: 2018-12-17 words: 2462 flesch: 74 summary: N = 7 9 1 2 3 2 8 4 2 1 3 5 6 8 9 5 8 7 1 P Y = 1 8 0 5 3 5 7 8 4 3 1 2 ,0 6 2 1 5 ,2 1 3 2 0 6 2 5 6 4 6 4 0 3 3 Abbreviations AC=active comparator; CI=confidence interval; DB=double-blind; EP=optional extension period after Week 24 endpoint where patients received 80 mg IXE Q4W up to Wk 60; ETN=50 mg etanercept twice weekly; FAE=fumaric acid esters 105-mg starting dose followed by 215 mg given orally 1 to 3 times per day; IR=incidence rate; IXE=ixekizumab; IXE Q2W=80 mg ixekizumab every 2 weeks; IXE Q4W=80 mg ixekizumab every 4 weeks; IXE Q12W=80 mg ixekizumab every 12 weeks; LTE=long-term extension; MACE=major adverse cerebro-cardiovascular events; MTX=methotrexate 7.5-mg starting dose up to 30 mg given orally once a week; =number of patients; n=number of patients who received ixekizumab and included in the September 2017 lock for integrated safety analyses; OL=open-label; PAC=placebo-controlled and active comparator; PBO=placebo; PsO=psoriasis; Pts=patients; PY=patient-years; R=randomized; keywords: e p cache: skin-498.pdf plain text: skin-498.txt item: #1028 of 1356 id: skin-499 author: Wasel, Norman; Dutronc, Yves; Schinzel, Birgit; Lacour, Jean-Philippe title: Comparison of Ixekizumab and Ustekinumab Efficacy in the Treatment of Nail Lesions of Patients With Moderate-to-Severe Plaque Psoriasis: 52-Week Data From the IXORA-S Trial date: 2018-12-17 words: 1850 flesch: 47 summary: Improvement of nail psoriasis was observed in both treatment groups Adjusted Change From Baseline in NAPSI Total Score Was Significantly Greater as Early as Week 8 for Ixekizumab Versus Ustekinumab and Was Sustained Through Week 52, ITT Population With Baseline Fingernail Psoriasis, mBOCF * p<.05; ‡ p<.0001 IXE versus UST based on ANOVA with treatment, weight, geographic region, and baseline NAPSI score as factors ANOVA=analysis of covariance; ITT=Intent-to-Treat; IXE Q2W/Q4W=ixekizumab 80 mg every 2 weeks to Week 12 followed by ixekizumab 80 mg every 4 weeks; LSM=least squares mean; mBOCF; modified baseline observation carried forward; NAPSI=Nail Psoriasis Severity Index; UST=45 mg ustekinumab for patients ≤100 kg and 90 mg ustekinumab for patients >100 kg at Weeks 0 and 4 and every 12 weeks thereafter per label  Progressively more patients achieved complete resolution (NAPSI = 0) of nail psoriasis in both treatment groups * p<.05; † p≤.001; ‡ p<.0001 IXE versus UST based on Fisher's exact test for treatment comparison ITT=Intent-to-Treat; IXE Q2W/Q4W=ixekizumab 80 mg every 2 weeks to Week 12 followed by ixekizumab 80 mg every 4 weeks; NAPSI=Nail Psoriasis Severity Index; NRI=non-responder imputation; UST=45 mg ustekinumab for patients ≤100 kg and 90 mg ustekinumab for patients >100 kg at Weeks 0 and 4 and every 12 weeks thereafter per label Patients Who Achieve Low PASI Scores at Week 52 May Still Experience Significant Nail Involvement at Week 52, ITT Population With Baseline Fingernail Psoriasis keywords: psoriasis; weeks cache: skin-499.pdf plain text: skin-499.txt item: #1029 of 1356 id: skin-50 author: none title: Linear Psoriasis: A Case Report of a 71-Year-Old Female date: 2018-01-02 words: 1403 flesch: 53 summary: Linear psoriasis is a rare variant of psoriasis of unknown etiology. Together with the clinical presentation, a diagnosis of linear psoriasis was favored. keywords: case; ilven; linear; psoriasis; skin cache: skin-50.pdf plain text: skin-50.txt item: #1030 of 1356 id: skin-500 author: Papp, Kim A; Blauvelt, Andrew; Sullivan, John; al., Et title: Efficacy of Ixekizumab in Patients Previously Treated with IL-17 Inhibitors date: 2018-12-17 words: 1202 flesch: 41 summary: CI=confidence interval; IL-17=interleukin-17; ITT=Intent-to-Treat; IXE Q2W=80 mg ixekizumab every 2 weeks; IXE Q4W=80 mg ixekizumab every 4 weeks; NRI=non-responder imputation; PASI=Psoriasis Area and Severity Index n (%) IXE Q4W IXE Q2W Naïve (n=243) Experienced (n=67) Naïve (n=233) Experienced (n=73) Naïve (n=461) Cerebrocardiovascular events 2 (0.8) 1 (1.5) 2 (0.9) 0 9 (0.2) 0 Inflammatory bowel disease 1 (0.4) 0 1 (0.4) 0 3 (0.7) 1 (0.7) Malignancies 2 (0.8) 0 5 (2.1) 1 (1.4) 0 2 (1.4) IXE Q4W/ IXE Q2W Slide Number 1 keywords: ixe; ixekizumab; weeks cache: skin-500.pdf plain text: skin-500.txt item: #1031 of 1356 id: skin-502 author: Glazer, Alex; Cockerell, Clay title: Histopathologic discordance in melanoma can have substantial impacts on patient care date: 2019-03-11 words: 2034 flesch: 44 summary: In effect, the accuracy of melanoma staging to estimate metastatic risk is critical to subsequent care, neither under- treating or over-treating the patient based on their tumor. As recognized by AJCC, melanoma staging, just as it has in the past, will continue to change as contemporary data supports additional prognostic features. keywords: cases; melanoma; patients; stage; staging cache: skin-502.pdf plain text: skin-502.txt item: #1032 of 1356 id: skin-503 author: Smith, Abigail; Elewski, Boni title: How to Manage Onychomycosis date: 2019-01-09 words: 2462 flesch: 56 summary: Topical treatment also has a role in improving efficacy and maintaining response to systemic treatment. Topical treatment may also reduce the total amount of antifungal agent required. keywords: antifungals; efinaconazole; onychomycosis; patients; terbinafine; treatment cache: skin-503.pdf plain text: skin-503.txt item: #1033 of 1356 id: skin-504 author: Yale, Katerina Lynn; Juhasz, Margit; Atanaskova Mesinkovska, Natasha title: Treatment of Brachioradial Pruritus: A Systematic Review date: 2019-05-03 words: 6788 flesch: 54 summary: Further high-quality studies on BRP treatments would help elucidate clear management for this disorder. After removing duplicate data (Pinto et al./Waccholz et al. and Pereira et al./Stienke et al.), 399 patients with BRP were included.4,9–11 Given that most data on BRP treatment comes from case series and reports, the overall quality of the evidence reviewed is low (Table 1-4). keywords: arm; brachioradial; brp; capsaicin; case; dermatol; gabapentin; patients; pruritus; report; study; treatment cache: skin-504.pdf plain text: skin-504.txt item: #1034 of 1356 id: skin-506 author: Lowther, Christopher; Fiddler, Troy; Whitcroft, Ian A; Sapp, Juanita; Marks, Etan; Cockerell, Clay title: 61-Year-Old White Female with a Non-Healing Ulcerated Ankle Mass date: 2019-09-13 words: 1230 flesch: 59 summary: The majority of patients with Merkel cell carcinoma are 70 years or older with an increased incidence in renal transplant patients, chronic lymphocytic leukemia and HIV.1 Polyomavirus is associated with up to 80% of tumors.4 The primary lesion of Merkel cell carcinoma is often absent of distinctive clinical characteristics and is rarely suspected at the time of biopsy. Pathologic nodal evaluation approves prognostic accuracy and Merkel cell carcinoma; J Amer Acad Derm. 2010; 63(5): 751 – 761. keywords: carcinoma; cell; merkel; patients; skin cache: skin-506.pdf plain text: skin-506.txt item: #1035 of 1356 id: skin-508 author: Marks, Etan; Persad, Leah; Cockerell, Clay title: Review of Instructive Cases from the Zola Cooper and Lee T. Nesbitt Seminar date: 2019-01-09 words: 4018 flesch: 47 summary: In this setting, there is a wide range of differential diagnoses when occurring in an adult including Merkel cell carcinoma, metastatic small cell carcinoma of the lung, lymphoma and small cell melanoma. Involving the superficial dermis, there were a few scattered interstitial eosinophils, neutrophils, and extravasated red blood cells (Figure 14). keywords: case; cd8; cell; copyright; cutaneous; diagnosis; figure; history; issue; lymphoma; skin; volume cache: skin-508.pdf plain text: skin-508.txt item: #1036 of 1356 id: skin-509 author: Bice, Kristen; Hood, Channing; Almukhtar, Rawaa; Gerdes, Michelle; Martin, Pamela; Lee, Brian title: Pemphigus Vulgaris Following Influenza: A Case Report date: 2019-12-02 words: 1659 flesch: 48 summary: There have been reports in the literature of pemphigus being induced by the influenza vaccine10,11 and a report of mucocutaneous pemphigus occurring after life-threatening H1N1 infection.12 Taken together with the present case, we propose that influenza virus may be another potential viral trigger for pemphigus vulgaris. The association between viruses may be causal, may be due to molecular mimicry of viral and host proteins, or may be due to exposure of previously hidden host proteins after virus-induced tissue damage.3 We report a 17-year-old male who presented with a case of mucosal-predominant pemphigus vulgaris temporally associated with influenza virus infection. keywords: case; influenza; md1; negative; pemphigus; skin; vulgaris cache: skin-509.pdf plain text: skin-509.txt item: #1037 of 1356 id: skin-51 author: Amin, Mina; Hashim, Peter title: Steatocystoma Multiplex: Case Report and Review of Treatment date: 2018-01-02 words: 1566 flesch: 54 summary: Cyst removal by incision and drainage was followed by (A) no further treatment, (B) electrodessication, or (C) tricholoroacetic acid treatment, respectively. Multiple soft cysts on the neck and chest. keywords: cysts; lesions; multiplex; steatocystoma; treatment cache: skin-51.pdf plain text: skin-51.txt item: #1038 of 1356 id: skin-510 author: Simmons, Brian James; Hoyt, Brian S; Linos, Konstantinos; Yan, Shaofeng; Zug, Kathryn A title: Crospovidone Induced Vasculopathy of the Skin date: 2019-09-13 words: 777 flesch: 51 summary: Given the critical role that dermatologists play in the workup of skin signs of drug abuse, it is important that providers recognize this uncommon and likely underreported complication of drug abuse. A 46-year-old man with a past medical history of intravenous drug use (IVDU), alcohol abuse and chronic hepatitis C presented with new onset left hand swelling, redness and tenderness for 4 days. keywords: crospovidone; drug; red; skin cache: skin-510.pdf plain text: skin-510.txt item: #1039 of 1356 id: skin-511 author: Sequeira, Andrew Jose; SEQUEIRA, MARIO Jose title: Long Term Follow Up of Cutaneous Sinus Histiocytosis (Rosai-Dorfman Disease) date: 2019-09-13 words: 1068 flesch: 45 summary: Various treatments with varying success have been attempted for cutaneous lesions including: cryotherapy, carbon dioxide laser, cortico-steroids (topically, orally and intralesionally), surgical excision, radiotherapy, dapsone, acitretin, imatinib and thalidomide.8 A conservative treatment approach is often appropriate.9 In the current case new lesions were treated with localized excisional biopsies successfully. Sinus histiocytosis with massive lymphadenopathy also known as Rosai- Dorfman disease was originally described in 1969.1 keywords: cutaneous; disease; dorfman; rosai cache: skin-511.pdf plain text: skin-511.txt item: #1040 of 1356 id: skin-512 author: Shenoy, Adele; Kim, Carey; Gottlieb, Alice title: Pediatric Alopecia Areata in Three Siblings date: 2019-09-13 words: 1534 flesch: 57 summary: Our case demonstrates the complex interplay between genetic and environmental factors in the development of alopecia areata within families. Given the patients’ concurrent presentation of erythema and scaling which resolved with griseofulvin, our patients likely had tinea capitis superimposed on alopecia areata. keywords: alopecia; areata; hair; loss cache: skin-512.pdf plain text: skin-512.txt item: #1041 of 1356 id: skin-513 author: Lerman, Irina; Sipprell, William H.; Scott, Glynis A.; Richardson, Christopher T. title: Iohexol-Induced Acute Generalized Exanthematous Pustulosis (AGEP): Case Report date: 2019-09-13 words: 1625 flesch: 37 summary: The majority of AGEP cases are associated with antimicrobial medications, although other agents and etiologies have also been implicated. Findings were consistent with a pustular drug eruption / hypersensitivity reaction, also known as acute generalized exanthematous pustulosis (AGEP).2 Although less likely, pustular psoriasis was included in the histologic differential diagnosis. keywords: acute; agep; case; contrast; pustules; pustulosis cache: skin-513.pdf plain text: skin-513.txt item: #1042 of 1356 id: skin-515 author: Barrick, Carl; Chea, Emily; Gupta, Naeha; McClain, Richard; Purcell, Steven title: Sterile Neutrophilic Folliculitis with Vasculopathy in a Young Male Patient with Infective Endocarditis date: 2019-09-13 words: 1095 flesch: 24 summary: Herein, we present a case of sterile neutrophilic folliculitis with vasculopathy in a 34-year-old male hospitalized for infective endocarditis. The histopathologic findings and negative cultures led to the final diagnosis of sterile neutrophilic folliculitis with perifollicular vasculopathy. keywords: extremities; folliculitis; neutrophilic; vasculopathy cache: skin-515.pdf plain text: skin-515.txt item: #1043 of 1356 id: skin-516 author: Brodell MD, Robert Thomas; Ferringer, Tammie title: Dermatopathology: An Exciting, Innovative, and Compelling Dermatology Subspecialty Worthy of Continued Consideration among Dermatology Residents date: 2019-07-08 words: 1037 flesch: 52 summary: Though the number of fellowships has declined, pathology residents have continued to apply for dermatopathology fellowships at a strong rate. Jobs dried up for new graduates of dermatopathology programs as laboratories froze hiring to help maintain salaries of their physicians and staff. keywords: dermatology; dermatopathologists; dermatopathology cache: skin-516.pdf plain text: skin-516.txt item: #1044 of 1356 id: skin-518 author: Jones, Terry; Stuart, Iain title: Pharmacokinetics of Minocycline Foam FMX103 in Subjects With Moderate-to-Severe Facial Papulopustular Rosacea Under Maximum-Use Conditions: Results of a Phase 1 Study date: 2019-03-11 words: 1619 flesch: 60 summary: Number of serious TEAEs 0 0 Subjects with any severe TEAE, n (%) Number of severe TEAEs 0 0 Subjects with any TEAE leading to discontinuation of study, n (%) Number of TEAEs leading to discontinuation 0 0 aArthralgia, headache. Study drug concentrations by time points in PK population, day 1 to day 14 Visit Time Point FMX103 1.5% (N=20) Mean (SD) keywords: day; dose; fmx103; hours; study cache: skin-518.pdf plain text: skin-518.txt item: #1045 of 1356 id: skin-52 author: Del Rosso, James title: Capsule Commentaries: Selected Oral Antifungal Drug-Drug Interactions with Itraconazole and Terbinafine date: 2018-04-30 words: 900 flesch: 48 summary: 11 Commentary: When oral antifungal therapy is needed in a patient on an antidepressant that is metabolized by CYP 2D6, an alternative approach to antifungal therapy that is also expected to be effective and devoid of drug- drug interactions appears to be a prudent approach. 1-4 Commentary: If antifungal therapy is needed in a patient using a statin metabolized by CYP3A4, potential options are (1) topical antifungal therapy if appropriate for the infection being treated (2) use of a non-CYP3A4-inhibiting antifungal agent such as terbinafine or (3) temporary discontinuation of the statin therapy with the approval of the prescribing clinician. keywords: drug; interactions; itraconazole; terbinafine cache: skin-52.pdf plain text: skin-52.txt item: #1046 of 1356 id: skin-520 author: Draelos, Zoe D title: The Effect of an Anti-Inflammatory Botanical Cleanser/Night Mask Combination on Facial Redness Reduction date: 2019-03-11 words: 1145 flesch: 48 summary: CONCLUSION The anti-inflammatory botanically based night time mask and cleanser provided excellent moisturization, minimized barrier damage and facial redness. OBJECTIVE The objective of this research was to examine the moisturizing and redness reducing effect of an anti-inflammatory botan- ical calm and repair night mask plus sulfate free foaming oil cleanser in subjects with mild to moderate facial redness. keywords: cleanser; mask cache: skin-520.pdf plain text: skin-520.txt item: #1047 of 1356 id: skin-521 author: Caserta, Franceso; Lenn, Jon; Hofland, Hans title: Variables Affecting Delivery of Glycopyrronium Tosylate Through Human Skin In Vitro date: 2019-03-11 words: 1418 flesch: 39 summary: In vitro permeation models can be a powerful tool to gain insight into drug absorption (flux) profiles under varying conditions and to optimize clinical trial design3 Objective • To determine using in vitro skin penetration studies how GT delivery through human skin is impacted by varying conditions including occlusion, wash-off, and skin thickness Methods • Across all experiments: – Human skin was dermatomed to a thickness of approximately 0.5 mm and mounted into flow-through diffusion cells (MedFlux-HT®) – GT solution was applied at 10mg/cm2 and allowed to dry Occlusion • Human abdominal skin was obtained from 3 donors after abdominoplasty • Two methods of occlusion were used: 1) parafilm was pressed on the surface for the donor compartment, which leaves a small closed-off column of air above the skin; 2) saran wrap was pressed down on top of the surface of the skin • Non-occluded skin was used as control • These data underscore the importance of characterizing skin flux under clinical conditions and will inform future hyperhidrosis clinical trial designs with topical agents REFERENCES 1. keywords: donor; occlusion; skin cache: skin-521.pdf plain text: skin-521.txt item: #1048 of 1356 id: skin-523 author: Hren, Catherine; Tschen, Eduardo; Jones, Terry; al., et title: Safety of Hydrogen Peroxide Topical Solution, 40% (w/w) in Patients With Skin of Color and Seborrheic Keratoses: Pooled Analysis of Two Phase 3, Randomized, Double- Blind, Vehicle-Controlled, Parallel-Group Studies date: 2019-03-11 words: 1480 flesch: 38 summary: We conducted a post hoc, pooled analysis of data from the two Phase 3 pivotal clinical trials to evaluate the safety and tolerability of HP40 treatment in patients with skin of color, defined as having Fitzpatrick Skin Types ≥IV MATERIALS AND METHODS Patients z This was a pooled, post hoc analysis of data from two Phase 3, multicenter, randomized, double-blind, vehicle-controlled studies (NCT02667236, NCT02667275) z Eligible patients were required to be ≥18 years of age and have 4 target keywords: hp40vehicle hp40vehicle; posttreatment; pretreatment visit; visit cache: skin-523.pdf plain text: skin-523.txt item: #1049 of 1356 id: skin-524 author: Dubois, Janet; Grande, Kimberly; Schnyder, Judith; al., et title: Assessing Patient Satisfaction With Hydrogen Peroxide Topical Solution, 40% (w/w) Treatment of Seborrheic Keratoses on the Face, Neck, and Décolletage: Objectives and Design of the Phase 4, Open-Label SK-FAN Study date: 2019-03-11 words: 2419 flesch: 47 summary: The Phase 4, open-label Seborrheic Keratoses of the Face, Neck and Décolletage (SK-FAN) study was designed to assess participants’ satisfaction following HP40 treatment of SKs located on these body regions OBJECTIVE z z A schematic of the study design is presented in Figure 1 and the detailed timing of key study procedures is summarized in Table 1 z During the study, HP40 is applied to all target lesions at visit 2, then again at visits 5 (day 15) and 7 (day 29) if target lesions meet the retreatment criterion (see “Investigational Product and Treatments” section) z Assessments of participant satisfaction with HP40 treatment take place during visits 2, 3, 6, 8, 10, and 11 (see “Subject Satisfaction Assessment” keywords: hp40; study; treatment; visit cache: skin-524.pdf plain text: skin-524.txt item: #1050 of 1356 id: skin-525 author: Kim, Hee; Hansen, Jes; Faurby, Mads; al., et title: Efficacy and Safety of Ingenol Mebutate in Patients With Actinic Keratosis on Face and Scalp: Subgroup Analysis of Two Vehicle-Controlled Trials According to Age ( date: 2019-03-11 words: 1733 flesch: 67 summary: (0.0) 0 Conclusions � There were no significant differences in rates of AK clearance between younger and older patients treated with ingenol mebutate gel 0.015% based on this post hoc analysis of Phase 3 studies of the face and scalp − Complete clearance rate: 45.1% (<65 y) vs 39.1% (≥65 y) − Partial clearance rate: 66.7% (<65 y) vs 60.9% (≥65 y) � Reduction from baseline in AK count was also similar for the 2 subgroups − Mean reduction: 76.0% (<65 y) vs 69.1% ( ≥65 y) − Median reduction: 85.7% (<65 y) vs 80.0% (≥65 y) � No differences between younger and older patients were observed in the severity and time course of resolution of LSRs � The frequency of AEs was numerically lower in those <65 y (31.8%) than in those ≥65 y (42.3%) � Ingenol mebutate gel 0.015% is an effective and safe treatment option for patients with AKs on the face and scalp, regardless of age References 1. keywords: gel; ingenol; patients; ≥65 cache: skin-525.pdf plain text: skin-525.txt item: #1051 of 1356 id: skin-526 author: Owonikoko, Taofeek; Papadopoulos, Kyriakos; Johnson, Melissa; al., et title: Phase 1 Study of Cemiplimab, a Human Monoclonal Anti-PD-1 Antibody, in Patients with Unresectable Locally Advanced or Metastatic Cutaneous Squamous Cell Carcinoma (CSCC): Longer Follow-up Efficacy and Safety Data date: 2019-03-11 words: 2361 flesch: 52 summary: Although CSCC has a surgical cure rate of >95%, an estimated 3,932–8,791 patients died from CSCC in 2012 in the United States (US).2,3 • Cemiplimab (REGN2810) is a high-affinity, highly potent human monoclonal antibody directed against programmed death-1 (PD-1).4,5 • Cemiplimab is the only Food and Drug Administration (FDA)-approved treatment for patients with metastatic or locally advanced CSCC who are not candidates for curative surgery or curative radiation in the US.6 • In the primary analysis (data cut-off October 2, 2017), by independent central review, of Phase 1 CSCC expansion cohorts, cemiplimab demonstrated encouraging efficacy results with acceptable safety profile in patients with advanced CSCC.5 • Here, we report longer follow-up data, per investigator assessment, from the CSCC expansion cohorts of the Phase 1 study (NCT02383212). keywords: cemiplimab; cscc; disease; lesion; metastatic; patients; response; treatment; usa cache: skin-526.pdf plain text: skin-526.txt item: #1052 of 1356 id: skin-527 author: Van Voorhees, Abby; Stein Gold, Linda; Lebwohl, Mark; al., et title: Efficacy and Safety of Apremilast in Patients With Moderate to Severe Plaque Psoriasis of the Scalp: Results of a Phase 3, Multicenter, Randomized, Placebo-Controlled, Double-Blind Study date: 2019-03-11 words: 2314 flesch: 64 summary: Analyses were based on patients in the ITT population with baseline Scalp Itch NRS score • Demographic and baseline clinical characteristics were generally comparable between the PBO and APR treatment groups (Table 1). keywords: apr; itch; patients; pbo; psoriasis; scalp; week cache: skin-527.pdf plain text: skin-527.txt item: #1053 of 1356 id: skin-528 author: Hebert, Adelaide; Glaab, Debbie; Schreiber, Rhonda title: A Phase 1 Open -Label Multicenter Study to Evaluate the Safety, Tolerability, Pharmacodynamics, and Pharmacokinetics of Calcipotriene Foam, 0.005% Applied Under Maximal Use Conditions in Adolescent Subjects with Plaque Psoriasis date: 2019-03-11 words: 1532 flesch: 52 summary: SYNOPSIS To evaluate the safety and tolerability of calcipotriene foam, 0.005%, in subjects 12 to 16 years of age with plaque psoriasis via analysis of calcium metabolism and to evaluate whether these changes were related to the average dose administered, age, body surface area (BSA), BSA treated, and/or %BSA treated. No relationship was seen between PD markers for calcium metabolism and the covariates average dose, age, BSA, BSA treated and/or %BSA treated. keywords: bsa; calcium; day; psoriasis; ratio cache: skin-528.pdf plain text: skin-528.txt item: #1054 of 1356 id: skin-529 author: Yamauchi, Paul; Chen, Chi-Chang; Ding, Yao; al., et title: Demographic and Clinical Characteristics of Patients With Plaque Psoriasis Initiating Secukinumab in Clinical Practice: Data From US Dermatology Electronic Medical Records date: 2019-03-11 words: 1437 flesch: 51 summary: SYNOPSIS • Psoriasis is a chronic, systemic, immune-mediated disease of the skin that affects > 7.4 million people in the United States, with an estimated prevalence of 2% to 4%1 • Secukinumab is a fully human monoclonal antibody that selectively neutralizes interleukin (IL)-17A, a cornerstone cytokine involved in the development of psoriasis2 • Secukinumab has demonstrated efficacy in clinical trails and effectiveness in real-world settings in the treatment of patients with psoriasis3-9 • However, there remain limited real-world data characterizing US patients with psoriasis who initiate secukinumab in routine clinical practice OBJECTIVE • To describe demographic and clinical characteristics of US patients with plaque psoriasis who initiated secukinumab in clinical practice, using clinical data obtained from the Modernizing Medicine Data Services (MMDS) electronic medical records (EMRs) dermatology panel METHODS Study Design and Patient Population • Blauvelt A, et al. keywords: baseline; patients; period; psoriasis; secukinumab cache: skin-529.pdf plain text: skin-529.txt item: #1055 of 1356 id: skin-530 author: Yamauchi, Paul; Chen, Chi-Chang; Ding, Yao; al., et title: Secukinumab Is Associated With Improvements in Real-World Effectiveness Outcomes Through 12 Months of Follow-Up in Patients With Plaque Psoriasis: Analysis of US Dermatology Electronic Medical Records date: 2019-03-11 words: 1946 flesch: 53 summary: SYNOPSIS • Psoriasis is a chronic, systemic, immune-mediated disease of the skin that affects > 7.4 million people in the United States, with an estimated prevalence of 2% to 4%1 • Secukinumab is a fully human monoclonal antibody that selectively neutralizes interleukin (IL)-17A and has shown long-lasting efficacy and safety in the treatment of the complete spectrum of psoriasis manifestations, including nail, scalp, and palmoplantar psoriasis and psoriatic arthritis2-8 • There remains limited information on the effectiveness of secukinumab treatment in patients with plaque psoriasis in US real-world settings OBJECTIVE • To describe real-world effectiveness outcomes in US patients with plaque psoriasis who initiated secukinumab in clinical practice, using clinical data obtained from the Modernizing Medicine Data Services (MMDS) electronic medical records (EMRs) dermatology panel METHODS Study Design and Patient Population • All data were collected from Modernizing Medicine’s Electronic Medical Assistant (EMA) system – EMA delivers structured, real-world data captured from > 500,000 unique patients with psoriasis – Data from EMRs for patients in the United States with a clinical diagnosis of psoriasis were deidentified in accordance with HIPAA (Health Insurance Portability and Accountability Act) for research use • Eligible patients in the MMDS database had a diagnosis of plaque psoriasis during the study period of July 1, 2014, to March 31, 2018, had ≥ 1 prescription order for secukinumab within the index period (January 1, 2015, to September 30, 2017), and were aged ≥ 18 years at the time of secukinumab initiation (index date) • Patients had ≥ 1 clinical visit for any reason during the 6-month pre-index (baseline) period and ≥ 1 clinical visit for any reason within each of the first and second 6 months following secukinumab initiation Study Variables and Data Analysis • Outcomes were assessed in two cohorts: patients who had ≥ 6 months of follow-up and those who had ≥ 12 months of follow-up • Demographic characteristics (age, sex, race, body weight, US region), treatment history (during 6-month pre-index period only), and clinical characteristics (comorbidities, psoriasis subtype, body surface area [BSA], and Physician Global Assessment [PGA]) were assessed by dermatology providers during the 6-month baseline period • Mean (SD) and categorical BSA and Physician Global Assessment (PGA) scores were evaluated during the 6-month baseline period and at 6-month (window, 5-7 months) and 12-month (window, 11-13 months) follow-up visits among patients with scores reported at baseline and follow-up • Categorical changes from baseline to 6- and 12-month follow-up visits were calculated among patients with both baseline and follow-up BSA and PGA measurements available Secukinumab Is Associated With Improvements in Real-World Effectiveness Outcomes Through 12 Months of Follow-Up in Patients With Plaque Psoriasis: keywords: baseline; follow; month; patients cache: skin-530.pdf plain text: skin-530.txt item: #1056 of 1356 id: skin-531 author: Lebwohl, M; Piguet, V; Sofen, H; al., et title: The Efficacy of Certolizumab Pegol Re-Treatment on Plaque Psoriasis Following a Blinded Treatment Break: Results from the CIMPACT Trial date: 2019-03-11 words: 1676 flesch: 52 summary: OBJECTIVE • To assess the efficacy of certolizumab pegol in patients with moderate to severe plaque psoriasis who responded to initial treatment, relapsed during a treatment break, and were subsequently re-treated. • Certolizumab pegol (CZP) is a unique, Fc-free, PEGylated, anti-tumor necrosis factor (TNF) biologic, approved by both the FDA and EMA for the treatment of moderate to severe PSO.1,2 • Here, we assess efficacy of CZP in patients with PSO who responded to initial treatment, underwent a blinded treatment break, relapsed, and were subsequently re-treated. keywords: czp; pasi; q2w; treatment cache: skin-531.pdf plain text: skin-531.txt item: #1057 of 1356 id: skin-532 author: Blauvelt, A; Warren, RB; Reich, K; al., et title: Durable Improvement in Patient Reported Outcomes across DLQI Subdomains Over 48 Weeks in Chronic Plaque Psoriasis Patients Treated with Certolizumab Pegol in Two Phase 3 Trials (CIMPASI-1 and CIMPASI-2) date: 2019-03-11 words: 2263 flesch: 63 summary: aCZP 200 mg Q2W patients received CZP 400 mg Q2W at Weeks 0, 2 and 4. • Patients receiving CZP 400 mg Q2W consistently reported greater quality of life improvements across all subdomains. keywords: czp; dlqi; patients; q2w; weeks cache: skin-532.pdf plain text: skin-532.txt item: #1058 of 1356 id: skin-533 author: Alkeswani, Amena; Graham, Lauren V title: Meeting the Challenges of the Dermatomyositis Workup: A Management Paradigm date: 2019-03-11 words: 2164 flesch: 50 summary: This finding is present in two third of DM patients and may mimic the appearance of some papulosquamous diseases, such as psoriasis Patients may have at least one elevated muscle enzyme, though cases of amyopathic DM or significant loss of muscle mass are exceptions [8]. keywords: dermatomyositis; disease; findings; muscle; patients; skin cache: skin-533.pdf plain text: skin-533.txt item: #1059 of 1356 id: skin-54 author: Del Rosso, James Q title: Capsule Commentaries: Drug Reaction Considerations with Oral Minocycline date: 2018-03-09 words: 1963 flesch: 45 summary: 1-4 Minocycline is also a viable oral therapy option for the short-term treatment of papulopustular rosacea (PPR) in cases where oral doxycycline cannot be used, however, subantibiotic dosing with oral minocycline is not available; oral minocycline may also be used for the treatment of many cutaneous infections where doxycycline is used, such as staphylococcal infections, some mycobacterial infections, Lyme disease, and selected rickettsial diseases. , oral minocycline was shown to be effective after failure with a 4-week course of oral doxycycline. keywords: acne; antibiotic; cases; dermatol; drug; minocycline; therapy cache: skin-54.pdf plain text: skin-54.txt item: #1060 of 1356 id: skin-569 author: Brodell MD, Robert Thomas; Brodell, David William title: Storytelling in Dermatology date: 2019-09-13 words: 1025 flesch: 60 summary: Fourthly, good stories are relatable. Good story emotional leads to motive for action. keywords: patient; stories; story; university cache: skin-569.pdf plain text: skin-569.txt item: #1061 of 1356 id: skin-57 author: White, Skyler M; Kesterson, Katrina N; Wilkerson, Michael G title: Persistent Cutaneous Infection Due to Mycobacterium Immunogenum, a Relatively Novel Species date: 2018-01-02 words: 1716 flesch: 42 summary: The National Society for Cutaneous Medicine 69 BRIEF ARTICLES Persistent Cutaneous Infection Due to Mycobacterium immunogenum, a Relatively Novel Species Skylelr Michelle White MD a , Katrina N Kesterson MS b , Michael George Wilkerson a a Department of Dermatology, The University of Texas Medical Branch, Galveston, Texas b College of Medicine, The University of Tennessee Health Science Center, Memphis, Tennessee A 30-year-old female presented to the dermatology clinic for an evaluation of a tender lesion on her right leg that was increasing in size. Mycobacterium immunogenum (formerly M. immunogen) was first characterized in 2001 as belonging to the Mycobacterium chelonae-Mycobacterium abscessus group of nontuberculous mycobacteria. keywords: immunogenum; infection; mycobacterium; patient; treatment cache: skin-57.pdf plain text: skin-57.txt item: #1062 of 1356 id: skin-570 author: Hille, David M title: Identifying changes in trends in the age standardized incidence of melanoma in Australia date: 2019-07-08 words: 1154 flesch: 65 summary: For age standardized incidence for all persons, the model maximized adjusted R- squared (adj-R2 = 0.95) at a breakpoint at 1998. Cancer is a notifiable disease in Australia.5 Age standardized incidence for males, females, and all persons, between 1982 to 2015, was retrieved from the AIHW. keywords: breakpoint; incidence; melanoma cache: skin-570.pdf plain text: skin-570.txt item: #1063 of 1356 id: skin-571 author: Afanasiev, Olga title: SkinSpecs: A solution that addresses an unmet need for tracking chronic skin diseases in the office and at home date: 2019-03-11 words: 652 flesch: 46 summary: Dermatologists want a better workflow for documenting chronic skin diseases in the office and in between visits: Sixty percent of providers stated they need a better way of documenting chronic skin conditions in the office, and 60% stated they would like their patients to document their skin condition at home. The National Society for Cutaneous Medicine 118 RISING DERM STARS® SkinSpecs: A solution that addresses an unmet need for tracking chronic skin diseases in the office and at home Olga Afanasiev, MD, PhD1, Mika Tabata, BS, Akhila Narla, BA, Justin Ko, MD, MBA 1Department of Dermatology, Stanford University, Stanford, CA Background/Objectives: Chronic skin diseases are challenging and frustrating for both patients and physicians. keywords: patients; skin cache: skin-571.pdf plain text: skin-571.txt item: #1064 of 1356 id: skin-572 author: Aronson, Adam title: Pilot study of use of neural network for quantitative before-and-after analysis of dermatologic cosmetic procedures date: 2019-03-11 words: 643 flesch: 46 summary: The National Society for Cutaneous Medicine 120 RISING DERM STARS® Pilot study of use of neural network for quantitative before-and-after analysis of dermatologic cosmetic procedures Adam Aronson, MD1, Anastasia Georgievskaya, Hillary Jahangir-Johnson, MD, Ksenia Guseva 1Department of Dermatology, University of Iowa, Iowa City, IA Background/Objectives: In dermatologic cosmetic procedures, quantitative measures of efficacy have historically been lacking. Following collection of all before and after photographs, four blinded dermatology residents will also score each photograph for the same parameters for comparison of reliability between trained scorers and neural network. keywords: networks; procedure; skin cache: skin-572.pdf plain text: skin-572.txt item: #1065 of 1356 id: skin-573 author: Cohen, Jeffrey title: Access to Injectable Biologic Medications by Medicare Beneficiaries: Geographic Distribution of U.S. Dermatologist Prescribers date: 2019-03-11 words: 757 flesch: 48 summary: The densities of IB- prescribing dermatologists were 4.55 and 6.51 for urban populations of greater than 20,000 people adjacent and non-adjacent to metropolitan areas, respectively. Each county was assigned a nine-point Rural-Urban Continuum Code (RUCC) based on size, degree of urbanization, and proximity to metropolitan areas. keywords: counties; urban cache: skin-573.pdf plain text: skin-573.txt item: #1066 of 1356 id: skin-574 author: Cymerman, Rachel title: De novo versus nevus-associated melanomas: differences in associations with prognostic indicators and survival date: 2019-03-11 words: 326 flesch: 30 summary: In NYU2, de novo melanoma was again significantly associated with tumor thickness > 1.0mm (p<0.0001), ulceration (p<0.0001), nodular subtype (p<0.0001), stage > 1 (p<0.0001), older age (p<0.0001), and shorter overall survival (p<0.0001). In NYU1, de novo melanomas were associated with tumor thickness > 1.0mm (p<0.0001), ulceration (p=.024), nodular subtype (p=.009), stage > 1 (p<0.0001), older age (p<0.0001), and shorter overall survival (p=.0007). keywords: novo; p<0.0001 cache: skin-574.pdf plain text: skin-574.txt item: #1067 of 1356 id: skin-575 author: Dagrosa, Alicia title: Photodynamic therapy with δ-aminolevulinic acid and blue light for the treatment of actinic cheilitis date: 2019-03-11 words: 519 flesch: 46 summary: The National Society for Cutaneous Medicine 127 RISING DERM STARS® Photodynamic therapy with δ-aminolevulinic acid and blue light for the treatment of actinic cheilitis Dagrosa AT, MD1, Paul J, Chen Y, Gangar P, Ressler D, Chapman MS 1Department of Dermatology, Dartmouth Hitchcock Medical Center, Lebanon, NH Background/Objectives: Actinic cheilitis is a common precancerous malformation of the lower lip caused by ultraviolet radiation. Photodynamic therapy (PDT) is a potential treatment option for actinic cheilitis. keywords: cheilitis; treatment cache: skin-575.pdf plain text: skin-575.txt item: #1068 of 1356 id: skin-576 author: Eikenberg, Joshua title: Post-operative pain after Mohs micrographic surgery: analyzing physician perceptions of postoperative pain and how those perceptions affect opioid prescribing practices date: 2019-03-11 words: 778 flesch: 61 summary: Flap 40 (15.4) Secondary intention 17 (6.5) Graft with Cartilage 4 (1.5) Conclusion: Physician predictions of perceived patient pain were within two points of patient reported pain in most cases. It is also unclear if physician perceptions of patient pain affect opioid prescribing practices or if receiving prescription opioids affects patient reported satisfaction with pain control. keywords: pain; patient cache: skin-576.pdf plain text: skin-576.txt item: #1069 of 1356 id: skin-577 author: Eshagh, Karin title: Effect of Suture Spacing on Wound Cosmesis date: 2019-03-11 words: 376 flesch: 51 summary: Thus, it is important to understand if an increased number of subdermal sutures is actually beneficial in terms of wound cosmesis. To our knowledge, there are no studies published on the effect of subdermal suture spacing on wound cosmesis. keywords: sutures cache: skin-577.pdf plain text: skin-577.txt item: #1070 of 1356 id: skin-579 author: Feldstein, Stephanie title: Development and validation of the tape-to-trace method: An objective outcome measure for linear postoperative scars date: 2019-03-11 words: 1051 flesch: 57 summary: Figure 1: Relationship between scar width as determined with the trace-to-tape method and POSAS surface area score and POSAS overall opinion score. We have devised a simple and inexpensive method of assessing scar surface area called the trace-to-tape method. keywords: method; posas; scar; tape cache: skin-579.pdf plain text: skin-579.txt item: #1071 of 1356 id: skin-58 author: Glazer, Alex M; Svoboda, Ryan M; Teplitz, Rebeca W; Rigel, Darrell S title: Editorial: Overcoming Consumer Challenges in Sunscreen Selection date: 2018-04-30 words: 1593 flesch: 56 summary: For example, consumer comprehension of newly FDA-mandated sunscreen labeling information is subpar, with only around 10% understanding the concepts of SPF, broad- spectrum, and water-resistance.1 These knowledge gaps provide an impetus for consumers to turn to external advice when choosing between sunscreen products that at first glance appear comparable. In an attempt to improve this, research targeted at developing efficacy measures more directly related to the cancer-protective mechanisms of sunscreen is underway.10-13 Multiple studies have demonstrated that the regular use of sunscreen decreases skin cancer risk.14-16 Even with a minor improvement in sunscreen use, it has been estimated that 230,000 cases of invasive melanoma could be prevented in the US over the next 15 years.17 Despite an apparently easy opportunity for primary prevention, an abundance of Internet information may be discouraging people from appropriate sunscreen usage, thereby exposing them to undue risk. keywords: consumer; dermatol; medicine; spf; sunscreen; use cache: skin-58.pdf plain text: skin-58.txt item: #1072 of 1356 id: skin-580 author: Glaser, Katherine title: Hairy Legs Revisited: Peroneal Alopecia date: 2019-03-11 words: 577 flesch: 56 summary: Suggested associations include friction from tight fitting clothing, androgenetic alopecia, thyroid disease, diabetes, and peripheral vascular disease. Routine skin examination was performed including evaluation for androgenetic alopecia using the Norwood- Hamilton scale. keywords: alopecia cache: skin-580.pdf plain text: skin-580.txt item: #1073 of 1356 id: skin-581 author: Habashy, Jacquiline title: The Ram Relaxation Technique: A Painless Biopsy Method. A Needle-free, Anesthesia-free Shave Biopsy Approach date: 2019-03-11 words: 740 flesch: 60 summary: This particular phobia is a subset of acute procedure anxiety and is diagnosed only when the patient’s fears are targeted to the procedure and its immediate effects, such as pain and bleeding, rather than fears not particular to the procedure itself, for example the illness that is being screened or diagnosed. Such procedures require the use of local anesthesia due to increased depth of incision. keywords: biopsy; pain; skin cache: skin-581.pdf plain text: skin-581.txt item: #1074 of 1356 id: skin-582 author: Juhasz, Margit title: Characterizing The Alopecia Areata Microbiome date: 2019-03-11 words: 592 flesch: 49 summary: The National Society for Cutaneous Medicine 143 Figure 1: Comparison of the scalp bacterial microbiome from alopecia patients to healthy controls reveals significantly decreased Firmicutes (p=0.00063) in alopecia samples. Microbiome samples were collected from 25 subjects with AA and 25 healthy controls living in Southern California at a single, academic medical center; controls were age, gender and race- matched to alopecia patients. keywords: alopecia; microbiome; patients cache: skin-582.pdf plain text: skin-582.txt item: #1075 of 1356 id: skin-583 author: Min, Michelle title: Cell Cycle Activators and Tumor Suppressors that Correlate with Melanoma Progression date: 2019-03-11 words: 573 flesch: 49 summary: Results: HELLS expression levels were remarkably higher in metastatic melanoma compared to benign nevi (p=0.02) and primary melanoma (p=0.05) (Figure 1A). Meanwhile, SPINT2 expression levels were almost nonexistent in metastatic skin samples; this was evident when comparing metastatic melanoma to nevi (p=0.03) and primary melanoma (p=0.03) (Figure 1B). keywords: expression; melanoma; tumor cache: skin-583.pdf plain text: skin-583.txt item: #1076 of 1356 id: skin-584 author: Nathan, Neera title: Tackling lower extremity surgical site infection in dermatologic surgery date: 2019-03-11 words: 730 flesch: 48 summary: The National Society for Cutaneous Medicine 146 RISING DERM STARS® Tackling lower extremity surgical site infection in dermatologic surgery Neera R. Nathan, MD, MSHS1, Su Luo, MD and Suzanne M. Olbricht, MD 1Department of Dermatology, Harvard Medical School, Boston, MA Background/Objectives: Surgical site infection (SSI) leads to excess healthcare costs and may contribute to increasing bacterial resistance rates due to use of antibiotics. Site-specific infection rate following lower extremity dermatologic surgery. keywords: cases; infection; surgery cache: skin-584.pdf plain text: skin-584.txt item: #1077 of 1356 id: skin-585 author: Prado, Giselle title: Impact of Consumer Preferences, Product Characteristics, and Unregulated Marketing Claims on Online Sunscreen Purchases date: 2019-03-11 words: 366 flesch: 52 summary: Variables collected included cost, formulation, product claims, ingredients, consumer ratings, and number of reviews. Consumers who purchase online prefer sunscreens with a higher number of reviews and more marketing claims. keywords: claims; sunscreen cache: skin-585.pdf plain text: skin-585.txt item: #1078 of 1356 id: skin-586 author: Rohr, Bethany title: Understanding of abbreviations in dermatology: A survey of primary care providers.Understanding of abbreviations in dermatology: A survey of primary care providers date: 2019-03-11 words: 368 flesch: 47 summary: The National Society for Cutaneous Medicine 149 RISING DERM STARS® Understanding of abbreviations in dermatology: A survey of primary care providers Bethany Rohr MD1, Andrea Berger MAS, Jill Henley DO, Nichole Hossler MD, Eric Hossler MD 1Department of Dermatology, Geisinger Health System, Danville, PA Background/Objectives: Abbreviations in medical documentation limit effective communication between health care providers. Conclusion: Niche dermatologic abbreviations are often unrecognized by primary care providers and should be avoided in medical documentation. keywords: medicine; providers cache: skin-586.pdf plain text: skin-586.txt item: #1079 of 1356 id: skin-587 author: Routt, Ethan title: Long Term Outcomes for Basal Cell Carcinoma Treated with Vismodegib Extended Alternate Day Dosing date: 2019-03-11 words: 524 flesch: 42 summary: The National Society for Cutaneous Medicine 151 Conclusion: EAD dosing provided a titratable, well tolerated regimen for vismodegib therapy that maintained efficacy over eight months or more. Further study will help determine whether EAD dosing might extend vismodegib’s utility, providing an option of lower dose, long-term suppressive therapy for BCC patients unable to tolerate surgery or radiation. keywords: dosing; vismodegib cache: skin-587.pdf plain text: skin-587.txt item: #1080 of 1356 id: skin-589 author: Tiao, Janice title: The use of doxycycline in lichen planopilaris and frontal fibrosing alopecia: a retrospective study of 138 patients at a tertiary referral clinic date: 2019-03-11 words: 489 flesch: 53 summary: The National Society for Cutaneous Medicine 155 RISING DERM STARS® The use of doxycycline in lichen planopilaris and frontal fibrosing alopecia: a retrospective study of 138 patients at a tertiary referral clinic Janice Tiao, MD1, Lynne J. Goldberg, MD 1Department of Dermatology, Boston University Medical Center, Boston, MA, USA Background/Objectives: Lichen planopilaris (LPP) and frontal fibrosing alopecia (FFA) are lymphocyte-mediated primary cicatricial alopecias (1). The best data supports hydroxychloroquine as the first-line systemic therapeutic agent (1,3), although expert opinion cites doxycycline as an acceptable first-line alternative and small series support its potential efficacy (4-5). keywords: lpp; subjects cache: skin-589.pdf plain text: skin-589.txt item: #1081 of 1356 id: skin-59 author: Svoboda, Ryan M; Franco, Abigail I; Rigel, Darrell S title: Electrical Impedance Spectroscopy Versus Clinical Inspection Approaches: Melanoma Efficacy Detection Comparison date: 2018-04-30 words: 1876 flesch: 52 summary: Additionally, we determined the correlation between EIS score and pathologic staging in biopsy- proven melanoma lesions. The clinical ABCD rule was the only method that detected melanoma lesions that were missed by EIS (6 lesions). keywords: detection; eis; lesions; melanoma; score cache: skin-59.pdf plain text: skin-59.txt item: #1082 of 1356 id: skin-590 author: Wieder, Shira title: Atypical Intraepidermal Melanocytic Proliferation – But now what? date: 2019-03-11 words: 601 flesch: 52 summary: Methods: In this retrospective study, a cohort of AIMP cases was selected. 2/312 (0.64%) of cases had the same location identified as the site of the previous AIMP’s suggestive of progression to melanoma. keywords: aimp; cases cache: skin-590.pdf plain text: skin-590.txt item: #1083 of 1356 id: skin-591 author: Winkelmann, Richard title: Wedding Dermatology: a proposed timeline to optimize skin clearance and the avoidance of a true dermatologic emergency date: 2019-03-11 words: 327 flesch: 61 summary: Balancing acne treatment efficacy while mitigating potential side effects with the goal of clear skin on one specific day has never been studied in dermatology. The National Society for Cutaneous Medicine 160 Table 1. 2016 AAD Acne Treatment Guidelines and proposed timeline for ideal wedding acne treatment. keywords: acne; treatment cache: skin-591.pdf plain text: skin-591.txt item: #1084 of 1356 id: skin-592 author: Crain, Caroline Brooke; Nguyen, Adam; Wilson, Janice; Wilkerson, Michael title: A Case of Widespread Cutaneous Metastases from Esophageal Adenocarcinoma date: 2019-12-02 words: 1376 flesch: 45 summary: The incidence of cutaneous metastases from esophageal adenocarcinoma is about 1% and typically involves the overlying skin of the primary tumor or the scalp.6 CK20 is typically expressed in tumors of the lower gastrointestinal tract, while CK7 is expressed in Barrett’s esophagus and esophageal adenocarcinoma.12 Ormsby et al. found that Barrett’s-related adenocarcinomas consistently revealed a CK7+/CK20- pattern, whereas gastric adenocarcinomas demonstrated much more variation in the CK7/20 immunophenotype.13 The CK7+/CK20- pattern was present in both the cutaneous and esophageal specimens from our patient, supporting the diagnosis of cutaneous metastasis from esophageal adenocarcinoma. keywords: adenocarcinoma; esophageal; metastases; patient; skin cache: skin-592.pdf plain text: skin-592.txt item: #1085 of 1356 id: skin-593 author: Nazarian, Roya S.; Vyas, Nikki; Scheinfeld, Noah; Phelps, Robert G. title: Bilateral Porokeratosis Ptychotropica on the Gluteal Cleft: A Case Report and Review of the Literature date: 2019-12-02 words: 1524 flesch: 45 summary: Verrucous porokeratosis of the gluteal cleft (porokeratosis ptychotropica): a rare disorder easily misdiagnosed. However, newly described histologic subsets are emerging.2,3 Porokeratosis ptychotropica (PP) is a rare variant of porokeratosis, that is distinctive based on its clinical presentation of pruritic, verrucous papules and plaques located most commonly in the perinatal cleft with extension to the buttocks. keywords: case; lesions; porokeratosis; ptychotropica; treatment cache: skin-593.pdf plain text: skin-593.txt item: #1086 of 1356 id: skin-594 author: Regan, Paul title: Dermatologic Etymology: What's in a Name? date: 2020-01-28 words: 368 flesch: 62 summary: In medical terminology, the meaning of many anatomic descriptions and disease names can be derived from their Greek and Latin roots. Why does intertrigo refer to skin folds? keywords: etymology cache: skin-594.pdf plain text: skin-594.txt item: #1087 of 1356 id: skin-596 author: Dhandha, Maulik Manharlal; Cooper, Markiza; Hurley, M Yadira; Chaudhry, Sofia B title: Drug Induced Autoimmunity Related Neutrophilic Dermatosis by Calcium Channel Blockers date: 2019-12-02 words: 1356 flesch: 49 summary: Neutrophilic dermatosis revisited: an initial presentation of lupus? Histology is characterized by an interstitial neutrophilic infiltrate with leukocytoclasia along with a variable degree of vacuolar interface dermatitis.1 The nomenclature of ARND encompasses multiple prior case reports and series that describe a similar condition by different terminology, including nonbullous neutrophilic dermatosis (NBND), nonbullous Sweet-like neutrophilic dermatosis, and nonbullous neutrophilic lupus erythematosus (NBNLE). keywords: dermatosis; eruption; lupus; neutrophilic cache: skin-596.pdf plain text: skin-596.txt item: #1088 of 1356 id: skin-597 author: Fagan, Kiley K; Zelickson, Blake R; Skinner Jr, Robert B; Fisher, Kristopher R title: Herbicide Induced Sclerodermoid Reaction Mimicking a Photodistributed Pattern date: 2019-12-02 words: 818 flesch: 50 summary: Providers should be aware that sclerodermoid reactions induced by topical agents, such as herbicide sprays, can present in unusual patterns such as the pseudo-photodistribution in this case. Sclerodermoid reactions are a subtype of morphea and have been documented in the literature occurring after exposures including silica, solvents, hair dyes, epoxy resins, welding fumes, pesticides, herbicides, and plant solvents.1 Herbicidal compounds known for causing sclerodermoid reactions include malathion, diniconazole, bromicil, diuron, and aminotriazole.2,3 The active ingredient in the herbicide Pasture Pro, 2,4- Dichlorophenoxyacetic acid (2,4 D), has not been reported to our knowledge as a cause of scleroderma. keywords: case; patient; scleroderma; skin cache: skin-597.pdf plain text: skin-597.txt item: #1089 of 1356 id: skin-599 author: Prado, Giselle; Svoboda, Ryan M; Glazer, Alex; Farberg, Aaron S; Rigel, Darrell S title: Factors Influencing Dermatology Rank List Preferences Among Successful Applicants date: 2019-05-03 words: 1146 flesch: 39 summary: SKIN May 2019 Volume 3 Issue 3 Copyright 2018 The National Society for Cutaneous Medicine 208 RESEARCH LETTER Factors Influencing Dermatology Rank List Preferences Among Successful Applicants Giselle Prado MD1, Ryan M Svoboda MD, MS2, Alex Glazer, MD3, Aaron S Farberg, MD4, Darrell S Rigel, MD, MS5 1National Society for Cutaneous Medicine, New York, NY 2Department of Dermatology, Duke University School of Medicine, Durham, NC 3Department of Dermatology, University of Arizona, Tucson, AZ 4Department of Dermatology, Icahn School of Medicine at Mount Sinai, New York, NY 5Ronald O. Perelman Department of Dermatology, NYU School of Medicine, New York, NY A recent study has suggested that increasing the number of residency positions would help alleviate the shortage of dermatologists.1 Filling these positions would be straightforward using the demand from the existing applicant pool, however choosing the applicants that best “fit” with a program remains a challenge.2 Several studies have looked at applicant factors that predict success of matching, but no recent studies have determined the factors that influence how applicants order their rank list. Current Dermatology residents throughout the U.S. were invited to participate in an anonymous validated 10 question survey. keywords: dermatology; medicine; program; residents cache: skin-599.pdf plain text: skin-599.txt item: #1090 of 1356 id: skin-60 author: Nevo, Ofir Noah; La Grenade, Lois; Diak, Ida-Lina; Levin, Robert title: Acute Generalized Exanthematous Pustulosis in Association with Hydroxyzine and Cetirizine date: 2017-11-13 words: 1496 flesch: 36 summary: Selected characteristics of acute generalized exanthematous pustulosis cases reported in association with hydroxyzine, cetirizine, and levocetirizine received by the FDA through March 30, 2016 (n=26) Age, years Mean = 52.1 Median = 57.5 Range = 11 to 93 Sex Female = 14 Male = 12 Time to onset of AGEP from initiation of drug product of interest, days (n = 25) Mean = 3.2 Median = 1 Range = 0 to 13 No. (%) Drug product reported* As a result, FDA has required labeling changes for hydroxyzine products to inform clinicians to avoid using hydroxyzine, cetirizine, and levocetirizine in patients who have experienced AGEP or other hypersensitivity reactions to any one of the above agents due to the risk of cross-reactivity. keywords: agep; cases; cetirizine; drug; hydroxyzine cache: skin-60.pdf plain text: skin-60.txt item: #1091 of 1356 id: skin-600 author: Ezekor, Maureen; Desai, Seemal R title: How to Manage Melasma date: 2019-05-03 words: 1716 flesch: 43 summary: Broad spectrum sunscreens that combine UVA and UVB filters with visible light blockers, such as iron oxide, are preferable to broad-spectrum UV filters alone, with the former group showing greater improvement and reduced relapses.2,4, Oral therapies have emerged as effective treatment options for melasma, and often as an adjunctive to topical therapies. � Oral therapies and procedural treatments can be used as adjunctive therapies to topical treatments after topical treatments have failed. keywords: dermatology; melasma; skin; therapies; treatment cache: skin-600.pdf plain text: skin-600.txt item: #1092 of 1356 id: skin-601 author: Desrosiers, Andrew; Huynh, Thy; Helms, Stephen; Brodell, Robert title: The role of dupilumab in managing allergic contact dermatitis date: 2019-07-08 words: 2121 flesch: 55 summary: The distinction between dupilumab’s use in ACD patients with and without underlying AD is important, as ACD responses are polarized toward a TH2 response in the skin of AD patients.17 Four studies demonstrated significant improvement in recalcitrant ACD with dupilumab in a series of predominantly AD patients. For ACD patients who are responsive to dupilumab and are unable to avoid relevant allergens, the cost of long- term dupilumab treatment can be prohibitive. keywords: acd; atopic; contact; dermatitis; dupilumab; patients; skin cache: skin-601.pdf plain text: skin-601.txt item: #1093 of 1356 id: skin-602 author: Nanda, Sonali; Miteva, Mariya; Nichols, Anna title: Black Dot Tinea Capitis: Magnified date: 2019-12-02 words: 785 flesch: 54 summary: Circle hairs are thin, long, regularly twisted hairs with tapered ends compared to comma hairs which are dark, short hairs of uniform color, thickness, and sharp diagonal ends.2 Trichotillomania displays black dots, broken hairs of variable lengths, coiled hairs, flame hairs, v-sign, and tulip hairs with surrounding normal hair. These hairs become brittle and break at the level of the scalp, leaving microscopic ‘dots’ that represent the remaining hair in the follicle.1 Under magnification, tinea capitis can present with many microscopic findings including broken hairs, corkscrew hairs, comma hairs, barcode hairs, zigzag hairs, and black dots.3 Comma hairs, seen on the scalps of all skin types, are specific for tinea capitis, whereas corkscrew hairs have been described only in African-American children.2 Identifying comma hairs spares the need for biopsy in children by excluding the most common differential diagnoses of patchy alopecia in this age. keywords: capitis; hairs; tinea cache: skin-602.pdf plain text: skin-602.txt item: #1094 of 1356 id: skin-603 author: Orlowski, Timothy Jay; Reynolds, Hoyt Harris; Elewski, Boni Elizabeth title: Lichen Planopilaris Associated with Spray-on Sunscreen date: 2020-01-28 words: 826 flesch: 55 summary: Microsoft Word - 8. 603 Proof done.docx SKIN January 2020 Volume 4 Issue 1 Copyright 2020 The National Society for Cutaneous Medicine 62 BRIEF ARTICLES Lichen Planopilaris Associated with Spray-on Sunscreen Timothy J. Orlowski, MD,1 H. Harris Reynolds, MD,2 Boni E. Elewski, MD2 1479th Flying Training Group, Aviation Medicine Department, Naval Hospital Pensacola, Pensacola, FL USA 2University of Alabama at Birmingham, Department of Dermatology, Birmingham, AL USA A 49 year old female was referred to our university-based dermatology outpatient clinic for a three year history of scarring hair loss affecting her anterior hairline and extending centrally in her part area (Figure 1). This sunscreen was applied directly to the areas of hair loss visible on physical exam. keywords: hair; lichen; sunscreen cache: skin-603.pdf plain text: skin-603.txt item: #1095 of 1356 id: skin-604 author: Bhattacharya, Kaustuv; Joshi, Namita; Shah, Ruchit; Nahar, Vinayak K. title: Impact of Depression on Health-Related Quality of Life among Skin Cancer Survivors date: 2019-12-02 words: 5755 flesch: 55 summary: Comorbid depression was identified in 20% of skin cancer survivors. After adjusting for covariates, skin cancer survivors with depression had higher odds of having poor general health status (Odds Ratio [OR] = 1.67, 95% Confidence Interval keywords: cancer; depression; health; hrqol; melanoma; mental; patients; physical; reference; skin; skin cancer; study; survivors cache: skin-604.pdf plain text: skin-604.txt item: #1096 of 1356 id: skin-605 author: Afanasiev, Olga K; Tabata, Mika; Ko, Justin M title: The Need for Objective and Remote Tracking of Chronic Skin Diseases date: 2019-12-02 words: 2000 flesch: 49 summary: While neoplasms can be tracked via measurements or photographs, chronic inflammatory skin diseases can have a prolonged and dynamic course that fluctuates in presentation, severity, and ABSTRACT Importance: Managing chronic skin disease is often frustrating for both providers and patients, sometimes resulting in delayed diagnosis, inadequate therapy, and inconsistent care. Conclusions and Relevance: This study identifies that dermatologists and patients need a solution that objectively and remotely monitors chronic skin diseases to guide treatments, empower patients, and provide more cohesive care in a complex healthcare system. keywords: assessment; dermatologists; disease; office; patients; skin; visits cache: skin-605.pdf plain text: skin-605.txt item: #1097 of 1356 id: skin-606 author: Yanovsky, Rebecca L; Smith, Gideon P title: Analysis of Self-Reported Data Accuracy Among Board-Certified and Trainee Dermatologists in the CMS National Provider Identifier Registry date: 2019-09-13 words: 1094 flesch: 43 summary: These inaccuracies have implications for dermatologists anywhere NPI numbers are used, including validation of healthcare transactions, adverse actions from licensing authorities, and identification of providers in patient’s electronic medical records. While studies exist on the accuracy of self- reported data in other specialties,4 the accuracy of the NPI registry among dermatologists is unknown. keywords: dermatologists; national; provider; specialty cache: skin-606.pdf plain text: skin-606.txt item: #1098 of 1356 id: skin-61 author: Watchmaker, Jacqueline; Legler, Sean; de Leon, Dianne; Pascoe, Vanessa; Stavert, Robert title: Clinical Characteristics of Patients Diagnosed with Strongyloidiasis in a United States Urban Outpatient Dermatology Department: A Case Series date: 2017-11-13 words: 1880 flesch: 49 summary: The National Society for Cutaneous Medicine 156 BRIEF ARTICLES Clinical Characteristics of Patients Diagnosed with Strongyloidiasis in an Urban Outpatient Dermatology Department: A Case Series Jacqueline Watchmaker MD a , Sean Legler BS b , Dianne de Leon MD c , Vanessa Pascoe MD d , Robert Stavert MD MBA c a Boston University Department of Dermatology, 609 Albany Street, Boston, MA 02118 b Harvard Medical School, 25 Shattuck St, Boston, MA 02115 Dermatologists should consider serologic testing for strongyloidiasis in patients with a history of exposure and unexplained pruritus ABSTRACT Background: Although considered a tropical disease, strongyloidiasis may be encountered in non-endemic regions, primarily amongst immigrants and travelers from endemic areas. keywords: brazil; endemic; patients; pruritus; strongyloides; strongyloidiasis cache: skin-61.pdf plain text: skin-61.txt item: #1099 of 1356 id: skin-610 author: Foshee, James; Griffin, Thomas; Cam, Kristin; Rivlin, Michael; Keller, Matthew title: Adjunct Treatment of Recalcitrant Hand Plaques in Nephrogenic Systemic Fibrosis After Imatinib Therapy date: 2019-12-02 words: 1679 flesch: 39 summary: 6. Elmholdt, T. R., Pedersen, M., Jørgensen, B., Ramsing, M. & Olesen, A. B. Positive effect of low-dose imatinib mesylate in a patient with nephrogenic systemic fibrosis. Imatinib mesylate treatment of nephrogenic systemic fibrosis. keywords: fibrosis; gadolinium; imatinib; intralesional; nsf; skin cache: skin-610.pdf plain text: skin-610.txt item: #1100 of 1356 id: skin-612 author: Regan, Paul A; Sciacca Kirby, Joslyn title: Optimizing Medical Student Dermatology Education with the American Academy of Dermatology’s Basic Dermatology Curriculum date: 2019-12-02 words: 1650 flesch: 47 summary: Adult learners, however, desire the ability to set the pace of their self-directed learning, and each newer generation of medical students is becoming more reliant on technology as an educational resource.3 Medical schools and dermatology programs can accommodate these preferences by incorporating the American Academy of Dermatology’s Basic Dermatology Curriculum into medical student education. Medical school dermatology curriculum: are we adequately preparing primary care physicians? keywords: curriculum; dermatology; medical; modules; skin; students cache: skin-612.pdf plain text: skin-612.txt item: #1101 of 1356 id: skin-613 author: Edelman, Alexandra; Jackson, Mark; Knable, Alfred title: Erythema Multiforme Major caused by topical Imiquimod date: 2019-12-02 words: 942 flesch: 56 summary: Squamous cell carcinoma in situ on right upper arm of patient (A) before biopsy and (B) two weeks after imiquimod treatment, coinciding with onset of erythema multiforme. Lerch M, Mainetti C, Beretta-Piccoli BT, Harr T. Current perspectives on Erythema Multiforme. keywords: cream; erythema; imiquimod; topical cache: skin-613.pdf plain text: skin-613.txt item: #1102 of 1356 id: skin-614 author: Kosche, Cory; Zheng, Lida; Guggina, Lauren title: Adult-Onset Still’s Disease Presenting as an Atypical Cutaneous Eruption date: 2019-12-02 words: 1319 flesch: 46 summary: However, in atypical cutaneous eruptions of AOSD, often described as persistent pruritic eruptions, histopathology may also show dyskeratotic keratinocytes in the upper epidermis.6 Clinically, this patient had a persistent scaling linear eczematous eruption, accentuated in photo distributed areas, as well as an urticarial “evanescent” eruption. Histopathological diagnosis of persistent pruritic eruptions associated with adult-onset Still's disease. keywords: adult; disease; eruption; onset cache: skin-614.pdf plain text: skin-614.txt item: #1103 of 1356 id: skin-615 author: Owen, Joshua L; Kosche, Cory; Choi, Jennifer N title: Verrucous Keratoses Associated with Checkpoint Inhibitor Immunotherapy date: 2020-01-28 words: 1673 flesch: 42 summary: This report adds to the spectrum of cutaneous squamoproliferative lesions induced by checkpoint inhibitor immunotherapy. Eruptive squamous cell carcinomas associated with programmed cell death protein-1 inhibitor therapy. keywords: anti; cell; immune; immunotherapy; lesions; vks cache: skin-615.pdf plain text: skin-615.txt item: #1104 of 1356 id: skin-616 author: Barber, Cara; Ashack, Kurt; Boulter, Joshua; Ashack, Richard title: Ampicillin use in Acne date: 2019-09-13 words: 1557 flesch: 50 summary: Lastly, average severity was decreased from 1.67 to 1.12 (p < 0.001) in patients with nodulocystic acne, from 1.45 to 0.77 (p < 0.001) with inflammatory acne patients, and from 1.00 to 0.38 (p < 0.001) in patients with comedonal acne. Lastly, average severity was decreased from 1.67 to 1.12 (p < 0.001) in patients with nodulocystic acne, from 1.45 to 0.77 (p < 0.001) with inflammatory acne patients, and from 1.00 to 0.38 (p < 0.015) in patients with comedonal acne. keywords: acne; ampicillin; medicine; patients; severity cache: skin-616.pdf plain text: skin-616.txt item: #1105 of 1356 id: skin-617 author: Chu, Justin; Genece, Jordan; Amir, Yasmin; Lebwohl, Mark title: Asymmetric Prurigo Nodularis after Paralysis: A Case Report date: 2020-01-28 words: 918 flesch: 55 summary: Prurigo nodules on the patient’s arms (a) and legs (b). New drugs like the neurokinin receptor antagonists and antibodies to IL-31 are promising as neurokinin receptors contribute to itch transmission and IL-31 is known as the itch cytokine.6 Our patient presented with an asymmetric distribution of prurigo nodules due to her underlying right-sided paralysis, highlighting the role of the itch-scratch cycle in the pathogenesis of prurigo nodularis and the importance of managing underlying pruritus in the treatment of this complex disease. keywords: nodularis; prurigo; scratch cache: skin-617.pdf plain text: skin-617.txt item: #1106 of 1356 id: skin-619 author: Nazarian, Roya S.; Pan, Michael; Utz, Sarah; Geller, Lauren title: Adolescent Sun Protection Behaviors and Beliefs date: 2019-12-02 words: 2288 flesch: 56 summary: With regards to skin cancer prevention knowledge, the vast majority of study participants had accurate information about proper photo protection and skin cancer prevention, despite poor practices. The National Society for Cutaneous Medicine 410 RESEARCH LETTERS Adolescent Sun Protection Behaviors and Beliefs Roya S. Nazarian, BA,1 Michael Pan, MD,1 Sarah Utz, MD,2 Lauren Geller, MD1 1Department of Dermatology, Icahn School of Medicine at Mount Sinai, New York, NY 2Department of Dermatology, Wayne State School of Medicine, Detroit, MI Skin cancer is the most common malignancy in the United States, with a rising incidence, including in children and adolescents at a rate of 2% per year.1 Exposure to ultraviolet (UV) radiation, either from natural sunlight or indoor tanning, is a known risk factor for the development of skin cancer. keywords: cancer; protection; skin; sun; sunscreen; use cache: skin-619.pdf plain text: skin-619.txt item: #1107 of 1356 id: skin-62 author: Maderal, Andrea D; Federman, Daniel G; Kirsner, Robert S title: Granulomatous Mastitis as a Presentation of Sarcoidosis date: 2018-01-02 words: 1535 flesch: 52 summary: Breast involvement in sarcoidosis is classified into three categories: sarcoidosis patients with breast cancer, breast cancer patients showing sarcoidosis-like breast reactions, and sarcoidosis patients with breast granulomas, which is referred to as breast sarcoidosis. Involvement of the breast in sarcoidosis is rare, and can be defined into three subsets, including granulomas localized to the breast, referred to as breast sarcoidosis. keywords: breast; granulomas; involvement; patients; sarcoidosis; skin cache: skin-62.pdf plain text: skin-62.txt item: #1108 of 1356 id: skin-620 author: Callaghan, Daniel; Arndt, Kenneth title: Reply: Terra Firma-Forme Dermatosis, Keratotic Form date: 2019-12-02 words: 609 flesch: 66 summary: Dermatol Online J. 2015 Dermatol Online J. 2005 Aug 1;11(2):15. keywords: dermatosis; terra cache: skin-620.pdf plain text: skin-620.txt item: #1109 of 1356 id: skin-621 author: Weiss, Amy; Nawrocki, Shiri; Laureano, Ana Cristina; Scherl, Sharon; Shulman, Kenneth; Kwon, Eun Ji title: A Rare Case of Dermatitis Herpetiformis Presenting as Fingertip Petechiae date: 2020-01-28 words: 1754 flesch: 46 summary: Only six cases of acral petechial lesions as the sole initial presenting sign of DH in adult patients have been described in the literature.1-6 Because DH is often the first presenting sign of CD, dermatologists should be aware of this unusual clinical presentation. In most patients with DH, the enteropathy is asymptomatic. keywords: dermatitis; herpetiformis; patient; petechiae cache: skin-621.pdf plain text: skin-621.txt item: #1110 of 1356 id: skin-622 author: Galimberti, Fabrizio Vittorio; Perez, Gregory title: Cutaneous Metastasis from Gastric Carcinoma, an Uncommon Clinical Presentation date: 2019-12-02 words: 1120 flesch: 54 summary: Here we report a case of gastric carcinoma associated cutaneous metastasis in a patient who reported a history of an unspecified malignancy under remission. Cutaneous metastases occur in 0.6 to 10.4% of cancer patients.1 keywords: cancer; gastric; metastases; skin cache: skin-622.pdf plain text: skin-622.txt item: #1111 of 1356 id: skin-623 author: Loesch, Mathew; Ganocy, Stephen J; Jaworsky, Christine title: Clear Cell Squamous Cell Carcinoma: Clinical and Histologic Parameters and a Review of the Literature date: 2020-03-08 words: 3651 flesch: 55 summary: Such lesions have been described clinically as nodules or ulcerated masses that can INTRODUCTION Background: Clear cell squamous cell carcinoma (ccSCC) is an uncommon subtype of squamous cell carcinoma. A: squamous cell carcinoma in situ without clear cell change (200X) contrasted with B: clear cell squamous cell carcinoma in situ (200X); keywords: age; carcinoma; cases; ccscc; cell; change; clear; skin; study cache: skin-623.pdf plain text: skin-623.txt item: #1112 of 1356 id: skin-624 author: Hope, Landon; Ibad, Sidra; Marks, Etan; Hope, Richard; Cockerell, Clay title: Dysmorphic Trichophyton rubrum Mimicking Blastomycosis date: 2020-03-08 words: 1138 flesch: 46 summary: T. rubrum has been reported to be an invasive organism in immunocompromised hosts.1 Blastomycosis is a deep fungal infection that is more prevalent in immunocompromised hosts than T. rubrum. Specifically, Blastomycosis spp. did not grow, but T. rubrum was identified. keywords: figure; rubrum cache: skin-624.pdf plain text: skin-624.txt item: #1113 of 1356 id: skin-625 author: Schneider, Samantha L; Jahnke, Marla; Leiferman, Kristin M; Chaffins, Marsha; Krakowski, Andrew C; Ozog, David title: Improvement with Fractional Ablative Laser and Topical Poly-L-Lactic Acid in an RDEB Patient date: 2019-12-02 words: 1665 flesch: 43 summary: Type VII collagen was detected in TAS and resembled type VII collagen immunostaining in a normal human control, whereas type VII collagen immunostaining was not detected in UAS or NS (Figure 3). No type VII collagen is detected in the untreated affected skin (Figure 3A) or in the clinically normal-appearing skin (Figure 3C); however, type VII collagen is detected in treated affected skin (Figure 3B) along the basement membrane zone (BMZ), white arrowhead, suggesting that FABL and topical PLLA treatments may induce collagen VII expression. keywords: collagen; figure; laser; skin; type; vii cache: skin-625.pdf plain text: skin-625.txt item: #1114 of 1356 id: skin-628 author: Marks, Etan; Caruso, Hillary G.; Kurley, Sarah J; Ibad, Sidra; Plasseraud, Kristen M; Monzon, Federico A; Cockerell, Clay J title: Establishing an evidence-based decision point for clinical use of the 31-gene expression profile test in cutaneous melanoma date: 2019-07-08 words: 4084 flesch: 57 summary: Clinical GEP testing data De-identified consecutive 31-GEP clinical test results and associated tumor clinicopathologic data (n=579) between 2014 and 2019 from a large dermatopathology practice were used to determine proportions of 31-GEP classes in T1 melanoma tumors by 0.1 mm increments in Breslow thickness. We then evaluated 31-GEP class distribution in thin melanoma tumors from a large dermatopathology practice and in all cases clinically tested during the last year. keywords: breslow; class; gep; melanoma; patients; test; thickness; tumors cache: skin-628.pdf plain text: skin-628.txt item: #1115 of 1356 id: skin-629 author: Hashim, Peter; Liu, Stephanie; Desman, Garrett T; Giordano, Cerrene N title: Schwannoma of the Scalp Mimicking a Pilar Cyst date: 2019-12-02 words: 672 flesch: 57 summary: Schwannomas are generally considered benign neoplasms, although malignant lesions have been reported, including on the scalp. Midline occipital scalp with the outlined border of the schwannoma. keywords: cyst; scalp; schwannomas cache: skin-629.pdf plain text: skin-629.txt item: #1116 of 1356 id: skin-630 author: Nazarian, Roya S.; Nia, John; Vyas, Nikki; Desman, Garrett; Geller, Lauren title: Generalized Pustular Psoriasis in an Adolescent Treated with Cyclosporine: A Diagnostic and Therapeutic Challenge date: 2019-12-02 words: 1790 flesch: 46 summary: On examination he was noted to have conjunctival erythema, palatal petechiae, and pinpoint pustules on an erythematous INTRODUCTION CASE REPORT Generalized pustular psoriasis (GPP) is rare in the pediatric population, accounting for only 0.5-0.6% of psoriasis cases in children. 5. Elston GE, Charles-Holmes R, Carr RA. Precipitation of generalized pustular psoriasis by prednisolone. keywords: acute; agep; case; dermatology; gpp; psoriasis; pustules cache: skin-630.pdf plain text: skin-630.txt item: #1117 of 1356 id: skin-633 author: Shah, Pooja R; Esaa, Fatema; Beck, Lisa A title: Herpes Simplex Masquerading as Cat-Scratch Disease date: 2020-05-08 words: 635 flesch: 43 summary: The patient was treated empirically with oral clindamycin and azithromycin for possible bacterial infection, resulting in only partial clinical response. However, superficial lymphangitis may also occur secondary to nonbacterial etiologies including viral or fungal infections, arthropod bites, or iatrogenic interventions.1 Although the natural history of herpes simplex lymphangitis is self-resolution, antiviral therapy may shorten the duration of symptoms and help prevent recurrence.2 Our patient demonstrates a unique case of cutaneous herpes simplex infection with centrifugal spread complicated by lymphangitis and regional lymphadenopathy. keywords: finger; lymphangitis cache: skin-633.pdf plain text: skin-633.txt item: #1118 of 1356 id: skin-639 author: Michael, Mary; Newman, Andrew; Barr, Jason; Lam, Travis title: Dermatitis Artefacta Resembling Pyoderma Gangrenosum date: 2020-03-08 words: 1249 flesch: 42 summary: Skin lesions that do not fit a particular clinical-pathological diagnosis and resist conventional treatments should prompt clinicians to consider a diagnosis of DA. Less common causes include physical injury, infection, vasculopathy, panniculitis, malignancy, medications, brown-recluse spider envenomation, and pyoderma gangrenosum (PG).1 PG is a poorly understood, noninfectious, neutrophilic dermatosis that presents as recurrent skin ulcers, most commonly on the lower extremity.2 The initial lesion starts as a tender pustule, progressing to a necrotic bulla that ulcerates with purulent drainage.2 Approximately half of patients that develop PG present with a chronic underlying systemic inflammatory or malignant disease such as ulcerative colitis, rheumatoid arthritis, chronic active hepatitis, Crohn’s disease, IgA monoclonal gammopathy, and hematologic malignancies.2-4 Ulcers can also be due to self-mutilation from an underlying psychological condition known as dermatitis artefacta (DA). keywords: diagnosis; skin; ulcers cache: skin-639.pdf plain text: skin-639.txt item: #1119 of 1356 id: skin-641 author: Morris, Caroline Rose; Hurst, Eva A title: Electrosurgery and Implantable Electronic Devices: A Survey of Current Practices among Cutaneous Surgeons date: 2019-09-13 words: 3618 flesch: 44 summary: Routinely (>90%) implemented precautions ICD; % respondent s (n) Pacemaker; % respondent s (n) Deep brain stimulator/Cochle ar implant; % respondents (n) Spinal cord/nerve stimulator; % respondent s (n) Utilize only short bursts of current (<5 sec) 63% (101) 70% (98) 60% (72) 62% (62) Avoid use around device 63% (100) 67% (95) 56% (67) 58% (59) Use of minimal power/lowest effective settings 54% (86) 67% (94) 57% (68) 54% (55) Code/crash cart available 47% (75) 50% (70) 45% (54) 42% (41) Have staff available trained in ACLS 44% (69) 42% (60) 42% (50) 36% (36) Pre- and postoperative monitoring (BP, HR) 42% (68) 42% (59) 32% (39) 32% (33) The National Society for Cutaneous Medicine 327 There is an ever-increasing number of patients with implantable electronic devices (IEDs) as indications for a multitude of cardiac and neurologic diseases continues to expand. keywords: brain; device; electrosurgery; emi; patients; precautions; rate; stimulator; use cache: skin-641.pdf plain text: skin-641.txt item: #1120 of 1356 id: skin-644 author: Xiong, David Dayi; Beal, Brandon Tyler; Manmohan, Manisha; Uberti, Maria Georgina; Riley, Kathryn; Fernandez, Anthony title: Subcutaneous Panniculitis-Like T-Cell Lymphoma: A Case Report date: 2020-01-28 words: 921 flesch: 40 summary: The National Society for Cutaneous Medicine 79 BRIEF ARTICLES Subcutaneous Panniculitis-Like T-cell Lymphoma: A Case Report David D. Xiong, BA,1 Brandon T. Beal, MD,2 Manisha Manmohan, MD,2 M. Georgina Uberti, MD,3 Kathryn Riley, MD,2 Anthony P. Fernandez, MD, PhD2 1Cleveland Clinic Lerner College of Medicine, Cleveland OH 2Cleveland Clinic Foundation, Department of Dermatology, Cleveland OH 3Cleveland Clinic Foundation, Departments of Anatomic Pathology and Dermatology, Cleveland OH Subcutaneous panniculitis-like T-cell lymphoma (SPTCL) is an unusual cutaneous T-cell lymphoma (TCL) accounting for <1% of non-Hodgkin lymphomas which typically presents with subcutaneous nodules or deep plaques. SPTCL is an uncommon TCL characterized by subcutaneous nodules that may be scattered across the body. keywords: cell; like; lymphoma cache: skin-644.pdf plain text: skin-644.txt item: #1121 of 1356 id: skin-645 author: Mackey, Brandon; Mackey, Vernon T title: Successful Deoxycholate Acid Use in a Male Patient for Resistant Lower Abdominal Wall Fat date: 2020-07-12 words: 1381 flesch: 47 summary: The number of treatment options available for healthcare providers is continuing to increase and strive to fulfill the growing demand and need for these types of procedures.1 In the past the only treatment options for patients included invasive and expensive surgical procedures with serious potential side effects.2 In the more recent history several less invasive treatments have become available but still carry post- operative recovery time and pain. Treatment options where discussed in detail including expectations, complications, side effects, and cost. keywords: fat; injection; label; patient; treatment cache: skin-645.pdf plain text: skin-645.txt item: #1122 of 1356 id: skin-646 author: Afanasiev, Olga K; Tabata, Mika; Narla, Akhila; Scott, Gregory; Ko, Justin M title: SkinSpecs: A Mobile Solution that Addresses an Unmet Need for Tracking Chronic Skin Diseases in the Office and at Home date: 2019-09-13 words: 3298 flesch: 43 summary: Dermatologist preferred SkinSpecs 3D reconstruction over written description, standard photographs or video capture for documentation, but photographs were the capture of choice for longitudinal monitoring of chronic skin disease and for educational purposes (Figure 5). This study set out to engineer and test a mobile-based 3D imaging solution for chronic skin diseases to enhance clinical workflow and patient care. keywords: capture; dermatologists; disease; figure; patients; skin; skinspecs; video cache: skin-646.pdf plain text: skin-646.txt item: #1123 of 1356 id: skin-647 author: Juhasz, Margit; Fortman, Jamie; Lin, Jessica; Landaverde, Yessica; Levy, Joshua; Pham, Christine; Myers, Nicole; Ekelem, Chloe; Parajuli, Ritesh; Wenzel, Lari; Mesinkovska, Natasha Atanaskova title: The Perception of Chemotherapy-Induced Alopecia in Cancer Patients Currently Undergoing Treatment date: 2020-01-28 words: 7039 flesch: 62 summary: Objective: To determine whether cancer patients who are actively receiving chemotherapy are interested in preventing or treating CIA. Materials and Methods: This is a survey-based, cross-sectional study of cancer patients undergoing chemotherapy infusion at a tertiary medical center. keywords: alopecia; bit; cancer; chemotherapy; cia; copyright; hair; hair loss; issue; loss; patients; treatment cache: skin-647.pdf plain text: skin-647.txt item: #1124 of 1356 id: skin-65 author: Beal, Brandon T; Blaha, Taryn; Xiong, David D; Schneider, Sarah H; Billings, Steven D; Fernandez, Anthony P; Khetarpal, Shilpi title: A Rare Presentation of Toxic Epidermal Necrolysis – Like Acute Systemic Lupus Erythematosus date: 2018-03-09 words: 1284 flesch: 41 summary: Histopathologically, vacuolar interface change, limited keratinocyte apoptosis, ABSTRACT A 25-year-old woman with a history of systemic lupus erythematosus (SLE) was transferred from an outside hospital with a worsening painful generalized rash and oral ulcerations for the prior three weeks due to concern for Stevens-Johnson Syndrome / toxic epidermal necrolysis. 1-5 A 25-year-old woman with a history significant for systemic lupus erythematosus (SLE) was transferred from an outside hospital with a worsening painful generalized rash and oral ulcerations for the prior 3 weeks due to concern for Stevens- Johnson Syndrome / toxic epidermal necrolysis. keywords: asle; epidermal; erythematosus; lupus; skin cache: skin-65.pdf plain text: skin-65.txt item: #1125 of 1356 id: skin-650 author: Wheless, Margaret C; Zelickson, Blake Reid; Patel, Tejesh S; Jones, Allison V title: Oral Contraception Inducing Bullous Pemphigoid in an Adolescent date: 2020-03-08 words: 918 flesch: 52 summary: The National Society for Cutaneous Medicine 177 SHORT COMMUNICATIONS Oral Contraceptive Pills Inducing Bullous Pemphigoid in an Adolescent Margaret C. Wheless BS,1 Blake R. Zelickson MD PhD,1 Tejesh S. Patel MD,1 Rituximab Therapy in Patients with Bullous Pemphigoid: A Retrospective Study of 20 Patients. keywords: bullous; pemphigoid; rituximab cache: skin-650.pdf plain text: skin-650.txt item: #1126 of 1356 id: skin-651 author: Sansone, Stephen; Amir, Yasmin; Lebwohl, Mark title: Safe use of Interleukin-17 Inhibitors for Psoriasis and Psoriatic Arthritis in Two Patients with a History of Lymphoproliferative Disease date: 2020-05-08 words: 1762 flesch: 50 summary: Fiorentino D, Ho V, Lebwohl MG, Leite L, Hopkins L, Galindo C, et al. Risk of malignancy with systemic psoriasis treatment in the Psoriasis Longitudinal Assessment Registry. However, these medications are associated with side effects and concerns for long-term risks, specifically that of an increased risk of malignancies like lymphoma.1-4 Recent discovery of key components in the pathogenesis of psoriasis has led to the development of novel therapies targeting interleukins (ILs) 12, 23, and 17. keywords: arthritis; malignancy; patients; psoriasis; psoriatic; risk cache: skin-651.pdf plain text: skin-651.txt item: #1127 of 1356 id: skin-653 author: Zarei, Mina; Forouzandeh, MAHTAB; Ledon, Jennifer; Elgart, George W; Cho-Vega, Jeong Hee title: Dural-Based Metastatic Malignant Melanoma Masquerading as Meningiomata: A Diagnostic Challenge date: 2020-01-28 words: 1194 flesch: 33 summary: On immunohistochemistry, tumor cells were focally positive for Ki-67 and EMA, diffusely positive for Melan-A, HMB45, S100, and E- cadherin, weakly positive for SSRT2 and SOX-10, and negative for CK7. Punch biopsy revealed malignant epithelioid cells positive for SOX10 and pan melanoma (HMB-45, Melan-A, tyrosinase), while negative for H3K27me3 and CK7 (Figure 2). keywords: dural; mass; melanoma; metastatic cache: skin-653.pdf plain text: skin-653.txt item: #1128 of 1356 id: skin-655 author: Shahid, Azib; Iftikhar, Fatima; Glaser, Katherine; Fernandez, Anthony title: A Case Report of Chilblain Lupus Erythematosus in a Young Male with Literature Review date: 2020-01-28 words: 2700 flesch: 46 summary: Nailfold capillaroscopy typically reveals changes in proximal nailfold capillary morphology, with enlarged and tortuous capillary loops being a common finding.4,5 Chilblain lesions may also be accompanied by discoid or subacute cutaneous lupus erythematosus lesions. These include: Major criteria: 1) Acral skin lesions associated with cold temperature 2) Evidence of lupus erythematosus in skin lesions on histopathology or direct immunofluorescence Minor criteria: 1) Coexistence of systemic lupus erythematosus or other skin lesions of discoid lupus erythematosus 2) Response to anti-lupus erythematosus therapy 3) Negative results of cryoglobulin and cold agglutinin studies. keywords: chilblain; chle; erythematosus; lesions; lupus; patients; skin cache: skin-655.pdf plain text: skin-655.txt item: #1129 of 1356 id: skin-656 author: Ambur, Austin B; Newman, Andrew; Barr, Jason; Lam, Travis title: Persistent Chloracne in a Tank Mechanic date: 2020-05-08 words: 787 flesch: 52 summary: Skin diseases associated with Agent Orange and other organochlorine exposures. The most commonly recommended treatment regimen includes removing the source of dioxin exposure and symptomatic care.2 Although there have been reports that isotretinoin, dermabrasion, and light electrodessication may be beneficial in the treatment of chloracne, the condition remains to be mostly treatment- resistant.3 We present a case of chloracne to highlight the unique clinical characteristics and bring awareness to the difficulty of treatment. keywords: chloracne; dioxin; skin cache: skin-656.pdf plain text: skin-656.txt item: #1130 of 1356 id: skin-658 author: Bartholomew, Erin K.; McHugh, Mackenzi R.; O'Connor, Megan C. title: Wes Anderson's "Exceedingly Lovely" Face date: 2020-01-28 words: 418 flesch: 58 summary: This congenital vascular disease commonly includes vascular malformations in the brain and eyes; Agatha may have succumbed to a seizure with poor vascular perfusion to her cerebral cortex. Nevertheless, Agatha charms viewers and protagonist Zero with her shy kindness; her slight, albeit grandiose facial imperfection making her even more human. keywords: agatha; birthmark cache: skin-658.pdf plain text: skin-658.txt item: #1131 of 1356 id: skin-659 author: LaCour, Matthew; Croley, Julie Amthor; Wilson, Janice title: Generalized Lichen Nitidus in a Middle-Aged Adult date: 2020-03-08 words: 744 flesch: 46 summary: In the majority of affected patients, LN is associated with spontaneous resolution after a few months to years, but clinical course of the generalized form is unpredictable.3 Generalized cases are infrequently noted, with the majority of reported cases affecting children.4 Due to the rarity of presentation of generalized LN in adults, skin biopsies were essential in confirming the diagnosis. Patients are typically asymptomatic, though pruritus can occur.1 An uncommon case of generalized LN is reported in a middle-aged adult emphasizing an approach to diagnosis and treatment. keywords: lichen; nitidus cache: skin-659.pdf plain text: skin-659.txt item: #1132 of 1356 id: skin-660 author: Gupta, Naeha; Kamrani, Payvand; Lountzis, Nektarios; McClain, Richard title: Case Report of Reactive Angioendotheliomatosis date: 2020-03-08 words: 1851 flesch: 38 summary: This hypersensitivity response leads to deposition of immunoglobulins in capillaries in the skin leading to thrombi, ensuing local hypoxia and, again, subsequent angiogenesis.1-3 On histopathology, RAE demonstrates a benign intraluminal proliferation of endothelial cells that may occlude the vascular lumen.4–6 In addition, the vessels are usually dilated.4 The upper subcutaneous fat might demonstrate vascular occlusion with cells and fibrin.2 Furthermore, association with underlying systemic infections suggest that RAE can represent a hypersensitivity response of endothelial cells to foreign antigens.1 keywords: angioendotheliomatosis; cell; endothelial; intravascular; patient; rae cache: skin-660.pdf plain text: skin-660.txt item: #1133 of 1356 id: skin-662 author: Vender MD FRCPC, Ronald title: Transitioning Between Biologics date: 2019-12-02 words: 3084 flesch: 52 summary: An overlap of biologic therapy or bridging with standard systemics may also be considered. Smith, C., Jabbar‐Lopez, Z., Yiu, Z., et al. British Association of Dermatologists guidelines for biologic therapy for psoriasis. keywords: biologic; dermatol; patients; psoriasis; transitioning; treatment cache: skin-662.pdf plain text: skin-662.txt item: #1134 of 1356 id: skin-663 author: Berman, Brian; Ceilley, Roger; Cockerell, Clay; Ferris, Laura; High, Whitney A; Lebwohl, Mark; Nestor, Mark S; Rosen, Theodore; Litchman, Graham H; Prado, Giselle; Svoboda, Ryan M; Rigel, Darrell S title: Appropriate Use Criteria for the Integration of Diagnostic and Prognostic Gene Expression Profile Assays into the Management of Cutaneous Malignant Melanoma: An Expert Panel Consensus-Based Modified Delphi Process Assessment date: 2019-09-13 words: 6935 flesch: 46 summary: The purpose was to identify common scenarios in which utilization of GEP tests might be considered so that the existing literature could be assessed for evidence supporting or refuting their use in each situation. In addition, in SKIN September 2019 Volume 3 Issue 5 Copyright 2019 The National Society for Cutaneous Medicine 291 298 many situations, GEP tests are now covered by Medicare and other insurance plans, and assistance from industry is often available, capping the associated costs and facilitating the accessibility of these assays to patients in need. keywords: consensus; et al; evidence; expression; gene; gene expression; gep; medicine; melanoma; patients; recommendations; test cache: skin-663.pdf plain text: skin-663.txt item: #1135 of 1356 id: skin-666 author: Novice, Taylor Shea; Glazer, Alex title: Spontaneous Resolution of Asymptomatic Papules on the Face of a Two-Year-Old date: 2020-01-28 words: 745 flesch: 40 summary: Cells are typically negative for CD1a, S100, and CD207 and devoid of Bierbeck granules.2 The differential diagnosis includes juvenile xanthogranulomas (JXG), generalized eruptive histiocytomas, and urticaria pigmentosa.3 BCH is considered to belong to the spectrum of non-Langerhans cell histiocytosis, which share overlapping clinical, histologic and ultrastructural characteristics.4 Key Words: Histiocytic disorders; Lumps/Bumps; Benign cephalic histiocytosis; benign histiocytosis; histiocytoses; spontaneous resolution; multiple papules; cephalic papules Conflict of Interest Disclosures: Benign cephalic histiocytosis (BCH) is considered one of the rare, self-resolving non-Langerhans cell histiocytoses that occurs in infants and young children. keywords: histiocytosis; lesions; papules cache: skin-666.pdf plain text: skin-666.txt item: #1136 of 1356 id: skin-667 author: Genece, Jordan; Chu, Justin; Liu, Stephanie; Shihab, Nahla; Ungar, Jonathan title: Granulomatous Cheilitis: A Case Report date: 2020-03-08 words: 1422 flesch: 43 summary: The inflammation is generally painless and may be intermittent initially, but tends to persist over time.1 Due to the inconsistency of the presentation of symptoms over time and the difficulty in isolating an underlying mechanism a final diagnosis of granulomatous cheilitis may only be rendered after a few years.4 Granulomatous cheilitis is considered a rare entity, with only a few cases reported in the literature.2 We report a case of biopsy proven granulomatous cheilitis in a young Caucasian man INTRODUCTION Introduction: Granulomatous cheilitis is a rare condition, with an unknown etiological pathway, resulting in inflammation of the lips. A skin biopsy from his right side of upper mucosa lip revealed collections of histiocytes in the dermis and slight spongiosis that are consistent with granulomatous cheilitis (Figure 3). keywords: cheilitis; lip; medicine; swelling; triamcinolone cache: skin-667.pdf plain text: skin-667.txt item: #1137 of 1356 id: skin-668 author: Maxfield, Luke J; Tanner, Laura S; Schwartz, Chelsea title: Extensive Palisaded Neutrophilic Granulomatous Dermatitis with Systemic Lupus Erythematosus date: 2020-05-08 words: 1623 flesch: 29 summary: We also review similar clinical and microscopic disease entities with a summative comparison of neutrophilic dermatoses in patients with autoimmune connective tissue diseases. Neutrophilic dermatoses and associated autoimmune and connective tissue diseases10 Neutrophilic Dermatoses Clinical Findings Histopathologic Findings Associated Systemic Conditions Palisaded neutrophilic granulomatous dermatitis • Erythematous papules, plaques, and nodules • Minimal tenderness Sparse perivascular infiltrate with neutrophils, lymphocytes, and histiocytes RA SLE SS IBD Sweet’s syndrome • Erythematous papules, plaques, and nodules • Fever • Malaise • Neutrophilia • Tender Diffuse neutrophilic infiltrate Papillary dermal edema Minimal to absent leukocytoclastic vasculitis RA SLE IBD Pyoderma gangrenosum • Ulcerative lesions with violaceous undermined borders Non-specific SLE RA Juvenile RA IBD Rheumatoid neutrophilic dermatitis • Urticarial papules, plaques, and keywords: dermatitis; lesions; lupus; neutrophilic; nodules; pngd; sle cache: skin-668.pdf plain text: skin-668.txt item: #1138 of 1356 id: skin-67 author: Svoboda, Ryan M; Franco, Abigail I; Rigel, Darrell S title: Comparing Electrical Impedance Spectroscopy to Traditional Clinical Adjunctive Tools in the Detection of Melanoma date: 2017-10-27 words: 395 flesch: 37 summary: Despite adjuncts such as dermoscopy, clinical detection remains challenging • Electrical impedance spectroscopy (EIS) (Nevisense, SciBase AB, Stockholm, Sweden) has been shown to have potential as a diagnostic aid for the detection of melanoma • To compare the results of EIS to clinical detection algorithms in biopsy-proven melanoma lesions • To determine the correlation between EIS score and pathologic staging • Only biopsy-positive lesions were included in the data analysis • There were few advanced lesions • There appears to be a moderate positive correlation between increasing EIS score and advancing tumor stage • keywords: eis; melanoma cache: skin-67.pdf plain text: skin-67.txt item: #1139 of 1356 id: skin-670 author: Gu, Yuhan David; Reynolds, Hoyt Harris; Kissel, Rebecca; Elewski, Boni E title: Secukinumab and Latex Allergies: Don't trust your EMR date: 2020-01-28 words: 853 flesch: 44 summary: As new therapies and delivery systems are developed, it is imperative that electronic medical systems are updated to reflect potential reactions resulting from the delivery system itself. However, these systems may not always incorporate potential allergens that are specific to the route of administration. keywords: latex; patient; secukinumab; systems cache: skin-670.pdf plain text: skin-670.txt item: #1140 of 1356 id: skin-672 author: Avila, Christina; Milani-Nejad, Nima; Carr, David title: Superficial Acral Fibromyxoma with Ossification on the Fingertip date: 2020-05-08 words: 817 flesch: 51 summary: SKIN May 2020 Volume 4 Issue 3 Copyright 2020 The National Society for Cutaneous Medicine 294 SHORT COMMUNICATIONS Superficial Acral Fibromyxoma with Ossification on the Fingertip Christina Avila, MPH1, Nima Milani-Nejad, MD, PhD2, David R. Carr, MD2 1The Ohio State University College of Medicine, Columbus, OH 2The Ohio State University Department of Internal Medicine, Division of Dermatology, Columbus, OH Superficial acral fibromyxomas (SAFM) are soft tissue tumors with a predilection for the extremities that often involve the nail bed. 2012;36(6):789-98 4. Prescott RJ, Husain EA, Abdellaoui A, et al. Superficial acral fibromyxoma: A clinicopathological study of new 41 cases from the U.K.: Should myxoma (NOS) and fibroma (NOS) continue as part of 21st-century reporting? keywords: fibromyxoma; medicine; safm cache: skin-672.pdf plain text: skin-672.txt item: #1141 of 1356 id: skin-673 author: Tsatalis, John title: Christina M. Jenkins: Weaving the History of Artificial Hair Extensions date: 2020-05-08 words: 464 flesch: 52 summary: Today, enhancements like bonding, singeing, and access to hair of different color and texture have created more natural appearing products, while the well-publicized risk of central centrifugal cicatricial alopecia has created a movement toward improved safety profiles for hair weaves. In 1952, an African American woman named Christina Jenkins solved this millennium old problem with the invention of “HairWeeve”. keywords: hair; jenkins cache: skin-673.pdf plain text: skin-673.txt item: #1142 of 1356 id: skin-675 author: Guda, Anisha; Browning, John title: Letter to the Editor: Commentary on "Stigmatizing attitudes towards persons with psoriasis among laypersons and medical students" date: 2020-03-08 words: 676 flesch: 39 summary: They call for educational campaigns and advertisements that could mitigate the negative opinions of laypersons towards viewing psoriatic lesions while also minimizing stereotypes and myths.1 To further investigate the potential utility of educational campaigns, we searched for psoriasis social awareness events that had been organized in the past. The National Society for Cutaneous Medicine 187 COMPELLING COMMENTS Letter to the Editor: Commentary on “Stigmatizing attitudes toward persons with psoriasis among laypersons and medical students” Anisha Guda BS1, John Browning MD2 1UT Health San Antonio Long School of Medicine, San Antonio, TX 2Adjunct Associate Professor, Pediatrics and Dermatology, UT Health San Antonio, San Antonio, TX To the Editor: We read with great interest the article by Pearl et al in which the prevalence and predictors of stigmatizing attitudes among medical students and laypersons was determined.1 They found that laypersons view psoriasis as contagious and not a serious disease while medical students had less stigmatizing attitudes. keywords: attitudes; awareness; psoriasis cache: skin-675.pdf plain text: skin-675.txt item: #1143 of 1356 id: skin-676 author: Obayomi, Aderonke O; Vick, Garrett; Charbonnet, Tamela title: TNF-α Antagonist Induced Bullous Pemphigoid date: 2020-03-08 words: 718 flesch: 50 summary: Despite reduction in the activity of bullous lesions, her psoriasis was noted to flare with an increase in affected body surface area to 25 percent. Urticarial plaque with overlying bullae on the patient’s right leg. keywords: patient; pemphigoid cache: skin-676.pdf plain text: skin-676.txt item: #1144 of 1356 id: skin-677 author: Auchus, Alexander; Brodell, Robert T; Nahar, Vinayak K; Ward, Kimberley HM title: Avoiding the Hazards of Ultraviolet Light in the Adolescent Population date: 2020-05-08 words: 4642 flesch: 56 summary: SKIN May 2020 Volume 4 Issue 3 Copyright 2020 The National Society for Cutaneous Medicine 189 IN-DEPTH REVIEWS Avoiding the Hazards of Ultraviolet Light in the Adolescent Population Alexander Auchus1, Robert T. Brodell, MD2, Vinayak K. Nahar, MD, MS, PhD, FRSPH2,3, Kimberley H.M. Ward, MD2 1Department of Psychology, School of Arts and Sciences, University of Pennsylvania, Philadelphia, PA 2Department of Dermatology, School of Medicine, University of Mississippi Medical Center, Jackson, MS 3Department of Preventive Medicine, School of Medicine, University of Mississippi Medical Center, Jackson, MS Ultraviolet (UV) light in the UVB and UVA ranges has been demonstrated to cause acute sunburn and chronic skin problems including wrinkles, brown spots (solar lentigines), sallowness, precancerous lesions including actinic keratoses, and skin cancer (basal cell carcinoma, squamous cell carcinoma, and melanoma).1-4 In fact, in 2009, UV-emitting tanning devices were classified as “carcinogenic to humans” (Group 1) by the World Health Organization’s International Agency for Research on Cancer.5 Skin damage is increased with the strength of the UV light during mid-day (10am-2pm), cloudless days, higher altitudes, and the duration of exposure. While not everyone exposed to significant amounts of UV light will develop skin cancer, the lifetime risk of basal cell carcinoma in Caucasian individuals is around 30%.7 Most importantly, one severe sunburn in a lifetime has been shown to increase an individual’s risk of developing potentially life-threatening malignant melanoma.8,9 Protection from the hazards of UV light remains the most important modifiable risk factor for skin cancer. keywords: agents; dermatology; journal; medicine; protection; skin; sunscreen; tanning; uvb cache: skin-677.pdf plain text: skin-677.txt item: #1145 of 1356 id: skin-68 author: Svoboda, Ryan M; Zuckerman, Joshua D; Rigel, Darrell S title: Pilot Study Assessing the Efficacy of a Novel Topical Adhesive for Dermatologic Excisional Wound Closure date: 2017-10-27 words: 323 flesch: -27 summary: PowerPoint Presentation Pilot study assessing the efficacy of a novel topical adhesive for dermatologic excisional wound closure Ryan M. Svoboda, MD MS1, Joshua D. Zuckerman, MD2, Darrell S. Rigel, MD MS3* Background Objective Methods Results Limitations Conclusions 1National Society for Cutaneous Medicine, New York, NY 2Schweiger Dermatology, New York, NY 3Ronald O. Perelman Dept. of Dermatology, NYU Medical Center, New York, NY • The topical adhesive, 2-octyl cyanoacrylate, has been used as an alternative to suture or staple closure of the skin in a variety of procedures • While the use of adhesive carries potential benefits in terms of ease of application, prior reports of allergic contact dermatitis and burns from exothermic reactions have presented a potential barrier to usage • To investigate the feasibility of using a novel formulation of 2-octyl cyanoacrylate (Actabond-Bergen Medical Products, Inc., Morris Plains, NJ) for skin closure after surgical excision of cutaneous lesions *1 patient lost to follow-up **< 1mm skin edge separation, treated conservatively • The results of office-based cutaneous surgical excisions using a novel formulation of 2-octyl cyanoacrylate for skin closure were examined in 9 consecutive patients (10 lesions) • Surgical sites were photographed: • Pre-operatively • Intraoperatively (open wound, prior to adhesive application, following adhesive application) • Two-weeks post-operatively • At follow-up, patient satisfaction was assessed and all incisions were examined for: • Cosmetic result • Signs of infection • Small sample size in this pilot series • No comparison group • keywords: cyanoacrylate; octyl cache: skin-68.pdf plain text: skin-68.txt item: #1146 of 1356 id: skin-680 author: Fisher, Kaylee; Meister, Harry; Shihab, Nahla; Lebwohl, Mark title: Psoriasis with End Stage Renal Disease Successfully Treated with Ustekinumab: A Case Report date: 2020-07-12 words: 1016 flesch: 53 summary: This suggests that ustekinumab may be a safe therapeutic choice for severe plaque psoriasis in individuals with renal dysfunction.8 The use of ustekinumab to treat psoriasis may be a therapeutic option for patients who have renal dysfunction and may not require renal dose-adjustments. In this report we detail a case of severe plaque psoriasis complicated with end-stage renal disease (ESRD), successfully treated with ustekinumab without need for dose adjustment. keywords: disease; kidney; patient; psoriasis; ustekinumab cache: skin-680.pdf plain text: skin-680.txt item: #1147 of 1356 id: skin-681 author: Nazarian, Roya S.; Vyas, Nikki S.; Evans, John; Phelps, Robert G. title: Hyperpigmentation Associated with the Use of Topical Cidofovir for Treatment of Trichodysplasia Spinulosa in an Immunosuppressed Adult: Case Report and Review of the Literature date: 2020-03-08 words: 2132 flesch: 46 summary: Multiple treatments exist including oral acitretin, valganciclovir, lefludomide, topical cidofovir, physical extraction, and modification of immunosuppressive medications. We describe the case of a 52-year old female with a painful midfacial eruption and alopecia of the bilateral eyebrows ultimately diagnosed with TS and treated with topical cidofovir 3%. keywords: case; cidofovir; skin; spinulosa; topical; trichodysplasia cache: skin-681.pdf plain text: skin-681.txt item: #1148 of 1356 id: skin-683 author: Bhatia, Kyle R; Brodell, Robert T; Bhatia, Ashish C; Mockbee, Chelsea S title: Interdigital Tinea: The Forerunner of Infectious Eczematoid Dermatitis date: 2020-07-12 words: 1697 flesch: 52 summary: Weinstein A, Berman B. Topical treatment of common superficial tinea infections. The National Society for Cutaneous Medicine 355 antibiotic resistance, which can be attributed to dermatophyte production of penicillin-like and streptomycin-like antibiotic substances.4,5 Clinical presentation of intertriginous tinea pedis infection is highly variable. keywords: case; ied; infection; patient; pedis; tinea cache: skin-683.pdf plain text: skin-683.txt item: #1149 of 1356 id: skin-684 author: Litchman DO, MS, Graham H; Svoboda, Ryan M; Rigel, Darrell S title: Is Absorption of Sunscreen Truly a Problem? A Careful Review Suggests it is Not. date: 2019-09-13 words: 930 flesch: 54 summary: This is especially critical because multiple studies have shown that skin cancer risk is mitigated by avoiding and blocking ultraviolet (UV) radiation, the primary purpose of sunscreen usage. Higher SPF sunscreens have been demonstrated to be more protective in real- world settings.6 keywords: cancer; new; skin; sunscreen cache: skin-684.pdf plain text: skin-684.txt item: #1150 of 1356 id: skin-686 author: Heibel, Haley Danielle; Cockerell, Clay J. title: Clinician-Dermatopathologist Communication via the Requisition Form in the Era of Electronic Medical Records: A Review of the Literature date: 2020-01-28 words: 3452 flesch: 31 summary: Communication between clinicians and dermatopathologists may be improved through institution of standards for SBRFs by professional groups, required clinical elements on the SBRF, and the development of a consistent and efficient system to collect, deliver, and communicate clinical information to dermatopathologists.10 Electronic SBRFs may be improved by the inclusion of checklists with required fields and clear descriptions to allow for greater ease in extracting information by the dermatopathologist.10 After the implementation of templated electronic SBRFs, Maley et al13 found an increased amount of pertinent clinical information on the SBRF for specimens with a final diagnosis of melanoma and that electronic SBRFs were significantly more likely than handwritten SBRFs to include the type of biopsy specimen, a larger number of differential diagnoses, a recorded diameter of the lesion, and a greater proportion of the lesion removed in the biopsy specimen. Microsoft Word - 3. 686 Proof done.docx SKIN January 2020 Volume 4 Issue 1 Copyright 2020 The National Society for Cutaneous Medicine 15 IN-DEPTH REVIEWS Clinician-Dermatopathologist Communication via the Requisition Form in the Era of Electronic Medical Records: A Review of the Literature Haley D. Heibel, MD,1 Clay J. Cockerell, MD, MBA2 1SUNY Downstate Health Sciences University, Brooklyn, NY, USA 2Cockerell Dermatopathology, Dallas, TX, USA Background: There are shortcomings in the quality and accuracy of clinical information on skin biopsy requisition forms (SBRFs). keywords: biopsy; dermatopathologists; diagnosis; emr; information; requisition; sbrf; skin cache: skin-686.pdf plain text: skin-686.txt item: #1151 of 1356 id: skin-69 author: Svoboda, Ryan M; Glazer, Alex M; Rigel, Darrell S title: 31-Gene Expression Profile Assessing Metastatic Risk in Melanoma Patients: Issues Impacting Patient Selection date: 2017-10-27 words: 520 flesch: 13 summary: The impact of the results of this test on clinical decision making has been studied, but little is known about which clinical factors impact dermatologists’ decision to utilize the test • To determine which factors impact the decision to utilize the 31- GEP test for metastatic risk stratification in CMM patients *Disclosures: Dr. Rigel serves as a consultant to and on the advisory board for Castle Biosciences. Despite the fact that 2/3rds of CMM patients who develop metastases initially have a negative SLNBx, negative SLNBx status does not seem to be a significant stimulus to ordering the test Percentage of Dermatologists Who Would Order 31-GEP Test in Different Clinical Scenarios *statistically significant **p-value comparing proportion who would order test at baseline and in presence of ulceration or SLN negative status for given thickness Breslow Thickness 0.26 mm 0.50 mm 0.76 mm 2.1 mm p-value* Non-ulcerated 22% 78% 61% 74% <0.001 Ulcerated 67% 87% 80% 72% <0.001 Percent of Sample Who Would Use 31-GEP Test to Predict Metastatic Risk in Malignant Melanoma *Using chi-squared test to compare the proportion who would order the 31-GEP test at each Breslow thickness keywords: test cache: skin-69.pdf plain text: skin-69.txt item: #1152 of 1356 id: skin-690 author: none title: A Survey Based Study on the Sun Safety Knowledge of Students Attending Public Schools in San Antonio, TX date: 2020-01-28 words: 1144 flesch: 62 summary: According to the World Health Organization, the majority of sun exposure occurs before the age of 18.1 Because children spend much of their time outdoors, teachers should ensure students have enough knowledge to protect themselves from the sun. According to the World Health Organization, the majority of sun exposure occurs before the age of 18. keywords: antonio; students; sun cache: skin-690.pdf plain text: skin-690.txt item: #1153 of 1356 id: skin-70 author: Bernstein, Daniel; Giddings, Sara; Khorasani, Hooman title: Mohs Micrographic Surgery Peripheral Margin Control Prior to En Bloc Tumor Resection: A Report of Three Cases date: 2018-01-02 words: 1437 flesch: 50 summary: Case 3: 73-year-old male with multiply recurrent SCC of the right lower extremity treated with MMS peripheral margin control followed by central tumor extirpation and reconstruction. Conclusions: MMS peripheral margin control followed by central tumor extirpation and defect reconstruction at a later date in the operating room is an option for deeply invasive, large and aggressive NMSC. keywords: control; margin; mms; tumor cache: skin-70.pdf plain text: skin-70.txt item: #1154 of 1356 id: skin-704 author: Khan, Umair; Kaushik, Shivani; Anvekar, Rina title: Recent Advances in Systemic Therapy for Malignant Melanoma date: 2020-01-28 words: 5677 flesch: 51 summary: Although the exact mechanism of ACT’s antitumor activity is not fully understood, it may include suppression of Tregs or changes in the TME cytokine profile that eliminates host immunosuppression.22 T cells are primed against cancer cells by in vitro stimulation using neo-antigens that include cancer- antigenic peptides and tumor cells. Immunotherapy helps CTLs perform two tasks in order to eradicate tumor cells: recognizing the presence of tumor cells and INTRODUCTION Malignant melanoma is a major contributor of skin cancer related mortality with increasing incidence and resistance to therapy. keywords: braf; cancer; cells; et al; inhibitors; ipilimumab; melanoma; patients; pd-1; phase; response; skin; survival; therapy; trials; tumor cache: skin-704.pdf plain text: skin-704.txt item: #1155 of 1356 id: skin-706 author: Orlowski, Timothy Jay; Hatch, Michael M; Pavlidakey, Peter; Kissel, Rebecca; Graham, Lauren V title: Pediatric Inflammatory Epidermolysis Bullosa Acquisita in a Patient with Oculocutaneous Albinism date: 2020-03-08 words: 930 flesch: 46 summary: UV radiation can cause damage to the BMZ and increase the transcriptional expression of type VII collagen antibodies in dermal fibroblasts.4,5 We hypothesize that due to his history of OCA, our patient’s increased sensitivity to solar radiation led to the exposure of BMZ antigens and development of type VII collagen autoantibodies. Management of epidermolysis bullosa acquisita. keywords: acquisita; bullosa; epidermolysis; patient cache: skin-706.pdf plain text: skin-706.txt item: #1156 of 1356 id: skin-709 author: Khederlou, Hamid; Najmi, Zahra; Mohammadi, Narges; Atrak, Shahla; Ghaffari, Nader title: Successful Treatment of Generalized Pustular Psoriasis of Pregnancy with Oral Cyclosporine date: 2020-05-08 words: 1756 flesch: 18 summary: Pustular psoriasis can be localized or widespread, similar to our case in this study.10,11 GPPP is characterized by macroscopic pustules and is the most difficult variant of generalized pustular psoriasis to treat. SKIN May 2020 Volume 4 Issue 3 Copyright 2020 The National Society for Cutaneous Medicine 252 RESIDENT COMPETITION RESEARCH ARTICLES Successful Treatment of Generalized Pustular Psoriasis of Pregnancy with Oral Cyclosporine Zahra Najmi, MD,1 Ali Sayyadinejad, MD,2 Narges Mohammadi, MD,3 Shahla Atrak, MD,1 Nader Ghaffari, MD,4 Hamid Khederlou, MD5 1Department of Obstetrics and Gynecology, Zanjan University of Medical Sciences, Zanjan, Iran 2Department of Dermatology, Zanjan University of Medical Sciences, Zanjan, Iran 3Student Research Center, Zanjan University of Medical Sciences, Zanjan, Iran 4MD, Anatomical and Clinical Pathologist, Booali Laboratory, Zanjan, Iran 5Resident of Cardiology, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran Generalized pustular psoriasis of pregnancy (GPPP) or impetigo herpetiformis is a rare and severe dermatosis which usually occurs during the third trimester of pregnancy.1,2 keywords: case; cyclosporine; dermatol; impetigo; pregnancy; psoriasis; pustules; zanjan cache: skin-709.pdf plain text: skin-709.txt item: #1157 of 1356 id: skin-710 author: Martinez, Aidan; Han, Joseph; Shihab, Nahla; Lebwohl, Mark title: Successful Treatment of Granuloma Annulare with Certolizumab date: 2020-05-08 words: 1020 flesch: 32 summary: We present the first case of a patient with generalized GA who failed topical treatment, phototherapy, and adalimumab, but was able to achieve complete resolution with certolizumab. This form is usually self- limited, treatment is primarily indicated for cosmetic reasons and associated impact on self-image and quality of life.2 A less common type is generalized GA, which can be diagnosed by the presence of generalized skin-colored plaque and papules varying in sizes.3 Unlike the localized form, generalized GA is often pruritic. keywords: annulare; certolizumab; granuloma cache: skin-710.pdf plain text: skin-710.txt item: #1158 of 1356 id: skin-713 author: Bembry, Raina; Malakouti, Navid; Maiberger, Mary title: Hypersensitivity Reactions Secondary to Dupilumab in Two Patients with Moderate to Severe Atopic Dermatitis date: 2020-07-12 words: 1369 flesch: 42 summary: Here we decribe two cases of patients with moderate to severe atopic dermatitis who developed an acute hypersensitivity reaction within hours of their second dose of dupilumab. Guidelines of care for the management of atopic dermatitis. keywords: atopic; dermatitis; dupilumab; patients cache: skin-713.pdf plain text: skin-713.txt item: #1159 of 1356 id: skin-714 author: Simmons, Brian J; Chapman, M Shane; Linos, Konstantinos title: Imiquimod-Induced Cutaneous Lupus-like Reaction: A Potential Histologic Pitfall Highlighting the Importance of Clinico-pathologic Correlation date: 2020-05-08 words: 710 flesch: 44 summary: Overall, imiquimod is thought to induce lupus erythematous-like microscopic findings via local upregulation of interferon alpha and/or direct pro-apoptotic activity via B-cell lymphoma 2(Bcl-2) with subsequent activation of caspases.2 To date, there are 3 cases in the literature addressing this phenomenon in patients aged 75 to 91 years old for the treatment of actinic keratosis and lentigo maligna.2,3 However, with better long term efficacy data the use of imiquimod for the treatment of residual MIS will continue to increase making the potential prevalence of a lupus-erythematous like reaction more common. Although controversial, the use of imiquimod for the treatment of primary melanoma in-situ (MIS) and residual MIS after surgical excisions has become more common. keywords: imiquimod; lupus; mis cache: skin-714.pdf plain text: skin-714.txt item: #1160 of 1356 id: skin-718 author: Omorodion, Itohan H; Flowers, Richard H; Cropley, Thomas G title: A 65-Year-Old Male with a Large Plaque of Retiform Purpura with Impending Necrosis on the Right Lower Abdomen date: 2020-07-12 words: 792 flesch: 45 summary: In extreme cases, surgical debridement may be indicated.1,3,4 NS is mainly attributed to improper injection technique and the risk of recurrence is low, so it is not a contraindication for continuing therapy.1,4 NS may be avoided by using Z-track injections, long needles, auto-injectors, performing aspirations prior to injection, and injecting in regions with less blood vessels.3 Nicolau Syndrome (NS) is a rare but highly distinctive adverse reaction to intramuscular, intra-articular, or subcutaneous injections which can lead to ischemic necrosis of the skin, muscle, and adipose tissue.1,2 NS has been reported following injections of various medications, including nonsteroidal anti- inflammatory drugs, antibiotics, glucocorticoids, and anesthetics.2,3 In this report, the patient experienced NS after self- injecting GA after approximately 8 years of prior GA therapy. keywords: injection cache: skin-718.pdf plain text: skin-718.txt item: #1161 of 1356 id: skin-719 author: Juhasz, Margit; Chen, Siwei; Khosrovi-Eghbal, Arash; Ekelem, Chloe; Landaverde, Yessica; Baldi, Pierre; Mesinkovska, Natasha Atanaskova title: Characterizing the Skin and Gut Microbiome of Alopecia Areata Patients date: 2020-01-28 words: 3225 flesch: 42 summary: The objective of this study was to characterize the skin and gut microbiome of AA patients, and compare microbial composition to healthy individuals. Specific to dermatology and hair biology, recent animal studies suggest that the gut microbiome may play a role in the development of AA.2,3 With mounting evidence of the microbiome’s importance in various inflammatory disorders, we hypothesize that the skin and gut microbiome of AA patients differ significantly from healthy controls. keywords: alopecia; controls; disease; fungal; gut; irvine; microbiome; patients; scalp; skin cache: skin-719.pdf plain text: skin-719.txt item: #1162 of 1356 id: skin-720 author: Khan, Umair; Shihab, Nahla; Phelps, Robert G; Lebwohl, Mark title: Successful Treatment of Pityriasis Rubra Pilaris with Brodalumab date: 2020-03-08 words: 1555 flesch: 48 summary: In a selection of published cases, type I PRP patients displayed a 50% treatment response rate to methotrexate alone9. PRP can also present with additional cutaneous features such as nails that are thickened, discolored, and ridged, whereas psoriasis patients display nail changes such as nail pitting, the oil drop sign, and distal onycholysis. keywords: patient; pilaris; pityriasis; prp; rubra; treatment cache: skin-720.pdf plain text: skin-720.txt item: #1163 of 1356 id: skin-721 author: Karri, Padmavathi V; Charles, Datonye O; Bui, Brina V title: To Our Brown Skin Girls date: 2020-07-12 words: 449 flesch: 60 summary: The alarming number of skin lighteners and bleaching treatments in Asian and African cultures are proof of skin color hierarchy.1,2 In 2017, the global skin- lightening industry was worth several billions with as much as 61% of women in India use skin-lightening cream and 77% in Nigeria.1–3 Instead of pointing fingers at those choosing to lighten their complexion, we must instead bring awareness and change to the society that discriminates against darker skin. Popular Instagram hashtags to celebrate dark skin are “melaninpoppin”, “melaninqueen”, and “blackgirlmagic” with over 20 million tags. keywords: 2020; brown; skin cache: skin-721.pdf plain text: skin-721.txt item: #1164 of 1356 id: skin-722 author: Kurta, Anastasia O; Weinstock, Leonard B; Semchyshyn, Natalie title: Erythromelalgia in a Patient with Mast Cell Activation Syndrome: Response to Low Dose Naltrexone date: 2020-05-08 words: 1385 flesch: 55 summary: After two months of LDN therapy, she reported moderate improvement in EM symptoms with reduced pain flares in her feet. MCAS is a chronic multi-system disease of abnormal mast cell activation that leads to inflammatory and allergic illness. keywords: cell; dose; ldn; mast; pain cache: skin-722.pdf plain text: skin-722.txt item: #1165 of 1356 id: skin-724 author: Thibodeaux, Quinn; Fried, Rick; Goldenberg, Gary; Han, George; Hsu, Sylvia; Kircik, Leon; Knuckles, Melissa; Lebwohl, Mark; Litchman, Graham; Murina, Andrea; Rivera-Oyola, Ryan; Weinberg, Jeffrey; Wu, Jashin J; Koo, John title: Expert Panel Discussion among Psoriasis and Psychodermatology Specialists: How Best to Manage Depressed Psoriasis Patients with Brodalumab date: 2019-12-02 words: 2937 flesch: 43 summary: Despite the inclusion of patients with psychiatric disorders and SIB risk factors, rates of serious psychiatric adverse events in the brodalumab clinical trials are comparable to the rates reported for other psoriasis treatments.9 10. It is also recommended that dermatologists tailor their treatment of depressed patients with psoriasis to include agents that are highly effective and rapidly acting. keywords: brodalumab; depression; dermatology; novartis; patients; pharma; psoriasis; treatment cache: skin-724.pdf plain text: skin-724.txt item: #1166 of 1356 id: skin-73 author: Curtis, Jeffrey R; Elewaut, Dirk; Chen, Su; Hojnik, Maja; Naveh, Navit; Anderson, Jaclyn K title: Incidence of Inflammatory Bowel Disease Events in Adalimumab Clinical Trials Across Indications date: 2017-10-27 words: 2206 flesch: 46 summary: bAll ADA pati ents in all interventi onal studies of PsA, non-PsA pSpA, nr-axSpA, and AS. bAll ADA pati ents in all interventi onal studies of PsA, non-PsA pSpA, nr-axSpA, and AS. keywords: ents; ibd; pati cache: skin-73.pdf plain text: skin-73.txt item: #1167 of 1356 id: skin-730 author: Elliott, Russell; Lawrence, Gary; Hazot, Yohan; Margulis, Lenny; Stakias, Vassilis; Stuart, Iain title: Ex Vivo Assessment of FMX101 & FMX103 Human Skin Permeation and Penetration date: 2019-11-09 words: 1209 flesch: 26 summary: Ex vivo assessment of drug delivery across human skin to the sebaceous appendages assessed using a flow-through diffusion cell • The flow-through diffusion cell (Figure 1) was used to assess drug delivery across human skin and to the sebaceous appendages •����Human�skin�from�a�single�donor�was�initially�stored�at�−80⁰�C� and thawed at room temperature. Development of a suitable receptor solution and extraction diluent for ex vivo drug permeation and penetration experiments in human skin • Three receptor solutions were assessed for their ability to minimize degradation of minocycline during ex vivo permeation and penetration • 165 mM sodium acetate pH 5.0 with 0.01% Brij-O20 • 50 mM MgCl2 in 115 mM sodium acetate pH 5.0 with 0.01% Brij-O20 • 35 mM EDTA in 130 mM sodium acetate pH 5.0 with 0.01% Brij-O20 • Three different diluents were assessed for their suitability as extraction fluids for the recovery of minocycline from the surface of the skin, the skin layers (epidermis and dermis), and from a single drop of 2-octyl cyanoacrylate glue (SurgiSeal®) • 90/9/1 acetonitrile/water/formic acid • 90/9/1 methanol/water/formic acid • 25 mM MgCl2 in 90/9/1 methanol/water/formic acid) • Method development tests determined 35 mM EDTA in 130 mM sodium acetate pH 5.0 with 0.01% Brij-O20 was suitable as the receptor solution and that 90/9/1 methanol/ water/formic acid should be used as the extraction solvent Skin Penetration and Permeation • Foam samples were collapsed in a glass container an approximately 10 mg of the collapsed foam was dosed onto the skin (n=10) • Flow was set at 10 µl/min and the formulation was allowed to penetrate through the skin for 12 hours • Subsequently, two treatment paradigms were implemented: 1. Sebaceous Appendage Intact: Five skin samples were cleaned�and�heated�at�60°C�(140°F)�for�2�minutes�in�order� to manually separate the dermis from the epidermis 2. Sebaceous Appendage Separation: keywords: minocycline; penetration; skin cache: skin-730.pdf plain text: skin-730.txt item: #1168 of 1356 id: skin-731 author: Del Rosso, James Q; Hartman, Corey L; Lewis, Caitlin; Schreiber, Rhonda title: Real World Patient Perceptions of the use of Tazarotene 0.1% Foam in the Treatment of Acne Vulgaris date: 2019-11-09 words: 1974 flesch: 57 summary: Foam vehicle formulations received the highest ranking by far, with 56% of respondents rating it as “most preferred”. It is well known that topical vehicle formulation can significantly alter drug delivery and therefore impact safety, efficacy and tolerability.3 In recent years aqueous-based foam formulations have become a preferred vehicle in treating skin disease as their favorable tolerability and cosmetic elegance have led to positive patient preference, increasing the likelihood that adherence to treatment regimens including these foam vehicles will also improve. keywords: foam; satisfaction; tazarotene; treatment; use; week cache: skin-731.pdf plain text: skin-731.txt item: #1169 of 1356 id: skin-732 author: Han, George; Armstrong, April W; Desai, Seemal R; Guenin, Eric title: Novel Tretinoin 0.05% Lotion for the Once-Daily Treatment of Moderate-to-Severe Acne Vulgaris in an Asian Population date: 2019-11-09 words: 1244 flesch: 59 summary: Percent Reduction in Lesion Counts A. Inflammatory Lesions -80% -60% -40% -20% 0% Baseline Week 4 Week 8 Week 12 LS M e a n P e rc e n t R e d u ct io n -59% -44% -35% -22% -24% -42% Tretinoin 0.05% Lotion (n=36) Vehicle (n=33) B. Noninflammatory Lesions -25% -7% -35% -9% -51% -24% -80% -60% -40% -20% 0% Baseline Week 4 Week 8 Week 12 LS M e a n P e rc e n t R e d u ct io n Tretinoin 0.05% Lotion (n=36) Vehicle (n=33) *P=0.012 vs vehicle. keywords: vehicle; week cache: skin-732.pdf plain text: skin-732.txt item: #1170 of 1356 id: skin-733 author: Bhatia, Neal; Kircik, Leon H; Shamban, Ava; Bhatt, Varsha; Pillai, Radhakrishnan; Guenin, Eric title: A Randomized, Observer‑Blind, Split‑Face Study to Assess Compatibility of Facial Foundation Makeup with Tretinoin 0.05% Lotion and Skin Texture After Application date: 2019-11-09 words: 1292 flesch: 42 summary: My makeup foundation has a natural-looking appearance My makeup foundation appears to have an even full coverage My skin appears to be smooth with my makeup foundation applied With my makeup foundation, my skin tone appears to be even Treated: post-makeup application Untreated: post-makeup application Treated: at hour six Untreated: at hour six B. Participant Satisfaction Items Treated: at hour six 4: Strongly Agree 3: Agree Somewhat 2: Disagree Somewhat 1: Strongly Disagree I feel satis�ed with applying this treatment under my foundation makeup It was easy to apply my foundation makeup after thetreatment I feel con�dent wearing foundation makeup after applying the treatment I feel I can add the treatment to my everyday routine before applying foundation makeup Treated: post-makeup application P a rt ic ip a n t R a ti n g , M e a n S co re ± S D *P<0.05 vs untreated post-makeup application. Per participant ratings, even/full coverage and skin smoothness were significantly better on the treated side than on the untreated side immediately after foundation application (P=0.03 and P=0.01, respectively; Figure 2A) • keywords: application; foundation; makeup; skin cache: skin-733.pdf plain text: skin-733.txt item: #1171 of 1356 id: skin-734 author: St. Surin-Lord, Sharleen; Werschler, William Philip; Guenin, Eric title: Acne-Related Quality of Life: Efficacy of a Novel Tretinoin 0.05% Lotion in Male and Female Patients with Moderate-to-Severe Disease date: 2019-11-09 words: 914 flesch: 41 summary: Compared with other dermatologic conditions, acne is associated with greater negative psychosocial impacts, particularly with feelings of despair and distress2 ◾ Acne-related QoL has been shown to be worse in women, possibly because of differences in perceptions regarding self-appearance and cosmetic concerns2 ◾ CONCLUSION ◾ Tretinoin 0.05% lotion was significantly more effective than its vehicle in achieving improvements in QoL, especially in female participants ◾ Improvements seen in each QoL domain were mirrored by a significant improvement in participant satisfaction REFERENCES 1. keywords: acne; qol; role cache: skin-734.pdf plain text: skin-734.txt item: #1172 of 1356 id: skin-735 author: Woolery-Lloyd, Heather C; Harper, Julie C; Guenin, Eric title: Acne-Related Quality of Life: Correlation Between Acne Symptom Scores and Other Domains Following Treatment with Tretinoin 0.05% Lotion date: 2019-11-09 words: 1099 flesch: 52 summary: At Week 12, correlations were similar (0.66, 0.67, and 0.61, respectively) with clear improvements seen with tretinoin treatment (Figures 1, 2, and 3 [higher scores for each domain vs baseline]) FIGURE 1: Correlation Between Acne Symptoms and Self-Perception at Baseline and Week 12 in Patients Treated With Tretinoin 0.05% Lotion (ITT population; Improvement B. Week 12 correlation=0.69 correlation=0.66 Higher scores for each domain reflect improved health-related QoL. ITT, intent-to-treat. FIGURE 2: Correlation Between Acne Symptoms and Role-Emotional at Baseline and Week 12 in Patients Treated With Tretinoin 0.05% Lotion (ITT population; keywords: acne; symptoms cache: skin-735.pdf plain text: skin-735.txt item: #1173 of 1356 id: skin-736 author: Draelos, Zoe; Cook-Bolden, Fran; Green, Lawrence; Guenin, Eric; Martin, Gina; Pillai, Radhakrishnan title: Comparison of a Novel Tazarotene 0.045% Lotion to Tazarotene 0.1% Cream: Patient-Reported Outcomes from a Phase 2 Clinical Trial date: 2019-11-09 words: 961 flesch: 49 summary: Participants aged 12 years and older were randomized (2:2:1:1) to receive double-blind treatment with tazarotene 0.045% lotion, tazarotene 0.1% cream, lotion vehicle, or cream vehicle ◾ ◾ Per SSA ratings, the percentage of participants who reported having 90-100% clear skin was similar between tazarotene lotion and cream and greater than vehicle (Figure 3) FIGURE 2. keywords: cream; lotion; tazarotene cache: skin-736.pdf plain text: skin-736.txt item: #1174 of 1356 id: skin-737 author: Gold, Linda Stein; Zeichner, Joshua; Alikunju, Shanavas; Gautam, Anirudh; Shenoy, Srinivas; Singh, Preeti; Sidgiddi, Srinivas title: DFD 29, a low dose oral minocycline, shows significant improvement in quality of life in subjects with papulopustular rosacea date: 2019-11-09 words: 501 flesch: 61 summary: Subjects were randomized to receive DFD-29 (minocycline HCl) 40 mg extended release (ER) capsules, DFD-29, 20 mg ER capsules, Oraycea® (doxycycline HCl) At week 16 the median reduction in total RosaQoL was 11 points in DFD-29 (40 mg), 8 points in DFD-29 (20 mg), 3 points in doxycycline (40 mg) and 1 point in the placebo group (Fig.1).  keywords: dfd-29 cache: skin-737.pdf plain text: skin-737.txt item: #1175 of 1356 id: skin-738 author: Tsianakas, Athanasios; Bhatia, Neal; Alikunju, Shanavas; Gautam, Anirudh; Shenoy, Srinivas; Singh, Preeti; Sidgiddi, Srinivas title: DFD-29, a low dose oral minocycline, demonstrates superior efficacy as compared to placebo and Oraycea ® Capsules (doxycycline HCl) in subjects with papulopustular rosacea date: 2019-11-09 words: 724 flesch: 53 summary: The mean reduction in total inflammatory lesion count from Baseline was 19.2 lesions in DFD-29 (40 mg), 12.6 lesions in DFD-29 (20 mg), 10.5 lesions in doxycycline (40 mg) and 7.3 lesions in placebo groups (Fig.2). * # @ 0 10 20 30 40 50 60 70 80 90 100 IGA(0/1) DFD-29 40mg, n=53 DFD-29 20mg, n=47 Doxycycline 40mg,n=48 Placebo, n=52 % S u b je c ts a c h ie v in g I G A s u c c e s s 66.4 33.3 31.9 11.5 * # @ * *Statistical significance reported vs placebo, # Statistical significance reported vs Doxycycline, @ Statistical significance reported vs DFD-29 20mg keywords: dfd-29; doxycycline cache: skin-738.pdf plain text: skin-738.txt item: #1176 of 1356 id: skin-739 author: Thaci, D; Papp, K; Gordon, K; Morita, A; Gooderham, M; Foley, P; Alemano, E; Kisa, R; Elbez, Y; Ren, H; Banerjee, S title: An oral, selective tyrosine kinase 2 inhibitor, BMS-986165, improves quality of life in psoriasis: results from a Phase 2 study date: 2019-11-09 words: 2369 flesch: 61 summary: For patients with DLQI overall scores 2 at baseline, scores of 0/1 to individual questions on the 10-question DLQI form (each scored 0–3) were analyzed. Analysis of DLQI score • The proportion of patients achieving DLQI overall score 0/1, indicative of no impact on the patient’s health-related QoL,10 over time to Week 12 was calculated. keywords: bid; bms-986165; dlqi; pasi; score cache: skin-739.pdf plain text: skin-739.txt item: #1177 of 1356 id: skin-74 author: Garg, Amit; van der Zee, Hessel H; Geng, Ziqian; Mulder, Gerit D title: Impact of Baseline Smoking Status and Body Mass Index in Patients with Hidradenitis Suppurativa Treated with Adalimumab or Placebo in Phase 2 or 3 Studies date: 2017-10-27 words: 1788 flesch: 63 summary: Ziqian Geng,3 Gerit D Mulder3 1Department of Dermatology, Hofstra Northwell School of Medicine, Hempstead, New York, USA; 2Department of Dermatology, Erasmus Medical Center, Rotterdam, the Netherlands; 3AbbVie Inc., North Chicago, Illinois, USA Presented at the Fall Clinical Dermatology Conference - 36th Anniversary • Las Vega, Nevada • October 12 – 15, 2017 INTRODUCTION • Patients with HS who received treatment with ADA had a greater clinical response than patients who received placebo, irrespective of baseline smoking status or BMI – The clinical response observed with ADA was not affected by smoking status or BMI – Patients may not have appropriately declared themselves as smokers, which may have affected the proportion of smokers who achieved clinical response • Achievement of HiSCR in Patients with BMI < 30 and BMI ≥ 30 Who Received ADA †P < keywords: ada; patients; placebo cache: skin-74.pdf plain text: skin-74.txt item: #1178 of 1356 id: skin-740 author: Girgis, IG; Chimalakonda, A; Jones III, JP; Dockens, R; Marchisin, D; Darbenzio, R; Singhal, S; Throup, J; Banerjee, S title: Lack of ECG effects of BMS-986165, an oral, selective tyrosine kinase 2 (TYK2) inhibitor: results from a thorough QT study in healthy subjects date: 2019-11-09 words: 2398 flesch: 66 summary: To determine the effect of BMS-986165 plasma concentrations on the QT interval corrected for heart rate (HR) using Fridericia’s method (QTcF), and on other 12-lead ECG-derived endpoints, in healthy subjects. The relationship between BMS-986165 plasma concentration and QTcF was adequately described by a linear mixed-effects model (Figure 3). keywords: bms-986165; dose; set; subjects; qtcf cache: skin-740.pdf plain text: skin-740.txt item: #1179 of 1356 id: skin-741 author: Gordon, K; Papp, K; Gooderman, M; Thaci, D; Foley, P; Morita, A; Kundu, S; Kisa, R; Napoli, A; Banerjee, S title: Influence of baseline demographics/disease characteristics on efficacy of an oral selective TYK2 inhibitor, BMS-986165, in patients with moderate to severe plaque psoriasis: Phase 2, randomized, placebo-controlled trial date: 2019-11-09 words: 4787 flesch: 73 summary: ○ By PASI score (20, 20; Figure 2B): ∙ Response rates for the subgroup of patients with PASI scores 20 were similar to those for patients with PASI scores 20. • BSA (20%, 20%, to indicate less/more severe disease8). keywords: bid; mg bid; pasi; spga; years cache: skin-741.pdf plain text: skin-741.txt item: #1180 of 1356 id: skin-742 author: Lebwohl, Mark; Del Rosso, James; Hong, Chih-ho; Tallman, Anna M; Kircik, Leon title: Tapinarof Cream for the Treatment of Plaque Psoriasis: Efficacy and Safety by Baseline Disease Characteristics and Skin Type in a Phase 2b Randomized Study date: 2019-11-09 words: 2052 flesch: 56 summary: [vehicle BID] and 5% [vehicle QD]) and were maintained for 4 weeks after the end-of-study treatment in all active treatment groups except for the 0.5% BID group2 PGA Response Rates by Baseline % BSA Affected ■ PGA response rates at Week 12 were higher in tapinarof cream groups than vehicle groups, regardless of baseline % BSA affected (Figure 2) – 1 to <10% BSA affected (n=102): 67% (1% BID), 60% (1% QD), 33% (0.5% BID), and 35% (0.5% QD) vs 13% (vehicle BID) and 6% (vehicle QD) – ≥10% BSA affected (n=39): INTRODUCTION ■ Psoriasis is a chronic, immune-mediated disease characterized by scaly, erythematous, and pruritic plaques that can be painful and disfiguring1 ■ Although multiple options are available for the treatment of plaque psoriasis, there is a need for effective topical therapies that can be used without body surface area (BSA) restrictions or concerns for the duration of treatment ■ Tapinarof cream is a therapeutic aryl hydrocarbon receptor modulating agent (TAMA) under investigation for the treatment of psoriasis (ClinicalTrials.gov ID: NCT03956355) and atopic dermatitis ■ This previously conducted phase 2b dose-finding study (ClinicalTrials.gov ID: NCT02564042) was designed to assess the efficacy and safety of tapinarof cream in subjects with plaque psoriasis2,3 ■ Factors related to disease characteristics and skin type may influence clinical outcomes in psoriasis4,5 ■ This post-hoc analysis was conducted to explore whether the efficacy and safety of tapinarof cream varied across subgroups by baseline disease characteristics and skin type OBJECTIVE ■ To evaluate the efficacy and safety of tapinarof through post-hoc analysis from a phase 2b study in subjects with plaque psoriasis stratified by baseline disease characteristics, including % BSA affected, duration of psoriasis, and Fitzpatrick skin type METHODS Study Design ■ In this multicenter (United States, Canada, and Japan), phase 2b, double-blind, vehicle- controlled randomized study, adult subjects with psoriasis were randomized 1:1:1:1:1:1 to receive tapinarof cream 0.5% or 1% once (QD) or twice daily (BID) or vehicle QD or BID for 12 weeks and followed up for 4 more weeks (Figure 1) Figure 1. keywords: bid; pga; tapinarof; vehicle cache: skin-742.pdf plain text: skin-742.txt item: #1181 of 1356 id: skin-743 author: Gold, Linda Stein; Bhatia, Neal; Tallman, Anna M; Rubenstein, David title: Secondary Efficacy Outcomes from a Phase 2b, Randomized Dose-Finding Study of Tapinarof Cream for the Treatment of Plaque Psoriasis date: 2019-11-09 words: 2276 flesch: 51 summary: [vehicle BID] and 5% [vehicle QD]) and were maintained for 4 weeks after the end of study treatment in all active treatment groups except for the 0.5% BID group3 PGA Scores ■ Mean improvements in PGA scores (SD) from baseline at Week 12 were significantly higher in all tapinarof cream treatment groups compared with the vehicle groups: – ≥4 ■ Incidence, frequency, and nature of adverse events (AEs) and serious AEs were collected from the start of study treatment until the end of study visit at Week 16 – Investigators assessed the overall degree of application-site irritation using a scale from 0=no irritation to 4=very severe at each study visit – Subject-reported tolerability on a 5-point scale from 0=none to 4=strong/severe was used to assess the presence and degree of application-site burning/stinging and itching within 2 hours following application of tapinarof or vehicle ■ P values for differences between tapinarof cream groups and the corresponding vehicle group for PASI response rates were calculated post hoc using Barnard’s and Fisher’s exact tests. keywords: bid; tapinarof; vehicle; week cache: skin-743.pdf plain text: skin-743.txt item: #1182 of 1356 id: skin-744 author: Griffiths, C.E.M.; Papp, K.A.; Song, M; Miller, M; You, Y; Shen, Y-K; Han, C; Blauvelt, A title: Maintenance of Response With up to 4 Years of Continuous Guselkumab Treatment: Results From the VOYAGE 1 Phase 3 Trial date: 2019-11-09 words: 1700 flesch: 56 summary: Week 172 Week 204Week 100 Week 124 P er ce nt ag e of P at ie nt s 445 436 431 420 404 396264 262 259 255 250 244n = Guselkumab Adalimumab→Guselkumab *Patients with baseline DLQI score >1. Weeks 76-204: Guselkumab – includes patients randomized to guselkumab at baseline and to placebo who crossed over and were treated with guselkumab at Week 16; Adalimumab→Guselkumab – includes patients randomized to adalimumab at baseline and crossed over and were treated with guselkumab at or after Week 52. Table 1. mg administered by subcutaneous (SC) injection at Weeks 0, 4, and 12, then every 8 weeks (q8wk) — Placebo at Weeks 0, 4, and 12, followed by guselkumab 100 mg SC at Weeks 16 and 20, then q8wk — Adalimumab 80 mg SC at Week 0, 40 mg at Week 1, then 40 mg q2wk through Week 47 — Starting at Week 52, all patients received open-label guselkumab treatment through Week 204 ■ Efficacy assessments included proportions of patients achieving Psoriasis Area and Severity Index (PASI) 90, PASI 100, Investigator’s Global Assessment (IGA) score of cleared (0) or minimal (1), and IGA score of 0 ■ Patient-reported outcomes included proportions of patients achieving a Dermatology Life Quality Index (DLQI) score of 0 or 1 (no effect on a patient’s health-related quality of life) and Psoriasis Symptoms and Signs Diary (PSSD) summary scores of 0 (no symptoms or signs of psoriasis) ■ Efficacy was analyzed using prespecified treatment failure rules (TFR), nonresponder imputation (NRI), and As Observed (OBS) methodology — For TFR, patients who discontinued due to lack of efficacy, worsening of psoriasis, or use of a protocol-prohibited psoriasis treatment were considered nonresponders — For NRI, patients with missing efficacy data (regardless of the reason) after application of TFR were counted as nonresponders — For OBS, only patient data from each visit were used; missing data were not imputed ■ Data for patients randomized to guselkumab and for those originally randomized to placebo who then crossed over to guselkumab at Week 16 were combined (guselkumab group) and presented in this analysis Figure 1. keywords: guselkumab; patients; tfr; week cache: skin-744.pdf plain text: skin-744.txt item: #1183 of 1356 id: skin-745 author: Herbert, Adelaide A; Glaab, Debbie; Schreiber, Rhonda title: A multicenter, open label, Phase 1 study of the safety, tolerability, systemic exposure, pharmacodynamics, and treatment effect of calcipotriene foam, 0.005% in pediatric subjects (ages 2 to 11 years) with plaque psoriasis. date: 2019-11-09 words: 1841 flesch: 60 summary: There was no relationship seen between urinary calcium/creatinine ratio and %BSA treated or age. However, response rates (% of subjects with an ISGA score of 0 or 1 for body or scalp at week 8) were consistent with that observed in the double-blind, vehicle controlled Phase III studies in adults. keywords: calcipotriene; day; foam; psoriasis; subjects cache: skin-745.pdf plain text: skin-745.txt item: #1184 of 1356 id: skin-746 author: Kerdel, Francisco; Don, Christina; Block, Renata; Lewis, Caitlin; Schreiber, Rhonda title: Real World Patient Perceptions of the use of Calcipotriene Foam 0.005% in the Treatment of Plaque Psoriasis date: 2019-11-09 words: 1521 flesch: 59 summary: The severity of patients’ psoriasis was described as % of Body Surface Area (%BSA), where less than 3% can be considered mild, 3-10% moderate, and >11% as severe. A multicenter, randomized, double-blind study of the efficacy and safety of calcipotriene foam, 0.005%, vs vehicle foam in the treatment of plaque-type psoriasis of the scalp. keywords: foam; patient; psoriasis; treatment cache: skin-746.pdf plain text: skin-746.txt item: #1185 of 1356 id: skin-747 author: Prussick, Ronald; Lebwohl, Mark; Gunn, Nadege; Harris, Susan; Vittitow, Jason; Jacobson, Abby; Israel, Robert J title: Patients With Psoriasis Treated With Brodalumab: A Pooled Post Hoc Analysis of a Marker of Liver Inflammation in Individuals With Potential Indicators of Early Nonalcoholic Fatty Liver Disease date: 2019-11-09 words: 1895 flesch: 59 summary: CRP level, mg/L Mean (SD) n=587 -1.2 (13.1) n=255 -0.7 (5.4) n=341 -0.3 (11.7) Baseline AST/ALT ratio ≥1.4 Baseline CRP level, mg/L Mean (SD) n=178 6.6 (12.6) Given the potential role chronic low-grade systemic inflammation may play in the relationship between psoriasis and NAFLD,7,8 a post hoc exploratory analysis was conducted to examine changes in C-reactive protein (CRP), a systemic marker of chronic inflammation,10 in patients with psoriasis and early indicators of NAFLD who were treated with brodalumab OBJECTIVE • Post hoc analysis to examine changes in CRP levels in patients with psoriasis with an aspartate aminotransferase (AST)-to-alanine aminotransferase (ALT) ratio suggestive of liver fibrosis or who had decreases in liver test parameters while taking brodalumab in clinical trials METHODS • Exploratory analysis of data pooled from 4 randomized, double-blind, placebo-controlled trials11-13 • Included patients who received ≥1 dose of subcutaneous brodalumab 210 mg every 2 weeks, ustekinumab per the US indicated dosing regimen14 (in 2 trials13), or placebo • Patients were subgrouped post hoc (ie, not prespecified outcomes) by various indicators to determine liver disease (eg, baseline AST/ALT ratio [≥0.9 suggestive of mild to more advanced fibrosis15,16] and maximum postbaseline AST and ALT grade decreases during treatment [based on common terminology criteria for adverse events]) keywords: alt; ast; baseline; crp; mean; patients cache: skin-747.pdf plain text: skin-747.txt item: #1186 of 1356 id: skin-748 author: Gottlieb, Alice; Menter, Alan; Yamauchi, Paul; Han, George; Pillai, Radhakrishnan; Lin, Tina; Jacobson, Abby title: Long-term Efficacy and Safety of Brodalumab in Patients With or Without History of Psoriatic Arthritis: Analysis of Two Phase 3 Psoriasis Studies date: 2019-11-09 words: 1348 flesch: 56 summary: CONCLUSION • Skin clearance rates were maintained through week 120 in patients regardless of PsA history • Long-term Efficacy and Safety of Brodalumab in Patients With or Without History of Psoriatic Arthritis: keywords: brodalumab; history; patients; psa cache: skin-748.pdf plain text: skin-748.txt item: #1187 of 1356 id: skin-749 author: Lebwohl, Mark; Green, Lawrence; Bettencourt, Miriam; Fretzin, Scott; Jacobson, Abby title: Long-term Efficacy and Safety of Brodalumab in Patients With Psoriasis Whose Disease Did Not Respond to Prior Biologics date: 2019-11-09 words: 1204 flesch: 55 summary: Among patients whose disease did not respond to 1, 2, or ≥3 prior biologics, skin clearance rates were comparable from weeks 52 to 120 in those achieving PASI 75 (Figure 2A), PASI 90 (Figure 2B), and PASI 100 (Figure 2C) • At week 120, observed PASI 75 response rates were 82.1%, 84.3%, and 93.2% in patients whose disease did not respond to 1, 2, or ≥3 prior biologics, respectively – PASI 90 response rates were 64.1%, 74.5%, and 79.7%, respectively – PASI 100 response rates were 50.0%, 54.9%, and 54.2%, respectively Safety • Across all years, exposure-adjusted TEAE rates per 100 patient- years in patients receiving brodalumab whose disease did not respond to 1, 2, or ≥3 keywords: biologics; brodalumab; patients cache: skin-749.pdf plain text: skin-749.txt item: #1188 of 1356 id: skin-75 author: Gottlieb, Alice B; Elewski, Boni E; Okun, Martin M; Bagel, Jerry; Poulin, Yves; Gu, Yihua; Geng, Ziqian; Williams, David A; Valdecantos, Wendell C title: Adalimumab for Nail Psoriasis: Efficacy and Safety from the Open-Label Extension of a Phase-3, Randomized, Placebo-Controlled Trial date: 2017-10-27 words: 2577 flesch: 58 summary: 2003;49:206-12. REFERENCES • For psoriasis patients with concomitant nail disease who received 40 mg ADA every-other-week treatment for 26 weeks in Period A, treatment response was maintained from entry to Period B through week 52. • Patients receiving PBO in Period A, who switched to 40 mg ADA every-other-week treatment in Period B, eventually reached a similar response at week 52, to those receiving continuous ADA treatment. keywords: ada; patients; pbo; period; population; psoriasis; week cache: skin-75.pdf plain text: skin-75.txt item: #1189 of 1356 id: skin-750 author: Bhatia, Neal D; Desai, Seemal R; Teller, Craig; Jacobson, Abby title: Maintenance and Improvement of Skin Clearance Response With Brodalumab Among Patients With Moderate-to-Severe Psoriasis date: 2019-11-09 words: 757 flesch: 55 summary: Seemal R. Desai,2 Craig Teller,3 Abby Jacobson4 1Therapeutics Clinical Research, San Diego, CA; 2Innovative Dermatology, PA, Plano, TX, The University of Texas Southwestern Medical Center, Dallas, TX; 3Bellaire Dermatology, Bellaire, TX; 4Ortho Dermatologics (a division of Bausch Health US, LLC), Bridgewater, NJ 39th Annual Fall Clinical Dermatology Conference® for Dermatologists • October 17-20, 2019 • Las Vegas, NV INTRODUCTION • Brodalumab is a human anti–interleukin-17 receptor A monoclonal antibody that is efficacious in treating moderate-to-severe psoriasis1 • Maintenance of skin clearance among patients receiving brodalumab 210 mg subcutaneously every 2 weeks (Q2W) stratified by categories of psoriasis area and severity index (PASI) response at 12 weeks was previously assessed in two phase 3 studies (AMAGINE-2/-3) of adults with moderate- to-severe plaque psoriasis2 OBJECTIVE • To evaluate skin clearance response with brodalumab 210 mg Q2W through week 52 in the phase 3, double-blind, randomized, placebo- controlled AMAGINE-1 trial METHODS • Patients in AMAGINE-1 were initially randomized to brodalumab 210 mg Q2W or placebo for 12 weeks3 • After 12 weeks, those receiving brodalumab 210 mg Q2W who achieved static physician’s global assessment score of 0 or 1 (sPGA 0/1) were re-randomized to brodalumab 210 mg Q2W or placebo • Beginning at week 16, patients re-randomized to placebo who had return of disease, defined as sPGA ≥3, qualified for retreatment with their induction dose of brodalumab • 128 patients from AMAGINE-1 who received continuous brodalumab 210 mg Q2W through week 52 were included in this post hoc analysis comprising – 83 patients who were re-randomized to brodalumab 210 mg Q2W – 45 non–re-randomized patients who received brodalumab 210 mg Q2W after inadequate sPGA response • Skin clearance was monitored by categories of PASI response using nonresponder imputation RESULTS Week 12 PASI Responses • At week 12, among 128 patients who received continuous brodalumab 210 mg Q2W, 63% achieved PASI 90% improvement (PASI 90) or greater (37% achieved PASI 100 and 26% achieved PASI 90 to <100; Table 1) PASI Responses at Weeks 16, 28, and 52 • Among patients achieving PASI 100 at week 12, >75% maintained PASI 100 at weeks 16 and 28 – 81% maintained PASI 100 at week 16 – 77% maintained PASI 100 at week 28 • Among patients achieving PASI 100 at week 12, 79% maintained PASI 100 through week 52 • Notably, most patients (64%) who achieved PASI 90 to <100 at week 12 either improved to PASI 100 (49%) or maintained the same level of clearance (15%; Figure 1) at week 52 • Of patients who achieved PASI 75 to <90 at week 12, 43% experienced improvement at week 52 (19% improved to PASI 100 and 24% improved to PASI 90 to <100) PASI Response at Week 12 in AMAGINE-1 3 6 9 15 49 18 Responses at week 52 among week 12 PASI 90 to <100 responders, % PASI <50 PASI 50 to <75 PASI 75 to <90 PASI 90 to <100 PASI keywords: pasi; week cache: skin-750.pdf plain text: skin-750.txt item: #1190 of 1356 id: skin-751 author: Armstrong, April; Blauvelt, Andrew; Drew, Scott; Ho, Roger; Jacobson, Abby title: Importance of Complete Skin Clearance on Quality of Life: Analysis of Three Phase 3 Studies of Brodalumab date: 2019-11-09 words: 860 flesch: 55 summary: Ho,4 Abby Jacobson5 1University of Southern California, Los Angeles, CA; 2Oregon Medical Research Center, Portland, OR; 3OhioHealth, Marion, OH; 4 The Ronald O. Perelman Department of Dermatology, New York University School of Medicine, New York, NY; 5Ortho Dermatologics (a division of Bausch Health US, LLC), Bridgewater, NJ 39th Annual Fall Clinical Dermatology Conference® for Dermatologists • October 17-20, 2019 • Las Vegas, NV INTRODUCTION • Complete skin clearance is an important treatment goal for patients with psoriasis1 • Evidence shows that complete skin clearance is associated with several benefits over almost-clear skin, including improved quality of life1 • Brodalumab is a human anti–interleukin-17 receptor A monoclonal antibody that is efficacious in treating moderate-to-severe psoriasis2-4 • In the phase 3 brodalumab trials AMAGINE-1, -2, and -3, 42%, 44%, and 37% of patients receiving brodalumab 210 mg every 2 weeks (Q2W), respectively, achieved a psoriasis area and severity index score of 100 (PASI 100) at week 122,3 OBJECTIVE • To explore whether patients with psoriasis achieving complete skin clearance experienced greater improvements in quality of life than those achieving a good but less-than-complete response METHODS • Data for this post hoc analysis were pooled from the nonplacebo groups of the 12-week induction phases of three phase 3 clinical trials (AMAGINE-1/-2/-3) of brodalumab in patients with moderate-to-severe plaque psoriasis • Patients included in the analysis were treated with brodalumab (140 or 210 mg) or ustekinumab (45 or 90 mg) and had achieved complete skin clearance, defined as 100% improvement in PASI score (PASI 100), or good but incomplete skin clearance, defined as PASI 90 to <100 • Patient-reported outcomes were used to evaluate quality of life (Figure 1), stratified by complete or good but incomplete skin clearance RESULTS • At week 12, mean (standard deviation [SD]) hospital anxiety and depression scale anxiety and depression scores were numerically lower for patients achieving PASI 100 (anxiety, 4.75 CONCLUSIONS • Achievement of complete skin clearance (PASI 100) was associated with greater numeric improvements in quality-of-life measures than achievement of a good but less-than-complete response in patients with moderate-to-severe plaque psoriasis • keywords: clearance; pasi; skin cache: skin-751.pdf plain text: skin-751.txt item: #1191 of 1356 id: skin-752 author: Ehst, Benjamin; Han, George; Guenthner, Scott; Eads, Kimberly; Jacobson, Abby title: Long-term Efficacy and Safety of Brodalumab in Patients With Psoriasis Disease Duration date: 2019-11-09 words: 1127 flesch: 52 summary: In this post hoc analysis, skin clearance was assessed by 75% and 100% improvement in psoriasis area and severity index from baseline (PASI 75 and PASI 100, respectively) responses for patients who received any dose of brodalumab during the study and those who received continuous brodalumab 210 mg Q2W through week 120 • Patients were stratified by psoriasis duration at baseline (<10 years and ≥10 years) • Safety was summarized by exposure-adjusted rates of treatment- emergent adverse events (TEAEs) for patients in both groups RESULTS Efficacy • Overall, 72.8% of patients receiving any dose of brodalumab (N=3625) and 70.8% receiving continuous brodalumab 210 mg Q2W (N=339) had disease duration ≥10 years • keywords: disease; duration; years cache: skin-752.pdf plain text: skin-752.txt item: #1192 of 1356 id: skin-753 author: Lebwohl, Mark; Blauvelt, Andrew; Menter, Alan; Papp, Kim; Jacobson, Abby title: Long-term Efficacy, Safety, and Patient-Reported Outcomes in a Phase 2 Study of Brodalumab date: 2019-11-09 words: 1436 flesch: 63 summary: [12.2] years; 90% white) entered the OLE; 107 patients had an efficacy evaluation at week 264 • Median duration of brodalumab exposure was 264 (interquartile range, 200-274) weeks Efficacy • Efficacy with brodalumab was maintained from week 12 up to week 264, with PASI 75 responses consistently ≥80% and PASI 100 responses consistently ≥40% (Figure 1) – There was a decrease in response at week 264 (final study visit), when patients had been off treatment for ≥6 weeks Patient-reported outcomes • The percentage of patients receiving brodalumab who had a DLQI score of 0 or 1 was 83.9% at week 12 and 68.4% at week 264 (Figure 2) • A greater percentage of patients with PASI 100 responses had a DLQI score of 0 or 1 at week 264 (96.4% [27 of 28 patients]) than those with PASI 90 to <100 responses (85.7% [6 of 7 patients]) or PASI 75 to <90 responses (40.0% [2 of 5 patients]; Figure 3) Safety • aAt week 264, patients had been off treatment for ≥6 weeks. keywords: brodalumab; pasi; patients; week cache: skin-753.pdf plain text: skin-753.txt item: #1193 of 1356 id: skin-754 author: Tanghetti, Emil A; Gold, Linda Stein; Del Rosso, James Q; Weiss, Stefan; Lin, Tina; Angel, Arturo; Pillai, Radhakrishnan title: Optimized Formulation for Topical Application of a Fixed Combination Halobetasol/Tazarotene Lotion Using Polymeric Emulsion Technology date: 2019-11-09 words: 1364 flesch: 37 summary: Dermal Levels Following 24 Hours of Topical Exposure to Halobetasol/ Tazarotene Lotion Versus Halobetasol 0.05% Cream (A) or Tazarotene 0.1% Cream (B) 0% 8% 7% 6% 5% 4% 3% 2% 1% 0% 25% 20% 15% 10% 5% HP 0.01%/TAZ 0.045% Lotion Halobetasol Cream, 0.05% HP 0.01%/TAZ 0.09% Lotion Tazarotene Cream, 0.1% A. Halobetasol Dermal Levels (N=10) P e rc e n t o f A p p lie d D o se ( M e a n ) Epidermis Dermis Receptor B. Tazarotene Dermal Levels (N=10) HP, halobetasol propionate; TAZ, tazarotene. ACKNOWLEDGEMENTS: Medical writing support was provided by Prescott Medical Communications Group (Chicago, IL) with financial support from Ortho Dermatologics | Presented at the Fall Clinical Dermatology Conference • October 17-20, 2019 • Las Vegas, NV SYNOPSIS ◾ Halobetasol propionate (HP) and tazarotene (TAZ) are both effective treatments for psoriasis but are limited by labelling restrictions or potential for adverse events ◾ keywords: cream; lotion; taz cache: skin-754.pdf plain text: skin-754.txt item: #1194 of 1356 id: skin-755 author: Alexis, Andrew F; Yamauchi, Paul S; Lin, Tina; Martin, Gina title: Efficacy, Safety, and Tolerability of a Halobetasol 0.01%/Tazarotene 0.045% Fixed Combination in the Treatment of Moderate-to-Severe Plaque Psoriasis in a Hispanic Population: Post Hoc Analysis of Two Phase 3 Randomized Controlled Trials date: 2019-11-09 words: 1037 flesch: 51 summary: -60% -30% -40% -50% -20% -10% 10% 0% 20% Study Visit (Weeks) M e a n P e rc e n t C h a n g e F ro m B a se lin e 0 2 4 6 8 12 Treatment Posttreatment *P=0.016 vs vehicle; * Mild 11 (14.5) 4 (11.1) Moderate 12 (15.8) 3 (8.3) Severe 3 (3.9) 1 (2.8) Relationship to study drug Related 14 (18.4) 3 (8.3) Unrelated 12 (15.8) 5 (13.9) Treatment‑Related TEAEs reported in ≥2% of participants Contact dermatitis 3 (3.9) 0 Skin atrophy 3 (3.9) 0 Burning sensation 2 (2.6) 1 (2.8) Pruritis 1 (1.3) 1 (2.8) Psoriasis 0 1 (2.8) HP/TAZ, halobetasol propionate 0.01% and tazarotene 0.045%; SAE, serious adverse event; TEAE, treatment‑emergent adverse event. keywords: taz; vehicle cache: skin-755.pdf plain text: skin-755.txt item: #1195 of 1356 id: skin-756 author: Lebwohl, Mark G; Sugarman, Jeffrey L; Gold, Linda Stein; Lin, Tina; Martin, Gina title: Efficacy, Safety, and Tolerability of a Halobetasol 0.01%/Tazarotene 0.045% Fixed Combination in the Treatment of Severe Plaque Psoriasis: Post Hoc Analysis of Two Phase 3 Randomized Controlled Trials date: 2019-11-09 words: 1176 flesch: 52 summary: ACKNOWLEDGEMENTS: Medical writing support was provided by Prescott Medical Communications Group (Chicago, IL) with financial support from Ortho Dermatologics | Presented at the Fall Clinical Dermatology Conference • October 17-20, 2019 • Las Vegas, NV SYNOPSIS ◾ Psoriasis is a chronic, immune-mediated disease that can have frequent exacerbations and remissions1,2 ◾ The use of topical therapy is a key component in the management of almost all psoriasis patients3 ◾ 21.7) Severe 1 (2.6) 1 (4.3) Relationship to study drug Related 8 (21.1) 3 (13.0) Unrelated 10 (26.3) 5 (21.7) Treatment-related TEAEs reported in ≥2% of participants Application site pain 3 (7.9) 0 Pruritis 2 (5.3) 1 (4.3) Contact dermatitis 2 (5.3) 0 Rash 1 (2.6) 0 Skin atrophy 1 (2.6) 0 Skin lesion 1 (2.6) 0 Telangiectasia 1 (2.6) 0 Wound secretion 1 (2.6) 0 Skin irritation 0 keywords: participants; taz; vehicle cache: skin-756.pdf plain text: skin-756.txt item: #1196 of 1356 id: skin-757 author: Glick, Brad; Lain, Edward; Lin, Tina; Israel, Robert title: Efficacy of Halobetasol 0.01%/Tazarotene 0.045% (HP/TAZ) Fixed Combination in the Treatment of Moderate Plaque Psoriasis: Indirect Comparison Between Pooled Phase 3 Trials of HP/TAZ and Oral Treatment (Apremilast) date: 2019-11-09 words: 1309 flesch: 61 summary: -50% -40% -30% -20% -10% 0% Apremilast (n=148) Placebo (n=73) Week 16 0% 10% 20% 30% 40% 50% HP/TAZ (n=100) Vehicle (n=63) P e rc e n ta g e o f P ar ti ci p an ts Week 8 33.0% 35.1% 9.5% 12.3% B. Percentage of Patients with ≥75% Reduction in IGAxBSAa or PGAxBSAb (ITT Populations) ◾ The percentage of participants with a ≥75% reduction from baseline IGAxBSA at Week 8 was significantly higher following treatment with HP/TAZ lotion (33.0%) compared with vehicle (9.5%; P<0.001; Figure 2 and Figure 3B) FIGURE 2: Percentage of Patients With ≥75% Reduction From Baseline in IGAxBSA (ITT Population) 0% 15% 10% 5% 20% 25% 30% 35% 40% 45% 50% Study Visit (Weeks) P e rc e n ta g e o f P a rt ic ip a n ts Baseline 2 4 6 8 12 Treatment Posttreatment HP/TAZ (n=100) keywords: taz; vehicle cache: skin-757.pdf plain text: skin-757.txt item: #1197 of 1356 id: skin-758 author: Gold, Lina Stein; Lebwohl, Mark G; Bhatia, Neal; Lin, Tina; Pillai, Radhakrishnan title: Long-Term Management of Moderate-to-Severe Plaque Psoriasis: Maintenance of Treatment Success Following Cessation of Fixed Combination Halobetasol Propionate 0.01% And Tazarotene 0.045% (HP/TAZ) Lotion date: 2019-11-09 words: 1369 flesch: 54 summary: Maintained Body Surface Area (BSA) From Week 8 to End of Study With HP/TAZ ≤5% BSA ≤3% BSA 49.3% 77.5% 39.7% 71.5% 0% 20% 40% 60% 80% 100% Subjects Participating for At Least 6 Months (n=390) Subjects Participating for At Least 1 Year (n=138) P e rc e n ta g e o f P a rt ic ip a n ts HP/TAZ, halobetasol propionate 0.01%/tazarotene 0.045%. For individuals participating for at least 1 year, 77.5% maintained a BSA level of ≤5% and 49.3% maintained a BSA level of ≤3% during the study (Figure 4) FIGURE 4. keywords: success; taz; treatment; weeks cache: skin-758.pdf plain text: skin-758.txt item: #1198 of 1356 id: skin-759 author: Bhatia, Neal; Vlahovic, Tracey C; Green, Lawrence; Martin, Gina; Lin, Tina title: Halobetasol 0.01% Lotion in the Treatment of Moderate-to-Severe Plaque Psoriasis of the Lower Extremities date: 2019-11-09 words: 1466 flesch: 55 summary: ◾ A clinically meaningful effect in overall psoriasis treatment (IGAxBSA-75) was achieved by 37.7% of participants treated with HP 0.01% lotion compared with 7.2% treated with vehicle (P<0.001; Figure 5) FIGURE 5: Achievement of ≥50% (IGAxBSA-50) and ≥75% (IGAxBSA-75) Reduction in IGAxBSA by Week 8 0% 30% 20% 10% 40% 50% 60% Halobetasol propionate 0.01% lotion P er ce nt ag e o f P ar ti ci p an ts Vehicle IGAxBSA-50 IGAxBSA-75 **P≤0.001 versus vehicle. ◾ Mean percent reduction from baseline to Week 8 in IGAxBSA score was also significantly greater with HP treatment (-50.5%) than with vehicle (-13.8%; P<0.001) keywords: lotion; plaque; psoriasis; treatment; vehicle cache: skin-759.pdf plain text: skin-759.txt item: #1199 of 1356 id: skin-76 author: none title: Continuous Weekly Adalimumab is the Optimal Long-Term Strategy for Patients with Moderate-to-Severe Hidradenitis Suppurativa: Results from the PIONEER Open Label Extension Trial date: 2017-10-27 words: 1742 flesch: 63 summary: /c Infection Serious infection TB (active or latent) n= 76 70 75 12 15 19 13 11 8 63 52 47 3 1 2 2 2 3 • Lymphoma was reported by one patient (ADAew/pbo/ew), non-melanoma skin cancer (NMSC) was reported by one patient (ADAew/pbo/ew), and malignancy other than lymphoma or NMSC, by 2 patients (one ADAew/eow/ew and one ADAew/pbo/ew). Baseline Patient Characteristics, PIONEER OLE ADAew/ew/ew N=88 ADAew/eow/ew N=90 ADAew/pbo/ew N=92 n % n % n % keywords: adaew; patients; week cache: skin-76.pdf plain text: skin-76.txt item: #1200 of 1356 id: skin-760 author: Lebwohl, Mark; Kircik, Leon; Reich, Kristian; Munjal, Sugar; Shenoy, Srinivas; Mrowietz, Ulrich title: PPC 06 ( Tepilamide Fumarate), a novel fumaric acid ester, is efficacious in treating plaque psoriasis: Results from a phase 2b randomized controlled trial date: 2019-11-09 words: 609 flesch: 69 summary: At week 24 , PASI-75 was achieved by 44.3%, 47.2% and 39.7% patients in PPC-06 600 mg BID, 400 mg BID and 400 mg QD groups, respectively, compared to 20% in the placebo group (p=0.004, 0.002 and 0.004 for the PPC-06 600 mg BID, 400 mg BID and 400 mg QD groups, respectively) (Fig.1).  DRL Publication # 885 Results *Statistical significance reported with placebo 0 10 20 30 40 50 60 70 80 90 100 PASI 75 IGA (0/1) Co-Primary outcomes PPC-06 600mg BID, n=101 PPC-06 400mg BID, n=102 PPC-06 400mg QD, n=101 Placebo, n=102 % S u b je c ts a c h ie v in g c o -p ri m a ry e n d p o in ts 44.4 * 47.2 39.7 20 44.3 41.4 35.7 22 * * * * * keywords: bid cache: skin-760.pdf plain text: skin-760.txt item: #1201 of 1356 id: skin-761 author: Blauvelt, Andrew; Papp, Kim A; Merola, Joseph F; Gottlieb, Alice B; Cross, Nancy; Madden, Cindy; Peterson, Luke; Cioffi, Christopher; Griffiths, Christopher EM title: Bimekizumab provides rapid and sustained improvements in scalp and nail outcomes in patients with moderate to severe plaque psoriasis: 60 week results from a randomized, double blinded, Phase 2b extension study date: 2019-11-09 words: 2165 flesch: 40 summary: At the start of BE ABLE 2 (Week 12), across all treatment groups, 133 of 217 patients (61.3%) were PASI90 responders ● Of these 133 BE ABLE 1 responders, 125 (94.0%) had scalp psoriasis and 80 (60.2%) had nail psoriasis at baseline (Week 0) SCALP AND NAIL OUTCOMES ● Bimekizumab treatment provided considerable improvements in both scalp and nail psoriasis – The proportion of patients with scalp psoriasis at baseline who achieved resolution increased rapidly with bimekizumab treatment; responses were generally maintained up to Week 60 (Figure 2A) – The percentage of BE ABLE 1 responders with nail psoriasis at baseline achieving resolution increased over time across all bimekizumab dose groups, reaching 73–89% at Week 60 (Figure 2B) responders remained on the same dose up to Week 60, except for those previously randomized to bimekizumab 480 mg, who received 320 mg from Week 128 (Figure 1) ● Presence of scalp or nail psoriasis at baseline (Week 0) was defined as a Psoriasis Scalp Severity Index (PSSI) score >0 or a modified Nail Psoriasis Severity Index (mNAPSI) score of >0, respectively ● The following outcomes were assessed in Week 12 responders: – Resolution of scalp psoriasis (defined as PSSI of 0) – Resolution of nail psoriasis (defined as mNAPSI of 0) – Complete skin clearance (defined as a score of 0 on both absolute PASI and the Investigator’s Global Assessment [IGA]) – Dermatology Life Quality Index (DLQI) of 0 or 1 (representing no impact of psoriasis on health- related QoL) ● Non-responder imputation and observed data are presented Results PATIENTS ● keywords: bimekizumab; nail; pharma; psoriasis; responders; week cache: skin-761.pdf plain text: skin-761.txt item: #1202 of 1356 id: skin-762 author: Papp, Kim A; Merola, Joseph F; Gottlieb, Alice B; Griffiths, Christopher EM; Harris, Kristina K; Cross, Nancy; Peterson, Luke; Cioffi, Christopher; Blauvelt, Andrew title: Bimekizumab provides rapid and sustained improvements in quality of life that correlate with clinical outcomes in patients with moderate to severe plaque psoriasis: 60 week results from a randomized , double blinded , Phase 2b extension study date: 2019-11-09 words: 2147 flesch: 39 summary: KA Papp reports consultant honoraria from AbbVie, Akros, Amgen, Arcutis, Astellas, Baxalta, Boehringer Ingelheim, Bristol-Myers Squibb, CanFite, Celgene, Coherus, Dermira, Dow Pharma, Eli Lilly, Forward Pharma, Galderma, Genentech, Janssen, Kyowa Hakko Kirin, LEO, Merck (MSD), Merck- Serono, Mitsubishi Pharma, Novartis, Pfizer, PRCL Research, Regeneron, Roche, Sanofi Aventis/Genzyme, Sun Pharma, Takeda, UCB Pharma, Valeant/Bausch Health; speaker fees from AbbVie, Amgen, Astellas, Celgene, Eli Lilly, Galderma, Janssen, Kyowa Hakko Kirin, LEO, Merck (MSD), Novartis, Pfizer, Sanofi Aventis/Genzyme, Sun Pharma, Valeant/Bausch Health; investigator grants from AbbVie, Akros, Allergan, Amgen, Anacor, Arcutis, Astellas, Baxalta, Boehringer Ingelheim, Bristol-Myers Squibb, CanFite, Celgene, Coherus, Dermira, Dow Pharma, Eli Lilly, Galderma, Genentech, Gilead, GlaxoSmithKline, Janssen, Kyowa Hakko Kirin, LEO, MedImmune, Merck (MSD), Merck-Serono, Moberg Pharma, Novartis, Pfizer, PRCL Research, Regeneron, Roche, Sanofi Aventis/Genzyme, Sun Pharma, Takeda, UCB Pharma, Valeant/Bausch Health; advisory board honoraria from AbbVie, Amgen, Astellas, Boehringer Ingelheim, Bristol-Myers Squibb, Celgene, Dow Pharma, Eli Lilly, Galderma, Janssen, Merck (MSD), Novartis, Pfizer, Regeneron, Sanofi Aventis/Genzyme, Sun Pharma, UCB Pharma, Valeant/Bausch Health; and other fees from AbbVie, Akros, Amgen, Anacor, Boehringer Ingelheim, Celgene, Coherus, Eli Lilly, Janssen, Kyowa Hakko Kirin, Merck (MSD), Merck-Serono, Novartis, Pfizer, Regeneron, Sanofi Aventis/Genzyme, Sun Pharma, Valeant/Bausch Health. JF Merola reports consultant honoraria from AbbVie, Almirall, Celgene, Eli Lilly, GlaxoSmithKline, Janssen, Merck, Novartis, Samumed, Sanofi Regeneron, Sun Pharma, UCB Pharma; keywords: bimekizumab; dlqi; pharma; responders; week cache: skin-762.pdf plain text: skin-762.txt item: #1203 of 1356 id: skin-763 author: Gordon, K; Warren, R.B.; Gottlieb, A.B.; Blauvelt, A; Thaci, D; Leonardi, C; Poulin, Y; Boehnlein, M; Kavanagh, S; Arendt, C; Reich, K title: Long-Term Efficacy of Certolizumab Pegol Dosed at 400 mg Every Two Weeks in Patients with Plaque Psoriasis: Pooled 128-Week Data from Two Phase 3 Trials (CIMPASI-1 and CIMPASI-2) date: 2019-11-09 words: 2152 flesch: 52 summary: Investigator (Research grants) from AbbVie; Baxter; Boehringer Ingelheim Pharma; Celgene; Centocor/Janssen; Eli Lilly; EMD Serono; GSK; Leo Pharma; MedImmune; Merck; Novartis; Pfizer; Regeneron; Takeda; UCB Pharma. MB, CA: Employees of UCB Pharma; SK: Employee of UCB Pharma; Consulting fees from AveXis, Colorado Prevention Center, DiaMedica, PureTech, UCB Pharma, Zosano; KR: Advisor and/or paid speaker for and/or participated in clinical trials sponsored by: Abbvie, Affibody, Amgen, Biogen, Boehringer Ingelheim, Celgene, Centocor, Covagen, Forward Pharma, GSK, Janssen-Cilag, Kyowa Kirin, LEO Pharma, Eli Lilly, Medac, Merck Sharp & Dohme, Novartis, Ocean Pharma, Pfizer, Regeneron, Samsung Biopepis, Sanofi, Takeda, UCB Pharma, Valeant, Xenoport. RBW: Grants and/or honoraria from AbbVie, Almirall, Amgen, Boehringer Ingelheim, Celgene, Janssen, Eli Lilly, LEO Pharma, Novartis, Pfizer, Sanofi, UCB Pharma, Xenoport. keywords: czp; pasi; pharma; q2w; treatment; weeks cache: skin-763.pdf plain text: skin-763.txt item: #1204 of 1356 id: skin-764 author: Gordon, K; Warren, R.B.; Gottlieb, A.B.; Blauvelt, A.; Thaci, D; Leonardi, C; Poulin, Y; Boehnlein, M; Kavanagh, S; Arendt, C; Reich, K title: Certolizumab Pegol for Treatment of Plaque Psoriasis: Pooled Three-Year Efficacy Outcomes from Two Phase 3 Trials (CIMPASI-1 and CIMPASI-2) date: 2019-11-09 words: 2012 flesch: 55 summary: Investigator (Research grants) from AbbVie; Baxter; Boehringer Ingelheim Pharma; Celgene; Centocor/Janssen; Eli Lilly; EMD Serono; GSK; Leo Pharma; MedImmune; Merck; Novartis; Pfizer; Regeneron; Takeda; UCB Pharma; MB, CA: Employees of UCB Pharma; SK: Employee of UCB Pharma; Consulting fees from AveXis, Colorado Prevention Center, DiaMedica, PureTech, UCB Pharma, Zosano; KR: Advisor and/or paid speaker for and/or participated in clinical trials sponsored by: Abbvie, Affibody, Amgen, Biogen, Boehringer Ingelheim, Celgene, Centocor, Covagen, Forward Pharma, GSK, Janssen-Cilag, Kyowa Kirin, LEO Pharma, Eli Lilly, Medac, Merck Sharp & Dohme, Novartis, Ocean Pharma, Pfizer, Regeneron, Samsung Biopepis, Sanofi, Takeda, UCB Pharma, Valeant, Xenoport. Author Disclosures KG: Honoraria and or research support from: AbbVie, Almirall, Amgen, Boehringer Ingelheim, Bristol- Myers Squibb, Celgene, Dermira Inc., Eli Lilly, Janssen, Novartis, Pfizer, Sun Pharma, and UCB Pharma; RBW: Grants and/or honoraria from AbbVie, Almirall, Amgen, Boehringer Ingelheim, Celgene, Janssen, Eli Lilly, LEO Pharma, Novartis, Pfizer, Sanofi, UCB Pharma, Xenoport; ABG: Research/Educational Grants: Janssen, Incyte, Eli Lilly, Novartis, Allergan and LEO Pharma. keywords: czp; mg q2w; patients; pharma; q2w; week cache: skin-764.pdf plain text: skin-764.txt item: #1205 of 1356 id: skin-765 author: Gottlieb, A.B.; Thaci, D; Leonardi, C; Poulin, Y; Kavanagh, S; Boehnlein, M; Reich, K title: Nail Outcome Improvements with Certolizumab Pegol in Moderate to Severe Plaque Psoriasis: Results from Phase 3 Trials date: 2019-11-09 words: 1935 flesch: 56 summary: • CZP demonstrated similar efficacy in treating nail disease in PSO patients with and without concomitant PsA. • Week 48 nail disease outcomes in PSO patients with and without PsA treated with CZP in CIMPASI-1/CIMPASI-2 and CIMPACT Observed case data are reported for all patients with PSO who had nail disease at baseline (mNAPSI >0) treated with CZP (dose combined: CZP 400 mg or 200 mg Q2W following a 400 mg loading dose at Weeks 0, 2, 4) through 48 weeks in CIMPASI-1/2 and CIMPACT, and for the subpopulations of patients with and without self-reported PsA (+PsA/−PsA). keywords: czp; patients; psa; pso cache: skin-765.pdf plain text: skin-765.txt item: #1206 of 1356 id: skin-766 author: Blauvelt, A; Strober, B; Langley, R; Kavanagh, S; Arendt, C; Boehnlein, M; Lebwohl, M; Reich, K title: Safety of Certolizumab Pegol in Plaque Psoriasis: Pooled 96-Week Data from Three Phase 3, Multicenter, Randomized, Placebo-Controlled Studies (CIMPASI-1, CIMPASI-2 and CIMPACT) date: 2019-11-09 words: 2155 flesch: 53 summary: Consulting honoraria and clinical investigator: AbbVie, Aclaris, Akros, Allergan, Almirall, Amgen, Arena, Boehringer Ingelheim, Bristol-Myers Squibb, Celgene, Dermavant, Dermira Inc., Eli Lilly, Galderma, Genentech/ Roche, GSK, Janssen, LEO Pharma, Meiji, Merck, Novartis, Pfizer, Purdue Pharma, Regeneron, Sandoz, Sanofi Genzyme, Sienna Pharmaceuticals, Sun Pharma, UCB Pharma, Valeant, Vidac. Speaker’s fees: Eli Lilly, Janssen, Regeneron, Sanofi Genzyme; BS: Consulting fees and/or other honoraria: AbbVie, Almirall, Amgen, AstraZeneca, Boehringer Ingelheim, Celgene, Dermira Inc., Janssen, Eli Lilly, LEO Pharma, Medac, Menlo Therapeutics, Novartis, Pfizer, GSK, UCB Pharma, Sun Pharma, Ortho Dermatologics/ Valeant, Regeneron, Sanofi Genzyme; CORRONA Psoriasis Registry; Grant Support to the University of Connecticut for Fellowship Program (payments to the University of Connecticut, not BS): AbbVie, Janssen; RL: Consulting fees and/or other honoraria: AbbVie, Amgen, Boehringer Ingelheim International GmbH, Centocor, Pfizer, Janssen, LEO Pharma, Eli Lilly, Valeant; SK, CA, MB: Employees of UCB Pharma; ML: Consultant for Allergan, Aqua, LEO Pharma, Promius. keywords: aes; czp; mg q2w; pasi; pharma; q2w cache: skin-766.pdf plain text: skin-766.txt item: #1207 of 1356 id: skin-767 author: van de Kerkhof, P; Pinter, A; Boehnlein, M; Kavanagh, S; Crowley, J.J. title: Efficacy of Certolizumab Pegol for Psoriasis of the Head and Neck in Two Phase 3 Clinical Trials: CIMPASI-1 and CIMPASI-2 date: 2019-11-09 words: 1878 flesch: 60 summary: CONCLUSIONS • Rapid improvements in psoriasis of the head and neck region were seen as early as Week 2 of CZP treatment. In this post-hoc analysis, we report CZP efficacy for the head and neck region over 48 weeks. keywords: czp; head; pasi; patients; q2w cache: skin-767.pdf plain text: skin-767.txt item: #1208 of 1356 id: skin-768 author: Guttman-Yassky, E; Blauvelt, A; Eichenfield, L.F.; Paller, A; Armstrong, A; Drew, J; Gopalan, R; Simpson, E title: Lebrikizumab, a High-Affinity IL-13 Inhibitor, Improves Clinical Manifestations in Moderate-to-Severe Atopic Dermatitis: Primary Results From a Randomized, Double-Blinded, Placebo-Controlled, Dose-Ranging, Phase 2b Study date: 2019-11-09 words: 3339 flesch: 56 summary: • Safety analyses used the safety population (those randomized who received ≥1 dose of study drug) • Missing data through Week 16 were imputed using Markov chain Monte Carlo (MCMC) multiple imputation, with no imputation for missing pruritus data (prespecified) – Data for patients requiring topical rescue were included if available; data for those requiring systemic rescue were considered missing from the time of withdrawal – A post hoc analysis was performed for pruritus, whereby missing data were imputed using MCMC imputation • Statistical comparisons were performed between LEB and placebo (and not between LEB groups) RESULTS • mg Q4W, 250 mg Q4W, 250 mg Q2W versus 0% of placebo-treated patients, respectively • A similar rate of herpes infections was reported in LEB groups versus placebo: 2.7%, 5.0%, 2.7% of LEB 125 keywords: baseline; leb; mg q4w; patients; placebo; q2w; q4w leb; week cache: skin-768.pdf plain text: skin-768.txt item: #1209 of 1356 id: skin-769 author: McKenzie, Shanice Alyssa; Patel, Nirali; Harview, Christina L; Truong, Allison K; Chen, Lucia Y; Grogan, Tristan R; Shi, Vivian Y; Bennett, Richard G; Hsiao, Jennifer Lin title: Weight Gain Over Time in Hidradenitis Suppurativa Patients: Trends and Implications date: 2020-03-08 words: 2168 flesch: 59 summary: However, little is documented about weight gain over time in HS patients. Since obesity is thought to increase HS severity, weight management should be stressed in HS patients early on before weight gain occurs. keywords: bmi; gain; hidradenitis; patients; school; weight cache: skin-769.pdf plain text: skin-769.txt item: #1210 of 1356 id: skin-77 author: Papp, Kim A; Blauvelt, Andrew; Flack, Mary; Gu, Yihua; Thompson, Elizabeth HZ title: Clinical Responses in Patients with Moderate-to-Severe Plaque Psoriasis Following Withdrawal and Re-Treatment with Risankizumab or Switching from Ustekinumab to Risankizumab date: 2017-10-27 words: 2111 flesch: 57 summary: EFFICACY • At OLE entry, PASI 90 response rates for patients previously treated with 18 mg, 90 mg, or 180 mg risankizumab or ustekinumab were 0% (0/22), 53.6% (15/28), 51.5% (17/33), and 14.8% (4/27), respectively, reflecting residual benefit from study drug in the parent study (Figure 2). • At OLE entry, PASI 100 response rates for patients previously treated with 18 mg, 90 mg, or 180 mg risankizumab or ustekinumab were 0% (0/22), 39.3% (11/28), 30.3% (10/33), and 3.7% (1/27), respectively, and increased to 27.3% (6/22), 46.4% (13/28), 39.4% (12/33), and 48.1% (13/27), respectively, at week 24 of the OLE (Figure 3). keywords: ole; risankizumab; week cache: skin-77.pdf plain text: skin-77.txt item: #1211 of 1356 id: skin-770 author: Weidinger, Stephan; Tollenaere, Maxim A.X.; Drerup, Katharina; Litman, Thomas; Norsgaard, Hanne title: Atopic dermatitis disease biomarkers strongly correlate with IL-13 levels, are regulated by IL-13, and are modulated by tralokinumab in vitro date: 2019-11-09 words: 1801 flesch: 48 summary: Study design In silico bioinformatics analysis of RNA-sequencing data2 to examine the correlation between IL13 expression and AD disease biomarkers Validate correlations in vitro using disease-relevant cell cultures Can IL-13-driven expression of AD disease biomarkers be reverted by tralokinumab? IL13 expression strongly correlates with key AD disease biomarkers: A) Positive correlation between IL13 expression and infl ammatory mediators and B) Negative correlation between IL13 expression and skin barrier markers 2 7 6 5 4 3 A B IL13 –5 –4 –3 –2 –1 0 1 2 C C L2 2 IL13 –6 210–1–2–3–4–5 C C L2 2 7 6 5 4 3 IL13 –4 210–1–2–3 C C L1 7 7 –5 –3 –1 1 3 5 Pearson r=0.79 Pearson r=0.69 IL13 –4 210–1–2–3 N TR K 1 5 –7 –5 –3 –1 1 3 Pearson r=0.82 IL13 –4 210–1–2–3 FL G 2 14 9 10 11 12 13 Pearson r=-0.61 IL13 –4 210–1–2–3 EL O V L6 7 4 5 6 Pearson r=-0.73 IL13 –4 210–1–2–3 FL G 16 10 11 12 13 14 15 Pearson r=-0.55 IL13 –4 210–1–2–3 LO R 10 5 6 7 8 9 Pearson r=-0.59 Pearson r=0.81 Graph axes represent Log2 (CPM) values. keywords: expression cache: skin-770.pdf plain text: skin-770.txt item: #1212 of 1356 id: skin-772 author: Arrowitz, CE; Jiang, LI; Hino, PD; Babcock, MJ; Weber, TM title: A Comparison of Efficacy among Therapeutic Moisturizing Creams date: 2019-11-09 words: 1227 flesch: 41 summary: Skin hydration improvement at Day 10, and 5 days after completion of treatment (regression Day 5) Skin hydration measured using a Corneometer 0 1 2 3 4 5 6 Baseline Day 10 R Day 5 Baseline Day 10 R Day 5 Baseline Day 10 R Day 5 Baseline Day 10 R Day 5 Baseline Day 10 R Day 5 Baseline Day 10 R Day 5 0 1 2 3 4 5 6A. Dryness B. Roughness C li n ic a l g ra d in g s co re C li n ic a l g ra d in g s co re a a a a a a aa 0 1 2 3 4 5 6 MCA MCB MCA MCC C. Flaking C li n ic a l g ra d in g s co re a,b a a,b a 0 1 2 3 4 5 6 0 1 2 3 4 5 6 D. Dryness E. Roughness Study 1 Study 2 C li n ic a l g ra d in g s co re C li n ic a l g ra d in g s co re a a a a,b a a a a 0 1 2 3 4 5 6 F. Flaking C li n ic a l g ra d in g s co re a a a,b a ap<0.001 vs baseline; bp≤0.01 vs MCB ap≤0.001 vs baseline; bp≤0.01 vs MCC Figure 3. Treatments applied daily (10 days) Treatment discontinued Baseline Day 10 R Day 5Assessments Table 1. keywords: day cache: skin-772.pdf plain text: skin-772.txt item: #1213 of 1356 id: skin-773 author: Draelos, Zoe Diane; Hall, Steven B; Munsick, Carey title: A 14 Day, Single Blind, Controlled Study to Assess the Qualitative Improvement in Skin Moisturization and Desquamation of 15% Lactic Acid Moisturizer with Ceramides (LAMC) Treatment in Healthy Female Subjects date: 2019-11-09 words: 730 flesch: 54 summary: CONCLUSIONS • LAMC provided a statistically significant and clinically meaningful improvement in moisturization and desquamation as evidenced by D-SQUAME®, Dry Skin Scale, and Subject Self-Assessments in the population studied. Lactic Acid Moisturizer with Ceramides (LAMC) contains ceramides, humectants and lactic acid that work in combination to moisturize dry skin and induce desquamation. keywords: day; skin cache: skin-773.pdf plain text: skin-773.txt item: #1214 of 1356 id: skin-774 author: Moore, Angela Yen; Moore, Stephen title: Safety of Large Field (>20cm2) Photodynamic Therapy Using 10% Aminolevulinic Acid Hydrochloride Nanoemulsion Gel Comparing Blue to Red Light Illumination date: 2019-11-09 words: 1607 flesch: 60 summary: • After PDT with red light illumination, 8% (9/114) of patients experienced irritation in 5% (9/176) of PDT treatments (Figure 1). • Irritation may be mitigated by stringent adherence to a specific PDT post-care regimen using sunblock and healing creams every 2 hours during waking hours for 48 hours after PDT treatment. keywords: irritation; light; pdt; sessions cache: skin-774.pdf plain text: skin-774.txt item: #1215 of 1356 id: skin-775 author: Dirschka, T; Ulrich, M; Reinhold, U; Dominicus, R; Aschoff, R; Szeimies, R.M. title: Photodynamic therapy with BF-200 ALA for the treatment of mild to severe actinic keratosis on extremities and trunk/neck: Results of a randomized Phase III trial date: 2019-11-09 words: 958 flesch: 41 summary: [%] Impaired [%] 40.8 18.4 20.420.4 18.4 8.2 16.3 57.1 Total lesion clearance per patient‘s side - 12 weeks after the last PDT BF-200 ALA Placebo lesion preparation (including degreasing, roughening of the skin) application of BF-200 ALA or placebo light-tight dressing; 3 h removal of remaining gel, illumination with narrowband red light source potential second PDT treatment FU 1 year assessment after 12 weeks Due to ALA PDT‘s mode of action, AEs are mainly local application site reactions such as erythema, pain, edema, and irritation which are transient and self-limiting, normally within 1-2 weeks. BF-200 ALA Placebo 0 50 100 150 C o m p le te ly c le a re d l e s io n s keywords: ala; bf-200; placebo cache: skin-775.pdf plain text: skin-775.txt item: #1216 of 1356 id: skin-776 author: Laquer, V; Bruce, S; Schlesinger, T; Zeitouni, N; Torres, A; Cohen, J; Tu, J; Hanke, W; Goldman, M; Ozog, D; Markowitz, O; Gold, M; Nestor, M; Berman, B; Munavalli, G; Pariser, D title: A randomized, double blind, vehicle-controlled multicenter phase III study to evaluate the safety and efficacy of BF-200 ALA and narrowband red light in the treatment of superficial basal cell carcinoma (sBCC) with photodynamic therapy (PDT) date: 2019-11-09 words: 1549 flesch: 54 summary: 7 PDT with BF-200 ALA for BCC treatment in the EU lesion preparation (including degreasing, roughening of the skin) application of BF-200 ALA or vehicle light-tight dressing; 3 h removal of remaining gel, illumination with narrowband red light source second PDT 1 week apart potential second PDT cycle FU1-4 12 months- 5 years assessment after 12 weeks NCT03573401 This approval was primarily based on a single pivotal study that demonstrated the efficacy and safety of BF-200 ALA PDT in conjunction with a narrowband red light source (~635 nm; 37 J/cm ) for the treatment of non-aggressive superficial 2 and/or nodular BCC with a thickness of <2 mm. keywords: ala; bf-200; clinical; pdt; treatment; visit; weeks cache: skin-776.pdf plain text: skin-776.txt item: #1217 of 1356 id: skin-778 author: Migden, Michael R; Schlesinger, Todd E; Schmults, Chrysalyne D; Dinehart, Scott M; Ferris, Robert L; Freeman, Morganna; Guild, Valerie; Koyfman, Shlomo; Pavlick, Anna C; Wolf, Gregory T; Rabinowits, Guilherme; Swanson, Neil title: Multidisciplinary Expert-Driven Consensus on the Evolving Treatment of Patients with Advanced Cutaneous Squamous Cell Carcinoma date: 2019-11-09 words: 2212 flesch: 26 summary: Given the approval of cemiplimab, the curative confidence and morbidity of definitive, single modality radiation therapy should be considered, discussed with the patient, and weighed against systemic options such as immunotherapy Immunotherapy in the management of advanced CSCC Consensus • Cemiplimab is the only FDA approved therapy for use in patients with LA or metastatic CSCC who are not candidates for curative surgery or curative radiation. Key abstracts from congresses were also included (e.g. from American Society of Clinical Oncology, the European Academy of Dermatology and Venereology, the American Academy of Dermatology, and the Society for Investigative Dermatology) 5471 references were identified and screened 161 references were used to develop final recommendations Considerations for the Management of Advanced CSCC SELECT CONSENSUS STATEMENTS AND KEY RECOMMENDATIONS Radiation therapy for advanced CSCC may be considered in the following settings Consensus • Adjuvant radiation therapy may be considered in patients with uncertain surgical margins (e.g. multifocal or large caliber nerve invasion, or lymphovascular invasion) or with a recurrent tumor. keywords: advisory; consensus; cscc; patients; pharmaceuticals; radiation; regeneron; therapy cache: skin-778.pdf plain text: skin-778.txt item: #1218 of 1356 id: skin-779 author: Litchman, Graham; Caruso, Hilary; Cook, Robert; Rigel, Darrell title: Recurrence prediction in cutaneous melanoma with 31-gene expression profiling and sentinel lymph node biopsy date: 2019-11-09 words: 916 flesch: 77 summary: GEP SLN GEP and SLN RFS n=1479 n=867 n=1479 Sensitivity 76% (71-80%) 57% (51-63%) 86% (82-90%) Sensitivity and NPV of 31-GEP and SLNB in a model assuming use of 31-GEP to guide SLNB decisions GEP SLN GEP and SLN RFS n=1479 n=842 n=1479 Sensitivity 76% (71-80%) 56% (50-62%) 84% (79-88%) NPV 92% (90-94%) 79% (75-82%) 94% (93-95%) DMFS n=1223 n=842 n=1223 Sensitivity 76% (70-82%) 61% (53-68%) 86% (80-90%) NPV 93% (91-95%) 86% (83-89%) 95% (94-97%) MSS n=1157 n=609 n=1157 Sensitivity 86% (77-92%) 72% (60-82%) 94% (97-98%) NPV 98% (97-99%) 96% (95-98%) 99% (98-100%) keywords: gep; patients cache: skin-779.pdf plain text: skin-779.txt item: #1219 of 1356 id: skin-78 author: Strober, Bruce; Papp, Kim A; Flack, Mary; Gu, Yihua; Thompson, Elizabeth HZ; Valdecantos, Wendell C title: Distribution of Improvements in Psoriasis Area and Severity Index from the Phase 2 Trial of Risankizumab in Moderate-to-Severe Plaque Psoriasis date: 2017-10-27 words: 1498 flesch: 54 summary: OBJECTIVE • The objective of this analysis was to examine the distribution of PASI responses in patients from the phase 2 trial treated with risankizumab versus ustekinumab. MATERIALS & METHODS RESULTS CONCLUSIONS • The proportions of patients achieving different levels of PASI responses were assessed at weeks 12 and 16 in an intent-to-treat population. keywords: pasi; patients; risankizumab; week cache: skin-78.pdf plain text: skin-78.txt item: #1220 of 1356 id: skin-780 author: Brouha, Brook; Ferris, Laura K; Skelsey, Maral K; Peck, Gary; Yao, Zuxu; Jansen, Burkhard title: Findings from a large US registry study to assess the real-world utility of a non-invasive gene expression test designed to rule out primary cutaneous melanoma date: 2019-11-09 words: 1419 flesch: 56 summary: • PLA positive lesions are biopsied as intended in 97.53% of cases. • PLA negative lesions are monitored clinically and not biopsied in 99.94% of cases. keywords: cases; lesions; pla; test cache: skin-780.pdf plain text: skin-780.txt item: #1221 of 1356 id: skin-781 author: Schadendorf, Dirk; Dummer, Reinhard; Hauschild, Axel; Santinami, Mario; Atkinson, Victoria; Mandala, Mario; Chiarion-Sileni, Vanna; Larkin, James; Nyakas, Marta; Dutriaux, Caroline; Haydon, Andrew; Mortier, Laurent; Robert, Caroline; Schachter, Jacob; Ortmann, Christine-Elke; de Jong, Egbert; Gasal, Edward; Kefford, Richard; Kirkwood, John M; Long, Georgina V title: Association Between Baseline Disease Characteristics and Relapse-Free Survival in Patients With BRAF V600–Mutant Resected Stage III Melanoma Treated With Adjuvant Dabrafenib + Trametinib or Placebo date: 2019-11-09 words: 3796 flesch: 57 summary: Kaplan- Meier analysis of RFS based on age (< median or ≥ median) demonstrated improved RFS in patients treated with dabrafenib + trametinib vs placebo regardless of age (Figure 2) – Age < 51 years: Median RFS was not reached in the dabrafenib + trametinib arm vs 20.1 months in the placebo arm (HR, 0.51 • Kaplan-Meier analysis demonstrated that dabrafenib + trametinib improved RFS vs placebo regardless of patients’ sex (Figure 3) – Female patients: Median RFS was not reached in the dabrafenib + trametinib arm vs 25.5 months in the placebo arm (HR, 0.56 [95% CI, 0.42-0.75]) – Male patients: Median RFS was not reached in the dabrafenib + trametinib arm vs 13.8 months in the placebo arm (HR, 0.45 keywords: arm; dabrafenib; months; placebo; rfs; trametinib cache: skin-781.pdf plain text: skin-781.txt item: #1222 of 1356 id: skin-782 author: Kirsch, Brandon; DuBois, Janet; Chadha, Deepak title: A Multi-Center, Open-Label Study to Assess Pharmacokinetics (PK), Safety and Tolerability of Sofpironium Bromide Gel, 15% Applied Topically to Children and Adolescents, ≥9 to date: 2019-11-09 words: 1259 flesch: 56 summary: Severe 12 (48.0%) Very Severe 4 (16.0%) 0 1 2 3 4 Day 1 Day 8 H D S M -A x S co re Study Day HDSM-Ax Scores 0% 10% 20% 30% 40% 50% 60% None Mild Moderate Severe Very Severe P e rc e n t R e sp o n se s Severity PGI-S Responses Day 1 Day 8 SB GEL, 15% (N=25) Subjects with TEAEs 3 (12.0%) Number of TEAEs 4 Dry Eye 1 (4.0%, mild) Vision Blurred 1 (4.0%, moderate) Influenza 1 (4.0%, moderate) Urinary Hesitation 1 (4.0%, mild) Subjects with SAEs 0 Arch Dermatol Res. 2016; 308:743-749. References 0 2 4 6 8 10 12 14 16 D ay 1 , 0 h D ay 1 , 1 h D ay 1 , 4 h D ay 1 , 8 h D ay 1 , 2 4h D ay 8 , 2 4h S o fp ir o n iu m S am p le C o n ce n tr at io n (n g /m L) Collection Day, Nominal Hour Sofpironium Concentrations 0 2 4 6 8 10 12 14 16 D ay 1 , 0 h D ay 1 , 1 h D ay 1 , 4 h D ay 1 , 8 h D ay 1 , 2 4h D ay 8 , 2 4h B B I- 4 0 1 0 C o n ce n tr at io n (n g /m L) Collection Day, Nominal Hour BBI-4010 Concentrations keywords: day; severity; sofpironium cache: skin-782.pdf plain text: skin-782.txt item: #1223 of 1356 id: skin-783 author: Pariser, D.M.; Lain, E.L.; Mamelok, R; Drew, J; Mould, D.R. title: Limited Systemic Exposure with Topical Glycopyrronium Tosylate across Multiple Studies in Healthy Volunteers and Patients with Primary Axillary Hyperhidrosis date: 2019-11-09 words: 3150 flesch: 30 summary: In both studies, intensive blood sampling occurred on Days 1-2 and, for one study also on Days 15-16; additional sampling occurred in subsequent weeks • PK data from these phase 2 studies informed a population PK model (NONMEM version 7.2.0 Icon PLC, Dublin, Ireland) from which exposure metrics were used to assess the relationship between topical glycopyrronium PK and anticholinergic-related AEs or efficacy Figure 1. For adults receiving oral glycopyrrolate 1, 2, and 3 mg, respectively, mean ± SD PK parameters were Cmax 0.15 ± 0.12, 0.23 ± 0.11, and 0.38 ± 0.19 ng/mL, and AUC0-24 2.12 ± 1.47, 3.50 ± 1.50, and 5.50 ± 2.19 h*ng/mL ± SD (Table 2) Table 2. keywords: days; glycopyrronium; patients; phase; study; topical cache: skin-783.pdf plain text: skin-783.txt item: #1224 of 1356 id: skin-784 author: Bhatia, Neal title: Measuring the Predictive Value of Serological Quantification of Cytokines with the Onset of Influenza-Like Signs and Symptoms Induced by Imiquimod 3.75% Cream: Results of a Single Center, Open-Label, Proof of Concept Trial date: 2019-11-09 words: 925 flesch: 62 summary: No Systemic Symptoms Systemic Symptoms V1 V2 V3 V4 V5 V1 V2 V3 V4 V5 SS LSR EL CYT SS LSR EL CYT SS LSR EL CYT SS LSR EL CYT SS LSR EL CYT SS LSR EL CYT SS LSR EL CYT SS LSR EL CYT SS LSR EL CYT SS LSR EL CYT SS LSR EL CYT SS LSR EL CYT SS LSR EL CYT CONCLUSION • Treatment on the face led to more incidence of flu like symptoms in younger patients • Elevations in pro-inflammatory cytokines did not appear to predict the development of either sys- temic symptoms or local skin reactions. • Frequency of symptoms indicative of an influenza-like response, in- cluding, fever, headache, fatigue, malaise, gastrointestinal symptoms, dizziness, myalgia, and arthralgia. keywords: cyt; il-13 cache: skin-784.pdf plain text: skin-784.txt item: #1225 of 1356 id: skin-785 author: Madan, Sumit; Kumar, Sudershan; Segal, Jeanett title: Comparative Pharmacokinetic Profiles of a Novel Low-Dose Micronized-Isotretinoin 32-mg Formulation and Lidose-Isotretinoin 40 mg in Fed and Fasted Conditions: 2 Open-label, Randomized Crossover Studies in Healthy Adult Participants date: 2019-11-09 words: 2539 flesch: 15 summary: ACCUTANE® (isotretinoin capsules) PI. ABSORICA® (isotretinoin capsules) PI. keywords: fed; isotretinoin; lidose; state cache: skin-785.pdf plain text: skin-785.txt item: #1226 of 1356 id: skin-787 author: Geizhals, Solomon; Lebwohl, Mark G title: The Successful Treatment of Multiple Cutaneous Malignancies with HPV Vaccination: Case Report date: 2020-03-08 words: 1348 flesch: 46 summary: The National Society for Cutaneous Medicine 150 vaginal, vulvar, and some oropharyngeal cancers, but not against β-HPV types.6-7 Although the β-HPV subtype has been viewed as the main culprit in cutaneous malignancy pathogenesis, nevertheless, some patients that received the more limited quadrivalent vaccine reduced new SCC development in immunocompetent patients without known HPV infection.8 The data supporting the use of intratumoral vaccine injections in eliciting immune responses capable of eradicating tumor cells12 coupled with the evidence showing a strong relationship between HPV and non-melanotic skin cancers led us to treat and now report a 2nd case in which a patient’s multiple cutaneous malignancies were successfully treated with the HPV vaccine. keywords: cell; hpv; skin; vaccine cache: skin-787.pdf plain text: skin-787.txt item: #1227 of 1356 id: skin-789 author: Singer, Sarina; Shihab, Nahla; Lebwohl, Mark title: Cyclosporine for Severe Drug Eruption in a Psoriasis Patient date: 2020-07-12 words: 844 flesch: 46 summary: The principal management of drug eruption is to withdraw the offending drugs and provide supportive care. We suspected that his new rash represented drug eruption, suggested discontinuation of doxycycline, and prescribed cyclosporine 250 mg by mouth twice a day. keywords: cyclosporine; drug; eruption cache: skin-789.pdf plain text: skin-789.txt item: #1228 of 1356 id: skin-79 author: Thaci, Diamant; Menter, Alan; Wu, Jashin J; Arikan, Dilek; Kupper, Hartmut; Bereswill, Mareike; Valdecantos, Wendell C title: Long-Term Safety and Effectiveness of Adalimumab for Moderat-to-Severe Psoriasis: Results from the Eight-Year Interim Analysis of the ESPIRIT Registry date: 2017-10-27 words: 3226 flesch: 62 summary: Proportion of Patients Achieving PGA “Clear” or “Minimal” Over Years 1–8 (All-Rx and New-Rx Patient Populations: as Observed) 12 24 36 48 60 72 84 96 0 20 40 60 80 100 Registry Participation, months P a ti e n ts ,% 57.0 58.7 59.1 62.6 61.9 63.8 65.5 45.0 n= Na= New-Rx (N=2554)All-Rx (N=6045) 52.8 55.5 56.3 59.5 59.9 63.2 64.2 50.0 2635 4624 983 1862 2376 4048 881 1588 2090 3537 767 1363 1994 3185 724 1216 1496 2415 571 953 1114 1745 425 673 428 653 217 338 9 20 8 16 Na=number of patients with non-missing PGA data at the respective visit; All-Rx=all-treated patient population. This included AEs collected in the registry, collected retroactively before registry entry, and from feeder studies for patients rolling over from preregistry feeder clinical trials. keywords: ada; exposure; patients; population; registry cache: skin-79.pdf plain text: skin-79.txt item: #1229 of 1356 id: skin-790 author: Zufall, Alina G; Li, Rung-chi; Zlotoff, Barrett J; Lawrence, Monica G; Flowers, Richard H title: Eosinophilic Annular Erythema- Successful Treatment with Dupilumab date: 2020-05-08 words: 1456 flesch: 46 summary: Eosinophilic annular erythema treated with dupilumab. 2013;27(8):973-979. doi:10.1111/j.1468- 3083.2012.04616.x 2. Kahofer P, Grabmaier E, Aberer E. Treatment of eosinophilic annular erythema with chloroquine. keywords: dermatol; eae; eosinophilic; erythema; patient cache: skin-790.pdf plain text: skin-790.txt item: #1230 of 1356 id: skin-792 author: Agrawal, Shruti; Tomecki, Kenneth J title: Dermatology and Vaccines: A Call to Arms date: 2020-01-28 words: 1470 flesch: 49 summary: In addition to serving as a preventive tool, HPV vaccination may be an effective treatment for warts, basal cell carcinoma, and squamous cell carcinoma.5 The Centers for Disease Control and Prevention (CDC) recommends HPV vaccination for teenagers 11 to 12 years old – two doses at 6-12 months apart. Despite its benefits, overall acceptance of HPV vaccination has been modest at best, possibly due to lack of widespread availability of accurate information, a false perception that only sexually active adolescents should receive the vaccine, social stigma, financial barriers, and the need for multiple doses.6 Some physicians present the HPV vaccine as “optional,” instead of firmly and clearly framing the vaccine as a non-negotiable tool to prevent disease. keywords: anti; hpv; measles; vaccination; vaccine cache: skin-792.pdf plain text: skin-792.txt item: #1231 of 1356 id: skin-793 author: Shihab, Nahla; Tyutyunik, Michael; Lebwohl, Mark title: Psoriasis in Pregnancy: A Review date: 2020-03-08 words: 2120 flesch: 47 summary: The treatment of psoriasis is varied depending on the disease severity, comorbidities, and patient preference.2,3 In the case of pregnancy, treatment of psoriasis can also be challenging. The treatment of psoriasis in pregnancy can be challenging, mainly because there is only a few evidence-based studies. keywords: cells; dermatol; medicine; pregnancy; pregnant; psoriasis; skin; treatment cache: skin-793.pdf plain text: skin-793.txt item: #1232 of 1356 id: skin-795 author: Brady, Joshua M; Kashlan, Reem; Moossavi, Meena title: Hermann Pinkus – Influencing an Entire Generation of Dermatopathologists date: 2020-07-12 words: 483 flesch: 45 summary: Microsoft Word - July 2020 - DH 795 - proof - returned.docx SKIN July 2020 Volume 4 Issue 4 Copyright 2020 The National Society for Cutaneous Medicine 391 DERMATOLOGIC HISTORY Hermann Pinkus – Influencing an Entire Generation of Dermatopathologists Joshua M. Brady, BS,1 Reem Kashlan, MPH,1 Meena Moossavi, MD, MPH1 1Wayne State University, Detroit, MI Hermann Pinkus was born in Berlin, Germany on November 18, 1905. Hermann and his father, like many other Jewish physicians in the 1930’s, were displaced from Germany due to the Nazi regime.1 Hermann Pinkus graduated from the University of Berlin in 1929 and completed a majority of his training in Breslau, Germany. keywords: hermann; pinkus cache: skin-795.pdf plain text: skin-795.txt item: #1233 of 1356 id: skin-796 author: Yi, Lauren G; Forrester, Vernon J; Timko, Michael P; Wilson, Barbara B title: Plant Stellate Trichomes: Strange Contaminants Appearing in KOH Preparations date: 2020-03-08 words: 586 flesch: 50 summary: The National Society for Cutaneous Medicine 185 SHORT COMMUNICATIONS Plant Stellate Trichomes: Strange Contaminants Appearing in KOH Preparations Lauren G. Yi BS1, Vernon J. Forrester MD2, Michael P. Timko PhD3, Barbara B. Wilson MD2 1University of Virginia School of Medicine, Charlottesville, VA 2Department of Dermatology, University of Virginia, Charlottesville, VA 3Department of Biology, University of Virginia, Charlottesville, VA We have observed stellate structures under microscopy on potassium hydroxide preparations of skin scrapings. Typical appearance as seen on a potassium hydroxide preparation without skin scrapings (40X). keywords: skin; structures; trichomes cache: skin-796.pdf plain text: skin-796.txt item: #1234 of 1356 id: skin-797 author: Kashlan, Reem; Brady, Joshua M; Moossavi, Meena title: Ken Hashimoto – A Pioneer in Dermatological Electron Microscopy date: 2020-07-12 words: 498 flesch: 35 summary: Hashimoto, a Fulbright scholar, received his medical degree from Niigata University Medical School and dermatological training at the University of Maryland and Massachusetts General Hospital.1 Hashimoto subsequently established and was chair of the Dermatology program at Wright State University before coming to Wayne State University (WSU) in 1980.1,2 Hashimoto held his position as Professor and Chairman of WSU until his retirement in 2000, becoming the first and only Japanese national to head an American dermatological department at that time.1 Hashimoto’s proficiency with the electron microscope and extensive knowledge of histochemistry was vital to the understanding of many diseases. Microsoft Word - July 2020 - DH 797 - Proof - final.docx SKIN July 2020 Volume 4 Issue 4 Copyright 2020 The National Society for Cutaneous Medicine 393 DERMATOLOGIC HISTORY Ken Hashimoto – A Pioneer in Dermatological Electron Microscopy Reem Kashlan, MPH1, Joshua M. Brady, BS1, Meena Moossavi, MD, MPH1 1Wayne State University School of Medicine Ken Hashimoto was born in Niigata, Japan on June 19, 1931. keywords: dermatology; hashimoto; university cache: skin-797.pdf plain text: skin-797.txt item: #1235 of 1356 id: skin-798 author: Prezzano, James C; Richardson, Christopher T; Scott, Glynis A; Ibrahim, Sherrif F title: Extensive Primary Anetoderma Refractory to Erbium YAG Fractionally Ablative Laser date: 2020-05-08 words: 1109 flesch: 50 summary: A 10,600-nm CO2 laser using the pinhole method was used successfully to treat lesions on the ear of an eight-year-old boy with secondary anetoderma following juvenile xanthogranuloma.5 Anetoderma secondary to a severe sun burn was successfully treated with 595-nm pulsed-dye laser combined with 1550-nm non-ablative fractionated laser.6 Patients with secondary anetoderma and anetoderma limited to a relatively small body surface area may be more amenable to laser treatment than patients with extensive involvement. keywords: anetoderma; laser; primary; treatment cache: skin-798.pdf plain text: skin-798.txt item: #1236 of 1356 id: skin-8 author: Haslam, Samuel P.; Ikpeama, Chinelo; Wilkerson, Michael G. title: Penile Mondor's Disease: Two Rare Cases date: 2017-06-28 words: 991 flesch: 64 summary: PMD was again suspected, and the patient was advised to abstain from sexual activity until the pain and elevated area resolved. Patients may complain of continuous or throbbing pain and pain exacerbated by erection and sexual activity. keywords: disease; penile; pmd cache: skin-8.pdf plain text: skin-8.txt item: #1237 of 1356 id: skin-800 author: Vebman, Jonathan Ilai; Choy, Alexa; Yao, Christopher title: Review of the Prevalence of Cardiovascular and Metabolic Comorbidities of Psoriasis date: 2020-03-08 words: 2852 flesch: 52 summary: Our goals were to analyze and present literature on prevalence of various psoriatic comorbidities, and provide an estimate of what percent of psoriasis patients might have or develop Myocardial/cardiovascular/heart disease, stroke, diabetes, obesity, hypertension, or metabolic syndrome. This paper reviews the literature on the prevalence of specific psoriasis co- morbidities and summarizes published findings on the frequency of each of these conditions in psoriasis patients. keywords: cardiovascular; disease; metabolic; patients; prevalence; psoriasis; study cache: skin-800.pdf plain text: skin-800.txt item: #1238 of 1356 id: skin-801 author: Gottlieb, AB; Gisondi, P; Eells, J; Peterson, L; Kavanaugh, A title: Durability of Response in Patients with Psoriatic Arthritis Treated with Certolizumab Pegol over 216 Weeks: Post-Hoc Analyses from the RAPID-PsA Study date: 2020-01-28 words: 1585 flesch: 59 summary: CONCLUSIONS • Of patients with PsA who initially responded to CZP treatment and achieved an MDA response at Week 24 and completed treatment to Week 216, >85% maintained this clinical response after four years of treatment. Data are pooled for patients treated with CZP 200 mg Q2W and CZP 400 mg Q4W. aMDA plus BSA ≤3% responses are reported in patients who had BSA ≥3% at baseline. keywords: czp; mda; patients; week cache: skin-801.pdf plain text: skin-801.txt item: #1239 of 1356 id: skin-803 author: Silverberg, JI; Beck, L; Boguniewicz, M; Lin, T; Evans, AM; Patel, DS; Rush, T; Swensen, AR title: Study of Adult Atopic Dermatitis and Comorbidities in the US Department of Defense Healthcare System date: 2020-01-28 words: 1164 flesch: 50 summary: Comorbidities of Interest During the 1-year Baseline Period Prior to Index in AD patients in the DoD database 2.4% 2.4% 0.6% 11.7% 1.0% 11.3% 7.2% 17.0% 12.3% 0.5% 22.7% 2.1% 0.0% 5.0% 10.0% 15.0% 20.0% 25.0% RA Psoriasis Lupus Infections IBD Depression Conjunctivitis Cataracts Asthma Alopecia areata Allergic Rhinitis ADHD C o m o rb id it ie s Disclosures This study was sponsored by LEO Pharma.. The 1-year US prevalence of adult AD was 7.2%-10.2% in 2010- 20121  keywords: data; dod; health cache: skin-803.pdf plain text: skin-803.txt item: #1240 of 1356 id: skin-804 author: Wu, JJ; Hansen, JB; Patel, DS; Jensen, NN; Veverka, KA; Swensen, AR title: Calcipotriene Plus Betamethasone Dipropionate (0.005%/0.064%) foam vs halobetasol propionate and tazarotene (0.01%/0.045%) Lotion: Matching-Adjusted Indirect Comparison & US Cost-Per-Responder Analysis date: 2020-01-28 words: 1790 flesch: 58 summary: After reweighting of patients and anchoring to vehicle effect, significantly more Cal/BD foam patients demonstrated greater difference in treatment success relative to vehicle after 4 weeks than did HP/TAZ lotion patients after 8 weeks (51.4% vs 30.7%; treatment difference=20.7%; P<.001) (Table 2)  Halobetasol propionate and tazarotene (0.01%/0.045%, HP/TAZ) lotion is a fixed-combination, once-daily topical treatment of plaque psoriasis in adults.2 Study Design  keywords: cal; foam; lotion cache: skin-804.pdf plain text: skin-804.txt item: #1241 of 1356 id: skin-805 author: Hull, M; Gillard, KK; Peterson-Brandt, J; Klein, SZ title: Treatment Patterns and Depression and Anxiety among Patients Newly Identified with Hyperhidrosis in a Real-World Database Representing US Commercial Health Plan Members date: 2020-01-28 words: 2087 flesch: 38 summary: Methods Patient Selection • Commercial health plan members with ≥2 hyperhidrosis diagnosis codes and/or antiperspirant prescription claims were identified from January 2010 through November 2017 from the Optum Research Database, a de-identified research database that contains commercial and Medicare Advantage claims, containing both medical and pharmacy information from 1993 to current and covering over 60 million lives. – Depression was defined as ≥1 medical claim with a diagnosis code for depression in any position and/or keywords: anxiety; depression; hyperhidrosis; index; patients; period cache: skin-805.pdf plain text: skin-805.txt item: #1242 of 1356 id: skin-806 author: Werth, VP; Joly, P; Mimouni, D; Maverakis, E; Lahane, P; Gearhart, L; Pordeli, P; Chen, DM title: A Phase III, Randomized, Double-Blind, Controlled Study (PEMPHIX) to Evaluate the Efficacy and Safety of Rituximab Versus Mycophenolate Mofetil in Patients With Pemphigus Vulgaris date: 2020-01-28 words: 2463 flesch: 41 summary: bursitis infective (1 patient) and abdominal pain (1 patient) – SAEs related to MMF were, in 1 patient each, pneumonia and influenza (same patient), herpes zoster, urinary retention, chronic obstructive pulmonary disease and skin ulcer Infusion-Related Reactions • IRRs in the rituximab arm occurred primarily at the 1st infusion and frequency decreased with subsequent infusions – 17.9% (1st infusion), 4.5% (2nd infusion), 3% (3rd infusion) and 3% (4th infusion) • IRRs were Grade 1 or 2 in 11 of 15 patients • 3 rituximab patients experienced serious (life-threatening) IRRs that led to discontinuation of infusions and withdrawal from treatment – 2 patients (1st infusion), 1 patient (2nd infusion) – All serious IRRs resolved with symptomatic treatment • IRRs in PV patients were consistent with those seen in patients in other autoimmune indications, both in clinical trials and in the post-marketing setting Infections • A Phase III, Randomized, Double-Blind, Controlled Study (PEMPHIX) to Evaluate the Efficacy and Safety of Rituximab Versus Mycophenolate Mofetil in Patients With Pemphigus Vulgaris Victoria P. Werth,1 Pascal Joly,2 keywords: arm; day; disease; mmf; patients; rituximab cache: skin-806.pdf plain text: skin-806.txt item: #1243 of 1356 id: skin-807 author: Farberg, AS; Hall, MA; Douglas, L; Covington, KR; Kurley, SJ; Cook, RW; Dinehart, SM title: Integrating the 40-Gene Expression Profile (40-GEP) Test into Management of High-Risk Cutaneous Squamous Cell Carcinoma date: 2020-01-28 words: 1671 flesch: 51 summary: Messina and Zager Mount Sinai: Dr. Khorasani Northwestern University: Dr. Yoo Oakview Dermatology: Dr. Trotter OHSU: Dr. Bar Pariser Derm: Dr. Pariser Penn State: Dr. Neves Porter Adventist: Dr. Campana SFVAHCS: Dr. Arron Skin Cancer Specialists: Dr. Griego St. Louis University: Dr. Ramona The Indiana Skin Cancer Center: Dr. Michael Thomas Jefferson University: Dr. Curry University of Pennsylvania: Dr. Newman University of California, San Francisco: Dr. Arron University of Missouri: Drs. Class 2B 25 44.0% 60.0% M e ta s ta s is -F re e S u rv iv a l p<0.0001 Class 1 Class 2A Class 2B 100% 80% 60% 40% 20% 0% 0 1 2 3 4 5 Years Feature of Modeling Cohort (% of Cohort) keywords: class; gep; management; nccn; patients; risk; university cache: skin-807.pdf plain text: skin-807.txt item: #1244 of 1356 id: skin-808 author: Thorpe, R; Caruso, HG; Covington, KR; Brodland, D; Zitelli, J title: Development and validation of a nomogram incorporating the 31-GEP test and clinicopathologic factors for accurate prediction of recurrence risk in patients with cutaneous melanoma date: 2020-01-28 words: 824 flesch: 68 summary: The 31-gene expression profile (31-GEP) test is an independent significant predictor of 5-year risk of recurrence and distant metastasis.1-7 • 31-GEP results classify tumor biology as lowest-risk (Class 1A), low-risk (Class 1B), high-risk (Class 2A), and highest-risk (Class 2B): Development and validation of a nomogram incorporating the 31-GEP test and clinicopathologic factors for accurate prediction of recurrence risk in patients with cutaneous melanoma Thorpe, R.1; Caruso, H.G.2; Covington, K.R.2; Brodland, D.3; Zitelli, J.3 1. A logistic regression model was fitted on clinical and pathological data to determine relative predictive value for recurrence risk. keywords: class; recurrence; risk cache: skin-808.pdf plain text: skin-808.txt item: #1245 of 1356 id: skin-809 author: Blauvelt, A; Paul, C; van de Kerkhof, P; Warren, RB; Gottlieb, AB; Langley, RG; Brock, F; Arendt, C; Boehnlein, M; Lebwohl, M; Reich, K title: Long-Term Safety of Certolizumab Pegol in Plaque Psoriasis: Pooled Analysis over 3 Years from Three Phase 3, Randomized, Placebo-Controlled Studies date: 2020-01-28 words: 2667 flesch: 54 summary: Incidence of TEAEs • At Week 144, the IR of TEAEs and serious TEAEs was comparable between CZP dose groups (Table 2). Table 1. Pooled demographics and baseline characteristics for patients who received ≥1 dose CZP through Weeks 0–144 aPatients who received both CZP 200 mg Q2W and CZP 400 mg Q2W are only included once in the population count for the ‘All CZP’ group; bCZP 200 mg Q2W patients received a loading dose of CZP 400 mg at Weeks 0, 2, and 4 or Weeks 16, 18, and 20. keywords: czp; mg q2w; pharma; q2w; teaes; weeks cache: skin-809.pdf plain text: skin-809.txt item: #1246 of 1356 id: skin-81 author: Zouboulis, Christos C; Okun, Martin M; Gniadecki, Robert; Foley, Peter A; Lynde, Charles; Weisman, Jamie; Karunaratne, Piyalal; Williams, David A title: Adalimumab Efficacy in Hidradenitis Suppurativa Patients is Sustained at Least Three Years with Weekly Dosing: Results from a Phase 3 Open-Label Extension Study (PIONEER) date: 2017-10-27 words: 1507 flesch: 51 summary: • Results are reported as “study weeks,” which consist of PIONEER + OLE weeks, shown consecutively. a. Weeks include PIONEER I or II + the OLE, listed consecutively. keywords: abbvie; patients; pioneer; week cache: skin-81.pdf plain text: skin-81.txt item: #1247 of 1356 id: skin-810 author: Pona, A; Cline, A; Kolli, SS; Feldman, SR title: Demographics, Adherence, and Satisfaction of Home UV Phototherapy in Psoriasis date: 2020-01-28 words: 766 flesch: 51 summary: The phototherapy system was also used to remotely monitor patient treatments, collecting treatment records and adherence data. Review of home phototherapy. keywords: adherence; phototherapy; treatment cache: skin-810.pdf plain text: skin-810.txt item: #1248 of 1356 id: skin-811 author: Moore, A; Green, L; Bruce, S; Sadick, N; Tschen, E; Werschler, P; Dhawan, S; Forsha, D; Gold, M; Guenthner, S; Kempers, S; Kircik, L; Parish, J; Rendon, M; Rich, P; Stein-Gold, L; Tyring, S; Weiss, R; Nasir, A; Schmitz, C; Boodhoo, T; Kaoukhov, A; Berk, D; Cook-Bolden, F; Grada, Ayman title: Once-Daily Oral Sarecycline 1.5 mg/kg/day is Effective for Moderate to Severe Acne Vulgaris: Results from Two 12-Week, Phase 3, Randomized, Double-blind Clinical Trials date: 2020-01-28 words: 693 flesch: 59 summary: Truncal Acne: % of Patients with IGA success at WK 12 Slide Number 1 PowerPoint Presentation Once-Daily Oral Sarecycline 1.5 mg/kg/day is Effective for Moderate to Severe Acne Vulgaris Results from Two 12-Week, Phase 3, Randomized, Double-blind Clinical Trials Angela Moore, MD; Lawrence Green, MD2, Suzanne Bruce, MD; Neil Sadick, MD; Eduardo Tschen, MD, MBA; Philip Werschler, MD, FAAD, FAACS; Sunil Dhawan, MD; Douglas Forsha, MD; Michael Gold, MD, FAAD; Scott Guenthner, MD; Steve Kempers, MD; Leon Kircik, MD; Jennifer Parish, MD; Marta Rendon, MD; Phoebe Rich, MD; Linda Stein-Gold, MD; Stephen Tyring, MD, PhD; Robert Weiss, MD, FAAD; Adnan Nasir, MD; Carsten Schmitz, MD, PhD; Terry Boodhoo, MS; Alexandre Kaoukhov, MD; David Berk, MD; Fran Cook-Bolden, MD; Ayman Grada, MD, MS Email: ayman.grada@Almirall.com Introduction  keywords: sarecycline cache: skin-811.pdf plain text: skin-811.txt item: #1249 of 1356 id: skin-813 author: Gottlieb, A; Lebwohl, M; Armstrong, A; Israel, RJ; Jacobson, A title: Malignancy Events in Patients With a History of Cancer in Clinical Studies of Brodalumab date: 2020-01-28 words: 974 flesch: 54 summary: Of patients with history of malignancy who received continuous ustekinumab, 2 adjudicated malignancy events (both basal cell carcinoma) occurred through 52 weeks, which were also classified as nonmelanoma skin cancer AEs • A limitation of this study was the relatively low number of patients included in the analysis Acknowledgments: Abby Jacobson4 1Icahn School of Medicine at Mount Sinai, New York, NY; 2University of Southern California, Los Angeles, CA; 3Bausch Health US, LLC, Bridgewater, NJ; 4Ortho Dermatologics (a division of Bausch Health US, LLC), Bridgewater, NJ 2020 Winter Clinical Dermatology Conference - Hawaii® • January 17-22, 2020 • Kohala Coast, HI INTRODUCTION • Brodalumab is a fully human anti–interleukin-17 receptor A monoclonal antibody efficacious for the treatment of adults with moderate-to-severe plaque psoriasis • In a previous analysis, rates of malignancy among brodalumab-treated patients in clinical studies of psoriasis were generally low, and there was no increase in malignancy events with brodalumab compared with ustekinumab through 52 weeks1 OBJECTIVE • keywords: brodalumab; malignancy; patients cache: skin-813.pdf plain text: skin-813.txt item: #1250 of 1356 id: skin-814 author: Lebwohl, M; Leonardi, C; Wu, JJ; Yamauchi, P; Rawnsley, N; Merchant, M; Jacobson, A title: One-Year Pharmacovigilance Update of Brodalumab date: 2020-01-28 words: 852 flesch: 40 summary: Few patients receiving brodalumab reported depression, and none reported serious fungal infections, suicide attempts, or completed suicides © 2020. One-Year Pharmacovigilance Update of Brodalumab Mark Lebwohl,1 Craig Leonardi,2 Jashin J. Wu,3 Paul Yamauchi,4 Nicole Rawnsley,5 Mohammed Merchant,6 Binu Alexander,6 Abby Jacobson5 1Icahn School of Medicine at Mount Sinai, New York, NY; 2Saint Louis University School of Medicine, St Louis, MO; 3Dermatology Research and Education Foundation, Irvine, CA; 4Dermatology Institute & Skin Care Center, Santa Monica, CA; 5Ortho Dermatologics (a division of Bausch Health US, LLC), Bridgewater, NJ; 6Bausch Health US, LLC, Bridgewater, NJ 2020 Winter Clinical Dermatology Conference - Hawaii® • January 17-22, 2020 • Kohala Coast, HI SYNOPSIS • Efficacy and safety of brodalumab, a fully human anti–interleukin-17 receptor A monoclonal antibody, have been demonstrated in one phase 2 and three phase 3 trials (AMAGINE-1/-2/-3)1-3 • There are limited data on the effects of brodalumab treatment in a real-world setting OBJECTIVE • To report an update of brodalumab 1-year pharmacovigilance in the United States (August 15, 2017–August 14, 2018) METHODS • Observational data were collected for US patients who received brodalumab (N=826) and reported an adverse event (AE) through routine pharmacovigilance reporting from healthcare providers and patients • AEs were categorized by Medical Dictionary for Regulatory Activities preferred term and system organ class, seriousness, and (company-determined) causality • Brodalumab exposure was estimated by first shipment date to last dose date plus 55 days (ie, 5 half-lives of brodalumab) • AEs were summarized with descriptive statistics and as exposure-adjusted rates per patient-year (PY) • keywords: brodalumab; events; reports cache: skin-814.pdf plain text: skin-814.txt item: #1251 of 1356 id: skin-815 author: Baldwin, H; Green, L; Kircik, L; Guenin, E title: Efficacy and Safety of a Novel Tazarotene 0.045% Lotion in Females and Males with Moderate-to-Severe Acne date: 2020-01-28 words: 1525 flesch: 64 summary: + , *# ** *) M e a n P e rc e n t C h a n g e F ro m B a se lin e Females Baseline Week 2 Week 4 Week 8 Week 12 -17.6% -25.9% -39.7% -54.1% -6.9% -22.0% -33.1% -49.9% -5.4% -4.6% -24.0% -28.2% -70% -60% -50% -40% -30% -20% -10% 0% # * ) ( ' & % keywords: lotion; tazarotene; week cache: skin-815.pdf plain text: skin-815.txt item: #1252 of 1356 id: skin-816 author: Han, G; Armstrong, AW; Desai, SR; Guenin, E title: Novel Tretinoin 0.05% Lotion for the Once-Daily Treatment of Moderate-to-Severe Acne Vulgaris in Asians date: 2020-01-28 words: 1401 flesch: 54 summary: -70% -60% -50% -40% -30% -20% -10% 0% LS M e a n P e rc e n t C h a n g e F ro m B a se lin e Asian Participants Tretinoin 0.05% Lotion (n=36) In�ammatory Lesions -27.9% -40.7% -52.1% -24.7% -33.2% -41.0% -70% -60% -50% -40% -30% -20% -10% 0% LS M e a n P e rc e n t C h a n g e F ro m B a se lin e All Participants Tretinoin 0.05% Lotion (n=819) keywords: asian; participants; week cache: skin-816.pdf plain text: skin-816.txt item: #1253 of 1356 id: skin-817 author: Stein-Gold, L; Pariser, DM; Guenin, E title: Tretinoin 0.05% Lotion for the Once-Daily Treatment of Moderate-to-Severe Acne Vulgaris in Females: Effect of Age on Efficacy and Tolerability date: 2020-01-28 words: 1548 flesch: 60 summary: In�ammatory Lesions -27.4% -28.1% -24.1% -34.6% -36.3%Vehicle: -44.6% Week 8 -37.9% -46.7% -36.4% -50.3% -49.7% #( -55.3% Week 12 -45.2% -55.8% -46.6% -63.5% -56.7% 13-19 y (n=173) 20-29 y (n=163) 30+ y (n=80) #( -70% -50% -30% -10% -21.3% Week 4 LS M e a n P e rc e n t C h a n g e F ro m B a se lin e B. Nonin�ammatory Lesions -17.0% -25.6% -18.2% -27.6% LS Mean Percent Reduction from Baseline in Inflammatory (A) and Noninflammatory (B) Lesion Counts by Age Group and Visit (ITT Population, Pooled) #( -70% -50% -30% -10% -30.5% Week 4 LS M e a n P e rc e n t C h a n g e F ro m B a se lin e A. keywords: age; vehicle; week cache: skin-817.pdf plain text: skin-817.txt item: #1254 of 1356 id: skin-818 author: Lain, E; Day, D; Harper, JC; Guenin, E title: Efficacy of a Novel Tretinoin 0.05% Lotion in the Treatment of Moderate-to-Severe Acne by Gender and Race: Pooled Analysis of Two Phase 3 Studies date: 2020-01-28 words: 1512 flesch: 65 summary: -30.2% -46.1% -56.9% -27.1% -38.7% -47.1% -70% -60% -50% -40% -30% -20% -10% LS M e a n P e rc e n t C h a n g e F ro m B a se lin e Females Tretinoin 0.05% Lotion (n=433) In�ammatory Lesions B. Nonin�ammatory Lesions -26.0% -39.2% -53.4% -21.8% -30.2% -39.4% -70% -60% -50% -40% -30% -20% -10% 0% LS M e a n P e rc e n t C h a n g e F ro m B a se lin e Males Baseline Week 4 Week 8 Week 12 Tretinoin 0.05% Lotion (n=386) Vehicle Lotion (n=345) keywords: vehicle; week cache: skin-818.pdf plain text: skin-818.txt item: #1255 of 1356 id: skin-819 author: Draelos, Z; Cook-Bolden, F; Green, L; Guenin, E; Martin, G; Pillai, R title: Comparison of a Novel Tazarotene 0.045% Lotion to Tazarotene 0.1% Cream: Patient-Reported Outcomes from a Phase 2 Clinical Trial date: 2020-01-28 words: 1161 flesch: 46 summary: ◾ Per SSA ratings, the percentage of participants who reported having 90-100% clear skin was similar between tazarotene lotion and cream and greater than vehicle (Figure 3) Comparison of a Novel Tazarotene 0.045% Lotion to Tazarotene Participants aged 12 years and older were randomized (2:2:1:1) to receive double-blind treatment with tazarotene 0.045% lotion, tazarotene 0.1% cream, lotion vehicle, or cream vehicle ◾ keywords: acne; cream; lotion; tazarotene cache: skin-819.pdf plain text: skin-819.txt item: #1256 of 1356 id: skin-82 author: Draelos, Zoe D; Kempers, Steven E; Smith, Stacy R; Wilson, David C; Powala, Christopher V; Bradshaw, Mark; Estes, Esther; Shanler, Stuart D title: Safety and Efficacy of A-101 Hydrogen Peroxide Topical Solution in Adults with Seborrheic Keratosis: Results from the Phase 3, Randomized, Double-Blind, Vehicle-Controlled, Parallel-Group Study date: 2017-10-27 words: 1281 flesch: 63 summary: Figure 1: Clearance of all 4 SK Lesions (A) and Clearance of at Least 3 of 4 SK Lesions (B) 0 2 1 3 4 5 6 7 8 9 10 Day 106 0 A B 0 Day 106 P at ie n ts , % 0 6 8 10 12 14 4 2 16 P at ie n ts , % 4.0% 13.5% P < 0.001 P < 0.0001 Vehicle A-101 40% 0 20 10 30 40 50 60 70 Le si on s, % 0 30 20 10 40 50 60 70 Le si on s, %48% 64% 10% 15% A B Day 106 Day 106 Vehicle A-101 40% P < 0.001P < 0.0001 Figure 2: Mean Per-Patient Percentage of Lesions (A) or Facial Lesions (B) Judged to be Clear/Near Clear (PLA ≤ 1) Safety • A noninvasive, well-tolerated, topical agent for the removal of SK lesions is an important unmet need. keywords: a-101; lesions; patients; vehicle cache: skin-82.pdf plain text: skin-82.txt item: #1257 of 1356 id: skin-820 author: Cook-Bolden, F; Soung, J; Guenthner, ST; Bumpass, B; Lin, T title: Efficacy and Safety of Halobetasol Propionate 0.01% Lotion in the Treatment of Females With Moderate-to-Severe Plaque Psoriasis: Post Hoc Analysis of Two Phase 3 Randomized Controlled Trials date: 2020-01-28 words: 1280 flesch: 53 summary: Mean Percent Reduction in Overall Affected Body Surface Area (BSA) by Study Visit in Female and Male Participants (ITT Population, Pooled) 0% 10% 20% -10% -20% -30% -40% -50% 0 2 4 6 8 12 0% 10% 20% -10% -20% -30% -40% -50% 0 2 4 6 8 12 P e rc e n t C h a n g e f ro m B a se li n e Female Participants Treatment Posttreatment -8.2% -17.7% -28.6% -5.6% -27.2% 2.1% -3.9% -8.6% -35.6% -4.6% P e rc e n t C h a n g e f ro m B a se li n e Male Participants Treatment Posttreatment -0.1% This analysis included 177 female participants (HP lotion, n=113; vehicle, n=64) and 253 male participants (HP lotion, n=172; vehicle, n=81) ◾ keywords: lotion; vehicle cache: skin-820.pdf plain text: skin-820.txt item: #1258 of 1356 id: skin-821 author: Desai, SR; Glick, B; Del Rosso, JQ; Lin, T title: Efficacy and Safety of Halobetasol Propionate 0.01% Lotion in the Treatment of Moderate-to-Severe Plaque Psoriasis in a Hispanic Population: Post Hoc Analysis of Two Phase 3 Randomized Controlled Trials date: 2020-01-28 words: 1338 flesch: 51 summary: Mean Percent Reduction in Overall Affected Body Surface Area (BSA) by Study Visit in Hispanic Participants (ITT Population, Pooled) -10% 0% 10% -20% -30% -40% 0 2 4 6 8 12 P e rc e n t C h a n g e F ro m B a se li n e Treatment Posttreatment -4.9% -14.6% -23.3% -26.0% [primary endpoint]) • Treatment success (≥2-grade improvement from baseline) in each individual sign of psoriasis (erythema, plaque elevation, and scaling) at the target lesion • Improvements from baseline in overall BSA • Reductions of ≥50% and ≥75% from baseline in IGAxBSA (IGAxBSA-50, IGAxBSA-75) ◾ Safety and treatment-emergent adverse events (TEAEs) were evaluated throughout the study RESULTS ◾ keywords: lotion; treatment; vehicle cache: skin-821.pdf plain text: skin-821.txt item: #1259 of 1356 id: skin-822 author: Stein-Gold, L; Elewski, B; Draelos, Z; Lin, T title: Safety and Efficacy of a Fixed Combination Halobetasol Propionate 0.01%/Tazarotene 0.045% (HP/TAZ) Lotion in the Treatment of Females With Moderate-to-Severe Plaque Psoriasis date: 2020-01-28 words: 1291 flesch: 55 summary: -29.7% -34.2% -36.8% -3.1% -3.9% -9.3% -8.7% -2.6 Vehicle (n=45) Treatment Posttreatment P e rc e n t C h a n g e fr o m B a se lin e -7.3% -18.0% keywords: taz; vehicle cache: skin-822.pdf plain text: skin-822.txt item: #1260 of 1356 id: skin-823 author: Tyring, SK; Kircik, LH; Yamauchi, PS; Anbalagan, N; Lin, T title: Efficacy and Safety of Halobetasol Propionate 0.01%/Tazarotene 0.045% (HP/TAZ) Lotion in the Treatment of Moderate to Severe Plaque Psoriasis of the Lower Extremities date: 2020-01-28 words: 1587 flesch: 56 summary: Mean Percent Reduction in IGAxBSA Composite by Study Visit in Participants With a Target Lesion on the Leg (ITT Population, Pooled) -10% 0% 10% -20% -30% -50% -40% -60% 0 2 4 6 8 12 P e rc e n t C h a n g e f ro m B a se li n e Treatment Posttreatment -24.1% -35.7% -43.5% -47.2% (12.9) Severe 13 (9.0) 4 (5.7) Relationship to study drug Related 34 (23.6) 7 (10.0) Unrelated 18 (12.5) 9 (12.9) Treatment-related TEAEs reported in ≥2% of participants Contact dermatitis 11 (9.0) 0 Skin atrophy 4 (2.8) 0 Folliculitis 4 (2.8) 0 Excoriation 3 (2.1) 0 Pruritis 2 (1.4) 2 (2.9) Skin burning sensation 2 (1.4) 2 (2.9) Burning sensation (nervous system disorders) 2 (1.4) 2 (2.9) AE, adverse event; HP/TAZ, halobetasol propionate 0.01% and tazarotene 0.045%; SAE, serious adverse event; TEAE, treatment- emergent adverse event. keywords: taz; vehicle cache: skin-823.pdf plain text: skin-823.txt item: #1261 of 1356 id: skin-824 author: Tanghetti, EA; Stein-Gold, L; Del Rosso, JQ; Weiss, S; Lin, T; Angel, A; Pillai, R title: Novel Lotion Formulation Using Polymeric Emulsion Technology for Improved Skin Moisturization and Drug Permeation in Patients With Psoriasis date: 2020-01-28 words: 1286 flesch: 43 summary: CONCLUSIONS ◾ Lotion formulations for the treatment of psoriasis and acne have been developed that utilize an innovative polymeric emulsion technology and an optimal selection of solvents, emollients, and humectants ◾ The vehicle lotion formulation is non‑greasy, aesthetically pleasing, and provides enhanced barrier to the skin ◾ ACKNOWLEDGEMENTS: Medical writing support was provided by Prescott Medical Communications Group (Chicago, IL) with financial support from Ortho Dermatologics; Ortho Dermatologics is a division of Bausch Health US, LLC | Presented at Winter Clinical Dermatology Conference 2020 • January 17-22, 2020 • Kohala Coast, HI SYNPOSIS ◾ keywords: cream; hours; lotion cache: skin-824.pdf plain text: skin-824.txt item: #1262 of 1356 id: skin-825 author: Eichenfield, LF; Elewski, B; Sugarman, JL; Rosen, T; Gupta, A; Pillai, R; Lin, T title: Safety, Pharmacokinetics, and Efficacy of Efinaconazole 10% Topical Solution for the Treatment of Onychomycosis in Pediatric Patients date: 2020-01-28 words: 1487 flesch: 56 summary: Participants were aged 6 – 16 years with culture-positive mild-to-severe onychomycosis affecting ≥20% of at least 1 great toenail ◾ ACKNOWLEDGEMENTS: Medical writing support was provided by Prescott Medical Communications Group (Chicago, IL) with financial support from Ortho Dermatologics; Ortho Dermatologics is a division of Bausch Health US, LLC | Presented at Winter Clinical Dermatology Conference 2020 • January 17-22, 2020 • Kohala Coast, HI SYNOPSIS ◾ Onychomycosis—a chronic fungal nail infection—can occur in children, ranging in prevalence from 0.35% – 5.5% worldwide1 ◾ keywords: cure; efinaconazole; population cache: skin-825.pdf plain text: skin-825.txt item: #1263 of 1356 id: skin-826 author: Lebwohl, MG; Sugarman, J; Pariser, DM; Bagel, J; Lin, T; Israel, R title: Safety and Tolerability of Fixed Combination Halobetasol Propionate 0.01% And Tazarotene 0.045% (HP/TAZ) Lotion in Patients With Moderate-to-Severe Plaque Psoriasis: Results From a 1-Year, Open-Label Study date: 2020-01-28 words: 1510 flesch: 48 summary: Select local signs/symptoms showed marked improvements in severity of itching, dryness, and burning/stinging over the study course; greatest improvement was for itching (Figure 2) ◾ Incidence of treatment-emergent Grade 3 local skin reactions was 22.2% for itching, 6.9% for dryness, and 9.8% for burning/stinging ◾ Incidence of other local skin reactions are shown in Figure 3 • Incidence peaked at 2.3% for skin atrophy (week 8), 2.7% for folliculitis (week 8), and 1.5% for striae and telangiectasias (week 28) ◾ Local skin reactions most frequently reported as AEs were application site folliculitis (14 participants [2.5%]; 1 discontinued) and application site atrophy (4 participants [0.7%]; 1 discontinued); no participant reported striae or telangiectasias AEs ◾ At week 8, treatment was stopped for participants that achieved treatment success; those who did not reach treatment success were treated for 4 additional weeks • keywords: baseline; treatment; week cache: skin-826.pdf plain text: skin-826.txt item: #1264 of 1356 id: skin-827 author: Green, L; Armstrong, A; Teller, CF; Bell, S; Lin, T title: Treatment of Psoriasis: A Survey on Patient Preference and Satisfaction date: 2020-01-28 words: 1117 flesch: 49 summary: Of individuals who did not achieve sufficient response to topical treatment, over half would have continued to use their topical treatment over starting a systemic/biologic if the topical had been more effective ◾ These survey results suggest that patients are extensively using topical treatments to control their psoriasis, and that topical treatments, if more effective, would be preferred by most patients over systemic or biologic treatments REFERENCES 1. Of the 92 participants that had previously used topical treatment and were currently taking a biologic or systemic treatment, most (n=73) were also still using topical treatment. keywords: psoriasis; treatment cache: skin-827.pdf plain text: skin-827.txt item: #1265 of 1356 id: skin-828 author: Maxi, Margaret Coleman; Byrne, Joel; Martin, Ardenne; Martin, Pamela title: Merkel Cell Carcinoma Presenting as an Indurated Plaque date: 2020-10-27 words: 1952 flesch: 56 summary: Merkel cell carcinoma: changing incidence trends. Heath M, Jaimes N, Lemos B, Mostaghimi A, Wang LC, Peñas PF, Nghiem P. Clinical characteristics of Merkel cell carcinoma at diagnosis in 195 patients: the AEIOU features. keywords: carcinoma; cases; cell; chest; journal; mcc; merkel; patients; presentation cache: skin-828.pdf plain text: skin-828.txt item: #1266 of 1356 id: skin-829 author: Choy, Alexa Haley; Vebman, Jonathan; Yao, Christopher title: Biologic Prescribing Patterns Among Mount Sinai Psoriasis Patients: Results of a Retrospective Chart Review date: 2020-03-08 words: 2624 flesch: 44 summary: Objective: The purpose of the study is to understand biologic prescribing patterns among Mount Sinai psoriasis patients and assess its relationship to insurance policy, which may limit treatment access. Two of the most commonly cited prescribing barriers included patient insurance restrictions (79.0%) and out-of-pocket costs (71.7%).12 Thus, the purpose of this study is to understand biologic prescribing patterns among Mount Sinai psoriasis patients and assess its relationship to insurance policy, which may limit treatment access. keywords: biologic; insurance; patients; psoriasis cache: skin-829.pdf plain text: skin-829.txt item: #1267 of 1356 id: skin-83 author: Glinos, George D; Pastar, Irena; Tomic-Canic, Marjana; Stone, Rivka C title: Mislocalization of Adherens Junction- Associated Proteins in a Patient with Darier Disease date: 2018-04-30 words: 2121 flesch: 41 summary: Perilesional (non-acantholytic) portions of DD skin partially recapitulated the normal phenotype. In fact, the loss of membranous localization of desmosomal attachment plaque proteins (e.g. desmoplakins, plakophilin, plakoglobin) as well as desmosomal cadherins (desmoglein 1/3, desmocollin 1) has been well-described in acantholytic portions of histologic sections from DD skin biopsies 5,7,8 , with normal localization maintained in perilesional skin 5 as well as relative maintenance of tight junctions 8 . keywords: catenin; darier; disease; proteins; skin; staining cache: skin-83.pdf plain text: skin-83.txt item: #1268 of 1356 id: skin-830 author: Adelman, Madeline; Veenstra, Jesse; Wollner, Ira; McGoey, Joseph title: Why is My Skin Turning Black? A Rare Side Effect of Capecitabine date: 2020-05-08 words: 1533 flesch: 43 summary: This case supports that capecitabine can cause hyperpigmentation independent of HFS, and thus, should be evaluated as a separate entity of HFS if other symptoms are lacking. The patient was counseled that this type of hyperpigmentation is a potential side effect of capecitabine therapy and would likely persist while he is on medication. keywords: capecitabine; case; hfs; hyperpigmentation; skin cache: skin-830.pdf plain text: skin-830.txt item: #1269 of 1356 id: skin-832 author: Reynolds, Matthew T; Dinehart, Scott M; Anderson, Katlyn R; Gorelick, Joe title: Treatment of Recalcitrant Prurigo Nodularis with Dupilumab date: 2020-05-08 words: 1875 flesch: 48 summary: Recently, reports of PN patients treated with alternative non-FDA indicated agents, namely dupilumab (Dupixent) have gained attention. The peak pruritus numerical rating scale (NRSi) was used to evaluate patients at weeks 0 and 4. Results: Dupilumab therapy results in a dramatic reduction in NRSi scores by week 4 and that result continues throughout the duration of therapy. keywords: dupilumab; nrsi; patients; score; treatment; week cache: skin-832.pdf plain text: skin-832.txt item: #1270 of 1356 id: skin-833 author: Kamrani, Payvand; Giesey, Rachel; Christensen, Luisa; Korman, Neil; Delost, Gregory title: Unique presentation of Urticaria Pigmentosa as a subcutaneous mass date: 2020-05-08 words: 821 flesch: 43 summary: Klein NJ, Misseldine S. Anesthetic considerations in pediatric mastocytosis: a review. Systemic tests are rarely needed but can be deemed useful if there is a concern of systemic mastocytosis involvement such as diarrhea, gastric ulcers, flushing reactions, headaches, and failure to thrive.5 These tests include a CBC with differential, complete chemistry panel, and serum tryptase level which would be elevated in systemic mastocytosis but negative in cutaneous mastocytosis.1 UP that begins after age 10 usually persists and can be associated with systemic disease. keywords: mass; mastocytosis; medicine; skin cache: skin-833.pdf plain text: skin-833.txt item: #1271 of 1356 id: skin-834 author: Jackson Cullison, Stephanie Renae; Jansen, Burkhard; Yao, Zuxu; Ferris, Laura K title: Risk Stratification of Severely Dysplastic Nevi by Non-Invasively Obtained Gene Expression and Mutation Analyses date: 2020-03-08 words: 2449 flesch: 44 summary: The National Society for Cutaneous Medicine 124 ORIGINAL RESEARCH Risk Stratification of Severely Dysplastic Nevi by Non-Invasively Obtained Gene Expression and Mutation Analyses Stephanie R. Jackson, MD PhD1, Burkhard Jansen, MD2, Zuxu Yao, PhD2, and Laura K. Ferris, MD PhD1 1Department of Dermatology, University of Pittsburgh, Pittsburgh, PA 2DermTech, Inc., La Jolla, CA Importance: Strategies to non-invasively detect cutaneous melanoma generally focus on differentiating melanoma from non-melanoma lesions. The histopathologic diagnoses were established by three dermatopathologists who agreed on the diagnoses of non-melanoma excluding SDN (n=50, nevi with no, mild, or moderate atypia as well as non-melanocytic lesions) or INTRODUCTION METHODS SKIN March 2020 keywords: lesions; melanoma; mutations; non; pla; sdn; tert cache: skin-834.pdf plain text: skin-834.txt item: #1272 of 1356 id: skin-835 author: Paul, Joan; Dagrosa, Alicia T.; Chen, Youdinghuan; Gangar, Pamela; Ressler, Daniel; Chapman, M. Shane title: Photodynamic Therapy with δ-Aminolevulinic Acid and Blue Light for the Treatment of Actinic Cheilitis date: 2020-07-12 words: 1695 flesch: 48 summary: Post- treatment investigator assessments of swelling, erythema, flaking/scaling, crusting, vesiculation/pustulation, and INTRODUCTION METHODS SKIN July 2020 Volume 4 Issue 4 Copyright 2020 The National Society for Cutaneous Medicine 359 erosion/ulceration were graded on a scale of 0 to 4 (none, mild, moderate, severe). Microsoft Word - July 2020 - BAR 835 - proof - returned.docx SKIN July 2020 Volume 4 Issue 4 Copyright 2020 The National Society for Cutaneous Medicine 357 BRIEF ARTICLES Photodynamic Therapy with δ-Aminolevulinic Acid and Blue Light for the Treatment of Actinic Cheilitis Joan Paul, MD, MPH1, Alicia T. Dagrosa, MD, MBA2, Youdinghuan Chen, PhD3, Pamela Gangar, MD4, Daniel R. Ressler5, M. Shane Chapman, MD, MBA2 1The Permanente Medical Group, Department of Dermatology, Oakland, CA 2Dartmouth-Hitchcock Medical Center, Department of Dermatology, Lebanon, NH 3Dartmouth Geisel School of Medicine, Department of Epidemiology, Hanover, NH 4University of Arizona, Department of Pediatrics, Tucson, AZ 5Dartmouth-Hitchcock Medical Center, Clinical Research Unit, Lebanon, NH Background: Actinic cheilitis is a common precancerous disorder of the lower lip caused by ultraviolet radiation. keywords: actinic; cheilitis; improvement; study; subjects; treatment cache: skin-835.pdf plain text: skin-835.txt item: #1273 of 1356 id: skin-837 author: Rosen, Ted title: Dermatologists' Management Approach to Sexually Transmitted Disease date: 2020-03-08 words: 2080 flesch: 37 summary: Clinicians must also report STD cases diagnosed in the private or academic setting to public health authorities, as required by state law. Furthermore, it is crucial to remember that STD diagnosis or verification often requires a multi-faceted approach. keywords: disease; genital; herpes; medicine; std; syphilis; treatment cache: skin-837.pdf plain text: skin-837.txt item: #1274 of 1356 id: skin-838 author: Maghfour, Jalal; Gill, Frances; Olson, Justin; Murina, Andrea title: Association Between Housing Instability and Severity of Psoriasis and Psoriatic Arthritis: A Cross-Sectional Study date: 2020-07-12 words: 3000 flesch: 55 summary: Housing instability was found to be a source of chronic stress and several studies linked housing instability to adverse health outcomes.6 In 2013, over one in four renters paid more than half their income in rent. Housing unstable psoriasis participants had a higher average BSA than housing stable psoriasis participants (14% vs 7.1%). keywords: bsa; cdapsa; housing; instability; participants; patients; psa; psoriasis cache: skin-838.pdf plain text: skin-838.txt item: #1275 of 1356 id: skin-86 author: Dayan, Steven; Ogilvie, Patricia; Rivkin, Alexander Z; Yoelin, Steven G; Garcia, Julie K; Ferrusi, Ilia L title: OnabotulinumtoxinA for Treatment of Moderate-to-Severe Horizontal Lines and Glabellar Lines from the Subject's Perspective: Patient-Reported Satisfaction and Impact Outcomes from a Phase 3 Double-Blind Study date: 2017-10-27 words: 2123 flesch: 58 summary: The primary endpoint—proportion of subjects achieving ≥2-grade improvement from baseline on day 30 in investigator and subject Facial Wrinkle Scale with photonumeric guide (FWS) scores of FHL severity at maximum eyebrow elevation—was met (61.4% with onabotulinumtoxinA vs 0% with placebo; P<0.0001) OBJECTIVE • To present results from a 12-month, phase 3 study on the effects of onabotulinumtoxinA on patient-reported satisfaction and to assess impacts of treatment METHODS Patients • Neurotoxin-naive males and females aged ≥18 years with both: ─ Moderate to severe FHL at maximum eyebrow elevation (as assessed by both investigator and subject using the FWS on study day 1, before treatment) ─ The study comprised a 6-month double-blind, placebo-controlled, parallel- group treatment period (days 1–180) followed by a 6-month open-label treatment period (days 180–360) (Figure 1) • Eligible subjects were randomized (3:1) to receive a single treatment consisting of onabotulinumtoxinA 40 U (20 U in FHL and 20 U in GL) or placebo administered at 10 injection sites (Figure 2) ─ OnabotulinumtoxinA 4U or placebo was given in 0.1 mL at each injection site • Following the double-blind period, subjects could receive up to 2 open-label treatments with onabotulinumtoxinA using the same 10 injection sites, with ≥84 days between treatment cycles • Follow-up assessments were made at weeks 1 and 2 after each study treatment; all subjects also had follow-up visits every 30 days from study day 30 through day 360 Figure 1. keywords: day; onabotulinumtoxina; placebo; study; subjects; treatment cache: skin-86.pdf plain text: skin-86.txt item: #1276 of 1356 id: skin-861 author: Guda, Anisha; Kowalewski, Catherine; Osswald, Sandra; Usatine, Richard title: The Impact of Psoriasis on the Quality of Life of Patients in San Antonio, TX date: 2020-07-12 words: 1824 flesch: 55 summary: Conclusion: Acutely, psoriasis patients are impacted psychologically and are frustrated with their disease. They found that psoriasis patients had a lower levels of self-confidence and experienced difficulties with social functioning compared to individuals without chronic disease. keywords: disease; life; patients; psoriasis; quality cache: skin-861.pdf plain text: skin-861.txt item: #1277 of 1356 id: skin-862 author: Stashower, Julian; Belote, Katherine; Zlotoff, Barrett title: Delusions of Parasitosis Influenced by Crowdsourcing Diagnostic Platform CrowdMed date: 2020-08-26 words: 559 flesch: 46 summary: Patients on CrowdMed distribute cash awards to contributors that they feel helped the most, which may motivate contributors not to provide correct information, but information that patients will like. CrowdMed is a popular subscription-based crowdsourcing platform that reports having dealt with thousands of patients. keywords: crowdmed; patients cache: skin-862.pdf plain text: skin-862.txt item: #1278 of 1356 id: skin-866 author: Graham, Kathleen R; Rohr, Bethany R; Marks, Victor J title: Blistering Rash over Broken Ribs date: 2020-08-29 words: 1203 flesch: 55 summary: We present a case of a 55-year-old man with fracture blisters found in a previously undocumented location. Differential included fracture blisters, Varicella zoster virus, Herpes simplex virus, bullous pemphigoid, bullous arthropod. keywords: blisters; bullae; fracture; patient; trauma cache: skin-866.pdf plain text: skin-866.txt item: #1279 of 1356 id: skin-867 author: Hands, Jacob M; Moy, Lawrence title: A Review of Exogenous Factors Implicated in the Induction of Cutaneous Melanoma date: 2020-05-08 words: 11075 flesch: 47 summary: The authors write that increased cutaneous melanoma risk may be resultant from excess PAHs, arsenic, among other carcinogenic substances that penetrate personal protective equipment (PPE).122 While it is difficult to prove –– without confound –– the effects ascribed to PAHs in occupational cohorts, their role in the pathogenesis of cutaneous melanoma appears likely. A variety of loci have been found that significantly increased cutaneous melanoma risk, independent of solar exposure. keywords: cancer; exposure; factors; incidence; induction; melanoma; melanoma induction; melanoma risk; radiation; review; risk; role; skin; uva; uvb; uvr cache: skin-867.pdf plain text: skin-867.txt item: #1280 of 1356 id: skin-868 author: Jimenez, Antonio; Hoyer, Paige; Wilkerson, Michael title: An Atypical Presentation of Pemphigus Vegetans in the Umbilicus date: 2020-08-26 words: 1585 flesch: 44 summary: Pemphigus vegetans is a rare variant of pemphigus and presents as oral ulcerations with associated verrucous lesions in intertriginous or flexural areas. Pemphigus vegetans: a clinical, histological, immunopathological and prognostic study. keywords: disease; pemphigus; presentation; vegetans; vulgaris cache: skin-868.pdf plain text: skin-868.txt item: #1281 of 1356 id: skin-869 author: Jimenez, Antonio Roberto; Hoyer, Paige; Wilkerson, Michael title: Aseptic Syphilitic Meningitis in an HIV-Negative Patient with Concomitant Primary and Secondary Syphilis date: 2020-07-12 words: 1674 flesch: 47 summary: ASM is less common in immunocompetent patients and may not always be considered in the differential diagnosis of patients presenting with primary or secondary syphilis. Neurosyphilis is typically considered a tertiary manifestation of syphilis; however, ASM typically occurs within six months of exposure and may be concurrent with the rash of secondary syphilis. keywords: asm; neurosyphilis; patient; rash; syphilis cache: skin-869.pdf plain text: skin-869.txt item: #1282 of 1356 id: skin-87 author: Dayan, Steven; Rivkin, Alexander; Sykes, Jonathan M; Teller, Craig F; Weinkle, Susan H; Shumate, Garrett T; Gallagher, Conor J title: Pan-facial Treatment Positively and Significantly Impacts Social Perception date: 2017-10-27 words: 1220 flesch: 33 summary: Despite this trend, no studies have evaluated the impact of pan-facial aesthetic treatment on social perception • Objective: To evaluate how the social perception of each HARMONYTM subject is impacted following pan-facial treatment BACKGROUND • Pan-facial treatment positively and significantly impacted how HARMONYTM subjects were perceived by society ─ Subjects were perceived as being more socially adept, successful at attracting others, attractive, friendly, successful, healthy, approachable, educated, financially successful, hirable and younger • Respondents believe that attractiveness is important and facial aesthetic treatments are socially acceptable CONCLUSIONS Group 2: Paired Images • Respondents preferred the after treatment photo for all positive traits Trait X % of subjects were considered MORE (trait) following pan-facial treatment Attractive 80 % Someone with good social skills 80 % Intelligent Survey Methodology • Baseline and primary endpoint (Month 4) images from HARMONYTM were pooled (84 subjects) ─ Of the 93 HARMONYTM subjects who completed pan-facial treatment, 9 subjects were excluded from this analysis due to inconsistencies unrelated to treatment between the before and after images (e.g. presence of makeup, lipstick, or changes in hair color). keywords: attractiveness; harmonytm; subjects; treatment cache: skin-87.pdf plain text: skin-87.txt item: #1283 of 1356 id: skin-873 author: Guda, Anisha; Vandergriff, Travis; Mauskar, Melissa title: A Survey Based Study on Maintenance of Certification Programs during Grand Rounds at UT Southwestern Medical Center date: 2020-07-12 words: 1221 flesch: 44 summary: Survey Results on Likert Scale Regarding MOC Grand Rounds at UTSW quizzes, case challenges, and questions of the week.1 Most academic medical centers have regular clinical conferences (Grand Rounds) where both faculty and residents discuss difficult cases. A five-question survey was developed and piloted by the authors and emailed to dermatologists who attended MOC Grand Rounds at UTSW Medical Center. keywords: dermatologists; moc; rounds cache: skin-873.pdf plain text: skin-873.txt item: #1284 of 1356 id: skin-878 author: Litchman, Graham H; Prado, Giselle; Teplitz, Rebeca W; Rigel, Darrell title: A Systematic Review and Meta-Analysis of Gene Expression Profiling for Primary Cutaneous Melanoma Prognosis date: 2020-05-08 words: 5739 flesch: 60 summary: 9 Gene Brunner et al. first published a retrospective cohort of archival melanomas (n=135) where gene signature was correlated with OS.11 Gene signature predicted OS independently of AJCC staging (HR=3.83; p=0.0004). Gene signatures reported in the literature. keywords: expression; gene; gep; melanoma; patients; prognostic; risk; search; signature; studies; survival cache: skin-878.pdf plain text: skin-878.txt item: #1285 of 1356 id: skin-879 author: none title: Enhancing Patient Compliance for Usage of Laundry Detergents Free of Dyes and Perfumes: Potential Impact of Better Cleaning Performance date: 2020-05-08 words: 3850 flesch: 50 summary: In the US and Canada respectively, 80% and 97% of dermatologist recommend the use of free detergents for their patients with sensitive skin. A segment of commercially marketed laundry detergents, commonly known as free detergents, have been formulated without dyes and perfumes to accommodate skin sensitivities. keywords: cleaning; consumer; detergents; fabrics; free; laundry; performance; skin; stain; tpfg; washing cache: skin-879.pdf plain text: skin-879.txt item: #1286 of 1356 id: skin-88 author: Dayan, Steven; Yoelin, Steven G; De Boulle, Koenraad; Ferrusi, Ilia L title: The Psychological Impacts of Horizontal Frontalis Lines, Glabellar Lines, and Lateral Canthal Lines: Qualitative, Patient-Centered Studies date: 2017-10-27 words: 2324 flesch: 44 summary: The Psychological Impacts of Horizontal Frontalis Lines, Glabellar Lines, and Lateral Canthal Lines: Qualitative, Patient-Centered Studies Steven Dayan, MD1; Steven G. Yoelin, MD2; Koenraad De Boulle, MD3; Ilia L. Ferrusi, PhD4 1DeNova Research, Chicago, IL, USA; 2Medical Associates Inc., Newport Beach, CA, USA; 3Aalst Dermatology Clinic, Aalst, Belgium; 4Allergan plc, Irvine, CA, USA Scan to obtain PDF of poster INTRODUCTION • Facial lines or wrinkles are a common sign of aging, developing slowly over time due to repeated contraction of underlying facial muscles1-3 • In the upper face, 3 types of facial lines are common: lateral canthal lines (crow’s feet lines; CFL), caused by smiling or squinting; horizontal frontalis lines (forehead lines; FHL), caused by raising of the eyebrows; and glabellar lines (GL), caused by frowning1 • With age, these upper facial lines (UFL) tend to become static and visible, even when facial muscles are at rest1 • The development of UFL can influence self-perception and may have a variety of psychological impacts3-5 OBJECTIVE • To determine the psychological impact of CFL and FHL individually and of the 3 UFL areas combined • To evaluate whether the 11-item Facial Line Outcomes (FLO-11) Questionnaire3 is an adequate measure to assess CFL, FHL, and UFL psychological impacts METHODS Subjects • Two qualitative research studies (Figure 1) were conducted in adults with moderate or severe UFL (ie, CFL, FHL, and GL) at maximum contraction, as measured using the investigator-rated Facial Wrinkle Scale with photonumeric guide (FWS; 0=none; Study Designs Study 1 Study 2 Concept elicitation interview: open-ended questions about psychological impacts of CFL Subjects complete the FLO-11 questionnaire Targeted questions about relevancy of FLO-11 items and FLO-11 overall for assessing psychological impacts of CFL Concept elicitation interview: open-ended questions about impacts of FHL (n=20) or UFL (n=20); subjects were also asked to define the psychological impacta Targeted questions about relevancy of FLO-11 items and FLO-11 overall for assessing psychological impacts of FHL or UFL Subjects aged ≥18 years with moderate or severe CFL at maximum contraction (n=41) Subjects aged 18–65 years with moderate or severe FHL only (n=9) or with moderate or severe UFL (CFL, FHL, and GL) at maximum contraction (n=20) aEleven subjects in addition to the 9 subjects with FHL only completed interviews about the impact of FHL. CFL, crow’s feet lines; FHL, forehead lines; GL, glabellar lines; UFL, upper facial lines. keywords: cfl; feeling; fhl; impacts; lines cache: skin-88.pdf plain text: skin-88.txt item: #1287 of 1356 id: skin-880 author: Kamrani, Payvand; Schaeffer, Madeline; Altman, David title: Recurrence of Primary Cutaneous Anaplastic Large Cell Lymphoma at a New Location After Wide Surgical Excision date: 2020-10-27 words: 1617 flesch: 50 summary: Coexistence of CD30‐positive anaplastic large cell lymphoma and mycosis fungoides. Patients may present clinically with solitary or multifocal papules and/or nodules usually affecting the upper half of the body, which may enlarge and ulcerate over time.4 Roughly 10% of cases may present with multifocal cutaneous disease in multiple anatomic regions at the time of diagnosis.7 Before a diagnosis of PALCL can be made, systemic anaplastic large cell lymphoma with secondary skin involvement must first be ruled out with imaging. keywords: cd30; cell; excision; figure; lymphoma; pcalcl cache: skin-880.pdf plain text: skin-880.txt item: #1288 of 1356 id: skin-882 author: Robinson, June K; Jansen, Burkhard title: Caring for Melanoma Survivors with Self-Detected Concerning Moles During COVID-19 Restricted Physician Access: a Cohort Study date: 2020-05-08 words: 1700 flesch: 53 summary: Sample 3§ M 7 x 9 Leg ND ND N Sample 4§ M 7 x 7 Scalp ND ND N Sample 5 F 7 x 8 Back ND ND N Sample 6 F 6 x 11 Back ND ND N Sample 7* F 7 x 7 Back ND ND N B) Randomly selected physician collected PLA control samples received during the same time period^ Sample # Sex Lesion Size (mm) Lesion Location LINC PRAME PLA Control 1 M 10 x 10 Back ND ND N Control 2 F 9 x 10 Ankle QNS QNS QNS Control 3 F 10 x 7 Back ND D P Control 4 F 6 x 7 Leg ND ND N Control 5 F 11 x 12 Back ND ND N Control Comparison of mole self-sampling specimens with physician provided samples A) PLA patient self-sampling under the remote supervision of a licensed healthcare professional Sample # Sex Lesion Size (mm) Lesion Location LINC PRAME PLA Sample 1 M 5 x 5 Hip ND ND N Sample 2* F 5 x 5 Shoulder ND ND N keywords: control; melanoma; physician; self; skin cache: skin-882.pdf plain text: skin-882.txt item: #1289 of 1356 id: skin-889 author: Jafari, Alexander; Murina, Andrea title: Virtual Continuity Clinics: A Hybrid Approach to Longitudinal Patient-Dermatologist Relationships in the Wake of COVID-19 date: 2020-07-12 words: 1043 flesch: 37 summary: While both groups preferred in-person consultations over telemedicine visits, satisfaction with teledermatology still remained high and mainly differed based on the format offered (e.g. store-and-forward versus live-interactive sessions).5 During the current COVID-19 pandemic, teledermatology may emerge as a suitable alternative for establishing longitudinal care for patients. The implementation of virtual continuity clinics in dermatology via telehealth during the COVID-19 pandemic may highlight its merits in GME training. keywords: care; continuity; patient; resident cache: skin-889.pdf plain text: skin-889.txt item: #1290 of 1356 id: skin-89 author: Dayan, Steven; Ogilvie, Patricia; Rivkin, Alexander Z; Yoelin, Steven G; Garcia, Julie; Ferrusi, Ilia L title: Simultaneous Treatment of Moderate-to-Severe Horizontal Frontalis Lines, Glabellar Lines, and Lateral Canthal Lines wtih OnabotulinumtoxinA from the Subject's Perspective: Patient-Reported Satisfaction and Impact Outcomes from a Phase 3 Double-Blind Study date: 2017-10-27 words: 2457 flesch: 58 summary: • Eligible subjects were randomized (2:2:1) to receive one of the following treatments: ─ OnabotulinumtoxinA 64 U (20 U in FHL, 20 U in GL, and 24 U in CFL) ─ OnabotulinumtoxinA 40 U (20 U in FHL, 20 U in GL, and placebo in CFL) ─ Placebo • OnabotulinumtoxinA 4 U or placebo was given as 0.1 mL at 16 injection sites (Figure 2) • Following the double-blind period, subjects entered the open-label treatment period, during which they could receive up to 2 onabotulinumtoxinA 64 U treatments using the same 16-injection site paradigm, with at least 84 days separating treatment cycles • Follow-up assessments were made at weeks 1 and 2 after each study treatment; all subjects also had follow-up visits every 30 days starting on study day 30 though day 360 Figure 2. Injection Sites for Treatment of Forehead Lines, Glabellar Lines, and Crow’s Feet Lines Forehead Glabellar Crow’s feet lines Patient-Reported Outcome (PRO) Measures • Subjects completed the Facial Line Satisfaction Questionnaire (FLSQ) and the 11-item Facial Line Outcomes Questionnaire (FLO-11) at baseline, on days 7, 14, and 30, then every 30 days through day 360 • Both PRO instruments were developed, validated, and implemented in accordance with US Food and Drug Administration guidance10,11 • FLSQ (11 questions at baseline and 13 questions at follow-up) is designed to assess treatment satisfaction and appearance-related impacts associated with facial lines in the FHL, GL, and/or CFL areas from the subject’s perspective ─ FLSQ Item 5 assesses the subjects’ satisfaction with treatment of their facial lines ─ FLSQ Impact Domain measures appearance-related and emotional impacts of treatment, including appearance-related age, anger, tiredness, emotional unhappiness, and negative self-esteem • FLO-11 assesses psychological and appearance-related impacts associated with facial lines in the forehead, glabellar, and crow’s feet areas, from the subjects’ perspective ─ FLO-11 Item 4 evaluates whether subjects feel that they look older than their actual age Statistical Analysis • FLSQ Item 5, FLSQ Impact Domain, and FLO-11 Item 4 were included as key secondary efficacy endpoints as they reflect the subject’s perception of treatment effects and drive retreatment decisions ─ Proportion of subjects mostly satisfied or very satisfied on FLSQ Item 5 (primary time point: day 60) ─ keywords: day; fhl; lines; onabotulinumtoxina; placebo; treatment cache: skin-89.pdf plain text: skin-89.txt item: #1291 of 1356 id: skin-895 author: Kolli, Hiren; Moy, Ronald title: Indurated and Puckered Skin on the Lateral Thighs date: 2020-10-27 words: 1353 flesch: 54 summary: 74% of patients had some clinical improvement, including 2 with near clearance.7 Treatment of sclerodermatous GVHD with ultraviolet A1 (340– 400 nm) without psoralen with standard immunosuppression was shown to achieve a complete response in 3 of 5 patients and a partial response in 2 patients.8 In a series of 12 patients with sclerodermatous GVHD alone or with concomitant lichenoid change, all responded favorably to extracorporeal photopheresis. keywords: chronic; cutaneous; disease; gvhd; sclerodermatous cache: skin-895.pdf plain text: skin-895.txt item: #1292 of 1356 id: skin-9 author: Haslam, Samuel P; Woolridge, Katelyn F; Wilkerson, Michael G title: A Rare Transition from Pemphigus Vulgaris to Pemphigus Foliaceus Following Rituximab Therapy Confirmed by Antidesmoglein ELISA  date: 2017-06-28 words: 1134 flesch: 46 summary: 6. Levy-Sitbon C, Reguiai Z, Durlach A et al. Transition from pemphigus vulgaris to pemphigus foliaceus: a case report. Rapid transition from pemphigus vulgaris to pemphigus foliaceus. keywords: elisa; pemphigus; transition cache: skin-9.pdf plain text: skin-9.txt item: #1293 of 1356 id: skin-901 author: Apple, Aurel; Lin, Ann; Kim, Angela; Rozenberg, Suzanne; Kushner, Rachel title: Palmoplantar Pityriasis Rosea date: 2020-10-27 words: 1415 flesch: 47 summary: Different variants of palmoplantar PR have been reported, the first being Bukhari who called for palmoplantar involvement to be included among the known variant forms of PR.6 Lesions of secondary syphilis may appear similarly to palmoplantar PR but would also be associated with systemic symptoms such as genital-mucosal involvement and lymphadenopathy.7 We ruled out syphilis with a non-reactive rapid plasma reagin (RPR) test. We describe a 48-year-old male who presented following a traumatic motor vehicle accident with an atypical presentation of palmoplantar PR which mimicked secondary syphilis. keywords: palmoplantar; patient; pityriasis; rosea cache: skin-901.pdf plain text: skin-901.txt item: #1294 of 1356 id: skin-902 author: Schaffenburg, William; Davis, Joshua; Logemann, Nicholas; Simpson, Meagan title: Complete Histologic Response of Regionally Metastatic Melanoma Treated with Intralesional Interleukin 2, Topical Retinoid and Imiquimod date: 2020-10-27 words: 1103 flesch: 33 summary: The regimen per Shi et al. resulted in leukoderma, ulceration and irritation to the area as intended.1 With daily application of topical treatment, plus biweekly IL-2 injections, the local metastases slowly regressed over the next six weeks (Figure 1). Histological examination of punch biopsies before treatment showed dermal nodules of heavily pigmented, malignant melanocytes. keywords: figure; melanoma; national; therapy; treatment cache: skin-902.pdf plain text: skin-902.txt item: #1295 of 1356 id: skin-905 author: Katamanin, Olivia; Glazer MD, Alex M title: Dermatologists' Perceptions and Use of Electronic Health Record Systems date: 2020-08-29 words: 1030 flesch: 43 summary: Interventions to improve EHR should focus on improving workflow efficiency and maximizing the amount of time dermatologists can spend with patients. Further studies are needed to weigh the benefits of EHR, investigate the amount of time dermatologists spend using EHR, and to classify specific ways EHR can become more user friendly. keywords: dermatologists; ehr; time cache: skin-905.pdf plain text: skin-905.txt item: #1296 of 1356 id: skin-908 author: Cockerell, Clay J; Heibel, Haley D; Workman, Ashleigh title: Considerations for Dermatologic Patient Care during COVID-19 date: 2020-07-12 words: 851 flesch: 35 summary: Here, we discuss our experience of diagnosing multiple metastatic cutaneous cancers during the COVID-19 era and consider how perceived and existing barriers for patients receiving dermatologic care in the pandemic may have led to the progression of cancer. Unintended consequences of dermatologic patients seeking care from other facilities include utilization of resources reserved for COVID-19 patients and inappropriate diagnosis and treatment, leading to further spread of COVID-19. keywords: covid-19; dermatologists; patients cache: skin-908.pdf plain text: skin-908.txt item: #1297 of 1356 id: skin-909 author: Shiu, Valerie; Brown, Margaret; Bambekova, Pavela; Yeh, Jenny; Brogan, Jaqueline; Kowalewski, Catherine title: 755-nm Alexandrite Laser for the Treatment of Non-Facial Superficial and Nodular Basal Cell Carcinoma date: 2020-10-27 words: 1403 flesch: 49 summary: It is important to note that scar outcomes following the 755-nm Alexandrite laser treatment of the BCC sites were not better than treating BCC sites with electrodesiccation and curettage (ED&C), and therefore the patient and the provider METHODS RESULTS DISCUSSION SKIN November 2020 Volume 4 Issue 6 Copyright 2020 The National Society for Cutaneous Medicine 550 Table 1. Treatment sites were re- biopsied approximately six weeks later. keywords: bcc; eschar; scar; treatment cache: skin-909.pdf plain text: skin-909.txt item: #1298 of 1356 id: skin-910 author: Mititelu, Roxana; Flores-Echaiz, Claudia; Kanna, Manish title: Toluidine blue for extramammary Paget’s disease in Mohs micrographic surgery date: 2021-01-01 words: 923 flesch: 45 summary: Furthermore, immunohistochemical stains are often not employed in the settings of MMS due to significant start-up costs, long incubation times, difficulty with antibody reagent consistency and staining reproducibility.2 The presence of mucin in Paget cells lends itself to be visualized with special stains other than H&E, including Alcian blue, PAS, mucicarmine, and Toluidine blue.3 We present a case of EMPD treated with MMS using Toluidine blue. Conclusion: Toluidine blue is a fast, user-friendly dye that can be used intraoperatively during MMS as to detect Paget cells and thus to determine the appropriate negative margin. keywords: empd; mms; paget cache: skin-910.pdf plain text: skin-910.txt item: #1299 of 1356 id: skin-914 author: Laggis, Caroline W; Secrest, Aaron M; Agyei, Martin; Simister, Sam; Davis, Andrea N; Dickerson, Ty; Rhoads, Jamie LW title: The Impact of Skin Disease on Quality of Life in Rural Communities of Ghana date: 2020-08-26 words: 3677 flesch: 49 summary: The Impact of Skin Disease on Quality of Life in Rural Communities of Ghana Caroline W. Laggis, MD1, Aaron M. Secrest, MD, PhD1,2, Martin Agyei, MD3, Sam Simister, BS4, Andera N. Davis, PhD5, Ty Dickerson, MD, MPH4, Jamie L.W. Rhoads, MD, MS1 1Department of Dermatology, University of Utah, Salt Lake City, UT, USA 2Department of Population Health Sciences, University of Utah, Salt Lake City, UT, USA 3Komfo Anokye Teaching Hospital (KATH), Kumasi, Ghana 4School of Medicine, University of Utah, Salt Lake City, UT, USA 5Department of Geography, University of Utah, Salt Lake City, UT, USA The 2015 Global Burden of Disease (GBD) reported that skin and subcutaneous disorders are the fourth leading cause of non-fatal disease burden worldwide, with dermatitis causing the greatest burden.1 The GBD provides valuable insight into the burden of skin disease over time and by ABSTRACT Background: Skin disease is the fourth-leading cause of non-fatal disability worldwide. This suggests that better dermatologic education and availability of physician assistants would likely meaningfully decrease skin disease burden in these rural communities. keywords: burden; dermatology; disease; dlqi; ghana; life; participants; qol; quality; rural; skin cache: skin-914.pdf plain text: skin-914.txt item: #1300 of 1356 id: skin-916 author: Wilson, Claire; Roman, Brandon; Ashack, Kurt; Aronson, Iris K title: Anti-SAE1 Antibodies and Dermatomyositis: A Case Series of Three Patients date: 2020-10-27 words: 1944 flesch: 46 summary: 4. Muro Y, Sugiura K , Akiyama M. Low prevalence of anti-small ubiquitin-like modifier activating enzyme antibodies in dermatomyositis patients. Furthermore, two of our three patients were ANA positive, with one patient demonstrating anti-histone antibodies, and another with anti-ssDNA antibodies, findings not described in the literature with respect to this specific subset of DM patients. keywords: anti; case; dermatomyositis; findings; patients cache: skin-916.pdf plain text: skin-916.txt item: #1301 of 1356 id: skin-92 author: Makino, Elizabeth; Tan, Priscilla; Mehta, Rahul C title: Clinical Efficacy and Tolerability of a Cosmetic Growth Factor Serum for Overall Facial Photodamage date: 2017-10-27 words: 1178 flesch: 51 summary: Clinical Efficacy and Tolerability of a Cosmetic Growth Factor Serum for Overall Facial Photodamage Elizabeth T. Makino, BS CCRA MBA; Priscilla Tan, BA; Rahul C. Mehta, PhD Research & Development SkinMedica, an Allergan Company, Irvine, CA, USA Presented at the Fall Clinical Dermatology Conference Series, October 12-15, 2017, Las Vegas, NV, USA BACKGROUND Photodamaged skin is characterized by the presence of fine/coarse lines, mottled pigmentation, among other changes to facial skin. OBJECTIVE To assess and compare the efficacy and tolerability of different facial treatments designed to improve photodamaged facial skin. keywords: lines; skin; tns; week cache: skin-92.pdf plain text: skin-92.txt item: #1302 of 1356 id: skin-923 author: Bernett, Courtney Nicole; Hignett, Emma; Kwong, Pearl title: Management and Referral Patterns in Pediatric Atopic Dermatitis: A Survey of Pediatric Healthcare Professionals date: 2020-08-29 words: 4105 flesch: 45 summary: Similarly, we also assessed which therapies PHPs trial in AD patients prior to referral to an allergist for more extensive testing and this data is reflected in Table 6. Although the sample size of participants in the study was small (28), the surveyed PHPs had considerable experience (average years in practice = 21.75), most were physicians, and they managed a fair volume of AD patients, giving further merit to our study. keywords: allergy; atopic; dermatitis; food; management; patients; phps; referral; survey; testing cache: skin-923.pdf plain text: skin-923.txt item: #1303 of 1356 id: skin-924 author: Urban, Katelyn; Giesey, Rachel Lynn; Delost, Maria; Delost, Gregory Raymond title: An Update on the Global Burden and Socioeconomics of Scabies: A Cross-Sectional Analysis from the Global Burden of Disease Study 2017 date: 2020-10-27 words: 2898 flesch: 48 summary: The individual countries with highest scabies burden were Papua New Guinea (age-standardized DALYs 148.2), Solomon Islands (140.5), Kiribati (139.9), Timor-Leste (138.2) and the Maldives (134.9). A positive linear relationship exists between scabies burden and burden of rheumatic fever and bacterial skin disease. keywords: age; burden; countries; dalys; disease; gbd; scabies; skin cache: skin-924.pdf plain text: skin-924.txt item: #1304 of 1356 id: skin-925 author: Cline, Abigail; Gomolin, Tamar; Safai, Bijan title: Factors Influencing Patient Satisfaction in Dermatology date: 2020-10-27 words: 2049 flesch: 43 summary: Patient satisfaction scores are one of the most accessible markers insurance companies ABSTRACT Background: Patient satisfaction is a proxy for healthcare quality, with physicians evaluated and reimbursed based on patient satisfaction scores. The field of dermatology recognizes the importance of patient satisfaction, with the American Board of Dermatology encouraging the collection of patient satisfaction survey data during the Maintenance of Certification process.2 Despite the growing research in patients’ perceptions of their visits, factors that enhance patient satisfaction remain unclear. keywords: dermatology; factors; patient; respondents; satisfaction cache: skin-925.pdf plain text: skin-925.txt item: #1305 of 1356 id: skin-928 author: Vangipuram, Ramya; Nguyen, Harrison; Tyring, Stephen title: What is the True Etiology of “Recurrent Shingles”? date: 2021-01-01 words: 2429 flesch: 50 summary: Results: 44 patients (56%) had evidence of herpes simplex virus infection. 43 patients (56%) had evidence of herpes simplex virus infection (Table 1). keywords: herpes; infection; patients; shingles; simplex; virus; zoster cache: skin-928.pdf plain text: skin-928.txt item: #1306 of 1356 id: skin-929 author: Bhatia, Neal title: Dermatology and Virtual Realities with Industry: “It’s Not Your Father’s Pharma Anymore” date: 2020-07-12 words: 1916 flesch: 50 summary: Advisory board meetings, speaker training meetings for promotional education, and investigator meetings for clinical trials have all been conducted virtually. Everyone in pharma, from drug reps to medical science liaisons to executives have been under stay-at-home policies, including digital sales tools and virtual meetings for face-to-face visits. keywords: dermatology; industry; meetings; pharma; reps cache: skin-929.pdf plain text: skin-929.txt item: #1307 of 1356 id: skin-93 author: Makino, Elizabeth T; Tan, Priscilla; Mehta, Rahul title: Immediate and Long-Term Efficacy of a Two-Step Topical Hyaluronic Acid Lip Treatment date: 2017-10-27 words: 1324 flesch: 43 summary: o Subjects presented with mean scores of 3.11 for lip scaling (dryness) and 4.14 for overall lip condition. • Must have mild to severe lip condition (lip texture/visual roughness and lines/wrinkles) with a score of 3 or higher on the modified Griffiths’ scale. keywords: baseline; lip; week cache: skin-93.pdf plain text: skin-93.txt item: #1308 of 1356 id: skin-930 author: Litchman, Graham H; Marson, Justin W; Svoboda, Ryan M; Rigel, Darrel S title: Integrating Electrical Impedance Spectroscopy into Clinical Decisions for Pigmented Skin Lesions Improves Diagnostic Accuracy: A Multitiered Study date: 2020-08-30 words: 3346 flesch: 59 summary: Conclusions: The integration of EIS technology into the PSL biopsy decision was demonstrated to be effective in significantly enhancing clinician NNB and more accurate PSL biopsy selection. Reductions in NNB were observed across all three clinician levels (Table 1) after incorporating EIS technology into their biopsy decisions, with decreases of 14.8%, 16.8%, and 16.0% for residents, midlevels, and practicing dermatologists, respectively. keywords: 0.001; biopsies; biopsy; eis; lesions; melanomas; psls cache: skin-930.pdf plain text: skin-930.txt item: #1309 of 1356 id: skin-931 author: Christensen, Luisa Fernanda; Carr, David; Hill, Sheena; Ramser, Elizabeth; Perez, Jaime Abraham; Bordeaux, Jeremy title: Sentinel Lymph Node Predictors in Melanoma of Breslow Thickness 0.8-1.0 mm date: 2020-08-26 words: 3650 flesch: 59 summary: Wong SL, Faries MB, Kennedy EB, et al. Results of sentinel lymph node biopsy in patients with thin melanoma. Munsch C, Lauwers-Cances V, Lamant L, et al. keywords: lymph; melanoma; node; patients; sentinel; slnb; thickness cache: skin-931.pdf plain text: skin-931.txt item: #1310 of 1356 id: skin-932 author: Wanner, Brian; Cusick, Austin; Kapil, Jyoti; D'Addario, Stephen title: TP53 Mutated Metastatic Basal Cell Carcinoma Responsive to Sonidegib date: 2021-01-01 words: 1552 flesch: 48 summary: Distant metastasis, however, can occur, and has a reported prevalence of less than 0.55% of all BCC cases.2 Tumor genetics play a significant role in the prognosis and subsequent treatment of metastatic BCC. Surveillance chest computed tomography revealed new bilateral pulmonary nodules and a subsequent biopsy showed metastatic BCC. keywords: bcc; carcinoma; case; cell; metastatic; skin cache: skin-932.pdf plain text: skin-932.txt item: #1311 of 1356 id: skin-933 author: Huang, Amy; Glick, Sharon title: Integrating Metagenomics into Personalized Medicine in Dermatology date: 2020-10-27 words: 1370 flesch: 32 summary: These systems include the skin and gut microbiomes. Mehta H, Goulet PO, Mashiko S, et al. keywords: gut; microbiome; response; skin cache: skin-933.pdf plain text: skin-933.txt item: #1312 of 1356 id: skin-935 author: Weisert, Elise M; Hinds III, Ethan D title: Letter to the Editor: Commentary on “Avoiding the Hazards of Ultraviolet Light in the Adolescent Population” date: 2020-08-26 words: 766 flesch: 44 summary: Many devices now also have settings to disable blue light in favor of yellow light, which were created to combat blue light-induced insomnia in users.5 Standard UVA/UVB protecting sunscreens appear to have inadequate effects on the ROS produced by visible light, suggesting the need for fortification with topical antioxidants, which protect against oxidative SKIN September 2020 Volume 4 Issue 5 Copyright 2020 The National Society for Cutaneous Medicine 487 stress to the melanocytes.3,6 Providing education to this young patient population about the possible benefits of utilizing a topical antioxidant serum on the face and neck when they apply daily sunscreen offers an opportunity for protection against skin cancers, as well as protection from premature aging and hyperpigmentation. An emerging body of literature suggests that visible light exposure (400-700 nm) may also contribute to premature aging of the skin and hyperpigmentation.2 Studies show these effects are secondary to the production of reactive oxygen species (ROS).3 Penetration of visible light into the dermis generates ROS that upregulate proinflammatory cytokines and matrix metalloproteinases, causing skin inflammation that contributes to photoaging and collagen breakdown, respectively.3 Though the sun is the largest producer of visible light, artificial sources of light also emit radiation, including televisions, LED light, fluorescent light, and screens such as cell phones, computers, and tablets.4 Their peak emission lies in the blue spectrum (400-490 nm).4 As the use of technology, especially smartphones and tablets, continues to propagate, adolescents receive more radiation than ever from electronic devices, even from camera flashes.4 The risk may even include children, who increasingly utilize electronics for games, school, and communication. keywords: aging; light; medicine; skin cache: skin-935.pdf plain text: skin-935.txt item: #1313 of 1356 id: skin-936 author: Bhatia, Neal title: Photodynamic Therapy in 2020: Lights in the Darkness date: 2020-07-12 words: 3651 flesch: 44 summary: The first major study published in 2008 compared the efficacy and tolerability of daylight PDT to red light PDT both using MAL, based on the continuous and sustained activation of protoporphyrin IX by SKIN July 2020 Volume 4 Issue 4 Copyright 2020 The National Society for Cutaneous Medicine 315 daylight as compared to the concentrated activation by red light. The labelled indication for 20% ALA with blue light calls for an incubation of 14 hours, meaning treat the day before and stay SKIN July 2020 Volume 4 Issue 4 Copyright 2020 The National Society for Cutaneous Medicine 314 indoors to avoid activating the light.4 Ironically, these treatments were indicative of how daylight PDT was conducted, given that the patients who had ALA applied the day before would immediately start reacting once they went outdoors to come back to the clinic for the light treatment. keywords: ala; daylight; keratoses; light; patients; pdt; skin; study; therapy; treatment cache: skin-936.pdf plain text: skin-936.txt item: #1314 of 1356 id: skin-937 author: Rigel, Darrell S; Ceilley, Roger I; Litchman, Graham H; Cockerell, Clay J title: Gene Expression Profile Testing in Skin Cancer Prognosis: The Data is Clear – It’s Time to Get On Board date: 2020-07-12 words: 2395 flesch: 51 summary: They ignore multiple prospective trials that have demonstrated efficacy and wrongly suggest that prospective randomized controlled trials are needed for validation when these are not required (or even possible to perform for prognostic tests as there is no way to interpret a control Greenhaw BN, Covington KR, Kurley SJ, Yeniay Y, Cao NA, Plasseraud KM, Cook RW, Hsueh EC, Gastman BR, Wei ML, Molecular risk prediction in cutaneous melanoma: a metaanalysis of the 31-gene expression profile prognostic test in 1,479 patients, Journal of the American Academy of Dermatology (2020), doi.org/10.1016/j.jaad.2020.03.053. keywords: dermatol; expression; gene; gep; melanoma; risk; skin; studies; test cache: skin-937.pdf plain text: skin-937.txt item: #1315 of 1356 id: skin-938 author: Auchus, Alexander; Brodell, Robert T; Nahar, Vinayak K; Ward, Kimberley HM title: Commentary in Response: Commentary on “Avoiding the Hazards of Ultraviolet Light in the Adolescent Population” date: 2020-08-29 words: 375 flesch: 33 summary: Microsoft Word - September 2020 - CAN 938 - proof.docx SKIN September 2020 Volume 4 Issue 5 Copyright 2020 The National Society for Cutaneous Medicine 488 COMMENTARY & NOTES Commentary in Response: Commentary on “Avoiding the Hazards of Ultraviolet Light in the Adolescent Population” Alexander Auchus1, Robert T. Brodell, MD2, Vinayak K. Nahar MD, MS, PhD, FRSPH2,3, Kimberley H.M. Ward, MD2 1Department of Psychology, School of Arts and Sciences, University of Pennsylvania, Philadelphia, PA 2Department of Dermatology, School of Medicine, University of Mississippi Medical Center, Jackson, MS 3Department of Preventive Medicine, School of Medicine, University of Mississippi Medical Center, Jackson, MS Funding: None Corresponding Author: Vinayak K. Nahar, MD, PhD, MS, FRSPH Department of Dermatology School of Medicine University of Mississippi Medical Center 2500 North State Street – L216 Jackson, keywords: medical; medicine cache: skin-938.pdf plain text: skin-938.txt item: #1316 of 1356 id: skin-94 author: Kaminer, Michael; Cohen, Joel L; Narurkar, Vic; Shamban, Ava; Werschler, Phil; Shumate, Garrett T; Gallagher, Conor J title: Maximizing Pan-Facial Aesthetic Outcomes; Findings and Recommendations from the HARMONY Study date: 2017-10-27 words: 1435 flesch: 41 summary: (75%) Marionette Lines Total Ultra XC + Ultra Plus XC 1.2 (50%) 1.1 (75%) Ultra XC 0.3 (10%) 0.5 (40%) Ultra Plus XC 1.1 (53%) 0.8 (75%) Location HIGHEST SITES % of sub that rec’d both products (% rec’d both products in same visit) LOWEST SITES % of sub that rec’d both products (% rec’d both products in same visit) Nasolabial Fold 17.6 (11.8) 15.8 (5.3) Marionette Lines 20.0 (10.0) 53.3 (53.3) Oral Commissures 5.3 (0.0) 55.6 (33.3) Radial Cheek 0.0 (0.0) 50.0 (50.0) Perioral 6.7 (0.0) 27.2 (18.2) • Highest improvement was achieved when using only one product per location Product HIGHEST SITES Mean volume injected per subject (% of subjects treated) LOWEST SITES Mean volume injected per subject (% of subjects treated) (75%) Overall Midface Total V1-V4 2.7 (100%) 2.9 (90%) Ultra XC & Ultra Plus XC Ultra XC & Ultra Plus XC Layering Use of Touch-Ups Location Product HIGHEST SITES Mean volume injected per subject (% of subjects treated) LOWEST SITES Mean volume injected per subject (% of subjects treated) Radial Cheek Total Ultra XC + Ultra Plus XC 0.0 (0%) 0.8 (30%) Ultra XC 0.0 (0%) 0.5 (30%) keywords: sites; ultra cache: skin-94.pdf plain text: skin-94.txt item: #1317 of 1356 id: skin-940 author: Dhaliwal, Parneet; Ibad, Sidra; Losak, Diana; Cockerell, Clay title: A Case of Granulomatous Hypersensitivity Reactions to a Dermal Filler Precipitated by PD-1 Checkpoint Inhibitor Therapy date: 2021-01-01 words: 1824 flesch: 42 summary: Some of the known adverse reactions to PD-1 inhibitors include morbilliform eruptions, erythematous plaques, bullous dermatoses, psoriasiform dermatitis and now, granulomatous inflammation at sites of prior dermal filler injections. The National Society for Cutaneous Medicine 44 sarcoidosis.9 However, that case was not related to filler injections. keywords: checkpoint; dermal; filler; nivolumab; patient; reaction; skin cache: skin-940.pdf plain text: skin-940.txt item: #1318 of 1356 id: skin-947 author: Chadha, Simran Arinder; Shastry, Jennifer; Sunshine, Joel; Choi, Jennifer; Guggina, Lauren title: Cutaneous Toxicities of PI3K Inhibitors: A Series of Two Cases and Review of the Literature date: 2020-10-27 words: 2520 flesch: 33 summary: The National Society for Cutaneous Medicine 585 BRIEF ARTICLES Cutaneous Toxicities of PI3K Inhibitors: A Series of Two Cases and Review of the Literature Simran A. Chadha, BS1, Jennifer L. Shastry, MD2, Joel C. Sunshine, MD2, Jennifer Choi, MD2*, Lauren Guggina, MD2* 1Northwestern University, Feinberg School of Medicine, Chicago, IL 2Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, IL *These authors contributed equally Phosphoinositide 3-kinase (PI3K) inhibitors are novel small molecule targeted inhibitors approved for the treatment of multiple hematologic malignancies, namely relapsed or refractory chronic lymphocytic leukemia (CLL), follicular lymphoma (FL), small lymphocytic lymphoma (SLL), and breast cancer.1,2 Isoform-specific PI3K inhibitors are a subclass of this broader category, consisting of agents targeting the p110- isoform (alpelisib and taselisib), the p110- isoform (idelalisib), and the p110- and p110- isoforms (duvelisib).3 The specificity of these molecular targets allows for higher dosage while limiting toxicity; however, cutaneous, endocrine, and gastrointestinal toxicities are common. Previously Reported Cutaneous Toxicities of PI3K Inhibitors Age/ Sex Malignancy PI3K inhibitor Time to reaction Morphology Histopathology Reaction type Treatment of cutaneous eruption PI3K therapy outcome Successful re- challenge (if interrupted)? keywords: case; corticosteroids; duvelisib; eruption; inhibitors; pi3k; plaques; skin cache: skin-947.pdf plain text: skin-947.txt item: #1319 of 1356 id: skin-948 author: Kolb, Logan; Hignett, Emma; Kwong, Pearl title: Autosensitization due to Pediculosis Capitis (a “Pediculid”) in a 16-Year Old Female: A Case Report date: 2020-08-26 words: 851 flesch: 45 summary: Practitioners should be aware of these current trends, evolving treatments, and the presence of id reactions related to pediculosis. The decision to treat with ivermectin was made because the patient refused to cut her hair and believed that current topical treatments were “toxic”. keywords: capitis; figure; patient; pediculosis cache: skin-948.pdf plain text: skin-948.txt item: #1320 of 1356 id: skin-949 author: Ugwu, Nelson; Kibbi, Nour title: Successful Treatment of Multiple Post-Operative Keratoacanthomas with Topical 5-Fluorouracil date: 2021-01-01 words: 1985 flesch: 57 summary: Alternative non-surgical treatments also carried significant limitations. 1/3 continued 5- topical FU Goette et al 19829 14 66 (44-80) 6M, 8F head (2), neck (2), upper extremity (5), lower extremity (3), chest (1), shoulder (1) solitary lesions sporadic 20% 5FU ointment, 2-3 times daily for 2-4 weeks, (-) or (+) occlusion None 14/14 at 1- 7 weeks 1-7 weeks none Gray et al 199912 2 74 (68-80) 2M head (2), neck (2), forearm and hand (5), lower leg (3), chest (1), shoulder (1) solitary lesions sporadic 5% 5FU cream daily without occlusion for 4-8 weeks none 1/2 at 8 weeks 8 weeks 1 patient underwent biopsy with electrodessicatio n at 4 weeks after PR Thompson et al 201411 10 74.4 (52-92) 9F, 1M lower extremity (5) and head (5) solitary lesions sporadic short-contact (1 hr) topical 5% 5-fluorouracil cream twice daily until resolution none 9/10 at 4-6 weeks 4-6 weeks 1 patient underwent Mohs surgery after 1 week of 5-FU Silva et al 20197 1 64 keywords: extremity; fluorouracil; kas; topical; treatment; weeks cache: skin-949.pdf plain text: skin-949.txt item: #1321 of 1356 id: skin-95 author: Makino, Elizabeth T; Tan, Priscilla; Mehta, Rahul C title: Clinical Efficacy and Tolerability of a Topical HQ-Free Serum on Females with self-Reported Pregnancy-Induced Facial Melasma date: 2017-10-27 words: 1059 flesch: 50 summary: • LYT2 was well-tolerated with tolerability scores remaining similar to baseline scores. • Highly rated by subjects for self-perceived efficacy and product texture/attributes with a significant proportion of subjects agreeing to favorable responses by week 12. keywords: baseline; melasma; skin; subjects cache: skin-95.pdf plain text: skin-95.txt item: #1322 of 1356 id: skin-951 author: Thomley, Meredith E; Preda-Naumescu, Ana; Boyd, Carter J; Mayo, Tiffany title: Analyzing the Relationship Between Altmetric Score and Literature Citations in the Dermatology Literature date: 2020-10-27 words: 3553 flesch: 49 summary: Journal Year Twitter Created Correlation Coefficient between number of citations and Altmetric score (2013) P-value (2013) Correlation Coefficient between number of citations and Altmetric score (2016) P-value (2016) Journal of Investigative Dermatology 2012 0.02 0.95 0.93 <0.0001 Pigment Cell & Melanoma Research n/a 0.11 0.77 0.005 0.99 Journal of the American Academy of Dermatology 2015 0.0006 0.99 0.80 0.006 JAMA Dermatology 2019 0.58 0.08 -0.29 0.42 Acta Dermato- Venereologica 2011 0.89 0.0005 -0.11 0.75 Experimental Dermatology 2016 -0.15 0.69 0.73 0.02 British Journal of Dermatology 2013 0.47 0.17 -0.17 0.63 Contact Dermatitis 2019 -0.18 0.63 -0.28 0.42 Journal of Dermatological Science n/a 0.59 0.073 0.84 0.0002 Journal of the European Academy of Dermatology and Venereology 2019 -0.28 0.44 0.24 0.50 Wound Repair and Regeneration n/a -0.23 0.51 0.54 0.11 American Journal of Clinical Dermatology n/a -0.006 0.99 0.28 0.44 Dermatologic Surgery n/a -0.01 0.97 -0.20 0.57 Seminars in Cutaneous Medicine and Surgery 2017 0.98 <0.0001 n/a n/a Journal of Dermatology n/a -0.06 0.87 0.72 0.02 suggests that citation count and journal impact factor are not entirely explained by article Altmetric Attention score. The total Altmetric Attention score for the 2016 cohort of articles was 60.3% higher than in 2013, whereas article citation counts were 51.4% lower in 2016 than 2013. keywords: altmetric; article; citation; dermatology; impact; journal; score cache: skin-951.pdf plain text: skin-951.txt item: #1323 of 1356 id: skin-952 author: Oduguwa, Emmanuella; Tahseen, Danyal title: Falling in Hair Love Comes Naturally date: 2020-08-29 words: 557 flesch: 40 summary: Although there is heightened awareness for natural hair, Black women report dissatisfaction with the degree of knowledge that physicians specializing in hair have about the complexity of Afro-textured hair.3 Dermatologists play an integral role in Black women’s journey to disentangle social stigmas and clinically treat indications that impose barriers to maintaining natural hair styles. The retro-curvature of the bulb and elliptical shaft in Afro-textured hair contrast to the straight shape of hair follicles common among Caucasians.1 Although wearing Afro-textured hair in natural styles, such as afros, protects hair from potentially harmful chemical treatments, social stigmas discourage natural styles.1,2 An example of discrimination against Afro-ethnic hair in popular media occurred in 2015, when a fashion critic compared Black actress Zendaya’s dreadlocks to the smell of marijuana. keywords: afro; hair; women cache: skin-952.pdf plain text: skin-952.txt item: #1324 of 1356 id: skin-953 author: Gomolin, Tamar A; Cline, Abigail; Russo, Marian title: Maskne: Exacerbation or Eruption of Acne During the COVID-19 Pandemic date: 2020-08-29 words: 855 flesch: 42 summary: The widespread use of face masks may be a contributing factor to acne mechanica and folliculitis mechanica, where stopping the mechanical insult is essential to treatment. However, if ‘maskne’ persists despite the above regimen, lesions may represent acne mechanica rather than folliculitis mechanica. keywords: acne; mask; mechanica; skin cache: skin-953.pdf plain text: skin-953.txt item: #1325 of 1356 id: skin-954 author: Tan, Llewelyn Yi Chang; Tan, Chee Hian; Lim, Joel Hua Liang title: Cutaneous scalp metastases from a left hallux subungual melanoma: An instructive case of scalp nodules date: 2021-01-01 words: 1767 flesch: 50 summary: Skin melanoma has also been reported to spread to the scalp1. There are 4 major subtypes of cutaneous melanoma and they include superficial spreading melanoma (SSM), nodular melanoma (NM), lentigo maligna melanoma (LMM) and acral lentiginous melanoma (ALM). keywords: figure; melanoma; nodules; scalp; skin cache: skin-954.pdf plain text: skin-954.txt item: #1326 of 1356 id: skin-956 author: Ezekwe, Nneamaka; Huynh, Thy; Brodell, Robert title: Distinguishing Features: Linear Rashing is Not Always Koebnerization date: 2021-01-01 words: 1150 flesch: 32 summary: Issue 10, pages 1282-1284) linear cutaneous sarcoidosis from linear psoriasis. Routine histological examination distinguishes cutaneous sarcoidosis from psoriasis. keywords: agents; linear; psoriasis; sarcoidosis; scars cache: skin-956.pdf plain text: skin-956.txt item: #1327 of 1356 id: skin-958 author: Gupta, Rohit; Martin, Jennifer; Wasko, Carina title: Mycobacterium Kansasii Infection Overlying Tattoo Pigment in an Immunocompromised Patient date: 2020-10-27 words: 1494 flesch: 37 summary: They are thought to originate from mycobacterial contamination of tattoo equipment or the tattoo pigment, or bacterial inoculation of breaks in the skin surface caused by the tattooing process, and they can occur in both healthy and immunocompromised individuals.4 We describe a case of M. kansasii infection occurring over long-standing black tattoo pigment in an HIV-positive patient. Mycobacterium kansasii infection presenting as cellulitis in a patient with systemic lupus erythematosus. keywords: cutaneous; infection; kansasii; mycobacterium; patient; tattoo cache: skin-958.pdf plain text: skin-958.txt item: #1328 of 1356 id: skin-959 author: Levin, Nicole; Gray, Taylor; Farsi, Maheera; Dorton, David; Miller, Richard title: Topical Zinc May Augment Post-Operative Wound Healing, Including Following Mohs Micrographic Surgery: A Review of the Literature date: 2020-09-01 words: 4774 flesch: 53 summary: Furthermore, no complications occurred in the zinc oxide group; however, 6 complications were noted in the group receiving standard wound care, including infection, wound dehiscence, postoperative bleeding, pain, and excessive swelling.23 Currently a clinical trial is in progress which will compare scar outcomes following dermatologic surgery when treated with topical zinc oxide versus petrolatum.38 This split-scar study will treat half of the incision with zinc oxide and half with petrolatum. Donor sites were located on the upper thigh and demonstrated complete epithelialization more rapidly when treated with zinc oxide (8.7 days vs 10.7 days).33 keywords: care; compression; group; healing; oxide; patients; skin; studies; study; sulfate; topical; use; wound; zinc; zinc oxide cache: skin-959.pdf plain text: skin-959.txt item: #1329 of 1356 id: skin-962 author: none title: Onychomadesis as a Manifestation of Coxsackievirus A6 in an Adult date: 2020-10-27 words: 877 flesch: 49 summary: Wei, S.-H., et al., An outbreak of coxsackievirus A6 hand, foot, and mouth disease associated with onychomadesis in Taiwan, 2010. CVA6 has been shown to affect both children and adults and is associated with a more profound disease course that includes fever, sore throat, malaise, herpangina, a vesicular or maculopapular rash, and onychomadesis; a temporary cessation of nail growth that can lead to proximal separation of the nail plate from the nail matrix.1 A 32-year-old woman was referred to dermatology clinic for a painful rash of the hands and soles of four days duration, associated with malaise and subjective fevers. keywords: cva6; hfmd; onychomadesis cache: skin-962.pdf plain text: skin-962.txt item: #1330 of 1356 id: skin-964 author: Siller Jr., Alfredo; Jebain, Joseph; Amer, Yomna; Haley, Christopher T.; Chen, Leon; Tyring, Stephen K. title: Painful Retiform Purpura with Cutaneous Necrosis date: 2020-10-27 words: 1433 flesch: 38 summary: The purpura often become necrotic and may develop bullae and abscesses.1,4 Fever, oral sores, fatigue, and dyspnea are also common manifestations.6 The differential diagnosis for levamisole- induced vasculitis includes leukocytoclastic vasculitis, drug reaction, cryoglobulinemia, idiopathic thrombocytopenic purpura, granulomatosis with polyangiitis, Churg- Strauss syndrome, and polyarteritis nodosa.2,6 Histologic findings for levamisole- induced vasculitis are not disease specific but may include leukocytoclastic vasculitis, thrombosis, and panniculitis.2,6 Diagnosis is therefore made through laboratory values and clinical history. The majority of patients with levamisole- induced vasculitis are positive for p-ANCA, while c-ANCA positivity has been reported in about 50% of patients.3,4,7 Anti–double- stranded DNA and lupus anticoagulant studies may also be positive.2 The anti- human elastase antibody is a sensitive and specific test to cocaine-induce lesions8 which can be helpful to distinguish levamisole-induced vasculitis from ANCA- associated vasculitis.2 keywords: anca; cocaine; levamisole; purpura; use; vasculitis cache: skin-964.pdf plain text: skin-964.txt item: #1331 of 1356 id: skin-969 author: Phan, Michael; Phan, Jonathan title: Norman Orentreich: Father of Hair Modern Transplantation date: 2020-08-29 words: 451 flesch: 47 summary: Dr. Orentreich also incorporated the use of intralesional corticosteroid to prevent hypertrophic and keloidal scarring and dermabrasion to treat elevated grafts.3 Microsoft Word - September 2020 - DH 969 - proof.docx SKIN September 2020 Volume 4 Issue 5 Copyright 2020 The National Society for Cutaneous Medicine 489 DERMATOLOGIC HISTORY Norman Orentreich: Father of Modern Hair Transplantation Michael Phan BS1, Jonathan Phan MS1 1University of Texas Medical Branch, School of Medicine, Galveston TX Norman Orentreich, MD is universally regarded as the father of modern hair transplantation. keywords: hair; orentreich cache: skin-969.pdf plain text: skin-969.txt item: #1332 of 1356 id: skin-971 author: Kou, Leon; Zhong, Lily; Danesh, Sid title: Primary Cutaneous Mucinous Carcinoma of the Nasal Bridge date: 2020-10-27 words: 1597 flesch: 53 summary: Primary mucinous carcinoma with direct histopathologic evidence of lymphatic invasion. Mucinous carcinoma is a malignant tumor with a low rate of metastasis, but high rate of recurrence. keywords: carcinoma; case; lesion; metastasis; pcmc; skin cache: skin-971.pdf plain text: skin-971.txt item: #1333 of 1356 id: skin-974 author: Schaefer, Max A; Dhandha, Maulik M; Karnes, Jonathan B title: “They Won’t Let Me Return to Work.” A Carpenter Diagnosed with Porphyria Cutanea Tarda date: 2021-01-01 words: 1338 flesch: 46 summary: Significant improvement of skin eruption following therapeutic intervention with phlebotomy, hydroxychloroquine, photo protection, alcohol cessation, and curative hepatitis C treatment. referred to gastroenterology for treatment of hepatitis C, to hematology for phlebotomy, and dermatology to help guide therapy with hydroxychloroquine. This case of a carpenter diagnosed with PCT not only illustrates a classic case but also the opportunity to achieve significant response to therapy in a motivated patient particularly with improved access to direct-acting antivirals (DAA) for hepatitis C treatment. keywords: nmol; patient; pct; skin cache: skin-974.pdf plain text: skin-974.txt item: #1334 of 1356 id: skin-975 author: Potluri, Venkat Sumanth; Youssef, Ronnie; Fertig, Raymond; Dhaliwal, Parneet title: A Case of ALK-Negative Anaplastic Large Cell Lymphoma Presenting as a Solitary Cutaneous Nodule date: 2021-01-01 words: 1762 flesch: 48 summary: ALCL by any other name: the many facets of anaplastic large cell lymphoma. Anaplastic large cell lymphoma, ALK-negative. keywords: alcl; alk; anaplastic; cell; lymphoma cache: skin-975.pdf plain text: skin-975.txt item: #1335 of 1356 id: skin-976 author: Strober, Bruce; Gottlieb, Alice; Tha?i, Diamant; Puig, Luis; Colombo, Matthew J; Kundu, Sundeep; Kisa, Renata; Banerjee, Subhashis title: An Oral, Selective Tyrosine Kinase 2 Inhibitor, BMS-986165, Reduced Absolute Psoriasis Area and Severity Index in a Phase 2 Trial in Psoriasis date: 2020-09-02 words: 1922 flesch: 41 summary: This analysis suggests that BMS-986165 elicits a rapid response and is efficacious in achieving an absolute PASI of ≤2 in approximately 50% of patients and an absolute PASI ≤1 in approximately 30% of patients with moderate to severe plaque psoriasis — As mentioned earlier, an absolute PASI of ≤2 has been shown to be clinically meaningful for clinical and HRQoL outcomes2 — Mean percentage change from baseline in absolute PASI at Week 12 was approximately 80% in BMS-986165–treated patients • Five ongoing Phase 3 trials in plaque psoriasis (NCT03624127, NCT03611751, NCT04167462, NCT03924427, and NCT04036435) involving BMS-986165 treatment will evaluate this further over a longer duration and in larger patient cohorts • PASI ≤2 has the potential to be an alternative therapeutic goal to percent PASI improvements and sPGA scores for patients with moderate to severe plaque psoriasis Introduction • Plaque psoriasis is a debilitating, chronic, immune-mediated skin disorder that impairs patients’ health- related quality of life (HRQoL) and productivity1 • Treatment outcomes for plaque psoriasis based on the absolute Psoriasis Area and Severity Index (PASI) are indicative of an individual patient’s disease severity at the time of analysis2 — Absolute PASI may be more clinically meaningful than percentage change in PASI from baseline captured by scores such as PASI 75 (≥75% reduction from baseline PASI)2 — Although a consensus therapeutic target has yet to be defined, a recent analysis reported that attainment of an absolute PASI of ≤2 translates to meaningful improvements in clinical and HRQoL outcomes2 • Previous studies have demonstrated that an absolute PASI ≤2 correlates with PASI 90 (≥90% improvement from baseline PASI), static Physician’s Global Assessment (sPGA) score of 0/1 (range, 0–5; higher scores indicate greater disease severity), and Dermatology Life Quality Index (DLQI) of 0/1 (range, 0–30; higher scores indicate worse HRQoL)2 • BMS-986165 is an oral, selective, allosteric inhibitor of tyrosine kinase 2 (TYK2), an intracellular enzyme involved in key cytokine signaling pathways in plaque psoriasis pathogenesis3 — In a Phase 2, double-blind, randomized trial in patients with moderate to severe plaque psoriasis (NCT02931838), 67%–75% of patients treated with BMS-986165 at doses of 3 or 6 mg twice daily (BID) or 12 mg once daily (QD) achieved PASI 75 at Week 12 (primary endpoint) vs 7% with placebo (P<0.001)3 — BMS-986165 had a favorable safety and tolerability profile, and was associated with low rates of treatment discontinuation3 Objective • This post hoc analysis of the Phase 2 trial compared the efficacy of BMS-986165 vs placebo based on absolute PASI over time up to Week 12 Methods Inclusion criteria • Adults with body mass index of 18–40 kg/m2 • Moderate to severe plaque psoriasis for ≥6 months affecting ≥10% of body surface area — PASI ≥12 (range, 0–72; higher scores indicate greater disease severity) — sPGA ≥3 • Eligible for phototherapy or systemic therapy Exclusion criteria • Diagnosis of nonplaque psoriasis or other immune-mediated condition requiring concomitant systemic immunosuppressant therapy • History or evidence of specific infections (eg, HIV or hepatitis B or C infection) or risk of tuberculosis • Previous lack of response to any therapeutic agent targeting the TYK2 pathway (eg, interleukin-12/-23 pathways) Absolute PASI at Week 12 Patients achieving PASI threshold, % (intent-to-treat population) Absolute PASI Placebo (n=45 keywords: absolute; bid; bms-986165; pasi; psoriasis cache: skin-976.pdf plain text: skin-976.txt item: #1336 of 1356 id: skin-977 author: Gordon, Kenneth; Papp, Kim; Gooderham, Melinda; Morita, Akimichi; Foley, Peter; Tha?i, Diamant; Kundu, Sundeep; Kisa, Renata; Wei, Lan; Banergee, Subhashis title: BMS-986165, an Oral, Selective Tyrosine Kinase 2 (TYK2) Inhibitor: Evaluation of Changes in Laboratory Parameters in Response to Treatment in a Phase 2 Trial in Psoriasis Patients date: 2020-09-02 words: 2420 flesch: 54 summary: Other laboratory parameters were measured but are not presented here • Mean (standard deviation [SD]), median (interquartile range), or median (range) absolute values for laboratory parameters are reported for the placebo group and the most clinically effective BMS-986165 doses (ie, doses ≥3 For patients with LDL-C values available, no increase was observed over 12 weeks of treatment (data not shown) • Increases in CPK observed at 12 weeks in the placebo and BMS-986165 groups were asymptomatic, mostly Grade 1 or 2, and were observed in 12/44 (27%) patients who received placebo and 57/221 (26%) who received BMS-986165 Table 1. keywords: bid; bms-986165; mg bid; n=45; pharma; week cache: skin-977.pdf plain text: skin-977.txt item: #1337 of 1356 id: skin-978 author: Gottlieb, Alice B; Strober, Bruce; Tha?i, Diamant; Gordon, Kenneth; Kundu, Sundeep; Kisa, Renata; Wei, Lan; Banerjee, Subhashis; Merola, Joseph title: BMS-986165, an Oral, Selective TYK2 Inhibitor, in the Treatment of Moderate to Severe Psoriasis as Assessed by the Static Physician's Global Assessment (sPGA)/Body Surface Area (BSA) Composite Tool (sPGAxBSA), a Clinically Useful Alternative to PASI date: 2020-09-02 words: 2250 flesch: 59 summary: The treatment period was 12 weeks, with an additional 30-day off-treatment follow-up period for safety12 Efficacy assessments and outcomes • Key efficacy assessments included PASI, sPGA, BSA, and the Dermatology Life Quality Index (DLQI) questionnaire — The primary endpoint was PASI 75 at Week 12 • Percentage mean change from baseline to Week 12 in sPGA×BSA and PASI score was assessed for the placebo group and all BMS-986165 dose groups • Spearman correlation coefficients were used to assess the relationship between sPGA×BSA and PASI or DLQI scores at Week 12, as well as between percentage change from baseline in sPGA×BSA and PASI or DLQI scores at Week 12 for all treatment groups. Percentage mean change from baseline by visit in (A) sPGA×BSA and (B) PASI score in patients with moderate to severe plaque psoriasis treated with BMS-986165 or placebo (N=267) A M e an ( SE ) ch an ge f ro m b as e li n e , % 0 -20 -40 -60 -80 -100 Baseline B M e an ( SE ) ch an ge f ro m b as e li n e , % 0 -20 -40 -60 -80 -100 Baseline Percentage mean change from baseline in sPGA×BSA Percentage mean change from baseline in PASI score Week 1 Week 2 Week 4 Week 8 Week 12 Week 1 Week 2 Week 4 Week 8 Week 12 Placebo (n=45) keywords: baseline; bms-986165; change; pasi; spga×bsa; week cache: skin-978.pdf plain text: skin-978.txt item: #1338 of 1356 id: skin-98 author: Schneider, Katie H; Goberdhan, Lisa T; Makino, Elizabeth T; Mehta, Rahul C title: Combining In-Office Chemical Peel Procedures with Topical Therapy of a Comprehensive Pigmentation Control Product for Multi-Ethnic Subjects with Moderate-to-Severe Facial Hyperpigmentation date: 2017-10-27 words: 814 flesch: 40 summary: Combining in-office chemical peel procedures with topical therapy of a comprehensive pigmentation control product for multi-ethnic subjects with moderate to severe facial hyperpigmentation Katie H. Schneider, BS, CRA; Lisa T. Goberdhan, BA; Elizabeth T. Makino, BS, CCRA, MBA; Rahul C. Mehta, PhD Research & Development SkinMedica, an Allergan Company, Irvine, CA, USA Presented at the Fall Clinical Dermatology Conference Series, October 12-15, 2017, Las Vegas, NV, USA BACKGROUND Skin discoloration is a common concern with limited treatment options for multi-ethnic patients due to the increased risk of Post Inflammatory Hyperpigmentation (PIH). Female subject, Age 36, Fitz III Left to Right: Baseline & Week 12 after 3 VP treatments, and 9 weeks of twice daily use of LYT2 Improvements observed in overall hyperpigmentation and overall photodamage at week 4 through week 12 with statistically significant improvements observed at weeks 8 and 12 (p<0.03; student’s paired t-test). keywords: hyperpigmentation; subjects; week cache: skin-98.pdf plain text: skin-98.txt item: #1339 of 1356 id: skin-980 author: Lebwohl, Mark; Lacour, Jean-Philippe; Liljedahl, Monika; Lynde, Charles; M?rch, Marie H; Tha?i, Diamant; Warren, Richard B title: Safety of Long-Term Proactive Management with Fixed-Dose Combination Calcipotriene 0.005% and Betamethasone Dipropionate 0.064% Foam in Patients with Psoriasis Vulgaris: Results of a Phase III, Multicentre, Randomized, 52-Week, Vehicle-Controlled Trial date: 2020-09-02 words: 1696 flesch: 59 summary: This Phase III, multicenter trial included a 4-week open-label lead-in phase in adult patients with: ─ Trunk and/or limb psoriasis, involving 2–30% of body surface area (BSA); physician’s global assessment (PGA) of disease severity ≥’mild’; modified psoriasis area and severity index (m- PASI) ≥2. Poster #12797Safety of long-term proactive management with fixed-dose combination calcipotriene 0.005% and betamethasone dipropionate 0.064% foam in patients with psoriasis vulgaris: results of a Phase III, multicentre, randomized, 52-week, vehicle-controlled trial Mark Lebwohl1, Jean-Philippe Lacour2, Monika Liljedahl3, Charles Lynde4,5, Marie Holst Mørch3, Diamant Thaçi6 and Richard B Warren7 1Department of Dermatology, Icahn School of Medicine at Mount Sinai, New York, NY, USA; 2Department of Dermatology, University Hospital of Nice, Nice, France; 3LEO Pharma A/S, Ballerup, Denmark; 4Lynde Dermatology, Probity Medical Research, Markham, ON, Canada; 5Department of Medicine, University of Toronto, Toronto, ON, Canada; 6Institute and Comprehensive Center for Inflammation Medicine, University of Lübeck, Lübeck, Germany; 7Dermatology Centre, Salford Royal NHS Foundation Trust and NIHR Biomedical Research Centre, University of Manchester, Manchester, UK Materials and Methods Introduction  keywords: aes; foam; patient; phase; treatment cache: skin-980.pdf plain text: skin-980.txt item: #1340 of 1356 id: skin-981 author: Lebwohl, Mark; Lacour, Jean-Philippe; Liljedahl, Monika; Lynde, Charles; M?rch, Marie H; Tha?i, Diamant; Warren, Richard B title: Long-Term Proactive Management of Psoriasis Vulgaris with Fixed-Dose Combination of Calcipotriene 0.005% and Betamethasone Dipropionate 0.064% Foam: Results from a Phase III Randomized Controlled Trial date: 2020-09-02 words: 1586 flesch: 62 summary: Conclusions  Proactive management with Cal/BD foam was superior in prolonging time to first relapse, reducing number of relapses and increasing days in remission versus vehicle-controlled reactive management. Mean age of randomized patients was 52.2 years; 91% of patients were white and 68% male. keywords: foam; patients; phase; relapse cache: skin-981.pdf plain text: skin-981.txt item: #1341 of 1356 id: skin-982 author: Kerdel, Francisco; Don, Christina; Block, Renata; Lewis, Caitlin; Schreiber, Rhonda title: Real World Patient Perceptions of the use of Calcipotriene Foam 0.005% in the Treatment of Plaque Psoriasis date: 2020-09-02 words: 1521 flesch: 59 summary: The severity of patients’ psoriasis was described as % of Body Surface Area (%BSA), where less than 3% can be considered mild, 3-10% moderate, and >11% as severe. A multicenter, randomized, double-blind study of the efficacy and safety of calcipotriene foam, 0.005%, vs vehicle foam in the treatment of plaque-type psoriasis of the scalp. keywords: foam; patient; psoriasis; treatment cache: skin-982.pdf plain text: skin-982.txt item: #1342 of 1356 id: skin-984 author: Herbert, Adelaide A; Glaab, Debbie; Schreiber, Rhonda title: A Multicenter, Open Label, Phase 1 Study of the Safety, Tolerability, Systemic Exposure, Pharmacodynamics, and Treatment Effect of Calcipotriene Foam, 0.005% in Pediatric Subjects (Ages 2 to 11 Years) with Plaque Psoriasis date: 2020-09-02 words: 1841 flesch: 60 summary: However, response rates (% of subjects with an ISGA score of 0 or 1 for body or scalp at week 8) were consistent with that observed in the double-blind, vehicle controlled Phase III studies in adults. Patient Tolerability of tazarotene foam, 0.1%, and Impact on Patient Compliance A multicenter, open-label, Phase 1 study of the safety, tolerability, systemic exposure, pharmacodynamics, and treatment effect of calcipotriene foam, 0.005% in pediatric subjects (ages 2 to 11 years) with plaque psoriasis. keywords: calcipotriene; day; foam; psoriasis; subjects cache: skin-984.pdf plain text: skin-984.txt item: #1343 of 1356 id: skin-985 author: Selmer, Johan; Vestbjerg, Birgitte; Pr?stegaard, Morten; Gold, Linda Stein title: Phase 3 Trial Demonstrates that MC2-01 Cream has Improved Treatment Efficacy Compared to Calcipotriene Plus Betamethasone Dipropionate Topical Suspension in Patients with Mild to Moderate Psoriasis Vulgaris date: 2020-09-02 words: 1196 flesch: 53 summary: CAL/BDP topical suspension (n=338) 2 week follow- up Figure 3: Primary efficacy variable: % PGA Treatment SuccessINTRODUCTION: MC2-01 cream is a novel topical treatment of psoriasis containing the active ingredients calcipotriene and betamethasone dipropionate (0.005% / 0.064% w/w, CAL/BDP). The secondary efficacy endpoint of non-inferiority of % change in mPASI from baseline to Week 8 of MC2-01 cream versus CAL/BDP TS at Week 8 was also met. keywords: bdp; cal; cream; mc2 cache: skin-985.pdf plain text: skin-985.txt item: #1344 of 1356 id: skin-986 author: Gold, Linda Stein; Weiss, Jonathan S; Green, Lawrence; Kircik, Leon; Miller, Lauren; Jacobson, Abby; Harris, Susan title: Long-Term Management of Moderate-to-Severe Plaque Psoriasis: Maintenance of Treatment Success Following Cessation of Fixed Combination Halobetasol Propionate 0.01% and Tazarotene 0.045% (HP/TAZ) Lotion in Patients with Baseline Body Surface Area of 6 -12% date: 2020-09-02 words: 1432 flesch: 54 summary: Body Surface Area at Treatment Successa (Safety Population) 0% 20% 40% 60% 80% 100% P e rc e n ta g e o f P ar ti ci p an ts 91.2% 75.2% 55.7% 35.5% ≤5% ≤3% ≤2% ≤1% 74.5% 59.8% 46.1% 33.3% ≤5% ≤3% ≤2% ≤1% Body Surface Area Body Surface Area Overall Study Population: Baseline BSA 3–12%b (n=318) keywords: baseline; bsa; taz; treatment cache: skin-986.pdf plain text: skin-986.txt item: #1345 of 1356 id: skin-987 author: Lebwohl, Mark G; Sugarman, Jeffrey; Pariser, David M; Bagel, Jerry; Trickett, Cynthia; Jacobson, Abby; Israel, Robert title: Safety and Tolerability of Fixed Combination Halobetasol Propionate 0.01% and Tazarotene 0.045% (HP/TAZ) Lotion in Patients With Moderate-to-Severe Plaque Psoriasis: Results From a 1-Year, Open-Label Study date: 2020-09-02 words: 1527 flesch: 49 summary: Select local signs/symptoms showed marked improvements in severity of itching, dryness, and burning/stinging over the study course; greatest improvement was for itching (Figure 2) ◾ Incidence of treatment-emergent Grade 3 local skin reactions was 22.2% for itching, 6.9% for dryness, and 9.8% for burning/stinging ◾ Incidence of other local skin reactions are shown in Figure 3 • Incidence peaked at 2.3% for skin atrophy (week 8), 2.7% for folliculitis (week 8), and 1.5% for striae and telangiectasias (week 28) ◾ Local skin reactions most frequently reported as AEs were application site folliculitis (14 participants [2.5%]; 1 discontinued) and application site atrophy (4 participants [0.7%]; 1 discontinued); no participant reported striae or telangiectasias AEs ◾ At week 8, treatment was stopped for participants that achieved treatment success; those who did not reach treatment success were treated for 4 additional weeks • keywords: baseline; dermatologics; treatment; week cache: skin-987.pdf plain text: skin-987.txt item: #1346 of 1356 id: skin-988 author: Langley, Richard G; Crowley, Jeffrey; Gooderham, Melinda; Papp, Kim A; Korman, Neil J; Spelman, Lynda; Igarashi, Atsuyuki; Ohtsuki, Mamitaro; Gupta, Aditya K; Yamauchi, Paul; Parno, Jeffrey; Mendelsohn, Alan M; Rozzo, Stephen J; Eads, Kimberly title: Efficacy and Safety of Long-Term Tildrakizumab for Plaque Psoriasis: 4-Year Results from Resurface 1 and Resurface 2 date: 2020-09-02 words: 4545 flesch: 28 summary: The efficacy analysis was concluded at week 208 for reSURFACE 1 (extension week 144; 2210.8 total patient years) and week 196 for reSURFACE 2 (2768.3 total patient years) Efficacy Figure 2. reSURFACE 1 week 64 results of PASI 75/90/100 responses for A) tildrakizumab 100 mg, B) tildrakizumab 200 mg, and C) PGA response; and reSURFACE 2 week 52 results of PASI 75/90/100 The patient flow from randomization through the extension study for reSURFACE 1 and reSURFACE 2 is shown in Figure 1 Table 1. keywords: mg n; pasi; resurface; til cache: skin-988.pdf plain text: skin-988.txt item: #1347 of 1356 id: skin-989 author: Cantrell, Wendy; Lee, Patricia; Mendelsohn, Alan M; Parno, Jeff; Rozzo, Stephen J; Liao, Wilson title: Efficacy and Safety of Tildrakizumab 100 Mg for Plaque Psoriasis in Patients Randomized to Treatment Continuation vs Treatment Withdrawal with Retreatment upon Relapse in Resurface 1 date: 2020-09-02 words: 2339 flesch: 36 summary: At week 28, tildrakizumab nonresponders (those who did not achieve PASI ≥50) discontinued treatment ○ Tildrakizumab responders (PASI ≥75) and partial responders (PASI ≥50 and <75) continued the study — In Part 3 (weeks 28–64), patients who had received tildrakizumab from the start of the study were rerandomized to placebo, tildrakizumab 100 mg, or tildrakizumab 200 mg based on their level of response to treatment; patients received tildrakizumab every 12 weeks or placebo every 4 weeks — After rerandomization to placebo, treatment was reinitiated if patients experienced a relapse (a reduction in maximum PASI response by ≥50%) or a rebound (>125% worsening of PASI scores from baseline values) No Tier 1 AEs were reported in patients who were rerandomized to placebo at week 28 and relapsed either on placebo or tildrakizumab 100 mg CONCLUSIONS • In Part 3 of the reSURFACE 1 trial (weeks 28–64), tildrakizumab 100 mg had a durable response profile — A large proportion (46%) of tildrakizumab 100 mg responders did not relapse after rerandomization to placebo for 48 weeks after receiving their last dose of drug • keywords: pasi; patients; tildrakizumab cache: skin-989.pdf plain text: skin-989.txt item: #1348 of 1356 id: skin-990 author: Papp, Kim A; Yeung, Jensen; Shear, Neil; Albrecht, Lorne; Lynde, Charles; Zhang, Jingchuan; Zhao, Yang; Parno, Jeff; Mendelsohn, Alan M; Gooderham, Melinda title: Early and Maintained Response Levels in Psoriasis Patients Treated with Tildrakizumab date: 2020-09-02 words: 2415 flesch: 52 summary: W28 PASI 75–89 W28 PASI 50–74 LTE Start (reSURFACE1) Number of patients: W28 PASI 100 W28 PASI 90–99 W28 PASI 75–89 W28 PASI 50–74 91 131 79 34 91 131 79 34 91 131 79 34 81 117 63 22 82 121 63 26 85 122 70 27 84 127 70 33 83 127 75 33 86 125 76 33 86 129 78 34 89 130 79 34 91 130 78 34 90 131 78 34 91 131 79 34 90 129 78 34 89 128 75 33 91 131 79 34 91 131 79 34 91 130 79 34 91 131 79 34 start (reSURFACE 2) start (reSURFACE 1) W28 PASI 75–89 W28 PASI 50–74 LTE Start (reSURFACE1) Number of patients: W28 PASI 100 W28 PASI 90–99 W28 PASI 75–89 W28 PASI 50–74 91 131 79 34 91 131 79 34 91 131 79 34 81 117 63 22 82 121 63 26 85 122 70 27 84 127 70 33 83 127 75 33 86 125 76 33 86 129 78 34 89 130 79 34 91 130 78 34 90 131 78 34 91 131 79 34 90 129 78 34 89 128 75 33 91 131 79 34 91 131 79 34 91 130 79 34 91 131 79 34 start (reSURFACE 2) start (reSURFACE 1) keywords: patients; resurface; start; w28 pasi; week cache: skin-990.pdf plain text: skin-990.txt item: #1349 of 1356 id: skin-991 author: Lebwohl, Mark G; Mehta, Nehal N; Gottlieb, Alice B; Mendelsohn, Alan M title: Tildrakizumab Efficacy by Metabolic Syndrome Status in Psoriasis: Post Hoc Analysis of 3-Year Data from the Phase 3 Resurface 1 And Resurface 2 Studies date: 2020-09-02 words: 3582 flesch: 50 summary: Metabolic syndrome (MetS) is a combination of common cardiometabolic abnormalities associated with an increased risk of cardiovascular disease and diabetes1 and has higher prevalence in patients with moderate to severe psoriasis compared with the overall population2-4 • In patients with psoriasis treated with anti-tumor necrosis factor or anti–interleukin (IL)-17 agents, MetS may reduce the absolute Psoriasis Area and Severity Index (PASI) response and long-term drug survival5-7 • Tildrakizumab—a high-affinity, humanized, immunoglobulin G1κ, anti–IL-23p19 monoclonal antibody—is approved in the US, Europe, and Australia for treatment of moderate to severe plaque psoriasis — The efficacy of tildrakizumab was demonstrated in 2 phase 3 clinical studies, reSURFACE 1 (NCT01722331) and reSURFACE 2 (NCT01729754)8 — Treatment with tildrakizumab significantly increased the proportion of patients with ≥75%, ≥90%, and 100% improvement in PASI scores (PASI 75, PASI 90, and PASI 100, respectively) and Physician’s Global Assessment 0/1 response rates compared with placebo8 • Previously, we evaluated tildrakizumab efficacy in patients meeting National Cholesterol Education Program-Adult Treatment Panel III (NCEP-ATP III) criteria9 for MetS (including diminished high-density lipoprotein cholesterol and elevated blood pressure, body mass index [BMI], triglycerides, and glucose) after 1 year of treatment — MetS has a minimal effect on tildrakizumab efficacy10 and safety11 and there are no increases in cardiac events or worsening of diabetes in patients with MetS following 1 year of tildrakizumab treatment12 OBJECTIVE • To update the efficacy of tildrakizumab in psoriasis patients with vs without MetS with up to 3 years (148 weeks) of follow-up in reSURFACE 1 and reSURFACE 2 METHODS Study design • 35.6 ± 6.1 27.3 ± 5.3 37.6 ± 9.8 Body surface area, % 29.4 ± 16.7 32.2 ± 16.6 32.6 ± 19.5 30.1 ± 19.4 34.1 ± 18.4 30.3 ± 18.9 31.4 ± 17.2 27.6 ± 12.9 Disease duration, y 17.2 ± 12.6 16.2 ± 12.3 16.6 ± 11.5 16.7 ± 12.9 16.1 ± 10.6 15.2 ± 11.2 18.0 ± 13.5 20.1 ± 14.8 Baseline PASI score 19.9 ± 7.1 20.5 ± 7.1 21.5 ± 9.3 20.6 ± 9.7 19.6 ± 6.9 20.8 ± 8.8 19.5 ± 7.2 19.2 ± 6.3 Baseline PGA score 3.3 ± 0.6 3.4 ± 0.6 3.4 ± 0.6 3.5 ± 0.6 3.3 ± 0.5 3.4 ± 0.6 3.3 ± 0.6b 3.4 ± 0.6 CV disorders, n (%) 14 (14.3) 17 (65.4) 31 (27.4) 16 (47.1) 29 (17.1) 17 (38.6) 27 (20.8) 16 (53.3) Diabetes, n (%) 8 (8.2) 8 (30.8) 11 (9.7) 8 (23.5) 5 (2.9) 7 (15.9) 11 (8.5) 7 (23.3) Psoriatic arthritis, n (%) 16 (16.3) 5 (19.2) 19 (16.8) 9 (26.5) 24 (14.1) 11 (25.0) 17 (13.1) 4 (13.3) Response to >1 traditional systemic medicine, n (%)c keywords: mets cache: skin-991.pdf plain text: skin-991.txt item: #1350 of 1356 id: skin-992 author: Mease, Philip J; Chohan, Saima; Garcia Fructuoso, Ferran J; Gottlieb, Alice B; Chou, Richard C; Mendelsohn, Alan M; Luggen, Michael E title: Randomized, Double-Blind, Placebo-Controlled, Multiple-Dose, Phase 2b Study to Demonstrate the Safety and Efficacy of Tildrakizumab, a High-Affinity Anti–Interleukin-23P19 Monoclonal Antibody, in Patients with Active Psoriatic Arthritis date: 2020-09-02 words: 2966 flesch: 45 summary: Demographics and baseline clinical disease characteristics TIL 200 mg Q4W (n = 78) TIL 200 mg Q12W (n = 79) TIL 100 mg Q12W (n = 77) TIL 20 mg Q12W (n = 78) PBO (n = 79) Age, years, mean ± SD 50.1 ± 13.3 49.3 ± 11.2 49.2 ± 11.9 47.2 ± 13.4 48.1 ± 13.3 Female, n (%) 46 (59.0) 37 (46.8) 47 (61.0) 41 (52.6) 44 (55.7) Race, n (%) White Black or African American Other 76 (97.4) 0 2 (2.6) 78 (98.7) 0 1 (1.3) 75 (97.4) 1 (1.3) 1 (1.3) 75 (96.2) 1 (1.3) 2 (2.6) 74 (93.7) 3 (3.8) 2 (2.5) Weight, kg, mean ± SD 85.1 ± 19.7 87.1 ± 19.5 83.6 ± 18.9 85.1 ± 18.1 85.3 ± 20.2 BMI, kg/m2, mean ± SD 30.1 ± 6.5 30.2 ± 6.5 29.5 ± 6.8 29.4 ± 5.2 29.5 ± 6.0 Duration of PsA, years, mean ± SD 6.9 ± 7.3 6.8 ± 6.3 6.3 ± 7.2 6.6 ± 6.7 7.3 ± 8.0 Enthesitis score (LEI >0), mean ± SD 3.1 ± 1.7 2.8 ± 1.7 3.2 ± 1.8 3.1 ± 1.7 2.8 ± 1.8 BSA, (%), mean ± SD 11.9 ± 16.0 9.0 ± 12.4 12.8 ± 16.0 10.4 ± 14.1 8.2 ± 12.2 BSA ≥3%, n (%) 53 (67.9) 44 (55.7) 54 (70.1) 41 (52.6) 42 (53.2) PASI, mean ± SDb 7.6 ± 9.8 6.2 ± 7.4 8.8 ± 9.5 6.6 ± 7.0 5.0 ± 6.5 HAQ score, mean ± SD 1.0 ± 0.6 1.0 ± 0.6 1.0 ± 0.7 1.1 ± 0.6 1.2 ± 0.6 keywords: mg q12w; pbo; q12w til; q4w; til; weeks cache: skin-992.pdf plain text: skin-992.txt item: #1351 of 1356 id: skin-993 author: Gordon, K; Warren, R B; Gottlieb, A B; Blauvelt, A; Tha?i, D; Leonardi, C; Poulin, Y; Boehnlein, M; Kavanagh, S; Arendt, C; Reich, K title: Certolizumab Pegol for Treatment of Plaque Psoriasis: Pooled Three-Year Efficacy Outcomes from Two Phase 3 Trials (CIMPASI-1 and CIMPASI-2) date: 2020-09-02 words: 1971 flesch: 54 summary: Consulting honoraria and clinical investigator: AbbVie, Aclaris, Almirall, Amgen, Boehringer Ingelheim, Celgene, Dermavant, Dermira Inc., Eli Lilly, Genentech/Roche, GSK, Janssen, LEO Pharma, Meiji, Merck, Novartis, Pfizer, Purdue Pharma, Regeneron, Sandoz, Sanofi Genzyme, Sienna Pharma, Sun Pharma, UCB Pharma, Valeant, Vidac. Investigator (Research grants) from AbbVie, Baxter, Boehringer Ingelheim, Celgene, Centocor/Janssen, Eli Lilly, EMD Serono, GSK; LEO Pharma, MedImmune, Merck, Novartis, Pfizer, Regeneron, Takeda, UCB Pharma; MB, CA: Employees of UCB Pharma; SK: Employee of UCB Pharma. keywords: czp; mg q2w; pasi; patients; pharma; q2w cache: skin-993.pdf plain text: skin-993.txt item: #1352 of 1356 id: skin-994 author: Gordon, K; Warren, R B; Gottlieb, A B; Blauvelt, A; Tha?i, D; Poulin, Y; Boehnlein, M; Brock, F; Arendt, C; Reich, K title: Durable Efficacy of Certolizumab Pegol Dosed at 400 mg Every Two Weeks Over 128 Weeks in Patients with Plaque Psoriasis Enrolled in Three Phase 3 Trials (CIMPASI-1, CIMPASI-2 and CIMPACT) date: 2020-09-02 words: 2046 flesch: 49 summary: Author Disclosures KG: Honoraria and/or research support from AbbVie, Almirall, Amgen, Boehringer Ingelheim, Bristol- Myers Squibb, Celgene, Dermira Inc., Eli Lilly, Janssen, Novartis, Pfizer, Sun Pharma, and UCB Pharma; RBW: Research grants and/or consulting fees from AbbVie, Almirall, Amgen, Arena, Avillion, Bristol- Myers Squibb, Boehringer Ingelheim, Celgene, Eli Lilly, Janssen, Leo Pharma, Novartis, Pfizer, Sanofi, UCB Pharma; ABG: Current consulting/advisory board agreements with AbbVie, Avotres Therapeutics, Beiersdorf, Boehringer Ingelheim, Bristol-Myers Squibb, Celgene, Eli Lilly, Incyte, Janssen, Leo Pharma, Novartis, Sun Pharma, UCB Pharma, XBiotech; Research and educational grants from Boehringer Ingelheim, Incyte, Janssen, Novartis, UCB Pharma, XBiotech; AB: Served as a scientific adviser and/or clinical study investigator for AbbVie, Aclaris, Allergan, Almirall, Athenex, Boehringer Ingelheim, Bristol- Myers Squibb, Dermavant, Dermira, Eli Lilly and Company, FLX Bio, Forte, Galderma, Janssen, Leo, Novartis, Ortho, Pfizer, Regeneron, Sandoz, Sanofi Genzyme, Sun Pharma, and UCB Pharma, and as a paid speaker for AbbVie; DT: Honoraria for participation on ad boards, as a speaker or for consultancy from AbbVie, Almiral, Amgen, Boehringer Ingelheim, Celgene, Dignity, Dr. Reddy’s Laboratories, Galapagos, GSK, Janssen, Leo Pharma, Morphosis, MSD, Lilly, Novartis, Pfizer, Sandoz-Hexal, Pfizer, Regeneron/Sanofi, UCB Pharma; Research grants from Celgene and Novartis; YP: Investigator (research grants) from AbbVie, Baxter, Boehringer Ingelheim, Celgene, Centocor/Janssen, Eli Lilly, EMD Serono, GSK, Leo Pharma, MedImmune, Merck, Novartis, Pfizer, Regeneron, Takeda, and UCB Pharma; Speaker (honoraria) from AbbVie, Celgene, Janssen, Eli Lilly, Leo Pharma, Novartis, Regeneron, and Sanofi Genzyme; MB, FB, CA: Employees of UCB Pharma; KR: AbbVie, Affibody, Amgen, Biogen, Boehringer Ingelheim, Celgene, Centocor, Covagen, Forward Pharma, GSK, Janssen-Cilag, Kyowa Kirin, LEO Pharma, Eli Lilly, Medac, Merck Sharp & Dohme Corp., Novartis, Ocean Pharma, Pfizer, Regeneron, Samsung Bioepis, Sanofi, Takeda, UCB Pharma, Valeant and Xenoport. The authors acknowledge Susanne Wiegratz, UCB Pharma, Monheim, Germany for publication coordination and Joe Dixon, PhD, Costello Medical, Cambridge, UK for medical writing and editorial assistance. keywords: czp; pasi; q2w cache: skin-994.pdf plain text: skin-994.txt item: #1353 of 1356 id: skin-995 author: Blauvelt, A; Paul, C; van de Kerkhof, P; Warren, R B; Gottlieb, A B; Langley, R G; Brock, F; Arendt, C; Boehnlein, M; Lebwohl, M; Reich, K title: Long-Term Safety of Certolizumab Pegol in Plaque Psoriasis: Pooled Analysis over 3 Years from Three Phase 3, Randomized, Placebo-Controlled Studies date: 2020-09-02 words: 2693 flesch: 54 summary: Author Disclosures AB: AbbVie, Aclaris, Akros, Allergan, Almirall, Amgen, Athenex, Boehringer Ingelheim, Bristol-Myers Squibb, Dermavant, Dermira Inc., Eli Lilly, FLX Bio, Forte, Galderma, Janssen, LEO Pharma, Novartis, Ortho, Pfizer, Regeneron, Sandoz, Sanofi Genzyme, Sun Pharma, UCB Pharma; CP: AbbVie, Almirall, Amgen, Boehringer Ingelheim, Bristol-Myers Squibb, Celgene, Dermira Inc., Eli Lilly, GSK, Janssen, LEO Pharma, Merck Sharp & Dohme, Novartis, Pierre Fabre, Pfizer, Regeneron, Sandoz, Sanofi Genzyme, UCB Pharma; PvdK: AbbVie, Almirall, Amgen, Bristol-Myers Squibb, Celgene, Dermavant, Eli Lilly, Janssen, LEO Pharma, Novartis; RBW: AbbVie, Almirall, Amgen, Arena Pharmaceuticals, Avillion, Boehringer Ingelheim, Celgene, Eli Lilly, Janssen, LEO Pharma, Novartis, Pfizer, Sanofi, UCB Pharma, Xenoport; ABG: AbbVie, Allergan, Avotres Therapeutics, Beiersdorf, Boehringer Ingelheim, Bristol-Myers Squibb, Celgene, Dermira Inc., Dr. Reddy’s Laboratories, Eli Lilly, Incyte, Janssen, LEO Pharma, Novartis, Sun Pharma, UCB Pharma, Valeant, XBiotech (no personal compensation); RGL: AbbVie, Amgen, Boehringer Ingelheim, Celgene, Centocor, Eli Lilly, Janssen, LEO Pharma, Novartis, Pfizer, UCB Pharma, Valeant; FB, CA, MB: Employees of UCB Pharma; ML: Allergan, Aqua, LEO Pharma, Promius; Employee of Mount Sinai which received funds from: Abbvie, Amgen, Boehringer Ingelheim, Celgene, Eli Lilly, Janssen/Johnson & Johnson, Kadmon, Medimmune/AstraZeneca, Novartis, Pfizer, Valeant, Vidac; KR: keywords: czp; mg q2w; pharma; q2w; teaes; weeks cache: skin-995.pdf plain text: skin-995.txt item: #1354 of 1356 id: skin-996 author: Moore, Angela; Bruce, Suzanne; Sadick, Neil; Tschen, Eduardo; Werschler, Philip; Dhawan, Sunil; Farsha, Douglas; Gold, Michael; Guenthner, Scott; Kempers, Steve; Kircik, Leon; Parish, Jennifer; Rendon, Marta; Rich, Phoebe; Stein-Gold, Linda; Tyring, Stephen; Weiss, Robert; Nasir, Adnan; Schmitz, Carsten; Boodhoo, Terry; Kaoukhov, Alexandre; Berk, David; Cook-Bolden, Fran; Grada, Ayman title: Once-Daily Oral Sarecycline 1.5 mg/kg/day is Effective for Moderate to Severe Acne Vulgaris: Results from Two 12-Week, Phase 3, Randomized, Double-Blind Clinical Trials date: 2020-09-02 words: 710 flesch: 59 summary: 3 WEEK 12 Vestibular, phototoxic, vulvovaginal candidiasis, and mycotic infections ≤1.1% in sarecycline treated patients. Truncal Acne: % of Patients with IGA success at WK 12 Slide Number 1 keywords: sarecycline cache: skin-996.pdf plain text: skin-996.txt item: #1355 of 1356 id: skin-997 author: Pariser, David M; Green, Lawrence J; Lain, Edward L; Schmitz, Carsten; Chinigo, Amy S; McNames, Brian; Berk, David R; Hoffman, Jamison; Grada, Ayman title: Safety and Tolerability of Sarecycline for the Treatment of Acne Vulgaris date: 2020-09-02 words: 1303 flesch: 48 summary: Overall summary of patients with adverse events (safety population) • Sarecycline is a novel, narrow-spectrum, once-daily, oral tetracycline-class antibiotic indicated for the treatment of inflammatory lesions of non-nodular moderate-to-severe acne1 • Poor tolerability and bacterial resistance concerns may limit the use of broad-spectrum tetracycline antibiotics for the treatment of acne1 Background • To evaluate the long-term safety, tolerability, and patterns of use for the once-daily oral, narrow-spectrum antibiotic sarecycline in patients with moderate-to-severe acne vulgaris during a 40-week Phase III, multicenter, open-label extension study1 • Additionally, a Phase I, single-center, randomized, double-blind, placebo-controlled, crossover study conducted to evaluate the potential of sarecycline to cause phototoxicity1 Objective Open-label Safety Evaluation • Patients aged 9-years of age or older with moderate-to-severe acne who completed one of two prior Phase III, double-blind, placebo- controlled, 12-week trials in which they received sarecycline 1.5mg/kg/ day or placebo were included 1,2 • Primary assessment was the safety of sarecycline treatment over one year as measured by adverse events (AEs), vital signs, electrocardiograms (ECGs), clinical laboratory tests, and physical examinations Treatment periods were separated by at least nine days • keywords: patients; placebo; sarecycline; study; treatment cache: skin-997.pdf plain text: skin-997.txt item: #1356 of 1356 id: skin-998 author: Gold, Linda Stein; Del Rosso, James Q; Kircik, Leon; Bhatia, Neal D; Hooper, Deirdre; Nahm, Walter; Stuart, Iain title: Open-Label Extension Study Evaluating the Long-Term Safety, Efficacy, and Tolerability of FMX103 1.5% Topical Minocycline Foam in the Treatment of Moderate-to-Severe Facial Papulopustular Rosacea date: 2020-09-02 words: 2618 flesch: 47 summary: Study 11 Randomized (N=751) Completed DB study (FMX103 1.5%) n=437 Completed DB study (Vehicle) n=232 Entered OL study n=140 (32%) Entered OL study n=77 (24%) Study 12 Randomized (N=771) Completed DB study (FMX103 1.5%) n=479 Completed DB study (Vehicle) n=239 Entered OL study n=192 (40%) Entered OL study n=95 (40%) Study design Week 52Baseline Key Inclusion Criteria for DB Study • Males and nonpregnant females ≥18 years • Moderate-to-severe facial papulopustular rosacea (IGA score of 3 or 4) • >15 to ≤75 facial papules and pustules, excluding lesions involving eyes and scalp; ≤2 nodules on the face • Presence or history of facial erythema or flushing Co-Primary Efficacy Endpoints • Absolute change in the inflammatory lesion count at Week 52 compared to DB baseline • IGA Success Rate (dichotomized as yes/no) at Week 52, where success was defined as an IGA score of 0 or 1, and at least a 2-grade improvement (decrease) from DB baseline Secondary Efficacy Endpoints • The absolute and percent change from DB baseline in inflammatory lesion count at Weeks 16, 22, 28, 34, 40, 46, and 52 of the OL study • The dichotomized IGA Success Rate at Weeks 16, 22, 28, 34, 40, and 46 • The Subject Satisfaction Questionnaire (SSQ) at Week 52 Week 12 FMX103 1.5% (505 enrolled, 504 in safety population, 410 completed) Double-blind, vehicle-controlled (N=1522) Open-Label (FX2016-13) for subjects who completed the DB study Visit every 6 weeks Vehicle Foam (n=256) FMX103 1.5% (n=495) Vehicle Foam (n=257) FMX103 1.5% (n=514) S tu dy 1 1 S tu dy 1 2 IGA, Investigator’s Global Assessment; DB, double-blind study; OL, open-label study; OTC, over-the-counter. Results Subject Disposition and Double-Blind Baseline Demographics • As shown in Figure 2, 504 subjects who completed the DB study (Study 11: N=217; Study 12: N=287) comprised the All Treated (Safety) population in the OL extension study (Study 13) Figure 2. keywords: fmx103; rosacea; study; subjects; treatment; vehicle; week cache: skin-998.pdf plain text: skin-998.txt