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Dec 10
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Management of Severe Atopic Dermatitis in Children

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INTRODUCTION Atopic dermatitis (AD) is a common, chronic inflammatory skin disease that presents with markedly pruritic eczematous lesions in highly characteristic distribution patterns in infants and children. Symptoms begin during…
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Dec 10
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The Study of Simple Chemicals in Animals and Man: Mechanisms of Contact Sensitivity

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INTRODUCTION Landsteiner and Chase are generally credited with the first conscious discovery of cell-mediated immunity (CMI) with the contact sensitizer picryl chloride (PCL) in 1942. Peritoneal exudate, which is what…
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Dec 10
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T Helper Cell Subsets in the Development of Atopic Dermatitis

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INTRODUCTION Atopic dermatitis (AD) is one of the most common inflammatory diseases, affecting up to 13 million children in the United States alone in 2009.1 The economic impact of AD…
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Dec 10
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Ingenol Mebutate-Induced Cell Death Patterns in Normal and Cancer Epithelial Cells

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INTRODUCTION Ingenol mebutate (ingenol-3-angelate), derived from the sap of the plant Euphorbia peplus, is a highly bioactive diterpene ester with cytotoxic and immune-stimulatory activity.1-3 Numerous studies have evaluated the biological…
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Dec 10
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The Treatment of Inflammatory Facial Dermatoses With Topical Corticosteroids: Focus on Clocortolone Pivalate 0.1% Cream

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INTRODUCTION Seborrheic dermatitis and atopic dermatitis are well recognized as common facial dermatoses. Both irritant and allergic contact dermatitis may involve any anatomic location, with facial involvement sometimes noted depending…
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Dec 10
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Is it Time to Re-evaluate the Treatment of Pemphigus?

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INTRODUCTION By 1970, systemic corticosteroids, the mainstay therapy of patients with pemphigus vulgaris, had reduced the disease's mortality rate from nearly 100% to approximately 24%.1 The addition of “adjuvant,” corticosteroid-sparing…
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Dec 10
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PSOLAR: Design, Utility, and Preliminary Results of a Prospective, International, Disease-Based Registry of Patients With Psoriasis Who are Receiving, or are Candidates for, Conventional Systemic Treatments or Biologic Agents

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INTRODUCTION Over the past ten years, several biologic agents have been marketed following randomized controlled trials in patients with psoriasis for the indication of plaque psoriasis and/or psoriatic arthritis1,2 for…
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Dec 10
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Effectiveness and Safety of Once-Daily Doxycycline Capsules as Monotherapy in Patients With Rosacea: An Analysis by Fitzpatrick Skin Type

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INTRODUCTION Rosacea is a chronic inflammatory facial dermatosis that is typically characterized by a pattern of unpredictable exacerbations and remissions. The highest incidence of rosacea occurs in people of Celtic…
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Dec 10
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Apremilast for Discoid Lupus Erythematosus: Results of a Phase 2, Open-Label, Single-Arm, Pilot Study

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INTRODUCTION Discoid lupus erythematosus (DLE) is a chronic inflammatory disorder mediated by Th (helper)-1 cells.1 Apremilast blocks the degradation of cyclic adenosine monophosphate (cAMP) via inhibition of the phosphodiesterase (PDE)…
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Dec 10
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Adjunctive Trichloroacetic Acid Therapy Enhances Response to Squaric Acid Response to Verruca Vulgaris

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INTRODUCTION Warts are a common viral infection affecting an estimated 20% of children.1 Therapy for treatment-resistant warts with squaric acid dibutyl ester (SADBE) in acetone, consists of sensitizing with 1%…
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Dec 10
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Pseudoepitheliomatous Hyperplasia and Transepidermal Elimination in Lepromatous Leprosy: Does T-cell Plasticity Play a Role?

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BACKGROUND JFAP Miller discovered the thymic education of T-cell clones in 1961. In 1962, the British leprologists classified leprosy according to the thymus as intact cell-mediated immunity (CMI) tuberculoid and…
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Dec 10
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Treatment of Severe Psoriasis With Ustekinumab During Pregnancy

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CASE REPORT A white female, aged 22 years, with severe pustular psoriasis and psoriatic arthritis since the age of 14 years had recalcitrant disease and presented for further treatment options.…
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