keratosis pilaris

  • 文章类型: Journal Article
    阻断BCR-ABL活性的酪氨酸激酶抑制剂(TKIs)的出现彻底改变了慢性粒细胞白血病(CML)患者的治疗管理。不良皮肤反应(ACRs)是与使用BCR-ABLTKIs相关的常见非血液学不良事件。在用这些药物治疗的患者中,已经描述了类似毛发角化病(KP)的喷发特征模式,尤其是尼洛替尼和达沙替尼。这种ACR的发病机制仍然未知。这种类型的反应似乎是罕见的伊马替尼。这里,我们报告了一个无症状的KP样喷发的老年患者,伊马替尼治疗CML1个月后出现.病例报告伴随着对BCR-ABL抑制剂治疗的CML患者的类似反应的回顾,试图对此类药物的分子靶标和这种ACR的可能机制进行概述。
    The advent of tyrosine kinase inhibitors (TKIs) blocking BCR-ABL activity has revolutionized the therapeutic management of patients with chronic myeloid leukemia (CML). Adverse cutaneous reactions (ACRs) are common nonhematologic adverse events associated with the use of BCR-ABL TKIs. A characteristic pattern of eruption resembling keratosis pilaris (KP) has been described in patients treated with these drugs, especially nilotinib and dasatinib. The pathogenesis of this ACR is still unknown. This type of reaction appears to be uncommon with imatinib. Here, we report the case of an elderly patient with an asymptomatic KP-like eruption, which appeared one month after starting treatment with imatinib for CML. The case presentation is accompanied by a review of similar reactions in patients with CML treated with BCR-ABL inhibitors, attempting to make an excursus on the molecular targets of such drugs and possible mechanisms underlying this ACR.
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  • 文章类型: Journal Article
    疾病严重程度评估工具在评估皮肤病学的皮肤状况中起着很大的作用。目前,目前尚无经过验证的毛发角化病(KP)评估工具,良性但高度流行的卵泡疾病。一系列提出的评分工具已在不同的临床试验中用于评估KP的潜在治疗。对用于KP的当前评分系统的文献综述表明,与使用不同版本的未经验证的研究者全球评估(IGA)评分和四分位数评分系统的大多数研究缺乏一致性。对这些研究的回顾表明,目前在临床试验中评估KP的方法是主观的,不可靠,和不一致。标准化和验证的评分系统将是重要的,因为它可以用于临床试验以提高KP的当前知识。
    Disease severity assessment tools play a large part in evaluating skin conditions in dermatology. Currently, there is no existing validated assessment tool for keratosis pilaris (KP), a benign yet highly prevalent follicular disorder. A range of proposed scoring tools have been used in different clinical trials for the assessment of potential treatments for KP. A literature review of the current scoring systems used for KP shows that there is a lack of consistency with most studies using varying versions of unvalidated investigator global assessment (IGA) scores and quartile grading systems. A review of these studies shows that current methods of evaluating KP in clinical trials are subjective, unreliable, and inconsistent. A standardised and validated scoring system would be significant as it could be used in clinical trials to advance the current knowledge of KP.
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  • 文章类型: Case Reports
    毛发角化病(KPR)是毛发角化病(KP)的一种亚型,在融合的红斑背景下表现出许多“颗粒状”毛囊丘疹,最常影响面部和上肢,并持续到青春期。治疗仍然具有挑战性,局部治疗如润肤剂的益处不一致,角质层溶解,皮质类固醇,和类维生素A,尽管已经发现了记录脉冲染料激光治疗成功的病例报告。我们介绍了一个15岁男孩的KPR病例,该男孩成功使用1%西罗莫司局部乳膏治疗。
    Keratosis pilaris rubra (KPR) is a subtype of keratosis pilaris (KP) presenting with numerous \"grainlike\" follicular papules in a background of confluent erythema most often affecting the face and upper extremities with persistence beyond puberty. Treatment has remained challenging with inconsistent benefit from topical therapies such as emollients, keratolytics, corticosteroids, and retinoids, though case reports documenting success with pulsed dye laser therapy have been found. We present a case of KPR in a 15-year-old boy who was successfully treated with topical sirolimus 1% cream.
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  • 文章类型: Journal Article
    Keratosis pilaris is a common and benign genetic skin disorder that results in patches of rough bumps on the skin, with varying degrees of reddening and inflammation. These bumps in the skin are caused by the dead skin cells that plug the hair follicles. Keratosis pilaris often manifests in small, hard bumps on the legs and arms. A common treatment method for many acne conditions, including keratosis pilaris, is acid, which has shown promise in recent years. This review examines the use and success of multiple types of acids, steroids, and kinase inhibitors in clinical and non-clinical settings to treat and understand keratosis pilaris. In the treatment of keratosis pilaris, acid primarily works by breaking down the dead skin cells that clog the hair follicles. Some types of steroids have anti-inflammatory properties that have proven useful in minimizing the appearance of acne. Kinase inhibitors control important skin cell functions, such as cell signaling, metabolism, division, and survival, which undoubtedly affect the appearance of skin as a whole. The known impact of acid, steroids, and kinase inhibitors on keratosis pilaris is underestimated and should be given more attention by healthcare industry leaders.
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  • 文章类型: Journal Article
    UNASSIGNED: Keratosis pilaris (KP) is a common, benign skin condition of follicular hyperkeratosis. Although KP is asymptomatic, the cosmetic appearance of KP can lead to psychosocial distress among patients. New emerging treatments are increasingly being utilized. Yet, there is little to no summative data on the treatments of KP and its subtypes.
    UNASSIGNED: To summarize existing literature on treatments for KP and its subtypes.
    UNASSIGNED: A comprehensive search was performed using Pubmed/MEDLINE, Embase and Web of Science databases. The search identified 1150 non-duplicated articles, and 47 articles were included in the review. The primary outcomes measured were KP treatment type and the degree of improvement following therapy.
    UNASSIGNED: Our findings demonstrate that the most supported form of treatment for KP is laser therapy, particularly the QS:Nd YAG laser. Topical treatments - including Mineral Oil-Hydrophil Petrolat, tacrolimus, azelaic acid, and salicylic acid - are also effective at least for improving the appearance of KP.
    UNASSIGNED: While the measured treatment outcomes varied among studies, laser therapy appears to be the most effective form of treatment. Use of topicals also improved KP lesions.
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  • 文章类型: Journal Article
    Usage of photopneumatic technology has recently increased for treatment of different skin conditions such as acne, keratosis pilaris (KP), and rosacea. Photopneumatic devices combine gentle negative pressure with broad band pulsed light simultaneously to attack multiple targets in the skin for better treatment outcomes. In this literature review, we evaluate the efficacy of photopneumatic therapy on treatment of acne, keratosis pilaris (KP), and rosacea.
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  • 文章类型: Case Reports
    Erythromelanosis follicularis faciei is a rare sporadic condition of unknown etiology characterized by reddish-brownish patches and follicular papules that appear commonly on the face and rarely on the neck. Herein, we report a 16-year-old male who had asymptomatic facial skin lesions since early childhood. His family history revealed a similar case in his younger brother. His parents are not consanguineous. Skin examination revealed diffuse nonscaly brownish patches with erythematous background and multiple skin-colored, hypopigmented follicular papules on both cheeks. A summary of previous reports of erythromelanosis follicularis faciei in the literature is presented in this report.
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