skin disorders

皮肤病
  • 文章类型: Journal Article
    尽管消毒剂通常用于临床实践和日常生活中,关于它们的抗菌能力和细胞毒性的研究很少,这与它们使用的安全性和有效性密切相关。为消毒剂的使用提供依据,三种最常用的消毒剂的细胞毒性和抗菌活性,聚维酮碘,醋酸氯己定和聚六亚甲基双胍(PHMB),被调查了。
    CCK-8测定用于测量人成纤维细胞(HF)和角质形成细胞(HaCat)的活性,伤口愈合中最重要的两个细胞,在他们接触消毒剂后。包括不同时间和浓度的影响。消毒剂对金黄色葡萄球菌的抗菌活性,鲍曼不动杆菌,肺炎克雷伯菌的最低抑菌浓度和最低杀菌浓度反映出来。
    所有三种消毒剂在与HF和HaCat细胞直接接触时都显示出强的细胞毒性。细胞毒性随暴露时间和浓度的增加而增加。金黄色葡萄球菌,鲍曼不动杆菌和肺炎克雷伯菌占70%,55%和85%的菌株对聚维酮碘敏感;50%,45%和80%的菌株对醋酸氯己定敏感;和60%,45%和80%的菌株对PHMB敏感,分别。
    所有三种消毒剂都具有细胞毒性;因此,在临床上有必要注意使用时间和浓度。所有三种消毒剂都是细胞毒性的,聚维酮碘即使在低浓度下也是最具细胞毒性的。PHMB对金黄色葡萄球菌有较好的抗菌效果,主要适用于浅层创面的治疗。所有三种测试细菌对PHMB的敏感性明显高于其他消毒剂。
    UNASSIGNED: Even though disinfectants are commonly used in clinical practice and daily life, there are few studies on their antibacterial ability and cytotoxicity, which are closely related to the safety and effectiveness of their use. To provide a basis for the use of disinfectants, the cytotoxicity and antibacterial activity of three most commonly used disinfectants, povidone-iodine, chlorhexidine acetate and polyhexamethylene biguanide (PHMB), were investigated.
    UNASSIGNED: A CCK-8 assay was used to measure the activities of human fibroblasts (HF) and keratinocytes (HaCat), the two most important cells in wound healing, following their exposure to disinfectants. The effects of different times and concentrations were included. The antibacterial activity of disinfectants against Staphylococcus aureus, Acinetobacter baumannii, Klebsiella pneumoniae was reflected by their minimum inhibitory concentration and minimum bactericidal concentration.
    UNASSIGNED: All three disinfectants showed strong cytotoxicity in direct contact with HF and HaCat cells. Cytotoxicity increased with increasing exposure time and concentration. S. aureus, A. baumannii and K. pneumoniae comprised 70%, 55% and 85% of the strains sensitive to povidone iodine; 50%, 45% and 80% of the strains sensitive to chlorhexidine acetate; and 60%, 45% and 80% of the strains sensitive to PHMB, respectively.
    UNASSIGNED: All three disinfectants were cytotoxic; therefore, it is necessary to pay attention to the use time and concentration in the clinical setting. All three disinfectants were cytotoxic, with povidone-iodine being the most cytotoxic even at low concentrations. PHMB had better antibacterial efficacy against S. aureus and is suitable for the treatment of shallow wounds primarily. All three tested bacteria were significantly more sensitive to PHMB than to the other disinfectants.
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  • 文章类型: Meta-Analysis
    背景:皮肌炎(DM)是一种罕见的自身免疫性疾病,以独特的皮疹为特征,对称和进行性肌肉无力的肌肉炎症,和血清肌肉相关酶水平升高。DM可能影响参与吞咽的骨骼肌,导致吞咽困难,这会对个人的身心健康产生负面影响。尽管如此,对DM患者的吞咽困难了解甚少。本系统综述和荟萃分析旨在评估DM和青少年DM(JDM)患者吞咽困难的患病率和临床特征。
    方法:系统搜索了四个电子数据库,直到2022年9月。包括对DM或JDM和吞咽困难患者的研究。计算所有纳入研究的合并患病率,并对吞咽困难的临床特点进行定性分析。
    结果:纳入了3335例患者的39项研究。DM患者吞咽困难的总体合并患病率为32.3%(95%CI:0.270,0.373),JDM患者为37.7%(95%CI:-0.031,0.785)。亚组分析显示,瑞典的患病率最高(66.7%[95%CI:0.289,1.044]),而突尼斯的患病率最低(14.3%[95%CI:-0.040,0.326]).此外,南美的患病率最高(47.0%[95%CI:0.401,0.538]),而非洲的患病率最低(14.3%[95%CI:-0.040,0.326])。DM和JDM患者的吞咽困难的特征是口咽和食管功能障碍。在运动方面主要有困难。
    结论:我们的研究结果表明,吞咽困难影响1/3的DM或JDM患者。然而,文献中关于吞咽困难的诊断和治疗的文献不足.我们的结果强调需要使用临床和仪器评估来评估该人群的吞咽功能。
    Dermatomyositis (DM) is a rare autoimmune disease characterized by distinctive skin rash, muscle inflammation with symmetrical and progressive muscle weakness, and elevated serum levels of muscle-associated enzymes. DM may affect skeletal muscles involved in swallowing, leading to dysphagia, which can negatively impact individual\'s physical and psychosocial well-being. Despite this, dysphagia in patients with DM remains poorly understood. This systematic review and meta-analysis aimed to evaluate the prevalence and clinical features of dysphagia in patients with DM and juvenile DM (JDM).
    Four electronic databases were systematically searched until September 2022. Studies with patients with DM or JDM and dysphagia were included. The pooled prevalence of all included studies was calculated, and the clinical characteristics of dysphagia were qualitatively analyzed.
    Thirty-nine studies with 3335 patients were included. The overall pooled prevalence of dysphagia was 32.3% (95% CI: 0.270, 0.373) in patients with DM and 37.7% (95% CI: -0.031, 0.785) in patients with JDM. Subgroup analyses revealed that Sweden had the highest prevalence (66.7% [95% CI: 0.289, 1.044]), whereas Tunisia had the lowest prevalence (14.3% [95% CI: -0.040, 0.326]). Moreover, South America had the highest prevalence (47.0% [95% CI: 0.401, 0.538]), whereas Africa had the lowest prevalence (14.3% [95% CI: -0.040, 0.326]). Dysphagia in patients with DM and JDM was characterized by both oropharyngeal and esophageal dysfunctions, with predominant difficulties in motility.
    Our findings showed that dysphagia affects one in three patients with DM or JDM. However, the documentation on the diagnosis and management of dysphagia in the literature is inadequate. Our results highlighted the need to use both clinical and instrumental assessments to evaluate swallowing function in this population.
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  • 文章类型: Journal Article
    神经酰胺是一类与皮肤病有关的鞘脂,肥胖,和其他代谢疾病。作为一个具有多效性的类,最近的努力集中在辨别特定的神经酰胺种类及其对特应性皮炎的影响,肥胖,2型糖尿病,和心血管疾病。这种划分允许识别疾病生物标志物,与C16-和C18-神经酰胺等长酰基链神经酰胺与代谢功能障碍和心脏功能下降有关,而据报道,超长酰基链神经酰胺(>25碳酰基链)对于维持功能性皮肤屏障至关重要。鉴于游离脂肪酸与神经酰胺之间的复杂联系,尤其是从头合成途径,细胞内脂滴的形成越来越被视为防止有毒神经酰胺物质积累的重要机制。这里,我们回顾了最近关于各种神经酰胺与皮肤异常和代谢性疾病有关的报道,我们认为,促进脂滴生物合成可以被视为一种潜在的保护机制,对抗有害的神经酰胺。
    Ceramides are a class of sphingolipids which are implicated in skin disorders, obesity, and other metabolic diseases. As a class with pleiotropic effects, recent efforts have centred on discerning specific ceramide species and their effects on atopic dermatitis, obesity, type 2 diabetes, and cardiovascular diseases. This delineation has allowed the identification of disease biomarkers, with long acyl chain ceramides such as C16- and C18-ceramides linked to metabolic dysfunction and cardiac function decline, while ultra-long acyl chain ceramides (>25 carbon acyl chain) were reported to be essential for maintaining a functional skin barrier. Given the intricate link between free fatty acids with ceramides, especially the de novo synthetic pathway, intracellular lipid droplet formation is increasingly viewed as an important mechanism for preventing accumulation of toxic ceramide species. Here, we review recent reports of various ceramide species involved in skin abnormalities and metabolic diseases, and we propose that promotion of lipid droplet biogenesis can be seen as a potential protective mechanism against deleterious ceramides.
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  • 文章类型: Journal Article
    特应性皮炎(AD)是一种以免疫系统受损为特征的慢性复发性皮肤疾病,过度炎症,和皮肤屏障破坏。翻译后修饰(PTM)是蛋白质翻译后的共价和酶促修饰,据报道,它们在炎症和过敏性疾病中发挥作用。然而,PTM对AD的影响较少受到关注。这篇综述总结了六个主要类别的知识(包括磷酸化,乙酰化,泛素化,SUMOylation,糖基化,o-糖基化,和糖基化)在AD发病机理中的PTM,并讨论了疾病管理的机会。
    Atopic dermatitis (AD) is a chronic and relapsing cutaneous disorder characterized by compromised immune system, excessive inflammation, and skin barrier disruption. Post-translational modifications (PTMs) are covalent and enzymatic modifications of proteins after their translation, which have been reported to play roles in inflammatory and allergic diseases. However, less attention has been paid to the effect of PTMs on AD. This review summarized the knowledge of six major classes (including phosphorylation, acetylation, ubiquitination, SUMOylation, glycosylation, o-glycosylation, and glycation) of PTMs in AD pathogenesis and discussed the opportunities for disease management.
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  • 文章类型: Journal Article
    目的:虽然一般人群中皮肤感觉症状的特征已被证实,皮肤病相关的皮肤疼痛尚未被表征。在本研究中,我们旨在描述中国人皮肤病相关的皮肤疼痛。
    方法:在我们的皮肤科诊所对门诊患者进行问卷调查,以确定自称为皮肤疼痛。使用疼痛量表0-10评估皮肤疼痛的严重程度。比较男性和女性的患病率和疼痛严重程度。
    结果:共有2144名患者,包括1254名女性和890名男性,年龄在13-94岁之间,包括在这项研究中。该队列中皮肤疼痛的总患病率为9.93%。皮肤疼痛的患病率随皮肤病学状况而变化很大(p<0.0001)。此外,男性皮肤疼痛患病率高于女性(p<0.05).在报告的皮肤病中,在糖皮质激素性皮炎(4.20±0.73)或带状疱疹(4.00±0.29)患者中,皮肤疼痛评分较高.虽然总体疼痛量表在男性和女性之间具有可比性(2.38±0.13对2.68±0.13),女性湿疹性皮炎患者的疼痛评分高于男性(p<0.05)。此外,疼痛程度与年龄呈正相关。然而,有和没有皮肤感觉症状家族史的受试者的疼痛评分没有差异.这些结果表明,皮肤病相关的皮肤疼痛的患病率和严重程度随中国人的皮肤病和性别而变化。
    结论:患有某些皮肤病的患者可能会出现皮肤疼痛。虽然疼痛是适度的,它会对患者的生活质量产生负面影响。在治疗患有某些皮肤病的患者时,应考虑减轻皮肤疼痛。
    OBJECTIVE: Although the characteristics of cutaneous sensory symptoms in the general population have been documented, dermatological condition-associated skin pain has not been characterized yet. In the present study, we aimed to characterize dermatological condition-associated skin pain in the Chinese.
    METHODS: A questionnaire was given to outpatients to identify self-proclaimed skin pain at our dermatology clinic. The severity of skin pain was assessed using pain scale 0-10. Prevalence and pain severity were compared between males and females.
    RESULTS: A total of 2144 patients, including 1254 females and 890 males aged 13-94 years, were included in this study. The overall prevalence of skin pain was 9.93% in this cohort. The prevalence of skin pain varied greatly with dermatological conditions (p<0.0001). Moreover, a higher prevalence of skin pain was observed in males than in females (p<0.05). Among the dermatological conditions reported, higher skin pain scales were found in subjects with either glucocorticoid-induced dermatitis (4.20 ± 0.73) or herpes zoster (4.00 ± 0.29). While the overall pain scales were comparable between males and females (2.38 ± 0.13 versus 2.68 ± 0.13), pain scales in patients with eczematous dermatitis were higher in females than in males (p<0.05). Furthermore, pain scales correlated positively with age. However, pain scales did not differ between subjects with versus without a family history of cutaneous sensory symptoms. These results demonstrate that the prevalence and severity of dermatological condition-associated skin pain vary with dermatological conditions and gender in the Chinese.
    CONCLUSIONS: Patients with some dermatological conditions may experience skin pain. Although the pain is moderate, it can negatively impact the quality of patients\' lives. Alleviation of skin pain should be considered when treating patients with certain dermatological conditions.
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  • 文章类型: Journal Article
    Pterostilbene is a naturally occurring analog of resveratrol with many health benefits. These health benefits are associated with its antioxidant activity, anti-inflammatory effects, and chemopreventive effects attributed to its unique structure. The skin cancer chemopreventive potential of pterostilbene is supported by a variety of mechanistic studies confirming the anti-inflammatory effects in skin cancer models. Molecular biological studies have identified that pterostilbene targets pleotropic signaling pathways, including those involved in mitogenesis, cell cycle regulation, and apoptosis. Recently, pterostilbene has been reported to induce autophagy in cancer and normal cells. Through autophagy induction, the inflammatory-related skin diseases can be attenuated. This finding suggests the potential use of pterostilbene in the treatment and prevention of skin disorders via alleviating inflammatory responses by autophagy induction. This review summarizes the protective and therapeutic benefits of pterostilbene in skin diseases from the viewpoint of its antioxidant, anti-inflammatory, and autophagy-inducing effects. Novel underlying mechanisms regarding these effects are discussed. We proposed that pterostilbene, a promising natural product, can be used as a preventive and therapeutic agent for inflammation-related skin disorders through induction of autophagy.
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