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Article ; Online: Autoinflammatory Keratinization Diseases-The Concept, Pathophysiology, and Clinical Implications.

Blicharz, Leszek / Czuwara, Joanna / Rudnicka, Lidia / Torrelo, Antonio

Clinical reviews in allergy & immunology

2023 Volume 65, Issue 3, Page(s) 377–402

Abstract: Recent advances in medical genetics elucidated the background of diseases characterized by superficial dermal and epidermal inflammation with resultant aberrant keratosis. This led to introducing the term autoinflammatory keratinization diseases ... ...

Abstract	Recent advances in medical genetics elucidated the background of diseases characterized by superficial dermal and epidermal inflammation with resultant aberrant keratosis. This led to introducing the term autoinflammatory keratinization diseases encompassing entities in which monogenic mutations cause spontaneous activation of the innate immunity and subsequent disruption of the keratinization process. Originally, autoinflammatory keratinization diseases were attributed to pathogenic variants of CARD14 (generalized pustular psoriasis with concomitant psoriasis vulgaris, palmoplantar pustulosis, type V pityriasis rubra pilaris), IL36RN (generalized pustular psoriasis without concomitant psoriasis vulgaris, impetigo herpetiformis, acrodermatitis continua of Hallopeau), NLRP1 (familial forms of keratosis lichenoides chronica), and genes of the mevalonate pathway, i.e., MVK, PMVK, MVD, and FDPS (porokeratosis). Since then, endotypes underlying novel entities matching the concept of autoinflammatory keratinization diseases have been discovered (mutations of JAK1, POMP, and EGFR). This review describes the concept and pathophysiology of autoinflammatory keratinization diseases and outlines the characteristic clinical features of the associated entities. Furthermore, a novel term for NLRP1-associated autoinflammatory disease with epithelial dyskeratosis (NADED) describing the spectrum of autoinflammatory keratinization diseases secondary to NLRP1 mutations is proposed.
MeSH term(s)	Humans ; Psoriasis/genetics ; Psoriasis/pathology ; Inflammation/genetics ; Mutation ; Immunity, Innate ; Keratosis ; Guanylate Cyclase/genetics ; Membrane Proteins ; CARD Signaling Adaptor Proteins/genetics ; Interleukins/genetics
Chemical Substances	CARD14 protein, human (EC 4.6.1.-) ; Guanylate Cyclase (EC 4.6.1.2) ; Membrane Proteins ; CARD Signaling Adaptor Proteins ; IL36RN protein, human ; Interleukins
Language	English
Publishing date	2023-12-16
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	1239045-8
ISSN	1559-0267 ; 1080-0549
ISSN (online)	1559-0267
ISSN	1080-0549
DOI	10.1007/s12016-023-08971-3
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Article: The Clinical Significance of Salusins in Systemic Sclerosis-A Cross-Sectional Study.

Nowaczyk, Joanna / Blicharz, Leszek / Zawistowski, Michał / Sikora, Mariusz / Zaremba, Michał / Czuwara, Joanna / Rudnicka, Lidia

Diagnostics (Basel, Switzerland)

2023 Volume 13, Issue 5

Abstract: Background: ...

Abstract	Background:
Language	English
Publishing date	2023-02-23
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2662336-5
ISSN	2075-4418
ISSN	2075-4418
DOI	10.3390/diagnostics13050848
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Article ; Online: The profile of adipokines associated with fibrosis and impaired microcirculation in systemic sclerosis.

Niemczyk, Anna / Waśkiel-Burnat, Anna / Zaremba, Michał / Czuwara, Joanna / Rudnicka, Lidia

Advances in medical sciences

2023 Volume 68, Issue 2, Page(s) 298–305

Abstract: Purpose: Adipokines belong to a group of molecules mostly produced by adipose tissue. Abnormalities in the secretion of several adipokines have already implicated to play a pathogenic role in systemic sclerosis (SSc). However, the possible role of ... ...

Abstract	Purpose: Adipokines belong to a group of molecules mostly produced by adipose tissue. Abnormalities in the secretion of several adipokines have already implicated to play a pathogenic role in systemic sclerosis (SSc). However, the possible role of numerous molecules still needs to be clarified. The aim of the study was to determine whether the altered level of selected circulating adipokines might correlate with the intensity of fibrosis and vasculopathy in the course of SSc. Materials and methods: Serum concentrations of chemerin, adipsin, retinol-binding protein 4, apelin, visfatin, omentin-1, and vaspin were determined with ELISA in the sera of patients with SSc (n = 55) and healthy controls (n = 25). Results: The serum concentration of adipsin (p = 0.03) and visfatin (p = 0.04) was significantly increased and the level of retinol-binding protein 4 (p = 0.03) was decreased in diffuse compared to limited cutaneous SSc. Moreover, serum adipsin level correlated positively with the intensity of skin fibrosis measured with the modified Rodnan skin score (r = 0.31, p = 0.02) and was significantly higher in patients with pulmonary arterial hypertension than in those without the condition (p = 0.03). The concentrations of adipsin (p = 0.01) and visfatin (p = 0.04) were significantly increased and the level of apelin (p = 0.02) was decreased in patients with active digital ulcerations compared to individuals without this complication. Conclusion: Adipsin may be considered a pivotal protein in the development of both fibrosis and impaired microcirculation. Its abnormal concentration reflects the intensity of skin thickening and the presence of pulmonary arterial hypertension. Adipsin, visfatin, and apelin are adipose tissue-derived molecules associated with digital vasculopathy.
MeSH term(s)	Humans ; Adipokines/metabolism ; Complement Factor D/metabolism ; Apelin/metabolism ; Nicotinamide Phosphoribosyltransferase/metabolism ; Pulmonary Arterial Hypertension ; Microcirculation ; Scleroderma, Systemic ; Vascular Diseases ; Fibrosis ; Retinol-Binding Proteins
Chemical Substances	Adipokines ; Complement Factor D (EC 3.4.21.46) ; Apelin ; Nicotinamide Phosphoribosyltransferase (EC 2.4.2.12) ; Retinol-Binding Proteins
Language	English
Publishing date	2023-09-09
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2273668-2
ISSN	1898-4002 ; 1896-1126
ISSN (online)	1898-4002
ISSN	1896-1126
DOI	10.1016/j.advms.2023.09.001
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Article ; Online: EGFR inhibitor-induced folliculitis decalvans: a case series and management guidelines.

Nowaczyk, Joanna / Fret, Kamil / Kaminska-Winciorek, Grazyna / Rudnicka, Lidia / Czuwara, Joanna

Anti-cancer drugs

2023 Volume 34, Issue 8, Page(s) 942–948

Abstract: Epidermal growth factor receptor (EGFR) is one of therapeutic targets in oncology for solid tumors originating from epithelial tissue, such as non-small-cell lung carcinoma (NSCLC) and breast cancer. EGFR inhibitors used in cancer treatment may cause a ... ...

Abstract	Epidermal growth factor receptor (EGFR) is one of therapeutic targets in oncology for solid tumors originating from epithelial tissue, such as non-small-cell lung carcinoma (NSCLC) and breast cancer. EGFR inhibitors used in cancer treatment may cause a broad spectrum of dose-dependent cutaneous adverse events, including acneiform papulopustular rash, nail and hair disturbances, xerosis, and mucositis. The pathogenesis of the EGFR inhibitor-induced adverse reactions originates from disturbances in keratinocyte differentiation, cytokine secretion, and neutrophil chemotaxis. One of the rare, yet distressing adverse events may be folliculitis decalvans, a progressive neutrophil-driven scarring alopecia with hair tufts formation resembling doll's hair. Early diagnosis and introduction of treatment are crucial for disease prognosis since a long course of the disease leads to decreased quality of life. Here, we review the literature cases of EGFR inhibitor-induced folliculitis decalvans and provide guidance on management and prevention of this condition in oncologic patients. Furthermore, we report the first afatinib-associated folliculitis decalvans in three female patients with NSCLC.
MeSH term(s)	Humans ; Female ; Folliculitis/chemically induced ; Folliculitis/complications ; Folliculitis/drug therapy ; Carcinoma, Non-Small-Cell Lung/drug therapy ; Quality of Life ; Lung Neoplasms/drug therapy ; Lung Neoplasms/complications ; ErbB Receptors ; Alopecia/chemically induced ; Alopecia/drug therapy
Chemical Substances	ErbB Receptors (EC 2.7.10.1) ; EGFR protein, human (EC 2.7.10.1)
Language	English
Publishing date	2023-01-24
Publishing country	England
Document type	Review ; Journal Article
ZDB-ID	1065301-6
ISSN	1473-5741 ; 0959-4973
ISSN (online)	1473-5741
ISSN	0959-4973
DOI	10.1097/CAD.0000000000001494
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Article ; Online: Differential diagnosis of red scalp. The importance of trichoscopy.

Waśkiel-Burnat, Anna / Czuwara, Joanna / Blicharz, Leszek / Olszewska, Małgorzata / Rudnicka, Lidia

Clinical and experimental dermatology

2023

Abstract: Red scalp is a common complaint which may constitute a diagnostic and therapeutic challenge in daily clinical practice. Among the numerous diseases which cause diffuse scalp erythema are psoriasis, seborrheic dermatitis, contact dermatitis, diffuse ... ...

Abstract	Red scalp is a common complaint which may constitute a diagnostic and therapeutic challenge in daily clinical practice. Among the numerous diseases which cause diffuse scalp erythema are psoriasis, seborrheic dermatitis, contact dermatitis, diffuse lichen planopilaris, dermatomyositis and scalp rosacea. Accurate diagnosis is crucial for optimal treatment outcomes. Histology most frequently discriminates the underlying condition, but it requires scalp biopsy. In many cases the combination of clinical examination and trichoscopy is sufficient for establishing the correct diagnosis. The main trichoscopic features of psoriasis are silver-white scaling, regular distributed dotted (glomerular) vessels or twisted red loops and punctate hemorrhages. Yellowish-white scaling and thin arborizing vessels are typical features of seborrheic dermatitis. Contact dermatitis is characterized by the presence of yellow exudate and polymorphic vessels, while perifollicular scaling and erythema with the lack of follicular openings are typical findings in lichen planopilaris. In scalp dermatomyositis, tortuous and arborizing vessels with interfollicular and perifollicular pigmentation may be detected. The most characteristic features of scalp rosacea are perifollicular scaling and arborizing vessels. This review also summarizes histologic features and therapeutic options for these conditions.
Language	English
Publishing date	2023-11-03
Publishing country	England
Document type	Journal Article
ZDB-ID	195504-4
ISSN	1365-2230 ; 0307-6938
ISSN (online)	1365-2230
ISSN	0307-6938
DOI	10.1093/ced/llad366
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Article ; Online: Late-onset Focal Dermal Elastosis-dermatoscopic and ultrasonographic assessment of this rare entity and literature review.

Korecka, Katarzyna / Czuwara, Joanna / Szymoniak-Lipska, Marta / Polańska, Adriana / Żaba, Ryszard / Dańczak-Pazdrowska, Aleksandra

Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI)

2023 Volume 29, Issue 10, Page(s) e13461

MeSH term(s)	Humans ; Skin Diseases/diagnostic imaging ; Skin/diagnostic imaging ; Elastic Tissue
Language	English
Publishing date	2023-10-25
Publishing country	England
Document type	Review ; Letter
ZDB-ID	1229160-2
ISSN	1600-0846 ; 0909-752X ; 1397-1344
ISSN (online)	1600-0846
ISSN	0909-752X ; 1397-1344
DOI	10.1111/srt.13461
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Article: Contact eczema induced by hybrid manicure. The role of acrylates as a causative factor.

Opaliñska, Sandra / Opaliñska, Małgorzata / Rudnicka, Lidia / Czuwara, Joanna

Postepy dermatologii i alergologii

2021 Volume 39, Issue 4, Page(s) 768–774

Abstract: Introduction: Acrylates are widespread plastic materials, known for their sensitizing properties. So far, allergy to acrylate monomers has been known as occupational eczema, mainly concerning dentists and manicurists. However, a surge of allergic ... ...

Abstract	Introduction: Acrylates are widespread plastic materials, known for their sensitizing properties. So far, allergy to acrylate monomers has been known as occupational eczema, mainly concerning dentists and manicurists. However, a surge of allergic contact dermatitis (ACD) cases related to acrylates among users of hybrid varnishes have recently been reported. Aim: This article reviews the pathogenesis, clinical manifestations, and dermoscopic features of contact eczema induced by hybrid manicure. Material and methods: The study was performed on a group of 8 women. Clinical and dermoscopic features were evaluated and correlated with the period of exposure to acrylates. In addition, all patients underwent mycological examination to exclude fungal co-infection. Results: Mycological examinations in all patients gave negative results, although 1 patient developed local secondary mixed supra-infection due to Conclusions: The surge of contact dermatitis related to acrylates seen in recent years requires dermatologists' awareness. Nail changes induced by hybrid manicure can mimic onychomycosis or nail psoriasis. Therefore comprehensive patch testing should be performed in doubtful cases. Due to the lack of patch tests in our study, we can only suspect that we were dealing with allergic contact dermatitis. In case of confirmed allergy to acrylates, the patient should be aware of this and avoid them.
Language	English
Publishing date	2021-10-26
Publishing country	Poland
Document type	Journal Article
ZDB-ID	2596142-1
ISSN	1642-395X
ISSN	1642-395X
DOI	10.5114/ada.2021.109684
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Article ; Online: Epoprostenol up-regulates serum adiponectin level in patients with systemic sclerosis: therapeutic implications.

Stochmal, Anna / Czuwara, Joanna / Zaremba, Michał / Rudnicka, Lidia

Archives of dermatological research

2021 Volume 313, Issue 9, Page(s) 783–791

Abstract: Introduction: Adiponectin, resistin and leptin belong to adipokines, a group of molecules secreted mainly by the adipose tissue, which impaired expression may be a missing link between various manifestations of systemic sclerosis. Adiponectin, which is ... ...

Abstract	Introduction: Adiponectin, resistin and leptin belong to adipokines, a group of molecules secreted mainly by the adipose tissue, which impaired expression may be a missing link between various manifestations of systemic sclerosis. Adiponectin, which is also released in small amounts by the endothelium, possesses anti-inflammatory, anti-fibrotic and protective against endothelial injury properties. Both leptin and resistin exhibit features which are contradictory to adiponectin, as they trigger inflammation and the activation of skin fibroblasts. Epoprostenol is a prostaglandin analogue with powerful vasodilator activity and inhibitory effect on platelet aggregation. The aim of the study was to evaluate whether epoprostenol may have an effect on serum adipokine levels in patients with systemic sclerosis. Methods: A total of 27 patients were included in the study and received epoprostenol intravenously (25 µg of per day for 3 consecutive days). Serum concentrations of total adiponectin, resistin and leptin were assessed with enzyme-linked immunosorbent essay (R&D Systems, Minneapolis, MN, USA). Results: In all SSc patients, the basal level of adiponectin was significantly lower compared to healthy controls (mean 6.00 [Formula: see text] 2.81 μg/ml vs. 8.8 [Formula: see text] 4.3 μg/ml, p = 0.02) and basal level of resistin (mean 11.12 [Formula: see text] 3.36 ng/ml vs. 8.54 [Formula: see text] 3.07 ng/ml p = 0.02) was significantly higher than in the control group. The serum concentration of adiponectin increased significantly after treatment with epoprostenol (6.00 [Formula: see text] 2.81 μg/ml vs 9.29 [Formula: see text] 6.05 μg/ml; P = 0.002). The level of resistin and leptin remained unchanged. Conclusion: Epoprostenol infusions up-regulate the serum concentration of adiponectin in patients with systemic sclerosis. In our opinion, future studies on treatments in systemic sclerosis should address the issue of their effect on adipokine metabolism.
MeSH term(s)	Adiponectin/blood ; Adiponectin/immunology ; Epoprostenol/administration & dosage ; Female ; Humans ; Infusions, Intravenous ; Leptin/blood ; Male ; Middle Aged ; Resistin/blood ; Scleroderma, Systemic/blood ; Scleroderma, Systemic/drug therapy ; Scleroderma, Systemic/immunology ; Treatment Outcome ; Up-Regulation/drug effects
Chemical Substances	ADIPOQ protein, human ; Adiponectin ; LEP protein, human ; Leptin ; RETN protein, human ; Resistin ; Epoprostenol (DCR9Z582X0)
Language	English
Publishing date	2021-01-12
Publishing country	Germany
Document type	Clinical Trial ; Journal Article
ZDB-ID	130131-7
ISSN	1432-069X ; 0340-3696
ISSN (online)	1432-069X
ISSN	0340-3696
DOI	10.1007/s00403-020-02172-0
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Article ; Online: Metabolic mediators determine the association of antinuclear antibody subtypes with specific clinical symptoms in systemic sclerosis.

Stochmal, Anna / Czuwara, Joanna / Zaremba, Michał / Rudnicka, Lidia

Advances in medical sciences

2021 Volume 66, Issue 1, Page(s) 119–127

Abstract: Purpose: The aim of this study was to investigate the possible link between different types of systemic sclerosis-specific antinuclear antibodies, adipokines and endothelial molecules which were recently found to have a pathogenic significance in ... ...

Abstract	Purpose: The aim of this study was to investigate the possible link between different types of systemic sclerosis-specific antinuclear antibodies, adipokines and endothelial molecules which were recently found to have a pathogenic significance in systemic sclerosis. Materials/methods: Serum concentration of adiponectin, resistin, leptin, endothelin-1, fractalkine and galectin-3 were determined in the sera of patients with systemic sclerosis (n = 100) and healthy controls (n = 20) using ELISA. Results: The following associations between antinuclear antibodies and increased serum concentrations were identified: anticentromere antibodies with endothelin-1 (p < 0.0001; mean level in patients 2.21 vs control group 1.31 pg/ml), anti-topoisomerase I antibodies with fractalkine (p < 0.0001; 3.68 vs 1.68 ng/ml) and galectin-3 (p = 0.0010, 6.39 vs 3.26 ng/ml). Anti-RNA polymerase III antibodies were associated with increased resistin (p < 0.0001; 15.13 vs 8.54 ng/ml) and decreased adiponectin (p < 0.0001; 2894 vs 8847 ng/ml). Conclusion: In systemic sclerosis metabolic and vascular factors may serve as mediators between immunological abnormalities and non-immune driven clinical symptoms.
MeSH term(s)	Adipokines/blood ; Adipokines/immunology ; Adiponectin/blood ; Adiponectin/immunology ; Antibodies, Antinuclear/blood ; Antibodies, Antinuclear/immunology ; Biomarkers/blood ; Blood Proteins/immunology ; Case-Control Studies ; Chemokine CX3CL1/blood ; Chemokine CX3CL1/immunology ; Endothelin-1/blood ; Endothelin-1/immunology ; Female ; Follow-Up Studies ; Galectins/blood ; Galectins/immunology ; Humans ; Leptin/blood ; Leptin/immunology ; Male ; Middle Aged ; Prognosis ; Resistin/blood ; Resistin/immunology ; Scleroderma, Systemic/blood ; Scleroderma, Systemic/immunology ; Scleroderma, Systemic/pathology
Chemical Substances	Adipokines ; Adiponectin ; Antibodies, Antinuclear ; Biomarkers ; Blood Proteins ; Chemokine CX3CL1 ; Endothelin-1 ; Galectins ; LGALS3 protein, human ; Leptin ; RETN protein, human ; Resistin
Language	English
Publishing date	2021-01-22
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2273668-2
ISSN	1898-4002 ; 1896-1126
ISSN (online)	1898-4002
ISSN	1896-1126
DOI	10.1016/j.advms.2020.12.007
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Article: 3D skin bioprinting: future potential for skin regeneration.

Pasierb, Anna / Jezierska, Marta / Karpuk, Aleksandra / Czuwara, Joanna / Rudnicka, Lidia

Postepy dermatologii i alergologii

2021 Volume 39, Issue 5, Page(s) 845–851

Abstract: Skin provides protection against external agents and plays an essential role in maintaining the body homeostasis. Bioprinting as a novel strategy involves computer-controlled deposition of cells and scaffolds into a three-dimensional (3D) construction of ...

Abstract	Skin provides protection against external agents and plays an essential role in maintaining the body homeostasis. Bioprinting as a novel strategy involves computer-controlled deposition of cells and scaffolds into a three-dimensional (3D) construction of skin. 3D bioprinting gives an opportunity to generate multi-layered vascularized skin grafts that can overcome the limitations of current skin substitutes. The main indication is treatment of troublesome wounds, especially severe burns and non-healing chronic lesions. Bioprinted skin equivalents offer a promising approach in the field of regenerative medicine. This review presents and discusses 3D skin construct formation, its limitations and modifications, and its usefulness.
Language	English
Publishing date	2021-10-04
Publishing country	Poland
Document type	Journal Article ; Review
ZDB-ID	2596142-1
ISSN	1642-395X
ISSN	1642-395X
DOI	10.5114/ada.2021.109692
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