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Article: Topical proactive therapy in dermatology. A scoping review.

Makowska, Karolina / Nowaczyk, Joanna / Samochocki, Zbigniew / Blicharz, Leszek / Rudnicka, Lidia

2023 Volume 40, Issue 4, Page(s) 510–517

Abstract: The term 'proactive therapy' refers to a long-term management of clinically intact skin in previously disease-affected areas. This method was initially implemented in atopic dermatitis to maintain the remission and decrease the risk of exacerbations. ... ...

Abstract	The term 'proactive therapy' refers to a long-term management of clinically intact skin in previously disease-affected areas. This method was initially implemented in atopic dermatitis to maintain the remission and decrease the risk of exacerbations. Proactive therapy aims to limit the need for reactive treatment and improve the patients' quality of life. A proactive approach is likely to be adopted for other relapsing and inflammatory skin conditions in the future. This scoping review aims to identify dermatological conditions to be treated with the proactive approach, evaluate the available evidence for its efficacy and safety, as well as highlight the research gaps.
Language	English
Publishing date	2023-09-01
Publishing country	Poland
Document type	Journal Article ; Review
ZDB-ID	2596142-1
ISSN	1642-395X
ISSN	1642-395X
DOI	10.5114/ada.2023.129454
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Article ; Online: Peritoneal dialysis catheter removal at the time or after kidney transplantation: a systematic review and meta-analysis.

Zawistowski, Michał / Nowaczyk, Joanna / Domagała, Piotr

Langenbeck's archives of surgery

2022 Volume 407, Issue 7, Page(s) 2651–2662

Abstract: Purpose: An increasing number of patients treated with peritoneal dialysis eventually undergo kidney transplantation. Owing to opposing reports, we aimed to find evidence about the best time for peritoneal dialysis catheter removal in transplant ... ...

Abstract	Purpose: An increasing number of patients treated with peritoneal dialysis eventually undergo kidney transplantation. Owing to opposing reports, we aimed to find evidence about the best time for peritoneal dialysis catheter removal in transplant patients. Methods: We conducted a systematic review and random effects meta-analysis of non-randomized studies of intervention comparing patients with peritoneal dialysis catheters left in place or removed during kidney transplantation in regard to the need for dialysis and occurrence of catheter-related complications. We searched (last update on 8 December 2021) PubMed, Embase, Scopus, and Web of Science for eligible studies. ROBINS-I tool and funnel plot asymmetry analysis were used to assess the quality of included articles. Results: Eight observational studies were evaluated. Five of them, which involved 338 patients, were included in a meta-analysis. All were at moderate to serious risk of bias. The odds of needing dialysis are more than twice as high for patients with peritoneal dialysis catheters left in situ (pooled odds ratio, 2.21; 95% confidence interval [CI], 1.03 to 4.73; I Conclusion: Available evidence is scarce. Unless new data from a randomized controlled trial are available, the dilemma of peritoneal dialysis catheter removal cannot be solved. Trial registration: PROSPERO Protocol ID: CRD42020207707.
MeSH term(s)	Adult ; Humans ; Child ; Kidney Transplantation/adverse effects ; Catheters, Indwelling/adverse effects ; Peritoneal Dialysis/adverse effects ; Time Factors ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Randomized Controlled Trials as Topic
Language	English
Publishing date	2022-08-09
Publishing country	Germany
Document type	Meta-Analysis ; Systematic Review ; Journal Article ; Review
ZDB-ID	1423681-3
ISSN	1435-2451 ; 1435-2443
ISSN (online)	1435-2451
ISSN	1435-2443
DOI	10.1007/s00423-022-02637-y
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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: 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: Local, non-systemic, and minimally invasive therapies for calcinosis cutis: a systematic review.

Nowaczyk, Joanna / Zawistowski, Michał / Fiedor, Piotr

Archives of dermatological research

2021 Volume 314, Issue 6, Page(s) 515–525

Abstract: Calcinosis cutis is a deposition of calcium in the skin and subcutaneous tissue, often accompanied by pain, reduced mobility, and chronic infections. Limited evidence is available about the feasibility and efficacy of therapies alternative to systemic ... ...

Abstract	Calcinosis cutis is a deposition of calcium in the skin and subcutaneous tissue, often accompanied by pain, reduced mobility, and chronic infections. Limited evidence is available about the feasibility and efficacy of therapies alternative to systemic treatment and surgical excision, both of which often lead to unsatisfactory results or complications. We conducted a systematic review to evaluate the efficacy and safety of topical and intralesional sodium thiosulfate, extracorporeal shock-wave lithotripsy (ESWL), and laser for calcinosis cutis. PubMed, Embase, and Web of Science were searched. Reports of calciphylaxis and treatment combined with systemic medications were excluded. A total of 40 studies including 136 patients were analysed. Partial or complete remission after monotherapy was observed in 64% to 81% of cases. Self-applied topical sodium thiosulfate required patient's adherence (mean treatment duration, 4.9 months; range 2-24). Laser therapy enabled complete remission of microcalcifications after a single procedure (57%; 12/21). ESWL and intralesional sodium thiosulfate injections decreased calcinosis-associated pain (median reduction in VAS score, 3; range 0-9 and 1; range 0-5, respectively). The most common adverse event was scarring and hyperkeratosis, observed after CO
MeSH term(s)	Administration, Cutaneous ; Calcinosis/drug therapy ; Calcinosis/etiology ; Humans ; Immunotherapy ; Pain ; Remission Induction
Language	English
Publishing date	2021-06-24
Publishing country	Germany
Document type	Journal Article ; Review ; Systematic Review
ZDB-ID	130131-7
ISSN	1432-069X ; 0340-3696
ISSN (online)	1432-069X
ISSN	0340-3696
DOI	10.1007/s00403-021-02264-5
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Article ; Online: Prophylactic intra-abdominal drainage following kidney transplantation: a systematic review and meta-analysis.

Zawistowski, Michał / Nowaczyk, Joanna / Domagała, Piotr

Polski przeglad chirurgiczny

2021 Volume 93, Issue 4, Page(s) 1–10

Abstract: Introduction: An ongoing debate concerns the need for routine placement of prophylactic intra-abdominal drains following kidney transplantation. ... Aim: We conducted a systematic review and meta-analysis to determine whether such an approach ... ...

Abstract	Introduction: An ongoing debate concerns the need for routine placement of prophylactic intra-abdominal drains following kidney transplantation. <br/><br/>Aim: We conducted a systematic review and meta-analysis to determine whether such an approach brings any advantages in the prevention of perirenal transplant fluid collection, surgical site infection, lymphocele, hematoma, urinoma, wound dehiscence, graft loss, and need for reoperation. <br/><br/>Methods: We conducted a random-effects meta-analysis of non-randomized studies of intervention comparing drained and drain-free adult renal graft recipients regarding perirenal transplant fluid collection and other wound complications. ROBINS-I tool and funnel plot asymmetry analysis were used to assess the risk of bias. <br/><br/>Results: Five studies at moderate to critical risk of bias were included. A total of 2094 renal graft recipients were evaluated. Our analysis revealed no significant differences between drained and drain-free patients regarding perirenal transplant fluid collection (pooled odds ratio [OR], 0.77; 95% confidence interval [CI], 0.28-2.17; I 2 = 72%), surgical site infection (OR, 1.64; 95% CI, 0.11-24.88; I 2 = 80%), lymphocele (OR, 0.61; 95% CI, 0.02-15.27; I 2 = 0%), hematoma (OR, 0.71; 95% CI, 0.12-3.99; I 2 = 71%), and wound dehiscence (OR, 0.75; 95% CI, 0.21-2.70; I 2 = 0%). There was insufficient data concerning urinoma, graft loss, and need for reoperation. <br/><br/>Conclusions: The available evidence is weak. Our findings show that the use of intra-abdominal drains after kidney transplantation seems to have neither beneficial nor harmful effects on perirenal transplant fluid collection and other wound complications. The present study does not support the routine placement of surgical drains after kidney transplantation. In this systematic review and meta-analysis we summarize the most up-to-date evidence for and against the routine use of intra-abdominal drain following renal transplantation..
MeSH term(s)	Adult ; Drainage ; Hematoma ; Humans ; Kidney Transplantation/adverse effects ; Reoperation ; Surgical Wound Infection/prevention & control
Language	English
Publishing date	2021-09-02
Publishing country	Poland
Document type	Journal Article ; Meta-Analysis ; Systematic Review
ZDB-ID	128732-1
ISSN	2299-2847 ; 0032-373X
ISSN (online)	2299-2847
ISSN	0032-373X
DOI	10.5604/01.3001.0014.9166
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Article ; Online: Outcomes of ex vivo liver resection and autotransplantation: A systematic review and meta-analysis.

Zawistowski, Michał / Nowaczyk, Joanna / Jakubczyk, Michał / Domagała, Piotr

Surgery

2020 Volume 168, Issue 4, Page(s) 631–642

Abstract: Background: Many patients with hepatic tumors cannot benefit from resection owing to the difficult anatomic sites of their lesions. Some of these patients might be eligible for ex vivo liver resection and autotransplantation. This procedure consists of ... ...

Abstract	Background: Many patients with hepatic tumors cannot benefit from resection owing to the difficult anatomic sites of their lesions. Some of these patients might be eligible for ex vivo liver resection and autotransplantation. This procedure consists of complete hepatectomy, extracorporeal liver resection, and autotransplantation of the remnant liver. Methods: Four databases were searched for studies reporting cases of ex vivo liver resection and autotransplantation. Outcomes of this procedure were evaluated by meta-analysis of proportions with random effects model and individual participant data analysis. Results: Fifty-three studies were assessed. Meta-analysis revealed an R0 resection rate of 93.4% (95% confidence interval: 81.0-97.9%, I Conclusion: Ex vivo liver resection and autotransplantation facilitates radical treatment in selected patients with conventionally unresectable hepatic tumors and normal liver function. The outcomes of treatment of malignant lesions appear to be less satisfactory.
MeSH term(s)	Carcinoma, Hepatocellular/pathology ; Carcinoma, Hepatocellular/surgery ; Cholangiocarcinoma/pathology ; Cholangiocarcinoma/surgery ; Hepatectomy/adverse effects ; Hepatectomy/methods ; Hospital Mortality ; Humans ; Liver Neoplasms/pathology ; Liver Neoplasms/surgery ; Liver Transplantation/adverse effects ; Liver Transplantation/methods ; Postoperative Complications ; Regression Analysis ; Survival Analysis ; Transplantation, Autologous ; Treatment Outcome
Language	English
Publishing date	2020-07-26
Publishing country	United States
Document type	Journal Article ; Meta-Analysis ; Systematic Review
ZDB-ID	202467-6
ISSN	1532-7361 ; 0039-6060
ISSN (online)	1532-7361
ISSN	0039-6060
DOI	10.1016/j.surg.2020.05.036
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Article ; Online: Platelets in Fetal Growth Restriction: Role of Reactive Oxygen Species, Oxygen Metabolism, and Aggregation.

Nowaczyk, Joanna / Poniedziałek, Barbara / Rzymski, Piotr / Sikora, Dominika / Ropacka-Lesiak, Mariola

Cells

2022 Volume 11, Issue 4

Abstract: Fetal growth restriction (FGR) is mainly caused by failure of the uteroplacental unit. The exact pathogenesis remains unclear. The cause is thought to be related to abnormal platelet activation, which may result in microthrombus formation in the small ... ...

Abstract	Fetal growth restriction (FGR) is mainly caused by failure of the uteroplacental unit. The exact pathogenesis remains unclear. The cause is thought to be related to abnormal platelet activation, which may result in microthrombus formation in the small vessels of the placenta. Reactive oxygen species (ROS) may initiate the pathological process of platelet activation. This study aimed to evaluate selected platelet parameters in pregnancy complicated by FGR and relate them to the severity of hemodynamic abnormalities. A total of 135 women (pregnant with FGR, with an uncomplicated pregnancy, and non-pregnant) were enrolled to study different platelet parameters: count (PLT), mean volume (MPV), ROS levels, intracellular oxygen level, oxygen consumption, and aggregation indices. No abnormalities in PLT and MPV were found in the FGR group, although it revealed increased ROS levels in platelets, lower platelet oxygen consumption, and intraplatelet deprivation. Aggregation parameters were similar as in uncomplicated pregnancy. No significant relationships were observed between hemodynamic abnormalities and the studied parameters. Platelets in pregnancies complicated by FGR may reveal an impaired oxidative metabolism, which may, in turn, lead to oxidative stress and, consequently, to an impaired platelet function. This study adds to the understanding of the role of platelets in the etiology of FGR.
MeSH term(s)	Blood Platelets/metabolism ; Female ; Fetal Growth Retardation/metabolism ; Humans ; Oxygen/metabolism ; Placenta/metabolism ; Pregnancy ; Reactive Oxygen Species/metabolism
Chemical Substances	Reactive Oxygen Species ; Oxygen (S88TT14065)
Language	English
Publishing date	2022-02-18
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2661518-6
ISSN	2073-4409 ; 2073-4409
ISSN (online)	2073-4409
ISSN	2073-4409
DOI	10.3390/cells11040724
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Article: Cyclosporine With and Without Systemic Corticosteroids in Treatment of Alopecia Areata: A Systematic Review.

Nowaczyk, Joanna / Makowska, Karolina / Rakowska, Adriana / Sikora, Mariusz / Rudnicka, Lidia

Dermatology and therapy

2020 Volume 10, Issue 3, Page(s) 387–399

Abstract: Introduction: Cyclosporine is commonly used in treatment for alopecia areata. It can be administered as a monotherapy or in combination with systemic corticosteroids, with various outcomes.: Methods: Efficacy of cyclosporine with and without systemic ...

Abstract	Introduction: Cyclosporine is commonly used in treatment for alopecia areata. It can be administered as a monotherapy or in combination with systemic corticosteroids, with various outcomes. Methods: Efficacy of cyclosporine with and without systemic corticosteroids for alopecia areata was evaluated by a systematic review. Cochrane, EBSCOhost, Pubmed, Scopus and Web of Science databases were searched. Only studies published before January 2020 were included. Results: A total of 2104 studies were initially examined, of which 14 were eligible for the systematic review. Among 340 reported cases, 213 had focal, multifocal or ophiasis form of alopecia areata, 60 were diagnosed with alopecia totalis and 67 with alopecia universalis. The mean response rate in the whole group of patients at the end of treatment was 65.00% (221/340; range 25-100%). Hair regrowth rate was higher in the group with cases of alopecia areata limited to scalp (124/165; mean 75.15%; range 40-100%) than in the cases with alopecia totalis (30/46; mean 65.22%; range 25-100%) or alopecia universalis (24/52; mean 46.15%; range 25-100%). The combined therapy with systemic corticosteroids was superior to the monotherapy (152/219; mean 69.41%; 0-80% vs. 69/121; mean 57.02%; range 6.67-100%) and had a lower recurrence rate (39/108; mean 36.11% vs. 34/46; mean 73.91%, respectively). The combined treatment with methylprednisolone was significantly more effective when compared to the cyclosporine monotherapy (124/183; mean 67.76%; range 0-80% vs. 69/121; mean 57.02%; range 6.67-100%). The mean time of treatment was 6.75 months (range 2-36). Limitations: Limitations of our study were the retrospective character of included studies, differences in doses of prescribed drugs, and duration of the treatment and follow-up times. Conclusion: Cyclosporine in combination with oral systemic corticosteroids is more effective than in monotherapy for severe alopecia areata.
Language	English
Publishing date	2020-04-08
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2680284-3
ISSN	2190-9172 ; 2193-8210
ISSN (online)	2190-9172
ISSN	2193-8210
DOI	10.1007/s13555-020-00370-2
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Article ; Online: The Role of the Cutaneous Mycobiome in Atopic Dermatitis.

Szczepańska, Milena / Blicharz, Leszek / Nowaczyk, Joanna / Makowska, Karolina / Goldust, Mohamad / Waśkiel-Burnat, Anna / Czuwara, Joanna / Samochocki, Zbigniew / Rudnicka, Lidia

Journal of fungi (Basel, Switzerland)

2022 Volume 8, Issue 11

Abstract: Atopic dermatitis is a chronic inflammatory skin disorder characterized by eczematous lesions, itch, and a significant deterioration in the quality of life. Recently, microbiome dysbiosis has been implicated in the pathogenesis of atopic dermatitis. ... ...

Abstract	Atopic dermatitis is a chronic inflammatory skin disorder characterized by eczematous lesions, itch, and a significant deterioration in the quality of life. Recently, microbiome dysbiosis has been implicated in the pathogenesis of atopic dermatitis. Changes in the fungal microbiome (also termed mycobiome) appear to be an important factor influencing the clinical picture of this entity. This review summarizes the available insights into the role of the cutaneous mycobiome in atopic dermatitis and the new research possibilities in this field. The prevalence and characteristics of key fungal species, the most important pathogenesis pathways, as well as classic and emerging therapies of fungal dysbiosis and infections complicating atopic dermatitis, are presented.
Language	English
Publishing date	2022-10-31
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2784229-0
ISSN	2309-608X ; 2309-608X
ISSN (online)	2309-608X
ISSN	2309-608X
DOI	10.3390/jof8111153
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