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Kasperkiewicz M, Strong R, Mead K, Yale M, Zillikens D, Woodley DT, Recke A. COVID-19 vaccine acceptance and hesitancy in patients with immunobullous diseases: a cross-sectional study of the International Pemphigus and Pemphigoid Foundation. Br J Dermatol 2021; 186:737-739. [PMID: 34842282 DOI: 10.1111/bjd.20906] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Accepted: 11/20/2021] [Indexed: 11/29/2022]
Abstract
Patients with autoimmune bullous diseases (AIBDs) have faced considerable challenges during the COVID-19 outbreak.1 SARS-CoV-2 vaccines became an important public health solution, but the pandemic raised awareness of vaccine hesitancy.2 We aimed to investigate the currently unknown general vaccination status among AIBD patients to better inform vaccine practices in this cohort of potentially life-threatening inflammatory disorders.
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Affiliation(s)
- M Kasperkiewicz
- Department of Dermatology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
| | - R Strong
- International Pemphigus and Pemphigoid Foundation, Sacramento, CA, USA
| | - K Mead
- International Pemphigus and Pemphigoid Foundation, Sacramento, CA, USA
| | - M Yale
- International Pemphigus and Pemphigoid Foundation, Sacramento, CA, USA
| | - D Zillikens
- Department of Dermatology, University of Lübeck, Lübeck, Germany
| | - D T Woodley
- Department of Dermatology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
| | - A Recke
- Department of Dermatology, University of Lübeck, Lübeck, Germany
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2
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Kridin K, Hübner F, Recke A, Linder R, Schmidt E. The burden of neurological comorbidities in six autoimmune bullous diseases: a population-based study. J Eur Acad Dermatol Venereol 2021; 35:2074-2078. [PMID: 34153122 DOI: 10.1111/jdv.17465] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Accepted: 06/08/2021] [Indexed: 12/24/2022]
Abstract
BACKGROUND Apart from bullous pemphigoid (BP), the association of other autoimmune bullous diseases (AIBDs) with neurological conditions is poorly understood. OBJECTIVE To estimate the association between a wide array of AIBDs and neurological conditions. METHODS A retrospective cross-sectional study recruited patients with BP, mucous membrane pemphigoid (MMP), epidermolysis bullosa acquisita (EBA), pemphigoid gestationis (PG), pemphigus vulgaris (PV) and pemphigus foliaceus (PF). These patients were compared with their age- and sex-matched control subjects with regard to the lifetime prevalence of Parkinson's disease (PD), Alzheimer's disease (AD), stroke, epilepsy and multiple sclerosis (MS). Logistic regression was used to calculate OR for specified neurological disorders. RESULTS The current study included 1743, 251, 106, 126, 860 and 103 patients diagnosed with BP, MMP, EBA, PG, PV and PF, respectively. These patients were compared with 10 141, 1386, 606, 933, 5142 and 588 matched controls, respectively. Out of the investigated neurological conditions, PD associated with BP (OR, 2.71; 95% CI, 2.19-3.35); AD with BP (OR, 2.11; 95% CI, 1.73-2.57), MMP (OR, 2.37; 95% CI, 1.03-5.47), EBA (OR, 6.00; 95% CI, 1.90-18.97) and PV (OR, 2.24; 95% CI, 1.40-3.60); stroke with BP (OR, 1.84; 95% CI, 1.55-2.19) and EBA (OR, 2.79; 95% CI, 1.11-7.01); and epilepsy with BP (OR, 2.18; 95% CI, 1.72-2.77) and PV (OR, 1.80; 95% CI, 1.19-2.73). MS did not significantly cluster with any of the six AIBDs. CONCLUSION In addition to BP, EBA and PV were found to cluster with neurological comorbidities. Patients with these AIBDs with compatible symptoms may be carefully assessed for comorbid neurological disorders.
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Affiliation(s)
- K Kridin
- Lűbeck Institute of Experimental Dermatology, University of Lübeck, Lübeck, Germany.,Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel.,Unit of Dermatology and Skin Research Laboratory, Baruch Padeh Poria Medical Center, Tiberias, Israel
| | - F Hübner
- Department of Dermatology, University of Lübeck, Lübeck, Germany
| | - A Recke
- Department of Dermatology, University of Lübeck, Lübeck, Germany
| | - R Linder
- Techniker Krankenkasse, Corporate Development, Analytics and Insights, Hamburg, Germany
| | - E Schmidt
- Lűbeck Institute of Experimental Dermatology, University of Lübeck, Lübeck, Germany.,Department of Dermatology, University of Lübeck, Lübeck, Germany
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3
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Kasperkiewicz M, Yale M, Strong R, Zillikens D, Woodley DT, Recke A. COVID-19 pandemic and autoimmune bullous diseases: a cross-sectional study of the International Pemphigus and Pemphigoid Foundation. J Eur Acad Dermatol Venereol 2021; 35:e418-e421. [PMID: 33724560 PMCID: PMC8250878 DOI: 10.1111/jdv.17228] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2021] [Revised: 02/21/2021] [Accepted: 03/09/2021] [Indexed: 10/26/2022]
Affiliation(s)
- M Kasperkiewicz
- Department of Dermatology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
| | - M Yale
- International Pemphigus and Pemphigoid Foundation, Sacramento, CA, USA
| | - R Strong
- International Pemphigus and Pemphigoid Foundation, Sacramento, CA, USA
| | - D Zillikens
- Department of Dermatology, University of Lübeck, Lübeck, Germany
| | - D T Woodley
- Department of Dermatology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
| | - A Recke
- Department of Dermatology, University of Lübeck, Lübeck, Germany
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Lattimer C, Rudolphi P, Recke A, Geroulakos G, Kalodiki E, Kahle B. Comparison of Four Haemodynamic Tests that Quantify Superficial Venous Insufficiency. J Vasc Surg Venous Lymphat Disord 2020. [DOI: 10.1016/j.jvsv.2019.12.064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Kovács B, Recke A. Orale Toleranzinduktion bei Typ I-Allergie gegen Ei. Akt Dermatol 2020. [DOI: 10.1055/a-1015-5007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
ZusammenfassungHühnerei ist eine Allergenquelle, die in unserer täglichen Ernährung in offener und versteckter Form häufig vorkommt. Eine Allergie dagegen geht oftmals mit schweren anaphylaktischen Reaktionen einher. Es ist im Alltag eine große Herausforderung, Hühnerei vollständig zu meiden. Betroffene sind eingeschränkt in ihrer Nahrungsauswahl und in ihrem sozialen Leben. Wir stellen eine Patientin vor, die nach dem Verzehr einer kleinen Probe des von ihr zubereiteten Kuchenteigs einen schweren anaphylaktischen Schock erlitt, der eine intensivmedizinische Versorgung erforderte. Mittels Hauttestung und IgE-Diagnostik wiesen wir eine Typ I-Sensibilisierung vorwiegend auf hitzelabile Einzelallergene in Hühnerei nach. Da die Patientin trotz Umsicht eine Aufnahme von Hühnerei nicht vollständig vermeiden konnte, begannen wir mit einer spezifischen oralen Toleranzinduktion (SOTI) mit verbackenem bzw. durcherhitztem Ei. Unter dieser Behandlung konnte die Patientin bis heute eine erneute anaphylaktische Reaktion vermeiden und gleichzeitig die zuvor bestehenden Einschränkungen ihres täglichen Lebens deutlich lindern. Trotz dieses Erfolges kann die SOTI mangels etablierter und sicherer Protokolle noch nicht standardmäßig empfohlen werden und sollte nur in besonderen Fällen in Erwägung gezogen werden.
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Affiliation(s)
- B. Kovács
- Klinik für Dermatologie, Allergologie und Venerologie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck
| | - A. Recke
- Klinik für Dermatologie, Allergologie und Venerologie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck
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6
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Anemüller W, Busch H, Fleischer M, Hundt JE, Ibrahim S, Kahle B, Ludwig RJ, Recke A, Recke AL, Rose E, Sadik CD, Schmidt E, Schumacher N, Thaçi D, Terheyden P, Wolff HH, Zillikens D. Klinik für Dermatologie, Allergologie und Venerologie der Universität zu Lübeck: Interaktion von Forschung und klinischer Versorgung. Akt Dermatol 2020. [DOI: 10.1055/a-1066-5392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
ZusammenfassungDie Ursprünge der Lübecker Universitäts-Hautklinik reichen in die 30er-Jahre des letzten Jahrhunderts zurück. Die Klinik hat in den letzten Jahrzehnten eine konsequente bauliche und inhaltliche Weiterentwicklung erfahren und verfügt heute über 85 Betten auf 2 Stationen und in einer Tagesklinik. Ein modernes Weiterbildungsprogramm, das auf einem Rotationsprinzip durch 5 verschiedene stationäre und ambulante Teams beruht, vermittelt alle wesentlichen Lerninhalte der Dermatologie. Die Erweiterung der Klinik in den letzten Jahren beruhte auf einer engen Interaktion von Grundlagenforschung und klinischer Tätigkeit, insbesondere auf dem Gebiet kutaner Autoimmunerkrankungen und entzündlicher Dermatosen. Die wissenschaftliche Entwicklung der Hautklinik profitierte seit 2007 insbesondere von der Förderung durch die Exzellenzinitiative des Bundes (Exzellenzcluster Inflammation at Interfaces). Daneben wurde durch die Deutsche Forschungsgemeinschaft (DFG) seit 2011 unter Federführung der Hautklinik ein Graduiertenkolleg Modulation of Autoimmunity gefördert, das zur Entwicklung des wissenschaftlichen Nachwuchses und zur Ausbildung zahlreicher naturwissenschaftlicher und medizinischer Doktoranden/Doktorandinnen1 beitrug. Seit 2015 besteht an der Klinik auch eine Klinische Forschungsgruppe der DFG zum Thema Pemphigoid Diseases – Molecular Pathways and their Therapeutic Potential. Im Jahr 2018 haben Mitarbeiter der Klinik wesentlich zur Einwerbung eines Clinician Scientist-Programms der DFG beigetragen, das die wissenschaftliche Ausbildung forschender Kliniker verbessern soll. In den letzten Jahren haben sich aus der Lübecker Hautklinik heraus 2 eigenständige Institute neu etabliert. Hierzu zählen das Institut für Entzündungsmedizin unter der Leitung von Prof. Diamant Thaçi, in dem klinische Studien zu entzündlichen Hauterkrankungen initiiert und koordiniert werden und die Versorgung von Patienten mit entzündlichen Dermatosen stattfindet. Daneben ist aus der Hautklinik heraus das Lübecker Institut für Experimentelle Dermatologie (LIED) entstanden, in dem derzeit 5 Professoren mit ihren jeweiligen Arbeitsgruppen zu unterschiedlichen Themen der Entzündung an der Haut forschen. Die interdisziplinären wissenschaftlichen Aktivitäten zur Entzündung an der Haut am Lübecker Campus werden seit 2015 in einem Center for Research on Inflammation of the Skin (CRIS) gebündelt. CRIS erhielt kürzlich die Zusage für ein eigenständiges Forschungsgebäude, das nach § 91 Grundgesetz durch Bund und Land finanziert wird und derzeit im Zentrum des Lübecker Campus entsteht. Der Ausbau der Forschungsstrukturen der Klinik ging mit der Einrichtung von Spezialambulanzen für verschiedene entzündliche Hauterkrankungen, aber auch für die Versorgung von Hautkrebs und chronischen Wunden einher. Die Klinik verfügt über ein zertifiziertes Hautkrebszentrum und ist Teil der Lübecker universitären Gefäß- und Krebszentren. Weitere wichtige Pfeiler der klinischen Versorgung sind zertifizierte diagnostische Einsendelabore für Dermato-Histopathologie und kutane Autoimmunerkrankungen.
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Affiliation(s)
- W. Anemüller
- Klinik für Dermatologie, Allergologie und Venerologie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck
| | - H. Busch
- Klinik für Dermatologie, Allergologie und Venerologie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck
| | - M. Fleischer
- Klinik für Dermatologie, Allergologie und Venerologie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck
| | - J. E. Hundt
- Klinik für Dermatologie, Allergologie und Venerologie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck
| | - S. Ibrahim
- Klinik für Dermatologie, Allergologie und Venerologie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck
| | - B. Kahle
- Klinik für Dermatologie, Allergologie und Venerologie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck
| | - R. J. Ludwig
- Klinik für Dermatologie, Allergologie und Venerologie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck
| | - A. Recke
- Klinik für Dermatologie, Allergologie und Venerologie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck
| | - A. L. Recke
- Klinik für Dermatologie, Allergologie und Venerologie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck
| | - E. Rose
- Klinik für Dermatologie, Allergologie und Venerologie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck
| | - C. D. Sadik
- Klinik für Dermatologie, Allergologie und Venerologie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck
| | - E. Schmidt
- Klinik für Dermatologie, Allergologie und Venerologie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck
| | - N. Schumacher
- Klinik für Dermatologie, Allergologie und Venerologie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck
| | - D. Thaçi
- Klinik für Dermatologie, Allergologie und Venerologie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck
| | - P. Terheyden
- Klinik für Dermatologie, Allergologie und Venerologie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck
| | - H. H. Wolff
- Klinik für Dermatologie, Allergologie und Venerologie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck
| | - D. Zillikens
- Klinik für Dermatologie, Allergologie und Venerologie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck
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Kasperkiewicz M, Lai O, Recke A, Betlachin A, Ji L, Groshen S, Woodley D. Clinical outcomes of patients with pemphigus treated by the same physicians in a public safety net healthcare system vs. a private healthcare system. Br J Dermatol 2019; 181:850-852. [DOI: 10.1111/bjd.17983] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- M. Kasperkiewicz
- Department of Dermatology The Keck School of Medicine University of Southern California, USC/Norris Cancer Center Los Angeles CA U.S.A
- Department of Dermatology University of Lübeck Lübeck Germany
| | - O. Lai
- Department of Dermatology The Keck School of Medicine University of Southern California, USC/Norris Cancer Center Los Angeles CA U.S.A
| | - A. Recke
- Department of Dermatology University of Lübeck Lübeck Germany
| | - A. Betlachin
- Department of Dermatology The Keck School of Medicine University of Southern California, USC/Norris Cancer Center Los Angeles CA U.S.A
| | - L. Ji
- Department of Preventive Medicine University of Southern California, USC/Norris Cancer Center Los Angeles CA U.S.A
| | - S. Groshen
- Department of Preventive Medicine University of Southern California, USC/Norris Cancer Center Los Angeles CA U.S.A
| | - D. Woodley
- Department of Dermatology The Keck School of Medicine University of Southern California, USC/Norris Cancer Center Los Angeles CA U.S.A
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8
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Goletz S, Probst C, Komorowski L, Schlumberger W, Fechner K, van Beek N, Holtsche MM, Recke A, Yancey KB, Hashimoto T, Antonicelli F, Di Zenzo G, Zillikens D, Stöcker W, Schmidt E. A sensitive and specific assay for the serological diagnosis of antilaminin 332 mucous membrane pemphigoid. Br J Dermatol 2019; 180:149-156. [PMID: 30216412 DOI: 10.1111/bjd.17202] [Citation(s) in RCA: 34] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/07/2018] [Indexed: 02/06/2023]
Abstract
BACKGROUND Antilaminin 332 mucous membrane pemphigoid (MMP) is an autoimmune subepidermal blistering disease with predominant mucosal involvement and autoantibodies against laminin 332. Malignancies have been associated with this disease; however, no standardized detection system for antilaminin 332 serum antibodies is widely available. OBJECTIVES Development of a sensitive and specific assay for the detection of antilaminin 332 antibodies. METHODS An indirect immunofluorescence (IF) assay using recombinant laminin 332 was developed and probed with a large number of antilaminin 332 MMP patient sera (n = 93), as well as sera from patients with antilaminin 332-negative MMP (n = 153), bullous pemphigoid (n = 20), pemphigus vulgaris (n = 20) and noninflammatory dermatoses (n = 22), and healthy blood donors (n = 100). RESULTS In the novel IF assay, sensitivities with the laminin 332 heterotrimer and the individual α3, β3 and γ2 chains were 77%, 43%, 41% and 13%, respectively, with specificities of 100% for each substrate. The sensitivity for the heterotrimer increased when an anti-IgG4 enriched antitotal IgG conjugate was applied. Antilaminin 332 reactivity paralleled disease activity and was associated with malignancies in 25% of patients with antilaminin 332 MMP. CONCLUSIONS The novel IF-based assay will facilitate the serological diagnosis of antilaminin 332 MMP and may help to identify patients at risk of a malignancy.
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Affiliation(s)
- S Goletz
- Lübeck Institute for Experimental Dermatology (LIED), University of Lübeck, Lübeck, Germany
| | - C Probst
- Institute of Experimental Immunology, EUROIMMUN AG, Lübeck, Germany
| | - L Komorowski
- Institute of Experimental Immunology, EUROIMMUN AG, Lübeck, Germany
| | - W Schlumberger
- Institute of Experimental Immunology, EUROIMMUN AG, Lübeck, Germany
| | - K Fechner
- Institute of Experimental Immunology, EUROIMMUN AG, Lübeck, Germany
| | - N van Beek
- Lübeck Institute for Experimental Dermatology (LIED), University of Lübeck, Lübeck, Germany
| | - M M Holtsche
- Lübeck Institute for Experimental Dermatology (LIED), University of Lübeck, Lübeck, Germany
| | - A Recke
- Department of Dermatology, University of Lübeck, Lübeck, Germany
| | - K B Yancey
- Department of Dermatology, University of Texas Southwestern Medical Center, Dallas, TX, U.S.A
| | - T Hashimoto
- Department of Dermatology, Kurume University School of Medicine, Kurume, Japan
| | - F Antonicelli
- Department of Dermatology, University of Reims, Reims, France
| | - G Di Zenzo
- Molecular and Cell Biology Laboratory, Istituto Dermopatico dell'Immacolata, IDI-IRCCS, Rome, Italy
| | - D Zillikens
- Department of Dermatology, University of Lübeck, Lübeck, Germany
| | - W Stöcker
- Institute of Experimental Immunology, EUROIMMUN AG, Lübeck, Germany
| | - E Schmidt
- Lübeck Institute for Experimental Dermatology (LIED), University of Lübeck, Lübeck, Germany
- Department of Dermatology, University of Lübeck, Lübeck, Germany
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Kahle B, Horn M, Recke A, Keck T, Kleemann M, Bayer A. Aktuelle Therapieoptionen der Varikose der unteren Extremität. Akt Dermatol 2018. [DOI: 10.1055/a-0658-4708] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Schindewolf M, Paulik M, Kroll H, Kaufmann R, Wolter M, Boehncke W, Lindhoff‐Last E, Recke A, Ludwig RJ. Low incidence of heparin‐induced skin lesions in orthopedic surgery patients with low‐molecular‐weight heparins. Clin Exp Allergy 2018; 48:1016-1024. [DOI: 10.1111/cea.13159] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2017] [Revised: 01/29/2018] [Accepted: 02/22/2018] [Indexed: 12/24/2022]
Affiliation(s)
- M. Schindewolf
- Department of Internal Medicine Division of Hemostaseology Goethe University Hospital Frankfurt Frankfurt am Main Germany
- Division of Vascular Medicine Swiss Cardiovascular Center Inselspital Bern University Hospital Bern Switzerland
| | - M. Paulik
- Department of Internal Medicine Division of Hemostaseology Goethe University Hospital Frankfurt Frankfurt am Main Germany
| | - H. Kroll
- Institute for Transfusion Medicine Dessau Red Cross Blood Transfusion Service NSTOB Dessau Germany
| | - R. Kaufmann
- Department of Dermatology Goethe University Hospital Frankfurt Frankfurt am Main Germany
| | - M. Wolter
- Department of Dermatology Goethe University Hospital Frankfurt Frankfurt am Main Germany
| | - W.‐H. Boehncke
- Division of Dermatology and Venereology Geneva University Hospitals Geneva Switzerland
- Department of Pathology and Immunology University of Geneva Geneva Switzerland
| | - E. Lindhoff‐Last
- Department of Internal Medicine Division of Hemostaseology Goethe University Hospital Frankfurt Frankfurt am Main Germany
- Agaplesion Bethanien Hospital Cardiovascular Centre Bethanien (CCB) Frankfurt am Main Germany
| | - A. Recke
- Department of Dermatology and Lübeck Institute of Experimental Dermatology University of Lübeck Lübeck Germany
| | - R. J. Ludwig
- Department of Dermatology and Lübeck Institute of Experimental Dermatology University of Lübeck Lübeck Germany
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11
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Affiliation(s)
- F Schocker
- Division of Clinical and Molecular Allergology, Priority Research Area Asthma and Allergy, Research Center Borstel, Airway Research Center North (ARCN), Member of the German Center for Lung Research, Borstel, Germany
| | - A Recke
- Department of Dermatology, University of Lübeck, Lübeck, Germany
| | - S Kull
- Division of Clinical and Molecular Allergology, Priority Research Area Asthma and Allergy, Research Center Borstel, Airway Research Center North (ARCN), Member of the German Center for Lung Research, Borstel, Germany
| | - M Worm
- Department of Dermatology and Allergology, Allergy-Center- Charité, Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - J Behrends
- Core Facility Fluorescence Cytometry at the Research Center Borstel, Borstel, Germany
| | - U Jappe
- Division of Clinical and Molecular Allergology, Priority Research Area Asthma and Allergy, Research Center Borstel, Airway Research Center North (ARCN), Member of the German Center for Lung Research, Borstel, Germany.,Interdisciplinary Allergy Outpatient Clinic, Department of Pneumology, University of Lübeck, Lübeck, Germany
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12
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Hübner F, Setterfield J, Recke A, Zillikens D, Schmidt E, Dart J, Ibrahim S. HLA alleles in British Caucasians with mucous membrane pemphigoid. Eye (Lond) 2018; 32:1540-1541. [PMID: 29743586 DOI: 10.1038/s41433-018-0092-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2018] [Accepted: 01/17/2018] [Indexed: 11/09/2022] Open
Affiliation(s)
- F Hübner
- Department of Dermatology, University of Lübeck, Lübeck, Germany
| | - J Setterfield
- Guy's and St Thomas's NHS Foundation Trust and King's College London, London, UK
| | - A Recke
- Department of Dermatology, University of Lübeck, Lübeck, Germany
| | - D Zillikens
- Department of Dermatology, University of Lübeck, Lübeck, Germany
| | - E Schmidt
- Department of Dermatology, University of Lübeck, Lübeck, Germany.,The Lübeck Institut of Experimental Dermatology (LIED), University of Lübeck, Lübeck, Germany
| | - J Dart
- National Institute of Health Research (NIHR) Biomedical Research Centre at Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, UK
| | - S Ibrahim
- The Lübeck Institut of Experimental Dermatology (LIED), University of Lübeck, Lübeck, Germany.
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Goletz S, Probst C, Komorowski L, Schlumberger W, van Beek N, Holtsche M, Recke A, Yancey K, Hashimoto T, Antonicelli F, Di Zenzo G, Zillikens D, Stöcker W, Schmidt E. 089 Sensitive and specific assay for the serological diagnosis of anti-laminin 332 mucous membrane pemphigoid. J Invest Dermatol 2018. [DOI: 10.1016/j.jid.2018.03.093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Lai O, Recke A, Zillikens D, Kasperkiewicz M. Influence of cigarette smoking on pemphigus - a systematic review and pooled analysis of the literature. J Eur Acad Dermatol Venereol 2018; 32:1256-1262. [DOI: 10.1111/jdv.14886] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2017] [Accepted: 01/26/2018] [Indexed: 01/21/2023]
Affiliation(s)
- O. Lai
- Department of Dermatology; University of Illinois at Chicago; Chicago IL USA
| | - A. Recke
- Department of Dermatology; University of Lübeck; Lübeck Germany
| | - D. Zillikens
- Department of Dermatology; University of Lübeck; Lübeck Germany
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Schocker F, Recke A, Kull S, Worm M, Jappe U. Persistent cow's milk anaphylaxis from early childhood monitored by IgE and BAT to cow's and human milk under therapy. Pediatr Allergy Immunol 2018; 29:210-214. [PMID: 29197130 DOI: 10.1111/pai.12843] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- F Schocker
- Division of Clinical and Molecular Allergology, Priority Research Area Asthma and Allergy, Research Center Borstel, Airway Research Center North (ARCN), Member of the German Center for Lung Research, Germany
| | - A Recke
- Department of Dermatology, University of Lübeck, Lübeck, Germany
| | - S Kull
- Division of Clinical and Molecular Allergology, Priority Research Area Asthma and Allergy, Research Center Borstel, Airway Research Center North (ARCN), Member of the German Center for Lung Research, Germany
| | - M Worm
- Department of Dermatology and Allergology, Allergy-Center-Charité, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - U Jappe
- Division of Clinical and Molecular Allergology, Priority Research Area Asthma and Allergy, Research Center Borstel, Airway Research Center North (ARCN), Member of the German Center for Lung Research, Germany.,Interdisciplinary Allergy Outpatient Clinic, Department of Pneumology, University of Lübeck, Lübeck, Germany
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Abstract
SummaryIn clinical practice sclerotherapy of intradermal varicose veins seems to be more effective in elderly patients. Patients, methods: After prior duplex-sonographic investigation 48 patients with intradermal varicose veins (diameter 1–2 mm, C1,EP, AS, PR) were included. 24 patients (group 1) received Polidocanol (0.25% Aethoxysklerol®) injection sclerotherapy and 24 patients (group 2) received sodium chloride injections. In all subjects an area of 100 square centimetres of the lower limb was treated. The borders of each area were marked and photo documented. The injections were performed by an examiner who was unaware of which liquid had been injected. Compression therapy was performed for one week after the treatment. One and four weeks later the results were controlled by the physician who performed the injections and documented by an independent photographer. The glossy prints of the areas before and four weeks after the treatment were sent to two blinded independent external reviewers. The reviewers noted their evaluation on a visual analogue scale (VAS). The reviewers received each anonymous photodocument twice within 3 weeks. Results: The VAS of both experts showed a significant difference between the results in group 1 and group 2 (p < 0.0001). Median of efficacy was 58.5% in group 1 (verum) and 0.5% in group 2 (placebo). Both experts had a stable intraindividual reliability of 85% and further both raters didn´t differ concerning their ratings. In group 1 (verum) the Pearson correlation coefficient showed a significant correlation between the therapeutic outcome and the age of the treated patients. Conclusions: Injection sclerotherapy of intradermal varicose veins using 0.25 %Polidocanol (Aethoxysklerol) is an efficient treatment that leads to a good aesthetic outcome. In elderly patients sclerotherapy is more efficient.
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Rudolphi P, Recke A, Langan E, Hunold P, Kahle B. Are Sonographically Measured Vascular Haemodynamic Parameters Reproducible Using Magnetic Resonance Imaging? J Vasc Surg 2016. [DOI: 10.1016/j.jvs.2016.10.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Rudolphi PB, Recke A, Langan EA, Hunold P, Kahle BK. Are Sonographically Measured Vascular Haemodynamic Parameters Reproducible Using Magnetic Resonance Imaging? Eur J Vasc Endovasc Surg 2016; 52:665-672. [PMID: 27687640 DOI: 10.1016/j.ejvs.2016.08.004] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2016] [Accepted: 08/03/2016] [Indexed: 11/28/2022]
Abstract
OBJECTIVE/BACKGROUND Hemodynamic measurements of blood flow in the common femoral vein and artery can be performed readily using duplex sonography. The ratio of venous to arterial volume flow in these vessels, the venous arterial flow index (VAFI), is increased in patients with varicose veins and/or chronic venous disease. The objective was to determine the reproducibility of sonographically measured hemodynamic flow parameters using phase contrast magnetic resonance imaging (MRI). METHODS Based on hemodynamic volume flow measurements from the common femoral vein and artery the VAFI was calculated in seven patients with varicose veins (C2, Ep, As, Pr) and 32 healthy controls using standard duplex sonography and MRI. RESULTS Based on duplex sonography, the average VAFI (VAFI_d) was 1.05 ± 0.17. The same ratio, using MRI (VAFI_mri) was 1.05 ± 0.19. There was a significant correlation between the VAFI_d and the VAFI_MRI (p = .0021). In patients with venous disease, the average VAFI_d and VAFI_mri were 1.36 ± 0.21 and 1.36 ± 0.20, respectively. In contrast, in the healthy cohort the VAFI_d was 1.00 ± 0.12 and the VAFI_mri measured 1.01 ± 0.15. As expected, there was a significant difference between the VAFI measured in those with venous disease when compared with that of healthy controls (p < .0001). CONCLUSION There is a significant correlation between the VAFI measured using sonography and MRI. The study confirmed the elevation of VAFI in patients with chronic venous disease.
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Affiliation(s)
- P B Rudolphi
- Department of Dermatology, University of Lübeck, Lübeck, Germany
| | - A Recke
- Department of Dermatology, University of Lübeck, Lübeck, Germany
| | - E A Langan
- Department of Dermatology and Comprehensive Centre for Inflammation Medicine, University of Lübeck, Lübeck, Germany
| | - P Hunold
- Clinic for Radiology and Nuclear Medicine, University of Lübeck, Lübeck, Germany
| | - B K Kahle
- Department of Dermatology, University of Lübeck, Lübeck, Germany.
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19
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Recke A, Oei A, Hübner F, Fechner K, Graf J, Hagenah J, May C, Woitalla D, Salmen A, Zillikens D, Gold R, Schlumberger W, Schmidt E. Parkinson disease and multiple sclerosis are not associated with autoantibodies against structural proteins of the dermal-epidermal junction. Br J Dermatol 2016; 175:407-9. [PMID: 26972435 DOI: 10.1111/bjd.14538] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Affiliation(s)
- A Recke
- Lübeck Institute of Experimental Dermatology (LIED), University of Lübeck, Lübeck, Germany
- Department of Dermatology, University of Lübeck, Lübeck, Germany
| | - A Oei
- Lübeck Institute of Experimental Dermatology (LIED), University of Lübeck, Lübeck, Germany
| | - F Hübner
- Department of Dermatology, University of Lübeck, Lübeck, Germany
| | - K Fechner
- Institute of Experimental Immunology, Euroimmun Inc., Lübeck, Germany
| | - J Graf
- Departments of Neurology, University of Lübeck, Lübeck, Germany
| | - J Hagenah
- Departments of Neurology, University of Lübeck, Lübeck, Germany
| | - C May
- Medizinisches Proteom-Center, Ruhr-Universität Bochum, Bochum, Germany
| | - D Woitalla
- Department of Neurology, Katholische Kliniken Ruhrhalbinsel GmbH, Essen, Germany
| | - A Salmen
- Department of Neurology, Inselspital, Bern University Hospital, Bern, Switzerland
| | - D Zillikens
- Department of Dermatology, University of Lübeck, Lübeck, Germany
| | - R Gold
- Department of Neurology, St. Josef Hospital, Ruhr-University, Bochum, Germany
| | - W Schlumberger
- Institute of Experimental Immunology, Euroimmun Inc., Lübeck, Germany
| | - E Schmidt
- Lübeck Institute of Experimental Dermatology (LIED), University of Lübeck, Lübeck, Germany
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van Beek N, Dohse A, Riechert F, Krull V, Recke A, Zillikens D, Schmidt E. Serum autoantibodies against the dermal-epidermal junction in patients with chronic pruritic disorders, elderly individuals and blood donors prospectively recruited. Br J Dermatol 2015; 170:943-7. [PMID: 24734947 DOI: 10.1111/bjd.12739] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/12/2013] [Indexed: 11/29/2022]
Abstract
BACKGROUND Bullous pemphigoid (BP) is a subepidermal blistering autoimmune disease characterized by autoantibodies against two structural proteins of the epidermal basal membrane zone (BMZ), BP180 (type XVII collagen) and BP230. Patients are usually old and suffer from severe pruritus. Advanced age and severe pruritus have been hypothesized as potential risk factors for the development of autoantibodies in BP. OBJECTIVES To prospectively determine anti-BMZ antibodies in sera from patients with advanced age and/or pruritus compared with regular blood donors. METHODS Sera from (i) patients with chronic pruritic skin disorders (PSD, n = 78; mean age 62 years), (ii) patients with noninflammatory skin disease aged ≥ 70 years (n = 93; mean age 78 years), and (iii) blood donors (n = 50; mean age 41 years) were included. A large panel of validated test systems used for routine diagnosis were employed comprising indirect immunofluorescence (IF) microscopy on monkey oesophagus and human salt-split skin, BP180 NC16A- and BP230-specific enzyme-linked immunosorbent assay (ELISA) systems, and immunoblotting with various substrates, including LAD-1 (the soluble ectodomain of BP180), BP180, BP230, laminin 332, p200 antigen, laminin γ1 and type VII collagen. RESULTS No statistically significant difference was seen between the three study groups. The same result was obtained when data for IF microscopy, ELISA and immunoblotting were analysed separately. CONCLUSIONS Neither advanced age nor chronic pruritus have been verified as risk factors for autoantibodies against the epidermal BMZ.
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Affiliation(s)
- N van Beek
- Department of Dermatology, Allergology and Venereology, University of Luebeck, Ratzeburger Allee 160, D-23538, Lübeck, Germany
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Haase O, Alneebari R, Eldarouti M, Abd El Hady M, Dorgham D, El-Nabarawy E, El Din Mahmoud SB, Mosaad El Sayed H, Darwish M, Abbas F, Salah S, Mosaad Y, El-Chennawi F, Al Mongy S, Abdelaziz AM, Abd El Gaber S, Hertl M, Eming R, Recke A, Möller S, Schmidt E, Zillikens D, Ibrahim S. Association with HLA-DRB1 in Egyptian and German pemphigus vulgaris patients. ACTA ACUST UNITED AC 2015; 85:283-6. [DOI: 10.1111/tan.12519] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2014] [Revised: 01/06/2015] [Accepted: 01/10/2015] [Indexed: 11/27/2022]
Affiliation(s)
- O. Haase
- Department of Dermatology; University of Luebeck; Luebeck Germany
| | - R. Alneebari
- Department of Dermatology; University of Luebeck; Luebeck Germany
| | - M.A. Eldarouti
- Department of Dermatology; Cairo University; Cairo Egypt
| | - M. Abd El Hady
- Department of Dermatology; Cairo University; Cairo Egypt
| | - D. Dorgham
- Department of Dermatology; Cairo University; Cairo Egypt
| | - E. El-Nabarawy
- Department of Dermatology; Cairo University; Cairo Egypt
| | | | - H. Mosaad El Sayed
- Clinical Immunology Unit (Clinical Pathology Department); Mansoura University; Mansoura Egypt
| | - M. Darwish
- Clinical Immunology Unit (Clinical Pathology Department); Mansoura University; Mansoura Egypt
| | - F. Abbas
- Clinical Immunology Unit (Clinical Pathology Department); Mansoura University; Mansoura Egypt
| | - S. Salah
- Clinical Immunology Unit (Clinical Pathology Department); Mansoura University; Mansoura Egypt
| | - Y. Mosaad
- Clinical Immunology Unit (Clinical Pathology Department); Mansoura University; Mansoura Egypt
| | - F. El-Chennawi
- Clinical Immunology Unit (Clinical Pathology Department); Mansoura University; Mansoura Egypt
| | - S. Al Mongy
- Department of Dermatology; Mansoura University; Mansoura Egypt
| | - A. M. Abdelaziz
- Department of Dermatology; Mansoura University; Mansoura Egypt
| | - S. Abd El Gaber
- Department of Dermatology; Mansoura University; Mansoura Egypt
| | - M. Hertl
- Department of Dermatology; University of Marburg; Marburg Germany
| | - R. Eming
- Department of Dermatology; University of Marburg; Marburg Germany
| | - A. Recke
- Department of Dermatology; University of Luebeck; Luebeck Germany
| | - S. Möller
- Department of Dermatology; University of Luebeck; Luebeck Germany
| | - E. Schmidt
- Department of Dermatology; University of Luebeck; Luebeck Germany
| | - D. Zillikens
- Department of Dermatology; University of Luebeck; Luebeck Germany
| | - S. Ibrahim
- Department of Dermatology; University of Luebeck; Luebeck Germany
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Haase O, Mosaad H, Eldarouti M, Elramly A, Samir N, Abdelhady M, Samir M, El-Gharib I, Salah S, El-Shennawy F, Mosaad Y, Elwan N, Salem H, Abdelgaber S, Recke A, Möller S, Zillikens D, Ibrahim S. TNFAIP3 and IL12B gene polymorphisms associated with psoriasis vulgaris in an Egyptian cohort. J Eur Acad Dermatol Venereol 2014; 29:1297-301. [DOI: 10.1111/jdv.12799] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2014] [Accepted: 09/23/2014] [Indexed: 12/24/2022]
Affiliation(s)
- O. Haase
- Department of Dermatology; University of Lübeck; Lübeck Germany
| | - H. Mosaad
- Department of Clinical Pathology; Mansoura University; Mansoura Egypt
| | - M.A. Eldarouti
- Department of Dermatology; Faculty of Medicine; Cairo University; Cairo Egypt
| | - A.Z. Elramly
- Department of Dermatology; Faculty of Medicine; Cairo University; Cairo Egypt
| | - N. Samir
- Department of Dermatology; Faculty of Medicine; Cairo University; Cairo Egypt
| | - M.M. Abdelhady
- Department of Dermatology; Faculty of Medicine; Cairo University; Cairo Egypt
| | - M. Samir
- Department of Dermatology; Zagazig University; Zagazig Egypt
| | - I. El-Gharib
- Department of Dermatology; Zagazig University; Zagazig Egypt
| | - S. Salah
- Department of Clinical Pathology; Mansoura University; Mansoura Egypt
| | - F.A. El-Shennawy
- Department of Clinical Pathology; Mansoura University; Mansoura Egypt
| | - Y. Mosaad
- Department of Clinical Pathology; Mansoura University; Mansoura Egypt
| | - N. Elwan
- Department of Dermatology; Tanta University; Tanta Egypt
| | - H. Salem
- Department of Dermatology; Mansoura University; Mansoura Egypt
| | - S. Abdelgaber
- Department of Dermatology; Mansoura University; Mansoura Egypt
| | - A. Recke
- Department of Dermatology; University of Lübeck; Lübeck Germany
| | - S. Möller
- Department of Dermatology; University of Lübeck; Lübeck Germany
| | - D. Zillikens
- Department of Dermatology; University of Lübeck; Lübeck Germany
| | - S. Ibrahim
- Department of Dermatology; University of Lübeck; Lübeck Germany
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Recke A. Phlebologie in der dermatologischen Facharztausbildung. Akt Dermatol 2014. [DOI: 10.1055/s-0034-1377961] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- A. Recke
- Klinik für Dermatologie, Allergologie und Venerologie, Universitätsklinik Schleswig-Holstein, Campus Lübeck
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Devereux N, Recke A, Westermann L, Recke A, Kahle B. Catheter-directed Foam Sclerotherapy of Great Saphenous Veins in Combination with Pre-treatment Reduction of the Diameter Employing the Principals of Perivenous Tumescent Local Anesthesia. J Vasc Surg 2014. [DOI: 10.1016/j.jvs.2013.12.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Devereux N, Recke AL, Westermann L, Recke A, Kahle B. Catheter-directed foam sclerotherapy of great saphenous veins in combination with pre-treatment reduction of the diameter employing the principals of perivenous tumescent local anesthesia. Eur J Vasc Endovasc Surg 2013; 47:187-95. [PMID: 24268395 DOI: 10.1016/j.ejvs.2013.10.017] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2013] [Accepted: 10/22/2013] [Indexed: 01/19/2023]
Abstract
OBJECTIVES The aim of this study was to evaluate occlusion rates of great saphenous veins (GSV) with a diameter between 5-10 mm that received a pre-treatment size reduction via perivenous tumescent application (TA) followed by catheter-directed foam sclerotherapy (CDFS). METHODS A prospective blinded randomized clinical trial comparing the occlusion rates of GSV at 1-, 6-, and 12-month follow-up. Fifty patients were included and randomized into two groups. CDFS was performed accessing the GSV at knee level and applying 8 mL of 2% polidocanol-foam (EasyFoam) while the catheter was withdrawn. Strictly perivenous TA was performed in group 1 before applying the sclerosant agent. Occlusion rates and clinical scores were assessed by blinded examiners. RESULTS After 12 months in group 1 full occlusion was achieved in 73.9%, partial occlusion in 8.7%, and 17.4% were classified as treatment failure. In group 2, 75% of the targeted GSV were fully occluded, 20% were partially occluded, and 5% were diagnosed as treatment failure. Both groups showed a significant reduction of the vein diameter. Patient's tolerance and satisfaction with the treatment was high in both groups. CONCLUSION No benefit could be found using additional TA to reduce the vein diameter before the treatment.
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Affiliation(s)
- N Devereux
- Department of Dermatology, University of Schleswig-Holstein, Campus Luebeck, Germany
| | - A L Recke
- Department of Dermatology, University of Schleswig-Holstein, Campus Luebeck, Germany
| | | | - A Recke
- Department of Dermatology, University of Schleswig-Holstein, Campus Luebeck, Germany
| | - B Kahle
- Department of Dermatology, University of Schleswig-Holstein, Campus Luebeck, Germany.
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Jung W, Prüßmann J, Recke A, Rentzsch K, Juhl D, Henschler R, Müller S, Lamprecht P, Schmidt E, Csernok E, Görg S, Stöcker W, Zillikens D, Ibrahim S, Ludwig R. AB0734 Prevalence and co-occurrence of autoantibodies in blood donors. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2012-eular.734] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Tukaj S, Schmidt E, Recke A, Ludwig R, Zillikens D, Tukaj C, Kasperkiewicz M. Vitamin D status in patients with bullous pemphigoid. Br J Dermatol 2012; 168:873-4. [DOI: 10.1111/bjd.12037] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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Groth S, Vafia K, Recke A, Dähnrich C, Zillikens D, Stöcker W, Kuhn A, Schmidt E. Antibodies to the C-terminus of laminin γ1 are present in a distinct subgroup of patients with systemic and cutaneous lupus erythematosus. Lupus 2012; 21:1482-3. [PMID: 22968451 DOI: 10.1177/0961203312460113] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Recke A, Shimanovich I, Steven P, Westermann L, Zillikens D, Schmidt E. [Treatment-refractory anti-laminin 332 mucous membrane pemphigoid. Remission following adjuvant immunoadsorption and rituximab]. Hautarzt 2011; 62:852-8. [PMID: 21706211 DOI: 10.1007/s00105-011-2189-7] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Mucous membrane pemphigoid (MMP) is clinically characterized by predominant involvement of mucous membranes which in case of conjunctival lesions can lead to blindness. In MMP, autoantibodies are directed against different proteins of the dermal-epidermal junction; in 25% of cases, laminin 332 is the target. Anti-laminin 332 MMP with ocular involvement is particularly difficult to treat. A 46-year-old Caucasian man with anti-laminin 332 pemphigoid and extensive oral and nasal erosions as well as severe conjunctival involvement did not respond to intravenous dexamethasone-cyclophosphamide pulses combined with oral cyclophosphamide. After initiation of a therapeutic regimen originally established for the treatment of pemphigus, including immunoapheresis and rituximab in combination with intravenous dexamethasone-cyclophosphamide pulses and oral mycophenolate mofetil, lesions cleared within 4 months and circulating autoantibody levels became undetectable 3 months later. This is the first report of the successful use of adjuvant immunoapheresis and rituximab in previously treatment-refractory anti-laminin 332 MMP.
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Affiliation(s)
- A Recke
- Klinik für Dermatologie, Allergologie und Venerologie, Universität zu Lübeck, Lübeck
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Groth S, Recke A, Vafia K, Ludwig RJ, Hashimoto T, Zillikens D, Schmidt E. Development of a simple enzyme-linked immunosorbent assay for the detection of autoantibodies in anti-p200 pemphigoid. Br J Dermatol 2010; 164:76-82. [PMID: 20854435 DOI: 10.1111/j.1365-2133.2010.10056.x] [Citation(s) in RCA: 58] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
BACKGROUND Anti-p200 pemphigoid is a subepidermal blistering skin disease characterized by autoantibodies against a 200-kDa protein (p200) of the dermal-epidermal junction. The laminin γ1 chain has recently been identified as target antigen in this disease and the C-terminus was described as an immunodominant region of laminin γ1. Diagnosis of anti-p200 pemphigoid requires detection of serum IgG at the dermal side of 1 mol L(-1) salt-split skin by indirect immunofluorescence microscopy and labelling of a 200-kDa protein by Western blotting of dermal extract. However, preparation of dermal extract is not widely available, limiting the possibility of diagnosing this disease to a few laboratories. OBJECTIVES To develop a simple, sensitive and specific diagnostic tool for anti-p200 pemphigoid. METHODS Sera from patients with anti-p200 pemphigoid (n = 35), bullous pemphigoid (BP, n = 101), epidermolysis bullosa acquisita (EBA, n = 10), antilaminin 332 mucous membrane pemphigoid (MMP, n = 14), pemphigus vulgaris (PV, n = 51) and healthy volunteers (HV, n = 131) were tested by a novel enzyme-linked immunosorbent assay (ELISA) that employed a recombinant monomeric C-terminal fragment of human laminin γ1 (hLAMC1-cterm) expressed in Escherichia coli. RESULTS Serum reactivity with hLAMC1-cterm was detected in sera from 24 of 35 (69%) patients with anti-p200 pemphigoid, two of 101 (2%) with BP, 0 of 10 with EBA, two of 14 (14%) with anti-laminin 332 MMP, 0 of 51 with PV, and 0 of 131 HV. CONCLUSIONS This novel ELISA will facilitate the diagnosis of anti-p200 pemphigoid.
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Affiliation(s)
- S Groth
- Department of Dermatology, University of Lübeck, 23538 Lübeck, Germany
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Kasperkiewicz M, Hirose M, Recke A, Schmidt E, Zillikens D, Ludwig RJ. Clearance rates of circulating and tissue-bound autoantibodies to type VII collagen in experimental epidermolysis bullosa acquisita. Br J Dermatol 2010; 162:1064-70. [PMID: 20222918 DOI: 10.1111/j.1365-2133.2010.09680.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Epidermolysis bullosa acquisita (EBA) is a severe autoimmune skin disease characterized by autoantibodies to type VII collagen, the major component of anchoring fibrils. In this and other autoimmune bullous dermatoses, specific autoantibody detection systems are not only of diagnostic use but also allow monitoring of circulating and skin-bound autoantibodies during the course of the disease. However, little is known about their natural clearance rates in these different compartments. OBJECTIVES To study clearance rates of circulating and tissue-bound autoantibodies to type VII collagen in experimental EBA. METHODS Using offspring from mice with experimentally induced EBA, we examined retention times of diaplacentally transmitted autoantibodies to type VII collagen in serum of neonatal mice by enzyme-linked immunosorbent assay and of immunoreactant deposits in skin by direct immunofluorescence microscopy. Additionally, the pathogenic potential of transmitted autoantibodies was evaluated in descendant mice. RESULTS Immediately after birth, comparable levels of pathogenic antibody concentrations were observed in maternal and neonatal mice. The clearance time of skin-bound autoantibodies was twice as long as that of circulating autoantibodies (8 and 4 weeks, respectively). Maternofetal transfer of pathogenic autoantibodies produced specific immunopathological (IgG, IgG1, IgG2a/b and complement C3 deposits) but not histological or clinical alterations in skin of offspring mice. CONCLUSIONS Although still to be confirmed in humans, our findings add to the knowledge on turnover rates of circulating and skin-bound autoantibodies in autoimmune bullous dermatoses, which in turn may facilitate a more specific monitoring of these antibodies during the disease course, reduce the need for repeated skin biopsies, and may also be helpful in guiding treatment decisions.
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Affiliation(s)
- M Kasperkiewicz
- Department of Dermatology, University of Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany.
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Abstract
BACKGROUND Bullous pemphigoid (BP) is an autoimmune subepidermal blistering disease characterized by autoantibodies against the hemidesmosomal proteins BP180 (type XVII collagen) and BP230. BP not only involves IgG-mediated neutrophil activation, leading to blistering, but also IgE-dependent activation of mast cells and basophils. While IgG and IgE autoantibodies target the extracellular noncollagenous (NC) 16A domain of BP180, little is known whether other BP180 regions are targeted by these antibody classes. OBJECTIVES To characterize IgE and IgG autoantibody binding to antigenic sites on the intracellular domain (ICD) of BP180 compared with BP180 NC16A. METHODS IgE/IgG autoreactivity against recombinant BP180 ICD and NC16A was determined by immunoblotting of sera from 18 patients with BP and 10 controls. RESULTS Total serum IgE was elevated in 16 of 18 BP sera. Most BP sera tested positive (15 of 18) to NC16A with both immunoglobulin classes. Additionally, 14 of 18 sera showed IgE reactivity with an epitope mapped to the ICD of BP180 (amino acid residues 103-266). Mapping of ICD antigenic sites revealed similar IgE and IgG reactivities for most regions except for greater IgE reactivity to amino acid residues 234-398 (11 of 18 BP sera) than IgG (five of 18). Control sera failed to display IgE reactivity to these antigens. CONCLUSIONS The results indicate that BP180 NC16A is not the only antigenic determinant of IgE autoantibodies in BP and that additional, novel epitopes exist on different regions of the ICD of BP180. The heterogeneous autoimmune response against BP180 suggests intramolecular epitope spreading during disease progression.
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Affiliation(s)
- S K Dresow
- Department of Dermatology, University of Lübeck, Lübeck, Germany
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Vidal-valverde C, Recke A. Reliable System for the Analysis of Riboflavin in Foods by High Performance Liquid Chromatography and UV Detection. ACTA ACUST UNITED AC 1990. [DOI: 10.1080/01483919008049015] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Recke A. [Therapeutic experiences with a new benzodiazepine-derivative Demetrin]. Fortschr Med 1974; 92:871-3. [PMID: 4606029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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