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Gil-Redondo R, Hermosa-Gelbard A, Saceda-Corralo D, Pindado-Ortega C, Porriño-Bustamante ML, Jiménez-Cauhé J, Vañó-Galván S. Is it traction or pressure? Case series of hair system-induced alopecia in six patients. J Eur Acad Dermatol Venereol 2024. [PMID: 38372416 DOI: 10.1111/jdv.19888] [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] [Received: 12/04/2023] [Accepted: 02/05/2024] [Indexed: 02/20/2024]
Affiliation(s)
- R Gil-Redondo
- Trichology Unit, Grupo Pedro Jaén, Madrid, Spain
- Department of Dermatology, Hospital Universitario La Paz, Madrid, Spain
| | - A Hermosa-Gelbard
- Trichology Unit, Grupo Pedro Jaén, Madrid, Spain
- Department of Dermatology, Hospital Universitario Ramón y Cajal, Madrid, Spain
- Departamento de Medicina, Facultad de Medicina, Universidad de Alcalá, IRYCIS, Madrid, Spain
| | - D Saceda-Corralo
- Trichology Unit, Grupo Pedro Jaén, Madrid, Spain
- Department of Dermatology, Hospital Universitario Ramón y Cajal, Madrid, Spain
- Departamento de Medicina, Facultad de Medicina, Universidad de Alcalá, IRYCIS, Madrid, Spain
| | - C Pindado-Ortega
- Trichology Unit, Grupo Pedro Jaén, Madrid, Spain
- Department of Dermatology, Hospital Universitario Ramón y Cajal, Madrid, Spain
- Departamento de Medicina, Facultad de Medicina, Universidad de Alcalá, IRYCIS, Madrid, Spain
| | - M L Porriño-Bustamante
- Trichology Unit, Grupo Pedro Jaén, Madrid, Spain
- Department of Dermatology, Hospital Universitario La Zarzuela, Madrid, Spain
| | - J Jiménez-Cauhé
- Trichology Unit, Grupo Pedro Jaén, Madrid, Spain
- Department of Dermatology, Hospital Universitario Ramón y Cajal, Madrid, Spain
- Departamento de Medicina, Facultad de Medicina, Universidad de Alcalá, IRYCIS, Madrid, Spain
| | - S Vañó-Galván
- Trichology Unit, Grupo Pedro Jaén, Madrid, Spain
- Department of Dermatology, Hospital Universitario Ramón y Cajal, Madrid, Spain
- Departamento de Medicina, Facultad de Medicina, Universidad de Alcalá, IRYCIS, Madrid, Spain
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2
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Jimenez-Cauhe J, Pirmez R, Müller-Ramos P, Melo DF, Ortega-Quijano D, Moreno-Arrones OM, Saceda-Corralo D, Gil-Redondo R, Hermosa-Gelbard A, Dias-Sanabria B, Restom D, Porriño-Bustamante ML, Pindado-Ortega C, Berna-Rico E, Fernandez-Nieto D, Ramos M, Jaen-Olasolo P, Vaño-Galvan S. Safety of Low-Dose Oral Minoxidil in Patients With Hypertension and Arrhythmia: A Multicenter Study of 264 Patients. Actas Dermosifiliogr 2024; 115:T28-T35. [PMID: 37923070 DOI: 10.1016/j.ad.2023.10.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2023] [Accepted: 07/20/2023] [Indexed: 11/07/2023] Open
Abstract
BACKGROUND AND OBJECTIVE Systemic adverse effects (AE) are a major concern of low-dose oral minoxidil (LDOM) treatment, especially in patients with arterial hypertension or arrhythmia. The objective of this study was to evaluate the safety of LDOM in patients with hypertension or arrhythmia. PATIENTS AND METHODS Retrospective multicenter study of patients with hypertension or arrhythmia treated with LDOM for any type of alopecia. RESULTS A total of 254 patients with hypertension [176 women (69.3%) and 78 men (30.7%)] with a mean age of 56.9 years (range 19-82) were included. From them, the dose of LDOM was titrated in 128 patients, allowing the analysis of 382 doses. Patients were receiving a mean of 1.45 (range 0-5) antihypertensive drugs. Systemic AE were detected in 26 cases (6.8%) and included lightheadedness (3.1%), fluid retention (2.6%), general malaise (0.8%), tachycardia (0.8%) and headache (0.5%), leading to LDOM discontinuation in 6 cases (1.5%). Prior treatment with doxazosin (P<0.001), or with three or more antihypertensive drugs (P=0.012) was associated with a higher risk of discontinuation of LDOM. CONCLUSIONS LDOM treatment showed a favorable safety profile in patients with hypertension or arrhythmia, similar to general population.
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Affiliation(s)
- J Jimenez-Cauhe
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala, Spain; Trichology Unit, Grupo de Dermatologia Pedro Jaen, Madrid, Spain
| | - R Pirmez
- Instituto de Dermatologia Professor Rubem David Azulay, Santa Casa de Misericórdia do Rio de Janeiro, Rio de Janeiro, Brazil
| | - P Müller-Ramos
- Universidade Estadual Paulista - UNESP, Botucatu, São Paulo, Brazil
| | - D F Melo
- Dermatology Department, University of State of Rio de Janeiro (UERJ), Spain
| | - D Ortega-Quijano
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala, Spain; Trichology Unit, Grupo de Dermatologia Pedro Jaen, Madrid, Spain
| | - O M Moreno-Arrones
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala, Spain; Trichology Unit, Grupo de Dermatologia Pedro Jaen, Madrid, Spain
| | - D Saceda-Corralo
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala, Spain; Trichology Unit, Grupo de Dermatologia Pedro Jaen, Madrid, Spain.
| | - R Gil-Redondo
- Trichology Unit, Grupo de Dermatologia Pedro Jaen, Madrid, Spain; Dermatology Department, Hospital Universitario La Paz, Madrid, Spain
| | - A Hermosa-Gelbard
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala, Spain; Trichology Unit, Grupo de Dermatologia Pedro Jaen, Madrid, Spain
| | - B Dias-Sanabria
- Universidade Federal do Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil
| | - D Restom
- Instituto de Dermatologia Professor Rubem David Azulay, Santa Casa de Misericórdia do Rio de Janeiro, Rio de Janeiro, Brazil
| | | | - C Pindado-Ortega
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala, Spain; Trichology Unit, Grupo de Dermatologia Pedro Jaen, Madrid, Spain
| | - E Berna-Rico
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala, Spain
| | - D Fernandez-Nieto
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala, Spain; Trichology Unit, Grupo de Dermatologia Pedro Jaen, Madrid, Spain
| | - M Ramos
- Cardiology Department, Hospital Universitario de la Cruz Roja San Jose y Santa Adela, Universidad Alfonso X El Sabio, Madrid, Spain
| | - P Jaen-Olasolo
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala, Spain; Trichology Unit, Grupo de Dermatologia Pedro Jaen, Madrid, Spain
| | - S Vaño-Galvan
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala, Spain; Trichology Unit, Grupo de Dermatologia Pedro Jaen, Madrid, Spain
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3
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Jimenez-Cauhe J, Pirmez R, Müller-Ramos P, Melo DF, Ortega-Quijano D, Moreno-Arrones OM, Saceda-Corralo D, Gil-Redondo R, Hermosa-Gelbard A, Dias-Sanabria B, Restom D, Porriño-Bustamante ML, Pindado-Ortega C, Berna-Rico E, Fernandez-Nieto D, Ramos M, Jaen-Olasolo P, Vaño-Galvan S. Safety of Low-Dose Oral Minoxidil in Patients With Hypertension and Arrhythmia: A Multicenter Study of 264 Patients. Actas Dermosifiliogr 2024; 115:28-35. [PMID: 37652097 DOI: 10.1016/j.ad.2023.07.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2023] [Revised: 07/16/2023] [Accepted: 07/20/2023] [Indexed: 09/02/2023] Open
Abstract
BACKGROUND AND OBJECTIVE Systemic adverse effects (AE) are a major concern of low-dose oral minoxidil (LDOM) treatment, especially in patients with arterial hypertension or arrhythmia. The objective of this study was to evaluate the safety of LDOM in patients with hypertension or arrhythmia. PATIENTS AND METHODS Retrospective multicenter study of patients with hypertension or arrhythmia treated with LDOM for any type of alopecia. RESULTS A total of 254 patients with hypertension [176 women (69.3%) and 78 men (30.7%)] with a mean age of 56.9 years (range 19-82) were included. From them, the dose of LDOM was titrated in 128 patients, allowing the analysis of 382 doses. Patients were receiving a mean of 1.45 (range 0-5) antihypertensive drugs. Systemic AE were detected in 26 cases (6.8%) and included lightheadedness (3.1%), fluid retention (2.6%), general malaise (0.8%), tachycardia (0.8%) and headache (0.5%), leading to LDOM discontinuation in 6 cases (1.5%). Prior treatment with doxazosin (P<0.001), or with three or more antihypertensive drugs (P=0.012) was associated with a higher risk of discontinuation of LDOM. CONCLUSIONS LDOM treatment showed a favorable safety profile in patients with hypertension or arrhythmia, similar to general population.
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Affiliation(s)
- J Jimenez-Cauhe
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala, Spain; Trichology Unit, Grupo de Dermatologia Pedro Jaen, Madrid, Spain
| | - R Pirmez
- Instituto de Dermatologia Professor Rubem David Azulay, Santa Casa de Misericórdia do Rio de Janeiro, Rio de Janeiro, Brazil
| | - P Müller-Ramos
- Universidade Estadual Paulista - UNESP, Botucatu, São Paulo, Brazil
| | - D F Melo
- Dermatology Department, University of State of Rio de Janeiro (UERJ), Spain
| | - D Ortega-Quijano
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala, Spain; Trichology Unit, Grupo de Dermatologia Pedro Jaen, Madrid, Spain
| | - O M Moreno-Arrones
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala, Spain; Trichology Unit, Grupo de Dermatologia Pedro Jaen, Madrid, Spain
| | - D Saceda-Corralo
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala, Spain; Trichology Unit, Grupo de Dermatologia Pedro Jaen, Madrid, Spain.
| | - R Gil-Redondo
- Trichology Unit, Grupo de Dermatologia Pedro Jaen, Madrid, Spain; Dermatology Department, Hospital Universitario La Paz, Madrid, Spain
| | - A Hermosa-Gelbard
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala, Spain; Trichology Unit, Grupo de Dermatologia Pedro Jaen, Madrid, Spain
| | - B Dias-Sanabria
- Universidade Federal do Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil
| | - D Restom
- Instituto de Dermatologia Professor Rubem David Azulay, Santa Casa de Misericórdia do Rio de Janeiro, Rio de Janeiro, Brazil
| | | | - C Pindado-Ortega
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala, Spain; Trichology Unit, Grupo de Dermatologia Pedro Jaen, Madrid, Spain
| | - E Berna-Rico
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala, Spain
| | - D Fernandez-Nieto
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala, Spain; Trichology Unit, Grupo de Dermatologia Pedro Jaen, Madrid, Spain
| | - M Ramos
- Cardiology Department, Hospital Universitario de la Cruz Roja San Jose y Santa Adela, Universidad Alfonso X El Sabio, Madrid, Spain
| | - P Jaen-Olasolo
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala, Spain; Trichology Unit, Grupo de Dermatologia Pedro Jaen, Madrid, Spain
| | - S Vaño-Galvan
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala, Spain; Trichology Unit, Grupo de Dermatologia Pedro Jaen, Madrid, Spain
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Saceda-Corralo D, Ortega-Quijano D, Muñoz-Martín G, Moreno-Arrones ÓM, Pindado-Ortega C, Rayinda T, Melián-Olivera A, Azcárraga-Llobet C, Burgos-Blasco P, Castañeda-Bermúdez ME, Del Castillo FJ, Vañó-Galván S. Genotyping of the rs1800440 Polymorphism in CYP1B1 Gene and the rs9258883 Polymorphism in HLA-B Gene in a Spanish Cohort of 223 Patients with Frontal Fibrosing Alopecia. Acta Derm Venereol 2023; 103:adv9604. [PMID: 37721356 PMCID: PMC10512966 DOI: 10.2340/actadv.v103.9604] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2023] [Accepted: 08/15/2023] [Indexed: 09/19/2023] Open
Abstract
The pathogenesis of frontal fibrosing alopecia has been linked to specific genetic variants. CYP1B1 codes for a component of the cytochrome p450 machinery that is involved in the metabolism of xenobiotic oestrogens. The study of the prevalence of polymorphisms in this gene may help to understand their role in the development of frontal fibrosing alopecia. The aim of this study is to describe the frequency of genetic variations in the alleles HLA-B*07:02 and CYP1B1 in patients with frontal fibrosing alopecia. A cross-sectional study was designed to evaluate blood samples from patients with frontal fibrosing alopecia who attended the Dermatology Department at University Hospital Ramón y Cajal (Madrid, Spain), in search of the polymorphisms rs9258883 and rs1800440 in the alleles HLA-B*07:02 and CYP1B1, respectively. A total of 223 patients were included in the study. Among the 83.8% of patients who carried the rs9258883 polymorphism in HLA-B*07:02, 58.7% were heterozygous for this variant and it was not present in 14.8% of the cases. The majority of patients with frontal fibrosing alopecia lacked the protective rs1800440 polymorphism in CYP1B1 (75.2%). This suggests a relevant role of this variant in development of frontal fibrosing alopecia. The genetic approach to this condition might influence patient prognosis and therapy options.
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Affiliation(s)
- David Saceda-Corralo
- Dermatology Department, University Hospital Ramón y Cajal, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain.
| | - Daniel Ortega-Quijano
- Dermatology Department, University Hospital Ramón y Cajal, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain
| | - Gloria Muñoz-Martín
- UCA Translational Genomics, University Hospital Ramón y Cajal. Madrid, Spain
| | - Óscar M Moreno-Arrones
- Dermatology Department, University Hospital Ramón y Cajal, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain
| | - Cristina Pindado-Ortega
- Dermatology Department, University Hospital Ramón y Cajal, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain
| | - Tuntas Rayinda
- St John's Institute of Dermatology, King's College London, London, UK
| | - Ana Melián-Olivera
- Dermatology Department, University Hospital Ramón y Cajal, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain
| | - Carlos Azcárraga-Llobet
- Dermatology Department, University Hospital Ramón y Cajal, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain
| | - Patricia Burgos-Blasco
- Dermatology Department, University Hospital Ramón y Cajal, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain
| | | | | | - Sergio Vañó-Galván
- Dermatology Department, University Hospital Ramón y Cajal, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain
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5
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Jimenez-Cauhe J, Saceda-Corralo D, Hermosa-Gelbard A, Moreno-Arrones OM, Pindado-Ortega C, de Dios Berna-Rico E, Ortega-Quijano D, Fernandez-Nieto D, Vaño-Galvan S. Before-after study with 24-hour ambulatory blood pressure monitoring after the first dose of 5 mg oral minoxidil. J Am Acad Dermatol 2022; 87:e235-e237. [PMID: 35973597 DOI: 10.1016/j.jaad.2022.06.1205] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2022] [Revised: 06/16/2022] [Accepted: 06/20/2022] [Indexed: 10/15/2022]
Affiliation(s)
- Juan Jimenez-Cauhe
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala, Madrid, Spain; Trichology Unit, Grupo de Dermatologia Pedro Jaen, Madrid, Spain.
| | - David Saceda-Corralo
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala, Madrid, Spain; Trichology Unit, Grupo de Dermatologia Pedro Jaen, Madrid, Spain
| | - Angela Hermosa-Gelbard
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala, Madrid, Spain; Trichology Unit, Grupo de Dermatologia Pedro Jaen, Madrid, Spain
| | - Oscar M Moreno-Arrones
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala, Madrid, Spain; Trichology Unit, Grupo de Dermatologia Pedro Jaen, Madrid, Spain
| | - Cristina Pindado-Ortega
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala, Madrid, Spain; Trichology Unit, Grupo de Dermatologia Pedro Jaen, Madrid, Spain
| | - Emilio de Dios Berna-Rico
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala, Madrid, Spain
| | - Daniel Ortega-Quijano
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala, Madrid, Spain; Trichology Unit, Grupo de Dermatologia Pedro Jaen, Madrid, Spain
| | - Diego Fernandez-Nieto
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala, Madrid, Spain; Trichology Unit, Grupo de Dermatologia Pedro Jaen, Madrid, Spain
| | - Sergio Vaño-Galvan
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Universidad de Alcala, Madrid, Spain; Trichology Unit, Grupo de Dermatologia Pedro Jaen, Madrid, Spain
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6
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Pindado-Ortega C, Saceda-Corralo D, Moreno-Arrones ÓM, Rodrigues-Barata AR, Hermosa-Gelbard Á, Jaén-Olasolo P, Vañó-Galván S. Response to "Reply to effectiveness of dutasteride in a large series of patients with FFA in real clinical practice". J Am Acad Dermatol 2021; 85:e95-e96. [PMID: 33819540 DOI: 10.1016/j.jaad.2021.03.084] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2021] [Revised: 03/25/2021] [Accepted: 03/25/2021] [Indexed: 02/06/2023]
Affiliation(s)
- Cristina Pindado-Ortega
- Dermatology Department, University Hospital Ramón y Cajal, Madrid, Spain; Grupo Dermatología Pedro Jaén, Madrid, Spain.
| | - David Saceda-Corralo
- Dermatology Department, University Hospital Ramón y Cajal, Madrid, Spain; Grupo Dermatología Pedro Jaén, Madrid, Spain
| | - Óscar M Moreno-Arrones
- Dermatology Department, University Hospital Ramón y Cajal, Madrid, Spain; Grupo Dermatología Pedro Jaén, Madrid, Spain
| | | | - Ángela Hermosa-Gelbard
- Dermatology Department, University Hospital Ramón y Cajal, Madrid, Spain; Grupo Dermatología Pedro Jaén, Madrid, Spain
| | - Pedro Jaén-Olasolo
- Dermatology Department, University Hospital Ramón y Cajal, Madrid, Spain; Grupo Dermatología Pedro Jaén, Madrid, Spain; University of Alcalá, Madrid, Spain
| | - Sergio Vañó-Galván
- Dermatology Department, University Hospital Ramón y Cajal, Madrid, Spain; Grupo Dermatología Pedro Jaén, Madrid, Spain; University of Alcalá, Madrid, Spain
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7
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Saceda-Corralo D, Pindado-Ortega C, Moreno-Arrones OM, Ortega-Quijano D, Fernández-Nieto D, Jiménez-Cauhe J, Vañó-Galván S. Association of Inflammation With Progression of Hair Loss in Women With Frontal Fibrosing Alopecia. JAMA Dermatol 2021; 156:700-702. [PMID: 32320042 DOI: 10.1001/jamadermatol.2020.0359] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
- David Saceda-Corralo
- Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Departamento de Medicina, Facultad de Medicina, Universidad de Alcalá, IRYCIS, Madrid, Spain.,Grupo de Dermatología Pedro Jaén, Madrid, Spain
| | - Cristina Pindado-Ortega
- Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Departamento de Medicina, Facultad de Medicina, Universidad de Alcalá, IRYCIS, Madrid, Spain.,Grupo de Dermatología Pedro Jaén, Madrid, Spain
| | - Oscar M Moreno-Arrones
- Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Departamento de Medicina, Facultad de Medicina, Universidad de Alcalá, IRYCIS, Madrid, Spain.,Grupo de Dermatología Pedro Jaén, Madrid, Spain
| | - Daniel Ortega-Quijano
- Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Departamento de Medicina, Facultad de Medicina, Universidad de Alcalá, IRYCIS, Madrid, Spain
| | - Diego Fernández-Nieto
- Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Departamento de Medicina, Facultad de Medicina, Universidad de Alcalá, IRYCIS, Madrid, Spain
| | - Juan Jiménez-Cauhe
- Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Departamento de Medicina, Facultad de Medicina, Universidad de Alcalá, IRYCIS, Madrid, Spain
| | - Sergio Vañó-Galván
- Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Departamento de Medicina, Facultad de Medicina, Universidad de Alcalá, IRYCIS, Madrid, Spain.,Grupo de Dermatología Pedro Jaén, Madrid, Spain
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8
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Ortega-Quijano D, Pindado-Ortega C, de Perosanz Lobo D, Jimenez-Cauhe J, Fernandez-Nieto D, Santas MD, Hermosa-Gelbard A, Moreno-Arrones ÓM, Saceda-Corralo D, Vaño-Galvan S. 17562 Genetic anticipation in frontal fibrosing alopecia: An inadequate follow-up time bias. J Am Acad Dermatol 2020. [DOI: 10.1016/j.jaad.2020.06.872] [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: 11/24/2022]
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9
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Saceda-Corralo D, Pindado-Ortega C, Fernandez-Nieto D, Jimenez-Cauhe J, Ortega-Quijano D, Rodrigues-Barata R, Moreno-Arrones ÓM, Vaño-Galvan S. 17043 Frontal fibrosing alopecia severity score: A 3-year prospective study. J Am Acad Dermatol 2020. [DOI: 10.1016/j.jaad.2020.06.852] [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: 10/22/2022]
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10
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Saceda-Corralo D, Desai K, Pindado-Ortega C, Moreno-Arrones OM, Vañó-Galván S, Miteva M. Histological evidence for epidermal and dermal atrophy of the alopecic band in treatment-naïve patients with Frontal Fibrosing Alopecia. J Eur Acad Dermatol Venereol 2020; 35:e47-e49. [PMID: 32594595 DOI: 10.1111/jdv.16792] [Citation(s) in RCA: 4] [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: 04/04/2020] [Revised: 05/13/2020] [Accepted: 06/24/2020] [Indexed: 11/29/2022]
Affiliation(s)
- D Saceda-Corralo
- Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Madrid, Spain.,Departamento de Medicina, Facultad de Medicina, Universidad de Alcalá, IRYCIS, Madrid, Spain.,Grupo de Dermatología Pedro Jaén, Madrid, Spain
| | - K Desai
- Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL, USA
| | - C Pindado-Ortega
- Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Madrid, Spain.,Departamento de Medicina, Facultad de Medicina, Universidad de Alcalá, IRYCIS, Madrid, Spain.,Grupo de Dermatología Pedro Jaén, Madrid, Spain
| | - O M Moreno-Arrones
- Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Madrid, Spain.,Departamento de Medicina, Facultad de Medicina, Universidad de Alcalá, IRYCIS, Madrid, Spain.,Grupo de Dermatología Pedro Jaén, Madrid, Spain
| | - S Vañó-Galván
- Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Madrid, Spain.,Departamento de Medicina, Facultad de Medicina, Universidad de Alcalá, IRYCIS, Madrid, Spain.,Grupo de Dermatología Pedro Jaén, Madrid, Spain
| | - M Miteva
- Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL, USA
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11
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Pindado-Ortega C, Saceda-Corralo D, Fernández-Nieto D, Jiménez-Cauhé J, Ortega-Quijano D, Moreno-Arrones ÓM, Vañó-Galván S. Prescribing Habits for Androgenic Alopecia among Dermatologists in Spain in 2019-2020: A Cross-Sectional Study. Skin Appendage Disord 2020; 6:283-286. [PMID: 33088813 DOI: 10.1159/000509063] [Citation(s) in RCA: 3] [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: 05/14/2020] [Accepted: 05/30/2020] [Indexed: 12/17/2022] Open
Abstract
Background In 2017, we carried out a cross-sectional study with the aim of describing androgenic alopecia (AGA) prescription habits among dermatologists who practice in Spain. Three years later, we repeated this study with the aim of describing the current situation and comparing it with previous data. Material and Methods Descriptive cross-sectional study using online questionnaires autocompleted by dermatologists working in Spain. Results The responses of 243 dermatologists were analyzed. The most common treatments prescribed for MAGA were topical minoxidil (100%), oral finasteride (92.6%), oral dutasteride (75.7%), and oral minoxidil (50.6%). For premenopausal female AGA (FAGA), the most common treatments were topical minoxidil (99%), oral contraceptives (75%), nutricosmetics (71%), and oral minoxidil (67.9%). Lastly, the most common treatments prescribed in patients with postmenopausal FAGA were topical minoxidil (99.2%), oral finasteride (79%), oral durasteride (71.6%), and oral minoxidil (63%). Conclusions In conclusion, AGA is the most frequent alopecia in the trichology clinic. The most common treatments prescribed in male AGA (MAGA) and postmenopausal FAGA were topical minoxidil and oral finasteride, while in premenopausal FAGA, topical minoxidil, oral contraceptives, and nutricosmetics were most commonly prescribed. In the past three years, oral dutasteride and oral minoxidil have increased drastically among the most prescribed therapies for MAGA, premenopausal FAGA, and postmenopausal FAGA.
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Affiliation(s)
- Cristina Pindado-Ortega
- Dermatology Department, University Hospital Ramón y Cajal, Madrid, Spain.,Pedro Jaén Dermatology Group, Madrid, Spain
| | - David Saceda-Corralo
- Dermatology Department, University Hospital Ramón y Cajal, Madrid, Spain.,Pedro Jaén Dermatology Group, Madrid, Spain
| | | | - Juan Jiménez-Cauhé
- Dermatology Department, University Hospital Ramón y Cajal, Madrid, Spain
| | | | - Óscar M Moreno-Arrones
- Dermatology Department, University Hospital Ramón y Cajal, Madrid, Spain.,Pedro Jaén Dermatology Group, Madrid, Spain
| | - Sergio Vañó-Galván
- Dermatology Department, University Hospital Ramón y Cajal, Madrid, Spain.,Pedro Jaén Dermatology Group, Madrid, Spain
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12
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Fernandez-Nieto D, Jimenez-Cauhe J, Ortega-Quijano D, Pindado-Ortega C, Boixeda P. Treatment of segmental lichen aureus in the pediatric age with a 755 nm alexandrite picosecond laser. A new therapeutic approach for pigmented purpuric dermatosis. J Dtsch Dermatol Ges 2020; 18:1201-1203. [PMID: 32656950 DOI: 10.1111/ddg.14172] [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: 12/01/2022]
Affiliation(s)
| | - Juan Jimenez-Cauhe
- Dermatology Department, Ramon y Cajal University Hospital, Madrid, Spain
| | | | | | - Pablo Boixeda
- Dermatology Department, Ramon y Cajal University Hospital, Madrid, Spain
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13
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Diaz-Guimaraens B, Dominguez-Santas M, Suarez-Valle A, Pindado-Ortega C, Selda-Enriquez G, Bea-Ardebol S, Fernandez-Nieto D. Petechial Skin Rash Associated With Severe Acute Respiratory Syndrome Coronavirus 2 Infection. JAMA Dermatol 2020; 156:820-822. [DOI: 10.1001/jamadermatol.2020.1741] [Citation(s) in RCA: 122] [Impact Index Per Article: 30.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Affiliation(s)
| | | | - Ana Suarez-Valle
- Dermatology Department, Ramon y Cajal University Hospital, Madrid, Spain
| | | | | | - Sonia Bea-Ardebol
- Dermatology Department, Ramon y Cajal University Hospital, Madrid, Spain
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14
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Fernandez-Nieto D, Ortega-Quijano D, Segurado-Miravalles G, Pindado-Ortega C, Prieto-Barrios M, Jimenez-Cauhe J. Comment on: Cutaneous manifestations in COVID-19: a first perspective. Safety concerns of clinical images and skin biopsies. J Eur Acad Dermatol Venereol 2020; 34:e252-e254. [PMID: 32294262 PMCID: PMC7262048 DOI: 10.1111/jdv.16470] [Citation(s) in RCA: 76] [Impact Index Per Article: 19.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2020] [Revised: 04/06/2020] [Accepted: 04/08/2020] [Indexed: 01/17/2023]
Affiliation(s)
- D Fernandez-Nieto
- Dermatology Department, Ramon y Cajal University Hospital, Madrid, Spain
| | - D Ortega-Quijano
- Dermatology Department, Ramon y Cajal University Hospital, Madrid, Spain
| | | | - C Pindado-Ortega
- Dermatology Department, Ramon y Cajal University Hospital, Madrid, Spain
| | - M Prieto-Barrios
- Dermatology Department, Ramon y Cajal University Hospital, Madrid, Spain
| | - J Jimenez-Cauhe
- Dermatology Department, Ramon y Cajal University Hospital, Madrid, Spain
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15
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Gómez-Quispe H, Elena de Las Heras-Alonso M, Lobato-Berezo A, Velasco-Tamariz V, Pindado-Ortega C, Moreno-Arrones OM, Vañó-Galván S, Saceda-Corralo D. Trichoscopic findings of discoid lupus erythematosus alopecia: A cross-sectional study. J Am Acad Dermatol 2020; 84:804-806. [PMID: 32502590 DOI: 10.1016/j.jaad.2020.05.144] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2019] [Revised: 04/29/2020] [Accepted: 05/23/2020] [Indexed: 11/16/2022]
Affiliation(s)
- Heidy Gómez-Quispe
- Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Departamento de Medicina, Facultad de Medicina, Universidad de Alcalá, IRYCIS, Madrid, Spain
| | - María Elena de Las Heras-Alonso
- Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Departamento de Medicina, Facultad de Medicina, Universidad de Alcalá, IRYCIS, Madrid, Spain
| | | | | | - Cristina Pindado-Ortega
- Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Departamento de Medicina, Facultad de Medicina, Universidad de Alcalá, IRYCIS, Madrid, Spain; Servicio de Dermatología, Hospital Infanta Leonor, Madrid, Spain; Grupo de Dermatología Pedro Jaén, Madrid, Spain
| | - Oscar Muñoz Moreno-Arrones
- Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Departamento de Medicina, Facultad de Medicina, Universidad de Alcalá, IRYCIS, Madrid, Spain; Grupo de Dermatología Pedro Jaén, Madrid, Spain
| | - Sergio Vañó-Galván
- Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Departamento de Medicina, Facultad de Medicina, Universidad de Alcalá, IRYCIS, Madrid, Spain; Grupo de Dermatología Pedro Jaén, Madrid, Spain
| | - David Saceda-Corralo
- Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Departamento de Medicina, Facultad de Medicina, Universidad de Alcalá, IRYCIS, Madrid, Spain; Grupo de Dermatología Pedro Jaén, Madrid, Spain.
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16
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Fernandez-Nieto D, Jimenez-Cauhe J, Ortega-Quijano D, Burgos-Blasco P, Pindado-Ortega C, Bea-Ardebol S. A case of atypical disseminated herpes simplex virus 1 with hepatitis in a liver transplant recipient: the need for dermatologic evaluation. Dermatol Online J 2020; 26:13030/qt3k90n5s9. [PMID: 32239894] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2020] [Accepted: 03/26/2020] [Indexed: 06/11/2023] Open
Abstract
Disseminated herpes simplex virus (HSV) is mainly seen in immunocompromised individuals. Atypical lesions can be present in both primary infection and reactivation disease. Compared with the general population, inmunocompromised hosts are at greater risk of increased persistency and severity of clinical manifestations, including severe systemic involvement such as esophagitis, meningitis, and hepatitis. Herein, we report the case of a liver transplant recipient with atypical disseminated herpes simplex virus-1 complicated by HSV-related hepatitis. Dermatological consultation and histological assessment were crucial for a correct diagnosis and treatment.
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Affiliation(s)
- D Fernandez-Nieto
- Department of Dermatology, Hospital Universitario Ramón y Cajal, Madrid.
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17
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Fernandez-Nieto D, Jimenez-Cauhe J, Ortega-Quijano D, Burgos-Blasco P, Pindado-Ortega C, Bea-Ardebol S. A case of atypical disseminated herpes simplex virus 1 with hepatitis in a liver transplant recipient: the need for dermatologic evaluation. Dermatol Online J 2020. [DOI: 10.5070/d3262047422] [Citation(s) in RCA: 3] [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: 11/08/2022] Open
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18
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Pindado-Ortega C, Alegre-Sánchez A, Robledo-Sánchez A, Tormo-Alfaro I, Boixeda P. Treatment of gingival pigmentation with a 755-nm alexandrite picosecond laser. J COSMET LASER THER 2019; 22:39-41. [PMID: 31884838 DOI: 10.1080/14764172.2019.1708951] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Hyperpigmentation of the gums can be associated to several etiological factors. Although it is physiological in most cases it can cause esthetic concerns in some patients. The objective of our study was to evaluate the clinical efficacy and patient satisfaction with the treatment of gingival hyperpigmentation with picosecond alexandrite laser of 755 nm. We selected two patients with gingival hyperpigmentation on the anterior face of the upper and lower gums of years of evolution. Malignancy, drug ingestion, exposure to tobacco and underlying genetic and endocrine alterations were ruled out. Clinical photographs were taken before treatment and 2 weeks after the procedure. In both cases, anterior gingival areas were depigmented with satisfaction. The patients did not complain of severe pain or discomfort. Two weeks after the procedure the gingiva showed almost complete depigmentation. In conclusion, the 755-nm alexandrite picosecond laser seems to be safe and effective for the esthetic treatment of gingival hyperpigmentation.
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Affiliation(s)
| | | | | | | | - Pablo Boixeda
- Dermatology Department, Hospital Ramón y Cajal, Madrid, Spain
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19
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Pindado-Ortega C, Saceda-Corralo D, Vañó-Galván S. RF – Oral Minoxidil for Female Pattern Hair Loss and Other Alopecias. Actas Dermo-Sifiliográficas (English Edition) 2019. [DOI: 10.1016/j.adengl.2018.06.029] [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: 10/25/2022] Open
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20
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Pindado-Ortega C, Perna C, Saceda-Corralo D, Fernández-Nieto D, Jaén-Olasolo P, Vañó-Galván S. Frontal fibrosing alopecia: histopathological, immunohistochemical and hormonal study of clinically unaffected scalp areas. J Eur Acad Dermatol Venereol 2019; 34:e84-e85. [PMID: 31566821 DOI: 10.1111/jdv.15977] [Citation(s) in RCA: 4] [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] [Indexed: 12/19/2022]
Affiliation(s)
- C Pindado-Ortega
- Dermatology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.,Dermatology Department, Hospital Universitario Infanta Leonor, Madrid, Spain.,Grupo Dermatología Pedro Jaén, Madrid, Spain
| | - C Perna
- Pathology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain
| | - D Saceda-Corralo
- Dermatology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.,Grupo Dermatología Pedro Jaén, Madrid, Spain
| | - D Fernández-Nieto
- Dermatology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain
| | - P Jaén-Olasolo
- Dermatology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.,Grupo Dermatología Pedro Jaén, Madrid, Spain
| | - S Vañó-Galván
- Dermatology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.,Grupo Dermatología Pedro Jaén, Madrid, Spain
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21
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Pindado-Ortega C, Ortega-Quijano D, Carrillo-Gijón R. A Nodule on the Breast after Radiation Therapy. Actas Dermosifiliogr (Engl Ed) 2019; 110:859-860. [PMID: 31526485 DOI: 10.1016/j.ad.2018.05.023] [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] [Received: 01/31/2018] [Revised: 04/29/2018] [Accepted: 05/28/2018] [Indexed: 10/26/2022] Open
Affiliation(s)
- C Pindado-Ortega
- Departamento de Dermatología, Hospital Ramón y Cajal, Madrid, España.
| | - D Ortega-Quijano
- Departamento de Dermatología, Hospital Ramón y Cajal, Madrid, España
| | - R Carrillo-Gijón
- Departamento de Dermopatología, Hospital Ramón y Cajal, Madrid, España
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22
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Saceda-Corralo D, Pindado-Ortega C, Moreno-Arrones ÓM, Fernández-González P, Rodrigues-Barata AR, Jaén-Olasolo P, Vañó-Galván S. Health-Related Quality of Life in Patients With Frontal Fibrosing Alopecia. JAMA Dermatol 2019. [PMID: 29516093 DOI: 10.1001/jamadermatol.2017.6330] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Affiliation(s)
- David Saceda-Corralo
- Dermatology Department, Ramon y Cajal University Hospital, Madrid, Spain.,Department of Medicina and Medical Specialties, University of Alcalá, Alcalá de Henares, Madrid, Spain
| | | | | | | | | | - Pedro Jaén-Olasolo
- Dermatology Department, Ramon y Cajal University Hospital, Madrid, Spain.,Department of Medicina and Medical Specialties, University of Alcalá, Alcalá de Henares, Madrid, Spain
| | - Sergio Vañó-Galván
- Dermatology Department, Ramon y Cajal University Hospital, Madrid, Spain.,Department of Medicina and Medical Specialties, University of Alcalá, Alcalá de Henares, Madrid, Spain
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23
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Fernandez-Nieto D, Saceda-Corralo D, Jimenez-Cauhe J, Pindado-Ortega C, Erana I, Moreno-Arrones OM, Vano-Galvan S. Central Centrifugal Cicatricial Alopecia in a Fair Phototype Patient. Int J Trichology 2019; 11:251-252. [PMID: 32030062 PMCID: PMC6984051 DOI: 10.4103/ijt.ijt_77_19] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Affiliation(s)
| | | | | | | | - Itziar Erana
- Department of Pathology, Guadalaja Hospital, Guadalajara, Spain
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24
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Fonda-Pascual P, Alegre-Sánchez A, Harto-Castaño A, Moreno-Arrones OM, Pérez-García B, González-Morales ML, Pindado-Ortega C, Gilaberte-Calzada Y, Aguilera J, Jaen-Olasolo P, Fernández-Guarino M. Low-level light-assisted photodynamic therapy using a wearable cap-like device for the treatment of actinic keratosis of the scalp. Photodiagnosis Photodyn Ther 2018; 25:136-141. [PMID: 30508663 DOI: 10.1016/j.pdpdt.2018.11.018] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [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: 06/24/2018] [Revised: 10/16/2018] [Accepted: 11/02/2018] [Indexed: 12/24/2022]
Abstract
BACKGROUND Daylight photodynamic therapy (dlPDT) is a painless and increasingly cost-effective treatment for actinic keratosis (AK). New protocols avoid incubation, minimizing pain and adverse events. However, it is time-consuming and dependent on specific weather conditions. In patients with AK of the scalp, we evaluated the efficacy of indoor photodynamic therapy (PDT) using a wearable low-level light therapy (LLLT) device, without pre-incubation with a photosensitizing agent. METHODS In this pilot study, 27 patients with thin and moderately thick AK (Olsen Grades I-II) underwent a single 15-minute session of LLLT using a wearable cap-like device immediately after application of methyl-aminolevulinate (MAL) cream, with no prior preparation of the affected area. Treatment efficacy was quantified by measuring the reduction in AK lesion number and the AK quality of life (AKQoL) score. All AK lesions were mapped at baseline for follow-up 2 months later. Paired pre/post scalp biopsies from 5 patients were analysed using histological and immunohistochemical techniques (p53, p27, cyclin D1, p63, and Ki67 expression). Data were analysed using the Wilcoxon signed-rank test. RESULTS In all patients we observed a global reduction in the number of AK lesions (71%; p < 0.0001) and AKQoL score (from 5.6 to 4.4; p = 0.034) 2 months after treatment. Histology and immunohistochemistry of skin biopsies from 5 patients also revealed marked improvements after LLLT. No patients reported any pain during treatment. CONCLUSION PDT using LLLT is a rapid, painless, and efficacious modality for the treatment of AK.
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Affiliation(s)
| | | | | | | | | | | | | | | | - José Aguilera
- Dermal Photobiology Laboratory, Medical Research Center, School of Medicine, University of Malaga, E-29071, Málaga, Spain.
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25
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Fernandez-Gonzalez P, Saceda-Corralo D, Pindado-Ortega C, Buendia-Castaño D, Fernández-Guarino M, Vañó-Galván S. Spontaneous hair regrowth in eight patients with severe alopecia areata. Australas J Dermatol 2018; 59:e318-e319. [DOI: 10.1111/ajd.12840] [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: 11/30/2022]
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26
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Pindado-Ortega C, Alegre-Sánchez A, Pérez-García B, Boixeda P. Reply to: S2k guideline for treatment of cutaneous lupus erythematosus-guided by the European Dermatology Forum (EDF) in cooperation with the European Academy of Dermatology and Venereology (EADV). J Eur Acad Dermatol Venereol 2018; 33:e70-e71. [PMID: 30098058 DOI: 10.1111/jdv.15209] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
| | | | - B Pérez-García
- Dermatology, University Hospital Ramón y Cajal, Madrid, Spain
| | - P Boixeda
- Dermatology, University Hospital Ramón y Cajal, Madrid, Spain
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27
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Saceda-Corralo D, Moreno-Arrones ÓM, Pindado-Ortega C, Vañó-Galván S. Reply to: "Response to 'Development and validation of the Frontal Fibrosing Alopecia Severity Score'". J Am Acad Dermatol 2018; 79:e117. [PMID: 30081116 DOI: 10.1016/j.jaad.2018.07.032] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2018] [Revised: 07/27/2018] [Accepted: 07/30/2018] [Indexed: 11/25/2022]
Affiliation(s)
- David Saceda-Corralo
- Dermatology Department, Ramon y Cajal University Hospital, Madrid, Spain; Clínica Grupo Pedro Jaén, Madrid, Spain; Department of Medicine and Medical Specialties, University of Alcalá, Alcalá de Henares-Madrid, Spain.
| | | | | | - Sergio Vañó-Galván
- Dermatology Department, Ramon y Cajal University Hospital, Madrid, Spain; Clínica Grupo Pedro Jaén, Madrid, Spain; Department of Medicine and Medical Specialties, University of Alcalá, Alcalá de Henares-Madrid, Spain
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28
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Pindado-Ortega C, Saceda-Corralo D, Buendía-Castaño D, Fernández-González P, Moreno-Arrones Ó, Fonda-Pascual P, Alegre-Sánchez A, Rodrigues-Barata A, Vañó-Galván S. Prescribing Habits for Androgenic Alopecia Among Dermatologists in Spain in 2017: A Cross-Sectional Study. Actas Dermo-Sifiliográficas (English Edition) 2018. [DOI: 10.1016/j.adengl.2018.05.020] [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: 10/14/2022] Open
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29
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Saceda-Corralo D, Moreno-Arrones ÓM, Fonda-Pascual P, Pindado-Ortega C, Hermosa-Gelbard Á, Rodrigues-Barata AR, Vañó-Galván S. Steroid-induced changes noted on trichoscopy of patients with frontal fibrosing alopecia. J Am Acad Dermatol 2018; 79:956-957. [PMID: 29733937 DOI: 10.1016/j.jaad.2018.05.001] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2018] [Revised: 04/26/2018] [Accepted: 05/01/2018] [Indexed: 12/19/2022]
Affiliation(s)
- David Saceda-Corralo
- Dermatology Department, Ramón y Cajal University Hospital, Madrid, Spain; Grupo de Dermatología Pedro Jaén, Madrid, Spain.
| | | | | | | | | | - Ana R Rodrigues-Barata
- Dermatology Department, Ramón y Cajal University Hospital, Madrid, Spain; Grupo de Dermatología Pedro Jaén, Madrid, Spain
| | - Sergio Vañó-Galván
- Dermatology Department, Ramón y Cajal University Hospital, Madrid, Spain; Grupo de Dermatología Pedro Jaén, Madrid, Spain; Department of Medicine and Medical Specialties, University of Alcalá, Alcalá de Henares-Madrid
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30
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Fonda-Pascual P, Moreno-Arrones OM, Saceda-Corralo D, Rodrigues-Barata AR, Pindado-Ortega C, Boixeda P, Vaño-Galvan S. Effectiveness of low-level laser therapy in lichen planopilaris. J Am Acad Dermatol 2018; 78:1020-1023. [DOI: 10.1016/j.jaad.2017.11.040] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2017] [Revised: 11/13/2017] [Accepted: 11/19/2017] [Indexed: 12/11/2022]
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Pindado-Ortega C, Fernández-González P, Buendía-Castaño D, Carrillo-Gijón R, Harto-Castaño A, Pérez-García B. Two cases of large cell acanthoma successfully treated with photodynamic therapy. Dermatol Ther 2018; 31:e12603. [PMID: 29633447 DOI: 10.1111/dth.12603] [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] [Received: 08/10/2017] [Revised: 11/12/2017] [Accepted: 03/18/2018] [Indexed: 11/29/2022]
Affiliation(s)
- C Pindado-Ortega
- Department of Dermatology, Hospital Ramon y Cajal E-28034 Madrid, Spain
| | | | - D Buendía-Castaño
- Department of Dermatology, Hospital Ramon y Cajal E-28034 Madrid, Spain
| | - R Carrillo-Gijón
- Department of Pathological Anatomy, Hospital Ramon y Cajal E-28034 Madrid, Spain
| | - A Harto-Castaño
- Department of Dermatology, Hospital Ramon y Cajal E-28034 Madrid, Spain
| | - B Pérez-García
- Department of Dermatology, Hospital Ramon y Cajal E-28034 Madrid, Spain
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Buendía-Castaño D, Saceda-Corralo D, Moreno-Arrones OM, Fonda-Pascual P, Alegre-Sánchez A, Pindado-Ortega C, Fernandez-Gonzalez P, Vañó-Galván S. Hormonal and Gynecological Risk Factors in Frontal Fibrosing Alopecia: A Case-Control Study. Skin Appendage Disord 2017; 4:274-276. [PMID: 30410895 DOI: 10.1159/000484210] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [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: 07/17/2017] [Accepted: 10/12/2017] [Indexed: 12/19/2022] Open
Abstract
Introduction Frontal fibrosing alopecia (FFA) is a condition that likely involves an interplay of autoimmune, hormonal, and environmental factors in its pathogenesis. There is a lack of comparative studies demonstrating the presence of hormonal background differences in FFA patients compared to the general population. Materials and Methods A single-center case-control study was designed, including 104 female FFA patients and 208 controls. Patients and controls were interviewed, and extensive data regarding their gynecological and hormonal background were recorded. Results One hundred four cases and 208 age-matched controls were included in the study. A significant difference of 2 years in the age of menopause was detected with a consistent mean increase in fertile life for the control group of 1.7 years. After the multivariate analysis, we found previous intake of tamoxifen to be a risk factor for the development of FFA (OR 14.89). The only protective factor identified was the previous use of an intrauterine device (IUD) (OR 0.22). Conclusions An earlier menopause and tamoxifen intake might promote or maintain FFA, while the use of an IUD might protect from developing FFA. Our results support the previously proposed hypothesis of an underlying hormonal mechanism in the etiopathogenesis of FFA and point out low-estrogen environments as an ideal condition for FFA development.
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Affiliation(s)
| | - David Saceda-Corralo
- Dermatology Service, Trichology Unit, Ramon y Cajal Hospital, Spain.,Trichology Unit, Grupo Pedro Jaén Clinic, Madrid, Spain
| | | | | | | | | | | | - Sergio Vañó-Galván
- Dermatology Service, Trichology Unit, Ramon y Cajal Hospital, Spain.,Trichology Unit, Grupo Pedro Jaén Clinic, Madrid, Spain
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Alegre-Sánchez A, de Perosanz-Lobo D, Pascual-Sánchez A, Pindado-Ortega C, Fonda-Pascual P, Moreno-Arrones Ó, Jaén-Olasolo P. Impact on Quality of Life in Dermatology Patients Attending an Emergency Department. Actas Dermo-Sifiliográficas 2017; 108:918-923. [DOI: 10.1016/j.ad.2017.07.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2017] [Revised: 06/15/2017] [Accepted: 07/02/2017] [Indexed: 11/16/2022] Open
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Pindado-Ortega C, Fonda-Pascual P, Buendía-Castaño D, Fernández-González P, Peña-Jaimes L, Carrillo-Gijón R. An unusual case of lymphomatoid papulosis type E with extensive necrosis. Indian J Dermatol Venereol Leprol 2017; 84:515-517. [PMID: 29067932 DOI: 10.4103/ijdvl.ijdvl_871_16] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Lymphomatoid papulosis type E (LyP) is a recently described subtype of LyP characterized by an angioinvasive infiltrate of atypical lymphocytes expressing CD30. We present a case of type E LyP with extensive cutaneous necrosis in the histopathological evaluation which was misdiagnosed as an ulcerative form of bacterial skin infection. The remarkable cutaneous necrosis showed in our case might be related to the angiodestructive infiltrate that was present in this circumstance.
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Saceda-Corralo D, Fernández-Crehuet P, Fonda-Pascual P, Pindado-Ortega C, Moreno-Arrones OM, Vañó-Galván S. Clinical Description of Frontal Fibrosing Alopecia with Concomitant Lichen Planopilaris. Skin Appendage Disord 2017; 4:105-107. [PMID: 29765970 DOI: 10.1159/000479799] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2017] [Accepted: 07/21/2017] [Indexed: 12/19/2022] Open
Affiliation(s)
| | | | | | | | | | - Sergio Vañó-Galván
- Dermatology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.,University of Alcalá, Alcalá de Henares, Madrid, Spain
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Pindado-Ortega C, Saceda-Corralo D, Miguel-Gómez L, Buendía-Castaño D, Fernández-González P, Moreno-Arrones OM, Fonda-Pascual P, Alegre-Sánchez A, Rodrigues-Barata R, Vañó-Galván S. Impact of Folliculitis Decalvans on Quality of Life and Subjective Perception of Disease. Skin Appendage Disord 2017; 4:34-36. [PMID: 29457012 DOI: 10.1159/000478053] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [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: 04/26/2017] [Accepted: 06/06/2017] [Indexed: 11/19/2022] Open
Abstract
Folliculitis decalvans (FD) is a primary neutrophilic scarring alopecia characterized by perifollicular papules, crusts, and pustules frequently located on the vertex. FD may affect young men and women. Since it may lead to hair loss, it can have a negative impact on patients' quality of life. Nevertheless, studies have focused on clinical, prognostic, and therapeutic aspects without considering the psychological impact of FD. In our study, we found that FD patients experienced a considerable impact on their quality of life. Interestingly, almost half of the patients considered that their alopecia was related to a poor medical care in their past. To our knowledge, this is the first description of the impact of FD on patients' quality of life, and it highlights the importance of psychological support for these patients.
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Affiliation(s)
| | | | - Laura Miguel-Gómez
- Dermatology Department, University Hospital Ramon y Cajal, Madrid, Spain
| | | | | | | | | | | | | | - Sergio Vañó-Galván
- Dermatology Department, University Hospital Ramon y Cajal, Madrid, Spain.,University of Alcalá, Madrid, Spain
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Moreno-Arrones O, Saceda-Corralo D, Fonda-Pascual P, Rodrigues-Barata A, Buendía-Castaño D, Alegre-Sánchez A, Pindado-Ortega C, Molins M, Perosanz D, Segurado-Miravalles G, Jaén P, Vañó-Galván S. Frontal fibrosing alopecia: clinical and prognostic classification. J Eur Acad Dermatol Venereol 2017; 31:1739-1745. [DOI: 10.1111/jdv.14287] [Citation(s) in RCA: 58] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2017] [Accepted: 03/27/2017] [Indexed: 12/19/2022]
Affiliation(s)
| | | | | | | | | | | | | | - M. Molins
- Dermatology Department; Ramon y Cajal Hospital; Madrid Spain
| | - D. Perosanz
- Dermatology Department; Ramon y Cajal Hospital; Madrid Spain
| | | | - P. Jaén
- Dermatology Department; Ramon y Cajal Hospital; Madrid Spain
| | - S. Vañó-Galván
- Dermatology Department; Ramon y Cajal Hospital; Madrid Spain
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Fonda-Pascual P, Moreno-Arrones OM, Alegre-Sanchez A, Saceda-Corralo D, Buendia-Castaño D, Pindado-Ortega C, Fernandez-Gonzalez P, Velazquez-Kennedy K, Calvo-Sánchez MI, Harto-Castaño A, Perez-Garcia B, Bagazgoitia L, Vaño-Galvan S, Espada J, Jaen-Olasolo P. In situ production of ROS in the skin by photodynamic therapy as a powerful tool in clinical dermatology. Methods 2016; 109:190-202. [PMID: 27422482 DOI: 10.1016/j.ymeth.2016.07.008] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2016] [Revised: 07/10/2016] [Accepted: 07/11/2016] [Indexed: 11/17/2022] Open
Abstract
Photodynamic therapy (PDT) is a clinical modality of photochemotherapy based on the accumulation of a photosensitizer in target cells and subsequent irradiation of the tissue with light of adequate wavelength promoting reactive oxygen species (ROS) formation and cell death. PDT is used in several medical specialties as an organ-specific therapy for different entities. In this review we focus on the current dermatological procedure of PDT. In the most widely used PDT protocol in dermatology, ROS production occurs by accumulation of the endogenous photosensitizer protoporphyrin IX after treatment with the metabolic precursors 5-methylaminolevulinic acid (MAL) or 5-aminolevulinic acid (ALA). To date, current approved dermatological indications of PDT include actinic keratoses (AK), basal cell carcinoma (BCC) and in situ squamous cell carcinoma (SCC) also known as Bowen disease (BD). With regards to AKs, PDT can also treat the cancerization field carrying an oncogenic risk. In addition, an increasing number of pathologies, such as other skin cancers, infectious, inflammatory or pilosebaceous diseases are being considered as potentially treatable entities with PDT. Besides the known therapeutic properties of PDT, there is a modality used for skin rejuvenation and aesthetic purposes defined as photodynamic photorejuvenation. This technique enables the remodelling of collagen, which in turn prevents and treats photoaging stygmata. Finally we explore a new potential treatment field for PDT determined by the activation of follicular bulge stem cells caused by in situ ROS formation.
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Affiliation(s)
- Pablo Fonda-Pascual
- Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Madrid, Spain; Grupo de Dermatología Experimental y Biología Cutánea, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Hospital Universitario Ramón y Cajal, Madrid, Spain
| | - Oscar M Moreno-Arrones
- Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Madrid, Spain; Grupo de Dermatología Experimental y Biología Cutánea, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Hospital Universitario Ramón y Cajal, Madrid, Spain
| | - Adrian Alegre-Sanchez
- Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Madrid, Spain; Grupo de Dermatología Experimental y Biología Cutánea, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Hospital Universitario Ramón y Cajal, Madrid, Spain
| | - David Saceda-Corralo
- Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Madrid, Spain; Grupo de Dermatología Experimental y Biología Cutánea, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Hospital Universitario Ramón y Cajal, Madrid, Spain
| | | | | | | | - Kyra Velazquez-Kennedy
- Grupo de Dermatología Experimental y Biología Cutánea, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Hospital Universitario Ramón y Cajal, Madrid, Spain
| | - María I Calvo-Sánchez
- Grupo de Dermatología Experimental y Biología Cutánea, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Hospital Universitario Ramón y Cajal, Madrid, Spain
| | | | | | - Lorea Bagazgoitia
- Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Madrid, Spain; Grupo de Dermatología Experimental y Biología Cutánea, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Hospital Universitario Ramón y Cajal, Madrid, Spain
| | - Sergio Vaño-Galvan
- Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Madrid, Spain; Grupo de Dermatología Experimental y Biología Cutánea, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Hospital Universitario Ramón y Cajal, Madrid, Spain
| | - Jesus Espada
- Laboratorio de Bionanotecnolgía, Universidad Bernardo ÓHiggins, Santiago, Chile.
| | - Pedro Jaen-Olasolo
- Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Madrid, Spain.
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