1
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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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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; 115:28-35. [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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3
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Moreno-Arrones OM, Ortega-Quijano D, Perez-Brocal V, Fernandez-Nieto D, Jimenez N, de Las Heras E, Moya A, Perez-Garcia B. Dysbiotic gut microbiota in patients with inflammatory rosacea: another clue towards the existence of a brain-gut-skin axis. Br J Dermatol 2021; 185:655-657. [PMID: 33913159 DOI: 10.1111/bjd.20411] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Revised: 04/18/2021] [Accepted: 04/23/2021] [Indexed: 12/23/2022]
Affiliation(s)
- O M Moreno-Arrones
- Dermatology Department, Ramon y Cajal University Hospital, University of Alcala, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain
| | - D Ortega-Quijano
- Dermatology Department, Ramon y Cajal University Hospital, University of Alcala, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain
| | - V Perez-Brocal
- Department of Genomics and Health, Foundation for the Promotion of Health and Biomedical Research of Valencia Region (FISABIO-Public Health), València, Spain.,CIBER in Epidemiology and Public Health (CIBEResp), Madrid, Spain
| | - D Fernandez-Nieto
- Dermatology Department, Ramon y Cajal University Hospital, University of Alcala, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain
| | - N Jimenez
- Dermatology Department, Ramon y Cajal University Hospital, University of Alcala, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain
| | - E de Las Heras
- Dermatology Department, Ramon y Cajal University Hospital, University of Alcala, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain
| | - A Moya
- Department of Genomics and Health, Foundation for the Promotion of Health and Biomedical Research of Valencia Region (FISABIO-Public Health), València, Spain.,CIBER in Epidemiology and Public Health (CIBEResp), Madrid, Spain.,Institute for Integrative Systems Biology (I2SysBio), The University of Valencia and The Spanish National Research Council (CSIC-UVEG), València, Spain
| | - B Perez-Garcia
- Dermatology Department, Ramon y Cajal University Hospital, University of Alcala, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain
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4
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Fernandez-Nieto D, Hammerle J, Fernandez-Escribano M, Moreno-Del Real CM, Garcia-Abellas P, Carretero-Barrio I, Solano-Solares E, de-la-Hoz-Caballer B, Jimenez-Cauhe J, Ortega-Quijano D, Fernandez-Guarino M. Skin manifestations of the BNT162b2 mRNA COVID-19 vaccine in healthcare workers. 'COVID-arm': a clinical and histological characterization. J Eur Acad Dermatol Venereol 2021; 35:e425-e427. [PMID: 33783873 PMCID: PMC8251500 DOI: 10.1111/jdv.17250] [Citation(s) in RCA: 54] [Impact Index Per Article: 18.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Affiliation(s)
- D Fernandez-Nieto
- Dermatology Department, Ramon y Cajal University Hospital, Instituto de investigación Sanitaria del Hospital Ramón y Cajal (Irycis), Madrid, Spain
| | - J Hammerle
- Occupational Health Department, Ramon y Cajal University Hospital, Instituto de investigación Sanitaria del Hospital Ramón y Cajal (Irycis), Madrid, Spain
| | - M Fernandez-Escribano
- Occupational Health Department, Ramon y Cajal University Hospital, Instituto de investigación Sanitaria del Hospital Ramón y Cajal (Irycis), Madrid, Spain
| | - C M Moreno-Del Real
- Pathology Department, Ramon y Cajal University Hospital, Instituto de investigación Sanitaria del Hospital Ramón y Cajal (Irycis), Madrid, Spain
| | - P Garcia-Abellas
- Pathology Department, Ramon y Cajal University Hospital, Instituto de investigación Sanitaria del Hospital Ramón y Cajal (Irycis), Madrid, Spain
| | - I Carretero-Barrio
- Pathology Department, Ramon y Cajal University Hospital, Instituto de investigación Sanitaria del Hospital Ramón y Cajal (Irycis), Madrid, Spain
| | - E Solano-Solares
- Alergology Department, Ramon y Cajal University Hospital, Instituto de investigación Sanitaria del Hospital Ramón y Cajal (Irycis), Madrid, Spain
| | - B de-la-Hoz-Caballer
- Alergology Department, Ramon y Cajal University Hospital, Instituto de investigación Sanitaria del Hospital Ramón y Cajal (Irycis), Madrid, Spain
| | - J Jimenez-Cauhe
- Dermatology Department, Ramon y Cajal University Hospital, Instituto de investigación Sanitaria del Hospital Ramón y Cajal (Irycis), Madrid, Spain
| | - D Ortega-Quijano
- Dermatology Department, Ramon y Cajal University Hospital, Instituto de investigación Sanitaria del Hospital Ramón y Cajal (Irycis), Madrid, Spain
| | - M Fernandez-Guarino
- Dermatology Department, Ramon y Cajal University Hospital, Instituto de investigación Sanitaria del Hospital Ramón y Cajal (Irycis), Madrid, Spain
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5
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Ortega-Quijano D, Fernandez-Nieto D, Jimenez-Cauhe J, Cortes-Cuevas JL, Marcos-Mencia D, Rodriguez-Dominguez M, Segurado-Miravalles G, Fernandez-Guarino M, Jaen-Olasolo P. Association between COVID-19 and chilblains: a case-control study. J Eur Acad Dermatol Venereol 2021; 35:e359-e361. [PMID: 33651424 PMCID: PMC8013508 DOI: 10.1111/jdv.17195] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [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: 11/17/2020] [Revised: 02/04/2021] [Accepted: 02/19/2021] [Indexed: 12/20/2022]
Affiliation(s)
- D Ortega-Quijano
- Servicio de Dermatología. Hospital, Universitario Ramón y Cajal, IRYCIS, Madrid, Spain.,Grupo de Dermatología Pedro Jaen, Madrid, Spain
| | - D Fernandez-Nieto
- Servicio de Dermatología. Hospital, Universitario Ramón y Cajal, IRYCIS, Madrid, Spain
| | - J Jimenez-Cauhe
- Servicio de Dermatología. Hospital, Universitario Ramón y Cajal, IRYCIS, Madrid, Spain
| | - J L Cortes-Cuevas
- Servicio de Microbiología. Hospital Universitario Ramón y Cajal, Madrid, Spain
| | - D Marcos-Mencia
- Servicio de Microbiología. Hospital Universitario Ramón y Cajal, Madrid, Spain
| | | | - G Segurado-Miravalles
- Servicio de Dermatología. Hospital, Universitario Ramón y Cajal, IRYCIS, Madrid, Spain.,Grupo de Dermatología Pedro Jaen, Madrid, Spain
| | - M Fernandez-Guarino
- Servicio de Dermatología. Hospital, Universitario Ramón y Cajal, IRYCIS, Madrid, Spain.,Grupo de Dermatología Pedro Jaen, Madrid, Spain
| | - P Jaen-Olasolo
- Servicio de Dermatología. Hospital, Universitario Ramón y Cajal, IRYCIS, Madrid, Spain.,Grupo de Dermatología Pedro Jaen, Madrid, Spain
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6
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Fernández-Nieto D, Ortega-Quijano D, Jiménez-Cauhé J, Fernández-Guarino M. Comments on «An Update on the Treatment and Management of Cellulitis». Actas Dermo-Sifiliográficas (English Edition) 2021. [DOI: 10.1016/j.adengl.2020.10.030] [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] Open
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7
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Fernandez-Nieto D, Ortega-Quijano D, Suarez-Valle A, Jimenez-Cauhe J, Jaen-Olasolo P, Fernandez-Guarino M. Lack of skin manifestations in COVID-19 hospitalized patients during the second epidemic wave in Spain: a possible association with a novel SARS-CoV-2 variant - a cross-sectional study. J Eur Acad Dermatol Venereol 2020; 35:e183-e185. [PMID: 33259091 PMCID: PMC7753475 DOI: 10.1111/jdv.17051] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Affiliation(s)
- D Fernandez-Nieto
- Dermatology Department, Ramon y Cajal University Hospital, Instituto de Investigación Sanitaria del Hospital Ramón y Cajal (Irycis), Universidad de Alcalá de Henares, Madrid, Spain
| | - D Ortega-Quijano
- Dermatology Department, Ramon y Cajal University Hospital, Instituto de Investigación Sanitaria del Hospital Ramón y Cajal (Irycis), Universidad de Alcalá de Henares, Madrid, Spain
| | - A Suarez-Valle
- Dermatology Department, Ramon y Cajal University Hospital, Instituto de Investigación Sanitaria del Hospital Ramón y Cajal (Irycis), Universidad de Alcalá de Henares, Madrid, Spain
| | - J Jimenez-Cauhe
- Dermatology Department, Ramon y Cajal University Hospital, Instituto de Investigación Sanitaria del Hospital Ramón y Cajal (Irycis), Universidad de Alcalá de Henares, Madrid, Spain
| | - P Jaen-Olasolo
- Dermatology Department, Ramon y Cajal University Hospital, Instituto de Investigación Sanitaria del Hospital Ramón y Cajal (Irycis), Universidad de Alcalá de Henares, Madrid, Spain
| | - M Fernandez-Guarino
- Dermatology Department, Ramon y Cajal University Hospital, Instituto de Investigación Sanitaria del Hospital Ramón y Cajal (Irycis), Universidad de Alcalá de Henares, Madrid, Spain
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8
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Fernández-Nieto D, Ortega-Quijano D, Jiménez-Cauhé J, Fernández-Guarino M. Comments on «An Update on the Treatment and Management of Cellulitis». Actas Dermosifiliogr (Engl Ed) 2020; 112:93-94. [PMID: 33058792 DOI: 10.1016/j.ad.2020.10.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2019] [Accepted: 10/04/2020] [Indexed: 11/17/2022] Open
Affiliation(s)
- D Fernández-Nieto
- Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Universidad de Alcalá de Henares, Madrid, España.
| | - D Ortega-Quijano
- Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Universidad de Alcalá de Henares, Madrid, España
| | - J Jiménez-Cauhé
- Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Universidad de Alcalá de Henares, Madrid, España
| | - M Fernández-Guarino
- Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Universidad de Alcalá de Henares, Madrid, España
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9
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Fernandez-Nieto D, Segurado-Miravalles G, Gonzalez-Cantero A, Ortega-Quijano D, Jimenez-Cauhe J, Boixeda P. Fluorescence-advanced videodermatoscopy characterization of demodex mites: a comparison with reflectance confocal microscopy. J Eur Acad Dermatol Venereol 2020; 35:e215-e216. [PMID: 32924177 DOI: 10.1111/jdv.16938] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- D Fernandez-Nieto
- Dermatology Department, Ramon y Cajal University Hospital, Madrid, Spain
| | | | - A Gonzalez-Cantero
- Dermatology Department, Ramon y Cajal University Hospital, Madrid, Spain
| | - D Ortega-Quijano
- Dermatology Department, Ramon y Cajal University Hospital, Madrid, Spain
| | - J Jimenez-Cauhe
- Dermatology Department, Ramon y Cajal University Hospital, Madrid, Spain
| | - P Boixeda
- Dermatology Department, Ramon y Cajal University Hospital, Madrid, Spain
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10
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Jimenez-Cauhe J, Ortega-Quijano D, Carretero-Barrio I, Suarez-Valle A, Saceda-Corralo D, Moreno-Garcia Del Real C, Fernandez-Nieto D. Erythema multiforme-like eruption in patients with COVID-19 infection: clinical and histological findings. Clin Exp Dermatol 2020; 45:892-895. [PMID: 32385858 PMCID: PMC7272969 DOI: 10.1111/ced.14281] [Citation(s) in RCA: 107] [Impact Index Per Article: 26.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/05/2020] [Indexed: 11/30/2022]
Affiliation(s)
- J Jimenez-Cauhe
- Departments of, Department of, Dermatology, Ramón y Cajal University Hospital, Universidad de Alcalá de Henares, Instituto de investigación Sanitaria del Hospital, Ramón y Cajal (Irycis), Madrid, Spain
| | - D Ortega-Quijano
- Departments of, Department of, Dermatology, Ramón y Cajal University Hospital, Universidad de Alcalá de Henares, Instituto de investigación Sanitaria del Hospital, Ramón y Cajal (Irycis), Madrid, Spain
| | - I Carretero-Barrio
- Department, Pathology, Ramon y Cajal University Hospital, Universidad de Alcalá de Henares, Instituto de investigación Sanitaria del Hospital, Ramón y Cajal (Irycis), Madrid, Spain
| | - A Suarez-Valle
- Departments of, Department of, Dermatology, Ramón y Cajal University Hospital, Universidad de Alcalá de Henares, Instituto de investigación Sanitaria del Hospital, Ramón y Cajal (Irycis), Madrid, Spain
| | - D Saceda-Corralo
- Departments of, Department of, Dermatology, Ramón y Cajal University Hospital, Universidad de Alcalá de Henares, Instituto de investigación Sanitaria del Hospital, Ramón y Cajal (Irycis), Madrid, Spain
| | - C Moreno-Garcia Del Real
- Department, Pathology, Ramon y Cajal University Hospital, Universidad de Alcalá de Henares, Instituto de investigación Sanitaria del Hospital, Ramón y Cajal (Irycis), Madrid, Spain
| | - D Fernandez-Nieto
- Departments of, Department of, Dermatology, Ramón y Cajal University Hospital, Universidad de Alcalá de Henares, Instituto de investigación Sanitaria del Hospital, Ramón y Cajal (Irycis), Madrid, Spain
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11
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Fernandez-Nieto D, Ortega-Quijano D, Jimenez-Cauhe J, Burgos-Blasco P, de Perosanz-Lobo D, Suarez-Valle A, Cortes-Cuevas JL, Carretero I, Garcia-Del Real C, Fernandez-Guarino M. Clinical and histological characterization of vesicular COVID-19 rashes: a prospective study in a tertiary care hospital. Clin Exp Dermatol 2020; 45:872-875. [PMID: 32384180 PMCID: PMC7273083 DOI: 10.1111/ced.14277] [Citation(s) in RCA: 78] [Impact Index Per Article: 19.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/04/2020] [Indexed: 12/14/2022]
Abstract
COVID‐19 is an infectious disease caused by severe acute respiratory coronavirus 2 (SARS‐CoV‐2). Vesicular skin rashes have been reported as associated with COVID‐19, but there is little information about this cutaneous manifestation. We designed a prospective observational study of patients diagnosed with COVID‐19 who had vesicular lesions. Clinical characterization of skin findings was conducted by dermatologists. When possible, histological analysis and detection of SARS‐CoV‐2 in the content of the vesicles was performed. In total, 24 patients were included. A disseminated pattern was found in 18 patients (75%), and a localized pattern was found in 6 (25%). Median duration of the skin rash was 10 days. Of the 24 patients, 19 (79.2%) developed the skin rash after the onset of COVID‐19 symptoms. Histological examination in two patients was consistent with viral infection, SARS‐CoV‐2 was not detected in four patients. This single‐centre study shows the clinical characteristics of vesicular skin rashes in patients with COVID‐19.
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Affiliation(s)
- D Fernandez-Nieto
- Departments of, Department of, Dermatology, Ramón y Cajal University Hospital, Universidad de Alcalá de Henares, Instituto de investigación Sanitaria del Hospital, Ramón y Cajal (Irycis), Madrid, Spain
| | - D Ortega-Quijano
- Departments of, Department of, Dermatology, Ramón y Cajal University Hospital, Universidad de Alcalá de Henares, Instituto de investigación Sanitaria del Hospital, Ramón y Cajal (Irycis), Madrid, Spain
| | - J Jimenez-Cauhe
- Departments of, Department of, Dermatology, Ramón y Cajal University Hospital, Universidad de Alcalá de Henares, Instituto de investigación Sanitaria del Hospital, Ramón y Cajal (Irycis), Madrid, Spain
| | - P Burgos-Blasco
- Departments of, Department of, Dermatology, Ramón y Cajal University Hospital, Universidad de Alcalá de Henares, Instituto de investigación Sanitaria del Hospital, Ramón y Cajal (Irycis), Madrid, Spain
| | - D de Perosanz-Lobo
- Departments of, Department of, Dermatology, Ramón y Cajal University Hospital, Universidad de Alcalá de Henares, Instituto de investigación Sanitaria del Hospital, Ramón y Cajal (Irycis), Madrid, Spain
| | - A Suarez-Valle
- Departments of, Department of, Dermatology, Ramón y Cajal University Hospital, Universidad de Alcalá de Henares, Instituto de investigación Sanitaria del Hospital, Ramón y Cajal (Irycis), Madrid, Spain
| | - J L Cortes-Cuevas
- Microbiology, Ramón y Cajal University Hospital, Universidad de Alcalá de Henares, Instituto de investigación Sanitaria del Hospital, Ramón y Cajal (Irycis), Madrid, Spain
| | - I Carretero
- Pathology, Ramón y Cajal University Hospital, Universidad de Alcalá de Henares, Instituto de investigación Sanitaria del Hospital, Ramón y Cajal (Irycis), Madrid, Spain
| | - C Garcia-Del Real
- Pathology, Ramón y Cajal University Hospital, Universidad de Alcalá de Henares, Instituto de investigación Sanitaria del Hospital, Ramón y Cajal (Irycis), Madrid, Spain
| | - M Fernandez-Guarino
- Departments of, Department of, Dermatology, Ramón y Cajal University Hospital, Universidad de Alcalá de Henares, Instituto de investigación Sanitaria del Hospital, Ramón y Cajal (Irycis), Madrid, Spain
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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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13
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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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14
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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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Fernandez-Nieto D, Jimenez-Cauhe J, Diaz-Guimaraens B, Diaz-Garcia N, Ortega-Quijano D. El sarampión ha vuelto. Reporte de 3 casos atendidos en el Servicio de Urgencias. Semergen 2019; 46:145-147. [DOI: 10.1016/j.semerg.2019.09.008] [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] [Received: 06/26/2019] [Revised: 09/06/2019] [Accepted: 09/13/2019] [Indexed: 10/25/2022]
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16
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Fernandez-Nieto D, Ortega-Quijano D, Jimenez-Cauhe J, Fernandez-Gonzalez P, Moreno-Moreno E, Bea-Ardebol S. Secondary syphilis mimicking tuberculoid leprosy in an HIV-positive individual: a case report. Int J STD AIDS 2019; 30:1235-1238. [PMID: 31558132 DOI: 10.1177/0956462419869136] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Secondary syphilis is a polymorphic condition resulting from the hematogenous and lymphatic dissemination of Treponema pallidum. Human immunodeficiency virus-positive patients are in greater risk of atypical and severe forms of the disease. The most common manifestation is a generalized papulosquamous eruption with variable mucosal involvement. However, annular plaques, split commissural papules, crusted necrotic or ulcerated lesions are also frequent. Granulomatous lesions, both clinically and histologically, are less common and present a diagnostic challenge. We describe a case of secondary syphilis presenting as a granulomatous rash with both clinical and histological features of tuberculoid leprosy. Complementary tests and clinical suspicion are essential to ensure a correct diagnosis and avoid subsequent complications.
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Affiliation(s)
- D Fernandez-Nieto
- Department of Dermatology, Hospital Universitario Ramón y Cajal, Madrid, Spain
| | - D Ortega-Quijano
- Department of Dermatology, Hospital Universitario Ramón y Cajal, Madrid, Spain
| | - J Jimenez-Cauhe
- Department of Dermatology, Hospital Universitario Ramón y Cajal, Madrid, Spain
| | | | - E Moreno-Moreno
- Department of Pathology, Hospital Universitario Ramón y Cajal, Madrid, Spain
| | - S Bea-Ardebol
- Department of Dermatology, Hospital Universitario Ramón y Cajal, Madrid, Spain
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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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Ortega-Quijano D, Garcia del Real C, Jimenez-Cauhe J, Fernandez-Nieto D, Ballester-Martinez A, Fernandez-Guarino M. Photodynamic therapy induced pemphigus: Atypical clinical, pathological and immunological features. Photodiagnosis Photodyn Ther 2019; 27:440-441. [DOI: 10.1016/j.pdpdt.2019.07.013] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2019] [Accepted: 07/16/2019] [Indexed: 12/26/2022]
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