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Nothegger B, Reider N, Covaciu CE, Cova V, Ahammer L, Eidelpes R, Unterhauser J, Platzgummer S, Tollinger M, Letschka T, Eisendle K. Allergen-specific immunotherapy with apples: selected cultivars could be a promising tool for birch pollen allergy. J Eur Acad Dermatol Venereol 2020; 34:1286-1292. [PMID: 31953891 PMCID: PMC7318684 DOI: 10.1111/jdv.16201] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [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] [Received: 10/03/2019] [Accepted: 12/17/2019] [Indexed: 11/28/2022]
Abstract
Background Most birch pollen‐allergic patients develop allergic cross‐reactions to the major allergen found in apples Mal d1, known as pollen‐related food allergy (prFA). This is due to a strong clinically relevant homology between the major allergen in birch Bet v 1 and Mal d 1. Daily apple consumption induces oral tolerance in prFA, but its effect on the inhalational allergy has not been investigated. Objectives As continuous apple consumption might also mitigate the inhalational allergy, this study aimed to uncover apple cultivars suitable for treatment of birch pollen rhinoconjunctivitis and apple allergy in a controlled and established dosage. Methods Patients (n = 52) with birch pollen allergy and prFA to apples were subjected to a prick‐to‐prick test (SPT) with 23 cultivars (red‐fleshed, old traditional and new commercial). By SPT, the apple parts flesh, peel equatorial and peel apical near the stalk were compared for their reactivity. One apple cultivar of each allergenicity class (low, middle and high) was subsequently tested in an oral provocation test (OPT). Results According to the SPTs, we provide a ranking of all 23 cultivars. Red‐fleshed apples displayed the lowest reactivity, followed by old and new cultivars. Four cultivars showed disagreement from their allergenicity class: Santana and Pink Lady®, new cultivars that provoked only low to moderate. In contrast, White Rosemary and Goldparmäne, two old cultivars, induced strong reactions. Skin reactivity increased from flesh to peel to stalk, and SPT results could predict the severity of prFA of each allergenicity class. Conclusions Herein, we propose a treatment protocol for allergen immunotherapy to birch pollen and prFA with daily apple consumption. Red‐fleshed, old and the new cultivars Santana and Pink Lady® provoke less allergic reactions and are suitable for initial induction. After a controlled and well‐tolerated increase of intake, also moderate and finally high allergenic apple cultivars should be integrated into treatment of birch pollen allergenic patients. Linked Commentary: K.‐C. Bergmann. J Eur Acad Dermatol Venereol 2020; 34: 1130–1130. https://doi.org/10.1111/jdv.16556.
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Affiliation(s)
- B Nothegger
- Department of Dermatology, Venerology and Allergology, Medical University of Innsbruck, Innsbruck, Austria
| | - N Reider
- Department of Dermatology, Venerology and Allergology, Medical University of Innsbruck, Innsbruck, Austria
| | - C E Covaciu
- Department of Dermatology, Venerology and Allergology, Central Teaching Hospital, Bolzano/Bozen, Italy
| | - V Cova
- Department of Applied Genomics and Molecular Biology, Laimburg Research Centre, Ora, Italy
| | - L Ahammer
- Institute of Organic Chemistry and Center for Molecular Biosciences Innsbruck, University of Innsbruck, Innsbruck, Austria
| | - R Eidelpes
- Institute of Organic Chemistry and Center for Molecular Biosciences Innsbruck, University of Innsbruck, Innsbruck, Austria
| | - J Unterhauser
- Institute of Organic Chemistry and Center for Molecular Biosciences Innsbruck, University of Innsbruck, Innsbruck, Austria
| | - S Platzgummer
- Clinical Chemistry and Microbiology Laboratory, Tappeiner Hospital, Meran, Italy
| | - M Tollinger
- Institute of Organic Chemistry and Center for Molecular Biosciences Innsbruck, University of Innsbruck, Innsbruck, Austria
| | - T Letschka
- Department of Applied Genomics and Molecular Biology, Laimburg Research Centre, Ora, Italy
| | - K Eisendle
- Department of Dermatology, Venerology and Allergology, Central Teaching Hospital, Bolzano/Bozen, Italy.,IMREST Interdisciplinary Medical Research Center South Tyrol, Claudiana College of Health-Care Professions, Bolzano, Bozen, Italy
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Giusti M, Gasser M, Valentini P, Pescollderungg L, Eisendle K. Food Protein‐Induced Enterocolitis Syndrome in South Tyrol 2012–2016: a population‐based study. J Eur Acad Dermatol Venereol 2019; 33:e257-e259. [PMID: 30767294 PMCID: PMC6619251 DOI: 10.1111/jdv.15510] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- M. Giusti
- College of Health‐Care Professions Claudiana Bolzano/Bozen Italy
- Catholic University of the Sacred Heart School of Medicine Rome Italy
| | - M. Gasser
- College of Health‐Care Professions Claudiana Bolzano/Bozen Italy
- Catholic University of the Sacred Heart School of Medicine Rome Italy
| | - P. Valentini
- College of Health‐Care Professions Claudiana Bolzano/Bozen Italy
- Catholic University of the Sacred Heart School of Medicine Rome Italy
- Pediatrics Unit Department of Woman and Child Health A. Gemelli University Hospital Rome Italy
| | - L. Pescollderungg
- Department of Pediatrics Central Hospital Bolzano Bolzano/Bozen Italy
| | - K. Eisendle
- College of Health‐Care Professions Claudiana Bolzano/Bozen Italy
- Catholic University of the Sacred Heart School of Medicine Rome Italy
- Department of Dermatology, Venereology and Allergology Academic Teaching Department of Medical University Innsbruck Central Hospital Bolzano Bolzano/Bozen Italy
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Campana L, Quaglino P, Bechara F, Marconato R, Ascierto P, Caracò C, Brizio M, Clover J, Bourke M, Valpione S, Sersa G, Kunte C, Mühlstädt M, Gerlini G, Hafner J, Patuzzo R, Farronato S, Orlando A, Eisendle K, Kis E. Electrochemotherapy in melanoma: a European e-Delphi survey to define a consensus on indications, treatment modalities and quality indicators. Eur J Surg Oncol 2019. [DOI: 10.1016/j.ejso.2018.10.088] [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: 10/27/2022] Open
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Wiedermann C, Eisendle K. Acute kidney injury in critically burned patients treated with hydroxyethyl starch: a response to Sánchez-Sánchez et al. Ann Burns Fire Disasters 2017; 30:220-221. [PMID: 29849528 PMCID: PMC5946756] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Received: 04/06/2017] [Accepted: 04/12/2017] [Indexed: 06/08/2023]
Affiliation(s)
- C.J. Wiedermann
- Department of Research, College of Health Professions ‘Claudiana’, Bolzano, Italy
- Department of Internal Medicine, Central Hospital of Bolzano, Bolzano, Italy
| | - K. Eisendle
- Department of Research, College of Health Professions ‘Claudiana’, Bolzano, Italy
- Department of Dermatology, Central Hospital of Bolzano, Bolzano, Italy
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Eisendle K. Reply to sentinel lymph node biopsy (SLNB) plus wide local excision vs. wide local excision alone for primary cutaneous melanoma: a systematic review and meta-analysis - SLNB is not associated with a significantly better outcome in melanoma survival. J Eur Acad Dermatol Venereol 2017; 31:e471-e472. [PMID: 28380261 DOI: 10.1111/jdv.14262] [Citation(s) in RCA: 2] [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: 11/30/2022]
Affiliation(s)
- K Eisendle
- Department of Dermatology, Venereology and Allergology. Academic Teaching Department of Medical University Innsbruck, Central Teaching Hospital Bolzano/Bozen, Böhlerstr. 5, Bolzano/Bozen, 39100, Italy.,College of Health Care Professions, Claudiana, Böhlerstr. 13, Bolzano/Bozen, 39100, Italy
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Pichler M, Thuile T, Gatscher B, Tappeiner L, Deluca J, Larcher L, Holzer M, Nguyen V, Exler G, Schmuth M, Klein G, Eisendle K. Systematic review of surgical treatment of pyoderma gangrenosum with negative pressure wound therapy or skin grafting. J Eur Acad Dermatol Venereol 2016; 31:e61-e67. [DOI: 10.1111/jdv.13727] [Citation(s) in RCA: 24] [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] [Indexed: 12/21/2022]
Affiliation(s)
- M. Pichler
- Department of Dermatology, Venereology and Allergology; Academic Teaching Department of Medical University Innsbruck; Central Teaching Hospital Bolzano/Bozen; Bolzano/Bozen Italy
| | - T. Thuile
- Department of Dermatology, Venereology and Allergology; Academic Teaching Department of Medical University Innsbruck; Central Teaching Hospital Bolzano/Bozen; Bolzano/Bozen Italy
| | - B. Gatscher
- Department of Dermatology, Venereology and Allergology; Academic Teaching Department of Medical University Innsbruck; Central Teaching Hospital Bolzano/Bozen; Bolzano/Bozen Italy
| | - L. Tappeiner
- Department of Dermatology, Venereology and Allergology; Academic Teaching Department of Medical University Innsbruck; Central Teaching Hospital Bolzano/Bozen; Bolzano/Bozen Italy
| | - J. Deluca
- Department of Dermatology, Venereology and Allergology; Academic Teaching Department of Medical University Innsbruck; Central Teaching Hospital Bolzano/Bozen; Bolzano/Bozen Italy
| | - L. Larcher
- Department of Plastic, Aesthetic and Reconstructive Surgery; Hospital of St. John of God Salzburg; Paracelsus Medical University Salzburg; Salzburg Austria
| | - M. Holzer
- University Department of Dermatology and Venereology; Medical University Innsbruck; Innsbruck Austria
| | - V.A. Nguyen
- University Department of Dermatology and Venereology; Medical University Innsbruck; Innsbruck Austria
| | - G. Exler
- Department of Dermatology; Hospital of Elisabethinen; Linz Austria
| | - M. Schmuth
- University Department of Dermatology and Venereology; Medical University Innsbruck; Innsbruck Austria
| | - G.F. Klein
- Department of Dermatology; Hospital of Elisabethinen; Linz Austria
| | - K. Eisendle
- Department of Dermatology, Venereology and Allergology; Academic Teaching Department of Medical University Innsbruck; Central Teaching Hospital Bolzano/Bozen; Bolzano/Bozen Italy
- College of Health Care Professions; Bolzano/Bozen Italy
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Deluca J, Goldschmidt A, Eisendle K. Analysis of effectiveness and safety of a three‐part triage system for the access to dermatology specialist health care. J Eur Acad Dermatol Venereol 2015; 30:1190-4. [DOI: 10.1111/jdv.13295] [Citation(s) in RCA: 3] [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] [Received: 02/12/2015] [Accepted: 05/18/2015] [Indexed: 11/30/2022]
Affiliation(s)
- J. Deluca
- Department of Dermatology, Venereology and Allergology Academic Teaching Department of Innsbruck Medical University Central Hospital Bolzano, Bolzano/Bozen Italy
| | - A. Goldschmidt
- International Health Care Management Institute University Trier Trier Germany
| | - K. Eisendle
- Department of Dermatology, Venereology and Allergology Academic Teaching Department of Innsbruck Medical University Central Hospital Bolzano, Bolzano/Bozen Italy
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8
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Thuile T, Eisendle K, Tschachler A, Zelger B. Kutane und systemische Borreliose. Akt Dermatol 2015. [DOI: 10.1055/s-0034-1392014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- T. Thuile
- Abteilung für Dermatologie, Venerologie und Allergologie, Akademische Lehrabteilung der Medizinischen Universität Innsbruck, Zentrales Lehrkrankenhaus Bozen/Bolzano, Italien
| | - K. Eisendle
- Abteilung für Dermatologie, Venerologie und Allergologie, Akademische Lehrabteilung der Medizinischen Universität Innsbruck, Zentrales Lehrkrankenhaus Bozen/Bolzano, Italien
| | - A. Tschachler
- Universitätsklinik für Dermatologie und Venerologie, Medizinische Universität Innsbruck, Österreich
| | - B. Zelger
- Universitätsklinik für Dermatologie und Venerologie, Medizinische Universität Innsbruck, Österreich
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Mercolini F, Verdi F, Eisendle K, Messner H, Staffler A. Congenital disseminated HSV-1 infection in preterm twins after primary gingivostomatitis of the mother: case report and review of the literature. Z Geburtshilfe Neonatol 2014; 218:261-4. [PMID: 25518832 DOI: 10.1055/s-0034-1385854] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Transplacental transmission of HSV infection is rare, typically associated with Herpes Simplex Virus 2 (HSV-2) and often reported in term infants, whereas only a few cases of preterm infants with Herpes Simplex Virus 1 (HSV-1) infection are found in the literature. We report the case of a transplacental HSV-1 infection in preterm twins born at 27 weeks gestation. At 23 weeks gestation the mother had experienced primary gingivostomatitis and "flu-like" symptoms, which healed without specific treatment. At birth both infants presented disseminated ulcerated skin lesions at the head, trunk and extremities. Soon after birth, the infants required mechanical ventilation and showed multiple organ involvement. On the basis of the mother's positive HSV-1 serology, treatment was established before the Tzanck test, serological findings and polymerase chain reaction of the skin and blood had confirmed the neonatal infection. In spite of the early diagnosis within hours after birth and immediate treatment, the extensive skin involvement associated with rapidly progressing multiorgan failure resulted in death of both infants within 3 days. Although a primary HSV-1 infection during pregnancy is extremely rare, gingivostomatitis with general symptoms can lead to transplacental infection and should therefore be taken seriously. Prompt recognition and treatment in the mother are paramount and might be life-saving for the infants.
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Affiliation(s)
- F Mercolini
- Department of Neonatology, Regional Hospital, Bolzano, Italy
| | - F Verdi
- Department of Obstetrics and Gynecology, Regional Hospital, Bolzano, Italy
| | - K Eisendle
- Department of Dermatology, Regional Hospital, Bolzano, Italy
| | - H Messner
- Department of Neonatology, Regional Hospital, Bolzano, Italy
| | - A Staffler
- Department of Neonatology, Regional Hospital, Bolzano, Italy
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Larcher L, Eisendle K, Schwaiger K, Kaplan R, Riml S, Mattiassich G, Ensat F, Wechselberger G. Lipomatosis of the mons pubis secondary to localized scleroderma (Morphea): first report of surgical management. J Eur Acad Dermatol Venereol 2014; 30:377-8. [PMID: 25370577 DOI: 10.1111/jdv.12810] [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: 11/29/2022]
Affiliation(s)
- L Larcher
- Department of Plastic, Aesthetic and Reconstructive Surgery, Hospital of St. John of God (Barmherzige Brüder) Salzburg (A), University Teaching Hospital - Paracelsus Medical University Salzburg, Salzburg, Austria
| | - K Eisendle
- Department of Dermatology and Venerology, Central Teaching Hospital of Bozen, Bozen, Italy
| | - K Schwaiger
- Paracelsus Medical University Salzburg, Salzburg, Austria
| | - R Kaplan
- Department of Plastic, Aesthetic and Reconstructive Surgery, Hospital of St. John of God (Barmherzige Brüder) Salzburg (A), University Teaching Hospital - Paracelsus Medical University Salzburg, Salzburg, Austria
| | - S Riml
- Department of Plastic, Reconstructive and Hand Surgery, Kantonsspital St. Gallen, St. Gallen, Switzerland
| | - G Mattiassich
- Trauma Center Unfallkrankenhaus Linz, University Teaching Hospital - Paracelsus Medical University Salzburg, Salzburg, Austria
| | - F Ensat
- Department of Plastic, Aesthetic and Reconstructive Surgery, Hospital of St. John of God (Barmherzige Brüder) Salzburg (A), University Teaching Hospital - Paracelsus Medical University Salzburg, Salzburg, Austria
| | - G Wechselberger
- Department of Plastic, Aesthetic and Reconstructive Surgery, Hospital of St. John of God (Barmherzige Brüder) Salzburg (A), University Teaching Hospital - Paracelsus Medical University Salzburg, Salzburg, Austria
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11
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Deluca J, Goldschmidt A, Eisendle K. Requests for dermatology specialist consultations show an inverse correlation with waiting time: an analysis of waiting time to access dermatology specialist health care in Bolzano, South Tyrol, Italy. Br J Dermatol 2014; 172:1133-5. [PMID: 25125081 DOI: 10.1111/bjd.13344] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [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)
- J Deluca
- Department of Dermatology, Venereology and Allergology, Teaching Department of Innsbruck Medical University, Central Hospital Bolzano, L. Böhlerstr. 5, Bozen, 39100, Italy
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12
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Cattrini B, Eisendle K. Primary umbilical endometriosis: description of a case. GIORN ITAL DERMAT V 2014; 149:471-473. [PMID: 25068237] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Affiliation(s)
- B Cattrini
- Department of Dermatology and Venerology, Central Teaching Hospital of Bolzano, Bolzano, Italy -
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Pichler M, Staffler A, Bonometti N, Messner H, Deluca J, Thuile T, Kluge R, Schmuth M, Eisendle K. Premature newborns with fatal intrauterine herpes simplex virus-1 infection: first report of twins and review of the literature. J Eur Acad Dermatol Venereol 2014; 29:1216-20. [DOI: 10.1111/jdv.12583] [Citation(s) in RCA: 64] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2014] [Accepted: 05/12/2014] [Indexed: 11/30/2022]
Affiliation(s)
- M. Pichler
- Department of Dermatology, Venereology and Allergology; Academic Teaching Department of Innsbruck Medical University; Central Teaching Hospital of Bolzano/Bozen; Bolzano/Bozen Italy
| | - A. Staffler
- Neonatal Intensive Care Unit; Central Teaching Hospital of Bolzano/Bozen; Bolzano Italy
| | - N. Bonometti
- Department of Dermatology, Venereology and Allergology; Academic Teaching Department of Innsbruck Medical University; Central Teaching Hospital of Bolzano/Bozen; Bolzano/Bozen Italy
| | - H. Messner
- Neonatal Intensive Care Unit; Central Teaching Hospital of Bolzano/Bozen; Bolzano Italy
| | - J. Deluca
- Department of Dermatology, Venereology and Allergology; Academic Teaching Department of Innsbruck Medical University; Central Teaching Hospital of Bolzano/Bozen; Bolzano/Bozen Italy
| | - T. Thuile
- Department of Dermatology, Venereology and Allergology; Academic Teaching Department of Innsbruck Medical University; Central Teaching Hospital of Bolzano/Bozen; Bolzano/Bozen Italy
| | - R. Kluge
- Department of Pathology; Central Teaching Hospital of Bolzano/Bozen; Bolzano Italy
| | - M. Schmuth
- Department of Dermatology; Innsbruck Medical University; Innsbruck Austria
| | - K. Eisendle
- Department of Dermatology, Venereology and Allergology; Academic Teaching Department of Innsbruck Medical University; Central Teaching Hospital of Bolzano/Bozen; Bolzano/Bozen Italy
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Deluca J, Gatscher B, Tappeiner L, Pichler M, Eisendle K. Direct comparison between negative wound pressure therapy and negatively charged polystyrene microspheres in wound bed preparation for split skin grafting in two large symmetric whole circumference leg ulcers, a single patient experience. J Eur Acad Dermatol Venereol 2014; 29:1649-51. [DOI: 10.1111/jdv.12527] [Citation(s) in RCA: 7] [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: 01/15/2014] [Accepted: 03/17/2014] [Indexed: 11/30/2022]
Affiliation(s)
- J. Deluca
- Department of Dermatology; Venerology and Allergology; Academic Teaching Department of Innsbruck Medical University; Central Teaching Hospital of Bolzano; Bozen Italy
| | - B. Gatscher
- Department of Dermatology; Venerology and Allergology; Academic Teaching Department of Innsbruck Medical University; Central Teaching Hospital of Bolzano; Bozen Italy
| | - L. Tappeiner
- Department of Dermatology; Venerology and Allergology; Academic Teaching Department of Innsbruck Medical University; Central Teaching Hospital of Bolzano; Bozen Italy
| | - M. Pichler
- Department of Dermatology; Venerology and Allergology; Academic Teaching Department of Innsbruck Medical University; Central Teaching Hospital of Bolzano; Bozen Italy
| | - K. Eisendle
- Department of Dermatology; Venerology and Allergology; Academic Teaching Department of Innsbruck Medical University; Central Teaching Hospital of Bolzano; Bozen Italy
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Ambrosini‐Spaltro A, Dal Cappello T, Deluca J, Carriere C, Mazzoleni G, Eisendle K. Melanoma incidence and Breslow tumour thickness development in the central Alpine region of South Tyrol from 1998 to 2012: a population‐based study. J Eur Acad Dermatol Venereol 2014; 29:243-248. [DOI: 10.1111/jdv.12501] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2014] [Accepted: 03/05/2014] [Indexed: 11/29/2022]
Affiliation(s)
| | | | - J. Deluca
- Dermatology Unit Central Hospital Bolzano Bolzano Italy
| | - C. Carriere
- Dermatology Unit Central Hospital Bolzano Bolzano Italy
| | - G. Mazzoleni
- Pathology Unit Central Hospital Bolzano Bolzano Italy
- Cancer Registry of South Tyrol Bolzano Italy
| | - K. Eisendle
- Dermatology Unit Central Hospital Bolzano Bolzano Italy
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Pichler M, Carriere C, Mazzoleni G, Kluge R, Eisendle K. Acne inversa-like lesions associated with the multi-kinase inhibitor sorafenib. Clin Exp Dermatol 2013; 39:232-3. [PMID: 24330088 DOI: 10.1111/ced.12257] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/12/2013] [Indexed: 11/28/2022]
Affiliation(s)
- M Pichler
- Department of Dermatology, Central Teaching Hospital of Bolzano, Bolzano/Bozen, Italy.
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Müller H, Eisendle K, Bräuninger W, Kutzner H, Cerroni L, Zelger B. Comparative analysis of immunohistochemistry, polymerase chain reaction and focus-floating microscopy for the detection of Treponema pallidum in mucocutaneous lesions of primary, secondary and tertiary syphilis. Br J Dermatol 2011; 165:50-60. [PMID: 21410678 DOI: 10.1111/j.1365-2133.2011.10314.x] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
BACKGROUND The incidence of syphilis is increasing in many parts of the world including a re-emergence in Western Europe and North America. Depending on the disease stage, direct detection of Treponema pallidum in mucocutaneous lesions of syphilis may be difficult and histopathological findings are not always straightforward. Thus, the correct histological diagnosis may be challenging. OBJECTIVES Comparatively to evaluate the evidence for infection with T. pallidum by immunohistochemistry (IHC), polymerase chain reaction (PCR) and focus-floating microscopy (FFM). METHODS A series of 86 paraffin-embedded skin biopsy samples from patients with primary, secondary or tertiary syphilis was assessed for detection of T. pallidum by IHC and FFM; 45 specimens were also investigated by a T. pallidum-specific PCR analysis. Histopathological reaction patterns and number and distribution of treponemes were studied, and all data were re-evaluated by clinicopathological correlation. RESULTS Using a polyclonal antibody directed against T. pallidum, we detected the presence of T. pallidum by IHC in 42/86 (49%) samples [6/9 (67%) primary, 34/62 (55%) secondary and 2/15 (13%) tertiary syphilis]. T. pallidum-specific DNA was detected in 31/45 (69%) specimens [4/4 (100%) primary, 26/34 (76%) secondary and 1/7 (14%) tertiary syphilis]. In comparison, FFM analysis resulted in an overall detection rate of 82/86 (95%) [9/9 (100%) primary, 60/62 (97%) secondary and 13/15 (87%) tertiary syphilis]. Significant differences were observed concerning amount and distribution of organisms (epitheliotropic vs. endotheliotropic) in correlation to the three disease stages and to histopathological reaction patterns. CONCLUSIONS FFM is a highly sensitive and specific method to detect T. pallidum in tissue from mucocutaneous syphilis lesions. Our results indicate that a combination of PCR and FFM, as the most sensitive approach, could provide an additional benefit for the histopathological diagnosis of (late) secondary and tertiary syphilis and may be helpful in cases where serological testing of T. pallidum antibodies has failed, but the clinical suspicion for syphilis remains.
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Affiliation(s)
- H Müller
- Department of Dermatology, Medical University Innsbruck, Innsbruck, Austria.
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Abstract
Erythema annulare centrifugum (EAC) is a clinical reaction pattern and not a specific clinicohistologic entity. The clinical and histologic differential diagnosis of EAC should take at least three main disease groups into consideration, which are often classified under this disorder: (tumid) lupus erythematosus, spongiotic dermatitides, and pseudolymphomas.
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Affiliation(s)
- M Ziemer
- Klinik für Dermatologie und Dermatologische Allergologie, Friedrich Schiller Universität, Erfurter Str. 35, 07743, Jena.
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Ziemer M, Eisendle K, Zelger B. Erythema annulare centrifugum? Akt Dermatol 2010. [DOI: 10.1055/s-0029-1243851] [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: 10/19/2022]
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Ziemer M, Eisendle K, Müller H, Zelger B. Lymphocytic infiltration of the skin (Jessner-Kanof) but not reticular erythematous mucinosis occasionally represents clinical manifestations ofBorrelia-associated pseudolymphoma. Br J Dermatol 2009; 161:583-90. [DOI: 10.1111/j.1365-2133.2009.09279.x] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Eisendle K, Zelger B. The expanding spectrum of cutaneous borreliosis. GIORN ITAL DERMAT V 2009; 144:157-171. [PMID: 19357623] [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] [Indexed: 05/27/2023]
Abstract
The known spectrum of skin manifestations in cutaneous Lyme disease is continuously expanding and can not be regarded as completed. Besides the classical manifestations of cutaneous borreliosis like erythema (chronicum) migrans, borrelial lymphocytoma and acrodermatitis chronica atrophicans evidence is growing that at least in part also other skin manifestations, especially morphea, lichen sclerosus and cases of cutaneous B-cell lymphoma are causally related to infections with Borrelia. Also granuloma annulare and interstitial granulomatous dermatitis might be partly caused by Borrelia burgdorferi or similar strains. There are also single reports of other skin manifestations to be associated with borrelial infections like cutaneous sarcoidosis, necrobiosis lipoidica and necrobiotic xanthogranuloma. In addition, as the modern chameleon of dermatology, cutaneous borreliosis, especially borrelial lymphocytoma, mimics other skin conditions, as has been shown for erythema annulare centrifugum or lymphocytic infiltration (Jessner Kanof) of the skin.
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Affiliation(s)
- K Eisendle
- Department of Dermatology and Venerology, Innsbruck Medical University, Innsbruck, Austria.
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Ziemer M, Eisendle K, Zelger B. New concepts on erythema annulare centrifugum: a clinical reaction pattern that does not represent a specific clinicopathological entity. Br J Dermatol 2009; 160:119-26. [DOI: 10.1111/j.1365-2133.2008.08803.x] [Citation(s) in RCA: 53] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Müller H, Eisendle K, Gastl G, Höpfl R, Zelger B. Palliative therapy of giant basal cell carcinoma with the monoclonal anti-epidermal growth factor receptor antibody cetuximab. Br J Dermatol 2008; 158:1386-8. [DOI: 10.1111/j.1365-2133.2008.08547.x] [Citation(s) in RCA: 12] [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: 02/02/2023]
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Eisendle K, Baltaci M, Kutzner H, Zelger B. Detection of spirochaetal microorganisms by focus floating microscopy in necrobiosis lipoidica in patients from central Europe. Histopathology 2008; 52:877-84. [PMID: 18462358 DOI: 10.1111/j.1365-2559.2008.03051.x] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
AIMS Necrobiosis lipoidica (NL) is a chronic inflammatory skin disease with unknown aetiology. The aim was to determine the presence of spirochaetal microorganisms in NL. METHODS AND RESULTS Focus-floating microscopy (FFM) is a modified immunohistochemical technique that was developed to detect borrelial spirochaetes within tissue sections. It has proven to be more sensitive for the detection of spirochaetes than polymerase chain reaction (PCR). Fifty-six cases of NL as well as 44 negative and 33 positive controls were investigated for the presence of Borrelia within tissue specimens. Using FFM, Borrelia could be detected in 42 cases (75.0%) and were seen significantly more often in histologically active inflammatory-rich (38/41, 92.7%) than in inflammatory-poor (4/15, 26.7%) cases of NL (P < 0.001). Seven cases investigated with a Borrelia-specific PCR (23s-RNA) remained negative. In contrast, FFM was positive in 30 of 33 (90.9%) positive controls of acrodermatitis chronica atrophicans and 15 of the positive controls (45.5%) were also positive with PCR, whereas no negative controls revealed any microorganisms. CONCLUSIONS Detection of spirochaetes in NL points to a specific involvement of B. burgdorferi or other similar strains in the development of or trigger for this disease.
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Affiliation(s)
- K Eisendle
- Department of Dermatology and Venerology, Innsbruck Medical University, Innsbruck, Austria.
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Huemer HP, Himmelreich A, Hönlinger B, Pavlic M, Eisendle K, Höpfl R, Rabl W, Czerny CP. “Recreational” Drug Abuse Associated with Failure to Mount a Proper Antibody Response after a Generalised Orthopoxvirus Infection. Infection 2007; 35:469-73. [DOI: 10.1007/s15010-007-6194-9] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2006] [Accepted: 01/08/2007] [Indexed: 11/30/2022]
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Eisendle K, Bonatti H, Sepp N, Höpfl R. Vancomycin-induced linear IgA bullous dermatosis in an immunosuppressed transplant recipient. J Eur Acad Dermatol Venereol 2007; 21:996-7. [PMID: 17659024 DOI: 10.1111/j.1468-3083.2006.02069.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Weinlich G, Topar G, Eisendle K, Fritsch PO, Zelger B. Comparison of metallothionein-overexpression with sentinel lymph node biopsy as prognostic factors in melanoma. J Eur Acad Dermatol Venereol 2007; 21:669-77. [PMID: 17447982 DOI: 10.1111/j.1468-3083.2006.02051.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
BACKGROUND Metallothioneins (MT) are ubiquitous, intracellular small proteins with high affinity for heavy metal ions. Immunohistochemical MT overexpression in paraffin-embedded tissues of patients with primary melanoma is associated with poor prognosis. While sentinel lymph node (SLN) biopsy is an established surgical technique for high-risk melanoma patients with predictive value for progression, the benefit of this procedure for the individual patient's overall survival remains unclear. AIM AND METHODS We examined the role of MT overexpression in comparison with SLN biopsy in melanoma patients as a prognostic marker for progression and survival. One hundred and fifty-eight (158) patients underwent SLN biopsy due to high-risk melanoma. Primary melanoma specimens were investigated by using a monoclonal antibody against MT on routinely fixed, paraffin-embedded tissues. The patients were followed up (median 37 months); the data of disease free survival and overall survival were calculated with a broad panel of statistical analyses. RESULTS Twenty-eight (18%) out of 158 recruited melanoma patients developed metastases, 17 (11%) patients died due to widespread disease. Kaplan-Meier curves gave significant disadvantages for the MT-positive as well as the SLN-positive group for progression and survival. In the Fisher's exact test and Pearson's chi(2)-test MT overexpression was highly significant for progression, whereas SLN biopsy failed significance. In univariate as well as multivariate Cox regression analysis MT overexpression proved an excellent marker for progression (P=0.007 and P=0.009), although the P-values for survival were not significant. In contrast, while in the univariate analysis SLN biopsy did not show significant results for progression it did for survival, and in the multivariate analysis reached a P-value < 0.05 for both measured endpoints. CONCLUSION Results corroborate the validity of MT overexpression in primary melanoma as a useful prognostic marker in melanoma patients. Accuracy is comparable and to some degree supplementary to the results of SLN biopsy.
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Affiliation(s)
- G Weinlich
- Clinical Department of Dermatology and Venerology, Innsbruck Medical University, Innsbruck, Austria.
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Eisendle K, Jaschke W, Sepp N. Livedo racemosa and digital necrosis in a patient with primary seronegative antiphospholipid syndrome and fibromuscular dysplasia of peripheral arteries. Br J Dermatol 2007; 157:389-92. [PMID: 17553034 DOI: 10.1111/j.1365-2133.2007.07989.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Piza-Katzer H, Engelhardt T, Wechselberger G, Eisendle K, Zelger B, Fritsch P. [Xanthoma disseminatum: a rare case involving the upper extremity]. HANDCHIR MIKROCHIR P 2006; 38:113-8. [PMID: 16680668 DOI: 10.1055/s-2006-924030] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
Abstract
We describe a dramatic case of class II non-Langerhans cell histiocytosis, xanthoma disseminatum, in a 30-year-old male patient with progressive involvement of the skin, vocal cords, eyes, bones and nerves in spite of chemotherapy with Vespesid and immunotherapy with interferon-gamma. At the age of 43 years, the patient required surgical clearance of airways, eyelids and peripheral nerves, but at present exhibits stable disease on a combination of lipid-lowering drugs including thiazolidinedione.
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Affiliation(s)
- H Piza-Katzer
- Klinik für Plastische und Wiederherstellungschirurgie, Medizinische Universität Innsbruck, Osterreich.
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Weinlich G, Eisendle K, Hassler E, Baltaci M, Fritsch PO, Zelger B. Metallothionein - overexpression as a highly significant prognostic factor in melanoma: a prospective study on 1270 patients. Br J Cancer 2006; 94:835-41. [PMID: 16508630 PMCID: PMC2361379 DOI: 10.1038/sj.bjc.6603028] [Citation(s) in RCA: 55] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023] Open
Abstract
Metallothioneins (MT) are ubiquitous, intracellular small proteins with high affinity for heavy metal ions. In the last decades, it was shown that MT overexpression in a variety of cancers is associated with resistance to anticancer drugs and is combined with a poor prognosis. In this prospective study, we examined the role of MT overexpression in melanoma patients as a prognostic factor for progression and survival. Between 1993 and 2004, 3386 patients with primary cutaneous melanoma were investigated by using a monoclonal antibody against MT on routinely fixed, paraffin-embedded tissues. In all, 1270 patients could be followed up for further statistical analysis (Fisher's exact test, Mantel-Haenszel chi2 test, Kaplan-Meier curves). The MT data of disease-free interval and overall survival were compared univariately and multivariately in Cox regression analysis. Immunohistochemical overexpression of MT in tumour cells of patients with primary melanoma (310 of 1270; 24.4%) was associated with a higher risk for progression (117 of 167; 70.1%) and reduced survival (80 of 110; 72.7%) of the disease (P<0.0001). Similarly, Kaplan-Meier curves gave highly significant disadvantages for the MT-positive group. Univariate analysis (relative risk 7.4; 95% confidence interval (CI) 5.2-10.2; P<0.0001 for progression; relative risk 7.1; 95% CI 4.7-10.9; P<0.0001 for survival), as well as multivariate analysis with other prognostic markers resulted in MT overexpression as a highly significant and independent factor for prognosis in primary melanoma.
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Affiliation(s)
- G Weinlich
- Clinical Department of Dermatology and Venerology, Innsbruck Medical University, Anichstrasse 35, Innsbruck A-6020, Austria.
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Abstract
BACKGROUND Sentinel lymph node (SLN) biopsy is advocated as the standard of care for patients with primary melanoma. It is a procedure with few side-effects and provides valuable staging information about the regional lymphatics. OBJECTIVES To investigate the prognostic value of SLN biopsy and to compare it with that of other known risk factors in primary melanoma. METHODS One hundred and forty-nine patients with primary melanomas (tumour thickness >1.0 mm) underwent SLN biopsy between May 1998 and April 2004 at our department. This report summarizes the follow-up data of this cohort until October 2004. RESULTS SLN biopsies of 49 of 149 patients (33%) revealed micrometastatic disease. Of all clinical and histological criteria, only the clinical type of primary melanoma (11 of 19 patients with acrolentiginous melanomas) and the Clark level were predictive for SLN positivity. Progression was observed in 22 patients (15%). It was significantly associated with ulceration of the primary tumour, tumour thickness, clinical type and localization of the primary tumour, female sex and older age. In contrast, SLN positivity was not significantly associated with a higher risk of progression (eight of 49 SLN-positive vs. 14 of 100 SLN-negative patients; P = 0.807). Twelve of 149 patients (8%) died because of melanoma in the follow-up period. Significant criteria for death were ulceration of the tumour, clinical type and localization of the primary tumour, but not SLN positivity. CONCLUSIONS A high percentage of positive SLNs was observed in the patients with melanoma in our study (33%). The fractions of patients both with progressive disease and with tumour-related death were not significantly higher in patients with positive SLN than in those with negative SLN. We therefore conclude that the SLN status is not a reliable prognostic factor for progression of melanoma.
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Affiliation(s)
- G Topar
- Clinical Department of Dermatology and Venereology, Innsbruck Medical University, Anichstrasse 35, A-6020 Innsbruck, Austria.
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Clausen J, Enk M, Vergeiner B, Eisendle K, Petzer AL, Gastl G, Gunsilius E. Suppression of natural killer cells in the presence of CD34+ blood progenitor cells and peripheral blood lymphocytes. Biol Blood Marrow Transplant 2005; 10:691-7. [PMID: 15389435 DOI: 10.1016/j.bbmt.2004.06.009] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Abstract Mobilization of CD34 + peripheral blood progenitor cells (PBPCs) with granulocyte-colony stimulating factor (G-CSF) may induce functional alterations in peripheral blood lymphocyte (PBL) subsets. We and others have shown that natural killer (NK) cells from PBPC collections are less expandable in vitro than those obtained during steady-state hematopoiesis. We show here that the extent of this proliferation deficit is related to the number of circulating CD34 + cells in vivo at the time of PBPC apheresis. Likewise, addition of autologous CD34 + cells to unseparated PBL reduced the expansion of the NK-cell subset by 22.2% +/- 6.0% (n = 10; P <.005). In contrast, when using purified NK cells, their proliferation remained unimpaired by autologous CD34 + cells. Supernatants from CD34 + cells cultured with autologous PBLs had an inhibitory effect on proliferation of purified NK cells (n = 16; P =.03), indicating that an interaction between CD34 + cells and lymphocytes is essential for the suppressive effect on NK cells. To investigate the role of T cells in this interaction, intracellular cytokines were determined in T cells cultured for 7 days with or without autologous CD34 + cells. When cultured with CD34 + cells, the frequency of IL-2-producing CD4 + and CD8 + T cells was reduced by 19% and 24%, respectively, compared with T cells cultured alone (n = 7; P =.016). Interferon-gamma-producing T cells were slightly reduced ( P = not statistically significant [ns]). Finally, the influence of T cells and NK cells on the recovery of myeloid colony-forming cells (CFU-GMs) from purified CD34 + cells was examined. In the presence of T cells, 16% +/- 6% of the input CFU-GM recovered after 7 days, compared with 5% +/- 4% in the presence of NK cells (n = 5; P = ns). Our findings point to an inhibition of NK-cell proliferation mediated by an interaction of CD34 + cells and T cells occurring during PBPC mobilization with G-CSF.
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Affiliation(s)
- J Clausen
- Laboratory of Tumor Biology & Angiogenesis, Division of Hematology & Oncology, Department of Internal Medicine, University Hospital, Innsbruck, Austria
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Eisendle K, Fritsch P. Fatal fulminant legionnaires' disease in a patient with severe erythodermic psoriasis treated with infliximab after long-term steroid therapy. Br J Dermatol 2005; 152:585-6. [PMID: 15787843 DOI: 10.1111/j.1365-2133.2005.06431.x] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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