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Fabre M, Lamoureux A, Meunier L, Samaran Q, Lesage C, Girard C, Du Thanh A, Moulis L, Dereure O. Efficiency and tolerance of second-line triple BRAF inhibitor/MEK inhibitor/anti-PD1 combined therapy in BRAF mutated melanoma patients with central nervous system metastases occurring during first-line combined targeted therapy: a real-life survey. Melanoma Res 2024; 34:241-247. [PMID: 38546723 DOI: 10.1097/cmr.0000000000000963] [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: 04/26/2024]
Abstract
Although current systemic therapies significantly improved the outcome of advanced melanoma, the prognosis of patient with central nervous system (CNS) metastases remains poor especially when clinically symptomatic. We aimed to investigate the efficiency of CNS targets and tolerance of second-line combined anti-PD1/dual-targeted anti-BRAF/anti-MEK therapy implemented in patients with CNS progression after initially efficient first-line combined targeted therapy in patients with BRAF-mutated melanoma in a real-life setting. A monocentric retrospective analysis including all such patients treated from January 2017 to January 2022 was conducted in our tertiary referral center. The response of CNS lesions to second-line triple therapy was assessed through monthly clinical and at least quarterly morphological (according to RECIST criteria) evaluation. Tolerance data were also collected. Seventeen patients were included with a mean follow-up of 2.59 (±2.43) months. Only 1 patient displayed a significant clinical and morphological response. No statistically significant difference was observed between patients receiving or not additional local therapy (mainly radiotherapy) as to response achievement. Immunotherapy was permanently discontinued in 1 patient owing to grade 4 toxicity. Mean PFS and OS after CNS progression were 2.59 and 4.12 months, respectively. In this real-life survey, the subsequent addition of anti-PD1 to combined targeted therapy in melanoma patients with upfront CNS metastases did not result in significant response of CNS targets in most BRAF mutated melanoma patients with secondary CNS progression after initially successful first-line combined targeted therapy.
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Affiliation(s)
- Marie Fabre
- Department of Dermatology, University of Montpellier
| | | | | | | | | | - Céline Girard
- Department of Dermatology, University of Montpellier
| | - Aurélie Du Thanh
- Department of Dermatology, University of Montpellier
- INSERM U1058 'Pathogenesis and Control of Chronic and Emerging Infections' University of Montpellier, Montpellier, France
| | - Lionel Moulis
- Department of Dermatology, University of Montpellier
| | - Olivier Dereure
- Department of Dermatology, University of Montpellier
- INSERM U1058 'Pathogenesis and Control of Chronic and Emerging Infections' University of Montpellier, Montpellier, France
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Samaran Q, Moulonguet I, Bonnefille H, Stoebner PE, Zaraa I, Goettmann S, Ovtchinnikoff B. Two cases of multiple onychomatricomas affecting the fingers on both hands. J Eur Acad Dermatol Venereol 2024. [PMID: 38682604 DOI: 10.1111/jdv.20045] [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: 01/20/2024] [Accepted: 04/06/2024] [Indexed: 05/01/2024]
Affiliation(s)
- Q Samaran
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - I Moulonguet
- Cabinet de Dermatopathologie Mathurin Moreau, Paris, France
| | - H Bonnefille
- Department of Dermatology, Nîmes University Hospital and Montpellier University, Nîmes, France
| | - P E Stoebner
- Department of Dermatology, Nîmes University Hospital and Montpellier University, Nîmes, France
| | - I Zaraa
- Department of Dermatology, Groupe Hospitalier Paris Saint Joseph, Paris, France
| | - S Goettmann
- Department of Dermatology, Hôpital Bichat, Claude Bernard, Paris, France
| | - B Ovtchinnikoff
- Department of Dermatology, Nîmes University Hospital and Montpellier University, Nîmes, France
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3
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Samaran Q, Raison-Peyron N, Dereure O, Svedman C, Dahlin J. Allergic contact dermatitis to isobornyl acrylate in a hospital wristband. Contact Dermatitis 2024. [PMID: 38448369 DOI: 10.1111/cod.14539] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2024] [Accepted: 02/22/2024] [Indexed: 03/08/2024]
Affiliation(s)
- Quentin Samaran
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Nadia Raison-Peyron
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Olivier Dereure
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Cecilia Svedman
- Department of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, Sweden
| | - Jakob Dahlin
- Department of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, Sweden
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Samaran Q, Litovsky J, Girod M, Dereure O, Raison-Peyron N. Allergic Contact Dermatitis to Tea Tree Oil With No Sensitization to Fragrance Markers. Dermatitis 2024; 35:186-187. [PMID: 37327013 DOI: 10.1089/derm.2023.0071] [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] [Indexed: 06/17/2023]
Affiliation(s)
- Quentin Samaran
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Julie Litovsky
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Manon Girod
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Olivier Dereure
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Nadia Raison-Peyron
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
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Samaran Q, Stoebner P, Ovtchinnikoff B. Single-stage reconstruction of a large defect of the ear. Australas J Dermatol 2023. [PMID: 38158628 DOI: 10.1111/ajd.14210] [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] [Received: 10/12/2023] [Revised: 12/11/2023] [Accepted: 12/15/2023] [Indexed: 01/03/2024]
Abstract
To reconstruct a large anterior skin and cartilage defect of the upper half of the external ear in an elderly patient after cancer surgery, different techniques are possible, but single-stage procedures should be advised. Combining flaps with reliable vascular supply, like the revolving door post-auricular flap and a mastoid advancement flap, is an attractive single-stage reconstructive option to rebuild a sturdy auricle.
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Affiliation(s)
- Quentin Samaran
- Department of Dermatology, Montpellier University Hospital, Montpellier, France
- Montpellier University, Montpellier, France
| | - Pierre Stoebner
- Montpellier University, Montpellier, France
- Department of Dermatology, Nîmes University Hospital, Nîmes, France
| | - Bernadette Ovtchinnikoff
- Montpellier University, Montpellier, France
- Department of Dermatology, Nîmes University Hospital, Nîmes, France
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6
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Samaran Q, Allichon S, Pernet C, Dereure O, Raison-Peyron N. Occupational allergic contact dermatitis to several metals, including rhodium. Contact Dermatitis 2023; 89:513-515. [PMID: 37731330 DOI: 10.1111/cod.14423] [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: 09/02/2023] [Revised: 09/11/2023] [Accepted: 09/12/2023] [Indexed: 09/22/2023]
Affiliation(s)
- Quentin Samaran
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Salomé Allichon
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | | | - Olivier Dereure
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Nadia Raison-Peyron
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
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Poujade L, Sarrabay G, Cezar R, Samaran Q, Corbeau P, Bessis D, Tran TA. Lenalidomide for treatment of refractory aphthosis and neutrophilic pustulosis in familial pyrin-associated autoinflammation with neutrophilic dermatosis. Rheumatology (Oxford) 2023; 62:e338-e340. [PMID: 37314964 DOI: 10.1093/rheumatology/kead294] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2023] [Revised: 05/02/2023] [Accepted: 05/05/2023] [Indexed: 06/16/2023] Open
Affiliation(s)
- Laura Poujade
- Department of Dermatology, Montpellier University Hospital, Montpellier, France
| | - Guillaume Sarrabay
- Department of Medical Genetics, Rare Diseases and Personalized Medicine, Montpellier University Hospital, Montpellier, France
| | - Renaud Cezar
- Laboratory of Immunology, Nîmes University Hospital, Nîmes, France
| | - Quentin Samaran
- Department of Dermatology, Montpellier University Hospital, Montpellier, France
| | - Pierre Corbeau
- Laboratory of Immunology, Nîmes University Hospital, Nîmes, France
| | - Didier Bessis
- Department of Dermatology, Montpellier University Hospital, Montpellier, France
| | - Tu-Anh Tran
- Department of Paediatrics, Nîmes University Hospital, Nîmes, France
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8
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Samaran Q, Dereure O, Raison-Peyron N. Allergic contact dermatitis to neem oil used to treat a flare of atopic dermatitis. Contact Dermatitis 2023; 89:385-387. [PMID: 37557893 DOI: 10.1111/cod.14394] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2023] [Revised: 08/01/2023] [Accepted: 08/02/2023] [Indexed: 08/11/2023]
Affiliation(s)
- Quentin Samaran
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Olivier Dereure
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Nadia Raison-Peyron
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
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Samaran Q, Lacombe M, Cogrel O, Chapalain M, Le Guern A, Habib F. Peri-operative management of direct Xa and IIa inhibitors for dermatologic surgery: A survey of current practice among French dermatologists. J Eur Acad Dermatol Venereol 2023; 37:e1144-e1146. [PMID: 37102461 DOI: 10.1111/jdv.19154] [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: 02/23/2023] [Accepted: 04/18/2023] [Indexed: 04/28/2023]
Affiliation(s)
- Q Samaran
- Department of Dermatology, University Hospital of Montpellier and University of Montpellier, Montpellier, France
| | - M Lacombe
- Department of Dermatology, Hôpital Henri-Mondor AP-HP, Créteil, France
- Department of Dermatology, Hôpital Saint Camille, Bry-sur-Marne, France
| | - O Cogrel
- Department of Dermatology, Hôpital Saint André, University Hospital of Bordeaux and University of Bordeaux, Bordeaux, France
| | - M Chapalain
- Department of Dermatology, Hôpital Ambroise-Paré AP-HP, Boulogne-Billancourt, France
| | - A Le Guern
- Department of Dermatology, Groupement des Hôpitaux de l'Institut Catholique de Lille, Lille, France
| | - F Habib
- Skin Cancer Surgery Center, Avignon, France
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Samaran Q, Strizzolo R, Dereure O, Raison-Peyron N. Non-occupational allergic contact dermatitis to epoxy resin in a cosplayer. Contact Dermatitis 2023; 89:122-124. [PMID: 37121570 DOI: 10.1111/cod.14329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2023] [Revised: 04/18/2023] [Accepted: 04/20/2023] [Indexed: 05/02/2023]
Affiliation(s)
- Quentin Samaran
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Rémi Strizzolo
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Olivier Dereure
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Nadia Raison-Peyron
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
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Samaran Q, Stoebner PE, Ovtchinnikoff B. Using of a Foam Earplug: A Nose Surgery Pearl. Dermatol Surg 2023; 49:625-626. [PMID: 37010944 DOI: 10.1097/dss.0000000000003796] [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] [Indexed: 04/04/2023]
Affiliation(s)
- Quentin Samaran
- Department of Dermatology, Montpellier University Hospital, Montpellier, France
- Department of Dermatology, Montpellier University, Montpellier, France
| | - Pierre-Emmanuel Stoebner
- Department of Dermatology, Montpellier University, Montpellier, France
- Department of Dermatology, Nîmes University Hospital, Nîmes, France
| | - Bernadette Ovtchinnikoff
- Department of Dermatology, Montpellier University, Montpellier, France
- Department of Dermatology, Nîmes University Hospital, Nîmes, France
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12
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Raison-Peyron N, Litovsky J, Samaran Q, Dereure O. Severe allergic contact dermatitis to coumarin contained in a perfume mimicking skin drug reaction. Contact Dermatitis 2023; 88:416-417. [PMID: 36740905 DOI: 10.1111/cod.14289] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2023] [Revised: 01/26/2023] [Accepted: 01/27/2023] [Indexed: 02/07/2023]
Affiliation(s)
- Nadia Raison-Peyron
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Julie Litovsky
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Quentin Samaran
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Olivier Dereure
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
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Bessis D, Trouillet‐Assant S, Secco L, Bardin N, Blanc B, Blatière V, Chable‐Bessia C, Delfour C, Girard C, Richard J, Gros N, Le Moing V, Molinari N, Pallure V, Pisoni A, Raison‐Peyron N, Reynaud E, Schwob É, Pescarmona R, Samaran Q, Willems M, Vincent T, Sofonea MT, Belot A, Tuaillon É. COVID-19 pandemic-associated chilblains: more links for SARS-CoV-2 and less evidence for high interferon type I systemic response. Br J Dermatol 2022; 187:1032-1035. [PMID: 35971922 PMCID: PMC9538550 DOI: 10.1111/bjd.21820] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [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: 05/30/2022] [Revised: 07/08/2022] [Accepted: 08/11/2022] [Indexed: 12/24/2022]
Affiliation(s)
- Didier Bessis
- Department of Dermatology, Saint‐Eloi HospitalCompetence Centre for Rare Skin Diseases and University of MontpellierMontpellierFrance,INSERM U1058MontpellierFrance
| | | | - Léo‐Paul Secco
- Department of Dermatology, Saint‐Eloi HospitalCompetence Centre for Rare Skin Diseases and University of MontpellierMontpellierFrance
| | | | | | - Véronique Blatière
- Department of Dermatology, Saint‐Eloi HospitalCompetence Centre for Rare Skin Diseases and University of MontpellierMontpellierFrance
| | | | | | - Céline Girard
- Department of Dermatology, Saint‐Eloi HospitalCompetence Centre for Rare Skin Diseases and University of MontpellierMontpellierFrance,INSERM U1058MontpellierFrance
| | | | | | | | | | | | | | - Nadia Raison‐Peyron
- Department of Dermatology, Saint‐Eloi HospitalCompetence Centre for Rare Skin Diseases and University of MontpellierMontpellierFrance
| | | | - Émilie Schwob
- Department of Dermatology, Saint‐Eloi HospitalCompetence Centre for Rare Skin Diseases and University of MontpellierMontpellierFrance
| | | | - Quentin Samaran
- Department of Dermatology, Saint‐Eloi HospitalCompetence Centre for Rare Skin Diseases and University of MontpellierMontpellierFrance
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Samaran Q, Samaran R, Ferreira E, Haddad N, Fottorino A, Maillard H, Dreno B, Meyer N, Azria D, Maubec E, Gaudy-Marqueste C, Molinari N, Stoebner PE, Dereure O. Anti-PD-1 for the treatment of advanced cutaneous squamous cell carcinoma in elderly patients: a French multicenter retrospective survey. J Cancer Res Clin Oncol 2022:10.1007/s00432-022-04246-0. [PMID: 35962286 PMCID: PMC9374288 DOI: 10.1007/s00432-022-04246-0] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2022] [Accepted: 08/01/2022] [Indexed: 11/08/2022]
Abstract
Background Anti-PD1 agents are currently recommended as first-line treatment in advanced cutaneous squamous cell carcinoma (acSCC) by updated European guidelines. Although acSCC frequently affects elderly patients with multiple comorbidities, this subset of patients is often excluded of registration clinical trials. Purpose To assess anti-PD-1 efficacy and safety in elderly acSCC patients in real-life conditions and describe this specific population with oncogeriatric evaluation tools. Methods A multicenter retrospective study including acSCC patients at least 70 years old treated with PD-1 inhibitors was conducted in French referral centers. The primary endpoint was the overall response rate (ORR). Secondary endpoints included safety data, time to response (TTR), duration of response (DOR), overall survival (OS), and progression-free survival (PFS). Results 63 patients were included. ORR was 57.1% (95% CI 44.0–69.5), median TTR and DOR were 3 and 5.5 months respectively. Median OS was not reached (95% CI 12.5 months-not reached) at data cut-off after a median follow-up of 8 months while median PFS was 8 months. (95% CI 5 months-not reached). Grade 3–5 adverse effects occurred in 47.6% of patients. 41.3% of patients experienced degradation of ECOG performance status during anti-PD-1 treatment. Nutritional state worsened in 27% of patients and 57.1% lost weight during treatment. Conclusion In this particular subset of acSCC patients PD-1 inhibitors obtain results similar to those obtained in younger populations included in pivotal clinical trials, with acceptable safety. A specific oncogeriatric evaluation at treatment initiation and during follow-up appears important in this setting most notably to help manage toxicity. Supplementary Information The online version contains supplementary material available at 10.1007/s00432-022-04246-0.
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Affiliation(s)
- Quentin Samaran
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France. .,Department of Dermatology, Nîmes University Hospital and Montpellier University, Nîmes, France. .,Chru de Montpellier-Hôpital St Eloi-Service de Dermatologie, 80, Avenue Augustin Fliche, 34295, Montpellier Cedex 5, France.
| | - Romain Samaran
- Department of Dermatology, Le Mans Hospital, Le Mans, France.,Department of Dermatology, Nantes University Hospital and Nantes University, Nantes, France
| | - Ernestine Ferreira
- Department of Geriatrics, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Naeda Haddad
- Department of Dermatology, Avicenne Hospital (AP-HP) and Paris 13 University, Bobigny, France
| | - Antoine Fottorino
- Department of Oncodermatology, La Timone Hospital (AP-HM) and Aix-Marseille University, Marseille, France
| | - Hervé Maillard
- Department of Dermatology, Le Mans Hospital, Le Mans, France
| | - Brigitte Dreno
- Department of Dermatology, Nantes University Hospital and Nantes University, Nantes, France
| | - Nicolas Meyer
- Institut Universitaire Du Cancer de Toulouse, Toulouse University Hospital, Toulouse, France
| | - David Azria
- Fédération Universitaire d'Oncologie Radiothérapie, ICM-Institut Régional du Cancer Montpellier, Montpellier, France
| | - Eve Maubec
- Department of Dermatology, Avicenne Hospital (AP-HP) and Paris 13 University, Bobigny, France
| | - Caroline Gaudy-Marqueste
- Department of Oncodermatology, La Timone Hospital (AP-HM) and Aix-Marseille University, Marseille, France
| | - Nicolas Molinari
- IDESP, INSERM, Department of Statistics, Univ Montpellier, CHU Montpellier, Montpellier, France
| | | | - Olivier Dereure
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
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Clark E, Nilsson U, Samaran Q, Raison-Peyron N. Allergic contact dermatitis from cannabis sativa (hemp) seed oil. Contact Dermatitis 2022; 87:292-293. [PMID: 35514096 DOI: 10.1111/cod.14142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2022] [Revised: 04/16/2022] [Accepted: 05/02/2022] [Indexed: 11/28/2022]
Affiliation(s)
- Evangeline Clark
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Ulrika Nilsson
- Department of Materials and Environmental Chemistry, Stockholm University, Stockholm, Sweden
| | - Quentin Samaran
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Nadia Raison-Peyron
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
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Samaran Q, Raison-Peyron N, Clark E, Svedman C, Dahlin J, Dereure O, Bruze M, Bourrain JL. A new case of photoallergic contact dermatitis caused by benzophenones in magazine covers. Contact Dermatitis 2022; 86:300-307. [PMID: 35089601 DOI: 10.1111/cod.14057] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2021] [Revised: 01/17/2022] [Accepted: 01/26/2022] [Indexed: 12/01/2022]
Abstract
BACKGROUND Allergic contact dermatitis (ACD) and photoallergic contact dermatitis (PACD) to benzophenone present in printing ink have been reported. However, precise chemical analyses and extended photo-patch tests have not been performed in these cases. OBJECTIVES To determine which component present in a magazine cover are responsible for a patient's skin reaction, determine the primary sensitiser and precisely diagnose ACD and PACD PATIENT AND METHODS: After initial photopatch tests were performed on a patient with a history of reaction to magazine covers after sun exposure, gas chromatography-mass spectrometry and high-performance liquid chromatography analyses of the magazine covers and additional photopatch tests were performed. RESULTS The first photopatch test results confirmed PACD to ketoprofen and fenofibrate, and evoked PACD to the magazine covers. 4-methyl benzophenone (4-MBP) and 1-hydroxy-cyclohexyl-phenyl-ketone (1-HCPK) were found in the magazine cover. Additional photopatch tests confirmed PACD to 1-HCPK and to benzophenone, and photo-aggravated ACD to 4-MBP. The primary sensitiser was ketoprofen. CONCLUSIONS Benzophenones are present in a wide variety of products, without always being listed on the packaging. Patients previously sensitised to other ketones, such as ketoprofen, may react to benzophenones without being able to avoid contact with these molecules. New regulations may be needed for more efficient eviction advice. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- Quentin Samaran
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, FRANCE
| | - Nadia Raison-Peyron
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, FRANCE
| | - Evangeline Clark
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, FRANCE
| | - Cecilia Svedman
- Department of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, SWEDEN
| | - Jakob Dahlin
- Department of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, SWEDEN
| | - Olivier Dereure
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, FRANCE
| | - Magnus Bruze
- Department of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, SWEDEN
| | - Jean Luc Bourrain
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, FRANCE.,Department of Pulmonology, Allergology Division, Montpellier University Hospital and Montpellier University, Montpellier, FRANCE.,IDESP, Institut Desbrest d'Epidémiologie et de Santé Publique, UMR INSERM - Montpellier University, Montpellier, FRANCE
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17
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Samaran Q, Stoebner P, Ovtchinnikoff B. A Large Defect of the External Pinna. Dermatol Surg 2021; 47:e224-e226. [PMID: 33927098 DOI: 10.1097/dss.0000000000003065] [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] [Indexed: 11/26/2022]
Affiliation(s)
- Quentin Samaran
- Department of Dermatology, Nîmes University Hospital, Nîmes, France
- Department of Dermatology, Montpellier University, Montpellier, France
| | - Pierre Stoebner
- Department of Dermatology, Nîmes University Hospital, Nîmes, France
- Department of Dermatology, Montpellier University, Montpellier, France
| | - Bernadette Ovtchinnikoff
- Department of Dermatology, Nîmes University Hospital, Nîmes, France
- Department of Dermatology, Montpellier University, Montpellier, France
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18
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Samaran Q, Clark E, Secco LP, Poujade L, Schwob E, Bessis D, Raison-Peyron N. Granulomatous dermatitis following measles, mumps, and rubella vaccination. Pediatr Dermatol 2021; 38:1382-1384. [PMID: 34263490 DOI: 10.1111/pde.14687] [Citation(s) in RCA: 2] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Granulomatous dermatitis following the administration of various vaccines has previously been reported. However, cases of cutaneous granulomatosis following the measles, mumps, and rubella (MMR) vaccine have not yet been reported. We report the case of a 3-year-old boy with a granuloma annulare-like reaction following MMR vaccination.
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Affiliation(s)
- Quentin Samaran
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Evangéline Clark
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Léo-Paul Secco
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Laura Poujade
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Emilie Schwob
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Didier Bessis
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Nadia Raison-Peyron
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
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19
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Samaran Q, Bekara F, Aljaber F, Clark E, Dereure O, Raison-Peyron N. An immune reaction caused by silicone breast implants. Contact Dermatitis 2021; 85:703-705. [PMID: 34250621 DOI: 10.1111/cod.13936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2021] [Accepted: 07/09/2021] [Indexed: 11/29/2022]
Affiliation(s)
- Quentin Samaran
- Department of Dermatology, University of Montpellier, Montpellier, France
| | - Farid Bekara
- Department of Plastic and Reconstructive Surgery, Burns and Wound Healing Units, CHRU Lapeyronie, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Faisal Aljaber
- Department of Dermatology, University of Montpellier, Montpellier, France
| | - Evangéline Clark
- Department of Dermatology, University of Montpellier, Montpellier, France
| | - Olivier Dereure
- Department of Dermatology, University of Montpellier, Montpellier, France
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20
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Samaran Q, Girard C, Lerisson M, Boissin C, Jossien A, Serre I, Guillot B. [Granulomatous lung disease induced by kayexalate inhalation during immunotherapy for metastatic melanoma]. Rev Mal Respir 2021; 38:664-668. [PMID: 34024647 DOI: 10.1016/j.rmr.2021.04.016] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [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: 08/27/2020] [Accepted: 04/15/2021] [Indexed: 11/16/2022]
Abstract
INTRODUCTION When a patient treated by immune checkpoint inhibitors for metastatic melanoma presents with pulmonary symptoms, several diagnoses are possible. We report a case of acute granulomatous lung disease secondary to repeated kayexalate inhalations, and probably stimulated by immunotherapy. CASE REPORT A patient treated with pembrolizumab and then ipilimumab presented with fever and acute shortness of breath. His pulmonary symptoms got progressively worse, leading to an acute respiratory distress syndrome. Chest CT displayed a pattern of non-specific organized pneumonia. Pulmonary infection, tumor progression, specific immune-related lung toxicity and immunotherapy-induced sarcoidosis were discussed. Histopathological examination of a lung biopsy showed a foreign body granulomatous macrophage reaction associated with crystalline, basophilic, purple and laminated elements, evoking kayexalate particles. These elements helped rewrite the diagnosis and confirmed a kayexalate-induced granulomatous lung disease secondary to repeated aspiration. The patient's respiratory condition got better following discontinuation of kayexalate together with systemic corticosteroids. Symptoms relapsed with resumption of the immunotherapy but were controlled with the addition of a new course of prolonged systemic corticosteroid therapy. We can hypothesize that immunotherapy played a role in the recurrence of the granulomatous lung reaction, or that there was an association between an aspiration pneumonia and an immunotherapy-induced lung toxicity. CONCLUSION Facing respiratory symptoms during immunotherapy, the treatment may be the cause, but lung biopsy should be performed rapidly to arrive to a certain diagnosis.
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Affiliation(s)
- Q Samaran
- Département de dermatologie, CHRU de Montpellier et université de Montpellier, Montpellier, France.
| | - C Girard
- Département de dermatologie, CHRU de Montpellier et université de Montpellier, Montpellier, France
| | - M Lerisson
- Département de dermatologie, CHRU de Montpellier et université de Montpellier, Montpellier, France
| | - C Boissin
- Département de pneumologie, CHRU de Montpellier et université de Montpellier, Montpellier, France
| | - A Jossien
- Département de pneumologie, CHRU de Montpellier et université de Montpellier, Montpellier, France
| | - I Serre
- Département d'anatomie et de cytologie pathologiques, CHRU de Montpellier et université de Montpellier, Montpellier, France
| | - B Guillot
- Département de dermatologie, CHRU de Montpellier et université de Montpellier, Montpellier, France
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21
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Clark E, Samaran Q, Dereure O, Raison-Peyron N. PEG-45/dodecyl glycol co-polymer and bis-diglyceryl polyacyladipate-2: Two culprits responsible of an allergic contact dermatitis to a lip balm. Contact Dermatitis 2021; 85:117-119. [PMID: 33576070 DOI: 10.1111/cod.13811] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2021] [Revised: 02/05/2021] [Accepted: 02/09/2021] [Indexed: 11/30/2022]
Affiliation(s)
- Evangéline Clark
- Department of Dermatology, University Hospital of Montpellier and University of Montpellier, Montpellier, France
| | - Quentin Samaran
- Department of Dermatology, University Hospital of Montpellier and University of Montpellier, Montpellier, France
| | - Olivier Dereure
- Department of Dermatology, University Hospital of Montpellier and University of Montpellier, Montpellier, France
| | - Nadia Raison-Peyron
- Department of Dermatology, University Hospital of Montpellier and University of Montpellier, Montpellier, France
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22
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Baudy A, Samaran Q, Dereure O, Raison-Peyron N. Allergic contact dermatitis to Iris germanica root in a "natural" cosmetic. Contact Dermatitis 2021; 85:111-112. [PMID: 33533482 DOI: 10.1111/cod.13802] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2021] [Revised: 01/24/2021] [Accepted: 01/25/2021] [Indexed: 11/30/2022]
Affiliation(s)
- Amandine Baudy
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Quentin Samaran
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Olivier Dereure
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Nadia Raison-Peyron
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
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23
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Poujade L, Samaran Q, Mura F, Guillot B, Meunier I, Du-Thanh A. Melanoma-associated retinopathy during pembrolizumab treatment probably controlled by intravitreal injections of dexamethasone. Doc Ophthalmol 2020; 142:257-263. [PMID: 32975694 DOI: 10.1007/s10633-020-09795-8] [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: 03/31/2020] [Accepted: 09/09/2020] [Indexed: 02/06/2023]
Abstract
PURPOSE Melanoma-associated retinopathy (MAR) is a rare paraneoplastic syndrome due to antibodies targeting bipolar retinal cells. Its evolution, particularly in patients treated with immune checkpoint inhibitors (ICI), is currently poorly understood. In the few cases published, patients' visual function got worse when these molecules were prescribed. Here, we present a case of a patient with severe MAR treated with an ICI for melanoma progression. METHODS A 68-year-old woman with a history of melanoma of the palpebral conjunctiva presented with sudden and gradually worsening visual disturbances. Simultaneously, a metastatic evolution of the melanoma was diagnosed and surgically treated exclusively. Visual acuity assessment, static automated perimetry and ERG results lead to the diagnosis of MAR. Since systemic corticosteroid therapy did not improve her symptoms, repeated intraocular corticosteroid injections were performed with a positive outcome. Later on, metastatic progression of the patient's melanoma led to the introduction of pembrolizumab, an ICI targeting PD-1. Immunotherapy has changed the prognosis of patient affected by metastatic melanoma, but these molecules may induce various immune-related adverse effects. In our case, intraocular corticosteroid injections were still performed simultaneously. Visual acuity assessment, static automated perimetry and ERG were performed during the course of this treatment. RESULTS Full-field ERGs results suggested the possibility that the ophthalmologic treatment might restore the patient's retinal function despite the continued immunotherapy. CONCLUSION We report the first case of MAR with a positive outcome after 1 year of ICI, possibly thanks to intravitreal corticosteroid therapy.
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Affiliation(s)
- Laura Poujade
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Hôpital Saint Eloi - CHRU de MONTPELLIER, 80, avenue Augustin Fliche, 34295, Montpellier Cedex 5, France
| | - Quentin Samaran
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Hôpital Saint Eloi - CHRU de MONTPELLIER, 80, avenue Augustin Fliche, 34295, Montpellier Cedex 5, France.
| | - Frédéric Mura
- Department of Ophthalmology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Bernard Guillot
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Hôpital Saint Eloi - CHRU de MONTPELLIER, 80, avenue Augustin Fliche, 34295, Montpellier Cedex 5, France
| | - Isabelle Meunier
- Department of Ophthalmology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Aurélie Du-Thanh
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Hôpital Saint Eloi - CHRU de MONTPELLIER, 80, avenue Augustin Fliche, 34295, Montpellier Cedex 5, France
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24
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Clark E, Samaran Q, Dereure O, Bourrain J. A new case of spa dermatitis mimicking photo allergy. Contact Dermatitis 2020; 83:52-54. [DOI: 10.1111/cod.13514] [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] [Received: 02/26/2020] [Accepted: 03/05/2020] [Indexed: 11/29/2022]
Affiliation(s)
- Evangeline Clark
- Department of DermatologyMontpellier University Hospital and Montpellier University Montpellier France
- Department of Pulmonology, Allergology DivisionMontpellier University Hospital and Montpellier University Montpellier France
| | - Quentin Samaran
- Department of DermatologyMontpellier University Hospital and Montpellier University Montpellier France
- Department of Pulmonology, Allergology DivisionMontpellier University Hospital and Montpellier University Montpellier France
| | - Olivier Dereure
- Department of DermatologyMontpellier University Hospital and Montpellier University Montpellier France
- Department of Pulmonology, Allergology DivisionMontpellier University Hospital and Montpellier University Montpellier France
| | - Jean‐Luc Bourrain
- Department of DermatologyMontpellier University Hospital and Montpellier University Montpellier France
- Department of Pulmonology, Allergology DivisionMontpellier University Hospital and Montpellier University Montpellier France
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25
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Samaran Q, Clark E, Dereure O, Raison‐Peyron N. Allergic contact dermatitis to
Cupressus sempervirens
resin and cross‐reaction with colophonium. Contact Dermatitis 2020; 83:33-35. [DOI: 10.1111/cod.13496] [Citation(s) in RCA: 2] [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] [Received: 02/13/2020] [Accepted: 02/14/2020] [Indexed: 11/29/2022]
Affiliation(s)
- Quentin Samaran
- Department of DermatologyMontpellier University Hospital and Montpellier University Montpellier France
| | - Evangeline Clark
- Department of DermatologyMontpellier University Hospital and Montpellier University Montpellier France
| | - Olivier Dereure
- Department of DermatologyMontpellier University Hospital and Montpellier University Montpellier France
| | - Nadia Raison‐Peyron
- Department of DermatologyMontpellier University Hospital and Montpellier University Montpellier France
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26
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Varin J, Reynolds MM, Bouzidi N, Tick S, Wohlschlegel J, Becquart O, Michiels C, Dereure O, Duvoisin RM, Morgans CW, Sahel JA, Samaran Q, Guillot B, Pulido JS, Audo I, Zeitz C. Identification and characterization of novel TRPM1 autoantibodies from serum of patients with melanoma-associated retinopathy. PLoS One 2020; 15:e0231750. [PMID: 32324760 PMCID: PMC7179873 DOI: 10.1371/journal.pone.0231750] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2019] [Accepted: 03/31/2020] [Indexed: 12/15/2022] Open
Abstract
Melanoma-associated retinopathy (MAR) is a rare paraneoplastic retinal disorder usually occurring in the context of metastatic melanoma. Patients present with night blindness, photopsias and a constriction of the visual field. MAR is an auto-immune disorder characterized by the production of autoantibodies targeting retinal proteins, especially autoantibodies reacting to the cation channel TRPM1 produced in melanocytes and ON-bipolar cells. TRPM1 has at least three different isoforms which vary in the N-terminal region of the protein. In this study, we report the case of three new MAR patients presenting different anti-TRPM1 autoantibodies reacting to the three isoforms of TRPM1 with variable binding affinity. Two sera recognized all isoforms of TRPM1, while one recognized only the two longest isoforms upon immunolocalization studies on overexpressing cells. Similarly, the former two sera reacted with all TRPM1 isoforms on western blot, but an immunoprecipitation enrichment step was necessary to detect all isoforms with the latter serum. In contrast, all sera labelled ON-bipolar cells on Tprm1+/+ but not on Trpm1-/- mouse retina as shown by co-immunolocalization. This confirms that the MAR sera specifically detect TRPM1. Most likely, the anti-TRPM1 autoantibodies of different patients vary in affinity and concentration. In addition, the binding of autoantibodies to TRPM1 may be conformation-dependent, with epitopes being inaccessible in some constructs (truncated polypeptides versus full-length TRPM1) or applications (western blotting versus immunohistochemistry). Therefore, we propose that a combination of different methods should be used to test for the presence of anti-TRPM1 autoantibodies in the sera of MAR patients.
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Affiliation(s)
- Juliette Varin
- Sorbonne Université, INSERM, CNRS, Institut de la Vision, Paris, France
| | - Margaret M. Reynolds
- Department of Ophthalmology, Washington University, Saint Louis, MO, United States of America
| | - Nassima Bouzidi
- Sorbonne Université, INSERM, CNRS, Institut de la Vision, Paris, France
| | - Sarah Tick
- CHNO des Quinze-Vingts, DHU Sight Restore, INSERM-DGOS CIC 1423, Paris, France
| | | | - Ondine Becquart
- Department of Dermatology and INSERM U1058 “Pathogenesis and control of chronic infections”, University of Montpellier, Montpellier, France
| | | | - Olivier Dereure
- Department of Dermatology and INSERM U1058 “Pathogenesis and control of chronic infections”, University of Montpellier, Montpellier, France
| | - Robert M. Duvoisin
- Department of Chemical Physiology & Biochemistry, Oregon Health & Science University, Portland, OR, United States of America
| | - Catherine W. Morgans
- Department of Chemical Physiology & Biochemistry, Oregon Health & Science University, Portland, OR, United States of America
| | - José-Alain Sahel
- Sorbonne Université, INSERM, CNRS, Institut de la Vision, Paris, France
- CHNO des Quinze-Vingts, DHU Sight Restore, INSERM-DGOS CIC 1423, Paris, France
- Fondation Ophtalmologique Adolphe de Rothschild, Paris, France
- Académie des Sciences, Institut de France, Paris, France
- Department of Ophthalmology, The University of Pittsburgh School of Medicine, Pittsburgh, PA, United States of America
| | - Quentin Samaran
- Department of Dermatology and INSERM U1058 “Pathogenesis and control of chronic infections”, University of Montpellier, Montpellier, France
| | - Bernard Guillot
- Department of Dermatology and INSERM U1058 “Pathogenesis and control of chronic infections”, University of Montpellier, Montpellier, France
| | - José S. Pulido
- Department of Ophthalmology, Mayo Clinic, Rochester, MN, United States of America
- Department of Molecular Medicine, Mayo Clinic, Rochester, MN, United States of America
| | - Isabelle Audo
- Sorbonne Université, INSERM, CNRS, Institut de la Vision, Paris, France
- CHNO des Quinze-Vingts, DHU Sight Restore, INSERM-DGOS CIC 1423, Paris, France
- Institute of Ophthalmology, University College of London, London, United Kingdom
| | - Christina Zeitz
- Sorbonne Université, INSERM, CNRS, Institut de la Vision, Paris, France
- * E-mail:
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27
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Samaran Q, Clark E, Dereure O, Sparsa A, Du-Thanh A, Raison-Peyron N. Airborne allergic contact dermatitis caused by artichoke. Contact Dermatitis 2020; 82:395-397. [PMID: 32017132 DOI: 10.1111/cod.13480] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2020] [Revised: 01/30/2020] [Accepted: 01/30/2020] [Indexed: 01/20/2023]
Affiliation(s)
- Quentin Samaran
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Evangeline Clark
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Olivier Dereure
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Agnès Sparsa
- Department of Internal Medicine, Clinique Mutualiste Catalane, Perpignan, France
| | - Aurélie Du-Thanh
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
| | - Nadia Raison-Peyron
- Department of Dermatology, Montpellier University Hospital and Montpellier University, Montpellier, France
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