1
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Passeron T, Lim HW, Goh CL, Kang HY, Ribeyre C, Demessant-Flavigny AL, Le Floc'h C, Kerob D, Krutmann J, Comte C, Dreno B, Leccia MT. Thirty years of promoting sun safety in France: The messages are heard but not followed! J Eur Acad Dermatol Venereol 2024; 38:e306-e309. [PMID: 37915260 DOI: 10.1111/jdv.19543] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2023] [Accepted: 09/29/2023] [Indexed: 11/03/2023]
Affiliation(s)
- T Passeron
- Department of Dermatology, Nice University Hospital Center, Côte d'Azur University, Nice, France
- INSERM U1065, C3M, Côte d'Azur University, Nice, France
| | - H W Lim
- Department of Dermatology, Henry Ford Health, Detroit, Michigan, USA
| | - C L Goh
- National Skin Centre, Singapore, Singapore
| | - H Y Kang
- Department of Dermatology, Ajou University School of Medicine, Suwon, South Korea
| | - C Ribeyre
- Communication Médicale, La Roche Posay, Levallois-Perret, France
| | | | - C Le Floc'h
- La Roche-Posay International, Levallois-Perret, France
| | - D Kerob
- La Roche-Posay International, Levallois-Perret, France
| | - J Krutmann
- IUF Leibniz Research Institute for Environmental Medicine, Duesseldorf, Germany
| | - C Comte
- Private Practice, Dermatologist, Paris, France
| | - B Dreno
- Nantes University, Université Angers, INSERM, Immunology and New Concepts in ImmunoTherapy, INCIT, UMR 1302, Nantes, France
| | - M T Leccia
- Department of Dermatology, Allergology and Photobiology, CHU A Michallon, Grenoble, France
- Présidente Sécurité Solaire, Paris, France
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2
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Grangeon A, Mallet S, Miquel J, Passeron T, Delaporte E, Bellissen A. Appearance of lentigines in an atopic dermatitis patient treated with dupilumab. J Eur Acad Dermatol Venereol 2024; 38:e254-e255. [PMID: 37795663 DOI: 10.1111/jdv.19558] [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: 08/02/2023] [Accepted: 09/26/2023] [Indexed: 10/06/2023]
Affiliation(s)
- A Grangeon
- Dermatology Department, Edmond Garcin Hospital, Aubagne, France
| | - S Mallet
- Dermatology Department, Timone Hospital, Marseille, France
| | - J Miquel
- Pediatric Dermatology Department, Saint Pierre Hospital, La Réunion, France
| | - T Passeron
- University Côte d'Azur, INSERM U1065, C3M, Nice, France
- Department of Dermatology, CHU Nice, University Côte d'Azur, Nice, France
| | - E Delaporte
- Department of Dermatology, Aix Marseille University, Hôpital Nord, Marseille, France
| | - A Bellissen
- Dermatology Department, Edmond Garcin Hospital, Aubagne, France
- Department of Dermatology, Aix Marseille University, Hôpital Nord, Marseille, France
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3
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Passeron T, Lim HW, Goh CL, Kang HY, Ly F, Morita A, Ocampo-Candiani J, Puig S, Schalka S, Wei L, Demessant AL, Le Floc'h C, Kerob D, Dreno B, Krutmann J. Do regrets of parents about sun overexposure impact preventive measures applied on their children? J Eur Acad Dermatol Venereol 2024; 38:e199-e203. [PMID: 37803519 DOI: 10.1111/jdv.19556] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2023] [Accepted: 09/29/2023] [Indexed: 10/08/2023]
Affiliation(s)
- T Passeron
- Department of Dermatology, Côte d'Azur University, Nice University Hospital Center, Nice, France
- INSERM U1065, C3M, Côte d'Azur University, Nice, France
| | - H W Lim
- Department of Dermatology, Henry Ford Health, Detroit, Michigan, USA
| | - C L Goh
- National Skin Centre, Singapore, Singapore
| | - H Y Kang
- Department of Dermatology, Ajou University School of Medicine, Suwon, South Korea
| | - F Ly
- Department of Dermatology, Cheikh Anta Diop Dakar University, EPS Institute of Social Hygiene, Dakar, Senegal
| | - A Morita
- Department of Geriatric and Environmental Dermatology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
| | - J Ocampo-Candiani
- Universidad Autonoma de Nuevo León, Facultad de Medicina, University Hospital "Dr. Jose E. González", Monterrey, Mexico
| | - S Puig
- Dermatology Department, Hospital Clinic de Barcelona, Barcelona University, Barcelona, Spain
| | - S Schalka
- Medecin Skin Research Center and Biochemistry Department, Chemistry Institute of Sao Paulo University, Sao Paulo, Brazil
| | - L Wei
- Department of Dermatology, The General Hospital of Air Force PLA, Beijing, China
| | - A L Demessant
- La Roche-Posay International, Levallois-Perret, France
| | - C Le Floc'h
- La Roche-Posay International, Levallois-Perret, France
| | - D Kerob
- La Roche-Posay International, Levallois-Perret, France
| | - B Dreno
- Nantes University, Université Angers, INSERM, Immunology and New Concepts in ImmunoTherapy, INCIT, UMR 1302, Nantes, France
| | - J Krutmann
- IUF Leibniz Research Institute for Environmental Medicine, Duesseldorf, Germany
- Medical Faculty, Heinrich-Heine-University, Duesseldorf, Germany
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4
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Flament F, Mercurio DG, Muller B, Li J, Tricaud C, Bernerd F, Roudot A, Candau D, Passeron T. The impact of methoxypropylamino cyclohexenylidene ethoxyethylcyanoacetate (MCE) UVA1 filter on pigmentary and ageing signs: An outdoor prospective 8-week randomized, intra-individual comparative study in two populations of different genetic background. J Eur Acad Dermatol Venereol 2024; 38:214-222. [PMID: 37655436 DOI: 10.1111/jdv.19486] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Accepted: 08/11/2023] [Indexed: 09/02/2023]
Abstract
BACKGROUND Of all ultraviolet (UV) radiations reaching the earth, UVA1 rays have a higher potential of penetrating and producing clinically harmful consequences. While UV radiations up to 370 nm are well-blocked by current sunscreens, a photoprotection gap remains for the UVA1 wavelengths between 370 and 400 nm. OBJECTIVE This study was to assess under outdoor summer conditions the impact on pigmentation and skin ageing signs of a protection against UVA1 using methoxypropylamino cyclohexenylidene ethoxyethylcyanoacetate (MCE) filter added to a reference SPF50 sunscreen, in comparison with the same sunscreen without the MCE filter. MATERIALS AND METHODS This prospective randomized comparative intra-individual study was conducted in 113 women in Brazil and China. Subjects had their face and two forearms exposed twice-daily to a 1-h outdoor sunlight exposure over 8 weeks. Before exposure, the SPF50 sunscreen containing 3% MCE was applied on one half-face and one forearm and the same reference product without MCE on the other half-face and forearm. Primary study endpoint was skin colour changes (chromametry). Other endpoints included expert panel grading of pigmentation and facial skin ageing, and naïve panel assessment of facial skin radiance and homogeneity. RESULTS After 8 weeks, the skin was darker on both forearms but the increase in sun-induced pigmentation was smaller with the SPF50/MCE sunscreen. Expert panel evaluations showed no change in severity scores for pigmentation and a decreased severity scores for facial skin ageing in areas protected with the SPF50/MCE product: severity scores in areas protected with the SPF50 alone were either increased (pigmentation) or unchanged (skin ageing). Naïve panel evaluations of skin radiance and homogeneity showed statistically significant superiority of the SPF50/MCE product. CONCLUSION Overall, this study demonstrates that a protection with the SPF50/MCE sunscreen significantly reduces pigmentation and ageing signs compared to the same SPF50 sunscreen.
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Affiliation(s)
- F Flament
- L'Oréal Research and Innovation, Clichy, France
| | - D G Mercurio
- L'Oréal Research and Innovation, Rio de Janeiro, Brazil
| | - B Muller
- L'Oréal Research and Innovation, Clichy, France
| | - J Li
- L'Oréal Research and Innovation, Shanghai, China
| | - C Tricaud
- L'Oréal Research and Innovation, Clichy, France
| | - F Bernerd
- L'Oréal Research and Innovation, Aulnay-sous-Bois, France
| | - A Roudot
- L'Oréal Research and Innovation, Chevilly-Larue, France
| | - D Candau
- L'Oréal Research and Innovation, Chevilly-Larue, France
| | - T Passeron
- CHU Nice, Department of Dermatology, Université Côte d'Azur, Nice, France
- Université Côte d'Azur, INSERM, U1065, C3M, Nice, France
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5
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Flament F, Mercurio DG, Catalan E, Bouhadanna E, Delaunay C, Miranda DF, Passeron T. Impact on facial skin aging signs of a 1-year standardized photoprotection over a classical skin care routine in skin phototypes II-VI individuals: A prospective randomized trial. J Eur Acad Dermatol Venereol 2023; 37:2090-2097. [PMID: 37247191 DOI: 10.1111/jdv.19230] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2023] [Accepted: 05/11/2023] [Indexed: 05/30/2023]
Abstract
BACKGROUND Data reflecting the impact of photoprotection on cutaneous aging are scarce and mostly limited to fair skin. OBJECTIVE To assess the effectiveness of a photoprotective product in counteracting the photoaging process in different skin phototypes over 1 year compared against a classical routine. MATERIALS AND METHODS Two hundred and ninety Brazilian women aged 30-65 years, with skin phototype II-VI were equally randomized in two groups. Group 1 kept on their routine whereas Group 2 applied, twice daily, a photoprotective product (SPF 60, PPD = 24.1) replacing the one they routinely used. Volunteers reported the duration of their daily sun-exposure. Standardized photographs taken at D0 and D365 were analysed by 15 dermatologists to assess eight wrinkles and pigmentation signs. RESULTS A global increase in severity was reported which was significant for Group 1. This increase was lower in Group 2 where only half the signs showed significant worsening. In Group 2 versus Group 1, the increase in forehead wrinkles, marionette lines, wrinkles created by ptosis and size of dark spot was significantly (p < 0.05) decreased by 30%-50%. CONCLUSION Daily application of a high photoprotective product significantly decreases the progression of skin aging signs after 1 year in skin phototypes II-VI.
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Affiliation(s)
- F Flament
- L'Oréal Research and Innovation, Clichy, France
| | - D G Mercurio
- L'Oréal Research and Innovation, Rio de Janeiro, Brazil
| | - E Catalan
- L'Oréal Research and Innovation, Clichy, France
| | | | - C Delaunay
- L'Oréal Research and Innovation, Clichy, France
| | | | - T Passeron
- Department of Dermatology, CHU Nice, Université Côte d'Azur, Nice, France
- INSERM, U1065, C3M, Université Côte d'Azur, Nice, France
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6
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Flament F, Jacquet L, Ye C, Amar D, Kerob D, Jiang R, Zhang Y, Kroely C, Delaunay C, Passeron T. Artificial Intelligence analysis of over half a million European and Chinese women reveals striking differences in the facial skin aging process. J Eur Acad Dermatol Venereol 2022; 36:1136-1142. [DOI: 10.1111/jdv.18073] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2021] [Revised: 01/28/2022] [Accepted: 02/23/2022] [Indexed: 12/01/2022]
Affiliation(s)
- F. Flament
- L’Oréal Research and Innovation Clichy France
| | - L. Jacquet
- Vichy International Levallois‐Perret France
| | - C. Ye
- L’Oréal Research and Innovation Shanghai China
| | - D. Amar
- L’Oréal Research and Innovation Shanghai China
| | - D. Kerob
- Vichy International Levallois‐Perret France
| | - R. Jiang
- ModiFace – A L'Oréal Group Company Toronto Canada
| | - Y. Zhang
- ModiFace – A L'Oréal Group Company Toronto Canada
| | - C. Kroely
- L’Oréal CDO – Digital Service Factory Clichy France
| | - C. Delaunay
- L’Oréal Research and Innovation Clichy France
| | - T. Passeron
- Université Côte d’Azur CHU Nice Department of Dermatology Nice France
- Université Côte d’Azur INSERM U1065, C3M Nice France
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7
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Duteil L, Cadars B, Queille‐Roussel C, Giraud I, Drulhon F, Graizeau C, Guyoux A, Passeron T. A new
in vitro
method to predict
in vivo
photoprotection of skin hyperpigmentation induced by visible light. J Eur Acad Dermatol Venereol 2022; 36:922-926. [PMID: 35224781 PMCID: PMC9314032 DOI: 10.1111/jdv.18034] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Revised: 01/05/2022] [Accepted: 02/04/2022] [Indexed: 11/26/2022]
Abstract
Background Ultraviolet radiation is the main cause of skin pigmentation, but more recently visible light has been shown to be an important contributor especially in melano‐competent subjects. Photoprotection from visible light can improve several hyperpigmentation disorders. Recently, a visible light photoprotection assessment method has been proposed based on in vivo pigmentation; the visible light photoprotection factor (VL‐PF) is determined by assessment of the change in colorimetry parameter ITA over several days measured using a chromameter. Although in vivo methods remain the most representative of real life, in vitro methods are more suited to screening sunscreen formulations. Objective The aim of this study was to evaluate the correlation between in vivo and in vitro methods in assessing protection against visible light induced pigmentation. Methods We first analysed the in vitro protective properties of the 10 commercially available sunscreens using transmission measurements in the visible spectrum. Then, we performed a monocentric, double‐blind, randomized controlled study with intra‐individual comparisons in 20 healthy subjects and measure the VL‐PF in vivo of those sunscreens. The correlation between the VL‐PF and the percentage of blocked light was evaluated using the coefficient of determination R2. Results A strong significant correlation was demonstrated between in vivo visible light protection factor and in vitro transmittance measurements, with the highest correlation factor at 420 nm and in the spectrum covering from 400 to 469 nm. Conclusion Transmittance measurements were found to be a good predictive tool to evaluate sunscreen visible light photoprotection efficacy and could be used to select formulations for final in vivo testing.
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Affiliation(s)
- L. Duteil
- Center of Clinical Pharmacology Applied to Dermatology (CPCAD) L’Archet 2 Hospital Nice France
| | - B. Cadars
- NAOS, Research and Development Department Lyon France
| | - C. Queille‐Roussel
- Center of Clinical Pharmacology Applied to Dermatology (CPCAD) L’Archet 2 Hospital Nice France
| | - I. Giraud
- NAOS Les Laboratoires Research and Development Department Aix‐en‐Provence France
| | - F. Drulhon
- NAOS Les Laboratoires Research and Development Department Aix‐en‐Provence France
| | - C. Graizeau
- NAOS ILS, Research and Development Department Aix‐en‐Provence France
| | - A. Guyoux
- NAOS Les Laboratoires Research and Development Department Aix‐en‐Provence France
| | - T. Passeron
- Department of Dermatology Centre Hospitalier Universitaire de Nice University Côte d’Azur Nice France
- C3M, INSERM U1065 University Côte d’Azur Nice France
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8
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Post NF, Ezekwe N, Narayan VS, Bekkenk MW, Van Geel N, Hamzavi I, Passeron T, Wolkerstorfer A. The use of lasers in vitiligo, an overview. J Eur Acad Dermatol Venereol 2022; 36:779-789. [PMID: 35176186 PMCID: PMC9314124 DOI: 10.1111/jdv.18005] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Revised: 12/10/2021] [Accepted: 02/03/2022] [Indexed: 11/27/2022]
Abstract
Various types of lasers have been demonstrated to be effective in the treatment of vitiligo. The mode of action of these lasers is just as varied as the purpose of intervention. Many clinicians are not aware of the unique opportunity these lasers offer to improve the outcomes of vitiligo treatment. To date, no clear overview exists of the use of lasers in vitiligo treatment. Thus, the aim of this review is to discuss the various types of lasers and provide an overview of the evidence for their efficacy. We found good evidence from a systematic review that the excimer laser is effective, induces repigmentation rates comparable to NB‐UVB and has improved outcomes when combined with calcineurin inhibitors. Ablative lasers are commonly used for tissue graft or melanocyte–keratinocyte cell graft transplantation. They provide safe, fast and uniform denudation of the epidermis with propitious repigmentation outcomes. We found conflicting evidence from two systematic reviews regarding the efficacy of fractional ablative lasers for improving outcomes of NB‐UVB therapy, a systematic review including only fractional ablative lasers provided evidence for efficacy. Q‐switched nanosecond lasers have shown to be safe and effective for inducing depigmentation, although recurrence is common, and most studies were small and retrospective. Despite proven efficacy and safety, laser treatments are relatively expensive and suited for limited body surface areas and selected cases. Each type of laser has benefits and risks associated and should, therefore, be individually chosen based on location, extent, activity and type of vitiligo.
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Affiliation(s)
- N F Post
- Department of dermatology, Amsterdam University Medical Centers, The Netherlands
| | - N Ezekwe
- Department of Dermatology, Henry Ford Health System, Detroit, MI, USA
| | - V S Narayan
- Department of dermatology, Amsterdam University Medical Centers, The Netherlands
| | - M W Bekkenk
- Department of dermatology, Amsterdam University Medical Centers, The Netherlands
| | - N Van Geel
- Department of Dermatology, Ghent University Hospital, Ghent, Belgium
| | - I Hamzavi
- Department of Dermatology, Henry Ford Health System, Detroit, MI, USA
| | - T Passeron
- Department of Dermatology and INSERM U1065, University Hospital of Nice, France
| | - A Wolkerstorfer
- Department of dermatology, Amsterdam University Medical Centers, The Netherlands
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9
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Velin M, Dugourd PM, Sanchez A, Bahadoran P, Montaudié H, Passeron T. Efficacy and safety of methotrexate, omalizumab and dupilumab for bullous pemphigoid in patients resistant or contraindicated to oral steroids. A monocentric real-life study. J Eur Acad Dermatol Venereol 2022; 36:e539-e542. [PMID: 35143077 DOI: 10.1111/jdv.17999] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Revised: 01/05/2022] [Accepted: 02/04/2022] [Indexed: 11/30/2022]
Affiliation(s)
- Marine Velin
- Dermatology Department, Université Côte d'Azur, CHU Nice, Nice, France
| | | | - Adrien Sanchez
- Dermatology Department, Université Côte d'Azur, CHU Nice, Nice, France
| | | | - H Montaudié
- Dermatology Department, Université Côte d'Azur, CHU Nice, Nice, France.,INSERM U1065, Centre Méditerranéen de Médecine Moléculaire, Université Côte d'Azur, Nice, France
| | - T Passeron
- Dermatology Department, Université Côte d'Azur, CHU Nice, Nice, France.,INSERM U1065, Centre Méditerranéen de Médecine Moléculaire, Université Côte d'Azur, Nice, France
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10
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Blaise M, Rocher F, Spittler H, Sanchez A, Lanteri E, Coco L, Puma A, Martel A, Gonfrier G, Passeron T, Montaudié H. Severe necrotizing myopathy after COVID-19 vaccine with BNT162b2 and regimen with ipilimumab plus nivolumab in a patient with advanced melanoma. J Eur Acad Dermatol Venereol 2021; 36:e100-e102. [PMID: 34661938 PMCID: PMC8661524 DOI: 10.1111/jdv.17760] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2021] [Revised: 09/16/2021] [Accepted: 10/15/2021] [Indexed: 12/01/2022]
Affiliation(s)
- M Blaise
- Department of Dermatology, Université Côte d'Azur, Nice, France
| | - F Rocher
- Department of Pharmacology and Toxicology, PharmacoVigilance Center, Université Côte d'Azur, Nice, France
| | - H Spittler
- Physical and Rehabilitation Medicine, Université Côte d'Azur, Nice, France
| | - A Sanchez
- Department of Dermatology, Université Côte d'Azur, Nice, France
| | - E Lanteri
- Laboratory of clinical and experimental pathology, Université Côte d'Azur, Nice, France
| | - L Coco
- Department of Radiology, Université Côte d'Azur, Nice, France
| | - A Puma
- Peripheral Nervous System & Muscle Department, Pasteur 2 Hospital, Université Côte d'Azur, Nice, France
| | - A Martel
- Department of Ophtalmology, Université Côte d'Azur, Nice, France
| | - G Gonfrier
- Department of Virology, Université Côte d'Azur, CHU Nice, Nice, France
| | - T Passeron
- Department of Dermatology, Université Côte d'Azur, Nice, France.,INSERM U1065, Centre Méditerranéen de Médecine Moléculaire, Université Côte d'Azur, Nice, France
| | - H Montaudié
- Department of Dermatology, Université Côte d'Azur, Nice, France.,INSERM U1065, Centre Méditerranéen de Médecine Moléculaire, Université Côte d'Azur, Nice, France
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11
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Passeron T. Vitiligo: 30 years to put together the puzzle pieces and to give rise to a new era of therapeutic options. J Eur Acad Dermatol Venereol 2021; 35:2305-2307. [PMID: 34647661 DOI: 10.1111/jdv.17652] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2021] [Accepted: 08/31/2021] [Indexed: 11/28/2022]
Affiliation(s)
- T Passeron
- Department of Dermatology, Université Côte d'Azur, CHU Nice, Nice, France.,INSERM U1065 C3M, Université Côte d'Azur, Nice, France
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12
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Passeron T, Malmqvst V, Bzioueche H, Marchetti S, Rocchi S, Tulic M. 214 Increased cutaneous activation of innate immunity and pro-apoptotic CXCR3B in patients with segmental vitiligo. J Invest Dermatol 2021. [DOI: 10.1016/j.jid.2021.08.219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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13
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Abstract
Vitiligo is a polygenetic multifactorial disease leading to melanocytic loss in skin and sometimes in hair. Genital areas may be involved and represent a specific therapeutic challenge. Surprisingly, data on male genital vitiligo remain scarce. This review aims to collate current knowledge on male genital vitiligo and to discuss the risks and benefits of the various therapeutic approaches. Male genital vitiligo is relatively frequent and often induces marked impairment of quality of life, with a specific impact on sex life. Prompt recognition of activity remains mandatory to halt disease progression, as repigmentation remains difficult to achieve in most cases. Thanks to progress in understanding of the pathophysiology of vitiligo, new therapeutic approaches are under development. Topical ruxolitinib, a JAK pathway inhibitor, is currently the product in the most advanced stage of development, with a very encouraging repigmentation rate on the face, although specific efficacy in genital area remains to be assessed. The next generation of treatments, such as topical WNT agonists, could be of great interest in genital vitiligo as they will not require combination with UV therapy and they may be able to enhance the differentiation and proliferation of melanocyte stem cells in this difficult-to-treat area.
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Affiliation(s)
- J-N Dauendorffer
- Dermatology department, genital disease and STD centre, Saint-Louis Hospital, 75010 Paris, France.
| | - C Skayem
- Faculty of medicine, university of Paris, 750006 Paris, France
| | - T Passeron
- Department of Dermatology, Côte-d'Azur University, CHU de Nice, 06000 Nice, France; Inserm U1065, C3M, Côte-d'Azur University, 06204 Nice cedex 3, France
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14
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Hubiche T, Le Duff F, Fontas E, Rapp J, Chiaverini C, Passeron T. Relapse of chilblain-like lesions during the second wave of the COVID-19 pandemic: a cohort follow-up. Br J Dermatol 2021; 185:858-859. [PMID: 34128539 PMCID: PMC8444830 DOI: 10.1111/bjd.20584] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2021] [Revised: 06/11/2021] [Accepted: 06/13/2021] [Indexed: 11/27/2022]
Affiliation(s)
- T Hubiche
- Department of Dermatology, Côte d'Azur University, CHU Nice, Nice, France
| | - F Le Duff
- Department of Dermatology, Côte d'Azur University, CHU Nice, Nice, France
| | - E Fontas
- Department of Clinical Research and Innovation, Côte d'Azur University, CHU Nice, Nice, France
| | - J Rapp
- Department of Dermatology, Côte d'Azur University, CHU Nice, Nice, France
| | - C Chiaverini
- Department of Dermatology, Côte d'Azur University, CHU Nice, Nice, France
| | - T Passeron
- Department of Dermatology, Côte d'Azur University, CHU Nice, Nice, France.,Côte d'Azur University, INSERM U1065, C3M, Nice, France
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15
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Passeron T, Zouboulis CC, Tan J, Andersen ML, Katta R, Lyu X, Aguilar L, Kerob D, Morita A, Krutmann J, Peters EMJ. Adult skin acute stress responses to short-term environmental and internal aggression from exposome factors. J Eur Acad Dermatol Venereol 2021; 35:1963-1975. [PMID: 34077579 PMCID: PMC8519049 DOI: 10.1111/jdv.17432] [Citation(s) in RCA: 30] [Impact Index Per Article: 10.0] [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: 04/01/2021] [Revised: 04/30/2021] [Accepted: 05/18/2021] [Indexed: 12/02/2022]
Abstract
Exposome factors that lead to stressed skin can be defined as any disturbance to homeostasis from environmental (meteorological factors, solar radiation, pollution or tobacco smoke) and/or internal exposure (unhealthy diet, hormonal variations, lack of sleep, psychosocial stress). The clinical and biological impact of chronic exposome effects on skin functions has been extensively reviewed, whereas there is a paucity of information on the impact of short‐term acute exposure. Acute stress, which would typically last minutes to hours (and generally no more than a week), provokes a transient but robust neuroendocrine‐immune and tissue remodelling response in the skin and can alter the skin barrier. Firstly, we provide an overview of the biological effects of various acute stressors on six key skin functions, namely the skin physical barrier, pigmentation, defences (antioxidant, immune cell‐mediated, microbial and microbiome maintenance), structure (extracellular matrix and appendages), neuroendocrine and thermoregulation functions. Secondly, we describe the biological and clinical effects on adult skin from individual exposome factors that elicit an acute stress response and their consequences in skin health maintenance. Clinical manifestations of acutely stressed skin may include dry skin that might accentuate fine lines, oily skin, sensitive skin, pruritus, erythema, pale skin, sweating, oedema and flares of inflammatory skin conditions such as acne, rosacea, atopic dermatitis, pigmentation disorders and skin superinfection such as viral reactivation. Acute stresses can also induce scalp sensitivity, telogen effluvium and worsen alopecia.
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Affiliation(s)
- T Passeron
- Department of Dermatology, University Hospital Centre Nice, Côte d'Azur University, Nice, France.,INSERM U1065, team 12, C3M, Nice, France
| | - C C Zouboulis
- Departments of Dermatology, Venereology, Allergology and Immunology, Dessau Medical Center, Brandenburg Medical School Theodor Fontane and Faculty of Health Sciences Brandenburg, Dessau, Germany
| | - J Tan
- Windsor Clinical Research Inc., Windsor, ON, Canada.,Department of Medicine, University of Western Ontario, London, Canada
| | - M L Andersen
- Department of Psychobiology, Universidade Federal de São Paulo (UNIFESP)/Escola Paulista de Medicina, São Paulo, Brazil
| | - R Katta
- Volunteer Clinical Faculty, Baylor College of Medicine, Houston, Texas, USA.,McGovern Medical School at UT Health, Houston, Texas, USA
| | - X Lyu
- Department of Dermatology, Anzhen Hospital, Capital Medical University, Beijing, China
| | - L Aguilar
- L'Oréal Advanced Research, Aulnay-sous-bois, France
| | - D Kerob
- Laboratoires Vichy, Levallois Perret, France
| | - A Morita
- Department of Geriatric and Environmental Dermatology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
| | - J Krutmann
- IUF Leibniz Research Institute for Environmental Medicine, Dusseldorf, Germany.,Medical faculty, Heinrich-Heine-University, Dusseldorf, Germany
| | - E M J Peters
- Department of Psychosomatic Medicine and Psychotherapy, Justus-Liebig University, Gießen, Germany.,Charité Center 12 (CC12) for Internal Medicine and Dermatology, Berlin, Germany
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Passeron T, Krutmann J, Andersen ML, Katta R, Zouboulis CC. Clinical and biological impact of the exposome on the skin. J Eur Acad Dermatol Venereol 2021; 34 Suppl 4:4-25. [PMID: 32677068 DOI: 10.1111/jdv.16614] [Citation(s) in RCA: 43] [Impact Index Per Article: 14.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2020] [Accepted: 05/05/2020] [Indexed: 12/29/2022]
Abstract
The skin exposome is defined as the totality of environmental exposures over the life course that can induce or modify various skin conditions. Here, we review the impact on the skin of solar exposure, air pollution, hormones, nutrition and psychological factors. Photoageing, photocarcinogenesis and pigmentary changes are well-established consequences of chronic exposure of the skin to solar radiation. Exposure to traffic-related air pollution contributes to skin ageing. Particulate matter and nitrogen dioxide cause skin pigmentation/lentigines, while ozone causes wrinkles and has an impact on atopic eczema. Human skin is a major target of hormones, and they exhibit a wide range of biological activities on the skin. Hormones decline with advancing age influencing skin ageing. Nutrition has an impact on numerous biochemical processes, including oxidation, inflammation and glycation, which may result in clinical effects, including modification of the course of skin ageing and photoageing. Stress and lack of sleep are known to contribute to a pro-inflammatory state, which, in turn, affects the integrity of extracellular matrix proteins, in particular collagen. Hormone dysregulation, malnutrition and stress may contribute to inflammatory skin disorders, such as atopic dermatitis, psoriasis, acne and rosacea.
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Affiliation(s)
- T Passeron
- Côte d'Azur University, Department of Dermatology, University Hospital Centre Nice, Nice, France.,Côte d'Azur University, INSERM U1065, C3M, Nice, France
| | - J Krutmann
- IUF - Leibniz Research Institute for Environmental Medicine, Düsseldorf, Germany.,Medical faculty, Heinrich-Heine-University, Düsseldorf, Germany
| | - M L Andersen
- Department of Psychobiology, Universidade Federal de São Paulo (UNIFESP)/Escola Paulista de Medicina, São Paulo, Brazil
| | - R Katta
- Volunteer Clinical Faculty, Baylor College of Medicine, McGovern Medical School at UT Health, Houston, TX, USA
| | - C C Zouboulis
- Departments of Dermatology, Venereology, Allergology and Immunology, Dessau Medical Center, Brandenburg Medical School Theodor Fontane, Dessau, Germany
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Fontas E, Montaudié H, Passeron T. Oral gliadin-protected superoxide dismutase in addition to phototherapy for treating non-segmental vitiligo: A 24-week prospective randomized placebo-controlled study. J Eur Acad Dermatol Venereol 2021; 35:1725-1729. [PMID: 33931900 PMCID: PMC8360035 DOI: 10.1111/jdv.17331] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [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: 02/02/2021] [Revised: 03/19/2021] [Accepted: 04/09/2021] [Indexed: 11/30/2022]
Abstract
Background Despite a solid rationale, the usefulness of antioxidants in treating vitiligo has not been clearly demonstrated. Combining superoxide dismutase (SOD) with a wheat gliadin biopolymer protects it during the passage through the gastrointestinal tract. Objective To evaluate the efficacy of gliadin‐protected SOD (GP‐SOD), associated with narrowband ultraviolet B(NB‐UVB), for treating vitiligo. Methods We conducted a 24‐week monocentric interventional prospective randomized placebo‐controlled trial in the tertiary center for vitiligo care in the department of Dermatology of Nice University hospital, Nice, France. Subjects with non‐segmental vitiligo affecting more than 5% of the total body surface were included. The subjects received gliadin‐protected SOD (GP‐SOD; 1 g/day for 12 weeks followed by 0.5 g/day for 12 weeks) or placebo in combination with twice‐weekly sessions of NB‐UVB. The primary endpoint was the total repigmentation rate at 24 weeks, compared with baseline, as assessed by investigator‐assessed Vitiligo Extent Score (VES) on standardized pictures. Results A total of 50 patients were included. After 24 weeks, a greater improvement in VES was observed in the GP‐SOD group (19.85%; SE 4.63, P < 0.0001) compared with the placebo group (8.83%; SE 4.72, P = 0.0676). Tolerance was good in both groups. No related side‐effect was reported. Conclusions The use of GP‐SOD appears to be a useful add‐on to phototherapy in the treatment of vitiligo patients.
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Affiliation(s)
- E Fontas
- CHU Nice, Department of Clinical Research and Innovation, Université Côte d'Azur, Nice, France
| | - H Montaudié
- CHU Nice, Department of Dermatology, Université Côte d'Azur, Nice, France.,INSERM U1065 C3M, Université Côte d'Azur, Nice, France
| | - T Passeron
- CHU Nice, Department of Dermatology, Université Côte d'Azur, Nice, France.,INSERM U1065 C3M, Université Côte d'Azur, Nice, France
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18
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Passeron T, Lim HW, Goh CL, Kang HY, Ly F, Morita A, Ocampo Candiani J, Puig S, Schalka S, Wei L, Dréno B, Krutmann J. Photoprotection according to skin phototype and dermatoses: practical recommendations from an expert panel. J Eur Acad Dermatol Venereol 2021; 35:1460-1469. [PMID: 33764577 PMCID: PMC8252523 DOI: 10.1111/jdv.17242] [Citation(s) in RCA: 46] [Impact Index Per Article: 15.3] [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: 11/17/2020] [Accepted: 03/10/2021] [Indexed: 12/14/2022]
Abstract
Increasing evidence on the impact of the different wavelengths of sunlight on the skin demonstrates the need for tailored recommendations of sunscreen according to skin phototype and dermatoses, which is now possible due to advances in the filters and formulations of sunscreens. A selective literature search was performed by an international expert panel, focusing on the type of sunscreen to recommend for photoaging, skin cancers, photodermatoses, pigmentary disorders and skin inflammatory disorders. Protection against ultraviolet (UV)B is especially important for light skin as there is a high risk of sunburn, DNA damage and skin cancers. Darker skin may be naturally better protected against UVB but is more prone to hyperpigmentation induced by visible light (VL) and UVA. Protection against UVA, VL and infrared A can be helpful for all skin phototypes as they penetrate deeply and cause photoaging. Long‐wave UVA1 plays a critical role in pigmentation, photoaging, skin cancer, DNA damage and photodermatoses. Adapting the formulation and texture of the sunscreen to the type of skin and dermatoses is also essential. Practical recommendations on the type of sunscreen to prescribe are provided to support the clinician in daily practice.
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Affiliation(s)
- T Passeron
- Department of Dermatology, Côte d'Azur University, Nice University Hospital Center, Nice, France.,INSERM U1065, C3M, Côte d'Azur University, Nice, France
| | - H W Lim
- Department of Dermatology, Henry Ford Health System, Detroit, MI, USA
| | - C-L Goh
- National Skin Centre, Singapore, Singapore
| | - H Y Kang
- Department of Dermatology, Ajou University School of Medicine, Suwon, South Korea
| | - F Ly
- Department of Dermatology, Cheikh Anta Diop Dakar University, EPS Institute of Social Hygiene, Dakar, Senegal
| | - A Morita
- Department of Geriatric and Environmental Dermatology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
| | - J Ocampo Candiani
- Department of Dermatology, Medical Faculty University Hospital of Nuevo León, Monterrey, Mexico
| | - S Puig
- Melanoma Unit, Dermatology Department, Barcelona University Hospital Clinic, Barcelona, Spain
| | - S Schalka
- Medcin Skin Research Center and Biochemistry Department, Chemistry Institute of São Paulo University, São Paulo, Brazil
| | - L Wei
- Department of Dermatology, The General Hospital of Air Force PLA, Beijing, China
| | - B Dréno
- Department of Dermato-Oncology, CIC 1413, CRCINA, Nantes University Hospital Center, Nantes, France
| | - J Krutmann
- IUF Leibniz Research Institute for Environmental Medicine, Dusseldorf, Germany.,Medical Faculty, Heinrich-Heine-University, Dusseldorf, Germany
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Shourick J, Ahmed M, Seneschal J, Passeron T, Andreux N, Qureshi A, Chow EY, Natella PA, Harris J, Tran VT, Ezzedine K. Development of a shared decision-making tool in vitiligo: an international study. Br J Dermatol 2021; 185:787-796. [PMID: 33830502 DOI: 10.1111/bjd.20137] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/02/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND Shared decision-making tools (SDMt) are visual tools developed to promote joint medical decisions between physicians and patients. There is a paucity of such tools in dermatology. OBJECTIVES To develop and validate a SDMt for use in specialized consultation for vitiligo. METHODS A prospective cross-sectional study was carried out from March 2019 to March 2020. We first conducted a qualitative study of topics discussed by patients and clinicians during therapeutic decision-making in the setting of a specialized consultation for vitiligo using an anchored-theory method, which allowed conceptualization of the SDMt. The usefulness of the SDMt was evaluated by a working group of multidisciplinary health workers and patients with vitiligo. Consensus on the final tool was obtained through an e-Delphi method. RESULTS We recruited 30 patients with vitiligo for the qualitative study, which identified 91 topics related to therapeutic decision-making. Hierarchical clustering analysis confirmed the distribution of these topics in two subgroups (general treatment goals and priorities, and topics specific to each treatment). The consensus of a multidisciplinary group was used to develop the SDMt. The tool was comprised of eight A5 cards, which addressed face repigmentation; body repigmentation (limited area); body repigmentation (extended area); partial or complete depigmentation; coping with the disease; stabilization of disease; maintaining repigmentation; and disease information. Cognitive interviews confirmed the satisfaction, readability and usefulness of the SDMt. The SDMt was then translated and culturally validated in English. CONCLUSIONS We developed a tool for shared decision-making in nonsegmental vitiligo, which we translated and cross-culturally validated in a US patient population with vitiligo to ensure its generalizability.
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Affiliation(s)
- J Shourick
- Epidemiology in Dermatology and Evaluation of Therapeutics (EpiDermE), EA7379, Paris-Est University, UPEC, DHU VIC, Créteil, France
| | - M Ahmed
- Department of Dermatology, University of Massachusetts Medical School, Worcester, MA, 01605, USA
| | - J Seneschal
- Hôpital Saint-André, CHU Bordeaux, Bordeaux, France
| | - T Passeron
- Université Côte d'Azur, Department of Dermatology, CHU Nice, Nice, France.,Université Côte d'Azur, INSERM U1065, C3M, Nice, France
| | - N Andreux
- Hôpital Saint-André, CHU Bordeaux, Bordeaux, France
| | - A Qureshi
- Department of Dermatology, Warren Alpert Medical School, Brown University, 339 Eddy Street, Providence, RI, 02903, USA
| | - E Y Chow
- Department of Epidemiology, School of Public Health, Brown University, Providence, RI, 02903, USA
| | - P A Natella
- Assistance Publique-Hôpitaux de Paris, Public Health Department/Clinical Research Unit (URC-Mondor), Groupe Hospitalier Henri-Mondor/Albert Chenevier, Créteil, France
| | - J Harris
- Department of Dermatology, University of Massachusetts Medical School, Worcester, MA, 01605, USA
| | - V-T Tran
- Université de Paris, CRESS, INSERM, INRA, Paris, France.,Center d'Epidémiologie Clinique, Hôpital Hôtel Dieu, AP-HP, Paris, France
| | - K Ezzedine
- Epidemiology in Dermatology and Evaluation of Therapeutics (EpiDermE), EA7379, Paris-Est University, UPEC, DHU VIC, Créteil, France.,Department of Dermatology, Mondor Hospital (AP-HP), Paris Est Créteil University, Créteil, France
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20
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Rousset P, Dugourd PM, Lanteri A, Montaudié H, Passeron T. Successful treatment of pyoderma gangrenosum associated with IgA gammopathy with the IL-1 receptor antagonist anakinra. J Eur Acad Dermatol Venereol 2021; 35:e447-e450. [PMID: 33657262 DOI: 10.1111/jdv.17204] [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: 11/26/2022]
Affiliation(s)
- P Rousset
- Dermatology Department, Université Côte d'Azur, CHU Nice, Nice, France
| | - P M Dugourd
- Dermatology Department, Université Côte d'Azur, CHU Nice, Nice, France
| | - A Lanteri
- Department of Internal Medicine, Centre Hospitalier Antibes Juan-Les-Pins, Antibes, France
| | - H Montaudié
- Dermatology Department, Université Côte d'Azur, CHU Nice, Nice, France.,INSERM U1065, Centre Méditerranéen de Médecine Moléculaire, Université Côte d'Azur, Nice, France
| | - T Passeron
- Dermatology Department, Université Côte d'Azur, CHU Nice, Nice, France.,INSERM U1065, Centre Méditerranéen de Médecine Moléculaire, Université Côte d'Azur, Nice, France
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21
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Rezzag-Mahcene C, Cardot-Leccia N, Lacour JP, Montaudié H, Passeron T. Successful treatment of recalcitrant genital lichen planus with secukinumab. J Eur Acad Dermatol Venereol 2020; 35:e321-e323. [PMID: 33617056 DOI: 10.1111/jdv.17068] [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] [Indexed: 11/30/2022]
Affiliation(s)
- C Rezzag-Mahcene
- Department of Dermatology, CHU Nice, Université Côte d'Azur, Nice, France
| | - N Cardot-Leccia
- Department of Pathology, CHU Nice, Université Côte d'Azur, Nice, France
| | - J-P Lacour
- Department of Dermatology, CHU Nice, Université Côte d'Azur, Nice, France
| | - H Montaudié
- Department of Dermatology, CHU Nice, Université Côte d'Azur, Nice, France.,INSERM, U1065, C3M, Université Côte d'Azur, Nice, France
| | - T Passeron
- Department of Dermatology, CHU Nice, Université Côte d'Azur, Nice, France.,INSERM, U1065, C3M, Université Côte d'Azur, Nice, France
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22
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Duplaine A, Andreu N, Maillard H, Droitcourt C, Passeron T, Seneschal J, Ezzedine K. VITAC : étude multicentrique randomisée évaluant l’efficacité du tacrolimus pommade 0,1 % versus placebo dans le vitiligo non-segmentaire du visage de l’adulte. Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.09.089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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23
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Lemasson J, Frumholtz L, Lenormand C, Lipsker D, Jachiet M, Moulin S, Chiaverini C, Le Duff F, Passeron T, Cordoliani F, Bagot M, Montfort JB, Senet P, De Masson A, Cassius C, Petit A, Misery L, Moguelet P, Cordel N, Fardet L, Begon E, Frances C, Bessis D, Bouaziz JD, Chasset F. Étude nationale française multicentrique de 74 patients atteints de panniculite lupique. Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.09.139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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24
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Heim M, Mackenzie N, Duteil L, Montaudié H, Tulic M, Passeron T. Impact de la combinaison calcipotriol-bétaméthasone sur l’infiltrat immunitaire dans le psoriasis. Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.09.563] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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25
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Kenani M, Le Duff F, Hachem J, Le Pillouer-Prost A, Martin-Chico R, Sfecci A, Patarin M, Laubach H, Ducamp I, Cante V, Perillat Y, Toubel G, Passeron T, Bahadoran P. Cicatrices après détatouage chimique. Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.09.255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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26
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Passeron T, Piche T. Skin manifestations associated with irritable bowel syndrome. J Eur Acad Dermatol Venereol 2020; 34:e651-e652. [DOI: 10.1111/jdv.16514] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- T. Passeron
- Department of Dermatology Université Côte d’AzurCHU Nice Nice France
- INSERM U1065, C3M Université Côte d’Azur Nice France
| | - T. Piche
- Department of Gastro‐enterology Université Côte d’AzurCHU Nice Nice France
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Leducq S, Maruani A, Samimi M, Tavernier E, Passeron T, Fontas E, Le Cleach L, Caille A, Giraudeau B. Design issues when assessing a topical pharmacological treatment in dermatology. Rev Epidemiol Sante Publique 2020. [DOI: 10.1016/j.respe.2020.03.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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28
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Di Filippo Y, Cardot-Leccia N, Long-Mira E, Andreani M, Richez V, Lacour JP, Passeron T, Montaudié H. Reactive angioendotheliomatosis revealing a glomerulopathy secondary to a monoclonal gammopathy successfully treated with lenalidomide. J Eur Acad Dermatol Venereol 2020; 35:e115-e118. [PMID: 32735354 DOI: 10.1111/jdv.16840] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Y Di Filippo
- Dermatology Department, Université Côte d'Azur, CHU Nice, Nice, France
| | - N Cardot-Leccia
- Department of Histopathology Laboratory Central of Pathology, Université Côte d'Azur, CHU Nice, Nice, France
| | - E Long-Mira
- Laboratory of Clinical and Experimental Pathology, Université Côte d'Azur, CHU Nice, France
| | - M Andreani
- Nephrology Department, Université Côte d'Azur, CHU Nice, Nice, France
| | - V Richez
- Hematology Department, Université Côte d'Azur, CHU Nice, Nice, France
| | - J-P Lacour
- Dermatology Department, Université Côte d'Azur, CHU Nice, Nice, France
| | - T Passeron
- Dermatology Department, Université Côte d'Azur, CHU Nice, Nice, France.,INSERM, U1065, Centre Méditerranéen de Médecine Moléculaire, Université Côte d'Azur, Nice, France
| | - H Montaudié
- Dermatology Department, Université Côte d'Azur, CHU Nice, Nice, France.,INSERM, U1065, Centre Méditerranéen de Médecine Moléculaire, Université Côte d'Azur, Nice, France
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29
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Passeron T. The skin exposome. An exciting growing field of research. J Eur Acad Dermatol Venereol 2020; 34 Suppl 4:3. [DOI: 10.1111/jdv.16615] [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: 03/13/2020] [Accepted: 05/05/2020] [Indexed: 11/28/2022]
Affiliation(s)
- T. Passeron
- Côte d’Azur University Department of Dermatology University Hospital Centre Nice Nice France
- University Côte d’Azur. INSERM U1065 C3M Nice France
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30
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Samimi M, Le Gouge A, Boralevi F, Passeron T, Pascal F, Bernard P, Agbo-Godeau S, Leducq S, Fricain JC, Vaillant L, Francès C. Topical rapamycin versus betamethasone dipropionate ointment for treating oral erosive lichen planus: a randomized, double-blind, controlled study. J Eur Acad Dermatol Venereol 2020; 34:2384-2391. [PMID: 32128907 DOI: 10.1111/jdv.16324] [Citation(s) in RCA: 2] [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] [Received: 12/25/2019] [Accepted: 02/18/2020] [Indexed: 01/15/2023]
Abstract
BACKGROUND Although superpotent topical corticosteroids are the first-line treatment for oral erosive lichen planus (OELP), topical rapamycin was found efficient in a previous case series. OBJECTIVES To compare the efficacy and safety of topical rapamycin and betamethasone dipropionate ointment for OELP in a randomized, double-blind trial. METHODS Patients were randomized to receive treatment with betamethasone dipropionate ointment 0.05% in Orabase® or topical rapamycin solution (1 mg/mL) on lesions twice daily for 3 months, followed by 3 months of observation. The primary outcome was clinical remission after 3 months of treatment. Secondary outcomes were clinical remission after 1 and 2 months, reduced oral pain and reduced impact on food intake after 3 months, clinical recurrence after treatment withdrawal, and adverse events. RESULTS During a 4-year period, 76 patients were randomized and 75 received treatment (rapamycin, n = 39; betamethasone, n = 36). At 3 months, 39.4% of patients with betamethasone and 27.3% with rapamycin showed clinical remission (odds ratio 0.68, 95% CI [0.24; 1.89]; P = 0.46). Rates of remission after 1 and 2 months, reduction in pain and impact on food intake after 3 months, were higher with betamethasone than rapamycin. Recurrence of oral erosions was similar between groups. Adverse events occurred in 43.6% of patients with rapamycin (mostly burning sensation, impaired taste) and 27.8% with betamethasone (mostly oral candidiasis). CONCLUSION Although the study was limited by insufficient recruitment, we did not find any superiority of topical rapamycin over betamethasone dipropionate ointment for OELP. Given the rapid remission and pain improvement in the betamethasone group, it appears that superpotent topical corticosteroids should remain the first-line treatment for OELP.
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Affiliation(s)
- M Samimi
- Department of Dermatology, University Hospital of Tours, University of Tours, Tours, France.,ISP 1282 INRA University of Tours, Tours, France
| | - A Le Gouge
- Biometrical Department, Centre d'Investigation Clinique, INSERM CIC1415, University Hospital of Tours, Tours, France
| | - F Boralevi
- Department of Dermatology, National Centre for Rare Skin Disorders, University Hospital of Bordeaux and INSERM U1035, Bordeaux, France
| | - T Passeron
- Department of Dermatology, CHU Nice, INSERM U1065, Centre Méditerranéen de Médecine Moléculaire (C3M), Université Côte d'Azur, Nice, France
| | - F Pascal
- Department of Dermatology and Stomatology, Saint-Louis Hospital, AP-HP, Université Paris 7-Diderot, Paris, France
| | - P Bernard
- Department of Dermatology, Reims University Hospital, University of Reims-Champagne-Ardenne, Reims, France
| | - S Agbo-Godeau
- Department of Stomatology and Maxillo-Facial Surgery, Groupe hospitalier Pitié-Salpêtrière-Charles-Foix, AP-HP, Paris, France
| | - S Leducq
- Department of Dermatology, University Hospital of Tours, University of Tours, Tours, France.,Biometrical Department, Centre d'Investigation Clinique, INSERM CIC1415, University Hospital of Tours, Tours, France
| | - J C Fricain
- Department of Dentistry and Oral Health, Inserm U1026 Bioingénierie Tissulaire - BioTis, Bordeaux, University Hospital of Bordeaux, France
| | - L Vaillant
- Department of Dermatology, University Hospital of Tours, University of Tours, Tours, France
| | - C Francès
- Department of Dermatology and Allergology, Hospital Tenon, Université Paris VI Pierre et Marie Curie, Sorbonnes Universités, Paris, France
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van Geel N, Passeron T, Wolkerstorfer A, Speeckaert R, Ezzedine K. Reliability and validity of the Vitiligo Signs of Activity Score (VSAS). Br J Dermatol 2020; 183:883-890. [PMID: 32064583 PMCID: PMC7687072 DOI: 10.1111/bjd.18950] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/13/2020] [Indexed: 12/12/2022]
Abstract
Background The associations between disease activity and several clinical signs in vitiligo have been described, but a widely accepted and validated scoring system is lacking. Objectives To validate the Vitiligo Signs of Activity Score (VSAS) for physicians. Methods Three visible clinical signs were scored on 15 body locations: confetti‐like depigmentation (c), Koebner phenomenon (k) and hypochromic areas/borders (h). The inter‐ and intrarater reliability of the global VSAS and VSAS subscores (c‐VSAS, k‐VSAS and h‐VSAS) were tested by four and three raters (physicians), respectively. Construct validity and feasibility were evaluated. Results The VSAS demonstrated good inter‐rater reliability, with an intraclass correlation coefficient (ICC) of 0·87 in the first round and 0·90 in the second round. The intrarater reliability ICCs were all ≥ 0·86. The inter‐rater reliabilities of the subscores were excellent for c‐VSAS and fair for k‐VSAS and h‐VSAS (ICC 0·83, 0·51 and 0·53, respectively, in the first round). Evidence for construct validity was provided. The completion time by the raters (median 2·18 min per patient) improved during the second round (median 1·33 min per patient). A limitation of the study is the low number of patients, mainly of skin phototypes II–III, from a single tertiary centre. Conclusions The VSAS appears to be a valid and reliable instrument to score visible clinical signs linked to disease activity in a standardized way. What is already known about this topic? Evidence exists for a possible link between several visible clinical signs in vitiligo and disease activity. A widely accepted and validated scoring system to quantify these clinical signs is lacking.
What does this study add? The Vitiligo Signs of Activity Score (VSAS) underwent preliminary validation and may assist quantification of visible clinical signs linked to disease activity in a standardized way in clinical practice and trials.
What are the clinical implications of this work? VSAS may be used for future trials that aim to establish the clinical significance of the specific visible clinical signs in vitiligo in a more controlled setting.
Linked Comment:Eleftheriadou. Br J Dermatol 2020; 183:801–802. What is already known about this topic? Evidence exists for a possible link between several visible clinical signs in vitiligo and disease activity. A widely accepted and validated scoring system to quantify these clinical signs is lacking.
What does this study add? The Vitiligo Signs of Activity Score (VSAS) underwent preliminary validation and may assist quantification of visible clinical signs linked to disease activity in a standardized way in clinical practice and trials.
What are the clinical implications of this work? VSAS may be used for future trials that aim to establish the clinical significance of the specific visible clinical signs in vitiligo in a more controlled setting.
Linked Comment:Eleftheriadou. Br J Dermatol 2020; 183:801–802.
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Affiliation(s)
- N van Geel
- Department of Dermatology, Ghent University Hospital, Ghent, Belgium
| | - T Passeron
- Department of Dermatology, Université Côte d'Azur, CHU Nice, Nice, France.,Department of Dermatology & INSERM U1065, C3M, Nice, France
| | - A Wolkerstorfer
- Department of Dermatology, Institute for Pigment Disorders and Infection & Immunity Institute Amsterdam UMC, Amsterdam, the Netherlands
| | - R Speeckaert
- Department of Dermatology, Ghent University Hospital, Ghent, Belgium
| | - K Ezzedine
- Department of Dermatology, Henri Mondor Hospital, UPEC-Université Paris-Est Créteil, Paris, France
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Dugourd P, Martin H, Fontas E, Velin M, Montaudié H, Lacour J, Passeron T. Probiotics for recurrent idiopathic aphthous stomatitis in adults: a placebo‐controlled randomized trial. J Eur Acad Dermatol Venereol 2020; 34:e239-e240. [DOI: 10.1111/jdv.16199] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- P.‐M. Dugourd
- Service de Dermatologie Centre Hospitalier Universitaire Nice Université Côte d'Azur Nice France
| | - H. Martin
- Service de Dermatologie Centre Hospitalier Universitaire Nice Université Côte d'Azur Nice France
| | - E. Fontas
- Centre Hospitalier Universitaire Nice Délégation à la Recherche Clinique et à l'Innovation Université Côte d'Azur Nice France
| | - M. Velin
- Service de Dermatologie Centre Hospitalier Universitaire Nice Université Côte d'Azur Nice France
| | - H. Montaudié
- Service de Dermatologie Centre Hospitalier Universitaire Nice Université Côte d'Azur Nice France
- INSERM U1065, équipe 12, C3M Université Côte d'Azur Nice France
| | - J.P. Lacour
- Service de Dermatologie Centre Hospitalier Universitaire Nice Université Côte d'Azur Nice France
| | - T. Passeron
- Service de Dermatologie Centre Hospitalier Universitaire Nice Université Côte d'Azur Nice France
- INSERM U1065, équipe 12, C3M Université Côte d'Azur Nice France
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Affiliation(s)
- A R Young
- St John's Institute of Dermatology, School of Basic and Medical Biosciences, Faculty of Life Sciences and Medicine, King's College London, London, UK
| | - T Passeron
- Department of Dermatology, CHU Nice, Université Côte d'Azur, CHU Nice, 151, route de Ginestière 06200, Nice, France.,C3M, INSERM U1065, Université Côte d'Azur, 151, route de Ginestière 06200, Nice, France
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34
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Bronzina E, Clement A, Marie B, Fook Chong KT, Faure P, Passeron T. Efficacy and tolerability on melasma of a topical cosmetic product acting on melanocytes, fibroblasts and endothelial cells: a randomized comparative trial against 4% hydroquinone. J Eur Acad Dermatol Venereol 2020; 34:897-903. [PMID: 31858658 PMCID: PMC7154540 DOI: 10.1111/jdv.16150] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2019] [Accepted: 11/20/2019] [Indexed: 01/02/2023]
Abstract
Background Recent data demonstrated that an altered basal membrane, activated melanocytes and secreted factors from keratinocytes but also fibroblasts and endothelial cells are involved in the pathophysiology of melasma. Objectives To evaluate the efficacy and tolerability on melasma of a new topical skin‐lightening cosmetic product combination (CCP) targeting several factors identified to be involved in melasma pathogenesis compared to 4% hydroquinone (HQ). Methods Forty‐three women with melasma were enrolled in a 12‐week double‐blind, randomized, parallel‐group trial and treated with CCP or 4% HQ cream. Efficacy was evaluated with the modified Melasma Area Severity Index (mMASI) score and colorimetric change. Cutaneous tolerability and patient satisfaction were also investigated. Results The mMASI score decreased for both products from baseline and over the study period. At week 12, 90% of the subjects who received the combination products had an improvement in pigmentation vs. 79% with HQ. Similarly, both products significantly increased Individual Typological Angle parameters. For both measures, no statistically significant difference was observed between CCP and HQ in terms of change from baseline. CPP was very well tolerated. Conclusions Cosmetic product combination is as effective as HQ in the management of facial dyspigmentation and represents a safe alternative.
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Affiliation(s)
| | | | - B Marie
- Insight Research - Dermscan Group, Quatre Bornes, Mauritius
| | - K T Fook Chong
- Insight Research - Dermscan Group, Quatre Bornes, Mauritius
| | - P Faure
- DEWAVRIN GROUP, Wasquehal, France
| | - T Passeron
- Department of Dermatology, Université Côte d'Azur, CHU Nice, Nice, France.,INSERM U1065, C3M, Université Côte d'Azur, Nice, France
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Krutmann J, Passeron T, Gilaberte Y, Granger C, Leone G, Narda M, Schalka S, Trullas C, Masson P, Lim HW. Photoprotection of the future: challenges and opportunities. J Eur Acad Dermatol Venereol 2020; 34:447-454. [PMID: 31898355 DOI: 10.1111/jdv.16030] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2019] [Accepted: 10/17/2019] [Indexed: 12/21/2022]
Abstract
The use of sunscreens is an important and essential component of photoprotection. Since their introduction during the first half of the last century, sunscreens have benefited enormously from major technological advances such as the development of novel UV filters; as a result, their efficacy in preventing UV-induced erythema is unequivocal. More recently, however, new challenges have appeared, which have prompted a robust discussion about the safety of sunscreens. These include topics directly related to photoprotection of human skin such as improved/alternative methods for standardization of assessment of the efficacy of sunscreens, but also many others such as photoprotection beyond UV, concerns about human toxicity and ecological safety, the potential of oral photoprotective measures, consequences of innovative galenic formulations. On a first glance, some of these might raise questions and doubts among dermatologists, physicians and the general public about the use sunscreens as a means of photoprotection. This situation has prompted us to critically review such challenges, but also opportunities, based on existing scientific evidence. We conclude by providing our vision about how such challenges can be met best in the future in an attempt to create the ideal sunscreen, which should provide adequate and balanced protection and be easy and safe to use.
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Affiliation(s)
- J Krutmann
- IUF - Leibniz Research Institute for Environmental Medicine, Düsseldorf, Germany.,Medical Faculty, University of Düsseldorf, Düsseldorf, Germany
| | - T Passeron
- Department of Dermatology, Université Côte d'Azur. Centre Hospitalo-Universitaire de Nice, Nice, France.,Inserm U1065, C3M, Université Côte d'Azur, Nice, France
| | - Y Gilaberte
- Dermatology Department, IIS Aragon, Hospital Universitario Miguel Servet, Zaragoza, Spain.,University of Zaragoza, Zaragoza, Spain
| | - C Granger
- Innovation and Development, ISDIN, Barcelona, Spain
| | - G Leone
- San Gallicano Dermatological Institute IRCCS, Roma, Italy
| | - M Narda
- Innovation and Development, ISDIN, Barcelona, Spain
| | - S Schalka
- Medcin Skin Research Center, São Paulo, Brazil
| | - C Trullas
- Innovation and Development, ISDIN, Barcelona, Spain
| | - P Masson
- Phi Consulting, Bordeaux, France
| | - H W Lim
- Department of Dermatology, Henry Ford Hospital, Detroit, MI, USA
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Di Filippo Y, Leccia-Cardot N, Passeron T, Lacour JP, Montaudie H, Moulin S. Angioendothéliomatose réactionnelle révélant une cryoglobulinémie compliquée d’une glomérulonéphrite membranoproliférative. Ann Dermatol Venereol 2019. [DOI: 10.1016/j.annder.2019.09.474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Moulin S, Rousset P, Montaudié H, Lacour JP, Passeron T. Naltrexone faible dose dans la maladie de Hailey–Hailey sévère, retour d’expérience sur 3 cas. Ann Dermatol Venereol 2019. [DOI: 10.1016/j.annder.2019.09.547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Bence C, Hofman V, Chamorey E, Long-Mira E, Lassalle S, Albertini AF, Liolios I, Zahaf K, Picard A, Montaudié H, Lacour JP, Passeron T, Andea AA, Ilie M, Hofman P. Association of combined PD-L1 expression and tumour-infiltrating lymphocyte features with survival and treatment outcomes in patients with metastatic melanoma. J Eur Acad Dermatol Venereol 2019; 34:984-994. [PMID: 31625630 DOI: 10.1111/jdv.16016] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2019] [Accepted: 09/20/2019] [Indexed: 12/24/2022]
Abstract
BACKGROUND Recent advances obtained with immune checkpoint inhibitors (ICIs) targeting the programmed cell death-1 (PD-1) protein have significantly improved the outcome of patients with metastatic melanoma. The PD-L1 expression in tumour cells as detected by immunohistochemistry is a predictive biomarker in some solid tumours, but appears insufficient as prognostic or predictive factor of response to ICIs in metastatic melanomas. OBJECTIVES We investigated whether the presence and the features of pretreatment CD8+ tumour-infiltrating T lymphocytes (TILs) could be a complementary prognostic or predictive biomarker in patients with metastatic melanoma. METHODS In this retrospective study, we evaluated the association of PD-L1 expression ≥5% of tumour cells combined with TIL features (CD8, CD28, Ki67) with the overall survival (OS) among 51 patients treated with ICIs and 54 patients treated with other treatment options (non-ICIs). RESULTS PD-L1 positivity was observed in 33% and 39% of primary melanomas and matched metastases, respectively, with, however, poor concordance between the primary and the matched metastatic site (κ = 0.283). No significant association was noted between PD-L1 expression and CD8+ TIL profile analysed as single markers and OS or response to immunotherapy. Instead, their combined analysis in primary melanoma samples showed that the PD-L1-/CD8+ status was significantly associated with prolonged OS in the whole population (P = 0.04) and in the subgroup treated with non-ICIs (P = 0.009). Conversely, the PD-L1+/CD8+ status was a good prognostic factor in patients treated with ICIs (P = 0.022), whereas was significantly associated with poor prognosis in patients treated with non-ICIs (P = 0.014). While the expression of CD28 was not related to outcome, the Ki67 expression was significantly associated with poor OS in the subgroup CD8+ TIL+/PD-L1- (P = 0.02). CONCLUSIONS The pretreatment combination of PD-L1 expression with the level of CD8+ TILs could better assess OS and predict therapeutic response of patients with metastatic melanoma treated by either immunotherapy or other treatment regimens.
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Affiliation(s)
- C Bence
- Laboratory of Clinical and Experimental Pathology, Pasteur Hospital, Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France
| | - V Hofman
- Laboratory of Clinical and Experimental Pathology, Pasteur Hospital, Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France.,CNRS, INSERM, Institute of Research on Cancer and Ageing of Nice (IRCAN), Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France.,Hospital-Related Biobank (BB-0033-00025), Pasteur Hospital, Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France
| | - E Chamorey
- Biostatistics Unit, Antoine Lacassagne Comprehensive Cancer Center, Nice, France
| | - E Long-Mira
- Laboratory of Clinical and Experimental Pathology, Pasteur Hospital, Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France.,CNRS, INSERM, Institute of Research on Cancer and Ageing of Nice (IRCAN), Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France.,Hospital-Related Biobank (BB-0033-00025), Pasteur Hospital, Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France
| | - S Lassalle
- Laboratory of Clinical and Experimental Pathology, Pasteur Hospital, Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France.,CNRS, INSERM, Institute of Research on Cancer and Ageing of Nice (IRCAN), Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France.,Hospital-Related Biobank (BB-0033-00025), Pasteur Hospital, Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France
| | | | | | - K Zahaf
- Laboratory of Clinical and Experimental Pathology, Pasteur Hospital, Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France
| | - A Picard
- Department of Dermatology, Archet Hospital, Université Côte d'Azur, Nice, France
| | - H Montaudié
- Department of Dermatology, Archet Hospital, Université Côte d'Azur, Nice, France
| | - J P Lacour
- Department of Dermatology, Archet Hospital, Université Côte d'Azur, Nice, France
| | - T Passeron
- Department of Dermatology, Archet Hospital, Université Côte d'Azur, Nice, France
| | - A A Andea
- Department of Pathology, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA
| | - M Ilie
- Laboratory of Clinical and Experimental Pathology, Pasteur Hospital, Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France.,CNRS, INSERM, Institute of Research on Cancer and Ageing of Nice (IRCAN), Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France.,Hospital-Related Biobank (BB-0033-00025), Pasteur Hospital, Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France
| | - P Hofman
- Laboratory of Clinical and Experimental Pathology, Pasteur Hospital, Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France.,CNRS, INSERM, Institute of Research on Cancer and Ageing of Nice (IRCAN), Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France.,Hospital-Related Biobank (BB-0033-00025), Pasteur Hospital, Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France
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Passeron T, Bouillon R, Callender V, Cestari T, Diepgen T, Green A, van der Pols J, Bernard B, Ly F, Bernerd F, Marrot L, Nielsen M, Verschoore M, Jablonski N, Young A. Photoprotection and vitamin D status. Br J Dermatol 2019. [DOI: 10.1111/bjd.18494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Passeron T, Bouillon R, Callender V, Cestari T, Diepgen T, Green A, Pols J, Bernard B, Ly F, Bernerd F, Marrot L, Nielsen M, Verschoore M, Jablonski N, Young A. 光保护和维生素 D 状态. Br J Dermatol 2019. [DOI: 10.1111/bjd.18506] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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42
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Guo L, Montaudié H, Bouhlel L, Picard A, Otto J, Falk A, Poudenx M, Bondiau PY, Gal J, Lacour JP, Passeron T, Sumodhee S, Doyen J. Impact du schéma d’irradiation sur la survie des patients atteints de carcinomes bronchiques non à petites cellules et de mélanomes évolués traités par l’association d’irradiation et d’inhibiteurs de checkpoint de l’immunité. Cancer Radiother 2019. [DOI: 10.1016/j.canrad.2019.07.059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Sormani Le Bourhis L, Taquin H, Mhaidly R, Heim M, Tulic M, Montaudie H, Rocchi S, Passeron T. 525 Identification of a new gene involved in human skin pigmentation: CLEC12B. J Invest Dermatol 2019. [DOI: 10.1016/j.jid.2019.07.440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Montaudié H, Sormani Le Bourhis L, Dadone-Montaudié B, Beranger G, Cheli Y, Petit V, Rocchi S, Gesbert F, Larue L, Passeron T. 442 CLEC12B a new gene implicated in melanoma. J Invest Dermatol 2019. [DOI: 10.1016/j.jid.2019.07.492] [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: 10/26/2022]
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Fransen F, Tio DCKS, Prinsen CAC, Haedersdal M, Hedelund L, Laubach HJ, Marini L, Paasch U, Passeron T, Wolkerstorfer A. A systematic review of outcome reporting in laser treatments for dermatological diseases. J Eur Acad Dermatol Venereol 2019; 34:47-53. [PMID: 31469447 DOI: 10.1111/jdv.15928] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2019] [Accepted: 08/14/2019] [Indexed: 11/30/2022]
Abstract
The standardization of outcome reporting is crucial for interpretation and comparison of studies related to laser treatment of skin disorders. In collaboration with the Cochrane Skin-Core Outcome Set Initiative (CS-COUSIN), a procedure has been proposed to find consensus on the most important generic outcome domains (what to measure) for implementation in the international Laser TrEAtment in Dermatology (LEAD) registry. As the first step in the development of a generic outcome set for the LEAD registry, we undertook a systematic review to identify outcomes, outcome measurement instruments, methods and definitions reported in recently published literature of laser treatments for skin disorders. A systematic search was conducted and generated a total of 707 papers. We assessed 150 studies including all types of studies involving laser treatments for the skin. Two researchers independently extracted the type, definition and frequency of all outcomes and used outcome measurement instruments. We identified 105 verbatim outcomes that were categorized into eight domains recommended by the COMET framework: appearance, long-term effects, physician and patient-reported physical signs, satisfaction, health-related quality of life, psychological functioning and adverse events. Heterogeneity in outcome reporting (e.g. categories and outcome measurement instruments) was high, and definitions were insufficiently reported. There was a clear under representation of life impact domains, including satisfaction (23%) quality of life (3%) and psychological functioning (1%). Outcome reporting concerning laser treatments for the skin is heterogeneous. Standardized outcomes are needed for improving evidence synthesis. Results of this review will be used in the next step to reach consensus between stakeholders on the outcome domains to be implemented in the LEAD registry.
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Affiliation(s)
- F Fransen
- Department of Dermatology, Amsterdam UMC, Amsterdam, The Netherlands
| | - D C K S Tio
- Department of Dermatology, Amsterdam UMC, Amsterdam, The Netherlands
| | - C A C Prinsen
- Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit, Amsterdam, The Netherlands
| | - M Haedersdal
- Massachusetts General Hospital, Harvard Medical School Boston, Boston, MA, USA.,Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark
| | - L Hedelund
- Department of Dermatology, Aarhus University Hospital, Aarhus, Denmark
| | - H J Laubach
- Department of Dermatology and Venereology, Geneva University Hospitals (HUG), Geneva, Switzerland
| | - L Marini
- SDC - The Skin Doctors' Center, Trieste, Italy
| | - U Paasch
- Department of Dermatology, Venereology and Allergy, University of Leipzig, Leipzig, Germany
| | - T Passeron
- Department of Dermatology, University of Côte d'Azur, University Hospital Nice, Nice, France.,Centre Méditéranéen de Médecine Moléculaire (C3M), INSERM U1065, team 12, University of Côte d'Azur, Nice, France
| | - A Wolkerstorfer
- Department of Dermatology, Amsterdam UMC, Amsterdam, The Netherlands
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Passeron T, Bouillon R, Callender V, Cestari T, Diepgen TL, Green AC, van der Pols JC, Bernard BA, Ly F, Bernerd F, Marrot L, Nielsen M, Verschoore M, Jablonski NG, Young AR. Sunscreen photoprotection and vitamin D status. Br J Dermatol 2019; 181:916-931. [PMID: 31069788 PMCID: PMC6899926 DOI: 10.1111/bjd.17992] [Citation(s) in RCA: 79] [Impact Index Per Article: 15.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/03/2019] [Indexed: 12/16/2022]
Abstract
Background Global concern about vitamin D deficiency has fuelled debates on photoprotection and the importance of solar exposure to meet vitamin D requirements. Objectives To review the published evidence to reach a consensus on the influence of photoprotection by sunscreens on vitamin D status, considering other relevant factors. Methods An international panel of 13 experts in endocrinology, dermatology, photobiology, epidemiology and biological anthropology reviewed the literature prior to a 1‐day meeting in June 2017, during which the evidence was discussed. Methods of assessment and determining factors of vitamin D status, and public health perspectives were examined and consequences of sun exposure and the effects of photoprotection were assessed. Results A serum level of ≥ 50 nmol L−1 25(OH)D is a target for all individuals. Broad‐spectrum sunscreens that prevent erythema are unlikely to compromise vitamin D status in healthy populations. Vitamin D screening should be restricted to those at risk of hypovitaminosis, such as patients with photosensitivity disorders, who require rigorous photoprotection. Screening and supplementation are advised for this group. Conclusions Sunscreen use for daily and recreational photoprotection does not compromise vitamin D synthesis, even when applied under optimal conditions. What's already known about this topic? Knowledge of the relationship between solar exposure behaviour, sunscreen use and vitamin D is important for public health but there is confusion about optimal vitamin D status and the safest way to achieve this. Practical recommendations on the potential impact of daily and/or recreational sunscreens on vitamin D status are lacking for healthy people.
What does this study add? Judicious use of daily broad‐spectrum sunscreens with high ultraviolet (UV) A protection will not compromise vitamin D status in healthy people. However, photoprotection strategies for patients with photosensitivity disorders that include high sun‐protection factor sunscreens with high UVA protection, along with protective clothing and shade‐seeking behaviour are likely to compromise vitamin D status. Screening for vitamin D status and supplementation are recommended in patients with photosensitivity disorders.
Linked Comment: https://doi.org/10.1111/bjd.18126. https://doi.org/10.1111/bjd.18494 available online
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Affiliation(s)
- T Passeron
- Department of Dermatology, CHU Nice, Université Côte d'Azur, CHU Nice, 151, route de Ginestière, 06200, Nice, France.,C3M, INSERM U1065 Université Côte d'Azur, 151, route de Ginestière, 06200, Nice, France
| | - R Bouillon
- Laboratory of Clinical and Experimental Endocrinology, Department of Chronic Diseases, Metabolism and Ageing, KU Leuven, Gasthuisberg, 3000, Leuven, Belgium
| | - V Callender
- Callender Dermatology & Cosmetic Center, 12200 Annapolis Road, Suite 315, Glenn Dale, MD, 20769, U.S.A
| | - T Cestari
- Federal University of Rio Grande do Sul, Hospital de Clinicas de Porto Alegre, Ramiro Barcellos 2350 zone 13, Porto Alegre, RS, 90035-903, Brazil
| | - T L Diepgen
- Department of Clinical Social Medicine, University of Heidelberg, Voßstr. 2, 69115, Heidelberg, Germany
| | - A C Green
- Cancer and Population Studies Group, QIMR Berghofer Medical Research Institute, Brisbane, QLD, 4006, Australia.,CRUK Manchester Institute and Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Sciences Centre, Manchester, M13 9NQ, U.K
| | - J C van der Pols
- School of Exercise and Nutrition Science, Queensland University of Technology, Brisbane, QLD, 4059, Australia
| | - B A Bernard
- L'Oréal R&I, Scientific Directorate, 9 rue Pierre Dreyfus, 92110, Clichy, France
| | - F Ly
- Faculty of Medicine, Pharmacy and Odontology, University Cheikh Anta Diop of Dakar, BP 5825, Dakar, Senegal
| | - F Bernerd
- L'Oréal R&I, 1 Avenue Eugène Schueller, 93600, Aulnay-sous-bois, France
| | - L Marrot
- L'Oréal R&I, 1 Avenue Eugène Schueller, 93600, Aulnay-sous-bois, France
| | - M Nielsen
- L'Oréal R&I, Scientific Directorate, 9 rue Pierre Dreyfus, 92110, Clichy, France
| | - M Verschoore
- L'Oréal R&I, Scientific Directorate, 9 rue Pierre Dreyfus, 92110, Clichy, France
| | - N G Jablonski
- Department of Anthropology, The Pennsylvania State University, 409 Carpenter Building, University Park, PA, 16802, U.S.A
| | - A R Young
- St John's Institute of Dermatology, King's College London, London, SE1 9RT, U.K
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47
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Passeron T. Filling the gap in the scoring of pigmentary disorders. J Eur Acad Dermatol Venereol 2019; 33:1201. [PMID: 31259449 DOI: 10.1111/jdv.15717] [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: 05/24/2019] [Accepted: 05/24/2019] [Indexed: 11/27/2022]
Affiliation(s)
- T Passeron
- Université Côte d'Azur, CHU, Department of Dermatology and INSERM, U1065, C3M, Nice, France
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48
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Lagrange S, Montaudié H, Fontas E, Bahadoran P, Lacour J, Passeron T. Comparison of microneedling and full surface erbium laser dermabrasion for autologous cell suspension grafting in nonsegmental vitiligo: a randomized controlled trial. Br J Dermatol 2019; 180:1539-1540. [DOI: 10.1111/bjd.17464] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [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)
- S. Lagrange
- Department of Dermatology Centre Hospitalier Universitaire Nice Université Nice Côte d'Azur Nice France
| | - H. Montaudié
- Department of Dermatology Centre Hospitalier Universitaire Nice Université Nice Côte d'Azur Nice France
- INSERM U1065, C3M Team 12 Centre Hospitalier Universitaire Nice Université Nice Côte d'Azur Nice France
| | - E. Fontas
- Department of Research and Innovation Centre Hospitalier Universitaire Nice Université Nice Côte d'Azur Nice France
| | - P. Bahadoran
- Department of Dermatology Centre Hospitalier Universitaire Nice Université Nice Côte d'Azur Nice France
| | - J.‐P. Lacour
- Department of Dermatology Centre Hospitalier Universitaire Nice Université Nice Côte d'Azur Nice France
| | - T. Passeron
- Department of Dermatology Centre Hospitalier Universitaire Nice Université Nice Côte d'Azur Nice France
- INSERM U1065, C3M Team 12 Centre Hospitalier Universitaire Nice Université Nice Côte d'Azur Nice France
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Passeron T, Genedy R, Salah L, Fusade T, Kositratna G, Laubach H, Marini L, Badawi A. Laser treatment of hyperpigmented lesions: position statement of the European Society of Laser in Dermatology. J Eur Acad Dermatol Venereol 2019; 33:987-1005. [DOI: 10.1111/jdv.15497] [Citation(s) in RCA: 27] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2018] [Accepted: 01/14/2019] [Indexed: 12/16/2022]
Affiliation(s)
- T. Passeron
- Department of Dermatology Centre Hospitalier Universitaire Nice Université Côté d'Azur Nice France
- INSERM U1065, Team 12, C3M Université Côté d'Azur Nice France
| | - R. Genedy
- Faculty of Medicine Department of Dermatology Alexandria University Alexandria Egypt
| | - L. Salah
- Ministry of Health Jeddah Saudi Arabia
| | | | - G. Kositratna
- Department of Dermatology Massachusetts General Hospital Harvard Medical School Boston MA USA
| | - H.‐J. Laubach
- Department of Dermatology Hôpitaux Universitaires de Genève Geneva Switzerland
| | - L. Marini
- The Skin Doctors Center Trieste Italy
| | - A. Badawi
- National Institute of Laser Enhanced Sciences Cairo University Giza Egypt
- Department of Dermatology Faculty of Medicine University of Szeged Szeged Hungary
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50
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Tsilika K, Montaudié H, Castela E, Cardot-Leccia N, Passeron T, Lacour JP. A case of lymphoplasmacytic plaque in children. J Eur Acad Dermatol Venereol 2019; 33:e171-e172. [PMID: 30811664 DOI: 10.1111/jdv.15408] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Affiliation(s)
- K Tsilika
- Department of Dermatology, University Hospital of Nice, Nice, France
| | - H Montaudié
- Department of Dermatology, University Hospital of Nice, Nice, France
| | - E Castela
- Department of Dermatology, University Hospital of Nice, Nice, France
| | - N Cardot-Leccia
- Department of Pathology, University Hospital of Nice, Nice, France
| | - T Passeron
- Department of Dermatology, University Hospital of Nice, Nice, France
| | - J-P Lacour
- Department of Dermatology, University Hospital of Nice, Nice, France
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