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Cunningham L, Dvorakova V, Browne F, Irvine AD. High-dose bilastine for the treatment of BASCULE syndrome. Clin Exp Dermatol 2020; 46:357-358. [PMID: 32658312 DOI: 10.1111/ced.14377] [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] [Received: 07/04/2020] [Accepted: 07/10/2020] [Indexed: 11/28/2022]
Affiliation(s)
- L Cunningham
- Department of Dermatology, Children's Health Ireland, Dublin, Ireland
| | - V Dvorakova
- Department of Dermatology, Children's Health Ireland, Dublin, Ireland
| | - F Browne
- Department of Dermatology, Children's Health Ireland, Dublin, Ireland
| | - A D Irvine
- Department of Dermatology, Children's Health Ireland, Dublin, Ireland.,Clinical Medicine, Trinity College Dublin, Dublin, Ireland
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Affiliation(s)
- S McCarthy
- Department of Dermatology, South Infirmary Victoria University Hospital, Cork, Ireland
| | - D Murray
- Department of Paediatrics, Cork University Hospital, Cork, Ireland
| | - R Watson
- Department of Dermatology, Our Lady's Hospital for Sick Children, Dublin, Ireland
| | - M Murphy
- Department of Dermatology, South Infirmary Victoria University Hospital, Cork, Ireland
| | - V Dvorakova
- Department of Dermatology, Our Lady's Hospital for Sick Children, Dublin, Ireland
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McCarthy S, Foley CC, Dvorakova V, Quinlan C, Murphy M, Maher M. PASH syndrome with bony destruction. Clin Exp Dermatol 2019; 44:918-920. [PMID: 30666706 DOI: 10.1111/ced.13909] [Citation(s) in RCA: 5] [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] [Accepted: 10/09/2018] [Indexed: 11/29/2022]
Affiliation(s)
- S McCarthy
- Department of Dermatology, South Infirmary Victoria University Hospital, Cork, Ireland
| | - C C Foley
- Department of Dermatology, South Infirmary Victoria University Hospital, Cork, Ireland
| | - V Dvorakova
- Department of Dermatology, South Infirmary Victoria University Hospital, Cork, Ireland
| | - C Quinlan
- Department of Dermatology, Beaumont Hospital, Dublin, Ireland
| | - M Murphy
- Department of Dermatology, South Infirmary Victoria University Hospital, Cork, Ireland
| | - M Maher
- Department of Radiology, University College Cork and Cork University Hospital, Cork, Ireland
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Dvorakova V, Kolarova H, Magner M, Tesarova M, Hansikova H, Zeman J, Honzik T. The phenotypic spectrum of fifty Czech m.3243A>G carriers. Mol Genet Metab 2016; 118:288-95. [PMID: 27296531 DOI: 10.1016/j.ymgme.2016.06.003] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/01/2016] [Revised: 06/04/2016] [Accepted: 06/05/2016] [Indexed: 01/19/2023]
Abstract
BACKGROUND Mitochondrial myopathy, Encephalopathy, Lactic Acidosis and Stroke-like episodes syndrome (MELAS) is a common mitochondrial disorder with varying multisystemic clinical manifestation. We present a comprehensive clinical picture of 50 Czech m.3243A>G carriers with emphasis on the sequence of symptoms in symptomatic patients. RESULTS Symptoms developed in 33 patients (66%) and 17 carriers remained unaffected (34%). The age of onset varied from 1month to 47years of age, with juvenile presentation occurring in 53% of patients. Myopathy was the most common presenting symptom (18%), followed by CPEO/ptosis and hearing loss, with the latter also being the most common second symptom. Stroke-like episodes (SLE) occurred in fourteen patients, although never as a first symptom, and were frequently preceded by migraines (58%). Rhabdomyolysis developed in two patients. The second symptom appeared 5.0±8.3years (range 0-28years) after the first, and the interval between the second and third symptom was 2.0±6.0years (range 0-21years). Four of our patients remained monosymptomatic up to 12years of follow-up. The sequence of symptoms according to their time of manifestation was migraines, myopathy, seizures, CPEO/ptosis, SLE, hearing loss, and diabetes mellitus. The average age at death was 32.4±17.7years (range 9-60years) in the juvenile form and 44.0±12.7years (range 35-53years) in the adult form. Some patients with SLE harboured very low heteroplasmy levels in various tissues. No threshold for any organ dysfunction could be determined based on these levels. CONCLUSIONS Sufficient knowledge of the timeline of the natural course of MELAS syndrome may improve the prediction and management of symptoms in patients with this mitochondrial disease.
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Affiliation(s)
- V Dvorakova
- Department of Paediatrics and Adolescent Medicine, First Faculty of Medicine, Charles University in Prague, General University Hospital in Prague, Czech Republic
| | - H Kolarova
- Department of Paediatrics and Adolescent Medicine, First Faculty of Medicine, Charles University in Prague, General University Hospital in Prague, Czech Republic
| | - M Magner
- Department of Paediatrics and Adolescent Medicine, First Faculty of Medicine, Charles University in Prague, General University Hospital in Prague, Czech Republic
| | - M Tesarova
- Department of Paediatrics and Adolescent Medicine, First Faculty of Medicine, Charles University in Prague, General University Hospital in Prague, Czech Republic
| | - H Hansikova
- Department of Paediatrics and Adolescent Medicine, First Faculty of Medicine, Charles University in Prague, General University Hospital in Prague, Czech Republic
| | - J Zeman
- Department of Paediatrics and Adolescent Medicine, First Faculty of Medicine, Charles University in Prague, General University Hospital in Prague, Czech Republic
| | - T Honzik
- Department of Paediatrics and Adolescent Medicine, First Faculty of Medicine, Charles University in Prague, General University Hospital in Prague, Czech Republic.
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McCarthy S, Foley CC, Dvorakova V, Heffron CCBB, Murphy M. A case of rivaroxaban-induced subacute lupus erythematosus. J Eur Acad Dermatol Venereol 2016; 31:e58-e59. [PMID: 27228969 DOI: 10.1111/jdv.13724] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- S McCarthy
- Department of Dermatology, South Infirmary Victoria University Hospital, Cork, Ireland
| | - C C Foley
- Department of Dermatology, South Infirmary Victoria University Hospital, Cork, Ireland
| | - V Dvorakova
- Department of Dermatology, South Infirmary Victoria University Hospital, Cork, Ireland
| | - C C B B Heffron
- Department of Pathology, Cork University Hospital, Cork, Ireland
| | - M Murphy
- Department of Dermatology, South Infirmary Victoria University Hospital, Cork, Ireland
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Dvorakova V, Watson RM, Terron-Kwiatkowski A, Andrew N, Irvine AD. Congenital reticular ichthyosiform erythroderma. Clin Exp Dermatol 2016; 41:576-7. [PMID: 26801004 DOI: 10.1111/ced.12795] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/27/2015] [Indexed: 11/28/2022]
Affiliation(s)
- V Dvorakova
- Department of Dermatology, Our Lady's Children's Hospital, Dublin, Ireland
| | - R M Watson
- Department of Dermatology, Our Lady's Children's Hospital, Dublin, Ireland
| | - A Terron-Kwiatkowski
- East of Scotland Regional Molecular Genetics Service, Human Genetics, Ninewells Hospital and Medical School, Dundee, UK
| | - N Andrew
- East of Scotland Regional Molecular Genetics Service, Human Genetics, Ninewells Hospital and Medical School, Dundee, UK
| | - A D Irvine
- Department of Dermatology, Our Lady's Children's Hospital, Dublin, Ireland.,Clinical Medicine, Trinity College Dublin, Dublin, Ireland.,National Children's Research Centre, Dublin, Ireland
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Wedgeworth E, Glover M, Irvine A, Neri I, Baselga E, Clayton T, Beattie P, Bjerre J, Burrows N, Foelster-Holst R, Hedelund L, Hernandez-Martin A, Audrain H, Bhate K, Brown S, Baryschpolec S, Darne S, Durack A, Dvorakova V, Gach J, Goldstraw N, Goodyear H, Grabczynska S, Greenblatt D, Halpern J, Hearn R, Hoey S, Hughes B, Jayaraj R, Johansson E, Lam M, Leech S, O'Regan G, Morrison D, Porter W, Ramesh R, Schill T, Shaw L, Taylor A, Taylor R, Thomson J, Tiffin P, Tsakok M, Janmohamed S, Laguda B, McPherson T, Oranje A, Patrizi A, Ravenscroft J, Shahidullah H, Solman L, Svensson A, Wahlgren C, Hoeger P, Flohr C. Propranolol in the treatment of infantile haemangiomas: lessons from the European Propranolol In the Treatment of Complicated Haemangiomas (PITCH) Taskforce survey. Br J Dermatol 2015; 174:594-601. [DOI: 10.1111/bjd.14233] [Citation(s) in RCA: 51] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/05/2015] [Indexed: 12/25/2022]
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Tsang V, Dvorakova V, Enright F, Murphy M, Gleeson C. Successful use of infliximab as first line treatment for severe childhood generalized pustular psoriasis. J Eur Acad Dermatol Venereol 2015; 30:e117-e119. [PMID: 26403378 DOI: 10.1111/jdv.13388] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Affiliation(s)
- V Tsang
- Department of Paediatrics, Mercy University Hospital, Cork, Ireland
| | - V Dvorakova
- Department of Dermatology, South Infirmary - Victoria University Hospital, Cork, Ireland.
| | - F Enright
- Department of Paediatrics, Mercy University Hospital, Cork, Ireland
| | - M Murphy
- Department of Dermatology, South Infirmary - Victoria University Hospital, Cork, Ireland
| | - C Gleeson
- Department of Dermatology, South Infirmary - Victoria University Hospital, Cork, Ireland
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