Результаты поиска

Исследование реальных наблюдений за инфекциями у лиц, проходящих лечение острелизумабами, в связи с множественным склерозом.

ИСТОРИЯ ВОПРОСА: Anti-CD20 Моноклональные антитела в настоящее время являются обычным средством лечения склероза (MS). Rituximab, ocrelizumab и outatumumumab были связаны с зависящим от дозы риском гипогаммаглобулинамии, однако ее актуальность в клинической практике остается неопределенной. ЦЕЛИ: Изучение показателей инфицирования с течением времени в реальной когорте людей, которые лечатся окролизумабами, и их связи с сывороткой иммуноглобулин. DESIGN: Исследование по наблюдению 152 :: лица, получающие ocrelizumab для MS 5.6 Годы (среднее 2.7 США).Результаты: Среднегодовые (SD) изменения в им

Practical consensus recommendaton for adjuvant bone-modifying agents in breast cancer.

Bone-modifying therapy is a primary research interest in breast cancer. Several features contribute to the importance of the bone environment in the management of breast cancer. Firstly, bone metastases represent the most common site of breast cancer metastases and secondly, the emergence of cancer treatment-induced bone loss (CTIBL) among breast cancer survivors and patients is of increasing concern. In the adjuvant setting, bisphosphonates can be given to prevent and treat tumor therapy-induced bone loss in premenopausal and postmenopausal women and, owing to their beneficial effect on bone

Стратегия выбора субстрата, взаимно исключающаяся, у человека m3C RNA трансферазы METTL2A и METTL6.

tRNAs содержат наиболее разнообразные посттранскрипционные модификации. 3-метилцитидин (m3C) широко распределяется на позиции C32 (m3C32) у эукариотических tRNAThr и tRNASer. m3C32 модифицируется единственным метилтрансферазой Trm140 у дрожжей-попыток; однако для его биогенеза участвуют два (Trm140 и Trm141 у деления дрожжей) или три энзима (METTL2A, METTL2B и METTL6 у млекопитающих). До сих пор неизвестно обоснование существования нескольких метилтрансфераз m3C32 и их механизм дифференциации по субстрату. Здесь мы обнаружили, что оба METTL2A и METTL2B выражены в живых организмах. Мы выделили

Anti-B Cell Strategy in Nephrotic Syndrome: Beyond Rituximab.

Nephrotic syndrome (NS) is a complex kidney disorder characterized by profound proteinuria, hypoalbuminemia, hyperlipidemia, and edema, significantly impacting patients' quality of life. While corticosteroids and calcineurin inhibitors (CNIs) have traditionally been the primary treatments, B cell-targeted therapies, especially the anti-CD20 monoclonal antibody rituximab, have transformed the management of steroid-dependent and multidrug-resistant NS (MRNS). Rituximab has demonstrated efficacy in reducing relapse rates and steroid dependence by depleting CD20+ B cells, which play a pivotal role

Mastocytosis-derived extracellular vesicles deliver miR-23a and miR-30a into pre-osteoblasts and prevent osteoblastogenesis and bone formation.

Osteoporosis and other manifestations of bone disease are frequent in patients with systemic mastocytosis (SM) in association with the presence of mast cell infiltrates in bone marrow, although the mechanisms behind bone disease remain poorly understood. We find that extracellular vesicles (EVs) released by neoplastic mast cells and present in the serum of patients with SM (SM-EVs) block osteoblast differentiation and mineralization in culture, and when injected into mice diminish the expression of osteoblast markers, and trabecular bone volume and microarchitecture. We demonstrate that miRNA-

Histiocytoid giant cellulitis-like Sweet syndrome at the site of sternal aspiration: A case report and review of literature.

BackgroundGiant cellulitis-like Sweet syndrome (SS) is a rare subtype of SS, and reports of the combined histiocytoid type of pathology are scarce. Here, we report a case of SS with distinctive clinical presentations and which was difficult to distinguish from cellulitis. By sharing this case and a discussion of the related literature in detail, we aim to provide clinicians with new insights into the characteristics of histiocytoid giant cellulitis-like (HGC)-SS and the pathogenesis of SS.Case summaryA 52-year-old male was admitted after experiencing progressive fatigue for 1 mo and tongue swe

Alemtuzumab и тромбоцитопентия: анализ международной базы данных наблюдения и систематический обзор литературы.

ЦЕЛИ: Trombotic trombytopenic purpura (TTP) — тромботическая микроангиопатия, связанная с острым дефицитом в ADAMTS13. Дефицит ADAMTS13 может быть вторичным по отношению к отсутствующему или дисфункциональному производству белка в результате мутаций в гене ADAMTS13 (наследственный TTP) или в виде удаления и/или ингибирования с помощью самозащиты (иммунизированный TTP). Этот аутоиммунитет может, хотя и редко, быть вторичным по отношению к некоторым лекарствам (например, к тиклопидину). Согласно последним сообщениям, алемтузумаб (ЛЕТРАДА) является моноколональным антителом, который избирательно

Intestinal Coccidian Infections in Cancer Patients: A Case Series.

Introduction Coccidian protozoa and microsporidian fungi are opportunistic pathogens increasingly implicated in infections in immunosuppressed individuals. These parasites typically infect the intestinal epithelium, resulting in secretory diarrhea and malabsorption. The disease burden and timeline are both greater and longer among immunosuppressed patients. Therapeutic options for immunocompromised individuals are limited. As a result, we wanted to better characterize the disease course and treatment efficacy of these parasitic gastrointestinal infections. Methods We performed a single-center,

Clinical significance of Ki-67 in patients with lung adenocarcinoma in situ complicated by type 2 diabetes.

BackgroundThe increasing number of type 2 diabetes mellitus (T2DM) patients leads to higher rates of morbidity and mortality related to lung cancer.AimTo investigate the utility of the proliferating cell nuclear antigen Ki-67 in patients with lung adenocarcinoma in situ (AIS) complicated by T2DM.MethodsOne hundred patients with AIS and T2DM (group A), 100 patients with AIS alone (group B), and 60 patients with benign lung lesions (group C) admitted to the Department of Thoracic Surgery and Endocrinology of the First Affiliated Hospital of Soochow University from November 2021 to December 2022

Сфингосин-1-Фосфатная модуляция в неврологических расстройствах: Отчёты от MS и Stroke.

Множественный склероз — это хроническое аутоиммунное заболевание, при котором иммунная система атакует защитную оболочку или миелин, покрывающую нервные волокна, что влияет на способность мозга общаться с другими частями тела. Эта аномальная иммунная реакция привлекает подстрекательские вещества, которые выглядят как повреждения мозга и спинного мозга. Инсульт характеризуется внезапным ухудшением неврологической функции в результате потери или ограничения кровотока в результате острого повреждения локального участка центральной нервной системы, включая мозг, сетчатку или спинной мозг. В то вре

Viral Respiratory Tract Infections in Allogeneic Hematopoietic Stem Cell Transplantation Recipients in the Era of Molecular Testing.

Viral respiratory tract infection (vRTI) is a significant cause of morbidity and mortality in patients undergoing allogeneic hematopoietic stem cell transplantation (allo-HSCT). This study aimed to assess the epidemiologic characteristics, risk factors, and outcomes of vRTI occurring in the period from conditioning to 100 days after allo-HSCT in the era of molecular testing. This study was a retrospective record review of patients who underwent allo-HSCT at Royal Melbourne Hospital between January 2010 and December 2015. Symptomatic patients were tested using respiratory multiplex polymerase c

Интратективный иммуноглобулин А Обобщение в множестве склероза: от биологических аспектов к клинической значимости.

Интратекальский иммуноглобулин А (IgA) синтез в множестве склерозов (MS) давно не получал достаточного внимания, несмотря на потенциальное значение патогенеза и прогноза заболеваний. Наличие доброкачественных плазменных клеток IgA в повреждениях MS и вдоль поврежденных аксонов свидетельствует о роли в патогенезе болезней. Имеющиеся клинические данные о потенциальной позитивной или негативной прогнозируемой роли являются скудными и неточными. Вместе с тем последние наблюдения свидетельствуют о переходе от кишечника к центральной нервной системе (КНС) в экспериментальные аутоиммунные энцефалитны

Reducing diagnostic delay in hypophosphatasia: a case series of 14 patients presenting to general rheumatology.

OBJECTIVES: Hypophosphatasia (HPP) is a rare genetic metabolic bone disease that can cause chronic pain and fractures. Its hallmark is a persistently low serum ALP. HPP is now recognised by many osteoporosis specialists, but other specialists, such as rheumatologists and primary care physicians, may be less aware of this condition, causing diagnostic delay and possible harm to these patients. Our objective was to highlight features that can reduce this delay. METHODS: We retrospectively analysed 14 patients that presented with musculoskeletal pain to general rheumatology clinic at St. George'

Diagnosis and management of monoclonal gammopathy of clinical significance.

The term "monoclonal gammopathy of clinical significance" (MGCS) refers to any plasma cell or B-cell clonal disorder that does not meet the current criteria for malignant disorders but produces a monoclonal protein that directly or indirectly results in organ damage. The most commonly affected organs are the kidneys, nerves, and skin. This review summarizes the current classification of MGCS and its diagnostic and treatment approaches.

GZMK-expressing CD8+ T cells promote recurrent airway inflammatory diseases.

Inflammatory diseases are often chronic and recurrent, and current treatments do not typically remove underlying disease drivers1. T cells participate in a wide range of inflammatory diseases such as psoriasis2, Crohn's disease3, oesophagitis4 and multiple sclerosis5,6, and clonally expanded antigen-specific T cells may contribute to disease chronicity and recurrence, in part by forming persistent pathogenic memory. Chronic rhinosinusitis and asthma are inflammatory airway diseases that often present as comorbidities7. Chronic rhinosinusitis affects more than 10% of the general population8. Am

Paraneoplastic Neuropathies: What's New Since the 2004 Recommended Diagnostic Criteria.

The diagnostic criteria published by the PNS (Paraneoplastic Neurological Syndromes) Euronetwork in 2004 provided a useful classification of PNS, including paraneoplastic neuropathies. Subacute sensory neuronopathy (SSN) was the most frequently observed peripheral PNS, whereas other forms of neuropathy, as sensory polyneuropathy, sensorimotor polyneuropathy, demyelinating neuropathies, autonomic neuropathies, and focal nerve or plexus lesions, were less frequent. At the time of publication, the main focus was on onconeural antibodies, but knowledge regarding the mechanisms has since expanded.

17th Конгресс ЕВНОС: Милан, Италия, 4–6 Июнь, 2026 года

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The "CROMa" Project: A Care Pathway for Clinical Management of Patients with Bisphosphonate Exposure.

Aim. To describe 7 years of activity of "CROMa" (Coordination of Research on Osteonecrosis of the Jaws) project of "Sapienza" University of Rome. Materials and Methods. A preventive and therapeutic care pathway was created for patients with bisphosphonates (BPs) exposure. Demographic, social, behavioural, pharmacological, and clinical variables were registered in a dedicated database. Results. In the project, 502 patients, 403 females and 99 males, were observed. Bone pathologies were 79% osteometabolic diseases (OMD) and 21% metastatic cancer (CA). Females were 90% in OMD group and 41% in CA.

Serum Interleukin-6 is Not Linked with Sleep-Quality, Restless Legs Syndrome, and Depression, But with 6-Month Survival in Hematological Malignancies.

BackgroundSerum interleukin (IL)-6 has been found to be associated with sleep quality, mood, and survival in patients with solid tumors. Results in these studies were confounded by knowledge of diagnosis to study subjects. Moreover, such data among subjects with hematological malignancies and data regarding restless legs syndrome is limited. The present study was, therefore, conducted to assess the sleep quality, depression, and restless leg syndrome in hematological malignancies and to study if there is any role of IL6 associated with it.MethodsSixty-six subjects having hematological malignan

Клинический анализ развития синдрома Гильен-Барре во время лечения от множественных миелом.

СТРУКТУРА: Развитие синдрома Гильен-Барре (ГБС) во время лечения бортезомибами множественной миеломы (ММ) происходит редко. Клиническая бдительность в связи с этим серьезным неблагоприятным событием имеет важнейшее значение для своевременной диагностики и управления. МЕТОДЫ: Мы провели ретроспективный обзор системы медицинской информации (СИС) и доклад three - случаи ГБС, которые имели место во время лечения на основе борцезомиба у пациентов с ММ. Был проведен ретроспективный анализ клинических представлений пациентов, диагностических процессов, методов лечения и прогнозов. Кроме того, поиск л

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… Variables | No ( N = 33) Precipitating factors, n Infection | 5 ASCT | 1 PVP + Infection + ASCT | 1 PVP | 1 NA | 20 No | 5 CSF examination, n albumino-cytologic dissociation | 23 No | 3 NA | 7 NCS functional impairment findings, n Sensory and motor nerve damage | 30 Sensory nerve damage | 2 Motor nerve …