Результаты поиска

Sclerosing diseases of the skin.

Sclerosing skin diseases comprise a group of distinct dermatological conditions characterized by fibrotic changes that may severely impair patients' quality of life. These conditions often present with cutaneous manifestations and, in some cases, may extend to extracutaneous tissues, potentially resulting in significant morbidity and mortality. This review explores the current understanding of the four most prevalent sclerosing skin diseases - localized scleroderma (morphea), systemic sclerosis (SSc), scleromyxedema, and scleredema adultorum of Buschke - as well as sclerotic conditions induced

Токсичность CAR-T, биконкретных антител и антителных соединений в Множественной миеломе: практический подход к уменьшению рисков и управлению ими.

Антигены созревания B-клеток (BCMA), группа рецепторов с белковым сцеплением C 5 Член группы D (GPRC5D) под руководством иммунотерапии, продуктов химерика антигенного рецептора Т-клестера (CAR-T), лиц, занимающихся деятельностью в двух конкретных Т-клетках (BsAbs), и лиц, занимающихся антителными препаратами (ADC), изменил управление MM. В настоящее время их внедрение выходит за рамки высших центров после внесения изменений в УЛХ для обеспечения безопасности CAR-T и быстрого внедрения недр, пригодных для общинной доставки. Поэтому врачи, находящиеся вне специализированных центров, должны быть

Совпадение в полном тексте источника
… Management is largely supportive and symptom-directed, with emollients and topical corticosteroids forming the mainstay for skin toxicities, and escalation to systemic corticosteroids reserved for persistent or higher-grade cases; nail toxicities are typically managed with moisturizers, topical steroids …

Management and Clinical Outcomes of Scleredema Diabeticorum: A Scoping Review.

Background/objectivesThe objective of this scoping review was to systematically map the available evidence for the management of scleredema diabeticorum (SD) to summarize the documented clinical outcomes with the aim to inform clinical practice and identify research gaps.MethodsWe conducted a scoping review identifying studies published in English from January 2005 to July 2025 through a comprehensive search of Scopus, MEDLINE, and the Cochrane Library. Eligible studies included randomized controlled trials, observational studies, case series, and case reports on treatment interventions and cl

Совпадение в полном тексте источника
… . | Conservative treatment: emollients and topical steroids for 6 months | Minimal improvement [ 46 ] (2009) | South Korea | A 43-year-old male with newly diagnosed DM and rectal carcinoid tumor; scleredema symptoms ×10 years (neck), ×3 years (back) | 10 years (neck), 3 years (back) | Electron beam radiation …

How should we choose optimal salvage treatments following BCMA-directed CAR T-cell therapy?

B-cell maturation antigen (BCMA) directed chimeric antigen receptor T-cell therapy (CAR-T) has transformed the treatment of relapsed/refractory multiple myeloma (RRMM), yet relapse is still common for most patients. A variety of different salvage treatment strategies have been studied in the last several years to address several resistance mechanisms that lead to relapse after BCMA CAR-T. To date, there are no clear guidelines regarding treatment sequencing strategies for salvage therapy. This review will investigate the current landscape of available salvage therapies and data supporting thei

Совпадение в полном тексте источника
… Risks of GPRC5D targeting include rare cerebellar toxicities, skin/nail changes, dysgeusia, dermatologic rashes that improve with emollients and corticosteroids, and rates of CRS/ICANS comparable to other T-cell redirection therapies [ 58 ]. …

Lenalidomide, bortezomib and dexamethasone induction therapy for the treatment of newly diagnosed multiple myeloma: a practical review.

For patients with newly diagnosed multiple myeloma, survival outcomes continue to improve significantly: however, nearly all patients will relapse following induction treatment. Optimisation of induction therapy is essential to provide longer term disease control and the current standard of care for most patients incorporates an immunomodulatory agent and proteasome inhibitor, most commonly lenalidomide and bortezomib in combination with dexamethasone (RVD), with maintenance until progression. Historically there has been limited access to RVD as an induction strategy outside of the United Stat

Совпадение в полном тексте источника
… As shown in a recent report 39 and prior published experience 69 , 70 neuropathy may be in part prevented or mitigated by the infusion of normal saline at the time of bortezomib administration, as well as other supportive measures including emollients. …

The changing therapeutic landscape, burden of disease, and unmet needs in patients with cutaneous T-cell lymphoma.

Cutaneous T-cell lymphomas (CTCLs) have a chronic, relapsing course, and the most common subtypes are mycosis fungoides and Sézary syndrome. The disease causes visible skin alterations and can also cause alopecia, pruritus and pain, all of which can impact patients' health-related quality of life (HRQoL). The goal of treatment is to reduce symptoms and prevent disease progression. However, treatment recommendations are often based on low levels of evidence due to the lack of well-designed randomised clinical trials and treatment guidelines, and approved drugs vary considerably across different

Совпадение в полном тексте источника
… In addition, symptom relief via methods such as anti‐pruritic medication and emollients may be used. …

Consensus Guidelines and Recommendations for The CD38 Monoclonal Antibody-based Quadruplet Therapy and Management in Clinical Practice for Newly Diagnosed Multiple Myeloma: From the Pan-Pacific Multiple Myeloma Working Group.

The therapeutic outcomes of clinical trials for incorporating anti-CD38 monoclonal antibodies (including isatuximab and daratumumab) into the bortezomib/lenalidomide/dexamethasone (VRd) triplet therapy backbone as the first-line treatment for newly diagnosed multiple myeloma (NDMM) have demonstrated significant improved efficacies. From a safety perspective, the addition of anti-CD38 monoclonal antibodies into the triplet therapies did not raise additional safety concerns. Based on the promising results, the National Comprehensive Cancer Network (NCCN) Guidelines Version 1.2025 had updated the

Совпадение в полном тексте источника
… Administering normal saline infusion and other supportive measures (such as the use of emollients) during bortezomib treatment may help prevent or alleviate neuropathy. For patients experiencing Grade 3 neuropathy, consider pausing bortezomib therapy until symptoms improve. …

The Challenging Approach to Multiple Myeloma: From Disease Diagnosis and Monitoring to Complications Management.

The outcome of multiple myeloma (MM) has significantly improved in the last few decades due to several factors such as new biological discoveries allowing to better stratify disease risk, development of more effective therapies and better management of side effects related to them. However, handling all these aspects requires an interdisciplinary approach involving multiple knowledge and collaboration of different specialists. The hematologist, faced with a patient with MM, must not only choose a treatment according to patient and disease characteristics but must also know when therapy needs t

T-клеток, перенаправляющих терапию на рецидив миеломы.

В последние годы использование иммуномодуляционных препаратов, протеиозных ингибиторов и CD38, направленных против моноклонных антител, привело к значительному улучшению общих результатов пациентов с множественной миеломой. Несмотря на эти достижения, рецидивы остаются обычным явлением, и до недавнего времени прогнозы таких пациентов охранялись. Одобрение T-клеток химерика антигенного рецептора (CAR) и Т-комплексов (TCE) значительно повысило выживаемость этих пациентов с тройной и пента-классовой рефракторной болезнью. В настоящем документе рассматриваются клинические результаты, связанные с э

Совпадение в полном тексте источника
… Rashes typically respond well to emollients, and both topical and oral corticosteroids are effective treatments. Dysgeusia, a commonly reported AE, occurs more frequently with TCEs than with CAR T-cell therapies, likely due to the continuous administration of TCEs. …

Acute Generalized Exanthematous Pustulosis: Clinical Features, Differential Diagnosis, and Management.

Acute generalized exanthematous pustulosis (AGEP) is a rare, acute, severe cutaneous adverse reaction mainly attributed to drugs, although other triggers, including infections, vaccinations, ingestion of various substances, and spider bites, have also been described. AGEP is characterized by the development of edema and erythema followed by the eruption of multiple punctate, non-follicular, sterile pustules and subsequent desquamation. AGEP typically has a rapid onset and prompt resolution within a few weeks. The differential diagnoses for AGEP are broad and include infectious, inflammatory, a

Совпадение в полном тексте источника
… The healing process is characterized by cutaneous desquamation, for which topical emollients are recommended [ 221 ]. …

Autoinflammatory Keratinization Diseases-The Concept, Pathophysiology, and Clinical Implications.

Recent advances in medical genetics elucidated the background of diseases characterized by superficial dermal and epidermal inflammation with resultant aberrant keratosis. This led to introducing the term autoinflammatory keratinization diseases encompassing entities in which monogenic mutations cause spontaneous activation of the innate immunity and subsequent disruption of the keratinization process. Originally, autoinflammatory keratinization diseases were attributed to pathogenic variants of CARD14 (generalized pustular psoriasis with concomitant psoriasis vulgaris, palmoplantar pustulosis

Совпадение в полном тексте источника
… Treatment The treatment of EGFR deficiency is symptomatic and involves fluid therapy, electrolyte supplementation, antiseptics, emollients, and photoprotection [ 98 , 171 , 172 ]. …

Current and Emerging Therapies for Targeting the ERK1/2 & PI3K Pathways in Cancer.

The ERK1/2 and PI3K signaling pathways play important roles in cellular proliferation, survival, differentiation, and metabolism. In cancer, these pathways are frequently dysregulated and overactivated, resulting in poor patient prognosis and resistance to treatment. These pathways are activated by receptor tyrosine kinases and send downstream signals to effectors such as RAS, RAF, MEK, AKT, and mTOR. In this review, we highlight the key components of the ERK1/2 and PI3K pathways, the roles they play in tumor progression, and the development of inhibitors and combination therapies designed to

Совпадение в полном тексте источника
… Management strategies emphasize early recognition, patient education, and multidisciplinary supportive care: dermatologic events are managed with topical corticosteroids and emollients, gastrointestinal toxicities with antidiarrheals and, if severe, drug interruption, ocular events with prompt ophthalmologic …

Chemoprevention in Skin Cancer: What Advice?

The incidence of melanoma and non-melanoma skin cancers (NMSCs) is increasing worldwide. While NMSCs are more common, melanoma remains the most challenging because of its higher aggressiveness. Although the use of sunscreens is key in high-risk populations, it provides limited protection, which highlights the need for alternative solutions. In this review, we discuss current evidence on chemopreventive therapies, as well as their efficacy and adverse events, including immunocompetent and immunosuppressed patients. Acitretin, nicotinamide, 5-fluorouracil, and photodynamic therapy have shown ove

Совпадение в полном тексте источника
… Sunscreens combine three principal components: UV filters, emollients, and emulsifiers. …

Potential role of immunotherapy and targeted therapy in the treatment of cancer: A contemporary nursing practice.

Immunotherapy and targeted therapy have emerged as promising therapeutic options for cancer patients. Immunotherapies induce a host immune response that mediates long-lived tumor destruction, while targeted therapies suppress molecular mechanisms that are important for tumor maintenance and growth. In addition, cytotoxic agents and targeted therapies regulate immune responses, which increases the chances that these therapeutic approaches may be efficiently combined with immunotherapy to ameliorate clinical outcomes. Various studies have suggested that combinations of therapies that target diff

Совпадение в полном тексте источника
… immunotherapy Grades 3–4 | IV methylprednisone 1–2 mg/kg/day, stop immunotherapy, empirical antibiotics, additional immunomodulatory therapy, a pulmonology consultation, intravenous immunoglobulin if there is no improvement Skin rash | Grade 1 | Continue immunotherapy, oral antihistamines for pruritus, topical emollients …

The Multifaceted Nature of GLP-1: Molecular Mechanisms and Signaling Pathways in Metabolic and Neurodegenerative Diseases.

The aim of this article is to present the current state of knowledge regarding the use of GLP-1 agonists in the treatment of type 2 diabetes, obesity, and other potential clinical indications, including neurodegenerative conditions. The article describes the characteristics of the diseases discussed, with particular emphasis on the pathophysiological mechanisms and the impact of metabolic disorders on the course of the diseases. In addition, the specific role of GLP-1 receptor agonists and their mechanisms of action leading to improved clinical outcomes were discussed, including their impact o

The future of Cochrane Neonatal.

Cochrane Neonatal was first established in 1993, as one of the original review groups of the Cochrane Collaboration. In fact, the origins of Cochrane Neonatal precede the establishment of the collaboration. In the 1980's, the National Perinatal Epidemiology Unit at Oxford, led by Dr. Iain Chalmers, established the "Oxford Database of Perinatal Trials" (ODPT), a register of virtually all randomized controlled trials in perinatal medicine to provide a resource for reviews of the safety and efficacy of interventions used in perinatal care and to foster cooperative and coordinated research efforts

C

Аннотация не предоставлена источником. Откройте карточку для перехода к публикации.

Evidence for the use of intravenous immunoglobulins--a review of the literature.

Intravenous immunoglobulins (IVIg) were first introduced in the middle of the twentieth century for the treatment of primary immunodeficiencies. In 1981, Paul Imbach noticed an improvement of immune-mediated thrombocytopenia, in patients receiving IVIg for immunodeficiencies. This opened a new era for the treatment of autoimmune conditions with IVIg. Since then, IVIg has become an important treatment option in a wide spectrum of diseases, including autoimmune and acute inflammatory conditions, most of them off-label (not included in the US Food and Drug Administration recommendation). A panel

Abstracts from the ISSAID 2021 Periodic Congress : Virtual. May - Dec 2021

Аннотация не предоставлена источником. Откройте карточку для перехода к публикации.

Abstracts from the 8th Drug Hypersensitivity Meeting (DHM)

Аннотация не предоставлена источником. Откройте карточку для перехода к публикации.