Archive for August, 2022

Customized Treatment For Rare Skin Disease Through Genetics

Skin No Comments »

For more information on dermatology or #YaleMedicine, visit: https://www.yalemedicine.org/stories/rare-skin-problems-treatment-genetics.

We hear a lot about treatments for skin problems like an acne flare-up, a worrisome mole, or eczema. But there are also quite a few rare, severe skin conditions that can have a major impact on quality of life, whether because they are painful or make you self-conscious about your appearance. Also, skin disorders can affect other parts of the body as well. For instance, erythrokeratodermia-cardiomyopathy (EKC) syndrome is a condition that causes plaques to form on the skin and also heart abnormalities. And people with genetic skin diseases are much more likely to experience depression. “Most disorders have a genetic basis, and in skin diseases, it’s incredibly easy to see them,” says dermatologist Keith Choate, MD, PhD. The unique thing about skin diseases, he says, is that the entire skin is made up of the same cells, performing different roles depending on the location on the body. “When we find a mutation in a new gene, the first thing that we do is ask, ‘What is the normal function of this gene within the skin?”’ Dr. Choate uses genetics to diagnose and treat rare skin diseases. At Yale, over a dozen new genetic skin diseases have been defined, and in some cases, Dr. Choate’s group has been able to develop treatments for them. ac
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Decoding genetic skin disorders: lessons and new technologies

Air date: Wednesday, April 15, 2015, 3:00:00 PM

Category: WALS – Wednesday Afternoon Lectures

Runtime: 00:53:04

Description: NIH Director’s Wednesday Afternoon Lecture Series

The underlying molecular basis has been determined for more than 2,000 inherited monogenic disorders, of which at least 20 percent have cutaneous manifestations. The explosion of knowledge about genetics and genetic disease during the past 20 years has helped us to understand how gene changes translate into clinical manifestations. The current availability of whole exome sequencing (WES) is rapidly decoding rare genetic skin disorders, uncovering new causes, facilitating genotype-based diagnosis at a fraction of pre-next generation sequencing costs, and enabling new individualized therapies based on knowledge of the underlying gene mutation. Emerging therapeutic options include the use of topical gentamycin for “readthrough” of null mutations, replacement with recombinant protein, topical pathogenesis-based therapy for lipid biosynthesis defects, and cell-based therapies through grafting or stem cell transplantation. An exciting result of WES is the ability to decode somatic mosaic genetic disorders through the comparative analysis of DNA from a lesional skin biopsy and genomic DNA. Many of these mutations in mosaic disorders result from activation of the RAS or PI3K/AKT signaling pathways, allowing targeted topical therapy with small-molecule inhibitors or gene suppression. New technology, such as microneedles and topically applied nanoconjugate creams, promise to deliver antisense DNA or siRNA through the epidermal barrier to skin targets. Clinically normal skin in generalized recessive skin disorders may represent sites of revertant mosaicism, allowing expansion of the patient’s own phenotypically normal cells as replacement of abnormal cells with the risk of immune rejection. These therapeutic options, together with the plummeting cost of technology, will revolutionize our ability to provide personalized therapy for patients with genetic skin disorders.

For more information go to http://wals.od.nih.gov

Author: Amy S. Paller, M.S., M.D., Walter J. Hamlin Professor and Chair, Department of Dermatology; Professor, Department of Pediatrics, and Director, Skin Disease Research Center, Northwestern University Feinberg School of Medicine

Permanent link: http://videocast.nih.gov/launch.asp?18949

How Can You Become A Skincare Specialist?

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As human beings, it is natural to get affected by skin problems. While some skin problems can be treated within a short period of time, many others are more severe and can be life-threatening. Thus, in order to tackle things like this, you will need the assistance of professionals. That is when the role of skin specialists comes into the picture.

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How Cutaneous T-cell Lymphoma is Diagnosed and Treated

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Lauren Pinter-Brown, MD, Clinical Professor of Hematology/Oncology, University of California Irvine and Director of the Cutaneous Lymphoma Foundation, gives an overview of cutaneous T-cell lymphoma (CTCL) and how it is treated.

CTCL belongs to the non-Hodgkin lymphoma family as a rare group of malignancies involving malignant T-cells migrating to, and collecting in, cutaneous tissue. This makes diagnosis challenging as the initial signs are skin-related and, therefore, overlap with many other dermatologic disorders. Additionally, CTCL variants present overlapping symptomatology, making it difficult to diagnose between CTCL subtypes. Hence, histopathologic features must be correlated with the clinical presentation to confirm diagnosis.

Many forms of CTCL are relatively indolent compared with other T-cell lymphomas, but there are aggressive subtypes. This is illustrated by the two most common forms of CTCL: mycosis fungoides and Sézary syndrome. Although mycosis fungoides is considered a slow-growing variant, Sézary syndrome is aggressive and generally has a poor prognosis. Importantly, even the indolent subtypes can progress in some patients and become difficult to manage.

As Dr. Pinter-Brown explains, dermatologists usually diagnose CTCL through skin biopsies. In the case of Sézary syndrome, flow cytometry of the blood may be done to diagnose the patient.

Treatment for CTCL depends on the presentation and severity of the cancer. In cases where the cancer is limited to the skin and there are no tumors, light therapy, topical nitrogen mustard, or topical retinoids are used. For more advanced stages of CTCL or aggressive subtypes like Sézary syndrome, HDAC inhibitors, chemotherapy-antibody conjugates, or interferon therapies may be used.

For more information about CTCL and other rare cancers, visit checkrare.com/diseases/cancers/
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T cell lymphoma presented by Dr Samar Issa

This week LBC’s Winter-Spring Webinar series held the 3rd of our 6 lymphoma webinars, ‘T cell lymphoma’ presented by Dr Samar Issa. Non-Hodgkin lymphomas caused by T-cell lymphocytes are rare, representing about 15% of all Non Hodgkin lymphomas.

Dr Issa gives a thorough breakdown of the 4 main sub-types of T cell lymphoma, the current treatment, as well as new emerging targeted treatment. Dr Issa is Consultant haematologist and Clinical Head of the Lymphoma Service at Middlemore Hospital, Auckland. Dr Issa is an active member of a number of scientific groups; is the founding chair of the Lymphoma Network of New Zealand and the founding clinical director of the Middlemore Tissue Bank. She has multiple research publications and is the primary investigator on several local and international lymphoma clinical trials.

The opinions expressed in the comments on this video are those of the individual typing them and not necessarily of Leukaemia & Blood Cancer New Zealand. Comments deemed offensive will be deleted.

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Charlie Hubball delivers a quintessential skin fade haircut at Gentleman and Rogues Club barbershop in Poole, England.

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Integumentary System Part 3 (Part 3 Of 3) (Skin Diseases)

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So far in this series we’ve covered the main parts and the main functions of the integumentary system. In part 3 we will be going over the diseases of the skin.

Acne, Skin Cancer, Athletes Foot, Melanoma, Non Melanoma, Dermatitis, Eczema, Impetigo, Psoriasis, Ringworm, Verrucae, Wart

Some graphics created by using Biodigital Human @ https://www.biodigital.com/
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Skincare playlist ♡

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Skincare playlist ♡

Hyee sorry for a late update, here is a playlist for u when doing skincare routine ♥

Hit the subscribe button and the thumb share it out if you like this video. Any suggestions leave in comment below Thank you so much ♥ have a nice day 🙂

Spotify:
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Suscribe for more : https://youtube.com/channel/UCQPuMqBIZGk8nKpSOiOR_9A

[I do not own any gif and song in this video. All credit goes to their owner.]
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