Journal of the American Academy of Dermatology
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J. Am. Acad. Dermatol. · Apr 2019
Review Practice GuidelineJoint AAD-NPF guidelines of care for the management and treatment of psoriasis with awareness and attention to comorbidities.
Psoriasis is a chronic, inflammatory, multisystem disease that affects up to 3.2% of the US population. This guideline addresses important clinical questions that arise in psoriasis management and care, providing recommendations on the basis of available evidence.
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J. Am. Acad. Dermatol. · Apr 2019
Randomized Controlled TrialBaricitinib in adult patients with moderate-to-severe atopic dermatitis: A phase 2 parallel, double-blinded, randomized placebo-controlled multiple-dose study.
Baricitinib, an oral selective inhibitor of Janus kinase 1 and Janus kinase 2, modulates proinflammatory cytokine signaling. ⋯ Baricitinib used with TCSs reduced inflammation and pruritus in patients with moderate-to-severe AD.
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J. Am. Acad. Dermatol. · Apr 2019
Inflammatory eruptions associated with immune checkpoint inhibitor therapy: A single-institution retrospective analysis with stratification of reactions by toxicity and implications for management.
There is increasing recognition of distinct inflammatory eruptions associated with checkpoint inhibitors. A better understanding of their severity, therapeutic response, and impact on cancer treatment is needed. ⋯ A variety of inflammatory reactions might occur from immunotherapy with differing degrees of severity. While most rashes responded to topical treatment, immunobullous and exfoliative presentations frequently interrupted immunotherapy. Increased awareness and early recognition could reduce the need for unnecessary immunotherapy interruption.
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J. Am. Acad. Dermatol. · Mar 2019
A nomogram to identify high-risk melanoma patients with a negative sentinel lymph node biopsy.
Melanoma patients with negative nodes after sentinel lymph node biopsy are a heterogeneous group. Current guidelines fail to adequately stratify surveillance and treatment for this group. Also, there is scarce data on adjuvant treatments for these patients. ⋯ We created a predictive nomogram for melanoma patients with negative SLNBs. This nomogram is easy to use and identifies high-risk patients who should have more strict surveillance and be considered for adjuvant treatment.