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  • S. Karger AG  (2)
  • 1
    Online Resource
    Online Resource
    S. Karger AG ; 2005
    In:  International Archives of Allergy and Immunology Vol. 138, No. 4 ( 2005), p. 278-290
    In: International Archives of Allergy and Immunology, S. Karger AG, Vol. 138, No. 4 ( 2005), p. 278-290
    Abstract: 〈 i 〉 Background: 〈 /i 〉 Dendritic cells (DCs) represent a major portion within the infiltrate of atopic dermatitis (AD) lesions. As antigen-presenting cells they have the ability to regulate both the quantity and quality of T-cell responses and, thus, are likely to play a key role in the pathogenesis of T-cell-dominated skin diseases such as AD. Thus we sought to identify the DC repertoire occurring in AD patients. 〈 i 〉 Methods: 〈 /i 〉 For this purpose, we phenotypically analyzed various defined DC subsets of AD patients and healthy controls in skin biopsies and peripheral blood by immunofluorescence staining. 〈 i 〉 Results: 〈 /i 〉 In AD lesions, two inflammation-associated DC subsets with varying expression of costimulatory molecules occurred besides epidermal Langerhans cells (LCs) and dermal myeloid DCs (dmDCs) indigenously residing in normal skin: (1) CD1a+/CD1c+/FcεRI+/IgE+/CD207– myeloid DCs (mDCs) in the epidermis and dermis and (2) CD123+/BDCA-2+/CD45RA+/CD68+ plasmacytoid DCs (pDCs) in the dermis. In the peripheral blood of the patients, these cells exhibited an immature phenotype. Interestingly, we found FcεRI and cell-bound IgE to be expressed not only on myeloid, but also on plasmacytoid DCs from both the skin and peripheral blood of AD patients. 〈 i 〉 Conclusions: 〈 /i 〉 It is tempting to speculate that the disease-regulating role of inflammatory DCs in AD is influenced by both FcεRI occupancy and their degree of maturity.
    Type of Medium: Online Resource
    ISSN: 1018-2438 , 1423-0097
    RVK:
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2005
    detail.hit.zdb_id: 1482722-0
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  • 2
    In: Dermatology, S. Karger AG, Vol. 222, No. 1 ( 2011), p. 36-48
    Abstract: 〈 i 〉 Background: 〈 /i 〉 Topical pimecrolimus may maintain remissions of atopic dermatitis (AD) by inhibiting subclinical inflammation. 〈 i 〉 Objective: 〈 /i 〉 To evaluate clinical and cytological effects of pimecrolimus in topical corticosteroid-treated and resolved AD lesions. 〈 i 〉 Methods: 〈 /i 〉 Patients (n = 67) with resolved AD lesions were randomized to 3-week double-blind treatment with either pimecrolimus cream 1% or vehicle cream. Outcome measures were reduction in Eczema Area and Severity Index (EASI) and number of leukocytes in skin biopsies in all randomized patients who were evaluable at the end of study. 〈 i 〉 Results: 〈 /i 〉 The proportion of patients with a localized EASI 〈 2 at the end of study was higher with pimecrolimus cream 1% than with vehicle cream (73.5 vs. 39.4%, respectively). There was a significant decrease in the number of infiltrating CD45+ cells in pimecrolimus cream 1% compared with placebo cream (–88.2 vs. 43.2 cells/mm 〈 sup 〉 2 〈 /sup 〉 , respectively, p = 0.047) and a slight but nonsignificant reduction in the number of dermal dendritic cells, Langerhans cells, T cells and macrophages with pimecrolimus versus vehicle cream. 〈 i 〉 Limitations: 〈 /i 〉 This was an exploratory study. 〈 i 〉 Conclusion: 〈 /i 〉 Topical pimecrolimus was effective at maintaining betamethasone-17α-valerate-induced AD remission by inhibiting recurrences of the inflammatory infiltrate in the skin.
    Type of Medium: Online Resource
    ISSN: 1018-8665 , 1421-9832
    RVK:
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2011
    detail.hit.zdb_id: 1482189-8
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