Scientific corner

Granulocyte/Monocyte Adsorption Apheresis as a Novel Therapeutic Approach in the Treatment of an Impetigo Herpetiformis Case.

Aya Iwasaki 1Hiroshi Kawakami 1Yukari Okubo 1 , Ther Apher Dial. 2018 Aug;22(4):414-416.

https://pubmed.ncbi.nlm.nih.gov/29318775/

Scientific corner

Therapeutic depletion of myeloid lineage leukocytes by adsorptive apheresis for psoriatic arthritis: Efficacy of a non-drug intervention for patients refractory to pharmacologics.

Takuro Kanekura 1Mariko Seishima 2Masaru Honma 3Takafumi Etou 4Hikaru Eto 5Keiko Okuma 6Yukari Okubo 7Yukie Yamaguchi 8Takeshi Kambara 9Tomotaka Mabuchi 10Yasushi Suga 11Akimichi Morita 12Kiyofumi Yamanishi 13Daisuke Tsuruta 14Kei Itoh 15Ken Yamaji 16Shigaku Ikeda 6 , J Dermatol. 2017 Dec;44(12):1353-1359.

This study demonstrates that GMA with the Adacolumn was effective with good safety profile in patients with PsA refractory to pharmacologicals. The results indicate a major role for myeloid leukocytes in the immunopathogenesis of PsA. A large controlled study is warranted to fully evaluate the efficacy of Adacolumn GMA in patients with PsA.

https://pubmed.ncbi.nlm.nih.gov/28771892/

Scientific corner

Impetigo herpetiformis complicated with Intrauterine growth restriction treated successfully with granulocyte and monocyte apheresis

Scientific corner

Successful treatment of pyoderma gangrenosum with granulocyte and monocyte adsorption apheresis

Irene Russo 1Serena Miotto 1Anna Colpo 2Piero Marson 2Tiziana Tison 2Anna Ferrazzi 1Mauro Alaibac 1 , Int Wound J. 2017 Feb;14(1):282-284.

The disease was resistant to high doses of methylprednisolone and methotrexate and successfully treated by granulocyte and monocyte adsorption apheresis. To the best of our knowledge, this is the first report on the efficacy of granulocyte and monocyte adsorption apheresis in pyoderma gangrenosum in Europe.

https://pubmed.ncbi.nlm.nih.gov/27790848/

Scientific corner

Sweet’s Syndrome Successfully Treated with Granulocyte and Monocyte Adsorption Apheresis.

Asami Fujii 1Yoko Mizutani 1Yuki Hattori 1Tomoko Takahashi 1Hidenori Ohnishi 2Shozo Yoshida 3Mariko Seishima 1 , Case Rep Dermatol. 2017 May 22;9(2):13-18.

After the first session of GMA therapy, all symptoms including the erythematous lesions and fever were completely resolved, and serum G-CSF level was reduced. Leukocyte count, neutrophil count, serum amyloid A protein, and CRP levels were restored within normal ranges by 2 weeks. Thus, GMA therapy can successfully treat a patient with recurrent Sweet’s syndrome, potentially related to the restoration of elevated serum G-CSF levels.

https://pubmed.ncbi.nlm.nih.gov/28611630/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5465522/pdf/cde-0009-0013.pdf

Scientific corner

Pyoderma Gangrenosum, Acne and Suppurative Hidradenitis Syndrome Treated with Granulocyte and Monocyte Adsorption Apheresis.

Scientific corner

Pyoderma Gangrenosum with Ulcerative Colitis Successfully Treated by the Combination of Granulocyte and Monocyte Adsorption Apheresis and Corticosteroids

Masashi Ohno 1Shigeki KoyamaMariko OharaKazumi ShimamotoYu KobayashiFumiyasu NakamuraKazuki MitsuruAkira Andoh, Intern Med. 2016;55(1):25-30.

 These results suggest that a combination of GMA and corticosteroids might be recommendable to induce the remission of serious PG complicated with UC.

https://pubmed.ncbi.nlm.nih.gov/26726081/

https://www.jstage.jst.go.jp/article/internalmedicine/55/1/55_55.5422/_article

Scientific corner

Pyoderma Gangrenosum with Ulcerative Colitis Successfully Treated by the Combination of Granulocyte and Monocyte Adsorption Apheresis and Corticosteroids

Masashi Ohno 1Shigeki KoyamaMariko OharaKazumi ShimamotoYu KobayashiFumiyasu NakamuraKazuki MitsuruAkira Andoh

Intern Med.  2016;55(1):25-30. doi: 10.2169/internalmedicine.55.5422. Epub 2016 Jan 1.

A 36-year-old woman was admitted to our hospital due to swelling and redness of the left lateral malleolus and dorsum of the left foot with severe pain, with a flare-up of ulcerative colitis (UC). A pathologic examination by skin biopsy led to a diagnosis of pyoderma gangrenosum (PG). She was treated with the intravenous administration of prednisolone (60 mg/day), and granulocyte and monocyte adsorption apheresis (GMA) was performed twice-a-week for 5 weeks. This treatment dramatically improved both the skin and colonic mucosal lesions. These results suggest that a combination of GMA and corticosteroids might be recommendable to induce the remission of serious PG complicated with UC.

https://pubmed.ncbi.nlm.nih.gov/26726081/

https://www.jstage.jst.go.jp/article/internalmedicine/55/1/55_55.5422/_article

Scientific corner

Successful treatment of neutrophilic dermatosis in patient with Crohn’s disease with granulocyte and monocyte adsorption apheresis.

Scientific corner

Treatment of a patient with neutrophilic dermatoses with granulocyte and monocyte adsorption apheresis: effects on serum cytokine levels.

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