Mirjana Milinkovic - Academia.edu (original) (raw)

Papers by Mirjana Milinkovic

Research paper thumbnail of Assessment of quality of life in patients with psoriasis: a study from Serbia

International Journal of Dermatology, 2014

Psoriasis has a substantial impact on patients&am... more Psoriasis has a substantial impact on patients' quality of life. The aims of this study were to assess the impact of the clinical severity of psoriasis on patients' quality of life and to determine the effects of psoriasis-related stress on patients' everyday life. The cross-sectional study was conducted at the Institute of Dermatovenereology, Clinical Center of Serbia, Belgrade. The study included 201 patients (124 men and 77 women), aged 18-70 with a diagnosis of psoriasis, hospitalized or treated as outpatients during 2009. For the assessment of patients' quality of life, the psoriasis disability index (PDI) was used. The stress related to psoriasis was measured with the psoriasis life stress inventory (PLSI) and disease severity with the psoriasis area and severity index (PASI). We found moderate correlation between PLSI and all PDI subscales and overall score (correlation coefficients ranged from 0.334 to 0.521). The correlation between PASI and PDI subscales was weak, while we failed to find any significant correlation between PASI and the PLSI. The results of multiple regression analysis indicated that stress, more severe disease, and lower educational level are significant determining factors of a poorer quality of life in patients with psoriasis. Our results support the importance of assessing the quality of life in psoriasis and effects of stress in patients' adjustment to their condition and may have important implications for a psychological stress management approach in the clinical management of psoriasis.

Research paper thumbnail of Pemphigus triggered by topical sensitizer and sunlight

Journal of the European Academy of Dermatology and Venereology, 1995

Research paper thumbnail of Extensive, adulthood inflammatory linear verrucous epidermal nevus associated with mucinous nevus

Indian Journal of Dermatology, Venereology, and Leprology, 2011

Indian Journal of Dermatology, Venereology, and Leprology | September-October | Vol 77 | Issue 5 ... more Indian Journal of Dermatology, Venereology, and Leprology | September-October | Vol 77 | Issue 5 3. Hosokawa A. A clinical and bacteriological examination of Mycobacterium leprae in the epidermis and cutaneous appendages of patients with multibacillary leprosy. J Dermatol 1999;26:479-88. 4. Hameedullah A, Lal S, Garg BR. Composite skin contact smears in multibacillary leprosy patients. Lepr India 1982;54:605-12. 5. Job CK, Jayakumar J, Kearney M, Gillis TP. Transmission of leprosy. A study of skin and nasal secretions of household contacts of leprosy patients using PCR. Am J Trop Med Hyg 2008;78:518-21. 6. Gimenez MF, Gigli I, Tausk FA. Differential expression of Langerhans cells in the epidermis of patients with leprosy. Br J Dermatol 1989;121:19-26.

Research paper thumbnail of Prevalence of Metabolic Syndrome in Patients With Clinically Advanced Peripheral Vascular Disease

Angiology, 2008

The aim of this cross-sectional study was to determine the prevalence of metabolic syndrome (MetS... more The aim of this cross-sectional study was to determine the prevalence of metabolic syndrome (MetS) and its components among 100 patients with progressive peripheral arterial disease (PAD) referred for diagnostic angiography in preparation for a revascularization procedure. The prevalence of MetS was more than 95%. Diabetes mellitus was the most prevalent component followed by hypertension and low high-density lipoprotein. Almost half the patients aggregated in the highest metabolic score category. A direct relationship was identified between the number of MetS components and serum uric acid ( P = .001) and C-reactive protein ( P = .826), whereas an inverse relationship was seen between the clustering of components and androgen levels in men ( P < .001). For PAD, which could have a benign clinical course, early screening for MetS might identify those at greater risk of failing conservative therapy and progressing to a more aggressive atherosclerotic disease typically associated wi...

Research paper thumbnail of Toxic epidermal necrolysis following morbilli-parotitis-rubella vaccination

Journal of the European Academy of Dermatology and Venereology, 1999

Research paper thumbnail of Regressing anaplastic CD30-positive large-cell lymphoma of the skin

Acta Dermatovenerologica Alpina Pannonica et Adriatica, 2006

Originally believed to be of histiocytic origin, regressing primary cutaneous anaplastic large-ce... more Originally believed to be of histiocytic origin, regressing primary cutaneous anaplastic large-cell lymphoma is a CD30 (Ki 1) positive T-cell lymphoma with histologic high grade malignancy, but with an often favorable clinical course with regression of individual lesions. We present a case of a 69-year-old white woman with an 8-month history of noduloulcerative lesions on her right lower leg, otherwise in good general health. The clinical, histologic, and immunohistochemical findings pointed to CD30 positive primary cutaneous anaplastic large-cell lymphoma. There were no signs of generalization, lymph node or internal organ involvement. After 2 years of activity, the disease regressed. During the 10-year follow-up period, no signs of disease reactivation were noted. Accurate recognition of this lymphoma is important to avoid unnecessary aggressive treatments.

Research paper thumbnail of Regressing anaplastic CD30-positive large-cell lymphoma of the skin

Acta dermatovenerologica Alpina, Pannonica, et Adriatica, 2006

Originally believed to be of histiocytic origin, regressing primary cutaneous anaplastic large-ce... more Originally believed to be of histiocytic origin, regressing primary cutaneous anaplastic large-cell lymphoma is a CD30 (Ki 1) positive T-cell lymphoma with histologic high grade malignancy, but with an often favorable clinical course with regression of individual lesions. We present a case of a 69-year-old white woman with an 8-month history of noduloulcerative lesions on her right lower leg, otherwise in good general health. The clinical, histologic, and immunohistochemical findings pointed to CD30 positive primary cutaneous anaplastic large-cell lymphoma. There were no signs of generalization, lymph node or internal organ involvement. After 2 years of activity, the disease regressed. During the 10-year follow-up period, no signs of disease reactivation were noted. Accurate recognition of this lymphoma is important to avoid unnecessary aggressive treatments.

Research paper thumbnail of Brooke Spiegler Syndrome-A Case Report

Journal of Dermatology & Cosmetology

Brooke Spiegler syndrome is rare autosomal dominant hereditary disease with variable penetration.... more Brooke Spiegler syndrome is rare autosomal dominant hereditary disease with variable penetration. It is more common in females, usually in the second and third decades of life. The syndrome manifests with the appearance of three types of tumors: multiple cylindromas, trichoepitheliomas and spiradenomas. We presented a female patient, 54 years of age. The first changes occurred at the age of 22, first on the forehead, and then on the scalp. She has a positive family history for this condition, obtained by anamnesis (mother, two sisters, brother and daughter). We presented a dermatologic status before and after surgical intervention. Pathohistological finding of the removed tumors: cylindroma. After surgical intervention, the patient's quality of life has improved. New surgical procedures are planned.

Research paper thumbnail of Incidence of autoimmune bullous diseases in Serbia: a 20-year retrospective study

JDDG: Journal der Deutschen Dermatologischen Gesellschaft, 2016

While most previous surveys on the clinico-epidemiological features of autoimmune bullous disease... more While most previous surveys on the clinico-epidemiological features of autoimmune bullous diseases (AIBDs) have predominantly focused on a single disease entity or just one disease group, there have been only few studies examining the incidence of various AIBDs. In the present study, we set out to determine the spectrum of AIBDs, to estimate the incidence of the most common AIBDs, and to examine their temporal trends in Central Serbia over a period of 20 years. We retrospectively recruited 1,161 new AIBD cases diagnosed in Central Serbia during the period from January 1991 to December 2010. The diagnosis was based on strict clinical, histological, and immunohistological evaluation. The incidence rates were: 4.35 per million population/year (pmp/year) for pemphigus, 4.47 pmp/year for pemphigoid, 1.42 pmp/year for dermatitis herpetiformis (DH), 0.25 pmp/year for linear IgA disease, and 0.08 pmp/year for epidermolysis bullosa acquisita. In the period observed, age-adjusted incidence rates significantly increased for pemphigus and particularly for pemphigoid, whereas they decreased, albeit not significantly, for DH. For the first time, our study evaluates the incidence rates of the entire spectrum of AIBDs in Serbia, and examines their temporal trends over a 20-year period. To the best of our knowledge, our finding of similar incidence rates for pemphigus and pemphigoid has previously not been reported.

Research paper thumbnail of Inzidenz von bullösen Autoimmunerkrankungen in Serbien: eine retrospektive Studie über 20 Jahre

JDDG: Journal der Deutschen Dermatologischen Gesellschaft, 2016

Die meisten früheren Arbeiten zu den klinisch-epidemiologischen Merkmalen von bullösen Autoimmune... more Die meisten früheren Arbeiten zu den klinisch-epidemiologischen Merkmalen von bullösen Autoimmunerkrankungen (AIBD) konzentrierten sich vor allem auf eine einzige Krankheitsentität oder nur eine Krankheitsgruppe; nur in wenigen Studien wurde die Inzidenz verschiedener AIBD untersucht. Bei der vorliegenden Studie war es unser Ziel, das gesamte Spektrum der AIBD zu betrachten, die Inzidenz der häufigsten AIBD zu ermitteln und die zeitlichen Trends ihres Auftretens in Zentralserbien über einen Zeitraum von 20 Jahren zu untersuchen. Wir rekrutierten retrospektiv 1161 AIBD-Fälle, die in Zentralserbien von Januar 1991 bis Dezember 2010 neu diagnostiziert wurden. Die Diagnose stützte sich auf eine strikte klinische, histologische und immunhistologische Beurteilung. Folgende Inzidenzraten wurden für die einzelnen Erkrankungen ermittelt: 4,35 pro eine Million Einwohner/Jahr (pME/Jahr) für Pemphigus, 4,47 pME/Jahr für Pemphigoid, 1,42 pME/Jahr für Dermatitis herpetiformis (DH), 0,25 pME/Jahr IgA-Dermatose und 0,08 pME/Jahr für Epidermolysis bullosa acquisita. Im betrachteten Zeitraum stieg die altersbereinigte Inzidenzrate für Pemphigus und insbesondere für Pemphigoid signifikant an, während sie für DH, allerdings nicht signifikant, abnahm. Unsere Studie befasst sich zum ersten Mal mit den Inzidenzraten des gesamten Spektrums der AIBD in Serbien und untersucht die zeitlichen Trends ihres Auftretens über einen Zeitraum von 20 Jahren. Nach unserem besten Wissen wurde ein ähnlicher Befund wie der unsere, dass nämlich die Inzidenzraten von Pemphigus und Pemphigoid vergleichbar sind, bisher noch nicht publiziert.

Research paper thumbnail of Chloramphenicol induces in vitro growth arrest and apoptosis of human keratinocytes

Cell Biology and Toxicology, Jul 23, 2006

Chloramphenicol (CAP) is a broad-spectrum antibacterial drug that is widely used for topical appl... more Chloramphenicol (CAP) is a broad-spectrum antibacterial drug that is widely used for topical application in ophthalmology and dermatology. In the present study we investigated the influence of CAP on human keratinocyte proliferation and apoptosis in vitro. CAP significantly inhibited proliferation and induced apoptosis of cultivated human keratinocytes, as revealed by incorporation of radioactive thymidine and flow cytometry analysis of intracellular esterase activity in fluorescein diacetate-stained cells, respectively. CAP-induced keratinocyte apoptosis was associated with activation of caspases and increased production of reactive oxygen species. The pro-apoptotic action of CAP was antagonized by the antioxidant agent N-acetylcysteine, the protein synthesis inhibitor cycloheximide, and PD98059, a selective inhibitor of extracellular signal-regulated kinase (ERK) activation. Taken together, these data indicate that CAP inhibits keratinocyte proliferation through induction of oxidative stress and ERK-mediated caspase-dependent apoptosis.

Research paper thumbnail of Pemphigus herpetiformis - a case report of a rare form of pemphigus and review of the literature

Vojnosanitetski pregled, 2016

Introduction. Pemphigus herpetiformis is the rare variant of pemphigus with characteristic clinic... more Introduction. Pemphigus herpetiformis is the rare variant of pemphigus with characteristic clinical features, histopathological findings different from the convectional pemphigus, and immunological findings consistent with pemphigus. Case report. We presented a 65-year-old woman with initial pruritus followed by pruritic urticarial papules and plaques, some with annular rings of tense vesicles on the periphery, on the trunk and extremities, with no mucous lesions. Histopathological examination demonstrated spongiosis and intraepidermal vesicles in the mid or subcorneal epidermis in some biopsy specimen, with neutrophil and eosinophil infiltrate. Direct immunoflorescent microscopy revealed intercellular IgG deposition, most prominent in the upper layers of epidermis. Indirect immunoflorescent microscopy showed intercellular binding of IgG autoantibodies in the patient?s sera. Initially the patient was threated with systemic corticosteroids and azathioprine, but dapson provided comple...

Research paper thumbnail of CD44 - Hyaluronic Acid Interactions Mediate Shear -Resistant Binding of Lymphocytes to Dermal Endothelium in Acute Cutaneous GVHD 1

For circulating lymphocytes to migrate to inflammatory sites, they must first adhere to the targe... more For circulating lymphocytes to migrate to inflammatory sites, they must first adhere to the target tissue endothelium with sufficient strength to overcome the shear forces of blood flow. We previously reported that dermal papillary vessels in acute graft-versus-host disease (aGVHD) support shear-resistant lymphocyte adherence. We now identify the relevant adhesion molecule(s) directing this binding, showing that interactions between lymphocyte CD44 and hyaluronic acid (HA) expressed on dermal vessels in aGVHD alone confer this shear-resistant attachment. Native HA deposits on vascular endothelium support lymphocyte adherence, whereas HA immobilized on plastic does not. HA expressed at dermal endothelium in aGVHD is thus specialized to support lymphocyte adherence under flow conditions, and CD44-HA interactions may contribute to lymphocytotropism to skin in aGVHD.

Research paper thumbnail of Molluscum Contagiosum

European Handbook of Dermatological Treatments, 2015

Research paper thumbnail of Toxic epidermal necrolysis following morbilli-parotitis-rubella vaccination

Journal of The European Academy of Dermatology and Venereology, 1999

We present the first reported case of toxic epidermal necrolysis (TEN) caused by morbilli-parotit... more We present the first reported case of toxic epidermal necrolysis (TEN) caused by morbilli-parotitis-rubella (MPR) vaccine. A 13-year-old girl developed TEN 7 days after she received live, attenuated, triple MPR vaccine. The history of drug intake and any illness was negative. At admission the patient was acutely ill with high fever. The whole body was erythematous. The epidermis was wrinkled and the Nikolsky sign was positive. Numerous erosions were present on the lips and genital region. On the seventh day of illness, the eruption involved 80% of the skin. Systemic corticosteroid therapy was not employed. The skin and mucosal defects completely epithelized by the end of the third week of illness. Mild keratoconjunctivitis sicca remained because of permanent cup cell damage.

Research paper thumbnail of P001 Autoimmune bullous disorders diagnosed at the Institute of Dermatology and Venereology in Belgrade from 1991 to 1995

Journal of The European Academy of Dermatology and Venereology, 1997

Research paper thumbnail of Blaschko-linear lichen aureus: 2 new cases

Journal of the European Academy of Dermatology and Venereology, 1998

Free communication FC16. Pediatric dermatology s155 FC16. fE%q Pediatric dermatology Blaschko-lin... more Free communication FC16. Pediatric dermatology s155 FC16. fE%q Pediatric dermatology Blaschko-linear lichen aureus: 2 new cases M.M. Nikolic, Lj. Medenica. M. Milinkovic, L. Andrejevic.

Research paper thumbnail of CUTANEOUS METASTATIC ADENOCARCINOMA OF GALLBLADDER ORIGIN PRESENTING AS CARCINOMA OF UNKNOWN PRIMARY

International Journal of Dermatology, 1995

Research paper thumbnail of Regressing anaplastic CD30-positive large-cell lymphoma of the skin

Acta dermatovenerologica Alpina, Pannonica, et Adriatica, 2006

Originally believed to be of histiocytic origin, regressing primary cutaneous anaplastic large-ce... more Originally believed to be of histiocytic origin, regressing primary cutaneous anaplastic large-cell lymphoma is a CD30 (Ki 1) positive T-cell lymphoma with histologic high grade malignancy, but with an often favorable clinical course with regression of individual lesions. We present a case of a 69-year-old white woman with an 8-month history of noduloulcerative lesions on her right lower leg, otherwise in good general health. The clinical, histologic, and immunohistochemical findings pointed to CD30 positive primary cutaneous anaplastic large-cell lymphoma. There were no signs of generalization, lymph node or internal organ involvement. After 2 years of activity, the disease regressed. During the 10-year follow-up period, no signs of disease reactivation were noted. Accurate recognition of this lymphoma is important to avoid unnecessary aggressive treatments.

Research paper thumbnail of CUTANEOUS METASTATIC ADENOCARCINOMA OF GALLBLADDER ORIGIN PRESENTING AS CARCINOMA OF UNKNOWN PRIMARY

International Journal of Dermatology, 1995

Research paper thumbnail of Assessment of quality of life in patients with psoriasis: a study from Serbia

International Journal of Dermatology, 2014

Psoriasis has a substantial impact on patients&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;am... more Psoriasis has a substantial impact on patients&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; quality of life. The aims of this study were to assess the impact of the clinical severity of psoriasis on patients&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; quality of life and to determine the effects of psoriasis-related stress on patients&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; everyday life. The cross-sectional study was conducted at the Institute of Dermatovenereology, Clinical Center of Serbia, Belgrade. The study included 201 patients (124 men and 77 women), aged 18-70 with a diagnosis of psoriasis, hospitalized or treated as outpatients during 2009. For the assessment of patients&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; quality of life, the psoriasis disability index (PDI) was used. The stress related to psoriasis was measured with the psoriasis life stress inventory (PLSI) and disease severity with the psoriasis area and severity index (PASI). We found moderate correlation between PLSI and all PDI subscales and overall score (correlation coefficients ranged from 0.334 to 0.521). The correlation between PASI and PDI subscales was weak, while we failed to find any significant correlation between PASI and the PLSI. The results of multiple regression analysis indicated that stress, more severe disease, and lower educational level are significant determining factors of a poorer quality of life in patients with psoriasis. Our results support the importance of assessing the quality of life in psoriasis and effects of stress in patients&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; adjustment to their condition and may have important implications for a psychological stress management approach in the clinical management of psoriasis.

Research paper thumbnail of Pemphigus triggered by topical sensitizer and sunlight

Journal of the European Academy of Dermatology and Venereology, 1995

Research paper thumbnail of Extensive, adulthood inflammatory linear verrucous epidermal nevus associated with mucinous nevus

Indian Journal of Dermatology, Venereology, and Leprology, 2011

Indian Journal of Dermatology, Venereology, and Leprology | September-October | Vol 77 | Issue 5 ... more Indian Journal of Dermatology, Venereology, and Leprology | September-October | Vol 77 | Issue 5 3. Hosokawa A. A clinical and bacteriological examination of Mycobacterium leprae in the epidermis and cutaneous appendages of patients with multibacillary leprosy. J Dermatol 1999;26:479-88. 4. Hameedullah A, Lal S, Garg BR. Composite skin contact smears in multibacillary leprosy patients. Lepr India 1982;54:605-12. 5. Job CK, Jayakumar J, Kearney M, Gillis TP. Transmission of leprosy. A study of skin and nasal secretions of household contacts of leprosy patients using PCR. Am J Trop Med Hyg 2008;78:518-21. 6. Gimenez MF, Gigli I, Tausk FA. Differential expression of Langerhans cells in the epidermis of patients with leprosy. Br J Dermatol 1989;121:19-26.

Research paper thumbnail of Prevalence of Metabolic Syndrome in Patients With Clinically Advanced Peripheral Vascular Disease

Angiology, 2008

The aim of this cross-sectional study was to determine the prevalence of metabolic syndrome (MetS... more The aim of this cross-sectional study was to determine the prevalence of metabolic syndrome (MetS) and its components among 100 patients with progressive peripheral arterial disease (PAD) referred for diagnostic angiography in preparation for a revascularization procedure. The prevalence of MetS was more than 95%. Diabetes mellitus was the most prevalent component followed by hypertension and low high-density lipoprotein. Almost half the patients aggregated in the highest metabolic score category. A direct relationship was identified between the number of MetS components and serum uric acid ( P = .001) and C-reactive protein ( P = .826), whereas an inverse relationship was seen between the clustering of components and androgen levels in men ( P < .001). For PAD, which could have a benign clinical course, early screening for MetS might identify those at greater risk of failing conservative therapy and progressing to a more aggressive atherosclerotic disease typically associated wi...

Research paper thumbnail of Toxic epidermal necrolysis following morbilli-parotitis-rubella vaccination

Journal of the European Academy of Dermatology and Venereology, 1999

Research paper thumbnail of Regressing anaplastic CD30-positive large-cell lymphoma of the skin

Acta Dermatovenerologica Alpina Pannonica et Adriatica, 2006

Originally believed to be of histiocytic origin, regressing primary cutaneous anaplastic large-ce... more Originally believed to be of histiocytic origin, regressing primary cutaneous anaplastic large-cell lymphoma is a CD30 (Ki 1) positive T-cell lymphoma with histologic high grade malignancy, but with an often favorable clinical course with regression of individual lesions. We present a case of a 69-year-old white woman with an 8-month history of noduloulcerative lesions on her right lower leg, otherwise in good general health. The clinical, histologic, and immunohistochemical findings pointed to CD30 positive primary cutaneous anaplastic large-cell lymphoma. There were no signs of generalization, lymph node or internal organ involvement. After 2 years of activity, the disease regressed. During the 10-year follow-up period, no signs of disease reactivation were noted. Accurate recognition of this lymphoma is important to avoid unnecessary aggressive treatments.

Research paper thumbnail of Regressing anaplastic CD30-positive large-cell lymphoma of the skin

Acta dermatovenerologica Alpina, Pannonica, et Adriatica, 2006

Originally believed to be of histiocytic origin, regressing primary cutaneous anaplastic large-ce... more Originally believed to be of histiocytic origin, regressing primary cutaneous anaplastic large-cell lymphoma is a CD30 (Ki 1) positive T-cell lymphoma with histologic high grade malignancy, but with an often favorable clinical course with regression of individual lesions. We present a case of a 69-year-old white woman with an 8-month history of noduloulcerative lesions on her right lower leg, otherwise in good general health. The clinical, histologic, and immunohistochemical findings pointed to CD30 positive primary cutaneous anaplastic large-cell lymphoma. There were no signs of generalization, lymph node or internal organ involvement. After 2 years of activity, the disease regressed. During the 10-year follow-up period, no signs of disease reactivation were noted. Accurate recognition of this lymphoma is important to avoid unnecessary aggressive treatments.

Research paper thumbnail of Brooke Spiegler Syndrome-A Case Report

Journal of Dermatology & Cosmetology

Brooke Spiegler syndrome is rare autosomal dominant hereditary disease with variable penetration.... more Brooke Spiegler syndrome is rare autosomal dominant hereditary disease with variable penetration. It is more common in females, usually in the second and third decades of life. The syndrome manifests with the appearance of three types of tumors: multiple cylindromas, trichoepitheliomas and spiradenomas. We presented a female patient, 54 years of age. The first changes occurred at the age of 22, first on the forehead, and then on the scalp. She has a positive family history for this condition, obtained by anamnesis (mother, two sisters, brother and daughter). We presented a dermatologic status before and after surgical intervention. Pathohistological finding of the removed tumors: cylindroma. After surgical intervention, the patient's quality of life has improved. New surgical procedures are planned.

Research paper thumbnail of Incidence of autoimmune bullous diseases in Serbia: a 20-year retrospective study

JDDG: Journal der Deutschen Dermatologischen Gesellschaft, 2016

While most previous surveys on the clinico-epidemiological features of autoimmune bullous disease... more While most previous surveys on the clinico-epidemiological features of autoimmune bullous diseases (AIBDs) have predominantly focused on a single disease entity or just one disease group, there have been only few studies examining the incidence of various AIBDs. In the present study, we set out to determine the spectrum of AIBDs, to estimate the incidence of the most common AIBDs, and to examine their temporal trends in Central Serbia over a period of 20 years. We retrospectively recruited 1,161 new AIBD cases diagnosed in Central Serbia during the period from January 1991 to December 2010. The diagnosis was based on strict clinical, histological, and immunohistological evaluation. The incidence rates were: 4.35 per million population/year (pmp/year) for pemphigus, 4.47 pmp/year for pemphigoid, 1.42 pmp/year for dermatitis herpetiformis (DH), 0.25 pmp/year for linear IgA disease, and 0.08 pmp/year for epidermolysis bullosa acquisita. In the period observed, age-adjusted incidence rates significantly increased for pemphigus and particularly for pemphigoid, whereas they decreased, albeit not significantly, for DH. For the first time, our study evaluates the incidence rates of the entire spectrum of AIBDs in Serbia, and examines their temporal trends over a 20-year period. To the best of our knowledge, our finding of similar incidence rates for pemphigus and pemphigoid has previously not been reported.

Research paper thumbnail of Inzidenz von bullösen Autoimmunerkrankungen in Serbien: eine retrospektive Studie über 20 Jahre

JDDG: Journal der Deutschen Dermatologischen Gesellschaft, 2016

Die meisten früheren Arbeiten zu den klinisch-epidemiologischen Merkmalen von bullösen Autoimmune... more Die meisten früheren Arbeiten zu den klinisch-epidemiologischen Merkmalen von bullösen Autoimmunerkrankungen (AIBD) konzentrierten sich vor allem auf eine einzige Krankheitsentität oder nur eine Krankheitsgruppe; nur in wenigen Studien wurde die Inzidenz verschiedener AIBD untersucht. Bei der vorliegenden Studie war es unser Ziel, das gesamte Spektrum der AIBD zu betrachten, die Inzidenz der häufigsten AIBD zu ermitteln und die zeitlichen Trends ihres Auftretens in Zentralserbien über einen Zeitraum von 20 Jahren zu untersuchen. Wir rekrutierten retrospektiv 1161 AIBD-Fälle, die in Zentralserbien von Januar 1991 bis Dezember 2010 neu diagnostiziert wurden. Die Diagnose stützte sich auf eine strikte klinische, histologische und immunhistologische Beurteilung. Folgende Inzidenzraten wurden für die einzelnen Erkrankungen ermittelt: 4,35 pro eine Million Einwohner/Jahr (pME/Jahr) für Pemphigus, 4,47 pME/Jahr für Pemphigoid, 1,42 pME/Jahr für Dermatitis herpetiformis (DH), 0,25 pME/Jahr IgA-Dermatose und 0,08 pME/Jahr für Epidermolysis bullosa acquisita. Im betrachteten Zeitraum stieg die altersbereinigte Inzidenzrate für Pemphigus und insbesondere für Pemphigoid signifikant an, während sie für DH, allerdings nicht signifikant, abnahm. Unsere Studie befasst sich zum ersten Mal mit den Inzidenzraten des gesamten Spektrums der AIBD in Serbien und untersucht die zeitlichen Trends ihres Auftretens über einen Zeitraum von 20 Jahren. Nach unserem besten Wissen wurde ein ähnlicher Befund wie der unsere, dass nämlich die Inzidenzraten von Pemphigus und Pemphigoid vergleichbar sind, bisher noch nicht publiziert.

Research paper thumbnail of Chloramphenicol induces in vitro growth arrest and apoptosis of human keratinocytes

Cell Biology and Toxicology, Jul 23, 2006

Chloramphenicol (CAP) is a broad-spectrum antibacterial drug that is widely used for topical appl... more Chloramphenicol (CAP) is a broad-spectrum antibacterial drug that is widely used for topical application in ophthalmology and dermatology. In the present study we investigated the influence of CAP on human keratinocyte proliferation and apoptosis in vitro. CAP significantly inhibited proliferation and induced apoptosis of cultivated human keratinocytes, as revealed by incorporation of radioactive thymidine and flow cytometry analysis of intracellular esterase activity in fluorescein diacetate-stained cells, respectively. CAP-induced keratinocyte apoptosis was associated with activation of caspases and increased production of reactive oxygen species. The pro-apoptotic action of CAP was antagonized by the antioxidant agent N-acetylcysteine, the protein synthesis inhibitor cycloheximide, and PD98059, a selective inhibitor of extracellular signal-regulated kinase (ERK) activation. Taken together, these data indicate that CAP inhibits keratinocyte proliferation through induction of oxidative stress and ERK-mediated caspase-dependent apoptosis.

Research paper thumbnail of Pemphigus herpetiformis - a case report of a rare form of pemphigus and review of the literature

Vojnosanitetski pregled, 2016

Introduction. Pemphigus herpetiformis is the rare variant of pemphigus with characteristic clinic... more Introduction. Pemphigus herpetiformis is the rare variant of pemphigus with characteristic clinical features, histopathological findings different from the convectional pemphigus, and immunological findings consistent with pemphigus. Case report. We presented a 65-year-old woman with initial pruritus followed by pruritic urticarial papules and plaques, some with annular rings of tense vesicles on the periphery, on the trunk and extremities, with no mucous lesions. Histopathological examination demonstrated spongiosis and intraepidermal vesicles in the mid or subcorneal epidermis in some biopsy specimen, with neutrophil and eosinophil infiltrate. Direct immunoflorescent microscopy revealed intercellular IgG deposition, most prominent in the upper layers of epidermis. Indirect immunoflorescent microscopy showed intercellular binding of IgG autoantibodies in the patient?s sera. Initially the patient was threated with systemic corticosteroids and azathioprine, but dapson provided comple...

Research paper thumbnail of CD44 - Hyaluronic Acid Interactions Mediate Shear -Resistant Binding of Lymphocytes to Dermal Endothelium in Acute Cutaneous GVHD 1

For circulating lymphocytes to migrate to inflammatory sites, they must first adhere to the targe... more For circulating lymphocytes to migrate to inflammatory sites, they must first adhere to the target tissue endothelium with sufficient strength to overcome the shear forces of blood flow. We previously reported that dermal papillary vessels in acute graft-versus-host disease (aGVHD) support shear-resistant lymphocyte adherence. We now identify the relevant adhesion molecule(s) directing this binding, showing that interactions between lymphocyte CD44 and hyaluronic acid (HA) expressed on dermal vessels in aGVHD alone confer this shear-resistant attachment. Native HA deposits on vascular endothelium support lymphocyte adherence, whereas HA immobilized on plastic does not. HA expressed at dermal endothelium in aGVHD is thus specialized to support lymphocyte adherence under flow conditions, and CD44-HA interactions may contribute to lymphocytotropism to skin in aGVHD.

Research paper thumbnail of Molluscum Contagiosum

European Handbook of Dermatological Treatments, 2015

Research paper thumbnail of Toxic epidermal necrolysis following morbilli-parotitis-rubella vaccination

Journal of The European Academy of Dermatology and Venereology, 1999

We present the first reported case of toxic epidermal necrolysis (TEN) caused by morbilli-parotit... more We present the first reported case of toxic epidermal necrolysis (TEN) caused by morbilli-parotitis-rubella (MPR) vaccine. A 13-year-old girl developed TEN 7 days after she received live, attenuated, triple MPR vaccine. The history of drug intake and any illness was negative. At admission the patient was acutely ill with high fever. The whole body was erythematous. The epidermis was wrinkled and the Nikolsky sign was positive. Numerous erosions were present on the lips and genital region. On the seventh day of illness, the eruption involved 80% of the skin. Systemic corticosteroid therapy was not employed. The skin and mucosal defects completely epithelized by the end of the third week of illness. Mild keratoconjunctivitis sicca remained because of permanent cup cell damage.

Research paper thumbnail of P001 Autoimmune bullous disorders diagnosed at the Institute of Dermatology and Venereology in Belgrade from 1991 to 1995

Journal of The European Academy of Dermatology and Venereology, 1997

Research paper thumbnail of Blaschko-linear lichen aureus: 2 new cases

Journal of the European Academy of Dermatology and Venereology, 1998

Free communication FC16. Pediatric dermatology s155 FC16. fE%q Pediatric dermatology Blaschko-lin... more Free communication FC16. Pediatric dermatology s155 FC16. fE%q Pediatric dermatology Blaschko-linear lichen aureus: 2 new cases M.M. Nikolic, Lj. Medenica. M. Milinkovic, L. Andrejevic.

Research paper thumbnail of CUTANEOUS METASTATIC ADENOCARCINOMA OF GALLBLADDER ORIGIN PRESENTING AS CARCINOMA OF UNKNOWN PRIMARY

International Journal of Dermatology, 1995

Research paper thumbnail of Regressing anaplastic CD30-positive large-cell lymphoma of the skin

Acta dermatovenerologica Alpina, Pannonica, et Adriatica, 2006

Originally believed to be of histiocytic origin, regressing primary cutaneous anaplastic large-ce... more Originally believed to be of histiocytic origin, regressing primary cutaneous anaplastic large-cell lymphoma is a CD30 (Ki 1) positive T-cell lymphoma with histologic high grade malignancy, but with an often favorable clinical course with regression of individual lesions. We present a case of a 69-year-old white woman with an 8-month history of noduloulcerative lesions on her right lower leg, otherwise in good general health. The clinical, histologic, and immunohistochemical findings pointed to CD30 positive primary cutaneous anaplastic large-cell lymphoma. There were no signs of generalization, lymph node or internal organ involvement. After 2 years of activity, the disease regressed. During the 10-year follow-up period, no signs of disease reactivation were noted. Accurate recognition of this lymphoma is important to avoid unnecessary aggressive treatments.

Research paper thumbnail of CUTANEOUS METASTATIC ADENOCARCINOMA OF GALLBLADDER ORIGIN PRESENTING AS CARCINOMA OF UNKNOWN PRIMARY

International Journal of Dermatology, 1995