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  • Presentation

What's New in Genetic Skin Diseases?

Description

In a recent presentation by Nessa Gazza, a pediatric dermatologist from the Mayo Clinic, the advancements in treating genetic skin diseases were discussed through various patient case studies. The talk emphasized how understanding genetic mutations and employing targeted therapies have radically improved patient outcomes. One case involved a young girl with refractory psoriasis who was diagnosed with a CARD 14-associated mutation. After targeting her treatment with specific biologics, her condition dramatically improved. In another example, a 30-year-old woman suffering from Olmsted syndrome was treated with an epidermal growth factor receptor inhibitor, leading to significant relief from debilitating symptoms. A third case featured an elderly woman diagnosed with epidermolysis bullosa, where dupilumab was utilized to address her pruritus effectively. Lastly, the complexities of managing nevoid basal cell carcinoma syndrome were tackled. Despite long-term use of smoothened inhibitors causing significant side effects, alternatives such as intermittent dosing and the switch to sonidegib showed promise, while minoxidil was suggested to help with hair loss. Overall, the talk highlighted the crucial role of genetic testing and personalized treatments in enhancing the quality of life for patients with these challenging skin conditions.

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Conclusions

  • Genetic understanding and targeted therapies for skin diseases are advancing, significantly impacting patient management.
  • Early identification of CARD 14 associated papulosquamous eruption can lead to more effective treatments and better patient outcomes.
  • Ustekinumab and other IL-23/IL-17 blockers are effective in treating severe forms of psoriasis linked to genetic mutations.
  • Olmsted Syndrome with TRPV3 mutations can be successfully managed with targeted therapies like erlotinib, leading to functional recovery.
  • Epidermolysis Bullosa Pruriginosa can respond well to Dupilumab, improving patients' quality of life.
  • Recognizing specific genetic conditions associated with refractory skin symptoms allows for personalized and effective treatment strategies.
  • Niedźwiedź M, Narbutt J, Siekierko A, Skibińska M, Kwiek B, Sobolewska-Sztychny D, Ciążyńska M, Poznańska-Kurowska K, Gostyński A, Lesiak A. Case report: Successful treatment with biologics in a pediatric patient with a severe inflammatory skin disease and novel CARD14 mutation. Front Med (Lausanne). 2024 Feb 5;11:1360248. doi: 10.3389/fmed.2024.1360248. PMID: 38375322; PMCID: PMC10875046.
  • Oldham J, O'Toole E. Treatment of TRPV3 mutation-associated Olmsted syndrome with erlotinib. Clinical and Experimental Dermatology, llae193, https://doi.org/10.1093/ced/llae193
  • Martinez AE. Tests to monitor in patients with severe types of epidermolysis bullosa. Dermatol Clin 2010; 28:271. DOI: 10.1016/j.det.2010.03.003
  • Kern JS, Sprecher E, Fernandez MF, Schauer F, Bodemer C, Cunningham T, Löwe S, Davis C, Sumeray M, Bruckner AL. Efficacy and safety of Oleogel-S10 (birch triterpenes) for epidermolysis bullosa: results from the phase III randomized double-blind phase of the NEW ENGLAND JOURNAL of MEDICINE. DECEMBER 15, 2022.