1
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Bastonini E, Kovacs D, Briganti S, Ottaviani M, D'Arino A, Migliano E, Pacifico A, Iacovelli P, Picardo M. Effects of pioglitazone on the differentiation and inflammation in vitiligo keratinocytes. J Eur Acad Dermatol Venereol 2024. [PMID: 38305589 DOI: 10.1111/jdv.19754] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Accepted: 12/07/2023] [Indexed: 02/03/2024]
Affiliation(s)
- E Bastonini
- Laboratory of Cutaneous Physiopathology and Integrated Center of Metabolomics Research, San Gallicano Dermatological Institute, IRCCS, Rome, Italy
| | - D Kovacs
- Laboratory of Cutaneous Physiopathology and Integrated Center of Metabolomics Research, San Gallicano Dermatological Institute, IRCCS, Rome, Italy
| | - S Briganti
- Laboratory of Cutaneous Physiopathology and Integrated Center of Metabolomics Research, San Gallicano Dermatological Institute, IRCCS, Rome, Italy
| | - M Ottaviani
- Laboratory of Cutaneous Physiopathology and Integrated Center of Metabolomics Research, San Gallicano Dermatological Institute, IRCCS, Rome, Italy
| | - A D'Arino
- Laboratory of Cutaneous Physiopathology and Integrated Center of Metabolomics Research, San Gallicano Dermatological Institute, IRCCS, Rome, Italy
| | - E Migliano
- Department of Plastic and Reconstructive Surgery, San Gallicano Dermatological Institute, IRCCS, Rome, Italy
| | - A Pacifico
- Clinical Dermatology, Phototherapy Unit, San Gallicano Dermatological Institute, IRCCS, Rome, Italy
| | - P Iacovelli
- Clinical Dermatology, Phototherapy Unit, San Gallicano Dermatological Institute, IRCCS, Rome, Italy
| | - M Picardo
- Istituto Dermopatico dell'Immacolata (IDI-IRCCS), Rome, Italy
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2
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Orsini D, D'Arino A, Pigliacelli F, Iacovelli P, Pacifico A, Cota C, Di Prete M, Maramao FS. SARS-CoV-2: an environmental trigger of Darier's disease? J DERMATOL TREAT 2023; 34:2242541. [PMID: 37528796 DOI: 10.1080/09546634.2023.2242541] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/03/2023]
Affiliation(s)
- Diego Orsini
- Clinical Dermatology Unit, IFO-San Gallicano Dermatological Institute-IRCCS, 00144, Rome, Italy
| | - Andrea D'Arino
- Oncologic and Preventive Dermatology, IFO-San Gallicano Dermatological Institute-IRCCS, Rome, Italy
| | - Flavia Pigliacelli
- Clinical Dermatology Unit, IFO-San Gallicano Dermatological Institute-IRCCS, 00144, Rome, Italy
| | - Paolo Iacovelli
- Clinical Dermatology Unit, IFO-San Gallicano Dermatological Institute-IRCCS, 00144, Rome, Italy
| | - Alessia Pacifico
- Clinical Dermatology Unit, IFO-San Gallicano Dermatological Institute-IRCCS, 00144, Rome, Italy
| | - Carlo Cota
- Genetic Research Unit, Dermatological Molecular Biology and Dermatopathology, San Gallicano Dermatological Institute IRCCS, Rome, Italy
| | - Monia Di Prete
- Genetic Research Unit, Dermatological Molecular Biology and Dermatopathology, San Gallicano Dermatological Institute IRCCS, Rome, Italy
| | - Fabio Stefano Maramao
- Clinical and Research Resident, University of Rome Tor Vergata, Policlinico Tor Vergata, Rome, Italy
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3
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Pigliacelli F, Pacifico A, Mariano M, D'Arino A, Cristaudo A, Iacovelli P. Morphea induced by SARS-CoV-2 infection: A case report. Int J Dermatol 2021; 61:377-378. [PMID: 34783020 PMCID: PMC8653008 DOI: 10.1111/ijd.15983] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/11/2021] [Revised: 10/05/2021] [Accepted: 10/28/2021] [Indexed: 11/27/2022]
Affiliation(s)
| | | | - Maria Mariano
- San Gallicano Dermatological Institute - IRCCS, Rome, Italy
| | - Andrea D'Arino
- San Gallicano Dermatological Institute - IRCCS, Rome, Italy
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4
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Seneschal J, Boniface K, D'Arino A, Picardo M. An update on Vitiligo pathogenesis. Pigment Cell Melanoma Res 2020; 34:236-243. [PMID: 33278065 DOI: 10.1111/pcmr.12949] [Citation(s) in RCA: 27] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2020] [Revised: 11/10/2020] [Accepted: 12/01/2020] [Indexed: 12/16/2022]
Abstract
Vitiligo, the most common depigmenting disorder of the skin, is undergoing a period of intense advances in both disease understanding and therapeutic possibilities leading the way to the beginning of a new era for the disorder. Its pathophysiology has gathered the attention of researchers for years, and many advances have been made in the clarification of the interaction between different factors that result in depigmented macule formation. The complex interplay between non-immunological and immunological factors in vitiligo is key for the development of the disease, and the participation of cells other than melanocytes, such as keratinocytes, fibroblasts, natural killer cells, and innate lymphoid cells, has been shown. Recent advances have also brought to the understanding of the complex part played by a specific subtype of T cells: T-resident memory cells. This review analyzes some of the most recent insights in vitiligo pathogenesis underlining the interactions between different cell types, which are the basis for the therapeutic approaches under development.
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Affiliation(s)
- Julien Seneschal
- INSERM U1035, Biotherapy of Genetic Diseases, Inflammatory Disorders and Cancers (BMGIC), Immunodermatology ATIP-AVENIR, University of Bordeaux, FHU ACRONIM, Bordeaux, France.,Department of Dermatology and Pediatric Dermatology and National Reference Center for Rare Skin Disorders, Hôpital Saint-André, Bordeaux, France
| | - Katia Boniface
- INSERM U1035, Biotherapy of Genetic Diseases, Inflammatory Disorders and Cancers (BMGIC), Immunodermatology ATIP-AVENIR, University of Bordeaux, FHU ACRONIM, Bordeaux, France
| | - Andrea D'Arino
- San Gallicano Dermatological Institute, IRCCS, Rome, Italy
| | - Mauro Picardo
- San Gallicano Dermatological Institute, IRCCS, Rome, Italy
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5
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Orsini D, D'Arino A, Tedesco M, Cota C, Pigliacelli F, Assorgi C, Latini A, Cristaudo A, Morrone A. Facial Abrikosoff tumour: The role of the dermatologist during COVID‐19 pandemic. Int Wound J 2020; 17:2026-2027. [PMID: 32573933 PMCID: PMC7361726 DOI: 10.1111/iwj.13431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2020] [Accepted: 05/27/2020] [Indexed: 11/28/2022] Open
Affiliation(s)
- Diego Orsini
- San Gallicano Dermatological Institute IRCCS Rome Italy
| | | | | | - Carlo Cota
- Dermatology Unit IRCCS INRCA Ancona Italy
| | | | | | | | | | - Aldo Morrone
- San Gallicano Dermatological Institute IRCCS Rome Italy
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6
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Facheris P, D'Arino A, Pavia G, Valenti M, Guidelli GM, Borroni RG, Costanzo A, Narcisi A. Urticarial rash in autoinflammatory syndromes. Ital J Dermatol Venerol 2020. [PMID: 33070574 DOI: 10.23736/s0392-0488.20.06671-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Paola Facheris
- Department of Dermatology, IRCCS Humanitas Clinical and Research Center, Rozzano, Milan, Italy - .,Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy -
| | - Andrea D'Arino
- Department of Dermatology, Sapienza University, Rome, Italy
| | - Giulia Pavia
- Department of Dermatology, IRCCS Humanitas Clinical and Research Center, Rozzano, Milan, Italy.,Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy
| | - Mario Valenti
- Department of Dermatology, IRCCS Humanitas Clinical and Research Center, Rozzano, Milan, Italy.,Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy
| | - Giacomo M Guidelli
- Unit of Rheumatology and Clinical Immunology, IRCCS Humanitas Clinical and Research Center, Rozzano, Milan, Italy
| | - Riccardo G Borroni
- Department of Dermatology, IRCCS Humanitas Clinical and Research Center, Rozzano, Milan, Italy.,Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy
| | - Antonio Costanzo
- Department of Dermatology, IRCCS Humanitas Clinical and Research Center, Rozzano, Milan, Italy.,Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy
| | - Alessandra Narcisi
- Department of Dermatology, IRCCS Humanitas Clinical and Research Center, Rozzano, Milan, Italy
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7
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Facheris P, D'Arino A, Pavia G, Valenti M, Guidelli GM, Borroni RG, Costanzo A, Narcisi A. Urticarial rash in autoinflammatory syndromes. Ital J Dermatol Venerol 2020; 156:398-400. [PMID: 33070574 DOI: 10.23736/s2784-8671.20.06671-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Paola Facheris
- Department of Dermatology, IRCCS Humanitas Clinical and Research Center, Rozzano, Milan, Italy - .,Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy -
| | - Andrea D'Arino
- Department of Dermatology, Sapienza University, Rome, Italy
| | - Giulia Pavia
- Department of Dermatology, IRCCS Humanitas Clinical and Research Center, Rozzano, Milan, Italy.,Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy
| | - Mario Valenti
- Department of Dermatology, IRCCS Humanitas Clinical and Research Center, Rozzano, Milan, Italy.,Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy
| | - Giacomo M Guidelli
- Unit of Rheumatology and Clinical Immunology, IRCCS Humanitas Clinical and Research Center, Rozzano, Milan, Italy
| | - Riccardo G Borroni
- Department of Dermatology, IRCCS Humanitas Clinical and Research Center, Rozzano, Milan, Italy.,Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy
| | - Antonio Costanzo
- Department of Dermatology, IRCCS Humanitas Clinical and Research Center, Rozzano, Milan, Italy.,Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy
| | - Alessandra Narcisi
- Department of Dermatology, IRCCS Humanitas Clinical and Research Center, Rozzano, Milan, Italy
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8
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Carlesimo M, Pigliacelli F, D'Arino A, Caro G, Fortuna MC, Rossi A. Dermatologic management of oncotherapy side effects: A proposed algorithm. J Cosmet Dermatol 2020; 20:429-436. [PMID: 32585724 DOI: 10.1111/jocd.13566] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2020] [Revised: 06/13/2020] [Accepted: 06/17/2020] [Indexed: 01/20/2023]
Abstract
Since the introduction of the first chemotherapeutic regimens for the treatment of oncological disease, hundreds of drugs have been approved for cancer treatment and many more are under investigation. The development of newer drugs such as target therapies, immuno-oncotherapies, and hormonal therapies has increased in specificity with the development of smaller molecules and more selective targets. Cutaneous side effects are now well known for both standard chemotherapy and targeted therapies. The correct diagnosis and management of these effects are of vital importance both to optimize therapeutic success rates and to reduce the patient's suffering. In fact, the appearance of a cutaneous adverse event can be responsible for a reduction in drug dosage or worse its suspension. In order to achieve this objective, we propose a management algorithm, based on three different steps, before, during, and after the oncological treatments, respectively. Our proposal underlines the importance of correct skin care measures to limit or reduce the severity of side effects.
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Affiliation(s)
- Marta Carlesimo
- Department of Internal Medicine and Medical Specialties, UOC Dermatology, Sapienza University of Rome, Rome, Italy
| | - Flavia Pigliacelli
- Department of Internal Medicine and Medical Specialties, UOC Dermatology, Sapienza University of Rome, Rome, Italy
| | - Andrea D'Arino
- Department of Internal Medicine and Medical Specialties, UOC Dermatology, Sapienza University of Rome, Rome, Italy
| | - Gemma Caro
- Department of Internal Medicine and Medical Specialties, UOC Dermatology, Sapienza University of Rome, Rome, Italy
| | - Maria Caterina Fortuna
- Department of Internal Medicine and Medical Specialties, UOC Dermatology, Sapienza University of Rome, Rome, Italy
| | - Alfredo Rossi
- Department of Internal Medicine and Medical Specialties, UOC Dermatology, Sapienza University of Rome, Rome, Italy
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9
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Rossi A, Caro G, Fortuna MC, Pigliacelli F, D'Arino A, Carlesimo M. Prevention and Treatment of Chemotherapy-Induced Alopecia. Dermatol Pract Concept 2020; 10:e2020074. [PMID: 32642317 DOI: 10.5826/dpc.1003a74] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/14/2020] [Indexed: 10/31/2022] Open
Abstract
Background Chemotherapy-induced alopecia (CIA) is one of the most dramatic side effects of chemotherapy. Currently no guidelines are available for its prevention and treatment. Several devices and drugs are used, but results are often disappointing. Aims Our aim is to analyze drugs and devices proposed in the literature for prevention and treatment of CIA induced by cytotoxic drugs and to discuss the evidenced-based opinion. Methods and Results Scalp cooling is the only agent that has been approved by the US Food and Drug Administration for CIA prevention. Minoxidil and bimatoprost should not be used during chemotherapy administration, but they can be used after chemotherapy discontinuation to obtain greater regrowth. Conclusions Therapy should always be modulated for the patient and no fixed protocol should be used. Trichoscopy and trichogram could be useful tools in supporting this treatment.
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Affiliation(s)
- Alfredo Rossi
- Department of Hematology, Oncology and Dermatology, Sapienza University of Rome, Italy
| | - Gemma Caro
- Department of Hematology, Oncology and Dermatology, Sapienza University of Rome, Italy
| | | | - Flavia Pigliacelli
- Department of Hematology, Oncology and Dermatology, Sapienza University of Rome, Italy
| | - Andrea D'Arino
- Department of Hematology, Oncology and Dermatology, Sapienza University of Rome, Italy
| | - Marta Carlesimo
- Department of Hematology, Oncology and Dermatology, Sapienza University of Rome, Italy
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10
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Rossi A, Magri F, D'Arino A, Pigliacelli F, Muscianese M, Leoncini P, Caro G, Federico A, Fortuna MC, Carlesimo M. Efficacy of Topical Finasteride 0.5% vs 17α-Estradiol 0.05% in the Treatment of Postmenopausal Female Pattern Hair Loss: A Retrospective, Single-Blind Study of 119 Patients. Dermatol Pract Concept 2020; 10:e2020039. [PMID: 32363101 DOI: 10.5826/dpc.1002a39] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/03/2019] [Indexed: 10/31/2022] Open
Abstract
Background and Objectives Female pattern hair loss (FPHL) is a common form of scalp hair loss that occurs in 38% of females. Currently, minoxidil solution is the only therapy approved by the US Food and Drug Administration, but many other treatments are used, including cyproterone acetate, spironolactone, topical 17α-estradiol, and prostaglandin analogs. Systemic finasteride has been considered a treatment option in women even though its teratogenic effects tend to limit its prescription. Recently, topical finasteride has been evaluated to limit the side effect profile of the drug. The objective of the present study is to compare retrospectively the efficacy of topical 0.05% 17α-estradiol solution and a 0.5% finasteride lotion in the treatment of FPHL. Patients and Methods We enrolled 119 postmenopausal female patients. The first group comprised 69 women treated with finasteride 0.5% and minoxidil 2%. The second group included 50 women treated with 17α-estradiol 0.05% and minoxidil 2%. At baseline and at 6- and 12- to 18-month follow-up, global photographs were systematically taken. Three operators blind to the prescribed treatment evaluated photographs using a 7-point scale. One-way analysis of variance and unpaired Student t tests were performed to analyze 7-point scale scores. Results The improvement was statistically significant from 6 months to 12-18 months, both for finasteride (P < 0.005) and 17α-estradiol (P < 0.05). The efficacy of topical finasteride was significantly greater than that of 17α-estradiol solution, both at the 6-month (P < 0.05) and at the 12- to 18-month follow-up (P < 0.005). In general, the highest improvement was observed after 12-18 months of treatment with topical finasteride therapy. Conclusions Topical finasteride 0.5% in combination with minoxidil 2% could represent a valid therapeutic option for the treatment of postmenopausal FPHL, showing higher efficacy than topical 17α-estradiol with minoxidil 2% both at 6-month and 12- to 18-month follow-up.
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Affiliation(s)
- Alfredo Rossi
- Division of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Francesca Magri
- Division of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Andrea D'Arino
- Division of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Flavia Pigliacelli
- Division of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Marta Muscianese
- Division of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Pierpaolo Leoncini
- Department of Pediatric Hematology and Oncology, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Bambino Gesù Children's Hospital, Rome, Italy
| | - Gemma Caro
- Division of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Alessandro Federico
- Division of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Maria Caterina Fortuna
- Division of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Marta Carlesimo
- Division of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
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11
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Carlesimo M, Pigliacelli F, D'Arino A, Caro G, Magri F, De Vincentiis L, Soda G, Fortuna MC, Rossi A. Isoradiotopic response of discoid lupus after radiotherapy: A case report and review of the literature. Dermatol Ther 2019; 33:e13183. [DOI: 10.1111/dth.13183] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2019] [Accepted: 12/09/2019] [Indexed: 01/24/2023]
Affiliation(s)
- Marta Carlesimo
- Department of Internal Medicine and Medical Specialties, UOC DermatologySapienza University of Rome Rome Italy
| | - Flavia Pigliacelli
- Department of Internal Medicine and Medical Specialties, UOC DermatologySapienza University of Rome Rome Italy
| | - Andrea D'Arino
- Department of Internal Medicine and Medical Specialties, UOC DermatologySapienza University of Rome Rome Italy
| | - Gemma Caro
- Department of Internal Medicine and Medical Specialties, UOC DermatologySapienza University of Rome Rome Italy
| | - Francesca Magri
- Department of Internal Medicine and Medical Specialties, UOC DermatologySapienza University of Rome Rome Italy
| | | | - Giuseppe Soda
- Department of Molecular MedicineSapienza University of Rome Rome Italy
| | - Maria C. Fortuna
- Department of Internal Medicine and Medical Specialties, UOC DermatologySapienza University of Rome Rome Italy
| | - Alfredo Rossi
- Department of Internal Medicine and Medical Specialties, UOC DermatologySapienza University of Rome Rome Italy
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12
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Rossi A, Muscianese M, Federico A, Magri F, Caro G, Fortuna MC, D'Arino A, Pigliacelli F, Carlesimo M. Associations between alopecia areata and multiple sclerosis: a report of two cases and review of the literature. Int J Dermatol 2019; 59:490-493. [PMID: 31797349 DOI: 10.1111/ijd.14737] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/25/2019] [Revised: 09/19/2019] [Accepted: 11/05/2019] [Indexed: 02/02/2023]
Affiliation(s)
- Alfredo Rossi
- Department of Internal Medicine and Medical Specialties, Dermatology, Sapienza, University of Rome, Rome, Italy
| | - Marta Muscianese
- Department of Internal Medicine and Medical Specialties, Dermatology, Sapienza, University of Rome, Rome, Italy
| | - Alessandro Federico
- Department of Internal Medicine and Medical Specialties, Dermatology, Sapienza, University of Rome, Rome, Italy
| | - Francesca Magri
- Department of Internal Medicine and Medical Specialties, Dermatology, Sapienza, University of Rome, Rome, Italy
| | - Gemma Caro
- Department of Internal Medicine and Medical Specialties, Dermatology, Sapienza, University of Rome, Rome, Italy
| | - Maria Caterina Fortuna
- Department of Internal Medicine and Medical Specialties, Dermatology, Sapienza, University of Rome, Rome, Italy
| | - Andrea D'Arino
- Department of Internal Medicine and Medical Specialties, Dermatology, Sapienza, University of Rome, Rome, Italy
| | - Flavia Pigliacelli
- Department of Internal Medicine and Medical Specialties, Dermatology, Sapienza, University of Rome, Rome, Italy
| | - Marta Carlesimo
- Department of Internal Medicine and Medical Specialties, Dermatology, Sapienza, University of Rome, Rome, Italy
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13
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Fortuna MC, Garelli V, Pranteda G, Carlesimo M, D'Arino A, Rossi A. Scalp infection by Candida Albicans in an immunocompetent patient: a description of a rare case. J Chemother 2019; 30:316-317. [PMID: 30843775 DOI: 10.1080/1120009x.2018.1518200] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Candida is a large genus of yeast, consisting of about 150 species, among which C.albicans is the most prevalent fungal species of the human microbiota. C. albicans is the most important fungal opportunistic pathogen that can cause infection when the host becomes debilitated or immunocompromised. We report a case of a scalp infection by C.albicans in a patient without an obvious immunocompromised state.
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Affiliation(s)
- Maria Caterina Fortuna
- a Department of Internal Medicine and Medical Specialties , "Sapienza" University of Rome I School , Italy
| | - Valentina Garelli
- a Department of Internal Medicine and Medical Specialties , "Sapienza" University of Rome I School , Italy
| | - Giulia Pranteda
- a Department of Internal Medicine and Medical Specialties , "Sapienza" University of Rome I School , Italy
| | - Marta Carlesimo
- a Department of Internal Medicine and Medical Specialties , "Sapienza" University of Rome I School , Italy
| | - Andrea D'Arino
- a Department of Internal Medicine and Medical Specialties , "Sapienza" University of Rome I School , Italy
| | - Alfredo Rossi
- a Department of Internal Medicine and Medical Specialties , "Sapienza" University of Rome I School , Italy
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14
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Rossi A, D'Arino A, Pigliacelli F, Caro G, Muscianese M, Fortuna MC, Carlesimo M. The diagnosis of androgenetic alopecia in children: Considerations of pathophysiological plausibility. Australas J Dermatol 2019; 60:e279-e283. [PMID: 31168786 DOI: 10.1111/ajd.13079] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2018] [Accepted: 04/24/2019] [Indexed: 01/21/2023]
Abstract
Androgenetic alopecia (AGA), one of the most common causes of hair loss in men and women, is an infrequent cause of alopecia in children. In AGA, patients generally start noticing hair thinning after the onset of puberty due to progressive miniaturisation of the hair follicle which leads to vellus transformation of terminal hair. However, the occurrence of prepubertal AGA has rarely been reported in the literature. The pathophysiology of AGA is tightly linked to androgen hormones; prepubertal children do not usually produce significant amounts of adrenal or gonadal androgens. When it does occur, an underlying abnormality should be suspected. Secondary causes of AGA must be excluded when evaluating a patient before the appearance of puberty. Premature puberty, polycystic ovarian syndrome and other causes of hyperandrogenism can present with hair loss in an androgenetic pattern. This article reviews the normal physiology of androgen hormones and their role in the pathophysiology of childhood AGA.
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Affiliation(s)
- Alfredo Rossi
- Department of Internal Medicine and Medical Specialties, UOC Dermatology, University of Rome "Sapienza", Rome, Italy
| | - Andrea D'Arino
- Department of Internal Medicine and Medical Specialties, UOC Dermatology, University of Rome "Sapienza", Rome, Italy
| | - Flavia Pigliacelli
- Department of Internal Medicine and Medical Specialties, UOC Dermatology, University of Rome "Sapienza", Rome, Italy
| | - Gemma Caro
- Department of Internal Medicine and Medical Specialties, UOC Dermatology, University of Rome "Sapienza", Rome, Italy
| | - Marta Muscianese
- Department of Internal Medicine and Medical Specialties, UOC Dermatology, University of Rome "Sapienza", Rome, Italy
| | - Maria Caterina Fortuna
- Department of Internal Medicine and Medical Specialties, UOC Dermatology, University of Rome "Sapienza", Rome, Italy
| | - Marta Carlesimo
- Department of Internal Medicine and Medical Specialties, UOC Dermatology, University of Rome "Sapienza", Rome, Italy
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15
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Carlesimo M, Cortesi E, D'Arino A, Pigliacelli F, Caro G, Zancla S, Fortuna CM, Grifalchi F, Rossi A. Isochemotopic response: the first case on a scar. GIORN ITAL DERMAT V 2018; 155:789-791. [PMID: 30430812 DOI: 10.23736/s0392-0488.18.06149-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Marta Carlesimo
- Unit of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Enrico Cortesi
- Department of Oncology, Sapienza University, Rome, Italy
| | - Andrea D'Arino
- Unit of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy -
| | - Flavia Pigliacelli
- Unit of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Gemma Caro
- Unit of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Serena Zancla
- Department of Oncology, Sapienza University, Rome, Italy
| | - Caterina M Fortuna
- Unit of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | | | - Alfredo Rossi
- Unit of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
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16
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Pranteda G, Magri F, Muscianese M, D'Arino A, Pranteda G, Fidanza L, Bartolazzi A. A "seasonal bromoderma" in a farmer. Dermatol Ther 2018; 32:e12764. [PMID: 30288911 DOI: 10.1111/dth.12764] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2018] [Revised: 08/23/2018] [Accepted: 09/29/2018] [Indexed: 11/29/2022]
Abstract
Bromoderma is a rare skin disease caused by the ingestion, inhalation, or contact with products containing bromides. We report a case of bromoderma in a 36-year-old farmer, characterized by remission during the spring and exacerbation during the winter. The recognition of the use of products containing bromides during the winter helped us to understand the cause of the clinical condition.
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Affiliation(s)
| | | | | | | | | | - Laura Fidanza
- Dermatology Unit, Altamedica Main Center, Rome, Italy
| | - Armando Bartolazzi
- Department of Pathology, St. Andrea University, Rome, Italy.,Pathology Research Laboratory, Cancer Center Karolinska, Stockholm, Sweden
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17
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Pranteda G, Magri F, Muscianese M, Pigliacelli F, D'Arino A, Federico A, Pranteda G, Bartolazzi A. The management of pseudomyogenic hemangioendothelioma of the foot: A case report and review of the literature. Dermatol Ther 2018; 31:e12725. [PMID: 30239066 DOI: 10.1111/dth.12725] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2018] [Revised: 08/21/2018] [Accepted: 08/22/2018] [Indexed: 11/30/2022]
Abstract
Pseudomyogenic hemangioendothelioma (PMH) is a rare, mostly indolent, endothelial neoplasm of low-grade malignancy, often mimicking myoid and epithelioid tumors histologically. It is more frequent in young adult males and it usually presents with multiple cutaneous nodules, mostly localized at the extremities. It traverses several tissue planes simultaneously and can involve dermis, subcutis, skeletal muscle, and bone. Histologically, it is characterized by plump spindle cells with eosinophilic cytoplasm, often arranged in fascicles and epithelioid cells with "pseudomyogenic" morphology. Immunohistochemically, PMH is positive for Factor VIII, FLI-1, INI-1, vimentin, MDM2, CDK4, CD31, AE1/AE3, EMA, and P63. The efficacy of treatments is only partially known. Because of the frequent multifocal aspect of PMH, which contraindicates surgery, systemic treatments, such as gemcitabine, sirolimus, and everolimus are used. Based on our observation of multifocal PMH of the foot in a 17-year-old male patient, treated with gemcitabine with complete cutaneous response in a 2-year follow-up, we decided to discuss this rare tumor and underline its progression and therapeutic approaches. Thanks to a correct diagnosis, it is possible to avoid aggressive therapeutic approaches, which would be necessary for nonindolent diseases, such as sarcoma, which often needs amputation.
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Affiliation(s)
- Guglielmo Pranteda
- Dermatology Department, Sapienza University of Rome, Sant'Andrea General Hospital, Rome, Italy
| | - Francesca Magri
- Dermatology Department, Sapienza University of Rome, Sant'Andrea General Hospital, Rome, Italy
| | - Marta Muscianese
- Dermatology Department, Sapienza University of Rome, Umberto I Polyclinic, Rome, Italy
| | - Flavia Pigliacelli
- Dermatology Department, Sapienza University of Rome, Umberto I Polyclinic, Rome, Italy
| | - Andrea D'Arino
- Dermatology Department, Sapienza University of Rome, Umberto I Polyclinic, Rome, Italy
| | - Alessandro Federico
- Dermatology Department, Sapienza University of Rome, Umberto I Polyclinic, Rome, Italy
| | - Giulia Pranteda
- Dermatology Department, Sapienza University of Rome, Umberto I Polyclinic, Rome, Italy
| | - Armando Bartolazzi
- Department of Pathology, St. Andrea General Hospital, Rome, Italy.,Pathology Research Laboratory, Cancer Center Karolinska, Karolinska Hospital, Stockholm, Sweden
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18
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Rossi A, Garelli V, Muscianese M, Pranteda G, Caro G, D'Arino A, Fortuna MC. Clinical and trichoscopic correlation of primary neutrophilic scarring alopecia: folliculitis decalvans and dissecting cellulitis. GIORN ITAL DERMAT V 2018; 155:506-508. [PMID: 30229638 DOI: 10.23736/s0392-0488.18.06027-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Alfredo Rossi
- Unit of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Valentina Garelli
- Unit of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy -
| | - Marta Muscianese
- Unit of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Giulia Pranteda
- Unit of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Gemma Caro
- Unit of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Andrea D'Arino
- Unit of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Maria C Fortuna
- Unit of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
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19
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Rossi A, Fortuna MC, Caro G, Pigliacelli F, D'Arino A, Carlesimo M. Chemotherapy-induced alopecia: A novel observation. Australas J Dermatol 2018; 60:e61-e62. [PMID: 29741222 DOI: 10.1111/ajd.12835] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Affiliation(s)
- Alfredo Rossi
- Department of Internal Medicine and Medical Specialties, II School, Sapienza University of Rome, Rome, Italy
| | - Maria Caterina Fortuna
- Department of Internal Medicine and Medical Specialties, II School, Sapienza University of Rome, Rome, Italy
| | - Gemma Caro
- Department of Internal Medicine and Medical Specialties, II School, Sapienza University of Rome, Rome, Italy
| | - Flavia Pigliacelli
- Department of Internal Medicine and Medical Specialties, II School, Sapienza University of Rome, Rome, Italy
| | - Andrea D'Arino
- Department of Internal Medicine and Medical Specialties, II School, Sapienza University of Rome, Rome, Italy
| | - Marta Carlesimo
- Department of Dermatology, II School, Sapienza University of Rome, Rome, Italy
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20
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Pompili M, Innamorati M, Forte A, Erbuto D, Lamis DA, Narcisi A, Rea C, Orsini D, D'Arino A, Arcese A, Bellini S, Trovarelli S, Serafini G, Amore M, Costanzo A, Girardi P. Psychiatric comorbidity and suicidal ideation in psoriasis, melanoma and allergic disorders. Int J Psychiatry Clin Pract 2017; 21:209-214. [PMID: 28326880 DOI: 10.1080/13651501.2017.1301482] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
OBJECTIVE Psychiatric disorders and suicide risk (especially in psoriasis) are frequent and disabling conditions in patients with skin diseases. The aim of this study was to examine the risk of suicide and stressful life events in a sample of patients with skin disease. METHODS A sample of 242 dermatological patients (142 women and 100 men), 112 of which had psoriasis, 77 had melanoma, and 53 were suffering with chronic allergic diseases. Patients were administered the MINI International Neuropsychiatric Interview (MINI), Hamilton Depression Rating Scale (HDRS), Hamilton Anxiety Rating Scale (HARS), and the Columbia-Suicide Severity Rating Scale (C-SSRS). Patients were also asked about their experiences with stressful life events. RESULTS Patients with psoriasis were more likely to have a history of psychiatric disorders (36.6% vs. 13.2% χ2(1) = 9.55; p = 0.002) compared to patients with allergies. Specifically, patients with psoriasis more likely had a diagnosis of a mood disorder (16.1% vs. 3.9% χ2(1) = 6.85; p = 0.009; 16.1% vs. 0% χ2(1) = 9.56; p = 0.002) and reported past suicidal ideation (33.9% vs. 15.6% χ2(1) = 7.89; p = 0.005; 33.9% vs. 18.9% χ2(1) = 3.96; p = 0.047) as compared to those with melanoma and allergy. CONCLUSIONS The results from this study suggest that patients affected by psoriasis have an increased risk of psychiatric comorbidities and suicidal ideation compared to those who have other dermatological disorders.
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Affiliation(s)
- Maurizio Pompili
- a Department of Neurosciences, Mental Health and Sensory Organs , Suicide Prevention Centre, Sant'Andrea Hospital, Sapienza University of Rome , Rome , Italy
| | - Marco Innamorati
- b Department of Human Sciences , European University of Rome , Rome , Italy
| | - Alberto Forte
- a Department of Neurosciences, Mental Health and Sensory Organs , Suicide Prevention Centre, Sant'Andrea Hospital, Sapienza University of Rome , Rome , Italy
| | - Denise Erbuto
- a Department of Neurosciences, Mental Health and Sensory Organs , Suicide Prevention Centre, Sant'Andrea Hospital, Sapienza University of Rome , Rome , Italy
| | - Dorian A Lamis
- c Department of Psychiatry and Behavioral Sciences , Emory University School of Medicine , Atlanta , GA , USA
| | - Alessandra Narcisi
- d Dermatology Unit, Department of Neurosciences, Mental Health and Sensory Organs , Sapienza University of Rome , Rome , Italy
| | - Claudia Rea
- a Department of Neurosciences, Mental Health and Sensory Organs , Suicide Prevention Centre, Sant'Andrea Hospital, Sapienza University of Rome , Rome , Italy
| | - Diego Orsini
- d Dermatology Unit, Department of Neurosciences, Mental Health and Sensory Organs , Sapienza University of Rome , Rome , Italy
| | - Andrea D'Arino
- d Dermatology Unit, Department of Neurosciences, Mental Health and Sensory Organs , Sapienza University of Rome , Rome , Italy
| | - Annalisa Arcese
- d Dermatology Unit, Department of Neurosciences, Mental Health and Sensory Organs , Sapienza University of Rome , Rome , Italy
| | - Samantha Bellini
- a Department of Neurosciences, Mental Health and Sensory Organs , Suicide Prevention Centre, Sant'Andrea Hospital, Sapienza University of Rome , Rome , Italy
| | - Sara Trovarelli
- a Department of Neurosciences, Mental Health and Sensory Organs , Suicide Prevention Centre, Sant'Andrea Hospital, Sapienza University of Rome , Rome , Italy
| | - Gianluca Serafini
- e Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, Section of Psychiatry , University of Genova , Genova, Italy
| | - Mario Amore
- e Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, Section of Psychiatry , University of Genova , Genova, Italy
| | - Antonio Costanzo
- f Dermatology Unit, Department of Biomedical Sciences , Humanitas University , Rozzano-Milan , Italy
| | - Paolo Girardi
- a Department of Neurosciences, Mental Health and Sensory Organs , Suicide Prevention Centre, Sant'Andrea Hospital, Sapienza University of Rome , Rome , Italy
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21
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Tammaro A, De Marco G, D'Arino A, Pigliacelli F, Daniele A, Borgert I, Parisella FR, Persechino S. Aminoazobenzene in tattoo: another case of allergic contact dermatitis. Int J Dermatol 2017; 56:e79-e81. [PMID: 28205219 DOI: 10.1111/ijd.13531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/03/2015] [Revised: 10/31/2016] [Accepted: 11/11/2016] [Indexed: 11/27/2022]
Affiliation(s)
- Antonella Tammaro
- UOC Dermatology, NESMOS Department, S.Andrea Hospital, II Unit University of Rome, Rome, Italy
| | - Gabriella De Marco
- UOC Dermatology, NESMOS Department, S.Andrea Hospital, II Unit University of Rome, Rome, Italy
| | - Andrea D'Arino
- UOC Dermatology, NESMOS Department, S.Andrea Hospital, II Unit University of Rome, Rome, Italy
| | - Flavia Pigliacelli
- UOC Dermatology, NESMOS Department, S.Andrea Hospital, II Unit University of Rome, Rome, Italy
| | - Alessandra Daniele
- UOC Dermatology, NESMOS Department, S.Andrea Hospital, II Unit University of Rome, Rome, Italy
| | - Ipin Borgert
- UOC Dermatology, NESMOS Department, S.Andrea Hospital, II Unit University of Rome, Rome, Italy
| | - Francesca R Parisella
- UOC Dermatology, NESMOS Department, S.Andrea Hospital, II Unit University of Rome, Rome, Italy
| | - Severino Persechino
- UOC Dermatology, NESMOS Department, S.Andrea Hospital, II Unit University of Rome, Rome, Italy
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22
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Tammaro A, Romano I, De Marco G, Parisella F, Pigliacelli F, D'Arino A, Persechino F, Gaspari A, Persechino S. Effects of TIO NICKEL in patients with ACD and SNAS: experience on 700 patients in Italy. J Eur Acad Dermatol Venereol 2016; 31:e189-e191. [DOI: 10.1111/jdv.13916] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- A. Tammaro
- Dermatology Unit; NESMOS Department; Sant'Andrea Hospital; Faculty of Medicine and Psychology; University of Rome “Sapienza”; Rome Italy
| | - I. Romano
- Dermatology Unit; NESMOS Department; Sant'Andrea Hospital; Faculty of Medicine and Psychology; University of Rome “Sapienza”; Rome Italy
| | - G. De Marco
- Dermatology Unit; NESMOS Department; Sant'Andrea Hospital; Faculty of Medicine and Psychology; University of Rome “Sapienza”; Rome Italy
| | - F.R. Parisella
- Faculty of Medicine; Towson University; Towson City MD USA
| | - F. Pigliacelli
- Dermatology Unit; NESMOS Department; Sant'Andrea Hospital; Faculty of Medicine and Psychology; University of Rome “Sapienza”; Rome Italy
| | - A. D'Arino
- Dermatology Unit; NESMOS Department; Sant'Andrea Hospital; Faculty of Medicine and Psychology; University of Rome “Sapienza”; Rome Italy
| | - F. Persechino
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - A.A. Gaspari
- Faculty of Medicine; Towson University; Towson City MD USA
| | - S. Persechino
- Dermatology Unit; NESMOS Department; Sant'Andrea Hospital; Faculty of Medicine and Psychology; University of Rome “Sapienza”; Rome Italy
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23
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Cinotti G, Sessa P, D'Arino A, Ripani FR, Giannicola G. Improving tibial component alignment in total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 2015; 23:3563-70. [PMID: 25218573 DOI: 10.1007/s00167-014-3236-6] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/05/2013] [Accepted: 08/11/2014] [Indexed: 11/25/2022]
Abstract
PURPOSE Tibia torsion may influence the accuracy of extramedullary instrumentations in total knee arthroplasty (TKA). This study assessed whether the effect of tibial torsion may be overcome using a surgical technique in which the extramedullary rod is aligned to reference points at the proximal tibia only. METHODS A consecutive series of 94 knees that underwent TKA were analyzed. In the first 47 knees (group 1), a standard procedure for tibial component alignment was performed while in the second group of 47 knees, a modified surgical technique was used including the alignment of the extramedullary rod to the reference points at the proximal tibia only (group 2). Lower limb, femoral, and tibial component alignment were measured on postoperative long-leg radiographs. RESULTS Femorotibial mechanical axes angles were similar in the two groups. Femoral component alignment also did not differ between the groups. A neutral alignment of the tibial component was achieved in 17 and 34 % of the knees in group 1 and group 2, respectively (p = 0.04). A malalignment of the tibial component >3° was found in 34 % of knees in group 1 compared with 4 % of those in group 2 (p = 0.0001). CONCLUSIONS Coronal alignment of the tibial component may improve by setting the extramedullary rod in line with anatomical references in the proximal tibia only. This technique appears to bypass the influence of tibial torsion on the alignment of the extramedullary guide at the distal tibia. The clinical relevance of the study is that using this technique, the rate of malalignment of the tibial component may be reduced compared to a standard technique in which a fixed reference is used at the ankle joint.
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Affiliation(s)
- G Cinotti
- Department of Anatomical, Histological, Forensic Medicine and Orthopaedics Sciences, University "La Sapienza", Rome, Italy.
| | - P Sessa
- Department of Anatomical, Histological, Forensic Medicine and Orthopaedics Sciences, University "La Sapienza", Rome, Italy
| | - A D'Arino
- Department of Anatomical, Histological, Forensic Medicine and Orthopaedics Sciences, University "La Sapienza", Rome, Italy
| | - F R Ripani
- Department of Anatomical, Histological, Forensic Medicine and Orthopaedics Sciences, University "La Sapienza", Rome, Italy
| | - G Giannicola
- Department of Anatomical, Histological, Forensic Medicine and Orthopaedics Sciences, University "La Sapienza", Rome, Italy
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