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Palazzi C, D'Amico E, Cacciatore P, Pennese E, Petricca A, Olivieri I. Juvenile onset psoriatic arthritis in a patient with X‐linked agammaglobulinemia (Bruton's disease). Scand J Rheumatol 2009; 32:309-11. [PMID: 14690146 DOI: 10.1080/03009740310003965] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
We describe a 47-year-old male patient suffering from X-linked (or Bruton's) agammaglobulinemia with severe psoriatic arthritis (PsA), which started in childhood. PsA has been previously described in T-cell defective disorders, such as HIV infection, but our observation demonstrates that this rheumatic disease can also occur in subjects with B-lymphocyte cell functional impairment. Chronic inflammatory (bacterial?) involvement of the bowel could represent a pathogenetic connection between X-linked agammaglobulinemia and PsA.
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Affiliation(s)
- C Palazzi
- Division of Rheumatology, Villa Pini Clinic, Chieti, Italy.
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Palazzi C, D'Agostino L, D'Angelo S, Petricca A, Olivieri I. Acute myositis in a patient with systemic sclerosis after the administration of darbepoetin alpha. Rheumatol Int 2008; 28:293-4. [PMID: 17674001 DOI: 10.1007/s00296-007-0430-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2007] [Accepted: 07/11/2007] [Indexed: 11/28/2022]
Abstract
We first describe the onset of acute myositis in a patient suffering from systemic sclerosis after the administration of darbepoetin alpha for renal failure-related anemia. Therapeutic implications and risks are discussed.
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Affiliation(s)
- C Palazzi
- Division of Rheumatology, Villa Pini Clinic, Chieti, Italy.
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Palazzi C, D'Amico E, D'Angelo S, Nucera A, Petricca A, Olivieri I. Hepatitis C virus infection in Italian patients with fibromyalgia. Clin Rheumatol 2007; 27:101-3. [PMID: 17943229 DOI: 10.1007/s10067-007-0737-4] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2007] [Accepted: 08/29/2007] [Indexed: 10/22/2022]
Abstract
We evaluated the prevalence of hepatitis C virus (HCV) infection in Italian patients suffering from fibromyalgia (FM), in comparison with patients affected by non-HCV related rheumatic degenerative disorders. Consecutive patients with FM and a statistically comparable group of patients suffering from peripheral osteoarthritis (OA) or sciatica due to L4-L5 or L5-S1 herniated disc were tested for HCV infection with a third-generation microparticle enzyme immunoassay (MEIA). In the positive cases, a third-generation recombinant immunoblot assay (RIBA) confirmatory test and serum HCV-RNA test were performed. Fisher's exact test was performed to compare the prevalence of HCV infection (MEIA- and RIBA-positive results) obtained in the two enrolled groups. Enrolled were 152 subjects suffering from FM and 152 patients with peripheral OA or sciatica. Anti-HCV antibodies were found in 7/152 (4.6%) patients suffering from FM and in 5/152 (3.3%) of control subjects. No statistically significant differences in HCV prevalence were detected between cases and controls. Our present report does not confirm previous data indicating an increased prevalence of HCV in FM patients and does not seem to support a significant pathogenetic role of HCV under this condition.
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Affiliation(s)
- C Palazzi
- Division of Rheumatology, Villa Pini Clinic, Chieti, Italy
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Palazzi C, D'Amico E, Pennese E, Petricca A, Olivieri I. Purpura and serum mixed cryoglobulinemia in psoriatic arthritis. Rheumatol Int 2006; 27:187-9. [PMID: 16900374 DOI: 10.1007/s00296-006-0172-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2006] [Accepted: 07/07/2006] [Indexed: 11/30/2022]
Abstract
We here firstly describe the case of a psoriatic arthritis associated with cutaneous purpura and lower limbs weakness. The presence of type III mixed cryoglobulinemia in serum was the only possible detected cause. Discrepancies with the hepatitis C virus-related mixed cryoglobulinemia picture are discussed.
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Affiliation(s)
- Carlo Palazzi
- Division of Rheumatology, Villa Pini Clinic, Chieti, Italy.
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Chianella C, Palombari R, Petricca A. Electrochemical hydrogen doping of zinc oxide: A study of the oxide–proton conductor interface. Electrochim Acta 2006. [DOI: 10.1016/j.electacta.2006.05.015] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Palazzi C, D'Amico E, Cacciatore P, Pennese E, Petricca A. Severe hypertriglyceridaemia in idiopathic (non-HCV-related) mixed cryoglobulinaemia. Scand J Rheumatol 2005; 34:155-7. [PMID: 16095015 DOI: 10.1080/03009740510026364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
We describe a 28-year-old male patient in whom the development of idiopathic mixed cryoglobulinaemia (MC) with typical clinical manifestations such as polyarthralgia, weakness, purpura, and Raynaud's phenomenon was associated with a remarkable increase in serum triglycerides (TG). Prednisone administration was effective in classical cryoglobulinaemia symptoms and also in dyslipidaemia. Infective, autoimmune, and haematological disorders are often related to cryoglobulinaemia and it has been analysed that some of them also show an increase in TG.
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Affiliation(s)
- C Palazzi
- Division of Rheumatology, "Villa Pini" Clinic, Chieti, Italy.
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Palazzi C, Olivieri I, D'Amico E, D'Agostino L, Nicolucci A, Pennese E, Petricca A. Hepatitis C virus infection in psoriatic arthritis. ACTA ACUST UNITED AC 2005; 53:223-5. [PMID: 15818717 DOI: 10.1002/art.21079] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
OBJECTIVE To evaluate the prevalence of hepatitis C virus (HCV) infection in patients with psoriatic arthritis (PsA), compared with patients affected by non HCV-related rheumatic degenerative disorders. METHODS One-hundred consecutive subjects with PsA, and a statistically comparable group of 100 consecutive patients with peripheral osteoarthritis (OA) or sciatica due to L4-L5 or L5-S1 herniated disc were tested for HCV infection with a third-generation microparticle enzyme immunoassay (MEIA). Positive cases were submitted to a third-generation recombinant immunoblot assay (RIBA) confirmatory test. Comparison between the HCV prevalence obtained in the 2 enrolled groups was performed using Fisher's exact test. RESULTS Anti-HCV antibodies were found with the MEIA method, in 1 patient with PsA, and in 4 patients with OA or sciatica. The RIBA method confirmed MEIA results in all positive patients. The difference in HCV prevalence detected in the PsA group and in the control group was not statistically significant (P = 0.68). Furthermore, HCV prevalence in PsA patients was lower than the ones reported in different geographic areas of Italy. CONCLUSION Our present report does not confirm previous data that indicated an increased prevalence of HCV in PsA patients, and as a consequence, does not sustain a possible trigger role of HCV in cases of PsA. The absence of clinical or instrumental resources that consent a definite differential diagnosis between PsA and HCV-related arthritis was outlined and analyzed.
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Abstract
Reactive arthritis (ReA) is an aseptic form of articular inflammation induced by infections mainly localised in the gastrointestinal (enteroarthritis) or urogenital (uroarthritis) tracts. The bacteria principally involved as causative agents are Chlamydia, Salmonella, Shigella, Campylobacter and Yersinia. The clinical picture is usually characterised by a mono-oligoarthritis of the lower limbs. Axial involvement is possible and extra-articular manifestations such as enthesitis, tenosynovitis, bursitis and dactylitis are frequent. NSAIDs and sulfasalazine are still the drugs most commonly used in the treatment of ReA. Steroids are administered when inflammatory symptoms are resistant to NSAIDs. Experiences with other DMARDs (disease modifying antirheumatic drugs) such as azathioprine, methotrexate and cyclosporin, have been sporadically reported and they can be employed in patients that are unresponsive to the more usual medicaments. The intake of antibacterials (tetracyclines) may be useful in uroarthritis but have not been so successful in enteroarthrits. In more aggressive cases, or when ReA evolves towards ankylosing spondylitis, TNF-alpha blockers could represent an effective choice.
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Affiliation(s)
- Carlo Palazzi
- Unità Operativa Reumatologia, Casa di Cura, Villa Pini d'Abruzzo, Via Dei Frentani, 228, Chieti, Italy.
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Palazzi C, Olivieri I, D'Amico E, Pace-Palitti V, Petricca A. Symmetrical pitting edema resembling RS3PE in gout. Clin Rheumatol 2003; 22:506-7. [PMID: 14677047 DOI: 10.1007/s10067-003-0810-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2003] [Accepted: 08/22/2003] [Indexed: 10/26/2022]
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Palazzi C, D'Amico E, Pennese E, Petricca A. Normalization of methotrexate-induced high levels of serum transaminases after ursodeoxycholic acid administration in a rheumatoid arthritis patient. Rheumatology (Oxford) 2003; 42:1266-7. [PMID: 14508047 DOI: 10.1093/rheumatology/keg320] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Palazzi C, Olivieri I, De Santis D, Pennese E, Petricca A. False dactylitis of the thumb. Clin Rheumatol 2003; 22:363-4. [PMID: 14577000 DOI: 10.1007/s10067-003-0722-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2003] [Accepted: 03/07/2003] [Indexed: 11/27/2022]
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Palazzi C, D'Agostino L, D'Amico E, Pennese E, Petricca A. Asymptomatic erosive peripheral psoriatic arthritis: a frequent finding in Italian patients. Rheumatology (Oxford) 2003; 42:909-11. [PMID: 12826714 DOI: 10.1093/rheumatology/keg222] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Abstract
We describe the cases of two patients with clinical and radiological findings of the reflex sympathetic dystrophy syndrome (RSDS) in whom the history of a previous genito-urinary inflammation and high levels of ESR lead us to suspect a hidden reactive arthritis. However, instrumental examinations showed a characteristic picture of RSDS without evident signs of arthritis. In both patients we decided a treatment with quinolones because of detection of an ureaplasma urealyticum genito-urinary infection. This brought to complete remission of the joint symptoms in a few days. Our findings suggest that ureaplasma urealyticum can cause and sustain a RSDS picture, maybe with a reactive arthritis-like mechanism, and that an antibiogram-driven antimicrobial treatment can be rapidly effective against this disorder.
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Affiliation(s)
- C Palazzi
- Division of Rheumatology, Villa Pini Clinic, Chieti, Italy.
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Palazzi C, Olivieri I, Salvarani C, D'Amico E, Alleva G, Vitullo P, Petricca A. [Reactive arthritis: advances in diagnosis and treatment]. Reumatismo 2002; 54:105-12. [PMID: 12105678 DOI: 10.4081/reumatismo.2002.105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Reactive Arthritis (ReA) is an aseptic synovitis developing after a primary infection distant from the joint, mainly localized in the gastrointestinal (Enteroarthritis) or genitourinary tract (Uroarthritis). Because of either the asymmetric joint involvement, the possibility of involvement of the spine and enthesis, and the HLA-B27 association ReA is considered one of the spondylarthropathies. Recently, bacterial components or viable bacteria were found in joints during ReA. For this reason, the limits between ReA itself and infectious arthritis are now less definite. Generally accepted diagnostic and classification criteria are still lacking but the improvement in techniques for detection of bacteria increase the possibility to identify the triggering agents. Several studies have examined the role of antimicrobial drugs in ameliorating the natural course of ReA, with some positive results for Uroarthritis only. However, more conventional treatments based on NSAIDs, sulfasalazine and steroids are effective in many cases.
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Affiliation(s)
- C Palazzi
- Divisione di Reumatologia, Casa di Cura Polispecialistica Villa Pini, Chieti, Italia.
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Palazzi C, Olivieri I, Petricca A, Salvarani C. Rheumatoid arthritis or psoriatic symmetric polyarthritis? A difficult differential diagnosis. Clin Exp Rheumatol 2002; 20:3-4. [PMID: 11892705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/24/2023]
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De Santis D, Palazzi C, D'Amico E, Di Mascio DE, Pace-Palitti V, Petricca A. Acromioclavicular cyst and 'porcupine shoulder' in gout. Rheumatology (Oxford) 2001; 40:1320-1. [PMID: 11709623 DOI: 10.1093/rheumatology/40.11.1320] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Palazzi C, D'Amico E, De Santis D, Pace-Palitti V, Petricca A. Superficial calcinosis related to bleeding in a patient with undifferentiated connective tissue disease and primary biliary cirrhosis. Rheumatology (Oxford) 2001; 40:947-8. [PMID: 11511771 DOI: 10.1093/rheumatology/40.8.947] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Palazzi C, D'Amico E, De Santis D, Petricca A. Jaccoud's arthropathy of the hands as a complication of pyrophosphate arthropathy. Rheumatology (Oxford) 2001; 40:354-5. [PMID: 11285396 DOI: 10.1093/rheumatology/40.3.354] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Palazzi C, D'Amico E, D'Agostino L, Alleva G, Neva MG, Pace-Palitti V, Petricca A. Antibiogram-driven anti-microbial treatment for Ureaplasma urealyticum genitourinary infection can be effective against chronic monoarthritis. Clin Exp Rheumatol 2001; 19:230-1. [PMID: 11326497] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/19/2023]
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Palazzi C, D'Amico E, D'Agostino L, Alleva G, Neva MG, Petricca A. Erosive psoriatic polyarthritis: a report of 2 asymptomatic cases. Clin Exp Rheumatol 2000; 18:538. [PMID: 10949740] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
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