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von Kobyletzki LB, Ulriksdotter J, Sukakul T, Aerts O, Agner T, Buhl T, Bruze M, Foti C, Gimenez-Arnau A, Gonçalo M, Hamnerius N, Johansen JD, Rustemeyer T, Stingeni L, Wilkinson M, Svedman C. Prevalence of dermatitis including allergic contact dermatitis from medical devices used by children and adults with Type 1 diabetes mellitus: A systematic review and questionnaire study. J Eur Acad Dermatol Venereol 2024. [PMID: 38400603 DOI: 10.1111/jdv.19908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2023] [Accepted: 01/23/2024] [Indexed: 02/25/2024]
Abstract
Use of medical devices (MDs), that is, glucose sensors and insulin pumps, in patients with Type 1 diabetes mellitus (T1D) has proven an enormous advantage for disease control. Adverse skin reactions from these MDs may however hamper compliance. The objective of this study was to systematically review and analyse studies assessing the prevalence and incidence of dermatitis, including allergic contact dermatitis (ACD) related to MDs used in patients with T1D and to compare referral routes and the clinical investigation routines between clinics being part of the European Environmental and Contact Dermatitis Research Group (EECDRG). A systematic search of PubMed, EMBASE, CINAHL and Cochrane databases of full-text studies reporting incidence and prevalence of dermatitis in persons with T1D using MDs was conducted until December 2021. The Newcastle-Ottawa Scale was used to assess study quality. The inventory performed at EECRDG clinics focused on referral routes, patient numbers and the diagnostic process. Among the 3145 screened abstracts, 39 studies fulfilled the inclusion criteria. Sixteen studies included data on children only, 14 studies were on adults and nine studies reported data on both children and adults. Participants were exposed to a broad range of devices. Skin reactions were rarely specified. It was found that both the diagnostic process and referral routes differ in different centres. Further data on the prevalence of skin reactions related to MDs in individuals with T1D is needed and particularly studies where the skin reactions are correctly diagnosed. A correct diagnosis is delayed or hampered by the fact that, at present, the actual substances within the MDs are not declared, are changed without notice and the commercially available test materials are not adequately updated. Within Europe, routines for referral should be made more standardized to improve the diagnostic procedure when investigating patients with possible ACD from MDs.
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Affiliation(s)
- L B von Kobyletzki
- Department of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, Sweden
- School of Medical Sciences, Örebro University, Örebro, Sweden
| | - J Ulriksdotter
- Department of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, Sweden
| | - T Sukakul
- Department of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, Sweden
| | - O Aerts
- Contact Allergy Unit, Department of Dermatology, University Hospital Antwerp (UZA) and Research Group Immunology, University of Antwerp, Antwerp, Belgium
| | - T Agner
- Department of Dermatology, Bispebjerg University Hospital, Copenhagen, Denmark
| | - T Buhl
- Department of Dermatology, Venereology and Allergology, University Medical Center Göttingen, Göttingen, Germany
| | - M Bruze
- Department of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, Sweden
| | - C Foti
- Section of Dermatology, DIMEPREJ Department, University "Aldo Moro", Bari, Italy
| | - A Gimenez-Arnau
- Department of Dermatology, Hospital del Mar and Research Institute de Barcelona, Universitat Pompeu Fabra, Barcelona, Spain
| | - M Gonçalo
- Clinic of Dermatology, Coimbra University Hospital and Faculty of Medicine, University of Coimbra, Coimbra, Portugal
| | - N Hamnerius
- Department of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, Sweden
| | - J D Johansen
- Department of Dermatology, Herlev and Gentofte Hospital, Copenhagen, Denmark
| | - T Rustemeyer
- Dermato-Allergology and Occupational Dermatology, Amsterdam University Medical Centers, Amsterdam, The Netherlands
| | - L Stingeni
- Dermatology Section, Department of Medicine and Surgery, University of Perugia, Perugia, Italy
| | - M Wilkinson
- Leeds Teaching Hospitals, NHS Trust, Leeds, UK
| | - C Svedman
- Department of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, Sweden
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2
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Gargiulo L, Ibba L, Piscazzi F, Amoruso F, Balato A, Barei F, Bertello M, Burroni AG, Caccavale S, Ferrucci SM, Foti C, Gaiani FM, Girolomoni G, Malagoli P, Marzano AV, Maurelli M, Napolitano M, Nettis E, Ortoncelli M, Patruno C, Pezzolo E, Ribero S, Romita P, Rossi MT, Zaza I, Costanzo A, Narcisi A. Upadacitinib improves symptoms of concomitant allergic rhinitis or allergic asthma in patients with severe atopic dermatitis: A 16-week multicentre retrospective study. J Eur Acad Dermatol Venereol 2024. [PMID: 38329235 DOI: 10.1111/jdv.19862] [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] [Received: 10/10/2023] [Accepted: 01/24/2024] [Indexed: 02/09/2024]
Affiliation(s)
- L Gargiulo
- Dermatology Unit, IRCCS Humanitas Research Hospital, Milan, Italy
- Department of Biomedical Sciences, Humanitas University, Milan, Italy
| | - L Ibba
- Dermatology Unit, IRCCS Humanitas Research Hospital, Milan, Italy
- Department of Biomedical Sciences, Humanitas University, Milan, Italy
| | - F Piscazzi
- Dermatology Unit, IRCCS Humanitas Research Hospital, Milan, Italy
- Department of Biomedical Sciences, Humanitas University, Milan, Italy
| | - F Amoruso
- Dermatology Unit, Azienda Ospedaliera di Cosenza, Cosenza, Italy
| | - A Balato
- Dermatology Unit, University of Campania L, Naples, Italy
| | - F Barei
- Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - M Bertello
- Department of Biomedical Science and Human Oncology, Second Dermatologic Clinic, University of Turin, Turin, Italy
| | - A G Burroni
- Section of Dermatology, Department of Health Sciences (Di.S.Sal), IRCCS - San Martino Polyclinic Hospital, University of Genoa, Genoa, Italy
| | - S Caccavale
- Dermatology Unit, University of Campania L, Naples, Italy
| | - S M Ferrucci
- Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - C Foti
- Section of Dermatology and Venereology, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari "Aldo Moro", Bari, Italy
| | - F M Gaiani
- Department of Dermatology, Dermatology Unit Azienda Ospedaliera San Donato Milanese, Milan, Italy
| | - G Girolomoni
- Section of Dermatology and Venereology, Department of Medicine, University of Verona, Verona, Italy
| | - P Malagoli
- Department of Dermatology, Dermatology Unit Azienda Ospedaliera San Donato Milanese, Milan, Italy
| | - A V Marzano
- Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - M Maurelli
- Section of Dermatology and Venereology, Department of Medicine, University of Verona, Verona, Italy
| | - M Napolitano
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - E Nettis
- Department of Emergency and Organ Transplantation, School of Allergology and Clinical Immunology, University of Bari Aldo Moro, Bari, Italy
| | - M Ortoncelli
- Department of Biomedical Science and Human Oncology, Second Dermatologic Clinic, University of Turin, Turin, Italy
| | - C Patruno
- Section of Dermatology, Health Sciences Department, Magna Graecia University, Catanzaro, Italy
| | - E Pezzolo
- Department of Dermatology, San Bortolo Hospital, Vicenza, Italy
- A Study Centre of the Italian Group for the Epidemiologic Research in Dermatology (GISED), Bergamo, Italy
| | - S Ribero
- Department of Biomedical Science and Human Oncology, Second Dermatologic Clinic, University of Turin, Turin, Italy
| | - P Romita
- Section of Dermatology and Venereology, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari "Aldo Moro", Bari, Italy
| | - M T Rossi
- Dermatology Department, University of Brescia, Brescia, Italy
| | - I Zaza
- Department of Emergency and Organ Transplantation, School of Allergology and Clinical Immunology, University of Bari Aldo Moro, Bari, Italy
| | - A Costanzo
- Dermatology Unit, IRCCS Humanitas Research Hospital, Milan, Italy
- Department of Biomedical Sciences, Humanitas University, Milan, Italy
| | - A Narcisi
- Dermatology Unit, IRCCS Humanitas Research Hospital, Milan, Italy
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3
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Marani A, Bianchelli T, Gesuita R, Faragalli A, Foti C, Malara G, Micali G, Amerio P, Rongioletti F, Corazza M, Patrizi A, Peris K, Pimpinelli N, Parodi A, Fargnoli MC, Cannavo SP, Pigatto P, Pellacani G, Ferrucci SM, Argenziano G, Cusano F, Stingeni L, Potenza MC, Romanelli M, Bianchi L, Offidani A, Campanati A. Gender differences in adult atopic dermatitis and clinical implication: Results from a nationwide multicentre study. J Eur Acad Dermatol Venereol 2024; 38:375-383. [PMID: 37857489 DOI: 10.1111/jdv.19580] [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: 07/23/2023] [Accepted: 10/06/2023] [Indexed: 10/21/2023]
Abstract
BACKGROUND Atopic dermatitis (AD) is a common inflammatory skin disease that affects both children and adults. However, limited research has been conducted on gender differences in AD. OBJECTIVES This study aimed to assess gender differences in adult AD patients, focusing on demographic and clinical features, comorbidities and treatment approaches. METHODS In this multicentre, observational, cross-sectional study, we enrolled 686 adult patients with AD (357 males and 329 females). For each patient, we collected demographic data (age and sex), anthropometric measurements (weight, height, hip circumference, waist circumference and waist-to-hip ratio), clinical information (onset age, disease duration, severity, itching intensity, impact on quality of life) and noted comorbidities (metabolic, atopic and other). We recorded past and current topical and systemic treatments. We analysed all collected data using statistical techniques appropriate for both quantitative and qualitative variables. Multiple correspondence analysis (MCA) was employed to evaluate the relationships among all clinical characteristics of the patients. RESULTS We found no differences in age at onset, disease duration, severity and quality of life impact between males and females. Males exhibited higher rates of hypertriglyceridaemia and hypertension. No significant gender differences were observed in atopic or other comorbidities. Treatment approaches were overlapping, except for greater methotrexate use in males. MCA revealed distinct patterns based on gender, disease severity, age of onset, treatment and quality of life. Adult males with AD had severe disease, extensive treatments and poorer quality of life, while adult females had milder disease, fewer treatments and moderate quality of life impact. CONCLUSIONS Our study reveals that gender differences in adult AD patients are largely due to inherent population variations rather than disease-related disparities. However, it highlights potential undertreatment of females with moderate AD and quality of life impact, emphasizing the need for equitable AD treatment. JAK inhibitors may offer a solution for gender-based therapeutic parity.
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Affiliation(s)
- A Marani
- Dermatology Unit, Department of Clinical and Molecular Sciences, Polytechnic Marche University, Ancona, Italy
| | - T Bianchelli
- Dermatology Unit, Istituto Nazionale, INRCA-IRCCS Hospital, Ancona, Italy
| | - R Gesuita
- Centre of Epidemiology and Biostatistics, Polytechnic Marche University, Ancona, Italy
| | - A Faragalli
- Centre of Epidemiology and Biostatistics, Polytechnic Marche University, Ancona, Italy
| | - C Foti
- Department of Biomedical Science and Human Oncology, Dermatological Clinic, University of Bari, Bari, Italy
| | - G Malara
- Department of Dermatology Grande, Ospedale Metropolitano "Bianchi Melacrino Morelli", Reggio Calabria, Italy
| | - G Micali
- Dermatology Clinic, University of Catania, PO G. Rodolico, AOU Policlinico-Vittorio Emanuele, Catania, Italy
| | - P Amerio
- Dermatology Unit, Department of Medicine and Aging Science, University G.D'Annunzio Chieti, Chieti, Italy
| | - F Rongioletti
- Università Vita-Salute San Raffaele, IRCCS Ospedale San Raffaele, Milan, Italy
| | - M Corazza
- Dermatology Unit, Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - A Patrizi
- Division of Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - K Peris
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Dermatologia, Rome, Italy
- Sezione di Dermatologia, Dipartimento di Scienze Mediche e Chirurgiche, Università Cattolica del Sacro Cuore, Rome, Italy
- Oncologia Medica, Università Cattolica del Sacro Cuore, Rome, Italy
| | - N Pimpinelli
- Department Health Science Section of Dermatology, University of Florence, Florence, Italy
| | - A Parodi
- Dermatology Clinic, Ospedale Policlinico San Martino, Genoa, Italy
| | - M C Fargnoli
- Dermatology, Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy
| | - S P Cannavo
- Dermatology Unit, University Hospital Policlinico "G. Martino", Messina, Italy
| | - P Pigatto
- Clinical Dermatology, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
| | - G Pellacani
- Dermatology Clinic, Department of Clinical Internal, Anesthesiological and Cardiovascular Sciences, Sapienza University of Rome, Rome, Italy
| | - S M Ferrucci
- Department of Physiopathology and Transplantation, Università Degli Studi Di Milano, Milan, Italy
- Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - G Argenziano
- Dermatology Unit, University of Campania, Naples, Italy
| | - F Cusano
- Unit of Dermatology, G. Rummo Hospital, Benevento, Italy
| | - L Stingeni
- Dermatology Section, Department of Medicine, University of Perugia, Perugia, Italy
| | - M C Potenza
- Dermatology Unit, Department of Medico-Surgical Sciences and Biotechnologies, Faculty of Pharmacy and Medicine, Sapienza University of Rome - Polo Pontino, Rome, Italy
| | - M Romanelli
- Dermatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy
| | - L Bianchi
- Dermatology Unit, Policlinico Tor Vergata Rome, University of Rome Tor Vergata, Rome, Italy
| | - A Offidani
- Dermatology Unit, Department of Clinical and Molecular Sciences, Polytechnic Marche University, Ancona, Italy
| | - A Campanati
- Dermatology Unit, Department of Clinical and Molecular Sciences, Polytechnic Marche University, Ancona, Italy
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4
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Novielli D, Foti C, Principi M, Mortato E, Romita P, Dell'Aquila P, Di Leo A, Ambrogio F. Upadacitinib in concurrent Crohn's disease, atopic dermatitis and alopecia areata: A case report. J Eur Acad Dermatol Venereol 2024; 38:e8-e10. [PMID: 37478286 DOI: 10.1111/jdv.19377] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2023] [Accepted: 07/19/2023] [Indexed: 07/23/2023]
Affiliation(s)
- D Novielli
- Section of Gastroenterology, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari "Aldo Moro", Bari, Italy
| | - C Foti
- Section of Dermatology and Venereology, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari "Aldo Moro", Bari, Italy
| | - M Principi
- Section of Gastroenterology, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari "Aldo Moro", Bari, Italy
| | - E Mortato
- Section of Dermatology and Venereology, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari "Aldo Moro", Bari, Italy
| | - P Romita
- Section of Dermatology and Venereology, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari "Aldo Moro", Bari, Italy
| | - P Dell'Aquila
- Section of Gastroenterology, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari "Aldo Moro", Bari, Italy
| | - A Di Leo
- Section of Gastroenterology, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari "Aldo Moro", Bari, Italy
| | - F Ambrogio
- Section of Dermatology and Venereology, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari "Aldo Moro", Bari, Italy
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5
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Stingeni L, Bianchi L, Antonelli E, Caroppo ES, Ferrucci SM, Ortoncelli M, Fabbrocini G, Nettis E, Schena D, Napolitano M, Gola M, Bonzano L, Rossi M, Belloni Fortina A, Balato A, Peris K, Foti C, Guarneri F, Romanelli M, Patruno C, Savoia P, Fargnoli MC, Russo F, Errichetti E, Bianchelli T, Bianchi L, Pellacani G, Feliciani C, Offidani A, Corazza M, Micali G, Milanesi N, Malara G, Chiricozzi A, Tramontana M, Hansel K, Bini V, Buligan C, Caroppo F, Bello GD, Dastoli S, De Brizi EV, Del Giudice MBDF, Diluvio L, Esposito M, Gelmetti A, Giacchetti A, Grieco T, Iannone M, Macchia L, Marietti R, Musumeci ML, Peccerillo F, Pluchino F, Radi G, Ribero S, Romita P, Tavecchio S, Tronconi G, Veronese F. Moderate to severe atopic dermatitis in adolescents treated with dupilumab: a multicenter Italian real-world experience. J Eur Acad Dermatol Venereol 2022; 36:1292-1299. [PMID: 35412683 PMCID: PMC9542087 DOI: 10.1111/jdv.18141] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2021] [Revised: 02/12/2022] [Accepted: 03/23/2022] [Indexed: 11/26/2022]
Abstract
Background Moderate‐to‐severe atopic dermatitis (AD) in the adolescence is a high burden disease, and its treatment can be very challenging due to paucity of approved systemic drugs for this age and their side‐effects. Dupilumab was recently approved for treatment of adolescent AD. Objectives A multicentre, prospective, real‐world study on the effectiveness and safety of dupilumab in adolescents (aged from ≥12 to <18 years) with moderate‐to‐severe AD was conducted. The main AD clinical phenotypes were also examined. Methods Data of adolescents with moderate‐to‐severe AD treated with dupilumab at label dosage for 16 weeks were collected. Treatment outcome was assessed by EASI, NRS itch, NRS sleep loss and CDLQI scores at baseline and after 16 weeks of treatment. The clinical scores were also evaluated according to clinical phenotypes. Results One hundred and thirty‐nine adolescents were enrolled in the study. Flexural eczema and head and neck eczema were the most frequent clinical phenotypes, followed by hand eczema and portrait‐like dermatitis. Coexistence of more than 1 phenotype was documented in 126/139 (88.5%) adolescents. Three patients (2.1%) contracted asymptomatic SARS‐CoV‐2 infection and 1 of the discontinued dupilumab treatment before the target treatment period. A significant improvement in EASI, NRS itch, NRS sleep loss and CDLQI was observed after 16 weeks of treatment with dupilumab. This outcome was better than that observed in clinical trials. Dupilumab resulted effective in all AD phenotypes, especially in diffuse eczema. Twenty‐eight (20.1%) patients reported adverse events, conjunctivitis and flushing being the most frequent. None of patients discontinued dupilumab due to adverse event. Conclusions Dupilumab in adolescent AD showed excellent effectiveness at week 16 with consistent improvement of all clinical scores. Moreover, dupilumab showed a good safety profile also in this COVID‐19 pandemic era.
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Affiliation(s)
- L Stingeni
- Dermatology Section, Department of Medicine and Surgery, University of Perugia, Perugia, Italy
| | - L Bianchi
- Dermatology Section, Department of Medicine and Surgery, University of Perugia, Perugia, Italy
| | - E Antonelli
- Dermatology Section, Department of Medicine and Surgery, University of Perugia, Perugia, Italy
| | - E S Caroppo
- Dermatology Section, Department of Medicine and Surgery, University of Perugia, Perugia, Italy
| | - S M Ferrucci
- Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - M Ortoncelli
- Division of Dermatology, Department of Medical Sciences, University of Turin, Turin, Italy
| | - G Fabbrocini
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - E Nettis
- Department of Emergency and Organ Transplantation, Allergology and Clinical Immunology, University of Bari, Bari, Italy
| | - D Schena
- Section of Dermatology and Venereology, Department of Medicine, University of Verona, Verona, Italy
| | - M Napolitano
- Department of Medicine and Health Sciences Vincenzo Tiberio, University of Molise, Campobasso, Italy
| | - M Gola
- Unit of Allergological and Pediatric Dermatology, Department of Health Sciences, University of Florence, Florence, Italy
| | - L Bonzano
- Dermatology Unit, Arcispedale Santa Maria Nuova, Azienda USL-IRCCS Reggio Emilia, Reggio Emilia, Italy
| | - M Rossi
- Department of Dermatology, ASST Spedali Civili di Brescia, University of Brescia, Brescia, Italy
| | - A Belloni Fortina
- Unit of Dermatology, Department of Medicine DIMED, University of Padua, Padua, Italy
| | - A Balato
- Unit of Dermatology, University of Campania Luigi Vanvitelli, Naples, Italy
| | - K Peris
- Institute of Dermatology, Catholic University, Rome, Italy
| | - C Foti
- Section of Dermatology, Department of Biomedical Science and Human Oncology, University of Bari, Bari, Italy
| | - F Guarneri
- Section of Dermatology, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
| | - M Romanelli
- Dermatology Unit, University of Pisa, Pisa, Italy
| | - C Patruno
- Section of Dermatology, Health Sciences Department, Magna Graecia University, Catanzaro, Italy
| | - P Savoia
- Dermatology Clinic, Department of Health Science, University of Eastern Piedmont, Novara, Italy
| | - M C Fargnoli
- Dermatology, Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy
| | - F Russo
- Section of Dermatology, Department of Clinical, Surgical Medicine and Neuroscience, University of Siena, Siena, Italy
| | - E Errichetti
- Institute of Dermatology, Department of Medicine (DAME), University of Udine, Udine, Italy
| | - T Bianchelli
- Dermatology Unit, Istituto Nazionale di Riposo e Cura per Anziani, INRCA-IRCCS Hospital, Ancona, Italy
| | - L Bianchi
- Dermatology Unit, System Medicine Department, University of Tor Vergata, Rome, Italy
| | - G Pellacani
- Department of Dermatology, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy
| | - C Feliciani
- Section of Dermatology, Department of Clinical and Experimental Medicine, University of Parma, Parma, Italy
| | - A Offidani
- Dermatology Clinic, Clinical and Molecular Science Department, Polytechnic Marche University, Ancona, Italy
| | - M Corazza
- Section of Dermatology, Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - G Micali
- Dermatology Clinic, University of Catania, Catania, Italy
| | - N Milanesi
- Allergological and Occupational Dermatology Unit, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy
| | - G Malara
- Dermatology Unit, Grande Ospedale Metropolitano, Reggio Calabria, Italy
| | - A Chiricozzi
- Institute of Dermatology, Catholic University, Rome, Italy
| | - M Tramontana
- Dermatology Section, Department of Medicine and Surgery, University of Perugia, Perugia, Italy
| | - K Hansel
- Dermatology Section, Department of Medicine and Surgery, University of Perugia, Perugia, Italy
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6
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Pichiorri F, Masciullo M, Foti C, Molinari M, Scivoletto G. Cocaine-related cervical spinal cord infarction: a case report and review of the literature. J Med Case Rep 2022; 16:59. [PMID: 35109933 PMCID: PMC8809035 DOI: 10.1186/s13256-021-03223-4] [Citation(s) in RCA: 1] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2020] [Accepted: 12/07/2021] [Indexed: 11/10/2022] Open
Abstract
Study design Case report. Objectives To report a clinical case of spinal cord infarction due to cocaine use. Setting Spinal Center, IRCCS Fondazione S. Lucia, Rome (Italy). Case presentation Two days after recreational use of cocaine, a 27-year-old Caucasic man was admitted to the emergency department for acute cervical pain, weakness in all four limbs, and urinary retention. A cervical spinal magnetic resonance imaging scan, performed after 2 days, showed a “pencil-like” lesion extending from C4 to T1 metamer, compatible with acute ischemia in the anterior spinal artery territory. Other causes of vascular disorders, as well as inflammatory and infectious disorders were ruled out. At admission in our department, the patient had an incomplete tetraplegia at level C6, an indwelling catheter, and was unable to stand and walk. After 3 months of rehabilitation, he had an AIS score D tetraplegia at level C7, was able to stand and walk using parallel bars, and indwelling catheter was replaced by intermittent catheterization. Discussion and conclusions The etiology of medullary infarction may remain unexplained in nearly 30–40% of cases. Even if rare, cocaine-induced ischemic myelopathy should be considered and ruled out in the differential diagnosis of any acute nontraumatic myelopathy, especially in young patients.
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Affiliation(s)
- F Pichiorri
- Spinal Cord Unit, IRCCS S. Lucia Foundation, Via Ardeatina 306, 00179, Rome, Italy
| | - M Masciullo
- Spinal Cord Unit, IRCCS S. Lucia Foundation, Via Ardeatina 306, 00179, Rome, Italy.,SPInal REhabilitation Lab (SPIRE), IRCCS Fondazione Santa Lucia, Rome, Italy
| | - C Foti
- Physical and Rehabilitation Medicine, University of Rome "Tor Vergata", Rome, Italy
| | - M Molinari
- Spinal Cord Unit, IRCCS S. Lucia Foundation, Via Ardeatina 306, 00179, Rome, Italy
| | - G Scivoletto
- Spinal Cord Unit, IRCCS S. Lucia Foundation, Via Ardeatina 306, 00179, Rome, Italy. .,SPInal REhabilitation Lab (SPIRE), IRCCS Fondazione Santa Lucia, Rome, Italy.
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7
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Maurice D, Giordani L, Sobze Martin S, Yagai B, Colizzi V, Foti C. The 2019 Cameroon University Games: Prevention Strategies for Musculoskeletal Injuries. Muscles Ligaments Tendons J 2021. [DOI: 10.32098/mltj.03.2021.12] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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8
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Nettis E, Ferrucci SM, Pellacani G, Di Leo E, Argenziano G, Foti C, Rongioletti F, Patruno C, Ortoncelli M, Macchia L, Tavecchio S, Bonzano L, Di Bona D, Calabrese G, Fabbrocini G. Dupilumab in atopic dermatitis: predictors of treatment outcome and time to response. J Eur Acad Dermatol Venereol 2021; 35:e896-e898. [PMID: 34310749 DOI: 10.1111/jdv.17541] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2021] [Revised: 06/14/2021] [Accepted: 07/16/2021] [Indexed: 01/09/2023]
Affiliation(s)
- E Nettis
- Allergist and Dermatologist, Department of Emergency and Organ Transplantation, School and Chair of Allergology and Clinical Immunology, University of Bari - Aldo Moro, Bari, Italy
| | - S M Ferrucci
- UOC Dermatologia, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.,Dipartimento di Fisiopatologia Medico-Chirurgica e dei Trapianti, Università degli Studi di Milano, Milan, Italy
| | - G Pellacani
- Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - E Di Leo
- Section of Allergy and Clinical Immunology, Unit of Internal Medicine, 'F. Miulli' Hospital, Acquaviva delle Fonti, Italy
| | - G Argenziano
- Dermatology Unit, University of Campania, Naples, Italy
| | - C Foti
- Department of Biomedical Science and Human Oncology, Dermatological Clinic, University of Bari, Bari, Italy
| | - F Rongioletti
- Dermatology Clinic, University Vita Salute S. Raffaele, Milan, Italy
| | - C Patruno
- Unit of Dermatology, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
| | - M Ortoncelli
- Medical Sciences Department, Dermatologic Clinic, University of Turin, Turin, Italy
| | - L Macchia
- Department of Emergency and Organ Transplantation, School and Chair of Allergology and Clinical Immunology, University of Bari - Aldo Moro, Bari, Italy
| | - S Tavecchio
- UOC Dermatologia, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.,Dipartimento di Fisiopatologia Medico-Chirurgica e dei Trapianti, Università degli Studi di Milano, Milan, Italy
| | - L Bonzano
- Dermatology Unit, Azienda USL-IRCCS Reggio Emilia, Reggio Emilia, Italy
| | - D Di Bona
- Department of Emergency and Organ Transplantation, School and Chair of Allergology and Clinical Immunology, University of Bari - Aldo Moro, Bari, Italy
| | - G Calabrese
- Dermatology Unit, University of Campania, Naples, Italy
| | - G Fabbrocini
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
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9
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Campanati A, Bianchelli T, Gesuita R, Foti C, Malara G, Micali G, Amerio P, Rongioletti F, Corazza M, Patrizi A, Peris K, Pimpinelli N, Parodi A, Fargnoli MC, Cannavo SP, Pigatto P, Pellacani G, Ferrucci SM, Argenziano G, Cusano F, Fabbrocini G, Stingeni L, Potenza MC, Romanelli M, Bianchi L, Offidani A. Correction to: Comorbidities and treatment patterns in adult patients with atopic dermatitis: results from a nationwide multicenter study. Arch Dermatol Res 2021; 314:605-607. [PMID: 34235586 DOI: 10.1007/s00403-021-02266-3] [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: 11/28/2022]
Affiliation(s)
- A Campanati
- Department of Clinical and Molecular Sciences, Dermatology Unit, Polytechnic Marche University, Ancona, Italy
| | - T Bianchelli
- Department of Clinical and Molecular Sciences, Dermatology Unit, Polytechnic Marche University, Ancona, Italy
| | - R Gesuita
- Centre of Epidemiology and Biostatistics, Polytechnic Marche University, Ancona, Italy
| | - C Foti
- Department of Biomedical Science and Human Oncology, Dermatological Clinic, University of Bari, Bari, Italy
| | - G Malara
- Department of Dermatology Grande, Ospedale Metropolitano "Bianchi Melacrino Morelli", Reggio Calabria, Italy
| | - G Micali
- Dermatology Clinic, University of Catania, PO G. Rodolico, AOU Policlinico-Vittorio Emanuele, Catania, Italy
| | - P Amerio
- Department of Medicine and Aging Science, Dermatology Unit, University G.D'Annunzio Chieti, Chieti, Italy
| | | | - M Corazza
- Department of Medical Sciences, Dermatology Unit, University of Ferrara, Ferrara, Italy
| | - A Patrizi
- Department of Experimental, Diagnostic and Specialty Medicine, Division of Dermatology, University of Bologna, Bologna, Italy.
| | - K Peris
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Dermatologia, Rome, Italy.,Sezione di Dermatologia, Dipartimento di Scienze Mediche e Chirurgiche, Università Cattolica del Sacro Cuore, Rome, Italy.,Oncologia Medica, Università Cattolica del Sacro Cuore, Rome, Italy
| | - N Pimpinelli
- Department Health Science Section of Dermatology, University of Florence, Florence, Italy
| | - A Parodi
- Dermatology Clinic, Ospedale Policlinico San Martino, Largo R. Benzi, 10, 16132, Genoa, Italy
| | - M C Fargnoli
- Dermatology, Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy
| | - S P Cannavo
- Dermatology Unit, University Hospital Policlinico "G. Martino", Messina, Italy
| | - P Pigatto
- Clinical Dermatology, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
| | - G Pellacani
- Dermatology Unit, Department of Surgical, Medical, Dental and Morphological Science With Interest Transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - S M Ferrucci
- Department of Physiopathology and Transplantation, Università Degli Studi Di Milano, Milan, Italy.,Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Pace, 9, 20122, Milan, Italy
| | - G Argenziano
- Dermatology Unit, University of Campania, Naples, Italy
| | - F Cusano
- Unit of Dermatology, G. Rummo Hospital, Benevento, Italy
| | - G Fabbrocini
- Department of Clinical Medicine and Surgery, Section of Dermatology, University of Naples Federico II, Naples, Italy
| | - L Stingeni
- Dermatology Section, Department of Medicine, University of Perugia, Perugia, Italy
| | - M C Potenza
- Dermatology Unit, Department of Medico-Surgical Sciences and Biotechnologies, Faculty of Pharmacy and Medicine, Sapienza University of Rome - Polo Pontino, Rome, Italy
| | - M Romanelli
- Dermatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy
| | - L Bianchi
- Dermatology Unit, Policlinico Tor Vergata Rome, University of Rome Tor Vergata, Rome, Italy
| | - A Offidani
- Department of Clinical and Molecular Sciences, Dermatology Unit, Polytechnic Marche University, Ancona, Italy
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10
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Campanati A, Bianchelli T, Gesuita R, Foti C, Malara G, Micali G, Amerio P, Rongioletti F, Corazza M, Patrizi A, Peris K, Pimpinelli N, Parodi A, Fargnoli MC, Cannavo SP, Pigatto P, Pellacani G, Ferrucci SM, Argenziano G, Cusano F, Fabbrocini G, Stingeni L, Potenza MC, Romanelli M, Bianchi L, Offidani A. Comorbidities and treatment patterns in adult patients with atopic dermatitis: results from a nationwide multicenter study. Arch Dermatol Res 2021; 314:593-603. [PMID: 34100126 PMCID: PMC9232418 DOI: 10.1007/s00403-021-02243-w] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2020] [Revised: 02/15/2021] [Accepted: 03/18/2021] [Indexed: 12/03/2022]
Abstract
Adult atopic dermatitis (adult AD) is a systemic inflammatory disorder, whose relationship with immune-allergic and metabolic comorbidities is not well established yet. Moreover, treatment of mild-to-moderate and severe atopic dermatitis needs standardization among clinicians. The aim of this study was to evaluate the distribution of comorbidities, including metabolic abnormalities, rhinitis, conjunctivitis, asthma, alopecia and sleep disturbance, according to severity of adult AD, and describe treatments most commonly used by Italian dermatologists. Retrospective, observational, nationwide study of adult patients over a 2-year period was performed. Clinical and laboratory data were obtained through review of medical records of patients aged ≥ 18 years, followed in 23 Italian National reference centres for atopic dermatitis between September 2016 and September 2018. The main measurements evaluated were disease severity, atopic and metabolic comorbidities, treatment type and duration. Six-hundred and eighty-four adult patients with AD were included into the study. Atopic, but not metabolic conditions, except for hypertension, were significantly associated with having moderate-to-severe AD in young adult patients. Disease duration was significantly associated with disease severity. Oral corticosteroids and cyclosporine were the most widely used immunosuppressant. Our study seems confirm the close relationship between adult AD and other atopic conditions, further long-term cohort studies on patients affected by adult AD need to be performed to evaluate the complex relationship between adult AD disease severity and metabolic comorbidities.
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Affiliation(s)
- A Campanati
- Department of Clinical and Molecular Sciences, Dermatology Unit, Polytechnic Marche University, Ancona, Italy
| | - T Bianchelli
- Department of Clinical and Molecular Sciences, Dermatology Unit, Polytechnic Marche University, Ancona, Italy
| | - R Gesuita
- Centre of Epidemiology and Biostatistics, Polytechnic Marche University, Ancona, Italy
| | - C Foti
- Department of Biomedical Science and Human Oncology, Dermatological Clinic, University of Bari, Bari, Italy
| | - G Malara
- Department of Dermatology Grande, Ospedale Metropolitano "Bianchi Melacrino Morelli", Reggio Calabria, Italy
| | - G Micali
- Dermatology Clinic, University of Catania, PO G. Rodolico, AOU Policlinico-Vittorio Emanuele, Catania, Italy
| | - P Amerio
- Department of Medicine and Aging Science, Dermatology Unit, University G.D'Annunzio Chieti, Chieti, Italy
| | | | - M Corazza
- Department of Medical Sciences, Dermatology Unit, University of Ferrara, Ferrara, Italy
| | - A Patrizi
- Department of Experimental, Diagnostic and Specialty Medicine, Division of Dermatology, University of Bologna, Bologna, Italy.
| | - K Peris
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Dermatologia, Rome, Italy.,Sezione di Dermatologia, Dipartimento di Scienze Mediche e Chirurgiche, Università Cattolica del Sacro Cuore, Rome, Italy.,Oncologia Medica, Università Cattolica del Sacro Cuore, Rome, Italy
| | - N Pimpinelli
- Department Health Science Section of Dermatology, University of Florence, Florence, Italy
| | - A Parodi
- Dermatology Clinic, Ospedale Policlinico San Martino, Largo R. Benzi, 10, 16132, Genoa, Italy
| | - M C Fargnoli
- Dermatology, Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy
| | - S P Cannavo
- Dermatology Unit, University Hospital Policlinico "G. Martino", Messina, Italy
| | - P Pigatto
- Clinical Dermatology, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
| | - G Pellacani
- Dermatology Unit, Department of Surgical, Medical, Dental and Morphological Science With Interest Transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - S M Ferrucci
- Department of Physiopathology and Transplantation, Università Degli Studi Di Milano, Milan, Italy.,Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Pace, 9, 20122, Milan, Italy
| | - G Argenziano
- Dermatology Unit, University of Campania, Naples, Italy
| | - F Cusano
- Unit of Dermatology, G. Rummo Hospital, Benevento, Italy
| | - G Fabbrocini
- Department of Clinical Medicine and Surgery, Section of Dermatology, University of Naples Federico II, Naples, Italy
| | - L Stingeni
- Dermatology Section, Department of Medicine, University of Perugia, Perugia, Italy
| | - M C Potenza
- Dermatology Unit, Department of Medico-Surgical Sciences and Biotechnologies, Faculty of Pharmacy and Medicine, Sapienza University of Rome - Polo Pontino, Rome, Italy
| | - M Romanelli
- Dermatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy
| | - L Bianchi
- Dermatology Unit, Policlinico Tor Vergata Rome, University of Rome Tor Vergata, Rome, Italy
| | - A Offidani
- Department of Clinical and Molecular Sciences, Dermatology Unit, Polytechnic Marche University, Ancona, Italy
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11
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Corazza M, Forconi R, Patrizi A, Veneziano L, Offidani A, Paolinelli M, Stingeni L, Hansel K, Foti C, Barlusconi C, Valpiani G, Morotti C, Borghi A. The use of the internet by outpatients in dermatology: a multicentric, observational and cross-sectional study on frequency, motivations and feedback. J Eur Acad Dermatol Venereol 2021; 35:e578-e582. [PMID: 33871062 DOI: 10.1111/jdv.17284] [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: 11/29/2022]
Affiliation(s)
- M Corazza
- Section of Dermatology and Infectious Diseases, Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - R Forconi
- Section of Dermatology and Infectious Diseases, Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - A Patrizi
- Department of Experimental, Diagnostic and Speciality Medicine (DIMES), University of Bologna, Bologna, Italy
| | - L Veneziano
- Department of Experimental, Diagnostic and Speciality Medicine (DIMES), University of Bologna, Bologna, Italy
| | - A Offidani
- Department of Clinical and Molecular Sciences, Dermatology Unit, Polytechnic Marche University, Ancona, Italy
| | - M Paolinelli
- Department of Clinical and Molecular Sciences, Dermatology Unit, Polytechnic Marche University, Ancona, Italy
| | - L Stingeni
- Dermatology Section, Department of Medicine and Surgery, University of Perugia, Perugia, Italy
| | - K Hansel
- Dermatology Section, Department of Medicine and Surgery, University of Perugia, Perugia, Italy
| | - C Foti
- Department of Biomedical Science and Human Oncology, Dermatological Clinic, University of Bari "Aldo Moro", Bari, Italy
| | - C Barlusconi
- Department of Biomedical Science and Human Oncology, Dermatological Clinic, University of Bari "Aldo Moro", Bari, Italy
| | - G Valpiani
- Research Innovation Office, S. Anna University Hospital of Ferrara, Ferrara, Italy
| | - C Morotti
- Research Innovation Office, S. Anna University Hospital of Ferrara, Ferrara, Italy
| | - A Borghi
- Section of Dermatology and Infectious Diseases, Department of Medical Sciences, University of Ferrara, Ferrara, Italy
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12
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Masciullo M, Pichiorri F, Scivoletto G, Foti C, Molinari M. Flumazenil therapy for a gabapentin-induced coma: a case report. J Med Case Rep 2021; 15:242. [PMID: 33964989 PMCID: PMC8106827 DOI: 10.1186/s13256-021-02816-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2020] [Accepted: 03/23/2021] [Indexed: 11/30/2022] Open
Abstract
Background Spasticity and neuropathic pain are common in patients after spinal cord injury and negatively affect patients’ quality of life. Gabapentin and baclofen are frequently used to treat these conditions. We present a flumazenil-reversed gabapentin-induced coma case, which, to our knowledge, is the second one described in scientific literature. Case presentation A 70-year-old Caucasian man was admitted to our neurorehabilitation ward following a fall with cervical trauma that resulted in immediate tetraplegia. During his stay, he suffered from lower limb pain, both neuropathic and due to severe spasticity. Gradual baclofen and gabapentin administration was prescribed, with reduction in both pain and spasticity. One morning, the patient was found unresponsive, with a Glasgow Coma Score of 3. Head computerized tomography, electrocardiogram, electroencephalogram, vital signs, blood tests, breathing, and blood oxygenation were normal. Renal and liver failure were ruled out. Intravenous 0.25 mg of flumazenil (Anexate) was administered, resulting in complete neurocognitive recovery with a Glasgow Coma Score of 15. Discussion and conclusions This case report highlights the importance of the individual response to certain pharmacological agents and suggests that further studies need to be conducted both on flumazenil and gabapentin pharmacodynamics to better understand their molecular–receptor activity, and on possible multiple flumazenil mechanisms of action, beyond its classical strict benzodiazepine antagonist action.
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Affiliation(s)
- M Masciullo
- Spinal Cord Unit, IRCCS S. Lucia Foundation, Rome, Italy.,SPInal REhabilitation Lab (SPIRE), IRCCS Fondazione Santa Lucia, Rome, Italy
| | - F Pichiorri
- Spinal Cord Unit, IRCCS S. Lucia Foundation, Rome, Italy
| | - G Scivoletto
- Spinal Cord Unit, IRCCS S. Lucia Foundation, Rome, Italy. .,SPInal REhabilitation Lab (SPIRE), IRCCS Fondazione Santa Lucia, Rome, Italy.
| | - C Foti
- Physical and Rehabilitation Medicine, University of Rome "Tor Vergata", Rome, Italy
| | - M Molinari
- Spinal Cord Unit, IRCCS S. Lucia Foundation, Rome, Italy
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13
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Ngueko YA, Sobze M, Tsapi AT, Biguioh RM, Fokam J, Mansour B, Dongho GBD, Takou RN, Dourjang M, Giordani L, Colizzi V, Foti C. Mass screening for hepatitis B and C viruses in a population of persons with disabilities with and without HIV status in Cameroon. Ig Sanita Pubbl 2021; 77:492-501. [PMID: 34342598] [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] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Hepatitis viral infections are one of major threat to public health worldwide. The vast majority of people infected with viral hepatitis are found in resources limited countries of Africa and Asia. There is a lack of accurate data to better determine the burden of this disease in Cameroon, moreover among vulnerable people. The aim of this study was to estimate the seroprevalence of HBV and HCV viruses among persons with disabilities (PwD) with or without HIV status.
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Affiliation(s)
- Y A Ngueko
- Clinical Sciences and Translational Medicine Department, Tor Vergata University, Rome, Italy. Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang, Cameroon
| | - M Sobze
- Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang, Cameroon
| | - A T Tsapi
- Department of Infectious Diseases, Public Health and Microbiology; University of Rome La Sapienza, Rome, Italy
| | - R M Biguioh
- Clinical Sciences and Translational Medicine Department, Tor Vergata University, Rome, Italy
| | - J Fokam
- International Center of Research Chantal Biya, Yaoundé, Cameroon
| | | | - G B D Dongho
- Department of Infectious Diseases, Public Health and Microbiology; University of Rome La Sapienza, Rome, Italy
| | - R N Takou
- Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang, Cameroon
| | - M Dourjang
- Clinical Sciences and Translational Medicine Department, Tor Vergata University, Rome, Italy. Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang, Cameroon
| | - L Giordani
- Clinical Sciences and Translational Medicine Department, Tor Vergata University, Rome, Italy
| | - V Colizzi
- Clinical Sciences and Translational Medicine Department, Tor Vergata University, Rome, Italy
| | - C Foti
- Clinical Sciences and Translational Medicine Department, Tor Vergata University, Rome, Italy
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14
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Saggini A, Cristinziano M, Ljoka C, Salini S, Ferrara PE, Ronconi G, Orlandi A, Foti C. Reactive perforating collagenosis secondary to mesotherapy: first reported case. J BIOL REG HOMEOS AG 2021; 34:1963-1965. [PMID: 33161702 DOI: 10.23812/20-385-l] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- A Saggini
- Anatomic Pathology, Department of Biomedicine and Prevention, Tor Vergata, University, Rome, Italy
| | - M Cristinziano
- Physical and Rehabilitation Medicine, Department of Clinical Sciences and Translational Medicine, Tor Vergata University, Rome, Italy
| | - C Ljoka
- Physical and Rehabilitation Medicine, Department of Clinical Sciences and Translational Medicine, Tor Vergata University, Rome, Italy
| | - S Salini
- University Policlinic Foundation A. Gemelli IRCCS, Rome, Italy
| | - P E Ferrara
- University Policlinic Foundation A. Gemelli IRCCS, Rome, Italy
| | - G Ronconi
- University Policlinic Foundation A. Gemelli IRCCS, Rome, Italy
| | - A Orlandi
- Anatomic Pathology, Department of Biomedicine and Prevention, Tor Vergata, University, Rome, Italy
| | - C Foti
- Physical and Rehabilitation Medicine, Department of Clinical Sciences and Translational Medicine, Tor Vergata University, Rome, Italy
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15
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Patruno C, Napolitano M, Argenziano G, Peris K, Ortoncelli M, Girolomoni G, Offidani A, Ferrucci SM, Amoruso GF, Rossi M, Stingeni L, Malara G, Grieco T, Foti C, Gattoni M, Loi C, Iannone M, Talamonti M, Stinco G, Rongioletti F, Pigatto PD, Cristaudo A, Nettis E, Corazza M, Guarneri F, Amerio P, Esposito M, Belloni Fortina A, Potenza C, Fabbrocini G. Dupilumab therapy of atopic dermatitis of the elderly: a multicentre, real-life study. J Eur Acad Dermatol Venereol 2021; 35:958-964. [PMID: 33332697 DOI: 10.1111/jdv.17094] [Citation(s) in RCA: 55] [Impact Index Per Article: 18.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2020] [Accepted: 11/20/2020] [Indexed: 12/12/2022]
Abstract
BACKGROUND Treatment of moderate-to-severe atopic dermatitis (AD) in the elderly may be challenging, due to side-effects of traditional anti-inflammatory drugs and to comorbidities often found in this age group. Furthermore, efficacy and safety of innovative drugs such as dupilumab are not yet well known. OBJECTIVES A multicentre retrospective, observational, real-life study on the efficacy and safety of dupilumab was conducted in a group of patients aged ≥65 years and affected by severe AD. Their main clinical features were also examined. METHODS Data of elderly patients with severe (EASI ≥24) AD treated with dupilumab at label dosage for 16 weeks were retrospectively collected. Treatment outcome was assessed by comparing objective (EASI) and subjective (P-NRS, S-NRS and DLQI) scores at baseline and after 16 weeks of treatment. RESULTS Two hundred and seventy-six patients were enrolled in the study. They represented 11.37% of all patients with severe AD. Flexural eczema was the most frequent clinical phenotype, followed by prurigo nodularis. The coexistence of more than one phenotype was found in 63/276 (22.82%) subjects. Data on the 16-week treatment with dupilumab were available for 253 (91.67%) patients. Efficacy of dupilumab was demonstrated by a significant reduction of all the scores. No statistically significant difference regarding efficacy was found in elderly patients when compared to the group of our AD patients aged 18-64 years, treated with dupilumab over the same period. Furthermore, only 18 (6.52%) patients discontinued the drug due to inefficacy. Sixty-one (22.51%) patients reported adverse events, conjunctivitis and flushing being the most frequent. One (0.36%) patient only discontinued dupilumab due to an adverse event. CONCLUSIONS Therapy with dupilumab led to a significant improvement of AD over a 16-week treatment period, with a good safety profile. Therefore, dupilumab could be considered as an efficacious and safe treatment for AD also in the elderly.
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Affiliation(s)
- C Patruno
- Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
| | - M Napolitano
- Department of Medicine and Health Sciences Vincenzo Tiberio, University of Molise, Campobasso, Italy
| | - G Argenziano
- Dermatology Unit, University of Campania, Naples, Italy
| | - K Peris
- Dermatology, University of the Sacred Heart, Rome, Italy.,Fondazione Policlinico Universitario A.Gemelli, IRCCS, Rome, Italy
| | - M Ortoncelli
- Dermatology Clinic, University of Turin, Turin, Italy
| | - G Girolomoni
- Section of Dermatology, Department of Medicine, University of Verona, Verona, Italy
| | - A Offidani
- Dermatology Unit, Department of Clinical and Molecular Sciences, Polytechnic Marche University, Ancona, Italy
| | - S M Ferrucci
- Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milano, Italy
| | - G F Amoruso
- AO Cosenza, UOC Dermatologia, Cosenza, Italy
| | - M Rossi
- UO Dermatologia, ASST Spedali Civili di Brescia, Brescia, Italy
| | - L Stingeni
- Dermatology Section, Department of Medicine, University of Perugia, Perugia, Italy
| | - G Malara
- Struttura Complessa di Dermatologia, Grande Ospedale Metropolitano 'Bianchi Melacrino Morelli', Reggio Calabria, Italy
| | - T Grieco
- Dermatology Unit, Sapienza University of Rome, Rome, Italy
| | - C Foti
- Department of Biomedical Sciences and Human Oncology, University of Bari, Bari, Italy
| | - M Gattoni
- Dermatologic Department, S. Andrea Hospital Vercelli, Vercelli, Italy
| | - C Loi
- Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - M Iannone
- Department of Dermatology, University of Pisa, Pisa, Italy
| | - M Talamonti
- Dermatology Unit, Policlinico Tor Vergata, Department of Systemic Medicine, Tor Vergata University of Rome, Rome, Italy
| | - G Stinco
- Department of Medicine, Institute of Dermatology, University of Udine, Udine, Italy
| | - F Rongioletti
- Unit of Dermatology, Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy
| | - P D Pigatto
- Department of Medical, Surgical and Odontoiatric Science, IRCCS Ospedale Ortopedico Galeazzi, Milano, Italy
| | - A Cristaudo
- San Gallicano Dermatologic Institute IRCCS, Rome, Italy
| | - E Nettis
- Department of Emergency and Organ Transplantation, School and Chair of Allergology and Clinical Immunology, University of Bari - Aldo Moro, Bari, Italy
| | - M Corazza
- Section of Dermatology and Infectious Diseases, Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - F Guarneri
- Department of Clinical and Experimental Medicine, Dermatology, University of Messina, Messina, Italy
| | - P Amerio
- Dermatologic Clinic, SS. Annunziata Hospital, Chieti, Italy
| | - M Esposito
- Dermatology, Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy
| | - A Belloni Fortina
- Unit of Dermatology, Department of Medicine DIMED, University of Padua, Padua, Italy
| | - C Potenza
- Dermatology Unit 'Daniele Innocenzi', Department of MEDICO-Surgical Sciences and Bio-Technologies, Sapienza University of Rome, Fiorini Hospital, Polo Pontino, Terracina, Italy
| | - G Fabbrocini
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Napoli, Italy
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16
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Nettis E, Fabbrocini G, Ortoncelli M, Pellacani G, Argenziano G, Di Leo E, Patruno C, Stingeni L, Foti C, Rongioletti F, Macchia L, Tavecchio S, Napolitano M, Ribero S, Bonzano L, Calabrese G, Di Bona D, Nisticò SP, Hansel K, Romita P, Piras V, Carbonara M, Detoraki A, Ferrucci SM. Long-term effectiveness of dupilumab up to 52 weeks in atopic dermatitis in 253 adult patients. Br J Dermatol 2020; 184:561-563. [PMID: 32998177 DOI: 10.1111/bjd.19577] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2020] [Revised: 09/23/2020] [Accepted: 09/24/2020] [Indexed: 12/20/2022]
Affiliation(s)
| | | | | | | | | | - E Di Leo
- Unit of Internal Medicine-"F. Miulli" Hospital, Acquaviva delle Fonti
| | - C Patruno
- University Magna Graecia of Catanzaro
| | | | - C Foti
- Unit of Dermatology, University of Bari
| | | | | | - S Tavecchio
- UOC Dermatologia, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico.,Università degli Studi di Milano
| | | | | | | | | | | | | | | | - P Romita
- Unit of Dermatology, University of Bari
| | | | | | - A Detoraki
- Azienda Ospedaliera Universitaria Federico II
| | - S M Ferrucci
- UOC Dermatologia, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
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17
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Abstract
Airborne dermatoses are complaints linked to external environmental, chemical, and biotic agents carried through the air. In general, airborne dermatoses that are most common in the work environment, tend to cause diagnostic problems that are challenging for both the patient and the doctor. It should also be borne in mind that since the external culprit agents are present in the environment, they do not only come in contact with the skin and mucosa, but can also be inhaled or ingested, thus also causing respiratory and systemic symptoms. Among the various clinical forms, airborne contact dermatitis interests the parts of the body exposed to the air: face, neck, upper aspect of the chest, hands, wrists. These cases must be differentiated from photocontact dermatitis; in the latter case, however, shadowed anatomic areas, such as the upper eyelids, behind the ears, the submandibular region, and under the hair, are not affected.
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18
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Ferrara PE, Codazza S, Ferriero G, Ricciardi D, Foti C, Maccauro G, Ronconi G. The effectiveness of telerehabilitation after hip or knee arthroplasty: a narrative review. J BIOL REG HOMEOS AG 2020; 34:75-79. IORS Special Issue on Orthopedics. [PMID: 33739009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Telerehabilitation is defined as a set of tools, procedures, and protocols to deliver rehabilitation programs remotely. It involves the use of various communication technologies to efficiently provide rehabilitation services distantly or via some other remote environment. After an orthopedic procedure, physical rehabilitation is essential to restore joint's function, to improve quality of life as well as to relieve pain, to recovery independence. The effectiveness of telerehabilitation has been studied in literature. The aim of this narrative review is to update the current evidence, evaluate the efficacy of telerehabilitation after hip, and knee prosthesis surgery for end stage arthrosis. Results show that it is useful to integrate traditional interventions with telerehabilitation to accelerate efficiency in existing healthcare delivery systems. Future high-methodological-quality studies should be conducted to evaluate the long-term efficacy and safety of innovative technologies.
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Affiliation(s)
- P E Ferrara
- University Policlinic Foundation A. Gemelli IRCCS, Rome, Italy
| | - S Codazza
- University Policlinic Foundation A. Gemelli IRCCS, Rome, Italy
| | - G Ferriero
- Scientific Institute of Tradate Maugeri IRCCS, Tradate, Italy
| | - D Ricciardi
- University Policlinic Foundation A. Gemelli IRCCS, Rome, Italy
| | - C Foti
- Physical and Rehabilitation Medicine, Tor Vergata University, Rome, Italy
| | - G Maccauro
- Orthopedic and Traumatology Institute, Catholic University of the Sacred Heart, Rome, Italy
| | - G Ronconi
- University Policlinic Foundation A. Gemelli IRCCS, Rome, Italy
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19
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Miccinilli S, Schena E, Massaroni C, Bravi M, Campiglia F, Santacaterina F, Foti C, Bressi F, Sterzi S. Use of wearable systems for the detection of chest-abdominal wall movement aimed at respiratory monitoring in sport: a scoping review on available data. J BIOL REG HOMEOS AG 2020; 34:87-96. Technology in Medicine. [PMID: 33386038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
There is a significant request for wearable systems for vital signs and athletic performance monitoring during sport practice, both in professional and non-professional fields. Respiratory rate is a rather neglected parameter in this field, but several studies show that it is a strong marker of physical exertion. The aim of the present scoping review is to evaluate the number and kind of existing studies on wearable technologies for the analysis of the chest wall movement for respiratory monitoring in sport and fitness. The review included studies investigating the use of contact-based wearable techniques for the detection of chest wall movement for respiratory monitoring during professional or amateur sport, during fitness and physical activity. The search was conducted on PubMed/Medline, Scopus and Google Scholar electronic databases using keywords. Data extracted were entered into a Microsoft Excel spreadsheet by the leading author and then double-checked by the second author. A total of 25 descriptive studies met the inclusion criteria. Few studies on small number of athletes were found, technologies were often evaluated without a reference system, data on participants are sometimes missing. To date, we are not able to draw conclusions on which is the best and most reliable device to use during sport practice.
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Affiliation(s)
- S Miccinilli
- Physical Medicine and Rehabilitation Department, Campus Bio-Medico University of Rome, Italy
- PhD Student in Research Doctorate in Tissue Engineering and Remodeling Biotechnologies For Body Function, Tor Vergata University, Rome, Italy
| | - E Schena
- Unit of Measurements and Biomedical Instrumentation, Department of Engineering, Campus Bio-Medico University, Rome, Italy
| | - C Massaroni
- Unit of Measurements and Biomedical Instrumentation, Department of Engineering, Campus Bio-Medico University, Rome, Italy
| | - M Bravi
- Physical Medicine and Rehabilitation Department, Campus Bio-Medico University of Rome, Italy
| | - F Campiglia
- Physical Medicine and Rehabilitation Department, Campus Bio-Medico University of Rome, Italy
| | - F Santacaterina
- Physical Medicine and Rehabilitation Department, Campus Bio-Medico University of Rome, Italy
| | - C Foti
- Clinical Sciences and Translational Medicine Department; Research Doctorate in Tissue Engineering And Remodeling Biotechnologies For Body Function, Tor Vergata University, Rome, Italy
| | - F Bressi
- Physical Medicine and Rehabilitation Department, Campus Bio-Medico University of Rome, Italy
| | - S Sterzi
- Physical Medicine and Rehabilitation Department, Campus Bio-Medico University of Rome, Italy
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20
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Oliva F, Vittadini F, Frizziero A, Costantino C, Fusco A, Giai Via A, Foti C, Nanni G, Forte A, Biz C, Vulpiani M, De Carli A, Berardi A, Fini M, Padulo J, Maffulli N. I.S.Mu.L.T. Reccomendations for Intra and Periarticular Injections during COVID19 Pandemic. Muscles Ligaments Tendons J 2020. [DOI: 10.32098/mltj.03.2020.00] [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: 11/05/2022]
Affiliation(s)
- F. Oliva
- Department of Musculoskeletal Disorders, Faculty of Medicine and Surgery, University of Salerno, Salerno, Italy
| | - F. Vittadini
- Department of Physical and Rehabilitation Medicine, Casa di Cura Policlinico San Marco, Venice, Italy
| | - A. Frizziero
- Department of Medicine and Surgery, University of Parma, Parma, Italy
| | - C. Costantino
- Department of Medicine and Surgery, University of Parma, Parma, Italy
| | - A. Fusco
- Clinical Laboratory of Experimental Neurorehabilitation, I.R.C.C.S. Santa Lucia Foundation, Rome, Italy
| | - A. Giai Via
- Department of Emergency and Acceptance, Orthopaedics and Traumatology Unit, San Camillo-Forlanini Hospital, Rome, Italy
| | - C. Foti
- Physical and Rehabilitation Medicine, University of Rome Tor Vergata, Rome, Italy
| | - G. Nanni
- Isokinetic Medical Group, FIFA Medical Centre of Excellence, Bologna, Italy
| | - A. Forte
- Biomedical Research Centre, Gruppo Forte, Salerno, Italy
| | - C. Biz
- Department of Surgery, Oncology and Gastroenterology DiSCOG, Orthopedic Clinic, University of Padova, Padova, Italy
| | - M.C. Vulpiani
- Physical Medicine and Rehabilitation Unit, SantAndrea Hospital, Sapienza University of Rome, Rome, Italy
| | - A. De Carli
- Physical Medicine and Rehabilitation Unit, SantAndrea Hospital, Sapienza University of Rome, Rome, Italy
| | - A. Berardi
- UOC Immunohematology and Transfusion Medicine Laboratories, Laboratory of Stem Cells, Spirito Santo Hospital, Pescara, Italy
| | - M. Fini
- Laboratory of Preclinical and Surgical Studies, Rizzoli Orthopedic Institute, Bologna, Italy
| | - J. Padulo
- Department of Biomedical Sciences for Health, Università degli Studi di Milano, Milan, Italy
| | - N. Maffulli
- Department of Musculoskeletal Disorders, Faculty of Medicine and Surgery, University of Salerno, Salerno, Italy
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21
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Miccinilli S, Bravi M, Foti C, Morrone M, Maselli M, Santacaterina F, Scotto Di Luzio F, Zollo L, Sterzi S, Bressi F. Robotic hand treatment of patients affected by chronic stroke: a monocentric longitudinal pilot study. J BIOL REG HOMEOS AG 2020; 34:79-86. Technology in Medicine. [PMID: 33386037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Few studies investigated the effects of a robotic treatment in hand motor recovery after stroke. Aim of the present study was to evaluate the efficacy of treatment by means of Gloreha Sinfonia® robotic glove in hand motor recovery of a chronic stroke sample of patients with different impairment severity. Thirteen chronic stroke subjects were assigned to either active-assisted robotic treatment or passive robotic treatment according to their ability to actively extend wrist for at least 20 degrees. All subjects underwent 20 sessions of treatment with Gloreha Sinfonia® and were evaluated before (T0), after treatment (T1) and after one month (T2) with clinical scales testing motor performance [Motor Power (MP); Fugl Meyer Upper-Extremity (FMUE)] and spasticity [Modified Ashworth Scale (MAS)]. Both groups showed significant motor recovery and spasticity reduction. Further randomized controlled trials with larger samples are needed to confirm our results.
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Affiliation(s)
- S Miccinilli
- Physical and Rehabilitation Medicine Department, Campus Bio-Medico University, Rome, Italy
| | - M Bravi
- Physical and Rehabilitation Medicine Department, Campus Bio-Medico University, Rome, Italy
| | - C Foti
- Clinical Sciences and Translational Medicine Department. Tor Vergata University, Rome, Italy
| | - M Morrone
- Physical and Rehabilitation Medicine Department, Campus Bio-Medico University, Rome, Italy
| | - M Maselli
- Physical and Rehabilitation Medicine Department, Campus Bio-Medico University, Rome, Italy
| | - F Santacaterina
- Physical and Rehabilitation Medicine Department, Campus Bio-Medico University, Rome, Italy
| | - F Scotto Di Luzio
- Biomedical Robotics Laboratory and Bio-microsystems, Biomedical Engineering Laboratory, Campus Bio-Medico University, Rome, Italy
| | - L Zollo
- Biomedical Robotics Laboratory and Bio-microsystems, Biomedical Engineering Laboratory, Campus Bio-Medico University, Rome, Italy
| | - S Sterzi
- Physical and Rehabilitation Medicine Department, Campus Bio-Medico University, Rome, Italy
| | - F Bressi
- Physical and Rehabilitation Medicine Department, Campus Bio-Medico University, Rome, Italy
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22
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Nettis E, Ferrucci SM, Ortoncelli M, Pellacani G, Foti C, Di Leo E, Patruno C, Rongioletti F, Argenziano G, Macchia L, Tavecchio S, Napolitano M, Ribero S, Bonzano L, Romita P, Di Bona D, Nisticò SP, Piras V, Calabrese G, Detoraki C, Carbonara M, Fabbrocini G. Use of Dupilumab for 543 Adult Patients with Moderate-To-Severe Atopic Dermatitis: A Multicenter, Retrospective Study. J Investig Allergol Clin Immunol 2020; 32:124-132. [PMID: 32856595 DOI: 10.18176/jiaci.0641] [Citation(s) in RCA: 34] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND Dupilumab has been demonstrated to be an effective treatment for patients with moderate-to-severe atopic dermatitis (AD) in clinical trials. However, evidence of real-world experience with dupilumab in a broader population is limited to date. METHODS Adult patients with moderate-to-severe AD, defined as an Eczema Area Severity Index (EASI) score of 24 or higher, treated with dupilumab at ten Italian academic centers, were included in the study. Physician-reported outcome measures (EASI), patient-reported outcome measures (pruritus and sleep score, Dermatology Life Quality Index, DLQI) and serological markers [immunoglobulin (Ig) E and eosinophil count] after 16 weeks were analyzed. RESULTS We enrolled 543 patients with moderate-to-severe AD. Two patients (0.4%) discontinued treatment. The median ± interquartile percentage change from baseline to 16 weeks of treatment in the EASI score was -87.5±22.0 (p<0.001). EASI-50, EASI-75 and EASI-90 response rates were 98.1%, 81.5%, and 50.8% after 16 weeks. At 16 weeks, 93.0% of the patients had achieved a 4- point or higher improvement in DLQI from baseline. During dupilumab treatment, 12.2% of the patients developed conjunctivitis, and total IgE significantly decreased (p<0.001). Interestingly, in the multivariate logistic regression model, the risk of developing dupilumab-related conjunctivitis was associated with early AD onset [OR, 2.25; 95%CI, 1.07-4.70; p=0.03] and presence of eosinophilia [OR, 1.91; 95%CI, 1.05-3.39; p=0.03]. CONCLUSION To date, this is the broadest real-life study in AD patients treated with dupilumab. We observed significant improvements induced by dupilumab in adult patients with moderate-to-severe AD, to a greater extent than those reported in clinical trials.
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Affiliation(s)
- E Nettis
- Department of Emergency and Organ Transplantation, School and Chair of Allergology and Clinical Immunology, University of Bari - Aldo Moro, Bari, Italy
| | - S M Ferrucci
- UOC Dermatologia, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - M Ortoncelli
- Dipartimento di Fisiopatologia Medico-Chirurgica e dei Trapianti, Università degli Studi di Milano, Milan, Italy.,Medical Sciences Department, Dermatologic Clinic, University of Turin, Turin, Italy
| | - G Pellacani
- Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - C Foti
- Department of Biomedical Science and Human Oncology, Dermatological Clinic, University of Bari, Italy
| | - E Di Leo
- Section of Allergy and Clinical Immunology, Unit of Internal Medicine - "F. Miulli" Hospital, AcquavivadelleFonti, (BA), Italy
| | - C Patruno
- Unit of Dermatology, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
| | - F Rongioletti
- Unit of Dermatology, Department of Medical Sciences and Public Health, University of Cagliari, Italy
| | - G Argenziano
- Dermatology Unit, University of Campania, Naples, Italy
| | - L Macchia
- Department of Emergency and Organ Transplantation, School and Chair of Allergology and Clinical Immunology, University of Bari - Aldo Moro, Bari, Italy
| | - S Tavecchio
- UOC Dermatologia, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - M Napolitano
- Department of Health Sciences "Vincenzo Tiberio", University of Molise, Campobasso, Italy
| | - S Ribero
- Dipartimento di Fisiopatologia Medico-Chirurgica e dei Trapianti, Università degli Studi di Milano, Milan, Italy
| | - L Bonzano
- Allergology Service, AUSL Modena, Italy
| | - P Romita
- Department of Biomedical Science and Human Oncology, Dermatological Clinic, University of Bari, Italy
| | - D Di Bona
- Department of Emergency and Organ Transplantation, School and Chair of Allergology and Clinical Immunology, University of Bari - Aldo Moro, Bari, Italy
| | - S P Nisticò
- Unit of Dermatology, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
| | - V Piras
- Unit of Dermatology, Department of Medical Sciences and Public Health, University of Cagliari, Italy
| | - G Calabrese
- Dermatology Unit, University of Campania, Naples, Italy
| | - C Detoraki
- Department of Internal Medicine and Clinical Pathology, Azienda Ospedaliera Universitaria Federico II, Naples, Italy
| | - M Carbonara
- National Institute of Statistics (ISTAT), Bari, Italy
| | - G Fabbrocini
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
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23
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24
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Brunelli S, Bonanni C, Foti C, Traballesi M. A Literature Review of the Quality of Life, Health Status and Prosthesis Satisfaction in Older Patients With A Trans-tibial Amputation. Can Prosthet Orthot J 2020; 2:33640. [PMID: 37614806 PMCID: PMC10443495 DOI: 10.33137/cpoj.v3i1.33640] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [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: 02/03/2020] [Accepted: 05/16/2020] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Several reviews have been published regarding quality of life (QoL) and Health Status (HS) in persons with lower limb amputation (LLA). However, little has been discussed in the literature with respect to older populations (i.e. age>60 years) with trans-tibial amputation. Furthermore, the perceived satisfaction with prosthesis is another important aspect for consideration in the amputees' life. OBJECTIVE The purpose of this review was to evaluate the impact of trans-tibial amputation on the QoL, HS and prosthesis satisfaction, in order to determine the appropriate intervention to improve these aspects in older population of trans-tibial amputees (TTA). METHODS Research articles, published between January 2000 to March 2019, were found using Scopus, PubMed and Google Scholar databases. The methodological quality of the selected articles was assessed using the Critical Review Form-Quantitative Studies checklist. RESULTS Ten articles that met the inclusion criteria were selected. In these papers, we can summarize that people with trans-tibial amputation have a better QoL compared to those with above knee amputation. Moreover, physical functioning and mobility are the most influencing factors for QoL and HS in older people with lower limb amputation. Finally, the prosthesis weight reduction may improve satisfaction with the prosthetic limb. CONCLUSION Efforts have to be made in order to improve mobility in older population with transtibial amputation for better QoL and HS. This can be accomplished by means of adequate rehabilitation, pain management and an accurate choice of appropriate prosthetic components. We observed that the quality of evidence in the literature available is inadequate and future research would benefit from more prospective observational cohort studies with appropriate inclusion criteria and larger sample sizes to better understand the QoL and HS in this population.
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Affiliation(s)
- S Brunelli
- Fondazione Santa Lucia, Scientific Institute for Research, Hospitalization and Health Care, Rome, Italy
| | - C Bonanni
- Physical and Rehabilitation Medicine, Tor Vergata University of Rome, Rome, Italy
| | - C Foti
- Physical and Rehabilitation Medicine, Tor Vergata University of Rome, Rome, Italy
| | - M Traballesi
- Fondazione Santa Lucia, Scientific Institute for Research, Hospitalization and Health Care, Rome, Italy
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25
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Filoni A, Cicco G, Lospalluti L, Maglietta A, Foti C, Annichiarico G, Resta L, Bonamonte D. Morphological and morphometric analysis of cutaneous squamous cell carcinoma in patients with recessive dystrophic epidermolysis bullosa: a retrospective study. J Eur Acad Dermatol Venereol 2020; 34:1707-1714. [PMID: 31692111 DOI: 10.1111/jdv.16022] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2019] [Accepted: 09/20/2019] [Indexed: 01/01/2023]
Abstract
BACKGROUND Recessive dystrophic epidermolysis bullosa is a highly disabling genodermatosis characterized by skin and mucosal fragility and blistering. Cutaneous squamous cell carcinoma (cSCC) is one of the most devastating complications, having a high morbidity and mortality rate. Patients with recessive dystrophic epidermolysis bullosa were reported to have up to a 70-fold higher risk of developing cSCC than unaffected individuals. Immune cells play a role in cancer evolution. OBJECTIVE The aim of our study was to evaluate immunohistological differences between cSCC in patients with and without recessive dystrophic epidermolysis bullosa. METHODS A retrospective study of 25 consecutive cases was performed; five were biopsies of cSCC taken from five patients with recessive dystrophic epidermolysis bullosa; as controls we analysed 10 cSCC in subjects without recessive dystrophic epidermolysis bullosa (5 primitive, 3 postburns and 2 postradiotherapy), 5 cSCC in renal transplant recipients and 5 cutaneous pseudoepitheliomatous hyperplasia in patients with recessive dystrophic epidermolysis bullosa. RESULTS A significant reduction of CD3+, CD4+ and CD68+ between the cSCC in patients with recessive dystrophic epidermolysis bullosa compared to primary cSCC and a significant reduction of CD3+, CD4+, CD8+ and CD20+ were observed in cSCC in patients with recessive dystrophic epidermolysis bullosa compared to secondary cSCC. On the contrary, there was no difference in CD3+, CD8+, CD20+ and CD68+ expression when comparing cSCC in patients with recessive dystrophic epidermolysis bullosa to cSCC in renal transplant recipients. No significant difference was found in size, histopathology, grading, number of mitoses and EGFR expression between the different groups. CONCLUSIONS Our data show a reduction in immune cell peritumoral infiltration. Considering the well-known evolution of cSCC in patients with recessive dystrophic epidermolysis bullosa, as well as the younger age at diagnosis, it can be assumed that immune dysfunction might contribute to the cSCC aggressiveness in these patients.
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Affiliation(s)
- A Filoni
- Section of Dermatology, Department of Biomedical Science and Human Oncology, University of Bari, Bari, Italy.,San Gallicano Dermatological Institute IRCCS, Rome, Italy
| | - G Cicco
- Section of Dermatology, Department of Biomedical Science and Human Oncology, University of Bari, Bari, Italy
| | - L Lospalluti
- Section of Dermatology, Department of Biomedical Science and Human Oncology, University of Bari, Bari, Italy
| | - A Maglietta
- Section of Pathology, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy
| | - C Foti
- Section of Dermatology, Department of Biomedical Science and Human Oncology, University of Bari, Bari, Italy
| | - G Annichiarico
- Regional Coordination for Rare Diseases, AReS Puglia, Bari, Italy
| | - L Resta
- Section of Pathology, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy
| | - D Bonamonte
- Section of Dermatology, Department of Biomedical Science and Human Oncology, University of Bari, Bari, Italy
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26
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Nettis E, Ortoncelli M, Pellacani G, Foti C, Di Leo E, Patruno C, Rongioletti F, Argenziano G, Ferrucci SM, Macchia L, Napolitano M, Ribero S, Bonzano L, Romita P, Di Bona D, Bennardo L, Piras V, Calabrese G, Tavecchio S, Detoraki C, Carbonara M, Fabbrocini G. A Multicenter Study on the Prevalence of Clinical Patterns and Clinical Phenotypes in Adult Atopic Dermatitis. J Investig Allergol Clin Immunol 2020; 30:448-450. [PMID: 32376512 DOI: 10.18176/jiaci.0519] [Citation(s) in RCA: 41] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- E Nettis
- Department of Emergency and Organ Transplantation, School and Chair of Allergology and Clinical Immunology, University of Bari - Aldo Moro, Bari, Italy
| | - M Ortoncelli
- Medical Sciences Department, Dermatologic Clinic, University of Turin, Turin, Italy
| | - G Pellacani
- Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - C Foti
- Department of Biomedical Science and Human Oncology, Dermatological Clinic, University of Bari, Italy
| | - E Di Leo
- Section of Allergy and Clinical Immunology, Unit of Internal Medicine-"F. Miulli" Hospital, Acquaviva delle Fonti, (BA), Italy
| | - C Patruno
- Unit of Dermatology, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
| | - F Rongioletti
- Unit of Dermatology, Department of Medical Sciences and Public Health, University of Cagliari, Italy
| | - G Argenziano
- Dermatology Unit, University of Campania, Naples, Italy
| | - S M Ferrucci
- UOC Dermatologia, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy Dipartimento di Fisiopatologia Medico-Chirurgica e dei Trapianti, Università degli Studi di Milano, Milan, Italy
| | - L Macchia
- Department of Emergency and Organ Transplantation, School and Chair of Allergology and Clinical Immunology, University of Bari - Aldo Moro, Bari, Italy
| | - M Napolitano
- Department of Health Sciences "Vincenzo Tiberio", University of Molise, Campobasso, Italy
| | - S Ribero
- Medical Sciences Department, Dermatologic Clinic, University of Turin, Turin, Italy
| | - L Bonzano
- Allergology Service, AUSL Modena, Italy
| | - P Romita
- Department of Biomedical Science and Human Oncology, Dermatological Clinic, University of Bari, Italy
| | - D Di Bona
- Department of Emergency and Organ Transplantation, School and Chair of Allergology and Clinical Immunology, University of Bari - Aldo Moro, Bari, Italy
| | - L Bennardo
- Unit of Dermatology, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
| | - V Piras
- Unit of Dermatology, Department of Medical Sciences and Public Health, University of Cagliari, Italy
| | - G Calabrese
- Dermatology Unit, University of Campania, Naples, Italy
| | - S Tavecchio
- UOC Dermatologia, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy Dipartimento di Fisiopatologia Medico-Chirurgica e dei Trapianti, Università degli Studi di Milano, Milan, Italy
| | - C Detoraki
- Department of Internal Medicine and Clinical Pathology, Azienda Ospedaliera Universitaria Federico II, Naples, Italy
| | - M Carbonara
- National Institute of Statistics (ISTAT), Bari, Italy
| | - G Fabbrocini
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
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Ferrara PE, Ferriero G, Salini S, Foti C, Maccauro G, Mammucari M, Ronconi G. Treatment of chronic persistent spinal pain with diclofenac mesotherapy in patients with spondylarthrosis. J BIOL REG HOMEOS AG 2020; 34:34. [PMID: 32090535 DOI: 10.23812/19-457-l] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- P E Ferrara
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma Italia
| | - G Ferriero
- Istituti Clinici Scientifici Maugeri, IRCCS, Pavia, Italy
| | - S Salini
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma Italia
| | - C Foti
- Department of Physical Medicine and Rehabilitation, Clinical Sciences and Translational Medicine, Tor Vergata University, Rome, Italy
| | - G Maccauro
- Orthopedic and Traumatology Institute, Catholic University of the Sacred Heart, Rome, Italy
| | | | - G Ronconi
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma Italia
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Brunelli S, Sancesario A, Iosa M, Delussu A, Gentileschi N, Bonanni C, Foti C, Traballesi M. Which is the Best Way to Perform the Physiological Cost Index in Active Individuals With Unilateral Trans-Tibial Amputation? Can Prosthet Orthot J 2019; 2:32953. [PMID: 37614807 PMCID: PMC10443476 DOI: 10.33137/cpoj.v2i1.32953] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 08/04/2019] [Accepted: 12/12/2019] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Physiological Cost Index (PCI) is a simple method used to estimate energy expenditure during walking. It is based on a ratio between heart rate and self-selected walking speed. Previous studies reported that PCI is reliable in individuals with lower limb amputation but only if there is an important walking impairment. No previous studies have investigated the correlation of PCI with the Energy Cost Walking (ECW) in active individuals with traumatic unilateral trans-tibial amputation, considering that this particular category of amputees has an ECW quite similar to healthy individual without lower limb amputation. Moreover, it is important to determine if PCI is also correlated to ECW in the treadmill test so as to have an alternative to over-ground test. OBJECTIVES The aim of this study was to evaluate the correlation between PCI and ECW in active individuals with traumatic trans-tibial amputation in different walking conditions. The secondary aim was to evaluate if this correlation permits to determine ECW from PCI values. METHODOLOGY Ninety traumatic amputees were enrolled. Metabolic data, heart rate and walking speed for the calculation of ECW and for PCI were computed over-ground and on a treadmill with 0% and 12% slopes during a 6-minute walking test. FINDINGS There is a significant correlation between ECW and PCI walking over-ground (p=0.003; R2=0.10) and on treadmill with 12% slopes (p=0.001; R2=0.11) but there is only a poor to moderate correlation around the trendline. No significant correlation was found walking on treadmill with 0% slope. The Bland-Altman plot analysis suggests that is not possible to evaluate ECW directly from PCI. CONCLUSIONS PCI is a reliable alternative measure of energy expenditure during walking in active individuals with trans-tibial amputation when performing over-ground or at high intensity effort on treadmill. PCI is therefore useful only for monitoring a within subject assessment.
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Affiliation(s)
- S Brunelli
- Fondazione Santa Lucia, Scientific Institute for Research, Hospitalization and Health Care, Rome, Italy
| | - A Sancesario
- Physical and Rehabilitation Medicine, Tor Vergata University of Rome, Rome, Italy
| | - M Iosa
- Fondazione Santa Lucia, Scientific Institute for Research, Hospitalization and Health Care, Rome, Italy
| | - A.S. Delussu
- Fondazione Santa Lucia, Scientific Institute for Research, Hospitalization and Health Care, Rome, Italy
| | - N Gentileschi
- Physical and Rehabilitation Medicine, Tor Vergata University of Rome, Rome, Italy
| | - C Bonanni
- Physical and Rehabilitation Medicine, Tor Vergata University of Rome, Rome, Italy
| | - C Foti
- Physical and Rehabilitation Medicine, Tor Vergata University of Rome, Rome, Italy
| | - M Traballesi
- Fondazione Santa Lucia, Scientific Institute for Research, Hospitalization and Health Care, Rome, Italy
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Damiani G, Calzavara‐Pinton P, Stingeni L, Hansel K, Cusano F, Pigatto PD, Agostinelli D, Albertazzi D, Angelini G, Angerosa F, Arigliano P, Assalve D, Ayala F, Barbagallo T, Belloni‐Fortina A, Berta M, Biale C, Bianchi L, Biasini I, Boccaletti V, Bonamonte D, Borghi A, Bragazzi N, Brambilla L, Bressan M, Brunasso A, Bruni F, Bruni P, Caccavale S, Calogiuri G, Cannavò S, Carugno A, Cataldi I, Chiarelli G, Cirla A, Corazza M, Cossutta M, Cova L, Cristaudo A, Cusano F, Danese P, Dal Canton M, De Pità O, De Salvo P, Donini M, Fantini F, Ferrucci S, Flori M, Fontana E, Foti C, Francalci S, Frasin L, Gallo R, Gasparini G, Gola M, Gravante M, Guarnieri F, Guastaferro D, Ingordo V, Lauriola M, Leghissa P, Lisi P, Lombardi P, Lorenzini M, Malara G, Magrini L, Marone G, Martina E, Mascagni P, Matteini Chiari M, Meligeni L, Melino M, Miccio L, Milanesi N, Molinu A, Monfrecola G, Morelli P, Motolese A, Musumeci M, Naldi L, Napolitano M, Nasca M, Pacifico A, Paganini P, Papini M, Pasolini G, Patruno C, Pellegrino M, Peroni A, Peserico A, Piras V, Pugliese A, Raponi F, Raviolo P, Rebora A, Recchia G, Riva F, Romita P, Rossi M, Ruggieri M, Saggiorato F, Sartorelli P, Schena D, Schettino A, Spanò G, Stinchi C, Tasin L, Tramontana M, Taddei L, Valsecchi R, Russo F, Vascellaro A, Venturini M, Vincenzi C, Virgili A, Zucca M. Italian guidelines for therapy of atopic dermatitis—Adapted from consensus‐based European guidelines for treatment of atopic eczema (atopic dermatitis). Dermatol Ther 2019; 32:e13121. [DOI: 10.1111/dth.13121] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2019] [Revised: 10/04/2019] [Accepted: 10/11/2019] [Indexed: 12/13/2022]
Affiliation(s)
- Giovanni Damiani
- Department of Biomedical, Surgical, and Dental Sciences Unit of DermatologyUniversity of Milan Milan Italy
- IRCCS Istituto Ortopedico Galeazzi Milan Italy
- Young Dermatologists Italian NetworkGISED Bergamo Italy
- Department of DermatologyCase Western Reserve University Cleveland Ohio
| | | | - Luca Stingeni
- Section of Dermatology, Department of MedicineUniversity of Perugia Perugia Italy
| | - Katharina Hansel
- Section of Dermatology, Department of MedicineUniversity of Perugia Perugia Italy
| | | | - Paolo D.M. Pigatto
- Department of Biomedical, Surgical, and Dental Sciences Unit of DermatologyUniversity of Milan Milan Italy
- IRCCS Istituto Ortopedico Galeazzi Milan Italy
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Uter W, Aalto-Korte K, Agner T, Andersen KE, Bircher AJ, Brans R, Bruze M, Diepgen TL, Foti C, Giménez Arnau A, Gonçalo M, Goossens A, McFadden J, Paulsen E, Svedman C, Rustemeyer T, White IR, Wilkinson M, Johansen JD. The epidemic of methylisothiazolinone contact allergy in Europe: follow-up on changing exposures. J Eur Acad Dermatol Venereol 2019; 34:333-339. [PMID: 31419348 DOI: 10.1111/jdv.15875] [Citation(s) in RCA: 44] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2019] [Accepted: 07/19/2019] [Indexed: 12/21/2022]
Abstract
BACKGROUND Methylisothiazolinone (MI) has caused an unprecedented epidemic of contact allergy in Europe and elsewhere. Subsequently, regulatory action has been taken, at least in Europe, aiming at reducing risk of MI sensitization. OBJECTIVE To follow-up on the prevalence of contact allergy to MI in consecutively patch tested patients and assess the spectrum of products containing MI or methylchloroisothiazolinone (MCI)/MI in patients positive to MI which elicited current allergic contact dermatitis. METHODS A cross-sectional survey was performed in 2016 and 2017, including all adult patients patch tested with the baseline series (including MI 0.2% aq.) between 1 May and 31 October at 14 centres in 11 European countries. Patients with positive reactions (+ to +++) to MI were further examined regarding history, clinical characteristics and eliciting products, which were categorized into 34 types and 4 classes (leave-on, rinse-off, household, occupational). The results were compared with the reference year 2015. RESULTS A total of 317 patients, n = 202 of 4278 tested in 2016 (4.72%) and n = 115 of 3879 tested in 2017 (2.96%), had positive reactions to MI; the previous result from 2015 was 5.97% (P < 0.0001). The share of currently relevant contact allergy among all positive reactions declined significantly as well (P = 0.0032). Concerning product classes, a relative decline of leave-on and a relative increase of rinse-off and household products was noted. CONCLUSION The prevalence of MI contact allergy decreased by 50% from 2015 to 2017. As a consequence of regulation, the share of cosmetics products (leave-on in particular) eliciting allergic contact dermatitis is decreasing. The chosen method of analysing causative products in sensitized patients has proven useful to monitor effects of intervention.
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Affiliation(s)
- W Uter
- Department of Medical Informatics, Biometry and Epidemiology, University of Erlangen/Nürnberg, Erlangen, Germany
| | - K Aalto-Korte
- Occupational Medicine, Finnish Institute of Occupational Health, Helsinki, Finland
| | - T Agner
- Department of Dermatology, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark
| | - K E Andersen
- Department of Dermatology and Allergy Centre, Odense University Hospital, University of Southern Denmark, Odense, Denmark
| | - A J Bircher
- Department of Dermatology, University Hospital Basel, Basel, Switzerland
| | - R Brans
- Institute for Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm) at the University of Osnabrück, Osnabrück, Germany
| | - M Bruze
- Department of Occupational and Environmental Dermatology, Skåne University Hospital, Lund University, Malmö, Sweden
| | - T L Diepgen
- Department of Social Medicine, Occupational and Environmental Dermatology, University of Heidelberg, Heidelberg, Germany
| | - C Foti
- Unit of Dermatology, Department of Biomedical Science and Human Oncology, University of Bari, Bari, Italy
| | - A Giménez Arnau
- Department of Dermatology, Hospital del Mar, IMIM, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - M Gonçalo
- Department of Dermatology, University Hospital and Faculty of Medicine, University of Coimbra, Coimbra, Portugal
| | - A Goossens
- Contact Allergy Unit, Department of Dermatology, University Hospital KU Leuven, Leuven, Belgium
| | - J McFadden
- Guy's Hospital, St John's Institute of Dermatology, London, UK
| | - E Paulsen
- Department of Dermatology and Allergy Centre, Odense University Hospital, University of Southern Denmark, Odense, Denmark
| | - C Svedman
- Department of Occupational and Environmental Dermatology, Skåne University Hospital, Lund University, Malmö, Sweden
| | - T Rustemeyer
- Department of Dermatology, Amsterdam University Medical Centres, Amsterdam, The Netherlands
| | - I R White
- Guy's Hospital, St John's Institute of Dermatology, London, UK
| | - M Wilkinson
- Department of Dermatology, Leeds Teaching Hospitals NHS Trust, Leeds, UK
| | - J D Johansen
- Department of Dermato-Allergology, National Allergy Research Centre, Gentofte Hospital, University of Copenhagen, Hellerup, Denmark
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Foti C, Khah EM, Pavli OI. Germination profiling of lentil genotypes subjected to salinity stress. Plant Biol (Stuttg) 2019; 21:480-486. [PMID: 29480957 DOI: 10.1111/plb.12714] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/02/2017] [Accepted: 02/20/2018] [Indexed: 06/08/2023]
Abstract
Salinity is one of the most severe environmental stresses, negatively affecting productivity of salt-sensitive crop species. Given that germination is the most critical phase in the plant life cycle, the present study aimed to determine seed germination potential and associated traits under salt stress conditions as a simple approach to identify salt-tolerant lentil genotypes. The genetic material consisted of six lentil genotypes whose adaptation to various agroclimatic conditions is not well elucidated. Salinity stress was applied by addition of NaCl at three different levels of stress, while non-stressed plants were included as controls. Evaluation of tolerance was performed on the basis of germination percentage, seed water absorbance, root and shoot length, seedling water content, seedling vigour index and number of seedlings with an abnormal phenotype. Overall, our findings revealed that salinity stress substantially affects all traits associated with germination and early seedling growth, with the effect of salinity being dependent on the level of stress applied. It is noteworthy, however, that genotypes responded differently to the varying salinity levels. In this context, Samos proved the most salt-tolerant genotype, indicating its possible use for cultivation under stress conditions. In conclusion, the determination of seed germination and early growth potential may be exploited as an efficient strategy to reveal genetic variation in lentil germplasm of unknown tolerance to salinity stress. This approach allows selection of desirable genotypes at early growth stages, thus enabling more efficient application of various breeding methods to achieve stress-tolerant lentil genotypes.
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Affiliation(s)
- C Foti
- Laboratory of Genetics and Plant Breeding, School of Agricultural Science, University of Thessaly, Volos, Greece
| | - E M Khah
- Laboratory of Genetics and Plant Breeding, School of Agricultural Science, University of Thessaly, Volos, Greece
| | - O I Pavli
- Laboratory of Genetics and Plant Breeding, School of Agricultural Science, University of Thessaly, Volos, Greece
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Ferrara PE, Salini S, Maggi L, Foti C, Maccauro G, Ronconi G. Evaluation of quality of life and static balance in postmenopausal osteoporosis women after Tai Chi Chuan practice: an observational randomized case control study. J BIOL REG HOMEOS AG 2019; 33:163-169. XIX Congresso Nazionale S.I.C.O.O.P. Societa' Italiana Chirurghi Ortopedici Dell'ospedalita' Privata Accreditata. [PMID: 31172734] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Post-menopausal osteoporosis women are at increased risk for skeletal fractures with higher mortality and lower quality of life. Some studies have reported fall risk reduction in the elderly after Tai chi practice. Tai chi is a weight bearing mind-body exercise that has been reported to positively influence bone mineral density and improve postural control in different pathologies. The aim of this observational randomized case control study is to evaluate the effect of Tai chi on balance and quality of life in postmenopausal women with osteoporosis. A total of 98 postmenopausal osteoporosis women, aged 70.6±8.2 years (mean and standard deviation), (mean T-score of the hip and spine were-2.9± 0.92 and -2.8±1.08), have been recruited in outpatients University Physical Medicine and Rehabilitation Hospital between June 2016 and September 2018. They have been randomized to a Tai group (56 patients, mean age 71.61±7.97 years) practiced 6-month Tai chi program, two times week, plus standard care or to a Control Group (42 patients, mean age 69.71±8.61 years) practiced usual care. Patients with oncological, neurological, cognitive, vestibular and visual diseases were excluded. Patients were evaluated at baseline (T0), prior Tai chi and after 6 month (T1) with 36-Item Short Form Health Survey (SF-36), and a stabilometric-standardized exam performed for the evaluation, respectively, of the quality of life and the static balance. The groups were homogenous at baseline. T1 evaluation showed better results in Tai chi group, in SF36 Physical functioning (p level: 0.021), Physical health pain (p level: 0.020), Physical composite score (p level: 0.003) scores, compared with control group. There were not significant differences between groups in stabilometric analysis. Tai chi group showed significant better stabilometric values at T1 compared with T0 in mean anterior-posterior (p level: 0.001) and medio-lateral (p level: 0.019) velocity, in perimeter (p level 0.001) , and in the area of the ellipse ( p level 0.006) in a within group analysis. Tai chi seemed to be effective in improving physical aspects of quality of life, in postmenopausal women with osteoporosis. Standing balance seems to increase after 6 months Tai chi program, in post-menopausal also if results were not significant. Further studies will be useful to measure effects of a Tai chi longer practice, as literature suggests, and a possible reduction of falling risk and fractures.
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Affiliation(s)
- P E Ferrara
- Department of Physical Medicine and Rehabilitation, Teaching Hospital Foundation 'Agostino Gemelli', Catholic University of Sacred Heart IRCCS
| | - S Salini
- Department of Geriatrics, Neurosciences and Orthopedics, Teaching Hospital Foundation 'Agostino Gemelli', Catholic University of Sacred Heart IRCCS
| | - L Maggi
- Department of Physical Medicine and Rehabilitation, Teaching Hospital Foundation 'Agostino Gemelli', Catholic University of Sacred Heart IRCCS
| | - C Foti
- Department of Physical Medicine and Rehabilitation, Clinical Sciences and Translational Medicine, Tor Vergata University, Rome, Italy
| | - G Maccauro
- Institute of Orthopedic Clinic, Teaching Hospital Foundation 'Agostino Gemelli', Catholic University of Sacred Heart IRCCS
| | - G Ronconi
- Area Operating Unit of Hospitalization and Rehabilitation Services, Teaching Hospital Foundation 'Agostino Gemelli', Catholic University of Sacred Heart IRCCS
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Mahmoud A, Abundo P, Basile L, Albensi C, Marasco M, Bellizzi L, Galasso F, Foti C. Functional leg length discrepancy between theories and reliable instrumental assessment: a study about newly invented NPoS system. Muscles Ligaments Tendons J 2019. [DOI: 10.32098/mltj.02.2017.12] [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: 11/05/2022]
Affiliation(s)
- A. Mahmoud
- Physical and Rehabilitation Medicine, Department of Clinical Sciences and Translational Medicine, “Tor Vergata” University, Rome, Italy
- Physical medicine, Rheumatology and Rehabilitation Department, Cairo, Egypt
| | - P. Abundo
- Medical Engineering Service, Polyclinic Tor Vergata, Rome, Italy
| | - L. Basile
- Physical and Rehabilitation Medicine, Department of Clinical Sciences and Translational Medicine, “Tor Vergata” University, Rome, Italy
| | - C. Albensi
- Physical and Rehabilitation Medicine, Department of Clinical Sciences and Translational Medicine, “Tor Vergata” University, Rome, Italy
| | - M. Marasco
- Medical Engineering Service, Polyclinic Tor Vergata, Rome, Italy
| | - L. Bellizzi
- Medical Engineering Service, Polyclinic Tor Vergata, Rome, Italy
| | - F. Galasso
- Baro Postural Instruments Srl Innovative Start Up, Rome, Italy
| | - C. Foti
- Physical and Rehabilitation Medicine, Department of Clinical Sciences and Translational Medicine, “Tor Vergata” University, Rome, Italy
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Moustafa A, Hassanein E, Foti C. Objective assessment of corticosteroid effect in plantar fasciitis: additional utility of ultrasound. Muscles Ligaments Tendons J 2019. [DOI: 10.32098/mltj.04.2015.07] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- A.M.A. Moustafa
- Physical medicine, Rheumatology and Rehabilitation Department, Ain Shams University, Cairo, Egypt
- Physical and Rehabilitation Medicine, Department of Clinical Sciences and Translational Medicine, “Tor Vergata” University, Rome, Italy
| | - E. Hassanein
- Radio-diagnosis Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt
| | - C. Foti
- Physical and Rehabilitation Medicine, Department of Clinical Sciences and Translational Medicine, “Tor Vergata” University, Rome, Italy
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Vetrano M, Oliva F, Bisicchia S, Bossa M, De Carli A, Di Lorenzo L, Erroi D, Forte A, Foti C, Frizziero A, Gasparre G, Giai Via A, Innocenti B, Longo U, Mahmoud A, Masiero S, Mazza D, Natali S, Notarangelo C, Osti L, Padulo J, Pellicciari L, Perroni F, Piccirilli E, Ramponi C, Salvatore G, Panni A, Suarez T, Tarantino U, Vittadini F, Vulpiani M, Ferretti A, Maffulli N. I.S.Mu.L.T. first-time patellar dislocation guidelines. Muscles Ligaments Tendons J 2019. [DOI: 10.32098/mltj.01.2017.01] [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: 11/05/2022]
Affiliation(s)
- M. Vetrano
- Physical Medicine and Rehabilitation Unit, Sant’Andrea Hospital, “Sapienza” University of Rome, Rome, Italy
| | - F. Oliva
- Department of Orthopaedics and Traumatology, University of Rome “Tor Vergata”, Rome, Italy
| | - S. Bisicchia
- Department of Orthopaedic Surgery, San Pietro Fatebenefratelli Hospital, Rome, Italy
| | - M. Bossa
- Department of Physical Medicine and Rehabilitation, University of Rome “Tor Vergata”, Rome, Italy
| | - A. De Carli
- Orthopaedic Department and “Kirk Kilgour” Sports Injury Center, Sant’Andrea Hospital, “Sapienza” University of Rome, Rome, Italy
| | - L. Di Lorenzo
- Rehabilitation Unit, Neuroscience Department, “RUMMO” Hospital, Benevento, Italy
- Biomedical Research Centre, Gruppo Forte, Salerno, Italy
| | - D. Erroi
- Physical Medicine and Rehabilitation Unit, Sant’Andrea Hospital, “Sapienza” University of Rome, Rome, Italy
| | - A. Forte
- Biomedical Research Centre, Gruppo Forte, Salerno, Italy
| | - C. Foti
- Department of Physical Medicine and Rehabilitation, University of Rome “Tor Vergata”, Rome, Italy
| | - A. Frizziero
- Department of Physical and Rehabilitation Medicine, University of Padova, Padova, Italy
| | - G. Gasparre
- Department of Physical and Rehabilitation Medicine, University of Padova, Padova, Italy
| | - A. Giai Via
- Department of Orthopaedics and Traumatology, University of Rome “Tor Vergata”, Rome, Italy
| | - B. Innocenti
- BEAMS Department (Bio Electro and Mechanical Systems), École Polytechnique de Bruxelles, Université Libre de Bruxelles, Brussels, Belgium
| | - U.G. Longo
- Department of Orthopedic and Traumatology, University Campus Bio-Medico of Rome, Rome, Italy
| | - A. Mahmoud
- Department of Physical Medicine and Rehabilitation, University of Rome “Tor Vergata”, Rome, Italy
| | - S. Masiero
- Department of Physical and Rehabilitation Medicine, University of Padova, Padova, Italy
| | - D. Mazza
- Orthopaedic Department and “Kirk Kilgour” Sports Injury Center, Sant’Andrea Hospital, “Sapienza” University of Rome, Rome, Italy
| | - S. Natali
- Department of Orthopaedics and Traumatology, University of Rome “Tor Vergata”, Rome, Italy
| | - C. Notarangelo
- Department of Physical and Rehabilitation Medicine, University of Padova, Padova, Italy
| | - L. Osti
- Unit of Arthroscopy and Sports Trauma Surgery, Hesperia Hospital, Modena, Italy
| | - J. Padulo
- University eCampus, Novedrate, Italy; Tunisian Research Laboratory “Sports Performance Optimization”, National Center of Medicine and Science in Sport, Tunis, Tunisia; Faculty of Kinesiology, University of Split, Split, Croatia
| | - L. Pellicciari
- Department of Physical Medicine and Rehabilitation, University of Rome “Tor Vergata”, Rome, Italy
| | - F. Perroni
- School of Exercise and Sport Sciences (SUISM), Department of Medical Sciences, University of Turin, Turin, Italy
| | - E. Piccirilli
- Department of Orthopaedics and Traumatology, University of Rome “Tor Vergata”, Rome, Italy
| | - C. Ramponi
- Sport Physical Therapist, Kinè Physiotherapic Center, Conegliano, Italy
| | - G. Salvatore
- Department of Orthopedic and Traumatology, University Campus Bio-Medico of Rome, Rome, Italy
| | - A.S. Panni
- Multidisciplinary Department of Medical-Surgical and Dental Specialty, University of Campania Luigi Vanvitelli, Naples, Italy
| | - T. Suarez
- Physical Medicine and Rehabilitation Unit, Sant’Andrea Hospital, “Sapienza” University of Rome, Rome, Italy
| | - U. Tarantino
- Department of Orthopaedics and Traumatology, University of Rome “Tor Vergata”, Rome, Italy
| | - F. Vittadini
- Department of Physical and Rehabilitation Medicine, University of Padova, Padova, Italy
| | - M.C. Vulpiani
- Physical Medicine and Rehabilitation Unit, Sant’Andrea Hospital, “Sapienza” University of Rome, Rome, Italy
| | - A. Ferretti
- Orthopaedic Department and “Kirk Kilgour” Sports Injury Center, Sant’Andrea Hospital, “Sapienza” University of Rome, Rome, Italy
| | - N. Maffulli
- Department of Musculoskeletal Disorders, Faculty of Medicine and Surgery, University of Salerno, Salerno, Italy; Centre for Sports and Exercise Medicine, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
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Rocchi L, Merolli A, Giordani L, Albensi C, Foti C. Trapeziometacarpal joint osteoarthritis: a prospective trial on two widespread conservative therapies. Muscles Ligaments Tendons J 2019. [DOI: 10.32098/mltj.04.2017.16] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- L. Rocchi
- Orthopaedics and Hand Surgery Unit, Department of Orthopaedics and Traumatology Sciences, Policlinico A. Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy
| | - A. Merolli
- Orthopaedics and Hand Surgery Unit, Department of Orthopaedicsand Traumatology Sciences, Policlinico A. Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy
| | - L. Giordani
- Physical Medicine and Rehabilitation, Tor Vergata University, Rome, Italy
| | - C. Albensi
- Physical Medicine and Rehabilitation, Tor Vergata University, Rome, Italy
| | - C. Foti
- Postgraduate Program in Nursing and Health, State University of Southwest Bahia (UESB), Jequié, Bahia, Brazil
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Affiliation(s)
- L. Russo
- Department of Applied Clinical Sciences and Biotechnologies, University of L’Aquila, Italy
| | - U. D’Eramo
- Faculty of Medicine and Dental Surgery, Sapienza University of Rome, Italy
| | - J. Padulo
- University eCampus, Novedrate, Italy
- Tunisian Research Laboratory “Sports Performance Optimization” National Center of Medicine and Science in Sport, Tunis, Tunisia
| | - C. Foti
- Tor Vergata University, Rome, Italy
| | - R. Schiffer
- Faculty of Medicine and Dental Surgery, Sapienza University of Rome, Italy
| | - F. Scoppa
- Faculty of Medicine and Dental Surgery, Sapienza University of Rome, Italy
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Oliva F, Rugiero C, Giai Via A, Baldassarri M, Bernardi G, Biz C, Bossa M, Buda R, Buonocore D, Chianca V, Collina A, De Carli A, De Luna A, Di Lanno I, Di Lorenzo L, Di Pietto F, Dossena M, Fantoni I, Farsetti P, Fini M, Finotti P, Forte A, Foti C, Frizziero A, Gaj E, Galeone C, Gamberini J, Gasparini M, Innocenti B, Lupariello D, Mahmoud A, Marsilio E, Moretti B, Natali S, Padulo J, Pellicciari L, Perazzo L, Piccirilli E, Picerno P, Ruggeri P, Tarantino U, Vadalà A, Veronesi F, Verri M, Vetrano M, Vulpiani M, Zappia M, Maffulli N. I.S.Mu.L.T. Achilles tendon ruptures guidelines. Muscles Ligaments Tendons J 2019. [DOI: 10.32098/mltj.03.2018.03] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- F. Oliva
- Department of Orthopaedics and Traumatology, University of Rome "Tor Vergata", Roma, Italy
| | - C. Rugiero
- Department of Orthopaedics and Traumatology, "Sapienza" University of Rome, Sant'Andrea Hospital, Rome, Italy
| | - A. Giai Via
- Department of Orthopaedic and Traumatology, Hip Surgery Center, IRCCS San Donato Hospital, San Donato Milanese, Milan, Italy
| | - M. Baldassarri
- Department of Orthopaedics and Traumatology, Rizzoli Orthopaedic Institute, Bologna, Italy
| | - G. Bernardi
- Department of Orthopaedics and Traumatology, University of Rome "Tor Vergata", Roma, Italy
| | - C. Biz
- Orthopaedics Unit, Department of Surgical, Oncologic and Gastroenterological Sciences DiSCOG, University of Padua, Padua, Italy
| | - M. Bossa
- Department of Physical and Rehabilitation Medicine, University of Rome "Tor Vergata", Rome, Italy
| | - R. Buda
- Department of Orthopaedics and Traumatology, Rizzoli Orthopaedic Institute, Bologna, Italy
| | - D. Buonocore
- Department of Biology and Biotechnology, University of Pavia, Pavia, Italy
| | - V. Chianca
- Department of Advanced Biomedical Sciences, University of Naples "Federico II", Naples, Italy
| | - A. Collina
- Department of Diagnostic Imaging, Campolongo Hospital, Eboli (SA), Italy
| | - A. De Carli
- Department of Orthopaedics and Traumatology, "Sapienza" University of Rome, Sant'Andrea Hospital, Rome, Italy
| | - A.V. De Luna
- Department of Orthopaedics and Traumatology, University of Rome "Tor Vergata", Roma, Italy
| | - I. Di Lanno
- Department of Diagnostic Imaging, Campolongo Hospital, Eboli (SA), Italy
| | - L. Di Lorenzo
- Department of Diagnostic Imaging, Campolongo Hospital, Eboli (SA), Italy
| | - F. Di Pietto
- Department of Diagnostic Imaging, AORNA, Cardarelli Hospital, Naples, Italy
| | - M. Dossena
- Department of Biology and Biotechnology, University of Pavia, Pavia, Italy
| | - I. Fantoni
- Orthopaedics Unit, Department of Surgical, Oncologic and Gastroenterological Sciences DiSCOG, University of Padua, Padua, Italy
| | - P. Farsetti
- Department of Orthopaedics and Traumatology, University of Rome "Tor Vergata", Roma, Italy
| | - M. Fini
- Laboratory of Preclinical and Surgical Studies, Rizzoli Orthopaedic Institute, Bologna, Italy
| | - P. Finotti
- Department of Physical and Rehabilitation Medicine, University of Padua, Padua, Italy
| | - A.M. Forte
- Centre of Rehabilitation and Biomedical Research, Biomedical Research Center Gruppo Forte, Salerno, Italy
| | - C. Foti
- Department of Physical and Rehabilitation Medicine, University of Rome "Tor Vergata", Rome, Italy
| | - A. Frizziero
- Department of Physical and Rehabilitation Medicine, University of Padua, Padua, Italy
| | - E. Gaj
- Department of Orthopaedics and Traumatology, "Sapienza" University of Rome, Sant'Andrea Hospital, Rome, Italy
| | - C. Galeone
- Department of Biology and Biotechnology, University of Pavia, Pavia, Italy
| | - J. Gamberini
- Department of Physical and Rehabilitation Medicine, University of Padua, Padua, Italy
| | - M. Gasparini
- Department of Orthopaedics and Traumatology, University of Rome "Tor Vergata", Roma, Italy
| | - B. Innocenti
- BEAMS Department (Bio Electro Mechanical System), ècole polytechnique de Bruxelles, Universitè Libre de Bruxelles, Brussels, Belgium
| | - D. Lupariello
- Department of Orthopaedics and Traumatology, "Sapienza" University of Rome, Sant'Andrea Hospital, Rome, Italy
| | - A. Mahmoud
- Department of Physical and Rehabilitation Medicine, University of Rome "Tor Vergata", Rome, Italy
- Department of Physical Medicine, Rheumatology and Rehabilitation, University of Cairo "Ain Shams", Cairo, Egypt
| | - E. Marsilio
- Department of Orthopaedics and Traumatology, University of Rome "Tor Vergata", Roma, Italy
| | - B. Moretti
- Department of Orthopaedics and Traumatology, Bari Hospital, Bari, Italy
| | - S. Natali
- Department of Orthopaedics and Traumatology, Rizzoli Orthopaedic Institute, Bologna, Italy
| | - J. Padulo
- Sport Science, University e-Campus, Novedrate, Italy; Tunisian Laboratory of Research for Sporty Perfomance Optimization, National Center of Medicine and Sport Sciences, Tunis, Tunisia
| | - L. Pellicciari
- Department of Physical and Rehabilitation Medicine, University of Rome "Tor Vergata", Rome, Italy
- Sport Science, University e-Campus, Novedrate, Italy; Tunisian Laboratory of Research for Sporty Perfomance Optimization, National Center of Medicine and Sport Sciences, Tunis, Tunisia
| | - L. Perazzo
- Department of Orthopaedics and Traumatology, Rizzoli Orthopaedic Institute, Bologna, Italy
| | - E. Piccirilli
- Department of Orthopaedics and Traumatology, University of Rome "Tor Vergata", Roma, Italy
| | - P. Picerno
- Telematics University e-Campus, Novedrate, Italy
| | - P. Ruggeri
- Orthopaedics Unit, Department of Surgical Oncologic and Gastroenterogical Sciences DISCOG, University of Padua, Padua, Italy
| | - U. Tarantino
- Department of Orthopaedics and Traumatology, University of Rome "Tor Vergata", Roma, Italy
| | - A. Vadalà
- Department of Orthopaedics and Traumatology, "Sapienza" University of Rome, Sant'Andrea Hospital, Rome, Italy
| | - F. Veronesi
- Rizzoli Orthopaedic Institute, Bologna, Italy
| | - M. Verri
- Department of Biology and Biotechnology, University of Pavia, Pavia, Italy
| | - M. Vetrano
- Department of Physical and Rehabilitation Medicine, "Sapienza" University of Rome, Sant'Andrea Hospital, Rome, Italy
| | - M.C. Vulpiani
- Department of Physical and Rehabilitation Medicine, "Sapienza" University of Rome, Sant'Andrea Hospital, Rome, Italy
| | - M. Zappia
- Department of Medicine and Health Science, University of Molise, Campobasso, Italia; Varelli Institute, Naples, Italy
| | - N. Maffulli
- Department of Physical and Rehabilitation Medicine, San Giovanni di Dio e Ruggi d'Aragona Hospital, University of Salerno, Italy; University of London Queen Mary, Barts and the London School of Medicine Dentistry, Sport Medicine Center, Mile End Hospital, London, UK
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Piccirilli E, Oliva F, Aconstantinesei Murè M, Mahmoud A, Foti C, Tarantino U, Maffulli N. Viscosupplementation with intra-articular hyaluronic acid for hip disorders. A systematic review and meta-analysis. Muscles Ligaments Tendons J 2019. [DOI: 10.32098/mltj.03.2016.04] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- E. Piccirilli
- Department of Orthopaedics and Traumatology, University of Rome “Tor Vergata”, Italy
| | - F. Oliva
- Department of Orthopaedics and Traumatology, University of Rome “Tor Vergata”, Italy
| | - M. Aconstantinesei Murè
- Department of Physical and Rehabilitation Medicine, School of Medicine, University of Rome “Tor Vergata”, Italy
| | - A. Mahmoud
- Department of Physical and Rehabilitation Medicine, School of Medicine, University of Rome “Tor Vergata”, Italy
- Physical medicine, Rheumatology and rehabilitation department, Faculty of Medicine, Ain Shams University, Cairo, Egypt
| | - C. Foti
- Department of Physical and Rehabilitation Medicine, School of Medicine, University of Rome “Tor Vergata”, Italy
| | - U. Tarantino
- Department of Orthopaedics and Traumatology, University of Rome “Tor Vergata”, Italy
| | - N. Maffulli
- Head of Department of Orthopaedics and Traumatology, Azienda Ospedaliera San Giovanni di Dio e Ruggi d’Aragona, University of Salerno, Italy; Queen Mary University of London, Barts and the London School of Medicine and Dentistry, Centre for Sports and Exercise Medicine, Mile End Hospital, London, UK
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Oliva F, Giai Via A, Kiritsi O, Foti C, Maffulli N. Surgical repair of muscle laceration: biomechanical properties at 6 years follow-up. Muscles Ligaments Tendons J 2019. [DOI: 10.32098/mltj.04.2013.12] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- F. Oliva
- Department of Orthopaedic and Traumatology, University of Rome “Tor Vergata”, School of Medicine, Italy
| | - A. Giai Via
- Department of Orthopaedic and Traumatology, University of Rome “Tor Vergata”, School of Medicine, Italy
| | - O. Kiritsi
- Department of Radiology, Mid Staffordshire NHS Foundation Trust, Stafford UK
| | - C. Foti
- Department of Physical and Rehabilitation medicine, University of Rome “Tor Vergata”, School of Medicine, Italy
| | - N. Maffulli
- Head of Department of Physical and Rehabilitation Medicine, University of Salerno, Italy
- Queen Mary University of London, Barts and the London School of Medicine and Dentistry, Centre for Sports and Exercise Medicine, Mile End Hospital, London, UK
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Oliva F, Piccirilli E, Bossa M, Giai Via A, Colombo A, Chillemi C, Gasparre G, Pellicciari L, Franceschetti E, Rugiero C, Scialdoni A, Vittadini F, Brancaccio P, Creta D, Del Buono A, Garofalo R, Franceschi F, Frizziero A, Mahmoud A, Merolla G, Nicoletti S, Spoliti M, Osti L, Padulo J, Portinaro N, Tajana G, Castagna A, Foti C, Masiero S, Porcellini G, Tarantino U, Maffulli N. I.S.Mu.L.T - Rotator Cuff Tears Guidelines. Muscles Ligaments Tendons J 2019. [DOI: 10.32098/mltj.04.2015.01] [Citation(s) in RCA: 49] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- F. Oliva
- Department of Orthopaedics and Traumatology, University of Rome “Tor Vergata”, Italy
| | - E. Piccirilli
- Department of Orthopaedics and Traumatology, University of Rome “Tor Vergata”, Italy
| | - M. Bossa
- Department of Physical and Rehabilitation medicine, School of Medicine, University of Rome “Tor Vergata”, Italy
| | - A. Giai Via
- Department of Orthopaedics and Traumatology, University of Rome “Tor Vergata”, Italy
| | - A. Colombo
- UO Pediatric Orthopaedics, Humanitas Research Hospital, Milano, Italy
| | - C. Chillemi
- Department of Orthopaedic and Traumatology, Istituto Chirurgico Ortopedico Traumatologico (ICOT), Latina, Italy
| | - G. Gasparre
- Department of Physical and Rehabilitation Medicine, University of Padua, Italy
| | - L. Pellicciari
- Department of Physical and Rehabilitation medicine, School of Medicine, University of Rome “Tor Vergata”, Italy
| | - E. Franceschetti
- Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, Italy
| | - C. Rugiero
- Department of Orthopaedics and Traumatology, University of Rome “Tor Vergata”, Italy
| | - A. Scialdoni
- Department of Orthopaedics and Traumatology, University of Rome “Tor Vergata”, Italy
| | - F. Vittadini
- Department of Physical and Rehabilitation Medicine, University of Padua, Italy
| | - P. Brancaccio
- Service of Sports Medicine, II University of Naples, Italy
| | - D. Creta
- Physical Therapy and Rehabilitation Service, Private Hospital “Madre Fortunata Toniolo”, Bologna, Italy
| | - A. Del Buono
- Orthopaedics and Traumatology, Ospedale Sant’Anna, Sanfermo della Battaglia, Como, Italy
| | - R. Garofalo
- Shoulder Service, Miulli Hospital, Acquaviva delle Fonti, Bari, Italy
| | - F. Franceschi
- Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, Italy
| | - A. Frizziero
- Department of Physical and Rehabilitation Medicine, University of Padua, Italy
| | - A. Mahmoud
- Department of Physical and Rehabilitation medicine, School of Medicine, University of Rome “Tor Vergata”, Italy
| | - G. Merolla
- Shoulder and Elbow Unit Biomechanics Laboratory “M. Simoncelli” D. Cervesi Hospital, Cattolica, Italy
| | - S. Nicoletti
- Department of Orthopaedics and Traumatology, San Jacopo Hospital, Italy
| | - M. Spoliti
- Department of Orthopaedics and Traumatology, San Camillo Hospital, Rome, Italy
| | - L. Osti
- Unit of Arthroscopic and Sports Medicine, Hesperia Hospital, Modena, Italy
| | - J. Padulo
- Sport Science, University e-Campus, Novedrate, Italy; Tunisian Research Laboratory “Sports Performance Optimization”, National Center of Medicine and Science in Sport, Tunis, Tunisia
| | - N. Portinaro
- UO Pediatric Orthopaedics, Humanitas Research Hospital, Milano, Italy
| | - G. Tajana
- Hystology ed Embriology, University of Salerno, Italy
| | - A. Castagna
- Shoulder and Elbow Unit, IRCCS Humanitas Institute, Rozzano, Milano, Italy
| | - C. Foti
- Department of Physical and Rehabilitation medicine, School of Medicine, University of Rome “Tor Vergata”, Italy
| | - S. Masiero
- Department of Physical and Rehabilitation Medicine, University of Padua, Italy
| | - G. Porcellini
- Shoulder and Elbow Unit Biomechanics Laboratory “M. Simoncelli” D. Cervesi Hospital, Cattolica, Italy
| | - U. Tarantino
- Department of Orthopaedics and Traumatology, University of Rome “Tor Vergata”, Italy
| | - N. Maffulli
- Head of Department of Orthopaedics and Traumatology, Azienda Ospedaliera San Giovanni di Dio e Ruggi d’Aragona, University of Salerno, Italy; Queen Mary University of London, Barts and the London School of Medicine and Dentistry, Centre for Sports and Exercise Medicine, Mile End Hospital, London, UK
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Frizziero A, Vittadini F, Oliva F, Abatangelo G, Bacciu S, Bernardi A, Bossa M, Buda R, Buonocore D, Calderazzi F, Carolla F, Ceccarelli F, Costantino C, Dossena M, Faldini C, Finotti P, Foti C, Frizzero L, Galletti S, Gasparre G, Giai Via A, Mahmoud A, Masiero S, Merolla G, Migliore A, Natali S, Nicoletti S, Padolino A, Pellicciari L, Piccirilli E, Pintus E, Porcellini G, Romiti D, Terreni M, Valent A, Vannini F, Verri M, Vertuccio M, Vetrano M, Vulpiani M, Maffulli N. I.S.Mu.L.T. Hyaluronic acid injections in musculoskeletal disorders guidelines. Muscles Ligaments Tendons J 2019. [DOI: 10.32098/mltj.03.2018.04] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- A. Frizziero
- Department of Physical and Rehabilitation Medicine, University of Padova, Padova, Italy
| | - F. Vittadini
- Venezia FC Medical Staf, Venice, Italy - Department of Physical and Rehabilitation Medicine, Casa di Cura Giovanni XXIII, Monastir di Treviso, Italy
| | - F. Oliva
- Department of Orthopaedics and Traumatology, University of Rome "Tor Vergata", Roma, Italy
| | - G. Abatangelo
- Department of Histology, Microbiology and Medical Biotechnology, University of Padova, Padova, Italy
| | - S. Bacciu
- Physical and Rehabilitation Medicine, University of Rome "Tor Vergata", Rome, Italy
| | - A. Bernardi
- UOC of Immunohaematology and Transfusion Medicine, Santo Spirito Hospital, Pescara, Italy
| | - M. Bossa
- Department of Physical and Rehabilitation Medicine, University of Rome "Tor Vergata", Rome, Italy
| | - R. Buda
- Rizzoli Orthopaedic Institute, University of Bologna, Bologna, Italy
| | - D. Buonocore
- Department of Biology and Biotechnology, University of Pavia, Pavia, Italy
| | - F. Calderazzi
- Orthopaedic and Trauma Department, Parma University, Parma, Italy
| | - F. Carolla
- Orthopaedic and Trauma Department, Parma University, Parma, Italy
| | - F. Ceccarelli
- Orthopaedic and Trauma Department, Parma University, Parma, Italy
| | - C. Costantino
- Rehabilitation Medicine, Department of Clinical and Experimental Medicine, Parma University Hospital, Parma, Italy
| | - M. Dossena
- Department of Biology and Biotechnology, University of Pavia, Pavia, Italy
| | - C. Faldini
- Rizzoli Orthopaedic Institute, University of Bologna, Bologna, Italy
| | - P. Finotti
- Department of Physical and Rehabilitation Medicine, University of Padua, Padua, Italy
| | - C. Foti
- Department of Physical and Rehabilitation Medicine, University of Rome "Tor Vergata", Rome, Italy
| | - L. Frizzero
- Department of Rheumatology, Villa Toniolo Hospital, Bologna, Italy
| | - S. Galletti
- Musciloskeletal ultrasound School, Italian Society for Ultrasound in Medicine and Biology (SIUMB), Bologna, Italy
| | - G. Gasparre
- Department of Physical and Rehabilitation Medicine, University of Padova, Padova, Italy
| | - A. Giai Via
- Department of Orthopaedic and Traumatology, Hip Surgery Center, IRCCS San Donato Hospital, San Donato Milanese, Milan, Italy
| | - A. Mahmoud
- Department of Physical and Rehabilitation Medicine, University of Rome "Tor Vergata", Rome, Italy
| | - S. Masiero
- Department of Physical and Rehabilitation Medicine, University of Padova, Padova, Italy
| | - G. Merolla
- Department of Physical and Rehabilitation Medicine, University of Rome "Tor Vergata", Rome, Italy
| | - A. Migliore
- Unit of Rheumatology, "Ospedale S. Pietro FBF", Rome, Italy
| | - S. Natali
- Rizzoli Orthopaedic Institute, University of Bologna, Bologna, Italy
| | - S. Nicoletti
- Orthopaedic and Trauma Department, San Jacopo Hospital, Pistoia, Italy
| | - A. Padolino
- Department of Physical and Rehabilitation Medicine, University of Rome "Tor Vergata", Rome, Italy
| | - L. Pellicciari
- Department of Physical and Rehabilitation Medicine, University of Rome "Tor Vergata", Rome, Italy
| | - E. Piccirilli
- Department of Orthopaedics and Traumatology, University of Rome "Tor Vergata", Roma, Italy
| | - E. Pintus
- Rizzoli Orthopaedic Institute, University of Bologna, Bologna, Italy
| | - G. Porcellini
- Department of Physical and Rehabilitation Medicine, University of Rome "Tor Vergata", Rome, Italy
| | - D. Romiti
- Rehabilitation Medicine, Department of Clinical and Experimental Medicine, Parma University Hospital, Parma, Italy
| | - M. Terreni
- Department of Biology and Biotechnology "L. Spallanzani", University of Pavia, Pavia, Italy
| | - A. Valent
- Fisioclinis Formigne Clinic, Modena, Italy
| | - F. Vannini
- Rizzoli Orthopaedic Institute, University of Bologna, Bologna, Italy
| | - M. Verri
- Department of Biology and Biotechnology, University of Pavia, Pavia, Italy
| | - M. Vertuccio
- Physical Medicine and Rehabilitation Unit, Sant'Andrea Hospital, "Sapienza" University of Rome, Rome, Italy
| | - M. Vetrano
- Department of Physical and Rehabilitation Medicine, "Sapienza" University of Rome, Sant'Andrea Hospital, Rome, Italy
| | - M.C. Vulpiani
- Department of Physical and Rehabilitation Medicine, "Sapienza" University of Rome, Sant'Andrea Hospital, Rome, Italy
| | - N. Maffulli
- Department of Musculoskeletal Disorders, Faculty od Medicine and Surgery, University of Salerno, Baronissi, Salerno, Italy; Centre of Sport and Exercise Medicine, Barts and The London School of Medicine and Dentistry, Mile End Hospital, London, UK
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Marzano AV, Genovese G, Casazza G, Fierro MT, Dapavo P, Crimi N, Ferrucci S, Pepe P, Liberati S, Pigatto PD, Offidani A, Martina E, Girolomoni G, Rovaris M, Foti C, Stingeni L, Cristaudo A, Canonica GW, Nettis E, Asero R. Predictors of response to omalizumab and relapse in chronic spontaneous urticaria: a study of 470 patients. J Eur Acad Dermatol Venereol 2018; 33:918-924. [PMID: 30451325 DOI: 10.1111/jdv.15350] [Citation(s) in RCA: 64] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2018] [Revised: 10/18/2018] [Indexed: 01/12/2023]
Abstract
BACKGROUND Chronic spontaneous urticaria (CSU) is defined as spontaneous occurrence of wheals and/or angioedema for ≥6 weeks. Omalizumab is a monoclonal anti-IgE antibody effective in refractory CSU, but its mechanism of action and markers predictive of response remain not completely defined. OBJECTIVES To correlate baseline levels of two proposed biomarkers, total IgE (bIgE) and d-dimer (bd-dimer), and clinical parameters to omalizumab response and to relapses after drug withdrawal. METHODS In this retrospective Italian multicentre study, clinical data were collected in 470 CSU patients, and bIgE and bd-dimer were measured in 340 and 342 patients, respectively. Disease activity was determined by Urticaria Activity Score 7 (UAS7) at week 1 and 12 after omalizumab starting. Relapses were evaluated during a 2- and 3-month interval after a first and a second course of treatment, respectively. RESULTS bIgE correlated to a good response to omalizumab since levels were significantly higher in responders than non-responders (P = 0.0002). Conversely, bd-dimer did not correlate to response. There was no correlation between both bIgE and d-dimer and either first or second relapse. Disease duration was significantly longer in patients who experienced either first or second relapse (P < 0.0001 and P = 0.0105, respectively), while baseline UAS7 correlated only to first relapse (P = 0.0023). CONCLUSIONS Our study confirms bIgE as a reliable biomarker predicting response to omalizumab in CSU, while it does not support the usefulness of bd-dimer unlike previous findings. CSU duration before omalizumab and baseline UAS7 may be clinical markers of relapse risk.
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Affiliation(s)
- A V Marzano
- UOC Dermatologia, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.,Dipartimento di Fisiopatologia Medico-Chirurgica e dei Trapianti, Università degli Studi di Milano, Milan, Italy
| | - G Genovese
- UOC Dermatologia, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.,Dipartimento di Fisiopatologia Medico-Chirurgica e dei Trapianti, Università degli Studi di Milano, Milan, Italy
| | - G Casazza
- Dipartimento di Scienze Biomediche e Cliniche "L. Sacco", Università degli Studi di Milano, Milan, Italy
| | - M T Fierro
- Department of Medical Sciences, Section of Dermatology, University of Turin, Turin, Italy
| | - P Dapavo
- Department of Medical Sciences, Section of Dermatology, University of Turin, Turin, Italy
| | - N Crimi
- Department of Clinical and Experimental Medicine-Respiratory Medicine & Allergy, University of Catania, Catania, Italy
| | - S Ferrucci
- UOC Dermatologia, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - P Pepe
- Dermatology Unit, Surgical, Medical and Dental Department of Morphological Sciences Related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - S Liberati
- Dermatology Unit, Surgical, Medical and Dental Department of Morphological Sciences Related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - P D Pigatto
- Clinical Dermatology, Department of Biomedical, Surgical and Dental Sciences, IRCCS Galeazzi Orthopaedic Institute, University of Milan, Milan, Italy
| | - A Offidani
- Dermatology Unit, Department of Clinical and Molecular Sciences, Polytechnic Marche University, Ancona, Italy
| | - E Martina
- Dermatology Unit, Department of Clinical and Molecular Sciences, Polytechnic Marche University, Ancona, Italy
| | - G Girolomoni
- Department of Medicine, Section of Dermatology, University of Verona, Verona, Italy
| | - M Rovaris
- Department of Medicine, Section of Dermatology, University of Verona, Verona, Italy
| | - C Foti
- Department of Biomedical Science and Human Oncology, Section of Dermatology, University of Bari, Bari, Italy
| | - L Stingeni
- Section of Clinical, Allergological and Venereological Dermatology, Department of Medicine, University of Perugia, Perugia, Italy
| | - A Cristaudo
- Service of Occupational and Environmental Allergic Dermatology, San Gallicano Dermatology Institute for Research and Care, Rome, Italy
| | - G W Canonica
- Department of Internal Medicine, Respiratory Disease Clinic, IRCCS Humanitas Clinical and Research Center, Humanitas University, Milan, Italy
| | - E Nettis
- Department of Emergency and Organ Transplantation, School of Allergology and Clinical Immunology, University of Bari Aldo Moro, Bari, Italy
| | - R Asero
- Ambulatorio di Allergologia, Clinica San Carlo, Paderno Dugnano, Milan, Italy
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Migliore A, Frediani B, Gigliucci G, Anichini SE, Cassol M, Crimaldi S, De Lucia O, Iolascon G, Foti C. One-year follow-up showing effects of single intra-articular injection of hyaluronic acid (1,500-2,000 kDa) in symptomatic knee osteoarthritis. J BIOL REG HOMEOS AG 2018; 32:1433-1441. [PMID: 30574747] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Clinical evidence on knee osteoarthritis suggests that intra-articular administration of hyaluronic acid may be useful in the management of patients with persistent pain. This study assesses the duration of effectiveness of a single intra-articular hyaluronic acid injection in a large population of patients with knee osteoarthritis. This retrospective post-marketing cohort study collected data from the ANTIAGE Registry (http://www.antiagefbf.it/registro), selecting patients of age ≥ 40 years, with symptomatic knee osteoarthritis (Kellgren-Lawrence grade I-III) of ≥ 12 months duration, and ≥12 months of follow-up. Patients had received a single intra-articular injection of high molecular weight hyaluronic acid (1,500-2,000 kDa) at baseline. WOMAC Osteoarthritis Index total scores measured using the LK 3.1 scale and 10 cm VAS pain scores were evaluated before IA Injection and at 6, 9, 10, 11 and 12 months. Blood cell counts, uricemia, erythrocyte sedimentation rates and levels of C-reactive protein were measured at baseline and 12 months. Time from initial treatment to second injection up to 12 months was recorded to assess event-free survival. Included patients (n=187) were 53.5% female and had a mean (±SD) age at baseline of 62 (±16.6) years and mean (±SD) body mass index of 26.2 (±2.5) kg/m2. Mean (±SD) WOMAC index total score and VAS pain scores were 60.9 (±7.1) and 5.9 cm (±1.8), respectively. There were statistically significant reductions compared to baseline in mean WOMAC index total score and VAS pain score at all time points (p less than0.01 at 6 and 9 months; p less than 0.05 at 10, 11 and 12 months for both parameters). These results support the clinical effectiveness and safety of hyaluronic acid for up to 12 months for pain relief and function improvement in patients with knee osteoarthritis, confirming previous data on intra-articular administration of hyaluronic acid as chronic therapy in the management of knee osteoarthritis.
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Affiliation(s)
- A Migliore
- Rheumatology Unit, S. Pietro FBF Hospital, Rome, Italy
| | - B Frediani
- Department of Medicine, Surgery and Neurosciences, Rheumatology Section, University of Siena; Osteo-Articular Diagnostic Procedures Hospital, Siena, Italy
| | - G Gigliucci
- Rheumatology Unit, S. Pietro FBF Hospital, Rome, Italy
| | - S E Anichini
- Rheumatology Unit, S. Pietro FBF Hospital, Rome, Italy
| | - M Cassol
- Internal Medicine Department, S. Pietro FBF Hospital, Rome, Italy
| | - S Crimaldi
- Orthopaedics 2, Orthopaedic Mininvasive Surgery and New Technologies, Humanitas Hospital, Castellanza, Italy
| | - O De Lucia
- Rheumatology Department, ASST Gaetano Pini-CTO Orthopedic and Traumatology Specialist Center, Milan, Italy
| | - G Iolascon
- Department of Medical and Surgical Specialties and Dentistry, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - C Foti
- Department of Physical and Rehabilitation Medicine, Clinical Sciences and Translational Medicine Department, Tor Vergata University, Rome, Italy
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Magli A, Moretti E, Guernieri M, Urpis M, Prisco A, Crespi M, Foti C, Scalchi P, Trovo M. EP-1599: MRI-guided contouring in SBRT of the prostate for localized disease. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)31908-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Guida S, Foti C, Manganelli M, Bartolomeo N, Pellacani G, Bonamonte D, Filotico R, Guida G. MC1R genotype and psoriasis: is there a link revealing a phenotypic difference? J Eur Acad Dermatol Venereol 2018; 32:e119-e120. [DOI: 10.1111/jdv.14607] [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: 11/29/2022]
Affiliation(s)
- S. Guida
- Dermatology Unit; University of Modena and Reggio Emilia; Modena Italy
| | - C. Foti
- Dermatological Clinic; Department of Biomedical Science and Human Oncology; University of Bari; Bari Italy
| | - M. Manganelli
- Molecular Biology Section; Department of Basic Medical Sciences; Neurosciences and Sense Organs; University of Bari; Bari Italy
| | - N. Bartolomeo
- Hygiene Section; Department of Biomedical Sciences and Human Oncology; University of Bari; Bari Italy
| | - G. Pellacani
- Dermatology Unit; University of Modena and Reggio Emilia; Modena Italy
| | - D. Bonamonte
- Dermatological Clinic; Department of Biomedical Science and Human Oncology; University of Bari; Bari Italy
| | - R. Filotico
- Dermatology Unit; Hospital “A. Perrino”; Brindisi Italy
| | - G. Guida
- Molecular Biology Section; Department of Basic Medical Sciences; Neurosciences and Sense Organs; University of Bari; Bari Italy
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Gisondi P, Altomare G, Ayala F, Conti A, Dapavo P, De Simone C, Foti C, Idolazzi L, Lubrano E, Malara G, Marchesoni A, Olivieri I, Parodi A, Peris K, Piaserico S, Salvarani C, Scarpa R, Girolomoni G. Consensus on the management of patients with psoriatic arthritis in a dermatology setting. J Eur Acad Dermatol Venereol 2018; 32:515-528. [PMID: 29220551 DOI: 10.1111/jdv.14741] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2017] [Accepted: 11/22/2017] [Indexed: 12/13/2022]
Abstract
BACKGROUND Psoriatic arthritis (PsA) is a chronic inflammatory disease associated with psoriasis (PsO). Early diagnosis and prompt therapeutic intervention are crucial for limiting PsA progression and prevention of disability. Dermatologists are in a privileged position to detect early PsA. The management of patients with PsA in the dermatology setting is widely variable. OBJECTIVE To provide practical recommendations for the management of patients with PsA in the dermatology setting including early diagnosis and treatment. METHODS A consensus document was written by an expert panel composed by dermatologists (n = 12) and rheumatologists (n = 6). Eleven highly relevant questions were selected and elaborated with answers/statements based on a narrative literature review. The resulting document was discussed in a face-to-face meeting adopting a nominal group technique to reach consensus (i.e. 100% agreement) using the Delphi method. RESULTS A consensus was achieved in defining the following: the clinical characteristics differentiating inflammatory and non-inflammatory signs and symptoms of joint disease; the most important differential diagnoses of PsA in clinical practice; the most useful screening questionnaires, serum laboratory tests and imaging techniques for the detection of early PsA; the criteria for dermatologist to refer patients with PsO to rheumatologist; the criteria for the diagnosis of PsA; the selection of the indices that the dermatologist could use for measuring the activity and severity of PsA in clinical practice; when systemic steroids and/or intra-articular steroid injections are indicated in the treatment of PsA. Finally, systemic treatments including synthetic and biologic disease-modifying antirheumatic drugs to be considered for the treatment of PsA have been reported. CONCLUSIONS The implementations of these practical recommendations could be very helpful for the management of patients with PsA in the dermatology setting including early diagnosis and treatment.
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Affiliation(s)
- P Gisondi
- Department of Medicine, Section of Dermatology and Venereology, University of Verona, Verona, Italy
| | - G Altomare
- I.R.C.C.S Istituto Ortopedico Galeazzi, Division of Dermatology and Venereology, University of Milan, Milan, Italy
| | - F Ayala
- Department of Dermatology, University of Naples Federico II, Naples, Italy
| | - A Conti
- Department of Head and Neck Surgery, Section of Dermatology, Azienda Ospedaliero Universitaria Policlinico di Modena, Modena, Italy
| | - P Dapavo
- Department of Biomedical Science and Human Oncology, Second Dermatologic Clinic, University of Turin, Turin, Italy
| | - C De Simone
- Dermatology Department, Catholic University of the Sacred Heart, Rome, Italy
| | - C Foti
- Department of Biomedical Science and Human Oncology, Section of Dermatology, University of Bari, Bari, Italy
| | - L Idolazzi
- Department of Medicine, Section of Rheumatology, University of Verona, Verona, Italy
| | - E Lubrano
- Dipartimento di Medicina e Scienze della Salute "Vincenzo Tiberio", Università degli Studi del Molise, Campobasso, Italy
| | - G Malara
- Unit of Dermatology, Azienda Ospedaliera Papardo, Messina, Italy
| | - A Marchesoni
- Department of Rheumatology, ASST Gaetano Pini-CTO, Milano, Italy
| | - I Olivieri
- Division of Rheumatology, Azienda Ospedaliera San Carlo, Potenza, Italy
| | - A Parodi
- Section of Dermatology, University of Genoa, Genoa, Italy
| | - K Peris
- Dermatology Department, Catholic University of the Sacred Heart, Rome, Italy
| | - S Piaserico
- Department of Medicine, Section of Dermatology, University of Padua, Padua, Italy
| | - C Salvarani
- Division of Rheumatology, Azienda USL-IRCCS di Reggio Emilia, University of Modena and Reggio Emilia, Modena, Reggio Emilia, Italy
| | - R Scarpa
- Department of Medicine, Section of Rheumatology, University of Naples Federico II, Naples, Italy
| | - G Girolomoni
- Department of Medicine, Section of Dermatology and Venereology, University of Verona, Verona, Italy
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Stingeni L, Bianchi L, Hansel K, Neve D, Foti C, Corazza M, Bini V, Moretta I, Principato M. Dermatitis caused by arthropods in domestic environment: an Italian multicentre study. J Eur Acad Dermatol Venereol 2017; 31:1526-1533. [PMID: 28653403 DOI: 10.1111/jdv.14438] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2017] [Accepted: 06/12/2017] [Indexed: 11/30/2022]
Abstract
BACKGROUND Skin diseases caused by mites and insects living in domestic environments have been rarely systematically studied. OBJECTIVES To study patients with dermatitis induced by arthropods in domestic environment describing their clinical features, isolating culprit arthropods and relating the clinical features to the parasitological data. METHODS The study was performed in 105 subjects with clinical and anamnestic data compatible with the differential diagnosis of ectoparasitoses in domestic environments. Clinical data and arthropods findings obtained by indoor dust direct examination were studied. RESULTS Indoor dust direct examination demonstrated possible arthropods infestation in 98 subjects (93.3%), more frequently mites (56.1%) (mainly Pyemotes ventricosus and Glycyphagus domesticus) than insects (43.9%) (mainly Formicidae and Bethylidae). Strophulus (46.9%) and urticaria-like eruption (36.7%) in upper limbs and trunk with severe extent were prevalent. Itch was mostly severe (66.3%) and continuous (55.1%). Ectoparasitoses occurred frequently with acute course in summer (44.9%) and spring (30.6%). CONCLUSIONS Possible correlation between clinical and aetiological diagnosis of arthropods ectoparasitoses in domestic environments needs the close cooperation between dermatologist and parasitologist. This is crucial to successfully and definitely resolve skin lesions by eradicating the factors favouring infestation.
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Affiliation(s)
- L Stingeni
- Section of Clinical, Allergological and Venereological Dermatology, Department of Medicine, University of Perugia, Perugia, Italy
| | - L Bianchi
- Section of Clinical, Allergological and Venereological Dermatology, Department of Medicine, University of Perugia, Perugia, Italy
| | - K Hansel
- Section of Clinical, Allergological and Venereological Dermatology, Department of Medicine, University of Perugia, Perugia, Italy
| | - D Neve
- Section of Clinical, Allergological and Venereological Dermatology, Department of Medicine, University of Perugia, Perugia, Italy
| | - C Foti
- Section of Dermatology, Department of Biomedical Science and Human Oncology, University of Bari, Bari, Italy
| | - M Corazza
- Section of Dermatology, Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - V Bini
- Internal Medicine, Endocrine and Metabolic Sciences Section, Department of Medicine, University of Perugia, Perugia, Italy
| | - I Moretta
- Department of Veterinary Medicine, University of Perugia, Perugia, Italy
| | - M Principato
- Department of Veterinary Medicine, University of Perugia, Perugia, Italy
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Buquicchio R, Foti C, Loconsole F, Polimeno L, Ventura MT. Clusterin serum level: how does it affect psoriatic patients? J BIOL REG HOMEOS AG 2017; 31:785-789. [PMID: 28958138] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Psoriasis is a chronic inflammatory skin disease with systemic involvement that might predispose to many psoriasis-related comorbidities, such as metabolic syndrome and cardiovascular disorders. Clusterin (Clu), also known as apolipoprotein J (ApoJ), is a highly conserved disulfide-linked heterodimeric glycoprotein implicated in a great variety of physiological and pathophysiological processes including lipid transportation, tissue remodeling, senescence, cell interaction, stress response, inflammation, apoptosis, diabetes mellitus and metabolic syndrome. Serum levels of Clu were assessed in 15 patients with moderate-to-severe psoriasis defined by the presence of a Psoriasis Area and a Severity Index (PASI) value of 10 or more. It was found that the Clu value was significantly higher in patients than in healthy subjects (p <0.001). Our data confirm that the association of psoriatic disease with some comorbidities, especially metabolic and cardiovascular disease, might support the correlation with increased circulating Clu. In particular, it should be pointed out that, according to the recent literature, the Clu could also have a protective role in the comorbidity of psoriasis patients. In addition, it has been published that Clu protects cardiomyocytes against ischemic cell death and is a potential therapeutic agent in the treatment of myocardial infarction; therefore it can be assumed that an artificial enhancement of Clu in the blood could limit the severity of damage also in respect to skin lesions. Although the increase in serum level of Clu was found in all patients with psoriasis, more studies on a larger cohort of patient samples is necessary to confirm the significance of high serum levels of clusterin/ApoJ and to suggest the use of this glycoprotein as an additional new marker in psoriasis pathogenesis. It could be a possibility to improve the prognosis in patients with psoriasis.
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Affiliation(s)
- R Buquicchio
- Dermatological Clinic, Department of Biomedical Science and Human Oncology, University of Bari Medical School, Policlinico, Italy
| | - C Foti
- Dermatological Clinic, Department of Biomedical Science and Human Oncology, University of Bari Medical School, Policlinico, Italy
| | - F Loconsole
- Dermatological Clinic, Department of Biomedical Science and Human Oncology, University of Bari Medical School, Policlinico, Italy
| | - L Polimeno
- Department of Interdisciplinary Medicine, Section of Sciences and Technologies of Laboratory Medicine, University of Bari Medical School, Policlinico, Italy
| | - M T Ventura
- Department of Interdisciplinary Medicine, University of Bari Medical School, Policlinico, Italy
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Magli A, Moretti E, Tullio A, Foti C, Crespi M, Urpis M, Prisco A, Malisan M. EP-1329: IG-SBRT for localized prostate cancer: clinical results and late toxicity of a phase-II study. Radiother Oncol 2017. [DOI: 10.1016/s0167-8140(17)31764-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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