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Markantoni V, Tsiogka A, Agiasofitou E, Platsidaki E, Kouris A, Kontochristopoulos G, Antoniou C, Stratigos A, Gregoriou S. Clinical characteristics and treatment options for multifocal hyperhidrosis in a single-centre real-world population. J Eur Acad Dermatol Venereol 2023; 37:e1310-e1313. [PMID: 37415361 DOI: 10.1111/jdv.19303] [Citation(s) in RCA: 0] [Impact Index Per Article: 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: 04/25/2023] [Accepted: 06/26/2023] [Indexed: 07/08/2023]
Affiliation(s)
- Vassiliki Markantoni
- Faculty of Medicine, 1st Department of Dermatology-Venereology, Andreas Sygros Hospital, National and Kapodistrian University of Athens, Athens, Greece
| | - Aikaterini Tsiogka
- Faculty of Medicine, 1st Department of Dermatology-Venereology, Andreas Sygros Hospital, National and Kapodistrian University of Athens, Athens, Greece
| | - Efthymia Agiasofitou
- Faculty of Medicine, 1st Department of Dermatology-Venereology, Andreas Sygros Hospital, National and Kapodistrian University of Athens, Athens, Greece
| | - Eftychia Platsidaki
- Faculty of Medicine, 1st Department of Dermatology-Venereology, Andreas Sygros Hospital, National and Kapodistrian University of Athens, Athens, Greece
| | - Anargyros Kouris
- Faculty of Medicine, 1st Department of Dermatology-Venereology, Andreas Sygros Hospital, National and Kapodistrian University of Athens, Athens, Greece
| | - George Kontochristopoulos
- Faculty of Medicine, 1st Department of Dermatology-Venereology, Andreas Sygros Hospital, National and Kapodistrian University of Athens, Athens, Greece
| | - Christina Antoniou
- Faculty of Medicine, 1st Department of Dermatology-Venereology, Andreas Sygros Hospital, National and Kapodistrian University of Athens, Athens, Greece
| | - Alexandros Stratigos
- Faculty of Medicine, 1st Department of Dermatology-Venereology, Andreas Sygros Hospital, National and Kapodistrian University of Athens, Athens, Greece
| | - Stamatios Gregoriou
- Faculty of Medicine, 1st Department of Dermatology-Venereology, Andreas Sygros Hospital, National and Kapodistrian University of Athens, Athens, Greece
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Brinia C, Tsiogka A, Platsidaki E, Markantoni V, Gregoriou S, Rigopoulos D, Kontochristopoulos G. Amicrobial pustulosis of the folds: long-term remission achieved with low dose dapsone and topical pimecrolimus. Dermatol Online J 2023; 29. [PMID: 37591283 DOI: 10.5070/d329361443] [Citation(s) in RCA: 0] [Impact Index Per Article: 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: 06/23/2023] [Accepted: 06/23/2023] [Indexed: 08/19/2023] Open
Affiliation(s)
- Chrysa Brinia
- 1st Department of Dermatology-Venereology, Faculty of Medicine, National and Kapodistrian University of Athens, Andreas Sygros Hospital, Athens, Greece
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Platsidaki E, Efstathiou V, Markantoni V, Kouris A, Kontochristopoulos G, Nikolaidou E, Rigopoulos D, Stratigos A, Gregoriou S. Self-Esteem, Depression, Anxiety and Quality of Life in Patients with Melasma Living in a Sunny Mediterranean Area: Results from a Prospective Cross-Sectional Study. Dermatol Ther (Heidelb) 2023; 13:1127-1136. [PMID: 36995579 PMCID: PMC10149543 DOI: 10.1007/s13555-023-00915-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2022] [Accepted: 03/01/2023] [Indexed: 03/31/2023] Open
Abstract
INTRODUCTION Melasma is a common acquired disorder of hyperpigmentation and has a significant effect on quality of life. The aim of this prospective cross-sectional study was to assess the effect of melasma on depression, social anxiety and self-esteem in the Greek population. METHODS The study included a total of 254 participants: 127 patients with melasma and an equal sample of healthy controls. Both participant groups completed the following psychometric measures: the Hospital Anxiety and Depression Scale (HADS) to assess anxiety and depression and Rosenberg's Self-esteem Scale (RSES) for self-esteem. Furthermore, in patients with melasma, quality of life was assessed using Melasma Quality of Life (MELASQoL). RESULTS Melasma patients (7.47 ± 4.53) presented statistically significantly higher anxiety compared to healthy controls (6.06 ± 3.59, p = 0.006), while no differences emerged with regard to depression or self-esteem. It is important to note that the difference regarding anxiety remained significant (b = 1.25, p = 0.003) even after adjusting for age, depression and self-esteem. A higher disease severity (MASI) correlated statistically significantly with longer disease duration (r = 0.24, p < 0.001), higher depression (r = 0.28, p = 0.002), and a more impaired health-related quality of life (MelasQol; r = 0.29, p < 0.001). Notably, a more impaired health-related quality of life was also correlated with higher depression (r = 0.19, p = 0.027) and lower self-esteem (r = - 0.31, p < 0.001). CONCLUSION The results of this study highlight the importance of evaluating quality of life, anxiety and depression in patients with melasma. The therapeutic approach should not be based solely on clinical findings; it should also include an evaluation of the patient's psychological aspects. Dermatologists can further improve their patient care by being supportive or requesting psychological intervention when needed, resulting in better compliance with treatment and an improved social and psychological status.
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Affiliation(s)
- Eftychia Platsidaki
- 1st Department of Dermatology-Venereology, Faculty of Medicine, Andreas Sygros Hospital, National and Kapodistrian University of Athens, Athens, Greece.
| | - Vasiliki Efstathiou
- Department of Psychiatry, University of Athens Medical School, "Attikon" University General Hospital, Athens, Greece
| | - Vasiliki Markantoni
- 1st Department of Dermatology-Venereology, Faculty of Medicine, Andreas Sygros Hospital, National and Kapodistrian University of Athens, Athens, Greece
| | - Anargyros Kouris
- Department of Dermatology, Andreas Sygros Hospital, Athens, Greece
| | | | - Electra Nikolaidou
- 1st Department of Dermatology-Venereology, Faculty of Medicine, Andreas Sygros Hospital, National and Kapodistrian University of Athens, Athens, Greece
| | - Dimitrios Rigopoulos
- 1st Department of Dermatology-Venereology, Faculty of Medicine, Andreas Sygros Hospital, National and Kapodistrian University of Athens, Athens, Greece
| | - Alexandros Stratigos
- 1st Department of Dermatology-Venereology, Faculty of Medicine, Andreas Sygros Hospital, National and Kapodistrian University of Athens, Athens, Greece
| | - Stamatios Gregoriou
- 1st Department of Dermatology-Venereology, Faculty of Medicine, Andreas Sygros Hospital, National and Kapodistrian University of Athens, Athens, Greece
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Platsidaki E, Stravodimou A, Kouris A, Markantoni V, Kontochristopoulos G. Eficacia y seguridad de la exfoliación con una combinación de fenol y ácido tricloroacético, para el manejo de las ojeras. Actas Dermo-Sifiliográficas 2022; 113:T988-T990. [DOI: 10.1016/j.ad.2022.09.010] [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] [Received: 01/16/2021] [Accepted: 05/13/2021] [Indexed: 11/28/2022] Open
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Platsidaki E, Stravodimou A, Kouris A, Markantoni V, Kontochristopoulos G. Efficacy and Safety of Phenol and Trichloroacetic Acid Combination Peel for the Management of Dark Circles. Actas Dermo-Sifiliográficas 2022; 113:988-990. [DOI: 10.1016/j.ad.2021.05.028] [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] [Received: 01/16/2021] [Revised: 04/06/2021] [Accepted: 05/13/2021] [Indexed: 10/18/2022] Open
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Dessinioti C, Platsidaki E, Stratigos AJ. A Sensitivity Meta-Analysis of Disease-Specific Death in Localized Cutaneous Squamous Cell Carcinoma. Dermatology 2022; 238:1026-1035. [PMID: 35550380 DOI: 10.1159/000524460] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Accepted: 04/03/2022] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Patients with localized cutaneous squamous cell carcinoma (cSCC) have different risk for disease-specific death (DSD) from patients with metastatic cSCC. PATIENTS AND METHODS We conducted a sensitivity meta-analysis to identify the risk factors associated with DSD, in patients with localized cSCC at initial diagnosis (without locoregional or distant metastasis). RESULTS Nine studies, with 5,205 patients, were included. Median follow-up ranged from 18 to 81 months. The number of deaths due to cSCC ranged from 3 to 40. Patients with immunosuppression were almost 2 times more likely to die from cSCC compared to immunocompetent patients (risk ratio: 1.85, 95% CI: 1.32-2.61). There was a positive but nonsignificant overall association with DSD for depth beyond fat, tumor diameter, presence of perineural invasion, location, and thickness. These results should be interpreted with caution, as there was limited evidence-based data on DSD in localized cSCC, due to the small number of studies reporting DSD, the absence of reporting the margin status, the variability of selected risk factors across studies, and the variability of definition of risk factors. CONCLUSIONS In our meta-analysis, in localized cSCC at initial diagnosis, patients with immunosuppression were at significantly higher risk to die from cSCC. Our findings further highlight the need for a standardized set of risk factors to be included in studies on prognosis of cSCC and for including margin status and DSD among the studied outcomes.
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Affiliation(s)
- Clio Dessinioti
- 1st Department of Dermatology, Andreas Sygros Hospital, University of Athens, Athens, Greece
| | - Eftychia Platsidaki
- 1st Department of Dermatology, Andreas Sygros Hospital, University of Athens, Athens, Greece
| | - Alexander J Stratigos
- 1st Department of Dermatology, Andreas Sygros Hospital, University of Athens, Athens, Greece
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Kotitsas P, Tsiogka A, Agiasofitou E, Markantoni V, Gregoriou S, Platsidaki E, Rigopoulos D, Kontochristopoulos G. Residual limb hyperhidrosis successfully managed with topical glycopyrrolate. Indian J Dermatol Venereol Leprol 2021; 88:230-231. [PMID: 34877842 DOI: 10.25259/ijdvl_132_2021] [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: 02/01/2021] [Accepted: 08/01/2021] [Indexed: 11/04/2022]
Affiliation(s)
- Panagiotis Kotitsas
- Department of Dermatology-Venereology, National and Kapodistrian University of Athens, Andreas Sygros Hospital, Athens, Greece
| | - Aikaterini Tsiogka
- Department of Dermatology-Venereology, National and Kapodistrian University of Athens, Andreas Sygros Hospital, Athens, Greece
| | - Efthymia Agiasofitou
- Department of Dermatology-Venereology, National and Kapodistrian University of Athens, Andreas Sygros Hospital, Athens, Greece
| | - Vasiliki Markantoni
- Department of Dermatology-Venereology, National and Kapodistrian University of Athens, Andreas Sygros Hospital, Athens, Greece
| | - Stamatios Gregoriou
- Department of Dermatology-Venereology, National and Kapodistrian University of Athens, Andreas Sygros Hospital, Athens, Greece
| | - Eftychia Platsidaki
- Department of Dermatology-Venereology, National and Kapodistrian University of Athens, Andreas Sygros Hospital, Athens, Greece
| | - Dimitrios Rigopoulos
- Department of Dermatology-Venereology, National and Kapodistrian University of Athens, Andreas Sygros Hospital, Athens, Greece
| | - Georgios Kontochristopoulos
- Department of Dermatology-Venereology, National and Kapodistrian University of Athens, Andreas Sygros Hospital, Athens, Greece
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Gregoriou S, Markantoni V, Campanati A, Martina E, Offidani A, Kouris A, Platsidaki E, Bokotas H, Stratigos A, Rigopoulos D, Kontochristopoulos G. Treatment of Axillary Bromhidrosis with Topical 2% Glycopyrronium Bromide Cream: A Prospective, Non-randomized, Open-label Study. J Clin Aesthet Dermatol 2021; 14:E61-E63. [PMID: 34980961 PMCID: PMC8675343] [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] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
BACKGROUND Topical glycopyrrolate is a well-established therapeutic option for focal hyperhidrosis; however, there are no data on its efficacy in the treatment of bromhidrosis. OBJECTIVES The objective of this open-label, non-randomized study was to investigate the efficacy and safety of a galenic formulation of 2% glycopyrronium bromide cream, in the treatment of bromhidrosis. METHODS Nineteen patients with bromhidrosis were prescribed a 2% glycopyrronium bromide cream, to apply in both axillae, every night, for 12 weeks. Malodor was assessed on a four-point scale. Scores for the Dermatology Life Quality Index (DLQI), Hyperhidrosis Disease Severity Scale (HDSS), and the Hospital Anxiety and Depression Scale (HADS) were recorded at baseline and after 12 weeks. RESULTS Statistically significant improvements in malodor and HDSS, DLQI, and HADS scores, respectively, were observed after treatment. One patient reported irritation at the site of application and another reported mydriasis, which resolved spontaneously. All but one of the patients declared that they were either completely (52/6%) or partially (42.1%) satisfied regarding the treatment. CONCLUSION Our results indicate that 2% glycopyrronium bromide cream is effective and safe for 12 weeks of application in patients with axillary bromhidrosis.
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Affiliation(s)
- Stamatios Gregoriou
- Drs. Gregoriou, Markantoni, Kouris, Platsidaki, Stratigos, and Rigopoulos are with the Faculty of Medicine, 1st Department of Dermatology-Venereology at Andreas Sygros Hospital, National and Kapodistrian University in Athens, Greece
- Drs. Campanati, Martina, and Offidani are with the Dermatological Clinic, Department of Clinical and Molecular Sciences, Polytechnic Marche University in Ancona, Italy. Bokotas and Kontochristopoulos are with the Department of Dermatology-Venereology, Andreas Sygros Hospital in Athens, Greece
| | - Vasiliki Markantoni
- Drs. Gregoriou, Markantoni, Kouris, Platsidaki, Stratigos, and Rigopoulos are with the Faculty of Medicine, 1st Department of Dermatology-Venereology at Andreas Sygros Hospital, National and Kapodistrian University in Athens, Greece
- Drs. Campanati, Martina, and Offidani are with the Dermatological Clinic, Department of Clinical and Molecular Sciences, Polytechnic Marche University in Ancona, Italy. Bokotas and Kontochristopoulos are with the Department of Dermatology-Venereology, Andreas Sygros Hospital in Athens, Greece
| | - Anna Campanati
- Drs. Gregoriou, Markantoni, Kouris, Platsidaki, Stratigos, and Rigopoulos are with the Faculty of Medicine, 1st Department of Dermatology-Venereology at Andreas Sygros Hospital, National and Kapodistrian University in Athens, Greece
- Drs. Campanati, Martina, and Offidani are with the Dermatological Clinic, Department of Clinical and Molecular Sciences, Polytechnic Marche University in Ancona, Italy. Bokotas and Kontochristopoulos are with the Department of Dermatology-Venereology, Andreas Sygros Hospital in Athens, Greece
| | - Emanuela Martina
- Drs. Gregoriou, Markantoni, Kouris, Platsidaki, Stratigos, and Rigopoulos are with the Faculty of Medicine, 1st Department of Dermatology-Venereology at Andreas Sygros Hospital, National and Kapodistrian University in Athens, Greece
- Drs. Campanati, Martina, and Offidani are with the Dermatological Clinic, Department of Clinical and Molecular Sciences, Polytechnic Marche University in Ancona, Italy. Bokotas and Kontochristopoulos are with the Department of Dermatology-Venereology, Andreas Sygros Hospital in Athens, Greece
| | - Annamaria Offidani
- Drs. Gregoriou, Markantoni, Kouris, Platsidaki, Stratigos, and Rigopoulos are with the Faculty of Medicine, 1st Department of Dermatology-Venereology at Andreas Sygros Hospital, National and Kapodistrian University in Athens, Greece
- Drs. Campanati, Martina, and Offidani are with the Dermatological Clinic, Department of Clinical and Molecular Sciences, Polytechnic Marche University in Ancona, Italy. Bokotas and Kontochristopoulos are with the Department of Dermatology-Venereology, Andreas Sygros Hospital in Athens, Greece
| | - Anargyros Kouris
- Drs. Gregoriou, Markantoni, Kouris, Platsidaki, Stratigos, and Rigopoulos are with the Faculty of Medicine, 1st Department of Dermatology-Venereology at Andreas Sygros Hospital, National and Kapodistrian University in Athens, Greece
- Drs. Campanati, Martina, and Offidani are with the Dermatological Clinic, Department of Clinical and Molecular Sciences, Polytechnic Marche University in Ancona, Italy. Bokotas and Kontochristopoulos are with the Department of Dermatology-Venereology, Andreas Sygros Hospital in Athens, Greece
| | - Eftychia Platsidaki
- Drs. Gregoriou, Markantoni, Kouris, Platsidaki, Stratigos, and Rigopoulos are with the Faculty of Medicine, 1st Department of Dermatology-Venereology at Andreas Sygros Hospital, National and Kapodistrian University in Athens, Greece
- Drs. Campanati, Martina, and Offidani are with the Dermatological Clinic, Department of Clinical and Molecular Sciences, Polytechnic Marche University in Ancona, Italy. Bokotas and Kontochristopoulos are with the Department of Dermatology-Venereology, Andreas Sygros Hospital in Athens, Greece
| | - Haralambos Bokotas
- Drs. Gregoriou, Markantoni, Kouris, Platsidaki, Stratigos, and Rigopoulos are with the Faculty of Medicine, 1st Department of Dermatology-Venereology at Andreas Sygros Hospital, National and Kapodistrian University in Athens, Greece
- Drs. Campanati, Martina, and Offidani are with the Dermatological Clinic, Department of Clinical and Molecular Sciences, Polytechnic Marche University in Ancona, Italy. Bokotas and Kontochristopoulos are with the Department of Dermatology-Venereology, Andreas Sygros Hospital in Athens, Greece
| | - Alexandros Stratigos
- Drs. Gregoriou, Markantoni, Kouris, Platsidaki, Stratigos, and Rigopoulos are with the Faculty of Medicine, 1st Department of Dermatology-Venereology at Andreas Sygros Hospital, National and Kapodistrian University in Athens, Greece
- Drs. Campanati, Martina, and Offidani are with the Dermatological Clinic, Department of Clinical and Molecular Sciences, Polytechnic Marche University in Ancona, Italy. Bokotas and Kontochristopoulos are with the Department of Dermatology-Venereology, Andreas Sygros Hospital in Athens, Greece
| | - Dimitrios Rigopoulos
- Drs. Gregoriou, Markantoni, Kouris, Platsidaki, Stratigos, and Rigopoulos are with the Faculty of Medicine, 1st Department of Dermatology-Venereology at Andreas Sygros Hospital, National and Kapodistrian University in Athens, Greece
- Drs. Campanati, Martina, and Offidani are with the Dermatological Clinic, Department of Clinical and Molecular Sciences, Polytechnic Marche University in Ancona, Italy. Bokotas and Kontochristopoulos are with the Department of Dermatology-Venereology, Andreas Sygros Hospital in Athens, Greece
| | - George Kontochristopoulos
- Drs. Gregoriou, Markantoni, Kouris, Platsidaki, Stratigos, and Rigopoulos are with the Faculty of Medicine, 1st Department of Dermatology-Venereology at Andreas Sygros Hospital, National and Kapodistrian University in Athens, Greece
- Drs. Campanati, Martina, and Offidani are with the Dermatological Clinic, Department of Clinical and Molecular Sciences, Polytechnic Marche University in Ancona, Italy. Bokotas and Kontochristopoulos are with the Department of Dermatology-Venereology, Andreas Sygros Hospital in Athens, Greece
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Kouris A, Platsidaki E, Efstathiou V, Katoulis A, Markantoni V, Tsatovidou R, Christodoulou C, Rigopoulos D, Kontochristopoulos G. Comparative Study of Quality of Life and Psychological Aspects in Patients with Psoriasis and Hidradenitis Suppurativa. Acta Dermatovenerol Croat 2021; 29:203-210. [PMID: 36896691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 03/11/2023]
Abstract
Psoriasis and hidradenitis suppurativa are two common dermatological diseases that affect physical, social, and psychological aspects of the patients' lives. The aim of this study was to compare quality of life, depression, anxiety, self-esteem, and loneliness in patients with psoriasis and hidradenitis suppurativa. One hundred and eight patients with psoriasis, 113 patients with hidradenitis suppurativa and 116 healthy controls were included in the study. The quality of life, depression, anxiety, and loneliness of the patients as well as their self-esteem were assessed using the Dermatology Life Quality Index (DLQI), Hospital Anxiety and Depression Scale (HADS), the UCLA loneliness Scale (UCLA-Version 3) and the Rosenberg's Self-esteem Scale (RSES), respectively. Patients with psoriasis (12.77±4.43) reported a higher mean impairment in DLQI than patients with hidradenitis suppurativa (11.10±6.53, P=0.028), in the univariate comparisons. Patients with psoriasis presented statistically significantly higher levels of anxiety and depression than both patients with hidradenitis suppurativa and healthy controls, while patients with hidradenitis suppurativa also had higher anxiety and depression compared with healthy controls. Patients with psoriasis (46.31±6.36) reported statistically significantly higher loneliness than both patients with hidradenitis suppurativa (43.18±7.40) and controls (40.42±4.41), while the patients with hidradenitis suppurativa also presented higher loneliness in comparison with controls. Lower levels of self-esteem were found in patients with psoriasis (15.08±3.11) compared with both patients with hidradenitis suppurativa (18.89±1.69) and controls (20.25±2.60), while patients with hidradenitis suppurativa also had lower self-esteem than controls. Significant levels of depression, anxiety, and impaired quality of life were strongly associated with disease severity. When patients with mild disease were compared, those with psoriasis presented with both higher levers of loneliness and lower scores for quality of life. Although both psoriasis and hidradenitis suppurativa are associated with impaired quality of life and psychological aspects, significantly worse scores were recorded in patients with psoriasis.
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Gregoriou S, Platsidaki E, Sidiropoulou P, Rigopoulos D. Nails with bloodstained discoloration. BMJ 2021; 375:n1951. [PMID: 34645604 DOI: 10.1136/bmj.n1951] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- Stamatios Gregoriou
- National and Kapodistrian University of Athens; Andreas Sygros Hospital, 16121 Athens, Greece
| | - Eftychia Platsidaki
- National and Kapodistrian University of Athens; Andreas Sygros Hospital, 16121 Athens, Greece
| | - Polytimi Sidiropoulou
- National and Kapodistrian University of Athens; Andreas Sygros Hospital, 16121 Athens, Greece
| | - Dimitrios Rigopoulos
- National and Kapodistrian University of Athens; Andreas Sygros Hospital, 16121 Athens, Greece
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Gregoriou S, Anagnostou P, Mastraftsi S, Platsidaki E, Tsimpidakis A, Chatzidimitriou E, Kontochristopoulos G, Katoulis A, Nicolaidou E, Stratigos A, Rigopoulos D. Occupational contact allergy of construction workers in Greece: Trends during 2009-2018. Contact Dermatitis 2021; 86:34-39. [PMID: 34510477 DOI: 10.1111/cod.13970] [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: 03/12/2021] [Revised: 07/29/2021] [Accepted: 09/07/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND Recent trends in the sensitization of construction workers show a decrease in potassium dichromate and an increase in epoxy resin sensitization. OBJECTIVES To present the trends of occupational contact allergy of construction workers in Greece from 2009 to 2018. METHODS We retrospectively reviewed the files of patients with eczema patch tested in our Contact Dermatitis Clinic who were construction workers. RESULTS A total of 191 construction workers initially reported contact dermatitis. Of these, 138 had occupation-relevant allergic contact dermatitis (ACD) or irritant contact dermatitis (ICD). All patients were men. After being patch tested, 98 (71.0%) were diagnosed with ACD and 40 with ICD. Median duration of occupation till onset of ACD was 2 years (interquartile range [IQR] 0.8-7). The hands were the most common location for ACD (73.5%), followed by the trunk (39.8%), the legs (38.8%), and the face (11.2%). Of the patients, 74.6% had lesions affecting multiple body sites. Potassium dichromate (67%) was the most frequent allergen, followed by thiuram mix (37.4%) and cobalt chloride (31.8%). Sensitization to epoxy resins was lower (12.1%). CONCLUSION The sensitization pattern of Greek construction workers does not follow the trends in Central or Northern Europe, rather sharing attributes with less industrialized countries.
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Affiliation(s)
- Stamatios Gregoriou
- Faculty of Medicine, 1st Department of Dermatology and Venereology, Andreas Sygros Hospital for Skin and Venereal Diseases, National and Kapodistrian University of Athens, Athens, Greece
| | - Periklis Anagnostou
- Faculty of Medicine, 1st Department of Dermatology and Venereology, Andreas Sygros Hospital for Skin and Venereal Diseases, National and Kapodistrian University of Athens, Athens, Greece
| | - Styliani Mastraftsi
- Faculty of Medicine, 1st Department of Dermatology and Venereology, Andreas Sygros Hospital for Skin and Venereal Diseases, National and Kapodistrian University of Athens, Athens, Greece
| | - Eftychia Platsidaki
- Faculty of Medicine, 1st Department of Dermatology and Venereology, Andreas Sygros Hospital for Skin and Venereal Diseases, National and Kapodistrian University of Athens, Athens, Greece
| | - Antonis Tsimpidakis
- Faculty of Medicine, 1st Department of Dermatology and Venereology, Andreas Sygros Hospital for Skin and Venereal Diseases, National and Kapodistrian University of Athens, Athens, Greece
| | - Eleni Chatzidimitriou
- Faculty of Medicine, 1st Department of Dermatology and Venereology, Andreas Sygros Hospital for Skin and Venereal Diseases, National and Kapodistrian University of Athens, Athens, Greece
| | - George Kontochristopoulos
- Faculty of Medicine, 1st Department of Dermatology and Venereology, Andreas Sygros Hospital for Skin and Venereal Diseases, National and Kapodistrian University of Athens, Athens, Greece
| | - Alexandros Katoulis
- Faculty of Medicine, 2nd Department of Dermatology and Venereology, General University Hospital Attikon, National and Kapodistrian University of Athens, Athens, Greece
| | - Electra Nicolaidou
- Faculty of Medicine, 1st Department of Dermatology and Venereology, Andreas Sygros Hospital for Skin and Venereal Diseases, National and Kapodistrian University of Athens, Athens, Greece
| | - Alexandros Stratigos
- Faculty of Medicine, 1st Department of Dermatology and Venereology, Andreas Sygros Hospital for Skin and Venereal Diseases, National and Kapodistrian University of Athens, Athens, Greece
| | - Dimitrios Rigopoulos
- Faculty of Medicine, 1st Department of Dermatology and Venereology, Andreas Sygros Hospital for Skin and Venereal Diseases, National and Kapodistrian University of Athens, Athens, Greece
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Kontochristopoulos G, Agiasofitou E, Platsidaki E, Kapsiocha A, Gregoriou S, Rigopoulos D. Successful Treatment of Coexistent Acne Fulminans and Severe Hidradenitis Suppurativa with Adalimumab. Skin Appendage Disord 2021; 7:329-332. [PMID: 34307485 DOI: 10.1159/000515002] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [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: 12/15/2020] [Accepted: 01/31/2021] [Indexed: 12/30/2022] Open
Abstract
The coexistence of hidradenitis suppurativa (HS) and acne fulminans (AF) has only recently been reported in the literature. We present a case of a 17-year-old man who presented with a 2 years history of severe acne and HS. He was initially started on oral clindamycin and rifampicin for 3 months with no clinical improvement. Acne lesions became worse with the presence of nodules and necrotic ulcers, while weight loss, low-grade fever, back and knee pain, and psychological distress were noted. We prescribed adalimumab in its standard dosing regimen. Remission of AF was achieved in 3 months, whereas adalimumab has not been as effective in treating the HS lesions. Its dosage was increased to 80 mg weekly and more than 80% clinical improvement of HS lesions was obtained in 2 months. The patient maintained on this dosage till this day and efficacy is sustained. TNF-α inhibitors are considered an effective option in the treatment of HS, while it has been also suggested as a treatment option in AF. Our patient was successfully treated with adalimumab. Since the coexistence of HS and AF has a devastating emotional effect on the patient, there is an urgent need to implement therapeutic approaches.
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Affiliation(s)
| | - Efthymia Agiasofitou
- Department of Dermatology and Venereology, Andreas Sygros Hospital, Athens, Greece
| | - Eftychia Platsidaki
- Department of Dermatology and Venereology, Andreas Sygros Hospital, Athens, Greece
| | - Anastasia Kapsiocha
- Department of Dermatology and Venereology, Andreas Sygros Hospital, Athens, Greece
| | - Stamatios Gregoriou
- National and Kapodistrian University of Athens, Faculty of Medicine, 1st department of Dermatology-Venereology, Andreas Sygros Hospital, Athens, Greece
| | - Dimitrios Rigopoulos
- National and Kapodistrian University of Athens, Faculty of Medicine, 1st department of Dermatology-Venereology, Andreas Sygros Hospital, Athens, Greece
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13
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Kontochristopoulos G, Markantoni V, Agiasofitou E, Platsidaki E, Kouris A, Campanati A, Offidani AM, Rigopoulos D, Gregoriou S. Treatment of primary axillary hyperhidrosis with a cream formulation of oxybutynin chloride 10. J Eur Acad Dermatol Venereol 2021; 35:e524-e526. [PMID: 33893675 DOI: 10.1111/jdv.17297] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Affiliation(s)
| | - V Markantoni
- Faculty of Medicine, 1st Department of Dermatology-Venereology, Andreas Sygros Hospital, National and Kapodistrian University of Athens, Athens, Greece
| | - E Agiasofitou
- Department of Dermatology, Andreas Sygros Hospital, Athens, Greece
| | - E Platsidaki
- Faculty of Medicine, 1st Department of Dermatology-Venereology, Andreas Sygros Hospital, National and Kapodistrian University of Athens, Athens, Greece
| | - A Kouris
- Faculty of Medicine, 1st Department of Dermatology-Venereology, Andreas Sygros Hospital, National and Kapodistrian University of Athens, Athens, Greece
| | - A Campanati
- Dermatology Clinic, Department of Clinical and Molecular Sciences, Polytechnic Marche University, Ancona, Italy
| | - A M Offidani
- Dermatology Clinic, Department of Clinical and Molecular Sciences, Polytechnic Marche University, Ancona, Italy
| | - D Rigopoulos
- Faculty of Medicine, 1st Department of Dermatology-Venereology, Andreas Sygros Hospital, National and Kapodistrian University of Athens, Athens, Greece
| | - S Gregoriou
- Faculty of Medicine, 1st Department of Dermatology-Venereology, Andreas Sygros Hospital, National and Kapodistrian University of Athens, Athens, Greece
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Gregoriou S, Platsidaki E, Kontochristopoulos G, Rigopoulos D. The "Rashomon Effect" of the Honey-Colored Crust. Skinmed 2021; 19:75-76. [PMID: 33658121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
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Campanati A, Gregoriou S, Consales V, Rizzetto G, Bobyr I, Diotallevi F, Martina E, Kontochristopoulos G, Platsidaki E, Offidani A. Combined treatment of palmar hyperhidrosis with botulinum toxin type A and oxybutynin chloride: Results of a clinical, multicenter, prospective study. Dermatol Ther 2020; 33:e14039. [DOI: 10.1111/dth.14039] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2020] [Revised: 07/07/2020] [Accepted: 07/16/2020] [Indexed: 12/14/2022]
Affiliation(s)
- Anna Campanati
- Dermatological Unit, Department of Clinical and Molecular Sciences Polytechnic University of the Marche Region Ancona Italy
| | - Stamatios Gregoriou
- Faculty of Medicine, First Department of Dermatology Andreas Syggros Hospital, National and Kapodistrian University of Athens Athens Greece
| | - Veronica Consales
- Dermatological Unit, Department of Clinical and Molecular Sciences Polytechnic University of the Marche Region Ancona Italy
| | - Giulio Rizzetto
- Dermatological Unit, Department of Clinical and Molecular Sciences Polytechnic University of the Marche Region Ancona Italy
| | - Ivan Bobyr
- Dermatological Unit, Department of Clinical and Molecular Sciences Polytechnic University of the Marche Region Ancona Italy
| | - Federico Diotallevi
- Dermatological Unit, Department of Clinical and Molecular Sciences Polytechnic University of the Marche Region Ancona Italy
| | - Emanuela Martina
- Dermatological Unit, Department of Clinical and Molecular Sciences Polytechnic University of the Marche Region Ancona Italy
| | - George Kontochristopoulos
- Faculty of Medicine, First Department of Dermatology Andreas Syggros Hospital, National and Kapodistrian University of Athens Athens Greece
| | - Eftychia Platsidaki
- Faculty of Medicine, First Department of Dermatology Andreas Syggros Hospital, National and Kapodistrian University of Athens Athens Greece
| | - Annamaria Offidani
- Dermatological Unit, Department of Clinical and Molecular Sciences Polytechnic University of the Marche Region Ancona Italy
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16
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Platsidaki E, Kostopoulos N, Panagakis P, Cheliotis G, Antoniou C, Kontochristopoulos G. The use of ingenol mebutate to treat actinic keratosis in standard clinical practice: a prospective phase IV multicenter observational cohort study. Int J Dermatol 2020; 59:690-697. [DOI: 10.1111/ijd.14879] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/16/2019] [Revised: 03/15/2020] [Accepted: 03/21/2020] [Indexed: 11/28/2022]
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17
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Agiasofitou E, Kanni T, Platsidaki E, Tzanetakou V, Gregoriou S, Rigopoulos D, Kontochristopoulos G. Development of New Lesions of Hidradenitis Suppurativa on a Caesarean Section Scar: A Manifestation of the Koebner Phenomenon? Skin Appendage Disord 2020; 6:155-157. [DOI: 10.1159/000505821] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2019] [Accepted: 01/07/2020] [Indexed: 11/19/2022] Open
Abstract
Hidradenitis suppurativa (HS) is a chronic, inflammatory, recurrent skin disorder of the hair follicle. Trauma, mechanical pressure, or friction could have an important role in the pathogenesis of HS. We present a patient with HS who developed new HS lesions shortly after a cesarean section, which could be explained by the Koebner phenomenon. Koebnerization in HS has recently been observed in patients in whom new lesions developed at an ectopic location free from apocrine glands as a result of trauma. More studies need to be conducted to shed light on the possible relation between HS and surgical trauma. Avoidance of external trauma could be included in general measures of HS treatment.
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Stravodimou A, Markantoni V, Platsidaki E, Agiasofitou E, Rigopoulos D, Kontochristopoulos G. Topical
glycopyrronium
in Darier's disease. Dermatol Ther 2019; 32:e13114. [DOI: 10.1111/dth.13114] [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: 06/24/2019] [Revised: 09/12/2019] [Accepted: 10/04/2019] [Indexed: 11/29/2022]
Affiliation(s)
- Aristea Stravodimou
- State Department of Dermatology and VenereologyAndreas Sygros Hospital Athens Greece
| | - Vasiliki Markantoni
- State Department of Dermatology and VenereologyAndreas Sygros Hospital Athens Greece
| | - Eftychia Platsidaki
- State Department of Dermatology and VenereologyAndreas Sygros Hospital Athens Greece
| | - Efthymia Agiasofitou
- State Department of Dermatology and VenereologyAndreas Sygros Hospital Athens Greece
| | - Dimitrios Rigopoulos
- 1st Department of Dermatology and Venereology, Andreas Sygros HospitalUniversity of Athens Athens Greece
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Kostopoulos N, Platsidaki E, Tzanetakou V, Petraki K, Lekarakou M, Bafaloukos D, Potouridou I. Nodular Lesions on the Upper Trunk: An Uncommon Anatomical Site of Renal Tumor Metastases. Indian J Dermatol 2019; 64:251. [PMID: 31148873 PMCID: PMC6537680 DOI: 10.4103/ijd.ijd_634_16] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Renal cell carcinoma (RCC) is the most frequent cancer of the kidney and it accounts for 3% of all solid malignancies. Although rare, cutaneous metastases can be an important manifestation of RCC. We present a case of a 56-year-old male with a history of RCC, followed by the development of cutaneous metastases 4 years later with an uncommon clinical presentation. RCC is the most common genitourinary cancer to metastasize to the skin and accounts for 6.8% of cutaneous metastases. These patients have a poor prognosis. It is essential for these patients to perform a complete periodic dermatologic examination for proper restaging and treatment.
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Affiliation(s)
| | | | | | | | - Maria Lekarakou
- Department of Pathology, Metropolitan Hospital, Piraeus, Greece
| | | | - Irini Potouridou
- Department of Dermatology, Andreas Syggros Hospital, Athens, Greece
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Platsidaki E, Markantoni V, Balamoti E, Kouris A, Rigopoulos D, Kontochristopoulos G. Combination of 30% Salicylic Acid Peels and Mechanical Comedo Extraction for the Treatment of Favre-Racouchot Syndrome. Acta Dermatovenerol Croat 2019; 27:42-43. [PMID: 31032792] [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: 06/09/2023]
Abstract
Dear Editor, Favre-Racouchot syndrome is a cutaneous disease characterized by cysts, comedones, and elastotic nodules in actinically damaged skin, typically on the face (1). It has been specifically connected to sun exposure and heavy smoking, which may act synergistically (2). Available medical and surgical therapies are of variable efficacy. We present a combined therapeutic approach: 30% salicylic acid peels followed by manual extraction of cystic and comedonal material in the same visit. Five male patients, aged between 60-75 years with the clinical diagnosis of Favre-Racouchot syndrome, were treated with salicylic acid peel 30% followed by cyst and mechanical comedo extraction. Local anesthesia was considered unnecessary. Patients were subjected to the above therapies every two weeks for a series of four treatments. Photographs were taken before the beginning of treatment, as well as before and after each session (Figures 1a, b and 2a, b). At the end of the study, physician and patient global assessment scale was used to evaluate the efficacy of the treatment (0-25% indicated poor response, 25-50% fair, 50-75% good, and 75-100% excellent response). We have previously used this assessment scale in published research. Safety was assessed by evaluating early and delayed adverse events. Physician assessment found a fair to good improvement in 80% of the patients based on the reduction of comedones and solar elastosis, as well as the improvement in overall skin appearance and texture. The numbers for each specific categories of improvement were as follows: 1 patient poor; 3 patients fair, and 1 patient good improvement. Based on the patients' self-assessment, all patients (100%) acknowledged an improvement. Three patients rated the improvement fair (60%) and two rated it good (40%). The treatment was well-tolerated and no side-effects were noted. No clinical progression was observed on 6-month follow-up visit. Favre-Racouchot syndrome was originally described in 1932 by Favre and later reviewed in detail by Favre and Racouchot in 1951. Lesions are usually distributed on the temporal and periorbital areas. However, there have been reports of similar findings in atypical locations such as the forearms and chest. The underlying skin is sun-damaged, diffusely thickened, and furrowed (1). The eruption is usually bilaterally symmetrical. The precise pathogenesis of Favre-Racouchot syndrome is not known. Nevertheless, it most commonly presents in patients with a history of long-term sun exposure, heavy smoking, and, although rare, a history of radiation exposure. Unilateral manifestation of the disease has been previously described and was attributed to prolonged occupational unilateral sun exposure or observed following radiation therapy (3). It is mostly reported in Caucasian men (with a prevalence of 6% in adults older than 50 years). Its incidence increases with age, although it has been reported in younger patients. Differential diagnosis includes dermatoses that present with lesions of similar morphologies, such as acne vulgaris, epidermoid cysts, sebaceous hyperplasia, and colloid milium (4). Diagnosis is primarily clinical. Although the histologic features of the disease are very characteristic, skin biopsy is rarely required. The comedones found are histologically indistinguishable from the primary comedones of acne vulgaris, with the exceptions of a lack of inflammation and the presence of a marked actinic elastosis in the surrounding dermis (epidermal atrophy and massive basophilic degeneration of the upper dermis). Measures to stop the progression of the disease include smoking cessation and sun protection. Treatment options include topical retinoids, excision, curettage, dermabrasion, comedo extraction, and carbon dioxide laser ablation. Daily oral isotretinoin (0.05-0.10 mg/kg/day) used in conjunction with topical tretinoin has also been found effective. Treatment results are usually unsatisfactory when these techniques are used independently, but when used in conjunction with one another they may provide a very favorable outcome (1). For the best therapeutic outcome, solar elastosis, the nodulocystic lesions, and the comedones that require mechanical removal should be targeted. Salicylic acid is a lipophilic beta-hydroxy acid possessing keratolytic, comedolytic, and anti-inflammatory properties. At concentrations between 20% and 30% it is used in the treatment of acne vulgaris and mild photodamage. It decreases sebum secretion and disrupts intercorneocyte cohesion, leading to desquamation (5). Its lipid solubility permits better penetration into the pilosebaceous unit. Salicylic acid extends up to the mid-portion of the follicular canal (upper dermis) where excessive keratinization, the initial event in comedo formation, takes place. Furthermore, it activates epidermal basal cells and underlying fibroblasts, resulting in reorganization of the epidermis and a rebuilding of the superficial dermal connective tissue. The above actions of salicylic acid may be responsible for the reduction in comedonal lesions and the improvement in solar elastosis and overall skin texture. Additionally, its keratolytic effect facilitates comedo extraction. On the basis of our results, we suggest an alternative therapeutic approach with salicylic acid peels followed by mechanical comedo extraction in patients suffering from Favre-Racouchot syndrome.
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Abstract
The skin commensal
Propionibacterium acnes, recently renamed
Cutibacterium acnes, along with the other major pathophysiological factors of increased seborrhea, hyperkeratinization of the pilosebaceous unit, and inflammation, has long been implicated in the pathogenesis of acne. Recent advances have contributed to our understanding of the role of
P. acnes in acne. Although there are no quantitative differences in
P. acnes of the skin of patients with acne compared with controls, the
P. acnes phylogenic groups display distinct genetic and phenotypic characteristics,
P. acnes biofilms are more frequent in acne, and different phylotypes may induce distinct immune responses in acne.
P. acnes plays a further important role in the homeostasis of the skin’s microbiome, interacting with other cutaneous commensal or pathogenic microorganisms such as
Staphylococcus epidermidis,
Streptococcus pyogenes, and
Pseudomonas species. In the era of increasing antimicrobial resistance, the selection of acne treatment targeting
P. acnes and the prevention of antibiotic resistance play a key role in improving outcomes in acne patients and public health.
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Affiliation(s)
- Eftychia Platsidaki
- Department of Dermatology, Andreas Syggros Hospital, University of Athens, Athens, Greece
| | - Clio Dessinioti
- Department of Dermatology, Andreas Syggros Hospital, University of Athens, Athens, Greece
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22
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Kontochristopoulos G, Sidiropoulou P, Tzanetakou V, Markantoni V, Platsidaki E, Agiasofitou E, Rigopoulos D, Gregoriou S. Managing pitted keratolysis: consider topical glycopyrrolate. Clin Exp Dermatol 2018; 44:713-714. [PMID: 30515854 DOI: 10.1111/ced.13851] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/29/2018] [Indexed: 11/28/2022]
Affiliation(s)
- G Kontochristopoulos
- State Department of Dermatology-Venereology, National and Kapodistrian University of Athens, Faculty of Medicine, Andreas Sygros Hospital for Cutaneous and Venereal Diseases, 5 I. Dragoumi Street, GR-16121, Kaisariani, Athens, Greece
| | - P Sidiropoulou
- First Department of Dermatology-Venereology, National and Kapodistrian University of Athens, Faculty of Medicine, Andreas Sygros Hospital for Cutaneous and Venereal Diseases, 5 I. Dragoumi Street, GR-16121, Kaisariani, Athens, Greece
| | - V Tzanetakou
- First Department of Dermatology-Venereology, National and Kapodistrian University of Athens, Faculty of Medicine, Andreas Sygros Hospital for Cutaneous and Venereal Diseases, 5 I. Dragoumi Street, GR-16121, Kaisariani, Athens, Greece
| | - V Markantoni
- State Department of Dermatology-Venereology, National and Kapodistrian University of Athens, Faculty of Medicine, Andreas Sygros Hospital for Cutaneous and Venereal Diseases, 5 I. Dragoumi Street, GR-16121, Kaisariani, Athens, Greece
| | - E Platsidaki
- First Department of Dermatology-Venereology, National and Kapodistrian University of Athens, Faculty of Medicine, Andreas Sygros Hospital for Cutaneous and Venereal Diseases, 5 I. Dragoumi Street, GR-16121, Kaisariani, Athens, Greece
| | - E Agiasofitou
- State Department of Dermatology-Venereology, National and Kapodistrian University of Athens, Faculty of Medicine, Andreas Sygros Hospital for Cutaneous and Venereal Diseases, 5 I. Dragoumi Street, GR-16121, Kaisariani, Athens, Greece
| | - D Rigopoulos
- First Department of Dermatology-Venereology, National and Kapodistrian University of Athens, Faculty of Medicine, Andreas Sygros Hospital for Cutaneous and Venereal Diseases, 5 I. Dragoumi Street, GR-16121, Kaisariani, Athens, Greece
| | - S Gregoriou
- First Department of Dermatology-Venereology, National and Kapodistrian University of Athens, Faculty of Medicine, Andreas Sygros Hospital for Cutaneous and Venereal Diseases, 5 I. Dragoumi Street, GR-16121, Kaisariani, Athens, Greece
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23
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Platsidaki E, Tsimbos I, Vassis P, Tzanetakou V, Rigopoulos D, Kontochristopoulos G. Syphilitic balanitis of Follmann: two case reports. Int J Dermatol 2018; 58:e55-e57. [PMID: 30471083 DOI: 10.1111/ijd.14319] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/28/2018] [Revised: 10/29/2018] [Accepted: 10/31/2018] [Indexed: 11/27/2022]
Affiliation(s)
| | - Ioannis Tsimbos
- State Department of Dermatology, Andreas Sygros Hospital, Athens, Greece
| | - Polytimos Vassis
- State Department of Dermatology, Andreas Sygros Hospital, Athens, Greece
| | | | - Dimitrios Rigopoulos
- 1st Department of Dermatology, Andreas Sygros Hospital, University of Athens, Athens, Greece
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24
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Tampouratzi E, Platsidaki E, Grivas T, Katsantonis J. An Unusual Late Onset of Ichthyosis Hystrix. Skinmed 2018; 16:365-367. [PMID: 30413240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Affiliation(s)
| | - Eftychia Platsidaki
- Department of Dermatology and Venereology, Andreas Syggros Hospital of Athens, Athens, Greece;
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Platsidaki E, Vasalou V, Gerodimou M, Markantoni V, Kouris A, Vryzaki E, Gregoriou S, Rigopoulos D, Kontochristopoulos G. The Association of Various Metabolic Parameters with Multiple Skin Tags. J Clin Aesthet Dermatol 2018; 11:40-43. [PMID: 30519379 PMCID: PMC6239160] [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] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Background: Skin tags (STs) are benign skin lesions. Their definite etiology remains unknown. We aim to examine the association of obesity, diabetes mellitus, hyperlipidemia, thyroid abnormalities, acanthosis nigricans, and multiple STs in a Greek primary population. Methods: Phototype and body weight were recorded. Fasting serum blood samples were analyzed for cholesterol, low-density lipoprotein, high-density lipoprotein, triglycerides, glucose, and thyroid-stimulating hormone. Univariate ordinal logistic regression multivariate analysis was performed. Results: The univariate analysis showed that patients who were overweight with Fitzpatrick Skin Type III, acanthosis nigricans, and hypothyroidism were more likely to present with multiple skin tags as compared with patients at a normal weight with Skin Type I. Statistically significant associations were also found with the presence of cholesterol and triglycerides. In the multivariate analysis, a significant association between hypercholesterolemia and STs was demonstrated. Those with skin tags were more likely to have hypothyroidism. Conclusion: STs are often associated with obesity. An association between lipid profile and STs has been reported. Multiple STs have been independently associated with acanthosis nigricans. Although a possible relationship between STs and thyroid disease has not yet been proved, our review reveals a possible trend. Future investigations with larger sample sizes might clarify the association between skin tags and hypothyroidism.
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Affiliation(s)
- Eftychia Platsidaki
- Drs. Platsidaki, Vasalou, Gerodimou, Markantoni, Kouris, Gregoriou, Rigopoulos, and Kontochristopoulos are with the Department of Dermatology and Venereology at Andreas Sygros Skin Hospital in Athens, Greece
- Dr. Vryzaki is with the General University Hospital of Patras in Patras, Greece
| | - Varvara Vasalou
- Drs. Platsidaki, Vasalou, Gerodimou, Markantoni, Kouris, Gregoriou, Rigopoulos, and Kontochristopoulos are with the Department of Dermatology and Venereology at Andreas Sygros Skin Hospital in Athens, Greece
- Dr. Vryzaki is with the General University Hospital of Patras in Patras, Greece
| | - Maria Gerodimou
- Drs. Platsidaki, Vasalou, Gerodimou, Markantoni, Kouris, Gregoriou, Rigopoulos, and Kontochristopoulos are with the Department of Dermatology and Venereology at Andreas Sygros Skin Hospital in Athens, Greece
- Dr. Vryzaki is with the General University Hospital of Patras in Patras, Greece
| | - Vasiliki Markantoni
- Drs. Platsidaki, Vasalou, Gerodimou, Markantoni, Kouris, Gregoriou, Rigopoulos, and Kontochristopoulos are with the Department of Dermatology and Venereology at Andreas Sygros Skin Hospital in Athens, Greece
- Dr. Vryzaki is with the General University Hospital of Patras in Patras, Greece
| | - Anargyros Kouris
- Drs. Platsidaki, Vasalou, Gerodimou, Markantoni, Kouris, Gregoriou, Rigopoulos, and Kontochristopoulos are with the Department of Dermatology and Venereology at Andreas Sygros Skin Hospital in Athens, Greece
- Dr. Vryzaki is with the General University Hospital of Patras in Patras, Greece
| | - Eleftheria Vryzaki
- Drs. Platsidaki, Vasalou, Gerodimou, Markantoni, Kouris, Gregoriou, Rigopoulos, and Kontochristopoulos are with the Department of Dermatology and Venereology at Andreas Sygros Skin Hospital in Athens, Greece
- Dr. Vryzaki is with the General University Hospital of Patras in Patras, Greece
| | - Stamatis Gregoriou
- Drs. Platsidaki, Vasalou, Gerodimou, Markantoni, Kouris, Gregoriou, Rigopoulos, and Kontochristopoulos are with the Department of Dermatology and Venereology at Andreas Sygros Skin Hospital in Athens, Greece
- Dr. Vryzaki is with the General University Hospital of Patras in Patras, Greece
| | - Dimitrios Rigopoulos
- Drs. Platsidaki, Vasalou, Gerodimou, Markantoni, Kouris, Gregoriou, Rigopoulos, and Kontochristopoulos are with the Department of Dermatology and Venereology at Andreas Sygros Skin Hospital in Athens, Greece
- Dr. Vryzaki is with the General University Hospital of Patras in Patras, Greece
| | - Georgios Kontochristopoulos
- Drs. Platsidaki, Vasalou, Gerodimou, Markantoni, Kouris, Gregoriou, Rigopoulos, and Kontochristopoulos are with the Department of Dermatology and Venereology at Andreas Sygros Skin Hospital in Athens, Greece
- Dr. Vryzaki is with the General University Hospital of Patras in Patras, Greece
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26
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Abstract
Psoriasis is a chronic, inflammatory scaling dermatosis. The marked visible appearance of the lesions have a negative impact on body image that leads to decreased self-esteem, hence seriously compromising the patient's quality of life. The clinical picture critically affects the social well-being of the patient since the disease is commonly misunderstood and feared by the social environment as being contagious. The patient feels stigmatized and this further intensifies their lack of self-confidence and self-esteem. Feelings of shame and guilt increase the tendency toward suicidal ideation. The poor quality of life of psoriatic patients has been associated with excessive alcohol consumption, increased smoking and greater use of tranquilizers, sedatives and antidepressants. As far as mental impairment is concerned, a correlation has been found between psychological stress and the clinical severity of symptoms: the more mentally affected the patient, the more severe the dermatologic lesions. Similarly, stressful life events constitute a major risk for the occurrence and recurrence, exacerbating the severity and duration of the symptoms. Depression and anxiety can worsen the disease or cause resistance to treatment or patient's indifference, which in turn can lead to expensive and prolonged treatment. Not least, the disease itself contributes to anxiety, depression and psychological stress, thus creating a "vicious circle" that is difficult to manage. Given that women seem to invest more in their personal appearance than men, it is hardly surprising that female psoriatic patients report higher levels of depression. Similarly, the risk of mental disorders is also higher in younger patients for whom body image plays an equally significant role. The severity of the disease, side effects of therapy and mental disorders are among the causes that have been attributed to sexual dysfunction reported by some psoriatic patients. At the social level, stigma, social rejection, feelings of shame, embarrassment and lack of confidence provoked by the disease often lead to the discontinuation of daily activities and social withdrawal. This review attempts to describe the prevalence of psychological stress and its negative social impact on patients with psoriasis. The recognition and treatment of these psychosocial problems may contribute to improving the quality of life for patients and reduce treatment costs. The collaboration between the psychiatrist and the dermatologist is a fundamental prerequisite toward addressing these issues.
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Affiliation(s)
- A Kouris
- Department of Dermatology, Democritus University Medical School, Alexandroupolis
| | - E Platsidaki
- Department of Dermatology and Venereology, "Andreas Syggros" Skin Hospital, Athens
| | - C Kouskoukis
- Department of Dermatology, Democritus University Medical School, Alexandroupolis
| | - C Christodoulou
- 2nd Department of Psychiatry, "Attikon" General Hospital, Athens University Medical School, Athens, Greece
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Platsidaki E, Kostopoulos N, Marnelakis I, Panagakis P. Secukinumab shows significant efficacy in two patients with difficult-to-treat areas of psoriasis: a Greek experience. Dermatol Online J 2018; 24:13030/qt9w02w406. [PMID: 29634892] [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] [Subscribe] [Scholar Register] [Received: 04/09/2018] [Accepted: 04/09/2018] [Indexed: 06/08/2023] Open
Abstract
Psoriasis is one of the most frequently occurring chronic inflammatory skin diseases. There are some specialized regions of the body that are considered difficult to treat. Secukinumab is a human monoclonal immunoglobulin G antibody that blocks the interleukin 17A ligand and has been shown to be highly efficacious in treating moderate-to-severe psoriasis. We studied two Greek patients, one with scalp psoriasis and the other with palmoplantar psoriasis, both resistant to treatment. Patients were treated with secukinumab and efficacy and safety were recorded. The patient with severe, refractory palmoplantar psoriasis achieved complete clearance at the end of the 4-week treatment period with secukinumab. The patient with moderate to severe, chronic scalp psoriasis was successfully treated with secukinumab, obtaining complete clearance of symptoms and remission of disease after approximately 16 weeks. In both cases clinical response was maintained through week 52. Secukinumab has been shown to be highly efficacious in the treatment of psoriasis of specific anatomical sites with an acceptable safety profile.
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Affiliation(s)
- Eftychia Platsidaki
- Department of Dermatology and Venereology, Andreas Sygros Hospital, Athens, Greece.
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Dessinioti C, Tzanetakou V, Zisimou C, Platsidaki E, Koukkou E, Katsambas A, Antoniou C. A study of androgenic signs and disorders in Greek female patients with acne. J Eur Acad Dermatol Venereol 2018; 32:e279-e282. [PMID: 29377293 DOI: 10.1111/jdv.14817] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Affiliation(s)
- C Dessinioti
- Department of Dermatology, Andreas Syggros Hospital, University of Athens, 5, I.Dragoumi street, 16121, Athens, Greece
| | - V Tzanetakou
- Department of Dermatology, Andreas Syggros Hospital, University of Athens, 5, I.Dragoumi street, 16121, Athens, Greece
| | - C Zisimou
- Department of Dermatology, Andreas Syggros Hospital, University of Athens, 5, I.Dragoumi street, 16121, Athens, Greece
| | - E Platsidaki
- Department of Dermatology, Andreas Syggros Hospital, University of Athens, 5, I.Dragoumi street, 16121, Athens, Greece
| | - E Koukkou
- Department of Endocrinology, "Elena Venizelou" Maternity Hospital, 2, Elenas Venizelou square, 11521, Athens, Greece
| | - A Katsambas
- University of Athens, 18, Tetrapoleos street, 11527, Athens, Greece
| | - C Antoniou
- Department of Dermatology, Andreas Syggros Hospital, University of Athens, 5, I.Dragoumi street, 16121, Athens, Greece
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Platsidaki E, Kostopoulos N, Gesakis K, Polydorou D, Agiasofitou E. An unusual early onset of lentigo maligna in the fourth decade of life. Indian J Dermatol Venereol Leprol 2018; 85:129. [PMID: 29327697 DOI: 10.4103/ijdvl.ijdvl_125_17] [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: 11/04/2022]
Affiliation(s)
- Eftychia Platsidaki
- Department of Dermatology and Venereology, Andreas Sygros Skin Hospital, Athens, Greece
| | - Nikolaos Kostopoulos
- Department of Dermatology and Venereology, Andreas Sygros Skin Hospital, Athens, Greece
| | - Kanellos Gesakis
- Department of Plastic Surgery, Private Clinic, Metropolitan, Piraeus, Greece
| | - Dorothea Polydorou
- Department of Dermatology and Venereology, Andreas Sygros Skin Hospital, Athens, Greece
| | - Efthymia Agiasofitou
- Department of Dermatology and Venereology, Andreas Sygros Skin Hospital, Athens, Greece
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Platsidaki E, Kostopoulos N, Marnelakis I, Panagakis P. Secukinumab shows significant efficacy in two patients with difficult-to-treat areas of psoriasis: a Greek experience. Dermatol Online J 2018. [DOI: 10.5070/d3243038622] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
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Kouris A, Platsidaki E, Christodoulou C, Efstathiou V, Markantoni V, Armyra K, Potouridou I, Rigopoulos D, Kontochristopoulos G. Patients' self-esteem before and after chemical peeling procedure. J COSMET LASER THER 2017; 20:220-222. [PMID: 29286838 DOI: 10.1080/14764172.2017.1400168] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
INTRODUCTION Chemical peeling is a safe method, widely used to treat a variety of skin conditions and reduce the aging effects. This study aims to evaluate self-esteem among adolescents who undergo chemical peelings. MATERIAL AND METHODS One hundred and twenty six patients constituted the study group. Sixty seven individuals had undergone chemical peeling for therapeutic reasons and 59 individuals for cosmetic reasons. To assess patients' self-esteem, the Rosenberg's Self-esteem Scale (RSES) was used before and after treatment. The control group included 71 healthy, age- and sex-matched volunteers from the general population. They were also asked to complete the RSES, after the same time interval as the patients. RESULTS The healthy controls (23.01 ± 3.12) presented statistically significantly higher self-esteem than both the groups of individuals who would be submitted to chemical peeling. Furthermore, patients who would undergo peeling for therapeutic reasons (21.58 ± 3.20) had statistically significantly higher self-esteem than those who would undergo the procedure for cosmetic reasons (18.97 ± 3.36). After the chemical peeling sessions, the self-esteem of patients treated for therapeutic reasons (23.48 ± 2.43) and of patients treated for cosmetic reasons (22.83 ± 3.34) improved statistically significantly, while the self-esteem of the healthy controls remained stable, as expected. CONCLUSION Patients who undergo chemical peelings tend to have low levels of self-esteem. Although facial lesions in skin diseases such as acne, acne scars, rosacea, and melasma seem to have negative effect on individuals' self-consciousness, patients who would be submitted to chemical peeling in order to treat wrinkles, loss of radiance, and skin tone clarity have even lower self-esteem. Chemical peelings were shown to favorably affect patient's self-esteem since all patients showed an increase in self-esteem after treatment, while the control group experienced no change.
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Affiliation(s)
- Anargyros Kouris
- a Department of Dermatology and Venereology , Andreas Sygros Hospital , Athens , Greece
| | - Eftychia Platsidaki
- a Department of Dermatology and Venereology , Andreas Sygros Hospital , Athens , Greece
| | | | - Vasiliki Efstathiou
- b 2nd Department of Psychiatry , "Attikon" University Hospital , Athens , Greece
| | - Vasiliki Markantoni
- a Department of Dermatology and Venereology , Andreas Sygros Hospital , Athens , Greece
| | - Kalliopi Armyra
- a Department of Dermatology and Venereology , Andreas Sygros Hospital , Athens , Greece
| | - Irene Potouridou
- a Department of Dermatology and Venereology , Andreas Sygros Hospital , Athens , Greece
| | - Dimitrios Rigopoulos
- a Department of Dermatology and Venereology , Andreas Sygros Hospital , Athens , Greece
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Dessinioti C, Zisimou C, Platsidaki E, Katsambas A, Antoniou C. A cross-sectional study of clinical factors associated with acne facial scarring in patients with active acne. J Eur Acad Dermatol Venereol 2017; 32:e212-e214. [PMID: 29194788 DOI: 10.1111/jdv.14726] [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: 11/28/2022]
Affiliation(s)
- C Dessinioti
- 1st Department of Dermatology, A.Syggros Hospital, University of Athens, Athens, Greece
| | - C Zisimou
- 1st Department of Dermatology, A.Syggros Hospital, University of Athens, Athens, Greece
| | - E Platsidaki
- 1st Department of Dermatology, A.Syggros Hospital, University of Athens, Athens, Greece
| | - A Katsambas
- National and Kapodistrian University of Athens, Athens, Greece
| | - C Antoniou
- 1st Department of Dermatology, A.Syggros Hospital, University of Athens, Athens, Greece
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Dessinioti C, Platsidaki E, Zisimou C, Tzanetakou V, Katsambas A, Antoniou C. A cross-sectional study of the perceptions about triggering factors in acne patients. J Eur Acad Dermatol Venereol 2017; 32:e137-e139. [DOI: 10.1111/jdv.14628] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Affiliation(s)
- C. Dessinioti
- 1st Department of Dermatology; A. Syggros Hospital; University of Athens; 5, Dragoumi Str, 16 121 Kaisariani, Athens Greece
| | - E. Platsidaki
- 1st Department of Dermatology; A. Syggros Hospital; University of Athens; 5, Dragoumi Str, 16 121 Kaisariani, Athens Greece
| | - C. Zisimou
- 1st Department of Dermatology; A. Syggros Hospital; University of Athens; 5, Dragoumi Str, 16 121 Kaisariani, Athens Greece
| | - V. Tzanetakou
- 1st Department of Dermatology; A. Syggros Hospital; University of Athens; 5, Dragoumi Str, 16 121 Kaisariani, Athens Greece
| | - A. Katsambas
- National & Kapodestrian University of Athens; 35, Skoufa str, 10 673, Athens Greece
| | - C. Antoniou
- 1st Department of Dermatology; A. Syggros Hospital; University of Athens; 5, Dragoumi Str, 16 121 Kaisariani, Athens Greece
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Platsidaki E, Balamoti E, Kouris A, Katsarou A, Mylonakis N, Vavouli C, Kontochristopoulos G. Bevacizumab-associated Sudden Onset of Multiple Monomorphic Comedones on the Scalp Successfully Treated with 30% Salicylic Acid Peels. Acta Dermatovenerol Croat 2017; 25:245-247. [PMID: 29252179] [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: 06/07/2023]
Abstract
Bevacizumab is a humanized monoclonal antibody against vascular endothelial factor (VEGF) that targets tumor cell angiogenesis and proliferation. Although it is usually well tolerated, many side-effects have been reported. These include hypertension, bleeding, and thromboembolic events among others. Drug-associated cutaneous adverse effects are less common and include itching, exfoliative dermatitis, and acneiform eruptions. A man with bevacizumab-associated monomorphic skin eruption successfully was treated with 30% salicylic acid peels. To the author's knowledge, this is the first report of open comedones with no further inflammatory acne lesions that developed in a patient treated with bevacizumab. Complete remission of the rash was achieved after performing 30% salicylic peels, and the patient continued the chemotherapy as planned with no need of either dose reduction or discontinuation of bevacizumab.
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Balamoti E, Platsidaki E, Kouris A, Kostopoulou A, Pappa S, Kontochristopoulos G. Ectopic extramammary Paget's disease on the scalp. GIORN ITAL DERMAT V 2017; 154:214-215. [PMID: 28712271 DOI: 10.23736/s0392-0488.17.05634-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Evgenia Balamoti
- Department of Dermatology and Venereology, Andreas Sygros Hospital, Athens, Greece
| | - Eftychia Platsidaki
- Department of Dermatology and Venereology, Andreas Sygros Hospital, Athens, Greece -
| | - Anargyros Kouris
- Department of Dermatology and Venereology, Andreas Sygros Hospital, Athens, Greece
| | | | - Sofia Pappa
- Department of Pathology, G. Gennimatas General Hospital, Athens, Greece
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Kouris A, Platsidaki E, Christodoulou C, Armyra K, Korkoliakou P, Stefanaki C, Tsatovidou R, Rigopoulos D, Kontochristopoulos G. Quality of life, depression, anxiety and loneliness in patients with bullous pemphigoid. A case control study. An Bras Dermatol 2017; 91:601-603. [PMID: 27828632 PMCID: PMC5087217 DOI: 10.1590/abd1806-4841.20164935] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2015] [Accepted: 10/10/2015] [Indexed: 11/21/2022] Open
Abstract
Background Bullous pemphigoid (BP) is a chronic, autoimmune blistering skin disease that
affects patients' daily life and psychosocial well-being. Objective The aim of the study was to evaluate the quality of life, anxiety, depression
and loneliness in BP patients. Methods Fifty-seven BP patients and fifty-seven healthy controls were recruited for
the study. The quality of life of each patient was assessed using the
Dermatology Life Quality Index (DLQI) scale. Moreover, they were evaluated
for anxiety and depression according to the Hospital Anxiety Depression
Scale (HADS-scale), while loneliness was measured through the Loneliness
Scale-Version 3 (UCLA) scale. Results The mean DLQI score was 9.45±3.34. Statistically significant
differences on the HADS total scale and in HADS-depression subscale (p=0.015
and p=0.002, respectively) were documented. No statistically significant
difference was found between the two groups on the HADS-anxiety subscale.
Furthermore, significantly higher scores were recorded on the UCLA Scale
compared with healthy volunteers (p=0.003). Conclusion BP had a significant impact on quality of life and the psychological status
of patients, probably due to the appearance of unattractive lesions on the
skin, functional problems and disease chronicity.
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Abstract
Introduction Morphea is an inflammatory skin disorder characterized by excessive collagen deposition. Although treatment algorithms for morphea subtypes have been suggested, no consistent recommendations are available. This study attempts to evaluate the clinical efficacy of methotrexate (MTX) as monotherapy in refractory generalized morphea. Methods It is a retrospective study, including 20 patients who had already been treated with various topical and systemic therapies with minimal clinical improvement. Patients received orally MTX at a of dosage 15 mg once weekly. Duration of the use, dosage of MTX, and adverse events were recorded. Clinical assessment of skin lesions was performed and documented. Results The mean disease duration was 27 months before the initiation of MTX treatment. After 12 months of therapy, very good response was achieved in 6 patients (30%), good response in 10 patients (50%), and fair response in 2 patients (10%), while 2 patients (10%) had failed treatment. Patients were followed up for a mean time interval of 21 months. No serious adverse event was recorded. Conclusion MTX has been already proved to be an effective and well-tolerated treatment in pediatric patients with morphea. The majority of the group of adult patients showed very good and good improvement when treated with MTX. Although this is an uncontrolled study, MTX monotherapy was considered a safe and effective treatment for the management of this specific clinical subset of morphea in adults.
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Affiliation(s)
- Eftychia Platsidaki
- Department of Dermatology and Venereology, Andreas Syggros Hospital, University of Athens, Athens, Greece
| | - Vassiliki Tzanetakou
- Department of Dermatology and Venereology, Andreas Syggros Hospital, University of Athens, Athens, Greece
| | - Anargyros Kouris
- Department of Dermatology and Venereology, Andreas Syggros Hospital, University of Athens, Athens, Greece
| | - Panagiotis G Stavropoulos
- Department of Dermatology and Venereology, Andreas Syggros Hospital, University of Athens, Athens, Greece
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Kouris A, Platsidaki E, Christodoulou C, Efstathiou V, Dessinioti C, Tzanetakou V, Korkoliakou P, Zisimou C, Antoniou C, Kontochristopoulos G. Quality of Life and Psychosocial Implications in Patients with Hidradenitis Suppurativa. Dermatology 2017; 232:687-691. [PMID: 28052274 DOI: 10.1159/000453355] [Citation(s) in RCA: 107] [Impact Index Per Article: 15.3] [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: 09/29/2016] [Accepted: 11/08/2016] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Hidradenitis suppurativa (HS) is a long-term skin disorder associated with high levels of psychological distress and significant life impact. OBJECTIVE To evaluate the quality of life, depression, anxiety, loneliness, and self-esteem in patients with HS. METHODS Ninety-four patients with HS were enrolled in the study. The quality of life, depression, anxiety, loneliness, and self-esteem of the patients were assessed using the Dermatology Life Quality Index (DLQI), the Hospital Anxiety and Depression Scale (HADS), the UCLA Loneliness Scale (UCLA-Version 3), and the Rosenberg Self-Esteem Scale (RSES), respectively. RESULTS The DLQI mean score was 11.43 ± 6.61 in patients with HS. The patients with HS presented statistically significantly higher anxiety (6.41 ± 3.31 vs. 5.00 ± 1.59, p < 0.001), depression (5.45 ± 2.79 vs. 4.16 ± 1.54, p < 0.001), and loneliness and social isolation scores (42.86 ± 8.63 vs. 35.57 ± 6.17, p < 0.001) and lower self-esteem scores (18.91 ± 1.79 vs. 19.77 ± 2.53, p = 0.008) than the healthy controls. CONCLUSIONS HS is a distressing, recurrent disease that impairs quality of life. We can suggest services that allow an integrated approach, which includes psychosocial support, offering the patients relief from isolation and an opportunity to share common experiences.
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Affiliation(s)
- Anargyros Kouris
- Department of Dermatology and Venereology, Andreas Sygros Hospital, Athens, Greece
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Abstract
Chemical peeling is a widely used procedure in the management of acne and acne scars. It causes controlled destruction of a part of or the entire epidermis, with or without the dermis, leading to exfoliation and removal of superficial lesions, followed by regeneration of new epidermal and dermal tissues. The most frequently used peeling agents are salicylic acid, glycolic acid, pyruvic acid, lactic acid, mandelic acid, Jessner solution, trichloroacetic acid, and phenol. The appropriate peel is chosen based on the patient's skin type, acne activity, and type of acne scars. Combination peels minimize side effects. In acne scars, chemical peels may be combined with other procedures to achieve better clinical results. A series of chemical peels can lead to significant improvement over a short period, leading to patient satisfaction and maintenance of clinical results. © 2016 Elsevier Inc. All rights reserved.
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Affiliation(s)
| | - Eftychia Platsidaki
- Department of Dermatology and Venereology, Andreas Sygros Skin Hospital, Athens, Greece.
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Platsidaki E, Kotsafti O, Kouris A, Agiasofitou E, Polydorou D. Pfeifer-Weber-Christian Disease during Pregnancy Successfully Treated with Corticosteroids. Indian J Dermatol 2016; 61:581. [PMID: 27688468 PMCID: PMC5029265 DOI: 10.4103/0019-5154.190136] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023] Open
Affiliation(s)
- Eftychia Platsidaki
- Department of Dermatology and Venereology, Andreas Sygros Skin Hospital, Athens, Greece. E-mail:
| | - Ourania Kotsafti
- Department of Dermatology and Venereology, Andreas Sygros Skin Hospital, Athens, Greece. E-mail:
| | - Anargyros Kouris
- Department of Dermatology and Venereology, Andreas Sygros Skin Hospital, Athens, Greece. E-mail:
| | - Efthymia Agiasofitou
- Department of Dermatology and Venereology, Andreas Sygros Skin Hospital, Athens, Greece. E-mail:
| | - Dorothea Polydorou
- Department of Dermatology and Venereology, Andreas Sygros Skin Hospital, Athens, Greece. E-mail:
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Kontochristopoulos G, Kouris A, Platsidaki E, Markantoni V, Gerodimou M, Antoniou C. Combination of microneedling and 10% trichloroacetic acid peels in the management of infraorbital dark circles. J COSMET LASER THER 2016; 18:289-92. [DOI: 10.3109/14764172.2016.1157363] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Platsidaki E, Kouris A, Agiasofitou E, Antoniou C, Kontochristopoulos G. Periorbital Hyperpigmentation in Patients with Xanthelasma Palpebrarum: An Interesting Observation. J Clin Aesthet Dermatol 2016; 9:52-54. [PMID: 27721911 PMCID: PMC4898585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Background: Xanthelasma palpebrarum refers to xanthomas that occur more often near the inner canthus of the eyelid. Periorbital hyperpigmentation presents as a dark area surrounding the eyelids. Objective: In the present study, the authors examined the prevalence and the associated factors of periorbital hyperpigmentation among patients with xanthelasma. Methods: One hundred and fourteen patients with xanthelasma palpebrarum were examined for the presence of dark circles. Detailed questionnaires regarding the history of diabetes, hypothyroidism, smoking status, and weight were completed by all patients. They were also tested for serum lipids (cholesterol, low-density lipoprotein, triglycerides, apolipoprotein A and apolipoprotein B). Results: From the 114 patients with xanthelasma, 94 (82.4%) were diagnosed with periorbital hyperpigmentation. At the time of the survey, 46 patients were smokers (48.9%), 23 of them had hypothyroidism (24.4%), and 16 patients were obese (17%). Only four patients had a history of diabetes. Cholesterol levels were elevated in 65 patients (69.1%). In 52 patients (55.3%), low-density lipoprotein was increased and in 51 patients (54.2%), both cholesterol and low-density lipoprotein were elevated. Apolipoprotein A was increased in 35 patients (37.2%), whereas apolipoprotein B was increased in 23 patients (24.4%). Conclusions: This study showed that a significant number of patients with xanthelasma exhibited periorbital hyperpigmentation. Smoking, obesity, and hyperlipidemia were observed in these patients.
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Affiliation(s)
- Eftychia Platsidaki
- Department of Dermatology and Venereology, Andreas Sygros
Skin Hospital, Athens, Greece
| | - Anargyros Kouris
- Department of Dermatology and Venereology, Andreas Sygros
Skin Hospital, Athens, Greece
| | - Efthymia Agiasofitou
- Department of Dermatology and Venereology, Andreas Sygros
Skin Hospital, Athens, Greece
| | - Christina Antoniou
- Department of Dermatology and Venereology, Andreas Sygros
University Skin Hospital, Medical School of Athens, Greece
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