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Kaliampou S, Nikolaou V, Niforou A, Kotsiopoulou I, Gerochristou M, Papanikolaou A, Kanellis G, Papadavid E, Tsimpidakis A, Pouliou E, Economaki E, Panou E, Nikolaou C, Stratigos AJ, Naska A, Marinos L. Epidemiological trends in cutaneous lymphomas in Greece. Eur J Dermatol 2023; 33:664-673. [PMID: 38465548 DOI: 10.1684/ejd.2023.4617] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/12/2024]
Abstract
Primary cutaneous lymphomas (PCLs) are a heterogenous group of non-Hodgkin lymphomas arising in the skin from T- or B-lymphocytes, for which there is limited epidemiological data available. To describe the disease characteristics and estimate annual incidence rates (IRs) and temporal trends of PCLs and their subtypes in Attica, Greece. A retrospective analysis of all PCL patients, diagnosed in Attica's main haemopathology referral centre from 2009 to 2021, was conducted. In total, 1,189 patients were included; 725 males and 464 females (males__females=1.56). The median age at diagnosis was 62 years. The annual IR was 2.2 new cases per 100,000 individuals. Most patients (n=979, 82.3%) were diagnosed with cutaneous T-cell lymphoma (CTCL) with a crude IR of 1.8 new cases per 100,000 person-years. Mycosis fungoides (MF) was the most common subtype (n=817, 68.7%), followed by lymphomatoid papulosis (LyP) (n=59, 5.0%). The crude IR for MF was 1.5 new cases per 100,000 person-years. Cutaneous B-cell lymphomas (CBCLs) accounted for 17.6% (n=210) of all PCLs (IR: 0.4 new cases per 100,000 person-years). PCL, CTCL and MF incidence rates increased from 2009 to 2019, followed by a decrease in 2020-2021. The incidence rate of CBCL increased steadily during the study period. The annual IRs of PCL in Greece were higher than those reported in other studies from Europe, America and Asia. The increase in IRs from 2009 to 2019 may reflect physicians' improved diagnostic efficiency. The COVID-19 pandemic may be the reason for the decline in PCL, CTCL and MF diagnoses from 2020 to 2021.
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Affiliation(s)
- Stella Kaliampou
- 1st Department of Dermatology and Venereology, Cutaneous Lymphoma Clinic, National and Kapodistrian University of Athens, "Andreas Sygros" Hospital of Venereal and Skin Diseases, Athens, Greece
| | - Vasiliki Nikolaou
- 1st Department of Dermatology and Venereology, Cutaneous Lymphoma Clinic, National and Kapodistrian University of Athens, "Andreas Sygros" Hospital of Venereal and Skin Diseases, Athens, Greece
| | - Aikaterini Niforou
- 1st Department of Dermatology and Venereology, Cutaneous Lymphoma Clinic, National and Kapodistrian University of Athens, "Andreas Sygros" Hospital of Venereal and Skin Diseases, Athens, Greece, Department of Hygiene, Epidemiology and Medical Statistics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
| | - Ioanna Kotsiopoulou
- 1st Department of Dermatology and Venereology, Cutaneous Lymphoma Clinic, National and Kapodistrian University of Athens, "Andreas Sygros" Hospital of Venereal and Skin Diseases, Athens, Greece
| | - Maria Gerochristou
- 1st Department of Dermatology and Venereology, Cutaneous Lymphoma Clinic, National and Kapodistrian University of Athens, "Andreas Sygros" Hospital of Venereal and Skin Diseases, Athens, Greece
| | | | - Georgios Kanellis
- Hematopathology Department, "Evangelismos" General Hospital, Athens, Greece
| | - Evangelia Papadavid
- 2nd Department of Dermatology and Venereology, National and Kapodistrian University of Athens, "Attikon" University General Hospital, Athens, Greece, ERNBloodNet centre for cutaneous lymphomas
| | - Antonios Tsimpidakis
- 1st Department of Dermatology and Venereology, Cutaneous Lymphoma Clinic, National and Kapodistrian University of Athens, "Andreas Sygros" Hospital of Venereal and Skin Diseases, Athens, Greece
| | - Evdoxia Pouliou
- Hematopathology Department, "Evangelismos" General Hospital, Athens, Greece
| | - Elisavet Economaki
- Hematopathology Department, "Evangelismos" General Hospital, Athens, Greece
| | - Evdoxia Panou
- 1st Department of Dermatology and Venereology, Cutaneous Lymphoma Clinic, National and Kapodistrian University of Athens, "Andreas Sygros" Hospital of Venereal and Skin Diseases, Athens, Greece
| | | | - Alexander J Stratigos
- 1st Department of Dermatology and Venereology, Cutaneous Lymphoma Clinic, National and Kapodistrian University of Athens, "Andreas Sygros" Hospital of Venereal and Skin Diseases, Athens, Greece
| | - Androniki Naska
- Department of Hygiene, Epidemiology and Medical Statistics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
| | - Leonidas Marinos
- Hematopathology Department, "Evangelismos" General Hospital, Athens, Greece
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Kaliampou S, Nikolaou V, Kotsiopoulou I, Papanikolaou A, Voudouri D, Papadavid E, Kanellis G, Pouliou E, Oikonomaki E, Gerochristou M, Stratigos A, Marinos L. Epidemiology of primary cutaneous lymphomas in Greece: a 12-year retrospective study. Eur J Cancer 2021. [DOI: 10.1016/s0959-8049(21)00753-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: 10/20/2022]
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Paltatzidou K, Xenos K, Panagiotopoulos A, Pouliou E, Katsika-Chatziolou E, Stavropoulos P, Katsambas A, Stratigos A, Antoniou C. Localization of MMP-9 in multinuclear giant cells in keloids after treatment with 5-fluorouracil with or without combination of cryotherapy and cryotherapy alone. J Eur Acad Dermatol Venereol 2016; 31:e121-e123. [PMID: 27634492 DOI: 10.1111/jdv.13869] [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)
- K Paltatzidou
- Department of Dermatology, Andreas Sygros Skin Hospital, Athens, Greece
| | - K Xenos
- Department of Dermatology, Andreas Sygros Skin Hospital, Athens, Greece
| | - A Panagiotopoulos
- Department of Dermatology, Andreas Sygros Skin Hospital, Athens, Greece
| | - E Pouliou
- Department of Hemopathology, Evagelismos Hospital, Athens, Greece
| | | | - P Stavropoulos
- Department of Dermatology, Andreas Sygros Skin Hospital, Athens, Greece
| | - A Katsambas
- Department of Dermatology, Andreas Sygros Skin Hospital, Athens, Greece
| | - A Stratigos
- Department of Dermatology, Andreas Sygros Skin Hospital, Athens, Greece
| | - C Antoniou
- Department of Dermatology, Andreas Sygros Skin Hospital, Athens, Greece
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Perpati G, Moraitou H, Armeniakou E, Mavrommati A, Pappas C, Makarona M, Kanavaki S, Pouliou E, Papamichalopoulos A. Incidence of different pathogens and sensitivity to antimicrobials in an adult CF center in Greece during 2002–2009. J Cyst Fibros 2010. [DOI: 10.1016/s1569-1993(10)60094-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: 10/19/2022]
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Zacharakis G, Kotsiou S, Papoutselis M, Vafiadis N, Tzara F, Pouliou E, Maltezos E, Koskinas J, Papoutselis K. Changes in the epidemiology of hepatitis B virus infection following the implementation of immunisation programmes in northeastern Greece. Euro Surveill 2009; 14:19297. [PMID: 19679032] [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] [Indexed: 05/28/2023] Open
Abstract
The objective of this study was to investigate changes in the epidemiology of hepatitis B virus infection in the general population and selected groups of immigrants in the region of northeastern Greece over the last decade in relation to the introduction of hepatitis B vaccination programmes. Two population-based seroprevalence surveys were carried out during the years 1992-1994 and 1998-2006. In total, 25,105 individuals were tested for the presence of hepatitis B virus markers: HBsAg, anti-HBs and anti-HBc. Childhood/adolescence immunisation programmes began early in 1994 in selected groups of immigrants and were complemented by the national vaccination programme in 1998. Between 1992-1994 and 1998-2006, the HBsAg carrier rate declined from 5.4% [95% CI: 4.5-5.9] in adults (20-60 years old) and 1.9% [95% CI: 1.6-2.4] in children/adolescents (5-19 years old) of indigenous residents to 3.4% [95% CI: 2.9-3.8] and 0.6% [95% CI: 0.2-1.4] respectively (p<0.05). In spite of a decrease compared with 1992-1994, the percentage of HBsAg carriers was still relatively high in 1998-2006 among the Muslim religious minority group (8.2% [95% CI: 8.0-8.7] in adults and 2% [95% CI: 1.7-2.4] in children/adolescents) and in immigrants from the former Soviet Union (4.3% [95% CI: 3.6-4.7] in adults and 1.1% [95% CI: 0.8-2.4] in children/adolescents) (p<0.05 for both selected groups versus general population). The decline of the prevalence of HBsAg in the general population and selected groups of immigrants in northeastern Greece over the last decade supports the effectiveness of the ongoing immunisation programme although the information on the actual number of cases of acute HBV infection is not available.
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Affiliation(s)
- G Zacharakis
- Unit of Preventive Medicine, Social Security Institute, Alexandroupolis, Greece.
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Zacharakis G, Kotsiou S, Papoutselis M, Vafiadis N, Tzara F, Pouliou E, Maltezos E, Koskinas J, Papoutselis K. Changes in the epidemiology of hepatitis B virus infection following the implementation of immunisation programmes in northeastern Greece. Euro Surveill 2009. [DOI: 10.2807/ese.14.32.19297-en] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
The objective of this study was to investigate changes in the epidemiology of hepatitis B virus infection in the general population and selected groups of immigrants in the region of northeastern Greece over the last decade in relation to the introduction of hepatitis B vaccination programmes. Two population-based seroprevalence surveys were carried out during the years 1992-1994 and 1998-2006. In total, 25,105 individuals were tested for the presence of hepatitis B virus markers: HBsAg, anti-HBs and anti-HBc. Childhood/adolescence immunisation programmes began early in 1994 in selected groups of immigrants and were complemented by the national vaccination programme in 1998. Between 1992-1994 and 1998-2006, the HBsAg carrier rate declined from 5.4% [95% CI: 4.5-5.9] in adults (20-60 years old) and 1.9% [95% CI: 1.6-2.4] in children/adolescents (5-19 years old) of indigenous residents to 3.4% [95% CI: 2.9-3.8] and 0.6% [95% CI: 0.2-1.4] respectively (p<0.05). In spite of a decrease compared with 1992-1994, the percentage of HBsAg carriers was still relatively high in 1998-2006 among the Muslim religious minority group (8.2% [95% CI: 8.0-8.7] in adults and 2% [95% CI: 1.7-2.4] in children/adolescents) and in immigrants from the former Soviet Union (4.3% [95% CI: 3.6-4.7] in adults and 1.1% [95% CI: 0.8-2.4] in children/adolescents) (p<0.05 for both selected groups versus general population). The decline of the prevalence of HBsAg in the general population and selected groups of immigrants in northeastern Greece over the last decade supports the effectiveness of the ongoing immunisation programme although the information on the actual number of cases of acute HBV infection is not available.
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Affiliation(s)
- G Zacharakis
- Unit of Preventive Medicine, Social Security Institute, Alexandroupolis, Greece
| | - S Kotsiou
- B Academic Department of Medicine, Democritus University of Thrace Medical School, Alexandroupolis, Greece
| | - M Papoutselis
- Unit of Preventive Medicine, Social Security Institute, Alexandroupolis, Greece
| | - N Vafiadis
- Unit of Preventive Medicine, Social Security Institute, Alexandroupolis, Greece
| | - F Tzara
- Unit of Preventive Medicine, Social Security Institute, Alexandroupolis, Greece
| | - E Pouliou
- Unit of Preventive Medicine, Social Security Institute, Alexandroupolis, Greece
| | - E Maltezos
- B Academic Department of Medicine, Democritus University of Thrace Medical School, Alexandroupolis, Greece
| | - J Koskinas
- Second Department of Internal Medicine, Athens University, School of Medicine, Hippokration General Hospital, Athens, Greece
| | - K Papoutselis
- Unit of Preventive Medicine, Social Security Institute, Alexandroupolis, Greece
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Marinos L, Economaki E, Stavroyianni N, Papadaki C, Xylouri I, Lalayanni C, Paterakis G, Pouliou E, Athanasiadou A, Kokkini G, Papadaki H, Fassas A, Anagnostopoulos A, Stamatopoulos K, Papadaki T. P082 Hematological manifestations and histopathological findings in T-large granular lymphocyte leukemia. Leuk Res 2009. [DOI: 10.1016/s0145-2126(09)70162-6] [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: 11/15/2022]
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Adreotti B, Apostolaki S, Vasilas N, Provataki G, Karmiri E, Pouliou E, Anastassiou E. Continuous subcutaneous infusion after cholecystectomy. Comparison of two mixtures for postoperative analgesia. Reg Anesth Pain Med 2004. [DOI: 10.1097/00115550-200409002-00064] [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: 11/25/2022]
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Tzetis M, Efthymiadou A, Strofalis S, Psychou P, Dimakou A, Pouliou E, Doudounakis S, Kanavakis E. CFTR gene mutations--including three novel nucleotide substitutions--and haplotype background in patients with asthma, disseminated bronchiectasis and chronic obstructive pulmonary disease. Hum Genet 2001; 108:216-21. [PMID: 11354633 DOI: 10.1007/s004390100467] [Citation(s) in RCA: 85] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
In order to investigate the incidence of cystic fibrosis transmembrane conductance regulator (CFTR) gene mutations and unclassified variants in chronic pulmonary disease in children and adults, we studied 20 patients with asthma, 19 with disseminated bronchiectasis (DB) of unknown aetiology, and 12 patients with chronic obstructive pulmonary disease (COPD), and compared the results to 52 subjects from the general Greek population. Analysis of the whole coding region of the CFTR gene and its flanking intronic regions revealed that the proportion of CFTR mutations was 45% in asthma (P<0.05), 26.3% in DB (P>0.05), 16.7% in COPD (P>0.05), compared to 15.4% in the general population. Seventeen different molecular defects involved in disease predisposition were identified in 16 patients. Three potentially disease-causing mutations, T388 M, M1R and V11I, are novel, found so far only in three asthma patients. The hyperactive M470 allele was found more frequently in COPD patients (frequency 70.8%, P<0.01) than in the controls. The study of the TGmTnM470 V polyvariant CFTR allele revealed the presence of CFTR function-modulating haplotypes TG13/T5/M470, TG11/T5/M470, TG12/T5/V470 and TG12/T7, combined with M470 or V470, in six asthma patients, four DB patients (P<0.01), and two COPD patients (P<0.05). These results confirm the involvement of the CFTR gene in asthma, DB and possibly in COPD.
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Affiliation(s)
- M Tzetis
- Department of Medical Genetics, Athens University, Aghia Sophia Children's Hospital, Thivon & Livadias, Greece
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Pouliou E, Nanas S, Papamichalopoulos A, Kyprianou T, Perpati G, Mavrou I, Roussos C. Prolonged oxygen kinetics during early recovery from maximal exercise in adult patients with cystic fibrosis. Chest 2001; 119:1073-8. [PMID: 11296172 DOI: 10.1378/chest.119.4.1073] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
STUDY OBJECTIVES To explore the significance of oxygen kinetics during early recovery after maximal cardiopulmonary exercise testing (CPET) in the assessment of functional capacity and severity of the disease in cystic fibrosis (CF) patients. PARTICIPANTS Eighteen patients with CF (9 male/9 female; mean +/- SD age, 23 +/- 13 years) and 11 healthy subjects (3 male/8 female; mean age, 29 +/- 4 years) underwent maximum CPET on a treadmill. Breath-by-breath analysis was used for measuring oxygen consumption (VO(2)), carbon dioxide production, and ventilation. Maximum VO(2) (VO(2)peak) and the first-degree slope of VO(2) decline during early recovery (VO(2)/t-slope) were calculated. To assess the severity of the disease, we used standard indexes like FEV(1) (% predicted), VO(2)peak, and a widely accepted system of clinical evaluation, the Schwachman score (SS). RESULTS VO(2)/t-slope was significantly lower in CF patients compared to healthy subjects (0.61 +/- 0.31 L/min/min vs 1.1 +/- 0.13 L/min/min; p < 0.01) and was closely correlated to FEV(1)(r = 0.90, p < 0.001), VO(2)peak (r = 0.81, p < 0.001), and the SS (r = 0.81, p < 0.001). The multivariate analysis showed that the only independent predictor of the SS is the VO(2)/t-slope. CONCLUSION We conclude that in CF patients, the prolonged oxygen kinetics during early recovery from maximal exercise is related to the disease severity.
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Affiliation(s)
- E Pouliou
- Adult Cystic Fibrosis Outpatient Clinic, Athens Chest Hospital, Greece.
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Stamatopoulos K, Kosmas C, Papadaki T, Pouliou E, Belessi C, Afendaki S, Anagnostou D, Loukopoulos D. Follicular lymphoma immunoglobulin kappa light chains are affected by the antigen selection process, but to a lesser degree than their partner heavy chains. Br J Haematol 1997; 96:132-46. [PMID: 9012699 DOI: 10.1046/j.1365-2141.1997.8492477.x] [Citation(s) in RCA: 46] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Follicular lymphoma cells carry surface immunoglobulin whose heavy chain variable (VH) regions exhibit considerable divergence from the aminoacid sequence predicted by the germline nucleotide sequence as a result of the somatic hypermutation process. The present study examined the extent of somatic hypermutation in follicular lymphoma kappa light chain variable region (V kappa) genes about which the available data is limited. DNA extracted from fresh frozen lymph node tissue of 14 patients with follicular lymphoma at diagnosis was subjected to polymerase chain reaction (PCR) amplification aimed at detecting clonal VH and VL (L: light chain) gene rearrangements. Clonal V kappa gene rearrangements were detected in 10/14 cases. Amplified VH and V kappa genes of these 10 cases were directly sequenced by the dideoxy-chain termination method. In all cases, rearranged VH genes demonstrated numerous mutations clustering in the complementarity determining regions (CDRs), in keeping with previous reports. The degree of divergence of the rearranged V kappa genes from the closest homologous germline V kappa genes varied significantly. Furthermore, two patterns of mutations were observed: (i) in six cases (60%), mutations were most often of the replacement (R) type (changing the aminoacid sequence of the encoded polypeptide) in the CDRs and of the silent (S) type (leaving the aminoacid sequence of the encoded polypeptide unchanged) in the framework regions (FWRs) resulting in R:S ratios significantly greater than would have occurred by chance: (ii) in four cases (40%), very few or no mutations were observed and the distribution of mutations as well as the R:S mutation ratios did not differ significantly from what would have occurred by chance alone. These findings imply that, compared to their partner heavy chains, the kappa light chains of follicular lymphoma neoplastic B-cells' surface immunoglobulin (sIg): (i) are less affected by somatic hypermutation: (ii) play a less significant role in the antigen selection process.
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MESH Headings
- Amino Acid Sequence
- Base Sequence
- Chromosomes, Human, Pair 14
- Chromosomes, Human, Pair 18
- Electrophoresis, Agar Gel
- Gene Rearrangement, B-Lymphocyte, Heavy Chain
- Gene Rearrangement, B-Lymphocyte, Light Chain
- Genes, Immunoglobulin
- Humans
- Immunoglobulin Heavy Chains/genetics
- Immunoglobulin Variable Region/genetics
- Immunoglobulin kappa-Chains/genetics
- Lymphoma, Follicular/genetics
- Lymphoma, Follicular/immunology
- Molecular Sequence Data
- Mutation
- Polymerase Chain Reaction
- Translocation, Genetic
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Affiliation(s)
- K Stamatopoulos
- First Department of Medicine, University of Athens School of Medicine, Laikon General Hospital, Greece
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