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Cavallo A, Camera E, Bottillo G, Maiellaro M, Truglio M, Marini F, Chavagnac-Bonneville M, Fauger A, Perrier E, Pigliacelli F, Picardo M, Cristaudo A, Mariano M. Biosignatures of defective sebaceous gland activity in sebum-rich and sebum-poor skin areas in adult atopic dermatitis. Exp Dermatol 2024; 33:e15066. [PMID: 38532571 DOI: 10.1111/exd.15066] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2023] [Revised: 03/07/2024] [Accepted: 03/14/2024] [Indexed: 03/28/2024]
Abstract
Atopic dermatitis (AD) is a composite disease presenting disruption of the skin permeability barrier (SPB) in the stratum corneum (SC). Recent evidence supports derangement of the sebaceous gland (SG) activity in the AD pathomechanisms. The objective of this study was to delineate profiles of both sebaceous and epidermal lipids and of aminoacids from SG-rich (SGR) and SG-poor (SGP) areas in AD. Both sebum and SC were sampled from SGR areas, while SC was sampled also from SGP areas in 54 adult patients with AD, consisting of 34 and 20 subjects, respectively with and without clinical involvement of face, and in 44 age and sex-matched controls. Skin biophysics were assessed in all sampling sites. Disruption of the SBP was found to be associated with dysregulated lipidome. Abundance of sapienate and lignocerate, representing, respectively, sebum and the SC type lipids, were decreased in sebum and SC from both SGR and SGP areas. Analogously, squalene was significantly diminished in AD, regardless the site. Extent of lipid derangement in SGR areas was correlated with the AD severity. The abundance of aminoacids in the SC from SGR areas was altered more than that determined in SGP areas. Several gender-related differences were found in both controls and AD subgroups. In conclusion, the SG activity was differently compromised in adult females and males with AD, in both SGR and SGP areas. In AD, alterations in the aminoacidome profiles were apparent in the SGR areas. Lipid signatures in association with aminoacidome and skin physical properties may serve the definition of phenotype clusters that associate with AD severity and gender.
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Affiliation(s)
- Alessia Cavallo
- Laboratory of Cutaneous Physiopathology, San Gallicano Dermatological Institute-IRCCS, Rome, Italy
| | - Emanuela Camera
- Laboratory of Cutaneous Physiopathology, San Gallicano Dermatological Institute-IRCCS, Rome, Italy
| | - Grazia Bottillo
- Laboratory of Cutaneous Physiopathology, San Gallicano Dermatological Institute-IRCCS, Rome, Italy
| | - Miriam Maiellaro
- Laboratory of Cutaneous Physiopathology, San Gallicano Dermatological Institute-IRCCS, Rome, Italy
| | - Mauro Truglio
- Laboratory of Cutaneous Physiopathology, San Gallicano Dermatological Institute-IRCCS, Rome, Italy
| | - Federico Marini
- Department of Chemistry, 'La Sapienza' University, Rome, Italy
| | - Marlène Chavagnac-Bonneville
- Research and Development Department, NAOS Ecobiology Company (Bioderma- Institute Esthederm - Etat Pur), Aix-en-Provence, France
| | - Aurélie Fauger
- Research and Development Department, NAOS Ecobiology Company (Bioderma- Institute Esthederm - Etat Pur), Aix-en-Provence, France
| | - Eric Perrier
- NAOS, Institute of Life Science, Aix-en-Provence, France
- Department of Dermatological Clinic and Research, San Gallicano Dermatological Institute-IRCCS, Rome, Italy
| | - Flavia Pigliacelli
- Department of Dermatological Clinic and Research, San Gallicano Dermatological Institute-IRCCS, Rome, Italy
| | - Mauro Picardo
- Laboratory of Cutaneous Physiopathology, San Gallicano Dermatological Institute-IRCCS, Rome, Italy
| | - Antonio Cristaudo
- Department of Dermatological Clinic and Research, San Gallicano Dermatological Institute-IRCCS, Rome, Italy
| | - Maria Mariano
- Department of Dermatological Clinic and Research, San Gallicano Dermatological Institute-IRCCS, Rome, Italy
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Orsini D, D'Arino A, Pigliacelli F, Iacovelli P, Pacifico A, Cota C, Di Prete M, Maramao FS. SARS-CoV-2: an environmental trigger of Darier's disease? J DERMATOL TREAT 2023; 34:2242541. [PMID: 37528796 DOI: 10.1080/09546634.2023.2242541] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/03/2023]
Affiliation(s)
- Diego Orsini
- Clinical Dermatology Unit, IFO-San Gallicano Dermatological Institute-IRCCS, 00144, Rome, Italy
| | - Andrea D'Arino
- Oncologic and Preventive Dermatology, IFO-San Gallicano Dermatological Institute-IRCCS, Rome, Italy
| | - Flavia Pigliacelli
- Clinical Dermatology Unit, IFO-San Gallicano Dermatological Institute-IRCCS, 00144, Rome, Italy
| | - Paolo Iacovelli
- Clinical Dermatology Unit, IFO-San Gallicano Dermatological Institute-IRCCS, 00144, Rome, Italy
| | - Alessia Pacifico
- Clinical Dermatology Unit, IFO-San Gallicano Dermatological Institute-IRCCS, 00144, Rome, Italy
| | - Carlo Cota
- Genetic Research Unit, Dermatological Molecular Biology and Dermatopathology, San Gallicano Dermatological Institute IRCCS, Rome, Italy
| | - Monia Di Prete
- Genetic Research Unit, Dermatological Molecular Biology and Dermatopathology, San Gallicano Dermatological Institute IRCCS, Rome, Italy
| | - Fabio Stefano Maramao
- Clinical and Research Resident, University of Rome Tor Vergata, Policlinico Tor Vergata, Rome, Italy
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Orsini D, Pacifico A, Iacovelli P, Frascione P, De Simone P, Assorgi C, Pigliacelli F. Rapidly and successful improvement of nail psoriasis with risankizumab. Clin Case Rep 2023; 11:e8035. [PMID: 37822482 PMCID: PMC10562652 DOI: 10.1002/ccr3.8035] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Accepted: 09/28/2023] [Indexed: 10/13/2023] Open
Abstract
This clinical case demonstrates quick resolution of nail psoriasis in a patient treated with risankizumab, highlighting the role of IL-23 in the pathogenesis of nail psoriasis.
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Affiliation(s)
- Diego Orsini
- Clinical Dermatology UnitIFO‐San Gallicano Dermatological Institute‐IRCCSRomeItaly
| | - Alessia Pacifico
- Clinical Dermatology UnitIFO‐San Gallicano Dermatological Institute‐IRCCSRomeItaly
| | - Paolo Iacovelli
- Clinical Dermatology UnitIFO‐San Gallicano Dermatological Institute‐IRCCSRomeItaly
| | - Pasquale Frascione
- Oncologic and Preventive Dermatology UnitIFO‐San Gallicano Dermatological Institute‐IRCCSRomeItaly
| | - Paola De Simone
- Oncologic and Preventive Dermatology UnitIFO‐San Gallicano Dermatological Institute‐IRCCSRomeItaly
| | - Chiara Assorgi
- Section of Dermatology, Department of Clinical Medicine and SurgeryUniversity of Naples Federico IINapoliItaly
| | - Flavia Pigliacelli
- Clinical Dermatology UnitIFO‐San Gallicano Dermatological Institute‐IRCCSRomeItaly
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Napolitano M, Mariano M, Cristaudo A, Dastoli S, Di Guida A, De Lucia M, Guerrasio G, Nisticò SP, Passante M, Pigliacelli F, Fabbrocini G, Patruno C. Drug survival analysis of dupilumab and cyclosporin in patients with atopic dermatitis: a multicentre study. J DERMATOL TREAT 2022; 33:2670-2673. [PMID: 35435125 DOI: 10.1080/09546634.2022.2067818] [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] [Indexed: 10/18/2022]
Abstract
Atopic dermatitis (AD) is a chronic inflammatory skin disease with a prevalence of about 2%-10% in the adult.Cyclosporin is a traditional immunosuppressive drug efficacious for treating AD, but its use is limited by several adverse event. Dupilumab is a monoclonal antibody blocking the effects of both of interleukin (IL)-4 and IL-13, pivotal cytokines in the pathogenesis of atopic diseases.For chronic conditions, such as AD, the efficacy and safety of a drug can be evaluated by drug survival (DS) analysis which gives a reflection of daily practice by evaluating the time from initiation to discontinuation of therapy.This study provides a comparative survival analysis between the only 2 drugs approved in Italy for the treatment of moderate-to-severe AD, cyclospoorin and dupilumab.
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Affiliation(s)
- Maddalena Napolitano
- Department of Medicine and Health Sciences Vincenzo Tiberio, University of Molise, Campobasso, Italy
| | - Maria Mariano
- San Gallicano Dermatological Institute - IRCCS, Rome, Italy
| | | | - Stefano Dastoli
- Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
| | - Adriana Di Guida
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Italy
| | - Mario De Lucia
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Italy
| | - Gianluca Guerrasio
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Italy
| | - Steven Paul Nisticò
- Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
| | - Maria Passante
- Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
| | | | - Gabriella Fabbrocini
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Italy
| | - Cataldo Patruno
- Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
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Pigliacelli F, Pacifico A, Mariano M, D'Arino A, Cristaudo A, Iacovelli P. Morphea induced by SARS-CoV-2 infection: A case report. Int J Dermatol 2021; 61:377-378. [PMID: 34783020 PMCID: PMC8653008 DOI: 10.1111/ijd.15983] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/11/2021] [Revised: 10/05/2021] [Accepted: 10/28/2021] [Indexed: 11/27/2022]
Affiliation(s)
| | | | - Maria Mariano
- San Gallicano Dermatological Institute - IRCCS, Rome, Italy
| | - Andrea D'Arino
- San Gallicano Dermatological Institute - IRCCS, Rome, Italy
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Chiricozzi A, Talamonti M, De Simone C, Galluzzo M, Gori N, Fabbrocini G, Marzano AV, Girolomoni G, Offidani A, Rossi MT, Bianchi L, Cristaudo A, Fierro MT, Stingeni L, Pellacani G, Argenziano G, Patrizi A, Pigatto P, Romanelli M, Savoia P, Rubegni P, Foti C, Milanesi N, Belloni Fortina A, Bongiorno MR, Grieco T, Di Nuzzo S, Fargnoli MC, Carugno A, Motolese A, Rongioletti F, Amerio P, Balestri R, Potenza C, Micali G, Patruno C, Zalaudek I, Lombardo M, Feliciani C, Di Nardo L, Guarneri F, Peris K, Caldarola G, Silvaggio D, Dattola A, Napolitano M, Ferrucci SM, Dal Bello G, Bianchelli T, Rovati C, Pigliacelli F, Ortoncelli M, Hansel K, Calabrese G, Loi C, Iannone M, Veronese F, Romita P, Tronconi G, Caroppo F, Tilotta G, Sernicola A, Esposito M, Raponi F, Gualdi G, Rech G, Musumeci ML, Nisticò SP, Campitiello A, Bonzano L, Piras V. Management of patients with atopic dermatitis undergoing systemic therapy during COVID-19 pandemic in Italy: Data from the DA-COVID-19 registry. Allergy 2021; 76:1813-1824. [PMID: 34152613 PMCID: PMC8014537 DOI: 10.1111/all.14767] [Citation(s) in RCA: 26] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2020] [Revised: 12/26/2020] [Accepted: 01/17/2021] [Indexed: 12/14/2022]
Abstract
Background Few and small studies have described the management of immunomodulant/immunosuppressive therapies or phototherapy in atopic dermatitis (AD) patients during coronavirus disease 2019 (COVID‐19) pandemic. Methods A national registry, named DA‐COVID‐19 and involving 35 Italian dermatology units, was established in order to evaluate the impact of COVID‐19 pandemic on the management of adult AD patients treated with systemic immunomodulant/immunosuppressive medications or phototherapy. Demographic and clinical data were obtained at different timepoints by teledermatology during COVID‐19 pandemic, when regular visits were not allowed due to sanitary restrictions. Disease severity was assessed by both physician‐ and patient‐reported assessment scores evaluating itch intensity, sleep disturbances, and AD severity. Results A total of 1831 patients were included, with 1580/1831 (86.3%) continuing therapy during pandemic. Most patients were treated with dupilumab (86.1%, 1576/1831) that was interrupted in only 9.9% (156/1576) of cases, while systemic immunosuppressive compounds were more frequently withdrawn. Treatment interruption was due to decision of the patient, general practitioner, or dermatologist in 39.9% (114/286), 5.6% (16/286), and 30.1% (86/286) of cases, respectively. Fear of increased susceptibility to SARS‐CoV‐2 infection (24.8%, 71/286) was one of the main causes of interruption. Sixteen patients (0.9%) resulted positive to SARS‐CoV‐2 infection; 3 of them (0.2%) were hospitalized but no cases of COVID‐related death occurred. Conclusions Most AD patients continued systemic treatments during COVID pandemic and lockdown period, without high impact on disease control, particularly dupilumab‐treated patients.
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Cristaudo A, Pigliacelli F, Sperati F, Orsini D, Cameli N, Morrone A, Mariano M. Instrumental evaluation of skin barrier function and clinical outcomes during dupilumab treatment for atopic dermatitis: An observational study. Skin Res Technol 2021; 27:810-813. [PMID: 33651467 DOI: 10.1111/srt.13025] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2020] [Accepted: 02/13/2021] [Indexed: 01/30/2023]
Abstract
BACKGROUND Atopic dermatitis (AD) is a chronic, inflammatory skin disease characterized by pruritus, xerosis, and skin barrier dysfunction. Skin barrier alteration is associated with an increase in trans-epidermal water loss (TEWL) and reduction in skin hydration. Dupilumab is a monoclonal antibody targeting interleukin-13 modulating pro-inflammatory signal transduction, which has been approved for moderate to severe AD. The aim of this study is to evaluate the effects of Dupilumab on skin barrier functions, using non-invasive instruments and clinical evaluation. MATERIALS AND METHODS Thirty patients affected by moderate-severe AD, who had been administered dupilumab, were evaluated by clinical examination and through the instrumental measurements of TEWL and corneometry at the baseline (T0) and 8 weeks (T1) on lesional skin. The clinical evaluation was performed using the Eczema Area and Severity Index (EASI) score. Moreover, a Dermatology Life Quality Index (DLQI) and 7-day numeric rating scale (NRS) questionnaires were administered to each patient. RESULTS The instrumental parameters of skin barrier recovery confirmed the clinical improvement outcomes with a statistically significant reduction of TEWL at T1. CONCLUSION Our data confirm the clinical outcomes already reported in the literature and show that there was an inverse proportional correlation between TEWL levels and clinical severity after 8 weeks of treatment with dupilumab.
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Affiliation(s)
| | | | | | - Diego Orsini
- San Gallicano Dermatological Institute, IRCCS, Rome, Italy
| | - Norma Cameli
- San Gallicano Dermatological Institute, IRCCS, Rome, Italy
| | - Aldo Morrone
- San Gallicano Dermatological Institute, IRCCS, Rome, Italy
| | - Maria Mariano
- San Gallicano Dermatological Institute, IRCCS, Rome, Italy
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8
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Mariano M, Donati P, Cameli N, Pigliacelli F, Morrone A, Cristaudo A. Ribociclib-Induced Erythema Dyschromicum Perstans (Ashy Dermatosis)-Like Pigmentation in a Metastatic Breast Cancer Patient. J Breast Cancer 2021; 24:117-121. [PMID: 33634626 PMCID: PMC7920864 DOI: 10.4048/jbc.2021.24.e1] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Revised: 07/23/2020] [Accepted: 08/27/2020] [Indexed: 12/28/2022] Open
Abstract
Ribociclib is a selective cyclin-dependent kinase (CDK) 4/6 inhibitor that has been approved in combination with endocrine therapy for the treatment of hormone receptor-positive/human epidermal growth factor 2-negative advanced or metastatic breast cancer. The main dermatological adverse events associated with CDK 4/6 inhibitors that are described in the literature include skin rash, an increased risk of alopecia, and stomatitis. Erythema dyschromicum perstans (EDP), also known as ashy dermatosis, is characterized by acquired small and large slate-gray hyperpigmented macules with erythematous borders. There are currently no published reports of EDP-like or pigmentary changes induced by CDK 4/6 inhibitors. This report describes the first case of EDP-like pigmentation associated with ribociclib therapy.
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Affiliation(s)
- Maria Mariano
- San Gallicano Dermatological Institute-IRCCS, Rome, Italy
| | - Pietro Donati
- San Gallicano Dermatological Institute-IRCCS, Rome, Italy
| | - Norma Cameli
- San Gallicano Dermatological Institute-IRCCS, Rome, Italy
| | | | - Aldo Morrone
- San Gallicano Dermatological Institute-IRCCS, Rome, Italy
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9
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Orsini D, D'Arino A, Tedesco M, Cota C, Pigliacelli F, Assorgi C, Latini A, Cristaudo A, Morrone A. Facial Abrikosoff tumour: The role of the dermatologist during COVID‐19 pandemic. Int Wound J 2020; 17:2026-2027. [PMID: 32573933 PMCID: PMC7361726 DOI: 10.1111/iwj.13431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2020] [Accepted: 05/27/2020] [Indexed: 11/28/2022] Open
Affiliation(s)
- Diego Orsini
- San Gallicano Dermatological Institute IRCCS Rome Italy
| | | | | | - Carlo Cota
- Dermatology Unit IRCCS INRCA Ancona Italy
| | | | | | | | | | - Aldo Morrone
- San Gallicano Dermatological Institute IRCCS Rome Italy
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10
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Pigliacelli F, Donà MG, Giglio A, Cameli N, Morrone A, Zaccarelli M, Latini A. Did the coronavirus pandemic reveal old neglected infections? Int J Dermatol 2020; 59:1391-1392. [PMID: 33078398 DOI: 10.1111/ijd.15174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/07/2020] [Accepted: 08/13/2020] [Indexed: 11/30/2022]
Affiliation(s)
| | | | - Amalia Giglio
- Microbiology and Clinical Pathology, San Gallicano Dermatologic Institute IRCCS, Rome, Italy
| | - Norma Cameli
- STI/HIV Unit, San Gallicano Dermatologic Institute IRCCS, Rome, Italy
| | - Aldo Morrone
- Scientific Direction, San Gallicano Dermatologic Institute IRCCS, Rome, Italy
| | - Mauro Zaccarelli
- National Institute for Infectious Diseases "Lazzaro Spallanzani", Rome, Italy
| | - Alessandra Latini
- STI/HIV Unit, San Gallicano Dermatologic Institute IRCCS, Rome, Italy
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11
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Cristaudo A, Pigliacelli F, Pacifico A, Damiani G, Iacovelli P, Morrone A. Teledermatology and hygiene practices during the COVID-19 pandemic. Contact Dermatitis 2020; 83:536. [PMID: 32754901 PMCID: PMC7436540 DOI: 10.1111/cod.13683] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2020] [Revised: 07/30/2020] [Accepted: 08/03/2020] [Indexed: 11/29/2022]
Affiliation(s)
- Antonio Cristaudo
- Clinical Dermatology, San Gallicano Dermatological Institute, Rome, Italy
| | - Flavia Pigliacelli
- Clinical Dermatology, San Gallicano Dermatological Institute, Rome, Italy
| | - Alessia Pacifico
- Clinical Dermatology, San Gallicano Dermatological Institute, Rome, Italy
| | - Giovanni Damiani
- Clinical Dermatology, Department of Biomedical, Surgical and Dental Sciences, IRCCS Galeazzi, Orthopaedic Institute, University of Milan, Milan, Italy
| | - Paolo Iacovelli
- Clinical Dermatology, San Gallicano Dermatological Institute, Rome, Italy
| | - Aldo Morrone
- Clinical Dermatology, San Gallicano Dermatological Institute, Rome, Italy
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12
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Carlesimo M, Pigliacelli F, D'Arino A, Caro G, Fortuna MC, Rossi A. Dermatologic management of oncotherapy side effects: A proposed algorithm. J Cosmet Dermatol 2020; 20:429-436. [PMID: 32585724 DOI: 10.1111/jocd.13566] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2020] [Revised: 06/13/2020] [Accepted: 06/17/2020] [Indexed: 01/20/2023]
Abstract
Since the introduction of the first chemotherapeutic regimens for the treatment of oncological disease, hundreds of drugs have been approved for cancer treatment and many more are under investigation. The development of newer drugs such as target therapies, immuno-oncotherapies, and hormonal therapies has increased in specificity with the development of smaller molecules and more selective targets. Cutaneous side effects are now well known for both standard chemotherapy and targeted therapies. The correct diagnosis and management of these effects are of vital importance both to optimize therapeutic success rates and to reduce the patient's suffering. In fact, the appearance of a cutaneous adverse event can be responsible for a reduction in drug dosage or worse its suspension. In order to achieve this objective, we propose a management algorithm, based on three different steps, before, during, and after the oncological treatments, respectively. Our proposal underlines the importance of correct skin care measures to limit or reduce the severity of side effects.
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Affiliation(s)
- Marta Carlesimo
- Department of Internal Medicine and Medical Specialties, UOC Dermatology, Sapienza University of Rome, Rome, Italy
| | - Flavia Pigliacelli
- Department of Internal Medicine and Medical Specialties, UOC Dermatology, Sapienza University of Rome, Rome, Italy
| | - Andrea D'Arino
- Department of Internal Medicine and Medical Specialties, UOC Dermatology, Sapienza University of Rome, Rome, Italy
| | - Gemma Caro
- Department of Internal Medicine and Medical Specialties, UOC Dermatology, Sapienza University of Rome, Rome, Italy
| | - Maria Caterina Fortuna
- Department of Internal Medicine and Medical Specialties, UOC Dermatology, Sapienza University of Rome, Rome, Italy
| | - Alfredo Rossi
- Department of Internal Medicine and Medical Specialties, UOC Dermatology, Sapienza University of Rome, Rome, Italy
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13
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Rossi A, Caro G, Fortuna MC, Pigliacelli F, D'Arino A, Carlesimo M. Prevention and Treatment of Chemotherapy-Induced Alopecia. Dermatol Pract Concept 2020; 10:e2020074. [PMID: 32642317 DOI: 10.5826/dpc.1003a74] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/14/2020] [Indexed: 10/31/2022] Open
Abstract
Background Chemotherapy-induced alopecia (CIA) is one of the most dramatic side effects of chemotherapy. Currently no guidelines are available for its prevention and treatment. Several devices and drugs are used, but results are often disappointing. Aims Our aim is to analyze drugs and devices proposed in the literature for prevention and treatment of CIA induced by cytotoxic drugs and to discuss the evidenced-based opinion. Methods and Results Scalp cooling is the only agent that has been approved by the US Food and Drug Administration for CIA prevention. Minoxidil and bimatoprost should not be used during chemotherapy administration, but they can be used after chemotherapy discontinuation to obtain greater regrowth. Conclusions Therapy should always be modulated for the patient and no fixed protocol should be used. Trichoscopy and trichogram could be useful tools in supporting this treatment.
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Affiliation(s)
- Alfredo Rossi
- Department of Hematology, Oncology and Dermatology, Sapienza University of Rome, Italy
| | - Gemma Caro
- Department of Hematology, Oncology and Dermatology, Sapienza University of Rome, Italy
| | | | - Flavia Pigliacelli
- Department of Hematology, Oncology and Dermatology, Sapienza University of Rome, Italy
| | - Andrea D'Arino
- Department of Hematology, Oncology and Dermatology, Sapienza University of Rome, Italy
| | - Marta Carlesimo
- Department of Hematology, Oncology and Dermatology, Sapienza University of Rome, Italy
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14
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Rossi A, Magri F, D'Arino A, Pigliacelli F, Muscianese M, Leoncini P, Caro G, Federico A, Fortuna MC, Carlesimo M. Efficacy of Topical Finasteride 0.5% vs 17α-Estradiol 0.05% in the Treatment of Postmenopausal Female Pattern Hair Loss: A Retrospective, Single-Blind Study of 119 Patients. Dermatol Pract Concept 2020; 10:e2020039. [PMID: 32363101 DOI: 10.5826/dpc.1002a39] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/03/2019] [Indexed: 10/31/2022] Open
Abstract
Background and Objectives Female pattern hair loss (FPHL) is a common form of scalp hair loss that occurs in 38% of females. Currently, minoxidil solution is the only therapy approved by the US Food and Drug Administration, but many other treatments are used, including cyproterone acetate, spironolactone, topical 17α-estradiol, and prostaglandin analogs. Systemic finasteride has been considered a treatment option in women even though its teratogenic effects tend to limit its prescription. Recently, topical finasteride has been evaluated to limit the side effect profile of the drug. The objective of the present study is to compare retrospectively the efficacy of topical 0.05% 17α-estradiol solution and a 0.5% finasteride lotion in the treatment of FPHL. Patients and Methods We enrolled 119 postmenopausal female patients. The first group comprised 69 women treated with finasteride 0.5% and minoxidil 2%. The second group included 50 women treated with 17α-estradiol 0.05% and minoxidil 2%. At baseline and at 6- and 12- to 18-month follow-up, global photographs were systematically taken. Three operators blind to the prescribed treatment evaluated photographs using a 7-point scale. One-way analysis of variance and unpaired Student t tests were performed to analyze 7-point scale scores. Results The improvement was statistically significant from 6 months to 12-18 months, both for finasteride (P < 0.005) and 17α-estradiol (P < 0.05). The efficacy of topical finasteride was significantly greater than that of 17α-estradiol solution, both at the 6-month (P < 0.05) and at the 12- to 18-month follow-up (P < 0.005). In general, the highest improvement was observed after 12-18 months of treatment with topical finasteride therapy. Conclusions Topical finasteride 0.5% in combination with minoxidil 2% could represent a valid therapeutic option for the treatment of postmenopausal FPHL, showing higher efficacy than topical 17α-estradiol with minoxidil 2% both at 6-month and 12- to 18-month follow-up.
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Affiliation(s)
- Alfredo Rossi
- Division of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Francesca Magri
- Division of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Andrea D'Arino
- Division of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Flavia Pigliacelli
- Division of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Marta Muscianese
- Division of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Pierpaolo Leoncini
- Department of Pediatric Hematology and Oncology, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Bambino Gesù Children's Hospital, Rome, Italy
| | - Gemma Caro
- Division of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Alessandro Federico
- Division of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Maria Caterina Fortuna
- Division of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Marta Carlesimo
- Division of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
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Carlesimo M, Pigliacelli F, D'Arino A, Caro G, Magri F, De Vincentiis L, Soda G, Fortuna MC, Rossi A. Isoradiotopic response of discoid lupus after radiotherapy: A case report and review of the literature. Dermatol Ther 2019; 33:e13183. [DOI: 10.1111/dth.13183] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2019] [Accepted: 12/09/2019] [Indexed: 01/24/2023]
Affiliation(s)
- Marta Carlesimo
- Department of Internal Medicine and Medical Specialties, UOC DermatologySapienza University of Rome Rome Italy
| | - Flavia Pigliacelli
- Department of Internal Medicine and Medical Specialties, UOC DermatologySapienza University of Rome Rome Italy
| | - Andrea D'Arino
- Department of Internal Medicine and Medical Specialties, UOC DermatologySapienza University of Rome Rome Italy
| | - Gemma Caro
- Department of Internal Medicine and Medical Specialties, UOC DermatologySapienza University of Rome Rome Italy
| | - Francesca Magri
- Department of Internal Medicine and Medical Specialties, UOC DermatologySapienza University of Rome Rome Italy
| | | | - Giuseppe Soda
- Department of Molecular MedicineSapienza University of Rome Rome Italy
| | - Maria C. Fortuna
- Department of Internal Medicine and Medical Specialties, UOC DermatologySapienza University of Rome Rome Italy
| | - Alfredo Rossi
- Department of Internal Medicine and Medical Specialties, UOC DermatologySapienza University of Rome Rome Italy
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Rossi A, Muscianese M, Federico A, Magri F, Caro G, Fortuna MC, D'Arino A, Pigliacelli F, Carlesimo M. Associations between alopecia areata and multiple sclerosis: a report of two cases and review of the literature. Int J Dermatol 2019; 59:490-493. [PMID: 31797349 DOI: 10.1111/ijd.14737] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/25/2019] [Revised: 09/19/2019] [Accepted: 11/05/2019] [Indexed: 02/02/2023]
Affiliation(s)
- Alfredo Rossi
- Department of Internal Medicine and Medical Specialties, Dermatology, Sapienza, University of Rome, Rome, Italy
| | - Marta Muscianese
- Department of Internal Medicine and Medical Specialties, Dermatology, Sapienza, University of Rome, Rome, Italy
| | - Alessandro Federico
- Department of Internal Medicine and Medical Specialties, Dermatology, Sapienza, University of Rome, Rome, Italy
| | - Francesca Magri
- Department of Internal Medicine and Medical Specialties, Dermatology, Sapienza, University of Rome, Rome, Italy
| | - Gemma Caro
- Department of Internal Medicine and Medical Specialties, Dermatology, Sapienza, University of Rome, Rome, Italy
| | - Maria Caterina Fortuna
- Department of Internal Medicine and Medical Specialties, Dermatology, Sapienza, University of Rome, Rome, Italy
| | - Andrea D'Arino
- Department of Internal Medicine and Medical Specialties, Dermatology, Sapienza, University of Rome, Rome, Italy
| | - Flavia Pigliacelli
- Department of Internal Medicine and Medical Specialties, Dermatology, Sapienza, University of Rome, Rome, Italy
| | - Marta Carlesimo
- Department of Internal Medicine and Medical Specialties, Dermatology, Sapienza, University of Rome, Rome, Italy
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Rossi A, Muscianese M, Piraccini BM, Starace M, Carlesimo M, Mandel VD, Alessandrini A, Calvieri S, Caro G, D'arino A, Federico A, Magri F, Pigliacelli F, Amendolagine G, Annunziata MC, Arisi MC, Astorino S, Babino G, Bardazzi F, Barruscotti S, Belloni Fortina A, Borghi A, Bruni F, Caccavale S, Calzavara-Pinton P, Cameli N, Cardone M, Carugno A, Coppola R, Dattola A, De Felici Del Giudice MB, Di Cesare A, Dika E, Di Nunno D, D'ovidio R, Fabbrocini G, Feliciani C, Fulgione E, Galluzzo M, Garcovich S, Garelli V, Guerriero C, Hansel K, La Placa M, Lacarrubba F, Lora V, Marinello E, Megna M, Micali G, Misciali C, Monari P, Monfrecola G, Neri I, Offidani A, Orlando G, Papini M, Patrizi A, Piaserico S, Rivetti N, Simonetti O, Stan TR, Stingeni L, Talamonti M, Tassone F, Villa L, Vincenzi C, Fortuna MC. Italian Guidelines in diagnosis and treatment of alopecia areata. GIORN ITAL DERMAT V 2019; 154:609-623. [PMID: 31578836 DOI: 10.23736/s0392-0488.19.06458-7] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Alopecia areata (AA) is an organ-specific autoimmune disorder that targets anagen phase hair follicles. The course is unpredictable and current available treatments have variable efficacy. Nowadays, there is relatively little evidence on treatment of AA from well-designed clinical trials. Moreover, none of the treatments or devices commonly used to treat AA are specifically approved by the Food and Drug Administration. The Italian Study Group for Cutaneous Annexial Disease of the Italian Society of dermatology proposes these Italian guidelines for diagnosis and treatment of Alopecia Areata deeming useful for the daily management of the disease. This article summarizes evidence-based treatment associated with expert-based recommendations.
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Affiliation(s)
- Alfredo Rossi
- Division of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy -
| | - Marta Muscianese
- Division of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Bianca M Piraccini
- Division of Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - Michela Starace
- Division of Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - Marta Carlesimo
- Division of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Victor D Mandel
- Unit of Dermatology, Surgical, Medical and Dental Department of Morphological Sciences Related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - Aurora Alessandrini
- Division of Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - Stefano Calvieri
- Division of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Gemma Caro
- Division of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Andrea D'arino
- Division of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Alessandro Federico
- Division of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Francesca Magri
- Division of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Flavia Pigliacelli
- Division of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Graziana Amendolagine
- Section of Dermatology and Infectious Diseases, Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - Maria C Annunziata
- Section of Dermatology, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy
| | - Maria C Arisi
- Department of Dermatology, ASST Spedali Civili of Brescia, University of Brescia, Brescia, Italy
| | - Stefano Astorino
- Unit of Dermatology and Venereology, Celio Military Hospital, Rome, Italy
| | - Graziella Babino
- Unit of Dermatology, Nuovo Policlinico, Luigi Vanvitelli University of Campania, Naples, Italy
| | - Federico Bardazzi
- Division of Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - Stefania Barruscotti
- Unit of Dermatology, S. Matteo University Polyclinic, IRCCS and Foundation, Pavia, Italy
| | - Anna Belloni Fortina
- Unit of Dermatology, Department of Medicine - DIMED, University of Padua, Padua, Italy
| | - Alessandro Borghi
- Section of Dermatology and Infectious Diseases, Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - Francesca Bruni
- Division of Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - Stefano Caccavale
- Unit of Dermatology, Nuovo Policlinico, Luigi Vanvitelli University of Campania, Naples, Italy
| | | | - Norma Cameli
- San Gallicano Dermatological Institute (IRCCS), Rome, Italy
| | - Michele Cardone
- Division of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Andrea Carugno
- Unit of Dermatology, S. Matteo University Polyclinic, IRCCS and Foundation, Pavia, Italy
| | - Rosa Coppola
- Campus Bio-Medico University (Hospital), Rome, Italy
| | - Annunziata Dattola
- Department of Dermatology, Tor Vergata Polyclinic and University, Rome, Italy
| | | | - Antonella Di Cesare
- Section of Dermatology, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy
| | - Emi Dika
- Division of Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - Donato Di Nunno
- Unit of Dermatology and Venereology, Celio Military Hospital, Rome, Italy
| | | | - Gabriella Fabbrocini
- Section of Dermatology, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy
| | - Claudio Feliciani
- Section of Dermatology, Department of Clinical and Experimental Medicine, University of Parma, Parma, Italy
| | - Elisabetta Fulgione
- Unit of Dermatology, Nuovo Policlinico, Luigi Vanvitelli University of Campania, Naples, Italy
| | - Marco Galluzzo
- Department of Dermatology, Tor Vergata Polyclinic and University, Rome, Italy
| | - Simone Garcovich
- Institute of Dermatology, A. Gemelli University Polyclinic, IRCCS and Foundation, Sacred Heart Carholic University, Rome, Italy
| | - Valentina Garelli
- Division of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Cristina Guerriero
- Institute of Dermatology, A. Gemelli University Polyclinic, IRCCS and Foundation, Sacred Heart Carholic University, Rome, Italy
| | - Katharina Hansel
- Section of Dermatology, Department of Medicine, University of Perugia, Perugia, Italy
| | - Michelangelo La Placa
- Division of Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | | | - Viviana Lora
- Institute of Dermatology, A. Gemelli University Polyclinic, IRCCS and Foundation, Sacred Heart Carholic University, Rome, Italy
| | - Elena Marinello
- Unit of Dermatology, Department of Medicine - DIMED, University of Padua, Padua, Italy
| | - Matteo Megna
- Section of Dermatology, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy
| | - Giuseppe Micali
- Department of Dermatology, University of Catania, Catania, Italy
| | - Cosimo Misciali
- Division of Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - Paola Monari
- Department of Dermatology, ASST Spedali Civili of Brescia, University of Brescia, Brescia, Italy
| | - Giuseppe Monfrecola
- Section of Dermatology, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy
| | - Iria Neri
- Division of Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - Annamaria Offidani
- Unit of Dermatology, Department of Clinical and Molecular Sciences, Polytechnic Marche University, Ancona, Italy
| | - Gloria Orlando
- Unit of Dermatology, Department of Medicine - DIMED, University of Padua, Padua, Italy
| | - Manuela Papini
- Section of Dermatology, Department of Medicine, University of Perugia, Perugia, Italy
| | - Annalisa Patrizi
- Division of Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - Stefano Piaserico
- Unit of Dermatology, Department of Medicine - DIMED, University of Padua, Padua, Italy
| | - Niccolò Rivetti
- Unit of Dermatology, S. Matteo University Polyclinic, IRCCS and Foundation, Pavia, Italy
| | - Oriana Simonetti
- Unit of Dermatology, Department of Clinical and Molecular Sciences, Polytechnic Marche University, Ancona, Italy
| | - Teodora R Stan
- Unit of Dermatology, Department of Medicine - DIMED, University of Padua, Padua, Italy
| | - Luca Stingeni
- Section of Dermatology, Department of Medicine, University of Perugia, Perugia, Italy
| | - Marina Talamonti
- Department of Dermatology, Tor Vergata Polyclinic and University, Rome, Italy
| | - Francesco Tassone
- Institute of Dermatology, A. Gemelli University Polyclinic, IRCCS and Foundation, Sacred Heart Carholic University, Rome, Italy
| | | | - Colombina Vincenzi
- Division of Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - Maria C Fortuna
- Division of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
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Rossi A, D'Arino A, Pigliacelli F, Caro G, Muscianese M, Fortuna MC, Carlesimo M. The diagnosis of androgenetic alopecia in children: Considerations of pathophysiological plausibility. Australas J Dermatol 2019; 60:e279-e283. [PMID: 31168786 DOI: 10.1111/ajd.13079] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2018] [Accepted: 04/24/2019] [Indexed: 01/21/2023]
Abstract
Androgenetic alopecia (AGA), one of the most common causes of hair loss in men and women, is an infrequent cause of alopecia in children. In AGA, patients generally start noticing hair thinning after the onset of puberty due to progressive miniaturisation of the hair follicle which leads to vellus transformation of terminal hair. However, the occurrence of prepubertal AGA has rarely been reported in the literature. The pathophysiology of AGA is tightly linked to androgen hormones; prepubertal children do not usually produce significant amounts of adrenal or gonadal androgens. When it does occur, an underlying abnormality should be suspected. Secondary causes of AGA must be excluded when evaluating a patient before the appearance of puberty. Premature puberty, polycystic ovarian syndrome and other causes of hyperandrogenism can present with hair loss in an androgenetic pattern. This article reviews the normal physiology of androgen hormones and their role in the pathophysiology of childhood AGA.
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Affiliation(s)
- Alfredo Rossi
- Department of Internal Medicine and Medical Specialties, UOC Dermatology, University of Rome "Sapienza", Rome, Italy
| | - Andrea D'Arino
- Department of Internal Medicine and Medical Specialties, UOC Dermatology, University of Rome "Sapienza", Rome, Italy
| | - Flavia Pigliacelli
- Department of Internal Medicine and Medical Specialties, UOC Dermatology, University of Rome "Sapienza", Rome, Italy
| | - Gemma Caro
- Department of Internal Medicine and Medical Specialties, UOC Dermatology, University of Rome "Sapienza", Rome, Italy
| | - Marta Muscianese
- Department of Internal Medicine and Medical Specialties, UOC Dermatology, University of Rome "Sapienza", Rome, Italy
| | - Maria Caterina Fortuna
- Department of Internal Medicine and Medical Specialties, UOC Dermatology, University of Rome "Sapienza", Rome, Italy
| | - Marta Carlesimo
- Department of Internal Medicine and Medical Specialties, UOC Dermatology, University of Rome "Sapienza", Rome, Italy
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Tammaro A, Caro G, Parisella FR, Magri F, Giordano D, Pigliacelli F, Persechino S. Acne keloidalis nuchae in a Caucasian young man. GIORN ITAL DERMAT V 2019; 154:360-361. [PMID: 31001968 DOI: 10.23736/s0392-0488.17.05734-0] [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)
- Antonella Tammaro
- Unit of Dermatology, Department of Neurosciences, Mental Health and Sense Organs (NESMOS), Sant'Andrea Hospital, Faculty of Medicine and Psychology, Sapienza University, Rome, Italy -
| | - Gemma Caro
- Unit of Dermatology, Department of Neurosciences, Mental Health and Sense Organs (NESMOS), Sant'Andrea Hospital, Faculty of Medicine and Psychology, Sapienza University, Rome, Italy
| | | | - Francesca Magri
- Unit of Dermatology, Department of Neurosciences, Mental Health and Sense Organs (NESMOS), Sant'Andrea Hospital, Faculty of Medicine and Psychology, Sapienza University, Rome, Italy
| | - Domenico Giordano
- Unit of Dermatology, Department of Neurosciences, Mental Health and Sense Organs (NESMOS), Sant'Andrea Hospital, Faculty of Medicine and Psychology, Sapienza University, Rome, Italy
| | - Flavia Pigliacelli
- Unit of Dermatology, Department of Neurosciences, Mental Health and Sense Organs (NESMOS), Sant'Andrea Hospital, Faculty of Medicine and Psychology, Sapienza University, Rome, Italy
| | - Severino Persechino
- Unit of Dermatology, Department of Neurosciences, Mental Health and Sense Organs (NESMOS), Sant'Andrea Hospital, Faculty of Medicine and Psychology, Sapienza University, Rome, Italy
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Magri F, Pranteda G, Federico A, Muscianese M, Pigliacelli F, D'arino A, Paolino G, Bottoni U, Pranteda G. Kerion mimicking an erosive pustular dermatosis of the scalp. GIORN ITAL DERMAT V 2019; 154:96-98. [PMID: 30616337 DOI: 10.23736/s0392-0488.17.05673-5] [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)
- Francesca Magri
- Department of Dermatology (NESMOS), Faculty of Medicine and Psychology, Sant'Andrea Hospital, Sapienza University, Rome, Italy
| | - Guglielmo Pranteda
- Department of Dermatology (NESMOS), Faculty of Medicine and Psychology, Sant'Andrea Hospital, Sapienza University, Rome, Italy -
| | - Alessandro Federico
- Department of Dermatology (NESMOS), Faculty of Medicine and Psychology, Sant'Andrea Hospital, Sapienza University, Rome, Italy
| | - Marta Muscianese
- Department of Dermatology (NESMOS), Faculty of Medicine and Psychology, Sant'Andrea Hospital, Sapienza University, Rome, Italy
| | - Flavia Pigliacelli
- Department of Dermatology (NESMOS), Faculty of Medicine and Psychology, Sant'Andrea Hospital, Sapienza University, Rome, Italy
| | - Andrea D'arino
- Unit of Dermatology, Faculty of Medicine and Psychology, Umberto I Hospital, Sapienza University, Rome, Italy
| | - Giovanni Paolino
- Unit of Dermatology, Faculty of Medicine and Psychology, Umberto I Hospital, Sapienza University, Rome, Italy
| | - Ugo Bottoni
- Department of Health Sciences, University of Catanzaro Magna Græcia, Catanzaro, Italy
| | - Giulia Pranteda
- Unit of Dermatology, Faculty of Medicine and Psychology, Umberto I Hospital, Sapienza University, Rome, Italy
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Tammaro A, Magri F, Pigliacelli F, Gelormini E, Parisella Francesca R, Chello C, Persechino S. Allergic Contact Dermatitis to a Cell Phone. Acta Dermatovenerol Croat 2018; 26:339-340. [PMID: 30665487] [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, Nickel is a ubiquitous allergen and an important cause of allergic contact dermatitis (ACD). Sensitized patients generally develop a localized eruption after cutaneous exposure to nickel, characterized by erythema, vesicles, eczematous plaques, and itching. Nickel is frequently found in several everyday objects. It is used in numerous industrial and consumer products, including stainless steel, magnets, metal plating, coinage, and special alloys, and is therefore almost impossible to completely avoid in daily life (1). This metal may be found in a wide variety of items, such as jewelry, belt buckles, buttons, glasses, coins, and keys. More recently, items such as mobile phones, laptop computers, video game controllers, and other technological accessories have also been identified as a source of nickel. The use of mobile phones has risen exponentially in recent decades. Nickel has been detected in cell phones, and reports of contact dermatitis due to metals contained in cell phones are present in the literature (2,3). Allergic contact dermatitis to a mobile phone was first described in 2000, when Pazzaglia et al. reported two cases of nickel allergy due to mobile phone use (4). In addition to nickel, cobalt, which is frequently used in hard metal alloys and observed to be present in mobile phones, is a frequent cause of allergic contact dermatitis (5). Herein we present a case of allergic contact dermatitis, possibly caused by the use of a mobile phone. A 38-year-old woman was admitted to our Department of Dermatology for the presence of a pruritic eczematous solitary lesion on the face. At physical investigation, we observed the presence of confluent erythematous and squamous plaques localized at the pre-auricular and auricular region of the left ear. These lesions varied in size from 1 to 4 cm (Figure 1). As reported by the patient, the symptoms had been present for 6 months. No other cutaneous diseases or photodermatoses were reported. As reported by the patient during the anamnestic interview, she worked as a manager for a big commercial company and used to spend many hours per day using her cell phone. She had a familiar history of atopic dermatitis and a personal history of metal allergy. A patch test SIDAPA series was performed (Table 1). After 48 hours, the patch was removed and a preliminary reading of the skin was done. The final reading was performed after 72 hours from the patch application. The test was positive for nickel sulfate (++ after 48 hours and +++ after 72 hours) and for cobalt chloride (+ after 48 hours and ++ after 72 hours). We also performed a patch test Metal series (Table 2), which was negative at 48 and 72 hours. Based on the patch test results and the information revealed by the patient, we hypothesized a triggering role of the cell phone to the onset of the pre-auricular dermatitis. This hypothesis stems from the literature regarding cases of dermatitis due to allergenic metals contained in cell phones. Oral antihistamines and topical steroids were prescribed to treat the eczematous plaques. After one week of therapy, a partial improvement of the skin condition was observed. In line with our hypothesis of a causal role of the cell phone, our patient's dermatitis completely disappeared when her usual auricular contact with her mobile phone was avoided. Following our suggestion, the patient started to use the speakerphone when needed. Six months later, she had a complete remission of the cutaneous lesions and did not present recurrences of the auricular dermatitis. Dermatologists should be aware that mobile phone dermatitis is an emerging phenomenon, especially among young adults and adolescents. Despite efforts to control the presence of allergen metals in phones, many phones present levels of metals such as nickel and cobalt, known to induce allergic contact dermatitis. In conclusion, it is important to suspect this diagnosis in case of patients with dermatitis of the face, neck, hands, or auricular region, especially when the lesions are unilateral. Patch test for common metal allergens may be helpful for diagnosis.
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Affiliation(s)
- Antonella Tammaro
- Prof. Antonella Tammaro, MD, Sant'Andrea Hospital Sanienza University of Rome, via di Grottarossa 1089, 00100 Roma, Italy;
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Carlesimo M, Cortesi E, D'Arino A, Pigliacelli F, Caro G, Zancla S, Fortuna CM, Grifalchi F, Rossi A. Isochemotopic response: the first case on a scar. GIORN ITAL DERMAT V 2018; 155:789-791. [PMID: 30430812 DOI: 10.23736/s0392-0488.18.06149-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Marta Carlesimo
- Unit of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Enrico Cortesi
- Department of Oncology, Sapienza University, Rome, Italy
| | - Andrea D'Arino
- Unit of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy -
| | - Flavia Pigliacelli
- Unit of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Gemma Caro
- Unit of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | - Serena Zancla
- Department of Oncology, Sapienza University, Rome, Italy
| | - Caterina M Fortuna
- Unit of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
| | | | - Alfredo Rossi
- Unit of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy
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Orsini D, D’Arino A, Pigliacelli F, Assorgi C, Latini A, Cristaudo A. Allergic contact dermatitis to dorzolamide and benzalkonium chloride. Postepy Dermatol Alergol 2018; 35:538-539. [PMID: 30429718 PMCID: PMC6232551 DOI: 10.5114/ada.2018.73859] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2017] [Accepted: 11/03/2017] [Indexed: 12/22/2022] Open
Affiliation(s)
- Diego Orsini
- IFO, Dermatological Institute S. Gallicano, IRCCS, Rome, Italy
| | - Andrea D’Arino
- Faculty of Medicine, University of Rome “Sapienza”, Rome, Italy
| | | | - Chiara Assorgi
- Faculty of Medicine, University of Rome “Sapienza”, Rome, Italy
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Pranteda G, Magri F, Muscianese M, Pigliacelli F, D'Arino A, Federico A, Pranteda G, Bartolazzi A. The management of pseudomyogenic hemangioendothelioma of the foot: A case report and review of the literature. Dermatol Ther 2018; 31:e12725. [PMID: 30239066 DOI: 10.1111/dth.12725] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2018] [Revised: 08/21/2018] [Accepted: 08/22/2018] [Indexed: 11/30/2022]
Abstract
Pseudomyogenic hemangioendothelioma (PMH) is a rare, mostly indolent, endothelial neoplasm of low-grade malignancy, often mimicking myoid and epithelioid tumors histologically. It is more frequent in young adult males and it usually presents with multiple cutaneous nodules, mostly localized at the extremities. It traverses several tissue planes simultaneously and can involve dermis, subcutis, skeletal muscle, and bone. Histologically, it is characterized by plump spindle cells with eosinophilic cytoplasm, often arranged in fascicles and epithelioid cells with "pseudomyogenic" morphology. Immunohistochemically, PMH is positive for Factor VIII, FLI-1, INI-1, vimentin, MDM2, CDK4, CD31, AE1/AE3, EMA, and P63. The efficacy of treatments is only partially known. Because of the frequent multifocal aspect of PMH, which contraindicates surgery, systemic treatments, such as gemcitabine, sirolimus, and everolimus are used. Based on our observation of multifocal PMH of the foot in a 17-year-old male patient, treated with gemcitabine with complete cutaneous response in a 2-year follow-up, we decided to discuss this rare tumor and underline its progression and therapeutic approaches. Thanks to a correct diagnosis, it is possible to avoid aggressive therapeutic approaches, which would be necessary for nonindolent diseases, such as sarcoma, which often needs amputation.
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Affiliation(s)
- Guglielmo Pranteda
- Dermatology Department, Sapienza University of Rome, Sant'Andrea General Hospital, Rome, Italy
| | - Francesca Magri
- Dermatology Department, Sapienza University of Rome, Sant'Andrea General Hospital, Rome, Italy
| | - Marta Muscianese
- Dermatology Department, Sapienza University of Rome, Umberto I Polyclinic, Rome, Italy
| | - Flavia Pigliacelli
- Dermatology Department, Sapienza University of Rome, Umberto I Polyclinic, Rome, Italy
| | - Andrea D'Arino
- Dermatology Department, Sapienza University of Rome, Umberto I Polyclinic, Rome, Italy
| | - Alessandro Federico
- Dermatology Department, Sapienza University of Rome, Umberto I Polyclinic, Rome, Italy
| | - Giulia Pranteda
- Dermatology Department, Sapienza University of Rome, Umberto I Polyclinic, Rome, Italy
| | - Armando Bartolazzi
- Department of Pathology, St. Andrea General Hospital, Rome, Italy.,Pathology Research Laboratory, Cancer Center Karolinska, Karolinska Hospital, Stockholm, Sweden
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25
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Persechino S, Pigliacelli F, Persechino F, De Marco G, Tammaro A. Melanoma and hemangioma: an atypical presentation. Ital J Dermatol Venerol 2018; 153:593-595. [PMID: 29767493 DOI: 10.23736/s0392-0488.17.05729-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Severino Persechino
- Department of Dermatology (NESMOS), Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy -
| | - Flavia Pigliacelli
- Department of Dermatology (NESMOS), Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy
| | - Flavia Persechino
- Department of Dermatology, Modena and Reggio Emilia University, Modena, Italy
| | - Gabriella De Marco
- Department of Dermatology (NESMOS), Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy
| | - Antonella Tammaro
- Department of Dermatology (NESMOS), Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy
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26
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Rossi A, Fortuna MC, Caro G, Pigliacelli F, D'Arino A, Carlesimo M. Chemotherapy-induced alopecia: A novel observation. Australas J Dermatol 2018; 60:e61-e62. [PMID: 29741222 DOI: 10.1111/ajd.12835] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Affiliation(s)
- Alfredo Rossi
- Department of Internal Medicine and Medical Specialties, II School, Sapienza University of Rome, Rome, Italy
| | - Maria Caterina Fortuna
- Department of Internal Medicine and Medical Specialties, II School, Sapienza University of Rome, Rome, Italy
| | - Gemma Caro
- Department of Internal Medicine and Medical Specialties, II School, Sapienza University of Rome, Rome, Italy
| | - Flavia Pigliacelli
- Department of Internal Medicine and Medical Specialties, II School, Sapienza University of Rome, Rome, Italy
| | - Andrea D'Arino
- Department of Internal Medicine and Medical Specialties, II School, Sapienza University of Rome, Rome, Italy
| | - Marta Carlesimo
- Department of Dermatology, II School, Sapienza University of Rome, Rome, Italy
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Pranteda G, D 'arino A, Pigliacelli F, Pranteda G, Rampioni-Vinciguerra GL, Bottoni U. Carbamazepine-induced necrotizing leukocytoclastic vasculitis with a 20-year latency. Ital J Dermatol Venerol 2018; 153:285-286. [PMID: 29564877 DOI: 10.23736/s0392-0488.16.05490-0] [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] [Indexed: 11/08/2022]
Affiliation(s)
- Guglielmo Pranteda
- Department of Neurosciences, Mental Health, and Sense Organs, Faculty of Medicine, Sapienza University of Rome, Rome, Italy -
| | - Andrea D 'arino
- Department of Neurosciences, Mental Health, and Sense Organs, Faculty of Medicine, Sapienza University of Rome, Rome, Italy
| | - Flavia Pigliacelli
- Department of Neurosciences, Mental Health, and Sense Organs, Faculty of Medicine, Sapienza University of Rome, Rome, Italy
| | - Giulia Pranteda
- Department of Dermatology, Faculty of Medicine, Umberto I Polyclinic Hospital, Sapienza University of Rome, Rome, Italy
| | | | - Ugo Bottoni
- Department of Dermatology, Faculty of Medicine, Umberto I Polyclinic Hospital, Sapienza University of Rome, Rome, Italy
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Tammaro A, De Marco G, D'Arino A, Pigliacelli F, Daniele A, Borgert I, Parisella FR, Persechino S. Aminoazobenzene in tattoo: another case of allergic contact dermatitis. Int J Dermatol 2017; 56:e79-e81. [PMID: 28205219 DOI: 10.1111/ijd.13531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/03/2015] [Revised: 10/31/2016] [Accepted: 11/11/2016] [Indexed: 11/27/2022]
Affiliation(s)
- Antonella Tammaro
- UOC Dermatology, NESMOS Department, S.Andrea Hospital, II Unit University of Rome, Rome, Italy
| | - Gabriella De Marco
- UOC Dermatology, NESMOS Department, S.Andrea Hospital, II Unit University of Rome, Rome, Italy
| | - Andrea D'Arino
- UOC Dermatology, NESMOS Department, S.Andrea Hospital, II Unit University of Rome, Rome, Italy
| | - Flavia Pigliacelli
- UOC Dermatology, NESMOS Department, S.Andrea Hospital, II Unit University of Rome, Rome, Italy
| | - Alessandra Daniele
- UOC Dermatology, NESMOS Department, S.Andrea Hospital, II Unit University of Rome, Rome, Italy
| | - Ipin Borgert
- UOC Dermatology, NESMOS Department, S.Andrea Hospital, II Unit University of Rome, Rome, Italy
| | - Francesca R Parisella
- UOC Dermatology, NESMOS Department, S.Andrea Hospital, II Unit University of Rome, Rome, Italy
| | - Severino Persechino
- UOC Dermatology, NESMOS Department, S.Andrea Hospital, II Unit University of Rome, Rome, Italy
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Pranteda G, Magri F, Pigliacelli F, Muscianese M, dArino A, Pranteda G, di Silvio G, Bottoni U. AN UNUSUAL CASE OF NEONATAL MASTOCYTOMA. Australas Med J 2017. [DOI: 10.21767/amj.2017.3112] [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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Tammaro A, Romano I, De Marco G, Parisella F, Pigliacelli F, D'Arino A, Persechino F, Gaspari A, Persechino S. Effects of TIO NICKEL in patients with ACD and SNAS: experience on 700 patients in Italy. J Eur Acad Dermatol Venereol 2016; 31:e189-e191. [DOI: 10.1111/jdv.13916] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- A. Tammaro
- Dermatology Unit; NESMOS Department; Sant'Andrea Hospital; Faculty of Medicine and Psychology; University of Rome “Sapienza”; Rome Italy
| | - I. Romano
- Dermatology Unit; NESMOS Department; Sant'Andrea Hospital; Faculty of Medicine and Psychology; University of Rome “Sapienza”; Rome Italy
| | - G. De Marco
- Dermatology Unit; NESMOS Department; Sant'Andrea Hospital; Faculty of Medicine and Psychology; University of Rome “Sapienza”; Rome Italy
| | - F.R. Parisella
- Faculty of Medicine; Towson University; Towson City MD USA
| | - F. Pigliacelli
- Dermatology Unit; NESMOS Department; Sant'Andrea Hospital; Faculty of Medicine and Psychology; University of Rome “Sapienza”; Rome Italy
| | - A. D'Arino
- Dermatology Unit; NESMOS Department; Sant'Andrea Hospital; Faculty of Medicine and Psychology; University of Rome “Sapienza”; Rome Italy
| | - F. Persechino
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - A.A. Gaspari
- Faculty of Medicine; Towson University; Towson City MD USA
| | - S. Persechino
- Dermatology Unit; NESMOS Department; Sant'Andrea Hospital; Faculty of Medicine and Psychology; University of Rome “Sapienza”; Rome Italy
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Tammaro A, Cortesi G, Pigliacelli F, Parisella FR, Persechino F, De Marco G, Persechino S. Heavy metal and tattoo: an allergy and legislative problem. Eur Ann Allergy Clin Immunol 2016; 48:153-155. [PMID: 27425173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
We presented an interesting clinical case of a 23 years old man presented with a 2-week history of pruritus, erythema and papules on legs, arms and trunk. These lesions developed 2 months after tattooing. It showed positive patch test reaction to Copper and Disperse Blu.
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Affiliation(s)
- A Tammaro
- Dermatology Unit, NESMOS Department, S. Andrea Hospital, University of Rome "Sapienza" Phone: +39 06 3377 5907 Fax: +39 06 3377 5378 E-mail:
| | - G Cortesi
- Dermatology Unit, NESMOS Department, S. Andrea Hospital, University of Rome "Sapienza"
| | - F Pigliacelli
- Dermatology Unit, NESMOS Department, S. Andrea Hospital, University of Rome "Sapienza"
| | - F R Parisella
- Medical student, Faculty of Medicine, Towson University, Towson City, Maryland, USA
| | - F Persechino
- Department of Dermatology, University of Modena and Reggio Emilia
| | - G De Marco
- Dermatology Unit, NESMOS Department, S. Andrea Hospital, University of Rome "Sapienza"
| | - S Persechino
- Dermatology Unit, NESMOS Department, S. Andrea Hospital, University of Rome "Sapienza"
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Tammaro A, Tuchinda P, Pigliacelli F, Halvorson C, Kao G, Persechino S, Gaspari AA. A case of hypersensitivity to progesterone presenting as an eczematous eruption. Eur Ann Allergy Clin Immunol 2016; 48:97-98. [PMID: 27152606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Hypersensitivity to progesterone is a rare condition, and it represents a hypersensitivity reaction to endogenous progesterone. Here we report a case of a woman who presented to our attention for evaluation of a rash for a few years on her posterior elbows, forearms, and right lateral lower extremity. We report this case because it describes a rare clinical entity, with an atypical clinical presentation pemphigoid-like, that is rarely described in literature.
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Affiliation(s)
- A Tammaro
- UOC Dermatology, NESMOS Department, University of Rome Sapienza, Rome, Italy. Antonella Tammaro, UOC Dermatology, NESMOS Department Sant'Andrea Hospital, University of Rome Sapienza Via di Grottarossa, 1035, Roma, Italy Phone: +39 06 3377 5979 Fax: +39 06 3377 5378 E-mail:
| | - P Tuchinda
- Department of Dermatology, University of Bangkok, Thailand
| | - F Pigliacelli
- UOC Dermatology, NESMOS Department, University of Rome Sapienza, Rome, Italy
| | - C Halvorson
- Department of Dermatology, University of Maryland, USA
| | - G Kao
- Department of Dermatology, University of Maryland, USA
| | - S Persechino
- UOC Dermatology, NESMOS Department, University of Rome Sapienza, Rome, Italy
| | - A A Gaspari
- Department of Dermatology, University of Maryland, USA
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Tammaro A, Pigliacelli F, Fumarola A, Persechino S. Trends of thyroid function and autoimmunity to 5 years after the introduction of mandatory iodization in Italy. Eur Ann Allergy Clin Immunol 2016; 48:77-81. [PMID: 27152602] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Background. Mandatory iodine fortification of salt was introduced in Italy in 2005. The purpose of our study is to estimate the trend of thyroid diseases in Italy before and after mandatory iodization in Italy. Methods. 7976 patients (6802 females; 1174 males) were examined between 2003 and 2010. We divided the patients into categories according to their clinical diagnosis. Later, we evaluated for each patient if there was the positivity for antibodies anti TPO. Finally, we collected data about TSH values of all patients who did not use therapy for thyroid disease at the time of the examination. To evaluate the differences percentages for categorical variables, χ2-Pearson test was used; to evaluate the percentage differences of TSH values we used the Kruskal-Wallis test. Values were considered statistically significant at p < 0.05. Results. We considered diagnosis of "toxic adenoma / goiter", diagnosis of "Graves' disease" and diagnosis of "hyperthyroidism / thyrotoxicosis" before and after the introduction of mandatory iodization in Italy, to demonstrate the possible presence of iodine-induced hyperthyroidism. Diagnosis of toxic adenoma / goiter before 2005 were 3.7%, while after 2005 they were reduced to 3.1%. Diagnosis of Graves' disease before 2005 were 2.4%, and they remained unchanged after 2005. Finally, diagnosis of hyperthyroidism / thyrotoxicosis decreased from 2.5% to 2.1%. Comparing these results, there were no significant differences (P = 0.261) between the percentages of diagnosis of hyperthyroidism before and after the introduction of mandatory iodization. We considered diagnosis of Hashimoto's thyroiditis before and after 2005 to demonstrate a link between the administration of iodine and thyroid autoimmunity. Prevalence of Hashimoto's thyroiditis between 2003 and 2005 was 37%; prevalence between 2006 and 2010 dropped to 34.7%. This small difference has a borderline statistical significance (P = 0.049). Stratifying TSH values from year to year, we found a small increase in TSH value, which, in any case, remains in the normal range. TSH values passed from 1.37 in 2003, to 1.61 in 2010. Although this increase is modest, it is statistically significant (P values < 0.001). Conclusion. In this study there isn't a connection between iodine fortification and iodine-induced hyperthyroidism, and between iodine fortification and Hashimoto's thyroiditis. This small increase of TSH values can not find a clear explanation yet. We considered several mechanisms to explain this phenomenon: alterations of Na/I symporter reduce intracellular levels of iodine, and cause a state of hypothyroidism; excessive levels of iodine can increase apoptosis of thyrocytes, as it is demonstrated by several studies; interference from external agents (endocrine disruptors).
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Affiliation(s)
- A Tammaro
- UOC Dermatology, NESMOS Department, University of Rome Sapienza, Rome, Italy. Via di Grottarossa, 1035, Roma, Italy Phone: +39 06 3377 5979 Fax: +39 06 3377 5378 E-mail:
| | - F Pigliacelli
- UOC Dermatology, NESMOS Department, University of Rome Sapienza, Rome, Italy
| | - A Fumarola
- UOC Dermatology, NESMOS Department, University of Rome Sapienza, Rome, Italy
| | - S Persechino
- UOC Dermatology, NESMOS Department, University of Rome Sapienza, Rome, Italy
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