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Zelin E, Mazzoletti V, Bazzacco G, Toffoli L, Conforti C, Di Meo N, Zalaudek I. Omalizumab for isolated idiopathic angioedema: A case report and short literature review. J Dtsch Dermatol Ges 2024; 22:707-709. [PMID: 38593341 DOI: 10.1111/ddg.15359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Accepted: 01/06/2024] [Indexed: 04/11/2024]
Affiliation(s)
- Enrico Zelin
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Vanessa Mazzoletti
- Department of Health Sciences, University of Eastern Piedmont, Novara, Italy
| | - Giulia Bazzacco
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Ludovica Toffoli
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Claudio Conforti
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Nicola Di Meo
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Iris Zalaudek
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
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Zelin E, Mazzoletti V, Bazzacco G, Toffoli L, Conforti C, Di Meo N, Zalaudek I. Omalizumab bei isoliertem idiopathischem Angioödem: Ein Fallbericht und kurze Literaturübersicht. J Dtsch Dermatol Ges 2024; 22:707-709. [PMID: 38730512 DOI: 10.1111/ddg.15359_g] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Accepted: 01/06/2024] [Indexed: 05/13/2024]
Affiliation(s)
- Enrico Zelin
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Vanessa Mazzoletti
- Department of Health Sciences, University of Eastern Piedmont, Novara, Italy
| | - Giulia Bazzacco
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Ludovica Toffoli
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Claudio Conforti
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Nicola Di Meo
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Iris Zalaudek
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
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3
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Zelin E, Mazzoletti V, Cavallo F, Nardello C, Corio A, Toffoli L, Tagliaferri L, Conforti C, Di Meo N, Zalaudek I. Treatment of locally advanced and metastatic basosquamous carcinoma, navigating among sonic hedgehog pathway inhibitors, immune checkpoint inhibitors, chemotherapy, and radiotherapy: A case series and literature review. Australas J Dermatol 2024; 65:103-113. [PMID: 37927116 DOI: 10.1111/ajd.14182] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [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] [Received: 06/27/2023] [Revised: 09/24/2023] [Accepted: 10/18/2023] [Indexed: 11/07/2023]
Abstract
Locally advanced (laBSCs) and metastatic basosquamous carcinomas (mBSCs) represent a therapeutic challenge. By definition, these forms are not amenable to surgery or radiotherapy, but according to literature reports, sonic hedgehog pathway inhibitors (HHIs), anti-programmed death 1 receptor antibodies (anti-PD-1), and other treatment approaches involving chemotherapy, surgery, and radiotherapy have been used. This work features 5 real-life cases of advanced BSCs, treated at the Dermato-Oncology Unit of Trieste (Maggiore Hospital, University of Trieste). In addition, a review of the current treatment options reported in the literature for laBSC and mBSC is provided, collecting a total of 17 patients. According to these preliminary data, HHIs such as sonidegib and vismodegib could represent a safe and effective first line of treatment, while the anti-PD-1 cemiplimab may be useful as a second-line option. Chemotherapy and combined approaches involving surgery and radiotherapy have been also reported to be suitable in some patients.
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Affiliation(s)
- Enrico Zelin
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Vanessa Mazzoletti
- Department of Health Science, University of Eastern Piedmont, Novara, Italy
| | - Francesco Cavallo
- Section of Dermatology, Department of Medical Sciences, University of Turin, Turin, Italy
| | - Carlotta Nardello
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Andrea Corio
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Ludovica Toffoli
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Luca Tagliaferri
- UOC Radioterapia Oncologica, Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A, Gemelli IRCCS, Rome, Italy
| | - Claudio Conforti
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
- Dermatological Research Hospital, IDI IRCCS, Rome, Italy
| | - Nicola Di Meo
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Iris Zalaudek
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
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Sansoni F, Toffoli L, Zacchi A, Agozzino M, Zalaudek I, Di Meo N, Pizzichetta MA. Synchronous Melanomas Within Nevus Spilus. Dermatol Pract Concept 2024; 14:dpc.1401a25. [PMID: 38364440 PMCID: PMC10868909 DOI: 10.5826/dpc.1401a25] [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] [Accepted: 05/22/2023] [Indexed: 02/18/2024] Open
Affiliation(s)
- Federico Sansoni
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Ludovica Toffoli
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Alberto Zacchi
- Patology Department of Trieste, Cattinara Hospital, University of Trieste, Italy
| | - Marina Agozzino
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Iris Zalaudek
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Nicola Di Meo
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Maria Antonietta Pizzichetta
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, Trieste, Italy
- Division of Medical Oncology - Preventive Oncology, National Cancer Institute, Aviano, Italy
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Bazzacco G, Conforti C, Toffoli L, Zelin E, Zalaudek I, di Meo N. Dermoscopic Features of Herpes Zoster: Case Series and Review of the Literature. Dermatol Pract Concept 2023; 13:e2023149. [PMID: 37557161 PMCID: PMC10412062 DOI: 10.5826/dpc.1303a149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/14/2023] [Indexed: 08/11/2023] Open
Affiliation(s)
- Giulia Bazzacco
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Claudio Conforti
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Ludovica Toffoli
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Enrico Zelin
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Iris Zalaudek
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Nicola di Meo
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, Trieste, Italy
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Toffoli L, Dianzani C, Bonin S, Guarneri C, Guarneri F, Giuffrida R, Zalaudek I, Conforti C. Actinic Keratoses: A Prospective Pilot Study on a Novel Formulation of 4% 5-Fluorouracil Cream and a Review of Other Current Topical Treatment Options. Cancers (Basel) 2023; 15:cancers15112956. [PMID: 37296918 DOI: 10.3390/cancers15112956] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2023] [Revised: 04/13/2023] [Accepted: 05/25/2023] [Indexed: 06/12/2023] Open
Abstract
BACKGROUND Actinic keratosis (AK) is one of the most common skin diseases, with a low risk of progression into invasive squamous cell carcinoma. We aim to assess efficacy and safety of a novel formulation of 5-Fluorouracil (5-FU) 4% with once daily application for the treatment of multiple AKs. METHODS A pilot study was performed on 30 patients with a clinical and dermoscopic diagnosis of multiple AKs, enrolled between September 2021 and May 2022 at the Dermatology Departments of two Italian hospitals. Patients were treated with 5-FU 4% cream once daily for 30 consecutive days. The Actinic Keratosis Area and Severity Index (AKASI) was calculated before starting therapy, and at each follow-up, to assess objective clinical response. RESULTS The cohort analyzed included 14 (47%) males and 16 (53%) females (mean age: 71 ± 12 years). A significant decrease in AKASI score at both 6 and 12 weeks (p < 0.0001) was observed. Only three patients (10%) discontinued therapy, and 13 patients (43%) did not report any adverse reactions; no unexpected adverse events were observed. CONCLUSIONS In the setting of topical chemotherapy and immunotherapy, the new formulation of 5-FU 4% proved to be a highly effective treatment for AKs and field cancerization.
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Affiliation(s)
- Ludovica Toffoli
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, 34125 Trieste, Italy
| | - Caterina Dianzani
- Department of Plastic Surgery Unit, Section of Dermatology, University Campus Biomedico of Rome, 00128 Rome, Italy
| | - Serena Bonin
- Department of Medical Science, Cattinara Hospital, University of Trieste, 34149 Trieste, Italy
| | - Claudio Guarneri
- Department of Biomedical and Dental Sciences and Morpho Functional Imaging, University of Messina, 98124 Messina, Italy
| | - Fabrizio Guarneri
- Department of Clinical and Experimental Medicine, Dermatology, University of Messina, 98124 Messina, Italy
| | - Roberta Giuffrida
- Department of Clinical and Experimental Medicine, Dermatology, University of Messina, 98124 Messina, Italy
| | - Iris Zalaudek
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, 34125 Trieste, Italy
| | - Claudio Conforti
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, 34125 Trieste, Italy
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Bazzacco G, Zelin E, Toffoli L, Conforti C, di Meo N, Fedele D, Zalaudek I. Dichotomic response patterns to PD-1 blockade with cemiplimab in a patient with multiple squamous cell carcinomas. J Eur Acad Dermatol Venereol 2023; 37:e547-e549. [PMID: 36305888 DOI: 10.1111/jdv.18705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2022] [Accepted: 10/25/2022] [Indexed: 11/29/2022]
Affiliation(s)
- Giulia Bazzacco
- Skin Cancer Unit, Department of Dermatology, University Hospital of Trieste, Trieste, Italy
| | - Enrico Zelin
- Skin Cancer Unit, Department of Dermatology, University Hospital of Trieste, Trieste, Italy
| | - Ludovica Toffoli
- Skin Cancer Unit, Department of Dermatology, University Hospital of Trieste, Trieste, Italy
| | - Claudio Conforti
- Skin Cancer Unit, Department of Dermatology, University Hospital of Trieste, Trieste, Italy
| | - Nicola di Meo
- Skin Cancer Unit, Department of Dermatology, University Hospital of Trieste, Trieste, Italy
| | - Dahlia Fedele
- Skin Cancer Unit, Department of Medical Oncology, Maggiore Hospital of Trieste, Trieste, Italy
| | - Iris Zalaudek
- Skin Cancer Unit, Department of Dermatology, University Hospital of Trieste, Trieste, Italy
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Conforti C, Bonin S, Coscarella G, Nardon E, Perrella E, Alessandri-Bonetti M, Neagu N, Toffoli L, Zalaudek I, Dianzani C. The role of cutaneous human-papillomavirus (HPV) infection in in situ squamous cell carcinoma: a pilot study. Ital J Dermatol Venerol 2023; 158:157-158. [PMID: 37153951 DOI: 10.23736/s2784-8671.23.07426-1] [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: 05/10/2023]
Affiliation(s)
- Claudio Conforti
- Clinic of Dermatology, Maggiore Hospital, University of Trieste, Trieste, Italy -
| | - Serena Bonin
- DSM-Department of Medical Sciences, University of Trieste, Trieste, Italy
| | - Giulia Coscarella
- Section of Dermatology, Department of Plastic, Reconstructive and Cosmetic Surgery, Campus Bio-Medico University Hospital, Rome, Italy
| | - Ermanno Nardon
- DSM-Department of Medical Sciences, University of Trieste, Trieste, Italy
| | - Eleonora Perrella
- Unit of Pathology, Campus Bio-Medico, University of Rome, Rome, Italy
| | | | - Nicoleta Neagu
- Department of Dermatology, George Emil Palade University of Medicine, Pharmacy, Science and Technology, Tîrgu Mureş, Romania
| | - Ludovica Toffoli
- Clinic of Dermatology, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Iris Zalaudek
- Clinic of Dermatology, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Caterina Dianzani
- Section of Dermatology, Department of Plastic, Reconstructive and Cosmetic Surgery, Campus Bio-Medico University Hospital, Rome, Italy
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Toffoli L, Bazzacco G, Conforti C, Guarneri C, Giuffrida R, Zelin E, di Meo N, Zalaudek I. Pilomatrix Carcinoma: Report of Two Cases of the Head and Review of the Literature. Curr Oncol 2023; 30:1426-1438. [PMID: 36826070 PMCID: PMC9955132 DOI: 10.3390/curroncol30020109] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2022] [Revised: 01/09/2023] [Accepted: 01/14/2023] [Indexed: 01/22/2023] Open
Abstract
BACKGROUND Pilomatrix carcinoma (PC) is a rare skin tumor arising from hair follicle matrix cells. It is locally aggressive with a high rate of local recurrence after surgical excision. Few cases in the literature have been described and the management is not well defined. OBJECTIVES The aim of this study was to present two cases of PC located on the head and review the relevant literature about epidemiology, clinical and dermoscopic evaluation, characteristics of local and distant metastases, local recurrence rate and management of this rare skin tumor. METHODS We consulted databases from PubMed, Research Gate and Google Scholar, from January 2012 to November 2022. We reviewed the literature and reported two additional cases. RESULTS We selected 52 tumors in middle-aged to older patients located mostly on the head. Dermoscopy evaluation was rarely performed in the pre-operative diagnostic setting. The most definitive treatment was wide local excision, but local recurrences were common. In total, we observed 11 cases of recurrences and 9 patients with locoregional or distant metastases. Four patients received adjuvant radiotherapy, two patients needed chemotherapy and local cancer therapy and one patient received radiochemotherapy. CONCLUSION Our reports and the review of the literature can provide a better awareness and management of this rare tumor.
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Affiliation(s)
- Ludovica Toffoli
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, 34100 Trieste, Italy
| | - Giulia Bazzacco
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, 34100 Trieste, Italy
- Correspondence: (G.B.); (R.G.)
| | - Claudio Conforti
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, 34100 Trieste, Italy
| | - Claudio Guarneri
- Department of Biomedical and Dental Sciences and Morpho Functional Imaging, University of Messina, 98124 Messina, Italy
| | - Roberta Giuffrida
- Department of Clinical and Experimental Medicine, Dermatology, University of Messina, 98124 Messina, Italy
- Correspondence: (G.B.); (R.G.)
| | - Enrico Zelin
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, 34100 Trieste, Italy
| | - Nicola di Meo
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, 34100 Trieste, Italy
| | - Iris Zalaudek
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, 34100 Trieste, Italy
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Zelin E, Conforti C, Toffoli L, Di Meo N, Signoretto D, Zaludek I. Dermoscopy of lymphoplasmacellular erosive dermatitis of the scalp reveals striking similarities to lymphoplasmacellular balanitis of Zoon. Dermatol Pract Concept 2022; 12:e2022198. [DOI: 10.5826/dpc.1204a198] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/14/2022] [Indexed: 11/06/2022] Open
Abstract
Not applicable
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Zelin E, Maronese CA, Dri A, Toffoli L, Di Meo N, Nazzaro G, Zalaudek I. Identifying Candidates for Immunotherapy among Patients with Non-Melanoma Skin Cancer: A Review of the Potential Predictors of Response. J Clin Med 2022; 11:3364. [PMID: 35743435 PMCID: PMC9225110 DOI: 10.3390/jcm11123364] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2022] [Revised: 06/02/2022] [Accepted: 06/09/2022] [Indexed: 02/04/2023] Open
Abstract
BACKGROUND Non-melanoma skin cancer (NMSC) stands as an umbrella term for common cutaneous malignancies, including basal cell carcinoma (BCC) and cutaneous squamous cell carcinoma (cSCC), together with rarer cutaneous cancers, such as Merkel cell carcinoma (MCC) and other forms of adnexal cancers. The majority of NMSCs can be successfully treated with surgery or radiotherapy, but advanced and metastatic stages may require systemic approaches such as immunotherapy with immune checkpoint inhibitors (ICIs). SUMMARY Since immunotherapy is not effective in all patients and can potentially lead to severe adverse effects, an important clinical question is how to properly identify those who could be suitable candidates for this therapeutic choice. In this paper, we review the potential features and biomarkers used to predict the outcome of ICIs therapy for NMSCs. Moreover, we analyze the role of immunotherapy in special populations, such as the elderly, immunocompromised patients, organ transplant recipients, and subjects suffering from autoimmune conditions. KEY MESSAGES Many clinical, serum, histopathological, and genetic features have been investigated as potential predictors of response in NMSCs treated with ICIs. Although this field of research is very promising, definitive, cost-effective, and reproducible biomarkers are still lacking and further efforts are needed to validate the suggested predictors in larger cohorts.
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Affiliation(s)
- Enrico Zelin
- Dermatology Clinic, Maggiore Hospital, University of Trieste, 34125 Trieste, Italy; (E.Z.); (L.T.); (N.D.M.); (I.Z.)
| | - Carlo Alberto Maronese
- Dermatology Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy;
- Department of Pathophysiology and Transplantation, Università degli Studi di Milano, 20122 Milan, Italy
| | - Arianna Dri
- Department of Medicine (DAME), University of Udine, 33100 Udine, Italy;
- Department of Medical Oncology, Azienda Sanitaria Friuli Centrale (ASUFC), 33100 Udine, Italy
| | - Ludovica Toffoli
- Dermatology Clinic, Maggiore Hospital, University of Trieste, 34125 Trieste, Italy; (E.Z.); (L.T.); (N.D.M.); (I.Z.)
| | - Nicola Di Meo
- Dermatology Clinic, Maggiore Hospital, University of Trieste, 34125 Trieste, Italy; (E.Z.); (L.T.); (N.D.M.); (I.Z.)
| | - Gianluca Nazzaro
- Dermatology Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy;
| | - Iris Zalaudek
- Dermatology Clinic, Maggiore Hospital, University of Trieste, 34125 Trieste, Italy; (E.Z.); (L.T.); (N.D.M.); (I.Z.)
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Toffoli L, Conforti C, Zelin E, Vezzoni R, Agozzino M, di Meo N, Zalaudek I. Locally advanced basal cell carcinoma: real-life data with sonidegib. Dermatol Ther 2022; 35:e15441. [PMID: 35279921 DOI: 10.1111/dth.15441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Accepted: 03/09/2022] [Indexed: 11/28/2022]
Abstract
In recent years, the category of hedgehog pathway inhibitor (HHI) has shown great results in patients with advanced basal cell carcinoma (aBCC), but few real-life data on efficacy and safety profile of sonidegib are available. We report our management of locally advanced BCCs (laBCCs) with sonidegib, also describing the favourable response of locally advanced basosquamous carcinomas (laBSCs) treated with this hedgehog signaling inhibitor. Sonidegib was generally well tolerated and it achieved high response rates, improving quality of life. Our single-center experience could be useful to better delineate long-term efficacy and tolerability profile demonstrated in the trials described in literature. Moreover, our cases provide preliminary evidence that sonidegib might be effective for laBSC. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- Ludovica Toffoli
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Claudio Conforti
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Enrico Zelin
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Roberta Vezzoni
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Marina Agozzino
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Nicola di Meo
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Iris Zalaudek
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, Trieste, Italy
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Toffoli L, Agozzino M, Meo N, Zalaudek I, Conforti C. Locally advanced basosquamous carcinoma: our experience with sonidegib. Dermatol Ther 2022; 35:e15436. [DOI: 10.1111/dth.15436] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Revised: 03/02/2022] [Accepted: 03/08/2022] [Indexed: 11/28/2022]
Affiliation(s)
- Ludovica Toffoli
- Dermatology Clinic of Trieste, Maggiore Hospital University of Trieste Trieste Italy
| | - Marina Agozzino
- Dermatology Clinic of Trieste, Maggiore Hospital University of Trieste Trieste Italy
| | - Nicola Meo
- Dermatology Clinic of Trieste, Maggiore Hospital University of Trieste Trieste Italy
| | - Iris Zalaudek
- Dermatology Clinic of Trieste, Maggiore Hospital University of Trieste Trieste Italy
| | - Claudio Conforti
- Dermatology Clinic of Trieste, Maggiore Hospital University of Trieste Trieste Italy
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Conforti C, Toffoli L, Agozzino M, Fedele D, Moroso S, di Meo N, Zalaudek I. Maintenance of clinical response after short treatment with cemiplimab for advanced squamous cell carcinoma. J Eur Acad Dermatol Venereol 2022; 36:e443-e445. [PMID: 35037322 DOI: 10.1111/jdv.17939] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2021] [Revised: 12/04/2021] [Accepted: 01/07/2022] [Indexed: 11/28/2022]
Affiliation(s)
- Claudio Conforti
- Skin Cancer Unit, Department of Dermatology, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Ludovica Toffoli
- Skin Cancer Unit, Department of Dermatology, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Marina Agozzino
- Skin Cancer Unit, Department of Dermatology, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Dahlia Fedele
- Skin Cancer Unit, Department of Medical Oncology, Maggiore Hospital, Trieste, Italy
| | - Stefano Moroso
- Skin Cancer Unit, Department of Medical Oncology, Maggiore Hospital, Trieste, Italy
| | - Nicola di Meo
- Skin Cancer Unit, Department of Dermatology, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Iris Zalaudek
- Skin Cancer Unit, Department of Dermatology, Maggiore Hospital, University of Trieste, Trieste, Italy
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Conforti C, Toffoli L, Degrassi F, di Meo N, Zalaudek I. Anal and rectal locally advanced basal cell carcinoma treated with sonidegib. Dermatol Ther 2021; 35:e15242. [PMID: 34854197 DOI: 10.1111/dth.15242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Revised: 11/11/2021] [Accepted: 11/28/2021] [Indexed: 11/28/2022]
Affiliation(s)
- Claudio Conforti
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Ludovica Toffoli
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Ferruccio Degrassi
- Radiology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Nicola di Meo
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Iris Zalaudek
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, Trieste, Italy
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16
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Vezzoni R, Toffoli L, Conforti C, Dri A, Retrosi C, di Meo N, Magaton Rizzi G, Signoretto D, Zalaudek I. Breast Cancer-Related Neoplastic Alopecia: A Case Report and Review of the Literature. Skin Appendage Disord 2021; 7:339-345. [PMID: 34604320 DOI: 10.1159/000514566] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2020] [Accepted: 01/18/2021] [Indexed: 12/14/2022] Open
Abstract
Neoplastic alopecia (NA) is defined as an organized hair loss in single or multiple areas of the scalp caused by a primary tumor that has metastasized to the skin of the scalp. Due to its localization and clinical appearance, NA should be placed in differential diagnosis with alopecia areata or other entities. To date, pathognomonic dermoscopic criteria of NA have not yet been described: the absence of classical criteria of other scalp diseases in addition to a major neovascularization with on-focus arborizing vessels and erosions or ulcerations may help the clinician to suspect a diagnosis of secondary alopecia. Dermatologists should pay more attention to these rare forms of secondarism because in exceptional cases, a simple alopecia of the scalp can hide a new, relapsing or metastatic neoplasia.
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Affiliation(s)
- Roberta Vezzoni
- Dermatology and Venereology Department, Maggiore Hospital of Trieste, University of Trieste, Trieste, Italy
| | - Ludovica Toffoli
- Dermatology and Venereology Department, Maggiore Hospital of Trieste, University of Trieste, Trieste, Italy
| | - Claudio Conforti
- Dermatology and Venereology Department, Maggiore Hospital of Trieste, University of Trieste, Trieste, Italy
| | - Arianna Dri
- Dermatology and Venereology Department, Maggiore Hospital of Trieste, University of Trieste, Trieste, Italy
| | - Chiara Retrosi
- Dermatology and Venereology Department, Maggiore Hospital of Trieste, University of Trieste, Trieste, Italy
| | - Nicola di Meo
- Dermatology and Venereology Department, Maggiore Hospital of Trieste, University of Trieste, Trieste, Italy
| | - Giovanni Magaton Rizzi
- Dermatology and Venereology Department, Maggiore Hospital of Trieste, University of Trieste, Trieste, Italy
| | - Diego Signoretto
- Department of Histopathology, Cattinara Hospital of Trieste, Trieste, Italy
| | - Iris Zalaudek
- Dermatology and Venereology Department, Maggiore Hospital of Trieste, University of Trieste, Trieste, Italy
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17
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Conforti C, Toffoli L, Agozzino M, Di Meo N, Zelin E, Zalaudek I. Dermatoscopy and locally advanced or multiple basal cell carcinomas: a non-invasive tool to evaluate sonidegib effectiveness. Dermatol Online J 2021; 27. [PMID: 34755992 DOI: 10.5070/d327955150] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Accepted: 10/19/2021] [Indexed: 11/08/2022] Open
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18
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Farinazzo E, Ponis G, Zelin E, Errichetti E, Stinco G, Pinzani C, Gambelli A, De Manzini N, Toffoli L, Moret A, Agozzino M, Conforti C, Di Meo N, Schincariol P, Zalaudek I. Cutaneous adverse reactions after m-RNA COVID-19 vaccine: early reports from Northeast Italy. J Eur Acad Dermatol Venereol 2021; 35:e548-e551. [PMID: 34021625 PMCID: PMC8242497 DOI: 10.1111/jdv.17343] [Citation(s) in RCA: 45] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Affiliation(s)
- E Farinazzo
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - G Ponis
- Hospital Pharmacy Unit, Cattinara Hospital, Trieste, Italy
| | - E Zelin
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - E Errichetti
- Department of Medical Area, Institute of Dermatology, University of Udine, Udine, Italy
| | - G Stinco
- Department of Medical Area, Institute of Dermatology, University of Udine, Udine, Italy
| | - C Pinzani
- Dermatology and Venereology, Private Practice, Udine, Italy
| | - A Gambelli
- Division of Molecular Oncology, Centro di Riferimento Oncologico di Aviano (CRO) IRCCS, National Cancer Institute, Aviano, Italy
| | - N De Manzini
- UCO Chirurgia Generale, Cattinara Hospital, University of Trieste, Trieste, Italy
| | - L Toffoli
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - A Moret
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - M Agozzino
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - C Conforti
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - N Di Meo
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - P Schincariol
- Hospital Pharmacy Unit, Cattinara Hospital, Trieste, Italy
| | - I Zalaudek
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
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19
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Conforti C, Dri A, Toffoli L, Zelin E, Zalaudek I, Di Meo N. Entodermoscopy: A Useful Tool for the Diagnosis of Cutaneous Larva Migrans. Dermatol Pract Concept 2021; 11:e2021014. [PMID: 33747627 DOI: 10.5826/dpc.1102a14] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/03/2020] [Indexed: 01/01/2023] Open
Affiliation(s)
- Claudio Conforti
- Dermatology Clinic, Hospital Maggiore, University of Trieste, Italy
| | - Arianna Dri
- Dermatology Clinic, Hospital Maggiore, University of Trieste, Italy
| | - Ludovica Toffoli
- Dermatology Clinic, Hospital Maggiore, University of Trieste, Italy
| | - Enrico Zelin
- Dermatology Clinic, Hospital Maggiore, University of Trieste, Italy
| | - Iris Zalaudek
- Dermatology Clinic, Hospital Maggiore, University of Trieste, Italy
| | - Nicola Di Meo
- Dermatology Clinic, Hospital Maggiore, University of Trieste, Italy
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20
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Zelin E, Zalaudek I, Agozzino M, Dianzani C, Dri A, Di Meo N, Giuffrida R, Marangi GF, Neagu N, Persichetti P, Toffoli L, Conforti C. Neoadjuvant Therapy for Non-melanoma Skin Cancer: Updated Therapeutic Approaches for Basal, Squamous, and Merkel Cell Carcinoma. Curr Treat Options Oncol 2021; 22:35. [PMID: 33725197 PMCID: PMC7966643 DOI: 10.1007/s11864-021-00826-3] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/18/2021] [Indexed: 12/17/2022]
Abstract
OPINION STATEMENT Recently introduced systemic therapies for locally advanced and metastatic non-melanoma skin cancers (NMSCs) are paving the way for neoadjuvant approach. Although none of the therapeutic options has currently gained indication in this setting, neoadjuvant approach for NMSCs is an open field and we are likely to see huge developments in the near future. Targeted therapy with sonic hedgehog pathway inhibitors is very effective in locally advanced or multiple basal cell carcinomas while immunotherapy with immune checkpoint inhibitors appears to be promising for advanced cutaneous squamous cell carcinoma and Merkel cell carcinoma. To date, targeted therapy and immunotherapy represent the frontiers in NMSC therapeutic management and, according to recent studies, good results can be achieved.
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Affiliation(s)
- Enrico Zelin
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Piazza dell'Ospitale 1, 34129, Trieste, Italy.
| | - Iris Zalaudek
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Piazza dell'Ospitale 1, 34129, Trieste, Italy
| | - Marina Agozzino
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Piazza dell'Ospitale 1, 34129, Trieste, Italy
| | - Caterina Dianzani
- Plastic and Reconstructive Surgery Department, Campus Biomedico University, Rome, Italy
| | - Arianna Dri
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Piazza dell'Ospitale 1, 34129, Trieste, Italy
| | - Nicola Di Meo
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Piazza dell'Ospitale 1, 34129, Trieste, Italy
| | - Roberta Giuffrida
- Department of Clinical and Experimental Medicine, Dermatology Section, University of Messina, Messina, Italy
| | | | - Nicoleta Neagu
- Dermatology Clinic, Mures Country Hospital, Tirgu Mures, Romania
| | - Paolo Persichetti
- Plastic and Reconstructive Surgery Department, Campus Biomedico University, Rome, Italy
| | - Ludovica Toffoli
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Piazza dell'Ospitale 1, 34129, Trieste, Italy
| | - Claudio Conforti
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Piazza dell'Ospitale 1, 34129, Trieste, Italy
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21
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Toffoli L, Farinazzo E, Zelin E, Agozzino M, Dianzani C, Di Meo N, Nan K, Zalaudek I, Conforti C. Dupilumab as promising treatment for prurigo nodularis: current evidences. J DERMATOL TREAT 2021; 33:1306-1311. [PMID: 33588666 DOI: 10.1080/09546634.2021.1886232] [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] [Indexed: 10/22/2022]
Abstract
Prurigo nodularis (PN) is a debilitating chronic disease characterized by intense itching and excoriated hyperkeratotic nodules distributed on the trunk and extremities, especially the extensor surfaces. The pathophysiology includes complex and not yet well-understood mechanisms involving inflammation and dysregulation of the nervous system. Currently, there are no approved therapies by the Food and Drug Administration (FDA) and the few treatment approaches for this condition are often ineffective and related to severe side effects. An emerging therapeutic option is dupilumab, a monoclonal antibody for adults and adolescents with moderate-to-severe atopic dermatitis, that inhibits interleukin-4 receptor alpha subunit (IL4-Rα) and the signaling pathways activated by interleukin (IL)-4 and IL-13. These cytokines seem to be involved in the development and perpetuation of PN and other type-2 inflammation diseases. Data on this topic are limited, but the emergent positive effects of this drug, reported in the literature and summarized in this review, suggest that it can be a safe and efficient therapy in PN.
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Affiliation(s)
- Ludovica Toffoli
- Dermatology & Venereology Department, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Eleonora Farinazzo
- Dermatology & Venereology Department, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Enrico Zelin
- Dermatology & Venereology Department, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Marina Agozzino
- Dermatology & Venereology Department, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Caterina Dianzani
- Plastic and Reconstructive Surgery Department, Section of Dermatology, Campus Biomedico University, Rome, Italy
| | - Nicola Di Meo
- Dermatology & Venereology Department, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Katiuscia Nan
- Dermatology & Venereology Department, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Iris Zalaudek
- Dermatology & Venereology Department, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Claudio Conforti
- Dermatology & Venereology Department, Maggiore Hospital, University of Trieste, Trieste, Italy
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22
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Conforti C, Giuffrida R, Toffoli L, Romita P, Berton F, Zalaudek I, Meo N. A case of allergic contact dermatitis to dental bonding materials, masked by the use of gloves. Contact Dermatitis 2020; 83:420-421. [DOI: 10.1111/cod.13631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2020] [Revised: 06/01/2020] [Accepted: 06/02/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Claudio Conforti
- Dermatology Clinic, Maggiore Hospital University of Trieste Trieste Italy
| | - Roberta Giuffrida
- Department of Clinical and Experimental Medicine, Dermatology University of Messina Messina Italy
| | - Ludovica Toffoli
- Dermatology Clinic, Maggiore Hospital University of Trieste Trieste Italy
| | - Paolo Romita
- Department of Biomedical Science and Human Oncology University of Bari Bari Italy
| | - Federico Berton
- Department of Medical, Surgical and Health Sciences University of Trieste Trieste Italy
| | - Iris Zalaudek
- Dermatology Clinic, Maggiore Hospital University of Trieste Trieste Italy
| | - Nicola Meo
- Dermatology Clinic, Maggiore Hospital University of Trieste Trieste Italy
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23
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Conforti C, Zelin E, Dri A, Toffoli L, Giuffrida R, Zalaudek I, DI Meo N. Hypomelanotic halo melanoma: dermoscopic findings. Ital J Dermatol Venerol 2020; 156:408-409. [PMID: 33084271 DOI: 10.23736/s2784-8671.20.06727-9] [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)
- Claudio Conforti
- Clinic of Dermatology, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Enrico Zelin
- Clinic of Dermatology, Maggiore Hospital, University of Trieste, Trieste, Italy -
| | - Arianna Dri
- Clinic of Dermatology, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Ludovica Toffoli
- Clinic of Dermatology, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Roberta Giuffrida
- Section of Dermatology, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
| | - Iris Zalaudek
- Clinic of Dermatology, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Nicola DI Meo
- Clinic of Dermatology, Maggiore Hospital, University of Trieste, Trieste, Italy
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24
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Dri A, Conforti C, Zelin E, Toffoli L, Signoretto D, Zacchi A, Zalaudek I. Nested melanoma: when dermoscopy turns histopathology into question. Int J Dermatol 2020; 60:e70-e72. [PMID: 32989741 DOI: 10.1111/ijd.15218] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/29/2020] [Revised: 08/25/2020] [Accepted: 09/02/2020] [Indexed: 01/08/2023]
Affiliation(s)
- Arianna Dri
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Claudio Conforti
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Enrico Zelin
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Ludovica Toffoli
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Diego Signoretto
- Pathological Anatomy and Histology Department, Cattinara Hospital, University of Trieste, Trieste, Italy
| | - Alberto Zacchi
- Pathological Anatomy and Histology Department, Cattinara Hospital, University of Trieste, Trieste, Italy
| | - Iris Zalaudek
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
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25
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Di Meo N, Conforti C, Toffoli L, Ukmar M, Degrassi F, Ramella V, Zalaudek I. Silicone granulomas of the face caused by injectables: A therapeutic challenge. Australas J Dermatol 2020; 61:e461-e463. [PMID: 32671832 DOI: 10.1111/ajd.13379] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2020] [Revised: 05/27/2020] [Accepted: 05/30/2020] [Indexed: 11/29/2022]
Affiliation(s)
- Nicola Di Meo
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Claudio Conforti
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Ludovica Toffoli
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Maja Ukmar
- Department of Radiology, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Ferruccio Degrassi
- Department of Radiology, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Vittorio Ramella
- Department of Medical Surgical and Health Sciences, Plastic and Reconstructive Surgery Unit, Cattinara Hospital, University of Trieste, Trieste, Italy
| | - Iris Zalaudek
- Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy
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26
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Conforti C, Caldaria A, Dri A, Toffoli L, Zelin E, Vezzoni R, Nan K, Degrassi F, Giuffrida R, Zalaudek I, di Meo N. Adalimumab‐associated spondylodiscitis: A new or underestimated side effect? Dermatol Ther 2020; 33:e13468. [DOI: 10.1111/dth.13468] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2020] [Revised: 03/25/2020] [Accepted: 04/19/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Claudio Conforti
- Dermatology Clinic, Maggiore Hospital University of Trieste Trieste Italy
| | - Antonio Caldaria
- Orthopedic and Traumatology Unit Sant'Anna University, Hospital of Ferrara Ferrara Italy
| | - Arianna Dri
- Dermatology Clinic, Maggiore Hospital University of Trieste Trieste Italy
| | - Ludovica Toffoli
- Dermatology Clinic, Maggiore Hospital University of Trieste Trieste Italy
| | - Enrico Zelin
- Dermatology Clinic, Maggiore Hospital University of Trieste Trieste Italy
| | - Roberta Vezzoni
- Dermatology Clinic, Maggiore Hospital University of Trieste Trieste Italy
| | - Katiuscia Nan
- Dermatology Clinic, Maggiore Hospital University of Trieste Trieste Italy
| | - Ferruccio Degrassi
- Department of Radiology, Maggiore Hospital of Trieste University of Trieste Trieste Italy
| | - Roberta Giuffrida
- Department of Clinical and Experimental Medicine, Section of Dermatology University of Messina Messina Italy
| | - Iris Zalaudek
- Dermatology Clinic, Maggiore Hospital University of Trieste Trieste Italy
| | - Nicola di Meo
- Dermatology Clinic, Maggiore Hospital University of Trieste Trieste Italy
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27
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Conforti C, Toffoli L, Giuffrida R, Retrosi C, Vezzoni R, Di Meo N, Zalaudek I. An unusual presentation of genital herpes in a patient affected by lichen sclerosus et atrophicus: A case report and a combined treatment proposal. Dermatol Ther 2020; 33:e13239. [DOI: 10.1111/dth.13239] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2019] [Revised: 01/16/2020] [Accepted: 01/28/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Claudio Conforti
- Dermatology Clinic, Maggiore Hospital, University of Trieste Trieste Italy
| | - Ludovica Toffoli
- Dermatology Clinic, Maggiore Hospital, University of Trieste Trieste Italy
| | - Roberta Giuffrida
- Department of Clinical and Experimental Medicine, Dermatology University of Messina Messina Italy
| | - Chiara Retrosi
- Dermatology Clinic, Maggiore Hospital, University of Trieste Trieste Italy
| | - Roberta Vezzoni
- Dermatology Clinic, Maggiore Hospital, University of Trieste Trieste Italy
| | - Nicola Di Meo
- Dermatology Clinic, Maggiore Hospital, University of Trieste Trieste Italy
| | - Iris Zalaudek
- Dermatology Clinic, Maggiore Hospital, University of Trieste Trieste Italy
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