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Schettini N, Corazza M, Schenetti C, Pacetti L, Borghi A. Urticaria: A Narrative Overview of Differential Diagnosis. Biomedicines 2023; 11:biomedicines11041096. [PMID: 37189714 DOI: 10.3390/biomedicines11041096] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Revised: 03/31/2023] [Accepted: 04/02/2023] [Indexed: 04/08/2023] Open
Abstract
Urticaria is an inflammatory skin disorder that may occur in isolation or associated with angioedema and/or anaphylaxis. Clinically, it is characterized by the presence of smooth, erythematous or blanching, itchy swelling, called wheals or hives, which greatly vary in size and shape and last less than 24 h before fading to leave normal skin. Urticaria is the consequence of mast-cell degranulation that can be caused by immunological or non-immunological mechanisms. From a clinical point of view, many skin conditions can mimic urticaria and their recognition is mandatory for a correct management and therapeutic approach. We have reviewed all of the main relevant studies which addressed differential diagnosis of urticarial, published until December 2022. The National Library of Medicine PubMed database was used for the electronic research. The present review offers a clinical narrative overview, based on the available literature, of the principal skin disorders that can be misdiagnosed as urticaria (mainly autoinflammatory or autoimmune disorders, drug-induced reactions, and hyperproliferative diseases). The aim of this review is to provide clinicians a useful tool for correctly suspecting and identifying all of these conditions.
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Affiliation(s)
- Natale Schettini
- Section of Dermatology and Infectious Diseases, Department of Medical Sciences, University of Ferrara, 44121 Ferrara, Italy
| | - Monica Corazza
- Section of Dermatology and Infectious Diseases, Department of Medical Sciences, University of Ferrara, 44121 Ferrara, Italy
| | - Cecilia Schenetti
- Section of Dermatology and Infectious Diseases, Department of Medical Sciences, University of Ferrara, 44121 Ferrara, Italy
| | - Lucrezia Pacetti
- Section of Dermatology and Infectious Diseases, Department of Medical Sciences, University of Ferrara, 44121 Ferrara, Italy
| | - Alessandro Borghi
- Section of Dermatology and Infectious Diseases, Department of Medical Sciences, University of Ferrara, 44121 Ferrara, Italy
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Mantovani L, Schenetti C, Montinari E, Pacetti L, Schettini N, Borghi A, Corazza M. A possible case of brodalumab-induced ichthyosis. J Dtsch Dermatol Ges 2023; 21:288-290. [PMID: 36808822 DOI: 10.1111/ddg.14976] [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: 07/08/2022] [Accepted: 11/18/2022] [Indexed: 02/22/2023]
Affiliation(s)
- Lucia Mantovani
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
| | - Cecilia Schenetti
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
| | - Elena Montinari
- Section of Anatomic Pathology, Department of Diagnostic Imaging and Experimental Medicine, University of Ferrara S. Anna Hospital, Ferrara, Italy
| | - Lucrezia Pacetti
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
| | - Natale Schettini
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
| | - Alessandro Borghi
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
| | - Monica Corazza
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
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Mantovani L, Schenetti C, Montinari E, Pacetti L, Schettini N, Borghi A, Corazza M. Ein möglicher Fall von Brodalumab-induzierter Ichthyose. J Dtsch Dermatol Ges 2023; 21:288-290. [PMID: 36929544 DOI: 10.1111/ddg.14976_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: 07/08/2022] [Accepted: 11/18/2022] [Indexed: 03/18/2023]
Affiliation(s)
- Lucia Mantovani
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
| | - Cecilia Schenetti
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
| | - Elena Montinari
- Section of Anatomic Pathology, Department of Diagnostic Imaging and Experimental Medicine, University of Ferrara S. Anna Hospital, Ferrara, Italy
| | - Lucrezia Pacetti
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
| | - Natale Schettini
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
| | - Alessandro Borghi
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
| | - Monica Corazza
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
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Affiliation(s)
- Giulia Odorici
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
| | - Cecilia Schenetti
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
| | - Elisa Marzola
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
| | - Alberto Monti
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
| | - Alessandro Borghi
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
| | - Monica Corazza
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
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Odorici G, Schenetti C, Marzola E, Monti A, Borghi A, Corazza M. Behandlung des Netherton-Syndroms mit Dupilumab. J Dtsch Dermatol Ges 2022; 20:1636-1640. [PMID: 36508366 DOI: 10.1111/ddg.14914_g] [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: 12/14/2022]
Affiliation(s)
- Giulia Odorici
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
| | - Cecilia Schenetti
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
| | - Elisa Marzola
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
| | - Alberto Monti
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
| | - Alessandro Borghi
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
| | - Monica Corazza
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
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Odorici G, Schenetti C, Pacetti L, Schettini N, Gaban A, Mantovani L. Acute generalized exanthematous pustulosis due to hydroxichloroquine. Dermatol Ther 2022; 35:e15520. [PMID: 35434875 PMCID: PMC9111614 DOI: 10.1111/dth.15520] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [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: 12/30/2021] [Revised: 03/16/2022] [Accepted: 04/14/2022] [Indexed: 01/18/2023]
Affiliation(s)
- Giulia Odorici
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
| | - Cecilia Schenetti
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
| | - Lucrezia Pacetti
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
| | - Natale Schettini
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
| | - Alba Gaban
- Section of Anatomic Pathology, Department of Diagnostic Imaging and Experimental Medicine, University of Ferrara, S. Anna Hospital, Ferrara, Italy
| | - Lucia Mantovani
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
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Tarallo L, Novi M, Porcellini G, Schenetti C, Micheloni GM, Maniscalco P, Catani F. Gartland type III supracondylar fracture in children: is open reduction really a dangerous choice? Injury 2022; 53 Suppl 1:S13-S18. [PMID: 33678463 DOI: 10.1016/j.injury.2021.02.071] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/23/2020] [Accepted: 02/22/2021] [Indexed: 02/02/2023]
Abstract
BACKGROUND Type III supracondylar fractures represent a difficult injury to treat and there is no universal consensus regarding the best treatment. The purpose of this study is to assess the incidence of complication associated with open reduction and compare open reduction vs closed reduction, in order to determine which treatment lead to better clinical and radiological outcomes. Is open reduction really associated with a higher number of iatrogenic complication and worse clinical outcomes in comparison to closed reduction? METHODS A total of 55 patients, affected by type III supracondylar humerus fracture, were retrospectively selected and divided into two groups according to which type of treatment they received (open reduction or closed reduction). Major complications correlated with surgical procedure, such as infections, neurovascular iatrogenic lesions, elbow stiffness and painful scarring were assessed. The treatment outcomes and clinical features were compared among the two groups. A statistical analysis to find association between the type of reduction, the restored elbow anatomy and the clinical outcomes were performed. The follow-up varies between 1 year and 7 years. RESULTS No major complications occurred in our series of patients. Excellent and good outcomes were reported among all 26 patients that underwent an open reduction surgery and in 23 out of the 29 patients who received a closed reduction surgery. A higher number of patients in the open reduction group presented angles with normal values; moreover 3 out of the 6 patients with unsatisfactory outcomes presented with angles not in range, underlying the presence of a connection between the restored elbow anatomy and the clinical outcomes. There were no differences among the two groups regarding the presence of complications. DISCUSSION Open reduction should not be considered as a first line option of treatment in any pediatric patient with a type III supracondylar humerus fracture, but in several cases open surgery must be viewed as the choice with the best outcomes not only in presence of neurovascular lesion but also in case of irreducible fracture.
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Affiliation(s)
- Luigi Tarallo
- Orthopedics and Traumatology Department, University of Modena and Reggio Emilia, Policlinico di Modena, Modena, Italy.
| | - Michele Novi
- Orthopedics and Traumatology Department, University of Modena and Reggio Emilia, Policlinico di Modena, Modena, Italy
| | - Giusepe Porcellini
- Orthopedics and Traumatology Department, University of Modena and Reggio Emilia, Policlinico di Modena, Modena, Italy
| | - Cecilia Schenetti
- Orthopedics and Traumatology Department, University of Modena and Reggio Emilia, Policlinico di Modena, Modena, Italy
| | - Gian Mario Micheloni
- Orthopedics and Traumatology Department, University of Modena and Reggio Emilia, Policlinico di Modena, Modena, Italy; Orthopedics and Traumatology Department, Guglielmo da Saliceto Hospital, Piacenza, Italy
| | - Pietro Maniscalco
- Orthopedics and Traumatology Department, Guglielmo da Saliceto Hospital, Piacenza, Italy
| | - Fabio Catani
- Orthopedics and Traumatology Department, University of Modena and Reggio Emilia, Policlinico di Modena, Modena, Italy
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Corazza M, Schenetti C, Schettini N, Pacetti L, Monti A, Borghi A. Occupational confetti-like phytophotodermatitis due to lime fruit: Report of two cases. Contact Dermatitis 2021; 86:226-227. [PMID: 34734649 DOI: 10.1111/cod.14003] [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] [Received: 10/17/2021] [Revised: 10/29/2021] [Accepted: 11/01/2021] [Indexed: 11/30/2022]
Affiliation(s)
- Monica Corazza
- Department of Medical Sciences, Section of Dermatology, University of Ferrara, Ferrara, Italy
| | - Cecilia Schenetti
- Department of Medical Sciences, Section of Dermatology, University of Ferrara, Ferrara, Italy
| | - Natale Schettini
- Department of Medical Sciences, Section of Dermatology, University of Ferrara, Ferrara, Italy
| | - Lucrezia Pacetti
- Department of Medical Sciences, Section of Dermatology, University of Ferrara, Ferrara, Italy
| | - Alberto Monti
- Department of Medical Sciences, Section of Dermatology, University of Ferrara, Ferrara, Italy
| | - Alessandro Borghi
- Department of Medical Sciences, Section of Dermatology, University of Ferrara, Ferrara, Italy
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Corazza M, Schenetti C, Schettini N, Zedde P, Borghi A. Pentylene glycol: An emerging cosmetic allergen? Contact Dermatitis 2021; 86:44-46. [PMID: 34455582 PMCID: PMC9292776 DOI: 10.1111/cod.13963] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2021] [Revised: 08/08/2021] [Accepted: 08/24/2021] [Indexed: 11/30/2022]
Affiliation(s)
- Monica Corazza
- Department of Medical Sciences, Section of Dermatology, University of Ferrara, Ferrara, Italy
| | - Cecilia Schenetti
- Department of Medical Sciences, Section of Dermatology, University of Ferrara, Ferrara, Italy
| | - Natale Schettini
- Department of Medical Sciences, Section of Dermatology, University of Ferrara, Ferrara, Italy
| | - Pierantonia Zedde
- Department of Medical Sciences, Section of Dermatology, University of Ferrara, Ferrara, Italy
| | - Alessandro Borghi
- Department of Medical Sciences, Section of Dermatology, University of Ferrara, Ferrara, Italy
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