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Peccerillo F, Odorici G, Ciardo S, Greco M, Guida S, Farnetani F, Pellacani G. Efficacy assessment of a TCA/H2O2 compositum for skin ageing treatment by confocal laser microscopy and optical coherence tomography. J Eur Acad Dermatol Venereol 2021; 35:e938-e942. [PMID: 34374139 DOI: 10.1111/jdv.17596] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Accepted: 07/27/2021] [Indexed: 11/30/2022]
Affiliation(s)
- F Peccerillo
- Dermatology Unit, Arcispedale Santa Maria Nuova, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - G Odorici
- Department of Dermatology, University of Ferrara, Ferrara, Italy
| | - S Ciardo
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - M Greco
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - S Guida
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - F Farnetani
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - G Pellacani
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
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Borsari S, Peccerillo F, Pampena R, Lai M, Spadafora M, Moscarella E, Lallas A, Pizzichetta MA, Zalaudek I, Del Regno L, Peris K, Pellacani G, Longo C. The presence of eccentric hyperpigmentation should raise the suspicion of melanoma. J Eur Acad Dermatol Venereol 2020; 34:2802-2808. [PMID: 32402129 DOI: 10.1111/jdv.16604] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2020] [Revised: 04/04/2020] [Accepted: 04/21/2020] [Indexed: 11/26/2022]
Abstract
BACKGROUND Melanocytic lesions with eccentric hyperpigmentation (EH), even though without other dermatoscopic features of melanoma, are often excised. OBJECTIVE Aiming to understand whether the EH in a pigmented lesion is an accurate criterion of malignancy, we evaluated the capability of two evaluators, with different expertise, to correctly diagnose a melanoma when analysing a given lesion in toto versus a partial analysis, with only the EH or the non-hyperpigmented portion (non-EH) visible. METHODS Dermatoscopic images of 240 lesions (107 melanomas and 133 nevi) typified by EH were selected. Facial, acral, mucosal lesions and lesions showing clear-cut features of melanoma (except for atypical network) were excluded. Clinical and dermoscopic features (main pattern and numbers of colours) were described for all cases. Each image was split in two through a software so that only the EH or the non-EH was visible. Two blinded evaluators examined three sets of images, two with customized images and one with the non-modified ones: they were asked to give a dichotomous diagnosis (melanoma or nevus) for each image. RESULTS Melanomas were significantly more frequently typified by colour variegation (3 colours in 44.8% and 4 colours in 41.1% of cases) and atypical network (88.1% in the EH). No significant differences in diagnostic accuracy emerged between the two evaluators. Sensitivity improved in the evaluation of the whole lesions (mean sensitivity 89.7%) in comparison with the evaluation of EH or non-EH alone (72.7-62.6%). Specificity increased when evaluating the EH (54.1%). Positive predictive value (PPV) and likelihood ratio (LR+) of EH resulted 52.3% and 1.4, meaning that in one case out of two with EH is a melanoma. CONCLUSIONS Lesions with EH are challenging, regardless of dermoscopic experience. The EH is a robust criterion for malignancy, since the evaluation of the whole lesion, through an intralesional comparative approach, increases sensitivity.
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Affiliation(s)
- S Borsari
- Centro Oncologico ad Alta Tecnologia Diagnostica, Azienda Unità Sanitaria Locale - IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - F Peccerillo
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - R Pampena
- Centro Oncologico ad Alta Tecnologia Diagnostica, Azienda Unità Sanitaria Locale - IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - M Lai
- Centro Oncologico ad Alta Tecnologia Diagnostica, Azienda Unità Sanitaria Locale - IRCCS di Reggio Emilia, Reggio Emilia, Italy.,Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - M Spadafora
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - E Moscarella
- Dermatology Unit, Second University of Naples, Naples, Italy
| | - A Lallas
- First Department of Dermatology, Aristotle University, Thessaloniki, Greece
| | - M A Pizzichetta
- Department of Dermatology, University Hospital of Trieste, Trieste, Italy.,Division of Medical Oncology - Preventive Oncology, National Cancer Institute, Aviano, Italy
| | - I Zalaudek
- Department of Dermatology, University Hospital of Trieste, Trieste, Italy
| | - L Del Regno
- Institute of Dermatology, Catholic University of Rome and Fondazione Policlinico Universitario A. Gemelli, Rome, Italy
| | - K Peris
- Institute of Dermatology, Catholic University of Rome and Fondazione Policlinico Universitario A. Gemelli, Rome, Italy
| | - G Pellacani
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - C Longo
- Centro Oncologico ad Alta Tecnologia Diagnostica, Azienda Unità Sanitaria Locale - IRCCS di Reggio Emilia, Reggio Emilia, Italy.,Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
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Conti A, Peccerillo F, Amerio P, Balato A, Bardazzi F, Bianchi L, Burlando M, Cannavò S, Chiricozzi A, Dapavo P, De Simone C, Fargnoli M, Gambardella A, Gisondi P, Malagoli P, Malara G, Mugheddu C, Offidani A, Piaserico S, Prignano F, Stingeni L, Pellacani G. Efficacy and safety of switching to ixekizumab in secukinumab nonresponder patients with psoriasis: results from a multicentre experience. Br J Dermatol 2019; 180:1547-1548. [DOI: 10.1111/bjd.17580] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Affiliation(s)
- A. Conti
- Department of Dermatology University of Modena and Reggio Emilia Modena Italy
| | - F. Peccerillo
- Department of Dermatology University of Modena and Reggio Emilia Modena Italy
| | - P. Amerio
- Department of Medicine and Aging Science Dermatologic Clinic, G. D'Annunzio University Chieti Italy
| | - A. Balato
- Department of Dermatology University of Naples Federico II Naples Italy
| | - F. Bardazzi
- Department of Specialized, Clinical and Experimental Medicine Division of Dermatology University of Bologna Bologna Italy
| | - L. Bianchi
- Department of Dermatology University of Rome Tor Vergata Rome Italy
| | - M. Burlando
- Section of Dermatology University of Genoa San Martino Polyclinic Hospital Genoa Italy
| | - S.P. Cannavò
- Department of Clinical and Experimental Medicine – Dermatology University of Messina Messina Italy
| | - A. Chiricozzi
- Department of Dermatology University of Pisa Pisa Italy
| | - P. Dapavo
- Department of Biomedical Science and Human Oncology Second Dermatologic Clinic University of Turin Turin Italy
| | - C. De Simone
- Department of Dermatology Catholic University of the Sacred Heart Rome Italy
| | - M.C. Fargnoli
- Department of Dermatology University of L'Aquila L'Aquila Italy
| | | | - P. Gisondi
- Department of Medicine Section of Dermatology and Venereology University of Verona Verona Italy
| | - P. Malagoli
- Dermatology Unit Azienda Ospedaliera San Donato Milanese Milan Italy
| | - G. Malara
- Dermatology Department Grande Ospedale Metropolitano Bianchi Melacrino Morelli 89124 Reggio Calabria Italy
| | - C. Mugheddu
- Department of Medical Sciences and Public Health Section of Dermatology University of Cagliari Cagliari Italy
| | - A.M. Offidani
- Department of Clinical and Molecular Sciences Dermatology Unit Polytechnic Marche University Ancona Italy
| | - S. Piaserico
- Department of Dermatology University of Padua Padova Italy
| | - F. Prignano
- Department of Dermatology University of Florence Firenze Italy
| | - L. Stingeni
- Department of Medicine Section of Clinical, Allergological and Venereological Dermatology University of Perugia Perugia Italy
| | - G. Pellacani
- Department of Dermatology University of Modena and Reggio Emilia Modena Italy
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Pampena R, Peccerillo F, Marghoob N, Piana S, Longo C. Peritumoural clefting as a key feature in differentiating basal cell carcinoma from trichoblastoma through
in vivo
reflectance confocal microscopy. J Eur Acad Dermatol Venereol 2019; 33:e201-e203. [DOI: 10.1111/jdv.15467] [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] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- R. Pampena
- Centro Oncologico ad Alta Tecnologia Diagnostica Azienda Unità Sanitaria Locale ‐ IRCCS di Reggio Emilia Reggio Emilia Italy
| | - F. Peccerillo
- Department of Dermatology University of Modena and Reggio Emilia Modena Italy
| | - N.G. Marghoob
- New York Institute of Technology College of Osteopathic Medicine OMSIII Old Westbury, New York NY USA
| | - S. Piana
- Pathology Unit Azienda Unità Sanitaria Locale ‐ IRCCS di Reggio Emilia Reggio Emilia Italy
| | - C. Longo
- Centro Oncologico ad Alta Tecnologia Diagnostica Azienda Unità Sanitaria Locale ‐ IRCCS di Reggio Emilia Reggio Emilia Italy
- Department of Dermatology University of Modena and Reggio Emilia Modena Italy
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Peccerillo F, Zambito Spadaro F, Fabrizi G, Feliciani C, Pagliarello C, Stanganelli I. Not a simple plantar wart: a case of tungiasis. J Eur Acad Dermatol Venereol 2017; 32:e113-e114. [DOI: 10.1111/jdv.14595] [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: 11/28/2022]
Affiliation(s)
- F. Peccerillo
- Department of Surgical, Medical, Dental and Morphological Sciences with Interest Transplant, Oncological and Regenerative Medicine; Dermatology Unit; University of Modena and Reggio Emilia; Modena Italy
| | | | - G. Fabrizi
- Istituto Dermopatico dell'Immacolata; Fondazione Luigi Maria Monti IRCCS; Rome Italy
| | - C. Feliciani
- Department of Dermatology; University of Parma; Parma Italy
| | - C. Pagliarello
- Division of Dermatology; UO Multizonale ‘Santa Chiara’ Hospital; Trento Italy
| | - I. Stanganelli
- Department of Dermatology; University of Parma; Parma Italy
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Peccerillo F, Di Caterino P, Del Vecchio M, Battarra VC, Boccia L. Eosinophilic cellulitis. GIORN ITAL DERMAT V 2015; 150:341-343. [PMID: 25946678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Affiliation(s)
- F Peccerillo
- Unit of Dermatology, AORN Sant'Anna e San Sebastiano, Caserta, Italy -
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Gravina AG, Federico A, Ruocco E, Lo Schiavo A, Masarone M, Tuccillo C, Peccerillo F, Miranda A, Romano L, de Sio C, de Sio I, Persico M, Ruocco V, Riegler G, Loguercio C, Romano M. Helicobacter pylori infection but not small intestinal bacterial overgrowth may play a pathogenic role in rosacea. United European Gastroenterol J 2015; 3:17-24. [PMID: 25653855 PMCID: PMC4315682 DOI: 10.1177/2050640614559262] [Citation(s) in RCA: 57] [Impact Index Per Article: 6.3] [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: 07/12/2014] [Accepted: 10/15/2014] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND AND AIMS Recent studies suggest a potential relationship between rosacea and Helicobacter pylori (H. pylori) infection or small intestinal bacterial overgrowth (SIBO), but there is no firm evidence of an association between rosacea and H. pylori infection or SIBO. We performed a prospective study to assess the prevalence of H. pylori infection and/or SIBO in patients with rosacea and evaluated the effect of H. pylori or SIBO eradication on rosacea. METHODS We enrolled 90 patients with rosacea from January 2012 to January 2013 and a control group consisting of 90 patients referred to us because of mapping of nevi during the same period. We used the (13)C Urea Breath Test and H. pylori stool antigen (HpSA) test to assess H. pylori infection and the glucose breath test to assess SIBO. Patients infected by H. pylori were treated with clarithromycin-containing sequential therapy. Patients positive for SIBO were treated with rifaximin. RESULTS We found that 44/90 (48.9%) patients with rosacea and 24/90 (26.7%) control subjects were infected with H. pylori (p = 0.003). Moreover, 9/90 (10%) patients with rosacea and 7/90 (7.8%) subjects in the control group had SIBO (p = 0.6). Within 10 weeks from the end of antibiotic therapy, the skin lesions of rosacea disappeared or decreased markedly in 35/36 (97.2%) patients after eradication of H. pylori and in 3/8 (37.5%) patients who did not eradicate the infection (p < 0.0001). Rosacea skin lesions decreased markedly in 6/7 (85.7%) after eradication of SIBO whereas of the two patients who did not eradicate SIBO, one (50%) showed an improvement in rosacea (p = 0.284). CONCLUSIONS Prevalence of H. pylori infection was significantly higher in patients with rosacea than control group, whereas SIBO prevalence was comparable between the two groups. Eradication of H. pylori infection led to a significant improvement of skin symptoms in rosacea patients.
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Affiliation(s)
- AG Gravina
- Dipartimento di Internistica Clinica e Sperimentale ‘F Magrassi', Second University of Naples, Naples, Italy
| | - A Federico
- Dipartimento di Internistica Clinica e Sperimentale ‘F Magrassi', Second University of Naples, Naples, Italy
| | - E Ruocco
- Department of Dermatology, Second University of Naples, Naples, Italy
| | - A Lo Schiavo
- Department of Dermatology, Second University of Naples, Naples, Italy
| | - M Masarone
- Internal Medicine and Hepathology Department, University of Salerno, Salerno, Italy
| | - C Tuccillo
- Dipartimento di Internistica Clinica e Sperimentale ‘F Magrassi', Second University of Naples, Naples, Italy
| | - F Peccerillo
- Department of Dermatology, Second University of Naples, Naples, Italy
| | - A Miranda
- Dipartimento di Internistica Clinica e Sperimentale ‘F Magrassi', Second University of Naples, Naples, Italy
| | - L Romano
- Dipartimento di Internistica Clinica e Sperimentale ‘F Magrassi', Second University of Naples, Naples, Italy
| | - C de Sio
- Dipartimento di Internistica Clinica e Sperimentale ‘F Magrassi', Second University of Naples, Naples, Italy
| | - I de Sio
- Dipartimento di Internistica Clinica e Sperimentale ‘F Magrassi', Second University of Naples, Naples, Italy
| | - M Persico
- Internal Medicine and Hepathology Department, University of Salerno, Salerno, Italy
| | - V Ruocco
- Department of Dermatology, Second University of Naples, Naples, Italy
| | - G Riegler
- Dipartimento di Internistica Clinica e Sperimentale ‘F Magrassi', Second University of Naples, Naples, Italy
| | - C Loguercio
- Dipartimento di Internistica Clinica e Sperimentale ‘F Magrassi', Second University of Naples, Naples, Italy
| | - M Romano
- Dipartimento di Internistica Clinica e Sperimentale ‘F Magrassi', Second University of Naples, Naples, Italy
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