1
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Sacchelli L, Filippi F, Balato A, Balestri R, Bellinato F, Bernardini N, Bianchi L, Burlando M, Campanati A, Chessa MA, Corazza M, Di Cesare A, Di Lernia V, Diotallevi F, Esposito M, Fargnoli MC, Gisondi P, Giunta A, Hansel K, Magnano M, Megna M, Odorici G, Prignano F, Potenza C, Rech G, Rovesti M, Ruggiero A, Satolli F, Stingeni L, Gibertoni D, Bardazzi F. PsoBioVax: A multicentric Italian case-control study of the immunological response to anti-SARS-CoV-2 vaccine among psoriatic patients under biological therapy. J Eur Acad Dermatol Venereol 2024; 38:e215-e218. [PMID: 38059550 DOI: 10.1111/jdv.19662] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Accepted: 11/17/2023] [Indexed: 12/08/2023]
Affiliation(s)
- L Sacchelli
- Dermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico S. Orsola-Malpighi, Bologna, Italy
- Department of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy
| | - F Filippi
- Dermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico S. Orsola-Malpighi, Bologna, Italy
- Department of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy
| | - A Balato
- Unit of Dermatology, University of Campania Luigi Vanvitelli, Naples, Italy
| | - R Balestri
- Division of Dermatology, Psoriasis Outpatient Service, APSS, Trento, Italy
| | - F Bellinato
- Dipartimento di Medicina Sezione Di Dermatologia Università di Verona, Verona, Italy
| | - N Bernardini
- Department of Medico-Surgical Sciences and Biotechnologies Faculty of Pharmacy and Medicine Sapienza University of Rome - Polo Pontino (ASL Latina), Latina, Italy
| | - L Bianchi
- Dermatology, University of Rome Tor Vergata, Rome, Italy
| | - M Burlando
- Department of Dermatology, DISSAL University of Genoa, IRCCS Ospedale Policlinico San Martino, Genova, Italy
| | - A Campanati
- Dermatological Clinic, Department of Clinical and Molecular Sciences, Polytechnic Marche University, Ancona, Italy
| | - M A Chessa
- Dermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico S. Orsola-Malpighi, Bologna, Italy
- Department of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy
| | - M Corazza
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
| | - A Di Cesare
- Department of Health Sciences, Section of Dermatology, University of Florence, Florence, Italy
| | - V Di Lernia
- Dermatology Unit, Arcispedale Santa Maria Nuova, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - F Diotallevi
- Dermatological Clinic, Department of Clinical and Molecular Sciences, Polytechnic Marche University, Ancona, Italy
| | - M Esposito
- Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy
- Dermatology Unit, Ospedale San Salvatore, L'Aquila, Italy
| | - M C Fargnoli
- Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy
- Dermatology Unit, Ospedale San Salvatore, L'Aquila, Italy
| | - P Gisondi
- Dipartimento di Medicina Sezione Di Dermatologia Università di Verona, Verona, Italy
| | - A Giunta
- Dermatology, Fondazione PTV Policlinico Tor Vergata, Rome, Italy
| | - K Hansel
- Dermatology Section, Department of Medicine and Surgery, University of Perugia, Perugia, Italy
| | - M Magnano
- Division of Dermatology, Psoriasis Outpatient Service, APSS, Trento, Italy
| | - M Megna
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Napoli, Italy
| | - G Odorici
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
| | - F Prignano
- Department of Health Sciences, Section of Dermatology, University of Florence, Florence, Italy
| | - C Potenza
- Department of Medico-Surgical Sciences and Biotechnologies Faculty of Pharmacy and Medicine Sapienza University of Rome - Polo Pontino (ASL Latina), Latina, Italy
| | - G Rech
- Division of Dermatology, Psoriasis Outpatient Service, APSS, Trento, Italy
| | - M Rovesti
- Dermatologic Unit, Ospedale "Guglielmo da Saliceto", Piacenza, PC, Italy
| | - A Ruggiero
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Napoli, Italy
| | - F Satolli
- UOC Dermatologia, University of Parma, Parma, Italy
| | - L Stingeni
- Dermatology Section, Department of Medicine and Surgery, University of Perugia, Perugia, Italy
| | - D Gibertoni
- Research and Innovation Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy
| | - F Bardazzi
- Dermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico S. Orsola-Malpighi, Bologna, Italy
- Department of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy
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2
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Caldarola G, Chiricozzi A, Megna M, Dapavo P, Giunta A, Burlando M, Malagoli P, Dini V, Mariani M, Fabbrocini G, Quaglino P, Bianchi L, Parodi A, Peris K, De Simone C. Real-life experience with ixekizumab in plaque psoriasis: a multi-center, retrospective, 3-year study. Expert Opin Biol Ther 2023; 23:365-370. [PMID: 36927246 DOI: 10.1080/14712598.2023.2193288] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [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: 03/18/2023]
Abstract
BACKGROUND Confirmatory data on the long-term effectiveness and safety of ixekizumab in psoriatic patients from real-world studies are needed. OBJECTIVES The primary aim was to evaluate the 3-year drug survival of ixekizumab in the treatment of patients with moderate-to-severe plaque psoriasis, in a multicenter real-world setting. The secondary aim was to assess the influence of predictive factors on the drug survival of ixekizumab. METHODS A retrospective analysis was performed on a cohort of patients with chronic plaque psoriasis, who received at least one dose of ixekizumab before December 2018. The drug survival analysis was performed and descriptively analyzed using Kaplan-Meier survival curves. Multivariable Cox regression analyses were carried out including variables considered to be of clinical importance. RESULTS A total of 306 patients were enrolled. The overall drug survival at 12, 24, and 36 months of treatment with ixekizumab was 92.11%, 83.85%, and 80.19%, respectively. A higher probability (HR 2.34) of drug withdrawal was found among patients who had already received an anti-IL-17 agent compared with bio-naive patients (p 0.017). CONCLUSIONS We found that ixekizumab is a biological agent characterized by long-term effectiveness, not influenced by several clinical factors and associated with a good safety profile.
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Affiliation(s)
- Giacomo Caldarola
- Section of Dermatology, Dipartimento Universitario di Medicina e Chirurgia Traslazionale, Università Cattolica del Sacro Cuore, Rome, Italy.,Dermatology Unit, Dipartimento di Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
| | - A Chiricozzi
- Section of Dermatology, Dipartimento Universitario di Medicina e Chirurgia Traslazionale, Università Cattolica del Sacro Cuore, Rome, Italy.,Dermatology Unit, Dipartimento di Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
| | - M Megna
- Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - P Dapavo
- Department of Biomedical Science and Human Oncology, Second Dermatologic Clinic, University of Turin, Turin, Italy
| | - A Giunta
- Department of Dermatology, University of Rome Tor Vergata, Rome, Italy
| | - M Burlando
- Section of Dermatology, Di.S.Sal. Department of Health Science, San Martino Polyclinic Hospital, University of Genoa, Genoa, Italy
| | - P Malagoli
- Dermatology Unit, Azienda Ospedaliera San Donato Milanese, Milan, Italy
| | - V Dini
- Dermatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy
| | - M Mariani
- Section of Hygiene, University Department of Health Sciences and Public Health, Rome, Italy
| | - G Fabbrocini
- Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - P Quaglino
- Department of Biomedical Science and Human Oncology, Second Dermatologic Clinic, University of Turin, Turin, Italy
| | - L Bianchi
- Department of Dermatology, University of Rome Tor Vergata, Rome, Italy
| | - A Parodi
- Section of Dermatology, Di.S.Sal. Department of Health Science, San Martino Polyclinic Hospital, University of Genoa, Genoa, Italy
| | - K Peris
- Section of Dermatology, Dipartimento Universitario di Medicina e Chirurgia Traslazionale, Università Cattolica del Sacro Cuore, Rome, Italy.,Dermatology Unit, Dipartimento di Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
| | - C De Simone
- Section of Dermatology, Dipartimento Universitario di Medicina e Chirurgia Traslazionale, Università Cattolica del Sacro Cuore, Rome, Italy.,Dermatology Unit, Dipartimento di Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
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3
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Giunta A, Zangrilli A, Bavetta M, Manfreda V, Pensa C, Bianchi L. A single-centre, observational, retrospective, real-life study evaluating adalimumab biosimilar ABP 501 in the treatment of plaque-type psoriasis and psoriatic arthritis in originator-naïve patients and in patients undergoing non-medical switch from originator. Curr Med Res Opin 2021; 37:1099-1102. [PMID: 34011212 DOI: 10.1080/03007995.2021.1923467] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
BACKGROUND ABP 501 is a biosimilar to the anti-tumor necrosis factor-alfa monoclonal antibody adalimumab and despite its effectiveness and safety in the treatment of psoriasis was demonstrated in randomized clinical trials, no real-life data are available, in particular in patients undergoing non-medical switch from originator to biosimilar. METHODS We retrospectively searched our clinical records for all patients receiving ABP 501 between March 10, 2019 and September 7, 2019 at our Department. Therefore, we identified 94 patients, 46 patients underwent non-medical switch from adalimumab reference product to ABP 501. RESULTS In originator-naïve patients, mean PASI significantly improved from baseline to week 24 (p < .0001) in both Pso and PsA cohorts. In these patients, mean DAS-28 ESR improved with no significant differences from baseline. In patients undergoing non-medical switch from adalimumab reference product to ABP 501, no significant difference in PASI or DAS-28 ESR were observed from week 16 before switch to week 24 after switch. CONCLUSIONS AB- 501 is an effective treatment for plaque-type psoriasis and psoriatic arthritis regardless if patients are originator-naïve or if they were switched from the reference product.
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Affiliation(s)
- A Giunta
- Department of Dermatology, University of Rome Tor Vergata, Rome, Italy
| | - A Zangrilli
- Department of Dermatology, University of Rome Tor Vergata, Rome, Italy
| | - M Bavetta
- Department of Dermatology, University of Rome Tor Vergata, Rome, Italy
| | - V Manfreda
- Department of Dermatology, University of Rome Tor Vergata, Rome, Italy
| | - C Pensa
- Department of Dermatology, University of Rome Tor Vergata, Rome, Italy
| | - L Bianchi
- Department of Dermatology, University of Rome Tor Vergata, Rome, Italy
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4
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Giunta A, Manfreda V, Esposito M, Del Duca E, Bianchi L. Etanercept biosimilar SB4 in the treatment of plaque‐type psoriasis and psoriatic arthritis: a single‐centre, observational, retrospective, real‐life study. Br J Dermatol 2019; 181:1078-1079. [DOI: 10.1111/bjd.18090] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [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. Giunta
- Department of Dermatology University of Rome Tor Vergata Rome Italy
| | - V. Manfreda
- Department of Dermatology University of Rome Tor Vergata Rome Italy
| | - M. Esposito
- Department of Dermatology University of Rome Tor Vergata Rome Italy
| | - E. Del Duca
- Department of Dermatology University of Rome Tor Vergata Rome Italy
| | - L. Bianchi
- Department of Dermatology University of Rome Tor Vergata Rome Italy
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5
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Gisondi P, Bianchi L, Calzavara‐Pinton P, Conti A, Chiricozzi A, Fimiani M, Pellegrino M, Giunta A, Prignano F, Tiberio R, Venturini M, Girolomoni G. Etanercept biosimilar
SB
4 in the treatment of chronic plaque psoriasis: data from the Psobiosimilars registry. Br J Dermatol 2018; 180:409-410. [DOI: 10.1111/bjd.17133] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [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)
- P. Gisondi
- Department of Medicine Section of Dermatology and Venereology University of Verona Verona Italy
| | - L. Bianchi
- Section of Dermatology University of Rome Tor Vergata Rome Italy
| | | | - A. Conti
- Department of Head and Neck Surgery Section of Dermatology Azienda Ospedaliero Universitaria Policlinico di Modena Modena Italy
| | - A. Chiricozzi
- Section of Dermatology University of Pisa Pisa Italy
| | - M. Fimiani
- Department of Medical Surgical and Neurological Science Section of Dermatology Siena University Hospital Siena Italy
| | - M. Pellegrino
- Department of Medical Surgical and Neurological Science Section of Dermatology Siena University Hospital Siena Italy
| | - A. Giunta
- Section of Dermatology University of Rome Tor Vergata Rome Italy
| | - F. Prignano
- Department of Surgery and Translational Medicine Section of Dermatology University of Florence Florence Italy
| | - R. Tiberio
- Section of Dermatology ‘Maggiore della Carità’ Hospital University of Eastern Piedmont ‘A. Avogadro’ Novara Italy
| | - M. Venturini
- Section of Dermatology University of Brescia Brescia Italy
| | - G. Girolomoni
- Department of Medicine Section of Dermatology and Venereology University of Verona Verona Italy
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6
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Chimenti MS, Di Stefani A, Conigliaro P, Saggini A, Urbani S, Giunta A, Esposito M, Bianchi L, Peris K, Perricone R. Histopathology of the skin in rheumatic diseases. Reumatismo 2018; 70:187-198. [PMID: 30282444 DOI: 10.4081/reumatismo.2018.1049] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2017] [Accepted: 01/03/2018] [Indexed: 11/23/2022] Open
Abstract
Rheumatological systemic autoimmune diseases, such as connective tissue diseases, rheumatoid arthritis or spondyloarthritis, are characterized by the presence of joint involvement associated with extra-articular manifestations. Among them, cutaneous diseases are often the most relevant and representative clinical manifestation, as in psoriatic arthritis, scleroderma or systemic lupus erythematosus. In this context, it is useful for rheumatologists to understand better skin diseases and their histopathological features. Evaluation of skin biopsy specimens can be helpful not only to confirm the diagnosis in both classic and clinically atypical variants, but also to improve further our knowledge of the pathogenetic mechanisms and the close link between skin and articular diseases. In this review, we discuss the clinical features, diagnostic evaluation and the histopathological features of skin manifestation of the most relevant rheumatological autoimmune diseases.
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Affiliation(s)
- M S Chimenti
- Rheumatology, Allergology and Clinical Immunology, Department of Medicina dei Sistemi, University of Rome Tor Vergata, Rome.
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7
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Maione S, Giunta A, Tuccillo B, Biagini R, Del Rosso P, Pezza A, De Blasio F. Doppler Echocardiographic Assessment of Left Ventricular Diastolic Function in Patients with Primary Lung Cancer Treated with Doxorubicin. Tumori 2018; 74:725-9. [PMID: 3232216 DOI: 10.1177/030089168807400618] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Eighteen patients were examined by Doppler echocardiography before and after treatment with doxorubicin (DXR). Early left ventricular filling rate decreased from 66±15 to 51±10 cm/sec whereas late filling rate increased from 48±12 to 61±9 cm/sec (p < 0.05) with inversion of the E/A ratio suggesting an impairment of left ventricular diastolic function; conversely no significant changes were found in systolic function indexes. These results suggest that follow-up of patients treated with DXR must include left ventricular diastolic function studies. Doppler echocardiography can be successfully used to detect the presence of diastolic abnormalities.
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Affiliation(s)
- S Maione
- Clinica Medica, II Facoltà di Medicina, Napoli, Italia
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8
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Raiteri CM, Villata M, Acosta-Pulido JA, Agudo I, Arkharov AA, Bachev R, Baida GV, Benítez E, Borman GA, Boschin W, Bozhilov V, Butuzova MS, Calcidese P, Carnerero MI, Carosati D, Casadio C, Castro-Segura N, Chen WP, Damljanovic G, D'Ammando F, Di Paola A, Echevarría J, Efimova NV, Ehgamberdiev SA, Espinosa C, Fuentes A, Giunta A, Gómez JL, Grishina TS, Gurwell MA, Hiriart D, Jermak H, Jordan B, Jorstad SG, Joshi M, Kopatskaya EN, Kuratov K, Kurtanidze OM, Kurtanidze SO, Lähteenmäki A, Larionov VM, Larionova EG, Larionova LV, Lázaro C, Lin CS, Malmrose MP, Marscher AP, Matsumoto K, McBreen B, Michel R, Mihov B, Minev M, Mirzaqulov DO, Mokrushina AA, Molina SN, Moody JW, Morozova DA, Nazarov SV, Nikolashvili MG, Ohlert JM, Okhmat DN, Ovcharov E, Pinna F, Polakis TA, Protasio C, Pursimo T, Redondo-Lorenzo FJ, Rizzi N, Rodriguez-Coira G, Sadakane K, Sadun AC, Samal MR, Savchenko SS, Semkov E, Skiff BA, Slavcheva-Mihova L, Smith PS, Steele IA, Strigachev A, Tammi J, Thum C, Tornikoski M, Troitskaya YV, Troitsky IS, Vasilyev AA, Vince O. Blazar spectral variability as explained by a twisted inhomogeneous jet. Nature 2017; 552:374-377. [PMID: 29211720 DOI: 10.1038/nature24623] [Citation(s) in RCA: 85] [Impact Index Per Article: 12.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2017] [Accepted: 10/06/2017] [Indexed: 11/09/2022]
Abstract
Blazars are active galactic nuclei, which are powerful sources of radiation whose central engine is located in the core of the host galaxy. Blazar emission is dominated by non-thermal radiation from a jet that moves relativistically towards us, and therefore undergoes Doppler beaming. This beaming causes flux enhancement and contraction of the variability timescales, so that most blazars appear as luminous sources characterized by noticeable and fast changes in brightness at all frequencies. The mechanism that produces this unpredictable variability is under debate, but proposed mechanisms include injection, acceleration and cooling of particles, with possible intervention of shock waves or turbulence. Changes in the viewing angle of the observed emitting knots or jet regions have also been suggested as an explanation of flaring events and can also explain specific properties of blazar emission, such as intra-day variability, quasi-periodicity and the delay of radio flux variations relative to optical changes. Such a geometric interpretation, however, is not universally accepted because alternative explanations based on changes in physical conditions-such as the size and speed of the emitting zone, the magnetic field, the number of emitting particles and their energy distribution-can explain snapshots of the spectral behaviour of blazars in many cases. Here we report the results of optical-to-radio-wavelength monitoring of the blazar CTA 102 and show that the observed long-term trends of the flux and spectral variability are best explained by an inhomogeneous, curved jet that undergoes changes in orientation over time. We propose that magnetohydrodynamic instabilities or rotation of the twisted jet cause different jet regions to change their orientation and hence their relative Doppler factors. In particular, the extreme optical outburst of 2016-2017 (brightness increase of six magnitudes) occurred when the corresponding emitting region had a small viewing angle. The agreement between observations and theoretical predictions can be seen as further validation of the relativistic beaming theory.
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Affiliation(s)
- C M Raiteri
- INAF, Osservatorio Astrofisico di Torino, I-10025 Pino Torinese, Italy
| | - M Villata
- INAF, Osservatorio Astrofisico di Torino, I-10025 Pino Torinese, Italy
| | - J A Acosta-Pulido
- Instituto de Astrofisica de Canarias (IAC), La Laguna, E-38200 Tenerife, Spain.,Departamento de Astrofisica, Universidad de La Laguna, La Laguna, E-38205 Tenerife, Spain
| | - I Agudo
- Instituto de Astrofísica de Andalucía (CSIC), E-18080 Granada, Spain
| | - A A Arkharov
- Pulkovo Observatory, 196140 St Petersburg, Russia
| | - R Bachev
- Institute of Astronomy and NAO, Bulgarian Academy of Sciences, 1784 Sofia, Bulgaria
| | - G V Baida
- Crimean Astrophysical Observatory RAS, Nauchny 298409, Russia
| | - E Benítez
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Mexico
| | - G A Borman
- Crimean Astrophysical Observatory RAS, Nauchny 298409, Russia
| | - W Boschin
- Instituto de Astrofisica de Canarias (IAC), La Laguna, E-38200 Tenerife, Spain.,Departamento de Astrofisica, Universidad de La Laguna, La Laguna, E-38205 Tenerife, Spain.,INAF, TNG Fundación Galileo Galilei, E-38712 La Palma, Spain
| | - V Bozhilov
- Department of Astronomy, Faculty of Physics, University of Sofia, BG-1164 Sofia, Bulgaria
| | - M S Butuzova
- Crimean Astrophysical Observatory RAS, Nauchny 298409, Russia
| | - P Calcidese
- Osservatorio Astronomico della Regione Autonoma Valle d'Aosta, I-11020 Nus, Italy
| | - M I Carnerero
- INAF, Osservatorio Astrofisico di Torino, I-10025 Pino Torinese, Italy
| | - D Carosati
- INAF, TNG Fundación Galileo Galilei, E-38712 La Palma, Spain.,EPT Observatories, Tijarafe, E-38780 La Palma, Spain
| | - C Casadio
- Instituto de Astrofísica de Andalucía (CSIC), E-18080 Granada, Spain.,Max-Planck-Institut für Radioastronomie, D-53121 Bonn, Germany
| | - N Castro-Segura
- Departamento de Astrofisica, Universidad de La Laguna, La Laguna, E-38205 Tenerife, Spain.,School of Physics and Astronomy, University of Southampton, Southampton SO17 1BJ, UK
| | - W-P Chen
- Graduate Institute of Astronomy, National Central University, Jhongli City, Taoyuan County 32001, Taiwan
| | | | - F D'Ammando
- Dipartimento di Fisica e Astronomia, Università di Bologna, I-40129 Bologna, Italy.,INAF, Istituto di Radioastronomia, I-40129 Bologna, Italy
| | - A Di Paola
- INAF, Osservatorio Astronomico di Roma, I-00040 Monte Porzio Catone, Italy
| | - J Echevarría
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Mexico
| | - N V Efimova
- Pulkovo Observatory, 196140 St Petersburg, Russia
| | - Sh A Ehgamberdiev
- Ulugh Beg Astronomical Institute, Maidanak Observatory, Tashkent 100052, Uzbekistan
| | - C Espinosa
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Mexico
| | - A Fuentes
- Instituto de Astrofísica de Andalucía (CSIC), E-18080 Granada, Spain
| | - A Giunta
- INAF, Osservatorio Astronomico di Roma, I-00040 Monte Porzio Catone, Italy
| | - J L Gómez
- Instituto de Astrofísica de Andalucía (CSIC), E-18080 Granada, Spain
| | - T S Grishina
- Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - M A Gurwell
- Harvard-Smithsonian Center for Astrophysics, Cambridge, Massachusetts 02138, USA
| | - D Hiriart
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Mexico
| | - H Jermak
- Astrophysics Research Institute, Liverpool John Moores University, Liverpool L3 5RF, UK
| | - B Jordan
- School of Cosmic Physics, Dublin Institute For Advanced Studies, Dublin, Ireland
| | - S G Jorstad
- Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia.,Institute for Astrophysical Research, Boston University, Boston, Massachusetts 02215, USA
| | - M Joshi
- Institute for Astrophysical Research, Boston University, Boston, Massachusetts 02215, USA
| | - E N Kopatskaya
- Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - K Kuratov
- NNLOT, Al-Farabi Kazakh National University, Almaty, Kazakhstan.,Fesenkov Astrophysical Institute, Almaty, Kazakhstan
| | - O M Kurtanidze
- Abastumani Observatory, Mt Kanobili, 0301 Abastumani, Georgia.,Engelhardt Astronomical Observatory, Kazan Federal University, Tatarstan, Russia.,Landessternwarte, Zentrum für Astronomie der Universität Heidelberg, 69117 Heidelberg, Germany.,Center for Astrophysics, Guangzhou University, Guangzhou 510006, China
| | - S O Kurtanidze
- Abastumani Observatory, Mt Kanobili, 0301 Abastumani, Georgia
| | - A Lähteenmäki
- Aalto University Metsähovi Radio Observatory, FI-02540 Kylmälä, Finland.,Aalto University Department of Electronics and Nanoengineering, FI-00076 Aalto, Finland.,Tartu Observatory, 61602 Tõravere, Estonia
| | - V M Larionov
- Pulkovo Observatory, 196140 St Petersburg, Russia.,Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - E G Larionova
- Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - L V Larionova
- Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - C Lázaro
- Instituto de Astrofisica de Canarias (IAC), La Laguna, E-38200 Tenerife, Spain.,Departamento de Astrofisica, Universidad de La Laguna, La Laguna, E-38205 Tenerife, Spain
| | - C S Lin
- Graduate Institute of Astronomy, National Central University, Jhongli City, Taoyuan County 32001, Taiwan
| | - M P Malmrose
- Institute for Astrophysical Research, Boston University, Boston, Massachusetts 02215, USA
| | - A P Marscher
- Institute for Astrophysical Research, Boston University, Boston, Massachusetts 02215, USA
| | - K Matsumoto
- Astronomical Institute, Osaka Kyoiku University, Osaka 582-8582, Japan
| | - B McBreen
- School of Physics, University College Dublin, Dublin 4, Ireland
| | - R Michel
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Mexico
| | - B Mihov
- Institute of Astronomy and NAO, Bulgarian Academy of Sciences, 1784 Sofia, Bulgaria
| | - M Minev
- Department of Astronomy, Faculty of Physics, University of Sofia, BG-1164 Sofia, Bulgaria
| | - D O Mirzaqulov
- Ulugh Beg Astronomical Institute, Maidanak Observatory, Tashkent 100052, Uzbekistan
| | - A A Mokrushina
- Pulkovo Observatory, 196140 St Petersburg, Russia.,Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - S N Molina
- Instituto de Astrofísica de Andalucía (CSIC), E-18080 Granada, Spain
| | - J W Moody
- Department of Physics and Astronomy, Brigham Young University, Provo, Utah 84602, USA
| | - D A Morozova
- Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - S V Nazarov
- Crimean Astrophysical Observatory RAS, Nauchny 298409, Russia
| | | | - J M Ohlert
- Michael Adrian Observatorium, Astronomie Stiftung Trebur, 65468 Trebur, Germany.,University of Applied Sciences, Technische Hochschule Mittelhessen, 61169 Friedberg, Germany
| | - D N Okhmat
- Crimean Astrophysical Observatory RAS, Nauchny 298409, Russia
| | - E Ovcharov
- Department of Astronomy, Faculty of Physics, University of Sofia, BG-1164 Sofia, Bulgaria
| | - F Pinna
- Instituto de Astrofisica de Canarias (IAC), La Laguna, E-38200 Tenerife, Spain.,Departamento de Astrofisica, Universidad de La Laguna, La Laguna, E-38205 Tenerife, Spain
| | - T A Polakis
- Command Module Observatory, Tempe, Arizona, USA
| | - C Protasio
- Instituto de Astrofisica de Canarias (IAC), La Laguna, E-38200 Tenerife, Spain.,Departamento de Astrofisica, Universidad de La Laguna, La Laguna, E-38205 Tenerife, Spain
| | - T Pursimo
- Nordic Optical Telescope, E-38700 Santa Cruz de La Palma, Spain
| | - F J Redondo-Lorenzo
- Instituto de Astrofisica de Canarias (IAC), La Laguna, E-38200 Tenerife, Spain.,Departamento de Astrofisica, Universidad de La Laguna, La Laguna, E-38205 Tenerife, Spain
| | - N Rizzi
- Osservatorio Astronomico Sirio, I-70013 Castellana Grotte, Italy
| | - G Rodriguez-Coira
- Instituto de Astrofisica de Canarias (IAC), La Laguna, E-38200 Tenerife, Spain.,Departamento de Astrofisica, Universidad de La Laguna, La Laguna, E-38205 Tenerife, Spain
| | - K Sadakane
- Astronomical Institute, Osaka Kyoiku University, Osaka 582-8582, Japan
| | - A C Sadun
- Department of Physics, University of Colorado Denver, Denver, Colorado 80217-3364 USA
| | - M R Samal
- Graduate Institute of Astronomy, National Central University, Jhongli City, Taoyuan County 32001, Taiwan
| | - S S Savchenko
- Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - E Semkov
- Institute of Astronomy and NAO, Bulgarian Academy of Sciences, 1784 Sofia, Bulgaria
| | - B A Skiff
- Lowell Observatory, Flagstaff, Arizona, USA
| | - L Slavcheva-Mihova
- Institute of Astronomy and NAO, Bulgarian Academy of Sciences, 1784 Sofia, Bulgaria
| | - P S Smith
- Steward Observatory, University of Arizona, Tucson, Arizona, USA
| | - I A Steele
- Astrophysics Research Institute, Liverpool John Moores University, Liverpool L3 5RF, UK
| | - A Strigachev
- Institute of Astronomy and NAO, Bulgarian Academy of Sciences, 1784 Sofia, Bulgaria
| | - J Tammi
- Aalto University Metsähovi Radio Observatory, FI-02540 Kylmälä, Finland
| | - C Thum
- Instituto de Radio Astronomía Milimétrica, E-18012 Granada, Spain
| | - M Tornikoski
- Aalto University Metsähovi Radio Observatory, FI-02540 Kylmälä, Finland
| | - Yu V Troitskaya
- Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - I S Troitsky
- Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - A A Vasilyev
- Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - O Vince
- Astronomical Observatory, 11060 Belgrade, Serbia
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9
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Esposito M, Gisondi P, Conti A, Giunta A, del Giglio M, Di Mercurio M, Veneziano L, Ferrucci G, Bianchi L, Chimenti S, Girolomoni G. Dose adjustment of biologic therapies for psoriasis in dermatological practice: a retrospective study. J Eur Acad Dermatol Venereol 2017; 31:863-869. [DOI: 10.1111/jdv.14145] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2016] [Accepted: 12/12/2016] [Indexed: 12/01/2022]
Affiliation(s)
- M. Esposito
- Department of Dermatology; University of Rome ‘Tor Vergata’; Rome Italy
| | - P. Gisondi
- Department of Dermatology; University of Verona; Verona Italy
| | - A. Conti
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - A. Giunta
- Department of Dermatology; University of Rome ‘Tor Vergata’; Rome Italy
| | - M. del Giglio
- Department of Dermatology; University of Verona; Verona Italy
| | - M. Di Mercurio
- Department of Dermatology; University of Verona; Verona Italy
| | - L. Veneziano
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | | | - L. Bianchi
- Department of Dermatology; University of Rome ‘Tor Vergata’; Rome Italy
| | - S. Chimenti
- Department of Dermatology; University of Rome ‘Tor Vergata’; Rome Italy
| | - G. Girolomoni
- Department of Dermatology; University of Verona; Verona Italy
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10
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Pagano F, Tasca A, Giunta A, Milani C, De Faveri D, Zattoni F. Percutaneous surgery in the management of renal stones. Contrib Nephrol 2015; 55:92-3. [PMID: 3829683 DOI: 10.1159/000413408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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11
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Esposito M, Gisondi P, Cassano N, Ferrucci G, Del Giglio M, Loconsole F, Giunta A, Vena GA, Chimenti S, Girolomoni G. Survival rate of antitumour necrosis factor-α treatments for psoriasis in routine dermatological practice: a multicentre observational study. Br J Dermatol 2014; 169:666-72. [PMID: 23647206 DOI: 10.1111/bjd.12422] [Citation(s) in RCA: 128] [Impact Index Per Article: 12.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/30/2013] [Indexed: 12/13/2022]
Abstract
BACKGROUND Adherence is an overall marker of treatment success, and it depends on multiple factors including efficacy and safety. Despite the wide use of tumour necrosis factor (TNF)-α blockers in the treatment of plaque-type psoriasis, few data regarding treatment adherence in routine clinical practice are available. OBJECTIVES To estimate the long-term survival rate of anti-TNF-α therapy in a cohort of patients with psoriasis in routine clinical practice; to evaluate the reasons for and predictors of treatment discontinuation. METHODS The Outcome and Survival rate Concerning Anti-TNF Routine treatment (OSCAR) study was based on a retrospective analysis to estimate the long-term survival rate of the first anti-TNF-α treatment in patients with psoriasis, from three Italian academic referral centres. Adult patients (n = 650) with plaque psoriasis treated with a first course of adalimumab, etanercept or infliximab for ≥ 3 months were included. RESULTS Global adherence to anti-TNF-α treatments after 28·9 ± 15·4 months (867 ± 462 days) of observation was 72·6%. Etanercept showed a longer survival (mean 51·4 months, 1565 days; P < 0·001) compared with infliximab (36·8 months, 1120 days) and adalimumab (34·7 months, 1056 days). Treatment discontinuation due to primary and secondary inefficacy was observed in 5·2% and 14·5% of patients, respectively, whereas discontinuation due to adverse events was reported in 29 subjects (4·5%). Independent predictors of treatment withdrawal were female gender [hazards ratio (HR) 1·3], treatment with adalimumab or infliximab compared with etanercept (HR 2·7 and 1·7, respectively), and the concomitant use of traditional systemic treatment, as a rescue therapy, compared with monotherapy (HR 1·9). CONCLUSIONS Overall survival of anti-TNF-α agents in psoriasis is elevated, with drug discontinuation mostly due to inefficacy. Etanercept showed a longer adherence compared with adalimumab and infliximab.
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Affiliation(s)
- M Esposito
- Department of Dermatology, University of Rome Tor Vergata, Viale Oxford, 81 - 00133, Rome, Italy
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12
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Chimenti M, Esposito M, Giunta A, Bavetta M, Rinaldi M, Chimenti S, Perricone R. AB0942 Efficacy and safety of subcutaneous anti-TNF alpha, etanercept and adalimumab, in elderly patients affected by psoriasis and psoriatic arthritis: An observational long term study. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2012-eular.942] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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13
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Chimenti M, Esposito M, Giunta A, Graceffa D, Babino G, Teoli M, Mazzotta A, Perricone R, Chimenti S. Remission of Psoriatic Arthritis after Etanercept Discontinuation: Analysis of Patients' Clinical Characteristics Leading to Disease Relapse. Int J Immunopathol Pharmacol 2013; 26:833-8. [DOI: 10.1177/039463201302600333] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Psoriatic arthritis is a chronic, inflammatory, disabling arthritis affecting up to 30% of psoriatic patients. Recently, it has been demonstrated that tumor necrosis factor alpha (TNF-α) plays a pivotal role in inducing and maintaining joint damage and that molecules that block this cytokine are effective in the treatment of psoriatic arthritis. Etanercept is a recombinant fusion protein acting as a competitive inhibitor of TNF-α, and numerous clinical trials have demonstrated its efficacy in determining psoriatic arthritis remission. However, specific criteria defining psoriatic arthritis remission have not been delineated and few data describing the length of the remission after etanercept discontinuation are available. The aim of this observational, retrospective study was to assess post-remission efficacy maintenance and relapse characteristics after etanercept interruption in patients with moderate-to-severe peripheral psoriatic arthritis (PsA) and cutaneous involvement.
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Affiliation(s)
- M.S. Chimenti
- Rheumatology, Allergology and Clinical Immunology, Department of Internal Medicine, Unit of Rheumatology, University of Rome Tor Vergata, Rome Italy
| | - M. Esposito
- Department of Dermatology, University of Rome Tor Vergata, Rome, Italy
| | - A. Giunta
- Department of Dermatology, University of Rome Tor Vergata, Rome, Italy
| | - D. Graceffa
- Rheumatology, Allergology and Clinical Immunology, Department of Internal Medicine, Unit of Rheumatology, University of Rome Tor Vergata, Rome Italy
| | - G. Babino
- Department of Dermatology, University of Rome Tor Vergata, Rome, Italy
| | - M. Teoli
- Department of Dermatology, University of Rome Tor Vergata, Rome, Italy
| | - A. Mazzotta
- Department of Dermatology, University of Rome Tor Vergata, Rome, Italy
| | - R. Perricone
- Rheumatology, Allergology and Clinical Immunology, Department of Internal Medicine, Unit of Rheumatology, University of Rome Tor Vergata, Rome Italy
| | - S. Chimenti
- Department of Dermatology, University of Rome Tor Vergata, Rome, Italy
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14
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Ciammella P, Iotti C, Donini E, Galeandro M, Muraglia A, Palmieri T, Ramundo D, Ruggieri M, Banzi M, Giunta A. Short-course Preoperative Radiotherapy Combined with Chemotherapy in Resectable Rectal Cancer: Local Control and Quality of Life. Int J Radiat Oncol Biol Phys 2010. [DOI: 10.1016/j.ijrobp.2010.07.716] [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: 11/16/2022]
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15
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Esposito M, Giunta A, Mazzotta A, Babino G, Talamonti M, Chimenti M, Chimenti S. Continuous Treatment of Plaque-Type Psoriasis with Etanercept: An Observational Long-Term Experience. Int J Immunopathol Pharmacol 2010; 23:503-9. [DOI: 10.1177/039463201002300212] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
To assess the long-term efficacy and safety profile and the patient-reported outcomes (PRO) in patients with moderate-to-severe plaque-type psoriasis receiving continuous etanercept treatment. An open-label study was conducted to evaluate etanercept as long-term treatment for moderate-to-severe plaque psoriasis. Continuous therapy was administered at a dose of 50 mg subcutaneously twice weekly for 12 weeks followed by a continuous treatment with 50 mg subcutaneously once weekly or 25 mg twice weekly throughout a 96-week study. The primary measure of efficacy was the proportion of patients with PASI 75 at week 24, 48 and 96. Patient-reported outcomes (PRO) were also assessed during the study, at week 24, 48 and 96, including the Dermatology Life Quality Index (DLQI) and the Psoriasis Disability Index (PDI). At baseline, mean PASI score, DLQI and PDI for patients eligible to initiate treatment with etanercept showed significant disease severity, quality-of-life impairment and psoriasis-related disability. At week 96, patients showed statistically significant and meaningful improvements. The continuous etanercept regimen provided a consistent improvement in both clinical disease parameters and PRO measures.
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Affiliation(s)
| | | | | | | | | | - M.S. Chimenti
- Department of Rheumatology, University of Rome “Tor Vergata”
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16
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Papoutsaki M, Talamonti M, Giunta A, Costanzo A, Ruzzetti M, Teoli M, Chimenti S. The Impact of Methodological Approaches for Presenting Long-Term Clinical Data on Estimates of Efficacy in Psoriasis Illustrated by Three-Year Treatment Data on Infliximab. Dermatology 2010; 221 Suppl 1:43-7. [DOI: 10.1159/000316184] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
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17
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Pathirana D, Ormerod AD, Saiag P, Smith C, Spuls PI, Nast A, Barker J, Bos JD, Burmester GR, Chimenti S, Dubertret L, Eberlein B, Erdmann R, Ferguson J, Girolomoni G, Gisondi P, Giunta A, Griffiths C, Hönigsmann H, Hussain M, Jobling R, Karvonen SL, Kemeny L, Kopp I, Leonardi C, Maccarone M, Menter A, Mrowietz U, Naldi L, Nijsten T, Ortonne JP, Orzechowski HD, Rantanen T, Reich K, Reytan N, Richards H, Thio HB, van de Kerkhof P, Rzany B. European S3-Guidelines on the systemic treatment of psoriasis vulgaris. J Eur Acad Dermatol Venereol 2009; 23 Suppl 2:1-70. [DOI: 10.1111/j.1468-3083.2009.03389.x] [Citation(s) in RCA: 467] [Impact Index Per Article: 31.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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18
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Pathirana D, Ormerod AD, Saiag P, Smith C, Spuls PI, Nast A, Barker J, Bos JD, Burmester GR, Chimenti S, Dubertret L, Eberlein B, Erdmann R, Ferguson J, Girolomoni G, Gisondi P, Giunta A, Griffiths C, Hönigsmann H, Hussain M, Jobling R, Karvonen SL, Kemeny L, Kopp I, Leonardi C, Maccarone M, Menter A, Mrowietz U, Naldi L, Nijsten T, Ortonne JP, Orzechowski HD, Rantanen T, Reich K, Reytan N, Richards H, Thio HB, van de Kerkhof P, Rzany B. European S3-guidelines on the systemic treatment of psoriasis vulgaris. J Eur Acad Dermatol Venereol 2009. [PMID: 19712190 DOI: 10.1111/j.1468-3083.2009.03389] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Of the 131 studies on monotherapy or combination therapy assessed, 56 studies on the different forms of phototherapy fulfilled the criteria for inclusion in the guidelines. Approximately three-quarters of all patients treated with phototherapy attained at least a PASI 75 response after 4 to 6 weeks, and clearance was frequently achieved (levels of evidence 2 and 3). Phototherapy represents a safe and very effective treatment option for moderate to severe forms of psoriasis vulgaris. The onset of clinical effects occurs within 2 weeks. Of the unwanted side effects, UV erythema from overexposure is by far the most common and is observed frequently. With repeated or long-term use, the consequences of high, cumulative UV doses (such as premature aging of the skin) must be taken into consideration. In addition, carcinogenic risk is associated with oral PUVA and is probable for local PUVA and UVB. The practicability of the therapy is limited by spatial, financial, human, and time constraints on the part of the physician, as well as by the amount of time required by the patient. From the perspective of the cost-bearing institution, phototherapy has a good cost-benefit ratio. However, the potentially significant costs for, and time required of, the patient must be considered.
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19
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Giunta A, Demin F, Campione E, Chimenti S, Bianchi L. Dermatitis artefacta in sporadic sclerodermoid hepatitis C virus-associated porphyria cutanea tarda. J Eur Acad Dermatol Venereol 2009; 23:849-50. [DOI: 10.1111/j.1468-3083.2008.03049.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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20
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Rinaldi C, Tucci T, Maione S, Giunta A, De Michele G, Filla A. Low-dose idebenone treatment in Friedreich's ataxia with and without cardiac hypertrophy. J Neurol 2009; 256:1434-7. [PMID: 19363628 DOI: 10.1007/s00415-009-5130-6] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2008] [Revised: 02/23/2009] [Accepted: 03/19/2009] [Indexed: 11/30/2022]
Abstract
Left ventricular hypertrophy (LVH) is a frequent finding in Friedreich's ataxia (FRDA). In previous studies treatment with idebenone, a synthetic analogue of coenzyme Q10, has been associated with a substantial decrease in myocardial hypertrophy, despite great variability in cardiac responsiveness among patients. Here we present the results of a retrospective analysis of a cohort of 35 patients (20 with LVH, 15 without LVH) with confirmed molecular diagnosis of FRDA, treated with idebenone 5 mg/kg/day for up to five years. At the end of the study, we found an increase of interventricular septum and posterior wall thickness in the group without LVH before treatment and no change in the group with LVH before treatment. The neurological picture of the disease significantly deteriorated with time in both groups.
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Affiliation(s)
- C Rinaldi
- Department of Neurological Sciences, University of Federico II, 80131 Naples, Italy.
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21
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Maione S, Giunta A, Filla A, De Michele G, Spinelli L, Liucci GA, Campanella G, Condorelli M. May age onset be relevant in the occurrence of left ventricular hypertrophy in Friedreich's ataxia? Clin Cardiol 2009; 20:141-5. [PMID: 9034643 PMCID: PMC6656134 DOI: 10.1002/clc.4960200211] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Abstract
BACKGROUND Although heart involvement has been widely reported in Friedreich's ataxia (FA), which is the most prevalent of the spino-cerebellar degenerative diseases, the reason that cardiac abnormalities develop has not been yet established. HYPOTHESIS The investigation was undertaken to study the prevalence and characteristics of cardiac abnormalities in patients with FA and to evaluate whether the presence of left ventricular hypertrophy could be predicted. METHODS In all, 75 patients with FA and 16 patients with late onset FA (LOFA) disease were investigated for cardiac abnormalities using noninvasive methods. RESULTS A significant (p < 0.01) difference in the age onset (9.8 +/- 3.9 years) was found in 31 of the 75 patients with FA (41%) who showed left ventricular hypertrophy (LVH) at echocardiographic examination compared with the remaining 44 patients with FA without LVH (12.6 +/- 4.3 years). Moreover, none of the 16 patients with LOFA (age onset 26.5 +/- 4.2 years) showed abnormalities at echocardiographic examination. A significant (p < 0.01) concordance in the familial distribution of hypertrophy was also found. CONCLUSION These data suggest that the earlier the disease develops the more frequently LVH occurs.
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Affiliation(s)
- S Maione
- Department of Internal Medicine, Federico II University of Naples, School of Medicine, Italy
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22
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Abstract
Diabetic mastopathy, although reported since 1984, is a poorly recognized diabetes complication. It more frequently affects pre-menopausal women with Type 1 diabetes mellitus and microvascular complications. The pathogenesis of this condition is believed to involve mammary tissue autoimmune reaction to the accumulation of abnormal matrix proteins, caused by hyperglycemia. The lesion often simulates breast cancer; its recognition, therefore, is important to avoid unnecessary diagnostic procedures and surgical treatments. We now report a case of diabetic mastopathy which clinically simulated breast cancer in a young pre-menopausal diabetic woman who, after sonography and mammography, was suggested surgery under suspicion of breast cancer. Histopathological examination by core-biopsy ruled out malignancy.
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Affiliation(s)
- A Giunta
- Divisione Clinicizzata di Endocrinologia e Dipartimento di Medicina Interna e Medicina Specialistica, Università di Catania, Ospedale Garibaldi, Catania, Italy.
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23
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Corbetta C, Seia M, Bassotti A, Ambrosioni A, Giunta A, Padoan R. Screening for cystic fibrosis in newborn infants: results of a pilot programme based on a two tier protocol (IRT/DNA/IRT) in the Italian population. J Med Screen 2003; 9:60-3. [PMID: 12133923 DOI: 10.1136/jms.9.2.60] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVE To assess the performance of a two tier neonatal screening programme (IRT/DNA/IRT) for cystic fibrosis, based on immunoreactive trypsinogen (IRT) followed by direct cystic fibrosis transmembrane conductance regulator (CFTR) gene analysis (based on a panel of up to 31 mutations) in hypertrypsinaemic newborn infants and to compare it with a previous screening protocol. SETTING The study comprised all the newborn infants in the period 1 October 1998 to 31 December 1999 in the Lombardia region, north western Italy. METHODS The screening strategy consisted of an immunoreactive trypsinogen assay from dried blood spots, a polymerase chain reaction (PCR) followed by an oligonucleotide ligation assay (PCR-OLA), and a sequence code separation. RESULTS 104 609 newborn infants were screened. 1457 hypertrypsinaemic infants (1.39%) were analysed with the PCR-OLA assay. 18 newborn homozygotes or compound heterozygotes for CFTR mutations were identified and referred to the cystic fibrosis (CF) centre at a mean age of 3 weeks. 125 infants presenting only one mutation were recalled for a sweat test: a diagnosis of CF was made in 13 infants, and parents of 112 neonates identified as carriers (1:13) received genetic counselling. The remaining 1314 hypertrypsinaemic newborn infants were recalled for IRT retesting and 177 were referred for a sweat test because the second IRT measurement was above the cut off value. Among this group a further two infants were diagnosed with CF (1.1%) leading to a CF prevalence of 1:3170. CONCLUSIONS This strategy resulted in an early and accurate diagnosis of CF. The IRT/DNA/IRT protocol with an OLA assay was shown to be useful in an Italian population with a genetic heterogeneity, leading to the identification of 94% of infants with CF.
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Affiliation(s)
- C Corbetta
- Neonatal Screening Centre, AO Istituti Clinici di Perfezionamento, Milano, Italy
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24
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Padoan R, Genoni S, Moretti E, Seia M, Giunta A, Corbetta C. Genetic and clinical features of false-negative infants in a neonatal screening programme for cystic fibrosis. Acta Paediatr 2002; 91:82-7. [PMID: 11883825 DOI: 10.1080/080352502753458012] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 09/30/2022]
Abstract
UNLABELLED A study was performed on the delayed diagnosis of cystic fibrosis (CF) in infants who had false-negative results in a neonatal screening programme. The genetic and clinical features of false-negative infants in this screening programme were assessed together with the efficiency of the screening procedure in the Lombardia region. In total, 774,687 newborns were screened using a two-step immunoreactive trypsinogen (IRT) (in the years 1990-1992), IRT/IRT + delF508 (1993-1998) or IRT/IRT + polymerase chain reaction (PCR) and oligonucleotide ligation assay (OLA) protocol (1998-1999). Out of 196 CF children born in the 10 y period 15 were false negative on screening (7.6%) and molecular analysis showed a high variability in the genotypes. The cystic fibrosis transmembrane regulator (CFTR) gene mutations identified were delF508, D1152H, R1066C, R334W, G542X, N1303K, F1052V, A120T, 3849 + 10kbC --> T, 2789 + 5G --> A, 5T-12TG and the novel mutation D110E. In three patients no mutation was identified after denaturing gradient gel electrophoresis of the majority of CFTR gene exons. CONCLUSION The clinical phenotypes of CF children diagnosed by their symptoms at different ages were very mild. None of them presented with a severe lung disease. The majority of them did not seem to have been damaged by the delayed diagnosis. The combination of IRT assay plus genotype analysis (1998-1999) appears to be a more reliable method of detecting CF than IRT measurement alone or combined with only the delF508 mutation.
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Affiliation(s)
- R Padoan
- Cystic Fibrosis Centre, University of Milan, Italy.
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Monteferrante E, Giunta A, Bigi L, Colecchia G, Della Valle E, Bonacini S, Pedrazzoli C, Ciarelli F, Colangelo E, Liberatore E, Nardi M, Basti M, Prati R. [Splenectomy for hematologic disease. Mini-invasive versus traditional technique]. MINERVA CHIR 2001; 56:229-35. [PMID: 11423788] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/20/2023]
Abstract
BACKGROUND This study aimed to compare the safety, efficacy and clinical benefits of laparoscopic splenectomy (LS) to open splenectomy (OS) in patients with hematologic disorders. METHODS EXPERIMENTAL DESIGN prospective study; SETTING II Department of Surgery, Santa Maria Nuova Hospital, Reggio Emilia and III Department of Surgery, Santo Spirito Hospital Pescara; PATIENTS 48 consecutive adult patients underwent splenectomy; 30 patients under-went LS and 18 OS. Perioperative characteristics, outcomes, complications and costs were comparatively analyzed. RESULTS Mean age was 35.3 years in the LS group, and 40.8 in the OS group. Mean spleen size was 11.7 cm in the LS group and 15.2 cm in the OS group. Accessory spleens were found in 5 patients in the LS group and in 4 patients in the OS group; 4 conversions to laparotomy occurred in the LS group. A total of 4 complications occurred in 3 patients of the LS; 9 complications occurred in 5 patients of OS group. Mean surgical time was 141.5 minutes for LS and 89.7 minutes for OS (p<0.005). Mean postsurgical stay was 5.8 days in the LS group and 8.5 days in the OS group (p<0.005). Response rates were similar in both groups. CONCLUSIONS LS is comparable to OS in terms of efficacy and safety and it is associated with a shorter hospital stay. LS should become the technique of choice for treatment of intractable benign hematologic disease.
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Affiliation(s)
- E Monteferrante
- Divisione di Chirurgia Generale U.O. II, Arcispedale Santa Maria Nuova, Reggio Emilia, Italy
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Cavazza A, Giunta A, Pedrazzoli C, Putrino I, Serra L, De Marco L, Gardini G. [Extrarenal retroperitoneal angiomyolipoma: description of a case and review of the literature]. Pathologica 2001; 93:44-9. [PMID: 11294019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/19/2023] Open
Abstract
A case of retroperitoneal extrarenal angiomyolipoma is described. The patient, a 61-year-old woman, presented with a large retroperitoneal lipomatous mass. Histologically, it consisted of lipomatous tissue. Focally, there was interstitial and perivascular proliferation of bland oval and epithelioid cells with a large, eosinophilic or clear cytoplasm. Immunohistochemically, these elements were positive for smooth muscle actin and HMB-45. The literature on retroperitoneal extrarenal angiomyolipoma is briefly reviewed. It is important that the pathologist recognize this lesion, even when it is located in the retroperitoneum outside the kidney, and differentiate it from a liposarcoma.
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Affiliation(s)
- A Cavazza
- Servizio di Anatomia Patologica, Ospedale S. Maria Nuova, Reggio Emilia, Viale Risorgimento 80, I-42100 Reggio Emilia.
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Seia M, Cantù-Rajnoldi A, Ambrosioni A, Fiori S, Bassotti A, Pizzamiglio G, Giunta A, Padoan R. A novel stop mutation in exon 18 (W1145X) of the CFTR (ABCC7) gene in an adult CF patient. Hum Mutat 2000; 16:532-3. [PMID: 11102992 DOI: 10.1002/1098-1004(200012)16:6<532::aid-humu20>3.0.co;2-e] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- M Seia
- Dipartimento Medicina di Laboratorio, Settore di Genetica Molecolare, AO Istituti Clinici di Perfezionamento, Milano, Italy
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Seia M, Cantù-Rajnoldi A, Ambrosioni A, Fiori S, Prandoni S, Corbetta C, Bassotti A, Moretti E, Giunta A, Padoan R. A novel deletion in exon 12 (g1845delAG or g1846delGA) of the CFTR (ABCC7) gene in a CF infant presenting with meconium ileus. Hum Mutat 2000; 16:279. [PMID: 10980555 DOI: 10.1002/1098-1004(200009)16:3<279::aid-humu31>3.0.co;2-#] [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: 11/07/2022]
Affiliation(s)
- M Seia
- Dipartimento Medicina di Laboratorio, Settore di Genetica Molecolare. Universit¿ degli Studi di Milano e AO Istituti Clinici di Perfezionamento, Milano, Italy
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29
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Padoan R, Bassotti A, Seia M, Ambrosioni A, Fiori S, Prandoni S, Rajnoldi AC, Giunta A, Corbetta C. A novel missense mutation (D110E) in exon 4 of CFTR (ABCC7) in a CF infant presenting with hypochloraemic metabolic alkalosis. Hum Mutat 2000; 15:485. [PMID: 10790222 DOI: 10.1002/(sici)1098-1004(200005)15:5<485::aid-humu22>3.0.co;2-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- R Padoan
- Centro di Riferimento Regionale per la Fibrosi Cistica, Università degli Studi di Milano, Italy
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30
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Padoan R, Costantini D, Russo MC, Ambrosioni A, Fiori S, Prandoni S, Cantù-Rajnoldi A, Seia M, Giunta A. A novel missense mutation (Y89C) in exon 3 of the CFTR (ABCC7) gene in a young male. Hum Mutat 2000; 15:486. [PMID: 10790225 DOI: 10.1002/(sici)1098-1004(200005)15:5<486::aid-humu25>3.0.co;2-s] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- R Padoan
- Centro di Riferimento Regionale per la Fibrosi Cistica, Università degli Studi, Milano
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Giunta A, Tirri E, Maione S, Cangianiello S, Mele A, De Luca A, Valentini G. Right ventricular diastolic abnormalities in systemic sclerosis. Relation to left ventricular involvement and pulmonary hypertension. Ann Rheum Dis 2000; 59:94-8. [PMID: 10666162 PMCID: PMC1753067 DOI: 10.1136/ard.59.2.94] [Citation(s) in RCA: 43] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVES To investigate right ventricular diastolic function in systemic sclerosis (SSc) and its relation to clinical features of the disease. METHODS Seventy seven unselected SSc patients and 33 healthy subjects were submitted to echocardiography and echo Doppler study to assess left and right systolic as well diastolic function and to estimate maximal arterial systolic pulmonary pressure (PAP). In addition, the patients were investigated to define the SSc subset and the extent of skin and internal organ involvement. RESULTS An abnormal right ventricular filling, as expressed by an inverted tricuspidal (Tr) E/A ratio (Tr E/A ratio <1), was detected in 31 of the 77 SSc patients (40%) and in 0 of the 36 controls ( p<0.001 ). All the 31 patients with an inverted Tr E/A ratio were found to have a PAP > 30 mm Hg. Twenty resulted to have an inverted mitral (Mit) E/A ratio (Mit E/A ratio <1), indicating an abnormal left ventricular filling. In multiple regression analysis, Tr E/A ratio resulted to be independently correlated to both PAP (r= -0.35;p<0. 003) and Mit E/A ratio (r=0.39;p<0.001). CONCLUSIONS This study points out an impaired right ventricular filling in a significant percentage of SSc patients whatever the subset. This alteration is independently correlated to both PAP and left ventricular filling abnormalities.
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Affiliation(s)
- A Giunta
- Department of Internal Medicine, Geriatrics, Cardiovascular Pathology and Cardiac Surgery, University of Federico II, Naples, Italy
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32
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De Bernardinis M, Violi V, Roncoroni L, Boselli AS, Giunta A, Peracchia A. Discriminant power and information content of Ranson's prognostic signs in acute pancreatitis: a meta-analytic study. Crit Care Med 1999; 27:2272-83. [PMID: 10548220 DOI: 10.1097/00003246-199910000-00035] [Citation(s) in RCA: 57] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
OBJECTIVE To determine a meta-analytical definition of the discriminant power of Ranson's signs in the prediction of acute pancreatitis severity and outcome, and of their information content, also compared with clinical judgment. DATA SOURCES Two hundred eleven studies since 1974, reporting any predictive system for acute pancreatitis (MEDLINE by various Medical Subject Headings in MEDLARS, Current Contents, Medscape, Virtual Hospital, and other on-line medical services). STUDY SELECTION One hundred ten studies reporting clinical use of Ranson's signs were retained. A quality index was calculated for each study. A selection was made according to inclusion criteria, separately for prediction of severity (19 studies; group S) and prognosis (10 studies; group P). Six other studies reporting clinical judgment results were also selected (group C). DATA EXTRACTION Sensitivity and specificity values were extracted. Effect sizes were calculated and summarized by the inverse variance-weighted method. Categorical models were studied by analysis of variance. Publication bias was sought by correlation test and analysis of variance. Summary receiver operating characteristic curves were drawn, and the corresponding false-positive rate (FPR) and true-positive rate were calculated for each group. From the total true-positive rate and FPRs, the probabilities of illness for positive and negative results were calculated, for severe pancreatitis prevalence from 0 to 1. Last, the area below the curve and the ratio between this and that of the "perfect test" were calculated as a measurement of information content. DATA SYNTHESIS Ranson's signs demonstrated poor discriminant power in both predictions: "d" values were 1.200 (95% confidence interval, 1.083-1.318) and 1.302 (95% confidence interval, 1.046-1.559), respectively. The lack of homogeneity in group S (Q = 58.737; p = .0000032) can be explained by the presence of three outliers. The summary curves showed, for low FPRs, a higher sensitivity of clinical judgment; Ranson's signs reached useful sensitivity only for high FPRs. No differences between groups in the area below the information content curves were found. CONCLUSIONS Ranson's signs showed a poor predictive power. The information content did not differ from that of clinical judgment.
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Affiliation(s)
- M De Bernardinis
- Istituto di Clinica Chirurgica Generale e Terapia Chirurgica, University of Parma Medical School, Italy
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Colombo C, Crosignani A, Battezzati PM, Castellani MR, Comi S, Melzi ML, Giunta A. Delayed intestinal visualization at hepatobiliary scintigraphy is associated with response to long-term treatment with ursodeoxycholic acid in patients with cystic fibrosis-associated liver disease. J Hepatol 1999; 31:672-7. [PMID: 10551391 DOI: 10.1016/s0168-8278(99)80347-x] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
BACKGROUND/AIMS Abnormalities of biliary drainage have been documented at hepatobiliary scintigraphy in many but not all patients studied with cystic fibrosis-associated liver disease. Ursodeoxycholic acid was shown to be beneficial in this disease, mainly by improving biliary secretion. Therefore, patients with impaired biliary drainage are expected to obtain the greatest benefit from this treatment. METHODS We evaluated the effects of long-term treatment with ursodeoxycholic acid in 36 patients with cystic fibrosis-associated liver disease, and compared the response in patients presenting a normal (n=18) or delayed time of intestinal visualization (n=18) at baseline hepatobiliary scintigraphy. RESULTS The mean treatment duration was 58+/-26 (S.D.) months and 63+/-29 months in the groups with normal or delayed time of intestinal visualization, respectively. The time of intestinal visualization decreased (57+/-23%, p<0.001) from baseline in patients with initially abnormal values and became normal in four (22%). Treatment failure, i.e. lack of sustained normalization of serum liver enzymes or the occurrence of a clinically relevant adverse event, was more frequently observed in patients with a normal time of intestinal visualization at baseline (OR, 5.50; 95% CI, 1.32-22.7). When only clinically relevant adverse events were considered, they occurred in six of the latter patients (liver transplantation in one case, development of ultrasographic or endoscopic signs of portal hypertension in six cases), but in only one patient (development of portal hypertension) in the group with delayed time of intestinal visualization (OR, 10.82; 95% CI, 1.17-100.4). CONCLUSIONS Delayed intestinal visualization at hepatobiliary scintigraphy in patients with cystic fibrosis-associated liver disease seems to predict a better response to ursodeoxycholic acid.
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Affiliation(s)
- C Colombo
- Department of Pediatrics, University of Milan, Italy
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Bossi A, Battistini F, Braggion C, Magno EC, Cosimi A, de Candussio G, Gagliardini R, Giglio L, Giunta A, Grzincich GL, La Rosa M, Lombardo M, Lucidi V, Manca A, Mastella G, Moretti P, Padoan R, Pardo F, Quattrucci S, Raia V, Romano L, Salvatore D, Taccetti G, Zanda M. [Italian Cystic Fibrosis Registry: 10 years of activity]. Epidemiol Prev 1999; 23:5-16. [PMID: 10356860] [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: 02/12/2023]
Abstract
Cystic Fibrosis (CF) is a recessive autosomic genetic disease with an incidence in mediterranean countries of about 1:3500 born alive. In Italy the considerable genetic variability makes it difficult to identify all the homozygous subjects and, consequently, to estimate the incidence of the disease in healthy carriers. The disease is evolutive and affects various systems, most of all the respiratory and gastrointestinal systems. Not many years ago, when the clinical definition of CF was first introduced, average survival did not exceed the pediatric age. Nowadays with ever advancing diagnostic and therapeutical techniques many CF patients survive until an adult age. It is therefore necessary to plan adequate health service interventions so as to satisfy as much as possible the needs of both the patients and their families. To this end data collected since 1.1.1988 by the Italian registry for CF (year of birth, sex, region of birth and residence, diagnosis procedures, results of sweat test, pancreatic insufficiency, DNA analysis, status: alive, dead, lost to follow up) of all the patients, diagnosed in the 18 Reference Centres and the 3 local Centres for CF, have proved to be extremely useful. Since the birth of the Registry on 31.12.1997, data relating to 2458 patients alive on 1.1.1988 and 1159 born during the last ten years, for a total of 3617 subjects (1756 females and 1861 males), have been recorded. As already mentioned a considerable increase in life expectancy of CF patients (from 1988 to 1990 the average age of death was 14 years, from 1994 to 1997 it was 19) and a consequent increase in the percentage of adult patients have been observed.
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Affiliation(s)
- A Bossi
- Istituto di Statistica Medica e Biometria, Università degli Studi di Milano
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35
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Greco L, Corazza G, Babron MC, Clot F, Fulchignoni-Lataud MC, Percopo S, Zavattari P, Bouguerra F, Dib C, Tosi R, Troncone R, Ventura A, Mantavoni W, Magazzù G, Gatti R, Lazzari R, Giunta A, Perri F, Iacono G, Cardi E, de Virgiliis S, Cataldo F, De Angelis G, Musumeci S, Clerget-Darpoux F. Genome search in celiac disease. Am J Hum Genet 1998; 62:669-75. [PMID: 9497251 PMCID: PMC1376948 DOI: 10.1086/301754] [Citation(s) in RCA: 141] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
Celiac disease (CD), a malabsorption disorder of the small intestine, results from ingestion of gluten. The HLA risk factors involved in CD are well known but do not explain the entire genetic susceptibility. To determine the localization of other genetic risk factors, a systematic screening of the genome has been undertaken. The typing information of 281 markers on 110 affected sib pairs and their parents was used to test linkage. Systematic linkage analysis was first performed on 39 pairs in which both sibs had a symptomatic form of CD. Replication of the regions of interest was then carried out on 71 pairs in which one sib had a symptomatic form and the other a silent form of CD. In addition to the HLA loci, our study suggests that a risk factor in 5qter is involved in both forms of CD (symptomatic and silent). Furthermore, a factor on 11qter possibly differentiates the two forms. In contrast, none of the regions recently published was confirmed by the present screening.
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Affiliation(s)
- L Greco
- Department of Pediatrics, University of Federico II, Naples, Italy
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Rendine S, Calafell F, Cappello N, Gagliardini R, Caramia G, Rigillo N, Silvetti M, Zanda M, Miano A, Battistini F, Marianelli L, Taccetti G, Diana MC, Romano L, Romano C, Giunta A, Padoan R, Pianaroli A, Raia V, De Ritis G, Battistini A, Grzincich G, Japichino L, Pardo F, Piazza A. Genetic history of cystic fibrosis mutations in Italy. I. Regional distribution. Ann Hum Genet 1997; 61:411-24. [PMID: 9459003 DOI: 10.1046/j.1469-1809.1997.6150411.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
Earlier analysis of the Italian population showed patterns of genetic differentiation that were interpreted as being the result of population settlements going back to pre-Roman times. DNA disease mutations may be a powerful tool in further testing this hypothesis since the analysis of diseased individuals can detect variants too rare to be resolved in normal individuals. We present data on the relative frequencies of 60 cystic fibrosis (CF) mutations in Italy and the geographical distribution of the 12 most frequent CF mutations screened in 3492 CF chromosomes originating in 13 Italian regions. The 12 most frequent mutations characterize about 73% of the Italian CF chromosomes. The most common mutation, delta F508, has an average frequency of 51%, followed by N1303K and G542X, both with average frequencies around 5%. Multivariate analyses show that the relative frequencies of CF mutations are heterogeneous among Italian regions, and that this heterogeneity is weakly correlated with the geographical pattern of non-DNA 'classical' genetic markers. The northern regions are well differentiated from the central-southern regions and within the former group the western and eastern regions are remarkably distinct. Moreover, Sardinia shows the presence of mutation T338I, which seems absent in any other European CF chromosome. The north-western regions of Italy, characterized by the mutation 1717-1G-->A, were under Celtic influence, while the north-east regions, characterized by the mutations R1162X, 2183AA-->G and 711 + 5G-->A, were under the influence of the Venetic culture.
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Affiliation(s)
- S Rendine
- Dipartimento di Genetica, Biologia e Biochimica, Centro CNR-CIOS, Torino
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Sarli L, Pietra N, Choua O, Costi R, Thenasseril B, Giunta A. [Prospective randomized comparative study of laparoscopic hernioplasty and Lichtenstein tension-free hernioplasty]. Acta Biomed Ateneo Parmense 1997; 68:5-10. [PMID: 9478251] [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: 05/22/2023]
Abstract
To compare the laparoscopic transabdominal preperitoneal inguinal hernioplasty (TAPP) and the open Lichtenstein technique, in 1992 a prospective randomized trial was initiated. Until 1995 108 patients with 130 hernias took part in the trial: 64 TAPP (group A) and 66 Lichtenstein (group B). 22 patients had simultaneous bilateral repairs. Laparoscopic approach (group A) was able to expose otherwise-occult controlateral hernias in 3 cases and discovered a complex hernia (a hernia with more than one defect in the wall) in 2 patient in whom a direct hernia had been diagnosed before the operation. Mean operating time for monolateral operations was significantly longer in group A (p < 0.05). The corresponding figures for bilateral operations were longer in group B (p < 0.01). No intraoperative complications, conversions from TAPP to open repair, postoperative deaths. There were not less pain quicker mobility and shorter period of disability in the laparoscopic group (group A). Ten (15.6%) postoperative complications occurred in group A: local hematoma (6 cases, 9.3%), neuralgias (3 cases, 4.7%), urinary retention (1 case, 1.6%). Eight (12.1%) postoperative complications: hematomas (3 cases, 4.5%), urinary retention (3 cases, 4.5%), neuralgias (2 cases, 3%) occurred in group B. Differences were not significant. The current follow-up period is 36 months (15-54) in median. In both groups no recurrences occurred, but 3 patients in group B who were operated on for monolateral hernia (6.5%) discovered to be affected by contralateral hernia. The results of the present report suggest that TAPP does not appear to be associated with better results in terms of complications, pain or period of disability as compared to open tension free hernia repair, but the ability of the laparoscopic approach to expose otherwise-occult defects eliminated the risk of recurrences due to missed hernias.
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Affiliation(s)
- L Sarli
- Istituto di Clinica Chirurgica Generale e Terapia Chirurgica, Università degli Studi di Parma
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Abstract
We employed neutralizing infrared videophotorefraction and photokeratometry to examine the manifest refractions and corneal curvatures of 21 species of anurans (frogs and toads) in five families (Dendrobatidae, Bufonidae, Centrolenidae, Leptodactylidae, and Hylidae) resident in Central America. We found that all of the anurans exhibited hyperopic refractions in air, but that the observed hyperopia was not totally explained by the small eye artefact (Glickstein & Millodot, 1970). An allometric comparison of the corneal radii of these small anurans with those of a large number of other vertebrates, inferred from ocular axial lengths, showed that their corneal radii increased significantly more rapidly with increasing body size than that of other vertebrates generally (allometric slope constants: anurans: 0.270 +/- 0.032; other vertebrates: 0.151 +/- 0.004). Among the anurans examined, nocturnal Hylids had significantly larger eyes than diurnal Dendrobatid frogs and Bufonid toads.
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Affiliation(s)
- H C Howland
- Division of Biological Sciences, Cornell University, Ithaca, NY 14850, USA.
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Padoan R, Giunta A, Marzano MT, Seia M, Raia V, Ferrari M, Cremonesi L. First report of three cystic fibrosis patients homozygous for the 1717-1G-->A mutation. J Med Genet 1996; 33:1052-4. [PMID: 9004147 PMCID: PMC1050829 DOI: 10.1136/jmg.33.12.1052-b] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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Valentini G, Vitale DF, Giunta A, Maione S, Gerundo G, Arnese M, Tirri E, Pelaggi N, Giacummo A, Tirri G, Condorelli M. Diastolic abnormalities in systemic sclerosis: evidence for associated defective cardiac functional reserve. Ann Rheum Dis 1996; 55:455-60. [PMID: 8774164 PMCID: PMC1010209 DOI: 10.1136/ard.55.7.455] [Citation(s) in RCA: 46] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
OBJECTIVE To investigate the pattern of diastolic abnormalities in patients with systemic sclerosis (SSc) and the relationship between impaired ventricular filling and systolic function. METHODS Twenty four patients with SSc underwent M-mode and two dimensional echocardiography using echo-Doppler and gated blood pool cardiac angiography, both at rest and after exercise. RESULTS An impaired diastolic relaxation of the left ventricle was detected in 10 of the 24 patients with SSc. Left ventricular ejection fraction at rest in these 10 patients with impaired ventricular filling did not differ from that in the remaining 14 patients, but eight of the 10 failed to increase their ejection fraction during exercise, compared with two of the 14 with normal ventricular filling (p = 0.003). CONCLUSION Impaired relaxation of the left ventricle is a recently described feature of scleroderma heart disease. Diastolic dysfunction in SSc could depend on myocardial fibrosis or myocardial ischaemia, or both. It was found to be associated with a defective cardiac functional reserve. However, its prognostic significance remains to be clarified.
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Affiliation(s)
- G Valentini
- Institute of Clinical Medicine, Division of Rheumatology, Second University of Naples, Italy
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Magnani C, Cremonesi L, Giunta A, Magnaghi P, Taramelli R, Ferrari M. Short direct repeats at the breakpoints of a novel large deletion in the CFTR gene suggest a likely slipped mispairing mechanism. Hum Genet 1996; 98:102-8. [PMID: 8682493 DOI: 10.1007/s004390050167] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
In the cystic fibrosis conductance transmembrane regulator (CFTR) gene a few small deletions and only a large, complex, 50-kb deletion have been described so far. We report a second large deletion, which had been hypothesized in a patient affected by cystic fibrosis on the basis of an abnormal pattern of inheritance of the intragenic microsatellites IVS17b/TA and IVS17b/CA. Southern blot analysis revealed the presence of an anomalous band in the patient and her father, in the region encompassing exons 13 - 19, approximately 0.6 kb shorten than the one present in normal controls, in addition to the band of the correct size. Cloning and sequencing the DNA fragments spanning the region of interest demonstrated the presence of a 703-bp deletion causing complete removal of exon 17b in the paternal cystic fibrosis chromosome. This analysis revealed the presence of two short direct repeats flanking the breakpoints. The 3' repeat partially overlapped the IVS17b/CA microsatellite and the number of CA repeated units present in the paternal cystic fibrosis allele was the shortest ever found among chromosomes so far analyzed. These data may suggest that the mechanism for the generation of the deletion may have involved a slipped mispairing during DNA replication, which has not previously been described in the CFTR gene.
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Affiliation(s)
- C Magnani
- IRCCS, DIBIT, Unit of Genetics, Milan, Italy
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De Bernardinis M, Roncoroni L, Boselli AS, Giunta A, Violi V. [Method and application limitations of decision support systems in acute pancreatitis]. MINERVA CHIR 1996; 51:451-9. [PMID: 8992395] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Several decision support systems (DSSs) for acute pancreatitis (AP) were analyzed with reference to development methods, procedure limits and operational performances. Almost all the DSSs have been addressed to the early definition of severity, which appears the only decisional point in the approach to the management of AP. None of the three groups of methods, multifactor, scoring and bayesian systems, provides an explicit evidence of effectiveness. The multifactor systems (Ranson and successive) show inadequacy of design and operational limits which involve poor reliability and conflicting indications from the different centers. The scoring systems (APACHE, SAPS) have been projected and developed for clinical situations quite different from the AP at the onset, and seem more properly to be applicable to the monitoring of its complications. The bayesian systems, although the models used until now present important methodological shortcomings, are those which furnished the best results but are lacking in clinical validation and present a form hardly accepted by the clinician. Despite the disappointing operative results and their limited use in the AP, the DSSs probably constitute one of the most effective tools to improve the management of the severe forms, on condition that the methodology of design enad trial is correctly adjusted.
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Affiliation(s)
- M De Bernardinis
- Università degli Studi, Parma, Istituto di Clinica Chirurgica Generale e Terapia Chirurgica
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43
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Breda G, Silvestre P, Gherardi L, Xausa D, Tamai A, Giunta A. Correction of stress urinary incontinence: laparoscopy combined with vaginal suturing. J Endourol 1996; 10:251-3. [PMID: 8740387 DOI: 10.1089/end.1996.10.251] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023] Open
Abstract
The authors review the published techniques of laparoscopic colposuspension combined with vaginal suturing. Particular emphasis is given to their own technique, first published in 1992, and to that of Harewood (1993), which is similar. Both involve a Burch-like colposuspension using a technique similar to that of Gittes and Loughlin. This is possible looking inside the pelvis through a laparoscope and using a handle-needle. Published results are similar (about 70% success rate), but the authors point out that the Breda technique is simpler, cheaper, and less time consuming (only one trocar instead of three) and has had a longer follow-up (up to 3 years instead of 19 months). The authors review many other similar techniques reported between 1993 and 1995 with good results but based on rather limited experience. The conclusion is that the laparoscopic technique with vaginal suturing seems a promising way to approach stress urinary incontinence in the female patient.
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Affiliation(s)
- G Breda
- Department of Urology, Bassano del Grappa Hospital, Italy
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44
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Breda G, Silvestre P, Gherardi L, Xausa D, Tamai A, Giunta A. Laparoscopic nephrectomy: Our personal experience on 39 cases. Urologia 1996. [DOI: 10.1177/039156039606300317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The authors, six years after the first laparoscopic nephrectomy by Clayman and five years after their own first case in Italy, review the literature and their personal experience in 39 cases. In their opinion, today's situation can be summed up by the conclusion that laparoscopic nephrectomy for benign disease is a safe, reproducible, cost-effective procedure and can be recommended as the procedure of choice for young ladies with a small, afunctional kidney. The same is not true for malignant diseases which, in the authors’ opinion, must be a matter for prospective, randomised and well-controlled clinical trials in reference centres.
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Affiliation(s)
- G. Breda
- Divisione Urologica - Ospedale Civile - Bassano del Grappa (Vicenza)
| | - P. Silvestre
- Divisione Urologica - Ospedale Civile - Bassano del Grappa (Vicenza)
| | - L. Gherardi
- Divisione Urologica - Ospedale Civile - Bassano del Grappa (Vicenza)
| | - D. Xausa
- Divisione Urologica - Ospedale Civile - Bassano del Grappa (Vicenza)
| | - A. Tamai
- Divisione Urologica - Ospedale Civile - Bassano del Grappa (Vicenza)
| | - A. Giunta
- Divisione Urologica - Ospedale Civile - Bassano del Grappa (Vicenza)
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45
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Colombo C, Battezzati PM, Podda M, Bettinardi N, Giunta A. Ursodeoxycholic acid for liver disease associated with cystic fibrosis: a double-blind multicenter trial. The Italian Group for the Study of Ursodeoxycholic Acid in Cystic Fibrosis. Hepatology 1996; 23:1484-90. [PMID: 8675168 DOI: 10.1002/hep.510230627] [Citation(s) in RCA: 163] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
Liver disease is increasingly recognized as a major cause of morbidity in cystic fibrosis (CF). Preliminary data suggest that ursodeoxycholic acid (UDCA) may be beneficial for treatment of this manifestation. We performed a double-blind, multicenter trial in these patients to establish efficacy and safety of UDCA in terms of the improvement of clinical and nutritional indicators besides standard liver function tests. We also intended to establish whether taurine supplementation has a beneficial effect in patients receiving UDCA. From June to December 1990, we enrolled in 12 centers 55 CF patients with liver disease (39 male subjects; median age, 13.8 years). They were randomly assigned to receive for 1 year one of the following treatments: UDCA (15 mg/kg body weight daily) plus taurine (30 mg/kg body weight daily), UDCA plus placebo, placebo plus taurine, or double placebo. Clinical and laboratory evaluations were performed every 3 months. After 1 year, deterioration of overall clinical conditions, as indicated by the Shwachman-Kulczycki score (SKS), occurred in patients who received placebo but not in those who received UDCA (P = .025). Patients treated with UDCA also showed an improvement in gamma-glutamyl transpeptidase (GGT) (P = .004) and 5'-nucleotidase (P = .006) levels. Treatment with taurine was followed by a significant increase in serum prealbumin levels (P = .053), a trend toward a reduction in fat malabsorption, and no effect on the biochemical profile. No severe side effects occurred with any treatment. Thus, we concluded that UDCA administration improves clinical and biochemical parameters in CF patients with liver disease. Taurine supplementation may be indicated in patients with severe pancreatic insufficiency and poor nutritional status.
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Affiliation(s)
- C Colombo
- Department of Pediatrics, University of Sassari, Italy
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46
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Breda G, Tamai A, Silvestre P, Gherardi L, Xausa D, Giunta A. Laparoscopy in urology after five years: Urinary incontinence. Urologia 1996. [DOI: 10.1177/039156039606300321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The authors have reviewed the literature on stress urinary incontinence (SUI) treatment by laparoscopy or pelvioscopy. They report their experience with the pubo-vaginal percutaneous colposuspension assisted by pelvioscopy. Out of 22 patients they had a total correction of incontinence in 15 patients (68.12%) with an average follow-up of 18.6 months. They also report their first experience with the Retzius plasty of Manhes by laparoscopy (average follow-up 13 months, 3/4 patients treated are continent, 1/4 SUI with high stress). They conclude that laparoscopy and pelvioscopy treatments can be a valid alternative to tradizional surgery if performed on selected patients.
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Affiliation(s)
- G. Breda
- Divisione Urologica - Ospedale Civile - Bassano del Grappa (Vicenza)
| | - A. Tamai
- Divisione Urologica - Ospedale Civile - Bassano del Grappa (Vicenza)
| | - P. Silvestre
- Divisione Urologica - Ospedale Civile - Bassano del Grappa (Vicenza)
| | - L. Gherardi
- Divisione Urologica - Ospedale Civile - Bassano del Grappa (Vicenza)
| | - D. Xausa
- Divisione Urologica - Ospedale Civile - Bassano del Grappa (Vicenza)
| | - A. Giunta
- Divisione Urologica - Ospedale Civile - Bassano del Grappa (Vicenza)
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48
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Breda G, Silvestre P, Tamai A, Gherardi L, Xausa D, Giunta A. [Laparoscopic surgery of stress urinary incontinence in women]. Chir Ital 1996; 48:35-40. [PMID: 9206616] [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: 02/04/2023]
Abstract
The Authors carried out a literature review on stress urinary incontinence (SUI) treatment using laparoscopy or pelvioscopy. They report their experiences in using a pubo-vaginal percutaneous colposuspension assisted by pelvioscopy. Of 22 treated patients, there was a total correction of the incontinence in 15 patients. (68.12%) with a median follow-up of 18.6 months. They report also their first experience with the Retzius plasty of Manhes by laparoscopy (3/4 patients treated are continent, 1/4 has recurrent SUI during times of stress). They conclude that laparoscopy and pelvioscopy treatment can be valid alternatives to traditional surgery if made on selected patients.
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Affiliation(s)
- G Breda
- Divisione di Urologia, Ospedale Civile di Bassano del Grappa, Vicenza
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49
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Russo R, Rao MA, Romano M, Scotto di Santolo M, Cardei S, Giunta A, Cuocolo A, Volpe M. [Prospects of pharmacologic treatment of post-ischemic heart failure]. Cardiologia 1995; 40:533-7. [PMID: 8998769] [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] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Affiliation(s)
- R Russo
- Cattedra di I Clinica Medica, Università degli Studi Federico II, Napoli
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50
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Brancolini V, Cremonesi L, Belloni E, Pappalardo E, Bordoni R, Seia M, Russo S, Padoan R, Giunta A, Ferrari M. Search for mutations in pancreatic sufficient cystic fibrosis Italian patients: detection of 90% of molecular defects and identification of three novel mutations. Hum Genet 1995; 96:312-8. [PMID: 7544319 DOI: 10.1007/bf00210414] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
A cohort of 31 cystic fibrosis patients showing pancreatic sufficiency and bearing an unidentified mutation on at least one chromosome was analyzed through denaturing gradient gel electrophoresis of the whole coding region of the cystic fibrosis transmembrane conductance regulator gene, including intron-exon boundaries. Three new and 19 previously described mutations were detected. The combination of these with known mutations detected by other methods, allowed the characterization of mutations on 56/62 (90.3%) chromosomes. Among those identified, 17 can be considered responsible for pancreatic sufficiency, since they were found in patients carrying a severe mutation on the other chromosome. Among these presumed mild mutations, eight were detected more than once, R352Q being the most frequent in this sample (4.83%). Intragenic microsatellite analysis revealed that the six chromosomes still bearing unidentified mutations are associated with five different haplotypes. This may indicate that these chromosomes bear different mutations, rarely occurring among cystic fibrosis patients, further underlying the molecular heterogeneity of the genetic defects present in patients having pancreatic sufficiency.
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Affiliation(s)
- V Brancolini
- IRCCS, H.S. Raffaele, DIBIT, Unità di Genetica, Milan, Italy
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