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Balato A, Scala E, Ayala F, Bauer A, Crépy MN, Gonçalo M, Duus Johansen J, John SM, Rustemeyer T, Wagner N, Wilkinson M, Giménez-Arnau A. Patch test informed consent form: position statement by European Academy of Dermatology and Venereology Task Force on Contact Dermatitis. J Eur Acad Dermatol Venereol 2021; 35:1957-1962. [PMID: 34286888 DOI: 10.1111/jdv.17483] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2021] [Accepted: 05/27/2021] [Indexed: 11/27/2022]
Abstract
BACKGROUND To our knowledge, an international consensus is lacking regarding the development of an adequate informed consent form for a patch test (PT) and the information that should be included in such document. OBJECTIVES The aim of the study was to reach a consensus on the specific points that need to be addressed in a PT consent form. METHODS A Delphi survey, comprising 2 rounds and 1 final discussion, was used to gather and analyse data, which was conducted over the Internet. Each statement that reached a consensus with the respondents (9 expert dermatologists from Europe) was defined as a median consensus score (MED) of ≥7 and agreement among panelists as an interquartile range (IQR) of ≤3. All study participants were members of the EADV task force on contact dermatitis. RESULTS The expert panel addressed several topics that should be included in an informed consent form for a PT: introduction, preparation for PT, testing procedure, allowed activities, adverse events and additional authorizations. CONCLUSIONS Our results assess recommendations regarding points to be contained in an informed consent form for a PR. Future actions towards standardization and harmonization of this specific consent form are needed.
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Affiliation(s)
- A Balato
- Department of Advanced Biomedical Sciences, University of Naples Federico II, Naples, Italy
| | - E Scala
- Division of Dermatology and Venereology, Department of Medicine Solna, and Center for Molecular Medicine, Karolinska Institutet, Stockholm, Sweden
| | - F Ayala
- Professor Emeritus of Dermatology, University of Naples Federico II, Naples, Italy
| | - A Bauer
- Department of Dermatology, University Allergy Center, University Hospital Carl Gustav Carus, Technical University Dresden, Dresden, Germany
| | - M-N Crépy
- Department of Occupational and Environmental Diseases, Hôtel-Dieu Hospital, AP-HP, University Hospital of Centre of Paris, Paris, France.,Department of Dermatology, Cochin Hospital, AP-HP, University Hospital of Centre of Paris, Paris, France
| | - M Gonçalo
- Department of Dermatology, University Hospital and Faculty of Medicine, University of Coimbra, Coimbra, Portugal
| | - J Duus Johansen
- National Allergy Research Centre, Department of Dermatology and Allergy, Herlev and Gentofte Hospital, University of Copenhagen, Hellerup, Denmark
| | - S M John
- Department of Dermatology, Environmental Medicine, Health Theory, Institute for Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm) at the University of Osnabrück, University of Osnabrück, Osnabrück, Germany
| | - T Rustemeyer
- Department of Dermatology-Allergology and Occupational Dermatology, Amsterdam University Medical Centers, Amsterdam, The Netherlands
| | - N Wagner
- Department of Dermatology, Universitätsklinikum Erlangen-Nürnberg, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany
| | - M Wilkinson
- Department of Dermatology, Chapel Allerton Hospital, Leeds, UK
| | - A Giménez-Arnau
- Department of Dermatology, Hospital del Mar, Universitat Autònoma de Barcelona, Barcelona, Spain
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Elez E, Ayala F, Felip E, García Campelo R, García Carbonero R, García Donás J, González Del Alba A, González Flores E, Hidalgo J, Isla D, Majem M, Rodríguez Lescure Á, Safont MJ, Santaballa A, Villacampa G, Vera R, Garrido P. Gender influence on work satisfaction and leadership for medical oncologists: a survey of the Spanish Society of Medical Oncology (SEOM). ESMO Open 2021; 6:100048. [PMID: 33556897 PMCID: PMC7872979 DOI: 10.1016/j.esmoop.2021.100048] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2020] [Revised: 12/22/2020] [Accepted: 12/23/2020] [Indexed: 11/20/2022] Open
Abstract
Background Women represent an increasing proportion of the oncology workforce; however, globally this does not translate into leadership roles, reflecting disparities in career opportunities between men and women. The Spanish Society of Medical Oncology (SEOM) undertook a survey to investigate gender disparity in the Spanish oncology context. Design An online survey was made available to SEOM medical oncologists between February and May 2019. It included demographics, professional context and achievements, parenthood and family conciliation issues, workplace gender bias, and approaches to address disparities. Results Of the 316 eligible respondents, 71.5% were women, 59.5% were aged 45 or younger, and 66.1% had children. Among women, 12.4% were division or unit heads, compared with 45.5% of men, with most women (74.3%) being attending medical oncologists, compared with 45.5% of men. More males were professors (34.4% versus 14.2% of females), had a PhD (46.7% versus 28.8%), and/or had led clinical research groups (41.1% versus 9.7%). Spending time overseas after completing a residency was also more common for men than women (34.4% versus 20.4%). Professional satisfaction was similar between genders, driven primarily by patient care and intellectual stimulation. More women (40.7%) considered parenthood to have a strong negative impact on their career, compared with men (9.0%). Main perceived barriers to gender equality included a lack of work–life balance (72.6% women, 44.4% men), bias of peers and superiors (50.0% women, 18.9% men), and different career goals (41.2% women, 24.4% men). Preferred solutions included educational programs and scholarships (52.9%), communication and leadership training (35.8%), childcare at conferences (33.2%), and postmaternity return-to-work incentives (32.0%). Conclusion There is a clear paucity of equal opportunities for female oncologists in Spain. This can be addressed by encouraging professional development and merit recognition particularly for younger female oncologists, and empowering women to be involved in management and leadership of institutions and professional societies. Under-representation of women in leadership roles in oncology is a widely acknowledged issue receiving global attention. This study is a national description of leadership and educational opportunities in terms of gender and family circumstances. Perceptions of gender bias in the workplace gender inequality or family conciliation issues and are described. Initiatives for equal opportunities in oncology are needed supporting female academic career development and recognition.
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Affiliation(s)
- E Elez
- Vall d'Hebron Institute of Oncology (VHIO), Medical Oncology Department, Barcelona, Spain
| | - F Ayala
- Hospital Universitario Morales Meseguer, Murcia, Spain
| | - E Felip
- Hospital Universitario Vall D'Hebron, Barcelona, Spain
| | | | | | - J García Donás
- Centro Integral Oncológico Clara Campal (CIOCC), Madrid, Spain
| | | | | | - J Hidalgo
- Hospital Lluis Alcanyís de Xativa, Valencia, Spain
| | - D Isla
- Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain
| | - M Majem
- Hospital de la Santa Creu I Sant Pau, Barcelona, Spain
| | | | - M J Safont
- Consorcio Hospital General Universitario, Valencia, Spain
| | - A Santaballa
- Hospital Universitari I Politècnic la Fe, Valencia, Spain
| | - G Villacampa
- Vall d'Hebron Institute of Oncology (VHIO), Medical Oncology Department, Barcelona, Spain
| | - R Vera
- Complejo Hospitalario de Navarra, Pamplona, Spain
| | - P Garrido
- Hospital Universitario Ramón y Cajal, Madrid, Spain.
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Balato A, Ayala F, Bruze M, Crepy MN, Gonçalo M, Johansen J, John SM, Pigatto P, Raimondo A, Rustemeyer T, Schuttelaar MLA, Svedman C, Aerts O, Uter W, Wilkinson M, Gimenez-Arnau A. European Task Force on Contact Dermatitis statement on coronavirus disease-19 (COVID-19) outbreak and the risk of adverse cutaneous reactions. J Eur Acad Dermatol Venereol 2020; 34:e353-e354. [PMID: 32356382 DOI: 10.1111/jdv.16557] [Citation(s) in RCA: 41] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Affiliation(s)
- A Balato
- Department of Advanced Biomedical Sciences, University of Naples Federico II, Naples, Italy
| | - F Ayala
- Professor Emeritus of Dermatology, University of Naples Federico II, Naples, Italy
| | - M Bruze
- Department of Occupational and Environmental Dermatology, Skåne University Hospital, Lund University, Malmö, Sweden
| | - M-N Crepy
- Department of Occupational and Environmental Diseases, Hotel-Dieu Hospital, Paris, France.,Department of Dermatology, Cochin Hospital, Paris Descartes University, Paris, France
| | - M Gonçalo
- Clinic of Dermatology, University Hospital and Faculty of Medicine, University of Coimbra, Coimbra, Portugal
| | - J Johansen
- Department of Dermatology and Allergy, National Allergy Research Centre, Gentofte Hospital, University of Copenhagen, Hellerup, Denmark
| | - S M John
- Department of Dermatology, Environmental Medicine, Health Theory, University of Osnabrueck, Osnabrueck, Germany.,Institute for Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm) at the University of Osnabrueck, Osnabrueck, Germany.,Rehabilitation (iDerm) at the University of Osnabrueck, Osnabrueck, Germany
| | - P Pigatto
- Department of Biomedical, Surgical and Dental Sciences, Clinical Dermatology, IRCCS Istituto Ortopedico Galeazzi, University of Milan, Milan, Italy
| | - A Raimondo
- Department of Medicine, Surgery and Dentistry, 'Scuola Medica Salernitana', University of Salerno, Salerno, Italy
| | - T Rustemeyer
- Department of Dermatology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - M-L A Schuttelaar
- Department of Dermatology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
| | - C Svedman
- Department of Occupational and Environmental Dermatology, Skåne University Hospital, Lund University, Malmö, Sweden
| | - O Aerts
- University Hospital Antwerp (UZA) and University of Antwerp, Antwerp, Belgium
| | - W Uter
- Department of Medical Informatics, Biometry and Epidemiology, Friedrich-Alexander University Erlangen/Nürnberg, Erlangen, Germany
| | - M Wilkinson
- Dermatology, Leeds Teaching Hospitals NHS Trust, Leeds, UK
| | - A Gimenez-Arnau
- Department of Dermatology, Hospital del Mar. IMIM, Universitat Autònoma Barcelona, Barcelona, Spain
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Moreno-Pérez V, López-Valenciano A, Ayala F, Fernandez-Fernandez J, Vera-Garcia FJ. Comparison of hip extension and rotation ranges of motion in young elite tennis players with and without history of low back pain. J Back Musculoskelet Rehabil 2019; 32:629-638. [PMID: 30614792 DOI: 10.3233/bmr-181296] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Although low back pain (LBP) is known to be multi-factorial, certain studies have suggested that a deficit in hip extension and rotation range of motion (ROM) may be associated with LBP in athletes. OBJETIVE The purpose of this study was to compare hip extension and rotation ROMs in elite tennis players with and without a history of LBP. METHODS Forty-two male and 22 female young elite tennis players completed this study. Participants were divided into two groups: (1) 32 with history of LBP and (2) 32 without history of LBP. Descriptive measures of passive hip extension and rotation ROMs of the dominant and non-dominant limbs were taken. Active hip rotation ROMs were also assessed. Magnitude-based inferences on differences between groups and legs were made by standardizing differences. RESULTS The inter-group statistical analysis reported no significant differences (p> 0.05; trivial effect with a probability higher than 95%; d⩽ 0.4) in any ROM measure analyzed. Further, neither LBP group nor control group reported significant bilateral or side-to-side differences (p> 0.05; trivial effect with a probability higher than 99%; d< 0.3) between legs regarding hip extension and rotation ROM measures. CONCLUSION No relationship between hip extension and rotation ROM and history of LBP was found.
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Affiliation(s)
- V Moreno-Pérez
- Department of Pathology and Surgery, Sport Research Centre, Miguel Hernández University of Elche, Sant Joan d'Alacant, Spain
| | - A López-Valenciano
- Department of Sport Science, Sport Research Centre, Miguel Hernández University of Elche, Elche (Alicante), Spain
| | - F Ayala
- Department of Sport Science, Sport Research Centre, Miguel Hernández University of Elche, Elche (Alicante), Spain
| | | | - F J Vera-Garcia
- Department of Sport Science, Sport Research Centre, Miguel Hernández University of Elche, Elche (Alicante), Spain
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Damiani G, Calzavara‐Pinton P, Stingeni L, Hansel K, Cusano F, Pigatto PD, Agostinelli D, Albertazzi D, Angelini G, Angerosa F, Arigliano P, Assalve D, Ayala F, Barbagallo T, Belloni‐Fortina A, Berta M, Biale C, Bianchi L, Biasini I, Boccaletti V, Bonamonte D, Borghi A, Bragazzi N, Brambilla L, Bressan M, Brunasso A, Bruni F, Bruni P, Caccavale S, Calogiuri G, Cannavò S, Carugno A, Cataldi I, Chiarelli G, Cirla A, Corazza M, Cossutta M, Cova L, Cristaudo A, Cusano F, Danese P, Dal Canton M, De Pità O, De Salvo P, Donini M, Fantini F, Ferrucci S, Flori M, Fontana E, Foti C, Francalci S, Frasin L, Gallo R, Gasparini G, Gola M, Gravante M, Guarnieri F, Guastaferro D, Ingordo V, Lauriola M, Leghissa P, Lisi P, Lombardi P, Lorenzini M, Malara G, Magrini L, Marone G, Martina E, Mascagni P, Matteini Chiari M, Meligeni L, Melino M, Miccio L, Milanesi N, Molinu A, Monfrecola G, Morelli P, Motolese A, Musumeci M, Naldi L, Napolitano M, Nasca M, Pacifico A, Paganini P, Papini M, Pasolini G, Patruno C, Pellegrino M, Peroni A, Peserico A, Piras V, Pugliese A, Raponi F, Raviolo P, Rebora A, Recchia G, Riva F, Romita P, Rossi M, Ruggieri M, Saggiorato F, Sartorelli P, Schena D, Schettino A, Spanò G, Stinchi C, Tasin L, Tramontana M, Taddei L, Valsecchi R, Russo F, Vascellaro A, Venturini M, Vincenzi C, Virgili A, Zucca M. Italian guidelines for therapy of atopic dermatitis—Adapted from consensus‐based European guidelines for treatment of atopic eczema (atopic dermatitis). Dermatol Ther 2019; 32:e13121. [DOI: 10.1111/dth.13121] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2019] [Revised: 10/04/2019] [Accepted: 10/11/2019] [Indexed: 12/13/2022]
Affiliation(s)
- Giovanni Damiani
- Department of Biomedical, Surgical, and Dental Sciences Unit of DermatologyUniversity of Milan Milan Italy
- IRCCS Istituto Ortopedico Galeazzi Milan Italy
- Young Dermatologists Italian NetworkGISED Bergamo Italy
- Department of DermatologyCase Western Reserve University Cleveland Ohio
| | | | - Luca Stingeni
- Section of Dermatology, Department of MedicineUniversity of Perugia Perugia Italy
| | - Katharina Hansel
- Section of Dermatology, Department of MedicineUniversity of Perugia Perugia Italy
| | | | - Paolo D.M. Pigatto
- Department of Biomedical, Surgical, and Dental Sciences Unit of DermatologyUniversity of Milan Milan Italy
- IRCCS Istituto Ortopedico Galeazzi Milan Italy
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Balato A, Raimondo A, Arenberger P, Bruze M, Czarnecka-Operacz M, Johanssen JD, Gonçalo M, Ranki A, Uter W, Wilkinson M, Ayala F, John SM, Giménez-Arnau A, Gollnick H. The role of the dermatologist in the immune-mediated/allergic diseases - position statement of the EADV task force on contact dermatitis, EADV task force on occupational skin diseases, UEMS-EBDV subcommission allergology and European Dermatology Forum. J Eur Acad Dermatol Venereol 2019; 33:1459-1464. [PMID: 31062452 DOI: 10.1111/jdv.15610] [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] [Received: 11/08/2018] [Accepted: 02/28/2019] [Indexed: 11/30/2022]
Abstract
BACKGROUND The members of the Task Force on Contact Dermatitis and the Task Force on Occupational Dermatoses of the European Academy of Dermatology and Venereology (EADV), of the European Dermatology Forum (EDF), and the members of the UEMS Section of Dermatology-Venereology (UEMS-EBDV) we want to vindicate the fundamental role that the specialist in Dermatology has in the diagnosis and management of Immuno-mediated /allergic Diseases. OBJECTIVE In disagreement with the blueprint paper of the UEMS section of Allergology (2013), in which dermatologists are excluded from one of their core activities it was decided to write this consensus paper. DISCUSSION The skin occupies a crucial place in the broad spectrum of allergic diseases; there is no other organ with such a multitude of different clinical conditions mediated by so many pathogenetic immune mechanisms. Subsequently, dermatologists play a fundamental role in the management of immune-mediated diseases including among others contact dermatitis, atopic dermatitis, urticaria and angioedema or cutaneous adverse drug, food and arthropod reactions. The essential role of dermatology in the diagnostic, therapeutic and preventive management of immune mediated /allergic diseases which is crucial for patient management is justified from both the academic and professional point of view. CONCLUSION Based on the best care of the patient with cutaneous immune allergic disease a multidisciplinary approach is desirable and the dermatologist has a pivotal role in patient management. Be so good and no one will not ignore you, dermatologist. Ideally Dermatology should be governed according the following Henry Ford statement: "Arriving together is the beginning; keeping together is progress; working together is success."
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Affiliation(s)
- A Balato
- Department of Advanced Biomedical Sciences, University of Naples Federico II, Naples, Italy
| | - A Raimondo
- Department of Medicine, Surgery and Dentistry, 'Scuola Medica Salernitana', University of Salerno, Salerno, Italy
| | - P Arenberger
- Department of Dermatology, Third Faculty of Medicine, Charles University, Prague, Czech Republic
| | - M Bruze
- Department of Occupational and Environmental Dermatology, Skåne University Hospital, Lund University, Malmö, Sweden
| | - M Czarnecka-Operacz
- Department of Dermatology, Poznan University of Medical Sciences, Poznan, Poland
| | - J D Johanssen
- Department of Dermatology and Allergy, National Allergy Research Centre, Herlev-Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
| | - M Gonçalo
- Department of Dermatology, University Hospital and Faculty of Medicine, University of Coimbra, Coimbra, Portugal
| | - A Ranki
- Department of Dermatology, Allergology and Venereology, University of Helsinki and Skin and Allergy Hospital, Helsinki University Central Hospital, Helsinki, Finland
| | - W Uter
- Department of Medical Informatics, Biometry and Epidemiology, University of Erlangen-Nürnberg, Erlangen, Germany
| | - M Wilkinson
- Dermatology, Leeds Teaching Hospitals NHS Trust, Leeds, UK
| | - F Ayala
- Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - S M John
- Department of Dermatology, Environmental Medicine, University of Osnabrueck, Osnabrueck, Germany
| | - A Giménez-Arnau
- Department of Dermatology, Hospital del Mar. Universitat Autònoma de Barcelona, Barcelona, Spain
| | - H Gollnick
- Department of Dermatology and Venereology, Otto-von-Guericke Universität, Magdeburg, Germany
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López-Valenciano A, Ayala F, De Ste Croix M, Barbado D, Vera-Garcia FJ. Different neuromuscular parameters influence dynamic balance in male and female football players. Knee Surg Sports Traumatol Arthrosc 2019; 27:962-970. [PMID: 30088029 DOI: 10.1007/s00167-018-5088-y] [Citation(s) in RCA: 26] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2017] [Accepted: 07/30/2018] [Indexed: 12/26/2022]
Abstract
PURPOSE To analyse the relationship between several parameters of neuromuscular performance with unilateral dynamic balance measured through the Y-Balance test, as well as to determine the possible sex-related differences. METHODS The Y-Balance test, isokinetic (concentric and eccentric) knee flexion and extension strength, isometric hip abduction and adduction strength, lower extremity joint range of motion (ROM) (hip, knee and ankle) and core stability were assessed in male (n = 88) and female (n = 44) professional football players. A stepwise multivariate linear least square regression with backward elimination analysis was carried out to identify a group of factors that were independently associated with balance performance in both sexes. RESULTS Passive hip flexion and ankle dorsiflexion with knee flexed ROM were the main factors that retained a significant association to dominant (R2 = 23.1) and non-dominant (R2 = 33.5) balance scores for males. For females, core stability, hip abduction isometric peak torque, passive hip abduction and ankle dorsiflexion with knee flexed ROM variables retained a significant association with balance scores for both, dominant (R2 = 38.2) and non-dominant (R2 = 46.9) legs. CONCLUSIONS Training interventions aimed at improving or maintaining unilateral dynamic balance in male football players should include, among other things, stretching exercises for the posterior chain of the lower extremity. However, females should also include exercises for strength and mobility of the hip abductors and core stability (especially in the frontal plane). This knowledge would allow clinicians and sport practitioners to develop more effective and tailored unilateral dynamic balance training interventions in male and female football players, possibly improving performance and reducing the risk of injury. LEVEL OF EVIDENCE III.
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Affiliation(s)
- A López-Valenciano
- Sports Research Centre, Miguel Hernández University of Elche, Avda. de la Universidad s/n., 03202, Elche, Alicante, Spain
| | - F Ayala
- Sports Research Centre, Miguel Hernández University of Elche, Avda. de la Universidad s/n., 03202, Elche, Alicante, Spain.
| | - M De Ste Croix
- School of Physical Education, Faculty of Sport, Health and Social Care, University of Gloucestershire, Gloucester, UK
| | - D Barbado
- Sports Research Centre, Miguel Hernández University of Elche, Avda. de la Universidad s/n., 03202, Elche, Alicante, Spain
| | - F J Vera-Garcia
- Sports Research Centre, Miguel Hernández University of Elche, Avda. de la Universidad s/n., 03202, Elche, Alicante, Spain
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8
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Nieto Y, Alonso JL, Ayala F, Ortega L, Casado A, Martín M, Díaz-Rubio E. End-Stage Acute Hepatic Failure as Clinical Presentation of Liver Metastases from Breast Cancer. Tumori 2018; 84:616-7. [PMID: 9862530 DOI: 10.1177/030089169808400523] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [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: 11/17/2022]
Abstract
A most unusual case of fatal acute hepatic failure as clinical presentation of liver metastases from breast cancer is described. The patient had a four-year history of indolent breast neoplasm and no previously known liver disease.
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Affiliation(s)
- Y Nieto
- Medical Oncology Department, Hospital Universitario San Carlos, Madrid, Spain.
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9
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Gisondi P, Altomare G, Ayala F, Conti A, Dapavo P, De Simone C, Foti C, Idolazzi L, Lubrano E, Malara G, Marchesoni A, Olivieri I, Parodi A, Peris K, Piaserico S, Salvarani C, Scarpa R, Girolomoni G. Consensus on the management of patients with psoriatic arthritis in a dermatology setting. J Eur Acad Dermatol Venereol 2018; 32:515-528. [PMID: 29220551 DOI: 10.1111/jdv.14741] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2017] [Accepted: 11/22/2017] [Indexed: 12/13/2022]
Abstract
BACKGROUND Psoriatic arthritis (PsA) is a chronic inflammatory disease associated with psoriasis (PsO). Early diagnosis and prompt therapeutic intervention are crucial for limiting PsA progression and prevention of disability. Dermatologists are in a privileged position to detect early PsA. The management of patients with PsA in the dermatology setting is widely variable. OBJECTIVE To provide practical recommendations for the management of patients with PsA in the dermatology setting including early diagnosis and treatment. METHODS A consensus document was written by an expert panel composed by dermatologists (n = 12) and rheumatologists (n = 6). Eleven highly relevant questions were selected and elaborated with answers/statements based on a narrative literature review. The resulting document was discussed in a face-to-face meeting adopting a nominal group technique to reach consensus (i.e. 100% agreement) using the Delphi method. RESULTS A consensus was achieved in defining the following: the clinical characteristics differentiating inflammatory and non-inflammatory signs and symptoms of joint disease; the most important differential diagnoses of PsA in clinical practice; the most useful screening questionnaires, serum laboratory tests and imaging techniques for the detection of early PsA; the criteria for dermatologist to refer patients with PsO to rheumatologist; the criteria for the diagnosis of PsA; the selection of the indices that the dermatologist could use for measuring the activity and severity of PsA in clinical practice; when systemic steroids and/or intra-articular steroid injections are indicated in the treatment of PsA. Finally, systemic treatments including synthetic and biologic disease-modifying antirheumatic drugs to be considered for the treatment of PsA have been reported. CONCLUSIONS The implementations of these practical recommendations could be very helpful for the management of patients with PsA in the dermatology setting including early diagnosis and treatment.
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Affiliation(s)
- P Gisondi
- Department of Medicine, Section of Dermatology and Venereology, University of Verona, Verona, Italy
| | - G Altomare
- I.R.C.C.S Istituto Ortopedico Galeazzi, Division of Dermatology and Venereology, University of Milan, Milan, Italy
| | - F Ayala
- Department of Dermatology, University of Naples Federico II, Naples, Italy
| | - A Conti
- Department of Head and Neck Surgery, Section of Dermatology, Azienda Ospedaliero Universitaria Policlinico di Modena, Modena, Italy
| | - P Dapavo
- Department of Biomedical Science and Human Oncology, Second Dermatologic Clinic, University of Turin, Turin, Italy
| | - C De Simone
- Dermatology Department, Catholic University of the Sacred Heart, Rome, Italy
| | - C Foti
- Department of Biomedical Science and Human Oncology, Section of Dermatology, University of Bari, Bari, Italy
| | - L Idolazzi
- Department of Medicine, Section of Rheumatology, University of Verona, Verona, Italy
| | - E Lubrano
- Dipartimento di Medicina e Scienze della Salute "Vincenzo Tiberio", Università degli Studi del Molise, Campobasso, Italy
| | - G Malara
- Unit of Dermatology, Azienda Ospedaliera Papardo, Messina, Italy
| | - A Marchesoni
- Department of Rheumatology, ASST Gaetano Pini-CTO, Milano, Italy
| | - I Olivieri
- Division of Rheumatology, Azienda Ospedaliera San Carlo, Potenza, Italy
| | - A Parodi
- Section of Dermatology, University of Genoa, Genoa, Italy
| | - K Peris
- Dermatology Department, Catholic University of the Sacred Heart, Rome, Italy
| | - S Piaserico
- Department of Medicine, Section of Dermatology, University of Padua, Padua, Italy
| | - C Salvarani
- Division of Rheumatology, Azienda USL-IRCCS di Reggio Emilia, University of Modena and Reggio Emilia, Modena, Reggio Emilia, Italy
| | - R Scarpa
- Department of Medicine, Section of Rheumatology, University of Naples Federico II, Naples, Italy
| | - G Girolomoni
- Department of Medicine, Section of Dermatology and Venereology, University of Verona, Verona, Italy
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Lembo C, Patruno C, Balato N, Ayala F, Balato A, Lembo S. Rational ideation and empiric validation of an innovative digital dermographic tester. Clin Exp Dermatol 2017; 43:268-273. [PMID: 29270994 DOI: 10.1111/ced.13314] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/04/2017] [Indexed: 11/26/2022]
Abstract
BACKGROUND Dermographism is a condition characterized by a weal response to a combination of pressure and traction on skin surface, and its diagnosis is based on medical history, clinical criteria and provocation test. The Dermographic Tester® , a pen-sized tool containing a spring-loaded blunt tip, is the most widely used instrument for the provocation test, and it exerts increasing pressures on the skin surface according to an arbitrary units (AU) scale. Analysing the mechanism of function and trying to convert the AUs to SI units (g/mm2 ), we found that this instrument had some defects and limits that would compromise a true and repeatable quantification of the weal response threshold. Consequently, we decided to develop a new instrument, the Digital Dermographic Tester (DDT), which is engineered with an inside force sensor to implement features lacking in the current tools, in the hope of enhancing the precision of the provocation test. AIM To validate the effectiveness and accuracy of the DDT. METHODS We tested the DDT on 213 participants purposely sampled to obtain three groups, each with a different pattern of reaction to mechanical stimuli. Based on anamnestic, diagnostic and symptomatic criteria, patients were divided into dermographic urticaria (DU), spontaneous urticaria (SU) and healthy control (HC) groups. The DDT was used to apply 12 levels of pressure to the skin surface, and a frequency distribution of positive reactions was displayed for each group. RESULTS A force of 36-40 g/mm2 appropriately differentiated physiological from pathological conditions with high sensitivity and specificity. CONCLUSIONS The DDT was found to be capable of differentiating patients with DU patients from those with SU and from HCs, and was able to precisely identify the weal elicitation threshold.
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Affiliation(s)
- C Lembo
- Department of Clinical Medicine and Surgery, Section of Dermatology and Venereology, University of Naples Federico II, Naples, Italy
| | - C Patruno
- Department of Clinical Medicine and Surgery, Section of Dermatology and Venereology, University of Naples Federico II, Naples, Italy
| | - N Balato
- Department of Clinical Medicine and Surgery, Section of Dermatology and Venereology, University of Naples Federico II, Naples, Italy
| | - F Ayala
- Department of Clinical Medicine and Surgery, Section of Dermatology and Venereology, University of Naples Federico II, Naples, Italy
| | - A Balato
- Department of Clinical Medicine and Surgery, Section of Dermatology and Venereology, University of Naples Federico II, Naples, Italy
| | - S Lembo
- Department of Medicine, Surgery and Odontology Scuola Medica Salernitana, University of Salerno, Salerno, Italy
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11
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Lembo C, Raimondo A, Balato N, Ayala F, Balato A. 506 A potential prognostic test for bone erosion development in patients with cutaneous predictive sites for psoriatic arthritis. J Invest Dermatol 2017. [DOI: 10.1016/j.jid.2017.07.702] [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: 10/18/2022]
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12
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Megna M, Gisonni P, Napolitano M, Orabona GD, Patruno C, Ayala F, Balato N. The effect of smartphone addiction on hand joints in psoriatic patients: an ultrasound-based study. J Eur Acad Dermatol Venereol 2017; 32:73-78. [PMID: 28573823 DOI: 10.1111/jdv.14380] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2017] [Accepted: 04/10/2017] [Indexed: 12/17/2022]
Abstract
BACKGROUND Distal interphalangeal (DIP) arthritis is a frequent form of psoriatic arthritis being often linked to nail psoriasis. Modern society is characterized by overuse of smartphones. Indeed, literature has recently focalized on research into smartphone addiction and health-related problems. OBJECTIVES As smartphone addiction is able to determine overuse and repeated movements of DIP joints and nails, the aim of this study was to evaluate the impact of smartphone use on hand joints of young psoriatic patients. METHODS An observational study involving four different groups such as non-smartphone-addicted (SA) psoriatic patients, SA psoriatic patients, non-SA controls and SA controls was performed. Each subject underwent an ultrasound examination of both hands by three independent and blinded to group assignment radiologists. A specific score was used to evaluate the inflammatory state of the analysed joints. RESULTS The total ultrasound score was statistically significantly higher in SA controls respect to non-SA controls (3.4 vs. 1.4; P < 0.05) as well as in SA psoriasis patients compared to non-SA psoriatic subjects (15.2 vs. 6.7; P < 0.01). Higher mean of ultrasound score was found for left hand in controls (both SA or not) and for right hand in psoriatic subjects (both SA or not), however without reaching statistical significance. CONCLUSIONS Smartphone overuse was found to be linked with higher signs of inflammation of musculoskeletal structures of hands joints in both psoriasis and controls through ultrasound examination. Therefore, smartphone overuse may be a factor which facilitate or speed up the possible development of psoriatic arthritis.
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Affiliation(s)
- M Megna
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - P Gisonni
- Department of Advanced Biomedical Sciences, Diagnostic Imaging Section, University of Naples Federico II, Naples, Italy
| | - M Napolitano
- Department of Medicine and Health Science "Vincenzo Tiberio", University of Molise, Campobasso, Italy
| | - G Dell'Aversano Orabona
- Department of Advanced Biomedical Sciences, Diagnostic Imaging Section, University of Naples Federico II, Naples, Italy
| | - C Patruno
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - F Ayala
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - N Balato
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
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13
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Pizzichetta MA, Kittler H, Stanganelli I, Ghigliotti G, Corradin MT, Rubegni P, Cavicchini S, De Giorgi V, Bono R, Alaibac M, Astorino S, Ayala F, Quaglino P, Pellacani G, Argenziano G, Guardoli D, Specchio F, Serraino D, Talamini R. Dermoscopic diagnosis of amelanotic/hypomelanotic melanoma. Br J Dermatol 2017; 177:538-540. [PMID: 27681347 DOI: 10.1111/bjd.15093] [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] [Indexed: 11/26/2022]
Affiliation(s)
- M A Pizzichetta
- Division of Medical Oncology - Preventive Oncology, Centro di Riferimento Oncologico, National Cancer Institute, Aviano, Italy
| | - H Kittler
- Department of Dermatology, Medical University of Vienna, Vienna, Austria
| | - I Stanganelli
- Skin Cancer Unit, Istituto Tumori Romagna (IRST), Meldola, Department of Dermatology, University of Parma, Italy
| | - G Ghigliotti
- IRCCS San Martino - 1st Clinic of Dermatology, Genova, Italy
| | - M T Corradin
- Division of Dermatology, Pordenone Hospital, Pordenone, Italy
| | - P Rubegni
- Department of Dermatology, University of Siena, Siena, Italy
| | - S Cavicchini
- Department of Dermatology, Fondazione Ospedale Maggiore Policlinico IRCCS, Milan, Italy
| | - V De Giorgi
- Department of Dermatology, University of Florence, Florence, Italy
| | - R Bono
- Istituto Dermopatico Immacolata, IRCCS, Rome, Italy
| | - M Alaibac
- Department of Dermatology, University of Padova, Italy
| | - S Astorino
- Division of Dermatology, Celio Hospital, Rome, Italy
| | - F Ayala
- National Cancer Institute, 'Fondazione G. Pascale'-IRCCS, Naples, Italy
| | - P Quaglino
- Dermatologic Clinic, Department of Medical Sciences, University of Torino, Torino, Italy
| | - G Pellacani
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - G Argenziano
- Dermatology Unit, Second University of Naples, Naples, Italy
| | - D Guardoli
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - F Specchio
- Skin Cancer Unit, Arcispedale Santa Maria Nuova IRCCS, Reggio Emilia, Italy
| | - D Serraino
- Unit of Epidemiology and Biostatistics, Centro di Riferimento Oncologico, National Cancer Institute, Aviano, Italy
| | - R Talamini
- Unit of Epidemiology and Biostatistics, Centro di Riferimento Oncologico, National Cancer Institute, Aviano, Italy
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14
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Gisondi P, Altomare G, Ayala F, Bardazzi F, Bianchi L, Chiricozzi A, Costanzo A, Conti A, Dapavo P, De Simone C, Foti C, Naldi L, Offidani A, Parodi A, Piaserico S, Prignano F, Rongioletti F, Stingeni L, Talamonti M, Girolomoni G. Italian guidelines on the systemic treatments of moderate-to-severe plaque psoriasis. J Eur Acad Dermatol Venereol 2017; 31:774-790. [PMID: 28244153 DOI: 10.1111/jdv.14114] [Citation(s) in RCA: 117] [Impact Index Per Article: 16.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2016] [Accepted: 12/21/2016] [Indexed: 02/06/2023]
Abstract
Psoriasis is a common disease, which has a considerable impact on the healthcare system. Therefore, appropriate use of therapeutic resources is very important. Management of psoriasis in daily clinical practice is highly variable because many issues are still debated and not definitely addressed by the evidence-based medicine. Moreover, the different availability and reimbursability of drugs in each country justifies national guidelines. Expert consensus can provide helpful guidelines for optimizing patient care. A total of 20 dermatologists from different areas of Italy and with large experience in the treatment of psoriasis agreed to participate in the guidelines expert panel who aimed to reach consensus on the factors influencing psoriasis severity, the indications for systemic treatments, the parameters to be considered in the choice of treatment, and the factors to be considered in the choice of biological treatment. The recommendations for the use, screening and monitoring of systemic therapies were based on the 2015 S3 European Dermatology Forum/European Academy of Dermatology and Venereology psoriasis guidelines. Recommendations on the treatment of psoriasis in special patient populations were also agreed. The final document was discussed in a meeting moderated by a facilitator with participation of the entire group and adopting a nominal group technique to reach consensus. A statement was regarded as consented when agreement was achieved by at least 75% of the voting experts according to the Delphi procedure.
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Affiliation(s)
- P Gisondi
- Department of Medicine, Section of Dermatology and Venereology, University of Verona, Verona, Italy
| | - G Altomare
- Department of Dermatology and Venereology, I.R.C.C.S. Istituto Ortopedico Galeazzi, University of Milan, Milano, Italy
| | - F Ayala
- Department of Dermatology, University of Naples Federico II, Napoli, Italy
| | - F Bardazzi
- Division of Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - L Bianchi
- Department of Dermatology, University of Rome Tor Vergata, Rome, Italy
| | - A Chiricozzi
- Department of Dermatology, University of Pisa, Pisa, Italy
| | - A Costanzo
- Department of Dermatology, Humanitas Research Hospital, Rozzano, Italy
| | - A Conti
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - P Dapavo
- Department of Biomedical Science and Human Oncology, Second Dermatologic Clinic, University of Turin, Turin, Italy
| | - C De Simone
- Department of Dermatology, Catholic University of the Sacred Heart, Rome, Italy
| | - C Foti
- Department of Biomedical Science and Human Oncology, Section of Dermatology, University of Bari, Bari, Italy
| | - L Naldi
- Department of Dermatology, Azienda Ospedaliera Papa Giovanni XXIII, Bergamo, Italy
| | - A Offidani
- Department of Clinical and Molecular Sciences, Dermatology Unit, Polytechnic Marche University, Ancona, Italy
| | - A Parodi
- Department of Dermatology, University of Genoa, Genova, Italy
| | - S Piaserico
- Department of Dermatology, University of Padua, Padova, Italy
| | - F Prignano
- Department of Dermatology, University of Florence, Firenze, Italy
| | - F Rongioletti
- Department of Medical Sciences and Public Health, Section of Dermatology, University of Cagliari, Cagliari, Italy
| | - L Stingeni
- Department of Medicine, Section of Clinical, Allergological and Venereological Dermatology, University of Perugia, Perugia, Italy
| | - M Talamonti
- Department of Dermatology, University of Rome Tor Vergata, Rome, Italy
| | - G Girolomoni
- Department of Medicine, Section of Dermatology and Venereology, University of Verona, Verona, Italy
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15
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Jara C, Ayala F, Virizuela JA. The oncology day hospital in Spain: an updated analysis of Spanish Society of Medical Oncology (SEOM) looking forward. Clin Transl Oncol 2017; 19:269-272. [PMID: 28083756 PMCID: PMC5306221 DOI: 10.1007/s12094-016-1610-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/25/2016] [Accepted: 12/29/2016] [Indexed: 11/05/2022]
Affiliation(s)
- C Jara
- Medical Oncology, Fundación Alcorcón University Hospital, Alcorcón, Spain.
| | - F Ayala
- Medical Oncology, Morales Meseguer University General Hospital, Murcia, Spain
| | - J A Virizuela
- Medical Oncology, Virgen Macarena University Hospital, Seville, Spain
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16
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Mena N, Ayala F, Elicer B, Donoso F, Diaz R, Kripper C, Lara B. 86 Accuracy of Three Pre-endoscopic Risk Scores in Patients With Upper Gastrointestinal Bleeding at a University Hospital in Chile: A Retrospective Study. Ann Emerg Med 2016. [DOI: 10.1016/j.annemergmed.2016.08.097] [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: 10/20/2022]
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Abstract
This paper sets out to establish a methodology for measuring the colour of Port wines that complies with both the EU Regulation and the Office Internationale de la Vigne et du Vin (OIV) guidelines using the simplest possible approach. Fifty six Port wines of various types have been utilized, namely Brancos, Aloirados, Tintos and Retintos. In order to determine the influence of the spec tral interval on the results, the colour coordinates have been calculated using spectral measure ments every 1, 5 and 10 nm. The colour differences between them were lower than 0.5 CIELAB units and, therefore the use of a spectral interval of 10 nm is sufficient, as the CIE recommends. Absorbance spectra were recorded with 2, 5 and 10 nm pathlength cells to test the validity of Beer's law for Port Wines. In general, they comply quite well with that law, but some precision problems arise in the measurements, in relation to the pathlength of the cell. We conclude that the best measurements are obtained with 2 mm pathlength cells for Tintos and Retintos Port wines, and with 10 mm pathlength cells for Aloirados and Brancos Port wines.
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Affiliation(s)
- J.F. Echavarri
- Laboratorio de Color de La Rioja, Luis de Ulloa 20, 26004 Logroño, Spain
| | - F. Ayala
- Laboratorio de Color de La Rioja, Luis de Ulloa 20, 26004 Logroño, Spain
| | - A.R. Figueira
- CETO Centro de Ciências e Tecnologias Ópticas, Facultade de Ciências, Universidade do Porto, Prç Gomes Teixeira, 4000 Porto, Portugal
| | - A.I. Negueruela
- Dpto de Fisica Aplicada, Facultad de Veterinaria, Universidad de Zaragoza, Miguel Servet 177, 50013 Zaragoza, Spain
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18
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Balato A, Caiazzo G, Ayala F, Balato N, Di Caprio R, Monfrecola G, Patruno C, Raimondo A, Lembo S. 379 IL-26: A new actor in allergic contact dermatitis. J Invest Dermatol 2016. [DOI: 10.1016/j.jid.2016.06.399] [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: 10/21/2022]
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19
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Carmona-Bayonas A, Jiménez-Fonseca P, Virizuela J, Antonio M, Font C, Biosca M, Ramchandani A, Martinez-Garcia J, Hernando J, Espinosa J, de Castro EM, Ghanem I, Beato C, Blasco A, Garrido M, Mondéjar R, Arcusa MÁ, Aragón I, Manzano A, Sevillano E, Castañón E, Ayala F. Performance of the clinical index of stable febrile neutropenia (CISNE) in different types of infections and tumors. Clin Transl Oncol 2016; 19:386-395. [PMID: 27525978 DOI: 10.1007/s12094-016-1540-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2016] [Accepted: 08/02/2016] [Indexed: 11/28/2022]
Abstract
PURPOSE The clinical index of stable febrile neutropenia (CISNE) can contribute to patient safety without increasing the complexity of decision-making. However, febrile neutropenia (FN) is a diverse syndrome. The aim of this analysis is to assess the performance of CISNE according to the type of tumor and infection and to characterize these patients. METHODS We prospectively recruited 1383 FN episodes in situations of apparent clinical stability. Bonferroni-adjusted z tests of proportions were used to assess the association between the infections suspected at the time of onset and the type of tumor with the risk of serious complications and mortality. The performance of CISNE was appraised in each category using the Breslow-Day test for homogeneity of odds ratios and Forest Plots. RESULTS 171 patients had a serious complication (12.3 %, 95 % confidence interval 10.7-14.2 %). The most common initial assumptive diagnoses were: fever without focus (34.5 %), upper respiratory infection (14.9 %), enteritis (12.7 %), stomatitis (11.8 %), and acute bronchitis (10.7 %). Lung and breast were the most common tumors, accounting for approximately 56 % of the series. The distribution of complications, mortality, and bacteremia varies for each of these categories. However, Breslow-Day tests indicate homogeneity of the odds ratio of the dichotomized CISNE score to predict complications in all infection and tumor subtypes. CONCLUSION Despite FN's clinical and microbiological heterogeneity, the CISNE score was seen to be consistent and robust in spite of these variations. Hence, it appears to be a safe tool in seemingly stable FN.
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Affiliation(s)
- A Carmona-Bayonas
- Hematology and Medical Oncology Department, Hospital Universitario Morales Meseguer, Calle Marqués de los Vélez s/n, 30008, Murcia, Spain.
| | | | - J Virizuela
- Hospital Universitario Virgen Macarena, Sevilla, Spain
| | - M Antonio
- ICO Duran i Reynals, Barcelona, Spain
| | - C Font
- Hospital Universitario Clínic, Barcelona, Spain
| | - M Biosca
- Hospital Universitari Vall d'Hebron, Barcelona, Spain
| | - A Ramchandani
- Hospital Universitario Insular de Gran Canaria, Las Palmas, Spain
| | | | - J Hernando
- Hospital Universitario Miguel Servet, Zaragoza, Spain
| | - J Espinosa
- Hospital General Universitario de Ciudad Real, Ciudad Real, Spain
| | - E M de Castro
- Hospital Universitario Marqués de Valdecilla, Santander, Spain
| | - I Ghanem
- Hospital Universitario La Paz, Madrid, Spain
| | - C Beato
- Hospital Nisa Sevilla Aljarafe, Hospital Universitario Clínico San Carlos, Sevilla, Spain
| | - A Blasco
- Hospital General Universitario de Valencia, Valencia, Spain
| | - M Garrido
- Universidad Católica Pontificia de Chile, Santiago de Chile, Chile
| | - R Mondéjar
- Hospital Universitario de la Princesa, Madrid, Spain
| | - M Á Arcusa
- Consorci Sanitari de Terrassa, Barcelona, Spain
| | - I Aragón
- Hospital Juan Ramón Jiménez, Huelva, Spain
| | - A Manzano
- Hospital Clínico Universitario San Carlos, Madrid, Spain
| | - E Sevillano
- Hospital Universitario Son Espases, Palma de Mallorca, Spain
| | - E Castañón
- Clínica Universidad de Navarra, Pamplona, Spain
| | - F Ayala
- Hospital Universitario Morales Messeguer, Murcia, Spain
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20
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Vallejo MS, Witis S, Ojeda E, Mostajo D, Morera F, Meruvia N, Martino M, Lima S, Espinoza M, Castillo O, Campostrini B, Danckers L, Blümel JE, Tserotas K, Sánchez H, Salinas C, Saavedra J, Rojas JA, Onatra W, Monterrosa A, Montaño A, Martínez J, González E, Gómez G, Calle A, Broutin G, Bencosme A, Arteaga E, Ayala F, Chedraui P. Does the menopausal status of female gynecologists affect their prescription of menopausal hormone therapy? Climacteric 2016; 19:387-92. [DOI: 10.1080/13697137.2016.1191460] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- M. S. Vallejo
- Collaborative Group for Research of the Climacteric in Latin America (REDLINC)
| | - S. Witis
- Collaborative Group for Research of the Climacteric in Latin America (REDLINC)
| | - E. Ojeda
- Collaborative Group for Research of the Climacteric in Latin America (REDLINC)
| | - D. Mostajo
- Collaborative Group for Research of the Climacteric in Latin America (REDLINC)
| | - F. Morera
- Collaborative Group for Research of the Climacteric in Latin America (REDLINC)
| | - N. Meruvia
- Collaborative Group for Research of the Climacteric in Latin America (REDLINC)
| | - M. Martino
- Collaborative Group for Research of the Climacteric in Latin America (REDLINC)
| | - S. Lima
- Collaborative Group for Research of the Climacteric in Latin America (REDLINC)
| | - M.T. Espinoza
- Collaborative Group for Research of the Climacteric in Latin America (REDLINC)
| | - O. Castillo
- Collaborative Group for Research of the Climacteric in Latin America (REDLINC)
| | - B. Campostrini
- Collaborative Group for Research of the Climacteric in Latin America (REDLINC)
| | - L. Danckers
- Collaborative Group for Research of the Climacteric in Latin America (REDLINC)
| | - J. E. Blümel
- Collaborative Group for Research of the Climacteric in Latin America (REDLINC)
- Departamento de Medicina Interna Sur, Facultad de Medicina, Universidad de Chile, Santiago de Chile, Chile
| | - K. Tserotas
- Collaborative Group for Research of the Climacteric in Latin America (REDLINC)
| | - H. Sánchez
- Collaborative Group for Research of the Climacteric in Latin America (REDLINC)
| | - C. Salinas
- Collaborative Group for Research of the Climacteric in Latin America (REDLINC)
| | - J. Saavedra
- Collaborative Group for Research of the Climacteric in Latin America (REDLINC)
| | - J. A. Rojas
- Collaborative Group for Research of the Climacteric in Latin America (REDLINC)
| | - W. Onatra
- Collaborative Group for Research of the Climacteric in Latin America (REDLINC)
| | - A. Monterrosa
- Collaborative Group for Research of the Climacteric in Latin America (REDLINC)
| | - A. Montaño
- Collaborative Group for Research of the Climacteric in Latin America (REDLINC)
| | - J. Martínez
- Collaborative Group for Research of the Climacteric in Latin America (REDLINC)
| | - E. González
- Collaborative Group for Research of the Climacteric in Latin America (REDLINC)
| | - G. Gómez
- Collaborative Group for Research of the Climacteric in Latin America (REDLINC)
| | - A. Calle
- Collaborative Group for Research of the Climacteric in Latin America (REDLINC)
| | - G. Broutin
- Collaborative Group for Research of the Climacteric in Latin America (REDLINC)
| | - A. Bencosme
- Collaborative Group for Research of the Climacteric in Latin America (REDLINC)
| | - E. Arteaga
- Collaborative Group for Research of the Climacteric in Latin America (REDLINC)
| | - F. Ayala
- Collaborative Group for Research of the Climacteric in Latin America (REDLINC)
| | - P. Chedraui
- Collaborative Group for Research of the Climacteric in Latin America (REDLINC)
- Institute of Biomedicine, Research Area for Women’s Health, Facultad de Ciencias Médicas, Universidad Católica de Santiago de Guayaquil, Guayaquil, Ecuador
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21
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Megna M, Napolitano M, Balato N, Monfrecola G, Villani A, Ayala F, Balato A. Efficacy and safety of ustekinumab in a group of 22 elderly patients with psoriasis over a 2-year period. Clin Exp Dermatol 2016; 41:564-6. [PMID: 27028505 DOI: 10.1111/ced.12850] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/09/2015] [Indexed: 12/15/2022]
Affiliation(s)
- M Megna
- Department of Dermatology, University of Naples Federico II, Napoli, Italy.
| | - M Napolitano
- Department of Dermatology, University of Naples Federico II, Napoli, Italy
| | - N Balato
- Department of Dermatology, University of Naples Federico II, Napoli, Italy
| | - G Monfrecola
- Department of Dermatology, University of Naples Federico II, Napoli, Italy
| | - A Villani
- Department of Dermatology, University of Naples Federico II, Napoli, Italy
| | - F Ayala
- Department of Dermatology, University of Naples Federico II, Napoli, Italy
| | - A Balato
- Department of Dermatology, University of Naples Federico II, Napoli, Italy
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Lembo S, Balato N, Caiazzo G, Megna M, Ayala F, Balato A. The effects of etanercept on replication, proliferation, survival, and apoptosis markers in moderate to severe psoriasis. J Eur Acad Dermatol Venereol 2016; 31:e9-e11. [DOI: 10.1111/jdv.13583] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Affiliation(s)
- S. Lembo
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - N. Balato
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - G. Caiazzo
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - M. Megna
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - F. Ayala
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - A. Balato
- Department of Dermatology; University of Naples Federico II; Naples Italy
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Polistena B, Calzavara-Pinton P, Altomare G, Berardesca E, Girolomoni G, Martini P, Peserico A, Puglisi Guerra A, Spandonaro F, Vena Gino A, Chimenti S, Ayala F. The impact of biologic therapy in chronic plaque psoriasis from a societal perspective: an analysis based on Italian actual clinical practice. J Eur Acad Dermatol Venereol 2015; 29:2411-6. [DOI: 10.1111/jdv.13307] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2015] [Accepted: 06/02/2015] [Indexed: 11/30/2022]
Affiliation(s)
| | | | - G. Altomare
- Department of Dermatology; University of Milan; Milan Italy
| | | | - G. Girolomoni
- Department of Medicine; Dermatology and Venereology Sector; University of Verona; Verona Italy
| | - P. Martini
- Unit of Dermatology; Lucca Hospital; Lucca Italy
| | - A. Peserico
- Unit of Dermatology; Department of Medicine; University of Padua; Padua Italy
| | | | | | - A. Vena Gino
- Unit of Dermatology and Venereology; University of Bari; Bari Italy
| | - S. Chimenti
- Department of Dermatology; Tor Vergata University of Rome; Rome Italy
| | - F. Ayala
- Department of Dermatology; Federico II University of Naples; Naples Italy
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Maresca B, Lembo S, Ayala F, Balato N, Di Caprio R, Mattii M, Raimondo A, Schiattarella M, Abrescia P, Spagnuolo MS, Cigliano L, Balato A. Understanding the role of haptoglobin in psoriasis: effects of ultraviolet B. Clin Exp Dermatol 2015; 41:74-80. [DOI: 10.1111/ced.12667] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/06/2014] [Indexed: 01/14/2023]
Affiliation(s)
- B. Maresca
- Department of Biology; University of Naples Federico II; Naples Italy
| | - S. Lembo
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - F. Ayala
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - N. Balato
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - R. Di Caprio
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - M. Mattii
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - A. Raimondo
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - M. Schiattarella
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - P. Abrescia
- Department of Biology; University of Naples Federico II; Naples Italy
| | - M. S. Spagnuolo
- Institute of Animal Production Systems in Mediterranean Environments; National Research Council; Naples Italy
| | - L. Cigliano
- Department of Biology; University of Naples Federico II; Naples Italy
| | - A. Balato
- Department of Dermatology; University of Naples Federico II; Naples Italy
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Marzano AV, Pigatto P, Cristaudo A, Ayala F, Rossi O, Senna G, Triggiani M, Asero R. Management of chronic spontaneous urticaria: practical parameters. GIORN ITAL DERMAT V 2015; 150:237-246. [PMID: 25714626] [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: 06/04/2023]
Abstract
Chronic urticaria (CU) is a skin disorder characterized by transient, pruritic wheals persisting for longer than 6 weeks. According to the European Academy of Allergy and Clinical Immunology (EAACI) guidelines, CU can be categorized into two main types: chronic spontaneous urticaria (CSU), in which the wheals appear spontaneously, and inducible urticaria, that is triggered by physical agents. CSU may be due to triggering factors such as food allergens or infections, but in at least 40% of cases it is autoimmune in origin, caused by circulating autoantibodies anti-FcεR1 or anti-IgE, or autoreactive. In the present paper, re-evaluating the EAACI guidelines, we have developed a document containing some practical indications which are useful for diagnosis and management of CSU in the context of the Italian situation. Concerning CSU treatment, second generation antihistamines are the first-line treatment; these drugs can be used, as second-line treatment, at a higher than licensed dose in patients who do not respond adequately at licensed doses. The third-line treatment includes leukotriene receptor antagonists which, however, do not have a specific indication for the treatment of CSU, cyclosporine, whose use in this disease is still off-label, and omalizumab. The latter is a recombinant monoclonal IgG antibody that binds free IgE, down regulates mast cell function and induces eosinophil apoptosis. Recently, it has emerged as an effective and safe treatment for antihistamine-unresponsive CSU of both autoimmune/autoreactive and non-autoimmune/non-autoreactive, and has been officially approved for use against this disease.
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Affiliation(s)
- A V Marzano
- Unit of Dermatology, Department of Physiopathology and Transplantation, University of Milan, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy -
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26
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Di Costanzo L, Ayala F, Patruno C, Patrì A, Balato N. Legionellosis and psoriasis in biologic era. GIORN ITAL DERMAT V 2015; 150:130-131. [PMID: 25686289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Affiliation(s)
- L Di Costanzo
- Section of Dermatology, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy -
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Sainz de Baranda P, Cejudo A, Ayala F, Santonja F. Perfil óptimo de flexibilidad del miembro inferior en jugadoras de fútbol sala / Optimal Data of Lower-Limb Muscle Flexibility in Female Futsal Players. rimcafd 2015. [DOI: 10.15366/rimcafd2015.60.003] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
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Scalone L, Cortesi P, Mantovani L, Belisari A, Ayala F, Fortina A, Bonamonte D, Borroni G, Cannavò S, Guarneri F, Cristaudo A, De Pità O, Gallo R, Girolomoni G, Gola M, Lisi P, Pigatto P, Satta R, Giannetti A. Clinical epidemiology of hand eczema in patients accessing dermatological reference centres: results from Italy. Br J Dermatol 2014; 172:187-95. [DOI: 10.1111/bjd.13220] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/18/2014] [Indexed: 11/27/2022]
Affiliation(s)
- L. Scalone
- Research Centre on Public Health (CESP); University of Milan-Bicocca; Villa Serena Via Pergolesi 33 I-20052 Monza Italy
- CHARTA Foundation; Milan Italy
| | - P.A. Cortesi
- Research Centre on Public Health (CESP); University of Milan-Bicocca; Villa Serena Via Pergolesi 33 I-20052 Monza Italy
- CHARTA Foundation; Milan Italy
| | - L.G. Mantovani
- CHARTA Foundation; Milan Italy
- Faculty of Pharmacy; University of Naples Federico II; Naples Italy
| | | | - F. Ayala
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - A.B. Fortina
- Pediatric Dermatology Unit; Department of Medicine; University of Padova; Padova Italy
| | - D. Bonamonte
- Department of Biomedical Science and Human Oncology; Unit of Dermatology; University of Bari ‘Aldo Moro’; Bari Italy
| | - G. Borroni
- Clinical-Surgical, Diagnostic and Pediatric Science; Dermatology Unit; University of Pavia; Fondazione IRCCS Policlinico San Matteo; Pavia Italy
| | - S.P. Cannavò
- Department of Clinical and Experimental Medicine-Unit of Dermatology; University of Messina; Messina Italy
| | - F. Guarneri
- Department of Clinical and Experimental Medicine-Unit of Dermatology; University of Messina; Messina Italy
| | - A. Cristaudo
- Department of Allergological and Occupational Dermatology; San Gallicano Dermatologic Institute, IRCCS; Rome Italy
| | - O. De Pità
- Laboratory of Immunology; Istituto Dermopatico dell'Immacolata (IDI)-IRCCS; Rome Italy
| | - R. Gallo
- Section of Dermatology; DISSAL - Department of Health Sciences; University of Genoa; Genoa Italy
| | - G. Girolomoni
- Department of Medicine; Section of Dermatology and Venereology; University of Verona; Verona Italy
| | - M. Gola
- Allergological and Occupational Dermatology Unit; Department of Critical Care Medicine and Surgery; University of Florence; Florence Italy
| | - P. Lisi
- Department of Medical and Surgical Specialities and Public Health; Section of Clinical, Allergological and Venereological Dermatology; University of Perugia; Perugia Italy
| | - P.D. Pigatto
- Department of Biomedical Science for Health IRCCS Galeazzi Hospital; University of Milan; Milan Italy
| | - R. Satta
- Institute of Dermatology; University of Sassari; Sassari Italy
| | - A. Giannetti
- Division of Dermatology; University of Modena and Reggio Emilia; Modena Italy
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Altomare G, Ayala F, Bardazzi F, Bellia G, Chimenti S, Colombo D, Flori ML, Girolomoni G, Micali G, Parodi A, Peris K, Vena GA. Consensus on the use of cyclosporine in dermatological practice. Italian Consensus Conference. GIORN ITAL DERMAT V 2014; 149:607-625. [PMID: 25213388] [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: 06/03/2023]
Abstract
Cyclosporine A (CsA) efficacy and safety have been proven in various dermatoses both in adults and in children even as long-term treatment. Over the last 25 years, Italian dermatologists have gathered relevant experience about CsA treatment for psoriasis and atopic dermatitis. This paper has been developed by an Italian Consensus Conference and it is aimed at providing recommendations based on real-world clinical experience in adult patients, consistent with efficacy and safety data arising from the scientific literature. The paper is mainly focused on the analysis of the optimal therapeutic schemes for psoriasis and atopic dermatitis, in terms of doses and treatment duration, according to individual characteristics and to the severity of the disease. Moreover, it overviews ideal management, taking into account pharmacological interactions, influence of comorbidities, and the most common adverse events related to CsA treatment.
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Affiliation(s)
- G Altomare
- IRCCS Galeazzi, University of Milan, Milan, Italy -
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Balato N, Megna M, Palmisano F, Patruno C, Napolitano M, Scalvenzi M, Ayala F. Psoriasis and sport: a new ally? J Eur Acad Dermatol Venereol 2014; 29:515-20. [PMID: 25132013 DOI: 10.1111/jdv.12607] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2014] [Accepted: 05/20/2014] [Indexed: 02/06/2023]
Abstract
BACKGROUND Psoriasis is a common chronic multifactorial disease which can result in restrictions to social and recreational activities. Psoriasis subjects are at high risk to develop metabolic and cardiovascular diseases. Physical activity, a vital component in prevention and management of these diseases, is reported to be potentially associated in a negative way with psoriasis. OBJECTIVE To investigate the relationship between psoriasis and physical activity. MATERIALS AND METHODS Anamnestic and physical examination as well as a specific doctor-administered questionnaire was performed to a group of 416 consecutive sportive subjects and 489 sex and age-matched controls. Moreover, similar investigations were executed on 400 consecutive psoriatic patients without psoriatic arthritis. RESULTS Psoriasis was significantly more common in controls respect to sportive group (n = 27, 5.4% vs. n = 7, 1.7%, P < 0.01) whereas a positive familial history of psoriasis was observed in similar percentages in both groups (n = 51, 10.2% vs. n = 40, 9.6%). The number of subjects performing sports activities was significantly lower in psoriasis group compared to controls (n = 44, 11% vs. n = 106, 21.3%; P < 0.001). Of these psoriatic patients, 35/44 referred that sporting activities showed a positive influence on the natural course of their disease, whereas the remaining 11 patients did not highlight positive or negative influences on their illness. Interestingly, 23.75% of psoriatic patients (n = 95) related that they had regularly carried out sporting activities before the onset of the dermatosis referring that psoriasis represented a huge obstacle to continue practicing physical activities. CONCLUSION Our survey showed that regular physical activity may lower the risk of psoriasis and have a beneficial effect on the natural course of the disease, positively influencing not only the severity as well as the incidence of metabolic comorbidities, but also, through possible epigenomic, metabolic, anti-inflammatory and psycho-emotional effects, the onset of the dermatosis. However, larger birth cohort studies are needed to confirm these results.
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Affiliation(s)
- N Balato
- Department of Dermatology, University of Naples Federico II, Naples, Italy
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Balato A, Di Caprio R, Lembo S, Mattii M, Megna M, Schiattarella M, Tarantino G, Balato N, Ayala F, Monfrecola G. Mammalian Target of Rapamycin in Inflammatory Skin Conditions. EUR J INFLAMM 2014. [DOI: 10.1177/1721727x1401200213] [Citation(s) in RCA: 14] [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
The conserved serine/threonine kinase mammalian target of rapamycin (mTOR) is a major regulator of survival growth, proliferation and motility, in response to mitogens, energy and nutrient levels. Dysregulation of mTOR pathway has been observed in various inflammatory or neoplastic human diseases. To assess the potential involvement of mTOR in some of the most common inflammatory skin diseases, and its interaction with other inflammatory mediators, we investigated mTOR expression in psoriasis, allergic contact dermatitis (ACD) and atopic dermatitis (AD). mTOR gene expression was assessed in the following conditions: i) skin biopsies from 15 patients affected by psoriasis, 5 patients with ACD, 5 patients with AD and 3 patients with EGFR-inhibitor-induced skin rash; ii) in immortalized keratinocytes HaCaT, primary human keratinocytes (KCs) and full thickness skin organ cultures, incubated with tumor necrosis factor (TNF)-α, interleukin (IL) 17A or their combination; iii) in HaCaT cells stimulated with ultraviolet (UV)B; iv) in skin biopsies from 5 psoriatic patients before and after 16 weeks of anti-TNF-α therapy; mTOR expression was also evaluated through immunohistochemistry in lesional and non-lesional skin samples from 5 psoriatic patients. Moreover, mTOR major up-stream and down-stream regulator gene expression was assessed in skin biopsies from 15 patients affected by psoriasis, 5 patients with ACD, 5 patients with AD and 3 patients with EGFR-inhibitor-induced skin rash. All analyzed skin diseases showed an increase of mTOR gene expression whereas mTOR up-stream negative regulators were reduced or not enhanced in all of them. mTOR was strongly expressed in all epidermal layers of lesional and non-lesional psoriatic skin. Conversely, pro-inflammatory conditions, in vitro, were not able to increase mTOR levels, except for UVB. Similarly, anti-TNF-α therapy was not able to reduce mTOR gene expression in patients with psoriasis. Our study provides evidence that mTOR is involved in cutaneous inflammatory process, but through a signalling not directly dependent from Th1-Th17 pathway.
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Affiliation(s)
- A. Balato
- Department of Dermatology, University of Naples Federico II, Naples, Italy
| | - R. Di Caprio
- Department of Dermatology, University of Naples Federico II, Naples, Italy
| | - S. Lembo
- Department of Dermatology, University of Naples Federico II, Naples, Italy
| | - M. Mattii
- Department of Dermatology, University of Naples Federico II, Naples, Italy
| | - M. Megna
- Department of Dermatology, University of Naples Federico II, Naples, Italy
| | - M. Schiattarella
- Department of Dermatology, University of Naples Federico II, Naples, Italy
| | - G. Tarantino
- Department of Clinical and Experimental Medicine, University of Naples Federico II, Naples, Italy
| | - N. Balato
- Department of Dermatology, University of Naples Federico II, Naples, Italy
| | - F. Ayala
- Department of Dermatology, University of Naples Federico II, Naples, Italy
| | - G. Monfrecola
- Department of Dermatology, University of Naples Federico II, Naples, Italy
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Paul C, Puig L, Kragballe K, Luger T, Lambert J, Chimenti S, Girolomoni G, Nicolas J, Rizova E, Lavie F, Mistry S, Bergmans P, Barker J, Reich K, Adamski Z, Altomare G, Aricò M, Aste N, Aubin F, Augustin M, Ayala F, Bachelez H, Baran E, Barker J, Belinchón I, Berbis P, Bernengo M, Bessis D, Beylot‐Barry M, Bordas Orpinell F, Burden D, Bylaite M, Cambazard F, Carazo S, Carrascosa J, Carretero G, Cerio R, Chimenti S, David M, Duval‐Modeste A, Eedy D, Estebaranz L, Filipe P, Flytström I, Fonseca E, Gamanya R, Ghislain P, Giannetti A, Girolomoni G, Gospodinov D, Griffiths C, Grob J, Guillet G, Hernanz Hermosa J, Hoffmann M, Ioannidis D, Jacobi A, Jemec G, Kadurina M, Kaszuba K, Katsambas A, Kemeny L, Kerkhof P, Kragballe K, Kuzmina N, Lambert K, Lázaro P, Lotti T, Luger T, Matz H, Modiano P, Moessner R, Moreno D, Moreno Jímenez J, Mørk N, Mrowietz U, Murphy R, Nicolas J, Nikkels A, Oliveira H, Ormerod A, Ortonne J, Parodi A, Pasternack R, Paul C, Pec J, Peserico A, Philipp S, Piquet L, Plantin P, Puig L, Reich K, Reményik E, Riedl E, Röcken M, Rustin M, Saari S, Saiag P, Salmhofer W, Schadendorf D, Sebastian M, Simaljakova M, Simon J, Spirén A, Stalder J, Stavrianeas N, Sticherling M, Ternowitz T, Thaci D, Thio B, Uhlig D, Valiukeviciene S, Vanaclocha Sebastián F, Wozel G. Transition to ustekinumab in patients with moderate‐to‐severe psoriasis and inadequate response to methotrexate: a randomized clinical trial (
TRANSIT
). Br J Dermatol 2014; 170:425-34. [DOI: 10.1111/bjd.12646] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/19/2013] [Indexed: 12/25/2022]
Affiliation(s)
- C. Paul
- Hôpital Larrey Service de Dermatologie Toulouse cedex 9 31059 France
| | - L. Puig
- Department of Dermatology Hospital de la Santa Creu i Sant Pau Universitat Autònoma de Barcelona 08025 Barcelona Spain
| | - K. Kragballe
- Department of Dermatology Århus University Hospital Århus Sygehus 8000 Århus Denmark
| | - T. Luger
- Department of Dermatology University of Münster D‐48149 Münster Germany
| | - J. Lambert
- Department of Dermatology Ghent University 9000 Ghent Belgium
| | - S. Chimenti
- Policlinico Universitario Tor Vergata Clinica Dermatologica 00133 Rome Italy
| | - G. Girolomoni
- Clinica Dermatologica University of Verona 37126 Verona Italy
| | | | - E. Rizova
- Janssen‐Cilag 1 rue Camille Desmoulins TSA 91003 92787 Issy les Moulineaux, Cedex 9 France
| | - F. Lavie
- Janssen‐Cilag 1 rue Camille Desmoulins TSA 91003 92787 Issy les Moulineaux, Cedex 9 France
| | - S. Mistry
- Janssen 50‐100 Holmers Farm Way High Wycombe Bucks HP12 4EG U.K
| | - P. Bergmans
- Janssen‐Cilag B.V. Postbus 90240 5000 LT Tilburg the Netherlands
| | - J. Barker
- St John's Institute of Dermatology King's College London SE1 9RT U.K
| | - K. Reich
- Dermatologikum Hamburg Stephansplatz 5 20354 Hamburg Germany
- Georg‐August‐University Göttingen Germany
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Balato A, Di Costanzo L, Patruno C, Ayala F, Megna M, Balato N. Psoriasis or "psoriases"? GIORN ITAL DERMAT V 2013; 148:649-650. [PMID: 24442045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Affiliation(s)
- A Balato
- Department of Dermatology University of Naples Federico II, Naples, Italy -
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Balato A, Schiattarella M, Di Caprio R, Lembo S, Mattii M, Balato N, Ayala F. Effects of adalimumab therapy in adult subjects with moderate-to-severe psoriasis on Th17 pathway. J Eur Acad Dermatol Venereol 2013; 28:1016-24. [DOI: 10.1111/jdv.12240] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2013] [Revised: 07/04/2013] [Accepted: 07/18/2013] [Indexed: 12/31/2022]
Affiliation(s)
- A. Balato
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - M. Schiattarella
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - R. Di Caprio
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - S. Lembo
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - M. Mattii
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - N. Balato
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - F. Ayala
- Department of Dermatology; University of Naples Federico II; Naples Italy
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Ayala F, Sampogna F, Romano GV, Merolla R, Guida G, Gualberti G, Paparatti UDL, Amerio P, Balato N, Potenza C. The impact of psoriasis on work-related problems: a multicenter cross-sectional survey. J Eur Acad Dermatol Venereol 2013; 28:1623-32. [PMID: 23962152 DOI: 10.1111/jdv.12233] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2013] [Revised: 06/24/2013] [Accepted: 07/11/2013] [Indexed: 11/30/2022]
Abstract
BACKGROUND Psoriasis can have cumulative physical and psychosocial effects preventing sufferers from achieving their full-life potential. Few studies have addressed the impact of psoriasis on work-related characteristics. OBJECTIVE To evaluate the impact of psoriasis on education prospects and work limitations in patients with moderate-to-severe psoriasis. METHODS This study was conducted in 29 dermatology centres across Italy. Information was collected by questionnaire during office visits. RESULTS A total of 787 patients (64% male, aged 50 years) completed the questionnaire. At the time of the survey, mean Psoriasis Area and Severity Index (PASI) score and disease duration were 10 and 19 years respectively. Current smokers had higher PASI scores compared to non-smokers (10.8 vs. 9.4, P = 0.02). Plaque psoriasis was the most frequently described (91.2%). Fifty-five percent of patients had limited expectations of career progression. Similarly, in 42% of cases, psoriasis reduced the prospects of improvement in employment status and 35% of patients reported having reduced earning potential. Approximately 60% of patients reported that psoriasis localized to their hands or feet caused work limitations, whilst in about 25%, it caused them to quit their job. Approximately 37% of patients reported having lost between 3-10 work days in the past 3 months due to clinical assessment or treatment. Logistic regression revealed that gender, low standard of education, number of localizations, shame, anger and self-esteem were predictors significantly associated with limitations in work. CONCLUSIONS Moderate-to-severe psoriasis has a profound negative impact on the employment capacity of patients in Italy. Psoriasis also contributes to days lost from work, affects job opportunity, career prospects and revenue potential.
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Affiliation(s)
- F Ayala
- Department of Clinical Medicine and Surgery, Università di Napoli, Federico II, Naples, Italy
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Balato N, Ayala F, Megna M, Balato A, Patruno C. Climate change and skin. GIORN ITAL DERMAT V 2013; 148:135-146. [PMID: 23407083] [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: 06/01/2023]
Abstract
Global climate appears to be changing at an unprecedented rate. Climate change can be caused by several factors that include variations in solar radiation received by earth, oceanic processes (such as oceanic circulation), plate tectonics, and volcanic eruptions, as well as human-induced alterations of the natural world. Many human activities, such as the use of fossil fuel and the consequent accumulation of greenhouse gases in the atmosphere, land consumption, deforestation, industrial processes, as well as some agriculture practices are contributing to global climate change. Indeed, many authors have reported on the current trend towards global warming (average surface temperature has augmented by 0.6 °C over the past 100 years), decreased precipitation, atmospheric humidity changes, and global rise in extreme climatic events. The magnitude and cause of these changes and their impact on human activity have become important matters of debate worldwide, representing climate change as one of the greatest challenges of the modern age. Although many articles have been written based on observations and various predictive models of how climate change could affect social, economic and health systems, only few studies exist about the effects of this change on skin physiology and diseases. However, the skin is the most exposed organ to environment; therefore, cutaneous diseases are inclined to have a high sensitivity to climate. For example, global warming, deforestation and changes in precipitation have been linked to variations in the geographical distribution of vectors of some infectious diseases (leishmaniasis, lyme disease, etc) by changing their spread, whereas warm and humid environment can also encourage the colonization of the skin by bacteria and fungi. The present review focuses on the wide and complex relationship between climate change and dermatology, showing the numerous factors that are contributing to modify the incidence and the clinical pattern of many dermatoses.
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Affiliation(s)
- N Balato
- Department of Dermatology, University of Naples Federico II, Naples, Italy
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Balato N, Megna M, Di Costanzo L, Balato A, Ayala F. Educational and motivational support service: a pilot study for mobile-phone-based interventions in patients with psoriasis. Br J Dermatol 2012; 168:201-5. [PMID: 23240729 DOI: 10.1111/j.1365-2133.2012.11205.x] [Citation(s) in RCA: 72] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
BACKGROUND Psoriasis is a chronic disease which requires long-term therapy. Therefore, adherence to therapy and patient motivation are key points in controlling the disease. Mobile-phone-based interventions, and in particular text messages (TM), have already been used effectively to motivate patients and improve treatment adherence in many different chronic diseases such as diabetes, cardiovascular disease and asthma. OBJECTIVES To evaluate the use of TM in improving treatment adherence and several patient outcomes such as quality of life, disease severity, patient-perceived disease severity and the patient-physician relationship. PATIENTS AND METHODS Daily TM, providing reminders and educational tools, were sent for 12 weeks to a group of 20 patients with psoriasis. At the beginning and end of the study the following assessments were performed: Psoriasis Area Severity Index (PASI), Self-Administered Psoriasis Area Severity Index (SAPASI), body surface area (BSA), Physician Global Assessment (PGA), Dermatology Life Quality Index (DLQI), evaluation of patient-physician relationship and adherence to therapy. A matched control group of 20 patients with psoriasis was used for comparison of the same outcomes. RESULTS Both patient groups had similar scores for PASI, SAPASI, BSA, PGA and DLQI at baseline. However, after 12 weeks the intervention group reported a significantly better improvement of disease severity as well as quality of life, showing lower values of PASI, SAPASI, BSA, PGA and DLQI with respect to the control group (P<0·05). Moreover, adherence to therapy improved in a statistically significant way (P<0·001) whereas it remained stable in the control group. Similarly, TM interventions led to an optimization of patient-physician communication. CONCLUSIONS TM interventions seem to be a very promising tool for the long-term management of patients with psoriasis, leading to an increased compliance to therapy, positive changes in self-care behaviours and better patient-physician relationship allowing improved clinical outcomes and better control of the disease.
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Affiliation(s)
- N Balato
- Department of Dermatology, University of Naples Federico II, Via Pansini 5, 80131 Naples, Italy
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Girolomoni G, Vena GA, Ayala F, Cannavò SP, De Pità O, Chimenti S, Peserico A. Consensus on the use of the fixed combination calcipotriol/betamethasone dipropionate in the treatment of plaque psoriasis. GIORN ITAL DERMAT V 2012; 147:609-624. [PMID: 23149707] [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: 06/01/2023]
Abstract
Calcipotriol, a vitamin D analogue, and betamethasone dipropionate, a high potency corticosteroid, are complementary agents for the topical treatment of psoriasis vulgaris. Robust evidence on the efficacy and safety of their fixed combination has been provided by randomized, double-blind, controlled clinical trials involving more than 7000 patients with the ointment formulation in psoriasis of the body and more than 4000 patients with the gel formulation in scalp psoriasis. These trials have shown that the fixed combination ointment is more effective and better tolerated, not only than placebo, but also than calcipotriol and tacalcitol monotherapies. In addition, it has proved, in most instances, to be more effective than betamethasone and at least as well tolerated. The same applies to the gel for scalp and body psoriasis. Safety studies have excluded that repeated courses of treatment with the fixed combination for up to one year produce systemic effects. Studies have also shown that the fixed combination treatment improves quality of life to a significantly greater extent than calcipotriol, with the once daily regimen most appreciated by patients, in both active disease and recurrency. Because of the extensive evidence, American and European guidelines recommend the calcipotriol/betamethasone dipropionate fixed combination as first line topical treatment for mild to moderate plaque psoriasis of the body and scalp.
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Affiliation(s)
- G Girolomoni
- Department of Medicine, Section of Dermatology and Venereology, University of Verona, Verona, Italy.
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Ayala F, Sainz de Baranda P, De Ste Croix M, Santonja F. Comparison of active stretching technique in males with normal and limited hamstring flexibility. Phys Ther Sport 2012; 14:98-104. [PMID: 23007137 DOI: 10.1016/j.ptsp.2012.03.013] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2011] [Revised: 03/06/2012] [Accepted: 03/08/2012] [Indexed: 11/28/2022]
Abstract
OBJECTIVE (1) to analyse the accumulative effects of a 12-week active stretching program on hip flexion passive range of motion (HF-PROM), and (2) to compare whether participants with different PROM baseline scores (normal and limited hamstring flexibility) respond in the same way to stretching. DESIGN Repeated measures design. SETTING Controlled laboratory environment. PARTICIPANTS 138 males were categorized according to hamstring flexibility in the unilateral passive straight-leg raise test (PSLR) and assigned to one of two groups: normal hamstring flexibility (≥80°) or limited hamstring flexibility (<80°). In each group, participants were randomly distributed into one of two treatment subgroups: (a) control or (b) active stretching. The active stretching subgroups performed 12 weeks of flexibility training, the control subgroups did not stretch. MAIN OUTCOME MEASURES HF-PROM was determined through the PSLR test. RESULTS Both stretching subgroups significantly improved (p < 0.01) their HF-PROM from baseline. The control subgroups did not. CONCLUSIONS 12 weeks of an active stretching program performed 3 days per week with a daily stretch dose of 180 s improved HF-PROM in both populations (normal and limited hamstring flexibility). The stretching program was equally effective in terms of absolute improvement values for males with normal and limited hamstring flexibility.
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Affiliation(s)
- F Ayala
- Research Group: Musculoskeletal System, Physiotherapy and Sports. University of Murcia, Murcia, Spain.
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Colombino M, Sini M, De Giorgi V, Lissia A, Massi D, Rubino C, Cossu A, Ayala F, Ascierto P, Palmieri G. Multiple Primary Melanomas from Same Patients Present Discrepant Somatic Alterations in Main Candidate Genes. Ann Oncol 2012. [DOI: 10.1016/s0923-7534(20)33714-5] [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: 12/01/2022] Open
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Ayala F, De Ste Croix M, Sainz de Baranda P, Santonja F. Absolute reliability of isokinetic knee flexion and extension measurements adopting a prone position. Clin Physiol Funct Imaging 2012; 33:45-54. [PMID: 23216765 DOI: 10.1111/j.1475-097x.2012.01162.x] [Citation(s) in RCA: 15] [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: 04/17/2012] [Accepted: 07/06/2012] [Indexed: 11/27/2022]
Abstract
The main purpose of this study was to determine the absolute and relative reliability of isokinetic peak torque (PT), angle of peak torque (APT), average power (PW) and total work (TW) for knee flexion and extension during concentric and eccentric actions measured in a prone position at 60, 180 and 240° s(-1). A total of 50 recreational athletes completed the study. PT, APT, PW and TW for concentric and eccentric knee extension and flexion were recorded at three different angular velocities (60, 180 and 240° s(-1)) on three different occasions with a 72- to 96-h rest interval between consecutive testing sessions. Absolute reliability was examined through typical percentage error (CV(TE)), percentage change in the mean (ChM) and relative reliability with intraclass correlations (ICC(3,1)). For both the knee extensor and flexor muscle groups, all strength data (except APT during knee flexion movements) demonstrated moderate absolute reliability (ChM < 3%; ICCs > 0·70; and CV(TE) < 20%) independent of the knee movement (flexion and extension), type of muscle action (concentric and eccentric) and angular velocity (60, 180 and 240° s(-1)). Therefore, the current study suggests that the CV(TE) values reported for PT (8-20%), APT (8-18%) (only during knee extension movements), PW (14-20%) and TW (12-28%) may be acceptable to detect the large changes usually observed after rehabilitation programmes, but not acceptable to examine the effect of preventative training programmes in healthy individuals.
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Affiliation(s)
- F Ayala
- High Institute of Teaching (ISEN), University of Murcia, Murcia, Spain.
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Fabbrocini G, Panariello L, De Vita V, Vincenzi C, Lauro C, Nappo D, Ayala F, Tosti A. Quality of life in alopecia areata: a disease-specific questionnaire. J Eur Acad Dermatol Venereol 2012; 27:e276-81. [PMID: 22759244 DOI: 10.1111/j.1468-3083.2012.04629.x] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
BACKGROUND Alopecia areata (AA) is an autoimmune disease affecting about 2% of the population, which has a considerable impact on quality of life (QoL). There are no disease-specific questionnaires to assess QoL in patients suffering from AA. OBJECTIVE To validate a new disease-specific questionnaire for AA, named AA-QLI, and to compare the consequent Quality of Life Index (QLI) with the commonly known Dermatology Life Quality Index (DLQI) to verify if it can provide a more comprehensive tool for patients. METHODS A total of 50 patients affected by AA were administered both the AA-QLI, created by us, and the well-known DLQI. With the aim to detect suitable QLI, we propose to use two multivariate analyses: • a principal component analysis approach on the data collected with both questionnaires to compare their capability to measure the QoL; • a structural equation modelling on our AA-QLI to identify which category of symptoms mostly affects the QoL. RESULTS The scores of both the questionnaires are quite close, except for a few cases. Statistical analysis shows a higher specificity of the AA-QLI for evaluating QoL. Among the three areas in which AA-QLI is divided, 'Relationship' has a major impact on the QLI, followed by 'Subjective symptoms'; 'Objective signs' has a lower weight on the QLI. CONCLUSION AA-QLI is a good instrument to evaluate the real impact of AA on QoL. It can be helpful both for the physician and for the patient.
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Affiliation(s)
- G Fabbrocini
- Department of Systematic Pathology, Section of Clinical, Allergological and Venereological Dermatology, University of Naples Federico II, Italy Department of Specialistic and Experimental Clinical Medicine, Division of Dermatology, University of Bologna, Italy Department of Mathematics and Statistics, University of Naples Federico II, Italy
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Ayala F, De Ste Croix M, Sainz de Baranda P, Santonja F. Absolute reliability of hamstring to quadriceps strength imbalance ratios calculated using peak torque, joint angle-specific torque and joint ROM-specific torque values. Int J Sports Med 2012; 33:909-16. [PMID: 22706945 DOI: 10.1055/s-0032-1311586] [Citation(s) in RCA: 17] [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: 10/28/2022]
Abstract
The main purpose of this study was to determine the absolute reliability of conventional (H/Q(CONV)) and functional (H/Q(FUNC)) hamstring to quadriceps strength imbalance ratios calculated using peak torque values, 3 different joint angle-specific torque values (10°, 20° and 30° of knee flexion) and 4 different joint ROM-specific average torque values (0-10°, 11-20°, 21-30° and 0-30° of knee flexion) adopting a prone position in recreational athletes. A total of 50 recreational athletes completed the study. H/Q(CONV) and H/Q(FUNC) ratios were recorded at 3 different angular velocities (60, 180 and 240°/s) on 3 different occasions with a 72-96 h rest interval between consecutive testing sessions. Absolute reliability was examined through typical percentage error (CVTE), percentage change in the mean (CM) and intraclass correlations (ICC) as well as their respective confidence limits. H/Q(CONV) and H/Q(FUNC) ratios calculated using peak torque values showed moderate reliability values, with CM scores lower than 2.5%, CV(TE) values ranging from 16 to 20% and ICC values ranging from 0.3 to 0.7. However, poor absolute reliability scores were shown for H/Q(CONV) and H/Q(FUNC) ratios calculated using joint angle-specific torque values and joint ROM-specific average torque values, especially for H/Q(FUNC) ratios (CM: 1-23%; CV(TE): 22-94%; ICC: 0.1-0.7). Therefore, the present study suggests that the CV(TE) values reported for H/Q(CONV) and H/Q(FUNC) (≈18%) calculated using peak torque values may be sensitive enough to detect large changes usually observed after rehabilitation programmes but not acceptable to examine the effect of preventitive training programmes in healthy individuals. The clinical reliability of hamstring to quadriceps strength ratios calculated using joint angle-specific torque values and joint ROM-specific average torque values are questioned and should be re-evaluated in future research studies.
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Affiliation(s)
- F Ayala
- Department of Health Sciences and Sports, Catholic University of San Antonio of Murcia, Murcia, Spain.
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Ayala F, Sainz de Baranda P, De Ste Croix M, Santonja F. Reproducibility and criterion-related validity of the sit and reach test and toe touch test for estimating hamstring flexibility in recreationally active young adults. Phys Ther Sport 2012; 13:219-26. [PMID: 23068896 DOI: 10.1016/j.ptsp.2011.11.001] [Citation(s) in RCA: 55] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2011] [Revised: 08/14/2011] [Accepted: 11/09/2011] [Indexed: 10/14/2022]
Abstract
OBJECTIVE 1) to examine the test-retest reproducibility and criterion-related validity of the sit and reach test (SRT) and the toe touch test (TT) for estimating hamstring flexibility measured through the passive straight leg raise test (PSLR); and 2) to determine whether the SRT cut-off scores may be used for the TT test to identify participants in this sample of young healthy adults as having short hamstring flexibility. DESIGN Test-retest design. SETTING Controlled laboratory environment. PARTICIPANTS 243 active recreationally young adults. MAIN OUTCOME MEASURES Participants performed the SRT, the TT test and PSLR twice in a randomized order with a 4-week interval between trials. Reproducibility was examined using typical percentage error (coefficient of variation [CV]) and intraclass correlation coefficient (ICC) as well as their respective confidence limits. Regression and Kappa correlation statistical analyses were performed to study the association of the SRT and TT test with the PSLR test and the 95% limits of agreement (LoA) between SRT and TT test were calculated to explore differences in the mean differences between these measurements. RESULTS The finding showed acceptable reproducibility measures for SRT (8.74% CV; 0.92 ICC), TT test (9.86% CV; 0.89 ICC) and PSLR (5.46% CV; 0.85 ICC). The SRT (R² = 0.63) and TT test (R² = 0.49) were significantly associated with PSLR. The 95% LoA between SRT and TT test reported systematic bias (2.84 cm) and wide 95% random error (±9.72 cm). CONCLUSIONS Reproducibility of SRT, TT test and PSLR is acceptable and the criterion-related validity of SRT and TT test is moderate. Furthermore, the SRT cut-off scores should not be used for TT test for the detection of short hamstring muscles.
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Affiliation(s)
- F Ayala
- Department of Health Sciences and Sports, Catholic University of San Antonio, Campus de los Jerónimos, s/n. 30107 Guadalupe, Murcia, Spain.
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Nino M, Costa C, Mascolo M, Scalvenzi M, Ayala F. Multiple eccrine hidrocystomas: report of two cases. GIORN ITAL DERMAT V 2011; 146:501-503. [PMID: 22095183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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Ayala F, Sainz de Baranda P, De Ste Croix M, Santonja F. Criterion-related validity of four clinical tests used to measure hamstring flexibility in professional futsal players. Phys Ther Sport 2011; 12:175-81. [DOI: 10.1016/j.ptsp.2011.02.005] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2010] [Revised: 02/14/2011] [Accepted: 02/21/2011] [Indexed: 10/18/2022]
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Savastano S, Balato N, Gaudiello F, Di Somma C, Brancato V, Colao A, Ayala F, Tarantino G. Insulin-like Growth Factor-1, Psoriasis, and Inflammation: A Ménage à Trois? EUR J INFLAMM 2011. [DOI: 10.1177/1721727x1100900308] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Psoriatic patients have an accumulation of metabolic syndrome (MS) and cardiovascular diseases (CVD), likely mediated by systemic inflammation, and exhibiting low circulating levels of insulin-like growth factor (IGF)-I, a marker of MS and CVD in the general population. The aim of this study is to determine the association of IGF-I and inflammation, and to assess the cardio-metabolic risk calculating the visceral adiposity index (VAI), in a group of psoriatic patients without MS. IGF-I, fibrinogen, C-reactive protein (CRP), and interleukin (IL)-6 levels were determined in 20 patients with moderate to severe psoriasis (age range 23–77 yrs) without MS, according to criteria of the National Cholesterol Education Program's Adult Panel III (ATP III), and 20 age- and BMI-matched controls. The standard deviation score (SDS) of IGF-I levels according to age (zSDS), the homeostasis model assessment of insulin resistance (HOMA-IR), the whole-body insulin sensitivity index (ISI), and VAI were also calculated. Psoriasis Area and Severity Index (PASI) mean value was 17.8±11. HDL cholesterol and IGF-I zSDS values were lower (p<0.001) and waist circumference (p<0.001), VAI, fibrinogen, and IL-6 (p<0.005) were higher compared with controls, while HOMA-IR and ISI were not statistically different. Lower IGF-I zSDS values were associated to higher values of BMI (p=0.04), waist circumference, VAI (p<0.001), PASI (p=0.011), or IL-6 (p<0.001). At the multivariate analysis PASI was the major determinant of IGF-I zSDS (p=0.016), accounting for 37% of its variability. In a subset of psoriatic patients without MS, chronic inflammation might be an important modulator of low IGF-I status, as a further possible mechanistic link between psoriasis and associated metabolic co-morbidities. The negative correlation between age-related IGF-I values and VAI suggest the involvement of adipocyte dysfunction in low IGF-I status more than MS per se. Further studies are needed to address whether these results are valid also for other psoriatic patients.
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Affiliation(s)
- S. Savastano
- Department of Molecular and Clinical
Endocrinology and Oncology, Division of Endocrinology, Federico II University
Medical School of Naples
| | - N. Balato
- Department of Systematic Pathology,
Division of Clinical Dermatology, Federico II University Medical School of
Naples
| | - F. Gaudiello
- Department of Systematic Pathology,
Division of Clinical Dermatology, Federico II University Medical School of
Naples
| | | | - V. Brancato
- Department of Molecular and Clinical
Endocrinology and Oncology, Division of Endocrinology, Federico II University
Medical School of Naples
| | - A. Colao
- Department of Molecular and Clinical
Endocrinology and Oncology, Division of Endocrinology, Federico II University
Medical School of Naples
| | - F. Ayala
- Department of Systematic Pathology,
Division of Clinical Dermatology, Federico II University Medical School of
Naples
| | - G. Tarantino
- Department of Clinical and
Experimental Medicine, Federico II University Medical School of Naples, Italy
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Loffredo S, Ayala F, Marone GC, Genovese A, Marone G. Immunopathogenesis of psoriasis and psoriatic arthritis and pharmacological perspectives. Reumatismo 2011; 59 Suppl 1:28-39. [PMID: 17828356 DOI: 10.4081/reumatismo.2007.1s.28] [Citation(s) in RCA: 3] [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: 11/23/2022] Open
Abstract
Psoriasis and psoriatic arthritis are chronic inflammatory disorders resulting from a combination of genetic and environmental factors, though the precise causal agents have not yet been identified. The immune system has a major role in their development and the possibility exists that self antigens or antigens from microbial agents, or microbial superantigens initiate a vigorous immune response. Different subsets of T-lymphocytes and dendritic cells, mast cells and granulocytes participate in the pathogenesis and several cytokines and chemokines have been identified in tissue lesions. TNF-alpha is a key proinflammatory cytokine with important pathogenetic role in psoriasis and psoriatic arthritis. Evidence from clinical trials targeting the TNF-alpha-TNF-alpha-receptor supports a central role for this cytokine in the pathogenesis of psoriasis and psoriatic arthritis. Angiogenesis is a prominent early event in lesional psoriatic skin and in synovial membrane psoriatic arthritis. Future potential targets in the treatment of these disorders include biologic agents aimed at blockade of other cytokines, chemokines and angiogenic factors.
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Affiliation(s)
- S Loffredo
- Division of Clinical Immunology and Allergy, University of Naples Federico II, Naples, Italy
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