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Mastorino L, Castelli F, Stroppiana E, Verrone A, Ortoncelli M, Susca S, Boskovic S, Passerini SG, Macagno N, Cariti C, Licciardello M, Solaroli C, Pertusi G, Aragone MG, Baggini G, Addese C, Leporati C, Peila R, Giura MT, Rossotto G, Pella P, Mocci L, Merlo G, Tiberio R, Graziola F, Quaglino P, Dapavo P, Ribero S. Risankizumab shows faster response in bio naïve than in bio-experienced psoriatic patients. J Eur Acad Dermatol Venereol 2022; 36:e838-e841. [PMID: 35686942 DOI: 10.1111/jdv.18314] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Accepted: 06/03/2022] [Indexed: 11/27/2022]
Affiliation(s)
- L Mastorino
- Department of Medical Sciences, Section of Dermatology, University of Turin, Torino, Italy
| | - F Castelli
- Section of Dermatology, Koelliker Hospital, Turin, Italy
| | - E Stroppiana
- Department of Medical Sciences, Section of Dermatology, University of Turin, Torino, Italy
| | - A Verrone
- Department of Medical Sciences, Section of Dermatology, University of Turin, Torino, Italy
| | - M Ortoncelli
- Department of Medical Sciences, Section of Dermatology, University of Turin, Torino, Italy
| | - S Susca
- Department of Medical Sciences, Section of Dermatology, University of Turin, Torino, Italy
| | - S Boskovic
- Department of Medical Sciences, Section of Dermatology, University of Turin, Torino, Italy
| | - S G Passerini
- Department of Medical Sciences, Section of Dermatology, University of Turin, Torino, Italy
| | - N Macagno
- Department of Medical Sciences, Section of Dermatology, University of Turin, Torino, Italy
| | - C Cariti
- Department of Medical Sciences, Section of Dermatology, University of Turin, Torino, Italy
| | - M Licciardello
- Section of Dermatology, Koelliker Hospital, Turin, Italy
| | - C Solaroli
- Section of Dermatology, Koelliker Hospital, Turin, Italy
| | - G Pertusi
- Outpatient Clinic, Section of Dermatology, ASL VC, Vercelli, Italy
| | - M G Aragone
- Outpatient Clinic, Section of Dermatology, ASL AL, Alessandria, Italy
| | - G Baggini
- Outpatient Clinic, Section of Dermatology, ASL AL, Alessandria, Italy
| | - C Addese
- Outpatient Clinic, Section of Dermatology, ASLTO4, Ivrea, Italy
| | - C Leporati
- Outpatient Clinic, Section of Dermatology, ASLTO4, Ivrea, Italy
| | - R Peila
- Outpatient Clinic, Section of Dermatology, ASLTO4, Ivrea, Italy
| | - M T Giura
- Surgery Department, Section of Dermatology, Cardinal Massaia Hospital, ASL AT, Asti, Italy
| | - G Rossotto
- Surgery Department, Section of Dermatology, Cardinal Massaia Hospital, ASL AT, Asti, Italy
| | - P Pella
- Oncology Department, Section of Dermatology, Degli Infermi Hospital, ASL BI, Biella, Italy
| | - L Mocci
- Section of Dermatology, AO AL Santi Antonio e Biagio e Cesare Arrigo, Alessandria, Italy
| | - G Merlo
- Section of Dermatology, AO AL Santi Antonio e Biagio e Cesare Arrigo, Alessandria, Italy
| | - R Tiberio
- Dermatologic Clinic, AOU Maggiore della Carità Hospital, Novara, Italy
| | - F Graziola
- Dermatologic Clinic, AOU Maggiore della Carità Hospital, Novara, Italy
| | - P Quaglino
- Department of Medical Sciences, Section of Dermatology, University of Turin, Torino, Italy
| | - P Dapavo
- Department of Medical Sciences, Section of Dermatology, University of Turin, Torino, Italy
| | - S Ribero
- Department of Medical Sciences, Section of Dermatology, University of Turin, Torino, Italy
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Argenziano G, Amerio P, Aragone MG, Baggini G, Baldari M, Castelli G, Coppola S, Costanzo A, De Pasquale R, Fargnoli MC, Foti C, Giofrè C, Lembo S, Leporati C, Loconsole F, Malara G, Peris K, Richetta AG, Savoia P, Tiberio R, Travaglini M, Uzzauto MT, Bianchi L. Assessing the Beneficial Impact of a Patient Support Program in Secukinumab-Treated Patients with Psoriasis in Italy. Patient Prefer Adherence 2021; 15:2551-2562. [PMID: 34824526 PMCID: PMC8610754 DOI: 10.2147/ppa.s326498] [Citation(s) in RCA: 3] [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] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/25/2021] [Accepted: 10/21/2021] [Indexed: 11/23/2022] Open
Abstract
PURPOSE For patients with psoriasis, treatment adherence and persistence are fundamental if therapeutic goals are to be met. Patient Support Programs (PSPs) may be used as a support tool to assist patients and health care professionals optimize treatment and improve disease management. PATIENTS AND METHODS In Italy, the PSP PSOLife CARE, which began on the 9th of February 2017 and is ongoing, aimed to support patients with psoriasis under therapy with secukinumab (Cosentyx®). A team of medical professionals including Dermatologists, Psychologists, Nutritionists, and field Nurses provided outpatient treatment as well as remote support via phone calls. Patients had a standard duration in the Program of 6 months. This report analyzes the data of patients who benefited from the Program from February 2017 to August 2020, for a total observation of 42 months. RESULTS We provide here a descriptive report on the benefits of participation in the PSOLife CARE Program for patients with psoriasis and medical professionals involved in their care. Throughout their time in the PSOLife CARE Program, patient satisfaction remained consistently high with sustained improvements observed in all aspects of quality of life (ie emotional, social, physical, and economic). Despite exiting from the Program, most patients continued to adhere to secukinumab. Medical professionals also reported positive outcomes on their interactions with patients, with more than half of those surveyed rating the overall quality of the Program as "Outstanding". CONCLUSION By supporting treatment adherence, the PSOLife CARE Program may have empowered patients to better manage their psoriasis, increasing their satisfaction with treatment and quality of life.
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Affiliation(s)
- Giuseppe Argenziano
- Dermatology Unit, University of Campania, Naples, Italy
- Correspondence: Giuseppe Argenziano Dermatology Unit, University of Campania “Luigi Vanvitelli”, Via Pansini, 5, Naples, 80131, ItalyTel +39335415093Fax +39 069 762 5822 Email
| | - Paolo Amerio
- Department of Medicine and Aging Science and Dermatologic Clinic, University “G. d’Annunzio”, Chieti-Pescara, Chieti, Italy
| | | | | | | | | | | | - Antonio Costanzo
- Department of Biomedical Sciences, Humanitas University, Milano, Italy
- Skin Pathology Laboratory, Humanitas Research Hospital IRCCS, Milano, Italy
| | - Rocco De Pasquale
- UOC Dermatologia, AOU Policlinico “G. Rodolico – San Marco”, Catania, Italy
| | - Maria Concetta Fargnoli
- Dermatology, Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, L'Aquila, Italy
| | - Caterina Foti
- Department of Biomedical Science and Human Oncology, Dermatological Clinic, University of Bari, Bari, Italy
| | | | - Serena Lembo
- Dipartimento di Medicina, Chirurgia e Odontoiatria Scuola Medica Salernitana, University of Salerno, Fisciano, Italy
| | - Claudia Leporati
- Dermatology Unit, ASL AL Casale Monferrato, Alessandria, Italy
- Dermatology Unit, ASL TO4 Ivrea, Torino, Italy
| | | | - Giovanna Malara
- UOC of Dermatology, Grande Ospedale Metropolitano “BMM”, Reggio Calabria, Italy
| | - Ketty Peris
- Institute of Dermatology, Catholic University, Rome, Italy
- Dermatology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
| | - Antonio Giovanni Richetta
- Dipartimento di Scienze Cliniche Internistiche e Cardiovascolari Policlinico Umberto I University of Rome “La Sapienza”, Rome, Italy
| | - Paola Savoia
- Department of Health Science, Università del Piemonte Orientale, Novara, Italy
| | | | - Massimo Travaglini
- U.O.S.D. dermatologica - centro per la cura della psoriasi, Ospedale Perrino, Brindisi, Italy
| | | | - Luca Bianchi
- Dermatology Unit, Tor Vergata University Hospital, Rome, Italy
- Luca Bianchi University of Rome “Tor Vergata”, Policlinico Tor Vergata, Viale Oxford 81, Rome, 00133, ItalyTel +39 0620902739Fax +39 0620902742 Email
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Abstract
Although cytomegalovirus (CMV) disease is a severe complication among immunocompromised patients, its cutaneous features have not been reported frequently. CMV belongs to the Herpesviridae family sharing with the other members the ability to remain latent in their natural hosts after an initial infection and to produce overt disease in several settings. The natural history of human CMV infection is characterized by primary infection, latent infection and reinfection. This article reviews the extremely variable aspects of the clinical presentation of CMV infection in normal and immunocompromised humans, focusing on the dermatological manifestations, and indicates the laboratory tests for detecting CMV responsibility in skin disorders.
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Affiliation(s)
- F Drago
- Section of Dermatology, DISEM, University of Genoa, Italy
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Parodi A, Massone C, Cacciapuoti M, Aragone MG, Bondavalli P, Cattarini G, Rebora A. Measuring the activity of the disease in patients with cutaneous lupus erythematosus. Br J Dermatol 2000; 142:457-60. [PMID: 10735950 DOI: 10.1046/j.1365-2133.2000.03356.x] [Citation(s) in RCA: 59] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
The Systemic Lupus Activity Measure (SLAM) is a system proposed by rheumatologists to measure disease activity in their patients with systemic lupus erythematosus (LE). It involves scoring a group of clinical symptoms and laboratory findings, the maximum possible score being 84. In systemic LE, the mid-point is between 9 and 12. We applied SLAM to 176 patients with cutaneous LE. Ninety-seven had localized discoid LE (L-DLE), 59 had disseminated discoid LE (D-DLE) and 20 had subacute cutaneous LE (SCLE). Eighty-five patients had low activity disease (0-4 points), 72 mildly active disease (5-9 points), 15 moderately active disease (10-14 points) and only four had very active disease (>/= 15 points). The most frequent lesions in patients who scored more than 10 points were photosensitivity, cicatricial alopecia, Raynaud's phenomenon and oral ulcers. Fifty patients were followed up for more than 5 years (mean follow-up 9 years). Nine of these had an increased SLAM score. Seven had L-DLE, one D-DLE and one SCLE. Seven of the 50 patients had photosensitivity, five cicatricial alopecia, five non-cicatricial alopecia, two Raynaud's phenomenon and two oral ulcers. Three patients who started with L-DLE evolved to D-DLE. The SLAM system is useful in the monitoring of disease activity in patients with cutaneous LE. Over time, even L-DLE patients may develop active disease. Photosensitivity, alopecia, oral ulcers and Raynaud's phenomenon seem to herald a worse prognosis.
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Affiliation(s)
- A Parodi
- Clinica Dermatologica del'Università, Viale Benedetto XV 7, 16132 Genoa, Italy.
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