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Kapranou R, Sofopoulos M, Dimitrakopoulou A, Kotsafti O, Giannoukos A, Nicolaidou E. Papular acantholytic dermatosis: a rare cause of genital rash. Clin Exp Dermatol 2024:llae148. [PMID: 38660766 DOI: 10.1093/ced/llae148] [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: 01/16/2024] [Revised: 03/19/2024] [Accepted: 04/23/2024] [Indexed: 04/26/2024]
Abstract
A 52-year-old female presented to our hospital’s STD unit with multiple asymptomatic skin coloured papules along both inguinal folds. The patient noted the onset of these lesions approximately two months before her presentation A punch biopsy was performed, which revealed hyperkeratosis and hypergranulosis in the epidermis along with acantholytic and dyskeratotic foci, leading to the diagnosis of papular acantholytic dermatosis (PAD). Our patient showed a remarkable response after topical corticosteroid use followed by topical calcineurin inhibitor use.
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Affiliation(s)
- Roxani Kapranou
- Department of Dermatology and Venereology, Andreas Syggros Hospital of Cutaneous and Venereal Diseases, Athens, Greece
| | - Michail Sofopoulos
- Department of Histopatology, Andreas Syggros Hospital of Cutaneous and Venereal Diseases, Athens, Greece
| | - Amerini Dimitrakopoulou
- Department of Histopatology, Andreas Syggros Hospital of Cutaneous and Venereal Diseases, Athens, Greece
| | - Ourania Kotsafti
- Department of Dermatology and Venereology, Andreas Syggros Hospital of Cutaneous and Venereal Diseases, Athens, Greece
| | - Anastasios Giannoukos
- Department of Dermatology and Venereology, Andreas Syggros Hospital of Cutaneous and Venereal Diseases, Athens, Greece
| | - Electra Nicolaidou
- Department of Dermatology and Venereology, Andreas Syggros Hospital of Cutaneous and Venereal Diseases, Athens, Greece
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Liakou AI, Tsantes AG, Kalamata M, Tsamtsouri L, Agiasofitou E, Vladeni S, Dragoutsou A, Bompou EK, Tsante KA, Chatzidimitriou E, Kotsafti O, Bonovas S, Stratigos AI. Flares and new related lesions of Hidradenitis Suppurativa following COVID-19 vaccination: A retrospective cohort study of 250 patients in Greece. J Eur Acad Dermatol Venereol 2024. [PMID: 38511998 DOI: 10.1111/jdv.19968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Accepted: 02/29/2024] [Indexed: 03/22/2024]
Affiliation(s)
- Aikaterini I Liakou
- 1st Department of Dermatology-Venereology, "Andreas Sygros" Hospital, University of Athens Medical School, Athens, Greece
| | - Andreas G Tsantes
- Laboratory of Haematology and Blood Bank Unit, "Attikon" Hospital, University of Athens Medical School, Athens, Greece
- Microbiology Department, "Saint Savvas" Oncology Hospital, Athens, Greece
| | - Magdalini Kalamata
- 1st Department of Dermatology-Venereology, "Andreas Sygros" Hospital, University of Athens Medical School, Athens, Greece
| | - Lydia Tsamtsouri
- Department of Hygiene, Epidemiology and Medical Statistics, University of Athens Medical School, Athens, Greece
| | - Efthymia Agiasofitou
- 1st Department of Dermatology-Venereology, "Andreas Sygros" Hospital, University of Athens Medical School, Athens, Greece
| | - Soultana Vladeni
- 1st Department of Dermatology-Venereology, "Andreas Sygros" Hospital, University of Athens Medical School, Athens, Greece
| | - Angeliki Dragoutsou
- 1st Department of Dermatology-Venereology, "Andreas Sygros" Hospital, University of Athens Medical School, Athens, Greece
| | - Evangelia-Konstantina Bompou
- 1st Department of Dermatology-Venereology, "Andreas Sygros" Hospital, University of Athens Medical School, Athens, Greece
| | - Konstantina A Tsante
- Laboratory of Haematology and Blood Bank Unit, "Attikon" Hospital, University of Athens Medical School, Athens, Greece
| | - Eleni Chatzidimitriou
- 1st Department of Dermatology-Venereology, "Andreas Sygros" Hospital, University of Athens Medical School, Athens, Greece
| | - Ourania Kotsafti
- 1st Department of Dermatology-Venereology, "Andreas Sygros" Hospital, University of Athens Medical School, Athens, Greece
| | - Stefanos Bonovas
- Department of Biomedical Sciences, Humanitas University, Milan, Italy
- IRCCS Humanitas Research Hospital, Milan, Italy
| | - Alexandros I Stratigos
- 1st Department of Dermatology-Venereology, "Andreas Sygros" Hospital, University of Athens Medical School, Athens, Greece
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Nicolaidou E, Fouseki K, Paparizos V, Kotsafti O, Vasalou V, Daskalakis E, Lakoumentas J, Giannoukos A, Emmanouil G, Kapranou R, Kripouri Z, Papanikou S, Stefanaki I, Tagka A, Gregoriou S, Paparizou E, Stratigos A. A sharp increase in early syphilis cases in a referral hospital in Athens, Greece, 2 years into the COVID-19 pandemic. J Eur Acad Dermatol Venereol 2024. [PMID: 38380596 DOI: 10.1111/jdv.19884] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2023] [Accepted: 02/09/2024] [Indexed: 02/22/2024]
Affiliation(s)
- E Nicolaidou
- 1st Department of Dermatology and Venereology, Medical School, National and Kapodistrian University of Athens, "A. Sygros" Hospital, Athens, Greece
| | - K Fouseki
- 1st Department of Dermatology and Venereology, Medical School, National and Kapodistrian University of Athens, "A. Sygros" Hospital, Athens, Greece
| | - V Paparizos
- 1st Department of Dermatology and Venereology, Medical School, National and Kapodistrian University of Athens, "A. Sygros" Hospital, Athens, Greece
| | - O Kotsafti
- 1st Department of Dermatology and Venereology, Medical School, National and Kapodistrian University of Athens, "A. Sygros" Hospital, Athens, Greece
| | - V Vasalou
- 1st Department of Dermatology and Venereology, Medical School, National and Kapodistrian University of Athens, "A. Sygros" Hospital, Athens, Greece
| | - E Daskalakis
- 1st Department of Dermatology and Venereology, Medical School, National and Kapodistrian University of Athens, "A. Sygros" Hospital, Athens, Greece
| | | | - A Giannoukos
- 1st Department of Dermatology and Venereology, Medical School, National and Kapodistrian University of Athens, "A. Sygros" Hospital, Athens, Greece
| | - G Emmanouil
- 1st Department of Dermatology and Venereology, Medical School, National and Kapodistrian University of Athens, "A. Sygros" Hospital, Athens, Greece
| | - R Kapranou
- 1st Department of Dermatology and Venereology, Medical School, National and Kapodistrian University of Athens, "A. Sygros" Hospital, Athens, Greece
| | - Z Kripouri
- 1st Department of Dermatology and Venereology, Medical School, National and Kapodistrian University of Athens, "A. Sygros" Hospital, Athens, Greece
| | - S Papanikou
- Department of Dermatology, National Health System, "A. Sygros" Hospital, Athens, Greece
| | - I Stefanaki
- 1st Department of Dermatology and Venereology, Medical School, National and Kapodistrian University of Athens, "A. Sygros" Hospital, Athens, Greece
| | - A Tagka
- 1st Department of Dermatology and Venereology, Medical School, National and Kapodistrian University of Athens, "A. Sygros" Hospital, Athens, Greece
| | - S Gregoriou
- 1st Department of Dermatology and Venereology, Medical School, National and Kapodistrian University of Athens, "A. Sygros" Hospital, Athens, Greece
| | - E Paparizou
- 1st Department of Dermatology and Venereology, Medical School, National and Kapodistrian University of Athens, "A. Sygros" Hospital, Athens, Greece
| | - A Stratigos
- 1st Department of Dermatology and Venereology, Medical School, National and Kapodistrian University of Athens, "A. Sygros" Hospital, Athens, Greece
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Tyros G, Papageorgiou C, Kanelleas A, Kotsafti O, Spyridonos E, Gregoriou S, Tagka A, Stratigos A, Nicolaidou E. The effect of anxiety, psychopathological symptoms and personality traits on response to treatment in male patients with anogenital warts: a prospective study. J Eur Acad Dermatol Venereol 2021; 35:1859-1864. [PMID: 33914981 DOI: 10.1111/jdv.17324] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Accepted: 04/13/2021] [Indexed: 12/01/2022]
Abstract
BACKGROUND In the era of precision medicine, identification of possible predictive factors of clinical response to treatment is fundamental. This need is particularly strong for anogenital warts (AGW), because there are several treatment modalities with different clearance and recurrence rates. However, data regarding the effect of mental health parameters on response to treatment in patients with AGW are lacking. OBJECTIVES The purpose of the present study was to evaluate the association between patients' mental health parameters and AGW treatment outcomes. METHODS This was a single-centre, prospective study that included newly diagnosed male patients with AGW. At their initial visit, all patients completed the State-Trait Anxiety Inventory (STAI), the Symptom Checklist-90-Revised (SCL-90-R) and the Eysenck Personality Questionnaire (EPQ) questionnaires, which evaluate anxiety, psychopathological manifestations and personality traits, respectively. All patients received cryotherapy until clearance of lesions and were followed up for 18 months for detection of recurrences. RESULTS The study included 167 male patients. The mean number of days for AGW clearance was 89 ± 65. During the 18-month follow-up, 28% of participants showed a recurrence, after a mean number of 150 ± 132 days. No statistically significant association was detected between questionnaires scores and (a) time needed for AGW clearance, (b) time until 1st recurrence and (c) number of recurrences. CONCLUSION If confirmed, our findings indicate that we may not need to modify our AGW treatment plan according to a patient's mental health profile.
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Affiliation(s)
- G Tyros
- 1st Department of Dermatology and Venereology, Medical School, National and Kapodistrian University of Athens, "A. Sygros" Hospital for Skin and Venereal Diseases, Athens, Greece
| | - C Papageorgiou
- 1st Department of Psychiatry, Medical School, National and Kapodistrian University of Athens, Eginitio Hospital, Athens, Greece
| | - A Kanelleas
- 1st Department of Dermatology and Venereology, Medical School, National and Kapodistrian University of Athens, "A. Sygros" Hospital for Skin and Venereal Diseases, Athens, Greece
| | - O Kotsafti
- 1st Department of Dermatology and Venereology, Medical School, National and Kapodistrian University of Athens, "A. Sygros" Hospital for Skin and Venereal Diseases, Athens, Greece
| | - E Spyridonos
- 1st Department of Dermatology and Venereology, Medical School, National and Kapodistrian University of Athens, "A. Sygros" Hospital for Skin and Venereal Diseases, Athens, Greece
| | - S Gregoriou
- 1st Department of Dermatology and Venereology, Medical School, National and Kapodistrian University of Athens, "A. Sygros" Hospital for Skin and Venereal Diseases, Athens, Greece
| | - A Tagka
- 1st Department of Dermatology and Venereology, Medical School, National and Kapodistrian University of Athens, "A. Sygros" Hospital for Skin and Venereal Diseases, Athens, Greece
| | - A Stratigos
- 1st Department of Dermatology and Venereology, Medical School, National and Kapodistrian University of Athens, "A. Sygros" Hospital for Skin and Venereal Diseases, Athens, Greece
| | - E Nicolaidou
- 1st Department of Dermatology and Venereology, Medical School, National and Kapodistrian University of Athens, "A. Sygros" Hospital for Skin and Venereal Diseases, Athens, Greece
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Platsidaki E, Kotsafti O, Kouris A, Agiasofitou E, Polydorou D. Pfeifer-Weber-Christian Disease during Pregnancy Successfully Treated with Corticosteroids. Indian J Dermatol 2016; 61:581. [PMID: 27688468 PMCID: PMC5029265 DOI: 10.4103/0019-5154.190136] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023] Open
Affiliation(s)
- Eftychia Platsidaki
- Department of Dermatology and Venereology, Andreas Sygros Skin Hospital, Athens, Greece. E-mail:
| | - Ourania Kotsafti
- Department of Dermatology and Venereology, Andreas Sygros Skin Hospital, Athens, Greece. E-mail:
| | - Anargyros Kouris
- Department of Dermatology and Venereology, Andreas Sygros Skin Hospital, Athens, Greece. E-mail:
| | - Efthymia Agiasofitou
- Department of Dermatology and Venereology, Andreas Sygros Skin Hospital, Athens, Greece. E-mail:
| | - Dorothea Polydorou
- Department of Dermatology and Venereology, Andreas Sygros Skin Hospital, Athens, Greece. E-mail:
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Kotsafti O, Paparizos V, Kourkounti S, Chatziioannou A, Nicolaidou E, Kapsimali V, Antoniou C. Early syphilis affects markers of HIV infection. Int J STD AIDS 2015; 27:739-45. [PMID: 26113517 DOI: 10.1177/0956462415592326] [Citation(s) in RCA: 9] [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] [Subscribe] [Scholar Register] [Received: 02/12/2015] [Accepted: 05/25/2015] [Indexed: 11/15/2022]
Abstract
The objective of this study was to investigate if early syphilis infection affects markers of HIV infection; CD4 T cells and viral load (VL). A retrospective study was performed on 160 HIV-positive patients (111 receiving antiretroviral therapy [ART] and 49 without ART). Early syphilis diagnosis was made in HIV patients during their follow-up at the HIV/AIDS Unit at a Greek Dermatology and Venereology Unit. The patients' blood tests were available at the time of diagnosis, as well as before and 12 weeks after early syphilis diagnosis. CD4 T cell counts and VL levels were measured. It was found that syphilis infection had a negative impact on the CD4 T cell counts in both groups, with reduced CD4 T cell counts observed in 84.6% (99/111) and 79.5% (39/49) of patients receiving and not receiving ART, respectively. After treatment for syphilis, CD4 T cell counts returned to pre-treatment levels in most patients, especially those receiving ART. There was a slight and transient VL increase. Patients receiving ART had a 27% increase in VL, compared to 71.4% among patients not receiving ART. Although the VL increase was slight (41-14,000 copies/ml) in the group under treatment, 4-5% (5/111) patients did not return to pre-treatment levels. Moreover, viral mutations associated with treatment resistance were identified in these patients. Early syphilis accelerates and complicates the progression of HIV infection. Early diagnosis and treatment of syphilis may prevent infection-associated complications in most instances. Consequently, prevention of syphilis and other sexually transmitted infections is of great importance for patients infected with HIV.
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Affiliation(s)
- Ourania Kotsafti
- HIV/AIDS Unit, 'A. Syngros' Hospital of Dermatology and Venereology, Athens, Greece
| | - Vassilios Paparizos
- HIV/AIDS Unit, 'A. Syngros' Hospital of Dermatology and Venereology, Athens, Greece
| | - Sofia Kourkounti
- HIV/AIDS Unit, 'A. Syngros' Hospital of Dermatology and Venereology, Athens, Greece
| | - Argiro Chatziioannou
- HIV/AIDS Unit, 'A. Syngros' Hospital of Dermatology and Venereology, Athens, Greece
| | - Electra Nicolaidou
- HIV/AIDS Unit, 'A. Syngros' Hospital of Dermatology and Venereology, Athens, Greece
| | - Violetta Kapsimali
- HIV/AIDS Unit, 'A. Syngros' Hospital of Dermatology and Venereology, Athens, Greece
| | - Christina Antoniou
- HIV/AIDS Unit, 'A. Syngros' Hospital of Dermatology and Venereology, Athens, Greece
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Doro D, Kotsafti O, Koerber N. Ultrasound Biomicroscopy findings after Canaloplasty. Klin Monbl Augenheilkd 2010. [DOI: 10.1055/s-0030-1249541] [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: 10/19/2022]
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