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Abstract
Airborne dermatoses are complaints linked to external environmental, chemical, and biotic agents carried through the air. In general, airborne dermatoses that are most common in the work environment, tend to cause diagnostic problems that are challenging for both the patient and the doctor. It should also be borne in mind that since the external culprit agents are present in the environment, they do not only come in contact with the skin and mucosa, but can also be inhaled or ingested, thus also causing respiratory and systemic symptoms. Among the various clinical forms, airborne contact dermatitis interests the parts of the body exposed to the air: face, neck, upper aspect of the chest, hands, wrists. These cases must be differentiated from photocontact dermatitis; in the latter case, however, shadowed anatomic areas, such as the upper eyelids, behind the ears, the submandibular region, and under the hair, are not affected.
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Caselli D, Chironna M, Loconsole D, Nigri L, Mazzotta F, Bonamonte D, Aricò M. No evidence of SARS-CoV-2 infection by polymerase chain reaction or serology in children with pseudo-chilblain. Br J Dermatol 2020; 183:784-785. [PMID: 32613638 PMCID: PMC7361942 DOI: 10.1111/bjd.19349] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/24/2020] [Indexed: 11/30/2022]
Affiliation(s)
- D Caselli
- Pediatric Infectious Diseases, Giovanni XXIII Children Hospital, Azienda Ospedaliero Universitaria Consorziale Policlinico, Bari, Piazza G. Cesare 11, 70124, Bari, Italy
| | - M Chironna
- Department of Biomedical Sciences and Human Oncology - Hygiene Section, University of Bari, Piazza G. Cesare 11, 70124, Bari, Italy
| | - D Loconsole
- Department of Biomedical Sciences and Human Oncology - Hygiene Section, University of Bari, Piazza G. Cesare 11, 70124, Bari, Italy
| | - L Nigri
- Italian Federation of Pediatricians (FIMP), Rome, Italy
| | - F Mazzotta
- Pediatric Dermatology, ASL Barletta, Barletta, Italy
| | - D Bonamonte
- Section of Dermatology, Department of Biomedical Science and Human Oncology, University of Bari, Piazza G. Cesare 11, 70124, Bari, Italy
| | - M Aricò
- COVID Emergency Task Force, Giovanni XXIII Children Hospital, Azienda Ospedaliero Universitaria Consorziale Policlinico, Bari, Piazza G. Cesare 11, 70124, Bari, Italy
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3
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Filoni A, Lospalluti L, Zanframundo G, De Marco A, Argenziano G, Bonamonte D. Light brown structureless areas as a predictor of melanoma
in situ. Br J Dermatol 2020; 183:179-180. [DOI: 10.1111/bjd.18926] [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] [Indexed: 11/28/2022]
Affiliation(s)
- A. Filoni
- San Gallicano Dermatological Institute IRCCS Rome Italy
| | - L. Lospalluti
- Section of Dermatology Department of Biomedical Science and Human Oncology University of Bari Bari Italy
| | - G. Zanframundo
- Section of Dermatology Department of Biomedical Science and Human Oncology University of Bari Bari Italy
| | - A. De Marco
- Section of Dermatology Department of Biomedical Science and Human Oncology University of Bari Bari Italy
| | - G. Argenziano
- Dermatology Unit University of Campania Naples Italy
| | - D. Bonamonte
- Section of Dermatology Department of Biomedical Science and Human Oncology University of Bari Bari Italy
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Filoni A, Cicco G, Lospalluti L, Maglietta A, Foti C, Annichiarico G, Resta L, Bonamonte D. Morphological and morphometric analysis of cutaneous squamous cell carcinoma in patients with recessive dystrophic epidermolysis bullosa: a retrospective study. J Eur Acad Dermatol Venereol 2020; 34:1707-1714. [PMID: 31692111 DOI: 10.1111/jdv.16022] [Citation(s) in RCA: 8] [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: 01/03/2019] [Accepted: 09/20/2019] [Indexed: 01/01/2023]
Abstract
BACKGROUND Recessive dystrophic epidermolysis bullosa is a highly disabling genodermatosis characterized by skin and mucosal fragility and blistering. Cutaneous squamous cell carcinoma (cSCC) is one of the most devastating complications, having a high morbidity and mortality rate. Patients with recessive dystrophic epidermolysis bullosa were reported to have up to a 70-fold higher risk of developing cSCC than unaffected individuals. Immune cells play a role in cancer evolution. OBJECTIVE The aim of our study was to evaluate immunohistological differences between cSCC in patients with and without recessive dystrophic epidermolysis bullosa. METHODS A retrospective study of 25 consecutive cases was performed; five were biopsies of cSCC taken from five patients with recessive dystrophic epidermolysis bullosa; as controls we analysed 10 cSCC in subjects without recessive dystrophic epidermolysis bullosa (5 primitive, 3 postburns and 2 postradiotherapy), 5 cSCC in renal transplant recipients and 5 cutaneous pseudoepitheliomatous hyperplasia in patients with recessive dystrophic epidermolysis bullosa. RESULTS A significant reduction of CD3+, CD4+ and CD68+ between the cSCC in patients with recessive dystrophic epidermolysis bullosa compared to primary cSCC and a significant reduction of CD3+, CD4+, CD8+ and CD20+ were observed in cSCC in patients with recessive dystrophic epidermolysis bullosa compared to secondary cSCC. On the contrary, there was no difference in CD3+, CD8+, CD20+ and CD68+ expression when comparing cSCC in patients with recessive dystrophic epidermolysis bullosa to cSCC in renal transplant recipients. No significant difference was found in size, histopathology, grading, number of mitoses and EGFR expression between the different groups. CONCLUSIONS Our data show a reduction in immune cell peritumoral infiltration. Considering the well-known evolution of cSCC in patients with recessive dystrophic epidermolysis bullosa, as well as the younger age at diagnosis, it can be assumed that immune dysfunction might contribute to the cSCC aggressiveness in these patients.
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Affiliation(s)
- A Filoni
- Section of Dermatology, Department of Biomedical Science and Human Oncology, University of Bari, Bari, Italy.,San Gallicano Dermatological Institute IRCCS, Rome, Italy
| | - G Cicco
- Section of Dermatology, Department of Biomedical Science and Human Oncology, University of Bari, Bari, Italy
| | - L Lospalluti
- Section of Dermatology, Department of Biomedical Science and Human Oncology, University of Bari, Bari, Italy
| | - A Maglietta
- Section of Pathology, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy
| | - C Foti
- Section of Dermatology, Department of Biomedical Science and Human Oncology, University of Bari, Bari, Italy
| | - G Annichiarico
- Regional Coordination for Rare Diseases, AReS Puglia, Bari, Italy
| | - L Resta
- Section of Pathology, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy
| | - D Bonamonte
- Section of Dermatology, Department of Biomedical Science and Human Oncology, University of Bari, Bari, Italy
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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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Moscarella E, Pampena R, Palmiotti G, Bonamonte D, Brancaccio G, Piccolo V, Longo C, Argenziano G. A meta-analysis on the influence of partial biopsy of primary melanoma on disease recurrence and patient survival. J Eur Acad Dermatol Venereol 2019; 34:279-284. [PMID: 31441557 DOI: 10.1111/jdv.15903] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2019] [Accepted: 07/25/2019] [Indexed: 11/27/2022]
Abstract
BACKGROUND Complete surgical excision is the preferred biopsy type for suspicious melanocytic lesions. However, partial biopsy is sometimes used in special situations. Previous studies have explored the effect of partial biopsy of a primary melanoma on patient outcome with controversial results. OBJECTIVE We performed a meta-analysis on the influence of the type of biopsy of a primary melanoma on recurrence-free survival (RFS) and melanoma-related survival (MRS). METHODS Clinical trials, observational cohort studies and case-control studies reporting absolute number of recurrences and/or melanoma-related deaths in patients undergoing a partial or excisional biopsy of melanoma were included in the meta-analysis. RESULTS In all, the five included studies reported 3249 patients, 1121 (34.5%) of them in the partial biopsy group and 2128 (65.5%) in the excisional biopsy group. Despite a trend in favour of excisional biopsy in reducing the risk for recurrences, the forest plot related to RFS failed to demonstrate significant differences among groups (RR: 1.27; 95% CI 0.97-1.67; P: 0.09; random effects; I2 : 55%). The forest plot showed no difference in the risk of dying for melanoma-related causes for patients undergoing partial biopsy vs. excisions biopsy (RR: 1.50; 95% CI 0.98-2.30; P: 0.06; random effects; I2 : 60%). LIMITATIONS The majority of the studies were retrospective, and follow-up time was not uniform among studies and not always reported. CONCLUSION In conclusion, a partial biopsy can be performed in special situations, such as large primary tumours located in surgically sensitive areas, without altering MRS and RFS.
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Affiliation(s)
- E Moscarella
- Dermatology Unit, University of Campania 'Luigi Vanvitelli', Naples, Italy
| | - R Pampena
- Centro Oncologico ad Alta Tecnologia Diagnostica, Azienda Unità Sanitaria Locale - IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - G Palmiotti
- Dermatology Unit, Medical University of Bari, Bari, Italy
| | - D Bonamonte
- Dermatology Unit, Medical University of Bari, Bari, Italy
| | - G Brancaccio
- Dermatology Unit, University of Campania 'Luigi Vanvitelli', Naples, Italy
| | - V Piccolo
- Dermatology Unit, University of Campania 'Luigi Vanvitelli', Naples, Italy
| | - C Longo
- Centro Oncologico ad Alta Tecnologia Diagnostica, Azienda Unità Sanitaria Locale - IRCCS di Reggio Emilia, Reggio Emilia, Italy.,Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - G Argenziano
- Dermatology Unit, University of Campania 'Luigi Vanvitelli', Naples, Italy
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7
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Mascia P, Milpied B, Darrigade AS, Seneschal J, Eyraud A, Bonamonte D, Taïeb A. Azathioprine in combination with methotrexate: a therapeutic alternative in severe and recalcitrant forms of alopecia areata? J Eur Acad Dermatol Venereol 2019; 33:e494-e495. [PMID: 31374131 DOI: 10.1111/jdv.15834] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Affiliation(s)
- P Mascia
- Department of Biomedical Science and Human Oncology, Section of Dermatology, University of Bari, Bari, Italy
| | - B Milpied
- Department of Dermatology and Pediatric Dermatology, National Centre for Rare skin Disorders, Hôpital Pellegrin-Enfants, CHU de Bordeaux, Bordeaux, France
| | - A S Darrigade
- Department of Dermatology and Pediatric Dermatology, National Centre for Rare skin Disorders, Hôpital Pellegrin-Enfants, CHU de Bordeaux, Bordeaux, France
| | - J Seneschal
- Department of Dermatology and Pediatric Dermatology, National Centre for Rare skin Disorders, Hôpital Pellegrin-Enfants, CHU de Bordeaux, Bordeaux, France
| | - A Eyraud
- Department of Dermatology and Pediatric Dermatology, National Centre for Rare skin Disorders, Hôpital Pellegrin-Enfants, CHU de Bordeaux, Bordeaux, France
| | - D Bonamonte
- Department of Biomedical Science and Human Oncology, Section of Dermatology, University of Bari, Bari, Italy
| | - A Taïeb
- Department of Dermatology and Pediatric Dermatology, National Centre for Rare skin Disorders, Hôpital Pellegrin-Enfants, CHU de Bordeaux, Bordeaux, France
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8
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Affiliation(s)
- A Filoni
- Section of Dermatology, Department of Biomedical Science and Human Oncology, University of Bari, 11 Piazza Giulio Cesare, 70124, Bari, Italy
| | - M Vestita
- Unit of Plastic and Reconstructive Surgery, Department of Emergency and Organ Transplantation, University of Bari, 11 Piazza Giulio Cesare, 70124, Bari, Italy
| | - G Giudice
- Unit of Plastic and Reconstructive Surgery, Department of Emergency and Organ Transplantation, University of Bari, 11 Piazza Giulio Cesare, 70124, Bari, Italy
| | - D Bonamonte
- Section of Dermatology, Department of Biomedical Science and Human Oncology, University of Bari, 11 Piazza Giulio Cesare, 70124, Bari, Italy
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9
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Guida S, Foti C, Manganelli M, Bartolomeo N, Pellacani G, Bonamonte D, Filotico R, Guida G. MC1R genotype and psoriasis: is there a link revealing a phenotypic difference? J Eur Acad Dermatol Venereol 2018; 32:e119-e120. [DOI: 10.1111/jdv.14607] [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] [Indexed: 11/29/2022]
Affiliation(s)
- S. Guida
- Dermatology Unit; University of Modena and Reggio Emilia; Modena Italy
| | - C. Foti
- Dermatological Clinic; Department of Biomedical Science and Human Oncology; University of Bari; Bari Italy
| | - M. Manganelli
- Molecular Biology Section; Department of Basic Medical Sciences; Neurosciences and Sense Organs; University of Bari; Bari Italy
| | - N. Bartolomeo
- Hygiene Section; Department of Biomedical Sciences and Human Oncology; University of Bari; Bari Italy
| | - G. Pellacani
- Dermatology Unit; University of Modena and Reggio Emilia; Modena Italy
| | - D. Bonamonte
- Dermatological Clinic; Department of Biomedical Science and Human Oncology; University of Bari; Bari Italy
| | - R. Filotico
- Dermatology Unit; Hospital “A. Perrino”; Brindisi Italy
| | - G. Guida
- Molecular Biology Section; Department of Basic Medical Sciences; Neurosciences and Sense Organs; University of Bari; Bari Italy
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10
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Romita P, Foti C, Masciopinto L, Nettis E, Di Leo E, Calogiuri G, Bonamonte D, Angelini G, Dipalma G, Ballini A, Inchingolo F. Allergic contact dermatitis to acrylates. J BIOL REG HOMEOS AG 2017; 31:529-534. [PMID: 28685563] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Acrylates and methacrylates are a large group of chemically reactive monomers that are polymerized into acrylic plastics. These have very broad applications in glues, coatings and various plastic materials. Allergic contact dermatitis (ACD) caused by acrylates can be occupational, mainly in dentistry workers during the manufacturing and implantation of dental prosthesis, and in nail technicians during the sculpturing and application of artificial nails. The clinical manifestations vary according to the location of the contact. In non-occupational ACD, hand eczema, pulpitis and stomatitis are more frequent. We conducted a study to investigate the frequency of sensitization to acrylates, determining the most frequently sensitizing acrylates and assessing the possible role of 2-hydroxyethyl methacrylate (2-HEMA) as a screening allergen. From January 2013 to December 2014, 217 patients with a personal history and symptoms suggestive of contact dermatitis were patch tested with an extended series of acrylates at the Dermatology and Allergology Units of the University Hospital of Bari. Seven patients (3.2%) had positive reactions. The reactions were related to artificial nails in 2 patients (28.6%), both beauticians, and dental material in 5 patients (71.4%) with dental prosthesis. 2-HEMA detected 100%of sensitized patients to acrylates.
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Affiliation(s)
- P Romita
- Department of Biomedical Science and Human Oncology, Dermatological Clinic, University of Bari “Aldo Moro”, Bari, Italy
| | - C Foti
- Department of Biomedical Science and Human Oncology, Dermatological Clinic, University of Bari “Aldo Moro”, Bari, Italy
| | - L Masciopinto
- Department of Biomedical Science and Human Oncology, Dermatological Clinic, University of Bari “Aldo Moro”, Bari, Italy
- Department of Internal Medicine and Infectious Diseases, Section of Allergy and Clinical Immunology, University of Bari “Aldo Moro”, Bari, Italy
| | - E Nettis
- Department of Internal Medicine and Infectious Diseases, Section of Allergy and Clinical Immunology, University of Bari “Aldo Moro”, Bari, Italy
| | - E Di Leo
- Department of Internal Medicine and Infectious Diseases, Section of Allergy and Clinical Immunology, University of Bari “Aldo Moro”, Bari, Italy
- Sezione di Allergologia e Immunologia Clinica, Unità di Medicina Interna, Ospedale “F. Miulli”, Acquaviva delle Fonti, Bari, Italy
| | - G Calogiuri
- IV Dipartimento di Pneumologia, Ospedale A. Galateo, San Cesario di Lecce, Italy
| | - D Bonamonte
- Department of Biomedical Science and Human Oncology, Dermatological Clinic, University of Bari “Aldo Moro”, Bari, Italy
| | - G Angelini
- Department of Biomedical Science and Human Oncology, Dermatological Clinic, University of Bari “Aldo Moro”, Bari, Italy
| | - G Dipalma
- Interdisciplinary Department of Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - A Ballini
- Department of Basic Medical Science, Neurosciences and Sense Organs, University of Bari “Aldo Moro”, Bari, Italy
| | - F Inchingolo
- Interdisciplinary Department of Medicine, University of Bari “Aldo Moro”, Bari, Italy
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11
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Filoni A, Lospalluti L, Giudice G, Bonamonte D, Vestita M. Fingolimod and melanoma risk: is there sufficient evidence? Clin Exp Dermatol 2017; 42:427-428. [PMID: 28188645 DOI: 10.1111/ced.13066] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/27/2016] [Indexed: 11/29/2022]
Affiliation(s)
- A Filoni
- Section of Dermatology, Department of Biomedical Science and Human Oncology, University of Bari, 11 Piazza Giulio Cesare, Bari, 70124, Italy
| | - L Lospalluti
- Section of Dermatology, Department of Biomedical Science and Human Oncology, University of Bari, 11 Piazza Giulio Cesare, Bari, 70124, Italy
| | - G Giudice
- Section of Plastic and Reconstructive Surgery, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy
| | - D Bonamonte
- Section of Dermatology, Department of Biomedical Science and Human Oncology, University of Bari, 11 Piazza Giulio Cesare, Bari, 70124, Italy
| | - M Vestita
- Section of Plastic and Reconstructive Surgery, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy
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12
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Guida S, Pellacani G, Cesinaro A, Moscarella E, Argenziano G, Farnetani F, Bonamonte D, Longo C. Spitz naevi and melanomas with similar dermoscopic patterns: can confocal microscopy differentiate? Br J Dermatol 2015; 174:610-6. [DOI: 10.1111/bjd.14286] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/02/2015] [Indexed: 11/29/2022]
Affiliation(s)
- S. Guida
- Dermatology Unit; University of Modena and Reggio Emilia; Reggio Emilia Italy
| | - G. Pellacani
- Dermatology Unit; University of Modena and Reggio Emilia; Reggio Emilia Italy
| | - A.M. Cesinaro
- Pathology Unit; University of Modena and Reggio Emilia; Reggio Emilia Italy
| | - E. Moscarella
- Skin Cancer Unit; Arcispedale S. Maria Nuova-IRCCS; Viale Risorgimento 80 42100 Reggio Emilia Italy
| | - G. Argenziano
- Dermatology Unit; Second University of Naples; Naples Italy
| | - F. Farnetani
- Dermatology Unit; University of Modena and Reggio Emilia; Reggio Emilia Italy
| | - D. Bonamonte
- Dermatology Unit; University of Bari ‘Aldo Moro’; Bari Italy
| | - C. Longo
- Skin Cancer Unit; Arcispedale S. Maria Nuova-IRCCS; Viale Risorgimento 80 42100 Reggio Emilia Italy
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13
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Bonamonte D, Filoni A, Vestita M, Angelini G, Foti C. Response. Pediatr Dermatol 2015; 32:741. [PMID: 26605403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/07/2023]
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14
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Kocak AY, Kocak O, Bonamonte D, Filoni A, Vestita M, Angelini G, Foti C. Heterochromia of the Scalp Hair Following Blaschko Lines: Four Cases. Pediatr Dermatol 2015; 32:740-1. [PMID: 26358922 DOI: 10.1111/pde.12628] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Aslihan Yonca Kocak
- Department of Dermatology, Kütahya Evliya Çelebi Education and Research Hospital, Dermatology Clinic, Dumlupınar University, Kütahya, Turkey.
| | - Oguzhan Kocak
- Department of Dermatology, Kütahya Evliya Çelebi Education and Research Hospital, Dermatology Clinic, Dumlupınar University, Kütahya, Turkey
| | - D Bonamonte
- Section of Dermatology, Department of Biomedical Science and Human Oncology, University of Bari, Bari, Italy
| | - A Filoni
- Section of Dermatology, Department of Biomedical Science and Human Oncology, University of Bari, Bari, Italy
| | - M Vestita
- Section of Dermatology, Department of Biomedical Science and Human Oncology, University of Bari, Bari, Italy.
| | - G Angelini
- Section of Dermatology, Department of Biomedical Science and Human Oncology, University of Bari, Bari, Italy
| | - C Foti
- Section of Dermatology, Department of Biomedical Science and Human Oncology, University of Bari, Bari, Italy
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15
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deCarvalho N, Guida S, Abraham LS, Cesinaro AM, Farnetani F, Bonamonte D, Pellacani G. Pink melanocytic and non-melanocytic lesions: how reflectance confocal microscopy can help in differential diagnosis. J Eur Acad Dermatol Venereol 2015; 30:1026-9. [PMID: 25753043 DOI: 10.1111/jdv.13082] [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] [Indexed: 11/27/2022]
Affiliation(s)
- N deCarvalho
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - S Guida
- Department of Biomedical Science and Human Oncology, Dermatology Unit, University of Bari, Bari, Italy
| | - L Spagnol Abraham
- Department of Dermatology, Hospital Universitario de Brasilia, Brasilia, Brasil
| | - A M Cesinaro
- Department of Anatomic Pathology, University of Modena and Reggio Emilia, Modena, Italy
| | - F Farnetani
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - D Bonamonte
- Department of Biomedical Science and Human Oncology, Dermatology Unit, University of Bari, Bari, Italy
| | - G Pellacani
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
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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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Paragò V, El HM, Bonamonte D, Diociaiuti A, Teruzzi C. Cost-Utility Analysis Comparing Propranolol With Corticosteroids in the Treatment of Proliferating Infantile Hemangioma in Italy. Value Health 2014; 17:A511. [PMID: 27201574 DOI: 10.1016/j.jval.2014.08.1571] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- V Paragò
- Temas - A Quintiles Company, Cassina de' Pecchi, Italy
| | - Hachem M El
- Bambino Gesù Children's Hospital, Rome, Italy
| | | | | | - C Teruzzi
- Temas - A Quintiles Company, Cassina de' Pecchi, Italy
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Bonamonte D, Belloni Fortina A, Neri L, Patrizi A. Fusidic acid in skin infections and infected atopic eczema. GIORN ITAL DERMAT V 2014; 149:453-459. [PMID: 25068235] [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
Skin infections represent an important public health issue and cost-driver. Additionally, chronic skin lesions are sometimes colonized by Gram-negative species. Topical therapies are a key component in the management of mild-to-moderate skin infections. In such cases, topical antibiotics may be preferable to systemic treatment, since they maximize the effective doses at the site of infection while minimizing the systemic side effects of the drugs. However, the prevalence of resistant strains is steadily increasing and cases of sensitization are not uncommon. As a consequence, the ideal topical antibiotic should be selective (thus, minimizing cross-resistance), have weak sensitization potential, penetrate the skin efficiently, reach adequate local doses at the site of infection, and finally be available in different formulations matching patients' preferences and needs. Fusidic acid (FA) is a selective antibiotic available in several topical formulations. Pharmacokinetic and pharmacodynamic studies have shown that, contrary to other topical antibiotics such as gentamicin or mupirocin, FA reaches high antimicrobial concentration at deep skin layers after topical application either on intact or damaged epidermis. Several randomized controlled trials demonstrated that FA, in its various topical formulations, is very effective in treating skin infections, given its high bactericidal activity against S. aureus (including strains resistant to penicillin, methicillin, ampicillin, cloxacillin), S. epidermidis, Streptococcus pyogenes, Propionibacterium acnes, Corinebatteria, Clostridia. Additionally, FA presents a low risk of resistance even in methicillin-resistant S. aureus strains, a common pathogen implied in the etiology of skin infections and infected atopic eczema. Such feature makes FA particularly useful in the management of these medical conditions. Finally, possibly due to its large steric effect, FA has proved a very low risk of contact sensitization. Overall, data on FA efficacy, safety, sensitization potential, resistance profile and spectrum selectivity make it a first-choice option in the treatment of primary and secondary skin infection.
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Affiliation(s)
- D Bonamonte
- Department of Biomedical Science and Human Oncology, Section of Dermatology "Aldo Moro" University of Bari, Bari, Italy -
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Foti C, Bonamonte D, Cassano N, Vena GA, Angelini G. Photoallergic contact dermatitis. GIORN ITAL DERMAT V 2009; 144:515-525. [PMID: 19834430] [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: 05/28/2023]
Abstract
Photoallergic contact dermatitis (PCD) is a delayed-type hypersensitivity cutaneous reaction in response to a photoantigen applied to the skin in subjects previously sensitized to the same substance. For the development of PCD, irradiation with ultraviolet (UV) radiations, usually UVA, is required to create a complete antigen, and the culprit substance needs to be within the skin at the time of UVA exposure. The incidence of PCD in the general population is unknown and is considered uncommon. Epidemiological data have been obtained from studies performed using photo-patch tests in patients with suspected photodermatoses in tertiary care outpatient units. Prevalence of PCD over time has been also dependent on prescription and/or usage patterns of potential photosensitizers, and was particularly high in the past, causing mini-epidemics in some countries because of the widespread use of halogenated salicylanilides and other photosensitizing compounds. Many topical substances with photosensitizing properties are currently available, with the most important ones being sunscreen agents and nonsteroidal antiinflammatory drugs. The diagnosis of PCD, in patients with a history of photosensitivity and especially with an eczematous form of photodermatosis, should be confirmed by photo-patch testing.
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Affiliation(s)
- C Foti
- Department of Internal Medicine Immunology and Infectious Diseases, University of Bari, Bari, Italy.
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Bonamonte D, Profeta G, Conserva A, Mazzoccoli S, Foti C, Angelini G. Cold burn from contact with a propane and butane gas blend inside a spray canister used as a hooter. Contact Dermatitis 2008; 59:61-2. [PMID: 18598313 DOI: 10.1111/j.1600-0536.2008.01331.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- D Bonamonte
- Unit of Dermatology, Department of Internal Medicine, Immunology and Infectious Diseases, University of Bari, I-70124 Bari, Italy.
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Foti C, Bonamonte D, Conserva A, Stingeni L, Lisi P, Lionetti N, Rigano L, Angelini G. Allergic and Photoallergic Contact Dermatitis from Ketoprofen: Evaluation of Cross-Reactivities by a Combination of Photopatch Testing and Computerized Conformational Analysis. Curr Pharm Des 2008; 14:2833-9. [DOI: 10.2174/138161208786369696] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Foti C, Bonamonte D, Conserva A, Antelmi A, Mastrandrea V. P46
Allergic contact dermatitis to a retarding cream in a condom. Contact Dermatitis 2008. [DOI: 10.1111/j.0105-1873.2004.0309gb.x] [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]
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Seidenari S, Giusti F, Pellacani G, Antelmi AR, Foti C, Bonamonte D, Ayala F, Balato G, Cristaudo A, Stingeni L, Lisi P. Reactivity to euro coins and sensitization thresholds in nickel-sensitive subjects. J Eur Acad Dermatol Venereol 2005; 19:449-54. [PMID: 15987291 DOI: 10.1111/j.1468-3083.2005.01219.x] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
BACKGROUND The 1- and the 2-euro coins consist of nickel alloys, which release nickel. The nickel released by far exceeds the amount allowed by the European Union Nickel Directive referring to products intended to come into direct and prolonged contact with the skin. As there is only temporary contact with the skin, the clinical relevance of nickel-containing coins with regard to nickel dermatitis is a matter of debate, although there is evidence that the nickel released from the coins affects some nickel-sensitive subjects through occupational exposure. OBJECTIVES Our aim was to study skin reactivity to euro coins, and to correlate the frequency and intensity of coin patch test responses to sensitization thresholds to nickel. PATIENTS AND METHODS Sixty-four nickel-sensitized and 30 non-nickel-sensitized subjects were patch tested with serial dilutions of nickel sulfate (5, 1, 0.5, 0.1, 0.05, 0.01 and 0.005% in distilled water) and with coins. Italian coins (500, 200, 100 and 50 lira) and euro coins (2 and 1 euros, 20 and 5 euro cents) were used for patch testing and compared. RESULTS The application of 1- and 2-euro coins to the skin induced eczematous reactions, being more frequent and intense in comparison with those provoked by other coins. A correlation between intensity of responses to coin patch tests and sensitization threshold to nickel was observed. Patients with the strongest reactions to 1- and 2-euro coins showed positive responses to the lowest nickel concentrations. CONCLUSIONS The nickel content in euro coins represents a possible health hazard, especially for highly nickel-sensitive subjects. We recommend that nickel sulfate patch tests should be performed at different concentrations to determine sensitization thresholds at least in individuals with occupational exposure to coins.
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Affiliation(s)
- S Seidenari
- Department of Dermatology, University of Modena, Modena, Italy.
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Giannelli G, Foti C, Divella C, Marinosci F, Bonamonte D, Antonaci S. Expression of α6β4 and α3β1 Integrins in Bullous Pemphigoid and Pemphigus Vulgaris. LETT DRUG DES DISCOV 2005. [DOI: 10.2174/1570180053765084] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Foti C, Bonamonte D, Antelmi A, Conserva A, Angelini G. Allergic Contact Dermatitis to Condoms: Description of a Clinical Case and Analytical Review of Current Literature. Immunopharmacol Immunotoxicol 2004; 26:481-5. [PMID: 15518180 DOI: 10.1081/iph-200026918] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
We describe the case of a 42-years-old non-atopic man who developed a severe eczematous reaction in the genital area some hours after the use of a condom (Settebello-Hatù Durex) containing a retarding cream. Patch test revealed a strong allergic reaction to the retarding cream and to benzocaine and paraben mix contained in the cream itself. Condoms with retarding cream should be avoided in man sensitized to local anestethetics.
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Affiliation(s)
- Caterina Foti
- Department of Internal Medicine, Immunology and Infectious Diseases, Unit of Dermatology, University of Bari, Bari, Italy.
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Affiliation(s)
- D Bonamonte
- Department of Internal Medicine, Immunology and Infectious Diseases, Unit of Dermatology, University of Bari, Piazza Giulio Cesare, 70124 Bari, Italy
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Abstract
Amphoacetates are organic compounds used in many industrial applications and in cosmetic formulations for the skin, hair and mucosa, as surfactants, mild foaming and cleansing agents in concentrations ranging from 0.1% to 50%. Despite the fact that they have been in use for many years, cases of contact allergy to them are extremely rare. We describe 4 patients who developed an eczematous reaction after use of detergents containing amphoacetates. Patch testing showed positive reactions to sodium lauroamphoacetate (Miranol HM Special, Rhodia, England) as is or diluted at decreasing concentration (10%, 5% and 1%) in water and to aminoethylethanolamine (AEE) at the concentration of 1% in various vehicles (ethanol, acetone, and sodium laurylethersulfate 1% aqueous solution) and at decreasing concentrations ranging from 1% to 0.005% in water. AEE is one of the reagents used in the synthesis of amphoacetates. This molecule, that is structurally an ethylenediamine derivative, has sensitizing power and is reported as a cause of occupational contact allergy in cable jointers. Combined eczematous reactions to AEE and sodium lauroamphoacetate can be consequent to the presence of the former substance as an impurity in amphoacetates-containing products, as demonstrated by ion chromatography-mass spectrometry analysis.
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Affiliation(s)
- C Foti
- Department of Internal Medicine, Immunology and Infectious Disease, Unit of Dermatology, University of Bari, Italy
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Affiliation(s)
- C Foti
- Department of Internal Medicine, Immunology and Infectious Diseases, Unit of Dermatology, University of Bari, Bari, Italy
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Affiliation(s)
- D Bonamonte
- Unit of Dermatology, Department of Internal Medicine, Immunology and Infectious Diseases, University of Bari, Bari, Italy
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Abstract
A 50-year-old man with interdigital tinea pedis developed an allergic dermatitis spreading from the toes to the lower shins. Patch tests were strongly positive to ciclopirox olamine 1% pet. Sensitization to this topical antifungal agent has rarely been reported in the literature.
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Affiliation(s)
- C Foti
- Department of Internal Medicine, Immunology and Infectious Diseases, Unit of Dermatology, University of Bari, Bari, Italy.
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Affiliation(s)
- D Bonamonte
- Department of Internal Medicine, Immunology and Infectious Disease, University of Bari, Italy
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Affiliation(s)
- D Bonamonte
- Department of Internal Medicine, Immunology and Infectious Disease, University of Bari, Italy
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Affiliation(s)
- C Foti
- Department of Dermatology, University of Bari, Italy
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Affiliation(s)
- C Foti
- Department of Dermatology, University of Bari, Italy
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Affiliation(s)
- M Grandolfo
- Department of Dermatology, University of Bari, Italy
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Angelini G, Rigano L, Foti C, Grandolfo M, Veña GA, Bonamonte D, Soleo L, Scorpiniti AA. Occupational sensitization to epoxy resin and reactive diluents in marble workers. Contact Dermatitis 1996; 35:11-6. [PMID: 8896948 DOI: 10.1111/j.1600-0536.1996.tb02259.x] [Citation(s) in RCA: 54] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
10 out of 22 marble workers handling a bicomponent resin, based on epoxy resin and ortho-cresyl glycidyl ether (CGE), developed contact dermatitis and airborne contact dermatitis within 20 days to 2 months of exposure. All 22 subjects were patch tested with epoxy resin, bisphenol A, epichlorohydrin and a series of reactive diluents. The 10 symptomatic subjects were all positive to the reactive diluent CGE, and 4 of them also to epoxy resin. The other reactive diluents that gave positive reactions were phenyl glycidyl ether (7 cases), cyclohexanedimethanol glycidyl ether (2 cases), 1,6-hexanediol diglycidyl ether (2 cases) and allyl glycidyl ether (1 case). The findings of our study suggest that allergic potential is directly proportional to the electronic charge available, for all electron-rich molecules (solvents, high and low polymers, reagents) that interact with the glycidyl ether group. Lesser, but still noticeable, effects are detected when activation of the glycidyl group is related to the possible formation of intramolecular hydrogen bonds. In practice, the occupational problem was partly solved by changing the type of glycidyl ether.
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Affiliation(s)
- G Angelini
- Department of Dermatology, University of Bari, Policlinico, Italy
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