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Cortesi L, Venturelli M, Cortesi G, Caggia F, Toss A, Barbieri E, De Giorgi U, Guarneri V, Musolino A, De Matteis E, Zambelli A, Bisagni G, Dominici M. A phase II study of pembrolizumab plus carboplatin in BRCA-related metastatic breast cancer (PEMBRACA). ESMO Open 2023; 8:101207. [PMID: 37028000 PMCID: PMC10163155 DOI: 10.1016/j.esmoop.2023.101207] [Citation(s) in RCA: 0] [Impact Index Per Article: 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: 01/29/2023] [Revised: 02/25/2023] [Accepted: 02/28/2023] [Indexed: 04/09/2023] Open
Abstract
BACKGROUND BRCA1/2-related metastatic breast cancers (mBC) are sensitive to DNA-damage agents and show high tumor-infiltrated lymphocytes. We hypothesized that the association between pembrolizumab and carboplatin could be active in BRCA-related mBC. PATIENTS AND METHODS In this phase II Simon's design multicenter single-arm study, BRCA1/2-related mBC patients received carboplatin at area under the curve 6 every 3 weeks for six courses associated with 200 mg pembrolizumab every 3 weeks until disease progression or unacceptable toxicity. The primary aim at first stage was overall response rate (ORR) ≥70%. Disease control rate (DCR), time to progression (TTP), duration of response (DOR), and overall survival (OS) were the secondary aims. RESULTS Among 22 patients enrolled at the first stage, 5 BRCA1 and 17 BRCA2, 16 (76%) were luminal tumors and 6 (24%) triple-negative BC (TNBC). In 21 patients, ORR and DCR were 43% and 76% (47% and 87% in luminal, 33% and 50% in TNBC), respectively. TTP was 7.1 months, DOR was 6.3 months, and median OS was not reached. Grade ≥3 adverse events (AEs) or serious AEs occurred in 5/22 patients (22.7%). Since the primary aim was not met, the study was terminated at the first stage. CONCLUSIONS Although the primary aim was not reached, data on efficacy and safety of pembrolizumab plus carboplatin in first-line visceral disease BRCA-related luminal mBC were provided and they need to be further investigated.
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Affiliation(s)
- L Cortesi
- Department of Oncology and Haematology, University Hospital Modena, Modena.
| | - M Venturelli
- Department of Oncology and Haematology, University Hospital Modena, Modena
| | - G Cortesi
- Department of Oncology and Haematology, University Hospital Modena, Modena
| | - F Caggia
- Department of Oncology and Haematology, University Hospital Modena, Modena
| | - A Toss
- Department of Oncology and Haematology, University Hospital Modena, Modena
| | - E Barbieri
- Department of Oncology and Haematology, University Hospital Modena, Modena
| | - U De Giorgi
- Department of Medical Oncology, "Dino Amadori Scientific Institute of Romagna for the Study of Cancer", Meldola
| | - V Guarneri
- Department of Surgery, Oncology and Gastroenterology, University of Padua, Padova; Division of Oncology, Istituto Oncologico Veneto IRCCS, Padova
| | - A Musolino
- Department of Medicine and Surgery, University of Parma, Parma; Medical Oncology, Breast Unit and Cancer Genetics Service, University Hospital of Parma, Parma
| | | | - A Zambelli
- Papa Giovanni XXIII Cancer Center Hospital, Bergamo
| | - G Bisagni
- Oncology Department, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - M Dominici
- Department of Oncology and Haematology, University Hospital Modena, Modena
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Toss A, Callegari V, Cortesi G, Civallero M, Armocida C, Piacentini F. COVID-related disruption in mammographic screening: a year later. ESMO Open 2022; 7:100539. [PMID: 35841805 PMCID: PMC9278125 DOI: 10.1016/j.esmoop.2022.100539] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2022] [Accepted: 06/16/2022] [Indexed: 11/24/2022] Open
Affiliation(s)
- A Toss
- Department of Oncology and Hematology, Azienda Ospedaliero-Universitaria di Modena, Modena, Italy; Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Modena, Italy.
| | - V Callegari
- Faculty of Medicine and Surgery, University of Modena and Reggio Emilia, Modena, Italy
| | - G Cortesi
- Department of Oncology and Hematology, Azienda Ospedaliero-Universitaria di Modena, Modena, Italy
| | - M Civallero
- Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance (CHIMOMO), University of Modena and Reggio Emilia, Modena, Italy
| | - C Armocida
- Breast Cancer Screening Service, AUSL Modena, Modena, Italy
| | - F Piacentini
- Department of Oncology and Hematology, Azienda Ospedaliero-Universitaria di Modena, Modena, Italy; Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Modena, Italy
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Cortesi G, Piacentini F, Moscetti L, Barbolini M, Nasso C, Isca C, D'Onofrio R, Dominici M, Omarini C. 137P Survivorship care plan for breast cancer patients: An intensive follow-up is still useless? Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.03.151] [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: 11/28/2022] Open
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Salati M, Pipitone S, Rimini M, Gelsomino F, Casadei-Gardini A, Andrikou K, Schipilliti F, Cortesi G, Cassanelli L, Caffari E, Serra F, Ricciardolo A, De Ruvo N, Gelmini R, Cascinu S, Spallanzani A. A user-friendly nomogram to predict relapse-free survival (RFS) in western patients with resected gastric cancer (GC). Ann Oncol 2019. [DOI: 10.1093/annonc/mdz247.107] [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: 11/12/2022] Open
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Caputo F, Salati M, Cerma K, Spallanzani A, Andrikou K, Gelsomino F, Orsi G, Rovesti G, Riggi M, Molinaro E, Santini C, Bardasi C, Rimini M, Pipitone S, Cortesi G, Schipilliti F, Canino F, Casadei-gardini A, Cascinu S. The prognostic nutritional index (PNI) is an independent predictor of survival in advanced biliary cancers (ABC) receiving first-line chemotherapy (1L). Ann Oncol 2019. [DOI: 10.1093/annonc/mdz247.066] [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: 11/14/2022] Open
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Salati M, Pipitone S, Rimini M, Gelsomino F, Gardini AC, Andrikou K, Schipilliti F, Cortesi G, Cassanelli L, Caffari E, Serra F, Ricciardolo A, De Ruvo N, Gelmini R, Cascinu S, Spallanzani A. Immune-inflammatory and clinicopathologic prognostic factors in a Western cohort of resected gastric cancers (GCs). Ann Oncol 2019. [DOI: 10.1093/annonc/mdz155.274] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Tammaro A, Cortesi G, Pigliacelli F, Parisella FR, Persechino F, De Marco G, Persechino S. Heavy metal and tattoo: an allergy and legislative problem. Eur Ann Allergy Clin Immunol 2016; 48:153-155. [PMID: 27425173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
We presented an interesting clinical case of a 23 years old man presented with a 2-week history of pruritus, erythema and papules on legs, arms and trunk. These lesions developed 2 months after tattooing. It showed positive patch test reaction to Copper and Disperse Blu.
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Affiliation(s)
- A Tammaro
- Dermatology Unit, NESMOS Department, S. Andrea Hospital, University of Rome "Sapienza" Phone: +39 06 3377 5907 Fax: +39 06 3377 5378 E-mail:
| | - G Cortesi
- Dermatology Unit, NESMOS Department, S. Andrea Hospital, University of Rome "Sapienza"
| | - F Pigliacelli
- Dermatology Unit, NESMOS Department, S. Andrea Hospital, University of Rome "Sapienza"
| | - F R Parisella
- Medical student, Faculty of Medicine, Towson University, Towson City, Maryland, USA
| | - F Persechino
- Department of Dermatology, University of Modena and Reggio Emilia
| | - G De Marco
- Dermatology Unit, NESMOS Department, S. Andrea Hospital, University of Rome "Sapienza"
| | - S Persechino
- Dermatology Unit, NESMOS Department, S. Andrea Hospital, University of Rome "Sapienza"
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Tammaro A, Cortesi G, Giulianelli V, Parisella FR, Persechino S. Allergic contact dermatitis in child with odontoiatric face-mask. Eur Ann Allergy Clin Immunol 2015; 47:103-104. [PMID: 25951150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Affiliation(s)
- A Tammaro
- Dermatology Unit, NESMOS Department, S. Andrea Hospital, University of Rome "Sapienza", Via di Grottarossa, 1035, 00189 Rome (RM), Italy. Phone: +39 06 3377 5907 Fax: +39 06 3377 5378 E-mail:
| | - G Cortesi
- Dermatology Unit, NESMOS Department, S. Andrea Hospital, University of Rome "Sapienza", Italy
| | - V Giulianelli
- Dermatology Unit, NESMOS Department, S. Andrea Hospital, University of Rome "Sapienza", Italy
| | - F R Parisella
- Faculty of Medicine, Towson University, Towson City, Maryland, USA
| | - S Persechino
- Dermatology Unit, NESMOS Department, S. Andrea Hospital, University of Rome "Sapienza", Italy
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Tammaro A, Abruzzese C, Cortesi G, Narcisi A, Costanzo A, Persechino S. Nouveaux horizons thérapeutiques pour le prurit dermatologique au-delà de la dermatite atopique : rôle de I-Modulia. Ann Dermatol Venereol 2014. [DOI: 10.1016/j.annder.2014.09.567] [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: 11/30/2022]
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Carlesimo M, Cortesi G, Tierno SM, Narcisi A, Abruzzese C, Orsini D, Tammaro A, Pulcini F, Mezzetti G. Black lymph node in tattoo: an easy pitfall. J Eur Acad Dermatol Venereol 2014; 30:179-80. [PMID: 25200672 DOI: 10.1111/jdv.12687] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- M Carlesimo
- Dermatology Unit, S. Andrea Hospital, II School of Medicine, University of Rome 'Sapienza', Rome, Italy
| | - G Cortesi
- Dermatology Unit, S. Andrea Hospital, II School of Medicine, University of Rome 'Sapienza', Rome, Italy
| | - S M Tierno
- Unit Surgery, Sapienza University of Rome, S. Andrea Hospital, Rome, Italy
| | - A Narcisi
- Dermatology Unit, S. Andrea Hospital, II School of Medicine, University of Rome 'Sapienza', Rome, Italy
| | - C Abruzzese
- Dermatology Unit, S. Andrea Hospital, II School of Medicine, University of Rome 'Sapienza', Rome, Italy
| | - D Orsini
- Dermatology Unit, S. Andrea Hospital, II School of Medicine, University of Rome 'Sapienza', Rome, Italy
| | - A Tammaro
- Dermatology Unit, S. Andrea Hospital, II School of Medicine, University of Rome 'Sapienza', Rome, Italy
| | - F Pulcini
- UOC Histopathology, University of Rome Sapienza, Rome, Italy
| | - G Mezzetti
- Unit Surgery, Sapienza University of Rome, S. Andrea Hospital, Rome, Italy
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Pranteda G, Grimaldi M, Lombardi M, Pranteda G, Arcese A, Cortesi G, Muscianese M, Bottoni U. Basal cell carcinoma: differences according to anatomic location and clinical-pathological subtypes. GIORN ITAL DERMAT V 2014; 149:423-426. [PMID: 25068230] [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
AIM Basal cell carcinoma (BCC) is the most common skin malignant neoplasm in humans. Its localization and its clinical-pathological aspects are fundamental for the treatment and the outcome of these tumors. We wanted to verify if different clinical-pathological subtypes of BCC may be present with different frequencies on single skin areas. METHODS Three hundred six patients affected by BCC seen in Sant'Andrea Hospital, U.O.C. Dermatology, NESMOS Department, Faculty of Medicine, University of Rome "Sapienza", from January 2008 to December 2010, were retrospectively included in this study. Findings from all patients were tabulated and analyzed to characterize the clinical-pathological aspects of BCC according to their anatomic localization. We considered the following clinical subtypes of BCC, nodular, superficial, sclerodermiform, pearly and ulcerative. RESULTS One hundred ninety-seven out of 306 patients (64.4%) were localized on the head, 6 (1.9%) on the neck, 73 patients (23.9%) on the trunk, 2 (0.6%) on the perineum, 4 (1.3%) on upper limbs and 24 (7.9%) on legs. On the head BCC were mostly nodular (44.7%). On the trunk they were mostly superficial (34.3%). BCC on legs were ulcerative in all the 24 patients. CONCLUSION Our data confirm that BCC may have different clinical-pathological aspects on single skin areas. Interestingly in our casistic BCC on the legs were present in an uncommon high percentage. They presented as ulcerative lesions and this fact leads to conclude that in every patient presenting a chronic ulcer on the leg with difficulty to be cured a biopsy is mandatory to put in evidence the possible presence of BCC and consequently to perform the correct surgical treatment to obtain a complete response for the patient.
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Affiliation(s)
- G Pranteda
- Unit of Dermatology, NESMOS Department, Faculty of Medicine and Psychology, "Sapienza" Ospedale Sant'Andrea, Rome, Italy -
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12
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Tammaro A, Abruzzese C, Narcisi A, Cortesi G, Parisella FR, Persechino S. Atypical clinical manifestation of pityriasis versicolor in a young boy. GIORN ITAL DERMAT V 2014; 149:272-274. [PMID: 24819649] [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 Tammaro
- Unit of Dermatology, NESMOS Department, Sant'Andrea Hospital, University of Rome "Sapienza", Rome, Italy -
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13
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Tammaro A, Narcisi A, Cortesi G, Abruzzese C, Socciarelli F, Pulcini F, De Marco G, Persechino S. A case of pseudoepitheliomatous hyperplasia to tattoos. J Eur Acad Dermatol Venereol 2014; 29:1439-40. [DOI: 10.1111/jdv.12485] [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] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- A. Tammaro
- UOC Dermatology; NESMOS Department; University of Rome Sapienza; Rome Italy
| | - A. Narcisi
- UOC Dermatology; NESMOS Department; University of Rome Sapienza; Rome Italy
| | - G. Cortesi
- UOC Dermatology; NESMOS Department; University of Rome Sapienza; Rome Italy
| | - C. Abruzzese
- UOC Dermatology; NESMOS Department; University of Rome Sapienza; Rome Italy
| | - F. Socciarelli
- UOC Histopathology; University of Rome Sapienza; Rome Italy
| | - F. Pulcini
- UOC Histopathology; University of Rome Sapienza; Rome Italy
| | - G. De Marco
- UOC Dermatology; NESMOS Department; University of Rome Sapienza; Rome Italy
| | - S. Persechino
- UOC Dermatology; NESMOS Department; University of Rome Sapienza; Rome Italy
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Tammaro A, Piscopello J, Cortesi G, Abruzzese C, Narcisi A, Orsini D, Giulianelli V, Delogu P, De Marco G, Parisella FR, Persechino S. Dermatitis artefacta: psychological and neurological distress? Clin Ter 2014; 165:e223-e224. [PMID: 24999579 DOI: 10.7417/ct.2014.1724] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Affiliation(s)
- A Tammaro
- Dermatology Unit, S. Andrea Hospital, NESMOS Department, University of Rome 'Sapienza', Italy
| | | | - G Cortesi
- Dermatology Unit, S. Andrea Hospital, NESMOS Department, University of Rome 'Sapienza', Italy
| | - C Abruzzese
- Dermatology Unit, S. Andrea Hospital, NESMOS Department, University of Rome 'Sapienza', Italy
| | - A Narcisi
- Dermatology Unit, S. Andrea Hospital, NESMOS Department, University of Rome 'Sapienza', Italy
| | - D Orsini
- Dermatology Unit, S. Andrea Hospital, NESMOS Department, University of Rome 'Sapienza', Italy
| | - V Giulianelli
- Dermatology Unit, S. Andrea Hospital, NESMOS Department, University of Rome 'Sapienza', Italy
| | - P Delogu
- Dermatology Unit, S. Andrea Hospital, NESMOS Department, University of Rome 'Sapienza', Italy
| | - G De Marco
- Dermatology Unit, S. Andrea Hospital, NESMOS Department, University of Rome 'Sapienza', Italy
| | | | - S Persechino
- Dermatology Unit, S. Andrea Hospital, NESMOS Department, University of Rome 'Sapienza', Italy
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Tammaro A, Abruzzese C, Narcisi A, Cortesi G, Parisella F, Grippaudo F, Persechino S. Orthopedic Therapy and Allergic Contact Dermatitis: An Unusual Case of Double Sensitization. EUR J INFLAMM 2013. [DOI: 10.1177/1721727x1301100332] [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] [Indexed: 11/17/2022] Open
Abstract
We report the first case of a double sensitization for two apparently non-related allergens: disperse red textile dye and topical ketoprofen. A possible explanation was that the topical gel medication could act as a vehicle between the skin and the textile red dye, underlining the importance of a “carrier-substance” to facilitate the allergen penetration and a possible sensitization to it.
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Affiliation(s)
- A. Tammaro
- U.O.C. Dermatology, NESMOS Department, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome, Italy
| | - C. Abruzzese
- U.O.C. Dermatology, NESMOS Department, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome, Italy
| | - A. Narcisi
- U.O.C. Dermatology, NESMOS Department, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome, Italy
| | - G. Cortesi
- U.O.C. Dermatology, NESMOS Department, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome, Italy
| | - F.R. Parisella
- Faculty of Medicine, University of Towson (Maryland), USA
| | - F.R. Grippaudo
- U.O.C. Plastic Surgery, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome, Italy
| | - S. Persechino
- U.O.C. Dermatology, NESMOS Department, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome, Italy
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Carlesimo M, Mari E, Abruzzese C, Cortesi G, Del Giglio L, Pozzilli C, Bozzao C, Chessa L. What is Erythema Annulare Centrifugum? A Familial Case. EUR J INFLAMM 2013. [DOI: 10.1177/1721727x1301100223] [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: 11/16/2022] Open
Affiliation(s)
- M. Carlesimo
- NESMOS, U.O.C. Dermatology, Sant'Andrea Hospital of Rome, II Unit University of Rome “Sapienza”, Rome Italy
| | - E. Mari
- NESMOS, U.O.C. Dermatology, Sant'Andrea Hospital of Rome, II Unit University of Rome “Sapienza”, Rome Italy
| | - C. Abruzzese
- NESMOS, U.O.C. Dermatology, Sant'Andrea Hospital of Rome, II Unit University of Rome “Sapienza”, Rome Italy
| | - G. Cortesi
- NESMOS, U.O.C. Dermatology, Sant'Andrea Hospital of Rome, II Unit University of Rome “Sapienza”, Rome Italy
| | - L. Del Giglio
- Neurology, Sant'Andrea Hospital, University of Rome “Sapienza”, Rome, Italy
| | - C. Pozzilli
- Neurology, Sant'Andrea Hospital, University of Rome “Sapienza”, Rome, Italy
| | - C. Bozzao
- Medical Genetics, Sant'Andrea Hospital, University of Rome “Sapienza”, Rome Italy
| | - L. Chessa
- Medical Genetics, Sant'Andrea Hospital, University of Rome “Sapienza”, Rome Italy
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Tammaro A, Cortesi G, Abruzzese C, Narcisi A, De Marco G, Parisella FR, Persechino S. A case of periocular contact dermatitis caused by cypress allergy. Int J Immunopathol Pharmacol 2012; 25:763-4. [PMID: 23058027 DOI: 10.1177/039463201202500323] [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] [Indexed: 11/17/2022] Open
Abstract
Airborne contact dermatitis is a dermatological disease manifesting predominantly on the face, neck and arms, which is caused by volatile substances which settle on exposed skin. Although the diagnosis is not difficult, the finding of causative allergens and the exclusion of differential diagnoses are still lacking by the treating dermatologists.
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Affiliation(s)
- A Tammaro
- NESMOS Department, S Andrea Hospital, University of Rome Sapienza, Italy.
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Tammaro A, Abruzzese C, Narcisi A, Cortesi G, Persechino F, Parisella FR, Persechino S. Magnesium stearate: an underestimated allergen. J BIOL REG HOMEOS AG 2012; 26:783-784. [PMID: 23241129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Magnesium stearate is a substance often used as a diluent in the manufacture of medical tablets, capsules and powders. Moreover it is usually found as a food additive or pharmaceutical excipient. We report the first case of a 28 years old woman affected by an allergic reaction from this substance with an urticarial manifestation.
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Tammaro A, Abruzzese C, Narcisi A, Cortesi G, Grippaudo F, Persechino F, Parisella F, Persechino S. Disperse Yellow Dye: An Emerging Professional Sensitizer in Contact Allergy Dermatitis. EUR J INFLAMM 2012. [DOI: 10.1177/1721727x1201000328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Disperse dyes are well known as common sensitizers in contact allergy dermatitis. Disperse yellow 3 is usually adopted in the textile industry for dying synthetic fibers, but is also used in hair dyes and for colouring plastic materials. We describe three cases of two males and one female patient, respectively a painter, an actor and a nursery-school teacher, who presented contact allergy dermatitis to disperse yellow 3 dye.
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Affiliation(s)
- A. Tammaro
- U.O.C. Dermatology, NESMOS Department, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome, Italy
| | - C. Abruzzese
- U.O.C. Dermatology, NESMOS Department, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome, Italy
| | - A. Narcisi
- U.O.C. Dermatology, NESMOS Department, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome, Italy
| | - G. Cortesi
- U.O.C. Dermatology, NESMOS Department, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome, Italy
| | - F.R. Grippaudo
- U.O.C. Plastic Surgery, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome, Italy
| | - F. Persechino
- U.O.C. Dermatology, NESMOS Department, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome, Italy
| | - F.R. Parisella
- Faculty of Medicine, University of Towson (Maryland), USA
| | - S. Persechino
- U.O.C. Dermatology, NESMOS Department, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome, Italy
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Carlesimo M, Abruzzese C, Cortesi G, Ciccone A, Poggi C, Lombardi M, Moscetti A, La Verde G, Mari E. Pseudoxanthoma Elasticum and Light-Chain Amyloidosis. EUR J INFLAMM 2012. [DOI: 10.1177/1721727x1201000329] [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] [Indexed: 11/15/2022] Open
Abstract
Pseudoxanthoma elasticum is a heritable disorder of connective tissue characterized by cutaneous, vascular and ocular changes that result from the accumulation of fragmented elastic fibres. Even though the etiopathogenesis is not still completely understood, in recent years in literature some Authors have considered pseudoxanthoma elasticum as a metabolic disorder. We present the case of a 45-year-old man affected by pseudoxanthoma elasticum and light-chain amyloidosis and we discuss the possible reasons that led to this association.
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Affiliation(s)
- M. Carlesimo
- NESMOS, U.O.C. Dermatology, Sant'Andrea Hospital University of Rome “Sapienza”, Faculty of Medicine and Psychology, Rome, Italy
| | - C. Abruzzese
- NESMOS, U.O.C. Dermatology, Sant'Andrea Hospital University of Rome “Sapienza”, Faculty of Medicine and Psychology, Rome, Italy
| | - G. Cortesi
- NESMOS, U.O.C. Dermatology, Sant'Andrea Hospital University of Rome “Sapienza”, Faculty of Medicine and Psychology, Rome, Italy
| | - A.M. Ciccone
- U.O.C. Thorax Surgery, Sant'Andrea Hospital University of Rome “Sapienza”, Faculty of Medicine and Psychology, Rome, Italy
| | - C. Poggi
- U.O.C. Thorax Surgery, Sant'Andrea Hospital University of Rome “Sapienza”, Faculty of Medicine and Psychology, Rome, Italy
| | - M. Lombardi
- U.O.C. Histopathology, Sant Andrea Hospital University of Rome “Sapienza”, Faculty of Medicine and Psychology, Rome, Italy
| | - A. Moscetti
- U.O.C. Ematology Sant Andrea Hospital University of Rome “Sapienza”, Faculty of Medicine and Psycology, Rome, Italy
| | - G. La Verde
- U.O.C. Ematology Sant Andrea Hospital University of Rome “Sapienza”, Faculty of Medicine and Psycology, Rome, Italy
| | - E. Mari
- U.O.C. Clinica Dermatologica Dipartimento di Medicina Interna e Specialita Mediche University of Rome “Sapienza”, Rome, Italy
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Tammaro A, Persechino S, Abruzzese C, Narcisi A, Cortesi G, Parisella FR, Laganà B. Psoriasiform dermatitis in a non-psoriatic patient treated with adalimumab. Int J Immunopathol Pharmacol 2012; 25:499-501. [PMID: 22697082 DOI: 10.1177/039463201202500220] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Anti-TNF drugs may be associated with various adverse reactions including cutaneous ones. We describe the case of a 45-year-old woman affected by undifferentiated spondyloarthritis who presented a localized psoriasiformis dermatitis during treatment with adalimumab, without any medical history of psoriasis.
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22
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Persechino S, Caperchi C, Cortesi G, Persechino F, Raffa S, Pucci E, Tammaro A, Torrisi MR. Anetoderma: evidence of the relationship with autoimmune disease and a possible role of macrophages in the etiopathogenesis. Int J Immunopathol Pharmacol 2012; 24:1075-7. [PMID: 22230413 DOI: 10.1177/039463201102400425] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Anetoderma is a benign condition characterized by round or oval macular lesions with focal loss of dermal elastic tissue resulting in localized areas of flaccid or herniated saclike skin. Often, the anetoderma is associated with immuno-mediated pathogenetic mechanism. In this article, we describe the association between anetoderma and autoimmune diseases, by underlining the role and the action of macrophages as a possible etiopathogenesis.
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23
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Tammaro A, Narcisi A, Abruzzese C, Cortesi G, Persechino F, Parisella F, Caperchi C, Persechino S. Two Cases of Cercarial Dermatitis in An Italian Lake. EUR J INFLAMM 2012. [DOI: 10.1177/1721727x1201000118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Cercarial dermatitis (also named Swimmer's itch or Clam-digger's disease) was first described about 80 years ago, but today its impact is increasing and it is considered an emerging disease. This represents a hypersensitive or allergic reaction to Trichobilharzia spp, clinically characterized by initial erythema and cutaneous itching, followed by macular or papular eruptions, itching and occasionally diffuse erythema or urticaria. We report two cases of patients affected by a cercarial dermatitis after bathing in Lake Vico (Central Italy). We highlight these cases for the rarity of this dermatitis and its increasing prevalence, also in previously non-affected geographical areas, associated to a high level of social discomfort.
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Affiliation(s)
- A. Tammaro
- U.O.C. Dermatology, NESMOS Department, Sant'Andrea hospital, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome, Italy
| | - A. Narcisi
- U.O.C. Dermatology, NESMOS Department, Sant'Andrea hospital, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome, Italy
| | - C. Abruzzese
- U.O.C. Dermatology, NESMOS Department, Sant'Andrea hospital, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome, Italy
| | - G. Cortesi
- U.O.C. Dermatology, NESMOS Department, Sant'Andrea hospital, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome, Italy
| | - F. Persechino
- U.O.C. Dermatology, NESMOS Department, Sant'Andrea hospital, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome, Italy
| | | | - C. Caperchi
- U.O.C. Dermatology, NESMOS Department, Sant'Andrea hospital, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome, Italy
| | - S. Persechino
- U.O.C. Dermatology, NESMOS Department, Sant'Andrea hospital, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome, Italy
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Abstract
In the last decades several cases of association between sarcoidosis and various autoimmune diseases have been described, leading us to stress the concept of a possible common genetic “soil” of predisposition. The majority of these cases were association between sarcoidosis and generalized scleroderma, but only one case of localized scleroderma and sarcoidosis. In this report, we describe a case of a female patient in which a diagnosis of pulmonary sarcoidosis and morphea was made.
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Affiliation(s)
- M. Carlesimo
- Dermatology Unit, S.Andrea Hospital, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome
| | - A. Narcisi
- Dermatology Unit, S.Andrea Hospital, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome
| | - D. Orsini
- Dermatology Unit, S.Andrea Hospital, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome
| | - G. Cortesi
- Dermatology Unit, S.Andrea Hospital, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome
| | - C. Abruzzese
- Dermatology Unit, S.Andrea Hospital, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome
| | - S. Giovagnoli
- UOC Pneumology, S.Andrea Hospital, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome
| | - M. Giubettini
- Department of Histopathology, S.Andrea Hospital, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome, Italy
| | - G. Camplone
- Dermatology Unit, S.Andrea Hospital, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome
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Carlesimo M, Gamba A, La Pietra M, Arcese A, Orsini D, Cortesi G, Raffa S, Torrisi MR, Camplone G. Scleredema adultorum: quali-quantitative analysis of collagen fibers. J Endocrinol Invest 2011; 34:650-1. [PMID: 22080650 DOI: 10.1007/bf03345400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Carlesimo M, Cortesi G, Gamba A, Narcisi A, Turturro F, Raffa S, Torrisi MR, Camplone G. Ehlers–Danlos syndrome: case report and an electron microscopy study. Rheumatol Int 2011; 32:1507-10. [DOI: 10.1007/s00296-010-1778-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2010] [Accepted: 12/30/2010] [Indexed: 12/01/2022]
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Carlesimo M, Abruzzese C, Orsini D, Narcisi A, Cortesi G, Mari E, De Marco G, Camplone G. An unusual case of annular bollous eruption of the inguinal folds. Clin Ter 2011; 162:e119-e120. [PMID: 21912813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Pemphigus herpetiformis is a rare clinical entity belonging to the group of autoimmune blistering disorders of the skin, that usually presents clinical features of dermatitis herpetiformis and immunologically findings of pemphigus. Because of the variety of its presentation, differential diagnosis with other bollous diseases is not simple and histopathological results have to be supported by direct immunofluorescence assay, for a correct diagnosis. We report the case of a young woman, where immunofluorescence was a fundamental tool to reach the diagnosis of pemphigus herpetiformis, because of the lack of acantholitic cells at histological sample.
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Affiliation(s)
- M Carlesimo
- UOC Dermatology, II Unit, Sapienza University, Rome, Italy
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Carlesimo M, Narcisi A, Cortesi G, Mari E, Fidanza L, De Marco G, Rossi A, Camplone G. An 18-Year Follow-up of a Case of D-Penicillamine-Induced Elastosis Perforans Serpiginosa. Int J Immunopathol Pharmacol 2011; 24:257-9. [DOI: 10.1177/039463201102400133] [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
Elastosis perforans serpiginosa (EPS) is a rare complication of chronic therapy with a high-dose of D-penicillamine (1 g daily for more than 5 years), characterized by the elimination of abnormal elastic fibers from the upper dermis through the epidermis. D-penicillamine (DPA) is a heavy metal chelator primarily used for disorders such as cystinuria and Wilson disease. This therapy can lead to induction of EPS through a still unknown mechanism. We report the follow-up of a D-penicillamine-induced EPS in patient with Wilson disease, which prompted us to switch the therapy with trientine (another metal chelator). After 14 years the cutaneous lesions are still visible; therefore, we conclude that the DPA-induced cutaneous damage is irreversible.
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Affiliation(s)
- M. Carlesimo
- Dermatology Unit, S. Andrea Hospital, II School of Medicine, University of Rome ‘Sapienza’, Italy
| | - A. Narcisi
- Dermatology Unit, S. Andrea Hospital, II School of Medicine, University of Rome ‘Sapienza’, Italy
| | - G. Cortesi
- Dermatology Unit, S. Andrea Hospital, II School of Medicine, University of Rome ‘Sapienza’, Italy
| | - E. Mari
- Dermatology Unit, S. Andrea Hospital, II School of Medicine, University of Rome ‘Sapienza’, Italy
| | - L. Fidanza
- Dermatology Unit, S. Andrea Hospital, II School of Medicine, University of Rome ‘Sapienza’, Italy
| | - G. De Marco
- Dermatology Unit, S. Andrea Hospital, II School of Medicine, University of Rome ‘Sapienza’, Italy
| | - A. Rossi
- Dermatology Unit, Policlinico Umberto I, I School of Medicine, University of Rome ‘Sapienza’, Italy
| | - G. Camplone
- Dermatology Unit, S. Andrea Hospital, II School of Medicine, University of Rome ‘Sapienza’, Italy
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Caprino E, Cortesi G, Villani R, Caccia ME, Lauria F, Nava S. [Infectious endocarditis following artificial insemination. A clinical case report and review of the literature]. Minerva Cardioangiol 1994; 42:493-6. [PMID: 7816238] [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: 01/27/2023]
Abstract
We describe a case of infective endocarditis in a 33 year old patient, with mitral valve prolapse (MVP), who underwent nine attempts of artificial insemination with semen by donor. Several blood cultures demonstrated the presence of Enterococcus faecalis; the same agent was identified in some vaginal cultures. Despite antibiotic therapy, infective endocarditis was complicated by severe mitral regurgitation, followed by the rupture of a chorda tendinea. The patient underwent cardiac surgery: valvuloplasty of posterior mitral cusp, chordae tendineae in Goretex and anulus reinforcement with autologous pericardium. MVP is the most common heart disease associated with infective endocarditis in non-drug addict patients (32-54%). The review of the literature did not show any other case of infective endocarditis after artificial insemination procedures. Because of the large spread of these procedures, we think antibiotic prophylaxis of infective endocarditis should be considered in patients with MVP.
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Affiliation(s)
- E Caprino
- Divisione di Cardiologia, Ospedale Civile degli Infermi, Vigevano, Pavia
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30
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Cortesi G. [The Idoneit line. Reconstruction and protection]. Attual Dent 1989; 5:16-24. [PMID: 2700300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
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31
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Bolognesi R, Tsialtas D, Cortesi G, Pela G, Manca C. [Anti-arrhythmic action of magnesium sulfate in "torsade de pointes" ventricular arrhythmia]. G Ital Cardiol 1984; 14:1077-80. [PMID: 6532886] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
A female patient with recurrent "torsades de pointes" and a long QT interval was successfully treated with i.v. magnesium sulfate. This work provides further support of the use of magnesium sulfate in this particular arrhythmia.
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