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Napolitano M, Megna M, Fabbrocini G, Nisticò SP, Balato N, Dastoli S, Patruno C. Eczematous eruption during anti-interleukin 17 treatment of psoriasis: an emerging condition. Br J Dermatol 2019; 181:604-606. [PMID: 30768788 DOI: 10.1111/bjd.17779] [Citation(s) in RCA: 27] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Affiliation(s)
- M Napolitano
- Department of Medicine and Health Sciences Vincenzo Tiberio, University of Molise, Campobasso, Italy
| | - M Megna
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - G Fabbrocini
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - S P Nisticò
- Department of Health Sciences, University Magna Graecia, Catanzaro, Italy
| | - N Balato
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - S Dastoli
- Department of Health Sciences, University Magna Graecia, Catanzaro, Italy
| | - C Patruno
- Department of Health Sciences, University Magna Graecia, Catanzaro, Italy
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Megna M, Pecoraro A, Balato N, Villani A, Crescenzi L, Balato A, Spadaro G. Psoriasis in a cohort of patients with common variable immunodeficiency. Br J Dermatol 2019; 180:935-936. [PMID: 30414274 DOI: 10.1111/bjd.17408] [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: 01/07/2023]
Affiliation(s)
- M Megna
- Department of Dermatology, University of Naples Federico II, Italy
| | - A Pecoraro
- Department of Translational Medical Sciences and Center for Basic and Clinical Immunology Research, University of Naples Federico II, Naples, Italy
| | - N Balato
- Department of Dermatology, University of Naples Federico II, Italy
| | - A Villani
- Department of Dermatology, University of Naples Federico II, Italy
| | - L Crescenzi
- Department of Translational Medical Sciences and Center for Basic and Clinical Immunology Research, University of Naples Federico II, Naples, Italy
| | - A Balato
- Department of Advanced Biomedical Sciences, University of Naples Federico II, Naples, Italy
| | - G Spadaro
- Department of Translational Medical Sciences and Center for Basic and Clinical Immunology Research, University of Naples Federico II, Naples, Italy
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Megna M, Gisonni P, Balato N. Smartphone and video games overuse effects on hand joints: time for screening interventions? J Eur Acad Dermatol Venereol 2018; 32:e457-e458. [DOI: 10.1111/jdv.15056] [Citation(s) in RCA: 1] [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: 11/28/2022]
Affiliation(s)
- M. Megna
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - P. Gisonni
- Department of Advanced Biomedical Sciences; Diagnostic Imaging Section; University of Naples Federico II; Naples Italy
| | - N. Balato
- Department of Dermatology; University of Naples Federico II; Naples Italy
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Megna M, Cirillo T, Balato A, Balato N, Gallo L. Real‐life effectiveness of biological drugs on psoriatic difficult‐to‐treat body regions: scalp, palmoplantar area and lower limbs. J Eur Acad Dermatol Venereol 2018; 33:e22-e23. [DOI: 10.1111/jdv.15119] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [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. Megna
- Section of Dermatology Department of Clinical Medicine and Surgery University of Naples Federico II Naples Italy
| | - T. Cirillo
- Section of Dermatology Department of Clinical Medicine and Surgery University of Naples Federico II Naples Italy
| | - A. Balato
- Section of Dermatology Department of Clinical Medicine and Surgery University of Naples Federico II Naples Italy
| | - N. Balato
- Department of Advanced Biomedical Sciences University of Naples Federico II Naples Italy
| | - L. Gallo
- Section of Dermatology Department of Clinical Medicine and Surgery University of Naples Federico II Naples Italy
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Lembo S, Caiazzo G, Balato N, Monfrecola G, Patra V, Wolf P, Balato A. Polymorphic light eruption and IL-1 family members: any difference with allergic contact dermatitis? Photochem Photobiol Sci 2018; 16:1471-1479. [PMID: 28812775 DOI: 10.1039/c7pp00142h] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
Polymorphic light eruption (PLE) is described as a delayed-type hypersensitivity reaction (DTHR) toward a de novo light-induced antigen, yet to be identified. In effect, the inflammatory pathways of PLE and allergic contact dermatitis (ACD) share common patterns in terms of the mediators involved from the innate and adaptive immune system participating in the DTHR. As we have previously highlighted the role of interleukin (IL)-1 family members in ACD, we hypothesised that the same mediators could have similar functions in PLE. Our research aimed to assess the expression of certain IL-1family members in PLE patients vs. controls, and to compare it with ACD. The study population comprised 17 patients with PLE, 5 affected by ACD and 10 healthy controls in the same age range. Lesional and healthy skin samples were collected respectively from patients and donors. IL-36α, IL-36β, IL-36γ, IL-36 receptor antagonist (Ra), IL-1β, IL-33 gene and protein expressions were evaluated through RT-PCR and immunohistochemistry. Circulating proteins in the PLE patients were analysed by using western blot. The IL-36γ gene expression was significantly increased in PLE lesions compared to that in healthy controls and ACD lesions (***p < 0.001; ##p < 0.01 respectively), whereas the other analyzed ILs were more expressed in ACD. Immunohistochemical analysis revealed that IL-36α and IL-36γ protein levels were increased in PLE lesions compared to those of the healthy samples (***p < 0.001). Furthermore the IL-36γ plasma level was increased in PLE patients vs. controls (*p < 0.05). Our findings indicate that the IL-1 family pro-inflammatory members are increased in PLE with distinct differences from those in ACD, in particular with regard to IL-36γ mRNA regulation. Their role as activators of the local, and perhaps systemic, immune response, or as inhibitors of the immune tolerance machinery, needs further investigation.
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Affiliation(s)
- S Lembo
- Department of Medicine, Surgery and Dentistry, "Scuola Medica Salernitana" University of Salerno, Italy.
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Lembo C, Patruno C, Balato N, Ayala F, Balato A, Lembo S. Rational ideation and empiric validation of an innovative digital dermographic tester. Clin Exp Dermatol 2017; 43:268-273. [PMID: 29270994 DOI: 10.1111/ced.13314] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/04/2017] [Indexed: 11/26/2022]
Abstract
BACKGROUND Dermographism is a condition characterized by a weal response to a combination of pressure and traction on skin surface, and its diagnosis is based on medical history, clinical criteria and provocation test. The Dermographic Tester® , a pen-sized tool containing a spring-loaded blunt tip, is the most widely used instrument for the provocation test, and it exerts increasing pressures on the skin surface according to an arbitrary units (AU) scale. Analysing the mechanism of function and trying to convert the AUs to SI units (g/mm2 ), we found that this instrument had some defects and limits that would compromise a true and repeatable quantification of the weal response threshold. Consequently, we decided to develop a new instrument, the Digital Dermographic Tester (DDT), which is engineered with an inside force sensor to implement features lacking in the current tools, in the hope of enhancing the precision of the provocation test. AIM To validate the effectiveness and accuracy of the DDT. METHODS We tested the DDT on 213 participants purposely sampled to obtain three groups, each with a different pattern of reaction to mechanical stimuli. Based on anamnestic, diagnostic and symptomatic criteria, patients were divided into dermographic urticaria (DU), spontaneous urticaria (SU) and healthy control (HC) groups. The DDT was used to apply 12 levels of pressure to the skin surface, and a frequency distribution of positive reactions was displayed for each group. RESULTS A force of 36-40 g/mm2 appropriately differentiated physiological from pathological conditions with high sensitivity and specificity. CONCLUSIONS The DDT was found to be capable of differentiating patients with DU patients from those with SU and from HCs, and was able to precisely identify the weal elicitation threshold.
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Affiliation(s)
- C Lembo
- Department of Clinical Medicine and Surgery, Section of Dermatology and Venereology, University of Naples Federico II, Naples, Italy
| | - C Patruno
- Department of Clinical Medicine and Surgery, Section of Dermatology and Venereology, University of Naples Federico II, Naples, Italy
| | - N Balato
- Department of Clinical Medicine and Surgery, Section of Dermatology and Venereology, University of Naples Federico II, Naples, Italy
| | - F Ayala
- Department of Clinical Medicine and Surgery, Section of Dermatology and Venereology, University of Naples Federico II, Naples, Italy
| | - A Balato
- Department of Clinical Medicine and Surgery, Section of Dermatology and Venereology, University of Naples Federico II, Naples, Italy
| | - S Lembo
- Department of Medicine, Surgery and Odontology Scuola Medica Salernitana, University of Salerno, Salerno, Italy
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Lembo C, Raimondo A, Balato N, Ayala F, Balato A. 506 A potential prognostic test for bone erosion development in patients with cutaneous predictive sites for psoriatic arthritis. J Invest Dermatol 2017. [DOI: 10.1016/j.jid.2017.07.702] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Di Caprio R, Balato A, Balato N, Lembo S, Monfrecola G. 643 Scientific rationale underlying the use of nicotinamide in actinic keratosis. J Invest Dermatol 2017. [DOI: 10.1016/j.jid.2017.07.319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Megna M, Patruno C, Balato A, Napolitano M, Balato N. Adult Atopic Dermatitis: Less Certainty, More Challenges. J Investig Allergol Clin Immunol 2017; 27:276-277. [DOI: 10.18176/jiaci.0155] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Megna M, Gisonni P, Napolitano M, Orabona GD, Patruno C, Ayala F, Balato N. The effect of smartphone addiction on hand joints in psoriatic patients: an ultrasound-based study. J Eur Acad Dermatol Venereol 2017; 32:73-78. [PMID: 28573823 DOI: 10.1111/jdv.14380] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2017] [Accepted: 04/10/2017] [Indexed: 12/17/2022]
Abstract
BACKGROUND Distal interphalangeal (DIP) arthritis is a frequent form of psoriatic arthritis being often linked to nail psoriasis. Modern society is characterized by overuse of smartphones. Indeed, literature has recently focalized on research into smartphone addiction and health-related problems. OBJECTIVES As smartphone addiction is able to determine overuse and repeated movements of DIP joints and nails, the aim of this study was to evaluate the impact of smartphone use on hand joints of young psoriatic patients. METHODS An observational study involving four different groups such as non-smartphone-addicted (SA) psoriatic patients, SA psoriatic patients, non-SA controls and SA controls was performed. Each subject underwent an ultrasound examination of both hands by three independent and blinded to group assignment radiologists. A specific score was used to evaluate the inflammatory state of the analysed joints. RESULTS The total ultrasound score was statistically significantly higher in SA controls respect to non-SA controls (3.4 vs. 1.4; P < 0.05) as well as in SA psoriasis patients compared to non-SA psoriatic subjects (15.2 vs. 6.7; P < 0.01). Higher mean of ultrasound score was found for left hand in controls (both SA or not) and for right hand in psoriatic subjects (both SA or not), however without reaching statistical significance. CONCLUSIONS Smartphone overuse was found to be linked with higher signs of inflammation of musculoskeletal structures of hands joints in both psoriasis and controls through ultrasound examination. Therefore, smartphone overuse may be a factor which facilitate or speed up the possible development of psoriatic arthritis.
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Affiliation(s)
- M Megna
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - P Gisonni
- Department of Advanced Biomedical Sciences, Diagnostic Imaging Section, University of Naples Federico II, Naples, Italy
| | - M Napolitano
- Department of Medicine and Health Science "Vincenzo Tiberio", University of Molise, Campobasso, Italy
| | - G Dell'Aversano Orabona
- Department of Advanced Biomedical Sciences, Diagnostic Imaging Section, University of Naples Federico II, Naples, Italy
| | - C Patruno
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - F Ayala
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - N Balato
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
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Monfrecola G, Di Caprio R, Balato N, Bevilacqua MA, Iovine B, Lembo S, Balato A. Nicotinamide reduces cyclooxygenase-2 expression in HaCaT keratinocytes after ultraviolet-B irradiation. Br J Dermatol 2017; 176:1402-1404. [PMID: 28118480 DOI: 10.1111/bjd.15338] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Affiliation(s)
- G Monfrecola
- Department of Clinical Medicine and Surgery, Section of Dermatology, University of Naples Federico II, Naples, Italy
| | - R Di Caprio
- Department of Clinical Medicine and Surgery, Section of Dermatology, University of Naples Federico II, Naples, Italy
| | - N Balato
- Department of Clinical Medicine and Surgery, Section of Dermatology, University of Naples Federico II, Naples, Italy
| | - M A Bevilacqua
- Department of Molecular Medicine and Medical Biotechnology, University of Naples Federico II, Naples, Italy
| | - B Iovine
- Department of Molecular Medicine and Medical Biotechnology, University of Naples Federico II, Naples, Italy
| | - S Lembo
- Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, Salerno, Italy
| | - A Balato
- Department of Advanced Biomedical Sciences, University of Naples Federico II, Naples, Italy
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12
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Megna M, Lobasso A, Napolitano M, Rossi FW, Balato A, Matucci-Cerinic C, Braconaro F, Prignano F, Monfrecola G, Balato N, De Paulis A. Soccer helps in controlling the development of psoriasis in Italian second league players. J Eur Acad Dermatol Venereol 2016; 31:e212-e214. [PMID: 27632580 DOI: 10.1111/jdv.13971] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Affiliation(s)
- M Megna
- Department of Dermatology, University of Naples Federico II, Naples, Italy
| | - A Lobasso
- Department of Translational Medical Sciences (DiSMeT), University of Naples Federico II, Naples, Italy
| | - M Napolitano
- Department of Dermatology, University of Naples Federico II, Naples, Italy
| | - F W Rossi
- Department of Translational Medical Sciences (DiSMeT), University of Naples Federico II, Naples, Italy
| | - A Balato
- Department of Dermatology, University of Naples Federico II, Naples, Italy
| | - C Matucci-Cerinic
- Section of Dermatology, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy
| | - F Braconaro
- Antidoping Federal Commission and Health Protection of "Federazione Italiana Giuoco Calcio", Rome, Italy.,Medical and Scientific Commission of the National Professional League "Serie B", Rome, Italy
| | - F Prignano
- Section of Dermatology, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy
| | - G Monfrecola
- Department of Dermatology, University of Naples Federico II, Naples, Italy
| | - N Balato
- Department of Dermatology, University of Naples Federico II, Naples, Italy
| | - A De Paulis
- Department of Translational Medical Sciences (DiSMeT), University of Naples Federico II, Naples, Italy.,Antidoping Federal Commission and Health Protection of "Federazione Italiana Giuoco Calcio", Rome, Italy
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13
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Balato A, Caiazzo G, Ayala F, Balato N, Di Caprio R, Monfrecola G, Patruno C, Raimondo A, Lembo S. 379 IL-26: A new actor in allergic contact dermatitis. J Invest Dermatol 2016. [DOI: 10.1016/j.jid.2016.06.399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Megna M, Napolitano M, Balato N, Monfrecola G, Villani A, Ayala F, Balato A. Efficacy and safety of ustekinumab in a group of 22 elderly patients with psoriasis over a 2-year period. Clin Exp Dermatol 2016; 41:564-6. [PMID: 27028505 DOI: 10.1111/ced.12850] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/09/2015] [Indexed: 12/15/2022]
Affiliation(s)
- M Megna
- Department of Dermatology, University of Naples Federico II, Napoli, Italy.
| | - M Napolitano
- Department of Dermatology, University of Naples Federico II, Napoli, Italy
| | - N Balato
- Department of Dermatology, University of Naples Federico II, Napoli, Italy
| | - G Monfrecola
- Department of Dermatology, University of Naples Federico II, Napoli, Italy
| | - A Villani
- Department of Dermatology, University of Naples Federico II, Napoli, Italy
| | - F Ayala
- Department of Dermatology, University of Naples Federico II, Napoli, Italy
| | - A Balato
- Department of Dermatology, University of Naples Federico II, Napoli, Italy
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Lembo S, Balato N, Caiazzo G, Megna M, Ayala F, Balato A. The effects of etanercept on replication, proliferation, survival, and apoptosis markers in moderate to severe psoriasis. J Eur Acad Dermatol Venereol 2016; 31:e9-e11. [DOI: 10.1111/jdv.13583] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Affiliation(s)
- S. Lembo
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - N. Balato
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - G. Caiazzo
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - M. Megna
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - F. Ayala
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - A. Balato
- Department of Dermatology; University of Naples Federico II; Naples Italy
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Genazzani A, Altomare G, Balato N, Cusano F, De Pità O, Loconsole F, Micali G, Piaserico S, Girolomoni G. Biosimilar infliximab: an expert view. GIORN ITAL DERMAT V 2015; 150:449-459. [PMID: 25747260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
CT-P13, a biosimilar of infliximab, was the first biosimilar monoclonal antibody to be approved in both the European Union and Korea. As a monoclonal antibody, CT-P13 is a large molecule with a high molecular weight, and as such it differs from other biosimilars currently in the market. The comparability exercise for CT-P13, therefore, requires special consideration, as it was the first demonstration of biosimilarity between a biosimilar monoclonal antibody and its originator. This paper summarizes current regulations on the approval of biosimilars, describes the evidence leading to the approval of CT-P13, and discusses the potential role of this molecule in the Italian scenario on the basis of the view of a group of experts.
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Maresca B, Lembo S, Ayala F, Balato N, Di Caprio R, Mattii M, Raimondo A, Schiattarella M, Abrescia P, Spagnuolo MS, Cigliano L, Balato A. Understanding the role of haptoglobin in psoriasis: effects of ultraviolet B. Clin Exp Dermatol 2015; 41:74-80. [DOI: 10.1111/ced.12667] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/06/2014] [Indexed: 01/14/2023]
Affiliation(s)
- B. Maresca
- Department of Biology; University of Naples Federico II; Naples Italy
| | - S. Lembo
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - F. Ayala
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - N. Balato
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - R. Di Caprio
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - M. Mattii
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - A. Raimondo
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - M. Schiattarella
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - P. Abrescia
- Department of Biology; University of Naples Federico II; Naples Italy
| | - M. S. Spagnuolo
- Institute of Animal Production Systems in Mediterranean Environments; National Research Council; Naples Italy
| | - L. Cigliano
- Department of Biology; University of Naples Federico II; Naples Italy
| | - A. Balato
- Department of Dermatology; University of Naples Federico II; Naples Italy
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18
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Di Costanzo L, Ayala F, Patruno C, Patrì A, Balato N. Legionellosis and psoriasis in biologic era. GIORN ITAL DERMAT V 2015; 150:130-131. [PMID: 25686289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Affiliation(s)
- L Di Costanzo
- Section of Dermatology, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy -
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Linder D, Altomare G, Amato S, Amerio P, Balato N, Campanati A, Conti A, Gisondi P, Prignano F, Saraceno R, Piaserico S. PSOCUBE, a multidimensional assessment of psoriasis patients as a both clinically/practically sustainable and evidence-based algorithm. J Eur Acad Dermatol Venereol 2014; 29:1310-7. [DOI: 10.1111/jdv.12809] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2014] [Accepted: 09/29/2014] [Indexed: 01/05/2023]
Affiliation(s)
- D. Linder
- Department of Dermatology; University Hospital of Padua; Italy
- Research Unit of Behavioural Medicine, Health Psychology and Empirical Psychosomatics; Medical University of Graz; Graz Austria
| | - G. Altomare
- Dermatology Unit; Istituto Ortopedico Galeazzi IRCCS; University of Milan; Milan Italy
| | - S. Amato
- Department of Dermatology and STD; ARNAS-Palermo; Palermo Italy
| | - P. Amerio
- Department of Oncology and Neurosciences; Dermatologic Clinic; University G. D'Annunzio; Chieti Italy
| | - N. Balato
- Department of Dermatology; University Federico II; Naples Italy
| | - A. Campanati
- Dermatological Clinic; Department of Clinical and Molecular Sciences; Polytechnic Marche University; Ancona Italy
| | - A. Conti
- Dermatology Unit; Azienda Ospedaliera Universitaria Policlinico; Modena Italy
| | - P. Gisondi
- Department of Medicine; Section of Dermatology and Venereology; University of Verona; Italy
| | - F. Prignano
- Division of Clinical, Preventive and Oncology Dermatology; Department of Surgery and Translational Medicine; Florence University; Florence Italy
| | - R. Saraceno
- Department of Dermatology; University Tor Vergata; Rome Italy
| | - S. Piaserico
- Department of Dermatology; University Hospital of Padua; Italy
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Balato N, Megna M, Palmisano F, Patruno C, Napolitano M, Scalvenzi M, Ayala F. Psoriasis and sport: a new ally? J Eur Acad Dermatol Venereol 2014; 29:515-20. [PMID: 25132013 DOI: 10.1111/jdv.12607] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2014] [Accepted: 05/20/2014] [Indexed: 02/06/2023]
Abstract
BACKGROUND Psoriasis is a common chronic multifactorial disease which can result in restrictions to social and recreational activities. Psoriasis subjects are at high risk to develop metabolic and cardiovascular diseases. Physical activity, a vital component in prevention and management of these diseases, is reported to be potentially associated in a negative way with psoriasis. OBJECTIVE To investigate the relationship between psoriasis and physical activity. MATERIALS AND METHODS Anamnestic and physical examination as well as a specific doctor-administered questionnaire was performed to a group of 416 consecutive sportive subjects and 489 sex and age-matched controls. Moreover, similar investigations were executed on 400 consecutive psoriatic patients without psoriatic arthritis. RESULTS Psoriasis was significantly more common in controls respect to sportive group (n = 27, 5.4% vs. n = 7, 1.7%, P < 0.01) whereas a positive familial history of psoriasis was observed in similar percentages in both groups (n = 51, 10.2% vs. n = 40, 9.6%). The number of subjects performing sports activities was significantly lower in psoriasis group compared to controls (n = 44, 11% vs. n = 106, 21.3%; P < 0.001). Of these psoriatic patients, 35/44 referred that sporting activities showed a positive influence on the natural course of their disease, whereas the remaining 11 patients did not highlight positive or negative influences on their illness. Interestingly, 23.75% of psoriatic patients (n = 95) related that they had regularly carried out sporting activities before the onset of the dermatosis referring that psoriasis represented a huge obstacle to continue practicing physical activities. CONCLUSION Our survey showed that regular physical activity may lower the risk of psoriasis and have a beneficial effect on the natural course of the disease, positively influencing not only the severity as well as the incidence of metabolic comorbidities, but also, through possible epigenomic, metabolic, anti-inflammatory and psycho-emotional effects, the onset of the dermatosis. However, larger birth cohort studies are needed to confirm these results.
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Affiliation(s)
- N Balato
- Department of Dermatology, University of Naples Federico II, Naples, Italy
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Balato A, Di Caprio R, Lembo S, Mattii M, Megna M, Schiattarella M, Tarantino G, Balato N, Ayala F, Monfrecola G. Mammalian Target of Rapamycin in Inflammatory Skin Conditions. EUR J INFLAMM 2014. [DOI: 10.1177/1721727x1401200213] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
The conserved serine/threonine kinase mammalian target of rapamycin (mTOR) is a major regulator of survival growth, proliferation and motility, in response to mitogens, energy and nutrient levels. Dysregulation of mTOR pathway has been observed in various inflammatory or neoplastic human diseases. To assess the potential involvement of mTOR in some of the most common inflammatory skin diseases, and its interaction with other inflammatory mediators, we investigated mTOR expression in psoriasis, allergic contact dermatitis (ACD) and atopic dermatitis (AD). mTOR gene expression was assessed in the following conditions: i) skin biopsies from 15 patients affected by psoriasis, 5 patients with ACD, 5 patients with AD and 3 patients with EGFR-inhibitor-induced skin rash; ii) in immortalized keratinocytes HaCaT, primary human keratinocytes (KCs) and full thickness skin organ cultures, incubated with tumor necrosis factor (TNF)-α, interleukin (IL) 17A or their combination; iii) in HaCaT cells stimulated with ultraviolet (UV)B; iv) in skin biopsies from 5 psoriatic patients before and after 16 weeks of anti-TNF-α therapy; mTOR expression was also evaluated through immunohistochemistry in lesional and non-lesional skin samples from 5 psoriatic patients. Moreover, mTOR major up-stream and down-stream regulator gene expression was assessed in skin biopsies from 15 patients affected by psoriasis, 5 patients with ACD, 5 patients with AD and 3 patients with EGFR-inhibitor-induced skin rash. All analyzed skin diseases showed an increase of mTOR gene expression whereas mTOR up-stream negative regulators were reduced or not enhanced in all of them. mTOR was strongly expressed in all epidermal layers of lesional and non-lesional psoriatic skin. Conversely, pro-inflammatory conditions, in vitro, were not able to increase mTOR levels, except for UVB. Similarly, anti-TNF-α therapy was not able to reduce mTOR gene expression in patients with psoriasis. Our study provides evidence that mTOR is involved in cutaneous inflammatory process, but through a signalling not directly dependent from Th1-Th17 pathway.
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Affiliation(s)
- A. Balato
- Department of Dermatology, University of Naples Federico II, Naples, Italy
| | - R. Di Caprio
- Department of Dermatology, University of Naples Federico II, Naples, Italy
| | - S. Lembo
- Department of Dermatology, University of Naples Federico II, Naples, Italy
| | - M. Mattii
- Department of Dermatology, University of Naples Federico II, Naples, Italy
| | - M. Megna
- Department of Dermatology, University of Naples Federico II, Naples, Italy
| | - M. Schiattarella
- Department of Dermatology, University of Naples Federico II, Naples, Italy
| | - G. Tarantino
- Department of Clinical and Experimental Medicine, University of Naples Federico II, Naples, Italy
| | - N. Balato
- Department of Dermatology, University of Naples Federico II, Naples, Italy
| | - F. Ayala
- Department of Dermatology, University of Naples Federico II, Naples, Italy
| | - G. Monfrecola
- Department of Dermatology, University of Naples Federico II, Naples, Italy
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Balato A, Di Costanzo L, Patruno C, Ayala F, Megna M, Balato N. Psoriasis or "psoriases"? GIORN ITAL DERMAT V 2013; 148:649-650. [PMID: 24442045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Affiliation(s)
- A Balato
- Department of Dermatology University of Naples Federico II, Naples, Italy -
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Balato A, Schiattarella M, Di Caprio R, Lembo S, Mattii M, Balato N, Ayala F. Effects of adalimumab therapy in adult subjects with moderate-to-severe psoriasis on Th17 pathway. J Eur Acad Dermatol Venereol 2013; 28:1016-24. [DOI: 10.1111/jdv.12240] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2013] [Revised: 07/04/2013] [Accepted: 07/18/2013] [Indexed: 12/31/2022]
Affiliation(s)
- A. Balato
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - M. Schiattarella
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - R. Di Caprio
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - S. Lembo
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - M. Mattii
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - N. Balato
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - F. Ayala
- Department of Dermatology; University of Naples Federico II; Naples Italy
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Ayala F, Sampogna F, Romano GV, Merolla R, Guida G, Gualberti G, Paparatti UDL, Amerio P, Balato N, Potenza C. The impact of psoriasis on work-related problems: a multicenter cross-sectional survey. J Eur Acad Dermatol Venereol 2013; 28:1623-32. [PMID: 23962152 DOI: 10.1111/jdv.12233] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2013] [Revised: 06/24/2013] [Accepted: 07/11/2013] [Indexed: 11/30/2022]
Abstract
BACKGROUND Psoriasis can have cumulative physical and psychosocial effects preventing sufferers from achieving their full-life potential. Few studies have addressed the impact of psoriasis on work-related characteristics. OBJECTIVE To evaluate the impact of psoriasis on education prospects and work limitations in patients with moderate-to-severe psoriasis. METHODS This study was conducted in 29 dermatology centres across Italy. Information was collected by questionnaire during office visits. RESULTS A total of 787 patients (64% male, aged 50 years) completed the questionnaire. At the time of the survey, mean Psoriasis Area and Severity Index (PASI) score and disease duration were 10 and 19 years respectively. Current smokers had higher PASI scores compared to non-smokers (10.8 vs. 9.4, P = 0.02). Plaque psoriasis was the most frequently described (91.2%). Fifty-five percent of patients had limited expectations of career progression. Similarly, in 42% of cases, psoriasis reduced the prospects of improvement in employment status and 35% of patients reported having reduced earning potential. Approximately 60% of patients reported that psoriasis localized to their hands or feet caused work limitations, whilst in about 25%, it caused them to quit their job. Approximately 37% of patients reported having lost between 3-10 work days in the past 3 months due to clinical assessment or treatment. Logistic regression revealed that gender, low standard of education, number of localizations, shame, anger and self-esteem were predictors significantly associated with limitations in work. CONCLUSIONS Moderate-to-severe psoriasis has a profound negative impact on the employment capacity of patients in Italy. Psoriasis also contributes to days lost from work, affects job opportunity, career prospects and revenue potential.
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Affiliation(s)
- F Ayala
- Department of Clinical Medicine and Surgery, Università di Napoli, Federico II, Naples, Italy
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Balato N, Ayala F, Megna M, Balato A, Patruno C. Climate change and skin. GIORN ITAL DERMAT V 2013; 148:135-146. [PMID: 23407083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Global climate appears to be changing at an unprecedented rate. Climate change can be caused by several factors that include variations in solar radiation received by earth, oceanic processes (such as oceanic circulation), plate tectonics, and volcanic eruptions, as well as human-induced alterations of the natural world. Many human activities, such as the use of fossil fuel and the consequent accumulation of greenhouse gases in the atmosphere, land consumption, deforestation, industrial processes, as well as some agriculture practices are contributing to global climate change. Indeed, many authors have reported on the current trend towards global warming (average surface temperature has augmented by 0.6 °C over the past 100 years), decreased precipitation, atmospheric humidity changes, and global rise in extreme climatic events. The magnitude and cause of these changes and their impact on human activity have become important matters of debate worldwide, representing climate change as one of the greatest challenges of the modern age. Although many articles have been written based on observations and various predictive models of how climate change could affect social, economic and health systems, only few studies exist about the effects of this change on skin physiology and diseases. However, the skin is the most exposed organ to environment; therefore, cutaneous diseases are inclined to have a high sensitivity to climate. For example, global warming, deforestation and changes in precipitation have been linked to variations in the geographical distribution of vectors of some infectious diseases (leishmaniasis, lyme disease, etc) by changing their spread, whereas warm and humid environment can also encourage the colonization of the skin by bacteria and fungi. The present review focuses on the wide and complex relationship between climate change and dermatology, showing the numerous factors that are contributing to modify the incidence and the clinical pattern of many dermatoses.
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Affiliation(s)
- N Balato
- Department of Dermatology, University of Naples Federico II, Naples, Italy
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Balato N, Megna M, Di Costanzo L, Balato A, Ayala F. Educational and motivational support service: a pilot study for mobile-phone-based interventions in patients with psoriasis. Br J Dermatol 2012; 168:201-5. [PMID: 23240729 DOI: 10.1111/j.1365-2133.2012.11205.x] [Citation(s) in RCA: 72] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
BACKGROUND Psoriasis is a chronic disease which requires long-term therapy. Therefore, adherence to therapy and patient motivation are key points in controlling the disease. Mobile-phone-based interventions, and in particular text messages (TM), have already been used effectively to motivate patients and improve treatment adherence in many different chronic diseases such as diabetes, cardiovascular disease and asthma. OBJECTIVES To evaluate the use of TM in improving treatment adherence and several patient outcomes such as quality of life, disease severity, patient-perceived disease severity and the patient-physician relationship. PATIENTS AND METHODS Daily TM, providing reminders and educational tools, were sent for 12 weeks to a group of 20 patients with psoriasis. At the beginning and end of the study the following assessments were performed: Psoriasis Area Severity Index (PASI), Self-Administered Psoriasis Area Severity Index (SAPASI), body surface area (BSA), Physician Global Assessment (PGA), Dermatology Life Quality Index (DLQI), evaluation of patient-physician relationship and adherence to therapy. A matched control group of 20 patients with psoriasis was used for comparison of the same outcomes. RESULTS Both patient groups had similar scores for PASI, SAPASI, BSA, PGA and DLQI at baseline. However, after 12 weeks the intervention group reported a significantly better improvement of disease severity as well as quality of life, showing lower values of PASI, SAPASI, BSA, PGA and DLQI with respect to the control group (P<0·05). Moreover, adherence to therapy improved in a statistically significant way (P<0·001) whereas it remained stable in the control group. Similarly, TM interventions led to an optimization of patient-physician communication. CONCLUSIONS TM interventions seem to be a very promising tool for the long-term management of patients with psoriasis, leading to an increased compliance to therapy, positive changes in self-care behaviours and better patient-physician relationship allowing improved clinical outcomes and better control of the disease.
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Affiliation(s)
- N Balato
- Department of Dermatology, University of Naples Federico II, Via Pansini 5, 80131 Naples, Italy
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Buommino E, De Filippis A, Gaudiello F, Balato A, Balato N, Tufano MA, Ayala F. Modification of osteopontin and MMP-9 levels in patients with psoriasis on anti-TNF-α therapy. Arch Dermatol Res 2012; 304:481-5. [PMID: 22684781 DOI: 10.1007/s00403-012-1251-3] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2012] [Revised: 05/16/2012] [Accepted: 05/22/2012] [Indexed: 01/07/2023]
Abstract
Psoriasis is a chronic skin inflammatory disease in which a pleiotropic cytokine, tumor necrosis factor alpha (TNF-α), plays a central role, as demonstrated by the clinical success of anti-TNF-α therapy. Among the multiple effects of TNF-α on keratinocytes, the induction of matrix metalloproteinase-9 (MMP-9), a collagenase implicated in joint inflammation, might be one of the key mechanisms in psoriasis pathogenesis. Interestingly, MMP-9 expression can be enhanced also by osteopontin (OPN), a glycosylated protein whose levels are increased in skin and peripheral blood mononuclear cells (PBMC) of psoriasis patients. The aim of the current study is to investigate the relationship between OPN, MMP-9 and TNF-α in psoriasis. Our survey identified high levels of both OPN and MMP-9 in PBMC as well as skin of psoriatic patients with respect to healthy controls. Significant reduction of OPN and MMP-9 levels in PBMC, plasma and lesional skin of psoriasis patients was observed after 24 weeks of anti-TNF-α therapy. Moreover, OPN and MMP-9 were enhanced by TNF-α and down-regulated by anti-TNF-α treatment in healthy PBMC. These findings may suggest that OPN and MMP-9 may be regulated by TNF-α, indicating a possible role in the pathogenesis of psoriasis.
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Affiliation(s)
- E Buommino
- Department of Experimental Medicine, Section of Microbiology and Clinical Microbiology, SUN, Naples, Italy
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Lembo S, Balato A, Raimondo A, Donofrio P, Lembo C, Balato N. A preterm infant with benign neonatal hemangiomatosis and persistent patent ductus arteriosus: a curious comorbidity. GIORN ITAL DERMAT V 2012; 147:321-324. [PMID: 22648333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
A female infant had been delivered prematurely at 33 weeks to a gravida 1, para 0, 32-year-old mother following normal spontaneous vaginal delivery. Because of persistent patent ductus arteriosus the new born underwent surgery after 30 days. Four months later, when the infant arrived at our observation, approximately 13 red, nodular hemangiomas ranging from 0.5 to 30 mm in diameter were scattered over the scalp, trunk, abdomen, and extremities. Laboratory and instrumental tests investigating visceral involvement were all negative. Our diagnosis was of benign neonatal hemangiomatosis. Benign neonatal hemangiomatosis is a condition with multiple congenital hemangiomas limited to the skin. The incidence in the newborn population is between 1.0% and 4% with females 4 times more affected than males. Solitary hemangiomas occur more frequently in premature neonates with a reported incidence, inversely proportional to birth weight. Although the exact mechanism for hemangioma development remains unknown, vascular growth factors seem to play a role in the pathogenesis. Proliferation most likely results from an imbalance between positive and negative angiogenic factors expressed by the hemangioma and adjacent normal tissue. Patency of the ductus arteriosus is a common complication of preterm birth. During the immediate postpartum period, a loss of vasodilatory stimuli and activation of intrinsic contractile mechanisms facilitates ductus lumen occlusion. The imbalance of these forces, linked to premature birth, interrupts the normal maturation process, leaving the immature ductus patent. Our case is the first one of benign neonatal hemangiomatosis and patency ductus arteriosus described.
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Affiliation(s)
- S Lembo
- Department of Dermatology, Federico II University of Naples, Naples, Italy.
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Lembo S, Megna M, Balato A, Balato N. "Cowboy's belt with revolver" scleroderma caused by vitamin K1 injections. GIORN ITAL DERMAT V 2012; 147:203-205. [PMID: 22481583] [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: 05/31/2023]
Abstract
Vitamin K1 (phytomenadione or phytonadione) is a fat soluble vitamin used to treat certain coagulation disorders. Intra muscular injection of vitamin K1 can occasionally be complicated by different types of skin reactions: erythematous plaques, urticarial rashes or scleroderma-like lesions at the injection site. We report the case of a 52-year-old man presenting with 2 symmetrical erythematous-infiltrated scleroderma-like plaques localized on the right and left lower trunk. To correct the coagulation deficiency with hypoprothrombinemia developed as a consequence of HCV+ hepatitis, the patient was on vitamin K1 therapy, administered by i.m. injection (10 mg Vitamin K1/1 ml) once a day for 2 weeks. Three months after treatment interruption, ivory indurated morphoeiform plaques developed at the injection sites, assuming the typical appearance of a "cowboy's belt with revolver". The scleroderma-like lesions persisted 2 years after vitamin K1 withdrawal. We report this case to highlight the possibility that vitamin K1 injections can occasionally be complicated by different types of skin reactions such as sclerodermatous plaques. Due to the delay in the onset, to the variable clinical picture, to the persistence after therapy interruption, this kind of lesions can represent a tricky diagnostic challenge and in spite of different treatments can endure for years.
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Affiliation(s)
- S Lembo
- Department of Dermatology, University of Naples Federico II, Naples, Italy.
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Savastano S, Balato N, Gaudiello F, Di Somma C, Brancato V, Colao A, Ayala F, Tarantino G. Insulin-like Growth Factor-1, Psoriasis, and Inflammation: A Ménage à Trois? EUR J INFLAMM 2011. [DOI: 10.1177/1721727x1100900308] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Psoriatic patients have an accumulation of metabolic syndrome (MS) and cardiovascular diseases (CVD), likely mediated by systemic inflammation, and exhibiting low circulating levels of insulin-like growth factor (IGF)-I, a marker of MS and CVD in the general population. The aim of this study is to determine the association of IGF-I and inflammation, and to assess the cardio-metabolic risk calculating the visceral adiposity index (VAI), in a group of psoriatic patients without MS. IGF-I, fibrinogen, C-reactive protein (CRP), and interleukin (IL)-6 levels were determined in 20 patients with moderate to severe psoriasis (age range 23–77 yrs) without MS, according to criteria of the National Cholesterol Education Program's Adult Panel III (ATP III), and 20 age- and BMI-matched controls. The standard deviation score (SDS) of IGF-I levels according to age (zSDS), the homeostasis model assessment of insulin resistance (HOMA-IR), the whole-body insulin sensitivity index (ISI), and VAI were also calculated. Psoriasis Area and Severity Index (PASI) mean value was 17.8±11. HDL cholesterol and IGF-I zSDS values were lower (p<0.001) and waist circumference (p<0.001), VAI, fibrinogen, and IL-6 (p<0.005) were higher compared with controls, while HOMA-IR and ISI were not statistically different. Lower IGF-I zSDS values were associated to higher values of BMI (p=0.04), waist circumference, VAI (p<0.001), PASI (p=0.011), or IL-6 (p<0.001). At the multivariate analysis PASI was the major determinant of IGF-I zSDS (p=0.016), accounting for 37% of its variability. In a subset of psoriatic patients without MS, chronic inflammation might be an important modulator of low IGF-I status, as a further possible mechanistic link between psoriasis and associated metabolic co-morbidities. The negative correlation between age-related IGF-I values and VAI suggest the involvement of adipocyte dysfunction in low IGF-I status more than MS per se. Further studies are needed to address whether these results are valid also for other psoriatic patients.
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Affiliation(s)
- S. Savastano
- Department of Molecular and Clinical
Endocrinology and Oncology, Division of Endocrinology, Federico II University
Medical School of Naples
| | - N. Balato
- Department of Systematic Pathology,
Division of Clinical Dermatology, Federico II University Medical School of
Naples
| | - F. Gaudiello
- Department of Systematic Pathology,
Division of Clinical Dermatology, Federico II University Medical School of
Naples
| | | | - V. Brancato
- Department of Molecular and Clinical
Endocrinology and Oncology, Division of Endocrinology, Federico II University
Medical School of Naples
| | - A. Colao
- Department of Molecular and Clinical
Endocrinology and Oncology, Division of Endocrinology, Federico II University
Medical School of Naples
| | - F. Ayala
- Department of Systematic Pathology,
Division of Clinical Dermatology, Federico II University Medical School of
Naples
| | - G. Tarantino
- Department of Clinical and
Experimental Medicine, Federico II University Medical School of Naples, Italy
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Linder D, Sampogna F, Torreggiani A, Balato N, Bianchi L, Cassano N, Conti A, Gisondi P, Musumeci ML, Piaserico S, Potenza C, Romano GV, di Luzio Paparatti U. Psodisk, a new visual method for assessing the burden of psoriasis on patients. J Eur Acad Dermatol Venereol 2011; 26:1163-6. [PMID: 21819450 DOI: 10.1111/j.1468-3083.2011.04192.x] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
BACKGROUND The last decades have witnessed an increasing interest for the psychosocial aspects of chronic skin diseases, such as psoriasis. Nonetheless, systematic assessments of the impact of psoriasis on patients' lives are rarely done in daily clinical practice. The existing instruments are mostly meant to be completed by patients alone, and rarely comprise a graphical representation of the results. OBJECTIVE To develop a questionnaire allowing both a quick assessment of the impact of psoriasis on patients and, at the same time, an intuitive graphic visualization of the outcome of the test. METHODS A preliminary version of an Italian questionnaire aimed to assess the global impact of psoriasis on patients, meant to be filled in together by the patient and the dermatologist and to produce visual, intuitive results, was developed through focus groups. The instrument was then the object of a Delphi survey addressed to a panel of experts, to assess both the need of possible improvements of the questionnaire (in terms of the formulations of the questions and of the domains to be explored) and the usefulness of the questionnaire. RESULTS A 10-item questionnaire in Italian, taking into account different aspects of the burden of psoriasis on the patient, was developed. The answers are given on a 10-point visual analogue scale and graphically represented on a disc as a polygon. CONCLUSIONS A formal validation of the questionnaire and a study to assess potential clinical and psychological benefits of a systematic implementation of the instrument in daily practice are planned.
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Affiliation(s)
- D Linder
- Department of Dermatology, University of Padova, Padova, Italy.
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Balato N, Di Costanzo L, Balato A, Patruno C, Scalvenzi M, Ayala F. Psoriasis and melanocytic naevi: does the first confer a protective role against melanocyte progression to naevi? Br J Dermatol 2011; 164:1262-70. [DOI: 10.1111/j.1365-2133.2011.10271.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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Marchesoni A, Altomare G, Matucci-Cerinic M, Balato N, Olivieri I, Salvarani C, Lotti T, Scarpa R, Vena GA, Valesini G, Giannetti A. An Italian shared dermatological and rheumatological proposal for the use of biological agents in psoriatic disease. J Eur Acad Dermatol Venereol 2010; 24:578-86. [DOI: 10.1111/j.1468-3083.2009.03474.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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Scarpa R, Altomare G, Marchesoni A, Balato N, Matucci Cerinic M, Lotti T, Olivieri I, Vena GA, Salvarani C, Valesini G, Giannetti A. Psoriatic disease: concepts and implications. J Eur Acad Dermatol Venereol 2010; 24:627-30. [DOI: 10.1111/j.1468-3083.2010.03574.x] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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Guida B, Nino M, Perrino NR, Laccetti R, Trio R, Labella S, Balato N. The impact of obesity on skin disease and epidermal permeability barrier status. J Eur Acad Dermatol Venereol 2010; 24:191-5. [DOI: 10.1111/j.1468-3083.2009.03503.x] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Di Costanzo L, Balato N, La Bella S, Balato A. Successful association in the treatment of pityriasis lichenoides et varioliformis acuta. J Eur Acad Dermatol Venereol 2009; 23:971-2. [PMID: 19175486 DOI: 10.1111/j.1468-3083.2008.03077.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Balato N, Ayala F, Gaudiello F, Monfrecola G, Cimmino G, Ponticiello A, Bocchino M, Matarese A, Sanduzzi A. Comparison of tuberculin skin test and interferon-gamma assays in patients with moderate to severe psoriasis who are candidates for antitumour necrosis factor-alpha therapy. Br J Dermatol 2008; 158:847-9. [PMID: 18241281 DOI: 10.1111/j.1365-2133.2007.08408.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Ayala F, Balato N, Lembo G, Patruno C, Angelini G, Valsecchi R, Tosti A, Rivara G, Pigatto P, Seidenari S, Lisi P, Rafanelli A, Saccabusi S, Schena D, Kokelj F. Italian multicenter study⋆ on Epiquick®, Rapid Patch Test® and TRUE TestTM. J Eur Acad Dermatol Venereol 2006. [DOI: 10.1111/j.1468-3083.1994.tb00410.x] [Citation(s) in RCA: 4] [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: 12/01/2022]
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Nino M, Suppa F, Ayala F, Balato N. Allergic contact dermatitis due to the beta-blocker befunolol in eyedrops, with cross-sensitivity to carteolol. Contact Dermatitis 2001; 44:369. [PMID: 11380552 DOI: 10.1034/j.1600-0536.2001.440609-4.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/20/2023]
Affiliation(s)
- M Nino
- Department of Dermatology, University of Naples Federico II, Via S. Pansini 5, 80131 Naples, Italy
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Affiliation(s)
- N Balato
- Department of Dermatology, University Federico II, Naples, Italy
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Balato N, Patruno C, Lembo G, Cuccurullo FM, Ayala F. Contact sensitization to 6 alpha-methylprednisolone aceponate. Am J Contact Dermat 1997; 8:24-5. [PMID: 9066844] [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: 02/03/2023]
Abstract
Increasing attention has been focused on contact sensitization to topical corticosteroids in the past several years. In most cases, allergy to topical corticosteroids occurs in patients with long-lasting eczematous diseases. Cross-allergy between topical corticosteroid molecules is very common, and four groups of cross-reacting molecules have been recognized. In this report, we describe a girl with atopic dermatitis and sensitized to hydrocortisone-17-butyrate who became sensitized to 6 alpha-methylprednisolone aceponate. Cross-sensitization between the two molecules is suggested.
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Affiliation(s)
- N Balato
- Clinica Dermatologica, Università di Napoli, Federico II, Italy
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Ayala F, Balato N, Lembo G, Patruno C, Fabbrocini G, Nofroni I, Magliocchetti N, Schena D, Rafanelli A, Seidenari S, Motolese A, Angelini G, Tosti A, Saccabusi S, Pigatto P, Lisi P. Statistical evaluation of the persistence of acquired hypersensitivity by standardized patch tests. Contact Dermatitis 1996; 34:354-8. [PMID: 8807230 DOI: 10.1111/j.1600-0536.1996.tb02222.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
Numerous studies have focused attention on the influence of various biological and environmental factors on contact hypersensitivity. In order to evaluate the persistence and/or modification of allergic contact sensitivity to a number of common contact sensitizers, the same standardized patch tests were repeated on 174 subjects with contact sensitivity after a time lapse of 5 years (1987-1992). In 18.4% of the cases, 1 or more sensitivities were lost; 28.7% of the patients had a higher number of positive patch tests after 5 years, while the remaining 52.9% of the patients showed no change in the number of positive patch tests. In 88%, the positive allergens were unchanged, whereas in the remaining 12% of the subjects, they showed 1 or more variations. The association between the allergens most often positive was calculated for both the 1st and the 2nd patch test results. Moreover, to evaluate the frequency of an allergen's positivity, we studied the disappearance of old sensitivities and the appearance of new sensitivities by the McNemar test. Cobalt chloride was the only allergen with a significant frequency of new positivities over the period of observation (p < 0.01). Logistic regression analysis was performed to evaluate the possible influence of positive tests to other allergens, and of some clinical findings associated with contact dermatitis, on the sensitivity to cobalt chloride in 1987 and in 1992.
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Affiliation(s)
- F Ayala
- University of Naples Federico II, Rome, Italy
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Affiliation(s)
- N Balato
- Clinica Dermatologica, Università di Napoli Federico II, Italy
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Affiliation(s)
- N Balato
- Clinica Dermatologica, Università di Napoli Federico II, Italy
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Francalanci S, Angelini G, Balato N, Berardesca E, Cusano F, Gaddoni G, Lisi P, Lodi A, Schena D, Sertoli A. Effectiveness of disperse dyes mix in detection of contact allergy to textile dyes: an Italian multicentre study. Contact Dermatitis 1995; 33:351. [PMID: 8565494 DOI: 10.1111/j.1600-0536.1995.tb02053.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Affiliation(s)
- S Francalanci
- U. O. Autonoma Universitaria di Allergologia Dermatologica Professionale e Ambientale, Istituto de Clinica Dermatologica, Università di Firenze, Italy
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Balato N, Costa L, Lembo G, Patruno C, Cuccurullo FM, Parascandolo F, Scognamiglio D, Ayala F. Allergic contact dermatitis from orthopaedic devices. Contact Dermatitis 1995; 32:314-5. [PMID: 7634796 DOI: 10.1111/j.1600-0536.1995.tb00796.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Affiliation(s)
- N Balato
- Clinica Dermatologica, Università Federico II, Napoli, Italy
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Affiliation(s)
- N Balato
- Clinica Dermatologica, Università di Napoli Federico II, Italy
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