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Italian Journal of Dermatology and Venereology最新文献

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Basal cell carcinoma of the palm: an uncommon anatomical area involvement. 手掌基底细胞癌:不常见的受累解剖区域。
IF 1.9 4区 医学 Q2 Medicine Pub Date : 2024-04-01 DOI: 10.23736/S2784-8671.24.07660-6
Vincenzo Greco, Luigi Fornaro, P. Ascierto, M. Palla, F. Martora, C. Marasca
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引用次数: 0
Dermoscopy to differentiate clinically similar inflammatory and neoplastic skin lesions. 皮肤镜检查可区分临床上相似的炎症性和肿瘤性皮肤病变。
IF 1.9 4区 医学 Q2 Medicine Pub Date : 2024-04-01 DOI: 10.23736/S2784-8671.24.07825-3
Giulia Bazzacco, I. Zalaudek, E. Errichetti
INTRODUCTIONOver the few last decades, dermoscopy has become an invaluable and popular imaging technique that complements the diagnostic armamentarium of dermatologists, being employed for both tumors and inflammatory diseases. Whereas distinction between neoplastic and inflammatory lesions is often straightforward based on clinical data, there are some scenarios that may be troublesome, e.g., solitary inflammatory lesions or tumors superimposed to a widespread inflammatory condition that may share macroscopic morphological findings.EVIDENCE ACQUISITIONWe reviewed the literature to identify dermoscopic clues to support the differential diagnosis of clinically similar inflammatory and neoplastic skin lesions, also providing the histological background of such dermoscopic points of differentiation.EVIDENCE SYNTHESISDermoscopic differentiating features were identified for 12 relatively common challenging scenarios, including Bowen's disease and basal cell carcinoma vs. psoriasis and dermatitis, erythroplasia of Queyrat vs. inflammatory balanitis, mammary and extramammary Paget's disease vs. inflammatory mimickers, actinic keratoses vs. discoid lupus erythematosus, squamous cell carcinoma vs. hypertrophic lichen planus and lichen simplex chronicus, actinic cheilitis vs. inflammatory cheilitis, keratoacanthomas vs. prurigo nodularis, nodular lymphomas vs. pseudolymphomas and inflammatory mimickers, mycosis fungoides vs. parapsoriasis and inflammatory mimickers, angiosarcoma vs granuloma faciale, and Kaposi sarcoma vs pseudo-Kaposi.CONCLUSIONSDermoscopy may be of aid in differentiating clinically similar inflammatory and neoplastic skin lesions.
简介:在过去的几十年里,皮肤镜已成为皮肤科医生不可或缺的常用成像技术,可用于肿瘤和炎症性疾病的诊断。虽然根据临床数据可以直接区分肿瘤性病变和炎症性病变,但有些情况下可能会很麻烦,例如我们查阅了相关文献,以确定皮肤镜线索来支持临床上相似的炎症性和肿瘤性皮肤病变的鉴别诊断,同时还提供了此类皮肤镜鉴别点的组织学背景。证据分析针对 12 种相对常见的具有挑战性的情况确定了皮肤镜鉴别特征,包括鲍温氏病和基底细胞癌与银屑病和皮炎、奎拉特红斑与炎性包皮龟头炎、乳腺增生症和乳头状瘤病。炎性包皮龟头炎、乳腺和乳腺外帕吉特氏病与炎性拟态瘤、光化性角化病与盘状红斑狼疮、鳞状细胞癌与肥厚性扁平苔藓和慢性单纯性苔藓、光化性扁平苔藓与炎性扁平苔藓、角化棘皮瘤与结节性瘙痒症、结节性角化病与炎性扁平苔藓。结节性瘙痒症、结节性淋巴瘤与假淋巴瘤和炎性拟态瘤、真菌病与副银屑病和炎性拟态瘤、血管肉瘤与面部肉芽肿、卡波西肉瘤与假卡波西肉瘤。
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引用次数: 0
Kaposi's sarcoma: epidemiologic aspects, the immune reconstitution inflammatory syndrome, and more along the Silk Road of cognition. 卡波西氏肉瘤:流行病学方面,免疫重建炎性综合征,以及更多对丝绸之路沿线的认知。
IF 1.9 4区 医学 Q2 Medicine Pub Date : 2024-04-01 Epub Date: 2023-12-06 DOI: 10.23736/S2784-8671.23.07755-1
Robert A Schwartz, Rajendra Kapila

Kaposi's sarcoma remains enignmatic with many clinical and epidemiological patterns. We review them and describe the groove sign, an important association worthy of recognition. We also stress Kaposi's sarcoma (KS) without coexistent human immunodefiency virus infection, with recent data from China describing an extraordinarily high classical KS prevalence rate among Uygurs and Kazaks in the Xinjiang Uygur Autonomous Region in northwestern China, presumably derived from elderly men residing there. The possible travel of HHV-8 along the ancient silk road from Italy to the Xinjiang Uyghur region remains intriguing. If only one in 10,000 HHV-8-infected patients develops classical KS worldwide, then triggers for its overrepresentation in this population within China are of particular concern. The KS-related immune reconstitution inflammatory syndrome is also emphasized.

卡波西氏肉瘤在临床上和流行病学上仍然是一个谜。我们回顾了它们,并描述了凹槽符号,这是一个值得认识的重要联想。我们还强调卡波西肉瘤(KS)没有共存的人类免疫缺陷病毒感染,最近来自中国的数据描述了中国西北部新疆维吾尔自治区维吾尔族和哈萨克族中非常高的经典KS患病率,可能来自居住在那里的老年男性。HHV-8沿着古丝绸之路从意大利传播到新疆维吾尔地区的可能性仍然很有趣。如果在世界范围内,只有万分之一的hhv -8感染患者发展为典型的KS,那么其在中国这一人群中过度代表性的触发因素尤其值得关注。并强调了与ks相关的免疫重建炎症综合征。
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引用次数: 0
Efficacy and safety of a combined pharmacological and surgical approach in patients affected by hidradenitis suppurativa: data from a retrospective real-world clinical study. 针对化脓性扁桃体炎患者的药物和手术联合疗法的有效性和安全性:一项回顾性真实世界临床研究的数据。
IF 1.9 4区 医学 Q2 Medicine Pub Date : 2024-04-01 DOI: 10.23736/S2784-8671.24.07620-5
Dalma Malvaso, Andrea Chiricozzi, Barbara Fossati, F. Antonelli, Ketty Peris
BACKGROUNDHidradenitis suppurativa (HS) is a debilitating chronic skin disease; its therapeutic approach often requires combined medical and surgical treatment.METHODSThe aim of this study was to assess the efficacy and safety of the surgical approach combined with different pharmacological treatments, evaluating the proportion of patients achieving the hidradenitis suppurativa clinical response (HiSCR), along with the incidence of postoperative complications, and local recurrence. A retrospective study of HS patients (Hurley I-III) presenting at least one skin lesion requiring surgery was performed. Demographic and clinical data were collected (kind and anatomical location of lesion excised, type of surgical procedure). Further data included: Hurley stage and IHS4 at baseline and week 16, HiSCR at week 16 after surgery, ongoing therapy at the time of surgery (topical, systemic antibiotic, biologics), postoperative complications and local recurrence at week 16.RESULTSForty-two patients with female predominance (66.7%, 28/42), with a mean age of 30.3 (SD±10.5) years, were enrolled. At week 16, 53% of patients achieved HiSCR, with baseline Hurley III inversely related to HiSCR achievement (P<0.05). No increased incidence of postoperative complications was detected. Three cases of local recurrence were reported at week 16.CONCLUSIONSThe results support the efficacy and safety of the combined therapy in the management of HS; no increased risk of complications emerged among patients concomitantly treated with biologics, compared to those on conventional systemic therapy or exclusively treated with surgery.
背景化脓性扁桃体炎(HS)是一种使人衰弱的慢性皮肤病;其治疗方法通常需要药物和手术联合治疗。方法本研究旨在评估手术方法与不同药物治疗相结合的疗效和安全性,评估达到化脓性扁桃体炎临床反应(HiSCR)的患者比例,以及术后并发症和局部复发的发生率。该研究对至少有一处皮损需要手术治疗的化脓性扁桃体炎患者(Hurley I-III)进行了回顾性研究。研究收集了人口统计学和临床数据(切除病灶的种类和解剖位置、手术类型)。其他数据包括结果42例患者中女性居多(66.7%,28/42),平均年龄为30.3(SD±10.5)岁。第 16 周时,53% 的患者达到了 HiSCR,基线 Hurley III 与 HiSCR 达标率成反比(P<0.05)。未发现术后并发症发生率增加。结论:研究结果支持联合疗法治疗HS的有效性和安全性;与接受传统系统治疗或仅接受手术治疗的患者相比,同时接受生物制剂治疗的患者发生并发症的风险没有增加。
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引用次数: 0
Bee venom: apitherapy and more. 蜂毒:蜂疗和更多。
IF 1.9 4区 医学 Q2 Medicine Pub Date : 2024-02-01 Epub Date: 2023-11-23 DOI: 10.23736/S2784-8671.23.07683-1
Maya Jodidio, Robert A Schwartz

Honeybees are becoming increasingly familiar to the general population due to the growing popularity of backyard and amateur beekeeping. Although bee venom produces reactions ranging from mild local irritation to life-threatening anaphylaxis, it is also used for life-saving desensitization immunotherapy in those with severe reactions to bee stings. The use of honeybee venom for immunotherapy has increased due to an enhanced interest in natural therapeutics. Recently, honeybee venom has been administered as a successful, safe, and cost-effective treatment for rheumatoid arthritis, back pain, and skin diseases. During the past two decades, studies have tested honeybee venom's efficacy for treating various skin disorders, including atopic dermatitis, wound healing, and psoriasis. We will review bee venom from multiple perspectives, including its medical applications and mechanisms for dermatological pathologies.

由于后院养蜂和业余养蜂的日益普及,蜜蜂越来越为普通民众所熟悉。虽然蜂毒产生的反应范围从轻微的局部刺激到危及生命的过敏反应,但它也被用于拯救那些对蜜蜂叮咬有严重反应的人的脱敏免疫治疗。由于对自然疗法的兴趣增强,蜂毒用于免疫疗法的使用有所增加。最近,蜂毒已被作为一种成功、安全、经济有效的治疗类风湿性关节炎、背痛和皮肤病的方法。在过去的二十年里,研究已经测试了蜂毒治疗各种皮肤疾病的功效,包括特应性皮炎、伤口愈合和牛皮癣。我们将从多个角度综述蜂毒,包括其医学应用和皮肤病理机制。
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引用次数: 0
Multiple angiokeratomas with zosteriform distribution: a rare entity. 带状虫状分布的多发血管角瘤:罕见的病例。
IF 1.9 4区 医学 Q2 Medicine Pub Date : 2024-02-01 Epub Date: 2023-10-25 DOI: 10.23736/S2784-8671.23.07651-X
Enrico Bocchino, Simone Cappilli, Alessandro DI Stefani, Giacomo Caldarola
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引用次数: 0
Rare scleromyxedema granuloma-annulare-like pattern successfully treated with intravenous immunoglobulins. 用静脉注射免疫球蛋白成功治疗罕见的硬肌水肿肉芽肿-荨麻疹样模式。
IF 1.9 4区 医学 Q2 Medicine Pub Date : 2024-02-01 Epub Date: 2024-01-16 DOI: 10.23736/S2784-8671.23.07816-7
Lorenza Burzi, Francois Rosset, Rebecca Senetta, Luca Conti, Luca Mastorino, Paolo Dapavo, Pietro Quaglino, Simone Ribero
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引用次数: 0
Immune-mediated oral mucosal pathology: a comprehensive review and update for clinicians - part II. 免疫介导的口腔黏膜病理学:临床医生的全面回顾与更新--第二部分。
IF 1.9 4区 医学 Q2 Medicine Pub Date : 2024-02-01 DOI: 10.23736/S2784-8671.23.07690-9
Mohammad S Alrashdan, Dimitrios Andreadis, Vasileios Zisis, Yazan Hassona

The oral mucosa can be involved in a wide variety of mucocutaneous conditions that may present primarily in the mouth or affect other cutaneous or mucosal sites. Many of these conditions are immune mediated and typically present as inflammatory mucosal pathology. Patients experiencing such conditions usually seek medical evaluation and treatment due to the associated pain and discomfort, and occasionally taste disturbance or dysphagia and the overall deterioration in the oral health-related quality of life. These conditions share some common features and there could be some overlap in their clinical presentation, which can lead to delays in diagnosis and proper management of patients. Clinicians dealing with such disorders, including dermatologists, need to be aware of the oral manifestations of mucocutaneous conditions, their clinical features, underlying mechanisms, diagnostic approaches, and treatment options, as well as the recent advances in the research on these conditions. This review provides a comprehensive, evidence-based reference for clinicians, with updated insights into a group of immune mediated conditions known to cause oral mucosal pathology. Part one will cover oral lichen planus, erythema multiforme and systemic lupus erythematosus, while part two will cover recurrent aphthous stomatitis, pemphigus vulgaris and mucous membrane pemphigoid, in addition to the less common disorders linear IgA disease, dermatitis herpetiformis and epidermolysis bullosa.

口腔黏膜可能涉及多种黏膜-皮肤疾病,这些疾病可能主要出现在口腔,也可能影响其他皮肤或黏膜部位。其中许多病症是免疫介导的,通常表现为粘膜炎症性病变。出现此类病症的患者通常会寻求医疗评估和治疗,因为他们会感到疼痛和不适,有时还会出现味觉障碍或吞咽困难,以及与口腔健康相关的生活质量整体下降。这些病症有一些共同的特征,在临床表现上可能会有一些重叠,这可能会导致延误诊断和对患者的适当治疗。处理此类疾病的临床医生,包括皮肤科医生,需要了解粘膜皮肤病的口腔表现、临床特征、潜在机制、诊断方法和治疗方案,以及有关这些疾病的最新研究进展。本综述为临床医生提供了全面的循证参考,对已知可引起口腔黏膜病变的一组免疫介导疾病提供了最新见解。第一部分将介绍口腔扁平苔藓、多形性红斑和系统性红斑狼疮,第二部分将介绍复发性口腔炎、寻常天疱疮和粘膜天疱疮,以及不太常见的线性 IgA 病、疱疹性皮炎和大疱性表皮松解症。
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引用次数: 0
Antinuclear matrix protein 2 antibody-positive dermatomyositis: a rare entity. 抗核基质蛋白 2 抗体阳性皮肌炎:罕见病例。
IF 1.9 4区 医学 Q2 Medicine Pub Date : 2024-02-01 Epub Date: 2024-01-16 DOI: 10.23736/S2784-8671.23.07747-2
Martina Zussino, Carlo A Maronese, Gaia Montanelli, Francesca L Boggio, Chiara Moltrasio, Angelo Cattaneo, Angelo V Marzano, Giovanni Genovese
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引用次数: 0
Efficacy of risankizumab after intra-class switching between anti IL-23 antagonists: a multi-center, retrospective, real-life observation. 在抗IL-23拮抗剂之间切换后,risankizumab的疗效:一项多中心,回顾性,现实观察
IF 1.9 4区 医学 Q2 Medicine Pub Date : 2024-02-01 Epub Date: 2023-11-23 DOI: 10.23736/S2784-8671.23.07648-X
Flavia Manzo Margiotta, Alessandra Michelucci, Eugenio Capalbo, Federica Ricceri, Elia Rosi, Susanna Rossari, Michela Magnano, Imma Savarese, Nicola Milanesi, Barbara Simoni, Marco Romanelli, Pietro Rubegni, Antonella DI Cesare, Salvatore Panduri, Leonardo Pescitelli, Emanuele Trovato, Francesca Prignano
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引用次数: 0
期刊
Italian Journal of Dermatology and Venereology
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