Publications by authors named "L Tognetti"

Aims: ultrasound (US) diagnosis of enthesitis is burdened of low specificity, especially when it is performed in patients with psoriasis (PsO) but without clinical psoriatic arthritis (PsA), because of mechanical, dysmetabolic and age-related concurrent enthesopatic changes. We propose a novel US score to quantify the cortical-entheseal bone remodeling burden of several peripheral entheses, aiming to improve the specificity of US for PsA-related enthesitis, and to evaluate its diagnostic value in PsO patients with subsequent diagnosis of psoriatic arthritis (PsO/PsA).

Methods: clinical and US data of 119 consecutive patients with moderate/severe PsO and nonspecific musculoskeletal symptoms, were included in this retrospective study.

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Background/objectives: Hidrocystomas, eccrine and apocrine, are rare cystic lesions that form benign tumors of the sweat glands. This study aimed to describe the clinical features of hidrocystomas and evaluate the role of non-invasive imaging techniques, including dermoscopy, Line-field Confocal Optical Coherence Tomography (LC-OCT), Reflectance Confocal Microscopy (RCM), and Ultra-High-Frequency Ultrasound (UHFUS), in their diagnosis.

Methods: In total, seven cases of hidrocystomas were collected from the Dermatologic Clinic of the University of Siena, Italy.

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Article Synopsis
  • Lentigo maligna (LM) and LM melanoma (LMM) are challenging to surgically remove due to unclear boundaries, especially on the face where minimizing tissue excision is important.
  • This study evaluated the long-term effectiveness of using Reflectance Confocal Microscopy (RCM) alongside the "spaghetti" surgical technique for excising LM/LMM in 70 patients.
  • Findings showed a 5.7% recurrence rate over an average of 6.3 years, with the RCM method achieving effective margin clearance (2.7 mm) while reducing tissue removal compared to traditional methods (6.7 mm).
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