Publications by authors named "Licata Gaetano"

: Psoriasis is a chronic inflammatory skin disease that may have a significant impact on patients' quality of life. Alongside clinical scores, treatment goals include improvements in patients' quality of life, divided into its social, working and psychosocial life aspects. Indeed, psychological impairment should always be considered in the management of moderate-to-severe psoriasis.

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Vulvar Lichen Sclerosus (VLS) is a chronic autoimmune disease that often leads to vulvodynia, a debilitating chronic pain condition in the vulvar region. Treating vulvodynia in the context of VLS presents a significant therapeutic challenge due to the lack of standardized protocols. This article presents a case series of 20 women treated with amitriptyline for vulvodynia secondary to VLS, accompanied by an extended review of the literature.

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Background: The incidence of skin cancer in patients with systemic lupus erythematosus (SLE) and systemic sclerosis (SSc) has only been investigated with retrospective studies enrolling a low number of patients. The aims of our study were to assess the incidence of skin cancer in two large cohorts of patients, one with SLE and the other with SSc and investigating possible risk factors.

Methods: Ninety SLE, 53 SSc patients and 392 control subjects were enrolled.

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Article Synopsis
  • Nonmelanoma skin cancers (NMSC), specifically basal cell carcinoma (BCC) and squamous cell carcinoma (SCC), usually occur on sun-exposed skin but can also appear in covered areas like the genital region, where they may exhibit variable pigmentation.
  • Accurate diagnosis is crucial due to the risk of mucosal melanoma, and this review discusses the diagnosis and management of pigmented NMSC (pNMSC) in the genital area, highlighting the importance of dermoscopy and reflectance confocal microscopy in assessment.
  • Pigmented variants of BCC and SCC are rare, with specific dermoscopic features noted for diagnosis, and it is essential to differentiate pNMSC from benign lesions and melanoma to ensure appropriate treatment.
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Purpose: Tildrakizumab is a selective inhibitor of IL-23 approved for the treatment of moderate-to-severe plaque psoriasis in two dosages. We conducted a 16-week multicenter retrospective study to compare the effectiveness and safety of tildrakizumab 200 mg versus tildrakizumab 100 mg in patients with a high disease burden or high body weight.

Materials And Methods: Our retrospective study included 134 patients treated with tildrakizumab 200 mg and 364 patients treated with tildrakizumab 100 mg from 28 Italian Dermatology Units affected by moderate-to-severe plaque psoriasis.

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Introduction: Seborrheic keratoses (SK), are very common benign skin lesions, which may increase in number and size with age.

Objectives: The aim of the study was to assess any differences seen in seborrheic keratoses in relation to different skin types (ST) and lesion location.

Methods: This was a retrospective observational study of 10-months period, based on dermoscopic images of seborrheic keratoses and patient history recorded in database.

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Cutaneous syncytial myoepithelioma (CSM) is a rare type of cutaneous neoplasm that typically presents as a solitary and well-circumscribed nodule on the skin. It predominantly occurs on the upper and lower extremities of adult patients. Immunohistochemically, CSM is characterized by the co-expression of smooth muscle and epithelial markers.

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Background: Little information is available from real-life studies evaluating the efficacy of apremilast in moderate-to-severe psoriasis.

Methods: In this real-life study, we retrospectively examined a database of 231 patients with moderate-to-severe psoriasis treated with apremilast (30 mg twice/day) and followed up for 52 weeks. Disease severity and treatment response were assessed by the Psoriasis Area and Severity Index (PASI) at baseline and after 16, 24, and 52 weeks.

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Background: Extra facial lentigo maligna (EF-LM) arises outside the head and neck area. EF-LM presents the classic histological features of lentigo maligna. The dermoscopic aspects of EF-LM have been poorly studied.

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Article Synopsis
  • Several inflammatory scalp conditions often require long-term treatment, leading to the exploration of alternative therapies.
  • A case series involving 22 patients with conditions like lichen planus pilaris and discoid lupus used a topical solution of tacrolimus (0.1%) applied in a gradual regimen.
  • Results showed that after two months, most patients experienced significant improvement, indicating tacrolimus could be a potent and safe option for maintaining treatment for these scalp conditions.
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Background: The detection of subclinical margin in lentigo maligna/lentigo maligna melanoma (LM/LMM) can be challenging for the dermatologist. Reflectance confocal microscopy (RCM) enables to observe in vivo atypical melanocytes beyond the clinical margins. The aim of this study is to establish which of these methods (clinical examination and dermoscopy versus "Paper tape - RCM") is more precise to define the lesion margin and to reduce the number of re-intervention and overtreatments in cosmetically sensitive areas.

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