Publications by authors named "Proietti Ilaria"

Cutaneous malignant melanoma (MM) is the most aggressive form of skin cancer, associated with high mortality and rising incidence rates in Europe despite prevention efforts. Nodular MM, the most aggressive subtype, often mimics other skin tumors, complicating diagnosis. We present the case of a 66-year-old woman with a large, ulcerated tumor beneath the left scapula, along with multiple nodular lesions on the left arm and chest.

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  • HArmonyCa™ is a new hybrid dermal filler combining hyaluronic acid and calcium hydroxylapatite, aimed at improving facial aging and skin conditions.* -
  • The study involved 129 patients who underwent HArmonyCa™ treatment, with outcomes evaluated nine months post-treatment using both physician and patient satisfaction assessments.* -
  • Results indicated significant improvements in facial appearance and movement, with only minor adverse effects reported, demonstrating the treatment's safety and compatibility with other cosmetic interventions.*
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: Positron emission tomography/computed tomography (PET/CT) with F-fluorodeoxyglucose (F-FDG) is a firmly established tool in oncology and is gaining importance in dermato-oncology. However, its use in advanced basal cell carcinoma (BCC) is limited, with only a few case reports and a single study focused on vismodegib. This study evaluates the role of F-FDG PET/CT in advanced BCC treated with sonidegib.

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  • * A 64-year-old man with a history of hypertension and diabetes developed multiple keratoacanthomas two weeks after his second booster dose, prompting diagnosis through physical and histopathological examinations.
  • * The patient's condition improved significantly with treatment using cemiplimab, suggesting a possible immune-mediated reaction from the vaccine, but further studies are necessary to assess treatment safety and effectiveness.
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Psoriasis is a chronic inflammatory disease affecting skin and joints characterized by a chronically altered immune and inflammatory response. Several factors occur from the onset to the development of this disease due to different types of cells spatially and temporally localized in the affected area, such as, keratinocytes, macrophages, neutrophils and T helper lymphocytes. This scenario leads to the chronic release of high levels of inflammatory mediators (, IL-17, IL-23, IL-22, TNF-α, S100 proteins, Defensins) and lastly parakeratosis and thickening of the stratum spinosum.

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  • - Treating psoriasis must take into account possible complications like latent viral infections and chronic kidney disease, which can affect treatment choices.
  • - A patient with end-stage kidney disease on hemodialysis was successfully treated with bimekizumab, showing an effective response for eight months, marking a first in this scenario.
  • - Research suggests that some psoriasis medications have similar effectiveness and safety in patients with chronic kidney disease compared to those with normal kidney function, but more studies are needed for clearer conclusions regarding bimekizumab.
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The use of hyaluronic acid (HA) fillers in oncology patients undergoing PET-CT scans is a topic of debate due to potential interference with imaging accuracy. A 54-year-old female, postmelanoma metastasectomy in the parotid region with subsequent facial nerve palsy (FNP), received HA filler injections for facial symmetry and functional restoration. Follow-up PET-CT scans showed no interference or artifacts attributable to HA injection, allowing for accurate imaging results.

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  • Dupilumab is an IgG4 monoclonal antibody that blocks IL-4 and IL-13 signaling, key players in type 2 inflammatory diseases.
  • Originally designed for moderate-to-severe atopic dermatitis, it is now used for other conditions like asthma and chronic rhinosinusitis.
  • The review explores off-label uses of dupilumab for diseases like bullous dermatoses and alopecia areata, as well as its potential in cancer treatments involving anti-PD1 therapy.
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The aim of this paper was to evaluate the results of an integrated treatment delivered remotely to laryngectomized patients with voice prosthesis. Eighteen laryngectomized patients were treated remotely in groups co-led by a speech therapist and a psychologist ("Online Group"). The results were compared with those of 17 patients ("In-Person Group") previously studied.

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(BCC) is a skin cancer with low local aggressiveness and a low tendency to metastasize. (BSC) represents an aggressive histological subtype of BCC with intermediate features between (SCC) and BCC. Cemiplimab is currently approved as first-line therapy in SCC and second-line therapy in BCC patients who have progressed on or are intolerant of a Hedgehog pathway Inhibitor (HHI).

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Baseline 2-deoxy-2[F]fluoro-d-glucose ([F]FDG) positron emission tomography (PET)-derived parameters and 12-week metabolic response were investigated as prognostic factors in advanced cutaneous squamous cell carcinoma (cSCC) submitted to cemiplimab immunotherapy. Clinical records of 25 cSCC patients receiving cemiplimab, submitted to [F]FDG positron emission tomography/computed tomography (PET/CT) at baseline and after ∼12 weeks, were retrospectively reviewed. The Kaplan-Meier (KM) method was applied to analyze differences in event-free survival (EFS), and Cox regression analysis was employed to identify the prognostic factors.

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The correlation between health and diet has always been a subject of interest in the field of dermatology and medicine in general. However, studies in the literature are still scarce, and need further investigation in the field of inflammatory skin diseases. In this paper, we report a case of a patient with atopic dermatitis whose complete recovery occurred only after combining dupilumab therapy with a Mediterranean diet regimen.

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  • A patient was identified with developmental delays and physical anomalies, who also exhibited both HS and psoriatic plaques, likely linked to a genetic microduplication on chromosome 17q21.31.
  • Treatment with adalimumab led to significant improvement, and the case suggests a potential genetic connection between the CRHR1 gene duplication and the development of both psoriatic arthritis and HS in the patient.
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Therapeutic options for non-small cell lung cancer (NSCLC) have changed with the introduction of immune checkpoint inhibitors. Immunotherapy is generally well tolerated, but can also be associated with severe adverse events, such as the development of new autoimmune diseases. In patients without a history of autoimmune diseases, psoriasis caused by immunotherapy treatment is rarely described in the literature.

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A 73-year-old female patient, affected by mycosis fungoides (MF), discontinued mogamulizumab, after initial clinical benefit, due to the onset of generalized erythema. Follow-up positron emission computed tomography (PET/CTs) carried out at 3 weeks and 6 months after therapy discontinuation showed, with respect to baseline PET/CT scan, a progressively increasing number of hypermetabolic enlarged lymph nodes suspected for a neoplastic involvement, but with histology indicative of an inflammatory reaction. After sequential therapy with corticosteroids and methotrexate, a complete remission was registered at F-fluorodeoxyglucose ([F]FDG) PET/CT performed at 12 months after mogamulizumab interruption.

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Psoriasis is a chronic inflammatory disease which mostly affects skin. Tildrakizumab is a specific anti-interleukin -23p19 monoclonal antibody approved for the treatment of plaque psoriasis in adults. Herein, we report about a patient who came to our attention for a moderate-to-severe plaque psoriasis, involving primarily upper limbs, elbow, abdomen and knees (PASI 18 - DLQI 22).

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