162 results match your criteria: "Andreas Syggros Hospital[Affiliation]"

Background: The public perception of dermatology has been poorly investigated in Europe.

Objective: To determine the general public's perception of dermatologists in Europe.

Methods: This multinational, cross-sectional study was conducted within the framework of the EADV population-based survey on the 'Burden of skin diseases in Europe'.

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Article Synopsis
  • Dermoscopy is valuable for detecting melanoma, but experts often disagree on important features.
  • This study examined the agreement among 25 expert dermatologists on 248 dermoscopic images, focusing on specific melanocytic features and their locations.
  • Results showed good-to-excellent agreement for 14 out of 31 features, especially for melanoma-specific characteristics, and all images are publicly available for educational and research purposes.
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Wound healing is a complex and meticulously orchestrated process involving multiple phases and cellular interactions. This narrative review explores the intricate mechanisms behind wound healing, emphasizing the significance of cellular processes and molecular factors. The phases of wound healing are discussed, focusing on the roles of immune cells, growth factors, and extracellular matrix components.

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Detecting Skin Reactions in Epicutaneous Patch Testing with Deep Learning: An Evaluation of Pre-Processing and Modality Performance.

Bioengineering (Basel)

August 2023

Biomedical Engineering Laboratory, School of Electrical & Computer Engineering, National Technical University of Athens, 9 Iroon Polytechniou St., 15780 Athens, Greece.

Epicutaneous patch testing is a well-established diagnostic method for identifying substances that may cause Allergic Contact Dermatitis (ACD), a common skin condition caused by exposure to environmental allergens. While the patch test remains the gold standard for identifying allergens, it is prone to observer bias and consumes valuable human resources. Deep learning models can be employed to address this challenge.

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For a specific group of patients with basal cell carcinoma (small, low risk), cryosurgery could be the suggested treatment, which results in the formation of an ulcer in the lesion area. The proteolytic enzymes' contribution to the wound healing is an ongoing research goal. Preclinical animal experiments in the Laboratory of the Pharmaceutical Technology Department of the National and Kapodistrian University of Athens have showed that a dose of 5 U/mL of dispase gel after the formation of tissue rashes, significantly promoted wound healing.

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Background: Hyaluronic acid (HA) dermal fillers are widely used in aesthetic medicine. While generally safe, potential complications can arise.

Objective: This systematic review aims to identify and classify potential complications linked to the use of HA dermal fillers, as informed by high-quality, low-risk-of-bias studies.

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Mass population movements have altered the epidemiology of tinea capitis (TC) in countries receiving refugees. Periodic monitoring of the local pathogen profiles may serve as a basis for both the selection of appropriate empirical antifungal therapy and the implementation of preventive actions. Therefore, we investigated the impact of an unprecedented immigration wave occurring in Greece since 2015 on the epidemiological trends of TC.

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Allergic contact dermatitis (ACD) is an inflammatory reaction affecting all age groups and both sexes. ACD is characterized by a delayed-type hypersensitivity reaction IV caused by skin contact with haptens. Chronic exposure typically leads to a decrease in erythema accompanied by lichenification (thickening and hardening of the skin) and persistent itching.

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Objectives: To examine the relation of corticotropin-releasing hormone (CRH) family peptides with inflammatory processes and oncogenesis, emphasizing in vulvar inflammatory, premalignant and malignant lesions, as well as to investigate the possibility of lesion cells immunoescaping, utilizing FAS/FAS-L complex.

Methods: Immunohistochemical expression of CRH, urocortin (UCN), FasL and their receptors CRHR1, CRHR2 and Fas was studied in vulvar tissue sections obtained from patients with histologically confirmed diagnosis of lichen, vulvar intraepithelial neoplasia (VIN) and vulvar squamous cell carcinoma (VSCC). The patient cohort was selected from a tertiary teaching Hospital in Greece, between 2005 and 2015.

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In May 2022, for the first time, multiple cases of mpox were reported in several non-endemic countries. The first ever case of the disease in Greece was confirmed on 8 June 2022, and a total of 88 cases were reported in the country until the end of April 2023. A multidisciplinary response team was established by the Greek National Public Health Organization (EODY) to monitor and manage the situation.

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Background: Carbapenem-resistant (CRPA) is a life-threatening healthcare-associated infection affecting especially patients with immunosuppression and comorbidities. We investigated the association between the incidence of CRPA bacteremia, antibiotic consumption, and infection control measures in a hospital during 2013-2018.

Methods: We prospectively recorded the incidence of CRPA bacteremia, antibiotic consumption, use of hand-hygiene solutions, and isolation rates of multidrug-resistant (MDR) carrier patients.

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Simultaneous Multiple-Stages Mpox Genital Lesions on the Same Site in a Traveler to Greece: A Case Report.

Vaccines (Basel)

April 2023

1st Department of Dermatology and Venereology, Athens Medical School, "Andreas Syggros" Hospital for Skin and Venereal Diseases, National and Kapodistrian University, 15772 Athens, Greece.

Article Synopsis
  • A 47-year-old Caucasian male traveler from an mpox-endemic region presented with a recent skin rash limited to his genital area, featuring distinct papules, vesicles, and pustules.
  • The rash showed multiple stages of lesions at the same site, which is an uncommon clinical presentation.
  • The patient exhibited symptoms like fever, fatigue, and a blood-tinged cough, leading to a suspicion of mpox, later confirmed as a West African clade non-variola orthopox virus through PCR testing.
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Cutaneous Adverse Reactions of Immunotherapy in Patients with Advanced Melanoma.

Cancers (Basel)

March 2023

1st Dermatology Department, "Andreas Syggros" Hospital for Skin Diseases, National & Kapodistrian University of Athens, 16121 Athens, Greece.

Immune checkpoint blockers (ICBs) have been widely used during the last decade for the treatment of various tumors, including advanced and metastatic melanoma. While these agents have improved melanoma patients' survival rates, they have also been associated with various autoimmune toxicities, with the skin being most commonly affected. The severity of cutaneous toxicity can not only negatively affect patients' quality of life but can also limit the proper treatment of cancer.

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This study aimed at producing an updated assessment of the incidence of anaphylaxis associated with COVID-19 vaccines based on pharmacovigilance data. Anaphylactic reaction and anaphylactic shock data post-COVID-19-vaccination reported from week 52, 2020 to week 1 or week 2, 2023 were collected from the VAERS and EudraVigilance databases, respectively, and analyzed comparatively. Incidence rates were calculated using the corresponding administered vaccine doses as denominators for all licensed vaccines and both platform types (mRNA or vectored).

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Aim: The present study aimed to estimate the anaphylaxis rates following mRNA COVID-19 vaccination in children and adolescents in Europe.

Methods: We retrieved data on 371 anaphylaxis cases following mRNA COVID-19 vaccination in children ≤ 17 years old notified to EudraVigilance as of October 8, 2022. Overall, 27,120,512 doses of BNT162b2 vaccine and 1,400,300 doses of mRNA-1273 vaccine have been delivered to children during the study period.

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The Role of Tight Junctions in Atopic Dermatitis: A Systematic Review.

J Clin Med

February 2023

1st Department of Dermatology and Venereology, Medical School, National and Kapodistrian University of Athens, Andreas Syggros Hospital, 11528 Athens, Greece.

Article Synopsis
  • Tight junctions (TJs) are proteins that control the permeability of the skin, and this review examines their significance in atopic dermatitis (AD) and potential treatment approaches.
  • The authors reviewed 55 studies from between 2009 and 2022, highlighting that impaired TJs can lead to increased skin infections and worsened AD symptoms, linked to decreased levels of claudin proteins.
  • The research suggests that targeting and improving TJ function could lead to better treatments for AD by enhancing the skin's barrier properties and reducing inflammation.
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Cutaneous melanoma (CM) is the most aggressive type of skin cancer, and it is characterised by high mutational load and heterogeneity. In this study, we aimed to analyse the genomic and transcriptomic profile of primary melanomas from forty-six Formalin-Fixed, Paraffin-Embedded (FFPE) tissues from Greek patients. Molecular analysis for both germline and somatic variations was performed in genomic DNA from peripheral blood and melanoma samples, respectively, exploiting whole exome and targeted sequencing, and transcriptomic analysis.

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The European Academy of Dermatology and Venereology (EADV) Task Forces (TFs) on Quality of Life (QoL) and Patient-Oriented Outcomes and Acne, Rosacea and Hidradenitis Suppurativa (ARHS) do not recommend the use of any generic instrument as a single method of Health Related (HR) QoL assessment in rosacea, except when comparing quimp (quality of life impairment) in rosacea patients with that in other non-dermatologic skin diseases and/or healthy controls. The EADV TFs on QoL and Patient-Oriented Outcomes and ARHS recommend the use of the dermatology-specific HRQoL instrument the Dermatology Life Quality Index (DLQI) and the rosacea-specific HRQoL instrument RosaQoL in rosacea patients. The DLQI minimal clinically important difference may be used as a marker of clinical efficacy of the treatment and DLQI score banding of 0 or 1 corresponding to no effect on patients' HRQoL could be an important treatment goal.

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Background: Dermoscopy is commonly used for the evaluation of pigmented lesions, but agreement between experts for identification of dermoscopic structures is known to be relatively poor. Expert labeling of medical data is a bottleneck in the development of machine learning (ML) tools, and crowdsourcing has been demonstrated as a cost- and time-efficient method for the annotation of medical images.

Objective: The aim of this study is to demonstrate that crowdsourcing can be used to label basic dermoscopic structures from images of pigmented lesions with similar reliability to a group of experts.

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Article Synopsis
  • * A systematic review of 34 studies found a 6% overall prevalence of leishmaniasis among PWH, with significantly higher rates in Asia (17%) and America (9%) compared to Europe (4%).
  • * Factors like age, sex, and CD4 cell count influenced prevalence, and most cases involved HIV and VL-related Leishmania species, highlighting the need for further research on this co-infection.
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Introduction: Antibiotics are frequently used to treat hidradenitis suppurativa (HS), but the evidence-based literature available on their use is limited. Considering that HS is not primarily an infectious disease, we sought to evaluate the efficacy of subantimicrobial, modified-release doxycycline (MR-DC) compared to regular-release doxycycline (RR-DC) for the treatment of HS.

Materials And Methods: Patients were randomly assigned to receive treatment with either MR-DC 40 mg once daily or RR-DC 100 mg twice daily for a period of 12 weeks.

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Cutaneous melanoma metastases: Clinical and dermoscopic findings.

J Eur Acad Dermatol Venereol

May 2023

First Department of Dermatology-Venereology, Andreas Syggros Hospital, Medical School of Athens University, Athens, Greece.

Article Synopsis
  • The study focused on the clinical and dermoscopic characteristics of cutaneous melanoma metastases (CMM) in 42 melanoma patients, noting that accurate diagnosis remains difficult due to variability in these features.
  • Results showed that both male and female patients exhibited different dermoscopic patterns of CMM, with the homogenous and amelanotic types being the most prevalent, and specific patterns associated with the depth of the primary melanoma.
  • The findings suggest that deeper melanomas are more likely to show vascular structures in their metastases, and in some cases, CMM may be the first sign of underlying melanoma.
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