Papers by Anna Belloni Fortina
Dermatology, 2008
To evaluate the association of psoriasis with selected medical conditions and a number of drugs u... more To evaluate the association of psoriasis with selected medical conditions and a number of drugs used before diagnosis. Multicenter case-control study involving outpatient services of 20 general and teaching hospitals. Entry criteria for cases were a first diagnosis of psoriasis made by a dermatologist and a history of skin manifestations of no more than 2 years after the reported onset of the disease. Controls were the first eligible dermatological patients observed on randomly selected days in the same centers as cases. A total of 560 cases and 690 controls were recruited. The odds ratio (OR) of psoriasis was 0.8 (95% confidence interval, CI, 0.5-1.3) in hypertensive subjects, 1.1 (95% CI 0.6-2.0) in diabetics and 1.1 (95% CI 0.7-1.7) in hyperlipidemic subjects. Histamine 2 receptor antagonist exposure was negatively associated with psoriasis: OR 0.3 (95% CI 0.1-0.8). Our study rules out a strong association of psoriasis at its first ever diagnosis with common chronic conditions. The reported associations of psoriasis with relatively common conditions such as diabetes mellitus, hypertension and hyperlipidemia may represent a late effect of well-known risk factors for psoriasis such as smoking and overweight or reflect factors related to the long course of psoriasis itself.
Self-inflicted skin lesions, also called factitial dermatoses, constitute both a diagnostic and a... more Self-inflicted skin lesions, also called factitial dermatoses, constitute both a diagnostic and a therapeutic challenge. Making the right diagnosis requires both experience and skill. Establishing a satisfactory relationship with the parents of a patient can play a pivotal role in achieving successful management of the problem. This article aims to review briefly the available literature on the subject. Picyures of few striking cases from our own experience are provided
Dermatology, 2010
ined: in our study we examined children aged 2–6 years, whereas in the study of Aguilera et al. t... more ined: in our study we examined children aged 2–6 years, whereas in the study of Aguilera et al. the age range was 1–15. With regard to the number of nevi per anatomic site, the mean number of nevi was 1.43 in the head and neck area, 1.57 in the chest, 0.98 in the upper ...
Skin Research and Technology, 2009
... Clinical tip: use of a manual dermatoscope with a compact digital camera in a pigmented lesio... more ... Clinical tip: use of a manual dermatoscope with a compact digital camera in a pigmented lesion clinic. Edoardo Zattra 1 ,; Elena Tonin 2 ,; Anna Belloni Fortina 3 ,; Barbara Pigozzi 2 ,; Mauro Alaibac 1. Article first published online: 26 AUG 2009. ...
International Journal of Dermatology, 2010
Background Vohwinkel syndrome or keratoderma hereditaria mutilans is a rare autosomal dominant pa... more Background Vohwinkel syndrome or keratoderma hereditaria mutilans is a rare autosomal dominant palmoplantar keratosis which manifests in infants and becomes more evident in adulthood.
Transplantation Proceedings, 2001
T HE FREQUENCY of de novo noncutaneous malignancies (NCM) is increased among heart transplant (HT... more T HE FREQUENCY of de novo noncutaneous malignancies (NCM) is increased among heart transplant (HT) patients. The predisposing risk factors are controversial; it is also unclear whether HT patients with higher immunosuppressive load and higher incidence of rejection episodes in the first year post-HT face a higher risk of NCM. The aim of our retrospective study has been to evaluate frequency and risk factors for NCM, including cumulative immunosuppressive load, in a homogeneous cohort of HT patients followed-up at a single Center up to 15 years.
Transplantation, 2000
Background. Organ transplant recipients are at an increased risk of nonmelanoma skin cancer. Few ... more Background. Organ transplant recipients are at an increased risk of nonmelanoma skin cancer. Few data concern heart transplantation and populations from southern Europe.
Transplant International, 2005
Transplant International, 2005
Transplant International, 2005
Photodermatology, Photoimmunology & Photomedicine, 2010
Acrodermatitis continua of Hallopeau (ACH) consists of a relapsing pustular eruption of the dista... more Acrodermatitis continua of Hallopeau (ACH) consists of a relapsing pustular eruption of the distal portions of hands and feet. We described a case of a 9-year-old boy affected by ACH, successfully treated with targeted ultraviolet B 311 nm phototherapy, which seems to be an effective and safe therapy for this condition.
Journal of the American Academy of Dermatology, 2006
Excess melanocytic nevi have been reported in several groups of immunosuppressed patients, includ... more Excess melanocytic nevi have been reported in several groups of immunosuppressed patients, including organ transplant recipients. We report the case of a 16-year-old transplant recipient whose post-transplant melanocytic nevi decreased in size and color after graft rejection and interruption of immunosuppressive therapy. This case may represent a visual example of an effective immunosurveillance system against melanocytic nevi.
Journal of the American Academy of Dermatology, 2005
The prevalence of contact sensitization to Compositae mix was investigated in 641 consecutive chi... more The prevalence of contact sensitization to Compositae mix was investigated in 641 consecutive children. Seventeen children (12 with atopic dermatitis) tested positive for Compositae mix. We suggest adding Compositae mix to a pediatric screening series when investigating airborne dermatitis in children with atopic dermatitis.
Journal of Investigative Dermatology, 2005
We conducted a case-control study to analyse the association of psoriasis of recent onset with sm... more We conducted a case-control study to analyse the association of psoriasis of recent onset with smoking habits, body mass index (BMI) and stressful life events. Cases (n=560; median age 38) were patients with a first diagnosis of psoriasis and a history of skin manifestations of no longer than two years after the reported disease onset. Patients with a new diagnosis of skin diseases other than psoriasis (n=690; median age 36) were selected as controls. The risk of psoriasis was higher in ex- and current smokers than in never-smokers, the relative risk estimates (OR) being 1.9 for ex-smokers and 1.7 for smokers. Smoking was strongly associated with pustular lesions (32 patients, OR=5.3 for smokers). The frequency of psoriasis varied significantly in relation to a family history of psoriasis in first degree relatives, BMI (OR=1.6 and 1.9 for over weighted, BMI 26-29, and obese, BMI >/= 30, respectively) and stressful life event score (compared to the lower index quartile, the OR being 2.2 for index values >/=115). Risk estimates, when taking into consideration the combined effect of these factors with smoking habits, were consistent with a multiplicative model of risk combination with no significant statistical interaction.
The Journal of Heart and Lung Transplantation, 2000
The frequency of skin cancer is increased among organ transplant recipients, but the predisposing... more The frequency of skin cancer is increased among organ transplant recipients, but the predisposing risk factors are controversial. It is also unclear whether heart transplant patients face an increased risk compared to recipients of other organs, e.g. kidney transplants.
Journal of Dermatological Science, 2007
Dermatology, 2009
In a recent article, Richtig et al. [1] suggested that immunosup-pression may be a risk factor fo... more In a recent article, Richtig et al. [1] suggested that immunosup-pression may be a risk factor for melanoma development and, in order to support this view, cited a study demonstrating an in-creased frequency of melanoma in organ transplant recipients re-ceiving long-term ...
Dermatology, 2008
To evaluate the association of psoriasis with selected medical conditions and a number of drugs u... more To evaluate the association of psoriasis with selected medical conditions and a number of drugs used before diagnosis. Multicenter case-control study involving outpatient services of 20 general and teaching hospitals. Entry criteria for cases were a first diagnosis of psoriasis made by a dermatologist and a history of skin manifestations of no more than 2 years after the reported onset of the disease. Controls were the first eligible dermatological patients observed on randomly selected days in the same centers as cases. A total of 560 cases and 690 controls were recruited. The odds ratio (OR) of psoriasis was 0.8 (95% confidence interval, CI, 0.5-1.3) in hypertensive subjects, 1.1 (95% CI 0.6-2.0) in diabetics and 1.1 (95% CI 0.7-1.7) in hyperlipidemic subjects. Histamine 2 receptor antagonist exposure was negatively associated with psoriasis: OR 0.3 (95% CI 0.1-0.8). Our study rules out a strong association of psoriasis at its first ever diagnosis with common chronic conditions. The reported associations of psoriasis with relatively common conditions such as diabetes mellitus, hypertension and hyperlipidemia may represent a late effect of well-known risk factors for psoriasis such as smoking and overweight or reflect factors related to the long course of psoriasis itself.
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Papers by Anna Belloni Fortina