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20. Italian guidelines in diagnosis and treatment of alopecia areata

Author

Marta Muscianese, Giuseppe Monfrecola, Alfredo De Rossi, Stefano Astorino, Valentina Garelli, Francesco Lacarrubba, Annunziata Dattola, Giuseppe Micali, Andrea D'Arino, Alessandro Federico, Simone Garcovich, Luca Stingeni, Oriana Simonetti, Federico Bardazzi, Norma Cameli, Francesca Magri, Stefano Piaserico, Marta Carlesimo, Elena Marinello, Victor Desmond Mandel, Antonella Di Cesare, Katharina Hansel, Stefano Caccavale, Roberto D'Ovidio, Emi Dika, Annamaria Offidani, Donato Di Nunno, Flavia Pigliacelli, Lucia Villa, Cosimo Misciali, Teodora R Stan, Graziana Amendolagine, Colombina Vincenzi, Viviana Lora, Niccolò Rivetti, Maria Beatrice de Felici del Giudice, Maria Caterina Fortuna, Marina Talamonti, Claudio Feliciani, Cristina Guerriero, Alessandro Borghi, Francesca Bruni, Elisabetta Fulgione, Gabriella Fabbrocini, Andrea Carugno, Maria Carmela Annunziata, Paola Monari, Francesco Tassone, Gemma Caro, Maria C Arisi, Piergiacomo Calzavara-Pinton, Matteo Megna, Annalisa Patrizi, Graziella Babino, Bianca Maria Piraccini, Stefano Calvieri, Anna Belloni Fortina, Manuela Papini, Gloria Orlando, Stefania Barruscotti, Michele Cardone, Aurora Alessandrini, Iria Neri, Rosa Coppola, Michelangelo La Placa, Marco Galluzzo, Michela Starace, A Rossi, M Muscianese, BM Piraccini, M Starace, M Carlesimo, VD Mandel, A Alessandrini, S Calvieri, G Caro, A D’arino, A Federico, F Magri, F Pigliacelli, G Amendolagine, MC Annunziata, MC Arisi, G Babino, F Bardazzi, S Barruscotti, A Belloni Fortina, A Borghi, F Bruni, S Caccavale, P Calzavara Pinton, N Cameli, A Carugno, R Coppola, A Dattola, MB De Felici Del Giudice, A Di Cesare, E Dika, R D’ovidio, G Fabbrocini, C Feliciani, E Fulgione, M Galluzzo, S Garcovich, V Garelli, C Guerriro, K Hansel, M La Placa, F Lacarrubba, V Lora, E Marinello, M Megna, G Micali, C Misciali, G Monfrecola, I Neri, A Offidani, G Orlando, M Papini, A Patrizi, S Piaserico, N Rivetti, O Simonetti, TR Stan, L Stingeni, M Talamonti, F Tassone, L Villa, C Vincenzi, MC Fortuna, Rossi, A, Muscianese, M, Piraccini, B, Starace, M, Carlesimo, M, Mandel, V, Alessandrini, A, Calvieri, S, Caro, G, D'Arino, A, Federico, A, Magri, F, Pigliacelli, F, Amendolagine, G, Annunziata, M, Arisi, M, Astorino, S, Babino, G, Bardazzi, F, Barruscotti, S, Belloni Fortina, A, Borghi, A, Bruni, F, Caccavale, S, Calzavara-Pinton, P, Cameli, N, Cardone, M, Carugno, A, Coppola, R, Dattola, A, De Felici Del Giudice, M, Di Cesare, A, Dika, E, Dinunno, D, D'Ovidio, R, Fabbrocini, G, Feliciani, C, Fulgione, E, Galluzzo, M, Garcovich, S, Garelli, V, Guerriero, C, Hansel, K, La Placa, M, Lacarrubba, F, Lora, V, Marinello, E, Megna, M, Micali, G, Misciali, C, Monari, P, Monfrecola, G, Neri, I, Offidani, A, Orlando, G, Papini, M, Patrizi, A, Piaserico, S, Rivetti, N, Simonetti, O, Stan, T, Stingeni, L, Talamonti, M, Tassone, F, Villa, L, Vincenzi, C, Fortuna, M, Rossi, Alfredo, Muscianese, Marta, Piraccini, Bianca M, Starace, Michela, Carlesimo, Marta, Mandel, Victor D, Alessandrini, Aurora, Calvieri, Stefano, Caro, Gemma, D'Arino, Andrea, Federico, Alessandro, Magri, Francesca, Pigliacelli, Flavia, Amendolagine, Graziana, Annunziata, Maria C, Arisi, Maria Chiara, Babino, Graziella, Bardazzi, Federico, Barruscotti, Sefania, Belloni Fortina, Anna, Borghi, Alessandro, Bruni, Francesca, Caccavale, Stefano, Calzavara Pinton, Piergiacomo, Cameli, Norma, Carugno, Andrea, Coppola, Rosa, Dattola, Annunziata, De Felici Del Giudice, Maria B, Di Cesare, Antonella, Dika, Emi, D'Ovidio, Roberto, Fabbrocini, Gabriella, Feliciani, Claudio, Fulgione, Elisabetta, Galluzzo, Marco, Garcovich, Simone, Garelli, Valentina, Guerriro, Cristina, Hansel, Katharina, La Placa, Michelangelo, Lacarrubba, Francesco, Lora, Viviana, Marinello, Elena, Megna, Matteo, Micali, Giuseppe, Misciali, Cosimo, Monfrecola, Giuseppe, Neri, Iria, Offidani, Annamaria, Orlando, Gloria, Papini, Manuela, Patrizi, Annalisa, Piaserico, Stefano, Rivetti, Niccolo', Simonetti, Oriana, Stan, Teodora R, Stingeni, Luca, Talamonti, Maria, Tassone, Francesco, Villa, Lucia, Vincenzi, Colombina, Fortuna, Maria C, Rossi, A., Muscianese, M., Piraccini, B. M., Starace, M., Carlesimo, M., Mandel, V. D., Alessandrini, A., Calvieri, S., Caro, G., D'Arino, A., Federico, A., Magri, F., Pigliacelli, F., Amendolagine, G., Annunziata, M. C., Arisi, M. C., Astorino, S., Babino, G., Bardazzi, F., Barruscotti, S., Belloni Fortina, A., Borghi, A., Bruni, F., Caccavale, S., Calzavara-Pinton, P., Cameli, N., Cardone, M., Carugno, A., Coppola, R., Dattola, A., De Felici Del Giudice, M. B., Di Cesare, A., Dika, E., Dinunno, D., D'Ovidio, R., Fabbrocini, G., Feliciani, C., Fulgione, E., Galluzzo, M., Garcovich, S., Garelli, V., Guerriero, C., Hansel, K., La Placa, M., Lacarrubba, F., Lora, V., Marinello, E., Megna, M., Micali, G., Misciali, C., Monari, P., Monfrecola, G., Neri, I., Offidani, A., Orlando, G., Papini, M., Patrizi, A., Piaserico, S., Rivetti, N., Simonetti, O., Stan, T. R., Stingeni, L., Talamonti, M., Tassone, F., Villa, L., Vincenzi, C., and Fortuna, M. C.

Subjects
medicine.medical_specialty, corticosteroid, Alopecia Areata, MEDLINE, Socio-culturale, Alopecia areata, Autoimmunity, Guideline, Autoimmune Diseases, Evidence-Based Medicine, Hair Follicle, Italy, Alopecia areata, Autoimmunity, Dermatology, Disease, Minoxidil, Guideline, Autoimmune Disease, Autoimmune Diseases, Food and drug administration, 030207 dermatology & venereal diseases, 03 medical and health sciences, 0302 clinical medicine, Settore MED/35, Evidence-Based Medicine, Hair Follicle, Humans, Italy, alopecia areata, autoimmunity, guideline, autoimmune diseases, evidence-based medicine, hair follicle, humans, italy, Medicine, topical immunotherapy, integumentary system, business.industry, trichoscopy, Evidence-based medicine, medicine.disease, Trichoscopy, Clinical trial, Settore MED/35 - MALATTIE CUTANEE E VENEREE, business, Human, medicine.drug
Abstract

Alopecia Areata (AA) is an organ-specific autoimmune disorder that targets anagen phase hair follicles. The course is unpredictable and current available treatments have variable efficacy. Nowadays, there is relatively little evidence on treatment of AA from well-designed clinical trials. Moreover, none of the treatments or devices commonly used to treat AA are specifically approved by the Food and Drug Administration (FDA). The Italian Study Group for Cutaneous Annexial Disease of the Italian Society of dermatology (SIDeMaST) proposes these Italian guidelines for diagnosis and treatment of Alopecia Areata deeming useful for the daily management of the disease. This article summarizes evidence-based treatment associated with expert-based recommendations.

Published
2019

21. Minocycline-Induced Blue-Gray Discoloration

Author

Michelangelo La Placa, Colombina Vincenzi, Salvatore Domenico Infusino, Riccardo Balestri, and La Placa Michelangelo, Infusino Salvatore Domenico, Balestri Riccardo, Vincenzi Colombina

Subjects
medicine.medical_specialty, business.industry, Folliculitis, Dermatology, Minocycline, medicine.disease, Hyperpigmentation, Melanosis, 030207 dermatology & venereal diseases, 03 medical and health sciences, 0302 clinical medicine, medicine, Minocycline · Discoloration · Hyperpigmentation · Acne · Folliculitis · Pigmentation · Drug-induced reaction · Melanosis, 030212 general & internal medicine, medicine.symptom, business, Letter to the Editor, Acne, medicine.drug
Abstract

not present

Published
2017
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22. Scalp Psoriasiform Contact Dermatitis with Acute Telogen Effluvium due to Topical Minoxidil Treatment

Author

Federico Bardazzi, Michelangelo La Placa, Colombina Vincenzi, Riccardo Balestri, La Placa, Michelangelo, Balestri, Riccardo, Bardazzi, Federico, and Vincenzi, Colombina

Subjects
medicine.medical_specialty, integumentary system, business.industry, Minoxidil · Contact dermatitis · Psoriasis · Telogen effluvium · Scalp · Hair loss · Propylene glycol - Androgenetic alopecia, Dermatology, medicine.disease, Surgery, Telogen effluvium, body regions, medicine.anatomical_structure, Hair loss, Minoxidil, Novel Insights from Clinical Practice, Scalp, Psoriasis, Medicine, business, Contact dermatitis, Allergic contact dermatitis, Topical minoxidil, medicine.drug
Abstract

Topical minoxidil, the only approved treatment for female pattern hair loss (FPHL), has been associated with scalp allergic contact dermatitis (ACD). We report the case of 2 female patients who developed ACD from minoxidil solution with severe telogen effluvium and psoriasiform scalp dermatitis. Scalp dermoscopy was useful to identify the psoriasiform vascular pattern, whereas patch testing made it possible to differentiate the cause of sensitization. In one case, minoxidil was the sole cause of scalp dermatitis, while in the other patient it was only the vehicle, thus permitting the patient to continue the treatment for FPHL.

Published
2015

23. Finasteride Treatment of Female Pattern Hair Loss

Author

Colombina Vincenzi, Matilde Iorizzo, Stylianos Voudouris, Bianca Maria Piraccini, Antonella Tosti, Iorizzo, Matilde, Vincenzi, Colombina, Voudouris, S, Piraccini, BIANCA MARIA, and Tosti, Antonella

Subjects
Gynecology, medicine.medical_specialty, Chemotherapy, medicine.drug_class, business.industry, medicine.medical_treatment, Drospirenone, Dermatology, General Medicine, Antiandrogen, medicine.disease, chemistry.chemical_compound, Hair loss, Drospirenone/Ethinyl Estradiol, chemistry, Internal medicine, Hair Disorder, medicine, Finasteride, business, Adverse effect, medicine.drug
Abstract

Objective To evaluate the efficacy of oral finasteride therapy associated with an oral contraceptive containing drospirenone and ethinyl estradiol in premenopausal women with female pattern hair loss. Setting Outpatient consultation for hair disorders at the Department of Dermatology, University of Bologna. Patients and Intervention Thirty-seven women with female pattern hair loss were treated with oral finasteride, 2.5 mg/d, while taking an oral contraceptive containing drospirenone and ethinyl estradiol. Treatment efficacy was evaluated using global photography and the hair density score from videodermoscopy. A self-administered questionnaire was used to assess patient evaluation of treatment effectiveness. Results At 12-month follow-up, 23 of the 37 patients were rated as improved using global photography (12 were slightly improved, 8 were moderately improved, and 3 were greatly improved). No improvement was recorded in 13 patients. One patient experienced worsening of the condition. There was a statistically significant ( P = .002) increase in the hair density score in 12 patients. No adverse reactions to the drug were reported. Conclusions Sixty-two percent of the patients demonstrated some improvement of their hair loss with the use of finasteride, 2.5 mg/d, while taking the oral contraceptive. It is unclear whether the success was due to a higher dosage of finasteride (2.5 mg instead of 1 mg) or to its association with the oral contraceptive containing drospirenone, which has an antiandrogenic effect. Further studies are necessary to understand which patterns of female pattern hair loss respond better to this treatment.

Published
2006
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24. Scalp Psoriasiform Contact Dermatitis with Acute Telogen Effluvium due to Topical Minoxidil Treatment.

Author

La Placa M, Balestri R, Bardazzi F, and Vincenzi C

Abstract

Topical minoxidil, the only approved treatment for female pattern hair loss (FPHL), has been associated with scalp allergic contact dermatitis (ACD). We report the case of 2 female patients who developed ACD from minoxidil solution with severe telogen effluvium and psoriasiform scalp dermatitis. Scalp dermoscopy was useful to identify the psoriasiform vascular pattern, whereas patch testing made it possible to differentiate the cause of sensitization. In one case, minoxidil was the sole cause of scalp dermatitis, while in the other patient it was only the vehicle, thus permitting the patient to continue the treatment for FPHL.

Published
2016
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