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  1. Article ; Online: Skin Testing Approaches for Immediate and Delayed Hypersensitivity Reactions.

    Barbaud, Annick / Romano, Antonino

    Immunology and allergy clinics of North America

    2022  Volume 42, Issue 2, Page(s) 307–322

    Abstract: In evaluating adverse drug reactions (ADRs), patch tests (PTs), skin prick tests (SPTs), and intradermal tests (IDTs) are useful tools for identifying responsible drugs and finding safe alternatives. Their diagnostic value depends on the clinical ... ...

    Abstract In evaluating adverse drug reactions (ADRs), patch tests (PTs), skin prick tests (SPTs), and intradermal tests (IDTs) are useful tools for identifying responsible drugs and finding safe alternatives. Their diagnostic value depends on the clinical features of the ADR and on the drug tested. PTs have a good sensitivity in assessing acute generalized exanthematous pustulosis and drug rash with eosinophilia and systemic symptoms. SPTs done with all drugs except opiates are used for immediate hypersensitivity reactions. IDTs seem sensitive for immediate hypersensitivity reactions to beta-lactam antibiotics, iodinated contrast media, heparins, general anesthetics, and platinum salts.
    MeSH term(s) Drug Hypersensitivity/diagnosis ; Drug-Related Side Effects and Adverse Reactions ; Humans ; Hypersensitivity, Delayed/diagnosis ; Hypersensitivity, Delayed/etiology ; Hypersensitivity, Immediate/diagnosis ; Hypersensitivity, Immediate/etiology ; Patch Tests ; Skin Tests
    Language English
    Publishing date 2022-03-31
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 92606-1
    ISSN 1557-8607 ; 0889-8561
    ISSN (online) 1557-8607
    ISSN 0889-8561
    DOI 10.1016/j.iac.2022.01.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: A rare case of cardiac metastasis of a small cell lung cancer by transvenous spread.

    La Marca, Antonella / Romano, Antonino Davide / Laonigro, Irma / Villani, Rosanna / Serviddio, Gaetano

    European heart journal. Cardiovascular Imaging

    2023  Volume 25, Issue 3, Page(s) e113

    MeSH term(s) Humans ; Small Cell Lung Carcinoma ; Lung Neoplasms/diagnostic imaging ; Heart Neoplasms/diagnostic imaging ; Skin Neoplasms ; Melanoma
    Language English
    Publishing date 2023-11-06
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2638345-7
    ISSN 2047-2412 ; 2047-2404
    ISSN (online) 2047-2412
    ISSN 2047-2404
    DOI 10.1093/ehjci/jead290
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Liver Ultrasound Elastography in Non-Alcoholic Fatty Liver Disease: A State-of-the-Art Summary.

    Villani, Rosanna / Lupo, Pierluigi / Sangineto, Moris / Romano, Antonino Davide / Serviddio, Gaetano

    Diagnostics (Basel, Switzerland)

    2023  Volume 13, Issue 7

    Abstract: Non-alcoholic fatty liver disease (NAFLD) is a chronic disease which is currently the most common hepatic disorder affecting up to 38% of the general population with differences according to age, country, ethnicity and sex. Both genetic and acquired risk ...

    Abstract Non-alcoholic fatty liver disease (NAFLD) is a chronic disease which is currently the most common hepatic disorder affecting up to 38% of the general population with differences according to age, country, ethnicity and sex. Both genetic and acquired risk factors such as a high-calorie diet or high intake of saturated fats have been associated with obesity, diabetes and, finally, NAFLD. A liver biopsy has always been considered essential for the diagnosis of NAFLD; however, due to several limitations such as the potential occurrence of major complications, sampling variability and the poor repeatability in clinical practice, it is considered an imperfect option for the evaluation of liver fibrosis over time. For these reasons, a non-invasive assessment by serum biomarkers and the quantification of liver stiffness is becoming the new frontier in the management of patients with NAFLD and liver fibrosis. We present a state-of-the-art summary addressing the methods for the non-invasive evaluation of liver fibrosis in NAFLD patients, particularly the ultrasound-based techniques (transient elastography, ARFI techniques and strain elastography) and their optimal cut-off values for the staging of liver fibrosis.
    Language English
    Publishing date 2023-03-24
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2662336-5
    ISSN 2075-4418
    ISSN 2075-4418
    DOI 10.3390/diagnostics13071236
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Potential Therapeutic Targets to Modulate the Endocannabinoid System in Alzheimer's Disease.

    Kanwal, Hina / Sangineto, Moris / Ciarnelli, Martina / Castaldo, Pasqualina / Villani, Rosanna / Romano, Antonino Davide / Serviddio, Gaetano / Cassano, Tommaso

    International journal of molecular sciences

    2024  Volume 25, Issue 7

    Abstract: Alzheimer's disease (AD), the most common neurodegenerative disease (NDD), is characterized by chronic neuronal cell death through progressive loss of cognitive function. Amyloid beta (Aβ) deposition, neuroinflammation, oxidative stress, and ... ...

    Abstract Alzheimer's disease (AD), the most common neurodegenerative disease (NDD), is characterized by chronic neuronal cell death through progressive loss of cognitive function. Amyloid beta (Aβ) deposition, neuroinflammation, oxidative stress, and hyperphosphorylated tau proteins are considered the hallmarks of AD pathology. Different therapeutic approaches approved by the Food and Drug Administration can only target a single altered pathway instead of various mechanisms that are involved in AD pathology, resulting in limited symptomatic relief and almost no effect in slowing down the disease progression. Growing evidence on modulating the components of the endocannabinoid system (ECS) proclaimed their neuroprotective effects by reducing neurochemical alterations and preventing cellular dysfunction. Recent studies on AD mouse models have reported that the inhibitors of the fatty acid amide hydrolase (FAAH) and monoacylglycerol (MAGL), hydrolytic enzymes for N-arachidonoyl ethanolamine (AEA) and 2-arachidonoylglycerol (2-AG), respectively, might be promising candidates as therapeutical intervention. The FAAH and MAGL inhibitors alone or in combination seem to produce neuroprotection by reversing cognitive deficits along with Aβ-induced neuroinflammation, oxidative responses, and neuronal death, delaying AD progression. Their exact signaling mechanisms need to be elucidated for understanding the brain intrinsic repair mechanism. The aim of this review was to shed light on physiology and pathophysiology of AD and to summarize the experimental data on neuroprotective roles of FAAH and MAGL inhibitors. In this review, we have also included CB1R and CB2R modulators with their diverse roles to modulate ECS mediated responses such as anti-nociceptive, anxiolytic, and anti-inflammatory actions in AD. Future research would provide the directions in understanding the molecular mechanisms and development of new therapeutic interventions for the treatment of AD.
    MeSH term(s) United States ; Animals ; Mice ; Alzheimer Disease/drug therapy ; Amyloid beta-Peptides ; Neurodegenerative Diseases ; Endocannabinoids ; Neuroinflammatory Diseases
    Chemical Substances Amyloid beta-Peptides ; Endocannabinoids
    Language English
    Publishing date 2024-04-05
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2019364-6
    ISSN 1422-0067 ; 1422-0067 ; 1661-6596
    ISSN (online) 1422-0067
    ISSN 1422-0067 ; 1661-6596
    DOI 10.3390/ijms25074050
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Giant serpentine aneurysm: Neuroradiological and neurosurgical management in a left-handed patient.

    Romano, Andrea / Moltoni, Giulia / Piazza, Amedeo / Trasimeni, Guido / Miscusi, Massimo / Palizzi, Serena / Romano, Allegra / Raco, Antonino / Bozzao, Alessandro

    Radiology case reports

    2023  Volume 18, Issue 12, Page(s) 4384–4388

    Abstract: Giant serpentine aneurysms are rare huge and partially thrombosed aneurysms, with an eccentric tortuous intra-aneurysmal vascular channel. Surgical treatment is often necessary due to the great mass effect. We describe a case of a left-handed woman with ... ...

    Abstract Giant serpentine aneurysms are rare huge and partially thrombosed aneurysms, with an eccentric tortuous intra-aneurysmal vascular channel. Surgical treatment is often necessary due to the great mass effect. We describe a case of a left-handed woman with a giant serpentine aneurysm of the left middle cerebral artery whose management was complex. The challenge was to exclude the aneurysm from circulation, reduce the mass effect, and, mostly, preserve the language function. Since the patient was left-handed the language dominance needed to be assessed; functional MRI (fMRI) and Wada test (WT) showed a right dominance. Surgical treatment was performed, as a complication, the patient developed left fronto-basal ischemia with a slight paresis of the right hand but without any language deficit. Our case shows the importance of a multidisciplinary team in patient management, with a pivotal role of neuroradiological functional tests in presurgical planning.
    Language English
    Publishing date 2023-10-04
    Publishing country Netherlands
    Document type Case Reports
    ZDB-ID 2406300-9
    ISSN 1930-0433
    ISSN 1930-0433
    DOI 10.1016/j.radcr.2023.09.014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Evaluation and Updated Classification of Acute Hypersensitivity Reactions to Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): NSAID-Exacerbated or -Induced Food Allergy.

    Romano, Antonino / Gaeta, Francesco / Caruso, Cristiano / Fiocchi, Alessandro / Valluzzi, Rocco Luigi

    The journal of allergy and clinical immunology. In practice

    2023  Volume 11, Issue 6, Page(s) 1843–1853.e1

    Abstract: Background: There are hypersensitivity reactions (HRs) to foods in which nonsteroidal anti-inflammatory drugs (NSAIDs) act as aggravating factors (NSAID-exacerbated food allergy [NEFA]) or cofactors (NSAID-induced food allergy [NIFA]), often ... ...

    Abstract Background: There are hypersensitivity reactions (HRs) to foods in which nonsteroidal anti-inflammatory drugs (NSAIDs) act as aggravating factors (NSAID-exacerbated food allergy [NEFA]) or cofactors (NSAID-induced food allergy [NIFA]), often misdiagnosed as HRs to NSAIDs. Urticarial/angioedematous and/or anaphylactic reactions to two or more chemically unrelated NSAIDs do not meet current classification criteria. However, they may be considered part of a cross-reactive type of acute HR, which is NSAID-induced urticaria/angioedema with or without respiratory or systemic symptoms of anaphylaxis.
    Objective: To evaluate patients reporting acute HRs to NSAIDs and classify them according to updated criteria.
    Methods: We prospectively studied 414 patients with suspected HRs to NSAIDs. For all whom met these criteria, NEFA/NIFA was diagnosed: (1) mild reactions to (NEFA) or tolerance of (NIFA) the suspected foods without taking NSAIDs; (2) cutaneous and/or anaphylactic reactions to the combination foods plus NSAIDs; (3) positive allergy tests to the suspected foods; and (4) negative drug challenges (DCs) with the NSAIDs involved.
    Results: A total of 252 patients were given the diagnosis of NSAID hypersensitivity (60.9%), 108 of whom had NSAID-induced urticaria/angioedema with or without respiratory or systemic symptoms of anaphylaxis. We excluded NSAID hypersensitivity in 162 patients (39.1%) who tolerated DCs with the suspected NSAIDs, nine of whom received a diagnosis of NEFA, and 66 of NIFA. Pru p 3 was implicated in 67 of those 75 patients who received a diagnosis of NEFA or NIFA.
    Conclusions: NEFA and NIFA account for about 18% of patients reporting HRs to NSAIDs, in which Pru p 3 is the main responsible food allergen. Therefore, patients with cutaneous and/or anaphylactic reactions to NSAIDs should be carefully questioned about all foods ingested within 4 hours before or after NSAID exposure, and targeted food allergy tests should be considered in the diagnostic workup of these patients. If testing is positive, DCs with the suspected NSAIDs should also be considered.
    MeSH term(s) Humans ; Anti-Inflammatory Agents, Non-Steroidal/adverse effects ; Anaphylaxis/diagnosis ; Anaphylaxis/chemically induced ; Fatty Acids, Nonesterified/adverse effects ; Drug Hypersensitivity/diagnosis ; Angioedema/diagnosis ; Angioedema/chemically induced ; Food Hypersensitivity/diagnosis ; Allergens/adverse effects ; Urticaria/diagnosis ; Urticaria/chemically induced
    Chemical Substances Anti-Inflammatory Agents, Non-Steroidal ; Fatty Acids, Nonesterified ; Allergens
    Language English
    Publishing date 2023-03-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2843237-X
    ISSN 2213-2201 ; 2213-2198
    ISSN (online) 2213-2201
    ISSN 2213-2198
    DOI 10.1016/j.jaip.2023.03.036
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Acetylsalicylic acid challenge or desensitization in sensitive patients with cardiovascular disease.

    Cortellini, Gabriele / Raiteri, Alberto / Galli, Mattia / Lotrionte, Marzia / Piscaglia, Fabio / Romano, Antonino

    Journal of thrombosis and thrombolysis

    2023  Volume 55, Issue 4, Page(s) 762–769

    Abstract: The use of acetylsalicylic acid (ASA) is problematic in subjects with histories of hypersensitivity reactions (HRs) to it or with cross-reactive types of nonsteroidal anti-inflammatory drug (NSAID) hypersensitivity. We sought to evaluate the efficacy of ... ...

    Abstract The use of acetylsalicylic acid (ASA) is problematic in subjects with histories of hypersensitivity reactions (HRs) to it or with cross-reactive types of nonsteroidal anti-inflammatory drug (NSAID) hypersensitivity. We sought to evaluate the efficacy of low-dose ASA challenge (LDAC) and desensitization to allow ASA therapy at an antiplatelet dose in patients with atherosclerotic cardiovascular disease (ASCVD) or multiple related risk factors and histories of HRs to ASA or ≥ 2 chemically unrelated NSAIDs. We studied prospectively all patients with such histories and ≥ 3 risk factors for ASCVD (group I), chronic coronary syndrome (CCS, group II), and acute coronary syndrome (ACS) with indication for ASA desensitization (group III). Patients from groups I and II underwent LDACs (cumulative dose of 110 mg), while those from group III were desensitized (cumulative dose of 100.1 mg). We evaluated 103 patients: 62 from group I, 24 from group II, and 17 from group III. Eighty-two of the 86 patients from the first two groups underwent LDACs and 2 reacted. Subsequently, 22 (27.5%) of the 80 patients with negative LDACs were administered dual antiplatelet therapy with ASA after successful percutaneous coronary interventions, thus sparing desensitizations. The remaining 4 patients with CCS and all 17 patients from group III were successfully desensitized. In this pragmatic study, LDAC proved to be a safe and reliable diagnostic tool for identifying patients with histories of HRs to ASA or ≥ 2 different NSAIDs who can tolerate ASA at antiplatelet doses. Routine LDAC is advisable in all patients at high risk for ASCVD or with CCS who report HRs to ASA or ≥ 2 NSAIDs. ASA desensitization remains a safe and effective option in patients with ACS. Study flow-chart. ASCVD atherosclerotic cardiovascular disease; CCS chronic coronary syndrome; ACS acute coronary syndrome; ASA acetylsalicylic acid; DAPT dual antiplatelet therapy; PCI percutaneous coronary intervention; NSAIDs nonsteroidal anti-inflammatory drugs; NERD NSAID-exacerbated respiratory disease; NECD NSAID-exacerbated cutaneous disease; NIUAA NSAID-induced urticaria-angioedema or anaphylaxis; SNIUAA single NSAID-induced urticaria-angioedema or anaphylaxis; SNIDHR single NSAID-induced delayed hypersensitivity reaction.
    MeSH term(s) Humans ; Aspirin/adverse effects ; Platelet Aggregation Inhibitors/adverse effects ; Cardiovascular Diseases/drug therapy ; Acute Coronary Syndrome/drug therapy ; Anaphylaxis/chemically induced ; Percutaneous Coronary Intervention ; Drug Hypersensitivity/therapy ; Drug Hypersensitivity/drug therapy ; Anti-Inflammatory Agents, Non-Steroidal/adverse effects ; Angioedema/chemically induced ; Angioedema/drug therapy ; Atherosclerosis/drug therapy
    Chemical Substances Aspirin (R16CO5Y76E) ; Platelet Aggregation Inhibitors ; Anti-Inflammatory Agents, Non-Steroidal
    Language English
    Publishing date 2023-02-09
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1230645-9
    ISSN 1573-742X ; 0929-5305
    ISSN (online) 1573-742X
    ISSN 0929-5305
    DOI 10.1007/s11239-023-02782-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Liver Ultrasound Elastography in Non-Alcoholic Fatty Liver Disease

    Rosanna Villani / Pierluigi Lupo / Moris Sangineto / Antonino Davide Romano / Gaetano Serviddio

    Diagnostics, Vol 13, Iss 1236, p

    A State-of-the-Art Summary

    2023  Volume 1236

    Abstract: Non-alcoholic fatty liver disease (NAFLD) is a chronic disease which is currently the most common hepatic disorder affecting up to 38% of the general population with differences according to age, country, ethnicity and sex. Both genetic and acquired risk ...

    Abstract Non-alcoholic fatty liver disease (NAFLD) is a chronic disease which is currently the most common hepatic disorder affecting up to 38% of the general population with differences according to age, country, ethnicity and sex. Both genetic and acquired risk factors such as a high-calorie diet or high intake of saturated fats have been associated with obesity, diabetes and, finally, NAFLD. A liver biopsy has always been considered essential for the diagnosis of NAFLD; however, due to several limitations such as the potential occurrence of major complications, sampling variability and the poor repeatability in clinical practice, it is considered an imperfect option for the evaluation of liver fibrosis over time. For these reasons, a non-invasive assessment by serum biomarkers and the quantification of liver stiffness is becoming the new frontier in the management of patients with NAFLD and liver fibrosis. We present a state-of-the-art summary addressing the methods for the non-invasive evaluation of liver fibrosis in NAFLD patients, particularly the ultrasound-based techniques (transient elastography, ARFI techniques and strain elastography) and their optimal cut-off values for the staging of liver fibrosis.
    Keywords liver ; ultrasound ; elastography ; NAFLD ; steatosis ; steatohepatitis ; Medicine (General) ; R5-920
    Subject code 610
    Language English
    Publishing date 2023-03-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Effect of mepolizumab alone in chronic eosinophilic pneumonia relapse: A case report.

    Ciuffreda, Marcello / Caruso, Cristiano / Romano, Antonino / Sarni, Antonella

    The journal of allergy and clinical immunology. In practice

    2020  Volume 8, Issue 10, Page(s) 3640–3642

    MeSH term(s) Anti-Asthmatic Agents ; Antibodies, Monoclonal, Humanized/therapeutic use ; Humans ; Pulmonary Eosinophilia/drug therapy ; Recurrence
    Chemical Substances Anti-Asthmatic Agents ; Antibodies, Monoclonal, Humanized ; mepolizumab (90Z2UF0E52)
    Language English
    Publishing date 2020-07-13
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2843237-X
    ISSN 2213-2201 ; 2213-2198
    ISSN (online) 2213-2201
    ISSN 2213-2198
    DOI 10.1016/j.jaip.2020.06.053
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Algorithm for betalactam allergy diagnosis.

    Doña, Inmaculada / Romano, Antonino / Torres, María José

    Allergy

    2019  Volume 74, Issue 9, Page(s) 1817–1819

    MeSH term(s) Algorithms ; Anti-Bacterial Agents/adverse effects ; Disease Management ; Drug Hypersensitivity/diagnosis ; Drug Hypersensitivity/etiology ; Humans ; beta-Lactams/adverse effects
    Chemical Substances Anti-Bacterial Agents ; beta-Lactams
    Language English
    Publishing date 2019-06-02
    Publishing country Denmark
    Document type News ; Research Support, Non-U.S. Gov't
    ZDB-ID 391933-x
    ISSN 1398-9995 ; 0105-4538
    ISSN (online) 1398-9995
    ISSN 0105-4538
    DOI 10.1111/all.13844
    Database MEDical Literature Analysis and Retrieval System OnLINE

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