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  1. Article ; Online: New emerging pandemic: head and neck manifestations.

    Spirito, Francesca / Leuci, Stefania / DI Cosola, Michele / Lo Muzio, Lorenzo

    Minerva medica

    2023  Volume 113, Issue 6, Page(s) 905–909

    MeSH term(s) Humans ; Pandemics ; Neck ; COVID-19/epidemiology
    Language English
    Publishing date 2023-01-25
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 123586-2
    ISSN 1827-1669 ; 0026-4806
    ISSN (online) 1827-1669
    ISSN 0026-4806
    DOI 10.23736/S0026-4806.22.08415-4
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  2. Article ; Online: Supportive care and antiviral treatments in primary herpetic gingivostomatitis: a systematic review.

    Coppola, Noemi / Cantile, Tiziana / Adamo, Daniela / Canfora, Federica / Baldares, Stefania / Riccitiello, Francesco / Musella, Gennaro / Mignogna, Michele Davide D / Leuci, Stefania

    Clinical oral investigations

    2023  Volume 27, Issue 11, Page(s) 6333–6344

    Abstract: Objectives: Herpes simplex virus 1 (HSV-1) is the main pathogen responsible for herpes infections. In 13-30% of the cases, primary HSV-1 leads to the primary herpetic gingivostomatitis (PHGS), often a self-limiting infection; however, it can limit the ... ...

    Abstract Objectives: Herpes simplex virus 1 (HSV-1) is the main pathogen responsible for herpes infections. In 13-30% of the cases, primary HSV-1 leads to the primary herpetic gingivostomatitis (PHGS), often a self-limiting infection; however, it can limit the ability to drink/eat with, sometimes, the need for hospitalization. Multiple therapeutic methods have been proposed. This systematic review aims to collect and critically appraise the available evidence about the clinical management of PHGS.
    Materials and methods: Literature search including three databases (PubMed, Scopus, Embase), study design, and data analysis were performed following PRISMA guidelines, according to the PICO tool (PROSPERO n° CRD42023391386). Risk of bias was assessed with RoB 2 and ROBINS-I.
    Results: Five studies on a total of 364 patients (average age: 7.6 years) were identified. The treatment regimens were summarized in acyclovir; acyclovir + honey; fluids and analgesic; maalox + diphenhydramine; lidocaine; chlorhexidine (CHX); CHX + ialuronic acid; CHX + Mucosyte®; antimicrobial photodynamic therapy (aPDT); topical antiviral; topical antiviral + aPDT; and others.
    Conclusions: Although PHGS is a disease with a high worldwide prevalence, the lack of consensus about therapeutic management indicates gaps in existing evidence. Most of the proposed treatment consists in symptomatic drugs with empiric regimens which are ineffective for the viral replication. The main limit to realize randomized clinical trial is due to the rapid onset and remission of the disease. In fact, the diagnostic delay, estimated in 72 h, decreases the effectiveness of any antiviral drugs.
    Clinical relevance: Out of the five studies included in this systematic review, only one was able to provide some weak evidence that ACV is an effective treatment, improving healing of oral lesions and reducing duration of symptoms.
    MeSH term(s) Humans ; Child ; Stomatitis, Herpetic/diagnosis ; Stomatitis, Herpetic/drug therapy ; Delayed Diagnosis ; Antiviral Agents/therapeutic use ; Acyclovir/therapeutic use ; Lidocaine/therapeutic use ; Randomized Controlled Trials as Topic
    Chemical Substances Antiviral Agents ; Acyclovir (X4HES1O11F) ; Lidocaine (98PI200987)
    Language English
    Publishing date 2023-09-21
    Publishing country Germany
    Document type Systematic Review ; Journal Article ; Review
    ZDB-ID 1364490-7
    ISSN 1436-3771 ; 1432-6981
    ISSN (online) 1436-3771
    ISSN 1432-6981
    DOI 10.1007/s00784-023-05250-5
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    Zs.A 4788: Show issues Location:
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  3. Article ; Online: Aseptic Meningitis in Oral Medicine: Exploring the Key Elements for a Challenging Diagnosis: A Review of the Literature and Two Case Reports.

    Leuci, Stefania / Coppola, Noemi / Cantile, Tiziana / Calabria, Elena / Mihai, Laurenta Lelia / Mignogna, Michele Davide

    International journal of environmental research and public health

    2022  Volume 19, Issue 7

    Abstract: Aseptic meningitis (AM) is a potentially severe and life-threatening disease characterized by meningeal inflammation, usually with mononuclear pleocytosis. It represents a challenging and controversial issue in medicine for multiple etiologies, ... ...

    Abstract Aseptic meningitis (AM) is a potentially severe and life-threatening disease characterized by meningeal inflammation, usually with mononuclear pleocytosis. It represents a challenging and controversial issue in medicine for multiple etiologies, classification, and difficult diagnosis in the face of nonspecific sets of signs and symptoms. In the area of interest of oral medicine, in specific clusters of patients, even if rare, the occurrence of aseptic meningitis can pose a diagnostic and management dilemma in the following potential etiologies: (i) systemic diseases with oral and meningeal involvement, which include Behçet's disease and Sjögren syndrome; (ii) drug-induced aseptic meningitis; (iii) aseptic viral meningitis, mostly related to herpes simplex virus infection and hand, foot, and mouth disease, caused by enteroviruses. In this review, clinical manifestations, diagnostic methodologies, incidence, treatment, and prognosis for each of these clinical entities are provided. Furthermore, two illustrative case reports are described: a patient suffering from recurrent oral ulcers, in which a sudden onset of AM allows us to diagnose Neuro Behçet's disease, and a patient affected by pemphigus vulgaris, manifesting a drug-induced AM. Exploring this complex clinical entity scenario, it is clear that an oral medicine specialist has a place on any multidisciplinary team in making such a challenging diagnosis.
    MeSH term(s) Behcet Syndrome/complications ; Behcet Syndrome/diagnosis ; Behcet Syndrome/drug therapy ; Herpes Simplex ; Humans ; Meningitis, Aseptic/diagnosis ; Mouth Diseases/complications ; Oral Medicine
    Language English
    Publishing date 2022-03-25
    Publishing country Switzerland
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph19073919
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  4. Article ; Online: Burning mouth syndrome: Analysis of diagnostic delay in 500 patients.

    Adamo, Daniela / Calabria, Elena / Canfora, Federica / Coppola, Noemi / Pecoraro, Giuseppe / D'Aniello, Luca / Aria, Massimo / Mignogna, Michele Davide / Leuci, Stefania

    Oral diseases

    2023  

    Abstract: Objectives: To assess the diagnostic delay, the number and type of referrals and the clinical and psychological profile in a wide sample of patients with Burning Mouth Syndrome (BMS).: Materials and methods: Data on the disease onset, oral symptoms, ... ...

    Abstract Objectives: To assess the diagnostic delay, the number and type of referrals and the clinical and psychological profile in a wide sample of patients with Burning Mouth Syndrome (BMS).
    Materials and methods: Data on the disease onset, oral symptoms, type and number of practitioners consulted, misdiagnoses, and the presence of medically unexplained extraoral physical symptoms were recorded in 500 BMS patients. Potential predictors of diagnostic delay were also evaluated.
    Results: The mean diagnostic delay was 29.71 ± 47.19 months. An average of 2.61 ± 1.65 practitioners were consulted by each patient, the most frequent being the general physicians (287; 57.4%), maxillofacial surgeons (111; 22.2%), and otolaryngologists (104; 20.8%). The mean number of misdiagnoses was 3.54 ± 1.85. Nonspecific stomatitis, candidiasis, and gastroesophageal reflux were the most common misdiagnoses. Higher age, low education, the presence of dysgeusia, and a previous history of psychiatric illness were predictors of a longer diagnostic delay (p-value: 0.028, 0.050, 0.007, 0.034, respectively).
    Conclusions: The lack of knowledge among specialists, the high rate of misdiagnosis, and the diagnostic delay of BMS highlight the need to introduce educational interventions in all medical specialties in order to promote an early and appropriate diagnosis, thereby improving the prognosis and quality of life of the patients.
    Language English
    Publishing date 2023-02-24
    Publishing country Denmark
    Document type Journal Article
    ZDB-ID 1290529-x
    ISSN 1601-0825 ; 1354-523X
    ISSN (online) 1601-0825
    ISSN 1354-523X
    DOI 10.1111/odi.14553
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  5. Article ; Online: Plasma Exosomal microRNA Profile Reveals miRNA 148a-3p Downregulation in the Mucosal-Dominant Variant of Pemphigus Vulgaris.

    Valentino, Anna / Leuci, Stefania / Galderisi, Umberto / Spagnuolo, Gianrico / Mignogna, Michele Davide / Peluso, Gianfranco / Calarco, Anna

    International journal of molecular sciences

    2023  Volume 24, Issue 14

    Abstract: The mucosal-dominant variant of pemphigus vulgaris (MPV) is an autoimmune disease characterized by oral mucosal blistering and circulating pathogenic IgG antibodies against desmoglein 3 (Dsg3), resulting in life-threatening bullae and erosion formation. ... ...

    Abstract The mucosal-dominant variant of pemphigus vulgaris (MPV) is an autoimmune disease characterized by oral mucosal blistering and circulating pathogenic IgG antibodies against desmoglein 3 (Dsg3), resulting in life-threatening bullae and erosion formation. Recently, microRNAs (miRNAs) have emerged as promising players in the diagnosis and prognosis of several pathological states. For the first time, we have identified a different expression profile of miRNAs isolated from plasma-derived exosomes (P-EVs) of MPV patients positive for antibodies against Dsg3 (Dsg3-positive) compared to healthy controls. Moreover, a dysregulated miRNA profile was confirmed in MPV tissue biopsies. In particular, a strong downregulation of the miR-148a-3p expression level in P-EVs of MPV patients compared to healthy controls was demonstrated. Bioinformatics prediction analysis identifies metalloproteinase-7 (MMP7) as a potential miR-148a-3p target. An in vitro acantholysis model revealed that the miR-148a-3p expression level was dramatically downregulated after treatment with Dsg3 autoantibodies, with a concomitant increase in MMP7 expression. The increased expression of MMP7 leads to the disruption of intercellular and/or extracellular matrix adhesion in an in vitro cellular model of MPV, with subsequent cell dissociation. Overexpression of miR-148a-3p prevented cell dissociation and regressed MMP7 upregulation. Our findings suggest a pivotal role of P-EV cargo in regulating molecular mechanisms involved in MPV pathogenesis and indicate them as potential MPV therapeutic targets.
    MeSH term(s) Humans ; Pemphigus/genetics ; Pemphigus/diagnosis ; Down-Regulation/genetics ; Matrix Metalloproteinase 7/metabolism ; Desmoglein 3/genetics ; Desmoglein 3/metabolism ; Autoantibodies ; MicroRNAs/genetics ; MicroRNAs/metabolism ; Blister ; Mouth Mucosa/metabolism
    Chemical Substances Matrix Metalloproteinase 7 (EC 3.4.24.23) ; Desmoglein 3 ; Autoantibodies ; MicroRNAs
    Language English
    Publishing date 2023-07-15
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2019364-6
    ISSN 1422-0067 ; 1422-0067 ; 1661-6596
    ISSN (online) 1422-0067
    ISSN 1422-0067 ; 1661-6596
    DOI 10.3390/ijms241411493
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  6. Article ; Online: Current knowledge, attitude and practice among dental hygienists in oral cancer awareness: Systematic review.

    Coppola, Noemi / Rivieccio, Immacolata / Blasi, Andrea / Ferrigno, Roberto / Baldares, Stefania / Mignogna, Michele Davide / Leuci, Stefania

    International journal of dental hygiene

    2022  Volume 20, Issue 2, Page(s) 249–261

    Abstract: Objectives: Evidence on the awareness and knowledge level of oral cancer and its associated risk factors among dental hygienists is scarce; this systematic review aimed to synthesize their available evidence of the level of knowledge, attitude and ... ...

    Abstract Objectives: Evidence on the awareness and knowledge level of oral cancer and its associated risk factors among dental hygienists is scarce; this systematic review aimed to synthesize their available evidence of the level of knowledge, attitude and practice.
    Methods: PubMed and Scopus were searched for publications from any year up to January 2021. Studies about knowledge and/or attitudes and/or practices of dental hygienists have been taken into account. Overall, 14 studies have been selected for the systematic review.
    Results: Excluding tobacco use (99.8%-100%), considerable variability were found among dental hygienists about important oral cancer risk factors such as alcohol consumption (30.0%-90.0%), human papilloma virus (23.0%-90.0%), oldness (37.7%-69.3%), diet (30.0%-42.2%) and betel quid chewing (5.0% and 98.0%). There was a good level of awareness among dental hygienists regarding leukoplakia (86.5%), instead less than half recognized erythroplakia as a precancerous lesion. Moderate knowledge was recorded about frequent sites of oral cancer development. Most of dental hygienists reported to perform intraoral screening (85.2%-100%). To regard attitude, a great variability was found about adequacy of undergraduate training (15.7%-75.0%) and most of dental hygienists expressed the need for continuing education (92.7%-99.0%).
    Conclusions: Dental hygienists play a key role in oral cancer detection. Low knowledge of oral cancer among dental hygienists is strongly associated with the low levels of early detection. These findings provide useful information to improve continuing education programmes pre- and post-graduation targeted at the prevention of oral cancer in order to reduce oral cancer morbidity and mortality.
    MeSH term(s) Alcohol Drinking/adverse effects ; Attitude of Health Personnel ; Dental Hygienists/education ; Health Knowledge, Attitudes, Practice ; Humans ; Mouth Neoplasms/diagnosis ; Mouth Neoplasms/prevention & control ; Risk Factors ; Surveys and Questionnaires
    Language English
    Publishing date 2022-01-28
    Publishing country England
    Document type Journal Article ; Systematic Review
    ZDB-ID 2252118-5
    ISSN 1601-5037 ; 1601-5029
    ISSN (online) 1601-5037
    ISSN 1601-5029
    DOI 10.1111/idh.12575
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    Zs.A 6768: Show issues Location:
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  7. Article ; Online: Sexual desire, mood disorders and sleep disturbances in female BMS patients: A controlled study.

    Leuci, Stefania / Coppola, Noemi / Adamo, Daniela / Crocetto, Felice / Barone, Biagio / Baldares, Stefania / Canfora, Federica / Mignogna, Michele Davide

    Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology

    2022  Volume 52, Issue 3, Page(s) 276–282

    Abstract: Background: Burning mouth syndrome is a chronic orofacial pain with intraoral burning and other oral dysaesthetic symptoms that significantly affects the quality of life. The aim of this study is to evaluate the sexual desire in women with BMS and to ... ...

    Abstract Background: Burning mouth syndrome is a chronic orofacial pain with intraoral burning and other oral dysaesthetic symptoms that significantly affects the quality of life. The aim of this study is to evaluate the sexual desire in women with BMS and to investigate the possible related factors.
    Methods: A case-control study was performed. BMS patients were enrolled according to the International Classification of OroFacial Pain criteria. Demographic variables were collected. We evaluated pain with the Numeric Rating Scale (NRS), Visual Analogue Scale (VAS) and Total Pain Rating Index (T-PRI), anxiety and depression using the Hospital Anxiety and Depression Scale (HADS-A e HADS-D), sleep disturbances with Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS), and sexual desire using Sexual Desire Inventory (SDI).
    Results: A total of 50 BMS women and 50 healthy controls were enrolled. Compared with the controls, the BMS patients showed higher scores in the NRS (7,81 ± 1,71 vs. 0,14 ± 0.40; p < 0.0001), TPR-I (10,50 ± 4,86 vs. 0,36 ± 1,06; p < 0.0001), HADS-A (11,86 ± 2,85 vs. 3,90 ± 2,81; p < 0.0001), HADS-D (8,04 ± 3,18 vs. 1,42 ± 1,86; p < 0.0001) and PSQI (9,04 ± 2,62 vs. 4,64 ± 3,27; p < 0.0001). The mean SDI in the study group was significantly lower compared to healthy controls (32,36 ± 14,45 vs. 69,70 ± 19,94; p < 0.0001). No correlation was found between SDI and others items explored.
    Conclusion: In line with previous studies, anxiety, depression and sleep disturbances are more common in BMS patients than in healthy population. This pilot study demonstrates for the first time an association between BMS and low sexual desire.
    MeSH term(s) Humans ; Female ; Mood Disorders/epidemiology ; Depression/complications ; Case-Control Studies ; Quality of Life ; Pilot Projects ; Anxiety/complications ; Facial Pain ; Sleep Wake Disorders/complications ; Burning Mouth Syndrome ; Sleep
    Language English
    Publishing date 2022-10-03
    Publishing country Denmark
    Document type Journal Article
    ZDB-ID 1021270-x
    ISSN 1600-0714 ; 0904-2512
    ISSN (online) 1600-0714
    ISSN 0904-2512
    DOI 10.1111/jop.13362
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    Zs.A 825: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (1.OG)
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  8. Article ; Online: Gender differences in pain perception among burning mouth syndrome patients: a cross-sectional study of 242 men and 242 women.

    Calabria, Elena / Canfora, Federica / Leuci, Stefania / Coppola, Noemi / Pecoraro, Giuseppe / Giudice, Amerigo / Antonelli, Alessandro / Aria, Massimo / D'Aniello, Luca / Mignogna, Michele Davide / Adamo, Daniela

    Scientific reports

    2024  Volume 14, Issue 1, Page(s) 3340

    Abstract: Several orofacial painful conditions are influenced by gender-related factors, but no studies are available with regard to Burning Mouth Syndrome (BMS). The present study aimed at investigating gender differences among BMS patients and their influence on ...

    Abstract Several orofacial painful conditions are influenced by gender-related factors, but no studies are available with regard to Burning Mouth Syndrome (BMS). The present study aimed at investigating gender differences among BMS patients and their influence on pain perception. 242 BMS males (BMSm) and 242 BMS females (BMSf) matched for age were consecutively enrolled. Sociodemographic and clinical characteristics were recorded and the numeric rating scale (NRS), the Total Pain Rating Index (T-PRI), the Hamilton rating scale for anxiety and depression (HAM-A, HAM-D), the Pittsburgh sleep quality index (PSQI) and the Epworth sleepiness scale (ESS) were administered. The BMSm presented statistically significant higher levels of education and rate of employment compared to the BMSf (p-values: 0.001**). Moreover, the BMSm were greater consumers of alcohol and had a higher BMI than the BMSf (p-values: < 0.001**, 0.034*). With respect to systemic comorbidities, cardiovascular diseases were statistically more prevalent among the BMSm, while hypothyroidism was more frequent in the BMSf (p-vales: < 0.001**). No differences were noted between the two groups in terms of oral symptoms and in the median scores of NRS, T-PRI, HAM-A, HAM-D, PSQI and ESS. Interestingly, the multivariate regression analysis revealed that, while anxiety, high BMI, poor sleep and high level of T-PRI were correlated to the intensity of pain (NRS) in both groups, low education was additional predictor of pain in BMSf. Further, depression, alcohol and intensity of pain were factors positively associated to the quality of pain (T-PRI) in the BMSm, whereas low education, non-married status and NRS were correlated to the T-PRI, in the BMSf. Surprisingly, smoking was inversely correlated to the intensity of pain and quality of pain respectively in BMSf and BMSm. Sociodemographic and risk factors were found to differently influence pain perception in BMSm and BMSf. Therefore, clinicians should take into account gender differences in the assessment of BMS patients to better tailor the overall pain management.
    MeSH term(s) Male ; Humans ; Female ; Cross-Sectional Studies ; Burning Mouth Syndrome/epidemiology ; Sex Factors ; Pain Perception ; Facial Pain
    Language English
    Publishing date 2024-02-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-024-53074-4
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  9. Article ; Online: Reply to "A look beyond oral lichen planus".

    Spirito, Francesca / Caponio, Vito Carlo Alberto / Lo Muzio, Eleonora / Campisi, Giuseppina / Santarelli, Andrea / Lo Russo, Lucio / Rubini, Corrado / Favia, Gianfranco / Limongelli, Luisa / Coppola, Noemi / Lo Muzio, Lorenzo / Leuci, Stefania

    Pediatric dermatology

    2023  Volume 40, Issue 5, Page(s) 966–967

    Language English
    Publishing date 2023-09-28
    Publishing country United States
    Document type Letter
    ZDB-ID 605539-4
    ISSN 1525-1470 ; 0736-8046
    ISSN (online) 1525-1470
    ISSN 0736-8046
    DOI 10.1111/pde.15356
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  10. Article: Unusual external auditory canal relapse in pemphigus vulgaris.

    Coppola, Noemi / Cantone, Elena / Valletta, Alessandra / Mignogna, Michele Davide / Leuci, Stefania

    JAAD case reports

    2020  Volume 6, Issue 6, Page(s) 549–551

    Language English
    Publishing date 2020-04-24
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2834220-3
    ISSN 2352-5126
    ISSN 2352-5126
    DOI 10.1016/j.jdcr.2020.04.014
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