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  1. Article ; Online: Efficacy of Brexpiprazole Combination Therapy on Anhedonia in a Case of Treatment Resistant Bipolar II Depression.

    Scala, Mauro / Biondi, Laura / Fabbri, Chiara / Serretti, Alessandro

    Journal of clinical psychopharmacology

    2023  Volume 43, Issue 5, Page(s) 453–455

    MeSH term(s) Humans ; Anhedonia ; Depression ; Bipolar Disorder/drug therapy ; Quinolones/pharmacology ; Treatment Outcome
    Chemical Substances brexpiprazole (2J3YBM1K8C) ; Quinolones
    Language English
    Publishing date 2023-07-14
    Publishing country United States
    Document type Case Reports ; Letter
    ZDB-ID 604631-9
    ISSN 1533-712X ; 0271-0749
    ISSN (online) 1533-712X
    ISSN 0271-0749
    DOI 10.1097/JCP.0000000000001732
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Obsessive-Compulsive, Psychotic, and Autism Dimensions Overlap in Real World: A Case Report.

    Scala, Mauro / Biondi, Laura / Serretti, Alessandro / Fabbri, Chiara

    Clinical neuropharmacology

    2023  

    Abstract: Background: Obsessions, compulsions, and stereotypes are common psychopathological manifestations of obsessive-compulsive, psychotic, and autism spectrum disorders (ASDs). These nosological entities may be present in comorbidity, with relevant clinical ... ...

    Abstract Background: Obsessions, compulsions, and stereotypes are common psychopathological manifestations of obsessive-compulsive, psychotic, and autism spectrum disorders (ASDs). These nosological entities may be present in comorbidity, with relevant clinical difficulties in the differential diagnosis process. Moreover, ASDs are a complex group of disorders, with a childhood onset, which also persist into adulthood and present heterogeneous symptom patterns that could be confused with psychotic disorders.
    Methods and results: We report a case of a 21-year-old man characterized by sexual and doubt obsessions; disorganized, bizarre, and stereotyped behaviors and compulsions; and social withdrawal, inadequate social skills, visual dispersions, and hypersensitivity to light stimuli. Obsessive and compulsive features were initially included within the differential diagnosis of psychotic and obsessive-compulsive spectrum disorders. However, aforementioned psychopathological elements did not improve when multiple antipsychotic drugs (olanzapine, haloperidol, and lurasidone) were administered in the hypothesis of schizophrenia and even worsened with clozapine therapy at a dose of 100 mg/d. Obsessions and compulsions progressively reduced during the fluvoxamine 14-week treatment paradigm at a dose of 200 mg/d. Considering the persistent deficits in social communication and interactions as well as the restricted interests pattern, a differential diagnostic hypothesis of ASD was formulated, and it was then confirmed at the final evaluation at a third-level health care center.
    Conclusions: We discuss similarities and differences in the psychopathology of obsessions, compulsions, and stereotypes in the previously mentioned disorders, to underline factors that can help in the differential diagnosis of similar cases, and consequently in the appropriateness of treatment choice.
    Language English
    Publishing date 2023-06-21
    Publishing country United States
    Document type Journal Article
    ZDB-ID 199293-4
    ISSN 1537-162X ; 0362-5664
    ISSN (online) 1537-162X
    ISSN 0362-5664
    DOI 10.1097/WNF.0000000000000561
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Managing a Treatment-Resistant Schizophrenia Spectrum Disorder With a Hormonal Twist in a Female Patient: A Case Report of a Progestin-Only Pill.

    Scala, Mauro / Martínez Trapote, Paula / Rodriguez-Jimenez, Roberto / Pecorino, Basilio / Serretti, Alessandro

    Journal of clinical psychopharmacology

    2024  Volume 44, Issue 3, Page(s) 323–326

    MeSH term(s) Humans ; Female ; Schizophrenia/drug therapy ; Antipsychotic Agents/administration & dosage ; Antipsychotic Agents/adverse effects ; Progestins/administration & dosage ; Adult
    Chemical Substances Antipsychotic Agents ; Progestins
    Language English
    Publishing date 2024-04-08
    Publishing country United States
    Document type Case Reports ; Letter ; Journal Article
    ZDB-ID 604631-9
    ISSN 1533-712X ; 0271-0749
    ISSN (online) 1533-712X
    ISSN 0271-0749
    DOI 10.1097/JCP.0000000000001836
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Clinical specificity profile for novel rapid acting antidepressant drugs.

    Scala, Mauro / Fanelli, Giuseppe / De Ronchi, Diana / Serretti, Alessandro / Fabbri, Chiara

    International clinical psychopharmacology

    2023  Volume 38, Issue 5, Page(s) 297–328

    Abstract: Mood disorders are recurrent/chronic diseases with variable clinical remission rates. Available antidepressants are not effective in all patients and often show a relevant response latency, with a range of adverse events, including weight gain and sexual ...

    Abstract Mood disorders are recurrent/chronic diseases with variable clinical remission rates. Available antidepressants are not effective in all patients and often show a relevant response latency, with a range of adverse events, including weight gain and sexual dysfunction. Novel rapid agents were developed with the aim of overcoming at least in part these issues. Novel drugs target glutamate, gamma-aminobutyric acid, orexin, and other receptors, providing a broader range of pharmacodynamic mechanisms, that is, expected to increase the possibility of personalizing treatments on the individual clinical profile. These new drugs were developed with the aim of combining a rapid action, a tolerable profile, and higher effectiveness on specific symptoms, which were relatively poorly targeted by standard antidepressants, such as anhedonia and response to reward, suicidal ideation/behaviours, insomnia, cognitive deficits, and irritability. This review discusses the clinical specificity profile of new antidepressants, namely 4-chlorokynurenine (AV-101), dextromethorphan-bupropion, pregn-4-en-20-yn-3-one (PH-10), pimavanserin, PRAX-114, psilocybin, esmethadone (REL-1017/dextromethadone), seltorexant (JNJ-42847922/MIN-202), and zuranolone (SAGE-217). The main aim is to provide an overview of the efficacy/tolerability of these compounds in patients with mood disorders having different symptom/comorbidity patterns, to help clinicians in the optimization of the risk/benefit ratio when prescribing these drugs.
    MeSH term(s) Humans ; Depressive Disorder, Major/drug therapy ; Antidepressive Agents/adverse effects ; Bupropion ; Sleep Initiation and Maintenance Disorders/drug therapy ; Comorbidity
    Chemical Substances Antidepressive Agents ; Bupropion (01ZG3TPX31)
    Language English
    Publishing date 2023-06-30
    Publishing country England
    Document type Review ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 632837-4
    ISSN 1473-5857 ; 0268-1315
    ISSN (online) 1473-5857
    ISSN 0268-1315
    DOI 10.1097/YIC.0000000000000488
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Αcute visceral cysticercosis caused by Taenia hydatigena in lambs: ultrasonographic findings.

    Corda, Andrea / Dessì, Giorgia / Varcasia, Antonio / Carta, Silvia / Tamponi, Claudia / Sedda, Giampietro / Scala, Mauro / Marchi, Barbara / Salis, Francesco / Scala, Antonio / Pinna Parpaglia, Maria Luisa

    Parasites & vectors

    2020  Volume 13, Issue 1, Page(s) 568

    Abstract: Background: Cysticercosis caused by cysticercus tenuicollis is a metacestode infection that affects several species of ungulates. It is caused by the larval stage of Taenia hydatigena, an intestinal tapeworm in dogs and wild canids. In the intermediate ... ...

    Abstract Background: Cysticercosis caused by cysticercus tenuicollis is a metacestode infection that affects several species of ungulates. It is caused by the larval stage of Taenia hydatigena, an intestinal tapeworm in dogs and wild canids. In the intermediate host, the mature cysticerci are usually found in the omentum, mesentery, and peritoneum, and less frequently in the pleura and pericardium. The migrating larvae can be found mostly in the liver parenchyma causing traumatic hepatitis in young animals. Most infections are chronic and asymptomatic, and are diagnosed at the abattoir. The acute form of infection is unusual in sheep and reports of death in lambs are rare.
    Methods: In March 2018, fifteen female lambs presented anorexia, weakness, lethargy, and death secondary to acute visceral cysticercosis. Twelve of them underwent hepatic ultrasonography. Examinations were performed on standing or left lateral recumbent animals.
    Results: Livers of affected animals presented rounded margins and a thickened, irregular and hyperechoic surface. Hepatic parenchyma appeared to be wholly or partially affected by lesions characterized by heterogeneous areas crossed by numerous, irregular, anechoic tracts ranging from 1 to 2 cm in length and 0.1 to 0.2 cm in width. Superficial and intraparenchymal cystic structures were also visualized. The presence of lesions was confirmed by anatomopathological examination, and T. hydatigena cysticerci was identified by morphological and molecular characterization of isolates.
    Conclusions: Our results highlighted that hepatic ultrasonography is effective for an intra-vitam diagnosis of acute cysticercosis in lambs.
    MeSH term(s) Acute Disease ; Age Factors ; Animals ; Cysticercosis/diagnostic imaging ; Cysticercosis/mortality ; Cysticercosis/veterinary ; Female ; Liver/diagnostic imaging ; Liver/parasitology ; Phylogeny ; Sheep ; Taenia/pathogenicity ; Ultrasonography/veterinary
    Language English
    Publishing date 2020-11-11
    Publishing country England
    Document type Journal Article
    ZDB-ID 2409480-8
    ISSN 1756-3305 ; 1756-3305
    ISSN (online) 1756-3305
    ISSN 1756-3305
    DOI 10.1186/s13071-020-04439-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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