631 research outputs found
After Surgery: Follow-Up Guidelines of Melanoma Patients
There are several main reasons to begin a follow-up schedule after surgical treatment of the
primary cutaneous lesion in patients affected by melanoma.
The main goal is the early detection of disease recurrence, even if the impact of a prompt
treatment on prognosis is still debated (Barth et al 1995, Atkins et al 2008, Garbe et al 2008).
Several authors believe that early detection of asymptomatic metastases does not affect overall
survival (Barth et al 1995, Atkins et al 2008). Others (Garbe et al 2008) showed a clear survival
benefit for an early with respect to late metastases detection, with a 3-year survival rate of 76%,
compared to the 38% of patients with late diagnosis. The early relapse recognition might lead
to a more complete and less invasive surgical treatment, with potential benefits for the patient
SARS-CoV-2 vaccine-related cutaneous manifestations: a systematic review
To date, over 250 million people have been reportedly infected by COVID-19 disease, which has spread across the globe and led to approximately 5.1 million fatalities. To prevent both COVID-19 and viral transmission, DNA-based/RNA-based vaccines, non-replicating viral vector vaccines, and inactivated vaccines have been recently developed. However, a precise clinical and histological characterization of SARS-CoV-2 vaccine-related dermatological manifestations is still lacking. A systematic review of 229 articles was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, in order to provide an extensive overview of SARS-CoV-2 vaccine-related skin manifestations. Data on demographics, number of reported cases with cutaneous involvement, vaccine, and rash type (morphology) were extracted from articles and summarized. A total of 5941 SARS-CoV-2 vaccine-related dermatological manifestations were gathered. Local injection-site reactions were the most frequently observed, followed by rash/unspecified cutaneous eruption, urticarial rashes, angioedema, herpes zoster, morbilliform/maculopapular/erythematous macular eruption, pityriasis rosea and pityriasis rosea-like eruptions, and other less common dermatological manifestations. Flares of pre-existing dermatological conditions were also reported. Cutaneous adverse reactions following SARS-CoV-2 vaccine administration seem to be heterogeneous, rather infrequent, and not life-threatening. Vaccinated patients should be monitored for skin manifestations, and dermatological evaluation should be offered, when needed
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