Carmelo Franco Melchi

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BACKGROUND Psoriasis has a great impact on the quality of life of patients, and the ageing population is an important public health issue. OBJECTIVES To investigate whether older patients with psoriasis have a different impairment in quality of life compared with younger patients, considering level of severity, duration of disease, gender and(More)
BACKGROUND The main dermatology textbooks describe only in passing pruritus in psoriasis and rarely mention other symptoms. A quantification of the presence of symptoms is not available for clinical subgroups of psoriasis. OBJECTIVES To investigate the prevalence of symptoms experienced by patients with different clinical types of psoriasis. METHODS The(More)
OBJECTIVE The aim of our study was to evaluate human papillomavirus (HPV) infection as a risk factor for cutaneous squamous cell carcinoma (SCC) in immunocompetent individuals. DESIGN Hospital-based case-control study. SETTING Referral center for dermatologic diseases for central and southern Italy. PARTICIPANTS Consecutive patients with(More)
The authors' aim was to investigate the role of stressful events, perceived social support, attachment security, and alexithymia in triggering exacerbations of diffuse plaque psoriasis. Inpatients experiencing a recent exacerbation of diffuse plaque psoriasis (N=33) were compared with inpatients with skin conditions believed to have a negligible(More)
BACKGROUND Quality of life is increasingly recognized as an important measure in dermatology. The Skindex-29 is a self-administered questionnaire recently developed to measure comprehensively the complex effects of skin diseases on patients' quality of life. OBJECTIVE We aimed to provide further evidence of the reliability and validity of the Skindex-29(More)
Although the onset of alopecia areata has often been anecdotally linked with emotional stress, findings from the few controlled studies have not been univocal. The authors compared outpatients experiencing a recent onset of alopecia areata (N=21) with outpatients affected by skin conditions commonly believed as having a low psychosomatic component (N=102).(More)
BACKGROUND It has often been suggested that stress might trigger vitiligo. However, only one study supported this hypothesis, and no study explored the role of other personality or social factors. METHODS Out-patients experiencing a recent onset or exacerbation of vitiligo (n = 31) were compared with out-patients with skin conditions in which(More)
BACKGROUND There is a high prevalence of psychiatric disorders in dermatological outpatients. OBJECTIVES To estimate the magnitude of this problem and to identify a set of variables associated with the presence of psychiatric disorder. METHODS All adults attending the outpatient clinics of a dermatological hospital on predetermined days were given a(More)
BACKGROUND It has been shown that poor patient satisfaction can lead to poor adherence to treatment with consequently poor health outcomes. In order to improve the quality of care perceived by the patient and thus the health outcome, it is important to understand which are the main factors influencing patient satisfaction. OBJECTIVES To examine factors(More)
OBJECTIVE To determine the relationship between skin-related quality of life and psychiatric morbidity in patients with different skin conditions. METHODS We recruited all adults attending the outpatient clinics of the Dermatological Institute IDI-IRCCS, Rome, Italy, during 14 predetermined days. Eligible patients, who gave their informed consent,(More)