Publications by authors named "Fabrizio Leone"

Background: Angioedema is a condition marked by sudden, intense swelling of the subcutaneous and submucosal tissues, typically associated with hypersensitivity reactions, genetic mutations, or reactions to medications. It can also result from contact with allergens such as nickel, leading to dermatitis.

Case Presentation: A 12-year-old girl presented at our Pediatric Immunology and Allergology service with recurrent labial angioedema for over a year, linked to the consumption of legumes and tomatoes, and following the use of a metal flute.

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While Trisomy X syndrome is typically characterized by developmental and cognitive variations, it is not commonly associated with immunodeficiencies. We report the unique case of a 6-year-old girl with Trisomy X presenting with selective IgA deficiency, challenging the conventional understanding of this chromosomal condition. The patient exhibited recurrent respiratory infections and gastrointestinal symptoms, evaluated in the context of her genetic background of Trisomy X and significantly low levels of IgA (0.

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Article Synopsis
  • A study was conducted to understand the prevalence and characteristics of noninvasive Group A Streptococcus (nGAS) infections in children aged 0-16 years in the post-COVID-19 era, analyzing data from surveys sent to parents of 3580 children in June 2023.
  • Results showed that 20.3% of children had GAS infections, predominantly affecting those aged 3-6, with common symptoms including sore throat and fever, and most infections confirmed via rapid antigen detection tests.
  • Treatment was primarily antibiotic-based, with amoxicillin and amoxicillin/clavulanate being the most common, while only 34% of children had received influenza vaccinations,
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Introduction: Haemophagocytic lymphohistiocytosis is a rare and life-threatening condition caused by uncontrolled immune activation leading to excessive inflammation and tissue destruction. It could either be due to a primary genetic defect or be triggered by secondary causes such as infections, autoimmune diseases, rheumatological diseases or post-transplant immunosuppression. We here report the case of a 4-year-old child with a recent AIDS diagnosis who developed a severe systemic inflammation.

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Article Synopsis
  • COVID-19 and tuberculosis (TB) are significant causes of death among infectious diseases, with a potential link between active TB and increased COVID-19 risk, particularly in children.
  • Three cases of pediatric COVID-TB are reported, including a 5-year-old with mild symptoms, a 13-year-old needing COVID-19 treatment, and a 10-year-old with severe TB but no COVID-19 complications.
  • The findings suggest that children with COVID-TB may face worse health outcomes, highlighting the need for careful monitoring and targeted COVID-19 treatments in pediatric cases.
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We reported a new pathogenic variant of LRBA deficiency with a complex phenotype-neonatal diabetes, very early-onset inflammatory bowel disease, and polyarthritis-who presented with lymph node enlargement. A case of Rosai-Dorfman's disease (RDD) was confirmed. The occurrence of an RDD lesion in LRBA-deficiency has never been reported so far.

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The constant battle between viruses and their hosts leads to their reciprocal evolution. Viruses regularly develop survival strategies against host immunity, while their ability to replicate and disseminate is countered by the antiviral defense mechanisms that host mount. Although most viral infections are generally controlled by the host's immune system, some viruses do cause overt damage to the host.

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Anosmia is a well-described symptom of Corona Virus Disease 2019 (COVID-19). Several respiratory viruses are able to cause post-viral olfactory dysfunction, suggesting a sensorineural damage. Since the olfactory bulb is considered an immunological organ contributing to prevent the invasion of viruses, it could have a role in host defense.

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Objective: Persistent inflammation and higher risk to develop cardiovascular diseases still represent a major complication for HIV-infected patients despite effective antiretroviral therapy (ART). We investigated the correlation between the gut microbiota profile, markers of inflammation, vascular endothelial activation (VEA) and microbial translocation (MT) in perinatally HIV-infected patients (PHIV) under ART.

Design: Cross-sectional study including 61 ART-treated PHIV (age range 3-30 years old) and 71 age-matched healthy controls.

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