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      Pilot study of histology aspect of cellulite in seventy patients who differ in BMI and cellulite grading

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          Abstract

          Background

          Cellulite is a topographic alteration of the skin with unknown etiology and is characterized by the presence of a dimpled or puckered aspect, as resembling an orange peel and cottage cheese or as having mattress‐like appearance.

          Aim

          The aim of this research was to find the different histological aspect of cellulite in sixty patients.

          Materials and Methods

          A total of 60 women, mean age 48.8 ( ± 11.08) were included in the study. Among these, 11 women were in menopause (18.33%). All patients after physical examination, aesthetic, and dermatological evaluation were subjected to five cellulite biopsies with a 2.0 mm diameter and 1.5 mm in length in the trochanteric region affected by cellulite. The descriptive statistics were performed for each study predictors demographic age, height, bmi, waist, belly, hip thigh, and knee.

          Results

          The histological analysis of the stained slides showed five different histological features were present in the most of patient.

          Conclusion

          In conclusion, the outcome of this study shows that the histological evidence does not characterize the different states of cellulite, but several different histological aspects were present in the same patient, which effectively eliminates staging and could consider cellulite as a degenerative disease.

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          Most cited references27

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          The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies.

          Much biomedical research is observational. The reporting of such research is often inadequate, which hampers the assessment of its strengths and weaknesses and of a study's generalisability. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Initiative developed recommendations on what should be included in an accurate and complete report of an observational study. We defined the scope of the recommendations to cover three main study designs: cohort, case-control, and cross-sectional studies. We convened a 2-day workshop in September 2004, with methodologists, researchers, and journal editors to draft a checklist of items. This list was subsequently revised during several meetings of the coordinating group and in e-mail discussions with the larger group of STROBE contributors, taking into account empirical evidence and methodological considerations. The workshop and the subsequent iterative process of consultation and revision resulted in a checklist of 22 items (the STROBE Statement) that relate to the title, abstract, introduction, methods, results, and discussion sections of articles. 18 items are common to all three study designs and four are specific for cohort, case-control, or cross-sectional studies. A detailed Explanation and Elaboration document is published separately and is freely available on the Web sites of PLoS Medicine, Annals of Internal Medicine, and Epidemiology. We hope that the STROBE Statement will contribute to improving the quality of reporting of observational studies.
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            Vascular Inflammation and Oxidative Stress: Major Triggers for Cardiovascular Disease

            Cardiovascular disease is a leading cause of death and reduced quality of life, proven by the latest data of the Global Burden of Disease Study, and is only gaining in prevalence worldwide. Clinical trials have identified chronic inflammatory disorders as cardiovascular risks, and recent research has revealed a contribution by various inflammatory cells to vascular oxidative stress. Atherosclerosis and cardiovascular disease are closely associated with inflammation, probably due to the close interaction of inflammation with oxidative stress. Classical therapies for inflammatory disorders have demonstrated protective effects in various models of cardiovascular disease; especially established drugs with pleiotropic immunomodulatory properties have proven beneficial cardiovascular effects; normalization of oxidative stress seems to be a common feature of these therapies. The close link between inflammation and redox balance was also supported by reports on aggravated inflammatory phenotype in the absence of antioxidant defense proteins (e.g., superoxide dismutases, heme oxygenase-1, and glutathione peroxidases) or overexpression of reactive oxygen species producing enzymes (e.g., NADPH oxidases). The value of immunomodulation for the treatment of cardiovascular disease was recently supported by large-scale clinical trials demonstrating reduced cardiovascular mortality in patients with established atherosclerotic disease when treated by highly specific anti-inflammatory therapies (e.g., using monoclonal antibodies against cytokines). Modern antidiabetic cardiovascular drugs (e.g., SGLT2 inhibitors, DPP-4 inhibitors, and GLP-1 analogs) seem to share these immunomodulatory properties and display potent antioxidant effects, all of which may explain their successful lowering of cardiovascular risk.
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              A validated photonumeric cellulite severity scale.

              With recent advances in the treatment of cellulite and localized fat, a comprehensive objective method of measuring cellulite can be potentially useful, especially since important morphological aspects of cellulite are not part of the current classification. Objective To develop and to validate a new photonumeric cellulite severity. Based on standardized photographs of 55 patients with cellulite, five key morphological aspects of cellulite were identified. A new photonumeric severity scale was developed and validated. The five key morphological features of cellulite were identified and included the number of depressions, depth of depressions, clinical appearance of evident raised lesions, and presence of flaccidity and the grade of cellulite. Each item was graded from 0 to 3, allowing final classification of cellulite as mild, moderate, and severe. Results for validation of the scale are statistically significant (P 0.7; correlation item-total > 0.7, with the exception of the right buttock; intraclass correlation coefficients 0.881-0.922; Cronbach's alpha 0.851-0.989 and factor analysis 68-76%. The proposed photonumeric scale is a consistent, comprehensive, reliable, and reproducible tool for the standardized and objective assessment of the severity of cellulite. Conflicts of interest The authors hereby affirm that neither the manuscript nor any part of it has been published or is being considered for publication elsewhere.
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                Author and article information

                Contributors
                ascarano@unich.it
                Journal
                J Cosmet Dermatol
                J Cosmet Dermatol
                10.1111/(ISSN)1473-2165
                JOCD
                Journal of Cosmetic Dermatology
                John Wiley and Sons Inc. (Hoboken )
                1473-2130
                1473-2165
                06 November 2021
                December 2021
                : 20
                : 12 ( doiID: 10.1111/jocd.v20.12 )
                : 4024-4031
                Affiliations
                [ 1 ] Department of Medical Dean of Master course in Aesthetic Medicine Oral and Biotechnological Sciences University of Chieti‐Pescara Pescara Italy
                [ 2 ] Master course in Aesthetic Medicine of Innovative Technologies in Medicine & Dentistry University of Chieti‐Pescara Pescara Italy
                [ 3 ] Department of Neurosciences Biomedicine and Movement Sciences Anatomy and Histology Section School of Medicine University of Verona Verona Italy
                [ 4 ] Department of Innovative Technologies in Medicine & Dentistry Master course in Aesthetic Medicine University of Chieti‐Pescara Italy
                [ 5 ] Ph.D School of Applied Medical‐Surgical Sciences University of Rome Tor Vergata Rome Italy
                Author notes
                [*] [* ] Correspondence

                Antonio Scarano MD DDS, Department of Innovative Technologies in Medicine & Dentistry, University of Chieti‐Pescara, Via dei Vestini 31, 66100 Chieti, Italy.

                Email: ascarano@ 123456unich.it

                Author information
                https://orcid.org/0000-0003-1374-6146
                Article
                JOCD14584
                10.1111/jocd.14584
                9298294
                34741577
                66b6940b-958b-45a9-84e4-b35505ab1792
                © 2021 The Authors. Journal of Cosmetic Dermatology published by Wiley Periodicals LLC.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 28 September 2021
                : 11 August 2021
                : 18 October 2021
                Page count
                Figures: 6, Tables: 2, Pages: 0, Words: 4865
                Categories
                Original Article
                Dermatologic Surgery
                Custom metadata
                2.0
                December 2021
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.1.7 mode:remove_FC converted:20.07.2022

                Dermatology
                adipocytes,cellulite,dermal adipose tissue,pathogenesis,pathophysiology
                Dermatology
                adipocytes, cellulite, dermal adipose tissue, pathogenesis, pathophysiology

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