Prof. Dr. Torello Lotti

Prof. Dr. Torello Lotti
University of Studies Guglielmo Marconi, Roma, Italia

Medical management of bitiligo: Present and future

Author: Torello Lotti  
University of Rome “Guglielmo Marconi”, Rome, Italy 
President World Health Academy of Dermatology

Vitiligo is an acquired pigmentary disorder afflicting 0.5-2% of the world population for both sexes and all races with a capricious and unpredictable course. It has a complex etiology and varies in its manifestation, progression and response to treatment. Even if the precise aetiology and pathobiology of the disease are complex and still debated, recent evidence supports that vitiligo is a T CD8+ cell- mediated autoimmune disease triggered by oxidative stress. To date no clinical, biological and histological criteria allow us to establish the prognosis with certainty. The choice of the best therapy for adult and childhood vitiligo is based on various factors, such as the patient’s age, psychological condition and expectations, distribution and extension of skin lesions, type of vitiligo (stable or not) and availability and cost of therapeutic options. Since vitiligo has a deep psychological impact on patients and their quality of life, treating the disease is very important. As dermatologists, we have important goals in the treatment of vitiligo patients: stabilization of the disease progression, repigmentation of the lesions and especially the persistence of the aforementioned repigmentation. Although several medical and surgical therapeutic options have been proposed, no definite cure has yet been developed and the long-term persistence of repigmentation is unpredictable.

Scurt CV

Prof. Lotti is Full Professor and Chairman of Dermatology and Venereology at University of Rome Guglielmo Marconi, Rome, Italy. He is President of the World Health Academy, Dermatology since 2013. Director, Centro Studi per la Ricerca Multidisciplinare Rigenerativa (CSRMR), of the University of Rome “G.Marconi”, Rome, Italy, since 2015.
He is Honorary Professor of Dermatology – China Medical University Shenyang (2011), Lecturer at the New York Academy of Sciences “Howard Fox Memorial Lecture” (14 March 2012 – New York, NY – USA), and Chair, Executive Scientific Committee Vitiligo Research Foundation, New York, NY USA. He has been Full Professor of the Dermatology and Venereology Division at University of Florence School of Medicine, Florence, Italy, from 2006 to 2010. He is Visiting Professor in six International Universities worldwide, and Key Note Lecturer in several international dermatology Societies.
His activities in serving Dermatology have been numerous: President of the Italian Society of Dermatology and Venereology (SIDeMaST , 2009-2011) and President of the International Society of Dermatology ( ISD, 2009-2011), President of the European Society for Cosmetic and Aesthetic Dermatology (2003-2004), Editor in Chief of the Journal of the European Academy of Dermatology and Venereology (1992-2002), Editor “Therapeutic Hotline”- Dermatologic Therapy (2007-) and served as Editor in Chief of the Giornale Italiano di Dermatologia in the period of presidency of the Societa’ Italiana di Dermatologia (2009-2011).
He is Ordinary Member of the main Scientific Societies worldwide (EADV, SIDEV, ESDR, ISD, AAD, SID) and Honorary Member of several Scientific Societies of the Dermatology field.
Moreover, he is a Scientific reviewer of ten sectorial journals, among which are the British Journal of Dermatology, Journal of Investigative Dermatology, Journal of the American Academy of Dermatology , Dermatologic Therapy.
Professor Lotti is presently Editor in Chief of Dermatologic Therapy by Wiley-Blackwell (Oxford U.K, Chicago IL).
Professor Lotti is Full Professor of Dermatology of the 1st Medical Univeristy of Moscow, since January 2020 and Full Professor and Chairman of Dermatology at Univeristy of Rome G. Marconi, Rome, Italy.
He has been invited as Keynote Speaker in 2.136 international and national Congresses and has served as Congress President or Chair of a Scientific session in 827 Congresses.
Prof. Lotti has authored 3.507 scientific publications (629 peer-reviewed articles, 388 book chapters, 3.650 abstracts and has edited or co-edited 59 books in the field of Dermatology and related fileds.

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