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Alice Frigerio

Alice Frigerio

· Assistant Professor (Clinical)Verified

University of Utah · Dermatology

Active 1977–2026

h-index33
Citations2.3k
Papers824 last 5y
Funding
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About

Alice Frigerio, MD, PhD, completed residency training in both Maxillofacial Surgery and Dermatology. In 2021, after her fellowship training in Micrographic Surgery and Cutaneous Oncology, she joined the Mohs team to focus on management of high-risk skin cancer patients, vascular anomalies, laser treatment of skin disease, and cosmetic surgery. With nearly two decades of experience in the field of vascular anomalies, she is an advocate for patients with cutaneous birthmarks. She is a member of the University of Utah interdisciplinary Vascular Anomalies Team and HHT Center. Dr. Frigerio enjoys the diagnostic workup that enables tailoring the care for each case and delivers safe, straightforward laser treatments that do not require general anesthesia. Her specialties include Dermatology, Mohs Surgery, Laser and Cosmetic Dermatology, Melanoma Surgery, High-Risk Skin Cancer, Melanoma and Cutaneous Oncology, Hyperhidrosis, and Vascular Anomalies. She is board-certified by the American Board of Dermatology in Dermatology and Micrographic Dermatologic Surgery.

Research signals

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Research topics

  • Medicine
  • Pathology
  • Biology
  • Artificial Intelligence
  • Dermatology
  • Anatomy
  • Genetics

Selected publications

  • Melanoma Disparities in Utah: Disproportionate Rates Among Hispanic and Non-White Populations in a Population-Based Analysis

    JAAD International · 2026-05-01

    articleOpen accessSenior author
  • Melanoma Disparities in Utah: Disproportionate Rates Among Hispanic and Non-White Populations sin a Population-Based Analysis - Supplemental Materials

    Mendeley Data · 2026-04-28

    datasetOpen accessSenior author

    Supplemental data for Melanoma Disparities in Utah: Disproportionate Rates Among Hispanic and Non-White Populations sin a Population-Based Analysis

  • Chronic Recalcitrant Auricular Chondritis and Cauliflower Ear After Mohs Micrographic Surgery

    Dermatologic Surgery · 2026-01-15

    articleSenior author
  • Molecular Characterization of Vascular Anomalies Tissues Guides Clinical Diagnosis

    Lymphatic Research and Biology · 2026-01-23

    article

    Background: Vascular anomalies are a group of common endothelial disorders that manifest a wide range of overlapping phenotypes, which complicate diagnosis. Next-generation sequencing (NGS) has led to the ability to detect low-frequency somatic variants, which may aid in the correct diagnosis and treatment of patients. Our goal was to identify the pathogenic variants in affected tissue taken from a cohort of 58 unrelated patients with various clinically diagnosed vascular anomalies. Methods: DNA was extracted from fresh/frozen affected tissue samples and evaluated using a custom 735 vascular anomaly/cancer gene NGS panel down to 1% somatic mosaicism. Results: Pathogenic or likely pathogenic variants were identified in 47% (27/58) of vascular anomaly tissue biopsies, including 61.5% (16/26) of lymphatic malformation (LM), 15% (3/20) of hemangioma (congenital and infantile), and 67% (8/12) of other various vascular anomalies. Two novel variants, PIK3CA c.3205_3206insTTTT (p.*1069Pheext*4) and PIK3R1 c.1384_1395del (p.Glu462_Arg465del), were identified in LM tissue. In addition, we report a likely pathogenic variant GNA14 c.512C>T (p.Thr171Ile) identified in a GLUT-1 positive infantile hemangioma lesion. The majority (52%) of the negative results were in infantile hemangioma tissue, for which a genetic cause has not yet been established. Conclusions: The 735 gene vascular anomaly/cancer NGS panel is an effective way to detect low levels of somatic mosaicism in these lesions. Given the challenge that many vascular anomalies present to diagnose, genetic testing is an invaluable tool for clinicians to utilize in the process of diagnosis and determining treatment.

  • Melanoma Disparities in Utah: Disproportionate Rates Among Hispanic and Non-White Populations sin a Population-Based Analysis - Supplemental Materials

    Mendeley Data · 2026-04-28

    datasetOpen accessSenior author

    Supplemental data for Melanoma Disparities in Utah: Disproportionate Rates Among Hispanic and Non-White Populations sin a Population-Based Analysis

  • Table 1 from Assessing <i>MC1R</i> Variants in Lentigo Maligna Melanoma within the Utah Population

    2025-07-28

    preprintOpen access

    <p>Key demographic characteristics of patients with LM/LMM in the study (<i>n</i> = 175)</p>

  • Data from Assessing <i>MC1R</i> Variants in Lentigo Maligna Melanoma within the Utah Population

    2025-07-28

    preprintOpen access

    <div>Abstract<p>Lentigo maligna (LM) and lentigo maligna melanoma (LMM) arise from chronically sun-damaged skin. LM/LMM incidence continues to increase, particularly in Utah, where melanoma rates are twice the national average. The melanocortin-1 receptor (<i>MC1R</i>) has been studied in melanocyte pigmentation and DNA repair but has yet to be thoroughly investigated in LM/LMM. We investigated allele and genotype frequencies of germline <i>MC1R</i> variants among 175 Utah patients diagnosed with LM/LMM and 402 Utah reference individuals. The comparative analysis demonstrated an increased frequency of the D294H allele (0.046; <i>P</i> = 0.0042) and a decreased frequency of the V60L allele (0.074; <i>P</i> = 0.034) in patients with LM/LMM. The LM/LMM group demonstrated a higher OR compared with the Utah reference group associated with R151C homozygosity compared with heterozygous R151C [OR = 5.6; 95% confidence interval (CI), 0.98–32; <i>P</i> = 0.052] and R151C homozygosity compared with wild type (OR = 5.7; 95% CI, 1.1–30; <i>P</i> = 0.042). D294H heterozygosity was strongly associated with LM/LMM (OR = 3.8; 95% CI, 1.3–11; <i>P</i> = 0.014). Conversely, V60L heterozygosity was less strongly associated with LM/LMM (OR = 0.52; 95% CI, 0.26–1.1; <i>P</i> = 0.072). Stratified analyses showed no significant differences in age or gender across the key <i>MC1R</i> variants studied. These data highlight significant differences in <i>MC1R</i> allele frequencies in patients with LM/LMM, demonstrating that D294H is associated with increased LM/LMM risk, whereas the V60L variant is inversely associated with risk. This study provides the first comprehensive analysis of specific high-risk <i>MC1R</i> variants in patients with LM/LMM in Utah.</p>Significance:<p>Our study is the first comprehensive analysis of <i>MC1R</i> germline variants in patients with LM/LMM in Utah, a region with an exceptionally high melanoma incidence. We draw new risk associations in LM/LMM, identifying an increased risk with the D294H and R151C variants. We also describe a novel inverse association for V60L, warranting further investigation. This study contributes to improved targeted risk stratification and an increased understanding of an understudied melanoma subtype.</p></div>

  • Supplementary Table 2 from Assessing <i>MC1R</i> Variants in Lentigo Maligna Melanoma within the Utah Population

    2025-07-28

    supplementary-materialsOpen access

    <p>Table of the Utah reference group data</p>

  • Citrate-Mediated Enhancement of Sox10 Antibody Affinity: Optimizing Immunohistochemical Staining for Improved Melanoma Detection in Mohs Micrographic Surgery

    Dermatologic Surgery · 2025-04-23

    articleSenior author
  • Assessing <i>MC1R</i> Variants in Lentigo Maligna Melanoma within the Utah Population

    Cancer Research Communications · 2025-07-01

    articleOpen access

    Lentigo maligna (LM) and lentigo maligna melanoma (LMM) arise from chronically sun-damaged skin. LM/LMM incidence continues to increase, particularly in Utah, where melanoma rates are twice the national average. The melanocortin-1 receptor (MC1R) has been studied in melanocyte pigmentation and DNA repair but has yet to be thoroughly investigated in LM/LMM. We investigated allele and genotype frequencies of germline MC1R variants among 175 Utah patients diagnosed with LM/LMM and 402 Utah reference individuals. The comparative analysis demonstrated an increased frequency of the D294H allele (0.046; P = 0.0042) and a decreased frequency of the V60L allele (0.074; P = 0.034) in patients with LM/LMM. The LM/LMM group demonstrated a higher OR compared with the Utah reference group associated with R151C homozygosity compared with heterozygous R151C [OR = 5.6; 95% confidence interval (CI), 0.98-32; P = 0.052] and R151C homozygosity compared with wild type (OR = 5.7; 95% CI, 1.1-30; P = 0.042). D294H heterozygosity was strongly associated with LM/LMM (OR = 3.8; 95% CI, 1.3-11; P = 0.014). Conversely, V60L heterozygosity was less strongly associated with LM/LMM (OR = 0.52; 95% CI, 0.26-1.1; P = 0.072). Stratified analyses showed no significant differences in age or gender across the key MC1R variants studied. These data highlight significant differences in MC1R allele frequencies in patients with LM/LMM, demonstrating that D294H is associated with increased LM/LMM risk, whereas the V60L variant is inversely associated with risk. This study provides the first comprehensive analysis of specific high-risk MC1R variants in patients with LM/LMM in Utah. SIGNIFICANCE: Our study is the first comprehensive analysis of MC1R germline variants in patients with LM/LMM in Utah, a region with an exceptionally high melanoma incidence. We draw new risk associations in LM/LMM, identifying an increased risk with the D294H and R151C variants. We also describe a novel inverse association for V60L, warranting further investigation. This study contributes to improved targeted risk stratification and an increased understanding of an understudied melanoma subtype.

Frequent coauthors

  • Paolo Severgnini

    University of Insubria

    53 shared
  • Paolo Pelosi

    52 shared
  • Maurizio Chiaranda

    Ospedale Garibaldi

    52 shared
  • Marcus J. Schultz

    Amsterdam University Medical Centers

    50 shared
  • Gianlorenzo Dionigi

    IRCCS Istituto Auxologico Italiano

    50 shared
  • Gabriele Selmo

    50 shared
  • Emmanuel Futier

    Centre Hospitalier Universitaire de Clermont-Ferrand

    50 shared
  • Alessandro Chiesa

    Ospedale Regionale di Bellinzona e Valli

    50 shared

Education

  • M.D.

    University of Utah

  • Ph.D.

    University of Utah

  • Other, Micrographic Surgery and Cutaneous Oncology

    University of Utah

    2021
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