I was born in the USA but chose to acquire my Italian citizenship for patriotic reasons. Citizens of other countries descended from an ancestor born in Italy may apply for Italian citizenship by claim of descent. In my case, my parents were born in Italy but immigrated to USA where I was born.
Yes, that's what I've been doing for about 20 years. Neither the US nor UK check passports on the way out. The airlines only check to make sure I'll be able to get in the country I'm flying to. If the UK started requiting visas from Americans, then I guess I would show my UK passport to the airline.
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