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Melo RR, Cortez de Almeida RF, Lemes LR, Frattini Junior S, Müller Ramos P, Melo DF. Low-dose oral minoxidil for persistent chemotherapy and radiotherapy-induced alopecia in a pediatric female patient. An Bras Dermatol 2024:S0365-0596(24)00067-9. [PMID: 38653611 DOI: 10.1016/j.abd.2023.07.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2023] [Accepted: 07/05/2023] [Indexed: 04/25/2024] Open
Affiliation(s)
- Raíssa Rodriguez Melo
- Dermatology Department, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
| | | | - Luciana Rodino Lemes
- Dermatology Department, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | | | - Paulo Müller Ramos
- Department of Infectious Diseases, Dermatology, Imaging Diagnosis and Radiotherapy, Faculty of Medicine, Universidade Estadual Paulista, Botucatu, SP, Brazil
| | - Daniel Fernandes Melo
- Dermatology Department, Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro, RJ, Brazil
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Penha MA, Miot HA, Kasprzak M, Müller Ramos P. Oral Minoxidil vs Topical Minoxidil for Male Androgenetic Alopecia: A Randomized Clinical Trial. JAMA Dermatol 2024:2817326. [PMID: 38598226 PMCID: PMC11007651 DOI: 10.1001/jamadermatol.2024.0284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Accepted: 01/29/2024] [Indexed: 04/11/2024]
Abstract
Importance There has been increased interest in low-dose oral minoxidil for androgenetic alopecia (AGA) treatment. However, the efficacy of oral minoxidil for male AGA is yet to be evaluated in comparative therapeutic trials. Objective To compare the efficacy, safety, and tolerability of daily oral minoxidil, 5 mg, vs twice-daily topical minoxidil, 5%, for 24 weeks in the treatment of male AGA. Design, Setting, and Participants This double-blind, placebo-controlled randomized clinical trial was conducted at a single specialized clinic in Brazil. Eligible men with AGA aged 18 to 55 years classified using the Norwood-Hamilton scale as 3V, 4V, or 5V were included and randomized. Data were collected from January to December 2021, and data were analyzed from September 2022 to February 2023. Interventions Participants were randomized 1:1 into 2 groups: oral minoxidil, 5 mg, daily and topical placebo solution; or 1 mL of topical minoxidil, 5%, twice daily and oral placebo for 24 weeks. Main Outcomes and Measures The primary outcome was change in terminal hair density on the frontal and vertex regions of the scalp. The secondary outcomes were change in total hair density and photographic evaluation. Results Among 90 enrolled participants, 68 completed the study; of these, the mean (SD) age was 36.6 (7.8) years. A total of 33 participants were enrolled in the oral minoxidil group and 35 in the topical treatment group. Both groups were homogenous in terms of demographic data and AGA severity. For the frontal area, the mean change from baseline to week 24 between groups was 3.1 hairs per cm2 (95% CI, -18.2 to 21.5; P = .27) for terminal hair density and 2.6 hairs per cm2 (95% CI, -10.3 to 15.8; P = .32) for total hair density. For the vertex area, the mean change from baseline to week 24 was 23.4 hairs per cm2 (95% CI, -0.3 to 43.0; P = .09) for terminal density and 5.5 hairs per cm2 (95% CI, -12.5 to 23.5; P = .32) for total hair density. According to the photographic analysis, oral minoxidil was superior to topical minoxidil on the vertex (24%; 95% CI, 0 to 48; P = .04) but not on the frontal scalp (12%; 95% CI, -12 to 36; P = .24). The most common adverse effects in the oral minoxidil group were hypertrichosis (22 of 45 [49%]) and headache (6 of 45 [14%]). Conclusions and Relevance In this study, oral minoxidil, 5 mg, once per day for 24 weeks did not demonstrate superiority over topical minoxidil, 5%, twice per day in men with AGA. Trial Registration Brazilian Registry of Clinical Trials Identifier: RBR-252w9r.
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Affiliation(s)
- Mariana Alvares Penha
- Department of Dermatology, Faculty of Medicine of Botucatu, São Paulo State University (UNESP), Botucatu, Brazil
| | - Hélio Amante Miot
- Department of Dermatology, Faculty of Medicine of Botucatu, São Paulo State University (UNESP), Botucatu, Brazil
| | | | - Paulo Müller Ramos
- Department of Dermatology, Faculty of Medicine of Botucatu, São Paulo State University (UNESP), Botucatu, Brazil
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Miot HA, Dourado Alves L, Castelli EC, Castro CFB, Silva JM, Mendes-Junior CT, Vieira GF, Tarabini RF, de Senna Silveira E, Ramos PM. HLA-B alleles associated with frontal fibrosing alopecia in Brazil may share similar peptide presentation and T-cell interaction profiles. J Eur Acad Dermatol Venereol 2024. [PMID: 38299424 DOI: 10.1111/jdv.19827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Accepted: 01/19/2024] [Indexed: 02/02/2024]
Affiliation(s)
| | - Lorena Dourado Alves
- Departamento de Medicina Tropical e Dermatologia, Universidade Federal de Goiás- UFG, Goiânia, Brazil
| | | | - Camila Ferreira Bannwart Castro
- General and Applied Biology, Microorganisms Biology and Immunity, Institute of Biosciences, UNESP Botucatu, Botucatu, Brazil
| | - Joyce Machado Silva
- General and Applied Biology, Microorganisms Biology and Immunity, Institute of Biosciences, UNESP Botucatu, Botucatu, Brazil
| | - Celso T Mendes-Junior
- Faculdade de Filosofia Ciências e Letras de Ribeirão Preto (FFCLRP), Universidade de São Paulo (USP), Ribeirão Preto, Brazil
| | - Gustavo Fioravanti Vieira
- PPGSDH - Programa de Pós-Graduação em Saúde e Desenvolvimento Humano, Universidade La Salle, Porto Alegre, Brazil
- PPGBM - Programa de Pós-Graduação em Genética e Biologia Molecular, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - Renata Fioravanti Tarabini
- PPGBM - Programa de Pós-Graduação em Genética e Biologia Molecular, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - Etiele de Senna Silveira
- PPGBM - Programa de Pós-Graduação em Genética e Biologia Molecular, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
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4
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Miot HA, Criado PR, Castro CCSD, Ianhez M, Talhari C, Ramos PM. Bibliometric evaluation of Anais Brasileiros de Dermatologia (2013-2022). An Bras Dermatol 2024; 99:90-99. [PMID: 37775437 DOI: 10.1016/j.abd.2023.08.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2023] [Revised: 08/15/2023] [Accepted: 08/15/2023] [Indexed: 10/01/2023] Open
Abstract
The Anais Brasileiros de Dermatologia, published since 1925, is the most influential dermatological journal in Latin America, indexed in the main international bibliographic databases, and occupies the 50th position among the 70 dermatological journals indexed in the Journal of Citations Reports, in 2022. In this article, the authors present a critical analysis of its trajectory in the last decade and compare its main bibliometric indices with Brazilian medical and international dermatological journals. The journal showed consistent growth in different bibliometric indices, which indicates a successful editorial policy and greater visibility in the international scientific community, attracting foreign authors. The increases in citations received (4.1×) and in the Article Influence Score (2.9×) were more prominent than those of the main Brazilian medical and international dermatological journals. The success of Anais Brasileiros de Dermatologia in the international scientific scenario depends on an assertive editorial policy, on promptly publication of high-quality articles, and on institutional stimulus to encourage clinical research in dermatology.
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Affiliation(s)
- Hélio Amante Miot
- Department of Infectology, Dermatology, Diagnostic Imaging and Radiotherapy, Universidade Estadual Paulista, Botucatu, SP, Brazil.
| | - Paulo Ricardo Criado
- Centro Universitário Faculdade de Medicina do ABC, Santo André, SP; and Faculdade de Ciências Médicas de Santos (Fundação Lusíada), Santos, SP, Brazil; Hospital de Dermatologia Sanitária do Paraná and Escola de Medicina, Pontifícia Universidade Católica do Paraná, Curitiba, PR, Brazil
| | - Caio César Silva de Castro
- Department of Dermatology, Hospital de Doenças Tropicais de Goiás, Goiânia, GO, Brazil; Department of Dermatology, Universidade do Estado do Amazonas, Manaus, AM, Brazil
| | - Mayra Ianhez
- Department of Dermatology, Hospital de Doenças Tropicais de Goiás, Goiânia, GO, Brazil
| | - Carolina Talhari
- Department of Dermatology, Universidade do Estado do Amazonas, Manaus, AM, Brazil
| | - Paulo Müller Ramos
- Department of Infectology, Dermatology, Diagnostic Imaging and Radiotherapy, Universidade Estadual Paulista, Botucatu, SP, Brazil
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5
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Miot HA, Criado PR, de Castro CCS, Ianhez M, Talhari C, Ramos PM. JAK-STAT pathway inhibitors in dermatology. An Bras Dermatol 2023; 98:656-677. [PMID: 37230920 PMCID: PMC10404561 DOI: 10.1016/j.abd.2023.03.001] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2023] [Revised: 02/26/2023] [Accepted: 03/02/2023] [Indexed: 05/27/2023] Open
Abstract
The JAK-STAT signaling pathway mediates important cellular processes such as immune response, carcinogenesis, cell differentiation, division and death. Therefore, drugs that interfere with different JAK-STAT signaling patterns have potential indications for various medical conditions. The main dermatological targets of JAK-STAT pathway inhibitors are inflammatory or autoimmune diseases such as psoriasis, vitiligo, atopic dermatitis and alopecia areata; however, several dermatoses are under investigation to expand this list of indications. As JAK-STAT pathway inhibitors should gradually occupy a relevant space in dermatological prescriptions, this review presents the main available drugs, their immunological effects, and their pharmacological characteristics, related to clinical efficacy and safety, aiming to validate the best dermatological practice.
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Affiliation(s)
- Hélio Amante Miot
- Department of Dermatology, Faculty of Medicine, Universidade Estadual Paulista, Botucatu, SP, Brazil.
| | - Paulo Ricardo Criado
- Centro Universitário Faculdade de Medicina do ABC, Santo André, SP, Brazil; Faculdade de Ciências Médicas de Santos, Santos, SP, Brazil
| | - Caio César Silva de Castro
- Hospital de Dermatologia Sanitária do Paraná, Curitiba, PR, Brazil; Escola de Medicina, Pontifícia Universidade Católica do Paraná, Curitiba, PR, Brazil
| | - Mayra Ianhez
- Department of Tropical Medicine and Dermatology, Instituto de Patologia Tropical e Saúde Pública, Universidade Federal de Goiás, Goiânia, GO, Brazil
| | - Carolina Talhari
- Department of Dermatology, Universidade do Estado do Amazonas, Manaus, AM, Brazil
| | - Paulo Müller Ramos
- Department of Dermatology, Faculty of Medicine, Universidade Estadual Paulista, Botucatu, SP, Brazil
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Miola AC, Ramos PM, Mazeto IFS, Brommonschenkel CC, Miot HA. On the characterization of the effluvium following COVID-19 infection. J Eur Acad Dermatol Venereol 2023; 37:e1100-e1101. [PMID: 37147898 DOI: 10.1111/jdv.19166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2023] [Accepted: 04/26/2023] [Indexed: 05/07/2023]
Affiliation(s)
- A C Miola
- Departamento de Infectologia, Dermatologia, Diagnóstico por Imagem e Radioterapia, UNESP, Botucatu, SP, Brazil
| | - P M Ramos
- Departamento de Infectologia, Dermatologia, Diagnóstico por Imagem e Radioterapia, UNESP, Botucatu, SP, Brazil
| | - I F S Mazeto
- Departamento de Infectologia, Dermatologia, Diagnóstico por Imagem e Radioterapia, UNESP, Botucatu, SP, Brazil
| | - C C Brommonschenkel
- Departamento de Infectologia, Dermatologia, Diagnóstico por Imagem e Radioterapia, UNESP, Botucatu, SP, Brazil
| | - H A Miot
- Departamento de Infectologia, Dermatologia, Diagnóstico por Imagem e Radioterapia, UNESP, Botucatu, SP, Brazil
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de Brito FOX, de Almeida RFC, Machado CJ, Lemes LR, Donda ALV, Blanco A, Silveira ALG, Munck A, Dos Santos Lima C, Canela CPC, Fechine COC, Obadia DL, Pinto GM, Alves LD, Dias MFRG, Benez M, Rigatti M, Paiva NTEKM, Kakizaki P, Minotto R, Frattini S, Ramos PM, Melo DF. Frontal Fibrosing Alopecia associated with Lichen Planus Pigmentosus: a multicenter retrospective descriptive analytical study of 104 patients. J Eur Acad Dermatol Venereol 2023. [PMID: 37016987 DOI: 10.1111/jdv.19093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Accepted: 03/27/2023] [Indexed: 04/06/2023]
Affiliation(s)
| | | | - Carla Jorge Machado
- Preventive and Social Medicine Department, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil
| | - Luciana Rodino Lemes
- Department of Dermatology, State University of Rio de Janeiro - UERJ, Rio de Janeiro, RJ, Brazil
| | - Andre Luiz Vairo Donda
- Department of Dermatology, State University of Rio de Janeiro - UERJ, Rio de Janeiro, RJ, Brazil
| | - Aline Blanco
- Department of Dermatology, Hospital Universitário Maria Aparecida Pedrossian, Campo Grande, MS, Brazil
| | | | - Andreia Munck
- Department of Dermatology - Mogi das Cruzes University - UMC, Mogi das Cruzes, SP, Brazil
| | - Caren Dos Santos Lima
- Department of Dermatology, University of State of Pará - UEPA, Belém, PA, Brazil
- Department of Dermatology, University Center of Pará - CESUPA, Belém, PA, Brazil
| | | | | | - Daniel Lago Obadia
- Department of Dermatology, State University of Rio de Janeiro - UERJ, Rio de Janeiro, RJ, Brazil
| | | | - Lorena Dourado Alves
- Department of Tropical Medicine and Dermatology, Federal University of Goias - UFG, Goiânia, GO, Brazil
| | | | - Marcela Benez
- Department of Dermatology, State University of Rio de Janeiro - UERJ, Rio de Janeiro, RJ, Brazil
| | - Marcelo Rigatti
- Department of Dermatology, Federal University of Santa Catarina - UFSC, Florianópolis, SC, Brazil
| | | | - Priscila Kakizaki
- Department of Dermatology, Hospital do Servidor Público Municipal de São Paulo, São Paulo, SP, Brazil
| | - Renan Minotto
- Department of Dermatology, Hospital Santa Casa de Porto Alegre, Porto Alegre, RS, Brazil
| | | | - Paulo Müller Ramos
- Department of Dermatology, São Paulo State University - UNESP, Botucatu, SP, Brazil
| | - Daniel Fernandes Melo
- Department of Dermatology, State University of Rio de Janeiro - UERJ, Rio de Janeiro, RJ, Brazil
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8
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Müller Ramos P, Melo DF, Radwanski H, de Almeida RFC, Miot HA. Female pattern hair loss: therapeutic update. An Bras Dermatol 2023:S0365-0596(23)00053-3. [PMID: 37003900 DOI: 10.1016/j.abd.2022.09.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Revised: 09/22/2022] [Accepted: 09/23/2022] [Indexed: 04/03/2023] Open
Abstract
Female androgenetic alopecia or female-pattern hair loss (FPHL) is highly prevalent and has a great impact on the quality of life. The treatment is a routine challenge in dermatological practice, as many therapeutic options have a limited level of evidence and often do not meet patients expectations. Lack of knowledge of the pathogenesis of the hair miniaturization process and the factors that regulate follicular morphogenesis restricts the prospect of innovative therapies. There is also a lack of randomized, controlled studies with longitudinal follow-up, using objective outcomes and exploring the performance of the available treatments and their combinations. Topical minoxidil, which has been used to treat female pattern hair loss since the 1990s, is the only medication that has a high level of evidence and remains the first choice. However, about 40% of patients do not show improvement with this treatment. In this article, the authors critically discuss the main clinical and surgical therapeutic alternatives for FPHL, as well as present camouflage methods that can be used in more extensive or unresponsive cases.
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Affiliation(s)
- Paulo Müller Ramos
- Department of Dermatology, Faculty of Medicine, Universidade Estadual Paulista, Botucatu, SP, Brazil.
| | - Daniel Fernandes Melo
- Department of Dermatology, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | | | | | - Hélio Amante Miot
- Department of Dermatology, Faculty of Medicine, Universidade Estadual Paulista, Botucatu, SP, Brazil
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9
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Cajas-Garcia MS, Cortez de Almeida RF, Medaglia CRM, Saceda-Corralo D, Araújo Fonte Boa M, Frattini S, Müller Ramos P, Melo DF. Distinct presentations of scalp dissecting cellulitis manifesting with furrows and gyri. J Eur Acad Dermatol Venereol 2023; 37:e786-e788. [PMID: 36734209 DOI: 10.1111/jdv.18933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Accepted: 02/01/2023] [Indexed: 02/04/2023]
Affiliation(s)
- Maria Salomé Cajas-Garcia
- Department of Dermatology, Rio de Janeiro State University (UERJ), Rio de Janeiro, Rio de Janeiro, Brazil
| | | | | | - David Saceda-Corralo
- Trichology Unit, Dermatology Department, Ramón y Cajal University Hospital, Instituto Ramón y Cajal de Investigación Sanitaria, University of Alcalá, Madrid, Spain
| | - Marina Araújo Fonte Boa
- Department of Dermatology, Rio de Janeiro State University (UERJ), Rio de Janeiro, Rio de Janeiro, Brazil
| | - Sidney Frattini
- The Mole Clinic, Private Practice, Ancaster, Ontario, Canada
| | - Paulo Müller Ramos
- Department of Dermatology and Radiotherapy, São Paulo State University, Botucatu, São Paulo, Brazil
| | - Daniel Fernandes Melo
- Department of Dermatology, Rio de Janeiro State University (UERJ), Rio de Janeiro, Rio de Janeiro, Brazil
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10
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Sanabria BD, Palmegiani E, Seron AF, Perdomo YC, Miot HA, Müller Ramos P. Prospective cardiovascular evaluation with 24-hour Holter and 24-hour ambulatory blood pressure monitoring in men using 5-mg oral minoxidil for androgenetic alopecia. J Am Acad Dermatol 2023; 88:436-437. [PMID: 35597386 DOI: 10.1016/j.jaad.2022.05.026] [Citation(s) in RCA: 9] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Revised: 04/17/2022] [Accepted: 05/02/2022] [Indexed: 01/17/2023]
Affiliation(s)
| | - Eduardo Palmegiani
- Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, São Paulo, Brazil
| | | | - Yuri Chiarelli Perdomo
- Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, São Paulo, Brazil
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11
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Melo DF, Cortez de Almeida RF, Frattini SC, Santos LDN, Ramos PM. Minimally invasive procedures for the management of female pattern hair loss. J Cosmet Dermatol 2022; 21:5405-5408. [PMID: 35713007 DOI: 10.1111/jocd.15160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2022] [Revised: 04/25/2022] [Accepted: 06/13/2022] [Indexed: 12/27/2022]
Abstract
BACKGROUND Female Pattern Hair Loss (FPHL) is one of the most common types of hair loss in women. It is characterized by progressive follicular miniaturization leading to diffuse hair thinning over the midfrontal scalp with a negative impact on quality of life. Pharmacological treatments are commonly used, and hair follicle transplantation is an option for those cases with adequate donor area. Minimally invasive procedures, such as microneedling, mesotherapy, microinfusion of drugs into the scalp with tattoo machines (MMP®), and platelet-rich plasma (PRP) have been reported as adjuvant treatments. AIMS This study aims to summarize and discuss the efficacy of minimally invasive procedures described for the management of FPHL. METHODS Published articles indexed on the Pubmed database and Scopus that described minimally invasive procedures for the management of FPHL in humans were considered. Citations were reviewed and added for completeness. The search was for articles in English only. After excluding duplicate titles, 23 relevant articles were considered. CONCLUSION Minimally invasive procedures are promising options and may play a role in FPHL treatment. They can be used as adjunctive therapy for FPHL, in case of poor response to clinical therapy, or when patients prefer other care than the standard. We reinforce that these methods should be performed by an experienced medical professional following strict aseptic techniques. However, microneedling, mesotherapy, MMP, and PRP lack standardization and are supported by a low level of evidence yet. For the future, larger randomized clinical trials are essential to determine the efficacy and optimal protocols for these treatments.
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Affiliation(s)
- Daniel Fernandes Melo
- Department of Dermatology, Rio de Janeiro State University (UERJ), Rio de Janeiro, Brazil
| | | | | | | | - Paulo Müller Ramos
- Department of Dermatology and Radiotherapy, São Paulo State University (UNESP), Botucatu, Brazil
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12
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Carvalho RDM, Santos LDN, Ramos PM, Machado CJ, Acioly P, Frattini SC, Barcaui CB, Donda ALV, Melo DF. Bicalutamide and the new perspectives for female pattern hair loss treatment: What dermatologists should know. J Cosmet Dermatol 2022; 21:4171-4175. [PMID: 35032336 DOI: 10.1111/jocd.14773] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2021] [Revised: 01/09/2022] [Accepted: 01/10/2022] [Indexed: 01/06/2023]
Abstract
Female pattern hair loss (FPHL) is the most common form of alopecia in women. FPHL may compromise body image and strongly affect self-esteem, negatively impacting quality of life. Currently, the only Food and Drug Administration (FDA) approved drug for its treatment is topical minoxidil, with a variable response rate. Recently, a few studies in FPHL have pointed out bicalutamide as an emergent selective androgen receptor antagonist with a favorable safety and tolerability profile. This review aimed to summarize and discuss the key information on this new therapy for FPHL. Bicalutamide has no diuretic effect. It does not cross the blood-brain barrier, and it has little effect on serum luteinizing hormone. Additionally, bicalutamide was found to be effective on women presenting with other features of hyperandrogenism such as seborrhea, acne, and hirsutism with mild and well-tolerated adverse effects. Despite the high prevalence and psychosocial impairment, FPHL treatment remains challenging. Therefore, although future prospective, comparative, randomized clinical trials are essential to establish the ideal dose and efficacy of the drug, oral bicalutamide appears to be a promising option to expand the arsenal of FPHL treatment.
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Affiliation(s)
| | | | - Paulo Müller Ramos
- Department of Dermatology and Radiotherapy, São Paulo State University (UNESP), Botucatu, Brazil
| | - Carla Jorge Machado
- Preventive and Social Medicine Department, Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil
| | - Patricia Acioly
- Dermatology Department, University of State of Rio de Janeiro (UERJ), Rio de Janeiro, Brazil
| | | | - Carlos Baptista Barcaui
- Dermatology Department, University of State of Rio de Janeiro (UERJ), Rio de Janeiro, Brazil
| | - André Luiz Vairo Donda
- Dermatology Department, University of State of Rio de Janeiro (UERJ), Rio de Janeiro, Brazil
| | - Daniel Fernandes Melo
- Dermatology Department, University of State of Rio de Janeiro (UERJ), Rio de Janeiro, Brazil
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13
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de Marsillac PF, Cortez de Almeida RF, Machado CJ, Piraccini BM, Starace M, Tosti A, Vincenzi C, Kobzei K, Iorizzo M, Alves LD, Blanco A, Coelho C, Saceda-Corralo D, D'Atri G, Benez M, Ramos PM, Baja S, Tortelly VD, Frattini S, Melo DF. Clinical, epidemiological, trichoscopic and histopathological features of linear morphea on the scalp. J Eur Acad Dermatol Venereol 2022; 36:e892-e895. [PMID: 35694874 DOI: 10.1111/jdv.18323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Accepted: 06/03/2022] [Indexed: 11/29/2022]
Affiliation(s)
- P F de Marsillac
- Department of Dermatology, State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - R F Cortez de Almeida
- Department of Dermatology, State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - C J Machado
- Preventive and Social Medicine Department, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - B M Piraccini
- Dermatology - IRCCS Policlinico di Sant'Orsola - Department of Experimental, Diagnostic and Specialty Medicine, Alma Mater Studiorum, University of Bologna, Bologna, Italy
| | - M Starace
- Dermatology - IRCCS Policlinico di Sant'Orsola - Department of Experimental, Diagnostic and Specialty Medicine, Alma Mater Studiorum, University of Bologna, Bologna, Italy
| | - A Tosti
- Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami School of Medicine, Miami, Florida, USA
| | - C Vincenzi
- Department of Dermatology, Private Hospital Nigrisoli, Bologna, Italy
| | - K Kobzei
- Kyiv Medical University, Kyiv, Ukraine
| | - M Iorizzo
- Private Dermatology Practice, Bellinzona, Lugano, Switzerland
| | - L D Alves
- Department of Tropical Medicine and Dermatology, Federal University of Goiás, Goiânia, GO, Brazil
| | - A Blanco
- Department of Dermatology, Federal University of Mato Grosso do Sul, Campo Grande, MS, Brazil
| | - C Coelho
- Department of Dermatology, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - D Saceda-Corralo
- Dermatology Department, Trichology Unit, Ramón y Cajal University Hospital, Instituto Ramón y Cajal de Investigación Sanitaria, University of Alcalá, Madrid, Spain
| | - G D'Atri
- GrupoMCI (Integral Hair Medicine), Private Dermatology Practice, Buenos Aires, Argentina
| | - M Benez
- Department of Dermatology, State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - P M Ramos
- Department of Dermatology and Radiotherapy, São Paulo State University, Botucatu, SP, Brazil
| | - S Baja
- Private Dermatology Practice, Resende, RJ, Brazil
| | - V D Tortelly
- Department of Dermatology, State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - S Frattini
- Mental Health Department, Guelph General Hospital, Guelph, Ontario, Canada
| | - D F Melo
- Department of Dermatology, State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
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14
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Martinez DDAES, Sodré JL, Regis JR, de Mattos Barreto T, Santos LDN, Ramos PM, Frattini S, Weffort F, Melo DF. Hair transplantation in uncommon secondary cicatricial alopecias. Dermatol Ther 2022; 35:e15592. [PMID: 35604795 DOI: 10.1111/dth.15592] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2022] [Revised: 05/18/2022] [Accepted: 05/19/2022] [Indexed: 11/30/2022]
Abstract
Secondary cicatricial alopecia is the follicular destruction caused by infections, neoplastic conditions, burns, or trauma to the dermis. Hair restoration surgery has been used successfully as an option for androgenetic alopecia and stable primary cicatricial alopecia with favorable outcomes. However, little is known about hair restoration surgery for secondary cicatricial alopecia, especially to affected areas other than the scalp. A good surgical outcome may bring a remarkable psychosocial impact to patients with cicatricial alopecia. This paper presents three uncommon cases of secondary cicatricial alopecia successfully treated with hair restoration surgery.
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Affiliation(s)
| | - João Luz Sodré
- Department of Dermatology, State University of Rio de Janeiro - UERJ, Rio de Janeiro, RJ, Brazil
| | - José Rogerio Regis
- Departament of Dermatology, Santa de Misericórdia de Belo Horizonte, Belo Horizonte, MG, Brazil
| | | | | | - Paulo Müller Ramos
- Department of Dermatology, São Paulo State University - UNESP, Botucatu, São Paulo - SP, Brazil
| | - Simone Frattini
- Mental Health Department, Guelph General Hospital, Guelph, Canada
| | - Flávia Weffort
- Department of Dermatology, State University of Rio de Janeiro - UERJ, Rio de Janeiro, RJ, Brazil
| | - Daniel Fernandes Melo
- Department of Dermatology, State University of Rio de Janeiro - UERJ, Rio de Janeiro, RJ, Brazil
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15
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Melo DF, Ramos PM, Machado CJ, Anzai A, Blanco A, Mulinari‐Brenner F, Pinto GM, Abraham LS, Alves LD, Rigatti M, Rivitti‐Machado MC, Kakizaki P, Minotto R, Macedo TB, Santos TS, Doche I. Dissecting cellulitis in women: a retrospective multicenter study with 17 patients. Int J Dermatol 2022; 61:e427-e430. [DOI: 10.1111/ijd.16271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/06/2021] [Revised: 02/22/2022] [Accepted: 04/26/2022] [Indexed: 11/30/2022]
Affiliation(s)
- Daniel Fernandes Melo
- Department of Dermatology Universidade do Estado do Rio de Janeiro Rio de Janeiro Brazil
| | - Paulo Müller Ramos
- Department of Dermatology Universidade Estadual Paulista Botucatu Brazil
| | - Carla Jorge Machado
- Preventive and Social Medicine Department Universidade Federal de Minas Gerais Belo Horizonte Brazil
| | - Alessandra Anzai
- Department of Dermatology Universidade de São Paulo Sao Paulo Brazil
| | - Aline Blanco
- Department of Dermatology Universidade Federal de São Paulo Soa Paulo Brazil
- Department of Dermatology Universidade Federal do Mato Grosso do Sul Campo Grande Brazil
| | | | | | | | - Lorena Dourado Alves
- Department of Tropical Medicine and Dermatology Universidade Federal de Goias Goiania Brazil
| | - Marcelo Rigatti
- Department of Dermatology Universidade Federal de Santa Catarina Florianopolis Brazil
| | | | - Priscila Kakizaki
- Department of Dermatology State Civil Servant Hospital of Sao Paulo Sao Paulo Brazil
| | - Renan Minotto
- Department of Dermatology Santa Casa Hospital Federal University of Health Sciences Porto Alegre Brazil
| | | | | | - Isabella Doche
- Department of Dermatology Universidade de São Paulo Sao Paulo Brazil
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16
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Melo DF, Müller Ramos P, Iorizzo M, Lima CDS, Pinto EB, Cortez de Almeida RF, Machado CJ, Starace M. Epidemiological, Clinical, Trichoscopic, and Histopathological Features of Lupus Erythematous Mimicking Alopecia Areata: A Multicenter Retrospective Study. Skin Appendage Disord 2022; 8:236-240. [PMID: 35707286 PMCID: PMC9149462 DOI: 10.1159/000520825] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2021] [Accepted: 11/03/2021] [Indexed: 11/19/2022] Open
Abstract
Introduction All types of lupus erythematosus (LE) may cause hair loss. Nonscarring alopecia was correlated with systemic LE, based on its high specificity. Discoid LE can also appear as nonscarring patches in early stages. Patchy alopecia LE-specific may also mimic alopecia areata (AA) - which can co-occur with LE. The distinction is fundamental to early diagnosis and effective treatment. This study aims to analyze clinical, epidemiological, trichoscopic, and histopathological features of patients with patchy LE-specific alopecia, nonscarring type, mimicking AA. Methods This is a multicentric retrospective study. We reviewed the medical records of patients with a confirmed diagnosis of LE mimicking AA. Results Ten patients were included (90% female) with a mean age of 45.9 years. Clinically, 60% showed erythema and 70% presented incomplete hair loss. The most common trichoscopic findings were interfollicular arborizing vessels (90%) and scattered brown discoloration (80%). On histopathology, perivascular inflammation (85.7%), peribulbar lymphocytes (85.7%), and dermal pigment incontinence (71.4%) were present in most cases. Discussion/Conclusion Trichoscopy was found as an essential first step for the patchy alopecia diagnosis, enabling to differentiate LE from AA. Putting it mildly, trichoscopy raises the suspicion that leads to a biopsy, increasing the diagnostic accuracy with better outcome for patients.
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Affiliation(s)
- Daniel Fernandes Melo
- Department of Dermatology, State University of Rio de Janeiro (UERJ), Rio de Janeiro, Brazil
| | - Paulo Müller Ramos
- Department of Dermatology and Radiotherapy, São Paulo State University (UNESP), Botucatu, Brazil
| | | | - Caren dos Santos Lima
- Department of Dermatology, State University of Pará (UEPA), Belém, Brazil
- Department of Dermatology, University Center of Pará (CESUPA), Belém, Brazil
| | | | | | - Carla Jorge Machado
- Preventive and Social Medicine Department, Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil
| | - Michela Starace
- Department of Specialized, Experimental and Diagnostic Medicine, Dermatology − IRCCS, Policlinico Sant'Orsola, Alma Mater Studiorum, University of Bologna, Bologna, Italy
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17
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Barreto TDM, Cortez de Almeida RF, Ramos PM, Jeunon T, Melo DF. The watch sign: an atypical clinical finding of frontal fibrosing alopecia in two male patients. J Eur Acad Dermatol Venereol 2022; 36:e437-e439. [PMID: 35034396 DOI: 10.1111/jdv.17934] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Revised: 12/04/2021] [Accepted: 01/07/2022] [Indexed: 11/29/2022]
Affiliation(s)
| | | | - Paulo Müller Ramos
- Department of Dermatology and Radiotherapy, Universidade Estadual Paulista - UNESP, Botucatu, SP, Brazil
| | - Thiago Jeunon
- ID- Investigação em Dermatologia, Rio de Janeiro, RJ, Brazil
| | - Daniel Fernandes Melo
- Department of Dermatology, State University of Rio de Janeiro - UERJ, Rio de Janeiro, RJ, Brazil
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18
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Penha MÁ, Müller Ramos P, de Souza V, Miot HA. Development and Validation of a Dermoscopic Severity Score for Female Pattern Hair Loss. Skin Appendage Disord 2021; 8:228-235. [PMID: 35707288 PMCID: PMC9149399 DOI: 10.1159/000520108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Accepted: 10/04/2021] [Indexed: 11/19/2022] Open
Abstract
Introduction: Despite the high prevalence and impact on quality of life, there are no objective methods to estimate the severity of female pattern hair loss (FPHL). Here, we aimed to develop a dermoscopic severity score for FPHL. Methods: Cross-sectional study involving 76 women with FPHL and 12 controls. Standardized dermoscopic photos of the scalp were taken to evaluate the main findings of FPHL. The variable selection and their scores in the final model were defined by multivariate methods. Twenty participants were retested to assess the reliability, and 10 participants were tested before and after treatment for estimating its sensibility to change after 6 months. Results: Eight patients (11%) presented the Sinclair clinical scale grade I, 40 (53%) presented at grade II, 19 (25%) presented at grade III, and 9 (12%) presented at grades IV and V. In the multivariate exploration, the following variables were considered significant: total terminal hairs, total miniaturized hairs, brown peripilar sign, scalp honeycomb pigmentation, white peripilar sign, and yellow dots. The final model resulted in a high correlation (rho = 0.89) with the ranked clinical assessment. Conclusion: An objective and reliable severity score of FPHL was developed and validated, allowing its use as an additional outcome in therapeutic trials.
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19
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Miola AC, Florêncio LC, Ribeiro MEB, Alcântara GP, Ramos PM, Miot HA. Early onset effluvium secondary to COVID-19: A clinical and histological characterization. J Am Acad Dermatol 2021; 86:e207-e208. [PMID: 34906662 PMCID: PMC8665661 DOI: 10.1016/j.jaad.2021.09.072] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2021] [Revised: 09/03/2021] [Accepted: 09/07/2021] [Indexed: 11/06/2022]
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20
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Criado PR, Ianhez M, Silva de Castro CC, Talhari C, Ramos PM, Miot HA. COVID-19 and skin diseases: results from a survey of 843 patients with atopic dermatitis, psoriasis, vitiligo and chronic urticaria. J Eur Acad Dermatol Venereol 2021; 36:e1-e3. [PMID: 34487381 DOI: 10.1111/jdv.17635] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2021] [Accepted: 09/02/2021] [Indexed: 12/29/2022]
Affiliation(s)
- P R Criado
- Centro Universitário Faculdade de Medicina do ABC and Alergoskin Alergia e Dermatologia, Santo André, Brazil
| | - M Ianhez
- Departamento de Medicina Tropical e Dermatologia da, Universidade Federal de Goiás (UFG), Goiânia, Brazil
| | - C C Silva de Castro
- School of Medicine, Pontifícia Universidade Católica do Paraná, Curitiba, Brazil
| | - C Talhari
- Universidade do Estado do Amazonas, Manaus, Brazil
| | - P M Ramos
- UNESP Medical School, Botucatu, Brazil
| | - H A Miot
- UNESP Medical School, Botucatu, Brazil
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21
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Ramos PM, Melo DF, Lemes LR, Alcantara G, Miot HA, Lyra MR, Vargas TJDS. Folliculitis decalvans and lichen planopilaris phenotypic spectrum: case report of two paediatric cases. J Eur Acad Dermatol Venereol 2021; 35:e674-e676. [PMID: 34014598 DOI: 10.1111/jdv.17379] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2021] [Revised: 03/26/2021] [Accepted: 04/28/2021] [Indexed: 01/05/2023]
Affiliation(s)
- P M Ramos
- Department of Dermatology and Radiotherapy, São Paulo State University (UNESP), Botucatu, Brazil
| | - D F Melo
- Department of Dermatology, University of State of Rio de Janeiro - UERJ, Brazil
| | - L R Lemes
- Department of Dermatology, University of State of Rio de Janeiro - UERJ, Brazil
| | - G Alcantara
- Department of Dermatology and Radiotherapy, São Paulo State University (UNESP), Botucatu, Brazil
| | - H A Miot
- Department of Dermatology and Radiotherapy, São Paulo State University (UNESP), Botucatu, Brazil
| | - M R Lyra
- Oswaldo Cruz Foundation - Infectious Disease in Dermatology, Rio de Janeiro, Brazil
| | - T J de S Vargas
- Department of Dermatology, Federal Hospital of Bonsucesso, Rio de Janeiro, Brazil
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22
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Tsutsui GM, Ramos PM, Miot HA. Prevalence of female pattern hair loss in a multiracial population. J Am Acad Dermatol 2021; 86:962-964. [PMID: 33823196 DOI: 10.1016/j.jaad.2021.03.106] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2021] [Revised: 02/16/2021] [Accepted: 03/30/2021] [Indexed: 11/28/2022]
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23
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Miot HA, Ianhez M, Ramos PM. Trends of the main bibliometric indicators of Anais Brasileiros de Dermatologia (2010-2019). An Bras Dermatol 2021; 96:309-314. [PMID: 33775480 PMCID: PMC8178526 DOI: 10.1016/j.abd.2020.11.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2020] [Revised: 11/19/2020] [Accepted: 11/27/2020] [Indexed: 12/28/2022] Open
Abstract
BACKGROUND The Anais Brasileiros de Dermatologia (Anais Brasileiros de Dermatologia) is the official journal of the Brazilian Society of Dermatology, which has been published since 1925, with free, bilingual access. There are several bibliometric indicators that estimate aspects of a journal's scientific influence. Its analysis, based especially on the evolutionary trend, allows identifying the journal's strengths and weaknesses, in addition to guiding editorial policies. OBJECTIVES To evaluate the trends of the main bibliometric indicators of Anais Brasileiros de Dermatologia, in the decade of 2010-2019. METHODS Methodological study that proposed the analysis of bibliometric indicators published by Journal Citation Reports, SCImago, and Scopus, for the journal Anais Brasileiros de Dermatologia, from 2010 to 2019. The following aspects were evaluated: Impact factor, Immediacy index, SJR (SCImago), in addition to the number of citations, citable items, Cite Score, percentage of external citations, percentage of cited articles, percentage of citable articles, and the article influence score. RESULTS There was an increase in the main bibliometric indicators in the last decade: impact factor (0.337 to 1.121), immediacy index (0.054 to 0.204),Eigenfactor (0.00025 to 0.00394), SJR (0.176 to 0.453). The percentage of external citations (48.4% to 94.1%) and cited articles (24.7% to 51.4%) also increased. The increase in the impact factors of Anais Brasileiros de Dermatologia in the period was more significant than that of the dermatology journals (1,667 to 2,118) and the Brazilian journals (1,247 to 1,408), indexed in the Journal Citation Reports. STUDY LIMITATIONS Failure in the classification and registration of the databases. CONCLUSIONS There has been a consistent increase in the scientific influence of Anais Brasileiros de Dermatologia in the last decade.
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Affiliation(s)
- Hélio Amante Miot
- Departament of Dermatology, Faculty of Medicine, Universidade Estadual Paulista, Botucatu, SP, Brazil.
| | - Mayra Ianhez
- Department of Tropical Medicine and Dermatology, Instituto de Patologia Tropical e Saúde Pública, Universidade Federal de Goiás, Goiânia, GO, Brazil
| | - Paulo Müller Ramos
- Departament of Dermatology, Faculty of Medicine, Universidade Estadual Paulista, Botucatu, SP, Brazil
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24
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Field SL, Marrero MG, Dado-Senn B, Skibiel AL, Ramos PM, Scheffler TL, Laporta J. Peripheral serotonin regulates glucose and insulin metabolism in Holstein dairy calves. Domest Anim Endocrinol 2021; 74:106519. [PMID: 32739765 DOI: 10.1016/j.domaniend.2020.106519] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/19/2019] [Revised: 06/24/2020] [Accepted: 07/02/2020] [Indexed: 12/28/2022]
Abstract
Peripheral serotonin regulates energy metabolism in several mammalian species, however, the potential contribution of serotonergic mechanisms as metabolic and endocrine regulators in growing dairy calves remain unexplored. Objectives were to characterize the role of serotonin in glucose and insulin metabolism in dairy calves with increased serotonin bioavailability. Milk replacer was supplemented with saline, 5-hydroxytryptophan (90 mg/d), or fluoxetine (40 mg/d) for 10-d (n = 8/treatment). Blood was collected daily during supplementation and on days 2, 7, and 14 during withdrawal. Calves were euthanized after 10-d supplementation or 14-d withdrawal periods to harvest liver and pancreas tissue. 5-hydroxytryptophan increased circulating insulin concentrations during the supplementation period, whereas both treatments increased circulating glucose concentration during the withdrawal period. The liver and pancreas of preweaned calves express serotonin factors (ie, TPH1, SERT, and cell surface receptors), indicating their ability to synthesize, uptake, and respond to serotonin. Supplementation of 5-hydroxytryptophan increased hepatic and pancreatic serotonin concentrations. After the withdrawal period, fluoxetine cleared from the pancreas but not liver tissue. Supplementation of 5-hydroxytryptophan upregulated hepatic mRNA expression of serotonin receptors (ie, 5-HTR1B, -1D, -2A, and -2B), and downregulated pancreatic 5-HTR1F mRNA and insulin-related proteins (ie, Akt and pAkt). Fluoxetine-supplemented calves had fewer pancreatic islets per microscopic field with reduced insulin intensity, whereas 5-hydroxytryptophan supplemented calves had increased islet number and area with greater insulin and serotonin and less glucagon intensities. After the 14-d withdrawal of 5-hydroxytryptophan, hepatic mRNA expression of glycolytic and gluconeogenic enzymes were simultaneously downregulated. Improving serotonin bioavailability could serve as a potent regulator of endocrine and metabolic processes in dairy calves.
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Affiliation(s)
- S L Field
- Department of Animal Sciences, University of Florida, Gainesville, FL 32608, USA
| | - M G Marrero
- Department of Animal Sciences, University of Florida, Gainesville, FL 32608, USA
| | - B Dado-Senn
- Department of Animal Sciences, University of Florida, Gainesville, FL 32608, USA
| | - A L Skibiel
- Department of Animal Sciences, University of Florida, Gainesville, FL 32608, USA
| | - P M Ramos
- Department of Animal Sciences, University of Florida, Gainesville, FL 32608, USA
| | - T L Scheffler
- Department of Animal Sciences, University of Florida, Gainesville, FL 32608, USA
| | - J Laporta
- Department of Animal Sciences, University of Florida, Gainesville, FL 32608, USA.
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25
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Ramos PM, Anzai A, Duque-Estrada B, Farias DC, Melo DF, Mulinari-Brenner F, Pinto GM, Abraham LS, Nogueira Santos LD, Pirmez R, Miot HA. Regarding methodologic concerns in clinical studies on frontal fibrosing alopecia. J Am Acad Dermatol 2020; 84:e207-e208. [PMID: 33253845 DOI: 10.1016/j.jaad.2020.11.052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2020] [Accepted: 11/21/2020] [Indexed: 10/22/2022]
Affiliation(s)
| | | | | | | | | | | | | | | | | | - Rodrigo Pirmez
- Santa Casa de Misericórdia do Rio de Janeiro, Rio de Janeiro
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26
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Sanabria B, Vanzela TDN, Miot HA, Müller Ramos P. Adverse effects of low-dose oral minoxidil for androgenetic alopecia in 435 patients. J Am Acad Dermatol 2020; 84:1175-1178. [PMID: 33253848 DOI: 10.1016/j.jaad.2020.11.035] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2020] [Revised: 11/17/2020] [Accepted: 11/18/2020] [Indexed: 11/19/2022]
Affiliation(s)
- Baltazar Sanabria
- Universidade Federal do Mato Grosso do Sul, Campo Grande, MS, Brazil
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27
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McCoy J, Cadegiani FA, Wambier CG, Herrera S, Vaño-Galván S, Mesinkovska NA, Ramos PM, Shapiro J, Sinclair R, Tosti A, Goren A. 5-alpha-reductase inhibitors are associated with reduced frequency of COVID-19 symptoms in males with androgenetic alopecia. J Eur Acad Dermatol Venereol 2020; 35:e243-e246. [PMID: 33135263 DOI: 10.1111/jdv.17021] [Citation(s) in RCA: 31] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- J McCoy
- Applied Biology, Inc., Irvine, CA, USA
| | - F A Cadegiani
- Department of Clinical Endocrinology, Federal University of São Paulo Medical School, Sao Paulo, Brazil
| | - C G Wambier
- Department of Dermatology, Alpert Medical School of Brown University, Providence, RI, USA
| | - S Herrera
- Infectious Diseases Unit, Ramón y Cajal Hospital, Madrid, Spain
| | - S Vaño-Galván
- Dermatology Department, Ramón y Cajal Hospital, Madrid, Spain
| | - N A Mesinkovska
- Department of Dermatology, University of Claifornia, Irvine, CA, USA
| | - P M Ramos
- Department of Dermatology, São Paulo State University - UNESP, São Paulo, Brazil
| | - J Shapiro
- Ronald O. Perelman Department of Dermatology, New York University School of Medicine, New York, NY, USA
| | - R Sinclair
- Sinclair Dermatology, Melbourne, Vic., Australia
| | - A Tosti
- Department of Dermatology and Cutaneous Surgery, Miller School of Medicine, University of Miami, Miami, FL, USA
| | - A Goren
- Applied Biology, Inc., Irvine, CA, USA
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28
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Müller Ramos P, Ianhez M, Amante Miot H. Alopecia and grey hair are associated with COVID‐19 Severity. Exp Dermatol 2020; 29:1250-1252. [DOI: 10.1111/exd.14220] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2020] [Revised: 10/13/2020] [Accepted: 10/17/2020] [Indexed: 12/14/2022]
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29
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Melo DF, Jorge Machado C, Bordignon NL, Silva LL, Ramos PM. Lymecycline as a treatment option for dissecting cellulitis and folliculitis decalvans. Dermatol Ther 2020; 33:e14051. [DOI: 10.1111/dth.14051] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2020] [Revised: 06/28/2020] [Accepted: 07/17/2020] [Indexed: 11/28/2022]
Affiliation(s)
| | - Carla Jorge Machado
- Department of Preventive and Social Medicine Federal University of Minas Gerais, Medical School Belo Horizonte Brazil
| | | | - Letícia Liberino Silva
- Department of Dermatology Federal Hospital of Servidores do Estado Rio de Janeiro Brazil
| | - Paulo Müller Ramos
- Dermatology Department São Paulo State University – UNESP Botucatu Brazil
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30
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Goren A, Wambier CG, Herrera S, McCoy J, Vaño-Galván S, Gioia F, Comeche B, Ron R, Serrano-Villar S, Ramos PM, Cadegiani FA, Kovacevic M, Tosti A, Shapiro J, Sinclair R. Anti-androgens may protect against severe COVID-19 outcomes: results from a prospective cohort study of 77 hospitalized men. J Eur Acad Dermatol Venereol 2020; 35:e13-e15. [PMID: 32977363 PMCID: PMC7536996 DOI: 10.1111/jdv.16953] [Citation(s) in RCA: 40] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2020] [Revised: 09/04/2020] [Accepted: 09/08/2020] [Indexed: 11/30/2022]
Affiliation(s)
- A Goren
- Applied Biology, Inc., Irvine, CA, USA
| | - C G Wambier
- Department of Dermatology, Alpert Medical School of Brown University, Providence, RI, USA
| | - S Herrera
- Infectious Diseases Unit, Ramón y Cajal Hospital, Madrid, Spain
| | - J McCoy
- Applied Biology, Inc., Irvine, CA, USA
| | - S Vaño-Galván
- Dermatology Department, Ramón y Cajal Hospital, Madrid, Spain
| | - F Gioia
- Infectious Diseases Unit, Ramón y Cajal Hospital, Madrid, Spain
| | - B Comeche
- Infectious Diseases Unit, Ramón y Cajal Hospital, Madrid, Spain
| | - R Ron
- Infectious Diseases Unit, Ramón y Cajal Hospital, Madrid, Spain
| | | | - P M Ramos
- Department of Dermatology, São Paulo State University, Botucatu, Brazil
| | - F A Cadegiani
- Department of Clinical Endocrinology, Federal University of São Paulo Medical School, Sao Paulo, Brazil
| | - M Kovacevic
- Department of Dermatology and Venereology, Hospital Sestre Milosrdnice, Zagreb, Croatia
| | - A Tosti
- Department of Dermatology and Cutaneous Surgery, Miller School of Medicine, University of Miami, Miami, FL, USA
| | - J Shapiro
- Ronald O. Perelman Department of Dermatology at the New York University School of Medicine, New York, NY, USA
| | - R Sinclair
- Sinclair Dermatology, Melbourne, VIC, Australia
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Ramos PM, Anzai A, Duque-Estrada B, Melo DF, Sternberg F, Santos LDN, Alves LD, Mulinari-Brenner F. Consensus on the treatment of alopecia areata - Brazilian Society of Dermatology. An Bras Dermatol 2020; 95 Suppl 1:39-52. [PMID: 33183894 PMCID: PMC7772599 DOI: 10.1016/j.abd.2020.05.006] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2020] [Accepted: 05/15/2020] [Indexed: 12/19/2022] Open
Abstract
BACKGROUND Alopecia areata is a highly frequent disease with an impact on quality of life and several treatment options with little clinical confirmatory evidence. OBJECTIVE To disseminate the recommendations of Brazilian dermatologists with expertise in the treatment of alopecia areata. METHODS Eight specialists with expertise in alopecia areata from different university centers were appointed by the Brazilian Society of Dermatology to reach a consensus on its treatment. Based on the adapted DELPHI methodology, the relevant elements were considered; then, an analysis of recent literature was carried out and the consensus was written down. Consensus on the management of alopecia areata was defined with the approval of at least 70% of the panel. RESULTS/CONCLUSIONS Intralesional injectable corticotherapy was considered the first option for localized disease in adults. In extensive cases with signs of activity, systemic corticosteroid therapy should be considered and can be used together with immunosuppressants (corticosteroid-sparing agents). The use of an immunosensitizer (diphencyprone) is an option for stable long-term cases. Evaluation of side effects is as important as the rate of hair regrowth.
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Affiliation(s)
- Paulo Müller Ramos
- Department of Dermatology and Radiotherapy, Universidade Estadual Paulista, Botucatu, SP, Brazil.
| | - Alessandra Anzai
- Department of Dermatology, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Bruna Duque-Estrada
- Centro de Estudos dos Cabelos, Instituto de Dermatologia Prof. Rubem David Azulay, Santa Casa da Misericórdia do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Daniel Fernandes Melo
- Department of Dermatology, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Flavia Sternberg
- Department of Dermatology, Universidade Federal de São Paulo, São Paulo, SP, Brazil
| | - Leopoldo Duailibe Nogueira Santos
- Department of Medicine, Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil; Department of Dermatology and Allergology, Hospital do Servidor Público Municipal, São Paulo, SP, Brazil
| | - Lorena Dourado Alves
- Department of Tropical Medicine and Dermatology, Universidade Federal de Goiás, Goiânia, GO, Brazil
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Ianhez M, Ramos PM, Goren A, Miot HA. Androgen sensitivity in COVID-19 and antiandrogens: Prospective data are still needed. Dermatol Ther 2020; 33:e14166. [PMID: 32772478 PMCID: PMC7435489 DOI: 10.1111/dth.14166] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Revised: 07/29/2020] [Accepted: 08/02/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Mayra Ianhez
- Department of Tropical Medicine and Dermatology, Federal University of Goiás, Goiânia, Goiás, Brazil
| | - Paulo Müller Ramos
- Department of Dermatology and Radiotherapy, São Paulo State University-UNESP, Botucatu, São Paulo, Brazil
| | | | - Hélio Amante Miot
- Department of Dermatology and Radiotherapy, São Paulo State University-UNESP, Botucatu, São Paulo, Brazil
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Miot HA, Ianhez M, Ramos PM. Trends in bibliometric indexes of the main dermatology journals (2009 to 2019). J Am Acad Dermatol 2020; 85:782-783. [PMID: 32866551 PMCID: PMC7455514 DOI: 10.1016/j.jaad.2020.08.102] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Revised: 08/17/2020] [Accepted: 08/20/2020] [Indexed: 10/26/2022]
Affiliation(s)
- Hélio Amante Miot
- Departmento de Dermatologia e Radioterapia, Universidade Estadual Paulista "Júlio de Mesquita Filho," Botucatu, Brazil
| | - Mayra Ianhez
- Departamento de Doenças Infecciosas e Dermatologia, Universidade Federal de Goiás, Goiânia, Brazil
| | - Paulo Müller Ramos
- Departmento de Dermatologia e Radioterapia, Universidade Estadual Paulista "Júlio de Mesquita Filho," Botucatu, Brazil.
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Ramos PM, Anzai A, Duque-Estrada B, Farias DC, Melo DF, Mulinari-Brenner F, Pinto GM, Abraham LS, Santos LDN, Pirmez R, Miot HA. Risk factors for frontal fibrosing alopecia: A case-control study in a multiracial population. J Am Acad Dermatol 2020; 84:712-718. [PMID: 32835739 DOI: 10.1016/j.jaad.2020.08.076] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2020] [Revised: 08/11/2020] [Accepted: 08/14/2020] [Indexed: 12/20/2022]
Abstract
BACKGROUND Frontal fibrosing alopecia (FFA) is a chronic cicatricial alopecia with unknown etiology and a worldwide rising incidence. OBJECTIVE The objective of this study was to evaluate the association of FFA with demographic and exposure factors in a Brazilian multiracial population. METHODS A multicenter case-control study was conducted in 11 referral centers throughout Brazil. The study was a case-control study that prospectively recruited 902 participants (451 patients with FFA and 451 sex-matched control individuals). Study participants completed a thorough questionnaire comprising variables grouped as baseline demographics, environmental exposure, diet, hormonal factors, allergies, and hair and skin care. RESULTS When adjusted by sex, age, menopause, and skin color, FFA was associated with hair straightening with formalin (odds ratio [OR], 3.18), use of ordinary (nondermatologic) facial soap (OR, 2.09) and facial moisturizer (OR, 1.99), thyroid disorders (OR, 1.69), and rosacea (OR, 2.08). Smokers (OR, 0.33) and users of antiresidue/clarifying shampoo (OR, 0.35) presented a negative association with FFA. There was no association with the use of sunscreen. LIMITATIONS Recall bias. CONCLUSIONS The association with moisturizers, ordinary facial soap, and hair straightening with formalin and the negative association with antiresidue/clarifying shampoo reinforce the possibility of an exogenous particle triggering FFA.
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Affiliation(s)
| | | | | | | | | | | | | | | | | | - Rodrigo Pirmez
- Santa Casa de Misericórdia do Rio de Janeiro, Rio de Janeiro, Brazil
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Lemes LR, Melo DF, de Oliveira DS, de La-Rocque M, Zompero C, Ramos PM. Topical and oral minoxidil for hair disorders in pediatric patients: What do we know so far? Dermatol Ther 2020; 33:e13950. [PMID: 32614119 DOI: 10.1111/dth.13950] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2020] [Accepted: 06/26/2020] [Indexed: 12/11/2022]
Abstract
Minoxidil is a strong arterial vasodilator, first introduced as an antihypertensive medication. In dermatology, topical minoxidil (TMX) has been used for many types of alopecia. TMX is not FDA-approved in patients under 18 years old and there are no guidelines for its pediatric use. Low-dose oral minoxidil (OMX) has been used off-label for hair loss treatment in adults expecting to achieve better therapeutic compliance and greater clinical efficacy. However, little is known about TMX and OMX in pediatric population. the literature presented on TMX and OMX in children to date was reviewed. The terms "minoxidil", "child", "children", "childhood", and "infant" were used to perform a literature search in MEDLINE through PubMed. The search was limited to articles about humans and available in English. While 25 relevant articles were selected, duplicate titles were excluded. This article pointed out the use of minoxidil in several pediatric hair diseases. Even when used topically, dermatologists should be aware of potential risks of systemic absorption. In particular situations, OMX in very low doses may be considered. To date, there are no guidelines regarding the ideal dose or minimum age for using the drug topically or systemically.
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Affiliation(s)
- Luciana Rodino Lemes
- Department of Dermatology, University of State of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Daniel Fernandes Melo
- Department of Dermatology, University of State of Rio de Janeiro, Rio de Janeiro, Brazil
| | | | | | | | - Paulo Müller Ramos
- Department of Dermatology, São Paulo State University-UNESP, Botucatu, Brazil
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McCoy J, Wambier CG, Vano-Galvan S, Shapiro J, Sinclair R, Ramos PM, Washenik K, Andrade M, Herrera S, Goren A. Racial variations in COVID-19 deaths may be due to androgen receptor genetic variants associated with prostate cancer and androgenetic alopecia. Are anti-androgens a potential treatment for COVID-19? J Cosmet Dermatol 2020; 19:1542-1543. [PMID: 32333494 PMCID: PMC7267367 DOI: 10.1111/jocd.13455] [Citation(s) in RCA: 69] [Impact Index Per Article: 17.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2020] [Revised: 04/20/2020] [Accepted: 04/21/2020] [Indexed: 12/20/2022]
Affiliation(s)
| | - Carlos G Wambier
- Department of Dermatology, The Warren Alpert Medical School of Brown University, Providence, RI, USA
| | - Sergio Vano-Galvan
- Trichology Unit, Dermatology Department, Ramon y Cajal Hospital, IRYCIS, University of Alcala, Madrid, Spain
| | - Jerry Shapiro
- Department of Dermatology, New York University Langone Medical Center, New York City, NY, USA
| | - Rodney Sinclair
- Department of Medicine, University of Melbourne, Melbourne, Vic., Australia
| | - Paulo Müller Ramos
- Department of Dermatology, São Paulo State University-UNESP, São Paulo, Brazil
| | - Kenneth Washenik
- Ronald O. Perelman Department of Dermatology, New York University School of Medicine, New York, NY, USA
| | - Murilo Andrade
- Division of Urology, Department of Surgery and Anatomy, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirao Preto, Brazil
| | - Sabina Herrera
- Infectious Diseases Department, Hospital Universitario Ramón y Cajal, Madrid, Spain
| | - Andy Goren
- Applied Biology, Irvine, CA, USA.,Department of Dermatology and Venereology, Clinical Hospital Center Sestre Milosrdnice, Zagreb, Croatia
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Wambier CG, Goren A, Vaño-Galván S, Ramos PM, Ossimetha A, Nau G, Herrera S, McCoy J. Androgen sensitivity gateway to COVID-19 disease severity. Drug Dev Res 2020; 81:771-776. [PMID: 32412125 PMCID: PMC7273095 DOI: 10.1002/ddr.21688] [Citation(s) in RCA: 107] [Impact Index Per Article: 26.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2020] [Revised: 05/04/2020] [Accepted: 05/06/2020] [Indexed: 01/25/2023]
Abstract
In this communication, we present arguments for androgen sensitivity as a likely determinant of COVID‐19 disease severity. The androgen sensitivity model explains why males are more likely to develop severe symptoms while children are ostensibly resistant to infection. Further, the model explains the difference in COVID‐19 mortality rates among different ethnicities. Androgen sensitivity is determined by genetic variants of the androgen receptor. The androgen receptor regulates transcription of the transmembrane protease, serine 2 (TMPRSS2), which is required for SARS‐CoV‐2 infectivity. TMPRSS2 primes the Spike protein of the virus, which has two consequences: diminishing viral recognition by neutralizing antibodies and activating SARS‐CoV‐2 for virus‐cell fusion. Genetic variants that have been associated with androgenetic alopecia, prostate cancer, benign prostatic hyperplasia and polycystic ovary syndrome could be associated with host susceptibility. In addition to theoretical epidemiological and molecular mechanisms, there are reports of high rates of androgenetic alopecia of from hospitalized COVID‐19 patients due to severe symptoms. Androgen sensitivity is a likely determinant of COVID‐19 disease severity. We believe that the evidence presented in this communication warrants the initiation of trials using anti‐androgen agents.
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Affiliation(s)
- Carlos Gustavo Wambier
- Department of Dermatology, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA
| | - Andy Goren
- Applied Biology, Inc., Irvine, California, USA
| | | | - Paulo Müller Ramos
- Department of Dermatology and Radiotherapy, São Paulo State University - UNESP, São Paulo, Brazil
| | | | - Gerard Nau
- Division of Infectious Diseases, Department of Medicine, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA
| | - Sabina Herrera
- Trichology Unit, Hospital Universitario Ramón y Cajal, Madrid, Spain
| | - John McCoy
- Applied Biology, Inc., Irvine, California, USA
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38
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Merlotto MR, Ramos PM, Miot HA. Pattern hair loss: Assessment of microinflammation in miniaturized and terminal hair follicles through horizontal histologic sections. J Am Acad Dermatol 2020; 83:e145-e146. [PMID: 32315658 DOI: 10.1016/j.jaad.2020.03.119] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2020] [Accepted: 03/22/2020] [Indexed: 11/24/2022]
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39
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Silva MNE, Ramos PM, Raposo NRB. Comparison of the hair shafts count between a manual and a customized method. Skin Res Technol 2020; 26:949-950. [PMID: 32227381 DOI: 10.1111/srt.12869] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2020] [Accepted: 02/29/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Marcella Nascimento E Silva
- Núcleo de Pesquisa e Inovacão em Ciências da Saúde (NUPICS), Universidade Federal de Juiz de Fora, Juiz de Fora, Brazil
| | - Paulo Müller Ramos
- Departamento de Dermatologia e Radioterapia, Universidade Estadual Paulista - UNESP, Botucatu, Brazil
| | - Nádia Rezende Barbosa Raposo
- Núcleo de Pesquisa e Inovacão em Ciências da Saúde (NUPICS), Universidade Federal de Juiz de Fora, Juiz de Fora, Brazil
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40
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Okita AL, Steiner D, Berbert Ferreira S, Müller Ramos P, Ferreira W, Silveira R, Mussi ML, Vaidergorn RE, Berbert Ferreira R. Treatment of Male-Pattern Alopecia with Platelet-Rich Plasma. Skin Appendage Disord 2019; 6:97-101. [PMID: 32258052 DOI: 10.1159/000504346] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2019] [Accepted: 10/23/2019] [Indexed: 12/13/2022] Open
Abstract
Background Androgenetic alopecia (AGA) affects up to 80% of men and 50% of women throughout their lifetime, causing significant discomfort. Minoxidil, finasteride, and low-level laser light therapy are the only Food and Drug Administration-approved treatments for AGA, and they have shown positive results in randomized controlled trials and meta-analyses. However, their efficacy is limited, and new therapies are needed. Injection of platelet-rich plasma (PRP), a minimally invasive technique, has been described by several authors as a promising treatment for AGA. Although many studies report beneficial effects of PRP on AGA, there is no standardized practice for PRP preparation and administration or a standard method to evaluate results. Objective The aim of this study was to evaluate the efficacy of manually prepared PRP in the treatment of male AGA. Materials and Methods We treated 20 male patients with AGA with 3 monthly injections of PRP and analyzed results by TrichoScan®. Results In this study, there was no statistically significant improvement in hair count or proportion of anagen hairs. Conclusions This lack of response could be related to any of the variables during PRP preparation described above and also to the limited number of patients in the study.
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Affiliation(s)
- Aline Lissa Okita
- Departamento de Dermatologia da Universidade de Mogi das Cruzes, São Paulo, Brazil
| | - Denise Steiner
- Departamento de Dermatologia da Universidade de Mogi das Cruzes, São Paulo, Brazil
| | | | | | - Walter Ferreira
- Centro Paranaense de Estudos em Dermatologia, São Paulo, Brazil
| | - Rebecca Silveira
- Departamento de Dermatologia da Universidade de Mogi das Cruzes, São Paulo, Brazil
| | - Maria Luiza Mussi
- Departamento de Dermatologia da Universidade de Mogi das Cruzes, São Paulo, Brazil
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41
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Ramos PM, Sinclair R, Miot HA, Goren A. Sulfotransferase activity in plucked hair follicles predicts response to topical minoxidil treatment in Brazilian female pattern hair loss patients. Dermatol Ther 2019; 33:e13195. [PMID: 31846181 DOI: 10.1111/dth.13195] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2019] [Revised: 12/11/2019] [Accepted: 12/13/2019] [Indexed: 11/28/2022]
Affiliation(s)
- Paulo Müller Ramos
- Department of Dermatology and Radiotherapy, São Paulo State University-UNESP, Botucatu, SP, Brazil
| | | | - Hélio Amante Miot
- Department of Dermatology and Radiotherapy, São Paulo State University-UNESP, Botucatu, SP, Brazil
| | - Andy Goren
- Applied Biology, Inc., Irvine, California
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Marques SA, Merlotto MR, Ramos PM, Marques MEA. American tegumentary leishmaniasis: severe side effects of pentavalent antimonial in a patient with chronic renal failure. An Bras Dermatol 2019; 94:355-357. [PMID: 31365669 PMCID: PMC6668951 DOI: 10.1590/abd1806-4841.20198388] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2018] [Accepted: 08/09/2018] [Indexed: 01/12/2023] Open
Abstract
Pentavalent antimonials are the first-line drug treatment for American tegumentary leishmaniasis. We report on a patient with chronic renal failure on hemodialysis who presented with cutaneous lesions of leishmaniasis for four months. The patient was treated with intravenous meglumine under strict nephrological surveillance, but cardiotoxicity, acute pancreatitis, pancytopenia, and cardiogenic shock developed rapidly. Deficient renal clearance of meglumine antimoniate can result in severe toxicity, as observed in this case. These side effects are related to cumulative plasma levels of the drug. Therefore, second-line drugs like amphotericin B are a better choice for patients on dialysis.
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Affiliation(s)
- Sílvio Alencar Marques
- Department of Dermatology, Faculdade de Medicina de Botucatu,
Universidade Estadual Paulista, Botucatu (SP), Brazil
| | - Maira Renata Merlotto
- Department of Dermatology, Faculdade de Medicina de Botucatu,
Universidade Estadual Paulista, Botucatu (SP), Brazil
| | - Paulo Müller Ramos
- Department of Dermatology, Faculdade de Medicina de Botucatu,
Universidade Estadual Paulista, Botucatu (SP), Brazil
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Affiliation(s)
- Paulo Müller Ramos
- Department of Dermatology, Faculdade de Medicina, Universidade
Estadual Paulista, Botucatu (SP), Brazil
| | - Helio Amante Miot
- Department of Dermatology, Faculdade de Medicina, Universidade
Estadual Paulista, Botucatu (SP), Brazil
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Shimizu GKM, Wedy GF, Schaefer LV, Ramos PM, Miot HA. Translation into Portuguese language (Brazil), transcultural adaptation and validation of the quality of life questionnaire in female pattern hair loss (WAA-QoL-BP). An Bras Dermatol 2018; 93:701-706. [PMID: 30156620 PMCID: PMC6106656 DOI: 10.1590/abd1806-4841.20187452] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2017] [Accepted: 10/20/2017] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND Female pattern hair loss (FPHL) is a common complaint in adult women and inflicts major impact in quality of life, however, there is no specific questionnaire available in Portuguese for such evaluation. OBJECTIVES Translation into Brazilian Portuguese, cultural adaptation and validation of the WAA-QoL (Women's Androgenetic Alopecia Quality of Life Questionnaire). METHODS Methodological study. After authorization by the author, cultural (linguistic) translation and adaptation to Portuguese of the WAA-QoL questionnaire were carried out. The translated version (WAA-QoL-BP) and DLQI (Dermatology Life Quality index) were submitted to patients with FPHL for concurrent validation. Twenty patients were reevaluated to assess temporal stability. RESULTS A total of 116 patients with APF were evaluated, the mean age (SD) was 47 (14) years, and 89 (76%) patients were classified as grades II and III (Sinclair). There was high internal consistency: Cronbach´s alpha was 0.97 for the WAA-QoL-BP and 0.87 for the DLQI. The correlation between WAA-QoL and DLQI resulted in (rho) 0.81 (p <0.01). The intraclass correlation coefficient for complete agreement of WAA-QoL-BP was 0.95 (p <0.01) in the test-retest comparison. STUDY LIMITATIONS Sampling of patients only from the State of São Paulo. CONCLUSIONS A Brazilian version for WAA-QoL was translated and adapted, which proved to be valid and consistent.
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Affiliation(s)
- Gisele Keiko Machado Shimizu
- Division of Dermatology, Faculdade de Medicina, Universidade do
Oeste Paulista, Presidente Prudente (SP), Brazil
| | - Gláucia Ferreira Wedy
- Division of Dermatology, Faculdade de Medicina, Universidade do
Oeste Paulista, Presidente Prudente (SP), Brazil
| | - Luiza Vasconcelos Schaefer
- Division of Dermatology, Faculdade de Medicina, Universidade do
Oeste Paulista, Presidente Prudente (SP), Brazil
| | - Paulo Müller Ramos
- Outpatient clinic of Trichoses, Department of Dermatology and
Radiotherapy, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista,
Botucatu (SP), Brazil
| | - Hélio Amante Miot
- Department of Dermatology and Radiotherapy, Faculdade de Medicina de
Botucatu, Universidade Estadual Paulista, Botucatu (SP), Brazil
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45
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Dias PCR, Miot HA, Trüeb RM, Ramos PM. Use of Minoxidil Sulfate versus Minoxidil Base in Androgenetic Alopecia Treatment: Friend or Foe? Skin Appendage Disord 2018; 4:349-350. [PMID: 30410915 DOI: 10.1159/000488011] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2018] [Accepted: 02/26/2018] [Indexed: 11/19/2022] Open
Affiliation(s)
| | - Hélio Amante Miot
- Dermatology Department, São Paulo State University - UNESP, Botucatu, Brazil
| | - Ralph Michel Trüeb
- Center for Dermatology and Hair Diseases Professor Trüeb, Zurich-Wallisellen, Switzerland
| | - Paulo Müller Ramos
- Dermatology Department, São Paulo State University - UNESP, Botucatu, Brazil
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Ramos PM, Brianezi G, Martins ACP, Silva MGD, Marques MEA, Miot HA. Aryl hydrocarbon receptor overexpression in miniaturized follicles in female pattern hair loss. An Bras Dermatol 2018; 92:430-431. [PMID: 29186269 PMCID: PMC5514597 DOI: 10.1590/abd1806-4841.20175150] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2015] [Accepted: 04/01/2016] [Indexed: 11/25/2022] Open
Abstract
The etiopathogenesis of female pattern hair loss is still poorly understood. In
addition to genetic and hormonal elements, environmental factors could be
involved. The aryl hydrocarbon receptor is expressed in keratinocytes and can be
activated by environmental pollutants leading to alterations in the cell cycle,
inflammation, and apoptosis. Here we demonstrate the overexpression of nuclear
aryl hydrocarbon receptors in miniaturized hair follicles in female pattern hair
loss.
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Affiliation(s)
- Paulo Müller Ramos
- Department of Dermatology and Radiotherapy - Faculdade de Medicina de Botucatu - Universidade Estadual Paulista "Júlio de Mesquita Filho" (FMB-UNESP) - Botucatu (SP), Brazil
| | - Gabrielli Brianezi
- Department of Pathology - Faculdade de Medicina de Botucatu - Universidade Estadual Paulista "Júlio de Mesquita Filho" (FMB-UNESP) - Botucatu (SP), Brazil
| | - Ana Carolina Pereira Martins
- Department of Pathology - Faculdade de Medicina de Botucatu - Universidade Estadual Paulista "Júlio de Mesquita Filho" (FMB-UNESP) - Botucatu (SP), Brazil
| | - Márcia Guimarães da Silva
- Department of Pathology - Faculdade de Medicina de Botucatu - Universidade Estadual Paulista "Júlio de Mesquita Filho" (FMB-UNESP) - Botucatu (SP), Brazil
| | - Mariângela Esther Alencar Marques
- Department of Pathology - Faculdade de Medicina de Botucatu - Universidade Estadual Paulista "Júlio de Mesquita Filho" (FMB-UNESP) - Botucatu (SP), Brazil
| | - Hélio Amante Miot
- Department of Dermatology and Radiotherapy - Faculdade de Medicina de Botucatu - Universidade Estadual Paulista "Júlio de Mesquita Filho" (FMB-UNESP) - Botucatu (SP), Brazil
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Abstract
Female Pattern Hair Loss or female androgenetic alopecia is the main cause of hair loss in adult women and has a major impact on patients' quality of life. It evolves from the progressive miniaturization of follicles that lead to a subsequent decrease of the hair density, leading to a non-scarring diffuse alopecia, with characteristic clinical, dermoscopic and histological patterns. In spite of the high frequency of the disease and the relevance of its psychological impact, its pathogenesis is not yet fully understood, being influenced by genetic, hormonal and environmental factors. In addition, response to treatment is variable. In this article, authors discuss the main clinical, epidemiological and pathophysiological aspects of female pattern hair loss.
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Guiotoku MM, Ramos PM, Miot HA, Marques SA. Trichobacteriosis: case report and dermoscopic study. An Bras Dermatol 2012; 87:315-6. [PMID: 22570043 DOI: 10.1590/s0365-05962012000200023] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2011] [Accepted: 06/08/2011] [Indexed: 11/22/2022] Open
Abstract
The authors report a case of axillary trichobacteriosis in a 16 year-old patient whose complaints were bromhidrosis and hyperhidrosis axillaris. Although it can be diagnosed clinically, dermoscopy may be useful in some cases and reveal remarkable academic images.
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Affiliation(s)
- Marcelo Massaki Guiotoku
- Faculdade de Medicina de Botucatu, Universidade Estadual Paulista Julio de Mesquita Filho, Botucatu, SP, Brazil.
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Miot HA, Ramos PM. Reforma ortográfica da língua portuguesa no Brasil e na dermatologia. An Bras Dermatol 2011; 86:176-8. [DOI: 10.1590/s0365-05962011000100036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2009] [Accepted: 11/27/2009] [Indexed: 05/26/2023] Open
Abstract
A reforma ortográfica da língua portuguesa promoveu modificações na escrita em menos de 2% das palavras do vocabulário, porém essas alterações têm-se mostrado sensíveis no cotidiano médico. Os autores apresentam as principais mudanças das regras ortográficas e reúnem um grupo de exemplos de palavras cuja grafia foi alterada pela nova reforma, enfatizando os termos dermatológicos.
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Abstract
INTRODUCTION Peripheral arterial disease is a severe manifestation of atherosclerosis that can lead to critical ischemia of the lower limbs and is also associated with high cardiovascular risk. Diagonal lobular and anterior tragal ear creases have been associated with coronary artery disease, but they have not yet been investigated in patients with peripheral arterial disease. OBJECTIVES To evaluate the prevalence of ear creases among patients with peripheral arterial disease of the lower limbs, compared with patients without documented atherosclerotic disease. METHODS Cross-sectional study including 60 male patients with peripheral arterial disease of the lower limbs and 60 dermatologic outpatients matched for age and gender. The associations were adjusted for other risk factors by conditional logistic regression. RESULTS The prevalence of diagonal and anterior tragal ear creases was higher among cases (73% vs. 25% and 80% vs. 43%, respectively) than controls; these associations remained significant even when adjusting for other known risk factors of atherosclerosis (odds ratio = 8.1 and 4.1, respectively). CONCLUSIONS Ear creases are independently associated with peripheral arterial disease and may be an external marker for risk identification.
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