Publications by authors named "Caio Cesar Silva de Castro"

Objectives: Vitiligo is an autoimmune disease resulting in skin depigmentation and individuals report substantial psychosocial burden. However, vitiligo-related quality of life impacts appear heterogeneous and may be influenced by social determinants of health. This cross-sectional survey aimed to describe characteristics and vitiligo-related quality of life impacts among adults in Brazil, China, India, and South Africa.

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Background: Atopic dermatitis (AD) burden increases with disease severity.

Objective: Characterize the real-world burden of AD in Brazil, Mexico, and Argentina.

Methods: MEASURE-AD enrolled patients (≥12-years old) with moderate to severe AD receiving or candidates for systemic therapy between December 2019-December 2020.

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Background: Psoriasis, a chronic, inflammatory skin disease, requires long-term therapy. Risankizumab is a humanized immunoglobulin G1 monoclonal antibody that specifically inhibits interleukin 23 by binding to its p19 subunit.

Objective: The authors assessed the efficacy and safety of risankizumab compared with methotrexate in adults with moderate-to-severe plaque psoriasis.

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Article Synopsis
  • Atopic dermatitis is a chronic skin condition influenced by multiple factors including skin barrier issues, immune response, and genetic predisposition, affecting not just the skin but also other organs like the airways, eyes, and digestive system.
  • The disease manifests differently based on various factors such as age, environment, and genetic background, leading to different phenotypes and health complications.
  • Understanding the complex causes of atopic dermatitis helps in identifying effective treatments and managing triggering factors for better patient outcomes.
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Vitiligo is a common chronic autoimmune disorder characterized by skin and hair depigmentation that affects 0.5%-2.0% of the global population.

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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.

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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.

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Article Synopsis
  • Sensorineural hearing loss (SNHL) is commonly found in patients with non-segmental vitiligo (NSV) and may be linked to immune-mediated inner ear disease (IMIED).
  • A study involving 112 NSV patients and 23 controls found a significantly higher prevalence of bilateral SNHL among the NSV group (25% compared to 4.3% in controls).
  • The study identified a notable presence of anti-Hsp70 antibodies in NSV patients with SNHL, indicating a likely connection between NSV and IMIED, which can aid in early diagnosis.
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Vitiligo is an autoimmune disease of the skin that results in localized or disseminated white macules. One common feature of several existing classification protocols is the distribution of the disease into two main subtypes, non-segmental vitiligo (NSV) and segmental vitiligo (SV). SV is characterized by depigmentation spreading within one or more skin segments while NSV is widespread.

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Vitiligo is a complex disease whose pathogenesis results from the interaction of genetic components, metabolic factors linked to cellular oxidative stress, melanocyte adhesion to the epithelium, and immunity (innate and adaptive), which culminate in aggression against melanocytes. In vitiligo, melanocytes are more sensitive to oxidative damage, leading to the increased expression of proinflammatory proteins such as HSP70. The lower expression of epithelial adhesion molecules, such as DDR1 and E-cadherin, facilitates damage to melanocytes and exposure of antigens that favor autoimmunity.

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Background: Vitiligo is a muco-cutaneous, autoimmune, localized, or disseminated disease, which manifests through hypochromic or achromic macules, with loss in quality of life. The prevalence of vitiligo in Brazil was determined to be 0.54%.

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Vitiligo is a disease that causes macules and achromic and/or hypochromic patches, which can affect from small areas to the entire tegument. Treatment options are few and are generally ineffective. Recently, some case reports have appeared which show positive results with the use of Janus kinase inhibitors associated with phototherapy.

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The aetiology of vitiligo has not been fully elucidated, and several hypotheses have been investigated; among them, the most explored assumes an autoimmune basis for the disease. Supporting this hypothesis is the frequent co-occurrence of autoimmune diseases with vitiligo. In addition, various genetic loci associated with vitiligo harbour key immune response genes.

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Although the association of multiple autoimmune diseases has already been widely described, no reports of the association between vitiligo, primary biliary cirrhosis and Sjogren's syndrome were retrieved in the SciELO and PubMed databases. The authors describe the case of a female patient who was diagnosed with primary biliary cirrhosis and Sjogren's syndrome at age 54. At age 58, she developed vitiligo restricted to the face, associated with significant impairment of self-esteem and quality of life.

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Article Synopsis
  • The study aimed to assess the severity of chronic plaque psoriasis in Brazil and its impact on lifestyle and health-related quality of life (HRQOL).
  • Out of 1125 patients, 18.2% were found to have moderate-to-severe psoriasis, which was linked to issues like physical inactivity, pain, anxiety, and depression.
  • Limitations include the inability to establish causality due to the observational nature and cross-sectional design of the study.
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Article Synopsis
  • Surgical management of vitiligo is a viable option for stubborn cases, especially when the disease is stable and shows no Koebner phenomenon.
  • Suction Blister Epidermal Graft is an effective and affordable treatment, achieving 65 to 100% repigmentation in about 80% of patients.
  • The procedure can be improved by utilizing different suction equipment, customizing the graft format, and applying a specialized anesthetic technique to reduce the time needed for the procedure.
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Because defects in adhesion impairment seem to be involved in the etiopathogenesis of vitiligo, this study aimed to compare the immunohistochemical expression of several adhesion molecules in the epidermis of vitiligo and non lesional vitiligo skin. Sixty-six specimens of lesional and non lesional skin from 33 volunteers with vitiligo were evaluated by immunohistochemistry using anti-beta-catenin, anti-E-cadherin, anti-laminin, anti-beta1 integrin, anti-collagen IV, anti-ICAM-1 and anti-VCAM-1 antibodies. Biopsies of vitiligo skin demonstrated a significant reduction in the expression of laminin and integrin.

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