Publications by authors named "Borzutzky A"

Objective: To evaluate the effectiveness of weekly vitamin D supplementation in reducing the number of acute respiratory infections (ARI) in preschool children.

Study Design: Randomized, double-blind, placebo-controlled trial in 303 children aged 1.5-3.

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  • Vitamin D deficiency is common in children with atopic dermatitis (AD) and may relate to the disease's severity, but past studies on Vitamin D supplementation have produced mixed results.
  • A randomized controlled trial with 101 children showed that while Vitamin D3 supplementation improved vitamin D levels, it did not significantly reduce the severity of AD or affect type 2 immunity markers compared to a placebo.
  • The study concludes that despite improving vitamin D status, weekly supplementation does not impact AD severity or related biomarkers in these patients.
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Takayasu arteritis (TA) is a large-vessel vasculitis that rarely presents in infancy. Casitas B-lineage lymphoma (CBL) syndrome is a rare genetic disorder due to heterozygous CBL gene germline pathogenic variants that is characterized by a predisposition to develop juvenile myelomonocytic leukemia (JMML). Vasculitis, including TA, has been reported in several patients.

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Background: Maternal overweight and obesity have been associated with an increased risk of atopic dermatitis (AD) in the offspring, but the underlying mechanisms are unclear. Vernix caseosa (VC) is a proteolipid material covering the fetus produced during skin development. However, whether maternal prepregnancy weight excess influences fetal skin development is unknown.

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Aims: An increase in type 1 diabetes (T1D) incidence has been observed in several countries during the COVID-19 pandemic. The objective of this study is to determine T1D incidence trends in Chilean children between 2006 and 2021, and specifically evaluate the effect of the COVID-19 pandemic in this population.

Methods: We reviewed mandatory notifications of T1D in Chile's public and private health system in youth < 20 years between 2006 and 2021, and compared COVID-19 pre-pandemic and pandemic incidence.

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  • A study was conducted to evaluate the potential of pegylated IFNβ-1a in reducing COVID-19 transmission among household contacts of infected individuals in Santiago, Chile, from December 2020 to June 2021.
  • The trial involved 1,172 participants, with households randomly assigned to receive the IFN treatment or standard care, while safety and effectiveness on viral shedding and transmission were monitored.
  • Results indicated no significant effect of IFNβ-1a on the duration of viral shedding or transmission among household contacts, showing the absolute risk reductions were negligible for both outcomes.
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Background And Objectives: Interferons have been identified as a potential treatment alternative for coronavirus disease 2019. This study assessed the safety, tolerability, bioavailability, and biological activity of inhaled interferon-α2b (IFN)-α2b in healthy adults.

Methods: A double-blind, randomized, phase I clinical trial was conducted with two cohorts of healthy subjects aged 18-50 years.

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Background: Maternal obesity (MO) is associated with a higher risk of immune-mediated diseases in the offspring and higher leptin levels in cord blood (CB). This study evaluates the number and function of lymphocyte subtypes in CB related to MO and its relationship with leptin concentration and leptin receptor expression.

Methods: Pregnant women with (n = 32) or without obesity (n = 41) were enrolled at delivery.

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Introduction: Atopic dermatitis (AD) is a chronic, pruritic skin disease caused by a mixture of genetic, immunological, and environmental factors, characterized by periods of inflammation and remission. In Latin America (LA), the prevalence of AD ranges up to 25% in children and 1-3% in adults. The natural history of the disease for most patients is that AD goes into remission in adolescence and adult life.

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Objectives: Takayasu arteritis (TAK) is a large-vessel vasculitis rarely reported in children and infants. Most articles on paediatric TAK have not focused on infants. We present the largest case series of infantile TAK, aiming to identify its demographic and clinical characteristics and compare them with existing data on older children.

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  • Vitamin D3 supplementation over six weeks improved vitamin D status and reduced the severity of atopic dermatitis (AD) in children, as indicated by a decrease in SCORAD scores.
  • The study showed significant increases in the expression of the vitamin D receptor (VDR) and the antimicrobial peptide Cathelicidin (CAMP/LL-37) in lesional skin but no change in Thymic Stromal Lymphopoietin (TSLP).
  • These findings suggest that oral vitamin D3 may offer therapeutic benefits for managing AD by enhancing skin's immune responses.
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  • Lupin is becoming more popular in the food market, but reports of lupin allergies (LA) are also on the rise, especially among those already allergic to peanuts.
  • The study aimed to investigate the link between peanut and lupin allergies and identify which lupin species might trigger reactions.
  • Results showed that a significant number of peanut allergy (PA) patients also had LA, with anaphylaxis being a common outcome after lupin consumption, indicating the need for clear allergen labeling for lupin in foods.
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  • The study investigated the link between obesity and atopic dermatitis (AD) in Chilean children, where obesity rates are high.
  • A case-control approach was used, comparing 174 children with active AD to 101 healthy controls, assessing body mass index (BMI) and abdominal obesity.
  • Results showed similar obesity rates in both groups but identified sex-specific differences in abdominal obesity: girls with AD had higher rates, while boys had lower rates compared to healthy controls.
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Atopic dermatitis (AD) is a systemic, multifactorial disease that causes significant morbidity and health care burden in Latin America (LA). Data on AD are scarce in LA. Lack of disease registries and non-standardized study methodologies, coupled with region-specific genetic, immunological, and environmental factors, hamper data collection.

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Introduction: ANCA-associated vasculitis (AAV) is an infrequent disease in childhood. International literature about pediatric vasculitis is scarce, and it mainly refers to other systemic vasculitides with a higher incidence in childhood, such as IgA vasculitis and Kawasaki disease.

Objective: To describe the clini cal and laboratory characteristics of a series of pediatric cases with AAV.

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  • FLG loss-of-function variants, particularly R501X and 2282del4, were studied for their role in atopic dermatitis among Chileans, revealing a similar prevalence to European groups.
  • In the ARIES cohort, about 6.2% of participants had FLG variants, with slightly higher rates in those with atopic dermatitis (11.1%) compared to those without (5.2%).
  • The study found that while FLG variants were not significantly linked to atopic dermatitis, they were associated with an increased risk of asthma in the Chilean population.
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Background: SARS-CoV-2 infection rapidly spreads in populations due to the high rates of community transmission. Interrupting the shedding of SARS-CoV-2 may reduce the incidence of Coronavirus Disease 19 (COVID-19). Herein we provide a protocol for a cluster randomized trial that will examine the effectiveness of treatment with interferon (IFN) ß-1a compared to standard of care in limiting the transmission of SARS-CoV-2.

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Unlabelled: Diagnosing asthma in preschool children remains an unsolved challenge, at a time when early identification would allow for better education and treatment to prevent morbidity and lung function deterioration.

Objective: To evaluate if the asthma predictive index (API) can be used as surrogate for asthma diagnosis in preschoolers.

Methods: Birth cohort of 339 pregnant women enrolled at delivery and their offspring, who were followed for atopy, wheezing, and other respiratory illnesses through 30 months of age.

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Background: The etiology of Kawasaki disease (KD) is unknown. It is believed that viral infections could trigger the disease in susceptible patients.

Aim: To study the temporal association between the circulation of respiratory viruses and KD hospitalizations in the Metropolitan Region (MR), Chile, between 2010-2017.

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