Publications by authors named "Caio C S Castro"

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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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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A plethora of prolonged COVID-19 symptoms, or late manifestations has been reported after acute disease and labeled "post-COVID". The aim of this study was to identify the prevalence of and risk factors for post-COVID up to 12 weeks after the onset of acute COVID-19. An electronic survey was conducted to evaluate post-COVID-19 symptoms, disease severity, demographics, and pre-existing diseases.

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Vitiligo patients may desire laser hair removal, skin rejuvenation, vascular treatments, and other laser or intense pulsed light (IPL) assisted treatments. However, there is a risk of inducing new depigmented patches (Koebner phenomenon). In absence of guidelines on the safe use of laser or IPL in vitiligo patients, dermatologists tend to be reluctant to administer these treatments.

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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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Interest has increased in comorbidities associated with psoriasis and their effects on health-related quality of life (HRQoL). This study aimed to evaluate the prevalence of metabolic syndrome (MetS) and psoriatic arthritis (PsA) and to investigate HRQoL and the prevalence of hypertension, type 2 diabetes mellitus (T2DM), obesity and dyslipidemia. In a cross-sectional design, patients diagnosed with plaque psoriasis answered an interview and standardized questionnaires (Dermatology Life Quality Index questionnaire [DLQI], 36-Item Short Form Health Survey [SF-36] and EuroQol Five-Dimension Questionnaire Three-Level version [EQ-5D-3L]).

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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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In an unprecedented effort in the field of vitiligo, a global consensus resulted on a suggested new classification protocol for the disease. The main histopathological finding in vitiligo is the total absence of functioning melanocytes in the lesions, while the inflammatory cells most commonly found on the edges of the lesions are CD4+ and CD8+ T lymphocytes. Physical and pharmacological treatment strategies aim to control the autoimmune damage and stimulate melanocyte migration from the unaffected edges of lesions and the outer hair follicle root sheath to the affected skin; moreover, surgical treatments can be combined with topical and physical treatments.

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Vitiligo is a chronic stigmatizing disease, already known for millennia, which mainly affects melanocytes from epidermis basal layer, leading to the development of hypochromic and achromic patches. Its estimated prevalence is 0.5% worldwide.

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The SAPHO syndrome (synovitis, acne, pustulosis, hyperostosis and osteitis) includes a group of findings characterized by bone lesions usually located on the anterior chest wall, often associated with skin lesions. We report the case of a 47 years old patient, with osteochondritis at costoesternal and manubrium-sternal joints, besides of palmar-plantar pustulosis. The diagnosis is predominantly clinical and there are several treatment options described in the literature.

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