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Hernández-Rivera JCH, Salazar-Mendoza M, Pérez-López MJ, González-Ramos J, Espinoza-Pérez R, Martínez-Álvarez JC, Trejo-Villeda M, Paniagua-Sierra R. Most common HLA alleles associated with risk and/or protection in chronic kidney disease of undetermined etiology. GAC MED MEX 2019. [DOI: 10.24875/gmm.m19000265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Hernández-Rivera JCH, Salazar-Mendoza M, Pérez-López MJ, González-Ramos J, Espinoza-Pérez R, Martínez-Álvarez JC, Trejo-Villeda M, Paniagua-Sierra R. Alelos HLA más comunes y asociados con riesgo o protección en enfermedad renal crónica de etiología no determinada. GAC MED MEX 2019; 155:243-248. [PMID: 31219464 DOI: 10.24875/gmm.19005033] [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] [Indexed: 11/17/2022] Open
Abstract
Introduction Chronic kidney disease accounts for part of overall health expenditure; a potential etiology is related to variations, absence or presence of some human leukocyte antigen (HLA) alleles. Method An analysis of HLA reports of 1965 kidney recipients with no determined etiology, and 1361 kidney donors was performed. It was carried out with Luminex based in cell flow fluorometry for the A, B, DRB1 and DQA loci. An analysis was performed with contingency tables in order to determine the odds ratio (OR) and confidence intervals (CI). Quantitative analysis was also carried out. Results Of the 101 alleles found, 13 showed association, 7 with risk for chronic kidney disease, with the most significant being HLA-DR17 with an OR of 3.91 (95 % CI = 2.96-5.17) and the one with the highest significance for protection being HLA-DR9, with an OR of 0.043 (95 % CI = 0.005-0.3224). Conclusions It is necessary to understand that kidney diseases can be associated with yet unknown immune processes, where the association of the absence or presence of any allele should be known.
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Affiliation(s)
- Juan Carlos H Hernández-Rivera
- Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Unidad de Investigación Médica en Enfermedades Nefrológicas. Ciudad de México, México
| | - Mariana Salazar-Mendoza
- Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Hospital Regional "Lic. Adolfo López Mateos", Servicio de Urgencias. Ciudad de México, México
| | - María Juana Pérez-López
- Instituto Mexicano del Seguro Social, Centro Médico Nacional La Raza, Servicio de Nefrología. Ciudad de México, México
| | - Jaime González-Ramos
- Instituto Mexicano del Seguro Social, Centro Médico Nacional La Raza, Laboratorio de Histocompatibilidad. Ciudad de México, México
| | - Ramón Espinoza-Pérez
- Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Unidad de Trasplante Renal. Ciudad de México, México
| | - Julio César Martínez-Álvarez
- Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Laboratorio de Histocompatibilidad. Ciudad de México, México
| | - Miguel Trejo-Villeda
- Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Unidad de Investigación Médica en Enfermedades Nefrológicas. Ciudad de México, México
| | - Ramón Paniagua-Sierra
- Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Unidad de Investigación Médica en Enfermedades Nefrológicas. Ciudad de México, México
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González-Ramos J, Alonso-Pacheco M, Mora-Rillo M, Herranz-Pinto P. Need to Screen for Chagas Disease and Strongyloides Infestation in Non-endemic Countries Prior to Treatment With Biologics. Actas Dermo-Sifiliográficas (English Edition) 2017. [DOI: 10.1016/j.adengl.2017.02.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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González-Ramos J, Noguera-Morel L, Tong HY, Ramírez E, Ruiz-Bravo E, Bellón T, Cabañas R, Cachafeiro L, Herranz-Pinto P. Two cases of overlap severe cutaneous adverse reactions to benznidazole treatment for asymptomatic Chagas disease in a nonendemic country. Br J Dermatol 2016; 175:604-7. [PMID: 26851874 DOI: 10.1111/bjd.14451] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/11/2016] [Indexed: 01/17/2023]
Abstract
Chagas disease is a parasitosis endemic to South America. It is normally treated with benznidazole as first choice, which has been associated with numerous cutaneous reactions. However, very few benznidazole-associated severe cutaneous adverse reactions have been reported to date. The rise of Chagas disease in nonendemic countries represents a growing public health challenge. We report two patients who met the criteria for drug reaction with eosinophilia and systemic symptoms syndrome and Stevens-Johnson syndrome/toxic epidermal necrolysis according to the RegiSCAR scoring systems. They were thus deemed overlapping cases, with a lymphocyte transformation test positive for benznidazole. Both required intensive care unit admission and both survived. Considering the rising application of this drug for trypanosomiasis in immigrant populations, clinicians should be aware of this newly reported, potentially life-threatening risk.
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Affiliation(s)
- J González-Ramos
- Department of Dermatology, La Paz University Hospital, Researching Consortium PIELenRed, Paseo La Castellana 261, CP 28046, Madrid, Spain.
| | - L Noguera-Morel
- Department of Dermatology, La Paz University Hospital, Researching Consortium PIELenRed, Paseo La Castellana 261, CP 28046, Madrid, Spain
| | - H Y Tong
- Department of Clinical Pharmacology, La Paz University Hospital, Researching Consortium PIELenRed, Paseo La Castellana 261, CP 28046, Madrid, Spain
| | - E Ramírez
- Department of Clinical Pharmacology, La Paz University Hospital, Researching Consortium PIELenRed, Paseo La Castellana 261, CP 28046, Madrid, Spain
| | - E Ruiz-Bravo
- Department of Dermatopathology, La Paz University Hospital, Researching Consortium PIELenRed, Paseo La Castellana 261, CP 28046, Madrid, Spain
| | - T Bellón
- Research Department, La Paz University Hospital, Researching Consortium PIELenRed, Paseo La Castellana 261, CP 28046, Madrid, Spain
| | - R Cabañas
- Department of Allergy, La Paz University Hospital, Researching Consortium PIELenRed, Paseo La Castellana 261, CP 28046, Madrid, Spain
| | - L Cachafeiro
- Department of Intensive Care Unit, La Paz University Hospital, Researching Consortium PIELenRed, Paseo La Castellana 261, CP 28046, Madrid, Spain
| | - P Herranz-Pinto
- Department of Dermatology, La Paz University Hospital, Researching Consortium PIELenRed, Paseo La Castellana 261, CP 28046, Madrid, Spain
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González-Ramos J, Alonso-Pacheco M, Goiburú-Chenú B, Mayor-Ibarguren A, Herranz-Pinto P. Successful treatment of refractory pruritic Fox-Fordyce disease with botulinum toxin type A. Br J Dermatol 2015; 174:458-9. [DOI: 10.1111/bjd.14180] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- J. González-Ramos
- Department of Dermatology; La Paz University Hospital; Paseo La Castellana 261 Madrid CP: 28046 Spain
| | - M.L. Alonso-Pacheco
- Department of Dermatology; La Paz University Hospital; Paseo La Castellana 261 Madrid CP: 28046 Spain
| | - B. Goiburú-Chenú
- Department of Dermatopathology; La Paz University Hospital; Paseo La Castellana 261 Madrid CP: 28046 Spain
| | - A. Mayor-Ibarguren
- Department of Dermatology; La Paz University Hospital; Paseo La Castellana 261 Madrid CP: 28046 Spain
| | - P. Herranz-Pinto
- Department of Dermatology; La Paz University Hospital; Paseo La Castellana 261 Madrid CP: 28046 Spain
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González-Ramos J, González-Silva Y, Hernández-Cano N, Vidaurrázaga-Arcaya C, Herranz-Pinto P. [Disseminated cutaneous larva migrans infestation]. Semergen 2015; 41:458-60. [PMID: 25687573 DOI: 10.1016/j.semerg.2014.12.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2014] [Accepted: 12/04/2014] [Indexed: 01/19/2023]
Affiliation(s)
- J González-Ramos
- Servicio de Dermatología y Venereología, Hospital Universitario La Paz, Madrid, España.
| | - Y González-Silva
- Medicina Familiar y Comunitaria, Centro de Salud Plaza del Ejército, Valladolid, España
| | - N Hernández-Cano
- Servicio de Dermatología y Venereología, Hospital Universitario La Paz, Madrid, España
| | - C Vidaurrázaga-Arcaya
- Servicio de Dermatología y Venereología, Hospital Universitario La Paz, Madrid, España
| | - P Herranz-Pinto
- Servicio de Dermatología y Venereología, Hospital Universitario La Paz, Madrid, España
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González-Ramos J, Alonso-Pacheco ML, Mayor-Ibarguren A, Herranz-Pinto P. Gastric mucosa-associated lymphoid tissue lymphoma in a patient with severe psoriasis receiving ustekinumab. Actas Dermosifiliogr 2014; 106:326-7. [PMID: 25529464 DOI: 10.1016/j.ad.2014.05.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2014] [Revised: 05/05/2014] [Accepted: 05/10/2014] [Indexed: 10/24/2022] Open
Affiliation(s)
- J González-Ramos
- Servicio de Dermatología, Hospital Universitario La Paz, Madrid, España.
| | | | - A Mayor-Ibarguren
- Servicio de Dermatología, Hospital Universitario La Paz, Madrid, España
| | - P Herranz-Pinto
- Servicio de Dermatología, Hospital Universitario La Paz, Madrid, España
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