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Carrazco-Chapa A, Perez-Barbosa L, Cardenas-de la Garza JA, Ramos-Suque DJ, Polina-Lugo RL, Ponce-Santillán MA, Palomo-Arnaud K, Rodriguez-Flores AG, Corral-Trujillo ME, Galarza-Delgado DA, Skinner-Taylor CM. Sociodemographic and obstetric factors may affect breastfeeding attitudes, self-efficacy, and knowledge in women with rheumatic diseases: a retrospective analysis of self-reported surveys. Rheumatol Int 2024:10.1007/s00296-024-05619-z. [PMID: 38767662 DOI: 10.1007/s00296-024-05619-z] [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: 03/05/2024] [Accepted: 05/11/2024] [Indexed: 05/22/2024]
Abstract
Women with autoimmune rheumatic disease (ARDs) experience difficulties with BF in addition to those concerning their own disease. The aim of this study is to identify the impact factors as infant feeding attitude, the level of BF knowledge, BF self-efficacy, and the sociodemographic have in the intention to BF in women with ARDs. We performed an observational, retrospective, and analytical study. Reproductive-age women (18-50 years old) with ARDs with prior pregnancy history and who filled out self-reported BF surveys as part of the Rheumatology Integral Care Program were included. Sociodemographic and clinical characteristics were retrieved from medical charts. We analyzed three validated BF questionnaires. Sixty-five participants with a mean age of 41.32 ± 7.48 were evaluated. Of these, 63 (97%) women agreed with BF in the first 6 months. The most prevalent infant feeding attitude was neutral with 42 (64.6%) women. The most common level of BF knowledge was poor with 45 (69.2%) patients. There were significant correlations of BF knowledge with education years (p = < 0.001, r = 0.464) and age (p = 0.049, r=-0.245). A significant correlation was found between BF self-efficacy and age (p = 0.039, r = 0.257). Attitude toward BF was significantly associated with education level > 9 years (OR = 3.400; 95% CI = 1.091-10.593) and a history of miscarriage (OR = 3.670; 95% CI = 1.051-12.813). Although most women with ARDs agreed with BF, we identified a poor level of BF knowledge and a neutral infant feeding attitude as the most predominant. By identifying this data in women with ARDs, BF practices may be improved.
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Affiliation(s)
- Anahí Carrazco-Chapa
- Rheumatology Division, University Hospital "Dr. Jose Eleuterio Gonzalez", Universidad Autónoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
| | - Lorena Perez-Barbosa
- Rheumatology Division, University Hospital "Dr. Jose Eleuterio Gonzalez", Universidad Autónoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
| | - Jesus Alberto Cardenas-de la Garza
- Rheumatology Division, University Hospital "Dr. Jose Eleuterio Gonzalez", Universidad Autónoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
| | - Dixon Javier Ramos-Suque
- Rheumatology Division, University Hospital "Dr. Jose Eleuterio Gonzalez", Universidad Autónoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
| | - Rebeca Lizeth Polina-Lugo
- Rheumatology Division, University Hospital "Dr. Jose Eleuterio Gonzalez", Universidad Autónoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
| | - Mara Alejandra Ponce-Santillán
- Rheumatology Division, University Hospital "Dr. Jose Eleuterio Gonzalez", Universidad Autónoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
| | - Karina Palomo-Arnaud
- Rheumatology Division, University Hospital "Dr. Jose Eleuterio Gonzalez", Universidad Autónoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
| | - Ana Gabriela Rodriguez-Flores
- Rheumatology Division, University Hospital "Dr. Jose Eleuterio Gonzalez", Universidad Autónoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
| | - Maria Eugenia Corral-Trujillo
- Rheumatology Division, University Hospital "Dr. Jose Eleuterio Gonzalez", Universidad Autónoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
| | - Dionicio Angel Galarza-Delgado
- Rheumatology Division, University Hospital "Dr. Jose Eleuterio Gonzalez", Universidad Autónoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
| | - Cassandra Michele Skinner-Taylor
- Rheumatology Division, University Hospital "Dr. Jose Eleuterio Gonzalez", Universidad Autónoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico.
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2
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Serna-Peña G, Castillo-de la Garza RJ, Garcia-Arellano G, Cardenas-de la Garza JA, Aguilar-Rivera LR, de Leon-Perez AA, Aguilar-Rivera E, Vazquez-Perez CE, Galarza-Delgado DA, Esquivel-Valerio JA. Quality indicators and satisfaction with care in patients with systemic lupus erythematosus. Rheumatol Int 2024; 44:831-837. [PMID: 37610651 DOI: 10.1007/s00296-023-05429-9] [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: 06/22/2023] [Accepted: 08/09/2023] [Indexed: 08/24/2023]
Abstract
Grading the quality of care in patients with systemic lupus erythematosus and determining its relationship with care satisfaction may recognize gaps that could lead to better clinical practice. Eighteen quality indicators (QIs) were recently developed and validated for patients with SLE based on the 2019 EULAR management recommendations. Few studies have analyzed the relationship between quality of care and care satisfaction in patients with lupus. This was a cross-sectional study. We included patients at least 18 years old who met the EULAR/ACR 2019 classification criteria for SLE. We interviewed patients and retrieved data from medical records to assess their compliance with a set of 18 EULAR-based QIs. We calculated each QI fulfillment as the proportion of fulfilled QI divided by the number of eligible patients for each indicator. Care satisfaction was evaluated with the satisfaction domain of LupusPRO version 1.7. Spearman correlation coefficient was used to determine the relationship between quality of care and care satisfaction. Seventy patients with a median age of 33 (IQR 23-48) were included, 90% were women. Overall adherence was 62.29%. The median care satisfaction was 100. Global adherence to the 18-QIs and the care satisfaction score revealed no correlation (r = 0.064, p = 0.599). Higher QI fulfillment was found in the group with remission versus the moderate-high activity group (p = 0.008). In our study, SLE patients in remission had higher fulfillment of quality indicators. We found no correlation between the quality of care and satisfaction with care.
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Affiliation(s)
- Griselda Serna-Peña
- Hospital Universitario "Dr. Jose Eleuterio Gonzalez", Universidad Autonoma de Nuevo Leon, (Rheumatology Service), Monterrey, Nuevo Leon, Mexico
| | - Rodrigo J Castillo-de la Garza
- Hospital Universitario "Dr. Jose Eleuterio Gonzalez", Universidad Autonoma de Nuevo Leon, (Rheumatology Service), Monterrey, Nuevo Leon, Mexico
| | - Gisela Garcia-Arellano
- Hospital Universitario "Dr. Jose Eleuterio Gonzalez", Universidad Autonoma de Nuevo Leon, (Rheumatology Service), Monterrey, Nuevo Leon, Mexico
| | - Jesus Alberto Cardenas-de la Garza
- Hospital Universitario "Dr. Jose Eleuterio Gonzalez", Universidad Autonoma de Nuevo Leon, (Rheumatology Service), Monterrey, Nuevo Leon, Mexico
| | - Leonardo R Aguilar-Rivera
- Hospital Universitario "Dr. Jose Eleuterio Gonzalez", Universidad Autonoma de Nuevo Leon, (Rheumatology Service), Monterrey, Nuevo Leon, Mexico
| | - Axel A de Leon-Perez
- Hospital Universitario "Dr. Jose Eleuterio Gonzalez", Universidad Autonoma de Nuevo Leon, (Rheumatology Service), Monterrey, Nuevo Leon, Mexico
| | - Estefania Aguilar-Rivera
- Hospital Universitario "Dr. Jose Eleuterio Gonzalez", Universidad Autonoma de Nuevo Leon, (Rheumatology Service), Monterrey, Nuevo Leon, Mexico
| | - Camila E Vazquez-Perez
- Hospital Universitario "Dr. Jose Eleuterio Gonzalez", Universidad Autonoma de Nuevo Leon, (Rheumatology Service), Monterrey, Nuevo Leon, Mexico
| | - Dionicio A Galarza-Delgado
- Hospital Universitario "Dr. Jose Eleuterio Gonzalez", Universidad Autonoma de Nuevo Leon, (Rheumatology Service), Monterrey, Nuevo Leon, Mexico
| | - Jorge A Esquivel-Valerio
- Hospital Universitario "Dr. Jose Eleuterio Gonzalez", Universidad Autonoma de Nuevo Leon, (Rheumatology Service), Monterrey, Nuevo Leon, Mexico.
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3
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Cardenas-de la Garza JA, Manzotti-Rodriguez AC, Gamez-Siller P, Carrazco-Chapa A, Aguirre-Garcia GM, Franco-Marquez R, Hernández-Zamonsett HA, Ramirez-Elizondo MT, Galarza-Delgado DA, Lara-Medrano R. A possible case of cutaneous histoplasmosis and mpox coinfection. Travel Med Infect Dis 2024; 59:102700. [PMID: 38467233 DOI: 10.1016/j.tmaid.2024.102700] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2024] [Revised: 02/18/2024] [Accepted: 02/21/2024] [Indexed: 03/13/2024]
Affiliation(s)
| | | | - Pablo Gamez-Siller
- Rheumatology Department, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Mexico.
| | - Anahí Carrazco-Chapa
- Rheumatology Department, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Mexico.
| | - Gloria Mayela Aguirre-Garcia
- Instituto Tecnologico y de Estudios Superiores de Monterrey, School of Medicine and Health Sciences, Monterrey, Nuevo Leon, Mexico.
| | - Rodolfo Franco-Marquez
- Pathology Department, Facultad de Medicina y Hospital Universitario "Dr. José Eleuterio Gonzalez", Universidad Autónoma de Nuevo León, Monterrey, Mexico.
| | | | - Maria Teresa Ramirez-Elizondo
- Infectology Department, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Mexico.
| | - Dionicio Angel Galarza-Delgado
- Rheumatology Department, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Mexico.
| | - Reynaldo Lara-Medrano
- Infectology Department, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Mexico.
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4
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Bardan-Inchaustegui AC, Esquivel-Valerio JA, Castillo-de la Garza RDJ, Cardenas-de la Garza JA, Gonzalez-Gonzalez V, Galarza-Delgado DA. Vasculitis that did not read the books. Ann Rheum Dis 2024; 83:677-678. [PMID: 38049979 DOI: 10.1136/ard-2023-225175] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2023] [Accepted: 11/16/2023] [Indexed: 12/06/2023]
Affiliation(s)
- Ana C Bardan-Inchaustegui
- Rheumatology Department, Hospital Universitario "Dr José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Mexico
| | - Jorge A Esquivel-Valerio
- Rheumatology Department, Hospital Universitario "Dr José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Mexico
| | | | | | - Valeria Gonzalez-Gonzalez
- Rheumatology Department, Hospital Universitario "Dr José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Mexico
| | - Dionicio Angel Galarza-Delgado
- Rheumatology Department, Hospital Universitario "Dr José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Mexico
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5
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Welsh E, Cardenas-de la Garza JA, García-Lozano JA, Flores-Gutierrez DP. Erythrodermic psoriasis treatment with Guselkumab: report of two cases and literature review. An Bras Dermatol 2024; 99:319-320. [PMID: 38065780 PMCID: PMC10943278 DOI: 10.1016/j.abd.2023.05.007] [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: 02/23/2023] [Revised: 05/03/2023] [Accepted: 05/20/2023] [Indexed: 03/11/2024] Open
Affiliation(s)
- Esperanza Welsh
- Welsh Dermatology and Associates, Monterrey Nuevo Leon, Mexico
| | - Jesus Alberto Cardenas-de la Garza
- Rheumatology Departament, Universidad Autónoma de Nuevo León, Hospital Universitario 'Dr José Eleuterio González', Monterrey NL, México.
| | - José Alberto García-Lozano
- Department of Clinical Introduction, Faculty of Medicine and University Hospital "Dr. José E. González", Autonomous Universitiy of Nuevo León, Monterrey, Nuevo León, Mexico
| | - Diana Paola Flores-Gutierrez
- Rheumatology Departament, Universidad Autónoma de Nuevo León, Hospital Universitario 'Dr José Eleuterio González', Monterrey NL, México
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6
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García-Arellano G, Arvizu-Rivera RI, Castillo-de la Garza RDJ, Galarza-Delgado DÁ, Cardenas-de la Garza JA. Anti-Ku syndrome: A novel cause of fever, arthritis and rash. J Eur Acad Dermatol Venereol 2024; 38:e242-e243. [PMID: 37795671 DOI: 10.1111/jdv.19551] [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: 07/03/2023] [Accepted: 09/29/2023] [Indexed: 10/06/2023]
Affiliation(s)
- Gisela García-Arellano
- Rheumatology Department, University Hospital "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico
| | - Rosa Icela Arvizu-Rivera
- Rheumatology Department, University Hospital "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico
| | | | - Dionicio Ángel Galarza-Delgado
- Rheumatology Department, University Hospital "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico
| | - Jesus Alberto Cardenas-de la Garza
- Rheumatology Department, University Hospital "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico
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7
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Cardenas-de la Garza JA, Zazueta-López RM, Garza-Elizondo AK, Flores-Gutierrez DP, Welsh E. Spesolimab treatment in a patient with generalized pustular psoriasis: a case report with 12-month follow-up and literature review. Clin Exp Dermatol 2024; 49:286-288. [PMID: 37966307 DOI: 10.1093/ced/llad389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2023] [Accepted: 11/07/2023] [Indexed: 11/16/2023]
Abstract
This article explores the use of spesolimab in generalized pustular psoriasis (GPP) and presents the case of a Hispanic patient with GPP and plaque psoriasis treated with spesolimab and the 12-month follow-up presenting remission and significant improvement of their plaque psoriasis. A literature review identified limited cases of GPP treated with spesolimab with high response rates to the biologic and frequent mild adverse events. Most articles do not mention a previous history of plaque psoriasis and its response to spesolimab. This report highlights the efficacy of spesolimab in managing GPP, although further research is needed to assess the long-term effects of spesolimab in patients with GPP, particularly those with a history of plaque psoriasis.
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Affiliation(s)
| | | | - Angel Kevin Garza-Elizondo
- Rheumatology Department, Universidad Autónoma de Nuevo León, Hospital Universitario 'Dr José Eleuterio González', Monterrey NL, Mexico
| | - Diana Paola Flores-Gutierrez
- Rheumatology Department, Universidad Autónoma de Nuevo León, Hospital Universitario 'Dr José Eleuterio González', Monterrey NL, Mexico
| | - Esperanza Welsh
- Welsh Dermatology and Associates, Monterrey Nuevo León, Mexico
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8
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Galarza-Delgado DA, Azpiri-Lopez JR, Colunga-Pedraza IJ, Cardenas-de la Garza JA, Gonzalez-Gonzalez V, Beltran-Aguilar VM, Arias-Peralta AG, De Avila-Gonzalez N, Guajardo-Jauregui N. Cardiovascular health worsening in patients with autoimmune rheumatological diseases during the COVID-19 pandemic. Clin Rheumatol 2023; 42:2677-2690. [PMID: 36627529 PMCID: PMC9838353 DOI: 10.1007/s10067-022-06486-4] [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: 09/17/2022] [Revised: 12/10/2022] [Accepted: 12/12/2022] [Indexed: 01/12/2023]
Abstract
Rheumatic autoimmune diseases are associated with a myriad of comorbidities. Of particular importance due to their morbimortality are cardiovascular diseases. COVID-19 greatly impacted the world population in many different areas. Patients with rheumatic diseases had to face changes in their healthcare, in addition to unemployment, a decrease in physical activity, social isolation, and lack of access to certain medications. This review summarizes the impact of COVID-19 pandemic on cardiovascular risk factors, comorbidities, and unhealthy behaviors in patients with rheumatic inflammatory autoimmune diseases, particularly focused on rheumatoid arthritis and systemic lupus erythematosus. Searches were carried out in MEDLINE/PubMed and Scopus from August to December 2022. Four reviewers screened the title and abstract of retrieved records. Potentially eligible reports were then reviewed in full text. Differences were reconciled by either consensus or discussion with an external reviewer. During the COVID-19 pandemic, patients with rheumatic diseases showed an increase in the prevalence of mental health disorders (43.2-57.7%), reduced physical activity (56.8%), and a worsening in eating behaviors. Alcohol intake increased (18.2%), especially in early phases of the pandemic. Smoking prevalence decreased (28.2%). Dyslipidemia and hypertension showed no changes. The pandemic and lockdown affected rheumatic patients not only in disease-related characteristics but in the prevalence of their cardiovascular comorbidities and risk factors. Lifestyle changes, such as healthy eating, physical activity, and optimal management of their rheumatic diseases and comorbidities, are essential to manage the long-lasting consequences of the COVID-19 outbreak. Key Points • During the COVID-19 pandemic, anxiety, depression, sedentarism, obesity, and a worsening in eating behaviors increased. •Patients with rheumatic diseases and comorbidities have worse clinical outcomes and a higher cardiovascular disease burden than those without them. •Comparative studies are necessary to precisely elucidate the pandemic's impact on the prevalence of cardiovascular disease, risk factors, and comorbidities in patients with rheumatoid arthritis and systemic lupus erythematosus.
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Affiliation(s)
- Dionicio A Galarza-Delgado
- Division of Rheumatology, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico
| | - Jose R Azpiri-Lopez
- Division of Cardiology, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Francisco I. Madero y Gonzalitos S/N, 64460, Monterrey, Nuevo León, Mexico.
| | - Iris J Colunga-Pedraza
- Division of Rheumatology, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico
| | - Jesus Alberto Cardenas-de la Garza
- Division of Rheumatology, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico
| | - Valeria Gonzalez-Gonzalez
- Division of Rheumatology, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico
| | - Victor M Beltran-Aguilar
- Division of Rheumatology, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico
| | - Angel G Arias-Peralta
- Division of Cardiology, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Francisco I. Madero y Gonzalitos S/N, 64460, Monterrey, Nuevo León, Mexico
| | - Natalia De Avila-Gonzalez
- Division of Rheumatology, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico
| | - Natalia Guajardo-Jauregui
- Internal Medicine Department, Hospital Universitario "Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico
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9
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Perez-Barbosa L, Skinner-Taylor CM, Lujano-Negrete AY, Barriga-Maldonado ES, Peláez-Ballestas I, Espinosa-Banuelos LG, Cardenas-de la Garza JA, Riega-Torres J, Galarza-Delgado DA. Construction and validation of a reproductive behavior questionnaire for female patients with rheumatic diseases. Clin Rheumatol 2023; 42:2453-2460. [PMID: 37335407 DOI: 10.1007/s10067-023-06652-2] [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: 02/27/2023] [Revised: 05/15/2023] [Accepted: 05/28/2023] [Indexed: 06/21/2023]
Abstract
INTRODUCTION/OBJECTIVES Active autoimmune rheumatic diseases (ARDs) before conception increase the risk of flares and adverse pregnancy outcomes. We aimed to construct and validate a reproductive behavior questionnaire in Spanish for patients with ARDs to assess their knowledge and their reproductive behavior. METHOD We constructed and validated a reproductive behavior questionnaire in two phases: (1) a literature review followed by interviews of reproductive-age female patients, and (2) a cross-sectional study to complete validation. Convenience sampling was carried out with 165 female patients: 65 participated in the cross-cultural adaptation phase and 100 in the validation phase. The internal consistency was evaluated by estimating Cronbach's alpha and tetrachoric correlation coefficients. Values ≥ 0.40 were considered acceptable (p < 0.05). RESULTS The initial instrument included 38 questions. Thematic analysis identified 8 important dimensions or topics, which were combined to create the Rheuma Reproductive Behavior interview questionnaire. A final total of 41 items across 10 dimensions were obtained. The test-retest analysis showed perfect correlations in 34 of the 41 items, moderate in 6 items, and negative in one of the items. The mean age of the patients was 35.65 years (SD 9.02), and the mean time to answer the survey was 13.66 min (SD 7.1). CONCLUSIONS The Rheuma Reproductive Behavior questionnaire showed good reliability and consistency capturing patients' reproductive health knowledge and reproductive behavior. Key Points • We designed and validated a questionnaire to assess reproductive health knowledge and reproductive behavior among female patients with ARDs. • The questionnaire was comprehensible for participants, and showed good reliability and consistency capturing reproductive knowledge and behavior. • This tool may aid in the design of strategies to improve reproductive decision-making for female patients with ARDs.
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Affiliation(s)
- Lorena Perez-Barbosa
- Rheumatology Department, Hospital Universitario Dr. Jose Eleuterio Gonzalez, Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
| | - Cassandra Michele Skinner-Taylor
- Rheumatology Department, Hospital Universitario Dr. Jose Eleuterio Gonzalez, Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico.
| | - Abraham Yair Lujano-Negrete
- Rheumatology Department, Hospital Universitario Dr. Jose Eleuterio Gonzalez, Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
| | - Eugenio Salvador Barriga-Maldonado
- Rheumatology Department, Hospital Universitario Dr. Jose Eleuterio Gonzalez, Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
| | - Ingris Peláez-Ballestas
- Rheumatology Department, Hospital General de Mexico Dr. Eduardo Liceaga, Mexico City, Mexico
| | - Luis Gerardo Espinosa-Banuelos
- Rheumatology Department, Hospital Universitario Dr. Jose Eleuterio Gonzalez, Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
| | - Jesus Alberto Cardenas-de la Garza
- Rheumatology Department, Hospital Universitario Dr. Jose Eleuterio Gonzalez, Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
| | - Janett Riega-Torres
- Rheumatology Department, Hospital Universitario Dr. Jose Eleuterio Gonzalez, Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
| | - Dionicio Angel Galarza-Delgado
- Rheumatology Department, Hospital Universitario Dr. Jose Eleuterio Gonzalez, Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
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Skinner-Taylor CM, Perez-Barbosa L, Carrazco-Chapa A, Cardenas-de la Garza JA, Corral-Trujillo ME, Arévalo-Nieto FR, Guajardo-Aldaco AL, Aguilar-Leal A, Galarza-Delgado DA. The economic burden of prenatal care for women with rheumatic diseases: a cross-sectional study from a university hospital. Clin Rheumatol 2023; 42:2521-2523. [PMID: 37515655 DOI: 10.1007/s10067-023-06713-6] [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: 04/25/2023] [Revised: 06/28/2023] [Accepted: 07/19/2023] [Indexed: 07/31/2023]
Affiliation(s)
- Cassandra Michele Skinner-Taylor
- Rheumatology Division, Hospital Universitario "Dr. Jose Eleuterio Gonzalez", Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
| | - Lorena Perez-Barbosa
- Rheumatology Division, Hospital Universitario "Dr. Jose Eleuterio Gonzalez", Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico.
| | - Anahí Carrazco-Chapa
- Rheumatology Division, Hospital Universitario "Dr. Jose Eleuterio Gonzalez", Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
| | - Jesus Alberto Cardenas-de la Garza
- Rheumatology Division, Hospital Universitario "Dr. Jose Eleuterio Gonzalez", Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
| | - Maria Eugenia Corral-Trujillo
- Rheumatology Division, Hospital Universitario "Dr. Jose Eleuterio Gonzalez", Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
| | - Fany Rocío Arévalo-Nieto
- Rheumatology Division, Hospital Universitario "Dr. Jose Eleuterio Gonzalez", Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
| | - Andrea Lizbeth Guajardo-Aldaco
- Rheumatology Division, Hospital Universitario "Dr. Jose Eleuterio Gonzalez", Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
| | - Andrea Aguilar-Leal
- Rheumatology Division, Hospital Universitario "Dr. Jose Eleuterio Gonzalez", Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
| | - Dionicio Angel Galarza-Delgado
- Rheumatology Division, Hospital Universitario "Dr. Jose Eleuterio Gonzalez", Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
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Galarza-Delgado DA, Azpiri-Lopez JR, Guajardo-Jauregui N, Cardenas-de la Garza JA, Garza-Cisneros AN, Garcia-Heredia A, Balderas-Palacios MA, Colunga-Pedraza IJ. Carotid atherosclerosis in the first five years since rheumatoid arthritis diagnosis: a cross sectional study. Adv Rheumatol 2023; 63:36. [PMID: 37507812 DOI: 10.1186/s42358-023-00319-x] [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: 12/17/2022] [Accepted: 07/21/2023] [Indexed: 07/30/2023] Open
Abstract
BACKGROUND Systemic inflammation, documented before rheumatoid arthritis (RA) diagnosis, is associated with accelerated atherosclerosis. We aimed to compare the prevalence of carotid plaque (CP) in RA patients in the first five years since diagnosis and healthy controls, and to determine disease characteristics associated with the presence of subclinical atherosclerosis in RA patients. METHODS This was a cross-sectional study. We recruited 60 RA patients in the first five years since diagnosis and 60 matched healthy controls. Carotid ultrasound was performed to detect the presence of CP and measure carotid-intima media thickness (cIMT). Subclinical atherosclerosis was considered as the presence of CP and/or increased cIMT. Distribution was evaluated with the Kolmogorov-Smirnov test. Comparisons were made with Chi-square or Fisher's exact test for qualitative variables and Student's t or Mann-Whitney's U test for quantitative variables. A p-value < 0.05 was considered significant. RESULTS There were no differences in the demographic characteristics between RA patients and controls. The mean disease duration was 2.66 ± 1.39 years. A higher prevalence of CP (30.0% vs. 11.7%, p = 0.013), bilateral CP (18.3% vs. 3.3%, p = 0.008), increased cIMT (30.0% vs. 6.7%, p = 0.001), and subclinical atherosclerosis (53.3% vs. 18.3%, p = < 0.001) was found in RA patients. RA patients with subclinical atherosclerosis were older (56.70 years vs. 50.00 years, p = 0.002), presented a higher prevalence of dyslipidemia (53.1% vs. 14.3%, p = 0.002), and higher prevalence of classification in moderate-high disease activity category measured by DAS28-CRP (68.8% vs. 35.7%, p = 0.010). The latter variable persisted independently associated with subclinical atherosclerosis in the binary logistic regression (OR 6.11, 95% CI 1.51-24.70, p = 0.011). CONCLUSIONS In the first five years since diagnosis, higher prevalence of subclinical atherosclerosis, including CP was found in RA patients. Carotid ultrasound should be considered part of the systematic CVR evaluation of RA at the time of diagnosis.
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Affiliation(s)
- Dionicio Angel Galarza-Delgado
- Rheumatology Service, Internal Medicine Department, Hospital Universitario "Dr. Jose Eleuterio Gonzalez", Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
| | - Jose Ramon Azpiri-Lopez
- Cardiology Service, Internal Medicine Department, Hospital Universitario "Dr. Jose Eleuterio Gonzalez", Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
| | - Natalia Guajardo-Jauregui
- Internal Medicine Department, Hospital Universitario "Dr. Jose Eleuterio Gonzalez", Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
| | - Jesus Alberto Cardenas-de la Garza
- Rheumatology Service, Internal Medicine Department, Hospital Universitario "Dr. Jose Eleuterio Gonzalez", Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
| | - Andrea Nallely Garza-Cisneros
- Rheumatology Service, Internal Medicine Department, Hospital Universitario "Dr. Jose Eleuterio Gonzalez", Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
| | - Alexis Garcia-Heredia
- Cardiology Service, Internal Medicine Department, Hospital Universitario "Dr. Jose Eleuterio Gonzalez", Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
| | - Mario Alberto Balderas-Palacios
- Rheumatology Service, Internal Medicine Department, Hospital Universitario "Dr. Jose Eleuterio Gonzalez", Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
| | - Iris Jazmin Colunga-Pedraza
- Rheumatology Service, Internal Medicine Department, Hospital Universitario "Dr. Jose Eleuterio Gonzalez", Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico.
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12
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Garcia-Arellano G, Camacho-Ortiz A, Moreno-Arquieta IA, Cardenas-de la Garza JA, Rubio-Torres DC, Garza-Gonzalez E, Bocanegra-Ibarias P, Galarza-Delgado DA. Anticardiolipin and anti-beta-2 glycoprotein I antibodies in patients with moderate or severe COVID-19. Am J Med Sci 2023; 365:215-217. [PMID: 36335994 PMCID: PMC9632263 DOI: 10.1016/j.amjms.2022.10.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Revised: 08/22/2022] [Accepted: 10/27/2022] [Indexed: 11/06/2022]
Affiliation(s)
- Gisela Garcia-Arellano
- Rheumatology Service, “Dr José Eleuterio González” University Hospital, Universidad Autónoma de Nuevo León, Monterrey, México
| | - Adrian Camacho-Ortiz
- Infectiology Department, “Dr José Eleuterio González” University Hospital, Universidad Autónoma de Nuevo León, Monterrey, México
| | - Ilse Andrea Moreno-Arquieta
- Rheumatology Service, “Dr José Eleuterio González” University Hospital, Universidad Autónoma de Nuevo León, Monterrey, México
| | | | - Diana Carolina Rubio-Torres
- Rheumatology Service, “Dr José Eleuterio González” University Hospital, Universidad Autónoma de Nuevo León, Monterrey, México
| | - Elvira Garza-Gonzalez
- Infectiology Department, “Dr José Eleuterio González” University Hospital, Universidad Autónoma de Nuevo León, Monterrey, México
| | - Paola Bocanegra-Ibarias
- Infectiology Department, “Dr José Eleuterio González” University Hospital, Universidad Autónoma de Nuevo León, Monterrey, México
| | - Dionicio Angel Galarza-Delgado
- Rheumatology Service, "Dr José Eleuterio González" University Hospital, Universidad Autónoma de Nuevo León, Monterrey, México.
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13
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García-Lozano JA, Salerni G, Cardenas-de la Garza JA, Perez MR, Schreiber FG. Longitudinal Melanonychia as the Only Sign of in Situ Squamous Cell Carcinoma. Dermatol Pract Concept 2023; 13:dpc.1301a62. [PMID: 36892386 PMCID: PMC9946102 DOI: 10.5826/dpc.1301a62] [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] [Accepted: 08/28/2022] [Indexed: 02/04/2023] Open
Affiliation(s)
- José Alberto García-Lozano
- Universidad Autónoma de Nuevo León, Departamento de Introducción a la Clínica, Facultad de Medicina y Hospital Universitario "Dr. José E. González", Monterrey, Nuevo León, Mexico
| | - Gabriel Salerni
- Dermatology Department, Hospital Provincial del Centenario de Rosario, Universidad Nacional de Rosario, Santa Fe, Argentina
| | - Jesus Alberto Cardenas-de la Garza
- Universidad Autónoma de Nuevo León, Servicio de Reumatología, Facultad de Medicina y Hospital Universitario "Dr. José E. González", Monterrey, Nuevo León, México
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14
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Pineda-Sic RA, Serna-Peña G, Cardenas-de la Garza JA, Torres-Castillo SA, Galarza-Delgado DA, Flores-Alvarado DE. Education and treatment adherence during the COVID-19 pandemic. Response to: ‘Adherence to medication in patients with rheumatic diseases during COVID-19 pandemic’ by Khabbazi et al. Ann Rheum Dis 2022; 81:e201. [DOI: 10.1136/annrheumdis-2020-218791] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2020] [Revised: 08/25/2020] [Accepted: 08/27/2020] [Indexed: 11/03/2022]
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15
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Compeán-Villegas JE, Serna-Peña G, Sánchez-Mendieta GG, Cardenas-de la Garza JA, Galarza-Delgado DÁ. Problems related to sexuality are relevant but not addressed in rheumatology practice: results from a cross-sectional survey. Rheumatol Int 2022; 42:847-851. [DOI: 10.1007/s00296-022-05095-3] [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] [Received: 11/04/2021] [Accepted: 01/12/2022] [Indexed: 10/19/2022]
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16
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Vega-Morales D, Del Carmen Larios-Forte M, Pérez-Barbosa L, Esquivel-Valerio JA, Garza-Elizondo MA, Skinner-Taylor CM, Vázquez-Fuentes BR, Flores-Alvarado DE, Villarreal-Alarcón MÁ, de Jesús Hernández-Galarza I, Lozano-Plata LI, Castañeda-Martínez MM, Castañeda-Martínez DD, Herrera-Sandate P, Cardenas-de la Garza JA, Galarza-Delgado DÁ. Bone erosions by MRI in first-degree relatives of patients with RA: an exploratory study. Clin Rheumatol 2022; 41:1343-1348. [PMID: 35088207 DOI: 10.1007/s10067-021-06028-4] [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: 10/21/2021] [Revised: 12/15/2021] [Accepted: 12/17/2021] [Indexed: 11/25/2022]
Abstract
INTRODUCTION/OBJECTIVES First-degree relatives (FDR) of patients with rheumatoid arthritis (RA) are at increased risk of RA diagnosis. Magnetic resonance imaging (MRI) has been proposed as a useful tool to detect subclinical synovitis and bone abnormalities as predictors of progression to RA. The presence of grade ≥ 2 bone erosions in RA MRI scoring system (RAMRIS) was reported to be RA-specific. We aim to describe the prevalence and characteristics of MRI findings in RA patients and FDR. METHODS A cross-sectional and exploratory study of 60 individuals was performed in 38 RA patients and 22 FDR with hand arthralgia without clinical arthritis and positive rheumatoid factor or anticitrullinated protein antibodies. All patients underwent an MRI and were evaluated for synovitis, bone erosion, and bone marrow edema. We evaluated second to fifth metacarpophalangeal joints of the dominant hand according to RAMRIS. RESULTS Among the total population, eighteen (30%) subjects had grade ≥ 2 bone erosions, and 42 (70%) had at least one erosion of any grade. In patients with grade ≥ 2 bone erosions, 12 (31.6%) were from RA patients and 6 (27.2%) from FDR (p = 0.72). In patients with erosions of any grade, 26 (68.4%) were from RA patients and 15 (68.2%) were from FDR (p = 0.98). CONCLUSION A high prevalence of bone erosions was found in RA patients' FDR who had symptoms without clinical arthritis and positive serology. MRI might be helpful in this population for an early detection of RA-specific erosions. The prognosis and the treatment decisions in these subjects should be elucidated. KEY POINTS • First-degree relatives (FDR) of rheumatoid arthritis (RA) patients with positive serology and joint symptoms constitute a select subpopulation of individuals with an increased risk of developing RA. • Magnetic resonance imaging (MRI) of FDR shows a high prevalence of bone erosions of any grade, grade ≥ 2 erosions, and synovitis. • MRI might be helpful in FDR of RA patients to screen for the presence of RA-specific erosions or clinically undetectable synovitis.
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Affiliation(s)
- David Vega-Morales
- Universidad Autónoma de Nuevo León, Rheumatology Service at Hospital Universitario "Dr, José Eleuterio González", Gonzalitos 235 N. 64020 Monterrey, Nuevo León, Mexico.
| | - María Del Carmen Larios-Forte
- Radiology Department, Hospital Regional Monterrey, Instituto de Seguridad Y Servicios Sociales de los Trabajadores del Estado, Monterrey, Nuevo León, Mexico
| | - Lorena Pérez-Barbosa
- Universidad Autónoma de Nuevo León, Rheumatology Service at Hospital Universitario "Dr, José Eleuterio González", Gonzalitos 235 N. 64020 Monterrey, Nuevo León, Mexico
| | - Jorge Antonio Esquivel-Valerio
- Universidad Autónoma de Nuevo León, Rheumatology Service at Hospital Universitario "Dr, José Eleuterio González", Gonzalitos 235 N. 64020 Monterrey, Nuevo León, Mexico
| | - Mario Alberto Garza-Elizondo
- Universidad Autónoma de Nuevo León, Rheumatology Service at Hospital Universitario "Dr, José Eleuterio González", Gonzalitos 235 N. 64020 Monterrey, Nuevo León, Mexico
| | - Cassandra Michelle Skinner-Taylor
- Universidad Autónoma de Nuevo León, Rheumatology Service at Hospital Universitario "Dr, José Eleuterio González", Gonzalitos 235 N. 64020 Monterrey, Nuevo León, Mexico
| | - Brenda Roxana Vázquez-Fuentes
- Universidad Autónoma de Nuevo León, Rheumatology Service at Hospital Universitario "Dr, José Eleuterio González", Gonzalitos 235 N. 64020 Monterrey, Nuevo León, Mexico
| | - Diana Elsa Flores-Alvarado
- Universidad Autónoma de Nuevo León, Rheumatology Service at Hospital Universitario "Dr, José Eleuterio González", Gonzalitos 235 N. 64020 Monterrey, Nuevo León, Mexico
| | - Miguel Ángel Villarreal-Alarcón
- Universidad Autónoma de Nuevo León, Rheumatology Service at Hospital Universitario "Dr, José Eleuterio González", Gonzalitos 235 N. 64020 Monterrey, Nuevo León, Mexico
| | - Iván de Jesús Hernández-Galarza
- Universidad Autónoma de Nuevo León, Rheumatology Service at Hospital Universitario "Dr, José Eleuterio González", Gonzalitos 235 N. 64020 Monterrey, Nuevo León, Mexico
| | - Luis Iván Lozano-Plata
- Universidad Autónoma de Nuevo León, Rheumatology Service at Hospital Universitario "Dr, José Eleuterio González", Gonzalitos 235 N. 64020 Monterrey, Nuevo León, Mexico
| | - Martha Mariana Castañeda-Martínez
- Universidad Autónoma de Nuevo León, Rheumatology Service at Hospital Universitario "Dr, José Eleuterio González", Gonzalitos 235 N. 64020 Monterrey, Nuevo León, Mexico
| | - Diana Daniela Castañeda-Martínez
- Universidad Autónoma de Nuevo León, Rheumatology Service at Hospital Universitario "Dr, José Eleuterio González", Gonzalitos 235 N. 64020 Monterrey, Nuevo León, Mexico
| | - Pablo Herrera-Sandate
- Universidad Autónoma de Nuevo León, Rheumatology Service at Hospital Universitario "Dr, José Eleuterio González", Gonzalitos 235 N. 64020 Monterrey, Nuevo León, Mexico
| | - Jesus Alberto Cardenas-de la Garza
- Universidad Autónoma de Nuevo León, Rheumatology Service at Hospital Universitario "Dr, José Eleuterio González", Gonzalitos 235 N. 64020 Monterrey, Nuevo León, Mexico
| | - Dionicio Ángel Galarza-Delgado
- Universidad Autónoma de Nuevo León, Rheumatology Service at Hospital Universitario "Dr, José Eleuterio González", Gonzalitos 235 N. 64020 Monterrey, Nuevo León, Mexico
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17
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Herrera-Sandate P, Vega-Morales D, Figueroa-Parra G, Cardenas-de la Garza JA, Vazquez-Fuentes BR, Badillo-Rodriguez H, Guzman-de la Garza D, Galarza-Delgado DA. Correlation between atmospheric variables and strength of squeeze test in patients with hand arthralgia. Clin Rheumatol 2022; 41:945-946. [PMID: 35083560 DOI: 10.1007/s10067-021-06037-3] [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: 11/16/2021] [Revised: 12/13/2021] [Accepted: 12/19/2021] [Indexed: 12/01/2022]
Affiliation(s)
- Pablo Herrera-Sandate
- Rheumatology Service at Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Gonzalitos 235, N. 64020, Monterrey, Nuevo León, México
| | - David Vega-Morales
- Rheumatology Service at Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Gonzalitos 235, N. 64020, Monterrey, Nuevo León, México.
| | - Gabriel Figueroa-Parra
- Rheumatology Service at Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Gonzalitos 235, N. 64020, Monterrey, Nuevo León, México
| | - Jesus Alberto Cardenas-de la Garza
- Rheumatology Service at Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Gonzalitos 235, N. 64020, Monterrey, Nuevo León, México
| | - Brenda Roxana Vazquez-Fuentes
- Rheumatology Service at Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Gonzalitos 235, N. 64020, Monterrey, Nuevo León, México
| | - Hazel Badillo-Rodriguez
- Rheumatology Service at Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Gonzalitos 235, N. 64020, Monterrey, Nuevo León, México
| | - David Guzman-de la Garza
- Rheumatology Service at Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Gonzalitos 235, N. 64020, Monterrey, Nuevo León, México
| | - Dionicio Angel Galarza-Delgado
- Rheumatology Service at Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Gonzalitos 235, N. 64020, Monterrey, Nuevo León, México
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18
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Esquivel-Valerio JA, Skinner-Taylor CM, Moreno-Arquieta IA, Cardenas-de la Garza JA, Garcia-Arellano G, Gonzalez-Garcia PL, Almaraz-Juarez FDR, Galarza-Delgado DA. Adverse events of six COVID-19 vaccines in patients with autoimmune rheumatic diseases: a cross-sectional study. Rheumatol Int 2021; 41:2105-2108. [PMID: 34622311 PMCID: PMC8496432 DOI: 10.1007/s00296-021-05017-9] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2021] [Accepted: 09/28/2021] [Indexed: 11/25/2022]
Abstract
Data regarding COVID-19 vaccine efficacy and adverse events (AE) in patients with autoimmune and inflammatory rheumatic diseases (AIIRD) have been published recently although these mostly include the mRNA vaccines (Pfizer-BioNTech and Moderna) and the ChAdOx1 nCoV-19/AZD1222 (Oxford-AstraZeneca). This research aimed to study the prevalence of AE presented with six different SARS-CoV-2 vaccines {ChadOX1 nCoV-19 (AZD1222), Ad5-nCoV2, Ad26.COV2.S, mRNA-1273, BNT162b2, and CoronaVac} in Mexican patients with AIIRD. We performed a cross-sectional study about vaccine history. Two hundred and twenty five consecutive patients were recruited, mean age was 50.7 years and the majority (n = 213; 94.6%) were females. One hundred and seven (47.5%) received BNT162b2 mRNA, 34 (15.1%) Ad5-nCoV, 29 (12.8%) mRNA-1273, 28 (12.4%) ChAdOX1 nCoV-19 (AZD1222), 22 (9.7%) CoronaVac and 5 (2.2%) Ad26.COV2.S. The vaccines that had the most AE proportionally to the number of patients vaccinated were Janssen (5; 100%) followed by Pfizer-BioNTEch (86; 80%) and CanSinoBIO (27; 79.4%). Localized pain was the most frequent (158; 70.2%) AE. Fatigue (78; 34.7%), headache (69; 30.6%) and muscle ache (66; 29.3%) were the most common systemic symptoms. No serious AE that required medical attention or hospitalization were reported. The current results support the safety of different COVID-19 vaccines in patients with AIIRD. This information can help fight vaccine hesitancy in this population.
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Affiliation(s)
- Jorge Antonio Esquivel-Valerio
- Rheumatology Service, University Hospital “Dr. Jose Eleuterio Gonzalez”, Universidad Autónoma de Nuevo León, Av. Gonzalitos y Av. Madero s/n, Colonia Mitras Centro, C.P. 64460 Monterrey, NL Mexico
| | - Cassandra Michele Skinner-Taylor
- Rheumatology Service, University Hospital “Dr. Jose Eleuterio Gonzalez”, Universidad Autónoma de Nuevo León, Av. Gonzalitos y Av. Madero s/n, Colonia Mitras Centro, C.P. 64460 Monterrey, NL Mexico
| | - Ilse Andrea Moreno-Arquieta
- Rheumatology Service, University Hospital “Dr. Jose Eleuterio Gonzalez”, Universidad Autónoma de Nuevo León, Av. Gonzalitos y Av. Madero s/n, Colonia Mitras Centro, C.P. 64460 Monterrey, NL Mexico
| | - Jesus Alberto Cardenas-de la Garza
- Rheumatology Service, University Hospital “Dr. Jose Eleuterio Gonzalez”, Universidad Autónoma de Nuevo León, Av. Gonzalitos y Av. Madero s/n, Colonia Mitras Centro, C.P. 64460 Monterrey, NL Mexico
| | - Gisela Garcia-Arellano
- Rheumatology Service, University Hospital “Dr. Jose Eleuterio Gonzalez”, Universidad Autónoma de Nuevo León, Av. Gonzalitos y Av. Madero s/n, Colonia Mitras Centro, C.P. 64460 Monterrey, NL Mexico
| | - Patricia Ludivina Gonzalez-Garcia
- Rheumatology Service, University Hospital “Dr. Jose Eleuterio Gonzalez”, Universidad Autónoma de Nuevo León, Av. Gonzalitos y Av. Madero s/n, Colonia Mitras Centro, C.P. 64460 Monterrey, NL Mexico
| | - Fatima del Rocio Almaraz-Juarez
- Rheumatology Service, University Hospital “Dr. Jose Eleuterio Gonzalez”, Universidad Autónoma de Nuevo León, Av. Gonzalitos y Av. Madero s/n, Colonia Mitras Centro, C.P. 64460 Monterrey, NL Mexico
| | - Dioncio Angel Galarza-Delgado
- Rheumatology Service, University Hospital “Dr. Jose Eleuterio Gonzalez”, Universidad Autónoma de Nuevo León, Av. Gonzalitos y Av. Madero s/n, Colonia Mitras Centro, C.P. 64460 Monterrey, NL Mexico
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Martinez-Rico JC, Rodriguez-Tamez G, Herz-Ruelas ME, Cardenas-de la Garza JA, Hernandes-Galarza IDJ, Ocampo-Candiani J, Chavez-Alvarez S. Suntan sign as a clinical diagnostic key in dermatomyositis. Rheumatology (Oxford) 2021; 60:4947-4948. [PMID: 33506868 DOI: 10.1093/rheumatology/keab068] [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: 11/29/2020] [Revised: 01/06/2021] [Accepted: 01/11/2021] [Indexed: 11/13/2022] Open
Affiliation(s)
| | | | | | | | - Ivan de Jesus Hernandes-Galarza
- Rheumatology Department, Facultad de Medicina, 'Dr. José E. González' University Hospital, Universidad Autónoma de Nuevo León, Monterrey, Mexico
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20
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Cardenas-de la Garza JA, Arvizu-Rivera RI, Skinner-Taylor CM, Galarza-Delgado DA. Palisaded neutrophilic and granulomatous dermatitis in a patient with rheumatoid arthritis. Rheumatology (Oxford) 2021; 60:1570-1571. [PMID: 32949132 DOI: 10.1093/rheumatology/keaa288] [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] [Indexed: 11/12/2022] Open
Affiliation(s)
- Jesus Alberto Cardenas-de la Garza
- Rheumatology Service, Hospital Universitario 'Dr José Eleuterio González', Universidad Autonoma de Nuevo León, Monterrey, Nuevo León, México
| | - Rosa I Arvizu-Rivera
- Internal Medicine Department, Hospital Universitario 'Dr José Eleuterio González', Universidad Autonoma de Nuevo León, Monterrey, Nuevo León, México
| | - Cassandra M Skinner-Taylor
- Rheumatology Service, Hospital Universitario 'Dr José Eleuterio González', Universidad Autonoma de Nuevo León, Monterrey, Nuevo León, México
| | - Dionicio A Galarza-Delgado
- Rheumatology Service, Hospital Universitario 'Dr José Eleuterio González', Universidad Autonoma de Nuevo León, Monterrey, Nuevo León, México
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21
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Colunga-Pedraza IJ, Galarza-Delgado DA, Azpiri-Lopez JR, Rodriguez-Romero AB, Guajardo-Jauregui N, Cardenas-de la Garza JA, Lugo-Perez S, Meza-Garza A, Loya-Acosta J, Garza-Acosta AC. Nail involvement in psoriatic arthritis patients is an independent risk factor for carotid plaque. Ann Rheum Dis 2021; 80:1629-1631. [PMID: 34167948 DOI: 10.1136/annrheumdis-2021-220782] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2021] [Accepted: 06/15/2021] [Indexed: 11/03/2022]
Affiliation(s)
| | | | | | | | | | | | - Salvador Lugo-Perez
- Cardiology, Dr Jose Eleuterio Gonzalez University Hospital, Monterrey, Nuevo Leon, Mexico
| | - Alejandro Meza-Garza
- Cardiology, Dr Jose Eleuterio Gonzalez University Hospital, Monterrey, Nuevo Leon, Mexico
| | - Julieta Loya-Acosta
- Rheumatology, Dr Jose Eleuterio Gonzalez University Hospital, Monterrey, Nuevo Leon, Mexico
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22
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Cardenas-de la Garza JA, Arvizu-Rivera RI, Ocampo-Candiani J, Galarza-Delgado DA. Chilblain lupus erythematosus associated with systemic and discoid lupus erythematosus. Rheumatology (Oxford) 2021; 60:988. [PMID: 32856084 DOI: 10.1093/rheumatology/keaa385] [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: 05/04/2020] [Revised: 06/01/2020] [Indexed: 11/12/2022] Open
Affiliation(s)
- Jesus Alberto Cardenas-de la Garza
- Rheumatology Department, University Hospital 'Dr. José Eleuterio González', Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México
| | - Rosa Icela Arvizu-Rivera
- Rheumatology Department, University Hospital 'Dr. José Eleuterio González', Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México
| | - Jorge Ocampo-Candiani
- Dermatology Department, University Hospital 'Dr. José Eleuterio González', Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México
| | - Dionicio Angel Galarza-Delgado
- Rheumatology Department, University Hospital 'Dr. José Eleuterio González', Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México
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Welsh EC, Alfaro Sanchez AB, Ortega Gutiérrez GL, Cardenas-de la Garza JA, Cuellar-Barboza A, Valdes-Espinosa RA, Pasos Estrada AA, Miranda Aguirre AI, Ramos-Jimenez J, Moreno González J, Leal Guevara LV, Tovar-Garza A. COVID-19 dermatological manifestations: results from the Mexican Academy of Dermatology COVID-19 registry. Int J Dermatol 2021; 60:879-881. [PMID: 33855708 PMCID: PMC8250812 DOI: 10.1111/ijd.15544] [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] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Accepted: 03/06/2021] [Indexed: 01/08/2023]
Affiliation(s)
- Esperanza C Welsh
- Dermatology Department, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, México.,Academia Mexicana de Dermatología, Monterrey, México
| | - Abraham Benjamin Alfaro Sanchez
- Academia Mexicana de Dermatología, Monterrey, México.,Servicios de Medicina Interna y Dermatología, Clínica Hospital Constitución ISSSTE, División Ciencias de la Salud, Universidad de Monterrey, Monterrey, México
| | | | | | - Adrian Cuellar-Barboza
- Dermatology Department, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, México
| | - Ricardo Alberto Valdes-Espinosa
- Department of Anatomy, Embryology, Surgery and Morphological Sciences, Facultad de Medicina Unidad Saltillo, Universidad Autónoma de Coahuila, Saltillo, México
| | | | | | - Javier Ramos-Jimenez
- Infectology Department, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, México
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24
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Moreno-Arquieta IA, Cardenas-de la Garza JA, Esquivel-Valerio JA, Riega-Torres J, Cuellar-Barboza A, Herz-Ruelas ME, Ocampo-Candiani J, Galarza-Delgado DA. Mycophenolate mofetil and mycophenolic acid for the treatment of eosinophilic fasciitis: report of two cases and literature review. J DERMATOL TREAT 2021; 33:1765-1768. [PMID: 33615948 DOI: 10.1080/09546634.2021.1890682] [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: 10/22/2022]
Abstract
Eosinophilic fasciitis (EF) is an uncommon autoimmune connective tissue disorder characterized by edema, erythema, and subsequent induration of the extremities. It is commonly treated with corticosteroids but there is no treatment ladder for immunosuppressants or steroid-sparing agents. We report two EF cases treated effectively with mycophenolate mofetil (MMF) or mycophenolic acid (MPA) and present a literature review. We performed a MEDLINE search using the keywords 'eosinophilic fasciitis', 'Shulman syndrome', 'mycophenolic acid', or 'mofetil mycophenolate', and found 8 articles with 27 cases in which MMF or MPA was used. Twenty-nine cases were reviewed (2 reported herein and 27 from the literature search); all patients received a combination of systemic corticosteroids and MMF. MMF/MPA were given as a steroid-sparing agent in 27 (93.1%), in 1 (3.4%) as adjunctive therapy with other immunosuppressants, and in one, as monotherapy 1 (3.4%). Nineteen had a complete response, 6, a partial response, and 2 were unresponsive to diverse immunomodulators; in 2 cases, the outcome was not reported. MMF and MPA show promising therapeutic results and could be a treatment option to reduce corticosteroid related side effects.
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Affiliation(s)
- Ilse Andrea Moreno-Arquieta
- Rheumatology Department, Universidad Autónoma de Nuevo León, Facultad de Medicina y Hospital Universitario "Dr. José Eleuterio González", Monterrey, Mexico
| | - Jesus Alberto Cardenas-de la Garza
- Rheumatology Department, Universidad Autónoma de Nuevo León, Facultad de Medicina y Hospital Universitario "Dr. José Eleuterio González", Monterrey, Mexico
| | - Jorge Antonio Esquivel-Valerio
- Rheumatology Department, Universidad Autónoma de Nuevo León, Facultad de Medicina y Hospital Universitario "Dr. José Eleuterio González", Monterrey, Mexico
| | - Janett Riega-Torres
- Rheumatology Department, Universidad Autónoma de Nuevo León, Facultad de Medicina y Hospital Universitario "Dr. José Eleuterio González", Monterrey, Mexico
| | - Adrian Cuellar-Barboza
- Dermatology Department, Universidad Autónoma de Nuevo León, Facultad de Medicina y Hospital Universitario "Dr. José Eleuterio González", Monterrey, Mexico
| | - Maira Elizabeth Herz-Ruelas
- Dermatology Department, Universidad Autónoma de Nuevo León, Facultad de Medicina y Hospital Universitario "Dr. José Eleuterio González", Monterrey, Mexico
| | - Jorge Ocampo-Candiani
- Dermatology Department, Universidad Autónoma de Nuevo León, Facultad de Medicina y Hospital Universitario "Dr. José Eleuterio González", Monterrey, Mexico
| | - Dionicio Angel Galarza-Delgado
- Rheumatology Department, Universidad Autónoma de Nuevo León, Facultad de Medicina y Hospital Universitario "Dr. José Eleuterio González", Monterrey, Mexico
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Cardenas-de la Garza JA, Taylor SL. Acne scars: classification and treatment. J DERMATOL TREAT 2021. [DOI: 10.1080/09546634.2019.1638879] [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] [Indexed: 10/26/2022]
Affiliation(s)
| | - Sarah L. Taylor
- Department of Dermatology, Wake Forest School of Medicine, Center for Dermatology Research, Winston-Salem, NC, USA
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26
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Skinner-Taylor CM, Perez-Barbosa L, Barriga-Maldonado ES, Diaz-Angulo JE, Cardenas-de la Garza JA, Corral-Trujillo ME, Galarza-Delgado DA. Postpartum depression in Mexican women with autoimmune rheumatic diseases. Clin Rheumatol 2021; 40:2509-2512. [PMID: 33507421 DOI: 10.1007/s10067-021-05593-y] [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: 09/29/2020] [Revised: 01/11/2021] [Accepted: 01/14/2021] [Indexed: 10/22/2022]
Affiliation(s)
- Cassandra Michele Skinner-Taylor
- Department of Rheumatology, University Hospital "Dr. Eleuterio Gonzalez", Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 nte, Col. Mitras Centro, 64460, Monterrey, Mexico
| | - Lorena Perez-Barbosa
- Department of Rheumatology, University Hospital "Dr. Eleuterio Gonzalez", Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 nte, Col. Mitras Centro, 64460, Monterrey, Mexico.
| | - Eugenio Salvador Barriga-Maldonado
- Department of Rheumatology, University Hospital "Dr. Eleuterio Gonzalez", Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 nte, Col. Mitras Centro, 64460, Monterrey, Mexico
| | - Jazzia Emily Diaz-Angulo
- Department of Rheumatology, University Hospital "Dr. Eleuterio Gonzalez", Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 nte, Col. Mitras Centro, 64460, Monterrey, Mexico
| | - Jesus Alberto Cardenas-de la Garza
- Department of Rheumatology, University Hospital "Dr. Eleuterio Gonzalez", Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 nte, Col. Mitras Centro, 64460, Monterrey, Mexico
| | - María Eugenia Corral-Trujillo
- Department of Rheumatology, University Hospital "Dr. Eleuterio Gonzalez", Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 nte, Col. Mitras Centro, 64460, Monterrey, Mexico
| | - Dionicio Angel Galarza-Delgado
- Department of Rheumatology, University Hospital "Dr. Eleuterio Gonzalez", Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 nte, Col. Mitras Centro, 64460, Monterrey, Mexico
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27
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Vera-Cabrera L, Cardenas-de la Garza JA, Cuellar-Barboza A, Gallardo-Rocha A, Molina-Torres CA, Escalante-Fuentes W, Ocampo-Candiani J. Case Report: Coral Reef Pathogen Aspergillus sydowii Causing Black Grain Mycetoma. Am J Trop Med Hyg 2021; 104:871-873. [PMID: 33399044 PMCID: PMC7941817 DOI: 10.4269/ajtmh.20-1352] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2020] [Accepted: 11/09/2020] [Indexed: 11/07/2022] Open
Abstract
Mycetoma is an infrequent subcutaneous infection caused by true fungi (eumycetoma) or aerobic actinomycetes (actinomycetoma). We report the case of a 62-year-old man with eumycetoma involving the left foot and ankle. Skin biopsy revealed black-brown grains, and in culture, a white colony fungus grew at day 8. Molecular sequencing using ITS1-ITS4 primers identified the species as Aspergillus sydowii. The patient was treated with itraconazole 200 mg twice daily and terbinafine 250 mg daily for 8 months, with complete response and no recurrence after 2.5 years of follow-up. Aspergillus sydowii is a saprotrophic fungus that rarely causes skin or nail disease. No cases of eumycetoma caused by this agent have been previously reported. As its geographic distribution continues to expand, it may increasingly be recognized as a cause of human disease.
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Affiliation(s)
- Lucio Vera-Cabrera
- Laboratorio Interdisciplinario de Investigación Dermatológica, Servicio de Dermatología, Hospital Universitario “Dr. José Eleuterio González”, Universidad Autónoma de Nuevo León, Monterrey, México
| | | | - Adrian Cuellar-Barboza
- Laboratorio Interdisciplinario de Investigación Dermatológica, Servicio de Dermatología, Hospital Universitario “Dr. José Eleuterio González”, Universidad Autónoma de Nuevo León, Monterrey, México
| | - Anabel Gallardo-Rocha
- Laboratorio Interdisciplinario de Investigación Dermatológica, Servicio de Dermatología, Hospital Universitario “Dr. José Eleuterio González”, Universidad Autónoma de Nuevo León, Monterrey, México
| | - Carmen Amelia Molina-Torres
- Laboratorio Interdisciplinario de Investigación Dermatológica, Servicio de Dermatología, Hospital Universitario “Dr. José Eleuterio González”, Universidad Autónoma de Nuevo León, Monterrey, México
| | - Wendy Escalante-Fuentes
- Laboratorio Interdisciplinario de Investigación Dermatológica, Servicio de Dermatología, Hospital Universitario “Dr. José Eleuterio González”, Universidad Autónoma de Nuevo León, Monterrey, México
| | - Jorge Ocampo-Candiani
- Laboratorio Interdisciplinario de Investigación Dermatológica, Servicio de Dermatología, Hospital Universitario “Dr. José Eleuterio González”, Universidad Autónoma de Nuevo León, Monterrey, México
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28
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Ruiz-Lozano RE, Hernandez-Camarena JC, Roman-Zamudio M, Alcazar-Félix RJ, Davila-Cavazos O, Cardenas-de la Garza JA. Three types of cataract associated with atopic dermatitis and chronic topical corticosteroid use: A case report. Dermatol Ther 2020; 34:e14600. [PMID: 33248006 DOI: 10.1111/dth.14600] [Citation(s) in RCA: 4] [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: 10/16/2020] [Revised: 11/22/2020] [Accepted: 11/24/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Raul E Ruiz-Lozano
- Tecnológico de Monterrey, School of Medicine and Health Sciences, Institute of Ophthalmology and Visual Sciences, Monterrey, Mexico
| | - Julio C Hernandez-Camarena
- Tecnológico de Monterrey, School of Medicine and Health Sciences, Institute of Ophthalmology and Visual Sciences, Monterrey, Mexico
| | - Mariana Roman-Zamudio
- Tecnológico de Monterrey, School of Medicine and Health Sciences, Institute of Ophthalmology and Visual Sciences, Monterrey, Mexico
| | - Roberto J Alcazar-Félix
- Tecnológico de Monterrey, School of Medicine and Health Sciences, Institute of Ophthalmology and Visual Sciences, Monterrey, Mexico
| | - Osvaldo Davila-Cavazos
- Tecnológico de Monterrey, School of Medicine and Health Sciences, Institute of Ophthalmology and Visual Sciences, Monterrey, Mexico
| | - Jesus Alberto Cardenas-de la Garza
- Universidad Autónoma de Nuevo León, Rheumatology Service, University Hospital "Dr. José Eleuterio González", Monterrey, Nuevo León, Mexico
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Pona A, Alberto Cardenas-de la Garza J, Broderick A, Bowers N, Pichardo RO. 18178 Clinical characteristics and treatment of lupus erythematosus tumidus. J Am Acad Dermatol 2020. [DOI: 10.1016/j.jaad.2020.06.457] [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: 10/22/2022]
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Galarza-Delgado DÁ, Serna-Peña G, Compeán-Villegas JE, Cardenas-de la Garza JA, Pineda-Sic RA, Colunga-Pedraza IJ, Vega-Morales D, Pérez-Barbosa L, Skinner-Taylor CM, Flores-Alvarado DE. Characteristics and evolution of 38 patients with rheumatic diseases and COVID-19 under DMARD therapy. Clin Rheumatol 2020; 40:1197-1199. [PMID: 33231774 PMCID: PMC7685191 DOI: 10.1007/s10067-020-05510-9] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Revised: 11/11/2020] [Accepted: 11/15/2020] [Indexed: 12/30/2022]
Affiliation(s)
- Dionicio Ángel Galarza-Delgado
- Servicio de Reumatología, Hospital Universitario, Universidad Autónoma de Nuevo León, Av. Gonzalitos No. 235 Nte. Col. Mitras Centro, C.P. 64460, Monterrey, NL, México.
| | - Griselda Serna-Peña
- Servicio de Reumatología, Hospital Universitario, Universidad Autónoma de Nuevo León, Av. Gonzalitos No. 235 Nte. Col. Mitras Centro, C.P. 64460, Monterrey, NL, México
| | - Jesús Eduardo Compeán-Villegas
- Servicio de Reumatología, Hospital Universitario, Universidad Autónoma de Nuevo León, Av. Gonzalitos No. 235 Nte. Col. Mitras Centro, C.P. 64460, Monterrey, NL, México
| | - Jesus Alberto Cardenas-de la Garza
- Servicio de Reumatología, Hospital Universitario, Universidad Autónoma de Nuevo León, Av. Gonzalitos No. 235 Nte. Col. Mitras Centro, C.P. 64460, Monterrey, NL, México
| | - Rita Angélica Pineda-Sic
- Servicio de Reumatología, Hospital Universitario, Universidad Autónoma de Nuevo León, Av. Gonzalitos No. 235 Nte. Col. Mitras Centro, C.P. 64460, Monterrey, NL, México
| | - Iris Jazmín Colunga-Pedraza
- Servicio de Reumatología, Hospital Universitario, Universidad Autónoma de Nuevo León, Av. Gonzalitos No. 235 Nte. Col. Mitras Centro, C.P. 64460, Monterrey, NL, México
| | - David Vega-Morales
- Servicio de Reumatología, Hospital Universitario, Universidad Autónoma de Nuevo León, Av. Gonzalitos No. 235 Nte. Col. Mitras Centro, C.P. 64460, Monterrey, NL, México
| | - Lorena Pérez-Barbosa
- Servicio de Reumatología, Hospital Universitario, Universidad Autónoma de Nuevo León, Av. Gonzalitos No. 235 Nte. Col. Mitras Centro, C.P. 64460, Monterrey, NL, México
| | - Cassandra Michelle Skinner-Taylor
- Servicio de Reumatología, Hospital Universitario, Universidad Autónoma de Nuevo León, Av. Gonzalitos No. 235 Nte. Col. Mitras Centro, C.P. 64460, Monterrey, NL, México
| | - Diana Elsa Flores-Alvarado
- Servicio de Reumatología, Hospital Universitario, Universidad Autónoma de Nuevo León, Av. Gonzalitos No. 235 Nte. Col. Mitras Centro, C.P. 64460, Monterrey, NL, México
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Cardenas-de la Garza JA, Cuellar-Barboza A, Ancer-Arellano J, Cruz-Gomez LG, Villarreal-Villarreal CD, Gallardo-Rocha A, Vera-Cabrera L, Vazquez-Martinez O, Ocampo-Candiani J, Welsh O. Paronychia and Target Lesions After Hematopoietic Cell Transplant. Cutis 2020; 106:168;179-180. [PMID: 33186419 DOI: 10.12788/cutis.0094] [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] [Indexed: 11/20/2022]
Affiliation(s)
| | - Adrian Cuellar-Barboza
- Dermatology Department, University Hospital "Dr. Jose Eleuterio Gonzalez," Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
| | - Jesus Ancer-Arellano
- Dermatology Department, University Hospital "Dr. Jose Eleuterio Gonzalez," Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
| | - Luis Gerardo Cruz-Gomez
- Dermatology Department, University Hospital "Dr. Jose Eleuterio Gonzalez," Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
| | | | - Anabel Gallardo-Rocha
- Dermatology Department, University Hospital "Dr. Jose Eleuterio Gonzalez," Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
| | - Lucio Vera-Cabrera
- Dermatology Department, University Hospital "Dr. Jose Eleuterio Gonzalez," Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
| | - Osvaldo Vazquez-Martinez
- Dermatology Department, University Hospital "Dr. Jose Eleuterio Gonzalez," Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
| | - Jorge Ocampo-Candiani
- Dermatology Department, University Hospital "Dr. Jose Eleuterio Gonzalez," Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
| | - Oliverio Welsh
- Dermatology Department, University Hospital "Dr. Jose Eleuterio Gonzalez," Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
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Skinner-Taylor CM, Perez-Barbosa L, Barriga-Maldonado ES, Cardenas-de la Garza JA, Diaz-Angulo JE, Figueroa-Parra G, Riega-Torres J, Galarza-Delgado DA. Reproductive health counseling and contraceptive use in Mexican women with rheumatic diseases: a cross-sectional study. Rheumatol Int 2020; 41:409-414. [PMID: 32797280 DOI: 10.1007/s00296-020-04679-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [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: 07/01/2020] [Accepted: 08/05/2020] [Indexed: 11/30/2022]
Abstract
BACKGROUND There is an overall increased risk of adverse pregnancy outcomes and maternal morbidity in patients with most autoimmune rheumatic diseases (ARD); outcomes are generally improved when the pregnancy is planned and the disease is in control. OBJECTIVE The objective of the present study was to describe the sexual and reproductive health characteristics and contraceptive use of Mexican women in childbearing age with ARD. METHODS We conducted an observational, cross-sectional, and descriptive study. All non-pregnant childbearing age women with an ARD were invited to participate. A self-administered questionnaire of ten items that included questions about sexuality, use of contraceptive methods, pregnancy desire, and contraceptional counseling was applied. RESULTS A total of 135 women were evaluated. The median age was 33 (25-39) years. Contraceptive use was referred by 49 (71%) of the patients that had sexual activity the last month, while 20 (28.9%) patients denied use. From the patients who had initiated sexual activity (N = 112), 41 (36.6%) did not use any contraceptive method, and 16 (14%) used a method classified as ineffective. The question about contraceptive counseling was answered by 112 patients. Eighty (70.4%) said they had received counseling from health-professional and 64 (57.1%) from their rheumatologist. A total of 57% of the women with teratogenic drugs did not employ a contraception method. CONCLUSION Contraceptive use and reproductive health counseling are suboptimal in Mexican women with ARD. A high proportion of women taking teratogenic drugs did not employ a highly effective contraceptive method. Strategies to improve reproductive and sexual health are necessary.
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Affiliation(s)
- Cassandra Michele Skinner-Taylor
- Department of Rheumatology, University Hospital "Dr. Eleuterio Gonzalez", Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 nte, Col. Mitras Centro, 644600, Monterrey, Mexico
| | - Lorena Perez-Barbosa
- Department of Rheumatology, University Hospital "Dr. Eleuterio Gonzalez", Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 nte, Col. Mitras Centro, 644600, Monterrey, Mexico.
| | - Eugenio Salvador Barriga-Maldonado
- Department of Rheumatology, University Hospital "Dr. Eleuterio Gonzalez", Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 nte, Col. Mitras Centro, 644600, Monterrey, Mexico
| | - Jesus Alberto Cardenas-de la Garza
- Department of Rheumatology, University Hospital "Dr. Eleuterio Gonzalez", Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 nte, Col. Mitras Centro, 644600, Monterrey, Mexico
| | - Jazzia Emily Diaz-Angulo
- Department of Rheumatology, University Hospital "Dr. Eleuterio Gonzalez", Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 nte, Col. Mitras Centro, 644600, Monterrey, Mexico
| | - Gabriel Figueroa-Parra
- Department of Rheumatology, University Hospital "Dr. Eleuterio Gonzalez", Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 nte, Col. Mitras Centro, 644600, Monterrey, Mexico
| | - Janett Riega-Torres
- Department of Rheumatology, University Hospital "Dr. Eleuterio Gonzalez", Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 nte, Col. Mitras Centro, 644600, Monterrey, Mexico
| | - Dionicio Angel Galarza-Delgado
- Department of Rheumatology, University Hospital "Dr. Eleuterio Gonzalez", Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 nte, Col. Mitras Centro, 644600, Monterrey, Mexico
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Ruiz-Lozano RE, Hernández-Camarena JC, Garza-Garza LA, Bustamante-Arias A, Colorado-Zavala MF, Cardenas-de la Garza JA. Isotretinoin and the eye: A review for the dermatologist. Dermatol Ther 2020; 33:e14029. [PMID: 32683764 DOI: 10.1111/dth.14029] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [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: 07/10/2020] [Accepted: 07/13/2020] [Indexed: 12/31/2022]
Abstract
Due to the prevalence of acne vulgaris, isotretinoin is one of the most prescribed drugs among physicians and dermatologists. Although exhibiting an adequate safety profile, adverse events secondary to isotretinoin use are common. Before prescribing isotretinoin, physicians usually inquire about pregnancy and perform serologic tests including cholesterol, triglycerides, and liver enzymes. Ocular manifestations are commonly neglected. Despite being generally mild, ocular manifestations related to either topical or systemic isotretinoin may cause important ocular morbidity. The ocular surface is the most affected site within the eye; however, retinal and optic nerve disease also have been documented. Evaporative dry eye disease, which may range from mild to severe, is the most common adverse ocular effect associated with isotretinoin use. The aim of this review is to present an up-to-date overview for the dermatologist about the prevention, diagnosis, and treatment of the ocular side effects of isotretinoin, and when to refer to the eye specialist.
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Affiliation(s)
- Raul E Ruiz-Lozano
- Tecnológico de Monterrey, School of Medicine and Health Sciences, Institute of Ophthalmology and Visual Sciences, Monterrey, Mexico
| | - Julio C Hernández-Camarena
- Tecnológico de Monterrey, School of Medicine and Health Sciences, Institute of Ophthalmology and Visual Sciences, Monterrey, Mexico
| | - Lucas A Garza-Garza
- Tecnológico de Monterrey, School of Medicine and Health Sciences, Institute of Ophthalmology and Visual Sciences, Monterrey, Mexico
| | - Andres Bustamante-Arias
- Tecnológico de Monterrey, School of Medicine and Health Sciences, Institute of Ophthalmology and Visual Sciences, Monterrey, Mexico
| | - Maria F Colorado-Zavala
- Tecnológico de Monterrey, School of Medicine and Health Sciences, Institute of Ophthalmology and Visual Sciences, Monterrey, Mexico
| | - Jesus Alberto Cardenas-de la Garza
- Universidad Autónoma de Nuevo León, Rheumatology Service, University Hospital "Dr. José Eleuterio González", Monterrey, Nuevo León, Mexico
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34
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Cardenas-de la Garza JA, Arvizu-Rivera RI, Galarza-Delgado DA. Should patients starting biologics be screened for COVID-19? Ann Rheum Dis 2020; 81:e150. [DOI: 10.1136/annrheumdis-2020-218437] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Accepted: 06/27/2020] [Indexed: 11/03/2022]
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Riega-Torres JCL, Treviño-Castro MA, Hernandez-Galarza IDJ, Garza-Martinez MJ, Vera-Pineda R, Cardenas-de la Garza JA, Rodriguez-de la Garza P, Skinner-Taylor CM, Galarza-Delgado DA. Cognitive dysfunction in Sjögren's syndrome using the Montreal Cognitive Assessment Questionnaire and the Automated Neuropsychological Assessment Metrics: A cross-sectional study. Int J Rheum Dis 2020; 23:1019-1023. [PMID: 32608054 DOI: 10.1111/1756-185x.13889] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [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: 04/07/2020] [Revised: 05/02/2020] [Accepted: 05/27/2020] [Indexed: 12/20/2022]
Abstract
AIM To describe the prevalence of cognitive impairment and the most affected cognitive domains, employing the Montreal Cognitive Assessment (MoCA) and the Automated Neuropsychological Assessment Metrics (ANAM) of a Latin American primary Sjögren's syndrome (pSS) cohort, and compare these patients to secondary Sjögren's syndrome (sSS) subjects and controls. METHODS This was a comparative cross-sectional study of patients with a diagnosis of pSS who fulfilled the American-European Consensus Group 2002 criteria and/or American College of Rheumatology/European League Against Rheumatism 2016 criteria; clinical information was evaluated prior to cognitive evaluation, which consisted of a single session in which the MoCA and ANAM were applied. RESULTS A total of 122 subjects were included in the analysis (51 pSS, 20 sSS and 51 controls); mean age of pSS was 56 years (SD 10.4), of which 47 (92.15%) were women. Moderate-severe cognitive impairment by MoCA was 17% in pSS, 5% in sSS, and 15% in controls, and by ANAM were 29% in pSS and 10% in sSS (P > .05). Visuospatial/executive subdomain in the MoCA was different between the pSS and the control group (P = .005). We encountered a statistically significant difference between pSS patients and control scores from the program in 6 of the 7 domains tested by the ANAM. CONCLUSION No difference was found in the prevalence of cognitive impairment between pSS subjects and controls by MoCA. Several subdomain scores differed between groups in both scales. Evaluation of cognitive disorders in patients with SS, even in early stages of the disease, seems advisable but the best strategy is yet to be elucidated.
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Affiliation(s)
| | - Mario Alberto Treviño-Castro
- Department of Rheumatology, University Hospital "Dr, Jose Eleuterio Gonzalez", Universidad Autónoma de Nuevo León, Monterrey, Mexico
| | - Ivan de Jesus Hernandez-Galarza
- Department of Rheumatology, University Hospital "Dr, Jose Eleuterio Gonzalez", Universidad Autónoma de Nuevo León, Monterrey, Mexico
| | - Mayra Judith Garza-Martinez
- Department of Rheumatology, University Hospital "Dr, Jose Eleuterio Gonzalez", Universidad Autónoma de Nuevo León, Monterrey, Mexico
| | - Raymundo Vera-Pineda
- Department of Rheumatology, University Hospital "Dr, Jose Eleuterio Gonzalez", Universidad Autónoma de Nuevo León, Monterrey, Mexico
| | | | - Patricia Rodriguez-de la Garza
- Department of Rheumatology, University Hospital "Dr, Jose Eleuterio Gonzalez", Universidad Autónoma de Nuevo León, Monterrey, Mexico
| | - Cassandra Michele Skinner-Taylor
- Department of Rheumatology, University Hospital "Dr, Jose Eleuterio Gonzalez", Universidad Autónoma de Nuevo León, Monterrey, Mexico
| | - Dionicio Angel Galarza-Delgado
- Department of Rheumatology, University Hospital "Dr, Jose Eleuterio Gonzalez", Universidad Autónoma de Nuevo León, Monterrey, Mexico
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Abstract
Red scrotum syndrome is an infrequently reported dermatosis characterized by scrotal erythema accompanied by burning, pain, or dysesthesia. It has been increasingly associated with prolonged use of topical corticosteroids. Treatment is challenging and symptoms may persist for months or years after discontinuation of the topical corticosteroids. We report three cases successfully treated with oral ivermectin.
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Affiliation(s)
- Jose Dario Martinez
- Department of Internal Medicine, University Hospital "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, México
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Cardenas-de la Garza JA, Welsh O, Cuellar-Barboza A, Suarez-Sanchez KP, Cruz-Gomez LG, De la Cruz-Valadez E, Ocampo-Candiani J, Vera-Cabrera L. Climate, soil type, and geographic distribution of actinomycetoma cases in Northeast Mexico: A cross-sectional study. PLoS One 2020; 15:e0232556. [PMID: 32384126 PMCID: PMC7209257 DOI: 10.1371/journal.pone.0232556] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2020] [Accepted: 04/16/2020] [Indexed: 11/18/2022] Open
Abstract
Background Mycetoma is a chronic, granulomatous infection of subcutaneous tissue, that may involve deep structures and bone. It can be caused by bacteria (actinomycetoma) or fungi (eumycetoma). There is an epidemiological association between mycetoma and the environment, including rainfall, temperature and humidity but there are still many knowledge gaps in the identification of the natural habitat of actinomycetes, their primary reservoir, and their precise geographical distribution. Knowing the potential distribution of this infection and its ecological niche in endemic areas is relevant to determine disease management strategies and etiological agent habitat or reservoirs. Methodology/principal findings This was an ambispective descriptive study of 31 patients with actinomycetoma. We determined the biophysical characteristics including temperature, precipitation, soil type, vegetation, etiological agents, and mapped actinomycetoma cases in Northeast Mexico. We identified two disease cluster areas. One in Nuevo Leon, with a predominantly kastanozems soil type, with a mean annual temperature of 22°, and a mean annual precipitation of 585.2 mm. Herein, mycetoma cases were produced by Actinomadura pelletieri, Actinomadura madurae, Nocardia brasiliensis, and Nocardia spp. The second cluster was in San Luis Potosí, where lithosols soil type predominates, with a mean annual temperature of 23.5° and a mean annual precipitation of 635.4 mm. In this area, all the cases were caused by N. brasiliensis. A. madurae cases were identified in rendzinas, kastanozems, vertisols, and lithosols soils, and A. pelletieri cases in xerosols, kastanozems, and rendzinas soils. Previous thorn trauma with Acacia or Prosopis plants was referred by 35.4% of subjects. In these states, the presence of thorny plants, such as Acacia spp., Prosopis spp., Senegalia greggi, Vachellia farnesiana and Vachellia rigidula, are common. Conclusions/significance Mapping this neglected tropical infection aids in the detection of disease cluster areas, the development of public health strategies for early diagnosis and disease prediction models; this paves the way for more ecological niche etiological agent research.
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Affiliation(s)
| | - Oliverio Welsh
- Servicio de Dermatología, Facultad de Medicina y Hospital Universitario, Universidad Autónoma de Nuevo León, Monterrey, Mexico
| | - Adrian Cuellar-Barboza
- Servicio de Dermatología, Facultad de Medicina y Hospital Universitario, Universidad Autónoma de Nuevo León, Monterrey, Mexico
| | - Karina Paola Suarez-Sanchez
- Servicio de Dermatología, Facultad de Medicina y Hospital Universitario, Universidad Autónoma de Nuevo León, Monterrey, Mexico
| | - Luis Gerardo Cruz-Gomez
- Servicio de Dermatología, Facultad de Medicina y Hospital Universitario, Universidad Autónoma de Nuevo León, Monterrey, Mexico
| | - Estephania De la Cruz-Valadez
- Servicio de Dermatología, Facultad de Medicina y Hospital Universitario, Universidad Autónoma de Nuevo León, Monterrey, Mexico
| | - Jorge Ocampo-Candiani
- Servicio de Dermatología, Facultad de Medicina y Hospital Universitario, Universidad Autónoma de Nuevo León, Monterrey, Mexico
| | - Lucio Vera-Cabrera
- Servicio de Dermatología, Facultad de Medicina y Hospital Universitario, Universidad Autónoma de Nuevo León, Monterrey, Mexico
- * E-mail:
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Skinner-Taylor CM, Perez-Barbosa L, Corral-Trujillo ME, Perez-Onofre I, Barriga-Maldonado ES, Cardenas-de la Garza JA, Riega-Torres J, Galarza-Delgado DA. Anxiety and depression in reproductive age women with rheumatic diseases. Rheumatol Int 2020; 40:1433-1438. [PMID: 32372140 DOI: 10.1007/s00296-020-04591-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [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: 02/29/2020] [Accepted: 04/18/2020] [Indexed: 01/05/2023]
Abstract
Women in reproductive age with rheumatic diseases (RD) are especially vulnerable for depression and anxiety which negatively impacts the pregnancy, birth, and RD. The purpose of this study is to describe the frequency of anxiety and depression symptoms employing the Hospital Anxiety and Depression Scale (HADS) in women in reproductive age. We conducted an observational, single-center, cross-sectional, and descriptive study in reproductive-age, non-pregnant women without a prior psychiatric diagnosis. Differences between disease groups, subscale results, and disease activity were analyzed with the Chi square, Mann-Whitney U test, or Kruskal-Wallis test. A total of 100 women were included. Mean age was 35.3 years (SD = 10.07). The most frequent diagnosis was rheumatoid arthritis (RA) with 48, followed by systemic lupus erythematosus (SLE) with 30. A total of 66 (66%) patients had an abnormal HADS score (probable or possible cases) in either subscale. More than 50% of RA patients had an abnormal HADS score. We found an association between RA disease activity groups and total HADS score (p = 0.003). Furthermore, we found a statically significant association between RA activity groups and HADS anxiety subscales group classification (p = 0.01). No differences between disease activity groups of SLE or other diseases and HADS classification or total score was found (p = 0.277). A high frequency of probable or possible cases of depression and anxiety were recognized in reproductive-age women with RD. A high RA disease activity was associated with a high total HADS score and an increased presence of anxiety symptoms.
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Affiliation(s)
- Cassandra Michele Skinner-Taylor
- Rheumatology Service, Hospital Universitario "Dr. José Eleuterio Gonzalez", Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 Norte, Colonia Mitras Centro, C.P 64460, Monterrey, Nuevo León, Mexico
| | - Lorena Perez-Barbosa
- Rheumatology Service, Hospital Universitario "Dr. José Eleuterio Gonzalez", Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 Norte, Colonia Mitras Centro, C.P 64460, Monterrey, Nuevo León, Mexico.
| | - Maria Eugenia Corral-Trujillo
- Rheumatology Service, Hospital Universitario "Dr. José Eleuterio Gonzalez", Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 Norte, Colonia Mitras Centro, C.P 64460, Monterrey, Nuevo León, Mexico
| | - Itzel Perez-Onofre
- Rheumatology Service, Hospital Universitario "Dr. José Eleuterio Gonzalez", Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 Norte, Colonia Mitras Centro, C.P 64460, Monterrey, Nuevo León, Mexico
| | - Eugenio Salvador Barriga-Maldonado
- Rheumatology Service, Hospital Universitario "Dr. José Eleuterio Gonzalez", Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 Norte, Colonia Mitras Centro, C.P 64460, Monterrey, Nuevo León, Mexico
| | - Jesus Alberto Cardenas-de la Garza
- Rheumatology Service, Hospital Universitario "Dr. José Eleuterio Gonzalez", Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 Norte, Colonia Mitras Centro, C.P 64460, Monterrey, Nuevo León, Mexico
| | - Janett Riega-Torres
- Rheumatology Service, Hospital Universitario "Dr. José Eleuterio Gonzalez", Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 Norte, Colonia Mitras Centro, C.P 64460, Monterrey, Nuevo León, Mexico
| | - Dionicio Angel Galarza-Delgado
- Rheumatology Service, Hospital Universitario "Dr. José Eleuterio Gonzalez", Universidad Autónoma de Nuevo León, Av. Gonzalitos 235 Norte, Colonia Mitras Centro, C.P 64460, Monterrey, Nuevo León, Mexico
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Cuellar-Barboza A, Cardenas-de la Garza JA, Cruz-Gómez LG, Barboza-Quintana O, Flores-Gutiérrez JP, Gómez-Flores M, Welsh O, Ocampo-Candiani J, Herz-Ruelas ME. Local secretion of stress hormones increases in alopecia areata lesions after treatment with UVA-1 phototherapy. Exp Dermatol 2020; 29:259-264. [PMID: 31997403 DOI: 10.1111/exd.14077] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [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: 10/28/2019] [Revised: 01/20/2020] [Accepted: 01/22/2020] [Indexed: 12/18/2022]
Abstract
Alopecia areata (AA) is an autoimmune disease of the hair follicle. Keratinocytes of the hair follicle generate an immunosuppressive environment by the local secretion of hormones of the hypothalamic-pituitary-adrenal axis of the skin (skin HPA analog). Our objective was to measure the local production of corticotropin-releasing hormone (CRH), adrenocorticotropic hormone (ACTH), and α-melanocyte-stimulating hormone (α-MSH) in the scalp tissue of patients with AA before and after ultraviolet A1 (UVA-1) phototherapy to determine their role in the pathogenesis of AA and the effect of UVA-1 on the AA hormonal environment. This was a retrospective and descriptive study of skin samples from 22 patients with AA before and after UVA-1 treatment. We compared the changes in the local hormonal environment by measuring CRH, ACTH, type 2 melanocortin receptor (ACTH receptor) and α-MSH with immunohistochemical stains. The positivity of MSH was significantly higher (P = .037) in the post-treatment samples compared with the baseline value. ACTH was significantly higher in intensity (P = .032) in the post-treatment samples compared with the initial value. CRH was significantly higher in intensity (P = .013) in baseline samples compared with the final biopsies. The positivity of the ACTH receptor MC2R was not different between the two groups (P = .626). In AA, an interruption in the signalling of CRH could decrease the local concentration of ACTH and MSH, and consequently, the immunosuppressive effect of these hormones. This phenomenon is normalized in the skin treated with UVA-1. A defective signalling system in the cutaneous HPA axis may be involved in the pathogenesis of AA.
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Affiliation(s)
- Adrian Cuellar-Barboza
- Department of Dermatology, Universidad Autonoma de Nuevo Leon, University Hospital "Dr. Jose Eleuterio Gonzalez", Monterrey, Mexico
| | | | - Luis Gerardo Cruz-Gómez
- Department of Dermatology, Universidad Autonoma de Nuevo Leon, University Hospital "Dr. Jose Eleuterio Gonzalez", Monterrey, Mexico
| | - Oralia Barboza-Quintana
- Department of Pathology, Universidad Autonoma de Nuevo Leon, University Hospital "Dr. Jose Eleuterio Gonzalez", Monterrey, Mexico
| | - Juan Pablo Flores-Gutiérrez
- Department of Pathology, Universidad Autonoma de Nuevo Leon, University Hospital "Dr. Jose Eleuterio Gonzalez", Monterrey, Mexico
| | - Minerva Gómez-Flores
- Department of Dermatology, Universidad Autonoma de Nuevo Leon, University Hospital "Dr. Jose Eleuterio Gonzalez", Monterrey, Mexico
| | - Oliverio Welsh
- Department of Dermatology, Universidad Autonoma de Nuevo Leon, University Hospital "Dr. Jose Eleuterio Gonzalez", Monterrey, Mexico
| | - Jorge Ocampo-Candiani
- Department of Dermatology, Universidad Autonoma de Nuevo Leon, University Hospital "Dr. Jose Eleuterio Gonzalez", Monterrey, Mexico
| | - Maira E Herz-Ruelas
- Department of Dermatology, Universidad Autonoma de Nuevo Leon, University Hospital "Dr. Jose Eleuterio Gonzalez", Monterrey, Mexico
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Abstract
Objective: Sarecycline is a new oral tetracycline antibiotic recently approved by the US Food and Drug Administration. The aim of this article was to evaluate the data from published clinical trials of sarecycline in the treatment of acne, review the drug's pharmacology, and understand how this new medication may apply to clinical practice. Data Sources: A systematic literature review was performed using the terms sarecycline (Seysara), P005672, and WC-3035 in the MEDLINE and EMBASE databases. ClinicalTrials.gov was searched to identify ongoing or nonpublished studies. Study Selection and Data Extraction: Articles in English between January 2000 and April 2019 relating to clinical trials, pharmacology, safety, and microbiological profile were evaluated. Data Synthesis: In a phase 3 clinical trial (SC1401), absolute change from baseline in facial inflammatory lesion count at week 12 was -15.3 for the sarecycline arm and -10.1 for placebo (P < 0.01). In another phase 3 clinical trial (SC1402), the absolute change in this category was -15.7 for sarecycline and -10.7 for placebo (P < 0.01). Mean percentage change in facial inflammatory lesion count was higher in the sarecycline group than in the placebo group in both studies (P < 0.01). Relevance to Patient Care and Clinical Practice: The 1.5-mg/kg sarecycline dose has efficacy in reducing inflammatory lesions, is well tolerated, and has more targeted antimicrobial activity, which may help reduce the risk of developing antibiotic resistance. Conclusions: This novel, once-daily treatment may represent a useful treatment for patients with moderate to severe acne.
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Affiliation(s)
- Wasim Haidari
- Center for Dermatology Research, Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, NC, USA
| | - Raquel Bruinsma
- Center for Dermatology Research, Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, NC, USA
| | | | - Steven R Feldman
- Center for Dermatology Research, Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, NC, USA
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Cardenas-de la Garza JA, Villarreal-Villarreal CD, Cuellar-Barboza A, Cardenas-Gonzalez RE, Gonzalez-Benavides N, Cruz-Gomez LG, Ocampo-Candiani J, Welsh O. Red Scrotum Syndrome Treatment with Pregabalin: A Case Series. Ann Dermatol 2019; 31:320-324. [PMID: 33911598 PMCID: PMC7992738 DOI: 10.5021/ad.2019.31.3.320] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2018] [Revised: 05/10/2018] [Accepted: 05/11/2018] [Indexed: 12/25/2022] Open
Abstract
Red scrotum syndrome (RSS) (also known as male genital dysesthesia) is a rarely recognized entity characterized by scrotal erythema accompanied by a burning sensation, pain, hyperesthesia/dysesthesia, increased temperature and pruritus. Although its physiopathology is unknown, it has increasingly been associated with chronic topical steroid use in the male genital area. Treatment is challenging and no standardized treatment is currently available. Because current treatment relies on case reports and small case series, the need for more information about drug efficacy in RSS is warranted. The aim of this study is to describe the therapeutic response to pregabalin in patients from an outpatient dermatologic clinic in a tertiary-care hospital diagnosed with RSS. Five patients with a confirmed diagnosis of RSS were included. Ages ranged from 28 to 63 years. All patients had chronic steroid use in the genital area, mostly in the form of combined formulations of corticosteroids, antifungals, and antibiotics. Four patients were prescribed pregabalin monotherapy, 150 mg once daily at night. One patient was prescribed pregabalin and doxycycline. Two patients had complete remission after one month of therapy, one at two months and two at three months. None experienced recurrence at an average of 9.4 months' follow-up. One patient experienced morning drowsiness that did not require suspending treatment. Pregabalin is a well-tolerated and effective treatment for RSS.
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Affiliation(s)
- Jesus Alberto Cardenas-de la Garza
- Department of Dermatology, Hospital Universitario Dr. José E. González y Facultad de Medicina, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
| | - Cesar Daniel Villarreal-Villarreal
- Department of Dermatology, Hospital Universitario Dr. José E. González y Facultad de Medicina, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
| | - Adrian Cuellar-Barboza
- Department of Dermatology, Hospital Universitario Dr. José E. González y Facultad de Medicina, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
| | - Ramiro Eugenio Cardenas-Gonzalez
- Department of Dermatology, Hospital Universitario Dr. José E. González y Facultad de Medicina, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
| | - Nereyda Gonzalez-Benavides
- Department of Dermatology, Hospital Universitario Dr. José E. González y Facultad de Medicina, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
| | - Luis Gerardo Cruz-Gomez
- Department of Dermatology, Hospital Universitario Dr. José E. González y Facultad de Medicina, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
| | - Jorge Ocampo-Candiani
- Department of Dermatology, Hospital Universitario Dr. José E. González y Facultad de Medicina, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
| | - Oliverio Welsh
- Department of Dermatology, Hospital Universitario Dr. José E. González y Facultad de Medicina, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
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Cuellar-Barboza A, Cardenas-de la Garza JA, Martinez-Moreno A, Cardenas-Gonzalez R, Barboza-Quintana O, Ocampo-Candiani J. Giant Lumbar Polypoid Tumor with Bullae on its Surface. Acta Dermatovenerol Croat 2019; 27:127-128. [PMID: 31351510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Dear Editor, Acrochordons are common benign neoplasms found in everyday practice. We present a rare case of a giant and single acrochordon on the lumbar region with signs of ischemia. The correlation of clinical, dermatoscopic, and histopathological analyses may help the clinician differentiate this entity from other benign and malignant dermatoses. A 33-year-old man presented to the outpatient clinic complaining of a lumbar mass that had been growing for two years. The lesion was asymptomatic except for recent discomfort when lying in the supine decubitus position. On examination there was a single, erythematous, non-tender pedunculated lesion, 5.1 cm × 4 cm × 3.2 cm in size, with flaccid bullae on its surface and firm consistency (Figure 1, a-b). Dermoscopy showed regularly arranged dotted vessels in a violaceous background and bullae filled with serous fluid (Figure 1, c-d). His personal and family medical history were unremarkable. Shave excision was performed and the sample was sent for histopathologic analysis. Histopathology revealed a normal epidermis surrounding a core of loose collagen fibers. Papillary dermis showed a mixed inflammatory cell infiltrate, congested capillaries, and extravasated erythrocytes. Scattered clusters of adipocytes were found in the deep dermis (Figure 2). The diagnosis of a giant ischemic acrochordon was established. Acrochordons, also commonly known as skin tags, are benign pedunculated neoplasms frequently found on the neck, axillae, or groin. They represent fibroepithelial polyps that originate from ectoderm and mesoderm tissue (1). They can be pigmented or skin colored and usually range between 2 to 5 mm in size. Skin tags can affect nearly 46% of the general population (2). Giant and solitary acrochordons are an uncommon clinical variant (2). Differential diagnosis of this pathology may be challenging in the particular clinical context of this patient. Benign neoplasms such as dermatofibroma, neurofibroma, and epidermal inclusion cysts can be clinically similar to giant skin tags (1,2). Histopathological analyses of acrochordons usually show papillomatosis, irregular acanthosis, loose collagen fibers, and dilated capillaries (2). A fibrolipomatous variant of acrochordon may reveal adipose tissue lobules between septa of collagen on pathological examination (1). Local ischemia due to twisting of the stalk may induce the formation of intradermal or subepidermal blisters in these tumors. Histopathologic characteristics found in ischemic acrochordons are neutrophil infiltration, congested capillaries, and extravasated erythrocytes (3). Fibroepithelioma of Pinkus (FeP) is a rare variant of basal cell carcinoma that may clinically mimic benign polypoid tumors and has a certain predilection for the lumbosacral area. Dermoscopic characteristics of fibroepithelioma of Pinkus that may aid the clinician in this diagnosis are fine arborizing vessels, either alone or associated with dotted vessels, and white streaks (4). Cosmetically adequate treatment of a giant acrochordon can be performed by shave excision and electrodesiccation of its pedicle. Choudhary et al. reported good results with this technique on a giant acrochordon on the thigh (5).
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Affiliation(s)
| | | | | | | | | | - Jorge Ocampo-Candiani
- Dr. Jorge Ocampo-Candiani, Chair of the Dermatology Department, University Hospital "Dr. José E. González", Universidad Autónoma de Nuevo León, Mitras Centro, Avenida Gonzalitos y Madero S/N, 64460 Monterrey, Mexico;
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Abstract
Chikungunya and Zika virus infections are emerging diseases in the Americas, and dengue continues to be the most prevalent arthropod-borne virus in the world. These arbovirus diseases may spread by endemic transmission or as travel-related infections and have rapidly expanded their geographic distribution secondary to vector spread. All 3 share a similar clinical picture that includes a maculopapular rash. Zika is characterized by pruritic rash, low-grade fever, and arthralgia. Congenital nervous system malformations are a growing public-health concern. Chikungunya distinctive dermatologic manifestations include facial melanosis and bullous eruption. Dengue bleeding complications may be life-threatening and require inpatient management.
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Affiliation(s)
- Jose Dario Martinez
- Department of Internal Medicine, University Hospital "Dr. José E. González", UANL, Mitras Centro, Avenida Gonzalitos y Madero S/N, Monterrey 64460, Mexico.
| | - Jesus Alberto Cardenas-de la Garza
- Department of Dermatology, University Hospital "Dr. José E. González", Universidad Autónoma de Nuevo León, Mitras Centro, Avenida Gonzalitos y Madero S/N, Monterrey 64460, Mexico
| | - Adrian Cuellar-Barboza
- Department of Dermatology, University Hospital "Dr. José E. González", Universidad Autónoma de Nuevo León, Mitras Centro, Avenida Gonzalitos y Madero S/N, Monterrey 64460, Mexico
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Cardenas-de la Garza JA, Cuellar-Barboza A, Ancer-Arellano J, Ramos-Cavazos CJ, Vazquez-Martinez OT, Ocampo-Candiani J. Classic dermatological tools: Foreign body removal with punch biopsy. J Am Acad Dermatol 2019; 81:e93-e94. [PMID: 30612985 DOI: 10.1016/j.jaad.2018.10.038] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2018] [Accepted: 10/19/2018] [Indexed: 01/22/2023]
Affiliation(s)
| | - Adrian Cuellar-Barboza
- Department of Dermatology, University Hospital Dr Jose Eleuterio Gonzalez, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
| | - Jesus Ancer-Arellano
- Department of Dermatology, University Hospital Dr Jose Eleuterio Gonzalez, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
| | - Cesar Jair Ramos-Cavazos
- Department of Dermatology, University Hospital Dr Jose Eleuterio Gonzalez, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
| | - Osvaldo Tomas Vazquez-Martinez
- Department of Dermatology, University Hospital Dr Jose Eleuterio Gonzalez, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
| | - Jorge Ocampo-Candiani
- Department of Dermatology, University Hospital Dr Jose Eleuterio Gonzalez, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico.
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Ancer-Arellano J, Villarreal-Villarreal CD, Cardenas-de la Garza JA, Cuellar-Barboza A, Vazquez-Martínez O, Ocampo-Candiani J. Electrodissection for nevus lipomatosus cutaneous superficialis removal. J Am Acad Dermatol 2018; 81:e127-e128. [PMID: 30529541 DOI: 10.1016/j.jaad.2018.11.051] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2018] [Revised: 11/14/2018] [Accepted: 11/28/2018] [Indexed: 11/15/2022]
Affiliation(s)
- Jesus Ancer-Arellano
- Universidad Autonoma de Nuevo León, Facultad de Medicina, Hospital Universitario Dr José E. González, Servicio de Dermatología, Monterrey, Nuevo León, Mexico
| | - Cesar Daniel Villarreal-Villarreal
- Universidad Autonoma de Nuevo León, Facultad de Medicina, Hospital Universitario Dr José E. González, Servicio de Dermatología, Monterrey, Nuevo León, Mexico
| | - Jesus Alberto Cardenas-de la Garza
- Universidad Autonoma de Nuevo León, Facultad de Medicina, Hospital Universitario Dr José E. González, Servicio de Dermatología, Monterrey, Nuevo León, Mexico
| | - Adrian Cuellar-Barboza
- Universidad Autonoma de Nuevo León, Facultad de Medicina, Hospital Universitario Dr José E. González, Servicio de Dermatología, Monterrey, Nuevo León, Mexico
| | - Osvaldo Vazquez-Martínez
- Universidad Autonoma de Nuevo León, Facultad de Medicina, Hospital Universitario Dr José E. González, Servicio de Dermatología, Monterrey, Nuevo León, Mexico
| | - Jorge Ocampo-Candiani
- Universidad Autonoma de Nuevo León, Facultad de Medicina, Hospital Universitario Dr José E. González, Servicio de Dermatología, Monterrey, Nuevo León, Mexico.
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46
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Cardenas-de la Garza JA, De la Cruz-Valadez E, Ocampo-Candiani J, Welsh O. Clinical spectrum of Lyme disease. Eur J Clin Microbiol Infect Dis 2018; 38:201-208. [PMID: 30456435 DOI: 10.1007/s10096-018-3417-1] [Citation(s) in RCA: 51] [Impact Index Per Article: 8.5] [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: 09/04/2018] [Accepted: 10/30/2018] [Indexed: 12/16/2022]
Abstract
Lyme disease (borreliosis) is one of the most common vector-borne diseases worldwide. Its incidence and geographic expansion has been steadily increasing in the last decades. Lyme disease is caused by Borrelia burgdorferi sensu lato, a heterogeneous group of which three genospecies have been systematically associated to Lyme disease: B. burgdorferi sensu stricto Borrelia afzelii and Borrelia garinii. Geographical distribution and clinical manifestations vary according to the species involved. Lyme disease clinical manifestations may be divided into three stages. Early localized stage is characterized by erythema migrans in the tick bite site. Early disseminated stage may present multiple erythema migrans lesions, borrelial lymphocytoma, lyme neuroborreliosis, carditis, or arthritis. The late disseminated stage manifests with acordermatitis chronica atrophicans, lyme arthritis, and neurological symptoms. Diagnosis is challenging due to the varied clinical manifestations it may present and usually involves a two-step serological approach. In the current review, we present a thorough revision of the clinical manifestations Lyme disease may present. Additionally, history, microbiology, diagnosis, post-treatment Lyme disease syndrome, treatment, and prognosis are discussed.
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Affiliation(s)
- Jesus Alberto Cardenas-de la Garza
- University Hospital "Dr. Jose Eleuterio Gonzalez", Department of Dermatology, Universidad Autonoma de Nuevo Leon, Av. Madero y Gonzalitos s/n, Colonia Mitras Centro, 64460, Monterrey, NL, Mexico
| | - Estephania De la Cruz-Valadez
- University Hospital "Dr. Jose Eleuterio Gonzalez", Department of Dermatology, Universidad Autonoma de Nuevo Leon, Av. Madero y Gonzalitos s/n, Colonia Mitras Centro, 64460, Monterrey, NL, Mexico
| | - Jorge Ocampo-Candiani
- University Hospital "Dr. Jose Eleuterio Gonzalez", Department of Dermatology, Universidad Autonoma de Nuevo Leon, Av. Madero y Gonzalitos s/n, Colonia Mitras Centro, 64460, Monterrey, NL, Mexico
| | - Oliverio Welsh
- University Hospital "Dr. Jose Eleuterio Gonzalez", Department of Dermatology, Universidad Autonoma de Nuevo Leon, Av. Madero y Gonzalitos s/n, Colonia Mitras Centro, 64460, Monterrey, NL, Mexico.
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Gonzalez-Benavides N, Cardenas-de la Garza JA, Rodriguez-Vivian C, Ocampo-Candiani J, Welsh O. Skeletal Muscle Diffuse Large B-Cell Lymphoma in the Gluteal Region. Turk J Haematol 2018; 35:310-311. [PMID: 29983404 PMCID: PMC6256831 DOI: 10.4274/tjh.2018.0186] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Affiliation(s)
- Nereyda Gonzalez-Benavides
- Autonomous University of Nuevo León, Dr. Jose E. Gonzalez Faculty of Medicine and University Hospital, Department of Dermatology, Monterrey, Mexico
| | - Jesus Alberto Cardenas-de la Garza
- Autonomous University of Nuevo León, Dr. Jose E. Gonzalez Faculty of Medicine and University Hospital, Department of Dermatology, Monterrey, Mexico
| | - Candelario Rodriguez-Vivian
- Autonomous University of Nuevo León, Dr. Jose E. Gonzalez Faculty of Medicine and University Hospital, Department of Dermatology, Monterrey, Mexico
| | - Jorge Ocampo-Candiani
- Autonomous University of Nuevo León, Dr. Jose E. Gonzalez Faculty of Medicine and University Hospital, Department of Dermatology, Monterrey, Mexico
| | - Oliverio Welsh
- Autonomous University of Nuevo León, Dr. Jose E. Gonzalez Faculty of Medicine and University Hospital, Department of Dermatology, Monterrey, Mexico
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48
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Cardenas-de la Garza JA, Ancer-Arellano J, Cuellar-Barboza A, Saenz-Ibarra B, Ocampo-Garza SS, Barboza-Quintana O, Gallardo-Rocha A, Vera-Cabrera L, Ocampo-Candiani J, Welsh O. Disseminated Trichosporon asahii infection in a patient with acute myeloid leukemia. J Dermatol 2018; 46:e128-e129. [PMID: 30295013 DOI: 10.1111/1346-8138.14662] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Jesus Alberto Cardenas-de la Garza
- Department of Dermatology, School of Medicine and University Hospital Dr Jose Eleuterio Gonzalez, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
| | - Jesus Ancer-Arellano
- Department of Dermatology, School of Medicine and University Hospital Dr Jose Eleuterio Gonzalez, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
| | - Adrian Cuellar-Barboza
- Department of Dermatology, School of Medicine and University Hospital Dr Jose Eleuterio Gonzalez, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
| | - Barbara Saenz-Ibarra
- Department of Pathological Anatomy and Cytopathology, School of Medicine and University Hospital Dr Jose Eleuterio Gonzalez, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
| | - Sonia Sofia Ocampo-Garza
- Department of Dermatology, School of Medicine and University Hospital Dr Jose Eleuterio Gonzalez, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
| | - Oralia Barboza-Quintana
- Department of Pathological Anatomy and Cytopathology, School of Medicine and University Hospital Dr Jose Eleuterio Gonzalez, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
| | - Anabel Gallardo-Rocha
- Department of Dermatology, School of Medicine and University Hospital Dr Jose Eleuterio Gonzalez, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
| | - Lucio Vera-Cabrera
- Department of Dermatology, School of Medicine and University Hospital Dr Jose Eleuterio Gonzalez, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
| | - Jorge Ocampo-Candiani
- Department of Dermatology, School of Medicine and University Hospital Dr Jose Eleuterio Gonzalez, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
| | - Oliverio Welsh
- Department of Dermatology, School of Medicine and University Hospital Dr Jose Eleuterio Gonzalez, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
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