Original Article
Psoriasis Affects Individuals of African Descent and White Brazilians Similarly
La psoriasis afecta de forma similar a los pacientes brasileños de ascendencia africana y caucásica
C. Porto Ferreiraa,b,
, C.J. Martinsc, P.R. Issac, R. de Vasconcellos Carvalhaes de Oliveiraa,b, A.M. Da-Cruza,d
Autor para correspondencia
a Laboratório de Interdisciplinar de Pesquisas Médicas, Instituto Oswaldo Cruz/FIOCRUZ, Rio de Janeiro, Brazil
b Instituto de Pesquisa Clínica Evandro Chagas/FIOCRUZ, Rio de Janeiro, Brazil
c Serviço de Dermatologia, Hospital Universitário Gaffré e Guinle, Universidade Federal do Estado do Rio de Janeiro (UNIRIO), Brazil
d Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Brazil
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"apellidos" => "Porto Ferreira" "email" => array:1 [ 0 => "drcassioferreira@yahoo.com.br" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "C.J." "apellidos" => "Martins" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] ] 2 => array:3 [ "nombre" => "P.R." "apellidos" => "Issa" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] ] 3 => array:3 [ "nombre" => "R." "apellidos" => "de Vasconcellos Carvalhaes de Oliveira" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 4 => array:3 [ "nombre" => "A.M." "apellidos" => "Da-Cruz" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff4" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Laboratório de Interdisciplinar de Pesquisas Médicas, Instituto Oswaldo Cruz/FIOCRUZ, Rio de Janeiro, Brazil" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Instituto de Pesquisa Clínica Evandro Chagas/FIOCRUZ, Rio de Janeiro, Brazil" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] 2 => array:3 [ "entidad" => "Serviço de Dermatologia, Hospital Universitário Gaffré e Guinle, Universidade Federal do Estado do Rio de Janeiro (UNIRIO), Brazil" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] 3 => array:3 [ "entidad" => "Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Brazil" "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff4" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "La psoriasis afecta de forma similar a los pacientes brasileños de ascendencia africana y caucásica" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-04-20" "fechaAceptado" => "2009-09-03" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec84731" "palabras" => array:5 [ 0 => "Psoriasis" 1 => "Clinical features" 2 => "Afro-descendants" 3 => "Brazilian population" 4 => "Blacks" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec84730" "palabras" => array:5 [ 0 => "Psoriasis" 1 => "Características clínicas" 2 => "Afrodescendientes" 3 => "Población brasileña" 4 => "Negros" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p class="elsevierStyleSimplePara elsevierViewall">Cultural, socio-demographic and environmental factors such as tropical climate and exposure to sun could have an impact on the incidence or clinical course of psoriasis. Here we describe the main clinical aspects of psoriasis in Brazilian patients and also investigate whether any particular feature can distinguish the disease occurring in Brazil from that occurring in other countries.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p class="elsevierStyleSimplePara elsevierViewall">We recorded the clinical features of 151 psoriasis patients seen in a Brazilian public dermatological care unit between 2006 and 2008.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Males and females were similarly affected. The reported races were as follows: whites, 47 cases (41.6%), interracial individuals (mixed race), 42 cases (37.2%) and blacks, 24 cases (21.2%). Chronic plaque-type psoriasis was the most prevalent clinical form (110 cases, 72.8%) followed by palm and sole involvement (21 cases, 13.9%).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">We demonstrated that psoriasis in these Brazilian subjects was similar to that observed in subjects from other countries, but interracial and black populations were affected as much as whites. Considering the high rate of interracial populations among Brazilians we cannot exclude the possibility that Afro-descendants may have inherited Caucasian genes associated with psoriasis. Poor socio-economic conditions of Afro-descendants can limit their possibilities of receiving adequate treatments, impairing their health-related quality of life.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p class="elsevierStyleSimplePara elsevierViewall">Los factores culturales, sociodemográficos y ambientales tales como el clima tropical o la exposición solar pueden tener un impacto en la incidencia o el curso clínico de la psoriasis. En este artículo describimos los principales aspectos clínicos de la psoriasis en pacientes brasileños e investigamos si existe alguna característica que permita distinguir la enfermedad que ocurre en Brasil de la que se encuentra en otros países.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Se recogieron las características clínicas de 151 pacientes con psoriasis evaluados en un centro dermatológico público de Brasil entre 2006 y 2008.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Los hombres y las mujeres estaban afectados de forma similar. La frecuencia de afectación según la raza era la siguiente: blancos 47 casos (41,6%), mestizos 42 casos (37,2%) y negros 24 casos (21,2%). Las formas clínicas más prevalentes fueron la psoriasis crónica en placas (110 casos, 72,8%) seguida de la psoriasis palmoplantar (21 casos, 13,9%).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Demostramos que la psoriasis en estos sujetos brasileños es similar a la que se observa en sujetos de otros países, pero los mestizos y los negros están afectados tanto como los blancos. Teniendo en cuenta la elevada proporción de población mestiza entre los brasileños, no podemos descartar la posibilidad de que los descendientes africanos hayan podido heredar los genes caucásicos asociados a la psoriasis. Las pobres condiciones socioeconómicas de los descendientes africanos pueden limitar sus posibilidades para recibir tratamientos adecuados, lo que altera su calidad de vida.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:40 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Psoriasis-epidemiology and clinical spectrum" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "E. Christophers" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Clin Exp Dermatol" "fecha" => "2001" "volumen" => "26" "paginaInicial" => "314" "paginaFinal" => "320" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11422182" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 8 | 9 | 17 |
| 2024 Octubre | 54 | 45 | 99 |
| 2024 Septiembre | 59 | 25 | 84 |
| 2024 Agosto | 85 | 61 | 146 |
| 2024 Julio | 55 | 30 | 85 |
| 2024 Junio | 59 | 33 | 92 |
| 2024 Mayo | 46 | 31 | 77 |
| 2024 Abril | 59 | 22 | 81 |
| 2024 Marzo | 45 | 35 | 80 |
| 2024 Febrero | 44 | 22 | 66 |
| 2024 Enero | 40 | 34 | 74 |
| 2023 Diciembre | 42 | 38 | 80 |
| 2023 Noviembre | 32 | 21 | 53 |
| 2023 Octubre | 35 | 25 | 60 |
| 2023 Septiembre | 33 | 23 | 56 |
| 2023 Agosto | 23 | 13 | 36 |
| 2023 Julio | 28 | 39 | 67 |
| 2023 Junio | 30 | 23 | 53 |
| 2023 Mayo | 28 | 23 | 51 |
| 2023 Abril | 21 | 19 | 40 |
| 2023 Marzo | 21 | 16 | 37 |
| 2023 Febrero | 22 | 24 | 46 |
| 2023 Enero | 18 | 33 | 51 |
| 2022 Diciembre | 25 | 42 | 67 |
| 2022 Noviembre | 15 | 29 | 44 |
| 2022 Octubre | 16 | 23 | 39 |
| 2022 Septiembre | 17 | 47 | 64 |
| 2022 Agosto | 16 | 38 | 54 |
| 2022 Julio | 12 | 31 | 43 |
| 2022 Junio | 14 | 27 | 41 |
| 2022 Mayo | 23 | 38 | 61 |
| 2022 Abril | 15 | 40 | 55 |
| 2022 Marzo | 34 | 66 | 100 |
| 2022 Febrero | 21 | 27 | 48 |
| 2022 Enero | 19 | 42 | 61 |
| 2021 Diciembre | 19 | 34 | 53 |
| 2021 Noviembre | 19 | 41 | 60 |
| 2021 Octubre | 19 | 56 | 75 |
| 2021 Septiembre | 19 | 35 | 54 |
| 2021 Agosto | 14 | 28 | 42 |
| 2021 Julio | 26 | 32 | 58 |
| 2021 Junio | 23 | 20 | 43 |
| 2021 Mayo | 24 | 26 | 50 |
| 2021 Abril | 37 | 43 | 80 |
| 2021 Marzo | 50 | 27 | 77 |
| 2021 Febrero | 52 | 20 | 72 |
| 2021 Enero | 41 | 19 | 60 |
| 2020 Diciembre | 18 | 10 | 28 |
| 2020 Noviembre | 29 | 24 | 53 |
| 2020 Octubre | 17 | 9 | 26 |
| 2020 Septiembre | 25 | 15 | 40 |
| 2020 Agosto | 31 | 16 | 47 |
| 2020 Julio | 18 | 11 | 29 |
| 2020 Junio | 16 | 22 | 38 |
| 2020 Mayo | 19 | 23 | 42 |
| 2020 Abril | 16 | 18 | 34 |
| 2020 Marzo | 25 | 22 | 47 |
| 2020 Febrero | 1 | 0 | 1 |
| 2020 Enero | 0 | 8 | 8 |
| 2019 Diciembre | 0 | 8 | 8 |
| 2019 Noviembre | 0 | 4 | 4 |
| 2019 Octubre | 0 | 2 | 2 |
| 2019 Septiembre | 0 | 4 | 4 |
| 2019 Agosto | 0 | 1 | 1 |
| 2019 Julio | 0 | 7 | 7 |
| 2019 Junio | 0 | 6 | 6 |
| 2019 Mayo | 0 | 39 | 39 |
| 2019 Marzo | 0 | 6 | 6 |
| 2019 Febrero | 0 | 3 | 3 |
| 2018 Marzo | 1 | 0 | 1 |
| 2018 Febrero | 12 | 4 | 16 |
| 2018 Enero | 18 | 3 | 21 |
| 2017 Diciembre | 16 | 6 | 22 |
| 2017 Noviembre | 14 | 4 | 18 |
| 2017 Octubre | 15 | 3 | 18 |
| 2017 Septiembre | 12 | 3 | 15 |
| 2017 Agosto | 24 | 5 | 29 |
| 2017 Julio | 24 | 2 | 26 |
| 2017 Junio | 33 | 12 | 45 |
| 2017 Mayo | 31 | 3 | 34 |
| 2017 Abril | 28 | 4 | 32 |
| 2017 Marzo | 21 | 6 | 27 |
| 2017 Febrero | 13 | 7 | 20 |
| 2017 Enero | 10 | 7 | 17 |
| 2016 Diciembre | 29 | 10 | 39 |
| 2016 Noviembre | 35 | 7 | 42 |
| 2016 Octubre | 27 | 16 | 43 |
| 2016 Septiembre | 30 | 4 | 34 |
| 2016 Agosto | 43 | 9 | 52 |
| 2016 Julio | 27 | 9 | 36 |
| 2016 Junio | 13 | 5 | 18 |
| 2016 Mayo | 6 | 0 | 6 |
| 2016 Abril | 4 | 0 | 4 |
| 2016 Marzo | 6 | 2 | 8 |
| 2016 Febrero | 4 | 6 | 10 |
| 2016 Enero | 8 | 1 | 9 |
| 2015 Diciembre | 7 | 1 | 8 |
| 2015 Noviembre | 7 | 1 | 8 |
| 2015 Octubre | 5 | 1 | 6 |
| 2015 Septiembre | 3 | 2 | 5 |
| 2015 Agosto | 18 | 5 | 23 |
| 2015 Julio | 28 | 5 | 33 |
| 2015 Junio | 13 | 4 | 17 |
| 2015 Mayo | 32 | 7 | 39 |
| 2015 Abril | 35 | 9 | 44 |
| 2015 Marzo | 33 | 2 | 35 |
| 2015 Febrero | 21 | 10 | 31 |
| 2015 Enero | 11 | 10 | 21 |
| 2014 Diciembre | 15 | 10 | 25 |
| 2014 Noviembre | 13 | 8 | 21 |
| 2014 Octubre | 20 | 10 | 30 |
| 2014 Septiembre | 14 | 11 | 25 |
| 2014 Agosto | 23 | 13 | 36 |
| 2014 Julio | 21 | 19 | 40 |
| 2014 Junio | 23 | 13 | 36 |
| 2014 Mayo | 26 | 18 | 44 |
| 2014 Abril | 37 | 5 | 42 |
| 2014 Marzo | 23 | 15 | 38 |
| 2014 Febrero | 24 | 9 | 33 |
| 2014 Enero | 23 | 16 | 39 |
| 2013 Diciembre | 33 | 15 | 48 |
| 2013 Noviembre | 14 | 17 | 31 |
| 2013 Octubre | 19 | 25 | 44 |
| 2013 Septiembre | 23 | 34 | 57 |
| 2013 Agosto | 13 | 31 | 44 |
| 2013 Julio | 28 | 33 | 61 |
| 2013 Junio | 8 | 30 | 38 |
| 2013 Mayo | 15 | 22 | 37 |
| 2013 Abril | 27 | 46 | 73 |
| 2013 Marzo | 21 | 19 | 40 |
| 2013 Febrero | 10 | 11 | 21 |
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