| Revista: | Anais brasileiros de dermatologia |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000422025 |
| ISSN: | 0365-0596 |
| Autores: | Hans-Filho, Günter1 Aoki, Valéria3 Bittner, Nelise Ritter Hans2 Bittner, Guilherme Canho2 |
| Instituciones: | 1Universidade Federal de Mato Grosso do Sul, Faculdade de Medicina, Campo Grande, Mato Grosso do Sul. Brasil 2Universidade Federal de Mato Grosso do Sul, Hospital Maria Aparecida Pedrossian, Campo Grande, Mato Grosso do Sul. Brasil 3Universidade de Sao Paulo, Faculdade de Medicina, Sao Paulo. Brasil |
| Año: | 2018 |
| Periodo: | Sep-Oct |
| Volumen: | 93 |
| Número: | 5 |
| Paginación: | 638-650 |
| País: | Brasil |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Analítico, descriptivo |
| Resumen en inglés | Fogo selvagem or endemic pemphigus foliaceus is an autoimmune acantholytic anti-cadherin bullous disease that primarily affects seborrheic areas, which might disseminate. Brazil has the world's largest number of patients, mainly in the Central-West region, but the disease has also been reported in other South American countries. It affects young people and adults who have been exposed to rural areas, with occurrence of familial cases. Anti-desmoglein-1 autoantibodies are directed against desmosomal structures, with loss of adhesion of the upper layers of the epidermis, causing superficial blisters. The etiology is multifactorial and includes genetic, immune, and environmental factors, highlighting hematophagous insect bites; drug-related factors are occasionally involved. Flaccid blisters readily rupture to yield erosive-crusty lesions that sometimes resemble seborrheic dermatitis, actinic keratosis, and chronic cutaneous lupus erythematosus. The clinical presentation varies from localized to disseminated lesions. Clinical suspicion should be confirmed with histopathological and immunofluorescence tests, among others. The progression is usually chronic, and therapy varies according to clinical presentation, but generally requires systemic corticosteroid therapy associated with adjuvant immunosuppressive treatment to decrease the adverse effects of corticosteroids. Once the disease is under control, many patients remain stable on low-dose medication, and a significant proportion achieve remission |
| Disciplinas: | Medicina |
| Palabras clave: | Dermatología, Diagnóstico, Terapéutica y rehabilitación, Enfermedades autoinmunes, Pénfigo foliáceo, Corticosteroides, Inmunosupresión, Desmogleína |
| Keyword: | Dermatology, Diagnosis, Therapeutics and rehabilitation, Autoimmune diseases, Pemphigus foliaceus, Corticosteroids, Immunosuppression, Desmoglein |
| Texto completo: | Texto completo (Ver HTML) |
