Renata Indelicato Zac , Emily Ferreira Salles Pilar , Julio Cesar Moraes , Isabel Cristina Gomes Moura , Moisés Salgado Pedrosa , Adilson da Costa
{"title":"Immunohistochemical analysis of MMP-1 and 2 in patients with lichen planopilaris and frontal fibrosing alopecia","authors":"Renata Indelicato Zac , Emily Ferreira Salles Pilar , Julio Cesar Moraes , Isabel Cristina Gomes Moura , Moisés Salgado Pedrosa , Adilson da Costa","doi":"10.1016/j.abd.2026.501359","DOIUrl":"10.1016/j.abd.2026.501359","url":null,"abstract":"","PeriodicalId":7787,"journal":{"name":"Anais brasileiros de dermatologia","volume":"101 3","pages":"Article 501359"},"PeriodicalIF":3.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147969715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Remission of refractory lichen amyloidosis with baricitinib","authors":"Thiago Lenoir da Silva , Gleison Vieira Duarte","doi":"10.1016/j.abd.2026.501363","DOIUrl":"10.1016/j.abd.2026.501363","url":null,"abstract":"","PeriodicalId":7787,"journal":{"name":"Anais brasileiros de dermatologia","volume":"101 3","pages":"Article 501363"},"PeriodicalIF":3.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147850921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Beatriz F. Vilela, Maria Cristina Fialho, Ana Ferreirinha, Cândida Fernandes
{"title":"Eosinophilic annular erythema in a patient with hepatitis B-related cirrhosis","authors":"Beatriz F. Vilela, Maria Cristina Fialho, Ana Ferreirinha, Cândida Fernandes","doi":"10.1016/j.abd.2026.501362","DOIUrl":"10.1016/j.abd.2026.501362","url":null,"abstract":"","PeriodicalId":7787,"journal":{"name":"Anais brasileiros de dermatologia","volume":"101 3","pages":"Article 501362"},"PeriodicalIF":3.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147832732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psoriasis in skin of color: clinical presentation, diagnostic challenges, and therapeutic considerations","authors":"Anderson Costa , Ricardo Romiti","doi":"10.1016/j.abd.2026.501365","DOIUrl":"10.1016/j.abd.2026.501365","url":null,"abstract":"<div><div>Psoriasis in individuals with Skin of Color (SOC) shows distinctive clinical features and particularities that require careful consideration for accurate recognition and care. Erythema is often less apparent, and plaques may appear violaceous or dark brown. These features, together with limited discussion of these nuances in textbooks and articles, contribute to delayed diagnosis, greater reliance on skin biopsy, and reduced diagnostic accuracy. Although overall prevalence may be lower than in White populations, SOC patients frequently present with greater body-surface involvement, thicker scale, and a disproportionate impact on quality of life. Early, effective control is critical not only to limit systemic comorbidities and quality of life impairment but also to prevent post-inflammatory dyspigmentation, which can persist for years after clinical resolution and substantially affect psychosocial well-being. Despite major advances in psoriasis research, important gaps remain regarding genetic drivers, immunopathogenesis, and the comparative effectiveness and safety of therapies across diverse populations, gaps compounded by the persistent underrepresentation of SOC in clinical trials. This review synthesizes current evidence on epidemiology, clinical presentation, diagnostic pitfalls, pigmentary sequelae, psychosocial dimensions, and therapeutic options so as to support equitable, patient-centred outcomes for SOC patients living with psoriasis.</div></div>","PeriodicalId":7787,"journal":{"name":"Anais brasileiros de dermatologia","volume":"101 3","pages":"Article 501365"},"PeriodicalIF":3.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147969755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"DAPSA scores reflect both articular and cutaneous involvement in psoriatic arthritis","authors":"Qianzi Liu , Minjia Tan , Yehong Kuang","doi":"10.1016/j.abd.2026.501368","DOIUrl":"10.1016/j.abd.2026.501368","url":null,"abstract":"<div><h3>Background</h3><div>The Disease Activity Index for Psoriatic Arthritis (DAPSA) is a widely used tool to assess joint involvement in Psoriatic Arthritis (PsA), but its ability to reflect skin disease severity remains unclear.</div></div><div><h3>Objective</h3><div>This study aimed to investigate the association between DAPSA scores and skin disease severity in patients with PsA.</div></div><div><h3>Methods</h3><div>This single-center, cross-sectional study included PsA patients meeting the CASPAR classification criteria at Xiangya Hospital from April 2019 to February 2025. Skin disease severity was assessed using the Psoriasis Area and Severity Index (PASI) and Dermatology Life Quality Index (DLQI), while disease activity was assessed with the DAPSA. Propensity Score Matching (PSM) was applied to adjust for musculoskeletal disease activity.</div></div><div><h3>Results</h3><div>Among the 646 PsA patients (median age 46.0 years; 41.0% male), DAPSA scores increased from 12.6 (SD = 13.2) in patients with no skin disease (PASI = 0) to 20.4 (SD = 16.9) in those with severe skin disease (PASI > 10). Patient global assessment, patient pain assessment scores and C-reactive protein levels also rose with PASI severity (all p < 0.001). After PSM, patients with PASI ≥ 10 had significantly higher DAPSA scores than those with PASI < 10 (25.4 vs. 16.9, p < 0.001). A weak but statistically significant positive correlation was observed between DAPSA and PASI scores (Spearman's rho = 0.256, p = 0.003).</div></div><div><h3>Study limitations</h3><div>Cross-sectional design, single-center setting and potential residual confounding limit causal inference and generalizability.</div></div><div><h3>Conclusion</h3><div>Although not designed to assess skin disease, DAPSA may partially capture skin-related burden through its inflammatory and patient-reported components. In the absence of dedicated skin assessments, DAPSA could serve as a practical and holistic tool for initial disease activity evaluation in PsA.</div></div>","PeriodicalId":7787,"journal":{"name":"Anais brasileiros de dermatologia","volume":"101 3","pages":"Article 501368"},"PeriodicalIF":3.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147969787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yufan Chen , Yuqing Wang , Juanmei Cao , Tianqi Zhao , Jing Yang , Changzheng Huang
{"title":"A progressive sclerotic depigmenting congenital melanocytic nevus in a Chinese patient","authors":"Yufan Chen , Yuqing Wang , Juanmei Cao , Tianqi Zhao , Jing Yang , Changzheng Huang","doi":"10.1016/j.abd.2026.501341","DOIUrl":"10.1016/j.abd.2026.501341","url":null,"abstract":"","PeriodicalId":7787,"journal":{"name":"Anais brasileiros de dermatologia","volume":"101 3","pages":"Article 501341"},"PeriodicalIF":3.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147759993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Débora Terra Cardial , Francisco Macedo Paschoal , Luiz Vinicius de Alcantara Sousa
{"title":"Incidence and mortality of cutaneous melanoma stratified by sex, age, and age group – An analysis of the Brazilian population from 2013 to 2023","authors":"Débora Terra Cardial , Francisco Macedo Paschoal , Luiz Vinicius de Alcantara Sousa","doi":"10.1016/j.abd.2026.501338","DOIUrl":"10.1016/j.abd.2026.501338","url":null,"abstract":"<div><h3>Background</h3><div>Cutaneous melanoma remains the leading cause of skin cancer-related mortality worldwide. Despite national awareness campaigns launched by the Brazilian Society of Dermatology since 1999, morbidity and mortality in Brazil remain substantially high.</div></div><div><h3>Methods</h3><div>We conducted an ecological study using secondary data from DATASUS (Hospital Information System – SIH/SUS, Mortality Information System – SIM/SUS, and population estimates from IBGE). Melanoma cases were identified using ICD-10 code C43 between 2013 and 2023. Incidence rates were calculated per 100,000 inhabitants.</div></div><div><h3>Results</h3><div>A total of 20,087 melanoma cases were reported during the study period. Men accounted for 57.5% of cases, a proportion that remained stable throughout the decade. Annual case counts increased from 1,547 in 2013 to 2,047 in 2023, representing a 32% rise. The South and Southeast regions — historically shaped by European immigration and concentrating the majority of White individuals — reported the highest incidence and mortality, consistent with prior population-based cohort data from southern Brazil.</div></div><div><h3>Conclusions</h3><div>These findings highlight a multifactorial scenario in which demographic, behavioral, biological, and structural healthcare determinants converge to shape melanoma burden in Brazil. Sex-specific behavioral factors (lower photo protection adherence, delayed dermatological evaluation among men) and biological differences may contribute to male predominance. Expanding access to early-detection strategies and equitable resource allocation remains essential in a country marked by vast territorial, climatic, and socioeconomic heterogeneity.</div></div>","PeriodicalId":7787,"journal":{"name":"Anais brasileiros de dermatologia","volume":"101 3","pages":"Article 501338"},"PeriodicalIF":3.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147799432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gamze Taş Aygar , Furkan Keleş , Feyzanur Elif Biber , Unsal Han , Selda Pelin Kartal
{"title":"Certolizumab pegol ınduced paradoxical psoriatic alopecia with therapeutic response to bimekizumab","authors":"Gamze Taş Aygar , Furkan Keleş , Feyzanur Elif Biber , Unsal Han , Selda Pelin Kartal","doi":"10.1016/j.abd.2026.501320","DOIUrl":"10.1016/j.abd.2026.501320","url":null,"abstract":"","PeriodicalId":7787,"journal":{"name":"Anais brasileiros de dermatologia","volume":"101 2","pages":"Article 501320"},"PeriodicalIF":3.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147525398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}