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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Pityriasis versicolor &#40;PV&#41; is a superficial mycosis&#44; usually chronic and recurrent&#44; caused by yeast species of the genus Malassezia&#44; which are part of the human skin microbiota&#46; Dermatologists do not always have access to a specific laboratory test &#40;direct mycological test&#41; for diagnosis&#44; which is attained&#44; most of the time&#44; by the highly suggestive clinical presentation&#44; characterized by hypochromic&#44; hyperchromic&#44; or erythematous macules&#44; covered by fine&#44; furfuraceous scaling &#40;floury&#41;&#46; There are two semiotic maneuvers that disclose this fine scaling that is so characteristic of PV&#58; the scratch sign&#44; also known as Besnier sign&#59; and the lateral stretching sign&#44; called Zirel&#237; sign&#46; The latter is the better known among Brazilian dermatologists&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">PV affects individuals worldwide&#59; however&#44; it is more common in countries with tropical and subtropical climates&#44; such as Brazil&#44; where its incidence can reach up to 40&#37; to 50&#37; of the population in some regions&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> Therefore&#44; it was necessary to develop a safe&#44; reliable&#44; and accessible semiological maneuver in both private clinics and public services&#44; based on clinical manifestations&#44; especially in cases where other differential diagnoses must be considered&#44; such as pityriasis alba&#44; pityriasis rosea&#44; syphilis&#44; and indeterminate leprosy&#44; among others&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Zirel&#237; de Oliveira Valen&#231;a&#44; a Brazilian dermatologist&#44; was born in the municipality of S&#227;o Jos&#233; da Laje&#44; state of Alagoas&#44; on January 5&#44; 1934&#44; and died at the age of 86&#44; on December 23&#44; 2020&#46; He graduated from the School of Medicine of the Universidade Federal de Alagoas in 1960 &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; In 1961&#44; he did a two-month internship at A&#46; C&#46; Camargo Hospital in S&#227;o Paulo and then at Hospital das Cl&#237;nicas&#44; Universidade de S&#227;o Paulo&#44; when he met Professor Sebasti&#227;o de Almeida Sampaio&#44; and the friendship between the two physicians was initiated&#46; In 1962 he became a professor at the School of Medicine in Alagoas&#44; having retired at the age of 70&#46; In 1963 he became the head of the outpatient clinic of Skin Diseases&#44; and later also of the infirmary&#44; at Santa Casa de Miseric&#243;rdia in Macei&#243;&#44; where he continued to work until he was 80 years old&#46; In the municipality of S&#227;o Jos&#233; da Laje&#44; where he was born&#44; he was awarded a tribute from the local Mayor&#44; who gave his name to the Basic Health Unit for the service he provided to the most disadvantaged&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">Professor Zirel&#237;&#44; who was a born observer and researcher&#44; personally introduced to Professor Sampaio&#44; at the beginning of the 1970s&#44; during a Dermatology Meeting held in Macei&#243;&#44; Alagoas&#44; the result of a research carried out by him in more than 1&#44;000 patients concerning a maneuver that consisted in laterally stretching the skin&#44; which was easy to perform and helped in the clinical diagnosis of PV&#46; Both decided to present it during a scientific meeting of the specialty&#44; when the eponym was &#8220;christened&#8221; by Prof&#46; Sampaio as Zirel&#237; sign&#44; in honor of its creator&#46; This sign was officially presented for the first time in 1974&#44; at the III World Congress of Tropical Dermatology held in the city of S&#227;o Paulo&#44; as a characteristic semiotic sign that consists of demonstrating the furfuraceous aspect of the scaling&#44; present in the lesions&#44; by stretching the skin&#46; around the suspected PV lesion &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46; Later&#44; in 1979&#44; during the XXXV Brazilian Congress of Dermatology and I Brazilian Meeting of Sanitary Dermatology&#44; held in the municipality of Po&#231;os de Caldas&#44; state of Minas Gerais&#44; the free topic &#8220;New maneuver for the diagnosis of pityriasis versicolor&#8221; was presented by Prof&#46; Zirel&#237;&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">The <span class="elsevierStyleItalic">ZiReL&#237;</span> sign was first published in the book <span class="elsevierStyleItalic">Dermatologia B&#225;sica</span>&#44; by Sampaio&#44; in its 2<span class="elsevierStyleSup">nd</span> edition in 1978&#44; but with the wrong spelling&#44; &#8220;ZiLeRi&#8221; &#40;pronounced Zil&#201;ri&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> Probably from then on&#44; the eponym was written incorrectly for years in several articles and chapters of national and foreign books&#46;<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#44;5&#8211;11</span></a> A publication by the Ministry of Health in 2002 also contains the incorrect spelling&#44; even though Professor Sampaio&#44; a friend of Professor Zirel&#237;&#44; is one of the authors&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">For many years&#44; the origin of the author of this maneuver has been discussed in academic circles of Brazilian dermatology&#44; with most believing it was a &#8220;surname&#8221; of French origin due to the fact that the last syllable was the tonic one&#44; except for those who already knew him&#44; and who started to spell the eponym correctly&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;3&#44;7&#44;12&#44;13&#44;14&#8211;19</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">It is noteworthy that within the same article&#44; the Portuguese version has the correct spelling as &#8216;Zirel&#237; sign&#8217;&#44; but in the English language version&#44; it is written Zileri&#44; which very well characterizes the misnomer in the academic environment&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a> Sometimes the same authors who use the correct spelling in one article change the letters in others&#46;<a class="elsevierStyleCrossRefs" href="#bib0025"><span class="elsevierStyleSup">5&#44;9&#44;13&#44;14</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">15</span></a></p><p id="par0040" class="elsevierStylePara elsevierViewall">Santana et al&#46;&#44; in 2013&#44; showed the precision this semiological sign has in the clinical diagnosis of PV by presenting the statistical evidence of the correlation between the Zirel&#237; sign and the positive direct mycological test for PV using Porto&#8217;s method &#40;using transparent adhesive tape&#41; &#40;p&#160;&#60;&#160;0&#46;05&#41;&#46; However&#44; they incorrectly spelled the name of the author of the reported maneuver&#46;<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">8&#44;20</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">Foreign books and articles&#44; mostly written in English and French&#44; rarely mention this semiotic maneuver in the clinical description of PV&#44; perhaps because it is less frequent in these areas of the globe &#40;about 0&#46;8&#37; &#8211;1&#46;1&#37;&#41; or even due to lack of knowledge about it&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;21&#44;22</span></a> Some mention the scratch sign&#44; also known as the Besnier sign&#44; which is no longer used today due to the exposure of the examiner&#39;s nail to the parasitized scales&#44; as well as the possibility of contamination of the patient&#39;s injured skin &#40;breakage of the skin barrier&#41; by the examiner&#39;s nail&#46;<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3&#44;10&#44;17&#8211;19</span></a></p><p id="par0050" class="elsevierStylePara elsevierViewall">In this article&#44; the authors intend to reinforce the correct spelling of the Zirel&#237; sign and disseminate it beyond Brazilian borders&#44; as it is a cost-effective method&#44; easy to perform in daily dermatological practice&#44; as well as to honor this Brazilian dermatologist who&#44; as a good scientist&#44; left this legacy to us&#44; creating a simple and safe maneuver&#44; routinely practiced in dermatological outpatient clinics and offices&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Financial support</span><p id="par0055" class="elsevierStylePara elsevierViewall">None declared&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Authors&#39; contributions</span><p id="par0060" class="elsevierStylePara elsevierViewall">John Verrinder Veasey&#58; Participation in the design and planning&#59; collection of data&#59; preparation and writing of the manuscript&#59; critical review of the literature and of the manuscript&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">Priscila Marques de Macedo&#58; Participation in the design and planning&#59; collection of data&#59; preparation and writing of the manuscript&#59; critical review of the literature and of the manuscript&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">Jos&#233; Roberto Amorim&#58; Participation in the design and planning&#59; collection of data&#59; preparation and writing of the manuscript&#59; critical review of the literature and of the manuscript&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">Rosane Orofino-Costa&#58; Participation in the design and planning&#59; collection of data&#59; preparation and writing of the manuscript&#59; critical review of the literature and of the manuscript&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflicts of interest</span><p id="par0080" class="elsevierStylePara elsevierViewall">None declared&#46;</p></span></span>"
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        "texto" => "<p id="par0085" class="elsevierStylePara elsevierViewall">The authors are very grateful for Fl&#225;via de Melo Valen&#231;a&#8217;s generosity&#44; Dr&#46; Zirel&#237;&#8217;s daughter&#44; who kindly shared scientific material and presented us with several stories about her father&#8217;s life&#46;</p>"
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Special Article
The correct nomenclature of Zirelí sign in the propaedeutics of pityriasis versicolor (in memoriam)
John Verrinder Veaseya, Priscila Marques de Macedob, José Roberto Amorimc, Rosane Orofino-Costad,
Corresponding author
rosaneorofino@globo.com

Corresponding author.
a Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil
b Instituto Nacional de Infectologia Evandro Chagas, Fiocruz, Rio de Janeiro, RJ, Brazil
c Universidade Federal de Alagoas, Maceió, AL, Brazil
d Hospital Universitário Pedro Ernesto, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Pityriasis versicolor &#40;PV&#41; is a superficial mycosis&#44; usually chronic and recurrent&#44; caused by yeast species of the genus Malassezia&#44; which are part of the human skin microbiota&#46; Dermatologists do not always have access to a specific laboratory test &#40;direct mycological test&#41; for diagnosis&#44; which is attained&#44; most of the time&#44; by the highly suggestive clinical presentation&#44; characterized by hypochromic&#44; hyperchromic&#44; or erythematous macules&#44; covered by fine&#44; furfuraceous scaling &#40;floury&#41;&#46; There are two semiotic maneuvers that disclose this fine scaling that is so characteristic of PV&#58; the scratch sign&#44; also known as Besnier sign&#59; and the lateral stretching sign&#44; called Zirel&#237; sign&#46; The latter is the better known among Brazilian dermatologists&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">PV affects individuals worldwide&#59; however&#44; it is more common in countries with tropical and subtropical climates&#44; such as Brazil&#44; where its incidence can reach up to 40&#37; to 50&#37; of the population in some regions&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> Therefore&#44; it was necessary to develop a safe&#44; reliable&#44; and accessible semiological maneuver in both private clinics and public services&#44; based on clinical manifestations&#44; especially in cases where other differential diagnoses must be considered&#44; such as pityriasis alba&#44; pityriasis rosea&#44; syphilis&#44; and indeterminate leprosy&#44; among others&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Zirel&#237; de Oliveira Valen&#231;a&#44; a Brazilian dermatologist&#44; was born in the municipality of S&#227;o Jos&#233; da Laje&#44; state of Alagoas&#44; on January 5&#44; 1934&#44; and died at the age of 86&#44; on December 23&#44; 2020&#46; He graduated from the School of Medicine of the Universidade Federal de Alagoas in 1960 &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; In 1961&#44; he did a two-month internship at A&#46; C&#46; Camargo Hospital in S&#227;o Paulo and then at Hospital das Cl&#237;nicas&#44; Universidade de S&#227;o Paulo&#44; when he met Professor Sebasti&#227;o de Almeida Sampaio&#44; and the friendship between the two physicians was initiated&#46; In 1962 he became a professor at the School of Medicine in Alagoas&#44; having retired at the age of 70&#46; In 1963 he became the head of the outpatient clinic of Skin Diseases&#44; and later also of the infirmary&#44; at Santa Casa de Miseric&#243;rdia in Macei&#243;&#44; where he continued to work until he was 80 years old&#46; In the municipality of S&#227;o Jos&#233; da Laje&#44; where he was born&#44; he was awarded a tribute from the local Mayor&#44; who gave his name to the Basic Health Unit for the service he provided to the most disadvantaged&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">Professor Zirel&#237;&#44; who was a born observer and researcher&#44; personally introduced to Professor Sampaio&#44; at the beginning of the 1970s&#44; during a Dermatology Meeting held in Macei&#243;&#44; Alagoas&#44; the result of a research carried out by him in more than 1&#44;000 patients concerning a maneuver that consisted in laterally stretching the skin&#44; which was easy to perform and helped in the clinical diagnosis of PV&#46; Both decided to present it during a scientific meeting of the specialty&#44; when the eponym was &#8220;christened&#8221; by Prof&#46; Sampaio as Zirel&#237; sign&#44; in honor of its creator&#46; This sign was officially presented for the first time in 1974&#44; at the III World Congress of Tropical Dermatology held in the city of S&#227;o Paulo&#44; as a characteristic semiotic sign that consists of demonstrating the furfuraceous aspect of the scaling&#44; present in the lesions&#44; by stretching the skin&#46; around the suspected PV lesion &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46; Later&#44; in 1979&#44; during the XXXV Brazilian Congress of Dermatology and I Brazilian Meeting of Sanitary Dermatology&#44; held in the municipality of Po&#231;os de Caldas&#44; state of Minas Gerais&#44; the free topic &#8220;New maneuver for the diagnosis of pityriasis versicolor&#8221; was presented by Prof&#46; Zirel&#237;&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">The <span class="elsevierStyleItalic">ZiReL&#237;</span> sign was first published in the book <span class="elsevierStyleItalic">Dermatologia B&#225;sica</span>&#44; by Sampaio&#44; in its 2<span class="elsevierStyleSup">nd</span> edition in 1978&#44; but with the wrong spelling&#44; &#8220;ZiLeRi&#8221; &#40;pronounced Zil&#201;ri&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> Probably from then on&#44; the eponym was written incorrectly for years in several articles and chapters of national and foreign books&#46;<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#44;5&#8211;11</span></a> A publication by the Ministry of Health in 2002 also contains the incorrect spelling&#44; even though Professor Sampaio&#44; a friend of Professor Zirel&#237;&#44; is one of the authors&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">For many years&#44; the origin of the author of this maneuver has been discussed in academic circles of Brazilian dermatology&#44; with most believing it was a &#8220;surname&#8221; of French origin due to the fact that the last syllable was the tonic one&#44; except for those who already knew him&#44; and who started to spell the eponym correctly&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;3&#44;7&#44;12&#44;13&#44;14&#8211;19</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">It is noteworthy that within the same article&#44; the Portuguese version has the correct spelling as &#8216;Zirel&#237; sign&#8217;&#44; but in the English language version&#44; it is written Zileri&#44; which very well characterizes the misnomer in the academic environment&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a> Sometimes the same authors who use the correct spelling in one article change the letters in others&#46;<a class="elsevierStyleCrossRefs" href="#bib0025"><span class="elsevierStyleSup">5&#44;9&#44;13&#44;14</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">15</span></a></p><p id="par0040" class="elsevierStylePara elsevierViewall">Santana et al&#46;&#44; in 2013&#44; showed the precision this semiological sign has in the clinical diagnosis of PV by presenting the statistical evidence of the correlation between the Zirel&#237; sign and the positive direct mycological test for PV using Porto&#8217;s method &#40;using transparent adhesive tape&#41; &#40;p&#160;&#60;&#160;0&#46;05&#41;&#46; However&#44; they incorrectly spelled the name of the author of the reported maneuver&#46;<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">8&#44;20</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">Foreign books and articles&#44; mostly written in English and French&#44; rarely mention this semiotic maneuver in the clinical description of PV&#44; perhaps because it is less frequent in these areas of the globe &#40;about 0&#46;8&#37; &#8211;1&#46;1&#37;&#41; or even due to lack of knowledge about it&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;21&#44;22</span></a> Some mention the scratch sign&#44; also known as the Besnier sign&#44; which is no longer used today due to the exposure of the examiner&#39;s nail to the parasitized scales&#44; as well as the possibility of contamination of the patient&#39;s injured skin &#40;breakage of the skin barrier&#41; by the examiner&#39;s nail&#46;<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3&#44;10&#44;17&#8211;19</span></a></p><p id="par0050" class="elsevierStylePara elsevierViewall">In this article&#44; the authors intend to reinforce the correct spelling of the Zirel&#237; sign and disseminate it beyond Brazilian borders&#44; as it is a cost-effective method&#44; easy to perform in daily dermatological practice&#44; as well as to honor this Brazilian dermatologist who&#44; as a good scientist&#44; left this legacy to us&#44; creating a simple and safe maneuver&#44; routinely practiced in dermatological outpatient clinics and offices&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Financial support</span><p id="par0055" class="elsevierStylePara elsevierViewall">None declared&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Authors&#39; contributions</span><p id="par0060" class="elsevierStylePara elsevierViewall">John Verrinder Veasey&#58; Participation in the design and planning&#59; collection of data&#59; preparation and writing of the manuscript&#59; critical review of the literature and of the manuscript&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">Priscila Marques de Macedo&#58; Participation in the design and planning&#59; collection of data&#59; preparation and writing of the manuscript&#59; critical review of the literature and of the manuscript&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">Jos&#233; Roberto Amorim&#58; Participation in the design and planning&#59; collection of data&#59; preparation and writing of the manuscript&#59; critical review of the literature and of the manuscript&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">Rosane Orofino-Costa&#58; Participation in the design and planning&#59; collection of data&#59; preparation and writing of the manuscript&#59; critical review of the literature and of the manuscript&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflicts of interest</span><p id="par0080" class="elsevierStylePara elsevierViewall">None declared&#46;</p></span></span>"
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