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formas intermedi&#225;rias e com acometimento de outras &#225;reas do corpo n&#227;o se encaixam nos crit&#233;rios j&#225; estabelecidos&#46; Esse fato revela a necessidade de estudos cl&#237;nico&#8208;epidemiol&#243;gicos para melhor entendimento&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">Em 184 casos &#40;39&#44;5&#37;&#41; havia alguma doen&#231;a associada&#44; alguns com mais de uma comorbidade&#44; descritos na <a class="elsevierStyleCrossRef" href="#tbl0015">tabela 3</a>&#46; Os dados da literatura mostram 45&#37; dos pacientes com alguma forma de atopia e 19&#37; com doen&#231;as da tireoide&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">6</span></a> Essas associa&#231;&#245;es podem estar relacionadas ao compartilhamento dos mesmos <span class="elsevierStyleItalic">loci</span> gen&#233;ticos&#44; popula&#231;&#245;es de c&#233;lulas do sistema imune e perfil de citocinas presentes nessas doen&#231;as&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a> Em nossa amostra n&#227;o foi poss&#237;vel demonstrar maior frequ&#234;ncia de doen&#231;as autoimunes entre os pacientes portadores de formas graves&#46; A s&#237;ndrome de Down &#233; considerada risco para a doen&#231;a em alguns estudos&#46; Entretanto&#44; estudo recente ressaltou essa associa&#231;&#227;o como coincid&#234;ncia&#44; justificada pelo fato de os casos estudados estarem relacionados &#224; presen&#231;a de casos familiares e outros fatores de risco&#46;<a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">8&#44;9</span></a></p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0075" class="elsevierStylePara elsevierViewall">Pacientes com formas graves foram comparados entre si em rela&#231;&#227;o a g&#234;nero&#44; presen&#231;a de doen&#231;as autoimunes&#44; atopia&#44; s&#237;ndrome de Down&#44; les&#245;es ungueais e presen&#231;a de casos familiares&#46; O teste do Qui&#8208;Quadrado de Pearson mostrou diferen&#231;a estatisticamente significante para maior frequ&#234;ncia das formas graves entre os homens &#40;p &#60;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#41; e para presen&#231;a de les&#245;es ungueais &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#46; Os outros par&#226;metros avaliados n&#227;o mostraram diferen&#231;as significantes&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">Altera&#231;&#245;es ungueais estavam presentes em 44 pacientes &#40;9&#44;4&#37;&#41;&#44; semelhante &#224; literatura &#40;9&#37; e 46&#37;&#41;&#44; e parecem ser mais comuns naqueles com formas graves&#44; como no presente estudo e relacionadas a pior progn&#243;stico&#46;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">10</span></a></p><p id="par0085" class="elsevierStylePara elsevierViewall">Em 63 &#40;13&#44;5&#37;&#41; pacientes havia pelo menos um parente acometido e 22 n&#227;o sabiam informar &#40;4&#44;7&#37;&#41;&#46; M&#227;e ou irm&#227;o em 12 casos cada &#40;2&#44;6&#37;&#41;&#44; tia em cinco &#40;1&#44;1&#37;&#41;&#44; filho em tr&#234;s &#40;0&#44;6&#37;&#41;&#44; tio ou primo em dois cada &#40;0&#44;4&#37;&#41; e pai em um caso &#40;0&#44;2&#37;&#41;&#46; Mais de um parente acometido ocorreu em quatro casos &#40;0&#44;9&#37;&#41;&#46; Na literatura&#44; os casos familiares variam entre 4&#37; e 42&#37;&#44; mais comuns entre os de primeiro grau&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">5</span></a></p><p id="par0090" class="elsevierStylePara elsevierViewall">AA &#233; uma doen&#231;a complexa que afeta a qualidade de vida dos pacientes&#44; com m&#250;ltiplos fatores envolvidos em sua patog&#234;nese&#44; pouco entendidos&#46; Os resultados do presente estudo est&#227;o de acordo com a maioria dos trabalhos publicados&#44; demonstrando as caracter&#237;sticas e o perfil dos portadores dessa doen&#231;a em uma amostra de brasileiros&#46; N&#227;o avaliamos o impacto da doen&#231;a no aspecto biopsicosocial&#46; O tipo de estudo e a aus&#234;ncia de grupo controle limitam o poder estat&#237;stico dos resultados&#46; Entretanto&#44; ser&#225; de grande valia para realiza&#231;&#227;o de trabalhos prospectivos e caso controle&#44; que permitir&#227;o esclarecer as d&#250;vidas relacionadas a essa dermatose&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Suporte financeiro</span><p id="par0095" class="elsevierStylePara elsevierViewall">Nenhum&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Contribui&#231;&#227;o dos autores</span><p id="par0100" class="elsevierStylePara elsevierViewall">Andressa Sato de Aquino Lopes&#58; Concep&#231;&#227;o e planejamento do estudo&#59; elabora&#231;&#227;o e reda&#231;&#227;o do manuscrito&#59; obten&#231;&#227;o&#44; an&#225;lise e interpreta&#231;&#227;o dos dados&#59; participa&#231;&#227;o efetiva na orienta&#231;&#227;o da pesquisa&#59; participa&#231;&#227;o intelectual em conduta proped&#234;utica e&#47;ou terap&#234;utica de casos estudados&#59; revis&#227;o cr&#237;tica da literatura&#59; revis&#227;o cr&#237;tica do manuscrito&#59; aprova&#231;&#227;o da vers&#227;o final do manuscrito&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">Leopoldo Duailibe Nogueira Santos&#58; Participa&#231;&#227;o efetiva na orienta&#231;&#227;o da pesquisa&#59; participa&#231;&#227;o intelectual em conduta proped&#234;utica e&#47;ou terap&#234;utica de casos estudados&#59; revis&#227;o cr&#237;tica do manuscrito&#59; aprova&#231;&#227;o da vers&#227;o final do manuscrito&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">Mariana de Campos Raz&#233;&#58; Participa&#231;&#227;o efetiva na orienta&#231;&#227;o da pesquisa&#59; participa&#231;&#227;o intelectual em conduta proped&#234;utica e&#47;ou terap&#234;utica de casos estudados&#59; revis&#227;o cr&#237;tica da literatura&#59; revis&#227;o cr&#237;tica do manuscrito&#59; aprova&#231;&#227;o da vers&#227;o final do manuscrito&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">Rosana Lazzarini&#58; Concep&#231;&#227;o e planejamento do estudo&#59; elabora&#231;&#227;o e reda&#231;&#227;o do manuscrito&#59; obten&#231;&#227;o&#44; an&#225;lise e interpreta&#231;&#227;o dos dados&#59; participa&#231;&#227;o efetiva na orienta&#231;&#227;o da pesquisa&#59; participa&#231;&#227;o intelectual em conduta proped&#234;utica e&#47;ou terap&#234;utica de casos estudados&#59; revis&#227;o cr&#237;tica da literatura&#59; revis&#227;o cr&#237;tica do manuscrito&#59; aprova&#231;&#227;o da vers&#227;o final do manuscrito&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflito de interesses</span><p id="par0140" class="elsevierStylePara elsevierViewall">Nenhum&#46;</p></span></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0015">Como citar este artigo&#58; Lopes ASA&#44; Santos LDN&#44; Raz&#233; MC&#44; Lazzarini R&#46; Alopecia areata&#58; descriptive analysis in a Brazilian sample&#46; An Bras Dermatol&#46; 2022&#59;97&#58;654&#8211;6&#46;</p>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0020">Trabalho realizado na Cl&#237;nica de Dermatologia&#44; Santa Casa de Miseric&#243;rdia de S&#227;o Paulo&#44; S&#227;o Paulo&#44; SP&#44; BR&#46;</p>"
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t" scope="col">Faixa et&#225;ria de in&#237;cio &#40;em anos&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">79&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">106&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">39&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">66&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Barba&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">2&#44;4&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">8&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Cilios&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Sobrancelhas<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>c&#237;lios&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Informa&#231;&#227;o ausente&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleBold">Total</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleBold">466</span>&nbsp;\t\t\t\t\t\t\n
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                  """
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        "descripcion" => array:1 [
          "pt" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Distribui&#231;&#227;o de 466 pacientes portadores de AA&#44; segundo formas cl&#237;nicas</p>"
        ]
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">N&#250;mero&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">Tireoidopatia&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">Atopia &#40;asma&#44; rinite&#44; dermatite&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">56&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">12&#44;0&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">S&#237;ndrome de Down&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Hipertens&#227;o arterial&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Anemia&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#44;7&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Vitiligo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Psor&#237;ase&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Doen&#231;a inflamat&#243;ria intestinal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L&#250;pus eritematoso&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Diabetes mellitus&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Artrite reumatoide&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sem doen&#231;as associadas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">282&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">60&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">Total</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">466</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">100&#44;0</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "pt" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Distribui&#231;&#227;o das doen&#231;as associadas a AA em 466 pacientes</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Refer&#234;ncias"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:10 [
            0 => array:3 [
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Alopecia areata &#8208; Disease characteristics&#44; clinical evaluation&#44; and new perspectives on pathogenesis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "L&#46;C&#46; Strazzulla"
                            1 => "E&#46;H&#46;C&#46; Wang"
                            2 => "L&#46; Avila"
                            3 => "K&#46; Sicco Lo"
                            4 => "N&#46; Brinster"
                            5 => "A&#46;M&#46; Christiano"
                          ]
                        ]
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                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "J&#46; Am Acad&#46; Dermatol&#46;"
                        "fecha" => "2018"
                        "paginaInicial" => "781"
                        "paginaFinal" => "812"
                      ]
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Carta ‐ Investigação
Alopécia areata: análise descritiva em amostra brasileira
Andressa Sato de Aquino Lopes
Corresponding author
dressa_sato@hotmail.com

Autor para correspondência.
, Leopoldo Duailibe Nogueira Santos, Mariana de Campos Razé, Rosana Lazzarini
Clínica de Dermatologia, Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brasil
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    "titulo" => "Alop&#233;cia areata&#58; an&#225;lise descritiva em amostra brasileira"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Alop&#233;cia areata &#40;AA&#41; &#233; uma doen&#231;a autoimune na qual os linf&#243;citos TCD8<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>agridem o fol&#237;culo piloso na fase an&#225;gena do ciclo capilar&#44; causando alop&#233;cia&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Clinicamente&#44; observam&#8208;se &#225;reas alop&#233;cias m&#250;ltiplas ou &#250;nicas&#44; ovais ou arredondadas&#46; As formas cl&#237;nicas descritas s&#227;o&#58; em placas&#44; ofi&#225;sica&#44; <span class="elsevierStyleItalic">sisaipho</span>&#44; difusa&#44; total e universal&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">A incid&#234;ncia dessa patologia nos Estados Unidos &#233; de aproximadamente 2&#44;1&#37; com preval&#234;ncia na popula&#231;&#227;o geral de 0&#44;1 a 0&#44;2&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a> No Brasil&#44; um estudo demonstrou que a AA corresponde a 1&#44;2&#37; dos atendimentos dermatol&#243;gicos&#44; e &#233; a terceira forma de alop&#233;cia mais diagnosticada ap&#243;s alop&#233;cia androgen&#233;tica e efl&#250;vio tel&#243;geno&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">2</span></a> Esses indiv&#237;duos t&#234;m maior chance de apresentar doen&#231;as autoimunes como tireoidite&#44; psor&#237;ase&#44; l&#250;pus eritematoso &#40;LE&#41;&#44; doen&#231;a inflamat&#243;ria intestinal&#44; dermatite at&#243;pica&#44; entre outras&#44; al&#233;m do impacto biopsicossocial&#44; especialmente nos casos extensos&#44; quando os pacientes tendem ao isolamento&#46;<a class="elsevierStyleCrossRefs" href="#bib0055"><span class="elsevierStyleSup">1&#44;3</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">A escolha do tratamento depende da extens&#227;o da doen&#231;a e idade do paciente&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Existem poucos estudos epidemiol&#243;gicos em nosso meio&#44; o que objetivou a avalia&#231;&#227;o dos casos acompanhados no ambulat&#243;rio de dermatologia em hospital quatern&#225;rio entre 2000 e 2017&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Os dados foram coletados retrospectivamente e submetidos ao programa estat&#237;stico R vers&#227;o 3&#46;4&#46;2&#46; &#40;R Core Team&#44; 2016&#41;&#44; analisados descritivamente e comparados pelo teste do qui&#8208;quadrado de Pearson&#46; O estudo foi aprovado pelo Comit&#233; de &#201;tica em Pesquisa&#44; n&#176; 29982620&#46;1&#46;0000&#46;5479&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Foram avaliados 466 pacientes&#58; 272 &#40;58&#44;4&#37;&#41; mulheres e 194 homens &#40;41&#44;6&#37;&#41;&#59; 189 &#40;40&#44;6&#37;&#41; brancos&#44; 118 &#40;25&#44;3&#37;&#41; n&#227;o brancos e 159 casos &#40;34&#44;1&#37;&#41; sem informa&#231;&#227;o&#46; As mulheres foram as mais acometidas&#44; enquanto na literatura n&#227;o h&#225; diferen&#231;a entre os sexos&#46; Essa observa&#231;&#227;o reflete o perfil do ambulat&#243;rio&#44; onde h&#225; mais pacientes do sexo feminino&#44; al&#233;m de buscarem atendimento mais precoce para quest&#245;es relacionadas aos cabelos&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a></p><p id="par0040" class="elsevierStylePara elsevierViewall">A m&#233;dia das idades foi 33&#44;6 anos &#40;3 a 86 anos&#41;&#44; com desvio&#8208;padr&#227;o de 16&#44;6 anos&#46; A idade de in&#237;cio da doen&#231;a variou entre 0 e 82 anos&#44; com m&#233;dia de 25&#44;6 anos &#40;desvio&#8208;padr&#227;o de 16&#44;6 anos&#41;&#46; Esses dados refor&#231;am a observa&#231;&#227;o de outros estudos com maior frequ&#234;ncia entre adultos jovens&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">4</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">Em rela&#231;&#227;o &#224; extens&#227;o&#44; os dados est&#227;o relacionados na <a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#46; Observou&#8208;se que o maior n&#250;mero de casos leves foi semelhante aos observados na literatura&#59; entretanto&#44; os casos graves tiveram frequ&#234;ncia menor&#46; Essa diferen&#231;a pode ser explicada pelo fato de nossa demanda ser espont&#226;nea&#44; enquanto em alguns estudos o banco de dados tinha como base a convoca&#231;&#227;o de pacientes de mais de uma institui&#231;&#227;o&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">5</span></a></p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0050" class="elsevierStylePara elsevierViewall">As formas graves acometeram mais homens do que mulheres &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#41;&#44; semelhante a um estudo de 2017&#46; Esse fato ainda deve ser validado&#44; uma vez que h&#225; relatos de maior gravidade entre mulheres&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">6</span></a></p><p id="par0055" class="elsevierStylePara elsevierViewall">Pacientes cuja dermatose teve in&#237;cio antes dos 10 anos de idade ou acima de 60 anos apresentaram formas mais graves do que aqueles com in&#237;cio em outras faixas et&#225;rias &#40;p &#60;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#41; o que pode ser observado na <a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#46; O in&#237;cio precoce da AA relacionado a maior gravidade est&#225; em concord&#226;ncia com a literatura&#59; entretanto&#44; no grupo aqui estudado os pacientes com doen&#231;a de in&#237;cio tardio tamb&#233;m apresentaram evolu&#231;&#227;o mais grave&#44; fato n&#227;o descrito na literatura&#46;<a class="elsevierStyleCrossRefs" href="#bib0085"><span class="elsevierStyleSup">7&#44;8</span></a></p><p id="par0060" class="elsevierStylePara elsevierViewall">As formas cl&#237;nicas da AA observadas entre os casos estudados est&#227;o na <a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a>&#46; Algumas delas&#44; localizadas exclusivamente na face&#44; foram agrupadas na mesma tabela&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0065" class="elsevierStylePara elsevierViewall">A classifica&#231;&#227;o cl&#237;nica da AA deveria ser discutida&#44; uma vez que como observado neste estudo&#44; formas intermedi&#225;rias e com acometimento de outras &#225;reas do corpo n&#227;o se encaixam nos crit&#233;rios j&#225; estabelecidos&#46; Esse fato revela a necessidade de estudos cl&#237;nico&#8208;epidemiol&#243;gicos para melhor entendimento&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">Em 184 casos &#40;39&#44;5&#37;&#41; havia alguma doen&#231;a associada&#44; alguns com mais de uma comorbidade&#44; descritos na <a class="elsevierStyleCrossRef" href="#tbl0015">tabela 3</a>&#46; Os dados da literatura mostram 45&#37; dos pacientes com alguma forma de atopia e 19&#37; com doen&#231;as da tireoide&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">6</span></a> Essas associa&#231;&#245;es podem estar relacionadas ao compartilhamento dos mesmos <span class="elsevierStyleItalic">loci</span> gen&#233;ticos&#44; popula&#231;&#245;es de c&#233;lulas do sistema imune e perfil de citocinas presentes nessas doen&#231;as&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a> Em nossa amostra n&#227;o foi poss&#237;vel demonstrar maior frequ&#234;ncia de doen&#231;as autoimunes entre os pacientes portadores de formas graves&#46; A s&#237;ndrome de Down &#233; considerada risco para a doen&#231;a em alguns estudos&#46; Entretanto&#44; estudo recente ressaltou essa associa&#231;&#227;o como coincid&#234;ncia&#44; justificada pelo fato de os casos estudados estarem relacionados &#224; presen&#231;a de casos familiares e outros fatores de risco&#46;<a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">8&#44;9</span></a></p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0075" class="elsevierStylePara elsevierViewall">Pacientes com formas graves foram comparados entre si em rela&#231;&#227;o a g&#234;nero&#44; presen&#231;a de doen&#231;as autoimunes&#44; atopia&#44; s&#237;ndrome de Down&#44; les&#245;es ungueais e presen&#231;a de casos familiares&#46; O teste do Qui&#8208;Quadrado de Pearson mostrou diferen&#231;a estatisticamente significante para maior frequ&#234;ncia das formas graves entre os homens &#40;p &#60;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#41; e para presen&#231;a de les&#245;es ungueais &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#46; Os outros par&#226;metros avaliados n&#227;o mostraram diferen&#231;as significantes&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">Altera&#231;&#245;es ungueais estavam presentes em 44 pacientes &#40;9&#44;4&#37;&#41;&#44; semelhante &#224; literatura &#40;9&#37; e 46&#37;&#41;&#44; e parecem ser mais comuns naqueles com formas graves&#44; como no presente estudo e relacionadas a pior progn&#243;stico&#46;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">10</span></a></p><p id="par0085" class="elsevierStylePara elsevierViewall">Em 63 &#40;13&#44;5&#37;&#41; pacientes havia pelo menos um parente acometido e 22 n&#227;o sabiam informar &#40;4&#44;7&#37;&#41;&#46; M&#227;e ou irm&#227;o em 12 casos cada &#40;2&#44;6&#37;&#41;&#44; tia em cinco &#40;1&#44;1&#37;&#41;&#44; filho em tr&#234;s &#40;0&#44;6&#37;&#41;&#44; tio ou primo em dois cada &#40;0&#44;4&#37;&#41; e pai em um caso &#40;0&#44;2&#37;&#41;&#46; Mais de um parente acometido ocorreu em quatro casos &#40;0&#44;9&#37;&#41;&#46; Na literatura&#44; os casos familiares variam entre 4&#37; e 42&#37;&#44; mais comuns entre os de primeiro grau&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">5</span></a></p><p id="par0090" class="elsevierStylePara elsevierViewall">AA &#233; uma doen&#231;a complexa que afeta a qualidade de vida dos pacientes&#44; com m&#250;ltiplos fatores envolvidos em sua patog&#234;nese&#44; pouco entendidos&#46; Os resultados do presente estudo est&#227;o de acordo com a maioria dos trabalhos publicados&#44; demonstrando as caracter&#237;sticas e o perfil dos portadores dessa doen&#231;a em uma amostra de brasileiros&#46; N&#227;o avaliamos o impacto da doen&#231;a no aspecto biopsicosocial&#46; O tipo de estudo e a aus&#234;ncia de grupo controle limitam o poder estat&#237;stico dos resultados&#46; Entretanto&#44; ser&#225; de grande valia para realiza&#231;&#227;o de trabalhos prospectivos e caso controle&#44; que permitir&#227;o esclarecer as d&#250;vidas relacionadas a essa dermatose&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Suporte financeiro</span><p id="par0095" class="elsevierStylePara elsevierViewall">Nenhum&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Contribui&#231;&#227;o dos autores</span><p id="par0100" class="elsevierStylePara elsevierViewall">Andressa Sato de Aquino Lopes&#58; Concep&#231;&#227;o e planejamento do estudo&#59; elabora&#231;&#227;o e reda&#231;&#227;o do manuscrito&#59; obten&#231;&#227;o&#44; an&#225;lise e interpreta&#231;&#227;o dos dados&#59; participa&#231;&#227;o efetiva na orienta&#231;&#227;o da pesquisa&#59; participa&#231;&#227;o intelectual em conduta proped&#234;utica e&#47;ou terap&#234;utica de casos estudados&#59; revis&#227;o cr&#237;tica da literatura&#59; revis&#227;o cr&#237;tica do manuscrito&#59; aprova&#231;&#227;o da vers&#227;o final do manuscrito&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">Leopoldo Duailibe Nogueira Santos&#58; Participa&#231;&#227;o efetiva na orienta&#231;&#227;o da pesquisa&#59; participa&#231;&#227;o intelectual em conduta proped&#234;utica e&#47;ou terap&#234;utica de casos estudados&#59; revis&#227;o cr&#237;tica do manuscrito&#59; aprova&#231;&#227;o da vers&#227;o final do manuscrito&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">Mariana de Campos Raz&#233;&#58; Participa&#231;&#227;o efetiva na orienta&#231;&#227;o da pesquisa&#59; participa&#231;&#227;o intelectual em conduta proped&#234;utica e&#47;ou terap&#234;utica de casos estudados&#59; revis&#227;o cr&#237;tica da literatura&#59; revis&#227;o cr&#237;tica do manuscrito&#59; aprova&#231;&#227;o da vers&#227;o final do manuscrito&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">Rosana Lazzarini&#58; 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                  \t\t\t\t\ttop\n
                  \t\t\t\t">100&#44;0&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&#8208;19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">63&#44;3&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">36&#44;7&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">404<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
            ]
            1 => array:1 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Total&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">241&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">59&#44;1&#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">167&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Vitiligo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Psor&#237;ase&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Doen&#231;a inflamat&#243;ria intestinal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L&#250;pus eritematoso&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Diabetes mellitus&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Artrite reumatoide&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sem doen&#231;as associadas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">282&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">60&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">Total</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">466</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">100&#44;0</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
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        "descripcion" => array:1 [
          "pt" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Distribui&#231;&#227;o das doen&#231;as associadas a AA em 466 pacientes</p>"
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ISSN: 26662752
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To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here. Utilizamos cookies próprios e de terceiros para melhorar nossos serviços e mostrar publicidade relacionada às suas preferências, analisando seus hábitos de navegação. Se continuar a navegar, consideramos que aceita o seu uso. Você pode alterar a configuração ou obter mais informações aqui.