6 results on '"Navarro‐Bielsa, Alba"'
Search Results
2. Multimorbidity of Psoriasis: A Large-Scale Population Study of Its Associated Comorbidities.
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Almenara-Blasco, Manuel, Gracia-Cazaña, Tamara, Poblador-Plou, Beatriz, Laguna-Berna, Clara, Carmona-Pírez, Jonás, Navarro-Bielsa, Alba, Prados-Torres, Alexandra, Gimeno-Miguel, Antonio, and Gilaberte, Yolanda
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PSORIASIS ,COMORBIDITY ,ELECTRONIC health records ,DISEASE prevalence ,SKIN diseases ,METABOLIC disorders - Abstract
Introduction: Psoriasis is a chronic disease of the skin with a prevalence of 2% in the general population. The high prevalence of psoriasis has prompted the study of its comorbidities in recent decades. We designed a study to determine the prevalence of psoriasis in a large-scale, population-based cohort, to exhaustively describe its comorbidities, and to analyze which diseases are associated with psoriasis. Methods: Retrospective, observational study based on the clinical information contained in the electronic health records of the individuals in the EpiChron Cohort with a diagnosis of psoriasis (31,178 individuals) in 2019. We used logistic regression models and calculated the likelihood of the occurrence of each comorbidity based on the presence of psoriasis (p-value < 0.05). Results: The prevalence of psoriasis was 2.84%, and it was more prevalent in men (3.31% vs. 2.43%). The most frequent chronic comorbidities were disorders of lipid metabolism (35.87%), hypertension (35.50%), and other nutritional-endocrine-metabolic disorders (21.79%). The conditions most associated with psoriasis were (odds ratio; 95% confidence interval) tuberculosis (2.36; 1.24–4.49), cystic fibrosis (2.15; 1.25–3.69), amongst others. We did not find a significant association between psoriasis and hypertension or neoplasms (0.90; 0.86–0.95). Conclusions: This study revealed significant associations between psoriasis and cardiac, psychological, and musculoskeletal comorbidities. [ABSTRACT FROM AUTHOR]
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- 2024
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3. The Influence of the Exposome in the Cutaneous Squamous Cell Carcinoma, a Multicenter Case–Control Study.
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Navarro-Bielsa, Alba, Gracia-Cazaña, Tamara, Almagro, Manuel, De la Fuente-Meira, Sonia, Flórez, Ángeles, Yélamos, Oriol, Montero-Vilchez, Trinidad, González-Cruz, Carlos, Diago, Adrián, Abadías-Granado, Isabel, Fuentelsaz, Victoria, Colmenero, María, Bañuls, José, Arias-Santiago, Salvador, Buendía-Eisman, Agustín, Almenara-Blasco, Manuel, Gil-Pallares, Pedro, and Gilaberte, Yolanda
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LIFESTYLES , *RESEARCH , *ANTIDEPRESSANTS , *STATINS (Cardiovascular agents) , *COFFEE , *ANALYSIS of variance , *SUNSHINE , *FOOD consumption , *MULTIVARIATE analysis , *MELANOMA , *DIET , *CASE-control method , *RECREATION , *RADIATION , *LINOLENIC acids , *HYDROCHLOROTHIAZIDE , *ACE inhibitors , *SKIN tumors , *RISK assessment , *SCREEN time , *BENZODIAZEPINES , *ADRENERGIC beta blockers , *DESCRIPTIVE statistics , *OMEPRAZOLE , *CHI-squared test , *HEALTH behavior , *QUESTIONNAIRES , *POVERTY , *SMOKING , *METFORMIN , *LOGISTIC regression analysis , *DATA analysis software , *BASAL cell carcinoma , *SQUAMOUS cell carcinoma , *ENVIRONMENTAL exposure , *POLLUTION , *PSYCHOLOGICAL stress , *TRANQUILIZING drugs , *DISEASE risk factors - Abstract
Simple Summary: The influence of different exposome factors on squamous cell carcinoma has been studied in several articles, although generally including a limited number of factors, especially chronic sun exposure. We carried out a prospective multicenter case–control study of patients with a history of squamous cell carcinoma and a control group with no previous history of skin cancer, in which we compared most of the exposome variables, including sun exposure, photoprotection habits, diet, pollution, stress, and lifestyle. We found a significant association between squamous cell carcinoma and multiple exposome-related factors besides chronic sun exposure in the Spanish population. A better understanding of the actual impact of exposome in this condition could help design primary prevention strategies targeted at specific populations or risk behaviors. Introduction: The concept of exposome refers to the total of harmful and beneficial environmental exposures that can help predict the organism's biological responses over time. Ultraviolet radiation (UVR) from sun exposure has been recognized as the main etiological agent of skin cancer, and squamous cell carcinoma (SCC) is one most commonly associated with chronic exposure. However, in recent years, evidence suggests that lifestyle, environmental pollution, and contaminants in water and food can have an influence. Objectives: To study the relationship between SCC and sun exposure, pollution, stress, and lifestyle in a Spanish cohort. Materials and Method: A multicenter case–control study was carried out in which 13 dermatologists from different regions of Spain recruited cases and controls between April 2020 and August 2022. The group of cases were patients diagnosed with SCC and, as a control group, people who attended Dermatology consultations as companions with no history of skin cancer. Results: A total of 62 patients with SCC and 126 controls were included (62.9% males, median age 76.46 (10.1) and 33.3%, median age 55.7 (15), respectively). The SCC group had experienced more outside work than the controls (75% vs. 22.4%, p < 0.001), less recreational exposure (sunbathing, p = 0.05, and outdoor sports, p = 0.01), and a lower annual income (p = 0.01), with an increase in tobacco exposure (p < 0.001), without differences in other carcinogens, such as ionizing radiation or chemical exposure. The control group had a higher daily screentime use (p < 0.001) and practiced more relaxation activities (p = 0.03). A higher linolenic acid intake and lower coffee consumption were the only dietary variables associated with SCC (p < 0.05). Some chronic medications (anxiolytics, antidepressants, beta-blockers, statins, hydrochlorothiazide, ACE inhibitors, metformin, and omeprazole) were also statistically associated with SCC. Statistical significance for all aforementioned variables was maintained in the multivariate analysis (p < 0.05). Conclusions: The study found a significant association between SCC and multiple exposome-related factors in addition to chronic sun exposure in the Spanish population. Primary prevention strategies should target specific populations, such as outdoor workers promoting sun-safe behaviors and stress-reducing activities, in addition to adequate skin photoprotection in patients under certain medications associated with SCC. [ABSTRACT FROM AUTHOR]
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- 2023
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4. Comorbidity Patterns in Patients with Atopic Dermatitis Using Network Analysis in the EpiChron Study.
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Almenara-Blasco, Manuel, Carmona-Pírez, Jonás, Gracia-Cazaña, Tamara, Poblador-Plou, Beatriz, Pérez-Gilaberte, Juan Blas, Navarro-Bielsa, Alba, Gimeno-Miguel, Antonio, Prados-Torres, Alexandra, and Gilaberte, Yolanda
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ATOPIC dermatitis ,MENTAL illness ,COMORBIDITY - Abstract
Background: Atopic dermatitis (AD) is associated with different comorbidities. Methods: Retrospective, observational study based on clinical information from the individuals of the EpiChron Cohort Study (Aragon, Spain) with a diagnosis of AD between 1 January 2010 and 31 December 2018. We calculated the tetrachoric correlations of each pair of comorbidities to analyze the weight of the association between them. We used a cut-off point for statistical significance of p-value < 0.01. Results: The prevalence of AD in the EpiChron Cohort was 3.83%. The most frequently found comorbidities were respiratory, cardio-metabolic, cardiovascular, and mental health disorders. Comorbidities were combined into 17 disease patterns (15 in men and 11 in women), with some sex and age specificities. An infectious respiratory pattern was the most consistently described pattern across all ages and sexes, followed by a cardiometabolic pattern that appeared in patients over 18 years of age. Conclusions: Our study revealed the presence of different clinically meaningful comorbidity patterns in patients with AD. Our results can help to identify which comorbidities deserve special attention in these types of patients and to better understand the physio-pathological mechanisms underlying the disease associations identified. Further studies are encouraged to validate the results obtained in different clinical settings and populations. [ABSTRACT FROM AUTHOR]
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- 2022
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5. Combination of Photodynamic Therapy and Oral Antifungals for the Treatment of Onychomycosis.
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Navarro-Bielsa, Alba, Gracia-Cazaña, Tamara, Robres, Pilar, Lopez, Concepción, Calvo-Priego, María Dolores, Aspiroz, Carmen, and Gilaberte, Yolanda
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PHOTODYNAMIC therapy , *ONYCHOMYCOSIS , *ORAL drug administration , *MYCOSES , *TERBINAFINE , *FOOT - Abstract
Onychomycosis accounts for 50% of nail disorders, making it one of the most prevalent fungal diseases and a therapeutic challenge. Photodynamic therapy (PDT) could constitute a therapeutic alternative, owing to its good adherence, the low probability of resistance, the lack of interaction with antimicrobials, and its favorable adverse effect profile. This retrospective observational study included all patients with a microbiological diagnosis of onychomycosis treated with PDT at Miguel Servet University Hospital, Zaragoza (Spain), between January 2013 and June 2021. The protocol consisted of pre-treatment with 40% urea for 7 days, followed by 16% methyl-aminolevulinate (MAL) for 3 h and subsequent irradiation with a red-light LED lamp (37 J/cm2), every 1 or 2 weeks. Combined treatment with oral and/or topical antifungals was recorded. Of the 20 patients included (mean age, 59 ± 17 years), 55% were men. The most frequently detected microorganism was Trichophyton rubrum (55%). The most commonly affected location was the feet (90%): 50% of these cases were associated with tinea pedis. The median (standard deviation) number of PDT sessions was 6 (2.8). PDT was combined with systemic terbinafine (250 mg/day) in 10 cases (in 8 cases, this was administered for only 1 month), and with topical terbinafine in 3 cases. A complete clinical response was achieved in 80% (16) of cases and microbiological cure in 60% (12). PDT is a therapeutic alternative for onychomycosis, and can be administered either in monotherapy or combined with antifungals, allowing for a reduction in the duration and possible adverse effects of antifungal treatment and achieving higher cure rates than those obtained with either treatment alone. [ABSTRACT FROM AUTHOR]
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- 2022
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6. Experience with Cutaneous Manifestations in COVID-19 Patients during the Pandemic.
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Navarro-Bielsa, Alba, Abadías-Granado, Isabel, Morales-Callaghan, Ana María, Suso-Estívalez, Catalina, Povar-Echeverría, Marina, Rello, Luis, and Gilaberte, Yolanda
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CUTANEOUS manifestations of general diseases , *COVID-19 , *COVID-19 pandemic , *OLDER patients , *VIRUS diseases - Abstract
After the beginning of the SARS-CoV-2 pandemic, our dermatology department created a multidisciplinary unit to manage patients with cutaneous manifestations associated with COVID-19. With the objective of identifying skin lesions in patients with suspected COVID-19 and evaluating possible associations with systemic involvement, other infectious agents and coagulation disorders, we carried out a prospective observational study that included all patients that attended our COVID-19 dermatology clinic with a multidisciplinary protocol. A total of 63 patients (mean 34.6 years) were enrolled between May 2020 and February 2021. Overall, 27 patients (42.9%) had a positive COVID-19 test, and 74.6% had COVID-19 clinical signs. The most common skin lesion was maculopapular rash (36.5%), predominantly seen in male (54.2%) and older patients (42 vs. 30 years), followed by chilblain-like lesions (20.6%) in younger patients (13.9 vs. 20.9 years) who were predominantly barefoot at home (69.2%); these patients exhibited a tendency towards a negative COVID-19 test. A total of 12 patients (19.1%) had positive serology for herpesvirus 6 (IgM or IgG). We conclude that the COVID-19-associated skin lesions we observed were similar to those previously described. Questions as to the underlying mechanisms remain. Interferon, possibly aided by cold exposure, may cause perniosis-like lesions. Other cutaneous manifestations were similar to those caused by other viruses, suggesting that SARS-CoV-2 may reactivate or facilitate other viral infections. [ABSTRACT FROM AUTHOR]
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- 2022
- Full Text
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