There was strong evidence that psoriasis patients have an increased cardiovascular risk, chiefly those over the age of 40 years, probably because of the chronic inflammatory state. It seems that the severity of the cutaneous manifestations was not associated with a higher risk in these patients.
The prevalence of onychomycosis in IBD patients was expressively high (14.9%) in comparison with non-IBD patients. Considering the sociodemographic factors, any one but two were related to fungal onychomycosis incidence. Therefore, as far as we are concerned, IBD must be included in the high-risk underlying conditions for onychomycosis occurrence.
To the Editor, The pandemic of Coronavirus disease 2019 (COVID-19) has had a substantial impact on health of adults among the world. In this context, vaccines are being developed in order to increase population immunity. The ChAdOx1 nCoV-19 vaccine is based on a replicationdeficient chimpanzee adenoviral vector ChAdOx1, containing the SARS-CoV-2 structural surface glycoprotein antigen gene. 1 A 86-year-old man presented us with a pruritic and persistent eruption of 3 months duration that had appeared 7 days after his first dose of the COVID-19 vaccine (ChAdOx1 nCoV-19, AZ-FIOCRUZ, Rio de Janeiro, Brazil), and got worse after the second dose of vaccine (ChAdOx1 nCoV-19, AZ-FIOCRUZ, Rio de Janeiro, Brazil), with 12 weeks apart. The lesions had developed in both upper and lower
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