International eDelphi Study to Reach Consensus on the Methotrexate Dosing Regimen in Patients With Psoriasis


Por: Van Huizen A.M., Menting S.P., Gyulai R., Iversen L., Van Der Kraaij G.E., Middelkamp-Hup M.A., Warren R.B., Spuls P.I., Schejtman A.A., Egeberg A., Firooz A., Kumar A.S., Oakley A., Foulkes A., Ramos A.M.C., Fougerousse A.-C., Carija A., Akman-Karakas A., Horváth B., Fábos B., Matlock B.H., Claréus B.W., Castro C., Ferrándiz C., Correa C.C., Marchesi C., Goujon C., Gonzalez C., Maldonado-García C., Hong C.-H., Griffiths C.E.M., Vestergaard C., Echeverría C.M., De La Cruz C., Conrad C., Törocsik D., Drvar D.L., Balak D., Jullien D., Appelen D., Kim D.H., De Jong E.M.G.J., El Gamal E., Laffitte E., Mahé E., Sonkoly E., Colombo E.P., Vilarrasa E., Willaert F., Novoa F.D., Handjani F., Valenzuela F., Vílchez-Márquez F., Gonzalez G.O., Krisztián G., Damiani G., Krnjevic-Pezic G., Pellerano G., Carretero G., Hunter H.J.A., Riad H., Oon H.H., Boonen H.P.J., Moussa I.O., García-Doval I., Csányi I., Brajac I., Turchin I., Grozdev I., Weinberg J.M., Nicolopoulos J., Wells J., Lambert J.L.W., Ingram J.R., Prinz J.C., De Souza Sittart J.A., Sanchez J.L., Hsiao J.P.-F., Castro-Ayarza J.R., Maul J.-T., Van Den Reek J.M.P.A., Trcko K., Barber K., Reich K., Gebauer K.A., Khobzei K., Maul L.V., Massari L.P., Fardet L., Le Cleach L., Misery L., Chandrashekar L., Muresanu L.I., Lecluse L., Skov L., Frez M.L., Babic L.T., Puig L., Gomez L.C., Ramam M., Dutil M., El-Sayed M.H., Olszewska M., Schram M.E., Franco M.D., Llamas-Velasco M., Gonçalo M., Velásquez-Lopera M.M., Abad M.E., De Oliveira M.D.F.S.P., Seyger M.M.B., Kaštelan M., Rademaker M., Sikora M., Lebwohl M., Wiseman M.C., Ferran M., Van Doorn M., Danespazhooh M., Bylaite-Bucinskiene M., Gooderham M.J., Polic M.V., De Rie M.A., Zheng M., Gómez-Flores M., Salleras I Redonnet M., Silverberg N.B., Doss N., Yawalkar N., Chosidow O., Zargari O., De La Cueva P., Fernandez-Peñas P., Cárdenas Rojas P.J., Gisondi P., Grewal P., Sator P., Luna P.C., Félix P.A.O., Varela P., Holló P., Cetkovska P., Calzavara-Pinton P., Ghislain P.-D., Araujo R.R., Romiti R., Kui R., Ceovic R., Vender R., Lafuente-Urrez R.F., Del-Río R., Gulin S.J., Handa S., Mahil S.K., Kolalapudi S.A., Marrón S.E., Azimi S.Z., Janmohamed S.R., Da Cruz Costa S.A., Choon S.E., Urbancek S., Ayanlowo O., Margasin S.M., Wong T.-W., Mälkönen T., Hurtová T., Reciné T.R., Huldt-Nystrøm T., Torres T., Liu T.-Y., Leonidze T., Sharma V.K., Weightman W., Gulliver W., Veldkamp W.

Publicada: 1 ene 2022
Resumen:
Importance: A clear dosing regimen for methotrexate in psoriasis is lacking, and this might lead to a suboptimal treatment. Because methotrexate is affordable and globally available, a uniform dosing regimen could potentially optimize the treatment of patients with psoriasis worldwide. Objective: To reach international consensus among psoriasis experts on a uniform dosing regimen for treatment with methotrexate in adult and pediatric patients with psoriasis and identify potential future research topics. Design, Setting, and Participants: Between September 2020 and March 2021, a survey study with a modified eDelphi procedure that was developed and distributed by the Amsterdam University Medical Center and completed by 180 participants worldwide (55 [30.6%] resided in non-Western countries) was conducted in 3 rounds. The proposals on which no consensus was reached were discussed in a conference meeting (June 2021). Participants voted on 21 proposals with a 9-point scale (1-3 disagree, 4-6 neither agree nor disagree, 7-9 agree) and were recruited through the Skin Inflammation and Psoriasis International Network and European Academy of Dermatology and Venereology in June 2020. Apart from being a dermatologist/dermatology resident, there were no specific criteria for participation in the survey. The participants worked mainly at a university hospital (97 [53.9%]) and were experienced in treating patients with psoriasis with methotrexate (163 [91.6%] had more than 10 years of experience). Main Outcomes and Measures: In a survey with eDelphi procedure, we tried to reach consensus on 21 proposals. Consensus was defined as less than 15% voting disagree (1-3). For the consensus meeting, consensus was defined as less than 30% voting disagree. Results: Of 251 participants, 180 (71.7%) completed all 3 survey rounds, and 58 participants (23.1%) joined the conference meeting. Consensus was achieved on 11 proposals in round 1, 3 proposals in round 2, and 2 proposals in round 3. In the consensus meeting, consensus was achieved on 4 proposals. More research is needed, especially for the proposals on folic acid and the dosing of methotrexate for treating subpopulations such as children and vulnerable patients. Conclusions and Relevance: In this eDelphi consensus study, consensus was reached on 20 of 21 proposals involving methotrexate dosing in patients with psoriasis. This consensus may potentially be used to harmonize the treatment with methotrexate in patients with psoriasis. © 2022 American Medical Association. All rights reserved.

Filiaciones:
Van Huizen A.M.:
 Department Of Dermatology, Amsterdam Umc, University Of Amsterdam, Amsterdam Public Health, Infection And Immunity, Amsterdam, Netherlands

Menting S.P.:
 Department Of Dermatology, Olvg, Amsterdam, Netherlands

Gyulai R.:
 Department Of Dermatology, University Of Pécs, Medical School, Venerology And Oncodermatology, Pécs, Hungary

Iversen L.:
 Department of Dermatology, Aarhus University Hospital, Aarhus, Denmark

Van Der Kraaij G.E.:
 Department Of Dermatology, Amsterdam Umc, University Of Amsterdam, Amsterdam Public Health, Infection And Immunity, Amsterdam, Netherlands

Middelkamp-Hup M.A.:
 Department Of Dermatology, Amsterdam Umc, University Of Amsterdam, Amsterdam Public Health, Infection And Immunity, Amsterdam, Netherlands

Warren R.B.:
 The Dermatology Centre, Salford Royal Nhs Foundation Trust, The Manchester Nihr Biomedical Research Centre, United Kingdom

Spuls P.I.:
 Department Of Dermatology, Amsterdam Umc, University Of Amsterdam, Amsterdam Public Health, Infection And Immunity, Amsterdam, Netherlands

Schejtman A.A.:
 Centro Dermatológico Schejtman, Provincia de Buenos Aires, Argentina

Egeberg A.:
 Department Of Dermatology, Bispebjerg Hospital, Copenhagen, Denmark

Firooz A.:
 Center For Research And Training In Skin Diseases And Leprosy, Tehran University Of Medical Sciences, Tehran, Iran

Kumar A.S.:
 Apollo Hospital, Telangana, Secunderabad, India

Oakley A.:
 Waikato District Health Board, University Of Auckland, Auckland, New Zealand

Foulkes A.:
 The Dermatology Centre, Salford Royal Nhs Foundation Trust, The Manchester Nihr Biomedical Research Centre, United Kingdom

Ramos A.M.C.:
 Hospital Das Clínicas Da Universidade Federal De Minas Gerais, Belo Horizonte, Brazil

Fougerousse A.-C.:
 Military Teaching Hospital Begin, Saint Mandé, France

Carija A.:
 School Of Medicine, University Of Split, University Hospital Centre Split, Croatia

Akman-Karakas A.:
 Department Of Dermatology And Venerology, Akdeniz University, School Of Medicine, Antalya, Turkey

Horváth B.:
 Department Of Dermatology, University Medical Center Groningen, University Of Groningen, Groningen, Netherlands

Fábos B.:
 Department Of Dermatology, Teaching Hospital Kaposvar, Kaposvar, Hungary

Matlock B.H.:
 University Of Costa Rica, Hospital Nacional De Niños, San Jose Province San Pedro Montes de Oca, Costa Rica

Claréus B.W.:
 Psoriasis Treatment Wards, Stockholm, Sweden

Castro C.:
 Dermatologist Hospital Universitario Austral, Buenos Aires, Argentina

Ferrándiz C.:
 Department Of Dermatology, Hospital Universitario Germans Trias I Pujol, Universidad Autónoma De Barcelona, Barcelona, Spain

Correa C.C.:
 Dermatology Service Of La Samaritana University Hospital, Bogotá, Colombia

 Pontificia Universidad Javeriana, National University Of Colombia, Bogotá, Colombia

Marchesi C.:
 Proderma, Clínica De La Piel, San Juan, Argentina

Goujon C.:
 Department Of Immunology And Clinical Allergology, Lyon Sud Hospital, Saint-Genis-Laval, France

Gonzalez C.:
 Dermatology Service Of La Samaritana University Hospital, Bogotá, Colombia

Maldonado-García C.:
 Centro Dermatologico Dr. Ladislao De La Pascua, Mexico City, Mexico

Hong C.-H.:
 Department Of Dermatology And Skin Science, University Of British Columbia, Vancouver, BC, Canada

Griffiths C.E.M.:
 The Dermatology Centre, Salford Royal Nhs Foundation Trust, The Manchester Nihr Biomedical Research Centre, United Kingdom

Vestergaard C.:
 Department of Dermatology, Aarhus University Hospital, Aarhus, Denmark

Echeverría C.M.:
 Instituto De Rehabilitación Psicofísica, Irep, Buenos Aires, Argentina

De La Cruz C.:
 Clinica Dermacross, Santiago, Chile

Conrad C.:
 Department Of Dermatology, Lausanne University Hospital Chuv, Lausanne, Switzerland

Drvar D.L.:
 Department Of Dermatology And Venereology, University Hospital Centre Zagreb, School Of Medicine, University Of Zagreb, Croatia

Jullien D.:
 Hospices Civils De Lyon, Hôpital E. Herriot, Service De Dermatologie, Lyon, France

Appelen D.:
 Radboud University Medical Center, Nijmegen, Netherlands

Kim D.H.:
 Department Of Dermatology, Cha Bundang Medical Center, Cha University College Of Medicine, Seongnam, South Korea

De Jong E.M.G.J.:
 Radboud University Medical Center, Nijmegen, Netherlands

El Gamal E.:
 Damietta Faculty Of Medicine, Al-Azhar University, Cairo, Egypt

Laffitte E.:
 Department Of Dermatology, University Hospital Of Geneva, Geneva, Switzerland

Mahé E.:
 Service De Dermatologie, Hôpital Victor Dupouy, Argenteuil, France

Sonkoly E.:
 Department of Medical Sciences, Uppsala University, Uppsala, Sweden

Colombo E.P.:
 Hospital Vargas De Caracas, Venezuela

Vilarrasa E.:
 Dermatology Department, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain

Willaert F.:
 Hôpital Erasme, Université Libre De Bruxelles, Anderlecht, Belgium

Novoa F.D.:
 Santiago de Surco, Peru

Handjani F.:
 Molecular Dermatology Research Center, Shiraz University Of Medical Sciences, Shiraz, Iran

Valenzuela F.:
 Department Of Dermatology University Of Chile, Centro Internacional De Estudios Clinicos, Probity Medical Research, Santiago, Chile

Vílchez-Márquez F.:
 Department of Dermatology, Hospital Universitario Virgen de las Nieves, Granada, Spain

Gonzalez G.O.:
 Hospital De Clínicas, Universidad De La República Montevideo, Uruguay

Damiani G.:
 Department Of Clinical Dermatology, Irccs Istituto Ortopedico Galeazzi, Milan, Italy

 Department Of Biomedical, Surgical And Dental Sciences, University Of Milan, Milan, Italy

Krnjevic-Pezic G.:
 Naftalan, Special Hospital For Medical Rehabilitation, Zagreb, Croatia

Pellerano G.:
 Soarpso, Argentina

Carretero G.:
 Servicio De Dermatología, Hospital Universitario De Gran Canaria Doctor Negrín, Las Palmas de Gran Canaria, Spain

Hunter H.J.A.:
 The Dermatology Centre, Salford Royal Nhs Foundation Trust, The Manchester Nihr Biomedical Research Centre, United Kingdom

Riad H.:
 Hamad Medical Corporation, Qatar

Oon H.H.:
 National Skin Centre, Singapore

Boonen H.P.J.:
 Heilig Hartziekenhuis, Leuven, Belgium

Moussa I.O.:
 Service De Dermatologie, Hôpital Cheiko, Djibouti

García-Doval I.:
 Dermatology Department, Complexo Hospitalario Universitario De Vigo, Vigo, Spain

Csányi I.:
 Department Of Dermatology And Allergology, Albert Szent-Györgyi Health Center, Department Of Dermatology And Allergology, Szeged, Hungary

Brajac I.:
 Department Of Dermatovenerology, University Hospital Clinic, Rijeka, Croatia

Turchin I.:
 Brunswick Dermatology Center, Fredericton, NB, Canada

 Dalhousie University, Halifax, NS, Canada

 Probity Medical Research, Waterloo, ON, Canada

Grozdev I.:
 Department Of Dermatology, Brugmann University Hospital, Brussels, Belgium

Weinberg J.M.:
 Icahn School of Medicine at Mount Sinai, New York, NY, United States

Nicolopoulos J.:
 Department Of Dermatology, Royal Melbourne Hospital, Melbourne, VIC, Australia

Wells J.:
 University Of Sydney, Westmead Hospital, Sydney, NSW, Australia

Ingram J.R.:
 Department Of Dermatology, Division Of Infection & Immunity, Cardiff University, Cardiff, United Kingdom

Prinz J.C.:
 Department Of Dermatology And Allergy, University Hospital, Lmu Munich, Munich, Germany

De Souza Sittart J.A.:
 Hospital Do Servidor Publico Estadual De Sao Paulo, Brazil

Sanchez J.L.:
 Department Of Dermatology, General Hospital Valencia, Valencia, Spain

Hsiao J.P.-F.:
 Department Of Dermatology, MacKay Memorial Hospital, Taipei City, Taiwan

Castro-Ayarza J.R.:
 Universidad Militar, Colpsor, Colombia

Maul J.-T.:
 Department Of Dermatology, University Hospital Of Zürich, Zürich, Switzerland

Van Den Reek J.M.P.A.:
 Department Of Dermatology, Radboudumc, Nijmegen, Netherlands

Trcko K.:
 Department Of Dermatology And Venereal Diseases, University Medical Centre Maribor, Maribor, Slovenia

Barber K.:
 University of Calgary, Calgary, AB, Canada

Reich K.:
 Translational Research In Inflammatory Skin Diseases, Institute For Health Services Research In Dermatology And Nursing, University Medical Center Hamburg-Eppendorf, Germany

Gebauer K.A.:
 Fremantle DermatologyWA, Australia

Khobzei K.:
 Kyiv Medical University, Medical Centre Khobzei Clinic, Kyiv, Ukraine

Maul L.V.:
 Department Of Dermatology, University Hospital Of Basel, Basel, Switzerland

Massari L.P.:
 Department Of Dermatovenerology, Clinical Hospital Center Rijeka, Medical Faculty, University Of Rijeka, Rijeka, Croatia

Fardet L.:
 Department Of Dermatology, Hôpital Henri Mondor, Creteil, France

Le Cleach L.:
 University Paris Est Créteil, Créteil, France

 Department Of Dermatology, Hôpitaux Universitaires Henri Mondor, Upec, Créteil, France

Misery L.:
 Department Of Dermatology, University Hospital Of Brest, Department Of Dermatology, Brest, France

Chandrashekar L.:
 Jawaharlal Institute Of Postgraduate Medical Education And Research, Pondicherry, India

Muresanu L.I.:
 European Academy Of Dermatology And Venereology Member, Romania

Lecluse L.:
 Bergman Clinics, Dermatology, Haarlem and Amsterdam, Netherlands

Skov L.:
 Department Of Dermatology And Allergy, Copenhagen University Hospital-Herlev And Gentofte, Copenhagen, Denmark

 Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark

Frez M.L.:
 University Of The Philippines, College Of Medicine, Philippine General Hospital, Manila, Philippines

Babic L.T.:
 Special Hospital For Medical Rehabilitation, Naftalan, Azerbaijan

Puig L.:
 Department Of Dermatology, Hospital De La Santa Creu I Sant Pau, Universitat Autònoma De Barcelona, School Of Medicine, Barcelona, Spain

Gomez L.C.:
 Hospital Militar Central Universidad Militar Nueva Granada, Bogota, Colombia

Ramam M.:
 All India Institute Of Medical Sciences, New Delhi, India

Dutil M.:
 University Of Toronto, Toronto, ON, Canada

El-Sayed M.H.:
 Faculty Of Medicine, Ain Shams University, Cairo, Egypt

Olszewska M.:
 Department Of Dermatology, Medical Unversity Of Warsaw, Warsaw, Poland

Schram M.E.:
 Zbc Multicare, Hilversum, Netherlands

Franco M.D.:
 Universidad El Bosque, Bogotá, Colombia

Llamas-Velasco M.:
 Dermatology Department, Hospital Universitario de la Princesa, Madrid, Spain

Gonçalo M.:
 Department Of Dermatology, Coimbra University Hospital, Faculty Of Medicine, University Of Coimbra, Coimbra, Portugal

Velásquez-Lopera M.M.:
 Universidad De Antioquia, Centro De Investigaciones Dermatológicas Ciderm, Medellín, Colombia

Abad M.E.:
 Hospital Aleman And Hospital Ramos Mejia, Buenos Aires, Argentina

De Oliveira M.D.F.S.P.:
 Federal University, Bahia, Brazil

Seyger M.M.B.:
 Department Of Dermatology, Radboud University Medical Centre, Nijmegen, Netherlands

Kaštelan M.:
 Department Of Dermatovenergology, Referral Center For Psoriasis, Chc Rijeka, University Of Rijeka, Rijeka, Croatia

Rademaker M.:
 Waikato Clinical School, School Of Medicine, University Of Auckland, Auckland, New Zealand

Sikora M.:
 National Institute Of Geriatrics, Rheumatology And Rehabilitation, Warsaw, Poland

Lebwohl M.:
 Icahn School of Medicine at Mount Sinai, New York, NY, United States

Wiseman M.C.:
 Department Of Medicine, University Of Manitoba, Winnipeg, MB, Canada

Ferran M.:
 Department of Dermatology, Hospital del Mar, Barcelona, Spain

Van Doorn M.:
 Department Of Dermatology, Erasmus Medical Center, Rotterdam, Netherlands

Danespazhooh M.:
 Department Of Dermatology, Tehran University Of Medical Sciences, Tehran, Iran

Bylaite-Bucinskiene M.:
 Clinic Of Infectious Diseases And Dermatovenereology, Centre Of Dermatovenereology, Vilnius University, Vilnius, Lithuania

Gooderham M.J.:
 SKiN Centre For Dermatology And Probity Medical Research, Queen's University, Peterborough, ON, Canada

Polic M.V.:
 Osijek University Hospital, Faculty Of Medicine, Osijek, Croatia

De Rie M.A.:
 Department Of Dermatology, Amsterdam Umc, University Of Amsterdam, Amsterdam Public Health, Infection And Immunity, Amsterdam, Netherlands

Zheng M.:
 School Of Medicine, The Second Affiliated Hospital Of Zhejiang University, Hangzhou, China

Gómez-Flores M.:
 Universidad Autónoma De Nuevo León, San Nicolás de los Garza, Mexico

Salleras I Redonnet M.:
 Department of Dermatology, Hospital Sagrat Cor, Barcelona, Spain

Silverberg N.B.:
 Icahn School of Medicine at Mount Sinai, New York, NY, United States

Doss N.:
 Golden Towers Médical Centre, Tunis, Tunisia

Yawalkar N.:
 Department of Dermatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland

Chosidow O.:
 Universités De Tours Et Nantes, Créteil, France

Zargari O.:
 Skin Research Center, Tehran, Iran

De La Cueva P.:
 Dermatology Department, Hospital Unuversitario Infanta Leonor, Madrid, Spain

Fernandez-Peñas P.:
 Department Of Dermatology, University Of Sydney, Westmead Hospital, Westmead, NSW, Australia

Cárdenas Rojas P.J.:
 National University Of Colombia, Bogata, Colombia

Gisondi P.:
 Section Of Dermatology And Venereology, University Of Verona, Verona, Italy

Grewal P.:
 University Of Alberta, Edmonton, AB, Canada

Sator P.:
 Department Of Dermatology, Clinic Hietzing, Vienna, Austria

Luna P.C.:
 Hospital Aleman, Buenos Aires, Argentina

Félix P.A.O.:
 Departament Of Dermatology, Hospital Federal Dos Servidores Do Estado, Rio de Janeiro, Brazil

Varela P.:
 Dermatology Department, Centro Hospitalar Vn Gaia, Portugal

Holló P.:
 Department Of Dermatology, Venereology, And Dermatooncology, Semmelweis University, Budapest, Hungary

Cetkovska P.:
 Department Of Dermatovenereology, Faculty Of Medicine, Charles University, Prague, Czech Republic

Calzavara-Pinton P.:
 University Of Brescia, Brescia, Italy

Ghislain P.-D.:
 Department Of Dermatology Ucl St-Luc, Brussels, Belgium

Araujo R.R.:
 University Of Sydney, Westmead Hospital, Sydney, NSW, Australia

Romiti R.:
 Department Of Dermatology, Hospital Das Clínicas, University Of São Paulo, São Paulo, Brazil

Kui R.:
 Department Of Dermatology And Allergology, Albert Szent-Györgyi Medical School, University Of Szeged, Szeged, Hungary

Ceovic R.:
 Department Of Dermatology And Venereology, University Hospital Center Zagreb, School Of Medicine, University Of Zagreb, Zagreb, Croatia

Vender R.:
 Dermatrials Research Inc, Hamilton, ON, Canada

Lafuente-Urrez R.F.:
 Hospital Reina Sofia, Tudela, Spain

Del-Río R.:
 Hospital LEsperit Sant, Santa Coloma de Gramenet, Spain

Gulin S.J.:
 Department Of Dermatology, Ryhov County Hospital, Jonkoping, Sweden

Handa S.:
 Department Of Dermatology, Venereology & Leprology, Chandigarh, India

Mahil S.K.:
 St John's Institute Of Dermatology, Guy's And St Thomas' Nhs Foundation Trust, King's College London, London, United Kingdom

Kolalapudi S.A.:
 Gsl Medical College, Andhra Pradesh, Rajahmundry, India

Marrón S.E.:
 Dermatology Department, University Hospital Miguel Servet, Zaragoza, Spain

 Aragon Psychodermatology Research Group, Zaragoza, Spain

Azimi S.Z.:
 Center For Research And Training In Skin Diseases And Leprosy, Tehran, Iran

Janmohamed S.R.:
 Department Of Dermatology, Unit Pediatric Dermatology, Skin Research Group, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Brussels, Belgium

Da Cruz Costa S.A.:
 Secretaria Municipal De Saúde De Natal, Brazil

Choon S.E.:
 Clinical School Johor Bahru, Monash University Malaysia, Subang Jaya, Malaysia

Urbancek S.:
 Department Of Dermatology, F.D. Roosevelt Hospital, Banska Bystrica, Slovakia

Ayanlowo O.:
 Dermatology Unit, Department Of Medicine, Faculty Of Clinical Sciences, University Of Lagos, Lagos, Nigeria

Margasin S.M.:
 Consultorios Integrados Rosio, Hospital I Carrasco Rosario, Argentina

Wong T.-W.:
 Departments Of Dermatology, Biochemistry & Molecular Biology, Center Of Applied Nanomedicine, National Cheng Kung University Hospital, College Of Medicine, National Cheng Kung University, Tainan, Taiwan

Mälkönen T.:
 Helsinki University Hospital, Skin And Allergy Hospital, Helsinki, Finland

Hurtová T.:
 Jessenius Faculty Of Medicine, Martin, Comenius University, Bratislava, Slovakia

Reciné T.R.:
 Faculty Of Medicine, Universidad Del Desarrollo Santiago De Chile, Santiago, Chile

Huldt-Nystrøm T.:
 Hudpoliklinikken I Namsos, Norway

Torres T.:
 Department of Dermatology, Centro Hospitalar Universitário do Porto, Porto, Portugal

Liu T.-Y.:
 First Affiliated Hospital Of Kunming Medical University, Kunming, China

Leonidze T.:
 Akad.N.Kipshidze Central University Clinic, Tbilisi, Georgia

Sharma V.K.:
 School Of Medical Sciences And Research, Sharda University, Uttar Pradesh, India

Weightman W.:
 Queen Elizabeth Hospital, Woodville, SA, Australia

Gulliver W.:
 Faculty Of Medicine, Memorial University Of Newfoundland And Labrador, Newfoundland and Labrador, St. John's, Canada

Veldkamp W.:
 Department Of Dermatology, Radboudumc Nijmegen, Nijmegen, Netherlands
ISSN: 21686068
Editorial
AMER MEDICAL ASSOC, 330 N WABASH AVE, STE 39300, CHICAGO, IL 60611-5885 USA, Estados Unidos America
Tipo de documento: Article
Volumen: 158 Número: 5
Páginas: 561-572
WOS Id: 000776738100004
ID de PubMed: 35353175
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