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Endemic pemphigus foliaceus in western Parana, Brazil (1976–1988)
Authors:JC EMPINOTTI  LA DIAZ  CR MARTINS  EA RIVITTI  SAP SAMPAIO  C LOMBARDI  JA SANCHES  'COOPERATIVE GROUP FOR FOGO SELVAGEM RESEARCH'
Institution:Servico de Dermatologia, Secretaria da Saude, Cascavel, Parana, Brazil.
Abstract:Endemic pemphigus foliaceus or fogo selvagem (FS) is a blistering autoimmune disease indigenous to certain states of Brazil. In the state of Parana the disease has been reported in the north-central regions where a total of 632 cases were documented in the period of 1940-80. The present study describes a new focus of FS in the western region of the state of Parana. This focus includes a total of 213 new cases of FS and only 11 cases of pemphigus vulgaris seen in this region from February 1976 to July 1988. Over 90% of these patients were peasants working in agriculture or involved in other outdoor activities.
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