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1.
Aging Cell ; : e14273, 2024 Jul 12.
Article in English | MEDLINE | ID: mdl-39001573

ABSTRACT

The kidney undergoes structural and physiological changes with age, predominantly studied in glomeruli and proximal tubules. However, limited knowledge is available about the impact of aging and anti-aging interventions on distal tubules. In this study, we investigated the effects of cytochrome b5 reductase 3 (CYB5R3) overexpression and/or dietary nicotinamide riboside (NR) supplementation on distal tubule mitochondria. Initially, transcriptomic data were analyzed to evaluate key genes related with distal tubules, CYB5R3, and NAD+ metabolism, showing significant differences between males and females in adult and old mice. Subsequently, our emphasis focused on assessing how these interventions, that have demonstrated the anti-aging potential, influenced structural parameters of distal tubule mitochondria, such as morphology and mass, as well as abundance, distance, and length of mitochondria-endoplasmic reticulum contact sites, employing an electron microscopy approach. Our findings indicate that both interventions have differential effects depending on the age and sex of the mice. Aging resulted in an increase in mitochondrial size and a decrease in mitochondrial abundance in males, while a reduction in abundance, size, and mitochondrial mass was observed in old females when compared with their adult counterparts. Combining both the interventions, CYB5R3 overexpression and dietary NR supplementation mitigated age-related changes; however, these effects were mainly accounted by NR in males and by transgenesis in females. In conclusion, the influence of CYB5R3 overexpression and dietary NR supplementation on distal tubule mitochondria depends on sex, genotype, and diet. This underscores the importance of incorporating these variables in subsequent studies to comprehensively address the multifaceted aspects of aging.

2.
Plant Biol (Stuttg) ; 24(7): 1262-1271, 2022 Dec.
Article in English | MEDLINE | ID: mdl-35238139

ABSTRACT

Forest mortality during drought has been attributed to hydraulic failure, which can be challenging to measure. A limited number of alternative proxies for incipient leaf death exist. Here we investigate whether a terminal increase in abscisic acid (ABA) levels in leaves occurs across vascular land plants and is an indicator of imminent leaf death. For different species across vascular plants, we monitored ABA levels during lethal drought as well as leaf embolism resistance, across the canopy as leaves die following senescence, or when leaves are exposed to a heavy, lethal frost late in the growing season. We observed a considerable increase in foliage ABA levels once leaves showed signs of incipient leaf death. This increase in ABA levels upon incipient leaf death, could be induced by embolism during drought, by freezing or as leaves age naturally, and was observed in species spanning the phylogeny of vascular land plants as well as in an ABA biosynthetic mutant plant. A considerable increase in foliage ABA levels may act as an indicator of impending leaf death.


Subject(s)
Abscisic Acid , Tracheophyta , Xylem , Plant Leaves , Droughts
3.
Phys Rev E ; 103(1-1): 012706, 2021 Jan.
Article in English | MEDLINE | ID: mdl-33601506

ABSTRACT

Electrorheological response of a nematic liquid crystal confined in the region between two coaxial and rotating circular cylinders is studied theoretically. Utilizing weak anchoring conditions, the physical properties of 4-n-pentyl-4-cyanobiphenyl (5CB), nonslip boundary conditions, and contrasting surface anchoring energies, we numerically obtain the equilibrium configurations for the nematic director under the influence of an external low-frequency radial electric field and the corresponding (angular) velocity profiles. The Fréedericksz transition is parametrized by the cylinders' radii ratio for different values of the surface energies. The averaged apparent viscosity of the nematic is calculated also.

5.
Prev Sci ; 21(7): 979-984, 2020 10.
Article in English | MEDLINE | ID: mdl-32671671

ABSTRACT

In September 2003, Mexico City introduced "Conduce sin Alcohol" (CSA)-drive without alcohol-a program that monitors breath alcohol concentration limits among drivers to reduce road traffic crashes. To our knowledge, no study has evaluated the impact of this program on mortality. We estimated the effect of CSA on the monthly rate of traffic-related deaths (deaths per one million people) in Mexico City. We applied interrupted time series analyses (ITSA) using monthly data from 1998 to 2016, adjusting for number of people covered by a public health insurance, monthly number of public health care facilities in the city, monthly average rain precipitation in milliliters, and number of vehicles registered. Our results show a statistically significant average reduction in the monthly trend of traffic-related deaths of 0.08 per 1 million people/per month after the program was implemented relative to the pre-intervention trend. The relative difference comparing pre- and post-intervention predicted values from the ITSA model shows that there was a 23.2% reduction in the fatality rate. Findings from this study can be used to scale up programs to monitor alcohol concentration limits among drivers in cities with high alcohol-related crashes and deaths where the program has not been implemented.


Subject(s)
Accidents, Traffic/mortality , Driving Under the Influence/prevention & control , Ethanol/analysis , Mortality/trends , Cities , Databases, Factual , Humans , Male , Mexico/epidemiology , Program Evaluation
6.
Sci Rep ; 10(1): 375, 2020 01 15.
Article in English | MEDLINE | ID: mdl-31942026

ABSTRACT

The Male Warrior Hypothesis (MWH) establishes that men's psychology has been shaped by inter-group competition to acquire and protect reproductive resources. In this context, sex-specific selective pressures would have favored cooperation with the members of one's group in combination with hostility towards outsiders. We investigate the role of developmental testosterone, as measured indirectly through static markers of prenatal testosterone (2D:4D digit ratio) and pubertal testosterone (body musculature and facial masculinity), on both cooperation and aggressive behavior in the context of intergroup conflict among men. Supporting the MWH, our results show that the intergroup conflict scenario promotes cooperation within group members and aggression toward outgroup members. Regarding the hormonal underpinnings of this phenomenon, we find that body musculature is positively associated with aggression and cooperation, but only for cooperation when context (inter-group competition) is taken into account. Finally, we did not find evidence that the formidability of the group affected individual rates of aggression or cooperation, controlling for individual characteristics.


Subject(s)
Aggression/psychology , Competitive Behavior , Group Processes , Hostility , Psychology, Social , Testosterone/metabolism , Adult , Conflict, Psychological , Humans , Male , Testosterone/analysis , Warfare , Young Adult
7.
New Microbes New Infect ; 29: 100526, 2019 May.
Article in English | MEDLINE | ID: mdl-30976430

ABSTRACT

OBJECTIVES: To describe a clinical case of Acinetobacter baumannii sequence type (ST) 32 harbouring a New Delhi metallo-ß-lactamase (NDM) in Ecuador. METHODS: We used multilocus sequence typing (MLST) to confirm the bacterial species and the sequence type of an A. baumannii isolate. We used synergy with the imipenem-EDTA disc method and the carbapenem inactivation method (CIM) to determine carbapenemase production; the presence of a carbapenemase gene was confirmed by PCR amplification and amplicon sequencing. RESULTS: Molecular characterization revealed the presence of A. baumannii ST32 harbouring the bla NDM-1 gene in Ecuador. The bla NDM-1 gene was isolated through PCR and amplified from a purified plasmid. CONCLUSIONS: To the best of our knowledge, this is the first report of A. baumannii ST32 harbouring the bla NDM-1 gene.

8.
Arch Soc Esp Oftalmol (Engl Ed) ; 93(12): 592-597, 2018 Dec.
Article in English, Spanish | MEDLINE | ID: mdl-30025989

ABSTRACT

OBJECTIVE: To analyse the morphometric characteristics and the concentration of (docosahexaenoic acid) DHA and eicosapentaenoic acid (EPA) of the different nutritional supplements with omega 3 available on the market for retinal disease. MATERIAL AND METHODS: A double-blind study was conducted with a single observer, of the different omega 3 supplementation tablets sample marketed in Spain. The length of the tablet, the concentration of omega 3 in total, as well as DHA and EPA were studied separately using the amount provided by the manufacturer and the volume of the capsule calculated from the development of a specific formula for it. RESULTS: A total of 10 different nutritional supplements were included. The mean of total omega 3, DHA and EPA was 383.10±160.90, 210.72±93.3, and 112.34±140.98mg, respectively. The mean size of the capsules was 14.77±0.19×8.13±0.09mm The smallest sized capsule was that of Oftan macula omega® (Esteve, Barcelona, Spain). Brudymacula® (Brudylab, Barcelona, Spain) and Brudyretina 1.5 g® (Brudylab, Barcelona, Spain) tablets contained more DHA, with Nutrof omega® (Thea Laboratories, Barcelona, Spain) having the lowest concentration of omega 3, DHA and EPA, per tablet. CONCLUSION: There are significant differences in size, volume, quantity, and concentration of omega 3 and its derivatives, between different commercial preparations. Only the knowledge of the characteristics of the nutritional supplements will enable us to provide a more personalised indication of their use for our patients.


Subject(s)
Dietary Supplements , Docosahexaenoic Acids/analysis , Eicosapentaenoic Acid/analysis , Fatty Acids, Omega-3/therapeutic use , Retinal Diseases/drug therapy , Capsules , Dosage Forms , Double-Blind Method , Drug Dosage Calculations , Fatty Acids, Omega-3/administration & dosage , Humans , Macular Degeneration/drug therapy , Macular Degeneration/prevention & control , Nonprescription Drugs/analysis , Retinal Diseases/prevention & control , Spain
9.
Braz. j. biol ; 78(1): 98-107, Feb. 2018. tab, graf
Article in English | LILACS | ID: biblio-888842

ABSTRACT

Abstract The family Verbenaceae hosts important species used in traditional medicine of many countries. The taxonomic controversies concerning the specific delimitation of several of its species make it difficult to guarantee the botanical origin of herbal preparations based on species of this family. To contribute to the development of both specific chemomarkers and a quality control tool to authenticate the botanical origin of herbal preparations of Verbenacea species, we determined the foliar HPLC-DAD phenolic profiles and the antioxidant properties of 10 wild species of this family occurring in Mexico. The contents of phenols and flavonoids varied significantly among species. Priva mexicana showed the highest levels of total phenolics (53.4 mg g-1 dry tissue) and Verbena carolina had the highest levels of flavonoids (17.89 mg g-1 dry tissue). Relevant antioxidant properties revealed by antiradical and reducing power were found for the analyzed species. These properties varied significantly in a species-dependent manner. The phenolic compounds accumulated were flavones and phenolic acids. Flavones were the only type of flavonoids found. The results of a cluster analysis showed that the compounds were accumulated in species-specific profiles. The phenolic profiles are proposed as valuable chemomarkers that can become a useful tool for the quality control concerning the botanical origin of herbal medicinal preparations based on the species analyzed. In addition, phenolic profiles could contribute importantly to solve the taxonomic controversies concerning species delimitation in the family Verbenaceae.


Resumo A família Verbenaceae compreende importantes espécies utilizadas na medicina popular de muitos países. As dificuldades taxonômicas relativas à delimitação específica de muitas das suas espécies face difícil a verificar a origem botânico das preparações herbales baseadas nas espécies desta família. Para fazer uma contribuição ao desenvolvimento de indicadores taxonômicos e dum método de controle de qualidade para verificar a origem botânico de preparações herbales das espécies de Verbenaceae, os perfis fenólicos, obtidos pares HPLC-DAD, e as atividades antioxidantes das folhas de 10 espécies selvagens Mexicanas desta família foram determinados. Os conteúdos dos compostos fenólicos totais e dos flavonoides foram significativamente diferentes entre as espécies. Priva mexicana apresentou a maior quantidade de compostos fenólicos totais (53.4 mg g-1 amostra seca) e Verbena carolina apresentou a maior quantidade de flavonoides (17.89 mg g-1 amostra seca). Verifica-se importantes propriedades antioxidantes, como os resultados dos ensaios da capacidade antiradical e do poder redutor indicaram. As propriedades antioxidantes foram significativamente diferentes entre as espécies. Verificou-se que os compostos fenólicos conteúdos nas folhas das espécies analisadas foram só flavonas e ácidos fenólicos. Os resultados das análises de agrupamento provarãn que os perfiles fenólicos foram espécie-específicos. Estes perfis podem ser considerados como indicadores químicos da qualidade relativa à origem botânico de preparações medicinais baseadas nas espécies analisadas e podem fazer importantes contribuições para a delimitação específica na família Verbenaceae.


Subject(s)
Phenols/analysis , Phenols/chemistry , Plant Extracts/analysis , Plant Extracts/chemistry , Antioxidants/analysis , Antioxidants/chemistry , Flavonoids/analysis , Flavonoids/chemistry , Biomarkers/analysis , Biomarkers/chemistry , Chromatography, High Pressure Liquid , Verbenaceae , Mexico
10.
Evol Psychol ; 16(1): 1474704917749172, 2018.
Article in English | MEDLINE | ID: mdl-29361847

ABSTRACT

Intrasexual competition can be defined as the struggle between members of one sex to increase their access to members of the other sex as sexual partners. In our species, height is a sexually dimorphic trait probably involved in both intrasexual and intersexual selective processes. In the present research, we examined the relationship between height and individual differences in intrasexual competitiveness (i.e., the tendency to view same-sex interactions in general in competitive terms) in two populations of adolescents and adults of both sexes in Chile. According to our first prediction, among both adolescent and adult men, height was negatively associated with intrasexual competitiveness. In contrast, among women, height was not linearly nor quadratically related with intrasexual competitiveness as previously reported. Finally, adolescent men and women showed increased levels of intrasexual competitiveness compared to adult same-sex counterparts. Our results suggest that height is a relevant trait in mating competition among men. The lack of relationship between height and intrasexual competitiveness in women may suggest that the role of height in women mating competition may be more complex and mediated by other variables.


Subject(s)
Body Height/physiology , Competitive Behavior/physiology , Sexual Behavior/psychology , Adolescent , Adult , Chile , Female , Humans , Male , Middle Aged , Sexual Behavior/physiology , Young Adult
12.
Arch Soc Esp Oftalmol (Engl Ed) ; 93(1): 42-46, 2018 Jan.
Article in English, Spanish | MEDLINE | ID: mdl-28506716

ABSTRACT

CASE REPORTS: Three clinical cases are presented of MEK retinopathy associated with the combination of cobimetinib and vemurafenib characterised by alteration of the retinal pigment epithelium and neurosensory detachment. Two of the cases conserved the vision of the unit, and the third developed a large bilateral neurosensory detachment with final visual acuity of 0.6 for the right eye and 0.1 for the left one. DISCUSSION: The new therapeutic strategies against metastatic cutaneous melanoma condition the appearance of alterations of the pigmentary epithelium of the retina with serous detachments, leading to close monitoring with macular optical coherence tomography.


Subject(s)
Antineoplastic Agents/adverse effects , Azetidines/adverse effects , Mitogen-Activated Protein Kinases/antagonists & inhibitors , Piperidines/adverse effects , Retinal Diseases/chemically induced , Vemurafenib/adverse effects , Azetidines/therapeutic use , Female , Humans , Male , Melanoma/drug therapy , Melanoma/secondary , Middle Aged , Piperidines/therapeutic use , Vemurafenib/therapeutic use
13.
Braz J Biol ; 78(1): 98-107, 2018 Feb.
Article in English | MEDLINE | ID: mdl-28658390

ABSTRACT

The family Verbenaceae hosts important species used in traditional medicine of many countries. The taxonomic controversies concerning the specific delimitation of several of its species make it difficult to guarantee the botanical origin of herbal preparations based on species of this family. To contribute to the development of both specific chemomarkers and a quality control tool to authenticate the botanical origin of herbal preparations of Verbenacea species, we determined the foliar HPLC-DAD phenolic profiles and the antioxidant properties of 10 wild species of this family occurring in Mexico. The contents of phenols and flavonoids varied significantly among species. Priva mexicana showed the highest levels of total phenolics (53.4 mg g-1 dry tissue) and Verbena carolina had the highest levels of flavonoids (17.89 mg g-1 dry tissue). Relevant antioxidant properties revealed by antiradical and reducing power were found for the analyzed species. These properties varied significantly in a species-dependent manner. The phenolic compounds accumulated were flavones and phenolic acids. Flavones were the only type of flavonoids found. The results of a cluster analysis showed that the compounds were accumulated in species-specific profiles. The phenolic profiles are proposed as valuable chemomarkers that can become a useful tool for the quality control concerning the botanical origin of herbal medicinal preparations based on the species analyzed. In addition, phenolic profiles could contribute importantly to solve the taxonomic controversies concerning species delimitation in the family Verbenaceae.


Subject(s)
Antioxidants , Phenols , Plant Extracts , Verbenaceae , Antioxidants/analysis , Antioxidants/chemistry , Biomarkers/analysis , Biomarkers/chemistry , Chromatography, High Pressure Liquid , Flavonoids/analysis , Flavonoids/chemistry , Mexico , Phenols/analysis , Phenols/chemistry , Plant Extracts/analysis , Plant Extracts/chemistry
14.
Arch Soc Esp Oftalmol (Engl Ed) ; 93(3): 139-142, 2018 Mar.
Article in English, Spanish | MEDLINE | ID: mdl-28882395

ABSTRACT

CASES REPORTS: Three myopic components of a same family came for study because presented severely degraded vitreous, equatorial membranes, retinal pigment epithelium hyperplasia, vascular sheathed and sclerosis of peripheral predominance. A genetic study confirmed the diagnosis of Stickler syndrome with a variant in the mutation of the COL2A1 gene. DISCUSSION: Stickler's syndrome should be suspected in families with a characteristic phenotype with vitreous syneresis and alterations in the retina, but there may be genetic variants that do not express the classic phenotype.


Subject(s)
Arthritis/genetics , Connective Tissue Diseases/genetics , Hearing Loss, Sensorineural/genetics , Retinal Detachment/genetics , Adolescent , Adult , Arthritis/diagnostic imaging , Connective Tissue Diseases/diagnostic imaging , Female , Genetic Variation , Hearing Loss, Sensorineural/diagnostic imaging , Humans , Male , Pedigree , Phenotype , Retinal Detachment/diagnostic imaging
15.
J Autoimmun ; 82: 31-40, 2017 Aug.
Article in English | MEDLINE | ID: mdl-28465139

ABSTRACT

OBJECTIVES: 1) To assess the association of NETosis and NETosis-derived products with the activity of the disease and the development of cardiovascular disease in RA; 2) To evaluate the involvement of NETosis on the effects of biologic therapies such as anti-TNF alpha (Infliximab) and anti-IL6R drugs (Tocilizumab). METHODS: One hundred and six RA patients and 40 healthy donors were evaluated for the occurrence of NETosis. Carotid-intimae media thickness was analyzed as early atherosclerosis marker. Inflammatory and oxidative stress mediators were quantified in plasma and neutrophils. Two additional cohorts of 75 RA patients, treated either with Infliximab (n = 55) or Tocilizumab (n = 20) for six months, were evaluated. RESULTS: NETosis was found increased in RA patients, beside myeloperoxidase and neutrophil elastase protein levels. Cell-free nucleosomes plasma levels were elevated, and strongly correlated with the activity of the disease and the positivity for autoantibodies, alongside inflammatory and oxidative profiles in plasma and neutrophils. Moreover, ROC analyses showed that cell-free nucleosomes levels could identify RA patients showing early atherosclerosis with high specificity. RA patients treated either with IFX or TCZ for six months exhibited decreased generation of NETs. Concomitantly, clinical parameters and serum markers of inflammation were found reduced. Mechanistic in vitro analyses showed that inhibition of NETs extrusion by either DNase, IFX or TCZ, further abridged the endothelial dysfunction and the activation of immune cells, thus influencing the global activity of the vascular system. CONCLUSIONS: NETosis-derived products may have diagnostic potential for disease activity and atherosclerosis, as well as for the assessment of therapeutic effectiveness in RA.


Subject(s)
Arthritis, Rheumatoid/complications , Atherosclerosis/diagnosis , Atherosclerosis/etiology , Extracellular Traps/metabolism , Aged , Antirheumatic Agents/therapeutic use , Atherosclerosis/therapy , Biomarkers , Case-Control Studies , Comorbidity , Female , Humans , Inflammation Mediators/metabolism , Interleukin-6/antagonists & inhibitors , Interleukin-6/metabolism , Male , Middle Aged , Oxidative Stress , Peroxidase , ROC Curve , Risk Factors , Severity of Illness Index , Treatment Outcome , Tumor Necrosis Factor-alpha/antagonists & inhibitors , Tumor Necrosis Factor-alpha/metabolism
16.
Arch Soc Esp Oftalmol ; 92(8): 353-358, 2017 Aug.
Article in English, Spanish | MEDLINE | ID: mdl-28185696

ABSTRACT

OBJECTIVE: To study the adherence to the Mediterranean diet in patients affected by primary open angle glaucoma (POAG). MATERIALS AND METHODS: An observational study was conducted to assess the adherence to the Mediterranean diet in patients affected by POAG, and who attended the Ophthalmology Department of the Canary Islands University Hospital. The study included completing a 14-item questionnaire validated by the PREDIMED Study, in person or by telephone. RESULTS: A total of 100 questionnaires were completed successfully by 50 males and 50 females. The mean age was 69.58 years for the males and 67.42 years for women. The men had more comorbidities than women (tobacco 14 vs. 3%), arterial hypertension, and diabetes (30 vs. 28%, and 16 vs. 6%, respectively). Adherence to the Mediterranean diet in males, was low in 9 patients (18%), moderate in 37 (74%), and high in 4 (8%) cases. In women adherence was low in 14 patients (28%), moderate in 34 (68%), and high in 2 (6%) cases. The overall adhesion to the Mediterranean diet is low in 23%, moderate in 71% and high in 6% of the cases. CONCLUSION: Patients who are affected by POAG have moderate adherence to the Mediterranean diet.


Subject(s)
Diet, Mediterranean , Glaucoma, Open-Angle/diet therapy , Patient Compliance/statistics & numerical data , Aged , Female , Humans , Male , Self Report
17.
Arch Soc Esp Oftalmol ; 92(10): 499-506, 2017 Oct.
Article in English, Spanish | MEDLINE | ID: mdl-27402451

ABSTRACT

CASES REPORTS: The cases are presented of three women of 22, 36 and 55 years old with bilateral myopic retinochoroidosis. They had unilateral decreased visual acuity, normal bilateral tonometry, and biomicroscopy. Funduscopy showed bilateral and unilateral myopic maculopathy, and Optical Coherence Tomography (OCT) showed a dome shaped macula with neurosensory detachment. Treatment was started with spironolactone and an improvement by OCT was shown in all cases. DISCUSSION: The etiopathogenic mechanism of the dome shaped macula is discussed. OCT demonstrated to be the fundamental test in the follow-up of this condition. After the evidence shown, initial treatment with spironolactone is suggested.


Subject(s)
Chorioretinitis/etiology , Macula Lutea/pathology , Myopia/etiology , Spironolactone/therapeutic use , Adult , Chorioretinitis/drug therapy , Drug Substitution , Female , Humans , Middle Aged , Myopia/physiopathology , Ranibizumab/therapeutic use , Receptors, Mineralocorticoid/metabolism , Receptors, Vascular Endothelial Growth Factor/therapeutic use , Recombinant Fusion Proteins/therapeutic use , Tomography, Optical Coherence , Young Adult
19.
Arch Soc Esp Oftalmol ; 91(12): 599-603, 2016 Dec.
Article in English, Spanish | MEDLINE | ID: mdl-27017536

ABSTRACT

CASE REPORT: Two cases are presented of patients with chronic diffuse epitheliopathy (CDE) that showed a favourable response when treated with spironolactone. The first patient had regions of neurosensory detachment (DNS) and the second, multiple DNS, secondary intra-retinal cysts and retinal pigment epithelium detachment. DISCUSSION: After treatment with spironolactone, both patients showed a visual acuity improvement and structural changes (reduced neurosensory retinal detachment and cystoid degeneration). Aldosterone receptor agonists (ARA) used for persistent forms of chronic central serous chorioretinopathy show encouraging results and could represent a therapeutic alternative for CDE.


Subject(s)
Mineralocorticoid Receptor Antagonists/therapeutic use , Retinal Detachment/drug therapy , Spironolactone/therapeutic use , Humans , Male , Middle Aged
20.
Arch Soc Esp Oftalmol ; 90(12): 578-81, 2015 Dec.
Article in English, Spanish | MEDLINE | ID: mdl-26255074

ABSTRACT

CASE REPORT: 78 year-old female patient being investigated for a left orbital pseudotumour of 17 days onset. She had proptosis, pain, with no limitation of eye movements, periorbital oedema, and upper eyelid ptosis, compatible with an orbital pseudotumour. The MRI showed an upper outer left orbital mass adjacent to the side of eyeball and an increase in soft tissue at the level of lacrimal gland. The histopathology study of an eyelid lesion demonstrated the presence of non-caseating granulomas. DISCUSSION: A definitive diagnosis of orbital sarcoidosis was made. Oral treatment with corticosteroids and methotrexate achieved gradual control of the disease.


Subject(s)
Eyelid Diseases/etiology , Magnetic Resonance Imaging , Orbital Pseudotumor/etiology , Sarcoidosis/complications , Adrenal Cortex Hormones/therapeutic use , Aged , Biopsy , Drug Therapy, Combination , Eyelid Diseases/diagnosis , Eyelid Diseases/drug therapy , Female , Granuloma/diagnosis , Granuloma/drug therapy , Granuloma/etiology , Humans , Immunosuppressive Agents/therapeutic use , Methotrexate/therapeutic use , Orbital Pseudotumor/drug therapy , Remission Induction , Sarcoidosis/diagnosis , Sarcoidosis/drug therapy
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