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1.
New Phytol ; 234(1): 50-63, 2022 04.
Article in English | MEDLINE | ID: mdl-34981534

ABSTRACT

Tropical forests are important to the regulation of climate and the maintenance of biodiversity on Earth. However, these ecosystems are threatened by climate change, as temperatures rise and droughts' frequency and duration increase. Xylem anatomical traits are an essential component in understanding and predicting forest responses to changes in water availability. We calculated the community-weighted means and variances of xylem anatomical traits of hydraulic and structural importance (plot-level trait values weighted by species abundance) to assess their linkages to local adaptation and community assembly in response to varying soil water conditions in an environmentally diverse Brazilian Atlantic Forest habitat. Scaling approaches revealed community-level tradeoffs in xylem traits not observed at the species level. Towards drier sites, xylem structural reinforcement and integration balanced against hydraulic efficiency and capacitance xylem traits, leading to changes in plant community diversity. We show how general community assembly rules are reflected in persistent fiber-parenchyma and xylem hydraulic tradeoffs. Trait variation across a moisture gradient is larger between species than within species and is realized mainly through changes in species composition and abundance, suggesting habitat specialization. Modeling efforts to predict tropical forest diversity and drought sensitivity may benefit from adding hydraulic architecture traits into the analysis.


Subject(s)
Droughts , Trees , Ecosystem , Forests , Plant Leaves , Trees/physiology , Tropical Climate , Water , Xylem/physiology
2.
Front Immunol ; 12: 725882, 2021.
Article in English | MEDLINE | ID: mdl-34737741

ABSTRACT

Monoclonal antibodies (mAbs) are promising alternatives to treat infectious diseases, especially given their potential for applications in combination therapies with antimicrobial drugs to enhance the antifungal efficacy. Protection mediated by mAbs used to treat experimental paracoccidioidomycosis (PCM) has been demonstrated previously. Our aim in the present work was to characterize a monoclonal antibody (mAbF1.4) raised against a cell wall glycoconjugate fraction of Paracoccidioides spp. and to analyze its efficacy combined with trimethoprim-sulfamethoxazole (TMP/SMX) as treatment for experimental PCM. We demonstrated that the epitope recognized by mAbF1.4 is consistent with branched glucose residues present on a cell wall ß-glucan polymer. In vitro, mAbF1.4 increased the phagocytic capacity and nitric oxide concentration induced by the macrophage cell line J774.1A, and this resulted in a significant reduction in the viability of the opsonophagocytized yeasts. In vivo, we detected a significant reduction in pulmonary fungal burdens of mice treated with mAbF1.4 in association with TMP/SMX, which correlated with increased pulmonary concentrations (determined by ELISA) of IFN- Î³, TNF-α, IL-10 and IL-17. In parallel, we observed a decrease in IL-4, suggesting that the treatment was associated with a mixed Th1-Th17 type immune response. Histopathology of lung segments from mice receiving the combination therapy showed a significant reduction in granulomas, which were well-defined, and improved maintenance of lung architecture. These findings demonstrate that mAbF1.4 + TMP/SMX therapy is a promising approach to combat PCM as well as decrease disease sequelae and highlights the potential benefits of immune mediators in PCM combined immunotherapy.


Subject(s)
Antibodies, Monoclonal/pharmacology , Immunotherapy/methods , Paracoccidioides/immunology , Paracoccidioidomycosis/immunology , Trimethoprim, Sulfamethoxazole Drug Combination/pharmacology , Animals , Antifungal Agents/pharmacology , Antigens, Fungal/immunology , Cytokines/immunology , Disease Models, Animal , Female , Lung/microbiology , Lung/pathology , Macrophages/immunology , Male , Mice , Mice, Inbred C57BL , Paracoccidioidomycosis/drug therapy , Paracoccidioidomycosis/microbiology
3.
Front Microbiol ; 11: 582107, 2020.
Article in English | MEDLINE | ID: mdl-33240236

ABSTRACT

Pseudomonas aeruginosa is an opportunistic pathogen associated with life-threatening nosocomial and community-acquired infections. Antibiotic resistance is an immediate threat to public health and demands an urgent action to discovering new antimicrobial agents. One of the best alternatives for pre-clinical tests with animal models is the greater wax moth Galleria mellonella. Here, we evaluated the antipseudomonal activity of silver nanoparticles (AgNPs) against P. aeruginosa strain UCBPP-PA14 using G. mellonella larvae. The AgNPs were synthesized through a non-toxic biogenic process involving microorganism fermentation. The effect of AgNPs was assessed through characterization and quantification of the hemocytic response, nodulation and phenoloxidase cascade. On average, 80% of the larvae infected with P. aeruginosa and prophylactically treated with nanoparticles survived. Both the specific and total larvae hemocyte counts were restored in the treated group. In addition, the nodulation process and the phenoloxidase cascade were less exacerbated when the larvae were exposed to the silver nanoparticles. AgNPs protect the larvae from P. aeruginosa infection by directly killing the bacteria and indirectly by preventing an exacerbated immunological response against the pathogen. Our results suggest that the prophylactic use of AgNPs has a strong protective activity against P. aeruginosa infection.

5.
Braz. j. infect. dis ; 21(5): 500-506, Sept.-Oct. 2017. tab, graf
Article in English | LILACS | ID: biblio-888912

ABSTRACT

Abstract Human adenoviruses comprise an important group of etiologic agents that are responsible for various diseases in adults and children, such as respiratory, ocular, gastroenteric, and urinary infections. In immunocompromised and organ-transplanted individuals, these agents can cause generalized infections. Rapid diagnostic methods for detecting these infectious agents are not widely available.The aim of this work was to produce monoclonal and polyclonal anti-adenovirus antibodies to be used in a rapid diagnostic test for respiratory infections.Adenovirus hexons were satisfactorily purified by ultracentrifugation and chromatography. After virus purification, anti-hexon monoclonal antibodies were produced and characterized, following classical methods. Antibodies were specific for adenoviruses 2, 3, 5, and 41. The proposed immunochromatographic test was standardized using colloidal gold.The standardization of the rapid test was sufficient to detect adenovirus antigens (in nasopharyngeal lavage samples) with sensitivity of 100% and specificity of 85% when compared to direct immunofluorescence.The immunochromatographic assay prototype was sufficiently sensitive to detect B (3), C (2 and 5), and F (41) adenovirus samples. Although based on preliminary data, the test demonstrated the same performance as direct immunofluorescence, but with the advantage of being a point-of-care test. Further studies are still needed to confirm its effectiveness in clinical practice.


Subject(s)
Humans , Adenoviruses, Human/classification , Chromatography, Affinity/methods , Adenoviridae Infections/diagnosis , Adenoviridae Infections/virology , Antibodies, Viral/blood
6.
Braz J Infect Dis ; 21(5): 500-506, 2017.
Article in English | MEDLINE | ID: mdl-28623675

ABSTRACT

Human adenoviruses comprise an important group of etiologic agents that are responsible for various diseases in adults and children, such as respiratory, ocular, gastroenteric, and urinary infections. In immunocompromised and organ-transplanted individuals, these agents can cause generalized infections. Rapid diagnostic methods for detecting these infectious agents are not widely available. The aim of this work was to produce monoclonal and polyclonal anti-adenovirus antibodies to be used in a rapid diagnostic test for respiratory infections. Adenovirus hexons were satisfactorily purified by ultracentrifugation and chromatography. After virus purification, anti-hexon monoclonal antibodies were produced and characterized, following classical methods. Antibodies were specific for adenoviruses 2, 3, 5, and 41. The proposed immunochromatographic test was standardized using colloidal gold. The standardization of the rapid test was sufficient to detect adenovirus antigens (in nasopharyngeal lavage samples) with sensitivity of 100% and specificity of 85% when compared to direct immunofluorescence. The immunochromatographic assay prototype was sufficiently sensitive to detect B (3), C (2 and 5), and F (41) adenovirus samples. Although based on preliminary data, the test demonstrated the same performance as direct immunofluorescence, but with the advantage of being a point-of-care test. Further studies are still needed to confirm its effectiveness in clinical practice.


Subject(s)
Adenoviridae Infections/diagnosis , Adenoviridae Infections/virology , Adenoviruses, Human/classification , Antibodies, Viral/blood , Chromatography, Affinity/methods , Humans
7.
Braz. J. Infect. Dis. ; 21(5): 500-506, 2017.
Article in English | Sec. Est. Saúde SP, SESSP-IBPROD, Sec. Est. Saúde SP | ID: but-ib14995

ABSTRACT

Human adenoviruses comprise an important group of etiologie agents that are responsible for various diseases in adults and children, such as respiratory, ocular, gastroenteric, and urinary infections. In immunocompromised and organ-transplanted individuals, these agents can cause generalized infections. Rapid diagnostic methods for detecting these infectious agents are not widely available.& para;& para;The aim of this work was to produce monoclonal and polyclonal anti-adenovirus antibodies to be used in a rapid diagnostic test for respiratory infections.& para;& para;Adenovirus hexons were satisfactorily purified by ultracentrifugation and chromatography. After virus purification, anti-hexon monoclonal antibodies were produced and characterized, following classical methods. Antibodies were specific for adenoviruses 2,3,5, and 41. The proposed immunochromatographic test was standardized using colloidal gold.& para;& para;The standardization of the rapid test was sufficient to detect adenovirus antigens (in nasopharyngeal lavage samples) with sensitivity of 100% and specificity of 85% when compared to direct immunofluorescence.& para;& para;The immunochromatographic assay prototype was sufficiently sensitive to detect B (3), C (2 and 5), and F (41) adenovirus samples. Although based on preliminary data, the test demonstrated the same performance as direct immunofluorescence, but with the advantage of being a point-of-care test. Further studies are still needed to confirm its effectiveness in clinical practice.

8.
Chem Biodivers ; 13(3): 284-292, 2016 Mar.
Article in English | MEDLINE | ID: mdl-26916413

ABSTRACT

A phytochemical study of Pavonia multiflora A. St-Hil. (Malvaceae) led to the isolation through chromatographic techniques of 10 secondary metabolites: vanillic acid (1), ferulic acid (2), p-hydroxybenzoic acid (3), p-coumaric acid (4), loliolide (5), vomifoliol (6), 4,5-dihydroblumenol A (7), 3-oxo-α-ionol (9), blumenol C (10), and taraxerol 4-methoxybenzoate (8), the latter being a novel metabolite. Their structures were identified by (1) H- and (13) C-NMR, using one- and two-dimensional techniques, and X-ray crystallography. In this work, we report the effect of compounds 5 and 8 on several photosynthetic activities in an attempt to search for new compounds as potential herbicide agents that affect photosynthesis. Both compounds inhibited the electron flow from H2 O to methyl viologen; therefore, they act as Hill reaction inhibitors. Using polarographic techniques and studies of the fluorescence of chlorophyll a, the interaction sites of these compounds were located at photosystem II.


Subject(s)
Malvaceae/chemistry , Oleanolic Acid/analogs & derivatives , Photosynthesis/drug effects , Photosynthetic Reaction Center Complex Proteins/antagonists & inhibitors , In Vitro Techniques , Oleanolic Acid/chemistry , Oleanolic Acid/isolation & purification , Oleanolic Acid/pharmacology , Photosynthetic Reaction Center Complex Proteins/metabolism
9.
Front Microbiol ; 7: 74, 2016.
Article in English | MEDLINE | ID: mdl-26870028

ABSTRACT

Paracoccidioidomycosis is a fungal disease endemic in Latin America. Polyclonal antibodies to acidic glycosphingolipids (GSLs) from Paracoccidioides brasiliensis opsonized yeast forms in vitro increasing phagocytosis and reduced the fungal burden of infected animals. Antibodies to GSL were active in both prophylactic and therapeutic protocols using a murine intratracheal infection model. Pathological examination of the lungs of animals treated with antibodies to GSL showed well-organized granulomas and minimally damaged parenchyma compared to the untreated control. Murine peritoneal macrophages activated by IFN-γ and incubated with antibodies against acidic GSLs more effectively phagocytosed and killed P. brasiliensis yeast cells as well as produced more nitric oxide compared to controls. The present work discloses a novel target of protective antibodies against P. brasiliensis adding to other well-studied mediators of the immune response to this fungus.

10.
Microbes Infect ; 16(9): 788-95, 2014 Sep.
Article in English | MEDLINE | ID: mdl-25161111

ABSTRACT

Paracoccidioidomycosis (PCM) is an endemic mycosis in Latin America. PCM is primarily caused by Paracoccidioides brasiliensis and less frequently by the recently described, closely related species Paracoccidioides lutzii. Current treatment requires protracted administration of systemic antibiotics and relapses may frequently occur despite months of initial therapy. Hence, there is a need for innovative approaches to treatment. In the present study we analyzed the impact of two monoclonal antibodies (mAbs) generated against Heat Shock 60 (Hsp60) from Histoplasma capsulatum on the interactions of P. lutzii with macrophages and on the experimental P. lutzii infection. We demonstrated that the Hsp60-binding mAbs labeled P. lutzii yeast cells and enhanced their phagocytosis by macrophage cells. Treatment of mice with the mAbs to Hsp60 before infection reduced the pulmonary fungal burden as compared to mice treated with irrelevant mAb. Hence, mAbs raised to H. capsulatum Hsp60 are protective against P. lutzii, including mAb 7B6 which was non-protective against H. capsulatum, suggesting differences in their capacity to bind to these fungi and to be recognized by macrophages. These findings indicate that mAbs raised to one dimorphic fungus may be therapeutic against additional dimorphic fungi, but also suggests that biological differences in diseases may influence whether a mAb is beneficial or harmful.


Subject(s)
Antibodies, Monoclonal/therapeutic use , Chaperonin 60/immunology , Paracoccidioidomycosis/immunology , Animals , Antibodies, Monoclonal/immunology , Antigens, Fungal/immunology , Cells, Cultured , Cytokines/biosynthesis , Histoplasma/immunology , Liver/microbiology , Lung/pathology , Mice , Mice, Inbred BALB C , Paracoccidioides , Paracoccidioidomycosis/drug therapy , Paracoccidioidomycosis/pathology , Spleen/microbiology
11.
Mycopathologia ; 178(3-4): 177-88, 2014 Oct.
Article in English | MEDLINE | ID: mdl-25135302

ABSTRACT

Paracoccidioidomycosis is a systemic granulomatous disease caused by Paracoccidioides spp. A peptide from the major diagnostic antigen gp43, named P10, induces a T-CD4(+) helper-1 immune response in mice and protects against intratracheal challenge with virulent P. brasiliensis. Previously, we evaluated the efficacy of the P10 peptide alone or combined with antifungal drugs in mice immunosuppressed and infected with virulent isolate of P. brasiliensis. In the present work, our data suggest that P10 immunization leads to an effective cellular immune response associated with an enhanced T cell proliferative response. P10-stimulated splenocytes increased nitric oxide (NO) production and induced high levels of IFN-γ, IL-1ß and IL-12. Furthermore, significantly increased concentrations of pro-inflammatory cytokines were also observed in lung homogenates of immunized mice. P10 immunization was followed by minimal fibrosis in response to infection. Combined with antifungal drugs, P10 immunization most significantly improved survival of anergic infected mice. Administration of either itraconazole or sulfamethoxazole/trimethoprim together with P10 immunization resulted in 100 % survival up to 200 days post-infection, whereas untreated mice died within 80 days. Hence, our data show that P10 immunization promotes a strong specific immune response even in immunocompromised hosts and thus P10 treatment represents a powerful adjuvant therapy to chemotherapy.


Subject(s)
Antigens, Fungal/immunology , Fungal Vaccines/immunology , Glycoproteins/immunology , Paracoccidioides/immunology , Paracoccidioidomycosis/prevention & control , Peptide Fragments/immunology , Animals , Antigens, Fungal/administration & dosage , Antigens, Fungal/genetics , Cell Proliferation , Cytokines/metabolism , Disease Models, Animal , Fungal Vaccines/administration & dosage , Fungal Vaccines/genetics , Glycoproteins/administration & dosage , Glycoproteins/genetics , Immunocompromised Host , Leukocytes, Mononuclear/immunology , Male , Mice, Inbred BALB C , Nitric Oxide/metabolism , Peptide Fragments/administration & dosage , Peptide Fragments/genetics , Spleen/immunology , Survival Analysis , Vaccination/methods
12.
Virulence ; 4(2): 139-46, 2013 Feb 15.
Article in English | MEDLINE | ID: mdl-23302787

ABSTRACT

Non-mammalian models have been used to investigate fungal virulence. In this work we have explored the use of Galleria mellonella as an infection model for the pathogenic dimorphic fungi Histoplasma capsulatum and Paracoccidioides lutzii. In mammalian models these fungi cause similar infections, and disease outcomes are influenced by the quantity of the infective inocula. We describe a similar aspect in a G. mellonella model and characterize the pathogenesis features in this system. Infection with P. lutzii or H. capsulatum, in all inoculum used, killed larvae at 25 and 37°C. However, there was a lack of correlation between the number of yeast cells used for infection and the time to larvae death, which may indicate that the fungi induce protective responses in a dynamic manner as the lowest concentrations of fungi induced the most rapid death. For both fungi, the degree of larvae melanization was directly proportional to the inocula size, and this effect was visibly more apparent at 37°C. Histological evaluation of the larvae showed a correlation between the inoculum and granuloma-like formation. Our results suggest that G. mellonella is a potentially useful model to study virulence of dimorphic fungi.


Subject(s)
Disease Models, Animal , Histoplasma/growth & development , Lepidoptera/microbiology , Paracoccidioides/growth & development , Animals , Granuloma/pathology , Histocytochemistry , Histoplasma/pathogenicity , Humans , Larva/microbiology , Larva/physiology , Lepidoptera/physiology , Paracoccidioides/pathogenicity , Survival Analysis , Temperature , Virulence
13.
Homeopathy ; 100(4): 264-9, 2011 Oct.
Article in English | MEDLINE | ID: mdl-21962202

ABSTRACT

Epidermolysis bullosa (EB) is a group of rare genetic disorders characterized by recurrent blistering as a result of even minor traction of epithelial lined tissues, most remarkably the skin. Associated morbidity is serious for all patients affected due to the presence of large areas of denudated skin thus susceptible to infection. There is currently no available treatment in conventional medicine. This article reports the case of 3 children successfully treated with individualized homeopathic medicines.


Subject(s)
Epidermolysis Bullosa/diagnosis , Epidermolysis Bullosa/drug therapy , Phytotherapy , Plant Extracts/therapeutic use , Plants, Medicinal , Child, Preschool , Diagnosis, Differential , Drug Administration Schedule , Epidermolysis Bullosa/pathology , Female , Homeopathy , Humans , Male , Plant Extracts/administration & dosage , Solutions
16.
Mem Inst Oswaldo Cruz ; 104(4): 644-8, 2009 Jul.
Article in English | MEDLINE | ID: mdl-19722091

ABSTRACT

Paracoccidioides brasiliensis, a thermal dimorphic fungal pathogen, produces a melanin-like pigment in vitro and in vivo. We investigated the involvement of carbohydrates and monoclonal antibody to CD18, on phagocytosis inhibition, involving macrophage receptors and the resistance of melanized fungal cells to chemically generated nitric oxide (NO), reactive oxygen species (ROS), hypochlorite and H2O2. Our results demonstrate that melanized yeast cells were more resistant than nonmelanized yeast cells to chemically generated NO, ROS, hypochlorite and H2O2, in vitro. Phagocytosis of melanized yeast cells was virtually abolished when mannan, N-acetyl glucosamine and anti-CD18 antibody were added together in this system. Intratracheal infection of BALB/c mice, with melanized yeast cells, resulted in higher lung colony forming units, when compared to nonmelanized yeast cells. Therefore, melanin is a virulence factor of P. brasiliensis.


Subject(s)
Antifungal Agents/pharmacology , Macrophages/microbiology , Melanins/biosynthesis , Oxidants/pharmacology , Paracoccidioides/pathogenicity , Phagocytosis , Animals , Antibodies, Monoclonal/pharmacology , CD18 Antigens/drug effects , Carbohydrates/pharmacology , Mice , Mice, Inbred BALB C , Paracoccidioides/drug effects , Paracoccidioides/metabolism , Virulence Factors/physiology
17.
Homeopathy ; 98(3): 149-53, 2009 Jul.
Article in English | MEDLINE | ID: mdl-19647208

ABSTRACT

UNLABELLED: This study sought to assess the effectiveness of individualized homeopathic treatment on dermatological complaints in a public outpatient clinic. METHODS: Children and adults spontaneously seeking for homeopathic treatment for dermatological complaints were prescribed single individualized remedies and followed up for a minimum of 3 months; assessment was clinical and recorded graphically. RESULTS: Forty-nine patients met the inclusion criteria. Outcomes were positive (59%); no effect (4%); drop-out (37%), from which 6% was due to homeopathic aggravation. No manifestations of suppression were observed. CONCLUSIONS: Outcome studies are useful to point out to the effectiveness of individualized homeopathic treatment in dermatological complaints. Outcomes suggest that actions focusing on pathological categories do not lead to homeopathic suppression.


Subject(s)
Homeopathy/methods , Outpatient Clinics, Hospital/organization & administration , Patient Compliance/statistics & numerical data , Skin Diseases/therapy , Adult , Brazil , Child , Female , Follow-Up Studies , Humans , Male , Outcome Assessment, Health Care , Professional-Patient Relations , Research Design , Treatment Outcome
18.
Homeopathy ; 98(3): 165-8, 2009 Jul.
Article in English | MEDLINE | ID: mdl-19647211

ABSTRACT

This paper describes the successful outcome of homeopathic treatment in a case of resistant livedoid vasculopathy (LV). LV is a rare disease characterized by chronic recurrent and painful ulceration of the lower limbs, frequently associated to atrophie blanche (AB), probably due to procoagulant conditions. Most literature reports single or very few cases; response to treatment is difficult, even resistant. This patient suffered LV for 7 years before seeking homeopathic treatment; ulcers recurred frequently, at intervals less than 3 months, in spite of continual use of pentoxyfilline. Configuration of signs and symptoms strongly pointed out to the prescription of homeopathic remedy Sepia succus that promptly elicited significant improvement of LV and the patient's overall state (non suppressive treatment). Considerations are made on the value of single case reports and the reliability of prescriptions grounded on consistent signs and coherence among the manifold features of individual disease.


Subject(s)
Homeopathy/methods , Livedo Reticularis/drug therapy , Vasculitis/drug therapy , Female , Humans , Livedo Reticularis/complications , Lower Extremity , Middle Aged , Secondary Prevention , Treatment Outcome , Vasculitis/complications
19.
Mem. Inst. Oswaldo Cruz ; 104(4): 644-648, July 2009. graf
Article in English | LILACS | ID: lil-523734

ABSTRACT

Paracoccidioides brasiliensis, a thermal dimorphic fungal pathogen, produces a melanin-like pigment in vitro and in vivo. We investigated the involvement of carbohydrates and monoclonal antibody to CD18, on phagocytosis inhibition, involving macrophage receptors and the resistance of melanized fungal cells to chemically generated nitric oxide (NO), reactive oxygen species (ROS), hypochlorite and H2O2. Our results demonstrate that melanized yeast cells were more resistant than nonmelanized yeast cells to chemically generated NO, ROS, hypochlorite and H2O2, in vitro. Phagocytosis of melanized yeast cells was virtually abolished when mannan, N-acetyl glucosamine and anti-CD18 antibody were added together in this system. Intratracheal infection of BALB/c mice, with melanized yeast cells, resulted in higher lung colony forming units, when compared to nonmelanized yeast cells. Therefore, melanin is a virulence factor of P. brasiliensis.


Subject(s)
Animals , Mice , Antifungal Agents/pharmacology , Macrophages/microbiology , Melanins/biosynthesis , Oxidants/pharmacology , Phagocytosis , Paracoccidioides/pathogenicity , Antibodies, Monoclonal/pharmacology , /drug effects , Carbohydrates/pharmacology , Mice, Inbred BALB C , Paracoccidioides/drug effects , Paracoccidioides/metabolism , Virulence Factors/physiology
20.
Rev. homeopatia (São Paulo) ; 72(1/2): 23-29, 2009. ilus
Article in Portuguese | HomeoIndex Homeopathy | ID: hom-8796

ABSTRACT

O presente artigo apresenta o relato de caso de um paciente de 12 anos de idade do sexo masculino, portador de vitiligo. tratado no ambulatório da Associação Paulista de Homeopatia. Os dados da história clínica e, acima de tudo seu exame físico, que revelou sinais de valor individualizador, possibilitaram a prescrição de medicamento similar que o vem ajudando na evolução de sua patologia. O artigo, finalmente, discute aspectos do medicamento homeopático Calcarea silicata e o sal que o origina de acordo com a matéria médica homeopática.(AU)


This paper reports the case of a 12 year-old patient, suffering from vitiligo since 6, who was treated at the Outpatient Clinic of Associação Paulista de Homeopatia. Clinical data, especially the ones arising from physical examination, revealed highly individualizing signs that allowed us to prescribe an effective homeopathic remedy. Finally, some features of homeopathic remedy Calcarea silicata are discussed, particularly from the viewpoint of the salt from which it derives, accordingly to the homeopathic materia medica.(AU)


Subject(s)
Humans , Male , Adolescent , Homeopathy , Vitiligo/pathology , Vitiligo/therapy
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