The role of sleep in pemphigus: a review of mechanisms and perspectives

Autor(es)

Pedroni, Matheus Negrao ; Hirotsu, Camila ; Porro, Adriana Maria ; Tufik, Sergio ; Andersen, Monica Levy

• Tipo de documento: Artigo de Revisão
• Fonte: ARCHIVES OF DERMATOLOGICAL RESEARCH; v. 309, n. 8, p. 659-664, OCT 2017.
• Citações Web of Science: 2

Resumo

Pemphigus is an autoimmune bullous disease that causes the development of blisters and erosions on the skin and/or mucosa. Its inflammatory process is mediated by cytokines, which interact with sleep in a bidirectional manner. Pain, a frequent symptom due to pemphigus lesions, is well known to impair sleep quality. Depression is also associated with pemphigus and pro-inflammatory cytokines and may impair sleep. Additionally, a common relationship among other dermatological diseases and sleep has increasingly been described. Poor sleep quality is associated with an increased risk for autoimmune diseases, and insomnia is a comorbidity that has recently been associated with pemphigus. Thus, this review will explore the evidence supporting the likely bidirectional relationship between pemphigus and sleep quality and its possible mechanisms involved. This approach covering both pemphigus and sleep will open a research avenue for future studies focusing on the efficacy of the sleep disorders treatment in patients with pemphigus. In the long term, this may provide relevant information to dermatologists regarding new strategies for the management of pemphigus clinical condition, allowing possibly a better quality of life for the patients. (AU)

• Processo FAPESP: 14/15259-2 - Epidemiologia do sono na cidade de São Paulo: seguimento dos voluntários do estudo de base EPISONO
• Beneficiário: Camila Hirotsu
• Modalidade de apoio: Bolsas no Brasil - Pós-Doutorado
• Processo FAPESP: 16/16703-9 - Avaliação da qualidade de sono em pacientes com pênfigo e sua relação com a evolução da doença
• Beneficiário: Matheus Pedroni Negrão
• Modalidade de apoio: Bolsas no Brasil - Iniciação Científica