Jorge Santos, Mariana https://orcid.org/0009-0000-9821-1700
Rute Costa, Ana https://orcid.org/0000-0002-8388-2226
Lisboa, Carmen https://orcid.org/0000-0001-8247-8902
Luz Soares, Miguel https://orcid.org/0000-0002-1812-6117
Sittl, Reinhard
Carvalho, Davide M. https://orcid.org/0000-0002-3156-3741
Barbosa, Margarida https://orcid.org/0000-0002-8971-1663
Article History
Received: 7 July 2025
Accepted: 8 November 2025
First Online: 29 December 2025
Declarations
:
: The study was approved by the local ethics committee of a Tertiary Portuguese Care Center (Centro Hospitalar Universitário São João), Porto, Portugal, on under the reference CE-189-2011 and conducted in accordance with the 1964 Helsinki Declaration and its subsequent amendments. The initial approval was granted in 2011, and an amendment allowing the performance of skin biopsies was approved in 2015.
: All patients were adults and were informed about the study both orally and in writing. Written consent was obtained from all patients participating in the study.
: Not applicable. No individual person’s data in any form (including individual images or details) are included in this manuscript.
: The authors declare no competing interests.