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Article History
Received: 24 August 2025
Accepted: 29 January 2026
First Online: 12 February 2026
Declarations
:
: The study was performed under the principles of the Declaration of Helsinki and approved by the Institutional Ethical Committee (Comissão de Ética para Análise de Projetos de Pesquisa – CAPPesq) of Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Brazil (CAAE: 49299415.7.1001.0068). Written informed consent was obtained from all participants.
: Not applicable.
: Marcelo Medeiros Pinheiro is an Associate Editor of Advances in Rheumatology. He did not participate in the peer review process, editorial decision-making, or handling of this manuscript. The remaining authors declare that they have no competing financial or non-financial interests that could be perceived as influencing the results and/or discussion presented in this article.