1. Graduate Program in Health Sciences, University of Londrina Londrina Brazil
2. Graduate Program in Pathology, Clinical Analysis and Toxicology, University of Londrina Londrina Brazil
3. Department of Pathology, Clinical Analysis and Toxicology, University of Londrina Londrina Brazil
4. Department of Rheumatology, University of Londrina Londrina Brazil
5. IMPACT Strategic Research Centre, School of Medicine, Deakin University Geelong Victoria Australia
6. Department of Internal Medicine, University of Londrina Londrina Brazil