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The usage of imbalanced databases is a recurrent problem in real-world data such as medical diagnostic, fraud detection, and pattern recognition. Nevertheless, in class imbalance problems, the classifiers are commonly biased by the class with more objects (majority class) and ignore the class with fewer objects (minority class). There are different ways to solve the class imbalance problem, and there has been a trend towards the usage of patterns and fuzzy approaches due to the favorable results. In this paper, we provide an in-depth review of popular methods for imbalanced databases related to patterns and fuzzy approaches. The reviewed papers include classifiers, data preprocessing, and evaluation metrics. We identify different application domains and describe how the methods are used. Finally, we suggest further research directions according to the analysis of the reviewed papers and the trend of the state of the art.