Reactivation of cutaneous and mucocutaneous tegumentary leishmaniasis in rheumatoid arthritis patients: an emerging problem?

Detalhes bibliográficos
Autor(a) principal: Souza, Regina Maia de
Data de Publicação: 2017
Outros Autores: Andrade Junior, Heitor Franco de, Duarte, Maria Irma Seixas, Braz, Lucia Maria Almeida, Schubach, Armando de Oliveira, Silva, Fátima Conceição, Amato, Valdir Sabbaga
Tipo de documento: Artigo
Idioma: spa
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/18698
Resumo: Universidade de São Paulo. Faculdade de Medicina. Departamento de Moléstias Infecciosas e Parasitárias. São Paulo. SP. Brasil / Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo. Laboratório de Parasitologia. São Paulo, SP, Brasil.
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spelling Souza, Regina Maia deAndrade Junior, Heitor Franco deDuarte, Maria Irma SeixasBraz, Lucia Maria AlmeidaSchubach, Armando de OliveiraSilva, Fátima ConceiçãoAmato, Valdir Sabbaga2017-05-01T13:50:24Z2017-05-01T13:50:24Z2017SOUZA, Regina Maia de et al. Reactivation of cutaneous and mucocutaneous tegumentary leishmaniasis in rheumatoid arthritis patients: an emerging problem? Revista do Instituto de Medicina Tropical de São Paulo, v. 59, p. 1-6, 2017.0036-4665https://www.arca.fiocruz.br/handle/icict/1869810.1590/S1678-99462017590061678-9946spaUniversidade de São PauloLeishmanioseArtrite ReumatóideReativaçãoFatores de Necrose Tumoral Metotrexato LeishmaniasisReactivationMethotrexateAnti-TNF mabsRheumatoid arthritisReactivation of cutaneous and mucocutaneous tegumentary leishmaniasis in rheumatoid arthritis patients: an emerging problem?info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleUniversidade de São Paulo. Faculdade de Medicina. Departamento de Moléstias Infecciosas e Parasitárias. São Paulo. SP. Brasil / Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo. Laboratório de Parasitologia. São Paulo, SP, Brasil.Universidade de São Paulo. Faculdade de Medicina. Departamento de Patologia. Laboratório de Patologia de Moléstias Transmissíveis. São Paulo, SP, Brasil / Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo. Laboratório de Protozoologia. São Paulo, SP, Brasil.Universidade de São Paulo. Faculdade de Medicina. Departamento de Patologia. Laboratório de Patologia de Moléstias Transmissíveis. São Paulo, SP, Brasil.Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo. Laboratório de Parasitologia. São Paulo, SP, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica e Vigilância em Leishmanioses. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Imunoparasitologia. Rio de Janeiro, RJ, Brasil.Universidade de São Paulo. Faculdade de Medicina. Departamento de Moléstias Infecciosas e Parasitárias. São Paulo. SP. Brasil / Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo. Laboratório de Parasitologia. São Paulo, SP, Brasil.Rheumatoid arthritis (RA) is a chronic condition that is frequent in patients living in tropical areas exposed to leishmaniasis. RA therapy involves immunosuppressant drugs such as methotrexate (MTX), monoclonal antibodies (mAbs) and prednisone. We report an unusual presentation of cutaneous (CL) or mucocutaneous leishmaniasis (ML) in RA patients from an endemic area of leishmaniasis. A 51-year-old woman noted a cutaneous ulcer on her left ankle during MTX and prednisone RA therapy. Initially diagnosed as a venous stasis ulcer, the aspirate of the injury revealed the presence of Leishmania DNA. A 73-year-old woman presenting non-ulcerated, infiltrated and painful erythematous nodules inside her nostrils while receiving MTX, anti-TNF mAb, and prednisone for RA, had also the aspirate of injuries showing the presence of Leishmania DNA. Both patients healed after the therapy with liposomal amphotericin. The RA therapy has changed to low-dose prednisone, without further reactivation episodes. Both cases suggest that CL or ML can reactivate after administration of an immunosuppressant for RA treatment. Therefore, immunosuppressive treatments for RA should be carefully prescribed in patients from endemic areas or with a history of CL and ML.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/18698/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALfatima_silva_etal_IOC_2017.pdffatima_silva_etal_IOC_2017.pdfapplication/pdf865973https://www.arca.fiocruz.br/bitstream/icict/18698/2/fatima_silva_etal_IOC_2017.pdf2eb32cf93d48d1fd9a81689bc1f58340MD52TEXTfatima_silva_etal_IOC_2017.pdf.txtfatima_silva_etal_IOC_2017.pdf.txtExtracted texttext/plain22685https://www.arca.fiocruz.br/bitstream/icict/18698/3/fatima_silva_etal_IOC_2017.pdf.txtfc9102c158f831eeec386d84a53ca10aMD53icict/186982023-11-13 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dc.title.pt_BR.fl_str_mv Reactivation of cutaneous and mucocutaneous tegumentary leishmaniasis in rheumatoid arthritis patients: an emerging problem?
title Reactivation of cutaneous and mucocutaneous tegumentary leishmaniasis in rheumatoid arthritis patients: an emerging problem?
spellingShingle Reactivation of cutaneous and mucocutaneous tegumentary leishmaniasis in rheumatoid arthritis patients: an emerging problem?
Souza, Regina Maia de
Leishmaniose
Artrite Reumatóide
Reativação
Fatores de Necrose Tumoral 
Metotrexato 
Leishmaniasis
Reactivation
Methotrexate
Anti-TNF mabs
Rheumatoid arthritis
title_short Reactivation of cutaneous and mucocutaneous tegumentary leishmaniasis in rheumatoid arthritis patients: an emerging problem?
title_full Reactivation of cutaneous and mucocutaneous tegumentary leishmaniasis in rheumatoid arthritis patients: an emerging problem?
title_fullStr Reactivation of cutaneous and mucocutaneous tegumentary leishmaniasis in rheumatoid arthritis patients: an emerging problem?
title_full_unstemmed Reactivation of cutaneous and mucocutaneous tegumentary leishmaniasis in rheumatoid arthritis patients: an emerging problem?
title_sort Reactivation of cutaneous and mucocutaneous tegumentary leishmaniasis in rheumatoid arthritis patients: an emerging problem?
author Souza, Regina Maia de
author_facet Souza, Regina Maia de
Andrade Junior, Heitor Franco de
Duarte, Maria Irma Seixas
Braz, Lucia Maria Almeida
Schubach, Armando de Oliveira
Silva, Fátima Conceição
Amato, Valdir Sabbaga
author_role author
author2 Andrade Junior, Heitor Franco de
Duarte, Maria Irma Seixas
Braz, Lucia Maria Almeida
Schubach, Armando de Oliveira
Silva, Fátima Conceição
Amato, Valdir Sabbaga
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Souza, Regina Maia de
Andrade Junior, Heitor Franco de
Duarte, Maria Irma Seixas
Braz, Lucia Maria Almeida
Schubach, Armando de Oliveira
Silva, Fátima Conceição
Amato, Valdir Sabbaga
dc.subject.other.pt_BR.fl_str_mv Leishmaniose
Artrite Reumatóide
Reativação
Fatores de Necrose Tumoral 
Metotrexato 
topic Leishmaniose
Artrite Reumatóide
Reativação
Fatores de Necrose Tumoral 
Metotrexato 
Leishmaniasis
Reactivation
Methotrexate
Anti-TNF mabs
Rheumatoid arthritis
dc.subject.en.pt_BR.fl_str_mv Leishmaniasis
Reactivation
Methotrexate
Anti-TNF mabs
Rheumatoid arthritis
description Universidade de São Paulo. Faculdade de Medicina. Departamento de Moléstias Infecciosas e Parasitárias. São Paulo. SP. Brasil / Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo. Laboratório de Parasitologia. São Paulo, SP, Brasil.
publishDate 2017
dc.date.accessioned.fl_str_mv 2017-05-01T13:50:24Z
dc.date.available.fl_str_mv 2017-05-01T13:50:24Z
dc.date.issued.fl_str_mv 2017
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv SOUZA, Regina Maia de et al. Reactivation of cutaneous and mucocutaneous tegumentary leishmaniasis in rheumatoid arthritis patients: an emerging problem? Revista do Instituto de Medicina Tropical de São Paulo, v. 59, p. 1-6, 2017.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/18698
dc.identifier.issn.pt_BR.fl_str_mv 0036-4665
dc.identifier.doi.none.fl_str_mv 10.1590/S1678-9946201759006
dc.identifier.eissn.none.fl_str_mv 1678-9946
identifier_str_mv SOUZA, Regina Maia de et al. Reactivation of cutaneous and mucocutaneous tegumentary leishmaniasis in rheumatoid arthritis patients: an emerging problem? Revista do Instituto de Medicina Tropical de São Paulo, v. 59, p. 1-6, 2017.
0036-4665
10.1590/S1678-9946201759006
1678-9946
url https://www.arca.fiocruz.br/handle/icict/18698
dc.language.iso.fl_str_mv spa
language spa
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Universidade de São Paulo
publisher.none.fl_str_mv Universidade de São Paulo
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/18698/1/license.txt
https://www.arca.fiocruz.br/bitstream/icict/18698/2/fatima_silva_etal_IOC_2017.pdf
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