Haemorrhagic syndrome of Altamira
Autor(a) principal: | |
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Data de Publicação: | 1974 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Digital do Instituto Evandro Chagas (Patuá) |
Texto Completo: | https://patua.iec.gov.br/handle/iec/351 |
Resumo: | Since January, 1972, a haemorrhagic mary syndrome has been observed among immigrants living in forested areas along the newly opened Transamazon Highway in Brazil. Most cases are found around Altamira. The illness is characterised by localised and disseminated cutaneous hremorrhages, which are associated with mucosal bleeding in 32 % of patients. Platelet-counts are reduced, and there is prolonged bleeding-time and poor clot retraction in about half of the cases. The illness was diagnosed as thrombocytopenic purpura. Familial clustering of cases was found, with more children being involved than adults. A few deaths have been attributed to the disease. The precise aetiology of this condition remains obscure. Drugs, alimentary factors, and various viral, rickettsial, and bacterial pathogens do not seem to be involved. Epidemiological and serological evidence suggests that the syndrome is associated with the black-fly, Simulium, and its bite. Case-lates in the Altamira region began to rise shortly after the appearance of large numbers of simulidre in the rainy season, and fell with the approach of the dry season and virtual disappearance af black-flies. Colonists in this area repon intense black-fly biting during the rainy season. The syndrome is not seen among natives of the region, most of whom live in the city of Altamira, where simulidz are much less common. Patients responded rapidly to steroid therapy, with platelet-counts returning to normal within a few days. The disorder has been named the hremorrhagic syndrome of Altamira. |
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Pinheiro, Francisco de PaulaBensabath, GilbertaCosta Junior, DomingosMaroja, Octavio MLins, Zéa ConstanteAndrade, Amélia Homobono Paes de2016-01-26T11:22:35Z2016-01-26T11:22:35Z1974PINHEIRO FILHO, Francisco de Paula et al. Haemorrhagic syndrome of Altamira. Lancet, n. 7859, p. 639-642, 1974.0140-6736https://patua.iec.gov.br/handle/iec/351Since January, 1972, a haemorrhagic mary syndrome has been observed among immigrants living in forested areas along the newly opened Transamazon Highway in Brazil. Most cases are found around Altamira. The illness is characterised by localised and disseminated cutaneous hremorrhages, which are associated with mucosal bleeding in 32 % of patients. Platelet-counts are reduced, and there is prolonged bleeding-time and poor clot retraction in about half of the cases. The illness was diagnosed as thrombocytopenic purpura. Familial clustering of cases was found, with more children being involved than adults. A few deaths have been attributed to the disease. The precise aetiology of this condition remains obscure. Drugs, alimentary factors, and various viral, rickettsial, and bacterial pathogens do not seem to be involved. Epidemiological and serological evidence suggests that the syndrome is associated with the black-fly, Simulium, and its bite. Case-lates in the Altamira region began to rise shortly after the appearance of large numbers of simulidre in the rainy season, and fell with the approach of the dry season and virtual disappearance af black-flies. Colonists in this area repon intense black-fly biting during the rainy season. The syndrome is not seen among natives of the region, most of whom live in the city of Altamira, where simulidz are much less common. Patients responded rapidly to steroid therapy, with platelet-counts returning to normal within a few days. The disorder has been named the hremorrhagic syndrome of Altamira.Ministério da Saúde. Fundação Instituo Oswaldo Cruz. Instituto Evandro Chagas. Belém, PA, Brasil.Ministério da Saúde. Fundação Instituo Oswaldo Cruz. Instituto Evandro Chagas. Belém, PA, Brasil.Ministério da Saúde. Fundação Instituo Oswaldo Cruz. Instituto Evandro Chagas. Belém, PA, Brasil.Ministério da Saúde. Fundação Instituo Oswaldo Cruz. Instituto Evandro Chagas. Belém, PA, Brasil.Ministério da Saúde. Fundação Instituo Oswaldo Cruz. Instituto Evandro Chagas. Belém, PA, Brasil.Ministério da Saúde. Fundação Instituo Oswaldo Cruz. Instituto Evandro Chagas. Belém, PA, Brasil.application/pdfengElsevierHaemorrhagic syndrome of Altamirainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlePúrpura Trombocitopênica / diagnósticoPúrpura Trombocitopênica / quimioterapiaSimuliidae / patogenicidadeBrasil (BR)Altamira (PA)info:eu-repo/semantics/openAccessreponame:Repositório Digital do Instituto Evandro Chagas (Patuá)instname:Instituto Evandro Chagas (IEC)instacron:IECORIGINALHemorrhagic syndrome of Altamira .pdfapplication/pdf946431https://patua.iec.gov.br/bitstreams/eda92d79-fc6f-4eb9-91eb-4494981bb102/downloadc83de08f86542ab4334440309d3e248cMD51TEXTfile_1.pdf.txtfile_1.pdf.txtExtracted texttext/plain21192https://patua.iec.gov.br/bitstreams/d4d7a2ae-39cc-436a-8a92-37be32076804/download04623aa02489f4c07c44dda343a620ccMD52Hemorrhagic syndrome of Altamira .pdf.txtHemorrhagic syndrome of Altamira .pdf.txtExtracted texttext/plain21281https://patua.iec.gov.br/bitstreams/d7c89600-1b88-42d2-951b-d2415b71932e/download1babbd9cd441e55d7e95b5a13258ae34MD57THUMBNAILfile_1.pdf.jpgfile_1.pdf.jpgIM Thumbnailimage/jpeg4701https://patua.iec.gov.br/bitstreams/d2434132-8f89-41fa-b74f-94be0c38714c/download4ccfee32bb25446579c3681a5f5a6608MD53Hemorrhagic syndrome of Altamira .pdf.jpgHemorrhagic syndrome of Altamira .pdf.jpgGenerated Thumbnailimage/jpeg6633https://patua.iec.gov.br/bitstreams/9c7f9d4b-6eca-4e47-a69a-adf12220ef12/download8c61aa7c5449fb30d453881705401517MD58LICENSElicense.txtlicense.txttext/plain; charset=utf-82182https://patua.iec.gov.br/bitstreams/7bd30a26-94ac-42af-962f-38c0e7232710/download11832eea31b16df8613079d742d61793MD56iec/3512022-10-20 21:07:29.235oai:patua.iec.gov.br:iec/351https://patua.iec.gov.brRepositório InstitucionalPUBhttps://patua.iec.gov.br/oai/requestclariceneta@iec.gov.br || Biblioteca@iec.gov.bropendoar:2022-10-20T21:07:29Repositório Digital do Instituto Evandro Chagas (Patuá) - Instituto Evandro Chagas (IEC)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 |
dc.title.pt_BR.fl_str_mv |
Haemorrhagic syndrome of Altamira |
title |
Haemorrhagic syndrome of Altamira |
spellingShingle |
Haemorrhagic syndrome of Altamira Pinheiro, Francisco de Paula Púrpura Trombocitopênica / diagnóstico Púrpura Trombocitopênica / quimioterapia Simuliidae / patogenicidade Brasil (BR) Altamira (PA) |
title_short |
Haemorrhagic syndrome of Altamira |
title_full |
Haemorrhagic syndrome of Altamira |
title_fullStr |
Haemorrhagic syndrome of Altamira |
title_full_unstemmed |
Haemorrhagic syndrome of Altamira |
title_sort |
Haemorrhagic syndrome of Altamira |
author |
Pinheiro, Francisco de Paula |
author_facet |
Pinheiro, Francisco de Paula Bensabath, Gilberta Costa Junior, Domingos Maroja, Octavio M Lins, Zéa Constante Andrade, Amélia Homobono Paes de |
author_role |
author |
author2 |
Bensabath, Gilberta Costa Junior, Domingos Maroja, Octavio M Lins, Zéa Constante Andrade, Amélia Homobono Paes de |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Pinheiro, Francisco de Paula Bensabath, Gilberta Costa Junior, Domingos Maroja, Octavio M Lins, Zéa Constante Andrade, Amélia Homobono Paes de |
dc.subject.decsPrimary.pt_BR.fl_str_mv |
Púrpura Trombocitopênica / diagnóstico Púrpura Trombocitopênica / quimioterapia Simuliidae / patogenicidade Brasil (BR) Altamira (PA) |
topic |
Púrpura Trombocitopênica / diagnóstico Púrpura Trombocitopênica / quimioterapia Simuliidae / patogenicidade Brasil (BR) Altamira (PA) |
description |
Since January, 1972, a haemorrhagic mary syndrome has been observed among immigrants living in forested areas along the newly opened Transamazon Highway in Brazil. Most cases are found around Altamira. The illness is characterised by localised and disseminated cutaneous hremorrhages, which are associated with mucosal bleeding in 32 % of patients. Platelet-counts are reduced, and there is prolonged bleeding-time and poor clot retraction in about half of the cases. The illness was diagnosed as thrombocytopenic purpura. Familial clustering of cases was found, with more children being involved than adults. A few deaths have been attributed to the disease. The precise aetiology of this condition remains obscure. Drugs, alimentary factors, and various viral, rickettsial, and bacterial pathogens do not seem to be involved. Epidemiological and serological evidence suggests that the syndrome is associated with the black-fly, Simulium, and its bite. Case-lates in the Altamira region began to rise shortly after the appearance of large numbers of simulidre in the rainy season, and fell with the approach of the dry season and virtual disappearance af black-flies. Colonists in this area repon intense black-fly biting during the rainy season. The syndrome is not seen among natives of the region, most of whom live in the city of Altamira, where simulidz are much less common. Patients responded rapidly to steroid therapy, with platelet-counts returning to normal within a few days. The disorder has been named the hremorrhagic syndrome of Altamira. |
publishDate |
1974 |
dc.date.issued.fl_str_mv |
1974 |
dc.date.accessioned.fl_str_mv |
2016-01-26T11:22:35Z |
dc.date.available.fl_str_mv |
2016-01-26T11:22:35Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
PINHEIRO FILHO, Francisco de Paula et al. Haemorrhagic syndrome of Altamira. Lancet, n. 7859, p. 639-642, 1974. |
dc.identifier.uri.fl_str_mv |
https://patua.iec.gov.br/handle/iec/351 |
dc.identifier.issn.-.fl_str_mv |
0140-6736 |
identifier_str_mv |
PINHEIRO FILHO, Francisco de Paula et al. Haemorrhagic syndrome of Altamira. Lancet, n. 7859, p. 639-642, 1974. 0140-6736 |
url |
https://patua.iec.gov.br/handle/iec/351 |
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eng |
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openAccess |
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Elsevier |
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Elsevier |
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