Disabilities and impairments in leprosy: clinical and epidemiological survey of patients seen in a National Reference Center in Brazil.

• Autor(a) principal: Kil, Anne Kelly Azevedo
• Data de Publicação: 2012
• Outros Autores: Silvestre, Caroline Marchesoti, Kaminice, Lara Miranda, Quintino, Lídia Batista, Lima, Lorena Borges de, Paranhos, Mariana Barbosa, Voss, Themissa Helena, Cunha, Ana Carolina Sousa Rodrigues da, Mainenti, Deyse Alves Montalvão, Goulart, Isabela Maria Bernardes
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Hansenologia Internationalis (Online)
• Texto Completo: https://periodicos.saude.sp.gov.br/hansenologia/article/view/35083
• topic: Hanseníase; sítio de deficiências; grau de incapacidade física; epidemiologia; Sistema Único de Saúde

The classification of disabilities in grades 0, 1 and 2 in patients with leprosy is used as an indicator of the quality of preventive and curative methods of the disease, however, some deficiencies anddisabilities arenot included in this system. This research conducted a survey of disability due toleprosy in a National Reference Center of Brazil, through a retrospective study with analysis of records of 318 patients treated between 2003 to 2008 and specific software. There was a predominance of multibacillary cases (63%), clinical forms of borderline tuberculoid (41.5%) and male (58.5%). The most affected nerves were ulnar (22.3%), tibial (21.7%) and fibular (20.7%). Of these cases, 41.5% had sometype of disability, with 81.1% multibacillary.  The most affected sites were the feet (51.8%), followed byhands (29%), eyes (10.9%) and nose (8.3%). The most common deficiencies were clawed toes (2.8%) and trophic lesions (2.5%) in the foot, mobile claw (3.1%) and trophic lesions (2.8%) in the hand; eyebrow madarosis (2 8%) and nasal septum perforation (1.2%). The number of disabilities decreased at discharge, except at the eye, which increased 2.5%. The results emphasize the need to promotecomprehensive care in the NHS and to adjust the parameters used in the staging of patients, that currently omit functional and aesthetic lesions, which represent organic obstacles to social integration. Reproduction of this type of study will provide data for the NHS management to develop strategies in order to deal with leprosy as a chronic and disabling disease.