Maintenance of leprosy
Autor(a) principal: | |
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Data de Publicação: | 2003 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Hansenologia Internationalis (Online) |
Texto Completo: | https://periodicos.saude.sp.gov.br/hansenologia/article/view/35309 |
Resumo: | The diagnosis of a 61 year-old lepromatous leprosy woman patient from a small town of São Paulo state is discussed. Among all factors that have led to the late diagnosis, we may point out the little importance given to alterations of the face at older ages, and when severe, these changes may mimic other pathologic states or vice versa; also, the lack of knowledge of health professional about the disease, despite their training efforts. Such presentations are not very common today, but these cases are important to maintain the endemy mainly because of the difficulties in examining all their contacts. The authors highlight the number of multibacillary patients who have been diagnosed between the age range of 65 and more years in the state of São Paulo in 1999, 2000 and 2001. These patients have contributed to the persistency of leprosy and many of them may have already passed away without proper leprosy diagnosis, probably because of the insufficient training of personnel. |
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Maintenance of leprosyManutenção da endemia hansênicavirchoviano avançadotreinamentoenvelhecimentomédia de vidaadvanced lepromatoustrainingagingaverage ageThe diagnosis of a 61 year-old lepromatous leprosy woman patient from a small town of São Paulo state is discussed. Among all factors that have led to the late diagnosis, we may point out the little importance given to alterations of the face at older ages, and when severe, these changes may mimic other pathologic states or vice versa; also, the lack of knowledge of health professional about the disease, despite their training efforts. Such presentations are not very common today, but these cases are important to maintain the endemy mainly because of the difficulties in examining all their contacts. The authors highlight the number of multibacillary patients who have been diagnosed between the age range of 65 and more years in the state of São Paulo in 1999, 2000 and 2001. These patients have contributed to the persistency of leprosy and many of them may have already passed away without proper leprosy diagnosis, probably because of the insufficient training of personnel.Discute-se o diagnóstico de uma paciente virchoviana avançada, com 61 anos, realizado em uma cidade do interior do Estado de São Paulo. Entre os fatores que levaram a esse diagnóstico tardio são considerados a pouca importância que muitas pessoas dão as alterações observadas na face com a velhice que quando acentuadas podem imitar alguns estados patológicos ou vice versa, e o desconhecimento da doença por muitos profissionais de saúde apesar dos esforços realizados para o seu treinamento. Esses casos não são muito freqüentes hoje mas existem e tem sua importância na manutenção da endemia principalmente pelas dificuldades que se encontra no exame de todos os seus contatos. É assinalado também que pacientes nessa faixa etária se falecerem antes do diagnóstico, poderão ter dado origem a casos novos que serão considerados como originários de contatos extradomiciliares. Os autores chamam a atenção para o número de casos multibacilares que foram diagnosticados no Estado na faixa etária de mais de 65 anos em 1999, 2000 e 2001, e que estão contribuindo para a persistência da hanseníase lembrando que um número maior pode já ter falecido sem que a doença tivesse sido detectada, muitas vezes devido à insuficiência no treinamento de pessoal.Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo2003-06-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAvaliado pelos paresapplication/pdfhttps://periodicos.saude.sp.gov.br/hansenologia/article/view/3530910.47878/hi.2003.v28.35309Hansenologia Internationalis: leprosy and other infectious diseases; Vol. 28 No. 1 (2003); 85-88Hansenologia Internationalis: hanseníase e outras doenças infecciosas; v. 28 n. 1 (2003); 85-881982-5161reponame:Hansenologia Internationalis (Online)instname:Instituto Lauro de Souza Lima (ILSL)instacron:ILSLporhttps://periodicos.saude.sp.gov.br/hansenologia/article/view/35309/33758Opromolla, Diltor Vladimir AraújoOpromolla, Marcelo AraújoUra, Someiinfo:eu-repo/semantics/openAccess2021-05-19T21:13:19Zoai:ojs.periodicos.saude.sp.gov.br:article/35309Revistahttps://periodicos.saude.sp.gov.br/hansenologiaPRIhttps://periodicos.saude.sp.gov.br/hansenologia/oaihansen_int@ilsl.br || hansenologia.internationalis@gmail.com || periodicossp@saude.sp.gov.br1982-51610100-3283opendoar:2021-05-19T21:13:19Hansenologia Internationalis (Online) - Instituto Lauro de Souza Lima (ILSL)false |
dc.title.none.fl_str_mv |
Maintenance of leprosy Manutenção da endemia hansênica |
title |
Maintenance of leprosy |
spellingShingle |
Maintenance of leprosy Opromolla, Diltor Vladimir Araújo virchoviano avançado treinamento envelhecimento média de vida advanced lepromatous training aging average age |
title_short |
Maintenance of leprosy |
title_full |
Maintenance of leprosy |
title_fullStr |
Maintenance of leprosy |
title_full_unstemmed |
Maintenance of leprosy |
title_sort |
Maintenance of leprosy |
author |
Opromolla, Diltor Vladimir Araújo |
author_facet |
Opromolla, Diltor Vladimir Araújo Opromolla, Marcelo Araújo Ura, Somei |
author_role |
author |
author2 |
Opromolla, Marcelo Araújo Ura, Somei |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Opromolla, Diltor Vladimir Araújo Opromolla, Marcelo Araújo Ura, Somei |
dc.subject.por.fl_str_mv |
virchoviano avançado treinamento envelhecimento média de vida advanced lepromatous training aging average age |
topic |
virchoviano avançado treinamento envelhecimento média de vida advanced lepromatous training aging average age |
description |
The diagnosis of a 61 year-old lepromatous leprosy woman patient from a small town of São Paulo state is discussed. Among all factors that have led to the late diagnosis, we may point out the little importance given to alterations of the face at older ages, and when severe, these changes may mimic other pathologic states or vice versa; also, the lack of knowledge of health professional about the disease, despite their training efforts. Such presentations are not very common today, but these cases are important to maintain the endemy mainly because of the difficulties in examining all their contacts. The authors highlight the number of multibacillary patients who have been diagnosed between the age range of 65 and more years in the state of São Paulo in 1999, 2000 and 2001. These patients have contributed to the persistency of leprosy and many of them may have already passed away without proper leprosy diagnosis, probably because of the insufficient training of personnel. |
publishDate |
2003 |
dc.date.none.fl_str_mv |
2003-06-30 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Avaliado pelos pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.saude.sp.gov.br/hansenologia/article/view/35309 10.47878/hi.2003.v28.35309 |
url |
https://periodicos.saude.sp.gov.br/hansenologia/article/view/35309 |
identifier_str_mv |
10.47878/hi.2003.v28.35309 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.saude.sp.gov.br/hansenologia/article/view/35309/33758 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo |
publisher.none.fl_str_mv |
Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo |
dc.source.none.fl_str_mv |
Hansenologia Internationalis: leprosy and other infectious diseases; Vol. 28 No. 1 (2003); 85-88 Hansenologia Internationalis: hanseníase e outras doenças infecciosas; v. 28 n. 1 (2003); 85-88 1982-5161 reponame:Hansenologia Internationalis (Online) instname:Instituto Lauro de Souza Lima (ILSL) instacron:ILSL |
instname_str |
Instituto Lauro de Souza Lima (ILSL) |
instacron_str |
ILSL |
institution |
ILSL |
reponame_str |
Hansenologia Internationalis (Online) |
collection |
Hansenologia Internationalis (Online) |
repository.name.fl_str_mv |
Hansenologia Internationalis (Online) - Instituto Lauro de Souza Lima (ILSL) |
repository.mail.fl_str_mv |
hansen_int@ilsl.br || hansenologia.internationalis@gmail.com || periodicossp@saude.sp.gov.br |
_version_ |
1796797579277631488 |