Understanding the type 1 reactional state for early diagnosis and treatment: a way to avoid disability in leprosy
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Anais brasileiros de dermatologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962013000500787 |
Resumo: | A type 1 reaction or reversal reaction is expressed clinically by inflammatory exacerbation of the skin lesions and nerve trunks, consequently leading to sensory and motor alterations. It occurs in non-polar forms of leprosy, although it can occur in a small percentage of sub-polar LL treated patients. Disabilities, deformities and morbidity, still present in leprosy, are mainly caused by these acute episodes. The recognition of reactional states is imperative for an early approach and efficient management, to avoid the emergence of disabilities that stigmatize the disease. This review aims to describe the clinical aspects, immunopathogenesis, epidemiology, histopathological features and therapeutics of type 1 reactions. |
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Understanding the type 1 reactional state for early diagnosis and treatment: a way to avoid disability in leprosyErythema nodosumLeprosyLeprosy, multibacillaryLeprosy, paucibacillaryMycobacterium lepraeA type 1 reaction or reversal reaction is expressed clinically by inflammatory exacerbation of the skin lesions and nerve trunks, consequently leading to sensory and motor alterations. It occurs in non-polar forms of leprosy, although it can occur in a small percentage of sub-polar LL treated patients. Disabilities, deformities and morbidity, still present in leprosy, are mainly caused by these acute episodes. The recognition of reactional states is imperative for an early approach and efficient management, to avoid the emergence of disabilities that stigmatize the disease. This review aims to describe the clinical aspects, immunopathogenesis, epidemiology, histopathological features and therapeutics of type 1 reactions.Sociedade Brasileira de Dermatologia2013-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962013000500787Anais Brasileiros de Dermatologia v.88 n.5 2013reponame:Anais brasileiros de dermatologia (Online)instname:Sociedade Brasileira de Dermatologia (SBD)instacron:SBD10.1590/abd1806-4841.20132004info:eu-repo/semantics/openAccessNery,Jose Augusto da CostaBernardes Filho,FredQuintanilha,JulianaMachado,Alice MirandaOliveira,Soraya de Souza ChantreSales,Anna Mariaeng2013-10-28T00:00:00Zoai:scielo:S0365-05962013000500787Revistahttp://www.anaisdedermatologia.org.br/https://old.scielo.br/oai/scielo-oai.phpabd@sbd.org.br||revista@sbd.org.br1806-48410365-0596opendoar:2013-10-28T00:00Anais brasileiros de dermatologia (Online) - Sociedade Brasileira de Dermatologia (SBD)false |
dc.title.none.fl_str_mv |
Understanding the type 1 reactional state for early diagnosis and treatment: a way to avoid disability in leprosy |
title |
Understanding the type 1 reactional state for early diagnosis and treatment: a way to avoid disability in leprosy |
spellingShingle |
Understanding the type 1 reactional state for early diagnosis and treatment: a way to avoid disability in leprosy Nery,Jose Augusto da Costa Erythema nodosum Leprosy Leprosy, multibacillary Leprosy, paucibacillary Mycobacterium leprae |
title_short |
Understanding the type 1 reactional state for early diagnosis and treatment: a way to avoid disability in leprosy |
title_full |
Understanding the type 1 reactional state for early diagnosis and treatment: a way to avoid disability in leprosy |
title_fullStr |
Understanding the type 1 reactional state for early diagnosis and treatment: a way to avoid disability in leprosy |
title_full_unstemmed |
Understanding the type 1 reactional state for early diagnosis and treatment: a way to avoid disability in leprosy |
title_sort |
Understanding the type 1 reactional state for early diagnosis and treatment: a way to avoid disability in leprosy |
author |
Nery,Jose Augusto da Costa |
author_facet |
Nery,Jose Augusto da Costa Bernardes Filho,Fred Quintanilha,Juliana Machado,Alice Miranda Oliveira,Soraya de Souza Chantre Sales,Anna Maria |
author_role |
author |
author2 |
Bernardes Filho,Fred Quintanilha,Juliana Machado,Alice Miranda Oliveira,Soraya de Souza Chantre Sales,Anna Maria |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Nery,Jose Augusto da Costa Bernardes Filho,Fred Quintanilha,Juliana Machado,Alice Miranda Oliveira,Soraya de Souza Chantre Sales,Anna Maria |
dc.subject.por.fl_str_mv |
Erythema nodosum Leprosy Leprosy, multibacillary Leprosy, paucibacillary Mycobacterium leprae |
topic |
Erythema nodosum Leprosy Leprosy, multibacillary Leprosy, paucibacillary Mycobacterium leprae |
description |
A type 1 reaction or reversal reaction is expressed clinically by inflammatory exacerbation of the skin lesions and nerve trunks, consequently leading to sensory and motor alterations. It occurs in non-polar forms of leprosy, although it can occur in a small percentage of sub-polar LL treated patients. Disabilities, deformities and morbidity, still present in leprosy, are mainly caused by these acute episodes. The recognition of reactional states is imperative for an early approach and efficient management, to avoid the emergence of disabilities that stigmatize the disease. This review aims to describe the clinical aspects, immunopathogenesis, epidemiology, histopathological features and therapeutics of type 1 reactions. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962013000500787 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962013000500787 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/abd1806-4841.20132004 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Dermatologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Dermatologia |
dc.source.none.fl_str_mv |
Anais Brasileiros de Dermatologia v.88 n.5 2013 reponame:Anais brasileiros de dermatologia (Online) instname:Sociedade Brasileira de Dermatologia (SBD) instacron:SBD |
instname_str |
Sociedade Brasileira de Dermatologia (SBD) |
instacron_str |
SBD |
institution |
SBD |
reponame_str |
Anais brasileiros de dermatologia (Online) |
collection |
Anais brasileiros de dermatologia (Online) |
repository.name.fl_str_mv |
Anais brasileiros de dermatologia (Online) - Sociedade Brasileira de Dermatologia (SBD) |
repository.mail.fl_str_mv |
abd@sbd.org.br||revista@sbd.org.br |
_version_ |
1752126419039682560 |