Leprosy in a University Hospital in Southern Brazil

Detalhes bibliográficos
Autor(a) principal: Lima,Adma Silva de
Data de Publicação: 2015
Outros Autores: Pinto,Karin Cristine, Bona,Míryan Priscilla Santos, Mattos,Suelen Mayara Lopes de, Hoffmann,Marina Portiolli, Mulinari-Brenner,Fabiane Andrade, Ottoboni,Vanessa Cristhine Dallolmo
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=S0365-05962015000500654
Resumo: AbstractBACKGROUND:Leprosy is an infectious disease that may lead to irreversible nerve damage, compromising patient's quality of life and leading to loss of working years.OBJECTIVES:To evaluate the epidemiological profile of patients followed at a University Hospital.MATERIALS AND METHODS: This is a retrospective observational study, based on a review of medical records. We studied the clinical and epidemiological features of patients with leprosy monitored at the Hospital de Clínicas of the Federal University of Paraná between January 2005 and January 2010.RESULTS:The mean age was 47.51, while 35.94% of patients were aged 41-60. The male:female rate was 1.8:1. The most prevalent occupations were: retired, students or rural workers. Patients came mainly from Curitiba or nearby areas, but there were also patients from the countryside. The mean diagnostic delay was 24.57 months. Multibacillary forms prevailed, with the lepromatous variety being the most common, closely followed by the borderline type. Neural enlargement was found in more than 50% of the patients and 48.44% of them developed reactional states. Hemolysis was the most commonly detected drug side effect. Initial functional evaluation was possible in 70% of patients, 55% of whom had disabilities upon diagnosis. The most prevalent associated disease was hypertension.CONCLUSIONS:This study showed an important diagnostic delay and a high rate of sequelae in this specific population. Brazil is one of the few remaining countries that has not yet eradicated leprosy and it is important to improve health policies in order to prevent sequelae and achieve eradication.
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spelling Leprosy in a University Hospital in Southern BrazilLeprosyLeprosy, borderlineLeprosy, lepromatousLeprosy, multibacillaryLeprosy, paucibacillaryLeprosy, tuberculoidMycobacterium lepraeAbstractBACKGROUND:Leprosy is an infectious disease that may lead to irreversible nerve damage, compromising patient's quality of life and leading to loss of working years.OBJECTIVES:To evaluate the epidemiological profile of patients followed at a University Hospital.MATERIALS AND METHODS: This is a retrospective observational study, based on a review of medical records. We studied the clinical and epidemiological features of patients with leprosy monitored at the Hospital de Clínicas of the Federal University of Paraná between January 2005 and January 2010.RESULTS:The mean age was 47.51, while 35.94% of patients were aged 41-60. The male:female rate was 1.8:1. The most prevalent occupations were: retired, students or rural workers. Patients came mainly from Curitiba or nearby areas, but there were also patients from the countryside. The mean diagnostic delay was 24.57 months. Multibacillary forms prevailed, with the lepromatous variety being the most common, closely followed by the borderline type. Neural enlargement was found in more than 50% of the patients and 48.44% of them developed reactional states. Hemolysis was the most commonly detected drug side effect. Initial functional evaluation was possible in 70% of patients, 55% of whom had disabilities upon diagnosis. The most prevalent associated disease was hypertension.CONCLUSIONS:This study showed an important diagnostic delay and a high rate of sequelae in this specific population. Brazil is one of the few remaining countries that has not yet eradicated leprosy and it is important to improve health policies in order to prevent sequelae and achieve eradication.Sociedade Brasileira de Dermatologia2015-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962015000500654Anais Brasileiros de Dermatologia v.90 n.5 2015reponame:Anais brasileiros de dermatologia (Online)instname:Sociedade Brasileira de Dermatologia (SBD)instacron:SBD10.1590/abd1806-4841.20153959info:eu-repo/semantics/openAccessLima,Adma Silva dePinto,Karin CristineBona,Míryan Priscilla SantosMattos,Suelen Mayara Lopes deHoffmann,Marina PortiolliMulinari-Brenner,Fabiane AndradeOttoboni,Vanessa Cristhine Dallolmoeng2015-11-05T00:00:00Zoai:scielo:S0365-05962015000500654Revistahttp://www.anaisdedermatologia.org.br/https://old.scielo.br/oai/scielo-oai.phpabd@sbd.org.br||revista@sbd.org.br1806-48410365-0596opendoar:2015-11-05T00:00Anais brasileiros de dermatologia (Online) - Sociedade Brasileira de Dermatologia (SBD)false
dc.title.none.fl_str_mv Leprosy in a University Hospital in Southern Brazil
title Leprosy in a University Hospital in Southern Brazil
spellingShingle Leprosy in a University Hospital in Southern Brazil
Lima,Adma Silva de
Leprosy
Leprosy, borderline
Leprosy, lepromatous
Leprosy, multibacillary
Leprosy, paucibacillary
Leprosy, tuberculoid
Mycobacterium leprae
title_short Leprosy in a University Hospital in Southern Brazil
title_full Leprosy in a University Hospital in Southern Brazil
title_fullStr Leprosy in a University Hospital in Southern Brazil
title_full_unstemmed Leprosy in a University Hospital in Southern Brazil
title_sort Leprosy in a University Hospital in Southern Brazil
author Lima,Adma Silva de
author_facet Lima,Adma Silva de
Pinto,Karin Cristine
Bona,Míryan Priscilla Santos
Mattos,Suelen Mayara Lopes de
Hoffmann,Marina Portiolli
Mulinari-Brenner,Fabiane Andrade
Ottoboni,Vanessa Cristhine Dallolmo
author_role author
author2 Pinto,Karin Cristine
Bona,Míryan Priscilla Santos
Mattos,Suelen Mayara Lopes de
Hoffmann,Marina Portiolli
Mulinari-Brenner,Fabiane Andrade
Ottoboni,Vanessa Cristhine Dallolmo
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Lima,Adma Silva de
Pinto,Karin Cristine
Bona,Míryan Priscilla Santos
Mattos,Suelen Mayara Lopes de
Hoffmann,Marina Portiolli
Mulinari-Brenner,Fabiane Andrade
Ottoboni,Vanessa Cristhine Dallolmo
dc.subject.por.fl_str_mv Leprosy
Leprosy, borderline
Leprosy, lepromatous
Leprosy, multibacillary
Leprosy, paucibacillary
Leprosy, tuberculoid
Mycobacterium leprae
topic Leprosy
Leprosy, borderline
Leprosy, lepromatous
Leprosy, multibacillary
Leprosy, paucibacillary
Leprosy, tuberculoid
Mycobacterium leprae
description AbstractBACKGROUND:Leprosy is an infectious disease that may lead to irreversible nerve damage, compromising patient's quality of life and leading to loss of working years.OBJECTIVES:To evaluate the epidemiological profile of patients followed at a University Hospital.MATERIALS AND METHODS: This is a retrospective observational study, based on a review of medical records. We studied the clinical and epidemiological features of patients with leprosy monitored at the Hospital de Clínicas of the Federal University of Paraná between January 2005 and January 2010.RESULTS:The mean age was 47.51, while 35.94% of patients were aged 41-60. The male:female rate was 1.8:1. The most prevalent occupations were: retired, students or rural workers. Patients came mainly from Curitiba or nearby areas, but there were also patients from the countryside. The mean diagnostic delay was 24.57 months. Multibacillary forms prevailed, with the lepromatous variety being the most common, closely followed by the borderline type. Neural enlargement was found in more than 50% of the patients and 48.44% of them developed reactional states. Hemolysis was the most commonly detected drug side effect. Initial functional evaluation was possible in 70% of patients, 55% of whom had disabilities upon diagnosis. The most prevalent associated disease was hypertension.CONCLUSIONS:This study showed an important diagnostic delay and a high rate of sequelae in this specific population. Brazil is one of the few remaining countries that has not yet eradicated leprosy and it is important to improve health policies in order to prevent sequelae and achieve eradication.
publishDate 2015
dc.date.none.fl_str_mv 2015-10-01
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=S0365-05962015000500654
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962015000500654
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/abd1806-4841.20153959
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.90 n.5 2015
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
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