迆lceras cutaneas na hansen赤ase: perfil cl赤nico-epidemiol車gico dos pacientes

作者:Gomes; Fernanda Guzzo; Frade; Marco Andrey Cipriani; Foss; Norma Tiraboshi
来源:Anais Brasileiros de Dermatologia, 2007.
DOI:10.1590/S0365-05962007000500006

摘要

background: leprosy is a chronic disease and its complications include neural lesions, which may cause motor and sensitive changes, leading to deformities as well as skin ulcers. objective: to show the epidemiological profile of leprosy patients with ulcerated and non-ulcerated lesions, seen at the hospital das cl赤nicas de ribeirˋo preto. methods: a cross-section study of the medical charts of 79 leprosy patients seen at the hospital in 2003/2004. patients were classified into group 1 (ulcerated lesions) and group 2 (non-ulcerated lesions) based on their clinical and epidemiological characteristics. results: in this sample, 69.6% were male, 91.1% white and positive bacilli were found in 62%. among them, 25 (32%) presented skin ulcers (group 1) located on the lower limbs in 68% of cases, classified as disability grade ii (72%), as compared to group 2 (p%26lt;0.01). based on spectral leprosy classification, there were differences between tuberculoid and lepromatous (p%26lt;0.01), borderline and borderline lepromatous (p%26lt;0.05) and between the latter one and lepromatous form (p%26lt;0.01). as to the operational classification, 80% of patients with ulcers were multibacillary and 12% were paucibacillary (p%26lt;0.05). conclusion: groups 1 and 2 were epidemiologically similar. the ulcerated skin lesions seem to be related to disability grade ii and to positive bacilli detected by both spectral and operational classifications.

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