迆lcera de Buruli

作者：Boleira; Manuela; Lupi; Omar; Lehman; Linda; Asiedu; Kingsley Bampoe; Kiszewski; Ana Elisa

来源：Anais Brasileiros de Dermatologia, 2010, 85(3): 281-301.

DOI：10.1590/S0365-05962010000300002

• buruli ulcer
• mycobacterium infections
• atypical
• mycobacterium ulcerans
• world health organization.

buruli ulcer, an infectious disease caused by mycobacterium ulcerans, is the third most prevalent mycobacteriosis, after tuberculosis and leprosy. this atypical mycobacteriosis has been reported in over 30 countries, mainly those with tropical and subtropical climates, but its epidemiology remains unclear. the first autochthonous cases of infection in brazil have recently been described, making this diagnosis important for brazilian dermatologists. clinical manifestations vary from nodules, areas of edema, and plaques, but the most typical presentation is a large ulcer, usually in the limbs. despite considerable knowledge about its clinical manifestations in some endemic countries, in other areas the diagnosis may be overlooked. therefore, physicians should be educated about buruli ulcer, since early diagnosis and treatment, including measures to prevent disability, are essential for a good outcome.