Sporotrichoid leishmaniasis: a cross-sectional clinical, epidemiological and laboratory study in Rio de Janeiro State, Brazil
AUTOR(ES)
Carvalho, Livia Martins Veloso de, Pimentel, Maria Inês Fernandes, Conceição-Silva, Fátima, Vasconcellos, Érica de Camargo Ferreira e, Valete-Rosalino, Cláudia Maria, Lyra, Marcelo Rosandiski, Salgueiro, Mariza de Matos, Saheki, Maurício Naoto, Madeira, Maria de Fátima, Mouta-Confort, Eliame, Antonio, Liliane de Fátima, Silva, Aline Fagundes da, Quintella, Leonardo Pereira, Bedoya-Pacheco, Sandro Javier, Schubach, Armando de Oliveira
FONTE
Rev. Inst. Med. trop. S. Paulo
DATA DE PUBLICAÇÃO
01/06/2017
RESUMO
ABSTRACT Background Atypical presentations of cutaneous leishmaniasis include sporotrichoid leishmaniasis (SL), which is clinically described as a primary ulcer combined with lymphangitis and nodules and/or ulcerated lesions along its pathway. Aims To assess the differences between patients with sporotrichoid leishmaniasis and typical cutaneous leishmaniasis (CL). Methods From January 2004 to December 2010, 23 cases of SL (4.7%) were detected among 494 CL patients diagnosed at a reference center for the disease in Rio de Janeiro State, Brazil. These 23 cases were compared with the remaining 471 patients presenting CL. Results SL predominated in female patients (60.9%, p = 0.024), with older age (p = 0.032) and with lesions in upper limbs (52.2%, p = 0.028). CL affected more men (64.5%), at younger age, and with a higher number of lesions exclusively in lower limbs (34.8%). Conclusions Differences in clinical and epidemiological presentation were found between SL patients as compared to CL ones, in a region with a known predominance of Leishmania (Viannia) braziliensis. The results are similar to the features of most of the sporotrichosis patients as described in literature, making the differential diagnosis between ATL and sporotrichosis more important in overlapping areas for both diseases, like in Rio de Janeiro State.
Documentos Relacionados
- LOW BACK PAIN IN SCHOOLCHILDREN: A CROSS-SECTIONAL STUDY IN A WESTERN CITY OF SÃO PAULO STATE, BRAZIL
- Psychiatric emergency units in Brazil: a cross-sectional study
- Epidemiological profile of inflammatory bowel disease in Caxias do Sul, Brazil: a cross-sectional study
- Debriefing evaluation in nursing clinical simulation: a cross-sectional study
- Evidences of the association between individual attributes and bullying: a cross-sectional study with adolescents from Florianópolis, Santa Catarina State, Brazil