NDLI: Hanseníase no Município de Buriticupu, Estado do Maranhão: busca ativa de casos na população adulta Leprosy in Buriticupu, State of Maranhão: active search for cases in the adult population

Content Provider	Directory of Open Access Journals (DOAJ)
Author	Antonio Rafael da Silva Wilma Batista de Matos Camila Cristina Bastos Silva Eloisa da Graça do Rosario Gonçalves
Abstract	INTRODUÇÃO: O estudo foi desenvolvido com o objetivo de avaliar a situação da hanseníase na população adulta do Município de Buriticupu, MA. MÉTODOS: Foi empregado o método de busca ativa na identificação de casos novos, no período de 2005 a 2007. Baciloscopia de raspado intradérmico foi feita em todos os pacientes com lesões de pele compatíveis com hanseníase, enquanto exame histopatológico foi feito naqueles em que havia dúvidas na definição da forma clínica. RESULTADOS: Participaram do estudo 15.409 indivíduos, tendo o exame clínico definido o diagnóstico de hanseníase em 62 pacientes, o que representa um coeficiente de detecção de 40,23/10.000. A baciloscopia foi positiva em seis pacientes, sendo predominante a forma clínica tuberculóide, em 31 casos, seguida da forma indeterminada em 20, dimorfa em 10 e virchowiana em um. O estudo permitiu, ainda, a identificação de outras doenças da pele, tais como pitiríase versicolor, dermatofitose, escabiose, vitiligo e carcinoma de pele. CONCLUSÕES: O elevado coeficiente de detecção define o município como hiperendêmico para a hanseníase. A busca ativa de casos é um método importante para o controle da doença.INTRODUCTION: This study aimed to analyze the leprosy situation, focusing on the adult population of the town of Buriticupu, State of Maranhão. METHODS: An active search was conducted to identify new cases from 2005 to 2007. All patients with injuries suggestive of leprosy were submitted to cutaneous bacilloscopy and biopsies were performed when defining the clinical presentation was difficulty. RESULTS: 15,409 individuals participated in the study and 62 were diagnosed with leprosy which represents a detection coefficient of 40.23/10,000. Bacilloscopy showed positive results in six patients. The predominant clinical form was tuberculoid, 31 cases, followed by the indeterminate form (20 cases), the dimorphous form (10 cases) and the lepromatous form (1 case). The study also identified other skin diseases, including pityriasis versicolor, scabies, mycosis, vitiligo and carcinoma. CONCLUSIONS: The high detection coefficient defines the town of Buriticupu, MA, as hyperendemic for leprosy. Active cases search is an important method for disease control.
ISSN	00378682
e-ISSN	16789849
DOI	10.1590/S0037-86822010000600018
Journal	Revista da Sociedade Brasileira de Medicina Tropical
Issue Number	6
Volume Number	43
Language	English
Publisher	Sociedade Brasileira de Medicina Tropical (SBMT)
Publisher Date	2010-01-01
Publisher Place	Brazil
Access Restriction	Open
Subject Keyword	Arctic Medicine. Tropical Medicine Hanseníase Detecção Busca Ativa Estado Do Maranhão Leprosy Detection Active Search State of Maranhão
Content Type	Text
Resource Type	Article
Subject	Infectious Diseases Parasitology Microbiology (medical)

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