Sporotrichoid leishmaniasis: a cross-sectional clinical, epidemiological and laboratory study in Rio de Janeiro State, Brazil
| Autor: | Fátima Conceição-Silva, Cláudia Maria Valete-Rosalino, Aline Fagundes da Silva, Marcelo Rosandiski Lyra, Sandro Javier Bedoya-Pacheco, Maria Inês Fernandes Pimentel, Mariza de Matos Salgueiro, Maria de Fátima Madeira, Armando de Oliveira Schubach, Livia Martins Veloso de Carvalho, Érica de Camargo Ferreira e Vasconcellos, Liliane de Fátima Antonio, Eliame Mouta-Confort, Maurício Naoto Saheki, Leonardo Pereira Quintella |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Pathology medicine.medical_specialty lcsh:Arctic medicine. Tropical medicine Younger age lcsh:RC955-962 Biopsy 030231 tropical medicine Leishmaniasis Cutaneous Enzyme-Linked Immunosorbent Assay Leishmania braziliensis 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Cutaneous leishmaniasis Epidemiology Sporotrichoid leishmaniasis medicine Humans Fluorescent Antibody Technique Indirect American tegumentary leishmaniasis Sporotrichosis biology business.industry Leishmaniasis General Medicine medicine.disease Leishmania biology.organism_classification Dermatology Immunohistochemistry Infectious Diseases Cross-Sectional Studies Lymphangitis Female Original Article Differential diagnosis business Brazil |
| Zdroj: | Revista do Instituto de Medicina Tropical de São Paulo Revista do Instituto de Medicina Tropical de São Paulo, Volume: 59, Article number: e33, Published: 01 JUN 2017 Revista do Instituto de Medicina Tropical de São Paulo; Vol. 59 (2017); e33 Revista do Instituto de Medicina Tropical de São Paulo; v. 59 (2017); e33 Instituto de Medicina Tropical (IMT) instacron:IMT Revista do Instituto de Medicina Tropical de São Paulo, Vol 59, Iss 0 |
| ISSN: | 1678-9946 0036-4665 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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