| Revista: | Anais brasileiros de dermatologia |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000427559 |
| ISSN: | 0365-0596 |
| Autors: | Diniz, Lucia Martins1 Maciel, Leonardo Bezerra2 |
| Institucions: | 1Universidade Federal do Espirito Santo, Departamento de Medicina Interna, Vitoria, Espirito Santo. Brasil 2Universidade Federal do Maranhao, Sao Luis, Maranhao. Brasil |
| Any: | 2018 |
| Període: | Nov-Dic |
| Volum: | 93 |
| Número: | 6 |
| Paginació: | 824-828 |
| País: | Brasil |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Analítico, descriptivo |
| Resumen en inglés | Leprosy is a chronic infectious disease that is endemic in Brazil and little studied in patients over 60 years old. Objective: The aim of this study was the epidemiological and clinical description of cases of leprosy in individuals older than 60 years, notified in the State of Espírito Santo - Brazil. Methods: It was an observational, descriptive and retrospective study of leprosy patients notified between 2001 and 2011. Results: Out of 16,025 notifications, 2,510 (15.6%) were of patients over 60 years of age; the distribution among the period was egalitarian except in the last 2 years, when there was a mild reduction of cases; the average was 70 years of age (±7 years); 46% were women, being 62% of those paucibacillary cases; 1,145 (50.5%) were dark-skined people in particular among paucibacillary cases; 1,638 (72.9%) were illiterates or poorly instructed n particular among multibacillary cases (P=0.022); 59.9% patients were clinically multibacillary cases and 37.4% had positive bacilloscopy; 37.9% patients had clinical alterations on peripheral nerves, 36.7% of all the multibacillary cases were classified as grade I and 15.3% as grade in assessment of disability. Study limitations: This was a retrospective study, which used secondary data generated by physicians and notified by other professionals, whar could have enabled possible errors on original data. Conclusions: Leprosy in this age group suggests a long incubation period with reactivation of latent focus or late infection. Men were more affected, as well as the afro descendent race was statistically significant in the paucibacillary cases (P=0.000) and illiterate/poor education in multibacillary cases (P=0.022). Nearly 40% of patients had positive bacilloscopy and grade I/II disability, demonstrating a late diagnosis |
| Disciplines | Medicina |
| Paraules clau: | Dermatología, Geriatría, Lepra, Ancianos, Epidemiología |
| Keyword: | Dermatology, Geriatrics, Leprosy, Aged, Epidemiology |
| Text complet: | Texto completo (Ver HTML) |
