| Revista: | Revista do Instituto de Medicina Tropical de Sao Paulo |
| Base de datos: | |
| Número de sistema: | 000536915 |
| ISSN: | 0036-4665 |
| Autores: | Alecrim, Edilamar Silva de1 Chaves, Ana Thereza1 Pôrto, Luiz Alberto Bomjardim2 Grossi, Maria Aparecida de Faria3 Lyon, Sandra2 Rocha, Manoel Otávio da Costa1 |
| Instituciones: | 1Universidade Federal de Minas Gerais, Pós-Graduação em Ciências da Saúde: Infectologia e Medicina Tropical, Belo Horizonte, Minas Gerais. Brasil 2Hospital Eduardo de Menezes, Ambulatório de Dermatologia, Belo Horizonte, Minas Gerais. Brasil 3Secretaria de Estado de Saúde de Minas Gerais, Belo Horizonte, Minas Gerais. Brasil |
| Año: | 2019 |
| Volumen: | 61 |
| País: | Brasil |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Resumen en inglés | The Mitsuda test is a skin test based on the individual’s immune response through late and highly specific hypersensitivity reaction to the Mycobacterium leprae bacillus. A negative reaction identifies individuals who present a higher risk of becoming ill if exposed to M. leprae and, if they become ill, to develop the virchowian form of disease. The Mitsuda test reading is performed by means of a millimeter ruler. The dermatoscopy is a method that has not been used in the evaluation of cutaneous tests, although its use has increased in several areas. The study aimed to compare the results between the standardized reading and the total area of the Mitsuda test obtained by a computerized method which was structured by the association of digital dermatoscopy, the Dermatology Web system and the Image Tool 3.0 software. Data collection was performed at the Dermatology Outpatient Clinic of the Eduardo de Menezes Hospital, in Belo Horizonte, from November 2015 to August 2016. The sample consisted of 100 leprosy domiciliary contacts. There was an excellent agreement between the Mitsuda test (diameter and area), with a coefficient greater than 80%, and an excellent correlation with the Spearman’s correlation coefficient (0.936). The intraclass correlation coefficient indicated a low (0.219) but significant agreement between the two measurements. In conclusion, there is a significant correlation between the standardized reading and the total area of the Mitsuda test. Digital dermoscopy can be an alternative instrument of evaluation, allowing the computerization and recording of the Mitsuda test. |
| Disciplinas: | Medicina, Medicina, Medicina |
| Palabras clave: | Dermatología, Diagnóstico, Inmunología |
| Keyword: | Dermatology, Diagnosis, Immunology |
| Texto completo: | Texto completo (Ver HTML) Texto completo (Ver PDF) |
