Perfil clínico e epidemiológico de pacientes em reação hansênica

Abstract

The disclosure of the clinical picture of pure neural leprosy and early detection of cases strongly contribute to the promotion of population health enabling the fulfillment of the goal of eradicating leprosy.

Leprosy Reactions: Clinical and Therapeutic Profile of Patients Registered at a Dermatology Reference Center in Brazil

“…There was a divergence from the study by Queiroz [14], who presented a higher frequency in the virchowian and dimorphic forms. The predominance was the virchowian form, with 55.74% of the cases, followed by the dimorphous, with 32.79%.…”

“…The predominance of reactional states among men may be associated with a greater delay in the search for health services, which hampers the development of preventive and early diagnosis actions [14]. The largest number of patients (69.23%) came from the metropolitan area of Belém, in the north of Brazil, where the Dermatology Service of the University is located.…”

Compreendendo a “alta em hanseníase”: uma análise de conceito

“…Professionals, including managers, often associate drug discharge from follow-up discharge for uses who have concluded leprosy treatment, as they are focused on management, planning and evaluation, under a procedural perspective (34) . In this sense, it is expected that the care network provides a structure to give appropriate follow-up, with scheduled returns, even when the patient has been excluded from the active leprosy record (7,11,37) . With a view to provide comprehensive care, it is necessary to structure a multidisciplinary team able to monitor as the individuality of patients who have completed the MDT treatment (2) .…”

“…Regarding the nurse, it is the provision of a care plan that integrates the recognition of the subjectivity of individuals as more than a biological body, due to the historical context of segregation and stigma surrounding leprosy (37)(38)(39) . The antecedent and consequent attributes of the concept "patient discharge in leprosy", which complement and expand the understanding of the concept are shown in Chart 1.…”

Preconceito, estigma e exclusão social: trajetória de familiares influenciada pelo tratamento asilar da hanseníase [Prejudice, stigma and exclusion: relatives’ lives affected by asylum-based treatment of leprosy]

“…Pensando-se na carga estigmatizante e de exclusão que acompanha a doença por período milenar, é compreensível que a história da lepra se reproduza no presente, influenciando o processo de adoecimento em hanseníase por remeter ao preconceito e crenças do passado arraigado em ideias preconceituosas e mitos firmados no imaginário do senso comum 6 . Atualmente a hanseníase se consistiu como uma epidemia preocupante, estabelecendo-se como um grave problema de saúde pública no Brasil, principalmente por seu poder incapacitante, caso não detectada e tratada precoce e adequadamente, gerando danos físicos e sociais 7 . Ademais, evidenciam-se nos ex-doentes e em seus familiares as marcas de exclusão social, preconceito e estigma deixados pela doença que não tinha cura e era tratada em ambiente asilar…”