Aspectos epidemiológicos da leishmaniose tegumentar americana no município de Ubatuba, litoral de São Paulo, Brasil, 1993-2003

doi:10.1590/s0034-89102004000200027

Rev. Saúde Pública

2004

DOI: 10.1590/s0034-89102004000200027

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Aspectos epidemiológicos da leishmaniose tegumentar americana no município de Ubatuba, litoral de São Paulo, Brasil, 1993-2003

Abstract: A leishmaniose tegumentar americana (LTA) é uma doença infecciosa, causada por protozoários do gênero leishmania, transmitida por diferentes espécies de flebotomíneo, que acomete pele e mucosas. É considerada primariamente como zoonose de animais silvestres, e o homem secundariamente.

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Final diagnosis of 86 cases included in differential diagnosis of American tegumentary leishmaniasis in a Brazilian sample: a retrospective cross-sectional study

Tirelli

Vernal

Roselino

2017

An. Bras. Dermatol.

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BackgroundCutaneous leishmaniasis is distributed worldwide, including Brazil. Its several clinical forms need to be distinguished from other dermatoses. Clinical similarities and lack of a gold standard diagnostic tool make leishmaniasis-like lesions a challenging diagnosis.Objectives.To report the final diagnosis of patients primarily suspected of having American tegumentary leishmaniasis (ATL).Methods.A retrospective cross-sectional study was conducted on the basis of medical records of 437 patients with clinical suspicion of ATL, registered in electronic hospital system between 1980 and 2013. Demographic, clinical, and laboratory data were compiled.Results.Analysis of 86 cases (19.7%) registered as ATL in one of the hypothesis revealed a different final diagnosis; 55 (63.9%) and 31 cases (36.1%) had skin and mucosal lesions, respectively. In 58 cases (67.4%), the requested PCR did not identify Leishmania sp. In 28 cases (32.5%), biopsies established the diagnosis and confirmed tumors, mycobacteriosis, and subcutaneous or systemic mycosis. Overall, 27% of the cases had inflammatory etiology, mainly nasal nonspecific inflammatory processes; 27% had infectious etiology, especially paracoccidioidomycosis and leprosy; 20% had neoplastic etiology, mainly basal and squamous cell carcinoma; 15% had miscellaneous etiology, including neuropathic ulcer, traumatic ulcers, idiopathic ulcer; 11% missed the follow-up.Study limitationsSome cases had no final diagnosis due to loss of follow-up.Conclusion.ATL can be confused with several differential diagnoses, especially inflammatory and infectious granulomatous diseases as well as non-melanoma skin cancers. Clinicians working in tropical areas should be aware of the main differential diagnosis of leishmaniasis-like lesions.

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Final diagnosis of 86 cases included in differential diagnosis of American tegumentary leishmaniasis in a Brazilian sample: a retrospective cross-sectional study

Tirelli

Vernal

Roselino

2017

An. Bras. Dermatol.

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Seventeen years of American cutaneous leishmaniasis in a Southern Brazilian municipality

Cella¹,

Melo²,

Agnolo³

et al. 2012

Rev. Inst. Med. trop. S. Paulo

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SUMMARYWe reviewed the records of 151 patients diagnosed with American cutaneous leishmaniasis (ACL) from 1993 to 2009 in the municipality of Japura, Paraná, Brazil. Gender, age, occupation, place of residence, location of lesions, type and number of lesions were analyzed. The prevalence rate of ACL was 11.5/10,000 hab, of which 84.7% were male, 58.3% lived in rural area and 49.0% were farmers. The most frequent age group was between 30 to 39 years (26.6%). Skin lesions occurred in 92.7% of the patients with predominance in the lower limbs (23.9%) and 49.1% of the records did not include the number of lesions location due to incomplete filling. A single ulceration was present in 44.4%. Japurá is an endemic area for ACL, requiring public actions and preventive education.

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Epidemiologia da leishmaniose tegumentar americana no Estado do Acre, Amazônia brasileira

Silva

Muniz

2009

Cad. Saúde Pública

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Aspectos epidemiológicos da leishmaniose tegumentar americana no município de Ubatuba, litoral de São Paulo, Brasil, 1993-2003

Cited by 3 publications

References 0 publications

Final diagnosis of 86 cases included in differential diagnosis of American tegumentary leishmaniasis in a Brazilian sample: a retrospective cross-sectional study

Final diagnosis of 86 cases included in differential diagnosis of American tegumentary leishmaniasis in a Brazilian sample: a retrospective cross-sectional study

Seventeen years of American cutaneous leishmaniasis in a Southern Brazilian municipality

Epidemiologia da leishmaniose tegumentar americana no Estado do Acre, Amazônia brasileira

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