Avaliação do grau de incapacidade dos pacientes com diagnóstico de hanseníase em serviço de dermatologia do estado de São Paulo

Alves, Cinthia Janine Meira; Barreto, Jaison Antônio; Fogagnolo, Letícia; Contin, Letícia Arsie; Nassif, Priscila Wolf

doi:10.1590/s0037-86822010000400025

Cited by 34 publications

(37 citation statements)

References 5 publications

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“…The predominance of multibacillary forms is due, among many factors, to delayed diagnosis, which affects maintenance of the epidemiological chain and can serve as a source of increased transmission 14,17 . The borderline clinical form was the most prevalent form of leprosy in this study, corroborating the results of Alves et al 18 . It is known that the closer to the lepromatous pole, the greater the likelihood of developing disabilities 19 .…”

Section: Discussionsupporting

confidence: 93%

Assessment of the sensory and physical limitations imposed by leprosy in a Brazilian Amazon Population

Aben-Athar

Lima

Ishak

et al. 2017

Rev. Soc. Bras. Med. Trop.

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Introduction: Leprosy often results in sensory and physical limitations. This study aimed to evaluate these limitations using a quantitative approach in leprosy patients in Belém (Pará, Brazil). Methods: This epidemiological, cross-sectional study measured the sensory impairment of smell and taste through the use of a questionnaire and evaluated activity limitations of daily life imposed by leprosy through the Screening of Activity Limitation and Safety Awareness (SALSA) Scale. Data were collected from 84 patients and associations between the degree of disability and clinical and epidemiological characteristics were assessed. Results: The majority of patients were men (64.3%), married (52.4%), age 31-40 years old (26.2%), had primary education (50%), and were independent laborers (36.9%). The multibacillary operational classification (81%), borderline clinical form (57.1%), and 0 degrees of physical disability (41.7%) were predominant. SALSA scores ranged from 17 to 59 points, and being without limitations was predominant (53.6%). The risk awareness score ranged from 0 to 8, with a score of 0 (no awareness of risk) being the most common (56%). Evaluation of smell and taste sensory sensitivities revealed that 70.2% did not experience these sensory changes. Patients with leprosy reactions were 7 times more likely to develop activity limitations, and those who had physical disabilities were approximately four times more likely to develop a clinical picture of activity limitations. Conclusions: Most patients showed no sensory changes, but patients with leprosy reactions were significantly more likely to develop activity limitations. Finally, further studies should be performed, assessing a higher number of patients to confirm the present results.

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Section: Discussionsupporting

confidence: 93%

Assessment of the sensory and physical limitations imposed by leprosy in a Brazilian Amazon Population

Aben-Athar

Lima

Ishak

et al. 2017

Rev. Soc. Bras. Med. Trop.

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“…Sua detecção precoce e controle dependem diretamente da participação integrada dos sistemas municipal, estadual e federal de saúde, desde as unidades básicas de saúde aos centros especializados. É importante que sejam realizados planejamentos de ações pela equipe de saúde, direcionadas à orientação do autocuidado e à prevenção das limitações funcionais dos pacientes na realização das suas atividades cotidianas, promovendo a reabilitação (7,8,9) . Diante do exposto, buscou-se investigar as alterações neurofuncionais apresentadas pelos pacientes com hanseníase, buscando também identificar seu perfil socioeconômico e clínico.…”

Section: Introductionunclassified

Avaliação neurofuncional em pacientes com hanseníase

Mesquita¹,

Melo²,

Vasconcelos³

et al. 2014

RBPS

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Evaluación neurofuncional de pacientes con hanseniasis RESUMOObjetivo: Investigar as alterações neurofuncionais apresentadas pelos pacientes com hanseníase, buscando também identificar seu perfil socioeconômico e clínico. Métodos: Estudo transversal com 51 pacientes adultos diagnosticados com hanseníase, independentemente do sexo, realizado em centro de referência, em 2010, no qual se aplicou a ficha de "avaliação neurológica simplificada" e um questionário (dados socioeconômicos e clínicos). Achados apresentados de forma descritiva. Resultados: Encontrou-se média de idade de 46,4 ± 14,9 anos, 32 (62,7%) pacientes do sexo masculino, 32 (62,7%) com ensino fundamental incompleto e 37 (72,5%) com renda familiar de 1 a 3 salários mínimos. O tempo médio em tratamento era de 14,4 ± 15,63 meses. Dominou a hanseníase do tipo multibacilar (n=18/35,3%) e a forma tuberculoide (n=11/21,6%). Articulações interfalangeanas em membros superiores e inferiores comprometidas em 5 (9,8%) e 6 (11,7%) pacientes, respectivamente. Nervos mais acometidos: tibial posterior em 19 (37,3%), ulnar em 17 (33,3%) e fibular comum em 13 (25,5%) pacientes. Músculos com déficits: extensor do hálux (n=8/15,7%), extensor dos artelhos (n=6/11,8%) e abdutor do 5º dedo (n=6;11,8%). Observou-se que 35 (68,6%) pacientes tinham alterações sensitivas em membros inferiores e 14 (27,5%) apresentavam incapacidade funcional grau 1. Conclusão: O estudo evidenciou o perfil socioeconômico dos pacientes com hanseníase como sendo homens, de baixa escolaridade e renda, com classificação operacional multibacilar apresentando a forma clínica tuberculoide. Na avaliação neurofuncional, houve maior ocorrência de alterações sensitivas sobre as motoras, como também discreta presença de deformidades e elevado grau de incapacidade funcional. Descritores

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“…These often occur because infected individuals ignore symptoms such as reduced sensitivity and muscle strength or, depending on their culture, resort to traditional popular medicine for treatment 19 . When not diagnosed and treated early, leprosy is a chronic disease that can lead to physical incapacity 20 .…”

Section: Resultsmentioning

confidence: 99%

“…However, Alves et al 20 , in a study characterizing leprosy using a physical examination, reported that 100 patients, from a total of 167 patients with a diagnosis of leprosy at a dermatology service in the State of São Paulo, Brazil, exhibited some degree of physical disability, with 43 individuals (30 men and 13 women) showing grade 2 disability, totaling 43%, excluding grade 0. Although leprosy affects both sexes and all ages, it is more common in men 10 .…”

Section: Conflict Of Interest Referencesmentioning

confidence: 99%

Degree of disability, pain levels, muscle strength, and electromyographic function in patients with Hansen's disease with common peroneal nerve damage

Véras

Vale

Mello

et al. 2012

Rev. Soc. Bras. Med. Trop.

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Introduction: This study evaluated the degree of disability, pain levels, muscle strength, and electromyographic function (RMS) in individuals with leprosy. Methods: We assessed 29 individuals with leprosy showing common peroneal nerve damage and grade 1 or 2 disability who were referred for physiotherapeutic treatment, as well as a control group of 19 healthy participants without leprosy. All subjects underwent analyses of degree of disability, electromyographic tests, voluntary muscle force, and the Visual Analog Pain Scale. Results: McNemar's test found higher levels of grade 2 of disability (∆ = 75.9%; p = 0.0001) among individuals with leprosy. The Mann-Whitney test showed greater pain levels (∆ = 5.0; p = 0.0001) in patients with leprosy who had less extension strength in the right and left extensor hallucis longus muscles (∆ = 1.28, p = 0.0001; ∆ = 1.55, p = 0.0001, respectively) and dorsiflexion of the right and left feet (∆ = 1.24, p = 0.0001; ∆ = 1.45, p = 0.0001, respectively) than control subjects. The Kruskal-Wallis test showed that the RMS score for dorsiflexion of the right (∆ = 181.66 m·s -2 , p = 0.001) and left (∆ = 102.57m·s -2 , p = 0.002) feet was lower in patients with leprosy than in control subjects, but intragroup comparisons showed no difference. Conclusions: Leprosy had a negative influence on all of the study variables, indicating the need for immediate physiotherapeutic intervention in individuals with leprosy. This investigation opens perspectives for future studies that analyze leprosy treatment with physical therapeutic intervention.

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Avaliação do grau de incapacidade dos pacientes com diagnóstico de hanseníase em serviço de dermatologia do estado de São Paulo

Cited by 34 publications

References 5 publications

Assessment of the sensory and physical limitations imposed by leprosy in a Brazilian Amazon Population

Assessment of the sensory and physical limitations imposed by leprosy in a Brazilian Amazon Population

Avaliação neurofuncional em pacientes com hanseníase

Degree of disability, pain levels, muscle strength, and electromyographic function in patients with Hansen's disease with common peroneal nerve damage

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