Perfil clínico-epidemiológico de pessoas acometidas por úlceras neurotróficas decorrentes de hanseníase

Pinheiro, Camila Isnaide Pimentel; Moreira, Inês; Núñez, Silvia Cristina; Silva, Talita de Brito; Pereira, Mariana Soares; Campelo, Davi Pinheiro; Leal, Seânia Santos; Nunes, Renata Celestino; Rezende, Verônica Elis Araújo; Bezerra, Sandra Marina Gonçalves; Filho, Antônio Luís Martins Maia

doi:10.33448/rsd-v10i12.20090

Cited by 2 publications

(4 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One point that caught our attention in our study is the length of time that these plantar lesions were open, which the majority was longer than 10 years despite conventional dressings were done. Similar findings were observed in several published studies demonstrating the great challenge in the management of these lesions [9,32,33]. Despite the great advance in the last decades of several surgical techniques used for the closure of chronic plantar ulcers in leprosy disease, there is a high recurrence rate ranging from 18.35 to 90% of cases [8,13,25] explained in part by the understanding of the pathophysiology of plantar ulcers where bone prominences, even if not infected, are a predisposing factor in the appearance of same [9,10].…”

Section: Discussionsupporting

confidence: 90%

“…In our sample, the sociodemographic profile shows a predominance of males (55.1%) with an average age of 69.5 years, findings that corroborate the scientific literature, justified by the higher exposure of male patients in relation to females and the delay in the diagnosis of the disease [25,[30][31][32][33].…”

Section: Discussionsupporting

confidence: 85%

“…The majority of the participants are functional illiterate, demonstrating the social characteristics of isolation and neglected disease, present mainly in the low-income population [1, 2,30,33].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Epidemiological clinical profile and closure of chronic plantar ulcers in patients with leprosy sequelae undergoing orthopedic surgery in a municipality in western Amazon

João

Peninni²,

Vasconcelos

et al. 2023

PLoS ONE

View full text Add to dashboard Cite

Introduction Chronic plantar ulcers in leprosy are lesions resulting from motor and sensory alterations caused by Mycobacterium leprae. They are lesions refractory to conventional dressings and present high recurrence rates. Objective To evaluate the epidemiological clinical profile of patients with chronic plantar ulcers associated with bony prominences in the lesion bed and to evaluate the efficacy of orthopedic surgical treatment of these lesions. Methods This is a descriptive and analytical retrospective study with the evaluation of medical records of patients undergoing surgical treatment of chronic plantar ulcers from 2008 to 2018. The surgical technique applied consisted of corrective resection of bone prominences and the primary closure of the lesion with bipediculated local flap. Results 234 patients were submitted to surgery, 55.1% male with an average age of 69.5 years old. Of these, 82.9% were illiterate; and 88.5% with open lesions over 10 years. After surgical treatment, total wound healing occurred in an average time of 12 weeks. The variables that contributed to shorter healing time were: Patients’ lower age group; regular use of orthopedic shoes and insoles and dressings performed by nurse aides in health units before surgery. Obesity was the factor that correlated with the delay of healing time. Conclusion A higher incidence was observed in males and male and female illiterate patients. The regular use of shoes and insoles and dressings performed by nurse aides in health units contributed to shorter postoperative healing time. Orthopedic surgical treatment with corrective resection of bony prominences proved to be an efficient therapeutic method for the closure of chronic plantar ulcers. It is a reproducible method, justifying the importance of the orthopedic surgeon in the context of the multidisciplinary team to cope with these complex lesions.

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 85%

See 1 more Smart Citation

Epidemiological clinical profile and closure of chronic plantar ulcers in patients with leprosy sequelae undergoing orthopedic surgery in a municipality in western Amazon

João

Peninni²,

Vasconcelos

et al. 2023

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…The sociodemographic and clinicalepidemiological characteristics were similar to those of other studies regarding the predominance of the multibacillary form [20][21][22], brown skin color [23,24], and residence in the urban area [22,25].…”

Section: Discussionsupporting

confidence: 83%

Factors associated with multibacillary leprosy in a region of northeastern Brazil

Silva

Oliveira

Santos

et al. 2023

J Infect Dev Ctries

View full text Add to dashboard Cite

Introduction: The analysis of factors associated with multibacillary leprosy is important for the development of strategies to mitigate the disease, which persists as a public health problem in Brazil and the world. The objective of this study was to verify the associations between sociodemographic and clinical-epidemiological variables and multibacillary leprosy in the state of northeastern Brazil. Methodology: This is a cross-sectional, analytical, and retrospective study, with a quantitative approach, carried out in 16 municipalities in the southwest of Maranhão State, northeastern Brazil. All cases of leprosy reported between January 2008 and December 2017 were considered. Sociodemographic and clinical-epidemiological variables were analyzed using descriptive statistics. The identification of the risk factors associated with multibacillary leprosy was conducted using Poisson regression models. The prevalence ratios and respective 95% confidence intervals were estimated using regression coefficients at a 5% significance level. Results: A total of 3,903 leprosy cases were analyzed. Individuals older than 15 years, males, with less than 8 years of education, with level I, II, or "not evaluated" disability, and with type 1 or 2 or both reactional states were more likely to have multibacillary leprosy. Therefore, these characteristics may be considered risk factors. No protective factors were identified. Conclusions: The investigation revealed important associations between risk factors and multibacillary leprosy. The findings can be considered during the creation of strategies to control and combat the disease.

show abstract

Perfil clínico-epidemiológico de pessoas acometidas por úlceras neurotróficas decorrentes de hanseníase

Cited by 2 publications

References 20 publications

Epidemiological clinical profile and closure of chronic plantar ulcers in patients with leprosy sequelae undergoing orthopedic surgery in a municipality in western Amazon

Epidemiological clinical profile and closure of chronic plantar ulcers in patients with leprosy sequelae undergoing orthopedic surgery in a municipality in western Amazon

Factors associated with multibacillary leprosy in a region of northeastern Brazil

Contact Info

Product

Resources

About