Risk factors for mucosal manifestation of American cutaneous leishmaniasis.
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Data
2003
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Resumo
A case-comparison study was carried out to identify risk factors for mucosal
manifestations of American cutaneous leishmaniasis (ACL) in southeast Brazil,
using a series of 2820 patients, diagnosed with ACL between 1966 and 1999. The
significant factors independently associated with mucosal leishmaniasis were: gender,
age, nutritional status and length of disease. Mucosal leishmaniasis occurred
1.7 times more frequently among males than females; twice as often in individuals
older than 22 years compared with the younger group; almost four times as often in
individuals with severe malnutrition compared with those who were well nourished;
and almost four times more frequently in individuals reporting the disease for more
than 4 months compared with those reporting a shorter duration of the disease.
Among individuals older than 22 years the risk of mucosal leishmaniasis increased
significantly (from 1.9 to 9.6) as the nutritional status decreased, when compared
with younger and well-nourished patients. The characteristics herein described and
correlated with severe forms could be used as diagnostic markers as part of clinical
screening in areas endemic for ACL.
Descrição
Palavras-chave
Leishmaniasis, Epidemiology, Risk factors, Mucosal lesions
Citação
COELHO, G. L. L. M. et al. Risk factors for mucosal manifestation of American cutaneous leishmaniasis. Transactions of the Royal Society of Tropical Medicine and Hygiene, Inglaterra, v. 99, n.1, p. 55-61, 2005. Disponível em: <https://academic.oup.com/trstmh/article-abstract/99/1/55/1911330/Risk-factors-for-mucosal-manifestation-of-American?redirectedFrom=fulltext>. Acesso em: 29 jan. 2017.