Tuberculose cutânea : estudo descritivo dos pacientes atendidos no período de 1986-2011 no Hospital Universitário Cassiano Antonio Moraes-Vitória-Espírito Santo-Brasil
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Data
2013-05-24
Autores
Spelta, Karla
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Universidade Federal do Espírito Santo
Resumo
Introduction: Tuberculosis is a serious public health issue in Brazil. Therefore, it is important to understand the clinical aspects of its cutaneous manifestations, which has been rarely documented so far. Objective: To study the characteristics of patients diagnosed with cutaneous tuberculosis in the University Hospital Cassiano Antonio Moraes, in Vitoria, Espírito Santo, Brazil, and to contribute to the scarse literature available on this subject. Patients and Methods: This is a transversal, descriptive, observational, homodemic study of the charts of 29 patients diagnosed with cutaneous tuberculosis from the hospital s Dermatology and Pulmonology Departaments, consulted from 1986 to 2011. The inclusion criteria was the diagnostic confirmation of cutaneous tuberculosis, which considered clinical, epidemiological, immunological and bacteriological findings and response to specific treatment. Results: Out of the total number of patients, 18 came from the Dermatology Departament and 11 from the Pulmonology Department; 18 (62%) patients were female; the mean age was 35 years; the predominant clinical form was erythema induratum of Bazin in 12 (41,4%) cases and the cutaneous lesions were localized in the lower limbs in 19 patients (65,8%). Extracutaneous manifestations occurred in eight (27,6%) cases. The tuberculin skin test, performed in 19 patients, was positive in 15 (78,9%) of them, but the identification of the infeccious agent was unsuccessful in most cases. The standard treatment protocol was used in 23 (79,3%) patients. Discussion and Conclusion: The study revealed a low prevalence (0,44%) of cutaneous tuberculosis in an highly prevalent area of pulmonary tuberculosis. It was more frequent in females, and predominated in the forth decade of life. The erythema induratum of Bazin in the lower limbs was the most frequent clinical form. Other studies, on the contrary, found scrofuloderma to be the most common cutaneous manifestation, usually localized on the cervical region of children and young males. This was the first report on cutaneous tuberculosis in the state of Espirito Santo, Brazil.
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Palavras-chave
Tuberculosis , Cutaneous tuberculosis , Epidemiology , Tuberculid , Tubercúlide
Citação
SPELTA, Karla. Tuberculose cutânea : estudo descritivo dos pacientes atendidos no período de 1986-2011 no Hospital Universitário Cassiano Antonio Moraes-Vitória-Espírito Santo-Brasil. 2013. 96 f. Dissertação (Mestrado em Medicina) - Programa de Pós-Graduação em Medicina, Universidade Federal do Espírito Santo, Vitória, 2013.