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Sporotrichoid leishmaniasis: a cross-sectional clinical, epidemiological and laboratory study in Rio de Janeiro State, Brazil.

Abstract Atypical presentations of cutaneous leishmaniasis include sporotrichoid leishmaniasis (SL), which is clinically described as a primary ulcer combined with lymphangitis and nodules and/or ulcerated lesions along its pathway.
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Authors

Mayor MeshTerms

Leishmania braziliensis

Keywords
Journal Title revista do instituto de medicina tropical de sao paulo
Publication Year Start




PMID- 28591261
OWN - NLM
STAT- MEDLINE
DA  - 20170607
DCOM- 20170705
LR  - 20170705
IS  - 1678-9946 (Electronic)
IS  - 0036-4665 (Linking)
VI  - 59
DP  - 2017 Jun 01
TI  - Sporotrichoid leishmaniasis: a cross-sectional clinical, epidemiological and
      laboratory study in Rio de Janeiro State, Brazil.
PG  - e33
LID - S0036-46652017005000219 [pii]
LID - 10.1590/S1678-9946201759033 [doi]
AB  - Background: Atypical presentations of cutaneous leishmaniasis include
      sporotrichoid leishmaniasis (SL), which is clinically described as a primary
      ulcer combined with lymphangitis and nodules and/or ulcerated lesions along its
      pathway. Aims: To assess the differences between patients with sporotrichoid
      leishmaniasis and typical cutaneous leishmaniasis (CL). Methods: From January
      2004 to December 2010, 23 cases of SL (4.7%) were detected among 494 CL patients 
      diagnosed at a reference center for the disease in Rio de Janeiro State, Brazil. 
      These 23 cases were compared with the remaining 471 patients presenting CL.
      Results: SL predominated in female patients (60.9%, p = 0.024), with older age (p
      = 0.032) and with lesions in upper limbs (52.2%, p = 0.028). CL affected more men
      (64.5%), at younger age, and with a higher number of lesions exclusively in lower
      limbs (34.8%). Conclusions: Differences in clinical and epidemiological
      presentation were found between SL patients as compared to CL ones, in a region
      with a known predominance of Leishmania (Viannia) braziliensis. The results are
      similar to the features of most of the sporotrichosis patients as described in
      literature, making the differential diagnosis between ATL and sporotrichosis more
      important in overlapping areas for both diseases, like in Rio de Janeiro State.
FAU - Carvalho, Livia Martins Veloso de
AU  - Carvalho LMV
AD  - Fundacao Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Rio de 
      Janeiro, Rio de Janeiro, Brazil.
AD  - Fundacao Oswaldo Cruz, Instituto Oswaldo Cruz, Rio de Janeiro, Rio de Janeiro,
      Brazil.
FAU - Pimentel, Maria Ines Fernandes
AU  - Pimentel MIF
AD  - Fundacao Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Rio de 
      Janeiro, Rio de Janeiro, Brazil.
FAU - Conceicao-Silva, Fatima
AU  - Conceicao-Silva F
AD  - Fundacao Oswaldo Cruz, Instituto Oswaldo Cruz, Rio de Janeiro, Rio de Janeiro,
      Brazil.
FAU - Vasconcellos, Erica de Camargo Ferreira E
AU  - Vasconcellos ECFE
AD  - Fundacao Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Rio de 
      Janeiro, Rio de Janeiro, Brazil.
FAU - Valete-Rosalino, Claudia Maria
AU  - Valete-Rosalino CM
AD  - Fundacao Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Rio de 
      Janeiro, Rio de Janeiro, Brazil.
AD  - Universidade Federal do Rio de Janeiro, Departamento de Otorrinolaringologia e
      Oftalmologia, Rio de Janeiro, Rio de Janeiro, Brazil.
FAU - Lyra, Marcelo Rosandiski
AU  - Lyra MR
AD  - Fundacao Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Rio de 
      Janeiro, Rio de Janeiro, Brazil.
FAU - Salgueiro, Mariza de Matos
AU  - Salgueiro MM
AD  - Fundacao Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Rio de 
      Janeiro, Rio de Janeiro, Brazil.
FAU - Saheki, Mauricio Naoto
AU  - Saheki MN
AD  - Fundacao Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Rio de 
      Janeiro, Rio de Janeiro, Brazil.
FAU - Madeira, Maria de Fatima
AU  - Madeira MF
AD  - Fundacao Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Rio de 
      Janeiro, Rio de Janeiro, Brazil.
FAU - Mouta-Confort, Eliame
AU  - Mouta-Confort E
AD  - Fundacao Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Rio de 
      Janeiro, Rio de Janeiro, Brazil.
FAU - Antonio, Liliane de Fatima
AU  - Antonio LF
AD  - Fundacao Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Rio de 
      Janeiro, Rio de Janeiro, Brazil.
FAU - Silva, Aline Fagundes da
AU  - Silva AFD
AD  - Fundacao Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Rio de 
      Janeiro, Rio de Janeiro, Brazil.
FAU - Quintella, Leonardo Pereira
AU  - Quintella LP
AD  - Fundacao Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Rio de 
      Janeiro, Rio de Janeiro, Brazil.
FAU - Bedoya-Pacheco, Sandro Javier
AU  - Bedoya-Pacheco SJ
AD  - Fundacao Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Rio de 
      Janeiro, Rio de Janeiro, Brazil.
AD  - Fundacao Oswaldo Cruz, Escola Nacional de Saude Publica Sergio Arouca, Rio de
      Janeiro, Rio de Janeiro, Brazil.
FAU - Schubach, Armando de Oliveira
AU  - Schubach AO
AD  - Fundacao Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Rio de 
      Janeiro, Rio de Janeiro, Brazil.
AD  - Fellowship from Conselho Nacional de Desenvolvimento Cientifico e Tecnologico and
      Fundacao Carlos Chagas Filho de Amparo a Pesquisa do Estado do Rio de Janeiro,
      Brazil.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20170601
PL  - Brazil
TA  - Rev Inst Med Trop Sao Paulo
JT  - Revista do Instituto de Medicina Tropical de Sao Paulo
JID - 7507484
SB  - IM
MH  - Adult
MH  - Biopsy
MH  - Brazil/epidemiology
MH  - Cross-Sectional Studies
MH  - Enzyme-Linked Immunosorbent Assay
MH  - Female
MH  - Fluorescent Antibody Technique, Indirect
MH  - Humans
MH  - Immunohistochemistry
MH  - *Leishmania braziliensis
MH  - Leishmaniasis, Cutaneous/*diagnosis/epidemiology/pathology
MH  - Male
PMC - PMC5459540
EDAT- 2017/06/08 06:00
MHDA- 2017/07/06 06:00
CRDT- 2017/06/08 06:00
PHST- 2016/08/18 [received]
PHST- 2017/02/22 [accepted]
AID - S0036-46652017005000219 [pii]
AID - 10.1590/S1678-9946201759033 [doi]
PST - epublish
SO  - Rev Inst Med Trop Sao Paulo. 2017 Jun 1;59:e33. doi: 10.1590/S1678-9946201759033.