Pathophysiology and clinical management of leverage: a literature review

Authors

DOI:

https://doi.org/10.33448/rsd-v11i9.32217

Keywords:

Epidemiology; Leprosy; Clinical management.

Abstract

Leprosy is a chronic, infectious disease whose etiologic agent is Mycobacterium leprae, an intracellular parasite with tropism for cutaneous macrophages and Schwann cells of the peripheral nervous system. Worldwide, 210,758 new cases were diagnosed in 2015. The present study aims to analyze leprosy and its clinical management. This is an integrative literature review, carried out through the Virtual Health Library (VHL) in Pubmed databases, using the crossings of the English descriptors “Leprosy”, “Epidemiology”. To evaluate the research problem and its stratification, the PVO strategy (Population/Problem, Variable/Results and Outcomes/Outcomes) was used, with the following strategy being formulated. The aforementioned strategy allowed us to formulate the following guiding question: "How is the clinical management of leprosy performed?". Leprosy can present in different ways, depending on the immune response of the infected individual. The main signs and symptoms of leprosy are: areas of skin, or whitish (hypochromic), brownish or reddish patches, with changes in sensitivity to heat and/or painful, and/or to touch; it hurts without realizing it; Papules, tubercles and nodules (lumps), usually without symptoms; Decreased or shedding of hair, localized or diffuse, especially in the eyebrows (madarosis); Infiltrated (reddish) skin, with decrease or absence of sweat at the site. Measures against leprosy must continue and be intensified in regions with the greatest aggravations, aiming at an effective homogeneous control of the disease.

References

Aamir, M., et al. (2018) Recent Advancement in the Diagnosis and Treatment of Leprosy. Curr Top Med Chem. 18(18)1550-1558.

Abdela, S. G., et al. (2020) Delayed diagnosis and ongoing transmission of leprosy in the post-elimination era in Boru Meda hospital, Ethiopia. J Infect Dev Ctries.,14(6)10-15,

Arnaiz, M. R., Iglesias, M. S., Franco, J. I., Arzamendia, L., Santini, M. S., & Recalde, H. C. (2021). Situação e previsão da hanseníase na ainda endêmica província de Formosa no norte da Argentina. PLoS negligenciadas doenças tropicais, 15 (1).

Bulstra, C. A., Blok, D. J., Alam, K., et al. (2021). Geospatial epidemiology of leprosy in northwest Bangladesh: a 20-year retrospective observational study. Infect Dis Poverty., 10(1).

Das, M., Diana, D., Wedderburn, A., Rajan, L., Rao, S., Horo, I., & Vedithi, S.C. (2020) Molecular epidemiology and transmission dynamics of leprosy among multicase families and case-contact pairs. Int J Infect Dis. 96:172-179.

Dharmawan, Y., Fuady, A., Korfage, I., et al. (2021). Individual and community factors determining delayed leprosy case detection: A systematic review. PLoS Negl Trop Dis., 15(8).

Fischer, M. (2017) Leprosy - an overview of clinical features, diagnosis, and treatment. J Dtsch Dermatol Ges., 15 (8) 801-827, 2017.

Fragozo-ramos, M. C., Cano-pérez, E., Sierra-merlano, R. M., et al (2021). Clinical, histopathological, and molecular characterization of leprosy in an endemic area of the colombian caribbean. Int J Mycobacteriol., 10(2)155-161.

Galvão, C. M., et al. (2012). Revisão integrativa: método de revisão para sintetizar as evidências disponíveis na literatura. In: Brevidelli MM, Sertório SCM. Trabalho de conclusão de curso: guia prático para docentes e alunos da área da saúde. 105-26.

Govindasamy, K., Jacob, I., Solomon, R. M, & Darlong, J. (2021). Carga de depressão e ansiedade entre os fatores associados e afetados pela hanseníase - Um estudo transversal da Índia. PLoS negligenciadas doenças tropicais, 15 (1).

Jiang, Y., Dou, X., Wan, K, et al. (2021) Epidemiological Characteristics and Trends of Registered Leprosy Cases in China From 2004 to 2016. Am J Trop Med Hyg.,105(1),31-36.

Kabo, A. K., Kaman, K., Doungous, D. M., Ouedraogo, L., Abakar, M., Godreuil, S., & Beng, V. P. (2022). Epidémiologie de la lèpre au Tchad de 2015 à 2019 [Epidemiology of leprosy in Chad from 2015 to 2019]. The Pan African medical journal, 41, 120.

Maymone M. B. C., Laughter M., Venkatesh S., Dacso M. M., Rao P. N., Stryjewska, B. M., Hugh J., Dellavalle R. P., Dunnick C. A. (2020) Leprosy: Clinical aspects and diagnostic techniques. J Am Acad Dermato.83(1):1-14.

Ogunsumi, D.O., Lal, V., Puchner, K.P., et al (2021). Measuring endemicity and burden of leprosy across countries and regions: A systematic review and Delphi survey. PLoS Negl Trop Dis.,15 (9).

Palit A., & Kar, H. K. (2020) Prevention of transmission of leprosy: The current scenario. Indian J Dermatol Venereol Leprol. 86(2):115-123.

Ploemacher, T., Faber, W. R., Menke, H., Rutten, V., & Pieters, T. (2020). Reservoirs and transmission routes of leprosy; A systematic review. PLoS neglected tropical diseases, 14(4), e0008276.

Silva, C., Bernardes Filho, F., Voltan, G., Santana, J. M., Leite, M. N., Lima, F. R., Santana, L. A., de Paula, N. A., Onofre, P., Marques-Junior, W., Tomaz, V. A., Pinese, C., & Frade, M. (2021). Estratégias inovadoras de rastreamento, busca ativa e acompanhamento de casos novos de hanseníase na população carcerária feminina. PLoS negligenciadas doenças tropicais, 15 (8).

Ule belotti, N. C., et al (2021). Laboratory diagnosis of leprosy: Two staining methods from bacilloscopy and rapid ml flow test. Int J Mycobacteriol., 10(4) 393-397.

Wangara, F., Kipruto, H., Ngesa, O., et al (2019). The spatial epidemiology of leprosy in Kenya: A retrospective study. PLoS Negl Trop Dis., 13(4).

Wu, L., Shen, Y., Yao, Q., Sang, X., Fei, L., Kong, W., Huang, Y., Wang, Y., Zeng, F., & Du, N. (2021). Características de distribuição espaço-temporal da hanseníase: um novo desafio para a prevenção e controle da hanseníase em Zhejiang, China. PLoS negligenciadas doenças tropicais, 15 (1).

Published

18/07/2022

How to Cite

ALVES, A. K. R.; NASCIMENTO , M. das G. do .; BRITO, L. A.; SILVA, E. G. de C.; COSTA , A. S. B. F. .; OLIVEIRA JUNIOR, I. .; LIRA, E. J. D.; ARAÚJO , A. L. D. de .; LIMA , G. V. de S. .; COSTA , L. M. de A. L. . Pathophysiology and clinical management of leverage: a literature review. Research, Society and Development, [S. l.], v. 11, n. 9, p. e53811932217, 2022. DOI: 10.33448/rsd-v11i9.32217. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/32217. Acesso em: 25 apr. 2024.

Issue

Section

Health Sciences