17 research outputs found
Oral manifestations in the American tegumentary leishmaniasis
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Previous issue date: 2014IPEC, Papes VI/FIOCRUZ, CNPq, PROEP-CNPq, FAPERJFundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Imunoparasitologia. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil / Universidade Federal do Rio de Janeiro. Departamento de Otorrinolaringologia e Oftalmologia. Rio de Janeiro, RJ, Brasil.Abstract
Introduction: American tegumentary leishmaniasis (ATL) can affect the skin or mucosa (mucocutaneous leishmaniasis –
MCL) including the oral cavity. MCL oral lesions are often confused with other oral diseases, delaying diagnosis and specific
treatment, and increasing the likelihood of sequelae. Thus, increasing the knowledge of the evolution of ATL oral lesions can
facilitate its early diagnosis improving the prognosis of healing.
Objectives: Evaluate the frequency of ATL oral lesion and describe its clinical, laboratory and therapeutic peculiarities.
Methods: A descriptive transversal study was carried out, using data from medical records of 206 patients with MCL
examined at the outpatient clinics-IPEC-Fiocruz between 1989 and 2013. Proportions were calculated for the categorical
variables and the association among them was assessed by the Pearson’s chi-square test. Measures of central tendency and
dispersion were used for the continuous variables and their differences were assessed by both parametric (t test) and non
parametric (Mann-Whitney) tests. P-values ,0.05 were considered as significant.
Results: The most affected site was the nose, followed by the mouth, pharynx and larynx. Seventy eight (37.9%) have oral
lesions and the disease presented a lower median of the evolution time than in other mucous sites as well as an increased
time to heal. The presence of oral lesion was associated with: the presence of lesions in the other three mucosal sites; a
smaller median of the leishmanin skin test values; a longer healing time of the mucosal lesions; a higher recurrence
frequency; and a smaller frequency of treatment finishing and healing. When the oral lesion was isolated, it was associated
with an age 20 years lower than when the oral lesion was associated with other mucosal sites.
Conclusion: Considering the worst therapy results associated with the presence of oral lesions, we suggest that lesions in
this location represent a factor of worse prognosis for MCL
Evaluation of voice disorders in patients with active laryngeal tuberculosis
Submitted by Repositório Arca ([email protected]) on 2019-04-24T17:38:43Z
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license.txt: 1748 bytes, checksum: 8a4605be74aa9ea9d79846c1fba20a33 (MD5)
Previous issue date: 2015Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Vigilância em Leishmanioses. Rio de Janeiro, RJ, Brasil / Federal University of Rio de Janeiro. Department of Speech Pathology. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Vigilância em Leishmanioses. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Vigilância em Leishmanioses. Rio de Janeiro, RJ, Brasil.Federal University of Rio de Janeiro. Rio de Janeiro, RJ, Brazil.Federal University of Rio de Janeiro. Department of Speech Pathology. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Vigilância em Leishmanioses Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Vigilância em Leishmanioses. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Vigilância em Leishmanioses. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Vigilância em Leishmanioses. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Vigilância em Leishmanioses. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em Micobacterioses. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Vigilância em Leishmanioses. Rio de Janeiro, RJ, Brasil / Federal University of Rio de Janeiro. Department of Otorhinolaryngology and Ophthalmology. Rio de Janeiro, RJ, Brazil.Introduction: Laryngeal tuberculosis (LTB) is the most frequent larynx granulomatous disease. In general
there is lung involvement, but in an important proportion of cases you can find LTB without pulmonary disease. The lesions observed in LTB, such as ulceration and fibrosis, can interfere in the process of voice production. The involvement of the mucous lining of the vocal folds can change their flexibility and, consequently, change voice quality, and the main symptom is dysphonia present in almost 90% of cases. Objective: To describe the anatomical characteristics and voice quality in LTB patients. Material and Method: A descriptive cross-sectional study was conducted with 24 patients. Result: The most frequently affected sites were vocal folds in 87.5% patients, vestibular folds in 66.7%, epiglottis in 41.7%, arytenoid in 50%, aryepiglottic folds in 33.3%, and interarytenoid region in 33.3% patients. We found 95.8% cases of dysphonia. The voice acoustic analysis
showed 58.3% cases of Jitter alterations, 83.3% of Shimmer and 70.8% of GNE. Conclusion: Voice disorders found in active laryngeal tuberculosis are similar to those reported after clinical healing of the disease, suggesting that sequelae and vocal adjustments may install during the active phase of the disease, negatively impacting the process of vocal quality reestablishment
Decoration of Prague's tenement houses in the last third of the XIXth century and the beginning of XXth century
The work discribes decoration of Prague's tenement houses in the last third of the XIX.Century and the beginning of XX.Century. In the first instance it addresses questions of decoration at general level, the character and disposition of decorative elements on houses facades. Concisely it considers the materials and techniques used in the decoration of houses and it discusses usual methods of compositional solutions and disposition of decoration. Hereafter this work summarises in a brief survey the subjects of decoration in the reviewed period. Individual decorative elements may have decorative sense; otherwhile they express semantic or ideological meaning
Factors Associated with Clinical and Topographical Features of Laryngeal Tuberculosis - Fig 1
<p><b>Pictures of images obtained by Videolaryngoscopy</b>: a- Hyperemic and flat lesion, with smooth surface of right true vocal fold—example of nonspecific inflammatory lesion. b- Hyperemic lesion, with exophytic appearance with rough surface located in the false vocal folds–example of granulomatous lesion. c- Example of ulcerated lesion with fibrin located in aryepiglottic fold and right arytenoid region.d- Example of erosive lesion of the right half of the epiglottis. Source: Files of the Department of Otorhinolaryngology of the Evandro Chagas National Institute of Infectious Diseases (INI)-FIOCRUZ.</p
Frequencies of categorical variables related to the epidemiological and clinical characteristics of 36 patients with laryngeal tuberculosis diagnosed at the Evandro Chagas National Institute of Infectious Diseases—FIOCRUZ, from 2004 to 2014.
<p>Frequencies of categorical variables related to the epidemiological and clinical characteristics of 36 patients with laryngeal tuberculosis diagnosed at the Evandro Chagas National Institute of Infectious Diseases—FIOCRUZ, from 2004 to 2014.</p
Frequency of complementary examination results in 36 patients with laryngeal tuberculosis treated at the Evandro Chagas National Institute of Infectious Diseases- FIOCRUZ, from 2004 to 2014.
<p>Frequency of complementary examination results in 36 patients with laryngeal tuberculosis treated at the Evandro Chagas National Institute of Infectious Diseases- FIOCRUZ, from 2004 to 2014.</p
Evolution of the mucosal lesions, leishmanin skin test and healing times of 206 patients with mucocutaneous leishmaniasis compared as regard the presence or not of isolated nasal lesions by the Mann-Whitney test with p value.
<p>INI-FIOCRUZ, 2014. N- total number, n-valid numbers, LST - leishmanin skin test, HT- healing time, <b>bold- significant p value</b>.</p><p>Evolution of the mucosal lesions, leishmanin skin test and healing times of 206 patients with mucocutaneous leishmaniasis compared as regard the presence or not of isolated nasal lesions by the Mann-Whitney test with p value.</p
Clinical and therapeutic characteristics of 206 patients with mucocutaneous leishmaniasis. INI FIOCRUZ, 2014.
<p>n-valid numbers, Md - median, IQR - interquartile range.</p><p>Clinical and therapeutic characteristics of 206 patients with mucocutaneous leishmaniasis. INI FIOCRUZ, 2014.</p
Evolution of the mucosal lesions, leishmanin skin test and healing times of 78 patients with oral leishmaniasis compared as regard the presence or not of isolated oral lesions by the Mann-Whitney test with p value. INI-FIOCRUZ, 2014.
<p>N- total number, n-valid numbers, LST - leishmanin skin test, HT- healing time, <b>bold- significant p value</b>.</p><p>Evolution of the mucosal lesions, leishmanin skin test and healing times of 78 patients with oral leishmaniasis compared as regard the presence or not of isolated oral lesions by the Mann-Whitney test with p value. INI-FIOCRUZ, 2014.</p