Database : HANSEN
Search on : BIOPSIA/UTIL [Subject descriptor]
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Id:18419
Author:Patrocinio, Lucas Gomes; Goulart, Isabela Maria Bernardes; Goulart, Luiz Ricardo; Patrocinio, Jose Antonio; Ferreira, Frederico Regerio; Fleury, Raul Negrao
Title:Detection of Mycobacterium leprae in nasal mucosa biopsies by the polymerase chain reaction ..-
Source:s.l; s.n; 2005. 6 p. ilus, tab.
Abstract:Several discoveries about leprosy indicate that Mycobacterium leprae transmission mainly accurs by inhalation, and the nose is major port of entry and exit. The present study evaluated the clinical application of PCR for detection of M. leprae DNA in nasal mucosa biopsies in untreated leprosy patients (52) and their contacts (99) from the State Reference Center in Sanitary Dermatology and Leprosy, Uberlandia, MG, Brazil. PCR detection of a 372-base pair DNA fragment from M. leprae was accomplished in 36 (69.2%) patients, from which 34 (91.9%) of them were multibacillaries. Furhermore, PCR was positive in 3 (16.7%) of 18 slit-skin smear negative, 4 (25.0%) of 16 skin lesion BI negative, 8 (33.3%) of 24 nasal mucosa BI negative patients, and 10 of 99 contacts (10.1%). The presence of bacilli in 10.1% of the contats may potentially reflect an occult leprosy, and reflect an occult leprosy, and these patients must be accompanied, followed by a chemoprophylaxy treatment. Considering all PCR results against clinical and BI classification of patients and controls, we have found a sensitivity of 69.2%, a specificity of 89.9% and an accuracy of 82.8%. It has been demonstrated here through PCR of nasal biopsies that the bacillus invades the mucosa, passing through the nasal inferior turbinate to reach peripheral blood. Therefore, the molecular investigation of invasive nasal biopsies by PCR tests has proven to be useful in defining patients of higher risk of transmission and risk-group contacts, which is an important step ti reach the World Health Organization objective towards the elimination of leprosy as a public health problem (AU).
Descriptors:MUCOSA NASAL/imunol
MUCOSA NASAL/les
MUCOSA NASAL/microbiol
MUCOSA NASAL/patol
MYCOBACTERIUM LEPRAE/isol
MYCOBACTERIUM LEPRAE/ultraest
REACAO EM CADEIA DA POLIMERASE/estatíst
REACAO EM CADEIA DA POLIMERASE/tend
REACAO EM CADEIA DA POLIMERASE/util
BIOPSIA/estatíst
 BIOPSIA/tend
 BIOPSIA/util
 HANSENIASE/clas
 HANSENIASE/diag
 HANSENIASE/microbiol
 HANSENIASE/patol
Limits:HUMANO
Location:BR191.a; 09307/s


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Id:18329
Author:Fasal, P
Title:Leprosy occurs everywhere ?-
Source:San Francisco; s.n; 1965. 7p p. ilus.
Abstract:Leprosy can occur at all ages, in both sexes and in every race. It can be found in any geographic area and can simulate many diseases, especially those affecting the skin. The lepromatous type indicates less host resistance than the tuberculoid type. Histopathologic examination of a properly stained specimen obtained by skin biopsy is the most important diagnostic procedure. Treatment consist of long-term chemotherapy with sulfone drugs.
Descriptors:HANSENIASE/clas
HANSENIASE/compl
HANSENIASE/diag
HANSENIASE/epidemiol
HANSENIASE/imunol
HANSENIASE/terap
HANSENIASE/transm
HANSENIASE DIMORFA/diag
HANSENIASE TUBERCULOIDE/diag
HANSENIASE VIRCHOWIANA/diag
HANSENIASE/patol
DAPSONA/admin
DAPSONA/uso terap
DISTRIBUICAO ESPACIAL
 ANTIGENO DE MITSUDA/admin
 ANTIGENO DE MITSUDA/anal
 BIOPSIA/util
Limits:HUMANO
Location:BR191.1; 00198/s


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Id:18202
Author:Walsh, Douglas S; Lane, Joshua E; Abalos, Rodolfo M; Myint, Khin Saw Aye
Title:Tunel and limited immunophenotypic analysis of apoptosis in paucibacillary leprosy lesions ..-
Source:s.l; s.n; 2004. 5 p. ilus.
Abstract:Some mycobacterial infections, such as tuberculosis, are characterized by apoptosis in infected or by-stander mononuclear immune cells. For localized (paucibacillary, PB) and diseminated (multibacillary, MB) leprosy, characterized by polarized Thl-like vs, Th2-like immune responses, respectivelly little is known about lesional apoptosis. We analyzed sections of paraffin-embedded, untreated leprosy lesions from 21 patients by an indirect immunofluorescent terminal deoxynucleotide-transferase-mediated dUTP-digoxigenin nick end labeling (TUNEL) assay. Some TUNEL (+) PB sections were then reacted with phycoerythein-conjugated (red)antibodies against T cells, monocytes, or antigen-presenting (Langerhans) cells. TUNEL (+) bodies were detected in 9 of 16 PB lesions (56%) and in 1 of 5 MB lesions (20%). Some TUNELL (+) bodies in PB disease were CD3+ (T cell), as well as CD4+ (T-helper) or cd8+ (T-cytotoxic) Apoptosis characterizes PB and MB leprosy lesions and may be more freqeunt in PB disease. In PB disease, some TUNEL (+) bodies may derive from T cells (AU).
Descriptors:HANSENIASE DIMORFA/imunol
HANSENIASE VIRCHOWIANA/imunol
HANSENIASE TUBERCULOIDE/imunol
HANSENIASE/imunol
IMUNOHISTOQUIMICA/util
MYCOBACTERIUM LEPRAE/patogen
HANSENIASE/patol
HANSENIASE DIMORFA/patol
HANSENIASE VIRCHOWIANA/patol
HANSENIASE TUBERCULOIDE/patol
APOPTOSE/imunol
 APOPTOSE/fisiol
 IMUNOHISTOQUIMICA/normas
 BIOPSIA/util
Limits:HUMANO
Location:BR191.1; 09200/s


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Id:9527
Author:Boros, Luis Fernando; Fleury, Raul Negrao; Assis, Gerson Francisco de; Ura, Somei
Title:Diagnostico da amiloidose secundaria por biopsia de glandula salivar menor de mucosa labial em pacientes com hanseniase virchoviana Secondary amyloidosis diagnosis by biopsy of labial salivary gland in lepromatous leprosy patients-
Source:Bauru; s.n; 1996. 8 p. ilus, tab.
Descriptors:AMILOIDOSE
GLANDULAS SALIVARES MENORES
HANSENIASE
PATOLOGIA BUCAL
BIOPSIA
BIOPSIA
MUCOSA BUCAL
Location:BR191.1; 06203/s



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