Pain in Hansen's disease patients
BACKGROUND AND OBJECTIVES: The involvement of peripheral nerves is a major characteristic of Hansen's disease and may lead to physical incapacity and deformity. This study aimed at evaluating the clinical-epidemiological characteristics of Hansen's disease patients with pain complaints to...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira para o Estudo da Dor
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| Series: | Revista Dor |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-00132011000100004&lng=en&tlng=en |
| _version_ | 1818776249123733504 |
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| author | Felicia Holanda Pucci Cristiana R. Teófilo Sofia G. A. Aragão Lara G. F. Távora |
| author_facet | Felicia Holanda Pucci Cristiana R. Teófilo Sofia G. A. Aragão Lara G. F. Távora |
| author_sort | Felicia Holanda Pucci |
| collection | DOAJ |
| description | BACKGROUND AND OBJECTIVES: The involvement of peripheral nerves is a major characteristic of Hansen's disease and may lead to physical incapacity and deformity. This study aimed at evaluating the clinical-epidemiological characteristics of Hansen's disease patients with pain complaints to develop health actions directed to early diagnosis and treatment of the disease. METHOD: Retrospective study in 732 records of patients with presumed or confirmed Hansen's disease diagnosis, treated in the Dermatological Reference Center of Fortaleza from January to December 2008. Physical incapacity, presence of eye deformities such as lagophtalmos, trichiasis, corneal opacity and decreased visual acuity, claw hand, drop hands or feet, ankle contracture and bone reabsorption were considered. RESULTS: From all evaluated patients, 65.9% had loss of tactile, thermal or painful sensitivity, indicating involvement of skin fibers; 4.31% of them had severe pain at palpation of some nerve, especially tibial (50%), ulnar (43.8%), radial (21.9%) and fibular (21.9%). Initial symptoms for these patients were white or reddish spots (56.2%), decreased sensitivity (40.6%), decreased muscular strength (15.6%) and physical incapacity (12.5%). CONCLUSION: The incidence of skin manifestations was more prevalent, followed by neurological manifestations being radial, fibular, ulnar and tibial nerves the most affected in patients with pain complaints. |
| first_indexed | 2024-12-18T11:09:56Z |
| format | Article |
| id | doaj.art-3372f3392b814df8bcf536df17b44200 |
| institution | Directory Open Access Journal |
| issn | 1806-0013 2317-6393 |
| language | English |
| last_indexed | 2024-12-18T11:09:56Z |
| publisher | Sociedade Brasileira para o Estudo da Dor |
| record_format | Article |
| series | Revista Dor |
| spelling | doaj.art-3372f3392b814df8bcf536df17b442002022-12-21T21:10:01ZengSociedade Brasileira para o Estudo da DorRevista Dor1806-00132317-6393121151810.1590/S1806-00132011000100004S1806-00132011000100004Pain in Hansen's disease patientsFelicia Holanda Pucci0Cristiana R. Teófilo1Sofia G. A. Aragão2Lara G. F. Távora3Universidade de FortalezaUniversidade de FortalezaUniversidade de FortalezaUniversidade de FortalezaBACKGROUND AND OBJECTIVES: The involvement of peripheral nerves is a major characteristic of Hansen's disease and may lead to physical incapacity and deformity. This study aimed at evaluating the clinical-epidemiological characteristics of Hansen's disease patients with pain complaints to develop health actions directed to early diagnosis and treatment of the disease. METHOD: Retrospective study in 732 records of patients with presumed or confirmed Hansen's disease diagnosis, treated in the Dermatological Reference Center of Fortaleza from January to December 2008. Physical incapacity, presence of eye deformities such as lagophtalmos, trichiasis, corneal opacity and decreased visual acuity, claw hand, drop hands or feet, ankle contracture and bone reabsorption were considered. RESULTS: From all evaluated patients, 65.9% had loss of tactile, thermal or painful sensitivity, indicating involvement of skin fibers; 4.31% of them had severe pain at palpation of some nerve, especially tibial (50%), ulnar (43.8%), radial (21.9%) and fibular (21.9%). Initial symptoms for these patients were white or reddish spots (56.2%), decreased sensitivity (40.6%), decreased muscular strength (15.6%) and physical incapacity (12.5%). CONCLUSION: The incidence of skin manifestations was more prevalent, followed by neurological manifestations being radial, fibular, ulnar and tibial nerves the most affected in patients with pain complaints.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-00132011000100004&lng=en&tlng=enhansen's diseaseneuropathypain |
| spellingShingle | Felicia Holanda Pucci Cristiana R. Teófilo Sofia G. A. Aragão Lara G. F. Távora Pain in Hansen's disease patients Revista Dor hansen's disease neuropathy pain |
| title | Pain in Hansen's disease patients |
| title_full | Pain in Hansen's disease patients |
| title_fullStr | Pain in Hansen's disease patients |
| title_full_unstemmed | Pain in Hansen's disease patients |
| title_short | Pain in Hansen's disease patients |
| title_sort | pain in hansen s disease patients |
| topic | hansen's disease neuropathy pain |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-00132011000100004&lng=en&tlng=en |
| work_keys_str_mv | AT feliciaholandapucci paininhansensdiseasepatients AT cristianarteofilo paininhansensdiseasepatients AT sofiagaaragao paininhansensdiseasepatients AT laragftavora paininhansensdiseasepatients |