Chronic Pain in Hansen’s Disease – A Public Health Problem?

Detalhes bibliográficos
Autor(a) principal: R N A G Stump, Patrick
Data de Publicação: 2006
Outros Autores: Virmond, Marcos, Baccarelli, Rosemari, H. S. C. Marciano, Lúcia, R. P. Lauris, José, Ura, Somei, Jacobsen Teixeira, Manoel
Tipo de documento: Artigo
Idioma: por
Título da fonte: BEPA. Boletim epidemiológico paulista (Online)
Texto Completo: https://periodicos.saude.sp.gov.br/BEPA182/article/view/38774
Resumo:  Hansen’s disease, which still shows high detection rate in Brazil, features peripheral nerve involvement and skin lesions  with sensory loss. The latter is one of the paradigms to the diagnosis of the disease. However, pain is a symptom that is  being increasingly reported in theses cases. Pain can be nociceptive due to tissue inflammation (reversal reaction and  erythema nodosum leprosum) and neuropatic (due to anatomical and/or functional damage to the nervous system). Fifty  three cases with complaint of pain were studied regarding spatial, temporal, defining, affective and evaluative  characteristics. Among them, 73.6% had completed their MDT/WHO treatment and 84.9% were multibacilary cases.  The spatial localization of pain was more prevalent to the ulnar and tibial nerves. Burning pain was the free description  referred by 28.3% of cases and the affective and evaluative adjectives used reveal a potential interference in the quality  of live of these individuals. Pain in Hansen’s disease cases can be present even after completion of treatment with  sensory, spatial, temporal and affective characteristic that are quite definite and hazardous, which demands control and  proper treatment. 
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spelling Chronic Pain in Hansen’s Disease – A Public Health Problem?Dor Crônica em Hanseníase – Um Problema de Saúde Pública? dor crônicador neuropáticahanseníaseatenção à saúdechronic painneuropatic painHansen’s diseasehealth attention Hansen’s disease, which still shows high detection rate in Brazil, features peripheral nerve involvement and skin lesions  with sensory loss. The latter is one of the paradigms to the diagnosis of the disease. However, pain is a symptom that is  being increasingly reported in theses cases. Pain can be nociceptive due to tissue inflammation (reversal reaction and  erythema nodosum leprosum) and neuropatic (due to anatomical and/or functional damage to the nervous system). Fifty  three cases with complaint of pain were studied regarding spatial, temporal, defining, affective and evaluative  characteristics. Among them, 73.6% had completed their MDT/WHO treatment and 84.9% were multibacilary cases.  The spatial localization of pain was more prevalent to the ulnar and tibial nerves. Burning pain was the free description  referred by 28.3% of cases and the affective and evaluative adjectives used reveal a potential interference in the quality  of live of these individuals. Pain in Hansen’s disease cases can be present even after completion of treatment with  sensory, spatial, temporal and affective characteristic that are quite definite and hazardous, which demands control and  proper treatment.  A hanseníase, ainda com taxa de detecção muito elevada no Brasil, caracteriza-se por alterações dos nervos periféricos e lesões de pele com distúrbio de sensibilidade, sendo a última um dos paradigmas para seu diagnóstico. Entretanto, o sintoma dor nesses pacientes tem sido relatado com crescente freqüência. A dor pode ser nociceptiva devido à inflamação dos tecidos (reação reversa e eritema nodoso leproso) e neuropática (por lesão anatômica e/ou funcional do sistema nervoso). Foram estudados 53 pacientes com queixas de dor para investigar suas características espaciais, temporais, descritivas, afetivas e avaliativas. Dentre eles, 73,6% já tinham completado o tratamento com PQT/OMS e 84,9% eram casos multibacilares. A localização espacial mais prevalente refere-se aos nervos ulnar e tibial. A dor em queimação é a descrição livre mais referida pelo pacientes (28,3%) e a adjetivação afetiva e avaliativa revela potencial de interferência na qualidade de vida. A dor nos portadores de hanseníase pode se apresentar, mesmo após a cura da doença, com características sensoriais, espaciais, temporais e afetivas bastante definidas e prejudiciais, que demandam controle e tratamento específico.  Coordenadoria de Controle de Doenças - Secretaria de Estado da Saúde de São Paulo2006-12-29info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAvaliado pelos paresapplication/pdfhttps://periodicos.saude.sp.gov.br/BEPA182/article/view/38774BEPA. Boletim Epidemiológico Paulista; Vol. 3 No. 36 (2006); 2-5BEPA. Boletim Epidemiológico Paulista; Vol. 3 Núm. 36 (2006); 2-5BEPA. Boletim Epidemiológico Paulista ; v. 3 n. 36 (2006); 2-51806-42721806-423Xreponame:BEPA. Boletim epidemiológico paulista (Online)instname:Secretaria de Estado da Saúde de São Paulo (SES-SP)instacron:SESSPporhttps://periodicos.saude.sp.gov.br/BEPA182/article/view/38774/36503Copyright (c) 2006 Patrick R N A G Stump, Marcos Virmond, Rosemari Baccarelli, Lúcia H. S. C. Marciano, José R. P. Lauris, Somei Ura, Manoel Jacobsen Teixeirainfo:eu-repo/semantics/openAccessR N A G Stump, PatrickVirmond, Marcos Baccarelli, RosemariH. S. C. Marciano, Lúcia R. P. Lauris, José Ura, Somei Jacobsen Teixeira, Manoel2023-11-08T14:24:46Zoai:ojs.periodicos.saude.sp.gov.br:article/38774Revistahttps://periodicos.saude.sp.gov.br/BEPA182/indexPUBhttps://periodicos.saude.sp.gov.br/BEPA182/oaibepa@saude.sp.gov.br | periodicossp@saude.sp.gov.brhttps://doi.org/10.57148/bepa1806-42721806-423Xopendoar:2023-11-08T14:24:46BEPA. Boletim epidemiológico paulista (Online) - Secretaria de Estado da Saúde de São Paulo (SES-SP)false
dc.title.none.fl_str_mv Chronic Pain in Hansen’s Disease – A Public Health Problem?
Dor Crônica em Hanseníase – Um Problema de Saúde Pública?
title Chronic Pain in Hansen’s Disease – A Public Health Problem?
spellingShingle Chronic Pain in Hansen’s Disease – A Public Health Problem?
R N A G Stump, Patrick
dor crônica
dor neuropática
hanseníase
atenção à saúde
chronic pain
neuropatic pain
Hansen’s disease
health attention
title_short Chronic Pain in Hansen’s Disease – A Public Health Problem?
title_full Chronic Pain in Hansen’s Disease – A Public Health Problem?
title_fullStr Chronic Pain in Hansen’s Disease – A Public Health Problem?
title_full_unstemmed Chronic Pain in Hansen’s Disease – A Public Health Problem?
title_sort Chronic Pain in Hansen’s Disease – A Public Health Problem?
author R N A G Stump, Patrick
author_facet R N A G Stump, Patrick
Virmond, Marcos
Baccarelli, Rosemari
H. S. C. Marciano, Lúcia
R. P. Lauris, José
Ura, Somei
Jacobsen Teixeira, Manoel
author_role author
author2 Virmond, Marcos
Baccarelli, Rosemari
H. S. C. Marciano, Lúcia
R. P. Lauris, José
Ura, Somei
Jacobsen Teixeira, Manoel
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv R N A G Stump, Patrick
Virmond, Marcos
Baccarelli, Rosemari
H. S. C. Marciano, Lúcia
R. P. Lauris, José
Ura, Somei
Jacobsen Teixeira, Manoel
dc.subject.por.fl_str_mv dor crônica
dor neuropática
hanseníase
atenção à saúde
chronic pain
neuropatic pain
Hansen’s disease
health attention
topic dor crônica
dor neuropática
hanseníase
atenção à saúde
chronic pain
neuropatic pain
Hansen’s disease
health attention
description  Hansen’s disease, which still shows high detection rate in Brazil, features peripheral nerve involvement and skin lesions  with sensory loss. The latter is one of the paradigms to the diagnosis of the disease. However, pain is a symptom that is  being increasingly reported in theses cases. Pain can be nociceptive due to tissue inflammation (reversal reaction and  erythema nodosum leprosum) and neuropatic (due to anatomical and/or functional damage to the nervous system). Fifty  three cases with complaint of pain were studied regarding spatial, temporal, defining, affective and evaluative  characteristics. Among them, 73.6% had completed their MDT/WHO treatment and 84.9% were multibacilary cases.  The spatial localization of pain was more prevalent to the ulnar and tibial nerves. Burning pain was the free description  referred by 28.3% of cases and the affective and evaluative adjectives used reveal a potential interference in the quality  of live of these individuals. Pain in Hansen’s disease cases can be present even after completion of treatment with  sensory, spatial, temporal and affective characteristic that are quite definite and hazardous, which demands control and  proper treatment. 
publishDate 2006
dc.date.none.fl_str_mv 2006-12-29
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://periodicos.saude.sp.gov.br/BEPA182/article/view/38774
url https://periodicos.saude.sp.gov.br/BEPA182/article/view/38774
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://periodicos.saude.sp.gov.br/BEPA182/article/view/38774/36503
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Coordenadoria de Controle de Doenças - Secretaria de Estado da Saúde de São Paulo
publisher.none.fl_str_mv Coordenadoria de Controle de Doenças - Secretaria de Estado da Saúde de São Paulo
dc.source.none.fl_str_mv BEPA. Boletim Epidemiológico Paulista; Vol. 3 No. 36 (2006); 2-5
BEPA. Boletim Epidemiológico Paulista; Vol. 3 Núm. 36 (2006); 2-5
BEPA. Boletim Epidemiológico Paulista ; v. 3 n. 36 (2006); 2-5
1806-4272
1806-423X
reponame:BEPA. Boletim epidemiológico paulista (Online)
instname:Secretaria de Estado da Saúde de São Paulo (SES-SP)
instacron:SESSP
instname_str Secretaria de Estado da Saúde de São Paulo (SES-SP)
instacron_str SESSP
institution SESSP
reponame_str BEPA. Boletim epidemiológico paulista (Online)
collection BEPA. Boletim epidemiológico paulista (Online)
repository.name.fl_str_mv BEPA. Boletim epidemiológico paulista (Online) - Secretaria de Estado da Saúde de São Paulo (SES-SP)
repository.mail.fl_str_mv bepa@saude.sp.gov.br | periodicossp@saude.sp.gov.br
_version_ 1838465359800172544

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