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[Active search for leprosy and other skin diseases in school children from Agua de Dios, Colombia].
Rev Salud Publica (Bogota) 2007 Jul-Sep; 9(3):430-8RS

Abstract

OBJECTIVE

Actively searching for leprosy, other skin diseases and BCG vaccination scars amongst school children from Agua de Dios, the municipality having the highest prevalence of leprosy in Colombia.

METHODS

A clinical examination of the children was carried out by nurses, interns, general practitioners and experts on leprosy. Skin smear tests and skin biopsies were performed when the clinical findings suggested leprosy. Anti-phenolic glycolipid antibodies in blood were determined in special cases.

RESULTS

86 % of the 2 844 school children were examined; 833 had skin diseases and 16 % of these required evaluation by specialists. Four new cases of paucibacillary leprosy, two indeterminate and two primary polyneuritic cases were found. Pediculosis capitis, pityriasis alba, tinea versicolor, hypopigmented nevus, insect bites and miliaria were frequently detected. BCG vaccination scars were absent in 387 children; following several logistical problems, they were vaccinated. Four children had signs of childhood abuse. An 11-year-old girl presented hypopigmented mycosis fungoides. All diseases and conditions found were treated. The community received information regarding the results, emphasising the importance of an early diagnosis of leprosy.

CONCLUSIONS

The incidence of leprosy found (16/10,000) was 123 times higher than the rest of the country's incidence. It is advisable to continue clinical examinations in Agua de Dios and research into risk factors for acquiring leprosy.

Authors+Show Affiliations

Facultad de Medicina, Universidad de La Sabana, Bogotá, Colombia. gerzaín-rodriguez@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

spa

PubMed ID

18026607

Citation

Rodríguez, Gerzaín, et al. "[Active Search for Leprosy and Other Skin Diseases in School Children From Agua De Dios, Colombia]." Revista De Salud Publica (Bogota, Colombia), vol. 9, no. 3, 2007, pp. 430-8.
Rodríguez G, González R, Gonzalez D, et al. [Active search for leprosy and other skin diseases in school children from Agua de Dios, Colombia]. Rev Salud Publica (Bogota). 2007;9(3):430-8.
Rodríguez, G., González, R., Gonzalez, D., Granados, C., Pinto, R., Herrera, H., ... Gómez, Y. (2007). [Active search for leprosy and other skin diseases in school children from Agua de Dios, Colombia]. Revista De Salud Publica (Bogota, Colombia), 9(3), pp. 430-8.
Rodríguez G, et al. [Active Search for Leprosy and Other Skin Diseases in School Children From Agua De Dios, Colombia]. Rev Salud Publica (Bogota). 2007;9(3):430-8. PubMed PMID: 18026607.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Active search for leprosy and other skin diseases in school children from Agua de Dios, Colombia]. AU - Rodríguez,Gerzaín, AU - González,Rosalba, AU - Gonzalez,Deysy, AU - Granados,Carolina, AU - Pinto,Rafael, AU - Herrera,Hilda, AU - Gutiérrez,Luisa F, AU - Hernández,Elkin, AU - López,Fernando, AU - Gómez,Yenny, PY - 2007/11/21/pubmed PY - 2009/8/18/medline PY - 2007/11/21/entrez SP - 430 EP - 8 JF - Revista de salud publica (Bogota, Colombia) JO - Rev Salud Publica (Bogota) VL - 9 IS - 3 N2 - OBJECTIVE: Actively searching for leprosy, other skin diseases and BCG vaccination scars amongst school children from Agua de Dios, the municipality having the highest prevalence of leprosy in Colombia. METHODS: A clinical examination of the children was carried out by nurses, interns, general practitioners and experts on leprosy. Skin smear tests and skin biopsies were performed when the clinical findings suggested leprosy. Anti-phenolic glycolipid antibodies in blood were determined in special cases. RESULTS: 86 % of the 2 844 school children were examined; 833 had skin diseases and 16 % of these required evaluation by specialists. Four new cases of paucibacillary leprosy, two indeterminate and two primary polyneuritic cases were found. Pediculosis capitis, pityriasis alba, tinea versicolor, hypopigmented nevus, insect bites and miliaria were frequently detected. BCG vaccination scars were absent in 387 children; following several logistical problems, they were vaccinated. Four children had signs of childhood abuse. An 11-year-old girl presented hypopigmented mycosis fungoides. All diseases and conditions found were treated. The community received information regarding the results, emphasising the importance of an early diagnosis of leprosy. CONCLUSIONS: The incidence of leprosy found (16/10,000) was 123 times higher than the rest of the country's incidence. It is advisable to continue clinical examinations in Agua de Dios and research into risk factors for acquiring leprosy. SN - 0124-0064 UR - https://www.unboundmedicine.com/medline/citation/18026607/[Active_search_for_leprosy_and_other_skin_diseases_in_school_children_from_Agua_de_Dios,_Colombia] L2 - http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0124-00642007000300011&lng=en&nrm=iso&tlng=en DB - PRIME DP - Unbound Medicine ER -