Could leprosy reaction episodes be exacerbated by oral infections?

Author:

Motta Ana Carolina Fragoso1,Furini Renata Bazan2,Simão João Carlos Lopes2,Vieira Mariana Bellini2,Ferreira Maria Aparecida Nunes2,Komesu Marilena Chinali1,Foss Norma Tiraboschi2

Affiliation:

1. University of São Paulo

2. University of São Ribeirão Preto

Abstract

INTRODUCTION: This study evaluated whether leprosy reactions could be associated with oral infection. METHODS: Leprosy patients (n = 38) with (Group I) and without (Group II) oral infections were selected. Reactions were identified from the clinical and histopathological features associated with serum C-reactive protein (CRP) and10kDa interferon-gamma-induced protein (IP-10) levels, determined before and after elimination of the foci of infection. RESULTS: Group I presented more reactions than group II did, and improvement of the reactions after dental treatment. Serum CRP and IP-10 did not differ before and after the dental treatment, but differed between the groups. CONCLUSIONS: Oral infection could be an exacerbating factor in leprosy reactions.

Publisher

FapUNIFESP (SciELO)

Subject

Infectious Diseases,Microbiology (medical),Parasitology

Reference14 articles.

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2. Reactions in leprosy: a prospective study of clinical, bacteriological, immunological and histopathological parameters in thirty-five Indians;Seghal VN;J Dermatol,1998

3. Immunopathology of leprosy skin lesions;Rea TH;Semin Dermatol,1991

4. Erythema nodosum leprosum: reactional leprosy;Cuevas J;Sem Cutan Med Surg,2007

5. Correlation between TNF production, increase of plasma C-reactive protein level and suppression of T lymphocyte response to concanavalin A during erythema nodosum leprosum;Foss NT;Int J Lepr Other Mycobact Dis,1993

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