RESUMO
The prevalence of HTLV-I reaches 1.8% among blood donors in Salvador, and 40% among chronic myelopathy patients in the state of Bahia, Brazil. The present study shows the epidemiological and clinical picture of patients attending the HAM/TSP Outpatient Unit at the Foundation of Neurology and Neorusurgery (FNN). 114 patients had epidemiologic data collected and 51 of these patients, who had regularly attended the HAM/TSP Unit for at least 1 year, were evaluated for signs, symptoms and disease progression. Most of the 114 patients were female (70%), of African descent, and with a mean age of 51. Sexually transmitted diseases and blood transfusion were the most common risk factors. Paraparesis with spasticity was the predominant sign (85%), bladder dysfunction occurred in 75%, intestinal dysfunction was recorded in 48%. Sensory examination was normal in 50% of the cases studied. The patients' functional status, as measured by the Kurtzke Disability Scale, during the 1 year observation period changed only in early disease. Steroid therapy with prednisone was the most commonly used treatment in this group.
Assuntos
Paraparesia Espástica Tropical/epidemiologia , Paraparesia Espástica Tropical/fisiopatologia , Adulto , Fatores Etários , Idoso , Avaliação da Deficiência , Feminino , Anticorpos Anti-HTLV-I/sangue , Anticorpos Anti-HTLV-I/líquido cefalorraquidiano , Vírus Linfotrópico T Tipo 1 Humano/imunologia , Humanos , Masculino , Pessoa de Meia-Idade , Paraparesia Espástica Tropical/virologia , Fatores de Risco , Fatores SexuaisRESUMO
The authors present a cross-study on the occurrence of tardive dyskinesia (TD) among inpatients of psychiatric units of the city of Salvador during the month of September, 1992. After reviewing the literature, they comment the average prevalence found for TD: 1.65% in a population of 2,115 patients using a protocol based on the Simpson Scale.
Assuntos
Discinesia Induzida por Medicamentos/epidemiologia , Hospitais Psiquiátricos , Pacientes Internados , Adulto , Fatores Etários , Idoso , Brasil/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Fatores Sexuais , Inquéritos e QuestionáriosRESUMO
Os autores apresentam estudo transversal da prevalência da discinesia tardia (DT) em pacientes internados em unidades psiquiátricas da cidade de Salvador durante o mês de setembro-1992. Após revisäo da literatura, comentam a prevalência média de DT encontrada: 1,65 por cento na populaçäo de 2115 pacientes, usando protocolo baseado na escala de Simpson