RESUMO
A doença de Lyme é uma moléstia infecto-contagiosa transmitida por carrapatos contaminados pela Borrelia burgodorferi. Caracteriza-se por acometer a pele, coraçäo, articulaçöes e sistema nervos central e periférico. No Brasil ainda näo se descreveu um caso com devida confirmaçäo laboratorial. Os autores apresentam um caso com diagnóstico clínico e sorológico em que o principal acometimento foi o cutâneo. Com este achado, discutem as formas de acometimento cutâneo da doença, bem como o tratamento das formas iniciais
Assuntos
Humanos , Feminino , Adulto , Doença de Lyme/diagnóstico , Antibacterianos/uso terapêutico , Doença de Lyme/tratamento farmacológico , Eritema Migrans Crônico/diagnóstico , Eritema Migrans Crônico/tratamento farmacológicoRESUMO
Lyme disease is a tick-transmitted infectious disease caused by Borrelia burgdorferi. The clinical spectrum includes manifestations in the skin, heart, joints and nervous system. In Brazil no case has been reported with laboratorial confirmation. We report a suspect case with clinical and laboratorial findings in a young woman who developed cutaneous manifestations. She recovered after tetracycline treatment. The usual manifestations and the treatment of early stage of the illness are discussed.
Assuntos
Doença de Lyme/diagnóstico , Adulto , Eritema Migrans Crônico/diagnóstico , Eritema Migrans Crônico/tratamento farmacológico , Feminino , Humanos , Doença de Lyme/tratamento farmacológico , Tetraciclina/uso terapêuticoRESUMO
The Kveim-test was studied in a geographical area (São Paulo, Brazil) not yet investigated, and leprosy patients were also tested. One hundred and forty seven patients from a general hospital who had had the possibility of sarcoidosis, as a differential diagnosis, were tested with Kveim suspension. Another group of 13 patients with clinical and histological diagnosis of leprosy (10 with tuberculoid leprosy lepromin-positive and 3 with indetermined leprosy) was also tested with Kveim suspension. Sixteen Kveim-tests (10 per cent) with sarcoid granulomatous reaction revealed histologically were considered positive. Three patients with sarcoidosis for more than 3 years gave negative Kveim-test. Four patients with positive Kveim-test had respectively lymphosarcoma, Crohn's disease, lung fibrosis and concurrent tuberculosis infection. Nine positive Kveim-tests (5.6 per cent) were coincident with sarcoidosis. Thirteen leprosy patients (ten tuberculoid) gave negative Kveim-test.