Self-reported clinical history of misdiagnosed leprosy cases in the State of Mato Grosso, Brzil, 2016-2019
Bibliographic Data
| ID | 5166432 |
|---|---|
| Authors | Karine Vila Real Nunes Neves (0000-0001-9673-5981, Universidade Federal de Mato Grosso), Lúbia Maieles Gomes Machado (0000-0003-4538-5138, Universidade Federal de Mato Grosso), Maurício Nobre Lisboa (0000-0003-4932-3137, Secretaria de Saúde do Estado do Rio Grande do Norte, Brasil; Universidade Federal do Rio Grande do Norte, Brazil), Peter Steinmann (0000-0003-4800-3019, Swiss Tropical and Public Health Institute, Switzerland; University of Basel, Switzerland), Eliane Ignotti (0000-0002-9743-1856, Universidade do Estado de Mato Grosso) |
| Year | 2023 |
| Volume | 39 |
| Issue | 5 |
| Pages | e00279421-e00279421 |
| Publication date | 2023-01-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Cadernos de Saude Publica (JOURNAL) |
| Journal identifiers | ISSN: 0102-311X • E-ISSN: 1678-4464 |
| Publisher | FapUNIFESP (SciELO) (PUBLISHER) |
| DOI | 10.1590/0102-311xen279421 |
| PMID | 37255191 |
| OpenAlex | W4378376279 |
| SCIELO_PID | S0102-311X2023000505007 |
| Language | EN |
| References cited | 15 |
This study aimed to analyze the self-reported clinical history of patients misdiagnosed with leprosy in the State of Mato Grosso, Brazil. This is a cross-sectional study of new leprosy cases diagnosed in the State of Mato Grosso from 2016 to 2019, with individuals who were released from multidrug therapy due to misdiagnosis after starting treatment. Data were collected via telephone interviews. Over the study period, 354 leprosy cases were released from treatment due to misdiagnosis, of which 162 (45.8%) could be interviewed. All interviewees expressed dissatisfaction with their treatment, which prompted them to seek a reevaluation of their diagnosis before they were released due to "misdiagnosis". Among them, 35.8% received a final diagnosis of a musculoskeletal or connective tissue disease - mainly fibromyalgia and degenerative changes in the spine - followed by 13.6% with diagnoses of skin and subcutaneous tissue diseases. For 23.5% of the respondents, no alternative diagnosis was established, whereas 7.4% were later re-diagnosed with leprosy. Fibromyalgia and spinal problems were the most common alternative diagnoses for erroneous leprosy. Although the diagnosis of leprosy is usually clinical and does not require access to technical infrastructure in most cases, some more complex situations require diagnostic support via complementary tests, as well as close collaboration between primary care and reference services
Disease · Family medicine · Fibromyalgia · Leprosy · Medical diagnosis · Pathology · Physical therapy · Complementary and Alternative Medicine Studies · Dermatology · Leprosy Research and Treatment · Medicine · Psoriasis: Treatment and Pathogenesis · Pediatrics
The American College of Rheumatology Preliminary Diagnostic Criteria for Fibromyalgia and Measurement of Symptom Severity
Incapacidades físicas em pessoas acometidas pela hanseníase no período pós-alta da poliquimioterapia em um município no Norte do Brasil
Perspectives for leprosy control and elimination
| Citation velocity | historical |
|---|---|
| Highly cited | No |