Dermatological manifestations in patients with human T‐cell lymphotropic virus at a reference service in Amazon

Author:

Andrade de Sousa Brena12,dos Santos Laisa V.3,Oliveira Tamires R.3,Dias Aline L.3,Araújo da Costa Carlos4,Medeiros Sousa Rita C.4,de Sousa Maisa S.5,Xavier Marília B.24

Affiliation:

1. Postgraduate Program in Parasitary Biology in the Amazon Center of Biological and Health Sciences State University of Pará and Evandro Chagas Institute Belém, Pará Brazil

2. Research Laboratory on Skin diseases of Sanitary Interest Center of Biological and Health Sciences State University of Pará Belém, Pará Brazil

3. Medicine course Center of Biological and Health Sciences State University of Pará Belém, Pará Brazil

4. Research Laboratory in Tropical Dermatology and Endemic Diseases Nucleus of Tropical Medicine Federal University of Pará Belém, Pará Brazil

5. Laboratory of Molecular and Cellular Biology Nucleus of Tropical Medicine Federal University of Pará Belém, Pará Brazil

Abstract

AbstractIntroductionIndividuals infected with the human T‐cell lymphotropic virus type 1 (HTLV‐1) commonly present skin lesions, which may be a warning sign for the diagnosis of infection. This study describes the most prevalent skin manifestations in HTLV carriers attended at the clinic of Núcleo de Medicina Tropical (NMT) of the Universidade Federal do Pará (UFPA) in Belém, Pará, Brazil.MethodsThis is a study of a series of cases of patients infected with human T‐cell lymphotropic virus types 1 and 2 (HTLV‐1/2) treated at NMT UFPA between 1999 and 2016. A descriptive analysis of data was applied.ResultsAmong 788 surveyed medical records in the service, 15.10% (n = 119) were referred to the dermatology clinic. From the series of cases that presented with skin lesions, 66.39% were female and 33.61% were male, and the average age of this group was 48 years. There was a predominance of patients with noninfectious inflammatory manifestations (64.2%), followed by infectious ones (24.6%), and 1.58% with lymphoproliferative diseases. As for the group of lesions, 45.26% of the erythematous‐squamous type were observed, followed by dyschromia (24.21%), and eczematous (14.74%). One patient with a diagnosis of adult T‐cell leukemia/lymphoma, another with parapsoriasis, and four with infective dermatitis are highlighted.ConclusionSkin disorders in the HLTV positive patient are important causes of referral to the dermatologist with etiological and skin lesions groups diversity. In the series of cases studied, lymphoproliferatives diseases and infective dermatitis associated with HTLV‐1 were presented as a challenge for the diagnosis and clinical management of these patients.

Funder

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior

Conselho Nacional de Desenvolvimento Científico e Tecnológico

Publisher

Wiley

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