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Rev. Soc. Bras. Med. Trop ; 51(1): 99-104, Jan.-Feb. 2018. tab, graf
Article in English | LILACS | ID: biblio-1041441

ABSTRACT

Abstract INTRODUCTION Corticosteroids and/or thalidomides have been associated with thromboembolism events (TBE) in multibacillary (MB) leprosy. This report aimed to determine genetic and laboratory profiles associated with leprosy and TBE. METHODS Antiphospholipid antibodies (aPL), coagulation-related exams, prothrombin and Leiden's factor V mutations, and ß2-glycoprotein-I (ß2GPI) Val247Leu polymorphism were assessed. RESULTS Six out of seven patients with leprosy were treated with prednisone and/or thalidomide during TBE and presented at least one positive aPL. All patients presented ß2GPI polymorphism, and one showed prothrombin mutation. CONCLUSIONS Corticosteroid or thalidomide adverse effects and aPL and ß2GPI polymorphisms may cause TBE in patients with MB leprosy.


Subject(s)
Humans , Male , Female , Adolescent , Aged , Thalidomide/administration & dosage , Antiphospholipid Syndrome/genetics , Antiphospholipid Syndrome/drug therapy , Antiphospholipid Syndrome/blood , Adrenal Cortex Hormones/administration & dosage , Leprosy, Multibacillary/immunology , Polymorphism, Genetic , Thalidomide/adverse effects , Factor V/analysis , Immunoglobulin G/blood , Immunoglobulin M/blood , Prothrombin/analysis , Enzyme-Linked Immunosorbent Assay , Antibodies, Antiphospholipid/drug effects , Antibodies, Antiphospholipid/genetics , Antibodies, Antiphospholipid/blood , Adrenal Cortex Hormones/adverse effects , beta 2-Glycoprotein I/blood , Venous Thromboembolism/drug therapy , Leprosy, Multibacillary/genetics , Leprosy, Multibacillary/drug therapy , Middle Aged , Mutation
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