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

Résumé

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.


Sujets)
Humains , Mâle , Femelle , Adolescent , Sujet âgé , Thalidomide/administration et posologie , Syndrome des anticorps antiphospholipides/génétique , Syndrome des anticorps antiphospholipides/traitement médicamenteux , Syndrome des anticorps antiphospholipides/sang , Hormones corticosurrénaliennes/administration et posologie , Lèpre multibacillaire/immunologie , Polymorphisme génétique , Thalidomide/effets indésirables , Proaccélérine/analyse , Immunoglobuline G/sang , Immunoglobuline M/sang , Prothrombine/analyse , Test ELISA , Anticorps antiphospholipides/effets des médicaments et des substances chimiques , Anticorps antiphospholipides/génétique , Anticorps antiphospholipides/sang , Hormones corticosurrénaliennes/effets indésirables , bêta 2-Glycoprotéine I/sang , Thromboembolisme veineux/traitement médicamenteux , Lèpre multibacillaire/génétique , Lèpre multibacillaire/traitement médicamenteux , Adulte d'âge moyen , Mutation
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