RESUMO
O objetivo foi avaliar e comparar o grau de deficiência física nos olhos, mãos e pés com as formas clínicas no diagnóstico e na alta medicamentosa, com base nos indicadores (GI-OMS) e no escore (EHF). Trata-se de estudo retrospectivo descritivo e transversal. Com a utilização de um protocolo próprio analisou-se prontuários de 384 indivíduos diagnosticados com hanseníase no período de 1994 a 2006. A média de idade foi de 51,7 anos e 62,8% pacientes eram multibacilares, com predomínio da forma Dimorfa (40,4%). Dos casos avaliados, 33,2% e 25,9% apresentaram algum tipo de deficiência no diagnóstico e na alta, respectivamente. A forma clinica virchoviana foi a que mais apresentou deficiências (47% no diagnóstico e 39,4% na alta) e os membros inferiores o segmento mais acometido (18,2%). Houve melhora das deficiências na maioria das formas clínicas (valor-p<0,05). De acordo com a análise dos dois indicadores, o quadro clínico ficou inalterado em 76,3% dos casos, 15,5% melhorou e 8,2% pioraram. A análise das deficiências por meio do GI-OMS e do EHF permite uma avaliação mais sensível e critica da situação dos segmentos acometidos na hanseníase. Na comparação das deficiências apresentadas no diagnóstico e na alta medicamentosa, houve melhora significativa das deficiências na maioria das formas clínicas e os membros inferiores são os segmentos mais acometidos na hanseníase.
The aim of this study was to assess and compare the degree of physical disability of the eyes, hands and feet between the clinical forms of leprosy at diagnosis and at the end of treatment based on the World Health Organization Degree of Physical Disability Indicator (GPD-WHO) and the Eyes-Hands-Feet score (EHF). This was a retrospective cross-sectional descriptive study. The medical records of 384 individuals diagnosed with leprosy from 1994 to 2006 were revisited using a protocol designed for this study. The mean age of the patients was 51.7 years and 62.8% of patients had multibacillary leprosy with a predominance of theboderline form (40.4%). Of the cases evaluated, 33.2% and 25.9% presented some type of disability at diagnosis and at completion of multidrug treatment, respectively. Individuals with the lepromatous form presented with the most disabilities (47% at diagnosis and 39.4% at completion of treatment) and the legs were the most affected part of the body (18.2%). Improvements in disabilities were seen in most clinical forms (p-value < 0.05). According to the two indicators, the clinical status remained unchanged in 76.3% of cases, improved in 8.2% and worsened in 15.5%. An analysis of disabilities using the DPD-WHO and the EHF gives a more sensitive and critical assessment of the status of affected segments in leprosy. On comparing the disabilities outlined at diagnosis and at completion of treatment, there was a significant improvement in most clinical forms; the legs are the most affected region in leprosy.