Martins Ana C C, Castro Jair de Carvalho e, Moreira João Soares
Instituto de Pesquisa Clínica Evandro Chagas-Fiocruz.
Braz J Otorhinolaryngol. 2005 Sep-Oct;71(5):609-15. doi: 10.1016/s1808-8694(15)31265-9. Epub 2006 Mar 31.
Leprosy is an infectious condition that has a chronic evolution caused by the Mycobacterium leprae. It very often attacks the nasal cavities mucosa independent of its clinical form, even before skin lesions or lesions to other parts of the body arise, in the presence or not of clinical complaints.
To show the efficiency of nasal endoscopy to identify endonasal mucosa lesions and the importance of the Otorhinolaryngologist in the diagnosis and follow-up of Leprosy patients.
Clinical history study.
A historic study was performed with 173 patient's records without previous treatment from 1990 to 2000 at the Otorhinolaryngology Services, Instituto de Pesquisas Clinicas Hospital Evandro Chagas, Fiocruz.
All of the patients showed nasal lesions, 121 with and 52 without clinical complaints.
Nasal cavities endoscopy exam enabled early identification of the mucosa alteration in Leprosy patients as well as how to identify the evolution of the lesions. This type of exam also helps to establish local treatment.
The evaluation and follow-up of Leprosy patients by the Otorhinolaryngologist in a multidisciplinary team are justified and offer the patient early diagnosis and specific treatment.
麻风病是一种由麻风分枝杆菌引起的具有慢性病程的传染病。无论其临床类型如何，它常常侵袭鼻腔黏膜，甚至在皮肤病变或身体其他部位出现病变之前，无论有无临床症状。
展示鼻内镜检查在识别鼻内黏膜病变方面的有效性以及耳鼻喉科医生在麻风病患者诊断和随访中的重要性。
临床病史研究。
对1990年至2000年期间在Evandro Chagas临床研究医院（Fiocruz）耳鼻喉科服务部门未经治疗的173例患者的病历进行了一项历史性研究。
所有患者均有鼻腔病变，其中121例有临床症状，52例无临床症状。
鼻腔内镜检查能够早期识别麻风病患者的黏膜改变以及病变的发展情况。这种检查类型也有助于确定局部治疗方案。
耳鼻喉科医生在多学科团队中对麻风病患者进行评估和随访是合理的，可为患者提供早期诊断和特异性治疗。
