@article{21612, keywords = {Adolescent, Adult, Dinitrochlorobenzene, Disease Susceptibility, Female, Humans, Indicators and Reagents, Leprosy, lepromatous, Leprosy, Tuberculoid, Male, Middle Aged, Phenotype, Radiation Tolerance, Risk Factors, Ultraviolet Rays, Young Adult}, author = {Rodrigues MM and Ximenes RAA and Dantas MMS and Batista TD and Freire AL}, title = {UVB susceptibility as a risk factor to the development of lepromatous leprosy.}, abstract = {

BACKGROUNDS: Ultraviolet radiation B (UVRB) is the most important environmental factor capable of altering the immune function of human skin.

OBJECTIVE: To evaluate the association of the phenotypes of susceptibility or resistance to ultraviolet radiation B (UVRB) and the polar forms of leprosy.

MATERIAL AND METHODS: We evaluated 38 patients with lepromatous leprosy (LL) and 87 patients with tuberculoid (TT) leprosy, according to the classification by Ridley and Jopling (1966). All the patients were submitted to a test to determine the phenotypes of susceptibility or resistance to UVRB through the application of a 2% dinitrochlorobenzene (DNCB) disc to a previously irradiated area with twice the minimal erythema dose (MED). After 21 days, a similar disc soaked in 0.05% DNCB was applied to the scapular area (unexposed to UVRB) to check for sensitiveness, with reading of the results after 48 hours. The patients that showed a positive reaction to DNCB were considered resistant (UVB-R) and those who did not show any reaction were considered susceptible (UVB-S).

RESULTS: The frequency of UVB-S individuals was 63.2% (24 patients) in the LL group and 34.4% (30 patients) in the TT group (OR=3.26; IC=1.36 - 7.87; x(2)=7.73; p=0.005).

CONCLUSION: Our results suggest that UVB-susceptibility is a risk factor to the development of lepromatous leprosy (LL).

}, year = {2010}, journal = {Anais brasileiros de dermatologia}, volume = {85}, pages = {839-42}, month = {2010 Nov-Dec}, issn = {1806-4841}, url = {http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962010000600009&lng=en&nrm=iso&tlng=en}, doi = {10.1590/s0365-05962010000600009}, language = {eng}, }