01859nas a2200217 4500000000100000008004100001653001500042653001900057653001200076653002000088653001100108653003100119100001300150700001900163700001900182700001600201245017200217856004800389490000700437520119700444 2008 d10aUberlandia10aOtolaryngology10aleprosy10aEarly diagnosis10aBrazil10aAcquired nasal deformities1 aSilva GM1 aPatrocínio LG1 aPatrocínio JA1 aGoulart IMB00a[Ent clinical evaluation of leprosy patients -- Protocol of the National Reference center for Sanitary Dermatology and Leprosy of the Federal University of Uberlandia] uhttp://www.rborl.org.br/39cbo/DA.asp?f=48930 v743 aAbstract Introduction: Early diagnosis of leprosy important especially to avoid disabilities. ENT evaluation helps in these diagnosis, thus the disease can be treated before facial alterations and sequel occur. Objective: To demonstrate the ENT findings in untreated leprosy patients and present the protocol of the National Reference Center for Sanitary Dermatology and Leprosy (CREDESH), Clinical Hospital, Federal University of Uberlândia (UFU), MG. Patients and Methods: ENT evaluation was performed in 80 leprosy patients. Data was stored in the Software of Study and Control of Leprosy (SECH) - CREDESH/UFU and retrospectively evaluated. Results: The commonest signs and symptoms were those related to the nose, especially nasal obstruction and turbinate hypertrophy. Lepromatous leprosy presented the highest rates of alterations; however borderline leprosy also presented a significant rate of alterations. In ear, pharynx, and larynx the symptoms were less common. Conclusions: As previously described, nasal signs and symptoms are the most frequent in leprosy patients. The importance of the otolaryngologist in the multidisciplinary evaluation of these patients is reassured. ..