02041nas a2200301 4500000000100000008004100001260001700042653001000059653001100069653001100080653001100091653001200102653000900114653001600123653001300139653001700152100001500169700001400184700001300198700001800211700001800229245010600247856005500353300001100408490000700419520129900426022001401725 2010 d c2010 May-Jun10aAdult10aBrazil10aFemale10aHumans10aleprosy10aMale10aMiddle Aged10aPedigree10aRisk Factors1 aDuraes SMB1 aGuedes LS1 aCunha MD1 aMagnanini MMF1 aOliveira MLWD00aEpidemiologic study of 107 cases of families with leprosy in Duque de Caxias, Rio de Janeiro, Brazil. uhttp://www.scielo.br/pdf/abd/v85n3/en_a07v85n3.pdf a339-450 v853 a

BACKGROUNDS: ultibacillary patients are the major source of infection in leprosy. Nevertheless, the risk is higher in household contacts between multibacillary patients than paucibacillary patients and in the general population. Household contacts are in close genetic relationship with the index case-patient.

OBJECTIVE: To evaluate epidemiological data of the following variables: age, gender, education level, genetic proximity, and type of contact with the index case-patient (household or not) in 107 families with leprosy.

METHODS: Home visits were conducted to clinically examine family members. The medical charts of index case-patients and co-prevalent cases were reviewed.

RESULTS: The controlled analysis of variables such as type of contact and genetic proximity revealed that household contacts and first-degree kinship are independently associated with a higher chance of contracting the disease.

CONCLUSION: Household contacts are often genetically closer to the index case-patient. To investigate the independent relevance of these risks in leprosy surveillance contact studies has been a challenge. Our results confirm literature data that show the influence of genetics in the susceptibility to leprosy per se.

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