TY - JOUR KW - Adult KW - Brazil KW - Cohort Studies KW - Female KW - Hematuria KW - Humans KW - Kidney Diseases KW - Kidney Function Tests KW - Leprosy, Multibacillary KW - Leprosy, Paucibacillary KW - Male KW - Middle Aged KW - Proteinuria KW - Risk Factors KW - Young Adult AU - Daher E AU - Silva G AU - Cezar L AU - Lima R AU - Gurjão N AU - Mota R AU - Abreu KLS AU - Rocha N AU - Oliveira M AU - Libório A AB -

We investigated the factors associated with renal dysfunction in leprosy patients from Brazil. We report on a historical cohort of leprosy patients followed in two hospitals in Fortaleza City in northeastern Brazil. The factors associated with renal dysfunction were investigated. A total of 923 patients were included, with a mean age of 41.5 ± 19.1 years, and 53.3% were male. Renal dysfunction was found in 35 cases (3.8%). Proteinuria was found in 4.8% of cases, haematuria in 6.8% and leukocyturia in 10.4%. Factors associated with renal dysfunction by multivariate analysis were: reaction episode (odds ratio [OR] = 3.9, P = 0.03), multibacillary classification (OR = 3.5, P = 0.02) and advanced age (OR = 1.04, P = 0.01). Four patients (0.4%) died. Leprosy is associated with renal dysfunction, especially in older patients and those presenting with reaction episode and multibacillary classification.

BT - Tropical doctor C1 - http://www.ncbi.nlm.nih.gov/pubmed/21532002?dopt=Abstract CN - DAHER 2011 DA - 2011 Jul DO - 10.1258/td.2011.100436 IS - 3 J2 - Trop Doct LA - eng N2 -

We investigated the factors associated with renal dysfunction in leprosy patients from Brazil. We report on a historical cohort of leprosy patients followed in two hospitals in Fortaleza City in northeastern Brazil. The factors associated with renal dysfunction were investigated. A total of 923 patients were included, with a mean age of 41.5 ± 19.1 years, and 53.3% were male. Renal dysfunction was found in 35 cases (3.8%). Proteinuria was found in 4.8% of cases, haematuria in 6.8% and leukocyturia in 10.4%. Factors associated with renal dysfunction by multivariate analysis were: reaction episode (odds ratio [OR] = 3.9, P = 0.03), multibacillary classification (OR = 3.5, P = 0.02) and advanced age (OR = 1.04, P = 0.01). Four patients (0.4%) died. Leprosy is associated with renal dysfunction, especially in older patients and those presenting with reaction episode and multibacillary classification.

PY - 2011 SP - 148 EP - 50 T2 - Tropical doctor TI - Renal dysfunction in leprosy: a historical cohort of 923 patients in Brazil. UR - http://tdo.sagepub.com/content/41/3/148.full.pdf+html VL - 41 SN - 1758-1133 ER -