{"id":138213,"date":"2018-10-29T09:24:29","date_gmt":"2018-10-29T11:24:29","guid":{"rendered":"https:\/\/lab.fabricadelandings.com.br\/portalsaofrancisconovo\/?p=138213"},"modified":"2023-02-13T09:29:21","modified_gmt":"2023-02-13T11:29:21","slug":"lupus-vulgaris","status":"publish","type":"post","link":"https:\/\/lab.fabricadelandings.com.br\/portalsaofrancisconovo\/saude-e-bem-estar\/saude\/lupus-vulgaris","title":{"rendered":"Lupus Vulgaris"},"content":{"rendered":"

Lupus Vulgaris –<\/strong>\u00a0Defini\u00e7\u00e3o<\/strong><\/p>\n

O\u00a0l\u00fapus vulgar<\/strong>\u00a0\u00e9 uma forma mais comum de\u00a0tuberculose cut\u00e2nea\u00a0p\u00f3s- prim\u00e1ria, cr\u00f4nica e paucibacilar em indiv\u00edduos com alta sensibilidade \u00e0 tuberculina e imunidade moderada.<\/p>\n

\u00c9 o tipo mais comum de tuberculose cut\u00e2nea e ocorre em indiv\u00edduos previamente sensibilizados nos quais o sistema imunol\u00f3gico est\u00e1 comprometido..<\/p>\n

As les\u00f5es geralmente s\u00e3o solit\u00e1rias e encontradas na regi\u00e3o da cabe\u00e7a e pesco\u00e7o.<\/p>\n

O\u00a0l\u00fapus vulgar<\/strong>\u00a0\u00e9 uma infec\u00e7\u00e3o tuberculosa da pele. Frequentemente iniciando na inf\u00e2ncia, caracteriza-se pela forma\u00e7\u00e3o de n\u00f3dulos acastanhados, levando \u00e0 ulcera\u00e7\u00e3o e extensas cicatrizes.<\/p>\n

Uma caracter\u00edstica t\u00edpica do\u00a0l\u00fapus vulgar<\/strong>\u00a0\u00e9 seu curso extremamente cr\u00f4nico e dermatoses do tipo placa. As les\u00f5es \u00e0s vezes ulceram produzindo cicatrizes. Muitas vezes, o diagn\u00f3stico \u00e9 perdido.<\/p>\n

O tratamento \u00e9 feito com medicamentos antituberculosos.<\/p>\n

L\u00fapus Vulgar \u2013 O que \u00e9<\/strong><\/p>\n

O\u00a0l\u00fapus vulgar<\/strong>\u00a0\u00e9 uma condi\u00e7\u00e3o cut\u00e2nea nodular dolorosa, mais comumente causada pelo microrganismo Mycobacterium tuberculosis. Geralmente afeta o rosto, as n\u00e1degas e o tronco.<\/p>\n

O termo \u201clupus\u201d \u00e9 usado para se referir \u00e0 ulcera\u00e7\u00e3o e necrose da pele que ocorre quando n\u00e3o tratada.<\/p>\n

O\u00a0l\u00fapus vulgar<\/strong>\u00a0\u00e9 tamb\u00e9m conhecido como tuberculose luposa cutis ou tuberculose cutis luposa devido ao seu agente etiol\u00f3gico. Como qualquer outra forma de tuberculose, \u00e9 trat\u00e1vel com a combina\u00e7\u00e3o de quatro drogas de isoniazida, rifampicina, etambutol e pirazinamida.<\/p>\n

O Mycobacterium tuberculosis preferencialmente permanece e prospera nos tecidos pulmonares, causando\u00a0tuberculose pulmonar. Quando a tuberculose ocorre em outros \u00f3rg\u00e3os e tecidos, ela \u00e9 rotulada como\u00a0tuberculose pulmonar\u00a0extrapulmonar. Diferentes formas de tuberculose extrapulmonar existem, incluindo tuberculose miliar, escrofula, verrucosa cutis tuberculose, tuberculoides, abscessos tuberculosos metast\u00e1ticos e ulcera\u00e7\u00e3o tuberculosa metast\u00e1tica, ou gumma tuberculosa. Estes, juntamente com o\u00a0l\u00fapus vulgar<\/strong>, podem apresentar-se como condi\u00e7\u00f5es cut\u00e2neas causadas pela infec\u00e7\u00e3o por\u00a0tuberculose pulmonar.<\/p>\n

Relativamente incomum, o\u00a0l\u00fapus vulgar\u00a0<\/strong>\u00e9 uma variante da\u00a0tuberculose pulmonar cut\u00e2nea\u00a0que \u00e9 persistente e progressiva. As les\u00f5es iniciais s\u00e3o n\u00f3dulos pequenos e nitidamente definidos, com tonalidade marrom-avermelhada e consist\u00eancia gelatinosa. Essas les\u00f5es tamb\u00e9m s\u00e3o conhecidas como n\u00f3dulos de geleia de ma\u00e7\u00e3. A persist\u00eancia dessas les\u00f5es leva \u00e0 coalesc\u00eancia e destrui\u00e7\u00e3o tecidual.<\/p>\n

\"\"
\nL\u00fapus Vulgar<\/strong><\/p>\n

N\u00e3o h\u00e1 grupo et\u00e1rio isento de l\u00fapus vulgar, mas a maioria dos pacientes vai ao m\u00e9dico antes dos 30 anos com esses sintomas.<\/p>\n

Entre os caucasianos, a regi\u00e3o da cabe\u00e7a e pesco\u00e7o \u00e9 tipicamente afetada. Nos asi\u00e1ticos, o\u00a0l\u00fapus vulgar<\/strong>\u00a0ocorre mais comumente nas n\u00e1degas e nas extremidades.<\/p>\n

Alguns casos de envolvimento do p\u00eanis tamb\u00e9m foram relatados.<\/p>\n

O organismo causador atinge a pele atrav\u00e9s de v\u00e1rias vias. Uma via \u00e9 a inocula\u00e7\u00e3o direta, em que o organismo se espalha para a derme depois de entrar em uma ferida aberta na pele. A via hematog\u00eanica, ou sangu\u00ednea, e a via linf\u00e1tica podem ser utilizadas quando o organismo \u00e9 transferido para a pele de um \u00f3rg\u00e3o interno afetado. Outra via \u00e9 a extens\u00e3o direta, seja de articula\u00e7\u00f5es infectadas ou gl\u00e2ndulas sob a pele.<\/p>\n

\"\"
\nL\u00fapus Vulgar<\/strong><\/p>\n

O\u00a0diagn\u00f3stico de\u00a0l\u00fapus vulgar<\/strong>\u00a0\u00e9 confirmado atrav\u00e9s de uma bi\u00f3psia da pele da \u00e1rea afetada.<\/p>\n

Os resultados histopatol\u00f3gicos indicariam a presen\u00e7a de granulomas epitelioides que continham bacilos \u00e1lcool-\u00e1cido resistentes. Para excluir a infec\u00e7\u00e3o de\u00a0tuberculose pulmonar\u00a0coexistente, uma cultura de escarro ou uma radiografia de t\u00f3rax pode ser solicitada. Um teste de tuberculina Mantoux e outros exames radiol\u00f3gicos tamb\u00e9m podem ser realizados.<\/p>\n

O\u00a0tratamento\u00a0mais eficaz do l\u00fapus vulgar<\/strong>\u00a0\u00e9 a ingest\u00e3o oral de drogas antituberculose.<\/p>\n

Outros antibi\u00f3ticos tamb\u00e9m podem ser administrados para tratar qualquer infec\u00e7\u00e3o bacteriana secund\u00e1ria.<\/p>\n

O tratamento com essas drogas dura meses ou anos, dependendo da gravidade da doen\u00e7a. Quando o rosto est\u00e1 gravemente desfigurado ou \u00e1reas grandes da pele s\u00e3o necr\u00f3ticas, a excis\u00e3o cir\u00fargica das \u00e1reas afetadas pode ser recomendada.<\/p>\n

L\u00fapus Vulgar \u2013 Tuberculose Cut\u00e2nea<\/strong><\/p>\n

\"\"
\nL\u00fapus Vulgar<\/strong><\/p>\n

\"\"
\nL\u00fapus Vulgar<\/strong><\/p>\n

O\u00a0l\u00fapus vulgar<\/strong>\u00a0\u00e9 uma forma extremamente cr\u00f4nica e progressiva de\u00a0tuberculose cut\u00e2nea\u00a0e \u00e9 devido \u00e0 semeadura hematog\u00eanica p\u00f3s-prim\u00e1ria da pele com micobact\u00e9rias.<\/p>\n

As altera\u00e7\u00f5es cut\u00e2neas geralmente n\u00e3o s\u00e3o contagiosas e podem apresentar escamas psoriasiformes como efloresc\u00eancia secund\u00e1ria (lupus vulgaris<\/strong>\u00a0esfoliativos).<\/p>\n

O tratamento corresponde ao da tuberculose pulmonar; desde que n\u00e3o haja resist\u00eancia a medicamentos, consiste de isoniazida, rifampicina, pirazinamida e etambutol por dois meses, seguidos por isoniazida e rifampicina por quatro meses.<\/p>\n

Se n\u00e3o for tratada, pode evoluir para \u00falceras cut\u00e2neas desfigurantes, e em \u00e1reas cicatrizadas de longa data pode desenvolver-se carcinoma de c\u00e9lulas escamosas.<\/p>\n

A descri\u00e7\u00e3o mais antiga do\u00a0lupus vulgaris<\/strong>\u00a0foi dada por Erasmus Wilson em 1865.<\/p>\n

Geralmente ocorre atrav\u00e9s da extens\u00e3o contagiosa da doen\u00e7a do tecido afetado subjacente ou dissemina\u00e7\u00e3o hematog\u00eanica ou linf\u00e1tica.<\/p>\n

Fonte:<\/strong>\u00a0www.ncbi.nlm.nih.gov\/www.symptoma.com\/encyclopedia.uia.org\/www.wisegeek.org\/escholarship.org\/www.banglajol.info\/dx.doi.org\/ozarkderm.com\/www.aerzteblatt.de<\/p>\n","protected":false},"excerpt":{"rendered":"

Lupus Vulgaris –\u00a0Defini\u00e7\u00e3o O\u00a0l\u00fapus vulgar\u00a0\u00e9 uma forma mais comum de\u00a0tuberculose cut\u00e2nea\u00a0p\u00f3s- prim\u00e1ria, cr\u00f4nica e paucibacilar em indiv\u00edduos com alta sensibilidade \u00e0 tuberculina e imunidade moderada. \u00c9 o tipo mais comum de tuberculose cut\u00e2nea e ocorre em indiv\u00edduos previamente sensibilizados nos quais o sistema imunol\u00f3gico est\u00e1 comprometido.. As les\u00f5es geralmente s\u00e3o solit\u00e1rias e encontradas na regi\u00e3o […]<\/p>\n","protected":false},"author":2,"featured_media":138217,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[84],"tags":[],"class_list":["post-138213","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saude"],"acf":[],"yoast_head":"\nLupus Vulgaris, Vulgar, O que \u00e9, Doen\u00e7a Lupus Vulgaris<\/title>\n<meta name=\"description\" content=\"Lupus Vulgaris, Vulgar, O que \u00e9, Doen\u00e7a, Tuberculose, Cut\u00e2nea, Pulmonar, Causa, Tratamento, Sintomas, Diagn\u00f3stico, Defini\u00e7\u00e3o Lupus Vulgaris\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta 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