[Bacilloscopic involution in dimorphous Virchowians treated with sulfones - Comparison with Virchowian patients treated with identical dosage].

Hansenologia internationalis Pub Date : 1981-06-01
D L Jonquières, H Sánchez Caballero
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Abstract

The authors compare the bacilloscopic involution in 37 dimorphous Virchowian (DS) patients and in 47 Virchowian (V) patients with definite polarity treated with 200 mg daily of DDS during up to 20 years. After 5 years of treatment the DV patients presented negative bacilloscopy of the nasal mucus in 93% of the cases and of the skin in 81%. The control group of V patients showed, at the same time, negative bacilloscopy of the nasal mucus in 81% of the cases and of the skin only in 29,7%. After 10 years of treatment 19,21% of the DV patients and 32% of the V cases showed positive skin bacilloscopy. It was concluded that the DV patients presented better responses to the sulphone therapy although a Virchowian aggravation had been observed in about one fifth of the DV cases. Considering that the DV patients represent 25% of the group of 150 D patients studied and that the DD and DT did not present a Virchowian aggravation, it was concluded that of the whole D group (DV, DD, DT) 4% of the patients presented Virchowian aggravation in spite of the sulphone treatment.

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[用砜治疗二形维尔氏菌的细菌学检查内陷-与相同剂量的维尔氏菌患者的比较]。
作者比较了37例二态维尔氏(DS)患者和47例明确极性的维尔氏(V)患者在长达20年的时间里每天服用200毫克的DDS的细菌学检查后的复发情况。治疗5年后,93%的DV患者鼻粘液杆菌镜检查呈阴性,81%的患者皮肤杆菌镜检查呈阴性。与此同时,对照组V例患者鼻粘液杆菌镜检查阴性占81%,皮肤杆菌镜检查阴性仅占29.7%。经过10年的治疗,21%的DV患者和32%的V患者皮肤杆菌镜检查呈阳性。结论是,虽然在大约五分之一的DV病例中观察到维尔氏加重,但DV患者对磺胺治疗有更好的反应。考虑到DV患者占所研究的150例D患者组的25%,且DD和DT均未出现virchovian加重,可以得出结论,在整个D组(DV, DD, DT)中,尽管磺胺酮治疗,仍有4%的患者出现virchovian加重。
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