ABSTRACT
Proteinuria was detected in 24.7% of 89 individuals with hepatosplenic schistosomiasis and in only 4.6% of 86 subjects with mild hepato-intestinal schistosomiasis, all of them living in comparable conditions in two endemic areas in Bahia, Brazil. From nine individuals who hadproteinuria over30 mg/100ml, eight had hepatosplenic schistosomiasis. These findings maybe related to the presence of schistosomal nephropathy and reveal the significance of this condition in thefield in endemic areas of schistosomiasis.
Keywords: Schistosoma mansoni. Proteinuria. Field study. Schistosomal nephropathy.
RESUMO
Proteinúria foi detectada em 24,7% de 89 pacientes com a forma hepatoesplênica da esquistos- somose e em apenas 4,6% de 86 pacientes com a forma hepatointestinal dessa parasitose. Todos os pacientes viviam em condições epidemiológicas semelhantes em duas áreas endêmicas da Bahia, Brasil. Dos nove indivíduos que tinham proteinúria acima de 30mg/100ml, oito tinham a forma hepatoesplênica da doença. Estes achados podem estar relacionados à presença de uma glomerulopatia esquistossomótica e mostra o significado desta condição no campo, em áreas endêmicas de esquistos- somose.
Palavras-chave: Schistosoma mansoni. Proteinúria. Estudo de campo. Nefropatia esquistossomótica.
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REFERENCES
1. Andrade ZA, Andrade SG, Sadigursky M. Renal changes in patients with hepatosplenic schistosomiasis. American Journal of Tropical Medicine and Hygiene 20:77-83, 1971. [ Links ]
2. Andrade ZA, Queiroz AC. Lesões renais na esquistossomose hepatosplênica. Revista do Instituto de Medicina Tropical de São Paulo 10:36-40, 1968. [ Links ]
3. Andrade ZA, Rocha H. Schistosomal glomerulopathy. Kidney International 16:23-29, 1970. [ Links ]
4. Andrade ZA, Susin M. Renal changes in mice infected with Schistosoma mansoni. American Journal of Tropical Medicine and Hygiene 23:400-403, 1974. [ Links ]
5. Barbosa FS. Epidemiologia. In: CunhaAS (Ed)Esquis- tossomose mansoni. Sarvier Editora, São Paulo, p. 31-59, 1970. [ Links ]
6. Brito T, Gunji J, Camargo ME, Penna DO, Silva LC. Advanced kidney disease in patients with hepatosplenic Manson’s schistosomiasis. Revista do Instituto de Medicina Tropical de São Paulo 12:225-235, 1970. [ Links ]
7. Cavalo T, Galvanek EC, Ward PA, von Lichtenberg F. The nephropathy of experimental hepatosplenic schistosomiasis. American Journal of Pathology 76:433-445, 1974. [ Links ]
8. Hoshino AO, Shimizu S, Brito T, Kanamura HY, Canto AL, Silva AO, Campos AR, Penna DO, Silva LC. Human Schistosomiasis: Schistosoma mansoni antigen detection in renal glomeruli. Transactions of the Royal Society of Tropical Medicine and Hygiene 70:492-496, 1976. [ Links ]
9. Katz N, Chaves A, Pellegrino J. A simple device for quantitative stool thick-smear technique in schistosomiasis mansoni. Revista do Instituto de Medicina Tropical de Sào Paulo 14:397-400, 1972. [ Links ]
10. Lehman JS, Mott KE, Souza CAM, Leboreiro O, Muniz TM. The association of schistosomiasis mansoni and proteinuria in an endemic area. American Journal of Tropical Medicine and Hygiene 24:616-618, 1975. [ Links ]
11. Moriearty PL, Brito E. Elution of renal antischistosome antibodies in human schistosomiasis mansoni. American Journal of Tropical Medicine and Hygiene 26:717-722, 1977. [ Links ]
12. Natali G, Cioli D. Immune – complex nephritis in Schistosoma mansoni infected mice. European Journal of Immunology 6:359-364, 1976. [ Links ]
13. Prata A, Bina JC. Development of hepatosplenic form of schistosomiasis. Gazeta Medica da Bahia 68:49-60, 1968. [ Links ]
14. Robinson A, Lewert RM, Spargo BH. Immune – complex glomerulonephritis and amyloidosis in Schistosoma japonicum infected rabbits. Transactions of the Royal Society of Tropical Medicine 76:214-226, 1982. [ Links ]
15. Rocha H, Cruz T, Brito E, Susin M. Renal involvement in patients with hepatosplenic schistosomiasis mansoni. American Journal of Tropical Medicine and Hygiene 25:108-115, 1976. [ Links ]
16. Silva LC, Brito T, Camargo ME, Boni DR, Lopes JD, Gunji J. Kidney biopsy in hepatosplenic form of infection with Schistosoma mansoni in man. Bulletin of the World Health Organization 42:907-910, 1970. [ Links ]
17. Souza CAM, Lessa I, Leboreiro O. Concentração de proteínas na urina de indivíduos normais. Revista de Saúde Pública de São Paulo 7:405-408, 1973. [ Links ]
18. Van Marck E. Presence of the circulating polysaccharide antigen in the liver of mice infected with Schistosoma mansoni. Annee de la Societé Belge de Médicine Tropicale 55:373-377, 1975. [ Links ]
19. Van Marck E,Deelder AM, Gigase PLJ. Effectofpartial portal vein ligation on immune glomerular deposits in Schistosoma mansoni infected mice. British Journal of Experimental Pathology 58:412-417, 1977. [ Links ]
Recebido para publicação em 29/8/1984.
Supported by CNPq, project PIDE V, process no 3651/82.
