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In Wuchereria bancrofti filariasis, asymptomatic microfilaraemia does not progress to amicrofilaraemic lymphatic disease : Socioeconomic differentials in health

Identifieur interne : 000111 ( PascalFrancis/Curation ); précédent : 000110; suivant : 000112

In Wuchereria bancrofti filariasis, asymptomatic microfilaraemia does not progress to amicrofilaraemic lymphatic disease : Socioeconomic differentials in health

Auteurs : Senarath Dissanayake [Émirats arabes unis]

Source :

RBID : Pascal:01-0264968

Descripteurs français

English descriptors

Abstract

Background In lymphatic filariasis due to Wuchereria bancrofti infections, the relationship between the natural course of infection and development of clinical disease remains controversial. The two hypotheses that are widely considered are (1) microfilaraemia represents an early stage of infection which progresses to amicrofilaraemic clinical disease and (2) microfilaraemia and clinical disease are two sequentially unrelated independent entities of the filarial infection and disease. Aim To determine whether microfilaraemic individuals develop lymphatic disease. Methods The study was conducted in Sri Lanka during the period 1982 to 1998. There were two components, firstly a cross-sectional study and then a longitudinal study. Microfilaraemia was determined by microscopic examination of night blood films. Microfilaraemia associated anti-filarial antibodies were determined by ELISA. Clinical examinations were performed to determine if the test subjects had evidence of acute and chronic lymphoedema. Results Two major observations were made. First, the incidence and development of adenolymphangitis and lymphoedema in microfilaraemic individuals were very rare and these subjects maintained asymptomatic microfilaraemic status for very long periods of time. Second, in contrast to microfilaraemic subjects, the incidence and development of lymphangitis and lymphoedema were significantly higher in amicrofilaraemic anti-filarial antibody-positive subjects. Conclusion Microfilaraemia does not represent a precondition to development of clinical disease (except male genital involvement).
pA  
A01 01  1    @0 0300-5771
A02 01      @0 IJEPBF
A03   1    @0 Int. j. epidemiol.
A05       @2 30
A06       @2 2
A08 01  1  ENG  @1 In Wuchereria bancrofti filariasis, asymptomatic microfilaraemia does not progress to amicrofilaraemic lymphatic disease : Socioeconomic differentials in health
A11 01  1    @1 DISSANAYAKE (Senarath)
A14 01      @1 Faculty of Medicine and Health Sciences, UAE University, PO Box 17666 @2 Al Ain @3 ARE @Z 1 aut.
A20       @1 394-399
A21       @1 2001
A23 01      @0 ENG
A43 01      @1 INIST @2 16214 @5 354000095255780370
A44       @0 0000 @1 © 2001 INIST-CNRS. All rights reserved.
A45       @0 26 ref.
A47 01  1    @0 01-0264968
A60       @1 P
A61       @0 A
A64 01  1    @0 International journal of epidemiology
A66 01      @0 GBR
C01 01    ENG  @0 Background In lymphatic filariasis due to Wuchereria bancrofti infections, the relationship between the natural course of infection and development of clinical disease remains controversial. The two hypotheses that are widely considered are (1) microfilaraemia represents an early stage of infection which progresses to amicrofilaraemic clinical disease and (2) microfilaraemia and clinical disease are two sequentially unrelated independent entities of the filarial infection and disease. Aim To determine whether microfilaraemic individuals develop lymphatic disease. Methods The study was conducted in Sri Lanka during the period 1982 to 1998. There were two components, firstly a cross-sectional study and then a longitudinal study. Microfilaraemia was determined by microscopic examination of night blood films. Microfilaraemia associated anti-filarial antibodies were determined by ELISA. Clinical examinations were performed to determine if the test subjects had evidence of acute and chronic lymphoedema. Results Two major observations were made. First, the incidence and development of adenolymphangitis and lymphoedema in microfilaraemic individuals were very rare and these subjects maintained asymptomatic microfilaraemic status for very long periods of time. Second, in contrast to microfilaraemic subjects, the incidence and development of lymphangitis and lymphoedema were significantly higher in amicrofilaraemic anti-filarial antibody-positive subjects. Conclusion Microfilaraemia does not represent a precondition to development of clinical disease (except male genital involvement).
C02 01  X    @0 002B05E03B4D
C02 02  X    @0 235
C03 01  X  FRE  @0 Filariose @5 01
C03 01  X  ENG  @0 Filariosis @5 01
C03 01  X  SPA  @0 Filariosis @5 01
C03 02  X  FRE  @0 Wuchereria bancrofti @2 NS @5 02
C03 02  X  ENG  @0 Wuchereria bancrofti @2 NS @5 02
C03 02  X  SPA  @0 Wuchereria bancrofti @2 NS @5 02
C03 03  X  FRE  @0 Lymphoedème @5 04
C03 03  X  ENG  @0 Lymphedema @5 04
C03 03  X  SPA  @0 Linfedema @5 04
C03 04  X  FRE  @0 Eléphantiasis @5 07
C03 04  X  ENG  @0 Elephantiasis @5 07
C03 04  X  SPA  @0 Elefantiasis @5 07
C03 05  X  FRE  @0 Microfilaire @5 10
C03 05  X  ENG  @0 Microfilaria @5 10
C03 05  X  SPA  @0 Microfilaria @5 10
C03 06  X  FRE  @0 Plasma sanguin @5 11
C03 06  X  ENG  @0 Blood plasma @5 11
C03 06  X  SPA  @0 Plasma sanguíneo @5 11
C03 07  X  FRE  @0 Epidémiologie @5 16
C03 07  X  ENG  @0 Epidemiology @5 16
C03 07  X  SPA  @0 Epidemiología @5 16
C03 08  X  FRE  @0 Diagnostic @5 17
C03 08  X  ENG  @0 Diagnosis @5 17
C03 08  X  SPA  @0 Diagnóstico @5 17
C03 09  X  FRE  @0 Homme @5 20
C03 09  X  ENG  @0 Human @5 20
C03 09  X  SPA  @0 Hombre @5 20
C03 10  X  FRE  @0 Santé publique @5 23
C03 10  X  ENG  @0 Public health @5 23
C03 10  X  SPA  @0 Salud pública @5 23
C03 11  X  FRE  @0 Sri Lanka @2 NG @5 24
C03 11  X  ENG  @0 Sri Lanka @2 NG @5 24
C03 11  X  SPA  @0 Sri Lanka @2 NG @5 24
C07 01  X  FRE  @0 Nématodose
C07 01  X  ENG  @0 Nematode disease
C07 01  X  SPA  @0 Nematodosis
C07 02  X  FRE  @0 Helminthiase
C07 02  X  ENG  @0 Helminthiasis
C07 02  X  SPA  @0 Helmintiasis
C07 03  X  FRE  @0 Parasitose
C07 03  X  ENG  @0 Parasitosis
C07 03  X  SPA  @0 Parasitosis
C07 04  X  FRE  @0 Infection
C07 04  X  ENG  @0 Infection
C07 04  X  SPA  @0 Infección
C07 05  X  FRE  @0 Nematoda @2 NS
C07 05  X  ENG  @0 Nematoda @2 NS
C07 05  X  SPA  @0 Nematoda @2 NS
C07 06  X  FRE  @0 Nemathelminthia @2 NS
C07 06  X  ENG  @0 Nemathelminthia @2 NS
C07 06  X  SPA  @0 Nemathelminthia @2 NS
C07 07  X  FRE  @0 Helmintha @2 NS
C07 07  X  ENG  @0 Helmintha @2 NS
C07 07  X  SPA  @0 Helmintha @2 NS
C07 08  X  FRE  @0 Invertebrata @2 NS
C07 08  X  ENG  @0 Invertebrata @2 NS
C07 08  X  SPA  @0 Invertebrata @2 NS
C07 09  X  FRE  @0 Asie @2 NG
C07 09  X  ENG  @0 Asia @2 NG
C07 09  X  SPA  @0 Asia @2 NG
C07 10  X  FRE  @0 Appareil circulatoire pathologie @5 53
C07 10  X  ENG  @0 Cardiovascular disease @5 53
C07 10  X  SPA  @0 Aparato circulatorio patología @5 53
C07 11  X  FRE  @0 Lymphatique pathologie @5 54
C07 11  X  ENG  @0 Lymphatic vessel disease @5 54
C07 11  X  SPA  @0 Linfático patología @5 54
N21       @1 183

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Pascal:01-0264968

Le document en format XML

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<term>Filariosis</term>
<term>Human</term>
<term>Lymphedema</term>
<term>Microfilaria</term>
<term>Public health</term>
<term>Sri Lanka</term>
<term>Wuchereria bancrofti</term>
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<div type="abstract" xml:lang="en">Background In lymphatic filariasis due to Wuchereria bancrofti infections, the relationship between the natural course of infection and development of clinical disease remains controversial. The two hypotheses that are widely considered are (1) microfilaraemia represents an early stage of infection which progresses to amicrofilaraemic clinical disease and (2) microfilaraemia and clinical disease are two sequentially unrelated independent entities of the filarial infection and disease. Aim To determine whether microfilaraemic individuals develop lymphatic disease. Methods The study was conducted in Sri Lanka during the period 1982 to 1998. There were two components, firstly a cross-sectional study and then a longitudinal study. Microfilaraemia was determined by microscopic examination of night blood films. Microfilaraemia associated anti-filarial antibodies were determined by ELISA. Clinical examinations were performed to determine if the test subjects had evidence of acute and chronic lymphoedema. Results Two major observations were made. First, the incidence and development of adenolymphangitis and lymphoedema in microfilaraemic individuals were very rare and these subjects maintained asymptomatic microfilaraemic status for very long periods of time. Second, in contrast to microfilaraemic subjects, the incidence and development of lymphangitis and lymphoedema were significantly higher in amicrofilaraemic anti-filarial antibody-positive subjects. Conclusion Microfilaraemia does not represent a precondition to development of clinical disease (except male genital involvement).</div>
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</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Nemathelminthia</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="07" i2="X" l="FRE">
<s0>Helmintha</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="07" i2="X" l="ENG">
<s0>Helmintha</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="07" i2="X" l="SPA">
<s0>Helmintha</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="08" i2="X" l="FRE">
<s0>Invertebrata</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="08" i2="X" l="ENG">
<s0>Invertebrata</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="08" i2="X" l="SPA">
<s0>Invertebrata</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="09" i2="X" l="FRE">
<s0>Asie</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="09" i2="X" l="ENG">
<s0>Asia</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="09" i2="X" l="SPA">
<s0>Asia</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="10" i2="X" l="FRE">
<s0>Appareil circulatoire pathologie</s0>
<s5>53</s5>
</fC07>
<fC07 i1="10" i2="X" l="ENG">
<s0>Cardiovascular disease</s0>
<s5>53</s5>
</fC07>
<fC07 i1="10" i2="X" l="SPA">
<s0>Aparato circulatorio patología</s0>
<s5>53</s5>
</fC07>
<fC07 i1="11" i2="X" l="FRE">
<s0>Lymphatique pathologie</s0>
<s5>54</s5>
</fC07>
<fC07 i1="11" i2="X" l="ENG">
<s0>Lymphatic vessel disease</s0>
<s5>54</s5>
</fC07>
<fC07 i1="11" i2="X" l="SPA">
<s0>Linfático patología</s0>
<s5>54</s5>
</fC07>
<fN21>
<s1>183</s1>
</fN21>
</pA>
</standard>
</inist>
</record>

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   |area=    LymphedemaV1
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