Resumen
Muitos pacientes portadores de hanseníase virchoviana, após longo tempo de evolução, apresentam alterações dérmicas muito semelhantes aos xantomas e seus exames histológicos mostram numerosos macrófagos carregados de material lipídico. Esses fatos, associados a alterações humorais dos lipídeos descritas na literatura, sugerindo alterações no metabolismo dos mesmos, levou-nos a estudos, visando a estabelecer valores médios em pacientes, utilizando-se de novas determinações lipoprotêicas e de apoproteínas muito mais precisas. A Lipoproteína(a) apresentou valor médio acima de 20 mg/dl em 64,6% dos pacientes, contra 33,3% no grupo controle. O encontro de Lipoproteína(a) aumentada em pacientes portadores de hanseníase virchoviana é importante, porque existe uma comprovada relação entre esta lipoproteína e alterações vasculares tipo ateroscleróticas e distúrbios na fibrinólise.
Citas
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