| MOB: | 2025/4 |
| Szerzők: | Jalkh, Alex Panizza; Sousa, Naira Sulany Oliveira de; Sisnando, Alexandre Sabino; Souza Encarnacao, Hélia Valéria de; Vale, Fábio Francesconi do; Cruz, Kátia Santana; Araujo, José Ribamar; Souza, Joao Vicente Braga de; Frickmann, Hagen; Ramasawmy, Rajendranath |
| Tárgyszavak: | CYTOLOGIA; MIKROSZKÓPIA; BŐR BETEGSÉGEI; DERMATOMYCOSISOK |
| Folyóirat: | European Journal of Microbiology and Immunology - 2025. 15. évf. 4. sz. [https://akjournals.com/view/journals/1886/1886-overview.xml] |
Minimally invasive punch cytology with maceration for diagnosing Jorge Lobo disease in the Brazilian Amazon / Alex Panizza Jalkh [et al.]
Bibliogr.: p. 238-239. - Abstr. eng. - DOI: https://doi.org/10.1556/1886.2025.00072
In: European Journal of Microbiology and Immunology. - ISSN 2062-509X . - 2025. 15. évf. 4. sz., p. 232-239. : ill.
Jorge Lobo disease (JLD) is a neglected cutaneous mycosis prevalent in the Brazilian Amazon, where limited access to histopathology delays diagnosis and care. We assessed minimally invasive punch cytology with maceration (MIPC-M), a simple procedure that uses a 1-mm punch followed by potassium hydroxide maceration and light microscopy, as a field-ready alternative. In a prospective, cross-sectional study (2014.2019) across 11 municipalities in the Brazilian Amazon, individuals .12 years with clinically suggestive lesions underwent three cytological approaches in parallel.adhesive tape cytology, exfoliative cytology, and MIPC-M.while histopathology served as the reference. Among 27 participants, MIPC-M identified yeast-like structures compatible with the JLD agent in 27/27 cases, yielding 100% sensitivity (95% CI, 87.2.100) versus histopathology. Adhesive tape and exfoliative cytology detected 3/27 (11.1%; 95% CI, 3.9.28.1) and 1/27 (3.7%; 95% CI, 0.7.18.3) cases, respectively. No adverse events occurred. These data support MIPC-M as a sensitive, rapid, and low-resource diagnostic option for JLD screening in remote settings. Larger studies should estimate specificity, evaluate inter-operator performance, and determine impacts on time-to-diagnosis and surgical management in Amazonian communities. Kulcsszavak: cytological diagnosis, lobomycosis, microscopy, point of care testing, sensitivity, diagnostic accuracy