%0 Journal Article
%T Endemic Pemphigus foliaceus ("Fogo selvagem"): a series from the Northeastern region of the State of S o Paulo, Brazil, 1973-1998
%A CHIOSSI Maria Paula do Valle
%A ROSELINO Ana Maria F.
%J Revista do Instituto de Medicina Tropical de S£¿o Paulo
%D 2001
%I Instituto de Medicina Tropical
%X Endemic Pemphigus Foliaceus (EPF) is a bullous autoimmune skin disease whose incidence used to be high in the State of S o Paulo (SP), Brazil, during the forties, but has declined thereafter. OBJECTIVES: to report a series of EPF patients from the northeastern region of SP. METHODS: a retrospective study concerning demographic and epidemiological data of patients seen from 1973 to 1998 was conducted at the University Hospital, Faculty of Medicine of Ribeir o Preto, SP. RESULTS: bullous disease was diagnosed in 340 patients, 245 with EPF (72.1%), 9.4 cases per year, 60.4% females, and 70.2% white, 7 to 82 year-old (29.4% in their teens); 46.9% lived in the rural zone. Concerning profession, housewives predominated among women (67.6%) and agricultural workers among men (40.2%). The time of disease was less than 1 year in 62.0% of cases, followed by 1 and 5 years (27%), and more than 5 years for the remaining patients (11%). 36.7% of patients were referred by the Dire  o Regional de Sa¨²de (DIR) XVIII of Ribeir o Preto, with the largest number of cases being from Ribeir o Preto and Batatais: 33.3% and 23.3%, respectively; 22% from DIR XIII (Franca); 13.5% from DIR VII (Araraquara); 2.9% from DIR IX (Barretos); 4.1% from other DIRs of SP, and 20.8% from other States (16.7% from Minas Gerais). Thirteen (5.3%) patients reported occurrence of the disease in some relative, and 4 (1.6%) in neighbors. CONCLUSIONS: the present data characterize the northeastern region of the state of S o Paulo as a remaining endemic focus of EPF.
%K Pemphigus
%K Pemphigus foliaceus
%K Fogo selvagem
%K Epidemiology
%U http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652001000200001