Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0033774 (pruritus)
 14,546 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

This paper examines the extent to which onchocercal skin lesions affect the age at marriage and the duration of lactation among infected women in forest areas of Nigeria. In a retrospective study, 145 multiparous women were asked about their breast-feeding behaviour. Ninety-seven per cent routinely breast-fed after delivery, although the duration of lactation for 75 infected and 70 non-infected women was different. Of the 75 women with Onchocerca volvulus infection, 73% experienced itching during breast-feeding; 26% breast-fed for not more than 3 months compared to 2.1% of non-infected women who breast-fed for the same period (p < 0.005). A multiple regression model showed severity of onchocercal lesions as an independent predictor of shorter duration of lactation for women with O. volvulus infection. Duration of breast-feeding was reduced by more than 9 months for 6 (25%) out of 24 infected women who breast-fed infants before and after the onset of itching from lesions. Also, while the minimum age at marriage was 9 years for non-infected women, it was 17 years for women whose lesions appeared before marriage. This preliminary study suggest that incessant itching and severe onchocerciasis lesions may be important predictors of failure of women to breast-feed for longer periods in rain-forest areas of Nigeria.
 ...
PMID:Detrimental effects of onchocerciasis on marriage age and breast-feeding. 785 22

An epidemiological study of 14 communities situated along the major road passing through Bali district in Taraba State, Nigeria, was carried out in continuation of a statewide filariasis survey which began in 1989. Of the 4,024 people that were examined for Onchocerca volvulus microfilaria and for clinical symptoms of the disease, onchocerciasis, an unusually low 13.3% prevalence rate was recorded with a range between 1.1% and 45.5%. Only one community had prevalence rate beyond 30.0%, six had infection rates between 10 and 29% while the remaining seven had less then 10% prevalence of the disease. However, infection was recorded in every community. The prevalence of physical symptoms was equally low. Pruritus was 7.3% and leopard skin was 0.4%. The prevalence of onchocerciasis increased with age in both male and female thus supporting the age and sex specific pattern of infection that had been reported in other parts of the state. A case is made for the continued prospection for onchocerciasis in the other districts of the state in order to identify and treat all communities that must benefit from the ongoing ivermectin treatment.
 ...
PMID:Onchocerciasis in Taraba State, Nigeria: intensity, rate of infection and associated symptoms in 14 communities of Bali district. 808 52

During filaria surveys Mansonella streptocerca was found for the first time in Uganda, in 12 widely scattered villages in the Bundibugyo district between the Ruwenzori mountains and the Ituri forest, an area not endemic for Onchocerca volvulus. The crude prevalence in 806 examined adult persons ranged from 5 to 89% with an average of 61%. In 148 children the prevalence was 36%. The geometric mean of microfilaria (mf) densities in adult mf carriers was 1.7 mf/mg skin and the community microfilarial loads ranged from 1.0 to 13.7 mf/skin snip. In 476 persons skin snips from the shoulder contained mf in 58% and those from the buttocks in 48%. Skin snips from 68 persons digested with collagenase showed that only 30-37% of the mf emerged during 24 h incubation at 30 degrees C in isotonic salt solution. An itching acute or more often chronic papular dermatitis, predominantly on the upper parts of the body, was the typical skin lesion observed in 24% of 177 M. streptocerca mf carriers.
 ...
PMID:Occurrence and diagnosis of Mansonella streptocerca in Uganda. 908 84

A patient aged 16 years was referred following numerous episodes of intense pruritus associated with persistently altered liver function tests. Ultrasound (US) demonstrated the superior mesenteric vein positioned more to the left than usual and abnormal orientation of the duodenum, consistent with a midgut malrotation. Endoscopic retrograde cholangiopancreatography the common bile duct, suggesting a malrotation with chronic or recurrent volvulus. A classic malrotation with 180 degrees volvulus was noted at operation. A second child previously thought to have recurrent idiopathic pancreatitis was noted to have ampullary distortion secondary to malrotation following presentation with an intestinal obstruction. Pruritus and pancreatitis have not been previously reported with malrotation, although cholestatic jaundice has been described. The diffculties in diagnosis and the role of US are discussed. Ladd's procedure is the appropriate treatment for this condition.
 ...
PMID:Malrotation with recurrent volvulus presenting with cholestasis, pruritus, and pancreatitis. 1066 62

400 people in Gilgel Ghibe, southwestern Ethiopia, were subjected to parasitological and clinical examination to determine the prevalence and intensity of onchocerciasis. Its association with entomological transmission indices such as the parous rate and annual transmission potential (ATP) were determined simultaneously. Two skin snips per person were taken and examined for microfilariae of Onchocerca volvulus. In addition, collections of adult blackfly were done from human baits seated in pairs at 4 representative sites at the riverbank and away from the riverbank. Flies were then dissected for parity and infections with O. volvulus. Among the 228 people examined, the prevalence of the disease was low (17%), being higher in males than in females (19% vs. 14%). The geometric mean of microfilarial density was 11.1 mf per skin snip. Itching and skin changes were the most common signs and symptoms of the disease. The predominant anthropophilic blackfly species was Simulium (Edwardsellum) damnosum s.l. The annual parous rate was 74.7%, while ATP was 1669.5, being higher at the riverbank than at farther sites, suggesting a greater risk of infection by the riverside. In conclusion, the low prevalence of onchocerciasis vis-a-vis the high ATP level could be caused by the possible presence of bovine onchocerciasis in the area. Further studies employing molecular techniques are needed to identify O. volvulus from other filariae in flies.
 ...
PMID:Onchocerciasis in Gilgel Ghibe River Valley southwest Ethiopia. 1077 86

The tolerance of Onchocerca volvulus-infected individuals to diethylcarbamazine (DEC)-medicated salt (0.33% w/w) was assessed in 1996 in Tanzania in a double-blind placebo-controlled hospital-based trial involving 4 groups, each of 10 adult males. Groups I and II had O. volvulus microfilariae (mf) only, group III had both O. volvulus and Wuchereria bancrofti mf, and group IV had W. bancrofti mf only. Groups I, III and IV received DEC-medicated salt, whereas group II was a control to group I and received normal cooking salt. Medication was given for 10 days. The most pronounced adverse reactions in groups I and III were mild-to-moderate itching and rash, beginning after 3-4 days and lasting for the remaining medication period. The reactions did not interfere with normal daily activities. By 20 days after the end of medication, adverse reactions had disappeared in all individuals. The low daily dose of DEC had no significant effect on the O. volvulus pre-medication mf geometric mean intensities (GMIs). In contrast, the medication significantly reduced the pre-medication W. bancrofti mf GMIs. The prospects for using DEC-medicated salt for control of bancroftian filariasis in areas where incidental infections with O. volvulus occur are discussed.
 ...
PMID:Tolerance to diethylcarbamazine-medicated salt in individuals infected with Onchocerca volvulus. 1112 54

Treatment of onchocerciasis with diethylcarbamazine (DEC) or ivermectin is associated with a posttreatment reaction characterized by fever, tachycardia, hypotension, lymphadenopathy, and pruritus. To investigate the role of the Wolbachia bacterial endosymbiont of Onchocerca volvulus in these reactions, serum samples collected before and after treatment with either anthelmintic were assessed for evidence of Wolbachia DNA. By use of real-time quantitative polymerase chain reaction, Wolbachia DNA was detected in both groups-with significantly higher levels in those who received DEC (P <.0001). In the ivermectin group, there was a significant correlation between levels of bacterial DNA and serum tumor necrosis factor-alpha (P =.013). Peak DNA levels correlated with reaction scores (P =.048). Significant correlations were also seen between Wolbachia DNA and the antibacterial peptides calprotectin (P =.021) and calgranulin B (P <.0001). These findings support a role for Wolbachia products in mediating the inflammatory responses seen following treatment of onchocerciasis and suggest new targets for modulating these reactions.
 ...
PMID:Bacterial endosymbionts of Onchocerca volvulus in the pathogenesis of posttreatment reactions. 1192 Feb 98

To assess the impact of 5 years of annual community treatment with ivermectin (Mectizan) on the prevalence of onchocerciasis and onchocerciasis-associated morbidity, data collected, before and after such treatment, in the village of Gami, in a hyper-endemic area of the Central African Republic, were analysed. Skin snips from all the villagers treated in 1990 and/or 1995 were used to assess the prevalence and intensity of infection with Onchocerca volvulus. Ocular and dermatological morbidity was assessed by ophthalmological and clinical examinations of the same subjects. Following the five annual treatments, there was a reduction in the prevalence of infection and a dramatic decrease in the microfilarial load of the community. The prevalences of pruritus, onchocercal nodules and impaired vision were all significantly reduced. The results emphasise the long-term benefits of the mass-treatment programmes, particularly for children aged <10 years.
 ...
PMID:The effect of 5 years of annual treatment with ivermectin (Mectizan) on the prevalence and morbidity of onchocerciasis in the village of Gami in the Central African Republic. 1206 76

Infection by onchocerca volvulus, a parasitic worm, causes onchocerciasis (river blindness), a debilitating and often blinding disease endemic to tropical areas of Africa and Central and South America. The adult onchocerca volvulus invades the human host where it lives and reproduces for up to 14 years, creating millions of infant worms which cause itching, loss of skin color, rapid aging, and disfiguring skin disease in the host. Onchocerciasis often causes blindness in the human host by approximately age 35 years, and is the third leading cause of blindness in Africa. Onchocerca volvulus is transmitted among humans through the bite of blackflies which breed in fast-flowing rivers. The Onchocerciasis Control Program (OCP) was formally launched in 1974 by the UN's Food and Agriculture Organization (FAO), the UN Development Program (UNDP), the World Bank, and the World Health Organization (WHO) in Benin, Burkina Faso, Ghana, Cote d'Ivoire, Mali, Niger, and Togo. Vector control is the central strategy of the OCP, consisting of weekly helicopter spraying of larvacide to prevent the blackfly from reproducing and transmitting the disease. In addition, Merck & Co. is providing drug therapy against the infant worms in the human host free of charge to 16 million people in endemic areas. Onchocerciasis has now almost been eradicated in the 7 original target countries. Also through the OCP, by 1996, more than 34 million people were protected against the disease, about 2 million who were seriously infected have fully recovered, and an estimated 600,000 people have been prevented from going blind. 12 million infants born since the launch of the OCP face no risk of contracting the disease, and approximately 25 million hectares of arable fertile riverine land has been opened for resettlement. Labor productivity has also increased.
 ...
PMID:River blindness. Protection for 54 cents a year. 1234 35

Onchocerciasis is an infestation caused by the nematode, Onchocerca volvulus, and characterized by eye manifestations, skin lesions and troublesome itching. Although partially controlled by international mass treatment programs, onchocerciasis remains a major health hazard in endemic areas in Africa, Arabia, and the Americas. Onchocerciasis is spread by bites from infested blackflies which transmit larvae that subsequently develop into adult filariae. Skin findings are commonly non-specific, and include severe pruritus, acute and chronic dermatitis, vitiligo-like hypopigmentation and atrophy. Onchocercal ocular disease has a large spectrum of manifestations and may even lead to blindness. Diagnosis is usually made by direct visualization of the larvae emerging from superficial skin biopsies, "skin snips". In some cases, the microfilariae can also be directly observed with a slit lamp when they migrate into the anterior chamber of the eye. Ivermectin is highly microfilaricidal, and is the current drug of choice for both skin and ocular manifestations.
 ...
PMID:[Onchocerciasis]. 1275 35


<< Previous 1 2 3 4 5 Next >>