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Title: | Syphilis in Coimbra at the beginning of the 20th century. The importance of hospital records for the study of the disease | Other Titles: | Sífilis em Coimbra no início do século XX. A importância dos registos hospitalares para o estudo da doença | Authors: | Lopes, Célia | Keywords: | Paleopathology; history of medicine; archives; Hospitals of the University of Coimbra; Paleopatologia; história da medicina; arquivos; Hospitais da Universidade de Coimbra | Issue Date: | 2019 | Publisher: | Universidade de Coimbra | Project: | SFRH/ BD/36954/2007 | Serial title, monograph or event: | Antropologia Portuguesa | Issue: | 36 | Abstract: | Syphilis is a chronic sexually or
congenitally transmitted infection, with a
well-documented clinical past, having been
one of the major public health problems in
Europe. In Portugal, there is a lack of data
regarding the number of individuals infected
by syphilis, or even about the characteristics
of the disease and the infected people, in past
official statistics. Hence, the main purpose
of this study was to appraisal some of these
omissions in order to extend our knowledge
of this infection in the past. The aim was to
obtain data about the disease in the first years
of the 20th century, as well as the demographic
and the socioeconomic profile of the affected individuals. The intention was also to
characterize the disease, identifying the most
frequent lesions and their locations in the
human body. Among the patients who were
hospitalized in the Hospitals of the University
of Coimbra (HUC) between 1904 and 1937,
5.9% were diagnosed with syphilis. Most of
them (89.3%) with the acquired form of the
disease, which affected mainly single young
adults (20–39 years) independently of their
sex. Congenital syphilis was detected mainly
in children (0–4 years). Most hospitalizations
for congenital syphilis (53.9%) occurred when
the disease was in its tertiary form, which
did not happen in the acquired form of the
disease (29.5%). The most frequent forms of
tertiary syphilis were malignant, affecting
33.4% of patients with the disease at its most
advanced stage. A sífilis é uma infeção sexualmente transmissível, crónica e com transmissão congénita que constituiu um sério problema de saúde pública na Europa. Em Portugal pouco se sabe sobre os números de indivíduos afetados, bem como sobre a caracterização da doença e dos doentes. Desta forma, os objetivos principais deste trabalho visam tentar entender e, se possível, colmatar estas falhas, apresentando-se os reais números da doença nos primeiros anos do século XX, bem como a caracterização demográfica e socioeconómica dos indivíduos afetados. Por outro lado, pretende-se proceder a uma caracterização da doença, nomeadamente do tipo de lesões mais frequentes e da sua localização no organismo. De entre os internamentos efetuados nos Hospitais da Universidade de Coimbra (HUC) entre 1904 e 1937, 5,9% foram diagnosticados com sífilis. A maioria dos doentes (89,3%) com a forma adquirida, a qual afetou sobretudo jovens adultos solteiros (20–39 anos), sem distinção entre sexos. A sífilis congénita foi detetada sobretudo em crianças (0–4 anos). A maioria dos internamentos por sífilis congénita (53,9%) ocorreu quando a doença se apresentava na sua forma terciária, o mesmo não sucedendo na forma adquirida da doença (29,5%). As formas de sífilis terciária mais frequentes foram as malignas, afetando 33,4% dos portadores da doença no seu estádio mais avançado. |
URI: | https://hdl.handle.net/10316/106814 | ISSN: | 2182-7982 0870-0990 |
DOI: | 10.14195/2182-7982_36_4 | Rights: | openAccess |
Appears in Collections: | I&D CIAS - Artigos em Revistas Nacionais |
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