title: [Leprosy in Buriticupu, State of Maranhão: active search for cases in the adult population].
abstract: BACKGROUND
  This study aimed to analyze the leprosy situation, focusing on the adult population of the town of Buriticupu, State of Maranhão.
  
  
  METHODS
  An active search was conducted to identify new cases from 2005 to 2007. All patients with injuries suggestive of leprosy were submitted to cutaneous bacilloscopy and biopsies were performed when defining the clinical presentation was difficulty.
  
  
  RESULTS
  15,409 individuals participated in the study and 62 were diagnosed with leprosy which represents a detection coefficient of 40.23/10,000. Bacilloscopy showed positive results in six patients. The predominant clinical form was tuberculoid, 31 cases, followed by the indeterminate form (20 cases), the dimorphous form (10 cases) and the lepromatous form (1 case). The study also identified other skin diseases, including pityriasis versicolor, scabies, mycosis, vitiligo and carcinoma.
  
  
  CONCLUSIONS
  The high detection coefficient defines the town of Buriticupu, MA, as hyperendemic for leprosy. Active cases search is an important method for disease control.
authors.affiliation: Centro de Referencia em Doencas Infecciosas e Parasitarias, Departamento de Patologia, Universidade Federal do Maranhão, São Luís, MA. credip@ufma.br
authors.forename: Antonio Rafael da
authors.initials: AR
authors.lastname: Silva
authors.forename: Wilma Batista da
authors.initials: WB
authors.lastname: Matos
authors.forename: Camila Cristina Bastos
authors.initials: CC
authors.lastname: Silva
authors.forename: Eloisa da Graça do Rosario
authors.initials: Eda G
authors.lastname: Gonçalves
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001938:Brazil / Q000453:epidemiology; D002648:Child; D019353:Endemic Diseases; D005260:Female; D006801:Humans; D007918:Leprosy / Q000145:classification / Q000175:diagnosis / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D055815:Young Adult